{"id":36908,"date":"2017-02-16T10:28:02","date_gmt":"2017-02-16T10:28:02","guid":{"rendered":"http:\/\/humanitas.local\/diseases\/mikroskopski-kolitis\/"},"modified":"2017-11-08T14:09:57","modified_gmt":"2017-11-08T14:09:57","slug":"mikroskopski-kolitis","status":"publish","type":"disease","link":"https:\/\/www.humanitas.net\/sr\/diseases\/mikroskopski-kolitis\/","title":{"rendered":"Mikroskopski kolitis"},"content":{"rendered":"

Mikroskopski kolitis je zapaljenje debelog creva koje uti\u010de na apsorpciju vode iz debelog creva i samim tim uzrokuje trajne vodene stolice. Ovaj poreme\u0107aj dobio je ime zbog \u010dinjenice da nije vidljiv golim okom, ve\u0107 je potrebno analizirati tkivo debelog creva pod mikroskopom ne bi li se utvrdilo postojanje poreme\u0107aja. <\/span><\/p>\n

Postoje dva tipa mikroskopskog kolitisa:<\/span><\/p>\n

Kolageni kolitis, kod koga se tanak sloj proteina (kolagena) razvija ispod samog tkiva debelog creva. \u00a0Simptomi mikroskopskog kolitisa mogu da se javljaju i gube \u010desto, a ponekad mogu i da nestanu sami od sebe; i<\/span><\/p>\n

Limfocitni kolitis, kod koga broj belih krvnih zrnaca (limfocita) raste u debelom crevu, gde se oni na taj na\u010din nagomilavaju.<\/span><\/p>\n

Nije poznato da li su kolageni kolitis i limfocitni kolitis dva odvojena poreme\u0107aja ili predstavljaju razli\u010dite faze istog poreme\u0107aja. Me\u0111utim, simptomi kolagenog kolitisa i limfocitnog kolitisa su sli\u010dni, kao i samo testiranje i le\u010denje, budu\u0107i da neki stru\u010dnjaci smatraju da oni predstavljaju razli\u010dite faze iste bolesti. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Simptomi<\/span><\/h2>\n

Primarni simptom mikroskopskog kolitisa je hroni\u010dna, vodena dijareja koja mo\u017ee trajati mesecima ili godinama pre samog uspostavljanja dijagnoze. Obi\u010dno, simptomi postepeno po\u010dnu da se javljaju i neredovni su po prirodi, pa postoje periodi kada se osoba ose\u0107a dobro, da bi zatim usledili napadi hroni\u010dne dijareje. Ova hroni\u010dna dijareja karakteristi\u010dna za mikroskopski kolitis razlikuje se od akutne dijareje infektivnog kolitisa, koja obi\u010dno traje od nekoliko dana do par nedelja. U jo\u0161 neke simptome mikroskopskog kolitisa ubrajaju se:<\/span><\/p>\n

Bol i gr\u010devi u stomaku;<\/span><\/p>\n

Gubitak te\u017eine;<\/span><\/p>\n

Mu\u010dnina;<\/span><\/p>\n

Fekalna inkontinencija.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Uzroci<\/span><\/h2>\n

Nije poznato \u0161ta uzrokuje zapaljenje debelog creva koje se javlja kod mikroskopskog kolitisa. \u00a0Neki stru\u010dnjaci sumnjaju da je mikroskopski kolitis autoimuni poreme\u0107aj sli\u010dan onome koji uzrokuje hroni\u010dni ulcerativni kolitis i Kronovu bolest. Nau\u010dnici veruju da me\u0111u uzro\u010dnike spadaju:<\/span><\/p>\n

Lekovi koji nadra\u017euju sluzoko\u017eu debelog creva<\/span><\/p>\n

Bakterije koje lu\u010de toksine koji iritiraju sluzoko\u017eu debelog creva <\/span><\/p>\n

Virusi koji su okida\u010di zapaljenja<\/span><\/p>\n

Problemi sa imunim sistemom, poput reumatoidnog artritisa ili celija\u010dne bolesti, koji se javljaju kada imuni sistem tela napada zdrava tkiva. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Faktori rizika<\/span><\/h2>\n

Iako se u tome ne sla\u017eu sve sprovedene studije, neke od njih ukazuju da izvesni lekovi mogu da pove\u0107aju rizik od pojave mikroskopskog kolitisa. Me\u0111u lekove koji se vezuju za to stanje spadaju:<\/span><\/p>\n

Aspirin, acetaminofen i ibuprofen;<\/span><\/p>\n

Inhibitori protonske pumpe, uklju\u010duju\u0107i lansoprazole;<\/span><\/p>\n

Akarboza;<\/span><\/p>\n

Flutamid;<\/span><\/p>\n

Ranitidin;<\/span><\/p>\n

Selektivni inhibitor preuzimanja serotonina, poput sertralina;<\/span><\/p>\n

Karbamazepin.<\/span><\/p>\n

Smatra se da su neke kategorije osoba izlo\u017eene ve\u0107em riziku od nastanka mikroskopskog kolitisa. <\/span>Me\u0111u njima su: <\/span><\/p>\n

\u017dene starosne dobi od 50 do 70 godina;<\/span><\/p>\n

Osobe sa izvesnim problemima imunog sistema, poput onih sa celija\u010dnom bolesti, oboljenjima \u0161titne \u017elezde ili reumatoidnim artritisom;<\/span><\/p>\n

Pu\u0161a\u010di, posebno uzrasta od 16 do 44 godina.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Prevencija<\/span><\/h2>\n

Budu\u0107i da uzrok mikroskopskog kolitisa nije poznat, ne mo\u017ee se dati adekvatan savet za spre\u010davanje nastanka ove bolesti. \u00a0<\/span><\/p>\n","protected":false},"author":9,"featured_media":0,"template":"","yoast_head":"\nMikroskopski kolitis - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanitas.net\/sr\/diseases\/mikroskopski-kolitis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mikroskopski kolitis - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Mikroskopski kolitis je zapaljenje debelog creva koje uti\u010de na apsorpciju vode iz debelog creva i samim tim uzrokuje trajne vodene stolice. 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