{"id":37003,"date":"2017-02-16T13:56:30","date_gmt":"2017-02-16T13:56:30","guid":{"rendered":"http:\/\/humanitas.local\/diseases\/ruminacioni-sindrom\/"},"modified":"2017-11-09T13:04:11","modified_gmt":"2017-11-09T13:04:11","slug":"ruminacioni-sindrom","status":"publish","type":"disease","link":"https:\/\/www.humanitas.net\/sr\/diseases\/ruminacioni-sindrom\/","title":{"rendered":"Ruminacioni sindrom"},"content":{"rendered":"<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Ruminacioni sindrom, koji se jo\u0161 naziva i Mericizam (Merycism) je stanje koje poga\u0111a normalno funkcionisanje \u017eeluca i jednjaka. Karakteri\u0161e se nenapornim, ponavljanim i nenamernim izbacivanjem iz \u017eeluca nesvarene i nedavno une\u0161ene hrane. Osobe koje pate od ovog sindroma ponovo onda \u017eva\u0107u hranu ili je ponovo progutaju, ili je u krajnjem slu\u010daju ispljunu. <\/span><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Ruminacija je sindrom koji mo\u017ee ostati nedijagnostikovan zato \u0161to se \u010desto me\u0161a sa drugim stanjima. <\/span><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Kako bi se ruminacioni sindrom dijagnostikovao, osoba bi trebalo da ima simptome koji traju nekoliko nedelja ili meseci. <\/span><\/p>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">\u00a0<\/span><\/p>\n<h2><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Simptomi<\/span><\/h2>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Simptomi mogu da po\u010dnu da se javljaju u bilo kom trenutku od uno\u0161enja obroka do 120 minuta nakon njega. Me\u0111utim, naj\u010de\u0161\u0107i raspon javljanja simptoma je od 30 sekundi do 1 sata nakon zavr\u0161enog obroka. <\/span><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Simptomi po\u010dinju obi\u010dno da opadaju kada ruminacioni sadr\u017eaj postane kiseo.<\/span><\/p>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Kod nekih osoba, regurgitacija odnosno povra\u0107aj sadr\u017eaja je manje izra\u017een i javlja se du\u017ei period. Kod drugih, pak, koli\u010dina mo\u017ee biti ve\u0107a, u\u010destalija i mora da se ispljune. I dok neki pacijenti simptome imaju samo nakon unosa odre\u0111ene hrane, drugi ih mogu imati posle svakog obroka, bilo da se radi o jednom zalogaju ili pravoj gozbi. Za razliku od tipi\u010dnog povra\u0107anja, regurgitacija se \u010desto opisuje kao nenaporna i neiznu\u0111ena. Ne javljaju se povra\u0107anje, mu\u010dnina, goru\u0161ica, miris ili bolovi u stomaku tipi\u010dni za obi\u010dno povra\u0107anje.\u00a0 Tako\u0111e, hrana nema onaj gorak ukus ili miris kiseline uzrokovan stoma\u010dnom kiselinom i \u017eu\u010di. <\/span><\/p>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">\u00a0<\/span><\/p>\n<h2><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Uzroci<\/span><\/h2>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Uzrok rumincionog sindroma nije poznat. Me\u0111utim, nedavne studije pokazale su povezanost izme\u0111u pretpostavljenih uzroka i istorije pacijenata sa ovim simptomom. Kod beba i onih sa smetnjama u razvoju, bolest ze obi\u010dno povezivala sa preteranom ili nedovoljnom stimulacijom od strane roditelja ili staratelja, \u00a0stvaranjem individualne potrebe za samonagra\u0111ivanjem i samostimulisanjem zbog nedostatka ili preteranog spoljnog stimulisanja. Poreme\u0107aj se tako\u0111e pripisuje napadima bolesti, stresnom periodu u pro\u0161losti date osobe, i promenama u nekoj terapiji. <\/span><\/p>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Kod odraslih i adolescenata, pretpostavljeni uzroci obi\u010dno se svrstavaju u jednu od dve kategorije: one koji su izazvani navikom, i onih izazvanih traumom. One osobe kod koji su uzroci izazvani navikom obi\u010dno su ve\u0107 patili od bulimije nervoze ili od namerne regurgitacije (poput ma\u0111ioni\u010dara, ili profesionalnih regurgitatora) , \u010dime je stvorena podsvesna navika koja nastavlja da se sama ispoljava bez kontrole od strane date osobe. Osobe kod kojih su uzroci izazvani traumom opisale su postojanje emotivne ili fizi\u010dke povrede koja je prethodila ruminaciji, a koja se dogodila u mesecima pre pojavi sindroma. <\/span><\/p>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">\u00a0<\/span><\/p>\n<h2><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Faktori rizika<\/span><\/h2>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Iako je najpre opisana kod dece i osoba ometenih u razvoju, sada je op\u0161te poznato da se ruminacioni sindrom javlja kod svih uzrasta, kod mu\u0161karaca i \u017eena, nezavisno od stepena mentalnog razvoja osobe. <\/span><\/p>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">\u00a0<\/span><\/p>\n<h2><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Komplikacije<\/span><\/h2>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Ne postoje poznate medicinske komplikacije koje ruminacioni sindrom sam po sebi izaziva. Naj\u010de\u0161\u0107e komplikacije ovog sindroma relativno su blage i promenljive, a mogu obuhvatati gubitak te\u017eine, nedostatke nekih vitamina i mineral, problem sa zubima, uklju\u010duju\u0107i karijes i nagrizanje gle\u0111i uzrokovanih stoma\u010dnom kiselinom. Sre\u0107om, uz odgovaraju\u0107e le\u010denje, mnoge od komplikacija povezanih sa ruminacionim sindromom mogu da se povuku. <\/span><\/p>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">\u00a0<\/span><\/p>\n<h2><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Prevencija<\/span><\/h2>\n<p><span style=\"font-family: arial,sans-serif; font-size: 10pt;\">Ne postoji poznati na\u010din prevencije. Me\u0111utim, normalna stimulacija i zdrav odnos roditelj-dete mogu da pomognu u smanjenju \u0161anse da se ovaj poreme\u0107aj javi. <\/span><\/p>\n","protected":false},"author":9,"featured_media":0,"template":"","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ruminacioni sindrom - 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\/ruminacioni-sindrom\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ruminacioni sindrom - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Ruminacioni sindrom, koji se jo\u0161 naziva i Mericizam (Merycism) je stanje koje poga\u0111a normalno funkcionisanje \u017eeluca i jednjaka. Karakteri\u0161e se nenapornim, ponavljanim i nenamernim izbacivanjem iz \u017eeluca nesvarene i nedavno une\u0161ene hrane. Osobe koje pate od ovog sindroma ponovo onda \u017eva\u0107u hranu ili je ponovo progutaju, ili je u krajnjem slu\u010daju ispljunu. 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Karakteri\u0161e se nenapornim, ponavljanim i nenamernim izbacivanjem iz \u017eeluca nesvarene i nedavno une\u0161ene hrane. Osobe koje pate od ovog sindroma ponovo onda \u017eva\u0107u hranu ili je ponovo progutaju, ili je u krajnjem slu\u010daju ispljunu. 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