{"id":37097,"date":"2017-02-17T10:47:40","date_gmt":"2017-02-17T10:47:40","guid":{"rendered":"http:\/\/humanitas.local\/diseases\/ishemija-creva\/"},"modified":"2017-11-07T16:49:15","modified_gmt":"2017-11-07T16:49:15","slug":"ishemija-creva","status":"publish","type":"disease","link":"https:\/\/www.humanitas.net\/sr\/diseases\/ishemija-creva\/","title":{"rendered":"Ishemija creva"},"content":{"rendered":"

Ishemija je stanje u organizmu koje nastaje kao posledica prekida krvotoka, u kome pojedina tkiva ili organi ne dobijaju dovoljnu koli\u010dinu kiseonika iz krvi. Ishemija creva predstavlja stanje prekinutog dotoka krvi do creva koje nastaje kao posledica blokade ili su\u017eavanja arterija. Ishemija se mo\u017ee javiti u tankom i debelom crevu, a ponekad i u oba creva istovremeno. Prekinut dotok krvi mo\u017ee izazvati intenzivan bol i trajna o\u0161te\u0107enja na crevima.<\/p>\n

Akutna vaskularna ishemija je hitan medicinski slu\u010daj koji dovodi do iznenadnog prekida dotoka krvi i mo\u017ee se sanirati samo operacijom.<\/p>\n

Hroni\u010dna ishemija creva je vrsta ishemije koja se razvija u periodu od nekoliko nedelja ili meseci. Ova vrsta ishemije creva se mora le\u010diti kako se ne bi razvila u akutnu i dovela do daljih zdravstvenih komplikacije poput ekstremnog gubitka telesne mase i neuhranjenosti.<\/p>\n

 <\/p>\n

Simptomi<\/strong><\/h2>\n

Kojim \u0107e se simptomima manifestovati ishemija creva zavisi od toga da li je ona akutna ili hroni\u010dna.<\/p>\n

Simptomi akutne ishemije creva su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nadut abdomen<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Iznenadan intenzivan bol u abdomenu<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 U\u010destala potreba za praznjenjem<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Krv u stolici<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Mu\u010dnina i povra\u0107anje<\/p>\n

 <\/p>\n

Simptomi hroni\u010dne ishemije creva su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gr\u010devi i spazmi abdomenu koji se javljaju izme\u0111u 30 min i 3 sata nakon jela<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Bol u abdomenu koji se postepeno pogor\u0161ava u periodu od nekoliko nedelja ili meseci<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Neredovni obroci zbog straha od bola nakon jela<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gubitak kilograma<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Proliv<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Mu\u010dnina i povra\u0107anje<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Oticanje u predelu abdomena<\/p>\n

<\/h2>\n

Uzroci<\/strong><\/h2>\n

Ishemija creva nastaje kada do\u0111e do prekida dotoka krvi do creva. Usled smanjenog dotoka krvi, \u0107elije u sistemu za varenje ne dobijaju dovoljno kiseonika. Predugo trajanje prekida dotoka krvi dovodi do umiranja velike koli\u010dine \u0107elija i stvaranja o\u0161te\u0107enja na crevima.<\/p>\n

Ishemija creva se deli na nekoliko kategorija:<\/p>\n

1.\u00a0\u00a0\u00a0\u00a0 Ishemija debelog creva (Ischemia colitis<\/em>)<\/p>\n

Faktori koji mogu izazvati ishemiju u debelom crevu su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ateroskleroza \u2013 akumulacija masnih naslaga na zidovima arterija<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hipotenzija \u2013 veoma nizak krvni pritisak koji nastaje kao posledica zatajenja srca, te\u0161ke operacije, povrede ili \u0161oka<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Stvaranje tromba u arteriji koja vodi u debelo crevo<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Opstrukcija u debelom crevu izazvana kilom, tumorom ili o\u017eilja\u010dnim tkivom<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vaskulitis \u2013 upala krvnih sudova<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Lupus<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Srpasta anemija<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Operacija na srcu i krvnim sudovima<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Operacija na sistemu za varenje ili genitalnom traktu<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Lekovi za sr\u010dana oboljenja, migrene i regulisanje hormona koji su\u017eavaju krvne sudove<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Upotreba kokaina i metamfetamina<\/p>\n

\n

2.\u00a0\u00a0\u00a0\u00a0 Akutna mezentri\u010dna ishemija<\/p>\n

Akutna mezentri\u010dna ishemija se javlja iznenadno u tankom crevu, uglavnom kao posledica nekog slede\u0107ih faktora:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Tromba koji blokira arteriju koja vodi u tanko crevo<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ateroskleroza \u2013 akumulacija masnih naslaga na zidovima arterija u crevu<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hipotenzija – veoma nizak krvni pritisak koji nastaje kao posledica zatajenja srca, te\u0161ke operacije, povrede ili \u0161oka<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Odre\u0111enih lekova<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hroni\u010dnog zatajenja bubrega<\/p>\n

 <\/p>\n

3.\u00a0\u00a0\u00a0\u00a0 Mezentri\u010dna venozna tromboza<\/p>\n

Vrsta ishemije koja se javlja kada do\u0111e do stvaranja tromba u veni. Ova vrsta ishemije naj\u010de\u0161\u0107e je posledica nekog od slede\u0107ih faktora:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pankreatitisa \u2013 akutne ili hroni\u010dne upale pankreasa<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Infekcija u abdomenu<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Infekcija u sistemu za varenje<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Karcinoma u sistemu za varenje<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Bolesti creva<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Bolesti koje izazivaju preterano zgru\u0161avanje krvi<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Povreda abdomena ili organa za varenje<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Odre\u0111enih vrsta hormonske terapije<\/p>\n

<\/h2>\n

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

Faktori koji mogu pove\u0107ati rizik od nastajanja svih vrsta ishemije creva su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ateroskleroza \u2013 akumulacija masnih naslaga na zidovima arterija<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Poreme\u0107en krvni pritisak \u2013 hipotenzija (nizak pritisak) ili hipertenzija (visok pritisak)<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sr\u010dana oboljenja \u2013 kongestivno zatajenje srca ili artimije<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Lekovi \u2013 uzimanje odre\u0111enih lekova koji izazivaju u\u010destalo kontrakovanje krvnih sudova, lekova protiv alergija i migrena, kao i hormonskih pilula za kontracepciju<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Problemi sa zgru\u0161avanjem krvi<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Upotreba ilegalnih droga<\/p>\n

<\/h2>\n

Komplikacije<\/strong><\/h2>\n

Ukoliko se ishemija creva ne le\u010di, mo\u017ee do\u0107i do stvaranja slede\u0107ih komplikacija:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Odumiranja dela tkiva u crevu<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Su\u017eavanja debelog creva<\/p>\n

<\/h2>\n

Prevencija<\/strong><\/h2>\n

Primenjivanjem slede\u0107ih mera umanjuje se rizik od ishemije creva:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Redovna fizi\u010dka aktivnost<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Odr\u017eavanje normalne telesne te\u017eine<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Zdrava ishrana<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Prestanak pu\u0161enja<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kontrolisanje hroni\u010dnih oboljenja i drugih zdravstvenih problema<\/p>\n","protected":false},"author":9,"featured_media":0,"template":"","yoast_head":"\nIshemija creva - 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\/ishemija-creva\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ishemija creva - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Ishemija je stanje u organizmu koje nastaje kao posledica prekida krvotoka, u kome pojedina tkiva ili organi ne dobijaju dovoljnu koli\u010dinu kiseonika iz krvi. Ishemija creva predstavlja stanje prekinutog dotoka krvi do creva koje nastaje kao posledica blokade ili su\u017eavanja arterija. 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