{"id":51704,"date":"2018-06-18T09:35:39","date_gmt":"2018-06-18T09:35:39","guid":{"rendered":"https:\/\/www.humanitas.net\/?post_type=disease&#038;p=51704"},"modified":"2018-06-18T09:36:38","modified_gmt":"2018-06-18T09:36:38","slug":"ards-akutni-respiratorni-distres-sindrom","status":"publish","type":"disease","link":"https:\/\/www.humanitas.net\/sr\/diseases\/ards-akutni-respiratorni-distres-sindrom\/","title":{"rendered":"ARDS \u2013Akutni respiratorni distres sindrom"},"content":{"rendered":"<p>ARDS predstavlja akutni respiratorni poreme\u0107aj koji nastaje kada se vi\u0161ak te\u010dnosti akumulira u manjim, elasti\u010dnim alveolarnim vre\u0107icama plu\u0107nog parenhima. Pove\u0107ana koli\u010dina te\u010dnosti u plu\u0107ima podrazumeva manju koli\u010dinu kiseonika koja dospeva u cirkulatorni sistem. Usled toga nastaje smanjena koncentracija kiseonika u tkivima.<\/p>\n<p>ARDS naj\u010de\u0161\u0107e nastaje kod osoba koje su ve\u0107 u \u017eivotno ugro\u017eavaju\u0107em stanju ili poseduju te\u017ee povrede tela. Respiratorna insuficijencija je osnovni simptom ARDS, koja naj\u010de\u0161\u0107e nastaje unutar nekoliko dana nakon po\u010detka osnovnog oboljenja ili traumatskog akcidenta.<\/p>\n<p>&nbsp;<\/p>\n<p>Kod ve\u0107ine individua nastanak ARDS je fatalan. Rizik za nastanak letalnog ishoda pove\u0107ava se sa staro\u0161\u0107u i komorbiditetima. \u00a0Kod individua nakon ARDS-a, ve\u0107ina se oporavi\u00a0 u potpunosti dok\u00a0 kod odre\u0111enih nastaju posledice na plu\u0107nom parenhimu.<\/p>\n<p>&nbsp;<\/p>\n<h2>Simptomi<\/h2>\n<p>Simptomi ARDS-a mogu varirati u intenzitetu, u zavisnosti od uzroka i stepena o\u0161te\u0107enja, kao i uzro\u010dnog faktora. Oni mogu biti.<\/p>\n<p>Nizak krvni pritisak<\/p>\n<p>Te\u017eak porme\u0107aj respiracije<\/p>\n<p>Ote\u017eano i neuobi\u010dajeno ubrzano disanje<\/p>\n<p>Konfuzija i ekstreman umor<\/p>\n<p>&nbsp;<\/p>\n<h2>Uzroci<\/h2>\n<p>Uzrok nastanka ARDS jeste te\u010dnost koja se nakuplja van najmanjih krvnih sudova (kapilara) u plu\u0107nom parenhimu u vidu alveolarnih vre\u0107ica\u00a0 u kojima se krv oksigenira. U fiziolo\u0161kim uslovima prisutna je protektivna membrane koja odr\u017eava adekvatan nivo te\u010dnosti u krvnim sudovima.\u00a0 Te\u017ei poreme\u0107aji\u00a0 ili povrede, mogu izazvati nastanak inflamatornog procesa koji uslovljava isticanje te\u010dnosti.<\/p>\n<p>&nbsp;<\/p>\n<h2>Naj\u010de\u0161\u0107i uzro\u010dni faktor ARDS podrazumeva:<\/h2>\n<p>Sepsa<\/p>\n<p>Inhalacija \u0161tetnih supstanci<\/p>\n<p>Te\u0161ka pneumonija<\/p>\n<p>Povreda glave, grudnog ko\u0161a ili politrauma<\/p>\n<p>&nbsp;<\/p>\n<h2>Faktori rizika<\/h2>\n<p>Kod ve\u0107ine individua kod kojih nastane ARDS\u00a0 prethodno su ve\u0107 hospitalizovane usled drugih poreme\u0107aja. Postoje dodatni rizici u slu\u010daju nastanka ili prete\u0107e bakterijemije u cirkulaciji (sepsa).<\/p>\n<p>Kod osoba sa li\u010dnom anamnezom zloupotrebe alkohola,\u00a0 postoji ve\u0107i rizik za nastanak ARDS. Kod njih je tako\u0111e pove\u0107ana verovatno\u0107a za nastanak letalnog ishoda usled ARDS-a.<\/p>\n<p>&nbsp;<\/p>\n<h2>Komplikacije<\/h2>\n<p>Napredak u terapuetskom pristupu kod pacijenata sa ARDS-om,\u00a0 koji predstavlja ozbiljan poreme\u0107aj, omogu\u0107ava ve\u0107ini inidividua bolji procenar pre\u017eivljavanja. Ipak, kod ve\u0107ine rekonvalescenata nastaju do\u017eivotne komplikacije, kao \u0161to su:<\/p>\n<p>O\u017eiljne promene u plu\u0107ima\u00a0 (plu\u0107na fibroza),<\/p>\n<p>Kolaps plu\u0107nog tkiva (pneumotoraks) ,<\/p>\n<p>Poja\u010dano zgru\u0161avanje krvi,<\/p>\n<p>Infekcije,<\/p>\n<p>Poreme\u0107aj plu\u0107ne funkcije,<\/p>\n<p>Poreme\u0107aji memorije, pam\u0107enja i emocionalna nestabilnost<\/p>\n<p>&nbsp;<\/p>\n<h2>Prevencija<\/h2>\n<p>Kod prevencije ARDS-a neophodno je identifikovati pacijente sa povi\u0161enim rizikom za nastanak ARDS-a.<\/p>\n<p>Implementacija preventivnih mera zahteva algoritam za ranu detekciju.<\/p>\n<p>Kombinacija ranog klini\u010dkog predvi\u0111anja zahtev algoritam kao i prediktivne skorove koji mogu biti od\u00a0 klini\u010dke va\u017enosti u cilju implementacije preventivnih strategija.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"author":11,"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>ARDS \u2013Akutni respiratorni distres 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\/ards-akutni-respiratorni-distres-sindrom\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ARDS \u2013Akutni respiratorni distres sindrom - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"ARDS predstavlja akutni respiratorni poreme\u0107aj koji nastaje kada se vi\u0161ak te\u010dnosti akumulira u manjim, elasti\u010dnim alveolarnim vre\u0107icama plu\u0107nog parenhima. Pove\u0107ana koli\u010dina te\u010dnosti u plu\u0107ima podrazumeva manju koli\u010dinu kiseonika koja dospeva u cirkulatorni sistem. Usled toga nastaje smanjena koncentracija kiseonika u tkivima. ARDS naj\u010de\u0161\u0107e nastaje kod osoba koje su ve\u0107 u \u017eivotno ugro\u017eavaju\u0107em stanju ili poseduju [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.humanitas.net\/sr\/diseases\/ards-akutni-respiratorni-distres-sindrom\/\" \/>\n<meta property=\"og:site_name\" content=\"Humanitas.net\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HumanitasInternational\/\" \/>\n<meta property=\"article:modified_time\" content=\"2018-06-18T09:36:38+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary\" \/>\n<meta name=\"twitter:site\" content=\"@humanitasmilano\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.humanitas.net\/sr\/diseases\/ards-akutni-respiratorni-distres-sindrom\/\",\"url\":\"https:\/\/www.humanitas.net\/sr\/diseases\/ards-akutni-respiratorni-distres-sindrom\/\",\"name\":\"ARDS \u2013Akutni respiratorni distres sindrom - Humanitas.net\",\"isPartOf\":{\"@id\":\"https:\/\/www.humanitas.net\/sr\/#website\"},\"datePublished\":\"2018-06-18T09:35:39+00:00\",\"dateModified\":\"2018-06-18T09:36:38+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.humanitas.net\/sr\/diseases\/ards-akutni-respiratorni-distres-sindrom\/#breadcrumb\"},\"inLanguage\":\"sr\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.humanitas.net\/sr\/diseases\/ards-akutni-respiratorni-distres-sindrom\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.humanitas.net\/sr\/diseases\/ards-akutni-respiratorni-distres-sindrom\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.humanitas.net\/sr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Bolesti\",\"item\":\"https:\/\/www.humanitas.net\/sr\/diseases\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"ARDS \u2013Akutni respiratorni distres sindrom\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.humanitas.net\/sr\/#website\",\"url\":\"https:\/\/www.humanitas.net\/sr\/\",\"name\":\"Humanitas.net\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/www.humanitas.net\/sr\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.humanitas.net\/sr\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"sr\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.humanitas.net\/sr\/#organization\",\"name\":\"Humanitas\",\"url\":\"https:\/\/www.humanitas.net\/sr\/\",\"sameAs\":[\"https:\/\/www.facebook.com\/HumanitasInternational\/\",\"https:\/\/twitter.com\/humanitasmilano\"],\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sr\",\"@id\":\"https:\/\/www.humanitas.net\/sr\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.humanitas.net\/content\/uploads\/2017\/05\/logo-news-.png\",\"contentUrl\":\"https:\/\/www.humanitas.net\/content\/uploads\/2017\/05\/logo-news-.png\",\"width\":314,\"height\":61,\"caption\":\"Humanitas\"},\"image\":{\"@id\":\"https:\/\/www.humanitas.net\/sr\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ARDS \u2013Akutni respiratorni distres sindrom - Humanitas.net","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.humanitas.net\/sr\/diseases\/ards-akutni-respiratorni-distres-sindrom\/","og_locale":"en_US","og_type":"article","og_title":"ARDS \u2013Akutni respiratorni distres sindrom - Humanitas.net","og_description":"ARDS predstavlja akutni respiratorni poreme\u0107aj koji nastaje kada se vi\u0161ak te\u010dnosti akumulira u manjim, elasti\u010dnim alveolarnim vre\u0107icama plu\u0107nog parenhima. Pove\u0107ana koli\u010dina te\u010dnosti u plu\u0107ima podrazumeva manju koli\u010dinu kiseonika koja dospeva u cirkulatorni sistem. Usled toga nastaje smanjena koncentracija kiseonika u tkivima. 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