{"id":37801,"date":"2017-02-13T10:12:25","date_gmt":"2017-02-13T10:12:25","guid":{"rendered":"http:\/\/humanitas.local\/cure\/ekstrakorporalna-litotripsija-udarnim-talasima\/"},"modified":"2017-11-03T16:29:38","modified_gmt":"2017-11-03T16:29:38","slug":"ekstrakorporalna-litotripsija-udarnim-talasima","status":"publish","type":"treatment","link":"https:\/\/www.humanitas.net\/sr\/treatments\/ekstrakorporalna-litotripsija-udarnim-talasima\/","title":{"rendered":"Ekstrakorporalna litotripsija udarnim talasima"},"content":{"rendered":"

Ekstrakorporalna litotripsija udarnim talasima<\/h1>\n

 <\/p>\n

Ekstrakorporalna litotripsija udarnim talasima se koristi za le\u010denje urinarnog kamenaca. Ova tehnika ne podrazumeva nikakve invazivne metode i pacijent mora samo da legnu na ma\u0161inu koja stoji sa leve strane na jastuku ispunjenom vodom. Litotripter stvara udarne talase koji prolaze kroz ljudsko telo, prenosec\u0301i svu energiju na kamenje, i tako ih izlomi. Trajanje tretmana je prili\u010dno kratak (obi\u010dno ne vi\u0161e od 45-60 minuta).<\/p>\n

Ova terapija ne uklju\u010duje anesteziju; pacijent mo\u017ee ponekad osetiti senzaciju privremene nelagodnosti u delu gde se talasi primenjuju. U slu\u010daju uspe\u0161nog le\u010denja, koji varira od 30 do 90% koji zavisi od karakteristika kalkuloza, fragmenti c\u0301e biti eliminisani u urinu u narednim danima, ponekad sa gr\u010devima. Prvi urin nakon tretmana je obi\u010dno krvav, ali svaki sat koji pro\u0111e i uzimanje te\u010dnosti, urin c\u0301e se normalizovati. Kada je kamen veliki (vec\u0301i od 2 cm) ne postoje vi\u0161e indikacije za tretman sa udarnim talasima, jer masa fragmenata koji se proizvedu mogli bi blokirati ureter, izazivajuc\u0301i urinarnu opstrukciju. U ovim slu\u010dajevima je neophodno uraditi endoskopsko uklanjanje fragmenata, uz kori\u0161c\u0301enja ureteralnog katetera i privremenog pro\u0161irenja (Double J stent). Iako je ovo najmanje invazivna metoda koja je dostupna, ne treba smatrati da je ova procedura bezopasna i da c\u0301e zbog toga ponavljati iznova i iznova u slu\u010daju neuspeha. Mora se naglasiti da, iako u veoma malim procentima, oslobo\u0111ena energija tokom tretmana mo\u017ee dovesti do kratkotrajnog hematoma bubrega i dugoro\u010dno gledano, arterijske hipertenzije i dijabetes melitusa.<\/p>\n

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Ova tehnika ne podrazumeva nikakve invazivne metode i pacijent mora samo da legnu na ma\u0161inu koja stoji sa leve strane na jastuku ispunjenom vodom. 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