{"id":49928,"date":"2018-05-07T11:22:50","date_gmt":"2018-05-07T11:22:50","guid":{"rendered":"https:\/\/www.humanitas.net\/?post_type=wiki&#038;p=49928"},"modified":"2018-05-07T11:23:08","modified_gmt":"2018-05-07T11:23:08","slug":"melena-krvava-stolica","status":"publish","type":"wiki","link":"https:\/\/www.humanitas.net\/sr\/wiki\/simptomi\/melena-krvava-stolica\/","title":{"rendered":"Melena (Krvava stolica)"},"content":{"rendered":"<p>Termin melena podrazumeva prisustvo krvi u stolici odnosno katranastu boju stolice. Krvarenje ja naj\u010de\u0161\u0107e lokalizovano\u00a0 u gornjim partijama digestivnog sistema, naj\u010dep\u010de na nivou ezofagusa, \u017eeluca ili duodenuma, dok je kod skoro polovine slu\u010dajeva udru\u017eeno sa povra\u0107anjem krvi (hematemeza) i povi\u0161enim nivoom neproteinskog nitrogena u krvi.<\/p>\n<p>&nbsp;<\/p>\n<p>Tipi\u010dna melena udru\u017eena je sa povra\u0107anjem krvi u slu\u010daju da je udru\u017eena sa poreme\u0107ajeima kao \u0161to su \u017eeluda\u010dno ili duodenalno krvarenje. Ostali mogu\u0107i uzroci su\u00a0 krvarenje iz ezofagealnih variksa, gastritisa, ulkusa, \u017eeluda\u010dnog krvarenja udru\u017eenog sa upotrebom odre\u017eenih medikamenata (kao \u0161to anitinflamatorni ili antikoagulantni lekovi) ili tumori.<\/p>\n<p>&nbsp;<\/p>\n<p>U odre\u0111enim slu\u010dajevima, boja stolice mo\u017ee varirati iz vi\u0161estrukih razloga, kao \u0161to je na primer upotreba lekova baziranih na gvo\u017e\u0111u ili usled ishemije digestivnog sistema odnosno redukovane cirkulacije u gastrintestinalnom sistemu.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>Koji poreme\u0107aji mogu biti udru\u017eeni\u00a0 sa melenom?<\/h2>\n<p>&nbsp;<\/p>\n<p>Poreme\u0107aji koji mogu biti udru\u017eeni sa melenom mogu biti slede\u0107i:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Angiodisplazija<\/li>\n<li>Intestinalna opstrukcija<\/li>\n<li>Ulcerativni koliis<\/li>\n<li>Denga<\/li>\n<li>Ezofagealni divertikulum<\/li>\n<li>Ebola<\/li>\n<li>Hemoroidi<\/li>\n<li>Kronova bolest<\/li>\n<li>Benigni polipi kolona<\/li>\n<li>Maligni polipi kolona<\/li>\n<li>Mallory-Weiss sindrom<\/li>\n<li>\u017deluda\u010dni karcinom<\/li>\n<li>Duodenalni ulkus<\/li>\n<li>\u017deluda\u010dni karcinom<\/li>\n<li>Pepti\u010dni ulkus<\/li>\n<li>Ezofagealni variksi<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Najbitnije je imati na umu da gore prikazana lista nije definitivna, te je neophodno konsultovati ordiniraju\u0107eg lekara u slu\u010daju perzistiranja tegoba.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>Koja terapija se primenjuje u le\u010denju melene ?<\/h2>\n<p>&nbsp;<\/p>\n<p>Terapeutski pristup le\u010denju melene uslovljen je primarnim etiolo\u0161kim faktorom. U odre\u0111enim slu\u010dajevima primena odgovaraju\u0107ih lekova mo\u017ee biti od koristi, naj\u010de\u0161\u0107e antibiotika i antacida.<\/p>\n<p>&nbsp;<\/p>\n<p>Kod odre\u0111enih slu\u010dajeva operativni pristup mo\u017ee biti indikovan, u cilju korekcije anomalija u odre\u0111enim venskim pleksusima odgovornim za pojavu krvarenja u jednjaku. Kod postojanja tumora primena hemo ili radijacione terapije\u00a0 mo\u017ee biti neophodna.<\/p>\n<p>&nbsp;<\/p>\n<p>Kona\u010dno, u slu\u010daju postojanja anemije indikovana je primena transfuzije.<\/p>\n<h2><\/h2>\n<h2>Kada je najoptimalnije konsultovati se sa lekarom u slu\u010daju melene ?<\/h2>\n<p>&nbsp;<\/p>\n<p>U slu\u010daju melene, neophodno je konsultovati lekara u cilju utvr\u0111ivanja primanrog uzroka. Ovim pristupom mogu\u0107e je pravovremeno\u00a0 identifikovati i odrediti opzimalnu terapiju.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"author":11,"featured_media":0,"template":"","wiki-categories":[1677],"wiki-types":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Melena (Krvava stolica) - 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\/wiki\/simptomi\/melena-krvava-stolica\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Melena (Krvava stolica) - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Termin melena podrazumeva prisustvo krvi u stolici odnosno katranastu boju stolice. 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Krvarenje ja naj\u010de\u0161\u0107e lokalizovano\u00a0 u gornjim partijama digestivnog sistema, naj\u010dep\u010de na nivou ezofagusa, \u017eeluca ili duodenuma, dok je kod skoro polovine slu\u010dajeva udru\u017eeno sa povra\u0107anjem krvi (hematemeza) i povi\u0161enim nivoom neproteinskog nitrogena u krvi. &nbsp; Tipi\u010dna melena udru\u017eena je sa povra\u0107anjem krvi u slu\u010daju [&hellip;]","og_url":"https:\/\/www.humanitas.net\/sr\/wiki\/simptomi\/melena-krvava-stolica\/","og_site_name":"Humanitas.net","article_publisher":"https:\/\/www.facebook.com\/HumanitasInternational\/","article_modified_time":"2018-05-07T11:23:08+00:00","twitter_card":"summary","twitter_site":"@humanitasmilano","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.humanitas.net\/sr\/wiki\/simptomi\/melena-krvava-stolica\/","url":"https:\/\/www.humanitas.net\/sr\/wiki\/simptomi\/melena-krvava-stolica\/","name":"Melena (Krvava stolica) - Humanitas.net","isPartOf":{"@id":"https:\/\/www.humanitas.net\/sr\/#website"},"datePublished":"2018-05-07T11:22:50+00:00","dateModified":"2018-05-07T11:23:08+00:00","breadcrumb":{"@id":"https:\/\/www.humanitas.net\/sr\/wiki\/simptomi\/melena-krvava-stolica\/#breadcrumb"},"inLanguage":"sr","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.humanitas.net\/sr\/wiki\/simptomi\/melena-krvava-stolica\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.humanitas.net\/sr\/wiki\/simptomi\/melena-krvava-stolica\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.humanitas.net\/sr\/"},{"@type":"ListItem","position":2,"name":"Wikis","item":"https:\/\/www.humanitas.net\/sr\/wiki\/"},{"@type":"ListItem","position":3,"name":"Melena (Krvava stolica)"}]},{"@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\/"}}]}},"_links":{"self":[{"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/wiki\/49928"}],"collection":[{"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/users\/11"}],"version-history":[{"count":0,"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/wiki\/49928\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/media?parent=49928"}],"wp:term":[{"taxonomy":"wiki-categories","embeddable":true,"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/wiki-categories?post=49928"},{"taxonomy":"wiki-types","embeddable":true,"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/wiki-types?post=49928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}