{"id":78552,"date":"2020-06-17T09:10:12","date_gmt":"2020-06-17T09:10:12","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/diagnosticna-paracenteza\/"},"modified":"2020-06-17T09:10:12","modified_gmt":"2020-06-17T09:10:12","slug":"diagnosticna-paracenteza","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/treatments\/diagnosticna-paracenteza\/","title":{"rendered":"Diagnosti\u010dna paracenteza"},"content":{"rendered":"<h2 id=\"kaj-je-diagnosticna-paracenteza\">Kaj je diagnosti\u010dna paracenteza?<\/h2>\n<p>Diagnosti\u010dna paracenteza je postopek, ki omogo\u010da ekstrakcijo peritonealne teko\u010dine, in sicer intra-peritonealno usedlino, ki se nabira kot posledica nekaterih bolezni, ki jih imenujemo ascites (bolezni jeter in neoplasti\u010dne bolezni). Teko\u010dina se nato po\u0161lje v laboratorij na analizo.<\/p>\n<h2 id=\"kaksen-je-namen-diagnosticne-paracenteze\">Kak\u0161en je namen diagnosti\u010dne paracenteze?<\/h2>\n<p>Glavni razlogi za izvajanje diagnosti\u010dne paracenteze vklju\u010dujejo analizo in odstranjevanje teko\u010dega nanosa, zlasti teko\u010dine, ki se nabira v pacientovem trebuhu z zmanj\u0161anjem nelagodja in pritiska, ki ga povzro\u010da ascites, in pomagajo bolniku, da diha bolje. Drugi razlogi za izvajanje diagnosti\u010dne paracenteze vklju\u010dujejo diagnosticiranje metastatskega raka, diagnosticiranje spontanega bakterijskega peritonitisa in drugih oku\u017eb ter diagnosticiranje krvi v peritonealnem prostoru po travmi.<\/p>\n<h2 id=\"standard-priprave\">Standard priprave<\/h2>\n<p>Diagnosticna paracenteza na splo\u0161no poleg preventivnega praznjenja mehurja in izvajanja rutinskih krvnih preiskav pred postopkom ne zahteva posebne priprave za spremljanje parametrov koagulacije.<\/p>\n<p>Bolniki, ki so nose\u010di, ki jemljejo zdravila ali so alergi\u010dni na katero koli drugo zdravilo (vklju\u010dno z anestetiki), morajo te podatke razkriti medicinskemu osebju. Poleg tega morajo bolniki razkriti tudi, \u010de imajo kakr\u0161ne koli te\u017eave s krvavitvami ali \u010de jemljejo kakr\u0161na koli protibole\u010dinska zdravila.<\/p>\n<h2 id=\"kateri-bolniki-se-lahko-podvrzejo-diagnosticni-paracentezi\">Kateri bolniki se lahko podvr\u017eejo diagnosti\u010dni paracentezi?<\/h2>\n<p>Diagnosti\u010dna paracenteza je indicirana pri bolnikih, ki imajo nov za\u010detek ascitesa. V tem primeru se paracenteza uporablja za oceno teko\u010dine in pomaga dolo\u010diti etiologijo ascitesa ter lo\u010diti transudata od ascita eksudata, pa tudi za odkrivanje prisotnosti rakavih celic ali odpravljanje drugih te\u017eav. Postopek je indiciran tudi za bolnike s sumom, spontanim ali sekundarnim bakterijskim peritonitisom.<\/p>\n<p>Po drugi strani je diagnosti\u010dna paracenteza kontraindicirana pri ljudeh z akutno boleznijo trebuha, ki potrebujejo operacijo za popravljanje, in tudi v primerih, ko bolniki jemljejo antikoagulante ali aspirin. Druge kontraindikacije vklju\u010dujejo debelost, nose\u010dnost, vro\u010dino, distenziran se\u010dni mehur, celulitis trebu\u0161ne stene in intraabdominalne adhezije.<\/p>\n<h2 id=\"ali-je-diagnosticna-paracenteza-nevarna-in-ali-boleca\">Ali je diagnosti\u010dna paracenteza nevarna in \/ ali bole\u010da?<\/h2>\n<p>Vstavljanje igle v trebuh je rahlo bole\u010de; vendar postopek vklju\u010duje uporabo anestetika, ki pomaga pri bole\u010dini. V nekaterih primerih obstajajo redka, vendar potencialna tveganja, kot so perforacija mehurja, \u010drevesja ali krvnih \u017eil, ki vodijo k drugemu tveganju za krvavitve. Nekateri zapleti, povezani z diagnosti\u010dno paracentezo, lahko vklju\u010dujejo trdovratno pu\u0161\u010danje z mesta punkcije, oku\u017ebo rane, hematom trebu\u0161ne stene ali odpoved peritonealne teko\u010dine.<\/p>\n<h2 id=\"kako-deluje-diagnosticna-paracenteza\">Kako deluje diagnosti\u010dna paracenteza?<\/h2>\n<p><strong>\u00a0<\/strong><\/p>\n<p>Postopek se izvaja, medtem ko bolnik sedi ali le\u017ei na hrbtu z rahlo dvignjeno glavo. Zdravnik razku\u017ei obmo\u010dje, kamor je treba iglo vstaviti, nato uporabi anestezijo in nadaljuje z vstavitvijo igle z uporabo ultrazvoka. Povpre\u010dno trajanje postopka je pribli\u017eno 20 do 30 minut, v katerem mora pacient mirovati, razen \u010de zdravstveno osebje ne naro\u010di druga\u010de. Na koncu diagnosti\u010dne paracenteze preiskovano obmo\u010dje zavijemo in bolnika dr\u017eimo pod opazovanjem pribli\u017eno eno uro.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-78552","cure","type-cure","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Diagnosti\u010dna paracenteza - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"sl_SI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diagnosti\u010dna paracenteza - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Kaj je diagnosti\u010dna paracenteza? 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