{"id":71168,"date":"2017-11-09T14:59:23","date_gmt":"2017-11-09T14:59:23","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/whipple-ova-bolest\/"},"modified":"2025-01-13T02:54:11","modified_gmt":"2025-01-13T02:54:11","slug":"whipple-ova-bolest","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/whipple-ova-bolest\/","title":{"rendered":"Whipple- ova bolest"},"content":{"rendered":"<h2 id=\"definicija\">Definicija<\/h2>\n<p>Whipple-ova bolest predstavlja retku bakterijsku infekciju koja ometa fiziolo\u0161ku digestiju time \u0161to prevenira osloba\u0111anje nutritivnih supstanci iz tankih creva u ostatak organizma u cilju adekvatne apsorpcije (malapsorpcija).<\/p>\n<p>Whipple- ovo oboljenje tako\u0111e dovodi do stvaranja infektivnog procesa u drugim orgaima, kao \u0161to su mozak, srce, zglobovi i o\u010di. U slu\u010daju nepru\u017eanja adekvatne medicinske pomo\u0107i, stanje mo\u017ee usloviti pojavu ozbiljnih komplikacija sa potencijalnim letalnim ishodom. Ipak, primena antibiotske terapije mo\u017ee pomo\u0107i u le\u010denju Whipple-ovog oboljenja.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"simptomi\">Simptomi<\/h2>\n<p>Simptomi Whipple-ovog oboljenja poseduju tendenciju spore progresije. Najraniji simptomi jesu pojava bola u zglobovima.<\/p>\n<p>Znaci i simptomi gastrointestinalnog trakta \u010desti su kod Whipple-ovog oboljenja i mogu uklju\u010divati:<\/p>\n<p>Dijareju<\/p>\n<p>Abdominalne gr\u010deve<\/p>\n<p>Bol u abdomenu<\/p>\n<p>Gubitak na telesnoj te\u017eini<\/p>\n<p>&nbsp;<\/p>\n<p>Drugi \u010desti simptomi i znaci udru\u017eeni\u00a0 sa prisustvom Whipple-ovog oboljenja podrazumevaju:<\/p>\n<p>Bolove u zglobovima \u010dlanaka, kolena i ru\u010dnog zgloba<\/p>\n<p>Umor<\/p>\n<p>Mi\u0161i\u0107nu slabost<\/p>\n<p>Smanjen broj crvenih \u0107elija krvi (Anemija)<\/p>\n<p>&nbsp;<\/p>\n<div>Re\u0111i znaci i simptomi kod Whippleo-ovog oboljenja podrazumevaju:<\/div>\n<p>Temperaturu<\/p>\n<p>Hroni\u010dan ka\u0161alj<\/p>\n<p>Uve\u0107ane limfne noduse<\/p>\n<p>Bol u grudnom ko\u0161u<\/p>\n<p>Tamno prebojen urin<\/p>\n<p>Uve\u0107anu slezinu<\/p>\n<p>&nbsp;<\/p>\n<div>Neurolo\u0161ki znaci i simptomi mogu podrazumevati:<\/div>\n<p>Ote\u017eano hodanje<\/p>\n<p>O\u0161te\u0107enje vidne funkcije<\/p>\n<p>Epilepti\u010dke napade<\/p>\n<p>Mentalne promene<\/p>\n<p>Gubitak memorije<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"uzroci\">Uzroci<\/h2>\n<p>Whippleo-vo oboljenje nastaje usled infekcije bakterijom Tropherym whipplei. Ova bakterija uti\u010de na fiziolo\u0161ki proces digestije u tankim crevima time \u0161to ometa razlaganje nutritivnih materija unetih hranom, kao \u0161to su masne kiseline i ugljenihidrati, \u010dime se prevenira apsorpcija nutritivnih supstanci u organizmu.<\/p>\n<p>Tokom vremena, infektivni proces mo\u017ee se \u0161iriti u druge regije organizma.<\/p>\n<p>Whipple-ovo oboljenje izuzetno je retko i nau\u010dnici jo\u0161 uvek ne znaju ta\u010dan etiopatogenetski mehanizam nastanka i \u0161irenja procesa. Jedni veruju da je oboljenje uslovljeno geneti\u010dkim defektom u imunom sistemu, \u010dime je osoba sklonija oboljenju u slu\u010daju da stupi u kontakt sa navedenim mikroorganizmom.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"faktori-rizika\">Faktori rizika<\/h2>\n<p>Faktori koji mogu pove\u0107ati rizik za nastanak Whippleo-vog oboljenja nisu dovoljno poznati budu\u0107i da je trenutno dostupno malo informacija u vezi sa uzro\u010dnom bakterijom. Na osnovu odre\u0111enih istra\u017eivanja, oboljenje je karakteristi\u010dno za:<\/p>\n<p>Osobe mu\u0161kog pola<\/p>\n<p>Individue u uzrastnom periodu od 40 do 60 godina<\/p>\n<p>Individue bele rase u Severnoj Americi i Evropi<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"komplikacije\">Komplikacije<\/h2>\n<p>Potencijalne komplikacije koje mogu nastati usled Whippleo-vog oboljenja uklju\u010duju slede\u0107e:<\/p>\n<p>O\u0161te\u0107enje vilusnih nastavaka epitela tankih creva, izra\u0161taja sli\u010dnih dlaci koji poseduju ulogu u apsorpciji nutritivnih materija<\/p>\n<p>O\u0161te\u0107enje mo\u017edanog tkiva<\/p>\n<p>Mogu\u0107 letalan ishod<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"lecenje\">Le\u010denje<\/h2>\n<p>Terapeutski pristupi kod osoba sa Whippleovim oboljenjem podrazumevaju upotrebu antibiotika u cilju uni\u0161tavanja bakterija koje su izazvale infekciju. Nakon zapo\u010dinjanja medikamentozne terapije, simptomi se mogu pobolj\u0161ati nakon nedelju do dve, dok \u0107e definitivan oporavak nastati nakon mesec dana.<\/p>\n<p>Standardno le\u010denje podrazumeva:<\/p>\n<p>Primenu antibiotika koji se naziva ceftriakson intravenskim putem (IV) uz istovremenu primenu antibiotka sulfametaksazol-trimetoprima, u trajanju od jedne do dve godina<\/p>\n<p>Mogu\u0107i ne\u017eeljeni efekti su mu\u010dnina, povra\u0107anje i dijareja<\/p>\n<p>Le\u010denje ozbiljnijih slu\u010dajeva podrazumeva:<\/p>\n<p>Primenu antibiotika koji se zove doksiciklin (Vibramycin) u kombinaciji sa antimalarijskim lekom hidrohlorokinom (plaquenil), u trajanju od 12 do 18 meseci<\/p>\n<p>Usled produ\u017eene upotrebe antibiotika, lekar mo\u017ee preporu\u010diti redovne kontrolne preglede u cilju monitoringa zdravstvenog stanja, nastanka rezistencije na lekove kao i upotrebu vitamina i minerala u vidu suplemenata kao potporu adekvatnoj ishrani.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-71168","disease","type-disease","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Whipple- ova bolest - 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=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Whipple- ova bolest - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Definicija Whipple-ova bolest predstavlja retku bakterijsku infekciju koja ometa fiziolo\u0161ku digestiju time \u0161to prevenira osloba\u0111anje nutritivnih supstanci iz tankih creva u ostatak organizma u cilju adekvatne apsorpcije (malapsorpcija). 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