{"id":71289,"date":"2017-11-09T12:38:01","date_gmt":"2017-11-09T12:38:01","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/radijacioni-enteritis\/"},"modified":"2025-01-13T02:55:57","modified_gmt":"2025-01-13T02:55:57","slug":"radijacioni-enteritis","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/radijacioni-enteritis\/","title":{"rendered":"Radijacioni enteritis"},"content":{"rendered":"<h2 id=\"definicija\">Definicija<\/h2>\n<p>Radijacioni enteritis podrazumeva stanje izazvano usled zapaljenskog procesa tankih creva usled primene radijacione terapije. Naj\u010de\u0161\u0107e se javlja kod individua kod kojih je indikovana zra\u010dna terapija usled dijagnostikovanog karcinoma u abdomen ili karli\u010dnog regiji. Simptomi mogu uklju\u010divati mu\u010dninu, povra\u0107anje, iritiran \u017eeludac, gubitak na telesnoj te\u017eini i druge.<\/p>\n<p>Postoje dva tipa radijacionog enteritisa: akutni i hroni\u010dni oblik. Akutni enteritis uklju\u010duje prisustvo simptoma koji nastaju tokom radijacionog tretmana i naj\u010de\u0161\u0107e traju otprilike osam nedelja nakon poslednjeg radijacionog tretmana. Hroni\u010dni enteritis, sa druge strane, mo\u017ee izazvati simptome koji traju mesecima ili \u010dak godinama nakon poslednjeg radijacionog tretmana.<\/p>\n<p>Terapeutski modaliteti kod radijacionog enteritisa uglavnom su fokusirani na olak\u0161avanje simptoma do saniranja zapaljenskih promena. Kod ozbiljnijih simptoma, enteralna ishrana ili hirur\u0161ki pristup mo\u017ee biti indikovana u cilju prevencije daljih komplikacija kao i osiguravanja uspe\u0161nog oporavka.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"simptomi\">Simptomi<\/h2>\n<div>Simptomi radijacionog enteritisa mogu varirati, u zavisnosti od toga koji je segment tankih creva zahva\u0107en procesom odnosno tretiran radijacionim zra\u010denjem. Naj\u010de\u0161\u0107i simptomi uklju\u010duju:<\/div>\n<p>Mu\u010dninu i povra\u0107anje<\/p>\n<p>Abdominalni bol<\/p>\n<p>U\u010destalo mokrenje<\/p>\n<p>Rektalni bol i krvarenje<\/p>\n<p>Dijareju<\/p>\n<p>Gubitak na telesnoj te\u017eini<\/p>\n<p>Gubitak apetita<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"uzroci\">Uzroci<\/h2>\n<p>Osnovni uzrok radijacionog enteritisa jeste radijaciona terapija. Radijaciona terapija indikovana je kod pacijenata usled le\u010denja karcinoma i podrazumeva primenu visoko-energetskih x-zrakova u cilju eliminacije malignih \u0107elija. Ovaj vid terapije tako\u0111e mo\u017ee o\u0161tetiti i zdrave \u0107elije u epitelu tankih creva u slu\u010daju da je osoba izlo\u017eena visokim dozama radijacionog zra\u010denja. Individue sa cervikalnim, pankreasnim, prostati\u010dnim, materi\u010dnim ili karcinomom debelog creva naj\u010de\u0161\u0107e su u pove\u0107anom riziku za nastanak\u00a0 radijacionog enteritisa.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"faktori-rizika\">Faktori rizika<\/h2>\n<p>Postoji nekoliko faktora rizika koji pove\u0107avaju mogu\u0107nost za nastanak radijacionog enteritisa i podrazumevaju:<\/p>\n<p>Ekspoziciju visokim dozama zra\u010denja<\/p>\n<p>Veli\u010dinu tumorske promene<\/p>\n<p>Ozbiljnost prisutne simptomatologije<\/p>\n<p>Hemoterapiju<\/p>\n<p>Prethodnu hirur\u0161ku procedure na abdominalnim organima<\/p>\n<p>Visoke vrednosti krvnog pritiska<\/p>\n<p>Dijabetes<\/p>\n<p>Pelvi\u010dne inflamatorne bolesti<\/p>\n<p>Neadekvatnu nutriciju<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"komplikacije\">Komplikacije<\/h2>\n<p>Mogu\u0107e komplikacije koje nastaju usled radijacionog enteritisa uklju\u010duje slede\u0107e:<\/p>\n<p>Ekstreman gubitak na telesnoj te\u017eini<\/p>\n<p>Lo\u0161 nutricioni status<\/p>\n<p>Zna\u010dajan gubitak cirkulatornog volumena<\/p>\n<p>Malapsorpciju<\/p>\n<p>Anemiju<\/p>\n<p>Deficijenciju gvo\u017e\u0111a<\/p>\n<p>Gubitak telesnih te\u010dnosti<\/p>\n<p>Obra\u0107anje odgovaraju\u0107oj lekarskoj slu\u017ebi od vitalnog je zna\u010daja u cilju re\u0161avanja prethodno navedenih komplikacija sa posebnim osvrtom na spre\u010davanje o\u0161te\u0107enja tankih creva i okolnih struktura.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"lecenje\">Le\u010denje<\/h2>\n<p>Terapeutski pristup le\u010denju radijacinog enteritisa naj\u010de\u0161\u0107e je uslovljen op\u0161tim zdravstvenim stanjem individue. Lokalizacijom karcinoma kao i trajanjem procesa. Naj\u010de\u0161\u0107i terapeutski pristup podrazumeva:<\/p>\n<p>Pridr\u017eavanje dijete sa niskim sadr\u017eajem vlaknastih supstanci<\/p>\n<p>Antianalgetska terapija<\/p>\n<p>Antidijarejalni lekovi<\/p>\n<p>Topikalna primena steroidne pene u predelu epitela rektalne regije<\/p>\n<p>Intestinalna bajpas hirurgija : hirur\u0161ke procedure koje uklju\u010duju uklanjenje (eksciziju) o\u0161te\u0107enih segmenata tankih creva kao i ponovno pripajanje zdravih regija.<\/p>\n<p>&nbsp;<\/p>\n<p>Po\u017eeljno je izbegavati slede\u0107e namirnice u cilju prevencije pogor\u0161anja simptoma:<\/p>\n<p>Alkohol i duvan<\/p>\n<p>Mle\u010dne proizvode<\/p>\n<p>Sva kofeinizirana pi\u0107a<\/p>\n<p>Masnu i za\u010dinjenu hranu<\/p>\n<p>Orahe i semenke<\/p>\n<p>Sirovo povr\u0107e<\/p>\n<p>Kokice<\/p>\n<p>Jako za\u010dinjene biljne produkte i za\u010dine<\/p>\n<p>Beli hleb<\/p>\n<p>Jabuke i sok od grejpfruta<\/p>\n<p>Ribu<\/p>\n<p>Jaja<\/p>\n<p>Banane<\/p>\n<p>Krompir<\/p>\n<p>Makarone<\/p>\n<p>Obra\u0111ene sireve<\/p>\n<p>Kikiriki puter<\/p>\n<p>Jake kola\u010de i peciva<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"prevencija\">Prevencija<\/h2>\n<p>Postoji nekoliko preporuka koje poma\u017eu u sni\u017eavanju verovatno\u0107e nastanka radijacionog enteritisa,a to su:<\/p>\n<p>Izbegavanje konzumiranja cigareta<\/p>\n<p>Izbegavanje ekspozicije \u0161tetnim materijama<\/p>\n<p>Zauzimanje visokog polo\u017eaja tokom primene radijacionog tretmana u cilju za\u0161tite tankih creva<\/p>\n<p>Prilago\u0111avanje radijacionih doza<\/p>\n<p>Plasiranje klipseva u predeo zahva\u0107ene regije (tumorske lokalizacije) u cilju osiguravanja preciznijeg aplikovanja radijacionog zra\u010denja.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-71289","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>Radijacioni enteritis - 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=\"Radijacioni enteritis - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Definicija Radijacioni enteritis podrazumeva stanje izazvano usled zapaljenskog procesa tankih creva usled primene radijacione terapije. 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