{"id":71430,"date":"2017-11-09T12:34:48","date_gmt":"2017-11-09T12:34:48","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/pucanje-slezine\/"},"modified":"2025-01-13T02:58:03","modified_gmt":"2025-01-13T02:58:03","slug":"pucanje-slezine","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/pucanje-slezine\/","title":{"rendered":"Pucanje slezine"},"content":{"rendered":"

Pucanje kapsule slezine (organa koji se nalazi sa gorenje leve strane abdomena, ta\u010dno ispod grudnog ko\u0161a) \u2013 je stanje koja zahteva momentalno lekarsko zbrinjavanje, a koje nastaje kada kapsularni omota\u010d slezine naprsne i krv po\u010dne da se izliva u abdomen. Zavisno od veli\u010dine naprsnu\u0107a, mo\u017ee do\u0107i do obilnog unutra\u0161njeg krvarenja. Samo naprsnu\u0107e mo\u017ee da se dogodi usled saobra\u0107ajne nesre\u0107e ili jakog udarca u stomak. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Simptomi<\/span><\/h2>\n

Simptomi pucanja slezine su:<\/span><\/p>\n

Bol u gornjem levom delu stomaka;<\/span><\/p>\n

Osetljivost pri dodiru gornjeg levog dela stomaka;<\/span><\/p>\n

Nesvestica;<\/span><\/p>\n

Zbinjenost;<\/span><\/p>\n

Pad krvnog pritiska zbog unutra\u0161njeg krvarenja;<\/span><\/p>\n

Zamu\u0107eni vid;<\/span><\/p>\n

Znaci \u0161oka uklju\u010duju\u0107i nemir, anksioznost, mu\u010dninu i bledilo <\/span><\/p>\n

 <\/p>\n

Kod manjih povreda pra\u0107enih slabijim krvarenjem, mo\u017ee se javiti bol u trbuhu, osetljivost epigastruma, i bol na levoj strani boka. \u010cesto se mo\u017ee javiti i o\u0161tar bol u levom ramenu, poznat kao Kerov znak. Kod ve\u0107ine povreda sa obilnijim krvarenjem, uo\u010dljiviji su znaci hipovolemi\u010dkog \u0161oka. Mo\u017ee se tako\u0111e javiti i ubrzani puls, nizak krvni pritisak, ubrzano disanje, bledilo i aksioznost. Te\u017eina i lokacija bola zavisi od toga u kolikoj meri je slezina pukla i kolika koli\u010dina krvi se iz nje izliva. Bol se mo\u017ee javiti i na ovim mestima:<\/span><\/p>\n

Sa leve strane abdomena, ispod grudnog ko\u0161a <\/span><\/p>\n

U levom ramenu, zato \u0161to nervi koji o\u017eiv\u010davaju levo rame i levu stranu dijafragme poti\u010du sa iste lokacije pa sama ruptura mo\u017ee iritirati ove nerve. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Uzroci<\/span><\/h2>\n

Do pucanja slezine mo\u017ee do\u0107i zbog:<\/span><\/p>\n

Povrede leve strane tela;<\/span><\/p>\n

Pove\u0107ane slezine<\/span><\/p>\n

Naj\u010de\u0161\u0107i uzrok pucanja slezine jeste tupa abdominalna trauma izazvana saobra\u0107ajnom nesre\u0107om, sportskim povredama ili direktnim probadaju\u0107im povredama. Netraumatski uzroci su dosta re\u0111i. Me\u0111u njima su infektivne bolesti, medicinske procedure, poput kolonoskopije, hematolo\u0161ka oboljenja, lekovi i trudno\u0107a. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Komplikacije<\/span><\/h2>\n

Naprsnuta slezina mo\u017ee da dovede do unutra\u0161njeg krvarenja opasnog po \u017eivot.<\/span><\/p>\n

Zbog toga \u0161to se tokom pucanja slezine velike koli\u010dine krvi izlivaju u abdomen, posledica mo\u017ee biti stanje \u0161oka, pa lak i smrt. <\/span><\/p>\n

\u00a0<\/span><\/p>\n

Prevencija<\/span><\/h2>\n

Ukoliko je nekoj osobi dijagnostikovana uve\u0107ana slezina, on\/ona bi trebalo da pita lekara da li da izbegava aktivnost koje bi mogle da dovedu do njenog pucanja. Na primer, osobe sa mononukleozom mogu da biti zamoljene da nekoliko nedelja izbegavaju kontaktne sportove i druge aktivnosti koje uzrokuju opasnost od abdominalne traume \u00a0<\/span><\/p>\n

Za\u0161tita slezine od potresa i udaraca mo\u017ee zna\u010dajno da umanji rizik rupture slezine.<\/span><\/p>\n

\u00a0<\/span><\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-71430","disease","type-disease","status-publish","hentry"],"yoast_head":"\nPucanje slezine - 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=\"Pucanje slezine - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Pucanje kapsule slezine (organa koji se nalazi sa gorenje leve strane abdomena, ta\u010dno ispod grudnog ko\u0161a) \u2013 je stanje koja zahteva momentalno lekarsko zbrinjavanje, a koje nastaje kada kapsularni omota\u010d slezine naprsne i krv po\u010dne da se izliva u abdomen. Zavisno od veli\u010dine naprsnu\u0107a, mo\u017ee do\u0107i do obilnog unutra\u0161njeg krvarenja. 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Zavisno od veli\u010dine naprsnu\u0107a, mo\u017ee do\u0107i do obilnog unutra\u0161njeg krvarenja. 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