{"id":71520,"date":"2017-11-07T16:40:35","date_gmt":"2017-11-07T16:40:35","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/ingvinalna-hernija\/"},"modified":"2025-01-13T02:59:24","modified_gmt":"2025-01-13T02:59:24","slug":"ingvinalna-hernija","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/ingvinalna-hernija\/","title":{"rendered":"Ingvinalna hernija"},"content":{"rendered":"

Ingvinalna hernija, odnosno preponska kila, je stanje koje nastaje kada meko tkivo, obi\u010dno deo membrane koja se nalazi u abdomenu ili deo creva, probije zid mi\u0161i\u0107a abdomena. Prolazak strukture trbu\u0161ne duplje kroz mi\u0161i\u0107e rezultira pojavom ispup\u010denja. To ispup\u010denje se naziva bruh, odnosno kila, i mo\u017ee biti veoma bolno i neprijatno. Ispup\u010denje nastalo kilom izaziva intenzivan bol prilikom ka\u0161ljanja, kijanja, savijanja, podizanja te\u0161kih predmeta i sli\u010dnih radnji koje zahtevaju naprezanje mi\u0161i\u0107a abdomena.<\/p>\n

Preponska hernija je naj\u010de\u0161\u0107a vrsta hernije \u2013 vi\u0161e od tri \u010detvrtine svih slu\u010dajeva kile su preponska kila. Ovo stanje je samo po sebi relativno bezopasno, ali ne mo\u017ee se re\u0161iti samo od sebe. Zbog toga hernije \u010desto mogu dovesti do zdravstvenih komplikacija koje mogu biti opasne po \u017eivot.<\/p>\n

Preponska hernija se mo\u017ee uspe\u0161no sanirati rutinskom operacijom, kojom se za\u0161iva probijeni deo mi\u0161i\u0107a ili postavlja za\u0161titna mre\u017eica na oslabljeno podru\u010dje kako bi se spre\u010dila mogu\u0107nost da se ponovo javi kila.<\/p>\n

 <\/p>\n

Simptomi<\/strong><\/h2>\n

Nekada preponska kila mo\u017ee biti veoma mala, \u0161to ne izaziva skoro nikakve simptome. Veliki broj pacijenata su preponsku kilu otkrili slu\u010dajno, prilikom rutinskog lekarskog pregleda zbog nekog drugog stanja ili bolesti.<\/p>\n

Me\u0111utim, postoji i veliki broj slu\u010dajeva u kojima se kila manifestuje velikim bolnim ispup\u010denjem na ko\u017ei. Ovo ispup\u010denje se uglavnom mo\u017ee videti golim okom kada pacijent stoji ili se napinje u predelu abdomena.<\/p>\n

Simptomi preponske kile su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pojava ispup\u010denja u predelu pubi\u010dne kosti<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Bolan ose\u0107aj prilikom pipanja ispup\u010denja<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ose\u0107aj te\u017eine i curenja u preponama<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Neprijatan bol prilikom savijanja, podizanja te\u0161kih predmeta i ka\u0161ljanja<\/p>\n

 <\/p>\n

Ukoliko se ispup\u010denje nastalo hernijom ne mo\u017ee ugurati nazad u mi\u0161i\u0107, u pitanju je zatvoreni tip hernije. Zatvoreni tip zna\u010di da je deo strukture trbu\u0161ne duplje koji je probio mi\u0161i\u0107 zarobljen i odse\u010den od ostatka trbu\u0161ne duplje. Ova vrsta hermije mo\u017ee se pretvoriti u uklje\u0161tenu kilu, koja mo\u017ee dovesti do prekida dotoka krvi do creva. U tom slu\u010daju neophodna je hitna operacija, jer nesanirana uklje\u0161tena kila mo\u017ee imati smrtan ishod. Simptomi uklje\u0161tene kile u preponama su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Mu\u010dnina<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Povra\u0107anje<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Groznica<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ubrzan rad srca<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Iznenadan bol koji vremenom postaje sve intenzivniji<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ispup\u010denje koje postaje crveno, ljubi\u010dasto ili crno<\/p>\n

Preponska hernija se tako\u0111e mo\u017ee javiti i kod male dece i novoro\u0111en\u010dadi. Uglavnom nastaje zbog slabosti u mi\u0161i\u0107ima zida abdomena. Kila se naj\u010de\u0161\u0107e primeti kod bebe kada pla\u010de, ka\u0161lje ili se napinje.<\/p>\n

<\/h2>\n

Uzroci<\/strong><\/h2>\n

Kila \u010desto mo\u017ee nastati bez ikakvog vidljivog uzroka. Me\u0111utim, najve\u0107i broj slu\u010dajeva kile nastaje kao posledica nekog od slede\u0107ih faktora:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pove\u0107an pritisak u trbuhu<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Istorija slabosti ili slabih ta\u010daka u trbu\u0161nim mi\u0161i\u0107ima<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Podizanje te\u0161kih predmeta<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gojaznost<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Trudno\u0107a<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ascit<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Naprezanja trbu\u0161nih mi\u0161i\u0107a prilikom pra\u017enjenja creva ili mokrenja<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Dugotrajno sna\u017eno kijanje<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Dugotrajno ka\u0161ljanje<\/p>\n

 <\/p>\n

Preponska kila vrlo je sli\u010dna ostalim vrstama kile \u2013 mogu je izazvati sli\u010dni ili isti faktori, i tako\u0111e se mo\u017ee javiti bez vidljivog uzroka. Mogu\u0107i uzroci preponske kile su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Povi\u0161en pritisak unutar trbuha<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Postojanje slabosti ili slabe ta\u010dke u trbu\u0161nim mi\u0161i\u0107ima<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kombinacija ova dva uzroka<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Naprezanje prilikom pra\u017enjenja creva ili mokrenja<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Podizanje te\u0161kih predmeta<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ascit \u2013 akumulacija te\u010dnosti u trbu\u0161noj duplji<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Trudno\u0107a<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gojaznost<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hroni\u010dno ka\u0161ljanje ili kijanje<\/p>\n

<\/h2>\n

Faktori rizika<\/strong><\/h2>\n

Pove\u010dan rizik od pojave preponske hernije imaju ljudi koji:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Su mu\u0161kog pola \u2013 preponska hernija se \u010de\u0161\u0107e javlja kod mu\u0161karaca nego kod \u017eena<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Imaju \u010dlanove porodice koji su imali kilu<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pate od oboljenja poput cisti\u010dne fibroze, o\u0161te\u0107enja plu\u0107a ili hroni\u010dnog ka\u0161lja izazvanog pu\u0161enjem<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Imaju hroni\u010dan zatvor<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Su trudni<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Su prevremeno ro\u0111eni<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Su ve\u0107 imali preponsku kilu<\/p>\n

<\/h2>\n

Komplikacije<\/strong><\/h2>\n

Komplikacije koje mogu nastati kod pacijenata koji imaju preponsku kilu su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Uklje\u0161tena kila<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Prekid dotoka krvi do creva<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pove\u0107an pritisak na okolna tkiva<\/p>\n

<\/h2>\n

Prevencija<\/strong><\/h2>\n

Kod pacijenata koji boluju od kongenitalnih defekata koji pove\u0107avaju rizik od nastajanja kile, preponska kila se ne mo\u017ee spre\u010diti. Kod ostalih pacijenata mo\u017ee se umanjiti rizik od nastajanja preponske kile primenjivanjem slede\u0107ih mera:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Uvo\u0111enjem zdrave ishrane bogate vlaknima<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Izbegavanje dizanja te\u0161kih predmeta<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Prestanak pu\u0161enja<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Odr\u017eavanje dobre fizi\u010dke snage i spremnosti<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Odr\u017eavanje snage trbu\u0161nih mi\u0161i\u0107a<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Izbegavanje kori\u0161\u0107enja za\u0161titnih pojaseva za kilu<\/p>\n

 <\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-71520","disease","type-disease","status-publish","hentry"],"yoast_head":"\nIngvinalna hernija - 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=\"Ingvinalna hernija - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Ingvinalna hernija, odnosno preponska kila, je stanje koje nastaje kada meko tkivo, obi\u010dno deo membrane koja se nalazi u abdomenu ili deo creva, probije zid mi\u0161i\u0107a abdomena. Prolazak strukture trbu\u0161ne duplje kroz mi\u0161i\u0107e rezultira pojavom ispup\u010denja. To ispup\u010denje se naziva bruh, odnosno kila, i mo\u017ee biti veoma bolno i neprijatno. 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