{"id":71543,"date":"2017-11-06T21:30:49","date_gmt":"2017-11-06T21:30:49","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/gastroezofagealna-refluksna-bolest-gerb\/"},"modified":"2025-01-13T02:59:45","modified_gmt":"2025-01-13T02:59:45","slug":"gastroezofagealna-refluksna-bolest-gerb","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/gastroezofagealna-refluksna-bolest-gerb\/","title":{"rendered":"Gastroezofagealna refluksna bolest (GERB)"},"content":{"rendered":"

Gastroezofagealna refluksna bolest je hroni\u010dno oboljenje sistema za varenje uzrokovano vra\u0107anjem \u017eeluda\u010dnog sadr\u017eaja u jednjak (ezofagus). Kada \u017eeluda\u010dni sadr\u017eaj, zajedno sa \u017eeluda\u010dnom kiselinom, do\u0111e u kontakt sa sluzoko\u017eom jednjaka, dolazi do jake i neprijatne iritacije \u0161to je i glavni uzrok ove refluksne bolesti.<\/p>\n

Ve\u0107ina ljudi \u010desto ose\u0107a simptome sli\u010dne gastroezofagealnoj refluksnoj bolesti i goru\u0161ici. koji su uglavnom privremeni i bezopasni. Me\u0111utim, ukoliko se ovi simptomi pojavljuju vi\u0161e od dva puta nedeljno, najverovatnije je u pitanju o\u0161te\u0107enje jednjaka. Bilo kakvo o\u0161te\u0107enje na jednjaku skoro uvek ukazuje na gastroezofagelnu refluksnu bolest.<\/p>\n

 <\/p>\n

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

U\u010destali refluks, tj. Vra\u0107anje \u017eeluda\u010dnog sadr\u017eaja u jednjak je uzrok GERB-a. Do refluksa dolazi slabljenjem ili poreme\u0107ajem rada mi\u0161i\u0107a koji se nalazi na prelazu izme\u0111u jednjaka i \u017eeluca. Kod normalnog funkcionisanja mi\u0161i\u0107a dolazi do opu\u0161tanja tokom jela i pi\u0107a, nakon \u010dega se on kontrahuje kako bi spre\u010dio vra\u0107anje sadr\u017eaja \u017eeluca u jednjak.<\/p>\n

Kada ovaj prstenasti mi\u0161i\u0107 ne uspe da se zatvori, \u017eeluda\u010dna kiselina se izliva nazad u jednjak, \u0161to izaziva goru\u0161icu. Ukoliko pacijent du\u017ee vreme pati od goru\u0161ice, sluzoko\u017ea jednjaka postaje veoma iziritirana i upaljena. Ova upala izjeda sluzoko\u017eu \u017eeluca i mo\u017ee izazvati krvarenje, su\u017eavanje jednjaka i Baretov jednjak, koji je naj\u010de\u0161\u0107i uzrok raka jednjaka.<\/p>\n

 <\/p>\n

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

Naj\u010de\u0161\u0107i simptomi gastroezofagealne refluksne bolesti su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Goru\u0161ica nakon jela, koja se \u010desto manifestuje i bolom u grudima i gornjem abdomenu.<\/p>\n

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

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Mu\u010dnina, koja \u010desto rezultira povra\u0107anjem<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Neprijatan ose\u0107aj kiseline u ustima<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pote\u0161ko\u0107e sa gutanjem<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Suvi ka\u0161alj<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Upaljeno grlo<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ose\u0107aj knedle u grlu<\/p>\n

U nekim slu\u010dajevima mogu se javiti samo neki od ovih simptoma, i pacijentima se \u010desto pogre\u0161no dijagnozira angina. Ja\u010dina i u\u010destalost ovih simptoma se mogu pove\u0107ati ukoliko pacijent ne obra\u0107a dovoljno pa\u017enje na svoj na\u010din \u017eivota. Konzumiranje cigareta, kafe, alkohola, ljute hrane, citrusa i konditorskih proizvoda koji sadr\u017ee mentol znatno \u0107e pogor\u0161ati simptome ove bolesti.<\/p>\n

 <\/p>\n

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

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

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hijatalna hernija<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Problemi sa varenjem<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pu\u0161enje<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Suva usta<\/p>\n

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

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

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

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sklerodermija.<\/p>\n

 <\/p>\n

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

Ukoliko pacijent du\u017ee vreme pati od refluksne bolesti, mogu se javiti slede\u0107e komplikacije:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Su\u017eavanje jednjaka<\/p>\n

Prisustvo \u017eeluda\u010dne kiseline u jednjaku izaziva su\u017eavanje jednjaka, u kome se stvara o\u017eilja\u010dno tkivo. Ve\u0107a koli\u010dina o\u017eilja\u010dnog tkiva \u010dini zid jednjaka neravnim, \u0161to ote\u017eava gutanje i protok hrane.<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u010cir na jednjaku<\/p>\n

Sadr\u017eaj \u017eeluca je izuzetno kiseo i mo\u017ee izazvati otvorene rane na jednjaku od kojih nastaju \u010direvi. \u010cirevi ote\u017eavaju gutanje i mogu biti izuzetno bolni, pogotov ako puknu i po\u010dnu da krvare.<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Baretov jednjak<\/p>\n

Baretov jednjak je stanje koje nastaje poreme\u0107ajem sluzoko\u017ee donjeg dela jednjaka, i mo\u017ee uve\u0107ati rizik od raka jednjaka.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-71543","disease","type-disease","status-publish","hentry"],"yoast_head":"\nGastroezofagealna refluksna bolest (GERB) - 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=\"Gastroezofagealna refluksna bolest (GERB) - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Gastroezofagealna refluksna bolest je hroni\u010dno oboljenje sistema za varenje uzrokovano vra\u0107anjem \u017eeluda\u010dnog sadr\u017eaja u jednjak (ezofagus). 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