{"id":71544,"date":"2017-11-07T15:07:31","date_gmt":"2017-11-07T15:07:31","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/giht\/"},"modified":"2025-01-13T02:59:45","modified_gmt":"2025-01-13T02:59:45","slug":"giht","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/giht\/","title":{"rendered":"Giht"},"content":{"rendered":"

Giht je vrsta artritisa koja nastaje preteranim nagomilavanjem mokra\u0107ne kiseline u zglobovima. Previ\u0161e neizlu\u010dene mokra\u0107ne kiseline se kristalizuje i stvara naslage na zglobovima ruku i nogu. Giht je uglavnom javlja iznenadno i izaziva intenzivan bol i upalu koja je \u010desto ograni\u010dena na jedan zglob. Od gihta najvi\u0161e oboljevaju mu\u0161karci, ali mo\u017ee se javiti i kod \u017eena posle menopauze.<\/p>\n

 <\/p>\n

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

Glavni uzrok gihta je preterano nagomilavanje mokra\u0107ne kiseline u krvi. Kada mokra\u0107na kiselina prestane da se normalno izlu\u010duje u urin, dolazi do stvaranja uri\u010dnih kristala koji se talo\u017ee na zglobovima.<\/p>\n

Jo\u0161 uvek nije poznatno za\u0161to dolazi do nagomilavanja mokra\u0107ne kiseline, ali se smatra da genetska predispozicija igra veliku ulogu u podizanju rizika od nastajanja ove bolesti. U retkim slu\u010dajevima mo\u017ee do\u0107i i do pojave kamena u bubregu, ako se kristali mokra\u0107ne kiseline natalo\u017ee u krvi koja stigne do bubrega.<\/p>\n

Giht se javlja naglo i \u010desto bez ikakvih znakova upozorenja. Mo\u017ee se javiti kao posledica:<\/p>\n

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

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

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

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Preteranog konzumiranja alkohola<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Preterane upotrebe diuretika<\/p>\n

<\/h2>\n

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

Simptomi kojima se manifestuje giht su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Srvenilo, oticanje i povi\u0161ena temperatura u i oko zgloba u kome se razvio giht<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Bol i osetljivost u zglobovima<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Blago povi\u0161ena telesna temperatura<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Smanjena mobilnost zglobova<\/p>\n

U slu\u010dajevima gde giht nikada nije le\u010den, mo\u017ee do\u0107i do formiranja dugotrajnih \u010dvorova (tofusa) na u\u0161noj \u0161koljci, nogama ili rukama.<\/p>\n

<\/h2>\n

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

Preterano zadr\u017eavanje mokra\u0107ne kiseline u krvotoku je uzrok gihta. Faktori koji pove\u0107avaju rizik od akumulacije ove kiseline su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hrana \u2013 pogotovo konzumiranje mesa, morske hrane i pi\u0107a oboga\u0107ena fruktozom<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gojaznost \u2013 kod gojaznih ljudi pove\u0107ana je proizvodnja mokra\u0107ne kiseline a smanjena funkcija bubrega, \u0161to onemogu\u0107uje njeno filtriranje iz krvi<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Istorija gihta u porodici<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Preterana upotreba diuretika<\/p>\n

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

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Bolesti bubrega<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Povi\u0161en krvni pritisak<\/p>\n

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

<\/h2>\n

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

Giht je hroni\u010dno oboljenje koje se te\u0161ko le\u010di, ali se njegovi simptomi mogu kontrolisati dovoljno da ne ometaju svakodnevni \u017eivot pacijenata. Problemi sa gihtom se javljaju onda kada on predugo ostane neprime\u0107en ili se ne primeni adekvatna terapija.<\/p>\n

Prepisivanjem neadekvatne terapije za simptome gihta dovodi do porasta mogu\u0107nosti za njegovo vra\u0107anje. \u010cesto oboljevanje od gihta zna\u010dajno i trajno o\u0161te\u0107uje zglob i umanjuje mu mobilnost.<\/p>\n

U slu\u010daju uznapredovalog gihta ili njegovog nele\u010denja mo\u017ee do\u0107i do pojave tofusa. Tofusi su mali \u010dvorovi sa\u010dinjeni od kristala mokra\u0107ne kiseline koji se formiraju ispod povr\u0161ine ko\u017ee.<\/p>\n

Tako\u0111e mo\u017ee do\u0107i i do formiranja kamena u bubregu kada kristali mokra\u0107ne kiseline do\u0111u u urinarni trakt.<\/p>\n

<\/h2>\n

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

Giht se retko kada mo\u017ee spre\u010diti ali se pacijentima koji boluju od njega savetuje odr\u017eavanje normalne telesne te\u017eine, zdrava ishrana i uno\u0161enje dosta te\u010dnosti kako bi se umanjili simptomi.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-71544","disease","type-disease","status-publish","hentry"],"yoast_head":"\nGiht - 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=\"Giht - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Giht je vrsta artritisa koja nastaje preteranim nagomilavanjem mokra\u0107ne kiseline u zglobovima. Previ\u0161e neizlu\u010dene mokra\u0107ne kiseline se kristalizuje i stvara naslage na zglobovima ruku i nogu. 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