{"id":71551,"date":"2017-11-07T15:36:37","date_gmt":"2017-11-07T15:36:37","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/hijatalna-kila\/"},"modified":"2025-01-13T02:59:52","modified_gmt":"2025-01-13T02:59:52","slug":"hijatalna-kila","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/hijatalna-kila\/","title":{"rendered":"Hijatalna kila"},"content":{"rendered":"

Hijatalna kila, ili hijatalna hernija, predstavlja protruziju (probijanje) gornjeg dela \u017eeluca kroz dijafragmu u grudni ko\u0161. Ovo je uglavnom posledica preterane oslabljenosti mi\u0161i\u0107a. U dijafragmi se nalazi hijatus \u2013 mali otvor kroz koji prolazi jednjak. Jednjak se prote\u017ee kroz dijafragmu i nadovezuje na \u017eeludac. Ukoliko se desi da mi\u0161i\u0107i oko ovog otvora, kao i mi\u0161i\u0107i dijafragme naglo oslabe, dolazi do pucanja zida i probijanja dela \u017eeluca. Ova pojava naziva se hijatalna hernija ili hijatalna kila.<\/p>\n

U najve\u0107em broju slu\u010dajeva hijatalne kile su male i neprimetne. Mnogi pacijenti ni ne primete simptome i oni nestaju sami od sebe. Ukoliko je portruzija ve\u0107a, mo\u017ee se pojaviti \u010dvor ili oticanje u predelu dijafragme. Ova dva simptoma se najlak\u0161e prepoznaju po tome \u0161to skoro u potpunosti nestanu u le\u017ee\u0107em polo\u017eaju. \u010cvor na mestu gde se stvorila kila se mo\u017ee pomerati.<\/p>\n

Te\u017ei oblici hijatalne kile mogu propu\u0161tati veliku koli\u010dinu hrane i \u017eeluda\u010dne kiseline u jednjak, \u0161to za posledicu ima intenzivnu goru\u0161icu. Za ovakvu vrstu goru\u0161ice mogu se koristiti i lekovi bez recepta kako bi se ubla\u017eili njeni simptomi. Velike portruzije su retke, ali ukoliko do njih do\u0111e moraju se sanirati operacijom.<\/p>\n

Vrste kile<\/strong><\/p>\n

Hernije, tj kile, su relativno \u010desta pojava i uglavnom se razvijaju u predelu izme\u0111u grudi i kukova. Naj\u010de\u0161\u0107i tipovi kile su:<\/p>\n

1.\u00a0\u00a0\u00a0\u00a0 Ingvinalna hernija \u2013 naziva se jo\u0161 i preponska kila. Nastaje portruzijom masnog tkiva ili jednog dela creva u prepone i gornji deo unutra\u0161njosti butine. Ovo je naj\u010de\u0161\u0107a vrsta kile i prvenstveno se javlja kod mu\u0161karaca. Nastaje kao posledica starenja ili preteranog naprezanja abdomena.<\/p>\n

2.\u00a0\u00a0\u00a0\u00a0 Femoralna hernija \u2013 poznata i kao butna hernija, sli\u010dnih je simptoma kao ingvinalna. Dosta je retka i najvi\u0161e se razvija kod \u017eena.<\/p>\n

3.\u00a0\u00a0\u00a0\u00a0 Umbilikalna hernija \u2013 \u010desto i pup\u010dana hernija; nastaje portruzijom masnog tkiva ili dela creva u deo abdomena pored pupka. Javlja se kod novoro\u0111en\u010dadi kojima nisu lepo zarasle rane od pup\u010dane vrpce.<\/p>\n

4.\u00a0\u00a0\u00a0\u00a0 Hijatalna hernija<\/p>\n

5.\u00a0\u00a0\u00a0\u00a0 Operativna hernija \u2013 portruzija u delu abdomena koji nije zarastao posle operacije<\/p>\n

6.\u00a0\u00a0\u00a0\u00a0 Epigasti\u010dna hernija \u2013 portruzija u predelu rebara<\/p>\n

7.\u00a0\u00a0\u00a0\u00a0 Hernija dijafragme \u2013 portruzija u grudni ko\u0161 kroz dijagramu koji se \u010desto javlja i kod odraslih i kod novoro\u0111enih beba<\/p>\n

8.\u00a0\u00a0\u00a0\u00a0 Mi\u0161i\u0107ne hernije \u2013 portruzija mi\u0161i\u0107a kroz zidove abdomena koja nastaje kao posledica sportske povrede. Mo\u017ee se razviti i u mi\u0161i\u0107ima noge.<\/p>\n

<\/h2>\n

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

Jo\u0161 uvek nisu poznati svi uzroci kila. One uglavnom nastaju kao rezultat oslabljenosti dijafragme i zidova abdomena usled starosti ili prevelikog napora. Mogu se razviti i kao posledica:<\/p>\n

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

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Uro\u0111enog defekta \u2013 neke bebe se rode sa otvorenom portruzijom dijafragme ili abdomena<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 U\u010destalog ka\u0161ljanja, povra\u0107anja ili goru\u0161ice<\/p>\n

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

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Povrede ili oboljenja creva<\/p>\n

\n

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

Hijatalne kile su uglavnom male i nemaju skoro nikakve simptome, dok ve\u0107e kile mogu izazvati slede\u0107e:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Goru\u0161icu<\/p>\n

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

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Probleme sa gutanjem<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hroni\u010dan umor<\/p>\n

<\/h2>\n

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

Ljudi koji \u010desto di\u017eu te\u0161ke predmete ili se izla\u017eu prevelikom fizi\u010dkom naporu imaju pove\u0107an rizik od dobijanja kile. Stariji ljudi koji pate od gojaznosti su tako\u0111e podlo\u017eniji hernijama.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-71551","disease","type-disease","status-publish","hentry"],"yoast_head":"\nHijatalna kila - 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=\"Hijatalna kila - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Hijatalna kila, ili hijatalna hernija, predstavlja protruziju (probijanje) gornjeg dela \u017eeluca kroz dijafragmu u grudni ko\u0161. Ovo je uglavnom posledica preterane oslabljenosti mi\u0161i\u0107a. 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