{"id":71561,"date":"2017-11-06T13:25:16","date_gmt":"2017-11-06T13:25:16","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/cir-na-dvanaestopalacnom-crevu\/"},"modified":"2025-01-13T03:00:01","modified_gmt":"2025-01-13T03:00:01","slug":"cir-na-dvanaestopalacnom-crevu","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/","title":{"rendered":"\u010cir na dvanaestopala\u010dnom crevu"},"content":{"rendered":"

\u010cir dvanaestopala\u010dnog creva, to jest duodenalni uluks ili duodenalna ulceracija, predstavlja otvorenu ranu ili procep na povr\u0161ini zida dvanaestopala\u010dnog creva.<\/p>\n

Zidovi \u017eeluca i duodenuma, tj. dvanestopala\u010dnog creva, imaju za\u0161titni sloj sluzi koji spre\u010dava direktan kontakt sa kiselim digestivnim te\u010dnostima. Ukoliko se ovaj za\u0161titni sloj o\u0161teti ili izgubi, mo\u017ee do\u0107i do inflamacije i pojave otvorenih rana na tom delu creva. Ove rane na unutra\u0161njim zidovima creva i \u017eeluca nazivaju se \u010direvima.<\/p>\n

Razlikuje se nekoliko vrsta \u010direva, u zavisnosti od mesta gde nastaju. \u010cirevi mogu biti duodenalni (na dvanaestopala\u010dnom crevu), gastri\u010dki (u \u017eelucu) ili ezofagealni (na jednjaku). Duodenalni \u010direvi se dosta \u010de\u0161\u0107e javljaju od \u010direva na \u017eelucu, i mogu ih dobiti ljudi svih starosnih doba. Naj\u010de\u0161\u0107a su vrsta \u010direva kod mladih i odraslih ljudi, dok su \u010direvima na \u017eelucu mnogo vi\u0161e podlo\u017eniji ljudi stariji od 50 godina.<\/p>\n

 <\/p>\n

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

U ve\u0107ini slu\u010dajeva, pacijenti koji dobiju \u010dir na dvanaestopala\u010dnom crevu nemaju nikakve ili imaju malo primetne simptome. Ukoliko se pojave simptomi, \u010desto se pripi\u0161u problemima sa usporenim varenjem.<\/p>\n

Ve\u0107i i mnogobrojni \u010direvi su vrlo uporni i neprijatni, i karakteri\u0161u ih neki od slede\u0107ih simptoma:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Neprijatan ose\u0107aj gorenja i bol u gornjem delu stomaka<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Postepen gubitak apetita<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gubitak telesne te\u017eine<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nadutost trbuha<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Mu\u010dnina i povra\u0107anje<\/p>\n

Neprijatan bol i drugi simptomi \u010dira traju dosta dugo, a ukoliko se povuku sami od sebe \u010desto se vrate u roku od nekoliko nedelja. Bol u duodenumu mo\u017ee se pogor\u0161ati pre obroka, jer pove\u0107ana koncentracija \u017eeluda\u010dne kiseline nagriza \u010direve. Nakon obroka bol se obi\u010dno povla\u010di na kratko, ali se isto toliko brzo i vra\u0107a. Bol progresivno postaje sve gori i gori.<\/p>\n

 <\/p>\n

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

\u010cirevi na dvanaestopala\u010dnom crevu naj\u010de\u0161\u0107e nastaju kao posledica infekcije bakterijom Helicobacter pylori<\/em>. Ova bakterija se izuzetno lako prenosi sa osobe na osobu, pogotovo u nehigijenskim ili tropskim uslovima. Pretpostavlja se da ova bakterija lu\u010di supstance koje uti\u010du na efikasnost sluzi koja se nalazi na zidovima duodenuma. Zbog smanjene za\u0161titne mo\u0107i, ova sluz postaje podlo\u017enija o\u0161te\u0107enjima od \u017eeluda\u010dne kiseline, \u0161to dovodi do pojavljivanja \u010direva.<\/p>\n

Ovi \u010direvi se tako\u0111e mogu javiti kao posledica uzimanja NSAID lekova poput ibuprofena i aspirina, koji u velikim koli\u010dinama mogu o\u0161tetiti zidove creva. Pu\u0161enje i konzumiranje alkohola se tako\u0111e smatraju mogu\u0107im uzro\u010dnicima \u010direva.<\/p>\n

 <\/p>\n

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

Ukoliko se ne le\u010de, \u010direvi na dvanaestopala\u010dnom crevu mogu dovesti do komplikacija. Naj\u010de\u0161\u0107e je to krvarenje, koje se javlja kada kada se \u010dir formira dublje u zidu creva i pritiska okolne krvne sudove. Blago krvarenje uglavnom nema nikakve simptome, dok se malo ozbiljnija krvarenja manifestuju simptomima anemije \u2013 gubitak gvo\u017e\u0111a, bledilo, umor i malaksalost.<\/p>\n

U nekim slu\u010dajevima \u010dir mo\u017ee probiti zid creva, \u0161to dovodi do izlivanja \u017eeluda\u010dne kiseline u trbu\u0161nu \u0161upljinu. Izlivanje \u017eeluda\u010dne kiseline i krvarenje \u010direva su veoma ozbiljne komplikacije koje zahtevaju hitnu medicinsku intervenciju.<\/p>\n

Postoje i retki slu\u010dajevi u kojima se \u010dir javi kao posledica stegnutost prelaza izme\u0111u \u017eeluca i creva. Ukoliko je ovaj prelaz preuzak ili previ\u0161e stegnut, sadr\u017eaj \u017eeluca se nikada ne mo\u017ee u potpunosti isprazniti, \u0161to dovodi do \u010destog povra\u0107anja.<\/p>\n

 <\/p>\n

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

Prevencija \u010direva svodi se na za\u0161titu od infekcije bakterijom H. Pylori<\/em>, smanjivanje unosa alkohola i lekova protiv bolova.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-71561","disease","type-disease","status-publish","hentry"],"yoast_head":"\n\u010cir na dvanaestopala\u010dnom crevu - 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=\"\u010cir na dvanaestopala\u010dnom crevu - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"\u010cir dvanaestopala\u010dnog creva, to jest duodenalni uluks ili duodenalna ulceracija, predstavlja otvorenu ranu ili procep na povr\u0161ini zida dvanaestopala\u010dnog creva. Zidovi \u017eeluca i duodenuma, tj. dvanestopala\u010dnog creva, imaju za\u0161titni sloj sluzi koji spre\u010dava direktan kontakt sa kiselim digestivnim te\u010dnostima. Ukoliko se ovaj za\u0161titni sloj o\u0161teti ili izgubi, mo\u017ee do\u0107i do inflamacije i pojave otvorenih rana […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/\" \/>\n<meta property=\"og:site_name\" content=\"Humanitas.net\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HumanitasInternational\/\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-13T03:00:01+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@humanitasmilano\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/\",\"name\":\"\u010cir na dvanaestopala\u010dnom crevu - Humanitas.net\",\"isPartOf\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#website\"},\"datePublished\":\"2017-11-06T13:25:16+00:00\",\"dateModified\":\"2025-01-13T03:00:01+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/#breadcrumb\"},\"inLanguage\":\"sr-RS\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/humanitas-net.humweb.webiz.team\/sr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Malattie\",\"item\":\"https:\/\/humanitas-net.humweb.webiz.team\/malattie\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"\u010cir na dvanaestopala\u010dnom crevu\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#website\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/\",\"name\":\"Humanitas.net\",\"description\":\"Humanitas Hospital\",\"publisher\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/humanitas-net.humweb.webiz.team\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"sr-RS\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#organization\",\"name\":\"Humanitas\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sr-RS\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg\",\"contentUrl\":\"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg\",\"width\":1,\"height\":1,\"caption\":\"Humanitas\"},\"image\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/HumanitasInternational\/\",\"https:\/\/x.com\/humanitasmilano\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u010cir na dvanaestopala\u010dnom crevu - Humanitas.net","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"sr_RS","og_type":"article","og_title":"\u010cir na dvanaestopala\u010dnom crevu - Humanitas.net","og_description":"\u010cir dvanaestopala\u010dnog creva, to jest duodenalni uluks ili duodenalna ulceracija, predstavlja otvorenu ranu ili procep na povr\u0161ini zida dvanaestopala\u010dnog creva. Zidovi \u017eeluca i duodenuma, tj. dvanestopala\u010dnog creva, imaju za\u0161titni sloj sluzi koji spre\u010dava direktan kontakt sa kiselim digestivnim te\u010dnostima. Ukoliko se ovaj za\u0161titni sloj o\u0161teti ili izgubi, mo\u017ee do\u0107i do inflamacije i pojave otvorenih rana […]","og_url":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/","og_site_name":"Humanitas.net","article_publisher":"https:\/\/www.facebook.com\/HumanitasInternational\/","article_modified_time":"2025-01-13T03:00:01+00:00","twitter_card":"summary_large_image","twitter_site":"@humanitasmilano","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/","url":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/","name":"\u010cir na dvanaestopala\u010dnom crevu - Humanitas.net","isPartOf":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#website"},"datePublished":"2017-11-06T13:25:16+00:00","dateModified":"2025-01-13T03:00:01+00:00","breadcrumb":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/#breadcrumb"},"inLanguage":"sr-RS","potentialAction":[{"@type":"ReadAction","target":["https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/cir-na-dvanaestopalacnom-crevu\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/"},{"@type":"ListItem","position":2,"name":"Malattie","item":"https:\/\/humanitas-net.humweb.webiz.team\/malattie\/"},{"@type":"ListItem","position":3,"name":"\u010cir na dvanaestopala\u010dnom crevu"}]},{"@type":"WebSite","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#website","url":"https:\/\/humanitas-net.humweb.webiz.team\/","name":"Humanitas.net","description":"Humanitas Hospital","publisher":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/humanitas-net.humweb.webiz.team\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"sr-RS"},{"@type":"Organization","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#organization","name":"Humanitas","url":"https:\/\/humanitas-net.humweb.webiz.team\/","logo":{"@type":"ImageObject","inLanguage":"sr-RS","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/","url":"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg","contentUrl":"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg","width":1,"height":1,"caption":"Humanitas"},"image":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/HumanitasInternational\/","https:\/\/x.com\/humanitasmilano"]}]}},"acf":[],"_links":{"self":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/wp-json\/wp\/v2\/disease\/71561","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/wp-json\/wp\/v2\/disease"}],"about":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/wp-json\/wp\/v2\/types\/disease"}],"wp:attachment":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/wp-json\/wp\/v2\/media?parent=71561"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}