{"id":5688,"date":"2022-07-22T11:48:29","date_gmt":"2022-07-22T10:48:29","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/otorinolaringologija-infekcije-u-orl-regiji-izazvane-herpes-virusima-copy\/"},"modified":"2022-08-17T12:51:11","modified_gmt":"2022-08-17T11:51:11","slug":"otorinolaringologija-gastroezofagealni-refluks","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/otorinolaringologija-orl\/otorinolaringologija-gastroezofagealni-refluks\/","title":{"rendered":"Otorinolaringologija &#8211; Gastroezofagealni refluks"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><strong>Gastroezofagealni refluks (GERB)<\/strong> sve vi\u0161e pobu\u0111uje interesovanje specijalista otorinolaringologije \u00a0 zbog\u00a0 u\u010destalih\u00a0 manifestacija koje ova bolest ispoljava u ORL regiji. Neretko su ORL specijalisti prvi koji posumnjaju da se radi o ovom problemu na osnovu simptoma i klini\u010dkog nalaza koji zateknu prilikom pregleda. Zanimljivo je da \u010dak kod oko\u00a0 75% osoba sa evidentnim tegobama u ORL regiji, i\u00a0 klini\u010dki jasno prisutnim posledicama GERB-a, pacijenti do tada nisu obra\u0107ali pa\u017enju niti ose\u0107ali gastri\u010dne smetnje tipa goru\u0161ice ili\u00a0 vra\u0107anja\u00a0 kiselog \u017eeluda\u010dnog sadr\u017eaja.<\/span><\/p>\n<p><strong>Simptomi GERB-a:<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Otorinolaringologu se pacijenti naj\u010de\u0161\u0107e obra\u0107aju zbog iritativnog ka\u0161lja, grebanja u grlu, stalno crvenog grla i uporno oblo\u017eenog belog jezika, zadaha iz usta, potrebe za \u010destim naka\u0161ljavanjem u vidu \u201epro\u010di\u0161\u0107avanja\u00a0 grla\u201c.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ose\u0107aj \u201eknedle u grlu\u201c jedan je od tipi\u010dnih simptoma, pri \u010demu\u00a0 gutanje nije kompromitovano i proti\u010de bez problema. Disanje je tako\u0111e, savim uredno. Ono \u0161to pacijenti navode kao vrlo iritiraju\u0107e\u00a0 jeste stalno\u00a0 postnazalno slivanje\u00a0 sekreta, nagomilavanje sekreta u zadnjem delu \u017edrela i nosa, \u010desto zapu\u0161en nos, obi\u010dno naizmeni\u010dno, jedna pa druga strana. Nekada navode i bol u vidu \u017earenja iza grudne kosti, \u0161to lekara klini\u010dara navodi da ozbiljno pristupi ispitivanju i otkrivanju uzroka problema, jer ovakav bol mo\u017ee biti i sr\u010danog porekla.<\/span><\/p>\n<p><strong>Mehanizam nastanka:<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Gastrofofagealni refluks (GERB) nastaje vra\u0107anjem \u017eeluda\u010dnog sadr\u017eaja natrag u jednjak, \u0161to samo po sebi nije bolest. Prvi simptomi\u00a0 javljaju se u donjem spratu jednjaka usled poja\u010dane \u017eeluda\u010dne sekrecije i usporene peristaltike. Vremenom dolazi i do popu\u0161tanja mi\u0161i\u0107nog sfinktera na prelazu \u017eeluca u jednjak. Ukoliko ovo stanje traje, a uzrok se ne le\u010di, dolazi do razvoja gastroezofagelne refluksne bolesti (GERB). Bolest u toku daljeg napredovanja dose\u017ee i do gornjih partija jednjaka kada nastaje Faringolaringealni refluks (FLR). Tada mo\u017ee izazvati simptome sli\u010dne astmati\u010dnom napadu. Naime, u predelu donjeg sprata \u017edrela i grkljana ukr\u0161taju se delovi disajnog i digestivnog puta. \u017deluda\u010dni sadr\u017eaj se preko jednjaka i zadnjeg zida grkljana izliva izme\u0111u glasnica u traheju, a potom u plu\u0107a. Samo jo\u0161 jedan korak i putem zadnjih nosnih otvora \u017eeluda\u010dni sekret iz \u017edrela dospeva do sluznice nosa, \u0161to se prete\u017eno de\u0161ava no\u0107u dok je telo u horizontali.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Prema popularnoj Montrealskoj definiciji iz 2006. godine, \u201eGERB je stanje koje nastaje kada refluks \u017eeluda\u010dnog sadr\u017eaja uzrokuje zabrinjavaju\u0107e simptome ili komplikacije\u201c.<\/span><\/p>\n<p><strong>Manifestacije u ORL regiji:<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Komplikacijama GERB-a na jednjaku, kao sastavnom delu organa za varenje, prete\u017eno se bave gastroenterolozi, dok se ORL specijalisti bave dijagnostikovanjem i le\u010denjem posledica GERB-a u domenu gornjih disajnih organa.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Stanja koja opisujemo kao Hroni\u010dni faringitis, Hroni\u010dni rinitis ili Rinosinuistis, kod vi\u0161e od polovine pacijentata nalazimo korelaciju sa gastrointestinalnim bolestima, a sve je vi\u0161e potvrda da GERB lo\u0161e\u00a0 uti\u010de i na kvalitet glasa.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u010cak kod pacijenata sa atopijskom konstitucijom i dokazanom rinosinusnom alergijom u zna\u010dajnom procentu GERB mo\u017ee biti okida\u010d za manifestaciju oboljenja.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Veoma je zanimljiva korelacija GERB-a sa upalama u\u0161iju, istina kod svega 1-2 % svih otitisa, ali je dokazana ova veza, gde\u00a0 putem Eustahijevih tuba, agresivni \u017eeluda\u010dni sadr\u017eaj dospeva do bubne duplje. Potom, na njenoj sluznici izaziva burnu zapaljensku reakciju koju ne mo\u017eemo izle\u010diti sve dok ne re\u0161imo problem GERB-a.<\/span><\/p>\n<p><strong>Dijagnostika i le\u010denje:<\/strong><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\">1.Anamneza, detaljna sa ve\u0107 opisanim simptomima uz podatak da tegobe ne prolaze na ponavljanu\u00a0 terapiju propisanu za le\u010denje navedenih tegoba, ili prolaze kratkotrajno, prakti\u010dno samo dok traje terapija.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/euromedic.rs\/usluga\/specijalisticki-pregled-otorinolaringologa\/\"> Kompletan ORL pregled<\/a>, otoskopija, rinoskopija prednja i zadnja, indirektna laringoskopija, palpacija vrata, Panendoskopija u ORL regiji i eventualno Laringomikroskpija ( LMS).<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Pregled gastroenterologa, Ultrazvuk abdomena, Ezofagogastroduodenoskopija (EGDS) sa uzimanjem uzorka na Helicobacter pylori i Patohistolo\u0161ki pregled sluznice \u017eeluca,\u00a0 jednjaka i duodenuma.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Dopunska ispitivanja: Ultra zvuk vrata i \u0161titaste \u017elezde sa pregledom endokrinologa\u00a0 zbog mogu\u0107nosti pridru\u017eenih bolesti.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Laboratorijske analize, Kompletna krvna, slika, SE, glikemija, lipidni status, brisevi nosa i \u017edrela, eventualno sputum i test na Helicobacter pylori.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Konsultacija nutricioniste<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Terapija GERB-a je\u00a0 sistemati\u010dna i kombinovana,\u00a0 gastroenterolo\u0161ka i otorinolaringolo\u0161ka. Veoma je va\u017ean\u00a0 timski pristup le\u010denju ove bolesti \u0161to je u Euromediku svakodnevna rutina.<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\">Kauzalna- usmerena na le\u010denje osnovne bolesti od strane gastroenterologa, eventualno eradikacija Hel.pylori, antibiotici, antacidi, inhibitori protonske pumpe; dovoljno dugo, oko 2 do 6 meseci, zavisno od intenziteta tegoba.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Simptomatska- sanacija postoje\u0107ih tegoba u ORL regiji: antibiotika prema antibiogramu, antihistaminika, uvo\u0111enje\u00a0 topikalnih kortikosteroidnih sprejova, redovna toaleta nosa u cilju odr\u017eavanja dobre prohodnosti sluznice\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Korekcija i prilago\u0111avanje na\u010dina\u00a0 ishrane, po savetu nutricioniste<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Umerena fizi\u010dka aktivnost, eventualno korektivne ve\u017ebe prema savetu\u00a0 fizijatra\u00a0<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Pregledi ORL specijaliste i gastroenterologa sa navedenom ultra zvu\u010dnom dijagnostikom, Gastroezofagoskopijom i dopunskim\u00a0 ispitivanjima mogu se obaviti\u00a0 u Euromediku jednostavnim zakazivanjem pregleda putem telefona, kada \u0107e Vas do\u010dekati tim iskusnih stru\u010dnjaka iz ove oblasti.<\/span><\/p>\n<p><strong>Edukacija\/Prevencija:<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Problem GERB- isklju\u010divo se re\u0161ava timskim pristupom i poverenjem, a pre svega disciplinom ishrane i promenom \u017eivotnih navika. Veoma je va\u017eno ovu bolest stalno dr\u017eati pod kontrolom, ne odustajati, uvesti obavezne mere umerene fizi\u010dke ativnosti, a konformisti\u010dki, sedentalni \u017eivotni stil\u00a0 prilagoditi potrebma kako\u00a0 ne bi do\u0161lo\u00a0 do ponovnog ispoljavanja ove bolesti.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gastroezofagealni refluks (GERB) sve vi\u0161e pobu\u0111uje interesovanje specijalista otorinolaringologije \u00a0 zbog\u00a0 u\u010destalih\u00a0 manifestacija koje ova&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5690,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[510],"tags":[209,167,168],"class_list":["post-5688","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-otorinolaringologija-orl","tag-gastroezofagealni-refluks","tag-orl","tag-otorinolaringologija"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - 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