{"id":5704,"date":"2020-05-11T12:11:54","date_gmt":"2020-05-11T11:11:54","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/otorinolaringologija-timpanometrija-copy-copy\/"},"modified":"2021-03-03T10:26:12","modified_gmt":"2021-03-03T09:26:12","slug":"reumatologija-lupus","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-lupus\/","title":{"rendered":"Reumatologija i fizikalna medicina  &#8211; Lupus"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><strong>Sistemski eritemski lupus (SEL)<\/strong> je autoimuno oboljenje koje je nepoznatog uzroka, a odlikuje se multisistemskim klini\u010dkim ispoljavanjima i serolo\u0161kim nalazom mnogobrojnih antitela. Mogu\u0107e su razli\u010dite promene na ko\u017ei, u okviru SEL, kao i postojanje samo ko\u017enih oblika bolesti.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Naj\u010de\u0161\u0107e manifestacije SEL su promene na ko\u017ei, zglolobovima,sluzoko\u017ei, a redje su promene na srcu, plu\u0107ima, bubrezima, gastrointestinalnom traktu, mozgu i ki\u010dmenoj mo\u017edini.<\/span><\/p>\n<p><strong>Klini\u010dka slika:<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Pored op\u0161tih pojava slabosti, malaksalosti, \u010desto povi\u0161ene temperature, muskuloskeletne manifestacije su bolovi ili zapaljenje zglobova, redje zapaljenje tetive i bolovi u mi\u0161i\u0107ima. U\u00a0 plu\u0107noj i sr\u010danoj maramici\u00a0 se mo\u017ee javiti izliv, autoimuno zapaljenja razli\u010ditih sr\u010danih struktura. Promene na bubrezima su vrlo zna\u010dajne manifestacije SEL, za ta\u010dnu dijagnozu je neophodna biopsija bubrega sa pH nalazom .Gastrointestinalni poreme\u0107aji nastaju zbog zapaljenja trbu\u0161ne maramice, krvnih sudova, \u010desta je pojava uve\u0107anja slezine i jetre. Promene na mozgu i perifernom nervom sistemu su takodje mogu\u0107e, i manifestuju se kao neurolo\u0161ke: epilepsija, mo\u017edani udar, glavobolja, zapaljenje ki\u010dmene mo\u017edine, neuropatije, a psihijatrijske:\u00a0 psihoneuroti\u010dni poreme\u0107aji,anksioznost,depresija.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">SEL mo\u017ee da zapo\u010dne sa hematolo\u0161kim poreme\u0107ajima smanjenim brojem leukocita i limfocita, trombocita, autoimunom hemoliznom anemijom. \u010cesta je pojava poreme\u0107aja u procesu koagulacije krvi u sklopu antifosfolipidnog sindroma.<\/span><\/p>\n<p><strong>Laboratorija:<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Od laboratorijskih pokazatelja pored povi\u0161ene SE i CRP, izmenjene krvne slike i urina, od posebnog zna\u010daja je prisustvo odgovaraju\u0107ih antitela i drugih imunolo\u0161kih pokazatelja.<\/span><\/p>\n<p><strong>Pregled bolesnika :<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Nakon uzimanja iscrpne anamneze, pristupa se op\u0161tem internisti\u010dkom i <a href=\"https:\/\/euromedic.rs\/usluga\/specijalisticki-pregled-reumatologa\/\">reumatolo\u0161kom pregledu<\/a>, kardiolo\u0161kom sa ekg i UZ srca, potrebno je uraditi RTG plu\u0107a, UZ abdomena, pregled oftalmologa, a dalje zavisno od klini\u010dke slike pregled nefrologa, neurologa, psihijatra, MR endokarnijuma, EMG ekstremiteta, pulmologa, dermatologa.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Radi se laboratorijsko ispitivanje u pravcu SEL, ispitivanje funkcije bubrega.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Terapija SEL je vrlo kompleksna i zavisi od stepena aktivnosti bolestii zahva\u0107enosti tkiva i organa. U le\u010denju se mogu koristiti nesteroidni antiinflamatorni lekovi, antimalarici, glikokortikoidi, citotoksi\u010dni lekovi(ciklofosfamid, azatioprin, metotreksat), Cyklosporin A i Mycophenolat mofetil. U odredjenoj fazi oboljenja postoji potreba i za ogovaraju\u0107om fizikalnom terapijom, pre svega zbog ne\u017eeljenih pojava primenjene terapije glikokortikoidima.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ve\u0107 vi\u0161e godina zahvaljuju\u0107i novim dijagnosti\u010dkim i terapijskim postupcima SEL se naj\u010de\u0161\u0107e mo\u017ee povoljno terapijski pratiti i le\u010diti.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Euromedik Vam omogu\u0107ava postavljanje dijagnoze i le\u010denje SEL jer poseduje iskusan stru\u010dni lekarski tim, mogu\u0107nost da vas obzirom na multisistemski karakter oboljenja pregleda, pored interniste reumatologa, vi\u0161e vrsnih specijalista, uz najnovije aparate za UZ i MR, DEXA, EMG. Euromedik je ustanova gde se po\u0161tuju svi standarni rada, metodologije postavljanja dijagnoza i terapija.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sistemski eritemski lupus (SEL) je autoimuno oboljenje koje je nepoznatog uzroka, a odlikuje se multisistemskim&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5706,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[487],"tags":[214,215,213],"class_list":["post-5704","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-reumatologija","tag-fizijatrija","tag-lupus","tag-reumatologija"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Reumatologija - Lupus - Dijagnostika i le\u010denje - Euromedik<\/title>\n<meta name=\"description\" content=\"Sistemski eritemski lupus (SEL) je autoimuno oboljenje koje je nepoznatog uzroka, a odlikuje se multisistemskim klini\u010dkim ispoljavanjima i serolo\u0161kim...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-lupus\/\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reumatologija - 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