{"id":5744,"date":"2020-05-11T13:44:22","date_gmt":"2020-05-11T12:44:22","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/reumatologija-i-fizijatrija-fraktura-osnovni-principi-rehabilitacije-copy\/"},"modified":"2021-03-03T10:21:36","modified_gmt":"2021-03-03T09:21:36","slug":"reumatologija-i-fizijatrija-giht","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/","title":{"rendered":"Reumatologija i fizikalna medicina  &#8211; Giht"},"content":{"rendered":"<p><strong>\u0160ta je to giht i ko oboleva?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Giht je vrsta upale zgloba &#8211; artritisa, koji nastaje kao posledica talo\u017eenja kristala mokra\u0107ne kiseline u zglobovima, kod osoba sa povi\u0161enom koncentracijom mokra\u0107ne kiseline u krvi. Mokra\u0107na kiselina nastaje u toku normalnih metaboli\u010dkih procesa u organizmu, ali ukoliko se ona ne izlu\u010duje putem bubrega u dovoljnoj meri, dolazi do njenog nagomilavanja u zglobovima, bubrezima i mekim tkivima. Od gihta naj\u010de\u0161\u0107e obolevaju osobe starije od 40 godina, \u010de\u0161\u0107e mu\u0161karci, \u010dak svaki pedeseti mu\u0161karac stariji od 30 godina, re\u0111e \u017eene u menopauzi.<\/span><\/p>\n<p><strong>Koji su faktori rizika za nastanak gihta?\u00a0<\/strong><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Ishrana namirnicama bogatim purinima (crveno meso, iznutrice, morski plodovi)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Konzumiranje ve\u0107ih koli\u010dina alkohola\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Gojaznost, povi\u0161en krvni pritisak, povi\u0161ene masno\u0107e u krvi<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Nasledna sklonost pove\u0107anog stvaranja mokra\u0107ne kiseline\u00a0\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Upotreba nekih lekova kao \u0161to su: diuretici, aspirin, levodopa i ciklosporin\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Kod bolesnika sa malignim bolestima i na hemoterapiji\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Kod bolesnika sa hroni\u010dnim bubre\u017enim bolestima i bolesnicima na dijalizi<\/span><\/li>\n<\/ul>\n<p><strong>Koji su simptomi gihta?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Prvi simptomi gihta su naj\u010de\u0161\u0107e iznenenadni bol, otok i crvenilo jednog zgloba, naj\u010de\u0161\u0107e korena palca na nozi, u 50% slu\u010dajeva, ali bilo koji zglob mo\u017ee biti zahva\u0107en. Akutni napad gihta prolazi za nekoliko dana, \u010dak i ako se ne le\u010di. Ukoliko se napadi ponavljaju, bolest prelazi u hroni\u010dni oblik, sa zahvatanjem ve\u0107eg broja zglobova i koji vode ka o\u0161te\u0107enjima i deformitetima. Osim u zglobovima, kristali mokra\u0107ne kiseline se mogu talo\u017eiti u ko\u017ei, mekim tkivima i bubrezima. Tako nastaju mali, \u010dvrsti i beli\u010dasti \u010dvorovi &#8211; tofusi u ko\u017ei i u\u0161nim \u0161koljkama, a u bubrezima kamen\u010di\u0107i.\u00a0<\/span><\/p>\n<p><strong>Kako se postavlja dijagnoza gihta u Euromediku?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Dijagnozu gihta postavlja reumatolog nakon pregleda i sprovedenih ispitivanja. U postavljenju dijagnoze poma\u017ee odre\u0111ivanje nivoa mokra\u0107ne kiseline u krvi i analiza zglobne te\u010dnosti iz zapaljenog zgloba, na prisustvo kristala mokra\u0107ne kiseline. Ponekad nije mogu\u0107e dobiti uzorak zglobne te\u010dnosti, pa je tada od velike pomo\u0107i u dijagnostici, ultrazvu\u010dni pregled zahva\u0107enog zgloba.<\/span><\/p>\n<p><strong>Kako se le\u010di giht u Euromedku?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">U akutnoj fazi gihta naj\u010de\u0161\u0107e se upotrebljavaju nestereoidni antiinflamatorni lekovi. Kod te\u017eih oblika gihta, primenjuju se kortikosteroidi u obliku injekcija ili tableta. Tada je potrebno po\u0161tedeti zahva\u0107eni zglob, mirovati uz primenu hladnih obloga. Nakon smirivanja akutnog napada, u terapiju se uvode lekovi koji smanjuju stvaranje mokra\u0107ne kiseline, alopurinol i febuksostat.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Za dugotrajno le\u010denje gihta, pored medikamentne terapije, neophodno je regulisati telesnu te\u017einu, izbegavati unos alkohola, kao i hrane koja provocira napade. Savetuje se svakodnevna upotreba mleka i mle\u010dnih proizvoda, unos odgovaraju\u0107e koli\u010dine te\u010dnosti, kao i redovna fizi\u010dka aktivnost.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Neophodan je i <a href=\"https:\/\/euromedic.rs\/usluga\/specijalisticki-pregled-fizijatra\/\">pregled fizijatra<\/a> i uklju\u010divanje fizikalne terapije prema nalazu i fazi oboljenja .<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0160ta je to giht i ko oboleva? Giht je vrsta upale zgloba &#8211; artritisa, koji&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5748,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[487],"tags":[214,228,213],"class_list":["post-5744","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-reumatologija","tag-fizijatrija","tag-giht","tag-reumatologija"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Reumatologija i fizijatrija - Giht - Dijagnostika i le\u010denje<\/title>\n<meta name=\"description\" content=\"Giht je vrsta upale zgloba - artritisa, koji nastaje kao posledica talo\u017eenja kristala mokra\u0107ne kiseline u zglobovima, kod osoba sa povi\u0161enom koncentracijom.\" \/>\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-i-fizijatrija-giht\/\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reumatologija i fizijatrija - Giht - Dijagnostika i le\u010denje\" \/>\n<meta property=\"og:description\" content=\"Giht je vrsta upale zgloba - artritisa, koji nastaje kao posledica talo\u017eenja kristala mokra\u0107ne kiseline u zglobovima, kod osoba sa povi\u0161enom koncentracijom.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/\" \/>\n<meta property=\"og:site_name\" content=\"Euromedik\" \/>\n<meta property=\"article:published_time\" content=\"2020-05-11T12:44:22+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-03-03T09:21:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/giht.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"667\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"euromedik\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Napisano od\" \/>\n\t<meta name=\"twitter:data1\" content=\"euromedik\" \/>\n\t<meta name=\"twitter:label2\" content=\"Procenjeno vreme \u010ditanja\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minuta\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/\",\"url\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/\",\"name\":\"Reumatologija i fizijatrija - Giht - Dijagnostika i le\u010denje\",\"isPartOf\":{\"@id\":\"https:\/\/euromedic.rs\/pregledi\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/giht.jpg\",\"datePublished\":\"2020-05-11T12:44:22+00:00\",\"dateModified\":\"2021-03-03T09:21:36+00:00\",\"author\":{\"@id\":\"https:\/\/euromedic.rs\/pregledi\/#\/schema\/person\/f5c1c88c7fd9049309c5d203f7c9af5e\"},\"description\":\"Giht je vrsta upale zgloba - artritisa, koji nastaje kao posledica talo\u017eenja kristala mokra\u0107ne kiseline u zglobovima, kod osoba sa povi\u0161enom koncentracijom.\",\"breadcrumb\":{\"@id\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/#breadcrumb\"},\"inLanguage\":\"sr-RS\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"sr-RS\",\"@id\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/#primaryimage\",\"url\":\"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/giht.jpg\",\"contentUrl\":\"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/giht.jpg\",\"width\":1000,\"height\":667},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Pregledi\",\"item\":\"https:\/\/euromedic.rs\/pregledi\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Specijalisti\u010dki pregledi\",\"item\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Reumatologija i fizikalna medicina\",\"item\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Reumatologija i fizikalna medicina \u2013 Giht\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/euromedic.rs\/pregledi\/#website\",\"url\":\"https:\/\/euromedic.rs\/pregledi\/\",\"name\":\"Euromedik\",\"description\":\"Vi\u0161egradska, Slavija, Cviji\u0107eva, Novi Beograd, Zemun, Banovo Brdo, Vo\u017edovac. Kompletna dijagnostika. Najsavremenija oprema. Specijalisti\u010dki pregledi.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/euromedic.rs\/pregledi\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"sr-RS\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/euromedic.rs\/pregledi\/#\/schema\/person\/f5c1c88c7fd9049309c5d203f7c9af5e\",\"name\":\"euromedik\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sr-RS\",\"@id\":\"https:\/\/euromedic.rs\/pregledi\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/f857e725366884936ef8843df671acda7fcecb839afb59b2dc707ceca488eccf?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/f857e725366884936ef8843df671acda7fcecb839afb59b2dc707ceca488eccf?s=96&d=mm&r=g\",\"caption\":\"euromedik\"},\"url\":\"https:\/\/euromedic.rs\/pregledi\/author\/euromedik\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Reumatologija i fizijatrija - Giht - Dijagnostika i le\u010denje","description":"Giht je vrsta upale zgloba - artritisa, koji nastaje kao posledica talo\u017eenja kristala mokra\u0107ne kiseline u zglobovima, kod osoba sa povi\u0161enom koncentracijom.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/","og_locale":"sr_RS","og_type":"article","og_title":"Reumatologija i fizijatrija - Giht - Dijagnostika i le\u010denje","og_description":"Giht je vrsta upale zgloba - artritisa, koji nastaje kao posledica talo\u017eenja kristala mokra\u0107ne kiseline u zglobovima, kod osoba sa povi\u0161enom koncentracijom.","og_url":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/","og_site_name":"Euromedik","article_published_time":"2020-05-11T12:44:22+00:00","article_modified_time":"2021-03-03T09:21:36+00:00","og_image":[{"width":1000,"height":667,"url":"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/giht.jpg","type":"image\/jpeg"}],"author":"euromedik","twitter_card":"summary_large_image","twitter_misc":{"Napisano od":"euromedik","Procenjeno vreme \u010ditanja":"2 minuta"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/","url":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/","name":"Reumatologija i fizijatrija - Giht - Dijagnostika i le\u010denje","isPartOf":{"@id":"https:\/\/euromedic.rs\/pregledi\/#website"},"primaryImageOfPage":{"@id":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/#primaryimage"},"image":{"@id":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/#primaryimage"},"thumbnailUrl":"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/giht.jpg","datePublished":"2020-05-11T12:44:22+00:00","dateModified":"2021-03-03T09:21:36+00:00","author":{"@id":"https:\/\/euromedic.rs\/pregledi\/#\/schema\/person\/f5c1c88c7fd9049309c5d203f7c9af5e"},"description":"Giht je vrsta upale zgloba - artritisa, koji nastaje kao posledica talo\u017eenja kristala mokra\u0107ne kiseline u zglobovima, kod osoba sa povi\u0161enom koncentracijom.","breadcrumb":{"@id":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/#breadcrumb"},"inLanguage":"sr-RS","potentialAction":[{"@type":"ReadAction","target":["https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/"]}]},{"@type":"ImageObject","inLanguage":"sr-RS","@id":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/#primaryimage","url":"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/giht.jpg","contentUrl":"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/giht.jpg","width":1000,"height":667},{"@type":"BreadcrumbList","@id":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-giht\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Pregledi","item":"https:\/\/euromedic.rs\/pregledi\/"},{"@type":"ListItem","position":2,"name":"Specijalisti\u010dki pregledi","item":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/"},{"@type":"ListItem","position":3,"name":"Reumatologija i fizikalna medicina","item":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/"},{"@type":"ListItem","position":4,"name":"Reumatologija i fizikalna medicina \u2013 Giht"}]},{"@type":"WebSite","@id":"https:\/\/euromedic.rs\/pregledi\/#website","url":"https:\/\/euromedic.rs\/pregledi\/","name":"Euromedik","description":"Vi\u0161egradska, Slavija, Cviji\u0107eva, Novi Beograd, Zemun, Banovo Brdo, Vo\u017edovac. Kompletna dijagnostika. Najsavremenija oprema. Specijalisti\u010dki pregledi.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/euromedic.rs\/pregledi\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"sr-RS"},{"@type":"Person","@id":"https:\/\/euromedic.rs\/pregledi\/#\/schema\/person\/f5c1c88c7fd9049309c5d203f7c9af5e","name":"euromedik","image":{"@type":"ImageObject","inLanguage":"sr-RS","@id":"https:\/\/euromedic.rs\/pregledi\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/f857e725366884936ef8843df671acda7fcecb839afb59b2dc707ceca488eccf?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/f857e725366884936ef8843df671acda7fcecb839afb59b2dc707ceca488eccf?s=96&d=mm&r=g","caption":"euromedik"},"url":"https:\/\/euromedic.rs\/pregledi\/author\/euromedik\/"}]}},"_links":{"self":[{"href":"https:\/\/euromedic.rs\/pregledi\/wp-json\/wp\/v2\/posts\/5744","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/euromedic.rs\/pregledi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/euromedic.rs\/pregledi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/euromedic.rs\/pregledi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/euromedic.rs\/pregledi\/wp-json\/wp\/v2\/comments?post=5744"}],"version-history":[{"count":3,"href":"https:\/\/euromedic.rs\/pregledi\/wp-json\/wp\/v2\/posts\/5744\/revisions"}],"predecessor-version":[{"id":7484,"href":"https:\/\/euromedic.rs\/pregledi\/wp-json\/wp\/v2\/posts\/5744\/revisions\/7484"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/euromedic.rs\/pregledi\/wp-json\/wp\/v2\/media\/5748"}],"wp:attachment":[{"href":"https:\/\/euromedic.rs\/pregledi\/wp-json\/wp\/v2\/media?parent=5744"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/euromedic.rs\/pregledi\/wp-json\/wp\/v2\/categories?post=5744"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/euromedic.rs\/pregledi\/wp-json\/wp\/v2\/tags?post=5744"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}