{"id":5745,"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-2\/"},"modified":"2021-03-03T10:24:43","modified_gmt":"2021-03-03T09:24:43","slug":"reumatologija-i-fizijatrija-gonartroza","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/reumatologija\/reumatologija-i-fizijatrija-gonartroza\/","title":{"rendered":"Reumatologija i fizikalna medicina – Gonartroza"},"content":{"rendered":"

GONARTROZA<\/strong> je propadanje (degeneracija) zgloba kolena koja je pra\u0107ena istanjenjem, gubitkom i starenjem hrskavice sa posledi\u010dnim o\u0161te\u0107enjem na zglobnoj povrsini. Direktno je vezana sa starenjem i mo\u017ee po\u010deti vrlo rano. Zavisi od genetske predispozicije, stila \u017eivota, fizi\u010dke aktivnosti, na\u010dina ishrane, gojaznosti, mehanizma povre\u0111ivanja \u2026\u00a0<\/span><\/p>\n

Kako prepoznati prve simptome gonartroze?<\/strong><\/p>\n

Naj\u010de\u0161\u0107i simptom je bol, kre\u0107e se od tupog do o\u0161trog i obi\u010dno se javlja nakon ve\u0107ih naprezanja. Kod odmaklih slu\u010dajeva mo\u017ee se javiti i no\u0107ni bol. Javlja se jutarnja uko\u010denost zgloba i hroni\u010dan otok. Ograni\u010dena pokretljivost kolena je u srazmeri sa te\u017einom o\u0161te\u0107enja kolena.\u00a0<\/span><\/p>\n

Ko pregleda gonartozu kolena u Euromediku?<\/strong><\/p>\n

Pregled je timski, vr\u0161e ga specijalista fizikalne medicine<\/a> i rehabilitacije i\/ili ortoped. Pregled se sastoji od anamneze (razgovor sa pacijentom o na\u010dinu i po\u010detku problema), klini\u010dkom pregledu, dijagnosti\u010dkim metodama, na\u010dinu le\u010denja i daljem stilu \u017eivota pri sportskim i \u017eivotnim aktivnostima.\u00a0<\/span><\/p>\n

Kako se radi klini\u010dki pregled i dijagnostika gonartroze?<\/strong><\/p>\n

Pacijentu se izmeri obim natkolene musculature kolena preko \u010da\u0161ice i potkolenice, da li ima aktivne i pasivne pokrete kolena. Ispituje se koji pokret prouzrokuje bol i na kom mestu, da li je otok u zglobu ili van zgloba, umeren ili veliki, da li je uve\u0107ana Baker cista, da li ima upale ovojnice (sinovije). Radi se dijagnostika: rentgen kolena (stanje hrskavice i stepen o\u0161te\u0107enja, ultrazvuk kolena (koristan kod suspektnih promena mekih tkiva oko kolena), magnetna rezonanca najsavremenija metoda kod o\u0161te\u0107enog i obolelog kolena gde pored gonartroze pokazuje i o\u0161te\u0107enje ligamenata, degeneraciju meniskusa, sinovitis, prisustvo otoka, itd.<\/span><\/p>\n

Kako se le\u010di gonartroza u Euromediku?<\/strong><\/p>\n

Neoprerativno i operativno. Neoperativno obuhvata primenu fizikalnih terapija, lekova sa analgetskim i protivupalnim dejstvom (paracetamol, diklofen, brufen\u2026) uz gastroprotekciju \u017eeludca. U bolnoj i ote\u010denoj fazi aplikuje se led uz lokalne gelove, mirovanje i rastere\u0107enje zgloba.\u00a0<\/span><\/p>\n

Fizikalna terapija se zapo\u010dinje po smirivanju no\u0107nog bola, kada pacijent mo\u017ee da do\u0111e na ambulantno le\u010denje.\u00a0<\/span><\/p>\n

Koje fizikalne terapije najvi\u0161e primenjujete za obolelo koleno?<\/strong><\/p>\n

Uz primenu najsavremenijih aparata za fizikalnu medicinu i rehabilitaciju, najbolje rezultate daje kombinovana fizikalna terapija: elektroterapija (terapija strujama), analgetska laseroterapija, magnetiterapija, kineziterapijske vezbe (strogo individualno dozirano). Ponekad se mogu dati razne vrste ortoza i primena stapa za rastere\u0107enje i stabilnost kolena.<\/span><\/p>\n

Koliko puta godi\u0161nje preporu\u010dujete fizikalnu terapiju za gonartrozu?<\/strong><\/p>\n

Preporu\u010duje se dva puta godi\u0161nje po dvadeset fizikalnih terapija uz kontinuiranu primenu ve\u017ebi za ja\u010danje natkolene musculature, vo\u017enja biciklom, dozirano hodanje, plivanje.<\/span><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

GONARTROZA je propadanje (degeneracija) zgloba kolena koja je pra\u0107ena istanjenjem, gubitkom i starenjem hrskavice sa…<\/p>\n","protected":false},"author":1,"featured_media":5751,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[487],"tags":[214,229,213],"class_list":["post-5745","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-reumatologija","tag-fizijatrija","tag-gonartroza","tag-reumatologija"],"yoast_head":"\nReumatologija i fizijatrija - Gonartroza - Dijagnostika i le\u010denje<\/title>\n<meta name=\"description\" content=\"GONARTROZA je propadanje (degeneracija) zgloba kolena koja je pra\u0107ena istanjenjem, gubitkom i starenjem hrskavice sa posledi\u010dnim o\u0161te\u0107enjem na zglobnoj...\" \/>\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-gonartroza\/\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reumatologija i fizijatrija - 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