{"id":5962,"date":"2020-05-13T12:49:35","date_gmt":"2020-05-13T11:49:35","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/radiologija-ultrazvuk-bazalnih-ganglija-transkranijalna-sonografija-tcs-copy\/"},"modified":"2020-10-07T10:49:25","modified_gmt":"2020-10-07T09:49:25","slug":"neurologija-bol-posle-herpesa-postherpeticka-neuralgija","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/neurologija\/neurologija-bol-posle-herpesa-postherpeticka-neuralgija\/","title":{"rendered":"Neurologija &#8211; Bol posle herpesa &#8211; postherpeti\u010dka neuralgija"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><strong>Herpes zoster<\/strong> je virusna infekcija koju uzrokuje Vari\u010dela zoster virus. To je isti virus koji izaziva ov\u010dije boginje od kojih se oboli naj\u010de\u0161\u0107e u detinjstvu. Nakon prele\u017eanih boginja virus ostaje neaktivan u pojedinim nervnim \u0107elijama- ganglionima nerava i kada se reaktivira uzrokuje herpes zoster.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Naj\u010de\u0161\u0107a komplikacija herpes zostera je postherpeti\u010dna neuralgija koja se manifestuje bolom, utrnulo\u0161\u0107u, ose\u0107ajem pe\u010denja, \u017earenja, probadanja u herpesom zahva\u0107enoj regiji koji traju i posle potpunog povla\u010denja svih ko\u017enih promena. U\u010destalost neuralgije raste sa godinama starosti,\u00a0 od 5% kod pacijenata mla\u0111ih od 60 godina do preko 20% kod starijih od 80 godina \u017eivota. Izaziva je o\u0161te\u0107enje senzitivnih nervnih vlakana \u0161to dovodi do posebne vrste bola koji se naziva neuropatski bol.\u00a0 Bol se javlja\u00a0 povremeno, naj\u010de\u0161\u0107e u napadima u trajanju od nekoliko sekundi do nekoliko minuta, sa razli\u010ditim razmacima izme\u0111u bolova. Nekada je bol toliko jak i \u010dest da izaziva poreme\u0107aj spavanja, onesposobljava bolesnika za obavljanje uobi\u010dajenih dnevnih aktivnosti i \u010dak dovodi do depresije.\u00a0 U zahva\u0107enim regijama ko\u017ee mo\u017ee se javiti i izmenjen ose\u0107aj ili gubitak ose\u0107aja dodira.\u00a0 Dijagnoza se postavlja na osnovu podataka koje pacijent daje o u\u010destalosti i karakteristikama bolova. U ve\u0107ini slu\u010dajeva neuralgija traje od 1 do 3 meseca a kod 10-20%\u00a0 obolelih mo\u017ee potrajati i du\u017ee od godinu dana.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Le\u010denje neuralgije posle herpes zostera<\/strong> je veoma kompleksno i \u010desto su potrebne kombinacije razli\u010ditih lekova i postupaka kako bi bol prestao. Terapija mora biti prilago\u0111ena individualno svakom pacijentu. Sprovodi se terapija lokalnim sredstvima, lekovima i fizikalne procedure. Lokalno se primenjuju lidokainski flasteri i preparati koji sadr\u017ee kapsaicin. Preporu\u010deno je da se koriste minimalno 4 nedelje. Uobi\u010dajeni\u00a0 lekovi, analgetici, koji se koriste za druge vrste bolova naj\u010de\u0161\u0107e nisu dovoljni, tako da su lekovi prvog izbora za neuralgiju pojedini antiepiletici kao \u0161to su pregabalin i karbamazepin i antidepresivi me\u0111u kojima se izdvajaju amitriptilin i noviji antidepresiv duloksetin. Lekovi se uvode postepeno, u maloj dozi da bismo postigli maksimalno dejstvo uz minimalna ne\u017eeljena dejstva.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Prilikom <a href=\"https:\/\/euromedic.rs\/usluga\/specijalisticki-pregled-neurologa\/\">detaljnog pregleda i kontrola neurolog \u201cEuromedika\u201d<\/a> na\u0107i \u0107e pravi na\u010din le\u010denja i ubla\u017eavanja tegoba kod pacijenata sa postherpeti\u010dnom neuralgijom.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Herpes zoster je virusna infekcija koju uzrokuje Vari\u010dela zoster virus. To je isti virus koji&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5964,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[484],"tags":[293,295,294],"class_list":["post-5962","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologija","tag-bol-posle-herpesa","tag-neurologija","tag-postherpeticka-neuralgija"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Neurologija - Bol posle herpesa - postherpeti\u010dka neuralgija<\/title>\n<meta name=\"description\" content=\"Herpes zoster je virusna infekcija koju uzrokuje Vari\u010dela zoster virus. 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