{"id":6011,"date":"2020-05-13T15:02:11","date_gmt":"2020-05-13T14:02:11","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/neurologija-miopatija-copy\/"},"modified":"2020-10-07T10:49:24","modified_gmt":"2020-10-07T09:49:24","slug":"neurologija-neuropatije","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/neurologija\/neurologija-neuropatije\/","title":{"rendered":"Neurologija &#8211; Neuropatije"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><strong>Neuropatije<\/strong> predstavljaju o\u0161te\u0107enja perifernih nerava. Mogu biti posledica povrede, tumora ili kompresije nerava naj\u010de\u0161\u0107eod strane ko\u0161tanih struktura koje se nalaze u njihovoj blizini. Obi\u010dno je tada o\u0161te\u0107en samo jedan nerv i ovakva stanja se nazivaju mononeuropatijama. Neuropatije se mogu javiti i u formi polineuropatija, kada je o\u0161te\u0107en ve\u0107i broj ili svi periferni nervi usled razli\u010ditih naslednih ili ste\u010denih uzroka. Nasledne polineuropatije su bolesti kod kojih mutacije odre\u0111enih gena uzrokuju promene u perifernim nervima ili njihovom omota\u010du. Naj\u010de\u0161\u0107i uzrok ste\u010denih polineuropatija je \u0161e\u0107erna bolest, a re\u0111e mogu biti razli\u010diti metaboli\u010dki poreme\u0107aji,autoimune ili hematolo\u0161ke bolesti, infekcije, tumori, alkoholizam, izlo\u017eenost odre\u0111enim lekovima ili toksinima, nedostatak vitamina i sl. Me\u0111utim, kod skoro polovine bolesnika sa polineuropatijom uzrok polineuropatije ostaje nepoznat i pored svih sprovedenih dopunskih ispitivanja.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Neuropatije imaju razli\u010ditu klini\u010dku prezentaciju u zavisnosti od vrste i broja zahva\u0107enih nerava i te\u017eine o\u0161te\u0107enja. Mogu se manifestovati prisustvom senzitivnih smetnji u vidu bola, trnjenja, \u017earenja, paljenja, bockanja, mravinjanja ili pak smanjenjem ose\u0107aja za dodir u distribuciji inervacije odgovaraju\u0107ih perifernih nerava. Tako\u0111e, postoji i slabost mi\u0161i\u0107a inervisanih od strane o\u0161te\u0107enih nerava, koja mo\u017ee biti pra\u0107ena i gubitkom mi\u0161i\u0107ne mase. Va\u017eno je znati da intenzitet simptoma nije indikator te\u017eine o\u0161te\u0107enja perifernih nerava.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Naj\u010de\u0161\u0107a kompresivna neuropatija je sindrom karpalnog tunela, koji nastaje usled kompresije nerva medianusa u uskom prostoru kroz koji nerv prolazi u predelu zgloba ru\u010dja. Naj\u010de\u0161\u0107e se manifestuje trnjenjem prva 3 prsta \u0161ake, a pacijenti se mogu \u017ealiti i na trnjenje cele \u0161ake, ponekada i cele ruke, bol u predelu zgloba ru\u010dja ili \u0161ake, dok se u te\u017eim slu\u010dajevima javlja i slabost malih mi\u0161i\u0107a \u0161ake inervisanih od strane ovog nerva.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Polineuropatije se obi\u010dno manifestuju ve\u0107 navedenim senzitivnim smetnjama i mi\u0161i\u0107nom slabo\u0161\u0107u u predelu stopala i \u0161aka sa postepenim \u0161irenjem ka vi\u0161im delovima ekstremiteta. Tako\u0111e, kod bolesnika sa neuropatijama \u010desti su i trofi\u010dki poreme\u0107aji tipa hladnih, modrih ekstremiteta, sa o\u0161te\u0107enom funkcijom znojenja, gubitkom maljavosti i promenama na noktima zbog o\u0161te\u0107enja autonomnih nervnih vlakana. Naj\u010de\u0161\u0107i uzrok autonomne neuropatije je \u0161e\u0107erna bolest.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">U cilju adekvatne evaluacije bolesnika sa sumnjom na neuropatiju savetuju se <a href=\"https:\/\/euromedic.rs\/usluga\/specijalisticki-pregled-neurologa\/\">pregled neurologa<\/a> i elektromioneurografski (EMNG) pregled. Zatim \u0107e neurolog napraviti dalji dijagnosti\u010dki i terapijski plan.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Terapija neuropatija zavisi od vrste i te\u017eine neuropatije, kao i njenog uzroka. Terapija mo\u017ee biti kauzalna, ukoliko je usmerena na le\u010denje poznatog i le\u010divog uzroka bolesti ili simptomatska, ukoliko se njome smanjuju simptomi bez uticaja na uzrok oboljenja. Kauzalna terapija obuhvata le\u010denje imunski posredovanih neuropatija lekovima koji uti\u010du na funkciju imunog sistema, od izuzetne je va\u017enosti le\u010denje osnovne bolesti koja je dovela do pojave neuropatije, ukoliko je ona poznata, ordinira se terapija vitaminima ukoliko postoji njihov deficit itd. Kod bolesnika sa povredama ili kompresijom nerava savetuje se fizikalna terapija i po potrebi hirur\u0161ko le\u010denje.\u00a0 Simptomatska terapija naj\u010de\u0161\u0107e obuhvata terapiju neuropatskog bola odgovaraju\u0107im lekovima. Nasledne neuropatije su neizle\u010dive, ali je kod ovih bolesnika od zna\u010daja redovno spro\u0111enje fizikalne terapije radi spre\u010davanja nastanka kontraktura.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Neuropatije predstavljaju o\u0161te\u0107enja perifernih nerava. Mogu biti posledica povrede, tumora ili kompresije nerava naj\u010de\u0161\u0107eod strane&#8230;<\/p>\n","protected":false},"author":1,"featured_media":6013,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[484],"tags":[295,309],"class_list":["post-6011","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologija","tag-neurologija","tag-neuropatije"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Neurologija - Neuropatije - Dijagnostika i le\u010denje u Euromediku<\/title>\n<meta name=\"description\" content=\"Neuropatije predstavljaju o\u0161te\u0107enja perifernih nerava. 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