{"id":6318,"date":"2020-05-15T13:17:48","date_gmt":"2020-05-15T12:17:48","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/pulmologija-spirometrija-copy\/"},"modified":"2020-10-07T10:47:13","modified_gmt":"2020-10-07T09:47:13","slug":"pulmologija-dispneja-u-plucnim-bolestima","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/pulmologija\/pulmologija-dispneja-u-plucnim-bolestima\/","title":{"rendered":"Pulmologija – Dispneja u plu\u0107nim bolestima"},"content":{"rendered":"

Dispneja je subjektivni ose\u0107aj nedostatka vazduha pra\u0107en ose\u0107ajem ote\u017eanog disanja, kao posledica nesklada izmedju ventilacije plu\u0107a i potrebe za vazduhom i mo\u017ee da uka\u017ee na vi\u0161e razli\u010ditih bolesti i stanja. Pacijenti opisuju kao gu\u0161enje, \u201eglad za vazduhom\u201c, tesna plu\u0107a, nemogu\u0107nost udaha do kraja, nelagodnost u grudima.\u00a0<\/span><\/p>\n

Dispneja je \u010desto razlog zbog koga se pacijent prvi put javi lekaru.<\/span><\/p>\n

Kada se dispneja javi naglo, bolesnici su upla\u0161eni i opisuju je vrlo dramati\u010dno pa je tada vrlo va\u017eno smiriti pacijenta.<\/span><\/p>\n

Kod nekih bolesti i stanja ote\u017eano disanje traje dugo (hroni\u010dni bolesnici) te se dispneja lak\u0161e podnosi. Ako je dispneja u\u010destala i javlja se naglo, obavezno je odmah javiti se lekaru. Nedostatak vazduha ne treba vezivati za poja\u010danu nervozu i stres. Zato je va\u017eno na\u0107i pravi razlog dispneje, a to posti\u017eemo anamnezom, klini\u010dkim pregledom kao i dijagnosti\u010dkim procedurama.<\/span><\/p>\n

Dispneja je naj\u010des\u0107e uzrok pulmolo\u0161kih i kardiolo\u0161kih bolesti.<\/span><\/p>\n

Naj\u010de\u0161\u0107e pulmolo\u0161ke bolesti:<\/strong> HOBP, asthma, restriktivne bolesti, benigni i maligni tumori plu\u0107a i pleure, pneumotoraks\/pucanje\u00a0 plu\u0107ne maramice, bolesti pleure\/voda u plu\u0107noj maramici\u00a0\u00a0<\/span><\/p>\n

Kardiolo\u0161ke bolesti:<\/strong> Koronarna sr\u010dana bolest, infarkt srca, kardiomiopatije, perikaritisi, aritmije, valvularne disfunkcije, uro\u0111ene sr\u010dane mane.\u00a0\u00a0<\/span><\/p>\n

Kardiopulmolo\u0161ke bolesti:<\/strong> HOBP sa plu\u0107nom hipertenzijom i hroni\u010dnim plu\u0107nim srcem, plu\u0107na embolija, trauma<\/span><\/p>\n

Ostale bolesti:<\/strong> neuromuskularne bolesti, otorinolaringolo\u0161ke bolesti, anksiozno-depresivni poreme\u0107aji, bol bilo koje etiologije, anemije, ekspanzivni procesi u abdomenu i dr.<\/span><\/p>\n

Anamnezom je potebno definisati okolnosti pod kojim nastaje ote\u017eano disanje i prate\u0107e simptome i fokusirati se na detaljan opis simptoma, po\u010detak pojave, intezitet, du\u017einu trajanja simptoma. Posebno treba obratiti pa\u017enju na\u00a0 stanja koja mogu provocirati dispneju.<\/span><\/p>\n

Evidentirati udru\u017eene simptome, kao \u0161to je bol u grudima, ka\u0161alj, sviranje u grudima.<\/span><\/p>\n

Pitati da li postoji ekspozicija inhalatornim \u0161tetnim agensima, na radnom mestu ili u ku\u0107i, eventualna aspiracija stranog tela. Kada je aspiracija stranog tela, kao i angioedem\/bilo da je alergijske ili neke druge prirode, to\u00a0 je hitno stanje i zahteva hitnu intervenciju.<\/span><\/p>\n

Fizikalni pregled<\/a> je zna\u010dajan za razja\u0161njenje prirode dispneje.<\/span><\/p>\n

Kod astme, dispneja je obi\u010dno pra\u0107ena zvi\u017edanjem u grudima.<\/span><\/p>\n

Oboljenja respiratornih mi\u0161i\u0107a, slabost i paraliza mi\u0161i\u0107a, mogu \u010desto dovesti do akutizacije dispneje.<\/span><\/p>\n

Dispneja se mo\u017ee javiti u trenucima anksioznosti\u00a0 ili\u00a0 napada panike, tada pacijenti navode da imaju gu\u0161enje, \u017eele da napuste mesto gde se nalaze, otvaraju prozor, tra\u017ee hitnu medicinsku pomo\u0107.<\/span><\/p>\n

Vrlo je va\u017eno diferencirati takva stanja od razli\u010ditih oboljena koja mogu imati sli\u010dnu simptomatologiju. Ako je potrebno, konsultovati psihijatra.<\/span><\/p>\n

Nakon pregleda potrebno je uraditi :<\/strong><\/p>\n

PA radiografija plu\u0107a, EKG, testovi plu\u0107ne funkcije, pulsna oksimetrija, gasne analize krvi, spirometrija, difuzija, telesna pletizmografija, bronhoprovokacijski test.<\/span><\/p>\n

Laboratorijske analize:<\/strong> kompletna krvna slika, biohemijske analize, hormoni tireoidee.<\/span><\/p>\n

Kardiololo\u0161ka dijagnostika:<\/strong> EKG, UZ\u00a0 pregled srca, 24\u00a0 holter…i druge procedure.<\/span><\/p>\n

CT, MSCT, HRCT, ventilaciono – perfuzioni sken, bronhoskopija, laringoskopija, GI endoskopija.<\/span><\/p>\n

Neuromuskulatorna dijagnostika ukoliko stanje zahteva.<\/span><\/p>\n

Terapija:<\/strong> Le\u010denje se obavlja nakon kompletne dijagnosti\u010dke procedure i postavljenog uzroka dispneje, tj. postavljene dijagnoze.<\/span><\/p>\n

Uvek je potrebno smirivanje pacijenta, a zatim mo\u017ee oksigenoterapija, sistemski kortikosteroidi, bronhodilatatori, eventualno diretik, NIV, edukacija i relaksacija.<\/span><\/p>\n

Le\u010denje osnovne bolesti je najva\u017enije pored simptomatske terapije.<\/span><\/p>\n

Pu\u0161a\u010dima savetovati prestanak pu\u0161enja, a ako je dispneja posledica stresa poma\u017eu blagi sedativi, kao i ve\u017ebe opu\u0161tanja.<\/span><\/p>\n

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

Dispneja je subjektivni ose\u0107aj nedostatka vazduha pra\u0107en ose\u0107ajem ote\u017eanog disanja, kao posledica nesklada izmedju ventilacije…<\/p>\n","protected":false},"author":1,"featured_media":6320,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[480],"tags":[387,370],"class_list":["post-6318","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pulmologija","tag-dispneja","tag-pulmologija"],"yoast_head":"\nPulmologija - Dispneja u plu\u0107nim bolestima - Dijagnostika<\/title>\n<meta name=\"description\" content=\"Dispneja je subjektivni ose\u0107aj nedostatka vazduha pra\u0107en ose\u0107ajem ote\u017eanog disanja, kao posledica nesklada izmedju ventilacije plu\u0107a i potrebe za vazduhom..\" \/>\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\/pulmologija\/pulmologija-dispneja-u-plucnim-bolestima\/\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pulmologija - Dispneja u plu\u0107nim bolestima - Dijagnostika\" \/>\n<meta property=\"og:description\" content=\"Dispneja je subjektivni ose\u0107aj nedostatka vazduha pra\u0107en ose\u0107ajem ote\u017eanog disanja, kao posledica nesklada izmedju ventilacije plu\u0107a i potrebe za vazduhom..\" \/>\n<meta property=\"og:url\" content=\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/pulmologija\/pulmologija-dispneja-u-plucnim-bolestima\/\" \/>\n<meta property=\"og:site_name\" content=\"Euromedik\" \/>\n<meta property=\"article:published_time\" content=\"2020-05-15T12:17:48+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-10-07T09:47:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/Dispneja.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"666\" \/>\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=\"3 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\/pulmologija\/pulmologija-dispneja-u-plucnim-bolestima\/\",\"url\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/pulmologija\/pulmologija-dispneja-u-plucnim-bolestima\/\",\"name\":\"Pulmologija - Dispneja u plu\u0107nim bolestima - Dijagnostika\",\"isPartOf\":{\"@id\":\"https:\/\/euromedic.rs\/pregledi\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/pulmologija\/pulmologija-dispneja-u-plucnim-bolestima\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/pulmologija\/pulmologija-dispneja-u-plucnim-bolestima\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/Dispneja.jpg\",\"datePublished\":\"2020-05-15T12:17:48+00:00\",\"dateModified\":\"2020-10-07T09:47:13+00:00\",\"author\":{\"@id\":\"https:\/\/euromedic.rs\/pregledi\/#\/schema\/person\/f5c1c88c7fd9049309c5d203f7c9af5e\"},\"description\":\"Dispneja je subjektivni ose\u0107aj nedostatka vazduha pra\u0107en ose\u0107ajem ote\u017eanog disanja, kao posledica nesklada izmedju ventilacije plu\u0107a i potrebe za vazduhom..\",\"breadcrumb\":{\"@id\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/pulmologija\/pulmologija-dispneja-u-plucnim-bolestima\/#breadcrumb\"},\"inLanguage\":\"sr-RS\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/pulmologija\/pulmologija-dispneja-u-plucnim-bolestima\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"sr-RS\",\"@id\":\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/pulmologija\/pulmologija-dispneja-u-plucnim-bolestima\/#primaryimage\",\"url\":\"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/Dispneja.jpg\",\"contentUrl\":\"https:\/\/euromedic.rs\/pregledi\/wp-content\/uploads\/2020\/05\/Dispneja.jpg\",\"width\":1000,\"height\":666,\"caption\":\"Breathing, respiratory problem, asthma attack, pressure, chest pain, sun stroke, dizziness concept. 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