{"id":6423,"date":"2020-06-15T12:02:16","date_gmt":"2020-06-15T11:02:16","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/magnetna-rezonancija-kicme-koje-su-najcesce-indikacije-za-pregled-copy\/"},"modified":"2021-03-30T11:29:35","modified_gmt":"2021-03-30T10:29:35","slug":"magnetna-rezonancija-i-degenerativna-promene-kicmenog-stuba","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/dijagnostika\/magnetna-rezonancija\/magnetna-rezonancija-i-degenerativna-promene-kicmenog-stuba\/","title":{"rendered":"Magnetna rezonancija – Degenerativna promene ki\u010dmenog stuba"},"content":{"rendered":"

Degenerativna o\u0161te\u0107enja ki\u010dmenog stuba predstavljaju proizvod udru\u017eenog delovanja tro\u0161enja i zamora na\u0161eg materijala tokom godina, stepena optere\u0107enja kome smo izlo\u017eeni, kao i nasle\u0111enog kvaliteta samog ki\u010dmenog stuba. U ovoj grupi oboljenja naj\u010de\u0161\u0107e su promene lokalizovane u regiji:<\/p>\n

Diskusa –<\/b> koji se nalaze izme\u0111u pr\u0161ljenova i slu\u017ee kao svojevrstan amortizer za ubla\u017eavanje optere\u0107enja kojima smo izlo\u017eeni. Ova o\u0161te\u0107enja su u opsegu od o\u0161te\u0107enja spolja\u0161njeg (potpornog) dela diska, do diskus hernija<\/b>, odsnono ispup\u010denja na odre\u0111enim delovima diskusa, koja usled kontakta sa\u00a0 <\/span>nervnim strukturama (nervnim korenovima ili ki\u010dmenom mo\u017edinom- zavisno od lokalizacije i te\u017eine) dovode do bola, trnjenja, pa i oduzetosti ekstremiteta. Ove promene se najdetaljnije prikazuju pregledom na magnetnoj rezonanciji, gde je evidentna njena superiornost u odnosu na rendgenske preglede, kojima se dobija samo predstava o stanju visine ki\u010dmenih pr\u0161ljenova, dok se o samim diskusima ne dobija dovoljno informacija – dobija se samo posredna informacija o njihovoj \u0161irini, na osnovu relativnog rastojanja izme\u0111u susednih pr\u0161ljenova;<\/p>\n

Pr\u0161ljenskih tela – <\/b>koja predstavljaju osnovni potporni element ki\u010dmenog stuba,\u00a0 <\/span>a degenerativna o\u0161te\u0107enja se na njima manifestuju otokom ili zadebljanjem na tzv. pokrovnim plo\u010dama (strane pr\u0161ljenova koje su okrenute ka susednom pr\u0161ljenu), kao i formiranjem oko\u0161tavanja-osteofita (zupci, kljunovi kosti) koji se pru\u017eaju u razli\u010ditim pravcima i mogu, tako\u0111e, dovesti do kontakta i pritiska na nervne strukture (ki\u010dmena mo\u017edina i nervi), sa sli\u010dnim simptomima kao kod diskus hernija;<\/p>\n

Sitnih (fasetnih) zglobova\u00a0<\/b>– koji predstavljaju parne sitne zglobove kojima se susedni pr\u0161ljenovi dodatno povezuju i uloga im je stabilizacija ki\u010dmenog stuba, a patolo\u0161ke promene se na njima manifestuju zadebljanjima, koja mogu doprineti smanjenju \u0161irine ki\u010dmenog kanala (prostor kroz koji prolazi ki\u010dmena mo\u017edina i nervi),\u00a0 <\/span>kao i parnih izlaza za nervne korenove (foramena), koji se nalaze na svakom nivou, a tako\u0111e mogu biti sredi\u0161te upalnih procesa;<\/p>\n

Ligamenata\u00a0<\/b>– koji se prostiru ispred i iza pr\u0161ljenskih tela (celom du\u017einom ki\u010dmenog stuba), kao i ispred i iza zadnjih nastavaka ki\u010dmenih pr\u0161ljenova, doprinose stabilizaciji polo\u017eaja ki\u010dmenog stuba, a degenerativne promene se na njima manifestuju obi\u010dno zadebljanjima, koja zatim dovode do su\u017eenja ki\u010dmenog kanala, kao i parnih izlaza za nervne korenove (foramena).<\/p>\n

U zavisnosti od te\u017eine degenerativnih o\u0161te\u0107enja koja se uo\u010de na pregledu magnetnom rezonancijom<\/a>, terapijske mere su u delokrugu rada fizijatra, kada se radi o lak\u0161im o\u0161te\u0107enjima ili spinalnog (ortopedskog) i neurohirurga, kada se radi o te\u017eim o\u0161te\u0107enjima, koja zahtevaju razmatranje mogu\u0107nosti operativnog le\u010denja. Kona\u010dna procena o vrsti tretmana se donosi nakon klini\u010dke procene odnosno kombinovanjem rezultata magnetne rezonance i klini\u010dkog nalaza odgovaraju\u0107eg specijaliste, naravno, u dogovoru sa pacijentom.<\/p>\n

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

Degenerativna o\u0161te\u0107enja ki\u010dmenog stuba predstavljaju proizvod udru\u017eenog delovanja tro\u0161enja i zamora na\u0161eg materijala tokom godina,…<\/p>\n","protected":false},"author":1,"featured_media":7079,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[473],"tags":[402,401],"class_list":["post-6423","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-magnetna-rezonancija","tag-magnetna-rezonancija","tag-mr"],"yoast_head":"\nMagnetna rezonancija i degenerativna promene ki\u010dmenog stuba<\/title>\n<meta name=\"description\" content=\"Degenerativna o\u0161te\u0107enja ki\u010dmenog stuba predstavljaju proizvod udru\u017eenog delovanja tro\u0161enja i zamora na\u0161eg materijala tokom godina, stepena optere\u0107enja...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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