{"id":6956,"date":"2020-09-29T13:40:19","date_gmt":"2020-09-29T12:40:19","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/ultrazvucni-pregled-jetre-copy\/"},"modified":"2020-10-07T10:38:12","modified_gmt":"2020-10-07T09:38:12","slug":"ultrasonografija-zucne-kese","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/dijagnostika\/ultrazvuk\/ultrasonografija-zucne-kese\/","title":{"rendered":"Ultrasonografija \u017eu\u010dne kese"},"content":{"rendered":"

\u017du\u010dna kesa je mali organ u obliku kru\u0161ke, koja se naj\u010de\u0161\u0107e nalazi sa donje strane jetre,\u00a0 <\/span>koji slu\u017ei kao rezervoar \u017eu\u010di, materije koju proizvodi jetra potrebne za varenje masti.<\/p>\n

\u017du\u010d se prazni iz \u017eu\u010dne kese u toku obroka kada se unose masti kroz kanali\u0107e koji se nazivaju \u017eu\u010dnim putevima do dvanaestopala\u010dnog creva, a stvara se i deponuje u \u017eu\u010dnoj kesi izme\u0111u obroka.<\/p>\n

Kako se izvodi pregled?<\/b><\/p>\n

Za pregled je potrebno da se najmanje 6 sati ne konzumira hrana, ne pije kafa, zasla\u0111eni \u010dajevi.<\/p>\n

Pacijent legne na krevet, ispru\u017ei noge, lekar nanosi gel na bazi vode (koji ne izaziva alergije) i pristupa pregledu.<\/p>\n

Pregled je bezbolan i komforan.<\/p>\n

Na kraju pregleda pacijent dobije izve\u0161taj u pisanoj formi sa ultrazvu\u010dnom slikom.<\/p>\n

Da li je ta\u010dno da se ultrazvu\u010dnim pregledom sa sigurno\u0161\u0107u mo\u017ee otkriti kamenje u \u017eu\u010dnoj kesi?<\/b><\/p>\n

Da, u 95% slu\u010dajeva ultrazvu\u010dni pregled je dovoljan da se postavi i\u00a0 potvrdi dijagnoza prisustva kamen\u010di\u0107a u \u017eu\u010dnoj kesi. Mogu\u0107e je videti i pesak, kao i mulj.<\/p>\n

\u017du\u010d \u010dini voda (97%), soli, holesterol, lecitin, elektroliti, bilirubin i pojedini enzimi. Budu\u0107i da se \u017eu\u010d u \u017eu\u010dnoj kesi koncentri\u0161e 6 do 10 puta, usled resorpcije vode koja se tu vr\u0161i, mo\u017ee da do\u0111e do pojave stvaranja kamenaca. Kamenci mogu biti holesterolski, bilirubinski i me\u0161oviti. Njihova pojava se najlak\u0161e utvr\u0111uje\u00a0ultrazvukom \u017eu\u010dne kese<\/b><\/a>, koji se nekad primenjuje u okviru\u00a0ultrazvuka abdomena, po preporuci lekara ili preventivno<\/p>\n

Naj\u010de\u0161\u0107e posledice \u017eu\u010dnih kamenaca su upala\u00a0 \u017eu\u010dne kese, opstrukcija \u017eu\u010dnih kanala(\u010desto kao posledica kamenaca u \u017eu\u010dnom vodu), ponekad pra\u0107eno sa infekcijom,\u00a0 te upala pankreasa.<\/p>\n

Ukoliko doktor postavi dijagnozu postojanja kamenja u \u017eu\u010dnoj kesi uputi\u0107e Vas hirurgu na pregled.<\/p>\n

Akutna upala \u017eu\u010dne kese je naj\u010de\u0161\u0107a komplikacija, i uglavnom\u00a0 nastaje kad se kamen\u010di\u0107 zaglavi u izvodnom \u017eu\u010dnom kanali\u0107u. U retkim slu\u010dajevima akutna upala \u017eu\u010dne kese mo\u017ee nastati\u00a0 i bez prisustva kamen\u010di\u0107a, u stanjima kao \u0161to su operacije, opekotine, sepse i te\u0161ke traume. U malom broju slu\u010dajeva akutna upala \u017eu\u010dne kese mo\u017ee da dovede do perforacije(pucanja) iste, a sve gore navedeno ve\u0161t radiolog mo\u017ee da vidi ultrazvu\u010dnim pregledom.<\/p>\n

Ukoliko radiolog tokom pregleda posumnja na postojanje kamen\u010di\u0107a u \u017eu\u010dnim kanalima, uputi\u0107e Vas na dalju dijagnostiku:<\/p>\n

MRCP<\/b> – neinvazivna dijagnosti\u010dka metoda koja prikazuje \u017eu\u010dnu kesicu i \u017eu\u010dne puteve, kao i promene u njima, tj njihovu opstrukciju. MRCP dobro prikazuje upalu, konkremente, maligne neoplazme, holangiokarcinome.<\/p>\n

ili<\/p>\n

ERCP<\/b> -Endoskopska retrogradna holangio-pankreatografija je kombinacija endoskopske procedure i radiolo\u0161ke (rendgenske) procedure u cilju snimanja \u017eu\u010dnih puteva i pankreasnog kanala uz predhodno davanje kontrasta.<\/p>\n

CT pregled je manje pouzdan od ultrazvu\u010dnog pregleda, jer u zavisnosti od sastava kamena, mo\u017ee biti “nevidljiv” za rentgenske zrake kojim se koristi skener.<\/p>\n

Na ultrazvu\u010dnom pregledu \u017eu\u010dne kese radiolog mo\u017ee da prona\u0111e i polipe \u017eu\u010dne kese, koji predstavljaju asimptomatska izbo\u010denja sluzoko\u017ee, koji mogu da budu pojedina\u010dni ili mnogobrojni, te se u i tom slu\u010daju preporu\u010duje konsultacija hirurga.<\/p>\n

Osim polipa mogu\u0107e je prona\u0107i i takozvanu holesterolozu, ili nakupinu kristala holestrola ili lipida.<\/p>\n

Veoma retko javljaju se i maligni tumori \u017eu\u010dne kese ili \u017eu\u010dnih vodova, koji po simptomima mogu da imitiraju kamen\u010di\u0107e u \u017eu\u010dnoj kesi. Kada se postavi sumnja postojanja tumora, neophodna je dalja dijagnostika.<\/p>\n

Sve gore navedene preglede mo\u017eete uraditi u Euromediku, na najsavremenijim aparatima uz visokostru\u010dni tim radiologa I drugih klini\u010dkih lekara (hirurzi, gastroenterolozi).<\/b><\/p>\n","protected":false},"excerpt":{"rendered":"

\u017du\u010dna kesa je mali organ u obliku kru\u0161ke, koja se naj\u010de\u0161\u0107e nalazi sa donje strane…<\/p>\n","protected":false},"author":1,"featured_media":6958,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[469],"tags":[465,466],"class_list":["post-6956","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ultrazvuk","tag-ultrazvuuk","tag-uz"],"yoast_head":"\nUltrasonografija \u017eu\u010dne kese - Dijagnostika i le\u010denje u Euromediku<\/title>\n<meta name=\"description\" content=\"\u017du\u010dna kesa je mali organ u obliku kru\u0161ke, koja se naj\u010de\u0161\u0107e nalazi sa donje strane jetre,\u00a0 koji slu\u017ei kao rezervoar \u017eu\u010di, materije koju proizvodi jetra...\" \/>\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\/dijagnostika\/ultrazvuk\/ultrasonografija-zucne-kese\/\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ultrasonografija \u017eu\u010dne kese - 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