{"id":7028,"date":"2020-09-29T12:15:44","date_gmt":"2020-09-29T11:15:44","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/rtg-pregled-ramena-copy\/"},"modified":"2020-10-07T10:38:13","modified_gmt":"2020-10-07T09:38:13","slug":"gonartroza-rendgen-i-ultrazvucna-dijagnostika","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/dijagnostika\/ultrazvuk\/gonartroza-rendgen-i-ultrazvucna-dijagnostika\/","title":{"rendered":"Gonartroza – rendgen i ultrazvu\u010dna dijagnostika"},"content":{"rendered":"

Gonartroza (osteoartritis kolena) je \u010desto, hroni\u010dno degenerativno oboljenje zgloba kolena. Razvija se postepeno i podmuklo od srednjeg \u017eivotnog doba i kroz tegobe se naj\u010de\u0161\u0107e ispolji tek u kasnijim godinama. U osnovi ovog oboljenja je progresivno o\u0161te\u0107enje zglobne hrskavice. Uloga zglobne hrskavice je da amortizuje pokrete u zglobu i omogu\u0107i nesmetano obavljanje pokreta. Kako napreduje propadanje hrskavice javljaju se promene i na drugim strukturama u sastavu zgloba, kostima, zglobnoj kapsuli, tetivama, ligamentima, meniskusima.<\/p>\n

Uzroci o\u0161te\u0107enja hrskavice<\/b><\/p>\n

– Primarni: uro\u0111ena predispozicija<\/p>\n

– Sekundarni: trauma zgloba, upala zgloba, gojaznost, starenje tkiva,\u00a0 poreme\u0107aj hormonske ravnote\u017ee<\/p>\n

Simptomi:<\/b><\/p>\n

– bol u kolenu: u po\u010detku se javlja pri ustajanju i zapo\u010dinjanju pokreta, a kasnije po\u010dinje da se javlja posle du\u017eeg stajanja, pri hodanju, sila\u017eenju niz stepenice<\/p>\n

– uko\u010denost zgloba kolena<\/p>\n

– zvuk \u201epucketanja\u201c<\/p>\n

– klecanje kolena, nestabilnost<\/p>\n

– ograni\u010deni pokreti<\/p>\n

– otok kolena<\/p>\n

– deformacija kolena<\/p>\n

Dijagnostika<\/b><\/p>\n

Rendgensko snimanje zgloba kolena<\/a>:<\/b>\u00a0 Standardno se vr\u0161i u dve projekcije. Primljena doza zra\u010denja je minimalna i zanemarljiva. Promene koje se mogu videti na rendgenskom snimku javljaju se u poodmakloj fazi bolesti, tako da ova metoda snimanja ne poma\u017ee u ranom otkrivanju bolesti. Na rendgenskom snimku se prikazuju promene na ko\u0161tanim strukturama (subhondralna skleroza, ivi\u010dna osteofitoza, pseudociste, ankiloza) i eventualna pojava kalcifikacija van ko\u0161tanih struktura (osifikacija metive mi\u0161i\u0107a kvadricepsa, ligamenta patele,…). Indirektno se procenjuje stanje zglobne hrskavice na osnovu \u0161irine zglobnog prostora.<\/p>\n

Ultrazvuk zgloba kolena:<\/b> Pogodan je za prikazivanje promena i u ranoj fazi bolesti.Ovim pegledom se prikazuju promene na zglobnoj hrskavici (da li je istanjena, izmenjene strukture), promene na mekotkivnim strukturama u sastavu zgloba (zglobna kapsula, tetive, ligamenti, menskusi), prisustvo zglobnog izliva (mo\u017ee da se meri njegova koli\u010dina i da li je potrebna punkcija), prisustvo Bejkerove ciste koja je \u010desto prisutna kod gonartroze (mo\u017ee da se izmeri koli\u010dina te\u010dnosti, eventualno prisustvo njene rupture tj. \u201epucanje\u201c koje mo\u017ee biti pra\u0107eno veoma jakim bolovima u zatkolenoj jami sa \u0161irenjem u potkolenicu), prikaz povr\u0161ine ko\u0161tanih struktura (da li su neo\u0161tre, zadebljane, prisustvo osteofita), prisustvo slobodnih zglobnih tela u zglobnoj \u0161upljini (osteofiti, ostaci hrskavice ili delovi zadebljane zglobne kapsule).<\/p>\n

MR zgloba kolena:<\/b> Najpreciznija metoda za prikaz svih struktura zgloba i patolo\u0161kih promena u njima. Ako postoje bilo kakve nejasno\u0107e pri rendgenskom i ultrazvu\u010dnom pregledu, radiolog preporu\u010duje MR pregled, naro\u010dito ako postoji sumnja na prisustvo promena na meniskusima i ukr\u0161tenim ligamentima koji ne mogu u celosti biti prikazani pri ultrazvu\u010dnom pregledu.<\/p>\n

Sve navedene dijagnosti\u010dke metode mogu se izvr\u0161iti u EUROMEDIKU na najsavremenijim aparatima i od strane eminentnih stru\u010dnjaka, i tako\u0111e se mo\u017ee izvr\u0161iti potrebna terapija koju odre\u0111uje nadle\u017eni lekar (ortoped, fizijatar, reumatolog) a\u00a0 koja mo\u017ee biti konzervativna (medikamentozna, fizikalna) i invazivna (artroskopija, ugradnja ve\u0161ta\u010dkog kolena).<\/p>\n","protected":false},"excerpt":{"rendered":"

Gonartroza (osteoartritis kolena) je \u010desto, hroni\u010dno degenerativno oboljenje zgloba kolena. Razvija se postepeno i podmuklo…<\/p>\n","protected":false},"author":1,"featured_media":7030,"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-7028","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ultrazvuk","tag-ultrazvuuk","tag-uz"],"yoast_head":"\nGonartroza-rendgen - Dijagnostika i le\u010denje u Euromediku<\/title>\n<meta name=\"description\" content=\"Gonartroza (osteoartritis kolena) je \u010desto, hroni\u010dno degenerativno oboljenje zgloba kolena. 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