{"id":62661,"date":"2020-06-09T08:32:35","date_gmt":"2020-06-09T08:32:35","guid":{"rendered":"https:\/\/www.humanitas.net\/?post_type=disease&#038;p=62661"},"modified":"2020-10-29T10:54:13","modified_gmt":"2020-10-29T10:54:13","slug":"sindrom-solitarnega-rektalnega-ulkusa","status":"publish","type":"disease","link":"https:\/\/www.humanitas.net\/sl\/diseases\/sindrom-solitarnega-rektalnega-ulkusa\/","title":{"rendered":"Sindrom solitarnega rektalnega ulkusa"},"content":{"rendered":"<h2>Opredelitev<\/h2>\n<p>Sindrom solitarnega rektuma je stanje, ki se pojavi, ko se v danki razvijejo sore (razjeda). Rektum je mi\u0161i\u010dna cev, ki je povezana s koncem debelega \u010drevesa, kamor gre blato skozi.<\/p>\n<p>Sindrom solitarnega rektalnega ulkusa je redka motnja, ki se pojavi pri posameznikih s kroni\u010dnim zaprtjem. Lahko predstavlja rektalno krvavitev, napenjanje \u010drevesja in ob\u010dutek nepopolnega prehoda blata. V nekaterih primerih se pri sindromu solitarnega rektalnega ulkusa lahko pojavi ve\u010d kot ena razjeda na danki.<\/p>\n<p>Mo\u017enosti zdravljenja sindroma samotnega rektalnega ulkusa obi\u010dajno vklju\u010dujejo spremembe \u017eivljenjskega sloga, zdravila in po potrebi kirur\u0161ke posege.<\/p>\n<p>&nbsp;<\/p>\n<h2>Simptomi<\/h2>\n<p>Pogosti znaki in simptomi sindroma solitarnega rektalnega ulkusa vklju\u010dujejo naslednje:<\/p>\n<ul>\n<li>Zaprtje<\/li>\n<li>Ob\u010dutek nepopolnega prehoda blata<\/li>\n<li>Bole\u010dine v medenici<\/li>\n<li>Sluzni izcedek iz rektuma<\/li>\n<li>Bole\u010dine v danki<\/li>\n<li>Rektralna krvavitev<\/li>\n<li>Analni kr\u010di sfinktra<\/li>\n<li>Napetost med gibanjem \u010drevesja<\/li>\n<\/ul>\n<p>V nekaterih primerih pri posameznikih s sindromom solitarne danke ni mogo\u010de opaziti nobenih simptomov.<\/p>\n<p>&nbsp;<\/p>\n<h2>Vzroki<\/h2>\n<p>Zdravniki tudi verjamejo, da lahko stres ali po\u0161kodba rektuma povzro\u010di nastanek \u010drevesnih razjed, \u010deprav natan\u010den vzrok ni vedno jasen.<\/p>\n<p>Primeri, ko bi se rektum lahko po\u0161kodoval, vklju\u010dujejo:<\/p>\n<ul>\n<li>Zaprtje<\/li>\n<li>Analni odnos<\/li>\n<li>Poskusi ro\u010dnega odstranjevanja trdih stol\u010dkov<\/li>\n<li>Intususcepcija: inverzija enega dela \u010drevesa znotraj drugega<\/li>\n<li>Sevalna terapija<\/li>\n<li>Napetost med gibanjem \u010drevesja<\/li>\n<li>Uporaba ergotaminskih supozitorijev<\/li>\n<li>Zategovanje mi\u0161ic medeni\u010dnega dna, ki lahko upo\u010dasni pretok krvi v rektum<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>Zapleti<\/h2>\n<p>Mo\u017eni zapleti, ki lahko nastanejo zaradi sindroma solitarnega rektalnega ulkusa, vklju\u010dujejo naslednje:<\/p>\n<ul>\n<li>Ekstremna rektalna krvavitev (krvavitev)<\/li>\n<li>Hudo nenormalno delovanje \u010drevesja<\/li>\n<li>Nastanek vneme<\/li>\n<li>Nastanek luknje skozi rektalno steno pod razjedo<\/li>\n<li>Oku\u017eba iz kirur\u0161kega posega<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Zdravljenje<\/h2>\n<p>Mo\u017enosti zdravljenja sindroma solitarnega rektalnega \u010drevesa so odvisne od resnosti stanja in tudi indivudalnih simptomov.<\/p>\n<p>Posamezniki z blagimi znaki in simptomi lahko olaj\u0161ajo:<\/p>\n<ul>\n<li>Izvajanje dolo\u010denih sprememb \u017eivljenjskega sloga z u\u017eivanjem bolj zdrave prehrane, ohranjanjem zdrave te\u017ee in rednimi vadbami.<\/li>\n<li>Jemanje nekaterih zdravil, kot so topi\u010dni steroidi, sulfasalazinske klistire in botulin toksin (Botox), da olaj\u0161ajo simptome \u010drevesne razjede.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Gremo na vedenjsko terapijo, da se nau\u010dimo sprostiti medeni\u010dne mi\u0161ice in prenehati naprezati med gibanjem \u010drevesja<\/p>\n<p>Biofeedback: Metoda, ki u\u010di nadzor nad dolo\u010denimi neprostovoljnimi telesnimi odzivi, na primer zategovanjem mi\u0161ic anusa ali medeni\u010dnega dna med defekacijo.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Posamezniki s te\u017ejimi znaki in simptomi lahko razmislijo o kirur\u0161kih posegih, kot so:<\/p>\n<p>Operacija rektalnega prolapsa: kirur\u0161ki poseg, ki vklju\u010duje popravilo prolapsa rektalne kosti z anatomskim popravljanjem polo\u017eaja s \u0161ivi.<\/p>\n<p>&nbsp;<\/p>\n<p>Protektomija: kirur\u0161ki poseg, ki vklju\u010duje odstranitev rektuma.<\/p>\n<p>&nbsp;<\/p>\n<p>Pri nekaterih osebah, ki se kirur\u0161ko zdravijo, bo morda potrebna za\u010dasna ali trajna odprtina, da se omogo\u010di prehod blata (kolostomija).<\/p>\n<p>Kolostomija: kirur\u0161ki poseg, pri katerem je debelo \u010drevo povezano z odprtino v trebu\u0161ni steni, na trebuh se nato pritrdi vre\u010da, odpadki pa se lahko naberejo in nadalje zapustijo telo.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"author":11,"featured_media":0,"template":"","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Sindrom solitarnega rektalnega ulkusa - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanitas.net\/sl\/diseases\/sindrom-solitarnega-rektalnega-ulkusa\/\" \/>\n<meta property=\"og:locale\" content=\"sl_SI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sindrom solitarnega rektalnega ulkusa - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Opredelitev Sindrom solitarnega rektuma je stanje, ki se pojavi, ko se v danki razvijejo sore (razjeda). 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Rektum je mi\u0161i\u010dna cev, ki je povezana s koncem debelega \u010drevesa, kamor gre blato skozi. Sindrom solitarnega rektalnega ulkusa je redka motnja, ki se pojavi pri posameznikih s kroni\u010dnim zaprtjem. 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