{"id":37855,"date":"2017-02-13T11:33:48","date_gmt":"2017-02-13T11:33:48","guid":{"rendered":"http:\/\/humanitas.local\/cure\/defibrilatorna-hirurgija\/"},"modified":"2017-11-03T16:12:55","modified_gmt":"2017-11-03T16:12:55","slug":"defibrilatorna-hirurgija","status":"publish","type":"treatment","link":"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/","title":{"rendered":"Defibrilatorna hirurgija"},"content":{"rendered":"<h1>Defibrilatorna hirurgija<\/h1>\n<p>&nbsp;<\/p>\n<p>Defibrilacija podrazumeva aplikovanje\u00a0 elektri\u010dne energije u terapeutskim dozama\u00a0 kod naru\u0161ene sr\u010dane aktivnosti, putem ure\u0111aja koji se zove defibrilator. Implantabilni kardioverter \u2013 defibrillator (ICD) jeste manji ure\u0111aj implantiran u grudni ko\u0161 sa ciljem redukcije rizika od sr\u010danog zastoja u slu\u010daju da sr\u010dane komore ispolje ozbiljan poreme\u0107aj ritma i prestanu sa radom.\u00a0 Indikovan je kod pacijenata sa:<\/p>\n<p>Ventrikularnom\u00a0 fibrilacijom: poreme\u0107aj sr\u010danog ritma koji ugro\u017eava \u017eivotno stanje pacijenta, ventrikule se rapidno kontrahuju, haoti\u010dnim ritmom uz gubitak sposobnosti pumpanja krvi u druge delove tela<\/p>\n<p>Ventrikularna tahikardija: ozbiljno stanje pri kom\u00a0 komore izazivaju ubrzan sr\u010dani rad<\/p>\n<p>Sr\u010dana insuficijencija: hroni\u010dni poreme\u0107aj sa nesposobno\u0161\u0107u srca da pumpa efikasno krv shodno metaboli\u010dkim potrebama organizma<\/p>\n<p>Porodi\u010dna istorija iznendanog sr\u010danog zastoja<\/p>\n<p>Implantabilni kardioverteri- defibrilatori funkcioni\u0161u po principu identifikacije i zaustavljanja patolo\u0161kih sr\u010danih udara (aritmija). Implantabilni kardioverter- defibrillator\u00a0 kontinuirano nadzire sr\u010dane otkucaje i omogu\u0107ava ekstra kontrakcije (sistole) ili elektri\u010dne \u0161okove u cilju normalizacije sr\u010danog rada kada je to neophodno.<\/p>\n<p>Pre upotrebe defibrilacione hirurgije, neophodno je da pacijent preduzme slede\u0107e korake:<\/p>\n<ul>\n<li>Informisanje lekara o trenutnoj medikamentoznoj terapiji<\/li>\n<li>Informisanje lekara o postojanju prehlade, gripa, groznice, aktivacije herpesa ili postojanja drugih oboljenaj<\/li>\n<li>Detaljno pranje tela specijalnim sapunom od regije vrata ka nadole<\/li>\n<li>Izbegavanje konzumacije ili jela 12 \u010dasova pre operativne procedure<\/li>\n<li>Medikamentozna terapije rpepisana od strane lekara<\/li>\n<li>Organizovanje prevoza do i od bolni\u010dke ustanove<\/li>\n<li>Organizovanje ku\u0107ne nege tokom perioda oporavka<\/li>\n<\/ul>\n<p>Tokom defibrilacione hirurgije, operator \u00a0obi\u010dno insertuje ICD dok je pacijent jo\u0161 u budnom stanju; ali regija grudnog ko\u0161a ispod klju\u010dne kosti (klavikule) prethodno je anestezirana, pa je bol odsutan. Operator na\u010dini inciziju na ko\u017ei uz kreiranje slobodnog prostora ispod ko\u017ee i mi\u0161i\u0107a za ICD generator (u blizini levog ramena). Pomo\u0107u specijalnih x-zraka vizualizuje se predeo grudnog prostora, te hirurg plasira electrode u venu, potom u sr\u010dani prostor.\u00a0 Potom se elektrode pove\u017eu sa pulsnim generatorom i pejsmejkerom. Hirur\u0161ka procedura traje sveukupno izme\u0111u 2-3 sata.<\/p>\n<p>Kao i pri ostalim hirur\u0161kim procedurama, mogu\u0107i rizici usled implantacije pejsmejkera uklju\u010duju:<\/p>\n<ul>\n<li>Infekciju na mestu implantacije<\/li>\n<li>Otok ili nastanak hematoma u regiji implantacije<\/li>\n<li>Krvarenje na mestu implanta ili u sr\u010danoj regiji, koje mo\u017ee biti \u017eivotno ugro\u017eavaju\u0107e<\/li>\n<li>O\u0161te\u0107enje vena u regiji plasiranog ICD<\/li>\n<li>Alergijske reakcije na primenjenu medikamentoznu terapiju<\/li>\n<li>Povreda srca ili plu\u0107a<\/li>\n<li>Ozbiljne sr\u010dane aritmije<\/li>\n<\/ul>\n<p>Postoperativno, ve\u0107ini pacijenata dozvoljen je otpust ve\u0107\u00a0 narednog dana. Preporu\u010deno je da\u00a0 se pacijent uzdr\u017ei od te\u017eih fizi\u010dkih aktivnosti kao \u0161to su kontaktni sportovi, intenzivne fizi\u010dke ve\u017ebe, ili dizanje te\u017eih objekata u prve 4 nedelje nakon operativnog zahvata. Potpun oporavak u principu traje oko 4 do 6 nedelja. Kontrolni pregledi su neophodni u cilju monitoringa sr\u010dane aktivnosti i osiguravanja pravilnog funkcionisanja ICD-a (provera sr\u010danih otkucaja, procena ukupnih \u0161okova i ispravnosti baterije).<\/p>\n","protected":false},"author":9,"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>Defibrilatorna hirurgija - 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\/sr\/treatments\/defibrilatorna-hirurgija\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Defibrilatorna hirurgija - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Defibrilatorna hirurgija &nbsp; Defibrilacija podrazumeva aplikovanje\u00a0 elektri\u010dne energije u terapeutskim dozama\u00a0 kod naru\u0161ene sr\u010dane aktivnosti, putem ure\u0111aja koji se zove defibrilator. Implantabilni kardioverter \u2013 defibrillator (ICD) jeste manji ure\u0111aj implantiran u grudni ko\u0161 sa ciljem redukcije rizika od sr\u010danog zastoja u slu\u010daju da sr\u010dane komore ispolje ozbiljan poreme\u0107aj ritma i prestanu sa radom.\u00a0 Indikovan je [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/\" \/>\n<meta property=\"og:site_name\" content=\"Humanitas.net\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HumanitasInternational\/\" \/>\n<meta property=\"article:modified_time\" content=\"2017-11-03T16:12:55+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary\" \/>\n<meta name=\"twitter:site\" content=\"@humanitasmilano\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/\",\"url\":\"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/\",\"name\":\"Defibrilatorna hirurgija - Humanitas.net\",\"isPartOf\":{\"@id\":\"https:\/\/www.humanitas.net\/sr\/#website\"},\"datePublished\":\"2017-02-13T11:33:48+00:00\",\"dateModified\":\"2017-11-03T16:12:55+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/#breadcrumb\"},\"inLanguage\":\"sr\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.humanitas.net\/sr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Treatments\",\"item\":\"https:\/\/www.humanitas.net\/ro\/treatments\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Defibrilatorna hirurgija\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.humanitas.net\/sr\/#website\",\"url\":\"https:\/\/www.humanitas.net\/sr\/\",\"name\":\"Humanitas.net\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/www.humanitas.net\/sr\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.humanitas.net\/sr\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"sr\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.humanitas.net\/sr\/#organization\",\"name\":\"Humanitas\",\"url\":\"https:\/\/www.humanitas.net\/sr\/\",\"sameAs\":[\"https:\/\/www.facebook.com\/HumanitasInternational\/\",\"https:\/\/twitter.com\/humanitasmilano\"],\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sr\",\"@id\":\"https:\/\/www.humanitas.net\/sr\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.humanitas.net\/content\/uploads\/2017\/05\/logo-news-.png\",\"contentUrl\":\"https:\/\/www.humanitas.net\/content\/uploads\/2017\/05\/logo-news-.png\",\"width\":314,\"height\":61,\"caption\":\"Humanitas\"},\"image\":{\"@id\":\"https:\/\/www.humanitas.net\/sr\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Defibrilatorna hirurgija - Humanitas.net","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/","og_locale":"en_US","og_type":"article","og_title":"Defibrilatorna hirurgija - Humanitas.net","og_description":"Defibrilatorna hirurgija &nbsp; Defibrilacija podrazumeva aplikovanje\u00a0 elektri\u010dne energije u terapeutskim dozama\u00a0 kod naru\u0161ene sr\u010dane aktivnosti, putem ure\u0111aja koji se zove defibrilator. Implantabilni kardioverter \u2013 defibrillator (ICD) jeste manji ure\u0111aj implantiran u grudni ko\u0161 sa ciljem redukcije rizika od sr\u010danog zastoja u slu\u010daju da sr\u010dane komore ispolje ozbiljan poreme\u0107aj ritma i prestanu sa radom.\u00a0 Indikovan je [&hellip;]","og_url":"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/","og_site_name":"Humanitas.net","article_publisher":"https:\/\/www.facebook.com\/HumanitasInternational\/","article_modified_time":"2017-11-03T16:12:55+00:00","twitter_card":"summary","twitter_site":"@humanitasmilano","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/","url":"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/","name":"Defibrilatorna hirurgija - Humanitas.net","isPartOf":{"@id":"https:\/\/www.humanitas.net\/sr\/#website"},"datePublished":"2017-02-13T11:33:48+00:00","dateModified":"2017-11-03T16:12:55+00:00","breadcrumb":{"@id":"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/#breadcrumb"},"inLanguage":"sr","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.humanitas.net\/sr\/treatments\/defibrilatorna-hirurgija\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.humanitas.net\/sr\/"},{"@type":"ListItem","position":2,"name":"Treatments","item":"https:\/\/www.humanitas.net\/ro\/treatments\/"},{"@type":"ListItem","position":3,"name":"Defibrilatorna hirurgija"}]},{"@type":"WebSite","@id":"https:\/\/www.humanitas.net\/sr\/#website","url":"https:\/\/www.humanitas.net\/sr\/","name":"Humanitas.net","description":"","publisher":{"@id":"https:\/\/www.humanitas.net\/sr\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.humanitas.net\/sr\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"sr"},{"@type":"Organization","@id":"https:\/\/www.humanitas.net\/sr\/#organization","name":"Humanitas","url":"https:\/\/www.humanitas.net\/sr\/","sameAs":["https:\/\/www.facebook.com\/HumanitasInternational\/","https:\/\/twitter.com\/humanitasmilano"],"logo":{"@type":"ImageObject","inLanguage":"sr","@id":"https:\/\/www.humanitas.net\/sr\/#\/schema\/logo\/image\/","url":"https:\/\/www.humanitas.net\/content\/uploads\/2017\/05\/logo-news-.png","contentUrl":"https:\/\/www.humanitas.net\/content\/uploads\/2017\/05\/logo-news-.png","width":314,"height":61,"caption":"Humanitas"},"image":{"@id":"https:\/\/www.humanitas.net\/sr\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/treatment\/37855"}],"collection":[{"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/treatment"}],"about":[{"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/types\/treatment"}],"author":[{"embeddable":true,"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/users\/9"}],"version-history":[{"count":0,"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/treatment\/37855\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/media?parent=37855"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}