{"id":40130,"date":"2017-02-13T10:30:09","date_gmt":"2017-02-13T10:30:09","guid":{"rendered":"http:\/\/humanitas.local\/cure\/endoskopska-intrarenalna-litotripsija\/"},"modified":"2017-02-13T10:30:09","modified_gmt":"2017-02-13T10:30:09","slug":"endoskopska-intrarenalna-litotripsija","status":"publish","type":"treatment","link":"https:\/\/www.humanitas.net\/sr\/treatments\/endoskopska-intrarenalna-litotripsija\/","title":{"rendered":"Endoskopska intrarenalna litotripsija"},"content":{"rendered":"<p><strong><u>Endoskopska intrarenalna litotripsija<\/u><\/strong><\/p>\n<p>Endoskopska intrarenalna litotripsija (&bdquo;retrogradna intrarenalna hirurgija&ldquo;, RIRS za engleske \u010ditaoce) je poslednja linija u le\u010denju bubre\u017enih kamenaca. Zahvaljujuc\u0301i progresivnom pobolj&scaron;anju endourolo&scaron;kih instrumenata sa napretkom digitalne tehnologije, fleksibilni endoskopi su razvijeni tako da su u stanju da ponude veliki kvalitet endoskopske vizije.<\/p>\n<p>&nbsp;<\/p>\n<p>Uz pomoc\u0301 ureterorenoskopijom, fleksibilna be&scaron;ika se posti\u017ee kroz uretra, u kojoj se nalazi u&scaron;c\u0301e uretera, &scaron;to vodi do bubrega. &Scaron;upljina bubrega se istra\u017euje da se identifikuje kalkuloza koja se pretvori u prah pomoc\u0301u Holmium lasera. Neki zaostali fragmenti mogu ostati; me\u0111utim, vec\u0301i fragmenti c\u0301e biti uklonjeni sa odgovarajuc\u0301im korpama, a manji bic\u0301e spontano izba\u010deni.<\/p>\n<p>&nbsp;<\/p>\n<p>Ovaj postupak ima nekoliko prednosti: odsustvo komplikacija kao &scaron;to su krvarenja vezane za perkutanom litotripsijom, odsustvo o\u017eiljaka I manje postoperativnog bola i zna\u010dajno smanjenje du\u017eine hospitalizacije, kao i brz oporavak i povratak normalnim aktivnostima. Nasuprot tome, za prora\u010dun dimenzija vec\u0301ih od 2 cm, ovaj metod obuhvata ni\u017ei procenat uspe&scaron;nog le\u010denja nego perkutana lithotripsija. Da biste dobili sli\u010dne rezultate kao perkutani tretman, u oko 30% slu\u010dajeva&nbsp; \u0107e najverovatnije morati da bude izvr&scaron;ena druga operacija.<\/p>\n<p>&nbsp;<\/p>\n<p>Te&scaron;koc\u0301e su smanjena vidljivosta vidnog operativnog polja zbog manjeg pre\u010dnika, sa fleksibilnim sredstvima, kao i potrebu da se slomi kalkuloza u veoma male fragmente koji su kompatibilni za spontano proterivanje (1-2mm), nametnute su stroge restrikcije za indikaciju RIRs kalkulacije veli\u010dine koja nije vec\u0301a od 4 cm. \u010cak i ovaj projekat obuhvata op&scaron;tu anesteziju i boravak u bolnici (u nekomplikovanim slu\u010dajevima, jedna no\u0107). U svim slu\u010dajevima potrebno je postaviti dvostruki J ureteralni stent (druga dikcija engleskog &quot;stent&quot;) nedelju dana da za&scaron;titi gornji trakt.<\/p>\n<p>&nbsp;<\/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>Endoskopska intrarenalna litotripsija - 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\/endoskopska-intrarenalna-litotripsija\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoskopska intrarenalna litotripsija - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Endoskopska intrarenalna litotripsija Endoskopska intrarenalna litotripsija (&bdquo;retrogradna intrarenalna hirurgija&ldquo;, RIRS za engleske \u010ditaoce) je poslednja linija u le\u010denju bubre\u017enih kamenaca. Zahvaljujuc\u0301i progresivnom pobolj&scaron;anju endourolo&scaron;kih instrumenata sa napretkom digitalne tehnologije, fleksibilni endoskopi su razvijeni tako da su u stanju da ponude veliki kvalitet endoskopske vizije. &nbsp; Uz pomoc\u0301 ureterorenoskopijom, fleksibilna be&scaron;ika se posti\u017ee kroz uretra, u [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.humanitas.net\/sr\/treatments\/endoskopska-intrarenalna-litotripsija\/\" \/>\n<meta property=\"og:site_name\" content=\"Humanitas.net\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HumanitasInternational\/\" \/>\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\/endoskopska-intrarenalna-litotripsija\/\",\"url\":\"https:\/\/www.humanitas.net\/sr\/treatments\/endoskopska-intrarenalna-litotripsija\/\",\"name\":\"Endoskopska intrarenalna litotripsija - Humanitas.net\",\"isPartOf\":{\"@id\":\"https:\/\/www.humanitas.net\/sr\/#website\"},\"datePublished\":\"2017-02-13T10:30:09+00:00\",\"dateModified\":\"2017-02-13T10:30:09+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.humanitas.net\/sr\/treatments\/endoskopska-intrarenalna-litotripsija\/#breadcrumb\"},\"inLanguage\":\"sr\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.humanitas.net\/sr\/treatments\/endoskopska-intrarenalna-litotripsija\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.humanitas.net\/sr\/treatments\/endoskopska-intrarenalna-litotripsija\/#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\":\"Endoskopska intrarenalna litotripsija\"}]},{\"@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":"Endoskopska intrarenalna litotripsija - 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\/endoskopska-intrarenalna-litotripsija\/","og_locale":"en_US","og_type":"article","og_title":"Endoskopska intrarenalna litotripsija - Humanitas.net","og_description":"Endoskopska intrarenalna litotripsija Endoskopska intrarenalna litotripsija (&bdquo;retrogradna intrarenalna hirurgija&ldquo;, RIRS za engleske \u010ditaoce) je poslednja linija u le\u010denju bubre\u017enih kamenaca. Zahvaljujuc\u0301i progresivnom pobolj&scaron;anju endourolo&scaron;kih instrumenata sa napretkom digitalne tehnologije, fleksibilni endoskopi su razvijeni tako da su u stanju da ponude veliki kvalitet endoskopske vizije. &nbsp; Uz pomoc\u0301 ureterorenoskopijom, fleksibilna be&scaron;ika se posti\u017ee kroz uretra, u [&hellip;]","og_url":"https:\/\/www.humanitas.net\/sr\/treatments\/endoskopska-intrarenalna-litotripsija\/","og_site_name":"Humanitas.net","article_publisher":"https:\/\/www.facebook.com\/HumanitasInternational\/","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\/endoskopska-intrarenalna-litotripsija\/","url":"https:\/\/www.humanitas.net\/sr\/treatments\/endoskopska-intrarenalna-litotripsija\/","name":"Endoskopska intrarenalna litotripsija - Humanitas.net","isPartOf":{"@id":"https:\/\/www.humanitas.net\/sr\/#website"},"datePublished":"2017-02-13T10:30:09+00:00","dateModified":"2017-02-13T10:30:09+00:00","breadcrumb":{"@id":"https:\/\/www.humanitas.net\/sr\/treatments\/endoskopska-intrarenalna-litotripsija\/#breadcrumb"},"inLanguage":"sr","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.humanitas.net\/sr\/treatments\/endoskopska-intrarenalna-litotripsija\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.humanitas.net\/sr\/treatments\/endoskopska-intrarenalna-litotripsija\/#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":"Endoskopska intrarenalna litotripsija"}]},{"@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\/40130"}],"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\/40130\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.humanitas.net\/sr\/wp-json\/wp\/v2\/media?parent=40130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}