{"id":5914,"date":"2016-09-07T08:00:03","date_gmt":"2016-09-07T06:00:03","guid":{"rendered":"http:\/\/kohom.hr\/mm\/?p=5914"},"modified":"2016-09-19T12:13:42","modified_gmt":"2016-09-19T10:13:42","slug":"kako-prepoznati-zvuk-idiopatske-plucne-fibroze-ipf","status":"publish","type":"post","link":"http:\/\/kohom.hr\/mm\/?p=5914","title":{"rendered":"Kako prepoznati zvuk Idiopatske plu\u0107ne fibroze (IPF)"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-5918\" src=\"http:\/\/kohom.hr\/mm\/wp-content\/uploads\/IPF_4.jpg\" alt=\"IPF_4\" width=\"948\" height=\"484\" \/><\/p>\n<p><strong>Kada zaduha nije uzrokovana zatajivanjem srca<\/strong><br \/>\n<strong>Mislite li na idiopatsku plu\u0107nu fibrozu (IPF), ne tako rijetku bolest starije dobi?<\/strong><\/p>\n<p><strong><img decoding=\"async\" class=\"alignright wp-image-5915\" src=\"http:\/\/kohom.hr\/mm\/wp-content\/uploads\/IPF_1-300x200.png\" alt=\"IPF_1\" width=\"213\" height=\"128\" \/>Tipi\u010dni simptomi idiopatske plu\u0107ne fibroze (IPF-a):<\/strong><\/p>\n<ul>\n<li>zaduha i neproduktivni ka\u0161alj u naporu<\/li>\n<li>auskultacijski nalaz: krepitacije obostrano bazalno<\/li>\n<li>bati\u010dasti prsti<\/li>\n<li>bolesnici stariji od 45 godina<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Kako auskultirati bolesnika sa sumnjom na IPF?<\/strong><br \/>\nAuskultacija plu\u0107a je metoda kojom se mo\u017ee postaviti sumnja na IPF.1<br \/>\nInspiratorne krepitacije bilateralno bazalno su klju\u010dne u ranoj dijagnostici bolesti.<br \/>\nKrepitacije su isprekidane, kratke, eksplozivne i podsje\u0107aju na razdvajanje tzv. \u010di\u010dak trake (Velcro traka). Krepitacije se predominantno \u010duju u donjim, posebice posteriornim (bazalnim) regijama.1<\/p>\n<p style=\"text-align: center;\"><a href=\"http:\/\/www.diagnoseipf.com\/home\/listen-to-IPF-lungs.html\" target=\"_blank\"><img decoding=\"async\" class=\"aligncenter size-full wp-image-5916\" src=\"http:\/\/kohom.hr\/mm\/wp-content\/uploads\/IPF_2.png\" alt=\"IPF_2\" width=\"423\" height=\"467\" \/><\/a><\/p>\n<p>Poslu\u0161ajte zvuk IPF-a\u00a0na poveznici:\u00a0<a href=\"http:\/\/www.diagnoseipf.com\/home\/listen-to-IPF-lungs.html\" target=\"_blank\">IPF zvuk plu\u0107a<\/a><\/p>\n<!--[if lt IE 9]><script>document.createElement('audio');<\/script><![endif]-->\n<audio class=\"wp-audio-shortcode\" id=\"audio-5914-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"http:\/\/kohom.hr\/mm\/wp-content\/uploads\/IPF-sound.mp3?_=1\" \/><a href=\"http:\/\/kohom.hr\/mm\/wp-content\/uploads\/IPF-sound.mp3\">http:\/\/kohom.hr\/mm\/wp-content\/uploads\/IPF-sound.mp3<\/a><\/audio>\n<p><strong>Bolesnika s krepitacijama potrebno je uputiti na testiranje plu\u0107ne funkcije.<\/strong><br \/>\nTipi\u010dni nalazi kod bolesnika s IPF-om su:<\/p>\n<ul>\n<li>Restriktivno o\u0161te\u0107enje: smanjeni volumen plu\u0107a (VC i TLC) i normalni ili pove\u0107ani omjer FEV1\/FVC<\/li>\n<li>Smanjena izmjena plinova: smanjen DLco<\/li>\n<\/ul>\n<p><strong>Radiolo\u0161ki nalaz<\/strong><br \/>\nKompjuterizirana tomografija visoke rezolucije (HRCT) je klju\u010dna pretraga u postavljanju dijagnoze IPF-a. Na konvencionalnom radiogramu obi\u010dno nisu vidljive morfolo\u0161ke promjene plu\u0107nog tkiva kao posljedica bolesti.1 Fibroza plu\u0107nog intersticija se na HRCT snimci manifestira kao retikularna zasjenjenja i prisustvo sa\u0107a.1<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-5917\" src=\"http:\/\/kohom.hr\/mm\/wp-content\/uploads\/IPF_3.png\" alt=\"IPF_3\" width=\"477\" height=\"417\" \/><\/p>\n<p style=\"text-align: center;\">HRCT slika plu\u0107a u IPF-u<\/p>\n<p>Referenca<br \/>\n1. Raghu G, et al. Am J Respir Crit Care Med 2011; 183:788\u2013824.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kada zaduha nije uzrokovana zatajivanjem srca Mislite li na idiopatsku plu\u0107nu fibrozu (IPF), ne tako rijetku bolest starije dobi? Tipi\u010dni simptomi idiopatske plu\u0107ne fibroze (IPF-a): zaduha i neproduktivni ka\u0161alj u naporu auskultacijski nalaz: krepitacije obostrano bazalno bati\u010dasti prsti bolesnici stariji od 45 godina &nbsp; Kako auskultirati bolesnika sa sumnjom na IPF? Auskultacija plu\u0107a je metoda &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[1,42,66],"tags":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p13bms-1xo","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"http:\/\/kohom.hr\/mm\/index.php?rest_route=\/wp\/v2\/posts\/5914"}],"collection":[{"href":"http:\/\/kohom.hr\/mm\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/kohom.hr\/mm\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/kohom.hr\/mm\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/kohom.hr\/mm\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5914"}],"version-history":[{"count":0,"href":"http:\/\/kohom.hr\/mm\/index.php?rest_route=\/wp\/v2\/posts\/5914\/revisions"}],"wp:attachment":[{"href":"http:\/\/kohom.hr\/mm\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5914"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/kohom.hr\/mm\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5914"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/kohom.hr\/mm\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5914"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}