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Vijesti :: Svaki četvrti Hrvat pati od ‘nevidljive’ kronične bolesti, pitali smo liječnika kako prepoznati simptome

Autor: Redakcija 031 Naslov: Svaki četvrti Hrvat pati od ‘nevidljive’ kronične bolesti, pitali smo liječnika kako prepoznati simp
Postano: 13.11.2025. 20:15 (GMT 1) Ne postoji jedna tableta koja će smanjiti probavne tegobe i mogućnost razvoja probavnih bolesti, kaže nam odmah prof. dr. sc. Silvio Mihaljević, specijalist gastroenterologije iz Croatia poliklinike u Osijeku.

Kako navodi, stres, neredovita prehrana, hrana s puno masnoća i koncentriranih ugljikohidrata su sve redom faktori koji mogu dovesti do prolaznih probavnih tegoba, a, ako su pacijenti duže vremena izloženi nepravilnom stilu prehrane, mogu dovesti i do razvoja ozbiljnih bolesti, kao što su GERB, ulkusna bolest želuca i dvanaesnika, NASH, upalne bolesti crijeva, i slično.

Učestalost ovih problema pritom je sve veća. Primjerice, više od pola milijuna ljudi u Ujedinjenom Kraljevstvu ima upalnu bolest crijeva, od kojih su dva glavna oblika Crohnova bolest i ulcerozni kolitis. One nastaju kada imunološki sustav napadne crijeva, uzrokujući niz iscrpljujućih simptoma od bolova u trbuhu i gubitka težine do proljeva i krvi u stolici.

Vrlo često se gore navedene bolesti razvijaju tijekom dužeg vremenskog razdoblja s vrlo nespecifičnim tegobama u samom početku bolesti. Upravo je zato izuzetno važno obratiti pažnju na preventivne preglede, kaže prof. dr. sc. Mihaljević, jer postavljanje dijagnoze u ranoj fazi bolesti značajno doprinosi kraćem trajanju liječenja, manjom mogućnošću za razvojem brojnih komplikacija, a samim time i boljom kvalitetom života i puno kraćim izostankom s posla.

Uzmimo za primjer samo nealkoholnu bolest masne jetre, jednu od najčešćih uzroka kronične bolesti jetre te najbrže rastuće bolesti probavnog sustava. Prema posljednjim podacima, svaki četvrti građanin Hrvatske ima nealkoholnu masnu jetru kao posljedicu nezdrave prehrane, konzumacije alkohola i nekretanja. Prof. dr. sc. Mihaljević navodi stoga da je iznimno bitna redovita kontrola laboratorijskih nalaza koji ukazuju na funkciju jetre jer kronične bolesti nemaju značajnije probavne tegobe, nego samo blage i nespecifične smetnje kao brzo umaranje i opća slabost.

Te nespecifične simptome pacijenti ignoriraju tako da se vrlo često brojne kronične bolesti jetre pronađu u poodmakloj fazi kada je liječenje manje uspješno. Zbog svega navedenog redovite kontrole jetrenih nalaza su najbitnije u ranom otkrivanju kroničnih bolesti jetre”, kaže specijalist gastroenterologije.

Kako bi potaknula građane na preventivnu brigu o zdravlju, Croatia Poliklinika u Osijeku do kraja studenog omogućuje 20 posto popusta na endoskopske zahvate - gastroskopiju bez i s anestezijom i kolonoskopiju bez ili s anestezijom. Naime, osobe koje u anamnezi imaju rak nekog od organa probavnog sustava trebali bi u ranijoj životnoj dobi obavljati preventivne preglede svake dvije godine, a osobe starije životne dobi jednom godišnje. Brojni ljudi pritom odgađaju ranije spomenute endoskopske zahvate zbog neugodnosti ili straha, zbog čega prof. dr. sc. Mihaljević ističe da je važno pacijentima objasniti važnost obje pretrage jer se promjene koje se nađu tim pretragama vrlo često ne mogu dokazati nikakvim drugim laboratorijskim i radiološkim pretragama.

Kada im se objasni važnost navedenih pregleda te mogućnost dokumentiranja određenih promjena puno lakše će se odlučiti za navedene preglede. Prije gastroskopije možemo lokalno dati anestetik koji će u znatnoj mjeri umanjiti neugodnost samog pregleda, a prije kolonoskopije savjetujem uzimanje pola sata prije pregleda spazmolitika kako bi usporili peristaltiku crijeva i na taj način umanjili tegobe. Za one najzahtjevnije i najkompliciranije, oba pregleda možemo raditi u općoj anesteziji”, navodi prof. dr. sc. Mihaljević.


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