{"id":91,"date":"2017-01-10T13:09:36","date_gmt":"2017-01-10T12:09:36","guid":{"rendered":"http:\/\/www.mojidoktori.rs\/blog\/?p=91"},"modified":"2017-01-12T13:48:47","modified_gmt":"2017-01-12T12:48:47","slug":"kako-nastaje-srcani-udar","status":"publish","type":"post","link":"https:\/\/www.mojidoktori.rs\/blog\/kako-nastaje-srcani-udar\/","title":{"rendered":"Kako nastaje srcani udar"},"content":{"rendered":"
<\/div>\n
Kako nastaje srcani udar<\/a><\/div>\n
\n
\n

Za\u0161to se sr\u010dani udar dogodio ba\u0161 vama i to ba\u0161 tada? Na to pitanje je nemogu\u0107e odgovoriti i najbolje se ne optere\u0107ivati time. Ne, nije uzrok onaj masni obrok kojeg ste pojeli, nije uzrok samo va\u0161 povi\u0161en pritisak, \u010dak verovatno nije uzrok niti ona sva\u0111a s bra\u010dnim sudrugom. Kada sr\u010dani udar ve\u0107 nastupi, ni\u0161ta se unazad ne mo\u017ee promeniti, vreme je da se fokusiraju na budu\u0107nost.<\/span><\/p>\n

Vi\u0161e uzroka sr\u010danog udara<\/span>
\n Pol<\/span>
\n dob<\/span>
\n nasledna sklonost<\/span>
\n pu\u0161enje<\/span>
\n \u0161e\u0107erna bolest<\/span>
\n Povi\u0161eni krvni pritisak ili hipertenzija<\/span>
\n Debljina<\/span>
\n Povi\u0161ene masno\u0107e u krvi<\/span>
\n Smanjena fizi\u010dka aktivnost<\/span>
\n Vi\u0161e uzroka sr\u010danog udara<\/span><\/p>\n

Na neke rizi\u010dne faktore se ne mo\u017ee uticati (na primer pol ili uzrast), ali postoje i oni koji se mogu modifikovati.<\/span>
\n Uzroci ateroskleroze, angine pektoris i sr\u010danog udara su multifaktorijalne. To zna\u010di da se nikada ne mo\u017ee usmeriti prstom u samo jedan uzrok, ve\u0107 vi\u0161e razli\u010ditih stanja u manjoj ili ve\u0107oj meri doprinosi razvoju bolesti.<\/span><\/p>\n

Ta\u010dnije je re\u0107i da se radi o rizi\u010dnim faktorima. Kako je gore pomenuto, postoje faktori na koje se ne mo\u017ee uticati (npr. Pol ili uzrast), ali i oni koji se mogu modifikovati.<\/span><\/p>\n

Ono \u0161to svakako treba imati na umu je da isti rizici koji vode do prvog sr\u010danog udara, mogu dovesti i do drugog, ili do pojave bolesti krvnih sudova u drugim sistemima (mo\u017edanog udara, bolesti bubrega).<\/span><\/p>\n

Pol<\/span><\/p>\n

Mu\u0161karci su skloniji aterosklerozi i oboljevaju ranije u odnosu na \u017eene. Deo krivice nose polni hormoni koji kod \u017eena (primarno estrogeni) deluju za\u0161titno. Iz tog razloga se bolesti srca i krvnih sudova javljaju kod \u017eena nekoliko godina iza menopauze, au mu\u0161karaca bitno ranije. Uticaj imaju i ostali faktori koji su opisani u nastavku a koji su kod mu\u0161karaca \u010de\u0161\u0107e prisutni.<\/span><\/p>\n

dob<\/span><\/p>\n

Ve\u0107a dob nosi ve\u0107i rizik pojavnosti sr\u010danog udara. U adolescenciji i ranom odraslom dobu sr\u010dani udar se mo\u017ee javiti gotovo isklju\u010divo u sklopu drugih te\u017eih bolesti (npr. Naslednih bolesti s enormno visokim masno\u0107ama u krvi, \u0161e\u0107erne bolesti tip 1) ili eventualno u slu\u010daju prisustva i ja\u010de izra\u017eenosti vi\u0161e faktora rizika. U starijoj dobi (npr. Preko 80 godina starosti) sr\u010dani udar se mo\u017ee javiti iu osoba bez ijednog faktora rizika.<\/span><\/p>\n

nasledna sklonost<\/span><\/p>\n

Nasledna sklonost tj. Genetika je jaki faktor rizika za razvoj bolesti srca. Na \u017ealost, konkretno na ovaj faktor se ne mo\u017ee puno uticati. Ra\u010duna se da je porodi\u010dna sklonost prisutna ako se bolest javila kod oca pre 45 godine ili kod majke pre 55 godine \u017eivota. Ako su vam roditelji do\u017eiveli sr\u010dani udar u 92. i 88. godini \u017eivota – budite mirni, nemate porodi\u010dnu sklonost infarktu srca.<\/span><\/p>\n

pu\u0161enje<\/span><\/p>\n

Prestanak pu\u0161enja je najbolja mera koju mo\u017eete preduzeti po pitanju pobolj\u0161anja sopstvenog zdravlja i spre\u010davanja sr\u010danog udara.<\/span>
\n Pu\u0161enje je „najja\u010di“ je od rizi\u010dnih faktora na koji mo\u017eete uticati. Kutija cigareta dnevno pove\u0107ava rizik dva do tri puta. Prestanak pu\u0161enja je najbolja mera koju mo\u017eete preduzeti po pitanju pobolj\u0161anja sopstvenog zdravlja. Pasivno pu\u0161enje je tako\u0111e \u0161tetno i ne postoji „sigurna doza“, odnosno svako izlaganje dimu cigareta je \u0161tetno. Pasivno pu\u0161enje pove\u0107ava rizik razvoja bolesti srca i krvnih sudova za 25-30%.<\/span><\/p>\n

\u0161e\u0107erna bolest<\/span><\/p>\n

Povi\u0161en nivo glukoze (\u0161e\u0107era) u krvi na vi\u0161e na\u010dina \u0161tetno deluje na srce i krvne sudove. Tip 2 \u0161e\u0107erne bolesti predominantni je oblik u odraslom dobu. Ra\u010duna se da u vreme kad se \u0161e\u0107erna bolest manifestuje, dijagnostikuje i zapo\u010dne sa le\u010denjem (pa bilo to i samo preporukom o strogoj dijeti), bolest traje ve\u0107 gotovo jednu deceniju bez simptoma. Tada su promene na krvnim sudovima i srcu ve\u0107 prisutne pa je stroga kontrola i saradnja sa lekarom apsolutno nu\u017ena. To \u0161to koristite lekove „protiv“ \u0161e\u0107era ne zna\u010di da se slatke stvari mogu jesti bez posledica.<\/span><\/p>\n

Povi\u0161eni krvni pritisak ili hipertenzija<\/span><\/p>\n

Povi\u0161en krvni pritisak je naj\u010de\u0161\u0107i rizi\u010dni faktor me\u0111u bolesnicima sa sr\u010danim udarom.<\/span>
\n Povi\u0161eni krvni pritisak ili hipertenzija je jo\u0161 jedan od klasi\u010dnih faktora rizika. Osim uticaja na krvne sudove u srcu, povi\u0161en krvni pritisak mo\u017ee i direktno da o\u0161tete sr\u010dani mi\u0161i\u0107, a poguban je i za sudove u mozgu i bubrezima. Vrlo je \u010desta pojava, u bolesnika koji su ve\u0107 preboleli sr\u010dani udar u\u010destalost hipertenzije je preko 60%. Obi\u010dno se op\u0161tim merama (izbegavanje ve\u0107ih koli\u010dina alkohola, soli, regulacija telesne te\u017eine, fizi\u010dka aktivnost) ne uspe da postigne adekvatna kontrola krvnog pritiska, pa je primena lekova \u010desto neophodna. Pri tom treba imati na umu da se lekovi za regulaciju krvnog pritiska moraju uzimati stalno i bez preskakanja, a situacije u kojim se lekovi uzimaju „po potrebi“ su izuzetno retke. Tako\u0111e, treba naglasiti da ne postoji opasnost od „spajanja tlakova“, jedne od \u010de\u0161\u0107ih fobija bolesnika sa hipertenzijom. Opasno je samo ako se pritisci spoje na nuli.<\/span><\/p>\n

Debljina<\/span><\/p>\n

Malo ste „ja\u010di“, imate naslage za zimu, prijatno ste popunjeni? Imate dobru priliku da vas u na\u0161em dru\u0161tvu proglase „zdravim“. Iako „vi\u0161ak“ ponekad ima svoje prednosti, nisu svi oblici gojaznosti isti. Dana\u0161nje spoznaje govore da vi\u0161ak masnog tkiva unutar stomaka (tzv. Abdominalna, visceralne ili mu\u0161ka gojaznost) nosi zna\u010dajan rizik za razvoj \u0161e\u0107erne bolesti, povi\u0161enog krvnog pritiska i bolesti srca i krvnih sudova. Takve trbu\u0161ne naslage masti nisu inertne, uspavane, ve\u0107 su hormonski aktivne, u\u010destvuju u regulaciji vi\u0161e metaboli\u010dkih procesa i to nepovoljno. Stoga ako vam stomak visi preko pojasa, pokrenite se.<\/span><\/p>\n

Povi\u0161ene masno\u0107e u krvi<\/span><\/p>\n

Kod pacijenata koji su ve\u0107 preboleli sr\u010dani udar, \u010desto je nu\u017eno uzimanje lekova za spu\u0161tanje masno\u0107a u krvi.<\/span>
\n Masno\u0107e \u010dine ve\u0107inu sadr\u017eaja u unutra\u0161njosti lo\u0161ih naslaga na krvnim sudovima. Povi\u0161ene nivoe „lo\u0161ih“ masno\u0107a u krvi (engl. Lov densiti lipoprotein – LDL) povezane su sa ubrzanom aterosklerozom, no \u010dak i ako su vrednosti tih masno\u0107a u krvi uredne, mo\u017ee se razviti ateroskleroza (pod uticajem drugih faktora). Nivo masno\u0107a u krvi je delom zavisna o ishrani, mo\u017ee je modifikovati i telesna aktivnost, ali deo pacijenata ma \u0161to \u010dinio, na kakvoj god dijeti bio, ima i dalje povi\u0161en nivo LDL-a. U takvim slu\u010dajevima, zavisno o prisutnosti ostalih faktora rizika, mogu se propisati odre\u0111eni lekovi. Kod pacijenata koji su ve\u0107 preboleli sr\u010dani udar, ovi lekovi su gotovo uvek neophodni.<\/span><\/p>\n

Smanjena fizi\u010dka aktivnost<\/span><\/p>\n

Sjedila\u010dki na\u010din \u017eivota, kancelarijski posao, prevoz automobilom, odsustvo redovne fizi\u010dke aktivnosti uti\u010du direktno na kardiovaskularnu kondiciju i kapacitet te indirektno pove\u0107avaju\u0107i u\u010destalost ostalih faktora rizika. S druge strane, redovna fizi\u010dka aktivnost, a za korisne efekte na kardiovaskularni sistem se preporu\u010duje pola sata dnevno barem pet puta nedeljno, pozitivno deluje na vi\u0161e telesnih sistema. Osim mehani\u010dko-kondicionog principa, telesna aktivnost deluje povoljno i na psihi\u010dko zdravlje, podi\u017eu\u0107i raspolo\u017eenje, \u017eivotnu energiju i libido.<\/span><\/p>\n<\/div>\n

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 <\/p>\n","protected":false},"excerpt":{"rendered":"

Kako nastaje srcani udar Za\u0161to se sr\u010dani udar dogodio ba\u0161 vama i to ba\u0161 tada? Na to pitanje je nemogu\u0107e odgovoriti i najbolje se ne optere\u0107ivati time. 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Na to pitanje je nemogu\u0107e odgovoriti i najbolje se ne optere\u0107ivati time. 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