{"id":178837,"date":"2026-08-20T12:44:57","date_gmt":"2026-08-20T12:44:57","guid":{"rendered":"https:\/\/skockajtebudzet.rs\/?p=178837"},"modified":"2026-08-25T08:58:26","modified_gmt":"2026-08-25T08:58:26","slug":"najcesce-zablude-o-hemoroidima-i-njihovom-lecenju","status":"publish","type":"post","link":"https:\/\/skockajtebudzet.rs\/?p=178837","title":{"rendered":"Naj\u010de\u0161\u0107e zablude o hemoroidima i njihovom le\u010denju"},"content":{"rendered":"\n
\"hemoroidi\"<\/figure>\n\n\n\n

Hemoroidi predstavljaju \u010dest zdravstveni problem, ali su i dalje pra\u0107eni brojnim zabludama. Neprijatnost, stid ili uverenje da \u0107e tegobe spontano pro\u0107i \u010desto dovode do odlaganja pregleda. Istovremeno, simptomi se neretko pripisuju isklju\u010divo hemoroidima, iako bol, svrab i krvarenje mogu pratiti i druga oboljenja zavr\u0161nog dela debelog creva i analne regije.<\/p>\n\n\n\n\n\n\n\n

Na\u010din le\u010denja zavisi od vrste hemoroida, stepena bolesti, intenziteta simptoma i njihovog uticaja na svakodnevni \u017eivot. Bla\u017ee tegobe mogu se povu\u0107i nakon promene ishrane i navika pra\u017enjenja, dok izra\u017eeniji prolaps, u\u010destalo krvarenje ili ponavljanje simptoma mogu zahtevati medicinsku proceduru. Ta\u010dna dijagnoza zato predstavlja osnovu za izbor terapije i spre\u010davanje nepotrebnog ili neodgovaraju\u0107eg le\u010denja.<\/p>\n\n\n\n

Da li hemoroidi mogu nestati bez terapije?<\/h2>\n\n\n\n

Blagi simptomi hemoroida mogu se smanjiti ili privremeno nestati bez medicinske procedure. To se naro\u010dito odnosi na tegobe izazvane zatvorom, napinjanjem ili kratkotrajnim pove\u0107anjem pritiska u krvnim sudovima analne regije. Mek\u0161a i redovna stolica, dovoljan unos vlakana i te\u010dnosti, kra\u0107e zadr\u017eavanje na toaletu i izbegavanje sna\u017enog napinjanja mogu doprineti smanjenju otoka, svraba i nelagodnosti. Kod manjih spolja\u0161njih hemoroida povla\u010denje otoka mo\u017ee stvoriti utisak da je problem potpuno nestao, iako ponekad ostaje ko\u017eni nabor.<\/p>\n\n\n\n

Povla\u010denje simptoma ne zna\u010di uvek da je uklonjen njihov osnovni uzrok. Pro\u0161ireno hemoroidalno tkivo mo\u017ee ostati prisutno i ponovo izazvati tegobe kada se vrate zatvor, napinjanje, dugotrajno sedenje ili drugi faktori koji pove\u0107avaju pritisak u tom podru\u010dju. Kreme, masti i \u010depi\u0107i mogu privremeno ubla\u017eiti bol, svrab i otok, ali ne re\u0161avaju uvek izra\u017eenije unutra\u0161nje hemoroide, naro\u010dito kada dolazi do njihovog ispadanja ili ponovljenog krvarenja.<\/p>\n\n\n\n

Izra\u017eeniji hemoroidi uglavnom ne nestaju trajno samo promenom navika. Kada su prisutni u\u010destalo krvarenje, ispadanje \u010dvorova, jak bol ili ponavljanje simptoma, mogu biti potrebne ambulantne procedure ili hirur\u0161ko le\u010denje. Izbor metode zavisi od nalaza, pa terapija mo\u017ee obuhvatiti podvezivanje gumicom, prekid dotoka krvi u hemoroidalne arterije ili drugu odgovaraju\u0107u proceduru. \u010cak i nakon uspe\u0161nog le\u010denja, odr\u017eavanje redovne i mek\u0161e stolice ostaje va\u017eno, jer nijedna metoda ne mo\u017ee potpuno isklju\u010diti ponovno javljanje tegoba.<\/p>\n\n\n\n

Posebno je va\u017eno da se rektalno krvarenje ne smatra automatski posledicom hemoroida. Sli\u010dan simptom mo\u017ee pratiti analnu fisuru, zapaljenske bolesti creva, polipe i druga oboljenja. Pregled je zato potreban kada krvarenje traje, ponavlja se, postaje obilnije ili je pra\u0107eno promenama u pra\u017enjenju, bolom u stomaku, slabo\u0161\u0107u ili neplaniranim gubitkom telesne mase. Stru\u010dna procena omogu\u0107ava da se potvrdi uzrok simptoma i izabere terapija koja odgovara stvarnom stepenu bolesti.<\/p>\n\n\n\n

Za\u0161to dugo sedenje nije jedini uzrok problema?<\/h2>\n\n\n\n

Dugo sedenje se \u010desto navodi kao glavni uzrok hemoroida, ali njihov nastanak obi\u010dno predstavlja posledicu delovanja vi\u0161e faktora. Posebno je nepovoljno dugo zadr\u017eavanje na toaletu, jer produ\u017eeni pritisak u analnoj regiji i napinjanje mogu doprineti uve\u0107anju hemoroidalnog tkiva. Ipak, svakodnevno sedenje na poslu nije jedino obja\u0161njenje. Hroni\u010dni zatvor<\/a>, u\u010destala dijareja, ishrana siroma\u0161na vlaknima, trudno\u0107a, starenje, gojaznost i redovno podizanje te\u0161kih predmeta tako\u0111e mogu pove\u0107ati pritisak u donjem delu rektuma i doprineti pojavi tegoba.<\/p>\n\n\n\n

Va\u017enu ulogu imaju i navike tokom pra\u017enjenja creva. Tvrda stolica i sna\u017eno napinjanje dodatno optere\u0107uju krvne sudove i potporna tkiva analnog kanala. Sa druge strane, dugotrajna dijareja mo\u017ee izazvati u\u010destalu iritaciju tog podru\u010dja. Zbog toga problem nije mogu\u0107e re\u0161avati samo \u010de\u0161\u0107im ustajanjem sa stolice. Potrebno je istovremeno obezbediti redovno i lak\u0161e pra\u017enjenje, dovoljan unos te\u010dnosti i vlakana, umerenu fizi\u010dku aktivnost i kra\u0107e zadr\u017eavanje na toaletu.<\/p>\n\n\n\n

Smanjena fizi\u010dka aktivnost mo\u017ee posredno doprineti tegobama jer pove\u0107ava mogu\u0107nost nastanka zatvora i porasta telesne mase. Ipak, pojava hemoroida ne zna\u010di nu\u017eno da je jedan odre\u0111eni uzrok odgovoran za bolest. Kod ve\u0107ine pacijenata prisutna je kombinacija nasledne sklonosti, slabljenja potpornog tkiva, na\u010dina ishrane, navika pra\u017enjenja i pove\u0107anog pritiska u trbu\u0161noj duplji. Prepoznavanje svih faktora va\u017eno je kako bi se smanjila u\u010destalost simptoma i rizik od njihovog ponavljanja nakon terapije.<\/p>\n\n\n\n

Da li THD metoda uvek mo\u017ee zameniti klasi\u010dnu operaciju?<\/h2>\n\n\n\n

THD metoda<\/a> predstavlja minimalno invazivan postupak tokom kojeg se uz pomo\u0107 doplera pronalaze arterije koje dovode krv do uve\u0107anih unutra\u0161njih hemoroida. Njihovim podvezivanjem smanjuje se dotok krvi, a kod prisutnog ispadanja tkiva mo\u017ee se uraditi i njegovo podizanje i fiksiranje. Po\u0161to se postupak obavlja u podru\u010dju sa manjom osetljivo\u0161\u0107u na bol i bez klasi\u010dnog uklanjanja ve\u0107ih delova tkiva, oporavak mo\u017ee biti lak\u0161i nego nakon ekscizione hemoroidektomije. THD se mo\u017ee razmatrati kod odre\u0111enih pacijenata sa simptomatskim unutra\u0161njim hemoroidima.<\/p>\n\n\n\n

Ipak, THD metoda ne mo\u017ee u svakoj situaciji da zameni klasi\u010dnu operaciju. Izbor zavisi od stepena bolesti, veli\u010dine i polo\u017eaja hemoroida, prisustva spolja\u0161nje komponente, izra\u017eenosti prolapsa i prethodnih terapija. Kod velikih spolja\u0161njih hemoroida, kombinovanih unutra\u0161njih i spolja\u0161njih promena ili uznapredovale bolesti klasi\u010dna eksciziona operacija mo\u017ee pru\u017eiti potpunije uklanjanje promenjenog tkiva. Sa druge strane, kod unutra\u0161njih hemoroida bez velike spolja\u0161nje komponente THD mo\u017ee predstavljati odgovaraju\u0107u alternativu.<\/p>\n\n\n\n

Prednost manje invazivnog zahvata mora se proceniti zajedno sa mogu\u0107no\u0161\u0107u ponovnog javljanja simptoma. Savremene smernice navode doplerom vo\u0111eno podvezivanje hemoroidalnih arterija kao jednu od hirur\u0161kih opcija, ali ga ne izdvajaju kao univerzalno re\u0161enje za sve oblike bolesti. Zbog toga se odluka donosi nakon proktolo\u0161kog pregleda, odre\u0111ivanja stepena hemoroida i razgovora o o\u010dekivanim rezultatima, toku oporavka i riziku od recidiva.<\/p>\n\n\n\n

Zbog \u010dega samostalno le\u010denje \u010desto odla\u017ee re\u0161avanje problema?<\/h2>\n\n\n\n

Samostalno le\u010denje<\/a> naj\u010de\u0161\u0107e po\u010dinje primenom krema, masti, \u010depi\u0107a ili preparata za ubla\u017eavanje bola i svraba. Ove mere mogu smanjiti tegobe kod bla\u017eih hemoroida, ali obi\u010dno ne uklanjaju izra\u017een prolaps, u\u010destalo krvarenje niti uznapredovalo hemoroidalno oboljenje. Privremeno pobolj\u0161anje mo\u017ee stvoriti utisak da je problem re\u0161en, dok se osnovna promena i dalje razvija. Kada se simptomi ponove, preparati se \u010desto koriste iznova, bez pregleda kojim bi se utvrdio pravi uzrok tegoba.<\/p>\n\n\n\n

Dodatni problem predstavlja pretpostavka da su svako analno krvarenje, bol ili svrab posledica hemoroida. Sli\u010dne simptome mogu izazvati analna fisura, upalne promene, infekcije, polipi i druga oboljenja zavr\u0161nog dela creva. Zbog toga ponovljeno krvarenje ili promena u analnoj regiji ne bi trebalo da se le\u010de dugotrajno bez postavljene dijagnoze. NHS preporu\u010duje pregled kada se simptomi pogor\u0161avaju, ne popravljaju nakon ku\u0107nog le\u010denja ili se u\u010destalo vra\u0107aju, izme\u0111u ostalog i zato da bi se proverilo da tegobe nisu izazvane drugim stanjem.<\/p>\n\n\n\n

Neodgovaraju\u0107a ili preduga upotreba lokalnih preparata mo\u017ee izazvati dodatnu iritaciju osetljive ko\u017ee. Pojedini preparati namenjeni su samo kratkotrajnoj primeni, dok njihova dugotrajna upotreba ne pove\u0107ava nu\u017eno delotvornost. Istovremeno, odlaganje pregleda omogu\u0107ava da hemoroidi postanu ve\u0107i, da ispadanje tkiva bude izra\u017eenije i da konzervativne mere vi\u0161e ne budu dovoljne.<\/p>\n\n\n\n

Stru\u010dni pregled ne zna\u010di automatski hirur\u0161ko le\u010denje. Njegov cilj je potvr\u0111ivanje dijagnoze i izbor metode koja odgovara stvarnom stepenu bolesti. Kod bla\u017eih oblika mogu biti dovoljne promene ishrane i navika, dok se kod upornijih tegoba razmatraju ambulantne procedure, THD metoda ili klasi\u010dna operacija. Pravovremena procena spre\u010dava dugotrajno ubla\u017eavanje simptoma bez re\u0161avanja njihovog uzroka.<\/p>\n","protected":false},"excerpt":{"rendered":"

Hemoroidi predstavljaju \u010dest zdravstveni problem, ali su i dalje pra\u0107eni brojnim zabludama. Neprijatnost, stid ili uverenje da \u0107e tegobe spontano… <\/p>\n","protected":false},"author":4,"featured_media":178838,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-178837","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\nNaj\u010de\u0161\u0107e zablude o hemoroidima i njihovom le\u010denju - Skockajte bud\u017eet<\/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:\/\/skockajtebudzet.rs\/?p=178837\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Naj\u010de\u0161\u0107e zablude o hemoroidima i njihovom le\u010denju - Skockajte bud\u017eet\" \/>\n<meta property=\"og:description\" content=\"Hemoroidi predstavljaju \u010dest zdravstveni problem, ali su i dalje pra\u0107eni brojnim zabludama. 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