{"id":963,"date":"2014-09-05T11:58:00","date_gmt":"2014-09-05T09:58:00","guid":{"rendered":"http:\/\/semmelweis.hu\/urologia\/?p=963"},"modified":"2015-08-25T16:17:57","modified_gmt":"2015-08-25T14:17:57","slug":"holyagnyaki-szukulet","status":"publish","type":"post","link":"https:\/\/semmelweis.hu\/urologia\/2014\/09\/05\/holyagnyaki-szukulet\/","title":{"rendered":"H\u00f3lyagnyaki sz\u0171k\u00fclet"},"content":{"rendered":"

Betegs\u00e9g meghat\u00e1roz\u00e1s<\/strong>: A h\u00f3lyag bels\u0151 z\u00e1r\u00f3izm\u00e1nak elmereved\u00e9se, sz\u0171k\u00fclete okozza. Vizel\u00e9skor a h\u00f3lyagnyak nyit\u00e1s\u00e1nak nehez\u00edtetts\u00e9ge alakul ki. A h\u00f3lyag izomzata a nagyobb er\u0151kifejt\u00e9s miatt annak megvastagod\u00e1s\u00e1hoz vezet, majd k\u00e9s\u0151bb az izomzat kimer\u00fcl, a h\u00f3lyag kit\u00e1gul, ami nagyfok\u00fa bennrekedt vizeletmennyis\u00e9get okoz. A pang\u00f3 vizelet hajlamos\u00edt fert\u0151z\u00e9sekre, h\u00f3lyagk\u0151 kialakul\u00e1s\u00e1ra, a ves\u00e9be vissza\u00e1raml\u00f3 vizelet pedig a vesem\u0171k\u00f6d\u00e9st visszaford\u00edthatatlanul ronthatja.<\/p>\n

El\u0151fordul\u00e1s, hajlamos\u00edt\u00f3 t\u00e9nyez\u0151k (rizik\u00f3 faktorok): <\/strong>Leggyakrabban a h\u00f3lyagnyakat \u00e9rint\u0151 m\u0171t\u00e9tek, valamint gyullad\u00e1sok sz\u00f6v\u0151dm\u00e9nye lehet. N\u0151kn\u00e9l ritk\u00e1n fordul el\u0151, ink\u00e1bb a f\u00e9rfiak betegs\u00e9ge.<\/p>\n

T\u00fcnetek, panaszok: <\/strong>Neh\u00e9z vizelet ind\u00edt\u00e1s, cs\u00f6kkent vizelet sug\u00e1r, teljes vizelet elakad\u00e1s, gyakori vizelet \u00fcr\u00edt\u00e9s, visszamaradt vizelet \u00e9rz\u00e9se, fert\u0151z\u00e9s eset\u00e9n cs\u00edp\u0151, b\u0171z\u00f6s vizelet fordulhat el\u0151.<\/p>\n

Felismer\u00e9s: <\/strong>Vizelet\u00fcled\u00e9k vizsg\u00e1lat, rutin labor vizsg\u00e1latok (vesefunkci\u00f3), vizelet \u00e1raml\u00e1s vizsg\u00e1lata, vizel\u00e9s ut\u00e1ni ultrahang vizsg\u00e1lat, h\u00fagycs\u0151 \u00e9s h\u00fagyh\u00f3lyag t\u00fckr\u00f6z\u00e9s elv\u00e9gz\u00e9se javasolt a h\u00f3lyagnyaki sz\u0171k\u00fclet igazol\u00e1s\u00e1hoz. Sz\u00fcks\u00e9g eset\u00e9n vizelet teny\u00e9szt\u00e9s, h\u00fagycs\u0151 t\u00f6lt\u00e9ses r\u00f6ntgen vizsg\u00e1lat, urodin\u00e1mi\u00e1s vizsg\u00e1lat v\u00e9gezhet\u0151.<\/p>\n

Nem m\u0171t\u00e9ti \/ konzervat\u00edv kezel\u00e9s<\/strong>: B\u0151 folyad\u00e9kbevitel javasolt. Fert\u0151z\u00e9s eset\u00e9n antibiotikus kezel\u00e9s, majd azt k\u00f6vet\u0151en hossz\u00fa t\u00e1von vizelet fert\u0151tlen\u00edt\u00e9s sz\u00fcks\u00e9ges (szint\u00e9n antibiotikum ter\u00e1pi\u00e1val) a sz\u0171k\u00fclet m\u0171t\u00e9ti megold\u00e1s\u00e1ig. Akut vizelet elakad\u00e1s eset\u00e9n \u00e1lland\u00f3 kat\u00e9ter vagy epicystostoma (hasfalon \u00e1t bevezetett h\u00f3lyagkat\u00e9ter) l\u00e9tes\u00edt\u00e9se sz\u00fcks\u00e9ges. Alfa receptor blokkol\u00f3 gy\u00f3gyszer szed\u00e9se jav\u00edthat a t\u00fcneteken.<\/p>\n

M\u0171t\u00e9ti kezel\u00e9s: <\/strong>A h\u00f3lyagnyak endoszk\u00f3pos bemetsz\u00e9se, esetleg endoszk\u00f3pos reszekci\u00f3.<\/p>\n

Orvosi ellen\u0151rz\u00e9sek: <\/strong>A betegs\u00e9g ki\u00fajul\u00e1sa gyakori, ez\u00e9rt rendszeres kontroll javasolt, vizelet\u00e1raml\u00e1s m\u00e9r\u00e9ssel, vizel\u00e9s ut\u00e1ni ultrahang vizsg\u00e1lattal, vizelet \u00fcled\u00e9k vizsg\u00e1lattal.<\/p>\n

Megel\u0151z\u00e9s: <\/strong>B\u0151 folyad\u00e9kfogyaszt\u00e1s, sz\u00fcks\u00e9g eset\u00e9n vizelet fert\u0151tlen\u00edt\u00e9s<\/p>\n","protected":false},"excerpt":{"rendered":"

Betegs\u00e9g meghat\u00e1roz\u00e1s: A h\u00f3lyag bels\u0151 z\u00e1r\u00f3izm\u00e1nak elmereved\u00e9se, sz\u0171k\u00fclete okozza. Vizel\u00e9skor a h\u00f3lyagnyak nyit\u00e1s\u00e1nak nehez\u00edtetts\u00e9ge alakul ki. A h\u00f3lyag izomzata a nagyobb er\u0151kifejt\u00e9s miatt annak megvastagod\u00e1s\u00e1hoz vezet, majd k\u00e9s\u0151bb az izomzat kimer\u00fcl, a h\u00f3lyag kit\u00e1gul, ami nagyfok\u00fa bennrekedt vizeletmennyis\u00e9get okoz. A pang\u00f3 vizelet hajlamos\u00edt fert\u0151z\u00e9sekre, h\u00f3lyagk\u0151 kialakul\u00e1s\u00e1ra, a ves\u00e9be vissza\u00e1raml\u00f3 vizelet pedig a vesem\u0171k\u00f6d\u00e9st visszaford\u00edthatatlanul ronthatja. …<\/p>\n","protected":false},"author":316,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[782],"tags":[884,982],"class_list":["post-963","post","type-post","status-publish","format-standard","hentry","category-enciklopedia","tag-holyag-hu","tag-sclerosis-colli-vesicae-urinariae-hu"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/posts\/963","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/users\/316"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/comments?post=963"}],"version-history":[{"count":3,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/posts\/963\/revisions"}],"predecessor-version":[{"id":1538,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/posts\/963\/revisions\/1538"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/media?parent=963"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/categories?post=963"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/urologia\/wp-json\/wp\/v2\/tags?post=963"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}