{"id":10043,"date":"2010-12-01T20:10:07","date_gmt":"2010-12-01T19:10:07","guid":{"rendered":"https:\/\/sandzakpress.net\/arhiva\/?p=10043"},"modified":"2010-12-01T20:10:07","modified_gmt":"2010-12-01T19:10:07","slug":"kako-se-dijagnosticira-multipla-skleroza","status":"publish","type":"post","link":"https:\/\/sandzakpress.net\/arhiva\/kako-se-dijagnosticira-multipla-skleroza\/","title":{"rendered":"Kako se dijagnosticira multipla skleroza?"},"content":{"rendered":"<p><a href=\"https:\/\/sandzakpress.net\/arhiva\/wp-content\/uploads\/2010\/12\/MS_02.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-10044\" title=\"MS_02\" src=\"https:\/\/sandzakpress.net\/arhiva\/wp-content\/uploads\/2010\/12\/MS_02.jpg\" alt=\"\" width=\"287\" height=\"199\" \/><\/a>Odre\u0111enog klini\u010dkog simptoma ili nalaza koji bi bio karakteristi\u010dan samo za multiplu sklerozu nema. Multipla skleroza dijagnosticira se na temelju tipi\u010dnih klini\u010dkih simptoma i paraklini\u010dkih nalaza. Tipi\u010dni klini\u010dki simptomi koji se javljaju u povremenim vremenski odvojenim relapsima ukazuju na o\u0161te\u0107enja razli\u010ditih dijelova \u017eiv\u010danog sustava u razli\u010ditom vremenu i \u010dine za MS karakteristi\u010dnu sliku &#8220;diseminacije simptoma u vremenu i prostoru&#8221;.<\/p>\n<p><strong>Paraklini\u010dki pokazatelji koji ukazuju na MS<\/strong><\/p>\n<p>Vrlo va\u017ean paraklini\u010dki pokazatelj koji mo\u017ee ukazati na MS <strong>je magnetska rezonancija (MR) mozga i vratne (i torakalne) kralje\u017eni\u010dne mo\u017edine<\/strong>. U nalazu MR-a u tzv. T2-mjernom vremenu i FLAIR-u u multiploj sklerozi pokazuju se karakteristi\u010dno smje\u0161tena demijelinizacijska o\u0161te\u0107enja koja su smje\u0161tena u bijeloj tvari hemisfera mozga uz ventrikularne prostore kojima cirkulira likvor, u podru\u010dju mo\u017edanog debla i malog mozga i\/ili su tipi\u010dno posteriorno smje\u0161tene u kralje\u017eni\u010dkoj mo\u017edini. To su ve\u0107inom male ovalne lezije veli\u010dine oko 5 mm, iako se mogu javiti i ve\u0107a o\u0161te\u0107enja. No, sli\u010dna o\u0161te\u0107enja mogu uzrokovati i razli\u010dita druga patolo\u0161ka stanja (upale arterija, tzv. vaskulitisi, neuroborelioza, sarkoidoza, ishemije i dr.) te je vrlo va\u017eno u\u010diniti preciznu dijagnostiku kako bi se postavila to\u010dna dijagnoza, odnosno potvrdilo odgovaraju li opisana o\u0161te\u0107enja upalnoj demijelinizaciji karakteristi\u010dnoj za MS.<\/p>\n<p>Drugi va\u017ean paraklini\u010dki parametar koji se analizira prije postavljanja dijagnoze multiple skleroze je <strong>likvor<\/strong>. U likvoru se osobito istra\u017euje stvaranje imunoglobulina. Usporedbom razine imunoglobulina u serumu i u likvoru utvr\u0111uje se stvaraju li se imunoglobulini samo u mozgu, ili i u mozgu i u serumu ili da li se prete\u017eno stvaraju u serumu, a sekundarno su dospjeli u sredi\u0161nji \u017eiv\u010dani sustav. Osobito je va\u017ean nalaz oligoklonalnih traka u likvoru. Kao \u0161to vrijedi i za magnetsku rezonanciju oligoklonalne trake u likvoru nisu odlu\u010duju\u0107e za postavljanje dijagnoze multiple skleroze jer i one mogu nastati u razli\u010ditim stanjima. Samo tipi\u010dni klini\u010dki simptomi i tipi\u010dan nalaz MR-a mozga uz pozitivne oligoklonalne trake i negativni dijagnosti\u010dki parametri prema drugim sli\u010dnim patolo\u0161kim stanjima mogu dovesti do dijagnoze multiple skleroze. U dijagnosti\u010dke pokazatelje multiple skleroze uklju\u010deni su i vidni evocirani potencijali (VEP). Njihova va\u017enost o\u010dituje se u \u010dinjenici da je vidni \u017eivac vrlo \u010desto mjesto upale u multiploj sklerozi i u osoba s znakovima opti\u010dkog neuritisa kao i u osoba bez takvih simptoma. Vidni evocirani potencijali u osobe s multiplom sklerozom \u010desto ukazuju na usporenu latenciju P-vala \u0161to ozna\u010duje usporeno provo\u0111enje \u017eiv\u010danih impulsa u usporedbi s standardima zdravih osoba.<\/p>\n<p><strong>CIS &#8211; klini\u010dki izolirani sindrom<\/strong><\/p>\n<p>Prva pojava klini\u010dkih simptoma indikativnog za multiplu sklerozu ozna\u010dava se dijagnozom <strong>CIS <\/strong>(klini\u010dki izolirani sindrom). CIS se naj\u010de\u0161\u0107e nakon kra\u0107eg ili duljeg perioda razvojem novog karakteristi\u010dnog simptoma dijagnosticira kao multipla skleroza.<\/p>\n<p>Naj\u010de\u0161\u0107e se CIS manifestira simptomima:<\/p>\n<ul>\n<li>opti\u010dkog neuritisa,<\/li>\n<li>simptomima mo\u017edanog debla i\/ili      malog mozga ili<\/li>\n<li>simptomi inkompletnog      transverzalnog mijelitisa<\/li>\n<\/ul>\n<p>Izvor: plivazdravlje.hr<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Odre\u0111enog klini\u010dkog simptoma ili nalaza koji bi bio karakteristi\u010dan samo za multiplu sklerozu nema. Multipla skleroza dijagnosticira se na temelju tipi\u010dnih klini\u010dkih simptoma i paraklini\u010dkih nalaza. Tipi\u010dni klini\u010dki simptomi koji se javljaju u povremenim vremenski odvojenim relapsima ukazuju na o\u0161te\u0107enja razli\u010ditih dijelova \u017eiv\u010danog sustava u razli\u010ditom vremenu i \u010dine za MS karakteristi\u010dnu sliku &#8220;diseminacije simptoma [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":10044,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[813],"tags":[],"class_list":{"0":"post-10043","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-zdravlje"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.1 (Yoast SEO v24.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Kako se dijagnosticira multipla skleroza?<\/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:\/\/sandzakpress.net\/arhiva\/kako-se-dijagnosticira-multipla-skleroza\/\" \/>\n<meta property=\"og:locale\" content=\"bs_BA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kako se dijagnosticira multipla skleroza?\" \/>\n<meta property=\"og:description\" content=\"Odre\u0111enog klini\u010dkog simptoma ili nalaza koji bi bio karakteristi\u010dan samo za multiplu sklerozu nema. Multipla skleroza dijagnosticira se na temelju tipi\u010dnih klini\u010dkih simptoma i paraklini\u010dkih nalaza. Tipi\u010dni klini\u010dki simptomi koji se javljaju u povremenim vremenski odvojenim relapsima ukazuju na o\u0161te\u0107enja razli\u010ditih dijelova \u017eiv\u010danog sustava u razli\u010ditom vremenu i \u010dine za MS karakteristi\u010dnu sliku &#8220;diseminacije simptoma [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sandzakpress.net\/arhiva\/kako-se-dijagnosticira-multipla-skleroza\/\" \/>\n<meta property=\"og:site_name\" content=\"Sand\u017eak PRESS\" \/>\n<meta property=\"article:published_time\" content=\"2010-12-01T19:10:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sandzakpress.net\/arhiva\/wp-content\/uploads\/2010\/12\/MS_02.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"287\" \/>\n\t<meta property=\"og:image:height\" content=\"199\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" 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Multipla skleroza dijagnosticira se na temelju tipi\u010dnih klini\u010dkih simptoma i paraklini\u010dkih nalaza. Tipi\u010dni klini\u010dki simptomi koji se javljaju u povremenim vremenski odvojenim relapsima ukazuju na o\u0161te\u0107enja razli\u010ditih dijelova \u017eiv\u010danog sustava u razli\u010ditom vremenu i \u010dine za MS karakteristi\u010dnu sliku &#8220;diseminacije simptoma [&hellip;]","og_url":"https:\/\/sandzakpress.net\/arhiva\/kako-se-dijagnosticira-multipla-skleroza\/","og_site_name":"Sand\u017eak PRESS","article_published_time":"2010-12-01T19:10:07+00:00","og_image":[{"width":287,"height":199,"url":"https:\/\/sandzakpress.net\/arhiva\/wp-content\/uploads\/2010\/12\/MS_02.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Written by":"","Est. reading time":"3 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