{"id":41641,"date":"2023-09-14T14:01:04","date_gmt":"2023-09-14T14:01:04","guid":{"rendered":"https:\/\/poliklinika.rs\/novi-sad\/?p=41641"},"modified":"2026-05-17T20:21:39","modified_gmt":"2026-05-17T20:21:39","slug":"konizacija","status":"publish","type":"post","link":"https:\/\/poliklinika.rs\/novi-sad\/konizacija\/","title":{"rendered":"Konizacija – Uklanjanje atipi\u010dnih promena na grli\u0107u materice"},"content":{"rendered":"

Konizacija<\/strong> predstavlja dijagnosti\u010dki i terapijski postupak uklanjanja atipi\u010dnih promena na grli\u0107u materice. Za razliku od biopsije pri ovoj proceduri uzima se dublji ise\u010dak grli\u0107a materice u vidu konusa, pa odatle i poti\u010de naziv.<\/p>\n

Rak grli\u0107a materica<\/a> <\/strong>je drugo naj\u010de\u0161\u0107e maligno oboljenje kod \u017eena, odmah iza karcinoma dojke<\/a><\/strong>. Istra\u017eivanja pokazuju da u svetu godi\u0161nje od njega oboli oko 500.000 \u017eena. Na\u017ealost, lo\u0161a statistika je i u na\u0161oj zemlji.<\/p>\n

U Srbiji svake godine se registruje oko 1.500 novih slu\u010dajeva. Po broju smrtnih slu\u010dajeva nalazimo se na 3. mestu, iza Rumunije i Moldavije. Razlog tako visokoj stopi le\u017ei u kasnom otkrivanju. Ne samo da je le\u010denje tada agresivnije, ve\u0107 je i ishod neizvestan.<\/p>\n

Imaju\u0107i ovo u vidu poliklinika Peki\u0107<\/strong><\/em> vam otkriva sve \u0161to treba da znate o konizaciji.<\/p>\n

Kada se radi konizacija?<\/strong><\/h2>\n

Konizacija<\/strong> se izvodi ukoliko rezultati PAPA testa<\/strong> ukazuje na malignitet, ali se kolposkopijom<\/strong> ne mo\u017ee identifikovati lezija. Neophodna je i u slu\u010daju da se kolposkopijom vide promene, ali su one locirane u dubini kanala grli\u0107a materice.<\/p>\n

Obavlja se kada PAPA test<\/strong> ukazuje na ekstenzivniju promenu od one koja se konstatuje kolposkopskim pregledom ili ciljanom biopsijom. Tako\u0111e, kada se sumnja na postojanje mikroinvazivnog karcinoma na osnovu citolo\u0161kog ili kolposkopskog pregleda ili histolo\u0161kog pregleda ciljane biopsije.<\/p>\n

\"Konizacija\"<\/p>\n

 <\/p>\n

Konizacija <\/strong>je preciznija dijagnosti\u010dka metoda. Histolo\u0161kim pregledom uzetog uzorka tkiva grli\u0107a materice<\/strong> <\/a>mo\u017ee se utvrditi ne samo tip malignog tumora, ve\u0107 i pro\u0161irenost i dubina. Ujedno, je i terapeutska procedura. Njome se skida dublji sloj, tj. prvi prime\u0107eni sloj izmenjene \u0107elijske strukture koji se biopsijom mo\u017ee ispitati samo povr\u0161inski.<\/p>\n

Kako se izvodi konizacija?<\/strong><\/h2>\n

Konizacija<\/strong> je relativno jednostavna procedura. Izvodi se naj\u010de\u0161\u0107e u totalnoj anesteziji, a dubina i \u0161irina konusa koji se uzima zavisi od kolposkopskog nalaza, starosti i reproduktivne anamneze. Kod mla\u0111ih pacijentkinja, koje nisu ra\u0111ale, konus je \u0161iri i pli\u0107i. Na taj na\u010din se u najve\u0107oj meri \u010duva grli\u0107 materice. Kod starijih \u017eena, kao i onih koje su ve\u0107 iznele trudno\u0107u uzorak je dublji.<\/p>\n

Prema na\u010dinu uzimanja konusa postoje 3 vrste konizacije.<\/p>\n

Klasi\u010dna<\/strong> se izvodi skalpelom. Nakon uzetog uzorka vr\u0161i se rekonstrukcija grli\u0107a materice kako bi se smanjio defekt i postoperativno krvarenje.<\/p>\n

Loop elektrohirur\u0161ka eksciziona procedura (LEEP)<\/strong> se zasniva na upotrebi tanke om\u010dice koja uz pomo\u0107 nisko-volta\u017ene elektri\u010dne energije uklanja abnormalno tkivo. Promena se otklanja u celini, ali ne dolazi do zna\u010dajnih posledica na reproduktivni sistem \u017eene. Zbog toga se ova metoda preporu\u010duje mla\u0111im \u017eenama.<\/p>\n

Lasersku konizaciju<\/strong> karakteri\u0161e minimalno postoperativno krvarenje, jer laserski zrak istovremeno re\u017ee, koaguli\u0161e i zatvara sve krvne sudove.<\/p>\n

Oporavak nakon konizacije<\/a><\/strong><\/h2>\n

U naredne 3 nedelje nakon procedure mogu\u0107a je pojava ta\u010dkastog vaginalnog krvarenja ili krvavog do braonkastog vaginalnog sekreta. U tom periodu preporu\u010dljivo je da pacijentkinja nosi higijenske ulo\u0161ke. Tampone treba izbegavati mesec dana posle intervencije.<\/p>\n

Ukoliko se jave jaki stoma\u010dni bolovi, obilnije krvarenje, temperatura potrebno je hitno se javiti lekaru.<\/p>\n

\u010cetiri nedelje nakon konizacije potrebno je izbegavanje seksualnih odnosa, dok se drugim svakodnevnim aktivnostima \u017eena mo\u017ee vratiti za nedelju dana.<\/p>\n

Prva kontrola se zakazuje osam nedelja nakon intervencije, a histolo\u0161ki nalaz se \u010deka oko 7 dana.<\/p>\n

\"Konizacija\"<\/p>\n

Rano otkrivanje je najbolja mera prevencije i o\u010duvanja zdravlja \u017eena, zato na vreme zaka\u017eite kontrolni ginekolo\u0161ki pregled<\/a> u poliklinici Peki\u0107.<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Konizacija predstavlja dijagnosti\u010dki i terapijski postupak uklanjanja atipi\u010dnih promena na grli\u0107u materice. Za razliku od biopsije pri ovoj proceduri uzima se dublji ise\u010dak grli\u0107a materice u vidu konusa, pa odatle i poti\u010de naziv. Rak grli\u0107a materica je drugo naj\u010de\u0161\u0107e maligno oboljenje kod \u017eena, odmah iza karcinoma dojke. Istra\u017eivanja pokazuju da u svetu godi\u0161nje od njega […]<\/p>\n","protected":false},"author":1,"featured_media":41644,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[52],"tags":[257,34,154,350,64,59,152,243],"class_list":["post-41641","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-ginekolog","tag-ginekoloski-pregled","tag-ginekoloski-ultrazvuk","tag-konizacija","tag-poliklinika-novi-sad","tag-poliklinika-pekic","tag-pregled-ginekologa","tag-rak-grlica-materice"],"acf":[],"yoast_head":"\nKonizacija || POLIKLINIKA PEKI\u0106<\/title>\n<meta name=\"description\" content=\"Konizacija predstavlja dijagnosti\u010dki i terapijski postupak uklanjanja atipi\u010dnih promena na grli\u0107u materice.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/poliklinika.rs\/novi-sad\/konizacija\/\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Konizacija || POLIKLINIKA PEKI\u0106\" \/>\n<meta property=\"og:description\" content=\"Konizacija predstavlja dijagnosti\u010dki i terapijski postupak uklanjanja atipi\u010dnih promena na grli\u0107u materice.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/poliklinika.rs\/novi-sad\/konizacija\/\" \/>\n<meta property=\"og:site_name\" content=\"Poliklinika Peki\u0107 - 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