{"id":89,"date":"2023-02-14T13:03:21","date_gmt":"2023-02-14T13:03:21","guid":{"rendered":"https:\/\/new.vwdtest.com\/bo\/?page_id=89"},"modified":"2025-10-09T12:36:14","modified_gmt":"2025-10-09T12:36:14","slug":"vwd-and-denstistry","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/ba\/vwd-and-denstistry\/","title":{"rendered":"VWD I STOMATOLOGIJA"},"content":{"rendered":"
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Pacijenti s poreme\u0107ajima krvarenja kao \u0161to su hemofilija ili von Willebrandova bolest (VWD)<\/a> izlo\u017eeni su pove\u0107anom riziku od oralnog krvarenja, uklju\u010duju\u0107i krvarenje tokom rutinske njege zuba.1,2<\/sup> Do krvarenja mo\u017ee do\u0107i \u010dak i nakon pranja zuba ili \u010di\u0161\u0107enja koncem, a strah od krvarenja mo\u017ee sprje\u010davati pacijente u odr\u017eavanju kvalitetne oralne higijene i redovnom posje\u0107ivanju stomatologa.2-4<\/sup> \u010cak i pacijenti koji posje\u0107uju stomatologa mogu osje\u0107ati strah od stomatolo\u0161kih zahvata zbog prethodnih lo\u0161ih iskustava ili zabrinutost da ne\u0107e biti izlije\u010deni.4<\/sup> \u0160tavi\u0161e, mnogi pacijenti s VWD-om nisu dijagnosticirani i nisu svjesni da im krvarenje nije normalno.5<\/sup><\/h5>\n<\/div>\n\n\"VWD\r\n\n\n
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Rizik od krvarenja i posljedi\u010dna anksioznost pridonose lo\u0161em zdravlju zuba kod djece i adolescenata s poreme\u0107ajima krvarenja.2<\/sup> Bez odgovaraju\u0107e edukacije i lije\u010denja, ti pacijenti mogu u\u0107i u za\u010darani krug u\u010destalog krvarenja desni, zanemarene njege zuba i pogor\u0161anja oralnog zdravlja.3<\/sup> Kako bi za\u0161titili svoje oralno zdravlje i kvalitetu \u017eivota, ti pacijenti i njihovi roditelji uvelike ovise o stomatologu od povjerenja, koji im pru\u017ea edukaciju o preventivnoj njezi i osigurava redovne preglede.<\/p>\n<\/div>\n\n

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Uloga stomatolo\u0161kih radnika<\/h3>\n<\/div>\n\n
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Kao pru\u017eatelj stomatolo\u0161ke njege, u jedinstvenoj ste poziciji da prepoznate pacijente kojima bi mogla koristiti daljnja dijagnosti\u010dka obrada poreme\u0107aja krvarenja. Za mnoge su ljude posjeti stomatologu jedini redovan kontakt sa zdravstvenim sistemom.2<\/sup> \u0160tavi\u0161e, za mnoge pacijente va\u0111enje zuba \u010desto mo\u017ee biti prva operacija, a time i velik hemostatski \u0161ok. Stoga prekomjerno krvarenje tokom ili nakon takvog postupka mo\u017ee biti prva prilika za dijagnozu neprepoznatog poreme\u0107aja krvarenja.<\/p>\n<\/div>\n\n

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Dijagnosticiranje VWD-a i dalje je te\u017eak zadatak zbog nedostatka svijesti i slo\u017eenosti dijagnosti\u010dke obrade.5<\/sup> Ako ste nedavno primijetili neo\u010dekivano krvarenje kod pacijenata, preporu\u010dujemo da s pacijentom ispunite na\u0161 test krvarenja<\/a>. Test \u0107e pokazati jesu li indicirane daljnje pretrage, a Va\u0161em bi pacijentu mogao promijeniti \u017eivot!<\/p>\n<\/div>\n\n

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S obzirom na to da pacijenti s poreme\u0107ajima krvarenja mogu izbjegavati stomatolo\u0161ke preglede zbog straha od krvarenja, treba poticati redovne kontrole kako bi se za\u0161titilo oralno zdravlje i kvaliteta \u017eivota pacijenata.4 <\/sup> Stomatolozima koji \u017eele lije\u010diti pacijente s poreme\u0107ajima krvarenja dostupne su preporuke za lije\u010denje.3,6<\/sup> Op\u0107enito, stomatolo\u0161ko lije\u010denje pacijenata s VWD-om sli\u010dno je lije\u010denju pacijenata s hemofilijom.3 <\/sup> Rutinska nehirur\u0161ka terapija ve\u0107inom se mo\u017ee pru\u017eiti u op\u0107oj stomatolo\u0161koj ordinaciji nakon konsultacije s hematologom, posebno kod pacijenata s blagim VWD-om.3<\/sup> Samo lije\u010denje pacijenata s umjerenom ili te\u0161kom bole\u0161\u0107u i invazivne stomatolo\u0161ke zahvate treba provoditi u bolni\u010dkom okru\u017eenju i prema planu lije\u010denja.3,6<\/sup><\/p>\n<\/div>\n\n

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Da biste prona\u0161li najbli\u017ei centar za lije\u010denje hemofilije, kliknite ovdje.<\/a> VWDtest.com uz to nudi dodatne informacije o etiologiji, dijagnosticiranju i lije\u010denju VWD-a, kao i uvid u tipi\u010dan put pacijenta s VWD-om.<\/p>\n<\/div>\n\n

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Literatura<\/h6>\n<\/div>\n\n
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  1. de Wee EM, et al. Thromb Haemost<\/em> 2012; 108:683-92.<\/li>\n<\/div>\n\n
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  2. Brown MC et al. Haemophilia <\/em>2022; 28:73-9.<\/li>\n<\/div>\n\n
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  3. Anderson JAM et al. Br Dent J<\/em> 2013; 215:497-504.<\/li>\n<\/div>\n\n
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  4. Kalsi H et al. Haemophilia<\/em> 2012; 18:510-5.<\/li>\n<\/div>\n\n
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  5. Corrales-Medina FF et al. Blood Rev <\/a><\/em>2022; 101018.<\/li>\n<\/div>\n\n
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  6. WFH smjernice za stomatolo\u0161ko lije\u010denje pacijenata s nasljednim poreme\u0107ajima krvarenja; https:\/\/elearning.wfh.org\/resource\/guidelines-for-dental-treatment-of-patients-with-inherited-bleeding-disorders\/<\/a>; posljednji pristup u novembru 2022.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    Pacijenti s poreme\u0107ajima krvarenja kao \u0161to su hemofilija ili von Willebrandova bolest (VWD) izlo\u017eeni su pove\u0107anom riziku od oralnog krvarenja, uklju\u010duju\u0107i krvarenje tokom rutinske njege zuba.1,2 Do krvarenja mo\u017ee do\u0107i \u010dak i nakon pranja zuba ili \u010di\u0161\u0107enja koncem, a strah od krvarenja mo\u017ee sprje\u010davati pacijente u odr\u017eavanju kvalitetne oralne higijene i redovnom posje\u0107ivanju stomatologa.2-4 \u010cak i […]<\/p>\n","protected":false},"author":1,"featured_media":233,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"\nVWD I STOMATOLOGIJA - Bosnia<\/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:\/\/vwdtest.com\/ba\/vwd-and-denstistry\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"VWD I STOMATOLOGIJA - 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