{"id":89,"date":"2023-02-14T13:03:21","date_gmt":"2023-02-14T13:03:21","guid":{"rendered":"https:\/\/new.vwdtest.com\/se\/?page_id=89"},"modified":"2025-10-09T12:38:59","modified_gmt":"2025-10-09T12:38:59","slug":"vwd-and-denstistry","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/rs\/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 nege 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 spre\u010davati pacijente u odr\u017eavanju kvalitetne oralne higijene i redovnoj poseti stomatologu.2-4<\/sup> \u010cak i pacijenti koji pose\u0107uju stomatologa mogu ose\u0107ati strah od stomatolo\u0161kih zahvata zbog prethodnih lo\u0161ih iskustava ili zabrinutosti da ne\u0107e dobiti odgovaraju\u0107i tretman.4<\/sup> \u0160tavi\u0161e, mnogi pacijenti s VWD-om nisu dijagnostikovani i nisu svesni 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 posledi\u010dna anksioznost pridonose lo\u0161em zdravlju zuba kod dece i adolescenata s poreme\u0107ajima krvarenja.2<\/sup> Bez odgovaraju\u0107e edukacije i le\u010denja, ti pacijenti mogu u\u0107i u za\u010darani krug u\u010destalog krvarenja desni, zanemarene nege zuba i pogor\u0161anja oralnog zdravlja.3<\/sup> Kako bi za\u0161titili svoje oralno zdravlje i kvalitet \u017eivota, ti pacijenti i njihovi roditelji zavise od stomatologa od poverenja, koji im pru\u017ea edukaciju o preventivnoj nezi 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 nege, u jedinstvenoj ste poziciji da prepoznate pacijente kojima bi mogla koristiti dodatna dijagnosti\u010dka analiza poreme\u0107aja krvarenja. Za mnoge ljude su posete 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 hemostati\u010dki \u0161ok. Stoga prekomerno krvarenje tokom ili nakon takve procedure mo\u017ee biti prva prilika za dijagnozu neidentifikovanog poreme\u0107aja krvarenja.<\/p>\n<\/div>\n\n

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Dijagnostikovanje VWD-a je i dalje te\u017eak zadatak zbog nedostatka svesti i slo\u017eenosti dijagnosti\u010dke analize.5<\/sup> Ako ste nedavno primetili neo\u010dekivano krvarenje kod pacijenata, preporu\u010dujemo da s pacijentom uradite na\u0161 test krvarenja<\/a>. Test \u0107e pokazati da li su indikovane dalje pretrage, a va\u0161em pacijentu bi mogao promeniti \u017eivot!<\/p>\n<\/div>\n\n

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S obzirom na to da pacijenti s poreme\u0107ajima krvarenja mogu izbegavati stomatolo\u0161ke preglede zbog straha od krvarenja, treba podsticati redovne kontrole kako bi se za\u0161titilo oralno zdravlje i kvalitet \u017eivota pacijenata.4 <\/sup> Stomatolozima koji \u017eele da le\u010de pacijente s poreme\u0107ajima krvarenja dostupne su preporuke za le\u010denje.3,6<\/sup> Uop\u0161teno, stomatolo\u0161ko le\u010denje pacijenata s VWD-om sli\u010dno je le\u010denju pacijenata s hemofilijom.3 <\/sup> Rutinska nehirur\u0161ka terapija ve\u0107inom se mo\u017ee pru\u017eiti u op\u0161toj stomatolo\u0161koj ordinaciji nakon konsultacije s hematologom, posebno kod pacijenata s blagim VWD-om.3<\/sup> Samo le\u010denje pacijenata s umerenom ili te\u0161kom bole\u0161\u0107u, kao i invazivne stomatolo\u0161ke zahvate treba sprovoditi u bolni\u010dkom okru\u017eenju i prema planu le\u010denja.3,6<\/sup><\/p>\n<\/div>\n\n

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Da biste prona\u0161li najbli\u017ei centar za le\u010denje hemofilije, kliknite ovde.<\/a> VWDtest.com uz to nudi dodatne informacije o etiologiji, dijagnostikovanju i le\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":"

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