{"id":1102,"date":"2014-07-06T22:36:22","date_gmt":"2014-07-06T20:36:22","guid":{"rendered":"http:\/\/aritmije.kbcsm.hr\/?p=1102"},"modified":"2020-04-03T19:18:52","modified_gmt":"2020-04-03T17:18:52","slug":"implantabilni-srcani-monitor-ilr","status":"publish","type":"post","link":"https:\/\/aritmije.kbcsm.hr\/implantabilni-srcani-monitor-ilr\/","title":{"rendered":"Implantabilni sr\u010dani monitor (ILR)"},"content":{"rendered":"<div id='av_section_1'  class='avia-section alternate_color avia-section-huge avia-no-shadow  avia-full-stretch av-section-color-overlay-active avia-bg-style-scroll  avia-builder-el-0  el_before_av_one_full  avia-builder-el-first   container_wrap sidebar_right' style='background-repeat: no-repeat; background-image: url(https:\/\/aritmije.kbcsm.hr\/wp-content\/uploads\/2020\/03\/aritmije-kbcsm-header_5.jpg);background-attachment: scroll; background-position: top center;  '  data-section-bg-repeat='stretch'><div class='av-section-color-overlay-wrap'><div class='av-section-color-overlay' style='opacity: 0.7; background-color: #000000; '><\/div><div class='container' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-1102'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-equal-height-column-flextable -flextable' ><div class=\"flex_column av_three_fourth  flex_column_table_cell av-equal-height-column av-align-middle av-zero-column-padding first  avia-builder-el-1  avia-builder-el-no-sibling  \" style='border-radius:0px; '><div  style='padding-bottom:0px; font-size:70px;' class='av-special-heading av-special-heading-h1  blockquote modern-quote  avia-builder-el-2  avia-builder-el-no-sibling  av-inherit-size '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Implantabilni sr\u010dani monitor (ILR)<\/h1><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><\/div><div id='after_section_1'  class='main_color av_default_container_wrap container_wrap sidebar_right' style=' '  ><div class='container' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-1102'><div class='entry-content-wrapper clearfix'>\n<div class=\"flex_column av_one_full  flex_column_div av-zero-column-padding first  avia-builder-el-3  el_after_av_section  el_before_av_masonry_gallery  avia-builder-el-no-sibling  \" style='border-radius:0px; '><section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock  '   itemprop=\"text\" ><p style=\"text-align: justify;\">Neke pojave omaglice, vrtoglavice, nesvjestice (sinkope), mogu vezane uz jednostavne \u017eivotne promjene, me\u0111utim, ponekad mogu biti i opasne po \u017eivot. Uz pomo\u0107 ugradbenog sr\u010danog monitora lije\u010dnici mogu odrediti abnormalni sr\u010dani ritam koji je odgovoran za navedene simptome.<\/p>\n<p style=\"text-align: justify;\"><strong>Ugradbeni sr\u010dani monitor<\/strong>\u00a0(engl. implantable loop recorder \u2013 ILR), je mali elektri\u010dni ure\u0111aj veli\u010dine USB memorije koji se ugra\u0111uje jednostavnim kirur\u0161kim zahvatom pod ko\u017eu pacijenta. Njegova svrha je detekcija poreme\u0107aja sr\u010danog ritma potpuno automatizirano ili na zahtjev pacijenta pomo\u0107u posebnog aktivatora pri pojavi simptoma. Vijek trajanja baterije ILR otprilike iznosi 18-24 mjeseca.<\/p>\n<p style=\"text-align: justify;\"><strong>Nesvjestica<\/strong>\u00a0(jo\u0161 poznata kao sinkopa) je nagli gubitak svijesti. Javlja se nakon naglog pada krvnog tlaka kada i smanjenim dotokom kisika u mozak.<\/p>\n<p style=\"text-align: justify;\">ILR se ugra\u0111uje manjim operativnim zahvatom, tako \u0161to se u lokalnoj anesteziji u podru\u010dju prsnog ko\u0161a u\u010dini manji rez (1-2 cm), te se ure\u0111aj smjesti ispod ko\u017ee i rana zatvori s jednim manjim \u0161avom.<\/p>\n<p style=\"text-align: justify;\"><strong>Nakon ugradnje ILR-a<\/strong>\u00a0pacijenti nemaju gotovo nikakvih ograni\u010denja u obavljanju normalnih svakodnevnih aktivnosti. Pacijenti mogu najnormalnije raditi, kupati se, plivati bez opasnosti da se ure\u0111aj o\u0161teti. Magneti koji se koriste u svakodnevnoj okolini ne mogu \u0161tetiti ure\u0111aju, ipak potrebno je izbjegavati jaka elektromagnetska polja (trafostanice, aparati za varenje, magnetska rezonancija).<\/p>\n<p style=\"text-align: justify;\"><strong>U slu\u010daju pojave simptoma<\/strong>\u00a0(osje\u0107aj nepravilnog ili ubrzanog sr\u010danog rada, nesvjestice i sl.) pacijent se mora javiti svom lije\u010dniku kako bi se o\u010ditao zapis na sr\u010danom\u00a0 monitoru. Ugradbeni sr\u010dani monitor poput sr\u010danih elektrostimulatora zasniva se na be\u017ei\u010dnoj tehnologiji tako da za o\u010ditavanje ure\u0111aja nije potrebno otvarati ranu. Kada pacijent osjeti tegobe mo\u017ee i sam aktivirati snimanje monitora pomo\u0107u posebnog aktivatora (sli\u010dno daljinskom upravlja\u010du).<\/p>\n<\/div><\/section><\/div>\n<div id='av-masonry-1' class='av-masonry  noHover av-fixed-size av-large-gap av-hover-overlay-active av-masonry-animation-active av-masonry-col-5 av-caption-always av-caption-style- av-masonry-gallery     ' style='background-color:#191919; ' ><div class='av-masonry-container isotope av-js-disabled ' ><div class='av-masonry-entry isotope-item av-masonry-item-no-image '><\/div><a href=\"https:\/\/aritmije.kbcsm.hr\/wp-content\/uploads\/2020\/03\/Aritmije-kbcsm-implantacija1500x720-1030x494.jpg\" id='av-masonry-1-item-1103' data-av-masonry-item='1103' class='av-masonry-entry isotope-item post-1103 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"Implantacija\"  itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class=\"av-masonry-image-container\" style=\"background-image: url(https:\/\/aritmije.kbcsm.hr\/wp-content\/uploads\/2020\/03\/Aritmije-kbcsm-implantacija1500x720-705x338.jpg);\" title=\"Implantacija\" ><\/div><\/div><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/aritmije.kbcsm.hr\/wp-content\/uploads\/2020\/03\/Aritmije-KBCSM-2-1030x687.jpg\" id='av-masonry-1-item-902' data-av-masonry-item='902' class='av-masonry-entry isotope-item post-902 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"Aritmije KBCSM-2\"  itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class=\"av-masonry-image-container\" style=\"background-image: url(https:\/\/aritmije.kbcsm.hr\/wp-content\/uploads\/2020\/03\/Aritmije-KBCSM-2-705x470.jpg);\" title=\"Aritmije KBCSM-2\" ><\/div><\/div><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/aritmije.kbcsm.hr\/wp-content\/uploads\/2020\/03\/aritmije-kbcsm-header_3-1030x494.jpg\" id='av-masonry-1-item-847' data-av-masonry-item='847' class='av-masonry-entry isotope-item post-847 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"aritmije kbcsm header_3\"  itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class=\"av-masonry-image-container\" style=\"background-image: url(https:\/\/aritmije.kbcsm.hr\/wp-content\/uploads\/2020\/03\/aritmije-kbcsm-header_3-705x338.jpg);\" title=\"aritmije kbcsm header_3\" ><\/div><\/div><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/aritmije.kbcsm.hr\/wp-content\/uploads\/2020\/03\/Aritmije-KBCSM-5-1030x580.jpg\" id='av-masonry-1-item-905' data-av-masonry-item='905' class='av-masonry-entry isotope-item post-905 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"Aritmije KBCSM-5\"  itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class=\"av-masonry-image-container\" style=\"background-image: url(https:\/\/aritmije.kbcsm.hr\/wp-content\/uploads\/2020\/03\/Aritmije-KBCSM-5-705x397.jpg);\" title=\"Aritmije KBCSM-5\" ><\/div><\/div><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/aritmije.kbcsm.hr\/wp-content\/uploads\/2020\/03\/aritmije-kbcsm-header_4-1030x494.jpg\" id='av-masonry-1-item-848' data-av-masonry-item='848' class='av-masonry-entry isotope-item post-848 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"aritmije kbcsm header_4\"  itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class=\"av-masonry-image-container\" style=\"background-image: url(https:\/\/aritmije.kbcsm.hr\/wp-content\/uploads\/2020\/03\/aritmije-kbcsm-header_4-705x338.jpg);\" title=\"aritmije kbcsm header_4\" ><\/div><\/div><\/figure><\/a><!--end av-masonry 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