{"id":207,"date":"2012-06-27T12:17:30","date_gmt":"2012-06-27T12:17:30","guid":{"rendered":"http:\/\/www.myotonia.com.hr\/dijagnostika\/"},"modified":"2012-06-27T12:26:27","modified_gmt":"2012-06-27T12:26:27","slug":"dijagnostika","status":"publish","type":"page","link":"https:\/\/www.myotonia.com.hr\/?page_id=207","title":{"rendered":"Dijagnostika"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>Dijagnostika kongenitalne miotonije<\/strong><\/p>\n<p style=\"text-align: justify;\">Miotonija se prepoznaje prema karakteristi\u010dnim simptomima, me\u0111utim, budu\u0107i da se radi o rijetkoj bolesti mnogi lije\u010dnici nisu upoznati s klini\u010dkim fenomenom miotonije, pa \u0107e \u00a0simptome nerijetko pripisati nekim drugim, \u010de\u0161\u0107im poreme\u0107ajima.<\/p>\n<p style=\"text-align: justify;\">Klini\u010dki testovi: nakon blagog udarca u neki od popre\u010dno prugastih mi\u0161i\u0107a neurolo\u0161kim (medicinskim) \u010deki\u0107em koji se koristi za izazivanje refleksa, pojavit \u0107e se jasno vidljivo udubljenje (jamica) u mi\u0161i\u0107u (pekusijska miotonija). Udarac mo\u017ee izazvati i fascikulacije (trzaje) mi\u0161i\u0107nih vlakana u trajanju od nekoliko sekundi.<\/p>\n<p style=\"text-align: justify;\">Elektromiografski nalaz karakteriziraju visoko frekventna izbijanja nakon uboda iglicom ili voljne kontrakcije mi\u0161i\u0107a.<\/p>\n<p style=\"text-align: justify;\">Na patohistolo\u0161kom preparatu dobivenom biopsijom mi\u0161i\u0107a na\u0107i \u0107e se promjene u mi\u0161i\u0107nim stanicama, hipertrofija\u00a0 vlakana i nedostak vlakana tipa 2b, no niti jedna od ovih promjena nije specifi\u010dna je miotoniju kongenitu jer se mo\u017ee na\u0107i i u drugim nedistrofi\u010dnim miotonijama.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dijagnostika kongenitalne miotonije Miotonija se prepoznaje prema karakteristi\u010dnim simptomima, me\u0111utim, budu\u0107i da se radi o rijetkoj bolesti mnogi lije\u010dnici nisu upoznati s klini\u010dkim fenomenom miotonije, pa \u0107e \u00a0simptome nerijetko pripisati nekim drugim, \u010de\u0161\u0107im poreme\u0107ajima. Klini\u010dki testovi: nakon blagog udarca u neki od popre\u010dno prugastih mi\u0161i\u0107a neurolo\u0161kim (medicinskim) \u010deki\u0107em koji se koristi za izazivanje refleksa, pojavit \u0107e se jasno vidljivo udubljenje (jamica) u mi\u0161i\u0107u (pekusijska miotonija). Udarac mo\u017ee izazvati i fascikulacije (trzaje) mi\u0161i\u0107nih vlakana u trajanju [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-207","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.myotonia.com.hr\/index.php?rest_route=\/wp\/v2\/pages\/207"}],"collection":[{"href":"https:\/\/www.myotonia.com.hr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.myotonia.com.hr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.myotonia.com.hr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.myotonia.com.hr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=207"}],"version-history":[{"count":2,"href":"https:\/\/www.myotonia.com.hr\/index.php?rest_route=\/wp\/v2\/pages\/207\/revisions"}],"predecessor-version":[{"id":239,"href":"https:\/\/www.myotonia.com.hr\/index.php?rest_route=\/wp\/v2\/pages\/207\/revisions\/239"}],"wp:attachment":[{"href":"https:\/\/www.myotonia.com.hr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=207"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}