{"id":10883,"date":"2021-11-21T16:59:26","date_gmt":"2021-11-21T16:59:26","guid":{"rendered":"https:\/\/imedic.rs\/?page_id=10883"},"modified":"2026-11-07T20:59:19","modified_gmt":"2026-11-07T20:59:19","slug":"gout-causes-symptoms-and-treatment","status":"publish","type":"page","link":"https:\/\/imedic.rs\/en\/stanja\/giht-uzroci-simptomi-i-lecenje\/","title":{"rendered":"Gout - symptoms, causes and treatment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"10883\" class=\"elementor elementor-10883\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1eddcbfb e-con-full e-flex cmsmasters-block-default e-con e-parent\" data-id=\"1eddcbfb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-5bbb50d8 e-con-full e-flex cmsmasters-bg-hide-none cmsmasters-bg-hide-none cmsmasters-block-default e-con e-child\" data-id=\"5bbb50d8\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e70f437 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-spacer\" data-id=\"e70f437\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-72d78248 e-con-full e-flex cmsmasters-bg-hide-none cmsmasters-bg-hide-none cmsmasters-block-default e-con e-child\" data-id=\"72d78248\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b9e5c02d elementor-align-left imedic-approved-category-badge cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-button\" data-id=\"b9e5c02d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/imedic.rs\/stanja\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Stanja<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div data-separate-animation-selector=\".cmsmasters-widget-title__heading\" data-text-animation-class=\"sequental, random, line, word, char\" class=\"elementor-element elementor-element-7e531ca8 cmsmasters-line-clamp-no cmsmasters-color-variation-default cmsmasters-pointer-none cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-cmsmasters-post-title cmsmasters-widget-title\" data-id=\"7e531ca8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"cmsmasters-post-title.default\">\n\t\t\t\t\t<h1 class=\"entry-title cmsmasters-widget-title__heading \">Giht \u2013 simptomi, uzroci i le\u010denje<\/h1>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b65461f e-con-full e-flex cmsmasters-block-default e-con e-child\" data-id=\"b65461f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5e2c11a cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"5e2c11a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Giht je zapaljenje zgloba koje nastaje kada se kristali mokra\u0107ne kiseline talo\u017ee u zglobu. Naj\u010de\u0161\u0107e po\u010dinje iznenadnim, jakim bolom u korenu palca na nozi, no\u0107u ili rano ujutru. Giht je naj\u010de\u0161\u0107i uzrok zapaljenja zglobova kod osoba starijih od 40 godina: od njega boluje otprilike svaki pedeseti mu\u0161karac stariji od 30 godina, a sa godinama broj obolelih raste. Nekada se zvao \u201ebolest kraljeva\u201c, jer su ga dobijali oni koji su mogli da jedu i piju preko mere. Dijagnozu postavlja i le\u010denje vodi reumatolog.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7bbbea2b e-con-full e-flex cmsmasters-block-default e-con e-child\" data-id=\"7bbbea2b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3970be38 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-cmsmasters-button\" data-id=\"3970be38\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"cmsmasters-button.default\">\n\t\t\t\t\t<div class=\"elementor-widget-cmsmasters-button__button-container\"><div class=\"elementor-widget-cmsmasters-button__button-container-inner\"><a href=\"tel:+381642370707\" class=\"cmsmasters-button-link elementor-widget-cmsmasters-button__button cmsmasters-icon-view- cmsmasters-icon-shape- cmsmasters-button-size-sm\" role=\"button\" tabindex=\"0\"><span class=\"elementor-widget-cmsmasters-button__content-wrapper cmsmasters-align-icon-\"><span class=\"elementor-widget-cmsmasters-button__text\">Zaka\u017eite pregled<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c06864e2 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-cmsmasters-button\" data-id=\"c06864e2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"cmsmasters-button.default\">\n\t\t\t\t\t<div class=\"elementor-widget-cmsmasters-button__button-container\"><div class=\"elementor-widget-cmsmasters-button__button-container-inner\"><a href=\"https:\/\/imedic.rs\/cenovnik-reumatologija-i-ostalo\/\" class=\"cmsmasters-button-link elementor-widget-cmsmasters-button__button cmsmasters-icon-view- cmsmasters-icon-shape- cmsmasters-button-size-sm\" role=\"button\" tabindex=\"0\"><span class=\"elementor-widget-cmsmasters-button__content-wrapper cmsmasters-align-icon-\"><span class=\"elementor-widget-cmsmasters-button__text\">Pogledajte cenovnik<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d92e3db e-flex e-con-boxed cmsmasters-block-default e-con e-parent\" data-id=\"d92e3db\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4941c340 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-heading\" data-id=\"4941c340\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0160ta je giht?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c02f2db cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"6c02f2db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Mokra\u0107na kiselina nastaje u organizmu tokom razgradnje purina, materija koje telo stvara samo, a unosi ih i hranom. Vi\u0161ak se izbacuje preko bubrega. Kada se mokra\u0107na kiselina stvara u ve\u0107oj koli\u010dini ili se ne izlu\u010duje dovoljno, njen nivo u krvi raste (hiperurikemija). Iznad odre\u0111ene granice ona se izdvaja u obliku sitnih, igli\u010dastih kristala koji se talo\u017ee u zglobu i oko njega. Imunski sistem kristale prepoznaje kao strano telo i pokre\u0107e zapaljenje \u2013 to je napad gihta.<\/p><p>Povi\u0161ena mokra\u0107na kiselina ne zna\u010di automatski giht. Ve\u0107ina ljudi sa povi\u0161enim vrednostima nikada ne dobije napad, ali je rizik ve\u0107i \u0161to je vrednost vi\u0161a i \u0161to du\u017ee traje.<\/p><p>Cene pregleda i terapija mo\u017eete pogledati u <a href=\"https:\/\/imedic.rs\/cenovnik-reumatologija-i-ostalo\/\">cenovniku za reumatologiju, fizikalnu terapiju i ultrazvuk<\/a>.<\/p><p>Opisi drugih stanja ko\u017ee, kose i zglobova koja pregledamo i le\u010dimo nalaze se na stranici <a href=\"https:\/\/imedic.rs\/stanja\/\">Stanja ko\u017ee, kose i zglobova<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a431c8d e-flex e-con-boxed cmsmasters-block-default e-con e-parent\" data-id=\"a431c8d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-888b68f cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-heading\" data-id=\"888b68f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Prvi simptomi gihta \u2013 kako izgleda napad?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8a8ba51 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"8a8ba51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tNapad po\u010dinje naglo, naj\u010de\u0161\u0107e no\u0107u. Zglob za nekoliko sati postaje jako bolan, ote\u010den, crven i topao, a bol je tolika da smeta i dodir \u010dar\u0161ava. Kod polovine pacijenata prvi napad zahvata koren palca na nozi, a tokom bolesti ovaj zglob bude zahva\u0107en kod gotovo svih. Mogu\u0107e su i povi\u0161ena temperatura i malaksalost.\n\n<strong>Ako vam je zglob prvi put naglo otekao, pocrveneo i jako vas boli, odmah se javite lekaru, naro\u010dito ako imate temperaturu. I infekcija zgloba mo\u017ee ovako da izgleda i zahteva hitno le\u010denje.<\/strong>\n\nNapad je najja\u010di u prva 24 sata i smiruje se i bez le\u010denja za nekoliko dana do dve nedelje. Zato mnogi odla\u017eu pregled. Me\u0111utim, slede\u0107i napadi obi\u010dno dolaze \u010de\u0161\u0107e, traju du\u017ee i zahvataju nove zglobove. Kada se kristali talo\u017ee godinama, nastaje hroni\u010dni giht: stalni bol i otok vi\u0161e zglobova i tofusi, odnosno \u010dvori\u0107i ispod ko\u017ee ispunjeni mokra\u0107nom kiselinom, iz kojih se ponekad cedi beli\u010dast sadr\u017eaj nalik kredi.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7b7e5df e-flex e-con-boxed cmsmasters-block-default e-con e-parent\" data-id=\"7b7e5df\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-594e334 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-heading\" data-id=\"594e334\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Gde se giht naj\u010de\u0161\u0107e javlja?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e002101 elementor-widget__width-auto cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"e002101\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li>koren palca na nozi<\/li><li>sko\u010dni zglob i gornji deo stopala<\/li><li>koleno<\/li><li>ru\u010dni zglob i zglobovi prstiju \u0161ake<\/li><li>lakat<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f4a511 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"1f4a511\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Tofusi se naj\u010de\u0161\u0107e pojavljuju na u\u0161noj \u0161koljci, laktovima, prstima \u0161aka i stopala i oko Ahilove tetive.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-340e8d4 e-flex e-con-boxed cmsmasters-block-default e-con e-parent\" data-id=\"340e8d4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a043319 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-heading\" data-id=\"a043319\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Za\u0161to nastaje giht i ko je u riziku?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-093d05f cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"093d05f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Na nivo mokra\u0107ne kiseline uti\u010du nasle\u0111e, rad bubrega, ishrana i druge bolesti. Giht je \u010de\u0161\u0107i kod:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-93e4bc5 elementor-widget__width-auto cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"93e4bc5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li>mu\u0161karaca, naro\u010dito posle 40. godine, i \u017eena posle menopauze;<\/li><li>osoba sa vi\u0161kom kilograma, povi\u0161enim pritiskom, \u0161e\u0107ernom bole\u0161\u0107u i povi\u0161enim masno\u0107ama u krvi;<\/li><li>osoba sa hroni\u010dnom bole\u0161\u0107u bubrega;<\/li><li>osoba sa <a href=\"https:\/\/imedic.rs\/stanja\/psorijaza\/\">psorijazom<\/a>;<\/li><li>osoba koje redovno piju pivo, \u017eestoka pi\u0107a i zasla\u0111ene sokove;<\/li><li>osoba koje uzimaju neke lekove za izbacivanje te\u010dnosti i pojedine lekove za pritisak.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-93ef157 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"93ef157\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Napad \u010desto izazove obilan obrok sa dosta mesa, alkohol, nedovoljan unos te\u010dnosti, gladovanje i naglo mr\u0161avljenje, povreda zgloba ili akutna bolest.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b6f73ad e-flex e-con-boxed cmsmasters-block-default e-con e-parent\" data-id=\"b6f73ad\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e7576e3 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-heading\" data-id=\"e7576e3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Kako se postavlja dijagnoza gihta?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fef9b57 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"fef9b57\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/imedic.rs\/reumatologija\/pregled-reumatologa\/\">Reumatolog<\/a> postavlja dijagnozu na osnovu razgovora, pregleda zgloba i analiza krvi: mokra\u0107ne kiseline, parametara rada bubrega i zapaljenja. Tokom samog napada mokra\u0107na kiselina mo\u017ee biti normalna, pa se merenje ponavlja kada se napad smiri.<\/p><p>Najsigurniji dokaz su kristali mokra\u0107ne kiseline u te\u010dnosti iz zapaljenog zgloba. Ultrazvuk zgloba ima veliki zna\u010daj, naro\u010dito u ranoj fazi i kada se iz zgloba ne mo\u017ee dobiti te\u010dnost: na njemu se vide naslage kristala na hrskavici. Pregledom se isklju\u010duju i stanja koja li\u010de na giht, kao \u0161to su infekcija zgloba, pseudogiht i psorijazni artritis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f9e682a e-flex e-con-boxed cmsmasters-block-default e-con e-parent\" data-id=\"f9e682a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3d30a2c cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-heading\" data-id=\"3d30a2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Kako se le\u010di giht?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d854081 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"d854081\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Le\u010denje ima dva cilja: da se napad \u0161to pre smiri i da se spre\u010de novi napadi.<\/p><p>Napad se le\u010di lekovima protiv zapaljenja, a vrstu leka i dozu lekar bira prema drugim bolestima i lekovima koje pacijent uzima. Le\u010denje je najuspe\u0161nije kada po\u010dne u prva 24 sata od po\u010detka bola.<\/p><p>Kada su napadi u\u010destali ili postoje tofusi, o\u0161te\u0107enje zgloba ili kamen u bubregu, uvode se lekovi koji sni\u017eavaju mokra\u0107nu kiselinu. Cilj je vrednost ispod 360 \u00b5mol\/L, a kod tofusa i ni\u017ea, kako bi se postoje\u0107i kristali postepeno rastvorili. Ova terapija se uzima dugo i ne prekida se tokom novog napada. U prvim mesecima lekar obi\u010dno daje i za\u0161titu od napada, jer naglo sni\u017eavanje mokra\u0107ne kiseline mo\u017ee da pokrene novi napad.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-24e445c e-flex e-con-boxed cmsmasters-block-default e-con e-parent\" data-id=\"24e445c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5d0c1e6 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-heading\" data-id=\"5d0c1e6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ishrana kod gihta<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0eade7d cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"0eade7d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Ishrana sama ne le\u010di giht, ali smanjuje broj napada i poma\u017ee terapiji.<\/p><p><strong>Ograni\u010diti:<\/strong> iznutrice, crveno meso i mesne prera\u0111evine, morske plodove i sitnu ribu (sardine, in\u0107uni), pivo i \u017eestoka pi\u0107a, zasla\u0111ene sokove.<\/p><p><strong>Preporu\u010duje se:<\/strong> najmanje dva litra vode dnevno, ako lekar ne savetuje druga\u010dije; mle\u010dni proizvodi sa manje masti, koji podsti\u010du izlu\u010divanje mokra\u0107ne kiseline; povr\u0107e, vo\u0107e i integralne \u017eitarice; postepeno smanjenje telesne te\u017eine, bez gladovanja.<\/p><p>Vino u umerenim koli\u010dinama manje uti\u010de na mokra\u0107nu kiselinu od piva, ali tokom napada alkohol treba izbegavati.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d8e3a26 e-flex e-con-boxed cmsmasters-block-default e-con e-parent\" data-id=\"d8e3a26\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b04ddaa cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-heading\" data-id=\"b04ddaa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Kako sebi pomo\u0107i tokom napada?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8399185 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-text-editor\" data-id=\"8399185\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Zglob po\u0161tedeti od optere\u0107enja, podi\u0107i nogu i stavljati hladne obloge umotane u tkaninu, po 15 do 20 minuta. Piti dovoljno vode. Lekove za mokra\u0107nu kiselinu ne treba sam zapo\u010dinjati ni prekidati \u2013 o tome odlu\u010duje lekar.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3de2121d e-con-full e-flex cmsmasters-block-default e-con e-parent\" data-id=\"3de2121d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-6ff94379 e-con-full e-flex cmsmasters-block-default e-con e-child\" data-id=\"6ff94379\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3b265602 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-heading\" data-id=\"3b265602\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Naj\u010de\u0161\u0107a pitanja o gihtu<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div data-separate-animation-selector=\".elementor-widget-cmsmasters-toggles__item\" data-text-animation-class=\"sequental, random\" class=\"elementor-element elementor-element-35b1dc76 cmsmasters-title-alignment-left cmsmasters-item-icon-position-left cmsmasters-trigger-icon-view-default cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-cmsmasters-toggles cmsmasters-widget-toggles\" data-id=\"35b1dc76\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;toggles&quot;:[{&quot;_id&quot;:&quot;7b9bc2b&quot;,&quot;toggle_title&quot;:&quot;Da li giht prolazi sam?&quot;,&quot;toggle_content&quot;:&quot;&lt;p&gt;Napad prolazi sam za nekoliko dana do dve nedelje, ali bolest ne prolazi. Bez le\\u010denja napadi postaju \\u010de\\u0161\\u0107i, a kristali o\\u0161te\\u0107uju zglob.&lt;\\\/p&gt;&quot;,&quot;content_type&quot;:&quot;toggle-content&quot;,&quot;saved_section&quot;:null,&quot;saved_template&quot;:null,&quot;saved_widget&quot;:null,&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;toggle_custom_id&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;3cdda19&quot;,&quot;toggle_title&quot;:&quot;Koliko traje napad gihta?&quot;,&quot;toggle_content&quot;:&quot;&lt;p&gt;Naj\\u010de\\u0161\\u0107e 3 do 10 dana. Bol je najja\\u010di prvog dana, a uz terapiju zapo\\u010detu na vreme napad se smiruje br\\u017ee.&lt;\\\/p&gt;&quot;,&quot;content_type&quot;:&quot;toggle-content&quot;,&quot;saved_section&quot;:null,&quot;saved_template&quot;:null,&quot;saved_widget&quot;:null,&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;toggle_custom_id&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;5b374b4&quot;,&quot;toggle_title&quot;:&quot;Koja je normalna vrednost mokra\\u0107ne kiseline?&quot;,&quot;toggle_content&quot;:&quot;&lt;p&gt;Referentne vrednosti zavise od laboratorije, okvirno do oko 420 \\u00b5mol\\\/L kod mu\\u0161karaca i do oko 360 \\u00b5mol\\\/L kod \\u017eena. Kod osoba koje imaju giht cilj le\\u010denja je vrednost ispod 360 \\u00b5mol\\\/L.&lt;\\\/p&gt;&quot;,&quot;content_type&quot;:&quot;toggle-content&quot;,&quot;saved_section&quot;:null,&quot;saved_template&quot;:null,&quot;saved_widget&quot;:null,&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;toggle_custom_id&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;cf1144e&quot;,&quot;toggle_title&quot;:&quot;Da li povi\\u0161ena mokra\\u0107na kiselina uvek zna\\u010di giht?&quot;,&quot;toggle_content&quot;:&quot;&lt;p&gt;Ne. Ve\\u0107ina ljudi sa povi\\u0161enom mokra\\u0107nom kiselinom nikada ne dobije giht. Da li je potrebna terapija, procenjuje lekar prema vrednostima, drugim bolestima i radu bubrega.&lt;\\\/p&gt;&quot;,&quot;content_type&quot;:&quot;toggle-content&quot;,&quot;saved_section&quot;:null,&quot;saved_template&quot;:null,&quot;saved_widget&quot;:null,&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;toggle_custom_id&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;2b68b20&quot;,&quot;toggle_title&quot;:&quot;Mo\\u017ee li giht da se javi u kolenu ili \\u0161aci?&quot;,&quot;toggle_content&quot;:&quot;&lt;p&gt;Da. Posle palca na nozi naj\\u010de\\u0161\\u0107e su zahva\\u0107eni sko\\u010dni zglob, koleno, ru\\u010dni zglob i prsti \\u0161ake.&lt;\\\/p&gt;&quot;,&quot;content_type&quot;:&quot;toggle-content&quot;,&quot;saved_section&quot;:null,&quot;saved_template&quot;:null,&quot;saved_widget&quot;:null,&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;toggle_custom_id&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;cf951f6&quot;,&quot;toggle_title&quot;:&quot;Kada se javiti lekaru?&quot;,&quot;toggle_content&quot;:&quot;&lt;p&gt;Odmah kod prvog naglog bola, otoka i crvenila zgloba, naro\\u010dito ako je pra\\u0107en temperaturom, jer i infekcija zgloba mo\\u017ee ovako da izgleda i zahteva hitno le\\u010denje. Vi\\u0161e o pregledu pro\\u010ditajte na stranici &lt;a href=\\&quot;https:\\\/\\\/imedic.rs\\\/reumatologija\\\/pregled-reumatologa\\\/\\&quot;&gt;pregled reumatologa&lt;\\\/a&gt;.&lt;\\\/p&gt;&quot;,&quot;content_type&quot;:&quot;toggle-content&quot;,&quot;saved_section&quot;:null,&quot;saved_template&quot;:null,&quot;saved_widget&quot;:null,&quot;item_icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;toggle_custom_id&quot;:&quot;&quot;}],&quot;default_toggle&quot;:1,&quot;type&quot;:&quot;toggles&quot;}\" data-widget_type=\"cmsmasters-toggles.default\">\n\t\t\t\t\t<div class=\"elementor-widget-cmsmasters-toggles__list\"><div class=\"elementor-widget-cmsmasters-toggles__item\"><h3 id=\"elementor-tab-title-9001\" class=\"elementor-widget-cmsmasters-toggles__title\" data-tab=\"1\" aria-expanded=\"false\" aria-controls=\"elementor-widget-cmsmasters-toggles__content-9001\" tabindex=\"0\"><a class=\"elementor-widget-cmsmasters-toggles__title-link cmsmasters_enable_trigger_icon\" href=\"#\" tabindex=\"-1\"><span class=\"elementor-widget-cmsmasters-toggles__title-text\">Da li giht prolazi sam?<\/span><\/a><span class=\"elementor-widget-cmsmasters-toggles__trigger\"><span class=\"elementor-widget-cmsmasters-toggles__trigger-closed\"><svg aria-hidden=\"true\" aria-label=\"Closed\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"elementor-widget-cmsmasters-toggles__trigger-opened\"><svg aria-hidden=\"true\" aria-label=\"Opened\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><\/span><\/h3><div id=\"elementor-widget-cmsmasters-toggles__content-9001\" class=\"elementor-widget-cmsmasters-toggles__content elementor-clearfix\" data-tab=\"1\"><p>Napad prolazi sam za nekoliko dana do dve nedelje, ali bolest ne prolazi. Bez le\u010denja napadi postaju \u010de\u0161\u0107i, a kristali o\u0161te\u0107uju zglob.<\/p><\/div><\/div><div class=\"elementor-widget-cmsmasters-toggles__item\"><h3 id=\"elementor-tab-title-9002\" class=\"elementor-widget-cmsmasters-toggles__title\" data-tab=\"2\" aria-expanded=\"false\" aria-controls=\"elementor-widget-cmsmasters-toggles__content-9002\" tabindex=\"0\"><a class=\"elementor-widget-cmsmasters-toggles__title-link cmsmasters_enable_trigger_icon\" href=\"#\" tabindex=\"-1\"><span class=\"elementor-widget-cmsmasters-toggles__title-text\">Koliko traje napad gihta?<\/span><\/a><span class=\"elementor-widget-cmsmasters-toggles__trigger\"><span class=\"elementor-widget-cmsmasters-toggles__trigger-closed\"><svg aria-hidden=\"true\" aria-label=\"Closed\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"elementor-widget-cmsmasters-toggles__trigger-opened\"><svg aria-hidden=\"true\" aria-label=\"Opened\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><\/span><\/h3><div id=\"elementor-widget-cmsmasters-toggles__content-9002\" class=\"elementor-widget-cmsmasters-toggles__content elementor-clearfix\" data-tab=\"2\"><p>Naj\u010de\u0161\u0107e 3 do 10 dana. Bol je najja\u010di prvog dana, a uz terapiju zapo\u010detu na vreme napad se smiruje br\u017ee.<\/p><\/div><\/div><div class=\"elementor-widget-cmsmasters-toggles__item\"><h3 id=\"elementor-tab-title-9003\" class=\"elementor-widget-cmsmasters-toggles__title\" data-tab=\"3\" aria-expanded=\"false\" aria-controls=\"elementor-widget-cmsmasters-toggles__content-9003\" tabindex=\"0\"><a class=\"elementor-widget-cmsmasters-toggles__title-link cmsmasters_enable_trigger_icon\" href=\"#\" tabindex=\"-1\"><span class=\"elementor-widget-cmsmasters-toggles__title-text\">Koja je normalna vrednost mokra\u0107ne kiseline?<\/span><\/a><span class=\"elementor-widget-cmsmasters-toggles__trigger\"><span class=\"elementor-widget-cmsmasters-toggles__trigger-closed\"><svg aria-hidden=\"true\" aria-label=\"Closed\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"elementor-widget-cmsmasters-toggles__trigger-opened\"><svg aria-hidden=\"true\" aria-label=\"Opened\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><\/span><\/h3><div id=\"elementor-widget-cmsmasters-toggles__content-9003\" class=\"elementor-widget-cmsmasters-toggles__content elementor-clearfix\" data-tab=\"3\"><p>Referentne vrednosti zavise od laboratorije, okvirno do oko 420 \u00b5mol\/L kod mu\u0161karaca i do oko 360 \u00b5mol\/L kod \u017eena. Kod osoba koje imaju giht cilj le\u010denja je vrednost ispod 360 \u00b5mol\/L.<\/p><\/div><\/div><div class=\"elementor-widget-cmsmasters-toggles__item\"><h3 id=\"elementor-tab-title-9004\" class=\"elementor-widget-cmsmasters-toggles__title\" data-tab=\"4\" aria-expanded=\"false\" aria-controls=\"elementor-widget-cmsmasters-toggles__content-9004\" tabindex=\"0\"><a class=\"elementor-widget-cmsmasters-toggles__title-link cmsmasters_enable_trigger_icon\" href=\"#\" tabindex=\"-1\"><span class=\"elementor-widget-cmsmasters-toggles__title-text\">Da li povi\u0161ena mokra\u0107na kiselina uvek zna\u010di giht?<\/span><\/a><span class=\"elementor-widget-cmsmasters-toggles__trigger\"><span class=\"elementor-widget-cmsmasters-toggles__trigger-closed\"><svg aria-hidden=\"true\" aria-label=\"Closed\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"elementor-widget-cmsmasters-toggles__trigger-opened\"><svg aria-hidden=\"true\" aria-label=\"Opened\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><\/span><\/h3><div id=\"elementor-widget-cmsmasters-toggles__content-9004\" class=\"elementor-widget-cmsmasters-toggles__content elementor-clearfix\" data-tab=\"4\"><p>Ne. Ve\u0107ina ljudi sa povi\u0161enom mokra\u0107nom kiselinom nikada ne dobije giht. Da li je potrebna terapija, procenjuje lekar prema vrednostima, drugim bolestima i radu bubrega.<\/p><\/div><\/div><div class=\"elementor-widget-cmsmasters-toggles__item\"><h3 id=\"elementor-tab-title-9005\" class=\"elementor-widget-cmsmasters-toggles__title\" data-tab=\"5\" aria-expanded=\"false\" aria-controls=\"elementor-widget-cmsmasters-toggles__content-9005\" tabindex=\"0\"><a class=\"elementor-widget-cmsmasters-toggles__title-link cmsmasters_enable_trigger_icon\" href=\"#\" tabindex=\"-1\"><span class=\"elementor-widget-cmsmasters-toggles__title-text\">Mo\u017ee li giht da se javi u kolenu ili \u0161aci?<\/span><\/a><span class=\"elementor-widget-cmsmasters-toggles__trigger\"><span class=\"elementor-widget-cmsmasters-toggles__trigger-closed\"><svg aria-hidden=\"true\" aria-label=\"Closed\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"elementor-widget-cmsmasters-toggles__trigger-opened\"><svg aria-hidden=\"true\" aria-label=\"Opened\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><\/span><\/h3><div id=\"elementor-widget-cmsmasters-toggles__content-9005\" class=\"elementor-widget-cmsmasters-toggles__content elementor-clearfix\" data-tab=\"5\"><p>Da. Posle palca na nozi naj\u010de\u0161\u0107e su zahva\u0107eni sko\u010dni zglob, koleno, ru\u010dni zglob i prsti \u0161ake.<\/p><\/div><\/div><div class=\"elementor-widget-cmsmasters-toggles__item\"><h3 id=\"elementor-tab-title-9006\" class=\"elementor-widget-cmsmasters-toggles__title\" data-tab=\"6\" aria-expanded=\"false\" aria-controls=\"elementor-widget-cmsmasters-toggles__content-9006\" tabindex=\"0\"><a class=\"elementor-widget-cmsmasters-toggles__title-link cmsmasters_enable_trigger_icon\" href=\"#\" tabindex=\"-1\"><span class=\"elementor-widget-cmsmasters-toggles__title-text\">Kada se javiti lekaru?<\/span><\/a><span class=\"elementor-widget-cmsmasters-toggles__trigger\"><span class=\"elementor-widget-cmsmasters-toggles__trigger-closed\"><svg aria-hidden=\"true\" aria-label=\"Closed\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><span class=\"elementor-widget-cmsmasters-toggles__trigger-opened\"><svg aria-hidden=\"true\" aria-label=\"Opened\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span><\/span><\/h3><div id=\"elementor-widget-cmsmasters-toggles__content-9006\" class=\"elementor-widget-cmsmasters-toggles__content elementor-clearfix\" data-tab=\"6\"><p>Odmah kod prvog naglog bola, otoka i crvenila zgloba, naro\u010dito ako je pra\u0107en temperaturom, jer i infekcija zgloba mo\u017ee ovako da izgleda i zahteva hitno le\u010denje. Vi\u0161e o pregledu pro\u010ditajte na stranici <a href=\"https:\/\/imedic.rs\/reumatologija\/pregled-reumatologa\/\">pregled reumatologa<\/a>.<\/p><\/div><\/div> <script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Da li giht prolazi sam?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Napad prolazi sam za nekoliko dana do dve nedelje, ali bolest ne prolazi. Bez le\\u010denja napadi postaju \\u010de\\u0161\\u0107i, a kristali o\\u0161te\\u0107uju zglob.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Koliko traje napad gihta?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Naj\\u010de\\u0161\\u0107e 3 do 10 dana. Bol je najja\\u010di prvog dana, a uz terapiju zapo\\u010detu na vreme napad se smiruje br\\u017ee.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Koja je normalna vrednost mokra\\u0107ne kiseline?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Referentne vrednosti zavise od laboratorije, okvirno do oko 420 \\u00b5mol\\\/L kod mu\\u0161karaca i do oko 360 \\u00b5mol\\\/L kod \\u017eena. Kod osoba koje imaju giht cilj le\\u010denja je vrednost ispod 360 \\u00b5mol\\\/L.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Da li povi\\u0161ena mokra\\u0107na kiselina uvek zna\\u010di giht?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Ne. Ve\\u0107ina ljudi sa povi\\u0161enom mokra\\u0107nom kiselinom nikada ne dobije giht. Da li je potrebna terapija, procenjuje lekar prema vrednostima, drugim bolestima i radu bubrega.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Mo\\u017ee li giht da se javi u kolenu ili \\u0161aci?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Da. Posle palca na nozi naj\\u010de\\u0161\\u0107e su zahva\\u0107eni sko\\u010dni zglob, koleno, ru\\u010dni zglob i prsti \\u0161ake.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Kada se javiti lekaru?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Odmah kod prvog naglog bola, otoka i crvenila zgloba, naro\\u010dito ako je pra\\u0107en temperaturom, jer i infekcija zgloba mo\\u017ee ovako da izgleda i zahteva hitno le\\u010denje. Vi\\u0161e o pregledu pro\\u010ditajte na stranici <a href=\\\"https:\\\/\\\/imedic.rs\\\/reumatologija\\\/pregled-reumatologa\\\/\\\">pregled reumatologa<\\\/a>.<\\\/p>\"}}]}<\/script> <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-58d139fd e-con-full e-flex cmsmasters-bg-hide-none cmsmasters-bg-hide-none cmsmasters-block-default e-con e-child\" data-id=\"58d139fd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1b618139 cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-spacer\" data-id=\"1b618139\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e77ef53 e-flex e-con-boxed cmsmasters-block-default e-con e-parent\" data-id=\"e77ef53\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-33fb64fc e-flex e-con-boxed cmsmasters-block-default e-con e-child\" data-id=\"33fb64fc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-66663f24 elementor-align-center cmsmasters-block-default cmsmasters-sticky-default elementor-widget elementor-widget-button\" data-id=\"66663f24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"tel:+381642370707\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Zaka\u017eite pregled<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Stanja Giht je zapaljenje zgloba koje nastaje kada se kristali mokra\u0107ne kiseline talo\u017ee u zglobu. Naj\u010de\u0161\u0107e po\u010dinje iznenadnim, jakim bolom u korenu palca na nozi, no\u0107u ili rano ujutru. Giht je naj\u010de\u0161\u0107i uzrok zapaljenja zglobova kod osoba starijih od 40 godina: od njega boluje otprilike svaki pedeseti mu\u0161karac stariji od 30 godina, a sa godinama&#8230;<\/p>","protected":false},"author":1,"featured_media":51438,"parent":10869,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-10883","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.8 (Yoast SEO v28.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Giht \u2013 simptomi, uzroci i le\u010denje | Imedic<\/title>\n<meta name=\"description\" content=\"Giht je zapaljenje zgloba izazvano kristalima mokra\u0107ne kiseline. 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