{"id":14500,"date":"2025-11-12T21:20:05","date_gmt":"2025-11-12T21:20:05","guid":{"rendered":"https:\/\/imedic.rs\/?p=14500"},"modified":"2026-10-10T16:47:26","modified_gmt":"2026-10-10T16:47:26","slug":"hair-loss-treatment","status":"publish","type":"post","link":"https:\/\/imedic.rs\/en\/opadanje-kose-tretmani-efekti-cene\/","title":{"rendered":"Hair loss: causes, overview and treatments"},"content":{"rendered":"\t\t
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Opadanje kose ili alopecija predstavlja privremeni ili trajni gubitak kose koji mo\u017ee biti uzrokovan genetikom, bole\u0161\u0107u, stresom ili drugim faktorima. Predstavlja veliki estetski problem, kako za \u017eene, tako i za mu\u0161karce. Ipak, dobra vest je \u0161to savremeni tretmani, kao \u0161to su PRP<\/a> ili mezoterapija<\/a>, mogu pomo\u0107i u njenom obnavljanju i stimulisanju ponovnog rasta.<\/p>

Prirodno je da svakog dana izgubimo odre\u0111enu koli\u010dinu kose, kao deo uobi\u010dajenog prirodnog ciklusa njene regeneracije. Smatra se da je normalno da dnevno opadne od 50 do 100 vlasi. To je posebno vidljivo nakon pranja, kada je ona te\u0161ka i mokra, pa lak\u0161e opadaju one vlasi koje su ve\u0107 spremne da ispadnu. Ovo nas ponekad mo\u017ee \u010dak i upla\u0161iti i stvoriti utisak ve\u0107eg gubitka. Me\u0111utim, uzmimo u obzir da u proseku imamo oko 100.000 dlaka na glavi i zato opadanje od 50 do 100 dlaka tokom dana nije zabrinjavaju\u0107e.<\/p>

Ipak, kada je vreme da se zapitamo da li nam kosa poja\u010dano opada i da li ne\u0161to nije u redu?<\/p>

Kod ve\u0107ine ljudi izgubljena kosa ponovo izraste, pa ona ostaje gusta i zdrava. Me\u0111utim, bolesti, hormonske promene, stres, starenje i nasledni faktori mogu poremetiti njen ciklus rasta. Tada vi\u0161e vlasi opada, a nove ne izrastaju uvek ili rastu mnogo sporije. I zato, svaki ve\u0107i gubitak kose od one koja se smatra normalnom naziva se alopecija.<\/p>

Da pojasnimo. Dok raste, kosa prolazi kroz odre\u0111ene faze. Anagena je faza aktivnog rasta, katagena je prelazna faza, dok je telogena faza mirovanja kada folikuli dlake \u201cmiruju\u201d. Nakon zavr\u0161etka faze mirovanja, vlas ispada, a nova raste u folikulu. Me\u0111utim, usled razli\u010ditih faktora, prirodan ciklus rasta i obnavljanja kose mo\u017ee biti prekinut \u2013 tada ona ubrzano opada, prore\u0111uje se, pa \u010desto dolazi i do pojave \u0107elavosti ili stvaranja pe\u010data bez kose na odre\u0111enim delovima glave.<\/p>

Opadanje kose \u2013 uzroci<\/h2>

Opadanje kose predstavlja veliki estetski problem, ali i zna\u010dajno uti\u010de na psihi\u010dko stanje pojedinca, dovodi do manjka samopouzdanja, pa \u010dak i do depresije kod pojedinih pacijenata. Pomenimo samo da postoji i poreme\u0107aj \u010dupanja kose, takozvana trihotilomanija \u2013 potreba \u010dupanja ili lomljenja sopstvene kose koja se naj\u010de\u0161\u0107e javlja u ranom detinjstvu, do adolescencije.<\/p>

Naj\u010de\u0161\u0107i uzroci alopecije su:<\/p>

Genetika i porodi\u010dna istorija \u0107elavosti<\/strong><\/h4>

Stru\u010dno, ovo se naziva androgenetska alopecija i predstavlja naj\u010de\u0161\u0107i oblik gubitka kose, genetski uslovljen i hormonski posredovan. Kod mu\u0161karaca se javlja kao povla\u010denje linije kose i \u0107elavost na temenu, a kod \u017eena kao difuzno prore\u0111ivanje kose na sredini glave. Uzrokuje je preosetljivost folikula dlake na dihidrotestosteron (DHT), koji skra\u0107uje fazu rasta dlake i dovodi do slabljenja folikula.<\/p>

Hormonski disbalans<\/strong><\/h4>

Naj\u010de\u0161\u0107e kod \u017eena, hormonske promene tokom trudno\u0107e, nakon poro\u0111aja ili u menopauzi mogu izazvati naglo opadanje i prore\u0111ivanje kose.<\/p>

Stres i emocionalni ili fizi\u010dki \u0161ok<\/strong><\/h4>

Stres direktno uti\u010de na imunolo\u0161ki sistem i mo\u017ee dovesti do iznenadnog i progresivnog opadanja kose.<\/p>

Medicinska stanja<\/strong><\/h4>

Odre\u0111ene bolesti kao \u0161to su dijabetes, lupus, sindrom policisti\u010dnih jajnika ili problemi sa \u0161titnom \u017elezdom mogu uzrokovati hormonske promene i posledi\u010dno gubitak kose.<\/p>

Infekcije vlasi\u0161ta<\/strong><\/h4>

Gljivi\u010dne i druge infekcije skalpa mogu naru\u0161iti normalan rast dlake i dovesti do lokalizovanog opadanja.<\/p>

Kori\u0161\u0107enje lekova, suplemenata i onkolo\u0161kih terapija<\/strong><\/h4>

Odre\u0111eni lekovi, suplementi, hemoterapija i radioterapija \u010desto izazivaju privremeni ili trajni gubitak kose.<\/p>

Lo\u0161a ishrana i dehidratacija<\/strong><\/h4>

Nedostatak esencijalnih nutrijenata, proteina, vitamina i minerala, kao i nedovoljna hidratacija organizma, negativno uti\u010du na folikul dlake i mogu ubrzati opadanje kose.<\/p>

Koji su jasni znakovi ubrzanog opadanja kose?<\/h2>

Postepeno prore\u0111ivanje na vrhu glave<\/strong><\/h4>

Ovo je naj\u010de\u0161\u0107i oblik gubitka kose i javlja se sa starenjem. Kod mu\u0161karaca kosa \u010desto po\u010dinje da se povla\u010di du\u017e linije \u010dela, dok se kod \u017eena obi\u010dno prime\u0107uje \u0161irenje razdeljka. Sve \u010de\u0161\u0107i obrazac kod starijih \u017eena jeste frontalna fibroziraju\u0107a alopecija, koja mo\u017ee dovesti i do gubitka obrva.<\/p>

Kru\u017ene ili delimi\u010dne \u0107elave pege<\/strong><\/h4>

Kada kosa opada u kru\u017enim ili neujedna\u010denim pe\u010datima na temenu, bradi ili obrvama, \u010desto se javlja svrab ili bol pre samog opadanja. Ovo je karakteristi\u010dno za alopeciju areatu.<\/p>

Iznenadno opadanje kose<\/strong><\/h4>

Mo\u017ee nastati usled jakog stresa, fizi\u010dkog ili emocionalnog \u0161oka. Pramenovi kose mogu ispadati u krupnijim koli\u010dinama pri \u010de\u0161ljanju, pranju ili \u010dak blagim povla\u010denjem. Naj\u010de\u0161\u0107e dovodi do difuznog prore\u0111ivanja i obi\u010dno je privremenog karaktera.<\/p>

Gubitak dlaka na celom telu<\/strong><\/h4>

Javlja se kod odre\u0111enih oboljenja ili nakon medicinskih tretmana, posebno hemoterapije. Po zavr\u0161etku terapije, dlake se naj\u010de\u0161\u0107e regeneri\u0161u.<\/p>

Pege sa perutanjem na temenu<\/strong><\/h4>

Ovakve promene su tipi\u010dni znak gljivi\u010dne infekcije poznate kao li\u0161aj (tinea capitis). Infekcija napada pore iz kojih izlazi dlaka i vlasi\u0161te, a mo\u017ee biti pra\u0107ena lomljenjem vlasi, crvenilom, otokom i ponekad curenjem te\u010dnosti.<\/p>

Opadanje kose \u2013 kako do dijagnoze?<\/h2>

Pravovremeno uo\u010davanje prvih znakova naglog i poja\u010danog opadanja kose je izuzetno va\u017eno. U slu\u010daju delimi\u010dnog gubitka poznatog kao alopecija areata, opadanje kose se javlja iznenada i obi\u010dno po\u010dinje sa jednim ili vi\u0161e kru\u017enih \u0107elavih pega koje se mogu preklapati. Rani znaci mogu uklju\u010divati i ose\u0107aj nelagodnosti, svrab ili peckanje na temenu glave.<\/p>

Osnova za efikasan tretman svakako je pronala\u017eenje uzroka i uspostavljanje adekvatne dijagnoze. Bitno je izneti lekaru sve faktore koji bi mogli biti uzrok, od genetike, mogu\u0107eg stresa do uzimanja odre\u0111enih lekova. Dijagnoza se mo\u017ee uspostaviti prou\u010davanjem temena glave, kao i analizom vlasi pod mikroskopom. Prema proceni lekara mogu se uraditi krvne analize ili provera hormonskog statusa, a u pojedinim slu\u010dajevima i biopsija temena<\/a>. U proceni uzroka dermatolog mo\u017ee koristiti i trihoskopski pregled kose i vlasi\u0161ta<\/a>, a dodatna ispitivanja odre\u0111uje prema nalazu.<\/p>

Sve to va\u017eno je kako bi se napravio odgovaraju\u0107i protokol le\u010denja i odredili tretmani koji su adekvatni za svakog pojedina\u010dnog pacijenta.<\/p>

Tretmani protiv opadanja kose<\/h2>

U zavisnosti od uzroka naglog opadanja kose, mogu se primeniti razli\u010diti na\u010dini le\u010denja i tretmani. \u010cesto je potrebna primena odre\u0111enih lekova, kortikosteroidnih masti ili sprejeva koji stimuli\u0161u rast kose i spre\u010davaju njeno dalje opadanje. Uz terapiju koju propisuje lekar, \u010desto se kombinuju i medicinski tretmani za gubitak kose \u2013 PRP i mezoterapija.<\/p>

Oba tretmana radimo u Imedic-u, a plan se pravi posle pregleda vlasi\u0161ta.<\/p>

\"prp<\/p>

PRP tretman protiv opadanja kose<\/h3>

Kod PRP tretmana iz va\u0161e krvi se izdvaja plazma bogata trombocitima i tankim iglicama unosi u vlasi\u0161te. Faktori rasta iz trombocita ja\u010daju oslabljene folikule i produ\u017eavaju fazu rasta kose. Najvi\u0161e podataka postoji za nasledno, androgenetsko opadanje kose, a efekat je bolji kada se po\u010dne rano. Kako izgleda tretman, koliko tretmana je potrebno i kada se vide rezultati, pro\u010ditajte na stranici PRP tretman kose<\/a>.<\/p>

Mezoterapija protiv opadanja kose<\/h3>

Kod mezoterapije se u vlasi\u0161te unosi koktel vitamina, aminokiselina, minerala i drugih aktivnih sastojaka koji podr\u017eavaju ishranu folikula. Radi se u seriji tretmana, samostalno ili uz PRP, prema proceni lekara. Vi\u0161e o protokolu i rezultatima pro\u010ditajte na stranici mezoterapija kose<\/a>.<\/p>

PRP ili mezoterapija kose \u2013 \u0161ta izabrati?<\/h2>

PRP i mezoterapija kose deluju na razli\u010dit na\u010din, pa izbor zavisi od uzroka opadanja i stanja vlasi\u0161ta, a ponekad se kombinuju. Detaljno pore\u0111enje, sa tabelom, nalazi se u odeljku PRP ili mezoterapija kose<\/a> na stranici PRP tretman kose.<\/p>

Pregled vlasi\u0161ta i trihoskopiju u Imedic-u obavljaju dermatolozi dr Marina \u0106irovi\u0107 i dr Sanja Keki\u0107, a PRP i mezoterapiju kose rade lekari poliklinike prema planu napravljenom posle pregleda.<\/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

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IMATE PITANJE?<\/h6>\t\t\t\t<\/div>\n\t\t\t\t
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Odgovori na naj\u010de\u0161\u0107a pitanja<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Koji tipovi alopecije postoje?<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h3>

Naj\u010de\u0161\u0107e razlikujemo dve vrste. \u017dari\u0161nu alopeciju karakteri\u0161e manji gubitak dlaka na odre\u0111enom delu tela, naj\u010de\u0161\u0107e na glavi, pri \u010demu se javljaju jasno ograni\u010dena \u017eari\u0161ta \u2013 gubitak kose u obliku krugova. Difuzna alopecija nastaje usled poreme\u0107aja prirodnog ciklusa rasta kose, kada ve\u0107i broj dlaka istovremeno prelazi u fazu opadanja, bez formiranja jasnih pe\u010data. Kosa se postepeno istanjuje i naglo opada \u2013 kod nekih jedva primetno, dok kod drugih dolazi do izra\u017eenog prore\u0111ivanja i opadanja u pramenovima.<\/p><\/div><\/div>

Kako se razlikuje opadanje kose kod mu\u0161karaca i \u017eena?<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h3>

Problem ubrzanog opadanja kose poga\u0111a vi\u0161e od 50% mu\u0161karaca starijih od 40 godina. Mu\u0161ki obrazac \u0107elavosti naj\u010de\u0161\u0107e se ispoljava povla\u010denjem linije kose (formiranje zalizaka) i prore\u0111ivanjem na temenu, a kod naslednog oblika mo\u017ee do\u0107i i do potpune \u0107elavosti. Vi\u0161e o tome pi\u0161e u tekstu mu\u0161ki tip \u0107elavosti<\/a>.<\/p>

Kod \u017eena se \u010de\u0161\u0107e javlja difuzno prore\u0111ivanje na celoj ko\u017ei glave. Potpuni gubitak kose je redak, a bo\u010dne i potilja\u010dne regije uglavnom ostaju o\u010duvane. Linija kose obi\u010dno je o\u010duvana, a razdeljak se \u0161iri (androgenetska alopecija kod \u017eena<\/a>). Kod \u017eena lekar \u010de\u0161\u0107e predla\u017ee i proveru hormona, \u0161titne \u017elezde i gvo\u017e\u0111a.<\/p><\/div><\/div>

Kako da na vreme prepoznam poja\u010dano opadanje kose?<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h3>

Naj\u010de\u0161\u0107i znaci su intenzivnije opadanje nego ranije, primetno stanjivanje i slabljenje dlake, \u0161irenje razdeljka, kao i pojava prore\u0111enih zona na temenu.<\/p><\/div><\/div>

Kome se obratiti zbog opadanja kose?<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h3>

Dermatologu. Pregled po\u010dinje razgovorom i pregledom vlasi\u0161ta, a po potrebi se radi trihoskopija<\/a>, pregled kose i vlasi\u0161ta pod uve\u0107anjem. Na osnovu nalaza lekar predla\u017ee analize, terapiju ili tretmane. Ako niste sigurni odakle da po\u010dnete, zaka\u017eite dermatolo\u0161ki pregled<\/a>.<\/p><\/div><\/div>

Kome PRP kose najvi\u0161e poma\u017ee?<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h3>

PRP kose najvi\u0161e poma\u017ee osobama u ranoj ili srednjoj fazi opadanja kose, odnosno kod po\u010detnog ili umerenog prore\u0111ivanja. U tim slu\u010dajevima rezultati su najizra\u017eeniji, dok kod dugotrajne \u0107elavosti PRP ne mo\u017ee vratiti izgubljene folikule. Vi\u0161e o tretmanu pro\u010ditajte na stranici PRP tretman kose<\/a>.<\/p><\/div><\/div>

Za\u0161to se PRP i mezoterapija kombinuju?<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h3>

PRP tretman aktivira faktore rasta i pobolj\u0161ava kvalitet ko\u017ee vlasi\u0161ta, dok mezoterapija obezbe\u0111uje vitamine, minerale, hijaluronsku kiselinu i druge hranljive materije koje ja\u010daju dlaku, daju volumen i podsti\u010du rast. Kod dela pacijenata lekar zato planira kombinaciju.<\/p><\/div><\/div>

Kako spre\u010diti opadanje kose?<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h3>

Preventivno se mo\u017ee delovati pravilnom i balansiranom ishranom, redovnim unosom vode, smanjenjem stresa i obezbe\u0111ivanjem dovoljno sna. Ovi faktori uti\u010du na op\u0161te zdravlje organizma, a samim tim i na kvalitet i ja\u010dinu kose.<\/p><\/div><\/div>

Da li mogu da radim PRP dok koristim terapiju protiv opadanja kose?<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h3>

PRP se mo\u017ee uklju\u010diti kao dopuna terapiji koju koristite. Na pregledu navedite sve lekove i preparate, kako bi lekar uskladio raspored tretmana sa va\u0161om terapijom.<\/p><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tZaka\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
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Stru\u010dni izvori<\/strong><\/p>

American Academy of Dermatology: Hair loss \u2013 Diagnosis and treatment<\/a><\/p>

DermNet: Female pattern hair loss<\/a><\/p>

PubMed: Platelet-Rich Plasma for Androgenetic Alopecia \u2013 A Systematic Review and Meta-Analysis of Randomized Controlled Trials (2023)<\/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\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Opadanje kose ili alopecija predstavlja privremeni ili trajni gubitak kose koji mo\u017ee biti uzrokovan genetikom, bole\u0161\u0107u, stresom ili drugim faktorima. Predstavlja veliki estetski problem, kako za \u017eene, tako i za mu\u0161karce. Ipak, dobra vest je \u0161to savremeni tretmani, kao \u0161to su PRP ili mezoterapija, mogu pomo\u0107i u njenom obnavljanju i stimulisanju ponovnog rasta. Prirodno je…<\/p>","protected":false},"author":1,"featured_media":12356,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[98,99],"tags":[],"class_list":["post-14500","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-simptomi","category-tretman"],"acf":[],"yoast_head":"\nOpadanje kose \u2013 uzroci, pregled i izbor terapije | Imedic<\/title>\n<meta name=\"description\" content=\"Za\u0161to kosa opada, kako izgleda pregled vlasi\u0161ta i trihoskopija i kako lekar bira terapiju. 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