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[title] => Najgora noćna mora svakog Splićanina napokon postala stvar prošlosti: nema više guranja štapića u... Ne, nije nos
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Splitski muškarci napokon mogu mirno spavati; a s njima i splitske žene.
Urbani centar Dalmacije je napokon, u 2023. godini, u potpunosti napustio srednjovjekovne metode testiranja na - ne zle duhove nego - bakterije. Sprave za mučenje se konačno spuštaju u laboratorij prošlosti, a strah u (Vukovarskoj) ulici brisova, koja vodi do Higijenskog, jenjava iz sata u sat.
Naime, briseva spolovila više - nema. Zapravo, briseva ima, ali više ne postoji ona vječna prijetnja osudom na njih; sada su isključivo dobrovoljni. Što to znači? Pa - za neupućene sretnike - to znači da se, na testu za spolne bolesti, više ne gura 15-centimetarski štapić u mokraćnicu, okrene kao ključ u bravi - kako bi vata pokupila kulture nastanjene na stijenci - pa isuče. I tako dva puta.
Sada je dovoljan samo - prvi mlaz mokraće.
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- U županijskom Nastavnom zavodu za javno zdravstvo se već dugi niz godina može napraviti dijagnostika infekcija spolnoga sustava iz prvog mlaza urina, jednako kao i iz obriska uretre, u slučaju kad se koriste molekularne metode dijagnostike (PCR) koje znatno povećavaju osjetljivost pretrage.
Važno je uzeti prvi mlaz urina, prvih 20 mililitara (ne srednji kao kod urinokulture), jer jedino u tako uzetom uzorku ima dovoljno stanica iz uretre. Mi možemo pretrage napraviti iz oba uzorka, a koji ćemo uzeti, ovisi o tome što je zatražio liječnik na uputnici.
Zbog lakšeg uzimanja uzorka prvog mlaza urina u odnosu na obrisak uretre, sve više se ove pretrage rade iz urina, naročito kod muškaraca - javila nam je radosnu vijest doc. dr. sc. Vanja Kaliterna, voditeljica Službe za kliničku mikrobiologiju Nastavnog zavoda za javno zdravstvo.
Dr. Kaliterna napominje kako je za kultivaciju aerobnih bakterija (npr. E.coli, Streptococcus), koje mogu uzrokovati infekcije spolnoga sustava, i dalje potrebno napraviti obrisak uretre, ali "samo" uz jedan bris njenog ušća. Kod žena je to bris rodnice ili cerviksa. Sve ostale pretrage mogu se s jednakom osjetljivosti napraviti iz prvog mlaza urina.
Što se tiče žena, kod njih se uzorci uzimaju u ginekološkoj ordinaciji, a sve češće za pretragu na spolno-prenosive patogene se daje samo uzorak prvog mlaza urina, naročito kod trudnica.
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---
Ovim ne-štapićnim načinom se mogu zatražiti PCR pretrage na infekcije spolnoga sustava na Chlamydiju trachomatis, Mycoplasmu genitalium, Mycoplasmu hominis, Ureaplasmu urealyticum, Neisseriju gonorrhoeae i Trichomonas vaginalis. Za spolno-prenosive bolesti koje se prenose spolnim putem, a ne uzrokuju infekciju u spolnom sustavu (npr. HIV, hepatitis, sifilis), se pretrage rade iz krvi.
A što to točno buduće generacije propuštaju brisanjem briseva, saznali smo iz nekih od potresnih svjedočanstava spolno aktivnih Splićana.
- Najodvratnije, najbolnije iskustvo. Štapic za uši, tri puta veci od normalnog, ti ide unutra i vrti se. Imaš potrebu naudit osobi koja ti to radi i istovremeno beštimaš sebe šta si dobrovoljno doša. Cili dan posli ne moš mokrit, od boli. I sutra isto. Prekosutra malo pecka. Prijatelj mi je pa u nesvist. Prolivalo ga je vodon. A otac mi je to mora radit radi firme nešto, ima godinu dana. Cota je koliko ga je bolilo - živopisno opisuje Mario.
- Najgori dio čak nije samo štapićarenje, nego ono šta dolazi posli. Valjda ti bris pokupi cilu onu prirodnu mast u cjevčici pa kad iza toga ideš na wc... Ne znan kako bi to opisa... Vatra i žileti... - nevoljko se prisjeća Petar.
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---
U drugu ruku, bilo je i onih kojima ovo "akužavanje baštoni" nije stvorilo cjeloživotnu traumu.
- Neugodno, al brzo prođe pa ne stigne ni zabolit pošteno. Kasnije ostane neka blaga bol, al prođe nakon prvog mokrenja - rekao nam je Slaven.
- Nije neka drama. Utira cjevčicu pet sekundi. Bude malo neugodno. Iduća dva-tri dana pecka. I život ide dalje - odmahnuo je Kristijan.
- Pretpostavljam da ovisi o tome kakav ti je kanal i koja te sestra dopadne. Meni je bila jedna skroz prijatna i odradila je to maksimalno profesionalno i iskusno. Nije bilo naročito gadno niti mi je idućih dana smetalo. Ok iskustvo - ispričao nam je Zdenko.
- Pregled je pregled. Napraviš šta triba. Ovi šta se groze i "ajme meni", očito se nisu nikad vozili u hitnoj... - otkiva Hrvoje.
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Pitali smo doktoricu Kaliternu misli li da će ova promjena potaknuti ljude da više i češće pristupaju testiranju.
- Smatram da pacijenti dolaze na pretrage jer su im potrebne, bez obzira je li postupak neugodan. S druge strane, sigurno je dobro za pacijente da se medicina razvija, da mi u Zavodu radimo najnovije metode za koje je moguće koristiti i neinvazivan uzorak urina koji je ugodniji za uzimanje od brisa.
Također, otkrivanje bakterije Chlamydia trachomatis moguće je raditi PCR metodom iz neinvazivnog uzorka prvog mlaza urina.
To je jako važno jer je otkrivanje ove bakterije najvažnije u adolescentskoj populaciji, pa čak i u onih bez simptoma, kako bi infekciju mogli pravodobno liječiti i spriječiti nastanak komplikacija (izvanmaternična trudnoća, strilitet...). Za adolescentsku populaciju sigurno je prihvatljiviji uzorak urina u odnosu na bris - govori.
Što se tiče općenitog stanja i trendova sa spolnim bolestima u Splitsko-dalmatinskoj županiji, NZJZ ne primjećuje ništa neuobičajeno. Godinama postoji otprilike jednaki broj pozitivnih slučajeva.
---
---
Sada, s vijestima o etabliranju prvog mlaza kao primarnog izbora, dolazi jedna dobra i jedna loša vijest. Dobra je da se može očekivati kako će se ubuduće više ljudi testirati na spolne bolesti. Loša je da bi se, baš zbog toga, mogao ustanoviti veći broj takvih dijagnoza nego do sada.
U svakom slučaju, medicinske baštone su dosad bili ultimativni "baš-to-ne". Zato će ubuduće svi Splićani, penjući se od Općine uz ulicu hrastova, imati smješak na licu, svjesni - kraha ulice briseva.
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Splitski muškarci napokon mogu mirno spavati; a s njima i splitske žene.
Urbani centar Dalmacije je napokon, u 2023. godini, u potpunosti napustio srednjovjekovne metode testiranja na - ne zle duhove nego - bakterije. Sprave za mučenje se konačno spuštaju u laboratorij prošlosti, a strah u (Vukovarskoj) ulici brisova, koja vodi do Higijenskog, jenjava iz sata u sat.
Naime, briseva spolovila više - nema. Zapravo, briseva ima, ali više ne postoji ona vječna prijetnja osudom na njih; sada su isključivo dobrovoljni. Što to znači? Pa - za neupućene sretnike - to znači da se, na testu za spolne bolesti, više ne gura 15-centimetarski štapić u mokraćnicu, okrene kao ključ u bravi - kako bi vata pokupila kulture nastanjene na stijenci - pa isuče. I tako dva puta.
Sada je dovoljan samo - prvi mlaz mokraće.
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- U županijskom Nastavnom zavodu za javno zdravstvo se već dugi niz godina može napraviti dijagnostika infekcija spolnoga sustava iz prvog mlaza urina, jednako kao i iz obriska uretre, u slučaju kad se koriste molekularne metode dijagnostike (PCR) koje znatno povećavaju osjetljivost pretrage.
Važno je uzeti prvi mlaz urina, prvih 20 mililitara (ne srednji kao kod urinokulture), jer jedino u tako uzetom uzorku ima dovoljno stanica iz uretre. Mi možemo pretrage napraviti iz oba uzorka, a koji ćemo uzeti, ovisi o tome što je zatražio liječnik na uputnici.
Zbog lakšeg uzimanja uzorka prvog mlaza urina u odnosu na obrisak uretre, sve više se ove pretrage rade iz urina, naročito kod muškaraca - javila nam je radosnu vijest doc. dr. sc. Vanja Kaliterna, voditeljica Službe za kliničku mikrobiologiju Nastavnog zavoda za javno zdravstvo.
Dr. Kaliterna napominje kako je za kultivaciju aerobnih bakterija (npr. E.coli, Streptococcus), koje mogu uzrokovati infekcije spolnoga sustava, i dalje potrebno napraviti obrisak uretre, ali "samo" uz jedan bris njenog ušća. Kod žena je to bris rodnice ili cerviksa. Sve ostale pretrage mogu se s jednakom osjetljivosti napraviti iz prvog mlaza urina.
Što se tiče žena, kod njih se uzorci uzimaju u ginekološkoj ordinaciji, a sve češće za pretragu na spolno-prenosive patogene se daje samo uzorak prvog mlaza urina, naročito kod trudnica.
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Ovim ne-štapićnim načinom se mogu zatražiti PCR pretrage na infekcije spolnoga sustava na Chlamydiju trachomatis, Mycoplasmu genitalium, Mycoplasmu hominis, Ureaplasmu urealyticum, Neisseriju gonorrhoeae i Trichomonas vaginalis. Za spolno-prenosive bolesti koje se prenose spolnim putem, a ne uzrokuju infekciju u spolnom sustavu (npr. HIV, hepatitis, sifilis), se pretrage rade iz krvi.
A što to točno buduće generacije propuštaju brisanjem briseva, saznali smo iz nekih od potresnih svjedočanstava spolno aktivnih Splićana.
- Najodvratnije, najbolnije iskustvo. Štapic za uši, tri puta veci od normalnog, ti ide unutra i vrti se. Imaš potrebu naudit osobi koja ti to radi i istovremeno beštimaš sebe šta si dobrovoljno doša. Cili dan posli ne moš mokrit, od boli. I sutra isto. Prekosutra malo pecka. Prijatelj mi je pa u nesvist. Prolivalo ga je vodon. A otac mi je to mora radit radi firme nešto, ima godinu dana. Cota je koliko ga je bolilo - živopisno opisuje Mario.
- Najgori dio čak nije samo štapićarenje, nego ono šta dolazi posli. Valjda ti bris pokupi cilu onu prirodnu mast u cjevčici pa kad iza toga ideš na wc... Ne znan kako bi to opisa... Vatra i žileti... - nevoljko se prisjeća Petar.
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U drugu ruku, bilo je i onih kojima ovo "akužavanje baštoni" nije stvorilo cjeloživotnu traumu.
- Neugodno, al brzo prođe pa ne stigne ni zabolit pošteno. Kasnije ostane neka blaga bol, al prođe nakon prvog mokrenja - rekao nam je Slaven.
- Nije neka drama. Utira cjevčicu pet sekundi. Bude malo neugodno. Iduća dva-tri dana pecka. I život ide dalje - odmahnuo je Kristijan.
- Pretpostavljam da ovisi o tome kakav ti je kanal i koja te sestra dopadne. Meni je bila jedna skroz prijatna i odradila je to maksimalno profesionalno i iskusno. Nije bilo naročito gadno niti mi je idućih dana smetalo. Ok iskustvo - ispričao nam je Zdenko.
- Pregled je pregled. Napraviš šta triba. Ovi šta se groze i "ajme meni", očito se nisu nikad vozili u hitnoj... - otkiva Hrvoje.
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Pitali smo doktoricu Kaliternu misli li da će ova promjena potaknuti ljude da više i češće pristupaju testiranju.
- Smatram da pacijenti dolaze na pretrage jer su im potrebne, bez obzira je li postupak neugodan. S druge strane, sigurno je dobro za pacijente da se medicina razvija, da mi u Zavodu radimo najnovije metode za koje je moguće koristiti i neinvazivan uzorak urina koji je ugodniji za uzimanje od brisa.
Također, otkrivanje bakterije Chlamydia trachomatis moguće je raditi PCR metodom iz neinvazivnog uzorka prvog mlaza urina.
To je jako važno jer je otkrivanje ove bakterije najvažnije u adolescentskoj populaciji, pa čak i u onih bez simptoma, kako bi infekciju mogli pravodobno liječiti i spriječiti nastanak komplikacija (izvanmaternična trudnoća, strilitet...). Za adolescentsku populaciju sigurno je prihvatljiviji uzorak urina u odnosu na bris - govori.
Što se tiče općenitog stanja i trendova sa spolnim bolestima u Splitsko-dalmatinskoj županiji, NZJZ ne primjećuje ništa neuobičajeno. Godinama postoji otprilike jednaki broj pozitivnih slučajeva.
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Sada, s vijestima o etabliranju prvog mlaza kao primarnog izbora, dolazi jedna dobra i jedna loša vijest. Dobra je da se može očekivati kako će se ubuduće više ljudi testirati na spolne bolesti. Loša je da bi se, baš zbog toga, mogao ustanoviti veći broj takvih dijagnoza nego do sada.
U svakom slučaju, medicinske baštone su dosad bili ultimativni "baš-to-ne". Zato će ubuduće svi Splićani, penjući se od Općine uz ulicu hrastova, imati smješak na licu, svjesni - kraha ulice briseva.
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14. svibanj 2024 01:41
