{"id":121,"date":"2015-12-03T10:36:21","date_gmt":"2015-12-03T09:36:21","guid":{"rendered":"http:\/\/www.ambulantagenus.si\/si\/?page_id=121"},"modified":"2024-02-27T12:19:28","modified_gmt":"2024-02-27T11:19:28","slug":"odstranjevanje-koznih-znamenj","status":"publish","type":"page","link":"http:\/\/www.ambulantagenus.si\/si\/odstranjevanje-koznih-znamenj\/","title":{"rendered":"Odstranjevanje ko\u017enih tvorb"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; inner_shadow=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; admin_label=&#8221;Section&#8221; _builder_version=&#8221;3.22&#8243; background_image=&#8221;http:\/\/www.ambulantagenus.si\/si\/wp-content\/uploads\/sites\/2\/2015\/12\/genus-odstranjevanje-znamenj.jpg&#8221; custom_padding_tablet=&#8221;50px|0|50px|0&#8243; custom_padding_phone=&#8221;&#8221; custom_css_main_element=&#8221;min-height: 360px;&#8221; transparent_background=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221;][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; admin_label=&#8221;Row&#8221; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_cta title=&#8221;Telefonsko naro\u010danje na 031-647-815&#8243; button_url=&#8221;\/si\/o-nas\/&#8221; button_text=&#8221;Kontakt&#8221; admin_label=&#8221;Call To Action&#8221; _builder_version=&#8221;3.16&#8243; body_font_size=&#8221;14&#8243; background_color=&#8221;rgba(255,153,34,0.3)&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; button_border_radius_hover=&#8221;3&#8243; button_letter_spacing_hover=&#8221;0&#8243; global_module=&#8221;656&#8243; saved_tabs=&#8221;all&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;on&#8221; button_border_radius__hover=&#8221;3&#8243; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;on&#8221; button_letter_spacing__hover=&#8221;0&#8243; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_cta][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Section&#8221; _builder_version=&#8221;3.22&#8243;][et_pb_row admin_label=&#8221;Row&#8221; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;4.7.4&#8243; text_font_size=&#8221;18&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h1>Pregled in odstranjevanje ko\u017enih znamenj in tvorb<\/h1>\n<p>Specialist za plasti\u010dno estetsko kirurgijo pri pregledu izvede odstranjevaje znamenj in ostalih ko\u017enih in podko\u017enih tvorb. Pregled sumljivih znamenj se opravi s posebnim aparatom \u2013 dermatoskopom z ustrezno pove\u010davo, na podlagi \u010desar vam kirurg svetuje, katere ko\u017ene spremembe bi bilo iz medicinskega razloga potrebno odstraniti in jih tudi poslati na patohistolo\u0161ko analizo.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Section&#8221; _builder_version=&#8221;3.22&#8243;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; admin_label=&#8221;Row&#8221; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;4.7.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Zakaj odstranjevati ko\u017ene tvorbe in znamenja?<\/h2>\n<p>Ve\u010dina ko\u017enih tvorb in znamenj je povsem benignih, torej nenevarnih in za odstranjevanje le-teh se obi\u010dajno pacienti odlo\u010dajo iz estetskih razlogov. V\u010dasih so ko\u017ene tvorbe lahko tudi mote\u010de, saj se nahajajo na mestih, kjer so podvr\u017eene stalnemu mehani\u010dnemu dra\u017eenju (drsanje ob robove obla\u010dil, po\u0161kodbe pri britju\u2026). Le manj\u0161a skupina ko\u017enih tvorb in znamenj pa je potencialno nevarnih za razvoj rakave bolezni ali lahko \u017ee ka\u017eejo znake razvoja le-te. V tem primeru vam ob izrezu omogo\u010dimo nadaljnjo obravnavo v obliki histo-patolo\u0161ke preiskave, ki bo dokon\u010dno pokazala, za kak\u0161no ko\u017eno tvorbo gre.<\/p>\n<h3>Odstranjevanje ko\u017enih tvorb in znamenj<\/h3>\n<p>Kirur\u0161ko se ko\u017ene tvorbe in znamenja odstranjuje v lokalni anesteziji. To pomeni, da se sprva z injekcijo v okolici izrastka ko\u017eo omrtvi\u010di, tako da je cel poseg nebole\u010d. Navadno je potreben \u0161iv. Kirur\u0161ka odstranitev ko\u017ene tvorbe traja pribli\u017eno 10 minut.<\/p>\n<p><strong>Ekscizija<\/strong><\/p>\n<p>Kirur\u0161ka odstranitev ko\u017ene tvorbe <strong>(izrastki, pecljati fibromi, nevusi, znamenja, made\u017ei po ko\u017ei, bradavice)<\/strong> vklju\u010dno s celotno debelino ko\u017ee, ter z robom zdrave ko\u017ee, da se zagotovi popolna odstranitev. Uporablja se tudi pri potencialno nevarnih ko\u017enih tvorbah, ki zahtevajo patohistolo\u0161ki pregled. Navadno se izre\u017ee ko\u017ea v obliki elipse.<\/p>\n<p><strong>Incizija<\/strong><\/p>\n<p>Kirur\u0161ka odstranitev podko\u017enih tvorb (zama\u0161ene lojnice, lipomi, tujki podko\u017eja, ciste, ateromi). Rez poteka skozi celotno debelino ko\u017ee in je ponavadi malo dalj\u0161i kot pa pod njim le\u017ee\u010da tvorba, zato da se le ta lahko odstrani v celoti. Ko\u017eni \u0161ivi so potrebni v kolikor ne gre za tvorbo z znaki vnetja.<\/p>\n<p><strong>Histolo\u0161ka preiskava<\/strong><\/p>\n<p>Histopatolog s histolo\u0161ko preiskavo pod mikroskopom in z razli\u010dnimi barvanji dolo\u010di vrsto in tip tkiva ter celic v vzorcu. Izvid histolo\u0161ke preiskave je pripravljen v 14-21 dneh.<\/p>\n<p><strong>Nega po posegu<\/strong><\/p>\n<p>Velikokrat se pusti kirur\u0161ke rane na izpostavljenih predelih brez povoja tudi \u010de so ob operaciji spete s \u0161ivi. Druge rane pa se pokrije z razli\u010dnimi obli\u017ei ali povoji, ki pa se ga lahko v\u010dasih odstrani \u010dez 2-4 dni. Takrat je ve\u010dina ran \u017ee odporna na vodo in se jih lahko zmo\u010di (tu\u0161iranje). Druge obli\u017ee pa se pusti do odstranitve \u0161ivov. Povoj ne varuje rane pred vnetjem. \u010cist zrak in \u010dista voda sta za rano veliko bolj zdrava, kot pa umazan in preznojen povoj.<\/p>\n<p><strong>Odstranitev ko\u017enih \u0161ivov<\/strong><\/p>\n<p>Deli telesa, ki imajo dobro prekrvavitev, kot je na primer obraz, celijo hitro, medtem ko drugi s slabo prekrvavitvijo, kot je na primer golen, stopala pa celijo po\u010dasi. Za to se \u0161ive na razli\u010dnih delih telesa pusti razli\u010dno dolgo. Od 6-9 dni na obrazu in 14-21 dni na nogi.<\/p>\n<p><strong>Mastna krema<\/strong><\/p>\n<p>Operacija za\u010dasno okvari naravno produkcijo olj v ko\u017ei zato je ko\u017ea okoli ran suha. Po treh dneh je dobro nanesti majhne koli\u010dine nevtralne mastne kreme, posebno po kopanju.<\/p>\n<p><strong>Zapleti<\/strong><\/p>\n<p>Vsaka operacija se lahko zaplete z vnetjem in krvavitvijo. \u010ce opazite pove\u010dano bole\u010dino, oteklino ali rde\u010dino okoli rane nas obvestite.<\/p>\n<p><strong>Zorenje brazgotinic<\/strong><\/p>\n<p>Brazgotine so ve\u010dkrat trde in rde\u010de, ko \u0161e niso zrele. To je normalno. Zorenje brazgotin traja pribli\u017eno 12 mesecev, odvisno od starosti in tipa ko\u017ee. V tem \u010dasu se brazgotina zmeh\u010da, rde\u010dina izgine. Ta proces lahko do neke mere pospe\u0161imo z nego brazgotin.[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Dobro je vedeti&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;%%81%%&#8221; use_icon_font_size=&#8221;on&#8221; icon_font_size=&#8221;48&#8243; admin_label=&#8221;Blurb&#8221; _builder_version=&#8221;3.0.87&#8243; background_color=&#8221;#e2e2e2&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;20px|20px|20px|20px&#8221; animation=&#8221;off&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]Zapletov pri odstranjevanju znamenj ne pri\u010dakujemo. Mo\u017eni so manj\u0161i klasi\u010dni zapleti, ki se lahko pojavijo pri vsaki vrsti posegov: manj\u0161a krvavitev na mestu posega, vnetje, blaga bole\u010dina, rde\u010dina na mestu posega.<br \/>\n[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; inner_shadow=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; admin_label=&#8221;Section&#8221; _builder_version=&#8221;3.22&#8243; background_image=&#8221;http:\/\/www.ambulantagenus.si\/si\/wp-content\/uploads\/sites\/2\/2015\/12\/genus-odstranjevanje-znamenj.jpg&#8221; custom_padding_tablet=&#8221;50px|0|50px|0&#8243; custom_padding_phone=&#8221;&#8221; custom_css_main_element=&#8221;min-height: 360px;&#8221; transparent_background=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221;][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; admin_label=&#8221;Row&#8221; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_cta title=&#8221;Telefonsko naro\u010danje na 031-647-815&#8243; button_url=&#8221;\/si\/o-nas\/&#8221; button_text=&#8221;Kontakt&#8221; admin_label=&#8221;Call To Action&#8221; _builder_version=&#8221;3.16&#8243; body_font_size=&#8221;14&#8243; background_color=&#8221;rgba(255,153,34,0.3)&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; button_border_radius_hover=&#8221;3&#8243; button_letter_spacing_hover=&#8221;0&#8243; [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":50,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"_links":{"self":[{"href":"http:\/\/www.ambulantagenus.si\/si\/wp-json\/wp\/v2\/pages\/121"}],"collection":[{"href":"http:\/\/www.ambulantagenus.si\/si\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.ambulantagenus.si\/si\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.ambulantagenus.si\/si\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ambulantagenus.si\/si\/wp-json\/wp\/v2\/comments?post=121"}],"version-history":[{"count":24,"href":"http:\/\/www.ambulantagenus.si\/si\/wp-json\/wp\/v2\/pages\/121\/revisions"}],"predecessor-version":[{"id":1119,"href":"http:\/\/www.ambulantagenus.si\/si\/wp-json\/wp\/v2\/pages\/121\/revisions\/1119"}],"wp:attachment":[{"href":"http:\/\/www.ambulantagenus.si\/si\/wp-json\/wp\/v2\/media?parent=121"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}