The surprising reason you feel awful when you're sick - Marco A. Sotomayor

4,196,622 views ・ 2016-04-19

TED-Ed


Please double-click on the English subtitles below to play the video.

Prevodilac: Ivana Krivokuća Lektor: Tijana Mihajlović
00:07
It starts with a tickle in your throat that becomes a cough.
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Počinje sa grebanjem u vratu pre nego što preraste u kašalj.
00:12
Your muscles begin to ache,
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Počinju da vas bole mišići,
00:14
you grow irritable,
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postajete razdražljivi,
00:15
and you lose your appetite.
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a zatim gubite apetit.
00:17
It's official: you've got the flu.
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Zvanično ste dobili grip.
00:20
It's logical to assume that this miserable medley of symptoms
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Logično je pretpostaviti da je ovaj mučni skup simptoma
00:24
is the result of the infection coursing through your body,
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posledica infekcije koja vam prolazi kroz telo,
00:27
but is that really the case?
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ali da li je stvarno tako?
Zbog čega se zapravo osećate loše?
00:29
What's actually making you feel sick?
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00:31
What if your body itself was driving this vicious onslaught?
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Šta ako samo vaše telo podstiče taj grozni napad?
00:37
You first get ill when a pathogen like the flu virus gets into your system,
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Najpre se razbolite kada patogen kao što je virus gripa uđe u vaš sistem,
zarazi i ubija vaše ćelije.
00:42
infecting and killing your cells.
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00:44
But this unwelcome intrusion has another effect:
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Međutim, ovaj nepoželjni upad ima još jedno dejstvo -
00:47
it alerts your body's immune system to your plight.
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on upozorava imuni sistem vašeg tela na vaše loše stanje.
00:51
As soon as it becomes aware of infection, your body leaps to your defense.
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Čim postane svesno infekcije, vaše telo priskače u vašu odbranu.
00:56
Cells called macrophages charge in as the first line of attack,
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Ćelije zvani makrofagi nastupaju kao prva linija napada,
01:00
searching for and destroying the viruses and infected cells.
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tražeći i uništavajući viruse i zaražene ćelije.
01:05
Afterwards, the macrophages release protein molecules called cytokines
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Nakon toga, makrofagi otpuštaju molekule proteina zvane citokini
01:10
whose job is to recruit
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čiji je posao regrutovanje i organizovanje
01:11
and organize more virus-busting cells from your immune system.
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dodatnih ćelija za uništavanje virusa iz vašeg imunog sistema.
01:16
If this coordinated effort is strong enough,
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Ako je ovo udruženo nastojanje dovoljno jako,
01:19
it'll wipe out the infection before you even notice it.
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uništiće infekciju pre nego što i primetite.
01:23
But that's just your body setting the scene for some real action.
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Međutim, to samo vaše telo podešava scenu za pravu akciju.
U nekim slučajevima, virusi nastave da se šire,
01:27
In some cases, viruses spread further,
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01:29
even into the blood and vital organs.
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čak i u krv i vitalne organe.
01:32
To avoid this sometimes dangerous fate,
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Da bi izbegao ovu ponekad opasnu sudbinu,
01:35
your immune system must launch a stronger attack,
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vaš imuni sistem mora da pokrene jači napad,
01:38
coordinating its activity with the brain.
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usklađujući svoju aktivnost sa mozgom.
01:41
That's where those unpleasant symptoms come in,
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Otuda proizilaze ti neprijatni simptomi,
01:43
starting with the surging temperature,
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počevši od nagle temperature,
01:45
aches and pains,
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bolova
01:46
and sleepiness.
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i pospanosti.
Zašto prolazimo kroz ovo?
01:48
So why do we experience this?
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Kada je imuni sistem pod ozbiljnim napadom,
01:51
When the immune system is under serious attack,
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01:53
it secretes more cytokines,
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on luči više citokina,
01:55
which trigger two responses.
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što izaziva dve reakcije.
01:57
First, the vagus nerve, which runs through the body into the brain,
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Prvo, živac lutalac, koji prolazi kroz celo telo do mozga,
02:02
quickly transmits the information to the brain stem,
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brzo prenosi informacije do moždanog stabla,
02:05
passing near an important area of pain processing.
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prolazeći pored važne oblasti za obradu bola.
02:09
Second, cytokines travel through the body to the hypothalamus,
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Drugo, citokini putuju kroz telo do hipotalamusa,
02:12
the part of the brain responsible for controlling temperature,
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dela mozga koji je odgovoran za kontrolu temperature,
02:15
thirst,
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žeđi, gladi i spavanja,
02:16
hunger,
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02:17
and sleep,
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02:18
among other things.
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između ostalog.
02:20
When it receives this message,
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Kada primi ovu poruku,
hipotalamus proizvodi drugi molekul
02:22
the hypothalamus produces another molecule
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02:24
called prostaglandin E2, which gears it up for war.
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zvani prostaglandin E2, koji se priprema za rat.
02:28
The hypothalamus sends signals that instruct your muscles to contract
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Hipotalamus šalje signale koji nalažu vašim mišićima da se zgrče
02:32
and causes a rise in body temperature.
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i dovodi do porasta telesne temperature.
02:35
It also makes you sleepy,
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Takođe vas čini pospanim,
02:37
and you lose your appetite and thirst.
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a gubite i apetit i osećaj žeđi.
02:40
But what's the point of all of these unpleasant symptoms?
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Koja je svrha svih tih neprijatnih simptoma?
02:43
Well, we're not yet sure,
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Pa, nismo još sigurni,
02:45
but some theorize that they aid in recovery.
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ali neki imaju teoriju da oni pomažu oporavku.
02:48
The rise in temperature can slow bacteria
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Porast temperature može da uspori bakterije
02:51
and help your immune system destroy pathogens.
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i da pomogne vašem imunom sistemu da uništi patogene.
02:54
Sleep lets your body channel more energy towards fighting infection.
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Spavanje omogućava da vaše telo usmeri više energije na borbu protiv infekcije.
02:58
When you stop eating, your liver can take up much of the iron in your blood,
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Kada prestanete da jedete, vaša jetra može da preuzme veći deo gvožđa u krvi,
03:03
and since iron is essential for bacterial survival,
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a budući da je gvožđe suštinski važno za opstanak bakterija,
03:06
that effectively starves them.
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to ih delotvorno izgladnjuje.
03:09
Your reduced thirst makes you mildly dehydrated,
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Smanjen osećaj žeđi vas blago dehidrira,
03:12
diminishing transmission through sneezes,
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čime se umanjuje prenošenje
03:14
coughs,
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putem kijanja, kašlja, povraćanja ili dijareje.
03:15
vomit,
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03:16
or diarrhea.
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03:17
Though it's worth noting that if you don't drink enough water,
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Doduše, treba napomenuti da, ako ne pijete dovoljno vode,
03:20
that dehydration can become dangerous.
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ta dehidratacija može postati opasna.
03:23
Even the body's aches make you more sensitive,
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Čak i bolovi u telu čine vas osetljivijim,
03:26
drawing attention to infected cuts that might be worsening,
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privlačeći pažnju na inficirane posekotine koje se mogu pogoršavati,
03:29
or even causing your condition.
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ili čak izazvati vaše stanje.
03:32
In addition to physical symptoms,
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Pored fizičkih simptoma,
03:34
sickness can also make you irritable,
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zbog bolesti možete biti razdražljivi, tužni i zbunjeni.
03:37
sad,
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03:37
and confused.
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To je zato što citokini i prostaglandin
03:39
That's because cytokines and prostaglandin
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03:41
can reach even higher structures in your brain,
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mogu da prodru čak i do viših struktura u mozgu,
03:44
disrupting the activity of neurotransmitters,
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ometajući aktivnost neurotransmitera
03:46
like glutamate,
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kao što su glutamat, endorfini, serotonin i dopamin.
03:47
endorphins,
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03:49
serotonin,
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03:50
and dopamine.
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To pogađa oblasti poput limbičkog sistema, koji nadgleda emocije,
03:52
This affects areas like the limbic system, which oversees emotions,
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03:56
and your cerebral cortex, which is involved in reasoning.
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i vašeg cerebralnog korteksa, koji je u vezi sa rasuđivanjem.
04:00
So it's actually the body's own immune response
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Dakle, zapravo je reakcija imunog sistema samog tela
04:03
that causes much of the discomfort you feel every time you get ill.
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ono što izaziva veći deo neugodnosti koju osećate kad god se razbolite.
04:07
Unfortunately, it doesn't always work perfectly.
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Nažalost, to ne funkcioniše uvek savršeno.
04:10
Most notably, millions of people worldwide suffer from autoimmune diseases,
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Pre svega, milioni ljudi širom sveta pate od autoimunih oboljenja,
04:16
in which the immune system treats normal bodily cues as threats,
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kod kojih imuni sistem tretira normalne telesne signale kao pretnje,
tako da telo napada samo sebe.
04:21
so the body attacks itself.
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04:23
But for the majority of the human race,
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Međutim, kod većine ljudskog roda,
04:25
millions of years of evolution have fine-tuned the immune system
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milioni godina evolucije su podesili imuni sistem
04:29
so that it works for, rather than against us.
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tako da radi za nas, umesto protiv nas.
04:32
The symptoms of our illnesses are annoying,
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Simptomi naših bolesti su iritirajući,
04:35
but collectively, they signify an ancient process
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ali zajedno označavaju prastari proces
04:38
that will continue barricading our bodies against the outside world
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koji će nastaviti da služi kao prepreka između našeg tela i spoljašnjeg sveta
04:43
for centuries to come.
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u predstojećim vekovima.
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