{"id":11173,"date":"2025-05-22T08:54:22","date_gmt":"2025-05-22T08:54:22","guid":{"rendered":"https:\/\/ambercell.eu\/?page_id=11173"},"modified":"2025-05-22T08:56:16","modified_gmt":"2025-05-22T08:56:16","slug":"dzemdes-miomas-embolizacija-2","status":"publish","type":"page","link":"https:\/\/ambercell.eu\/lv\/pacientiem\/cilveka-veseliba\/dzemdes-miomas-embolizacija-2\/","title":{"rendered":"Dzemdes miomas emboliz\u0101cija"},"content":{"rendered":"\t\t
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Dzemdes fibro\u012bds ir labdab\u012bgs dzemdes glud\u0101s muskulat\u016bras audz\u0113js, kura aug\u0161anu regul\u0113 dzimumhormoni. Atkl\u0101ts apm\u0113ram ceturtda\u013cai sievie\u0161u ar ginekolo\u0123isk\u0101m slim\u012bb\u0101m, kuras dodas pie \u0101rsta.
Uzlabota dzemdes miomu emboliz\u0101cija ir minim\u0101li invaz\u012bva dzemdes miomu \u0101rst\u0113\u0161ana, kuras laik\u0101 asinsvadi, kas baro miomu, tiek emboliz\u0113ti (aizs\u0113r\u0113ju\u0161i).<\/p>\t\t\t\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\t<\/div>\n\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

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Dzemdes fibroids visbie\u017e\u0101k sastopamas sieviet\u0113m vecum\u0101 no 30 l\u012bdz 50 gadiem.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Iesp\u0113jamie simptomi: neregul\u0101ras m\u0113ne\u0161reizes, asi\u0146o\u0161ana no dzimumorg\u0101niem starp m\u0113ne\u0161reiz\u0113m, s\u0101p\u012bgs dzimumakts, s\u0101pes v\u0113dera lejasda\u013c\u0101, aizciet\u0113jums, bie\u017ea <\/span>bie\u017ea urin\u0101cija<\/span>s\u0101pes jostasviet\u0101, stipras menstru\u0101cijas, s\u0101pes jostasviet\u0101.<\/span><\/span> <\/span><\/p>\t\t\t\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\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Prie\u017eastys<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Jauniems ir vidutinio am\u017eiaus \u017emon\u0117ms \u0161lapimo nelaikym\u0105 da\u017eniausiai sukelia apatini\u0173 \u0161lapimo tak\u0173 anatominiai pasikeitimai ar sutrikusi \u0161lapimo p\u016bsl\u0117s, \u0161lapl\u0117s rauko veikla. Senyvo am\u017eiaus \u017emon\u0117ms \u0161\u012f sutrikim\u0105 gali sukelti l\u0117tin\u0117s ligos (pavyzd\u017eiui, nutukimas, cukrinis diabetas), gausus medikament\u0173 vartojimas, funkcinio paj\u0117gumo ma\u017e\u0117jimas. Pastebimi ir kiti veiksniai, d\u0117l kuri\u0173 gali atsirasti \u0161lapimo nelaikymas: suma\u017e\u0117j\u0119s judrumas, hormoniniai poky\u010diai, stuburo ir galvos traumos, spindulin\u0117 terapija, \u0161irdies nepakankamumas, viduri\u0173 u\u017ekiet\u0117jimas, i\u0161mat\u0173 nelaikymas ir kitos prie\u017eastys [0].<\/em> Da\u017eniausiai pasitaikantis tipas \u2013 \u0161lapimo nelaikymas, kai \u0161lapimas i\u0161teka juokiantis, kosint ar judant. Taip pat \u0161lapimo nelaikymas vyrams pasirei\u0161kia po prostatos pa\u0161alinimo operacij\u0173 (prostatektomijos) d\u0117l am\u017eiaus, k\u016bno mas\u0117s indekso, gretutini\u0173 lig\u0173 ar kit\u0173 sutrikim\u0173. [1,2].<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\u0100rst\u0113\u0161ana<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u0160lapimo nelaikymo gydymas skirstomas \u012f intervencinius ir neintervencinius (arba konservatyvius) gydymo b\u016bdus. \u00a0Konservatyviems gydymo b\u016bdams priskiriami medikamentai, fizioterapin\u0117s priemon\u0117s, intervenciniams (arba minimaliai invaziniams) \u2013 po\u0161laplinio rai\u0161\u010dio arba dirbtinio sfinkterio implantavimas. Populiar\u0117ja inovatyvus gydymo metodas, kai \u0161lapimo p\u016bsl\u0117s sfinkter\u012f pakei\u010dianti nauja reguliuojamoji ATOMS sistema. Tyrim\u0173 duomenimis, po ATOMS implantavim\u0173 teigiami rezultatai fiksuojami prane\u0161ami iki 84,2-92 proc. atvej\u0173 [1]<\/em>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Su \u0161lapimo nelaikymu susiduriantys pacientai tur\u0117t\u0173 kreiptis \u012f \u0161eimos gydytoj\u0105 ir gav\u0119 siuntim\u0105 atvykti pas urolog\u0105 konsultacijai \u2013 tuomet atlikus b\u016btinuosius tyrimus, parenkamas tinkamiausias gydymas.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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ATOMS sistema<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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ATOMS sistema<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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P\u0113c emboliz\u0101cijas m\u0113s vienm\u0113r varam<\/span><\/span>piem\u0113rot <\/span><\/span>radik\u0101l\u0101ku \u0101rst\u0113\u0161anas metodi, ja<\/span><\/span> mioma ataug<\/span><\/span>. Miomas emboliz\u0101cija ir org\u0101nu saudz\u0113jo\u0161a proced\u016bra, kas saudz\u0113 sievietes dzemdi. Praktiski visas miomas var emboliz\u0113t vai ar\u012b var izmantot da\u013c\u0113ju emboliz\u0101ciju, kam seko kombin\u0113ta terapija.<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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ATOMS sistema pakei\u010dia \u0161lapimo sfinkterio funkcij\u0105 ir padeda i\u0161laikyti \u0161lapim\u0105 \u0161lapimo p\u016bsl\u0117je. Sistema turi dvi dalis: pagalv\u0117l\u0119 ir special\u0173 rezervuar\u0105, pagamint\u0105 i\u0161 titano. Operacijos metu po \u0161laple \u012fvedama speciali pagalv\u0117l\u0117, kuri \u0161velniai j\u0105 spaud\u017eia ir taip sulaiko \u0161lapim\u0105. Pagalv\u0117l\u0117s spaudimas reguliuojamas per nedidel\u012f rezervuar\u0105, \u012ftaisyt\u0105 po oda \u2013 tai leid\u017eia tiksliai pritaikyti spaudim\u0105 kiekvieno paciento poreikiams, net ir pra\u0117jus operacijai. Reguliuojant \u0161i\u0105 sistem\u0105 po operacijos, chirurginio pj\u016bvio nereikia – pakanka d\u016brio specialia adata per kap\u0161elio od\u0105 \u012f sistemos rezervuar\u0105 ir suleisti arba i\u0161siurbti reikiam\u0105 skys\u010dio kiek\u012f [3,4].<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\u2705 Sistema koreguojama be papildom\u0173 chirurgini\u0173 intervencij\u0173\n\n\u2705 Gali b\u016bti taikoma net ir po nes\u0117kming\u0173 kit\u0173 operacij\u0173\n\n\u2705 Tinka \u012fvairaus sunkumo \u0161lapimo nelaikymo atvejais\n\n\u2705 Neveikia \u0161lapl\u0117s kraujotakos \u2013 ma\u017eesn\u0117 komplikacij\u0173 rizika\n\n\u2705 Pagerina gyvenimo kokyb\u0119 \u2013 pacientai da\u017enai visi\u0161kai nustoja naudoti \u012fklotus\n\t\t\t<\/p>\n\t\t\t\t\t<\/blockquote>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Sistemoje naudojami rai\u0161\u010diai \u00a0geba prisitaikyti prie anatomini\u0173 ir funkcini\u0173 paciento poky\u010di\u0173. ATOMS sistema spaud\u017eia tik u\u017epakalin\u0119 \u0161lapl\u0117s dal\u012f, o priekin\u0117s ir \u0161onin\u0117s \u0161lapl\u0117s sieneli\u0173 kraujotaka visi\u0161kai nepaveikiama (dirbtinis \u0161lapl\u0117s raukas spaud\u017eia visas sieneles), tod\u0117l suma\u017e\u0117ja komplikacij\u0173 atsiradimo rizika.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Rezultatai<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Atlikus tyrim\u0105 su 88 pacientais, kuriems implantuota ATOMS sistema atsinaujinus \u0161lapimo nelaikymui, nustatyta, kad 67 (76,1 %) tiriamieji visi\u0161kai nenaudoja \u012fklot\u0173 [5]. Prie\u0161 proced\u016br\u0105 naudojami vidutini\u0161kai 6 \u012fklotai per dien\u0105, po proced\u016bros \u2013 1\u20132 \u012fklotai arba j\u0173 i\u0161 viso nebereikia… Be to, pacientams nereikia atlikti joki\u0173 mechanini\u0173 manipuliacij\u0173 tam, kad gal\u0117t\u0173 nusi\u0161lapinti [6].<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\u0160altiniai<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  1. \u010cerniauskien\u0117 A., I. Rimaite, Atvej\u0173 analiz\u0117 \/ Antrojo pos\u030claplinio rais\u030cc\u030cio implantavimas d\u0117l \u0161lapimo nelaikymo, atlikus radikali\u0105j\u0105 prostatektomij\u0105, esant neefektyviai pirmojo rai\u0161\u010dio implatacijos operacijai: klinikinis atvejis; Lietuvos Chirurgija, 2023, vol. 22(4), pp. 238\u2013244, ISSN 1392\u20130995 eISSN 1648\u20139942, DOI: https:\/\/doi.org\/10.15388\/LietChirur.2023.22(4).6

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  2. Moreno Sierra J, Romano SV, Galante Romo I, Barrera Ortega J, Salinas Casado J, Silmi Moyano A. [New Male Sling \u201cArgus\u201d for the Treatment of Stress Urinary Incontinence]. Arch Esp Urol 2006; 59(6): 607\u2013613.

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  3. Incontinence. 5th International Consultation on Incontinence. Paris, February 2012. 2013

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  4. Gonz\u00e1lez SP, Cansino JR, Portilla MA, Rodriguez SC, Hidalgo L, De la Pe\u00f1a J. First Experience with the ATOMS(\u00ae) Implant, a New Treatment Option for Male Urinary Incontinence. Cent European J Urol 2014; 67(4): 387\u2013391. DOI: 10.5173\/ceju.2014.04.art14.

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  5. Cerniauskiene A, Barisiene M, Bakavicius A, Kavaliauskaite R, Cekauskas A, Zelvys A. Complications after Male Adjustable Suburethral Sling Implantation. Videosurgery and Other Miniinvasive Techniques 2020; 15(3): 496\u2013502. DOI: 10.5114\/aoms.2020.97413.

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  6. Queissert F, Rourke K, Sch\u00f6nburg S, Giamm\u00f2 A, Gonsior A, Gonz\u00e1lez-Enguita C, Romero A, Schrader AJ, Cruz F, Martins FE, Dorado JF, Angulo JC. ATOMS (Adjustable Transobturator Male System) Is an Effective and Safe Second-Line Treatment Option for Recurrent Urinary Incontinence after Implantation of an AdVance\/AdVance XP Fixed Male Sling? A Multicenter Cohort Analysis. J Clin Med 2021; 11(1): 81. DOI: 10.3390\/jcm11010081

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  7. Esquinas C, Angulo JC. Effectiveness of Adjustable Transobturator Male System (ATOMS) to Treat Male Stress Incontinence: A Systematic Review and Meta-Analysis. Adv Ther 2019; 36(2): 426\u2013441. DOI: 10.1007\/s12325-018- 0852-4.<\/em><\/li><\/ol>\t\t\t\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
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    Produkti<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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    ANGIO SEAL VIP<\/a><\/h3>

    Angio-Seal\u2122 VIP krustenisko v\u0113nu sl\u0113g\u0161anas ier\u012bce sl\u0113g\u0161anai un laika l\u012bdz hemost\u0101zes sa\u012bsin\u0101\u0161anai kop\u0113j\u0101s aug\u0161stilba art\u0113rijas punkcijas viet\u0101 pacientiem, kuriem veic diagnostisko angiogr\u0101fiju vai intervences proced\u016bras.<\/p><\/div><\/div>\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

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    RADIFOCUS vads<\/a><\/h3>

    TERUMO hidrof\u012blais virzo\u0161ais vads, p\u0101rkl\u0101ts ar poliuret\u0101nu, hidrof\u012blu polim\u0113ra p\u0101rkl\u0101jumu, lai vad\u012btu katetru uz v\u0113lamo vietu asinsvadu sist\u0113m\u0101 proced\u016bru laik\u0101.<\/p><\/div><\/div>\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

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    RADIFOCUS katetrs<\/a><\/h3>

    Angiogr\u0101fijas vai diagnostikas TERUMO katetrs angiogr\u0101fijas proced\u016br\u0101m, ko izmanto kop\u0101 ar vadu: pieg\u0101d\u0101 radioakt\u012bvo vidi un materi\u0101lus uz izv\u0113l\u0113t\u0101m asinsvadu sist\u0113mas viet\u0101m.<\/p><\/div><\/div>\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

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    PROGREAT<\/a><\/h3>

    TERUMO mikrokatetrs ar integr\u0113tu vadu terapeitiskai emboliz\u0101cijai un angiogr\u0101fijai perif\u0113rajos asinsvados. Lieto\u0161anas \u0113rtums, iztur\u012bba pret saliekumiem, dist\u0101l\u0101 elast\u012bba<\/p><\/div><\/div>\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\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Dzemdes fibro\u012bds ir labdab\u012bgs dzemdes glud\u0101s muskulat\u016bras audz\u0113js, kura aug\u0161anu regul\u0113 dzimumhormoni. Atkl\u0101ts apm\u0113ram ceturtda\u013cai sievie\u0161u ar ginekolo\u0123isk\u0101m slim\u012bb\u0101m, kuras dodas pie \u0101rsta. Uzlabota dzemdes miomu emboliz\u0101cija ir minim\u0101li invaz\u012bva dzemdes miomu \u0101rst\u0113\u0161ana, kuras laik\u0101 asinsvadi, kas baro miomu, tiek emboliz\u0113ti (aizs\u0113r\u0113ju\u0161i). Dzemdes fibroids visbie\u017e\u0101k sastopamas sieviet\u0113m vecum\u0101 no 30 l\u012bdz 50 gadiem. Iesp\u0113jamie simptomi: […]<\/p>\n","protected":false},"author":5,"featured_media":11181,"parent":4906,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-11173","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nDzemdes miomu emboliz\u0101cija | Apstr\u0101des risin\u0101jumi | AmberCell<\/title>\n<meta name=\"description\" content=\"Inovat\u012bva dzemdes miomu emboliz\u0101cija, izmantojot invaz\u012bvo radiolo\u0123iju. Dzemdes miomu \u0101rst\u0113\u0161ana, izmantojot saudz\u0113jo\u0161as, vesel\u012bbai draudz\u012bgas, minim\u0101li invaz\u012bvas metodes.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ambercell.eu\/pacientams\/vyro-sveikata\/slapimo-nelaikymas\/\" \/>\n<meta property=\"og:locale\" content=\"lv_LV\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dzemdes miomu emboliz\u0101cija | Apstr\u0101des risin\u0101jumi | AmberCell\" \/>\n<meta property=\"og:description\" content=\"Inovat\u012bva dzemdes miomu emboliz\u0101cija, izmantojot invaz\u012bvo radiolo\u0123iju. 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