{"id":10431,"date":"2025-04-08T11:31:24","date_gmt":"2025-04-08T11:31:24","guid":{"rendered":"https:\/\/ambercell.eu\/?p=10431"},"modified":"2025-04-08T11:31:24","modified_gmt":"2025-04-08T11:31:24","slug":"varikoceles-embolizacija-progresivs-risinajums-viriesu-neauglibas-arstesana","status":"publish","type":"post","link":"https:\/\/ambercell.eu\/lv\/zinas\/varikoceles-embolizacija-progresivs-risinajums-viriesu-neauglibas-arstesana\/","title":{"rendered":"Varikoceles emboliz\u0101cija: progres\u012bvs risin\u0101jums v\u012brie\u0161u neaugl\u012bbas \u0101rst\u0113\u0161an\u0101"},"content":{"rendered":"\n<p><\/p>\n\n<p>Varikocele ir viena no visbie\u017e\u0101k sastopamaj\u0101m reprodukt\u012bv\u0101s vesel\u012bbas probl\u0113m\u0101m v\u012brie\u0161iem, kas var ietekm\u0113t augl\u012bbu. T\u0101 ir s\u0113klinieku v\u0113nu patolo\u0123iska papla\u0161in\u0101\u0161an\u0101s, kas visbie\u017e\u0101k izpau\u017eas \u0137erme\u0146a kreisaj\u0101 pus\u0113. T\u0101 k\u0101 vairum\u0101 gad\u012bjumu varikocele neizraisa nek\u0101dus simptomus, to bie\u017ei atkl\u0101j nejau\u0161i medic\u012bnisk\u0101s p\u0101rbaudes laik\u0101 profilakses nol\u016bkos.    <br\/><br\/>Vair\u0101k par \u0161o patolo\u0123iju, t\u0101s simptomiem, diagnostiku un inovat\u012bvo \u0101rst\u0113\u0161anas metodi \u2013 varikoceles emboliz\u0101ciju \u2013 st\u0101sta urologs Vi\u013c\u0146as pils\u0113tas kl\u012bnisk\u0101s slimn\u012bcas un diagnostikas centra \u0101rsts Martynas Stanionis un VUL Santaros kl\u012bnikas \u0101rsts Rokas Gir\u010dius.<br\/><\/p>\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"683\" height=\"1024\" data-id=\"10186\" src=\"https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-miesto-klinikines-ligonines-ir-Diagnostikos-centro-gydytojas-urologas-Martynas-Stanionis-Foto-is-asmeninio-archyvo-683x1024.jpg\" alt=\"\" class=\"wp-image-10186\"\/><figcaption class=\"wp-element-caption\">Urologs Martynas Stanionis, Vi\u013c\u0146as pils\u0113tas kl\u012bnisk\u0101s slimn\u012bcas un diagnostikas centra \u0101rsts<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"851\" height=\"1024\" data-id=\"10190\" src=\"https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-universiteto-ligonines-Santaros-klinikos-intervencinis-gydytojas-radiologas-Rokas-Gircius-1-851x1024.jpg\" alt=\"\" class=\"wp-image-10190\" srcset=\"https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-universiteto-ligonines-Santaros-klinikos-intervencinis-gydytojas-radiologas-Rokas-Gircius-1-851x1024.jpg 851w, https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-universiteto-ligonines-Santaros-klinikos-intervencinis-gydytojas-radiologas-Rokas-Gircius-1-249x300.jpg 249w, https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-universiteto-ligonines-Santaros-klinikos-intervencinis-gydytojas-radiologas-Rokas-Gircius-1-768x924.jpg 768w, https:\/\/ambercell.eu\/wp-content\/uploads\/2025\/01\/Vilniaus-universiteto-ligonines-Santaros-klinikos-intervencinis-gydytojas-radiologas-Rokas-Gircius-1.jpg 1110w\" sizes=\"(max-width: 851px) 100vw, 851px\" \/><figcaption class=\"wp-element-caption\">VUL Santaros kl\u012bnikas \u0101rsts invaz\u012bvais radiologs Rokas Gir\u010dius<\/figcaption><\/figure>\n<\/figure>\n\n<p><br\/>P\u0113c M. Stanionis dom\u0101m, varikocele att\u012bst\u0101s sakar\u0101 ar asins stagn\u0101ciju s\u0113klinieku v\u0113n\u0101s, ko izraisa venozo v\u0101rstu\u013cu nepareiza darb\u012bba vai to nepietiekam\u012bba. Visbie\u017e\u0101kais \u0161\u012b st\u0101vok\u013ca c\u0113lonis ir nieru kreis\u0101s v\u0113nas anatomisk\u0101 strukt\u016bra. &#8220;Kreisaj\u0101 pus\u0113 asinis pl\u016bst no s\u0113klinieku v\u0113nas uz nieru kreiso v\u0113nu, tad \u0161\u0137\u0113rso aortu un tikai tad non\u0101k apak\u0161\u0113j\u0101 tuk\u0161aj\u0101 v\u0113n\u0101. \u0160aj\u0101 ce\u013c\u0101 ir daudz at\u0161\u0137ir\u012bbu spiedien\u0101, t\u0101p\u0113c asinis var notur\u0113ties un papla\u0161in\u0101t v\u0113nas,&#8221; skaidro \u0101rsts. Ret\u0101kos gad\u012bjumos varikoc\u0113li var izrais\u012bt audz\u0113ji vai v\u0113nu \u0161\u0137\u0113r\u0161\u013ci.    <br\/><br\/>P\u0113c urologa dom\u0101m, varikoceles iesp\u0113jam\u012bbu var palielin\u0101t:<br\/>\u2022 <strong>\u0122en\u0113tika.<\/strong> Ja \u0123imen\u0113 ir biju\u0161i varikoceles gad\u012bjumi, t\u0101 risks palielin\u0101s par 2 &#8211; 4 reizes.<br\/>\u2022 <strong>Asinsrites trauc\u0113jumi <\/strong>(\u012bpa\u0161i nieru v\u0113nu nosprostojums), kas var b\u016bt iedzimti vai radu\u0161ies citu slim\u012bbu rezult\u0101t\u0101.<br\/>\u2022 <strong>Vecums.<\/strong> Varikoc\u0113li visbie\u017e\u0101k diagnostic\u0113 v\u012brie\u0161iem vecum\u0101 no 15 l\u012bdz 25 gadiem.<br\/>\u2022 <strong>Fiziskie faktori<\/strong> , piem\u0113ram, neregul\u0101ra st\u0101ja, ilgsto\u0161a s\u0113d\u0113\u0161ana vai p\u0101rm\u0113r\u012bga fiziska slodze.<br\/><br\/>P\u0113c M. Stanionis dom\u0101m, varikocele bie\u017ei ir asimptom\u0101tiska un atkl\u0101ta nejau\u0161i, bet da\u017ei pacienti var justies:<br\/>\u2022 S\u0101pes vai diskomforts s\u0113kliniekos, parasti st\u0101vot vai sportojot. S\u0101pes parasti ir vieglas, bet var pastiprin\u0101ties norm\u0101lu aktivit\u0101\u0161u laik\u0101. <br\/>\u2022 Smaguma saj\u016bta cirksn\u012b.<br\/>\u2022 S\u0113klinieku izm\u0113ru at\u0161\u0137ir\u012bbas (viens s\u0113klinieks ir liel\u0101ks par otru).<\/p>\n\n<p>Varikoceles simptomus vai to saasin\u0101\u0161anos var izrais\u012bt t\u0101di faktori k\u0101 ilgsto\u0161a st\u0101v\u0113\u0161ana vai s\u0113d\u0113\u0161ana, kas var izrais\u012bt asins un varikozu v\u0113nu stagn\u0101ciju, intens\u012bvu fizisko slodzi, sporta treni\u0146us. Asins pl\u016bsmas trauc\u0113jumus var veicin\u0101t ar\u012b ilgsto\u0161a uztur\u0113\u0161an\u0101s karst\u0101 vid\u0113 vai alkohola lieto\u0161ana. Hroniski iekaisumi un citi patolo\u0123iski procesi bie\u017ei veicina varikoceles simptomu saasin\u0101\u0161anos.  <\/p>\n\n<p>M. Stanionis uzsver, ka, ja to ne\u0101rst\u0113, varikocele var b\u016btiski ietekm\u0113t v\u012brie\u0161u augl\u012bbu. Asins st\u0101ze var paaugstin\u0101t temperat\u016bru s\u0113kliniekos, trauc\u0113t spermas ra\u017eo\u0161anu, pasliktin\u0101t spermas kvalit\u0101ti un kust\u012bgumu. Turkl\u0101t var rasties oksidat\u012bvais stress un audu boj\u0101jumi, kas v\u0113l vair\u0101k pasliktina situ\u0101ciju. &#8220;Ja pacientam ir varikocele un vi\u0146\u0161 saskaras ar neaugl\u012bbas probl\u0113m\u0101m, \u0101rst\u0113\u0161ana daudzos gad\u012bjumos var iev\u0113rojami uzlabot spermas kvalit\u0101ti un palielin\u0101t iesp\u0113jam\u012bbu, ka p\u0101rim veiksm\u012bgi b\u016bs b\u0113rni,&#8221; vi\u0146\u0161 saka.<br\/>Urologs atz\u012bm\u0113, ka varikoc\u0113li var nepaman\u012bt, kam\u0113r sieviete, nol\u0113musi dzemd\u0113t b\u0113rnus, nevar iest\u0101ties gr\u016btniec\u012bba.   <br\/><br\/>P\u0113c M. Stanionis dom\u0101m, varikoceles diagnoze s\u0101kas ar anamn\u0113zes sav\u0101k\u0161anu un kl\u012bnisko izmekl\u0113\u0161anu. &#8220;Pacientam parasti l\u016bdz st\u0101v\u0113t vai klepot, piem\u0113ram, lai lab\u0101k nov\u0113rt\u0113tu v\u0113nu papla\u0161in\u0101\u0161anos,&#8221; skaidro \u0101rsts urologs. Lai apstiprin\u0101tu varikoc\u0113li, visbie\u017e\u0101k tiek izmantota ultraska\u0146as diagnostika. Doplera ultraska\u0146a atkl\u0101j asins pl\u016bsmas un varikozu v\u0113nu p\u0101rk\u0101pumu. Ret\u0101kos gad\u012bjumos var izmantot kontrasttomogr\u0101fijas (CT) vai magn\u0113tisk\u0101s rezonanses att\u0113lveido\u0161anas (MRI) izmekl\u0113jumus.    <br\/><br\/>Urologs saka, ka varikoceles \u0101rst\u0113\u0161anas izv\u0113le ir atkar\u012bga no varikoceles smaguma un simptomiem. Pa\u0161laik Lietuv\u0101 tiek izmantotas \u0161\u0101das metodes:<br\/>\u2022 <strong>Konservat\u012bva \u0101rst\u0113\u0161ana<\/strong>, kas ietver pacienta st\u0101vok\u013ca un dz\u012bvesveida izmai\u0146u uzraudz\u012bbu, ja simptomi ir viegli un neietekm\u0113 v\u012brie\u0161a augl\u012bbu.<br\/>\u2022 <strong>\u0136irur\u0123iska \u0101rst\u0113\u0161ana, ko lieto<\/strong> neaugl\u012bbas \u0101rst\u0113\u0161anai vai smagu simptomu mazin\u0101\u0161anai. Tas ietver varikoceles atvasin\u0101jumu mikro\u0137irur\u0123isku izgrie\u0161anu vai laparoskopiskas oper\u0101cijas.<br\/>\u2022 <strong>Emboliz\u0101cija<\/strong> ir inovat\u012bva, maz\u0101k invaz\u012bva proced\u016bra ar zemu komplik\u0101ciju risku un \u0101tr\u0101ku pacientu atvese\u013co\u0161anos nek\u0101 p\u0113c oper\u0101cijas. \u0100rsts M. Stanionis proced\u016bru raksturo k\u0101 &#8220;efekt\u012bvu, minim\u0101li invaz\u012bvu metodi, kas \u013cauj aptur\u0113t asins pl\u016bsmu ar papla\u0161in\u0101t\u0101m v\u0113n\u0101m&#8221;.   <br\/><br\/>Invaz\u012bvais radiologs Rokas Gir\u010dius skaidro, ka varikoceles emboliz\u0101cija ir proced\u016bra, kuras laik\u0101 rentgena kontrol\u0113 v\u0113n\u0101s caur katetru tiek ievad\u012btas \u012bpa\u0161as vielas, kas aizver asinsriti papla\u0161in\u0101taj\u0101s v\u0113n\u0101s un nov\u0113r\u0161 varikoceles simptomus.<br\/><br\/>&#8220;Varikoceles emboliz\u0101cija parasti ilgst no 30 min\u016bt\u0113m l\u012bdz 1 stundai. Lai nodro\u0161in\u0101tu maksim\u0101lu precizit\u0101ti, proced\u016bra tiek veikta rentgena kontrol\u0113. Visbie\u017e\u0101k tiek izmantota viet\u0113j\u0101 anest\u0113zija, piek\u013cuve tiek izv\u0113l\u0113ta caur lielu v\u0113nu kakl\u0101 vai cirksn\u012b. V\u0113na tiek caurdurta ultraska\u0146as kontrol\u0113 un tiek ieviesta katetru\/cauru\u013cu sist\u0113ma, kas p\u0101rvietojas pa to ar speci\u0101liem vadiem un radiokontrast\u0113jo\u0161iem l\u012bdzek\u013ciem, lai sasniegtu viena vai abu s\u0113klinieku papla\u0161in\u0101t\u0101s v\u0113nas. Tie tiek aizv\u0113rti caur tiem pa\u0161iem katetriem, v\u0113n\u0101s ievadot spir\u0101les un \/ vai \u012bpa\u0161u l\u012bmi. Lai pastiprin\u0101tu proced\u016bras efektu, v\u0113nas vienlaikus tiek skleroz\u0113tas ar speci\u0101lu skleroterapeitisku l\u012bdzekli,&#8221; ar proced\u016bras deta\u013c\u0101m dal\u0101s R. Gir\u010diuss.     <br\/> <\/p>\n\n<p><br\/>P\u0113c invaz\u012bv\u0101 radiologa teikt\u0101, aptuveni tr\u012bs stundas p\u0113c proced\u016bras pacientu var izrakst\u012bt m\u0101j\u0101s. P\u0113c proced\u016bras nav nepiecie\u0161ams \u012bpa\u0161s atp\u016btas vai apr\u016bpes re\u017e\u012bms, t\u0101p\u0113c parastais dz\u012bves ritms gandr\u012bz netiek trauc\u0113ts. Iesp\u0113jamo nelielo diskomfortu vai diskomfortu var viegli p\u0101rvald\u012bt ar neliel\u0101m nestero\u012bdo pretiekaisuma l\u012bdzek\u013cu dev\u0101m. &#8220;Poemboliz\u0113\u0161anas periods, kura laik\u0101 var b\u016bt j\u016btama viegla peld\u0113\u0161an\u0101s vai dz\u0113liena, da\u017ereiz viegla slikta d\u016b\u0161a, parasti ilgst 1-2 dienas, un pozit\u012bvas izmai\u0146as spermogramm\u0101 tiek nov\u0113rotas p\u0113c 1-2 m\u0113ne\u0161iem,&#8221; saka speci\u0101liste   <br\/><br\/><br\/>P\u0113c R. Gir\u010diusa dom\u0101m, varikoceles emboliz\u0101cijai ir daudz priek\u0161roc\u012bbu:<br\/>\u2022 Proced\u016bra ir minim\u0101li invaz\u012bva, t\u0101p\u0113c nav nepiecie\u0161ami lieli iegriezumi.<br\/>\u2022 Zems komplik\u0101ciju risks. Sal\u012bdzinot ar \u0137irur\u0123isk\u0101m \u0101rst\u0113\u0161anas metod\u0113m, emboliz\u0101cija iev\u0113rojami samazina nervu pinumu un s\u0113klas kan\u0101la boj\u0101jumu risku. <br\/>\u2022 \u0100tra atvese\u013co\u0161an\u0101s. Pacients tiek izrakst\u012bts m\u0101j\u0101s taj\u0101 pa\u0161\u0101 dien\u0101 un var atgriezties ikdienas aktivit\u0101t\u0113s. <br\/>\u2022 Augsta efektivit\u0101te. Izmantojot emboliz\u0101cijas un skleroterapijas meto\u017eu kombin\u0101ciju, proced\u016bras pan\u0101kumu l\u012bmenis sasniedz aptuveni 95 procentus. Ja nepiecie\u0161ams, proced\u016bru var viegli atk\u0101rtot.  <br\/>&#8220;T\u0101d\u0113j\u0101di emboliz\u0101cija ir \u0101tra, dro\u0161a un uzticama varikoceles \u0101rst\u0113\u0161anas metode, nodro\u0161inot pacientam minim\u0101lu diskomfortu. \u0160\u012b metode ir lieliska izv\u0113le tiem, kas v\u0113las izvair\u012bties no \u0137irur\u0123isk\u0101m oper\u0101cij\u0101m un mekl\u0113t \u0101tr\u0101ku atvese\u013co\u0161anos,&#8221; secina invaz\u012bvais radiologs. <br\/><br\/>Sarunas nosl\u0113gum\u0101 \u0101rsti saka, ka medic\u012bna strauji att\u012bst\u0101s &#8211; pateicoties progres\u012bv\u0101m diagnostikas un \u0101rst\u0113\u0161anas metod\u0113m, varikoc\u0113li var efekt\u012bvi p\u0101rvald\u012bt un samazin\u0101t t\u0101s ietekmi uz v\u012brie\u0161u vesel\u012bbu. &#8220;Ja j\u016btat \u0161\u012bs slim\u012bbas simptomus, ir svar\u012bgi nekav\u0113ties un konsult\u0113ties ar \u0101rstu, k\u0101 ar\u012b neaizmirst regul\u0101ri iziet profilaktisk\u0101s vesel\u012bbas p\u0101rbaudes,&#8221; atg\u0101dina Martynas Stanionis un Rokas Gir\u010dius. <br\/><br\/>Rakstu lasi<a href=\"https:\/\/www.delfi.lt\/sveikata\/inovatyvus-gydymas\/varikoceles-embolizacija-pazangus-sprendimas-vyru-nevaisingumo-gydyme-120073113\"> <strong> \u0160EIT. <\/strong><\/a> <\/p>\n\n<div style=\"height:34px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\"><\/figure>\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Varikocele ir viena no visbie\u017e\u0101k sastopamaj\u0101m reprodukt\u012bv\u0101s vesel\u012bbas probl\u0113m\u0101m v\u012brie\u0161iem, kas var ietekm\u0113t augl\u012bbu. T\u0101 ir s\u0113klinieku v\u0113nu patolo\u0123iska papla\u0161in\u0101\u0161an\u0101s, kas visbie\u017e\u0101k izpau\u017eas \u0137erme\u0146a kreisaj\u0101 pus\u0113. T\u0101 k\u0101 vairum\u0101 gad\u012bjumu varikocele neizraisa nek\u0101dus simptomus, to bie\u017ei atkl\u0101j nejau\u0161i medic\u012bnisk\u0101s p\u0101rbaudes laik\u0101 profilakses nol\u016bkos.    <\/p>\n","protected":false},"author":6,"featured_media":10439,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[163],"class_list":["post-10431","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zinas","tag-ambercell-lv"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Varikoceles emboliz\u0101cija: progres\u012bvs risin\u0101jums v\u012brie\u0161u neaugl\u012bbas \u0101rst\u0113\u0161an\u0101 - Ambercell<\/title>\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\/lv\/zinas\/varikoceles-embolizacija-progresivs-risinajums-viriesu-neauglibas-arstesana\/\" \/>\n<meta property=\"og:locale\" content=\"lv_LV\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Varikoceles emboliz\u0101cija: progres\u012bvs risin\u0101jums v\u012brie\u0161u neaugl\u012bbas \u0101rst\u0113\u0161an\u0101 - Ambercell\" \/>\n<meta property=\"og:description\" content=\"Varikocele ir viena no visbie\u017e\u0101k sastopamaj\u0101m reprodukt\u012bv\u0101s vesel\u012bbas probl\u0113m\u0101m v\u012brie\u0161iem, kas var ietekm\u0113t augl\u012bbu. T\u0101 ir s\u0113klinieku v\u0113nu patolo\u0123iska papla\u0161in\u0101\u0161an\u0101s, kas visbie\u017e\u0101k izpau\u017eas \u0137erme\u0146a kreisaj\u0101 pus\u0113. 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