{"id":6152,"date":"2023-11-05T08:10:05","date_gmt":"2023-11-05T08:10:05","guid":{"rendered":"https:\/\/ambercell.pixel-dev.lt\/lokala-plausu-veza-arstesana-jauna-ceriba-pacientiem-ar-draudosu-slimibu\/"},"modified":"2024-03-24T02:21:09","modified_gmt":"2024-03-24T02:21:09","slug":"lokala-plausu-veza-arstesana-jauna-ceriba-pacientiem-ar-draudosu-slimibu","status":"publish","type":"post","link":"https:\/\/ambercell.eu\/lv\/zinas\/lokala-plausu-veza-arstesana-jauna-ceriba-pacientiem-ar-draudosu-slimibu\/","title":{"rendered":"Lok\u0101la plau\u0161u v\u0113\u017ea \u0101rst\u0113\u0161ana \u2013 jauna cer\u012bba pacientiem ar draudo\u0161u slim\u012bbu"},"content":{"rendered":"\n

Plau\u0161u v\u0113zis ir viena no visbie\u017e\u0101k sastopamaj\u0101m un agres\u012bv\u0101kaj\u0101m onkolo\u0123iskaj\u0101m slim\u012bb\u0101m. Saska\u0146\u0101 ar jaun\u0101kajiem Lietuvas Higi\u0113nas instit\u016bta<\/a> datiem m\u016bsu valst\u012b katru gadu tiek diagnostic\u0113ti aptuveni pusotrs t\u016bkstotis jaunu plau\u0161u v\u0113\u017ea gad\u012bjumu, un pat aptuveni 1300 no tiem, kas saslimst ar \u0161o slim\u012bbu, mirst. Vair\u0101k par \u0161o slim\u012bbu, t\u0101s riska faktoriem un jaun\u0101kaj\u0101m \u0101rst\u0113\u0161anas metod\u0113m st\u0101sta Lietuvas Vesel\u012bbas zin\u0101t\u0146u universit\u0101tes slimn\u012bca (LSMUL) Kau\u0146as kl\u012bnikas<\/a> \u0100rsts pulmonologs, onkologs-\u0137\u012bmijterapeits prof. Mariuss \u017demaitis, Pulmonolo\u0123ijas kl\u012bnikas Torak\u0101l\u0101s onkolo\u0123ijas un invaz\u012bv\u0101s pulmonolo\u0123ijas sektora Torak\u0101l\u0101s onkolo\u0123ijas un invaz\u012bv\u0101s pulmonolo\u0123ijas sektora vad\u012bt\u0101js un Dr. Aurimas Ma\u010dionis, Minim\u0101li invaz\u012bvo radiolo\u0123isko proced\u016bru (MIRP) sektora vad\u012bt\u0101js, \u0101rsts radiologs.<\/p>\n\n

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Galvenais slim\u012bbas c\u0113lonis ir sm\u0113\u0137\u0113\u0161ana<\/strong><\/strong><\/strong><\/p>\n\n

P\u0113c prof. M. \u017demaitis dom\u0101m, vair\u0101k nek\u0101 90 procenti. Plau\u0161u v\u0113\u017ea gad\u012bjumus izraisa sm\u0113\u0137\u0113\u0161ana. Saska\u0146\u0101 ar v\u0113stures avotiem pag\u0101ju\u0161\u0101 gadsimta s\u0101kum\u0101 \u0161\u012b slim\u012bba bija \u0101rk\u0101rt\u012bgi reta, un glob\u0101l\u0101 l\u012bdz pat \u0161ai dienai notieko\u0161\u0101 plau\u0161u v\u0113\u017ea pand\u0113mija s\u0101k\u0101s kop\u0101 ar sm\u0113\u0137\u0113\u0161anas popularit\u0101ti. Agr\u0101k daudz vair\u0101k v\u012brie\u0161u nek\u0101 sievie\u0161u saslima ar plau\u0161u v\u0113zi, un tas bija saist\u012bts ar liel\u0101ku sm\u0113\u0137\u0113\u0161anas izplat\u012bbu v\u012brie\u0161u vid\u016b. Tom\u0113r \u0161obr\u012bd, \u0146emot v\u0113r\u0101 pieaugo\u0161o sm\u0113\u0137\u0113t\u0101ju sievie\u0161u skaitu Eiropas Savien\u012bbas valst\u012bs, sievie\u0161u mirst\u012bba no plau\u0161u v\u0113\u017ea jau ir l\u012bdzv\u0113rt\u012bga mirst\u012bbas l\u012bmenim no kr\u016bts v\u0113\u017ea. Ir zin\u0101tniski pier\u0101d\u012bts, ka vien\u012bgais efekt\u012bvais plau\u0161u v\u0113\u017ea profilakses pas\u0101kums, kas pal\u012bdz samazin\u0101t plau\u0161u v\u0113\u017ea att\u012bst\u012bbas vai profilakses iesp\u0113jam\u012bbu, ir atmest sm\u0113\u0137\u0113\u0161anu<\/p>\n\n

Tom\u0113r profesors atz\u012bm\u0113, ka plau\u0161u v\u0113\u017ea risku palielina ar\u012b pas\u012bv\u0101 sm\u0113\u0137\u0113\u0161ana, gaisa pies\u0101r\u0146ojums, darbs vai saskare ar radona g\u0101zi, azbests (viela, ko izmantoja r\u016bpniec\u012bb\u0101, ku\u0123u b\u016bv\u0113 un \u0113k\u0101s l\u012bdz 1970. gadiem), citas \u0137\u012bmiskas vielas, vienlaic\u012bgas plau\u0161u slim\u012bbas (starp citu, ar\u012b sm\u0113\u0137\u0113\u0161anas izrais\u012btas), iedzimt\u012bba. Visbie\u017e\u0101k plau\u0161u v\u0113zis skar cilv\u0113kus vecum\u0101 no 60 l\u012bdz 70 gadiem, ta\u010du kl\u012bniskaj\u0101 praks\u0113 nav nekas neparasts sastapties ar jaun\u0101kiem pacientiem – 50-55 gadus veciem.<\/p>\n\n

“Run\u0101jot par plau\u0161u v\u0113\u017ea profilaktisko skr\u012bningu, tiek uzskat\u012bts, ka, lai diagnostic\u0113tu slim\u012bbu v\u0113l pirms t\u0101s pirmo simptomu par\u0101d\u012b\u0161an\u0101s, skr\u012bnings j\u0101s\u0101k no 50-55 gadu vecuma. Ir v\u0113rts atz\u012bm\u0113t, ka Eiropas Savien\u012bb\u0101 ir public\u0113ts v\u0113\u017ea apkaro\u0161anas pl\u0101ns, kur\u0101 liela uzman\u012bba piev\u0113rsta plau\u0161u v\u0113\u017ea agr\u012bnai diagnostic\u0113\u0161anai. Ir noteiktas vadl\u012bnijas, kas nor\u0101da, ka plau\u0161u v\u0113\u017ea skr\u012bnings ir j\u0101ievie\u0161 vis\u0101s Eiropas Savien\u012bbas valst\u012bs, \u013caujot slim\u012bbu diagnostic\u0113t agr\u0101k, kad to var \u0101rst\u0113t,” saka \u0101rsts pulmonologs.<\/p>\n\n

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Plau\u0161u v\u0113\u017ea \u0101rst\u0113\u0161anas iesp\u0113jas<\/strong><\/p>\n\n

Prof. M. \u017demaitis saka, ka plau\u0161u v\u0113\u017ea \u0101rst\u0113\u0161anas taktika un slim\u012bbas prognoze ir atkar\u012bga no t\u0101s izplat\u012bbas. Visefekt\u012bv\u0101kais \u2013 \u0137irur\u0123isk\u0101 \u0101rst\u0113\u0161ana var tikt pielietota p\u0113c plau\u0161u v\u0113\u017ea diagnozes s\u0101kuma stadij\u0101s. \u0160\u012b iemesla d\u0113\u013c \u012bpa\u0161i svar\u012bga ir agr\u012bna slim\u012bbas diagnostika, kas tiek veikta, izmantojot jaun\u0101k\u0101s tehnolo\u0123ijas \u2013 s\u0101kot ar pozitronu emisijas tomogr\u0101fiju, elektromagn\u0113tisk\u0101s navig\u0101cijas bronhoskopiju un beidzot ar vissare\u017e\u0123\u012bt\u0101kaj\u0101m patolo\u0123isk\u0101s un molekul\u0101r\u0101s izp\u0113tes metod\u0113m.<\/p>\n\n

Progres\u0113jo\u0161a plau\u0161u v\u0113\u017ea kl\u0101tb\u016btn\u0113 tiek izmantota kombin\u0113ta vai sist\u0113miska terapija. T\u0101p\u0113c, sniedzot pal\u012bdz\u012bbu plau\u0161u v\u0113\u017ea slimniekiem, \u012bpa\u0161i svar\u012bgs ir multidisciplin\u0101ras komandas princips. \u0160ogad Kau\u0146as kl\u012bnik\u0101s tika izveidota torak\u0101lo audz\u0113ju tematisk\u0101 grupa, kas apvieno \u0101rstus pulmonologus, onkolologus, \u0137\u012bmijterapeitus, onkologus, radioterapeitus, \u0137irurgus, patologus, radiologus, \u0123en\u0113ti\u0137us, rehabilitologus un citu jomu speci\u0101listus, kuri cen\u0161as nodro\u0161in\u0101t vislab\u0101ko onkolo\u0123isko apr\u016bpi plau\u0161u v\u0113\u017ea pacientiem vai tiem, par kuriem ir aizdomas par \u0161o slim\u012bbu. Minim\u0101li invaz\u012bvo radiolo\u0123isko proced\u016bru nozare ir v\u0113rsta uz onkolo\u0123isko pacientu ilgtsp\u0113j\u012bgu \u0101rst\u0113\u0161anu.<\/p>\n\n

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“Ja pirms p\u0101rdesmit gadiem tika izmantota tikai toksiska \u0137\u012bmijterapija, tad \u0161obr\u012bd v\u0113zis tiek \u0101rst\u0113ts ar m\u0113r\u0137a terapiju, kas iedarbojas uz noteiktiem molekul\u0101riem m\u0113r\u0137iem uz audz\u0113ja \u0161\u016bn\u0101m, bet neboj\u0101 vesel\u0101s \u0161\u016bnas. M\u0113r\u0137a terapija atsevi\u0161\u0137iem pacientiem palielina paredzamo dz\u012bves ilgumu, aizkav\u0113 slim\u012bbas progres\u0113\u0161anu un ir iev\u0113rojami lab\u0101k panesama sal\u012bdzin\u0101jum\u0101 ar standarta \u0137\u012bmijterapiju. Im\u016bnterapiju izmanto ar\u012b plau\u0161u v\u0113\u017ea \u0101rst\u0113\u0161anai, kas pal\u012bdz atjaunot cilv\u0113ka im\u016bnsist\u0113mu, aktiviz\u0113t im\u016bn\u0101s \u0161\u016bnas, lai t\u0101s pa\u0161as s\u0101ktu c\u012bn\u012bties ar plau\u0161u v\u0113zi. \u0100rst\u0113\u0161anas rezult\u0101ti ar \u0161\u012bm metod\u0113m ir patie\u0161\u0101m iepriecino\u0161i. Ja agr\u0101k p\u0113c \u0137\u012bmijterapijas terapijas piecu gadu izdz\u012bvo\u0161anas r\u0101d\u012bt\u0101js bija tikai da\u017ei procenti, tad p\u0113c \u0101rst\u0113\u0161anas ar jaun\u0101s paaudzes metod\u0113m tas sasniedz aptuveni 30 procentus,” st\u0101sta prof. M. \u017demaitis.<\/p>\n\n

Inov\u0101cijas plau\u0161u v\u0113\u017ea \u0101rst\u0113\u0161an\u0101 \u2013 termisk\u0101 abl\u0101cija<\/strong><\/strong><\/strong><\/p>\n\n

P\u0113c Dr. A. Ma\u010dionis dom\u0101m, papildus jau min\u0113taj\u0101m metod\u0113m m\u016bsdienu plau\u0161u v\u0113\u017ea \u0101rst\u0113\u0161anas iesp\u0113ju arsen\u0101ls ir papildin\u0101ts ar viet\u0113j\u0101m destrukt\u012bv\u0101m terapij\u0101m: mikrovi\u013c\u0146u abl\u0101ciju un krioabl\u0101ciju. \u0160\u012bs inovat\u012bv\u0101s un efekt\u012bv\u0101s metodes tiek izmantotas gan prim\u0101r\u0101 plau\u0161u v\u0113\u017ea, gan metast\u0101tiskas plau\u0161u slim\u012bbas \u0101rst\u0113\u0161an\u0101, kad \u0137irur\u0123iska \u0101rst\u0113\u0161ana ir neiesp\u0113jama vai riskanta iesp\u0113jamo komplik\u0101ciju, vienlaic\u012bgu slim\u012bbu vai nepietiekamas pacienta elpo\u0161anas funkcijas d\u0113\u013c.<\/p>\n\n

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“T\u0101s ir minim\u0101li invaz\u012bvas oper\u0101cijas bez iegriezuma, kuru laik\u0101 audz\u0113j\u0101 caur \u0101du tiek ievad\u012btas speci\u0101las adatas un tas tiek pak\u013cauts karstumam vai sasal\u0161anai. T\u0101d\u0101 veid\u0101 tiek trauc\u0113ta audz\u0113ja strukt\u016bra, k\u0101 rezult\u0101t\u0101 t\u0101 k\u013c\u016bst dz\u012bvotnesp\u0113j\u012bga. \u0160\u012bs oper\u0101cijas \u013cauj maksim\u0101li saglab\u0101t plau\u0161u audus un saglab\u0101t elpo\u0161anas funkciju,” st\u0101sta radiologs.<\/p>\n\n\n\n

Saska\u0146\u0101 ar Dr. Aurimas Ma\u010dionis teikto, termisk\u0101s abl\u0101cijas oper\u0101cijas ir \u013coti labi panesamas. Jau n\u0101kamaj\u0101 dien\u0101 p\u0113c \u0101rst\u0113\u0161anas pacienti tiek atbr\u012bvoti m\u0101j\u0101s, vi\u0146u darba sp\u0113jas tiek \u0101tri atjaunotas, lai cilv\u0113ki var\u0113tu atgriezties pie ierastaj\u0101m ikdienas aktivit\u0101t\u0113m. Vienas oper\u0101cijas laik\u0101 var veikt ar\u012b vair\u0101ku \u013caundab\u012bgu audz\u0113ju \u0101rst\u0113\u0161anu, un komplik\u0101cijas p\u0113c \u0161\u012bm oper\u0101cij\u0101m ir \u013coti reti.<\/p>\n<\/div><\/div>\n\n

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P\u0113c minim\u0101li invaz\u012bvo radiolo\u0123isko proced\u016bru sektora vad\u012bt\u0101jas teikt\u0101, mikrovi\u013c\u0146u abl\u0101cija vai krioabl\u0101cija var efekt\u012bvi \u0101rst\u0113t zemas izplat\u012bbas I stadijas plau\u0161u v\u0113zi vai metast\u0101tisku plau\u0161u slim\u012bbu, kur \u013caundab\u012bg\u0101 slim\u012bba tiek aptur\u0113ta ar sist\u0113misku \u0101rst\u0113\u0161anu, un abl\u0101cijas m\u0113r\u0137is ir beidzot izn\u012bcin\u0101t atliku\u0161os metast\u0101tiskos slim\u012bbas per\u0113k\u013cus.<\/p>\n\n

Dr. A. Ma\u010dionis nor\u0101da, ka \u013caundab\u012bgo audz\u0113ju abl\u0101cija ir visefekt\u012bv\u0101k\u0101, ja to diametrs ir l\u012bdz 3 centimetriem. Tikm\u0113r liel\u0101ki audz\u0113ji, kas atrodas blakus b\u012bstam\u0101m strukt\u016br\u0101m plau\u0161u centr\u0101laj\u0101 da\u013c\u0101, j\u0101\u0101rst\u0113, izv\u0113loties citas alternat\u012bvas, piem\u0113ram, stereotaktisko staru terapiju utt.<\/p>\n\n

Radiologs st\u0101sta, ka digit\u0101l\u0101s tehnolo\u0123ijas un m\u0101ksl\u012bg\u0101 intelekta navig\u0101cijas sist\u0113mas pal\u012bdz \u0101tr\u0101k un prec\u012bz\u0101k veikt n\u0101kam\u0101s paaudzes oper\u0101cijas. Termisk\u0101s abl\u0101cijas oper\u0101cijas tiek veiktas datortomogr\u0101fa kontrol\u0113, un ar navig\u0101cijas sist\u0113mas pal\u012bdz\u012bbu pacientam pie\u013caujamais rentgena staru daudzums sken\u0113\u0161anas laik\u0101 ir iev\u0113rojami samazin\u0101ts.<\/p>\n\n

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M\u016bsdienu medic\u012bnas virziens \u2013 minim\u0101li invaz\u012bvas metodes<\/strong><\/strong><\/strong><\/p>\n\n

\n
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“M\u016bsdienu invaz\u012bv\u0101s medic\u012bnas virziens ir metodes, kas maz\u0101k traum\u0113 pacientu, kuru galvenais m\u0113r\u0137is ir pan\u0101kt t\u0101du pa\u0161u vai lab\u0101ku terapeitisko efektu, bet samazin\u0101t komplik\u0101ciju risku un \u0101tr\u0101k atjaunot pacienta darba sp\u0113jas. Starptautiskie kl\u012bniskie p\u0113t\u012bjumi ir par\u0101d\u012bju\u0161i, ka lok\u0101la destrukt\u012bva terapija, izmantojot mikrovi\u013c\u0146u abl\u0101ciju un krioabl\u0101ciju, ir efekt\u012bva un dro\u0161a plau\u0161u v\u0113\u017ea \u0101rst\u0113\u0161anas metode, kad \u0137irur\u0123iska \u0101rst\u0113\u0161ana nav iesp\u0113jama. T\u0101pat ir atz\u012bts, ka \u0161\u012bs \u0101rst\u0113\u0161anas metodes ir efekt\u012bvas, dro\u0161as un saudz\u0113jo\u0161as plau\u0161u audus citu plau\u0161u org\u0101nu \u013caundab\u012bgo audz\u0113ju metast\u0101\u017eu \u0101rst\u0113\u0161an\u0101,” sarunas nosl\u0113gum\u0101 uzsver A. Ma\u010dionis.<\/p>\n<\/div>

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Plau\u0161u v\u0113zis ir viena no visbie\u017e\u0101k sastopamaj\u0101m un agres\u012bv\u0101kaj\u0101m onkolo\u0123iskaj\u0101m slim\u012bb\u0101m. Saska\u0146\u0101 ar jaun\u0101kajiem Lietuvas Higi\u0113nas instit\u016bta datiem m\u016bsu valst\u012b katru gadu tiek diagnostic\u0113ti aptuveni pusotrs t\u016bkstotis jaunu plau\u0161u v\u0113\u017ea gad\u012bjumu, un pat aptuveni 1300 no tiem, kas saslimst ar \u0161o slim\u012bbu, mirst.<\/p>\n","protected":false},"author":8,"featured_media":6165,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[],"class_list":["post-6152","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zinas"],"yoast_head":"\nLok\u0101la plau\u0161u v\u0113\u017ea \u0101rst\u0113\u0161ana \u2013 jauna cer\u012bba pacientiem ar draudo\u0161u slim\u012bbu - 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\/lokala-plausu-veza-arstesana-jauna-ceriba-pacientiem-ar-draudosu-slimibu\/\" \/>\n<meta property=\"og:locale\" content=\"lv_LV\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lok\u0101la plau\u0161u v\u0113\u017ea \u0101rst\u0113\u0161ana \u2013 jauna cer\u012bba pacientiem ar draudo\u0161u slim\u012bbu - Ambercell\" \/>\n<meta property=\"og:description\" content=\"Plau\u0161u v\u0113zis ir viena no visbie\u017e\u0101k sastopamaj\u0101m un agres\u012bv\u0101kaj\u0101m onkolo\u0123iskaj\u0101m slim\u012bb\u0101m. 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