{"id":7569,"date":"2024-04-22T13:59:00","date_gmt":"2024-04-22T13:59:00","guid":{"rendered":"https:\/\/ambercell.eu\/?p=7569"},"modified":"2024-06-04T07:25:58","modified_gmt":"2024-06-04T07:25:58","slug":"tika-veikta-pirma-aknu-audzeja-elektrokimiska-terapija-izmantojot-cas-one-ir-2","status":"publish","type":"post","link":"https:\/\/ambercell.eu\/lv\/zinas\/tika-veikta-pirma-aknu-audzeja-elektrokimiska-terapija-izmantojot-cas-one-ir-2\/","title":{"rendered":"Miomas diagnostika \u2013 inovat\u012bva minimiz\u0113ta invaz\u012bva \u0101rst\u0113\u0161ana"},"content":{"rendered":"\n

Bag\u0101t\u012bgas un s\u0101p\u012bgas menstru\u0101cijas, s\u0101pes v\u0113dera lejasda\u013c\u0101, jostas un muguras gabalu vanno\u0161an\u0101s, asi\u0146o\u0161ana starp menstru\u0101cij\u0101m \u2013 simptomi, kas var liecin\u0101t par dzemdes miomu \u2013 labdab\u012bgu dzemdes gludo musku\u013cu audz\u0113ju, kas visbie\u017e\u0101k sastopams sieviet\u0113m vecum\u0101 no 30 l\u012bdz 50 gadiem. M\u016bsdien\u0101s netr\u016bkst meto\u017eu \u0161\u012bs apgr\u016btino\u0161\u0101s slim\u012bbas \u0101rst\u0113\u0161anai, un dzemdes art\u0113riju emboliz\u0101cija, kas Lietuv\u0101 tiek veikta jau desmit gadus, tiek uzskat\u012bta par vienu no inovat\u012bv\u0101kaj\u0101m un dro\u0161\u0101kaj\u0101m.<\/strong><\/p>\n\n

Bie\u017ei sastopama probl\u0113ma sieviet\u0113m<\/strong><\/p>\n\n

K\u0101 st\u0101sta aku\u0161iere-ginekolo\u0123e Vilma Dauderien\u0117, medic\u012bnas centru “Northway” \u0101rste, mioma, kas cit\u0101di paz\u012bstama k\u0101 leiomioma vai fibro\u012bds, ir viens no visbie\u017e\u0101k sastopamajiem labdab\u012bgajiem audz\u0113jiem reprodukt\u012bv\u0101 vecuma sievie\u0161u vid\u016b.<\/p>\n\n

“Sieviet\u0113m vecum\u0101 no 20 l\u012bdz 35 gadiem saslimst\u012bba ar audz\u0113ju ir 20 procenti, bet vecum\u0101 no 35 l\u012bdz 50 gadiem \u2013 l\u012bdz 75 procentiem. T\u0101 ir diezgan izplat\u012bta slim\u012bba, kas skar tikai sievietes reprodukt\u012bv\u0101 vecum\u0101. Miomu par\u0101d\u012b\u0161an\u0101s un aug\u0161ana ir atkar\u012bga no oln\u012bc\u0101s ra\u017eotajiem hormoniem,” skaidro \u0101rste.<\/p>\n\n

P\u0113c vi\u0146as teikt\u0101, l\u012bdz \u0161im ir maz zin\u0101ms par \u0161o audz\u0113ju par\u0101d\u012b\u0161an\u0101s c\u0113lo\u0146iem, bet \u0123en\u0113tisko noslieci var at\u0161\u0137irt k\u0101 galveno riska faktoru.<\/p>\n\n

“T\u0101 ir \u0123en\u0113tiska nosliece uz miomas par\u0101d\u012b\u0161anos \u2013 ja m\u0101tei ir mioma, past\u0101v liela iesp\u0113ja, ka t\u0101 par\u0101d\u012bsies ar\u012b vi\u0146as meit\u0101,” saka V. Dauderien\u0117.<\/p>\n\n

Ginekologs st\u0101sta, ka simptomi, kas nor\u0101da uz miomas par\u0101d\u012b\u0161anos, ir \u013coti da\u017e\u0101di un ir atkar\u012bgi no veido\u0161an\u0101s lieluma, skaita un lokaliz\u0101cijas dzemd\u0113.<\/p>\n\n

Bag\u0101t\u012bga menstru\u0101l\u0101 asi\u0146o\u0161ana, kas izraisa an\u0113miju, nogurumu, hroniskus izdal\u012bjumus no maksts un s\u0101pes menstru\u0101ciju laik\u0101 \u2013 galvenie simptomi, kas var liecin\u0101t par miomu par\u0101d\u012b\u0161anos.<\/p>\n\n

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“Miomas tiek klasific\u0113tas p\u0113c to aug\u0161anas attiec\u012bbas pret dzemdes sienu. Miomas, kas aug dzemd\u0113, sauc par subgereal, ja t\u0101s aug tikai dzemdes sien\u0101 \u2013 intramur\u0101li, un, ja t\u0101s aug uz \u0101ru, blakus eso\u0161ie org\u0101ni \u2013 subserozi. Visbie\u017e\u0101k sastopamais simptoms, t.i. y. \u013boti bag\u0101t\u012bgu menstru\u0101lo asi\u0146o\u0161anu, kas izraisa an\u0113miju, izraisa dzemdes dobum\u0101 augo\u0161\u0101s miomas. Gad\u0101s, ka miomas nospie\u017e uz citiem org\u0101niem, piem\u0113ram, ur\u012bnp\u016bsli, kas izraisa urin\u0113\u0161anas bie\u017euma palielin\u0101\u0161anos un palielin\u0101\u0161anos, k\u0101 ar\u012b var tikt trauc\u0113ta citu v\u0113dera dobuma org\u0101nu darb\u012bba,” st\u0101sta V. Dauderien\u0117.<\/p>\n<\/div><\/div>\n\n

<\/div>\n\n

P\u0113c vi\u0146as teikt\u0101, regul\u0101ri p\u0101rbaudot ginekologu, miomu var atkl\u0101t \u013coti viegli.<\/p>\n\n

“Ja mioma ir \u013coti liela, to var redz\u0113t izmekl\u0113juma laik\u0101 – redzams vizu\u0101ls v\u0113dera apjoma pieaugums. Pret\u0113j\u0101 gad\u012bjum\u0101, ja j\u016bs s\u016bdzaties par bag\u0101t\u012bgu asi\u0146o\u0161anu, pietiek ar ultraska\u0146as izmekl\u0113\u0161anu. Ja rodas citi jaut\u0101jumi par t\u0101 lokaliz\u0101ciju, saist\u012bbu ar citiem org\u0101niem, papildus var veikt MRI izmekl\u0113jumu,” st\u0101sta \u0101rste.<\/p>\n\n

Dzirdot “miomas” diagnozi, p\u0113c ginekologa dom\u0101m, nevajadz\u0113tu baid\u012bties – m\u016bsdienu medic\u012bn\u0101 ir 5 \u0161\u012b atvasin\u0101juma \u0101rst\u0113\u0161anas metodes: medikamentoza \u0101rst\u0113\u0161ana, laparoskopiska miomektomija, histerektomija (dzemdes \u0137erme\u0146a no\u0146em\u0161ana), dzemdes art\u0113riju emboliz\u0101cija un dzemdes \/ miomas no\u0146em\u0161ana ar laparotomiju (izgrie\u017eot caur v\u0113dera sienu).<\/p>\n\n

“Miomas m\u0113dz augt, palielin\u0101ties. Jo jaun\u0101ks pacients, jo vair\u0101k mioma m\u0113dz augt, un jo liel\u0101ks tas ir, jo liel\u0101ks komplik\u0101ciju risks. Man ir bijusi miomas oper\u0101cija, kas sv\u0113ra 7,3 kilogramus, t\u0101p\u0113c noteikti nevajadz\u0113tu aizkav\u0113ties. \u0100rst\u0113\u0161anas metodes ir atkar\u012bgas gan no miomas lieluma, lokaliz\u0101cijas, gan no pa\u0161a pacienta vecuma un pa\u0161noteik\u0161an\u0101s. Piem\u0113ram, endoskopiski tiek veikta histeroskopiska miomektomija, kur\u0101 tiek diagnostic\u0113tas un no\u0146emtas submukoz\u0101s miomas. T\u0101 ir pacientu saudz\u0113jo\u0161a oper\u0101cija, kurai nav nepiecie\u0161ams griezums, nav nepiecie\u0161ams gul\u0113t slimn\u012bc\u0101, reprodukcijas funkcijas netiek trauc\u0113tas, un ir iesp\u0113jams atgriezties darb\u0101 v\u0113l\u0101kais p\u0113c trim dien\u0101m. Agr\u0101k \u0101rsti bie\u017ei ieteica iz\u0146emt visu dzemdi \u2013 “nav org\u0101na, nav probl\u0113mu”, bet m\u016bsdien\u0101s pieeja ir individu\u0101la \u2013 daudz kas ir atkar\u012bgs no pacientes v\u0113lmes rad\u012bt b\u0113rnus, psiholo\u0123iskajiem aspektiem,” st\u0101sta V. Dauderien\u0117.<\/p>\n\n

Minim\u0101li invaz\u012bva \u0101rst\u0113\u0161anas metode<\/strong><\/p>\n\n

P\u0113c republik\u0101nisk\u0101s Vi\u013c\u0146as Universit\u0101tes slimn\u012bcas Invaz\u012bv\u0101s radiolo\u0123ijas noda\u013cas vad\u012bt\u0101ja, radiologa Andreja Afanasjeva teikt\u0101, sal\u012bdzinot ar dzemdes iz\u0146em\u0161anas oper\u0101ciju, dzemdes art\u0113riju emboliz\u0101cija ir daudz maz\u0101k traumatiska \u0101rst\u0113\u0161anas metode, kas saist\u012bta ar \u012bs\u0101ku uztur\u0113\u0161anos slimn\u012bc\u0101, iepriek\u0161\u0113ju atgrie\u0161anos pie norm\u0101l\u0101m aktivit\u0101t\u0113m, un, kas ir \u013coti svar\u012bgi sieviet\u0113m, – t\u0101 ir \u0101rst\u0113\u0161anas metode, kas ietaupa dzemdi.<\/p>\n\n

“Ja dzemd\u0113 ir tikai viens vai vair\u0101ki miomatozie mezgli, neatkar\u012bgi no t\u0101, vai tie aug uz \u0101ru vai uz iek\u0161u \u2013 dzemdes art\u0113riju emboliz\u0101cija ir dro\u0161a un efekt\u012bva dzemdes miomu \u0101rst\u0113\u0161anas metode. Dzemdes art\u0113rijas emboliz\u0101cijas pan\u0101kumi ir atkar\u012bgi no pareizas pacienta izv\u0113les. Dzemdes art\u0113riju emboliz\u0101ciju var veikt “ide\u0101liem” kandid\u0101tiem, t.i., sieviet\u0113m, kur\u0101m nav kontrindik\u0101ciju proced\u016brai un kuras atbilst \u0161\u0101diem krit\u0113rijiem: bag\u0101t\u012bga regul\u0101ra menstru\u0101l\u0101 asi\u0146o\u0161ana vai dismenoreja, kas saist\u012bta ar miom\u0101m, premenopauze, gr\u016btniec\u012bbas iest\u0101\u0161an\u0101s pl\u0101nu tr\u016bkums,” saka A. Afanasjevs.<\/p>\n\n

K\u0101 notiek \u0161\u012b proced\u016bra? Radiologs st\u0101sta, ka tikai 2 milimetru griezum\u0101 cirk\u0161\u0146a zon\u0101, izmantojot katetrus, art\u0113rijas, kas baro veidojumu, tiek ce\u013cotas uz art\u0113rij\u0101m, kas baro veidojumu, p\u0113c iesp\u0113jas tuv\u0101k pa\u0161ai miomai, un tiek injic\u0113tas emboliz\u0113jo\u0161as mikroda\u013ci\u0146as, kas aizsprosto asinsvadus un t\u0101d\u0113j\u0101di aptur asins pl\u016bsmu veidojum\u0101.<\/p>\n\n

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“Caur iegriezumu ar speci\u0101lu adatu tiek caurdurta aug\u0161stilba visp\u0101r\u0113j\u0101 art\u0113rija. Lai var\u0113tu skaidri redz\u0113t dzemdes art\u0113rijas sazarojuma vietu un art\u0113rijas gaitu, tiek veikta angiogr\u0101fija – nov\u0113rojot asinsvadus ar rentgenstaru pal\u012bdz\u012bbu, tajos tiek ievad\u012bta kontrastviela. Tad ar \u012bpa\u0161u l\u012bdzek\u013cu pal\u012bdz\u012bbu sec\u012bgi ir pieejamas art\u0113rijas, kas atrodas ab\u0101s dzemdes pus\u0113s. Atrodoties tajos, p\u0113c iesp\u0113jas tuv\u0101k miomai, tiek veikta emboliz\u0101cija. P\u0113c \u0161\u012b posma tiek veikta kontroles angiogr\u0101fija, lai p\u0101rliecin\u0101tos, ka proced\u016bra ir veiksm\u012bga. Pati proced\u016bra ilgst l\u012bdz stundai, un p\u0113c t\u0101s taj\u0101 pa\u0161\u0101 vai n\u0101kamaj\u0101 dien\u0101 pacients jau var doties m\u0101j\u0101s. P\u0113c emboliz\u0101cijas, samazinoties asins pl\u016bsmai uz miomu, t\u0101s tilpums samazin\u0101s, t\u0101p\u0113c ar\u012b trauc\u0113jo\u0161ie simptomi izz\u016bd,” st\u0101sta \u0101rste.<\/p>\n<\/div><\/div>\n\n

<\/div>\n\n

\u0160\u0101da proced\u016bra ir ne tikai minim\u0101li invaz\u012bva, t\u0101s laik\u0101 nav nepiecie\u0161ama visp\u0101r\u0113ja anest\u0113zija, dzemde tiek saglab\u0101ta, pacients \u0101tri atg\u016bstas, komplik\u0101ciju risks no miomas emboliz\u0101cijas ar\u012b joproj\u0101m ir \u013coti zems.<\/p>\n\n

“Visp\u0101r\u0113jais komplik\u0101ciju bie\u017eums XXI gadsimt\u0101. sv\u0101rst\u0101s ap 5 procentiem. K\u0101 visbie\u017e\u0101k sastopamo komplik\u0101ciju var at\u0161\u0137irt zilumu griezuma \/ d\u016briena viet\u0101, kas var izrais\u012bt ilgsto\u0161u cirk\u0161\u0146a sadal\u012b\u0161anu. Protams, ir iesp\u0113jamas ar\u012b t\u0101das komplik\u0101cijas k\u0101 abscess, plau\u0161u embolija vai s\u0113\u017eamvietas \/ k\u0101ju i\u0161\u0113mija, ta\u010du tie ir \u0101rk\u0101rt\u012bgi reti gad\u012bjumi, kas desmit gadu laik\u0101 nav notiku\u0161i miomas emboliz\u0101cijas laik\u0101 Lietuv\u0101. Neesmu dzird\u0113jis no pacientiem ne tikai par nopietn\u0101k\u0101m komplik\u0101cij\u0101m, bet ar\u012b par to, ka p\u0113c proced\u016bras nebija uzlabo\u0161an\u0101s pa\u0161saj\u016btai, simptomu samazin\u0101\u0161an\u0101s,” saka Afanasjevs.<\/p>\n\n

Diagnoze: mioma<\/strong><\/p>\n\n

2023 devi\u0146padsmit\u0101 gadsimta beig\u0101s miomu emboliz\u0101cija tika veikta ar\u012b Klaip\u0113das Viktorij\u0101. Sieviete st\u0101sta, ka pat pirms diagnozes izdzird\u0113\u0161anas vi\u0146a past\u0101v\u012bgi juta s\u0101pes v\u0113dera lejasda\u013c\u0101.<\/p>\n\n

“V\u0113dera lejasda\u013ca s\u0101ka uzbriest, menstru\u0101cijas k\u013cuva s\u0101p\u012bg\u0101kas nek\u0101 parasti. Turkl\u0101t bija saj\u016bta, ka v\u0113dera lejasda\u013c\u0101 veidojas kaut k\u0101ds veidojums – k\u0101 v\u0113l\u0101k izr\u0101d\u012bj\u0101s, 6 m\u0113ne\u0161u laik\u0101 starp diagnozi un proced\u016bru mioma dubultoj\u0101s un t\u0101s izm\u0113rs sasniedza 7 cm,” pieredz\u0113 dal\u0101s Viktorija.<\/p>\n\n

Kad tika konstat\u0113ta dzemdes mioma, Klaip\u0113das \u0101rsti sievietei ieteica divas iesp\u0113jas: lietot hormon\u0101las z\u0101les, kas maks\u0101 100 eiro m\u0113nes\u012b, vai iz\u0146emt visu dzemdi. Tom\u0113r Viktorija nebija apmierin\u0101ta ne ar vienu no iesp\u0113j\u0101m, t\u0101p\u0113c vi\u0146a s\u0101ka mekl\u0113t alternat\u012bvas.<\/p>\n\n

“Internet\u0101 atradu inform\u0101ciju par eso\u0161o miomas emboliz\u0101cijas proced\u016bru. Sazin\u0101jos ar \u0101rstu, \u0161oreiz jau Vi\u013c\u0146\u0101, aizs\u016bt\u012bju vi\u0146am MRI bildes un devos uz konsult\u0101ciju. T\u0101s laik\u0101 \u0101rsts paskaidroja, kas ir redzams magn\u0113tisk\u0101s rezonanses att\u0113lveido\u0161an\u0101 un ka esmu piem\u0113rota miomas emboliz\u0101cijai,” st\u0101sta Viktorija.<\/p>\n\n

Klaip\u0113das atceras, ka pirms proced\u016bras vi\u0146a bija noraiz\u0113jusies, bet taj\u0101 pa\u0161\u0101 laik\u0101 vi\u0146a uzskat\u012bja, ka viss b\u016bs k\u0101rt\u012bb\u0101.<\/p>\n\n

“Man\u0101 gad\u012bjum\u0101 mioma tika barota no div\u0101m dzemdes art\u0113rij\u0101m, kuras tika emboliz\u0113tas, t\u0101p\u0113c p\u0113c proced\u016bras es jutos apmierino\u0161i, slikti, bet person\u0101la apr\u016bpe bija lieliska. N\u0101kamaj\u0101 dien\u0101 mani izlaida m\u0101j\u0101s, izrakst\u012bja pretiekaisuma un s\u0101pju z\u0101les. Man\u0101 gad\u012bjum\u0101 es jutu pacil\u0101jo\u0161as ak\u016btas s\u0101pes un stiep\u0161anos, kas ilga apm\u0113ram 5 dienas,” st\u0101sta Viktorija.<\/p>\n\n

2023 decembr\u012b sieviete apmekl\u0113ja savu ginekologu, no kura dzird\u0113ja lielisk\u0101s zi\u0146as – mioma strauji samazin\u0101s.<\/p>\n\n

“\u0160odien es r\u0113\u0137inos ar piekto m\u0113nesi p\u0113c oper\u0101cijas, un es tie\u0161\u0101m j\u016btos labi,” saka Viktorija.<\/p>\n\n

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Bag\u0101t\u012bgas un s\u0101p\u012bgas menstru\u0101cijas, s\u0101pes v\u0113dera lejasda\u013c\u0101, jostas un muguras gabalu vanno\u0161an\u0101s, asi\u0146o\u0161ana starp menstru\u0101cij\u0101m \u2013 simptomi, kas var liecin\u0101t par dzemdes miomu. Viena no novatorisk\u0101kaj\u0101m un dro\u0161\u0101kaj\u0101m \u0161\u012bs slim\u012bbas \u0101rst\u0113\u0161anas metod\u0113m ir dzemdes art\u0113riju emboliz\u0101cija, kas Lietuv\u0101 tiek veikta jau desmit gadus.<\/p>\n","protected":false},"author":8,"featured_media":7594,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[],"class_list":["post-7569","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zinas"],"yoast_head":"\nMiomas diagnostika \u2013 inovat\u012bva minimiz\u0113ta invaz\u012bva \u0101rst\u0113\u0161ana - 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\/tika-veikta-pirma-aknu-audzeja-elektrokimiska-terapija-izmantojot-cas-one-ir-2\/\" \/>\n<meta property=\"og:locale\" content=\"lv_LV\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Miomas diagnostika \u2013 inovat\u012bva minimiz\u0113ta invaz\u012bva \u0101rst\u0113\u0161ana - Ambercell\" \/>\n<meta property=\"og:description\" content=\"Bag\u0101t\u012bgas un s\u0101p\u012bgas menstru\u0101cijas, s\u0101pes v\u0113dera lejasda\u013c\u0101, jostas un muguras gabalu vanno\u0161an\u0101s, asi\u0146o\u0161ana starp menstru\u0101cij\u0101m \u2013 simptomi, kas var liecin\u0101t par dzemdes miomu. 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