{"id":8823,"date":"2024-08-05T13:43:58","date_gmt":"2024-08-05T13:43:58","guid":{"rendered":"https:\/\/ambercell.eu\/?p=8823"},"modified":"2024-08-05T14:01:20","modified_gmt":"2024-08-05T14:01:20","slug":"transareriska-kimijembolizacija-tace-efektivs-lidzeklis-cina-pret-aknu-vezi","status":"publish","type":"post","link":"https:\/\/ambercell.eu\/lv\/zinas\/transareriska-kimijembolizacija-tace-efektivs-lidzeklis-cina-pret-aknu-vezi\/","title":{"rendered":"Ur\u012bna nesatur\u0113\u0161ana ar\u012b neapiet jaunie\u0161us: bez \u0101rst\u0113\u0161anas laiks tiek zaud\u0113ts"},"content":{"rendered":"\n

Pasaules Vesel\u012bbas organiz\u0101cija (PVO) pazi\u0146o, ka da\u017e\u0101d\u0101s valst\u012bs 10-30% cilv\u0113ku ir pak\u013cauti ur\u012bna nesatur\u0113\u0161anai (nesatur\u0113\u0161anai).\nPacientiem.\nLietuv\u0101 nav ofici\u0101las statistikas par ur\u012bna nesatur\u0113\u0161anas bie\u017eumu, ta\u010du \u0101rsti saka, ka ikdien\u0101 sastopas ar pacientiem, kurus \u0161\u012b probl\u0113ma satrauc.\nLab\u0101 zi\u0146a ir t\u0101, ka ur\u012bna nesatur\u0113\u0161anas gad\u012bjumus \u2013 pat v\u0113l\u012bn\u0101 stadij\u0101 \u2013 var ierobe\u017eot. <\/p>\n\n

Nesatur\u0113\u0161ana pasliktina cilv\u0113ku dz\u012bves kvalit\u0101ti<\/strong><\/p>\n\n

K\u0101 nor\u0101da VUL Santaros kl\u012bniku <\/a> urologs Aivaras Grybas, ur\u012bna nesatur\u0113\u0161ana piln\u012bgi negat\u012bvi ietekm\u0113 cilv\u0113ka dz\u012bvi \u2013 tas trauc\u0113 fiziskaj\u0101m aktivit\u0101t\u0113m, darba sp\u0113j\u0101m, iesp\u0113j\u0101m ce\u013cot, sportot, piedal\u012bties pas\u0101kumos.\nSievietes, kuras p\u0113c dzemd\u012bb\u0101m saskaras ar ur\u012bna nesatur\u0113\u0161anu, bie\u017ei vien izj\u016bt diskomfortu ar\u012b int\u012bm\u0101s dz\u012bves jom\u0101.\nUr\u012bna nesatur\u0113\u0161ana v\u012brie\u0161us skar ar\u012b emocion\u0101li un fiziolo\u0123iski \u2013 nav nekas neparasts, ka vi\u0146i atsak\u0101s no pilnv\u0113rt\u012bga dzimumakta. <\/p>\n\n

Negat\u012bvi, \u0161\u012b probl\u0113ma ietekm\u0113 ne tikai pa\u0161u personu, bet ar\u012b blakus eso\u0161o partneri, kuram ar\u012b ir j\u0101atsak\u0101s no noteikt\u0101m darb\u012bb\u0101m.<\/p>\n\n

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\n

“Man bija pacients, kur\u0161 man teica, ka ur\u012bna nesatur\u0113\u0161anas un nepat\u012bkamas smakas d\u0113\u013c mazb\u0113rni nen\u0101k pie vi\u0146a m\u0101j\u0101s.\nCik s\u0101p\u012bgi tas ir un svar\u012bgi cilv\u0113kam.\nP\u0113c \u0161\u0101das probl\u0113mas risin\u0101\u0161anas atgrie\u017eas pa\u0161apzi\u0146a un uzlabojas dz\u012bves kvalit\u0101te,” saka urologs. <\/p>\n<\/div><\/div>\n\n

<\/div>\n\n

Ur\u012bna nesatur\u0113\u0161anas c\u0113lo\u0146i<\/strong><\/p>\n\n

Au\u0161ra \u010cerniauskien\u0117, urolo\u0123e un VUL Santaros kl\u012bniku asoci\u0113t\u0101 profesore<\/a>, nor\u0101da, ka ur\u012bna nesatur\u0113\u0161ana sieviet\u0113m trauc\u0113 tr\u012bs reizes bie\u017e\u0101k, bet cilv\u0113ki, kuri sasniegu\u0161i cien\u012bjamu vecumu, cie\u0161 tikpat bie\u017ei.<\/p>\n\n

Lai gan \u0161\u012bs kaites c\u0113lo\u0146i var b\u016bt da\u017e\u0101di, jauniem un pusm\u016b\u017ea cilv\u0113kiem ur\u012bna nesatur\u0113\u0161anu visbie\u017e\u0101k izraisa anatomiskas izmai\u0146as apak\u0161\u0113jos ur\u012bnce\u013cos vai ur\u012bnp\u016b\u0161\u013ca, ur\u012bnizvadkan\u0101la krokas darb\u012bbas trauc\u0113jumi.\nGados vec\u0101kiem cilv\u0113kiem \u0161o trauc\u0113jumu var izrais\u012bt hroniskas slim\u012bbas (piem\u0113ram, aptauko\u0161an\u0101s, cukura diab\u0113ts), p\u0101rm\u0113r\u012bga medikamentu lieto\u0161ana, funkcion\u0101lo sp\u0113ju samazin\u0101\u0161an\u0101s.\nTiek atz\u012bm\u0113ti ar\u012b citi faktori, kas var izrais\u012bt ur\u012bna nesatur\u0113\u0161anu: samazin\u0101ta mobilit\u0101te, hormon\u0101las izmai\u0146as, mugurkaula un galvas traumas, staru terapija, sirds mazsp\u0113ja, aizciet\u0113jums, fek\u0101liju nesatur\u0113\u0161ana un citi c\u0113lo\u0146i.\nVisbie\u017e\u0101k tie ir sare\u017e\u0123\u012bti. <\/p>\n\n

\n

Saska\u0146\u0101 ar A. \u010cerniauskien\u0117 teikto, v\u012brie\u0161iem ur\u012bna nesatur\u0113\u0161ana visbie\u017e\u0101k rodas p\u0113c prostatas dziedzera iz\u0146em\u0161anas oper\u0101cij\u0101m, un sieviet\u0113m ur\u012bna nesatur\u0113\u0161anas risks pieaug l\u012bdz ar dabisko dzemd\u012bbu skaitu, \u012bpa\u0161i sare\u017e\u0123\u012btu vai lielu aug\u013ca dzemd\u012bbu gad\u012bjumos.\nAr\u012b risks palielin\u0101s p\u0113c da\u017e\u0101d\u0101m ginekolo\u0123isk\u0101m slim\u012bb\u0101m, piem\u0113ram, sakar\u0101 ar iegur\u0146a org\u0101nu nolai\u0161anos, iegur\u0146a pamatnes musku\u013cu v\u0101jin\u0101\u0161anos. <\/p>\n<\/div>

\"\"<\/figure><\/div>\n\n

Ja j\u016bs neapmekl\u0113jat \u0101rstus, laiks tiek zaud\u0113ts<\/strong><\/p>\n\n

Urologs un Kau\u0146as kl\u012bniku asoci\u0113tais profesors Dariuss Trumbeckas st\u0101sta, ka sievietes visbie\u017e\u0101k saskaras ar ur\u012bna nesatur\u0113\u0161anu jau p\u0113c menopauzes.\nTom\u0113r, p\u0113c D. Trumbeka dom\u0101m, ir ar\u012b jaun\u0101ki pacienti, apm\u0113ram 35-40 gadus veci, kurus uztrauc \u0161\u012b nepat\u012bkam\u0101 slim\u012bba. <\/p>\n\n

Urologs mierina tos, kuri baid\u0101s, ka b\u016bs par v\u0113lu doties pie \u0101rstiem, ta\u010du mudina neatlikt l\u0113mumu par \u0101rst\u0113\u0161anu: “Ur\u012bna nesatur\u0113\u0161ana nav onkolo\u0123iska slim\u012bba.\nCilv\u0113ks nenokav\u0113s \u0101rstu, bet vi\u0146\u0161 zaud\u0113s laiku.\nJa ur\u012bna nesatur\u0113\u0161ana ir noz\u012bm\u012bga, ja to nevar iz\u0101rst\u0113t ar fizioterapiju vai medikamentiem, nav ko gaid\u012bt.” <\/p>\n\n

<\/div>\n\n
\"\"<\/figure>
\n

D. Trumbeckas nov\u0113ro, ka v\u012brie\u0161i, kuriem oper\u0113 prostatas v\u0113zi, parasti nesatur\u0113\u0161anai v\u0113r\u0161as 50-70 gadu vecum\u0101 ur\u012bna nesatur\u0113\u0161anas gad\u012bjum\u0101, bet reiz\u0113m ierodas ar\u012b 80 gadus veci jaunie\u0161i \u2013 parasti vi\u0146i ar ur\u012bna nesatur\u0113\u0161anu samierin\u0101s 5 vai pat 10 gadus.<\/p>\n<\/div><\/div>\n\n

<\/div>\n\n

Urologs A. Grybas nor\u0101da, ka vec\u0101ki cilv\u0113ki bie\u017ei aizkav\u0113 probl\u0113mu, uzskatot, ka ur\u012bna nesatur\u0113\u0161ana ir vecuma sekas.\nUr\u012bna smaka m\u0101j\u0101 var\u0113tu signaliz\u0113t tuviniekiem, ka cilv\u0113kam j\u0101pied\u0101v\u0101 pal\u012bdz\u012bba. <\/p>\n\n

“Es iesaku jums mudin\u0101t vec\u0101kos doties pie \u0101rstiem.\nVienm\u0113r ir iesp\u0113jams vi\u0146us vismaz inform\u0113t par iesp\u0113jamiem higi\u0113nas un \u0101rst\u0113\u0161anas pas\u0101kumiem,” iesaka A. Grybas. <\/p>\n\n

P\u0113c vi\u0146a teikt\u0101, m\u016bsdien\u0101s valsts sniedz Lietuvas pacientiem atbalstu ur\u012bna nesatur\u0113\u0161anas probl\u0113mas risin\u0101\u0161an\u0101.\nKompens\u0113 gan spilventi\u0146us, gan auti\u0146biks\u012btes, k\u0101 ar\u012b \u0137irur\u0123iskus un ne\u0137irur\u0123iskus \u0101rst\u0113\u0161anas l\u012bdzek\u013cus. <\/p>\n\n

P\u0113c A. Grybas dom\u0101m, ur\u012bna nesatur\u0113\u0161anu var iedal\u012bt tr\u012bs veidos: spriedze, steidzam\u012bba un jaukta ur\u012bna nesatur\u0113\u0161ana.\nAr\u012b ur\u012bna nesatur\u0113\u0161ana ir sadal\u012bta viegl\u0101s, vid\u0113j\u0101s un augst\u0101s pak\u0101p\u0113s. <\/p>\n\n

“Lai gan ir gr\u016bti prec\u012bzi noteikt pak\u0101pi, tiek nov\u0113roti paredzamie r\u0101d\u012bt\u0101ji: ja tiek zaud\u0113ts maz\u0101k nek\u0101 200 ml ur\u012bna dien\u0101, tad t\u0101 ir viegla ur\u012bna nesatur\u0113\u0161anas pak\u0101pe.\nJa 200-400 ml \u2013 vid\u0113js, ja liel\u0101ks par 400 ml \u2013 augsta pak\u0101pe,” skaidro \u0101rsts. <\/p>\n\n

Ar\u012b \u0101rsti jaut\u0101 pacientiem, cik daudz spilventi\u0146u vi\u0146i pat\u0113r\u0113 dien\u0101.\nJa nepiecie\u0161ami 3-4 spilventi\u0146i, iesp\u0113jams, ka cilv\u0113kam ir m\u0113rena ur\u012bna nesatur\u0113\u0161anas pak\u0101pe, ja vair\u0101k nek\u0101 4 – augsta pak\u0101pe.\nProtams, pat\u0113r\u0113to spilventi\u0146u daudzums ir atkar\u012bgs ar\u012b no spilventi\u0146u veida, pacienta higi\u0113nas paradumiem. <\/p>\n\n

Minim\u0101li invaz\u012bvas proced\u016bras \u2013 \u013coti efekt\u012bvas<\/strong><\/p>\n\n

P\u0113c A. Grybas dom\u0101m, ur\u012bna nesatur\u0113\u0161anas \u0101rst\u0113\u0161ana ir sadal\u012bta intervences un neiejauk\u0161an\u0101s (vai konservat\u012bv\u0101s) \u0101rst\u0113\u0161anas metod\u0113s.\nKonservat\u012bv\u0101 \u0101rst\u0113\u0161ana ietver medikamentus, fizioterapeitiskos pas\u0101kumus, intervences (vai minim\u0101li invaz\u012bvo) \u2013 subscapular saites vai m\u0101ksl\u012bg\u0101 sfinktera implant\u0101ciju. <\/p>\n\n

P\u0113c A. \u010cerniauskien\u0117 teikt\u0101, pacientiem ar vieglu un vid\u0113ji smagu ur\u012bna nesatur\u0113\u0161anas pak\u0101pi kop\u0161 2008. gada Santaras kl\u012bniku Urolo\u0123ijas centr\u0101 s\u0101ka implant\u0113t subscapular sai\u0161u implant\u0101ciju, smagas ur\u012bna nesatur\u0113\u0161anas gad\u012bjum\u0101 \u2013 m\u0101ksl\u012bgu ur\u012bnp\u016b\u0161\u013ca sfinkteru.\nKop\u0161 2014. gada ir ieviesta novatoriska \u0101rst\u0113\u0161anas metode, aizst\u0101jot ur\u012bnp\u016b\u0161\u013ca sfinkteru ar jaunu ATOMS sist\u0113mu.\nSaska\u0146\u0101 ar literat\u016bru, p\u0113c jaunaj\u0101m implant\u0101cij\u0101m tiek zi\u0146ots par labiem rezult\u0101tiem l\u012bdz 84, 2-92 procentiem.\nGad\u012bjumos. <\/p>\n\n

D. Trumbeckas piebilst, ka Kau\u0146as kl\u012bnik\u0101s <\/a> pacienti, kas cie\u0161 no ur\u012bna nesatur\u0113\u0161anas, tiek \u0101rst\u0113ti ar t\u0101m pa\u0161\u0101m metod\u0113m \u2013 implant\u0113jot zem\u0101das saites, ATOMS sist\u0113mas vai m\u0101ksl\u012bgos sfinkterus.<\/p>\n\n

Kop\u0161 2018. gada \u0161ie d\u0101rgie ur\u012bna nesatur\u0113\u0161anas \u0101rst\u0113\u0161anas l\u012bdzek\u013ci ir iek\u013cauti centraliz\u0113ti ieg\u0101d\u0101to medic\u012bnisko ier\u012b\u010du sarakst\u0101.\nTas noz\u012bm\u0113, ka \u0161os medic\u012bniskos pal\u012bgl\u012bdzek\u013cus centraliz\u0113ti ieg\u0101d\u0101jas Vesel\u012bbas ministrijas (VLK) pasp\u0101rn\u0113 eso\u0161ais Valsts vesel\u012bbas apdro\u0161in\u0101\u0161anas fonds un tie tiek kompens\u0113ti no Oblig\u0101t\u0101s vesel\u012bbas apdro\u0161in\u0101\u0161anas fonda bud\u017eeta.\nT\u0101d\u0101 veid\u0101 VLK ieg\u0101d\u0101tie l\u012bdzek\u013ci tiek pieg\u0101d\u0101ti medic\u012bnas iest\u0101d\u0113m, kas izmanto \u0161\u012bs \u0101rst\u0113\u0161anas metodes, un ir pieejami bez maksas visiem pacientiem, kuri cie\u0161 no ur\u012bna nesatur\u0113\u0161anas. <\/p>\n\n

P\u0113c A. Grybas dom\u0101m, \u0101rst\u0113\u0161ana ir efekt\u012bva, un nav daudz kontrindik\u0101ciju, kas pras\u012btu atteikties no \u0161\u012bm minim\u0101li invaz\u012bvaj\u0101m \u0137irur\u0123iskaj\u0101m proced\u016br\u0101m: t\u0101s parasti netiek veiktas gad\u012bjumos, kad domin\u0113 t\u0101das vienlaic\u012bgas slim\u012bbas k\u0101 koagul\u0101cijas trauc\u0113jumi, noz\u012bm\u012bga sirds mazsp\u0113ja, augst\u0101k\u0101s pak\u0101pes aptauko\u0161an\u0101s.<\/p>\n\n

“Tom\u0113r katrs gad\u012bjums ir individu\u0101ls, tas tiek izlemts kop\u0101 ar pacientu, piem\u0113ram, pirms oper\u0101cijas vi\u0146am tiek veikta kardiolo\u0123iska, di\u0113tiska vai cita veida sagatavo\u0161an\u0101s.\nProtams, pacienti, kuri saskaras ar ur\u012bnizvadkan\u0101la r\u0113tu probl\u0113mu p\u0113c prostatas v\u0113\u017ea staru terapijas, rada vair\u0101k izaicin\u0101jumu, bet vi\u0146iem var ar\u012b pal\u012bdz\u0113t,” saka medi\u0137e. <\/p>\n\n

Vi\u0146\u0161 uzsver, ka pacientiem, kuri nodarbojas ar ur\u012bna nesatur\u0113\u0161anu, vispirms j\u0101dodas pie \u0123imenes \u0101rsta un p\u0113c nos\u016bt\u012bjuma sa\u0146em\u0161anas j\u0101n\u0101k pie urologa uz konsult\u0101ciju – tad p\u0113c nepiecie\u0161amo anal\u012b\u017eu veik\u0161anas tiek izv\u0113l\u0113ta piem\u0113rot\u0101k\u0101 \u0101rst\u0113\u0161ana.<\/p>\n\n

\u0100rst\u0113\u0161anas rezult\u0101ti bie\u017ei p\u0101rsniedz pacientu cer\u012bbas<\/strong><\/p>\n\n

P\u0113c A. Grybas teikt\u0101, ir daudz pacientu, kuri ir priec\u012bgi par labajiem \u0137irur\u0123isk\u0101s \u0101rst\u0113\u0161anas rezult\u0101tiem.\nDaudzi no vi\u0146iem bija p\u0101rliecin\u0101ti, ka ur\u012bna nesatur\u0113\u0161anas izrais\u012bt\u0101s izmai\u0146as ir neatgriezeniskas. <\/p>\n\n

“Mums ir daudz liec\u012bbu no pacientiem, kuri p\u0113c 10 vai vair\u0101k gadu ilg\u0101m \u0161\u0101d\u0101m oper\u0101cij\u0101m bauda iev\u0113rojamu dz\u012bves kvalit\u0101tes uzlabo\u0161anos,” vi\u0146\u0161 atz\u012bm\u0113.<\/p>\n\n

Urologs D. Trumbeks piekr\u012bt, ka implanti var iev\u0113rojami samazin\u0101t ur\u012bna nesatur\u0113\u0161anu v\u012brie\u0161iem un sieviet\u0113m.\nP\u0113c vi\u0146a teikt\u0101, tikai viena spilventi\u0146a lieto\u0161ana dien\u0101 p\u0113c iejauk\u0161an\u0101s ir labs \u0101rst\u0113\u0161anas rezult\u0101ts, jo absol\u016bts sausums ir dabas, nevis cilv\u0113ka rad\u012bta lieta. <\/p>\n\n

Tikm\u0113r A. \u010cerniauskien\u0117 atceras st\u0101stu, kad 62 gadus vecam v\u012brietim 2018. gad\u0101 tika diagnostic\u0113ta prostatas karcinoma un vi\u0146am tika veikta radik\u0101la oper\u0101cija prostatas dziedzera iz\u0146em\u0161anai.\nP\u0113c oper\u0101cijas pacientam fizisk\u0101s slodzes laik\u0101 att\u012bst\u012bj\u0101s ur\u012bna nesatur\u0113\u0161ana, vi\u0146\u0161 pat\u0113r\u0113ja 3-4 spilventi\u0146us dien\u0101. <\/p>\n\n

V\u012brietim tika noz\u012bm\u0113ta konservat\u012bva \u0101rst\u0113\u0161ana, kas, ja ne pamatota, pacientam 2020. gad\u0101.\nTika implant\u0113ta regul\u0113jama sub-mitra saite.\nJa nav v\u0113lamo rezult\u0101tu, 2023. gad\u0101.\npacients tika implant\u0113ts ar ATOMS sist\u0113mu, p\u0113c tam vi\u0146\u0161 valk\u0101ja vienu spilventi\u0146u dien\u0101.\nTika nolemts veikt ATOMS sist\u0113mas papildin\u0101\u0161anu. <\/p>\n\n

“Se\u0161us m\u0113ne\u0161us p\u0113c atomu papildin\u0101\u0161anas pacients s\u0101ka labi tur\u0113t ur\u012bnu, norm\u0101li urin\u0113ja, vi\u0146am vairs nevajadz\u0113ja spilventi\u0146us.\nTagad vi\u0146\u0161 dz\u012bvo pilnv\u0113rt\u012bgu dz\u012bvi, ir apmierin\u0101ts ar oper\u0101cijas rezult\u0101tiem,” st\u0101sta \u0101rsts. <\/p>\n\n

D. Trumbeckas ir gandar\u012bts, ka desmit gadu laik\u0101 ur\u012bna nesatur\u0113\u0161anas \u0101rst\u0113\u0161anas iesp\u0113jas Lietuv\u0101 ir uzlaboju\u0161\u0101s un nav zem\u0101kas par Rietumvalst\u012bs izmantotaj\u0101m \u0101rst\u0113\u0161anas metod\u0113m.<\/p>\n\n

\"\"<\/figure>\n","protected":false},"excerpt":{"rendered":"

Da\u017e\u0101d\u0101s valst\u012bs ar ur\u012bna nesatur\u0113\u0161anu (nesatur\u0113\u0161anu) saskaras 10-30 procenti.
\nPacientiem.
\nUr\u012bna nesatur\u0113\u0161anas gad\u012bjumus \u2013 pat v\u0113l\u012bn\u0101 stadij\u0101 \u2013 var pak\u013caut kontrolei. <\/p>\n","protected":false},"author":8,"featured_media":8858,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[84,79,75,76,77,81],"class_list":["post-8823","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zinas","tag-atoms-sistema-lv","tag-maksligais-sfinkteris","tag-nesaturesana","tag-prostatas-nonemsana","tag-sub-mitra-saite","tag-urinpusla-sfinkteris"],"yoast_head":"\nUr\u012bna nesatur\u0113\u0161ana ar\u012b neapiet jaunie\u0161us: bez \u0101rst\u0113\u0161anas laiks tiek zaud\u0113ts - Ambercell<\/title>\n<meta name=\"description\" content=\"Dzemdes mioma ir visbie\u017e\u0101k sastopamais labdab\u012bgais sievie\u0161u reprodukt\u012bv\u0101s sist\u0113mas audz\u0113js, kas diagnostic\u0113ts aptuveni 30 procentos. 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