{"id":9712,"date":"2024-10-29T13:37:42","date_gmt":"2024-10-29T13:37:42","guid":{"rendered":"https:\/\/ambercell.eu\/?p=9712"},"modified":"2024-10-29T13:48:52","modified_gmt":"2024-10-29T13:48:52","slug":"invazivas-kardiologijas-masas-ieguva-zinasanas-kaunas-klinikas-3","status":"publish","type":"post","link":"https:\/\/ambercell.eu\/lv\/zinas\/invazivas-kardiologijas-masas-ieguva-zinasanas-kaunas-klinikas-3\/","title":{"rendered":"M\u016bsdienu \u0101rst\u0113\u0161anas metodes: bez liel\u0101m r\u0113t\u0101m un ilgu rehabilit\u0101ciju"},"content":{"rendered":"\n

Laiki, kad p\u0113c intervences proced\u016bras bija palikusi milz\u012bga r\u0113ta, un slimn\u012bcas gult\u0101 bija nepiecie\u0161ams pavad\u012bt vair\u0101k nek\u0101 vienu ned\u0113\u013cu, beidzot, veltot daudz laika rehabilit\u0101cijai un atgrie\u017eoties ikdienas rut\u012bn\u0101 – \u0101tri nogrimst pag\u0101tn\u0113. Arvien vair\u0101k medic\u012bnas jomu iekaro minim\u0101li invaz\u012bvas oper\u0101cijas, kuru laik\u0101 tiek veikti adatas izm\u0113ra punkcijas vai \u0101rk\u0101rt\u012bgi mazi iegriezumi \u2013 l\u012bdz 2 mm. P\u0113c \u0161\u0101d\u0101m proced\u016br\u0101m pacients tiek likts uz k\u0101j\u0101m, vi\u0146a vesel\u012bba strauji uzlabojas, un bie\u017ei vien vi\u0146am ir at\u013cauts atgriezties m\u0101j\u0101s pat taj\u0101 pa\u0161\u0101 dien\u0101. Ir svar\u012bgi atz\u012bm\u0113t, ka v\u0113l sal\u012bdzino\u0161i nesen pirm\u0101 \u0161\u0101da oper\u0101cija tika uzskat\u012bta par izsmiekla objektu, un \u0161odien t\u0101 ir \u0137irur\u0123isk\u0101s \u0101rst\u0113\u0161anas zelta standarts. K\u0101 st\u0101sta republik\u0101nisk\u0101s Vi\u013c\u0146as Universit\u0101tes slimn\u012bcas Invaz\u012bv\u0101s radiolo\u0123ijas noda\u013cas vad\u012bt\u0101js, \u0101rsts invaz\u012bvais radiologs Andrejs Afanasjevs, pirm\u0101 \u0161\u0101da veida oper\u0101cija uzreiz netika atz\u012bta. \u0100rsts novators, kur\u0161 veica pirmo minim\u0101li invaz\u012bvo oper\u0101ciju, nesa\u0146\u0113ma uzslavas, bet gan skepticisma uzliesmojumu. Medi\u0137i to raksturoja nevis k\u0101 izr\u0101vienu medic\u012bn\u0101, bet gan k\u0101 \u0101rst\u0113\u0161anas metodi, kurai nav n\u0101kotnes. <\/p>\n\n

“Pasaul\u0113 minim\u0101li invaz\u012bv\u0101s oper\u0101cijas s\u0101ka pielietot divdesmit\u0101 gadsimta beig\u0101s. 1983. gad\u0101 profesors no Hamburgas Kurts Seemms veica pirmo laparoskopisko apendektomiju \u2013 pied\u0113k\u013ca no\u0146em\u0161anas oper\u0101ciju. \u0100rsts, kur\u0161 veica veiksm\u012bgo inovat\u012bvo oper\u0101ciju, taj\u0101 laik\u0101 sa\u0146\u0113ma daudz izsmiekla, mazinvaz\u012bv\u0101s \u0101rst\u0113\u0161anas metodes tika uzl\u016bkotas ar skepsi, uzskatot, ka da\u017eu milimetru griezumi nekad neaizst\u0101s \u0137irur\u0123isk\u0101s oper\u0101cijas,” st\u0101sta A. Afanasjevs. <\/p>\n\n

Par laimi, \u0161\u012b nepamatot\u0101 kritika nekad nepiepild\u012bj\u0101s. Apm\u0113ram septi\u0146us gadus v\u0113l\u0101k, kop\u0161 1990. gadiem, minim\u0101li invaz\u012bv\u0101s oper\u0101cijas s\u0101ka izplat\u012bties vis\u0101 pasaul\u0113 un \u0101tri k\u013cuva popul\u0101ras. Jaunievedums, kas strauji iekaro medic\u012bnas iest\u0101des, neapg\u0101ja ar\u012b Lietuvu: “Pirmo mazinvaz\u012bvo oper\u0101ciju \u2013 pied\u0113k\u013ca no\u0146em\u0161anu \u2013 Lietuv\u0101 1992. gada 9. decembr\u012b veica dr. Mariuss Purtokas. M\u016bsdien\u0101s mazinvaz\u012bv\u0101s oper\u0101cijas ir izplat\u012bju\u0161\u0101s daudz\u0101s medic\u012bnas jom\u0101s un tiek uzskat\u012btas par zelta standartu medic\u012bn\u0101.” <\/p>\n\n

“Invaz\u012bvaj\u0101 radiolo\u0123ij\u0101 minim\u0101li invaz\u012bv\u0101s \u0101rst\u0113\u0161anas metodes, kad tiek veikti adatas izm\u0113ra punkcijas vai nelieli iegriezumi l\u012bdz 2 mm, jau tiek pielietotas simtiem da\u017e\u0101du proced\u016bru. \u0160o proced\u016bru kl\u0101sts past\u0101v\u012bgi papla\u0161in\u0101s, uzlabojas, gan diagnostikas, gan terapeitisk\u0101s proced\u016bras tiek veiktas re\u0101l\u0101 laik\u0101, nov\u0113rojot \u0101rk\u0101rt\u012bgi prec\u012bzu proced\u016bras ainu. \u0136erme\u0146a dzi\u013c\u0101kie audi vai org\u0101ni tiek sasniegti bez atv\u0113rta griezuma, un prec\u012bzi kontrol\u0113ts proced\u016bras process pal\u012bdz nodro\u0161in\u0101t \u0101rk\u0101rt\u012bgi prec\u012bzu un efekt\u012bvu \u0101rst\u0113\u0161anu,” st\u0101sta A. Afanasjevs. Viena no minim\u0101li invaz\u012bvaj\u0101m \u0101rst\u0113\u0161anas metod\u0113m ir emboliz\u0101cija, kuras laik\u0101 tiek blo\u0137\u0113ti asinsvadi, kas barojas ar audz\u0113ju, cistu, noteiktu org\u0101nu vai audiem. Emboliz\u0101ciju, skaidro \u0101rsts, parasti veic radiologi vai invaz\u012bvie radiologi, izmantojot rentgenstaru vai ultraska\u0146u, lai nov\u0113rotu proced\u016bru. “Caur nelielu da\u017eu milimetru iegriezumu, parasti cirk\u0161\u0146os vai plaukstas rajon\u0101, tiek ieviests katetrs. Katetr\u0101 tiek ievad\u012bta \u012bpa\u0161a viela, kas blo\u0137\u0113 asinsvadus (mikrosf\u0113ras, g\u0113la putas, \u012bpa\u0161as spir\u0101les). Katetrs tiek virz\u012bts caur asinsvadiem uz pareizo vietu, kur j\u0101veic emboliz\u0101cija. P\u0113c emboliz\u0101cijas katetrs tiek no\u0146emts, un griezums ir aizv\u0113rts. Atkar\u012bb\u0101 no proced\u016bras sare\u017e\u0123\u012bt\u012bbas un pacienta visp\u0101r\u0113j\u0101 vesel\u012bbas st\u0101vok\u013ca pacientu var nov\u0113rot vair\u0101kas stundas vai dienas, bet visbie\u017e\u0101k pacienti tiek izrakst\u012bti m\u0101j\u0101s tie\u0161i \u0101rpus t\u0101s pa\u0161as dienas,” skaidro invaz\u012bvais radiologs. <\/p>\n\n

\u0160\u012b \u0101rst\u0113\u0161anas metode, vi\u0146\u0161 saka, bie\u017ei tiek izmantota smadze\u0146u aneirismu, patolo\u0123isku asi\u0146o\u0161anu, dzemdes miomu, varikozu v\u0113nu, prostatas hiperpl\u0101zijas \u0101rst\u0113\u0161anai, proced\u016bra tiek izmantota hronisku s\u0101pju \u0101rst\u0113\u0161anai, sieviet\u0113m, kuras j\u016bt hroniskas iegur\u0146a s\u0101pes, k\u0101 ar\u012b ur\u012bna nesatur\u0113\u0161anas probl\u0113mu risin\u0101\u0161anai. “Medic\u012bnas iek\u0101rtu un instrumentu straujo att\u012bst\u012bbu ietekm\u0113 inovat\u012bvi m\u0101ksl\u012bg\u0101 intelekta risin\u0101jumi, un minim\u0101li invaz\u012bv\u0101s proced\u016bras k\u013c\u016bst par arvien izplat\u012bt\u0101ku metodi da\u017e\u0101du slim\u012bbu un kai\u0161u \u0101rst\u0113\u0161anai. Minim\u0101li invaz\u012bvu proced\u016bru laik\u0101 ir iesp\u0113jams ne tikai atv\u0113rt aizs\u0113r\u0113ju\u0161us asinsvadus \u2013 piem\u0113ram, smadze\u0146u art\u0113riju, zarnu vai ekstremit\u0101\u0161u nosprostojumu kl\u0101tb\u016btn\u0113 (ar trombektomiju), bet ar\u012b aizv\u0113rt tos \u2013 piem\u0113ram, apturot asi\u0146o\u0161anu. Dzemdes miomu, varikoc\u0113les vai art\u0113riju anom\u0101liju gad\u012bjumos asinsvadi, kas baro audz\u0113jus vai citus veidojumus, ir sl\u0113gti. <\/p>\n\n

Minim\u0101li invaz\u012bvu proced\u016bru laik\u0101 ir iesp\u0113jams aizv\u0113rt pat asinsvadus, kas izraisa iekaisumu un s\u0101pes loc\u012btav\u0101s, un, ievie\u0161ot \u012bpa\u0161us elektrodus \u2013 ar aukstuma (kriobl\u0101cija), karstuma (mikrovi\u013c\u0146u vai radiofrekvences abl\u0101cija) vai elektroimpuslusa pal\u012bdz\u012bbu, var tikt izn\u012bcin\u0101ti pat audz\u0113ji. Ar endovaskul\u0101r\u0101s \u0101rst\u0113\u0161anas pal\u012bdz\u012bbu smadze\u0146u aneirismu un sare\u017e\u0123\u012btu aortas aneirismu \u0101rst\u0113\u0161an\u0101 tiek pielietotas \u012bpa\u0161i progres\u012bvas tehnolo\u0123ijas,” st\u0101sta sarunu biedrs. <\/p>\n\n

Minim\u0101li invaz\u012bvas \u0101rst\u0113\u0161anas metodes ne tikai rada maz\u0101k s\u0101pju pacientiem, bet, pateicoties t\u0101m, hospitaliz\u0101cijas un rehabilit\u0101cijas periodi tiek sa\u012bsin\u0101ti, un komplik\u0101ciju risks k\u013c\u016bst iev\u0113rojami zem\u0101ks. “Sal\u012bdzinot ar tradicion\u0101lo \u0137irur\u0123iju, p\u0113c kuras piln\u012bga atvese\u013co\u0161an\u0101s notiek tikai p\u0113c 6-8 ned\u0113\u013c\u0101m, p\u0113c minim\u0101li invaz\u012bv\u0101m proced\u016br\u0101m pacienti var atgriezties pie ikdienas rut\u012bnas vismaz 1-2 ned\u0113\u013cu laik\u0101. \u012as\u0101ks p\u0113coper\u0101cijas periods pats par sevi nor\u0101da, ka pacientam piem\u0113rot\u0101 \u0101rst\u0113\u0161anas proced\u016bra nav tik invaz\u012bva \u2013 maz\u0101ks kait\u0113jums organismam, maz\u0101ks komplik\u0101ciju risks, \u012bs\u0101ks p\u0113coper\u0101cijas periods. \u0160\u0101das proced\u016bras samazina ne tikai pacienta stresu, bet ar\u012b liek tuviniekiem justies mier\u012bg\u0101kiem, pacients var \u0101tr\u0101k atgriezties darb\u0101, maz\u0101k gultas dienu, maz\u0101kas izmaksas \u0101rstniec\u012bbas iest\u0101d\u0113m,” skaidro \u0101rste. <\/p>\n\n

Turkl\u0101t minim\u0101li invaz\u012bv\u0101s \u0101rst\u0113\u0161anas metodes ar\u012b atvieglo \u0101rstu darbu – tiek samazin\u0101ts oper\u0101ciju laiks, un sare\u017e\u0123\u012btas oper\u0101cijas k\u013c\u016bst vienk\u0101r\u0161\u0101kas. “\u0100rstiem minim\u0101li invaz\u012bv\u0101s metodes \u013cauj \u0101tr\u0101k un efekt\u012bv\u0101k veikt sare\u017e\u0123\u012btas proced\u016bras, jo m\u016bsdienu \u0137irur\u0123ija att\u012bst\u0101s \u0101rk\u0101rt\u012bgi strauji, katru gadu par\u0101d\u0101s daudz jaunu un uzlabotu l\u012bdzek\u013cu, kuru izmanto\u0161ana k\u013c\u016bst \u0101rk\u0101rt\u012bgi efekt\u012bva. Piem\u0113ram, da\u017eas 8 stundu smadze\u0146u oper\u0101cijas pasaul\u0113 k\u013c\u016bst par pag\u0101tni, jo invaz\u012bvaj\u0101 radiolo\u0123ij\u0101 izmantot\u0101s metodes \u013cauj atrisin\u0101t to pa\u0161u probl\u0113mu tikai stundas laik\u0101. Un t\u0101 nav mistika, tie ir re\u0101li fakti un st\u0101sti no m\u016bsu darba,” priec\u0101jas \u0101rsts. <\/p>\n\n

\u0100rsts uzskata, ka \u0161\u0101da veida oper\u0101cij\u0101m ir potenci\u0101ls izplat\u012bties v\u0113l vair\u0101k un aizst\u0101t daudzas \u0137irur\u0123iskas oper\u0101cijas: “Medic\u012bna uzlabojas, tiek mekl\u0113tas \u0101rst\u0113\u0161anas metodes, kas v\u0113rstas uz pacienta vesel\u012bbu – t\u0101s darbotos efekt\u012bvi, bet rad\u012btu maz\u0101ku kait\u0113jumu cilv\u0113ka \u0137ermenim, samazin\u0101tu komplik\u0101ciju risku un garant\u0113tu \u0101tr\u0101ku atvese\u013co\u0161anos. Piem\u0113ram, dzemdes miomu \u0137irur\u0123isk\u0101 \u0101rst\u0113\u0161an\u0101 pacientiem bie\u017ei tiek veikta histerektomija. Histerektomijas oper\u0101cijas laik\u0101 dzemde tiek no\u0146emta, tiek veikts 10-15 cm griezums v\u0113dera lejasda\u013c\u0101, pacienti tiek pak\u013cauti visp\u0101r\u0113jai anest\u0113zijai, p\u0113c oper\u0101cijas slimn\u012bc\u0101 joproj\u0101m ir nepiecie\u0161ams gul\u0113t 2 l\u012bdz 5 dienas, p\u0113c piln\u012bgas atvese\u013co\u0161an\u0101s tiek veikta tikai p\u0113c 6-8 ned\u0113\u013c\u0101m. Dzemdes miomu \u0101rst\u0113\u0161an\u0101 ar emboliz\u0101ciju – tiek pielietota viet\u0113j\u0101 anest\u0113zija, pietiek ar nelielu, da\u017eu milimetru d\u016brienu cirksn\u012b, un pacients tiek izvad\u012bts m\u0101j\u0101s tikai p\u0113c 1-2 dien\u0101m.” Pilnu rakstu lasi \u0160EIT.<\/a> <\/strong> <\/p>\n\n

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

Minim\u0101li invaz\u012bvas \u0101rst\u0113\u0161anas metodes ne tikai rada maz\u0101k s\u0101pju pacientiem, bet, pateicoties t\u0101m, hospitaliz\u0101cijas un rehabilit\u0101cijas periodi tiek sa\u012bsin\u0101ti, un komplik\u0101ciju risks k\u013c\u016bst iev\u0113rojami zem\u0101ks. “Sal\u012bdzinot ar tradicion\u0101lo \u0137irur\u0123iju, p\u0113c kuras piln\u012bga atvese\u013co\u0161an\u0101s notiek tikai p\u0113c 6-8 ned\u0113\u013c\u0101m, p\u0113c minim\u0101li invaz\u012bv\u0101m proced\u016br\u0101m pacienti var atgriezties pie ikdienas rut\u012bnas vismaz 1-2 ned\u0113\u013cu laik\u0101. <\/p>\n","protected":false},"author":5,"featured_media":9738,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[133,163,289,130,287,282,284,286,285,207,288,171,283,169,167],"class_list":["post-9712","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zinas","tag-ablacija","tag-ambercell-lv","tag-andrejs-afanasjevs","tag-embolizacija-lv","tag-inovativa-medicina","tag-invaziva-radiologija","tag-kvalitativa-ablacija","tag-mazinvaziva-arstesana","tag-miomas","tag-miomas-embolizacija","tag-musdienu-medicina","tag-pamatojoties-uz-vertibu","tag-radiology-lv","tag-risinajumus","tag-uz-pacientu-orientets"],"yoast_head":"\nM\u016bsdienu \u0101rst\u0113\u0161anas metodes: bez liel\u0101m r\u0113t\u0101m un ilgu rehabilit\u0101ciju - 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\/invazivas-kardiologijas-masas-ieguva-zinasanas-kaunas-klinikas-3\/\" \/>\n<meta property=\"og:locale\" content=\"lv_LV\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"M\u016bsdienu \u0101rst\u0113\u0161anas metodes: bez liel\u0101m r\u0113t\u0101m un ilgu rehabilit\u0101ciju - Ambercell\" \/>\n<meta property=\"og:description\" content=\"Minim\u0101li invaz\u012bvas \u0101rst\u0113\u0161anas metodes ne tikai rada maz\u0101k s\u0101pju pacientiem, bet, pateicoties t\u0101m, hospitaliz\u0101cijas un rehabilit\u0101cijas periodi tiek sa\u012bsin\u0101ti, un komplik\u0101ciju risks k\u013c\u016bst iev\u0113rojami zem\u0101ks. 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