{"id":11321,"date":"2010-05-04T18:00:00","date_gmt":"2010-05-04T18:00:00","guid":{"rendered":""},"modified":"2010-05-04T18:00:00","modified_gmt":"2010-05-04T18:00:00","slug":"kai-sirdis-tingi-plakti","status":"publish","type":"post","link":"https:\/\/www.pasveik.lt\/lt\/sveikatos-ir-medicinos-naujienos\/kai-sirdis-tingi-plakti\/11321\/","title":{"rendered":"Kai \u0161irdis \u201ctingi\u201d plakti"},"content":{"rendered":"<p style=\"text-align: justify\"><strong>Nor\u0117\u010diau daugiau su\u017einoti apie \u0161irdies stimuliatorius. Kada jis statomas? Ar tai sud\u0117tinga operacija?<br \/>\nHalina<\/strong><\/p>\n<p style=\"text-align: justify\"><font color=\"#000000\"><font color=\"#993300\"><font color=\"#000000\">\u0160irdies stimuliatorius (kardiostimuliatorius, elektrokardiostimuliatorius) &#8211; tai nedidelis prietaisas, kuris generuoja nestiprius elektros impulsus. \u0160ie impulsai ver\u010dia \u0161ird\u012f susitraukti, kai \u0161i &ldquo;tingi&rdquo; &#8211; kai pacientas serga bradikardija (\u0161irdies ritmas, retesnis nei 60 k\/min.).<\/p>\n<p>\u0160irdyje yra tam tikra l\u0105steli\u0173 sankaupa &#8211; sinusinis mazgas. \u0160iame mazgelyje atsiranda elektros impulsas, kuris plinta specialiais takais, ir priver\u010dia susitraukti \u0161irdies prie\u0161ird\u017eius, o po to ir skilvelius. Tiesa, prie\u0161 patekdamas \u012f skilvelius, impulsas \u0161iek tiek u\u017elaikomas kitame, atrioventrikuliniame mazge.<\/p>\n<p>Kartais, d\u0117l <a href=\"https:\/\/pasveik.lt\/ligos-ir-sindromai\/ateroskleroze\/4332\">ateroskleroz\u0117s<\/a>, \u0161irdies yd\u0173, arterin\u0117s <a href=\"https:\/\/pasveik.lt\/ligos-ir-sindromai\/arterine-hipertenzija\/4333\">hipertenzijos<\/a> bei kit\u0173 lig\u0173, gali sutrikti impulso generavimas sinusiniame mazge. Tuomet pasirei\u0161kia sinusinio mazgo silpnumas &#8211; suret\u0117ja \u0161irdies veikla arba \u0161irdis stabteli kelioms sekund\u0117ms. <\/p>\n<p>Apie stimuliatoriaus implantavim\u0105 svarstoma, kai \u0161irdies da\u017enis yra 40 k\/min. ir ma\u017eiau, arba kai \u0161irdis stabteli 3 sek. D\u0117l bradikardijos ar pauzi\u0173, pacientas gali jausti silpnum\u0105, praradin\u0117ti s\u0105mon\u0119.<br \/>\n\u0160irdies stimuliatorius &#8211; vos keliasde\u0161imties gram\u0173, keli\u0173 milimetr\u0173 storio prietaisas. Jis implantuojamas po oda, raktikaulio srityje, o nuo stimuliatoriaus did\u017eiosiomis kraujagysl\u0117mis nuleid\u017eiami laidai \u012f \u0161irdies prie\u0161ird\u017eius ar skilvelius. Operacij\u0105 atlieka \u0161irdies chirurgai, jos metu u\u017etenka vietinio nuskausminimo.<\/p>\n<p>\u0160iuolaikiniai stimuliatoriai nuolat tikrina \u0161irdies elektrin\u012f aktyvum\u0105, ir, jei \u0161irdis plaka normaliu da\u017eniu, ar per da\u017enai, stimuliatorius \u0161irdies nestimuliuoja. <\/p>\n<p>Kita vertus, \u0161irdies stimuliatoriai neapsaugo nuo per da\u017eno \u0161irdies plakimo &#8211; tachikardij\u0173, ar nuo ritmo sutrikimo. Stimuliatoriai, priklausomai nuo bradikardijos tipo, gali stimuliuoti arba prie\u0161ird\u017eius, arba skilvelius, arba ir tuos, ir tuos.<br \/>\n<\/font><\/font><\/font><\/p>\n<p style=\"text-align: justify\"><font color=\"#000000\"><font color=\"#993300\"><font color=\"#000000\">Lietuvos sveikata<\/font><\/font><\/font><\/p>\n","protected":false},"excerpt":{"rendered":"<p style=\"text-align: justify\">\u0160irdies stimuliatorius (kardiostimuliatorius, elektrokardiostimuliatorius) &#8211; tai nedidelis prietaisas, kuris generuoja nestiprius elektros impulsus. \u0160ie impulsai ver\u010dia \u0161ird\u012f susitraukti, kai \u0161i &ldquo;tingi&rdquo; &#8211; kai pacientas serga bradikardija (\u0161irdies ritmas, retesnis nei 60 k\/min.).<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[350],"site":[],"post_item_type":[27344],"class_list":["post-11321","post","type-post","status-publish","format-standard","hentry","tag-sirdis"],"acf":{"post_sites":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/11321","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/comments?post=11321"}],"version-history":[{"count":0,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/11321\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=11321"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/categories?post=11321"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=11321"},{"taxonomy":"site","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/site?post=11321"},{"taxonomy":"post_item_type","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/post_item_type?post=11321"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}