{"id":12103,"date":"2009-08-19T18:00:00","date_gmt":"2009-08-19T18:00:00","guid":{"rendered":""},"modified":"2009-08-19T18:00:00","modified_gmt":"2009-08-19T18:00:00","slug":"uminiai-galvos-smegenu-kraujotakos-sutrikimai-aktuali-problema","status":"publish","type":"post","link":"https:\/\/www.pasveik.lt\/lt\/naujausi-medicinos-straipsniai\/uminiai-galvos-smegenu-kraujotakos-sutrikimai-aktuali-problema\/12103\/","title":{"rendered":"\u016aminiai galvos smegen\u0173 kraujotakos sutrikimai \u2013 aktuali problema"},"content":{"rendered":"<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">\u016aminiai galvos smegen\u0173 kraujotakos sutrikimai \u2013 vis dar i\u0161lieka da\u017enu sutrikimu, paliekan\u010diu sunkias pasekmes. Didelei daliai <a href=\"https:\/\/pasveik.lt\/ligos\/insultas-smegenu-infarktas\/4396\">insult\u0105<\/a> patyrusi\u0173 pacient\u0173 pasirei\u0161kia jud\u0117jimo, jutimo, kalbos funkcij\u0173 sutrikim\u0173, da\u017enai i\u0161liekan\u010di\u0173 ir po \u016bminio ligos periodo. Insulto pasekm\u0117 (ypa\u010d daugini\u0173 insult\u0173) gali b\u016bti pa\u017eintini\u0173 funkcij\u0173 sutrikimai, kurie taip pat kei\u010dia \u017emogaus gyvenimo kokyb\u0119. Pats sunkiausias pa\u017eintini\u0173 funkcij\u0173 sutrikimas \u2013 demencijos sindromas \u2013 pra\u0117jus 3 m\u0117n. po <a href=\"https:\/\/pasveik.lt\/ligos\/insultas-smegenu-infarktas\/4396\">insulto<\/a>, diagnozuojamas iki 20\u201325 proc. pacient\u0173.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">\u0160iandien jau akivaizdu, kad smegen\u0173 kraujotakos ligos n\u0117ra nei\u0161vengiama sen\u0117jimo pasekm\u0117. \u0160i patologija yra gydoma, o \u016bmini\u0173 b\u016bsen\u0173 metu pagalba turi b\u016bti neatid\u0117liotina.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/p>\n<h2 style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"color: windowtext; mso-ansi-language: LT\"><font size=\"2\">Praeinantis smegen\u0173 i\u0161emijos priepuolis<\/p>\n<p><\/font><\/span><\/h2>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Tobul\u0117jant diagnostin\u0117ms technologijoms, neurovizualiniai tyrimai leid\u017eia tiksliau diagnozuoti ankstyvus galvos smegen\u0173 insultui (GSI) b\u016bdingus pakitimus. Jau anks\u010diau pasteb\u0117ta, kad daliai ligoni\u0173, kuriems \u017eidinin\u0117 neurologin\u0117 simptomatika regresuoja per pirm\u0105 par\u0105, nustatomi i\u0161eminiai \u017eidiniai. Tod\u0117l 2002 m. buvo pasi\u016blyta keisti praeinan\u010dio smegen\u0173 i\u0161emijos priepuolio (PSIP) apibr\u0117\u017eim\u0105. Si\u016bloma, kad PSIP diagnostikoje b\u016bt\u0173 vertinamas ne tik laiko faktorius, bet ir neurovizualini\u0173 tyrim\u0173 duomenys.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Ir vienas, ir kitas apibr\u0117\u017eimas turi savo privalum\u0173 ir tr\u016bkum\u0173 (1 lentel\u0117), tod\u0117l \u0161iuo metu sutarta, kad gali b\u016bti vartojami abu apibr\u0117\u017eimai, ta\u010diau moksliniuose darbuose turi b\u016bti nurodoma, kuris i\u0161 j\u0173 yra vartotas.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\"><\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\"><img loading=\"lazy\" decoding=\"async\" height=\"277\" alt=\"\u016aminiai galvos smegen\u0173 kraujotakos sutrikimai \u2013 aktuali problema\" width=\"599\" src=\"\"><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Praktiniu po\u017ei\u016briu svarbu tai, kad tipinis PSIP yra urgentin\u0117 situacija (2 lentel\u0117), ir tokiems ligoniams turi b\u016bti skiriamas didesnis d\u0117mesys. Kai kuriose Europos \u0161alyse kuriamos specialios PSIP klinikos, kur ligoniai, patyr\u0119 PSIP, paros laikotarpiu konsultuojami specialisto ir, reikalui esant, jiems atliekami papildomi tyrimai bei skiriamas tolimesnis gydymas. 2008 m. pateiktose Europos insulto organizacijos rekomendacijose nurodoma, kad, gydant ligonius specializuotuose centruose (Insulto vienetas), rezultatai yra geresni. Ta\u010diau iki \u0161iol n\u0117ra vienintelio apibr\u0117\u017eimo, kas yra toks centras. \u012evairiose \u0161alyse jie organizuoti skirtingai, tod\u0117l bandoma visus insulto skyrius suskirstyti \u012f 4 grupes pagal i\u0161tyrimo, gydymo bei mokslin\u0117s veiklos galimyb\u0119. \u0160iuo metu \u0161is procesas aktyviai vyksta Europos \u0161alyse. Manoma, kad gauti duomenys leis geriau teikti pagalb\u0105 insulto i\u0161tiktiems ligoniams.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\"><\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\"><img loading=\"lazy\" decoding=\"async\" height=\"581\" alt=\"\u016aminiai galvos smegen\u0173 kraujotakos sutrikimai \u2013 aktuali problema\" width=\"406\" src=\"\"><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><b><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><b><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">Insulto rizikos veiksniai<\/p>\n<p><\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Nustatytas ry\u0161ys tarp insulto prad\u017eios, kraujagyslin\u0117s rizikos veiksni\u0173 (pvz., <a href=\"https:\/\/pasveik.lt\/ligos\/arterine-hipertenzija\/4333\">hipertenzija<\/a>, hiperlipidemija, <a href=\"https:\/\/pasveik.lt\/ligos\/cukrinis-diabetas\/4406\">cukrinis diabetas<\/a>) ir gyvenimo stiliaus rizikos veiksni\u0173 (pvz., r\u016bkymas, alkoholio vartojimas, <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/nutukimas\/4355\">nutukimas<\/a>, fizinio kr\u016bvio tr\u016bkumas). Stipriau- siai susij\u0119 su pakartotinio insulto rizika veiksniai yra <a href=\"https:\/\/pasveik.lt\/ligos\/cukrinis-diabetas\/4406\">cukrinis diabetas<\/a>, prie\u0161ird\u017ei\u0173 virp\u0117jimas, prie\u0161 tai buv\u0119 insultai ir <a href=\"https:\/\/pasveik.lt\/ligos\/ateroskleroze\/4332\">ateroskleroz\u0117<\/a>.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Skiriant kre\u0161um\u0105 ma\u017einan\u010di\u0173 vaist\u0173 (pvz., aspirino, klopidogrelio, agrenokso ar kt.) ar antikoaguliant\u0173<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">(pvz., varfarino), atsi\u017evelgiama \u012f vaisto saugum\u0105, veiksmingum\u0105 ir kain\u0105. Efektyviausi yra aspirino ir dipiridamolio derinys arba klopidogrelis.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Jei j\u0173 skirti negalima, gali b\u016bti skirtas aspirinas. Klopidogrelio si\u016bloma skirti pacientams, kurie priklauso didesn\u0117s rizikos grupei, netoleruoja aspirino, yra alergi\u0161ki arba netoleruoja dipiridamolio. Karotidin\u0117 endarterektomija yra tinkama tik kai kuriems pacientams; paskutiniai tyrimai rodo, kad stentavimas n\u0117ra prana\u0161esnis u\u017e endarterektomij\u0105 ir nerekomenduojamas kaip pirmos eil\u0117s metodas.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><b><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><b><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">Pramiracetam o (<i><a href=\"https:\/\/pasveik.lt\/vaistai\/&lt;a%20href=\" https:>pramistar<\/a>\/6859&#8243;&gt;Pramistar<\/i>) nauda<\/p>\n<p><\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Pramiracetamas (<i><a href=\"https:\/\/pasveik.lt\/vaistai\/&lt;a%20href=\" https:>pramistar<\/a>\/6859&#8243;&gt;pramistar\/6859&#8243;&gt;Pramistar<\/i>) \u2013 tai naujos kartos nootropas, piracetamo tipo ciklinis gama-amino sviesto r\u016bg\u0161ties (GASR) derivatas, priklausantis racetam\u0173 grupei. Anksti po insulto prad\u0117jus gydyti \u0161iuo vaistu, pavyksta stabilizuoti ir pagerinti pa\u017eintines funkcijas bei i\u0161vengti gresian\u010dios kraujagyslin\u0117s demencijos. Pramiracetamo (<i><a href=\"https:\/\/pasveik.lt\/vaistai\/&lt;a%20href=\" https:>pramistar<\/a>\/6859&#8243;&gt;pramistar\/6859&#8243;&gt;Pramistar<\/i>) savyb\u0117, kad jis nesijungia su plazmos baltymais, lemia<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">tai, kad jis nekei\u010dia kit\u0173 vaist\u0173 (pvz., antikoaguliant\u0173) koncentracijos kraujyje. J\u012f galima s\u0117kmingai derinti su kraujotak\u0105 gerinan\u010diais medikamentais.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Nootrop\u0173 veikimo mechanizmai nulemia j\u0173 gydom\u0105j\u012f ir profilaktin\u012f poveikius, nes jie:<\/p>\n<p><\/span><\/p>\n<ul style=\"margin-top: 0cm\" type=\"disc\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">stimuliuoja ribonukleinin\u0117s r\u016bg\u0161ties (RNR) ir baltym\u0173 sintez\u0119, tod\u0117l ger\u0117ja CNS plastiniai procesai;\n<\/p>\n<p><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">sustiprina adenozintrifosfato (ATF) sintez\u0119, tod\u0117l ger\u0117ja neuron\u0173 energetin\u0117 b\u016bkl\u0117, o tai skatina hipoksijos ma\u017e\u0117jim\u0105 ir oksidacini\u0173 proces\u0173 slopinim\u0105 l\u0105stel\u0117je;\n<\/p>\n<p><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">pagerina CNS sinapsinius ry\u0161ius;\n<\/p>\n<p><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">pagerina gliukoz\u0117s panaudojim\u0105 ir stabilizuoja l\u0105steli\u0173 membranas;\n<\/p>\n<p><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">ma\u017eina trombocit\u0173 agregacij\u0105 ir gerina smegen\u0173 kraujotakos mikrocirkuliacij\u0105.\n<\/p>\n<p><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><b><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><b><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">I\u0161vados<\/p>\n<p><\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><b><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/b><\/p>\n<ul style=\"margin-top: 0cm\" type=\"disc\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo2; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Praeinantis smegen\u0173 i\u0161emijos priepuolis (PSIP) ir insultas yra b\u016bkl\u0117s, kai pacientui reikalinga skubi medicinos pagalba.\n<\/p>\n<p><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo2; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Pacientai, kuriems yra didel\u0117 PSIP ar insulto rizika, turi b\u016bti kuo grei\u010diau tiriami bei skiriamas adekvatus gydymas.\n<\/p>\n<p><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo2; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Gydymas specializuotame insulto skyriuje suma\u017eina mir\u0161tamum\u0105 ir negali\u0105.\n<\/p>\n<p><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo2; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\"><a href=\"https:\/\/pasveik.lt\/ligos\/insultas-smegenu-infarktas\/4396\">Insulto<\/a> pasikartojimo tikimyb\u0119 ma\u017eina rizikos veiksni\u0173 korekcija ir antrin\u0117s profilaktikos priemoni\u0173 taikymas.\n<\/p>\n<p><\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none; mso-list: l0 level1 lfo2; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Insultas yra viena da\u017eniausi\u0173 mirties ir negalios prie\u017eas\u010di\u0173, tod\u0117l jo profilaktikai tenka did\u017eiul\u0117 reik\u0161m\u0117.\n<\/p>\n<p><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><b><i><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 9.0pt; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/i><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><b><i><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 9.0pt; mso-ansi-language: LT\">Pareng\u0117 gyd. Aleksandras Vilionskis<\/p>\n<p><\/span><\/i><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><b><i><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 9.0pt; mso-ansi-language: LT\">Vilniaus Greitosios pagalbos universitetin\u0117s<\/p>\n<p><\/span><\/i><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><b><i><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 9.0pt; mso-ansi-language: LT\">ligonin\u0117s Neurologijos skyrius<\/p>\n<p><\/span><\/i><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><b><i><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 9.0pt; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/i><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><b><i><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 9.0pt; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/i><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><b><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 19.0pt; mso-ansi-language: LT\">Insulto rizikai suma\u017einti reikia tiek nedaug<\/span><\/b><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\"><\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Tik nedaug pakeit\u0119 savo gyvenimo b\u016bd\u0105 \u017emon\u0117s gali stipriai suma\u017einti insulto rizik\u0105. Did\u017eiosios Britanijos mokslininkai nustat\u0117, kad nesveik\u0105 gyvenimo b\u016bd\u0105 gyvenantys \u017emon\u0117s dvigubai da\u017eniau suserga insultu nei saikingai valgantys, geriantys, ner\u016bkantys ir reguliariai sportuojantys \u017emon\u0117s.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Daugiau nei 20 000 40\u201379 m. am\u017eiaus vyr\u0173 ir moter\u0173 u\u017epild\u0117 sveikatos ir gyvenimo b\u016bdo klausimynus.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">U\u017e kiekvien\u0105 i\u0161 keturi\u0173 sveiko elgesio veiksn\u012f: ner\u016bkym\u0105 pastaruoju metu, pakankam\u0105 fizin\u012f aktyvum\u0105, saiking\u0105 alkoholio vartojim\u0105 ir pakankam\u0105 vitamino C kiek\u012f organizme, kuris atspindi, kad \u017emogus per dien\u0105 suvalgo bent penkias vaisi\u0173 ir dar\u017eovi\u0173 porcijas, \u2013 dalyviai buvo \u012fvertinami po 1 bal\u0105. Taigi tyrimo dalyviai gal\u0117jo gauti \u012fvertinim\u0105 nuo 0 iki 4 bal\u0173. Po to jie buvo stebimi 11,5 m.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">\u012evertin\u0119 kitus veiksnius, gal\u0117jusius lemti rezultatus, mokslininkai nustat\u0117, kad insultu 2,3 karto da\u017eniau susirgo 0 bal\u0173 \u012fvertinim\u0105 gav\u0119 dalyviai, palyginti su 4 balais \u012fvertintais dalyviais. Be to, buvo apskai\u010diuota, kad insulto rizika did\u0117jo ma\u017e\u0117jant \u012fvertinimui. Tai rei\u0161kia, kad dalyviams, gavusiems 2 bal\u0173 \u012fvertinim\u0105, rizika susirgti insultu buvo 1,5 karto didesn\u0117 nei gavusiems 4 bal\u0173 \u012fvertinim\u0105.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Mokslininkai tikisi, kad tyrimo rezultatai dar labiau paskatins \u017emones rinktis sveikesn\u012f gyvenimo b\u016bd\u0105.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><i><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 8.0pt; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/i><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><i><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 8.0pt; mso-ansi-language: LT\">British Medical Journal (online). \u2013 2009 (February 20).<\/p>\n<p><\/span><\/i><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><i><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 8.0pt; mso-ansi-language: LT\">\u00a0<\/p>\n<p><\/span><\/i><\/p>\n<h3 style=\"margin: 0cm 0cm 0pt\"><span lang=\"LT\"><em><font size=\"2\">\u017durnalas \u201cGydymo menas\u201d<\/font><\/em><\/span><\/h3>\n<p><span lang=\"LT\"><em><font size=\"2\"><a href=\"https:\/\/pasveik.lt\/kaip-atpazinti-zmogu-kuriam-gresia-insultas\/28527\">Kaip atpa\u017einti \u017emog\u0173, kuriam gresia Insultas?<\/a><\/font><\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">\u016aminiai galvos smegen\u0173 kraujotakos sutrikimai &ndash; vis dar i\u0161lieka da\u017enu sutrikimu, paliekan\u010diu sunkias pasekmes. Didelei daliai <a href=\"https:\/\/pasveik.lt\/ligos\/insultas-smegenu-infarktas\/4396\">insult\u0105<\/a> patyrusi\u0173 pacient\u0173 pasirei\u0161kia jud\u0117jimo, jutimo, kalbos funkcij\u0173 sutrikim\u0173, da\u017enai i\u0161liekan\u010di\u0173 ir po \u016bminio ligos periodo. Insulto pasekm\u0117 (ypa\u010d daugini\u0173 insult\u0173) gali b\u016bti pa\u017eintini\u0173 funkcij\u0173 sutrikimai, kurie taip pat kei\u010dia \u017emogaus gyvenimo kokyb\u0119. Pats sunkiausias pa\u017eintini\u0173 funkcij\u0173 sutrikimas &ndash; demencijos sindromas &ndash; pra\u0117jus 3 m\u0117n. po <a href=\"https:\/\/pasveik.lt\/ligos\/insultas-smegenu-infarktas\/4396\">insulto<\/a>, diagnozuojamas iki 20&ndash;25 proc. pacient\u0173.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-layout-grid-align: none\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">\u0160iandien jau akivaizdu, kad smegen\u0173 kraujotakos ligos n\u0117ra nei\u0161vengiama sen\u0117jimo pasekm\u0117. \u0160i patologija yra gydoma, o \u016bmini\u0173 b\u016bsen\u0173 metu pagalba turi b\u016bti neatid\u0117liotina.<o:p><\/o:p><\/span><\/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":[400,141,1200,157,1458,125],"site":[],"post_item_type":[27345],"class_list":["post-12103","post","type-post","status-publish","format-standard","hentry","tag-diabetas","tag-insultas","tag-kraujagyslines","tag-nutukimas","tag-priepuolis","tag-rukymas"],"acf":{"post_sites":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/12103","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=12103"}],"version-history":[{"count":0,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/12103\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=12103"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/categories?post=12103"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=12103"},{"taxonomy":"site","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/site?post=12103"},{"taxonomy":"post_item_type","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/post_item_type?post=12103"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}