{"id":12469,"date":"2009-06-20T18:00:00","date_gmt":"2009-06-20T18:00:00","guid":{"rendered":""},"modified":"2009-06-20T18:00:00","modified_gmt":"2009-06-20T18:00:00","slug":"kaulu-luziu-terminologija-tipai-ir-radiologine-diagnostika","status":"publish","type":"post","link":"https:\/\/www.pasveik.lt\/lt\/naujausi-medicinos-straipsniai\/kaulu-luziu-terminologija-tipai-ir-radiologine-diagnostika\/12469\/","title":{"rendered":"Kaul\u0173 l\u016b\u017ei\u0173 terminologija, tipai ir radiologin\u0117 diagnostika"},"content":{"rendered":"<p class=\"MsoBodyText\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-family: Arial; mso-ansi-language: LT\"><font size=\"2\">Kaul\u0173 l\u016b\u017eiai \u2013 viena i\u0161 da\u017eniausi\u0173 griau\u010di\u0173 ir raumen\u0173 sistemos lig\u0173. L\u016b\u017eiai diagnozuojami remiantis klinikiniais po\u017eymiais ir radiologiniais tyrimais. \u012etariant kaulo l\u016b\u017e\u012f, atliekamos 2 kryp\u010di\u0173 \u2013 tiesin\u0117s ir \u0161onin\u0117s projekcijos rentgenogramos. Sud\u0117tingais atvejais atliekami papildomi radiologiniai tyrimai \u2013 \u012fvairi\u0173 projekcij\u0173 rentgenogramos, kompiuterin\u0117 tomografija (KT), magnetinio rezonanso tomografija (MRT), kaul\u0173 scintigrafija, rentgenoskopija.<\/p>\n<p><\/font><\/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\">L\u016b\u017eis \u2013 tai kaulo vientisumo pa\u017eeidimas. \u0160is terminas apima visus kaulo pa\u017eeidimus \u2013 nuo skilimo iki skeveldrinio l\u016b\u017eimo. Kaulas gali l\u016b\u017eti tiesiogin\u0117s i\u0161orin\u0117s j\u0117gos poveikio vietoje. Taip pat jis gali l\u016b\u017eti veikiamas netiesiogin\u0117s j\u0117gos (toliau nuo j\u0117gos veikimo vietos), pvz., nugriuvus ant i\u0161tiestos<\/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\">rankos, gali l\u016b\u017eti raktikaulis.<\/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\">Fizinio i\u0161tyrimo metu galima pagal b\u016bdingus po\u017eymius \u012ftarti kaulo l\u016b\u017e\u012f ir matyti odos pa\u017eeidim\u0105. Pagal odos vientisumo pa\u017eeidim\u0105 kaul\u0173 l\u016b\u017eiai skirstomi \u012f:<\/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 lfo4; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">u\u017edarus \u2013 odos vientisumas nepa\u017eeid\u017eiamas, gali b\u016bti pavir\u0161ini\u0173 \u017eaizd\u0173, ta\u010diau jos nesusijusios su l\u016b\u017eiu;\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 lfo4; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">atvirus \u2013 kai \u017eaizda turi tiesiogin\u012f ry\u0161\u012f su kaulo l\u016b\u017eio vieta, \u017eaizdoje matomi l\u016b\u017egaliai. Atviri l\u016b\u017eiai gali atsirasti, kai l\u016b\u017edamas kaulas pa\u017eeid\u017eia od\u0105 arba, i\u0161orin\u0117s j\u0117gos veikiami, tuo pa\u010diu metu pa\u017eeid\u017eiami ir oda, ir kaulas. \u0160iuo atveju prognoz\u0117 blogesn\u0117 d\u0117l didesnio mink\u0161t\u0173j\u0173 audini\u0173 pa\u017eeidimo ir infekcijos pavojaus. Rentgenologiniai atvir\u0173 kaul\u0173 l\u016b\u017ei\u0173 po\u017eymiai \u2013 kaulo fragmento i\u0161siki\u0161imas u\u017e mink\u0161t\u0173j\u0173 audini\u0173 ribos, kaulo dalies nebuvimas, dujos po oda, svetimk\u016bniai. Atlikus radiologinius tyrimus, patvirtinama kaulo l\u016b\u017eio diagnoz\u0117, nustatomas l\u016b\u017eio tipas. Svarbu apra\u0161yti l\u016b\u017eio lokalizacij\u0105. Ilg\u0173j\u0173 kaul\u0173 l\u016b\u017eiai gali b\u016bti skirstomi \u012f: diafiz\u0117s (dalijama \u012f 3 dalis: proksimali\u0105j\u0105, vidurin\u0119 ir distalin\u0119); metadiafiz\u0117s; metafiz\u0117s; augimo plok\u0161tel\u0117s; epifiz\u0117s.\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\"><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\">Kit\u0173 kaul\u0173 l\u016b\u017ei\u0173 vieta gali b\u016bti apib\u016bdinama pagal anatomin\u0119 lokalizacij\u0105, pavyzd\u017eiui, \u017eastikaulio chirurginio kaklelio l\u016b\u017eis, girnel\u0117s l\u016b\u017eis, vir\u0161utin\u0117s gaktikaulio \u0161akos l\u016b\u017eis ir t.t.<\/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\">Pagal s\u0105nari\u0173 pa\u017eeidim\u0105 l\u016b\u017eiai skirstomi:<\/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: l0 level1 lfo5; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">ekstras\u0105nariniai l\u016b\u017eiai \u2013 tokie l\u016b\u017eiai, kai nepa\u017eeistas s\u0105narinis pavir\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: l0 level1 lfo5; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">intras\u0105nariniai l\u016b\u017eiai \u2013 tokie l\u016b\u017eiai, kai l\u016b\u017eimo linija eina s\u0105nariniu kaulo pavir\u0161iumi.\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\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Visi l\u016b\u017eiai skirstomi \u012f paprastus ir skeveldrinius. Paprastam l\u016b\u017eiui b\u016bdinga viena l\u016b\u017eimo linija, dalijanti kaul\u0105 \u012f 2 fragmentus (pav.). Pagal l\u016b\u017eimo linijos krypt\u012f ir pob\u016bd\u012f jie skirstomi:<\/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: l3 level1 lfo6; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Spiralinis \u2013 l\u016b\u017eis, kai l\u016b\u017eimo linija sukasi aplink ilgojo kaulo diafiz\u0119, taip formuodama spiral\u0119 pagal kaulo i\u0161ilgin\u0119 a\u0161\u012f. Da\u017eniausiai sukelia sukimo j\u0117gos.\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: l3 level1 lfo6; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">\u012estri\u017einis \u2013 l\u016b\u017eis, kai kampas tarp kaulo i\u0161ilgin\u0117s a\u0161ies ir l\u016b\u017eimo plok\u0161tumos &gt;30\u00b0. \u0160iuos l\u016b\u017eius da\u017eniausiai sukelia netiesiogin\u0117 trauma.\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: l3 level1 lfo6; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Skersinis \u2013 l\u016b\u017eis, kai kampas tarp kaulo i\u0161ilgin\u0117s a\u0161ies ir l\u016b\u017eimo plok\u0161tumos &lt;30\u00b0. Tokie l\u016b\u017eiai da\u017eniausiai b\u016bna stabil\u016bs ir sukelti tiesiogin\u0117s traumos.\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: l3 level1 lfo6; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Skeveldrinis l\u016b\u017eis \u2013 l\u016b\u017eis, kai susidaro daugiau kaip 2 kaulo fragmentai. Skeveldriniai l\u016b\u017eiai susidaro d\u0117l didel\u0117s kaul\u0105 veikian\u010dios j\u0117gos, neretai jie yra atviri, sunkiai pa\u017eeid\u017eiami mink\u0161tieji audiniai. Toki\u0173 l\u016b\u017ei\u0173 atveju padid\u0117ja rizika su\u017eeisti \u0161alia esan\u010dias kraujagysles ir nervus. Skeveldriniai l\u016b\u017eiai gali b\u016bti:\n<\/p>\n<p><\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt 72pt; text-indent: -18pt; text-align: justify; mso-layout-grid-align: none; mso-list: l3 level2 lfo6; tab-stops: list 72.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: SymbolMT; mso-ansi-language: LT\"><font face=\"Times New Roman\">&#8211;<span style='font: 7pt \"Times New Roman\"'>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/font><\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">segmentiniai \u2013 l\u016b\u017eiai, kai susidaro vienas ar daugiau visi\u0161kai atskir\u0173 kaulo fragment\u0173;<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt 72pt; text-indent: -18pt; text-align: justify; mso-layout-grid-align: none; mso-list: l3 level2 lfo6; tab-stops: list 72.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: SymbolMT; mso-ansi-language: LT\"><font face=\"Times New Roman\">&#8211;<span style='font: 7pt \"Times New Roman\"'>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/font><\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">\u201epla\u0161tak\u0117s\u201c (angl. <i>butterfly<\/i>) \u2013 skeveldrinis l\u016b\u017eis, kai susidaro pla\u0161tak\u0117s formos trikampis kaulo fragmentas.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt 72pt; text-indent: -18pt; text-align: justify; mso-layout-grid-align: none; mso-list: l3 level2 lfo6; tab-stops: list 72.0pt\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt 72pt; text-indent: -18pt; text-align: justify; mso-layout-grid-align: none; mso-list: l3 level2 lfo6; tab-stops: list 72.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\"><img loading=\"lazy\" decoding=\"async\" height=\"525\" width=\"633\" alt=\"Kaul\u0173 l\u016b\u017ei\u0173 terminologija, tipai ir radiologin\u0117 diagnostika\" src=\"\"><\/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=\"MsoBodyText\" style=\"margin: 0cm 0cm 0pt\"><span lang=\"LT\" style=\"font-family: Arial; mso-ansi-language: LT\"><font size=\"2\">Papildomai kaul\u0173 l\u016b\u017eius galima skirstyti \u012f: visi\u0161kus ir nevisi\u0161kus. Visi\u0161kas l\u016b\u017eis \u2013 kai nutr\u016bk\u0119s vamzdinio kaulo kont\u016bras per vis\u0105 kaulo perimetr\u0105 arba plok\u0161\u010diojo kaulo abi plok\u0161tel\u0117s. Kaulas pasidalij\u0119s \u012f 2 fragmentus. Nevisi\u0161k\u0173 l\u016b\u017ei\u0173 atveju l\u016b\u017eimo linija eina ne per vis\u0105 kaulo skersmen\u012f, tokie l\u016b\u017eiai vadinami \u012ftr\u016bkimu, da\u017enai b\u016bna vaikams. Juos sukelia nedidel\u0117 trauma, pa\u017eeidimas yra minimalus, tod\u0117l gali b\u016bti gana sud\u0117tinga nustatyti rentgenu.<\/p>\n<p><\/font><\/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\">Taigi, jei yra klinikini\u0173 po\u017eymi\u0173, leid\u017eian\u010di\u0173 \u012ftarti \u012ftr\u016bkim\u0105 ar l\u016b\u017eim\u0105, be rutinini\u0173 rentgenologini\u0173 tyrim\u0173, reikt\u0173 atlikti papildom\u0173 projekcij\u0173 rentgenogramas bei pakartotinai atlikti rentgenologin\u012f tyrim\u0105 po 7\u201310 dien\u0173, l\u016b\u017eis gali b\u016bti matomas ai\u0161kiau.<\/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: l6 level1 lfo7; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Stabilius ir nestabilius. Stabil\u016bs l\u016b\u017eiai \u2013 kai l\u016b\u017egaliai po repozicijos lieka savo vietoje, o nestabil\u016bs\n<\/p>\n<p><\/span> <span lang=\"LT\" style=\"font-size: 10pt; font-family: TimesNewRomanPSMT; mso-ansi-language: LT\"><font face=\"Times New Roman\">\u2013<span style='font: 7pt \"Times New Roman\"'>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/font><\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">kai l\u016b\u017egaliai turi polink\u012f pasislinkti.<\/p>\n<p><\/span><\/li>\n<\/ul>\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: l6 level1 lfo7; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Komplikuoti ir nekomplikuoti. Komplikuot\u0173 l\u016b\u017ei\u0173 atveju matomas ry\u0161kus \u0161alia kaul\u0173 esan\u010di\u0173 audini\u0173 \u2013 raumen\u0173, rai\u0161\u010di\u0173, kraujagysli\u0173, nerv\u0173 ir kt. \u2013 su\u017ealojimas. Nekomplikuot\u0173 l\u016b\u017ei\u0173 atveju mink\u0161t\u0173j\u0173 audini\u0173 pa\u017eeidimas nedidelis.\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: l6 level1 lfo7; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Atitraukiamieji (avulsiniai) l\u016b\u017eiai susidaro, kai stipriai susitraukdamas raumuo savo prisitvirtinimo prie kaulo vietoje atpl\u0117\u0161ia dal\u012f kaulo.\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: l6 level1 lfo7; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">\u012ekaltinis \u2013 l\u016b\u017eis, kai matosi l\u016b\u017egaliai, \u201esulind\u0119\u201c vienas \u012f kit\u0105. Da\u017enai pa\u017eeid\u017eiami porozi\u0161ki kaulai.\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: l6 level1 lfo7; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Kompresinis \u2013 l\u016b\u017eis, da\u017eniausiai atsiranda i\u0161ret\u0117jusiuose kauluose, kai pernelyg didel\u0117 a\u0161in\u0117 j\u0117ga suspaud\u017eia kaul\u0105, da\u017eniausiai taip pa\u017eeid\u017eiami slanksteliai.\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: l6 level1 lfo7; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Patologiniai l\u016b\u017eiai \u2013 tai l\u016b\u017eiai, atsirandantys patologi\u0161kai pakitusiuose kauluose, kaulas da\u017eniausiai l\u016b\u017eta d\u0117l nedidel\u0117s traumos, nedidelio raumen\u0173 \u012ftempimo. Da\u017eniausios prie\u017eastys \u2013 gerybin\u0117s cistos ar tumorai, piktybinis procesas (pirminis ar metastazinis), metaboliniai sutrikimai, <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/osteoporoze\/4312\">osteoporoz\u0117<\/a>, osteomaliacija, Ped\u017eeto liga, infekcijos.\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: l6 level1 lfo7; tab-stops: list 36.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Stresiniai l\u016b\u017eiai gali b\u016bti skirstomi \u012f pervargimo (nuovargio) ir nepakankamumo (insuficienciniai) l\u016b\u017eius. Pervargimo stresiniai l\u016b\u017eiai atsiranda kaip atsakas \u012f ilg\u0105 laik\u0105 trunkant\u012f ar besikartojant\u012f nestipr\u0173 fizin\u012f traumavim\u0105. Tokie l\u016b\u017eiai atsiranda sportininkams, sunk\u0173 fizin\u012f darb\u0105 dirbantiems asmenims.\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\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">B\u016bdinga lokalizacija: b\u0117gikams \u2013 padikauliai, kulnakaulis, blauzdikaulis, \u0161launikaulis; baleto \u0161ok\u0117jams<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt 54pt; text-indent: -18pt; text-align: justify; mso-layout-grid-align: none; mso-list: l7 level1 lfo8; tab-stops: list 54.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Symbol; mso-ansi-language: LT; mso-bidi-font-family: Arial\">\u00b7<span style='font: 7pt \"Times New Roman\"'>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">padikauliai, blauzdikaulis, slanksteliai; krep\u0161ininkams<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt 54pt; text-indent: -18pt; text-align: justify; mso-layout-grid-align: none; mso-list: l7 level1 lfo8; tab-stops: list 54.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Symbol; mso-ansi-language: LT; mso-bidi-font-family: Arial\">\u00b7<span style='font: 7pt \"Times New Roman\"'>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">alk\u016bnkaulis, kablinis rie\u0161o kaulas; gimnastams<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt 54pt; text-indent: -18pt; text-align: justify; mso-layout-grid-align: none; mso-list: l7 level1 lfo8; tab-stops: list 54.0pt\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Symbol; mso-ansi-language: LT; mso-bidi-font-family: Arial\">\u00b7<span style='font: 7pt \"Times New Roman\"'>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">delnakauliai, dubens kaulai ir pan. <\/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\">Stresiniai nepakankamumo l\u016b\u017eiai atsiranda nuo \u012fprastinio funkcinio kr\u016bvio, bet pakitusiuose, silpnuose kauluose, suma\u017e\u0117jus j\u0173 mineraliniam tankiui bei elastingumui (sergant osteomaliacija, osteoporoze, Ped\u017eeto liga ir kt.). B\u016bdingiausia lokalizacija \u2013 dubens kaulai.<\/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\">Stresiniai l\u016b\u017eiai diagnozuojami remiantis anamneze, klinika (skausmas, ma\u017e\u0117jantis ramyb\u0117s ir stipr\u0117jantis fizinio kr\u016bvio metu, patinimas, lokalus skausmingumas), radiologiniais tyrimo metodais. Rentgenografija prad\u017eioje da\u017enai neinformatyvi, po 10\u201320 d. gali b\u016bti matoma plona skersin\u0117 \u0161viesi juostel\u0117, einanti per kaulo \u017eievinio sluoksnio kra\u0161t\u0105, \u0161velnus linijinis periostitas, osteoskleroz\u0117. Ankstyvai diagnostikai tinkama scintigrafija \u2013 matomas radioaktyvios med\u017eiagos kaupimasis stresinio l\u016b\u017eio vietoje, ta\u010diau tai n\u0117ra labai specifi\u0161kas tyrimas. MRT parodo ankstyvus pakitimus \u2013 kaul\u0173 \u010diulp\u0173 edem\u0105, kortikalinio sluoksnio, antkaulio, mink\u0161t\u0173j\u0173 audini\u0173 pa\u017eeidimus. MRT stresiniai l\u016b\u017eiai atrodo kaip \u017eemo signalo intensyvumo linijin\u0117 zona, kuri\u0105 supa \u0161iek tiek didesnio intensyvumo, bet vis tiek hipointensinis nery\u0161ki\u0173, neai\u0161ki\u0173 kont\u016br\u0173 plotas T1 re\u017eimo vaizduose. T2 vaizduose matoma linijin\u0117 \u017eemo intensyvumo zona, kuri\u0105 supa platesnis auk\u0161to intensyvumo plotas. Gali b\u016bti \u0161alia esan\u010di\u0173 mink\u0161t\u0173j\u0173 audini\u0173 edema.<\/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\">Vaik\u0173 kaulai b\u016bna elastingi, turi stipr\u0173 antkaul\u012f, tod\u0117l gali nel\u016b\u017eti, o i\u0161linkti lanku (\u201eplastinis l\u016b\u017eis\u201c), taip pat gali \u012fl\u016b\u017eti tik viename pakra\u0161tyje ir deformuotis nedideliu kampu, susidarant i\u0161gaubai (<i>torus<\/i>). Taip pat gana b\u016bdingas poantkaulinis \u017ealios \u0161akel\u0117s tipo l\u016b\u017eis (angl. <i>greenstick<\/i>). Da\u017enai augantiems vaikams pasitaiko l\u016b\u017eis per epifizin\u0119 augimo zon\u0105 \u2013 epifizeoliz\u0117 arba osteoepifizeoliz\u0117 su dislokacija ar be jos.<\/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\">Daugelis l\u016b\u017ei\u0173 pavadinti \u017emoni\u0173, pirm\u0173j\u0173 apra\u0161iusi\u0173 l\u016b\u017e\u012f, pavard\u0117mis \u2013 Colles, Smith, Monteggia, Galeazzi\u2018s ir kt. Kaul\u0173 l\u016b\u017eiai gali b\u016bti \u012fvairiai klasifikuojami. Ortopedai-traumatologai naudoja ilg\u0173j\u0173 kaul\u0173 l\u016b\u017ei\u0173 AO klasifikacij\u0105, kurioje atsispindi l\u016b\u017eio lokalizacija, tipas, sud\u0117tingumas ir pan. Pediatrai naudoja Salter-Harris klasifikacij\u0105, kurioje klasifikuojami kaulo augimo plok\u0161tel\u0117s l\u016b\u017eiai. Gustillo klasifikacija naudojama atviriems kaul\u0173 l\u016b\u017eiams klasifikuoti.<\/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\">Pagrindiniai rentgenologiniai kaulo vientisumo pa\u017eeidimo simptomai yra l\u016b\u017eimo linija ir l\u016b\u017egali\u0173 poslinkis. L\u016b\u017eimo linija rentgenogramose matoma kaip \u012fvairaus platumo, \u012fvairios formos, ry\u0161ki\u0173 kont\u016br\u0173, da\u017eniausiai \u0161viesi, re\u010diau tamsi, juostel\u0117 kaulo ribose. Poslinkis \u2013 l\u016b\u017egali\u0173 pasislinkimas vienas kito at\u017evilgiu. Dislokacijos kryptis vertinama pagal distalinio fragmento poslink\u012f, palyginti su proksimaliuoju.<\/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\">Skiriamas priekinis, u\u017epakalinis, lateralinis ir medialinis poslinkis. Taip pat turi b\u016bti nustatytas dislokacijos laipsnis \u2013 l\u016b\u017egali\u0173 pavir\u0161i\u0173 kontakto procentinis dydis. Taip pat reikia \u012fvertinti kampin\u012f poslink\u012f. Turi b\u016bti i\u0161matuotas kampas tarp pagrindini\u0173 l\u016b\u017eio fragment\u0173 i\u0161ilgini\u0173 a\u0161i\u0173 bei nustatyta kampinio poslinkio kryptis. \u0160is poslinkis apib\u016bdinamas pagal distalinio l\u016b\u017eio fragmento pad\u0117t\u012f. Kampinis poslinkis b\u016bna priekine, u\u017epakaline, lateraline ir medialine kryptimi. <i>Valgus <\/i>deformacija \u2013 distalin\u0117 l\u016b\u017eio dalis pakrypus \u012f lateralin\u0119 pus\u0119, palyginti su proksimali\u0105ja dalimi, jei distalin\u0117 dalis pasisukus \u012f medialin\u0119 pus\u0119, tai vadinama <i>varus <\/i>deformacija.<\/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\">I\u0161ilginis poslinkis gali b\u016bti su pailg\u0117jimu, su sutrump\u0117jimu arba su \u012fsikalimu. Atitraukimas \u2013 tai l\u016b\u017eio fragment\u0173 atsiskyrimas pagal i\u0161ilgin\u0119 a\u0161\u012f. Sutrump\u0117jimas atsiranda, kai l\u016b\u017egaliai i\u0161 dalies u\u017edengia vienas kit\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\">Rotacinis poslinkis susidaro, kai vienas kaulo fragmentas sukasi pagal savo i\u0161ilgin\u0119 a\u0161\u012f, palyginti su kitu fragmentu. Rotacin\u012f poslink\u012f gali lyd\u0117ti ir kitos poslinki\u0173 r\u016b\u0161ys. Rotacinis poslinkis gali b\u016bti lengvai nepasteb\u0117tas rentgenogramose, jei jos neapima s\u0105nari\u0173, esan\u010di\u0173 vir\u0161 ir \u017eemiau l\u016b\u017eio vietos.<\/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-ansi-language: LT; mso-bidi-font-size: 12.0pt\">\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-ansi-language: LT; mso-bidi-font-size: 12.0pt\">Netiesioginiai kaul\u0173 l\u016b\u017ei\u0173 po\u017eymiai<\/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\">L\u016b\u017eiai gali b\u016bti sunkiai matomi rentgenogramose, tod\u0117l svarbu atkreipti d\u0117mes\u012f \u012f netiesioginius po\u017eymius. Mink\u0161t\u0173j\u0173 audini\u0173 patinimas padeda nustatyti su\u017eeidimo viet\u0105. Skys\u010di\u0173 (kraujo, riebal\u0173\u2013 kraujo) i\u0161siliejimas \u012f s\u0105narius taip pat yra netiesioginis l\u016b\u017eimo po\u017eymis. Antkaulio reakcija rodo ankstyv\u0105 l\u016b\u017eio gijim\u0105.<\/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-ansi-language: LT; mso-bidi-font-size: 12.0pt\">\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-ansi-language: LT; mso-bidi-font-size: 12.0pt\">Radiologin\u0117s diagnostikos metodai<\/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-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-ansi-language: LT\">Rentgenografija ir rentgenoskopija<\/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\">Rentgenografija yra pagrindinis ir anks\u010diausiai atliekamas radiologinis tyrimas, \u012ftariant kaul\u0173 l\u016b\u017e\u012f. Rentgenogramose da\u017eniausiai vertinami kaulai, ta\u010diau galima gauti naudingos informacijos apie greta esan\u010dius mink\u0161tuosius audinius. Reikia atlikti bent 2 projekcij\u0173 rentgenogramas: tiesin\u0119 ir \u0161onin\u0119. Gal\u016bni\u0173 rentgenogramos da\u017eniausiai apima ir distalin\u012f bei proksimal\u0173j\u012f s\u0105narius, norint \u012fvertinti galim\u0105 j\u0173 pa\u017eeidim\u0105. Kartais atliekamos \u012fstri\u017ein\u0117s projekcijos rentgenogramos, kurios padeda vizualizuoti sud\u0117tingesn\u0117s anatomijos sri\u010di\u0173, pavyzd\u017eiui, rie\u0161o kaul\u0173, pa\u017eeidimus. Esant rie\u0161o bei p\u0117dos su\u017ealojimams ir vaikams palyginimo tikslu atliekamos ir prie\u0161ingos pus\u0117s rentgenogramos. Jei l\u016b\u017eis \u012ftariamas, bet nesimato rentgenogramose, galima pakartoti tyrim\u0105 po 7\u201310 dien\u0173 arba rinktis kit\u0105 metod\u0105. Rentgenoskopija da\u017enai naudojama per operacijas reponuojant ir fiksuojant kaul\u0173 l\u016b\u017eius ir dislokacijas.<\/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-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-ansi-language: LT\">Kompiuterin\u0117 tomografija (KT)<\/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\">KT n\u0117ra pirmo pasirinkimo tyrimas, ji atliekama v\u0117liau negu rentgenologinis tyrimas, norint su\u017einoti daugiau apie l\u016b\u017eio fragment\u0173 lokalizacij\u0105. KT atliekamas sud\u0117ting\u0173, komplikuot\u0173 l\u016b\u017ei\u0173 atvejais, tomogramose gerai matomas s\u0105nari\u0173, mink\u0161t\u0173j\u0173 audini\u0173 su\u017eeidimas. Intraveninio kontrastavimo l\u016b\u017eiui \u012fvertinti da\u017eniausiai nereikia, nebent \u012ftariama kraujagysli\u0173, pilvo ar dubens trauma. Metaliniai objektai, tokie kaip kulkos fragmentai ar ortopedin\u0117s priemon\u0117s gali suma\u017einti vaizdo kokyb\u0119. KT metodas da\u017eniausiai naudojamas rie\u0161o, p\u0117dos, kaukol\u0117s, stuburo ir dubens l\u016b\u017eiams nustatyti ir charakterizuoti. Retkar\u010diais nedislokuoti l\u016b\u017eiai n\u0117ra lengvai matomi tomogramose.<\/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-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-ansi-language: LT\">Magnetinio rezonanso tomografija<\/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\">MRT \u2013 tinkamas metodas, identifikuojant osteoporoze sergantiems pacientams rentgenografijoje nematomus klini\u0161kai ry\u0161kius l\u016b\u017eius, tokius kaip \u0161launikaulio l\u016b\u017eis. Stresiniai l\u016b\u017eiai, kaul\u0173 \u010diulp\u0173 edema gerai matomi MRT metodu. MRT suteikia galimyb\u0119 puikiai matyti mink\u0161tuosius audinius, tod\u0117l yra ne\u012fkainojama, nustatant mink\u0161t\u0173j\u0173 audini\u0173, s\u0105nari\u0173 pa\u017eeidimus.<\/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-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-ansi-language: LT\">Kaul\u0173 scintigrafija<\/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\">Kaul\u0173 scintigrafija leid\u017eia \u012fvertinti griau\u010di\u0173 metabolin\u012f aktyvum\u0105. Kaul\u0173 scintigrafija yra vertingiausia, nustatant stresinius l\u016b\u017eius ir rentgenografijoje nematomus l\u016b\u017eius, ypa\u010d osteoporoze sergantiems pacientams. Nors jie n\u0117ra matomi rentgenogramose ar tomogramose, \u0161ie l\u016b\u017eiai gali b\u016bti nustatomi ankstyv\u0173 stadij\u0173, atliekant kaul\u0173 scintigrafij\u0105. Ta\u010diau scintigramoje gali b\u016bti sud\u0117tinga nustatyti tiksli\u0105 anatomin\u0119 su\u017eeidimo lokalizacij\u0105.<\/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-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-ansi-language: LT\">Ultragarsinis tyrimas<\/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\">Vis did\u0117ja ultragarso reik\u0161m\u0117 vertinant griau\u010di\u0173 ir raumen\u0173 sistemos su\u017eeidimus. Nors ir naudingas tiriant kai kuriuos rentgenografijoje nematomus l\u016b\u017eius (kr\u016btinkaulio, \u0161onkauli\u0173), ta\u010diau pirmiausia<\/p>\n<p><\/span> <span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">naudojamas mink\u0161t\u0173j\u0173 audini\u0173 pa\u017eeidimams diagnozuoti. Gerai matomas raumen\u0173 su\u017eeidimas, sausgysli\u0173 ir rai\u0161\u010di\u0173 ply\u0161imai.<\/p>\n<p><\/span><\/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-ansi-language: LT; mso-bidi-font-size: 9.0pt\">\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-ansi-language: LT; mso-bidi-font-size: 9.0pt\">Pareng\u0117 Laura Zubait\u0117<\/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-ansi-language: LT; mso-bidi-font-size: 9.0pt\">Kauno medicinos universiteto student\u0117<\/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-ansi-language: LT; mso-bidi-font-size: 9.0pt\">Konsultavo Kauno medicinos universiteto<\/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-ansi-language: LT; mso-bidi-font-size: 9.0pt\">Radiologijos klinikos gydytoja radiolog\u0117<\/p>\n<p><\/span><\/i><\/b><\/p>\n<h2 style=\"margin: 0cm 0cm 0pt\"><span lang=\"LT\" style=\"font-size: 10pt; color: windowtext; font-family: Arial; mso-ansi-language: LT; mso-bidi-font-size: 9.0pt\"><em>Bij\u016bn\u0117 Dobkevi\u010di\u016bt\u0117<\/p>\n<p><\/em><\/span><\/h2>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT; mso-bidi-font-size: 12.0pt\">\u017durnalas \u201cGydymo menas\u201d<\/p>\n<p><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"MsoBodyText\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-family: Arial; mso-ansi-language: LT\"><font size=\"2\">Kaul\u0173 l\u016b\u017eiai &ndash; viena i\u0161 da\u017eniausi\u0173 griau\u010di\u0173 ir raumen\u0173 sistemos lig\u0173. L\u016b\u017eiai diagnozuojami remiantis klinikiniais po\u017eymiais ir radiologiniais tyrimais. \u012etariant kaulo l\u016b\u017e\u012f, atliekamos 2 kryp\u010di\u0173 &ndash; tiesin\u0117s ir \u0161onin\u0117s projekcijos rentgenogramos. Sud\u0117tingais atvejais atliekami papildomi radiologiniai tyrimai &ndash; \u012fvairi\u0173 projekcij\u0173 rentgenogramos, kompiuterin\u0117 tomografija (KT), magnetinio rezonanso tomografija (MRT), kaul\u0173 scintigrafija, rentgenoskopija.<o:p><\/o:p><\/font><\/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":[1846,1855,2,1347,1853,1852,1850,1843,291,1844,1845,1856,1170,710,1847,1842,1849,1841,1851,1854,1848,75],"site":[],"post_item_type":[27345],"class_list":["post-12469","post","type-post","status-publish","format-standard","hentry","tag-blauzdikaulis","tag-dubens-kaulai","tag-infekcijos","tag-kaulas","tag-kaulo-fragmentas","tag-luziai-susidaro","tag-luzimo-plokstumos","tag-luzis","tag-naudojamas","tag-osteomaliacija","tag-padikauliai","tag-pagal-distalinio","tag-pedos","tag-ploksteles","tag-rentgenografija","tag-rentgenoskopija","tag-rezonanso-tomografija","tag-scintigrafija","tag-skeveldriniai-luziai","tag-stresiniai-luziai","tag-suzeidimas","tag-traumos"],"acf":{"post_sites":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/12469","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=12469"}],"version-history":[{"count":0,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/12469\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=12469"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/categories?post=12469"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=12469"},{"taxonomy":"site","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/site?post=12469"},{"taxonomy":"post_item_type","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/post_item_type?post=12469"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}