{"id":12667,"date":"2009-04-25T18:00:00","date_gmt":"2009-04-25T18:00:00","guid":{"rendered":""},"modified":"2009-04-25T18:00:00","modified_gmt":"2009-04-25T18:00:00","slug":"skausmo-vertinimas","status":"publish","type":"post","link":"https:\/\/www.pasveik.lt\/lt\/naujausi-medicinos-straipsniai\/skausmo-vertinimas\/12667\/","title":{"rendered":"Skausmo vertinimas"},"content":{"rendered":"<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\"><\/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-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><\/p>\n<p><\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Prisimin\u0119, kad skausmas yra penktasis gyvybinis \u017eymuo, lengvai suprasime jo poveik\u012f sergan\u010diajam. Taigi praktikoje svarbu mok\u0117ti \u012fvertinti skausmo intensyvum\u0105.<\/p>\n<p><\/span><\/p>\n<p class=\"MsoBodyText\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal\"><font size=\"2\">Pasaulyje yra pla\u010diai naudojamos kelios skausmo intensyvumo skali\u0173 r\u016b\u0161ys. \u0160i\u0173 skali\u0173 naudojimas oficialiai patvirtintas ir Lietuvoje Sveikatos apsaugos ministro 2004 m. rugpj\u016b\u010dio 26 d. \u012fsakymu Nr. V-608. Juo buvo papildytas 2004 m. baland\u017eio 8 d. \u012fsakymas Nr. V-208 \u201eD\u0117l b\u016btinosios medicinos pagalbos ir b\u016btinosios medicinos pagalbos paslaug\u0173 teikimo tvarkos bei masto patvirtinimo\u201c, nurodant, kad skausmo intensyvumas vertinamas pacientams nuo 3 met\u0173 am\u017eiaus pasirinktinai naudojant \u201eveiduk\u0173\u201c ir\/arba skaitmenin\u0119 ir\/arba \u017eodin\u0119 skales ir kad \u012fvertintas skausmo intensyvumas pa\u017eymimas paciento medicinos dokumentuose ir yra laikomas pagrindu skirti atitinkam\u0105 skausmo mal\u0161inimo vaist\u0105.<\/p>\n<p><\/font><\/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\">Skausmo vertinimo skal\u0117s<\/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\"><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Skausmo intensyvumui vertinti gali b\u016bti naudojamos \u012fvairios skausmo skal\u0117s. Viena i\u0161 pla\u010diausiai naudojam\u0173 \u2013 Verbalin\u0117 skausmo skal\u0117. Pacientas pra\u0161omas \u012fvertinti skausmo intensyvum\u0105 balais (0 bal\u0173 \u2013 n\u0117ra skausmo, 10 bal\u0173 \u2013 nepakeliamas). Taip pat skausmas gali b\u016bti vertinamas 5 bal\u0173 sistema \u2013 \u017dodine apra\u0161om\u0105ja skale (angl. <i>Word descriptor scale<\/i>). Jei d\u0117l tam tikr\u0173 prie\u017eas\u010di\u0173 \u0161i\u0105 skal\u0119 naudoti sunku ar negalima, si\u016bloma naudoti Vizualini\u0173 analog\u0173 skal\u0119 skausmui (angl. <i>Visual Analog Scales (VAS) for pain<\/i>) (pavaizduota linija su skai\u010diais nuo 1 iki 10, i\u0161d\u0117liotais i\u0161 kair\u0117s \u012f de\u0161in\u0119. Skai\u010diai atitinka skausmo intensyvum\u0105, kurie did\u0117ja \u012f de\u0161in\u0119 per vis\u0105 skal\u0119. Tod\u0117l skai\u010dius 0 rei\u0161kia, kad visi\u0161kai neskauda, o 10 \u2013 nepakeliam\u0105, pat\u012f intensyviausi\u0105 skausm\u0105), arba grafin\u0119 \u201eveiduk\u0173\u201c skausmo skal\u0119 (pateikiama keletas veido i\u0161rai\u0161k\u0173, i\u0161 kuri\u0173 pacientas pasirenka vien\u0105, labiausiai atitinkan\u010di\u0105 dabartin\u0119 jo skausmo b\u016bsen\u0105. Kiekvienas veidukas turi savo skai\u010di\u0173, kuris nurodo skausmo intensyvum\u0105. Juo didesnis skai\u010dius, juo intensyvesnis skausmas). Funkcin\u0117 skausmo skal\u0117 (angl. <i>Functional Pain Scale<\/i>) padeda nusakyti skausmo \u012ftak\u0105 kasdienei veiklai. Viena naujausiai patvirtint\u0173 skali\u0173 neuropatiniam skausmui atskirti nuo nocicepcinio skausmo yra Lydso neuropatinio skausmo po\u017eymi\u0173 ir simptom\u0173 skal\u0117 (angl. <i>Leeds Assessment of Neuropathic Signs and Symptoms (LANSS) pain scale<\/i>). \u0160i skausmo skal\u0117 sudaryta i\u0161 2 dali\u0173: pirmoje dalyje pacientas turi atsakyti 5 klausimus apie skausmo prigimt\u012f, antroje dalyje vertina gydytojas paciento jutimus (pvz., alodinija, hiperalgezija). Jeigu LANSS \u012fvertinimas yra \u226512, tik\u0117tina, kad skausmas yra neuropatinis.<\/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=\"499\" alt=\"Skausmo vertinimas\" width=\"985\" 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\">Jei d\u0117l koki\u0173 nors prie\u017eas\u010di\u0173 skali\u0173 naudoti negalima, patariama steb\u0117ti pacient\u0105 ir vertinti skausmo po\u017eymius, o gydant vertinti skausmo intensyvumo poky\u010dius bei galimas komplikacijas. Taip pat reikia vertinti bendros funkcin\u0117s b\u016bkl\u0117s poky\u010dius, elgesio, miego sutrikim\u0173 bei nuotaikos pasikeitimus.<\/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-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. Justina Liutkien\u0117<\/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\">VUL Santari\u0161ki\u0173 klinik\u0173 Neurologijos centras<\/span><\/i><\/b><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><\/p>\n<p><\/span><\/p>\n<p>\u00a0<\/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\"><o:p><\/o:p><\/span><span lang=\"LT\" style=\"font-size: 10pt; font-family: Arial; mso-ansi-language: LT\">Prisimin\u0119, kad skausmas yra penktasis gyvybinis \u017eymuo, lengvai suprasime jo poveik\u012f sergan\u010diajam. Taigi praktikoje svarbu mok\u0117ti \u012fvertinti skausmo intensyvum\u0105.<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":[1724,177],"site":[],"post_item_type":[27345],"class_list":["post-12667","post","type-post","status-publish","format-standard","hentry","tag-skausmo-skale","tag-skausmui"],"acf":{"post_sites":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/12667","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=12667"}],"version-history":[{"count":0,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/12667\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=12667"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/categories?post=12667"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=12667"},{"taxonomy":"site","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/site?post=12667"},{"taxonomy":"post_item_type","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/post_item_type?post=12667"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}