{"id":13249,"date":"2008-12-01T20:00:00","date_gmt":"2008-12-01T20:00:00","guid":{"rendered":""},"modified":"2008-12-01T20:00:00","modified_gmt":"2008-12-01T20:00:00","slug":"letinis-veninis-nepakankamumas-venu-varikoze","status":"publish","type":"post","link":"https:\/\/www.pasveik.lt\/lt\/naujausi-medicinos-straipsniai\/letinis-veninis-nepakankamumas-venu-varikoze\/13249\/","title":{"rendered":"L\u0117tinis veninis nepakankamumas, ven\u0173 varikoz\u0117"},"content":{"rendered":"<p>\n<meta http-equiv=\"CONTENT-TYPE\" content=\"text\/html; charset=utf-8\" \/><br \/>\n<meta content=\"OpenOffice.org 2.4  (Win32)\" name=\"GENERATOR\" \/><\/p>\n<style type=\"text\/css\">\n\t<!--\n\t\t@page { size: 21cm 29.7cm; margin: 2cm }\n\t\tH2 { margin-bottom: 0.11cm }\n\t\tH2.western { font-family: \"Arial\", sans-serif; font-size: 14pt; font-style: italic }\n\t\tH2.cjk { font-family: \"Lucida Sans Unicode\"; font-size: 14pt; font-style: italic }\n\t\tH2.ctl { font-family: \"Arial\", sans-serif; font-size: 14pt; font-style: italic }\n\t\tP { margin-bottom: 0cm; text-align: center }\n\t\tP.western { so-language: lt-LT }\n\t-->\n\t<\/style>\n<\/p>\n<p class=\"MsoBodyText\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">ABC Bendros praktikos gydytojui<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><i style=\"mso-bidi-font-style: normal\"><span lang=\"EN-US\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">Chronic venous insufficiency &ndash; epidemiology, pathogenesis and principles of treatment<o:p><\/o:p><\/span><\/i><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"EN-US\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">D.Triponien\u0117<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Vilniaus Universiteto Bendrosios ir kraujagysli\u0173 chirurgijos klinika<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><span style=\"mso-tab-count: 1\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><strong>SANTRAUKA<\/strong><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"> <o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><strong>Prasminiai \u017eod\u017eiai<\/strong><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">: L\u0117tinis veninis nepakankamumas, ven\u0173 varikoz\u0117. <o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">L\u0117tinis veninis nepakankamumas yra keletos veiksni\u0173 nulemtas venin\u0117s kraujotakos sutrikimas, kai kraujas koj\u0173 venomis blogai gr\u012f\u017eta \u012f \u0161ird\u012f. Da\u017eniausia prie\u017eastis- ven\u0173 vo\u017etuv\u0173 nesandarumas, kuris ir sukelia refliuks\u0105. \u0160i liga pasirei\u0161kia koj\u0173 venin\u0117s staz\u0117s simptomais: nuovargiu, patinimu, pavir\u0161ini\u0173 ven\u0173 i\u0161sipl\u0117timu. Da\u017eniausios komplikacijos &#8211; tromboflebitas, trofin\u0117s blauzd\u0173 opos<span style=\"mso-spacerun: yes\">&nbsp; <\/span>ir <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/kraujavimas\/43826\">kraujavimas<\/a> i\u0161 varikozini\u0173 mazg\u0173.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Apra\u0161oma l\u0117tinio veninio nepakankamumo patologin\u0117 fiziologija ir rizikos faktoriai, aptariama profilaktika ir gydymo principai. Atkreipiamas d\u0117mesys \u012f pirmin\u0117s grandies gydytoj\u0173 vaidmen\u012f diagnozuojant ir gydant l\u0117tin\u012f venin\u012f nepakankamum\u0105.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\"><strong>Summary<o:p><\/o:p><\/strong><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><i><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\"><strong>Keywords: <\/strong><\/span><\/i><span lang=\"EN-US\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">Chronic venous insufficiency, varicose veins.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"EN-US\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">New concepts of chronic venous insufficiency are presented. The world wide experience in the diagnosis and treatment of the disease is described, emphasizing the antireflux <span style=\"mso-spacerun: yes\">&nbsp;&nbsp;<\/span>methods including compression therapy, sclerotherapy and surgery as well as, local treatment of leg ulcers and phlebotropic agents.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><strong>Apib\u016bdinimas<\/strong><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"> <o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 3.5pt 0pt 0cm; text-align: justify; tab-stops: 396.0pt\"><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><span style=\"mso-spacerun: yes\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span>L\u0117tinis veninis nepakankamumas (LVN) b\u016bdingas \u0161ioms ligoms:pavir\u0161ini\u0173 ven\u0173 varikozei, perforuojan\u010di\u0173 ven\u0173 nepakankamumui, pirminiam gili\u0173j\u0173 ven\u0173 vo\u017etuv\u0173 nesandarumui, antriniam gili\u0173j\u0173 ven\u0173 vo\u017etuv\u0173 nepakankamumui (potrombozinis sindromas), ven\u0173 arba mi\u0161rioms arterij\u0173 ir ven\u0173 displazijoms.<b><o:p><\/o:p><\/b><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">L\u0117tinis veninis nepakankamumas &ndash; tai simptom\u0173 kompleksas, kuris atsiranda, kai dalis kraujo i\u0161 koj\u0173 nebenuteka \u0161irdies link, lieka<span style=\"mso-spacerun: yes\">&nbsp; <\/span>venose ir sukelia staz\u0119 koj\u0173 audiniuose. Staz\u0117 pasirei\u0161kia koj\u0173 sunkumu, nuovargiu, nie\u017e\u0117jimu, tinimu, m\u0117\u0161lungiu ven\u0173 i\u0161sipl\u0117timu, blauzdos odos pakitimais ir trofin\u0117mis opomis.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><span style=\"mso-tab-count: 1\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><strong>Epidemiologija<o:p><\/o:p><\/strong><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><span style=\"mso-tab-count: 1\"><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/strong><\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">LVN da\u017ena liga. Europos \u0161ali\u0173 duomenimis 24 &ndash; 58 % moter\u0173 ir 12 &ndash; 46 % vyr\u0173 turi LVN. Epidemiologin\u0117 studija, atlikta Vokietijoje, parod\u0117, kad 50 % ambulatorijose besilankan\u010di\u0173 pacient\u0173 turi LVN po\u017eymius. Bazelio studija, i\u0161tyrusi 4500 dirban\u010di\u0173j\u0173, konstatavo, kad 55 % j\u0173 serga ven\u0173 varikoze retikuline arba kamienine jos forma, 65 % ken\u010dia skausmus d\u0117l LVN, 6 % turi ry\u0161ki\u0173 odos pakitim\u0173, o 1,0 % &#8211; trofines opas. Bonos (2002 m). studija, i\u0161tyrusi 3072 pilie\u010dius nuo 18 iki 79 met\u0173, rodo, kad 44 % vyr\u0173 ir 56 % moter\u0173 turi LVN po\u017eymi\u0173: be simptom\u0173 buvo 9,6 %, smulkios varikozin\u0117s venos &ndash; 59,1 %, didel\u0117 varikoz\u0117 &#8211; 14,3 %, koj\u0173 edema &#8211; 13,4 %, odos pa\u017eeidimai &ndash; 2,9 %, u\u017egijusi arba begijanti opa &#8211; 0,6 %, infekuotos opos 0,1 % ligoni\u0173.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><span style=\"mso-tab-count: 1\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span>Pla\u010diausia tarptautin\u0117 daugiacentr\u0117 &ndash; epidemiologin\u0117 klinikin\u0117 <i style=\"mso-bidi-font-style: normal\"><a href=\"https:\/\/pasveik.lt\/vaistai\/<a href=\"https:\/\/pasveik.lt\/lt\/vaistai\/relief\/6815\">relief<\/a>\/6815&#8243;>Relief<\/a> <\/i><span style=\"mso-spacerun: yes\">&nbsp;<\/span>studija, kurioje dalyvavo 23 \u0161alys i\u0161 4 \u017eemyn\u0173, i\u0161tyr\u0117 5052 ligonius ir pateik\u0117 duomenis, kurie nustebino net pa\u010dius tyr\u0117jus. LVN po\u017eymiai pradeda rastis 32 &ndash; 35 gyvenimo metais. Sergan\u010di\u0173j\u0173 LVN am\u017eiaus vidurkis &#8211; 45,2 metai. Abiej\u0173 koj\u0173 LVN b\u016bna 32,7 % \u017emoni\u0173. Moter\u0173 ir vyr\u0173 santykis- 4 : 1. Negydyt\u0173 sergan\u010di\u0173 LVN skai\u010dius siek\u0117 78 %. Prie\u0161 studij\u0105 gydymas taikytas tik 22 % tiriam\u0173j\u0173. Da\u017enas paveld\u0117jimo faktorius. Liga paveldima i\u0161 vieno t\u0117v\u0173 77,2 %, i\u0161 abiej\u0173 &#8211; 20,7 %.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><span style=\"mso-tab-count: 1\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span>Ligoniai, sergantys<span style=\"mso-spacerun: yes\">&nbsp; <\/span>LVN da\u017eniausiai kreipiasi \u012f bendrosios praktikos gydytojus arba \u012f poliklinikos chirurgus. Labai svarbu, kad \u0161ioje grandyje LVN b\u016bt\u0173 diagnozuotas ir pritaikyta teisinga antirefliuksin\u0117 terapija. Tuomet LVN komplikacij\u0173 tikrai suma\u017e\u0117s.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><span style=\"mso-tab-count: 1\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><strong>Ekonomika <o:p><\/o:p><\/strong><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><span style=\"mso-tab-count: 1\"><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/strong><\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Brangiausiai kainuoja LVN komplikacij\u0173 gydymas, ypa\u010d trofini\u0173 op\u0173. Vakar\u0173 \u0161alyse \u0161is gydymas kainuoja 5000 &ndash; 7000 eur\u0173 vienam gyventojui per metus. Tod\u0117l antrin\u0117 profilaktika yra labai svarbi. Ji labai \u017eenkliai gali suma\u017einti sveikatos biud\u017eeto l\u0117\u0161as, skiriamas LVN komplikacij\u0173 gydymui.<span style=\"mso-spacerun: yes\">&nbsp; <\/span><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><span style=\"mso-tab-count: 1\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><strong>Patogenez\u0117<o:p><\/o:p><\/strong><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><span style=\"mso-tab-count: 1\"><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/strong><\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Venin\u0117 sistema neatsiejama<span style=\"mso-spacerun: yes\">&nbsp; <\/span>\u0161irdies &ndash; kraujagysli\u0173 sistemos dalis. \u0160irdis i\u0161stumia plau\u010diuose deguonimi \u012fsotint\u0105 krauj\u0105 \u012f aort\u0105 ir periferines arterijas. Per jas kraujas pasiekia vadinam\u0105j\u0105 terminalin\u0119 kraujotakos sistemos dal\u012f-kapiliarus. Atidav\u0119s deguon\u012f audiniams, kraujas venomis gr\u012f\u017eta \u012f \u0161ird\u012f. Veninis kraujas \u0161irdies link teka varomas raumen\u0173. Tai pagrindin\u0117 varomoji j\u0117ga. Kv\u0117pavimas ir \u0161irdies siurbiamoji galia yra palyginti menki veninio kraujo varikliai. Tek\u0117damas i\u0161 koj\u0173, jis turi nugal\u0117ti hidrostatin\u012f sl\u0117g\u012f. I\u0161 koj\u0173 kraujas \u0161irdies link teka dirban\u010di\u0173<span style=\"mso-spacerun: yes\">&nbsp; <\/span>blauzdos raumen\u0173 spaud\u017eiamas, o raumenims atsipalaidavus, atgal nebegr\u012f\u017eta &#8211; neleid\u017eia ven\u0173 vo\u017etuvai. Audini\u0173 skys\u010diui pa\u0161alinti labai svarbus vaidmuo tenka limfagysl\u0117ms. Jos surenka skys\u010dio pertekli\u0173 ir j\u012f gr\u0105\u017eina \u012f venin\u0119 sistem\u0105. Jeigu sutrinka bent viena i\u0161 pamin\u0117t\u0173 kraujotakos sistemos grand\u017ei\u0173, nuken\u010dia ir venin\u0117 kraujotaka.<span style=\"mso-tab-count: 1\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span>Jei d\u0117l ven\u0173 vo\u017etuv\u0173 nesandarumo atsiranda refliuksas, tai \u017emogui stovint blauzdos apatiniame tre\u010ddalyje ven\u0173 kraujosp\u016bdis<span style=\"mso-spacerun: yes\">&nbsp; <\/span>pasiekia 100 mm Hg. Spaudimas ma\u017e\u0117ja dirbant blauzdos raumenims. Kuo stipriau dirba blauzdos raumenys, tuo labiau suma\u017e\u0117ja veninis spaudimas. Ta\u010diau refliukso s\u0105lygomis veninis spaudimas suma\u017e\u0117ja nedaug.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Pagrindiniai<span style=\"mso-spacerun: yes\">&nbsp; <\/span>faktoriai, trukdantys veniniam kraujui gr\u012f\u017eti yra \u0161ie:<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt 54pt; text-indent: -18pt; text-align: justify; mso-list: l11 level1 lfo1; tab-stops: list 54.0pt\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">1.<span style=\"font: 7pt &quot;Times New Roman&quot;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Silpna pado veninio rezginio kompresija<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt 54pt; text-indent: -18pt; text-align: justify; mso-list: l11 level1 lfo1; tab-stops: list 54.0pt\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">2.<span style=\"font: 7pt &quot;Times New Roman&quot;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Ma\u017eai arba visai neveiklus raumen\u0173 siurblys<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt 54pt; text-indent: -18pt; text-align: justify; mso-list: l11 level1 lfo1; tab-stops: list 54.0pt\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">3.<span style=\"font: 7pt &quot;Times New Roman&quot;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Ven\u0173 vo\u017etuv\u0173 nesandarumas.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt 54pt; text-indent: -18pt; text-align: justify; mso-list: l11 level1 lfo1; tab-stops: list 54.0pt\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">4.<span style=\"font: 7pt &quot;Times New Roman&quot;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Kiti veiksniai:<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt 90pt; text-indent: -18pt; text-align: justify; mso-list: l11 level2 lfo1; tab-stops: list 90.0pt\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: Arial\">&middot;<span style=\"font: 7pt &quot;Times New Roman&quot;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Blogas ven\u0173 tonusas<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt 90pt; text-indent: -18pt; text-align: justify; mso-list: l11 level2 lfo1; tab-stops: list 90.0pt\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: Arial\">&middot;<span style=\"font: 7pt &quot;Times New Roman&quot;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Pozicin\u0117 vazokonstrikcija<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt 90pt; text-indent: -18pt; text-align: justify; mso-list: l11 level2 lfo1; tab-stops: list 90.0pt\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: Arial\">&middot;<span style=\"font: 7pt &quot;Times New Roman&quot;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Nejudri diafragma<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt 90pt; text-indent: -18pt; text-align: justify; mso-list: l11 level2 lfo1; tab-stops: list 90.0pt\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: Arial\">&middot;<span style=\"font: 7pt &quot;Times New Roman&quot;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/sirdies-nepakankamumas\/4309\">\u0160irdies nepakankamumas<\/a><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Lovos r\u0117\u017eimas, nejudrumas s\u0105lygoja venin\u012f nepakankamum\u0105 net kai n\u0117ra ven\u0173 ligos. Da\u017eniausia LVN prie\u017eastis per ma\u017eas ven\u0173 sienel\u0117s elastingumas ir ven\u0173 vo\u017etuv\u0173 \u017eiedo silpnumas. Pastaruosius nulemia paveld\u0117jimo faktorius.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Rizikos faktoriai, priklausantys gyvenimo b\u016bdo, profesijos ir \u012fpro\u010di\u0173: ilgas stov\u0117jimas, s\u0117d\u0117jimas, dubens suspaudimas, <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/nutukimas\/4355\">nutukimas<\/a>, n\u0117\u0161tumas, viduri\u0173 u\u017ekiet\u0117jimas, r\u016bkymas, ank\u0161ti drabu\u017eiai, nejudrumas, geriami vaistai prie\u0161 n\u0117\u0161tum\u0105, buvusi <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/giliuju-venu-tromboze\/4507\">gili\u0173j\u0173 ven\u0173 tromboz\u0117<\/a>.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">L\u0117tinio veninio nepakankamumo patogenez\u0117s schema:<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<table style=\"border-collapse: collapse; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt\" cellspacing=\"0\" cellpadding=\"0\" border=\"0\">\n<tbody>\n<tr>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 86.4pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"115\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><strong><font size=\"5\"><font face=\"Times New Roman\">&nbsp;<span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/font><\/font><\/strong><\/p>\n<\/td>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 306pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"408\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Ma\u017eas ven\u0173 sienel\u0117s elastingumas<o:p><\/o:p><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 86.4pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"115\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><strong><font size=\"5\"><font face=\"Times New Roman\">&nbsp;<span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/font><\/font><\/strong><\/p>\n<\/td>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 306pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"408\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">+<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Vo\u017etuv\u0173 nesandarumas<o:p><\/o:p><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 86.4pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"115\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><strong><font size=\"5\"><font face=\"Times New Roman\">&nbsp;<span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/font><\/font><\/strong><\/p>\n<\/td>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 306pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"408\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-char-type: symbol; mso-symbol-font-family: Symbol\"><span style=\"mso-char-type: symbol; mso-symbol-font-family: Symbol\">\u00df<\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Varikozinis i\u0161sipl\u0117timas<o:p><\/o:p><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 86.4pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"115\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><strong><font size=\"5\"><font face=\"Times New Roman\">&nbsp;<span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/font><\/font><\/strong><\/p>\n<\/td>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 306pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"408\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-char-type: symbol; mso-symbol-font-family: Symbol\"><span style=\"mso-char-type: symbol; mso-symbol-font-family: Symbol\">\u00df<\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Dinamin\u0117 venin\u0117 hipertenzija<o:p><\/o:p><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 86.4pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"115\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><strong><font size=\"5\"><font face=\"Times New Roman\">&nbsp;<span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/font><\/font><\/strong><\/p>\n<\/td>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 306pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"408\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-char-type: symbol; mso-symbol-font-family: Symbol\"><span style=\"mso-char-type: symbol; mso-symbol-font-family: Symbol\">\u00df<\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Kapiliarin\u0117s filtracijos padid\u0117jimas<o:p><\/o:p><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 86.4pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"115\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><strong><font size=\"5\"><font face=\"Times New Roman\">&nbsp;<span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/font><\/font><\/strong><\/p>\n<\/td>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 306pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"408\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-char-type: symbol; mso-symbol-font-family: Symbol\"><span style=\"mso-char-type: symbol; mso-symbol-font-family: Symbol\">\u00df<\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Intersticin\u0117 edema<o:p><\/o:p><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 86.4pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"115\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><strong><font size=\"5\"><font face=\"Times New Roman\">&nbsp;<span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/font><\/font><\/strong><\/p>\n<\/td>\n<td style=\"border-right: #c0c0c0; padding-right: 5.4pt; border-top: #c0c0c0; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #c0c0c0; width: 306pt; padding-top: 0cm; border-bottom: #c0c0c0; background-color: transparent\" valign=\"top\" width=\"408\">\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: Arial; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-char-type: symbol; mso-symbol-font-family: Symbol\"><span style=\"mso-char-type: symbol; mso-symbol-font-family: Symbol\">\u00df<\/span><\/span><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Odos trofikos sutrikimas ir opa<o:p><\/o:p><\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-align: justify\"><span lang=\"LT\" style=\"font-weight: normal; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText2\" style=\"margin: 0cm 0cm 0pt; text-indent: 36pt; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><strong>Klas<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ABC Bendros praktikos gydytojui &nbsp; Chronic venous insufficiency &ndash; epidemiology, pathogenesis and principles of treatment &nbsp; D.Triponien\u0117 Vilniaus Universiteto Bendrosios ir kraujagysli\u0173 chirurgijos klinika &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; SANTRAUKA Prasminiai \u017eod\u017eiai: L\u0117tinis veninis nepakankamumas, ven\u0173 varikoz\u0117. L\u0117tinis veninis nepakankamumas yra keletos veiksni\u0173 nulemtas venin\u0117s kraujotakos sutrikimas, kai kraujas koj\u0173 venomis blogai gr\u012f\u017eta \u012f \u0161ird\u012f. Da\u017eniausia prie\u017eastis- ven\u0173 vo\u017etuv\u0173&#8230;<\/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":[1334,22,536,200,39,1333,1322,1331,346,432,137,1326,1094,712,1332,328,157,870,1314,1249,1261,415,195,125,1051,60,470,138,330,334,327,1313],"site":[],"post_item_type":[27345],"class_list":["post-13249","post","type-post","status-publish","format-standard","hentry","tag-anatomija","tag-blauzdos","tag-chirurgija","tag-ciurnos","tag-dieta","tag-elastingumas","tag-giliuju-venu-tromboze","tag-kompresija","tag-kraujas","tag-kraujotakos-sistemos","tag-ligonis","tag-limfos","tag-medikamentinis","tag-mmhg","tag-nejudrumas","tag-nepakankamumas","tag-nutukimas","tag-opos","tag-pavirsines-venos","tag-population","tag-prevalence","tag-profilaktika","tag-raumenys","tag-rukymas","tag-sirdies-nepakankamumas","tag-terapija","tag-terapijos","tag-vaistai","tag-varikoze","tag-varikozines","tag-venos","tag-venu-tromboze"],"acf":{"post_sites":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/13249","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=13249"}],"version-history":[{"count":0,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/13249\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=13249"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/categories?post=13249"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=13249"},{"taxonomy":"site","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/site?post=13249"},{"taxonomy":"post_item_type","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/post_item_type?post=13249"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}