{"id":13320,"date":"2008-11-17T20:00:00","date_gmt":"2008-11-17T20:00:00","guid":{"rendered":""},"modified":"2017-10-26T12:42:30","modified_gmt":"2017-10-26T12:42:30","slug":"rizikos-veiksniai-ir-gastroezofaginio-refliukso-liga-pavojingu-komplikaciju-issivystymas","status":"publish","type":"post","link":"https:\/\/www.pasveik.lt\/lt\/naujausi-medicinos-straipsniai\/rizikos-veiksniai-ir-gastroezofaginio-refliukso-liga-pavojingu-komplikaciju-issivystymas\/13320\/","title":{"rendered":"Rizikos veiksniai ir gastroezofaginio refliukso liga. Pavojing\u0173 komplikacij\u0173 i\u0161sivystymas"},"content":{"rendered":"<p class=\"MsoBodyText\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-weight: normal; font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Pastar\u0173j\u0173 trij\u0173 de\u0161imtme\u010di\u0173 epidemiologiniais duomenimis, \u0160iaur\u0117s Amerikoje ir Europoje pastebimas smarkus stempl\u0117s susirgim\u0173 v\u0117\u017ein\u0117mis ligomis pada\u017en\u0117jimas, ypa\u010d stempl\u0117s adenokarcinoma. Daugiausia to prie\u017eastys n\u0117ra ai\u0161kios, ta\u010diau manoma, kad tam \u012ftakos turi kai kurie nauji rizikos veiksniai, susij\u0119 su gyvenimo b\u016bdo bei dietos pasikeitimais. Pasteb\u0117ta, kad, padid\u0117jus nutukimo epidemiologiniams rodikliams, kartu padid\u0117jo ir susirgim\u0173 v\u0117\u017ein\u0117mis ligomis skai\u010diai. \u0160iuo metu, remiantis klinikiniais tyrimais, <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/nutukimas\/4355\">nutukimas<\/a> yra pripa\u017eintas stempl\u0117s adenokarcinomos atsiradimo rizikos veiksnys. <\/span><\/p>\n<p class=\"MsoBodyText\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-weight: normal; font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Viena i\u0161 pagrindini\u0173 stempl\u0117s adenokarcinomos i\u0161sivystymo prie\u017eas\u010di\u0173 yra ilgalaik\u0117 negydoma <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/gastroezofaginio-refliukso-liga\/4363\">gastroezofaginio refliukso liga<\/a>. Tarp\u00a0<a href=\"http:\/\/www.gastroklinika.lt\/stemples-operacijos\/gastroezofaginio-refliukso-liga-gerl\/\" target=\"_blank\">gastroezofaginio refliukso ligos<\/a> (GERL) ir stempl\u0117s adenokarcinomos i\u0161sivystymo rizikos yra stiprus statistinis ry\u0161ys, ta\u010diau manoma, kad adenokarcinomos atsiradimui nema\u017e\u0105 \u012ftak\u0105 turi ir kiti su gyvenimo b\u016bdo pasikeitimais atsirad\u0119 rizikos veiksniai, nors jie n\u0117ra visi\u0161kai i\u0161ai\u0161kinti, ir apie juos diskutuojama toliau.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><strong>S\u0105sajos tarp GERL, refliuksinio ezofagito, Bareto stempl\u0117s ir stempl\u0117s, adenokarcinomos patogenez\u0117s<\/strong><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 64.8pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Pagrindinis vaidmuo\u00a0<a href=\"http:\/\/www.gastroklinika.lt\/stemples-operacijos\/gastroezofaginio-refliukso-liga-gerl\/\" target=\"_blank\">GERL<\/a> patogenez\u0117je tenka apatinio stempl\u0117s sfinkterio tonuso poky\u010diams, i\u0161 kuri\u0173 praeinantis sfinkterio atsipalaidavimas yra svarbiausias. Pada\u017en\u0117jus gastroezofaginio refliukso<b> <\/b>(GER) epizodams, padid\u0117ja ir agresyvaus poveikio stempl\u0117s gleivinei tikimyb\u0117. Vyraujantis GERL simptom\u0173 atsiradimo mechanizmas yra stempl\u0117s gleivin\u0117s kontaktas su druskos r\u016bg\u0161timi ir pepsinu. Strukt\u016brinio stempl\u0117s pa\u017eeidimo dyd\u012f lemia refliuks\u0173 skai\u010dius, priklausomas nuo refliukso barjero paj\u0117gumo, bei refliuks\u0173 trukm\u0117, priklausoma nuo stempl\u0117s klirenso. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Simptom\u0173, ypa\u010d r\u0117mens, stiprumui didel\u0119 reik\u0161m\u0119 turi stempl\u0117s gleivin\u0117s jautrumas druskos r\u016bg\u0161ties poveikiui. Kai nepavyksta subalansuoti agresyvaus skrand\u017eio turinio poveikio ir efektyvios apsaugos, i\u0161sivysto refliuksinis <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/ezofagitas\/4453\">ezofagitas<\/a>. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 64.8pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Stempl\u0117s adenokarcinoma da\u017eniausiai prasideda i\u0161 Bareto stempl\u0117s, komplikuojan\u010dios l\u0117tin\u012f refliuksin\u012f ezofagit\u0105. Bareto stempl\u0117s \u201evirsm\u0105\u201c invazine adenokarcinoma histologi\u0161kai atspindi metaplazijos <\/span><span style=\"font-size: 10pt; 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;\">\u00ae<\/span><\/span><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"> did\u0117jan\u010dio laipsnio displazijos <\/span><span style=\"font-size: 10pt; 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;\">\u00ae<\/span><\/span><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"> karcinomos seka.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 18pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">I\u0161sivys\u010dius Bareto stemplei (daugiasluoksnio plok\u0161\u010dio epitelio metaplazijai \u012f liaukin\u012f cilindrin\u012f), metaplaziniai poky\u010diai gali b\u016bti trejopi, pana\u0161\u016bs \u012f: <\/span><\/p>\n<ul style=\"margin-top: 0cm;\">\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">\u012fskrand\u017eio epitel\u012f, kuriame yra gleives sekretuojan\u010di\u0173 l\u0105steli\u0173;<\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">skrand\u017eio dugno epitel\u012f su oksintin\u0117mis liaukel\u0117mis;<\/span><\/li>\n<li class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">plonosios \u017earnos epitel\u012f su gaureliais ir taurin\u0117mis l\u0105stel\u0117mis (\u017earnin\u0117 metaplazija).<\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Pastaroji sudaro iki 80 proc. vis\u0173 metaplazij\u0173, ir tik i\u0161 jos, praeidama ma\u017eos ir didel\u0117s displazijos stadijas, vystosi stempl\u0117s adenokarcinoma.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Bareto stempl\u0117je vystantis adenokarcinomai, \u012fvyksta genetiniai poky\u010diai, aktyvinantys protoonkogenus, silpninantys tumor\u0105 slopinan\u010dius genus. D\u0117l \u0161i\u0173 mutacij\u0173 l\u0105stel\u0117s pasidaro paj\u0117gesn\u0117s augti ir i\u0161likti. Jos proliferuoja, \u012fgyja dar daugiau genetini\u0173 poky\u010di\u0173 \u2013 prasideda autonominis kloninis augimas (neoplazija), \u0161is procesas prasiskverbia \u012f aplinkinius audinius. Jau ankstyvi genetiniai poky\u010diai gali sukelti histologinius l\u0105steli\u0173 poky\u010dius, vadinamus displaziniais. \u0160iuo metu identifikuojami molekuliniai \u017eymenys, susij\u0119 su Bareto metaplazijos <\/span><span style=\"font-size: 10pt; 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;\">\u00ae<\/span><\/span><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"> displazijos <\/span><span style=\"font-size: 10pt; 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;\">\u00ae<\/span><\/span><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"> adenokarcinomos seka, gali pad\u0117ti ai\u0161kinantis molekulin\u0119 \u0161ios ligos patogenez\u0119. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0cm;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Nors GERL ir Bareto stempl\u0117 i\u0161sivysto da\u017enai, tik daliai asmen\u0173 atsiranda invazin\u0117 adenokarcinoma. Vis d\u0117lto, i\u0161sivys\u010dius Bareto stemplei, stempl\u0117s adenokarcinomos rizika yra 30\u2013125 kartus didesn\u0117 nei bendroje populiacijoje. <b>\u0160i rizika didesn\u0117 r\u016bkantiems vyrams, turintiems ilg\u0105 Bareto epitelio segment\u0105 (&gt;8 cm).<\/b><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><b style=\"mso-bidi-font-weight: normal;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Ry\u0161io tarp <span style=\"mso-bidi-font-weight: bold;\">gyvenimo b\u016bdo rizikos veiksni\u0173 ir GERL bei jos komplikacij\u0173 tyrimai<\/span><\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><span style=\"mso-spacerun: yes;\">\u00a0<\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Siekiant i\u0161siai\u0161kinti ry\u0161\u012f tarp r\u016bkymo ir kit\u0173 gyvenimo b\u016bdo rizikos veiksni\u0173 bei GERL, atlikta keletas klinikini\u0173 tyrim\u0173. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Dvej\u0173 met\u0173 trukm\u0117s perspektyviajame klinikiniame tyrime <i>Nova Scotia Barrett Esophagus<\/i> dalyvavo 431 ligonis. I\u0161 j\u0173 142 naujai diagnozuota GERL, 130 \u2013 diagnozuota Bareto stempl\u0117 ir 57 \u2013 stempl\u0117s adenokarcinoma. \u012e kontrolin\u0119 grup\u0119 buvo atrinkti 102 asmenys, kuriems GERL simptom\u0173 nebuvo. Visiems buvo pateikiamas klausimynas, apimantis socialinius-demografinius veiksnius, \u0161eimos ir medicinin\u0119 anamnez\u0119, svorio anamnez\u0119 bei klausimus apie tabako bei alkoholio vartojim\u0105, taip pat vietoje matuotas svoris bei \u016bgis. Nors stempl\u0117s adenokarcinomos i\u0161sivystymui turintys \u012ftakos r\u016bkymas ir alkoholio vartojimas ankstesni\u0173 klinikini\u0173 tyrim\u0173 metu buvo minimi kaip nedidel\u0119 \u012ftak\u0105 tam darantys rizikos veiksniai, \u0161is tyrimas parod\u0117 gana ai\u0161k\u0173 rizikos susirgti stempl\u0117s adenokarcinoma padid\u0117jim\u0105 r\u016bkan\u010di\u0173j\u0173 asmen\u0173 grup\u0117je. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Tai pagrind\u017eia keletas klinikini\u0173 tyrim\u0173, kurie yra parod\u0119, kad r\u016bkymas susij\u0119s su stempl\u0117s epitelio DNR strukt\u016bros pa\u017eeidimais, tai sudaro geras biologines piktybini\u0173 proces\u0173 atsiradimo s\u0105lygas. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Alkoholio vartojimas anks\u010diau publikuotuose tyrimuose laikomas stempl\u0117s adenokarcinomos i\u0161sivystymo rizikos veiksniu, ta\u010diau silpnai statisti\u0161kai pagr\u012fstu. \u0160io tyrimo metu nustatytas ai\u0161kus stiprus ry\u0161ys tarp alkoholio vartojimo ir GERL bei Bareto stempl\u0117s i\u0161sivystymo. Lyginant normalaus svorio ir nutukusius asmenis nustatyta, kad pastariesiems yra iki penki\u0173 kart\u0173 didesn\u0117 rizika susirgti stempl\u0117s adenokarcinoma. Rizika dar padid\u0117ja, jei ligonis nutuko b\u016bdamas jaunas \u2013 vidutini\u0161kai 20 met\u0173 am\u017eiaus.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 64.8pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Apibendrinus \u0161io tyrimo rezultatus 1 lentel\u0117je, matoma ai\u0161ki alkoholio vartojimo ir r\u016bkymo s\u0105saja su adenokarcinomos i\u0161sivystymu. Tikimyb\u0117 susirgti stempl\u0117s adenokarcinoma r\u016bkantiesiems abiejose grup\u0117se (tiek daugiau, tiek ir ma\u017eiau nei 5000 pakeli\u0173 per gyvenim\u0105) yra didel\u0117. Taip pat nustatyta r\u016bkymo s\u0105saja su GERL ir Bareto stempl\u0117s i\u0161sivystymu. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 64.8pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Jau anks\u010diau buvo ie\u0161koma ry\u0161io tarp dietos ir GERL bei Bareto stempl\u0117s. Buvo nustatytas ry\u0161ys tarp padid\u0117jusio riebal\u0173 suvartojimo, suma\u017e\u0117jusio vaisi\u0173 ir skaidul\u0173 turin\u010dio maisto bei daug vitamin\u0173 turin\u010di\u0173 produkt\u0173 suvartojimo ir padid\u0117jusios stempl\u0117s adenokarcinomos rizikos. \u0160io klinikinio tyrimo metu pasteb\u0117ta, kad, vartojant daug vitamino C turin\u010di\u0173 produkt\u0173 bei papild\u0173 su multivitaminais, ma\u017e\u0117ja GERL, Bareto stempl\u0117s ir stempl\u0117s adenokarcinomos rizika. Be abejo, \u0161ie duomenys turi b\u016bti tikslinami bei analizuojami tolimesni\u0173 tyrim\u0173 metu, kad b\u016bt\u0173 galima sudaryti naudingas sveikatai mitybos strategijas.<i style=\"mso-bidi-font-style: normal;\"><\/i><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 64.8pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">JAV, Suomijoje ir Norvegijoje atlikto tyrimo metu pasteb\u0117ta, kad ry\u0161ys tarp k\u016bno mas\u0117s indekso ir GERL yra tik moterims. <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/nutukimas\/4355\">Nutukimas<\/a> lemia padid\u0117jus\u012f intraabdominalin\u012f bei skrand\u017eio viduje esant\u012f sl\u0117g\u012f. Vieno \u0160vedijoje atlikto tyrimo metu pasteb\u0117tas ry\u0161ys ir tarp pakei\u010diamosios estrogen\u0173 terapijos ir GERL. Manoma, kad padid\u0117j\u0119s nutukusi\u0173 moter\u0173 estrogen\u0173 kiekis plazmoje pa\u017eeid\u017eia apatinio stempl\u0117s sfinkterio funkcij\u0105. <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Epidemiologini\u0173 tyrim\u0173 rezultatai rodo stipr\u0173 statisti\u0161kai reik\u0161ming\u0105 ry\u0161\u012f tarp GERL ir r\u016bkymo. R\u016bkymas gali sukelti r\u016bg\u0161ties refliuks\u0105 d\u0117l sutrikdomos apatinio stempl\u0117s sfinkterio funkcijos, l\u0117t\u0117jan\u010dio stempl\u0117s r\u016bg\u0161ties klirenso ar pada\u017en\u0117jan\u010di\u0173 r\u016bg\u0161ties refliukso epizod\u0173.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">L\u0117tinis alkoholio vartojimas taip pat turi neabejotin\u0105 ry\u0161\u012f su GERL atsiradimu. Yra manoma, kad l\u0117tinis alkoholio vartojimas sukelia stempl\u0117s neuropatin\u012f pa\u017eeidim\u0105, tai sutrikdo stempl\u0117s motorin\u0119 funkcij\u0105.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-indent: 64.8pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Gana \u012fdomus ir duodantis peno apm\u0105stymams apie \u017ealing\u0173 \u012fpro\u010di\u0173 \u012ftak\u0105 visam vir\u0161kinamajam traktui Lenkijoje atliktas opalig\u0117s i\u0161sivystymo rizikos veiksni\u0173 tyrimas, analizav\u0119s <i style=\"mso-bidi-font-style: normal;\">Helicobacter pylori<\/i>, NVNU ir r\u016bkymo vaidmen\u012f ulcerogenez\u0117je. Tyrime dalyvavo 5967 tiriam\u0173j\u0173, kuriems buvo dispepsijos simptom\u0173. I\u0161 j\u0173 69,4 proc. buvo infekuoti <i>H.pylori<\/i>, 9,9 proc. vartojo NVNU ir 27 proc. r\u016bk\u0117. Nagrin\u0117jant su r\u016bkymu besisiejan\u010dius rezultatus pasteb\u0117ta, kad r\u016bkan\u010di\u0173j\u0173 asmen\u0173 grup\u0117je buvo daugiau infekuot\u0173j\u0173 <i style=\"mso-bidi-font-style: normal;\">H.pylori<\/i> nei ner\u016bkan\u010di\u0173j\u0173 grup\u0117je (atitinkamai 76 proc. ir 67 proc.). Taip pat pasteb\u0117ta, kad <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/opalige\/4346\">opalig\u0117<\/a> r\u016bkantiesiems i\u0161sivysto daug da\u017eniau nei ner\u016bkantiems (atitinkamai 43,4 proc. ir 27,6 proc. (\u0160S=2,01; 95% PI 1,78\u20132,.27)), be to, esant infekuotumui<i style=\"mso-bidi-font-style: normal;\"> H.pylori<\/i>, r\u016bkantiesiems yra didesn\u0117 opalig\u0117s i\u0161sivystymo tikimyb\u0117 (\u0160S=2,01; 95% PI 1,75\u20132,31). Tas pats santykis pasteb\u0117tas ir NVNU vartojusi\u0173 r\u016bkali\u0173 ir ner\u016bkan\u010di\u0173 asmen\u0173 grup\u0117se (\u0160S=1,59; 95% PI 1,20\u20132,11).<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><b><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">GERL komplikacij\u0173 galima i\u0161vengti<\/span><\/b><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\">\u00a0<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Nors GERL yra da\u017enai pasitaikanti liga (ja serga 10\u201315 proc. populiacijos), GERL simptom\u0173 ir komplikacij\u0173 (Bareto stempl\u0117s, stempl\u0117s adenokarcinomos) vystymosi galima i\u0161vengti tinkamai gydant. \u017dinoma, vis\u0173 pirma reik\u0117t\u0173 pa\u0161alinti modifikuojamus rizikos veiksnius: r\u016bkym\u0105, nutukim\u0105, alkoholio vartojim\u0105. Medikamentinio GERL gydymo pagrind\u0105 sudaro skrand\u017eio sekrecij\u0105 slopinantys vaistai \u2013 histamino H<sub>2<\/sub> receptori\u0173 blokatoriai ir protono pompos inhibitoriai. Histamino H<sub>2<\/sub> receptori\u0173 blokatorius ranitidinas <i><a href=\"https:\/\/pasveik.lt\/vaistai-paieska\/?srch=Raniberl\">Raniberl<\/a> <\/i>efektyviai slopina bazin\u0119 ir stimuliuot\u0105 druskos r\u016bg\u0161ties sekrecij\u0105, ma\u017eina pepsino aktyvum\u0105. Gydymas ranitidinu <i><a href=\"https:\/\/pasveik.lt\/vaistai-paieska\/?srch=Raniberl\">Raniberl<\/a> <\/i>veiksmingai ma\u017eina r\u016bkymo sukeltus GERL simptomus bei padeda i\u0161vengti GERL komplikacij\u0173 vystymosi.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1 lentel\u0117. Rizikos veiksni\u0173 s\u0105saja su GERL, Bareto stempl\u0117s bei stempl\u0117s adenokarcinomos i\u0161sivystymu<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">\u00a0<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">\u00a0<\/span><\/p>\n<p>&lt;td style=&#8221;border-right: windowtext 0.5pt solid; padding-right: 5.4pt; border-top: #c0c0c0;<\/p>\n<table style=\"border-collapse: collapse; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 77.45pt; background-color: transparent; border: windowtext 0.5pt solid; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Veiksniai<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: windowtext 0.5pt solid; border-left: #c0c0c0; width: 130.95pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" colspan=\"2\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">GERL<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: windowtext 0.5pt solid; border-left: #c0c0c0; width: 131.1pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" colspan=\"2\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Bareto stempl\u0117<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: windowtext 0.5pt solid; border-left: #c0c0c0; width: 153.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" colspan=\"2\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Stempl\u0117s adenokarcinoma<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: windowtext 0.5pt solid; width: 77.45pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\">\u00a0<span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.15pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">\u0160S<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.8pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">95% PI<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">\u0160S<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.9pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">95%PI<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 87.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">\u0160S<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 66pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">95% PI<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: windowtext 0.5pt solid; width: 77.45pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Svorio deficitas<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.15pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,64<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.8pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,10-4,02<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">2,67<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.9pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,37-19,37<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 87.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">n\/a<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 66pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\">\u00a0<span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: windowtext 0.5pt solid; width: 77.45pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Normalus svoris<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.15pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.8pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\">\u00a0<span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.9pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\">\u00a0<span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 87.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 66pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\">\u00a0<span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: windowtext 0.5pt solid; width: 77.45pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Antsvoris<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.15pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,69<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.8pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,36-1,33<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1,68<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.9pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,81-3,46<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 87.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1,55<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 66pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,56-4,30<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: windowtext 0.5pt solid; width: 77.45pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/nutukimas\/4355\">Nutukimas<\/a><\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.15pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,73<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.8pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,36-1,48<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">2,09<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.9pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,95-4,58<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 87.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">4,52<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 66pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1,47-13,88<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: windowtext 0.5pt solid; width: 77.45pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Ner\u016bkantis<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.15pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.8pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\">\u00a0<span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.9pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\">\u00a0<span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 87.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 66pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\">\u00a0<span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: windowtext 0.5pt solid; width: 77.45pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Sur\u016bko &lt; 5000 pak.\/m.<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.15pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1,95<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.8pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,96-3,98<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1,07<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.9pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,49-2,33<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 87.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">3,64<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 66pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,98-13,56<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: windowtext 0.5pt solid; width: 77.45pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Sur\u016bko &gt; 5000 pak.\/m.<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.15pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1,19<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.8pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,66-2,15<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1,38<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.9pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">0,78-2,45<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 87.2pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">5,31<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 66pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">2,06-13,67<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: windowtext 0.5pt solid; width: 77.45pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Alaus vartojimas &lt; 1 g\u0117rimas per m\u0117n.<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.15pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">1<\/span><\/p>\n<\/td>\n<td style=\"border-right: windowtext 0.5pt solid; border-top: #c0c0c0; border-left: #c0c0c0; width: 65.8pt; border-bottom: windowtext 0.5pt solid; background-color: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\">\u00a0<span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\"><\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p class=\"MsoBodyText\" style=\"margin: 0cm 0cm 0pt; text-align: justify;\"><span style=\"font-weight: normal; font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt;\">Pastar\u0173j\u0173 trij\u0173 de\u0161imtme\u010di\u0173 epidemiologiniais duomenimis, \u0160iaur\u0117s Amerikoje ir Europoje pastebimas smarkus stempl\u0117s susirgim\u0173 v\u0117\u017ein\u0117mis ligomis pada\u017en\u0117jimas, ypa\u010d stempl\u0117s adenokarcinoma. Daugiausia to prie\u017eastys n\u0117ra ai\u0161kios, ta\u010diau manoma, kad tam \u012ftakos turi kai kurie nauji rizikos veiksniai, susij\u0119 su gyvenimo b\u016bdo bei dietos pasikeitimais. Pasteb\u0117ta, kad, padid\u0117jus nutukimo epidemiologiniams rodikliams, kartu padid\u0117jo ir susirgim\u0173 v\u0117\u017ein\u0117mis ligomis skai\u010diai. \u0160iuo metu, remiantis klinikiniais tyrimais, nutukimas yra pripa\u017eintas stempl\u0117s adenokarcinomos atsiradimo rizikos veiksnys. <\/span><\/p>\n<p><span style=\"font-size: 10pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT; mso-fareast-font-family: 1Times New Roman\\'; mso-fareast-language: LT; mso-bidi-language: AR-SA;\">Viena i\u0161 pagrindini\u0173 stempl\u0117s adenokarcinomos i\u0161sivystymo prie\u017eas\u010di\u0173 yra ilgalaik\u0117 negydoma gastroezofaginio refliukso liga. Tarp gastroezofaginio refliukso ligos (GERL) ir stempl\u0117s adenokarcinomos i\u0161sivystymo rizikos yra stiprus statistinis ry\u0161ys, ta\u010diau manoma, kad adenokarcinomos atsiradimui nema\u017e\u0105 \u012ftak\u0105 turi ir kiti su gyvenimo b\u016bdo pasikeitimais atsirad\u0119 rizikos veiksniai, nors jie n\u0117ra visi\u0161kai i\u0161ai\u0161kinti, ir apie juos diskutuojama toliau.<\/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":[27342],"tags":[11383,25880,267,137,157,92,24995,125,7458,1041,6175,138],"site":[],"post_item_type":[27345],"class_list":["post-13320","post","type-post","status-publish","format-standard","hentry","category-stilius","tag-atitinkamai","tag-border","tag-diagnozuota","tag-ligonis","tag-nutukimas","tag-opalige","tag-right","tag-rukymas","tag-stemples","tag-svoris","tag-tikimybe","tag-vaistai"],"acf":{"post_sites":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/13320","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=13320"}],"version-history":[{"count":0,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/13320\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=13320"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/categories?post=13320"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=13320"},{"taxonomy":"site","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/site?post=13320"},{"taxonomy":"post_item_type","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/post_item_type?post=13320"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}