{"id":13325,"date":"2008-11-16T20:00:00","date_gmt":"2008-11-16T20:00:00","guid":{"rendered":""},"modified":"2008-11-16T20:00:00","modified_gmt":"2008-11-16T20:00:00","slug":"dispepsijos-sindromas-mikrobiniu-zarnyno-ligu-diagnostikoje-ir-gydyme","status":"publish","type":"post","link":"https:\/\/www.pasveik.lt\/lt\/naujausi-medicinos-straipsniai\/dispepsijos-sindromas-mikrobiniu-zarnyno-ligu-diagnostikoje-ir-gydyme\/13325\/","title":{"rendered":"Dispepsijos sindromas mikrobini\u0173 \u017earnyno lig\u0173 diagnostikoje ir gydyme"},"content":{"rendered":"<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"RU\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\"><span style=\"mso-spacerun: yes\">&nbsp;A. Marcinkut\u0117<\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\">&nbsp;<\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"RU\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt\">Funkcin\u0117 <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/dispepsija\/4503\">dispepsija<\/a> (FD) yra vienas i\u0161 da\u017eniausi\u0173 gastrointestinini\u0173 sutrikim\u0173, kurio kilm\u0117 neai\u0161ki. <\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">Literat\u016bros duomenimis, 23,4% persirgusi\u0173j\u0173 bakteriniu gastroenteritu pasirei\u0161kia funkciniai gastrointestininiai sutrikimai, tame tarpe 7-32% &#8211; <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/dirglios-zarnos-sindromas\/4302\">dirglios \u017earnos sindromas<\/a>. Atliktos klinikin\u0117s studijos nurodo FD prie\u017eastin\u012f ry\u0161\u012f su \u016bmin\u0117mis \u017earnyno infekcijomis, ypa\u010d salmonelioze, bei genetin\u012f G-baltymo polimorfizm\u0105, predisponuojant\u012f dispepsijos sindrom\u0105. Labai svarbus rizikos faktorius yra r\u016bkymas. Reik\u0161mingiausia <\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><span style=\"mso-spacerun: yes\">&nbsp;<\/span><\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">patogenetine grandimi i\u0161lieka u\u017edegimo po\u017eymiai \u017earnyne.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText\" style=\"margin: 0cm 0cm 6pt; line-height: 150%; 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\">Poinfekciniai funkciniai gastrointestininiai sutrikimai: <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/dispepsija\/4503\">dispepsija<\/a><\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">, <\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\"><span style=\"mso-spacerun: yes\">&nbsp;<\/span>ir\/arba <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/dirglios-zarnos-sindromas\/4302\">dirglios \u017earnos sindromas<\/a><span style=\"mso-spacerun: yes\">&nbsp; <\/span>gali pasireik\u0161ti pirmuosius \u0161e\u0161is m\u0117nesius, persirgus \u016bmine \u017earnyno infekcija.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoBodyText\" style=\"margin: 0cm 0cm 6pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">Dispepsijos sindromas sutinkamas ir \u016bminiame \u017earnyno infekcij\u0173 periode, tik klini\u0161kai labiau i\u0161reik\u0161tas. Infektologijoje \u0161is sindromas suprantamas kaip organizmo apsaugin\u0117 reakcija, padedanti pa\u0161alinti \u012f \u017earnyn\u0105 patekusius mikrobus arba jo toksinus Daugumai mikrobini\u0173 \u017earnyno lig\u0173 b\u016bdinga:<o:p><\/o:p><\/span><\/p>\n<ul>\n<li><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><span style=\"mso-spacerun: yes\">&nbsp;<\/span><span style=\"mso-spacerun: yes\">&nbsp;&nbsp;&nbsp; <\/span>s<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">taigi prad\u017eia<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">,<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT; mso-fareast-font-family: \\'Arial Unicode MS\\'\"><o:p><\/o:p><\/span><\/li>\n<li><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><span style=\"mso-spacerun: yes\">&nbsp;&nbsp;&nbsp;&nbsp; <\/span>ka<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">r\u0161\u010diavimas, v\u0117mimas, gal\u016bni\u0173 skausmai<\/span><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><\/li>\n<li><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\"><span style=\"mso-spacerun: yes\">&nbsp;<\/span><\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><span style=\"mso-spacerun: yes\">&nbsp;&nbsp;&nbsp; <\/span>r<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">y\u0161kus \u0161leik\u0161tulys, pykinimas bakterinio gastroenterito metu<\/span><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><\/li>\n<li><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><span style=\"mso-spacerun: yes\">&nbsp;&nbsp;&nbsp;&nbsp; <\/span>i<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">\u0161reik\u0161ta \u017earn\u0173 peristaltika<\/span><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><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">PSO duomenimis pasaulyje kasmet u\u017eregistruojama iki 1 milijardo \u016bmin\u0117s diar\u0117jos epizod\u0173 ir apie 5 milijonus mir\u010di\u0173 nuo \u016bmin\u0117s virusin\u0117s, bakterin\u0117s ir parazitin\u0117s diar\u0117jos. Infekcin\u0117s kilm\u0117s <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/viduriavimas-2\/72707\">viduriavimas<\/a> daugelyje \u0161ali\u0173 suprantamas kaip paprastas <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/viduriavimas-2\/72707\">viduriavimas<\/a>, ta\u010diau gr\u0117smingas, nesilaikant asmens higienos, nevaldomai i\u0161plisti. <o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">Lietuvos lig\u0173 kontrol\u0117s centro duomenimis diar\u0117ja irgi i\u0161lieka svarbia visuomen\u0117s sveikatos problema ir populiacinis sergamumas siekia 5%, ta\u010diau tik 11-12% atvej\u0173 patenka \u012f oficiali\u0105 statistik\u0105. <\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">Kasmet Lietuvoje u\u017eregistruojama iki 170 000 \u016bmin\u0117s diar\u0117jos epizod\u0173<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">.<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\"> . <br \/>\nPykinimas, epigastriumo<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"> sunkumas, refliuksas, <\/span><span lang=\"LT\" style=\"display: none; font-size: 9pt; color: white; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT; mso-fareast-font-family: \\'Arial Unicode MS\\'; mso-hide: all\"><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">v\u0117mimas yra vyraujantys klinikiniai simptomai virusini\u0173 infekcij\u0173 ar mikrobinio apsinuodijimo maistu metu ir pasirei\u0161kia pra\u0117jus tam tikram slaptam arba inkubaciniam periodui (IP), kuris diagnostiniu po\u017ei\u016briu yra gana reik\u0161mingas.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">Da\u017eniausios \u016bmin\u0117s \u017earnyno infekcijos, pasirei\u0161kian\u010dios dispepsiniu arba emetiniu sindromu, ir j\u0173 IP:<span style=\"display: none; mso-hide: all\"><o:p><\/o:p><\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"display: none; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT; mso-hide: all\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"display: none; font-size: 9pt; color: white; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT; mso-hide: all\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<ul>\n<li><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><span style=\"mso-spacerun: yes\">&nbsp;<\/span><\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">1-6 val<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">.:<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\"> v\u0117mimas ++, toksinus produkuojantys S. aureus, B. <\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">c<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">ereus<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">;<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT; mso-fareast-font-family: \\'Arial Unicode MS\\'\"><o:p><\/o:p><\/span><\/li>\n<li><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">8-16val.<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">:<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\"> v\u0117mimas +\/-, toksinus in vivo produkuojantys C. perfringens, B. <\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">c<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">ereus <\/span><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><\/li>\n<li><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">12-72 val<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">.:<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\"> v\u0117mimas +\/-, salmonella, shigella, campylobacter, vibrio spp, EIEC<\/span><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><\/li>\n<li><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">12-72 val.<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">:<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\"> v\u0117mimas ++, virusai ( Nor<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">ovirusai<\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">)<\/span><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><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"display: none; font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT; mso-hide: all\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">Bene i\u0161rai\u0161kingiausias dispepsinis sindromas, besit\u0119siantis iki savait\u0117s, b\u016bdingas norovirusinei infekcijai arba \u016bminei \u017earnyno virusinei infekcijai, sukeltai Caliciviridae \u0161eimos labai ma\u017e\u0173 \u012f Norwalk pana\u0161i\u0173 virus\u0173, dar vadinamai ,, \u017eiemos v\u0117mimo liga&rsquo;&rsquo; arba ,,skrand\u017eio gripu&rsquo;&rsquo;.<b><span style=\"mso-spacerun: yes\">&nbsp; <\/span><\/b>Norovirusai da\u017eniausiai sukelia \u012fvairios apimties<span style=\"mso-spacerun: yes\">&nbsp; <\/span>gastroenterito protr\u016bkius, kuriuos s\u0105lygoja net iki 40% atvej\u0173 u\u017ekr\u0117stas virusais maistas (j\u016bros maistas, \u012fvairios salotos). Galimas infekcij\u0173 plitimas ir per \u0161ulini\u0173, vandentiekio, up\u0117s, baseino vanden\u012f . Pagrindinis u\u017esikr\u0117timo kelias yra fekalinis oralinis, nors \u012fmanomas aerozolinis respiracinis kelias pa\u010dio v\u0117mimo metu, kontaktinis kelias.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">Pasikartojanti <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/dispepsija\/4503\">dispepsija<\/a> ir v\u0117mimas b\u016bdingas ir kai kurioms \u017earnyno parazitoz\u0117ms: giardiazei, kriptosporidijazei, anisakiazei bei strongiloidozei (&ldquo;fontaninio v\u0117mimo&rdquo; sindromas). <o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">Poinfekciniame periode da\u017eniausiai ligonius vargina papykinimas, epigastriumo sunkumas, padidinta \u017earnyno motorika, p\u016btimas. Sveikimo periodo trukm\u0117 priklauso ir nuo lydin\u010di\u0173 kit\u0173 gastrointestinini\u0173 lig\u0173, kadangi mikrob\u0173<span style=\"mso-spacerun: yes\">&nbsp; <\/span>pa\u017eeista plon\u0173j\u0173 \u017earn\u0173 gleivin\u0117 d\u0117l mikrogaureli\u0173 atrofijos<span style=\"mso-spacerun: yes\">&nbsp; <\/span>s\u0105lygoja malabsorbcijos i\u0161sivystym\u0105, disacharidazi\u0173 nepakankamum\u0105, suaktyv\u0117jusi\u0105 bakterin\u0119 fermentacij\u0105, laktoz\u0117s netoleravim\u0105, vir\u0161kinimo ferment\u0173 suma\u017e\u0117jusi\u0105 produkcij\u0105. Padid\u0117j\u0119s osmozinis sl\u0117gis \u017earnoje, epitelio pralaidumas nulemia osmozin\u0117s diar\u0117jos mechanizm\u0105. <\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">Taip pat svarbus enterotoksinis poveikis, autonomin\u0117s nerv\u0173 sistemos stimuliacija<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">, \u012ftakojanti naujiems fukciniams poinfekciniams gastrointestininiam sutrikimams arba sustiprinti buvusius.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">FD patogenez\u0117s ir patofiziologijos supratimas leid\u017eia tobulinti<span style=\"mso-spacerun: yes\">&nbsp; <\/span>diagnostik\u0105 ir \u017earnyno infekcij\u0173 simptomin\u012f gydym\u0105. Dauguma viduriuojan\u010di\u0173 ligoni\u0173 gydosi patys, vartoja antimotilikus, loperamid\u0105 arba &ldquo;gerasias bakterijas&rdquo;, fermentinius preparatus.<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">Ta\u010diau nepaisoma rehidratacijos b\u016btinyb\u0117s, jei vartojami skys\u010diai, tai daroma neteisingai, geriama greitai ir daug, neteisingai plaunamas skrandis. To pas\u0117koje i\u0161 karto i\u0161viduriuojami i\u0161gerti skys\u010diai, ligonis bijodamas gerti dar daugiau dehidruojasi. Taip pat nesilaikoma dietos, nedezinfekuojama ligonio aplinka, i\u0161matos. Dispepsinio sindromo gydymo pasirinkimas apsiriboja r\u016bg\u0161t\u012f slopinan\u010diais vaistais ir naujaisiais prokinetikais. Pastarieji palengvina dispepsinio sindromo simptomus, ligonis gali t\u0119sti peroralin\u0119 rehidratacij\u0105. Rekonvalescentiniame periode dauguma ligoni\u0173 skund\u017eiasi l\u0117tu vir\u0161kinimu, maisto stov\u0117jimu skrandyje, sunkumu epigastriume pavalgius, p\u016btimu, gurguliavimu. \u0160iuos simptomus gali palengvinti vir\u0161kinim\u0105 gerinan\u010di\u0173 ferment\u0173 paskyrimas, \u017earnyno floros koregavimas probiotikais, dietos ir racionalios mitybos bei epidemiologinio r\u0117\u017eimo paisymas.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">Naudota literat\u016bra:<o:p><\/o:p><\/span><\/p>\n<ol>\n<li><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">\u017dagminas K., Zagrebneviene G., MorkunasB. et al.<span style=\"mso-spacerun: yes\">&nbsp;&nbsp; <\/span>Prevalence of self-reported acute diarrheal illness in Lithuania. <\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">7<sup>th<\/sup> Nordic-Baltic Congress on Infectious Diseases&rdquo; Current Challenges and New opportunities&rdquo;: abstracts book:2006:34.<\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><span style=\"mso-spacerun: yes\">&nbsp; <\/span><o:p><\/o:p><\/span><\/li>\n<li><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">Tack J., Kindt S. Patogenesis and therapy for idiopathic dyspepsia. Curr Gastroenterol Rep.2005; 7(6): 437-44.<o:p><\/o:p><\/span><\/li>\n<li><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">Parry SD, Corbett S, James P et al. Illness perceptions in people with acute bacterial enteritis. J Health Psychol. 2003; 8(6): 693-704.<\/span><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><\/li>\n<li><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">Mearin F, Perez-Oliveras M, Perello A et al. Dyspepsia and irritable bowel syndrome after Salmonella gastroenteritis outbreak: one-year follow-up outbreak: one-year follow-up cohort. Gastroenterology.2005; 129(1):98-104.<\/span><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><\/li>\n<li><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">Bishai WR, Sears CL. Food poisoning syndromes. Gastroenterology clinics of North Amerika.2005; 22(3):579-608. <\/span><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><span style=\"mso-spacerun: yes\">&nbsp;&nbsp;<\/span><o:p><\/o:p><\/span><\/li>\n<\/ol>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><span style=\"mso-spacerun: yes\">&nbsp;<\/span><o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0pt; line-height: 150%; 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\">&nbsp;<o:p><\/o:p><\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"MsoBodyText\" style=\"margin: 0cm 0cm 6pt; line-height: 150%; text-align: justify\"><span lang=\"LT\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\">Funkcin\u0117 dispepsija (FD) yra vienas i\u0161 da\u017eniausi\u0173 gastrointestinini\u0173 sutrikim\u0173, kurio kilm\u0117 neai\u0161ki. <\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">Literat\u016bros duomenimis, 23,4% persirgusi\u0173j\u0173 bakteriniu gastroenteritu pasirei\u0161kia funkciniai gastrointestininiai sutrikimai, tame tarpe 7-32% &#8211; dirglios \u017earnos sindromas. Atliktos klinikin\u0117s studijos nurodo FD prie\u017eastin\u012f ry\u0161\u012f su \u016bmin\u0117mis \u017earnyno infekcijomis, ypa\u010d salmonelioze, bei genetin\u012f G-baltymo polimorfizm\u0105, predisponuojant\u012f dispepsijos sindrom\u0105. Labai svarbus rizikos faktorius yra r\u016bkymas. Reik\u0161mingiausia <\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: LT\"><span style=\"mso-spacerun: yes\">&nbsp;<\/span><\/span><span lang=\"EN-US\" style=\"font-size: 9pt; font-family: Arial; mso-bidi-font-size: 12.0pt; mso-ansi-language: EN-US\">patogenetine grandimi i\u0161lieka u\u017edegimo po\u017eymiai \u017earnyne.<o:p><\/o:p><\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[50,137,52,1247,53,125,21,1246],"site":[],"post_item_type":[27345],"class_list":["post-13325","post","type-post","status-publish","format-standard","hentry","tag-dispepsija","tag-ligonis","tag-maistas","tag-norovirusai","tag-pykinimas","tag-rukymas","tag-sindromas","tag-viduriavimas"],"acf":{"post_sites":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/13325","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=13325"}],"version-history":[{"count":0,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/13325\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=13325"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/categories?post=13325"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=13325"},{"taxonomy":"site","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/site?post=13325"},{"taxonomy":"post_item_type","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/post_item_type?post=13325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}