{"id":8172,"date":"2013-10-10T13:47:16","date_gmt":"2013-10-10T13:47:16","guid":{"rendered":""},"modified":"2013-10-10T13:47:16","modified_gmt":"2013-10-10T13:47:16","slug":"reumatines-ligos-nutiesia-kelia-pas-ortopedus","status":"publish","type":"post","link":"https:\/\/www.pasveik.lt\/lt\/naujausi-medicinos-straipsniai\/reumatines-ligos-nutiesia-kelia-pas-ortopedus\/8172\/","title":{"rendered":"Reumatin\u0117s ligos nutiesia keli\u0105 pas ortopedus"},"content":{"rendered":"

Prof. Asta Baranauskait\u0117<\/p>\n

LSMU MA Reumatologijos klinika<\/p>\n

Chirurgi\u0161kai gydomos daugelis paplitusi\u0173 reumatini\u0173 lig\u0173: ir u\u017edegimo kilm\u0117s (reumatoidinis artritas<\/a> ir kt.), ir ypa\u010d degeneracin\u0117s (artroz\u0117s).<\/p>\n

Chirurginio gydymo b\u016bdai labai \u012fvair\u016bs: nuo sinovektomijos gydant aktyv\u0173 u\u017edegim\u0105 iki s\u0105nari\u0173 endoprotezavimo esant galutinei s\u0105nari\u0173 destrukcijai, nulemtai u\u017edegimo ar degeneracinio proceso.<\/p>\n

Artroskopin\u0117 sinovektomija pa\u017eeistiems s\u0105nariams gydyti<\/strong><\/p>\n

Indikacijos atlikti artroskopin\u0119 sinovektomij\u0105 yra \u0161ios: l\u0117tinis sinovitas (reumatoidinio artrito, psoriazinio, ankilozinio spondiloartrito atvejais ir kt.), s\u0105nari\u0173 nepiktybin\u0117 neoplazin\u0117 liga (vilonoduliarinis sinovitas), kai kurie sepsinio artrito atvejai.<\/p>\n

Sinovektomijos proced\u016bra svarstytina, jei medikamentinis artrito gydymas per 6 m\u0117nesius nepalengvina s\u0105nario u\u017edegimo simptom\u0173 (tinimo ir skys\u010dio kaupimosi), bet rentgenogramoje n\u0117ra dideli\u0173 artrozini\u0173 s\u0105nario poky\u010di\u0173, ir paciento jud\u0117jimo sutrikimas nelabai ry\u0161kus. Kai artroziniai poky\u010diai ry\u0161kesni arba jud\u0117jimas sutrik\u0119s \u017eenkliai \u2013 svarstytinas protezavimo klausimas. Artroskopin\u0117 sinovektomija da\u017eniausiai atliekama kelio s\u0105naryje.<\/p>\n

Kai nepadeda vaistai, gelbsti ortopedin\u0117s proced\u016bros<\/strong><\/p>\n

Gydant artroz\u0119, skausmui ma\u017einti, paciento judrumui, gyvenimo kokybei pagerinti skiriama vaist\u0173 ir nemedikamentini\u0173 priemoni\u0173. Ortopedin\u0117s proced\u016bros tikslingos, kai toks gydymas nebepadeda. Nesant pa\u017eengusios artroz\u0117s po\u017eymi\u0173, galima vadinamoji artroskopin\u0117 debridemento proced\u016bra, kurios metu pa\u0161alinama menisk\u0173 ar ligament\u0173 atplai\u0161os, laisvos kremzl\u0117s, proliferuotos sinovijos fragmentai. Kai kuri\u0173 autori\u0173 duomenimis, po s\u0105nario ertm\u0117s plovimo ir\/ar debridemento skausmai \u017eenkliai suma\u017e\u0117ja 3\u201312 m\u0117nesi\u0173. \u0160i proced\u016bra gali b\u016bti efektyvi ir chondrokalcinoz\u0117s atveju.<\/p>\n

Paskutin\u0117 i\u0161eitis \u2013 s\u0105nario protezas<\/strong><\/p>\n

S\u0105nari\u0173 endoprotezavimas \u2013 kol kas vienintel\u0117 i\u0161eitis sunkios artroz\u0117s atvejais. Jis atliekamas, kai skausmo medikamentinis gydymas neefektyvus, ir paciento kasdien\u0117 veikla labai ribota d\u0117l sutrikusios jud\u0117jimo funkcijos. Prie\u0161 protezavim\u0105 pagal galimybes reik\u0117t\u0173 i\u0161m\u0117ginti nechirurginio artroz\u0117s gydymo alternatyvas: suma\u017einti antsvor\u012f, pasinaudoti fizioterapija, tausoti s\u0105nar\u012f vaik\u0161tant su lazdele ir pan.<\/p>\n

Lietuvos gydytojo \u017eurnalas <\/p>\n","protected":false},"excerpt":{"rendered":"

Chirurgi\u0161kai gydomos daugelis paplitusi\u0173 reumatini\u0173 lig\u0173: ir u\u017edegimo kilm\u0117s (reumatoidinis artritas ir kt.), ir ypa\u010d degeneracin\u0117s (artroz\u0117s).<\/p>\n","protected":false},"author":1,"featured_media":8173,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[27313],"tags":[1094,569,284,3624,3625,138],"site":[],"post_item_type":[27345],"class_list":["post-8172","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gydymo-naujienos","tag-medikamentinis","tag-proceduros","tag-sanario","tag-sinovektomijos","tag-sinovitas","tag-vaistai"],"acf":{"post_sites":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/8172","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=8172"}],"version-history":[{"count":0,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/8172\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media\/8173"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=8172"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/categories?post=8172"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=8172"},{"taxonomy":"site","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/site?post=8172"},{"taxonomy":"post_item_type","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/post_item_type?post=8172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}