{"id":8329,"date":"2013-08-01T16:24:31","date_gmt":"2013-08-01T16:24:31","guid":{"rendered":""},"modified":"2016-03-25T06:35:11","modified_gmt":"2016-03-25T06:35:11","slug":"viduriu-uzkietejimas","status":"publish","type":"post","link":"https:\/\/www.pasveik.lt\/lt\/naujausi-medicinos-straipsniai\/viduriu-uzkietejimas\/8329\/","title":{"rendered":"Viduri\u0173 u\u017ekiet\u0117jimas"},"content":{"rendered":"<p><!-- [if !mso]>\n\n\n<style>\nv\\:* {behavior:url(#default#VML);}\no\\:* {behavior:url(#default#VML);}\nw\\:* {behavior:url(#default#VML);}\n.shape {behavior:url(#default#VML);}\n<\/style>\n\n\n<![endif]--><\/p>\n<p><!-- [if gte mso 9]><xml>\n <o:OfficeDocumentSettings>\n  <o:AllowPNG\/>\n  <o:TargetScreenSize>1024x768<\/o:TargetScreenSize>\n <\/o:OfficeDocumentSettings>\n<\/xml><![endif]--><!-- [if gte mso 9]><xml>\n <w:WordDocument>\n  <w:View>Normal<\/w:View>\n  <w:Zoom>0<\/w:Zoom>\n  <w:HyphenationZone>19<\/w:HyphenationZone>\n  <w:Compatibility>\n   <w:BreakWrappedTables\/>\n   <w:SnapToGridInCell\/>\n   <w:WrapTextWithPunct\/>\n   <w:UseAsianBreakRules\/>\n  <\/w:Compatibility>\n <\/w:WordDocument>\n<\/xml><![endif]--><!-- [if gte mso 10]>\n\n\n<style>\n \/* Style Definitions *\/\n table.MsoNormalTable\n\t{mso-style-name:\"Table Normal\";\n\tmso-tstyle-rowband-size:0;\n\tmso-tstyle-colband-size:0;\n\tmso-style-noshow:yes;\n\tmso-style-parent:\"\";\n\tmso-padding-alt:0cm 5.4pt 0cm 5.4pt;\n\tmso-para-margin:0cm;\n\tmso-para-margin-bottom:.0001pt;\n\tmso-pagination:widow-orphan;\n\tfont-size:10.0pt;\n\tfont-family:\"Times New Roman\";}\n<\/style>\n\n\n<![endif]--><!-- [if gte mso 9]><xml>\n <o:shapedefaults v:ext=\"edit\" spidmax=\"1027\"\/>\n<\/xml><![endif]--><!-- [if gte mso 9]><xml>\n <o:shapelayout v:ext=\"edit\">\n  <o:idmap v:ext=\"edit\" data=\"1\"\/>\n <\/o:shapelayout><\/xml><![endif]--><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\"><a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/letinis-viduriu-uzkietejimas\/4385\">L\u0117tinis viduri\u0173 u\u017ekiet\u0117jimas<\/a> \u2013 gana da\u017enas sveikatos sutrikimas. Vakar\u0173 Europoje nuo jo ken\u010dia 2\u221227 proc., Jungtin\u0117se Amerikos Valstijose \u2013 12\u201319 proc. gyventoj\u0173. Da\u017eniau jis vargina vyresnio am\u017eiaus asmenis ir moteris. <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/letinis-viduriu-uzkietejimas\/4385\">L\u0117tinis viduri\u0173 u\u017ekiet\u0117jimas<\/a> (LVU) trikdo kasdien\u0119 pacient\u0173 veikl\u0105, blogina j\u0173 gyvenimo kokyb\u0119. Nors sutrikimas, regis, pasirei\u0161kia nekaltais ir nepavojingais simptomais, <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/letinis-viduriu-uzkietejimas\/4385\">l\u0117tinis viduri\u0173 u\u017ekiet\u0117jimas<\/a> gali tur\u0117ti rimt\u0173 pasekmi\u0173: padid\u0117ja gaubtin\u0117s \u017earnos v\u0117\u017eio tikimyb\u0117, su viduri\u0173 u\u017ekiet\u0117jimu siejamas hemorojaus, \u017earn\u0173 obstrukcijos i\u0161sivystymas, gali i\u0161op\u0117ti ir kraujuoti tiesioji \u017earna ar net ply\u0161ti \u017earnos. Tod\u0117l \u0161i problema i\u0161lieka labai opi, apie kuri\u0105 b\u016btina kalb\u0117ti.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Viduri\u0173 u\u017ekiet\u0117jimo prie\u017eastys<\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Tikslus idiopatinio viduri\u0173 u\u017ekiet\u0117jimo i\u0161sivystymo mechanizmas ne\u017einomas, ta\u010diau j\u012f skatinti gali nema\u017eai veiksni\u0173, toki\u0173 kaip nepakankamai skaidul\u0173 maiste, menkas fizinis aktyvumas, ma\u017eai vartojama skys\u010di\u0173, esant motorikos sutrikimui, sutrikus tiesiosios \u017earnos tu\u0161tinimuisi, netaisyklingai tu\u0161tinantis. \u012etakos turi ir am\u017eiaus nulemti poky\u010diai: ma\u017e\u0117ja seili\u0173 sekrecija, atsiranda degeneraciniai lygi\u0173j\u0173 raumen\u0173 ar nervin\u0117s reguliacijos sistem\u0173 pakitimai bei psichologin\u0117s prie\u017eastys.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Galimos ir antrin\u0117s obstipacijos prie\u017eastys:<\/span><\/em><\/p>\n<ul style=\"margin-top: 0cm;\">\n<li class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%; mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">vaistai: opiatai, psichotropiniai, antikonvulsiniai, anticholinerginiai, dopaminerginiai, kalcio kanal\u0173 blokatoriai, tul\u017eies r\u016bg\u0161\u010di\u0173 sujungikliai, nesteroidiniai vaistai nuo u\u017edegimo;<\/span><\/em><\/li>\n<li class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%; mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">endokrinin\u0117s ligos: cukrinis diabetas, <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/suaugusiuju-hipotireoze-\/61185\">hipotiroidizmas<\/a>, hiperparatiroidizmas, feochromocitoma;<\/span><\/em><\/li>\n<li class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%; mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">nerv\u0173 sistemos ligos: <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/parkinsono-liga\/53678\">Parkinsono liga<\/a>, stuburo pa\u017eeidimai;<\/span><\/em><\/li>\n<li class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%; mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">dirgliosios \u017earnos sindromas;<\/span><\/em><\/li>\n<li class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%; mso-list: l0 level1 lfo2; tab-stops: list 36.0pt;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">polipai. <\/span><\/em><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Klinika<\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Viduri\u0173 u\u017ekiet\u0117jimo simptomai:<\/span><\/em><\/p>\n<ul style=\"margin-top: 0cm;\">\n<li class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">retas (&lt; 3 kartai per savait\u0119), sunkus, kartais \u2013 skausmingas tu\u0161tinimasis;<\/span><\/em><\/li>\n<li class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">kietos, negausios i\u0161matos (pav);<\/span><\/em><\/li>\n<li class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">nevisi\u0161ko pasitu\u0161tinimo jausmas;<\/span><\/em><\/li>\n<li class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">nuolatinis <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/pilvo-putimas\/56475\">pilvo p\u016btimas<\/a> ir maudimas;<\/span><\/em><\/li>\n<li class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">sutrik\u0119s miegas, bloga nuotaika;<\/span><\/em><\/li>\n<li class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">gali atsirasti galvos skausmai, pykinimas.<\/span><\/em><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Vertimas:<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">1 tipas<\/span><\/em><\/strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\"> \u2013 atskiri kieti gabaliukai, lyg rie\u0161utai (spiros)<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">2 tipas<\/span><\/em><\/strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\"> \u2013 de\u0161ros formos, ta\u010diau kauburiuotos (lumpy)<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">3 tipas<\/span><\/em><\/strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\"> \u2013 de\u0161ros ar gyvat\u0117s formos ta\u010diau su \u012ftr\u016bkimais pavir\u0161iuje<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">4 tipas<\/span><\/em><\/strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\"> \u2013 de\u0161ros ar gyvat\u0117s formos, lygiu pavir\u0161iumi ir mink\u0161tos<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">5 tipas<\/span><\/em><\/strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\"> \u2013 mink\u0161ti gumul\u0117liai su ai\u0161kiai lygiais nukirstais galais<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">6 tipas<\/span><\/em><\/strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\"> \u2013 mink\u0161ti gabaliukai su nelygiais galais, ko\u0161\u0117s formos<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">7 tipas<\/span><\/em><\/strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\"> \u2013 vandeningos, n\u0117ra kiet\u0173 gabaliuk\u0173<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Paai\u0161kinimas po paveikslu:<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">1 tipas yra tikroji, neabejotina <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/obstipacija\/4441\">obstipacija<\/a><\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">2 tipas yra galima <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/obstipacija\/4441\">obstipacija<\/a><\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">3 ir 5 tipai \u2013 pseudoobstipacija, pseudodiar\u0117ja<\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">4 tipas \u2013 ideali i\u0161mat\u0173 forma<\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">6<\/span><\/em><\/strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\"> <strong>tipas \u2013 galimas <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/viduriavimas-2\/72707\">viduriavimas<\/a><\/strong><\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">7 tipas &#8211; <a href=\"https:\/\/pasveik.lt\/lt\/ligos-ir-sindromai\/viduriavimas-2\/72707\">viduriavimas<\/a><\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">L\u0117tinio viduri\u0173 u\u017ekiet\u0117jimo diagnostiniai kriterijai<\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Viduri\u0173 u\u017ekiet\u0117jimas yra labiau simptomas ar j\u0173 kompleksas nei savaranki\u0161ka liga. Dabar n\u0117ra vieningai priimti LVU klinikiniai diagnostiniai kriterijai, ta\u010diau pla\u010diai naudojami ir paplit\u0119 Romos III kriterijai (2006). Remiantis jais, viduri\u0173 u\u017ekiet\u0117jimas apibr\u0117\u017eiamas kaip simptom\u0173 buvimas bent 3 paskutinius m\u0117nesius ir j\u0173 atsiradimas prie\u0161 6 m\u0117nesius iki nustatant diagnoz\u0119. <\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Turi b\u016bti visi 3 kriterijai. Bent du simptomai: <\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 36.0pt; text-align: justify; text-indent: -18.0pt; line-height: 150%; mso-list: l1 level1 lfo1;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial; mso-fareast-font-family: Arial;\"><span style=\"mso-list: Ignore;\">1.<span style=\"font: 7.0pt 'Times New Roman';\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span><\/em><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Stanginamasi daugiau nei 25 proc. tu\u0161tinim\u0173si.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 36.0pt; text-align: justify; text-indent: -18.0pt; line-height: 150%; mso-list: l1 level1 lfo1;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial; mso-fareast-font-family: Arial;\"><span style=\"mso-list: Ignore;\">2.<span style=\"font: 7.0pt 'Times New Roman';\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span><\/em><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Kietos ar gumuliuotos i\u0161matos daugiau nei 25 proc. tu\u0161tinim\u0173si.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 36.0pt; text-align: justify; text-indent: -18.0pt; line-height: 150%; mso-list: l1 level1 lfo1;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial; mso-fareast-font-family: Arial;\"><span style=\"mso-list: Ignore;\">3.<span style=\"font: 7.0pt 'Times New Roman';\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span><\/em><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Nevisi\u0161ko pasitu\u0161tinimo jausmas daugiau nei 25 proc. tu\u0161tinim\u0173si.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 36.0pt; text-align: justify; text-indent: -18.0pt; line-height: 150%; mso-list: l1 level1 lfo1;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial; mso-fareast-font-family: Arial;\"><span style=\"mso-list: Ignore;\">4.<span style=\"font: 7.0pt 'Times New Roman';\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span><\/em><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Obstrukcijos ar bloko jausmas i\u0161ang\u0117je daugiau nei 25 proc. tu\u0161tinim\u0173si.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 36.0pt; text-align: justify; text-indent: -18.0pt; line-height: 150%; mso-list: l1 level1 lfo1;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial; mso-fareast-font-family: Arial;\"><span style=\"mso-list: Ignore;\">5.<span style=\"font: 7.0pt 'Times New Roman';\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span><\/em><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Rank\u0173 manipuliacijos tu\u0161tinimuisi palengvinti daugiau nei 25 proc. tu\u0161tinim\u0173si.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 36.0pt; text-align: justify; text-indent: -18.0pt; line-height: 150%; mso-list: l1 level1 lfo1;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial; mso-fareast-font-family: Arial;\"><span style=\"mso-list: Ignore;\">6.<span style=\"font: 7.0pt 'Times New Roman';\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span><\/em><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Ma\u017eiau nei trys tu\u0161tinimosi epizodai per savait\u0119.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">B. Retai pavyksta pasitu\u0161tinti nevartojant viduri\u0173 laisvinam\u0173j\u0173 vaist\u0173.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">C. Nepakanka simptom\u0173 diagnozuoti dirgliosios \u017earnos sindromui. <\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Surinkus i\u0161sami\u0105 anamnez\u0119 ir \u012fvertinus nusiskundimus, ap\u017ei\u016brima perianalin\u0117 sritis d\u0117l galimos \u012fpl\u0117\u0161os, hemorojini\u0173 mazg\u0173, rand\u0173 ar fistuli\u0173. Atliekant digitalin\u012f tyrim\u0105, nustatomos strikt\u016bros, mas\u0117s, esan\u010dios tiesiosioje \u017earnoje, \u012fvertinamas sfinkterio tonusas bei dubens raumen\u0173 \u012fsitempimas, gleivin\u0117s prolabavimas. <\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Nors laboratoriniai tyrimai didel\u0117s diagnostin\u0117s reik\u0161m\u0117s neturi, ta\u010diau, \u012ftariant antrin\u0119 viduri\u0173 u\u017ekiet\u0117jimo prie\u017east\u012f, rekomenduojama atlikti bendr\u0105 kraujo, elektrolit\u0173, gliukoz\u0117s, skydliauk\u0117s hormon\u0173 tyrimus. Nustatomi galimi metaboliniai, endokrininiai ar organiniai sutrikimai, turintys \u012ftakos LVU. <\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Instrumentiniai tyrimai atliekami \u012ftariant pirmin\u0117s kilm\u0117s viduri\u0173 u\u017ekiet\u0117jim\u0105. Da\u017eniausiai atliekama vir\u0161kinamojo trakto ap\u017evalgin\u0117 arba naudojant kontrastin\u0119 med\u017eiag\u0105 bar\u012f rentgenograma. Stebimos pilnos i\u0161mat\u0173 mas\u0117s \u017earnos.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong style=\"mso-bidi-font-weight: normal;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Gydymo taktika<\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Viena pagrindini\u0173 ir efektyvi\u0173 viduri\u0173 u\u017ekiet\u0117jimo gydymo taktik\u0173 yra subalansuota mityba ir gyvensenos keitimas. Pacientai tur\u0117t\u0173 vartoti maisto, gausiai turin\u010dio skaidulini\u0173 med\u017eiag\u0173, gerti pakankamai skys\u010di\u0173 (per par\u0105 rekomenduojama i\u0161gerti iki 8 stiklini\u0173 vandens). Der\u0117t\u0173 vengt\u0173 pieno produkt\u0173, kavos, arbatos bei alkoholio. Esant viduri\u0173 u\u017ekiet\u0117jimui, gali pad\u0117ti fizinis aktyvumas, tod\u0117l b\u016btina pacient\u0105 skatinti kuo daugiau jud\u0117ti. <\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Vis d\u0117lto da\u017eniausiai viduri\u0173 u\u017ekiet\u0117jimui gydyti pacientui tenka vartoti viduri\u0173 laisvinam\u0173j\u0173 vaist\u0173. Juos galima skirti \u012f 4 grupes: didinantys i\u0161mat\u0173 t\u016br\u012f, stimuliuojamieji, i\u0161matas mink\u0161tinantys ir osmosiniai (1 lentel\u0117). <\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">\u00a0<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong style=\"mso-bidi-font-weight: normal;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">1 lentel\u0117. Viduri\u0173 laisvinam\u0173j\u0173 vaist\u0173 grup\u0117s<\/span><\/em><\/strong><\/p>\n<table class=\"MsoNormalTable\" style=\"border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-yfti-tbllook: 160; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext;\" border=\"1\">\n<tbody>\n<tr style=\"mso-yfti-irow: 0;\">\n<td style=\"width: 111.75pt; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong style=\"mso-bidi-font-weight: normal;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Grup\u0117<\/span><\/em><\/strong><\/p>\n<\/td>\n<td style=\"width: 163.0pt; border: solid windowtext 1.0pt; border-left: none; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong style=\"mso-bidi-font-weight: normal;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Pavyzdys<\/span><\/em><\/strong><\/p>\n<\/td>\n<td style=\"width: 7.0cm; border: solid windowtext 1.0pt; border-left: none; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong style=\"mso-bidi-font-weight: normal;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Poveikis<\/span><\/em><\/strong><\/p>\n<\/td>\n<\/tr>\n<tr style=\"mso-yfti-irow: 1;\">\n<td style=\"width: 111.75pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">T\u016br\u012f didinantys <\/span><\/em><\/p>\n<\/td>\n<td style=\"width: 163.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Smiltyninis gyslotis\/Psyllium<\/span><\/em><\/p>\n<\/td>\n<td style=\"width: 7.0cm; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Preparatai didina i\u0161mat\u0173 t\u016br\u012f ir vandens absorbcij\u0105, skatina \u017earnyno peristaltik\u0105 <\/span><\/em><\/p>\n<\/td>\n<\/tr>\n<tr style=\"mso-yfti-irow: 2;\">\n<td style=\"width: 111.75pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Stimuliuojamieji <\/span><\/em><\/p>\n<\/td>\n<td style=\"width: 163.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Sena, bisakodilis<\/span><\/em><\/p>\n<\/td>\n<td style=\"width: 7.0cm; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Skatina \u017earn\u0173 peristaltik\u0105 ir sekrecij\u0105<\/span><\/em><\/p>\n<\/td>\n<\/tr>\n<tr style=\"mso-yfti-irow: 3;\">\n<td style=\"width: 111.75pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">I\u0161matas mink\u0161tinantys<\/span><\/em><\/p>\n<\/td>\n<td style=\"width: 163.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Mineraliniai aliejai<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">\u017dem\u0117s rie\u0161ut\u0173 aliejus<\/span><\/em><\/p>\n<\/td>\n<td style=\"width: 7.0cm; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Mink\u0161tina i\u0161matas<\/span><\/em><\/p>\n<\/td>\n<\/tr>\n<tr style=\"mso-yfti-irow: 4; mso-yfti-lastrow: yes;\">\n<td style=\"width: 111.75pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Osmosiniai <\/span><\/em><\/p>\n<\/td>\n<td style=\"width: 163.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Laktulioz\u0117 <\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Polietilenglikolis (PEG)<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Magnio hidroksidas<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Magnio druskos<\/span><\/em><\/p>\n<\/td>\n<td style=\"width: 7.0cm; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\">\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Skatina vandens sekrecij\u0105 \u012f \u017earn\u0173 spind\u012f <\/span><\/em><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong style=\"mso-bidi-font-weight: normal;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">\u00a0<\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Remiantys de\u0161imties atsitiktini\u0173 im\u010di\u0173 tyrim\u0173 metaanalizi\u0173 duomenimis, kai buvo lyginamas polietilenglikolio ir laktulioz\u0117s poveikis LVU, paai\u0161k\u0117jo, kad PEG yra veiksmingesnis ir saugesnis gydant viduri\u0173 u\u017ekiet\u0117jim\u0105. PEG u\u017etikrina reguliari\u0105 defekacij\u0105, nesukelia pilvo skausmo bei suma\u017eina papildom\u0173 med\u017eiag\u0173 vartojimo poreik\u012f. Teigiamas PEG poveikis nustatytas visose tiriam\u0173j\u0173 grup\u0117se, ir suaugusi\u0173j\u0173, ir vaik\u0173. <\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Lietuvos farmacijos rinkoje pla\u010diai vartojamas polietilenglikolio preparatas <a href=\"https:\/\/pasveik.lt\/lt\/vaistai\/forlax\/5723\">Forlax<\/a>. Vaistas rekomenduojamas viduri\u0173 u\u017ekiet\u0117jimui gydyti suaugusiems \u017emon\u0117ms ir vyresniems nei 8 met\u0173 vaikams. Preparatas gaminamas milteli\u0173 forma, kurie prie\u0161 vartojim\u0105 i\u0161tirpinami stiklin\u0117je vandens. Paprastai reikia skirti po 1\u20132 paket\u0117lius per par\u0105, geriausia <a href=\"https:\/\/pasveik.lt\/lt\/vaistai\/forlax\/5723\">Forlax<\/a> i\u0161gerti i\u0161 pat ryto. PEG preparatas veikia nuo 24 iki 48 valand\u0173.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Veiksmingumas ilgainiui nema\u017e\u0117ja<\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Makrogolio (<a href=\"https:\/\/pasveik.lt\/lt\/vaistai\/forlax\/5723\">Forlax<\/a>) efektyvumas ilgainiui nema\u017e\u0117ja ir nepriklauso nei nuo vartojimo laiko (paros meto), nei nuo to, kada valgoma. Pavartojus vaisto, pirmasis poveikis pasirei\u0161kia po 1\u20132 dien\u0173. Reguliariai vartojant \u0161\u012f preparat\u0105 paprastai tu\u0161tinamasi 1 kart\u0105 per par\u0105. Makrogolis (<a href=\"https:\/\/pasveik.lt\/lt\/vaistai\/forlax\/5723\">Forlax<\/a>) yra itin saugus vartojant ilg\u0105 laik\u0105, efektyvus ir da\u017eniausiai gerai toleruojamas, tod\u0117l esti pirmiausia pasirenkamu viduri\u0173 laisvinamuoju vaistu pacientams, sergantiems \u012fvairios kilm\u0117s l\u0117tiniu bei opioid\u0173 sukeltu viduri\u0173 u\u017ekiet\u0117jimu, jei tik \u0161ie pacientai paj\u0117gia suvartoti reikiam\u0105 skys\u010di\u0173 kiek\u012f (125 ml skys\u010di\u0173 kiekvienam pakeliui). Lyginant su laktulioze, gydant makrogoliu meteorizmas ir pilvo diegliai pasitaiko labai retai.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Kai viduri\u0173 u\u017ekiet\u0117jimas sunkus, <a href=\"https:\/\/pasveik.lt\/lt\/vaistai\/forlax\/5723\">Forlax<\/a> skiriama vartoti du kartus per dien\u0105: po du paket\u0117lius i\u0161tirpinti stiklin\u0117je vandens ryt\u0105 ir vakare, vartoti pirmas tris dienas. Po to doz\u0117 gali b\u016bti individualiai koreguojama, ma\u017einama (iki vieno paket\u0117lio ryt\u0105). <a href=\"https:\/\/pasveik.lt\/lt\/vaistai\/forlax\/5723\">Forlax<\/a> 4 g skiriamas vaikams nuo 6 m\u0117nesi\u0173 iki 8 met\u0173 (6 m\u0117n.\u20131 m. \u2013 1 paket\u0117lis, 1\u20134 m. \u2013 1\u20132 paket\u0117liai, 4\u20138 m. \u2013 2\u20134 paket\u0117liai per par\u0105). <a href=\"https:\/\/pasveik.lt\/lt\/vaistai\/forlax\/5723\">Forlax<\/a> 10 g skiriamas vyresniems kaip 8 met\u0173 am\u017eiaus vaikams po 1\u20132 paket\u0117lius per par\u0105.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><strong><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Apibendrinimas<\/span><\/em><\/strong><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Esant l\u0117tiniam viduri\u0173 u\u017ekiet\u0117jimui tu\u0161tinamasi re\u010diau nei 3 kartus per savait\u0119 ir ilgiau nei 6 savaites, vargina skausmingas tu\u0161tinimasis, tepimas i\u0161matomis, enkoprez\u0117, periodi\u0161kai tu\u0161tinamasi gausiomis i\u0161matomis. Ap\u017ei\u016bros metu pilvo ertm\u0117je \u010diuopiami kieti dariniai. Kartais viduri\u0173 u\u017ekiet\u0117jimas b\u016bna vienintelis paciento nusiskundimas, o kartais j\u012f lydi ir kiti simptomai (meteorizmas, varginantis pilvo skausmas, i\u0161mat\u0173 pavir\u0161iuje gali b\u016bti \u0161vie\u017eio kraujo p\u0117dsak\u0173 d\u0117l i\u0161ang\u0117s \u012fpl\u0117\u0161os). Viduri\u0173 u\u017ekiet\u0117jimo diagnostika remiasi Romos III kriterijais (2006), pacient\u0173 nusiskundimais, laboratoriniais bei instrumentiniais (storosios \u017earnos pasa\u017eo laikas, defekografija, elektromiografija, baliono i\u0161traukimo <a href=\"https:\/\/pasveik.lt\/lt\/vaistai\/testas\/5228\">testas<\/a>, anorektalin\u0117 manometrija) tyrimais. Obstipacijos gydymas pradedamas nuo mitybos ir gyvensenos keitimo. Vis d\u0117lto da\u017eniausiai viduri\u0173 u\u017ekiet\u0117jimui gydyti pacientui tenka skirti viduri\u0173 laisvinam\u0173j\u0173 vaist\u0173 (didinan\u010di\u0173 i\u0161mat\u0173 t\u016br\u012f, stimuliuojam\u0173j\u0173, i\u0161matas mink\u0161tinan\u010di\u0173 ir osmosini\u0173). Remiantis klinikini\u0173 tyrim\u0173 duomenimis, efektyviausiai ir saugiausiai LVU gydym\u0105 prad\u0117ti nuo polietilenglikolio preparat\u0173. Makrogolio (<a href=\"https:\/\/pasveik.lt\/lt\/vaistai\/forlax\/5723\">Forlax<\/a>) efektyvumas ilgainiui nema\u017e\u0117ja ir nepriklauso nei nuo vartojimo laiko (paros meto), nei nuo to, kada valgoma. Pirmasis vaisto poveikis pasirei\u0161kia po 1\u20132 dien\u0173. Reguliariai vartojant \u0161\u012f preparat\u0105 paprastai tu\u0161tinamasi 1 kart\u0105 per par\u0105.<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Pareng\u0117 gyd. R. Jasiukevi\u010di\u016bt\u0117<\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">\u00a0\u017durnalas Farmacija ir laikas <br \/><\/span><\/em><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">Parengta pagal: World Gastroenterology Organisation Global Guidelines Constipation: a global perspective. November 2010<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p><!-- [if gte mso 9]><xml>\n <o:OfficeDocumentSettings>\n  <o:AllowPNG\/>\n  <o:TargetScreenSize>1024x768<\/o:TargetScreenSize>\n <\/o:OfficeDocumentSettings>\n<\/xml><![endif]--><\/p>\n<p><!-- [if gte mso 9]><xml>\n <w:WordDocument>\n  <w:View>Normal<\/w:View>\n  <w:Zoom>0<\/w:Zoom>\n  <w:HyphenationZone>19<\/w:HyphenationZone>\n  <w:Compatibility>\n   <w:BreakWrappedTables\/>\n   <w:SnapToGridInCell\/>\n   <w:WrapTextWithPunct\/>\n   <w:UseAsianBreakRules\/>\n  <\/w:Compatibility>\n <\/w:WordDocument>\n<\/xml><![endif]--><!-- [if gte mso 10]>\n\n\n<style>\n \/* Style Definitions *\/\n table.MsoNormalTable\n\t{mso-style-name:\"Table Normal\";\n\tmso-tstyle-rowband-size:0;\n\tmso-tstyle-colband-size:0;\n\tmso-style-noshow:yes;\n\tmso-style-parent:\"\";\n\tmso-padding-alt:0cm 5.4pt 0cm 5.4pt;\n\tmso-para-margin:0cm;\n\tmso-para-margin-bottom:.0001pt;\n\tmso-pagination:widow-orphan;\n\tfont-size:10.0pt;\n\tfont-family:\"Times New Roman\";}\n<\/style>\n\n\n<![endif]--><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify; line-height: 150%;\"><em><span style=\"font-size: 10.0pt; line-height: 150%; font-family: Arial;\">L\u0117tinis viduri\u0173 u\u017ekiet\u0117jimas \u2013 gana da\u017enas sveikatos sutrikimas. Vakar\u0173 Europoje nuo jo ken\u010dia 2\u221227 proc., Jungtin\u0117se Amerikos Valstijose \u2013 12\u201319 proc. gyventoj\u0173. Da\u017eniau jis vargina vyresnio am\u017eiaus asmenis ir moteris. L\u0117tinis viduri\u0173 u\u017ekiet\u0117jimas (LVU) trikdo kasdien\u0119 pacient\u0173 veikl\u0105, blogina j\u0173 gyvenimo kokyb\u0119. Nors sutrikimas, regis, pasirei\u0161kia nekaltais ir nepavojingais simptomais, l\u0117tinis viduri\u0173 u\u017ekiet\u0117jimas gali tur\u0117ti rimt\u0173 pasekmi\u0173: padid\u0117ja gaubtin\u0117s \u017earnos v\u0117\u017eio tikimyb\u0117, su viduri\u0173 u\u017ekiet\u0117jimu siejamas hemorojaus, \u017earn\u0173 obstrukcijos i\u0161sivystymas, gali i\u0161op\u0117ti ir kraujuoti tiesioji \u017earna ar net ply\u0161ti \u017earnos. Tod\u0117l \u0161i problema i\u0161lieka labai opi, apie kuri\u0105 b\u016btina kalb\u0117ti.<\/span><\/em><\/p>\n","protected":false},"author":1,"featured_media":8330,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[27313],"tags":[7949,3584,51,791,10425,873,138,1246],"site":[],"post_item_type":[27345],"class_list":["post-8329","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gydymo-naujienos","tag-forlax","tag-iplesos","tag-jausmas","tag-mases","tag-paros","tag-preparatas","tag-vaistai","tag-viduriavimas"],"acf":{"post_sites":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/8329","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=8329"}],"version-history":[{"count":0,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/posts\/8329\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media\/8330"}],"wp:attachment":[{"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/media?parent=8329"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/categories?post=8329"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/tags?post=8329"},{"taxonomy":"site","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/site?post=8329"},{"taxonomy":"post_item_type","embeddable":true,"href":"https:\/\/www.pasveik.lt\/lt\/wp-json\/wp\/v2\/post_item_type?post=8329"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}