{"id":659,"date":"2021-03-09T09:06:00","date_gmt":"2021-03-09T09:06:00","guid":{"rendered":"https:\/\/orto.lv\/?post_type=aktualitates&p=659"},"modified":"2023-03-23T09:08:26","modified_gmt":"2023-03-23T09:08:26","slug":"izmeklejums-laicigai-sistemisko-saistaudu-slimibu-diagnosticesanai-637","status":"publish","type":"aktualitates","link":"https:\/\/orto.lv\/et\/jaunumi\/izmeklejums-laicigai-sistemisko-saistaudu-slimibu-diagnosticesanai-637\/","title":{"rendered":"Izmekl\u0113jums laic\u012bgai sist\u0113misko saistaudu slim\u012bbu diagnostic\u0113\u0161anai"},"content":{"rendered":"

Pirksti, kas laiku pa laikam k\u013c\u016bst balti, neapasi\u0146oti un nej\u016bt\u012bgi var liecin\u0101t par div\u0101m \u013coti at\u0161\u0137ir\u012bg\u0101m saslim\u0161an\u0101m. Gandr\u012bz nevain\u012bgu – Reino slim\u012bbu, kas aprobe\u017eojas tik vien, k\u0101  asinsrites p\u0113k\u0161\u0146u un \u012bslaic\u012bgu pasliktin\u0101\u0161anos – bie\u017e\u0101k aukstos laikapst\u0101k\u013cos, bet da\u017eiem -, rea\u0123\u0113jot uz stresa situ\u0101cij\u0101m. Otra ir saslim\u0161anu grupa \u2013 sist\u0113misk\u0101s saistaudu slim\u012bbas (atpaz\u012bstam\u0101k\u0101s – reimato\u012bdais artr\u012bts, sarkan\u0101 vilk\u0113de, skleroderma). Lai ar\u012b sist\u0113misk\u0101s saistaudu slim\u012bbas izpau\u017eas \u013coti da\u017e\u0101di, tom\u0113r nereti to s\u0101kum\u0101 visai \u0161ai grupai m\u0113dz par\u0101d\u012bties rakstur\u012bga paz\u012bme \u2013 slikti apasi\u0146oti, piet\u016bku\u0161i roku un k\u0101ju pirksti. <\/strong> <\/p>\n\n\n\n

Lai laikus diagnostic\u0113tu un no\u0161\u0137irtu Reino slim\u012bbu no sist\u0113misko saistaudu slim\u012bb\u0101m, ORTO Kl\u012bnikas reimatologijas noda\u013cas izmekl\u0113jumu kl\u0101sts papildin\u0101ts ar  kapilaroskopiju. L\u012bdz\u012bgi k\u0101 ultrosonogr\u0101fij\u0101, slidinot apar\u0101tu pa \u0101das virsmu, ar kapiloroskopu izmekl\u0113 kapil\u0101rus ienad\u017ea tuvum\u0101. Reino slim\u012bbas gad\u012bjum\u0101 pl\u016bsma kapil\u0101ros nav trauc\u0113ta. Kapil\u0101ru strauja sa\u0161aurin\u0101\u0161an\u0101s notiek vien specifiskos apst\u0101k\u013cos un p\u0113c neilga laika (~15 min) t\u0101 atjaunojas. Savuk\u0101rt sist\u0113misko saistaudu slim\u012bbu s\u0101kumstadij\u0101 asins cirkul\u0101cija kapil\u0101ros past\u0101v\u012bgi ir trauc\u0113ta. Kapiloroskopija to uzr\u0101da. <\/p>\n\n\n\n

Reino slim\u012bba<\/strong><\/p>\n\n\n\n

Reino slim\u012bba rakstur\u012bga sieviet\u0113m, kuras dz\u012bvo aukst\u0101s klimata josl\u0101s. Bie\u017e\u0101k t\u0101 skar k\u0101ju un roku pirkstus. Retos gad\u012bjumos \u2013 degunu, l\u016bpas, ausis. Reino slim\u012bba pirmo reizi par\u0101d\u0101s 15 \u2013 25 gadu vecum\u0101. T\u0101s iemesli nav skaidri. Asinscirkul\u0101cijas pasliktin\u0101\u0161an\u0101s kapil\u0101ros notiek p\u0113k\u0161\u0146i un p\u0101riet k\u0101 nebijusi. Mas\u0113jot baltos, slikti apasi\u0146otos pirkstus, tie pak\u0101peniski k\u013c\u016bst sarkani, silti un asinsrite atjaunoj\u0101s. \u0160o slim\u012bbu reti j\u0101\u0101rst\u0113 medikamentozi. Pamat\u0101 ieteicams piem\u0113rot\u0101k sevi sagatavot aukstiem laikapst\u0101k\u013ciem, regul\u0101ri nodarboties ar fizisk\u0101m aktivit\u0101t\u0113m, vesel\u012bgi \u0113st un nesm\u0113\u0137\u0113t.  <\/p>\n\n\n\n

Sist\u0113misko saistaudu slim\u012bbas<\/strong><\/p>\n\n\n\n

Sist\u0113misko saistaudu slim\u012bbu rezult\u0101t\u0101 \u0137erme\u0146a im\u016bnsist\u0113ma s\u0101k boj\u0101t \u0137erme\u0146a saistaudus: c\u012bpslas, saites, skrim\u0161\u013cus, kaulus, musku\u013cus, asinsvadus, \u0101du. Sist\u0113misko saistaudu slim\u012bbas da\u013c\u0113ji ir iedzimtas, da\u013c\u0113ji par to palaid\u0113j meh\u0101nismu var k\u013c\u016bt apk\u0101rt\u0113j\u0101 vide \u2013 pies\u0101r\u0146ojums, k\u0101 ar\u012b da\u017e\u0101das p\u0101rslimotas infekcijas.  <\/p>\n\n\n\n

Slikta pirkstu apasi\u0146o\u0161ana nereti ir pirmais sist\u0113misk\u0101s saistaudu saslim\u0161anas simptoms. Tas pirmo reizi par\u0101d\u0101s 35 – 45 gadu vecum\u0101. P\u0113c apraksta un izpausm\u0113m \u0161is simptoms \u013coti l\u012bdzin\u0101s Reino slim\u012bbai. Tom\u0113r sist\u0113misko saistaudu slim\u012bbu gad\u012bjum\u0101 tas ir \u013coti nopietns priek\u0161v\u0113stnesis. Laic\u012bga sist\u0113misko saistaudu slim\u012bbu s\u0101kumstadijas diagnostika ir b\u016btiska, lai v\u0113l\u0101k, kad k\u0101da no \u0161o slim\u012bbu grupas paz\u012bm\u0113m s\u0101ks skaidr\u0101k sevi manifest\u0113t, \u0101rsts  ne vien sp\u0113tu operat\u012bvi virz\u012bt diagnostikas procesu, bet ar\u012b uzs\u0101ktu \u0101rst\u0113\u0161anu, kas mazin\u0101tu komplik\u0101ciju riskus n\u0101kotn\u0113. <\/p>\n\n\n\n

Kapilaroskopiju ORTO Kl\u012bnik\u0101 veic \u0101rsts un izmekl\u0113jums pieejams kl\u012bnikas reimatolo\u0123ijas noda\u013c\u0101.\u00a0\u00a0Gatavojoties izmekl\u0113jumam, divas ned\u0113\u013cas uz nagiem nedr\u012bkst kl\u0101t laku!<\/strong><\/p>\n\n\n\n

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Izmekl\u0113jums datora ekr\u0101n\u0101<\/figcaption><\/figure>\n<\/figure>\n\n\n\n
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Kapilaroskops<\/figcaption><\/figure>\n<\/figure>","protected":false},"excerpt":{"rendered":"

Pirksti, kas laiku pa laikam k\u013c\u016bst balti, neapasi\u0146oti un nej\u016bt\u012bgi var liecin\u0101t par div\u0101m \u013coti at\u0161\u0137ir\u012bg\u0101m saslim\u0161an\u0101m. Gandr\u012bz nevain\u012bgu – Reino slim\u012bbu, kas aprobe\u017eojas tik vien, k\u0101\u00a0\u00a0asinsrites p\u0113k\u0161\u0146u un \u012bslaic\u012bgu pasliktin\u0101\u0161anos – bie\u017e\u0101k aukstos laikapst\u0101k\u013cos, bet da\u017eiem -, rea\u0123\u0113jot uz stresa situ\u0101cij\u0101m. <\/p>","protected":false},"featured_media":663,"template":"","categories":[],"meta_box":[],"_links":{"self":[{"href":"https:\/\/orto.lv\/et\/wp-json\/wp\/v2\/aktualitates\/659"}],"collection":[{"href":"https:\/\/orto.lv\/et\/wp-json\/wp\/v2\/aktualitates"}],"about":[{"href":"https:\/\/orto.lv\/et\/wp-json\/wp\/v2\/types\/aktualitates"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/orto.lv\/et\/wp-json\/wp\/v2\/media\/663"}],"wp:attachment":[{"href":"https:\/\/orto.lv\/et\/wp-json\/wp\/v2\/media?parent=659"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/orto.lv\/et\/wp-json\/wp\/v2\/categories?post=659"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}