ORTO Kl\u012bnik\u0101 J\u016bs varat sa\u0146emt visa veida risin\u0101jumus plaukstas s\u0101pju un saslim\u0161anu gad\u012bjum\u0101<\/p>\n\n\n\n
Plaukstas un plaukstas loc\u012btavas s\u0101pju iemesli<\/strong><\/p>\n\n\n Karp\u0101l\u0101 kan\u0101la sindroms<\/strong><\/p>\n\n\n\n S\u0101pes, tirp\u0161ana, plaukstas v\u0101jums, neveikl\u012bba ir rakstur\u012bgi karp\u0101l\u0101 kan\u0101la simptomi. Nervs, kas iet no kakla da\u013cas un ietiecas plaukst\u0101, sazarojoties maz\u0101kos, ir b\u016btisk\u0101kais plaukst\u0101. Vieta, kan\u0101ls jeb tunelis, kas tam anatomiski paredz\u0113ts ir neelast\u012bgs – no apak\u0161puses norobe\u017eots s\u012bkiem kauliem, no aug\u0161puses \u2013 saistaudiem, atst\u0101jot vien \u0161autu eju nervam. Regul\u0101ra p\u0101rslodze plaukst\u0101, iedzimt\u012bba, pieder\u012bba sievie\u0161u dzimumam, virkne saslim\u0161anu \u2013 diab\u0113ts, reimatiskais artr\u012bts \u2013 var veicin\u0101t iekaisumu plaukstas m\u012bkstajos audos, radot t\u016bsku, sa\u0161aurinot karp\u0101l\u0101 kan\u0101la telpu un saspie\u017eot nervu.<\/p>\n\n\n\n S\u0101kumposm\u0101 simptomi nav past\u0101v\u012bgi, bet probl\u0113mai progres\u0113jot, prasti pievienojas nakts s\u0101pes, k\u0101 ar\u012b gr\u016bt\u012bbas ilgsto\u0161i tur\u0113t rok\u0101s priek\u0161metus \u2013 telefonu, auto st\u016bri, gr\u0101matu.<\/p>\n\n\n\n S\u0101kotn\u0113jos karp\u0101l\u0101 kan\u0101la simptomus ieteicams neignor\u0113t, bet konsult\u0113ties pie speci\u0101lista, lai preciz\u0113tu diagnozi un \u012bstenotu konservat\u012bvu \u0101rst\u0113\u0161anu t\u0101, ierobe\u017eojot probl\u0113mas att\u012bst\u012bbu. Konservat\u012bv\u0101 \u0101rst\u0113\u0161ana ietver \u2013 plaukstas regul\u0101ru vingrin\u0101\u0161anu, p\u0113c iesp\u0113jas izvair\u012b\u0161anos no darb\u012bb\u0101m, kas provoc\u0113ju\u0161as karp\u0101l\u0101 kan\u0101la sindromu, ergonomisku darba vides iek\u0101rto\u0161anu, nestero\u012bdu pretiekaisuma medikamentu lieto\u0161anu un stero\u012bdu injekcijas.<\/p>\n\n\n\n Ja simptomi progres\u0113, konservat\u012bv\u0101 terapija vairs nel\u012bdz, nej\u016bt\u012bba plaukst\u0101 k\u013c\u016bst izteikt\u0101ka, lai situ\u0101cija nek\u013c\u016btu neatgriezeniska, risin\u0101jums ir \u0137irur\u0123ija \u2013 atbr\u012bvojot telpu saspiestajam nervam.<\/p>\n\n<\/div><\/details><\/div>\n\n Artr\u012bts plaukst\u0101<\/strong><\/p>\n\n\n\n Pirm\u0101s plaukstas loc\u012btavas artr\u012bta paz\u012bmes ir s\u0101pes, v\u0101jums, dedzin\u0101\u0161ana k\u0101d\u0101 vai vair\u0101k\u0101s plaukstas loc\u012btav\u0101s. S\u0101kum\u0101 s\u0101pes parasti ir izteikt\u0101kas p\u0113c liel\u0101kas plaukstas slodzes \u2013 smagumu ne\u0161anas, cel\u0161anas. Artr\u012btam rakstur\u012bgas ar\u012b r\u012bta s\u0101pes un st\u012bvums slim\u012bbas skartaj\u0101s loc\u012btav\u0101s. T\u016bska, iekaisuma rezult\u0101t\u0101 loc\u012btava var b\u016bt silta, karsta, t\u0101pat ap loc\u012btavu var veidoties cistas.<\/p>\n\n\n\n Bie\u017e\u0101k\u0101s artr\u012bta formas ir osteoartr\u012bts jeb loc\u012btavu nodil\u0161ana, kuras iemesls ir \u0137erme\u0146a un loc\u012btavu noveco\u0161an\u0101s, un \u2013 reimato\u012bdais artr\u012bts \u2013 hroniska autoim\u016bna saslim\u0161ana, kura boj\u0101 loc\u012btavas. Reimato\u012bdais art\u012bts slim\u012bbas s\u0101kumposm\u0101 bie\u017e\u0101k skar maz\u0101s loc\u012btavas \u2013 plaukstas un p\u0113du. Rakstur\u012bgi \u2013 slim\u012bba vienlaikus boj\u0101 loc\u012btavas ab\u0101s \u0137erme\u0146a puses (ab\u0101s plaukst\u0101s, p\u0113d\u0101s).<\/p>\n\n\n\n Ja artr\u012bta c\u0113lonis ir reimato\u012bdais artr\u012bts, pamatslim\u012bbu \u0101rst\u0113 reimatologs, tom\u0113r gan plaukstas osteoartr\u012bta, gan reimato\u012bd\u0101 artr\u012bta gad\u012bjum\u0101 plaukstas loc\u012btavu boj\u0101jumus \u0101rst\u0113 un risin\u0101jumus mekl\u0113 \u2013 plaukstas \u0137irurgs.<\/p>\n\n\n\n Plaukstas loc\u012btavu artr\u012btu \u0101rst\u0113 ar medikamentiem, izmanto speci\u0101lu ortozi, veic injekcijas. \u0136irur\u0123iskas \u0101rst\u0113\u0161anas m\u0113r\u0137is ir nodro\u0161in\u0101t s\u0101pju ierobe\u017eo\u0161anu ilgtermi\u0146\u0101 un atjaunot kust\u012bgumu plaukst\u0101. Atkar\u012bb\u0101 no boj\u0101juma pak\u0101pes, plaukstas loc\u012btavas var saglab\u0101t un rekonstru\u0113t, vai ar\u012b endoprotez\u0113t, vai piln\u012bb\u0101 sl\u0113gt.<\/p>\n\n<\/div><\/details><\/div>\n\n Plaukstas saistaudu slim\u012bba, kas izraisa plaukstas fascijas sabiez\u0113\u0161anu un mezglu veido\u0161anos plaukstas zem\u0101d\u0101. Mezgliem palielinoties, tiek savilkti pirksti (bie\u017e\u0101k mazais pirksts un zeltnesis), veidojot t\u0101 d\u0113v\u0113to Dipitr\u0113na konstrukciju, kas izraisa kust\u012bbu ierobe\u017eojumu plaukst\u0101.<\/p>\n\n\n\n Slim\u012bbas c\u0113lo\u0146i ir neskaidri, tom\u0113r ir nov\u0113rotas sakar\u012bbas, ka plaukstas p\u0101rslodze smag\u0101 fizisk\u0101 darb\u0101, iedzimt\u012bba, pieder\u012bba Zieme\u013ceiropie\u0161u taut\u0101m, diab\u0113ts un v\u012brie\u0161u dzimums ir veicino\u0161i faktori.<\/p>\n\n\n\n Slim\u012bba progres\u0113 \u013coti l\u0113ni un vairum\u0101 gad\u012bjumu cilv\u0113ki sadz\u012bvo ar izmai\u0146\u0101m plaukstas loc\u012btav\u0101, tom\u0113r atsevi\u0161\u0137os gad\u012bjumos ar laiku pirksti var k\u013c\u016bt tik savilkti un plaukstas st\u0101voklis tik nepiem\u0113rots ikdienas vajadz\u012bb\u0101m, ka nepiecie\u0161ama \u0137irur\u0123iska \u0101rst\u0113\u0161ana, atbr\u012bvojot savilktos saistaudus un atjaunojot pareizu plaukstas anatomiju.<\/p>\n\n<\/div><\/details><\/div>\n\n Bie\u017e\u0101k sastopamai veidojums plaukst\u0101. Parasti \u0161ie veidojumi nav \u013caundab\u012bgi un bie\u017e\u0101k lokaliz\u0113jas plaukstas loc\u012btavas pamatnes virspus\u0113. Ar \u0161\u0137idrumu pild\u012bt\u0101s cistas m\u0113dz gan p\u0113k\u0161\u0146i par\u0101d\u012bties, gan p\u0113k\u0161\u0146i p\u0101riet. Vairum\u0101 gad\u012bjumu t\u0101s ir nes\u0101p\u012bgas, ja vien nenospie\u017e loc\u012btavas nervu, t\u0101 radot, s\u0101pes, tirp\u0161anu un musku\u013cu v\u0101jumu. T\u0101pat cista var k\u013c\u016bt tik liela, ka kust\u012bbas loc\u012btav\u0101 tiek apgr\u016btin\u0101tas un trauc\u0113tas.<\/p>\n\n\n\n Ganglija cistu veido\u0161an\u0101s iemesls ir neskaidrs, tom\u0113r to bie\u017e\u0101k saista ar plaukstu, plaukstas loc\u012btavas p\u0101rslodzi.<\/p>\n\n\n\n Ja cista nerada s\u016bdz\u012bbas, tai parasti \u013cauj p\u0101riet pa\u0161ai. Savuk\u0101rt, ja t\u0101 trauc\u0113, no cistas iesp\u0113jams izs\u016bkt \u0161\u0137idrumu. Proced\u016bras nosaukums \u2013 aspir\u0101cija. Veicot \u0161o proced\u016bru j\u0101\u0146em v\u0113r\u0101, ka cist\u0101m ir sakne, caur kuru t\u0101 piepild\u0101s ar \u0161\u0137idrumu. T\u0101d\u0113\u013c past\u0101v iesp\u0113ja, ka iztuk\u0161ota cista p\u0113c laika atkal piepild\u012bsies \u0161\u0137idrumu. Trauc\u0113jo\u0161as cistas iesp\u0113jams ar\u012b likvid\u0113t \u0137irur\u0123iski, iz\u0146emot ar\u012b cistas sakni.<\/p>\n\n<\/div><\/details><\/div>\n\n \u0100murveida pirksta deform\u0101cija (beisbola pirksts)<\/strong><\/p>\n\n\n\n Deform\u0101cija rodas traumas rezult\u0101t\u0101 p\u0101rpl\u0113\u0161ot c\u012bpslu, kas nodro\u0161ina pirksta saliek\u0161anu. Traumu parasti izraisa trieciens pa pirkstu galiem, piem\u0113ram ar bumbu, kura rezult\u0101t\u0101 gal\u0113j\u0101 pirksta falanga tiek tik stipri, ieliekta uz priek\u0161u, ka c\u012bpsla p\u0101rpl\u012bst vai iepl\u012bst. Boj\u0101tais pirksts piepampst, ir s\u0101p\u012bgs, t\u0101 gals nokar\u0101jas un iztaisnojams tikai ar otras rokas pal\u012bdz\u012bbu.<\/p>\n\n\n\n Vairum\u0101 gad\u012bjumu c\u012bpslas pl\u012bsumu \u0101rst\u0113 ne\u0137irur\u0123iski, fiks\u0113jot pirkstu ar \u0161inu. Tas j\u0101dara ne v\u0113l\u0101k, k\u0101 ned\u0113\u013cu p\u0113c traumas. Ne\u0101rst\u0113ts c\u012bpslas pl\u012bsums nesaaug. Pirksts paliek st\u012bvs un deform\u0113ts. \u0136irur\u0123iski c\u012bpslas pl\u012bsumu \u0101rst\u0113 gad\u012bjumos, kad \u0161\u0137embaini l\u016bzis ar\u012b pirksta kauls.<\/p>\n\n<\/div><\/details><\/div>","protected":false},"featured_media":0,"template":"","meta_box":[],"_links":{"self":[{"href":"https:\/\/orto.lv\/lt\/wp-json\/wp\/v2\/specializacijas\/2322"}],"collection":[{"href":"https:\/\/orto.lv\/lt\/wp-json\/wp\/v2\/specializacijas"}],"about":[{"href":"https:\/\/orto.lv\/lt\/wp-json\/wp\/v2\/types\/specializacijas"}],"wp:attachment":[{"href":"https:\/\/orto.lv\/lt\/wp-json\/wp\/v2\/media?parent=2322"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Karp\u0101l\u0101 kan\u0101la sindroms<\/strong><\/span><\/summary>
Artr\u012bts plaukst\u0101<\/strong><\/span><\/summary>
Dipitr\u0113na slim\u012bba<\/strong><\/span><\/summary>
Ganglija cistas<\/strong><\/span><\/summary>
\u0100murveida pirksta deform\u0101cija (beisbola pirksts)<\/strong><\/span><\/summary>