{"id":965,"date":"2020-02-24T14:41:00","date_gmt":"2020-02-24T14:41:00","guid":{"rendered":"https:\/\/orto.lv\/?post_type=aktualitates&#038;p=965"},"modified":"2023-03-23T14:44:09","modified_gmt":"2023-03-23T14:44:09","slug":"apturet-segrena-sindromu-laikus-pieejams-izmeklejums-kas-palidz-slimibu-nekludigi","status":"publish","type":"aktualitates","link":"https:\/\/orto.lv\/jaunumi\/apturet-segrena-sindromu-laikus-pieejams-izmeklejums-kas-palidz-slimibu-nekludigi\/","title":{"rendered":"Aptur\u0113t \u0160egr\u0113na sindromu laikus \u2013 pieejams izmekl\u0113jums, kas pal\u012bdz slim\u012bbu nek\u013c\u016bd\u012bgi diagnostic\u0113t"},"content":{"rendered":"\n<p><strong>\u0160egr\u0113na sindroms (simptomu d\u0113\u013c bie\u017ei jaukts ar cit\u0101m saslim\u0161an\u0101m) nek\u013c\u016bd\u012bgi ir diagnostic\u0113jams ORTO Kl\u012bnik\u0101, Reimatolo\u0123ijas noda\u013c\u0101. Prec\u012bzu diagnozi un efekt\u012bvu \u0101rst\u0113\u0161anu iesp\u0113jams \u012bstenot, pacientiem veicot specifisku izmekl\u0113jumu \u2013 biopsiju, kas tiek \u0146emta no siekalu dziedzeriem.<\/strong><\/p>\n\n\n\n<p>\u0160egr\u0113na sindroms ir autoim\u016bna saslim\u0161ana, kuras rezult\u0101ta \u0137ermenis s\u0101k post\u012bt pats sevi. \u0160egr\u0113na sindroms skar dziedzerus &#8211; pamat\u0101 asaru un siekalu, radot sausuma, dedzin\u0101\u0161anas sajutu, gr\u016bt\u012bbas r\u012bt, run\u0101t, saj\u016btu, ka ac\u012bs iek\u013cuvis sve\u0161\u0137ermenis. \u0160\u012bs saslim\u0161anas rakstur\u012bgs pavadonis ir ilgsto\u0161s nogurums.<\/p>\n\n\n\n<p>Slim\u012bbu bie\u017ei jauc ar cit\u0101m, jo t\u0101 bie\u017ei kombin\u0113jas un daudz spilgt\u0101k izpau\u017eas k\u0101 reimato\u012bda artr\u012bta un sist\u0113misk\u0101s sarkan\u0101s vilk\u0113des simptomi ar s\u0101p\u012bg\u0101m, piet\u016bku\u0161\u0101m loc\u012btav\u0101m un izsitumiem uz \u0101das. T\u0101pat t\u0101 var skart nervu, asinsvadu sist\u0113mu, plau\u0161as, nieres. Nereti simptomiem pievienojas ar\u012b sasus klepus, \u0101das sausums, sieviet\u0113m &#8211; vagin\u0101ls sausums un neaugl\u012bba.<\/p>\n\n\n\n<p>Ar \u0160egr\u0113na sindromu slimo ar\u012b v\u012brie\u0161i, tom\u0113r bie\u017e\u0101k tas skar sievietes vecuma posm\u0101 p\u0113c 40. M\u016bsos &nbsp;ir konkr\u0113ti g\u0113ni, kuri nosaka liel\u0101ku varb\u016bt\u012bbu saslimt, tom\u0113r palaid\u0113jmeh\u0101nisms \u0160egr\u0113na sindromam parasti ir k\u0101da v\u012brusa vai bakt\u0113riju infekcija. Nereti \u0160egr\u0113na sindroms att\u012bst\u0101s reimatolo\u0123isko slim\u012bbu pacientiem.<\/p>\n\n\n\n<p>Apst\u0101klis, ka slim\u012bba norit it k\u0101 paral\u0113li cit\u0101m \u2013 vair\u0101k izteikt\u0101m un atpaz\u012bstam\u0101m, nereti rada situ\u0101ciju, ka \u0160egr\u0113na sindroma atpaz\u012b\u0161ana notiek nov\u0113loti. Dr. med. Anna Mihailova, ORTO Kl\u012bnikas reimatolo\u0123e atz\u012bst, ka bie\u017ei \u0160egr\u0113na slim\u012bbas pacienti pie reimatolga v\u0113r\u0161as jaut tikai tad, kad slim\u012bba nodar\u012bjusi iev\u0113rojamu post\u012bjumu dziedzeriem. Diem\u017e\u0113l restaur\u0113t dziedzeru darb\u012bbu piln\u012bb\u0101 nav iesp\u0113jams. Uzs\u0101kot sam\u0113ra agres\u012bvu \u0101rst\u0113\u0161anu, kuras m\u0113r\u0137is ir l\u012bdzsvarot im\u016bnsist\u0113mu, \u0160egr\u0113na slim\u012bbu var aptur\u0113t stadij\u0101, l\u012bdz kurai t\u0101 att\u012bst\u012bjusies. Ne\u0101rst\u0113ts \u0160egr\u0113na sindroms nereti k\u013c\u016bst par iemelsu asinsv\u0113zim.<\/p>\n\n\n\n<p>\u0100rste mierina, ka neb\u016bt ne visiem, kuri pastiprin\u0101ti j\u016bt sl\u0101pes vai past\u0101v\u012bgu nogurumu, j\u0101uztraucas par saslim\u0161anas varb\u016bt\u012bbu. Tom\u0113r, ja \u0161iem simptomiem pievienojas loc\u012btavu s\u0101pes vai neizprotami izsitumi, ir v\u0113rts veikt asinsanal\u012bzi, lai noteiktu vai nav izmain\u012bti imunolo\u0123iskie r\u0101d\u012bt\u0101ji. Ja tie uzr\u0101d\u0101s, tad gan ir v\u0113rts pieteikties uz viz\u012bti pie reimatologa.<\/p>\n\n\n\n<p>Lai diagnostic\u0113tu \u0160egr\u0113na sindromu, da\u017ek\u0101rt pietiek ar reimatolga apskati, asinsanal\u012b\u017eu rezult\u0101tiem un ultrasonogr\u0101fiski veiktu siekalu dziedzeri izp\u0113ti. Tom\u0113r, ja \u0161\u0101di ieg\u016btie dati ir neviennoz\u012bm\u012bgi, bet \u0101rstam joproj\u0101m saglab\u0101jas aizdomas par \u0160egr\u0113na sindromu, j\u0101veic siekalu dziedzeru biopsija.&nbsp;<\/p>\n\n\n\n<p><strong>Siekalu dziedzeru biopsiju ieteicams veikt, ja:<\/strong><\/p>\n\n\n\n<ul>\n<li>Ir palielin\u0101ti siekalu dziedzeri, sausums mut\u0113 un asinsanal\u012bze uzr\u0101da palielin\u0101tus imunolo\u0123iskos r\u0101d\u012bt\u0101jus;<\/li>\n\n\n\n<li>Ja diagnostic\u0113ts \u0160egr\u0113na sindroms, bet \u0101rst\u0113\u0161ana nedod rezult\u0101tus (ieg\u016btie rezult\u0101ti pal\u012bdz preciz\u0113t \u0101rst\u0113\u0161anas taktiku)<\/li>\n<\/ul>\n\n\n\n<p>Iesp\u0113ja \u0146emt siekalu dziedzera paraugu uz vietas reimatologa kabinet\u0101 ORTO Kl\u012bnik\u0101 atvieglo pacienta dz\u012bvi \u2013 samazinot medic\u012bnas iest\u0101\u017eu un speci\u0101listu loku, pie kuriem j\u0101v\u0113r\u0161as p\u0113c pal\u012bdz\u012bbas. Anna Mihailova preciz\u0113, ka \u0161\u012b proced\u016bra aiz\u0146em aptuveni 10 min\u016btes. Pacients sa\u0146em anest\u0113ziju, tiek veikts grieziens zem m\u0113les, pa\u0146emti audu paraugi no siekalu dziedzeriem un br\u016bcei uzlikta viena \u0161uve. Da\u017eas dienas p\u0113c proced\u016bras parauga \u0146em\u0161anas vieta b\u016bs jut\u012bga, tom\u0113r \u0101rste nor\u0101da, ka tas patiesi ir pacie\u0161ams s\u012bkums, sal\u012bdzinot ar iesp\u0113ju diagnostic\u0113t slim\u012bbu un aptur\u0113t t\u0101s posto\u0161o gaitu.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" data-id=\"968\" src=\"https:\/\/orto.lv\/wp-content\/uploads\/2023\/03\/dd2-1024x683.jpg\" alt=\"\" class=\"wp-image-968\" srcset=\"https:\/\/orto.lv\/wp-content\/uploads\/2023\/03\/dd2-1024x683.jpg 1024w, https:\/\/orto.lv\/wp-content\/uploads\/2023\/03\/dd2-300x200.jpg 300w, https:\/\/orto.lv\/wp-content\/uploads\/2023\/03\/dd2-768x512.jpg 768w, https:\/\/orto.lv\/wp-content\/uploads\/2023\/03\/dd2-1536x1024.jpg 1536w, https:\/\/orto.lv\/wp-content\/uploads\/2023\/03\/dd2-2048x1365.jpg 2048w, https:\/\/orto.lv\/wp-content\/uploads\/2023\/03\/dd2-scaled.jpg 2560w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Dr. Anna Mihailova<\/figcaption><\/figure>\n<\/figure>\n","protected":false},"excerpt":{"rendered":"<p>\u0160egr\u0113na sindroms (simptomu d\u0113\u013c bie\u017ei jaukts ar cit\u0101m saslim\u0161an\u0101m) nek\u013c\u016bd\u012bgi ir diagnostic\u0113jams ORTO Kl\u012bnik\u0101, Reimatolo\u0123ijas noda\u013c\u0101. Prec\u012bzu diagnozi un efekt\u012bvu \u0101rst\u0113\u0161anu iesp\u0113jams \u012bstenot, pacientiem veicot specifisku izmekl\u0113jumu \u2013 biopsiju, kas tiek \u0146emta no siekalu dziedzeriem.<\/p>\n","protected":false},"featured_media":966,"template":"","categories":[],"meta_box":[],"_links":{"self":[{"href":"https:\/\/orto.lv\/wp-json\/wp\/v2\/aktualitates\/965"}],"collection":[{"href":"https:\/\/orto.lv\/wp-json\/wp\/v2\/aktualitates"}],"about":[{"href":"https:\/\/orto.lv\/wp-json\/wp\/v2\/types\/aktualitates"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/orto.lv\/wp-json\/wp\/v2\/media\/966"}],"wp:attachment":[{"href":"https:\/\/orto.lv\/wp-json\/wp\/v2\/media?parent=965"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/orto.lv\/wp-json\/wp\/v2\/categories?post=965"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}