{"id":58139,"date":"2024-01-30T08:00:09","date_gmt":"2024-01-30T06:00:09","guid":{"rendered":"https:\/\/www.silutesnaujienos.lt\/lt\/?p=58139"},"modified":"2024-01-23T12:05:31","modified_gmt":"2024-01-23T10:05:31","slug":"kamuoja-skrandzio-skausmas-nepiktnaudziaukite-ji-malsinanciais-vaistais","status":"publish","type":"post","link":"https:\/\/www.silutesnaujienos.lt\/lt\/kamuoja-skrandzio-skausmas-nepiktnaudziaukite-ji-malsinanciais-vaistais\/","title":{"rendered":"Kamuoja skrand\u017eio skausmas? Nepiktnaud\u017eiaukite j\u012f mal\u0161inan\u010diais vaistais"},"content":{"rendered":"

\u201eBeveik kasdien kreipiasi pacientai, kurie skund\u017eiasi nuolatiniu arba epizodiniu diskomfortu epigastriumo, vadinamosios \u201eduobut\u0117s\u201c, srityje. Tokia b\u016bkl\u0117 vargina \u012fvairaus am\u017eiaus \u017emon\u0117s, ta\u010diau da\u017eniau su ja susiduria jautr\u016bs, nuo streso ken\u010diantys \u017emon\u0117s, tie, kurie nereguliariai maitinasi, r\u016bko, piktnaud\u017eiauja alkoholiu, da\u017enai arba dideliais kiekiais vartoja aspirin\u0105 ir nesteroidinius vaistus nuo skausmo ir u\u017edegimo\u201c, \u2013 sako I. Jasiulevi\u010di\u016bt\u0117.<\/p>\n

Pilvo skausmai<\/strong><\/p>\n

Skausmas gali b\u016bti \u016bmus, lydimas peritonito rei\u0161kini\u0173, kai pilvas tampa kietas, \u012ftemptas, itin jautrus ir skausmingas. Toks skausmas i\u0161sivysto ply\u0161us pilvo vidaus organams, kuomet \u012f u\u017edegimin\u012f proces\u0105 \u012ftraukiama ir pilvapl\u0117v\u0117. Tai greitos chirurgin\u0117s intervencijos reikalaujanti situacija.<\/p>\n

\u201e\u016amus, bet be pilvapl\u0117v\u0117s u\u017edegimo skausmas b\u016bdingas gastritui \u2013 skrand\u017eio u\u017edegimui. Epizodinis, priepuolinis skausmas da\u017eniausiai byloja apie gastroezofaginio refliukso, padid\u0117jusio skrand\u017eio r\u016bg\u0161tingumo, lig\u0105, skrand\u017eio arba dvylikapir\u0161t\u0117s \u017earnos op\u0105\u201c, \u2013 vardina gydytoja.<\/p>\n

L\u0117tinis, palaipsniui progresuojantis skausmas, nesusij\u0119s su valgymu ir lydimas kit\u0173 nerim\u0105 kelian\u010di\u0173 simptom\u0173, da\u017enai b\u016bna nulemtas skrand\u017eio v\u0117\u017eio. \u0160ios ligos atveju skausmai pasirei\u0161kia tik v\u0117lyvose stadijose.<\/p>\n

Epigastriumo srities (vir\u0161utin\u0117s\u2013vidurin\u0117s pilvo dalies) skausmas neb\u016btinai byloja apie vir\u0161utinio vir\u0161kinamojo trakto organ\u0173 ligas. Da\u017enai ankstyvo apendicito skausmas prasideda \u201eduobut\u0117s\u201c srityje ir po 4\u20136 valand\u0173 nusileid\u017eia \u012f pilvo apa\u010di\u0105, de\u0161in\u0119 klubin\u0119 srit\u012f. Kartu su kitais simptomais (nerimu, mirties baime, \u0161altu prakaitu) skausmas ir diskomfortas \u201eduobut\u0117s\u201c srityje yra b\u016bdingas apatin\u0117s sienel\u0117s miokardo infarktui.<\/p>\n

\u201eSkrand\u017eio skausmas ne visada signalizuoja apie rimtus u\u017edegimus. Da\u017enai \u0161is poj\u016btis, ypa\u010d priepuolinis, lydimas ankstyvo pasisotinimo jausmo, signalizuoja apie funkcin\u0119 dispepsij\u0105. Tai sutrikimas, kurio metu \u017emogus i\u0161sako skundus, ta\u010diau skrand\u017eio ir kit\u0173 vir\u0161kinamojo trakto organ\u0173 pakitim\u0173 nenustatoma. \u0160i b\u016bkl\u0117 n\u0117ra pavojinga, nors ir sukelia diskomfort\u0105, trikdo veikl\u0105. Diagnoz\u0117 patvirtinama tik atmetus kitas galimas ligas\u201c, \u2013 sako I. Jasiulevi\u010di\u016bt\u0117.<\/p>\n

Egzistuoja simptomai, vadinamos \u201eraudonos v\u0117liav\u0117l\u0117s\u201c, kuri\u0173 nei medikai, nei pacientai netur\u0117t\u0173 ignoruoti. Tai kraujavimas i\u0161 vir\u0161kinamojo trakto, pasirei\u0161kiantis v\u0117mimu \u0161vie\u017eiu arba apvir\u0161kintu krauju, kavos tir\u0161\u010di\u0173 spalvos ir konsistencijos, arba juodos, derv\u0105 primenan\u010dios, nemalonaus kvapo i\u0161matos, vadinamos melena; laipsni\u0161kas svorio netekimas, kai \u017emogus to nesiekia; sunk\u0117jantis rijimas; da\u017enas ir ilgai trunkantis pykinimas ir v\u0117mimas; gele\u017eies stokos ma\u017eakraujyst\u0117; vyresniems nei 55 m. i\u0161liekanti arba neseniai prasid\u0117jusi neai\u0161kios kilm\u0117s dispepsija; \u0161eimos onkologin\u0117s ligos.<\/p>\n

\u0160iuos simptomus pasteb\u0117jus svarbu kreiptis \u012f gydytoj\u0105. Vert\u0117t\u0173 atkreipti d\u0117mes\u012f \u012f skausmo pob\u016bd\u012f: jei jis kartojasi ir suintensyv\u0117ja pavalgius, didel\u0117 rizika, kad skrandyje atsirado \u017eaizda, o skausmas, kuris kyla nevalgius, nakties metu, b\u016bdingesnis dvylikapir\u0161t\u0117s \u017earnos opaligei. Laiku nediagnozuota ir negydoma opa gali ply\u0161ti.<\/p>\n

Kaip gydoma?<\/strong><\/p>\n

Prasid\u0117jus skausmams pad\u0117ti gali skrand\u017eio r\u016bg\u0161tingum\u0105 ma\u017einantys, antispazminiai ar skrand\u017eio gleivin\u0119 apsaugantys vaistai. Tolimesnis gydymas tur\u0117t\u0173 b\u016bti pritaikytas pagal individualius skundus, pavyzd\u017eiui, vir\u0161kinimo fermentai padeda, kai skausm\u0105 lydi dispepsija. Vaist\u0173 nuo skausmo nereik\u0117t\u0173 vartoti da\u017enai ir didel\u0117mis doz\u0117mis, nes jie patys gali b\u016bti viena i\u0161 skrand\u017eio pa\u017eaidos prie\u017eas\u010di\u0173.<\/p>\n

Naudinga atlikti bendr\u0105 kraujo tyrim\u0105, d\u0117l galimos ma\u017eakraujyst\u0117s, bei i\u0161tirti u\u017edegiminius kraujo rodiklius (CRB ir ENG), nes jie gali pad\u0117ti atpa\u017einti onkologines bei u\u017edegimines vir\u0161kinamojo trakto ligas. Tam tikrose situacijose tikslinga atlikti ir pilvo organ\u0173 echoskopij\u0105 bei slapto kraujavimo i\u0161matose test\u0105. Auksinis standartas diagnozuojant vir\u0161utinio vir\u0161kinamojo trakto ligas ir diferencijuojant skrand\u017eio skausm\u0173 prie\u017eastis yra gastroskopija. Taip pat tikslinga i\u0161sitirti d\u0117l Helicobacter pylori bakterijos.<\/p>\n

Skrand\u017eio skausm\u0173 rizik\u0105 padeda suma\u017einti sveikas gyvenimo b\u016bdas. Svarbu, kad skrandis niekuomet neb\u016bt\u0173 tu\u0161\u010dias per ilgai, valgyti ma\u017eesn\u0117mis porcijomis, neskubant, neprisivalgyti prie\u0161 mieg\u0105. Svarbu rinktis lengvai vir\u0161kinamus produktus, vengti a\u0161traus, kepto ar r\u016bkyto maisto, racion\u0105 papildyti didesniu vaisi\u0173 ir \u0161vie\u017ei\u0173 dar\u017eovi\u0173 kiekiu. Reik\u0117t\u0173 riboti kofeino ir alkoholini\u0173 g\u0117rim\u0173 kiek\u012f, ner\u016bkyti, daugiau jud\u0117ti, vengti stresini\u0173 situacij\u0173.<\/p>\n

Pagal BNS inf.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

\u201eBeveik kasdien kreipiasi pacientai, kurie skund\u017eiasi nuolatiniu arba epizodiniu diskomfortu epigastriumo, vadinamosios \u201eduobut\u0117s\u201c, srityje. Tokia b\u016bkl\u0117 vargina \u012fvairaus am\u017eiaus \u017emon\u0117s, ta\u010diau da\u017eniau su ja susiduria jautr\u016bs, nuo streso ken\u010diantys \u017emon\u0117s, tie, kurie nereguliariai maitinasi, r\u016bko, piktnaud\u017eiauja alkoholiu, da\u017enai arba dideliais kiekiais vartoja aspirin\u0105 ir nesteroidinius vaistus nuo skausmo ir u\u017edegimo\u201c, \u2013 sako I. Jasiulevi\u010di\u016bt\u0117. Pilvo […]<\/p>\n","protected":false},"author":2,"featured_media":58141,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[47],"class_list":["post-58139","post","type-post","status-publish","format-standard","has-post-thumbnail","category-sveikatos-saltinis","tag-pirmasis"],"yoast_head":"\nKamuoja skrand\u017eio skausmas? Nepiktnaud\u017eiaukite j\u012f mal\u0161inan\u010diais vaistais - \u0160ilut\u0117s naujienos<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.silutesnaujienos.lt\/lt\/kamuoja-skrandzio-skausmas-nepiktnaudziaukite-ji-malsinanciais-vaistais\/\" \/>\n<meta property=\"og:locale\" content=\"lt_LT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kamuoja skrand\u017eio skausmas? Nepiktnaud\u017eiaukite j\u012f mal\u0161inan\u010diais vaistais - \u0160ilut\u0117s naujienos\" \/>\n<meta property=\"og:description\" content=\"\u201eBeveik kasdien kreipiasi pacientai, kurie skund\u017eiasi nuolatiniu arba epizodiniu diskomfortu epigastriumo, vadinamosios \u201eduobut\u0117s\u201c, srityje. Tokia b\u016bkl\u0117 vargina \u012fvairaus am\u017eiaus \u017emon\u0117s, ta\u010diau da\u017eniau su ja susiduria jautr\u016bs, nuo streso ken\u010diantys \u017emon\u0117s, tie, kurie nereguliariai maitinasi, r\u016bko, piktnaud\u017eiauja alkoholiu, da\u017enai arba dideliais kiekiais vartoja aspirin\u0105 ir nesteroidinius vaistus nuo skausmo ir u\u017edegimo\u201c, \u2013 sako I. Jasiulevi\u010di\u016bt\u0117. 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Nepiktnaud\u017eiaukite j\u012f mal\u0161inan\u010diais vaistais - \u0160ilut\u0117s naujienos","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.silutesnaujienos.lt\/lt\/kamuoja-skrandzio-skausmas-nepiktnaudziaukite-ji-malsinanciais-vaistais\/","og_locale":"lt_LT","og_type":"article","og_title":"Kamuoja skrand\u017eio skausmas? Nepiktnaud\u017eiaukite j\u012f mal\u0161inan\u010diais vaistais - \u0160ilut\u0117s naujienos","og_description":"\u201eBeveik kasdien kreipiasi pacientai, kurie skund\u017eiasi nuolatiniu arba epizodiniu diskomfortu epigastriumo, vadinamosios \u201eduobut\u0117s\u201c, srityje. Tokia b\u016bkl\u0117 vargina \u012fvairaus am\u017eiaus \u017emon\u0117s, ta\u010diau da\u017eniau su ja susiduria jautr\u016bs, nuo streso ken\u010diantys \u017emon\u0117s, tie, kurie nereguliariai maitinasi, r\u016bko, piktnaud\u017eiauja alkoholiu, da\u017enai arba dideliais kiekiais vartoja aspirin\u0105 ir nesteroidinius vaistus nuo skausmo ir u\u017edegimo\u201c, \u2013 sako I. Jasiulevi\u010di\u016bt\u0117. 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