{"id":71376,"date":"2025-08-26T08:00:37","date_gmt":"2025-08-26T05:00:37","guid":{"rendered":"https:\/\/www.silutesnaujienos.lt\/lt\/?p=71376"},"modified":"2025-08-19T10:20:05","modified_gmt":"2025-08-19T07:20:05","slug":"siauliu-ligonineje-atliekama-gimdos-miomu-embolizacija","status":"publish","type":"post","link":"https:\/\/www.silutesnaujienos.lt\/lt\/siauliu-ligonineje-atliekama-gimdos-miomu-embolizacija\/","title":{"rendered":"\u0160iauli\u0173 ligonin\u0117je atliekama gimdos miom\u0173 embolizacija"},"content":{"rendered":"

Gimdos mioma<\/strong><\/em><\/p>\n

Gimdos mioma \u2013 nepiktybinis navikas, da\u017eniausiai i\u0161sivystantis gimdos raumeniniame sluoksnyje – miometriume. Tai viena i\u0161 da\u017eniausi\u0173 gerybini\u0173 ginekologini\u0173 lig\u0173 vaisingo am\u017eiaus moterims. Tikslus miom\u0173 atsiradimo mechanizmas n\u0117ra \u017einomas, manoma, kad jos susij\u0119 su moters lytini\u0173 hormon\u0173 (estrogeno ir progesterono) poveikiu. Pasak gydytojo M. Buitkaus, nema\u017eai moter\u0173 (ypa\u010d 30-50 met\u0173) net ne\u012ftaria, kad turi gimdos miomas, kol jos nustatomos atsitiktinai ginekologinio i\u0161tyrimo metu.<\/p>\n

Daugelis miom\u0173 yra besimptom\u0117s, ta\u010diau da\u017eniausiai sukeliami ir moteris varginantys simptomai yra gausios, ilgos ir skausmingos menstruacijos, tarpmenstruaciniai kraujavimai, dubens spaudimo\/sunkumo jausmas, jei mioma labai didel\u0117 – da\u017enas \u0161lapinimasis ir\/ar viduri\u0173 u\u017ekiet\u0117jimas d\u0117l spaudimo \u012f aplinkinius ma\u017eojo dubens organus. Taip pat, priklausomai nuo miomos dyd\u017eio ir lokalizacijos,\u00a0 ji gali b\u016bti nevaisingumo ar n\u0117\u0161tumo komplikacij\u0173 prie\u017eastis.<\/p>\n

Pagrindiniai rizikos faktoriai, kurie leid\u017eia \u012ftarti \u0161i\u0105 diagnoz\u0119: paveldimumas (jei motinai ar seseriai nustatytos miomos), ankstyva menstruacij\u0173 prad\u017eia bei v\u0117lyvesnis pirmasis n\u0117\u0161tumas. \u012etarus \u0161i\u0105 patologij\u0105, pirminis diagnostikos metodas yra echoskopija, kuris atliekamas per pilvo sien\u0105 ar transvaginaliai. V\u0117liau atliekamas dubens magnetinio rezonanso tyrimas, kuriuo tiksliai nustatomas miomos dydis, lokalizacija, santykis su aplinkiniais audiniais bei atliekama darinio diferenciacija nuo kit\u0173 susirgim\u0173.<\/p>\n

Gydymo metodai<\/strong><\/em><\/p>\n

Da\u017eniausiai moterys pirmiausia kreipiasi pas aku\u0161erius – ginekologus d\u0117l i\u0161vardint\u0173 simptom\u0173. Atlikus ap\u017ei\u016br\u0105, tyrimus bei patvirtinus gimdos miomos diagnoz\u0119,\u00a0 pacientei sudaromas gydymo planas. \u0160iuolaikin\u0117je medicinoje yra trys pagrindiniai gydymo metodai. Pirmasis medikamentinis gydymas – hormon\u0173 terapija. Vartojant hormoninius preparatus yra sukeliamas \u012f menopauz\u0119 pana\u0161us poveikis tam, kad pristabdyt\u0173 miomos augim\u0105, ta\u010diau mioma niekur nedingsta, o tik prislopinama. Nutraukus medikament\u0173 vartojim\u0105, su mioma susij\u0119 simptomai da\u017enai atsinaujina. Antrasis metodas, ginekolog\u0173 vadinamas \u201eauksiniu standartu\u201c,\u00a0 tai chirurgin\u0117 intervencija, kuri, priklausomai nuo miomos lokalizacijos ir dyd\u017eio, gali b\u016bti minimaliai invazyvi – miomektomija – kuomet selektyviai i\u0161operuojama tik mioma i\u0161 gimdos, ar radikali – histerektomija, kai pa\u0161alinama visa gimda.<\/p>\n

Tre\u010diasis metodas – gimdos arterij\u0173 embolizacija. \u201c\u0160ios minimaliai invazyvios proced\u016bros metu per ma\u017e\u0105, apie 2 mm plo\u010dio skylut\u0119 kirk\u0161nies srityje, punktavus arterij\u0105 specialiu praved\u0117ju ir nukreipian\u010di\u0173j\u0173 kateteri\u0173 pagalba nukeliaujame \u012f gimd\u0105 maitinan\u010dias arterijas ir jas selektyviai embolizuojame \u2013 u\u017ekem\u0161ame arterij\u0173 spind\u012f specialiomis priemon\u0117mis, kurios sustabdo kraujo t\u0117km\u0119 \u012f gimd\u0105, bei tuo pa\u010diu ir \u012f pa\u010di\u0105 miom\u0105\u201c, – apib\u016bdina M. Buitkus. Po \u0161ios operacijos mioma, negaudama kraujotakos, sunyksta, o kartu su ja dingsta ir moteris vargin\u0119 simptomai.<\/p>\n

Pacient\u0117s neinformuojamos<\/strong><\/em><\/p>\n

\u201eKod\u0117l to nedarome? \u2013 klausia gydytojas ir pats atsako: – \u201e Neatsiun\u010diamos pacient\u0117s m\u016bs\u0173 konsultacijai d\u0117l gimdos arterij\u0173 embolizacijos, nes jas iki \u0161iol gydo aku\u0161eriai ginekologai, anks\u010diau i\u0161vardintais pirmaisiais dviem gydymo metodais, kartais taikydami net ir radikal\u0173 gydym\u0105\u201c.<\/p>\n

Anot gydytojo, miom\u0173 embolizacija \u2013 minimaliai invazyvus, turintis gerus klinikinius rezultatus bei minimali\u0105 komplikacij\u0173 rizik\u0105 gydymo metodas, kurio potencialas da\u017enai lieka nei\u0161naudotas d\u0117l moter\u0173 neinformuotumo. Tod\u0117l apmaudu, kad pacient\u0117s da\u017enai ne\u017eino apie \u0161\u012f gydym\u0105.<\/p>\n

Po \u0161ios operacijos \u017eenkliai suma\u017e\u0117ja ar net visai i\u0161nyksta kraujavimas, ger\u0117ja moters gyvenimo kokyb\u0117. Pasirinkus \u0161\u012f gydymo metod\u0105 moteris gauna ne\u012fkainuojam\u0105 privalum\u0105\u00a0 – yra i\u0161saugoma gimda \u2013 \u201eantroji moters \u0161irdis\u201c. Vienintelis nemalonumas, kuris pasirei\u0161kia po proced\u016bros \u2013 iki keli\u0173 par\u0173 varginantis skausmas, atsirad\u0119s suk\u0117lus gimdoje i\u0161emij\u0105. Bet tai koreguojama nuskausminam\u0173j\u0173 ir kit\u0173 medikament\u0173 deriniais, o v\u0117liau nesteroidiniais vaistais nuo u\u017edegimo.<\/p>\n

Gimdos miomos embolizacija, jei ir b\u016bt\u0173 nes\u0117kminga, j\u0105 galima kartoti arba pabandyti kit\u0105 gydym\u0105. Ta\u010diau po radikalios histerektomijos – gimdos pa\u0161alinimo operacijos, kelio atgal n\u0117ra.<\/p>\n

Po gimdos miomos embolizacijos pacient\u0117s gana greitai gr\u012f\u017eta namo, atsistatymo periodas yra trumpas ir moterys greitai gali gr\u012f\u017eti \u012f visavert\u012f gyvenim\u0105. Tod\u0117l svarbu, kad moterys \u017einot\u0173 apie \u0161\u012f gydymo metod\u0105\u00a0 ir pasirinkt\u0173 joms labiausiai priimtin\u0105 gydymo variant\u0105.<\/p>\n

\u0160iauli\u0173 ligonin\u0117s inf.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Gimdos mioma Gimdos mioma \u2013 nepiktybinis navikas, da\u017eniausiai i\u0161sivystantis gimdos raumeniniame sluoksnyje – miometriume. Tai viena i\u0161 da\u017eniausi\u0173 gerybini\u0173 ginekologini\u0173 lig\u0173 vaisingo am\u017eiaus moterims. Tikslus miom\u0173 atsiradimo mechanizmas n\u0117ra \u017einomas, manoma, kad jos susij\u0119 su moters lytini\u0173 hormon\u0173 (estrogeno ir progesterono) poveikiu. Pasak gydytojo M. Buitkaus, nema\u017eai moter\u0173 (ypa\u010d 30-50 met\u0173) net ne\u012ftaria, kad turi […]<\/p>\n","protected":false},"author":2,"featured_media":71377,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[47],"class_list":["post-71376","post","type-post","status-publish","format-standard","has-post-thumbnail","category-sveikatos-saltinis","tag-pirmasis"],"yoast_head":"\n\u0160iauli\u0173 ligonin\u0117je atliekama gimdos miom\u0173 embolizacija - \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\/siauliu-ligonineje-atliekama-gimdos-miomu-embolizacija\/\" \/>\n<meta property=\"og:locale\" content=\"lt_LT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0160iauli\u0173 ligonin\u0117je atliekama gimdos miom\u0173 embolizacija - \u0160ilut\u0117s naujienos\" \/>\n<meta property=\"og:description\" content=\"Gimdos mioma Gimdos mioma \u2013 nepiktybinis navikas, da\u017eniausiai i\u0161sivystantis gimdos raumeniniame sluoksnyje – miometriume. Tai viena i\u0161 da\u017eniausi\u0173 gerybini\u0173 ginekologini\u0173 lig\u0173 vaisingo am\u017eiaus moterims. Tikslus miom\u0173 atsiradimo mechanizmas n\u0117ra \u017einomas, manoma, kad jos susij\u0119 su moters lytini\u0173 hormon\u0173 (estrogeno ir progesterono) poveikiu. Pasak gydytojo M. 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Tai viena i\u0161 da\u017eniausi\u0173 gerybini\u0173 ginekologini\u0173 lig\u0173 vaisingo am\u017eiaus moterims. Tikslus miom\u0173 atsiradimo mechanizmas n\u0117ra \u017einomas, manoma, kad jos susij\u0119 su moters lytini\u0173 hormon\u0173 (estrogeno ir progesterono) poveikiu. Pasak gydytojo M. Buitkaus, nema\u017eai moter\u0173 (ypa\u010d 30-50 met\u0173) net ne\u012ftaria, kad turi […]","og_url":"https:\/\/www.silutesnaujienos.lt\/lt\/siauliu-ligonineje-atliekama-gimdos-miomu-embolizacija\/","og_site_name":"\u0160ilut\u0117s naujienos","article_publisher":"https:\/\/www.facebook.com\/silutes.naujienos\/","article_published_time":"2025-08-26T05:00:37+00:00","og_image":[{"width":736,"height":981,"url":"https:\/\/www.silutesnaujienos.lt\/lt\/wp-content\/uploads\/2025\/08\/9-powerful-drinks-to-support-hormonal-balance-in-PCOD.jpg","type":"image\/jpeg"}],"author":"\u0160ilut\u0117s naujien\u0173 inf.","twitter_card":"summary_large_image","twitter_misc":{"Written by":"\u0160ilut\u0117s naujien\u0173 inf.","Est. reading time":"4 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