{"id":71995,"date":"2025-09-22T08:00:27","date_gmt":"2025-09-22T05:00:27","guid":{"rendered":"https:\/\/www.silutesnaujienos.lt\/lt\/?p=71995"},"modified":"2025-09-16T11:44:10","modified_gmt":"2025-09-16T08:44:10","slug":"ortopedine-traumatologine-operacija-gijimo-sekme-priklauso-nuo-vieno-zingsnio","status":"publish","type":"post","link":"https:\/\/www.silutesnaujienos.lt\/lt\/ortopedine-traumatologine-operacija-gijimo-sekme-priklauso-nuo-vieno-zingsnio\/","title":{"rendered":"Ortopedin\u0117-traumatologin\u0117 operacija: gijimo s\u0117km\u0117 priklauso nuo vieno \u017eingsnio"},"content":{"rendered":"

\u201ePrereabilitacija \u2013 pasirengimas operacijai, kai stiprinamas k\u016bnas, lavinami reikalingi \u012fg\u016bd\u017eiai ir ai\u0161kinamasi, kas laukia po operacijos \u2013 gali tur\u0117ti lemiamos reik\u0161m\u0117s: suma\u017e\u0117ja komplikacij\u0173 rizika, trump\u0117ja gydymo ligonin\u0117je trukm\u0117, pacientas grei\u010diau sugr\u012f\u017eta \u012f \u012fprast\u0105 gyvenim\u0105\u201c, \u2013 sako \u201cEgl\u0117s sanatorijos\u201c fizin\u0117s medicinos ir reabilitacijos gydytoja Romant\u0117 Aleknavi\u010dien\u0117.<\/p>\n

Pasirengimas<\/strong><\/em><\/p>\n

Prereabilitacijos tikslai priklauso nuo planuojamos operacijos pob\u016bd\u017eio ir paciento b\u016bkl\u0117s. Vienas esmini\u0173 \u2013 stiprinti raumenis, ypa\u010d aplink pa\u017eeist\u0105 s\u0105nar\u012f (ruo\u0161iantis kelio s\u0105nario operacijai, ypatingas d\u0117mesys skiriamas \u0161launies keturgalviui raumeniui).<\/p>\n

Antras tikslas \u2013 s\u0105nario mobilumo i\u0161laikymas, nes kuo didesn\u0117 s\u0105nario judesi\u0173 amplitud\u0117 prie\u0161 operacij\u0105, tuo lengvesn\u0117 reabilitacija po jos. Tre\u010diasis \u2013 bendros fizin\u0117s b\u016bkl\u0117s gerinimas: i\u0161tverm\u0117, kv\u0117pavimo funkcija, skausmo ma\u017einimas, kad operacijos laukimas b\u016bt\u0173 lengvesnis.<\/p>\n

Svarbu mokytis \u012fg\u016bd\u017ei\u0173, kuri\u0173 prireiks po operacijos: kaip naudotis ramentais, vaik\u0161tyne, kaip saugiai atsikelti i\u0161 lovos ar leistis laiptais. Kai \u017emogus jau \u017eino, k\u0105 daryti, jis ma\u017eiau baiminasi.<\/p>\n

\u0160iuos \u012fg\u016bd\u017eius padeda lavinti kineziterapeutas, kuris pacient\u0105 aplanko pirm\u0105j\u0105 par\u0105 po operacijos, bet veiksmingiau, kai pacientas su \u0161ia informacija supa\u017eindinamas prie\u0161 operacij\u0105.<\/p>\n

Svarbus ir emocinis pasirengimas: jei pacientas \u017eino, kas jo laukia po operacijos, i\u0161moksta atpa\u017einti galimas komplikacijas, jam ma\u017eiau nerimo ir daugiau ai\u0161kumo. O tai turi tiesiogin\u0119 \u012ftak\u0105 gijimo kokybei.<\/p>\n

Rizikos veiksnys<\/strong><\/em><\/p>\n

Ne visi pacientai \u012f operacij\u0105 ateina fizi\u0161kai pasiruo\u0161\u0119. Vienas did\u017eiausi\u0173 i\u0161\u0161\u016bki\u0173 \u2013 raumen\u0173 silpnumas. Jis, kartu su ma\u017eu fiziniu aktyvumu, antsvoriu ir gretutin\u0117mis ligomis gerokai apsunkina pooperacin\u012f laikotarp\u012f. Prisideda prasta mityba, r\u016bkymas ir net psichologin\u0117 b\u016bsena \u2013 jei \u017emogus bijo skausmo ar nesupranta proceso, jis gali tiesiog vengti jud\u0117ti po operacijos.<\/p>\n

\u201eYpa\u010d sud\u0117tinga, kai pacientas serga cukriniu diabetu, \u0161irdies ir kraujagysli\u0173 ligomis. \u0160ie sutrikimai l\u0117tina gijim\u0105, didina infekcij\u0173, komplikacij\u0173 rizik\u0105. R\u016bkymas blogina audini\u0173 kraujotak\u0105, \u012f audinius patenka ma\u017eiau deguonies ir \u017eaizd\u0173 gijimas gali u\u017etrukti. Tuomet svarbus visapusi\u0161kas pasirengimas su specialist\u0173 komanda. Jei mityboje tr\u016bksta baltym\u0173 ir vitamin\u0173 \u2013 \u017eaizdos taip pat gyja sunkiau\u201c, \u2013 teigia R. Aleknavi\u010dien\u0117.<\/p>\n

Ji mini pavyzd\u012f, kai pacientas, planav\u0119s kelio s\u0105nario operacij\u0105, reabilitacijos metu netur\u0117jo tipin\u0117s \u0161launies raumens hipotrofijos, nes ruo\u0161\u0117si \u0161iai operacijai i\u0161 anksto. Abi kojos buvo vienodai stiprios, tod\u0117l jis atsistat\u0117 grei\u010diau ir lengviau, jo motyvacija buvo didesn\u0117, o nuotaika \u2013 geresn\u0117.<\/p>\n

Kam pasiruo\u0161imas b\u016btinas?<\/strong><\/em><\/p>\n

Prereabilitacija ypa\u010d rekomenduojama vyresniems, ma\u017eiau judantiems pacientams, sergantiems l\u0117tin\u0117mis ligomis, taip pat sportininkams, kuriems svarbus greitas atsistatymas po operacijos. Pasiruo\u0161imo metodai priklauso nuo b\u016bkl\u0117s \u2013 vienam svarbi mityba, kitam \u2013 fizinis aktyvumas ar psichologin\u0117 pagalba, o tre\u010diam gali prireikti pagalbos visose srityse.<\/p>\n

Lietuvoje prereabilitacija vis dar n\u0117ra apibr\u0117\u017eta nei kaip atskira sveikatos prie\u017ei\u016bros paslauga, nei finansuojama i\u0161 PSD fondo. Tai \u2013 paciento atsakomyb\u0117. Visgi dalis ortoped\u0173-traumatolog\u0173 jau rekomenduoja pacientams prie\u0161 s\u0105nario endoprotezavim\u0105 pasiekti tam tikr\u0105 k\u016bno mas\u0117s indeks\u0105 \u2013 antraip jie negal\u0117s atlikti operacijos.<\/p>\n

R. Aleknavi\u010dien\u0117 rekomenduoja kreiptis \u012f \u0161eimos gydytoj\u0105, kuris gali bendradarbiauti su kineziterapeutu ir sudaryti pasiruo\u0161imo plan\u0105. Galima kreiptis ir \u012f reabilitacijos \u012fstaigas, kur b\u016bt\u0173 sudarytas individualus pasiruo\u0161imo planas. Pasiruo\u0161imas n\u0117ra alternatyva operacijai ar reabilitacijai po jos. Tai \u2013 tr\u016bkstama grandis, d\u0117l kurios visas gydymo procesas tampa efektyvesnis.<\/p>\n

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

\u201ePrereabilitacija \u2013 pasirengimas operacijai, kai stiprinamas k\u016bnas, lavinami reikalingi \u012fg\u016bd\u017eiai ir ai\u0161kinamasi, kas laukia po operacijos \u2013 gali tur\u0117ti lemiamos reik\u0161m\u0117s: suma\u017e\u0117ja komplikacij\u0173 rizika, trump\u0117ja gydymo ligonin\u0117je trukm\u0117, pacientas grei\u010diau sugr\u012f\u017eta \u012f \u012fprast\u0105 gyvenim\u0105\u201c, \u2013 sako \u201cEgl\u0117s sanatorijos\u201c fizin\u0117s medicinos ir reabilitacijos gydytoja Romant\u0117 Aleknavi\u010dien\u0117. Pasirengimas Prereabilitacijos tikslai priklauso nuo planuojamos operacijos pob\u016bd\u017eio ir paciento […]<\/p>\n","protected":false},"author":2,"featured_media":71996,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[47],"class_list":["post-71995","post","type-post","status-publish","format-standard","has-post-thumbnail","category-sveikatos-saltinis","tag-pirmasis"],"yoast_head":"\nOrtopedin\u0117-traumatologin\u0117 operacija: gijimo s\u0117km\u0117 priklauso nuo vieno \u017eingsnio - \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\/ortopedine-traumatologine-operacija-gijimo-sekme-priklauso-nuo-vieno-zingsnio\/\" \/>\n<meta property=\"og:locale\" content=\"lt_LT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ortopedin\u0117-traumatologin\u0117 operacija: gijimo s\u0117km\u0117 priklauso nuo vieno \u017eingsnio - \u0160ilut\u0117s naujienos\" \/>\n<meta property=\"og:description\" content=\"\u201ePrereabilitacija \u2013 pasirengimas operacijai, kai stiprinamas k\u016bnas, lavinami reikalingi \u012fg\u016bd\u017eiai ir ai\u0161kinamasi, kas laukia po operacijos \u2013 gali tur\u0117ti lemiamos reik\u0161m\u0117s: suma\u017e\u0117ja komplikacij\u0173 rizika, trump\u0117ja gydymo ligonin\u0117je trukm\u0117, pacientas grei\u010diau sugr\u012f\u017eta \u012f \u012fprast\u0105 gyvenim\u0105\u201c, \u2013 sako \u201cEgl\u0117s sanatorijos\u201c fizin\u0117s medicinos ir reabilitacijos gydytoja Romant\u0117 Aleknavi\u010dien\u0117. 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\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\/ortopedine-traumatologine-operacija-gijimo-sekme-priklauso-nuo-vieno-zingsnio\/","og_locale":"lt_LT","og_type":"article","og_title":"Ortopedin\u0117-traumatologin\u0117 operacija: gijimo s\u0117km\u0117 priklauso nuo vieno \u017eingsnio - \u0160ilut\u0117s naujienos","og_description":"\u201ePrereabilitacija \u2013 pasirengimas operacijai, kai stiprinamas k\u016bnas, lavinami reikalingi \u012fg\u016bd\u017eiai ir ai\u0161kinamasi, kas laukia po operacijos \u2013 gali tur\u0117ti lemiamos reik\u0161m\u0117s: suma\u017e\u0117ja komplikacij\u0173 rizika, trump\u0117ja gydymo ligonin\u0117je trukm\u0117, pacientas grei\u010diau sugr\u012f\u017eta \u012f \u012fprast\u0105 gyvenim\u0105\u201c, \u2013 sako \u201cEgl\u0117s sanatorijos\u201c fizin\u0117s medicinos ir reabilitacijos gydytoja Romant\u0117 Aleknavi\u010dien\u0117. 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