{"id":34722,"date":"2024-10-29T12:40:14","date_gmt":"2024-10-29T09:40:14","guid":{"rendered":"https:\/\/soracamed.com\/treatment\/giliuju-venu-tromboze\/"},"modified":"2025-04-12T10:13:08","modified_gmt":"2025-04-12T07:13:08","slug":"giliuju-venu-tromboze","status":"publish","type":"treatment","link":"https:\/\/soracamed.com\/lt\/gydymo\/giliuju-venu-tromboze\/","title":{"rendered":"Gili\u0173j\u0173 ven\u0173 tromboz\u0117"},"content":{"rendered":"\n

Gili\u0173j\u0173 ven\u0173 tromboz\u0117 <\/strong>– tai liga, kurios galima i\u0161vengti ir kuri\u0105 sukelia kraujo t\u0117km\u0117s poky\u010diai, kraujagysli\u0173 sieneli\u0173 pa\u017eeidimai ir kre\u0161\u0117jimo sutrikimai. Svarbiausias gili\u0173j\u0173 ven\u0173 tromboz\u0117s, kuri negydoma gali b\u016bti pavojinga gyvybei, veiksnys yra kre\u0161\u0117jimo sistemos sutrikimas. <\/p>\n\n

Gili\u0173j\u0173 ven\u0173 tromboz\u0117, kuri apibr\u0117\u017eiama kaip kraujagysl\u0117s u\u017esikim\u0161imas giliosios kojos venos u\u017esikim\u0161imas kre\u0161uliu, atsiranda d\u0117l \u012fvairi\u0173 prie\u017eas\u010di\u0173. Yra toki\u0173 prie\u017eas\u010di\u0173 kaip ilgas gul\u0117jimas nejudant, n\u0117\u0161tumas, v\u0117\u017eio gydymas, vir\u0161ytas idealus svoris arba smegen\u0173 operacija. <\/p>\n\n

Kokie yra gili\u0173j\u0173 ven\u0173 tromboz\u0117s simptomai?<\/strong><\/h2>\n\n

Nors pacientas smarkiai kar\u0161\u010diuoja, staigus kojos patinimas, paraudimas ir judesius var\u017eantis skausmas yra vieni ry\u0161kiausi\u0173 po\u017eymi\u0173. Ta\u010diau skausmo ir patinimo simptomai skiriasi priklausomai nuo problemos vietos. V\u0117lyvosios komplikacijos yra edemos susidarymas ir m\u0117\u0161lungis, taip pat odos strukt\u016bros deformacija toje vietoje, kur yra tromboz\u0117. Pav\u0117lavus gydyti gili\u0173j\u0173 ven\u0173 tromboz\u0119, koja sukiet\u0117ja ir pab\u0105la, koja tampa \u0161alta ir pradeda formuotis vandens p\u016bslel\u0117s. Kartu blog\u0117jant kraujotakos sistemos b\u016bklei formuojasi opos. <\/p>\n\n

Nauji gili\u0173j\u0173 ven\u0173 tromboz\u0117s gydymo metodai<\/strong><\/h2>\n\n

\u0160iuo metu ankstyvosios gili\u0173j\u0173 ven\u0173 tromboz\u0117s atvejais taikomas farmakomechaninis gydymas. \u0160is metodas – tai kre\u0161ulio pa\u0161alinimas \u012f ven\u0105 \u012fleid\u017eiant specialiai pastaraisiais metais sukurtus intraveninius kre\u0161ulius \u0161alinan\u010dius kateterius. Po \u0161ios proced\u016bros 24 valandas venoje paliekamas kateteris, kuriuo leid\u017eiami kre\u0161ul\u012f tirpdantys vaistai. <\/p>\n\n

Gili\u0173j\u0173 ven\u0173 tromboz\u0117s , diagnozuotos per pirm\u0105sias 48 val, giliojoje venoje<\/strong><\/a> pasteb\u0117tas kre\u0161ulys vir\u0161 kelio ir pilvo yra pa\u0161alinamas padarant nedidel\u012f pj\u016bv\u012f kirk\u0161nyje ir \u012fvedus special\u0173 balionin\u012f kateter\u012f. Jei kre\u0161ulys matomas \u017eemiau kelio, kre\u0161ul\u012f tirpdantis vaistas sistemi\u0161kai tiekiamas \u012f ven\u0105 , kad kre\u0161ulys i\u0161tirpt\u0173. <\/p>\n\n

Kokia yra klaidinga gili\u0173j\u0173 ven\u0173 tromboz\u0117s gydymo praktika?<\/strong><\/h2>\n\n

Diagnoz\u0117 be Doplerio tyrimo arba klaidinga diagnoz\u0117, taip pat antibiotik\u0173 ar antikoaguliant\u0173, pana\u0161i\u0173 \u012f krauj\u0105 skystinan\u010dius vaistus, vartojimas yra klaidinga gydymo praktika. Vis\u0173 pirma krauj\u0105 skystinan\u010di\u0173 vaist\u0173 naudojimas n\u0117ra veiksmingas \u0161alinant esam\u0105 kre\u0161ul\u012f. Pav\u0117lavus skirti tinkam\u0105 gydym\u0105, gali atsirasti paciento kojos patinimas ir kulk\u0161ni\u0173 opos. <\/p>\n\n

Gili\u0173j\u0173 ven\u0173 tromboz\u0117s simptomai<\/strong><\/h3>\n\n

Gili\u0173j\u0173 ven\u0173 tromboz\u0117s (GVT) simptomai gali b\u016bti:<\/em><\/strong><\/p>\n\n

    \n
  • Koj\u0173 patinimas<\/li>\n\n\n\n
  • Koj\u0173 m\u0117\u0161lungis, skausmas arba skausmingumas, kuris paprastai prasideda blauzdose .<\/li>\n\n\n\n
  • Koj\u0173 spalvos poky\u010diai , pavyzd\u017eiui, violetin\u0117 ar raudona priklausomai nuo j\u016bs\u0173 odos atspalvio<\/li>\n\n\n\n
  • \u0160ilumos poj\u016btis jau\u010diamas ant pa\u017eeistos kojos<\/li>\n\n\n\n
  • Gili\u0173j\u0173 ven\u0173 tromboz\u0117 gali pasireik\u0161ti be joki\u0173 akivaizd\u017ei\u0173 simptom\u0173<\/li>\n<\/ul>\n\n

    Gili\u0173j\u0173 ven\u0173 tromboz\u0117 Rizikos veiksniai<\/strong><\/h2>\n\n

    Daugyb\u0117 veiksni\u0173 gali padidinti tikimyb\u0119, kad jums i\u0161sivystys gili\u0173j\u0173 ven\u0173 tromboz\u0117. (DVT). Kuo daugiau rizikos veiksni\u0173, tuo didesn\u0117 tikimyb\u0117 susirgti DVT. DVT rizikos veiksniai yra \u0161ie: <\/p>\n\n

    Am\u017eius:<\/strong> 60 met\u0173 am\u017eius yra veiksnys, didinantis gili\u0173j\u0173 ven\u0173 tromboz\u0117s tikimyb\u0119. Ta\u010diau DVT galima bet kada. <\/p>\n\n

    Jud\u0117jimo tr\u016bkumas. Jei kojos ilg\u0105 laik\u0105 nejuda, blauzdos raumenys ne\u012fsitempia (nesusitraukia). Raumen\u0173 susitraukimai padeda kraujotakai. Ilgai s\u0117dint, pavyzd\u017eiui, skrendant l\u0117ktuvu ar vairuojant, padid\u0117ja tikimyb\u0117 susirgti gili\u0173j\u0173 ven\u0173 tromboze. Taip pat ilgalaikis gul\u0117jimas lovoje, kuris gali atsirasti d\u0117l ilgo buvimo ligonin\u0117je arba d\u0117l sveikatos b\u016bkl\u0117s, pavyzd\u017eiui, paraly\u017eiaus. <\/p>\n\n

    Operacija arba su\u017ealojimas:<\/strong> Ven\u0173 su\u017ealojimai arba chirurgin\u0117 proced\u016bra gali padidinti kraujo kre\u0161uli\u0173 susid arymo tikimyb\u0119.<\/p>\n\n

    N\u0117\u0161tumas:<\/strong> N\u0117\u0161tumo metu padid\u0117ja spaudimas venose, einan\u010diose per kojas ir duben\u012f. N\u0117\u0161tumo metu susidariusi\u0173 kraujo kre\u0161uli\u0173 rizika gali t\u0119stis iki \u0161e\u0161i\u0173 savai\u010di\u0173 po k\u016bdikio gimimo. Ypa\u010d jautr\u016bs yra \u017emon\u0117s, turintys genetin\u012f kraujo kre\u0161\u0117jimo sutrikim\u0105. <\/p>\n\n

    Kontraceptin\u0117s tablet\u0117s (geriamieji kontraceptikai) arba pakaitin\u0117 hormon\u0173 terapija. Abu \u0161ie preparatai didina kraujo geb\u0117jim\u0105 formuoti kre\u0161ulius. <\/p>\n\n

    Antsvoris arba nutukimas. Antsvoris spaud\u017eia dubens ir koj\u0173 venas . <\/p>\n\n

    R\u016bkymas:<\/strong> r\u016bkymas turi \u012ftakos kraujo tek\u0117jimui ir kre\u0161uli\u0173 susidarymui. Tai gali padidinti giliosios ven\u0173 tromboz\u0117s tikimyb\u0119. <\/p>\n\n

    V\u0117\u017eys:<\/strong> Kai kurie v\u0117\u017einiai susirgimai padidina kraujo kiek\u012f -med\u017eiag\u0173, d\u0117l kuri\u0173 kraujyje susidaro kre\u0161uliai. Kai kurie v\u0117\u017eio gydymo b\u016bdai taip pat gali padidinti kraujo kre\u0161uli\u0173 susidarymo rizik\u0105. <\/p>\n\n

    \u0160irdies nepakankamumas:<\/strong> \u0160irdies nepakankamumas yra gili\u0173j\u0173 ven\u0173 trombozi\u0173 ir plau\u010di\u0173 embolij\u0173 i\u0161sivystymo rizikos veiksnys. Kadangi \u0161irdies ligomis sergan\u010di\u0173 pacient\u0173 plau\u010diai ir \u0161irdis tinkamai neveikia Net ir nedidel\u0117s plau\u010di\u0173 embolijos sukelti simptomai gali b\u016bti akivaizdesni. <\/p>\n\n

    U\u017edegimin\u0117 \u017earnyno liga. Krono liga arba opinis kolitas gali padidinti giliosios ven\u0173 tromboz\u0117s tikimyb\u0119. <\/p>\n\n

    \u0160eimoje ar asmenin\u0117je aplinkoje buvusi gili\u0173j\u0173 ven\u0173 tromboz\u0117 arba plau\u010di\u0173 embolija (PE). Jei jums arba kam nors i\u0161 j\u016bs\u0173 \u0161eimos nari\u0173 buvo diagnozuota viena i\u0161 \u0161i\u0173 lig\u0173 arba abi \u0161ios ligos, jums gali b\u016bti didesn\u0117 DVT i\u0161sivystymo rizika. <\/p>\n\n

    Genetika:<\/strong> kai kuriems \u017emon\u0117ms b\u016bdingi DNR poky\u010diai, d\u0117l kuri\u0173 kraujas grei\u010diau kre\u0161a. Vienas i\u0161 pavyzd\u017ei\u0173 – V Leideno faktorius. \u0160is paveldimas sutrikimas kei\u010dia vien\u0105 i\u0161 kraujo kre\u0161ulius sukelian\u010di\u0173 veiksni\u0173. Geneti\u0161kai paveld\u0117tas sutrikimas pats savaime gali sukelti kraujo kre\u0161uli\u0173 susidarym\u0105, nebent kartu su kitais veiksniais, didinan\u010diais susidarymo rizik\u0105. <\/p>\n\n

    Kartais kraujo i\u0161sipl\u0117timas venoje gali b\u016bti aptiktas be rizikos prie\u017easties. Tai vadinama nei\u0161provokuota veninio kraujo tromboembolija (VTE). <\/p>\n

    \n
    \n
    \n

    Ar pav\u0117lavus\u012f pacient\u0105 galima i\u0161gelb\u0117ti?<\/strong><\/h3>\n
    \n\n

    Pirmiausia pacientas \u012fvertinamas atliekant labai ger\u0105 fizin\u0119 ap\u017ei\u016br\u0105 ir i\u0161sam\u0173 doplerio tyrim\u0105. V\u0117lyvuoju laikotarpiu s\u0117kming\u0173 rezultat\u0173 galima pasiekti naudojant kre\u0161ulius tirpdan\u010dius vaistus. \u012evertinama bendra paciento sveikatos b\u016bkl\u0117 ir venos, kurioje pasteb\u0117tas kre\u0161ulys, b\u016bkl\u0117, pacientas paguldomas \u012f ligonin\u0119 ir tiek atsaking\u0173 ven\u0173 perri\u0161imas, tiek susidariusios \u017eaizdos greitai u\u017egyja. <\/p>\n\n<\/div>\n<\/div>\n

    \n

    K\u0105 daryti po gili\u0173j\u0173 ven\u0173 tromboz\u0117s gydymo?<\/strong><\/h3>\n
    \n\n

    Pacientams, sergantiems gili\u0173j\u0173 ven\u0173 tromboze, po pirmojo priepuolio b\u016btinai reikia \u012fvertinti INR ir vartoti krauj\u0105 skystinan\u010di\u0173 vaist\u0173. Taip u\u017ekertamas kelias naujo kre\u0161ulio susidarymui.
    \u0160iais laikais neovirusinius antikoaguliantus (NAC) galima skirti be nuolatinio kraujo tyrimo, taip u\u017etikrinant pacientui komfort\u0105.<\/p>\n\n<\/div>\n<\/div>\n

    \n

    Kas atsitinka, jei gili\u0173j\u0173 ven\u0173 tromboz\u0117 negydoma?<\/strong><\/h3>\n
    \n\n

    Kojos patinimas gali tapti nuolatinis ir gali atsirasti randai. Jis taip pat gali sukelti mirt\u012f, nes kre\u0161ulys patenka \u012f plau\u010dius. Jei gili\u0173j\u0173 ven\u0173 tromboze sergan\u010diam pacientui patinsta koja, sunku kv\u0117puoti ir skauda kr\u016btin\u0119, reik\u0117t\u0173 \u012fvertinti kre\u0161ulio plau\u010diuose galimyb\u0119. <\/p>\n\n<\/div>\n<\/div>\n

    \n

    Ko vengti sergant gili\u0173j\u0173 ven\u0173 tromboze?<\/strong><\/h3>\n
    \n\n

    Ilgai nestov\u0117kite ir nes\u0117d\u0117kite vienoje vietoje. Ned\u0117v\u0117kite drabu\u017ei\u0173, kurie riboja koj\u0173 kraujotak\u0105 . Ner\u016bkykite . Nedalyvaukite kontaktiniame sporte, kai vartojate krauj\u0105 skystinan\u010dius vaistus, nes gresia kraujavimas d\u0117l traumos. <\/p>\n\n<\/div>\n<\/div>\n

    \n

    Kiek laiko trunka ven\u0173 tromboz\u0117 ?<\/strong><\/h3>\n
    \n\n

    Dauguma pacient\u0173, sergan\u010di\u0173 gili\u0173j\u0173 ven\u0173 tromboze<\/strong> ar PE, visi\u0161kai pasveiksta per kelias savaites ar m\u0117nesius be didesni\u0173 komplikacij\u0173 ar ilg\u0173nepageidaujamo poveikio. Ta\u010diau gali atsirasti ilgalaiki\u0173 problem\u0173, kuri\u0173 simptomai gali b\u016bti nuo labai lengv\u0173 iki sunkesni\u0173. <\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"

    Gili\u0173j\u0173 ven\u0173 tromboz\u0117 – tai liga, kurios galima i\u0161vengti ir kuri\u0105 sukelia kraujo t\u0117km\u0117s poky\u010diai, kraujagysli\u0173 sieneli\u0173 pa\u017eeidimai ir kre\u0161\u0117jimo sutrikimai. Svarbiausias gili\u0173j\u0173 ven\u0173 tromboz\u0117s, kuri negydoma gali b\u016bti pavojinga gyvybei, veiksnys yra kre\u0161\u0117jimo sistemos sutrikimas. Gili\u0173j\u0173 ven\u0173 tromboz\u0117, kuri apibr\u0117\u017eiama kaip kraujagysl\u0117s u\u017esikim\u0161imas giliosios kojos venos u\u017esikim\u0161imas kre\u0161uliu, atsiranda d\u0117l \u012fvairi\u0173 prie\u017eas\u010di\u0173. Yra toki\u0173 […]<\/p>\n","protected":false},"featured_media":35026,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","format":"standard","meta":{"_acf_changed":true,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}}},"class_list":["post-34722","treatment","type-treatment","status-publish","format-standard","has-post-thumbnail","hentry","treatments-kitos-proceduros"],"acf":[],"_links":{"self":[{"href":"https:\/\/soracamed.com\/lt\/wp-json\/wp\/v2\/treatment\/34722","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/soracamed.com\/lt\/wp-json\/wp\/v2\/treatment"}],"about":[{"href":"https:\/\/soracamed.com\/lt\/wp-json\/wp\/v2\/types\/treatment"}],"replies":[{"embeddable":true,"href":"https:\/\/soracamed.com\/lt\/wp-json\/wp\/v2\/comments?post=34722"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/soracamed.com\/lt\/wp-json\/wp\/v2\/media\/35026"}],"wp:attachment":[{"href":"https:\/\/soracamed.com\/lt\/wp-json\/wp\/v2\/media?parent=34722"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}