{"id":70991,"date":"2025-12-10T19:45:26","date_gmt":"2025-12-10T19:45:26","guid":{"rendered":"https:\/\/www.europesays.com\/lv\/70991\/"},"modified":"2025-12-10T19:45:26","modified_gmt":"2025-12-10T19:45:26","slug":"ka-arstet-iesnas-saposu-kaklu-un-ausis","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/lv\/70991\/","title":{"rendered":"k\u0101 \u0101rst\u0113t iesnas, s\u0101po\u0161u kaklu un ausis"},"content":{"rendered":"<p>Katru gadu, s\u0101koties v\u012brusu sezonai, \u0101rstu kabinetos atk\u0101rtojas l\u012bdz\u012bgs scen\u0101rijs \u2013 cilv\u0113ki ierodas ar aizliktu degunu, s\u0101po\u0161u kaklu vai diskomfortu aus\u012bs, cerot atrast \u0101tru risin\u0101jumu. Daudziem \u0161\u0137iet pa\u0161saprotami, ka visefekt\u012bv\u0101k\u0101s b\u016bs tie\u0161i <a rel=\"noopener nofollow\" target=\"_blank\" href=\"https:\/\/www.delfi.lv\/temas\/45231626\/antibiotikas\" tag-id=\"45231626\">antibiotikas<\/a>. Ta\u010du, k\u0101 nor\u0101da Dr. med. R\u016bdolfs J\u0101nis V\u012bksne, liel\u0101kaj\u0101 da\u013c\u0101 gad\u012bjumu t\u0101s nav nepiecie\u0161amas un nereti pat var nodar\u012bt kait\u0113jumu. <\/p>\n<p>Kas paties\u012bb\u0101 notiek ar degunu, kaklu un aus\u012bm v\u012brusu sezonas laik\u0101? Kad \u0101rst\u0113\u0161anos dro\u0161i var veikt m\u0101j\u0101s, bet k\u0101dos gad\u012bjumos svar\u012bgi laikus v\u0113rsties pie \u0101rsta? Par to \u0161aj\u0101 rakst\u0101.<\/p>\n<p>Degun\u0101 s\u0101kas liela da\u013ca v\u012brusu infekciju \u2013 k\u0101 \u0101rst\u0113t iesnas?<\/p>\n<p>V\u012brusu infekcijas visbie\u017e\u0101k s\u0101kas tie\u0161i aug\u0161\u0113jos elpce\u013cos, tostarp degun\u0101. Pirmaj\u0101s dien\u0101s rakstur\u012bgi \u016bde\u0146aini izdal\u012bjumi, kas v\u0113l\u0101k sabiez\u0113, un daudzi satraucas.<\/p>\n<blockquote data-v-5420b0e6=\"\"\/>\n<p>&#8220;Vai za\u013cas iesnas noz\u012bm\u0113, ka vajag antibiotikas?&#8221; Atbilde ir \u2013 n\u0113, nevajag. Izdal\u012bjumu tonis bie\u017e\u0101k atspogu\u013co t\u016bskas rad\u012bto st\u0101zi, nevis bakteri\u0101lu infekciju. Tipiska v\u012brusu infekcija p\u0101riet 7\u201310 dienu laik\u0101. \u0160aj\u0101 period\u0101 galvenais uzdevums ir pal\u012bdz\u0113t organismam tikt gal\u0101 ar v\u012brusu, nevis censties to &#8220;uzvar\u0113t&#8221; ar antibiotik\u0101m.<\/p>\n<p>R\u016bdolfs J\u0101nis V\u012bksne, otolaringologs<\/p>\n<p>Ko var dar\u012bt m\u0101j\u0101s:<\/p>\n<ul>\n<li>\n<p>uz\u0146emt pietiekami daudz \u0161\u0137idruma;<\/p>\n<\/li>\n<li>\n<p>regul\u0101ri skalot degunu ar izotonisku s\u0101ls\u016bdeni;<\/p>\n<\/li>\n<li>\n<p>\u012bslaic\u012bgi lietot deguna pilienus vai aerosolus, kas mazina t\u016bsku (dekongestantus), stingri iev\u0113rojot nor\u0101d\u012bjumus;<\/p>\n<\/li>\n<li>\n<p>r\u016bp\u0113ties par atp\u016btu un pietiekamu miegu.<\/p>\n<\/li>\n<\/ul>\n<p>Ja simptomi nep\u0101riet ilg\u0101k par 10 dien\u0101m, p\u0113c s\u0101kotn\u0113ja uzlabojuma st\u0101voklis p\u0113k\u0161\u0146i pasliktin\u0101s un par\u0101d\u0101s sp\u0113c\u012bgas sejas s\u0101pes pieres vai vaigu rajon\u0101, paaugstin\u0101ta \u0137erme\u0146a temperat\u016bra un izteikts nesp\u0113ks, noteikti j\u0101konsult\u0113jas ar \u0101rstu. Tas var liecin\u0101t par bakteri\u0101lu infekciju, un \u0161\u0101dos gad\u012bjumos antibiotikas tie\u0161\u0101m var b\u016bt nepiecie\u0161amas, ta\u010du l\u0113mumu par to izv\u0113li un lieto\u0161anas ilgumu pie\u0146em \u0101rsts.<\/p>\n<p>Kakla s\u0101pes visbie\u017e\u0101k saist\u012btas ar infekcij\u0101m \u2013 k\u0101 \u0101rst\u0113t s\u0101po\u0161u kaklu?<\/p>\n<p>Kakla s\u0101pes ir viens no simptomiem, kas visvair\u0101k bied\u0113 pacientus. Ta\u010du liel\u0101koties t\u0101s kop\u0101 ar iesn\u0101m, klepu un nelielu temperat\u016bru pavada v\u012brusu infekciju. \u0160\u0101dos gad\u012bjumos r\u012bkles aps\u0101rtums nav sign\u0101ls antibiotiku nepiecie\u0161am\u012bbai, bet gan im\u016bnsist\u0113mas akt\u012bvam darbam.<\/p>\n<p>Bakteri\u0101l\u0101 tonsil\u012bta jeb ang\u012bnas simptomi ir sp\u0113c\u012bgas, \u0101tri progres\u0113jo\u0161as kakla s\u0101pes, gr\u016bta un s\u0101p\u012bga nor\u012b\u0161ana, augsta temperat\u016bra, balti vai strutaini aplikumi uz mandel\u0113m, s\u0101p\u012bgi kakla limfmezgli, un, kas ir b\u016btiski, \u2013 parasti nav iesnu un klepus. \u0160\u0101d\u0101 situ\u0101cij\u0101 \u0101rst\u0113\u0161anu j\u0101izv\u0113rt\u0113 r\u016bp\u012bgi \u2013 antibiotikas var b\u016bt nepiecie\u0161amas, bet tikai p\u0113c \u0101rsta apskates.<\/p>\n<p>B\u012bstami simptomi, kas prasa steidzamu \u0101rsta apmekl\u0113jumu:<\/p>\n<p>Tie var liecin\u0101t par peritonsil\u0101ru abscesu, ko \u0101rst\u0113 neatliekami.<\/p>\n<p>Ausu probl\u0113mu bie\u017e\u0101kais vaininieks ir deguns \u2013 k\u0101 \u0101rst\u0113t s\u0101po\u0161as ausis?<\/p>\n<p>Ausu s\u0101pes bie\u017ei ir sekas, nevis pamats. Deguna un aizdegunes g\u013cot\u0101das t\u016bska blo\u0137\u0113 Eistahija kan\u0101lu (kan\u0101lu, kas savieno aizdeguni ar vidusausi), auss vairs &#8220;neelpo&#8221; un par\u0101d\u0101s t\u0101di simptomi k\u0101 s\u0101pes, spiediena saj\u016bta, sl\u0101p\u0113ta ska\u0146a un saj\u016bta k\u0101 &#8220;zem \u016bdens&#8221;. To sauc par tubot\u012btu, un tas ir \u013coti izplat\u012bts v\u012brusu sezon\u0101. Lai ar\u012b parasti tubot\u012bts nav b\u012bstams, tas var b\u016bt nepat\u012bkams. Svar\u012bgi atcer\u0113ties: \u0101rst\u0113\u0161ana j\u0101v\u0113r\u0161 uz deguna ventil\u0101cijas uzlabo\u0161anu un t\u016bskas mazin\u0101\u0161anu. Tikai tad, kad atjaunojas norm\u0101la ventil\u0101cija, ar\u012b ausij k\u013c\u016bst lab\u0101k \u2013 un uzlabojums ne vienm\u0113r ir t\u016bl\u012bt\u0113js.<\/p>\n<p>Ak\u016btam vidusauss iekaisumam parasti ir izteikt\u0101ki simptomi \u2013 puls\u0113jo\u0161as vai duro\u0161as s\u0101pes aus\u012b, paaugstin\u0101ta temperat\u016bra, iesp\u0113jami ar\u012b strutaini izdal\u012bjumi no auss. <\/p>\n<blockquote data-v-5420b0e6=\"\"\/>\n<p>Ar\u012b p\u0113k\u0161\u0146a vai strauji progres\u0113jo\u0161a dzirdes pasliktin\u0101\u0161an\u0101s var b\u016bt saist\u012bta ar iekaisuma procesu vidusaus\u012b, t\u0101p\u0113c \u0161\u0101dus simptomus nedr\u012bkst ignor\u0113t \u2013 tie noteikti j\u0101izv\u0113rt\u0113 \u0101rstam.<\/p>\n<p>R\u016bdolfs J\u0101nis V\u012bksne, otolaringologs<\/p>\n<p>Ja par\u0101d\u0101s piet\u016bkums aiz auss, turpin\u0101s izdal\u012bjumi vair\u0101kas ned\u0113\u013cas, pievienojas reibonis vai l\u012bdzsvara trauc\u0113jumi, nepiecie\u0161ama steidzama apskate pie speci\u0101lista.<\/p>\n<p>Kad noteikti j\u0101konsult\u0113jas ar \u0101rstu?<\/p>\n<p>Atcerieties v\u0113rsties pie \u0123imenes \u0101rsta, ja:<\/p>\n<ul>\n<li>\n<p>v\u012brusa simptomi nep\u0101riet ilg\u0101k par 10\u201314 dien\u0101m;<\/p>\n<\/li>\n<li>\n<p>st\u0101voklis strauji pasliktin\u0101s p\u0113c s\u0101kotn\u0113ja uzlabojuma;<\/p>\n<\/li>\n<li>\n<p>paaugstin\u0101ta \u0137erme\u0146a temperat\u016bra, kas saglab\u0101jas vair\u0101k nek\u0101 \u010detras dienas.<\/p>\n<\/li>\n<\/ul>\n<p>Pie LOR speci\u0101lista j\u0101v\u0113r\u0161as, ja:<\/p>\n<ul>\n<li>\n<p>par\u0101d\u0101s izteiktas s\u0101pes sej\u0101, aus\u012b vai kakl\u0101;<\/p>\n<\/li>\n<li>\n<p>ir elpas tr\u016bkums, apgr\u016btin\u0101ta elpo\u0161ana vai r\u012b\u0161ana;<\/p>\n<\/li>\n<li>\n<p>rodas izteikts nesp\u0113ks, reibonis vai saj\u016bta, ka &#8220;kaut kas nav k\u0101 parasti&#8221;.<\/p>\n<\/li>\n<\/ul>\n<p>Neatliekam\u0101 medic\u012bnisk\u0101 pal\u012bdz\u012bba j\u0101sauc, ja:<\/p>\n<ul>\n<li>\n<p>ir apgr\u016btin\u0101ta elpo\u0161ana;<\/p>\n<\/li>\n<li>\n<p>nesp\u0113jat nor\u012bt pat siekalas;<\/p>\n<\/li>\n<li>\n<p>ir izteikts, strauji pieaugo\u0161s piet\u016bkums kakl\u0101 vai aiz auss;<\/p>\n<\/li>\n<li>\n<p>par\u0101d\u0101s apzi\u0146as trauc\u0113jumi.<\/p>\n<\/li>\n<\/ul>\n<p>\u0100rsts V\u012bksne uzsver, ka \u0101rsta uzdevums nav tikai izrakst\u012bt recepti, bet ar\u012b skaidrot, kas ar pacientu notiek. Cilv\u0113ks, kur\u0161 saprot, k\u0101p\u0113c simptomi rodas, k\u0101p\u0113c ne vienm\u0113r vajag antibiotikas un kad j\u0101dodas pie \u0101rsta, parasti pie\u0146em p\u0101rdom\u0101t\u0101kus l\u0113mumus, \u0101tr\u0101k izvese\u013cojas un ret\u0101k non\u0101k situ\u0101cij\u0101s, kur nepiecie\u0161ama agres\u012bv\u0101ka \u0101rst\u0113\u0161ana.<\/p>\n<p>&#8220;Man k\u0101 LOR speci\u0101listam \u0161\u0137iet b\u016btiski Latvij\u0101 cie\u0161i pietur\u0113ties pie uz pier\u0101d\u012bjumiem balst\u012btas medic\u012bnas \u2013 tas ilgtermi\u0146\u0101 ir ieguvums gan pacientiem, gan \u0101rstiem, gan visai vesel\u012bbas apr\u016bpes sist\u0113mai. Deguna, kakla un ausu s\u016bdz\u012bbas v\u012brusu sezon\u0101 ir gandr\u012bz neizb\u0113gamas, ta\u010du t\u0101s nav j\u0101uztver k\u0101 katastrofa. Liel\u0101koties t\u0101s p\u0101riet pa\u0161as, ja \u013caujam \u0137ermenim dar\u012bt savu darbu, r\u016bp\u0113jamies par atp\u016btu un nelietojam nevajadz\u012bgas z\u0101les,&#8221; iedro\u0161ina V\u012bksne.<\/p>\n<p class=\"m-0\">Seko &#8220;Delfi&#8221; ar\u012b  <a target=\"_blank\" href=\"https:\/\/www.instagram.com\/delfi.lv\/\" rel=\"nofollow noopener\">Instagram<\/a>  un <a target=\"_blank\" href=\"https:\/\/www.youtube.com\/channel\/UCw5foWtcJvAbUm64rv7jwUQ\" rel=\"nofollow noopener\">YouTube<\/a>  profil\u0101 \u2013 pievienojies, lai uzzin\u0101tu svar\u012bg\u0101ko un interesant\u0101ko pirmais!<\/p>\n<p>Publik\u0101cijas saturs vai t\u0101s jebk\u0101da apjoma da\u013ca ir aizsarg\u0101ts autorties\u012bbu objekts Autorties\u012bbu likuma izpratn\u0113, un t\u0101 izmanto\u0161ana bez izdev\u0113ja at\u013caujas ir aizliegta. Vair\u0101k lasi  <a target=\"_blank\" href=\"https:\/\/www.delfi.lv\/noteikumi#autortiesibas\" rel=\"nofollow noopener\">\u0161eit<\/a><script async src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/p>\n","protected":false},"excerpt":{"rendered":"Katru gadu, s\u0101koties v\u012brusu sezonai, \u0101rstu kabinetos atk\u0101rtojas l\u012bdz\u012bgs scen\u0101rijs \u2013 cilv\u0113ki ierodas ar aizliktu degunu, s\u0101po\u0161u kaklu&hellip;\n","protected":false},"author":2,"featured_media":70992,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[23,14598,7870,28,29,32,33,22,18147,9298,30,31,35,39,38,36,37,34,40,20,26,27,3522,24,25,21],"class_list":{"0":"post-70991","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-aktualitates","8":"tag-aktualitates","9":"tag-antibiotikas","10":"tag-berna-veseliba","11":"tag-breaking-news","12":"tag-breakingnews","13":"tag-featured-news","14":"tag-featurednews","15":"tag-headlines","16":"tag-imunitates-stiprinasana","17":"tag-infekciju-slimibas","18":"tag-latest-news","19":"tag-latestnews","20":"tag-latvia","21":"tag-latvian","22":"tag-latviesu","23":"tag-latviesu-valoda","24":"tag-latviesuvaloda","25":"tag-latvija","26":"tag-lv","27":"tag-news","28":"tag-popularakas-zinas","29":"tag-popularakaszinas","30":"tag-slimiba","31":"tag-top-stories","32":"tag-topstories","33":"tag-zinas"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@lv\/115696993761309026","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/70991","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/comments?post=70991"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/70991\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media\/70992"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media?parent=70991"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/categories?post=70991"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/tags?post=70991"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}