{"id":88539,"date":"2025-12-29T10:33:08","date_gmt":"2025-12-29T10:33:08","guid":{"rendered":"https:\/\/www.europesays.com\/lv\/88539\/"},"modified":"2025-12-29T10:33:08","modified_gmt":"2025-12-29T10:33:08","slug":"austrumu-slimnica-caur-vienu-griezumu-izopere-plausu-audzeju-raksts","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/lv\/88539\/","title":{"rendered":"Austrumu slimn\u012bc\u0101 caur vienu griezumu izoper\u0113 plau\u0161u audz\u0113ju \/ Raksts"},"content":{"rendered":"<p>R\u012bgas Austrumu kl\u012bniskaj\u0101 universit\u0101tes slimn\u012bc\u0101\u00a0mazinvaz\u012bv\u0101 veid\u0101 notikusi \u012bpa\u0161i sare\u017e\u0123\u012bta oper\u0101cija\u00a067 gadus vecam pacientam, kuram bija diagnostic\u0113ts \u013caundab\u012bgs audz\u0113js, inform\u0113ja slimn\u012bc\u0101.\u00a0<\/p>\n<p>Pacientam bija centr\u0101la kreis\u0101s plau\u0161as plakan\u0161\u016bnu karcinoma, kas no plau\u0161as aug\u0161daivas bija ieaugusi gan kreisaj\u0101 galvenaj\u0101 bronh\u0101, gan plau\u0161u art\u0113rij\u0101. \u0160\u0101dos gad\u012bjumos past\u0101v \u013coti augsts risks, ka n\u0101ktos iz\u0146emt visu plau\u0161u.\u00a0Lai to nov\u0113rstu, pacientam tika veikta rekonstrukt\u012bva oper\u0101cija. T\u0101s pirmaj\u0101 posm\u0101 kop\u0101 ar audz\u0113ju iz\u0146emts bronha un plau\u0161u art\u0113rijas skartais posms, savuk\u0101rt otraj\u0101 posm\u0101 \u2014 bronhi un art\u0113rijas posmi prec\u012bzi savienoti\u00a0(bronhoplastika un angioplastika).\u00a0<\/p>\n<p>\u0160\u0101das oper\u0101cijas parasti veic va\u013c\u0113j\u0101 veid\u0101, ta\u010du \u0161oreiz \u0137irurgi to paveica caur vienu 3,5 centimetru griezumu, izmantojot mazinvaz\u012bvu pieeju. Tas \u013c\u0101va b\u016btiski saudz\u0113t pacienta audus un mazin\u0101t p\u0113coper\u0101cijas riskus.\u00a0<\/p>\n<p>&#8220;Anatomisku un fiziolo\u0123isku iemeslu d\u0113\u013c oper\u0101cijas kr\u016b\u0161u kurv\u012b var rad\u012bt izteikt\u0101kas p\u0113coper\u0101cijas s\u0101pes nek\u0101 oper\u0101cijas cit\u0101s \u0137erme\u0146a da\u013c\u0101s. T\u0101d\u0113\u013c, veicot torak\u0101l\u0101s oper\u0101cijas, ir \u012bpa\u0161i svar\u012bgi pielietot iesp\u0113jami saudz\u012bg\u0101ku pieeju,&#8221; skaidroja Torak\u0101l\u0101s \u0137irur\u0123ijas un invaz\u012bv\u0101s pneimonolo\u0123ijas kl\u012bnikas torak\u0101lais \u0137irurgs Rihards Mikilps-Mikgelbs.\u00a0<\/p>\n<p>P\u0113coper\u0101cijas periods pacientam norit\u0113ja bez sare\u017e\u0123\u012bjumiem, un jau astotaj\u0101 dien\u0101 vi\u0146\u0161 tika izrakst\u012bts m\u0101j\u0101s, kur turpina atvese\u013co\u0161anos. Oper\u0101cijas materi\u0101la histolo\u0123ijas rezult\u0101ti ir izv\u0113rt\u0113ti kons\u012blij\u0101, un ir nolemts, ka pacientam papildu \u0101rst\u0113\u0161ana nav nepiecie\u0161ama.\u00a0<\/p>\n<p>Slimn\u012bc\u0101 nor\u0101d\u012bja, ka inov\u0101cijas medic\u012bnas un \u0137irur\u0123ijas jom\u0101 ien\u0101k nep\u0101rtraukti. Plau\u0161u un citu kr\u016b\u0161u kurvja org\u0101nu jeb torak\u0101l\u0101 \u0137irur\u0123ija nav iz\u0146\u0113mums. Piem\u0113ram, pirms 10 gadiem Austrumu slimn\u012bc\u0101 tika veikta pirm\u0101 uniport\u0101l\u0101 (caur vienu griezienu) videoasist\u0113ta torakoskopiska \u0137irur\u0123ija (VATS) lobektomija. L\u012bdz min\u0113t\u0101s\u00a0pieejas ievie\u0161anai \u0161\u0101das\u00a0lobektomijas tika veiktas caur diviem trim iegriezumiem, l\u012bdz\u012bgi k\u0101 laparoskopij\u0101.\u00a0<\/p>\n<p>VATS lobektomija ir mazinvaz\u012bva kr\u016b\u0161kurvja oper\u0101cija, kuras laik\u0101 plau\u0161as daiva tiek iz\u0146emta ar videotorakoskopijas pal\u012bdz\u012bbu:\u00a0<\/p>\n<ul>\n<li>Oper\u0101cija tiek veikta caur vienu nelielu iegriezumu starp rib\u0101m (uniport\u0101l\u0101 pieeja), parasti 3\u20134 cm garu.<\/li>\n<li>Kr\u016b\u0161kurv\u012b tiek ievad\u012bta videokamera un \u012bpa\u0161i \u0161auri instrumenti, kas \u013cauj \u0137irurgam str\u0101d\u0101t ar augstu precizit\u0101ti.<\/li>\n<li>\u0160\u012b metode pacientam saudz\u0113 starpribu nervus, iev\u0113rojami mazina p\u0113coper\u0101cijas s\u0101pes un veicina \u0101tr\u0101ku atvese\u013co\u0161anos.<\/li>\n<li>Starptautiski p\u0113t\u012bjumi apliecina VATS lobektomijas onkolo\u0123isko efektivit\u0101ti, k\u0101 ar\u012b b\u016btiski lab\u0101ku pacientu dz\u012bves kvalit\u0101ti nek\u0101 p\u0113c va\u013c\u0113jas oper\u0101cijas.<\/li>\n<\/ul>\n<p>Oper\u0101ciju 2025. gada nogal\u0113 veica Austrumu slimn\u012bcas stacion\u0101ra &#8220;Tuberkulozes un plau\u0161u slim\u012bbu centrs&#8221; komanda:<\/p>\n<ul>\n<li>torak\u0101lie \u0137irurgi Rihards Mikilps-Mikgelbs, Marina Gaidukova un Ints Sili\u0146\u0161,<\/li>\n<li>torak\u0101l\u0101s \u0137irur\u0123ijas \u0101rsts rezidents Filips Aksjutins,<\/li>\n<li>anesteziologi Marina Lubg\u0101ne, Ineta Blumberga,<\/li>\n<li>oper\u0101ciju m\u0101sas Sanita Rieksti\u0146a, Anda Vanaga,<\/li>\n<li>anest\u0113zijas m\u0101sa Ilga Priekule,<\/li>\n<li>m\u0101sas pal\u012bdze Je\u013cena Rjabinkova.<\/li>\n<\/ul>\n<p>Kop\u0161 2017. gada Austrumu slimn\u012bcas torak\u0101lie \u0137irurgi uniport\u0101li veic ar\u012b sare\u017e\u0123\u012btas bronhoplastisk\u0101s oper\u0101cijas. Slimn\u012bc\u0101 nor\u0101d\u012bja, ka \u0161\u012b pieredze ir atzin\u012bgi nov\u0113rt\u0113ta ar\u012b \u0101rpus Latvijas.<\/p>\n<p>                    Valodas k\u013c\u016bda rakst\u0101?<\/p>\n<p class=\"d-none d-md-block\">Iez\u012bm\u0113jiet tekstu un spiediet Ctrl+Enter, lai nos\u016bt\u012btu labojamo teksta fragmentu redaktoram! Par faktu k\u013c\u016bd\u0101m l\u016bdzam zi\u0146ot e-past\u0101 <a href=\"https:\/\/www.lsm.lv\/cdn-cgi\/l\/email-protection\" class=\"__cf_email__\" data-cfemail=\"7a081f1e1b111913101b3a16091754160c\" rel=\"nofollow noopener\" target=\"_blank\">[email\u00a0protected]<\/a>.<\/p>\n<p class=\"d-md-none\">Iez\u012bm\u0113jiet tekstu un spiediet uz Zi\u0146ot par k\u013c\u016bdu pogas, lai nos\u016bt\u012btu labojamo teksta fragmentu redaktoram!<\/p>\n<p>\n                    Zi\u0146ot par k\u013c\u016bdu\n                <\/p>\n","protected":false},"excerpt":{"rendered":"R\u012bgas Austrumu kl\u012bniskaj\u0101 universit\u0101tes slimn\u012bc\u0101\u00a0mazinvaz\u012bv\u0101 veid\u0101 notikusi \u012bpa\u0161i sare\u017e\u0123\u012bta oper\u0101cija\u00a067 gadus vecam pacientam, kuram bija diagnostic\u0113ts \u013caundab\u012bgs audz\u0113js,&hellip;\n","protected":false},"author":2,"featured_media":88540,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[23,28,29,32,33,22,30,31,35,39,38,36,37,34,40,20,26,27,24,25,21],"class_list":{"0":"post-88539","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-latvija","8":"tag-aktualitates","9":"tag-breaking-news","10":"tag-breakingnews","11":"tag-featured-news","12":"tag-featurednews","13":"tag-headlines","14":"tag-latest-news","15":"tag-latestnews","16":"tag-latvia","17":"tag-latvian","18":"tag-latviesu","19":"tag-latviesu-valoda","20":"tag-latviesuvaloda","21":"tag-latvija","22":"tag-lv","23":"tag-news","24":"tag-popularakas-zinas","25":"tag-popularakaszinas","26":"tag-top-stories","27":"tag-topstories","28":"tag-zinas"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@lv\/115802407142746173","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/88539","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=88539"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/88539\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media\/88540"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media?parent=88539"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/categories?post=88539"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/tags?post=88539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}