{"id":1996,"date":"2022-08-13T16:31:09","date_gmt":"2022-08-13T13:31:09","guid":{"rendered":"https:\/\/slimnica.lv\/?post_type=jaunumi&#038;p=1996"},"modified":"2023-01-13T12:11:04","modified_gmt":"2023-01-13T10:11:04","slug":"locitavu-sapes-kapec-tas-rodas-un-ka-tas-mazinat","status":"publish","type":"jaunumi","link":"https:\/\/www.slimnica.lv\/ru\/jaunumi\/locitavu-sapes-kapec-tas-rodas-un-ka-tas-mazinat\/","title":{"rendered":"Loc\u012btavu s\u0101pes: k\u0101p\u0113c t\u0101s rodas un k\u0101 t\u0101s mazin\u0101t"},"parent":0,"menu_order":0,"template":"","jaunumu_atslegvardi":[71,45],"class_list":["post-1996","jaunumi","type-jaunumi","status-publish","hentry","jaunumu_atslegvardi-kaulu-un-locitavu-veseliba","jaunumu_atslegvardi-sandris-petronis"],"acf":{"saturs":"<p><strong>Cilv\u0113kiem novecojot un neiev\u0113rojot sabalans\u0113tu dz\u012bves ritmu, arvien vair\u0101k nolietojas balsta un kust\u012bbu sist\u0113ma, k\u0101 rezult\u0101t\u0101 att\u012bst\u0101s da\u017e\u0101das kaites, kas var ietekm\u0113t dz\u012bves kvalit\u0101ti, ikdienas un profesion\u0101l\u0101s gaitas. Viena no slim\u012bb\u0101m ir\u00a0entezop\u0101tija\u00a0\u2013 patolo\u0123isks process, kas skar musku\u013cu saites to piestiprin\u0101\u0161an\u0101s viet\u0101 pie kaula.<\/strong><\/p>\n<p>Entezop\u0101tija ir attiecin\u0101ma uz vis\u0101m loc\u012btav\u0101m. Traumatologu, ortop\u0113du nov\u0113rojumi liecina, ka sieviet\u0113m visbie\u017e\u0101k ir skartas pap\u0113\u017eu un plecu loc\u012btavu piestiprin\u0101\u0161an\u0101s vietas, savuk\u0101rt v\u012brie\u0161iem plecu un elko\u0146u zona. Pacientiem ar \u0161o diagnozi liel\u0101koties ir visp\u0101r\u0113jas loc\u012btavu s\u0101pes vai s\u0101pes noteikt\u0101 viet\u0101 loc\u012btav\u0101. Sirgstot ar \u0161o slim\u012bbu, var nov\u0113rot st\u012bvumu, gr\u016bt\u012bbas kustin\u0101t, p\u0101rvietot skarto loc\u012btavu vai \u0137erme\u0146a zonu, turkl\u0101t kustoties, s\u0101pes pastiprin\u0101s. J\u0101piev\u0113r\u0161 uzman\u012bba, ja \u0123imen\u0113 ir bijusi \u0161\u012b diagnoze. Att\u012bst\u012bbas gaita katram ir individu\u0101la.<\/p>\n<p>Piem\u0113ram, pap\u0113\u017ea entezop\u0101tijas gad\u012bjum\u0101 Ahileja c\u012bpslas piestiprin\u0101\u0161an\u0101s viet\u0101 pie pap\u0113\u017ea kaula, skrienot, ejot, balstoties uz p\u0113das vai c\u012bpslas zonas, s\u0101pes pastiprin\u0101sies. Tendin\u012bta jeb ce\u013ca loc\u012btavas entezop\u0101tijas gad\u012bjum\u0101 s\u0101pes j\u016bt, piece\u013coties no s\u0113dus st\u0101vok\u013ca vai k\u0101pjot pa k\u0101pn\u0113m. G\u016b\u017eas entezop\u0101tija da\u017ek\u0101rt var b\u016bt saist\u012bta ar iekais\u012bg\u0101m zarnu slim\u012bb\u0101m vai ar \u0123en\u0113tiskiem faktoriem, k\u0101 ar\u012b visp\u0101r\u0113jas s\u0101pes muguras lejasda\u013c\u0101 var b\u016bt mugurkaula slim\u012bbu gad\u012bjumos, piem\u0113ram, sirgstot ar spondiloartr\u012btu. Bie\u017ei entezop\u0101tija rodas, ja pacientam ir artr\u012bts jeb loc\u012btavu iekaisums.<\/p>\n<h3><\/h3>\n<h3><strong>FAKTI PAR ENTEZOP\u0100TIJU<\/strong><\/h3>\n<ul>\n<li>Izplat\u012bt\u0101kie c\u0113lo\u0146i ir mazkust\u012bgs, neakt\u012bvs dz\u012bvesveids, darba specifika, iedzimt\u012bbas faktori un jau eso\u0161as balsta un kust\u012bbu sist\u0113mas saslim\u0161anas.<\/li>\n<li>Galvenie simptomi: s\u0101pes vai krampju saj\u016bta ap skarto loc\u012btavu, to kustinot; piet\u016bkums loc\u012btavas zon\u0101; loc\u012btavu st\u012bvums, \u012bpa\u0161i p\u0113c ilgsto\u0161as \u200b\u200bgul\u0113\u0161anas vai s\u0113d\u0113\u0161anas, kas ierobe\u017eo kust\u012bbu diapazonu;<\/li>\n<li>Terapija ir v\u0113rsta uz pamatc\u0113lo\u0146a \u0101rst\u0113\u0161anu un dz\u012bvesveida izmai\u0146\u0101m, lai mazin\u0101tu simptomus.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2000 size-medium aligncenter\" src=\"https:\/\/slimnica.lv\/wp-content\/uploads\/2022\/08\/entezopatija-300x278.jpg\" alt=\"\" width=\"300\" height=\"278\" srcset=\"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/08\/entezopatija-300x278.jpg 300w, https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/08\/entezopatija.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p style=\"text-align: center;\">1. att\u0113ls.\u00a0Hroniskas entezop\u0101tijas rentgenuz\u0146\u0113muma aina. Lab\u0101 aug\u0161delma kaula liel\u0101 paugura defekts ar sklerotisku kaula apvidu un nelieliem kalcin\u0101tu iesl\u0113gumiem rotatoru aproces c\u012bpslas projekcijas viet\u0101. Avots: R\u012bgas 2. slimn\u012bcas arh\u012bvs.<\/p>\n<h3><\/h3>\n<h3><strong>K\u0100D\u0112\u013b SLIM\u012aBA RODAS UN K\u0100DA IR T\u0100S GAITA<\/strong><\/h3>\n<p>Slim\u012bba visbie\u017e\u0101k att\u012bst\u0101s cilv\u0113kiem, kuri ikdien\u0101 nav biju\u0161i akt\u012bvi vai ar\u012b veic mazkust\u012bgu, monotonu darbu. P\u0113k\u0161\u0146i s\u0101kot tren\u0113ties, neiesildoties pirms un neatsildoties p\u0113c sportiskas aktivit\u0101tes, rodas musku\u013ca p\u0101rslodze. Entezop\u0101tija ir ar\u012b arodslim\u012bba.\u00a0<em>\u201cPraks\u0113 sastopos ar pacientiem, kuri p\u0113k\u0161\u0146i s\u0101ku\u0161i veikt neierastas kust\u012bbas. Piem\u0113ram, p\u0113c pal\u012bdz\u012bbas v\u0113r\u0161as sievietes, kuras \u013coti sasprindzin\u0101ju\u0161\u0101s, mainot spuldz\u012bti vai lietojot mikseri, vai ar\u012b v\u012brie\u0161i, kuri kaut ko ener\u0123iski skr\u016bv\u0113ju\u0161i, lai gan iepriek\u0161 to nav dar\u012bju\u0161i,\u201d<\/em>\u00a0sav\u0101 pieredz\u0113 dal\u0101s R\u012bgas 2. slimn\u012bcas traumatologs \u2013 ortop\u0113ds Andulis Zell\u0101ns. \u0100rsts turpina:<em>\u201c\u0160obr\u012bd mod\u0113 ir skriet, bet neviens nerun\u0101, cik b\u016btiska noz\u012bme ir pareiziem apaviem un musku\u013cu iesild\u012b\u0161anai pirms un atsild\u012b\u0161anai p\u0113c skrie\u0161anas. Rezult\u0101t\u0101, neiev\u0113rojot \u0161os nosac\u012bjumus, sporta entuziastiem s\u0101kas da\u017e\u0101das probl\u0113mas, un akt\u012bvajam dz\u012bvesveidam, ja t\u0101 var teikt, tiek atmests ar roku.\u201d<\/em><\/p>\n<h3><strong>Entezop\u0101tijai var b\u016bt vair\u0101ki c\u0113lo\u0146i, piem\u0113ram:<\/strong><\/h3>\n<ul>\n<li>p\u0101rm\u0113r\u012bga loc\u012btavu lieto\u0161ana;<\/li>\n<li>aptauko\u0161an\u0101s, k\u0101 rezult\u0101t\u0101 var rasties p\u0101rslodze loc\u012btav\u0101m;<\/li>\n<li>im\u016bnsist\u0113mas reakcija uz loc\u012btav\u0101m;<\/li>\n<li>iedzimt\u012bbas faktori, piem\u0113ram, artr\u012bts vai saist\u012btas slim\u012bbas \u0123imenes anamn\u0113z\u0113.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2001 aligncenter\" src=\"https:\/\/slimnica.lv\/wp-content\/uploads\/2022\/08\/a-R2S-doplerografija-IMG-0001-00001-300x154.jpg\" alt=\"\" width=\"300\" height=\"154\" srcset=\"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/08\/a-R2S-doplerografija-IMG-0001-00001-300x154.jpg 300w, https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/08\/a-R2S-doplerografija-IMG-0001-00001-1024x525.jpg 1024w, https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/08\/a-R2S-doplerografija-IMG-0001-00001.jpg 1188w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p style=\"text-align: center;\"><em>2. att\u0113ls.\u00a0Jauda doplerogr\u0101fijas uz\u0146\u0113mums pacientam ar hronisku musku\u013ca c\u012bpslas entezop\u0101tiju. Pleca rotatoru aproces musku\u013ca c\u012bpslas hronisk\u0101s entezop\u0101tijas aina ar neviendab\u012bgu c\u012bpslas strukt\u016bru, neregul\u0101ru kaula kont\u016bru c\u012bpslas piestiprin\u0101\u0161anas viet\u0101 pie kaula, lieliem kalcin\u0101tu iesl\u0113gumiem c\u012bpslas strukt\u016br\u0101. Avots: R\u012bgas 2. slimn\u012bcas arh\u012bvs.<\/em><\/p>\n<p>Visbie\u017e\u0101kais entezop\u0101tijas simptoms ir s\u0101pes loc\u012btavas zon\u0101, to lietojot. S\u0101pju l\u012bmenis var iev\u0113rojami at\u0161\u0137irties. Vieglas pak\u0101pes entezop\u0101tijas gad\u012bjum\u0101 pacientam b\u016bs vieglas intensit\u0101tes s\u0101pes un, visticam\u0101k, persona var\u0113s veikt ikdienas uzdevumus, izj\u016btot nelielu diskomfortu. Savuk\u0101rt smagas entezop\u0101tijas gad\u012bjum\u0101 s\u0101pes var trauc\u0113t veikt ikdienas darb\u012bbas, k\u0101 ar\u012b var b\u016bt s\u0101pes nakt\u012b, kas trauc\u0113 miegu. Pacientiem samazin\u0101s gan dz\u012bves kvalit\u0101te, gan darba sp\u0113jas, k\u0101 rezult\u0101t\u0101 nav iesp\u0113jams str\u0101d\u0101t noteikt\u0101s profesij\u0101s, kur j\u0101veic atk\u0101rtotas, monotonas kust\u012bbas un taml\u012bdz\u012bgi. Izveidojot ilgtermi\u0146a \u0101rst\u0113\u0161anas pl\u0101nu, simptomus un diskomfortu iesp\u0113jams samazin\u0101t, lai patolo\u0123ija neatt\u012bst\u012btos t\u0101l\u0101k un nerad\u012btu liel\u0101kus boj\u0101jumus loc\u012btavas piestiprin\u0101\u0161an\u0101s vietai.<\/p>\n<h3><\/h3>\n<h3><strong>K\u0100 NOTEIKT?<\/strong><\/h3>\n<p>Prim\u0101ri entezop\u0101tiju var diagnostic\u0113t, palp\u0113jot jeb iztaustot skart\u0101s \u0137erme\u0146a da\u013cas. Prec\u012bz\u0101ku ainu var g\u016bt, veicot specializ\u0113tus izmekl\u0113jumus. Popul\u0101r\u0101k\u0101 un pieejam\u0101k\u0101 ir rentgenogr\u0101fija, ar kuras pal\u012bdz\u012bbu var redz\u0113t kalcin\u0101tus jeb kalcija nogulsn\u0113jumus audos. Ieteicam\u0101k veikt ultrasonogr\u0101fiju, kas atkl\u0101s m\u012bksto audu st\u0101vokli, t\u016bskas apjomu, k\u0101 ar\u012b pal\u012bdz\u0113s noteikt c\u0113loni. V\u0113l diagnostikas nol\u016bkos iesp\u0113jams veikt ar\u012b magn\u0113tisko rezonansi.<\/p>\n<h3><\/h3>\n<h3><strong>\u0100RST\u0112\u0160ANAS IESP\u0112JAS<\/strong><\/h3>\n<p>Vairum\u0101 gad\u012bjumu entezop\u0101tiju var stabiliz\u0113t un ierobe\u017eot, apvienojot medikamentu lieto\u0161anu, lok\u0101lu \u0101rst\u0113\u0161anu un mainot dz\u012bvesveidu. Da\u017eos gad\u012bjumos to var piln\u012bb\u0101 iz\u0101rst\u0113t. J\u0101\u0146em gan v\u0113r\u0101, ka \u0101rst\u0113\u0161anas process ir ilgsto\u0161s un s\u0101p\u012bgs, bet entezop\u0101tiju var aptur\u0113t un stabiliz\u0113t uz ilgu laiku.<\/p>\n<p><strong>Vieglus slim\u012bbas gad\u012bjumus, ko izrais\u012bjusi p\u0101rm\u0113r\u012bga loc\u012btavu lieto\u0161ana vai trauma, var nov\u0113rst:<\/strong><\/p>\n<ul>\n<li>iev\u0113rojot saudz\u012bgu re\u017e\u012bmu;<\/li>\n<li>vienlaikus dodoties uz fizioterapiju un teipo\u0161anu;<\/li>\n<li>pielietojot fizik\u0101l\u0101s proced\u016bras, piem\u0113ram, ultraska\u0146as vai magn\u0113tterapiju, l\u0101zeri;<\/li>\n<li>sm\u0113r\u0113jot pretiekaisuma gelus;<\/li>\n<li>lietojot bezrecep\u0161u prets\u0101pju medikamentus (ibuprof\u0113nu);<\/li>\n<li>s\u0101po\u0161ajai vietai lietojot speci\u0101lu fiksatoru.<\/li>\n<\/ul>\n<p>Ja \u0101rst\u0113\u0161ana nel\u012bdz, tad n\u0101kamais solis ir blok\u0101de \u2013 s\u0101pes un iekaisumu mazino\u0161u medikamentu, piem\u0113ram, kortikostereo\u012bdu, ievad\u012b\u0161ana prec\u012bzi nepiecie\u0161amaj\u0101 viet\u0101. Ir iesp\u0113jamas ar\u012b homeop\u0101tisk\u0101s vai plazmas injekcijas.<\/p>\n<p>Stipru s\u0101pju gad\u012bjum\u0101, lai mazin\u0101tu entezop\u0101tijas izrais\u012bto iekaisumu, \u0101rsts var izrakst\u012bt nestero\u012bdos pretiekaisuma l\u012bdzek\u013cus. Gad\u012bjum\u0101, kad entezop\u0101tiju izrais\u012bjusi im\u016bnsist\u0113mas reakcija, piem\u0113ram, psori\u0101tiskais artr\u012bts, \u0101rsts simptomu mazin\u0101\u0161anai izstr\u0101d\u0101s \u0101rst\u0113\u0161anas pl\u0101nu. \u0160aj\u0101 gad\u012bjum\u0101 speci\u0101lists visticam\u0101k ieteiks z\u0101les, kas samazin\u0101s im\u016bnsist\u0113mas reakcijas izrais\u012bt\u0101s s\u0101pes. Ar pretreimatisma z\u0101l\u0113m var \u0101rst\u0113t im\u016bn\u0101s atbildes, savuk\u0101rt im\u016bnsupresanti var pal\u012bdz\u0113t mazin\u0101t simptomus.<\/p>\n<h3><\/h3>\n<h3><strong>S\u0100CIET AR DZ\u012aVESVEIDA IZMAI\u0145\u0100M<\/strong><\/h3>\n<p>Ja entezop\u0101tiju ir izrais\u012bjusi p\u0101rm\u0113r\u012bga aktivit\u0101te, \u0101rsts var ieteikt main\u012bt dz\u012bvesveidu. Ja darb\u0101 vai br\u012bvaj\u0101 laik\u0101 bie\u017ei j\u0101lieto skart\u0101 loc\u012btava, k\u0101 rezult\u0101t\u0101 s\u0101pes vai iekaisums pastiprin\u0101s, ieteikts samazin\u0101t darba vai aktivit\u0101\u0161u apjomu. Bet, ja regul\u0101ri vingrojat un \u0161\u012bs darb\u012bbas noslogo skart\u0101s loc\u012btavas, \u0101rsts var pal\u012bdz\u0113t izstr\u0101d\u0101t jaunu vingrojumu pl\u0101nu, kas \u013cauj turpin\u0101t regul\u0101ri veikt iztur\u012bbas un stiep\u0161an\u0101s vingrin\u0101jumus, radot maz\u0101ku spiedienu skart\u0101s loc\u012btavas zon\u0101.<\/p>\n<hr \/>\n<p><strong><em>Par R\u012bgas 2. slimn\u012bcu<\/em><\/strong><\/p>\n<p><em>SIA \u201cR\u012bgas 2. slimn\u012bca\u201d ir vesel\u012bbas apr\u016bpes kapit\u0101lsabiedr\u012bba. Galvenais darb\u012bbas virziens ir kust\u012bbu balsta sist\u0113mas slim\u012bbu \u0101rst\u0113\u0161ana un rehabilit\u0101cija, k\u0101 ar\u012b neatliekam\u0101 medic\u012bnisk\u0101 pal\u012bdz\u012bba smagu skeleta traumu gad\u012bjumos un pl\u0101nveida ortop\u0113disk\u0101 \u0101rstniec\u012bba da\u017e\u0101du skeleta un loc\u012btavu slim\u012bbu gad\u012bjumos.<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>Avots: vesel\u012bbas \u017eurn\u0101ls <a href=\"https:\/\/arsts.lv\/jaunumi\/andulis-zellans-viktors-linovs-sandis-petronis-locitavu-sapes-kapec-tas-rodas-un-ka-tas-mazinat\">\u201c\u0100rsts.lv\u201d<\/a> (Nr. 8 (84)).<\/p>\n","galvenais_attels":{"ID":1997,"id":1997,"title":"pexels-marcus-aurelius-6787440 (1)","filename":"pexels-marcus-aurelius-6787440-1.jpg","filesize":5852374,"url":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/12\/pexels-marcus-aurelius-6787440-1.jpg","link":"https:\/\/www.slimnica.lv\/ru\/jaunumi\/locitavu-sapes-kapec-tas-rodas-un-ka-tas-mazinat\/pexels-marcus-aurelius-6787440-1\/","alt":"","author":"2","description":"","caption":"Att\u0113lam ir ilustrat\u012bva noz\u012bme. Avots: pexels.com","name":"pexels-marcus-aurelius-6787440-1","status":"inherit","uploaded_to":1996,"date":"2022-12-13 13:36:27","modified":"2022-12-28 07:17:42","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.slimnica.lv\/wp-includes\/images\/media\/default.png","width":6720,"height":4480,"sizes":{"thumbnail":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/12\/pexels-marcus-aurelius-6787440-1-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/12\/pexels-marcus-aurelius-6787440-1-300x200.jpg","medium-width":300,"medium-height":200,"medium_large":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/12\/pexels-marcus-aurelius-6787440-1.jpg","medium_large-width":768,"medium_large-height":512,"large":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/12\/pexels-marcus-aurelius-6787440-1-1024x683.jpg","large-width":1024,"large-height":683,"1536x1536":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/12\/pexels-marcus-aurelius-6787440-1.jpg","1536x1536-width":1536,"1536x1536-height":1024,"2048x2048":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2022\/12\/pexels-marcus-aurelius-6787440-1.jpg","2048x2048-width":2048,"2048x2048-height":1365}},"galerija":false,"atslegvardi":[71,45],"autors":"Dr. Andulis Zell\u0101ns, dr. Viktors \u013bi\u0146ovs, dr. Sandris Petronis, R\u012bgas 2. slimn\u012bca","galerijas_foto_autors":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/jaunumi\/1996","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/jaunumi"}],"about":[{"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/types\/jaunumi"}],"version-history":[{"count":18,"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/jaunumi\/1996\/revisions"}],"predecessor-version":[{"id":3431,"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/jaunumi\/1996\/revisions\/3431"}],"wp:attachment":[{"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/media?parent=1996"}],"wp:term":[{"taxonomy":"jaunumu_atslegvardi","embeddable":true,"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/jaunumu_atslegvardi?post=1996"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}