{"id":3326,"date":"2021-05-10T09:40:17","date_gmt":"2021-05-10T07:40:17","guid":{"rendered":"https:\/\/slimnica.lv\/?post_type=jaunumi&p=3326"},"modified":"2023-01-18T16:38:41","modified_gmt":"2023-01-18T14:38:41","slug":"sandris-petronis-santa-mikele-vasara-un-traumas","status":"publish","type":"jaunumi","link":"https:\/\/www.slimnica.lv\/ru\/jaunumi\/sandris-petronis-santa-mikele-vasara-un-traumas\/","title":{"rendered":"Sandris Petronis, Santa Mi\u0137ele: vasara un traumas"},"parent":0,"menu_order":0,"template":"","jaunumu_atslegvardi":[77,45,107,72,42],"class_list":["post-3326","jaunumi","type-jaunumi","status-publish","hentry","jaunumu_atslegvardi-diennakts-traumpunkts","jaunumu_atslegvardi-sandris-petronis","jaunumu_atslegvardi-santa-mikele","jaunumu_atslegvardi-traumatisms","jaunumu_atslegvardi-traumatologi-ortopedi"],"acf":{"saturs":"

R\u012bgas 2. slimn\u012bca ir vien\u012bg\u0101 \u0101rstniec\u012bbas iest\u0101de Daugavas kreisaj\u0101 krast\u0101, kas sniedz valsts apmaks\u0101tu diennakts neatliekamo pal\u012bdz\u012bbu, ja notikusi trauma, kas saist\u012bta ar kaulu, loc\u012btavu, musku\u013cu un c\u012bpslu boj\u0101jumiem, \u2013 l\u016bzumi, me\u017e\u0123\u012bjumi, sai\u0161u sastiepumi, pl\u012bsumi. \u0160eit tiek \u0101rst\u0113tas ar\u012b br\u016bces, kas saist\u012btas ar sai\u0161u un c\u012bpslu boj\u0101jumiem. T\u0101 ir m\u016bsu ikdiena.<\/strong><\/p>\n

Vasar\u0101 traumas bie\u017e\u0101k g\u016bst akt\u012bvie cilv\u0113ki. Skaidrojums gau\u017e\u0101m vienk\u0101r\u0161s \u2013 \u0101r\u0101 laiks k\u013c\u016bst silt\u0101ks, dienas \u2013 gar\u0101kas, cilv\u0113ki \u2013 mo\u017e\u0101ki. S\u0101kas ar\u012b atva\u013cin\u0101jumi, vair\u0101k br\u012bv\u0101 laika, vair\u0101k da\u017e\u0101du fizisku aktivit\u0101\u0161u, vair\u0101k p\u0101rgalv\u012bbas un maz\u0101k piesardz\u012bbas. Brauk\u0161ana ar velosip\u0113diem, motocikliem, skrejrite\u0146iem, atp\u016bta pie dabas, grila sezona, alkohols, notiek remonti m\u0101j\u0101s, d\u0101rza darbi… \u0160ad un tad gad\u0101s iep\u013caut k\u0101j\u0101, t\u0101p\u0113c ir svar\u012bgi, lai b\u016btu atbilsto\u0161i apavi \u2013 sl\u0113gti, kuriem purngali ir pietiekami iztur\u012bgi un kuros k\u0101ja ir labi fiks\u0113ta, nevis sandales. Reiz\u0113m k\u0101ds nokr\u012bt no koka zara vai no piesliet\u0101m k\u0101pn\u0113m, vai no jumta, kuru dom\u0101jis remont\u0113t. Kundzes gados, kur\u0101m ir osteoporoze, mazg\u0101jot logus un mainot aizkarus, pak\u0101pjas uz kr\u0113sliem, kas \u013cog\u0101s, t\u0101p\u0113c kr\u012bt un g\u016bst l\u016bzumus. Savuk\u0101rt jaun\u0101ki cilv\u0113ki daudz br\u012bv\u0101 laika pavada sportisk\u0101s aktivit\u0101t\u0113s: lec, skrien un ar\u012b kr\u012bt \u2013 it sevi\u0161\u0137i tie, kas ikdienu pavada biroj\u0101 un, speci\u0101li negatavojoties, p\u0113k\u0161\u0146i uzs\u0101k akt\u012bvi sportot. Notiek ar\u012b piln\u012bgi negaid\u012btas traumas \u2013 k\u0101 saka, nelaime nen\u0101k br\u0113kdama. Piem\u0113ram, \u0161\u0101ds neparasts gad\u012bjums: sieviete pastaig\u0101jas pa pludmali, un p\u0113k\u0161\u0146i no j\u016bras puses vi\u0146ai virs\u016b uzbrauc desmitgad\u012bgs puika ar \u016bdensmotociklu, kuru nav sp\u0113jis novald\u012bt, un salau\u017e sievietei apak\u0161stilbu.<\/p>\n

Kad trauma notikusi, bie\u017ei vien cilv\u0113ki samulst: k\u0101 r\u012bkoties t\u0101l\u0101k; ko dr\u012bkst dar\u012bt pats, kad saukt neatliekamo medic\u012bnisko pal\u012bdz\u012bbu; varb\u016bt tom\u0113r nogaid\u012bt un \u0101rst\u0113ties m\u0101j\u0101s?<\/strong><\/p>\n

M\u0113\u0123in\u0101sim uz \u0161iem jaut\u0101jumiem atbild\u0113t, apskatot bie\u017e\u0101kos traumu veidus.<\/p>\n

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Kaulu l\u016bzumi<\/strong><\/h4>\n

\u0160aj\u0101 gad\u012bjum\u0101 neatliekami j\u0101v\u0113r\u0161as pie \u0101rsta p\u0113c pal\u012bdz\u012bbas. Par l\u016bzumu var liecin\u0101t vair\u0101kas paz\u012bmes. Piem\u0113ram, traumas g\u016b\u0161anas br\u012bd\u012b tie\u0161i l\u016bzuma viet\u0101 uzreiz rodas stipras s\u0101pes, kas nep\u0101riet. N\u0101kamais simptoms ir trauc\u0113tas kust\u012bbas loc\u012btav\u0101s, nevar slogot traum\u0113to roku vai k\u0101ju. Un, visbeidzot, traumas viet\u0101 ir t\u016bska. Ja l\u016bzums ir ar kaula fragmentu nob\u012bdi, tad var redz\u0113t, ka cietus\u012b k\u0101ja vai roka, vai loc\u012btava ir deform\u0113ta. Cilv\u0113ks ir spiests roku vai k\u0101ju novietot t\u0101d\u0101 st\u0101vokl\u012b, lai t\u0101 p\u0113c iesp\u0113jas maz\u0101k s\u0101p\u0113tu. \u0160\u0101dos gad\u012bjumos vajadz\u0113tu uzreiz doties uz traumu punktu. Tur veic rentgenizmekl\u0113jumu, \u0101rsts nosaka diagnozi, un pacientu var s\u0101kt \u0101rst\u0113t. Tas ir ide\u0101lais variants. Bet, ja cilv\u0113ks grib\u0113jis nogaid\u012bt, jo, iesp\u0113jams, vi\u0146am ir augsts s\u0101pju slieksnis un vi\u0146am \u0161\u0137iet, ka nav nemaz tik traki, nevajadz\u0113tu gaid\u012bt ilgi. Ja n\u0101kamaj\u0101 dien\u0101 tik un t\u0101 ir s\u0101pes un t\u0101s nemazin\u0101s, j\u0101dodas pie traumatologa. Daudz lab\u0101k ir atbraukt pie \u0101rsta un konstat\u0113t, ka l\u016bzuma nav, nevis ierasties p\u0113c trim \u010detr\u0101m dien\u0101m un secin\u0101t, ka l\u016bzums ir.<\/p>\n

Pirm\u0101 pal\u012bdz\u012bba.<\/strong> Vajadz\u0113tu pacelt cietu\u0161o roku vai k\u0101ju uz aug\u0161u, lai t\u016bska mazin\u0101tos. Var pielikt v\u0113su priek\u0161metu uz 20 min\u016bt\u0113m, p\u0113c tam pusstundu ir p\u0101rtraukums, un tad atkal pieliek v\u0113su priek\u0161metu. Vadl\u012bnij\u0101s iesaka cietu\u0161o vietu nekustin\u0101t. Ja lauzta ir roka, to vajadz\u0113tu iek\u0101rt lakati\u0146\u0101. Ja lauzta ir k\u0101ja, tad p\u0101rvietojoties j\u0101izmanto kru\u0137i. Ja p\u0113c traumas \u013coti s\u0101p un ir radu\u0161\u0101s aizdomas par l\u016bzumu, nav iesp\u0113jams p\u0101rvietoties, tad j\u0101sauc neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas brig\u0101de, zvanot pa t\u0101lruni\u00a0113.<\/strong><\/p>\n

K\u0101di b\u016bs ieguvumi?<\/strong> Pirmais \u2013 medic\u012bnas darbinieks uzreiz nov\u0113rt\u0113s situ\u0101ciju, k\u0101ds var\u0113tu b\u016bt boj\u0101jums. Otrais \u2013 vi\u0146\u0161 var ats\u0101pin\u0101t, injic\u0113t medikamentus, lai cilv\u0113kam nav j\u0101mok\u0101s. Tre\u0161ais \u2013 atbilsto\u0161i iesp\u0113jamai diagnozei pacientam var nofiks\u0113t k\u0101ju vai roku. Neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas dienesta r\u012bc\u012bb\u0101 ir speci\u0101las \u0161inas, k\u0101 ar\u012b nestuves un matra\u010di. Medi\u0137i pacientu var transport\u0113t gu\u013cus st\u0101vokl\u012b, t\u0101p\u0113c vairs nekas netiks traum\u0113ts, kas nav iesp\u0113jams, cietu\u0161o vedot ar priv\u0101to automa\u0161\u012bnu. Ceturtais \u2013 neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas dienesta auto cietu\u0161o l\u012bdz slimn\u012bcai nog\u0101d\u0101 patie\u0161\u0101m \u0101tri, jo tai at\u013cauts braukt ar liel\u0101ku \u0101trumu. Piektais ieguvums \u2013pacientu aizved uz pareizo medic\u012bnas iest\u0101di, kas taj\u0101 dien\u0101 var sniegt nepiecie\u0161amo pal\u012bdz\u012bbu. Savuk\u0101rt, ja cilv\u0113ku uz slimn\u012bcu ved tuvinieki vai draugi, kas ne tik perfekti orient\u0113jas vesel\u012bbas apr\u016bpes sist\u0113m\u0101, vi\u0146i m\u0113dz aizbraukt uz ne\u012bsto medic\u012bnas iest\u0101di.<\/p>\n

Reiz\u0113m cilv\u0113ki uzskata, ka, ierodoties traumu punkt\u0101 vai uz\u0146em\u0161anas noda\u013c\u0101 ar\u00a0\u0101trajiem<\/em>, traumatologs vi\u0146u apskat\u012bs uzreiz, bet, ja uz turieni aiztransport\u0113 radinieks, n\u0101ksies gaid\u012bt gar\u0101 rind\u0101. T\u0101 varb\u016bt no malas izskat\u0101s, ta\u010du nav taisn\u012bba. Noteico\u0161ais vienm\u0113r ir traumas smagums un iesp\u0113jam\u0101 turpm\u0101k\u0101 traumas ietekme uz \u0101rst\u0113\u0161anu. Piem\u0113ram, cilv\u0113ku ar va\u013c\u0113ju l\u016bzumu \u0101rsts noteikti apskat\u012bs uzreiz.<\/p>\n

Ar\u012b \u0101rst\u0113\u0161anas taktika ir atkar\u012bga no l\u016bzuma vietas un rakstura, svar\u012bgi, cik fragmentos kauls sal\u016bzis un vai l\u016bzumam ir nob\u012bde.<\/strong><\/p>\n

Lai kauls sadz\u012btu, l\u016bzuma vietai j\u0101b\u016bt nekust\u012bgai. T\u0101p\u0113c pacientam tiek likts \u0123ipsis vai kauls tiek fiks\u0113ts ar met\u0101la implantiem. Savuk\u0101rt, lai musku\u013ci neatrof\u0113tos, lai loc\u012btavas nek\u013c\u016btu st\u012bvas un roka vai k\u0101ja piln\u012bb\u0101 atg\u016btu funkcijas, svar\u012bgas ir kust\u012bbas. T\u0101p\u0113c \u0123ipsis tiek tur\u0113ts tik, cik nepiecie\u0161ams, un p\u0113c tam notiek akt\u012bva kust\u012bbu terapija. Otrs variants \u2013 ja l\u016bzumu veiksm\u012bgi izoper\u0113 un uzreiz izdodas to stingri saskr\u016bv\u0113t, nofiks\u0113t, tad cietu\u0161o vietu var s\u0101kt kustin\u0101t jau n\u0101kamaj\u0101 dien\u0101 p\u0113c \u0137irur\u0123isk\u0101s iejauk\u0161an\u0101s. Tagad daudzas oper\u0101cijas notiek rentgena kontrol\u0113, tiek veikti nelieli griezieni, t\u0101p\u0113c oper\u0101cija ir maz\u0101k traumatiska. L\u016bzuma stabila fiks\u0101cija \u013cauj cilv\u0113kam \u0101tr\u0101k ats\u0101kt ekstremit\u0101tes kust\u012bbas, t\u0101 veicinot asinsriti, mazinot t\u016bsku un atjaunojot norm\u0101lu kust\u012bbu apjomu.<\/p>\n

Pacientus parasti interes\u0113, k\u0101dus uztura bag\u0101tin\u0101t\u0101jus vai medikamentus lietot, lai kauls \u0101tr\u0101k un veiksm\u012bg\u0101k saaugtu. Nav t\u0101du prepar\u0101tu! Potenci\u0101li past\u0101v iesp\u0113ja sag\u0101d\u0101t kaulu saaug\u0161anu veicino\u0161us prote\u012bnus, ko \u0101rsts oper\u0101cijas laik\u0101 var ievad\u012bt tie\u0161i l\u016bzum\u0101, bet to dara reti. Galvenais, kas nosaka l\u016bzuma saaug\u0161anas \u0101trumu, ir m\u016b\u017ea gadi. Jo jaun\u0101ks cilv\u0113ks, jo lab\u0101k l\u016bzuma vieta sadz\u012bst. Piem\u0113ram, gadu vecam b\u0113rnam atsl\u0113gas kaula l\u016bzums saaug div\u0101s ned\u0113\u013c\u0101s, savuk\u0101rt pieaugu\u0161am cilv\u0113kam t\u0101 sadzied\u0113\u0161anai nepiecie\u0161amas 6\u20138 ned\u0113\u013cas. Kaula sadz\u012b\u0161anas \u0101trums ir atkar\u012bgs no kaula lieluma. Jo liel\u0101ks kauls, jo ilg\u0101k tas dz\u012bst. Piem\u0113ram, liel\u0101kais kauls cilv\u0113kam ir ciskas kauls, kas var dz\u012bt se\u0161us m\u0113ne\u0161us vai pat gadu. Kaula sadz\u012b\u0161anas \u0101trumu nosaka ar\u012b traumas smagums. Jo augst\u0101kas ener\u0123ijas trauma bijusi, jo l\u0113n\u0101ka sadz\u012b\u0161ana. L\u016bzumi saaug slikt\u0101k, ja ir k\u0101das blakus slim\u012bbas vai cilv\u0113ks ir sm\u0113\u0137\u0113t\u0101js. \u012apa\u0161i negat\u012bvi sm\u0113\u0137\u0113\u0161ana ietekm\u0113 apak\u0161\u0113jo ekstremit\u0101\u0161u sadz\u012b\u0161anu.<\/p>\n

Pacienti var\u0113tu papildus uz\u0146emt kalciju un D vitam\u012bnu, ta\u010du zin\u0101tniski nav pierad\u012bts, ka \u0161ie prepar\u0101ti sekm\u0113tu kaulu sadz\u012b\u0161anu.<\/p>\n

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Pot\u012btes sai\u0161u sastiepums<\/strong><\/h4>\n

\u0160aj\u0101 gad\u012bjum\u0101 ieteicams iev\u0113rot t\u0101dus pa\u0161us pirm\u0101s pal\u012bdz\u012bbas pamatprincipus k\u0101 l\u016bzuma gad\u012bjum\u0101, kas tiek izmantoti ar\u012b sporta medic\u012bn\u0101. T\u0101tad vispirms \u2013 miers. P\u0113c traumas p\u0101ris min\u016btes ar cietu\u0161o k\u0101ju neko nedar\u012bt. P\u0113c tam viegli m\u0113\u0123in\u0101t kustin\u0101t, un tad jau var nov\u0113rt\u0113t, cik liela ir trauma. Otrs princips \u2013 traum\u0113to pot\u012bti novieto augst\u0101k par gurniem, lai uzlabotu limfas atteci un mazin\u0101tu t\u016bsku. Tre\u0161ais princips \u2013 aukstums uz cietu\u0161\u0101s vietas. Tas samazina t\u016bsku un t\u0101d\u0113j\u0101di ar\u012b s\u0101pes. Pirmaj\u0101s 10 min\u016bt\u0113s iedarb\u012bba ir visefekt\u012bv\u0101k\u0101. Der jebkas auksts. Piem\u0113ram, teko\u0161s kr\u0101na \u016bdens, aukstumpaka, kas iet\u012bta pl\u0101n\u0101 audum\u0101, vai j\u0101uzzie\u017e atv\u0113sino\u0161s gels. Var uzp\u016bst sportistiem dom\u0101to aukstuma aerosolu \u2013 tikai j\u0101atceras, ka, uzp\u016b\u0161ot par daudz vai no p\u0101r\u0101k tuva att\u0101luma, \u0101du var apsald\u0113t. Aukstumk\u016bre j\u0101atk\u0101rto: t\u0101tad viena epizode, paiet 15\u201320 min\u016btes bez aukstuma terapijas, un tad otra epizode.<\/p>\n

Ceturtais princips \u2013 pot\u012bte j\u0101fiks\u0113 ar elast\u012bgo saiti. Piektais princips \u2013 j\u0101dodas pie traumatologa! Ja ir parasts pot\u012btes sastiepums, tad pirm\u0101 diennakts ir gr\u016bt\u0101k\u0101, un p\u0113c tam ar katru dienu s\u0101pes mazin\u0101s. Savuk\u0101rt, ja ir pot\u012btes l\u016bzums, tad s\u0101p t\u0101pat vai v\u0113l vair\u0101k.<\/p>\n

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Svaiga griezta vai pl\u0113sta br\u016bce<\/strong><\/h4>\n

Vasaras traumu arsen\u0101l\u0101 t\u0101s nav retums. Gad\u0101s ar basu p\u0113du uzk\u0101pt stiklam vai naglai, gad\u0101s ar\u012b savainoties ar da\u017e\u0101diem darba instrumentiem. Lai no t\u0101 izvair\u012btos, pirmaj\u0101 viet\u0101 ir profilakse \u2013 nestr\u0101d\u0101t alkohola reibum\u0101, lietot darba cimdus un citus aizsardz\u012bbas l\u012bdzek\u013cus, iev\u0113rot darba dro\u0161\u012bbu, it \u012bpa\u0161i str\u0101d\u0101jot ar elektriskajiem instrumentiem vai augstum\u0101.<\/p>\n

Pirm\u0101 pal\u012bdz\u012bba.\u00a0<\/strong>Ja ir griezta vai pl\u0113sta br\u016bce \u2013 nek\u0101du jodu, nek\u0101du\u00a0ze\u013conku<\/em>\u00a0(briljanta za\u013co) un nek\u0101du spirtu!<\/p>\n

Ja stipri neasi\u0146o, tad var p\u0101rdesmit sekundes pagaid\u012bt, lai asinis patek, jo \u0161\u0101d\u0101 veid\u0101 br\u016bce tiek izskalota, un tad uzlikt spiedo\u0161u p\u0101rs\u0113ju. Ja roka vai k\u0101ja, kura ir satraum\u0113ta, ir \u013coti net\u012bra un br\u016bce nav liela, tad vislab\u0101kais b\u016btu to nomazg\u0101t ar \u016bdeni un ziep\u0113m, uzlikt t\u012bru, spiedo\u0161u p\u0101rs\u0113ju, un viss. Savuk\u0101rt, ja br\u016bce ir liel\u0101ka, dzi\u013ca vai plata un stipri asi\u0146o, tad pirmais uzdevums ir p\u0113c iesp\u0113jas \u0101tr\u0101k uzlikt spiedo\u0161u p\u0101rs\u0113ju, lai nezaud\u0113tu daudz asi\u0146u, un j\u0101brauc pie traumatologa uz traumu punktu vai uz\u0146em\u0161anas noda\u013cu.<\/p>\n

K\u0101 pacientam slimn\u012bc\u0101 var pal\u012bdz\u0113t? Medi\u0137i br\u016bci izskalo, izmantojot ats\u0101pin\u0101\u0161anas l\u012bdzek\u013cus. Prepar\u0101tu apspric\u0113 ap br\u016bci, un p\u0113c tam to var r\u016bp\u012bgi izskalot, kas nav iesp\u0113jams m\u0101j\u0101s, jo vienk\u0101r\u0161i \u013coti s\u0101p. K\u0101dreiz br\u016bces n\u0101kas t\u012br\u012bt ar\u012b ar skalpe\u013ca pal\u012bdz\u012bbu. \u0160\u0101dos gad\u012bjumos vai ar\u012b tad, ja br\u016bce ir liela, pacientam dod narkozi. Tad var ar\u012b izp\u0113t\u012bt, vai nav kas boj\u0101ts br\u016bces dzi\u013cum\u0101. Parasti cie\u0161 fascijas un musku\u013ci, da\u017ek\u0101rt ar\u012b c\u012bpslas, un, ja t\u0101s nesa\u0161uj, tiek trauc\u0113ta ekstremit\u0101tes funkcija. Piem\u0113ram, vairs nevar saliekt vai iztaisnot pirkstu.<\/p>\n

K\u0101dus \u0101rstniec\u012bbas l\u012bdzek\u013cus turpm\u0101k izmantot, lai br\u016bci sadzied\u0113tu, var noskaidrot, konsult\u0113joties ar \u0101rstu, jo ir vair\u0101kas br\u016b\u010du dz\u012b\u0161anas stadijas un katrai no t\u0101m piem\u0113rotas \u012bpa\u0161as ziedes, geli, p\u0101rs\u0113ji un pl\u0101ksteri.<\/p>\n

\n

Su\u0146u kost\u0101s br\u016bces<\/strong><\/h4>\n

T\u0101s ir \u012bpa\u0161as. K\u0101p\u0113c? Jo t\u0101s slikti dz\u012bst. Un slikti dz\u012bst t\u0101p\u0113c, ka, pirmk\u0101rt, su\u0146a zobu galos var b\u016bt da\u017e\u0101di mikrobi, kas iek\u013c\u016bst dzi\u013ci br\u016bc\u0113, otrk\u0101rt, br\u016bces malas ir pl\u0113stas, vair\u0101k traum\u0113tas. K\u0101 r\u012bkoties? Ja rok\u0101 vai k\u0101j\u0101 iekampis m\u0101jas suns (t\u0101tad, visticam\u0101k, vakcin\u0113ts pret trakums\u0113rgu!) un br\u016bces ir nelielas, vajag \u013caut, lai asinis k\u0101du br\u012bti\u0146u patek, p\u0113c tam nomazg\u0101t br\u016bci ar ziep\u0113m un \u016bdeni un uzlikt sterilu p\u0101rs\u0113ju. T\u0101pat medi\u0137i to dara slimn\u012bc\u0101 \u2013 dezinfic\u0113 apk\u0101rt\u0113jo \u0101du un uzliek p\u0101rs\u0113ju. Su\u0146a kostas br\u016bces netiek \u0161\u016btas, t\u0101s atst\u0101j va\u013c\u0101, lai dabisk\u0101 veid\u0101 izt\u012br\u0101s. Atsevi\u0161\u0137as \u0161uves tiek uzliktas tad, ja ir lielas br\u016bces un potenci\u0101li var veidoties kosm\u0113tisks defekts. \u0160\u0101dos gad\u012bjumos dro\u0161\u012bbas d\u0113\u013c pacientam iesaka lietot antibiotikas. Ar\u012b tad, ja ir dzi\u013cas br\u016bces un t\u0101s pieskaras kaulam, pacientam b\u016btu j\u0101lieto antibiotikas, lai potenci\u0101l\u0101 infekcija neizplat\u012btos t\u0101l\u0101k.<\/p>\n

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Apdeguma rad\u012bt\u0101s br\u016bces<\/strong><\/h4>\n

Apdegums no apdeguma at\u0161\u0137iras. Ja ir termisks apdegums, kuru rad\u012bjusi liesma, karsts \u016bdens, karsta e\u013c\u013ca, karsts priek\u0161mets, pirm\u0101 pal\u012bdz\u012bba ir auksts \u016bdens, kas aptur karstuma iedarb\u012bbu uz audiem. Cietu\u0161o ekstremit\u0101ti \u2013 roku vai k\u0101ju \u2013 var patur\u0113t aukst\u0101 \u016bden\u012b, vasar\u0101 var iebrist piem\u0101jas d\u012b\u0137\u012b vai past\u0101v\u0113t desmit min\u016btes du\u0161\u0101 zem v\u0113sa \u016bdens. \u016adens apdegumu nelikvid\u0113s \u2013 apdegums b\u016bs, bet ne tik dzi\u013c\u0161 k\u0101 tad, ja cietu\u0161o vietu neatdzes\u0113. Tikai j\u0101atceras, ka \u0161ai proced\u016brai noz\u012bme ir pirm\u0101s 20 min\u016btes p\u0113c traumas ieg\u016b\u0161anas. Ja \u0161aj\u0101 laik\u0101 cietu\u0161o vietu nepasp\u0113j atdzes\u0113t, tad v\u0113l\u0101k to dar\u012bt vairs nav j\u0113gas. P\u0113c tam uz cietu\u0161\u0101s vietas dr\u012bkst uzp\u016bst pantenolu, jo tas br\u016bci dezinfic\u0113 un nosedz, ne\u013caujot iek\u013c\u016bt infekcijai. Pantenola putas dom\u0101tas k\u0101 vienreiz\u0113jas lieto\u0161anas prepar\u0101ts, lai sniegtu pirmo pal\u012bdz\u012bbu. J\u0101saprot, ka nav noz\u012bmes pantenola putas p\u016bst ar\u012b otraj\u0101 un tre\u0161aj\u0101 dien\u0101 p\u0113c apdeguma \u2013 t\u0101s neko ne\u0101rst\u0113! M\u0101j\u0101s dzied\u0113jot virspus\u0113jus apdegumus, vajadz\u0113tu uz br\u016bces uzlikt sterilu marl\u012bti. Nelielu apdegumu gad\u012bjum\u0101 der ar\u012b prepar\u0101ti, kas satur koloid\u0101lo sudrabu, kam piem\u012bt pla\u0161a spektra pretmikrobu iedarb\u012bba, un hialuronsk\u0101be, kas veicina dz\u012b\u0161anu.<\/p>\n

Ja apdegums s\u0101p, zin\u0101m\u0101 m\u0113r\u0101 tas ir pat labi, jo s\u0101p virspus\u0113jie apdegumi. Savuk\u0101rt, ja apdegums vairs nes\u0101p, tas noz\u012bm\u0113, ka ir skarti nervi un tas ir dzi\u013c\u0161. \u0160\u0101dos gad\u012bjumos nekav\u0113joties j\u0101dodas uz Apdegumu centru, kas atrodas R\u012bgas Austrumu kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas stacion\u0101r\u0101 \u201cBi\u0137ernieki\u201d \u2013 tas ir vien\u012bgais \u0161\u0101ds specializ\u0113ts centrs Baltij\u0101, kur\u0101 konsult\u0101cijas uz\u0146em\u0161anas noda\u013c\u0101 iesp\u0113jams sa\u0146emt visu diennakti.<\/p>\n

Reiz\u0113m pacienti vaic\u0101, ko dar\u012bt ar bull\u0101m jeb p\u016b\u0161\u013ciem, kas par\u0101d\u0101s apdeguma viet\u0101. Vadl\u012bnij\u0101s rakst\u012bts, ka tie oblig\u0101ti j\u0101no\u0146em, bet \u2013 tikai stacion\u0101ra apst\u0101k\u013cos. Jo pirmaj\u0101s dien\u0101s p\u016bslis ir k\u0101 biolo\u0123iskais aizsargs, kas ne\u013cauj br\u016bc\u0113 iek\u013c\u016bt infekcijai, ta\u010du p\u0113c trim \u010detr\u0101m dien\u0101m serozais \u0161\u0137idrums p\u0101rv\u0113r\u0161as par strutainu \u0161\u0137idrumu. \u010c\u016blas kupols \u2013 \u0101das virs\u0113jais sl\u0101n\u012btis \u2013 ir aizg\u0101jis boj\u0101 un pats var k\u013c\u016bt par infekcijas avotu.<\/p>\n

Vasar\u0101 da\u017ek\u0101rt gad\u0101s pamat\u012bgi apdedzin\u0101ties ar\u012b ar latv\u0101\u0146a sulu. Tas b\u016bs \u0137\u012bmisks apdegums. Ar\u012b \u0161aj\u0101 gad\u012bjum\u0101 galvenais ir liet uz cietu\u0161\u0101s vietas \u016bdeni, lai no \u0101das noskalotu latv\u0101\u0146a sulu. Skalo\u0161ana j\u0101turpina 15\u201320 min\u016btes. P\u0113c tam uz \u0101das var uzkl\u0101t cinka ziedi un p\u0101rsiet br\u016bci ar marles p\u0101rs\u0113ju. Cinka ziede labi sausina \u0101du, kas latv\u0101\u0146a sulas izrais\u012bta apdeguma gad\u012bjum\u0101 ir b\u016btiski. To var lietot ar\u012b n\u0101kamaj\u0101s dien\u0101s.<\/p>\n

Bie\u017e\u0101k\u0101 k\u013c\u016bda<\/strong><\/h4>\n

Tipisk\u0101k\u0101 pacientu k\u013c\u016bda, kas atk\u0101rtojas gadu no gada un katru vasaru, ir \u2013 cilv\u0113ks p\u0113c traumas uzreiz nev\u0113r\u0161as pie \u0101rsta. Kaut ko gaida \u2013 gaida, kad p\u0101ries. Vai ar\u012b iedom\u0101jas, ka dakteris vi\u0146u b\u0101rs par neuzman\u012bbu vai ka b\u016bs j\u0101maks\u0101 lielas summas.<\/p>\n

\n

V\u0113rts zin\u0101t<\/strong><\/h4>\n

Ak\u016btu traumu gad\u012bjum\u0101 valsts apmaks\u0101tu pal\u012bdz\u012bbu var sa\u0146emt medic\u012bnas iest\u0101d\u0113s, kur\u0101m ir attiec\u012bgs l\u012bgums ar Nacion\u0101lo vesel\u012bbas dienestu. Vien\u012bgi b\u016bs j\u0101samaks\u0101 noteiktais pacienta l\u012bdzmaks\u0101jums. Par viz\u012bti pie \u0101rsta pacienta l\u012bdzmaks\u0101jums ir 4 eiro. Ja nepiecie\u0161ams rentgena izmekl\u0113jums, tad papildus b\u016bs j\u0101maks\u0101 3 eiro. R\u012bg\u0101 visu diennakti pal\u012bdz\u012bbu var sa\u0146emt gan ab\u0101s specializ\u0113taj\u0101s slimn\u012bc\u0101s \u2013 R\u012bgas 2. slimn\u012bc\u0101 \u0122imnastikas iel\u0101 1 un Traumatolo\u0123ijas slimn\u012bc\u0101 Duntes iel\u0101 22, gan R\u012bgas Austrumu kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas stacion\u0101r\u0101 \u201cGai\u013cezers\u201d Hipokr\u0101ta iel\u0101 2 (ja ir traumas) un stacion\u0101r\u0101 \u201cBi\u0137ernieki\u201d Lielv\u0101rdes iel\u0101 68 (ja ir apdegumi). Savuk\u0101rt, ja traumu guvis b\u0113rns, tad j\u0101dodas uz B\u0113rnu kl\u012bnisko universit\u0101tes slimn\u012bcu Vien\u012bbas gatv\u0113 45. Ja atrodaties t\u0101l\u0101k no R\u012bgas, tad p\u0113c pal\u012bdz\u012bbas var v\u0113rsties ar\u012b re\u0123ion\u0101lo slimn\u012bcu uz\u0146em\u0161anas noda\u013c\u0101s.<\/p>\n

Papildu inform\u0101ciju par pacientu l\u012bdzmaks\u0101jumiem un iest\u0101d\u0113m, kur var sa\u0146emt valsts apmaks\u0101tu neatliekamo pal\u012bdz\u012bbu, var ieg\u016bt Nacion\u0101l\u0101 vesel\u012bbas dienesta m\u0101jaslap\u0101\u00a0www.vmnvd.gov.lv<\/a>.<\/p>\n

Papildus inform\u0101ciju, kad nepiecie\u0161ams zvan\u012bt uz \u0101rk\u0101rtas t\u0101lruni\u00a0113<\/strong>\u00a0var atrast Neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas m\u0101jas lap\u0101\u00a0www.nmpd.gov.lv\u00a0\u00a0<\/a><\/p>\n

\n

Tipiskais pacients, kur\u0161 2020. gada vasar\u0101 v\u0113rs\u0101s p\u0113c pal\u012bdz\u012bbas R\u012bgas 2. slimn\u012bc\u0101<\/strong><\/p>\n

*MAIJ\u0100. 30\u201339 gadus vecs v\u012brietis ar p\u0113das vai ce\u013ca loc\u012btavu sai\u0161u sastiepumiem un br\u016bc\u0113m. To veicina aktivit\u0101\u0161u pieaugums siltaj\u0101 laik\u0101 \u2013 sporto\u0161ana, p\u0101rvieto\u0161an\u0101s ar velosip\u0113diem, sk\u016bteriem, d\u0101rza darbi.<\/p>\n

J\u016aNIJ\u0100. 30\u201334 gadus vecs v\u012brietis ar br\u016bc\u0113m, kuras g\u016btas, str\u0101d\u0101jot d\u0101rz\u0101, p\u013caujot, trimmer\u0113jot, remont\u0113jot m\u0101ju vai dz\u012bvokli. Ir ar\u012b su\u0146u kostas br\u016bces, apdegumi.<\/p>\n

J\u016aLIJ\u0100. Visvair\u0101k traumu. Tipiskais pacients atkal ir 30\u201339 gadus vecs v\u012brietis ar apak\u0161delma l\u016bzumiem. Galvenie iemesli \u2013 p\u0101rvieto\u0161an\u0101s ar velosip\u0113du un motociklu.<\/p>\n

AUGUST\u0100. 35\u201339 gadus vecs v\u012brietis, tikai \u0161oreiz vi\u0146\u0161 ir guvis apak\u0161stilba l\u016bzumu p\u0113c kritiena, sportojot vai p\u0101rvietojoties ar k\u0101du braucaml\u012bdzekli. Ar\u012b veicot m\u0101jas un jumta remontdarbus, da\u017e\u0101dus uzkop\u0161anas darbus, pal\u012bg\u0101 \u0146emot k\u0101pnes. Tipiski ir p\u0101rslodzes rad\u012bti loc\u012btavu iekaisumi, piem\u0113ram, tenisa un golfa sp\u0113l\u0113t\u0101jiem.<\/p>\n

\n

Lai izvair\u012btos no sastiepumiem<\/strong><\/h4>\n

*Pirms fizisk\u0101m aktivit\u0101t\u0113m noder iesild\u012b\u0161an\u0101s vingrojumi, kas pa\u0101trina vielmai\u0146u un paaugstina musku\u013cu temperat\u016bru, padarot tos elast\u012bg\u0101kus. Tas palielina musku\u013cu sarau\u0161an\u0101s \u0101trumu, samazina traum\u0113\u0161an\u0101s risku. \u0160ie vingrojumi palielina ar\u012b sk\u0101bek\u013ca pieg\u0101di musku\u013ciem, kav\u0113jot piensk\u0101bes veido\u0161anos.<\/p>\n

*P\u0113c fizisk\u0101m aktivit\u0101t\u0113m j\u0101veic \u201catsild\u012b\u0161an\u0101s\u201d \u2013 stiep\u0161an\u0101s vingrojumi, kas pal\u012bdz izklied\u0113t piensk\u0101bi un citus vielmai\u0146as blakusproduktus, samazinot to negat\u012bvo ietekmi uz musku\u013ciem.<\/p>\n

Ja notikusi nelaime, gad\u012bjies g\u016bt traumu, j\u0101apmekl\u0113 slimn\u012bca, nevis j\u0101cer uz br\u012bnumiem. Daudzk\u0101rt lab\u0101k ir lieku reizi atr\u0101d\u012bties \u0101rstam, nevis moc\u012bties s\u0101p\u0113s un nezi\u0146\u0101.<\/p>\n

Lai izdodas sevi pasarg\u0101t no traum\u0101m, un \u2013 skaistu \u0161o vasaru!<\/p>\n

\n

Avots: 2021. gada maija vesel\u012bbas \u017eurn\u0101ls \u0101rsts.lv Nr. 5 (69)<\/p>\n

Sandris Petronis, Santa Mi\u0137ele: vasara un traumas<\/a><\/p>\n","galvenais_attels":{"ID":3327,"id":3327,"title":"S.Petronis Vasara un traumas","filename":"S.Petronis-Vasara-un-traumas.jpg","filesize":125245,"url":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2023\/01\/S.Petronis-Vasara-un-traumas.jpg","link":"https:\/\/www.slimnica.lv\/ru\/jaunumi\/sandris-petronis-santa-mikele-vasara-un-traumas\/s-petronis-vasara-un-traumas\/","alt":"","author":"2","description":"","caption":"Vesel\u012bbas \u017eurn\u0101la \u0101rsts.lv Nr. 5 (69) v\u0101ks","name":"s-petronis-vasara-un-traumas","status":"inherit","uploaded_to":3326,"date":"2023-01-05 07:40:52","modified":"2023-01-05 07:49:53","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.slimnica.lv\/wp-includes\/images\/media\/default.png","width":1920,"height":1080,"sizes":{"thumbnail":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2023\/01\/S.Petronis-Vasara-un-traumas-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2023\/01\/S.Petronis-Vasara-un-traumas-300x169.jpg","medium-width":300,"medium-height":169,"medium_large":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2023\/01\/S.Petronis-Vasara-un-traumas.jpg","medium_large-width":768,"medium_large-height":432,"large":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2023\/01\/S.Petronis-Vasara-un-traumas-1024x576.jpg","large-width":1024,"large-height":576,"1536x1536":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2023\/01\/S.Petronis-Vasara-un-traumas.jpg","1536x1536-width":1536,"1536x1536-height":864,"2048x2048":"https:\/\/www.slimnica.lv\/wp-content\/uploads\/2023\/01\/S.Petronis-Vasara-un-traumas.jpg","2048x2048-width":1920,"2048x2048-height":1080}},"galerija":false,"galerijas_foto_autors":"","atslegvardi":[77,45,72,42,107],"autors":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/jaunumi\/3326","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":4,"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/jaunumi\/3326\/revisions"}],"predecessor-version":[{"id":3550,"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/jaunumi\/3326\/revisions\/3550"}],"wp:attachment":[{"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/media?parent=3326"}],"wp:term":[{"taxonomy":"jaunumu_atslegvardi","embeddable":true,"href":"https:\/\/www.slimnica.lv\/ru\/wp-json\/wp\/v2\/jaunumu_atslegvardi?post=3326"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}