{"id":190,"date":"2021-05-28T07:59:26","date_gmt":"2021-05-28T07:59:26","guid":{"rendered":"http:\/\/80.233.182.142\/?page_id=190"},"modified":"2021-11-15T13:08:30","modified_gmt":"2021-11-15T10:08:30","slug":"mikrokirurgija","status":"publish","type":"page","link":"https:\/\/logina.lv\/index.php\/mikrokirurgija\/","title":{"rendered":"Mikro\u0137irur\u0123ija"},"content":{"rendered":"\n<p><strong>Mikro\u0137irur\u0123ij\u0101 speci\u0101lists<\/strong> nodarbojas ar smalku un trauslu strukt\u016bru &#8211; nervu un asinsvadu izdal\u012b\u0161anu un sa\u0161\u016b\u0161anu, k\u0101 ar\u012b da\u017e\u0101du iemeslu radu\u0161os audu vai funkciju defektu atjauno\u0161anu. Mikro\u0137irur\u0123s izmanto specifiskas tehnikas, materi\u0101lus un visbie\u017e\u0101k &#8211; optisko palielin\u0101jumu.<\/p>\n\n\n\n<p><strong>Mikro\u0137irur\u0123ija<\/strong> saska\u0146\u0101 ar Eiropas savien\u012bbas Mikro\u0137irurgu asoci\u0101cijas feder\u0101cijas (European Federation of Societies for Microsurgery &#8211; http:\/\/www.efsm.eu ) un Pasaules Rekonstrukt\u012bv\u0101s mikro\u0137irur\u0123ijas asoci\u0101cijas (World Society for Reconstructive Microsurgery &#8211; https:\/\/www.wsrm.net ) defin\u012bcijas ir \u0137irur\u0123ijas discipl\u012bna, kas <strong>veido anastomozes <\/strong>(savienojumus) <strong>smalk\u0101m strukt\u016br\u0101m<\/strong> (asinsvadi &#8211; art\u0113rijas, v\u0113nas; limf\u0101tiskie vadi un nervi) <strong>un veic kompleksu cilv\u0113ka m\u012bksto audu rekonstrukciju traumu, onkolo\u0123isku saslim\u0161anu un iedzimtu defektu gad\u012bjumos vai to seku<\/strong> (defektu un\/vai funkciju trauc\u0113jumu) <strong>gad\u012bjumos.<\/strong><\/p>\n\n\n\n<p>\u0160\u0101du oper\u0101ciju veik\u0161anai izmanto optisko palielin\u0101jumu &#8211; optisk\u0101s brilles, mikroskopu u.c. Tom\u0113r ir nepareizi saprast, ka mikro\u0137irur\u0123ija attiecas tikai uz t\u0101m oper\u0101cij\u0101m, kuru veik\u0161anai izmanto optisko palielin\u0101jumu vai mikroskopu. Svar\u012bg\u0101kais mikro\u0137irur\u0123ijas oper\u0101ciju veik\u0161an\u0101 ir \u0101rsts-speci\u0101lists jeb mikro\u0137irurgs. Lai var\u0113tu pilnv\u0113rt\u012bgi str\u0101d\u0101t par mikro\u0137irurgu, ir j\u0101apg\u016bst s\u012bko strukt\u016bru izdal\u012b\u0161ana, sa\u0161\u016b\u0161ana un rekonstrukcija. Latvij\u0101 t\u0101pat k\u0101 cit\u0101s Eiropas valst\u012bs to apstiprina speci\u0101lu kursu apg\u016b\u0161ana, ar sertifik\u0101ciju un prakse. Tom\u0113r mikro\u0137irurgs ir ne tikai \u0137irurgs, kur\u0161 iem\u0101c\u012bjies veikt s\u012bku strukt\u016bru sa\u0161\u016b\u0161anu un rekonstrukciju zem optisk\u0101 palielin\u0101juma. <\/p>\n\n\n\n<p><strong>Mikro\u0137irur\u0123ija ir dz\u012bves, pacienta un risin\u0101m\u0101s situ\u0101cijas uztvere \u2013 visu nosaka s\u012bkas nianses, paciet\u012bba, iztur\u012bba, emocion\u0101la l\u012bdzsvarot\u012bba un sp\u0113ja ilgsto\u0161i un efekt\u012bvi dom\u0101t un str\u0101d\u0101t.<\/strong><\/p>\n\n\n\n<p>Mikro\u0137irurgs veic piem\u0113ram sekojo\u0161as oper\u0101cijas &#8211; ekstremit\u0101\u0161u replant\u0101cijas (amput\u0113to da\u013cu pie\u0161\u016b\u0161ana), rot\u0113tu un br\u012bvu l\u0113veru (audi ar savu asins apg\u0101di) p\u0101rvieto\u0161anu, nervu un asinsvadu rekonstrukciju, limf\u0101tisk\u0101s sist\u0113mas oper\u0101cijas, defektu korekciju vai sl\u0113g\u0161anu traumu, saslim\u0161anu, onkolo\u0123isku saslim\u0161anu gad\u012bjumos (taj\u0101 skait\u0101 sejas un \u017eok\u013cu, audz\u0113ju, kr\u016bts audz\u0113ju, musku\u013cu un kaulu sist\u0113mas u.c. audz\u0113ju gad\u012bjumos) un da\u017e\u0101da veida iedzimtu (\u0123en\u0113tiski noteiktu) patolo\u0123iju korekciju.<\/p>\n\n\n\n<p class=\"has-vivid-purple-color has-text-color has-medium-font-size\"><strong><span class=\"has-inline-color has-luminous-vivid-orange-color\">Nervu boj\u0101jumi<\/span><\/strong><\/p>\n\n\n\n<p>Nerva boj\u0101juma gad\u012bjum\u0101 var rasties <strong>kust\u012bbu vai ju\u0161anas trauc\u0113jumi<\/strong> dist\u0101li (virzien\u0101 uz pirkstu galiem) no boj\u0101juma l\u012bme\u0146a \u2013 piem\u0113ram, nesp\u0113ja pilnv\u0113rt\u012bgi kustin\u0101t un sajust roku vai pirkstus, veikt s\u012bkas un prec\u012bzas kust\u012bbas. Nerva boj\u0101juma gad\u012bjum\u0101 var b\u016bt <strong>tirp\u0161anas vai dedzin\u0101\u0161anas, k\u0101 ar\u012b \u201estr\u0101vas si\u0161anas\u201d saj\u016bta.<\/strong><\/p>\n\n\n\n<p><strong>\u0100rst\u0113\u0161ana<\/strong><\/p>\n\n\n\n<p>Da\u017ei nervu boj\u0101jumi var sadz\u012bt pa\u0161i, bet citos nervu boj\u0101jumu gad\u012bjumos nepiecie\u0161ama \u0101rst\u0113\u0161ana. Izv\u0113rt\u0113t nerva boj\u0101jumu un noteikt \u0101rst\u0113\u0161anu sp\u0113j tikai speci\u0101lists.<br>Ja nervs traumas rezult\u0101t\u0101 ir boj\u0101ts, tad ir nepiecie\u0161am\u012bba <strong>nervu atjaunot, boj\u0101tos galus sa\u0161ujot.<\/strong> Ja traumas rezult\u0101t\u0101 nervs ir b\u016btiski boj\u0101ts gar\u0101k\u0101 segment\u0101, tad ir nepiecie\u0161am\u012bba veikt <strong>nerva autotransplant\u0101ciju<\/strong> (izmantot attiec\u012bg\u0101 nerva atjauno\u0161anai nervu no citas \u0137erme\u0146a da\u013cas). <\/p>\n\n\n\n<p>Ja notikusi trauma, kur boj\u0101ts nervs un to ir nepiecie\u0161ams atjaunot (sa\u0161\u016bt), tad rekomend\u0113jams to veikt iesp\u0113jami \u0101tri. Ja nervs nav atjaunots nekav\u0113joties p\u0113c traumas, tad nervu, kur\u0161 atbild par musku\u013cu darb\u012bbu, t\u0101tad, nodro\u0161ina kust\u012bbas, atjauno\u0161anu b\u016btu rekomend\u0113jams izdar\u012bt laika period\u0101 l\u012bdz 4-5m\u0113ne\u0161iem p\u0113c boj\u0101juma. Nervus, kuri atbild par ju\u0161anu, var veiksm\u012bgi atjaunot ar\u012b p\u0113c ilg\u0101ka laika. Ne vienm\u0113r p\u0113c nerva sa\u0161\u016b\u0161anas trauc\u0113t\u0101 funkcija \u2013 kust\u012bbas vai ju\u0161ana piln\u012bb\u0101 atjaunosies. To nosaka traumas meh\u0101nisms, pacienta vecums, blakus saslim\u0161anas un citi faktori.<br><\/p>\n\n\n\n<p>Nervu sa\u0161\u016b\u0161anai izmanto \u013coti smalkus diegus un \u012bpa\u0161us instrumentus, k\u0101 ar\u012b nepiecie\u0161ama \u012bpa\u0161a aparat\u016bra \u2013 mikroskops vai speci\u0101las optisk\u0101s brilles. <strong>\u0160\u0101das oper\u0101cijas veic mikro\u0137irur\u0123ijas speci\u0101lists.<\/strong><br><\/p>\n\n\n\n<p>Nerva boj\u0101juma gad\u012bjum\u0101, ja izdar\u012bta nerva sa\u0161\u016b\u0161ana, ir nepiecie\u0161ams iev\u0113rot miera periodu, lai \u013cautu nervam sadz\u012bt. \u0160is periods parasti ir 3-4ned\u0113\u013cas. \u0160aj\u0101 laik\u0101 var tikt ierobe\u017eotas kust\u012bbas loc\u012btav\u0101s, kuras atrodas tuvum\u0101 nerva boj\u0101juma vietai. Katr\u0101 konkr\u0113t\u0101 gad\u012bjum\u0101 rokas \u0137irurgs nosaka nerva dz\u012b\u0161anas laik\u0101 pie\u013caujamo kust\u012bbu apjomu loc\u012btav\u0101s. P\u0113c nerva sadz\u012b\u0161anas rekomend\u0113jama rokas terapija, kas \u013cauj iesp\u0113jami \u0101tri atjaunot rokas funkciju p\u0113c nerva boj\u0101juma.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mikro\u0137irur\u0123ij\u0101 speci\u0101lists nodarbojas ar smalku un trauslu strukt\u016bru &#8211; nervu un asinsvadu izdal\u012b\u0161anu un sa\u0161\u016b\u0161anu, k\u0101 ar\u012b da\u017e\u0101du iemeslu radu\u0161os audu vai funkciju defektu atjauno\u0161anu.&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"footnotes":""},"class_list":["post-190","page","type-page","status-publish","hentry"],"aioseo_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Mikro\u0137irur\u0123ija - Loginas Mikro\u0137irur\u0123ijas un Rehabilit\u0101cijas centrs<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/logina.lv\/index.php\/mikrokirurgija\/\" \/>\n<meta property=\"og:locale\" content=\"lv_LV\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mikro\u0137irur\u0123ija - Loginas Mikro\u0137irur\u0123ijas un Rehabilit\u0101cijas centrs\" \/>\n<meta property=\"og:description\" content=\"Mikro\u0137irur\u0123ij\u0101 speci\u0101lists nodarbojas ar smalku un trauslu strukt\u016bru &#8211; 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