{"id":1088,"date":"2023-08-14T07:52:15","date_gmt":"2023-08-14T07:52:15","guid":{"rendered":"https:\/\/new.vwdtest.com\/lt\/?page_id=1088"},"modified":"2025-09-26T11:01:05","modified_gmt":"2025-09-26T11:01:05","slug":"vwd-and-gynaecology-obstetrics","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/lt\/vwd-and-gynaecology-obstetrics\/","title":{"rendered":"VWL IR GINEKOLOGIJA \/ AKU\u0160ERIJA"},"content":{"rendered":"
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Apskai\u010diuota, kad kraujavimo sutrikimai, \u012fskaitant von Willebrando lig\u0105 (VWL), sukelia stipr\u0173 menstruacin\u012f kraujavim\u0105 (menoragij\u0105) vienai i\u0161 penki\u0173 \u0161ia liga sergan\u010di\u0173 moter\u0173.1 <\/sup>Kraujavimo sutrikimai taip pat yra pagrindinis rizikos veiksnys gimdymo metu ir po gimdymo. Kad ir koks reik\u0161mingas vaidmuo tenka gausiam vaginaliniam kraujavimui kalbant apie kraujavimo sutrikimus ir VWL, tik dalis moter\u0173, kurioms pasirei\u0161kia gausus vaginalinis kraujavimas, yra tiriamos d\u0117l VWL.2<\/sup><\/h5><\/p>\n<\/div>\n\n\"VWL\r\n\n\n
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Pritr\u016bkus s\u0105moningumo ir \u017eini\u0173 VWL da\u017enai lieka nediagnozuota arba diagnoz\u0117 b\u016bna pav\u0117luota. Neturint diagnoz\u0117s ir nesulaukus gydymo \u0161ioms moterims gresia sunkios fizin\u0117s ir psichologin\u0117s menoragijos pasekm\u0117s, tokios kaip nuovargis, anemija, nerimas ir depresija.1<\/sup><\/p>\n<\/div>\n\n

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Ginekolog\u0173 ir aku\u0161eri\u0173 vaidmuo<\/h3>\n<\/div>\n\n
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Beveik visos reprodukcinio am\u017eiaus moterys, sergan\u010dios VWL, patiria gaus\u0173 vaginalin\u012f kraujavim\u0105.3<\/sup> Be to, gausios m\u0117nesin\u0117s da\u017enai yra pirmas ry\u0161kus kraujavimo simptomas, kai mergait\u0117s, sergan\u010dios VWL, \u012f\u017eengia \u012f brendimo stadij\u0105. Kaip ginekologas ar aku\u0161eris, da\u017enai esate pirmas sveikatos prie\u017ei\u016bros paslaug\u0173 teik\u0117jas, su kuriuo \u0161ios merginos ar j\u0173 glob\u0117jai aptaria gausaus kraujavimo tendencij\u0105. Tod\u0117l j\u016bs\u0173 konsultacijos yra pirma galimyb\u0117 pad\u0117ti nustatyti, kurioms pacient\u0117ms gali b\u016bti naudingas tolesnis kraujavimo sutrikimo diagnostinis \u012fvertinimas. \u0160i galimyb\u0117 ypa\u010d svarbi visuomen\u0117se, kuriose stigmatizuojamas vaginalinis kraujavimas, arba pacient\u0117ms, kurios nejautriai reaguoja \u012f sunkias menstruacijas ar jau\u010diasi nei\u0161girstos arba nesuprastos.2<\/sup> Be to, kadangi kraujavimo sutrikimai, tokie kaip VWL, yra paveldimi, VWL diagnoz\u0117 da\u017enai padeda nustatyti papildomus rizikos grup\u0117s narius.<\/p>\n<\/div>\n\n

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Nors didesnis sveikatos prie\u017ei\u016bros paslaug\u0173 teik\u0117j\u0173 ir pacient\u0173 informuotumas yra svarbiausias \u017eingsnis nustatant pacientus, kuriems gresia kraujavimas, diagnozuoti VWL teb\u0117ra sud\u0117tinga u\u017eduotis, nes diagnostikos procesas sud\u0117tingas.2<\/sup> Jei vienai i\u0161 j\u016bs\u0173 pacien\u010di\u0173 neseniai pasirei\u0161k\u0117 gausus vaginalinis kraujavimas, rekomenduojame papra\u0161yti jos dokumentuoti savo m\u0117nesines naudojantis m\u016bs\u0173 menstruacij\u0173 vertinimo lentele<\/a>. Taip pat galite pasi\u016blyti atlikti kraujavimo test\u0105<\/a>. Testas pad\u0117s jums apsispr\u0119sti, ar reikalingi tolesni tyrimai \u2013 ir tai gali pakeisti j\u016bs\u0173 pacient\u0117s gyvenim\u0105!<\/p>\n<\/div>\n\n

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Yra keletas gydymo galimybi\u0173 moterims, sergan\u010dioms VWL ir menoragija, taip pat yra gair\u0117s d\u0117l VWL sukelto menoragijos gydymo.4<\/sup> Gydymas turi b\u016bti individualizuotas, atsi\u017evelgiant \u012f tokius veiksnius kaip am\u017eius, gyvenimo b\u016bdas, n\u0117\u0161tumas. B\u016btina atsi\u017evelgti \u012f pacient\u0117s pageidavimus ir kitas aplinkybes. Svarbu pa\u017eym\u0117ti, kad kai kurie gydymo b\u016bdai, pvz., kontraceptikai, da\u017enai yra veiksmingi kontroliuojant menoragij\u0105, bet neapsaugos VWL sergan\u010di\u0173 pacien\u010di\u0173 nuo kraujavimo po traumos, nelaimingo atsitikimo ar per operacij\u0105<\/a> tod\u0117l labai svarbu nustatyti i\u0161sami\u0105 diagnoz\u0119. Be to, gausus vaginalinis kraujavimas da\u017enai yra stigmatizuojamas ir nuvertinamas. Jo nepripa\u017einimas, o kartu ir menoragijos sukeliami kasdienio gyvenimo, fizin\u0117s veiklos ir socialinio bendravimo apribojimai gali tur\u0117ti sunki\u0105 psichin\u0119 na\u0161t\u0105 pacientams.5,6<\/sup> Nesuteikus pakankamos socialin\u0117s paramos pacientams, sergantiems VWL, gali i\u0161sivystyti nerimas ir depresija.<\/p>\n<\/div>\n\n

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Moterys, sergan\u010dios VWL, gali s\u0117kmingai pastoti<\/a> ir pagimdyti sveik\u0105 k\u016bdik\u012f. Ta\u010diau jei nebus nustatyta diagnoz\u0117 ir jos negaus gydymo, gali patirti gaus\u0173 kraujavim\u0105 gimdymo metu ir po jo. Tod\u0117l, norint u\u017etikrinti normal\u0173 gimdym\u0105, b\u016btinas kruop\u0161tus planavimas ir steb\u0117jimas. Jei \u012fmanoma, n\u0117\u0161tumas ir gimdymas tur\u0117t\u0173 b\u016bti aptarti ir suplanuoti i\u0161 anksto, kartu su kit\u0173 specialist\u0173 komanda, \u012fskaitant specialist\u0105 hematolog\u0105 gydymo centre<\/a>.8,9<\/sup> VWDtest irgi pateikia daugiau informacijos apie etiologij\u0105<\/a>, diagnoz\u0119 <\/a> ir VWL valdym\u0105<\/a>, taip pat \u012f\u017evalg\u0173, koks yra tipi\u0161kas VWL sergan\u010di\u0173 pacient\u0173 gyvenimas<\/a>.<\/p>\n<\/div>\n\n

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\u0160altiniai<\/h6>\n<\/div>\n\n
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  1. Kadir RA ir kt. Lancetas 1998; 351:485-9.<\/li>\n<\/div>\n\n
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  2. Corrales-Medina FF ir kt. Blood Rev 2023; 58:101018.<\/li>\n<\/div>\n\n
    \n
  3. de Wee EM ir kt. Thromb Haemost 2012; 108:683-92.<\/li>\n<\/div>\n\n
    \n
  4. Connell NT ir kt. Blood Adv 2021; 5:301-25.<\/li>\n<\/div>\n\n
    \n
  5. VanderMeulen H ir kt. Hematology Am Soc Hematol Educ Program 2022 1: 631-6.<\/li>\n<\/div>\n\n
    \n
  6. Sanigorska A ir kt. Res Pract Thromb Haemost 2022; 6:e12652.<\/li>\n<\/div>\n\n
    \n
  7. Roberts JC ir kt. Hemofilija 2022 m.; doi: 10.1111\/hae.14725.<\/li>\n<\/div>\n\n
    \n
  8. Leebeek FWG ir kt. Kraujas 2020; 136:2143-50.<\/li>\n<\/div>\n\n
    \n
  9. Janbain M ir Kouides P Int J Womens Health 2022; 14:1307-13.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    Apskai\u010diuota, kad kraujavimo sutrikimai, \u012fskaitant von Willebrando lig\u0105 (VWL), sukelia stipr\u0173 menstruacin\u012f kraujavim\u0105 (menoragij\u0105) vienai i\u0161 penki\u0173 \u0161ia liga sergan\u010di\u0173 moter\u0173.1 Kraujavimo sutrikimai taip pat yra pagrindinis rizikos veiksnys gimdymo metu ir po gimdymo. Kad ir koks reik\u0161mingas vaidmuo tenka gausiam vaginaliniam kraujavimui kalbant apie kraujavimo sutrikimus ir VWL, tik dalis moter\u0173, kurioms pasirei\u0161kia gausus […]<\/p>\n","protected":false},"author":1,"featured_media":1096,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"\nVWL IR GINEKOLOGIJA \/ AKU\u0160ERIJA - Lithuania<\/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:\/\/vwdtest.com\/lt\/vwd-and-gynaecology-obstetrics\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"VWL IR GINEKOLOGIJA \/ AKU\u0160ERIJA - Lithuania\" \/>\n<meta property=\"og:description\" content=\"Apskai\u010diuota, kad kraujavimo sutrikimai, \u012fskaitant von Willebrando lig\u0105 (VWL), sukelia stipr\u0173 menstruacin\u012f kraujavim\u0105 (menoragij\u0105) vienai i\u0161 penki\u0173 \u0161ia liga sergan\u010di\u0173 moter\u0173.1 Kraujavimo sutrikimai taip pat yra pagrindinis rizikos veiksnys gimdymo metu ir po gimdymo. 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