{"id":1091,"date":"2023-08-14T07:57:20","date_gmt":"2023-08-14T07:57:20","guid":{"rendered":"https:\/\/new.vwdtest.com\/lt\/?page_id=1091"},"modified":"2025-10-09T12:01:32","modified_gmt":"2025-10-09T12:01:32","slug":"family-doctor-paediatrician","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/lt\/family-doctor-paediatrician\/","title":{"rendered":"\u0160EIMOS GYDYTOJAS \/ PEDIATRAS"},"content":{"rendered":"
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VWL sergantys vaikai taip pat gali patirti emocini\u0173 ir elgesio sunkum\u0173 mokykloje ir \u0161eimos gyvenime, nes jau\u010dia kraujavimo baim\u0119, o d\u0117l da\u017eno kraujavimo sutrinka ir mokyklos lankymas. 4 <\/sup>Be to, kraujavimo baim\u0117 taip pat gali b\u016bti didel\u0117 psichologin\u0117 na\u0161ta <\/a> vaiko glob\u0117jams ir paskatinti juos apriboti fizin\u0119 bei socialin\u0119 vaiko veikl\u0105, kuri yra svarbi normaliai jo raidai.5<\/sup><\/h5><\/p>\n<\/div>\n\n\"\u0160EIMOS\r\n\n\n
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\u0160eimos gydytoj\u0173 ir pediatr\u0173 vaidmuo<\/h3>\n<\/div>\n\n
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VWL yra labiausiai paplit\u0119s vaik\u0173 kraujavimo sutrikimas.6 <\/sup>Da\u017eni kraujavimo simptomai vaikams, sergantiems VWL, yra lengvas kraujosruv\u0173 susidarymas<\/a>, kraujavimas i\u0161 burnos ir nosies<\/a>, ir u\u017esit\u0119s\u0119s kraujavimas i\u0161 nedideli\u0173 \u017eaizd\u0173 ar po operacijos.2 <\/sup>Kaip \u0161eimos gydytojas ar pediatras, da\u017enai b\u016bsite pirmas medicinos specialistas, kuris pamatys tokius simptomus turin\u010dius vaikus ir j\u016bs\u0173 u\u017eduotis bus nustatyti, ar vaikas nepasi\u017eymi per dideliu kraujavimu, kur\u012f toliau tur\u0117t\u0173 tirti specialistas.7 <\/sup>Tiek suaugusiesiems, tiek vaikams, turintiems kraujavimo sutrikim\u0173, kraujavimo istorijos fiksavimas yra pirmas diagnoz\u0117s \u017eingsnis. Vertinant vaiko kraujavimo istorij\u0105, labai svarbu atsi\u017evelgti \u012f paciento am\u017ei\u0173 ir raidos geb\u0117jimus. K\u016bdikiams, kurie dar ma\u017eai juda, retai atsiranda kraujosruv\u0173, ta\u010diau ne\u012fprastas kraujavimas gali pasireik\u0161ti po apipjaustymo ar kraujo pa\u0117mimo.2,7<\/sup> Vaikams vis daugiau judant, daug\u0117ja smulki\u0173 \u012fbr\u0117\u017eim\u0173 ir kraujosruv\u0173 d\u0117l sm\u016bgi\u0173 ar kritimo. Ta\u010diau jei kraujosruvos yra didesn\u0117s arba atsiranda da\u017eniau nei \u012fprasta, gali b\u016bti \u012ftariamas kraujavimo sutrikimas. Vaikams, sergantiems VWL, gali atsirasti m\u0117lyni\u0173 ne\u012fprastose vietose, pvz., ant nugaros ar pilvo. Tokios m\u0117lyn\u0117s gali b\u016bti klaidingai laikomos prievartos prie\u0161 vaikus po\u017eymiais, o t\u0117vai gali jaudintis d\u0117l toki\u0173 \u012ftarim\u0173.8 <\/sup>Galiausiai, mergait\u0117ms sulaukus brendimo, smarkus menstruacinis kraujavimas<\/a> tampa da\u017eniausiai pasitaikan\u010diu VWL kraujavimo simptomu. Aptariant \u0161iuos simptomus su pacientais ir j\u0173 glob\u0117jais, svarbu atsi\u017evelgti ir \u012f \u0161eimos kraujavimo istorij\u0105, nes pasikartojantis per didelis kraujavimas gali b\u016bti per menkai \u012fvertintas \u0161eimoje.2,9<\/sup><\/p>\n<\/div>\n\n

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Gali b\u016bti sud\u0117tinga nuspr\u0119sti, ar kraujavimo simptomai yra ne\u012fprasti.7 <\/sup>Norint pirm\u0105 kart\u0105 \u012fvertinti kraujavimo simptomus, ypa\u010d pacientams, kuriems numatyta operacija, rekomenduojame atlikti m\u016bs\u0173 kraujavimo test\u0105<\/a>. Testas parodys, ar reikalingi tolesni tyrimai \u2013 ir tai gali pakeisti j\u016bs\u0173 paciento gyvenim\u0105!<\/p>\n<\/div>\n\n

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Galutin\u0117 VWL diagnoz\u0117 yra sud\u0117tingo proceso rezultatas.2<\/sup> Tod\u0117l rekomenduojame susisiekti su netoliese esan\u010diu hemofilijos gydymo centru<\/a>, jei reikalingas tolesnis diagnostinis \u012fvertinimas. \u012evairi\u0173 specialist\u0173 gydymo centro komandos suteiks optimali\u0105 pagalb\u0105 pacientams, turintiems kraujavimo sutrikim\u0173. VWDtest irgi pateikia daugiau informacijos apie ligos etiologij\u0105<\/a>, diagnoz\u0119<\/a> ir 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. Atiq F et al. EClinicalMedicine<\/em> 2021; 32:100726.<\/li>\n<\/div>\n\n
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  2. Corrales-Medina FF et al. Blood Rev <\/em>2023; 58:101018.<\/li>\n<\/div>\n\n
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  3. Patel PN et al. Int J Pediatr Otorhinolaryngol<\/em> 2017; 100:216-22.<\/li>\n<\/div>\n\n
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  4. de Wee EM et al. J Thromb Haemost<\/em> 2011; 9:502-9.<\/li>\n<\/div>\n\n
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  5. https:\/\/www.hemophilia.org\/sites\/default\/files\/document\/files\/nurses-guide-chapter-13a-child-development-with-bleeding-disorder-transition.pdf<\/a>; last accessed Mar 2023.<\/li>\n<\/div>\n\n
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  6. Klaassen R and Halton JM Paediatr Child Health<\/em> 2002; 7:245-9.<\/li>\n<\/div>\n\n
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  7. Van Ommen CH and Peters M. Eur J Pediatr<\/em> 2012; 171:1-10.<\/li>\n<\/div>\n\n
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  8. Jackson J et al. Child Abuse Negl<\/em> 2012; 36:127-34.<\/li>\n<\/div>\n\n
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  9. VanderMeulen H, et al. Hematology Am Soc Hematol Educ Program<\/em> 2022 1: 631-6.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

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