{"id":89,"date":"2023-02-14T13:03:21","date_gmt":"2023-02-14T13:03:21","guid":{"rendered":"https:\/\/new.vwdtest.com\/lt\/?page_id=89"},"modified":"2025-10-09T12:01:28","modified_gmt":"2025-10-09T12:01:28","slug":"vwd-and-denstistry","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/lt\/vwd-and-denstistry\/","title":{"rendered":"VWL IR ODONTOLOGIJA"},"content":{"rendered":"
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Pacientai, sergantys kraujavimo sutrikimais, pvz., hemofilija arba von Willebrando liga (VWL)<\/a> patiria didesn\u0119 kraujavimo i\u0161 burnos rizik\u0105 atliekant \u012fprastin\u0119 dant\u0173 prie\u017ei\u016br\u0105.1,2<\/sup> Kraujuoti gali net i\u0161sivalius dantis ar panaudojus dant\u0173 si\u016bl\u0105, o kraujavimo baim\u0117 gali u\u017ekirsti keli\u0105 pacientams laikytis geros burnos higienos ir reguliariai lankytis pas odontolog\u0105.2\u20134<\/sup> Netgi pacientai, kurie lankosi pas odontolog\u0105, gali baimintis d\u0117l odontologini\u0173 proced\u016br\u0173, nes turi ankstesn\u0117s blogos patirties arba bijo, kad gali b\u016bti negydomi.4<\/sup> Be to, daugeliui pacient\u0173, sergan\u010di\u0173 VWL, n\u0117ra nustatyta diagnoz\u0117 ir jie ne\u017eino, kad j\u0173 kraujavimas yra per didelis.5<\/sup><\/h5>\n<\/div>\n\n\"VWL\r\n\n\n
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Kraujavimo rizika ir d\u0117l to kylantis nerimas blogina vaik\u0173 ir paaugli\u0173, kurie turi kraujavimo sutrikim\u0173, dant\u0173 sveikat\u0105.2<\/sup> Netur\u0117dami \u017eini\u0173 ir negaudami gydymo \u0161ie pacientai gali patekti \u012f u\u017eburt\u0105 da\u017eno kraujavimo i\u0161 danten\u0173 rat\u0105 ir d\u0117l to apleis dant\u0173 prie\u017ei\u016br\u0105, o tai lemia prast\u0117jan\u010di\u0105 burnos sveikat\u0105.3<\/sup> Kad apsaugot\u0173 savo burnos sveikat\u0105 ir gyvenimo kokyb\u0119, \u0161ie pacientai ir j\u0173 slaugytojai turi tur\u0117ti patikim\u0105 odontologijos paslaug\u0173 teik\u0117j\u0105, patariant\u012f jiems profilaktin\u0117s prie\u017ei\u016bros klausimais ir u\u017etikrinant\u012f reguliari\u0105 patikr\u0105.<\/p>\n<\/div>\n\n

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Dant\u0173 prie\u017ei\u016bros paslaug\u0173 teik\u0117j\u0173 vaidmuo<\/h3>\n<\/div>\n\n
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Kaip dant\u0173 prie\u017ei\u016bros paslaug\u0173 teik\u0117jas, j\u016bs turite unikali\u0105 galimyb\u0119 pad\u0117ti i\u0161ai\u0161kinti pacientus, kuriems gali b\u016bti naudingas tolesnis kraujavimo sutrikimo diagnostinis \u012fvertinimas. Daugeliui \u017emoni\u0173 vizitai pas vietin\u012f odontolog\u0105 yra vienintelis reguliarus kontaktas su vietine sveikatos prie\u017ei\u016bros sistema.2<\/sup> Be to, danties traukimas kai kuriems pacientams da\u017enai gali b\u016bti pirmoji operacija, taigi ir didelis hemostaz\u0117s i\u0161\u0161\u016bkis. Taigi per didelis kraujavimas tokios proced\u016bros metu arba po jos gali b\u016bti pirma galimyb\u0117 diagnozuoti neatpa\u017eint\u0105 kraujavimo sutrikim\u0105.<\/p>\n<\/div>\n\n

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D\u0117l s\u0105moningumo stokos ir sud\u0117tingo diagnostinio darbo diagnozuoti VWL yra sud\u0117tinga u\u017eduotis.5<\/sup> Jei neseniai pasteb\u0117jote, kad vienas i\u0161 j\u016bs\u0173 pacient\u0173 \u0117m\u0117 netik\u0117tai kraujuoti, rekomenduojame jam atlikti 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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Kadangi pacientai, turintys kraujavimo sutrikim\u0173, gali vengti tikrintis dantis, nes baiminasi kraujavimo, siekiant apsaugoti j\u0173 burnos sveikat\u0105 ir gyvenimo kokyb\u0119, reik\u0117t\u0173 skatinti reguliarius tolesnius vizitus.4<\/sup> Gydytojai, norintys gydyti kraujavimo sutrikim\u0173 turin\u010dius pacientus, gali gauti gydymo rekomendacij\u0173.3,6<\/sup> Paprastai VWL sergan\u010di\u0173 pacient\u0173 dant\u0173 gydymas yra pana\u0161us \u012f hemofilija sergan\u010di\u0173 pacient\u0173 gydym\u0105.3<\/sup> Did\u017eioji dalis \u012fprastinio nechirurginio gydymo gali b\u016bti teikiama bendrosios odontologijos praktikos specialisto, pasikonsultavus su hematologu, ypa\u010d jei pacientas serga lengva VWL.3<\/sup> Ligonin\u0117je ir pagal gydymo plan\u0105 turi b\u016bti gydomi tik vidutinio sunkumo ar sunkia liga sergantys pacientai, kuriems atliekami invaziniai dant\u0173 gydymo darbai.3,6<\/sup><\/p>\n<\/div>\n\n

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Jei norite rasti artimiausi\u0105 hemofilijos gydymo centr\u0105, spustel\u0117kite \u010dia.<\/a> VWDtest.com irgi pateikia daugiau informacijos apie VWL etiologij\u0105, diagnoz\u0119 ir valdym\u0105, taip pat \u012f\u017evalg\u0173 koks yra tipi\u0161kas VWL sergan\u010di\u0173 pacient\u0173 gyvenimas.<\/p>\n<\/div>\n\n

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\u0160altiniai<\/h6>\n<\/div>\n\n
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  1. de Wee EM, et al. Thromb Haemost<\/em> 2012; 108:683-92.<\/li>\n<\/div>\n\n
    \n
  2. Brown MC et al. Haemophilia <\/em>2022; 28:73-9.<\/li>\n<\/div>\n\n
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  3. Anderson JAM et al. Br Dent J<\/em> 2013; 215:497-504.<\/li>\n<\/div>\n\n
    \n
  4. Kalsi H et al. Haemophilia<\/em> 2012; 18:510-5.<\/li>\n<\/div>\n\n
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  5. Corrales-Medina FF et al. Blood Rev <\/a><\/em>2022; 101018.<\/li>\n<\/div>\n\n
    \n
  6. WFH guidelines for dental treatment of patients with inherited bleeding disorders; https:\/\/elearning.wfh.org\/resource\/guidelines-for-dental-treatment-of-patients-with-inherited-bleeding-disorders\/<\/a>; last accessed Nov 2022.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

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