{"id":1088,"date":"2023-08-14T07:52:15","date_gmt":"2023-08-14T07:52:15","guid":{"rendered":"https:\/\/new.vwdtest.com\/lv\/?page_id=1088"},"modified":"2026-04-08T13:04:26","modified_gmt":"2026-04-08T13:04:26","slug":"vwd-and-gynaecology-obstetrics","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/lv\/vwd-and-gynaecology-obstetrics\/","title":{"rendered":"VS UN GINEKOLO\u0122IJA \/ DZEMDNIEC\u012aBA<\/strong>"},"content":{"rendered":"
\n
Tiek l\u0113sts, ka asinsreces trauc\u0113jumi, tai skait\u0101 Villebranda slim\u012bba (VS)<\/a> izraisa stipru menstru\u0101lo asi\u0146o\u0161anu (SMA) vienai no piec\u0101m sieviet\u0113m, kur\u0101m ir \u0161\u012b slim\u012bba.1<\/sup> Asinsreces trauc\u0113jumi ir ar\u012b galvenais riska faktors p\u0101rm\u0113r\u012bgai asi\u0146o\u0161anai dzemd\u012bbu laik\u0101 un p\u0113cdzemd\u012bbu period\u0101. Lai gan asinsreces trauc\u0113jumi ir galvenais iemesls p\u0101rm\u0113r\u012bgai asi\u0146o\u0161anai no maksts un to, ka VS ir visbie\u017e\u0101k sastopamais asinsreces trauc\u0113jums, tikai nelielai da\u013cai sievie\u0161u, kur\u0101m ir p\u0101rm\u0113r\u012bga asi\u0146o\u0161ana no maksts, tiek izv\u0113rt\u0113ta VS iesp\u0113jam\u012bba.2<\/sup><\/h5>\n<\/div>\n\n
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Zin\u0101\u0161anu un izgl\u012bt\u012bbas tr\u016bkuma d\u0113\u013c VS bie\u017ei paliek nediagnostic\u0113ta vai diagnoze tiek noteikta v\u0113l\u012bni. Bez diagnozes un \u0101rst\u0113\u0161anas \u0161\u012bs sievietes var saskarties ar smag\u0101m fizisk\u0101m un psiholo\u0123isk\u0101m SMA sek\u0101m, tostarp nogurumu, an\u0113miju, trauksmi un depresiju.1<\/sup><\/p>\n<\/div>\n\n

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Ginekologu un dzemdniec\u012bbas speci\u0101listu loma<\/strong><\/h3>\n<\/div>\n\n
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Gandr\u012bz vis\u0101m reprodukt\u012bv\u0101 vecuma sieviet\u0113m ar VS ir p\u0101rm\u0113r\u012bga asi\u0146o\u0161ana no maksts.3<\/sup> Turkl\u0101t sp\u0113c\u012bgas menstru\u0101cijas bie\u017ei vien ir pirmais izteiktais asi\u0146o\u0161anas simptoms, kad meitenes ar VS sasniedz pubert\u0101ti. K\u0101 ginekologs vai dzemd\u012bbu speci\u0101lists, j\u016bs bie\u017ei esat pirmais vesel\u012bbas apr\u016bpes speci\u0101lists, ar kuru \u0161\u012bs meitenes vai vi\u0146u apr\u016bp\u0113t\u0101ji apsprie\u017e intens\u012bvas asi\u0146o\u0161anas tendenci. T\u0101d\u0113\u013c j\u016bsu konsult\u0101cija ir pirm\u0101 iesp\u0113ja pal\u012bdz\u0113t identific\u0113t pacientus, kuriem var\u0113tu b\u016bt nepiecie\u0161ama papildu diagnostika asinsreces trauc\u0113jumu noteik\u0161anai. \u0160\u012b iesp\u0113ja ir \u012bpa\u0161i svar\u012bga sabiedr\u012bb\u0101s, kur\u0101s vagin\u0101l\u0101 asi\u0146o\u0161ana tiek stigmatiz\u0113ta, vai pacient\u0113m, kuras vairs nepiev\u0113r\u0161 uzman\u012bbu sav\u0101m sp\u0113c\u012bgaj\u0101m menstru\u0101cij\u0101m un var justies nesadzird\u0113tas vai nepietiekami saprastas.2<\/sup> Turkl\u0101t, t\u0101 k\u0101 asinsreces trauc\u0113jumi, piem\u0113ram, VS, ir iedzimtas slim\u012bbas, VS diagnostic\u0113\u0161ana bie\u017ei pal\u012bdz identific\u0113t citus riskam pak\u013cautus \u0123imenes locek\u013cus.<\/p>\n<\/div>\n\n

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Lai gan vesel\u012bbas apr\u016bpes speci\u0101listu un pacientu inform\u0113t\u012bbas uzlabo\u0161ana ir vissvar\u012bg\u0101kais solis, lai identific\u0113tu pacientus, kuriem ir asi\u0146o\u0161anas risks, VS diagnostic\u0113\u0161ana joproj\u0101m ir gr\u016bts uzdevums diagnostikas sare\u017e\u0123\u012bt\u012bbas d\u0113\u013c.2<\/sup> Ja k\u0101da no j\u016bsu pacient\u0113m nesen ir s\u016bdz\u0113jusies par p\u0101rm\u0113r\u012bgu asi\u0146o\u0161anu no maksts, m\u0113s iesak\u0101m l\u016bgt pacientei dokument\u0113t savas menstru\u0101cijas, izmantojot m\u016bsu menstru\u0101ciju nov\u0113rt\u0113\u0161anas karti<\/a>. J\u016bs varat ar\u012b ieteikt pacientei veikt m\u016bsu asi\u0146o\u0161anas testu<\/a>. Tests jums pal\u012bdz\u0113s pie\u0146emt pirmo l\u0113mumu, vai ir nepiecie\u0161ama turpm\u0101ka izmekl\u0113\u0161ana, un tas var main\u012bt j\u016bsu pacientes dz\u012bvi!<\/p>\n<\/div>\n\n

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Sieviet\u0113m ar VS un SMA ir pieejamas vair\u0101kas \u0101rst\u0113\u0161anas iesp\u0113jas, k\u0101 ar\u012b vadl\u012bnijas par VS izrais\u012btas SMA \u0101rst\u0113\u0161anu.4<\/sup> \u0100rst\u0113\u0161ana j\u0101piel\u0101go individu\u0101li, \u0146emot v\u0113r\u0101 t\u0101dus faktorus k\u0101 vecums, dz\u012bvesveids, v\u0113lme p\u0113c gr\u016btniec\u012bbas un citas pacientes v\u0113lmes. Ir svar\u012bgi atz\u012bm\u0113t, ka da\u017ei \u0101rst\u0113\u0161anas veidi, piem\u0113ram, kontracepcijas l\u012bdzek\u013ci, bie\u017ei efekt\u012bvi kontrol\u0113 SMA, bet nepasarg\u0101 pacientes ar VS no asi\u0146o\u0161anas p\u0113c traumas, negad\u012bjuma vai oper\u0101cijas<\/a> laik\u0101, t\u0101d\u0113\u013c ir \u013coti svar\u012bga piln\u012bga diagnostika. Turkl\u0101t p\u0101rm\u0113r\u012bgas vagin\u0101las asi\u0146o\u0161anas gad\u012bjum\u0101 bie\u017ei vien sastopama stigmatiz\u0101cija un noraid\u012bjums. Kop\u0101 ar SMA izrais\u012btajiem ikdienas dz\u012bves, fizisko aktivit\u0101\u0161u un soci\u0101l\u0101s mijiedarb\u012bbas ierobe\u017eojumiem \u0161is atz\u012b\u0161anas tr\u016bkums pacient\u0113m var rad\u012bt smagu psiholo\u0123isko slogu<\/a> .5,6<\/sup> Bez pietiekama soci\u0101l\u0101 atbalsta j\u016bsu pacient\u0113m ar VS var pat att\u012bst\u012bties trauksme un depresija.<\/p>\n<\/div>\n\n

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Sieviet\u0113m ar VS ir iesp\u0113jama veiksm\u012bga gr\u016btniec\u012bba<\/a> un vi\u0146as var dzemd\u0113t veselus b\u0113rnus. Tom\u0113r bez diagnozes un \u0101rst\u0113\u0161anas vi\u0146\u0101m var rasties p\u0101rm\u0113r\u012bga asi\u0146o\u0161ana dzemd\u012bbu laik\u0101 un p\u0113c t\u0101m. T\u0101p\u0113c, lai nodro\u0161in\u0101tu norm\u0101lu dzemd\u012bbu norisi, ir nepiecie\u0161ama r\u016bp\u012bga pl\u0101no\u0161ana un uzraudz\u012bba. Ja iesp\u0113jams, gr\u016btniec\u012bba un dzemd\u012bbas j\u0101apsprie\u017e un j\u0101pl\u0101no laikus kop\u0101 ar vair\u0101ku nozaru speci\u0101listiem, to vid\u016b hematologu \u0101rst\u0113\u0161anas centr\u0101<\/a>.8,9<\/sup> VWDtest pied\u0101v\u0101 ar\u012b papildu inform\u0101ciju par VS etiolo\u0123iju<\/a>, diagnostiku <\/a>un \u0101rst\u0113\u0161anu<\/a>, k\u0101 ar\u012b ieskatu pacientu ar VS dz\u012bv\u0113<\/a>.<\/p>\n<\/div>\n\n

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

    Tiek l\u0113sts, ka asinsreces trauc\u0113jumi, tai skait\u0101 Villebranda slim\u012bba (VS) izraisa stipru menstru\u0101lo asi\u0146o\u0161anu (SMA) vienai no piec\u0101m sieviet\u0113m, kur\u0101m ir \u0161\u012b slim\u012bba.1 Asinsreces trauc\u0113jumi ir ar\u012b galvenais riska faktors p\u0101rm\u0113r\u012bgai asi\u0146o\u0161anai dzemd\u012bbu laik\u0101 un p\u0113cdzemd\u012bbu period\u0101. Lai gan asinsreces trauc\u0113jumi ir galvenais iemesls p\u0101rm\u0113r\u012bgai asi\u0146o\u0161anai no maksts un to, ka VS ir visbie\u017e\u0101k sastopamais […]<\/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":"\nVS UN GINEKOLO\u0122IJA \/ DZEMDNIEC\u012aBA - Latvia<\/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\/lv\/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=\"VS UN GINEKOLO\u0122IJA \/ DZEMDNIEC\u012aBA - Latvia\" \/>\n<meta property=\"og:description\" content=\"Tiek l\u0113sts, ka asinsreces trauc\u0113jumi, tai skait\u0101 Villebranda slim\u012bba (VS) izraisa stipru menstru\u0101lo asi\u0146o\u0161anu (SMA) vienai no piec\u0101m sieviet\u0113m, kur\u0101m ir \u0161\u012b slim\u012bba.1 Asinsreces trauc\u0113jumi ir ar\u012b galvenais riska faktors p\u0101rm\u0113r\u012bgai asi\u0146o\u0161anai dzemd\u012bbu laik\u0101 un p\u0113cdzemd\u012bbu period\u0101. 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