{"id":9,"date":"2011-12-16T14:46:31","date_gmt":"2011-12-16T14:46:31","guid":{"rendered":"http:\/\/lkksb.lv\/?page_id=9"},"modified":"2026-08-10T14:04:47","modified_gmt":"2026-08-10T11:04:47","slug":"arstesanas-iespejas","status":"publish","type":"page","link":"https:\/\/lkksb.lv\/?page_id=9","title":{"rendered":"\u0100rst\u0113\u0161ana"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">Video &#8220;G\u013cot\u0101das sadz\u012b\u0161ana&#8221;<\/h3>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/ej.uz\/rt16\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"825\" height=\"400\" src=\"https:\/\/lkksb.lv\/wp-content\/uploads\/2026\/08\/glotadas_dadzisana_825x400.jpg\" alt=\"Video materi\u0101ls &quot;G\u013cot\u0101das sadz\u012b\u0161ana&quot;\" class=\"wp-image-1977\" srcset=\"https:\/\/lkksb.lv\/wp-content\/uploads\/2026\/08\/glotadas_dadzisana_825x400.jpg 825w, https:\/\/lkksb.lv\/wp-content\/uploads\/2026\/08\/glotadas_dadzisana_825x400-300x145.jpg 300w, https:\/\/lkksb.lv\/wp-content\/uploads\/2026\/08\/glotadas_dadzisana_825x400-768x372.jpg 768w\" sizes=\"auto, (max-width: 825px) 100vw, 825px\" \/><\/a><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">\u0100rst\u0113\u0161anas m\u0113r\u0137i<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Iekais\u012bgo zarnu slim\u012bbu (IZS) \u0101rst\u0113\u0161anas pieejai ir tr\u012bs so\u013ci.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">1. solis: Ierosin\u0101t simptomu remisiju<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">\u0100rst\u0113\u0161ana mazina ak\u016btos simptomus, piem\u0113ram, caureju, v\u0113dera s\u0101pes, rekt\u0101lu asi\u0146o\u0161anu un drudzi, k\u0101 ar\u012b samazina iekaisumu, \u013caujot zarnu audiem sadz\u012bt. Kad simptomi ir atrisin\u0101ti, pacienti var pie\u0146emties svar\u0101 un piedz\u012bvot noguruma l\u012bme\u0146a un dz\u012bves kvalit\u0101tes noz\u012bm\u012bgu uzlabo\u0161anos.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">2. solis: Saglab\u0101t simptomu remisiju<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Kad simptomi tiek kontrol\u0113ti, pacienti parasti turpina lietot medikamentus, lai nom\u0101ktu zarnu iekaisumu un saglab\u0101tu \u0101rst\u0113\u0161anu. Tas nov\u0113r\u0161 slim\u012bbas uzliesmojumus un ierobe\u017eo progres\u0113\u0161anu.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">3. solis: Komplik\u0101ciju profilakse<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Pat ja nav nov\u0113rojami simptomi, z\u0101l\u0113m ir cie\u0161i j\u0101kontrol\u0113 iekaisums, lai nov\u0113rstu gremo\u0161anas trakta sa\u0161aurin\u0101\u0161anos (stenozes), k\u0101 ar\u012b sastrutojumu (abscesu) un patolo\u0123isku savienojumu starp taisn\u0101s zarnas kan\u0101lu un perian\u0101lo \u0101du (fistulas) izveidi. Lai atrisin\u0101tu da\u017eas no \u0161\u012bm komplik\u0101cij\u0101m, var b\u016bt nepiecie\u0161ama oper\u0101cija.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">IZS farmakolo\u0123iska \u0101rst\u0113\u0161ana<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Katrs pacients ar IZS ir at\u0161\u0137ir\u012bgs, t\u0101d\u0113\u013c \u0101rst\u0113\u0161ana ir j\u0101piel\u0101go individu\u0101li, lai \u0101rst\u0113tu individu\u0101lo slim\u012bbu un \u0101rst\u0113\u0161ana atbilstu katra pacienta individu\u0101laj\u0101m v\u0113lm\u0113m. IZS \u0101rst\u0113\u0161an\u0101 izmanto vair\u0101kas z\u0101\u013cu klases:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aminosalicil\u0101ti<\/li>\n\n\n\n<li>Kortikostero\u012bdi<\/li>\n\n\n\n<li>Im\u016bnmodulatori<\/li>\n\n\n\n<li>Antibiotikas<\/li>\n\n\n\n<li>Anti-TNF z\u0101les (biolo\u0123iskas z\u0101les)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bie\u017e\u0101k lietot\u0101s z\u0101les aprakst\u012btas <a href=\"http:\/\/lkksb.lv\/?page_id=33\">sada\u013c\u0101 &#8220;Medikamentu veidi&#8221;<\/a>, tom\u0113r var apsv\u0113rt ar\u012b citas \u0101rst\u0113\u0161anas opcijas.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Jauna IZS \u0101rst\u0113\u0161anas pieeja, kas tiek att\u012bst\u012bta<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Pacientiem ar IZS nep\u0101rtraukts zarnu trakta iekaisums rada audu kumulat\u012bvu boj\u0101jumu, kas savuk\u0101rt var rad\u012bt stenozes un fistulas. Tas palielina oper\u0101cijas nepiecie\u0161am\u012bbas iesp\u0113jam\u012bbu un to, ka pacients progres\u012bvi k\u013c\u016bs arvien nesp\u0113j\u012bg\u0101ks. IZS p\u0101rvald\u012bb\u0101 iek\u013cauta atbilsto\u0161a un laic\u012bga z\u0101\u013cu lieto\u0161ana, pacientu nov\u0113ro\u0161ana un agr\u012bna komplik\u0101ciju noteik\u0161ana.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Turpm\u0101k aprakst\u012bti svar\u012bgi IZS \u0101rst\u0113\u0161anas principi.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u0100tri optimiz\u0113jiet konvencion\u0101lu \u0101rst\u0113\u0161anu<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Agr\u012bni slim\u012bbas gait\u0101 pacientiem ir j\u0101lieto aminosalicil\u0101ti vai im\u016bnmodulatori, lai veicin\u0101tu audu dz\u012b\u0161anu un ierobe\u017eotu kortikostero\u012bdu lieto\u0161anu. Lai \u0101rst\u0113tu slim\u012bbas uzliesmojumu, pacienti var lietot kortikostero\u012bdus, tom\u0113r t\u0101s nav piem\u0113rotas lieto\u0161anai ilgtermi\u0146\u0101 \u0161o z\u0101\u013cu toksiskuma d\u0113\u013c. T\u0101d\u0113\u013c svar\u012bgi \u0101tri samazin\u0101t \u0161o z\u0101\u013cu devu, lai pacientam b\u016btu remisija bez kortikostero\u012bdiem.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u0100rst\u0113jiet efekt\u012bvi un agr\u012bni<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Svar\u012bgi agr\u012bni s\u0101kt kontrol\u0113t iekaisumu, lai var\u0113tu nelietot kortikostero\u012bdus un izvair\u012bties no iesp\u0113jam\u0101m komplik\u0101cij\u0101m, nodro\u0161in\u0101tu gremo\u0161anas trakta sieni\u0146u dz\u012b\u0161anu un main\u012btu parasti destrukt\u012bvo slim\u012bbas gaitu.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Ja nepiecie\u0161ams, agr\u012bni mainiet \u0101rst\u0113\u0161anu uz anti-TNF terapiju<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Ja iesp\u0113jama\/pieejama anti-TNF \u0101rst\u0113\u0161ana b\u016btu j\u0101uzs\u0101k nekav\u0113joties, ja pacientam nav atbildes reakcijas uz konvencion\u0101liem im\u016bnsupresijas l\u012bdzek\u013ciem (piem., azatiopr\u012bnu) vai kortikostero\u012bdiem, vai pacientiem kuriem stero\u012bdi neiedarbojas, kuri ir atkar\u012bgi no tiem vai kuriem ir stero\u012bdu nepanes\u012bba. Ja pret vien\u0101m anti-TNF z\u0101l\u0113m ir nepanes\u012bba, vai t\u0101s nav iedarb\u012bgas, pacientam \u0101rst\u0113\u0161anu var main\u012bt uz cit\u0101m anti-TNF z\u0101l\u0113m.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u0100rst\u0113jiet \u0101rpus simptomiem<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Pat pacientiem, kuriem nav nek\u0101du simptomu, var turpin\u0101ties gremo\u0161anas trakta iekaisums un boj\u0101jumi. Pieaug p\u0101rliec\u012bba, ka pacientiem, kuriem ne tikai ir izzudu\u0161i simptomi, bet ar\u012b sadzijusi gremo\u0161anas trakta g\u013cot\u0101da&nbsp;\u2014 situ\u0101cija, kas d\u0113v\u0113ta par \u201cdzi\u013cu remisiju\u201d&nbsp;\u2014 ir lab\u0101ka ilgtermi\u0146a prognoze.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u0100rst\u0113jiet m\u0113r\u0137tiec\u012bgi<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Slim\u012bbas atra\u0161an\u0101s vieta un aktivit\u0101te da\u017e\u0101du pacientu vid\u016b ir \u013coti da\u017e\u0101da, l\u012bdz ar to \u0101rst\u0113jot pacientus ar IZS nav izmantojama strat\u0113\u0123ija \u201cviens izm\u0113rs der visiem\u201d. T\u0101 viet\u0101 \u0101rst\u0113\u0161ana ir j\u0101piel\u0101go, lai t\u0101 sader\u0113tu ar pacienta individu\u0101lo slim\u012bbas aktivit\u0101ti, izvirzot skaidrus \u0101rst\u0113\u0161anas m\u0113r\u0137us.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u0113r\u0137tiec\u012bg\u0101 \u0101rst\u0113\u0161an\u0101 ir ietverta regul\u0101ra pacienta izv\u0113rt\u0113\u0161ana, regul\u0101ra z\u0101\u013cu devas vai veida p\u0101rskat\u012b\u0161ana, lai p\u0101rliecin\u0101tos, ka kl\u012bniskie simptomi un tos veidojo\u0161ais iekaisums ir stingri kontrol\u0113ti.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Regul\u0101ri nov\u0113rojiet pacientus<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Pacienti ar IZS ir j\u0101nov\u0113ro regul\u0101ri, lai izv\u0113rt\u0113tu simptomus, m\u0113r\u012btu zarnu iekaisuma pak\u0101pi un p\u0101rbaud\u012btu, vai nav att\u012bst\u012bju\u0161\u0101s komplik\u0101cijas.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Simptomu smagumu var izv\u0113rt\u0113t ar da\u017e\u0101diem r\u012bkiem un anket\u0101m, piem\u0113ram, Krona slim\u012bbas aktivit\u0101tes indekss, H\u0101rvija&nbsp;\u2013 Bred\u0161ova indekss un Iekais\u012bgo zarnu slim\u012bbu anketa. \u0160ie r\u012bki v\u0113l \u013cauj objekt\u012bv\u0101k (maz\u0101ka loma ir \u0101rsta subjekt\u012bvajam iespaidam) izv\u0113rt\u0113t pacienta visp\u0101r\u0113jo labsaj\u016btu un dz\u012bves kvalit\u0101ti un bie\u017ei tiek izmantota IZS z\u0101\u013cu kl\u012bniskajos p\u0113t\u012bjumos.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Video &#8220;G\u013cot\u0101das sadz\u012b\u0161ana&#8221; \u0100rst\u0113\u0161anas m\u0113r\u0137i Iekais\u012bgo zarnu slim\u012bbu (IZS) \u0101rst\u0113\u0161anas pieejai ir tr\u012bs so\u013ci. 1. solis: Ierosin\u0101t simptomu remisiju \u0100rst\u0113\u0161ana mazina ak\u016btos simptomus, piem\u0113ram, caureju, v\u0113dera s\u0101pes, rekt\u0101lu asi\u0146o\u0161anu un drudzi, k\u0101 ar\u012b samazina iekaisumu, \u013caujot zarnu audiem sadz\u012bt. Kad [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":15,"comment_status":"closed","ping_status":"open","template":"","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-9","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/pages\/9","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lkksb.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9"}],"version-history":[{"count":17,"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/pages\/9\/revisions"}],"predecessor-version":[{"id":1983,"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/pages\/9\/revisions\/1983"}],"wp:attachment":[{"href":"https:\/\/lkksb.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}