{"id":3797,"date":"2020-04-14T14:24:02","date_gmt":"2020-04-14T11:24:02","guid":{"rendered":"https:\/\/rugute.lt\/?page_id=3797"},"modified":"2022-01-12T10:59:57","modified_gmt":"2022-01-12T08:59:57","slug":"tyrimai","status":"publish","type":"page","link":"https:\/\/rugute.lt\/en\/informacija\/bendra-informacija\/tyrimai\/","title":{"rendered":"Tyrimai"},"content":{"rendered":"
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Bendra informacija <\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Tyrimai<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Tyrimai ir \u012fvairios proced\u016bros reikalingi nustatant diagnoz\u0119, \u012fvertinant ligos i\u0161plitim\u0105, skiriant gydym\u0105 bei stebint atsak\u0105 \u012f j\u012f.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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Tyrimai ir \u012fvairios proced\u016bros reikalingi nustatant diagnoz\u0119, \u012fvertinant ligos i\u0161plitim\u0105, skiriant gydym\u0105 bei stebint atsak\u0105 \u012f j\u012f. Kai kurie i\u0161 j\u0173 neskausmingi, ir \u0161eimai reikia tik suprantamo paai\u0161kinimo, ko galima tik\u0117tis. Kiti gali sukelti tiek fizin\u012f skausm\u0105, tiek psichologin\u012f stres\u0105. \u0160i\u0173 reakcij\u0173 galima i\u0161vengti, ar bent jas suma\u017einti, tam i\u0161 anksto ruo\u0161iantis bei panaudojant medikamentus. Tyrimai g\u0105sdina ne tik vaikus, bet ir j\u0173 t\u0117vus. Po j\u0173 slog\u016bs prisiminimai gali i\u0161likti ilgam, tod\u0117l, ruo\u0161iantis tyrimams bei j\u0173 metu, labai svarbus bendradarbiavimas tarp ma\u017e\u0173j\u0173 pacient\u0173, t\u0117v\u0173 bei medicinos personalo.<\/div>
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Svarbu visk\u0105 suplanuoti taip, kad t\u0105 pa\u010di\u0105 proced\u016br\u0105 kiekvien\u0105 kart\u0105 atlikt\u0173 tas pats \u017emogus. Nors tai ne visuomet \u012fmanoma, reikia pabandyti susitarti, kad tas pats gydytojas atlikt\u0173 tas pa\u010dias intervencijas, ta pati sesel\u0117 leist\u0173 vaistus ar imt\u0173 krauj\u0105. Pastovumas vaikui suteikia ramyb\u0117s ir saugumo jausm\u0105.<\/div>
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T\u0117vai gali pra\u0161yti, kad proced\u016bras, pvz., juosmenin\u0119 punkcij\u0105, atlikt\u0173 labiausiai t\u0105 \u012fprat\u0119s daryti asmuo. Tai gali b\u016bti ir rezidentas, jei jis tai atlieka da\u017eniau u\u017e gydytoj\u0105. T\u0117vams tur\u0117t\u0173 b\u016bti leista pasirinkti, ar dalyvauti atliekant medicinin\u0119 proced\u016br\u0105. Svarbu, jog jie savo elgesiu parodyt\u0173 pavyzd\u012f vaikams. Ram\u016bs t\u0117vai ir gerai parengti vaikai lemia greit\u0105 ir nekeliant\u012f streso proced\u016bros atlikim\u0105. Jei manote, kad negal\u0117site i\u0161likti ramus, papra\u0161ykite, kad u\u017e jus su vaiku pab\u016bt\u0173 kitas \u0161eimos narys ar vaikui artimas \u017emogus. Proced\u016bros metu vaikui galima papasakoti koki\u0105 istorij\u0105 ar paskaityti jo m\u0117gstam\u0105 knyg\u0105. Paskui reikt\u0173 pagirti vaik\u0105 u\u017e ger\u0105 elges\u012f, bet nebarti, jei i\u0161kilo koki\u0173 problem\u0173.<\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tSkausmo valdymas\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Tam, kad proced\u016br\u0173 metu b\u016bt\u0173 galima i\u0161vengti skausmo, naudojami du metodai: psichologinis (pasitelkiant prot\u0105) ir farmakologinis (skiriant vaistus). Geriausia juos derinti kartu.<\/div>
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Psichologinis metodas<\/b><\/div>
Pasirengimas kiekvienai proced\u016brai yra b\u016btinas, nes daug sunkiau susidoroti su nelauktu stresu. Jei vaikas \u017einos, kas netrukus \u012fvyks, kur \u012fvyks, k\u0105 jis jaus ir kas bus \u0161alia, jis bus ramesnis ir sukalbamesnis.<\/div>
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Vaik\u0105 proced\u016brai galima paruo\u0161ti \u0161iais b\u016bdais:<\/div>
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– paai\u0161kinkite kiekvien\u0105 proced\u016bros \u017eingsnel\u012f,<\/div>
– jei \u012fmanoma, susitikite su asmeniu, kuris j\u0105 atliks,<\/div>
– kartu u\u017eeikite \u012f patalp\u0105, kur proced\u016bra bus atliekama,<\/div>
– su ma\u017eu vaiku galite \u017eaisti proced\u016bros atlikim\u0105 l\u0117l\u0117mis,<\/div>
– vyresniems vaikams galima pademonstruoti proced\u016bros atlikim\u0105 su l\u0117le ar per\u017ei\u016br\u0117ti demonstracin\u0119 vaizdajuost\u0119,<\/div>
– paskatinkite vaik\u0105 apie tai pakalb\u0117ti ir atsakykite \u012f visus i\u0161kilusius klausimus.<\/div>
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\u012erodyta, kad skausmui proced\u016br\u0173 metu suma\u017einti gali b\u016bti panaudojama hipnoz\u0117 bei kitos psichoterapin\u0117s priemon\u0117s, jei tai atlieka kvalifikuotas specialistas. Proced\u016br\u0173 metu nukreipti mintis nuo skausmo padeda nusik\u0117limas mintimis \u012f kit\u0105, realiai egzistuojan\u010di\u0105 ar vaiko \u012fsivaizduojam\u0105 maloni\u0105 viet\u0105. Nema\u017eiau padeda ir d\u0117mesio nukreipimas (k\u016bdikiams – spalvoti \u017eaislai, bar\u0161ku\u010diai; ikimokyklinukams \u2013 mylimas pliu\u0161inis \u017eaislas, animaciniai filmukai, dainos, komiksai ar kitos spalvingos knygel\u0117s; vyresniems \u2013 televizoriaus \u017ei\u016br\u0117jimas, m\u0117gstamos muzikos klausymas ar \u017eaidimas kompiuteriu).<\/div>
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Farmakologinis metodas<\/b><\/div>
Skausming\u0173 proced\u016br\u0173 metu (pvz., atliekant kaul\u0173 \u010diulp\u0173 aspiracij\u0105 ar juosmenin\u0119 punkcij\u0105) gali b\u016bti panaudojami raminantys ar skausm\u0105 ma\u017einantys medikamentai. Ideal\u016bs nuskausminantys vaistai vaikams turi b\u016bti patog\u016bs naudoti, \u017einomo poveikio, pakankamai suma\u017einantys skausm\u0105, neilgai veikiantys ir turintys minimal\u0173 \u0161alutin\u012f poveik\u012f. Tokie yra vietiniai veikiantys skausm\u0105 mal\u0161inantys preparatai, naudojami \u012fvairi\u0173 proced\u016br\u0173 metu, pvz., EMLA kremas (lidokaino ir prilokaino mi\u0161inys, tepamas ant odos likus 1-2 val. iki proced\u016bros), \u201eNumby Stuff\u201c sistema (lidokaino turintis preparatas, per klijuojam\u0105 elektrod\u0105 veikiant silpnai elektros srovei, patenkantis iki 10 mm \u012f od\u0105 ir naudojamas prie\u0161 kelias minutes iki proced\u016bros) ar etilo chlorido tirpalas (pur\u0161kiamas ant odos i\u0161kart prie\u0161 proced\u016br\u0105).<\/div>
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Raminantys vaistai ar medikamentai bendram nuskausminimui skiriami \u012f ven\u0105. Bendram nuskausminimui proced\u016br\u0173 metu vartojami \u0161ie vaistai:<\/div>
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– Diazepamas ar midazolamas, derinami su morfinu ar fentaniliu. Diazepamas su midazolamu yra raminantys vaistai, vartojami kartu su nuskausminan\u010diais, tokiais kaip morfinas ir fentanilis. D\u0117l galimo kv\u0117pavimo slopinimo, \u0161ie medikamentai skiriami tik ligonin\u0117je, kur vaikas stebimas ir yra reikiama \u012franga. Proced\u016bros metu vaikas nemiega, bet b\u016bna prislopintas. Jis gali jud\u0117ti ar verkti, bet to neprisimins. Kartu su min\u0117tais intraveniniais vaistas gali b\u016bti naudojami ir vietiniai nuskausminantys.<\/div>
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– Propofolis. \u0160io vaisto poveikis greitai prasideda ir greitai baigiasi. J\u012f skiriant reikalinga gydytojo anesteziologo prie\u017ei\u016bra. Proced\u016bros metu vaikas b\u016bna be s\u0105mon\u0117s. Ma\u017eos vaisto doz\u0117s slopina s\u0105mon\u0119, bet nevisi\u0161kai nuskausmina, tod\u0117l da\u017enai kartu naudojami vietiniai nuskausminantys.<\/div>
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– Ketaminas. \u0160is vaistas retai vartojamas vaikams proced\u016br\u0173 metu, nes poveikis trunka ilgiau nei anks\u010diau min\u0117t\u0173 medikament\u0173, be to, prabudimo metu galimas sumi\u0161imas ir\/ar haliucinacijos. J\u012f skiriant reikalinga anesteziologo prie\u017ei\u016bra. Kadangi gydymas gali trukti m\u0117nesiais, raminan\u010di\u0173 ir nuskausminan\u010di\u0173 vaist\u0173 poveikis susilpn\u0117ja d\u0117l jiems atsiradusios tolerancijos. Jei vaikas atsimena proced\u016br\u0105 ar jau\u010dia skausm\u0105 jos metu, vaistus reikia keisti arba didinti j\u0173 doz\u0119. Jei proced\u016bros metu bus vartojami min\u0117ti vaistai, prie\u0161 j\u0105 tam tikr\u0105 laiko tarp\u0105 vaikas turi nevalgyti ir negerti. Po proced\u016bros tai galima daryti, kai vaikas prabunda ir gerai ryja.<\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t
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Susipa\u017einimas su proced\u016br\u0173 atlikimu reikalingas, norint suma\u017einti tiek t\u0117v\u0173, tiek vaik\u0173 nerim\u0105 ir pad\u0117ti joms tinkamai pasiruo\u0161ti. \u012evairiose ligonin\u0117se proced\u016bros atlikimas gali \u0161iek tiek skirtis. I\u0161kilus neai\u0161kumams, nebijokite klausti j\u016bs\u0173 vaik\u0105 gydan\u010dio gydytojo ar proced\u016br\u0105 atliekan\u010dio asmens.<\/div>
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Toliau i\u0161vardinti keli, daugeliui t\u0117v\u0173 r\u016bpimi klausimai:<\/div>
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– kod\u0117l \u0161i proced\u016bra reikalinga ir koki\u0105 \u012ftak\u0105 ji tur\u0117s vaiko gydymui?<\/div>
– koki\u0105 informacij\u0105 ji suteiks?<\/div>
– kas j\u0105 atliks?<\/div>
– ar proced\u016bra bus atliekama ligonin\u0117je?<\/div>
– kaip ji bus atliekama? ar galima apie tai kur nors pla\u010diau paskaityti?<\/div>
– kaip jai paruo\u0161ti vaik\u0105? gal galima apie tai pakalb\u0117ti su slaugytoja ar kit\u0173 vaik\u0173 t\u0117vais?<\/div>
– ar proced\u016bra skausminga?<\/div>
– kiek laiko ji truks?<\/div>
– kokie raminantys ar nuskausminantys vaistai bus vartojami?<\/div>
– ar yra kokie pavojai?<\/div>
– kokie galimi \u0161alutiniai poveikiai?<\/div>
– kada bus ai\u0161k\u016bs rezultatai?<\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t
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Gydant v\u0117\u017e\u012f, da\u017eni kraujo \u0117mimai tampa gyvenimo dalimi. Kraujo m\u0117giniai da\u017eniausiai reikalingi klinikiniams ir biocheminiams kraujo tyrimams, kraujo pas\u0117liams. Klinikinis kraujo tyrimas parodo \u012fvairi\u0173 kraujo l\u0105steli\u0173 kiek\u012f, pagal kur\u012f gydytojas vertina vaist\u0173 efektyvum\u0105 bei vaiko imlum\u0105 infekcijai. Biocheminis kraujo tyrimas parodo kraujo skystojoje dalyje (plazmoje) esan\u010di\u0173 med\u017eiag\u0173 kiek\u012f, atspindi inkst\u0173 ir kepen\u0173 veikl\u0105. Kraujo pas\u0117liai padeda i\u0161ai\u0161kinti besivystan\u010di\u0105 bakterin\u0119 ar grybelin\u0119 infekcij\u0105.<\/div>
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Klinikiniam kraujo tyrimui u\u017etenka kraujo, paimto i\u0161 pir\u0161to, tuo tarpu sud\u0117tingesniems tyrimams reikalingas didesnis kraujo kiekis, paimtas i\u0161 venos ar jau \u012fvesto veninio kateterio<\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tKraujo ar jo sudedam\u0173j\u0173 dali\u0173 perpylimas\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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V\u0117\u017eio gydymas gali sukelti sunki\u0105 ma\u017eakraujyst\u0119 (raudon\u0173j\u0173 kraujo l\u0105steli\u0173, eritrocit\u0173, perne\u0161an\u010di\u0173 deguon\u012f, kiekio suma\u017e\u0117jim\u0105) ar trombocitopenij\u0105 (kraujo plok\u0161teli\u0173, trombocit\u0173, atsaking\u0173 u\u017e kraujo kre\u0161\u0117jim\u0105, kiekio suma\u017e\u0117jim\u0105). D\u0117l \u0161ios prie\u017easties daugeliui vaik\u0173 gydymo metu periodi\u0161kai reikalingi eritrocit\u0173 ar trombocit\u0173 mas\u0117s perpylimai. La\u0161inama tiesiogiai \u012f ven\u0105 arba per \u012f j\u0105 \u012fvest\u0105 kateter\u012f. Vienam \u201evienetui\u201c (mai\u0161eliui) sutek\u0117ti prireikia 2-4 valand\u0173. Jei proced\u016bros metu atsiranda \u0161altkr\u0117tis ar pakyla temperat\u016bra, reikia skubiai apie tai prane\u0161ti medicinos personalui, kad perpylimas b\u016bt\u0173 nutrauktas.<\/div>
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Perpilant krauj\u0105 ar jo komponentus, gali b\u016bti perduodamos \u012fvairios infekcijos (\u017emogaus imunodeficito, citomegalo, hepatit\u0173 virusai). Atrenkant donorus, lig\u0173 suk\u0117l\u0117jams nustatyti naudojami auk\u0161tos kokyb\u0117s testai, taigi jais u\u017esikre\u010diama labai retai. Ta\u010diau tokia galimyb\u0117 vis d\u0117lto yra, tod\u0117l perpylimai atliekami tik tada, kai to b\u016btinai reikia<\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tKaul\u0173 \u010diulp\u0173 aspiracija\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Pirmosios (diagnostin\u0117s) kaul\u0173 \u010diulp\u0173 aspiracijos tikslas \u2013 nustatyti, ar v\u0117\u017ein\u0117s l\u0105stel\u0117s i\u0161plito \u012f kaul\u0173 \u010diulpus. V\u0117liau aspiracija gali b\u016bti naudojama kaip sudedamoji gydymo dalis. Paprastai duriama \u012f klubakaulio sparn\u0105, kuris yra i\u0161kart po oda ir turi didel\u012f kiek\u012f kaul\u0173 \u010diulp\u0173. Kartais aspiracijai naudojamos ir kitos vietos, pvz., kr\u016btinkaulis, blauzdikaulis. \u012ed\u016brus adat\u0105, i\u0161traukiama \u0161iek tiek kaul\u0173 \u010diulp\u0173. Da\u017eniausiai prie\u0161 proced\u016br\u0105 vaikas u\u017emigdomas, kartu naudojami vietiniai nuskausminantieji b\u016bsimo d\u016brio vietoje.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tAspiracin\u0117 biopsija\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Tyrimas naudojamas l\u0105steli\u0173 pavyzd\u017eiui i\u0161 ne\u017einomos kilm\u0117s darinio paimti. Echoskopijos ar kompiuterin\u0117s tomografijos b\u016bdu tiksliai nustatoma darinio vieta ir, vaik\u0105 u\u017emigd\u017eius ar vieti\u0161kai nuskausminus, adata duriama \u012f darin\u012f. Paimtoji med\u017eiaga siun\u010diama detaliam i\u0161tyrimui mikroskopu. Po tyrimo vaikas kelias valandas turi pagul\u0117ti, stebint ar n\u0117ra kraujavimo po\u017eymi\u0173. Prie\u0161 proced\u016br\u0105 kelias valandas negalima valgyti ir gerti.<\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tJuosmenin\u0117 punkcija\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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D\u0117l hematoencefalinio (kraujo-smegen\u0173) barjero, kai kurie chemoterapiniai vaistai negali paveikti navikini\u0173 l\u0105steli\u0173, esan\u010di\u0173 centrin\u0117je nerv\u0173 sistemoje (galvos ir nugaros smegenyse). Tod\u0117l vaistai turi b\u016bti tiesiogiai suleid\u017eiami \u012f smegenis supant\u012f skyst\u012f, vadinam\u0105 likvoru. Juosmenin\u0117s punkcijos metu paimto smegen\u0173 skys\u010dio sud\u0117tis gali b\u016bti tiriama, norint \u012fvertinti atsak\u0105 \u012f gydym\u0105.<\/div>
\u00a0<\/div>
Prie\u0161 proced\u016br\u0105 vaikas u\u017emigdomas, re\u010diau gali b\u016bti taikomas tik vietinis nuskausminimas lidokainu. Paguldoma ant \u0161ono, sulenkiant kojas per kelius ir pritraukiant galv\u0105 prie kr\u016btin\u0117s l\u0105stos. Punkcijos metu svarbu gul\u0117ti labai ramiai, tod\u0117l slaugytoja vaik\u0105 prilaiko. Gydytojui \u012fd\u016brus \u012f stuburo kanal\u0105, \u0161iek tiek likvoro paimama i\u0161tyrimui, v\u0117liau suleid\u017eiami vaistai. Po proced\u016bros gali skaud\u0117ti galv\u0105, ypa\u010d atsis\u0117dus ar atsistojus. Tokiu atveju reik\u0117t\u0173 pagul\u0117ti lovoje.<\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tGastrostomija\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Tai maitinimo vamzdelio \u012fvedimas per pilvo sien\u0105 \u012f skrand\u012f. Vamzdelio gale yra balion\u0117lis, kuris neleid\u017eia jam i\u0161slysti atgal. Proced\u016bra reikalinga vaikams, kurie negali normaliai valgyti d\u0117l rijimo sutrikim\u0173 ar ilgalaikio burnos, rykl\u0117s skausmo, taip pat praradusiems apetit\u0105 d\u0117l ligos ar gydymo. Patyr\u0119s gastroenterologas proced\u016br\u0105 atlieka per 10 min. Jos metu vaikas b\u016bna bendroje nejautroje. V\u0117liau dar kelias dienas skiriami nuskausminantieji ir stebima, ar vaikas toleruoja maitinim\u0105 \u201eper vamzdel\u012f\u201c. Kai vaikas v\u0117l gali normaliai maitintis, vamzdelis i\u0161traukiamas ir \u017eaizda savaime sugyja per kelias dienas.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tUltragarsinis tyrimas (echoskopija, sonoskopija)\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Tai greitas ir visi\u0161kai nekenksmingas tyrimas, leid\u017eiantis ap\u017ei\u016br\u0117ti vidaus organus. Ant specialaus daviklio, skleid\u017eian\u010dio ultragarso spindulius, u\u017ededama laidum\u0105 gerinan\u010dios \u017eel\u0117s ir ved\u017eiojama po od\u0105 tiriamajame plote. Vaizdai stebimi monitoriaus ekrane.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tEchokardiografija\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Kai kurie chemoterapijai naudojami vaistai \u017ealingai veikia \u0161irdies raumen\u012f, suma\u017eindami jo susitraukimo gali\u0105. \u0160is tyrimas paprastai atliekamas prie\u0161 pradedant gydym\u0105, jo metu ir po jo, siekiant \u012fvertinti pakenkimo laipsn\u012f. Tyrimo metu vaikas paguldomas ant gulto, ant kr\u016btin\u0117s l\u0105stos u\u017etepama laidum\u0105 gerinan\u010dios \u017eel\u0117s ir specialiu, ultragarso spindulius skleid\u017eian\u010diu davikliu, ved\u017eiojama po \u0161irdies plot\u0105. Echokardiografo ekrane ap\u017ei\u016brimos atskiros \u0161irdies dalys, \u012fvertinamas i\u0161 jos i\u0161stumiamo kraujo kiekis (taip vadinama i\u0161metimo frakcija).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tRentgenografija\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t

Tai greitas ir paprastas metodas piktybiniam augliui aptikti. Prie\u0161 proced\u016br\u0105 reikia nusirengti kai kuriuos r\u016bbus, nusiimti papuo\u0161alus, galin\u010dius i\u0161kreipti vaizd\u0105. Jei tiriama kr\u016btin\u0117s l\u0105sta, vaiko gali papra\u0161yti giliai \u012fkv\u0117pti ir kelioms sekund\u0117ms sulaikyti kv\u0117pavim\u0105. Tyrimo metu vaikui reikia trumpam ramiai pastov\u0117ti ar pagul\u0117ti. Norint pasilikti su vaiku toje pa\u010dioje patalpoje, reikia vilk\u0117ti special\u0173 \u0161vinin\u012f apsiaust\u0105, apsaugant\u012f nuo radiacijos.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tIntravenin\u0117 urografija\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t

\u0160is rentgenologinis tyrimas gali b\u016bti atliekamas \u012ftarus darin\u012f \u0161lapim\u0105 i\u0161skirian\u010dioje sistemoje. Prie\u0161 proced\u016br\u0105 negalima valgyti. Atliekant tyrim\u0105, \u012f ven\u0105 leid\u017eiama speciali kontrastin\u0117 med\u017eiaga ir daromos rentgenogramos. Kadangi kontrastin\u0117s med\u017eiagos sud\u0117tyje yra jodo, jam alergi\u0161kiems vaikams tyrimas nedaromas.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tKompiuterin\u0117 tomografija (KT)\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Proced\u016bra atliekama dideliame \u012frenginyje, primenan\u010diame tu\u0161\u010diavidur\u012f rat\u0105 su gultu jo apa\u010dioje. Vaikas paguldomas ant gulto ir \u012fve\u017eamas \u012f skyl\u0117s vid\u0173. Ten, ratui sukantis aplink vaik\u0105, atliekama \u0161imtai rentgeno \u201epj\u016bvi\u0173\u201c, kurie v\u0117liau apdorojami kompiuteriu. Gauti vaizdai padeda \u012fvertinti smulkiausius mink\u0161t\u0173j\u0173 audini\u0173 pakitimus. Prie\u0161 proced\u016br\u0105 reikia nusirengti kai kuriuos r\u016bbus, nusiimti papuo\u0161alus, laikrod\u017eius. Esant reikalui, \u012f ven\u0105 suleid\u017eiama specialios kontrastin\u0117s med\u017eiagos arba liepiama jos i\u0161gerti. Jei tiriama kr\u016btin\u0117s l\u0105sta, vaiko gali papra\u0161yti giliai \u012fkv\u0117pti ir kelioms sekund\u0117ms sulaikyti kv\u0117pavim\u0105. Labai svarbu, kad proced\u016bros metu vaikas gul\u0117t\u0173 ramiai. Ma\u017ei vaikai, negalintys to padaryti, u\u017emigdomi. Norint pasilikti su vaiku toje pa\u010dioje patalpoje, reikia vilk\u0117ti special\u0173 \u0161vinin\u012f apsiaust\u0105, apsaugant\u012f nuo radiacijos.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tMagnetinio rezonanso tomografija (MRT)\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Tyrimo metu, panaudojant magnetin\u012f lauk\u0105, gaunamos erdvin\u0117s vidaus organ\u0173 pj\u016bvi\u0173 nuotraukos. Prie\u0161 proced\u016br\u0105 reikia nusirengti kai kuriuos r\u016bbus, nusiimti papuo\u0161alus, galin\u010dius i\u0161kreipti vaizd\u0105. Vaikas paguldomas ant gulto, kuris \u012fva\u017eiuoja \u012f vamzd\u012f. Prie\u0161 tyrim\u0105 ir jo metu kartais suleid\u017eiamos kontrastin\u0117s med\u017eiagos. Dirbdamas tomografas skleid\u017eia nema\u017e\u0105 triuk\u0161m\u0105, tod\u0117l u\u017ededamos ausin\u0117s. Ma\u017ei vaikai bei sergantys klaustrofobija (u\u017edar\u0173 patalp\u0173 baime), u\u017emigdomi.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tKaul\u0173 skenavimas\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Kaul\u0173 skenavimas reikalingas konkretaus kaulo ar visos skeletin\u0117s sistemos b\u016bkl\u0117s \u012fvertinimui. Tyrimas da\u017eniausiai atliekamas \u012ftariant kaul\u0173 v\u0117\u017e\u012f (osteosarkom\u0105) ar nustatant metastazes juose. Proced\u016bros metu vaikui duodama i\u0161gerti specialios radioaktyvios med\u017eiagos, kuri i\u0161 kraujo patenka \u012f kaulus. Ma\u017edaug po 2 val. atliekamas skenavimas.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tRadioizotopinis skenavimas\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Prie\u0161 24-48 val. iki tyrimo, vaikui \u012f ven\u0105 suleid\u017eiama specialios radioaktyvios med\u017eiagos (pvz., galio ar jodo darinio), kuri susikaupia navikiniame audinyje. Norint apsaugoti skydliauk\u0119, dien\u0105 prie\u0161 ir 3-5 d. po injekcijos, duodama gerti kalio jodido. Tyrimo metu vaikas paguldomas ir turi gul\u0117ti labai ramiai, tod\u0117l ma\u017ei vaikai u\u017emigdomi.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tKv\u0117pavimo funkcijos tyrimas\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Kai kurie chemoterapijai naudojami vaistai \u017ealingai veikia kv\u0117pavimo sistem\u0105, tod\u0117l tyrimas reikalingas jos veiklai \u012fvertinti. Vaikui kuo giliau kv\u0117puojant \u012f special\u0173 vamzdel\u012f, apskai\u010diuojamas \u012fkv\u0117pto bei i\u0161kv\u0117pto oro kiekis.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tAudiograma\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Kai kurie chemoterapijai naudojami vaistai gali sukelti klausos sutrikim\u0105. Tam, kad \u012fvertint\u0173 klausos poky\u010dius, paskiriamas tyrimas, vadinamas audiograma. Tyrimo metu vaikas b\u016bna garso nepraleid\u017eian\u010diame kambaryje, kad netrukdyt\u0173 pa\u0161alinis i\u0161orinis triuk\u0161mas. Ant aus\u0173 u\u017ededamos ausin\u0117s, per kurias girdisi vis stipr\u0117jantis pyps\u0117jimas ar balsas. Vaiko papra\u0161oma duoti \u017eenkl\u0105, kai i\u0161girs kok\u012f gars\u0105 (pakelti rank\u0105 ar paspausti mygtuk\u0105). Abi ausys tikrinamos atskirai. Audiogramos rezultatai paprastai parodomi kreiv\u0117s pavidalu. Klausos susilpn\u0117jimas matuojamas decibelais.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Bendra informacija Tyrimai Tyrimai ir \u012fvairios proced\u016bros reikalingi nustatant diagnoz\u0119, \u012fvertinant ligos i\u0161plitim\u0105, skiriant gydym\u0105 bei stebint atsak\u0105 \u012f j\u012f. Tyrimai Tyrimai ir \u012fvairios proced\u016bros reikalingi nustatant diagnoz\u0119, \u012fvertinant ligos i\u0161plitim\u0105, skiriant gydym\u0105 bei stebint atsak\u0105 \u012f j\u012f. Kai kurie i\u0161 j\u0173 neskausmingi, ir \u0161eimai reikia tik suprantamo paai\u0161kinimo, ko galima tik\u0117tis. Kiti gali sukelti […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3734,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-3797","page","type-page","status-publish","hentry"],"yoast_head":"\nTyrimai - Labdaros ir paramos fondas \u201eRugut\u0117\u201c<\/title>\n<meta name=\"description\" content=\"Tyrimai ir \u012fvairios proced\u016bros reikalingi nustatant diagnoz\u0119, \u012fvertinant ligos i\u0161plitim\u0105, skiriant gydym\u0105 bei stebint atsak\u0105 \u012f j\u012f.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/rugute.lt\/en\/informacija\/bendra-informacija\/tyrimai\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tyrimai - Labdaros ir paramos fondas \u201eRugut\u0117\u201c\" \/>\n<meta property=\"og:description\" content=\"Tyrimai ir \u012fvairios proced\u016bros reikalingi nustatant diagnoz\u0119, \u012fvertinant ligos i\u0161plitim\u0105, skiriant gydym\u0105 bei stebint atsak\u0105 \u012f j\u012f.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/rugute.lt\/en\/informacija\/bendra-informacija\/tyrimai\/\" \/>\n<meta property=\"og:site_name\" content=\"Labdaros ir paramos fondas \u201eRugut\u0117\u201c\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/rugute\/\" \/>\n<meta property=\"article:modified_time\" content=\"2022-01-12T08:59:57+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/rugute.lt\/wp-content\/uploads\/2019\/01\/rugute_logo_uzrasas.png\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"646\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@rugute\" \/>\n<meta name=\"twitter:label1\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/rugute.lt\\\/informacija\\\/bendra-informacija\\\/tyrimai\\\/\",\"url\":\"https:\\\/\\\/rugute.lt\\\/informacija\\\/bendra-informacija\\\/tyrimai\\\/\",\"name\":\"Tyrimai - 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