{"id":3807,"date":"2020-04-14T14:45:23","date_gmt":"2020-04-14T11:45:23","guid":{"rendered":"https:\/\/rugute.lt\/?page_id=3807"},"modified":"2022-01-12T11:03:42","modified_gmt":"2022-01-12T09:03:42","slug":"transplantacija","status":"publish","type":"page","link":"https:\/\/rugute.lt\/en\/informacija\/bendra-informacija\/transplantacija\/","title":{"rendered":"Kaul\u0173 \u010diulp\u0173 transplantacija"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"3807\" class=\"elementor elementor-3807\" data-elementor-settings=\"{&quot;element_pack_global_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true}}\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4a2bdad4 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4a2bdad4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-585e0066\" data-id=\"585e0066\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2ed863fa elementor-widget elementor-widget-heading\" data-id=\"2ed863fa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Bendra informacija <\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1101ff6d elementor-widget elementor-widget-heading\" data-id=\"1101ff6d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Kaul\u0173 \u010diulp\u0173 transplantacija<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b7f30ba elementor-widget elementor-widget-text-editor\" data-id=\"b7f30ba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: justify;\">Kamienini\u0173 l\u0105steli\u0173 transplantacija yra sud\u0117tinga proced\u016bra, prad\u0117ta naudoti ne tik gydant kraujo v\u0117\u017e\u012f, bet ir mink\u0161t\u0173j\u0173 audini\u0173 navikus. Yra trys kamienini\u0173 l\u0105steli\u0173 \u0161altiniai: periferinis kraujas, kaul\u0173 \u010diulpai ir virk\u0161tel\u0117s kraujas. Surinktos kamienin\u0117s l\u0105stel\u0117s apdorojamos (sunaikinamos tarp j\u0173 esan\u010dios v\u0117\u017ein\u0117s l\u0105stel\u0117s) ir u\u017e\u0161aldomos. Tuomet vaikui skiriamas parengiamasis chemoterapinis ar spindulinis gydymas, kurio metu sunaikinamos tiek navikin\u0117s, tiek kamienin\u0117s kraujodaros l\u0105steles, esan\u010dios kaul\u0173 \u010diulpuose. Sekan\u010diu etapu \u012f kraujotak\u0105 suleid\u017eiamos anks\u010diau surinktos kamienin\u0117s l\u0105stel\u0117s, kurios kaul\u0173 \u010diulpuose prigyja ir atnaujina sveik\u0173 kraujo l\u0105steli\u0173 gamyb\u0105. Transplantacija, nors da\u017enai yra gelbstinti gyvyb\u0119, bet taip pat gyvybei pavojinga, sud\u0117tinga ir brangi proced\u016bra.<\/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<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-17f1fd3e\" data-id=\"17f1fd3e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ecf81d0 elementor-widget elementor-widget-bdt-accordion\" data-id=\"ecf81d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdt-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"bdt-ep-accordion-container\">\n\t\t\t<div id=\"bdt-ep-accordion-ecf81d0\" class=\"bdt-ep-accordion bdt-accordion\" data-bdt-accordion=\"{&quot;collapsible&quot;:true,&quot;multiple&quot;:false,&quot;animation&quot;:true,&quot;transition&quot;:&quot;ease-in-out&quot;,&quot;duration&quot;:200}\" \t\tdata-settings=\"{&quot;id&quot;:&quot;bdt-ep-accordion-ecf81d0&quot;,&quot;activeHash&quot;:&quot;no&quot;,&quot;activeScrollspy&quot;:null,&quot;hashTopOffset&quot;:false,&quot;hashScrollspyTime&quot;:false,&quot;closeAllItemsOnMobile&quot;:false}\">\n\t\t\t\t\t\t\t\t\t<div class=\"bdt-ep-accordion-item\">\n\t\t\t\t\t\t<div\t\t\t\t\t\t\tclass=\"bdt-ep-accordion-title bdt-accordion-title bdt-flex bdt-flex-middle\" id=\"bdt-ep-accordion-vaikai-kuriems-reikia-transplantacijos\"\n\t\t\t\t\t\t\tdata-accordion-index=\"0\" data-title=\"vaikai-kuriems-reikia-transplantacijos\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"bdt-ep-accordion-icon bdt-flex-align-left\"\n\t\t\t\t\t\t\t\t\taria-hidden=\"true\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"bdt-ep-accordion-icon-closed\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fa-fw fas fa-caret-right\"><\/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<span class=\"bdt-ep-accordion-icon-opened\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fa-fw fas fa-caret-up\"><\/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<span role=\"heading\" class=\"bdt-ep-title-text bdt-flex-inline bdt-flex-middle\" >\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tVaikai, kuriems reikia transplantacijos\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"bdt-ep-accordion-content bdt-accordion-content\">\n\t\t\t\t\t\t\t<p>Kai kurios piktybini\u0173 navik\u0173 r\u016b\u0161ys nei\u0161gydomos \u012fprastin\u0117mis chemoterapijos doz\u0117mis, spinduliniu ar chirurginiu gydymu. \u0160ie augliai gali b\u016bti jautr\u016bs ypa\u010d didel\u0117ms chemoterapini\u0173 vaist\u0173 doz\u0117ms, ta\u010diau jos ilgam pakenkia ar net sunaikina normalius kaul\u0173 \u010diulpus. Siekiant juos atstatyti ir naudojama transplantacija. Kamienini\u0173 l\u0105steli\u0173 transplantacija gali b\u016bti naudojama gydant didel\u0117s rizikos neuroblastom\u0105, pasikartojan\u010di\u0105 hepatoblastom\u0105, rabdomiosarkom\u0105, Wilmso tumor\u0105, i\u0161plitusi\u0105 Ewingo sarkom\u0105.<\/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<div class=\"bdt-ep-accordion-item\">\n\t\t\t\t\t\t<div\t\t\t\t\t\t\tclass=\"bdt-ep-accordion-title bdt-accordion-title bdt-flex bdt-flex-middle\" id=\"bdt-ep-accordion-transplantacijos-rys\"\n\t\t\t\t\t\t\tdata-accordion-index=\"1\" data-title=\"transplantacijos-r-ys\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"bdt-ep-accordion-icon bdt-flex-align-left\"\n\t\t\t\t\t\t\t\t\taria-hidden=\"true\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"bdt-ep-accordion-icon-closed\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fa-fw fas fa-caret-right\"><\/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<span class=\"bdt-ep-accordion-icon-opened\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fa-fw fas fa-caret-up\"><\/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<span role=\"heading\" class=\"bdt-ep-title-text bdt-flex-inline bdt-flex-middle\" >\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tTransplantacijos r\u016b\u0161ys\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"bdt-ep-accordion-content bdt-accordion-content\">\n\t\t\t\t\t\t\t<div align=\"justify\">Pagal kamienini\u0173 l\u0105steli\u0173 kilm\u0119 transplantacija gali b\u016bti:<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><i>Autogenin\u0117, autologin\u0117<\/i> &#8211; naudojamos paties vaiko kamienin\u0117s l\u0105stel\u0117s.<\/div><div align=\"justify\"><i>Alogenin\u0117 <\/i>&#8211; naudojamos kito \u017emogaus (giminai\u010dio arba ne) kamienin\u0117s l\u0105stel\u0117s.<\/div><div align=\"justify\"><i>Placentin\u0117<\/i> \u2013 naudojamos kamienin\u0117s l\u0105stel\u0117s gautos i\u0161 virk\u0161tel\u0117s kraujo.<\/div><div align=\"justify\"><i>Singenin\u0117 <\/i>&#8211; naudojamos paciento identi\u0161ko dvynio kamienin\u0117s l\u0105stel\u0117s.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Kaul\u0173 viduje esantys kaul\u0173 \u010diulpai yra pilni kamienini\u0173 l\u0105steli\u0173, i\u0161 kuri\u0173 formuojasi visos kraujo l\u0105stel\u0117s. Kamienini\u0173 l\u0105steli\u0173 \u0117mimas i\u0161 kaul\u0173 \u010diulp\u0173 &#8211; nesud\u0117tinga chirurgin\u0117 proced\u016bra. Donorui taikoma vietin\u0117 ar bendra nejautra ir, da\u017eniausiai i\u0161 klubakaulio, sterilia adata imami kaul\u0173 \u010diulpai. Proced\u016bra trunka kelias valandas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Kamienini\u0173 l\u0105steli\u0173, nors ir ma\u017eesniais kiekiais, galima rasti ir cirkuliuojan\u010diame (taip vadinamame, periferiniame) kraujyje. Jos surenkamos vaikui sveikstant po intensyvios chemoterapijos, kuomet j\u0173 skai\u010dius kraujyje padid\u0117ja. Proced\u016bra atliekama taip: per centrin\u0117s venos kateter\u012f i\u0161traukiama kraujo, jis cirkuliuoja specialiame aparate, kur atskiriamos kamienin\u0117s l\u0105stel\u0117s, paskui kraujas v\u0117l gr\u0105\u017einamas \u012f vaiko organizm\u0105. Tai u\u017etrunka kelet\u0105 valand\u0173. Pati proced\u016bra atliekama nuo vieno iki a\u0161tuoni\u0173 kart\u0173.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Po kamienini\u0173 l\u0105steli\u0173 surinkimo galimos \u0161ios komplikacijos:<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">&#8211; <i>Hipokalcemija<\/i> (ma\u017eas kalcio kiekis kraujyje), kuri gali pasireik\u0161ti m\u0117\u0161lungiu, \u0161altkr\u0117\u010diu, drebuliu, pir\u0161t\u0173 dilg\u010diojimu, galvos svaigimu, kr\u016btin\u0117s skausmu. Hipokalcemijai gydyti skiriami kalcio preparatai.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">&#8211; <i>Trombocitopenija<\/i> (ma\u017eas trombocit\u0173 skai\u010dius), atsirandanti d\u0117l trombocit\u0173 pasilikimo kamienini\u0173 l\u0105steli\u0173 surinkimo aparate. Esant reikalui, atliekamas trombocit\u0173 mas\u0117s perpylimas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">&#8211; <i>Hipovolemija<\/i> (ma\u017eas kraujo t\u016bris), b\u016bdingesn\u0117 ma\u017eiems vaikams ir pasirei\u0161kianti suma\u017e\u0117jusiu kraujosp\u016bd\u017eiu, da\u017enu pulsu, galvos svaigimu, prakaitavimu. Siekiant to i\u0161vengti, prie\u0161 proced\u016br\u0105 aparatas paprastai u\u017epildomas mai\u0161eliu kraujo;<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">&#8211; Infekcija. Jei vaikas po proced\u016bros pradeda kar\u0161\u010diuoti, paimamas kraujo pas\u0117lis ir pradedami skirti antibiotikai.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Kamienini\u0173 l\u0105steli\u0173 transplantacija gali b\u016bti skirstoma pagal tai, kokia chemoterapija naudojama prie\u0161 proced\u016br\u0105:<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">&#8211; Mieloabliacin\u0117 chemoterapija. Jos metu naudojamos pakankamai didel\u0117s vaist\u0173 doz\u0117s, kurios visi\u0161kai sunaikina kaul\u0173 \u010diulp\u0173 l\u0105steles ir be kamienini\u0173 l\u0105steli\u0173 suleidimo kraujodara neatsistato. Naudojama sergant leukemija ar tokiomis ligomis, kaip neuroblastoma, kai navikini\u0173 l\u0105steli\u0173 b\u016bna kaul\u0173 \u010diulpuose.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">&#8211; Mielosupresin\u0117 chemoterapija. Jos metu naudojamos tokios vaist\u0173 doz\u0117s, kurios u\u017emu\u0161a kituose organuose ar audiniuose esan\u010dias navikines l\u0105steles, kartu itin stipriai u\u017eslopindamos kaul\u0173 \u010diulp\u0173 l\u0105steli\u0173 gamyb\u0105. Pastaroji savaime v\u0117l atsigauna pra\u0117jus 6-12 sav., ta\u010diau \u0161is laikotarpis sutrumpinamas suleid\u017eiant kamienini\u0173 l\u0105steli\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<div class=\"bdt-ep-accordion-item\">\n\t\t\t\t\t\t<div\t\t\t\t\t\t\tclass=\"bdt-ep-accordion-title bdt-accordion-title bdt-flex bdt-flex-middle\" id=\"bdt-ep-accordion-transplantacija\"\n\t\t\t\t\t\t\tdata-accordion-index=\"2\" data-title=\"transplantacija\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"bdt-ep-accordion-icon bdt-flex-align-left\"\n\t\t\t\t\t\t\t\t\taria-hidden=\"true\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"bdt-ep-accordion-icon-closed\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fa-fw fas fa-caret-right\"><\/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<span class=\"bdt-ep-accordion-icon-opened\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fa-fw fas fa-caret-up\"><\/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<span role=\"heading\" class=\"bdt-ep-title-text bdt-flex-inline bdt-flex-middle\" >\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tTransplantacija\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"bdt-ep-accordion-content bdt-accordion-content\">\n\t\t\t\t\t\t\t<div align=\"justify\">Kaip jau min\u0117ta anks\u010diau, prie\u0161 transplantacij\u0105 vaiko kaul\u0173 \u010diulpai yra suardomi ar u\u017eslopinami, naudojant dideles chemoterapini\u0173 vaist\u0173 dozes su\/be \u0161vitinimo. Tai reikalinga tam, kad sunaikint\u0173 organizme esan\u010dias v\u0117\u017eines l\u0105steles ir padaryt\u0173 kauluose vietos naujiems kaul\u0173 \u010diulpams ar kamienin\u0117ms l\u0105stel\u0117ms. Atliekant alogenin\u0119 transplantacij\u0105, svarbu ir tai, jos slopinama vaiko imunin\u0117 sistema, tod\u0117l did\u0117ja tikimyb\u0117, kad donoriniai kaul\u0173 \u010diulpai prigys. Paprastai paruo\u0161iamoji chemoterapija taikoma 2-6 dienas, o \u0161vitinama kelias dienas ma\u017eomis daugkartin\u0117mis doz\u0117mis. Transplantacijos metu, per centrin\u0117s venos kateter\u012f suleid\u017eiama kaul\u0173 \u010diulp\u0173 ar kamienini\u0173 l\u0105steli\u0173 (kaip per kraujo perpylim\u0105). Jos prasiskverbia per kraujagysl\u0117s sienel\u0119 \u012f ilg\u0173j\u0173 kaul\u0173 ertmes, jas u\u017epildydamos, ir ima gaminti sveikas kraujo l\u0105steles (leukocitus, eritrocitus ir trombocitus).<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Atliekant kaul\u0173 \u010diulp\u0173 ar kamienini\u0173 l\u0105steli\u0173 transplantacij\u0105 bei po jos, gali atsirasti \u012fvairi\u0173 nepageidaujam\u0173 rei\u0161kini\u0173: pilvo spazmai, pasunk\u0117j\u0119s kv\u0117pavimas, spaudimas kr\u016btin\u0117je, retas pulsas, kar\u0161\u010diavimas, \u0161altkr\u0117tis, kosulys, viduriavimas, odos paraudimas, galvos skausmas, kraujosp\u016bd\u017eio padid\u0117jimas\/suma\u017e\u0117jimas, pykinimas, v\u0117mimas, nemalonus skonis burnoje. Apie juos reikia prane\u0161ti gydytojui ir jis imsis reikiam\u0173 priemoni\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<div class=\"bdt-ep-accordion-item\">\n\t\t\t\t\t\t<div\t\t\t\t\t\t\tclass=\"bdt-ep-accordion-title bdt-accordion-title bdt-flex bdt-flex-middle\" id=\"bdt-ep-accordion-komplikacijos\"\n\t\t\t\t\t\t\tdata-accordion-index=\"3\" data-title=\"komplikacijos\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"bdt-ep-accordion-icon bdt-flex-align-left\"\n\t\t\t\t\t\t\t\t\taria-hidden=\"true\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"bdt-ep-accordion-icon-closed\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fa-fw fas fa-caret-right\"><\/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<span class=\"bdt-ep-accordion-icon-opened\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fa-fw fas fa-caret-up\"><\/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<span role=\"heading\" class=\"bdt-ep-title-text bdt-flex-inline bdt-flex-middle\" >\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tKomplikacijos\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"bdt-ep-accordion-content bdt-accordion-content\">\n\t\t\t\t\t\t\t<div align=\"justify\">Kai kuriems vaikams laikotarpis po transplantacijos praeina skland\u017eiai, kiti patiria gyvybei pavojingas komplikacijas vien\u0105 po kitos. Vieni pacientai i\u0161gyvena, kiti mir\u0161ta. Ne\u012fmanoma numatyti, kuriam vaikui i\u0161kils problem\u0173, taip pat n\u0117ra b\u016bdo nusp\u0117ti, ar atsiradusi komplikacija bus tik nemaloni, ar atne\u0161 mirt\u012f.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Da\u017eniausiai pasitaiko \u0161ios komplikacijos:<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><b>Infekcija<\/b><\/div><div align=\"justify\">Po transplantacijos d\u0117l u\u017eslopintos imunin\u0117s sistemos, padid\u0117ja \u012fvairi\u0173 infekcij\u0173 (bakterini\u0173, grybelini\u0173, virusini\u0173) rizika. Daugel\u012f j\u0173 sukelia paties vaiko organizme gyvenantys suk\u0117l\u0117jai (citomegalo virusas, burnos ertm\u0117s ir \u017earnyno bakterijos). U\u017ekrato galimyb\u0119 nuo kit\u0173 \u017emoni\u0173 (t\u0117v\u0173, lankytoj\u0173, medicinos personalo), ma\u017eina j\u0173 rank\u0173 plovimas prie\u0161 kiekvien\u0105 kontakt\u0105 su vaiku. Da\u017eniausios infekavimosi vietos yra oda, burna, i\u0161ang\u0117s sritis ir centrin\u0117s venos kateterio i\u0161\u0117jimo \u012f i\u0161or\u0119 vieta. Nedelsdami prane\u0161kite gydytojui apie naujai atsiradusius \u0161iuos simptomus: kosulys, dusulys, pilvo skausmas, viduriavimas, skausmas \u0161lapinantis, i\u0161skyros i\u0161 mak\u0161ties, dezorientacija. \u012etarus infekcij\u0105, tuoj pat bus paskirti antibiotikai. Kartais jie skiriami ir profilakti\u0161kai, dar nesant infekcijos po\u017eymi\u0173.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Keletas patarim\u0173, kurie pad\u0117s i\u0161vengti infekcij\u0173 po kaul\u0173 \u010diulp\u0173 ar kamienini\u0173 l\u0105steli\u0173 transplantacijos:<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">&#8211; liepkite plauti rankas visiems asmenims, at\u0117jusiems pas j\u016bs\u0173 vaik\u0105;<\/div><div align=\"justify\">&#8211; neikite su vaiku pas sergan\u010dius asmenis ir \u012f masini\u0173 susib\u016brim\u0173 vietas;<\/div><div align=\"justify\">&#8211; kur\u012f laik\u0105 neskiepykite vaiko gyvomis vakcinomis;<\/div><div align=\"justify\">&#8211; neleiskite prie vaiko asmen\u0173, kurie neseniai buvo paskiepyti gyva vakcina (nuo v\u0117jaraupi\u0173, poliomielito);<\/div><div align=\"justify\">&#8211; neleiskite vaiko prie gyv\u016bn\u0173, j\u0173 i\u0161mat\u0173;<\/div><div align=\"justify\">&#8211; prie\u0161 vaikui gr\u012f\u017etant namo po transplantacijos, suvyniokite visus kilimus;<\/div><div align=\"justify\">&#8211; neremontuokite buto, kol j\u016bs\u0173 vaikas sveiksta.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><b>Kraujavimas<\/b><\/div><div align=\"justify\">Da\u017eniausiai pasirei\u0161kia kraujavimas i\u0161 nosies, danten\u0173, \u0161lapimo tak\u0173, \u017earnyno, m\u0117lyni\u0173 atsiradimas be prie\u017easties ar po nedidel\u0117s traumos. Taip atsitinka d\u0117l ma\u017eo kraujo plok\u0161teli\u0173 (trombocit\u0173) skai\u010diaus ir gydoma trombocit\u0173 mas\u0117s perpylimu. Po kaul\u0173 \u010diulp\u0173 transplantacijos, trombocit\u0173 gamyba atsinaujina v\u0117liausiai.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><b>Mukozitas<\/b><\/div><div align=\"justify\">Mukozitas (burnos ir vir\u0161kinamojo trakto gleivin\u0117s u\u017edegimas) ir stomatitas (burnos gleivin\u0117s \u017eaizdel\u0117s) yra da\u017enos komplikacijos po kaul\u0173 \u010diulp\u0173 transplantacijos. Pasirei\u0161kia gleivin\u0117s paraudimu, i\u0161op\u0117jimu, skausmu, apsunkintu rijimu ir kalb\u0117jimu, skonio pasikeitimu. Atsiradus \u0161ioms komplikacijoms, skiriama speciali dieta, vaistai nuo skausmo.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><b>Mitybos sutrikimas<\/b><\/div><div align=\"justify\">Daugeliui po transplantacijos sveikstan\u010di\u0173 vaik\u0173, prireikia intraveninio maitinimo d\u0117l svorio kritimo, apetito nebuvimo, pykinimo ir v\u0117mimo, skausming\u0173 burnos gleivin\u0117s i\u0161op\u0117jim\u0173, viduriavimo. Dirbtinis maitinimas t\u0119siamas, kol gr\u012f\u017eta apetitas ir sugeb\u0117jimas \u012fsisavinti pakankam\u0105 maisto kiek\u012f per burn\u0105.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><b>Venookliuzin\u0117 liga<\/b><\/div><div align=\"justify\">Tai tokia komplikacija, kai sutrinka kraujotaka per kepenis. Da\u017eniau pasirei\u0161kia vaikams, patyrusiems intensyvi\u0105 chemoterapij\u0105, daugiau nei vien\u0105 transplantacij\u0105, prie\u0161 tai tur\u0117jusiems problem\u0173 su kepenimis. Komplikacija gali \u012fvykti staiga arba palaipsniui. B\u016bdingi simptomai: gelta, kepen\u0173 padid\u0117jimas, skausmas vir\u0161utin\u0117je de\u0161in\u0117je pilvo dalyje, skys\u010dio susikaupimas pilvo ertm\u0117je, nepaai\u0161kinamas svorio padid\u0117jimas, blogas atsakas \u012f trombocit\u0173 perpylim\u0105. Gydoma ribojant skys\u010dius, skiriant kre\u0161\u0117jim\u0105 ma\u017einan\u010dius ir \u0161lapimo i\u0161siskyrim\u0105 didinan\u010dius vaistus. Jei taikomas intraveninis maitinimas \u2013 neduodama amino r\u016bg\u0161\u010di\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<div class=\"bdt-ep-accordion-item\">\n\t\t\t\t\t\t<div\t\t\t\t\t\t\tclass=\"bdt-ep-accordion-title bdt-accordion-title bdt-flex bdt-flex-middle\" id=\"bdt-ep-accordion-vlyvieji-nepageidaujami-reikiniai\"\n\t\t\t\t\t\t\tdata-accordion-index=\"4\" data-title=\"v-lyvieji-nepageidaujami-rei-kiniai\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"bdt-ep-accordion-icon bdt-flex-align-left\"\n\t\t\t\t\t\t\t\t\taria-hidden=\"true\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"bdt-ep-accordion-icon-closed\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fa-fw fas fa-caret-right\"><\/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<span class=\"bdt-ep-accordion-icon-opened\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fa-fw fas fa-caret-up\"><\/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<span role=\"heading\" class=\"bdt-ep-title-text bdt-flex-inline bdt-flex-middle\" >\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tV\u0117lyvieji nepageidaujami rei\u0161kiniai\t\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"bdt-ep-accordion-content bdt-accordion-content\">\n\t\t\t\t\t\t\t<div align=\"justify\"><b>Dant\u0173 vystymasis<\/b><\/div><div align=\"justify\">Kai kurie chemoterapiniai vaistai, skiriami prie\u0161 transplantacij\u0105 jaunesniems kaip 5 m. vaikams didel\u0117mis doz\u0117mis, gali sutrikdyti dant\u0173 vystym\u0105si.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><b>Skydliauk\u0117s funkcija<\/b><\/div><div align=\"justify\">Skydliauk\u0117s funkcijos nepakankamumas, pasirei\u0161kiantis suma\u017e\u0117jusiu i\u0161skiriam\u0173 hormon\u0173 kiekiu, pasitaiko 25-50 % vaik\u0173, kuriems taikytas viso k\u016bno \u0161vitinimas. Gydoma skiriant skydliauk\u0117s hormonus.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><b>Augimas, brendimas ir vaisingumas<\/b><\/div><div align=\"justify\">Vaikams, patyrusiems viso k\u016bno \u0161vitinim\u0105, gali sutrikti augimas, v\u0117luoti brendimas ar pasireik\u0161ti nevaisingumas. Visi, kuriems atlikta kaul\u0173 \u010diulp\u0173 ar kamienini\u0173 l\u0105steli\u0173 transplantacija, tur\u0117t\u0173 periodi\u0161kai lankytis pas vaik\u0173 endokrinolog\u0105. Prireikus skiriami augimo, lytiniai hormonai. Kadangi nevaisingumas nepagydomas, vaikinai paaugliai gali atiduoti u\u017e\u0161aldyti spermos prie\u0161 prad\u0117dami gydym\u0105.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><b>Reg\u0117jimas<\/b><\/div><div align=\"justify\">Daugeliui vaik\u0173, patyrusi\u0173 viso k\u016bno \u0161vitinim\u0105, i\u0161sivysto katarakta. Ligos da\u017enis priklauso nuo to, kaip taikytas \u0161vitinimas. Jei visa doz\u0117 skiriama per kart\u0105, kataraktos atsiradimo tikimyb\u0117 yra 80 %, o jei skiriamos ma\u017eesn\u0117s doz\u0117s kelet\u0105 dien\u0173, tuomet \u2013 25 %. Dar vienas i\u0161 nepageidaujam\u0173 rei\u0161kini\u0173 &#8211; suma\u017e\u0117jusi a\u0161ar\u0173 gamyba.<\/div>\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":"<p>Bendra informacija Kaul\u0173 \u010diulp\u0173 transplantacija Kamienini\u0173 l\u0105steli\u0173 transplantacija yra sud\u0117tinga proced\u016bra, prad\u0117ta naudoti ne tik gydant kraujo v\u0117\u017e\u012f, bet ir mink\u0161t\u0173j\u0173 audini\u0173 navikus. Yra trys kamienini\u0173 l\u0105steli\u0173 \u0161altiniai: periferinis kraujas, kaul\u0173 \u010diulpai ir virk\u0161tel\u0117s kraujas. Surinktos kamienin\u0117s l\u0105stel\u0117s apdorojamos (sunaikinamos tarp j\u0173 esan\u010dios v\u0117\u017ein\u0117s l\u0105stel\u0117s) ir u\u017e\u0161aldomos. Tuomet vaikui skiriamas parengiamasis chemoterapinis ar spindulinis gydymas, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3734,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-3807","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kaul\u0173 \u010diulp\u0173 transplantacija - Labdaros ir paramos fondas \u201eRugut\u0117\u201c<\/title>\n<meta name=\"description\" content=\"Kamienini\u0173 l\u0105steli\u0173 transplantacija yra sud\u0117tinga proced\u016bra, prad\u0117ta naudoti ne tik gydant kraujo v\u0117\u017e\u012f, bet ir mink\u0161t\u0173j\u0173 audini\u0173 navikus.\" \/>\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\/transplantacija\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kaul\u0173 \u010diulp\u0173 transplantacija - 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