{"id":3869,"date":"2020-04-14T17:19:36","date_gmt":"2020-04-14T14:19:36","guid":{"rendered":"https:\/\/rugute.lt\/?page_id=3869"},"modified":"2022-01-12T09:52:47","modified_gmt":"2022-01-12T07:52:47","slug":"wilmso-navikas","status":"publish","type":"page","link":"https:\/\/rugute.lt\/en\/informacija\/piktybiniai-navikai\/wilmso-navikas\/","title":{"rendered":"Wilmso navikas"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"3869\" class=\"elementor elementor-3869\" 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\">Piktybiniai navikai<\/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\">Wilmso navikas<\/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;\">Nefroblastoma \u2013 tai piktybinis inksto auglys, susiformuojantis i\u0161 nebrand\u017ei\u0173 l\u0105steli\u0173 (nefroblast\u0173). Jis sudaro 90 % vaik\u0173 inkst\u0173 navik\u0173. Kitus 10% sudaro retos inkst\u0173 navik\u0173 formos: \u0161viesial\u0105stelin\u0117 sarkoma, renoceliulin\u0117 karcinoma, kitaip hipernefroma, bei piktybinis rabdoidinis navikas.<\/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-sergamumas\"\n\t\t\t\t\t\t\tdata-accordion-index=\"0\" data-title=\"sergamumas\">\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\tSergamumas\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\">Wilmso navikas sudaro apie 6 % vis\u0173 piktybini\u0173 navik\u0173, i\u0161sivystan\u010di\u0173 vaikyst\u0117je, ir yra antras pagal da\u017en\u012f tarp solidini\u0173 navik\u0173 (po smegen\u0173 augli\u0173). Da\u017eniausiai jis diagnozuojamas iki 5 m. am\u017eiaus. Navikai abiejuose inkstuose diagnoz\u0117s nustatymo metu randami 5 % vaik\u0173. Mergait\u0117s serga \u0161iek tiek da\u017eniau nei berniukai<\/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-prieastys\"\n\t\t\t\t\t\t\tdata-accordion-index=\"1\" data-title=\"prie-astys\">\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\tPrie\u017eastys\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\">Manoma, kad Wilmso navikai yra mutacij\u0173 (patologini\u0173 pasikeitim\u0173) konkre\u010diuose genuose (WT1, IGF2), esan\u010diuose 11 chromosomoje, pasekm\u0117.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Atsakingi u\u017e lig\u0105 genai yra susij\u0119 ir su kitais retais susirgimais:<\/div><div align=\"justify\">&#8211; WAGR sindromas (Wilmso navikas, aniridija, t.y. rainel\u0117s nesusiformavimas, urogenitalinio trakto vystymosi anomalijos bei protinis atsilikimas);<\/div><div align=\"justify\">&#8211; Beckwith-Wiedemann sindromas (didesni nei norma vidaus organai, didelis lie\u017euvis, \u012fgimta bambos i\u0161var\u017ea, viena k\u016bno pus\u0117 ar k\u016bno dalis didesn\u0117 nei kita);<\/div><div align=\"justify\">&#8211; Denys-Drash sindromas (sutrikusi inkst\u0173 funkcija, \u012fgimtas genitalij\u0173 defektas, Wilmso ar kiti urogenitalin\u0117s sistemos navikai);<\/div><div align=\"justify\">&#8211; nefroblastomatoz\u0117 (embrioninio inkst\u0173 audinio intarp\u0173 buvimas po inkst\u0173 kapsule).<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Paveldimai ligos formai b\u016bdingi augliai abiejuose inkstuose ir \u0161eimin\u0117 ligos anamnez\u0117. \u0160i forma nustatoma 1 -2 % atvej\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-simptomai\"\n\t\t\t\t\t\t\tdata-accordion-index=\"2\" data-title=\"simptomai\">\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\tSimptomai\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\">Paprastai t\u0117vai guz\u0105 ar darin\u012f pilvo srityje pirm\u0105 kart\u0105 pastebi vaik\u0105 rengdami ar maudydami. Darinys pilve gana greitai did\u0117ja, per kelias savaites beveik padvigub\u0117damas. Wilmso navikas kai kada nustatomas atsitiktinai, kuomet vaikas tiriamas d\u0117l kit\u0173 prie\u017eas\u010di\u0173, pvz., traumos pilvo srityje. Nors da\u017eniausiai vaikai niekuo nesiskund\u017eia, kartais gali atsirasti pilvo skausmas, hematurija (kraujas \u0161lapime), \u0161lapimo tak\u0173 infekcija ir ma\u017eakraujyst\u0117, re\u010diau &#8211; kar\u0161\u010diavimas, svorio kritimas, bendras silpnumas, dusulys.<\/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-diagnostika\"\n\t\t\t\t\t\t\tdata-accordion-index=\"3\" data-title=\"diagnostika\">\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\tDiagnostika\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\">Siekiant diagnozuoti nefroblastom\u0105, atliekami sekantys tyrimai:<\/div><div align=\"justify\">&#8211; ultragarsinis pilvo tyrimas (echoskopija, sonoskopija);<\/div><div align=\"justify\">&#8211; kompiuterin\u0117 ar magnetinio rezonanso tomografija;<\/div><div align=\"justify\">&#8211; klinikinis kraujo ir \u0161lapimo tyrimas;<\/div><div align=\"justify\">&#8211; inkst\u0173 funkcijos tyrimai;<\/div><div align=\"justify\">&#8211; kr\u016btin\u0117s l\u0105stos rentgenografija (norint nustatyti, ar liga nei\u0161plito \u012f plau\u010dius);<\/div><div align=\"justify\">&#8211; tumoro biopsija (audinio pa\u0117mimas tolimesniam i\u0161tyrimui mikroskopu).<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Priklausomai nuo auglio dyd\u017eio, buvimo kitame inkste, i\u0161plitimo \u012f aplinkinius bei atokius organus, nustatoma ligos stadija.<\/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-gydymas\"\n\t\t\t\t\t\t\tdata-accordion-index=\"4\" data-title=\"gydymas\">\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\tGydymas\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\">Da\u017eniausiai, atlikus naviko pa\u0161alinimo operacij\u0105, papildomai taikoma chemoterapija, vadinama adjuvantine. Kai kada papildomai skiriamas ir spindulinis gydymas. Pagrindin\u0117 ilgalaikio gydymo, ypa\u010d jei navikas yra abiejuose inkstuose, komplikacija \u2013 inkst\u0173 nepakankamumas, d\u0117l kurio tenka taikyti dializes ar atlikti inkst\u0173 transplantacij\u0105.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><i>Chirurginis gydymas<\/i><\/div><div align=\"justify\">Nusta\u010dius Wilmso navik\u0105, prie\u0161 pradedant bet kok\u012f kit\u0105 gydym\u0105, paprastai atliekama inksto pa\u0161alinimo operacija, vadinama nefrektomija. Taip pat pa\u0161alinami ir v\u0117liau i\u0161tiriami gretimi limfmazgiai. Operacijos metu \u012fvertinama, ar navikas nepakenk\u0117 kito inksto.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><i>Chemoterapija<\/i><\/div><div align=\"justify\">Visiems vaikams taikoma chemoterapija. Da\u017eniausiai naudojamas D &#8211; aktinomicinas, vinkristinas, doksorubicinas, kitaip adriamicinas, etopozidas, ciklofosfamidas. Chemoterapija iki operacijos, vadinama neodajuvantine, da\u017eniausiai taikoma vaikams su abipusiu Wilmso naviku, ar kuomet navikas neoperuotinas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><i>Spindulinis gydymas<\/i><\/div><div align=\"justify\">I\u0161orinis spindulinis gydymas taikomas esant pa\u017eengusiai ligos stadijai.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><i>Kaul\u0173 \u010diulp\u0173 ar periferini\u0173 kamienini\u0173 l\u0105steli\u0173 transplantacija<\/i><\/div><div align=\"justify\">Kamienini\u0173 l\u0105steli\u0173 transplantacija \u2013 viena i\u0161 gydymo alternatyv\u0173. Taikoma agresyvi chemoterapija didel\u0117mis doz\u0117mis, kurios metu sunaikinamos navikin\u0117s l\u0105stel\u0117s, ta\u010diau kartu \u017e\u016bsta ir kaul\u0173 \u010diulpai. Jiems i\u0161 naujo u\u017epildyti panaudojamos anks\u010diau i\u0161 kraujo surinktos periferin\u0117s kamienin\u0117s l\u0105stel\u0117s.<\/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-prognoz\"\n\t\t\t\t\t\t\tdata-accordion-index=\"5\" data-title=\"prognoz\">\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\tPrognoz\u0117\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\">Taikant \u0161iuolaikin\u012f gydym\u0105, pasveiksta 85-90 % sergan\u010di\u0173j\u0173. Likusiame inkste Wilmso navikas pakartotinai i\u0161sivysto 1-3 % s\u0117kmingai i\u0161gydyt\u0173 vaik\u0173. Ankstyvam pakartotinai atsiradusi\u0173 navik\u0173 aptikimui rekomenduojami reguliar\u016bs profilaktiniai ultragarsiniai tyrimai. Nusta\u010dius recidyv\u0105, taikoma chemoterapija iki tol nenaudotais vaistais.<\/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-kiti-piktybiniai-inkst-navikai-vaikystje\"\n\t\t\t\t\t\t\tdata-accordion-index=\"6\" data-title=\"kiti-piktybiniai-inkst-navikai-vaikyst-je\">\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\tKiti piktybiniai inkst\u0173 navikai vaikyst\u0117je\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\">\u0160viesial\u0105stelin\u0117 sarkoma, rabdoidinis inkst\u0173 navikas ir inkst\u0173 l\u0105steli\u0173 (renoceliulin\u0117) karcinoma &#8211; tai reti piktybiniai vaik\u0173 inkst\u0173 navikai. \u0160i\u0173 agresyvi\u0173 piktybini\u0173 navik\u0173 gydymas yra intensyvesnis nei gydant Wilmso navik\u0105. Taikomas kombinuotas gydymas, susidedantis i\u0161 nefrektomijos, spindulinio gydymo ir chemoterapijos.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><i>\u0160viesial\u0105stelin\u0117 inkst\u0173 sarkoma<\/i><\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u0160viesial\u0105stelin\u0117 sarkoma yra antras pagal da\u017en\u012f vaik\u0173 inkst\u0173 piktybinis navikas. Jis i\u0161plinta \u017eymiai grei\u010diau negu Wilmso navikas. Metastaz\u0117s da\u017enai randamos kauluose, smegenyse, plau\u010diuose bei mink\u0161tuosiuose audiniuose. Vaikai sergantys \u0161ia liga da\u017eniausiai gydomi vinkristinu, doksorubicinu, ciklofosfamidu ir etopozidu.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><i>Rabdoidinis inkst\u0173 navikas <\/i><\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Da\u017eniausiai rabdoidinis navikas i\u0161sivysto k\u016bdikiams, o did\u017eioji dauguma ligos atvej\u0173 nustatoma iki 2 m. am\u017eiaus. Diagnoz\u0117s nustatymo metu paprastai jau randamos daugin\u0117s metastazes, tod\u0117l gydymas da\u017enai nes\u0117kmingas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Visos rabdoidinio inkst\u0173 naviko stadijos dabar gydomos chirurgi\u0161kai ir chemoterapija. Naudojama karboplatina, etopozidas ir ciklofosfamidas. Taip pat skiriamas \u0161vitinimas, bet da\u017eniausiai palaukiama 6 savaites, kol bus galima \u012fvertinti chemoterapijos poveik\u012f.<\/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>Piktybiniai navikai Wilmso navikas Nefroblastoma \u2013 tai piktybinis inksto auglys, susiformuojantis i\u0161 nebrand\u017ei\u0173 l\u0105steli\u0173 (nefroblast\u0173). Jis sudaro 90 % vaik\u0173 inkst\u0173 navik\u0173. Kitus 10% sudaro retos inkst\u0173 navik\u0173 formos: \u0161viesial\u0105stelin\u0117 sarkoma, renoceliulin\u0117 karcinoma, kitaip hipernefroma, bei piktybinis rabdoidinis navikas. Sergamumas Wilmso navikas sudaro apie 6 % vis\u0173 piktybini\u0173 navik\u0173, i\u0161sivystan\u010di\u0173 vaikyst\u0117je, ir yra antras pagal [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3842,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-3869","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>Wilmso navikas - Labdaros ir paramos fondas \u201eRugut\u0117\u201c<\/title>\n<meta name=\"description\" content=\"Nefroblastoma \u2013 tai piktybinis inksto auglys, susiformuojantis i\u0161 nebrand\u017ei\u0173 l\u0105steli\u0173 (nefroblast\u0173). Jis sudaro 90 % vaik\u0173 inkst\u0173 navik\u0173.\" \/>\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\/piktybiniai-navikai\/wilmso-navikas\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Wilmso navikas - Labdaros ir paramos fondas \u201eRugut\u0117\u201c\" \/>\n<meta property=\"og:description\" content=\"Nefroblastoma \u2013 tai piktybinis inksto auglys, susiformuojantis i\u0161 nebrand\u017ei\u0173 l\u0105steli\u0173 (nefroblast\u0173). Jis sudaro 90 % vaik\u0173 inkst\u0173 navik\u0173.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/rugute.lt\/en\/informacija\/piktybiniai-navikai\/wilmso-navikas\/\" \/>\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=\"2022-01-12T07:52:47+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=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":[\"WebPage\",\"MedicalWebPage\"],\"@id\":\"https:\\\/\\\/rugute.lt\\\/informacija\\\/piktybiniai-navikai\\\/wilmso-navikas\\\/\",\"url\":\"https:\\\/\\\/rugute.lt\\\/informacija\\\/piktybiniai-navikai\\\/wilmso-navikas\\\/\",\"name\":\"Wilmso navikas - Labdaros ir paramos fondas \u201eRugut\u0117\u201c\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/rugute.lt\\\/#website\"},\"datePublished\":\"2020-04-14T14:19:36+00:00\",\"dateModified\":\"2022-01-12T07:52:47+00:00\",\"description\":\"Nefroblastoma \u2013 tai piktybinis inksto auglys, susiformuojantis i\u0161 nebrand\u017ei\u0173 l\u0105steli\u0173 (nefroblast\u0173). Jis sudaro 90 % vaik\u0173 inkst\u0173 navik\u0173.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/rugute.lt\\\/informacija\\\/piktybiniai-navikai\\\/wilmso-navikas\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/rugute.lt\\\/informacija\\\/piktybiniai-navikai\\\/wilmso-navikas\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/rugute.lt\\\/informacija\\\/piktybiniai-navikai\\\/wilmso-navikas\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Prad\u017eia\",\"item\":\"https:\\\/\\\/rugute.lt\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Informacija\",\"item\":\"https:\\\/\\\/rugute.lt\\\/informacija\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Piktybiniai navikai\",\"item\":\"https:\\\/\\\/rugute.lt\\\/informacija\\\/piktybiniai-navikai\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Wilmso navikas\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/rugute.lt\\\/#website\",\"url\":\"https:\\\/\\\/rugute.lt\\\/\",\"name\":\"Labdaros ir paramos fondas \u201eRugut\u0117\u201c\",\"description\":\"Parama vaikams sergantiems v\u0117\u017eiu\",\"publisher\":{\"@id\":\"https:\\\/\\\/rugute.lt\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/rugute.lt\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/rugute.lt\\\/#organization\",\"name\":\"Labdaros ir paramos fondas \u201eRugut\u0117\u201c\",\"url\":\"https:\\\/\\\/rugute.lt\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/rugute.lt\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/rugute.lt\\\/wp-content\\\/uploads\\\/2021\\\/09\\\/Rugute_logo-b.svg\",\"contentUrl\":\"https:\\\/\\\/rugute.lt\\\/wp-content\\\/uploads\\\/2021\\\/09\\\/Rugute_logo-b.svg\",\"width\":585,\"height\":583,\"caption\":\"Labdaros ir paramos fondas \u201eRugut\u0117\u201c\"},\"image\":{\"@id\":\"https:\\\/\\\/rugute.lt\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/rugute\\\/\",\"https:\\\/\\\/x.com\\\/rugute\",\"https:\\\/\\\/www.instagram.com\\\/rugute.lt\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/rugute\",\"https:\\\/\\\/www.youtube.com\\\/user\\\/Rugute\\\/videos\",\"https:\\\/\\\/lt.wikipedia.org\\\/wiki\\\/Rugut\u0117\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Wilmso navikas - Labdaros ir paramos fondas \u201eRugut\u0117\u201c","description":"Nefroblastoma \u2013 tai piktybinis inksto auglys, susiformuojantis i\u0161 nebrand\u017ei\u0173 l\u0105steli\u0173 (nefroblast\u0173). Jis sudaro 90 % vaik\u0173 inkst\u0173 navik\u0173.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/rugute.lt\/en\/informacija\/piktybiniai-navikai\/wilmso-navikas\/","og_locale":"en_GB","og_type":"article","og_title":"Wilmso navikas - Labdaros ir paramos fondas \u201eRugut\u0117\u201c","og_description":"Nefroblastoma \u2013 tai piktybinis inksto auglys, susiformuojantis i\u0161 nebrand\u017ei\u0173 l\u0105steli\u0173 (nefroblast\u0173). Jis sudaro 90 % vaik\u0173 inkst\u0173 navik\u0173.","og_url":"https:\/\/rugute.lt\/en\/informacija\/piktybiniai-navikai\/wilmso-navikas\/","og_site_name":"Labdaros ir paramos fondas \u201eRugut\u0117\u201c","article_publisher":"https:\/\/www.facebook.com\/rugute\/","article_modified_time":"2022-01-12T07:52:47+00:00","og_image":[{"width":2000,"height":646,"url":"https:\/\/rugute.lt\/wp-content\/uploads\/2019\/01\/rugute_logo_uzrasas.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_site":"@rugute","twitter_misc":{"Estimated reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":["WebPage","MedicalWebPage"],"@id":"https:\/\/rugute.lt\/informacija\/piktybiniai-navikai\/wilmso-navikas\/","url":"https:\/\/rugute.lt\/informacija\/piktybiniai-navikai\/wilmso-navikas\/","name":"Wilmso navikas - Labdaros ir paramos fondas \u201eRugut\u0117\u201c","isPartOf":{"@id":"https:\/\/rugute.lt\/#website"},"datePublished":"2020-04-14T14:19:36+00:00","dateModified":"2022-01-12T07:52:47+00:00","description":"Nefroblastoma \u2013 tai piktybinis inksto auglys, susiformuojantis i\u0161 nebrand\u017ei\u0173 l\u0105steli\u0173 (nefroblast\u0173). Jis sudaro 90 % vaik\u0173 inkst\u0173 navik\u0173.","breadcrumb":{"@id":"https:\/\/rugute.lt\/informacija\/piktybiniai-navikai\/wilmso-navikas\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/rugute.lt\/informacija\/piktybiniai-navikai\/wilmso-navikas\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/rugute.lt\/informacija\/piktybiniai-navikai\/wilmso-navikas\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Prad\u017eia","item":"https:\/\/rugute.lt\/"},{"@type":"ListItem","position":2,"name":"Informacija","item":"https:\/\/rugute.lt\/informacija\/"},{"@type":"ListItem","position":3,"name":"Piktybiniai navikai","item":"https:\/\/rugute.lt\/informacija\/piktybiniai-navikai\/"},{"@type":"ListItem","position":4,"name":"Wilmso navikas"}]},{"@type":"WebSite","@id":"https:\/\/rugute.lt\/#website","url":"https:\/\/rugute.lt\/","name":"Childhood Cancer Fund Rugut\u0117","description":"Parama vaikams sergantiems v\u0117\u017eiu","publisher":{"@id":"https:\/\/rugute.lt\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/rugute.lt\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Organization","@id":"https:\/\/rugute.lt\/#organization","name":"Childhood Cancer Fund Rugut\u0117","url":"https:\/\/rugute.lt\/","logo":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/rugute.lt\/#\/schema\/logo\/image\/","url":"https:\/\/rugute.lt\/wp-content\/uploads\/2021\/09\/Rugute_logo-b.svg","contentUrl":"https:\/\/rugute.lt\/wp-content\/uploads\/2021\/09\/Rugute_logo-b.svg","width":585,"height":583,"caption":"Labdaros ir paramos fondas \u201eRugut\u0117\u201c"},"image":{"@id":"https:\/\/rugute.lt\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/rugute\/","https:\/\/x.com\/rugute","https:\/\/www.instagram.com\/rugute.lt\/","https:\/\/www.linkedin.com\/company\/rugute","https:\/\/www.youtube.com\/user\/Rugute\/videos","https:\/\/lt.wikipedia.org\/wiki\/Rugut\u0117"]}]}},"_links":{"self":[{"href":"https:\/\/rugute.lt\/en\/wp-json\/wp\/v2\/pages\/3869","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rugute.lt\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rugute.lt\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rugute.lt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rugute.lt\/en\/wp-json\/wp\/v2\/comments?post=3869"}],"version-history":[{"count":0,"href":"https:\/\/rugute.lt\/en\/wp-json\/wp\/v2\/pages\/3869\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/rugute.lt\/en\/wp-json\/wp\/v2\/pages\/3842"}],"wp:attachment":[{"href":"https:\/\/rugute.lt\/en\/wp-json\/wp\/v2\/media?parent=3869"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}