{"id":3893,"date":"2020-04-14T18:00:20","date_gmt":"2020-04-14T15:00:20","guid":{"rendered":"https:\/\/rugute.lt\/?page_id=3893"},"modified":"2022-01-12T09:56:27","modified_gmt":"2022-01-12T07:56:27","slug":"cns-navikai","status":"publish","type":"page","link":"https:\/\/rugute.lt\/en\/informacija\/piktybiniai-navikai\/cns-navikai\/","title":{"rendered":"Centrin\u0117s nerv\u0173 sistemos navikai"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"3893\" class=\"elementor elementor-3893\" 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\">Centrin\u0117s nerv\u0173 sistemos navikai<\/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<div align=\"justify\">Bendras vis\u0173 galvos ir nugaros smegen\u0173 (kitaip \u2013 centrin\u0117s nerv\u0173 sistemos, CNS) navik\u0173 bruo\u017eas &#8211; gr\u0117sm\u0117 gyvybei ir sud\u0117tingas gydymas.<\/div>\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-e84c46c elementor-widget elementor-widget-bdt-accordion\" data-id=\"e84c46c\" 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-e84c46c\" 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-e84c46c&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-cns-navikai\"\n\t\t\t\t\t\t\tdata-accordion-index=\"0\" data-title=\"cns-navikai\">\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\tCNS navikai\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\">Did\u017eioji dalis \u0161i\u0173 tumor\u0173 priklauso glijos navikams. Glijos l\u0105stel\u0117s sudaro strukt\u016brin\u012f galvos smegen\u0173 tinkl\u0105, palaikant\u012f ir maitinant\u012f nervines l\u0105steles. \u0160iai navik\u0173 grupei priskiriamos astrocitomos bei ependimomos.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Kita da\u017enai pasitaikan\u010di\u0173 navik\u0173 grup\u0117 \u2013 primityv\u016bs neuroektoderminiai tumorai (PNET), pasirei\u0161kiantys tik vaikams. \u0160ie navikai susidaro i\u0161 nesubrendusi\u0173 l\u0105steli\u0173, b\u016bding\u0173 vaisiui, tod\u0117l kartais vadinami embrioniniais tumorais. Jie neretai atsiranda smegen\u0117l\u0117se ir yra vadinami meduloblastomomis arba smegen\u0117li\u0173 PNET. Kiek retesni \u2013 neuron\u0173 navikai, kurie susidaro i\u0161 pa\u010di\u0173 nervini\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-sergamumas\"\n\t\t\t\t\t\t\tdata-accordion-index=\"1\" 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<p>CNS navikai, vaik\u0173 am\u017eiuje, yra antri pagal da\u017en\u012f po leukemijos. Dauguma \u0161i\u0173 navik\u0173 vaikams yra pirminiai, tuo tarpu suaugusiems \u2013 antriniai, metastazav\u0119 i\u0161 kit\u0173 organ\u0173.<\/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-prieastys\"\n\t\t\t\t\t\t\tdata-accordion-index=\"2\" 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<p>Nustatytas CNS navik\u0173 ry\u0161ys su kai kuriomis paveldimomis ligomis \u2013 neurofibromatoze (NF-1), Li Fraumeni sindromu. Rizik\u0105 susirgti didina ir taikytas spindulinis gydymas, ypa\u010d galvos srityje. Pasteb\u0117ta, jog po 10 m. apie 5 % tok\u012f gydym\u0105 patyrusi\u0173 pacient\u0173 gali i\u0161sivystyti smegen\u0173 navikas. Moksli\u0161kai \u012frodyta, jog n\u0117ra jokio ry\u0161io tarp elektromagnetinio lauko poveikio (mobili\u0173j\u0173 telefon\u0173, auk\u0161tos \u012ftampos linij\u0173) bei \u0161i\u0173 navik\u0173 i\u0161sivystymo.<\/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-simptomai\"\n\t\t\t\t\t\t\tdata-accordion-index=\"3\" 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\">Ligos simptomai priklauso nuo vaiko am\u017eiaus, jo psichomotorinio i\u0161sivystymo, naviko r\u016b\u0161ies ir susidarymo vietos. Smegen\u0173 navikai neurologin\u0119 simptomatik\u0105 sukelia tiesiogiai (besiskverbdami ar spausdami smegen\u0173 strukt\u016bras) ir netiesiogiai (sutrikdydami smegen\u0173 skys\u010dio cirkuliacij\u0105 ir sukeldami smegen\u0173 vanden\u0119 &#8211; hidrocefalij\u0105).<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">D\u0117l susidariusio darinio bei did\u0117jan\u010dio smegen\u0173 skys\u010dio kiekio, sutrikus jo nutek\u0117jimui, padid\u0117ja spaudimas kaukol\u0117s viduje ar stuburo kanale. Ma\u017ei vaikai tampa irzl\u016bs, suma\u017e\u0117ja apetitas, sutrinka vystymasis, i\u0161nyksta \u012fgyti \u012fg\u016bd\u017eiai, t\u0117vai neretai atkreipia d\u0117mes\u012f \u012f neproporcingai didel\u0119 galv\u0105, pulsuojan\u010dius laiku neu\u017esidariusius momen\u0117lius. Mokykliniame am\u017eiuje pasirei\u0161kia nuovargis, vangumas, retkar\u010diais galvos skausmai, asmenyb\u0117s poky\u010diai, pablog\u0117ja pa\u017eymiai. Tipi\u0161kas, bet neda\u017enas, itin stiprus rytinis galvos skausmas, lydimas pykinimo bei v\u0117mimo.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Vaikams, kuriems nustatomas smegen\u0117li\u0173 ar smegen\u0173 kamieno navikas, ypa\u010d b\u016bdingas koordinacijos sutrikimas, pasirei\u0161kiantis eisenos poky\u010diais, pakitusi kalba, veido mimikos ar ak\u012f judinan\u010di\u0173 raumen\u0173 paraly\u017eius.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Vaikams, turintiems smegen\u0173 pusrutuli\u0173 navikus, b\u016bdingi \u012fvairaus pob\u016bd\u017eio traukuli\u0173 priepuoliai. 25 % atvej\u0173 \u2013 tai pirmas ligos po\u017eymis. Nors da\u017eniausiai pasirei\u0161kia generalizuoti (viso k\u016bno) traukuliai, lydimi s\u0105mon\u0117s praradimo, klini\u0161kai ne ma\u017eiau svarb\u016bs ir lokal\u016bs, pvz., vienos gal\u016bn\u0117s traukuliai ar susting\u0119s \u017evilgsnis.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Didesnis ar ma\u017eesnis regos sutrikimas, b\u016bdingas navikams, esantiems greta regai svarbi\u0173 nervini\u0173 strukt\u016br\u0173. Paprastai regos sutrikimas progresuoja palaipsniui ir yra sunkiai pastebimas, ypa\u010d ma\u017eiems vaikams. Gali pasireik\u0161ti akiplo\u010dio susiaur\u0117jimas ar net aklumas viena akimi. Tokiu atveju t\u0117vai pastebi, jog vaikas atsitrenkia \u012f aplinkinius daiktus, apsipila valgydamas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Nugaros smegen\u0173 navikai, priklausomai nuo j\u0173 susidarymo vietos, da\u017eniausiai pasire\u0161kia net iki visi\u0161ko paraly\u017eiaus suma\u017e\u0117jusia gal\u016bni\u0173 j\u0117ga, sutrikusiu jutimu jose, dubens organ\u0173 funkcijos (\u0161lapinimosi, tu\u0161tinimosi) sutrikimais.<\/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=\"4\" 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\">Centrin\u0117s nerv\u0173 sistemos navikai diagnozuojami \u0161iais tyrimais:<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">&#8211; neurologinis tyrimas;<\/div><div align=\"justify\">&#8211; galvos smegen\u0173 kompiuterin\u0117 ar magnetinio rezonanso tomografija;<\/div><div align=\"justify\">&#8211; nugaros smegen\u0173 magnetinio rezonanso tomografija, juosmenin\u0117 punkcija (tik, jei n\u0117ra padid\u0117jusio intrakranijinio sl\u0117gio), kiti tyrimai, siekiant \u012fvertinti tumoro i\u0161plitim\u0105.<\/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=\"5\" 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\">CNS navik\u0173 atveju da\u017eniausiai taikomas sud\u0117tinis gydymas, derinant neurochirurgines operacijas, spindulin\u0119 ir chemoterapij\u0105. Konkretus \u0161i\u0173 gydymo metod\u0173 derinys pasirenkamas atsi\u017evelgiant \u012f tumoro r\u016b\u0161\u012f, dyd\u012f, lokalizacij\u0105, paciento am\u017ei\u0173.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><i>Chirurginis gydymas<\/i><\/div><div align=\"justify\">Beveik visi be i\u0161imties pacientai yra operuojami. Priklausomai nuo naviko savybi\u0173 ir jo susidarymo vietos, chirurgas nusprend\u017eia, kokio dyd\u017eio operacij\u0105 geriausia atlikti. Nors pagrindinis gydymo tikslas \u2013 visi\u0161kas tumoro pa\u0161alinimas, navikui susidarius svarbiose ar sunkiai pasiekiamose CNS vietose, kai didelio masto operacija b\u016bt\u0173 \u017ealinga, kartais tik paimama biopsija. Nor\u0117dami suma\u017einti naviko dyd\u012f ir taip palengvinti jo pa\u0161alinim\u0105 chirurginiu b\u016bdu, neretai prie\u0161 operacij\u0105 skiriamas spindulinio gydymo ar chemoterapijos kursas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Operacijos metu, norint kuo tiksliau pa\u0161alinti navik\u0105 ir, tuo pa\u010diu, padaryti kuo ma\u017eiau \u017ealos CNS strukt\u016broms, naudojamas mikroskopas, navikinius audinius tiksliau atidalinti padeda lazeriniai ar ultragarsiniai prietaisai.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Sutrikus smegen\u0173 skys\u010dio cirkuliacijai ir padid\u0117jus jo sl\u0117giui, neretai atliekama ventrikulostomijos proced\u016bra \u2013 operacijos metu \u012f t\u0105 viet\u0105, kur kaupiasi ir negali nutek\u0117ti smegen\u0173 skystis, \u012fvedamas lankstus plastikinis vamzdelis, kurio kitas galas prijungiamas prie talpos, kurioje ir renkasi skys\u010dio perteklius. Po keli\u0173 dien\u0173, atsista\u010dius normaliai smegen\u0173 skys\u010dio cirkuliacijai, vamzdelis i\u0161traukiamas. Jei skys\u010dio cirkuliacija sutrinka ilgesniam laikui, atliekamos jo nutek\u0117jim\u0105 gerinan\u010dios neurochirurgin\u0117s operacijos, po oda implantuojamas \u0161untas, padedantis skys\u010diui nutek\u0117ti i\u0161 smegen\u0173 \u012f kuri\u0105 nors i\u0161 k\u016bno ertmi\u0173, da\u017eniausiai \u2013 \u012f pilvo ertm\u0119 ar de\u0161in\u012fj\u012f prie\u0161ird\u012f. Pirmuoju atveju \u0161untas vadinamas ventrikuloperitoniniu, antruoju \u2013 ventrikuloatrijiniu. Su \u0161untu sujungtas vo\u017etuv\u0117lis padeda reguliuoti skys\u010dio t\u0117km\u0117s greit\u012f.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><i>Spindulinis gydymas<\/i><\/div><div align=\"justify\">Spindulin\u0117s terapijos taikymui \u012ftakos turi paciento am\u017eius, naviko savyb\u0117s, tikimyb\u0117 jam susidaryti pakartotinai, operacijos apimtis. Jei tikimyb\u0117, jog liga atsinaujins, minimali, da\u017enai spindulinio gydymo neprireikia. Jei tumoro chirurginiu b\u016bdu pa\u0161alinti visi\u0161kai nepavyko, taikomas tik lokalus pakenkimo vietos \u0161vitinimas. Jei navikas agresyvus, greitai plinta \u012f aplinkines strukt\u016bras ar i\u0161sis\u0117ja per smegen\u0173 skyst\u012f (pvz., PNET), reikalingas vis\u0173 galvos ir nugaros smegen\u0173 \u0161vitinimas. Ta\u010diau labai ma\u017eiems vaikams (iki 3-4 m.) vis\u0173 smegen\u0173 \u0161vitinim\u0105 taikyti gana pavojinga d\u0117l nesubrendusi\u0173 j\u0173 strukt\u016br\u0173 ir galim\u0173 komplikacij\u0173 (da\u017eniausiai sunkum\u0173 mokantis) jas pa\u017eeidus. D\u0117l \u0161ios prie\u017easties tokiems pacientams da\u017eniau taikoma chemoterapija. Kitas galimas pa\u0161alinis smegen\u0173 \u0161vitinimo rei\u0161kinys \u2013 d\u0117l poveikio \u012f hormonus i\u0161skirian\u010dias smegen\u0173 strukt\u016bras atsirandantis augimo sutrikimas ir skydliauk\u0117s veiklos poky\u010diai. Tokiais atvejais taikoma pakaitin\u0117 hormonin\u0117 terapija.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Siekiant kuo tiksliau ap\u0161vitinti reikiam\u0105 plot\u0105 ir taip suma\u017einti pa\u0161alin\u012f spindulin\u0117s terapijos poveik\u012f taikomas trimatis kompiuterinis modeliavimas, naudojamos fiksavimo priemon\u0117s (\u017er. skyri\u0173 \u201eSpindulinis gydymas\u201c).<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\"><i>Chemoterapija<\/i><\/div><div align=\"justify\">Chemoterapija taikoma beveik ligos atvejais. Da\u017eniausiai vartojamas vinkristinas, ciklofosfamidas, cisplatina, karboplatina, etopozidas, kt. vaistai. Pasteb\u0117ta, jog, d\u0117l vadinamojo hematoencefalinio (kraujo-smegen\u0173) barjero, naudojam\u0173 vaist\u0173 poveikis ma\u017eesnis, nei gydant kitos lokalizacijos navikus. Intratekalinis vaist\u0173 skyrimas (suleid\u017eiant vaistus \u012f smegen\u0173 skyst\u012f) ma\u017eiau efektyvus nei gydant \u010dia i\u0161sis\u0117jusius kitos lokalizacijos navikus, nes vaistai beveik nepasiekia giliosiose smegen\u0173 strukt\u016brose gl\u016bdin\u010di\u0173 navikini\u0173 l\u0105steli\u0173. Paprastai vaistai skiriami \u012fprastin\u0117mis doz\u0117mis, bet kai kada, kai tumoras labai agresyvus (pvz., PNET), gali b\u016bti taikoma ir dideli\u0173 dozi\u0173 chemoterapija. Pastaroji ne tik naikina navikines l\u0105steles, bet ir visi\u0161kai u\u017eslopina kaul\u0173 \u010diulp\u0173 funkcij\u0105, tod\u0117l kartu turi b\u016bti atliekama ir kaul\u0173 \u010diulp\u0173 transplantacija.<\/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=\"6\" 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<p>Tikimyb\u0117 pasveikti priklauso nuo naviko lokalizacijos, histologinio tipo, ligos stadijos, galimyb\u0117s tumor\u0105 pa\u0161alinti chirurgi\u0161kai, paciento am\u017eiaus bei gretutini\u0173 lig\u0173.<\/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":"<p>Piktybiniai navikai Centrin\u0117s nerv\u0173 sistemos navikai Bendras vis\u0173 galvos ir nugaros smegen\u0173 (kitaip \u2013 centrin\u0117s nerv\u0173 sistemos, CNS) navik\u0173 bruo\u017eas &#8211; gr\u0117sm\u0117 gyvybei ir sud\u0117tingas gydymas. CNS navikai Did\u017eioji dalis \u0161i\u0173 tumor\u0173 priklauso glijos navikams. Glijos l\u0105stel\u0117s sudaro strukt\u016brin\u012f galvos smegen\u0173 tinkl\u0105, palaikant\u012f ir maitinant\u012f nervines l\u0105steles. \u0160iai navik\u0173 grupei priskiriamos astrocitomos bei ependimomos.\u00a0Kita da\u017enai [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3842,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-3893","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>Centrin\u0117s nerv\u0173 sistemos navikai - Labdaros ir paramos fondas \u201eRugut\u0117\u201c<\/title>\n<meta name=\"description\" content=\"Bendras vis\u0173 galvos ir nugaros smegen\u0173 (kitaip \u2013 centrin\u0117s nerv\u0173 sistemos, CNS) navik\u0173 bruo\u017eas \u2013 gr\u0117sm\u0117 gyvybei ir sud\u0117tingas gydymas.\" \/>\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\/cns-navikai\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Centrin\u0117s nerv\u0173 sistemos navikai - Labdaros ir paramos fondas \u201eRugut\u0117\u201c\" \/>\n<meta property=\"og:description\" content=\"Bendras vis\u0173 galvos ir nugaros smegen\u0173 (kitaip \u2013 centrin\u0117s nerv\u0173 sistemos, CNS) navik\u0173 bruo\u017eas \u2013 gr\u0117sm\u0117 gyvybei ir sud\u0117tingas gydymas.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/rugute.lt\/en\/informacija\/piktybiniai-navikai\/cns-navikai\/\" \/>\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=\"2022-01-12T07:56:27+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=\"6 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\\\/cns-navikai\\\/\",\"url\":\"https:\\\/\\\/rugute.lt\\\/informacija\\\/piktybiniai-navikai\\\/cns-navikai\\\/\",\"name\":\"Centrin\u0117s nerv\u0173 sistemos navikai - Labdaros ir paramos fondas \u201eRugut\u0117\u201c\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/rugute.lt\\\/#website\"},\"datePublished\":\"2020-04-14T15:00:20+00:00\",\"dateModified\":\"2022-01-12T07:56:27+00:00\",\"description\":\"Bendras vis\u0173 galvos ir nugaros smegen\u0173 (kitaip \u2013 centrin\u0117s nerv\u0173 sistemos, CNS) navik\u0173 bruo\u017eas \u2013 gr\u0117sm\u0117 gyvybei ir sud\u0117tingas gydymas.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/rugute.lt\\\/informacija\\\/piktybiniai-navikai\\\/cns-navikai\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/rugute.lt\\\/informacija\\\/piktybiniai-navikai\\\/cns-navikai\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/rugute.lt\\\/informacija\\\/piktybiniai-navikai\\\/cns-navikai\\\/#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\":\"Centrin\u0117s nerv\u0173 sistemos navikai\"}]},{\"@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":"Centrin\u0117s nerv\u0173 sistemos navikai - Labdaros ir paramos fondas \u201eRugut\u0117\u201c","description":"Bendras vis\u0173 galvos ir nugaros smegen\u0173 (kitaip \u2013 centrin\u0117s nerv\u0173 sistemos, CNS) navik\u0173 bruo\u017eas \u2013 gr\u0117sm\u0117 gyvybei ir sud\u0117tingas gydymas.","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\/cns-navikai\/","og_locale":"en_GB","og_type":"article","og_title":"Centrin\u0117s nerv\u0173 sistemos navikai - Labdaros ir paramos fondas \u201eRugut\u0117\u201c","og_description":"Bendras vis\u0173 galvos ir nugaros smegen\u0173 (kitaip \u2013 centrin\u0117s nerv\u0173 sistemos, CNS) navik\u0173 bruo\u017eas \u2013 gr\u0117sm\u0117 gyvybei ir sud\u0117tingas gydymas.","og_url":"https:\/\/rugute.lt\/en\/informacija\/piktybiniai-navikai\/cns-navikai\/","og_site_name":"Labdaros ir paramos fondas \u201eRugut\u0117\u201c","article_publisher":"https:\/\/www.facebook.com\/rugute\/","article_modified_time":"2022-01-12T07:56:27+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":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":["WebPage","MedicalWebPage"],"@id":"https:\/\/rugute.lt\/informacija\/piktybiniai-navikai\/cns-navikai\/","url":"https:\/\/rugute.lt\/informacija\/piktybiniai-navikai\/cns-navikai\/","name":"Centrin\u0117s nerv\u0173 sistemos navikai - Labdaros ir paramos fondas \u201eRugut\u0117\u201c","isPartOf":{"@id":"https:\/\/rugute.lt\/#website"},"datePublished":"2020-04-14T15:00:20+00:00","dateModified":"2022-01-12T07:56:27+00:00","description":"Bendras vis\u0173 galvos ir nugaros smegen\u0173 (kitaip \u2013 centrin\u0117s nerv\u0173 sistemos, CNS) navik\u0173 bruo\u017eas \u2013 gr\u0117sm\u0117 gyvybei ir sud\u0117tingas gydymas.","breadcrumb":{"@id":"https:\/\/rugute.lt\/informacija\/piktybiniai-navikai\/cns-navikai\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/rugute.lt\/informacija\/piktybiniai-navikai\/cns-navikai\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/rugute.lt\/informacija\/piktybiniai-navikai\/cns-navikai\/#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":"Centrin\u0117s nerv\u0173 sistemos navikai"}]},{"@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\/3893","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=3893"}],"version-history":[{"count":0,"href":"https:\/\/rugute.lt\/en\/wp-json\/wp\/v2\/pages\/3893\/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=3893"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}