{"id":3993,"date":"2020-04-16T00:37:11","date_gmt":"2020-04-15T21:37:11","guid":{"rendered":"https:\/\/rugute.lt\/?page_id=3993"},"modified":"2022-01-12T10:37:31","modified_gmt":"2022-01-12T08:37:31","slug":"hematologija","status":"publish","type":"page","link":"https:\/\/rugute.lt\/en\/informacija\/knygos-straipsniai\/hematologija\/","title":{"rendered":"Hematologija: galimyb\u0117 gyventi pasitikint \u0161iuolaikine medicina"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"3993\" class=\"elementor elementor-3993\" 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\">Straipsniai<\/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\">Hematologija: galimyb\u0117 gyventi pasitikint \u0161iuolaikine medicina<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f16fb76 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f16fb76\" 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-100 elementor-inner-column elementor-element elementor-element-f46ec27\" data-id=\"f46ec27\" 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-b026d17 elementor-widget elementor-widget-bdt-advanced-heading\" data-id=\"b026d17\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdt-advanced-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"b026d17\" class=\"bdt-ep-advanced-heading\" data-settings=\"{&quot;titleMultiColor&quot;:&quot;no&quot;}\"><div class=\"bdt-ep-advanced-heading-sub-title\"><div class=\"bdt-ep-advanced-heading-sub-title-content\">Pareng\u0117<\/div><div class=\"line bdt-flex-align-left\"><\/div><div class=\"line bdt-flex-align-right\"><\/div><\/div><h2 class=\"bdt-ep-advanced-heading-title\"><span class=\"bdt-ep-advanced-heading-main-title\"><span class=\"bdt-ep-advanced-heading-main-title-inner\">Lina Jurgaitien\u0117, \nDanguol\u0117 Andrijauskait\u0117<\/span><\/span><\/h2><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e86a78f elementor-widget elementor-widget-bdt-advanced-heading\" data-id=\"e86a78f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdt-advanced-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"e86a78f\" class=\"bdt-ep-advanced-heading\" data-settings=\"{&quot;titleMultiColor&quot;:&quot;no&quot;}\"><h2 class=\"bdt-ep-advanced-heading-title\"><span class=\"bdt-ep-advanced-heading-main-title\"><span class=\"bdt-ep-advanced-heading-main-title-inner\">\u201eGydymo menas\" 2003 m. Nr. 5<\/span><\/span><\/h2><\/div>\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\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-galimyb-gyventi-pasitikint-iuolaikine-medicina\"\n\t\t\t\t\t\t\tdata-accordion-index=\"0\" data-title=\"galimyb-gyventi-pasitikint-iuolaikine-medicina\">\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\tGalimyb\u0117 gyventi pasitikint \u0161iuolaikine medicina\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\">I\u0161girdus diagnoz\u0119 \u2013 kraujo liga, o dar baisiau \u2013 leukemija, i\u0161sig\u0105sta ne tik ligonio artimieji. Nejauku pasidaro ir medikams, kuriems kartu su pacientu teks bandyti \u012fveikti negailesting\u0105 lig\u0105. O ji nesirenka. Statistika liudija, kad mirtis negailestingai \u201cnuskina\u201d pa\u010dius gle\u017eniausius \u2013 m\u016bs\u0173 vaikus, kuriems ypa\u010d reikalinga moderni onkohematologini\u0173 lig\u0173 diagnostikos baz\u0117, \u0161iuolaikinis gydymas ir, neabejotinai, laiku suteikta reabilitacija.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Rodos, vaist\u0173 kraujo ligoms gydyti yra pakankamai. Laboratorijose kasdien nenutr\u016bkstamai atliekami t\u016bkstan\u010diai tyrim\u0173. Tik hematologai kartu su savo sunkiai sergan\u010diais pacientais tegali apgailestauti, kad kaul\u0173 \u010diulp\u0173 transplantacij\u0173 perspektyva Lietuvoje d\u0117l mil\u017eini\u0161k\u0173 l\u0117\u0161\u0173 poreikio taip ir gali likti tik ma\u017ea vilties sala sostin\u0117je. Viltimi vaikams ir, deja, toli gra\u017eu ne visiems suaugusiems ligoniams, kuriems tokios operacijos gal\u0117t\u0173 kokybi\u0161kai prailginti gyvenim\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-lidna-statistika\"\n\t\t\t\t\t\t\tdata-accordion-index=\"1\" data-title=\"li-dna-statistika\">\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\tLi\u016bdna statistika\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\">Pasak Respublikin\u0117s Vilniaus universitetin\u0117s vaik\u0173 ligonin\u0117s (RVUVL) Pediatrijos klinikos Onkohematologijos skyriaus ved\u0117jo gydytojo Aleksandro Savino, Lietuvoje vaik\u0173 sergamumas leukemija yra vidutini\u0161kai 3-3,4\/100 t\u016bkst. vaik\u0173 \u2013 toks vidurkis yra ir Europoje. Lietuvoje kiekvienais metais registruojama apie 100 nauj\u0173 vaik\u0173 onkohematologini\u0173 lig\u0173 atvej\u0173. Sergamumas did\u017eiausias \u0160iauliuose, Vilniuje, Klaip\u0117doje bei \u0161i\u0173 miest\u0173 apskrityse.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Apie 80 proc. vaik\u0173 gydoma Vilniuje, likusieji \u2013 Kaune.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">2000-2001 m. 95,6 proc. \u016bmine limfoblastine leukemija sergan\u010di\u0173j\u0173 vaik\u0173 pasiekta remisija. Tai Europos lygio pasiekimas. Dar prie\u0161 20 met\u0173 limfoblastin\u0117 leukemija buvo mirtina diagnoz\u0117, o 2000 m. i\u0161 28 atvej\u0173 tik vienas baig\u0117si mirtimi. 2002 m. i\u0161 viso mir\u0117 17 onkohematologin\u0117mis ligomis sirgusi\u0173 vaik\u0173. Apie 50 proc. pacient\u0173, gydom\u0173 nuo ypa\u010d sunkios ligos \u2013 mieloblastin\u0117s leukemijos, pasiekiama remisija. Likusieji 50 proc. mir\u0161ta.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Pasak VUL Santari\u0161ki\u0173 klinik\u0173 Hematologijos skyriaus vadovo docento Jono Balsio, kasmet apie 800 suaugusi\u0173j\u0173 Lietuvos gyventoj\u0173 suserga \u012fvairiomis kraujo sistemos neoplazijomis (KSN). Per pastaruosius penkerius metus sergamumas daugeliu KSN nekito, i\u0161skyrus limfomas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">2002 m. sergan\u010di\u0173j\u0173 ypa\u010d padaug\u0117jo. \u016amin\u0117mis leukemijomis (limfoblastin\u0117mis ir mieloblastin\u0117mis) per metus suserga apie 140 \u017emoni\u0173, i\u0161 j\u0173 tre\u010ddalis \u2013 darbingo am\u017eiaus.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Kauno medicinos universiteto Hematologijos klinikos vadov\u0117 docent\u0117 Rasa Grini\u016bt\u0117 teig\u0117, kad suaugusi\u0173j\u0173 hematologai \u0161iandien da\u017eniausiai susiduria su \u016bmin\u0117mis leukemijomis, piktybin\u0117mis limfomomis. Taip pat tenka gydyti pacientus, sergan\u010dius hemofilija, gele\u017eies stokos arba megaloblastine ma\u017eakraujyste, sunkiai kraujuojan\u010dius ligonius ir kit\u0173 kraujo lig\u0173 kamuojamus pacientus. Klinikoje gydomi ir ligoniai, sergantys limfadenopatijomis, kre\u0161\u0117jimo sistemos patologija, trombocitopatijomis, taip pat kai kuriomis retomis piktybin\u0117mis kraujo lig\u0173 formomis.<\/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-hematologijos-centrai\"\n\t\t\t\t\t\t\tdata-accordion-index=\"2\" data-title=\"hematologijos-centrai\">\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\tHematologijos centrai\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\">Respublikin\u0117s Vilniaus universitetin\u0117s vaik\u0173 ligonin\u0117s Pediatrijos klinikos Onkohematologijos skyriuje yra 40 lov\u0173. Pasak gyd. A.Savino, tai vienintelis skyrius Lietuvoje, kuriame gydomi vaikai, sergantys \u012fvairiomis onkohematologin\u0117mis bei kitomis hematologin\u0117mis ligomis. \u0160iame skyriuje dirba 9 gydytojai hematologai. Vaikus konsultuoja psichologas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Tuo tarpu Kaune yra vienintel\u0117 KMU Hematologijos klinika, kurioje gydomi pacientai i\u0161 viso Kauno kra\u0161to ir net respublikos. \u010cia dirba 9 kraujo lig\u0173 specialistai (2 vaik\u0173 hematologai). Vienas gydytojas hematologas dirba Kauno onkologijos ligonin\u0117je. Kauno kra\u0161te i\u0161 viso dirba 9 hematologai.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cVienas onkohematologijos centras 1,5 mln. gyventoj\u0173 \u2013 tokia pasaulin\u0117 praktika. Vargu ar pamatuotas ketinimas steigti nauj\u0105 centr\u0105 Kaune, \u012fvertinant dabartines sveikatos prie\u017ei\u016bros finansavimo galimybes\u201d, \u2013 svarst\u0117 vilnie\u010diai onkohematologai.<\/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-psp-grandis\"\n\t\t\t\t\t\t\tdata-accordion-index=\"3\" data-title=\"psp-grandis\">\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\tPSP grandis\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\">KMUK hematologijos kabinete ambulatori\u0161kai pernai buvo konsultuota 6080 pacient\u0173, sergan\u010di\u0173 \u012fvairiomis kraujo ligomis. Ta\u010diau pasteb\u0117ta, kad da\u017eniausiai ambulatori\u0161kai tenka konsultuoti \u012fvairios kilm\u0117s ma\u017eakraujyste sergan\u010dius pacientus.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">2002 m. \u012f KMU Hematologijos klinik\u0105 buvo stacionarizuotas 931 ligonis. Apskritai hospitalizuojama apie 20 proc. \u012f poliklinikos hematologus besikreipian\u010di\u0173 pacient\u0173.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">D\u0117l l\u0117\u0161\u0173 tyrimams ribojimo \u012f tretinio lygio stacionar\u0105 atsiun\u010diama ligoni\u0173, kuriems neatlikti biocheminiai tyrimai.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cO juk dauguma pirmin\u0117s grandies \u012fstaig\u0173 turi geresnius analizatorius nei mes\u201d, \u2013 pastebi universitetini\u0173 ligonini\u0173 hematologai. Vieniems manant, kad \u0161ie tyrimai \u2013 neva tretinio lygio paslauga, kitiems \u2013 kad pirminio, keblioje pad\u0117tyje atsiduria universitetin\u0117s klinikos medikai.<\/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-stacionarai\"\n\t\t\t\t\t\t\tdata-accordion-index=\"4\" data-title=\"stacionarai\">\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\tStacionarai\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\">Respublikin\u0117s Vilniaus universitetin\u0117s vaik\u0173 ligonin\u0117s Pediatrijos klinikos Onkohematologijos skyriuje 2002 m. i\u0161 viso buvo hospitalizuoti 1385 pacientai. I\u0161 j\u0173 \u2013 90 proc. sergan\u010di\u0173j\u0173 hematologin\u0117mis ligomis.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">2002 m. Onkohematologijos skyriuje pirm\u0105 kart\u0105 buvo gydyta: nuo \u016bmin\u0117s limfoblastin\u0117s leukemijos \u2013 16 vaik\u0173, mieloblastin\u0117s leukemijos \u2013 4, Hod\u017ekino ir kit\u0173 limfom\u0173 \u2013 11, nefroblastom\u0173 \u2013 6, rabdomiosarkomos \u2013 2, neuroblastomos \u2013 8, kaul\u0173 navik\u0173 \u2013 2, Langerhanso l\u0105steli\u0173 histiocitoz\u0117s \u2013 7, Vilebrando ligos \u2013 1.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201c\u0160ie skai\u010diai gali pasirodyti labai ma\u017ei, \u2013 tikslino gyd. A.Savinas. \u2013 Ta\u010diau m\u016bs\u0173 ligoniukai per metus gydosi po kelet\u0105 kart\u0173 \u2013 atvyksta net po 8-9 kartus per metus\u201d.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Taip pat skyriuje gydomi sergantieji ma\u017eakraujyste, limfadenitais, trombocitopenija, hemoraginiu vaskulitu. \u0160ios ligos sudaro apie 10 proc. viso skyriaus kontingento.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Tuo tarpu VUL Santari\u0161ki\u0173 klinikos Hematologijos skyriuje i\u0161 viso dirba 10 gydytoj\u0173. Skyri\u0173 sudaro du poskyriai: 40 lov\u0173 Bendrosios hematologijos ir 10 lov\u0173 Kaul\u0173 \u010diulp\u0173 transplantacijos bei intensyvaus hemoblastozi\u0173 gydymo poskyris. I\u0161 viso 2002 m. skyriaus stacionare gydyta 1440 ligoni\u0173, ambulatori\u0161kai konsultuota 10 312 pacient\u0173.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Pernai Hematologijos skyriuje nuo \u016bmin\u0117s limfoblastin\u0117s leukemijos gydyta 6 proc. pacient\u0173 (atitinkamai Kaul\u0173 \u010diulp\u0173 transplantacijos ir intensyvaus hemoblastozi\u0173 gydymo poskyryje \u2013 18,9 proc.); \u016bmini\u0173 nelimfoblastini\u0173 leukemij\u0173 \u2013 9 proc. (23 proc.); Hod\u017ekino limfomos \u2013 8 proc. (13,5 proc.); kit\u0173 limfom\u0173 \u2013 23 proc. (24 proc.); kit\u0173 hemoblastozi\u0173 \u2013 29 proc. (8 proc.); donor\u0173 \u2013 1 proc. (6,7 proc.).<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Hematologijos skyrius ir konsultacij\u0173 poliklinikos hematologijos kabinetas teikia specializuot\u0105 pagalb\u0105 visos Lietuvos hematologiniams ligoniams. 1996 m. prad\u0117tas programinis \u016bmine leukemija sergan\u010di\u0173j\u0173 gydymas didel\u0117mis folio r\u016bg\u0161ties antimetabolito \u2013 metotreksato doz\u0117mis ir didel\u0117mis pirimidin\u0173 analogo \u2013 citozaro doz\u0117mis. I\u0161 viso, pasak doc. J.Balsio, didel\u0117mis metotreksato ir citozaro doz\u0117mis gydyta daugiau kaip 100 ligoni\u0173.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Be to, 1998 m. prad\u0117tas l\u0105steli\u0173 fenotipavimas t\u0117km\u0117s citometrijos metodu ir onkohematologini\u0173 lig\u0173 diagnostika pakilo \u012f kokybi\u0161kai nauj\u0105 lyg\u012f. Labai reik\u0161minga diagnostikai buvo ir trepanobiopsijos metodika.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Skyriuje prad\u0117ta gydyti ma\u017e\u0173 m\u0117lyn\u0173j\u0173 l\u0105steli\u0173 piktybini\u0173 navik\u0173 lig\u0173 grup\u0117. Taikomos labai didel\u0117s citostatik\u0173 doz\u0117s. Pasveiksta iki 80 proc. pacient\u0173. Specialistai yra pasireng\u0119 gydyti retesnes ligas, tokias kaip Evingo sarkoma. Tam reikia papildomai apie 300 t\u016bkst. Lt per metus.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Tuo tarpu KMU Hematologijos klinikos 30 lov\u0173 stacionare pernai daugiausiai gydyta suaugusi\u0173j\u0173 pacient\u0173, sirgusi\u0173 piktybine limfoma, \u2013 169. Sirgusi\u0173j\u0173 daugine mieloma \u2013 129, l\u0117tine limfoleukemija \u2013 123, \u016bmine leukemija \u2013 89, Hod\u017ekino liga \u2013 68, l\u0117tine mieloleukemija \u2013 23. Vidutini\u0161kai stacionaro lovadienis yra 11,6 dienos.<\/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-dienos-stacionar-privalumai\"\n\t\t\t\t\t\t\tdata-accordion-index=\"5\" data-title=\"dienos-stacionar-privalumai\">\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\tDienos stacionar\u0173 privalumai\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\">Onkologin\u0117mis kraujo ligomis sergantys pacientai yra gydomi ilgiau. Ta\u010diau ir ligoniams, ir specialistams \u012f pagalb\u0105 at\u0117jo 2002 m. kovo 1 d. duris atv\u0117r\u0119s KMUK Chemoterapijos dienos stacionaras, kuriame vien tik iki met\u0173 pabaigos gyd\u0117si 328 onkohematologin\u0117mis ligomis sergantys ligoniai. Daugiausia \u0161io stacionaro lankytoj\u0173 yra piktybine limfoma sergantys pacientai \u2013 j\u0173 2002 m. gyd\u0117si 94. Sergan\u010di\u0173j\u0173 mielomine liga \u2013 91, l\u0117tine limfoleukemija \u2013 90, Hod\u017ekino liga \u2013 34. Chemoterapijos dienos stacionaro hematologinio ligonio lovos u\u017eimtumo vidurkis yra 1,8 dienos. Dienos stacionare su kit\u0173 specialybi\u0173 kolegomis darbuojasi ir 4 gydytojai hematologai.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Dienos stacionaro perspektyvai pritar\u0117 ir gyd. A.Savinas, teig\u0119s, kad apie 40 proc. RVUVL Pediatrijos klinikos Onkohematologijos skyriaus ma\u017e\u0173j\u0173 ligoni\u0173 visi\u0161kai pakakt\u0173 dienos stacionaro paslaug\u0173.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cJie atvyksta arba vaist\u0173 susileisti, arba pasitikrinti. Ta\u010diau vertinant sveikatos b\u016bkl\u0119 jiems reikia atlikti sud\u0117tingus tyrimus, tod\u0117l kol kas, kol rengiamasi skyriaus rekonstrukcijai bei SAM dar nepatvirtino dienos stacionaro \u012fkaini\u0173, tenka \u0161ias paslaugas teikti stacionare\u201d, \u2013 sak\u0117 vaik\u0173 hematologas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Pasak Respublikin\u0117s Vilniaus universitetin\u0117s vaik\u0173 ligonin\u0117s Pediatrijos klinikos Onkohematologijos skyriaus docent\u0117s Linos Ragelien\u0117s, skyriaus specialist\u0173 skai\u010diavimais, kuriuos jie atliko SAM atstov\u0173 pra\u0161ymu, vienos dienos paslaugos kainuoja apie 400-500 Lt: citostatik\u0173 infuzijos, vaist\u0173 \u012f stuburo kanal\u0105 leidimas, eritrocit\u0173 mas\u0117s transfuzija, tyrimai. Tai trunka kelias valandas. Ta\u010diau \u012fkaini\u0173 tvirtinimas trunka jau kelet\u0105 met\u0173, o tokie ligoniai ir toliau gydomi bendrame stacionare \u2013 lietuvi\u0161kas \u201ctaupymas\u201d!<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cDaliai pacient\u0173 teikiant paslaugas Dienos stacionare tikimasi per metus sutaupyti iki 300 t\u016bkst. Lt. 2002 m. citostatikams i\u0161 TLK gauta 700 t\u016bkst., \u0161iemet planuojama 800 t\u016bkst. Lt. Kartu su dienos stacionaro l\u0117\u0161omis i\u0161laidos vaistams sieks apie 1 mln. lit\u0173. Be centralizuotai perkam\u0173 citostatik\u0173 b\u016btume nublok\u0161ti \u012f chemoterapijos prad\u017ei\u0105\u201d, \u2013 savo ruo\u017etu teig\u0117 doc. J.Balsys.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Baziniams citostatikams \u012fsigyti \u0161i\u0173 l\u0117\u0161\u0173 pakaks. Ta\u010diau ar to pakanka pacientams? Ar jiems netenka gydymuisi skirti savo santaup\u0173? \u012e \u0161\u012f klausim\u0105 doc. J.Balsys atsak\u0117: \u201cPalyginkime: vaik\u0173 hematologijai skiriama apie 2 mln. Lt per metus. Tuo tarpu suaugusiesiems \u2013 perpus ma\u017eiau, nors vaik\u0173 serga penkis kartus ma\u017eiau, ir j\u0173 k\u016bno mas\u0117 tris kartus ma\u017eesn\u0117. Manau, ma\u017eiausiai penkis kartus daugiau l\u0117\u0161\u0173 tur\u0117t\u0173 b\u016bti skiriama suaugusiesiems gydyti\u201d.<\/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-diagnostikos-baz\"\n\t\t\t\t\t\t\tdata-accordion-index=\"6\" data-title=\"diagnostikos-baz\">\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\tDiagnostikos baz\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\">Pasak VUL Santari\u0161ki\u0173 klinik\u0173 Hematologijos skyriaus ved\u0117jo doc. J.Balsio, onkohematologini\u0173 lig\u0173, kaip ir solidini\u0173 navik\u0173, galutin\u0117s diagnoz\u0117s yra ne klinikin\u0117s, o morfologin\u0117s. Onkologai negal\u0117t\u0173 dirbti be patolog\u0173. Valstybiniame patologijos centre atliekami visi tiksliai diagnozei nustatyti b\u016btini tyrimai, tarp j\u0173 ir imunomorfologiniai, be kuri\u0173 \u0161iandien tiksli atskir\u0173 nozologij\u0173 kraujo sistemos neoplazij\u0173 diagnostika ne\u012fsivaizduojama. Ne ma\u017eiau svarb\u016bs ir citogenetiniai bei molekulin\u0117s genetikos tyrimai, leid\u017eiantys daugeliu atvej\u0173 absoliutinti diagnoz\u0119, \u012fvertinti prognoz\u0119 ir konstatuoti biologin\u012f pasveikim\u0105. Citogenetiniai tyrimai Genetikos centre jau atliekami pagal svarbiausias medicinines indikacijas, o BCR\/ABL patogeniniai genai nustatomi jau ir molekulin\u0117s genetikos metodais. Jau beveik penkerius metus galime taikyti t\u0117km\u0117s citometrijos metod\u0105 limfom\u0173 ir \u016bmini\u0173 leukemij\u0173 diagnostikai.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cNekantriai laukiame, kada t\u0117km\u0117s citometrijos, citogenetiniai ir molekulin\u0117s genetikos metodai bus pritaikyti vertinant ligonio b\u016bkl\u0119 po dideli\u0173 dozi\u0173 chemoterapijos ir kamienini\u0173 kraujodaros l\u0105steli\u0173 transplantacijos\u201d, \u2013 sak\u0117 doc. J.Balsys.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">KMU Hematologijos klinika naudojasi visa reikalinga diagnostikos priemoni\u0173 baze. Veikia klinikin\u0117, biochemijos, imunologijos laboratorijos.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">KMU Hematologijos klinikoje \u012fdiegti special\u016bs kraujo kre\u0161\u0117jimo tyrimai, taikomi intensyv\u016bs hemoblastozi\u0173 gydymo b\u016bdai.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Kraujo lig\u0173 diagnostikai KMU Hematologijos klinikoje naudojami moderniausi tyrimo metodai: radiologin\u0117, echoskopin\u0117 diagnostika, kompiuterin\u0117 bei magnetinio rezonanso tomografijos, t\u0117km\u0117s citometrija.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">KMU Patologijos klinikos hemopatologai dirba kraujo lig\u0173 morfologin\u0117s ir imunohistochemin\u0117s diagnostikos srityje.<\/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-kaul-iulp-transplantacijos\"\n\t\t\t\t\t\t\tdata-accordion-index=\"7\" data-title=\"kaul-iulp-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\tKaul\u0173 \u010diulp\u0173 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<div align=\"justify\"><div align=\"justify\">Nuo 2002 m. vieninteliame Lietuvoje RVUVL Pediatrijos klinikos Onkohematologijos skyriuje veikia Kaul\u0173 \u010diulp\u0173 transplantacijos poskyris. Pavyzd\u017eiui, aplastin\u0117s anemijos gydymas \u2013 kaul\u0173 \u010diulp\u0173 transplantacija \u2013 u\u017esienyje kainuoja 500 t\u016bkst. Lt, o gydymas Vilniuje valstybei kainuoja perpus ma\u017eiau.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Poskyris pritaikytas ne tik vaikams, kuriems atliekamos transplantacijos, bet ir tiems, kuri\u0173 b\u016bkl\u0117 pablog\u0117ja po chemoterapijos.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cPoskyris pakankamai gerai apr\u016bpintas diagnostikos aparat\u016bra. Naudojam\u0117s moderniu t\u0117km\u0117s citometru, turime portatyvin\u012f rentgeno aparat\u0105, kraujo analizatori\u0173, daug HLA tipavimo, imunofenotipavimo, l\u0105stelinio imuniteto tyrimo aparat\u0173. Taikomi ir KT, ir MRT metodai, atliekamos biopsijos, citohistologiniai ir citogenetiniai tyrimai\u201d, \u2013 vardijo gyd. A.Savinas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">VUL Santari\u0161ki\u0173 klinik\u0173 Hematologijos skyriaus Kaul\u0173 \u010diulp\u0173 transplantacijos ir intensyvaus hemoblastozi\u0173 gydymo poskyryje 80 proc. ligoni\u0173 atliekamos kaul\u0173 \u010diulp\u0173 transplantacijos. Finansavimas \u0161iam tikslui padidintas iki 4 mln. Lt. Vilnie\u010di\u0173 hematolog\u0173 parengt\u0105 projekt\u0105 \u201cKaul\u0173 \u010diulp\u0173 transplantacijos pl\u0117tra 2003 m.-2005 m.\u201d SAM gydytoj\u0173 ekspert\u0173 komisija \u012fvertino teigiamai. 400 t\u016bkst. Lt jau skirta poskyrio rekonstrukcijos darbams.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">1999 m. spalio m\u0117n. 25 d. atlikta pirmoji singenin\u0117 kaul\u0173 \u010diulp\u0173 transplantacija. I\u0161 viso atliktos 56 kaul\u0173 \u010diulp\u0173 transplantacijos.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Pasak poskyrio vadovo vyr. ordinatoriaus Igorio Trociuko, 1999-2002 m. poskyryje atliktos 43 alogenin\u0117s (i\u0161 j\u0173 41 pirmin\u0117) ir 25 autologin\u0117s transplantacijos.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">66 proc. ligoni\u0173 gyvena ketvirti metai. I\u0161 2002 m. ligoni\u0173, kuriems atlikta transplantacija, gyvena 79 proc.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Lietuva i\u0161 36 \u0161ali\u0173 Europoje pagal atlikt\u0173 kaul\u0173 \u010diulp\u0173 transplantacij\u0173 skai\u010di\u0173 u\u017eima 30-t\u0105 viet\u0105. Daugiausiai transplantacij\u0173 \u2013 613\/10 mln. gyventoj\u0173 \u2013 atlikta Izraelyje, Lietuvoje \u2013 36, Estijoje \u2013 46, Baltarusijoje \u2013 61, Lenkijoje \u2013 149. Vidurkis, kuris tenkint\u0173 poreikius m\u016bs\u0173 \u0161alyje, yra apie 100 transplantacij\u0173 per metus.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Pasak doc. R.Grini\u016bt\u0117s, Kaune kaul\u0173 \u010diulp\u0173 transplantacijos kol kas neatliekamos. \u201cTokio padalinio \u012fsteigimas KMU klinikose kainuot\u0173 apie 2-2,5 mln. Lt. Ta\u010diau turint tok\u012f padalin\u012f ir Laikinojoje sostin\u0117je, tolygiau pasiskirstyt\u0173 pacient\u0173 srautai, kurie \u0161iuo metu pl\u016bsta tik \u012f Vilniuje \u012fsik\u016brus\u012f kaul\u0173 \u010diulp\u0173 transplantacijos centr\u0105. Taip b\u016bt\u0173 sudarytos palankesn\u0117s s\u0105lygos gydytis pacientams, sergantiems sunkiomis kraujo ligomis, o ir pats gydymas b\u016bt\u0173 laiku suteiktas ir optimalus\u201d, \u2013 teig\u0117 doc. R.Grini\u016bt\u0117<\/div><\/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-kaul-iulp-banko-problema\"\n\t\t\t\t\t\t\tdata-accordion-index=\"8\" data-title=\"kaul-iulp-banko-problema\">\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\tKaul\u0173 \u010diulp\u0173 banko problema\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\">Pasak doc. L.Ragelien\u0117s, Lietuvoje \u2013 ma\u017eos \u0161eimos, tod\u0117l donor\u0173 paie\u0161ka yra labai sud\u0117tinga. Donor\u0173 registro ir kaul\u0173 \u010diulp\u0173 banko steigimas Lietuvoje \u2013 tai ne tik donor\u0173-savanori\u0173 atranka. Reikia papildom\u0173 l\u0117\u0161\u0173 tokio banko aparat\u016brai bei akreditacijai. Kol to n\u0117ra, ne\u012fmanoma \u012fsijungti \u012f tarptautinio banko veikl\u0105, kol n\u0117ra k\u0105 pasi\u016blyti bankui mainais, tenka mok\u0117ti pinigus. \u0160iuo metu, kai n\u0117ra galimyb\u0117s \u0161eimos nariams ar artimiesiems tapti donorais, j\u0173 Lietuvos vaikams parenka kolegos i\u0161 Lenkijos, galintys naudotis Europos kaul\u0173 \u010diulp\u0173 banko paslaugomis. Tokiais atvejais transplantacijos atliekamos Vroclavo universitetin\u0117je vaik\u0173 klinikoje. Ten jau atliktos transplantacijos septyniems Lietuvos vaikams, visos \u2013 s\u0117kmingai. N\u0117 vienam pacientui transplantacijos operacija nebuvo atlikta \u0161eimos l\u0117\u0161omis. Visi valstyb\u0117s remiami.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cKol kas problem\u0173 d\u0117l finansavimo neturime. Labai vargstame be citogenetini\u0173 tyrim\u0173. Jie svarb\u016bs ne tik onkohematologini\u0173 lig\u0173 diagnostikai, be j\u0173 donor\u0173 parinkimas kaul\u0173 \u010diulp\u0173 transplantacijai n\u0117ra pakankamai auk\u0161to lygio\u201d, \u2013 teig\u0117 doc. L.Ragelien\u0117.<\/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-medikamentinis-gydymas\"\n\t\t\t\t\t\t\tdata-accordion-index=\"9\" data-title=\"medikamentinis-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\tMedikamentinis gydymas\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\">\u201cLaiku apr\u016bpinti vaistais yra labai svarbu. Deja, pasitaiko atvej\u0173, kai vaist\u0173 pritr\u016bkstame. Ta\u010diau sk\u0173stis netur\u0117tume. Gydome IV kartos antibiotikais cefalosporinais, naujais preparatais nuo v\u0117\u017eio, citokinais, preparatais nuo grybelio\u201d, \u2013 teig\u0117 gyd. A.Savinas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Be to, veikia programa \u201cApr\u016bpinimas vaistais, skirtais vaik\u0173 onkohematologijai\u201d. \u0160iemet skirta 2,2 mln. Lt vaistams (visai pediatrinei onkohematologinei pagalbai Lietuvoje). Did\u017eioji j\u0173 dalis \u2013 apie 2 mln. Lt \u2013 tenka RVUVL Pediatrijos klinikos Onkohematologijos skyriaus pacientams gydyti. Vidutini\u0161kai vieno paciento, sergan\u010dio \u016bmine limfoblastine leukemija, gydymas kainuoja apie 50 t\u016bkst. Lt.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Lietuvoje onkohematologin\u0117 terapija nesiskiria nuo Vakar\u0173 standart\u0173, vadovaujamasi Tarptautin\u0117s pediatr\u0173 draugijos rekomendacijomis.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cVaistai \u2013 prieinami, tik kartais b\u016bna problem\u0173 d\u0117l j\u0173 tiekimo. Bet dar nebuvo atvejo, kad labai ie\u0161kodami j\u0173 nerastume. B\u016bta sud\u0117ting\u0173 situacij\u0173 su vaistais, kurie yra retesni. Jei jie dar ir nebrang\u016bs bei reikalingi vos keliems ligoniams \u2013 b\u016bna, nors ir kompensuojami, bet firmos j\u0173 neperregistruoja. Mes nor\u0117tume b\u016bti tik gydytojai, o ne ra\u0161tininkai ir organizatoriai. U\u017euot buv\u0119 prie ligonio lovos, turime ra\u0161yti ra\u0161tus, r\u016bpintis, kad vaisto atve\u017et\u0173. Belaukiant kartais gali jo ir nebeprireikti&#8230;\u201d \u2013 sak\u0117 doc. L.Ragelien\u0117.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Kalb\u0117dama apie vaistus suaugusi\u0173j\u0173 hematologin\u0117ms ir onkohematologin\u0117ms ligoms gydyti, doc. R.Grini\u016bt\u0117 teig\u0117, kad \u0161iuo metu ir ambulatori\u0161kai, ir stacionare gydomiems ligoniams vaist\u0173 u\u017etenka, j\u0173 pasirinkimas yra pakankamas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cYpa\u010d patogus yra onkologin\u0117mis kraujo ligomis sergan\u010di\u0173 pacient\u0173 apr\u016bpinimas vaistais, nes kompensuojam\u0173j\u0173 vaist\u0173 jie atsine\u0161a \u012f KMUK \u012fsik\u016brus\u012f Chemoterapijos dienos stacionar\u0105. Vaistai tokiems ligoniams paprastai yra kompensuojami 100 proc. Tokiu lygiu kompensuojam\u0173j\u0173 vaist\u0173 hematologijoje yra dauguma. Kitiems m\u016bs\u0173 ligoniams medikamentai yra kompensuojami 80 ir 50 proc.\u201d, \u2013 ai\u0161kino doc. R.Grini\u016bt\u0117.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u0160iuo metu, pasak doc. R.Grini\u016bt\u0117s, u\u017e vien\u0105 onkohematologin\u012f ligon\u012f, kuriam skiriama chemoterapija, TLK moka 1700 Lt. Tuo tarpu terapiniam hematologiniam ligoniui TLK skiria 1050 Lt.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">2002 m. VUL Santari\u0161ki\u0173 klinik\u0173 Hematologijos skyriuje vieno ligonio intensyvi chemoterapija kainavo vidutini\u0161kai 7320 Lt., i\u0161 j\u0173 medikamentams ir medicinin\u0117ms priemon\u0117ms skirtas 5521 Lt.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Pasak doc. J.Balsio, \u0161iandien Lietuvoje dar n\u0117ra labai veiksming\u0173 per pastar\u0105j\u012f de\u0161imtmet\u012f sukurt\u0173 biologini\u0173 vaist\u0173 nuo v\u0117\u017eio. J\u0173 kainos \u2013 \u201castronomin\u0117s\u201d, juos \u012fdiegti \u012f praktik\u0105 bus labai sud\u0117tinga.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cPavyzd\u017eiui, Lietuvoje n\u0117ra arseno trioksido, kurio gydymo kursas kainuoja apie 75 t\u016bkst. lit\u0173 ir kurio teigiamas poveikis gydant atsinaujinusi\u0105 \u016bmin\u0119 promielocitin\u0119 leukemij\u0105 pasirei\u0161kia 80 proc. atvej\u0173. Neturime efektyvi\u0173 vaist\u0173, kurie padar\u0117 perversm\u0105 gydant sergan\u010diuosius l\u0117tin\u0117mis limfoleukemijomis. Toki\u0173 vaist\u0173 reik\u0117t\u0173 per 200 ligoni\u0173. Itriu \u017eym\u0117tas monokloninis antik\u016bnas CD20 padeda pasiekti remisij\u0105 sergantiesiems limfocitine leukemija. Itris spinduliuoja \u00df daleles, ligoniai gali gydytis ambulatori\u0161kai ir n\u0117ra pavojingi aplinkai. Vakar\u0173 Europoje ir \u0160iaur\u0117s Amerikos \u0161alyse \u0161ie vaistai vartojami jau de\u0161imt met\u0173, ta\u010diau mums jie ne\u012fperkami\u201d, \u2013 apie medikamentin\u012f gydym\u0105 pasakojo doc. J.Balsys.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Gyd. I.Trociukas prisimin\u0117, kad prie\u0161 10 met\u0173 \u016bmin\u0117s leukemijos apskritai nebuvo gydomos.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cPrad\u0117jus finansuoti remisij\u0105 u\u017etikrinant\u012f gydym\u0105 galima tik\u0117tis, kad apie 60 proc. sergan\u010di\u0173j\u0173 pasveiks. Gydant sergan\u010diuosius Hod\u017ekino limfomomis apie 90 proc. atvej\u0173 pasiekiama remisija. Daliai pacient\u0173 liga recidyvuoja, bet tada jau galima taikyti autologin\u0119 transplantacij\u0105 ar kitus metodus. Ne Hod\u017ekino agresyvi\u0173 limfom\u0173 gydymo rezultatas \u2013 apie 60-70 proc. atvej\u0173 pasiekiama remisija, tarp jaunesnio am\u017eiaus pacient\u0173, sergan\u010di\u0173 \u016bmin\u0117mis leukemijomis (mioblastin\u0117mis ir limfoblastin\u0117mis), \u2013 apie 80 proc. remisijos atvej\u0173. Tai pasaulinio lygio pasiekimai\u201d, \u2013 d\u017eiaug\u0117si kaul\u0173 \u010diulp\u0173 transplantacijos specialistas.<\/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-reabilitacija\"\n\t\t\t\t\t\t\tdata-accordion-index=\"10\" data-title=\"reabilitacija\">\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\tReabilitacija\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\">Reabilitacija svarbi ir vaikams, ir suaugusiesiems, sergantiems onkohematologin\u0117mis ligomis. Ta\u010diau vaikams ji yra net gyvybi\u0161kai b\u016btina.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cOnkohematologini\u0173 ligoniuk\u0173 reabilitacija tur\u0117t\u0173 veikti, ta\u010diau \u012fstaigos, \u012f kurias iki \u0161iol si\u0173sdavome savo pacientus \u2013 Nemen\u010din\u0117s reabilitacijos ligonin\u0117 bei \u201cAu\u0161veita\u201d Trak\u0173 rajone \u2013 u\u017edarytos. M\u016bs\u0173 vaikai liko be reabilitacijos, o ji yra b\u016btina, \u2013 akcentavo gyd. A.Savinas. \u2013 Utenos reabilitacijos ligonin\u0117je teikiamos paslaugos tik sergantiesiems artropatine hemofilija. Paprastai kit\u0173 reabilitacijos \u012fstaig\u0173 ar sanatorij\u0173 administracijos vengia m\u016bs\u0173 ligoni\u0173. O juk i\u0161gyvenamumas, pavyzd\u017eiui, sergan\u010di\u0173j\u0173 leukemija, \u0161iuo metu siekia per 80 proc. Lietuvoje penkerius metus ir ilgiau gyvena per 150 vaik\u0173, kai kurie j\u0173 augina savo sveikus vaikus. Reabilitacijos klausim\u0105 b\u016btina spr\u0119sti\u201d.<\/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-diagnostikos-ir-gydymo-algoritmai\"\n\t\t\t\t\t\t\tdata-accordion-index=\"11\" data-title=\"diagnostikos-ir-gydymo-algoritmai\">\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\tDiagnostikos ir gydymo algoritmai\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\">Kraujo lig\u0173 diagnostikos ir gydymo algoritmai kol kas n\u0117ra patvirtinti SAM. Ta\u010diau \u0161alies hematologai savo darbe vadovaujasi Europos hematologijos bei onkologijos specialist\u0173 parengtomis metodin\u0117mis rekomendacijomis. Taip pat pasitelkiami ir tarptautiniu mastu priimti hematologijos diagnostikos ir gydymo algoritmai.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Pasak Lietuvos hematolog\u0173 draugijos pirmininko gydytojo Art\u016bro Slobino, algoritmai, kuriais savo darbe vadovaujasi hematologai, yra tikrai auk\u0161to lygio. Ta\u010diau akivaizd\u017eiai visavert\u012f diagnostikos ir gydymo standart\u0173 naudojim\u0105 riboja ne hematolog\u0173 nuomon\u0117, bet turimos l\u0117\u0161os.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cHematologini\u0173 lig\u0173 diagnostikos ir gydymo standartai, kuriais vadovaujasi kolegos Europoje ir pasaulyje, negal\u0117t\u0173 b\u016bti visi\u0161kai \u012fgyvendinti Lietuvoje d\u0117l l\u0117\u0161\u0173 stygiaus\u201d, \u2013 konstatavo gyd. A.Slobinas.<\/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-hematolog-rengimas\"\n\t\t\t\t\t\t\tdata-accordion-index=\"12\" data-title=\"hematolog-rengimas\">\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\tHematolog\u0173 rengimas\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\">\u0160iuo metu Lietuvoje yra 40 hematologijos specialist\u0173. Ta\u010diau, pasak gyd. A.Slobino, realus \u0161alies hematolog\u0173 poreikis but\u0173 dvigubai didesnis.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u201cDalis gydytoj\u0173 hematolog\u0173 turi dirbti laboratorin\u012f darb\u0105 kaul\u0173 \u010diulp\u0173 transplantacij\u0173 srityje, kita dalis kraujo lig\u0173 specialist\u0173 bent dal\u012f savo darbo tur\u0117t\u0173 skirti mokslui, ko \u0161iandien prakti\u0161kai nevyksta, nes hematologai labai u\u017esi\u0117m\u0119 klinikiniu darbu\u201d, \u2013 teig\u0117 gyd. A.Slobinas.<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">Gydytojai hematologai yra rengiami dvej\u0173 met\u0173 specialyb\u0117s rezident\u016broje. Norintieji tapti vaik\u0173 hematologais studijuoja dvejus metus trunkan\u010dioje tretin\u0117je rezident\u016broje. Nuo 2001 m. \u012f Kauno medicinos universiteto specialyb\u0117s rezident\u016br\u0105<\/div><div align=\"justify\">\u00a0<\/div><div align=\"justify\">\u012fstojo du b\u016bsimieji hematologai. Vilniaus universitete \u0161iuo metu studijuoja viena b\u016bsimoji gydytoja hematolog\u0117. Taigi didelio susidom\u0117jimo \u0161ia specialybe kaip ir n\u0117ra. Lietuvos kraujo lig\u0173 specialistai jau \u0161iandien yra rengiami atsi\u017evelgiant \u012f ES rekomendacijas<\/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>Straipsniai Hematologija: galimyb\u0117 gyventi pasitikint \u0161iuolaikine medicina Pareng\u0117 Lina Jurgaitien\u0117, Danguol\u0117 Andrijauskait\u0117 \u201eGydymo menas&#8221; 2003 m. Nr. 5 Galimyb\u0117 gyventi pasitikint \u0161iuolaikine medicina I\u0161girdus diagnoz\u0119 \u2013 kraujo liga, o dar baisiau \u2013 leukemija, i\u0161sig\u0105sta ne tik ligonio artimieji. Nejauku pasidaro ir medikams, kuriems kartu su pacientu teks bandyti \u012fveikti negailesting\u0105 lig\u0105. O ji nesirenka. Statistika [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3853,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-3993","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>Hematologija: galimyb\u0117 gyventi pasitikint \u0161iuolaikine medicina - \u201eRugut\u0117\u201c<\/title>\n<meta name=\"description\" content=\"I\u0161girdus diagnoz\u0119 \u2013 kraujo liga, o dar baisiau \u2013 leukemija,... 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