Atz\u012bm\u0113jot R\u012bgas Austrumu kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas Insulta vien\u012bbas 20 gadu jubileju, slimn\u012bcas pieredz\u0113ju\u0161ie neirologi profesora Gunta Kare\u013ca vad\u012bb\u0101, sadarb\u012bb\u0101 ar pacientu biedr\u012bbu \u201cParSirdi.lv\u201d un Neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas dienesta kol\u0113\u0123iem, ir sagatavoju\u0161i informat\u012bvi izgl\u012btojo\u0161u videoklipu \u201cLaiks=Smadzenes\u201d, kur\u0101 st\u0101sta par insulta \u0101rst\u0113\u0161anas procesu un atg\u0101dina to, cik svar\u012bgi ir paman\u012bt pirm\u0101s insulta paz\u012bmes un nekav\u0113joties nog\u0101d\u0101t cilv\u0113ku \u0101rstniec\u012bbas iest\u0101d\u0113, kur ir tuv\u0101k\u0101 insulta vien\u012bba.<\/b><\/p>\n
Asoc.profesors Guntis Karelis, R\u012bgas Austrumu kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas Neirolo\u0123ijas un neiro\u0137irur\u0123ijas kl\u012bnikas vad\u012bt\u0101js:<\/b> \u201eDivdesmit gadu laik\u0101, kop\u0161 nodibin\u0101ta R\u012bgas Austrumu kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas Insulta vien\u012bba, esam \u0101rst\u0113ju\u0161i un pal\u012bdz\u0113ju\u0161i vair\u0101k nek\u0101 10 000 pacientiem. Pateicoties m\u016bsdienu medic\u012bnas iesp\u0113j\u0101m un tehnolo\u0123ij\u0101m, palielin\u0101jies to insulta pacientu skaits, kuru dz\u012bv\u012bbas iesp\u0113jams gl\u0101bt. Vid\u0113ji m\u016bsu Insulta vien\u012bbas noda\u013c\u0101 \u0101rst\u0113jam 1500 pacientus gad\u0101. Tiek veiktas vair\u0101k nek\u0101 300 trombol\u012bzes gada laik\u0101, un t\u0101s tiek nodro\u0161in\u0101tas vid\u0113ji 30% no visiem insulta pacientiem. Iepriecino\u0161a tendence – funkcion\u0101lie trauc\u0113jumi un mirst\u012bba no insulta ar katru gadu samazin\u0101s. Tas noz\u012bm\u0113, ka m\u016bsu zin\u0101\u0161anas un pieredze uzlabo insulta izn\u0101kumu. V\u0113los uzsv\u0113rt, ka insulta \u0101rst\u0113\u0161ana ir komandas darbs, kur ikvien\u0101 \u0101rstniec\u012bbas posm\u0101 iesaist\u012btie speci\u0101listi darbojas operat\u012bvi, saska\u0146oti un p\u0113ctec\u012bgi. Tikai t\u0101 varam ne tikai gl\u0101bt cilv\u0113ka dz\u012bv\u012bbu, bet ar\u012b, mazinot insulta sekas \u2013 atgriezt pilnv\u0113rt\u012bgai dz\u012bvei sabiedr\u012bb\u0101.\u201d<\/p>\n
To, ka operativit\u0101tei un komandas darbam insulta gad\u012bjum\u0101 ir iz\u0161\u0137iro\u0161a loma, nor\u0101da ar\u012b Neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas dienesta direktore Liene Cipule:<\/b> \u201cViens no dienesta strat\u0113\u0123iskajiem uzdevumiem ir maksim\u0101li \u0101tri ierasties izsaukuma viet\u0101 un iesp\u0113jami \u012bs\u0101 laik\u0101, 15 min\u016bt\u0113s, stabiliz\u0113t pacienta st\u0101vokli un tad p\u0113c iesp\u0113jas \u0101tr\u0101k nog\u0101d\u0101t slimn\u012bc\u0101. Ta\u010du, lai vai cik \u0101tri m\u016bsu ma\u0161\u012bnas brauktu un lai vai cik profesion\u0101li str\u0101d\u0101tu komanda – dispe\u010deri, de\u017e\u016br\u0101rsti, brig\u0101\u017eu medi\u0137i un p\u0113c\u0101k ar\u012b speci\u0101listi slimn\u012bc\u0101s – tie\u0161i l\u012bdzcilv\u0113ku prasme atpaz\u012bt insulta simptomus ir priek\u0161noteikums tam, lai viss notiktu un izdotos nov\u0113rst t\u0101s smag\u0101s sekas, kuras l\u012bdzi nes \u0161\u012b saslim\u0161ana.\u201d<\/p>\n
Saska\u0146\u0101 ar R\u012bgas Austrumu kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas un biedr\u012bbas \u201cParSirdi.lv\u201d iepriek\u0161 veikt\u0101s ekspes-aptaujas datiem(*), kuras ietvaros m\u0113\u0123in\u0101j\u0101m noskaidrot da\u017eus vienk\u0101r\u0161us jaut\u0101jumus par cilv\u0113ku pieredzi un zin\u0101\u0161an\u0101m par insultu, var secin\u0101t, ka ir vairojusies izpratne par laika noz\u012bmi pal\u012bdz\u012bbas snieg\u0161anai insulta pacientiem. Vairums no aptauj\u0101tajiem \u2013 (96,9%) apgalvo, ja rastos aizdomas, ka l\u012bdzcilv\u0113ku piemekl\u0113jis insults, r\u012bkotos izl\u0113m\u012bgi \u2013 nevilcinoties sauktu neatliekamo medic\u012bnisko pal\u012bdz\u012bbu. T\u0101pat ar\u012b 92,4% no respondentiem bija inform\u0113ti, ka, lai var\u0113tu sekm\u012bgi \u0101rst\u0113t insultu, ir svar\u012bgi nok\u013c\u016bt insulta vien\u012bb\u0101 iesp\u0113jami \u0101tri \u2013 pirmaj\u0101s 4 stund\u0101s.<\/p>\n
Biruta Tilgale,<\/b> R\u012bgas Austrumu kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas Neirolo\u0123ijas un neiro\u0137irur\u0123ijas kl\u012bnikas Neirovaskul\u0101r\u0101s noda\u013cas vad\u012bt\u0101ja:<\/b> \u201cInsults vienm\u0113r notiek p\u0113k\u0161\u0146i. Video nosaukums ir \u201eLaiks=smadzenes\u201d, jo insulta gad\u012bjum\u0101 (ne\u0101rst\u0113tiem pacientiem) tiek zaud\u0113ti 1,9 miljoni nervu \u0161\u016bnu ik min\u016bti smadze\u0146u boj\u0101juma zon\u0101. Insults var izrais\u012bt dz\u012bv\u012bbas briesmas un bie\u017ei rada personas invalidit\u0101ti, prasa ilgu apr\u016bpi un, j\u0101r\u0113\u0137in\u0101s ar smagiem mor\u0101liem un ekonomiskiem zaud\u0113jumiem. T\u0101p\u0113c \u013coti svar\u012bga ir insulta profilakse. Svar\u012bgi ikvienam sekot sava asinsspiediena st\u0101voklim. Neadekv\u0101ts paaugstin\u0101jums ir noteico\u0161s insulta riska faktors. T\u0101pat svar\u012bgi kontrol\u0113t sirds st\u0101vokli un saska\u0146\u0101 ar \u0101rsta nor\u0101d\u0113m – \u0101rst\u0113t sirds slim\u012bbas, sevi\u0161\u0137i, nov\u0113r\u0161ot sirds ritma trauc\u0113jumus, sirds mazsp\u0113ju. Insulta riska faktors ir ar\u012b paaugstin\u0101ts holester\u012bna l\u012bmenis asin\u012bs, cukura diab\u0113ts, sm\u0113\u0137\u0113\u0161ana. Katram ir svar\u012bga sadarb\u012bba ar \u0123imenes \u0101rstu, lai izzin\u0101tu iesp\u0113jamos insulta riska faktorus un tos savlaic\u012bgi nov\u0113rstu.\u201d<\/p>\n
R\u012bgas Austrumu kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas virs\u0101rste invaz\u012bv\u0101s radiolo\u0123ijas jaut\u0101jumos, Invaz\u012bv\u0101s radiolo\u0123ijas noda\u013cas vad\u012bt\u0101ja Aina Kratovska:<\/b> \u201cB\u016btisku ieguld\u012bjumu insulta pacientu \u0101rst\u0113\u0161an\u0101 sniedz invaz\u012bv\u0101s radiolo\u0123ijas \u0101rstu komanda, jo saudz\u012bg\u0101 ce\u013c\u0101 veic trombu evaku\u0101ciju no galvas smadze\u0146u asinsvadiem. \u0160\u0101da manipul\u0101cija nodro\u0161ina lab\u0101kus \u0101rst\u0113\u0161anas rezult\u0101tus pacientiem ar lielo galvas art\u0113riju sl\u0113gumu un samazina pacienta invalidiz\u0101cijas risku.\u201d <\/p>\n
Inese Mauri\u0146a, biedr\u012bbas ParSirdi.lv vad\u012bt\u0101ja:<\/b> \u201cDaudzi pacienti un vi\u0146u tuvinieki pat nenojau\u0161, cik liels darbs tiek ieguld\u012bts insulta slimnieka gl\u0101b\u0161an\u0101 un \u0101rst\u0113\u0161an\u0101. Ar videoklipu un izgl\u012btojo\u0161aj\u0101m aktivit\u0101t\u0113m v\u0113lamies uzsv\u0113rt to, cik svar\u012bgi prast atpaz\u012bt insulta paz\u012bmes un laic\u012bgi saukt neatliekamo medic\u012bnisko pal\u012bdz\u012bbu, k\u0101 ar\u012b par\u0101d\u012bt to milz\u012bgo darbu, ko iegulda medi\u0137i, lai ik dienu gl\u0101btu pacientu dz\u012bv\u012bbas. Ikvienam cilv\u0113kam vajadz\u0113tu prast atpaz\u012bt insulta paz\u012bmes, jo saska\u0146\u0101 ar aptaujas datiem – 83,6% respondentu k\u0101du tuvinieku vai draugu bija piemekl\u0113jis insults. Un, diem\u017e\u0113l, 37,3% gad\u012bjumu, k\u0101 apgalvo respondenti, cilv\u0113ku nav izdevies gl\u0101bt. Vesel\u012bba ir m\u016bsu liel\u0101k\u0101 v\u0113rt\u012bba, t\u0101p\u0113c r\u016bp\u0113simies par to, gan regul\u0101ri p\u0101rbaudot savu vesel\u012bbu pie \u0101rsta, gan iev\u0113rojot vesel\u012bgu dz\u012bvesveidu!\u201d<\/p>\n
\u201eIr daudz dar\u0101m\u0101, lai n\u0101kotn\u0113 uzlabotu insulta pacientu \u0101rst\u0113\u0161anu un rehabilit\u0101ciju. Ne tikai \u0101rstiem, bet ar\u012b pla\u0161\u0101kai sabiedr\u012bbai \u2013 ikvienam no mums, ir j\u0101iesaist\u0101s l\u012bdzcilv\u0113ku dz\u012bv\u012bbas gl\u0101b\u0161an\u0101. Aicin\u0101\u0161u – neb\u016bt vienaldz\u012bgiem! Lai var\u0113tu pal\u012bdz\u0113t ir j\u0101b\u016bt inform\u0113tiem un zino\u0161iem\u201d uzskata profesors Guntis Karelis.<\/p>\n
Videoklips \u201cLaiks=Smadzenes\u201d: https:\/\/youtu.be\/Khh-Q9fwbBU<\/a><\/p>\n Inform\u0101cijai.<\/b> Videomateri\u0101la saturs ir inscin\u0113ts, balstoties uz ikdienas praksi un \u0101rst\u0113\u0161anas vadl\u012bnij\u0101m. Tas paredz\u0113ts izgl\u012btojo\u0161iem m\u0113r\u0137iem un izgatavots, iev\u0113rojot dro\u0161\u012bbas noteikumus. Videoklips tapis ar R\u012bgas Austrumu kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas Atbalsta fonda g\u0101d\u012bbu. Pateicamies ikvienam speci\u0101listam no R\u012bgas Austrumu kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas, biedr\u012bbas \u201cParSirdi.lv\u201d un Neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas dienesta, kas piedal\u012bj\u0101s materi\u0101la veido\u0161an\u0101.<\/p>\n (*) www.aslimnica.lv<\/a> un <\/span>www.parsirdi.lv<\/a> m\u0101jaslap\u0101s un soci\u0101lajos t\u012bklos Facebook un Twitter public\u0113taj\u0101 aptauj\u0101 piedal\u012bj\u0101s 225 respondenti. Aptaujas norises termi\u0146\u0161: 07.09.2020.-15.09.2020.<\/p>\n <\/p>\n <\/i><\/p>\n Medi\u0137i atg\u0101dina<\/i><\/b>: ja p\u0113k\u0161\u0146i <\/span>par\u0101d\u0101s insulta paz\u012bmes: vienas \u0137erme\u0146a puses paral\u012bze, notirpums, gr\u016bt\u012bbas run\u0101t, <\/i>redzes vai l\u012bdzsvara trauc\u0113jumi, j\u0101veic tests \u0100TRI<\/b>!<\/i><\/p>\n \u0100 \u2013 atsmaidi!<\/b><\/p>\n L\u016bdziet cilv\u0113ku pasmaid\u012bt un nov\u0113rt\u0113jiet, vai acu vai mutes kakti\u0146\u0161 nav nosl\u012bd\u0113jis<\/i><\/p>\n T \u2013 turi!<\/b><\/p>\n P\u0101rbaudiet, vai cilv\u0113ks sp\u0113j patst\u0101v\u012bgi notur\u0113t abas rokas<\/i><\/p>\n R \u2013 run\u0101!<\/b><\/p>\n P\u0101rbaudiet, vai cilv\u0113ks sp\u0113j run\u0101t <\/i><\/p>\n I \u2013 izsauc!<\/b><\/i><\/p>\n Ja cilv\u0113ks nesp\u0113j veikt kaut vienu no \u0161\u012bm darb\u012bb\u0101m, steidzami j\u0101sauc Neatliekamo medic\u012bnisko pal\u012bdz\u012bbu, zvanot 113!<\/i><\/p>\n <\/b><\/p>\n Pla\u0161\u0101k par insultu un profilaksi: www.parsirdi.lv<\/a> un www.aslimnica.lv<\/a><\/p>\n <\/b><\/p>\n Papildus inform\u0101cija:<\/p>\n M\u0101rti\u0146\u0161 Vilc\u0101ns<\/b><\/p>\n Komunik\u0101cijas speci\u0101lists<\/p>\n Sabiedrisko attiec\u012bbu da\u013ca<\/p>\n T\u0101lr. +371 67042312<\/p>\n Mob. +371 26883217<\/p>\n