{"id":1504,"date":"2024-11-26T20:06:30","date_gmt":"2024-11-26T18:06:30","guid":{"rendered":"https:\/\/nefrologs.lv\/?page_id=1504"},"modified":"2024-11-26T20:08:14","modified_gmt":"2024-11-26T18:08:14","slug":"info_nieres-transplantacija","status":"publish","type":"page","link":"https:\/\/nefrologs.lv\/en\/info_nieres-transplantacija\/","title":{"rendered":"Inform\u0101cija par nieru transplant\u0101ciju"},"content":{"rendered":"<p><strong>Nieres transplant\u0101cija<\/strong> ir izv\u0113les nieru aizst\u0101jterapijas metode pacientiem ar hronisku nieru slim\u012bbu piekt\u0101 jeb gala stadij\u0101. Pacienti, kam ar hronisku nieru slim\u012bbu gala stadij\u0101 tiek veikta nieres transplant\u0101cija, dz\u012bvo ilg\u0101k nek\u0101 pacienti, kas tiek \u0101rst\u0113ti ar dial\u012bzi. J\u0101\u0146em v\u0113r\u0101, ka pagarin\u0101s ne tikai pacienta dz\u012bvildze, bet ar\u012b tiek uzlabota dz\u012bves kvalit\u0101te, sal\u012bdzinot ar pacientiem dial\u012bz\u0113. Galvenais ierobe\u017eojums nieres transplant\u0101cijai ir donoru tr\u016bkums. Latvij\u0101 ir iesp\u0113jama nieres transplant\u0101cija gan no miru\u0161a donora, gan no dz\u012bva donora.<\/p>\n<p><u><a title=\"PACIENTA CE\u013bA KARTE NIERES TRANSPLANT\u0100CIJAI LATVIJ\u0100 \" href=\"https:\/\/stradini.lv\/sites\/default\/files\/editor\/Pacienta%20ce%C4%BCa%20karte%20nieres%20transplant%C4%81cijai%20(002).pdf\">PACIENTA CE\u013bA KARTE NIERES TRANSPLANT\u0100CIJAI LATVIJ\u0100<\/a><\/u><\/p>\n<h4 align=\"center\"><strong>Indik\u0101cijas nieres transplant\u0101cijai<\/strong><\/h4>\n<p>Indik\u0101cija nieres transplant\u0101cijai ir hroniska nieru slim\u012bba piekt\u0101 stadij\u0101 (glomerul\u0101r\u0101s filtr\u0101cijas \u0101trums zem 15 ml\/min\/1,73m<sup>2<\/sup>).<\/p>\n<p>Savuk\u0101rt visbie\u017e\u0101kie iemesli hroniskai nieru slim\u012bbai ir:<\/p>\n<ul>\n<li>cukura diab\u0113ts,<\/li>\n<li>prim\u0101ra arteri\u0101la hipertensija jeb paaugstin\u0101ts asinsspiediens.<\/li>\n<\/ul>\n<p>Citi iemesli hroniskai nieru slim\u012bbai ir:<\/p>\n<ul>\n<li>hroniskas nieru asinsvadu patolo\u0123ijas, piem\u0113ram, vaskul\u012bti, arterioskleroze<\/li>\n<li>hroniski glomerulonefr\u012bti, piem\u0113ram., IgA nefrop\u0101tija, fok\u0101la segment\u0101la glomeruloskleroze, membranoproliferat\u012bvs glomerulonefr\u012bts<\/li>\n<li>hroniski interstici\u0101li nefr\u012bti, piem\u0113ram, nestero\u012bdo pretiekaisuma l\u012bdzek\u013cu nefrop\u0101tija<\/li>\n<li>ur\u012bnce\u013cu obstrukcijas (necaurejam\u012bba), piem., ur\u012bnce\u013cu sa\u0161aurin\u0101jumi iedzimti vai ieg\u016bti, nierakme\u0146u slim\u012bba<\/li>\n<li>iedzimtas nieru slim\u012bbas, piem., autosom\u0101li dominanta nieru policistoze, refluksa nefrop\u0101tija<\/li>\n<li>citi iemesli, kas izrais\u012bja hronisku nieru slim\u012bbu.<\/li>\n<\/ul>\n<p>Latvij\u0101 nieres transplant\u0101ciju veic tikai Paula Stradi\u0146a kl\u012bniskaj\u0101 universit\u0101tes slimn\u012bc\u0101 (turpm\u0101k &#8211; PSKUS), pirms tam \u0101rstu kons\u012blij\u0101 izv\u0113rt\u0113jot nieres transplant\u0101cijas kandid\u0101tus. Pacients p\u0113c nieres transplant\u0101cijas uzraug\u0101s pie nefrologa vai nu PSKUS, vai atbilsto\u0161i p\u0113c dz\u012bvesvietas. Izrakstoties no stacion\u0101ra p\u0113c nieres transplant\u0101cijas, \u0101rst\u0113jo\u0161ais nefrologs PSKUS J\u016bs pierakst\u012bs uz n\u0101kamo viz\u012bti pie nefrologa.<\/p>\n<p>Nieres transplant\u0101cijai nav iesp\u0113jama pacientiem ar :<\/p>\n<ul>\n<li>akt\u012bvu infekciju;<\/li>\n<li>nesp\u0113ju iztur\u0113t nieres transplant\u0101cijas oper\u0101ciju smagas plau\u0161u vai sirds slim\u012bbas d\u0113\u013c;<\/li>\n<li>akt\u012bvu onkolo\u0123isku slim\u012bbu;<\/li>\n<li>alkohola un citu apreibino\u0161u vielu atkar\u012bbu;<\/li>\n<li>ne\u0101rst\u0113tu psihisku slim\u012bbu;<\/li>\n<li>l\u012bdzest\u012bbas probl\u0113m\u0101m, piem\u0113ram, pacients nelieto \u0101rsta noz\u012bm\u0113tos medikamentus, patva\u013c\u012bgi tos atce\u013c, neapmekl\u0113 \u0101rsta viz\u012btes vai pl\u0101notos izmekl\u0113jumus, neierodas uz hemodial\u012bzes proced\u016br\u0101m vai neveic peritone\u0101lo dial\u012bzi m\u0101j\u0101s, vai izlai\u017e peritone\u0101las dial\u012bzes apmai\u0146as proced\u016bras.<\/li>\n<li>aptauko\u0161anos 2.-3. pak\u0101p\u0113 (\u0137erme\u0146a masas indekss virs 35-40 kg\/m<sup>2<\/sup>).<\/li>\n<li>nepietiekamu svaru (\u0137erme\u0146a masas indekss zem 18 kg\/m<sup>2<\/sup>)<\/li>\n<\/ul>\n<h4 align=\"center\"><strong>Izmekl\u0113\u0161ana pirms nieres transplant\u0101cijas<\/strong><\/h4>\n<p>Bie\u017ei vien pacientiem ar hronisku nieru slim\u012bbu ir blakus slim\u012bbas vai komplik\u0101cijas hroniskas nieru slim\u012bbas d\u0113\u013c. T\u0101d\u0113\u013c pirms iek\u013cau\u0161anas nieres transplant\u0101cijas gaid\u012b\u0161anas sarakst\u0101 ir nepiecie\u0161ama pla\u0161a izmekl\u0113\u0161ana, lai izv\u0113rt\u0113tu ieguvumus un riskus no nieres transplant\u0101cijas, k\u0101 ar\u012b nov\u0113rt\u0113tu vesel\u012bbas st\u0101vokli un diagnostic\u0113tu un attiec\u012bgi \u0101rst\u0113tu slim\u012bbas, kas var\u0113tu n\u0101kotn\u0113 ietekm\u0113t nieres transplant\u0101tu. To, vai J\u016bs esat piem\u0113rots kandid\u0101ts nieres transplant\u0101cijai, izv\u0113rt\u0113 \u0101rstu kons\u012blijs, kur\u0161 sast\u0101v no nefrologa, \u0137irurga-transplantologa un anesteziologa. P\u0113c nepiecie\u0161am\u012bbas tiek pieaicin\u0101ti ar\u012b citi specialisti atbilsto\u0161i J\u016bsu pamatslim\u012bbai vai blakus slim\u012bb\u0101m, piem., kardiologs, pulmonologs, infektologs utt.<\/p>\n<p>Izmekl\u0113jumi, kas ir j\u0101veic pirms nieres transplant\u0101cijas (to noz\u012bm\u0113 J\u016bsu \u0101rst\u0113jo\u0161ais nefrologs vai \u0123imenes \u0101rsts):<\/p>\n<ul>\n<li>asins anal\u012bzes un ur\u012bna anal\u012bzes atbilsto\u0161i nieres transplant\u0101cijas recipienta kartei,<\/li>\n<li>elektrokardiogramma (EKG),<\/li>\n<li>ehokardiogr\u0101fija (ehoKG)<\/li>\n<li>veloergometrija (veloEM)vai koronarogr\u0101fija<\/li>\n<li>rentgenogr\u0101fiju plau\u0161\u0101m,<\/li>\n<li>plau\u0161u funkcion\u0101lie testi &#8211; spirogr\u0101fija,<\/li>\n<li>v\u0113dera dobuma org\u0101nu ultrasonogr\u0101fija,<\/li>\n<li>ezofagogastroduodenoskopija,<\/li>\n<li>datortomogr\u0101fija vai doplerogr\u0101fija iegur\u0146a asinsvadiem,<\/li>\n<li>nepiecie\u0161ams oftalmologa, otorinolaringologa un stomatologa sl\u0113dziens, ka nav kontrindik\u0101ciju nieres transplant\u0101cijai,<\/li>\n<li>sieviet\u0113m ginekologa sl\u0113dziens, ka nav kontrindik\u0101ciju nieres transplant\u0101cijai;<\/li>\n<li>v\u012brie\u0161iem &#8211; PSA noteik\u0161ana, p\u0113c nepiecie\u0161am\u012bbas urologa sl\u0113dziens,<\/li>\n<li>psihiatra\/narkologa konsult\u0101cija, ja Jums iepriek\u0161 ir bijusi alkohola atkar\u012bba, narkotiku lieto\u0161ana, depres\u012bvi st\u0101vok\u013ci.<\/li>\n<\/ul>\n<p>Izmekl\u0113jumi rezult\u0101ti ir j\u0101ievada\u00a0<a href=\"https:\/\/www.stradini.lv\/lv\/content\/pacientu-kartes-potencialiem-recipientiem\">recipienta kart\u0113<\/a>. To var izdar\u012bt gan J\u016bsu uzraugo\u0161ais nefrologs, gan J\u016bsu \u0123imenes \u0101rsts.<\/p>\n<p>Papildus \u0161iem izmekl\u0113jumiem \u0101rstu kons\u012blij\u0101 pirms nieres transplant\u0101cijas Jums var tikt noz\u012bm\u0113ti v\u0113l izmekl\u0113jumi, ja k\u0101d\u0101 no iepriek\u0161 min\u0113tiem izmekl\u0113jumiem vai anal\u012bz\u0113m ir novirzes normas. Ja \u0101rstu kons\u012blijs lems, ka J\u016bs esat piem\u0113rots kandid\u0101ts nieres transplant\u0101cijai, tad J\u016bs tiksiet uz\u0146emts nieres transplant\u0101cijas gaid\u012b\u0161anas sarakst\u0101.<\/p>\n<h4 align=\"center\"><strong>Uzraudz\u012bba pirms nieres transplant\u0101cijas<\/strong><\/h4>\n<p>Kad \u0101rstu kons\u012blijs ir pie\u0146\u0113mis l\u0113mumu un pacients ir piem\u0113rots nieres transplant\u0101cijai, pacients paraksta\u00a0<a href=\"https:\/\/www.stradini.lv\/sites\/default\/files\/editor\/V_Transpl_10_potenciala_recipienta_piekrisana_transplantacijai_2024nov.pdf\">inform\u0113tu piekri\u0161anu<\/a>\u00a0un tiek iek\u013cauts nieres transplant\u0101cijas gaid\u012bt\u0101ju (recipientu) sarakst\u0101. Pacientam p\u0113c tam PSKUS laboratorij\u0101 ir j\u0101nodod asins paraugs sader\u012bbas noteik\u0161anai ar potenci\u0101lo donoru n\u0101kotn\u0113. Neskatoties uz to, ka J\u016bs esat apstiprin\u0101ts nieres transplant\u0101cijas gaid\u012b\u0161anas sarakst\u0101, Jums ik 3 m\u0113ne\u0161us atk\u0101rtoti j\u0101iziet da\u017ei no izmekl\u0113jumiem (asins un ur\u012bna anal\u012bzes, elektrokardiogramma) un \u0101rstu kons\u012blijs PSKUS, jo tiek izv\u0113rt\u0113ts, vai nav att\u012bst\u012bjusies jauna infekcija, ir par\u0101d\u012bju\u0161\u0101s k\u0101das no hroniskas nieru slim\u012bbas komplik\u0101cij\u0101m vai k\u0101das citas slim\u012bbas, kas var ietekm\u0113t nieres transplant\u0101cijas rezult\u0101tus. L\u012bdz ar to \u0161\u012bs slim\u012bbas var laic\u012bgi atkl\u0101t un \u0101rst\u0113t pirms tiek veikta nieres transplant\u0101cija.<\/p>\n<p>Atrodoties nieres transplant\u0101cijas gaid\u012b\u0161anas sarakst\u0101, visi izmekl\u0113jumi ir der\u012bgi vienu gadu, iz\u0146emot asins un ur\u012bna anal\u012bzes un elektrokardiogramma, kuras j\u0101atk\u0101rto uz katru \u0101rstu kons\u012bliju. Tom\u0113r, ja Jums par\u0101d\u0101s jaunas s\u016bdz\u012bbas vai izmai\u0146as jau izdar\u012btajos izmekl\u0113jumos, tad Jums var tikt noz\u012bm\u0113ts atk\u0101rtot k\u0101du no izmekl\u0113jumiem ar\u012b \u0101tr\u0101k. Past\u0101v\u012bgi ir j\u0101turpina lietot noz\u012bm\u0113tie medikamenti, j\u0101iev\u0113ro sniegt\u0101s rekomend\u0101cijas par uzturu un dz\u012bvesveidu.<\/p>\n<p>Pacientiem, kuri ir nieres transplant\u0101cijas gaid\u012bt\u0101ju sarakst\u0101, j\u0101b\u016bt vakcin\u0113tiem p\u0113c valsts imuniz\u0101cijas pl\u0101na, papildus j\u0101vakcin\u0113jas pret v\u012brushepat\u012btu B, pneimokokiem un ik sezonu pret gripu un SARS-CoV-2 , k\u0101 ar\u012b cit\u0101m infekcijas slim\u012bb\u0101m, ja tas noteikts individu\u0101li.<\/p>\n<h4 align=\"center\"><strong>PIRMS nieres transplant\u0101cijas<\/strong><\/h4>\n<p>Atra\u0161an\u0101s nieres transplant\u0101cijas gaid\u012bt\u0101ju sarakst\u0101 noz\u012bm\u0113, ka jebkur\u0101 br\u012bd\u012b pacients var sa\u0146emt zvanu par gaid\u0101mu nieres transplant\u0101ciju. Atra\u0161an\u0101s laiks nieres transplant\u0101cijas gaid\u012b\u0161anas sarakst\u0101 ir da\u017e\u0101ds un atkar\u012bgs no atbilsto\u0161a donora un pacienta sader\u012bbas. T\u0101s var b\u016bt dienas, ned\u0113\u013cas vai pat vair\u0101ki gadi. Telefonam vienm\u0113r ir j\u0101b\u016bt iesl\u0113gtam un pacientam sazvan\u0101mam. Ja recipientu nevar sazvan\u012bt, vienm\u0113r cen\u0161amies zvan\u012bt tuviniekiem, kuru kontaktt\u0101lrunis ir nor\u0101d\u012bts. Kam\u0113r J\u016bs atrodaties nieres transplant\u0101cijas gaid\u012b\u0161anas sarakst\u0101, l\u016bdzam J\u016bs nece\u013cot \u0101rpus Latvijas.<\/p>\n<p>J\u0101\u0146em v\u0113r\u0101, ka parasti uz nieres transplant\u0101ciju izsauc par vienu potenci\u0101lo recipientu vair\u0101k nek\u0101 ir miru\u0161\u0101 donora nieres. Tas ir t\u0101d\u0113\u013c, ka, veicot anal\u012bzes stacion\u0101r\u0101 pirms transplant\u0101cijas, var tikt atkl\u0101ta k\u0101da infekcija vai cita probl\u0113ma, kas ne\u013cauj veikt nieres transplant\u0101ciju. J\u016bs telefoniski \u0101rsts br\u012bdin\u0101s par \u0161\u0101du iesp\u0113ju.<\/p>\n<p>Nieres transplant\u0101cijas recipientam ar person\u012bgo transportu j\u0101ierodas PSKUS Neatliekam\u0101s medic\u012bnas centr\u0101 tuv\u0101kaj\u0101 iesp\u0113jamaj\u0101 laik\u0101. L\u012bdzi j\u0101\u0146em:<\/p>\n<ul>\n<li>personu apliecino\u0161s dokuments;<\/li>\n<li>iepriek\u0161\u0113j\u0101 medic\u012bnisk\u0101 dokument\u0101cija;<\/li>\n<li>lietotie medikamenti (medikamenti asinsspiediena mazin\u0101\u0161anai, eritropo\u0113zi stimul\u0113jo\u0161ie l\u012bdzek\u013ci (\u0161prices), dzelzs prepar\u0101ti, fosfora saisto\u0161ie prepar\u0101ti un citi specifiski medikamenti, kas Jums ir noz\u012bm\u0113ti) un to saraksts;<\/li>\n<li>person\u012bgie higi\u0113nas piederumi un mai\u0146as ap\u0123\u0113rbs.<\/li>\n<\/ul>\n<p>Vairum\u0101 gad\u012bjumu kop\u0161 Jums zvan\u012bja \u0101rsts, J\u016bs nedr\u012bkstat \u0113st un dzert, lai sagatavotos nieres transplant\u0101cijas oper\u0101cijai un anest\u0113zijai.<\/p>\n<p>Ierodoties slimn\u012bc\u0101, J\u016bs apskat\u012bs nefrologs un p\u0113c nepiecie\u0161am\u012bbas citi specialisti, tiek veikti laboratoriskie izmekl\u0113jumi, radiolo\u0123iskie izmekl\u0113jumi, lai p\u0101rliecin\u0101tos par J\u016bsu vesel\u012bbas st\u0101vokli un gatav\u012bbu nieres transplant\u0101cijai.<\/p>\n<h4 align=\"center\"><strong>P\u0112C nieres transplant\u0101cijas<\/strong><\/h4>\n<p>P\u0113c nieres transplant\u0101cijas oper\u0101cijas oper\u0101ciju z\u0101l\u0113 J\u016bs tiksiet p\u0101rvests uz noda\u013cu. Jums b\u016bs ievietots perif\u0113rais v\u0113nas katetrs, kur\u0101 tiks ievad\u012bti vair\u0101ki medikamenti (im\u016bnsupres\u012bvie, ats\u0101pin\u0101\u0161ana, ur\u012bndzeno\u0161ie un citi inf\u016bzi p\u0113c indik\u0101cij\u0101m). T\u0101pat nieres transplant\u0101cijas laik\u0101 Jums tiks ievietota drena, lai nov\u0113rotu iesp\u0113jamos izdal\u012bjumus no oper\u0101cijas br\u016bces, un ur\u012bnp\u016b\u0161\u013ca katetrs, lai sekotu izdal\u012btajam ur\u012bna daudzumam. Drenu no oper\u0101cijas br\u016bces iz\u0146em vid\u0113ji 2. dien\u0101 p\u0113c oper\u0101cijas. Ur\u012bnp\u016b\u0161\u013ca katetru iz\u0146em visbie\u017e\u0101k 5. dien\u0101 p\u0113c oper\u0101cijas. Atra\u0161an\u0101s ilgums stacion\u0101r\u0101 p\u0113c nieres transplant\u0101cijas ir \u013coti individu\u0101ls un atkar\u012bga no vair\u0101kiem faktoriem. Par to J\u016bs inform\u0113s J\u016bsu \u0101rst\u0113jo\u0161ais nefrologs. Hemodial\u012bzes katetru iz\u0146ems \u0161\u012bs stacion\u0113\u0161anas laik\u0101, kad veikta nieres transplant\u0101cija. Peritone\u0101lo dial\u012bzes katetru evaku\u0113 apm\u0113ram vienu m\u0113nesi p\u0113c nieres transplant\u0101cijas.<\/p>\n<p>P\u0113c nieres transplant\u0101cijas Jums oblig\u0101ti b\u016bs j\u0101lieto im\u016bnsupres\u012bvie medikamenti, lai nenotiktu transplant\u0113t\u0101s nieres atgr\u016b\u0161ana. Ja J\u016bs izlaid\u012bsiet kaut vai vienu medikamenta lieto\u0161anas reizi, tad sekas var b\u016bt neatgriezeniskas! J\u016bsu \u0101rst\u0113jo\u0161ais nefrologs noz\u012bm\u0113s Jums piem\u0113rotos im\u016bnsupresijas medikamentus un izst\u0101st\u012bs Jums person\u012bgi par lieto\u0161anas re\u017e\u012bmu. P\u0113c nieres transplant\u0101cijas Jums b\u016bs j\u0101lieto ar\u012b antibioti\u0137is, lai nov\u0113rstu infekcijas risku, k\u0101 ar\u012b da\u017ek\u0101rt p\u0113c individu\u0101l\u0101m indik\u0101cij\u0101m ir j\u0101sa\u0146em pretv\u012brusu terapija. Nefrologs p\u0101rskat\u012bs J\u016bsu iepriek\u0161 lietotos medikamentus un noz\u012bm\u0113s, k\u0101 tie j\u0101lieto un vai visp\u0101r j\u0101lieto ar\u012b turpm\u0101k.<\/p>\n<p>P\u0113c izrakst\u012b\u0161an\u0101s no slimn\u012bcas Jums b\u016bs j\u0101ierodas uz kontroles viz\u012bt\u0113m pie uzraugo\u0161\u0101 nefrologa PSKUS vai p\u0113c J\u016bsu dz\u012bvesvietas\u00a0(s\u0101kum\u0101 ik ned\u0113\u013cu, p\u0113c tam pak\u0101peniski ret\u0101k &#8211; ik m\u0113nesi, ik 3 m\u0113ne\u0161us). \u0100rst\u0113jo\u0161ais nefrologs stacion\u0101r\u0101 ar Jums p\u0101rrun\u0101s, kur b\u016bs \u0161\u012b uzraudz\u012bba un ar\u012b nor\u0101d\u012bs konkr\u0113tu \u0101rst\u0113jo\u0161\u0101 nefrologa v\u0101rdu un uzv\u0101rdu, vietu un laiku, kad ir j\u0101ierodas uz pirmo kontroli.<\/p>\n<p>P\u0113c nieres transplant\u0101cijas var att\u012bst\u012bties sare\u017e\u0123\u012bjumi saist\u012bb\u0101 ar pa\u0161u oper\u0101ciju, piem\u0113ram, asi\u0146o\u0161ana, ur\u012bna s\u016bce, \u0161uvju nesatur\u0113\u0161ana, tom\u0113r b\u016btisk\u0101kie sare\u017e\u0123\u012bjumi p\u0113c transplant\u0101cijas saist\u012bti ar im\u016bnsupres\u012bvo terapiju, kas nepiecie\u0161ama, lai recipienta organisms neatgr\u016bstu nieri. Bie\u017e\u0101k\u0101s komplik\u0101cijas ir infekcijas, gan bakteri\u0101las, gan v\u012brusu, gan s\u0113n\u012b\u0161u, gan iesp\u0113jama ak\u016bta transplant\u0101ta atgr\u016b\u0161ana (p\u0101rst\u0101d\u012bt\u0101s nieres nepie\u0146em\u0161ana). Ilgtermi\u0146\u0101 var paaugstin\u0101ties onkolo\u0123isko slim\u012bbu risks, saglab\u0101jas infekciju risks un par\u0101d\u0101s hroniskas atgr\u016b\u0161anas vai medikamentu toksicit\u0101tes risks, kuru rezult\u0101t\u0101 veidojas hronisk\u0101 \u00a0nieru slim\u012bba transplant\u0101t\u0101 un atkal var b\u016bt nepiecie\u0161ama dial\u012bze. \u013boti svar\u012bgi ir, lai J\u016bs lietotu tie\u0161i tos im\u016bnsupres\u012bvos medikamentus, tie\u0161i taj\u0101s dev\u0101s un laikos, k\u0101dus Jums ir noz\u012bm\u0113jis uzraugo\u0161ais nefrologs. Im\u016bnsupres\u012bvie medikamenti mazina iesp\u0113jamo nieres transplant\u0101ta atgr\u016b\u0161anas risku, bet tie paaugstina risku saslimt ar da\u017e\u0101d\u0101m infekcij\u0101m, t\u0101d\u0113\u013c \u012bpa\u0161i svar\u012bga b\u016bs ur\u012bnce\u013cu higi\u0113nas iev\u0113ro\u0161ana. K\u0101 ar\u012b \u013coti b\u016btiska ir ikgad\u0113ja vakcin\u0101cija pret gripu. Im\u016bnsupres\u012bvie medikamenti var\u00a0paaugstin\u0101t risku saslimt ar \u013caundab\u012bgiem audz\u0113jiem, t\u0101d\u0113\u013c svar\u012bga ir ikgad\u0113ja profilaktiska izmekl\u0113jumu veik\u0161ana, lai laic\u012bgi atkl\u0101tu onkolo\u0123isk\u0101s slim\u012bbas.<\/p>\n<h4 align=\"center\"><strong>Nieres transplant\u0101cijas rezult\u0101ti<\/strong><\/h4>\n<p>Nieres transplant\u0101cijas rezult\u0101ti ir atkar\u012bgi no \u013coti daudziem gan donora, gan recipienta faktoriem, bet viscie\u0161\u0101k nieres transplant\u0101ta funkcion\u0113\u0161anas ilgums ir atkar\u012bgs no pacienta l\u012bdzest\u012bbas \u0101rst\u0113\u0161anai p\u0113c transplant\u0101cijas. Neskatoties uz to, ka J\u016bs jut\u012bsieties piln\u012bgi vesels, Jums b\u016bs j\u0101lieto im\u016bnsupres\u012bvie medikamenti vismaz divas reizes dien\u0101 visus gadus p\u0113c oper\u0101cijas, kam\u0113r vien nieres transplant\u0101ts funkcion\u0113s. Vid\u0113ji nieres transplant\u0101ts funkcion\u0113 10 gadus p\u0113c nieres transplant\u0101cijas no miru\u0161a donora un vid\u0113ji 20 gadus p\u0113c nieres transplant\u0101cijas no dz\u012bva donora. P\u0113c transplant\u0101ta boj\u0101ejas pacients turpina dz\u012bvot, ja tiek ats\u0101kta hemodial\u012bze vai peritone\u0101l\u0101 dial\u012bze. Iesp\u0113jama ir ar\u012b atk\u0101rtota nieres transplant\u0101cija, gan otro, gan tre\u0161o reizi. Nieru transplant\u0101cijas rezult\u0101tus var apskat\u012bties da\u017e\u0101dos Eiropas un Amerikas Savienoto valstu re\u0123istros.<\/p>\n<p><strong>Piez\u012bme:<\/strong> \u0160\u012b inform\u0101cija ir p\u0101rpublic\u0113ta ar Paula Stradi\u0146a Kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas ofici\u0101lu at\u013cauju, iev\u0113rojot autorties\u012bbu un satura p\u0101rpublic\u0113\u0161anas noteikumus. Ori\u0123in\u0101l\u0101 inform\u0101cija ir pieejama <a href=\"https:\/\/stradini.lv\/lv\/content\/nieres-transplantacija\" target=\"_new\" rel=\"noopener\">stradini.lv ofici\u0101laj\u0101 vietn\u0113<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>Nieres transplant\u0101cija ir izv\u0113les nieru aizst\u0101jterapijas metode pacientiem ar hronisku nieru slim\u012bbu piekt\u0101 jeb gala stadij\u0101. Pacienti, kam ar hronisku nieru slim\u012bbu gala stadij\u0101 tiek veikta nieres transplant\u0101cija, dz\u012bvo ilg\u0101k nek\u0101 pacienti, kas tiek \u0101rst\u0113ti ar dial\u012bzi. J\u0101\u0146em v\u0113r\u0101, ka pagarin\u0101s ne tikai pacienta dz\u012bvildze, bet ar\u012b tiek uzlabota dz\u012bves kvalit\u0101te, sal\u012bdzinot ar pacientiem dial\u012bz\u0113. [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"_vp_format_video_url":"","_vp_image_focal_point":[],"footnotes":""},"class_list":["post-1504","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nefrologs.lv\/en\/wp-json\/wp\/v2\/pages\/1504","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nefrologs.lv\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nefrologs.lv\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nefrologs.lv\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nefrologs.lv\/en\/wp-json\/wp\/v2\/comments?post=1504"}],"version-history":[{"count":3,"href":"https:\/\/nefrologs.lv\/en\/wp-json\/wp\/v2\/pages\/1504\/revisions"}],"predecessor-version":[{"id":1508,"href":"https:\/\/nefrologs.lv\/en\/wp-json\/wp\/v2\/pages\/1504\/revisions\/1508"}],"wp:attachment":[{"href":"https:\/\/nefrologs.lv\/en\/wp-json\/wp\/v2\/media?parent=1504"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}