{"id":26261,"date":"2024-10-29T14:27:10","date_gmt":"2024-10-29T12:27:10","guid":{"rendered":"https:\/\/skin.lt\/?post_type=odos-liga&#038;p=26261"},"modified":"2024-11-28T11:27:40","modified_gmt":"2024-11-28T09:27:40","slug":"atopinis-dermatitas","status":"publish","type":"odos-liga","link":"https:\/\/skin.lt\/ru\/odos-liga\/atopinis-dermatitas\/","title":{"rendered":"Atopinis dermatitas"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"26261\" class=\"elementor elementor-26261\" data-elementor-post-type=\"odos-liga\">\n\t\t\t\t<div class=\"elementor-element elementor-element-60436397 e-flex e-con-boxed e-con e-parent\" data-id=\"60436397\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-205f30b6 elementor-widget elementor-widget-text-editor\" data-id=\"205f30b6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><\/p>\n<p>Tai l\u0117tin\u0117, linkusi kartotis, u\u017edegiminio pob\u016bd\u017eio odos liga, pasirei\u0161kianti b\u0117rimu ir nie\u017euliu. Atopiniu dermatitu (AD) serga k\u016bdikiai, vaikai, tiek suaugusieji. Vieni \u0161i\u0105 lig\u0105 \u201ei\u0161auga\u201c paauglyst\u0117je, kiti ja serga vis\u0105 gyvenim\u0105. Did\u017eiai daliai pacient\u0173 liga pasirei\u0161kia per pirmus gyvenimo metus, o 90 proc. vis\u0173 sergan\u010di\u0173 suserga iki 5 met\u0173 am\u017eiaus. I\u0161 vis\u0173 suaugusi\u0173 sergan\u010di\u0173 AD, tre\u010ddalis vaikyst\u0117je juo nesirgo.<\/p>\n<p><\/p>\n<p>Apie 60 proc. sergan\u010di\u0173 atopiniu dermatitu gali tur\u0117ti ir kitas alergines ligas, alergij\u0105 maistui, alergin\u012f rinokonjuktyvit\u0105 (alergin\u0117 sloga) alergin\u0119 arba bronchin\u0119 astm\u0105<\/p>\n<p><\/p>\n<p><strong>Kod\u0117l susergama atopiniu dermatitu?<\/strong><\/p>\n<p><\/p>\n<p>Manoma, kad didel\u0119 \u012ftak\u0105 atopiniam dermatitui turi genetika. Kai kurie vaikai d\u0117l tam tikr\u0173 gen\u0173 poky\u010di\u0173 jau gimsta tur\u0117dami saus\u0105 od\u0105 ir polink\u012f \u012f \u0161i\u0105 lig\u0105, nors nei j\u0173 t\u0117vai, nei seneliai neserga. Kita vertus, neb\u016btinai alergi\u0161k\u0173 ar atopiniu dermatitu sergan\u010di\u0173 t\u0117v\u0173 at\u017eala sirgs. Taip pat labai svarbi yra sutrikusi odos apsaugin\u0117 funkcija, atopi\u0161ka oda yra silpnesn\u0117 ir negamina pakankamai med\u017eiag\u0173 padedan\u010di\u0173 u\u017etikrinti tinkam\u0105 apsaugin\u0119 odos funkcij\u0105, lipid\u0173 ir protein\u0173.Ji stipriau veikiama aplinkos veiksni\u0173 (alergen\u0173, dirgikli\u0173, klimato poky\u010di\u0173 ir pan.), kurie sukelia u\u017edegimines reakcijas odoje pasirei\u0161kian\u010dias b\u0117rimais. Svarbu pamin\u0117ti, kad pacient\u0173 sergan\u010di\u0173 AD, imunin\u0117 sistema, \u012f aplinkos alergenus, taip pat reaguoja kitaip nei nesergan\u010di\u0173 \u017emoni\u0173.<\/p>\n<p><\/p>\n<p><strong>Kaip diagnozuojamas atopinis dermatitas?<\/strong><\/p>\n<p><\/p>\n<p>N\u0117ra joki\u0173 konkre\u010di\u0173 tyrim\u0173, leid\u017eian\u010di\u0173 diagnozuoti atopin\u012f dermatit\u0105. Gydytojai, diagnozuodami \u0161i\u0105 lig\u0105, paprastai vadovaujasi tam tikrais diagnostiniais kriterijais (klasikiniais laikomis Hanifin ir Rajka). Atsi\u017evelgiama, ar liga linkusi atsikartoti, ar b\u0117rimo viet\u0105 nie\u017eti, ar yra gretutini\u0173 alergini\u0173 lig\u0173, \u012fvertinami odos poky\u010diai (sausa, pleiskanojanti, b\u0117rimo vietos ir kiti po\u017eymiai).<\/p>\n<p><\/p>\n<p><strong>Kokius tyrimus reikia atlikti \u012ftariant AD?<\/strong><\/p>\n<p><\/p>\n<p>AD diagnozuojamas surinkus anamnez\u0119, atlikus objektyvi\u0105 paciento ap\u017ei\u016br\u0105. Siekiant i\u0161ai\u0161kinti provokuojan\u010dius veiksnius, diferencinei diagnostikai atliekamas alergologinis i\u0161tyrimas<\/p>\n<p><\/p>\n<p><strong>Tyrimai, kuriuos rekomenduojama atlikti, kad nustatyti \u012fsijautrinim\u0105 alergenams:<\/strong><\/p>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\"><\/ul>\n<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Odos alerginiai m\u0117giniai: d\u016brio, d\u016brio-d\u016brio, lopo<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Odos lopo testai<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Peroraliniai provokaciniai m\u0117giniai (maisto alergijai i\u0161ai\u0161kinti)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Bendro IgE kiekio kraujo serume nustatymas (IgE kiekio padid\u0117jimas da\u017enai susij\u0119s su ligos eigos sunkumu, nors ma\u017eai informatyvus, nerodantis alergin\u0117s AD kilm\u0117s)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Specifini\u0173 IgE kraujo serume nustatymas<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><\/p>\n<p><\/p>\n<p><strong>Kaip atrodo AD b\u0117rimai?<\/strong><\/p>\n<p><\/p>\n<p>Sergan\u010di\u0173j\u0173 atopiniu dermatitu viso k\u016bno oda da\u017eniausiai yra sausa, linkusi pleiskanoti. B\u0117rimo vietos b\u016bna paraudusios, pleiskanoja arba \u0161lapiuoja, stebimos nuokasos, \u0161a\u0161eliai. Nuokasose gali b\u016bti \u0161lapiuojan\u010di\u0173 \u0161a\u0161eli\u0173, p\u016bsleli\u0173, \u0161a\u0161eli\u0173, ilgai kasant oda tose vietose tarsi sustor\u0117ja &#8212; lichenifikuojasi. Skirtingo am\u017eiaus pacientus beria skirtingose vietose. K\u016bdiki\u0173 odoje pirmieji b\u0117rimai atsiranda skruost\u0173 odoje, v\u0117liau gali berti ir viso k\u016bno od\u0105. Paaugus b\u0117rimai stebimi tiesiamuosiuose rank\u0173 ir koj\u0173 pavir\u0161iuose. Tuo tarpu dar v\u0117liau ir suaugusiems rank\u0173 ir koj\u0173 linkiuose, kaklo, pla\u0161tak\u0173 odoje.<\/p>\n<p><\/p>\n<p><strong>Kaip gydomas atopinis dermatitas?<\/strong><\/p>\n<p><\/p>\n<p>AD pasi\u017eymi l\u0117tine banguojan\u010dia eiga, provokuojan\u010di\u0173 veiksni\u0173 \u012fvairove, individualia pacient\u0173 reakcija \u012f dirgiklius, tod\u0117l gydymas turi b\u016bti parinktas individualiai, atsi\u017evelgus \u012f ligos eig\u0105, provokuojan\u010dius veiksnius ir net paciento norus. Gydymo efektyvumui ir esamos odos b\u016bkl\u0117s palaikymui labai svarbi odos prie\u017ei\u016bra: maudymosi \u012fpro\u010diai, naudojamas muilas ir reguliarus dr\u0117kinam\u0173j\u0173 krem\u0173 (emolient\u0173) naudojimas.<\/p>\n<p><\/p>\n<p><strong>Odos prie\u017ei\u016bra sergant atopiniu dermatitu<\/strong><\/p>\n<p><\/p>\n<p>Labai svarbu od\u0105 dr\u0117kinti specialiais dr\u0117kinamaisiais kremais ar losjonais. <strong><u>Viso k\u016bno<\/u><\/strong> od\u0105 jais rekomenduojama patepti i\u0161 karto po prausimosi. Maudyn\u0117ms rekomenduojamas \u0161iltas \u2013 ne kar\u0161tas vanduo, mat \u0161is dar labiau sausins od\u0105. Prausiant rekomenduojama naudoti specialius prausiklius, skirtus sausai atopi\u0161kai odai.<\/p>\n<p><\/p>\n<p>Ypa\u010d sausas k\u016bno vietas dr\u0117kinamuoju kremu galima patepti ir pakartotinai kelis kartus per dien\u0105.<\/p>\n<p><\/p>\n<p><strong>Vietiniai\u00a0 antiu\u017edegiminio poveikio vaistai<\/strong><\/p>\n<p><\/p>\n<p>Jei odoje yra pa\u017eeidim\u0173, nuokas\u0173, b\u016btina naudoti special\u0173 gydom\u0105j\u012f tepal\u0105 u\u017edegimui nuslopinti Da\u017eniausiai yra skiriami kortikosteroidai , populiariai dar vadinami hormonais (metilprednizolonas, hidrokortizonas, mometazonas, flutikazonas ir kiti) arba kalcineurino inhibitoriai (pimekrolimuzas, takrolimuzas) . Tok\u012f tepal\u0105 tur\u0117t\u0173 skirti tik gydytojas. Jie suma\u017eina odos paraudim\u0105, nie\u017e\u0117jim\u0105 ir u\u017edegim\u0105.<\/p>\n<p><\/p>\n<p><strong><em>Palaikomasis (proaktyvus gydymas)<\/em><\/strong><\/p>\n<p><\/p>\n<p>Anks\u010diau buvo naudojamas <strong><em>tradicinis antiu\u017edegiminis gydymas<\/em><\/strong>, kai vaistai tepami ant i\u0161bertos odos tik pa\u016bm\u0117jim\u0173 metu ir nutraukiami tada, kai b\u0117rimai i\u0161nyksta. Jau daugiau kaip penkiolika met\u0173 \u0161is gydymo b\u016bdas turi alternatyv\u0105 &#8212; <strong><em>proaktyv\u0173 (t\u0119stin\u012f\/palaikomaj\u012f) gydym\u0105. <\/em><\/strong>Jo metu oda antiu\u017edegiminiais vaistais (gliukokortikosteroidais ar kalcineurino inhibitoriais) tepama ir \u00a0pager\u0117jimo metu, vaistus tepant ant da\u017enai beriam\u0173 viet\u0173 du kartus per savait\u0119, o emolientai naudojami viso k\u016bno odai kasdien pagal poreik\u012f.<\/p>\n<p><\/p>\n<p>Proaktyv\u0173\u00a0 gydym\u0105\u00a0 hormon\u0173 turin\u010diais tepalais rekomenduojama naudoti\u00a0 trumpais gydymo kursais (ilgiausia studij\u0173 trukm\u0117 &#8212; 16 sav.), d\u0117l galimos odos atrofijos tikimyb\u0117s. Tuo tarpu gydymas\u00a0 kalcineurino inhibitoriais gali b\u016bti t\u0119siamas ilgesn\u012f laik\u0105 &#8212; studija su takrolimuzo tepalu trukusi 52 sav. atskleid\u0117, kad \u0161is gydymas yra saugus suaugusiesiems ir vaikams.<\/p>\n<p><\/p>\n<p><strong>Sisteminiai (geriami arba leid\u017eiami) vaistai<\/strong><\/p>\n<p><\/p>\n<p>Da\u017eniausiai AD gydymui yra naudojami ciklosporinas, dupimubas, upadacitinibas, baricitinibas. Antro pasirinkimo vaistai yra metotreksatas, mikofenolato mofetilis, azatioprinas. Sisteminiai\u00a0 gliukokortikosteroidai\u00a0 skiriami stipri\u0173 pa\u016bm\u0117jim\u0173 metu ir tik trumpam laikui. Sisteminis gydymas skiriamas sergant vidutinio sunkumo ar sunkiu, da\u017enai recidyvuojan\u010diu AD, kai odos prie\u017ei\u016bra ir vietinis gydymas, bei fototerapija yra nepakankamai efektyv\u016bs ir kai pacient\u0173\u00a0 gyvenimo kokyb\u0117 yra \u017eenkliai pablog\u0117jusi<\/p>\n<p><\/p>\n<p>Tikimasi, kad ateities klinikiniai tyrimai atskleis daugiau nauj\u0173 efektyvi\u0173 AD gydymo b\u016bd\u0173.<\/p>\n<p><\/p>\n<p><strong>Fototerapija<\/strong><\/p>\n<p><\/p>\n<p>Ultravioletiniai (UV spinduliai od\u0105 veikia modiuliuodami imunin\u012f odos atsak\u0105, ma\u017eindami u\u017edegim\u0105, \u00a0ma\u017eina nie\u017e\u0117jim\u0105. AD gydymui gali b\u016bti naudojami \u012fvair\u016bs UV \u0161altiniai: UVB (da\u017eniausiai siaurabang\u0117 UVB terapija, kai gydymui naudojamas 311-313 nm bangos ilgis, re\u010diau pla\u010diabang\u0117 UVB), UVA (ypa\u010d UVA-1 (340-400 nm), ta\u010diau \u0161is gydymo b\u016bdas yra brangus ir kol kas Lietuvoje neprieinamas), kombinuota UVB ir UVA. Da\u017eniausiai naudojama siaurabang\u0117 UVB terapija (UVB 311 nm). Gydymas fototerapija \u00a0yra tinkamas sergantiesiems vidutinio sunkumo ir sunkiu AD, kai pirminis gydymas emolientais, vietinio poveikio prie\u0161u\u017edegiminiais vaistais yra \u00a0neefektyvus ar nepakankamas. Da\u017eniausiai reikalingos 20-40 proced\u016br\u0173, 2-4 k\/sav.<\/p>\n<p><\/p>\n<p>Daugiau informacijos apie atopin\u012f dermatit\u0105 galima rasti www.egzemosmokykla.lt<\/p>\n<p><\/p>\n<p><!-- \/wp:list --><!-- wp:paragraph --><\/p>\n<p><!-- \/wp:paragraph --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ee05a64 elementor-widget elementor-widget-heading\" data-id=\"ee05a64\" 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<h2 class=\"elementor-heading-title elementor-size-default\">Atopinis dermatitas DUK<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c65b8f9 elementor-widget elementor-widget-n-accordion\" data-id=\"c65b8f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;multiple&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2070\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2070\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Ar emolientas ir dr\u0117kinamas kremas tas pats? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fal fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fal fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2070\" class=\"elementor-element elementor-element-520474e e-con-full e-flex e-con e-child\" data-id=\"520474e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-52fba98 elementor-widget elementor-widget-text-editor\" data-id=\"52fba98\" 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\tTaip emolientas terminas naudojamas od\u0105 dr\u0117kinan\u010dioms priemon\u0117ms apib\u016bdinti.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2071\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2071\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Ar visi emolientai vienodi? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fal fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fal fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2071\" class=\"elementor-element elementor-element-96a81a5 e-con-full e-flex e-con e-child\" data-id=\"96a81a5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-95cd37c elementor-widget elementor-widget-text-editor\" data-id=\"95cd37c\" 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\tNe. Kai kurie turi daugiau od\u0105 dr\u0117kinan\u010di\u0173 med\u017eiag\u0173, kiti lipid\u0173 (riebal\u0173 ar aliej\u0173), sudaran\u010di\u0173 apsaugin\u012f sluoksn\u012f ant odos, kad vanduo nei\u0161garauot\u0173. Sergant atopiniu dermatitu ir turint saus\u0105 od\u0105, reikalingas tam tikras dr\u0117kinan\u010di\u0173 ir riebi\u0173 med\u017eiag\u0173 santykis, tod\u0117l rekomenuojama rinkti b\u016btent atopi\u0161ai\/sausai odai skirtus produktus.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2072\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2072\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Ar reikia keisti emolient\u0105 jei atradau sau tinkam\u0105? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fal fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fal fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2072\" class=\"elementor-element elementor-element-625bfdb e-con-full e-flex e-con e-child\" data-id=\"625bfdb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ef116e2 elementor-widget elementor-widget-text-editor\" data-id=\"ef116e2\" 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\tKeisti emolient\u0105 n\u0117ra b\u016btina, radus sau tinkam\u0105 galima j\u012f naudoti ir toliau. Kartais pacientai pastebi, kad prad\u017eioje emoliento efektas buvo geresnis. Kod\u0117l taip yra sunku atsakyti. Bet jei pasteb\u0117jote, kad efektas suma\u017e\u0117jo, rekomenduojama emolient\u0105 pakeisti.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2073\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2073\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Ar apranga gali tur\u0117ti \u012ftakos odos b\u016bklei? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fal fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fal fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2073\" class=\"elementor-element elementor-element-665541a e-con-full e-flex e-con e-child\" data-id=\"665541a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4d41608 elementor-widget elementor-widget-text-editor\" data-id=\"4d41608\" 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\tReik\u0117t\u0173 atsisakyti vilnoni\u0173, sintetini\u0173 drabu\u017ei\u0173, dirginan\u010di\u0173 od\u0105 ir kelian\u010di\u0173 prakaitavim\u0105. Rinkit\u0117s nat\u016bralaus pluo\u0161to med\u017eiagas, medviln\u0119, lin\u0105 ir pan.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2074\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2074\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Man arba mano vaikui n\u0117ra nustatyta alergija, ar tai tas pats atopinis dermatitas? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fal fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fal fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2074\" class=\"elementor-element elementor-element-7a69912 e-con-full e-flex e-con e-child\" data-id=\"7a69912\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c13e35b elementor-widget elementor-widget-text-editor\" data-id=\"c13e35b\" 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\tTaip, atopinis dermatitas yra odos liga, pasirei\u0161kianti raudonais, pleiskanojan\u010diai ir nie\u017etin\u010diais besikartojan\u010diais b\u0117rimais ir sausa oda. Apie 60 proc. sergan\u010di\u0173 atopiniu dermatitu papildomai nustatomas jautrumas tam tikriems alergenams (maisto, aplinkos). Likusiems alergij\u0173 nenustatoma, bet j\u0173 b\u0117rimai atrodo lygiai taip pat. Alergijos da\u017enai i\u0161ry\u0161k\u0117ja ligos eigoje.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2075\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2075\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Vengiu vis\u0173 nustatyt\u0173 alergen\u0173, bet odos b\u016bkl\u0117 \u017eenkliai nepager\u0117ja. Kod\u0117l? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fal fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fal fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2075\" class=\"elementor-element elementor-element-1e7010a e-con-full e-flex e-con e-child\" data-id=\"1e7010a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f89aaa3 elementor-widget elementor-widget-text-editor\" data-id=\"f89aaa3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Tod\u0117l, kad AD sukelia ne tik alergenai. Alergenai tik vienas i\u0161 daugyb\u0117s veiksni\u0173 lemian\u010di\u0173 simptom\u0173 atsiradim\u0105. Odos b\u016bklei labai svarbi emocin\u0117 b\u016bkl\u0117, klimato s\u0105lygos (daugeliui oda pager\u0117ja \u0161iltuoju met\u0173 laiku) ir kiti aplinkos veiksniai.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2076\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"7\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2076\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Kas gydo atopin\u012f dermatit\u0105 \u2013 dermatologas ar alergologas? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fal fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fal fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2076\" class=\"elementor-element elementor-element-07cf82f e-con-full e-flex e-con e-child\" data-id=\"07cf82f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5cff178 elementor-widget elementor-widget-text-editor\" data-id=\"5cff178\" 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\tLietuvoje \u0161i\u0105 lig\u0105 gydo abu specialistai. Nuo seno pasiskirst\u0119, kad gydytojai alergologai-klinikiniai imunologai atlieka tyrimus alergijai (sensibilizacijai nustatyti), o dermatologai sud\u0117lioja odos prie\u017ei\u016bros ir gydymo plan\u0105. Bet abiej\u0173 specialybi\u0173 gydytojai gali tiek tirti, tiek gydyti \u0161ios ligos pacientus.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4fdd877 elementor-widget elementor-widget-text-editor\" data-id=\"4fdd877\" 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<!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph -->\n<p><strong>Informacin\u012f tekst\u0105 pacientams pareng\u0117 Inovatyvios dermatologijos centro gydytoja dermatovenerolog\u0117 &#8212;\u00a0 Dr. Inga Kisielien\u0117<\/strong><\/p>\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\n<p>Naudoti literat\u016bros \u0161altiniai:<\/p>\n<!-- \/wp:paragraph --><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><em>Mokomoji knyga \u201eAtopinio dermatito diagnostikos ir gydymo rekomendacijos\u201c. Inga Kisielien\u0117, J\u016brat\u0117 Grigaitien\u0117, Vesta Ku\u010dinskien\u0117, Laura Malinauskien\u0117, An\u017eelika Chomi\u010dien\u0117, Audra Bla\u017eien\u0117, Brigita \u0160itkauskien\u0117,\u00a0 J\u016brat\u0117 Staik\u016bnien\u0117, Matilda Bylait\u0117-Bu\u010dinskien\u0117. 2019, Vilnius.<\/em><\/li>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<li><em>Wollenberg A, Barbarot S, Bieber T, Christen<\/em><em>\u2010<\/em><em>Zaech S, Deleuran M, Fink<\/em><em>\u2010<\/em><em>Wagner A, et al. Consensus<\/em><em>\u2010<\/em><em>based European guidelines for treatment of atopic eczema (atopic dermatitis) in adults and children: part I. J Eur Acad Dermatology Venereol [Internet]. 2018 May 20;32(5):657\u201382. Available from: <\/em><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jdv.14891\" target=\"_blank\" rel=\"noopener\"><em>https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jdv.14891<\/em><\/a><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><!-- wp:paragraph -->\n<p>\u00a0<\/p>\n<!-- \/wp:paragraph -->\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\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Tai l\u0117tin\u0117, linkusi kartotis, u\u017edegiminio pob\u016bd\u017eio odos liga, pasirei\u0161kianti b\u0117rimu ir nie\u017euliu. Atopiniu dermatitu (AD) serga k\u016bdikiai, vaikai, tiek suaugusieji. Vieni \u0161i\u0105 lig\u0105 \u201ei\u0161auga\u201c paauglyst\u0117je, kiti ja serga vis\u0105 gyvenim\u0105. Did\u017eiai daliai pacient\u0173 liga pasirei\u0161kia per pirmus gyvenimo metus, o 90 proc. vis\u0173 sergan\u010di\u0173 suserga iki 5 met\u0173 am\u017eiaus. I\u0161 vis\u0173 suaugusi\u0173 sergan\u010di\u0173 AD, tre\u010ddalis [&hellip;]<\/p>\n","protected":false},"featured_media":0,"parent":0,"menu_order":1,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-26261","odos-liga","type-odos-liga","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/skin.lt\/ru\/wp-json\/wp\/v2\/odos-liga\/26261","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/skin.lt\/ru\/wp-json\/wp\/v2\/odos-liga"}],"about":[{"href":"https:\/\/skin.lt\/ru\/wp-json\/wp\/v2\/types\/odos-liga"}],"version-history":[{"count":0,"href":"https:\/\/skin.lt\/ru\/wp-json\/wp\/v2\/odos-liga\/26261\/revisions"}],"wp:attachment":[{"href":"https:\/\/skin.lt\/ru\/wp-json\/wp\/v2\/media?parent=26261"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}