{"id":19832,"date":"2024-03-04T09:37:43","date_gmt":"2024-03-04T07:37:43","guid":{"rendered":"http:\/\/labostera.lt\/?post_type=product&#038;p=19832"},"modified":"2024-10-18T15:21:55","modified_gmt":"2024-10-18T12:21:55","slug":"tracheosofagines-fistules-ir-stemples-atrezijos-3d-modelis-erler-zimmer-tracheoesophageal-fistula-and-oesophagus-atresia-3d-printed-model","status":"publish","type":"product","link":"https:\/\/labostera.lt\/lv\/priemones-ir-iranga\/mokymo-priemones-ir-iranga\/modeliai-manekenai-muliazai\/tracheosofagines-fistules-ir-stemples-atrezijos-3d-modelis-erler-zimmer-tracheoesophageal-fistula-and-oesophagus-atresia-3d-printed-model\/","title":{"rendered":"Traheobar\u012bbas vada fistulas un bar\u012bbas vada atr\u0113zijas 3D druk\u0101tais modelis Erlera-Zimmera traheobar\u012bbas vada fistulas un bar\u012bbas vada atr\u0113zijas 3D druk\u0101tais modelis"},"content":{"rendered":"<h2><strong>Erler-Zimmer GmbH &amp; Co. KG traheobar\u012bbas vada fistulas un bar\u012bbas vada atr\u0113zijas 3D modelis<\/strong>:<\/h2>\n<ul>\n<li>Mode\u013ca numurs: MP2059<\/li>\n<li>Kl\u012bnisk\u0101 v\u0113sture:<br \/>\n32 gadus vecai sievietei ar G3P0 (3. gr\u016btniec\u012bba, 0 dzimst\u012bbas) 25. gr\u016btniec\u012bbas ned\u0113\u013c\u0101 s\u0101k\u0101s priek\u0161laic\u012bgas dzemd\u012bbas. \u0100rsts pirms ned\u0113\u013cas paman\u012bja dzemdes dibena augstuma palielin\u0101\u0161anos par 30 cm, ta\u010du sieviete atteic\u0101s no pirmsdzemd\u012bbu p\u0101rbaud\u0113m vai ultraska\u0146as, un vi\u0146ai netika veikta atk\u0101rtota nov\u0113ro\u0161ana. Vi\u0146a dzemd\u0113ja dz\u012bvu z\u0113nu. Z\u012bdai\u0146a izmekl\u0113\u0161ana atkl\u0101ja vair\u0101kus pirkstus, neperfor\u0113tu an\u0101lo atveri, p\u0101rm\u0113r\u012bgu siekalo\u0161anos un ska\u013cu pansistolisku deguna troksni. L\u0101psti\u0146as sait\u0113 tika nov\u0113rota viena l\u0101psti\u0146as art\u0113rija. B\u0113rnam bija gr\u016bt\u012bbas \u0113st pieaugo\u0161as elpo\u0161anas mazsp\u0113jas d\u0113\u013c. B\u0113rns nomira 2 dienas v\u0113l\u0101k no aspir\u0101cijas pneimonijas.<\/li>\n<li>Patolo\u0123ijas\/parauga inform\u0101cija:<br \/>\nParaug\u0101 ietilpst aug\u013ca m\u0113le, r\u012bkle, traheja, bronhi, abas plau\u0161as un bar\u012bbas vads. Traheja un bronhi ir sadal\u012bti pa vidu. Fistula atrodas tie\u0161i virs sazino\u0161\u0101s fistulas daivas, kas savieno dist\u0101lo bar\u012bbas vadu ar traheju (bulti\u0146a). \u0160is ir C tipa traheoezofage\u0101l\u0101s fistulas piem\u0113rs (bar\u012bbas vada atrezija ar dist\u0101lu traheoezofage\u0101lu fistulu). Ir gr\u016bti noteikt, vai bar\u012bbas vads beidzas k\u0101 akls maisi\u0146\u0161 zem parauga robe\u017eas.<\/li>\n<li>Papildinform\u0101cija:<br \/>\nTraheoezofage\u0101l\u0101 fistula (TEF) ir izplat\u012bta iedzimta anom\u0101lija, kas rodas aptuveni 1 no 4000 dz\u012bviem dzimu\u0161ajiem. TEF parasti rodas saist\u012bb\u0101 ar bar\u012bbas vada atreziju. TEF tiek klasific\u0113ti p\u0113c to anatomisk\u0101s konfigur\u0101cijas. Visizplat\u012bt\u0101k\u0101 ir C tipa konfigur\u0101cija; k\u0101 aprakst\u012bts iepriek\u0161, ar dist\u0101lu traheoezofage\u0101lu fistulu, kas veido 86% gad\u012bjumu. TEF bez bar\u012bbas vada atr\u0113zijas rodas tikai 4% gad\u012bjumos, E tips.<br \/>\nTEF un bar\u012bbas vada atreziju izraisa garenisk\u0101s plaisas defekti bar\u012bbas vada un trahejas savienojum\u0101. Tiek uzskat\u012bts, ka epit\u0113lija-mezenhim\u0101l\u0101s mijiedarb\u012bbas defekts izraisa plau\u0161u pumpuru zaru neveiksm\u012bgu sazaro\u0161anos, kas k\u013c\u016bst par fistulu traktiem. Tas ir saist\u012bts ar VACTERL sindromu (mugurkaula defekti, an\u0101l\u0101 atveres atr\u0113zija, sirds defekti, TEF, nieru anom\u0101lijas un ekstremit\u0101\u0161u anom\u0101lijas) vai CHARGE sindromu (koloboma, sirds defekti, hoan\u0101l\u0101 atr\u0113zija, aug\u0161anas aizkav\u0113\u0161an\u0101s, dzimumorg\u0101nu anom\u0101lijas un ausu anom\u0101lijas). Bar\u012bbas vada atreziju var redz\u0113t pirmsdzemd\u012bbu ultrasonogr\u0101fij\u0101 k\u0101 polihidramniju, ku\u0146\u0123a neesam\u012bbu\/sabruk\u0161anu un bar\u012bbas vada margin\u0101l\u0101 maisi\u0146a papla\u0161in\u0101\u0161anos. EA ar TEF var b\u016bt gr\u016bt\u0101k saskat\u0101ma ultraska\u0146\u0101, jo fistula \u013cauj \u0161\u0137idrumam nopl\u016bst ku\u0146\u0123\u012b. Polihidramnions rodas tre\u0161da\u013c\u0101 EA gad\u012bjumu ar dist\u0101lu TEF. P\u0113cdzemd\u012bbu simptomi at\u0161\u0137iras atkar\u012bb\u0101 no fistulas konfigur\u0101cijas. Tie ietver p\u0101rm\u0113r\u012bgu siekalo\u0161anos, elpo\u0161anas mazsp\u0113ju, baro\u0161an\u0101s gr\u016bt\u012bbas un auksl\u0113ju \u0161\u0137eltni. Ku\u0146\u0123a satura reflukss var izrais\u012bt aspir\u0101cijas pneimoniju, k\u0101 \u0161aj\u0101 gad\u012bjum\u0101.<br \/>\nDiagnozi var noteikt, ja ku\u0146\u0123\u012b netiek ievietota nazogastrisk\u0101 zonde kop\u0101 ar rentgena stariem. Sare\u017e\u0123\u012bt\u0101ko gad\u012bjumu gad\u012bjum\u0101 var izmantot fluoroskopiju ar kontrastvielu. Viegl\u0101kos gad\u012bjumos diagnozi var noteikt v\u0113l\u0101k, veicot endoskopisku izmekl\u0113\u0161anu. \u0100rst\u0113\u0161ana ietver defektu \u0137irur\u0123isku korekciju. Prognoze parasti ir laba. Tom\u0113r gad\u012bjumos, kad ir saist\u012bti hromosomu, prim\u0101rie iedzimtie un sirds defekti, n\u0101ves risks ir palielin\u0101ts.<\/li>\n<\/ul>\n<h3>Traheobar\u012bbas vada fistulas un bar\u012bbas vada atr\u0113zijas 3D mode\u013ci \u2013 <a href=\"http:\/\/labostera.lt\/lv\/product-brand\/erler-zimmer-gmbh-co-kg\/\">Erlera-Zimmera anatomijas grupa<\/a><\/h3>\n<p>Vair\u0101k inform\u0101cijas: <a href=\"https:\/\/erler-zimmer.de\/shop\/en\/11394\" target=\"_blank\" rel=\"noopener nofollow\">ra\u017eot\u0101ja t\u012bmek\u013ca vietn\u0113<\/a> vai nos\u016btiet mums piepras\u012bjumu!<\/p>","protected":false},"excerpt":{"rendered":"<p>Erlera-Zimmera traheoezofage\u0101l\u0101s fistulas un bar\u012bbas vada atr\u0113zijas 3D modelis \u2013 dzemdes att\u012bst\u012bbas anom\u0101lijas modelis.<\/p>","protected":false},"featured_media":19833,"template":"","meta":[],"product_cat":[75,79],"product_tag":[729,728,692,577,690,778],"class_list":{"0":"post-19832","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_brand-erler-zimmer-gmbh-co-kg","7":"product_cat-modeliai-manekenai-muliazai","8":"product_cat-mokymo-priemones-ir-iranga","9":"product_tag-3d-printed-models","10":"product_tag-3d-spausdinti-modeliai","11":"product_tag-erler-zimmer-gmbh-co-kg","12":"product_tag-modeliai","13":"product_tag-models","14":"product_tag-tracheosofagines-fistules-ir-stemples-atrezijos-modeliai","16":"first","17":"onbackorder","18":"shipping-taxable","19":"purchasable","20":"product-type-simple"},"_links":{"self":[{"href":"https:\/\/labostera.lt\/lv\/wp-json\/wp\/v2\/product\/19832","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/labostera.lt\/lv\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/labostera.lt\/lv\/wp-json\/wp\/v2\/types\/product"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/labostera.lt\/lv\/wp-json\/wp\/v2\/media\/19833"}],"wp:attachment":[{"href":"https:\/\/labostera.lt\/lv\/wp-json\/wp\/v2\/media?parent=19832"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/labostera.lt\/lv\/wp-json\/wp\/v2\/product_cat?post=19832"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/labostera.lt\/lv\/wp-json\/wp\/v2\/product_tag?post=19832"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}