{"id":19835,"date":"2024-03-04T10:24:21","date_gmt":"2024-03-04T08:24:21","guid":{"rendered":"http:\/\/labostera.lt\/?post_type=product&#038;p=19835"},"modified":"2024-10-18T15:21:54","modified_gmt":"2024-10-18T12:21:54","slug":"desiniojo-plauciu-miliarines-tuberkuliozes-3d-modelis-erler-zimmer-right-lung-miliary-tuberculosis-3d-printed-model","status":"publish","type":"product","link":"https:\/\/labostera.lt\/lv\/priemones-ir-iranga\/mokymo-priemones-ir-iranga\/modeliai-manekenai-muliazai\/desiniojo-plauciu-miliarines-tuberkuliozes-3d-modelis-erler-zimmer-right-lung-miliary-tuberculosis-3d-printed-model\/","title":{"rendered":"Erlera-Zimmera lab\u0101s plau\u0161u mili\u0101r\u0101s tuberkulozes 3D druk\u0101tais modelis"},"content":{"rendered":"<h2><strong>Erler-Zimmer GmbH &amp; Co. KG lab\u0101s plau\u0161as mili\u0101r\u0101s tuberkulozes 3D modelis<\/strong>:<\/h2>\n<ul>\n<li>Mode\u013ca numurs: MP2060<\/li>\n<li>Kl\u012bnisk\u0101 v\u0113sture:<br \/>\n74 gadus vecs v\u012brietis v\u0113rs\u0101s pie \u0101rsta ar pieaugo\u0161\u0101m apgr\u016btin\u0101t\u0101m elpo\u0161an\u0101m un hemopt\u012bzi. Papildu anamn\u0113zes dati liecin\u0101ja, ka vi\u0146\u0161 6 m\u0113ne\u0161u laik\u0101 bija zaud\u0113jis 20 kg svara, vi\u0146am bija nakts sv\u012b\u0161ana un past\u0101v\u012bgs klepus. Vi\u0146\u0161 nesen p\u0101rc\u0113l\u0101s no valsts, kur tuberkuloze ir end\u0113miska. Izmekl\u0113\u0161an\u0101 vi\u0146am tika konstat\u0113ta hipoks\u0113mija un tahipneja, un abos plau\u0161u laukos kreis\u0101s plau\u0161as pamatn\u0113 bija dzirdamas krepit\u0101cijas un bl\u0101vas ska\u0146as. Vi\u0146a Quantiferon Gold asins anal\u012bze bija pozit\u012bva. Kr\u016b\u0161kurvja rentgenogramm\u0101s bija redzami divpus\u0113ji mazi mezgli\u0146i un kreis\u0101s puses pneimonija. P\u0113c uz\u0146em\u0161anas slimn\u012bc\u0101 vi\u0146\u0161 nomira no elpo\u0161anas mazsp\u0113jas.<\/li>\n<li>Patolo\u0123ija:<br \/>\nLab\u0101 plau\u0161a tika p\u0101rgriezta gareniski un fiks\u0113ta, lai atsegtu grie\u0161anas virsmu. Bronhi un bronhioli viegli papla\u0161in\u0101s. Vis\u0101 plau\u0161u audos ir lieli, sapl\u016bsto\u0161i, mazi, gai\u0161i dzelteni plankumi, kuru diametrs ir maz\u0101ks par 1 mm. L\u012bdz\u012bgi mazi subap\u013cveida mezgli\u0146i ir redzami uz iek\u0161\u0113j\u0101s oderes. Mezgli ir tuberkuli. \u0160\u012b ir mili\u0101r\u0101 tuberkuloze, ko t\u0101 sauc par l\u012bdz\u012bbu ar prosas graudu mezgli\u0146iem.<\/li>\n<li>Papildinform\u0101cija:<br \/>\nTuberkuloze (TB) ir hroniska plau\u0161u un sist\u0113miska slim\u012bba, ko izraisa Mycobacterium tuberculosis. P\u0101rne\u0161ana parasti notiek, ieelpojot \u0161\u012bs patog\u0113n\u0101s bakt\u0113rijas aerosola pilienus, ko pirmo reizi aprakst\u012bja Roberts Kohs (1882). Ar tuberkulozes infekciju saist\u012btie riska faktori ir dz\u012bvo\u0161ana jaunatt\u012bst\u012bbas valst\u012b, kur slim\u012bba ir end\u0113miska, im\u016bnsupresija (piem\u0113ram, HIV, stero\u012bdu lieto\u0161ana, anti-TNF lieto\u0161ana un diab\u0113ts), hroniskas plau\u0161u slim\u012bbas (piem\u0113ram, silikoze), alkoholisms un nepietiekams uzturs.<br \/>\nP\u0113c s\u0101kotn\u0113j\u0101s plau\u0161u infekcijas ar M. tuberculosis kl\u012bnisk\u0101 aina ir da\u017e\u0101da. 90% non\u0101k asimptom\u0101tisk\u0101 latent\u0101 infekcijas stadij\u0101 cilv\u0113kiem ar neskartu im\u016bnsist\u0113mu. \u0160\u012b latent\u0101 tuberkuloze var atk\u0101rtoti aktiviz\u0113ties jebkur\u0101 laik\u0101 pacienta dz\u012bv\u0113. Citiem 10% pacientiem, \u012bpa\u0161i tiem, kuriem ir im\u016bnsupresija, att\u012bst\u0101s prim\u0101r\u0101 slim\u012bba, kas ir t\u016bl\u012bt\u0113ja akt\u012bva M. tuberculosis infekcija. Prim\u0101r\u0101s tuberkulozes izpausmes ir plau\u0161u infekcijas simptomi (piem\u0113ram, konsolid\u0101cija, izsv\u012bdums un hil\u0101ru adenop\u0101tija) un ekstrapulmon\u0101li simptomi, tostarp limfadenop\u0101tiju, mening\u012btu un disemin\u0113tu mili\u0101ru tuberkulozi.<br \/>\nSekund\u0101r\u0101 tuberkuloze rodas, kad iepriek\u0161 latent\u0101 M. tuberculosis tiek atk\u0101rtoti aktiviz\u0113ta. Aptuveni 10% latent\u0101 tuberkuloze atk\u0101rtoti aktiviz\u0113jas v\u0113l\u012bn\u0101 stadij\u0101, parasti saimnieka im\u016bn\u0101s atbildes pav\u0101jin\u0101\u0161an\u0101s period\u0101. Atk\u0101rtotas par\u0101d\u012b\u0161an\u0101s simptomi ir klepus, hemopt\u012bze, zemas pak\u0101pes drudzis, nakts sv\u012b\u0161ana un svara zudums.<br \/>\nMili\u0101r\u0101 tuberkuloze rodas, kad mikobakt\u0113rijas iek\u013c\u016bst plau\u0161u v\u0113n\u0101 un izplat\u0101s citur. Organisms var cirkul\u0113t atpaka\u013c plau\u0161\u0101s un izplat\u012bties caur plau\u0161u audiem, k\u0101 \u0161aj\u0101 gad\u012bjum\u0101. Sist\u0113miska mili\u0101ra tuberkuloze var rasties, kad mikobakt\u0113rija izplat\u0101s pa art\u0113riju sist\u0113mu. P\u0113c tam TB var apmesties jebkur\u0101 org\u0101n\u0101, bet visbie\u017e\u0101k akn\u0101s, kaulu smadzen\u0113s, lies\u0101 un virsnieru dziedzeros.<br \/>\nIm\u016bnreakciju pret tuberkulozi medi\u0113 TH1 \u0161\u016bnas, kas stimul\u0113 alveol\u0101ros makrof\u0101gus uzbrukt mikobakt\u0113rijai. \u0160ie makrof\u0101gi ieskauj infekciju, veidojot granulomu, kas ieskauj centru ar &quot;cine&quot; (balt\u0101 siera veida) nekrozes zonu. Sekund\u0101r\u0101 plau\u0161u tuberkuloze var vai nu izzust ar fibrozi, vai progres\u0113t, k\u0101 \u0161aj\u0101 gad\u012bjum\u0101. Progres\u0113jo\u0161i plau\u0161u tuberkulozes procesi noved pie infekcijas fokusa erozijas un papla\u0161in\u0101\u0161an\u0101s blakus eso\u0161ajos plau\u0161u audos. Tas noved pie kine centra evaku\u0101cijas, k\u0101 rezult\u0101t\u0101 rodas \u0161\u0137iedraina kavit\u0101cija. Var rasties asinsvadu erozija, izraisot hemopt\u012bzi. P\u0113c tuberkulozes \u0101rst\u0113\u0161anas audi sadz\u012bst ar fibrozi, bet plau\u0161u arhitekt\u016bra neatjaunojas.<br \/>\nTB diagnozi parasti nosaka, pamatojoties uz kl\u012bnisko anamn\u0113zi, kr\u016b\u0161kurvja rentgenogramm\u0101m un vair\u0101k\u0101m siekalu kult\u016br\u0101m. Infekcijas noteik\u0161anai var izmantot ar\u012b Mantoux \u0101das tuberkul\u012bna testu un seruma interferona gamma izdal\u012b\u0161an\u0101s testu. Lai pal\u012bdz\u0113tu diagnoz\u0113, no aizdom\u0101m par infekcijas viet\u0101m var \u0146emt biopsijas kult\u016brai. \u0100rst\u0113\u0161ana ietver ilgsto\u0161u vair\u0101ku antibiotiku lieto\u0161anu atkar\u012bb\u0101 no infekciju izraiso\u0161\u0101s mikobakt\u0113rijas rezistences pret antibiotik\u0101m.<\/li>\n<\/ul>\n<h3>Lab\u0101s plau\u0161u mili\u0101r\u0101s tuberkulozes 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\/11395\" 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 lab\u0101s plau\u0161u mili\u0101r\u0101s tuberkulozes 3D modelis \u2013 hroniska plau\u0161u un sist\u0113miska infekcijas slim\u012bba.<\/p>","protected":false},"featured_media":19836,"template":"","meta":[],"product_cat":[75,79],"product_tag":[729,728,779,692,577,690],"class_list":{"0":"post-19835","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-desiniojo-plauciu-miliarines-tuberkuliozes-modeliai","12":"product_tag-erler-zimmer-gmbh-co-kg","13":"product_tag-modeliai","14":"product_tag-models","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\/19835","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\/19836"}],"wp:attachment":[{"href":"https:\/\/labostera.lt\/lv\/wp-json\/wp\/v2\/media?parent=19835"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/labostera.lt\/lv\/wp-json\/wp\/v2\/product_cat?post=19835"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/labostera.lt\/lv\/wp-json\/wp\/v2\/product_tag?post=19835"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}