tag:blogger.com,1999:blog-81937621279286993702024-02-29T01:44:09.031+02:00Mīlestības telpaBaibahttp://www.blogger.com/profile/03363704270791952396noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-8193762127928699370.post-34656772441970154102021-12-15T14:59:00.000+02:002021-12-15T14:59:04.069+02:00Iegurņa pamatnes muskulatūras vingrinājumi<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHAzLK-c5YQ7O-LET7DUZyWrltHZXx3dXjy9edhu8Wms4RZ-s8ssQ9QBrGWXYprdgxre2us8QPwAl-fEcktb-kqXvIYSPSGtRUTZ186YurFzLI7DU1Q-gfVn-2SXdL5suANay1pOlF5FM/" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="556" data-original-width="1231" height="145" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHAzLK-c5YQ7O-LET7DUZyWrltHZXx3dXjy9edhu8Wms4RZ-s8ssQ9QBrGWXYprdgxre2us8QPwAl-fEcktb-kqXvIYSPSGtRUTZ186YurFzLI7DU1Q-gfVn-2SXdL5suANay1pOlF5FM/" width="320" /></a></div><br /><p></p><p><span style="background-color: white;"><strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Vingrinājums Nr.1</span></strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;"><o:p></o:p></span></span></p>
<p><span style="background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Sasprindzini anālo atveri
tik stipri, ka tā it kā ievelkas uz iekšu. Tādejādi tiek kustināta visa iegurņa
pamatne. Šī vingrinājuma priekšrocība – vari to izpildīt gan guļus, gan stāvus,
gan sēdus. Izpildi šo vingrinājumu 10 sekundes, tad 10 sekundes atpūties. Velti
šim vingrinājumam dienā 5 minūtes un vienu minūti vingrinājumam „ātrajā režīmā”
- sasprindzini muskuļus 1 sekundi un 1 sekundi atpūties. <o:p></o:p></span></p>
<p><span style="background-color: white;"><strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Vingrinājums Nr. 2 </span></strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;"><o:p></o:p></span></span></p>
<p><span style="background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Ievadi vagīnā divus
pirkstus un tos nedaudz izplet. Sasprindzini muskuļus tā, ka pirksti saskaras
kopā. Svarīgi! Šo vingrinājumu izpildi tikai tad, kad beigušies izdalījumi pēc
dzemdībām!<o:p></o:p></span></p>
<p><span style="background-color: white;"><strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Vingrinājums Nr.3</span></strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;"><o:p></o:p></span></span></p>
<p><span style="background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Nogulies uz muguras, saliec
kājas ceļos un ieplet plecu platumā. Dziļi ieelpo. Uzmet kūkumu un sasprindzini
sēžu. Tad izelpo un savelc tūpļa, maksts ieejas un urīnizvadkanāla rajonu.
Saglabā sasprindzinājumu kādu mirkli.<o:p></o:p></span></p>
<p><span style="background-color: white;"><strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Vingrinājums Nr. 4</span></strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;"><o:p></o:p></span></span></p>
<p><span style="background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Nogulies uz muguras,
izstiep kājas un sakrusto tās. Tālāk rīkojies kā aprakstīts 3. vingrinājumā. <o:p></o:p></span></p>
<p><span style="background-color: white;"><strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Vingrinājums Nr. 5 </span></strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;"><o:p></o:p></span></span></p>
<p><span style="background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Nogulies uz muguras, saliec
kājas, pacel no grīdas muguru un sēžu un tādā pozīcijā lēni šūpojies no augšas
uz leju. Dibens nedrīkst pieskarties grīdai.<o:p></o:p></span></p>
<p><span style="background-color: white;"><strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Vingrinājums Nr. 6:</span></strong><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;"><br />
<br />
Šo vingrinājumu sauc arī par „liftu”: nedaudz sasprindzini iegurņa pamatnes
muskuļus (1. stāvs), paturi tos sasprindzinātus 3-5 sekundes, tad sasprindzini
atkal (2. stāvs), atkal sasprindzini, bet paturi sasprindzinājumu mazliet
ilgāk. Tā palēnām nokļūsti līdz 5 stāvam. Tad nepieciešams vingrinājumu veikt
atpakaļgaitā – arī sasprindzini muskuļus un uzkavējies „katrā stāvā”.</span></span></p>
<p><strong><span style="background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Vingrinājums Nr. 7:</span></strong></p>
<p><span style="background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">„Tuvības trenažieris”
Sasprindzini un atlaid iegurņa pamatnes muskuļus mīlējoties. Pajautā otrai
pusītei, vai viņš jūt, kad Tu sasprindzini. </span></p>
<p class="MsoNormal" style="text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p> </o:p></span></p>Baibahttp://www.blogger.com/profile/03363704270791952396noreply@blogger.com0tag:blogger.com,1999:blog-8193762127928699370.post-67126144184798879442021-03-03T19:30:00.003+02:002021-03-03T19:37:47.762+02:00Rēzus negatīva grūtniece, ko tas nozīmē?<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhf7Vhny1ridsyIdJHW2ufeAjZV2VKcqDTvqd-hkW0PFf4BIAtc3wm-_zJBGsPr5tD9dZyj0xJFu4AV8w706pOqUezanI8_Qj7aaR06iynP4ycjC7ZwakCW316o2VapNEyjfrTXo_YeOdw/" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img alt="" data-original-height="177" data-original-width="296" height="119" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhf7Vhny1ridsyIdJHW2ufeAjZV2VKcqDTvqd-hkW0PFf4BIAtc3wm-_zJBGsPr5tD9dZyj0xJFu4AV8w706pOqUezanI8_Qj7aaR06iynP4ycjC7ZwakCW316o2VapNEyjfrTXo_YeOdw/w200-h119/image.png" width="200" /></a></div><p></p><p class="MsoNormal" style="text-align: justify;">Apmēram 15% populācijas nav rēzus
antigēna, bet 85% ir. Ja rēzus antigēna nav, tas nozīmē, ka māmiņa ir rēzus
negatīva. Ja tētis arī ir rēzus negatīvs, tad arī nav nekādu problēmu. Ja
savukārt bērna tētis ir rēzus pozitīvs un arī ieņemtais bērniņš ir rēzus
pozitīvs, tad bērna asinīm nonākot mātes asinīs, tajās var veidoties
antivielas. Un savukārt antivielas, nokļūstot augļa asinīs, izraisa eritrocītu
hemolīzi. Vislielākā varbūtība (lai arī ļoti neliela), ka bērna asinis nokļūst
mātes asinsritē, ir dzemdību laikā. Patiesībā jebkurā gadījumā šī rēzus
sensibilizācija patreizējo grūtniecību neapdraud, bet var būt problēma nākošās
grūtniecības laikā.<br /></p><span><a name='more'></a></span><p class="MsoNormal" style="text-align: justify;">Kādi papildus izmeklējumi tiek
veikti <b>grūtniecības laikā</b> rēzus
negatīvām mammām? Papildu antivielu noteikšanai pirmajā vizītē, ko veic pilnīgi
visām grūtniecēm, viņām antivielas nosaka arī vēl 28. un 35.-36. nedēļā ( ja
nav ievadīts anti rēzus imunoglobulīns).</p><p class="MsoNormal" style="text-align: justify;">Kāpēc ievada anti rēzus
imunoglobulīnu? Lai mātes organisms neveidotu antivielas, jo caur šo ievadīšanu
organisms saprot, ka antivielas tur jau ir un savas neveido papildus.</p><p class="MsoNormal" style="text-align: justify;">Vai ievadīt <b>anti rēzus imunoglobulīnu grūtniecības laikā</b> (pēc vadlīnijām
28.grūtniecības nedēļā)?</p><p class="MsoNormal" style="text-align: justify;">Tur jāapsver visi par un pret. Ar
šo injekciju mātes asinsritē nokļūst sveša cilvēka imunoglobulīns. Protams, ka
donori tiek pārbaudīti, tomēr pat zāļu instrukcijā minēts: „Tomēr, neskatoties
uz šiem pasākumiem, izmantojot no cilvēka asinīm vai plazmas iegūtus
medicīniskus preparātus, nav iespējams pilnībā izslēgt iespēju pārnest
infekcijas izraisītājus. Tas attiecas arī uz nezināmiem vai jauniem vīrusiem
vai cita veida infekcijām”. Tāpat kā jau jebkuram medikamentam, tam var
būt blaknes, pat ļoti nopietnas, ieskaitot sarkano asins šūnu sabrukumu un
anafilaktisko šoku. </p><p class="MsoNormal" style="text-align: justify;">Sīkāk par šo medikamentu, kas
tiek izmantots Latvijā kā anti rēzus imunoglobulīns, var lasīt: <a href="https://zalulietosanasinstrukcija.lv/rhesonativ-625-svml-skidums-injekcijam-07-0329-01">https://zalulietosanasinstrukcija.lv/rhesonativ-625-svml-skidums-injekcijam-07-0329-01</a> </p><p class="MsoNormal" style="text-align: justify;">Un diemžēl arī nav pilnībā
izpētīts kā šī medikamenta ievade grūtniecības laikā ietekmē mazuli. Tāpat nav
izpētīts kā tas ietekmē mazuļa asinis, ir bijuši gadījumi, ka pēc ievades
mazuļa asinīs ir neliela izosensibilizācija, kas radusies no šī mātes asinīs
cirkulējošā imunoglobulīna.</p><p class="MsoNormal" style="text-align: justify;">Normāli varbūtība, ka grūtniecības
laikā bērna eritrocīti nonāk mātes asinsritē, ir tuvu 0. Tomēr ir situācijas,
kad risks palielinās un tad gan ir vērts nopietni apsvērt anti rēzus
imunoglobulīna ievadi. Šādi riska faktori grūtniecības laikā ir: amniocentēzes
veikšana, placentas priekšguļa, asiņošana, vēdera trauma, augļa ārējais
apgrozījums.</p><p class="MsoNormal" style="text-align: justify;">Savukārt <b>pēc dzemdībām anti rēzus imunoglobulīnu</b> ievada profilaktiski 72
stundu laikā tad, ja piedzimušais mazulis ir rēzus pozitīvs, ko nosaka, paņemot
viņa asins paraugu no placentas asinsvadiem.</p><p>
</p><p class="MsoNormal" style="text-align: justify;">Un nākošā grūtniecībā atkal viss
sākas no sākuma.</p>Baibahttp://www.blogger.com/profile/03363704270791952396noreply@blogger.com0tag:blogger.com,1999:blog-8193762127928699370.post-62219269423971278582021-01-29T20:29:00.004+02:002021-03-03T19:40:04.185+02:00Dabiskie dzelzs avoti<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://www.unlockfood.ca/EatRightOntario/media/Website-images-resized/How-to-get-more-iron-resized.jpg" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="532" data-original-width="800" height="213" src="https://www.unlockfood.ca/EatRightOntario/media/Website-images-resized/How-to-get-more-iron-resized.jpg" width="320" /></a></div><p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><b style="mso-bidi-font-weight: normal;"><u><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Dzelzs avoti.<o:p></o:p></span></u></b></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;"><o:p> </o:p></span><span style="font-family: Cambria, serif; font-size: 12pt;">Dzīvnieku valsts produkti</span><span style="font-family: Cambria, serif; font-size: 12pt;"> </span><span style="font-family: Cambria, serif; font-size: 12pt;">-</span><b style="font-family: Cambria, serif; font-size: 12pt;">gaļa</b><span style="font-family: Cambria, serif; font-size: 12pt;">,
zivis, olas.</span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;"><o:p> </o:p></span><span style="font-family: Cambria, serif; font-size: 12pt;">Visi </span><b style="font-family: Cambria, serif; font-size: 12pt;">zaļumi– </b><span style="font-family: Cambria, serif; font-size: 12pt;">spināti, salāti, nātres, jo īpaši, dīgsti u.c. Arī </span><b style="font-family: Cambria, serif; font-size: 12pt;">ogas. </b><span style="font-family: Cambria, serif; font-size: 12pt;">Nātru tēja</span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;"><o:p> </o:p></span><span style="font-family: Cambria, serif; font-size: 12pt;">Putras
– </span><b style="font-family: Cambria, serif; font-size: 12pt;">griķi, prosa</b><span style="font-family: Cambria, serif; font-size: 12pt;">. Lai prosas putra
būtu garšīgāka, graudi jānoplaucē ar vārošu ūdeni un tad jāvāra vai vienkārši
pēc uzvārīšanas katlā vismaz kādu pusstundu jāatstāj uzbriedināt</span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;"><o:p> </o:p></span><span style="font-family: Cambria, serif; font-size: 12pt;">Ar </span><b style="font-family: Cambria, serif; font-size: 12pt;">dzelzi bagāti kokteiļi</b><span style="font-family: Cambria, serif; font-size: 12pt;"> – regulāri
lietoti pārliecinoši ceļ dzelzs līmeni organismā.</span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><span></span></p><a name='more'></a><p></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV; mso-hansi-theme-font: major-latin;"><o:p> </o:p></span><span style="font-family: Cambria, serif; font-size: 12pt;">1)
biešu, īsto dzērveņu (ne lielogu) un skābāko no pieejamiem āboliem sula, kam kā
konservants pievienots medus.</span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV; mso-hansi-theme-font: major-latin;">Pēc
oriģinālieteikuma proporcijas ir 1/3, 1/3 un 1/3 glāzes. Medus - deserta
karote. Lietošana - pa ēdamkarotei 3x dienā pirms ēšanas.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV; mso-hansi-theme-font: major-latin;">2)1gl.
biešu sulas+1gl.burkānu sulas + 1gl. dzērveņu, kas sablendētas ar visām čagām +
100-200gr. medus. Tur ledusskapī un trīs reizes pa šļukai.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV; mso-hansi-theme-font: major-latin;"><o:p> </o:p></span><span style="font-family: Cambria, serif; font-size: 12pt;">3)
biešu+burkānu+ābolu sula. Pa pusglāzei pirms ēšanas.</span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV; mso-hansi-theme-font: major-latin;"><o:p> </o:p></span><span style="font-family: Cambria, serif; font-size: 12pt;">„</span><b style="font-family: Cambria, serif; font-size: 12pt;">Dzelzs bumbas”</b></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;"><span style="font-family: "Cambria","serif"; font-size: 12pt; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV; mso-hansi-theme-font: major-latin;">1)
Aptuveni glāzi, sadalot līdzīgās proporcijās, sekojošus žāvētus augļus,
riekstus un ogas - rozīnes, aprikozes, vīģes un valriekstus. Jāsasmalcina un
tam visam atkal jāpievieno medus. Jāsanāk tādai kā serenādes konfekšu masai. Ja
liekas par saldu, var pievienot dzērvenes vai citronu sulu. Rekomendējamā deva
pa tējkarotei trīsreiz dienā.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family: "Cambria","serif"; font-size: 12pt; line-height: 115%; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">2)
Valrieksti, dzērvenes, medus. Sablenderē un 3 reizes dienā pa tējkarotei lieto.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family: "Cambria","serif"; font-size: 12pt; line-height: 115%; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV; mso-hansi-theme-font: major-latin;">Vislabāk lietot <i style="mso-bidi-font-style: normal;"><u>pirms
ēšanas</u></i>.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family: "Cambria","serif"; font-size: 12pt; line-height: 115%; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV; mso-hansi-theme-font: major-latin;">Kā jau ar jebkuru dzelzs preparātu, esot svarīgi
vismaz 1 stundas pirms un 1 stundu pēc lietošanas <i style="mso-bidi-font-style: normal;"><u>neuzņemt uzturā piena produktus un tēju, kafiju</u></i>, kas traucē
dzelzs uzsūkšanos. Toties ļoti labi dzelzi <i style="mso-bidi-font-style: normal;"><u>lietot
kopā ar c vitamīnu</u></i> saturošiem produktiem – tie savukārt palīdz
uzsūkties. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family: "Cambria","serif"; font-size: 12pt; line-height: 115%; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV; mso-hansi-theme-font: major-latin;">Svarīgi - <i style="mso-bidi-font-style: normal;"><u>biešu
sulai</u></i> pēc izspiešanas vismaz 2 stundas ledusskapī <i style="mso-bidi-font-style: normal;"><u>jānostāvas</u></i>, lai izgaro kaitīgi savienojumi!!<o:p></o:p></span></p>Baibahttp://www.blogger.com/profile/03363704270791952396noreply@blogger.com0tag:blogger.com,1999:blog-8193762127928699370.post-29611810931736678552017-07-26T15:40:00.001+03:002021-02-24T18:41:06.893+02:00Dabiskie un bezrecepšu medikamenti vaginālās kandidozes jeb piena sēnes ārstēšanai<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Etioloģija</span>
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<span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Maksts piena
sēnīti izraisa baktērijas <i>Candida albicans</i> sporas, kas sastopamas gaisā
un kurām īpaši labvēlīga ir silta, mitra vide, piemēram maksts. Vismaz
piektdaļai sieviešu makstī atrodamas <i>Candida albicans</i> sporas. Ja šīs
sporas ir neaktīvā stāvoklī (snaudošās sporas) vai to skaits nav liels, tās
kontrolē tāda noderīga baktērija kā <i>Lactobacillus acidophilus</i>.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Vai <i>Candida albicans</i> šūnas parādās un pazūd,
vai arī dzīvo makstī visu laiku, nav zināms. Pētījumi liecina, ka <i>Candida</i>
makstī var dzīvot vairākus mēnešus vai pat gadus, nenodarot nekādu jūtamu
ļaunumu. Taču, ja vides dabiskais līdzsvars makstī tiek izjaukts - hormonālo
svārstību, skābuma vai cukura līmeņa izmaiņu vai citu baktēriju savairošanās
dēļ - <i>Candida</i> šūnas var pēkšņi sākt strauji augt, izraisot nepatīkamos
simptomus.</span></div>
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<a name='more'></a><br /></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Veicinošie faktori</span></div>
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<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size: xx-small;"> </span></span></span><b style="mso-bidi-font-weight: normal;">Antibiotiku</b>
terapijas laikā tiek iznīcinātas ne tikai patogēnās baktērijas, bet arī
normālās floras sastāvdaļas, arī pienskābes baktērija. Tas rada labvēlīgu vidi
sēnītes attīstībai. </div>
<div style="margin-left: 36pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";"> </span></span></span>Liels <b style="mso-bidi-font-weight: normal;">cukura</b>
un cietes patēriņš uzturā. Cukurs baro sēnītes.</div>
<div style="margin-left: 36pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";"> </span></span></span>Ir slimības, kuru ārstēšanai nepieciešama <b style="mso-bidi-font-weight: normal;">steroīdo hormonu</b> terapija. Lietojot šos
medikamentus, sēnīšu izraisītais vaginīts rodas biežāk.</div>
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<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;">Hormonālā
kontracepcija </b>ir būtisks veicinošs faktors.</div>
<div style="margin-left: 36pt; mso-list: l4 level1 lfo3; text-indent: -18pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";"> </span></span></span>Nonoksinols-9 – ķimikālija, kas ir atsevišķu <b style="mso-bidi-font-weight: normal;">prezervatīvu</b> virsmas sastāvdaļa –
veicina sēnīšu izraisītā vaginīta attīstību.</div>
<div style="margin-left: 36pt; mso-list: l4 level1 lfo3; text-indent: -18pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";"> </span></span></span><span style="mso-spacerun: yes;"></span>Prezervatīvu
lietošana ar baktericīdām piedevām, kas paredzētas dezinfekcijai dzimumakta
laikā var izjaukt normālas mikrofloras līmeni.</div>
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<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;">spirāle</b>
(pazemina lokālo imunitāti)</div>
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<b><span style="font-family: "symbol"; font-weight: normal;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";"> </span></span></span></b><b>Arī hormonālās svārstības, tai
skaitā grūtniecība.</b> Jo grūtniecības laikā mainās imunitāte, kas
vajadzīga, lai auglis varētu veiksmīgi attīstīties mātes organismā. Tas
savukārt izraisa pašai mātei palielinātu risku saslimt ar dažādām infekciju
slimībām, tostarp arī piena sēni<b><span style="font-weight: normal;"></span></b></div>
<div style="margin-left: 36pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";"> </span></span></span><b>Piena sēnes vairošanās iemesli saistīti
ar imunitātes novājināšanos</b>. Ja ilgstoša stresa vai pārslodzes dēļ
organismā pazeminās dabiskās aizsardzības spējas, tad pie pirmajiem riska
faktoriem (baseina ūdens, nepareiza intīmā higiēna, citas organisma
saslimšanas) var veidoties piena sēne.</div>
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<span style="font-family: "symbol"; font-size: 12pt;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";"> -
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Ar piena
sēnītes infekciju ir saistīts arī nedaudz pazemināts dzelzs līmenis organismā,
jo dzelzs ir nepieciešams baltajiem asinsķermenīšiem, lai cīnītos ar infekcijām.</span></div>
<div style="margin-left: 36pt; mso-list: l4 level1 lfo3; text-indent: -18pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";"> </span></span></span>Ciešas biksītes, sintētiska apakšveļa, ilgstoša
mitras, siltas vides uzturēšana veicina sēnītes pavairošanos.</div>
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<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span>Maksti viegli iespējams inficēt no taisnās
zarnas, ja tualetes papīru lieto virzienā uz maksti</div>
<div style="margin-left: 36pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";"> </span></span></span>Krāsvielas un smaržvielas, ko izmanto tualetes
papīra un ieliktnīšu ražošanā, var radīt alerģisku reakciju, kas veicina sēnīšu
izraisītā vaginīta attīstību. Tāpat arī mazgāšanas līdzekļi, mīkstinātāji,
vannas sāļi, vannas putas un intīmie dezodoranti var radīt infekciju. </div>
<div style="margin-left: 36pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span>Nekontrolēta <b style="mso-bidi-font-weight: normal;">cukura diabēta</b> gadījumā ir augsta cukura koncentrācija asinīs un
cukurs izdalās arī urīnā. Tas veicina sēnīšu infekcijas rašanos, jo šī vide ir
labvēlīga sēnītes attīstībai. </div>
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<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span>HIV</div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Klīnika </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Daži no piena sēnītes infekcijas
simptomiem var būt mainīgi un tie ir šādi: </span></div>
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<span style="font-family: "symbol"; font-size: 10pt;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">ģenitāliju
nieze</span></div>
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<span style="font-family: "symbol"; font-size: 10pt;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">vulvas vai
maksts jēlums vai dedzināšana</span></div>
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<span style="font-family: "symbol"; font-size: 10pt;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">raugam
līdzīga smaka</span></div>
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<span style="font-family: "symbol"; font-size: 10pt;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">balti
izdalījumi</span></div>
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<span style="font-family: "symbol"; font-size: 10pt;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">sāpes
urinējot</span></div>
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<span style="font-family: "symbol"; font-size: 10pt;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">bieža
urinēšana</span></div>
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<span style="font-family: "symbol"; font-size: 10pt;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">palielināti
un jutīgi limfmezgli gurnos</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Maksts
izdalījumu daudzums ne vienmēr ir tieši atbilstošs simptomu stiprumam, un dažām
sievietēm šos simptomus vēl pastiprina maksts sausums.</span></div>
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<br /></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Diagnostika<span style="mso-tab-count: 1;"> </span></span></div>
</div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Aizdomas par <i>Candida</i> infekciju var radīt
minētie simptomi, taču diagnozi var apstiprināt, veicot maksts izdalījumu
analīzi. Konstatēt <i>Candida</i> tikai pēc simptomiem un ginekoloģiskās
apskates dažkārt var būt sarežģīti, jo anaerobā vaginoze nereti rada līdzīgus
simptomus, taču šai slimībai nepieciešama cita veida ārstēšana.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Bezrecepšu medikamenti</span></div>
</div>
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<b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Pretsēnīšu preparāti</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;"> aptur sēnīšu infekcijas attīstību. Pārdod kā
vaginālās zāļu formas (svecītes un krēmi) ārīgai lietošanai, tā arī kapsulas un
tabletes iekšķīgai lietošanai. Bez receptes pārdod klotrimazola preparātus
vaginālai lietošanai.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Atkarībā no ražotāja būtiski atšķiras preparātu cenas.
Vulvīta gadījumā lieto krēmu, vaginīta – supozitoriju vai lodītes,
vulvovaginīta gadījumā – kombinētās krēmu un supozitoriju.</span></div>
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<b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;"><span style="mso-spacerun: yes;"> </span>Līdzekļi, kas
uzlabo vaginālo pH līmeni</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;"> </span></div>
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<span style="font-family: "symbol"; font-size: 10pt;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Vagisan</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;"> – vaginālās
svecītes, kuras satur pienskābi: tās atjauno normālu intīmās mikrofloras pH
(padara to skābāku, kas neļauj attīstīties sēnītēm), aptur sēnīšu attīstību un
veicina labvēlīgo baktēriju attīstību. </span></div>
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<span style="font-family: "symbol"; font-size: 10pt;"><span style="mso-list: Ignore;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Intīmās ziepes</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;"> – tās ir
speciālās intīmās ziepes vai želejas, kas ir labas sakarā ar to, ka neizjauc
veselīgas mikrofloras līdzsvaru, uzturot vajadzīgo pH līmeni, un traucē sēnīšu
infekcijas attīstību. Parastas ziepes padara pH līmeni sārmaināku un tādējādi
rada vidi sēnīšu attīstībai.</span></div>
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<b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Baktēriju
preparāti vaginālai lietošanai - t</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">ās ir vaginālās svecītes vai lodītes, kuras satur
„labās” baktērijas, kas palīdz normalizēt vaginālo. Šīs svecītes iesaka lietot
vienmēr, kad attīstījusies piena sēnīte, kā arī periodiski profilakses nolūkos,
kad ir jūtams kāds diskomforts makstī. Šie preparāti ir pieejami bez receptes
un nav kaitīgi veselībai, tie dara tikai labu organismam. </span></div>
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<b><span style="font-size: 12pt;">Labvēlīgās baktērijas vaginālai lietošanai</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "wingdings"; font-size: 10pt;"><span style="mso-list: Ignore;">§<span style="font: 7pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Floragyn Ovuli </span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 21.3pt; mso-list: l3 level3 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 14.2pt 108.0pt; text-indent: -21.3pt;">
<span style="font-family: "wingdings"; font-size: 10pt;"><span style="mso-list: Ignore;">§<span style="font: 7pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Vagilac
vaginālie supozitoriji </span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 21.3pt; mso-list: l3 level3 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 14.2pt 108.0pt; text-indent: -21.3pt;">
<span style="font-family: "wingdings"; font-size: 10pt;"><span style="mso-list: Ignore;">§<span style="font: 7pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Gyno-lact
vaginālās tabletes</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 3pt; mso-margin-top-alt: auto; text-align: justify;">
<b><span style="font-size: 12pt;">Iekšķīgi
lietojamie baktēriju preparāti - </span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">"labās" baktērijas, kas
atrodas preparātu sastāvā nodarbojas ar "slikto"
baktēriju iznīcināšanu. Šos preparātus īpaši rekomendē lietot
kopā ar antibiotikām. </span><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Lietojot šos preparātus, tie galvenokārt normalizē zarnu trakta mikrofloru,
bet tāpat ietekmē arī intīmās mikrofloras uzlabošanos. Baktēriju preparāti
(probiotikas) organismam nekaitē, bet papildus tikai uzlabo zarnu trakta
darbību, vēdera izeju un dažu vitamīnu vielmaiņu (piem., K vitamīns, kas ir
nepieciešams normālai asinsrecei), tāpēc var droši lietot ilgstoši. </span></div>
<ul type="disc"><ul type="circle"><ul type="square">
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level3 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Bifoval</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level3 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Linex</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level3 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt;"><a href="http://www.zalesinfo.lv/modules/info_category.php?name=258&type=2"><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Liveo</span></a><span style="font-family: "times new roman" , "serif"; font-size: 12pt;"></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level3 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Enterol </span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level3 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt;"><a href="http://www.zalesinfo.lv/modules/info_category.php?name=255&type=2"><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Fibrolakts</span></a><span style="font-family: "times new roman" , "serif"; font-size: 12pt;"></span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level3 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Probiotics
B</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level3 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Jogurt
kapsulas </span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level3 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Ventralgīns</span></li>
</ul>
</ul>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Preparāti,
kuri stiprina imunitāti</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt;"> </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Vāja imunitāte bieži noved pie sēnīšu infekcijām un to
biežai periodiskai atkārtošanai. Pievērsiet uzmanību preparātam Wobenzym, kuram
piemīt imunomodulējoša iedarbība un, kas palīdz cīnīties pret hroniskām
infekcijām. Tas ir labs imunomodulators, kam piemīt pretvīrusu un pretmikrobu
darbība. Tāpat kopējās veselības un imunitātes uzturēšanai ir nepieciešams
lietot vitamīnu kompleksus un arī zivju eļļu. Arī baktēriju preparāti stiprina
imunitāti, lietojot tos regulāri 1-2 mēnešu laikā. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div style="border-bottom: solid #4F81BD 1.0pt; border: none; mso-border-bottom-themecolor: accent1; mso-element: para-border-div; padding: 0cm 0cm 4pt;">
<div class="MsoTitle">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Dabiski ārstēšanas līdzekļi </span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Nomērdē
tās badā!</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;"> Sēnei vislabāk garšo cukurs. Pētījumos noskaidrots,
ka sievietēm ar hronisku kandidozi cukurs no organisma izdalās lēnāk. Tāpēc
cīņā pret nepatīkamo kaiti no uztura ir jāizslēdz visu veidu cukurs —
saldumi, medus, svaigi un žāvēti augļi, augļu sulas. Akūtā stāvoklī nevēlams ir
arī piens, balto miltu izstrādājumi, raugs un it īpaši — alkohols. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Ķiplokam</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">
ir pretsēnīšu, pretmikrobu iedarbība. Var ievietot ķiploku daiviņu makstī uz
nakti</span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">, ja nerodas
nepatīkamas sajūtas.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Iesaka izmantot dažas
pilītes eļļas esences skalošanai vai vanniņām, tamponiem. Īpaši ieteicama <b style="mso-bidi-font-weight: normal;">lavandas eļļa</b>, var arī <b style="mso-bidi-font-weight: normal;">tējas koka eļļu</b> vai <b style="mso-bidi-font-weight: normal;">kumelītes</b>. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Raudenei</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">
ir ļoti spēcīga pretsēnīšu iedarbība. Tā var iznīcināt pat rezistentās formas!
Grūtniecības laikā lietot ar piesardzību.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Ābolu
etiķis</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">. Ielej 3 glāzes ābolu etiķa siltā vanniņā un vismaz
20 minūtes mērcēties, ļaujot ūdenim iekļūt makstī. Šādas vanniņas un skalošana
ļauj atjaunot normālu maksts vides skābumu. Normāls skābums palīdz tikt galā ar
sēnītēm, trihonomām un gardnerellām.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Parūpējies par <b style="mso-bidi-font-weight: normal;">draudzīgajām baktērijām</b>. Ņem palīgā
jogurta kapsulas un nesaldinātus skābpiena bioproduktus — jogurtu, lakto,
kefīru, rūgušpienu, biezpienu utt. Acidofilās, bifidobaktērijas lakto
baktērijas ir „labo” baktēriju piemēri. Var lietot arī vagināli.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Vārgs ķermenis ir
viegli ieņemams objekts. Stiprini pozīcijas ar gaļu un zivīm, olām un
dārzeņiem, riekstiem un olīveļļu. Vitamīnus labāk lietot gada tumšajā laikā,
savukārt pavasarī ēdienkarti papildini ar diedzētiem graudiem un visu to, ko
dod mūsu — bērzu sulām, asniem, pumpuriem. Dzer nesaldinātas zāļu tējas (tikai
ne skābās) un minerālūdeni bez gāzes. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Svarīgi <b style="mso-bidi-font-weight: normal;">vitamīni un minerālvielas</b> ir – magnijs,
B6, cinks, nepiesātinātās taukskābes (linsēklu eļļā vai zivju eļļā), A
vitamīns.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Ieteicams dzert <b style="mso-bidi-font-weight: normal;">Eihinaceju</b> 1,000 mg, 4 reizes dienā vai
1/2 tējkaroti Eihinacejas tinktūru. Ehinaceja uzlabo imūnsistēmas darbību. Ar
eihinacejas uzlējumu var arī skalot maksti, 7 dienas. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Citrosept
</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">arī<b style="mso-bidi-font-weight: normal;"> </b>uzlabo imūnsistēmas darbību, kā arī
darbojas pret sēnītēm. Tomēr tā lietošana ir īstermiņa terapija – 2-3 nedēļas
maksimums.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div style="border-bottom: solid #4F81BD 1.0pt; border: none; mso-border-bottom-themecolor: accent1; mso-element: para-border-div; padding: 0cm 0cm 4pt;">
<div class="MsoTitle">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Profilakse</span></div>
</div>
<div class="MsoNormal" style="tab-stops: list 1.0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Valkāt
kokvilnas apakšveļu, izvairīties no sintētikas.</span></div>
<div class="MsoNormal" style="tab-stops: list 1.0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Ierobežot
cukura patēriņu. </span></div>
<div class="MsoNormal" style="tab-stops: list 1.0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Lietot
nearomatizētu tualetes papīru un veļas pulveri.</span></div>
<div class="MsoNormal" style="tab-stops: list 1.0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Nelietot
intīmos dezodorantus, pūderus u.c. Ar ikdienas apmazgāšanos pietiek.</span></div>
<div class="MsoNormal" style="tab-stops: list 1.0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Mazgāt
rokas un ķermeni pirms un pēc intīmās tuvības ar vīru (tas ietver attiecības
tikai ar vienu vīrieti).</span></div>
<div class="MsoNormal" style="tab-stops: list 1.0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Ēst
ik dienas skābpiena produktus (jogurtu) ar dzīvām baktērijām.</span></div>
<div class="MsoNormal" style="tab-stops: list 1.0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">Ēst
ķiplokus un rūpēties lai uzturs saturētu gan ogļhidrātus, gan šķiedrvielas no
dārzeņiem, augļiem un pākšaugiem.</span></div>
<div class="MsoNormal" style="tab-stops: list 1.0cm; text-align: justify;">
<br /></div>
<div style="border-bottom: solid #4F81BD 1.0pt; border: none; mso-border-bottom-themecolor: accent1; mso-element: para-border-div; padding: 0cm 0cm 4pt;">
<div class="MsoTitle">
<a href="https://www.blogger.com/null" name="_Toc245179803"><span style="font-family: "times new roman" , "serif";">Izmantotā
literatūra:</span></a><span style="font-family: "times new roman" , "serif";"></span></div>
</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; margin: 12pt 0cm 10pt; mso-add-space: auto; mso-list: l2 level1 lfo5; tab-stops: list 21.3pt; text-align: justify; text-indent: 0cm;">
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Stentona R. Veselīga uztura
rokasgrāmata, Jumava, 2010, 424 lpp.<br /><span style="mso-list: Ignore;">2.<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Duke J.A. The Green Pharmacy. Rodale
Press Inc., 1997, pp.617.<br /><span style="mso-list: Ignore;">3.<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Parker Sh. The Naturally Healthy Woman,
Loyal Publishing, Inc., 2001, pp.247<br /><span style="mso-list: Ignore;">4.<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Shannon M.M. Fertility,
Cycles&Nutration, 2009, pp.322.<br /><span style="mso-list: Ignore;">5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Susan S.Weed. Wise Woman Herbal for the
Childbearing year. Ash Tree Publishing, 1986, pp.171.<br /><span style="mso-list: Ignore;">6.<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Vilciņa, I.Adamss. Nelec stāvus Daugavā
jeb kā nesakasīties ar piena sēnīti, «Lilit» , 2005<br /><span style="mso-list: Ignore;">7.<span style="font: 7pt "Times New Roman";">
</span></span></span><a href="http://woman.delfi.lv/health/medicine"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%; text-decoration: none;">http://woman.delfi.lv/health/medicine</span></a><br />
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"><span style="mso-list: Ignore;">8.<span style="font: 7pt "Times New Roman";">
</span></span></span><a href="http://www.pienasene.lv/"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%; text-decoration: none;">www.pienasene.lv</span></a><br />
<span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"><span style="mso-list: Ignore;">9.<span style="font: 7pt "Times New Roman";">
</span></span></span><a href="http://www.zalesinfo.lv/"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%; text-decoration: none;">www.zalesinfo.lv</span></a><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"></span></div>
</div>
Baibahttp://www.blogger.com/profile/03363704270791952396noreply@blogger.com0tag:blogger.com,1999:blog-8193762127928699370.post-10468923904056367832015-06-09T00:30:00.001+03:002021-03-03T19:32:31.176+02:00Mīlestības hormons - oksitocīns<div dir="ltr" style="text-align: left;" trbidi="on">
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<div style="text-align: justify;">
<div class="separator" style="clear: both; text-align: center;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjG20ZWvHTJhAcDCYcE3mGORHzslsiZakO_LCsg2SSJ4cHB5SVHb1B2jBkEexyOyxaGq-_XPSO9MDBFJPY4xV-zxCp59vOvAE0ddVjVL7Yrkwxpy9FBMs0SLKmQUMfKnpf7HAWOXsVoWRI/" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="450" data-original-width="800" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjG20ZWvHTJhAcDCYcE3mGORHzslsiZakO_LCsg2SSJ4cHB5SVHb1B2jBkEexyOyxaGq-_XPSO9MDBFJPY4xV-zxCp59vOvAE0ddVjVL7Yrkwxpy9FBMs0SLKmQUMfKnpf7HAWOXsVoWRI/" width="320" /></a></div><br /><br /></div>
<a href="https://www.blogger.com/blogger.g?blogID=8193762127928699370" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a>Ar
grūtniecību un dzemdībām ir saistīti daudzi hormoni (mēs tos jūtam savā ķermenī
darbojamies, vai ne?), bet ļoti īpašs un svarīgs ir hormons <b style="mso-bidi-font-weight: normal;"><u>oksitocīns</u></b>. To pazīst arī kā <b style="mso-bidi-font-weight: normal;">mīlestības hormonu</b> un tas izdalās ne
tikai seksuālās tuvības brīdī, ne tikai esot tuvumā, bet pat tikai domājot par
savu mīļoto. Un šīs hormons nevienā citā dzīves brīdī nav tik augstā līmenī kā
grūtniecības, bet jo īpaši – dzemdību laikā. </div>
<a name='more'></a>Tāpēc šis laiks ir īpaši saistīts ar
mūsu seksualitāti un dzemdības var būt arī baudpilns notikums.<a href="https://www.blogger.com/blogger.g?blogID=8193762127928699370#_ftn1" name="_ftnref1" style="mso-footnote-id: ftn1;" title=""><span class="MsoFootnoteReference"><span style="mso-special-character: footnote;"><span class="MsoFootnoteReference"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-ansi-language: LV; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">[1]</span></span></span></span></a>
Oksitocīna ietekmē dzemdībās laiks var kļūt relatīvs, līdzīgi kā mīlējoties.<br />
<div style="text-align: justify;">
Oksitocīns ir arī <b style="mso-bidi-font-weight: normal;">piesaistes hormons</b>, kas veido īpašu piesaisti ar mūsu mīļoto
cilvēku un dzemdību laikā un tūlīt pēc tām – īpašu piesaisti ar mūsu
jaundzimušo. Vēl vairāk – oksitocīns veicina tik īpašu piesaisti, kad
sinhronizējas mīlētāju elpošana, sirdsdarbība un smadzeņu viļņi. Un tie, kas ir
klāt dzemdības to var piedzīvot – ja ir mīloši, atvērti un bez bailēm. </div>
<div style="text-align: justify;">
No otras puses, kas notiek, ja vai nu māte vai
tie, kas ir klāt dzemdībās ir baiļu pilni? Izdalās stresa hormons adrenalīns.
Adrenalīns savelk dzemdes šķērsmuskulatūru, tai skaitā dzemdes kaklā, kam jābūt
atbrīvotam, lai varētu atvērties. Tas savukārt noved pie palielinātām sāpēm un
samazinātu asins cirkulāciju, kas savukārt var izsaukt augļa distresu. Pretēji
tam, oksitocīns savelk dzemdes garenās šķiedras, kas stiprinās dzemdes kaklam,
kas savukārt, ja nav saspringts, viegli atveras.</div>
<div style="text-align: justify;">
Tātad atslēga, lai piedzīvotu spontānas,
baudpilnas dzemdības, ir <b style="mso-bidi-font-weight: normal;">izvairīties no
visa, kas traucē oksitocīna izdali</b>. Ne tikai bailes, bet arī stress,
nemiers, raizes, stimulē adrenalīna izdali. Tāpat, ja baidāmies par savu
drošību vai mūs novēro, oksitocīna izdale samazinās. Tieši tādēļ arī augļa
sirdsdarbības un dzemdes darbības ilgstoša monitorēšana un biežas vaginālās
apskates var būtiski traucēt šī brīnišķīgā hormona izdalei. Būtībā jebkādi
kairinājumi , kas stimulē smadzeņu garozu (tādi kā spilgta gaisma, jautājumu
uzdošana, sačukstēšanās utt.) ietekmē oksitocīna izdali, min Elizabete Deivisa.
Ļoti līdzīgi kā mīlējoties, tā dzemdējot – privāta, netraucēta vide ir būtiski
svarīga.</div>
<div style="text-align: justify;">
<b>Dzemdībām piemērota, oksitocīna izdali
veicinoša vide - būtiska:</b><br />
Radi vidi, lai vari „ieiet dzemdību zemē” – mūzika, sveces, neliela gaismiņa,
kāda skaista bildīte, filma utt. Palīdzēs viss, kas ļauj justies romantiski un mīlētai. Tāpat svarīgi ir labi paēst, lai pietiktu spēks un
enerģija dzemdību maratonam un kaut ko tādu, kas tiešām ļoti garšo. Lēnām un ar
baudu ēdot arī oksitocīns izdalās! Arī citādi varam darīt visu, kas palielina
šī jaukā hormona izdali. Izvairāmies no stresa un pārmērīgas darbošanās, bet
toties varam glāstīt viens otru, izmasēt rokas un kājas, skūpstīties un jebko
citu, kas palīdz mīlestības enerģijai cirkulēt. </div>
<div style="text-align: justify;">
<b>Mājas darbs </b><span style="mso-bidi-font-weight: bold;"></span></div>
<div style="text-align: justify;">
Pārdomāt un praktiski izmēģināt – kas man palīdz
radīt oksitocīnu izdalošu noskaņu? Kas man palīdz mīlēt un justies mīlētai, kas
?</div>
<div style="mso-element: footnote-list;">
<br clear="all" />
<hr align="left" size="1" width="33%" />
<div id="ftn1" style="mso-element: footnote;">
<div class="MsoFootnoteText">
<a href="https://www.blogger.com/blogger.g?blogID=8193762127928699370#_ftnref1" name="_ftn1" style="mso-footnote-id: ftn1;" title=""><span class="MsoFootnoteReference"><span style="mso-special-character: footnote;"><span class="MsoFootnoteReference"><span face=""Calibri","sans-serif"" style="font-size: 10pt; line-height: 115%; mso-ansi-language: LV; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">[1]</span></span></span></span></a> Davis
E., Pascali-Bonaro D. <i style="mso-bidi-font-style: normal;">Orgasmic birth:
your guide to a safe, satisfying and pleasurable birth experience</i>. USA,
2010</div>
</div>
</div>
</div>
Baibahttp://www.blogger.com/profile/03363704270791952396noreply@blogger.com0tag:blogger.com,1999:blog-8193762127928699370.post-91314600993297649272015-06-08T22:11:00.005+03:002015-06-09T00:07:44.305+03:00Epidurālā analgēzija dzemdībās<div dir="ltr" style="text-align: left;" trbidi="on">
Studējot par vecmāti, 2011.g. tapa arī neliels rakstiņš par epidurālo analgēziju dzemdībās. Ielieku šeit, varbūt, ka kādam noder informācijai un lēmumu pieņemšanai.<br />
<br />
<a name='more'></a><br />
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<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Epidurālā
analgēzija (EA) – biežākais anestēzijas veids dzemdībās.</span></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">EA ir visplašāk lietotais anestēzijas
veids dzemdību laikā. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">ASV 2006.gadā 76% sieviešu dzemdībās
izmantoja epidurālā anestēziju, 45% Kanādā.</span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Nedaudz par anestēziju veidiem dzemdībās
Latvijā pastāsta sekojoša tabula (Nacionālā veselības dienesta pētījums „Mātes
un bērna veselība 2009”).</span></div>
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<div class="Default">
<b><span style="font-family: "Times New Roman","serif";">ANALGĒZIJA
DZEMDĪBĀS Latvijā </span></b><span style="font-family: "Times New Roman","serif";"></span></div>
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<span style="font-family: "Times New Roman","serif";">Statistiskais
reģions </span></div>
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<span style="font-family: "Times New Roman","serif";">Analgēzija, %</span></div>
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<span style="font-family: "Times New Roman","serif";">spinālā, epidurālā</span></div>
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<span style="font-family: "Times New Roman","serif";">lokālā</span></div>
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<span style="font-family: "Times New Roman","serif";">intravenozā</span></div>
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<span style="font-family: "Times New Roman","serif";">endotraheālā</span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif";">2008 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2009 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2008 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2009 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2008 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2009 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2008 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2009 </span></div>
</td>
</tr>
<tr style="height: 4.75pt; mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="Default">
<b><span style="font-family: "Times New Roman","serif";">LATVIJA
</span></b><span style="font-family: "Times New Roman","serif";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<b><span style="font-family: "Times New Roman","serif";">26,0 </span></b><span style="font-family: "Times New Roman","serif";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<b><span style="font-family: "Times New Roman","serif";">27,5 </span></b><span style="font-family: "Times New Roman","serif";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<b><span style="font-family: "Times New Roman","serif";">5,0 </span></b><span style="font-family: "Times New Roman","serif";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<b><span style="font-family: "Times New Roman","serif";">5,2 </span></b><span style="font-family: "Times New Roman","serif";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<b><span style="font-family: "Times New Roman","serif";">2,3 </span></b><span style="font-family: "Times New Roman","serif";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<b><span style="font-family: "Times New Roman","serif";">1,8 </span></b><span style="font-family: "Times New Roman","serif";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<b><span style="font-family: "Times New Roman","serif";">1,8 </span></b><span style="font-family: "Times New Roman","serif";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<b><span style="font-family: "Times New Roman","serif";">1,8 </span></b><span style="font-family: "Times New Roman","serif";"></span></div>
</td>
</tr>
<tr style="height: 4.75pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="Default">
<span style="font-family: "Times New Roman","serif";">Rīgas </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">37,4 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">39,0 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">4,0 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">3,7 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,5 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,5 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,4 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,3 </span></div>
</td>
</tr>
<tr style="height: 4.75pt; mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="Default">
<span style="font-family: "Times New Roman","serif";">Pierīgas
</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">21,8 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">26,8 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">1,5 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,6 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2,9 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">1,6 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">6,7 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">8,7 </span></div>
</td>
</tr>
<tr style="height: 4.7pt; mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 4.7pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="Default">
<span style="font-family: "Times New Roman","serif";">Vidzemes
</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">12,1 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">14,2 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,9 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,0 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">8,1 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">4,4 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,6 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.7pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,6 </span></div>
</td>
</tr>
<tr style="height: 4.75pt; mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="Default">
<span style="font-family: "Times New Roman","serif";">Kurzemes
</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">16,8 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">17,5 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">17,1 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">19,7 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2,6 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">3,1 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2,4 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2,3 </span></div>
</td>
</tr>
<tr style="height: 4.75pt; mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="Default">
<span style="font-family: "Times New Roman","serif";">Zemgales
</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">20,4 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">19,1 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,5 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,0 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">3,2 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2,8 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">1,6 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">0,3 </span></div>
</td>
</tr>
<tr style="height: 4.75pt; mso-yfti-irow: 9; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="Default">
<span style="font-family: "Times New Roman","serif";">Latgales
</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">16,4 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">17,7 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">7,0 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">9,9 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2,2 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">1,9 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">2,0 </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="Default">
<span style="font-family: "Times New Roman","serif";">1,5 </span></div>
</td>
</tr>
</tbody></table>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pēc ārsta anesteziologa-reanimatologa
Egīla Lapiņa datiem P. Stradiņa KUS dzemdību nodaļā 2010. gadā EA
tika izmantota 20,2 % no visām dzemdībām.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ņemot vērā šīs metodes popularitāti,
vēlējos izpētīt kā tā notiek un kādus riskus tā sevī ietver. Pozitīvais ir
skaidrs – efektīva sāpju noņemšana dzemdībās.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div style="border-bottom: solid #4F81BD 1.0pt; border: none; mso-border-bottom-themecolor: accent1; mso-element: para-border-div; padding: 0cm 0cm 4.0pt 0cm;">
<div class="MsoTitle">
<span style="font-size: large;"><span style="font-family: "Times New Roman","serif";">Epidurālā
analgēzijas veikšana</span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Veicot epidurālo anestēziju, pacientes
stāvoklis ir guļus uz sāniem vai sēdus ar maksimāli izliektu mugurkaulu jostas daļā.
Anatomiskie orientieri ir līnija, kas savieno procesus spinosus, un līnija, kas
savieno spina iliaca posterior superior (L4 skriemelis), pēc kuras nosaka vajadzīgo
starpskriemeļu spraugu (parasti L3-L4 vai L4-L5). Punkcijas vieta – punkts
starp procesus spinosus pa viduslīniju.</span><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.asfv.net/images/labor-epidural.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://www.asfv.net/images/labor-epidural.jpg" height="208" width="320" /></a></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<a href="https://www.blogger.com/blogger.g?blogID=8193762127928699370" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Epidurālās telpas punktēšanai labāk
izmantot metodi ar šķidruma ievadi. Gaisa izmantošana rezistences zaudēšanas
testā dzemdētājai var būt saistīta ar paaugstinātu gāzu emboliju risku. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Lai nenomāktu dzemdību darbību un
dzemdētājas aktivitāte nebūtu ierobežota, lieto vājas koncentrācijas
anestēzijas vielas. Nav vēlama priekšlaicīga epidurālā katetra ievadīšana
(pirms aktīvas dzemdību darbības sākuma un dzemdes kala atvēruma 5-6 cm
pirmdzemdētājai un 3-4 cm atkārtotu dzemdību gadījumā), jo tas var nomākt
dzemdību darbību.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Biežāk
izmantotais medikaments epidurālā anestēzijā ir bupivakaīns. Analgēziju var
uzlabot, pievienojot nelielu opioīdu devu, piemēram, fentanilu (2-3 mkg/ml). </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
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<div class="MsoTitle">
<span style="font-size: large;">Iespējamie riski</span></div>
</div>
<h2>
<span style="font-size: small;">EA un dzemdību darbība </span></h2>
<div class="MsoNormal" style="mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Epidurālā
anestēzija var saistīties ar neizdevušos dabisku rotāciju līdz pakauša
priekšguļai. Tā var palēnināt arī dzemdību otro periodu un pavājināt mātes
stumšanas mēģinājumus. Šie apstākļi var stimulēt instrumentālas dzemdības.
Sievietēm, kurām tika izmantota epidurālā anestēzija, bija <span style="mso-bidi-font-weight: bold;">divkārt<b> </b></span>palielināts stangu
izmantošanas rādītājs salīdzinājumā ar tām, kurām tika izmantoti intravenozie
atsāpināšanas līdzekļi - attiecīgi 13% un 7%.<i><span style="color: black;"></span></i></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Medicīniski
pētījumi liecina, ka epidurālā analgēzija dzemdību laiku var nedaudz pagarināt.
Pirmo periodu vidēji par 42 minūtēm un otro periodu par 12 minūtēm. </span></div>
<h2>
<span style="font-size: small;">EA un māte </span></h2>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">EA var
neiedarboties. Reti, bet var būt situācijas, kad anatomisku īpatnību dēļ
neizdodas epidurālā katetra ievietošana. Tad anesteziologs piedāvās citu
analgēzijas veidu. Biežāk sastopas ar situācijām, kad sāpes saglabājas vienā
ķermeņa pusē vai atsevišķā punktā. </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">21 no 29
sievietēm pēc lokālās anestēzijas ievadīšanas ir novērojama hipotenzija, kuras
rezultātā samazinās arī placentārā asinsapgāde (Hall un kolēģi, 1994).</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Izmantojot
spinālo anestēziju, ir jārēķinās ar urīnpūšļa darbības traucējumiem, īpaši pirmajās
stundās pēc dzemdībām.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Iespējamie
riski mātei ir daudzveidīgi -<span style="mso-spacerun: yes;"> </span>sākot no
nenozīmīga diskomforta jostas apvidū dažas dienas pēc dzemdībām un beidzot ar
pacientes nāvi. </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Epidurālās
analgēzijas laikā var parādīties ādas nieze, paaugstināties ķermeņa temperatūra.
Ja katetrs aizskar muguras nervus, var būt īslaicīga, parasti pārejoša
tirpšana, dažreiz var būt sāpes kājās vai gurnos. Ja anesteziologs ir veicis
kļūdainu punkciju, 24–48 stundu laikā var attīstīties tā saucamās
pēcpunkcijas galvassāpes. Tās ir viegli nosakāmas, ne tik viegli ārstējamas,
tomēr izārstējamas. </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Daudz retāk
(1:50 000–1:100 000) iespējami nopietnāki sarežģījumi: asinsizplūdums
muguras smadzenēs vai muguras smadzeņu iekaisums. Šie ir ārkārtīgi nopietni,
taču, ja laikus pamanīti, parasti ar ķirurģisku iejaukšanos novēršami
sarežģījumi. Ir iespējamas, bet nav raksturīgas alerģiskas reakcijas no
epidurāli ievadāmajiem medikamentiem</span></div>
<h1>
<span style="font-size: small;">Būtu jāievēro sekojoši fakti</span></h1>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Pats
būtiskākais faktors, kas tiek saistīts ar mātes mirstības rādītājiem anestēzijas
izmantošanas gadījumos, ir anesteziologa pieredze.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Atsāpināšanai
būtu jāievēro šādi drošības pamatprincipi: vienkāršība, drošība un augļa homeostāzes
saglabāšana.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Dzemdību
laikā ir dodama priekšroka mazām regulārām atsāpinošo preparātu devām, nevis vienreizējām
lielām devām, kas tiek ievadītas retāk.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">Epidurālā
anestēzija sievietēm, kuras dzemdē otro un nākamos bērnus, aktīvu strauju
dzemdību gadījumā nav pielietošanas vērta nedz no riska, nedz izmaksu viedokļa.</span></div>
<h1>
<span style="font-size: small;">EA un bērns</span></h1>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">•
Medikamenta negatīvā ietekme uz augli visbiežāk ir novērojama brīdī, kad
atsāpinošais līdzeklis mātes organismā ir iedarbojies pilnībā. Visbiežāk augļa
problēmas būs novērojamas 2-3 stundas pēc atsāpinošā preparāta ievadīšanas.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">• Piemēram,
Meperidīns šķērso placentu. Mātes organismā šī medikamenta eliminācijas
pusperiods iestājas pēc 2 1/2 stundām, salīdzinājumā ar bērna organismu, kurā
šis pats medikaments eliminācijas pusperiodu sasniedz tikai pēc 13 stundām.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">• Bez
izņēmumiem - preparāti, kas ietekmē dzemdējošās sievietes nervu sistēmu, šķērso
placentu un ietekmē arī augļa centrālo nervu sistēmu.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">• Galvenās
reģionālās anestēzijas blaknes skar centrālo nervu sistēmu un sirds-asinsvadu
sistēmu. Sirds-asinsvadu sistēmas komplikācijas parādās vēlāk kā centrālās
nervu sistēmas komplikācijas. Abiem komplikāciju veidiem ir raksturīga
attiecīgās sistēmas darbības stimulācija, kurai seko tās darbības nomākums.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: LV;">• Augļa
bradikardija ir visbiežāk novērotā komplikācija - 10 - 70% paracervikālo bloku
gadījumos. Bradikardija visbiežāk attīstās 10 - 30 minūšu laikā pēc anestēzijas
vielu ievadīšanas sievietes organismā. Vairāki pētnieki ir norādījuši, ka šādas
bradikardijas cēlonis nav augļa asfiksija. Tā ir pārejoša un piedzimšanas brīdī
jaundzimušais visbiežāk ir mundrs.</span></div>
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<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt;">• <span style="mso-spacerun: yes;"> </span>Viens no biežākajiem
samazinātas augļa sirdstoņu variabilitātes iemesliem ir analgētiskie (pretsāpju)
preparāti, kas tiek izmantoti dzemdību laikā.</span></div>
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<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt;">• <span style="mso-bidi-font-weight: bold;">Vēlīna decelerācija<b> </b></span>ir
saistīta ar uteroplacentāro nepietiekamību. Visbiežāk tai neseko akcelerācija.
Visbiežāk vēlīnas decelerācijas izraisa epidurālā analgēzija un oksitocīna izraistīta
dzemdes hiperstimulācija. </span></div>
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<span style="font-size: large;">Secinājumi</span></div>
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<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt;">Epidurālā anelgēzija ir efektīvākais dzemdību atsāpināšanas
līdzeklis, tomēr ir nopietni jāizsver iespējamie ieguvumi un iespējamie riski,
pieņemot lēmumu par EA izmantošanu dzemdībās.</span></div>
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<span style="font-size: large;">Izmantotā literatūra</span></div>
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<span style="color: #3d0d00; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><a href="http://www.kastanis.org/"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">www.kastanis.org</span></a><span style="color: #3d0d00; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> </span></div>
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<span style="color: #3d0d00; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Doctus, Augusts 2006. </span><a href="http://www.doctus.lv/"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">www.doctus.lv</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">
<span style="color: #3d0d00;"></span></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Egīls
Lapiņš „Epidurālā anestēzija (analgēzija) dzemdībās”, <span style="mso-spacerun: yes;"> </span></span><a href="http://www.calis.lv/"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">www.calis.lv</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">
</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Nacionālās
veselības dienests „Mātes un bērna veselība 2009”.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">J.Vanderlaan
„The Christian Childbirth Handbook” , 2008.</span></div>
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<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-style: italic;">Williams
Obstetrics, 23rd Edition, The McGraw-Hill Companies, Inc.,2010</span></div>
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Baibahttp://www.blogger.com/profile/03363704270791952396noreply@blogger.com1tag:blogger.com,1999:blog-8193762127928699370.post-88809277987572915762013-05-25T14:12:00.000+03:002013-05-25T16:17:36.124+03:00Mīlestības telpa<div dir="ltr" style="text-align: left;" trbidi="on">
Bērni - tā ir īpaša Dieva dāvana un svētība par ko priecājos satiekoties ar katru no māmiņām.<br />
<br />
<a href="https://www.breastfeeding.asn.au/sites/default/files/imce/pregnant_heart_hands_web.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://www.breastfeeding.asn.au/sites/default/files/imce/pregnant_heart_hands_web.jpg" /></a>Par savu misiju uzskatu, lai arvien vairāk ģimenēm izdotos piedzīvot dzemdības kā brīnišķīgu notikumu, ko gribētos atkārtot vēl!<br />
<br />
Lai mīlestības kļūst arvien vairāk visapkārt mums!<br />
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Baibahttp://www.blogger.com/profile/03363704270791952396noreply@blogger.com0