{"id":901,"date":"2023-06-23T09:24:19","date_gmt":"2023-06-23T06:24:19","guid":{"rendered":"https:\/\/kildosklinika.lt\/?p=901"},"modified":"2025-01-08T10:32:28","modified_gmt":"2025-01-08T08:32:28","slug":"mamografija-ar-krutu-echoskopija","status":"publish","type":"post","link":"https:\/\/kildosklinika.lt\/en\/straipsniai\/mamografija-ar-krutu-echoskopija\/","title":{"rendered":"Mamografija ar kr\u016bt\u0173 echoskopija?"},"content":{"rendered":"<h5 style=\"text-align: center;\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 12pt;\"><strong>Kr\u016bt\u0173 mamografijos tyrimas<\/strong><\/span><\/h5>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\">Mamograma yra vienas i\u0161 svarbiausi\u0173 kr\u016bt\u0173 lig\u0173 tyrim\u0173. Jis atliekamas mamografu, naudojant rentgeno spindulius, tokiu b\u016bdu i\u0161gaunant detal\u0173 kr\u016bties vaizd\u0105. \u0160io tyrimo tikslas &#8211; aptikti \u012fvairius kr\u016bt\u0173 pakitimus. Moterims, jaunesn\u0117ms nei 35 met\u0173, vietoj mamografijos da\u017eniau taikomas ultragarsinis tyrimas. Mamografinis tyrimas profilakti\u0161kai atliekamas <strong>nemokamai<\/strong> (kompensuojamas i\u0161 Privalomojo sveikatos draudimo fondo (PSDF) l\u0117\u0161\u0173) <strong>kart\u0105 per 2 metus moterims nuo 45 met\u0173 iki 74 met\u0173 (imtinai), apdraustoms Privalomuoju sveikatos draudimu ir turin\u010dioms \u0161eimos gydytojos siuntim\u0105.<\/strong>\u00a0<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\">Esant nusiskundimams, ar pakitimams, gali b\u016bti rekomenduojama atlikti tiek mamografij\u0105, tiek ultragarsin\u012f kr\u016bt\u0173 tyrim\u0105. Esant neai\u0161kumams, gydytojas gali papildomai atlikti ir darinio kr\u016btyje biopsij\u0105 &#8211; plona adat\u0117le darinys punktuojamas ir histologi\u0161kai tiriama punkcijos metu gauta med\u017eiaga.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\"><strong><em>Mamografijos privalumai ir tr\u016bkumai<\/em><\/strong><\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\"><strong><em>Privalumai:<\/em><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Tai jautrus ir specifi\u0161kas tyrimas, kuriuo galima aptikti iki 85\u201390% kr\u016bties v\u0117\u017eio atvej\u0173, aptinkami mikrokalcinatai, ma\u017eesni nei 0,5mm;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Galima aptikti augl\u012f dvejais metais anks\u010diau nei jis bus ap\u010diuopiamas;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Ap\u0161vitinimo rentgeno spinduliais kiekis yra nedidelis ir ma\u017eai kenksmingas, palyginti su tyrimo teikiamais privalumais;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Mamografijos vaizdus vertina du vienas nuo kito nepriklausomi gydytojai radiologai, tai padidina tikimyb\u0119 nepraleisti ir laiku aptikti esan\u010dius pakitimus kr\u016btyse.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\"><strong><em>Tr\u016bkumai:<\/em><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Ne taip efektyviai aptinkami augliai moterims, jaunesn\u0117ms nei 30 met\u0173, nes j\u0173 liaukinis kr\u016bt\u0173 audinys yra daug tankesnis;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Proced\u016bros metu kr\u016btis yra suspaud\u017eiama, tod\u0117l jau\u010diami nemalon\u016bs poj\u016b\u010diai tyrimo metu;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Neigiamas atsakymas ne visada rei\u0161kia, jog v\u0117\u017eio n\u0117ra;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Net ir atliekant mokam\u0105 tyrim\u0105 (nepatenkant \u012f profilaktin\u0117s kr\u016bt\u0173 programos am\u017eiaus ribas) siuntimas bet kokiu atveju reikalingas.<\/span><\/li>\n<\/ul>\n<h5 style=\"text-align: center;\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 12pt;\"><strong><em>Kr\u016bt\u0173 tyrimas ultragarsu<\/em><\/strong><\/span><\/h5>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\">Ultragarsinis tyrimas atliekamas naudojant auk\u0161to da\u017enio garso bangas, kurio metu matomas gili\u0173j\u0173 kr\u016bt\u0173 audini\u0173 atvaizdas, ap\u017ei\u016brimi esantys ar besiformuojantys pakitimai. Ultragarso tyrimo prana\u0161umas, lyginant su mamografija, yra tas, jog \u012ftarus kr\u016bties v\u0117\u017e\u012f tyrimo metu galima sukurti \u012ftartino darinio vaizd\u0105 i\u0161 \u012fvairi\u0173 pozicij\u0173 ir \u012fvertinti j\u012f visapusi\u0161kai.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\">Ultragarso tyrimas yra papildomas ir labai vertingas vaizdin\u0117s diagnostikos \u012frankis. Svarbus tyrimo ultragarsu privalumas yra tame, jog juo galima ai\u0161kiai atskirti nepiktybin\u012f darin\u012f, pvz., cist\u0105 ir piktybin\u012f augl\u012f, kurie mamogramoje neretai atrodo labai pana\u0161iai. Deja, ultragarsu ne\u012fmanoma aptikti kalcinat\u0173.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\"><strong><em>Ultragarsinio tyrimo privalumai ir tr\u016bkumai<\/em><\/strong><\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\"><strong><em>Privalumai<\/em><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Saugus, neskausmingas, neinvazinis kr\u016bties i\u0161tyrimo metodas;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Nenaudojami rentgeno spinduliai;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Vaizdas i\u0161gaunamas akimirksniu, esan\u010dius darinius galima steb\u0117ti i\u0161 \u012fvairi\u0173 pozicij\u0173;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Ai\u0161kiai parodo skirtum\u0105 tarp cist\u0173 ir piktybini\u0173 darini\u0173;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Gali b\u016bti naudojamas, norint atlikti darinio biopsij\u0105.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\"><strong><em>Tr\u016bkumai:<\/em><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Ne toks i\u0161samus kaip mamografinis tyrimas;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Paprastai negali aptikti smulki\u0173 kalcinat\u0173 darini\u0173;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Skirtingiems gydytojams atliekant t\u0105 pat\u012f tyrim\u0105 galimi klaidingi rezultat\u0173 vertinimai;<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;\">Rezultat\u0173 patikimumas visi\u0161kai priklauso nuo tyrim\u0105 atliekan\u010dio gydytojo profesionalumo.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\"><strong><em>Kaip atliekamas tyrimas ultragarsu?<\/em><\/strong><\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\">Ultragarsinio tyrimo metu J\u016bs\u0173 papra\u0161ys atsigulti ant nugaros ir pakelti rankas prie galvos. Tokioje k\u016bno pad\u0117tyje j\u016bs\u0173 kr\u016btis suplok\u0161t\u0117ja ir prisiploja prie kr\u016btin\u0117s l\u0105stos, taip i\u0161gaunamas tikslesnis vaizdas. Kad aparato daviklis gal\u0117t\u0173 u\u017efiksuoti j\u016bs\u0173 kr\u016bties vidin\u012f vaizd\u0105, naudojamas specialus gelis, kuriuo i\u0161tepama j\u016bs\u0173 kr\u016btis. Tada davikliu lie\u010diami \u012fvair\u016bs kr\u016bties plotai, o auk\u0161to da\u017enio garso bangos atsimu\u0161damos nuo skirting\u0173 kr\u016bties audini\u0173 kompiuterio ekrane sukuria vaizd\u0105, kur\u012f gydytojas gali \u012fvertinti, i\u0161matuoti ir i\u0161spausdinti \u0161io vaizdo nuotrauk\u0105.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\">Jeigu ultragarsu atliktas tyrimas patvirtina mamografijos tyrimo rezultat\u0105, kad kr\u016btyje esantis darinys yra nepavojingas, tai yra, nepiktybinis, tolesni tyrimai gali b\u016bti nebetaikomi. Vis d\u0117lto, jeigu lieka koki\u0173 nors abejoni\u0173 d\u0117l gumbelio kr\u016btyje, gali b\u016bti, jog jums bus pasi\u016blyta papildomai atlikti biopsij\u0105. Ultragarsas gali labai praversti atliekant biopsij\u0105, nes davikliui nurod\u017eius tiksli\u0105 darinio viet\u0105 specialistas gali nukreipti biopsijos adat\u0105 tiesiai \u012f darin\u012f.<\/span><\/p>\n<h5 style=\"text-align: center;\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 12pt;\"><strong>Kada atlikti mamografij\u0105, o kada &#8211; ultragarsin\u012f tyrim\u0105?<\/strong><\/span><\/h5>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\">Jaunoms moterims, kuri\u0173 kr\u016btyse vyrauja liaukinis audinys, pirmo pasirinkimo tyrimas yra ultragarsas, nes ultragarsu geriau \u012fvertinamas liaukinis audinys, kai tuo tarpu rentgeno spinduliams (mamografija) liaukinis audinys yra blogiau pralaidus ir gali u\u017estoti \u012fvairius darinius kr\u016btyse. Kartais net ir jaun\u0173 moter\u0173 kr\u016btyse galime matyti tik riebalin\u012f audin\u012f tod\u0117l, esant \u012ftarimams, kartais tenka atlikti mamografij\u0105, nes riebalinis audinys geriau \u012fvertinamas mamografi\u0161kai. Kai kurios v\u0117\u017eio formos pasirei\u0161kia tik apkalk\u0117jimais kr\u016btyse, kurie ultragarsu negali b\u016bti \u012fvertinami, o mamografi\u0161kai galima gana tiksliai \u012fvertinti apkalk\u0117jim\u0173 pob\u016bd\u012f ir diferencijuoti gerybinius darinius nuo piktybini\u0173. Taigi nors jaunoms moterims echoskopija yra pirmo pasirinkimo tyrimas, esant reikalui radiologas gali paskirti ir rentgenologin\u012f tyrim\u0105 (mamogram\u0105), jei to prireikt\u0173 vertinant echoskopin\u012f vaizd\u0105.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\">Moterims nuo 50 met\u0173 am\u017eiaus pirmo pasirinkimo tyrimas yra mamografija. Atlikus mamografij\u0105, gydytojas radiologas gali nurodyti, kad diagnoz\u0117s patikslinimui reikalingi papildomi tyrimai, pavyzd\u017eiui, echoskopija. Echoskopijos tyrimas gali b\u016bti reikalingas papildomai, kadangi ne visada galima atskirti, ar liaukiniame audinyje, kuris kartais b\u016bna toks tankus, kad gali u\u017estoti darinius, yra koki\u0173 nors patologini\u0173 pakitim\u0173, ar stebimas sutank\u0117jimas visgi yra nereik\u0161mingas. Ultragarsinis tyrimas leid\u017eia lengvai atskirti cistinius darinius nuo solidin\u0117s strukt\u016bros darini\u0173, \u012fvertinti latakus bei juose aptinkamus darinius, \u012fvertinti j\u0173 vidin\u0119 strukt\u016br\u0105. Tai yra b\u016btina, kai mamografinio tyrimo metu aptinkamas \u012ftartinas darinys. Negalima vienareik\u0161mi\u0161kai pasakyti, kad reikalingas kuris nors vienas tyrimas &#8211; sprend\u017eiama individualiai pagal vyraujanti audin\u012f kr\u016btyse ir klinikin\u0119 situacij\u0105.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\">Jeigu jau\u010diate nusiskundimus, ap\u010diuop\u0117te gumbelius ar sukiet\u0117jimus, ar norite profilakti\u0161kai pasitikrinti kr\u016btis, kvie\u010diame tai padaryti pas mus &#8211; Dr. A. Kildos klinikoje! Atliekame<a href=\"https:\/\/kildosklinika.lt\/en\/paslaugos-ir-kainos\/instrumentiniai-tyrimai\/ultragarsiniai-tyrimai-echoskopijos\/\"> ultragarsin\u012f (echoskopin\u012f) kr\u016bt\u0173 i\u0161tyrim\u0105<\/a>, mamografijos tyrim\u0105, pagal profilaktin\u0119 kr\u016bties v\u0117\u017eio ankstyvosios diagnostikos program\u0105, kuri kompensuojama i\u0161 Privalomojo sveikatos draudimo fondo (PSDF) l\u0117\u0161\u0173, taip pat yra galimyb\u0117 atlikti <a href=\"https:\/\/kildosklinika.lt\/en\/paslaugos-ir-kainos\/instrumentiniai-tyrimai\/rentgenologiniai-tyrimai\/\">mokam\u0105 mamografijos tyrim\u0105<\/a> (tai rentgenologinis tyrimas, kuriam reikalingas siuntimas).<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\">Daugiau informacijos apie teikiamas paslaugas ir gydytojus telefonu +370 37 338286. <\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;\">U\u017esiregistruoti vizitams galite telefonu +370 37 338286 arba internetu <a href=\"https:\/\/kreg.medsystem.lt\/Login.aspx?SK_ID=15\">https:\/\/kreg.medsystem.lt\/Login.aspx?SK_ID=15<\/a><\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>Kr\u016bt\u0173 mamografijos tyrimas Mamograma yra vienas i\u0161 svarbiausi\u0173 kr\u016bt\u0173 lig\u0173 tyrim\u0173. Jis atliekamas mamografu, naudojant rentgeno spindulius, tokiu b\u016bdu i\u0161gaunant detal\u0173 kr\u016bties vaizd\u0105. \u0160io tyrimo tikslas &#8211; aptikti \u012fvairius<\/p>","protected":false},"author":3,"featured_media":919,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[128],"tags":[],"service":[],"specializacijos":[124,123],"class_list":["post-901","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skyrelis-moterims","specializacijos-mamologai","specializacijos-radiologai-echoskopuotojai"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Mamografija ar kr\u016bt\u0173 echoskopija? - Kildos klinika<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kildosklinika.lt\/en\/straipsniai\/mamografija-ar-krutu-echoskopija\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mamografija ar kr\u016bt\u0173 echoskopija? - Kildos klinika\" \/>\n<meta property=\"og:description\" content=\"Kr\u016bt\u0173 mamografijos tyrimas Mamograma yra vienas i\u0161 svarbiausi\u0173 kr\u016bt\u0173 lig\u0173 tyrim\u0173. 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