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derinamas krūtų pakėlimas ir implantai?","kada-derinamas-krutu-pakelimas-ir-implantai","cbfda290-2c81-4f13-ba87-9a6794d9f8c5",{"id":388,"title":264,"slug":265,"url":389,"permalink":390,"api_url":391},{"id":406,"url":407,"permalink":408,"api_url":409,"alt":50,"width":410,"height":411,"alt_en":50},"assets::krutu-didinimas-pries-ir-po-4k-compact.png","\u002Fassets\u002Fkrutu-didinimas-pries-ir-po-4k-compact.png","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fassets\u002Fkrutu-didinimas-pries-ir-po-4k-compact.png","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fassets\u002Fassets\u002Fkrutu-didinimas-pries-ir-po-4k-compact.png",3840,2160,"2026-09-07T21:00:00.000000Z",{"title":414,"slug":415,"id":416,"blog_category":417,"featured_image":418,"date":425},"Pilvo plastika ar riebalų nusiurbimas: kuo skiriasi ir kurią procedūrą pasirinkti?","pilvo-plastika-ar-riebalu-nusiurbimas-kuo-skiriasi-ir-kuria-procedura-pasirinkti","80090dcb-8ede-49d7-bfe2-4312b281950f",{"id":388,"title":264,"slug":265,"url":389,"permalink":390,"api_url":391},{"id":419,"url":420,"permalink":421,"api_url":422,"alt":50,"width":423,"height":424,"alt_en":50},"assets::rugpjucio-straipsnis-pilvo-plastika-ar-liposakcija.png","\u002Fassets\u002Frugpjucio-straipsnis-pilvo-plastika-ar-liposakcija.png","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fassets\u002Frugpjucio-straipsnis-pilvo-plastika-ar-liposakcija.png","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fassets\u002Fassets\u002Frugpjucio-straipsnis-pilvo-plastika-ar-liposakcija.png",1536,1024,"2026-08-26T21:00:00.000000Z",{"title":427,"slug":428,"id":429,"blog_category":430,"featured_image":431,"date":438},"REJURAN® – pažangi odos regeneracija polinukleotidais","rejuran-r-pazangi-odos-regeneracija-polinukleotidais","c332e407-678d-4559-8211-141f987f2cc8",{"id":388,"title":264,"slug":265,"url":389,"permalink":390,"api_url":391},{"id":432,"url":433,"permalink":434,"api_url":435,"alt":50,"width":436,"height":437,"alt_en":50},"assets::__web-straipsnio-virseliai---rejuran.jpg","\u002Fassets\u002F__web-straipsnio-virseliai---rejuran.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fassets\u002F__web-straipsnio-virseliai---rejuran.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fassets\u002Fassets\u002F__web-straipsnio-virseliai---rejuran.jpg",960,540,"2026-07-22T21:00:00.000000Z",[440,449],{"title":264,"slug":265,"id":441,"featured_image":442},"36836468-d354-40ba-9536-8428c25c9471",{"id":443,"url":444,"permalink":445,"api_url":446,"alt":272,"width":447,"height":448,"alt_en":275},"assets::plastine-chirurgija.jpg","\u002Fassets\u002Fplastine-chirurgija.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fassets\u002Fplastine-chirurgija.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fassets\u002Fassets\u002Fplastine-chirurgija.jpg",656,304,{"title":321,"slug":322,"id":450,"featured_image":451},"ab99a487-70bc-4ec8-a68b-4c0ecb55b3ee",{"id":452,"url":453,"permalink":454,"api_url":455,"alt":50,"width":447,"height":448,"alt_en":50},"assets::odontologija-1655122365.jpg","\u002Fassets\u002Fodontologija-1655122365.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fassets\u002Fodontologija-1655122365.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fassets\u002Fassets\u002Fodontologija-1655122365.jpg",{"api_url":457,"blueprint":458,"collection":461,"content":462,"date":50,"doctors_items":466,"duk_items":495,"edit_url":521,"enable_video_section":522,"featured_image":523,"featured_list_image":530,"gallery":50,"group":535,"id":538,"is_entry":539,"key_points":540,"last_modified":545,"locale":546,"meta_description":50,"meta_title":50,"mount":50,"order":547,"origin_id":50,"permalink":548,"price":549,"price_includes":50,"private":522,"published":539,"reviews_items":550,"short_description":50,"slug":551,"status":552,"title":553,"updated_at":545,"uri":554,"url":554,"video_image":50,"video_paragraph":50,"video_subtitle":50,"video_title":50,"video_youtube_url":50,"locales_uri":555,"service_parents":556,"service_children":560,"pricing":561,"meta_alternative":625},"https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fcollections\u002Fservices\u002Fentries\u002F8613eca0-a54f-41c6-b27b-2918c42bbbc3",{"title":459,"handle":460},"Services","services",{"title":459,"handle":460},[463],{"type":464,"text":465},"text","\u003Cp>Šlapimo nelaikymas – dažna, moteris kamuojanti problema, kuri sukelia tiek fizinių, tiek ir psichologinių problemų. Pošlaplinio raiščio implantacija (TOT angl. \u003Cem>Trans-obturator tape\u003C\u002Fem>) moterims naudojant implantą – galimybė susigrąžinti pasitikėjimą savimi ir nevaržomai juoktis, sportuoti ir užsiimti kita mylima veikla.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Kas yra šlapimo nelaikymas?\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cp>Šlapimo nelaikymas – tai nevalingas šlapimo tekėjimas sutrikus normaliam šlapinimosi mechanizmui, sukeliantis medicininių, socialinių ir higieninių problemų. Ištekėjusio šlapimo kiekis gali būti nuo kelių lašų iki visiškai ištuštėjusios šlapimo pūslės. Daugeliui moterų šia tema yra nemalonu ir sunku diskutuoti, o kartais klaidingai manoma, kad tai normalus senėjimo procesas, dėl šių priežasčių moterys negauna tinkamos medicininės pagalbos.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Šlapimo nelaikymo tipai\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cp>Egzistuoja keletas pagrindinių šlapimo nelaikymo tipų, tačiau kiekvienu atveju su ligoniu individualiai aptariamas bei pasirenkamas atitinkamas gydymas ar operacija.\u003C\u002Fp>\u003Cul>\u003Cli>\u003Cp>\u003Cstrong>Įtampos (stresinis) šlapimo nelaikymas\u003C\u002Fstrong>\u003C\u002Fp>\u003C\u002Fli>\u003C\u002Ful>\u003Cp>Įtampos šlapimo nelaikymas pasireiškia dėl šlaplės rauko nepakankamumo ir staiga atsiradusio padidėjusio spaudimo pilve, pavyzdžiui - čiaudint, sportuojant, sunkiai keliant, kosint, juokiantis ir pan. Šis šlapimo nelaikymo tipas dažniausiai pasireiškia moterims ir siejamas su nėštumo ir gimdymo pasekmėmis (nusilpus dubens raumenimis), gimdos pašalinimo operacijomis, taip pat vyresnio amžiaus žmonėms bei turintiems antsvorio.\u003C\u002Fp>\u003Cul>\u003Cli>\u003Cp>\u003Cstrong>Skubos (urgentinis) šlapimo nelaikymas\u003C\u002Fstrong>\u003C\u002Fp>\u003C\u002Fli>\u003C\u002Ful>\u003Cp>Šis šlapimo nelaikymo tipas dar vadinamas hiperaktyvios \u002F dirgliosios šlapimo pūslės sindromu. Tai būklė, kai ligonis nesugeba sulaikyti šlapimo esant stipriam šlapinimosi poreikiui, net jei pūslėje yra nedidelis kiekis šlapimo. Kankinat skubos šlapimo nelaikymui, šlapimo pūslės sienelės raumenys nevalingai susitraukia, kuomet gali net savaime ištekėti šlapimas ir jaučiamas nuolatinis poreikis šlapintis. Priežastys gali būti įvairios – nuo tekančio vandens garso, skatinančio nevalingą šlapinimąsi, iki gretutinių ligų pasekmės – pvz. išsėtinės sklerozės.\u003C\u002Fp>\u003Cul>\u003Cli>\u003Cp>\u003Cstrong>Mišraus tipo šlapimo nelaikymas\u003C\u002Fstrong>\u003C\u002Fp>\u003C\u002Fli>\u003C\u002Ful>\u003Cp>Mišrus šlapimo nelaikymas turi tiek įtampos (stresinio), tiek skubos (urgentinio) šlapimo nelaikymo požymių. Tokiu atveju šlapimas iš šlapimo pūslės nevalingai išteka ir dėl stipraus bei ūmaus noro šlapintis, ir dėl staiga patirto fizinio krūvio.\u003C\u002Fp>\u003Cul>\u003Cli>\u003Cp>\u003Cstrong>Neurogeninis šlapimo nelaikymas\u003C\u002Fstrong>\u003C\u002Fp>\u003C\u002Fli>\u003C\u002Ful>\u003Cp>Esant neurogeninio šlapimo nelaikymui poreikis šlapinti net nejuntamas. Taip įvyksta dėl centrinės nervų sistemos pažeidimų (galvos ar nugaros smegenų), kurie lemia šlapimo pūslės raumenų ir raukų disfunkciją. Sergant šia liga, žmonės nejaučia nei noro šalpintis, nei kada išteka šlapimas.\u003C\u002Fp>\u003Cul>\u003Cli>\u003Cp>\u003Cstrong>Persipildymo šlapimo nelaikymas\u003C\u002Fstrong>\u003C\u002Fp>\u003C\u002Fli>\u003C\u002Ful>\u003Cp>Esant apatinių šlapimo takų obstrukcijai (susiaurėjimui ar užsikimšimui), kurį gali sąlygoti padidėjusi prostata, augliai, ir kiti veiksniai, normalus šlapinimosi procesas nevyksta arba vyksta labai sunkiai. Tokiu atveju, šlapimo pūslei prisipildžius iki kritinės ribos, šlapimas nevalingai iš jos išbėga. Tokiu atvėju – pacientui atrodo, kad jis nelaiko šlapimo ir nevalingai apsišlapina, tačiau priežastis yra atvirkštinė – stebimas dalinis šlapimo susilaikymas.\u003C\u002Fp>\u003Ch3>Dažniausiai šlapimo nelaikymą moterims sukelia:\u003C\u002Fh3>\u003Cul>\u003Cli>\u003Cp>Nusilpę dubens dugno raumenys (po nėštumo ir gimdymo, dėl amžiaus).\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>Pakitusi šlapimo pūslės ir\u002Far gimdos padėtis.\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>Šlapimo takų ir šlapimo pūslės ligos, lytinių organų infekcijos.\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>Įgimti fiziniai defektai.\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>Įvairios urologinės operacijos.\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>Neurologinės, psichinės, širdies ir kraujagyslių bei kitos ligos.\u003C\u002Fp>\u003C\u002Fli>\u003C\u002Ful>\u003Cp>Labai svarbu suprasti tai, jog daugeliu atvejų šlapimo nelaikymas yra pagydoma liga ir kuo anksčiau pradedama gydyti, tuo pasiekiami geresni rezultatai.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Kaip pasiruošti šlapimo nelaikymo operacijai?\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cp>Pirmasis žingsnis – gydytojo konsultacija, kurios metu įvertinama paciento būklė, nustatomos šlapimo nelaikymo priežastys, aptariama operacijos eiga, galimi šalutiniai poveikiai. Taip pat prieš pošlaplinio raiščio implantaciją (TOT) moterims, naudojant implantą, atliekami visi kiti reikalingi tyrimai: šlapimo nelaikymo mėginiai, echoskopija (ultragarsas), šlapimo tyrimas.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Kaip atliekama pošlaplinio raiščio implantacija?\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cp>Pošlaplinio raiščio implantacija (TOT) yra minimaliai invazinė, greita, saugi operacija, dažniausiai atliekama bendrinėje nejautroje ir trunkanti iki 1 val. Operacijos metu abiejose kirkšnyse padaroma po vieną, kelių milimetrų dydžio pjūvį ir dar vieną – apie 3,0cm makšties priekinėje sienelėje. Po šlaple implantuojamas pošlaplinis raištis, taip pakeliant priekinę makšties sienelę su šlaple, kuris ir sulaiko šlapimą fizinio krūvio metu. Makštyje esančio pjūvio vieta susiuvama tirpiais siūlais, dėl mažo dydžio kirkšnyse žaizdelių siūti nereikia.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Pooperacinis periodas\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cul>\u003Cli>\u003Cp>Gijimo laikotarpiu nesilankykite saunose, negulėkite vonioje, nesimaudykite jūroje – stenkitės, kad operuota vieta būtų kuo sterilesnė apie 4 sav.\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>Aktyvia fizine veikla, lytiniais santykiais rekomenduojama užsiimti tik pilnai sugijus, t. y. po 4 savaičių.\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>Siūlai makštyje ištirps per maždaug 2–3 savaites.\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>Pooperacinio skausmo beveik nėra, bet jeigu tokį pajusite – vartokite gydytojo paskirtus vaistus.\u003C\u002Fp>\u003C\u002Fli>\u003C\u002Ful>",[467,482],{"featured_image":468,"role":474,"slug":475,"category_term":476,"uri":477,"id":478,"title":479,"url":477,"permalink":480,"api_url":481},{"id":469,"url":470,"permalink":471,"api_url":472,"alt":50,"width":473,"height":473,"alt_en":50},"assets::dsc00070---2022-12-01---stasys-auskalnis---fi-clinica---web---v01.jpg","\u002Fassets\u002Fdsc00070---2022-12-01---stasys-auskalnis---fi-clinica---web---v01.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fassets\u002Fdsc00070---2022-12-01---stasys-auskalnis---fi-clinica---web---v01.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fassets\u002Fassets\u002Fdsc00070---2022-12-01---stasys-auskalnis---fi-clinica---web---v01.jpg",2000,"Doc. dr. urologas","stasys-auskalnis",{"title":50,"slug":50},"\u002Fgydytojai\u002Furologai\u002Fstasys-auskalnis","0aa6f35b-8917-4e9c-8bca-00c34cb463c3","Stasys Auškalnis ","https:\u002F\u002Fficlinica.lt\u002Fgydytojai\u002Furologai\u002Fstasys-auskalnis","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fcollections\u002Fdoctors\u002Fentries\u002F0aa6f35b-8917-4e9c-8bca-00c34cb463c3",{"featured_image":483,"role":474,"slug":488,"category_term":489,"uri":490,"id":491,"title":492,"url":490,"permalink":493,"api_url":494},{"id":484,"url":485,"permalink":486,"api_url":487,"alt":50,"width":473,"height":473,"alt_en":50},"assets::dsc09808---2022-11-29---povilas-aniulis---fi-clinica---web---v01.jpg","\u002Fassets\u002Fdsc09808---2022-11-29---povilas-aniulis---fi-clinica---web---v01.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fassets\u002Fdsc09808---2022-11-29---povilas-aniulis---fi-clinica---web---v01.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fassets\u002Fassets\u002Fdsc09808---2022-11-29---povilas-aniulis---fi-clinica---web---v01.jpg","povilas-aniulis",{"title":50,"slug":50},"\u002Fgydytojai\u002Furologai\u002Fpovilas-aniulis","73c85820-14b6-4884-b8ff-234b6a7deb17","Povilas Aniulis","https:\u002F\u002Fficlinica.lt\u002Fgydytojai\u002Furologai\u002Fpovilas-aniulis","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fcollections\u002Fdoctors\u002Fentries\u002F73c85820-14b6-4884-b8ff-234b6a7deb17",[496,501,505,509,513,517],{"title":497,"content":498,"id":499,"type":500},"Ar operaciją reikia kartoti?","Jei pošlaplinio raiščio implantacija atliekama tinkamai ir laikomasi visų gydytojų nurodymų po operacijos, jos kartoti nereikia.","ldk4w02x","item",{"title":502,"content":503,"id":504,"type":500},"Ar pošlaplinio raiščio implantacija skausminga?","Ne, pati operacija nėra skausminga, kadangi atliekama su nuskausminimu. Po operacijos vienoms moterims operacijos vietą nestipriai skauda kelias dienas, kitoms – ilgiau. Jeigu skausmas varginantis – vartokite gydytojo paskirtus vaistus.","ldk6ijo0",{"title":506,"content":507,"id":508,"type":500},"Kiek laiko gyjama po operacijos?","Pošlaplinis raištis visiškai prigyja per 3–4 savaites. Gijimo metu, siekiant išvengti komplikacijų, rekomenduojama laikytis visų gydytojų nurodymų.","ldk6izki",{"title":510,"content":511,"id":512,"type":500},"Kiek laiko trunka pošlaplinio raiščio implantacija?","Pošlaplinio raiščio implantacija laikoma minimaliai invazine, greita ir saugi operacija, trunkanti iki 1 val.","ldk6jfw0",{"title":514,"content":515,"id":516,"type":500},"Kokios galimos pošlaplinio raiščio implantacijos komplikacijos?","Kaip ir po bet kurios intervencinės procedūros, taip ir po pošlaplinio raiščio implantacijos gali pasireikšti kraujavimas, infekcija, randėjimas, labai retais atvejais – ankstyvasis pooperacinis šlapimo susilaikymas, dėl kurio gali tekti laikinai įvesti kateterį į šlapimo pūslę.","ldk6jxd4",{"title":518,"content":519,"id":520,"type":500},"Ar pošlaplinio raiščio implantacija (TOT) naudojant implantą atliekama tik moterims?","Taip, būtent šis operacijos būdas taikomas tik moterims, vyrų šlapimo nelaikymo gydymas atliekamas pasitelkus kitus 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