{"id":1430,"date":"2024-10-21T11:21:10","date_gmt":"2024-10-21T08:21:10","guid":{"rendered":"https:\/\/mano-klinika.lt\/?page_id=1430"},"modified":"2025-08-04T09:28:11","modified_gmt":"2025-08-04T06:28:11","slug":"sanario-punkcija","status":"publish","type":"page","link":"https:\/\/mano-klinika.lt\/en\/sanarium-puncture\/","title":{"rendered":"Joint puncture"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1430\" class=\"elementor elementor-1430\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6d0e992 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6d0e992\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-69408de\" data-id=\"69408de\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f847144 elementor-widget elementor-widget-text-editor\" data-id=\"f847144\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.16.0 - 17-10-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>S\u0105nario punkcija &#8211; tai medicinin\u0117 proced\u016bra, kurios metu praduriamas s\u0105narys, kad b\u016bt\u0173 galima i\u0161traukti arba \u012f\u0161virk\u0161ti skys\u010dio. \u0160is metodas &#8220;Mano Klinika&#8221; taikomas tiek diagnostikos, tiek gydymo tikslais. Proced\u016bra leid\u017eia ne tik nustatyti s\u0105nario u\u017edegimo ar skausmo prie\u017east\u012f, bet ir suma\u017einti spaudim\u0105 bei pagerinti judrum\u0105 susikaupus skys\u010diui. \u0160iame straipsnyje aptarsime pagrindines s\u0105nario punkcijos indikacijas, r\u016b\u0161is, proced\u016bros etapus, galimas komplikacijas ir jos vaidmen\u012f \u0161iuolaikin\u0117je traumatologijoje, reumatologijoje ir ortopedijoje.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5fd80de elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5fd80de\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a48f5a1\" data-id=\"a48f5a1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0bb6fb9 elementor-widget elementor-widget-heading\" data-id=\"0bb6fb9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.16.0 - 17-10-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">S\u0105nario punkcija - indikacijos<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b78d863 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b78d863\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a5932ef\" data-id=\"a5932ef\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f11441 elementor-widget elementor-widget-text-editor\" data-id=\"2f11441\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Manipuliacijos atlikimo indikacija yra:<\/span><\/p><ul><li><span style=\"font-weight: 400;\">\u012ftariamas infekcinis artritas (siekiant nustatyti, ar s\u0105nari\u0173 skystyje yra bakterij\u0173 ar virus\u0173).<\/span><\/li><li><span style=\"font-weight: 400;\">s\u0105nari\u0173 skausmas;<\/span><\/li><li><span style=\"font-weight: 400;\">trauma;<\/span><\/li><li><span style=\"font-weight: 400;\">\u016bminis arba l\u0117tinis u\u017edegiminis procesas s\u0105naryje;<\/span><\/li><li><span style=\"font-weight: 400;\">skys\u010di\u0173 kaupimasis;<\/span><\/li><li><span style=\"font-weight: 400;\">\u012etariamos sistemin\u0117s ligos (reumatoidinis artritas, podagra);<\/span><\/li><li><span style=\"font-weight: 400;\">alerginis u\u017edegimas;<\/span><\/li><li><span style=\"font-weight: 400;\">reikia patikrinti menisk\u0173 b\u016bkl\u0119;<\/span><\/li><li><span style=\"font-weight: 400;\">biochemin\u0117s analiz\u0117s poreik\u012f.<\/span><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-119d743 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"119d743\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cb56632\" data-id=\"cb56632\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-984cd16 elementor-widget elementor-widget-heading\" data-id=\"984cd16\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Kontraindikacijos atliekant s\u0105nario punkcij\u0105<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ea8d8af elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ea8d8af\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-30a9ffa\" data-id=\"30a9ffa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8e18e11 elementor-widget elementor-widget-text-editor\" data-id=\"8e18e11\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Jei pacientui yra \u0161i\u0173 kontraindikacij\u0173, proced\u016bros negalima atlikti:<\/span><\/p><ul><li><span style=\"font-weight: 400;\">\u016bminiai p\u016blingi procesai, nudegimai, \u017eaizdos, komplikuotos infekcijos punkcijos vietoje;<\/span><\/li><li><span style=\"font-weight: 400;\">kraujo kre\u0161\u0117jimo sutrikimas;<\/span><\/li><li><span style=\"font-weight: 400;\">sistemingas kraujo kre\u0161\u0117jim\u0105 ma\u017einan\u010di\u0173 vaist\u0173 vartojimas;<\/span><\/li><li><span style=\"font-weight: 400;\">rimti degeneraciniai poky\u010diai, ankiloz\u0117 ir kitos patologijos, d\u0117l kuri\u0173 proced\u016bros metu kyla kaul\u0173 traumavimo rizika.<\/span><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1d0513a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1d0513a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-614d76e\" data-id=\"614d76e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4da1702 elementor-widget elementor-widget-heading\" data-id=\"4da1702\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">S\u0105nari\u0173 perforacij\u0173 r\u016b\u0161ys<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bf6be4c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bf6be4c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7e1b970\" data-id=\"7e1b970\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ae2e19e elementor-widget elementor-widget-text-editor\" data-id=\"ae2e19e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">S\u0105nari\u0173 punkcijos skirstomos \u012f dvi r\u016b\u0161is:<\/span><\/p><ol><li><span style=\"font-weight: 400;\">Diagnostinis.<\/span><\/li><li><span style=\"font-weight: 400;\">Terapinis.<\/span><\/li><\/ol><p><span style=\"font-weight: 400;\">Pirmieji atliekami siekiant:<\/span><\/p><ul><li><span style=\"font-weight: 400;\">\u012fvertinti sinovijos skys\u010dio t\u016br\u012f ir savybes;<\/span><\/li><li><span style=\"font-weight: 400;\">diagnozuoti menisko su\u017ealojimus;<\/span><\/li><li><span style=\"font-weight: 400;\">U\u017edegimo diagnostika, traumos, reumatoidini\u0173 ir l\u0117tini\u0173 s\u0105nari\u0173 lig\u0173 patvirtinimas ir (arba) paneigimas;<\/span><\/li><li><span style=\"font-weight: 400;\">nustatant ir tiriant navikus.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Jei punkcija atliekama diagnostiniais tikslais, paimamas audinys (skystis), kuris v\u0117liau tiriamas laboratorijoje.<\/span><\/p><p><span style=\"font-weight: 400;\">Terapin\u0117s punkcijos tikslai:<\/span><\/p><ul><li><span style=\"font-weight: 400;\">pa\u0161alinti p\u016bling\u0105 eksudat\u0105;<\/span><\/li><li><span style=\"font-weight: 400;\">vaist\u0173 injekcijos;<\/span><\/li><li><span style=\"font-weight: 400;\">kraujo pa\u0161alinimas sergant hemoartroze;<\/span><\/li><li><span style=\"font-weight: 400;\">anestezij\u0105 prie\u0161 kei\u010diant i\u0161nirusio s\u0105nario pad\u0117t\u012f;<\/span><\/li><li><span style=\"font-weight: 400;\">deguonies injekcijos, skirtos mechani\u0161kai suskaidyti fibroidus.<\/span><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1aa9b9e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1aa9b9e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-93ab9d9\" data-id=\"93ab9d9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b80a6db elementor-widget elementor-widget-heading\" data-id=\"b80a6db\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Kaip atliekama s\u0105nario punkcija<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-737c69b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"737c69b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-accfab9\" data-id=\"accfab9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a791d65 elementor-widget elementor-widget-text-editor\" data-id=\"a791d65\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">\u0160iai proced\u016brai nereikia specialaus paciento paruo\u0161imo. Vienintel\u0117 svarbi s\u0105lyga &#8211; pacientas turi i\u0161 anksto informuoti gydytoj\u0105 apie kontraindikacijas (nuolatinis antikoaguliant\u0173 vartojimas, alergija anestetikams, kraujo ligos). Gydytojas gali paskirti pacientui laboratorin\u012f kraujo tyrim\u0105, taip pat, jei reikia, atlikti pa\u017eeisto s\u0105nario sonografin\u012f ir rentgenologin\u012f tyrim\u0105.<\/span><\/p><p><span style=\"font-weight: 400;\">Pj\u016bvis atliekamas keliais etapais:<\/span><\/p><ol><li><span style=\"font-weight: 400;\">Manipuliacijos vietos odos dezinfekavimas.<\/span><\/li><li><span style=\"font-weight: 400;\">Anestezijos injekcija. Vietinis nuskausminimas suma\u017eina spaudim\u0105 pa\u017eeistam s\u0105nariui, tod\u0117l proced\u016bra yra visi\u0161kai neskausminga.<\/span><\/li><li><span style=\"font-weight: 400;\">Adata \u012fki\u0161ama po to, kai anestetikas pradeda veikti.<\/span><\/li><li><span style=\"font-weight: 400;\">Gydytojas \u0161virk\u0161tu paima skys\u010dio tyrimui.<\/span><\/li><li><span style=\"font-weight: 400;\">Baigus proced\u016br\u0105, pradurta vieta paprastai u\u017eklijuojama pleistru.<\/span><\/li><\/ol><p><span style=\"font-weight: 400;\">Proced\u016bra atliekama kontroliuojant ultragarsu. Proceso vizualizacija kompiuterio monitoriuje leid\u017eia specialistui kontroliuoti adatos jud\u0117jim\u0105, u\u017etikrina manipuliacijos tikslum\u0105 ir suma\u017eina komplikacij\u0173 rizik\u0105.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-121eb5b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"121eb5b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8e63580\" data-id=\"8e63580\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3321280 elementor-widget elementor-widget-heading\" data-id=\"3321280\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Skirting\u0173 s\u0105nari\u0173 punkcijos ypatumai<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ec4aa56 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ec4aa56\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0f10055\" data-id=\"0f10055\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-01f3f3c elementor-widget elementor-widget-text-editor\" data-id=\"01f3f3c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3 data-elementor-setting-key=\"title\" data-pen-placeholder=\"\u0412\u0432\u0435\u0434\u0438\u0442\u0435 \u0441\u044e\u0434\u0430...\"><span style=\"font-weight: 400;\">Peties s\u0105narys<\/span><\/h3><h3 data-elementor-setting-key=\"title\" data-pen-placeholder=\"\u0412\u0432\u0435\u0434\u0438\u0442\u0435 \u0441\u044e\u0434\u0430...\"><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: 15px; font-weight: 400;\">Pj\u016bviai atliekami skirtingais b\u016bdais, tod\u0117l skirstomi \u012f tris tipus: priekin\u012f, u\u017epakalin\u012f ir \u0161onin\u012f. Nepaisant skirtingos adatos \u012fvedimo vietos, \u0161i\u0173 proced\u016br\u0173 technika i\u0161lieka identi\u0161ka. Pagrindinis atskaitos ta\u0161kas atliekant vis\u0173 tip\u0173 punkcijas yra akromiono ir raktikaulio s\u0105narys, kuris yra svarbus anatominis ta\u0161kas. Atliekant proced\u016br\u0105, punkcija atliekama statmenai i\u0161oriniam odos sluoksniui. Po punkcijos specialistas nustato adatos krypt\u012f.<\/span><\/h3><h3><span style=\"font-weight: 400;\">Rie\u0161o s\u0105narys<\/span><\/h3><p><span style=\"font-weight: 400;\">Pj\u016bvis daromas rie\u0161o u\u017epakalin\u0117je dalyje esan\u010dio spindulio apatin\u0117je dalyje. Adata \u012fvedama \u012f tarp\u0105 tarp sausgysli\u0173, atsaking\u0173 u\u017e nyk\u0161\u010dio ir rodomojo pir\u0161to i\u0161tiesim\u0105, tod\u0117l galima prasiskverbti \u012f s\u0105nario ertm\u0119 ir atlikti reikiamas manipuliacijas.<\/span><\/p><h3><span style=\"font-weight: 400;\">Alk\u016bn\u0117s s\u0105narys<\/span><\/h3><p><span style=\"font-weight: 400;\">Adata \u012fvedama i\u0161 alk\u016bn\u0117s u\u017epakalin\u0117s dalies. Pacientas turi sulenkti rank\u0105 sta\u010diu kampu, kad gydytojas gal\u0117t\u0173 atsargiai atlikti punkcij\u0105. Jei b\u016btina \u012fsiskverbti \u012f alk\u016bn\u0117s s\u0105nario u\u017epakalin\u0119 dal\u012f, punkcija atliekama trigalvio raumens sausgysl\u0117s vietoje. Tada adata atsargiai vedama link s\u0105nario mak\u0161ties, taip u\u017etikrinant tiksli\u0105 prieig\u0105 prie atitinkamos srities.<\/span><\/p><h3><span style=\"font-weight: 400;\">Kelio s\u0105narys<\/span><\/h3><p><span style=\"font-weight: 400;\">Perd\u016brimas atliekamas vir\u0161 vir\u0161utinio kelio kra\u0161to. Adata \u012fvedama l\u0117tai sukamaisiais judesiais. \u0160is metodas kuo ma\u017eiau traumuoja aplinkinius audinius ir palengvina patekim\u0105 \u012f s\u0105nario ertm\u0119.<\/span><\/p><h3><span style=\"font-weight: 400;\">Klubo s\u0105narys<\/span><\/h3><p><span style=\"font-weight: 400;\">Pj\u016bvis gali b\u016bti atliekamas \u0161onu arba priekiu. Atliekant \u0161onin\u0119 prieig\u0105, adata \u012fvedama per vir\u0161utin\u012f did\u017eiojo g\u016b\u017eduob\u0117s pavir\u0161iaus pavir\u0161i\u0173 ir stumiama frontalin\u0117je plok\u0161tumoje. Priekin\u0117s prieigos atveju adata \u012fvedama \u012f priekin\u0119 s\u0105nario dal\u012f statmenai vir\u0161utiniam \u0161launikaulio galvut\u0117s kra\u0161tui, kad b\u016bt\u0173 u\u017etikrintas tikslus \u012f\u0117jimas \u012f s\u0105nario ertm\u0119.<\/span><\/p><h3><span style=\"font-weight: 400;\">\u010ciurnos s\u0105narys<\/span><\/h3><p><span style=\"font-weight: 400;\">Norint atlikti \u010diurnos s\u0105nario punkcij\u0105, adata \u012fki\u0161ama \u012f priek\u012f, tarp tiesiamojo pir\u0161to sausgysl\u0117s ir i\u0161orin\u0117s \u010diurnos dalies. Toks metodas leid\u017eia pasiekti s\u0105nario ertm\u0119 ir atlikti b\u016btinas manipuliacijas su minimalia rizika aplinkiniams audiniams.<\/span><\/p><p><span style=\"font-weight: 400;\">Taigi s\u0105nari\u0173 punkcija yra svarbi s\u0105nari\u0173 lig\u0173 ir traum\u0173 diagnostikos ir gydymo priemon\u0117, kurios d\u0117ka , prisidedama prie paciento b\u016bkl\u0117s gerinimo ir komplikacij\u0173 prevencijos.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-225dce5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"225dce5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-52801fe\" data-id=\"52801fe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d285bc1 elementor-widget elementor-widget-shortcode\" data-id=\"d285bc1\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><style>\n.mydoc__widget button {padding: inherit;margin-bottom: 0;}\n.mydoc__widget .mydoc__doctor {background-color: #eaf6fc !important; }\n.mydoc__widget .mydoc__calendar__register button {background-color: #19ce67 !important; font-family: \"Rubik, sans-serif\" !important; }\n.mydoc__widget .mydoc__calendar__expander button  {background-color: #eaf6fc !important; }\n\/\/.mydoc__widget .mydoc__calendar__expander .mydoc--icon svg  {fill: #fff !important; }\n<\/style><div mydoc-widget mydoc-doctor=\"14877\" mydoc-clinic=\"2639\"><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-43b0298\" data-id=\"43b0298\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2c330e4 elementor-widget elementor-widget-shortcode\" data-id=\"2c330e4\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><style>\n.mydoc__widget button {padding: inherit;margin-bottom: 0;}\n.mydoc__widget .mydoc__doctor {background-color: #eaf6fc !important; }\n.mydoc__widget .mydoc__calendar__register button {background-color: #19ce67 !important; font-family: \"Rubik, sans-serif\" !important; }\n.mydoc__widget .mydoc__calendar__expander button  {background-color: #eaf6fc !important; }\n\/\/.mydoc__widget .mydoc__calendar__expander .mydoc--icon svg  {fill: #fff !important; }\n<\/style><div mydoc-widget mydoc-doctor=\"16140\" mydoc-clinic=\"2639\"><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>S\u0105nario punkcija &#8211; tai medicinin\u0117 proced\u016bra, kurios metu praduriamas s\u0105narys, kad b\u016bt\u0173 galima i\u0161traukti arba \u012f\u0161virk\u0161ti skys\u010dio. \u0160is metodas &#8220;Mano Klinika&#8221; taikomas tiek diagnostikos, tiek gydymo tikslais. Proced\u016bra leid\u017eia ne tik nustatyti s\u0105nario u\u017edegimo ar skausmo prie\u017east\u012f, bet ir suma\u017einti spaudim\u0105 bei pagerinti judrum\u0105 susikaupus skys\u010diui. \u0160iame straipsnyje aptarsime pagrindines s\u0105nario punkcijos indikacijas, r\u016b\u0161is, proced\u016bros [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1430","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>S\u0105nario punkcija Vilniuje - Mano Klinika<\/title>\n<meta name=\"description\" content=\"Registruokit\u0117s s\u0105nari\u0173 punkcijai Vilniuje \u2705Profesional\u016bs gydytojai \u2705\u0160iuolaikin\u0117s technologijos \u2705Priimtinos kainos \u260e +370 691 98577\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mano-klinika.lt\/en\/sanarium-puncture\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"S\u0105nario punkcija Vilniuje - Mano Klinika\" \/>\n<meta property=\"og:description\" content=\"Registruokit\u0117s s\u0105nari\u0173 punkcijai Vilniuje \u2705Profesional\u016bs gydytojai \u2705\u0160iuolaikin\u0117s technologijos \u2705Priimtinos kainos \u260e +370 691 98577\" \/>\n<meta property=\"og:url\" content=\"https:\/\/mano-klinika.lt\/en\/sanarium-puncture\/\" \/>\n<meta property=\"og:site_name\" content=\"Mano Klinika: Pirmaujanti ortopedija ir traumatologija Vilniuje\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/manoklinikaV\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-04T06:28:11+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/mano-klinika.lt\/sanario-punkcija\/\",\"url\":\"https:\/\/mano-klinika.lt\/sanario-punkcija\/\",\"name\":\"S\u0105nario punkcija Vilniuje - Mano Klinika\",\"isPartOf\":{\"@id\":\"https:\/\/mano-klinika.lt\/#website\"},\"datePublished\":\"2024-10-21T08:21:10+00:00\",\"dateModified\":\"2025-08-04T06:28:11+00:00\",\"description\":\"Registruokit\u0117s s\u0105nari\u0173 punkcijai Vilniuje \u2705Profesional\u016bs gydytojai \u2705\u0160iuolaikin\u0117s technologijos \u2705Priimtinos kainos \u260e +370 691 98577\",\"breadcrumb\":{\"@id\":\"https:\/\/mano-klinika.lt\/sanario-punkcija\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/mano-klinika.lt\/sanario-punkcija\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/mano-klinika.lt\/sanario-punkcija\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430\",\"item\":\"https:\/\/mano-klinika.lt\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"S\u0105nario punkcija\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/mano-klinika.lt\/#website\",\"url\":\"https:\/\/mano-klinika.lt\/\",\"name\":\"Mano Klinika: Pirmaujanti ortopedija ir traumatologija Vilniuje\",\"description\":\"Mano Klinika: Pa\u017eang\u016bs metodai ir ekspertiniai sprendimai ortopedijos ir traumatologijos srityje. 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