{"id":11,"date":"2026-09-23T13:56:18","date_gmt":"2026-09-23T11:56:18","guid":{"rendered":"http:\/\/xiltwmk.cluster131.hosting.ovh.net\/?page_id=11"},"modified":"2026-10-23T22:35:36","modified_gmt":"2026-10-23T20:35:36","slug":"angiologia","status":"publish","type":"page","link":"https:\/\/angiomedic.pl\/index.php\/angiologia\/","title":{"rendered":"Angiologia"},"content":{"rendered":"<style>.kb-row-layout-id11_068f25-20 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_068f25-20 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_068f25-20 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}.kb-row-layout-id11_068f25-20 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_068f25-20 > .kt-row-column-wrap{grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_068f25-20 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_068f25-20 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-left-golden kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_040671-e5 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_040671-e5 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_040671-e5 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_040671-e5 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_040671-e5{position:relative;}@media all and (max-width: 1024px){.kadence-column11_040671-e5 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_040671-e5 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_040671-e5\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Diagnostyka i leczenie chor\u00f3b naczy\u0144<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Angiologia zajmuje si\u0119 diagnostyk\u0105 i leczeniem chor\u00f3b t\u0119tnic, \u017cy\u0142 oraz zaburze\u0144 kr\u0105\u017cenia obwodowego.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">W ANGIOMEDIC szczeg\u00f3ln\u0105 uwag\u0119 po\u015bwi\u0119camy chorobom t\u0119tnic ko\u0144czyn dolnych, t\u0119tnic szyjnych i kr\u0119gowych, aorty oraz innych naczy\u0144 obwodowych.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Podstaw\u0105 post\u0119powania jest ustalenie przyczyny dolegliwo\u015bci. W zale\u017cno\u015bci od sytuacji klinicznej konsultacja mo\u017ce zosta\u0107 uzupe\u0142niona o USG Duplex Doppler oraz inne badania oceniaj\u0105ce kr\u0105\u017cenie.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/angiomedic.pl\/index.php\/kontakt\/\">Um\u00f3w konsultacj\u0119 angiologiczn\u0105<\/a><\/div>\n<\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column11_c14972-f6 > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_c14972-f6 > .kt-inside-inner-col,.kadence-column11_c14972-f6 > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_c14972-f6 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_c14972-f6 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_c14972-f6 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_c14972-f6 > .kt-inside-inner-col{background-color:#f5f7fa;}.kadence-column11_c14972-f6 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_c14972-f6{position:relative;}@media all and (max-width: 1024px){.kadence-column11_c14972-f6 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_c14972-f6 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_c14972-f6\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading has-small-font-size\">Kiedy zg\u0142osi\u0107 si\u0119 do angiologa?<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>b\u00f3l n\u00f3g podczas chodzenia,<\/li>\n\n\n\n<li>zimne stopy lub wyra\u017ana r\u00f3\u017cnica temperatur ko\u0144czyn,<\/li>\n\n\n\n<li>trudno goj\u0105ce si\u0119 rany,<\/li>\n\n\n\n<li>podejrzenie mia\u017cd\u017cycy t\u0119tnic,<\/li>\n\n\n\n<li>rozpoznane zw\u0119\u017cenie t\u0119tnicy szyjnej,<\/li>\n\n\n\n<li>t\u0119tniak aorty,<\/li>\n\n\n\n<li>kontrola po zabiegach naczyniowych.<\/li>\n<\/ul>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_642953-4f > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_642953-4f > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_642953-4f > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}.kb-row-layout-id11_642953-4f > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_642953-4f > .kt-row-column-wrap{grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_642953-4f > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_642953-4f alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-left-golden kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_3f2e75-2d > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_3f2e75-2d > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_3f2e75-2d > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_3f2e75-2d > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_3f2e75-2d{position:relative;}@media all and (max-width: 1024px){.kadence-column11_3f2e75-2d > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_3f2e75-2d > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_3f2e75-2d\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Choroba t\u0119tnic ko\u0144czyn dolnych<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Choroba t\u0119tnic obwodowych, okre\u015blana cz\u0119sto skr\u00f3tem PAD, najcz\u0119\u015bciej jest nast\u0119pstwem mia\u017cd\u017cycy. Zw\u0119\u017cenie lub niedro\u017cno\u015b\u0107 t\u0119tnic ogranicza dop\u0142yw krwi do mi\u0119\u015bni i innych tkanek ko\u0144czyny.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Jednym z najbardziej charakterystycznych objaw\u00f3w jest b\u00f3l pojawiaj\u0105cy si\u0119 podczas chodzenia i ust\u0119puj\u0105cy po odpoczynku \u2014 tak zwane chromanie przestankowe.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Choroba t\u0119tnic ko\u0144czyn dolnych nie jest jednak wy\u0142\u0105cznie problemem n\u00f3g. Jest r\u00f3wnie\u017c markerem uog\u00f3lnionej mia\u017cd\u017cycy i wi\u0105\u017ce si\u0119 ze zwi\u0119kszonym ryzykiem zawa\u0142u serca i udaru.<\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column11_eaa40f-7c > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_eaa40f-7c > .kt-inside-inner-col,.kadence-column11_eaa40f-7c > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_eaa40f-7c > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_eaa40f-7c > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_eaa40f-7c > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_eaa40f-7c > .kt-inside-inner-col{background-color:#f5f7fa;}.kadence-column11_eaa40f-7c > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_eaa40f-7c{position:relative;}@media all and (max-width: 1024px){.kadence-column11_eaa40f-7c > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_eaa40f-7c > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_eaa40f-7c\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading has-small-font-size\">Typowe objawy PAD<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>b\u00f3l \u0142ydki, uda lub po\u015bladka podczas chodzenia,<\/li>\n\n\n\n<li>skr\u00f3cenie dystansu marszu,<\/li>\n\n\n\n<li>zimne stopy,<\/li>\n\n\n\n<li>os\u0142abienie t\u0119tna na ko\u0144czynie,<\/li>\n\n\n\n<li>b\u00f3l spoczynkowy,<\/li>\n\n\n\n<li>trudno goj\u0105ce si\u0119 rany,<\/li>\n\n\n\n<li>zmiana koloru palc\u00f3w lub stopy.<\/li>\n<\/ul>\n<\/div><\/div>\n\n<\/div><\/div>\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/angiomedic.pl\/index.php\/kalkulator-ryzyka-sercowo-naczyniowego-score2\/\"><strong>Sprawd\u017a ryzyko sercowo-naczyniowe \u2014 kalkulator SCORE2<\/strong>.<\/a><\/div>\n<\/div>\n\n\n<style>.kb-row-layout-id11_9af5ec-3c > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_9af5ec-3c > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_9af5ec-3c > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_9af5ec-3c > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_9af5ec-3c > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_9af5ec-3c > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_9af5ec-3c alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_749f79-c4 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_749f79-c4 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_749f79-c4 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_749f79-c4 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_749f79-c4{position:relative;}@media all and (max-width: 1024px){.kadence-column11_749f79-c4 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_749f79-c4 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_749f79-c4\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Chromanie przestankowe<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Chromanie przestankowe to b\u00f3l, uczucie napi\u0119cia lub zm\u0119czenia mi\u0119\u015bni ko\u0144czyny pojawiaj\u0105ce si\u0119 podczas chodzenia i ust\u0119puj\u0105ce po kr\u00f3tkim odpoczynku. Dystans, po kt\u00f3rym pojawiaj\u0105 si\u0119 dolegliwo\u015bci, mo\u017ce by\u0107 jednym z element\u00f3w oceny zaawansowania choroby.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Lokalizacja b\u00f3lu mo\u017ce wskazywa\u0107 na poziom zaburze\u0144 kr\u0105\u017cenia \u2014 dolegliwo\u015bci mog\u0105 dotyczy\u0107 \u0142ydki, uda, po\u015bladka lub ca\u0142ej ko\u0144czyny. Sam charakter b\u00f3lu nie wystarcza jednak do rozpoznania, dlatego potrzebna jest ocena kr\u0105\u017cenia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nie ka\u017cdy b\u00f3l \u0142ydki podczas chodzenia jest spowodowany mia\u017cd\u017cyc\u0105.<\/strong> Podobne dolegliwo\u015bci mo\u017ce wywo\u0142ywa\u0107 stenoza kana\u0142u kr\u0119gowego (chromanie neurogenne). Obie przyczyny mog\u0105 r\u00f3wnie\u017c wsp\u00f3\u0142istnie\u0107.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/angiomedic.pl\/index.php\/bol-lydki-podczas-chodzenia-tetnice-czy-kregoslup\/\" style=\"color:#17638f;font-weight:700;text-decoration:underline;text-underline-offset:3px;\">B\u00f3l \u0142ydki podczas chodzenia \u2013 t\u0119tnice czy kr\u0119gos\u0142up? Przeczytaj poradnik \u2192<\/a><\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_874a76-7d > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_874a76-7d > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_874a76-7d > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);}.kb-row-layout-id11_874a76-7d > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id11_874a76-7d > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}.kb-row-layout-id11_874a76-7d > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_874a76-7d > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}}@media all and (max-width: 1024px){.kb-row-layout-id11_874a76-7d > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id11_874a76-7d > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id11_874a76-7d > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_874a76-7d alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-3-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_4ef344-f3 > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_4ef344-f3 > .kt-inside-inner-col{min-height:300px;}.kadence-column11_4ef344-f3 > .kt-inside-inner-col,.kadence-column11_4ef344-f3 > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_4ef344-f3 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_4ef344-f3 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_4ef344-f3 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_4ef344-f3 > .kt-inside-inner-col{background-color:#f5f7fa;}.kadence-column11_4ef344-f3 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_4ef344-f3{position:relative;}@media all and (max-width: 1024px){.kadence-column11_4ef344-f3 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_4ef344-f3 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_4ef344-f3\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">ABI<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Wska\u017anik kostka\u2013rami\u0119 por\u00f3wnuje ci\u015bnienie t\u0119tnicze mierzone na ko\u0144czynie dolnej i g\u00f3rnej. Jest jednym z podstawowych bada\u0144 stosowanych przy podejrzeniu choroby t\u0119tnic ko\u0144czyn.<\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column11_765294-ca > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_765294-ca > .kt-inside-inner-col{min-height:300px;}.kadence-column11_765294-ca > .kt-inside-inner-col,.kadence-column11_765294-ca > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_765294-ca > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_765294-ca > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_765294-ca > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_765294-ca > .kt-inside-inner-col{background-color:#f5f7fa;}.kadence-column11_765294-ca > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_765294-ca{position:relative;}@media all and (max-width: 1024px){.kadence-column11_765294-ca > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_765294-ca > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_765294-ca\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">TBI i ci\u015bnienie na palcach<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">U cz\u0119\u015bci pacjent\u00f3w, szczeg\u00f3lnie przy cukrzycy lub nasilonym zwapnieniu t\u0119tnic, ABI mo\u017ce by\u0107 mniej miarodajne. W takich przypadkach pomocna jest ocena ci\u015bnienia na palcach i wska\u017anika paluch\u2013rami\u0119.<\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column11_a8b8ec-ba > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_a8b8ec-ba > .kt-inside-inner-col{min-height:300px;}.kadence-column11_a8b8ec-ba > .kt-inside-inner-col,.kadence-column11_a8b8ec-ba > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_a8b8ec-ba > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_a8b8ec-ba > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_a8b8ec-ba > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_a8b8ec-ba > .kt-inside-inner-col{background-color:#f5f7fa;}.kadence-column11_a8b8ec-ba > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_a8b8ec-ba{position:relative;}@media all and (max-width: 1024px){.kadence-column11_a8b8ec-ba > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_a8b8ec-ba > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_a8b8ec-ba\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">USG Duplex Doppler<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Badanie pozwala zlokalizowa\u0107 zw\u0119\u017cenia i niedro\u017cno\u015bci, oceni\u0107 ich znaczenie hemodynamiczne oraz przep\u0142yw krwi w poszczeg\u00f3lnych odcinkach t\u0119tnic.<\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_8d7492-07 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_8d7492-07 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_8d7492-07 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}.kb-row-layout-id11_8d7492-07 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_8d7492-07 > .kt-row-column-wrap{grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_8d7492-07 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_8d7492-07 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-left-golden kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_4c5575-83 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_4c5575-83 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_4c5575-83 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_4c5575-83 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_4c5575-83{position:relative;}@media all and (max-width: 1024px){.kadence-column11_4c5575-83 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_4c5575-83 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_4c5575-83\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Niedokrwienie zagra\u017caj\u0105ce ko\u0144czynie<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Zaawansowana choroba t\u0119tnic mo\u017ce prowadzi\u0107 do przewlek\u0142ego niedokrwienia zagra\u017caj\u0105cego ko\u0144czynie. Jest to ci\u0119\u017cka posta\u0107 choroby t\u0119tnic obwodowych, w kt\u00f3rej dop\u0142yw krwi do tkanek jest niewystarczaj\u0105cy do ich prawid\u0142owego funkcjonowania i gojenia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Objawami mog\u0105 by\u0107 <strong>b\u00f3l spoczynkowy<\/strong>, szczeg\u00f3lnie nasilaj\u0105cy si\u0119 w nocy, trudno goj\u0105ce si\u0119 rany palc\u00f3w lub stopy, owrzodzenia niedokrwienne oraz martwica tkanek.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">W takiej sytuacji konieczna jest szybka ocena ukrwienia ko\u0144czyny i mo\u017cliwo\u015bci przywr\u00f3cenia prawid\u0142owego przep\u0142ywu. U pacjent\u00f3w z przewlek\u0142ym niedokrwieniem zagra\u017caj\u0105cym ko\u0144czynie rewaskularyzacja \u2014 metod\u0105 wewn\u0105trznaczyniow\u0105, chirurgiczn\u0105 lub hybrydow\u0105 \u2014 jest podstawowym sposobem ograniczania utraty tkanek i ryzyka amputacji, je\u015bli jest technicznie mo\u017cliwa.<br><\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column11_38e1bd-18 > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_38e1bd-18 > .kt-inside-inner-col,.kadence-column11_38e1bd-18 > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_38e1bd-18 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_38e1bd-18 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_38e1bd-18 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_38e1bd-18 > .kt-inside-inner-col{background-color:#fff6f3;}.kadence-column11_38e1bd-18 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_38e1bd-18{position:relative;}@media all and (max-width: 1024px){.kadence-column11_38e1bd-18 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_38e1bd-18 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_38e1bd-18\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading has-small-font-size\">Objawy alarmowe<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>b\u00f3l stopy lub palc\u00f3w wyst\u0119puj\u0105cy w spoczynku,<\/li>\n\n\n\n<li>b\u00f3l nasilaj\u0105cy si\u0119 w nocy,<\/li>\n\n\n\n<li>rana, kt\u00f3ra nie goi si\u0119 mimo leczenia,<\/li>\n\n\n\n<li>sinienie lub ciemnienie palc\u00f3w,<\/li>\n\n\n\n<li>martwica tkanek,<\/li>\n\n\n\n<li>wyra\u017ane och\u0142odzenie stopy,<\/li>\n\n\n\n<li>nag\u0142e pogorszenie dotychczasowych objaw\u00f3w.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Takie objawy wymagaj\u0105 pilnej oceny naczyniowej.<\/strong><\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_0e5a34-f7 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_0e5a34-f7 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_0e5a34-f7 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, calc(40% - ((var(--global-kb-gap-md, 2rem) * 1 )\/2)))minmax(0, calc(60% - ((var(--global-kb-gap-md, 2rem) * 1 )\/2)));}.kb-row-layout-id11_0e5a34-f7 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_0e5a34-f7 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr) minmax(0, 2fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_0e5a34-f7 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_0e5a34-f7 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-right-golden kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_2f68ec-52 > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_2f68ec-52 > .kt-inside-inner-col,.kadence-column11_2f68ec-52 > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_2f68ec-52 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_2f68ec-52 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_2f68ec-52 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_2f68ec-52 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_2f68ec-52{position:relative;}@media all and (max-width: 1024px){.kadence-column11_2f68ec-52 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_2f68ec-52 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_2f68ec-52\"><div class=\"kt-inside-inner-col\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/angiomedic.pl\/wp-content\/uploads\/2026\/09\/stopa_cukrz-1024x683.png\" alt=\"\" class=\"wp-image-215\" srcset=\"https:\/\/angiomedic.pl\/wp-content\/uploads\/2026\/09\/stopa_cukrz-1024x683.png 1024w, https:\/\/angiomedic.pl\/wp-content\/uploads\/2026\/09\/stopa_cukrz-300x200.png 300w, https:\/\/angiomedic.pl\/wp-content\/uploads\/2026\/09\/stopa_cukrz-768x512.png 768w, https:\/\/angiomedic.pl\/wp-content\/uploads\/2026\/09\/stopa_cukrz.png 1536w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Przyk\u0142ad zmian w obr\u0119bie stopy wymagaj\u0105cych oceny ukrwienia ko\u0144czyny.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column11_2c00e7-af > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_2c00e7-af > .kt-inside-inner-col,.kadence-column11_2c00e7-af > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_2c00e7-af > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_2c00e7-af > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_2c00e7-af > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_2c00e7-af > .kt-inside-inner-col{background-color:var(--global-palette9, #ffffff);}.kadence-column11_2c00e7-af > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_2c00e7-af{position:relative;}@media all and (max-width: 1024px){.kadence-column11_2c00e7-af > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_2c00e7-af > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_2c00e7-af\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">Stopa cukrzycowa i choroby t\u0119tnic<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">U pacjent\u00f3w z cukrzyc\u0105 problemy dotycz\u0105ce st\u00f3p mog\u0105 mie\u0107 kilka przyczyn jednocze\u015bnie. Znaczenie maj\u0105 zar\u00f3wno zaburzenia ukrwienia, jak i neuropatia, zaka\u017cenie, deformacje stopy oraz powtarzaj\u0105ce si\u0119 urazy i przeci\u0105\u017cenia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Neuropatia mo\u017ce zmniejsza\u0107 odczuwanie b\u00f3lu, dlatego nawet istotne niedokrwienie nie zawsze powoduje typowe chromanie przestankowe. Z tego powodu rana stopy u osoby z cukrzyc\u0105 powinna sk\u0142ania\u0107 do oceny <strong>ukrwienia ko\u0144czyny<\/strong>, nawet je\u017celi pacjent nie zg\u0142asza charakterystycznego b\u00f3lu podczas chodzenia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">W diagnostyce oceniamy stan t\u0119tnic oraz \u2014 w zale\u017cno\u015bci od sytuacji \u2014 ABI, ci\u015bnienie palcowe, TBI i przep\u0142ywy w badaniu USG Duplex Doppler. Je\u017celi ukrwienie jest niewystarczaj\u0105ce, samo leczenie miejscowe rany mo\u017ce nie wystarczy\u0107 do jej prawid\u0142owego gojenia.<\/p>\n\n\n<style>.kb-row-layout-id11_6ec8f0-d7 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_6ec8f0-d7 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_6ec8f0-d7 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_6ec8f0-d7 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_6ec8f0-d7 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_6ec8f0-d7 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_6ec8f0-d7 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_8e95c1-bc > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_8e95c1-bc > .kt-inside-inner-col,.kadence-column11_8e95c1-bc > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_8e95c1-bc > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_8e95c1-bc > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_8e95c1-bc > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_8e95c1-bc > .kt-inside-inner-col{background-color:#f5f7fa;}.kadence-column11_8e95c1-bc > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_8e95c1-bc{position:relative;}@media all and (max-width: 1024px){.kadence-column11_8e95c1-bc > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_8e95c1-bc > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_8e95c1-bc\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">Rana stopy u pacjenta z cukrzyc\u0105<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ukrwienie ko\u0144czyny,<\/li>\n\n\n\n<li>neuropatia,<\/li>\n\n\n\n<li>zaka\u017cenie,<\/li>\n\n\n\n<li>g\u0142\u0119boko\u015b\u0107 rany,<\/li>\n\n\n\n<li>obci\u0105\u017canie stopy,<\/li>\n\n\n\n<li>warunki gojenia<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Najpierw trzeba ustali\u0107, czy tkanki maj\u0105 wystarczaj\u0105cy dop\u0142yw krwi do gojenia.<\/strong><\/p>\n<\/div><\/div>\n\n<\/div><\/div><\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_ac621d-8b > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_ac621d-8b > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_ac621d-8b > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}.kb-row-layout-id11_ac621d-8b > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_ac621d-8b > .kt-row-column-wrap{grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_ac621d-8b > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_ac621d-8b alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-left-golden kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_e43d91-03 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_e43d91-03 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_e43d91-03 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_e43d91-03 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_e43d91-03{position:relative;}@media all and (max-width: 1024px){.kadence-column11_e43d91-03 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_e43d91-03 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_e43d91-03\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">T\u0119tnice szyjne i kr\u0119gowe<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u0119tnice szyjne i kr\u0119gowe doprowadzaj\u0105 krew do m\u00f3zgu. Jedn\u0105 z najcz\u0119stszych przyczyn ich zw\u0119\u017cenia jest mia\u017cd\u017cyca, prowadz\u0105ca do powstawania blaszek w \u015bcianach naczy\u0144.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>USG Duplex Doppler t\u0119tnic szyjnych i kr\u0119gowych<\/strong> pozwala oceni\u0107 obecno\u015b\u0107 blaszek mia\u017cd\u017cycowych, ich lokalizacj\u0119, stopie\u0144 zw\u0119\u017cenia oraz wp\u0142yw zmian na przep\u0142yw krwi. W badaniu oceniamy r\u00f3wnie\u017c t\u0119tnice kr\u0119gowe, kierunek przep\u0142ywu oraz ewentualne zaburzenia zwi\u0105zane z chorob\u0105 t\u0119tnic podobojczykowych.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Znaczenie zw\u0119\u017cenia nie powinno by\u0107 oceniane wy\u0142\u0105cznie na podstawie wygl\u0105du blaszki lub pojedynczego pomiaru pr\u0119dko\u015bci przep\u0142ywu. Wynik USG nale\u017cy interpretowa\u0107 razem z ca\u0142ym obrazem dopplerowskim i sytuacj\u0105 kliniczn\u0105 pacjenta.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\">USG Doppler t\u0119tnic szyjnych i kr\u0119gowych<\/a><\/div>\n<\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column11_0b53b8-81 > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_0b53b8-81 > .kt-inside-inner-col,.kadence-column11_0b53b8-81 > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_0b53b8-81 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_0b53b8-81 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_0b53b8-81 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_0b53b8-81 > .kt-inside-inner-col{background-color:#f5f7fa;}.kadence-column11_0b53b8-81 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_0b53b8-81{position:relative;}@media all and (max-width: 1024px){.kadence-column11_0b53b8-81 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_0b53b8-81 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_0b53b8-81\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">Co oceniamy w USG?<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>t\u0119tnice szyjne wsp\u00f3lne, wewn\u0119trzne i zewn\u0119trzne,<\/li>\n\n\n\n<li>obecno\u015b\u0107 i lokalizacj\u0119 blaszek mia\u017cd\u017cycowych,<\/li>\n\n\n\n<li>stopie\u0144 zw\u0119\u017cenia t\u0119tnic,<\/li>\n\n\n\n<li>parametry przep\u0142ywu krwi,<\/li>\n\n\n\n<li>t\u0119tnice kr\u0119gowe,<\/li>\n\n\n\n<li>kierunek przep\u0142ywu w t\u0119tnicach kr\u0119gowych,<\/li>\n\n\n\n<li>cechy zaburze\u0144 przep\u0142ywu zwi\u0105zanych z t\u0119tnicami podobojczykowymi.<\/li>\n<\/ul>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_8051a5-1a > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_8051a5-1a > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_8051a5-1a > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_8051a5-1a > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_8051a5-1a > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_8051a5-1a > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_8051a5-1a alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_7fb00c-bf > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_7fb00c-bf > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_7fb00c-bf > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_7fb00c-bf > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_7fb00c-bf{position:relative;}@media all and (max-width: 1024px){.kadence-column11_7fb00c-bf > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_7fb00c-bf > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_7fb00c-bf\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Zw\u0119\u017cenie t\u0119tnicy szyjnej \u2014 nie ka\u017cdy przypadek wymaga zabiegu<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Stwierdzenie blaszki mia\u017cd\u017cycowej lub zw\u0119\u017cenia t\u0119tnicy szyjnej nie oznacza automatycznie konieczno\u015bci operacji lub stentowania.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Spos\u00f3b post\u0119powania zale\u017cy mi\u0119dzy innymi od <strong>stopnia zw\u0119\u017cenia, wyst\u0119powania objaw\u00f3w neurologicznych, wieku, chor\u00f3b wsp\u00f3\u0142istniej\u0105cych oraz przewidywanej korzy\u015bci i ryzyka leczenia zabiegowego<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Szczeg\u00f3lnie istotne jest ustalenie, czy pacjent przeby\u0142 przemijaj\u0105cy epizod niedokrwienny (TIA), udar niedokrwienny lub inne objawy mog\u0105ce pozostawa\u0107 w zwi\u0105zku ze zw\u0119\u017ceniem po tej samej stronie.<\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_662dae-c9 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_662dae-c9 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_662dae-c9 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_662dae-c9 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_662dae-c9 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_662dae-c9 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_662dae-c9 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_3669f4-bb > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_3669f4-bb > .kt-inside-inner-col,.kadence-column11_3669f4-bb > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_3669f4-bb > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_3669f4-bb > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_3669f4-bb > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_3669f4-bb > .kt-inside-inner-col{background-color:#fff6f3;}.kadence-column11_3669f4-bb > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_3669f4-bb{position:relative;}@media all and (max-width: 1024px){.kadence-column11_3669f4-bb > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_3669f4-bb > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_3669f4-bb\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">Objawy udaru i TIA \u2014 nie czekaj na USG<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Nag\u0142e zaburzenia mowy, opadni\u0119cie k\u0105cika ust, niedow\u0142ad lub dr\u0119twienie jednej strony cia\u0142a, nag\u0142e zaburzenia widzenia, r\u00f3wnowagi albo koordynacji mog\u0105 \u015bwiadczy\u0107 o przemijaj\u0105cym niedokrwieniu m\u00f3zgu lub udarze.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>nag\u0142y niedow\u0142ad r\u0119ki lub nogi,<\/li>\n\n\n\n<li>nag\u0142e dr\u0119twienie po\u0142owy cia\u0142a,<\/li>\n\n\n\n<li>opadni\u0119cie k\u0105cika ust,<\/li>\n\n\n\n<li>zaburzenia mowy lub rozumienia,<\/li>\n\n\n\n<li>nag\u0142a utrata lub pogorszenie widzenia,<\/li>\n\n\n\n<li>nag\u0142e zaburzenia r\u00f3wnowagi lub koordynacji.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>W przypadku takich objaw\u00f3w nale\u017cy natychmiast wezwa\u0107 pomoc medyczn\u0105. Nie nale\u017cy czeka\u0107 na planowe badanie USG Doppler.<\/strong><\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_31b44b-41 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_31b44b-41 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_31b44b-41 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}.kb-row-layout-id11_31b44b-41 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_31b44b-41 > .kt-row-column-wrap{grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_31b44b-41 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_31b44b-41 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-left-golden kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_c8bf6d-47 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_c8bf6d-47 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_c8bf6d-47 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_c8bf6d-47 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_c8bf6d-47{position:relative;}@media all and (max-width: 1024px){.kadence-column11_c8bf6d-47 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_c8bf6d-47 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_c8bf6d-47\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Aorta brzuszna i t\u0119tnice jamy brzusznej<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Aorta jest najwi\u0119ksz\u0105 t\u0119tnic\u0105 organizmu. Jednym z wa\u017cniejszych problem\u00f3w naczyniowych jest <strong>t\u0119tniak aorty brzusznej<\/strong>, czyli jej patologiczne poszerzenie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u0119tniak przez d\u0142ugi czas mo\u017ce nie powodowa\u0107 \u017cadnych dolegliwo\u015bci i by\u0107 wykrywany przypadkowo podczas badania USG. W przypadku rozpoznania znaczenie maj\u0105 przede wszystkim <strong>\u015brednica aorty, tempo powi\u0119kszania si\u0119 t\u0119tniaka oraz ca\u0142kowite ryzyko kliniczne pacjenta<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">USG jest podstawowym badaniem stosowanym do oceny aorty brzusznej i monitorowania wielu stabilnych t\u0119tniak\u00f3w. W zale\u017cno\u015bci od sytuacji klinicznej dalsza diagnostyka mo\u017ce wymaga\u0107 angio-TK lub angio-MR.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">W badaniu Doppler mo\u017cemy ocenia\u0107 r\u00f3wnie\u017c wybrane t\u0119tnice odchodz\u0105ce od aorty, mi\u0119dzy innymi <strong>t\u0119tnice nerkowe oraz naczynia trzewne<\/strong>. Znaczenie wykrytego zw\u0119\u017cenia zawsze nale\u017cy odnosi\u0107 do objaw\u00f3w i ca\u0142ego obrazu klinicznego.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\">USG Doppler aorty i t\u0119tnic jamy brzusznej<\/a><\/div>\n<\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column11_d74767-2a > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_d74767-2a > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_d74767-2a > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_d74767-2a > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_d74767-2a{position:relative;}@media all and (max-width: 1024px){.kadence-column11_d74767-2a > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_d74767-2a > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_d74767-2a\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">Co mo\u017cemy oceni\u0107?<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u015brednic\u0119 aorty brzusznej,<\/li>\n\n\n\n<li>obecno\u015b\u0107 t\u0119tniaka,<\/li>\n\n\n\n<li>obecno\u015b\u0107 zmian mia\u017cd\u017cycowych,<\/li>\n\n\n\n<li>t\u0119tnice biodrowe,<\/li>\n\n\n\n<li>wybrane t\u0119tnice nerkowe,<\/li>\n\n\n\n<li>pie\u0144 trzewny,<\/li>\n\n\n\n<li>t\u0119tnic\u0119 krezkow\u0105 g\u00f3rn\u0105,<\/li>\n\n\n\n<li>parametry przep\u0142ywu w ocenianych naczyniach.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nie ka\u017cde stwierdzone zw\u0119\u017cenie jest przyczyn\u0105 objaw\u00f3w i nie ka\u017cde wymaga leczenia zabiegowego.<\/strong><\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_a60f96-51 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_a60f96-51 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_a60f96-51 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_a60f96-51 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_a60f96-51 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_a60f96-51 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_a60f96-51 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_2f80d2-4f > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_2f80d2-4f > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_2f80d2-4f > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_2f80d2-4f > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_2f80d2-4f{position:relative;}@media all and (max-width: 1024px){.kadence-column11_2f80d2-4f > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_2f80d2-4f > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_2f80d2-4f\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Jak leczymy choroby t\u0119tnic?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Leczenie chor\u00f3b t\u0119tnic zale\u017cy od rodzaju zmian, nasilenia objaw\u00f3w, stopnia niedokrwienia oraz ca\u0142kowitego ryzyka sercowo-naczyniowego pacjenta.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">W wielu przypadkach podstaw\u0105 post\u0119powania jest <strong>leczenie zachowawcze, redukcja czynnik\u00f3w ryzyka i odpowiednio zaplanowana aktywno\u015b\u0107 fizyczna<\/strong>. Leczenie zabiegowe rozwa\u017ca si\u0119 wtedy, gdy objawy istotnie ograniczaj\u0105 funkcjonowanie mimo w\u0142a\u015bciwego leczenia lub gdy wyst\u0119puje zagro\u017cenie dla ko\u0144czyny.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aktualne wytyczne ACC\/AHA 2024 podkre\u015blaj\u0105, \u017ce strukturyzowany wysi\u0142ek fizyczny jest jednym z podstawowych element\u00f3w leczenia objawowej PAD, a rewaskularyzacja u pacjent\u00f3w z chromaniem jest zwykle rozwa\u017cana dopiero wtedy, gdy leczenie zachowawcze i trening nie daj\u0105 wystarczaj\u0105cej poprawy.\n\n<\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_014e20-80 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_014e20-80 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_014e20-80 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);}.kb-row-layout-id11_014e20-80 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id11_014e20-80 > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}.kb-row-layout-id11_014e20-80 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_014e20-80 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}}@media all and (max-width: 1024px){.kb-row-layout-id11_014e20-80 > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id11_014e20-80 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id11_014e20-80 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_014e20-80 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-3-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_876049-fd > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_876049-fd > .kt-inside-inner-col,.kadence-column11_876049-fd > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_876049-fd > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_876049-fd > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_876049-fd > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_876049-fd > .kt-inside-inner-col{background-color:#f5f7fa;}.kadence-column11_876049-fd > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_876049-fd{position:relative;}@media all and (max-width: 1024px){.kadence-column11_876049-fd > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_876049-fd > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_876049-fd\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">Leczenie czynnik\u00f3w ryzyka<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Obejmuje mi\u0119dzy innymi zaprzestanie palenia, kontrol\u0119 ci\u015bnienia t\u0119tniczego, leczenie zaburze\u0144 lipidowych i cukrzycy oraz odpowiednio dobran\u0105 farmakoterapi\u0119 zmniejszaj\u0105c\u0105 ryzyko sercowo-naczyniowe.<\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column11_b43f40-01 > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_b43f40-01 > .kt-inside-inner-col,.kadence-column11_b43f40-01 > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_b43f40-01 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_b43f40-01 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_b43f40-01 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_b43f40-01 > .kt-inside-inner-col{background-color:#f5f7fa;}.kadence-column11_b43f40-01 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_b43f40-01{position:relative;}@media all and (max-width: 1024px){.kadence-column11_b43f40-01 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_b43f40-01 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_b43f40-01\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">Trening marszowy<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Regularny, odpowiednio zaplanowany wysi\u0142ek poprawia dystans chodzenia, sprawno\u015b\u0107 i jako\u015b\u0107 \u017cycia u pacjent\u00f3w z chromaniem przestankowym.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:14px;\"><a href=\"https:\/\/angiomedic.pl\/index.php\/trening-marszowy-miazdzyca-tetnic-konczyn-dolnych\/\" style=\"color:#17638f;font-weight:700;text-decoration:underline;text-underline-offset:3px;\">Przeczytaj szczeg\u00f3\u0142owy poradnik o treningu marszowym \u2192<\/a><\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column11_d80ba1-38 > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_d80ba1-38 > .kt-inside-inner-col,.kadence-column11_d80ba1-38 > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_d80ba1-38 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_d80ba1-38 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_d80ba1-38 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_d80ba1-38 > .kt-inside-inner-col{background-color:#f5f7fa;}.kadence-column11_d80ba1-38 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_d80ba1-38{position:relative;}@media all and (max-width: 1024px){.kadence-column11_d80ba1-38 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_d80ba1-38 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_d80ba1-38\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">Rewaskularyzacja<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Angioplastyk\u0119, leczenie chirurgiczne lub metody hybrydowe rozwa\u017ca si\u0119, gdy niedokrwienie jest zaawansowane albo objawy istotnie ograniczaj\u0105 funkcjonowanie mimo w\u0142a\u015bciwego leczenia zachowawczego.<\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong>Nie leczymy samego zw\u0119\u017cenia widocznego w USG. Leczymy jego znaczenie kliniczne dla konkretnego pacjenta.<\/strong><\/p>\n\n\n<style>.kb-row-layout-id11_69959f-3c > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_69959f-3c > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_69959f-3c > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}.kb-row-layout-id11_69959f-3c > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_69959f-3c > .kt-row-column-wrap{grid-template-columns:minmax(0, 2fr) minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_69959f-3c > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_69959f-3c alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-left-golden kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_73461d-e5 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_73461d-e5 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_73461d-e5 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_73461d-e5 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_73461d-e5{position:relative;}@media all and (max-width: 1024px){.kadence-column11_73461d-e5 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_73461d-e5 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_73461d-e5\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">USG Doppler \u2014 nie leczymy samego obrazu<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">W badaniu ultrasonograficznym mo\u017cna wykry\u0107 zmiany mia\u017cd\u017cycowe tak\u017ce u os\u00f3b, kt\u00f3re nie maj\u0105 istotnych objaw\u00f3w klinicznych.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sama obecno\u015b\u0107 blaszki mia\u017cd\u017cycowej, zw\u0119\u017cenia lub nieprawid\u0142owego przep\u0142ywu nie jest wi\u0119c jeszcze pe\u0142nym rozpoznaniem klinicznym. Znaczenie zmiany oceniamy w odniesieniu do objaw\u00f3w pacjenta, badania fizykalnego, lokalizacji zmian, parametr\u00f3w przep\u0142ywu oraz ca\u0142kowitego ryzyka sercowo-naczyniowego.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dopiero taka ca\u0142o\u015bciowa ocena pozwala zdecydowa\u0107, czy potrzebna jest obserwacja, leczenie zachowawcze, dalsza diagnostyka obrazowa czy kwalifikacja do leczenia zabiegowego.<\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column11_72a677-8a > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_72a677-8a > .kt-inside-inner-col,.kadence-column11_72a677-8a > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_72a677-8a > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_72a677-8a > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_72a677-8a > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_72a677-8a > .kt-inside-inner-col{background-color:#f5f7fa;}.kadence-column11_72a677-8a > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_72a677-8a{position:relative;}@media all and (max-width: 1024px){.kadence-column11_72a677-8a > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_72a677-8a > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_72a677-8a\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"wp-block-heading\">Co decyduje o znaczeniu zmiany?<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>objawy pacjenta,<\/li>\n\n\n\n<li>lokalizacja zw\u0119\u017cenia,<\/li>\n\n\n\n<li>stopie\u0144 i charakter zmian,<\/li>\n\n\n\n<li>parametry przep\u0142ywu,<\/li>\n\n\n\n<li>stan innych odcink\u00f3w uk\u0142adu t\u0119tniczego,<\/li>\n\n\n\n<li>choroby wsp\u00f3\u0142istniej\u0105ce,<\/li>\n\n\n\n<li>ca\u0142kowite ryzyko sercowo-naczyniowe.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nie leczymy wyniku badania. Leczymy pacjenta i rzeczywiste znaczenie wykrytej zmiany.<\/strong><\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_dac5bf-cf > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_dac5bf-cf > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_dac5bf-cf > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_dac5bf-cf > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_dac5bf-cf > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_dac5bf-cf > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_dac5bf-cf alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_4c35aa-23 > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kadence-column11_4c35aa-23 > .kt-inside-inner-col,.kadence-column11_4c35aa-23 > .kt-inside-inner-col:before{border-top-left-radius:12px;border-top-right-radius:12px;border-bottom-right-radius:12px;border-bottom-left-radius:12px;}.kadence-column11_4c35aa-23 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_4c35aa-23 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_4c35aa-23 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_4c35aa-23 > .kt-inside-inner-col{background-color:#fff6f3;}.kadence-column11_4c35aa-23 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_4c35aa-23{position:relative;}@media all and (max-width: 1024px){.kadence-column11_4c35aa-23 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_4c35aa-23 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_4c35aa-23\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Kiedy zg\u0142osi\u0107 si\u0119 pilnie?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Niekt\u00f3re objawy naczyniowe mog\u0105 \u015bwiadczy\u0107 o nag\u0142ym pogorszeniu przep\u0142ywu krwi i wymagaj\u0105 pilnej pomocy medycznej, a nie oczekiwania na planow\u0105 konsultacj\u0119 lub badanie USG.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>nag\u0142y, silny b\u00f3l ko\u0144czyny,<\/li>\n\n\n\n<li>nag\u0142e zbledni\u0119cie, zasinienie lub wyra\u017ane och\u0142odzenie r\u0119ki albo nogi,<\/li>\n\n\n\n<li>nag\u0142e os\u0142abienie czucia lub ruchu ko\u0144czyny,<\/li>\n\n\n\n<li>gwa\u0142towne pogorszenie wcze\u015bniej stabilnych dolegliwo\u015bci,<\/li>\n\n\n\n<li>szybko post\u0119puj\u0105ce sinienie lub martwica palc\u00f3w,<\/li>\n\n\n\n<li>nag\u0142e zaburzenia mowy, opadni\u0119cie k\u0105cika ust lub niedow\u0142ad po\u0142owy cia\u0142a,<\/li>\n\n\n\n<li>nag\u0142a utrata lub istotne pogorszenie widzenia.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>W przypadku takich objaw\u00f3w nale\u017cy niezw\u0142ocznie wezwa\u0107 pomoc medyczn\u0105. Planowe badanie USG Doppler nie powinno op\u00f3\u017ania\u0107 diagnostyki ostrego niedokrwienia ko\u0144czyny ani podejrzenia udaru.<\/strong><\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_66452f-db > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_66452f-db > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_66452f-db > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_66452f-db > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_66452f-db > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_66452f-db > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_66452f-db alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_492c8c-bb > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_492c8c-bb > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_492c8c-bb > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_492c8c-bb > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_492c8c-bb{position:relative;}@media all and (max-width: 1024px){.kadence-column11_492c8c-bb > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_492c8c-bb > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_492c8c-bb\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading\">Um\u00f3w konsultacj\u0119 angiologiczn\u0105<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Je\u017celi wyst\u0119puje b\u00f3l n\u00f3g podczas chodzenia, trudno goj\u0105ca si\u0119 rana, podejrzenie mia\u017cd\u017cycy t\u0119tnic, rozpoznane zw\u0119\u017cenie t\u0119tnicy szyjnej, t\u0119tniak aorty lub inny problem dotycz\u0105cy kr\u0105\u017cenia obwodowego, warto ustali\u0107 jego przyczyn\u0119 i znaczenie kliniczne.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">W razie potrzeby konsultacj\u0119 mo\u017cemy uzupe\u0142ni\u0107 o odpowiednie <strong>badanie USG Duplex Doppler<\/strong>, a nast\u0119pnie zaplanowa\u0107 dalsze post\u0119powanie lub skierowa\u0107 pacjenta do leczenia zabiegowego.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/angiomedic.pl\/index.php\/kontakt\/\">Um\u00f3w wizyt\u0119<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/angiomedic.pl\/index.php\/kontakt\/\">Kontakt i lokalizacje<\/a><\/div>\n<\/div>\n<\/div><\/div>\n\n<\/div><\/div>\n\n\n<p class=\"wp-block-paragraph\">Opracowanie merytoryczne \/ Aktualizacja \/ EBM<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Diagnostyka i leczenie chor\u00f3b naczy\u0144 Angiologia zajmuje si\u0119 diagnostyk\u0105 i leczeniem chor\u00f3b t\u0119tnic, \u017cy\u0142 oraz zaburze\u0144 kr\u0105\u017cenia obwodowego. W ANGIOMEDIC szczeg\u00f3ln\u0105 uwag\u0119 po\u015bwi\u0119camy chorobom t\u0119tnic ko\u0144czyn dolnych, t\u0119tnic szyjnych i kr\u0119gowych, aorty oraz innych naczy\u0144 obwodowych. Podstaw\u0105 post\u0119powania jest ustalenie przyczyny dolegliwo\u015bci. W zale\u017cno\u015bci od sytuacji klinicznej konsultacja mo\u017ce zosta\u0107 uzupe\u0142niona o USG Duplex Doppler&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","iawp_total_views":22,"footnotes":""},"class_list":["post-11","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/angiomedic.pl\/index.php\/wp-json\/wp\/v2\/pages\/11","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/angiomedic.pl\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/angiomedic.pl\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/angiomedic.pl\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/angiomedic.pl\/index.php\/wp-json\/wp\/v2\/comments?post=11"}],"version-history":[{"count":43,"href":"https:\/\/angiomedic.pl\/index.php\/wp-json\/wp\/v2\/pages\/11\/revisions"}],"predecessor-version":[{"id":1099,"href":"https:\/\/angiomedic.pl\/index.php\/wp-json\/wp\/v2\/pages\/11\/revisions\/1099"}],"wp:attachment":[{"href":"https:\/\/angiomedic.pl\/index.php\/wp-json\/wp\/v2\/media?parent=11"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}