{"id":12452,"date":"2023-09-11T10:17:41","date_gmt":"2023-09-11T10:17:41","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=12452"},"modified":"2023-09-21T09:42:01","modified_gmt":"2023-09-21T09:42:01","slug":"llr-arp-46-ganglion-hand-or-wrist","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-arp-46-ganglion-hand-or-wrist\/","title":{"rendered":"Polityka LLR dotycz\u0105ca ganglionu \u2013 d\u0142oni lub nadgarstka \u00a0\u00a0"},"content":{"rendered":"<p><strong>Kategoria<\/strong><\/p>\n\n\n\n<p>Kryteria progowe<\/p>\n\n\n\n<p>Zw\u00f3j to \u0142agodna, wype\u0142niona p\u0142ynem torbiel, kt\u00f3ra tworzy si\u0119 wok\u00f3\u0142 staw\u00f3w lub \u015bci\u0119gien. Gangliony mog\u0105 wyst\u0119powa\u0107 wzd\u0142u\u017c ka\u017cdego stawu, ale najcz\u0119\u015bciej wyst\u0119puj\u0105 wok\u00f3\u0142 nadgarstka, d\u0142oni i palc\u00f3w. Gangliony s\u0105 nieszkodliwe i wi\u0119kszo\u015b\u0107 z nich nie daje \u017cadnych objaw\u00f3w, ale r\u00f3\u017cni\u0105 si\u0119 wielko\u015bci\u0105 i czasami mog\u0105 powodowa\u0107 b\u00f3l, os\u0142abienie, ograniczenie ruchomo\u015bci lub neuropati\u0119 uciskow\u0105. Nieleczone, oko\u0142o 50% ust\u0119puje samoistnie. Cz\u0119sto\u015b\u0107 nawrot\u00f3w po operacji mo\u017ce wynosi\u0107 do oko\u0142o 40%. Powik\u0142ania wyci\u0119cia chirurgicznego obejmuj\u0105 tkliwo\u015b\u0107 blizn, sztywno\u015b\u0107 staw\u00f3w i dr\u0119twienie dystalne.<\/p>\n\n\n\n<p><strong>Ze wzgl\u0119d\u00f3w kosmetycznych nie zleca si\u0119 wyci\u0119cia chirurgicznego<\/strong><\/p>\n\n\n\n<p><strong>Uprawnienia<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB sfinansuje t\u0119 procedur\u0119 wy\u0142\u0105cznie po spe\u0142nieniu poni\u017cszych kryteri\u00f3w<\/strong><br>&nbsp;<br>\u00b7 Znacz\u0105ce upo\u015bledzenie funkcjonowania (znaczne ograniczenie obowi\u0105zk\u00f3w zawodowych\/domowych\/opieku\u0144czych); znaczny b\u00f3l; deficyt neurologiczny; os\u0142abienie stawu; zahamowanie wzrostu paznokci.<br>&nbsp;<br><strong>I<\/strong><br><strong>&nbsp;<\/strong><br>\u00b7 \u015awiadomo\u015b\u0107 cz\u0119stotliwo\u015bci samoistnego ust\u0119powania, prawdopodobie\u0144stwa nawrotu i mo\u017cliwych powik\u0142a\u0144 wyci\u0119cia.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><\/td><td><strong>\u0141agodny umiarkowany<\/strong><\/td><td><strong>Ci\u0119\u017cki : silny<\/strong><\/td><\/tr><tr><td><strong>Prezentacja kliniczna<\/strong><\/td><td>Obrz\u0119k nadgarstka grzbietowego lub d\u0142oniowego<\/td><td>Obrz\u0119k grzbietowej lub d\u0142oniowej nadgarstka z silnym b\u00f3lem lub niepewno\u015bci\u0105 diagnostyczn\u0105<\/td><\/tr><tr><td><strong>Kierownictwo<\/strong><\/td><td>Obserwuj. Rozwa\u017c aspiracj\u0119 w celach diagnostycznych<\/td><td>Skierowa\u0107 na ocen\u0119 chirurgiczn\u0105<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Przewodnictwo<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><a href=\"http:\/\/www.bssh.ac.uk\/education\/guidelines\/ganglion.pdf\">http:\/\/www.bssh.ac.uk\/education\/guidelines\/ganglion.pdf<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>ARP 46. Data przegl\u0105du: 2026<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"<p>Category Threshold Criteria A ganglion is a benign, fluid-filled cyst that forms around joints or tendons. Ganglions can occur alongside any joint, but are most common around the wrist, hands [&hellip;]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57],"tags":[69,83],"class_list":["post-12452","post","type-post","status-publish","format-standard","hentry","category-policies","tag-orthopaedics","tag-threshold"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>LLR Policy for Ganglion- Hand or Wrist \u00a0\u00a0 - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-arp-46-ganglion-hand-or-wrist\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LLR Policy for Ganglion- Hand or Wrist \u00a0\u00a0 - LLR ICB\" \/>\n<meta property=\"og:description\" content=\"Category Threshold Criteria A ganglion is a benign, fluid-filled cyst that forms around joints or tendons. 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