{"id":1599,"date":"2022-01-19T14:00:07","date_gmt":"2022-01-19T12:00:07","guid":{"rendered":"https:\/\/veselsberns.lv\/?p=1599"},"modified":"2022-02-02T07:21:46","modified_gmt":"2022-02-02T05:21:46","slug":"intervija-ar-klinikas-neirologi-signi-setleri-santa-lv","status":"publish","type":"post","link":"https:\/\/veselsberns.lv\/en\/intervija-ar-klinikas-neirologi-signi-setleri-santa-lv\/","title":{"rendered":"Interview with clinic neurologist Signi Shetler (Santa.lv)"},"content":{"rendered":"<style>.wp-block-kadence-advancedheading.kt-adv-heading_57f555-49, .wp-block-kadence-advancedheading.kt-adv-heading_57f555-49[data-kb-block=\"kb-adv-heading_57f555-49\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading_57f555-49 mark, .wp-block-kadence-advancedheading.kt-adv-heading_57f555-49[data-kb-block=\"kb-adv-heading_57f555-49\"] mark{font-style:normal;color:#f76a0c;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h2 class=\"kt-adv-heading_57f555-49 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading_57f555-49\"><strong><strong>Anamn\u0113ze<\/strong><\/strong><\/h2>\n\n\n\n<ul><li class=\" translation-block\">\u0100rste ar milz\u012bg\u0101m darbasp\u0113j\u0101m. Str\u0101d\u0101 B\u0113rnu kl\u012bniskaj\u0101 universit\u0101tes slimn\u012bc\u0101 par b\u0113rnu neirolo\u0123i, padzi\u013cin\u0101ti interes\u0113jas par neiromuskul\u0101ro neirolo\u0123iju. Pacientus pie\u0146em ar\u012b vesel\u012bbas centros <em>Vivendi<\/em> un <em><strong><a href=\"http:\/\/veselsberns.lv\/specialisti\/bernu-neirologs\/\" target=\"_self\">Vesels b\u0113rns<\/a><\/strong><\/em>, k\u0101 ar\u012b Vidzemes slimn\u012bc\u0101.<\/li><li>Erasmus apmai\u0146as programm\u0101 m\u0101c\u012bjusies \u013bub\u013canas Universit\u0101t\u0113 Slov\u0113nij\u0101, sta\u017e\u0113jusies D\u017eona Voltona Muskul\u0101r\u0101s distrofijas izp\u0113tes centr\u0101 \u0145\u016bk\u0101sl\u0101, Apvienotaj\u0101 Karalist\u0113, un \u013bub\u013canas Universit\u0101tes slimn\u012bcas B\u0113rnu neirolo\u0123ijas noda\u013c\u0101.<\/li><li>Izveidojusi un sak\u0101rtojusi retu neiromuskul\u0101ro slim\u012bbu pacientu re\u0123istru.<\/li><li>Pan\u0101kusi, ka Latvij\u0101 b\u0113rniem ar spin\u0101lo musku\u013cu atrofiju pieejama moderna \u0101rst\u0113\u0161ana ar \u0123en\u0113tisko terapiju.<\/li><li>Akt\u012bva Latvijas jauno \u0101rstu asoci\u0101cijas biedre, valdes locekle. Aizraut\u012bgi c\u012bn\u0101s par jauno \u0101rstu ties\u012bb\u0101m uz taisn\u012bgu atalgojumu.<\/li><li>V\u012brs \u2013 Kaspars \u0160etlers, anesteziologs reanimatologs P. Stradi\u0146a Kl\u012bniskaj\u0101 universit\u0101tes slimn\u012bc\u0101.<\/li><li>Kaut biju\u0161i darba pied\u0101v\u0101jumi cit\u0101s valst\u012bs, par aizbrauk\u0161anu nedom\u0101. \u00abStr\u0101d\u0101t cit\u0101 valst\u012b var k\u0101du laiku, bet tad noteikti j\u0101atgrie\u017eas.\u00bb<\/li><\/ul>\n\n\n<style>.wp-block-kadence-advancedbtn.kb-btns_54598b-7c{gap:var(--global-kb-gap-xs, 0.5rem );justify-content:center;align-items:center;}.kt-btns_54598b-7c .kt-button{font-weight:normal;font-style:normal;}.kt-btns_54598b-7c .kt-btn-wrap-0{margin-right:30px;}.wp-block-kadence-advancedbtn.kt-btns_54598b-7c .kt-btn-wrap-0 .kt-button{width:250px;color:var(--paletteColor8, #ffffff);background:var(--paletteColor1, #21a73f);}.wp-block-kadence-advancedbtn.kt-btns_54598b-7c .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns_54598b-7c .kt-btn-wrap-0 .kt-button:focus{color:#ffffff;border-color:#444444;}.wp-block-kadence-advancedbtn.kt-btns_54598b-7c .kt-btn-wrap-0 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btns_54598b-7c .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns_54598b-7c .kt-btn-wrap-0 .kt-button:focus{background:#444444;}.kt-btns_54598b-7c .kt-btn-wrap-1{margin-right:5px;}.wp-block-kadence-advancedbtn.kt-btns_54598b-7c .kt-btn-wrap-1 .kt-button{width:250px;color:var(--paletteColor8, #ffffff);background:var(--paletteColor2, #353677);}.wp-block-kadence-advancedbtn.kt-btns_54598b-7c .kt-btn-wrap-1 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btns_54598b-7c .kt-btn-wrap-1 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns_54598b-7c .kt-btn-wrap-1 .kt-button:focus{background:#444444;}<\/style>\n<div class=\"wp-block-kadence-advancedbtn kt-btn-align-center kt-btn-tablet-align-inherit kt-btn-mobile-align-inherit kt-btns-wrap kt-btns_54598b-7c ticss-aa7aa2ef\"><div class=\"kt-btn-wrap kt-btn-wrap-0\"><a class=\"kt-button button kt-btn-0-action kt-btn-size-standard kt-btn-style-basic kt-btn-svg-show-always kt-btn-has-text-true kt-btn-has-svg-false\" href=\"https:\/\/veselsberns.lv\/en\/specialisti\/dr-signe-setlere\/\" style=\"border-radius:50px;border-width:0px\"><span class=\"kt-btn-inner-text\">\u200bB\u0113rnu neirologs<\/span><\/a><\/div><div class=\"kt-btn-wrap kt-btn-wrap-1\"><a class=\"kt-button button kt-btn-1-action kt-btn-size-standard kt-btn-style-basic kt-btn-svg-show-always kt-btn-has-text-true kt-btn-has-svg-true\" href=\"https:\/\/veselsberns.lv\/en\/pieteikties-vizitei\/?pakalpojums=speci\u0101listu_konsultacija&amp;specialists=neirologs\" style=\"border-radius:50px;border-width:0px\"><div style=\"display:inline-flex;justify-content:center;align-items:center\" class=\"kt-btn-svg-icon kt-btn-svg-icon-fas_file-signature kt-btn-side-left\"><svg style=\"display:inline-block;vertical-align:middle\" viewbox=\"0 0 576 512\" height=\"1em\" width=\"1em\" fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M218.17 424.14c-2.95-5.92-8.09-6.52-10.17-6.52s-7.22.59-10.02 6.19l-7.67 15.34c-6.37 12.78-25.03 11.37-29.48-2.09L144 386.59l-10.61 31.88c-5.89 17.66-22.38 29.53-41 29.53H80c-8.84 0-16-7.16-16-16s7.16-16 16-16h12.39c4.83 0 9.11-3.08 10.64-7.66l18.19-54.64c3.3-9.81 12.44-16.41 22.78-16.41s19.48 6.59 22.77 16.41l13.88 41.64c19.75-16.19 54.06-9.7 66 14.16 1.89 3.78 5.49 5.95 9.36 6.26v-82.12l128-127.09V160H248c-13.2 0-24-10.8-24-24V0H24C10.7 0 0 10.7 0 24v464c0 13.3 10.7 24 24 24h336c13.3 0 24-10.7 24-24v-40l-128-.11c-16.12-.31-30.58-9.28-37.83-23.75zM384 121.9c0-6.3-2.5-12.4-7-16.9L279.1 7c-4.5-4.5-10.6-7-17-7H256v128h128v-6.1zm-96 225.06V416h68.99l161.68-162.78-67.88-67.88L288 346.96zm280.54-179.63l-31.87-31.87c-9.94-9.94-26.07-9.94-36.01 0l-27.25 27.25 67.88 67.88 27.25-27.25c9.95-9.94 9.95-26.07 0-36.01z\"><\/path><\/svg><\/div><span class=\"kt-btn-inner-text\">Apply for a visit<\/span><\/a><\/div><\/div>\n\n\n\n<p><strong>\u2013 S\u0101kot studijas, dro\u0161i vien jau zin\u0101j\u0101t, ka situ\u0101cija medic\u012bn\u0101 ir smaga \u2013 p\u0101rslodze, jaunu darba roku tr\u016bkums, zems atalgojums. Tom\u0113r nenobij\u0101ties.<\/strong><\/p>\n\n\n\n<p>\u2013 Savas gaitas medic\u012bn\u0101 uzs\u0101ku pirms vair\u0101k nek\u0101 vienpadsmit gadiem. Kad st\u0101jos Latvijas Universit\u0101tes Medic\u012bnas fakult\u0101t\u0113, run\u0101jot ar \u0123imeni un domubiedriem, izskan\u0113ja cer\u012bba, ka daudzo gadu laik\u0101, l\u012bdz k\u013c\u016b\u0161u par sertific\u0113tu \u0101rsti, \u0161\u012bs probl\u0113mas b\u016bs atrisin\u0101ju\u0161\u0101s. Tom\u0113r pa \u0161iem gadiem ir noticis pret\u0113jais \u2013 probl\u0113mas turpina pieaugt, nevis iet uz labo pusi. Tom\u0113r b\u016bt par \u0101rstu ir misija. Motiv\u0101cija dar\u012bt \u0161o darbu ir cita, nevis peln\u012bt naudu vai veidot karjeru. M\u0113r\u0137is ir kas augst\u0101ks.<\/p>\n\n\n\n<p><strong>\u2013 J\u016bsu misija ir pal\u012bdz\u0113t b\u0113rniem?<\/strong><\/p>\n\n\n\n<p>\u2013 Es gribu pal\u012bdz\u0113t cilv\u0113kiem. Ideja, ka ar savu ikdienas darbu un zin\u0101\u0161an\u0101m dodu labumu citiem, man \u0161\u0137iet br\u012bni\u0161\u0137\u012bga.<\/p>\n\n\n\n<p>B\u0113rnu neirolo\u0123ija ir fascin\u0113jo\u0161a specialit\u0101te. T\u0101 man \u0161\u0137ita jau studiju gados, kad&nbsp;<em>Erasmus<\/em>&nbsp;programmas ietvaros piekt\u0101 kursa laik\u0101 m\u0101c\u012bjos Slov\u0113nij\u0101, \u013bub\u013can\u0101. \u0160is darbs mani \u013coti iedvesmoja.<\/p>\n\n\n\n<p>B\u0113rnu neirolo\u0123ij\u0101 mani aizrauj neiromuskul\u0101r\u0101 neirolo\u0123ija. \u0160aj\u0101 jom\u0101 pa\u0161laik notiek t\u0101da k\u0101 revol\u016bcija, jo ne\u0101rst\u0113jamas slim\u012bbas k\u013c\u016bst \u0101rst\u0113jamas.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-style-large\"><p>Agr\u0101k, nosakot k\u0101du no \u0161\u012bm diagnoz\u0113m, \u0101rstam bija ar\u012b j\u0101atz\u012bst, ka pacienta lab\u0101 neko nesp\u0113j izdar\u012bt.<\/p><\/blockquote>\n\n\n\n<p>L\u012bdz ar jaunu tehnolo\u0123iju un z\u0101\u013cu par\u0101d\u012b\u0161anos situ\u0101cija ir radik\u0101li main\u012bjusies. Tas mani k\u0101 jaunu \u0101rsti \u013coti iedvesmo \u2013 redzu att\u012bst\u012bbu, progresu, to, k\u0101 main\u0101s pieeja pacientu \u0101rst\u0113\u0161an\u0101.<\/p>\n\n\n\n<p><strong>\u2013 Kas visp\u0101r ir neiromuskul\u0101r\u0101 neirolo\u0123ija?<\/strong><\/p>\n\n\n\n<p>\u2013 T\u0101 ir nozare, kas str\u0101d\u0101 ar pacientiem, kuru saslim\u0161ana izpau\u017eas k\u0101 musku\u013cu v\u0101jums \u2013 skarti ir visi \u0137erme\u0146a musku\u013ci. B\u0113rniem ar \u0161\u012bm kait\u0113m ir izteikti kust\u012bbu ierobe\u017eojumi. Parasti vi\u0146i p\u0101rvietojas rati\u0146kr\u0113slos, bie\u017ei vien nepiecie\u0161amas elpo\u0161anas pal\u012bgier\u012bces, jo ar\u012b plau\u0161u un sirds musku\u013ci pamaz\u0101m iet boj\u0101.&nbsp;<\/p>\n\n\n\n<p>\u0160\u012bs slim\u012bbas liel\u0101koties ir progres\u0113jo\u0161as un let\u0101las, ta\u010du da\u017eas no t\u0101m tagad iesp\u0113jams \u0101rst\u0113t ar medikamentiem: b\u0113rns neatvese\u013cojas piln\u012bgi, bet slim\u012bbas att\u012bst\u012bba tiek ierobe\u017eota vai ar\u012b t\u0101 progres\u0113 daudz l\u0113n\u0101k. Savuk\u0101rt ar visjaun\u0101kaj\u0101m tehnolo\u0123ij\u0101m, veicot korekciju pacienta DNS \u2013 b\u016bt\u012bb\u0101 modific\u0113jot b\u0113rna \u0123en\u0113tisko materi\u0101lu \u2013, var pan\u0101kt, ka slim\u012bbas vairs nav. \u0160\u012b metode gan ir tikai pa\u0161\u0101 izstr\u0101des s\u0101kumstadij\u0101, bet pirmie rezult\u0101ti ir \u013coti iedvesmojo\u0161i. Paredzams, ka n\u0101kotn\u0113 \u0161\u012bs kaites b\u016bs iz\u0101rst\u0113jamas.<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>Ar\u012b Latvij\u0101 ir \u0161ie cer\u012bgie, iedvesmojo\u0161ie rezult\u0101ti?<\/strong><\/p>\n\n\n\n<p>\u2013 Pie mums v\u0113l nav pieejama g\u0113nu modific\u0113\u0161ana, ta\u010du notiek \u0101rst\u0113\u0161ana ar \u0123en\u0113tisk\u0101s terapijas z\u0101l\u0113m \u2013 antisensa oligonukleot\u012bdu nuziners\u0113nu. J\u0101, t\u0101ds gar\u0161 un sare\u017e\u0123\u012bts nosaukums, bet ar \u0161o medikamentu, kas ir pavisam jauns \u2013 tas re\u0123istr\u0113ts tikai 2016. gad\u0101 \u2013, \u0101rst\u0113 spin\u0101lo musku\u013cu atrofiju. M\u0113r\u0137is ir aptur\u0113t slim\u012bbas att\u012bst\u012bbu. Jo agr\u0101k terapiju uzs\u0101k, jo lab\u0101ks rezult\u0101ts. Zin\u0101ms, ka p\u0113c piedzim\u0161anas slim\u012bbas simptomi atkar\u012bb\u0101 no t\u0101s tipa par\u0101d\u0101s konkr\u0113t\u0101 br\u012bd\u012b. Jo smag\u0101ks tips, jo agr\u0101k izpau\u017eas slim\u012bba, ta\u010du ar z\u0101l\u0113m to var aptur\u0113t.<\/p>\n\n\n\n<p>\u2013&nbsp;<strong>Tas noz\u012bm\u0113, ka, lietojot z\u0101les, b\u0113rns aug un att\u012bst\u0101s norm\u0101li?<\/strong><\/p>\n\n\n\n<p>\u2013 J\u0101, un ir ar\u012b dati par b\u0113rniem, kurus \u0101rst\u0113 presimptom\u0101tiski: tad, kad b\u0113rns piedzimst, veic skr\u012bningu, vai vi\u0146am gad\u012bjum\u0101 nav \u0161\u012bs slim\u012bbas. Ja to atkl\u0101j un s\u0101k \u0101rst\u0113t, kaut gan slim\u012bba v\u0113l nav izpaudusies, rezult\u0101ti ir \u013coti labi \u2013 saslim\u0161ana ir, ta\u010du simptomi nepar\u0101d\u0101s. B\u0113rns att\u012bst\u0101s t\u0101pat k\u0101 vi\u0146a veselie vienaud\u017ei.<\/p>\n\n\n\n<p>Latvij\u0101 \u0161\u0101da skr\u012bninga nav. Da\u017e\u0101s valst\u012bs to veic k\u0101 pilotprojektu p\u0113t\u012bjumu ietvaros. Izp\u0113tes \u0161aj\u0101 jom\u0101 pa\u0161laik ir daudz, t\u0101 notiek \u013coti akt\u012bvi.<\/p>\n\n\n\n<p>Bet pie mums ir t\u0101: jaunu pacientu atrodam liel\u0101koties tad, kad vi\u0146am jau ir slim\u012bbas simptomi. Tad p\u0113c iesp\u0113jas \u0101tr\u0101k m\u0113\u0123in\u0101m vi\u0146am piel\u0101got terapiju, ja tas ir iesp\u0113jams.<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>Cik veci ir jaun\u0101kie pacienti, kurus \u0161\u0101di \u0101rst\u0113?<\/strong><\/p>\n\n\n\n<p>\u2013 Z\u012bdai\u0146i, bet ide\u0101l\u0101 variant\u0101 m\u0113s grib\u0113tu veikt ar\u012b skr\u012bningu. Pagaid\u0101m tiek p\u0113t\u012bta to izmaksu efektivit\u0101te, ta\u010du ar\u012b jaun\u0101s z\u0101les ir ne vien efekt\u012bvas, bet ar\u012b \u013coti d\u0101rgas. T\u0101 ir aktu\u0101la probl\u0113ma vis\u0101 pasaul\u0113. L\u012bdz\u012bga terapija tuv\u0101kajos gados, visticam\u0101k, par\u0101d\u012bsies ar\u012b pret cit\u0101m kait\u0113m, \u0101rst\u0113\u0161ana k\u013c\u016bs arvien d\u0101rg\u0101ka.<\/p>\n\n\n\n<p><strong>\u2013 Cik b\u0113rniem ir \u0161\u0101da diagnoze?<\/strong><\/p>\n\n\n\n<p>\u2013 P\u0113t\u012bjum\u0101, ko esam veiku\u0161i B\u0113rnu slimn\u012bc\u0101, secin\u0101j\u0101m, ka ar \u0161\u0101du slim\u012bbu sirgst viens no 9000 jaundzimu\u0161ajiem.<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>Vec\u0101kiem, kuriem piedzimis \u0161\u0101ds b\u0113rni\u0146\u0161, protams, svar\u012bgi, lai vi\u0146\u0161 izvese\u013cojas, vienalga, cik tas maks\u0101tu.<\/strong><\/p>\n\n\n\n<p>\u2013 Protams, un t\u0101p\u0113c izmaksu efektivit\u0101te tiek p\u0113t\u012bta un pier\u0101d\u012bta no vis\u0101m pus\u0113m. Ja b\u0113rnam ir \u0161\u0101da slim\u012bba, vi\u0146am ir ar\u012b progres\u0113jo\u0161i kust\u012bbu un elpo\u0161anas trauc\u0113jumi, kas noz\u012bm\u0113 daudz komplik\u0101ciju un bie\u017eu \u0101rst\u0113\u0161anos slimn\u012bc\u0101, da\u017e\u0101du pal\u012bgier\u012b\u010du nodro\u0161in\u0101\u0161anu. D\u0101rgi izmaks\u0101 ar\u012b apr\u016bpe, kur\u0101 iesaist\u012bti abi vec\u0101ki, vi\u0146i spiesti bie\u017ei kav\u0113t darbu. Tas viss j\u0101sar\u0113\u0137ina kop\u0101 un tad j\u0101sal\u012bdzina ar jauno, d\u0101rgo z\u0101\u013cu izmaks\u0101m.<\/p>\n\n\n\n<p>Svar\u012bga ir ne tikai \u0101rst\u0113\u0161ana, bet ar\u012b pacientu kop\u0113j\u0101 skaita apzin\u0101\u0161ana, jo p\u0113t\u012bjumi turpin\u0101s. Un b\u016btiskas ir ne tikai z\u0101les \u2013 j\u0101r\u016bp\u0113jas, lai pacientiem b\u016btu maz\u0101k komplik\u0101ciju, lai b\u016btu pieejama rehabilit\u0101cija. Vajadz\u012bgs ar\u012b atbalsts un izgl\u012bto\u0161ana \u2013 gan pa\u0161iem b\u0113rniem, gan vi\u0146u tuviniekiem. Mums j\u0101sadarbojas, j\u0101pal\u012bdz un j\u0101uzrauga.<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>Vai var teikt, ka paz\u012bstat visus b\u0113rnus Latvij\u0101, kuriem ir spin\u0101l\u0101 musku\u013cu atrofija?<\/strong><\/p>\n\n\n\n<p>\u2013 J\u0101, paz\u012bstu vi\u0146us visus! Ar\u012b vi\u0146u \u0123imenes, tuv\u0101kos cilv\u0113kus, ta\u010du es viena k\u0101 neirolo\u0123e nevar\u0113tu neko pal\u012bdz\u0113t \u2013 tikai diagnostic\u0113t. Pat to \u012bsti nesp\u0113tu, jo diagnozi paties\u012bb\u0101 nosaka \u0123en\u0113ti\u0137is.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-style-large\"><p>Lai visp\u0101r var\u0113tu veikt neiromuskul\u0101ro slim\u012bbu pacientu apr\u016bpi, nepiecie\u0161ama da\u017e\u0101du speci\u0101listu komanda.<\/p><\/blockquote>\n\n\n\n<p>M\u016bsu komand\u0101 ir vair\u0101k nek\u0101 desmit speci\u0101listu \u2013 fizik\u0101l\u0101s un rehabilit\u0101cijas medic\u012bnas \u0101rsts, fizioterapeits, ergoterapeits, logop\u0113ds, uztura speci\u0101lists, psihologs, tehniskais ortop\u0113ds, pulmonologs, kardiologs un citi. Esmu lepna par to, cik labi mums \u0161\u012b sadarb\u012bba izdevusies un turpin\u0101s jau tre\u0161o gadu. Esmu pateic\u012bga visiem kol\u0113\u0123iem!<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>Las\u012bju, ka ar\u012b ievades veids \u0161iem \u012bpa\u0161ajiem medikamentiem ir \u012bpa\u0161s un j\u016bs to veicat vien\u012bg\u0101.<\/strong><\/p>\n\n\n\n<p>\u2013 Spin\u0101l\u0101s musku\u013cu atrofijas pacientiem medikamentu ievada ar lumb\u0101lpunkciju, t\u0101tad ar injekciju starp mugurkaula skrieme\u013ciem. Z\u0101les injic\u0113 mugurkaula kan\u0101l\u0101. To dara sterilos apst\u0101k\u013cos, visbie\u017e\u0101k \u2013 oper\u0101cijas z\u0101l\u0113 un pacientam atrodoties narkoz\u0113. Ta\u010du mums ir ar\u012b t\u0101di mazie pacienti, kuri ir \u013coti drosm\u012bgi un kuriem izdodas to paveikt bez narkozes. Proced\u016bra pati par sevi ir \u013coti \u012bsa, bet br\u012bd\u012b, kad notiek d\u016briens, t\u0101 ir nedaudz s\u0101p\u012bga. Ar b\u0113rniem ne vienm\u0113r izdodas sarun\u0101t, ka vi\u0146i \u0161aj\u0101 mirkl\u012b nekust\u0113sies, bet tie\u0161i tas ir \u013coti svar\u012bgi, lai punkcija notiktu veiksm\u012bgi. Ir b\u0113rni, kuri m\u0101j\u0101s tren\u0113jas b\u016bt mier\u012bgi, un vi\u0146iem san\u0101k!<\/p>\n\n\n\n<p class=\"ticss-a543d0de\">Ta\u010du, k\u0101 jau teicu, p\u0113t\u012bjumi turpin\u0101s, tiek mekl\u0113tas jaunas iesp\u0113jas. \u0160is nav vis\u0113rt\u0101kais z\u0101\u013cu ievades veids. Vislab\u0101k b\u016btu, ja t\u0101 b\u016btu tablete vai injekcija, kas j\u0101veic vienreiz m\u016b\u017e\u0101, k\u0101 tas ir ar g\u0113nu terapiju.<\/p>\n\n\n\n<p><strong>\u2013 Cik bie\u017ei b\u0113rniem j\u0101iztur d\u016brieni mugur\u0101?<\/strong><\/p>\n\n\n\n<p>\u2013 Uzs\u0101kot terapiju, ir \u010detras injekcijas ik p\u0113c div\u0101m ned\u0113\u013c\u0101m, p\u0113c tam \u2013 vid\u0113ji tr\u012bs reizes gad\u0101. Visu m\u016b\u017eu. Paral\u0113li \u2013 rehabilit\u0101cija, citu speci\u0101listu konsult\u0101cijas. Cen\u0161amies to organiz\u0113t pacientam p\u0113c iesp\u0113jas draudz\u012bg\u0101k\u0101 veid\u0101 \u2013 lai nav nemit\u012bgi j\u0101skraida no viena \u0101rsta pie cita, bet visus pakalpojumus var sa\u0146emt vien\u0101 reiz\u0113.<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>Vai jauno z\u0101\u013cu efektu jau varat nov\u0113rt\u0113t?<\/strong><\/p>\n\n\n\n<p>\u2013 Pirm\u0101 liel\u0101 z\u0101\u013cu v\u0113rt\u0113\u0161ana paredz\u0113ta gadu p\u0113c terapijas uzs\u0101k\u0161anas, un tas v\u0113l tikai priek\u0161\u0101 \u2013 tas j\u0101paveic \u0161ogad. Tad liksim kop\u0101 visus ieg\u016btos datus. Jau tagad varu teikt, ka visiem b\u0113rniem, kuri sa\u0146em \u0161o terapiju, st\u0101voklis ir \u013coti labs. K\u0101 jau teicu, parasti slim\u012bba progres\u0113, bet b\u0113rniem, kuri lieto medikamentu, t\u0101 vairs neprogres\u0113. Vi\u0146u vesel\u012bba k\u013c\u016bst lab\u0101ka, vi\u0146i att\u012bst\u0101s, iem\u0101c\u0101s ko jaunu, ieg\u016bst jaunas funkcijas.<\/p>\n\n\n\n<p>Mans m\u0113r\u0137is ir ar\u012b pan\u0101kt, lai nav t\u0101 k\u0101 l\u012bdz \u0161im, ka m\u016bsu pacientiem p\u0113c diagnozes noteik\u0161anas j\u0101dodas pasaul\u0113 mekl\u0113t \u0101rst\u0113\u0161anas iesp\u0113jas. Daudzi diem\u017e\u0113l cit\u0101s valst\u012bs ar\u012b paliek, bet tagad, kad ar\u012b pie mums var \u0101rst\u0113ties, neb\u016bs nepiecie\u0161am\u012bbas aizbraukt.<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>Sav\u0101&nbsp;<em>feisbuka<\/em>&nbsp;profil\u0101 esat dal\u012bjusies ar st\u0101stu par to, cik kait\u012bgi b\u0113rna att\u012bst\u012bbai ir z\u012bdai\u0146u \u0161\u016bpu\u013ckr\u0113sli\u0146i \u2013 mazuli t\u0101d\u0101 ieliek, kaut vi\u0146\u0161 v\u0113l neprot s\u0113d\u0113t, un t\u0101 nu vi\u0146\u0161 tur zviln, nevis gu\u013c, ve\u013cas, ripin\u0101s vai m\u0101c\u0101s r\u0101pot. Vai sav\u0101 darb\u0101 redzat ar\u012b citas vec\u0101ku k\u013c\u016bdas?<\/strong><\/p>\n\n\n\n<p>\u2013 Neviens vec\u0101ks jau savam b\u0113rnam nekait\u0113 apzin\u0101ti, t\u0101p\u0113c \u013coti v\u0113lama b\u016btu jauno vec\u0101ku izgl\u012bto\u0161ana par b\u0113rna att\u012bst\u012bbas posmiem. Tad var\u0113tu laikus paman\u012bt br\u012bdi, kad kaut kas neatbilst normai, un savlaic\u012bgi mekl\u0113t \u0101rsta pal\u012bdz\u012bbu. Patlaban daudzi l\u012bdz neirologam non\u0101k, kad probl\u0113ma jau ielaista. Pirm\u0101s aizdomas vai s\u016bdz\u012bbas biju\u0161as, teiksim, se\u0161os m\u0113ne\u0161os, bet pie \u0101rsta b\u0113rns atvests p\u0113c gada vai diviem. Piem\u0113ram, ar valodas att\u012bst\u012bbas aizturi atn\u0101k, kad b\u0113rnam jau tr\u012bs vai \u010detri gadi. Vai b\u0113rnu ar att\u012bst\u012bbas aizturi atved tad, kad vi\u0146\u0161 jau ir b\u0113rnud\u0101rznieks \u2013 un tad atceras, ka audzin\u0101t\u0101ja jau krietni sen teikusi \u2013 mazais ir l\u0113n\u0101ks par p\u0101r\u0113jiem.<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>K\u0101 vec\u0101kiem atrast zelta vidusce\u013cu \u2013 b\u016bt uzman\u012bgiem, bet ne p\u0101rlieku aizdom\u012bgiem?<\/strong><\/p>\n\n\n\n<p>\u2013 T\u0101p\u0113c jau esam m\u0113s, \u0101rsti. Pirmais filtrs ir \u0123imenes \u0101rsts, kuram ir vadl\u012bnijas par b\u0113rna att\u012bst\u012bbu un iesp\u0113ja veikt pirm\u0101s anal\u012bzes.<\/p>\n\n\n\n<p>\u2013&nbsp;<strong>Str\u0101d\u0101jat ne tikai B\u0113rnu slimn\u012bc\u0101, bet pie\u0146emat pacientus ar\u012b ambulatori \u2013 gan vesel\u012bbas centros R\u012bg\u0101, gan Vidzemes slimn\u012bc\u0101. K\u0101das ir bie\u017e\u0101k\u0101s probl\u0113mas?<\/strong><\/p>\n\n\n\n<p>\u2013 \u013boti bie\u017eas s\u016bdz\u012bbas ir galvass\u0101pes pirmsskolas un skolas vecuma b\u0113rniem. Ar\u012b uzved\u012bbas trauc\u0113jumi, m\u0101c\u012b\u0161an\u0101s gr\u016bt\u012bbas. Un ir neirolo\u0123iskas saslim\u0161anas \u2013 epilepsija, krampju l\u0113kmes, miega trauc\u0113jumi, att\u012bst\u012bbas aiztures, kust\u012bbu trauc\u0113jumi. \u013boti pla\u0161s spektrs!<\/p>\n\n\n\n<p><strong>\u2013 Pirm\u0101s min\u0113j\u0101t galvass\u0101pes\u2026 Vai vienm\u0113r varat atrast c\u0113loni un iz\u0101rst\u0113t?<\/strong><\/p>\n\n\n\n<p>\u2013 B\u0113rniem galvai nav j\u0101s\u0101p! Bie\u017ei vien galvass\u0101pju c\u0113lonis ir k\u0101da cita probl\u0113ma, kuru konstat\u0113 un nov\u0113r\u0161. Ja \u0161\u0101du c\u0113loni neizdodas atrast, t\u0101s sauc par prim\u0101r\u0101m galvass\u0101p\u0113m. Tad mekl\u0113 veidu, k\u0101 t\u0101s \u0101rst\u0113t \u2013 atbilst\u012bgi vecumposmam. Liel\u0101koties t\u0101 nav \u0101rst\u0113\u0161ana ar z\u0101l\u0113m, bet gan dz\u012bvesveida izmai\u0146as.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-style-large\"><p>Liela un aktu\u0101la probl\u0113ma ir viedier\u012b\u010du lieto\u0161ana \u2013 b\u0113rni stund\u0101m ir nepareiz\u0101 poz\u0101, ar noliektu galvu, skatiens ekr\u0101n\u0101.<\/p><\/blockquote>\n\n\n\n<p>Ar to saist\u012bta miega higi\u0113na, l\u012bdzsvarots&nbsp;<a href=\"https:\/\/www.santa.lv\/tema\/161\/uzturs?utm_source=internal&amp;utm_medium=article&amp;utm_campaign=theme_link\" target=\"_blank\" rel=\"noreferrer noopener\">uzturs<\/a>&nbsp;un fizisk\u0101s aktivit\u0101tes. \u0160\u0137ietami vienk\u0101r\u0161as, pa\u0161saprotamas lietas, kuras nav viegli iev\u0113rot, bet, ja tas izdodas, ar galvass\u0101p\u0113m var viegli tikt gal\u0101, k\u0101 ar\u012b izvair\u012bties no probl\u0113m\u0101m n\u0101kotn\u0113 \u2013 no liek\u0101 svara, st\u0101jas trauc\u0113jumiem. Tad reiz\u0113m ar neirologa padomu vien nepietiek \u2013 vajag ar\u012b uztura speci\u0101listu, endokrinologu, vertebrologu.<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>Vai ir k\u0101da at\u0161\u0137ir\u012bba starp probl\u0113m\u0101m, ko nov\u0113rojat b\u0113rniem R\u012bg\u0101 un Vidzemes slimn\u012bc\u0101?<\/strong><\/p>\n\n\n\n<p>\u2013 Slim\u012bbu spektrs ir \u013coti pla\u0161s gan R\u012bg\u0101, gan \u0101rpus t\u0101s, ta\u010du Vidzemes slimn\u012bc\u0101 man pieraksts vienm\u0113r ir pilns. P\u0113d\u0113j\u0101 laik\u0101 ar\u012b nov\u0113roju, ka tur pie manis n\u0101k pacienti ar patie\u0161\u0101m neirolo\u0123isk\u0101m probl\u0113m\u0101m, kam\u0113r R\u012bg\u0101 bie\u017e\u0101k redzu, ka probl\u0113ma p\u0101rkl\u0101jas un pacients b\u016btu j\u0101s\u016bta pie cita speci\u0101lista, piem\u0113ra, infektologa, rehabilit\u0101cijas \u0101rsta vai psihiatra.&nbsp;<\/p>\n\n\n\n<p>Vidzemes slimn\u012bc\u0101 de\u017eur\u0113ju ar\u012b uz\u0146em\u0161anas noda\u013c\u0101, kur noder savulaik neatliekamaj\u0101 pal\u012bdz\u012bb\u0101 g\u016bt\u0101 pieredze \u2013 sp\u0113ja \u0101tri rea\u0123\u0113t, saprast, k\u0101da veida pal\u012bdz\u012bba pacientam vajadz\u012bga. \u0160\u012bs prasmes izmantoju ar\u012b \u0161eit, B\u0113rnu slimn\u012bc\u0101, ja j\u0101iet uz Uz\u0146em\u0161anas noda\u013cu, ta\u010du nevar sal\u012bdzin\u0101t pirmo sastap\u0161anos ar pacientu slimn\u012bcas apst\u0101k\u013cos vai uz ielas, me\u017e\u0101 vai m\u0101j\u0101s! Te ir ar\u012b citi \u0101rsti, m\u0101sas un apr\u016bpes person\u0101ls, bet neatliekamaj\u0101 pal\u012bdz\u012bb\u0101 biju tikai es ar v\u0113l vienu kol\u0113\u0123i.<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>K\u0101 no neatliekam\u0101s pal\u012bdz\u012bbas non\u0101c\u0101t l\u012bdz b\u0113rnu neirolo\u0123ijai?<\/strong><\/p>\n\n\n\n<p>\u2013 Kad s\u0101ku stud\u0113t Medic\u012bnas fakult\u0101t\u0113, t\u0101pat k\u0101 citiem studentiem, ar\u012b man bija vajadz\u012bgas k\u0101das finanses, lai var\u0113tu dz\u012bvot. Daudzi studenti paral\u0113li studij\u0101m str\u0101d\u0101. Es s\u0101ku str\u0101d\u0101t \u0161eit, B\u0113rnu slimn\u012bc\u0101. Vispirms par sanit\u0101ri, p\u0113c tam \u2013 par \u0101rsta pal\u012bdzi, p\u0113c tam Neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas dienest\u0101. Tur nostr\u0101d\u0101ju septi\u0146us gadus: s\u0101kum\u0101 par sanit\u0101ri, bet p\u0113c \u0101rsta gr\u0101da ieg\u016b\u0161anas \u2013 par brig\u0101des vad\u012bt\u0101ju.<\/p>\n\n\n\n<p>Rezident\u016br\u0101 s\u0101ku stud\u0113t pieaugu\u0161o neirolo\u0123ij\u0101 un str\u0101d\u0101ju Stradi\u0146a slimn\u012bc\u0101. Tolaik vispirms bija j\u0101k\u013c\u016bst vai nu par pieaugu\u0161o neirologu, vai pediatru, bet b\u0113rnu neirolo\u0123iju var\u0113ja apg\u016bt p\u0113c tam, k\u0101 papildspecialit\u0101ti. P\u0113c diviem gadiem notika izmai\u0146as \u2013 b\u0113rnu neirolo\u0123ija k\u013cuva par pamatspecialit\u0101ti. Biju izv\u0113les priek\u0161\u0101 \u2013 var\u0113ju turpin\u0101t ies\u0101kto un ieg\u016bt divas specialit\u0101tes, bet var\u0113ju uzreiz p\u0101riet uz b\u0113rnu neirolo\u0123iju, par kuru jau diezgan agri zin\u0101ju, ka t\u0101 b\u016bs mana specialit\u0101te. Izv\u0113l\u0113jos otro variantu, ta\u010du esmu priec\u012bga, ka viss izv\u0113rt\u0101s tie\u0161i t\u0101: divos gados pieaugu\u0161o neirolo\u0123ij\u0101 ieguvu \u013coti daudz pamatzin\u0101\u0161anu \u0161aj\u0101 jom\u0101, kas man \u013coti noder ar\u012b tagad.<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>Tagad varat sal\u012bdzin\u0101t pieaugu\u0161o un b\u0113rnu \u0101rst\u0113\u0161anu!<\/strong><\/p>\n\n\n\n<p>\u2013 Gan slim\u012bbas, gan diagnostika, gan \u0101rst\u0113\u0161ana b\u0113rniem un pieaugu\u0161ajiem \u013coti at\u0161\u0137iras. Protams, ir slim\u012bbas, kas p\u0101rkl\u0101jas, ta\u010du to norise ir cit\u0101da. B\u0113rni ir no nulles l\u012bdz asto\u0146padsmit gadiem. Iedom\u0101jieties, k\u0101d\u0101m p\u0101rv\u0113rt\u012bb\u0101m cilv\u0113ks iet cauri \u0161aj\u0101 laik\u0101! Kaut vai izm\u0113ra zi\u0146\u0101.<\/p>\n\n\n\n<p><strong>\u2013 K\u0101 pati izturat slodzi, k\u0101 uzturat sevi veselu?<\/strong><\/p>\n\n\n\n<p>\u2013 Svar\u012bgs ir l\u012bdzsvars starp darbu un atp\u016btu. Atz\u012b\u0161os, agr\u0101k man ar to ir biju\u0161as \u013coti lielas probl\u0113mas un t\u0101das k\u0101 kr\u012bzes situ\u0101cijas ar p\u0101rdom\u0101m par t\u0101l\u0101ko profesion\u0101lo darb\u012bbu. To risin\u0101ju t\u0101, ka \u013c\u0101vu sev nedaudz atp\u016bsties.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-style-large\"><p><em>Atp\u016bties cilv\u0113ks pie\u0146em j\u0113dz\u012bg\u0101kus l\u0113mumus.<\/em><\/p><\/blockquote>\n\n\n\n<p>Mekl\u0113jot l\u012bdzsvaru, tagad cen\u0161os sportot: man pat\u012bk skriet. Kop\u0101 ar v\u012bru braucam ar\u012b sl\u0113pot \u2013 \u0161oziem bij\u0101m Gruzij\u0101, liel\u0101 augstum\u0101, tr\u012bst\u016bksto\u0161 metru un augst\u0101k. Tas bija br\u012bni\u0161\u0137\u012bgi, kaut tie nav Alpi un t\u0101 nav Rietumeiropa. P\u0101rsteidza, ka kvalit\u0101tes zi\u0146\u0101 trases un apr\u012bkojums neat\u0161\u0137iras, ta\u010du&nbsp;<a href=\"https:\/\/www.santa.lv\/tema\/123173\/kultura?utm_source=internal&amp;utm_medium=article&amp;utm_campaign=theme_link\" target=\"_blank\" rel=\"noreferrer noopener\">kult\u016bra<\/a>&nbsp;gan ir stipri cit\u0101da.<\/p>\n\n\n\n<p>Vair\u0101kus gadus dziedu ar\u012b Garkalnes jauktaj\u0101 kor\u012b&nbsp;<em>Pa saulei<\/em>&nbsp;\u2013 tagad gatavojamies br\u012bni\u0161\u0137\u012bgam koncertam J\u0101\u0146a bazn\u012bc\u0101, kur or\u0137estra pavad\u012bjum\u0101 izpild\u012bsim Mocarta&nbsp;<em>Rekvi\u0113mu<\/em>. \u0100rpusdarba aktivit\u0101tes man ir \u013coti b\u016btiskas \u2013 lai varu atsl\u0113gt pr\u0101tu no ikdienas probl\u0113m\u0101m.<\/p>\n\n\n\n<p><strong>\u2013<\/strong>&nbsp;<strong>Esat ar\u012b p\u0101rg\u0101jienu cien\u012bt\u0101ja!<\/strong><\/p>\n\n\n\n<p>\u2013 M\u0113s ar draugiem vismaz reizi m\u0113nes\u012b nu jau apm\u0113ram gadu piedal\u0101mies t\u0101d\u0101s k\u0101 piedz\u012bvojumu sp\u0113l\u0113s, kur\u0101s p\u0101rg\u0101jiens var ilgt pat desmit, divpadsmit, reiz\u0113m \u2013 \u010detrpadsmit stundu. T\u0101s r\u012bko organiz\u0101cija&nbsp;<em>Baltais kalns<\/em>, kuras slaven\u0101kais pas\u0101kums ir p\u0101rg\u0101jiens Kolka\u2013Dubulti.<\/p>\n\n\n\n<p>\u0160\u012bs sp\u0113les nosaukums ir&nbsp;<em>Sept\u012btnieks<\/em>, un b\u016bt\u012bba ir t\u0101da, ka p\u0101rg\u0101jiena laik\u0101 j\u0101atrod septi\u0146u m\u012bklu atmin\u0113jumi. Tie saist\u0101s ar noteikt\u0101m viet\u0101m Latvij\u0101. Atminot m\u012bklu, uzzin\u0101m, par kuru vietu ir runa. Tad braucam turp un mekl\u0113jam simbolu ar ciparu.<\/p>\n\n\n\n<p>Kad atmin\u0113tas visas septi\u0146as m\u012bklas, var atmin\u0113t ar\u012b astoto. Astotaj\u0101 viet\u0101 ir pasl\u0113pta l\u0101de. Notiek c\u012b\u0146a par to, kura komanda konkr\u0113taj\u0101 m\u0113nes\u012b l\u0101di atrad\u012bs pirm\u0101. Tas ir aizraujo\u0161i! Mekl\u0113\u0161ana parasti ietver ne tikai p\u0101rg\u0101jienu, bet ar\u012b k\u0101p\u0161anu, peld\u0113\u0161anu, l\u012b\u0161anu, lai tiktu pie apsl\u0113pt\u0101s vietas. P\u0113d\u0113jo reizi bij\u0101m Emb\u016bt\u0113 \u2013 viet\u0101, kur nekad iepriek\u0161 nebiju bijusi, l\u012bdz ar to tas ir veids, k\u0101 iepaz\u012bt un apskat\u012bt Latviju.<\/p>","protected":false},"excerpt":{"rendered":"<p>Anamn\u0113ze \u0100rste ar milz\u012bg\u0101m darbasp\u0113j\u0101m. Str\u0101d\u0101 B\u0113rnu kl\u012bniskaj\u0101 universit\u0101tes slimn\u012bc\u0101 par b\u0113rnu neirolo\u0123i, padzi\u013cin\u0101ti interes\u0113jas par neiromuskul\u0101ro neirolo\u0123iju. Pacientus pie\u0146em ar\u012b vesel\u012bbas centros Vivendi un Vesels b\u0113rns, k\u0101 ar\u012b Vidzemes slimn\u012bc\u0101. Erasmus apmai\u0146as programm\u0101 m\u0101c\u012bjusies \u013bub\u013canas Universit\u0101t\u0113 Slov\u0113nij\u0101, sta\u017e\u0113jusies D\u017eona Voltona Muskul\u0101r\u0101s distrofijas izp\u0113tes centr\u0101 \u0145\u016bk\u0101sl\u0101, Apvienotaj\u0101 Karalist\u0113, un \u013bub\u013canas Universit\u0101tes slimn\u012bcas B\u0113rnu neirolo\u0123ijas noda\u013c\u0101. [&hellip;]<\/p>","protected":false},"author":1,"featured_media":1600,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","footnotes":""},"categories":[1],"tags":[],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":5}},"taxonomy_info":{"category":[{"value":1,"label":"Uncategorized"}]},"featured_image_src_large":["https:\/\/veselsberns.lv\/wp-content\/uploads\/2022\/01\/bernu-neirolog_signe-setlere_vesels-berns_bernu-klinika.jpeg",500,260,false],"author_info":{"display_name":"Info","author_link":"https:\/\/veselsberns.lv\/en\/author\/info\/"},"comment_info":0,"category_info":[{"term_id":1,"name":"Uncategorized","slug":"uncategorized","term_group":0,"term_taxonomy_id":1,"taxonomy":"category","description":"","parent":0,"count":5,"filter":"raw","term_order":"0","cat_ID":1,"category_count":5,"category_description":"","cat_name":"Uncategorized","category_nicename":"uncategorized","category_parent":0}],"tag_info":false,"_links":{"self":[{"href":"https:\/\/veselsberns.lv\/en\/wp-json\/wp\/v2\/posts\/1599"}],"collection":[{"href":"https:\/\/veselsberns.lv\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veselsberns.lv\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veselsberns.lv\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veselsberns.lv\/en\/wp-json\/wp\/v2\/comments?post=1599"}],"version-history":[{"count":3,"href":"https:\/\/veselsberns.lv\/en\/wp-json\/wp\/v2\/posts\/1599\/revisions"}],"predecessor-version":[{"id":2087,"href":"https:\/\/veselsberns.lv\/en\/wp-json\/wp\/v2\/posts\/1599\/revisions\/2087"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veselsberns.lv\/en\/wp-json\/wp\/v2\/media\/1600"}],"wp:attachment":[{"href":"https:\/\/veselsberns.lv\/en\/wp-json\/wp\/v2\/media?parent=1599"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veselsberns.lv\/en\/wp-json\/wp\/v2\/categories?post=1599"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veselsberns.lv\/en\/wp-json\/wp\/v2\/tags?post=1599"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}