{"id":1091,"date":"2023-08-14T07:57:20","date_gmt":"2023-08-14T07:57:20","guid":{"rendered":"https:\/\/new.vwdtest.com\/lv\/?page_id=1091"},"modified":"2026-04-08T12:59:22","modified_gmt":"2026-04-08T12:59:22","slug":"family-doctor-paediatrician","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/lv\/family-doctor-paediatrician\/","title":{"rendered":"\u0122IMENES \u0100RSTS \/ PEDIATRS<\/strong>"},"content":{"rendered":"
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B\u0113rniem ar VS skol\u0101 un \u0123imenes dz\u012bv\u0113 var rasties ar\u012b emocion\u0101las un uzved\u012bbas gr\u016bt\u012bbas, ko izraisa bailes no asi\u0146o\u0161anas, un bie\u017ea asi\u0146o\u0161ana var izrais\u012bt skolas kav\u0113jumus.4 <\/sup>Turkl\u0101t bailes no asi\u0146o\u0161anas var rad\u012bt iev\u0113rojamu psiholo\u0123isko slogu<\/a> ar\u012b b\u0113rna apr\u016bp\u0113t\u0101jiem un mudin\u0101t vi\u0146us ierobe\u017eot fizisk\u0101s un soci\u0101l\u0101s aktivit\u0101tes, kas ir svar\u012bgas b\u0113rna norm\u0101lai att\u012bst\u012bbai.5<\/sup><\/h5><\/p>\n<\/div>\n\n
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\u0122imenes \u0101rstu un pediatru loma<\/strong><\/h3>\n<\/div>\n\n
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VS ir b\u0113rniem visbie\u017e\u0101k sastopam\u0101 asinsreces slim\u012bba.6<\/sup> Bie\u017ei sastopami asi\u0146o\u0161anas simptomi b\u0113rniem ar VS ir viegla zilumu veido\u0161an\u0101s<\/a>, asi\u0146o\u0161ana no mutes un deguna<\/a>, k\u0101 ar\u012b ilgsto\u0161a asi\u0146o\u0161ana no neliel\u0101m br\u016bc\u0113m un p\u0113c oper\u0101cijas.2<\/sup> K\u0101 \u0123imenes \u0101rsts vai pediatrs j\u016bs bie\u017ei vien b\u016bsiet pirmais medic\u012bnas darbinieks, kur\u0161 redz\u0113s b\u0113rnus ar \u0161\u0101diem simptomiem, un j\u016bsu uzdevums b\u016bs noteikt, vai b\u0113rnam ir patolo\u0123iska asi\u0146o\u0161ana, kas prasa turpm\u0101ku izmekl\u0113\u0161anu pie speci\u0101lista.7<\/sup> Gan pieaugu\u0161ajiem, gan b\u0113rniem ar iesp\u0113jamiem asinsreces trauc\u0113jumiem pirmais solis diagnozes noteik\u0161an\u0101 ir asi\u0146o\u0161anas anamn\u0113zes iev\u0101k\u0161ana. Izv\u0113rt\u0113jot b\u0113rna asi\u0146o\u0161anas v\u0113sturi, ir \u013coti svar\u012bgi \u0146emt v\u0113r\u0101 pacienta vecumu un att\u012bst\u012bbas sp\u0113jas. Z\u012bdai\u0146iem, kuri v\u0113l neprot p\u0101rvietoties, reti par\u0101d\u0101s zilumi, bet p\u0113c apgraiz\u012b\u0161anas vai asins paraugu \u0146em\u0161anas ir iesp\u0113jama neparasta asi\u0146o\u0161ana.2,7<\/sup> Kad b\u0113rni s\u0101k p\u0101rvietoties, bie\u017e\u0101k par\u0101d\u0101s nelieli nobr\u0101zumi un zilumi p\u0113c sasitumiem vai kritieniem. Tom\u0113r liel\u0101ki vai bie\u017e\u0101k nek\u0101 sagaid\u0101ms radu\u0161ies zilumi var rad\u012bt aizdomas par asinsreces trauc\u0113jumiem. B\u0113rniem ar VS var par\u0101d\u012bties ar\u012b zilumi neparast\u0101s viet\u0101s, piem\u0113ram, uz muguras vai v\u0113dera. \u0160\u0101di zilumi var tikt sajaukti ar vardarb\u012bbas pret b\u0113rnu paz\u012bm\u0113m, un vec\u0101ki var s\u0101kt uztraukties par \u0161\u0101du iesp\u0113ju.8<\/sup> Visbeidzot, meiten\u0113m sasniedzot pubert\u0101ti, stipra menstru\u0101l\u0101 asi\u0146o\u0161ana<\/a> k\u013c\u016bst par visbie\u017e\u0101ko VS izrais\u012btas asi\u0146o\u0161anas simptomu. P\u0101rrun\u0101jot \u0161os simptomus ar pacientiem un vi\u0146u apr\u016bp\u0113t\u0101jiem, ir svar\u012bgi ietvert ar\u012b \u0123imenes asi\u0146o\u0161anas v\u0113sturi, jo atk\u0101rtota patolo\u0123iska asi\u0146o\u0161ana \u0123imen\u0113 var tikt uzskat\u012bta par nenoz\u012bm\u012bgu.2,9<\/sup><\/p>\n<\/div>\n\n

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L\u0113mums par to, vai asi\u0146o\u0161anas simptomi ir neparasti, var b\u016bt sare\u017e\u0123\u012bts.7<\/sup> Lai veiktu asi\u0146o\u0161anas simptomu s\u0101kotn\u0113jo nov\u0113rt\u0113jumu, it \u012bpa\u0161i pacientiem, kuriem ir pl\u0101nota oper\u0101cija, m\u0113s iesak\u0101m pacientam veikt m\u016bsu asi\u0146o\u0161anas testu<\/a> . Tests par\u0101d\u012bs, vai ir nepiecie\u0161ama turpm\u0101ka izmekl\u0113\u0161ana, un tas var main\u012bt j\u016bsu pacienta dz\u012bvi!<\/p>\n<\/div>\n\n

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VS diagnostika ir sare\u017e\u0123\u012bta procesa rezult\u0101ts.2<\/sup> T\u0101p\u0113c, ja ir nepiecie\u0161ami papildu diagnostiski izmekl\u0113jumi, m\u0113s iesak\u0101m v\u0113rsties tuv\u0101kaj\u0101 hemofilijas \u0101rst\u0113\u0161anas centr\u0101<\/a>. \u0100rst\u0113\u0161anas centra starpdiscipl\u012bnu komandas nodro\u0161in\u0101s ar\u012b optim\u0101lu apr\u016bpi pacientiem, kuriem ir asinsreces trauc\u0113jumi. VWDtest sniedz ar\u012b papildu inform\u0101ciju par VS etiolo\u0123iju<\/a>, diagnostiku<\/a> un \u0101rst\u0113\u0161anu<\/a>, k\u0101 ar\u012b ieskatu par pacientu ar VS dz\u012bvi<\/a>.<\/p>\n<\/div>\n\n

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Atsauces<\/h6>\n<\/div>\n\n
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  1. Atiq F et al. EClinicalMedicine<\/em> 2021; 32:100726.<\/li>\n<\/div>\n\n
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  2. Corrales-Medina FF et al. Blood Rev <\/em><\/a>2023; 58:101018.<\/li>\n<\/div>\n\n
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  3. Patel PN et al. Int J Pediatr Otorhinolaryngol<\/em> 2017; 100:216-22.<\/li>\n<\/div>\n\n
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  4. de Wee EM et al. J Thromb Haemost<\/em> 2011; 9:502-9.<\/li>\n<\/div>\n\n
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  5. https:\/\/www.hemophilia.org\/sites\/default\/files\/document\/files\/nurses-guide-chapter-13a-child-development-with-bleeding-disorder-transition.pdf<\/a>; last accessed Mar 2023.<\/li>\n<\/div>\n\n
    \n
  6. Klaassen R and Halton JM Paediatr Child Health<\/em> 2002; 7:245-9.<\/li>\n<\/div>\n\n
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  7. Van Ommen CH and Peters M. Eur J Pediatr<\/em> 2012; 171:1-10.<\/li>\n<\/div>\n\n
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  8. Jackson J et al. Child Abuse Negl<\/em> 2012; 36:127-34.<\/li>\n<\/div>\n\n
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  9. VanderMeulen H, et al. Hematology Am Soc Hematol Educ Program<\/em> 2022 1: 631-6.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    B\u0113rniem ar VS skol\u0101 un \u0123imenes dz\u012bv\u0113 var rasties ar\u012b emocion\u0101las un uzved\u012bbas gr\u016bt\u012bbas, ko izraisa bailes no asi\u0146o\u0161anas, un bie\u017ea asi\u0146o\u0161ana var izrais\u012bt skolas kav\u0113jumus.4 Turkl\u0101t bailes no asi\u0146o\u0161anas var rad\u012bt iev\u0113rojamu psiholo\u0123isko slogu ar\u012b b\u0113rna apr\u016bp\u0113t\u0101jiem un mudin\u0101t vi\u0146us ierobe\u017eot fizisk\u0101s un soci\u0101l\u0101s aktivit\u0101tes, kas ir svar\u012bgas b\u0113rna norm\u0101lai att\u012bst\u012bbai.5 \u0122imenes \u0101rstu un […]<\/p>\n","protected":false},"author":1,"featured_media":1095,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"\n\u0122IMENES \u0100RSTS \/ PEDIATRS - Latvia<\/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:\/\/vwdtest.com\/lv\/family-doctor-paediatrician\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0122IMENES \u0100RSTS \/ PEDIATRS - 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