{"id":1375,"date":"2026-09-29T10:06:50","date_gmt":"2026-09-29T07:06:50","guid":{"rendered":"https:\/\/olivijacaune.lv\/?p=1375"},"modified":"2026-09-29T13:09:09","modified_gmt":"2026-09-29T10:09:09","slug":"profesionala-pieredze-liona-reta-endokrinologija-hipofizes-slimibas-un-starptautiska-pieredze-pieredzes-apmaina-liona-francija-2026-gada","status":"publish","type":"post","link":"https:\/\/olivijacaune.lv\/ru\/profesionala-pieredze-liona-reta-endokrinologija-hipofizes-slimibas-un-starptautiska-pieredze-pieredzes-apmaina-liona-francija-2026-gada\/","title":{"rendered":"\u041e\u0431\u043c\u0435\u043d \u043e\u043f\u044b\u0442\u043e\u043c \u0432 \u041b\u0438\u043e\u043d\u0435, \u0424\u0440\u0430\u043d\u0446\u0438\u044f, \u0432 2026 \u0433\u043e\u0434\u0443."},"content":{"rendered":"<h1 class=\"wp-block-heading\"><\/h1>\n\n\n\n<p>Medic\u012bn\u0101 ir jomas, kuras iesp\u0113jams labi apg\u016bt tikai tad, ja \u0101rstam ir iesp\u0113ja regul\u0101ri redz\u0113t pietiekamu skaitu pacientu ar konkr\u0113to slim\u012bbu, piedal\u012bties sare\u017e\u0123\u012btu gad\u012bjumu apsprie\u0161an\u0101 un str\u0101d\u0101t kop\u0101 ar speci\u0101listiem, kuri \u0161ai patolo\u0123ijai velt\u012bju\u0161i lielu da\u013cu savas profesion\u0101l\u0101s dz\u012bves.<\/p>\n\n\n\n<p>Tie\u0161i \u0161\u0101du pieredzi devos ieg\u016bt Lion\u0101, Francij\u0101 \u2013 vien\u0101 no noz\u012bm\u012bg\u0101kajiem Eiropas centriem reto endokr\u012bno slim\u012bbu un \u012bpa\u0161i hipof\u012bzes patolo\u0123iju diagnostik\u0101 un \u0101rst\u0113\u0161an\u0101.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">K\u0101p\u0113c tie\u0161i Francija un Liona?<\/h2>\n\n\n\n<p>Latvijas iedz\u012bvot\u0101ju skaits ir aptuveni 1,9 miljoni. Francij\u0101 dz\u012bvo vair\u0101k nek\u0101 69 miljoni cilv\u0113ku \u2013 aptuveni 36 reizes vair\u0101k. Savuk\u0101rt Lionas un t\u0101 apk\u0101rtnes lielais universit\u0101\u0161u slimn\u012bcu t\u012bkls apkalpo milz\u012bgu pacientu popul\u0101ciju un nodro\u0161ina iesp\u0113ju koncentr\u0113t pacientus ar ret\u0101m slim\u012bb\u0101m specializ\u0113tos centros.<\/p>\n\n\n\n<p>\u0160\u012b at\u0161\u0137ir\u012bba ir b\u016btiska tie\u0161i reto slim\u012bbu medic\u012bn\u0101.<\/p>\n\n\n\n<p>Ja k\u0101da slim\u012bba ir reta, vienas valsts vai viena \u0101rsta praks\u0113 gada laik\u0101 var b\u016bt tikai da\u017ei \u0161\u0101di pacienti. Tas noz\u012bm\u0113, ka pat \u013coti pieredz\u0113jis endokrinologs Latvij\u0101 nevar ikdien\u0101 ieg\u016bt t\u0101du pa\u0161u kl\u012bnisko pieredzi, k\u0101du specializ\u0113t\u0101 Francijas centr\u0101 iesp\u0113jams ieg\u016bt, redzot lielu skaitu l\u012bdz\u012bgu, sare\u017e\u0123\u012btu un ilgsto\u0161i nov\u0113rotu pacientu.<\/p>\n\n\n\n<p>Latvij\u0101 nav pietiekama pacientu skaita, lai katrai retai endokr\u012bnai slim\u012bbai izveidotu \u0161auri specializ\u0113tu \u0101rstu komandu ar \u013coti lielu konkr\u0113t\u0101s patolo\u0123ijas gad\u012bjumu skaitu. L\u012bdz ar to \u0161\u0101du slim\u012bbu pieredzi nav iesp\u0113jams pilnv\u0113rt\u012bgi ieg\u016bt tikai rezident\u016bras laik\u0101 vai ikdienas praks\u0113.<\/p>\n\n\n\n<p>Tas nav Latvijas medic\u012bnas tr\u016bkums \u2013 t\u0101 ir mazas valsts realit\u0101te.<\/p>\n\n\n\n<p>T\u0101p\u0113c, manupr\u0101t, \u0101rstam ir j\u0101mekl\u0113 iesp\u0113jas \u0161o pieredzi ieg\u016bt tur, kur t\u0101 ir koncentr\u0113ta.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Hipof\u012bzes reto slim\u012bbu centrs Lion\u0101<\/h2>\n\n\n\n<p>Mana galven\u0101 profesion\u0101l\u0101 pieredze bija H\u00f4pital Louis Pradel un CRMR HYPO \u2013 specializ\u0113taj\u0101 hipof\u012bzes reto slim\u012bbu centr\u0101, ko vada profesors G\u00e9rald Raverot.<\/p>\n\n\n\n<p>Tas ir Francijas nacion\u0101l\u0101s reto hipof\u012bzes slim\u012bbu references sist\u0113mas centrs un viens no trim specializ\u0113tajiem centriem Francij\u0101. Centrs kop\u0161 2017. gada ir ofici\u0101li atz\u012bts k\u0101 <em>Centre de R\u00e9f\u00e9rence Maladies Rares<\/em> (CRMR), un kop\u0161 2021. gada Lionas centram ir ar\u012b Eiropas references centra Endo-ERN statuss hipof\u012bzes slim\u012bbu jom\u0101.<\/p>\n\n\n\n<p>\u0160eit hipof\u012bzes slim\u012bbas netiek skat\u012btas tikai k\u0101 atsevi\u0161\u0137a diagnoze. Pacients tiek v\u0113rt\u0113ts multidisciplin\u0101ri \u2013 endokrinologu, neiro\u0137irurgu, radiologu, radioterapeitu un citu speci\u0101listu komand\u0101.<\/p>\n\n\n\n<p>\u012apa\u0161i v\u0113rt\u012bga bija iesp\u0113ja piedal\u012bties sare\u017e\u0123\u012btu pacientu izv\u0113rt\u0113\u0161an\u0101 un redz\u0113t gad\u012bjumus, kur nepiecie\u0161ama ilgsto\u0161a \u0101rst\u0113\u0161anas strat\u0113\u0123ija, atk\u0101rtota \u0137irur\u0123iska \u0101rst\u0113\u0161ana, medikamentoza terapija, staru terapija vai kombin\u0113ta pieeja.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Profesors G\u00e9rald Raverot \u2013 mentors<\/h2>\n\n\n\n<p>\u0160\u012bs pieredzes \u012bpa\u0161a v\u0113rt\u012bba bija iesp\u0113ja str\u0101d\u0101t tie\u0161\u0101 profesora G\u00e9rald Raverot vad\u012bb\u0101.<\/p>\n\n\n\n<p>Nevis tikai klaus\u012bties lekcijas vai v\u0113rot darbu no malas, bet <strong>str\u0101d\u0101t plecu pie pleca ar speci\u0101listu, kur\u0161 ikdien\u0101 nodarbojas ar sare\u017e\u0123\u012bt\u0101kaj\u0101m hipof\u012bzes slim\u012bb\u0101m<\/strong>.<\/p>\n\n\n\n<p>Profesors Raverot \u013c\u0101va man b\u016bt kl\u0101t sare\u017e\u0123\u012btu pacientu izv\u0113rt\u0113\u0161an\u0101, apspriest diagnostikas un \u0101rst\u0113\u0161anas taktiku un piedal\u012bties gad\u012bjumu anal\u012bz\u0113.<\/p>\n\n\n\n<p>\u012apa\u0161i noz\u012bm\u012bga bija iesp\u0113ja piedal\u012bties multidisciplin\u0101r\u0101s kons\u012bliju san\u0101ksm\u0113s \u2013 gan re\u0123ion\u0101laj\u0101 hipotal\u0101ma\u2013hipof\u012bzes slim\u012bbu kons\u012blij\u0101, gan nacion\u0101l\u0101 l\u012bme\u0146a diskusij\u0101s par agres\u012bviem hipof\u012bzes audz\u0113jiem un kraniofaringiom\u0101m.<\/p>\n\n\n\n<p>\u0160\u0101da pieredze \u013cauj saprast ne tikai <strong>k\u0101du \u0101rst\u0113\u0161anu izv\u0113l\u0113ties<\/strong>, bet ar\u012b <strong>k\u0101p\u0113c konkr\u0113t\u0101 situ\u0101cij\u0101 tiek pie\u0146emts tie\u0161i \u0161\u0101ds l\u0113mums<\/strong>.<\/p>\n\n\n\n<p>Tas ir viens no svar\u012bg\u0101kajiem aspektiem, ko nav iesp\u0113jams pilnv\u0113rt\u012bgi apg\u016bt tikai no gr\u0101mat\u0101m vai vadl\u012bnij\u0101m.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ne tikai hipof\u012bzes slim\u012bbas<\/h2>\n\n\n\n<p>Lion\u0101 bija iesp\u0113ja iepaz\u012bt ar\u012b citas retas un sare\u017e\u0123\u012btas endokr\u012bn\u0101s patolo\u0123ijas.<\/p>\n\n\n\n<p>H\u00f4pital Louis Pradel endokrinolo\u0123ijas strukt\u016br\u0101 koncentr\u0113ta pieredze vair\u0101k\u0101s retu slim\u012bbu jom\u0101s \u2013 tostarp virsnieru slim\u012bb\u0101s, reti sastopamos vai sare\u017e\u0123\u012btos vairogdziedzera trauc\u0113jumos, hipof\u012bzes audz\u0113jos, neiroendokr\u012bnos audz\u0113jos un cit\u0101s ret\u0101s endokr\u012bn\u0101s saslim\u0161an\u0101s.<\/p>\n\n\n\n<p>\u012apa\u0161i noz\u012bm\u012bga ir ar\u012b pieredze <strong>Greivsa slim\u012bbas autoim\u016bn\u0101s orbitop\u0101tijas<\/strong> \u0101rst\u0113\u0161an\u0101, kur Lionas centram ir Eiropas references centra loma.<\/p>\n\n\n\n<p>\u0160\u0101da specializ\u0101cija \u013cauj vienuviet koncentr\u0113t pieredzi, kas cit\u0101 valst\u012b var b\u016bt izklied\u0113ta starp daudziem \u0101rstiem un \u0101rstniec\u012bbas iest\u0101d\u0113m.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">K\u0101p\u0113c \u0161\u0101da pieredze ir nepiecie\u0161ama Latvij\u0101?<\/h2>\n\n\n\n<p>Man bija svar\u012bgi \u0161o pieredzi ieg\u016bt nevis profesion\u0101la CV papildin\u0101\u0161anai, bet galvenok\u0101rt t\u0101p\u0113c, ka <strong>Latvij\u0101 \u0161\u0101du kl\u012bnisko pieredzi nav iesp\u0113jams ieg\u016bt t\u0101d\u0101 pa\u0161\u0101 apjom\u0101<\/strong>.<\/p>\n\n\n\n<p>Latvij\u0101 ir \u013coti labi speci\u0101listi un augsta l\u012bme\u0146a medic\u012bnas centri, ta\u010du m\u016bsu 1,9 miljonu iedz\u012bvot\u0101ju popul\u0101cija objekt\u012bvi ne\u013cauj katrai retai slim\u012bbai nodro\u0161in\u0101t t\u0101du pacientu koncentr\u0101ciju, k\u0101da iesp\u0113jama valst\u012b ar vair\u0101k nek\u0101 69 miljoniem iedz\u012bvot\u0101ju.<\/p>\n\n\n\n<p>Rezident\u016bras gados jaunais endokrinologs var ieg\u016bt labu pamatu visu endokr\u012bno slim\u012bbu diagnostik\u0101 un \u0101rst\u0113\u0161an\u0101. Ta\u010du \u013coti retu slim\u012bbu gad\u012bjum\u0101 ar to vien nepietiek. Lai k\u013c\u016btu par speci\u0101listu konkr\u0113t\u0101 jom\u0101, nepiecie\u0161ams redz\u0113t daudzus pacientus, tostarp sare\u017e\u0123\u012bt\u0101kos un netipiskos gad\u012bjumus, sekot vi\u0146u \u0101rst\u0113\u0161anas rezult\u0101tiem un piedal\u012bties multidisciplin\u0101r\u0101 l\u0113mumu pie\u0146em\u0161an\u0101.<\/p>\n\n\n\n<p>Latvij\u0101 nav iesp\u0113jams katrai retajai endokr\u012bnajai slim\u012bbai izveidot \u0161auri specializ\u0113tu \u0101rstu grupu ar tik lielu pacientu pl\u016bsmu.<\/p>\n\n\n\n<p>T\u0101p\u0113c es izv\u0113l\u0113jos citu ce\u013cu \u2013 <strong>doties tur, kur \u0161\u012b pieredze jau ir koncentr\u0113ta, un atvest ieg\u016bt\u0101s zin\u0101\u0161anas atpaka\u013c uz Latviju.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Zin\u0101\u0161anas nav m\u0113r\u0137is pa\u0161as par sevi<\/h2>\n\n\n\n<p>Manupr\u0101t, \u0101rsta profesion\u0101l\u0101 izaugsme nav tikai par jaunu zin\u0101\u0161anu ieg\u016b\u0161anu.<\/p>\n\n\n\n<p>Svar\u012bg\u0101kais jaut\u0101jums ir \u2013 <strong>ko \u0161\u012bs zin\u0101\u0161anas main\u012bs man\u0101 darb\u0101 ar pacientu?<\/strong><\/p>\n\n\n\n<p>Pieredze Lion\u0101 man deva iesp\u0113ju lab\u0101k izprast reto hipof\u012bzes un citu endokr\u012bno slim\u012bbu diagnostiku, \u0101rst\u0113\u0161anas taktikas izv\u0113li, multidisciplin\u0101ru pacientu vad\u012bbu un situ\u0101cijas, kur\u0101s nepiecie\u0161ama starptautiska ekspert\u012bze.<\/p>\n\n\n\n<p>\u0160o pieredzi v\u0113los izmantot ikdienas darb\u0101 Latvij\u0101 \u2013 lai sare\u017e\u0123\u012bt\u0101s situ\u0101cij\u0101s var\u0113tu pacientam pied\u0101v\u0101t p\u0113c iesp\u0113jas m\u016bsdien\u012bg\u0101ku, pamatotu un starptautiskajai praksei atbilsto\u0161u \u0101rst\u0113\u0161anas pieeju.<\/p>\n\n\n\n<p>Galu gal\u0101 \u0161\u0101das profesion\u0101l\u0101s pieredzes j\u0113ga nav \u0101rsta CV.<\/p>\n\n\n\n<p><strong>T\u0101s j\u0113ga ir pacientam.<\/strong><\/p>\n\n\n\n<p>Jo ret\u0101ka ir slim\u012bba, jo svar\u012bg\u0101k ir, lai pacientam b\u016btu pieejamas zin\u0101\u0161anas un pieredze, kas uzkr\u0101ta nevis tikai viena \u0101rsta praks\u0113, bet starptautisk\u0101 profesion\u0101\u013cu kopien\u0101.<\/p>\n\n\n\n<p>Tie\u0161i t\u0101p\u0113c es izv\u0113l\u0113jos doties uz Lionu \u2013 m\u0101c\u012bties no \u0101rstiem, kuri ikdien\u0101 redz slim\u012bbas, kuras Latvij\u0101 sastopamas tikai \u013coti reti, un \u0161o pieredzi izmantot savu pacientu \u0101rst\u0113\u0161an\u0101 Latvij\u0101.<\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>\u0412 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0435 \u0435\u0441\u0442\u044c \u043e\u0431\u043b\u0430\u0441\u0442\u0438, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u043c\u043e\u0436\u043d\u043e \u0445\u043e\u0440\u043e\u0448\u043e \u043e\u0441\u0432\u043e\u0438\u0442\u044c \u0442\u043e\u043b\u044c\u043a\u043e \u0432 \u0442\u043e\u043c \u0441\u043b\u0443\u0447\u0430\u0435, \u0435\u0441\u043b\u0438 \u0443 \u0432\u0440\u0430\u0447\u0430 \u0435\u0441\u0442\u044c \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e\u0441\u0442\u044c \u0440\u0435\u0433\u0443\u043b\u044f\u0440\u043d\u043e \u043d\u0430\u0431\u043b\u044e\u0434\u0430\u0442\u044c \u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0435 \u043a\u043e\u043b\u0438\u0447\u0435\u0441\u0442\u0432\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0441 \u043a\u043e\u043d\u043a\u0440\u0435\u0442\u043d\u044b\u043c \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435\u043c, \u0443\u0447\u0430\u0441\u0442\u0432\u043e\u0432\u0430\u0442\u044c \u0432 \u043e\u0431\u0441\u0443\u0436\u0434\u0435\u043d\u0438\u0438 \u0441\u043b\u043e\u0436\u043d\u044b\u0445 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u0438 \u0440\u0430\u0431\u043e\u0442\u0430\u0442\u044c \u0432\u043c\u0435\u0441\u0442\u0435 \u0441\u043e \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0430\u043c\u0438, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u043f\u043e\u0441\u0432\u044f\u0442\u0438\u043b\u0438 \u044d\u0442\u043e\u0439 \u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0438 \u0431\u043e\u043b\u044c\u0448\u0443\u044e \u0447\u0430\u0441\u0442\u044c \u0441\u0432\u043e\u0435\u0439 \u043f\u0440\u043e\u0444\u0435\u0441\u0441\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u043e\u0439 \u0436\u0438\u0437\u043d\u0438. \u0418\u043c\u0435\u043d\u043d\u043e \u0442\u0430\u043a\u043e\u0439 \u043e\u043f\u044b\u0442 \u044f \u043e\u0442\u043f\u0440\u0430\u0432\u0438\u043b\u0441\u044f \u043f\u0440\u0438\u043e\u0431\u0440\u0435\u0442\u0430\u0442\u044c \u0432 \u041b\u0438\u043e\u043d, \u0424\u0440\u0430\u043d\u0446\u0438\u044f \u2014 \u043e\u0434\u0438\u043d \u0438\u0437 \u0432\u0430\u0436\u043d\u0435\u0439\u0448\u0438\u0445 \u0435\u0432\u0440\u043e\u043f\u0435\u0439\u0441\u043a\u0438\u0445 \u0446\u0435\u043d\u0442\u0440\u043e\u0432 \u043f\u043e \u0440\u0435\u0434\u043a\u0438\u043c \u044d\u043d\u0434\u043e\u043a\u0440\u0438\u043d\u043d\u044b\u043c \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f\u043c\u2026 <a title=\"\u041e\u0431\u043c\u0435\u043d \u043e\u043f\u044b\u0442\u043e\u043c \u0432 \u041b\u0438\u043e\u043d\u0435, \u0424\u0440\u0430\u043d\u0446\u0438\u044f, \u0432 2026 \u0433\u043e\u0434\u0443.\" class=\"read-more\" href=\"https:\/\/olivijacaune.lv\/ru\/profesionala-pieredze-liona-reta-endokrinologija-hipofizes-slimibas-un-starptautiska-pieredze-pieredzes-apmaina-liona-francija-2026-gada\/\" aria-label=\"\u041f\u0440\u043e\u0447\u0438\u0442\u0430\u0442\u044c \u0431\u043e\u043b\u044c\u0448\u0435 \u043e Pieredzes apmai\u0146a Lion\u0101, Francij\u0101 2026.gad\u0101.\">\u0427\u0438\u0442\u0430\u0442\u044c \u0434\u0430\u043b\u0435\u0435<\/a><\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1375","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/olivijacaune.lv\/ru\/wp-json\/wp\/v2\/posts\/1375","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/olivijacaune.lv\/ru\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/olivijacaune.lv\/ru\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/olivijacaune.lv\/ru\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/olivijacaune.lv\/ru\/wp-json\/wp\/v2\/comments?post=1375"}],"version-history":[{"count":3,"href":"https:\/\/olivijacaune.lv\/ru\/wp-json\/wp\/v2\/posts\/1375\/revisions"}],"predecessor-version":[{"id":1380,"href":"https:\/\/olivijacaune.lv\/ru\/wp-json\/wp\/v2\/posts\/1375\/revisions\/1380"}],"wp:attachment":[{"href":"https:\/\/olivijacaune.lv\/ru\/wp-json\/wp\/v2\/media?parent=1375"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/olivijacaune.lv\/ru\/wp-json\/wp\/v2\/categories?post=1375"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/olivijacaune.lv\/ru\/wp-json\/wp\/v2\/tags?post=1375"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}