{"id":32493,"date":"2026-03-27T09:39:52","date_gmt":"2026-03-27T09:39:52","guid":{"rendered":"https:\/\/lifelonghearing.com\/lv\/?p=32493"},"modified":"2026-03-27T09:39:52","modified_gmt":"2026-03-27T09:39:52","slug":"vai-dzirdes-zudums-bus-atgustams","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/lv\/vai-dzirdes-zudums-bus-atgustams\/","title":{"rendered":"Vai Dzirdes Zudums B\u016bs Atg\u016bstams?"},"content":{"rendered":"

Prof. Kristofs Arnoldners (Christoph Arnoldner) par dzirdes zuduma g\u0113nu terapiju un z\u0101l\u0113m AC102<\/h1><\/div>

Prof. Kristofs Arnoldners par sav\u0101m priorit\u0101t\u0113m k\u0101 jaunajam V\u012bnes Universit\u0101tes slimn\u012bcas pamatskolas vad\u012bt\u0101jam un par pa\u0161reiz\u0113jiem p\u0113tniec\u012bbas projektiem, kas var\u0113tu revolucioniz\u0113t dzirdes terapiju no pa\u0161iem pamatiem.<\/strong>
\nDomin\u0113jo\u0161ais avots: Podk\u0101sts “H\u00f6rgang” kop\u0101 ar M\u0101rtinu Krenek-Burgeru (Martin Krenek-Burger)<\/em><\/p>\n<\/div>

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Prof. Dr. Kristofs Arnoldners, ausu medic\u012bnas un galvaskausa b\u0101zes \u0137irur\u0123ijas eksperts ar starptautisku apm\u0101c\u012bbu un pieredzi, daudziem KI lietot\u0101jiem ir paz\u012bstams k\u0101 KI eksperts un \u0137irurgs. Kop\u0161 2022. gada vi\u0146\u0161 V\u012bn\u0113 vada krist\u012bgo doplerogr\u0101fijas laboratoriju iek\u0161\u0113jai ausu izp\u0113tei, ko vi\u0146\u0161 pats ir ar\u012b dibin\u0101jis. Taj\u0101 vi\u0146\u0161 un vi\u0146a komanda p\u0113ta akt\u012bv\u0101s vielas dzirdes trauc\u0113jumu \u0101rst\u0113\u0161anai. <\/em><\/p>\n

Da\u017e\u0101d\u0101s terapijas, kas izstr\u0101d\u0101tas \u0161aj\u0101 un citos p\u0113tniec\u012bbas centros, var\u0113tu b\u016btiski main\u012bt dzirdes trauc\u0113jumu \u0101rst\u0113\u0161anas veidu un n\u0101kotn\u0113 pav\u0113rt jaunas iesp\u0113jas daudziem slim\u012bbas skartajiem cilv\u0113kiem. Bet b\u016bsim god\u012bgi \u2014 \u0101rpus p\u0113t\u012bjumiem neviena no \u0161\u012bm terapij\u0101m pa\u0161laik nav pieejama \u0161iem slim\u012bbas skartajiem cilv\u0113kiem. Un sevi pier\u0101d\u012bju\u0161ie kohle\u0101rie implanti, \u012bs\u0101k: KI, joproj\u0101m b\u016bs svar\u012bga opcija ar\u012b n\u0101kotn\u0113. Prof. Arnoldner sarun\u0101 skaidro, kas tie\u0161i n\u0101kotn\u0113 var\u0113tu main\u012bties. Kop\u0161 maija s\u0101kuma vi\u0146\u0161 ir V\u012bnes Universit\u0101tes universit\u0101tes slimn\u012bcas galvenais direktors. <\/em><\/p>\n

Man ir liels prieks p\u0101r\u0146emt kl\u012bniku, kur\u0101 m\u0113s varam nodro\u0161in\u0101t pacientiem pla\u0161u un vismodern\u0101ko apr\u016bpi. M\u0113s veicam v\u0113\u017ea oper\u0101cijas, k\u0101 ar\u012b kosm\u0113tisko \u0137irur\u0123iju vai kohle\u0101ro implantu oper\u0101cijas dzirdi zaud\u0113ju\u0161ajiem. M\u0113s str\u0101d\u0101jam ar b\u0113rniem t\u0101, it k\u0101 vi\u0146i b\u016btu vec\u0101ka gadag\u0101juma pacienti.<\/p>\n

V\u0113l viens uzsvars universit\u0101tes kl\u012bnik\u0101 ir \u0101rstu apm\u0101c\u012bba. Tas ietver t\u0101l\u0101kizgl\u012bt\u012bbu starptautiski akredit\u0113t\u0101s, viena l\u012bdz divu gadu kl\u012bnisk\u0101s stipendijas programm\u0101s lab\u0101kaj\u0101s kl\u012bnik\u0101s Kan\u0101d\u0101, ASV, Austr\u0101lij\u0101 un Anglij\u0101.\u00a0\u0160\u0101d\u0101 veid\u0101 ieg\u016bt\u0101s zin\u0101\u0161anas dod b\u016btisku pienesumu optim\u0101lai pacientu apr\u016bpei.<\/p>\n

Man ir \u013coti svar\u012bgi atbalst\u012bt p\u0113tniec\u012bbu, jo \u012bpa\u0161i t\u0101s jomas, kuras l\u012bdz \u0161im nav guvu\u0161as nepiecie\u0161amo statusu. M\u0113s cen\u0161amies pastiprin\u0101t p\u0113tniec\u012bbu, sadarbojoties ar cit\u0101m kl\u012bnik\u0101m. Mans p\u0113t\u012bjums ir v\u0113rsts uz dzirdi. Tas ir jaut\u0101jums par jaunu vielu, jaunu implantu vai g\u0113nu terapijas izmanto\u0161anu dzirdes atjauno\u0161anai.<\/p>\n

\"\"

Prof. Dr. Kristofs Arnoldners, dibin\u0101t\u0101js un vad\u012bt\u0101js Krist\u012bgajai Doplera laboratorijai iek\u0161\u0113j\u0101s auss izp\u0113tei V\u012bn\u0113, kas vada HNO universit\u0101tes slimn\u012bcu V\u012bn\u0113 kop\u0161 2025. gada 1. maija. \u00a9MedUni Wien\/felimage<\/p><\/div>\n

MK-B: Kas ir V\u012bnes LOR kl\u012bnika?<\/em><\/strong><\/p>\n

M\u0113s esam vec\u0101k\u0101 LOR kl\u012bnika pasaul\u0113. V\u012bne, kur\u0101 darboj\u0101s ar\u012b \u0100dams Politzers (Adam Politzer), svar\u012bgs otolaringologs 19. gadsimt\u0101 un 20. gadsimta s\u0101kum\u0101, <\/em>un par\u0101d\u012bj\u0101s ar\u012b pirmais daudzkan\u0101lu kohle\u0101rais implants, ar kuru m\u0113s patie\u0161\u0101m varam atjaunot dzirdes sensoro org\u0101nu, tika pielietots V\u012bn\u0113.<\/p>\n

Bet m\u0113s varam ne tikai balst\u012bties pag\u0101tn\u0113: b\u016bt\u012bb\u0101 m\u0113s patreiz esam starp lab\u0101kaj\u0101m kl\u012bnik\u0101m pasaul\u0113 vis\u0101s ausu, deguna un kakla medic\u012bnas jom\u0101s \u2014 gan attiec\u012bb\u0101 uz pacientu apr\u016bpi, gan ar\u012b arvien vair\u0101k attiec\u012bb\u0101 uz p\u0113tniec\u012bbu.<\/p>\n

MK-B: P\u0113tniec\u012bbas atkl\u0101jumu praktisk\u0101 izmanto\u0161ana \u2014 p\u0101reja no p\u0113tniec\u012bbas uz praksi \u2014 ir j\u016bsu p\u0113tniec\u012bbas laboratorijas galvenais m\u0113r\u0137is.<\/em><\/strong><\/p>\n

Tas ir m\u016bsu sp\u0113ks, b\u016bdamiem izmekl\u0113jo\u0161ajiem \u0101rstiem. Otorinolaringolo\u0123ija nav centr\u0101lais temats, un turkl\u0101t nodarbojas ar \u013coti smalk\u0101m strukt\u016br\u0101m. Daudzi procesi - dzirdes trauc\u0113jumi, troksnis aus\u012bs, smar\u017eas zudums, aler\u0123ijas - v\u0113l nav pietiekam\u0101 m\u0113r\u0101 saprotami. K\u0101 \u0101rsti m\u0113s zin\u0101m, k\u0101da ir probl\u0113ma. M\u0113s uz to raug\u0101mies m\u0113r\u0137tiec\u012bgi p\u0113tniec\u012bb\u0101 un dar\u0101m visu iesp\u0113jamo, lai rezult\u0101tus \u0101tri novestu l\u012bdz kl\u012bnikai.<\/p>\n

Vis\u0101 pasaul\u0113 ir aptuveni 1,5 miljardi cilv\u0113ku, kuriem ir dzirdes trauc\u0113jumi - aptuveni tikpat daudz, cik cilv\u0113ku ar augstu asinsspiedienu. Ir vair\u0101k nek\u0101 500 z\u0101\u013cu augsta asinsspiediena \u0101rst\u0113\u0161anai, bet nav neviena apstiprin\u0101ta medikamenta dzirdes atjauno\u0161anai. Tas ir briesm\u012bgi neapmierino\u0161i, kad mums j\u0101saka pacientiem ar p\u0113k\u0161\u0146u dzirdes zudumu un troksni aus\u012bs: \"M\u0113s \u012bsti nezin\u0101m, kas \u0161obr\u012bd notiek j\u016bsu iek\u0161\u0113j\u0101 aus\u012b.\"<\/p>\n

M\u0113s v\u0113lamies lab\u0101k saprast, kas notiek iek\u0161\u0113j\u0101 aus\u012b dzirdes zuduma gad\u012bjum\u0101! Un m\u0113s v\u0113lamies atrast jaunas z\u0101les, lai pied\u0101v\u0101tu m\u016bsu pacientiem kaut jel ko!<\/p>\n

_________ _ _________<\/p>\n

MK-B: Kop\u0101 ar savu komandu j\u016bs veiksiet p\u0113t\u012bjumus par akt\u012bvo vielu AC102, kas dod jaunu cer\u012bbu ak\u016bta p\u0113k\u0161\u0146a dzirdes zuduma gad\u012bjum\u0101. <\/em><\/strong><\/p>\n

Pa\u0161laik m\u0113s dodam lielas kortizona devas p\u0113k\u0161\u0146as dzirdes zuduma vai trok\u0161\u0146u aus\u012bs gad\u012bjum\u0101, bet mums j\u0101saprot, ka pan\u0101kumi bie\u017ei ir pietic\u012bgi. Pirms gandr\u012bz desmit gadiem pie mums v\u0113rs\u0101s \u013coti maza farm\u0101cijas komp\u0101nija no V\u0101cijas, kas bija \"Charit\u00e9\" atzars. Vi\u0146i l\u016bdza mums apskat\u012bt vi\u0146u jauno akt\u012bvo sast\u0101vda\u013cu ar kod\u0113to nosaukumu AC102 - Piez\u012bme: Ang\u013cu valod\u0101 izrun\u0101 k\u0101: \"A-C-one-O-two.\" - <\/em>AC \u0161eit apz\u012bm\u0113 \"AudioCure,\" kas ir uz\u0146\u0113mums, kas rad\u012bjis \u0161o akt\u012bvo sast\u0101vda\u013cu.<\/p>\n

P\u0113d\u0113jos gados m\u0113s esam faktiski pa\u0146\u0113mu\u0161i \u0161o akt\u012bvo vielu no Petri trauka, izmantojot dz\u012bvnieku mode\u013cus, un esam tiku\u0161i l\u012bdz p\u0113t\u012bjuma 2. f\u0101zei. Tas noz\u012bm\u0113, ka \u0161\u012b akt\u012bv\u0101 viela pa\u0161laik tiek p\u0101rbaud\u012bta pla\u0161\u0101 daudzu centru p\u0113t\u012bjum\u0101 daudz\u0101s Eiropas valst\u012bs pacientiem ar ak\u016btu p\u0113k\u0161\u0146u dzirdes zudumu. M\u0113s ceram, ka \u0161\u012bs z\u0101les ilgtermi\u0146\u0101 var\u0113tu main\u012bt \u0101rst\u0113\u0161anas iesp\u0113jas.<\/p>\n

GG: Tad k\u0101p\u0113c medic\u012bnas speci\u0101listi dod kortizonu? <\/em><\/strong><\/p>\n

Tas, kas tie\u0161i notiek iek\u0161\u0113j\u0101 aus\u012b p\u0113k\u0161\u0146as dzirdes zuduma laik\u0101, mums l\u012bdz \u0161im nav zin\u0101ms, un tas ir ar\u012b viens no tematiem, ko m\u0113s grib\u0113tu lab\u0101k saprast m\u016bsu laboratorij\u0101. Tom\u0113r tiek uzskat\u012bts, ka tie\u0161i iek\u0161\u0113j\u0101s auss iekaisums izraisa dzirdes zudumu vismaz da\u017eiem pacientiem, un te talk\u0101n\u0101k kortizons. Kortizons ir dab\u012bgs hormons organism\u0101, kas \u013coti efekt\u012bvi samazina iekaisumu, bet tam nav labv\u0113l\u012bgas ietekmes uz nervu \u0161\u016bn\u0101m un \u0161\u0137iedr\u0101m.<\/p>\n

MK-B: K\u0101 at\u0161\u0137iras jaun\u0101 pieeja?<\/em><\/strong><\/p>\n

AC102 ir ne tikai pretiekaisuma iedarb\u012bba, bet tas ar\u012b faktiski aizsarg\u0101 nervus. Dzirdes zudums ir cie\u0161i saist\u012bts ar to, ka aptuveni 13 000 mikrometru izm\u0113ra sensor\u0101s \u0161\u016bnas aus\u012b p\u0113c boj\u0101juma vairs neatjaunojas. M\u0113s varam aizsarg\u0101t \u0161\u012bs sensor\u0101s \u0161\u016bnas ar AC102, jo \u012bpa\u0161i p\u0101reju no matu \u0161\u016bnas uz nervu \u0161\u0137iedru. Tas tie\u0161i ietekm\u0113 dzirdes zudumu un re\u0123ener\u0101ciju.<\/p>\n

GG: Vai tas noz\u012bm\u0113, ka past\u0101v cer\u012bba, ka AC102 atjaunos dzirdi eso\u0161ajiem KI lietot\u0101jiem vai ne\u0101rst\u0113tiem pacientiem, kuri ilgu laiku ir biju\u0161i kurli? <\/em><\/strong><\/p>\n

Tie\u0161i t\u0101! Ja AC102 ievada agri, dzirdei b\u016btu j\u0101atjaunojas, jo ir nov\u0113rota \u013coti pozit\u012bva ietekme uz neironiem. Turkl\u0101t AC102 rada daudz efekt\u012bv\u0101ku atliku\u0161o dzirdes aizsardz\u012bbu nek\u0101 pa\u0161laik lietotais kortizons kohle\u0101r\u0101s implant\u0101cijas kontekst\u0101, kam vajadz\u0113tu sniegt iz\u0161\u0137iro\u0161u priek\u0161roc\u012bbu.<\/p>\n

MK-B: K\u0101 AC102 pal\u012bdz saglab\u0101t atliku\u0161o dzirdi?<\/em><\/strong><\/p>\n

M\u0113s implant\u0113jam KI pacientiem, kuriem dzirdes apar\u0101ti vairs nedarbojas. Tom\u0113r p\u0113d\u0113jos gados ir pier\u0101d\u012bts, ka KI pal\u012bdz ar\u012b pacientiem, kuriem v\u0113l ir zin\u0101ms dzirdes atlikums. Bet m\u0113s v\u0113lamies saglab\u0101t \u0161o atliku\u0161o dzirdi, jo saglab\u0101t\u0101 atlikus\u012b dzirde un kohle\u0101rais implants ir lab\u0101ka kombin\u0101cija kop\u0101 nek\u0101 kohle\u0101rais implants viens pats.<\/p>\n

Kohle\u0101raj\u0101 implant\u0101cij\u0101 m\u0113s ievietojam elektrodu nes\u0113ja glieme\u017en\u012bc\u0101. Tas atver iek\u0161\u0113j\u0101s auss \"sv\u0113to\" telpu: tas parasti padara j\u016bs kurlu. T\u0101p\u0113c mums ir j\u0101str\u0101d\u0101 pie metod\u0113m, k\u0101 saglab\u0101t dzirdes atliekas. T\u0101s ietver smalkas \u0137irur\u0123isk\u0101s metodes: atverot glieme\u017en\u012bcu \u012bpa\u0161i uzman\u012bgi, ievietojot netraumatiskus elektrodu nes\u0113jus, k\u0101 ar\u012b ievadot vielas, kas aizsarg\u0101 iek\u0161\u0113j\u0101s auss strukt\u016bru.<\/p>\n

\u0160eit n\u0101k talk\u0101 AC102: kad m\u0113s ievietojam sve\u0161\u0137ermeni iek\u0161\u0113j\u0101 aus\u012b, tas neizb\u0113gami izraisa iekaisumu. AC102 pal\u0113nina \u0161o iekaisuma reakciju un aizsarg\u0101 savienojumus starp mati\u0146u \u0161\u016bn\u0101m iek\u0161\u0113j\u0101 aus\u012b un nervu \u0161\u0137iedr\u0101m. Pa\u0161laik tiek veikts 2. f\u0101zes p\u0113t\u012bjums pacientiem ar p\u0113k\u0161\u0146u dzirdes zudumu. Ja \u0161ie rezult\u0101ti ir pozit\u012bvi, sekos 3. f\u0101zes p\u0113t\u012bjums, un z\u0101les tiks nov\u0113rt\u0113tas ar\u012b attiec\u012bb\u0101 uz cit\u0101m indik\u0101cij\u0101m - piem\u0113ram, lai aizsarg\u0101tu atliku\u0161o dzirdi kohle\u0101r\u0101s implant\u0101cijas laik\u0101.<\/p>\n

_________ _ _________<\/p>\n

MK-B: Kop\u0161 pag\u0101ju\u0161\u0101 gada ir ar\u012b pieaudzis p\u0113t\u012bjumu skaits, kas liecina, ka ar\u012b g\u0113nu terapija var b\u016bt pieeja dzirdes zuduma probl\u0113mas risin\u0101\u0161anai. <\/em><\/strong><\/p>\n

V\u0113l nesen pacientiem ar p\u0113k\u0161\u0146u dzirdes zudumu (NB: papildus audiolo\u0123iskajam) <\/em>m\u0113s izmantoj\u0101m tikai att\u0113lveido\u0161anas testus. \u0122en\u0113tisko fonu apl\u016bkoja tikai atsevi\u0161\u0137os gad\u012bjumos. \u0160odien \u0123en\u0113tisk\u0101 fona izp\u0113te ir viens no standarta testiem. Un m\u0113s tie\u0161\u0101m tagad cen\u0161amies to noskaidrot, jo \u0161im \u0123en\u0113tiskajam fonam ir b\u016btiska noz\u012bme. Viens dzirdes zudums nav t\u0101ds pats, k\u0101 otrs dzirdes zudums.<\/p>\n

Konkr\u0113ti, pirmie b\u0113rni ar otofer\u012bna<\/em> kurlumu, \u013coti \u012bpa\u0161u iedzimtu dzirdes trauc\u0113jumu, sa\u0146\u0113ma g\u0113nu terapiju un tagad dzird. L\u012bdz \u0161im m\u0113s zin\u0101m par vair\u0101k nek\u0101 200 \u0123en\u0113tisk\u0101 kurluma form\u0101m.[1]<\/a><\/sup> Otofer\u012bna kurlums ir viens no tiem, tas skar aptuveni 200,000 cilv\u0113ku vis\u0101 pasaul\u0113, un ir klasific\u0113ts tikai k\u0101 \"rets\". Bet \u0161ai slimnieku grupai tagad ir cer\u012bba.) <\/em><\/p>\n

B\u0113rniem ar otofer\u012bna kurlumu ir norm\u0101las iek\u0161\u0113j\u0101s ausis, norm\u0101las matain\u0101s \u0161\u016bnas iek\u0161\u0113j\u0101 aus\u012b, bet matainaj\u0101m \u0161\u016bn\u0101m tr\u016bkst viena prote\u012bna: otofer\u012bna. T\u0101d\u0113j\u0101di netiek palaists zi\u0146nesis, ka mums ir j\u0101dzird. Jaun\u0101 terapija ienes tr\u016bksto\u0161o \u0123en\u0113tisko inform\u0101ciju iek\u0161\u0113j\u0101s auss mati\u0146u \u0161\u016bn\u0101s, zi\u0146nesis tiek atkal atbr\u012bvots un \u2014 \u0161ie b\u0113rni dzird! \u2014 pat bez kohle\u0101r\u0101 implanta.<\/p>\n

MK-B: Kur j\u016bs redzat visliel\u0101ko potenci\u0101lu dzirdes trauc\u0113jumu \u0101rst\u0113\u0161an\u0101: implantos, medic\u012bniskaj\u0101 terapij\u0101 vai \u0123en\u0113tiskaj\u0101s modifik\u0101cij\u0101s?<\/em><\/strong><\/p>\n

N\u0101kotne, visticam\u0101k, b\u016bs kombin\u0101cija. Mums ar\u012b turpm\u0101k b\u016bs vajadz\u012bgi KI, lai pal\u012bdz\u0113tu daudziem pacientiem. Bet b\u016bs atsevi\u0161\u0137i dzirdes zuduma \u0123en\u0113tiskie tipi, kuros g\u0113nu terapijai b\u016bs galven\u0101 loma. Un b\u016bs kombin\u0101cija, kur\u0101 ar g\u0113nu terapijas pal\u012bdz\u012bbu \u2014 kas ietekm\u0113 iek\u0161\u0113j\u0101s auss nervu \u0161\u016bnas \u2014 m\u0113s var\u0113sim pal\u012bdz\u0113t KI pacientiem lab\u0101k dzird\u0113t ar saviem implantiem.<\/p>\n

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Atsauces<\/h4>\n
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  1. <\/a>Prof. Dr. Ellen Reisinger G\u0113nu terapija dziedina b\u0113rnus ar iedzimtu kurlumu | Tagesschau.de<\/a> \u2191<\/a><\/li>\n<\/ol>\n<\/div>\n<\/div>
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    M\u0113s v\u0113lamies pateikties galven\u0101 redaktora vietniekam \u0101rstu ned\u0113\u013c\u0101 M\u0101rtinam Krenek-Burgeram<\/strong> par aizraujo\u0161ajiem jaut\u0101jumiem podk\u0101st\u0101 H\u00f6rgang<\/em><\/strong> un jo \u012bpa\u0161i prof. Kristofam Arnoldneram<\/strong> par iesp\u0113ju uzdot jaut\u0101jumus. V\u0113lamies pateikties ar\u012b izdevniec\u012bbai Springer-Medizin<\/em> un t\u0101s partnerim MedUni Wien<\/em> par to, ka \u013c\u0101va mums izmantot lielu da\u013cu no \u0161\u012bs podk\u0101sta epizodes un piel\u0101got to m\u016bsu las\u012bt\u0101jiem. Pilnu sarunu \"Cer\u012bba klaus\u012bties\"<\/strong> ar prof. Dr. Kristofu Arnoldneru var atrast podk\u0101sta s\u0113rij\u0101 H\u00f6rgang <\/em>vietn\u0113 www.springermedizin.at, vis\u0101s popul\u0101raj\u0101s podk\u0101stu platform\u0101s, k\u0101 ar\u012b spektrum.de.<\/p>\n<\/div>

    <\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

    Prof. Kristofs Arnoldners par sav\u0101m priorit\u0101t\u0113m k\u0101 jaunajam V\u012bnes Universit\u0101tes slimn\u012bcas pamatskolas vad\u012bt\u0101jam un par pa\u0161reiz\u0113jiem p\u0113tniec\u012bbas projektiem, kas var\u0113tu revolucioniz\u0113t dzirdes terapiju no pa\u0161iem pamatiem.<\/p>\n","protected":false},"author":10,"featured_media":32560,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[411],"tags":[],"class_list":["post-32493","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-veseliba"],"yoast_head":"\nVai Dzirdes Zudums B\u016bs Atg\u016bstams? - Latvian<\/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:\/\/lifelonghearing.com\/lv\/vai-dzirdes-zudums-bus-atgustams\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vai Dzirdes Zudums B\u016bs Atg\u016bstams? 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