{"id":6259,"date":"2023-10-28T11:28:00","date_gmt":"2023-10-28T11:28:00","guid":{"rendered":"https:\/\/ambercell.pixel-dev.lt\/radioembolizacija-inovativa-individualizeta-procedura-neoperativa-aknu-veza-arstesanai\/"},"modified":"2024-02-08T17:28:38","modified_gmt":"2024-02-08T17:28:38","slug":"radioembolizacija-inovativa-individualizeta-procedura-neoperativa-aknu-veza-arstesanai","status":"publish","type":"post","link":"https:\/\/ambercell.eu\/lv\/zinas\/radioembolizacija-inovativa-individualizeta-procedura-neoperativa-aknu-veza-arstesanai\/","title":{"rendered":"Radioemboliz\u0101cija \u2013 inovat\u012bva individualiz\u0113ta proced\u016bra neoperat\u012bva aknu v\u0113\u017ea \u0101rst\u0113\u0161anai"},"content":{"rendered":"\n

Prim\u0101rais aknu v\u0113zis ir viena no \u013caundab\u012bg\u0101kaj\u0101m aknu slim\u012bb\u0101m. Saska\u0146\u0101 ar to, k\u0101das \u0161\u016bnas veido audz\u0113ju, iz\u0161\u0137ir vair\u0101kus aknu v\u0113\u017ea veidus. Visbie\u017e\u0101k no tiem, kas veido aptuveni 75-80 procentus. gad\u012bjumi \u2013 hepatocelul\u0101ra karcinoma (HCC). T\u0101 ir piekt\u0101 visbie\u017e\u0101k sastopam\u0101 onkolo\u0123isk\u0101 slim\u012bba un tre\u0161ais n\u0101ves c\u0113lonis no onkolo\u0123isk\u0101m slim\u012bb\u0101m pasaul\u0113 , un kop\u0113jais piecu gadu izdz\u012bvo\u0161anas r\u0101d\u012bt\u0101js ir tikai 18%. Tom\u0113r, strauji att\u012bstoties medic\u012bnai, rodas jaunas \u0101rst\u0113\u0161anas metodes, kas dod jaunas cer\u012bbas pacientiem ar \u0161o slim\u012bbu. Vair\u0101k par tiem st\u0101sta Dr. Rokas Ra\u010dkauskas, Vi\u013c\u0146as Universit\u0101tes slimn\u012bcas Santarosas kl\u012bnikas <\/a>(VUL SK) v\u0113dera \u0137irur\u0123ijas \u0101rsts, kodolmedic\u012bnas noda\u013cas vad\u012bt\u0101js, radiologs, kodolmedic\u012bnas speci\u0101lists. Renata Komiagien\u0117 un dr. Marius Kurminas, radiologs, invaz\u012bv\u0101s radiolo\u0123ijas noda\u013cas vad\u012bt\u0101js.<\/p>\n\n

<\/div>\n\n

Aknu v\u0113\u017ea \u0101rst\u0113\u0161anas metodes<\/strong><\/strong><\/p>\n\n

P\u0113c Dr. Roko Ra\u010dkauskas dom\u0101m, aknu v\u0113\u017ea \u0101rst\u0113\u0161anas taktika ir atkar\u012bga no slim\u012bbas izplat\u012bbas, v\u0113\u017ea mar\u0137ieru l\u012bme\u0146a un aknu darb\u012bbas. Ir svar\u012bgi ar\u012b nov\u0113rt\u0113t, vai pacientam ir v\u012brusu hepat\u012bts, hroniskas aknas vai citas vienlaic\u012bgas slim\u012bbas. Visbie\u017e\u0101k sastopam\u0101s \u0137irur\u0123isk\u0101s \u0101rst\u0113\u0161anas metodes, ko izmanto slim\u012bbas \u0101rst\u0113\u0161anai, ir aknu rezekcija un aknu transplant\u0101cija. Atkar\u012bb\u0101 no stadijas var noz\u012bm\u0113t ar\u012b lok\u0101lu \u0101rst\u0113\u0161anu \u2013 abl\u0101ciju, transarter\u0101lo \u0137\u012bmijemboliz\u0101ciju, selekt\u012bvu intraarteri\u0101lo radioemboliz\u0101ciju. Lok\u0101lu audz\u0113ja \u0101rst\u0113\u0161anu var kombin\u0113t ar\u012b ar sist\u0113misku \u2013 sist\u0113misku \u0137\u012bmijterapiju vai biolo\u0123isko terapiju. Ja pacients nevar veikt oper\u0101ciju, tiek apsv\u0113rta vi\u0146a iek\u013cau\u0161ana aknu transplant\u0101cijas sarakst\u0101. \u0160aj\u0101 gad\u012bjum\u0101, lai aptur\u0113tu slim\u012bbas izplat\u012b\u0161anos un pagarin\u0101tu pacienta izdz\u012bvo\u0161anas l\u012bmeni, kam\u0113r vi\u0146\u0161 gaida donora org\u0101nu, pacients var tikt pak\u013cauts minim\u0101li invaz\u012bv\u0101m (tilta (tilta (tilta)) proced\u016br\u0101m.<\/p>\n\n

“Tas, k\u0101da \u0101rst\u0113\u0161anas metode tiks izv\u0113l\u0113ta konkr\u0113tam pacientam, ir atkar\u012bgs no Barselonas krit\u0113rijiem, kas tiek izmantoti, lai nov\u0113rt\u0113tu slim\u012bbas prognozi un \u0101rst\u0113\u0161anas rezult\u0101tu. Par to, k\u0101du minim\u0101li invaz\u012bvu metodi izv\u0113l\u0113ties, parasti tiek lemts starpdisciplin\u0101r\u0101 diskusij\u0101, kur\u0101 piedal\u0101s aknu \u0137irurgi, radiologi, invaz\u012bvie radiologi, \u0137\u012bmijterapeiti, gastroenterologi,” st\u0101sta v\u0113dera dobuma \u0137irur\u0123ijas \u0101rste.<\/p>\n\n

<\/div>\n\n
\"\"<\/figure>\n\n
<\/div>\n\n

Radioemboliz\u0101cija \u2013 personaliz\u0113ta \u0101rst\u0113\u0161anas metode, kas \u013cauj nodro\u0161in\u0101tmaksim\u0101lu ti<\/s>efektu<\/strong><\/strong><\/p>\n\n

Viena no inovat\u012bv\u0101kaj\u0101m minim\u0101li invaz\u012bvaj\u0101m aknu v\u0113\u017ea \u0101rst\u0113\u0161anas metod\u0113m, ko pa\u0161laik izmanto, ir transarteri\u0101l\u0101 radioemboliz\u0101cija (TARE). Saska\u0146\u0101 ar R. Komiagien\u0117, VUL SK Nukle\u0101r\u0101s medic\u012bnas noda\u013cas vad\u012bt\u0101ja, \u0161o \u0101rst\u0113\u0161anas metodi izmanto neoperat\u012bvu (nav piem\u0113rots operat\u012bvai \u0101rst\u0113\u0161anai) aknu audz\u0113ju un aknu metast\u0101\u017eu gad\u012bjumos. Proced\u016bra ir sare\u017e\u0123\u012bta un prasa komandas koncentr\u0113\u0161anos. Katrs iesaist\u012btais speci\u0101lists nov\u0113rt\u0113 pacienta piem\u0113rot\u012bbu proced\u016brai un t\u0101s veik\u0161anas tehnisk\u0101s iesp\u0113jas. Absol\u016btas kontrindik\u0101cijas \u0161ai proced\u016brai \u2013 gr\u016btniec\u012bba un jut\u012bba pret jodkontrastisko vielu.<\/p>\n\n

Radioemboliz\u0101cijas proced\u016bra sast\u0101v no 2 posmiem \u2013 invaz\u012bv\u0101s diagnostikas un \u0101rst\u0113\u0161anas stadijas. Abu posmu gaita ir vien\u0101da, at\u0161\u0137iras tikai injic\u0113to radioizotopu daudzums. Diagnostikas f\u0101zes laik\u0101 tiek ievad\u012bta neliela radioakt\u012bv\u0101 prepar\u0101ta deva. “\u0160is posms ir nepiecie\u0161ams, lai m\u0113s var\u0113tu prec\u012bzi redz\u0113t, kur\u0101s zon\u0101s prepar\u0101ts non\u0101k, lai m\u0113s var\u0113tu veikt pacientam dro\u0161u terapeitisko proced\u016bru. Lai sasniegtu vislab\u0101ko iesp\u0113jamo efektu, ar \u012bpa\u0161u programmu pal\u012bdz\u012bbu tiek apr\u0113\u0137in\u0101ts, k\u0101da deva ir nepiecie\u0161ama konkr\u0113tam fokusam un konkr\u0113tam pacientam. T\u0101d\u0101 veid\u0101 m\u0113s tuvojamies personaliz\u0113tai \u0101rst\u0113\u0161anai, kad t\u0101s taktika \u2013 z\u0101\u013cu deva, lokaliz\u0101cija \u2013 tiek izv\u0113l\u0113ta personaliz\u0113t\u0101 veid\u0101,” st\u0101sta \u0101rsts radiologs R. Komiagien\u0117.<\/p>\n\n

Proced\u016bra prasa vienas dienas hospitaliz\u0101ciju slimn\u012bcas noda\u013c\u0101, un pacientam j\u0101ierodas gatavam invaz\u012bvajai proced\u016brai. Radioemboliz\u0101cija tiek veikta invaz\u012bv\u0101s radiolo\u0123ijas oper\u0101ciju z\u0101l\u0113, kuras laik\u0101 tiek pielietota viet\u0113j\u0101 anest\u0113zija, t\u0101p\u0113c pacients paliek pie sama\u0146as, tiek nom\u0101ktas tikai nepat\u012bkamas saj\u016btas.<\/p>\n\n

<\/div>\n\n

Viet\u0113j\u0101 \u0101rst\u0113\u0161anas metode ietekm\u0113 audz\u0113ja fokusu no iek\u0161puses<\/strong><\/strong><\/p>\n\n

Renata Komiagien\u0117 nor\u0101da, ka at\u0161\u0137ir\u012bb\u0101 no sist\u0113misk\u0101s \u0101rst\u0113\u0161anas, kas ietekm\u0113 visu \u0137ermeni, radioemboliz\u0101cija ir lok\u0101la \u0101rst\u0113\u0161anas metode, ar kuras pal\u012bdz\u012bbu maksim\u0101lais radi\u0101cijas efekts ir koncentr\u0113ts audz\u0113j\u0101 un apk\u0101rt\u0113jos aknu audos.<\/p>\n\n

“Lai ietekm\u0113tu audz\u0113ja fokusu no iek\u0161puses, tiek izmantoti izotopi, kas izstaro augstu radi\u0101cijas ener\u0123iju. Proced\u016br\u0101s, ko veic VUL SK, izmanto radioakt\u012bvo holmu izotopu (|Ho 166), kas tiek nodro\u0161in\u0101ts plastmasas mikrosf\u0113ru (mikrogranulu) veid\u0101. Zemas invaz\u012bvas iejauk\u0161an\u0101s proced\u016bras laik\u0101 holmija mikrosf\u0113ras izplat\u0101s audz\u0113ja audos, un izotopa izstarotais beta starojums ietekm\u0113 audz\u0113ja biolo\u0123iju un veicina audz\u0113ja \u0161\u016bnu n\u0101vi. Holmio izotopam ir unik\u0101las \u012bpa\u0161\u012bbas, kas papildus izstaro zemas ener\u0123ijas gamma starojumu un paramagn\u0113tisko starojumu, pateicoties kuriem izotops ir redzams diagnostikas iek\u0101rt\u0101s. Tas \u013cauj kvalitat\u012bvi pl\u0101not proced\u016bru un apr\u0113\u0137in\u0101t individu\u0101li izrakst\u012bt\u0101s radioaktivit\u0101tes devu, lai \u0101rst\u0113\u0161ana b\u016btu veiksm\u012bg\u0101ka un tai neb\u016btu nopietnu blakuspar\u0101d\u012bbu,” st\u0101sta radiologs.<\/p>\n\n

Saska\u0146\u0101 ar VUL SK Invaz\u012bv\u0101s radiolo\u0123ijas noda\u013cas vad\u012bt\u0101ja Dr. M. Kurmina teikto, strauji augo\u0161iem aknu audz\u0113jiem ir daudz barojo\u0161u asinsvadu, tie\u0161i \u0161o \u012bpa\u0161\u012bbu cen\u0161as izmantot. “M\u016bsu uzdevums ir identific\u0113t \u0161os asinsvadus un izmantot speci\u0101las navig\u0101cijas angiogr\u0101fisk\u0101s programmas, lai tajos iek\u013c\u016btu. \u0100rst\u0113\u0161anas laik\u0101 m\u0113s caurduram rokas vai aug\u0161stilba art\u0113riju, ieejam aknu art\u0113rij\u0101s ar \u012bpa\u0161iem vado\u0161ajiem katetriem, un ar v\u0113l pl\u0101n\u0101kiem mikrokatetriem (0,6-0,8 mm diametr\u0101) m\u0113s sasniedzam art\u0113rijas, kas baro audz\u0113ju, un l\u0113n\u0101m injic\u0113jam radioakt\u012bv\u0101s da\u013ci\u0146as ar asins pl\u016bsmu. Prec\u012bzi apr\u0113\u0137in\u0101tais da\u013ci\u0146u daudzums “iestr\u0113gst” audz\u0113ja mikroplais\u0101s, notiek iek\u0161\u0113j\u0101 apstaro\u0161ana \u2013 radioaktivit\u0101te izn\u012bcina tuvum\u0101 eso\u0161\u0101s audz\u0113ja \u0161\u016bnas,” vi\u0146\u0161 st\u0101sta.<\/p>\n\n

P\u0113c proced\u016bras veik\u0161anas, sken\u0113jot ar radiolo\u0123isko aparat\u016bru (gamma kamera), tiek noskaidrots mikrosf\u0113ru st\u0101voklis. Nakt\u012b p\u0113c proced\u016bras pacients paliek slimn\u012bc\u0101, lai uzraudz\u012btu visp\u0101r\u0113jo st\u0101vokli. Ja nav komplik\u0101ciju, no r\u012bta tas tiek izlaists m\u0101j\u0101s. Turpm\u0101kai \u0101rst\u0113\u0161anai pacients parasti tiek nos\u016bt\u012bts pie v\u0113dera \u0137irur\u0123ijas speci\u0101lista vai \u0101rsta onkologa-\u0137\u012bmijterapeita. Bie\u017ei vien 3 m\u0113ne\u0161us p\u0113c radioemboliz\u0101cijas tiek veikta radiolo\u0123isk\u0101s izmekl\u0113\u0161anas kontrole.<\/p>\n\n

<\/div>\n\n

Proced\u016bras dro\u0161\u012bbu nodro\u0161ina kvalific\u0113ta speci\u0101listu komanda<\/strong><\/strong><\/p>\n\n

Run\u0101jot par \u0161\u012bs proced\u016bras dro\u0161\u012bbu, R. Komiagien\u0117 saka, ka tas nerada liel\u0101ku risku pacientam, un iesp\u0113jam\u0101s komplik\u0101cijas ir saist\u012btas ar minim\u0101li invaz\u012bvas proced\u016bras iejauk\u0161anos. Tikm\u0113r dozimetrijas un individu\u0101l\u0101s pl\u0101no\u0161anas proces\u0101 l\u012bdz radioizotopa terapeitisk\u0101s devas ievad\u012b\u0161anai audz\u0113j\u0101 tiek samazin\u0101ts ar iedarb\u012bbu saist\u012bto komplik\u0101ciju bie\u017eums. Retos gad\u012bjumos pacientam var rasties slikta d\u016b\u0161a, vem\u0161ana, \u012bslaic\u012bga aknu enz\u012bmu l\u012bme\u0146a paaugstin\u0101\u0161an\u0101s asin\u012bs, neitrop\u0113nija. Visas \u0161\u012bs blakuspar\u0101d\u012bbas var kontrol\u0113t ar medikamentiem.<\/p>\n\n

<\/div>\n\n
\"\"<\/figure>\n\n
<\/div>\n\n

Str\u0101d\u0101jot ar atkl\u0101tiem starojuma avotiem, ir j\u0101r\u016bp\u0113jas ar\u012b par person\u0101la dro\u0161\u012bbu oper\u0101ciju z\u0101l\u0113. To, p\u0113c R. Komiagien\u0117 dom\u0101m, nodro\u0161ina kvalific\u0113ta, apm\u0101c\u012bta speci\u0101listu komanda. Izotopa sagatavo\u0161an\u0101 proced\u016brai un t\u0101s laik\u0101, atlieku atg\u016b\u0161an\u0101 utt. Mikrosf\u0113ru inf\u016bzijai tiek izmantota \u012bpa\u0161a ekran\u0113\u0161anas sist\u0113ma, lai nodro\u0161in\u0101tu aizsardz\u012bbu speci\u0101listiem, kas veic proced\u016bru.<\/p>\n\n

“Radioemboliz\u0101cija ir viens no viet\u0113j\u0101s terapijas veidiem, s\u0101kot ar 2022. gadu. Iek\u013cauts starptautiskaj\u0101s aknu v\u0113\u017ea \u0101rst\u0113\u0161anas rokasgr\u0101mat\u0101s. \u0160\u012b proced\u016bra m\u016bsu valst\u012b tiek kompens\u0113ta no oblig\u0101t\u0101s vesel\u012bbas apdro\u0161in\u0101\u0161anas bud\u017eeta. Ar l\u012bdz\u012bgu principu m\u0113s esam veiku\u0161i TACE (transararisko \u0137\u012bmijemboliz\u0101ciju) vair\u0101k nek\u0101 12 gadus, tikai \u0161aj\u0101 gad\u012bjum\u0101 at\u013caut\u0101s da\u013ci\u0146as ir pies\u0101tin\u0101tas ar \u0137\u012bmijprepar\u0101tiem – tas ir, k\u0101 audz\u0113ja audi sasniedz daudz augst\u0101ku z\u0101\u013cu koncentr\u0101ciju, izvairoties no sist\u0113miskas iedarb\u012bbas. T\u0101d\u0113j\u0101di m\u0113s izn\u012bcin\u0101m ne\u0137irur\u0123isku aknu v\u0113zi, nepasliktinot pacienta dz\u012bves kvalit\u0101ti. V\u0113l viena laba zi\u0146a pacientiem ar hepatocelul\u0101ru karcinomu ir t\u0101, ka \u0161\u012bs viet\u0113j\u0101s terapijas metodes var pielietot ar\u012b uz sist\u0113misk\u0101s \u0137\u012bmijterapijas fona,” sarunas nosl\u0113gum\u0101 nor\u0101da dr. Mariuss Kurmins.<\/p>\n\n

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

Prim\u0101rais aknu v\u0113zis ir viena no \u013caundab\u012bg\u0101kaj\u0101m aknu slim\u012bb\u0101m. Saska\u0146\u0101 ar to, k\u0101das \u0161\u016bnas veido audz\u0113ju, iz\u0161\u0137ir vair\u0101kus aknu v\u0113\u017ea veidus. Visbie\u017e\u0101k no tiem, kas veido aptuveni 75-80 procentus. gad\u012bjumi \u2013 hepatocelul\u0101ra karcinoma (HCC). \u0160\u012b ir piekt\u0101 visbie\u017e\u0101k sastopam\u0101 onkolo\u0123isk\u0101 slim\u012bba<\/p>\n","protected":false},"author":8,"featured_media":6262,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[],"class_list":["post-6259","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zinas"],"yoast_head":"\nRadioemboliz\u0101cija \u2013 inovat\u012bva individualiz\u0113ta proced\u016bra neoperat\u012bva aknu v\u0113\u017ea \u0101rst\u0113\u0161anai - Ambercell<\/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:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/\" \/>\n<meta property=\"og:locale\" content=\"lv_LV\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Radioemboliz\u0101cija \u2013 inovat\u012bva individualiz\u0113ta proced\u016bra neoperat\u012bva aknu v\u0113\u017ea \u0101rst\u0113\u0161anai - Ambercell\" \/>\n<meta property=\"og:description\" content=\"Prim\u0101rais aknu v\u0113zis ir viena no \u013caundab\u012bg\u0101kaj\u0101m aknu slim\u012bb\u0101m. Saska\u0146\u0101 ar to, k\u0101das \u0161\u016bnas veido audz\u0113ju, iz\u0161\u0137ir vair\u0101kus aknu v\u0113\u017ea veidus. Visbie\u017e\u0101k no tiem, kas veido aptuveni 75-80 procentus. gad\u012bjumi \u2013 hepatocelul\u0101ra karcinoma (HCC). \u0160\u012b ir piekt\u0101 visbie\u017e\u0101k sastopam\u0101 onkolo\u0123isk\u0101 slim\u012bba\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/\" \/>\n<meta property=\"og:site_name\" content=\"Ambercell\" \/>\n<meta property=\"article:published_time\" content=\"2023-10-28T11:28:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-08T17:28:38+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ambercell.eu\/wp-content\/uploads\/2024\/10\/Sistema.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"1600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"rg_digitally\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"rg_digitally\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/\"},\"author\":{\"name\":\"rg_digitally\",\"@id\":\"https:\\\/\\\/ambercell.eu\\\/#\\\/schema\\\/person\\\/de1118b7d1a3e64a0961221f4f9f928e\"},\"headline\":\"Radioemboliz\u0101cija \u2013 inovat\u012bva individualiz\u0113ta proced\u016bra neoperat\u012bva aknu v\u0113\u017ea \u0101rst\u0113\u0161anai\",\"datePublished\":\"2023-10-28T11:28:00+00:00\",\"dateModified\":\"2024-02-08T17:28:38+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/\"},\"wordCount\":1559,\"publisher\":{\"@id\":\"https:\\\/\\\/ambercell.eu\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/ambercell.eu\\\/wp-content\\\/uploads\\\/2024\\\/10\\\/Sistema.jpg\",\"articleSection\":[\"Zi\u0146as\"],\"inLanguage\":\"lv-LV\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/\",\"url\":\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/\",\"name\":\"Radioemboliz\u0101cija \u2013 inovat\u012bva individualiz\u0113ta proced\u016bra neoperat\u012bva aknu v\u0113\u017ea \u0101rst\u0113\u0161anai - Ambercell\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ambercell.eu\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/ambercell.eu\\\/wp-content\\\/uploads\\\/2024\\\/10\\\/Sistema.jpg\",\"datePublished\":\"2023-10-28T11:28:00+00:00\",\"dateModified\":\"2024-02-08T17:28:38+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/#breadcrumb\"},\"inLanguage\":\"lv-LV\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"lv-LV\",\"@id\":\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/#primaryimage\",\"url\":\"https:\\\/\\\/ambercell.eu\\\/wp-content\\\/uploads\\\/2024\\\/10\\\/Sistema.jpg\",\"contentUrl\":\"https:\\\/\\\/ambercell.eu\\\/wp-content\\\/uploads\\\/2024\\\/10\\\/Sistema.jpg\",\"width\":1200,\"height\":1600},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/ambercell.eu\\\/naujienos\\\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/ambercell.eu\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Radioemboliz\u0101cija \u2013 inovat\u012bva individualiz\u0113ta proced\u016bra neoperat\u012bva aknu v\u0113\u017ea \u0101rst\u0113\u0161anai\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/ambercell.eu\\\/#website\",\"url\":\"https:\\\/\\\/ambercell.eu\\\/\",\"name\":\"Ambercell\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/ambercell.eu\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/ambercell.eu\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"lv-LV\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/ambercell.eu\\\/#organization\",\"name\":\"Ambercell\",\"url\":\"https:\\\/\\\/ambercell.eu\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"lv-LV\",\"@id\":\"https:\\\/\\\/ambercell.eu\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/ambercell.eu\\\/wp-content\\\/uploads\\\/2023\\\/11\\\/Ambercell-LOGO-@2x.webp\",\"contentUrl\":\"https:\\\/\\\/ambercell.eu\\\/wp-content\\\/uploads\\\/2023\\\/11\\\/Ambercell-LOGO-@2x.webp\",\"width\":438,\"height\":164,\"caption\":\"Ambercell\"},\"image\":{\"@id\":\"https:\\\/\\\/ambercell.eu\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/ambercell.eu\\\/#\\\/schema\\\/person\\\/de1118b7d1a3e64a0961221f4f9f928e\",\"name\":\"rg_digitally\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"lv-LV\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/373c9d1ad005968662f61df71c524a97d5de18eafdff3ca7f42bb4d42ad37ec6?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/373c9d1ad005968662f61df71c524a97d5de18eafdff3ca7f42bb4d42ad37ec6?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/373c9d1ad005968662f61df71c524a97d5de18eafdff3ca7f42bb4d42ad37ec6?s=96&d=mm&r=g\",\"caption\":\"rg_digitally\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Radioemboliz\u0101cija \u2013 inovat\u012bva individualiz\u0113ta proced\u016bra neoperat\u012bva aknu v\u0113\u017ea \u0101rst\u0113\u0161anai - Ambercell","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/","og_locale":"lv_LV","og_type":"article","og_title":"Radioemboliz\u0101cija \u2013 inovat\u012bva individualiz\u0113ta proced\u016bra neoperat\u012bva aknu v\u0113\u017ea \u0101rst\u0113\u0161anai - Ambercell","og_description":"Prim\u0101rais aknu v\u0113zis ir viena no \u013caundab\u012bg\u0101kaj\u0101m aknu slim\u012bb\u0101m. Saska\u0146\u0101 ar to, k\u0101das \u0161\u016bnas veido audz\u0113ju, iz\u0161\u0137ir vair\u0101kus aknu v\u0113\u017ea veidus. Visbie\u017e\u0101k no tiem, kas veido aptuveni 75-80 procentus. gad\u012bjumi \u2013 hepatocelul\u0101ra karcinoma (HCC). \u0160\u012b ir piekt\u0101 visbie\u017e\u0101k sastopam\u0101 onkolo\u0123isk\u0101 slim\u012bba","og_url":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/","og_site_name":"Ambercell","article_published_time":"2023-10-28T11:28:00+00:00","article_modified_time":"2024-02-08T17:28:38+00:00","og_image":[{"width":1200,"height":1600,"url":"https:\/\/ambercell.eu\/wp-content\/uploads\/2024\/10\/Sistema.jpg","type":"image\/jpeg"}],"author":"rg_digitally","twitter_card":"summary_large_image","twitter_misc":{"Written by":"rg_digitally","Est. reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/#article","isPartOf":{"@id":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/"},"author":{"name":"rg_digitally","@id":"https:\/\/ambercell.eu\/#\/schema\/person\/de1118b7d1a3e64a0961221f4f9f928e"},"headline":"Radioemboliz\u0101cija \u2013 inovat\u012bva individualiz\u0113ta proced\u016bra neoperat\u012bva aknu v\u0113\u017ea \u0101rst\u0113\u0161anai","datePublished":"2023-10-28T11:28:00+00:00","dateModified":"2024-02-08T17:28:38+00:00","mainEntityOfPage":{"@id":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/"},"wordCount":1559,"publisher":{"@id":"https:\/\/ambercell.eu\/#organization"},"image":{"@id":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/#primaryimage"},"thumbnailUrl":"https:\/\/ambercell.eu\/wp-content\/uploads\/2024\/10\/Sistema.jpg","articleSection":["Zi\u0146as"],"inLanguage":"lv-LV"},{"@type":"WebPage","@id":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/","url":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/","name":"Radioemboliz\u0101cija \u2013 inovat\u012bva individualiz\u0113ta proced\u016bra neoperat\u012bva aknu v\u0113\u017ea \u0101rst\u0113\u0161anai - Ambercell","isPartOf":{"@id":"https:\/\/ambercell.eu\/#website"},"primaryImageOfPage":{"@id":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/#primaryimage"},"image":{"@id":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/#primaryimage"},"thumbnailUrl":"https:\/\/ambercell.eu\/wp-content\/uploads\/2024\/10\/Sistema.jpg","datePublished":"2023-10-28T11:28:00+00:00","dateModified":"2024-02-08T17:28:38+00:00","breadcrumb":{"@id":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/#breadcrumb"},"inLanguage":"lv-LV","potentialAction":[{"@type":"ReadAction","target":["https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/"]}]},{"@type":"ImageObject","inLanguage":"lv-LV","@id":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/#primaryimage","url":"https:\/\/ambercell.eu\/wp-content\/uploads\/2024\/10\/Sistema.jpg","contentUrl":"https:\/\/ambercell.eu\/wp-content\/uploads\/2024\/10\/Sistema.jpg","width":1200,"height":1600},{"@type":"BreadcrumbList","@id":"https:\/\/ambercell.eu\/naujienos\/radioembolizacija-inovatyvi-individualizuota-neoperabilaus-kepenu-vezio-gydymo-procedura\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/ambercell.eu\/"},{"@type":"ListItem","position":2,"name":"Radioemboliz\u0101cija \u2013 inovat\u012bva individualiz\u0113ta proced\u016bra neoperat\u012bva aknu v\u0113\u017ea \u0101rst\u0113\u0161anai"}]},{"@type":"WebSite","@id":"https:\/\/ambercell.eu\/#website","url":"https:\/\/ambercell.eu\/","name":"Ambercell","description":"","publisher":{"@id":"https:\/\/ambercell.eu\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ambercell.eu\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"lv-LV"},{"@type":"Organization","@id":"https:\/\/ambercell.eu\/#organization","name":"Ambercell","url":"https:\/\/ambercell.eu\/","logo":{"@type":"ImageObject","inLanguage":"lv-LV","@id":"https:\/\/ambercell.eu\/#\/schema\/logo\/image\/","url":"https:\/\/ambercell.eu\/wp-content\/uploads\/2023\/11\/Ambercell-LOGO-@2x.webp","contentUrl":"https:\/\/ambercell.eu\/wp-content\/uploads\/2023\/11\/Ambercell-LOGO-@2x.webp","width":438,"height":164,"caption":"Ambercell"},"image":{"@id":"https:\/\/ambercell.eu\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/ambercell.eu\/#\/schema\/person\/de1118b7d1a3e64a0961221f4f9f928e","name":"rg_digitally","image":{"@type":"ImageObject","inLanguage":"lv-LV","@id":"https:\/\/secure.gravatar.com\/avatar\/373c9d1ad005968662f61df71c524a97d5de18eafdff3ca7f42bb4d42ad37ec6?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/373c9d1ad005968662f61df71c524a97d5de18eafdff3ca7f42bb4d42ad37ec6?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/373c9d1ad005968662f61df71c524a97d5de18eafdff3ca7f42bb4d42ad37ec6?s=96&d=mm&r=g","caption":"rg_digitally"}}]}},"_links":{"self":[{"href":"https:\/\/ambercell.eu\/lv\/wp-json\/wp\/v2\/posts\/6259","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ambercell.eu\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ambercell.eu\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ambercell.eu\/lv\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/ambercell.eu\/lv\/wp-json\/wp\/v2\/comments?post=6259"}],"version-history":[{"count":1,"href":"https:\/\/ambercell.eu\/lv\/wp-json\/wp\/v2\/posts\/6259\/revisions"}],"predecessor-version":[{"id":6292,"href":"https:\/\/ambercell.eu\/lv\/wp-json\/wp\/v2\/posts\/6259\/revisions\/6292"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ambercell.eu\/lv\/wp-json\/wp\/v2\/media\/6262"}],"wp:attachment":[{"href":"https:\/\/ambercell.eu\/lv\/wp-json\/wp\/v2\/media?parent=6259"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ambercell.eu\/lv\/wp-json\/wp\/v2\/categories?post=6259"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ambercell.eu\/lv\/wp-json\/wp\/v2\/tags?post=6259"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}