{"id":16936,"date":"2025-10-03T12:34:42","date_gmt":"2025-10-03T09:34:42","guid":{"rendered":"https:\/\/lnbiedriba.lv\/?p=16936"},"modified":"2025-10-03T12:38:17","modified_gmt":"2025-10-03T09:38:17","slug":"atklata-vestule-par-nevienlidzibas-mazinasanu-acu-veselibas-aprupe","status":"publish","type":"post","link":"https:\/\/lnbiedriba.lv\/lv\/atklata-vestule-par-nevienlidzibas-mazinasanu-acu-veselibas-aprupe\/","title":{"rendered":"Atkl\u0101ta v\u0113stule par nevienl\u012bdz\u012bbas mazin\u0101\u0161anu acu vesel\u012bbas apr\u016bp\u0113"},"content":{"rendered":"

Latvijas Neredz\u012bgo biedr\u012bba, Latvijas Diab\u0113ta asoci\u0101cija, Latvijas Pension\u0101ru feder\u0101cija un Latvijas Acu \u0101rstu asoci\u0101cija \u0161\u012b gada 29. septembr\u012b ir nos\u016bt\u012bju\u0161as v\u0113stuli Latvijas Republikas Saeimas Soci\u0101lo un darba lietu komisijas Sabiedr\u012bbas vesel\u012bbas apak\u0161komisijai, Soci\u0101lo un darba lietu komisijas Nevienl\u012bdz\u012bbas mazin\u0101\u0161anas apak\u0161komisijai, Vesel\u012bbas ministrijai un Latvijas Republikas Ties\u012bbsargam “Par nevienl\u012bdz\u012bbu nov\u0113r\u0161anu starp sabiedr\u012bbas grup\u0101m un r\u012bc\u012bbu redzes zuduma nov\u0113r\u0161anai Latvijas iedz\u012bvot\u0101jiem.”<\/strong><\/p>\n

\u0160aj\u0101 v\u0113stul\u0113 organiz\u0101cijas nor\u0101da uz eso\u0161o situ\u0101ciju acu vesel\u012bbas apr\u016bpes sist\u0113m\u0101 un l\u016bdz politikas veidot\u0101jiem r\u012bkoties, uzlabojot vienl\u012bdz\u012bbu \u0161aj\u0101 nozar\u0113.<\/p>\n

Redzes zuduma slogs pasaul\u0113 ir iev\u0113rojams un turpina pieaugt. ANO \u0122ener\u0101l\u0101s Asamblejas 2021. gada rezol\u016bcija \u201cRedze visiem\u201d nor\u0101da, ka vair\u0101k nek\u0101 2 miljardiem cilv\u0113ku ir redzes trauc\u0113jumi vai piln\u012bga neredz\u012bba. No tiem 1,1 miljardam redzes zudumu var\u0113tu nov\u0113rst vai tas v\u0113l nav \u0101rst\u0113ts. Prognozes r\u0101da, ka l\u012bdz 2050. gadam redzes trauc\u0113jumi skars pusi pasaules iedz\u012bvot\u0101ju. Galvenie redzes zuduma c\u0113lo\u0146i ir katarakta, glaukoma un t\u012bklenes slim\u012bbas, kas \u012bpa\u0161i ietekm\u0113 cilv\u0113kus p\u0113c 50 gadu vecuma Eirop\u0101.<\/p>\n

Redzes zudums b\u016btiski ietekm\u0113 cilv\u0113ku dz\u012bvi \u2013 gan fiziski, gan emocion\u0101li, gan ekonomiski. Tas var palielin\u0101t traumu risku, izrais\u012bt soci\u0101lu izol\u0101ciju un veicin\u0101t hronisku slim\u012bbu, tostarp, depresijas att\u012bst\u012bbu. 2020. gad\u0101 redzes zudums izrais\u012bja glob\u0101lus ekonomisk\u0101s produktivit\u0101tes zaud\u0113jumus $410,9 miljardu apm\u0113r\u0101. Glob\u0101li apr\u0113\u0137ini liecina, ka piem\u0113ram t\u0101du t\u012bklenes slim\u012bbu k\u0101 diab\u0113tiskas makulas (DME) un ar vecumu saist\u012btas makulas de\u0123ener\u0101cijas (AMD), kas saist\u012btas ar piln\u012bgu redzes zudumu, sabiedr\u012bbas izmaksas ASV p\u0101rsniedza $20 miljardus, un tiek prognoz\u0113ts, ka l\u012bdz 2050. gadam \u0161is skaitlis tr\u012bsk\u0101r\u0161osies. Tas ietver tie\u0161\u0101s izmaksas, piem\u0113ram, medic\u012bnas pakalpojumus, un netie\u0161\u0101s izmaksas, piem\u0113ram, samazin\u0101tu darba produktivit\u0101ti un neform\u0101l\u0101s apr\u016bpes slogu un zaud\u0113tus dz\u012bves gadus ar pilnv\u0113rt\u012bgu dz\u012bves kvalit\u0101ti katram pacientam ar smagiem redzes trauc\u0113jumiem.<\/p>\n

L\u012bdz\u012bga situ\u0101cija ir konstat\u0113ta ar\u012b Eirop\u0101, kur 2016. gad\u0101 kop\u0113j\u0101s tie\u0161\u0101s un netie\u0161\u0101s izmaksas AMD d\u0113\u013c tika l\u0113stas \u20ac89,5 miljardu apm\u0113r\u0101 gad\u0101, s\u0101kot no \u20ac282 miljoniem Slov\u0113nij\u0101 l\u012bdz \u20ac3,3 miljardiem Polij\u0101.\u00a0 Jaun\u0101kie re\u0123ion\u0101lie dati liecina, ka se\u0161u Centr\u0101l\u0101s un Austrumeiropas valstu (Bulg\u0101rijas, Ung\u0101rijas, Lietuvas, Zieme\u013cma\u0137edonijas, Polijas un Rum\u0101nijas) kop\u0113jais iedz\u012bvot\u0101ju skaits, kas sasniedz 77,4 miljonus, ietver gandr\u012bz 1 miljonu pacientu ar vecuma makulas de\u0123ener\u0101ciju (AMD), diab\u0113tisko makulas t\u016bsku (DME) vai t\u012bklenes v\u0113nu okl\u016bziju (RVO). \u0160aj\u0101s Centr\u0101l\u0101s un Austrumeiropas valst\u012bs tikai 25% pacientu ar vecuma makulas de\u0123ener\u0101ciju (AMD), diab\u0113tisko makulas t\u016bsku (DME) vai t\u012bklenes v\u0113nu okl\u016bziju (RVO) tiek diagnostic\u0113ti, un maz\u0101k nek\u0101 15% sa\u0146em \u0101rst\u0113\u0161anu, kas nor\u0101da uz b\u016btisku apr\u016bpes plaisu sal\u012bdzin\u0101jum\u0101 ar liel\u0101ko da\u013cu citu ES valstu. No aptuveni 376 000 DME pacientiem tikai 25% ir diagnostic\u0113ti, bet tikai 8% tiek \u0101rst\u0113ti. Latvijas dati par situ\u0101ciju mums nav pieejami.<\/p>\n

M\u0113s aicin\u0101m uzs\u0101kt r\u012bc\u012bbu un \u012bstenot ANO \u0122ener\u0101l\u0101s Asamblejas izvirz\u012bto m\u0113r\u0137i \u201cRedze visiem\u201d l\u012bdz 2030. gadam, prioritiz\u0113jot r\u012bc\u012bbu acu vesel\u012bbas uzlabo\u0161an\u0101 un ievie\u0161ot politikas, kas samazina redzes zuduma ekonomisko un soci\u0101lo slogu. M\u016bsu ieskat\u0101 ieguld\u012bjumi inov\u0101cij\u0101s ir redzes zuduma profilakse. \u0160\u012bs slim\u012bbas, kuras iesp\u0113jams gan nov\u0113rst, gan efekt\u012bvi \u0101rst\u0113t, turpina rad\u012bt iev\u0113rojamu soci\u0101lekonomisko slogu m\u016bsu sabiedr\u012bbai, atst\u0101jot cilv\u0113kus riska grup\u0101 zaud\u0113t ne tikai redzi, bet ar\u012b neatkar\u012bbu un dz\u012bves kvalit\u0101ti. M\u0113s aicin\u0101m uzs\u0101kt multisektor\u0101lu sadarb\u012bbu probl\u0113mas atz\u012b\u0161anai un risin\u0101jumu mekl\u0113\u0161anai, piev\u0113r\u0161ot uzman\u012bbu sekojo\u0161iem galvenajiem virzieniem:<\/p>\n

    \n
  1. Agr\u012bna diagnostika. B\u016btu nepiecie\u0161ams uzlabot eso\u0161o apr\u016bpes sist\u0113mu, kuras ietvaros riska pacientiem b\u016btu iesp\u0113jas savu acu vesel\u012bbu papildus padzi\u013cin\u0101ti p\u0101rbaud\u012bt;<\/li>\n
  2. Standartiz\u0113ta apr\u016bpe, nosakot lab\u0101ko praksi un kl\u012bniskos ce\u013cus un efekt\u012bva starpdisciplin\u0101r\u0101s sadarb\u012bbas izveide. B\u016btu nepiecie\u0161ams izv\u0113rt\u0113t eso\u0161o sist\u0113mu un veikt uzlabojumus, lai mazin\u0101tu aizkav\u0113\u0161anos \u0101rst\u0113\u0161anas proces\u0101, jo ielaista slim\u012bba palielina risku neatgriezeniskiem redzes boj\u0101jumiem;<\/li>\n
  3. Vienl\u012bdz\u012bga piek\u013cuve modern\u0101m \u0101rst\u0113\u0161anas iesp\u0113j\u0101m da\u017e\u0101d\u0101m grup\u0101m. B\u016btu nepiecie\u0161ams veicin\u0101t politikas izmai\u0146as, lai visiem pacientiem neatkar\u012bgi no atra\u0161an\u0101s vietas, ien\u0101kumiem, diagnozes b\u016btu pieejama terapija. T\u0101, piem\u0113ram, \u0161obr\u012bd intravitri\u0101l\u0101s injekcijas redzes saglab\u0101\u0161anai ir pieejamas tikai diab\u0113ta makulas t\u016bskas pirmreiz\u0113jiem pacientiem \u013coti limit\u0113tam skaitam. Pacientiem, kuri jau agr\u0101k uzs\u0101ku\u0161i terapiju par saviem l\u012bdzek\u013ciem, terapijas izmaksas j\u0101sedz pa\u0161iem, kas t\u0101d\u0113j\u0101di nost\u0101da vi\u0146us nevienl\u012bdz\u012bg\u0101 situ\u0101cij\u0101. T\u0101pat ar\u012b pacientiem ar vecuma makulas de\u0123ener\u0101ciju \u0161\u012b pati terapija nav pieejama no valsts bud\u017eeta visp\u0101r, kas rada nevienl\u012bdz\u012bgu attieksmi un nevienl\u012bdz\u012bgas iesp\u0113jas;<\/li>\n
  4. Integr\u0113ti rehabilit\u0101cijas un ilgtermi\u0146a nov\u0113ro\u0161anas risin\u0101jumi. Nepiecie\u0161ams pl\u0101not\u00a0 p\u0113capr\u016bpes sist\u0113mas, kas atbalsta pacientus p\u0113c \u0101rst\u0113\u0161anas, sniedzot iesp\u0113ju saglab\u0101t dz\u012bves kvalit\u0101ti un neatkar\u012bbu;<\/li>\n
  5. Veicin\u0101t inform\u0113t\u012bbu pacientu un vesel\u012bbas apr\u016bpes speci\u0101listu vid\u016b;<\/li>\n
  6. Ar redzi saist\u012bto vesel\u012bbas datu pieejam\u012bbas uzlabo\u0161ana. Aicin\u0101m pieiet nopietni \u0161im jaut\u0101jumam, skaidri izv\u0113rt\u0113jot, k\u0101di dati sist\u0113m\u0101s ir pieejami, kur b\u016btu veicami uzlabojumi, lai \u0161os datus efekt\u012bvi var\u0113tu izmantot gan vesel\u012bbas un soci\u0101lo pakalpojumu pl\u0101no\u0161anai, gan ietekmes izv\u0113rt\u0113\u0161anai. Iesp\u0113ju robe\u017e\u0101s izskat\u012bt iesp\u0113ju veikt p\u0113t\u012bjumu pacientu un \u0101rstu vid\u016b, lai identific\u0113tu eksist\u0113jo\u0161\u0101s probl\u0113mas.<\/li>\n<\/ol>\n

    Iedvesmojoties no veiksm\u012bgiem vesel\u012bbas apr\u016bpes mode\u013ciem Rietumeirop\u0101 un ASV, m\u0113s redzam, ka digit\u0101lo risin\u0101jumu ievie\u0161ana, vienotu apr\u016bpes standartu veido\u0161ana un sp\u0113c\u012bg\u0101ka infrastrukt\u016bras finans\u0113juma nodro\u0161in\u0101\u0161ana sp\u0113j nodro\u0161in\u0101t iev\u0113rojamus rezult\u0101tus. L\u0113mumu pie\u0146\u0113m\u0113ju l\u012bder\u012bba pacientu izgl\u012bt\u012bb\u0101, starpdisciplin\u0101raj\u0101 sadarb\u012bb\u0101 un ieguld\u012bjumi vesel\u012bbas apr\u016bpes infrastrukt\u016br\u0101 ir noz\u012bm\u012bga, lai sasniegtu \u0161os m\u0113r\u0137us.<\/p>\n

    L\u016bdzam J\u016bs uz\u0146emties l\u012bder\u012bbu redzes vesel\u012bbas politikas pl\u0101no\u0161anas strat\u0113\u0123iskas pieejas veicin\u0101\u0161anai. T\u0101pat l\u016bdzam visnota\u013c sare\u017e\u0123\u012bto bud\u017eeta apst\u0101k\u013cu situ\u0101cij\u0101 iest\u0101ties par pacientu ar diab\u0113tisku makulas t\u016bsku un vecuma izrais\u012btu makulas de\u0123ener\u0101ciju ties\u012bb\u0101m, kuriem \u0161obr\u012bd terapijas apmaksa j\u0101veic no savas kabatas, kas b\u016btiski liedz vi\u0146iem iesp\u0113ju saglab\u0101t redzi un palielina risku non\u0101kt gan fizisk\u0101s, gan ment\u0101l\u0101s vesel\u012bbas kr\u012bz\u0113, t\u0101d\u0113j\u0101di jau non\u0101kot soci\u0101l\u0101 bud\u017eeta redzeslok\u0101 ar daudz augst\u0101k\u0101m izmaks\u0101m.<\/strong><\/p>\n

    Jau esam sa\u0146\u0113mu\u0161i atbildi no Latvijas Republikas Ties\u012bbsarga biroja par piln\u012bgu atbalstu nevienl\u012bdz\u012bbas mazin\u0101\u0161anas nepiecie\u0161am\u012bbu.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Latvijas Neredz\u012bgo biedr\u012bba, Latvijas Diab\u0113ta asoci\u0101cija, Latvijas Pension\u0101ru feder\u0101cija un Latvijas Acu \u0101rstu asoci\u0101cija \u0161\u012b gada 29. septembr\u012b ir nos\u016bt\u012bju\u0161as v\u0113stuli Latvijas Republikas Saeimas Soci\u0101lo un darba lietu komisijas Sabiedr\u012bbas vesel\u012bbas apak\u0161komisijai, Soci\u0101lo un darba lietu komisijas Nevienl\u012bdz\u012bbas mazin\u0101\u0161anas apak\u0161komisijai, Vesel\u012bbas ministrijai un Latvijas Republikas Ties\u012bbsargam “Par nevienl\u012bdz\u012bbu nov\u0113r\u0161anu starp sabiedr\u012bbas grup\u0101m un r\u012bc\u012bbu redzes […]<\/p>\n","protected":false},"author":6,"featured_media":16937,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-16936","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-citi-raksti"],"acf":[],"yoast_head":"\nAtkl\u0101ta v\u0113stule par nevienl\u012bdz\u012bbas mazin\u0101\u0161anu acu vesel\u012bbas apr\u016bp\u0113 - 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