{"id":39140,"date":"2017-07-05T12:38:04","date_gmt":"2017-07-05T09:38:04","guid":{"rendered":"https:\/\/sanatate.md\/?p=39140\/"},"modified":"2019-04-11T17:16:24","modified_gmt":"2019-04-11T14:16:24","slug":"feodosie-bejan-medic-ecografist","status":"publish","type":"post","link":"https:\/\/sanatate.md\/ro\/feodosie-bejan-medic-ecografist\/","title":{"rendered":"Feodosie Bejan: \u201eImaginea ultrasonografiei este doar un joc de lumin\u0103 \u0219i umbre\u201c"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div id=\"tdi_1\" class=\"tdc-row\"><div class=\"vc_row tdi_2  wpb_row td-pb-row\" >\n<style scoped>\n\/* custom css - generated by TagDiv Composer *\/\n\n\/* custom css - generated by TagDiv Composer *\/\n.tdi_2,\r\n                .tdi_2 .tdc-columns{\r\n                    min-height: 0;\r\n                }.tdi_2,\r\n\t\t\t\t.tdi_2 .tdc-columns{\r\n\t\t\t\t    display: block;\r\n\t\t\t\t}.tdi_2 .tdc-columns{\r\n\t\t\t\t    width: 100%;\r\n\t\t\t\t}.tdi_2:before,\r\n\t\t\t\t.tdi_2:after{\r\n\t\t\t\t    display: table;\r\n\t\t\t\t}\n<\/style><div class=\"vc_column tdi_4  wpb_column vc_column_container tdc-column td-pb-span12\">\n<style scoped>\n\/* custom css - generated by TagDiv Composer *\/\n\n\/* custom css - generated by TagDiv Composer *\/\n.tdi_4{\r\n                    vertical-align: baseline;\r\n                }.tdi_4 > .wpb_wrapper,\r\n\t\t\t\t.tdi_4 > .wpb_wrapper > .tdc-elements{\r\n\t\t\t\t    display: block;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper > .tdc-elements{\r\n\t\t\t\t    width: 100%;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper > .vc_row_inner{\r\n\t\t\t\t    width: auto;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper{\r\n\t\t\t\t    width: auto;\r\n\t\t\t\t    height: auto;\r\n\t\t\t\t}\n<\/style><div class=\"wpb_wrapper\" >[vc_column_text]<\/p>\n<figure id=\"attachment_28733\" aria-describedby=\"caption-attachment-28733\" style=\"width: 300px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/sanatate.md\/doctors\/listing\/feodosij-bezhan-1\" target=\"_blank\" rel=\"noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-28733\" title=\"Feodosie Bejan medic ecografist\" src=\"https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Feodosij-Bezhan.jpg\" alt=\"Feodosie Bejan\" width=\"300\" height=\"363\" srcset=\"https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Feodosij-Bezhan.jpg 900w, https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Feodosij-Bezhan-248x300.jpg 248w, https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Feodosij-Bezhan-768x930.jpg 768w, https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Feodosij-Bezhan-846x1024.jpg 846w, https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Feodosij-Bezhan-696x843.jpg 696w, https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Feodosij-Bezhan-347x420.jpg 347w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-28733\" class=\"wp-caption-text\"><a href=\"https:\/\/sanatate.md\/doctors\/listing\/feodosij-bezhan-1\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Feodosie Bejan<\/a><br \/>medic ecografist<br \/>ginecolog-obstetrician<\/figcaption><\/figure>\n<p>Exist\u0103 contraindica\u021bii pentru efectuarea ecografiei \u00een timpul sarcinii? De c\u00e2te ori o femeie ar trebui s\u0103 treac\u0103 acest tip de studiu? Se efectueaz\u0103 \u00een \u021bara noastr\u0103 screening-ul prenatal? Cum se determin\u0103 greutatea f\u0103tului? Despre aceasta \u0219i multe alte lucruri ne va povesti Feodosie Bejan, medic ecografist, ginecolog-obstetrician.<\/p>\n<h3>Sanatate: Domnul Bejan, pute\u021bi enumera contraindica\u021biile pentru efectuarea ecografiei \u00een timpul sarcinii?<\/h3>\n<p><strong>Feodosie Bejan:<\/strong> Nu, ultrasunetul este metoda cea mai sigur\u0103 a imagisticii medicale, care nu este \u00een m\u0103sur\u0103 s\u0103 d\u0103uneze viitoarei m\u0103mici sau f\u0103tului. Multe femei, din p\u0103cate, \u00eenc\u0103 mai cred c\u0103 ultrasonografiile frecvente dau o doz\u0103 de radia\u021bie copiilor, \u0219i apoi, dup\u0103 na\u0219tere, ace\u0219tia vor avea probleme.<\/p>\n<p>Nu este a\u0219a! Ecografia \u00een obstetric\u0103 se utilizeaz\u0103 pentru mai mult de 50 de ani, \u0219i nu au fost identificate efecte cu un impact negativ asupra copiilor deja n\u0103scu\u021bi. Refuz\u00e2nd aceast\u0103 procedur\u0103, femeia poate pune \u00een pericol at\u00e2t propria s\u0103n\u0103tate c\u00e2t \u0219i via\u021ba \u0219i s\u0103n\u0103tatea copilului.<\/p>\n<h3>De c\u00e2te ori fiecare mam\u0103, \u00een timpul sarcinii, ar trebui s\u0103 treac\u0103 acest tip de cercetare?<\/h3>\n<p><strong>F. B.:<\/strong> Cel pu\u021bin de trei ori. \u00cen a 11-13 s\u0103pt\u0103m\u00e2n\u0103 de gesta\u021bie, la 20-22 \u0219i \u00eentre 32 \u0219i 34 s\u0103pt\u0103m\u00e2ni. Cu toate acestea, dac\u0103 e necesitate, pute\u021bi urm\u0103ri starea f\u0103tului, \u00een fiecare s\u0103pt\u0103m\u00e2n\u0103. \u00cen plus, \u00een mod ideal, ar trebui s\u0103 consulta\u021bi un medic-ecografist \u00een a patra sau a cincea zi dup\u0103 \u00eent\u00e2rzierea menstrua\u021biei.<\/p>\n<h3>Dar de ce at\u00e2t de devreme, \u00eentr-o perioad\u0103 at\u00e2t de scurt\u0103 este posibil s\u0103 observi ceva?<\/h3>\n<p><strong>F. B.:<\/strong> \u00cenregistrarea sarcinii intrauterine cu ajutorul scannerului modern cu ultrasunet transvaginal (vaginal) este posibil\u0103 deja \u00een perioada de 2,5-3 s\u0103pt\u0103m\u00e2ni de la concep\u021bie, ceea ce corespunde cu \u00eent\u00e2rzierea menstrua\u021biei de la 3 p\u00e2n\u0103 la 5 zile. Anume \u00een acest timp ovulul fertilizat finalizeaz\u0103 procesul de p\u0103trundere \u00een mucoasa uterin\u0103.<\/p>\n<p>Lua\u021bi aminte c\u0103, \u00een primele s\u0103pt\u0103m\u00e2ni de sarcin\u0103 Ultrasonografia este aproape singurul instrument pentru identificarea problemelor, cum ar fi sarcina ectopic\u0103, riscul de avort spontan sau \u201esarcina molar\u0103\u201c (deviere \u00een dezvoltarea ovulului, \u00eenso\u021bit de complica\u021bii grave pentru s\u0103n\u0103tatea \u0219i via\u021ba femeii). Patologia detectat\u0103 la timp ofer\u0103 medicilor timpul de rezerv\u0103 necesar pentru un tratament adecvat.<\/p>\n<p>\u00cen plus, anume \u00een aceast\u0103 perioad\u0103, pute\u021bi specifica termenul sarcinii (aceste informa\u021bii vor fi utile tocmai p\u00e2n\u0103 la na\u0219tere: termenul stabilit prin ecografie la \u00eenceputul sarcinii este mai obiectiv \u00een compara\u021bie cu procedura de USG efectuat\u0103 mai t\u00e2rziu, iar, dac\u0103 sarcina este multipl\u0103 &#8211; pentru a afla, dac\u0103 gemenii vor fi din acela\u0219i ovul (adic\u0103, cresc de la o placent\u0103) sau din doi ovuli (fiecare are propria placent\u0103). Aceast\u0103 informa\u021bie este foarte valoroas\u0103 pentru medic, pentru c\u0103, \u00een viitor, va fi mult mai complicat s\u0103 identifici acest lucru.<\/p>\n<h3>Pentru ce se realizeaz\u0103 ecografia obligatorie la finalul primului trimestru?<\/h3>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-28732\" title=\"ecografist Feodosie Bejan\" src=\"https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Bezhan-Feodosij.jpg\" alt=\"ecografia\" width=\"350\" height=\"236\" srcset=\"https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Bezhan-Feodosij.jpg 1046w, https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Bezhan-Feodosij-300x202.jpg 300w, https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Bezhan-Feodosij-768x517.jpg 768w, https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Bezhan-Feodosij-1024x689.jpg 1024w, https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Bezhan-Feodosij-696x468.jpg 696w, https:\/\/sanatate.md\/wp-content\/uploads\/2015\/11\/Bezhan-Feodosij-624x420.jpg 624w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/>F. B.:<\/strong> \u00cen prezent, ecografia efectuat\u0103 la 11-13 s\u0103pt\u0103m\u00e2ni este \u201estandardul de aur\u201c \u00een detectarea anomaliilor cromozomiale \u0219i a altor nereguli la embrion. De exemplu, doar \u00een aceast\u0103 perioad\u0103 exist\u0103 markeri tranzitorii ale sindromului Down (cre\u0219terea translucen\u021bei nucale) \u0219i lungimea osului nazal, care, \u00een al doilea trimestru \u00eenceteaz\u0103 s\u0103 fie informative, deoarece f\u0103tul este \u00een cre\u0219tere \u0219i se schimb\u0103 to\u021bi indicatorii. \u00cen plus, studiul permite diagnosticarea mai multor deform\u0103ri severe embrionare incompatibile cu via\u021ba sau care garanteaz\u0103 invaliditatea copilului dup\u0103 na\u0219tere (de exemplu, defecte de tub neural, sau ale peretelui abdominal anterior).<\/p>\n<p>Confirmarea sau excluderea acestor diagnoze sunt efectuate prin intermediul amniocentezei (colectarea si analiza lichidului amniotic) \u0219i, dac\u0103 este necesar, prin rezonan\u021ba magnetic\u0103 a tomografiei f\u0103tului. Mai mult dec\u00e2t at\u00e2t, \u00een prezent, cea mai simpl\u0103 \u0219i exact\u0103 metod\u0103 pentru femei, din punct de vedere medical, de diagnosticare a anomaliilor genetice sau cromozomiale la f\u0103t (fiabilitatea egal\u0103 cu 99,9%) este testul NYFTY. Un mod modern noninvaziv, care se realizeaz\u0103 din a 10-a s\u0103pt\u0103m\u00e2n\u0103 de gesta\u021bie.<\/p>\n<p>De la o femeie gravid\u0103 este luat\u0103 o por\u021bie de s\u00e2nge venos, iar dup\u0103 10 zile ea \u0219tie, cu siguran\u021b\u0103, are sau nu probleme embrionul. Detectarea timpurie a patologiei severe ofer\u0103 cuplului o \u0219ans\u0103 de a decide soarta sarcinii.<\/p>\n<h3>\u00centotdeauna am crezut c\u0103 ecografia la 12 s\u0103pt\u0103m\u00e2ni, este necesar\u0103 pentru a identifica sau infirma sindromul Down la embrion.<\/h3>\n<p><strong>F. B.:<\/strong> Nu este surprinz\u0103tor, majoritatea oamenilor percepe studiul la acest termen anume a\u0219a. O astfel de percep\u021bie nu este tocmai adev\u0103rat\u0103. Pe de o parte, sindromul Down este cea mai studiat\u0103 \u0219i mai frecvent\u0103 (1: 700600 noun\u0103scu\u021bi) patologie.<\/p>\n<p>Dar, pe de alt\u0103 parte, screening-ul prenatal nu se limiteaz\u0103 la acest lucru, ci permite diagnosticarea \u0219i altor anomalii cromozomiale \u0219i genetice, cum ar fi sindromul Patau, Edwards, Turner, triplodii, etc, precum \u0219i defectele severe ale dezvolt\u0103rii organelor interne. Cu toate acestea, eficacitatea diagnosticului prenatal al sindromului Down este un marker al calit\u0103\u021bii screening-ul prenatal \u00een general.<\/p>\n<h3>Ce este screening-ul prenatal?<\/h3>\n<p><strong>F. B.:<\/strong> Screening &#8211; este un set de m\u0103suri necesare \u0219i cercet\u0103ri medicale, teste \u0219i alte proceduri menite s\u0103 identifice persoanele, printre care probabilitatea de detectare a anumitor boli este mai mare dec\u00e2t a celorlal\u021bi. \u00cen timpul screening-ului prenatal la femeie, ultrasonografia este efectuat\u0103 pe un protocol specific \u0219i exist\u0103 teste speciale de s\u00e2nge pentru a evalua gradul de risc de anomalii cromozomiale la f\u0103t.<\/p>\n<h3>Oare \u00een \u021bara noastr\u0103 se desf\u0103\u0219oar\u0103 acest lucru?<\/h3>\n<p><strong>F. B.:<\/strong> Din p\u0103cate, la nivel de stat, noi nu avem protocoale aprobate ale screening-ului prenatal. Da, femeile noastre ajung la USG, \u0219i, dac\u0103 e necesar, acestea sunt direc\u021bionate c\u0103tre studii \u0219i consult\u0103ri suplimentare, \u00eens\u0103 medicii efectueaz\u0103 cerecet\u0103rile f\u0103r\u0103 suport legal.<\/p>\n<p>\u00cen plus, Moldova nu este limitat\u0103 doar \u00een raza Chi\u0219in\u0103ului, unde exist\u0103 o mul\u021bime de centre private, dotate cu tehnologii moderne, chiar \u0219i \u00een clinicile municipale, acestea mai mult sau mai pu\u021bin se actualizeaz\u0103, la periferii, \u00eens\u0103, supravegherea femeilor gravide las\u0103 de dorit.<\/p>\n<h3>\u00cen acest caz, cititorii no\u0219tri pot avea dubii \u00een ceea ce prive\u0219te acurate\u021bea cercet\u0103rilor&#8230;<\/h3>\n<p><strong>F. B.:<\/strong> Nu ar trebui, \u00een urm\u0103 cu c\u00e2\u021biva ani, am invitat exper\u021bi din Londra, care au citit un curs teoretic despre imaginea \u0219i vizualizarea zonei cervicale. \u00cen plus, mul\u021bi dintre medicii no\u0219tri, inclusiv eu, particip\u0103 \u00een mod regulat la congrese \u0219i seminarii interna\u021bionale pentru a cre\u0219te gradul de profesionalism. Pur \u0219i simplu, \u00eenainte de a merge la ecografie, trebuie s\u0103 v\u0103 informa\u021bi \u00een ceea ce prive\u0219te calificarea medicului, procedura care o va efectua \u0219i ce echipamente se vor utiliza.<\/p>\n<h3>S\u0103 ne \u00eentoarcem la subiectul principal al discu\u021biei noastre. V\u0103 rug\u0103m s\u0103 ne povesti\u021bi despre cercetarea la termenul de 20-22 s\u0103pt\u0103m\u00e2ni.<\/h3>\n<p><strong>F. B.:<\/strong> \u00cen aceast\u0103 perioad\u0103, se realizeaz\u0103 studiul morfologic al embrionului, adic\u0103 este notat\u0103 dezvoltarea tuturor organelor \u0219i sistemelor. De asemenea, scanarea cu ultrasunet permite s\u0103 determin\u0103m conformitatea dezvolt\u0103rii viitorului copil cu v\u00e2rsta gesta\u021bional\u0103, s\u0103 examin\u0103m starea placentei (gradul de maturitate, locul de ata\u0219are) \u0219i lichidul amniotic.<\/p>\n<p>Aceast\u0103 informa\u021bie este foarte important\u0103, dat fiind faptul c\u0103,\u00a0 o abatere grav\u0103 de la norm\u0103, \u00een acest moment, poate necesita o interven\u021bie medical\u0103 de urgen\u021b\u0103. \u00cen plus, \u00een timpul dezvolt\u0103rii \u00eent\u00e2rziate a toxicozei &#8211; preeclampsie, radiografia \u0219i ecografia Doppler ajut\u0103 la monitorizarea st\u0103rii viitorului copil, \u00een consecin\u021b\u0103, se realizeaz\u0103 prescrierea unui tratament competent la timp.<\/p>\n<h3>Rezultatele bune ale ecografiei din cel de-al doilea trimestru garanteaz\u0103 na\u0219terea unui copil s\u0103n\u0103tos?<\/h3>\n<p><strong>F. B.:<\/strong> Medicii nu sunt zei, astfel nimeni nu poate da o garan\u021bie de 100%, c\u0103 noun\u0103scutul nu va avea probleme cardiologie sau orice alt tip de probleme. S\u0103 \u00eenve\u021bi diagnosticul prenatal al bolilor de inima este tot at\u00e2t de dificil, precum s\u0103 devii maestru al chirurgiei cardiace.<\/p>\n<p>\u00cen\u021belege\u021bi c\u0103 \u00een aceast\u0103 perioad\u0103 inima bebelu\u0219ului este de aproximativ 22 de ori mai mic\u0103 dec\u00e2t cea a unui adult. \u00cen plus, vizualizarea tulbur\u0103rilor structurii acestui organ poate fi \u00eengreunat\u0103\u00a0 prin pozi\u021bia corpului f\u0103tului.<\/p>\n<p>Cu toate acestea, \u00eenainte de fiecare USG, fiecare medic ar trebui s\u0103-\u0219i pun\u0103 urm\u0103toarele \u00eentreb\u0103ri: este oare pozi\u021bia inimii f\u0103tului corect\u0103; dac\u0103 dimensiunile sale sunt corespunz\u0103toare; cum este situat\u0103 axa; este oare la fel m\u0103rimea atriilor \u0219i ventriculelor; dac\u0103 nu are defecte ventriculare; dac\u0103 valvele atrioventriculare (supapele \u00eentre atrii \u0219i ventricule) ocup\u0103 o pozi\u021bie normal\u0103, nu exist\u0103 modific\u0103ri ale endocardului, miocardului \u0219i pericardului (stratul muscular al inimii); se situeaz\u0103 aorta descendent\u0103 \u00een st\u00e2nga coloanei vertebrale \u0219i dac\u0103 nu e o imagine a venei m\u0103rite din dreapta aortei descendente?<\/p>\n<p>De fapt, \u201eimaginea\u201c \u00een timpul cercet\u0103rii cu ultrasunet &#8211; este un joc de lumin\u0103 \u0219i umbre, \u0219i doar cuno\u0219tin\u021be vaste, experien\u021b\u0103 de ani de zile \u0219i un anumit procent al imagina\u021biei spa\u021biale dezvoltate permite exper\u021bilor s\u0103 presupun\u0103 un anumit diagnostic.<\/p>\n<h3>Cum medicul reu\u0219e\u0219te s\u0103 determine greutatea f\u0103tului?<\/h3>\n<p><strong>F. B.:<\/strong> Exist\u0103 formule speciale, care permit un calcul aproximativ al greut\u0103\u021bii corporale a viitorului copil.<\/p>\n<p>Cu toate acestea, spre sf\u00e2r\u0219itul sarcinii, eroarea \u00een acest calcul poate fi de p\u00e2n\u0103 la 200-400 de grame, fiindc\u0103 eroarea chiar \u0219i a unui milimetru \u00een m\u0103surarea femurului se egaleaz\u0103 cu o sut\u0103 de grame. Este de remarcat faptul c\u0103, \u00een perioada de 32 de s\u0103pt\u0103m\u00e2ni, medicului \u00eei este mult mai u\u0219or s\u0103 g\u0103seasc\u0103 aceste date \u0219i s\u0103 prezic\u0103 greutatea \u201efinal\u0103\u201c \u00a0a bebelu\u0219ului, dec\u00e2t \u00eenainte de na\u0219tere.<\/p>\n<h3>Ce p\u0103rere ave\u021bi despre faptul c\u0103 femeile \u00eens\u0103rcinate fac \u00een mod independent cercet\u0103ri suplimentare, inclusiv ultrasonografia 3D ?<\/h3>\n<p><strong>F. B.:<\/strong> Foarte negativ\u0103. Fiindc\u0103 USG este o metod\u0103 de diagnostic, nu un mod de distrac\u021bie pentru p\u0103rin\u021bi. Aceste studii permit o examinare detaliat\u0103 a organelor interne \u0219i a tuturor structurilor anatomice ale f\u0103tului, exclud malforma\u021biile majore (de exemplu, \u201ebuza de iepure\u201c sau \u201epalatoschizis-ul\u201c, care pe o ultrasonografie obi\u0219nuit\u0103 este mult mai dificil s\u0103 determini) \u0219i boli cromozomiale, dezv\u0103luie unele modific\u0103ri patologice \u0219i de formare, precum \u0219i efectueaz\u0103 Dopplerografia vaselor sangvine, ce este esen\u021bial pentru examinarea prenatal\u0103.<\/p>\n<h3>\u00cen cazul unor complica\u021bii \u00een timpul sarcinii, femeia are nevoie s\u0103 i se \u00eenf\u0103ptuiasc\u0103 procedura de na\u0219tere prematur\u0103. Este posibil s\u0103 afli \u00a0gradul de maturitate a pl\u0103m\u00e2nilor f\u0103tului folosind ultrasonografia?<\/h3>\n<p><strong>F. B.:<\/strong> \u00centr-o anumit\u0103 m\u0103sur\u0103, da. Exist\u0103 o corela\u021bie cert\u0103 \u00eentre gradul de maturitate a placentei \u0219i a pl\u0103m\u00e2nilor copilului. Cu toate acestea, la o na\u0219tere prematur\u0103, \u00eenainte de termen femeii \u00eei sunt prescrise preparate speciale pentru prevenirea hemoragiei intraventriculare (s\u00e2ngerare la nivelul creierului) \u0219i sindromul de detres\u0103 respiratorie (\u201elipirea\u201c pl\u0103m\u00e2nilor) copilului dup\u0103 na\u0219tere, pentru a reduce maxim num\u0103rul de posibile complica\u021bii.[\/vc_column_text]<div class=\"wpb_wrapper td_block_empty_space td_block_wrap vc_empty_space tdi_6 \"  style=\"height: 15px\"><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_column_text] Feodosie Bejanmedic ecografistginecolog-obstetrician Exist\u0103 contraindica\u021bii pentru efectuarea ecografiei \u00een timpul sarcinii? De c\u00e2te ori o femeie ar trebui s\u0103 treac\u0103 acest tip de studiu? Se efectueaz\u0103 \u00een \u021bara noastr\u0103 screening-ul prenatal? Cum se determin\u0103 greutatea f\u0103tului? Despre aceasta \u0219i multe alte lucruri ne va povesti Feodosie Bejan, medic ecografist, ginecolog-obstetrician. Sanatate: Domnul Bejan, pute\u021bi [...]","protected":false},"author":134,"featured_media":34267,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[1307,1287],"tags":[1430,1431,1432,90],"class_list":{"0":"post-39140","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-interviuri","8":"category-mama-si-copil","9":"tag-ecografia","10":"tag-feodosie-bejan","11":"tag-ginecolog-obstetrician","12":"tag-sanatate"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Interviu cu medic ecografist, ginecolog-obstetrician Feodosie Bejan<\/title>\n<meta name=\"description\" content=\"Medic ecografist, ginecolog-obstetrician Feodosie Bejan: \u201eImaginea ultrasonografiei este doar un joc de lumin\u0103 \u0219i umbre\u201c.\" \/>\n<meta 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