{"id":1143,"date":"2022-03-03T08:17:00","date_gmt":"2022-03-03T08:17:00","guid":{"rendered":"https:\/\/doctortom.ro\/?p=1143"},"modified":"2022-03-03T20:09:52","modified_gmt":"2022-03-03T20:09:52","slug":"vocea-mamei-miracolul-vietii-de-la-primul-sunet","status":"publish","type":"post","link":"https:\/\/doctortom.ro\/en\/vocea-mamei-miracolul-vietii-de-la-primul-sunet\/","title":{"rendered":"Vocea mamei. Miracolul\u00a0vie\u021bii\u00a0de\u00a0la\u00a0primul sunet"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><em>\u201eMiracolul vie\u021bii apare de&nbsp;la&nbsp;prima&nbsp;ecografie&nbsp;din&nbsp;sarcin\u0103 \u0219i continu\u0103 cu fiecare mi\u0219care&nbsp;\u0219i b\u0103taie de&nbsp;inim\u0103&nbsp;&#8230;\u201d&nbsp;men\u021bioneaz\u0103&nbsp;Doctor Tom. Dar, miracolul auzului pentru bebelu\u0219ul t\u0103u, oare c\u00e2nd&nbsp;apare? &nbsp;<\/em><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Cum&nbsp;se&nbsp;aude prim\u0103vara&nbsp;prin&nbsp;urechile micu\u021bului t\u0103u?<\/strong><\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u0218tiai c\u0103 auzul este complet dezvoltat c\u00e2nd bebelu\u0219ul&nbsp;vine&nbsp;pe lume?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Sunt doar cateva \u00eentreb\u0103ri pe care le discut\u0103m \u00eempreun\u0103 cu Doamna Dr. Diana Ionescu, Doctor \u00een Medicin\u0103, Medic Primar ORL din cadrul Spitalului Clinic de Copii Dr. Victor Gomoiu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De fapt,&nbsp;se&nbsp;cunoa\u0219te&nbsp;deja&nbsp;c\u0103 un bebelu\u0219 este capabil s\u0103 aud\u0103 sunete \u00eenc\u0103&nbsp;din&nbsp;timpul vie\u021bii intrauterine, el \u00eencep\u00e2nd s\u0103 \u201dtrag\u0103 cu urechea\u201d \u00eenc\u0103 din s\u0103pt\u0103m\u00e2na a 16-a de sarcin\u0103. Ce poate&nbsp;fi&nbsp;mai&nbsp;minunat dec\u00e2t momentul magic&nbsp;c\u00e2nd bebelu\u0219ii \u00eencep&nbsp;s\u0103&nbsp;aib\u0103 reac\u021bii&nbsp;la&nbsp;sunetele \u0219i vocile din jurul mamei \u0219i&nbsp;asta&nbsp;se \u00eent\u00e2mpl\u0103 aproximativ \u00een s\u0103pt\u0103m\u00e2na a 25-a de sarcin\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cens\u0103, cel&nbsp;mai&nbsp;puternic sunet pe&nbsp;care&nbsp;copilul t\u0103u \u00eel aude c\u00e2nd este \u00een uter, este vocea&nbsp;ta, vocea mamei.&nbsp;\u00cen mod poate surprinz\u0103tor,&nbsp;postnatal,&nbsp;bebelu\u0219ul poate s\u0103 recunoasc\u0103 vocea mamei \u00eenc\u0103&nbsp;din&nbsp;primele clipe de via\u021b\u0103,&nbsp;se&nbsp;poate lini\u0219ti&nbsp;la&nbsp;auzul&nbsp;acesteia, pentru c\u0103 o cunoa\u0219te&nbsp;cu&nbsp;mult&nbsp;timp&nbsp;\u00eenainte de a se na\u0219te.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">F\u0103r\u0103 auz \u00eens\u0103, nu&nbsp;exist\u0103&nbsp;vocea mamei, nu exist\u0103 c\u00e2ntec de leag\u0103n, nu exist\u0103 alint, nu exist\u0103 via\u021b\u0103 acolo unde nu&nbsp;sunt&nbsp;sunete.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Exist\u0103 riscul&nbsp;c\u0103&nbsp;bebelu\u0219ul t\u0103u&nbsp;s\u0103\u0306 sufere de o deficien\u021b\u0103 de auz?<\/strong><\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Ce trebuie&nbsp;s\u0103&nbsp;faci&nbsp;c\u0103&nbsp;s\u0103&nbsp;te&nbsp;asiguri&nbsp;c\u0103&nbsp;micu\u021bul t\u0103u e perfect ?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00centre examin\u0103rile de&nbsp;rutin\u0103&nbsp;ale st\u0103rii de s\u0103n\u0103tate efectuate&nbsp;din&nbsp;primele zile de via\u021b\u0103,&nbsp;asigura-te&nbsp;c\u0103 este inclus&nbsp;\u0219i&nbsp;screening-ul pentru testarea auzului.&nbsp;Testarea utilizeaz\u0103&nbsp;dou\u0103&nbsp;teste&nbsp;simple pentru verificarea auzului, total nedureroase pentru copilul t\u0103u. De regul\u0103&nbsp;se&nbsp;efectueaz\u0103 c\u00e2nd bebelu\u0219ul doarme.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pentru c\u0103 un nou n\u0103scut cu surditate&nbsp;se&nbsp;comport\u0103 similar cu un bebelu\u0219 cu auz normal, \u00een&nbsp;lipsa&nbsp;test\u0103rii de screening \u00een&nbsp;prima&nbsp;lun\u0103, depistarea afec\u021biunii se&nbsp;va&nbsp;face tardiv, pentru c\u0103 p\u0103rin\u021bii sesizeaz\u0103&nbsp;problema&nbsp;lipsei vorbirii \u0219i se adreseaz\u0103 medicului abia c\u00e2nd copilul are&nbsp;\u00een&nbsp;jur de 15-19 luni.&nbsp;Testarea de screening permite&nbsp;s\u0103 fie identifica\u021bi de timpuriu aproape to\u021bi ace\u0219ti copii. Identificarea timpurie a surdit\u0103\u021bii este esen\u021bial\u0103 pentru dezvoltarea&nbsp;normal\u0103&nbsp;a bebelu\u0219ului t\u0103u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Care&nbsp;poate&nbsp;fi&nbsp;cauza&nbsp;deficien\u021bei&nbsp;de auz a bebelu\u0219ului t\u0103u?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Deficien\u021b\u0103&nbsp;de auz&nbsp;la&nbsp;nou\u2013n\u0103scu\u021bi poate&nbsp;fi&nbsp;produs\u0103 de:&nbsp;prematuritate, diferite infec\u021bii congenitale, infec\u021biile postnatale (meningite, septicemii),&nbsp;infec\u021bia&nbsp;congenital\u0103&nbsp;cu citomegalovirus (CMV) &#8211; (nou-n\u0103scu\u021bii infecta\u021bi&nbsp;se&nbsp;pot&nbsp;na\u0219te&nbsp;cu pierderea auzului \u0219i&nbsp;multe&nbsp;alte simptome. Dac\u0103 f\u0103tul este infectat chiar \u00eenainte, \u00een timpul&nbsp;sau&nbsp;la scurt&nbsp;timp&nbsp;dup\u0103 na\u0219tere,&nbsp;deficien\u021ba&nbsp;de auz se poate&nbsp;instala&nbsp;\u0219i&nbsp;mai&nbsp;t\u00e2rziu), defecte genetice etc.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hipoacuzia congenital\u0103este&nbsp;cea&nbsp;mai&nbsp;frecvent\u0103 boal\u0103 prezent\u0103&nbsp;la&nbsp;na\u0219tere (1-3\/1000 de nou-n\u0103scu\u021bi),&nbsp;fiind&nbsp;un handicap invizibil, de aceea diagnosticul \u00een&nbsp;timp&nbsp;util nu&nbsp;se&nbsp;poate face dec\u00e2t&nbsp;prin&nbsp;depistarea activ\u0103 a deficien\u021bei auditive. Screeningul universal&nbsp;al&nbsp;auzului la nou-n\u0103scut este&nbsp;singur\u0103&nbsp;metod\u0103 prin&nbsp;care&nbsp;putem s\u0103 identific\u0103m&nbsp;sugarii&nbsp;cu&nbsp;posibile&nbsp;probleme de auz, iar ace\u0219tia trebuie trimi\u0219i spre centre de audiologie, \u00een vederea diagnosticului de certitudine \u0219i a cuantific\u0103rii hipoacuziei.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Care&nbsp;sunt&nbsp;testele&nbsp;care trebuie efectuate pentru screeningul auditiv \u0219i cum&nbsp;se&nbsp;desf\u0103\u0219oar\u0103 ele ?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1.&nbsp;Test&nbsp;de otoemisiuni acustice (OAE)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Testarea emisiilor otoacustice evocate constituie&nbsp;metoda&nbsp;ini\u021bial\u0103 de investigare audiologic\u0103. Examinatorul&nbsp;introduce&nbsp;o&nbsp;mic\u0103&nbsp;pies\u0103&nbsp;auricular\u0103 cu&nbsp;cap\u0103t moale \u00een conductul auditiv&nbsp;al&nbsp;nou n\u0103scutului t\u0103u, iar&nbsp;aceast\u0103&nbsp;pies\u0103 transmite \u00een ureche&nbsp;ni\u0219te&nbsp;sunete. \u00cen momentul \u00een&nbsp;care&nbsp;urechea&nbsp;intern\u0103 (cohlea) recep\u021bioneaz\u0103 un sunet, de&nbsp;regul\u0103&nbsp;se&nbsp;produce un ecou. Cu ajutorul unui computer, examinatorul poate vedea cum r\u0103spunde urechea bebelu\u0219ului&nbsp;la&nbsp;sunet.&nbsp;Prezen\u0163a ecourilor emise de urechea bebelu\u0219ului apare sub&nbsp;forma&nbsp;r\u0103spunsului PASS, \u00een&nbsp;timp&nbsp;ce absen\u021ba sunetelor apare sub&nbsp;forma&nbsp;REFER. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>PASS<\/strong>&nbsp;\u00eenseamn\u0103 c\u0103 urechea micu\u021bului este s\u0103n\u0103toas\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>REFER<\/strong>&nbsp;\u00eenseamn\u0103 doar c\u0103 nu s-a putut \u00eenregistra r\u0103spunsul urechii interne. Acest lucru&nbsp;se&nbsp;poate \u00eent\u00e2mpla fie pentru c\u0103 exist\u0103 o problem\u0103 (surditate) \u015fi celulele ciliate nu pot emite acele sunete, fie pentru c\u0103 ceva a \u00eempiedicat p\u0103trunderea sunetelor p\u00e2n\u0103&nbsp;la&nbsp;cohlee&nbsp;sau&nbsp;nu s-au putut \u00eenregistra r\u0103spunsurile.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ce poate \u00eempiedica p\u0103trunderea sunetelor c\u0103tre urechea intern\u0103&nbsp;la&nbsp;nou n\u0103scu\u021bi?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>&#8211; <\/em>vernix caseosa&nbsp;\u00een conductul auditiv, (substan\u021ba alb-cenu\u0219ie, de&nbsp;consistent\u0103&nbsp;gr\u0103soas\u0103,&nbsp;care&nbsp;acoper\u0103&nbsp;\u00een&nbsp;straturi&nbsp;mai&nbsp;mult&nbsp;sau&nbsp;mai pu\u021b\u00een&nbsp;groase pielea nou-n\u0103scutului)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; conduct auditiv prea \u00eengust<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211;&nbsp;sond\u0103&nbsp;prost pozi\u021bionat\u0103, sprijinit\u0103 de peretele conductului<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; lichid prezent \u00een urechea medie &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aceste situa\u021bii pot s\u0103 dispar\u0103 cu ocazia relu\u0103ri&nbsp;test\u0103rii, \u00een zilele&nbsp;sau&nbsp;\u00een s\u0103pt\u0103m\u00e2nile urm\u0103toare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. Poten\u0163ialele evocate auditive de screening (ABR)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Testarea presupune montarea a trei electrozi de suprafa\u0163\u0103 (pe cap, torace&nbsp;\u0219i&nbsp;retroauricular ) \u015fi o sond\u0103&nbsp;la&nbsp;nivelul conductului auditiv extern&nbsp;care&nbsp;emite sunete&nbsp;c\u0103&nbsp;\u015fi \u00een cazul otoemisiunilor acustice. Electrozii capteaz\u0103 semnale de la nivelul nervului auditiv, de la nivelul nucleilor \u015fi&nbsp;al&nbsp;c\u0103ilor de conducere&nbsp;din&nbsp;trunchiul cerebral, semnale interpretate sub&nbsp;form\u0103&nbsp;de PASS&nbsp;sau&nbsp;REFER, adic\u0103 r\u0103spuns prezent sau absent. &nbsp;Poten\u021bialele evocate auditive de screening evalueaz\u0103&nbsp;sistemul&nbsp;auditiv p\u00e2n\u0103 la nivelul trunchiului cerebral. Este&nbsp;tot&nbsp;o evaluare calitativ\u0103&nbsp;ca&nbsp;\u015fi otoemisiunile, doar c\u0103 se pot&nbsp;detecta&nbsp;\u015fi problemele auditive dincolo de urechea&nbsp;intern\u0103&nbsp;cum ar&nbsp;fi&nbsp;neuropatia auditiv\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Test\u0103rile nu&nbsp;sunt&nbsp;de lung\u0103&nbsp;durata, dureaz\u0103 p\u00e2n\u0103&nbsp;la&nbsp;5-10&nbsp;minute&nbsp;\u015fi nu necesit\u0103 o&nbsp;camera&nbsp;insonor\u0103,&nbsp;ci&nbsp;doar un bebelu\u0219 lini\u0219tit \u015fi un ambient prietenos.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen prezent, Programul&nbsp;Na\u021bional&nbsp;de Screening Auditiv&nbsp;la&nbsp;nou-n\u0103scut a prev\u0103zut cu&nbsp;aparate&nbsp;de otoemisiuni acustice toate maternit\u0103\u021bile&nbsp;din&nbsp;\u021bar\u0103,&nbsp;test&nbsp;care&nbsp;trebuie obligatoriu f\u0103cut tuturor copiilor la na\u0219tere. \u00cen cazul copiilor care prezint\u0103 factor de risc ar trebui efectuate poten\u021biale evocate auditive (ABR), chiar dac\u0103 rezultatul otoemisiunilor acustice (OAE) este bun, ace\u015fti copii urm\u00e2nd s\u0103 fie \u00eendruma\u021bi c\u0103tre un centru de diagnostic specializat pentru a&nbsp;fi&nbsp;urm\u0103ri\u021bi \u00een&nbsp;timp, din punct de vedere audiologic.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Ce trebuie f\u0103cut dac\u0103 \u201enu a trecut&nbsp;testul\u201d bebelu\u0219ul t\u0103u ?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Trebuie&nbsp;s\u0103&nbsp;\u0219tim c\u0103&nbsp;testele&nbsp;de screening auditiv ridic\u0103 doar suspiciunea unei hipoacuzii\/surdit\u0103\u021bi. Este&nbsp;vorba&nbsp;de&nbsp;teste&nbsp;calitative \u015fi nu cantitative. O&nbsp;parte&nbsp;din&nbsp;copiii&nbsp;care&nbsp;nu trec ini\u021bial screeningul auditiv vor trece&nbsp;testul&nbsp;ulterior.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bebelu\u0219ilor f\u0103r\u0103 factori de risc \u0219i&nbsp;care&nbsp;au trecut cu bine&nbsp;testul&nbsp;(PASS)&nbsp;li&nbsp;se&nbsp;recomand\u0103 urm\u0103rirea&nbsp;dezvolt\u0103rii&nbsp;limbajului, precum \u0219i o reevaluare audiologic\u0103 dup\u0103 v\u00e2rsta de 4 ani&nbsp;sau\/\u0219i&nbsp;la&nbsp;intrarea&nbsp;\u00een&nbsp;colectivitate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dac\u0103 testarea efectuat\u0103 \u00een maternitate nu a ie\u015fit bine (REFER) cel pu\u021bin&nbsp;la&nbsp;una&nbsp;din&nbsp;urechi,&nbsp;se&nbsp;recomand\u0103 retestarea \u00een urm\u0103toarele dou\u0103 s\u0103pt\u0103m\u00e2ni, p\u00e2n\u0103 la v\u00e2rsta de o lun\u0103 a bebelu\u0219ului. Medicul&nbsp;care&nbsp;va&nbsp;lua&nbsp;nou-n\u0103scutul \u00een eviden\u0163\u0103 trebuie s\u0103 vad\u0103 dac\u0103 s-a efectuat testarea de screening auditiv \u015fi rezultatul ob\u021binut pentru a&nbsp;putea&nbsp;trimite&nbsp;sugarul&nbsp;la reevaluare dac\u0103 este cazul.&nbsp;La&nbsp;a&nbsp;dou\u0103&nbsp;testare, cei&nbsp;mai&nbsp;mul\u021bi copii trec de&nbsp;regul\u0103&nbsp;testul&nbsp;de screening \u015fi doar un mic procent necesit\u0103 o evaluare audiologic\u0103 \u00een scop diagnostic \u00een jurul v\u00e2rstei de 3 luni, \u00eentr-un centru de audiologie\/ORL specializat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nou-n\u0103scu\u021bii&nbsp;din&nbsp;sec\u021biile de terapie intensiv\u0103 (A\u021aI) din maternit\u0103\u021bi&nbsp;care&nbsp;au ob\u021binut PASS&nbsp;la&nbsp;ambele urechi&nbsp;necesit\u0103 evaluare audiologic\u0103 la 6 \u0219i la 18 luni, \u00een centrele de Audiologie\/ORL specializate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nou-n\u0103scu\u021bii diagnostica\u021bi cu hipoacuzie&nbsp;\u00een&nbsp;urma&nbsp;diagnosticului audiologic&nbsp;din&nbsp;centrele de Audiologie\/ORL specializate primesc recomandarea protez\u0103rii auditive; evaluarea beneficiului protez\u0103rii&nbsp;la&nbsp;3-6 luni.&nbsp;La&nbsp;nivel de centru ORL specializat&nbsp;se&nbsp;va&nbsp;stabili ulterior strategia de urm\u0103rire dup\u0103 12 luni, \u00een func\u021bie de caz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Evaluarea nou-n\u0103scu\u021bilor cu suspiciunea de surditate este complex\u0103, reprezint\u0103 un puzzle ce trebuie s\u0103 fie realizat de o echip\u0103 medical\u0103 multidisciplinar\u0103 format\u0103&nbsp;din&nbsp;medic ORL, audiolog, neurolog, genetician, pediatru.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Deoarece&nbsp;cauza&nbsp;principal\u0103&nbsp;a hipoacuziei congenitale o constituie bolile genetice, medicii recomand\u0103 efectuarea&nbsp;testelor&nbsp;genetice \u0219i a consultului&nbsp;la&nbsp;medicul genetician clinician pentru precizarea diagnosticului cauzal. Hipoacuzia reprezint\u0103 un handicap senzorial frecvent \u00eent\u00e2lnit&nbsp;care&nbsp;are un impact major nu numai&nbsp;asupra&nbsp;persoanei cu&nbsp;deficien\u021b\u0103&nbsp;de auz&nbsp;ci&nbsp;\u0219i asupra familiei \u0219i societ\u0103\u021bii.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0218tia\u021bi c\u0103 auzul este&nbsp;singurul&nbsp;sim\u021b&nbsp;care&nbsp;se&nbsp;poate reface &#8230; \u00eentr-o&nbsp;mare&nbsp;propor\u021bie,&nbsp;&nbsp;folosind&nbsp;\u201dochelarii de urechi\u201d prescri\u0219i de medic?<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/doctortom.ro\/wp-content\/uploads\/2022\/02\/poza-articol-1024x1024.png\" alt=\"\" class=\"wp-image-1163\" srcset=\"https:\/\/doctortom.ro\/wp-content\/uploads\/2022\/02\/poza-articol-1024x1024.png 1024w, https:\/\/doctortom.ro\/wp-content\/uploads\/2022\/02\/poza-articol-980x980.png 980w, https:\/\/doctortom.ro\/wp-content\/uploads\/2022\/02\/poza-articol-480x480.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>\u201eMiracolul vie\u021bii apare de&nbsp;la&nbsp;prima&nbsp;ecografie&nbsp;din&nbsp;sarcin\u0103 \u0219i continu\u0103 cu fiecare mi\u0219care&nbsp;\u0219i b\u0103taie de&nbsp;inim\u0103&nbsp;&#8230;\u201d&nbsp;men\u021bioneaz\u0103&nbsp;Doctor Tom. Dar, miracolul auzului pentru bebelu\u0219ul t\u0103u, oare c\u00e2nd&nbsp;apare? &nbsp; Cum&nbsp;se&nbsp;aude prim\u0103vara&nbsp;prin&nbsp;urechile micu\u021bului t\u0103u? \u0218tiai c\u0103 auzul este complet dezvoltat c\u00e2nd bebelu\u0219ul&nbsp;vine&nbsp;pe lume? Sunt doar cateva \u00eentreb\u0103ri pe care le discut\u0103m \u00eempreun\u0103 cu Doamna Dr. Diana Ionescu, Doctor \u00een Medicin\u0103, Medic Primar ORL din [&hellip;]<\/p>","protected":false},"author":3,"featured_media":1163,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"1200","footnotes":""},"categories":[29],"tags":[],"class_list":["post-1143","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-calatorii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vocea mamei. 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