{"id":24390,"date":"2023-05-16T12:57:24","date_gmt":"2023-05-16T09:57:24","guid":{"rendered":"https:\/\/alchimeia.ro\/vechi\/?page_id=24390"},"modified":"2023-05-26T19:53:54","modified_gmt":"2023-05-26T16:53:54","slug":"spondilita-anchilozanta","status":"publish","type":"page","link":"https:\/\/alchimeia.ro\/vechi\/afectiuni-tratate\/reumatisme-inflamatorii\/spondilita-anchilozanta\/","title":{"rendered":"Spondilita anchilozant\u0103"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-overflow:visible;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-title-text fusion-title-size-two\" style=\"--awb-font-size:24px;\"><h2 class=\"title-heading-left fusion-responsive-typography-calculated\" style=\"font-family:&quot;Roboto&quot;;font-style:normal;font-weight:400;margin:0;font-size:1em;--fontSize:24;line-height:var(--awb-typography1-line-height);\"><span style=\"font-weight: 400;\">Spondilit\u0103 anchilozant\u0103<\/span><\/h2><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-text fusion-text-1\"><p><span style=\"font-weight: 400;\">Rigiditatea \u0219i durerile ce pot afecta zona spatelui influen\u021beaz\u0103 \u00een mod negativ starea emo\u021bional\u0103, dar \u0219i activit\u0103\u021bile de zi cu zi, pe care alt\u0103dat\u0103 le f\u0103ceai f\u0103r\u0103 probleme. Pentru<\/span><b> ameliorarea<\/b><span style=\"font-weight: 400;\">, c\u00e2t \u0219i pentru <\/span><b>prevenirea<\/b><span style=\"font-weight: 400;\"> afec\u021biunilor coloanei vertebrale, <\/span><b>stilul de via\u021b\u0103 s\u0103n\u0103tos<\/b><span style=\"font-weight: 400;\"> este una dintre principalele priorit\u0103\u021bi pe care orice persoan\u0103 ar trebui s\u0103 le aib\u0103.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Totu\u0219i, exist\u0103 anumite afec\u021biuni mo\u0219tenite sau dob\u00e2ndite \u00een urma unor comportamente nes\u0103n\u0103toase, care conduc la dureri, uneori chiar severe. <\/span><b>Spondilita anchilozant\u0103<\/b><span style=\"font-weight: 400;\"> este una dintre acestea. O <\/span><b>boal\u0103 inflamatorie cronic\u0103<\/b><span style=\"font-weight: 400;\"> care afecteaz\u0103 \u00een primul r\u00e2nd coloana vertebral\u0103, spondilita anchilozant\u0103 produce <\/span><b>durere, rigiditate \u0219i deteriorare progresiv\u0103 a vertebrelor<\/b><span style=\"font-weight: 400;\">. Se \u00eencadreaz\u0103 \u00een categoria spondiloartropatiilor seronegative, un grup de afec\u021biuni \u00eenrudite care au caracteristici similare.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Spondilita anchilozant\u0103 este cea mai comun\u0103 form\u0103 de spondiloartrit\u0103 \u0219i afecteaz\u0103 \u00een majoritatea cazurilor <\/span><b>articula\u021biile sacroiliace<\/b><span style=\"font-weight: 400;\"> (articula\u021biile care leag\u0103 sacrul \u0219i pelvisul) \u0219i coloana vertebral\u0103. \u00cen timp, inflama\u021bia cronic\u0103 \u00een aceste zone poate duce la<\/span><b> fuziunea vertebrelor<\/b><span style=\"font-weight: 400;\">, rezult\u00e2nd o coloan\u0103 rigid\u0103 \u0219i mobilitate tot mai redus\u0103.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u0103rba\u021bii tineri sunt mai predispu\u0219i la \u00eemboln\u0103vire, \u00eens\u0103 la Alchimeia ajung pacien\u021bi de v\u00e2rste diferite, inclusiv femei, care au acest diagnostic. Atunci c\u00e2nd suntem aborda\u021bi de o persoan\u0103 cu spondilit\u0103 anchilozant\u0103, \u00eent\u00e2lnim \u00een mod frecvent urm\u0103toarele simptome:\u00a0<\/span><\/p>\n<ul>\n<li><b>dureri de spate \u0219i rigiditate<\/b><span style=\"font-weight: 400;\">: durerea \u0219i rigiditatea sunt de obicei mai intense diminea\u021ba sau dup\u0103 perioade de inactivitate \u0219i se amelioreaz\u0103 cu mi\u0219care \u0219i exerci\u021bii fizice.<\/span><\/li>\n<li><b>mobilitate restric\u021bionat\u0103 a coloanei vertebrale<\/b><span style=\"font-weight: 400;\">: fuziunea vertebrelor poate duce la sc\u0103derea flexibilit\u0103\u021bii \u0219i mobilit\u0103\u021bii coloanei vertebrale.<\/span><\/li>\n<li><b>durere \u0219i inflama\u021bie<\/b><span style=\"font-weight: 400;\"> care se extind \u0219i la alte articula\u021bii: acestea pot afecta \u0219oldurile, umerii, genunchii \u0219i gleznele.<\/span><\/li>\n<li><b>entezit\u0103<\/b><span style=\"font-weight: 400;\">: inflama\u021bie pe locurile unde ligamentele, tendoanele \u0219i capsulele articulare se ata\u0219eaz\u0103 la os, ceea ce cauzeaz\u0103 durere \u0219i sensibilitate.<\/span><\/li>\n<li><b>oboseal\u0103 \u0219i pierderea poftei de m\u00e2ncare<\/b><\/li>\n<li><b>disconfort generalizat<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Majoritatea pacien\u021bilor pot s\u0103 ajung\u0103 destul de t\u00e2rziu la specialist. Acest lucru se \u00eent\u00e2mpl\u0103 de obicei din cauza faptului c\u0103 etapa incipient\u0103 a spondilitei anchilozante, numit\u0103 <\/span><b>spondiloartrita axial\u0103 non-radiografic\u0103<\/b><span style=\"font-weight: 400;\">, nu prezint\u0103 modific\u0103ri vizibile prin testele imagistice, mai exact prin radiografie. Cu toate acestea, nu trebuie ignorate durerile de spate care apar \u00een mod recurent \u0219i care pot fi un semn al spondilitei anchilozante.\u00a0<\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;width:48%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" 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s\u0103 primesc mesaje promo\u021bionale de la Alchimeia pe e-mail sau prin SMS<\/span><\/label><\/span><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"small\"><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-355\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-355\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">GDPR - Prin trimiterea acestui formular, consimt c\u0103 sunt de acord cu prelucrarea datelor cu caracter personal, conform Regulamentul European 2016\/679 privind protec\u021bia persoanelor fizice referitor la prelucrarea datelor cu caracter personal \u0219i libera circula\u021bie a acestor date.<\/span><\/label><\/span><\/span><\/span><br \/>\n<\/span><br \/>\n<input class=\"wpcf7-form-control has-spinner wpcf7-submit\" type=\"submit\" value=\"Trimite\" \/>\n<\/p><p style=\"display: none !important;\"><label>&#916;<textarea 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style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:60px;--awb-padding-bottom:60px;--awb-background-color:var(--awb-color2);\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-title-text fusion-title-size-three\" style=\"--awb-font-size:24px;\"><div class=\"title-sep-container title-sep-container-left fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><\/span><h3 class=\"title-heading-left fusion-responsive-typography-calculated\" style=\"font-family:&quot;Roboto&quot;;font-style:normal;font-weight:400;margin:0;font-size:1em;--fontSize:24;line-height:var(--awb-typography2-line-height);\"><h2><span style=\"font-weight: 400;\">Cauze spondilit\u0103 anchilozant\u0103<\/span><\/h2><\/h3><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-text fusion-text-2\"><p><span style=\"font-weight: 400;\">Chiar dac\u0103 nu putem determina cauz\u0103 exact\u0103 a spondilitei anchilozante, evalu\u0103rile ini\u021biale pot s\u0103 conduc\u0103 la concluzii ce ajut\u0103 \u00een conceperea unui plan de tratament personalizat. Studiile din domeniu de p\u00e2n\u0103 acum arat\u0103 c\u0103 mai mul\u021bi factori contribuie la dezvoltarea spondilitei anchilozante:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>predispozi\u021bie genetic\u0103<\/b><span style=\"font-weight: 400;\">: familia de gene a antigenului leucocitar uman (HLA) este puternic asociat\u0103 cu dezvoltarea SA. Aproximativ 90% dintre persoanele cu spondilit\u0103 anchilozant\u0103 poart\u0103 gena HLA-B27, \u00eens\u0103 nu este o condi\u021bie singular\u0103 ce garanteaz\u0103 dezvoltarea afec\u021biunii.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>disfunc\u021bia sistemului imunitar<\/b><span style=\"font-weight: 400;\">: sistemul imunitar atac\u0103 \u00een mod gre\u0219it propriile \u021besuturi ale corpului, fiind afectate cu prec\u0103dere articula\u021biile \u0219i coloana vertebral\u0103, provoc\u00e2nd inflama\u021bie \u0219i durere, precum \u0219i rigiditate ulterioar\u0103.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>factori de mediu<\/b><span style=\"font-weight: 400;\">: infec\u021biile bacteriene sau virale pot declan\u0219a un r\u0103spuns imunitar anormal la persoanele care sunt susceptibile genetic la boal\u0103.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>sex \u0219i v\u00e2rst\u0103<\/b><span style=\"font-weight: 400;\">: spondilita anchilozant\u0103 afecteaz\u0103 mai frecvent b\u0103rba\u021bii dec\u00e2t femeile \u0219i se manifest\u0103 de obicei la v\u00e2rsta adult\u0103 timpurie, de obicei \u00eentre 20 \u0219i 40 de ani. Cu toate acestea, afec\u021biunea poate ap\u0103rea la orice v\u00e2rst\u0103, inclusiv \u00een copil\u0103rie \u0219i mai t\u00e2rziu \u00een via\u021b\u0103.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>istoric familial<\/b><span style=\"font-weight: 400;\">: persoanele cu un p\u0103rinte sau un frate cu spondilit\u0103 anchilozant\u0103 sunt mai predispuse la \u00eemboln\u0103vire.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Cercet\u0103torii continu\u0103 studiile pentru a \u00een\u021belege pe deplin mecanismele prin care ace\u0219ti factori interac\u021bioneaz\u0103 \u0219i conduc la apari\u021bia spondilitei anchilozante. Evalu\u0103rile pacien\u021bilor conduc de obicei la ob\u021binerea unor informa\u021bii importante. Astfel, se pot realiza planuri de tratament individualizate, cu rezultate pe termen mediu \u0219i lung.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-title-text fusion-title-size-three\" style=\"--awb-font-size:24px;\"><div class=\"title-sep-container title-sep-container-left fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><\/span><h3 class=\"title-heading-left fusion-responsive-typography-calculated\" style=\"font-family:&quot;Roboto&quot;;font-style:normal;font-weight:400;margin:0;font-size:1em;--fontSize:24;line-height:var(--awb-typography2-line-height);\"><h2><span style=\"font-weight: 400;\">Tratamente spondilita anchilozant\u0103<\/span><\/h2><\/h3><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-text fusion-text-3\"><p><span style=\"font-weight: 400;\">Abordarea pentru tratamentul spondilitei anchilozante \u00een viziunea speciali\u0219tilor Alchimeia trebuie s\u0103 fie una <\/span><b>colaborativ\u0103<\/b><span style=\"font-weight: 400;\">. Planul de tratament \u0219i recuperare poate s\u0103 includ\u0103 k<\/span><b>inetoterapie, exerci\u021bii adaptate la obiectivele pacientului, medicamente, terapii alternative \u0219i modific\u0103ri ale stilului de via\u021b\u0103<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medicamentele pot s\u0103 fi eficiente pentru a reduce inflama\u021bia \u0219i pentru a gestiona simptomele \u00een cazurile severe de spondilit\u0103 anchilozant\u0103, \u00eens\u0103 nu sunt prima op\u021biune pentru noi. \u00cencerc\u0103m s\u0103 contribuim la vindecarea pacientului prin <\/span><b>metode neinvazive<\/b><span style=\"font-weight: 400;\">, care nu prezint\u0103 efecte secundare \u0219i care pot fi u\u0219or tolerate de organism.\u00a0<\/span><\/p>\n<p><b>Kinetoterapia \u0219i exerci\u021biile fizice<\/b><span style=\"font-weight: 400;\"> sunt principala tehnic\u0103 prin care lupt\u0103m cu durerile \u0219i disconfortul cauzat de spondilita anchilozant\u0103. Un <\/span><b>plan de tratament personalizat, adapta<\/b><span style=\"font-weight: 400;\">t la nevoile pacientului, ofer\u0103 <\/span><b>rezultate pe termen mediu \u0219i lung<\/b><span style=\"font-weight: 400;\"> \u0219i ajut\u0103 la \u00eent\u0103rirea organismului. De asemenea, exerci\u021biile fizice contribuie \u00een mod semnificativ la \u00eembun\u0103t\u0103\u021birea st\u0103rii emo\u021bionale \u0219i, prin urmare, ajut\u0103 la<\/span><b> restabilirea echilibrului corp-minte-suflet<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tot cu ajutorul kintetoterapiei postura se poate \u00eembun\u0103t\u0103\u021bi. Practicarea \u0219i men\u021binerea unei pozi\u021bii bune este crucial\u0103 \u00een gestionarea spondilitei anchilozante. <\/span><b>Antrenamentul postural <\/b><span style=\"font-weight: 400;\">poate implica utilizarea dispozitivelor de sus\u021binere, cum ar fi bretele sau orteze, pentru a ajuta la men\u021binerea unui aliniament corect al coloanei vertebrale.<\/span><\/p>\n<p><b>Exerci\u021biile de respira\u021bie profund\u0103<\/b><span style=\"font-weight: 400;\"> sunt recomandate pentru extinderea toracelui \u0219i \u00eembun\u0103t\u0103\u021birea capacit\u0103\u021bii pulmonare, afectat\u0103 de fuziunea vertebrelor, care intervine odat\u0103 cu spondilita anchilozant\u0103.<\/span><\/p>\n<p><b>Exerci\u021biile fizice regulate<\/b><span style=\"font-weight: 400;\"> sunt esen\u021biale pentru gestionarea simptomelor \u0219i men\u021binerea mobilit\u0103\u021bii optime a articula\u021biilor. Se recomand\u0103 exerci\u021bii cu impact redus, cum ar fi \u00eenotul, mersul cu bicicleta \u0219i mersul pe jos.<\/span><\/p>\n<p><b>\u00cent\u0103rirea mu\u0219chilor din jurul coloanei vertebrale \u0219i a articula\u021biilor <\/b><span style=\"font-weight: 400;\">afectate asigur\u0103 stabilitate \u0219i sprijin, \u00een timp ce exerci\u021biile de \u00eentindere pot ajuta la \u00eembun\u0103t\u0103\u021birea mobilit\u0103\u021bii articula\u021biilor \u0219i la reducerea rigidit\u0103\u021bii.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nu \u00een ultimul r\u00e2nd,<\/span><b> modific\u0103rile \u00een stilul de via\u021b\u0103<\/b><span style=\"font-weight: 400;\"> sunt esen\u021biale pentru redob\u00e2ndirea, dar \u0219i pentru men\u021binerea unei st\u0103ri generale c\u00e2t mai bune pe termen lung. Obiceiul de a corecta frecvent postura \u0219i de a men\u021bine o pozi\u021bie adecvate, indiferent de activitate, previne agravarea durerilor \u0219i a fuziunii vertebrelor.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">De asemenea, <\/span><b>odihna suficient\u0103 \u0219i somnul de calitate <\/b><span style=\"font-weight: 400;\">sunt importante pentru gestionarea oboselii \u0219i promovarea bun\u0103st\u0103rii generale. Pacien\u021bii care sufer\u0103 de spondilit\u0103 anchilozant\u0103 trebuie s\u0103 se asigure c\u0103 dorm \u00eentr-un mediu lini\u0219tit \u0219i c\u0103 salteaua este una de calitate, care favorizeaz\u0103 o pozi\u021bie corporal\u0103 comod\u0103 \u0219i corect\u0103 \u00een timpul somnului. \u00cen plus,\u00a0 studiile arat\u0103 c\u0103 <\/span><b>renun\u021barea la fumat <\/b><span style=\"font-weight: 400;\">poate avea un impact pozitiv asupra evolu\u021biei bolii.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00cen cazuri rare \u00een care spondilita anchilozant\u0103 duce la leziuni severe ale articula\u021biilor sau deform\u0103ri ale coloanei vertebrale care afecteaz\u0103 semnificativ via\u021ba de zi cu zi, poate fi luat\u0103 \u00een considerare interven\u021bia chirurgical\u0103. Op\u021biunile chirurgicale includ \u00eenlocuirea articula\u021biilor, fuziunea coloanei vertebrale \u0219i osteotomia. \u00cen urma unei astfel de interven\u021bii, kinetoterapia este din nou recomandat\u0103.\u00a0<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-xlarge button-default fusion-button-default button-2 fusion-button-default-span fusion-button-default-type\" style=\"--button-border-radius-top-left:0;--button-border-radius-top-right:0;--button-border-radius-bottom-right:0;--button-border-radius-bottom-left:0;--button_text_transform:uppercase;\" target=\"_self\" title=\"Programeaz\u0103 o consulta\u021bie\" href=\"#\" data-toggle=\"modal\" data-target=\".fusion-modal.programare-consultatie\"><span class=\"fusion-button-text\">Programeaz\u0103 o consulta\u021bie<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":343,"featured_media":0,"parent":23845,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":[],"_links":{"self":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages\/24390"}],"collection":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/users\/343"}],"replies":[{"embeddable":true,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/comments?post=24390"}],"version-history":[{"count":0,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages\/24390\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages\/23845"}],"wp:attachment":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/media?parent=24390"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}