{"id":13484,"date":"2021-09-06T15:36:55","date_gmt":"2021-09-06T15:36:55","guid":{"rendered":"https:\/\/fivclinic.es\/?p=3590"},"modified":"2024-12-22T17:52:12","modified_gmt":"2024-12-22T17:52:12","slug":"transferencia-embrions-congelats-cicle-natural","status":"publish","type":"post","link":"https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/","title":{"rendered":"Transfer\u00e8ncia d’embrions congelats en cicle natural: \u00e9s millor?"},"content":{"rendered":"\r\n

La transfer\u00e8ncia d’embrions congelats ha augmentat molt l’\u00faltima d\u00e8cada gr\u00e0cies a les millores t\u00e8cniques de la criopreservaci\u00f3 i a l’augment de les taxes d’embar\u00e0s despr\u00e9s d’un cicle de fecundaci\u00f3 in vitro. No obstant, aquesta t\u00e8cnica s’ha associat amb major risc de desenvolupar trastorns hipertensius de l’embar\u00e0s (preeclampsia). Per qu\u00e8? \u00c9s possible evitar-ho? Ens ho expliquen Aina Borr\u00e0s, especialista en medicina reproductiva de FIVcl\u00ednic, i Narc\u00eds Masoller, expert en medicina maternofetal i consultor de la unitat. <\/strong><\/h4>\r\n\r\n\r\n\r\n

La clau: el cos luti <\/strong><\/h4>\r\n\r\n\r\n\r\n
\r\n

Les raons per les quals s’associa la transfer\u00e8ncia d’embrions congelats amb un risc superior de preecl\u00e0mpsia no estan clares. Estudis recents suggereixen que el fet de preparar m\u00e8dicament l’\u00fater per rebre l’embri\u00f3 evita que es formi el cos luti com passa espont\u00e0niament despr\u00e9s de cada ovulaci\u00f3. Aix\u00f2 podria ser, al menys en part, responsable d’aquest risc incrementat.<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n

En el proc\u00e9s de transfer\u00e8ncia d’embrions congelats, l’\u00fater es prepara mitjan\u00e7ant la presa de diferents hormones (estr\u00f2gens i progesterona) i no es produeix una ovulaci\u00f3 normal, per la qual cosa el cos luti est\u00e0 absent.<\/p>\r\n\r\n\r\n\r\n

El cos luti, durant un cicle normal, no nom\u00e9s produeix aquestes hormones, sin\u00f3 que tamb\u00e9 produeix altres subst\u00e0ncies (relaxina i el factor de creixement endotelial vascular entre d’altres) que sembla que tindrien un efecte sobre els vasos sanguinis de l’\u00fater. Aquestes subst\u00e0ncies no es produirien en un cicle preparat m\u00e8dicament i, aix\u00f2 podria tenir un impacte rellevant en la implantaci\u00f3 de l’embri\u00f3 i la formaci\u00f3 inicial de la placenta.<\/p>\r\n\r\n\r\n\r\n

Preparaci\u00f3 hormonal o cicle natural? <\/strong><\/h4>\r\n\r\n\r\n\r\n

Independentment d’aix\u00f2, les dades que tenim fins al moment mostren que la probabilitat d’embar\u00e0s \u00e9s la mateixa, tant en els cicles de transfer\u00e8ncia d’embrions congelats amb preparaci\u00f3 hormonal com en cicle natural<\/a>. D’altra banda, tot i l’\u00fas generalitzat dels cicles d’embrions congelats, encara no hi ha un protocol \u00f2ptim \u00fanic per preparar l’endometri.<\/p>\r\n\r\n\r\n\r\n

\r\n

S’estan duent a terme m\u00e9s estudis, per\u00f2 es considera que, si aquestes troballes es confirmen, la transfer\u00e8ncia d’embrions congelats mitjan\u00e7ant cicle natural<\/a> podria ser preferible als cicles amb preparaci\u00f3 amb hormones de l’\u00fater, sempre que sigui possible.<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n

Qu\u00e8 \u00e9s exactament la preecl\u00e0mpsia i quines s\u00f3n les seves causes? <\/strong><\/h4>\r\n\r\n\r\n\r\n

Centrant-nos en la preecl\u00e0mpsia, cal saber que \u00e9s una complicaci\u00f3 greu de l’embar\u00e0s que es caracteritza per presentar una pressi\u00f3 arterial alta juntament amb signes de dany a altres \u00f2rgans, especialment al rony\u00f3 i el fetge.<\/p>\r\n\r\n\r\n\r\n

Encara que no es coneixen exactament les causes, la preecl\u00e0mpsia sembla tenir l’origen en una mala formaci\u00f3 de la placenta des de fases molt precoces de la gestaci\u00f3, durant la implantaci\u00f3 embrion\u00e0ria i poques setmanes despr\u00e9s.<\/p>\r\n\r\n\r\n\r\n

Quines conseq\u00fc\u00e8ncies t\u00e9 la preecl\u00e0mpsia per mare i nad\u00f3?<\/strong><\/h4>\r\n\r\n\r\n\r\n

Aquesta malaltia apareix a partir de les 20-22 setmanes de l’embar\u00e0s i pot presentar-se amb diferents graus de severitat afectant tant a la mare com al futur nad\u00f3. L’embarassada presentar\u00e0 tensi\u00f3 arterial alta, alteraci\u00f3 de la funci\u00f3 del rony\u00f3 o el fetge. En els casos m\u00e9s greus, afectaci\u00f3 neurol\u00f2gica amb pres\u00e8ncia de mal de cap o convulsions.<\/p>\r\n\r\n\r\n\r\n

En el nad\u00f3, la mala funci\u00f3 de la placenta provocar\u00e0 problemes en el creixement fetal (retard de creixement intrauter\u00ed) durant la gestaci\u00f3. \u00c9s freq\u00fcent que en el moment del naixement dels nadons presentin pes menor a l’esperat.<\/p>\r\n\r\n\r\n\r\n

Com es detecta? Es pot prevenir?<\/strong><\/h4>\r\n\r\n\r\n\r\n

Quan es detecta una preeclampsia durant la gestaci\u00f3, l’embarassada requerir\u00e0 un control molt estricte tant de l’evoluci\u00f3 materna com del desenvolupament fetal. En els casos m\u00e9s greus, requerir\u00e0 l’ingr\u00e9s hospitalari fins al final de la gestaci\u00f3.<\/p>\r\n\r\n\r\n\r\n

\r\n

Actualment \u00e9s possible realitzar un cribratge de preecl\u00e0mpsia en el primer trimestre del l’embar\u00e0s mitjan\u00e7ant una an\u00e0lisi de sang i ecografies per estudiar una s\u00e8rie de factors materns, bioqu\u00edmics i ecogr\u00e0fics.<\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n

En les pacients en qu\u00e8 es detecta un risc augmentat de desenvolupar aquesta complicaci\u00f3, se’ls recomana la presa d’\u00e0cid acetilsalic\u00edlic (aspirina) entre les 12 i les 37 setmanes d’embar\u00e0s. Recentment, s’han publicat estudis que demostren que aquest medicament pot prevenir el desenvolupament del 80% de les preecl\u00e0mpsia greus i precoces, que s\u00f3n les que presenten m\u00e9s risc per a la mare i el futur nad\u00f3.<\/p>\r\n\r\n\r\n\r\n

El tractament m\u00e9s efectiu de la preecl\u00e0mpsia \u00e9s finalitzar l’embar\u00e0s. En els casos lleus s’induir\u00e0 el part abans de les 37 setmanes. En els casos greus, abans de les 34 setmanes d’embar\u00e0s.<\/p>\r\n\r\n\r\n\r\n

Qu\u00e8 ens espera en el futur?<\/strong><\/h4>\r\n\r\n\r\n\r\n

La transfer\u00e8ncia embrion\u00e0ria \u00e9s un punt rellevant dins de tot el tractament. Els aven\u00e7os en el coneixement fan possible anar desenvolupant protocols cada vegada m\u00e9s fisiol\u00f2gics i naturals.<\/p>\r\n\r\n\r\n\r\n

Aina Borr\u00e0s<\/strong>, especialista en medicina reproductiva de FIVcl\u00ednic<\/em>, i Narc\u00eds Masoller<\/strong>, especialista en medicina maternofetal de BCNatal i consultor a FIVcl\u00ednic.<\/em><\/p>\r\n\r\n\r\n\r\n

    \r\n
  1. Cardenas Armas DF, Pe\u00f1arrubia J, Goday A, Guimer\u00e1 M, Vidal E, Manau D, Fabregues F. Frozen-thawed blastocyst transfer in natural cycle increase implantation rates compared artificial cycle.<\/a> Gynecol Endocrinol. 2019 Oc.<\/li>\r\n
  2. M L Boutet, L Youssef, L Erlandsson, E Hansson, D Manau, E Gratac\u00f3s, F Crispi, G Casals, S R Hansson. Differential concentrations of maternal and fetal hemopexin and \u03b11-microglobulin in preeclampsia from IVF pregnancies depending on the presence of corpus luteum at embryo transfer.<\/a> Human Reproduction, Volume 36, Issue Supplement_1, July 2021.<\/li>\r\n
  3. M L Boutet, G Casals, B Valenzuela-Alcaraz, L Garc\u00eda-Otero, F Crovetto, M S C\u00edvico, A Borr\u00e1s, D Manau, E Gratac\u00f3s, F Crispi. Cardiac remodeling in fetuses conceived by ARTs: fresh versus frozen embryo transfer.<\/a> Human Reproduction, deab159.<\/li>\r\n
  4. Scazzocchio E, Figueras F, Crispi F, Meler E, Masoller N, Mula R, Gratacos E. Performance of a first-trimester screening of preeclampsia in a routine care low-risk setting.<\/a> Am J Obstet Gynecol. 2013 Mar.<\/li>\r\n<\/ol>\r\n","protected":false},"excerpt":{"rendered":"

    La transfer\u00e8ncia d’embrions congelats ha augmentat molt l’\u00faltima d\u00e8cada gr\u00e0cies a les millores t\u00e8cniques de la criopreservaci\u00f3 i a l’augment de les taxes d’embar\u00e0s despr\u00e9s d’un cicle de fecundaci\u00f3 in vitro. No obstant, aquesta t\u00e8cnica s’ha associat amb major risc de desenvolupar trastorns hipertensius de l’embar\u00e0s (preeclampsia). Per qu\u00e8? \u00c9s possible evitar-ho? Ens ho expliquen… Continueu llegint Transfer\u00e8ncia d’embrions congelats en cicle natural: \u00e9s millor?<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[252],"tags":[],"autores":[],"tipo_de_blog":[],"class_list":["post-13484","post","type-post","status-publish","format-standard","hentry","category-tractaments","entry"],"acf":[],"yoast_head":"\nTransfer\u00e8ncia d'embrions congelats en cicle natural: \u00e9s millor? - fivcl\u00ednic | barnacl\u00ednic+<\/title>\n<meta name=\"description\" content=\"La transfer\u00e8ncia d'embrions congelats s'ha associat amb major risc de trastorns hipertensius de l'embar\u00e0s (preeclampsia). Per qu\u00e8? Es pot prevenir?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Transfer\u00e8ncia d'embrions congelats en cicle natural: \u00e9s millor? - fivcl\u00ednic | barnacl\u00ednic+\" \/>\n<meta property=\"og:description\" content=\"La transfer\u00e8ncia d'embrions congelats s'ha associat amb major risc de trastorns hipertensius de l'embar\u00e0s (preeclampsia). Per qu\u00e8? Es pot prevenir?\" \/>\n<meta property=\"og:url\" content=\"https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/\" \/>\n<meta property=\"og:site_name\" content=\"fivcl\u00ednic | barnacl\u00ednic+\" \/>\n<meta property=\"article:published_time\" content=\"2021-09-06T15:36:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-12-22T17:52:12+00:00\" \/>\n<meta name=\"author\" content=\"lai.amoros\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"lai.amoros\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/transferencia-embrions-congelats-cicle-natural\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/transferencia-embrions-congelats-cicle-natural\\\/\"},\"author\":{\"name\":\"lai.amoros\",\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/#\\\/schema\\\/person\\\/2eb955a187e138d5f5c87cca23469c77\"},\"headline\":\"Transfer\u00e8ncia d’embrions congelats en cicle natural: \u00e9s millor?\",\"datePublished\":\"2021-09-06T15:36:55+00:00\",\"dateModified\":\"2024-12-22T17:52:12+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/transferencia-embrions-congelats-cicle-natural\\\/\"},\"wordCount\":983,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/#organization\"},\"articleSection\":[\"Tractaments\"],\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/fivclinic.es\\\/ca\\\/transferencia-embrions-congelats-cicle-natural\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/transferencia-embrions-congelats-cicle-natural\\\/\",\"url\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/transferencia-embrions-congelats-cicle-natural\\\/\",\"name\":\"Transfer\u00e8ncia d'embrions congelats en cicle natural: \u00e9s millor? - fivcl\u00ednic | barnacl\u00ednic+\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/#website\"},\"datePublished\":\"2021-09-06T15:36:55+00:00\",\"dateModified\":\"2024-12-22T17:52:12+00:00\",\"description\":\"La transfer\u00e8ncia d'embrions congelats s'ha associat amb major risc de trastorns hipertensius de l'embar\u00e0s (preeclampsia). Per qu\u00e8? Es pot prevenir?\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/transferencia-embrions-congelats-cicle-natural\\\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/fivclinic.es\\\/ca\\\/transferencia-embrions-congelats-cicle-natural\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/transferencia-embrions-congelats-cicle-natural\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Transfer\u00e8ncia d’embrions congelats en cicle natural: \u00e9s millor?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/#website\",\"url\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/\",\"name\":\"Oftalmol\u00f3gica | Barnacl\u00ednic\",\"description\":\"FIVcl\u00ednic, la Cl\u00ednica de Reproducci\u00f3n Asistida del Cl\u00ednic Barcelona y barnacl\u00ednic+. Los mejores tratamientos en Fecundaci\u00f3n in Vitro, en el centro de Barcelona.\",\"publisher\":{\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ca\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/#organization\",\"name\":\"Oftalmol\u00f3gica | Barnacl\u00ednic\",\"url\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/odontologiabarnaclinic.clinic.antaviana.net\\\/wp-content\\\/uploads\\\/2024\\\/02\\\/logo-oftalmologia-clinic.png\",\"contentUrl\":\"https:\\\/\\\/odontologiabarnaclinic.clinic.antaviana.net\\\/wp-content\\\/uploads\\\/2024\\\/02\\\/logo-oftalmologia-clinic.png\",\"width\":169,\"height\":38,\"caption\":\"Oftalmol\u00f3gica | Barnacl\u00ednic\"},\"image\":{\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/#\\\/schema\\\/person\\\/2eb955a187e138d5f5c87cca23469c77\",\"name\":\"lai.amoros\",\"sameAs\":[\"http:\\\/\\\/antaviana\"],\"url\":\"https:\\\/\\\/fivclinic.es\\\/ca\\\/author\\\/lai-amoros\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Transfer\u00e8ncia d'embrions congelats en cicle natural: \u00e9s millor? - fivcl\u00ednic | barnacl\u00ednic+","description":"La transfer\u00e8ncia d'embrions congelats s'ha associat amb major risc de trastorns hipertensius de l'embar\u00e0s (preeclampsia). Per qu\u00e8? Es pot prevenir?","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:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/","og_locale":"ca_ES","og_type":"article","og_title":"Transfer\u00e8ncia d'embrions congelats en cicle natural: \u00e9s millor? - fivcl\u00ednic | barnacl\u00ednic+","og_description":"La transfer\u00e8ncia d'embrions congelats s'ha associat amb major risc de trastorns hipertensius de l'embar\u00e0s (preeclampsia). Per qu\u00e8? Es pot prevenir?","og_url":"https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/","og_site_name":"fivcl\u00ednic | barnacl\u00ednic+","article_published_time":"2021-09-06T15:36:55+00:00","article_modified_time":"2024-12-22T17:52:12+00:00","author":"lai.amoros","twitter_card":"summary_large_image","twitter_misc":{"Escrit per":"lai.amoros","Temps estimat de lectura":"4 minuts"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/#article","isPartOf":{"@id":"https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/"},"author":{"name":"lai.amoros","@id":"https:\/\/fivclinic.es\/ca\/#\/schema\/person\/2eb955a187e138d5f5c87cca23469c77"},"headline":"Transfer\u00e8ncia d’embrions congelats en cicle natural: \u00e9s millor?","datePublished":"2021-09-06T15:36:55+00:00","dateModified":"2024-12-22T17:52:12+00:00","mainEntityOfPage":{"@id":"https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/"},"wordCount":983,"commentCount":0,"publisher":{"@id":"https:\/\/fivclinic.es\/ca\/#organization"},"articleSection":["Tractaments"],"inLanguage":"ca","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/","url":"https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/","name":"Transfer\u00e8ncia d'embrions congelats en cicle natural: \u00e9s millor? - fivcl\u00ednic | barnacl\u00ednic+","isPartOf":{"@id":"https:\/\/fivclinic.es\/ca\/#website"},"datePublished":"2021-09-06T15:36:55+00:00","dateModified":"2024-12-22T17:52:12+00:00","description":"La transfer\u00e8ncia d'embrions congelats s'ha associat amb major risc de trastorns hipertensius de l'embar\u00e0s (preeclampsia). Per qu\u00e8? Es pot prevenir?","breadcrumb":{"@id":"https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/#breadcrumb"},"inLanguage":"ca","potentialAction":[{"@type":"ReadAction","target":["https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/fivclinic.es\/ca\/transferencia-embrions-congelats-cicle-natural\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/fivclinic.es\/ca\/"},{"@type":"ListItem","position":2,"name":"Transfer\u00e8ncia d’embrions congelats en cicle natural: \u00e9s millor?"}]},{"@type":"WebSite","@id":"https:\/\/fivclinic.es\/ca\/#website","url":"https:\/\/fivclinic.es\/ca\/","name":"Oftalmol\u00f3gica | Barnacl\u00ednic","description":"FIVcl\u00ednic, la Cl\u00ednica de Reproducci\u00f3n Asistida del Cl\u00ednic Barcelona y barnacl\u00ednic+. Los mejores tratamientos en Fecundaci\u00f3n in Vitro, en el centro de Barcelona.","publisher":{"@id":"https:\/\/fivclinic.es\/ca\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/fivclinic.es\/ca\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ca"},{"@type":"Organization","@id":"https:\/\/fivclinic.es\/ca\/#organization","name":"Oftalmol\u00f3gica | Barnacl\u00ednic","url":"https:\/\/fivclinic.es\/ca\/","logo":{"@type":"ImageObject","inLanguage":"ca","@id":"https:\/\/fivclinic.es\/ca\/#\/schema\/logo\/image\/","url":"https:\/\/odontologiabarnaclinic.clinic.antaviana.net\/wp-content\/uploads\/2024\/02\/logo-oftalmologia-clinic.png","contentUrl":"https:\/\/odontologiabarnaclinic.clinic.antaviana.net\/wp-content\/uploads\/2024\/02\/logo-oftalmologia-clinic.png","width":169,"height":38,"caption":"Oftalmol\u00f3gica | Barnacl\u00ednic"},"image":{"@id":"https:\/\/fivclinic.es\/ca\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/fivclinic.es\/ca\/#\/schema\/person\/2eb955a187e138d5f5c87cca23469c77","name":"lai.amoros","sameAs":["http:\/\/antaviana"],"url":"https:\/\/fivclinic.es\/ca\/author\/lai-amoros\/"}]}},"_links":{"self":[{"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/posts\/13484","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/comments?post=13484"}],"version-history":[{"count":1,"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/posts\/13484\/revisions"}],"predecessor-version":[{"id":13585,"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/posts\/13484\/revisions\/13585"}],"wp:attachment":[{"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/media?parent=13484"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/categories?post=13484"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/tags?post=13484"},{"taxonomy":"autores","embeddable":true,"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/autores?post=13484"},{"taxonomy":"tipo_de_blog","embeddable":true,"href":"https:\/\/fivclinic.es\/ca\/wp-json\/wp\/v2\/tipo_de_blog?post=13484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}