{"id":41808,"date":"2016-12-01T11:24:55","date_gmt":"2016-12-01T11:24:55","guid":{"rendered":"https:\/\/webo9.aux.com.es\/ca\/amenorreas-y-hemorragias-uterinas-1\/"},"modified":"2023-06-12T09:41:20","modified_gmt":"2023-06-12T09:41:20","slug":"amenorrees-i-hemorragies-uterines-1","status":"publish","type":"post","link":"https:\/\/webo9.aux.com.es\/ca\/amenorrees-i-hemorragies-uterines-1\/","title":{"rendered":"Amenorrees i hemorr\u00e0gies uterines. Alteracions del cicle menstrual"},"content":{"rendered":"[vc_row][vc_column][vc_column_text]\n<p style=\"text-align: justify;\">El comportament del <strong>cicle menstrual<\/strong>, el que anomenem la regla, \u00e9s molt variable. De fet, a la consulta, visito a moltes dones preocupades per els desajustos que tenen. Preocupades perqu\u00e8 no tenen els 28 dies de cicle establerts, perqu\u00e8 tenen regles molt abundants, o massa llargues, o p\u00e8rdues &#8230;en definitiva angoixades perqu\u00e8 no estan dins dels par\u00e0metres que es consideren o han sentit que son normals.<br \/>\nJo els hi dic que tot pot canviar o almenys ajustar-se. Que les dones som c\u00edcliques i que l\u2019 important \u00e9s ser regular. Hi ha dones que tenen cicles de 34 dies, per\u00f2 \u00e9s la seva normal regularitat. I hi ha dones que els tenen de 24, per\u00f2 son regulars igual.<\/p>\n<p style=\"text-align: justify;\">Durant la vida de cada dona, els cicles, tamb\u00e9 van canviant, conforme la dona canvia d\u2019 etapa. I fins hi tot les emocions ocasionen canvis en les cicles&#8230;tot influeix&#8230;i tot \u00e9s relativament normal.<\/p>\n<p style=\"text-align: justify;\">Estem acostumats a viure sota els par\u00e0metres de les estad\u00edstiques i a vegades, quan sortim d\u2019 elles, ens fa por. Per\u00f2 s\u00ed que \u00e9s cert, que per acotar b\u00e9, i detectar anomalies, cal fer estudis i estad\u00edstiques. Per\u00f2 recordem que les excepcions confirmen les regles. Que ning\u00fa pateixi gratu\u00eftament. Sols s\u2019 ha d\u2019 anar al professional de la salut adequat, i aix\u00ed sortir dels dubtes. Si \u00e9s un problema funcional el solucionarem, i si \u00e9s m\u00e9s de sospita possiblement patol\u00f2gica, derivarem al ginec\u00f2leg. Tothom tranquil!!!<\/p>\n<p style=\"text-align: justify;\">Aix\u00ed que avui parlarem dels par\u00e0metres que es marquen en <strong>ginecologia<\/strong> referent a les<strong> alteracions del cicle menstrual<\/strong>.<\/p>\n<h3 style=\"text-align: justify;\"><strong>EL CICLE: par\u00e0metres normals, el que marquen les estad\u00edstiques.<\/strong><\/h3>\n<p style=\"text-align: justify;\">El cicle menstrual, serien els dies que compten entre el 1\u00ba dia d\u2019 una regla i el 1\u00ba dia de la seg\u00fcent, oscil\u00b7la entre 26 i 34 dies, de forma habitual.<br \/>\nLa regla hauria de durar entre 2 i 7 dies , i el per\u00edode lliure d\u2019 hemorr\u00e0gia hauria de ser superior a 18 dies.<br \/>\nM\u00e9s dif\u00edcil \u00e9s valorar la quantitat de l\u00edquid hemorr\u00e0gic, que hauria d\u2019 oscil\u00b7lar entre 30 i 40 ml (que venen a ser 10 o 15 compreses o tampons), nivells de m\u00e9s de 80ml es consideren ja anormals, i poden causar an\u00e8mia.<\/p>\n<h3><strong>Alteracions del cicle:\u00a0<\/strong><\/h3>\n<p style=\"text-align: justify;\">Contemplarem el que seria la <strong>falta de regla<\/strong> i <strong>la regla no normal<\/strong>.<\/p>\n<p style=\"text-align: justify;\">Les classificarem per: <strong>amenorrees<\/strong> i <strong>hemorr\u00e0gies uterines<\/strong>.<\/p>\n<p style=\"text-align: justify;\">En aquest post parlarem de les amenorrees i pr\u00f2ximament n\u2019 editarem un altre i acabarem amb les hemorr\u00e0gies uterines.<\/p>\n<h5><strong>AMENORREAS:<\/strong><\/h5>\n<p>L\u2019 amenorrea \u00e9s l\u2019 abs\u00e8ncia temporal o permanent de la menstruaci\u00f3. I podem classificar-les en 3 or\u00edgens: <strong>fisiol\u00f2giques, prim\u00e0ries i secundaries.<\/strong><\/p>\n<p style=\"text-align: justify;\"><ul class=\"checklist nobottommargin\" style=\"font-size:14px;line-height:29px;\">\n<li style=\"text-align: justify;\"><strong>Fisiol\u00f3gicas:<\/strong> Es dona quan l\u2019 abs\u00e8ncia de regla \u00e9s normal.<br \/>\n&#8211; Abans de la menarquia o primera regla. Que acostuma a ser entre els 10 i 14 anys.<br \/>\n&#8211; En l\u2019embar\u00e0s.<br \/>\n&#8211; En la lact\u00e0ncia, de manera variable, tamb\u00e9. (La causa \u00e9s hormonal d\u2019 origen hipotal\u00e0mic -hipofisari , doncs es segreguen menys estr\u00f2gens i progesterona, que fa que no creixi l\u2019 endometri i per tant no s\u2019 hagi de despendre amb la regla. Per\u00f2 en cada dona \u00e9s diferent.)<br \/>\n&#8211; A partir de la menopausa, s\u2019 acaba la regla, es declina la funci\u00f3 ov\u00e0rica i acostuma a ser entre els 48 i 55 anys.<\/li>\n<li style=\"text-align: justify;\"><strong>Prim\u00e0ries: <\/strong>\u00c9s l\u2019abs\u00e8ncia de la regla complerts els 16 anys. Si la regla no ha aparegut en aquesta edat, haur\u00edem de visitar al ginec\u00f2leg.<\/li>\n<li style=\"text-align: justify;\"><strong>Secund\u00e0ries: <\/strong>\u00c9s l\u2019 abs\u00e8ncia de la regla almenys de 3 cicles consecutius ( quan l\u2019 abs\u00e8ncia de regla \u00e9s menor de 3 cicles es considera i es denomina retr\u00e0s menstrual)\u00a0 o per un per\u00edode de 6 mesos.<\/li>\n<\/ul>\n\n<h5><strong>Causes de l\u2019 amenorrea: \u00a0<\/strong><\/h5>\n<p style=\"text-align: justify;\">Poden ser molt variades i nombroses, i poden produir-se\u00a0 a nivell del sistema nervi\u00f3s, central, hipot\u00e0lem, hip\u00f2fisi, ovaris i \u00fater. Per\u00f2 tamb\u00e9 poden afectar al cicle, alteracions a altres \u00f2rgans i estructures que tinguin alguna relaci\u00f3 amb les estructures citades.<\/p>\n<p style=\"text-align: justify;\">De fet, en el nostre organisme, tot t\u00e9 relaci\u00f3 amb tot, i tot est\u00e0 connectat.\u00a0 Per exemple, quan hi ha un problema de tensi\u00f3, adher\u00e8ncia, o dinamisme an\u00f2mal a la pelvis, en la majoria dels casos, es veur\u00e0 afectat tot el que hi passi en aquest espai. \u00a0Per aix\u00f2 \u00e9s important, abans de tractar un cas amb medicaci\u00f3 hormonal, si \u00e9s el trastorn adequat, tractar els problemes locals funcionals del espais intrap\u00e8lvics, com fem amb l\u2019 <a href=\"http:\/\/www.osteo9\/ca\/tratamientos\/osteopatia-uroginecologica-2\/\"><strong>osteopatia ginecol\u00f2gica<\/strong><\/a> , per harmonitzar els teixits, i aix\u00ed provocar una resposta a tots els nivells, fins hi tot hipotal\u00e0mic, per aconseguir que el cos reguli de manera fisiol\u00f2gica, per el seu propi compte, evitant aix\u00ed tractaments innecessaris. (Sempre sota la supervisi\u00f3 m\u00e8dica)<\/p>\n<blockquote>\n<h5><strong><a href=\"http:\/\/www.claranebot.es\/contact\" target=\"_blank\" rel=\"noopener\">Consulta amb nosaltres<\/a> i amb el teu ginec\u00f2leg\/a<\/strong>, potser coneix la nostra feina. <strong>Segurament arreglarem m\u00e9s coses de les que t&#8217;imagines. Deixa&#8217;t tractar.<\/strong><\/h5>\n<\/blockquote>\n[\/vc_column_text]<div class=\"separator  \" style=\"padding-top: 20px; padding-bottom: 20px; \" ><hr class=\"blank_divider\" ><\/div>[vc_single_image image=&#8221;41803&#8243; alignment=&#8221;center&#8221; img_link_target=&#8221;_blank&#8221; css_animation=&#8221;appear&#8221; img_size=&#8221;600 \u00d7 449&#8243;]<div class=\"separator  \" style=\"padding-top: 20px; padding-bottom: 20px; \" ><hr class=\"blank_divider\" ><\/div>[vc_column_text]\n<h4 style=\"text-align: justify;\"><strong>Les amenorrees es poden classificar segons la causa:<\/strong><\/h4>\n<h5 style=\"text-align: justify;\"><strong>&#8211;\u00a0Anomalies gen\u00e8tiques i morfol\u00f2giques de l\u2019 aparell genital: <\/strong><\/h5>\n<p style=\"text-align: justify;\">Hi ha varies, i son de la compet\u00e8ncia m\u00e8dica, per\u00f2 ens podem trobar malformacions dels \u00f2rgans genitals com per exemple de la vagina (<a href=\"https:\/\/es.wikipedia.org\/wiki\/S%C3%ADndrome_de_Rokitansky-K%C3%BCster-Hauser\">Agen\u00e8sia total o parcial de la vagina<\/a>,)\u00a0 , el tancament del himen que no deixa evacuar la menstruaci\u00f3 (<a href=\"https:\/\/es.wikipedia.org\/wiki\/Himen\">Imperforaci\u00f3 de l\u2019 himen<\/a>)&#8230;i moltes altres alteracions.<\/p>\n<p style=\"text-align: justify;\"><em>*(Per\u00f2 totes aquestes anomalies d\u2019 origen gen\u00e8tic i morfol\u00f2gic, no formen part de la nostre intervenci\u00f3 com a oste\u00f2pates, son purament d\u2019 indicaci\u00f3 m\u00e8dica ginecol\u00f2gica, almenys per el diagn\u00f2stic i tractament. Per\u00f2 si un cop detectades i tractades, la pacient segueix amb problemes de mol\u00e8sties o regulaci\u00f3 , seguint i paral\u00b7lels al tractament m\u00e8dic, podem intervenir per harmonitzar estructures internes i estructurals, que ajudin al bon funcionament general de tota l\u2019 estructura del pacient.)<\/em><\/p>\n<h5 style=\"text-align: justify;\"><strong>&#8211;<em>Amenorrees d\u2019origen uter\u00ed: <\/em>\u00a0 <\/strong><\/h5>\n<p style=\"text-align: justify;\">Son amenorrees secundaries, causades per la destrucci\u00f3 de l\u2019 endometri. Que pot ser per radiacions (raig X, radioter\u00e0pia..), legrats excessius o en\u00e8rgics, cauteritzacions ( t\u00e8cnica en la qual es crema el teixit ) o infeccions.<\/p>\n<p style=\"text-align: justify;\">Aquests processos, a vegades causen adher\u00e8ncies que poden ser totals o parcials entre les parets uterines (com en el <a href=\"https:\/\/es.wikipedia.org\/wiki\/S%C3%ADndrome_de_Asherman\">sde de Asherman<\/a>). En les infeccions tamb\u00e9 es poden crear adher\u00e8ncies per\u00f2 no son molt habituals.<\/p>\n<p style=\"text-align: justify;\">Tamb\u00e9 es pot produir un tancament total o parcial del coll uter\u00ed, la part m\u00e9s distal, provocant aix\u00ed una amenorrea secundaria. Per causa d\u2019 una conitzaci\u00f3, amputaci\u00f3 o cauteritzaci\u00f3 del coll uter\u00ed.<\/p>\n<p style=\"text-align: justify;\">En aquest tipus d\u2019 anomalies, jo recomanaria sempre visitar-nos amb <a href=\"http:\/\/osteo9.com\/tratamientos\/osteopatia-uroginecologica\/\">osteopatia ginecol\u00f2gica<\/a>. Podem ser de gran ajuda.<\/p>\n<p style=\"text-align: justify;\">Sempre que hi hagi una intervenci\u00f3 quir\u00fargica intrap\u00e8lvica, despr\u00e9s del temps posterior pautat per el ginec\u00f2leg, cal fer una re-harmonitzaci\u00f3 interna dels teixits, per tractar petites adher\u00e8ncies que a la llarga poden ocasionar problemes.<\/p>\n<h5 style=\"text-align: justify;\"><strong>&#8211; <em>Amenorrees d\u2019origen ov\u00e0ric:<\/em> <\/strong><\/h5>\n<p style=\"text-align: justify;\">Es dona per la insufici\u00e8ncia ov\u00e0rica prim\u00e0ria o per fallo ov\u00e0ric. Normalment la insufici\u00e8ncia es dona de manera fisiol\u00f2gica en el que anomenem la premenopausa i menopausa. Per\u00f2 quan \u00e9s preco\u00e7 es quan ho considerem anomalia, que seria abans dels 40 anys, tot i que en aquest l\u00edmit hi ha discrep\u00e0ncies.<\/p>\n<p style=\"text-align: justify;\">En el per\u00edode premenop\u00e0usic es donaria la oligomenorrea, que son les regles molt llargues. Tot aix\u00f2 va acompanyat de sufocacions, sudoraci\u00f3, parest\u00e8sies&#8230;que tot s\u2019 anomena menopausa preco\u00e7. I tot seguit ve la menopausa, on hi ha un amenorrea, que \u00e9s l\u2019 abs\u00e8ncia de regla.<\/p>\n<p style=\"text-align: justify;\">Els nivells hormonals en aquest per\u00edode es caracteritzen per un d\u00e8ficit d\u2019 estr\u00f2gens i un augment de gonadotropines.<\/p>\n<p style=\"text-align: justify;\">Quan tot aix\u00f2 passa abans dels 40, no se sap ben b\u00e9 les causes moltes vegades, per\u00f2 podem dir que es donen en dones amb nivells de gonadotropines alts, amb dones amb problemes autoimmunol\u00f2gics, alteracions cromos\u00f2miques, gen\u00e8tiques &#8230;<\/p>\n<p style=\"text-align: justify;\">I hi ha vegades que aquestes amenorrees d\u2019 origen ov\u00e0ric es donen per causa d\u2019 actes m\u00e8dics, com: ovariectomies, radioter\u00e0pia i quimioter\u00e0pia ( que si la radiaci\u00f3 no ha sigut suficient, pot tornar a venir la regla).<\/p>\n<p style=\"text-align: justify;\">Tamb\u00e9 pot donar-se en infeccions, alteracions d\u2019 origen metab\u00f2lic, d\u2019 origen familiar ( igual que les nostres mares preco\u00e7ment, sense patologia o anomalia evident) o per causa desconeguda.<\/p>\n<p style=\"text-align: justify;\">Certs tumors del ovari tamb\u00e9 poden provocar amenorrees.<\/p>\n<p style=\"text-align: justify;\">Els ovaris poliqu\u00edstics tamb\u00e9 poden donar desajustos i amenorrees secundaries. Igual que alguns quites ov\u00e0rics.<\/p>\n<h5 style=\"text-align: justify;\"><strong>&#8211; <strong><em>Amenorrees d\u2019origen hipofisiari i hipotal\u00e0mic:<\/em><\/strong><\/strong><\/h5>\n<p style=\"text-align: justify;\">Les hipofisi\u00e0ries son degudes a tumors hipofisiaris benignes, els malignes no acostumen a donar amenorrees. Els m\u00e9s freq\u00fcents son els adenomes hipofisiaris.<\/p>\n<p style=\"text-align: justify;\">Tamb\u00e9 donen amenorrees alteracions cong\u00e8nites a nivell hipofisiari.<\/p>\n<p style=\"text-align: justify;\">I les hipotal\u00e0miques son amenorrees que estan relacionades amb la secreci\u00f3 de GnRH, l\u2019 hormona hipotal\u00e0mica que allibera gonadotropina per l\u2019 hipot\u00e0lam.<\/p>\n<p style=\"text-align: justify;\">Son aquelles que per exclusi\u00f3 es perd la regla despr\u00e9s d\u2019 estimulacions amb estr\u00f2gens i gest\u00f2gens, i que cursen amb nivells de gonadotropines normals o baixos i prolactina normals.<\/p>\n<p style=\"text-align: justify;\">Tamb\u00e9 es donen d\u2019 origen cong\u00e8nit , \u00a0i \u00a0poden causar el d\u00e8ficit de secreci\u00f3 de GnRH.<\/p>\n<blockquote>\n<h5><a href=\"http:\/\/osteo9.com\/curriculum-vitae-isabel-garcia\/\"><strong>Al nostre equip tenim especialistes m\u00e8dics en endocrinologia<\/strong><\/a> que t\u2019 ajudaran a anivellar i controlar els desajustos hormonals, ajudant a regular tant cicles con trastorns que son causa de desequilibris hormonals.<\/h5>\n<\/blockquote>\n<p style=\"text-align: justify;\">Destaquem tamb\u00e9 aquelles causades per <strong>trastorns ps\u00edquics<\/strong>, que poden produir amenorrees prim\u00e0ries o secundaries <strong><em>, <\/em><\/strong>causades per situacions d\u2019 estres i ambientals desfavorables, angoixa, problemes tensionals, econ\u00f2mics, sexuals&#8230; tot pot provocar alteracions en el cicle. Per\u00f2 son de bon pron\u00f2stic, ja que la majoria remeten al desapar\u00e8ixer el problema. I tot es degut a la secreci\u00f3 d\u2019 una hormona anomenada corticotropina (CRH) que inhibeix la secreci\u00f3 de la gonadotropina.<\/p>\n<p style=\"text-align: justify;\">La <strong>desnutrici\u00f3 <\/strong>tamb\u00e9 pot ser la causa d\u2019 una amenorrea. Quan es perd m\u00e9s d\u2019 un 15% del pes corporal i de manera r\u00e0pida, pot produir amenorrea prim\u00e0ria o secundaria, i casi sempre precedida per oligomenorrea (cicles molt llargs). Amb un descens de les gonadotropines i nivells baixos d\u2019 estr\u00f2gens.<\/p>\n<p style=\"text-align: justify;\">En l\u2019 anor\u00e8xia nerviosa, on la p\u00e8rdua de pes \u00e9s superior al 25%, tamb\u00e9 es dona.<\/p>\n<p style=\"text-align: justify;\">Com tamb\u00e9 poden afectar-se dones que tenen problemes de nutrici\u00f3 degut a trastorns digestius i d\u2019 absorci\u00f3. De fet un 40% de les pacients cel\u00edaques es veuen afectades per desajustos en el cicle menstrual, avortaments de repetici\u00f3 i fins hi tot esterilitat.<\/p>\n<p style=\"text-align: justify;\">I tamb\u00e9 a l\u2019 altre extrem: l\u2019 <strong>obesita<\/strong>t, que tamb\u00e9 es veuen alterades aquestes hormones.<\/p>\n<p style=\"text-align: justify;\">En l\u2019 <strong>exercici f\u00edsic intens <\/strong>tamb\u00e9 es pot provocar amenorrees, per el descens de les gonadotropines i l\u2019 augment de prolactina, hormona del creixement, testosterona, &#8230; en sang.<\/p>\n<h5 style=\"text-align: justify;\"><strong>Amenorrees d\u2019 origen suprarenal i tiroide: <\/strong><\/h5>\n<p style=\"text-align: justify;\">Aquestes poden afectar als nivells hormonals, ja siguin per origen neopl\u00e0sic, patol\u00f2gic o alteracions locals.<\/p>\n<h3 style=\"text-align: justify;\"><strong>Diagn\u00f2stic de les amenorrees:<\/strong><\/h3>\n<p style=\"text-align: justify;\">Com veiem el diagn\u00f2stic d\u2019 una amenorrea \u00e9s dif\u00edcil, degut a que la causa pot estar a diverses de localitzacions: \u00fater, ovari, hip\u00f2fisi, suprarenal o tiroides. Com tamb\u00e9 causes ps\u00edquica, patol\u00f2gica&#8230;<\/p>\n<p style=\"text-align: justify;\">Aix\u00ed que ser\u00e0 necessari, <strong>per<\/strong> <strong>part del ginec\u00f2leg<\/strong>, una bona anamnesi, una exploraci\u00f3 general complerta, una exploraci\u00f3 ginecol\u00f2gica i exploracions complementaries com anal\u00edtiques amb valors hormonals segons la sospita cl\u00ednica, i estudis per la imatges si es considera necessari.<\/p>\n<h3 style=\"text-align: justify;\"><strong>Tractament:<\/strong><\/h3>\n<p style=\"text-align: justify;\">Els <strong>tractaments m\u00e8dics<\/strong> es fan modificant pautes nutricionals o socials si \u00e9s necessari, per\u00f2 b\u00e0sicament amb <strong>anticonceptius o ter\u00e0pia hormonal substitutiva especifica.<\/strong> I quan cal, amb cirurgia. Dep\u00e8n de cada cas.<\/p>\n<p style=\"text-align: justify;\">Amb <a href=\"http:\/\/osteo9.com\/ca\/tratamientos\/osteopatia-uroginecologica-2\/\"><strong><em>osteopatia ginecol\u00f2gica<\/em><\/strong><\/a> tractem els teixits i \u00f2rgans de la pelvis menor, i les relacions entre ells, modificant i millorant el dinamisme, i causant una resposta a nivell central.<\/p>\n<p style=\"text-align: justify;\">El tractament \u00e9s a nivell intern, tant via vaginal com rectal, amb t\u00e8cniques de desenrotllament i escolta suaus. Accedint\u00a0 als \u00f2rgans i estructures de la pelvis menor: \u00fater, ovaris, trompes, bufeta, recte, l\u00e0mines&#8230;<\/p>\n<p style=\"text-align: justify;\">Tamb\u00e9 treballem externament, manipulant i dinamitzant l\u2019 estructura, tant a nivell articular, muscular, fascial, visceral i cranial.<\/p>\n<p style=\"text-align: justify;\">El tractament que fem sempre \u00e9s integral, per millorar l\u2019 estat general de tot l\u2019organisme, no sols ginecol\u00f2gic.<\/p>\n<p style=\"text-align: justify;\"><em>Bibliograf\u00eda: Ginecolog\u00eda, J. Gonz\u00e1lez Merlo, E y J Gonz\u00e1lez Bosquet. Elsevier Masson.<\/em><\/p>\n[\/vc_column_text]<div class=\"separator  \" style=\"padding-top: 20px; padding-bottom: 20px; \" ><hr class=\"blank_divider\" ><\/div><div class=\"promo-box-wrap  \" ><div class=\"promo-box \" style=\"background-color: #f4f4f4;border-color: #fa5b24;\"><div class=\"promo center\" data-style=\"center\" style=\"background-color: #f4f4f4;\"><div class=\"promo-desc\"><span style=\"font-size: 17px; line-height: 22px;\">\n<p style=\"text-align: center;\">Si est\u00e0s interessat \/ a , <a href=\"http:\/\/osteo9.com\/ca\/contacte\" target=\"_blank\" rel=\"noopener\">contacta amb nosaltres<\/a> per reservar la teva hora.<\/p>\n<h5 style=\"text-align: center;\">Osteo9\u00a0cuidem de tu.<\/h5>\n<\/span><\/div><div class=\"promo-action\"><a href=\"http:\/\/osteo9.com\/ca\/contacte\/\" class=\"simple-button orange small\" target=\"_blank\">Contacta'ns<\/a><\/div><\/div><\/div><\/div><div class=\"separator  \" style=\"padding-top: 20px; padding-bottom: 20px; \" ><hr class=\"blank_divider\" ><\/div>[vc_column_text]\n<h5>Autores<\/h5>\n[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"col_full employee_wrap nobottommargin clearfix\"><div class=\"vc_col-sm-12 wpb_column column_container  \" data-wow-delay=\"0s\"><div class=\"team-member\"><div class=\"team-image\"><a href=\"https:\/\/webo9.aux.com.es\/ca\/curriculum-vitae-de-la-clara-nebot\/\"><img decoding=\"async\" src=\"https:\/\/webo9.aux.com.es\/wp-content\/uploads\/2015\/10\/clara-nebot-n.jpg\" alt=\"Clara Nebot - Fisioterapeuta i Oste\u00f2pata\" title=\"Clara Nebot - Fisioterapeuta i Oste\u00f2pata\"><\/a><span>Fisioterapeuta i Oste\u00f2pata<\/span><\/div><div class=\"team-desc\"><a href=\"https:\/\/webo9.aux.com.es\/ca\/curriculum-vitae-de-la-clara-nebot\/\"><h4>Clara Nebot<\/h4><\/a><p>Fisioterapeuta i oste\u00f2pata, experta en ginecologia, s\u00f2l pelvi\u00e0 i columna. Anys d'experi\u00e8ncia i doc\u00e8ncia a les seves mans. La mare d'Osteo9.<\/p><\/div><ul class=\"team-skills\"><\/ul><\/div><\/div><\/div>[\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]\n[\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]\n[\/vc_column_inner][\/vc_row_inner][vc_column_text]\n<h5>Si t\u2019ha agradat aquest article, et convidem a que ho comparteixis en las tevas xarxes socials favorites. Ho agra\u00efm sempre!<\/h5>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>El comportament del cicle menstrual, el que anomenem la regla, \u00e9s molt variable. <\/p>\n","protected":false},"author":206,"featured_media":41802,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"_joinchat":[],"footnotes":""},"categories":[66,77],"tags":[],"class_list":["post-41808","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clara-nebot-34","category-osteo-i-fisio-uroginecologica-17"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Amenorrees i hemorr\u00e0gies uterines. 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