{"id":8345,"date":"2022-02-09T09:08:15","date_gmt":"2022-02-09T09:08:15","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=8345"},"modified":"2022-02-09T09:08:15","modified_gmt":"2022-02-09T09:08:15","slug":"dismenoreea","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/","title":{"rendered":"Dismenoreea (durerea menstrual\u0103): tipuri, simptome, cauze, diagnostic, tratament"},"content":{"rendered":"<p style=\"text-align: justify\"><strong>Dismenoreea<\/strong> este un simptom care afecteaz\u0103 multe dintre femeile de v\u00e2rst\u0103 reproductiv\u0103 \u015fi este definit\u0103 ca senza\u0163ia de cramp\u0103 dureroas\u0103 la nivelul abdomenului inferior, \u00eenso\u0163it\u0103 de alte simptome cum ar fi durerea de cap, tahicardia, grea\u0163a, v\u0103rs\u0103turi, tremur\u0103turi sau diareea, toate acestea ap\u0103r\u00e2nd pu\u0163in timp \u00eenaintea sau \u00een timpul menstrua\u0163iei. Dismenoreea poate fi primar\u0103 \u015fi secundar\u0103. Dismenoreea primar\u0103 se \u00eenregistreaz\u0103 \u00een general la fete tinere \u015fi apare imediat dupa menarh\u0103, f\u0103r\u0103 a fi \u00eenso\u0163it\u0103 de condi\u0163ii patologice. Dismenoreea secundar\u0103 apare mai t\u00e2rziu, fiind determinat\u0103 de condi\u0163ii patologice care dau durere \u00een cursul menstrua\u0163iei.<\/p>\n<p style=\"text-align: justify\"><u><strong>Semne \u0219i simptome<\/strong>.<\/u> Simptomele legate de ciclul menstrual sunt asociate cu fluctua\u0163iile hormonale intrinseci lunare. Aceste simptome pot fi fizice, comportamentale sau emo\u0163ionale \u015fi includ entit\u0103\u0163i ca dismenoreea, sindromul premenstrual \u015fi deregl\u0103rile premenstruale disforice. Dismenoreea dureaz\u0103 de la c\u00e2teva ore la 2-3 zile \u0219i se manifest\u0103 clinic prin dureri abdominale colaterale, dureri lombare \u015fi simptome generale (grea\u0163\u0103, v\u0103rs\u0103turi, dureri de cap, ame\u021beal\u0103, scaune moi), care preced sau sunt concomitente cu ciclul menstrual. Apare cu o frecven\u0163\u0103 foarte mare la grupa de v\u00e2rst\u0103 12-19 ani, al\u0103turi de tulbur\u0103ri ale ciclului menstrual. Simptomul clinic dominant \u00een dismenoreea primar\u0103 este durerea \u00een regiunea inferioar\u0103 a abdomenului de intensitate divers\u0103, cu caracter contractil. Durerile menstruale pot ap\u0103rea \u00eenaintea ciclului, numite dismenoree premenstrual\u0103, sau \u00eentre ciclurile menstruale, dismenoree intermenstrual\u0103. Menstrua\u0163ia tardiv\u0103 apare dup\u0103 v\u00e2rsta de 18 ani, declan\u015farea menstrua\u0163iei impun\u00e2nd un tratament hormonal.<\/p>\n<p style=\"text-align: justify\"><strong><u>Tipuri.<\/u><\/strong> Dismenoreea sau menstrua\u0163ia dureroas\u0103 afecteaz\u0103 40-95% din femeile care menstrueaz\u0103. Exist\u0103 dou\u0103 tipuri de dismenoree: primar\u0103 \u015fi secundar\u0103. Dismenoreea primar\u0103 menstrua\u0163ia \u00eenso\u0163it\u0103 de dureri pelvine, este un proces patologic ciclic, care se manifest\u0103 prin dureri pronun\u0163ate \u00een regiunea inferioar\u0103 a abdomenului \u00een primele zile ale menstrua\u0163iei, asociat cu simptome neurovegetative \u015fi endocrine-metabolice. Dismenoreea primar\u0103 este caracterizat\u0103 prin crampe menstruale dureroase, f\u0103r\u0103 o patologie organic\u0103 pelvin\u0103 depistabil\u0103 macroscopic. De obicei debuteaz\u0103 \u00een adolescen\u0163\u0103, la scurt timp (6-12 luni) dup\u0103 menarh\u0103, \u015fi este caracterizat\u0103 prin durere pelvin\u0103 sub form\u0103 de crampe, care apare imediat \u00eenainte sau o dat\u0103 cu debutul menstrelor \u015fi care dureaz\u0103 de la 48 p\u00e2n\u0103 la 72 de ore, fiind mai sever\u0103 \u00een prima \u015fi a doua zi a menstrua\u0163iei. Circa 50% din femeile postpubertare sufer\u0103 de dismenoree primar\u0103, iar 10% sunt private de capacitatea de munc\u0103 de la una p\u00e2n\u0103 la trei zile lunar. Aproximativ 15% din adolescente raporteaz\u0103 dismenoree sever\u0103, aceasta fiind cauza principal\u0103 a absent\u0103rii \u015fcolare recurente de scurt\u0103 durat\u0103. \u00cen dismenoreea primar\u0103 durerea pelvin\u0103 este mai pronun\u0163at\u0103, comparativ cu durerea pelvin\u0103 \u00een SPM \u015fi este asociat\u0103 cu gre\u0163uri, vom\u0103, sl\u0103biciuni, cefalee etc, aceste simptome apar pe fundalul durerii pelvine pronun\u0163ate \u015fi depind de intensitatea ei. Dup\u0103 na\u015ftere intensitatea durerii pelvine se reduce.<\/p>\n<p style=\"text-align: justify\"><strong><u>Dureri ciclu menstrual (dismenoree).<\/u><\/strong> Principala cauz\u0103 a dismenoreei primar\u0103 este activitatea uterin\u0103 m\u0103rit\u0103 \u015fi\/sau anormal\u0103, din cauza produc\u0163iei \u015fi eliber\u0103rii excesive de prostaglandine uterine. Numeroase femei cu dismenoree au o secre\u0163ie m\u0103rit\u0103 de prostaglandine \u00een \u0163esutul endometrial, cu eliberarea crescut\u0103 a acestora \u00een fluidul menstrual. Astfel, excesul de prostaglandine este considerat a fi o cauz\u0103 direct\u0103 a dismenoreei primare. Factorii de risc pentru dismenoreea primar\u0103 includ v\u00e2rsta t\u00e2n\u0103r\u0103 \u015fi nuliparitatea. Fluxul menstrual abundent este asociat cu dismenoreea. Factori comportamentali de risc care accentueaz\u0103 durerea menstrual\u0103: l Fumatul. l Obezitatea. l Dietele drastice. l Depresia \u0219i anxietatea. l S\u0103n\u0103tate general\u0103 precar\u0103.<\/p>\n<p style=\"text-align: justify\"><u><strong>Diagnostic<\/strong>.<\/u> Dismenoreea primar\u0103 este diagnosticat\u0103 pe baza aspectelor sale clinice. \u00cen marea majoritate a cazurilor, un diagnostic prezumtiv de dismenoree primar\u0103 poate fi stabilit pe baza unui istoric tipic (de durere hipogastric\u0103 sau pelvian\u0103 joas\u0103 care, apare \u00een adolescen\u0163\u0103, coincide cu \u00eenceputul menstrelor \u015fi dureaz\u0103 1-3 zile), \u00een prezen\u0163a unui examen fizic negativ.<\/p>\n<p style=\"text-align: justify\"><strong><u><a href=\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-8346\" src=\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-211x300.jpg\" alt=\"\" width=\"262\" height=\"373\" srcset=\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-211x300.jpg 211w, https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea.jpg 320w\" sizes=\"auto, (max-width: 262px) 100vw, 262px\" \/><\/a>Tratament.<\/u> <\/strong>Op\u0163iunile curente de tratament includ: l medicamente antiinflamatoare nesteroidiene. Ameliorarea durerii cu antiinflamatoarele nesteroidiene este ob\u0163inut\u0103 la 80-85% din cazuri. l contraceptive orale combinate (pot trata eficient dismenoreea \u015fi pot reduce semnificativ inciden\u0163a simptomelor legate de ciclul menstrual. l schimbarea stilului de via\u0163\u0103 (ex. diet\u0103 vegetarian\u0103 s\u0103rac\u0103 \u00een gr\u0103simi, vitamina E, tiamina \u015fi acupunctura). Local se pot aplica comprese calde, o sticl\u0103 cu ap\u0103 cald\u0103. Durerile sunt ameliorate \u0219i cu ajutorul plimb\u0103rii \u00een aer liber, exerci\u021biilor fizice de intensitate redus\u0103, etc. l inhibitori selectivi ai reabsorb\u0163iei de serotonin\u0103. l supresia farmacologic\u0103 a ciclului menstrual. Dismenoreea secundar\u0103 se refer\u0103 la durerile care sunt provocate de o afec\u021biune la nivelul sistemului reproductiv al femeii sau de o infec\u021bie. Dismenoreea secundar\u0103 este cauzat\u0103 de diverse anomalii pelvine. Dismenoreea secundar\u0103 nu se instaleaz\u0103 de la primele menstrua\u021bii, ci la 1-2 ani dup\u0103 ce ciclurile devin ovulatorii. \u00cen dismenoreea secundar\u0103 este prezent\u0103 o leziune vizibil\u0103 \u00een structurile pelviene, care explic\u0103 durerea: l endometrioz\u0103. l boala inflamatorie pelvin\u0103. l dispozitivele intrauterine. l cicluri neregulate. l probleme legate cu infertilitatea. l chisturi ovariene. l adenomioz\u0103. l mioame sau polipi uterini. l sinechii intrauterine. l stenoz\u0103 cervical\u0103<\/p>\n<p style=\"text-align: justify\">Durerea \u00een dismenoreea secundar\u0103 \u00eencepe, de obicei, cu c\u00e2teva zile \u00eenainte de debutul menstrua\u0163iei \u015fi dureaz\u0103 mai mult timp pe parcursul ciclului menstrual.<\/p>\n<p style=\"text-align: justify\"><u><strong>Diagnostic<\/strong>.<\/u> Depistarea la examenul fizic a unei mase pelviene, elimin\u0103rilor vaginale anormale, sau durere pelvin\u0103 care nu este limitat\u0103 la perioada menstrual\u0103, sugereaz\u0103 diagnosticul de dismenoree secundar\u0103. Testele standard de referin\u0163\u0103 pentru diagnosticul \u015fi stadializarea endometriozei sunt laparoscopia sau laparotomia cu biopsie consecutiv\u0103.<\/p>\n<p style=\"text-align: justify\">\u00cen cazul dismenoreei secundare se \u00eencearc\u0103 tratarea cauzei, la recomandarea medicului specialist.<\/p>\n<p style=\"text-align: justify\">Publicat de Echipa Bioclinica<\/p>\n<p style=\"text-align: justify\">www.bioclinica.ro<\/p>\n<p style=\"text-align: justify\">\n","protected":false},"excerpt":{"rendered":"<p>Dismenoreea este un simptom care afecteaz\u0103 multe dintre femeile de v\u00e2rst\u0103 reproductiv\u0103 \u015fi este definit\u0103 ca senza\u0163ia de cramp\u0103 dureroas\u0103 la nivelul abdomenului inferior, \u00eenso\u0163it\u0103 de alte simptome cum ar [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":8347,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[155],"tags":[],"class_list":["post-8345","post","type-post","status-publish","format-standard","has-post-thumbnail","category-obstetica-ginecologie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dismenoreea (durerea menstrual\u0103): tipuri, simptome, cauze, diagnostic, tratament - Jurmed - Pacienti<\/title>\n<meta name=\"description\" content=\"Dismenoreea este un simptom care afecteaz\u0103 multe dintre femeile de v\u00e2rst\u0103 reproductiv\u0103 \u015fi este o cramp\u0103 dureroas\u0103 la nivelul abdomenului inferior\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dismenoreea (durerea menstrual\u0103): tipuri, simptome, cauze, diagnostic, tratament - Jurmed - Pacienti\" \/>\n<meta property=\"og:description\" content=\"Dismenoreea este un simptom care afecteaz\u0103 multe dintre femeile de v\u00e2rst\u0103 reproductiv\u0103 \u015fi este o cramp\u0103 dureroas\u0103 la nivelul abdomenului inferior\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - Pacienti\" \/>\n<meta property=\"article:published_time\" content=\"2022-02-09T09:08:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"600\" \/>\n\t<meta property=\"og:image:height\" content=\"348\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"ralucab\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"ralucab\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/\"},\"author\":{\"name\":\"ralucab\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/364b734872ee04688e0b7121c65eaa35\"},\"headline\":\"Dismenoreea (durerea menstrual\u0103): tipuri, simptome, cauze, diagnostic, tratament\",\"datePublished\":\"2022-02-09T09:08:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/\"},\"wordCount\":944,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-1.jpg\",\"articleSection\":[\"Obstetica - ginecologie\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/\",\"url\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/\",\"name\":\"Dismenoreea (durerea menstrual\u0103): tipuri, simptome, cauze, diagnostic, tratament - Jurmed - Pacienti\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-1.jpg\",\"datePublished\":\"2022-02-09T09:08:15+00:00\",\"author\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/364b734872ee04688e0b7121c65eaa35\"},\"description\":\"Dismenoreea este un simptom care afecteaz\u0103 multe dintre femeile de v\u00e2rst\u0103 reproductiv\u0103 \u015fi este o cramp\u0103 dureroas\u0103 la nivelul abdomenului inferior\",\"breadcrumb\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#breadcrumb\"},\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#primaryimage\",\"url\":\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-1.jpg\",\"contentUrl\":\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-1.jpg\",\"width\":600,\"height\":348},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/jurmed.ro\/pacienti\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Dismenoreea (durerea menstrual\u0103): tipuri, simptome, cauze, diagnostic, tratament\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#website\",\"url\":\"https:\/\/jurmed.ro\/pacienti\/\",\"name\":\"Jurmed - Pacienti\",\"description\":\"JURMED \u2013 Jurnal de Sanatate este o publicatie lunara de informare si preventie medicala. Revista si site-ul au un continut bogat de articole si informatii cu adresabilitate catre publicul larg.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/jurmed.ro\/pacienti\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ro-RO\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/364b734872ee04688e0b7121c65eaa35\",\"name\":\"ralucab\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/247da7eca7bcc01a299ead1f5ff5ecede6d54a6373d3f9437c1c12da13a216c6?s=96&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/247da7eca7bcc01a299ead1f5ff5ecede6d54a6373d3f9437c1c12da13a216c6?s=96&r=g\",\"caption\":\"ralucab\"},\"url\":\"https:\/\/jurmed.ro\/pacienti\/author\/ralucabocancia\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Dismenoreea (durerea menstrual\u0103): tipuri, simptome, cauze, diagnostic, tratament - Jurmed - Pacienti","description":"Dismenoreea este un simptom care afecteaz\u0103 multe dintre femeile de v\u00e2rst\u0103 reproductiv\u0103 \u015fi este o cramp\u0103 dureroas\u0103 la nivelul abdomenului inferior","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:\/\/jurmed.ro\/pacienti\/dismenoreea\/","og_locale":"ro_RO","og_type":"article","og_title":"Dismenoreea (durerea menstrual\u0103): tipuri, simptome, cauze, diagnostic, tratament - Jurmed - Pacienti","og_description":"Dismenoreea este un simptom care afecteaz\u0103 multe dintre femeile de v\u00e2rst\u0103 reproductiv\u0103 \u015fi este o cramp\u0103 dureroas\u0103 la nivelul abdomenului inferior","og_url":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/","og_site_name":"Jurmed - Pacienti","article_published_time":"2022-02-09T09:08:15+00:00","og_image":[{"width":600,"height":348,"url":"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-1.jpg","type":"image\/jpeg"}],"author":"ralucab","twitter_misc":{"Scris de":"ralucab","Timp estimat pentru citire":"4 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#article","isPartOf":{"@id":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/"},"author":{"name":"ralucab","@id":"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/364b734872ee04688e0b7121c65eaa35"},"headline":"Dismenoreea (durerea menstrual\u0103): tipuri, simptome, cauze, diagnostic, tratament","datePublished":"2022-02-09T09:08:15+00:00","mainEntityOfPage":{"@id":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/"},"wordCount":944,"commentCount":0,"image":{"@id":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#primaryimage"},"thumbnailUrl":"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-1.jpg","articleSection":["Obstetica - ginecologie"],"inLanguage":"ro-RO","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/","url":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/","name":"Dismenoreea (durerea menstrual\u0103): tipuri, simptome, cauze, diagnostic, tratament - Jurmed - Pacienti","isPartOf":{"@id":"https:\/\/jurmed.ro\/pacienti\/#website"},"primaryImageOfPage":{"@id":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#primaryimage"},"image":{"@id":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#primaryimage"},"thumbnailUrl":"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-1.jpg","datePublished":"2022-02-09T09:08:15+00:00","author":{"@id":"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/364b734872ee04688e0b7121c65eaa35"},"description":"Dismenoreea este un simptom care afecteaz\u0103 multe dintre femeile de v\u00e2rst\u0103 reproductiv\u0103 \u015fi este o cramp\u0103 dureroas\u0103 la nivelul abdomenului inferior","breadcrumb":{"@id":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#breadcrumb"},"inLanguage":"ro-RO","potentialAction":[{"@type":"ReadAction","target":["https:\/\/jurmed.ro\/pacienti\/dismenoreea\/"]}]},{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#primaryimage","url":"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-1.jpg","contentUrl":"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2022\/02\/Dismenoreea-1.jpg","width":600,"height":348},{"@type":"BreadcrumbList","@id":"https:\/\/jurmed.ro\/pacienti\/dismenoreea\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/jurmed.ro\/pacienti\/"},{"@type":"ListItem","position":2,"name":"Dismenoreea (durerea menstrual\u0103): tipuri, simptome, cauze, diagnostic, tratament"}]},{"@type":"WebSite","@id":"https:\/\/jurmed.ro\/pacienti\/#website","url":"https:\/\/jurmed.ro\/pacienti\/","name":"Jurmed - Pacienti","description":"JURMED \u2013 Jurnal de Sanatate este o publicatie lunara de informare si preventie medicala. Revista si site-ul au un continut bogat de articole si informatii cu adresabilitate catre publicul larg.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/jurmed.ro\/pacienti\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ro-RO"},{"@type":"Person","@id":"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/364b734872ee04688e0b7121c65eaa35","name":"ralucab","image":{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/247da7eca7bcc01a299ead1f5ff5ecede6d54a6373d3f9437c1c12da13a216c6?s=96&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/247da7eca7bcc01a299ead1f5ff5ecede6d54a6373d3f9437c1c12da13a216c6?s=96&r=g","caption":"ralucab"},"url":"https:\/\/jurmed.ro\/pacienti\/author\/ralucabocancia\/"}]}},"_links":{"self":[{"href":"https:\/\/jurmed.ro\/pacienti\/wp-json\/wp\/v2\/posts\/8345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jurmed.ro\/pacienti\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jurmed.ro\/pacienti\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jurmed.ro\/pacienti\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/jurmed.ro\/pacienti\/wp-json\/wp\/v2\/comments?post=8345"}],"version-history":[{"count":1,"href":"https:\/\/jurmed.ro\/pacienti\/wp-json\/wp\/v2\/posts\/8345\/revisions"}],"predecessor-version":[{"id":8348,"href":"https:\/\/jurmed.ro\/pacienti\/wp-json\/wp\/v2\/posts\/8345\/revisions\/8348"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/jurmed.ro\/pacienti\/wp-json\/wp\/v2\/media\/8347"}],"wp:attachment":[{"href":"https:\/\/jurmed.ro\/pacienti\/wp-json\/wp\/v2\/media?parent=8345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jurmed.ro\/pacienti\/wp-json\/wp\/v2\/categories?post=8345"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jurmed.ro\/pacienti\/wp-json\/wp\/v2\/tags?post=8345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}