{"id":1256,"date":"2024-10-09T20:59:09","date_gmt":"2024-10-09T18:59:09","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/?p=1256"},"modified":"2024-10-09T21:04:41","modified_gmt":"2024-10-09T19:04:41","slug":"boala-degenerativa-a-discului-intervertebral","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/boala-degenerativa-a-discului-intervertebral\/","title":{"rendered":"Boala degenerativ\u0103 a discului intervertebral"},"content":{"rendered":"\n<h2>Ce este inflama\u021bia cronic\u0103?<\/h2>\n<p>Inflama\u021bia reprezint\u0103 un set de r\u0103spunsuri fiziologice ale organismului la leziuni ale \u021besuturilor determinate de factori perturbatori chimici sau fizici precum traume sau infec\u021bii. Inflama\u021bia poate fi \u00eencadrat\u0103 \u00een dou\u0103 categorii: <em>acut\u0103<\/em> \u0219i <em>cronic\u0103<\/em>.<\/p>\n<p><strong>Inflama\u021bia <em>acut\u0103<\/em> <\/strong>apare brusc \u0219i este temporar\u0103 <strong>[1]<\/strong>.<\/p>\n<p><strong>Inflama\u021bia <em>cronic\u0103<\/em><\/strong> poate dura luni sau ani de zile. Aceasta favorizeaz\u0103 apari\u021bia \u0219i dezvoltarea diverselor afec\u021biuni, precum:<\/p>\n<ul>\n<li>Boala degenerativ\u0103 a discului intervertebral (DDI), care este cea mai r\u0103sp\u00e2ndit\u0103;<\/li>\n<li>Boli degenerative;<\/li>\n<li>Boli cardiovasculare;<\/li>\n<li>Astm;<\/li>\n<li>Artrit\u0103;<\/li>\n<li>Cancer;<\/li>\n<li>Scleroza multipl\u0103;<\/li>\n<li>Diabet <strong>[1, 2]<\/strong>.<\/li>\n<\/ul>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-1257\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Ce-boli-favorizeaza-inflamatia-cronica.jpg\" alt=\"\" width=\"800\" height=\"366\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Ce-boli-favorizeaza-inflamatia-cronica.jpg 1600w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Ce-boli-favorizeaza-inflamatia-cronica-300x137.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Ce-boli-favorizeaza-inflamatia-cronica-1024x468.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Ce-boli-favorizeaza-inflamatia-cronica-768x351.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Ce-boli-favorizeaza-inflamatia-cronica-1536x702.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Ce-boli-favorizeaza-inflamatia-cronica-750x343.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Ce-boli-favorizeaza-inflamatia-cronica-1140x521.jpg 1140w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<h2>Ce este boala degenerativ\u0103 a discului intervertebral (DDI)?<\/h2>\n<p>Boala degenerativ\u0103 a discului intervertebral\u00a0\u00a0\u00eensumeaz\u0103 un grup de mai multe boli, ale c\u0103ror denumiri sunt asociate cu:<\/p>\n<ul>\n<li>localizarea discurilor intervertebrale (regiunea cervical\u0103, toracic\u0103, lombar\u0103, etc.);<\/li>\n<li>structura discal\u0103 afectat\u0103 (inelul fibros, nucleul pulpos, etc.);<\/li>\n<li>deformarea coloanei vertebrale;<\/li>\n<li>deform\u0103ri ale discului.<\/li>\n<\/ul>\n<p>Boala degenerativ\u0103 a discului intervertebral influen\u021beaz\u0103 semnificativ via\u021ba a peste:<\/p>\n<ul>\n<li><strong>30%<\/strong> din popula\u021bia adult\u0103 t\u00e2n\u0103r\u0103 (<em>p\u00e2n\u0103 la 35 ani<\/em>),<\/li>\n<li><strong>90%<\/strong> din popula\u021bia adult\u0103 v\u00e2rstnic\u0103 (<em>p\u00e2n\u0103 la 60 ani \u0219i peste<\/em>) <strong>[3]<\/strong>.<\/li>\n<\/ul>\n<p>Boala DDI este multifactorial\u0103 \u0219i se poate manifesta pe unul sau mai multe nivele structurale.<\/p>\n<h2>Care sunt simptomele bolii degenerative a discului intervertebral?<\/h2>\n<p>Deoarece DDI are implica\u021bii clinice, biochimice, histochimice \u0219i imunologice, simptomatologia \u0219i manifest\u0103rile sunt complexe.<\/p>\n<p>De obicei, durerea apare \u00een regiunea afectat\u0103:<\/p>\n<ul>\n<li>cervical\u0103;<\/li>\n<li>toracal\u0103;<\/li>\n<li>lombar\u0103.<\/li>\n<\/ul>\n<p>Simptomele sunt diferite de la un pacient la altul, inclusiv periodicitatea acestora.<\/p>\n<p>La debutul bolii, simptomatologia este de mic\u0103 intensitate dar, de cele mai multe ori, nu este luat\u0103 \u00een considerare de pacient. Procesul degenerativ poate \u00eencepe de la o v\u00e2rst\u0103 destul de t\u00e2n\u0103r\u0103 (20-25 ani), dar nu va fi diagnosticat dec\u00e2t mai t\u00e2rziu, c\u00e2nd durerile se manifest\u0103 frecvent, au intensitate mare \u0219i este afectat\u0103 musculatura. \u00cen acel moment, \u00eencep s\u0103 degenereze discurile intervertebrale adiacente, iar diagnosticul con\u021bine termenul \u201e<strong>bilateral<\/strong>\u201d (exemplu: discopatie lombar\u0103 degenerativ\u0103 bilateral\u0103).<\/p>\n<p>Ulterior sunt afecta\u021bi nervii de la nivelul coloanei vertebrale, durerile (declarate de pacien\u021bi) sunt foarte mari iar medica\u021bia antiinflamatoare \u0219i miorelaxant\u0103 (ce relaxeaz\u0103 mu\u0219chii \u0219i reduce spasmele musculare) are efect din ce \u00een ce mai redus.<\/p>\n<p>Boala evolueaz\u0103 timp de <strong>20-30 ani <\/strong>\u0219i apar simptome determinate de compresia (atingerea) r\u0103d\u0103cinilor nervoase <strong>[4]<\/strong>. \u00cen aceste cazuri, durerea \u0219i alte tipuri de simptome (amor\u021beli, furnic\u0103turi, etc.) se manifest\u0103 pe \u00eentreaga arie inervat\u0103 de acel nerv, resim\u021bindu-se \u00een picior p\u00e2n\u0103 la nivelul degetelor (ex: \u00een cazul discopatiei lombare).<\/p>\n<p><strong>Boala degenerativ\u0103 nu se opre\u0219te niciodat\u0103, ci se agraveaz\u0103 odat\u0103 cu \u00eenaintarea \u00een v\u00e2rst\u0103.<\/strong> Cu toate acestea, simptomele dureroase pot s\u0103 se atenueze dup\u0103 intervalul de timp men\u021bionat.<\/p>\n<div style=\"border: 1px solid #b14cf4; padding: 10px;\"><center>Discuta\u021bi cu medicul dumneavoastr\u0103 dac\u0103 apar oricare din simptomele men\u021bionate \u0219i programa\u021bi-v\u0103 o consulta\u021bie! Suna\u021bi la serviciul de urgen\u021b\u0103 dac\u0103 apar dureri acute care v\u0103 incapaciteaz\u0103 \u0219i nu v\u0103 mai pute\u021bi deplasa sau ridica din pat! Nu lua\u021bi medicamente f\u0103r\u0103 sfatul unui specialist!<\/center><\/div>\n<h2>Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n<p>Crede\u021bi c\u0103 este posibil s\u0103 suferi\u021bi de boala DDI? Programa\u021bi-v\u0103 acum contact\u00e2nd recep\u021bia Institutului <strong>RoNeuro<\/strong> la num\u0103rul de telefon<strong> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/strong>, luni \u0219i mar\u021bi \u00eentre orele <strong>08:00 &#8211; 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele <strong>08:00 &#8211; 18:00. <\/strong><\/p>\n<p>La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. Mai mult, pot fi efectuate program\u0103ri online.<\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online aici!<\/a><\/p>\n<p>Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? RoNeuro ofer\u0103 \u0219i op\u021biunea de <strong><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/strong><\/p>\n<h2>Care sunt tratamentele actuale pentru boala degenerativ\u0103 a discului intervertebral?<\/h2>\n<p>Pornind de la aforismul \u201enu exist\u0103 boli, ci doar bolnavi\u201d, trebuie luat \u00een considerare faptul c\u0103 pe l\u00e2ng\u0103 tratamentele \u0219i\/sau medica\u021biile \u201egeneral valabile\u201d, bolile DDI au nevoie de o abordare personalizat\u0103. Acestea sunt recomandate individual, \u00een baza unor analize am\u0103nun\u021bite.<\/p>\n<p>\u00cen func\u021bie de stadiul bolii, multitudinea de probleme asociate \u0219i patologii prezente, tratamentele pot fi \u00eemp\u0103r\u021bite \u00een mai multe grupe:<\/p>\n<ul>\n<li><strong>invazive<\/strong> (precum <em>implanturi chirurgicale, \u00eenlocuirea total\u0103 a discului degenerat, artroplastie, fuziune, etc.<\/em>),<\/li>\n<li><strong>neinvazive <\/strong>(care pot fi nonfarmaceutice \u0219i farmaceutice).<\/li>\n<\/ul>\n<p>Fiecare dintre ele are anumite avantaje \u0219i dezavantaje.<\/p>\n<h3>Metodele invazive<\/h3>\n<p>Sunt mai rapide, au eficien\u021b\u0103 crescut\u0103, dar prezint\u0103 anumite riscuri \u0219i pot genera dureri postoperatorii, de scurt\u0103 sau lung\u0103 durat\u0103.<\/p>\n<h3>Metodele neinvazive<\/h3>\n<p>Sunt mai pu\u021bin eficiente \u0219i necesit\u0103 o utilizare pe termen lung iar efectele secundare (\u00een cazul medica\u021biei) pot fi controlate prin perioade de pauz\u0103, pe care pacientul le poate suporta.<\/p>\n<h3>Metode neinvazive nonfarmaceutice<\/h3>\n<p>Acestea pot include fizioterapie, diverse tehnici de reabilitare, terapii pentru stimulare neuromotoare pentru prevenirea atrofiei (electroterapiile) <strong>[5,6]<\/strong>, la care se pot asocia:<\/p>\n<ul>\n<li>terapiile biomecanice (kinesiologie);<\/li>\n<li>terapii manuale;<\/li>\n<li>exerci\u021bii fizice;<\/li>\n<li>manipularea chiropractic\u0103;<\/li>\n<li>masajul medical.<\/li>\n<\/ul>\n<h3>Metode neinvazive farmaceutice<\/h3>\n<p>Medicamentele antiinflamatoare nonsteroidiene, care trebuie asociate cu medicamente din clasa miorelaxantelor, iar dac\u0103 pacientul resimte dureri de stomac, se recomand\u0103 ca acestea s\u0103 fie \u00eenso\u021bite de protectoare gastrice.<\/p>\n<p>Dac\u0103 DDI este asociat\u0103 cu dureri de cap, atunci sunt necesare \u0219i alte clase de medicamente, precum vasodilatatoarele. Exist\u0103 \u0219i alte tipuri de medica\u021bie ce pot fi recomandate, \u00eens\u0103 doar medicul specialist este \u00een m\u0103sur\u0103 s\u0103 decid\u0103 dozele, combina\u021bia acestora \u0219i durata tratamentului.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-1259\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Tratamente-actuale-pentru-boala-DDI.jpg\" alt=\"\" width=\"700\" height=\"462\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Tratamente-actuale-pentru-boala-DDI.jpg 1600w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Tratamente-actuale-pentru-boala-DDI-300x198.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Tratamente-actuale-pentru-boala-DDI-1024x676.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Tratamente-actuale-pentru-boala-DDI-768x507.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Tratamente-actuale-pentru-boala-DDI-1536x1014.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Tratamente-actuale-pentru-boala-DDI-750x495.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Tratamente-actuale-pentru-boala-DDI-1140x752.jpg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<h2>Metode de recuperare \u00een boala DDI<\/h2>\n<p>Exist\u0103 diverse metode de recuperare ce pot avea un efect benefic asupra bolii DDI. Fiecare metod\u0103 are beneficii specifice, iar un tratament complex se bazeaz\u0103 pe o combina\u021bie de abord\u0103ri, \u00een func\u021bie de particularit\u0103\u021bile pacientului.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-1260\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Metode-de-recuperare-in-boala-DDI.jpg\" alt=\"\" width=\"800\" height=\"358\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Metode-de-recuperare-in-boala-DDI.jpg 1600w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Metode-de-recuperare-in-boala-DDI-300x134.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Metode-de-recuperare-in-boala-DDI-1024x458.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Metode-de-recuperare-in-boala-DDI-768x344.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Metode-de-recuperare-in-boala-DDI-1536x687.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Metode-de-recuperare-in-boala-DDI-750x336.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/10\/Metode-de-recuperare-in-boala-DDI-1140x510.jpg 1140w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<h3>Activit\u0103\u021bile fizice<\/h3>\n<p>implementarea unui stil de via\u021b\u0103 activ, care s\u0103 includ\u0103 mersul pe jos minim 2 km pe zi, evitarea sedentarismului, exerci\u021bii fizice la aparatele din parcuri sau din centrele sportive, \u00eenotul \u0219i altele.<\/p>\n<h3>Fizioterapia<\/h3>\n<p>Ea poate ajuta la ameliorarea durerii \u0219i la cre\u0219terea flexibilit\u0103\u021bii prin terapie manual\u0103 pentru \u00eembun\u0103t\u0103\u021birea flexibilit\u0103\u021bii articula\u021biilor \u0219i a rigidit\u0103\u021bii musculare. Aici sunt incluse mai multe tipuri de proceduri, ce pot fi recomandate \u00een func\u021bie de diagnosticul pacientului:<\/p>\n<ul>\n<li>electroterapie;<\/li>\n<li>hidroterapie;<\/li>\n<li>magnetoterapie;<\/li>\n<li>ultrasonoterapie;<\/li>\n<li>laserterapie;<\/li>\n<li>kinesiotaping (aplicarea unor benzi elastice \u00een diverse locuri, cu scopul amelior\u0103rii simptomelor dureroase musculare, articulare \u0219i ligamentare);<\/li>\n<li>reflexoterapie;<\/li>\n<li>drenaj limfatic;<\/li>\n<li>masaj terapeutic.<\/li>\n<\/ul>\n<h3>Kinetoterapia<\/h3>\n<p>Aceasta const\u0103 \u00een tehnici de reabilitare bazate pe mi\u0219carea corpului pentru a trata afec\u021biunile fizice. Aceast tip de terapie include adesea \u00eentinderea mu\u0219chilor, tendoanelor \u0219i ligamentelor, fie \u00een mod <strong>activ<\/strong> (pacientul efectueaz\u0103 singur \u00eentinderile), fie \u00een mod <strong>pasiv<\/strong> (kinetoterapeutul manipuleaz\u0103 manual corpul).<\/p>\n<p>Institutul <em>RoNeuro<\/em> ofer\u0103 servicii de <a href=\"https:\/\/www.roneuro.ro\/specialitati\/kinetoterapie.html\">kinetoterapie<\/a>, precum \u0219i un plan de recuperare individualizat \u0219i bazat pe nevoile pacientului.<\/p>\n<h3>Balneoterapia<\/h3>\n<p>Aceasta poate fi folosit\u0103 \u00een tratamentul durerilor de spate ajut\u00e2nd pacien\u021bii s\u0103 \u00ee\u0219i recapete mobilitatea. De obicei, durerile acute se amelioreaz\u0103 semnificativ dup\u0103 c\u00e2teva s\u0103pt\u0103m\u00e2ni de tratament.<\/p>\n<p>Institutul <em>RoNeuro<\/em> are personal calificat \u00een <a href=\"https:\/\/www.roneuro.ro\/specialitati\/recuperare-medicina-fizica-si-balneologie.html\">Medicin\u0103 Fizic\u0103 \u0219i Balneologie<\/a>.<\/p>\n<h3>Terapii complementare<\/h3>\n<p><strong>Dietoterapia &#8211; <\/strong>este cunoscut faptul c\u0103 o diet\u0103 incorect\u0103 poate contribui la apari\u021bia unor boli precum obezitatea \u0219i diabetul care, la r\u00e2ndul lor, pot accelera boala DDI. Legumele sunt o component\u0103 cheie pentru combaterea inflama\u021biei \u0219i a durerilor de spate cauzate de boala DDI.<\/p>\n<p><strong>Acupunctura &#8211; <\/strong>ca parte a medicinei tradi\u021bionale chineze vechi de 5000 de ani, acupunctura poate trata cu succes bolile degenerative ale discului. De\u0219i aceasta nu repar\u0103 un disc herniat, ea reduce inflama\u021bia din zona afectat\u0103, fapt care conduce la o reducere semnificativ\u0103 a durerii \u0219i o \u00eembun\u0103t\u0103\u021bire a calit\u0103\u021bii vie\u021bii pacien\u021bilor <strong>[7]<\/strong>. Institutul <em>RoNeuro<\/em> v\u0103 ofer\u0103 servicii de <a href=\"https:\/\/www.roneuro.ro\/specialitati\/acupunctura.html\">acupunctur\u0103<\/a>.<\/p>\n<h2>Concluzii<\/h2>\n<p>Recuperarea motorie \u0219i ameliorarea simptomelor \u00een cazul DDI necesit\u0103 abord\u0103ri personalizate, multidisciplinare, at\u00e2t prin metode alopate, tradi\u021bionale, c\u00e2t \u0219i alternative sau complementare, cu ajutorul unei echipe medicale multidisciplinare, \u00een vederea \u00eembun\u0103t\u0103\u021birii calit\u0103\u021bii vie\u021bii pacientului.<\/p>\n<p>Este important ca planul de recuperare s\u0103 \u00eenceap\u0103 c\u00e2t mai cur\u00e2nd posibil, deoarece promptitudinea interven\u021biei poate avea un impact semnificativ asupra rezultatelor pe termen lung pentru pacien\u021bi.<\/p>\n<h2>Referin\u021be<\/h2>\n<ol>\n<li>Stone WL, Basit H, Zubair M, Burns B. Pathology, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK534820\/\" target=\"_blank\" rel=\"noopener\">Inflammation<\/a>. [Updated 2024 Aug 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan. Available from:<\/li>\n<li><em>Chronic inflammation<\/em>. <a href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/chronic-inflammation\" target=\"_blank\" rel=\"noopener\">Chronic Inflammation &#8211; an overview<\/a> | ScienceDirect Topics. (n.d.). Available from:<\/li>\n<li><a href=\"https:\/\/www.neurosurgery.columbia.edu\/patient-care\/conditions\/degenerative-disc-disease\/\" target=\"_blank\" rel=\"noopener\">Degenerative Disc Disease Diagnosis &amp; Treatment<\/a> &#8211; NYC [Internet]. Columbia Neurosurgery in New York City. 2021.<\/li>\n<li><a href=\"https:\/\/www.clinicaalexandru.ro\/2021\/08\/17\/stadiile-de-evolutie-a-bolii-si-perioada-de-recuperare\/\" target=\"_blank\" rel=\"noopener\">Stadiile de evolu\u021bie a bolii \u0219i perioada de recuperare<\/a> \u2013 Clinica Alexandru [Internet]. Clinicaalexandru.ro. 2024.<\/li>\n<li>Pop T; Austrup H, et al. Effect of TENS on pain relief in patients with degenerative disc disease in lumbosacral spine. Ortop. Traumatol. Rehabil., 2010, 12(4), 289-300.<\/li>\n<li>Wang L, Fan W, Yu C, Lang M, Sun G. Clinical effects of electrical stimulation therapy on lumbar disc herniation-induced sciatica and its influence on peripheral ROS level. J. Musculoskelet. Neuronal Interact., 2018, 18(3), 393-398.<\/li>\n<li><a href=\"http:\/\/www.onlinejournal.in\" target=\"_blank\" rel=\"noopener\">Imperial Journal of Interdisciplinary Research (IJIR)<\/a>, 2018;4(1).<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Ce este inflama\u021bia cronic\u0103? Inflama\u021bia reprezint\u0103 un set de r\u0103spunsuri fiziologice ale organismului la leziuni ale \u021besuturilor determinate de factori perturbatori chimici sau fizici precum traume sau infec\u021bii. Inflama\u021bia poate fi \u00eencadrat\u0103 \u00een dou\u0103 categorii: acut\u0103 \u0219i cronic\u0103. Inflama\u021bia acut\u0103 apare brusc \u0219i este temporar\u0103 [1]. Inflama\u021bia cronic\u0103 poate dura luni sau ani de zile. [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1263,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"6","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"0","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"0","show_popup_post":"1","number_popup_post":"3","show_author_box":"0","show_post_related":"1","show_inline_post_related":"0"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0"},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":[],"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1256","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1256","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=1256"}],"version-history":[{"count":5,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1256\/revisions"}],"predecessor-version":[{"id":1266,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1256\/revisions\/1266"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/1263"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=1256"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=1256"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=1256"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}