{"id":32063,"date":"2022-09-05T10:08:27","date_gmt":"2022-09-05T08:08:27","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?p=32063"},"modified":"2024-05-23T12:31:05","modified_gmt":"2024-05-23T10:31:05","slug":"trastorns-funcionals-digestius","status":"publish","type":"post","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/","title":{"rendered":"Trastorn Funcional Digestiu"},"content":{"rendered":"

Els trastorns funcionals digestius (TFD)<\/strong> s\u00f3n condicions cr\u00f2niques amb una alta prevalen\u00e7a i els seus s\u00edmptomes disminueixen la qualitat de vida del pacient<\/strong>, malgrat no tenir causa org\u00e0nica.<\/p>\n

Es defineixen com “una combinaci\u00f3 variable de s\u00edmptomes gastrointestinals persistents o recidivants<\/strong>, no explicables per anomalies estructurals o metab\u00f2liques<\/strong>“. Existeixen s\u00edmptomes atribu\u00efbles pr\u00e0cticament a tot l’aparell digestiu, des de la faringe a l’anus. Els m\u00e9s freq\u00fcents s\u00f3n la S\u00edndrome d’Intest\u00ed Irritable<\/a>, la Disp\u00e8psia funcional<\/a> i el Restrenyiment funcional.<\/p>\n

La major incid\u00e8ncia s’observa entre els 35 a 50 anys, molt probablement associat a major pressi\u00f3 laboral, poc temps per a espai personal, deficients h\u00e0bits diet\u00e8tics i relacions interpersonals complexes<\/strong>.<\/p>\n

Eix Cervell \u2013 Intest\u00ed \u2013 Microbiota<\/strong><\/h2>\n

El terme “eix intest\u00ed-cervell” es refereix a la comunicaci\u00f3 bidireccional entre l’intest\u00ed i el cervell<\/strong>. Aquest sistema biofeedback transmet els senyals des de l’intest\u00ed al cervell, mentre que les neurones del sistema nervi\u00f3s aut\u00f2nom i factors neuroendocrins el fan del cervell a l’intest\u00ed. Normalment, la major part dels senyals que s\u00f3n transmeses del sistema digestiu al cervell no aconsegueixen el nivell de consci\u00e8ncia, per\u00f2 en condicions patol\u00f2giques, els senyals de l’intest\u00ed poden aconseguir l’escor\u00e7a, donant origen a la sensaci\u00f3 de n\u00e0usea, disconfort (incomoditat) o dolor<\/strong>.<\/p>\n

Una altra part important d’aquest eix \u00e9s la microbiota intestinal. Es calcula que el c\u00f2lon alberga m\u00e9s de 10 14<\/sup> microorganismes, el 90% dels quals s\u00f3n bacteris.<\/p>\n

Entre les diverses funcions de la microbiota tenim: funci\u00f3 metab\u00f2lica, funci\u00f3 de barrera, funci\u00f3 de defensa i funci\u00f3 de manteniment<\/strong>.<\/p>\n

L’alteraci\u00f3 en la composici\u00f3 de la microbiota (Disbiosis intestinal<\/strong>), s’ha relacionat amb diferents malalties entre les quals es troba la s\u00edndrome d’intest\u00ed irritable<\/strong>.<\/p>\n

Nutrici\u00f3 i Trastorn Funcional Digestiu<\/strong><\/h2>\n

En els \u00faltims anys s’han realitzat estudis que demostren una millora dels s\u00edmptomes dels trastorns funcionals digestius (TFD) amb h\u00e0bits higi\u00e8nics-diet\u00e8tics adequats i la dieta mediterr\u00e0nia<\/strong>.<\/p>\n

S’ha demostrat que alguns r\u00e8gims alimentaris o fins i tot alguns menjars poden desencadenar s\u00edmptomes en individus amb TFD, com a disp\u00e8psia funcional i s\u00edndrome d’intest\u00ed irritable.<\/strong><\/p>\n

Fins al 75% dels adults amb s\u00edndrome d’intest\u00ed irritable informen que les dietes riques en carbohidrats, aliments grassos, caf\u00e8, alcohol i esp\u00e8cies picants<\/strong> empitjoren els seus s\u00edmptomes gastrointestinals.<\/p>\n

Els pacients disp\u00e8ptics solen informar que la quantitat del menjar, els patrons d’alimentaci\u00f3, la ingesta cal\u00f2rica com la composici\u00f3 de nutrients<\/strong> (l\u00edpids en particular) influeixen en l’aparici\u00f3 de s\u00edmptomes disp\u00e8ptics.<\/p>\n

S’han hipotetitzat diversos mecanismes que indicarien l’associaci\u00f3 entre el menjar i els s\u00edmptomes gastrointestinals<\/strong>, com ara la influ\u00e8ncia dels aliments en la composici\u00f3 de la microbiota (exemple: distensi\u00f3 abdominal relacionada amb la producci\u00f3 de gas fermentat a partir de bacteris quan es consumeixen aliments rics en carbohidrats i greixos saturats<\/strong>) i efectes directes d’alguns nutrients en la sensibilitat i motilitat gastrointestinal<\/strong>.<\/p>\n

Estr\u00e8s Ansietat \u2013 Trastorn Funcional Digestiu<\/strong><\/h2>\n

Els trastorns psicol\u00f2gics i els trastorns funcionals digestius (TFD) comparteixen predisposicions gen\u00e8tiques<\/strong>, particularment aquelles implicades en activitats serotonin\u00e8rgiques.<\/p>\n

Els trastorns psiqui\u00e0trics com\u00f2rbids s\u00f3n molt prevalents en els pacients amb TFD.<\/p>\n

Se sap a m\u00e9s que l’ansietat indueix disfunci\u00f3 sensoriomotora g\u00e0strica i pospandrial<\/strong> (disp\u00e8psia funcional).<\/p>\n

L’adversitat en edats primerenques juga un rol important per al desenvolupament de la patog\u00e8nesi dels TFD.<\/p>\n

Segons estudis s’ha demostrat que els tractaments psicol\u00f2gics adequats poden ajudar a millorar als pacients amb TFD, sobretot en TFD amb s\u00edmptomes de moderats a greus, i en casos en qu\u00e8 els s\u00edmptomes estiguin exacerbats per l’estr\u00e8s o s\u00edmptomes emocionals.<\/p>\n

Unitat Multidisciplin\u00e0ria de Neurogastroenterologia, Nutrici\u00f3 Humana i Psicologia Cl\u00ednica<\/strong><\/h2>\n

A causa de la relaci\u00f3 que existeix entre els trastorns funcionals digestius (TFD), la nutrici\u00f3 i la psicologia de les persones, a Cl\u00ednica ServiDigest de Barcelona s’ha creat la Unitat de Neurogastroenteroloia, Nutrici\u00f3 humana i Psicologia cl\u00ednica, amb l’objectiu d’oferir als pacients amb trastorns funcionals digestius (TFD) un estudi diagn\u00f2stic per a descartar organicitat mitjan\u00e7ant les t\u00e8cniques diagn\u00f2stiques disponibles actualment i un tractament multidisciplinari per un equip que inclou especialistes de digestiu, endocrinologia-nutrici\u00f3 i psicologia<\/strong>, per a la implementaci\u00f3 d’una dieta saludable de manera individualitzada i per a aprendre a manejar\/controlar l’ansietat\/estr\u00e8s<\/strong>.<\/p>\n

\u00a0<\/strong>BIBLIOGRAFIA<\/strong><\/p>\n

    \n
  1. Talley NJ. Functional gastrointestinal disorders as a public health problem.\u00a0Neurogastroenterol<\/a> Motil<\/a>. 2008 May;20 Suppl 1.<\/li>\n
  2. Parkman HP, Doma S. Importance of gastrointestinal motility disorders.\u00a0Practical<\/a> Gastroenterology<\/a>. September 2006.<\/li>\n
  3. Drossman DA, et al. Rome IV, the functional gastrointestinal disorders.\u00a0Gastroenterology<\/a> 2016.<\/li>\n
  4. Ballou S, Keefer L. Psychological Interventions for Irritable Bowel Syndrome and Inflammatory Bowel desease. <\/em>Clinical and Translational Gastroenterology: January<\/a> 2017<\/a>.<\/li>\n
  5. Palsson O.S, Whitehead, W.E. Psychological Treatments in Functional Gastrointestinal Disorders: A Primer for the Gastroenterologist.<\/em> Clinical Gastroenterology and Hepatology 2013.<\/li>\n
  6. Tang Q, Lin G-Y, Zhang M-Q. Cognitive-behavioral therapy for the management of irritable bowel syndrome<\/em>. World Journal Gastroenterology 2013 Dec<\/li>\n
  7. Wu, J-CY. Psychological Co-morbidity in functional gastrointestinal disorders: epidemology, mechanisms and management. <\/em>Journal of Neurogastrology and Motility, 2012.<\/li>\n
  8. Trichopoulou A, Mart\u00ednez-Gonz\u00e1lez MA, Tong TY, Forouhi NG, Khandelwal S, Prabhakaran D, Mozaffarian D, de Lorgeril M. Definitions and potential health benefits of the Mediterranean diet: views from experts around the world. BMC Med 2014.<\/li>\n
  9. Castro-Quezada I, Rom\u00e1n-Vi\u00f1as B, Serra-Majem L. The Mediterranean diet and nutritional adequacy: a review. Nutrients 2014.<\/li>\n
  10. Lopez-Garcia E, Rodriguez-Artalejo F, Li TY, Fung TT, Li S, Willett WC, Rimm EB, Hu FB. The Mediterranean-style dietary pattern and mortality among men and women with cardiovascular disease. Am J Clin Nutr 2014.<\/li>\n
  11. Gibson PR, Shepherd SJ. Food choice as a key management strategy for functional gastrointestinal symptoms. Am J Gastroenterol 2012.<\/li>\n
  12. Feinle-Bisset C, Azpiroz F. Dietary and lifestyle factors in functional dyspepsia. Nat Rev Gastroenterol Hepatol 2013.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Els trastorns funcionals digestius (TFD) s\u00f3n condicions cr\u00f2niques amb una alta prevalen\u00e7a i els seus s\u00edmptomes disminueixen la qualitat de vida del pacient, malgrat no tenir causa org\u00e0nica. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":40309,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[828],"tags":[623,279,624,625,626,627,628,629,630],"class_list":{"0":"post-32063","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-articles-medics","8":"tag-carbohidrats","9":"tag-dieta-mediterr-nia","10":"tag-disbiosi-intestinal","11":"tag-disp-psia-funcional","12":"tag-dolor-ca","13":"tag-funci-metab-lic","14":"tag-greixos-sarturats","15":"tag-restrenyiment-funcional","16":"tag-transtorn-funcional-digestiu"},"yoast_head":"\nEls trastorns funcionals digestius - Servidigest<\/title>\n<meta name=\"description\" content=\"Els trastorns funcionals digestius (TFD) s\u00f3n condicions cr\u00f2niques amb una alta prevalen\u00e7a i els seus s\u00edmptomes disminueixen la qualitat de vida del pacient.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Els trastorns funcionals digestius - Servidigest\" \/>\n<meta property=\"og:description\" content=\"Els trastorns funcionals digestius (TFD) s\u00f3n condicions cr\u00f2niques amb una alta prevalen\u00e7a i els seus s\u00edmptomes disminueixen la qualitat de vida del pacient.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/\" \/>\n<meta property=\"og:site_name\" content=\"Servidigest\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/servidigest\" \/>\n<meta property=\"article:published_time\" content=\"2022-09-05T08:08:27+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-05-23T10:31:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2022\/09\/doctor-servidigest-2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"700\" \/>\n\t<meta property=\"og:image:height\" content=\"448\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@servidigest\" \/>\n<meta name=\"twitter:site\" content=\"@servidigest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/person\/4079191c38c5398fcedefa4662bb1eff\"},\"headline\":\"Trastorn Funcional Digestiu\",\"datePublished\":\"2022-09-05T08:08:27+00:00\",\"dateModified\":\"2024-05-23T10:31:05+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/\"},\"wordCount\":955,\"publisher\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization\"},\"image\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2022\/09\/doctor-servidigest-2.jpg\",\"keywords\":[\"carbohidrats\",\"dieta mediterr\u00e0nia\",\"disbiosi intestinal\",\"disp\u00e8psia funcional\",\"dolor\",\"funci\u00f3 metab\u00f2lic\",\"greixos sarturats\",\"restrenyiment funcional\",\"transtorn funcional digestiu\"],\"articleSection\":[\"Articles m\u00e8dics\"],\"inLanguage\":\"ca\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/\",\"name\":\"Els trastorns funcionals digestius - Servidigest\",\"isPartOf\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2022\/09\/doctor-servidigest-2.jpg\",\"datePublished\":\"2022-09-05T08:08:27+00:00\",\"dateModified\":\"2024-05-23T10:31:05+00:00\",\"description\":\"Els trastorns funcionals digestius (TFD) s\u00f3n condicions cr\u00f2niques amb una alta prevalen\u00e7a i els seus s\u00edmptomes disminueixen la qualitat de vida del pacient.\",\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/#primaryimage\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2022\/09\/doctor-servidigest-2.jpg\",\"contentUrl\":\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2022\/09\/doctor-servidigest-2.jpg\",\"width\":700,\"height\":448},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/\",\"name\":\"Servidigest\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"ca\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization\",\"name\":\"Servidigest\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png\",\"contentUrl\":\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png\",\"width\":808,\"height\":88,\"caption\":\"Servidigest\"},\"image\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/servidigest\",\"https:\/\/x.com\/servidigest\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/person\/4079191c38c5398fcedefa4662bb1eff\",\"name\":\"admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/53f9a89ef31e8d5ae3cb0641f631d6ecbdbc5d0181748a33494e777d154431ba?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/53f9a89ef31e8d5ae3cb0641f631d6ecbdbc5d0181748a33494e777d154431ba?s=96&d=mm&r=g\",\"caption\":\"admin\"},\"sameAs\":[\"https:\/\/nifty-kirch.93-93-113-41.plesk.page\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Els trastorns funcionals digestius - Servidigest","description":"Els trastorns funcionals digestius (TFD) s\u00f3n condicions cr\u00f2niques amb una alta prevalen\u00e7a i els seus s\u00edmptomes disminueixen la qualitat de vida del pacient.","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:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/","og_locale":"ca_ES","og_type":"article","og_title":"Els trastorns funcionals digestius - Servidigest","og_description":"Els trastorns funcionals digestius (TFD) s\u00f3n condicions cr\u00f2niques amb una alta prevalen\u00e7a i els seus s\u00edmptomes disminueixen la qualitat de vida del pacient.","og_url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/","og_site_name":"Servidigest","article_publisher":"https:\/\/www.facebook.com\/servidigest","article_published_time":"2022-09-05T08:08:27+00:00","article_modified_time":"2024-05-23T10:31:05+00:00","og_image":[{"width":700,"height":448,"url":"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2022\/09\/doctor-servidigest-2.jpg","type":"image\/jpeg"}],"author":"admin","twitter_card":"summary_large_image","twitter_creator":"@servidigest","twitter_site":"@servidigest","twitter_misc":{"Written by":"admin","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/#article","isPartOf":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/"},"author":{"name":"admin","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/person\/4079191c38c5398fcedefa4662bb1eff"},"headline":"Trastorn Funcional Digestiu","datePublished":"2022-09-05T08:08:27+00:00","dateModified":"2024-05-23T10:31:05+00:00","mainEntityOfPage":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/"},"wordCount":955,"publisher":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization"},"image":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/#primaryimage"},"thumbnailUrl":"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2022\/09\/doctor-servidigest-2.jpg","keywords":["carbohidrats","dieta mediterr\u00e0nia","disbiosi intestinal","disp\u00e8psia funcional","dolor","funci\u00f3 metab\u00f2lic","greixos sarturats","restrenyiment funcional","transtorn funcional digestiu"],"articleSection":["Articles m\u00e8dics"],"inLanguage":"ca"},{"@type":"WebPage","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/","url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/","name":"Els trastorns funcionals digestius - Servidigest","isPartOf":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website"},"primaryImageOfPage":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/#primaryimage"},"image":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/#primaryimage"},"thumbnailUrl":"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2022\/09\/doctor-servidigest-2.jpg","datePublished":"2022-09-05T08:08:27+00:00","dateModified":"2024-05-23T10:31:05+00:00","description":"Els trastorns funcionals digestius (TFD) s\u00f3n condicions cr\u00f2niques amb una alta prevalen\u00e7a i els seus s\u00edmptomes disminueixen la qualitat de vida del pacient.","inLanguage":"ca","potentialAction":[{"@type":"ReadAction","target":["https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/"]}]},{"@type":"ImageObject","inLanguage":"ca","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/trastorns-funcionals-digestius\/#primaryimage","url":"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2022\/09\/doctor-servidigest-2.jpg","contentUrl":"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2022\/09\/doctor-servidigest-2.jpg","width":700,"height":448},{"@type":"WebSite","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website","url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/","name":"Servidigest","description":"","publisher":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"ca"},{"@type":"Organization","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization","name":"Servidigest","url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/","logo":{"@type":"ImageObject","inLanguage":"ca","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/","url":"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png","contentUrl":"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png","width":808,"height":88,"caption":"Servidigest"},"image":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/servidigest","https:\/\/x.com\/servidigest"]},{"@type":"Person","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/person\/4079191c38c5398fcedefa4662bb1eff","name":"admin","image":{"@type":"ImageObject","inLanguage":"ca","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/53f9a89ef31e8d5ae3cb0641f631d6ecbdbc5d0181748a33494e777d154431ba?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/53f9a89ef31e8d5ae3cb0641f631d6ecbdbc5d0181748a33494e777d154431ba?s=96&d=mm&r=g","caption":"admin"},"sameAs":["https:\/\/nifty-kirch.93-93-113-41.plesk.page"]}]}},"_links":{"self":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/posts\/32063","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/comments?post=32063"}],"version-history":[{"count":2,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/posts\/32063\/revisions"}],"predecessor-version":[{"id":40314,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/posts\/32063\/revisions\/40314"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/media\/40309"}],"wp:attachment":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/media?parent=32063"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/categories?post=32063"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/tags?post=32063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}