{"id":680,"date":"2022-10-20T19:12:48","date_gmt":"2022-10-20T19:12:48","guid":{"rendered":"https:\/\/centrodemiastenia.com\/pacientes\/?page_id=680"},"modified":"2022-10-21T21:44:20","modified_gmt":"2022-10-21T21:44:20","slug":"recomendaciones-especiales","status":"publish","type":"page","link":"https:\/\/centrodemiastenia.com\/pacientes\/recomendaciones-especiales\/","title":{"rendered":"RECOMENDACIONES ESPECIALES"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"680\" class=\"elementor elementor-680\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-576d1b2 elementor-section-height-min-height elementor-section-items-stretch elementor-section-boxed elementor-section-height-default\" data-id=\"576d1b2\" data-element_type=\"section\" id=\"miastenia\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3e966a0\" data-id=\"3e966a0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-70539da elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"70539da\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7ce1a16\" data-id=\"7ce1a16\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-50e94991 elementor-widget elementor-widget-heading\" data-id=\"50e94991\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">RECOMENDACIONES ESPECIALES<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3cf96dce elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3cf96dce\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-fc71fc5\" data-id=\"fc71fc5\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-bb7d77a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bb7d77a\" data-element_type=\"section\" id=\"card-tratamiento\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-59987fa\" data-id=\"59987fa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1de243f elementor-widget elementor-widget-image\" data-id=\"1de243f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"87\" height=\"136\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Vector-Smart-sObject.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a425e5c elementor-widget elementor-widget-heading\" data-id=\"a425e5c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">EMBARAZO<br>\nY LACTANCIA <\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d10fa6 elementor-widget elementor-widget-spacer\" data-id=\"8d10fa6\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));-ms-flex-item-align:stretch;align-self:stretch;-ms-flex-negative:0;flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8343eb5 elementor-align-left elementor-widget elementor-widget-button\" data-id=\"8343eb5\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"#EMBARAZO\" class=\"elementor-button-link elementor-button elementor-size-xs\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-right\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-angle-right\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Ver m\u00e1s<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-49a6fab\" data-id=\"49a6fab\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f8db7e9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f8db7e9\" data-element_type=\"section\" id=\"card-tratamiento\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-95948a4\" data-id=\"95948a4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e129b31 elementor-widget elementor-widget-image\" data-id=\"e129b31\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"125\" height=\"126\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Icono_vacunas.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56dce28 elementor-widget elementor-widget-heading\" data-id=\"56dce28\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">LAS VACUNAS<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3683092 elementor-widget elementor-widget-spacer\" data-id=\"3683092\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6096b80 elementor-align-left elementor-widget elementor-widget-button\" data-id=\"6096b80\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"#VACUNAS\" class=\"elementor-button-link elementor-button elementor-size-xs\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-right\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-angle-right\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Ver m\u00e1s<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-eb88960\" data-id=\"eb88960\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-aec9f2d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aec9f2d\" data-element_type=\"section\" id=\"card-tratamiento\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-8e5a1ac\" data-id=\"8e5a1ac\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a8734d1 elementor-widget elementor-widget-image\" data-id=\"a8734d1\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"116\" height=\"101\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Icono_emergencia.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-51e692e elementor-widget elementor-widget-heading\" data-id=\"51e692e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">CU\u00c1NDO BUSCAR <br>ATENCI\u00d3N M\u00c9DICA CON <br>URGENCIA (CRISIS <br>MIAST\u00c9NICA)<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eb2d1a2 elementor-widget elementor-widget-spacer\" data-id=\"eb2d1a2\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e8003ca elementor-align-left elementor-widget elementor-widget-button\" data-id=\"e8003ca\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"#URGENCIA\" class=\"elementor-button-link elementor-button elementor-size-xs\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-right\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-angle-right\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Ver m\u00e1s<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5ec5a2a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5ec5a2a\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-30ff9cb\" data-id=\"30ff9cb\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-6759ab7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6759ab7\" data-element_type=\"section\" id=\"card-tratamiento\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-451ed92\" data-id=\"451ed92\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3309702 elementor-widget elementor-widget-image\" data-id=\"3309702\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"101\" height=\"101\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Icono_Medicina-copy.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b1995f8 elementor-widget elementor-widget-heading\" data-id=\"b1995f8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">MEDICAMENTOS QUE <br>CAUSAN O EMPEORAN<br> LA MIASTENIA <\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46cb298 elementor-widget elementor-widget-spacer\" data-id=\"46cb298\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32bccd8 elementor-align-left elementor-widget elementor-widget-button\" data-id=\"32bccd8\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"#MEDICAMENTOS\" class=\"elementor-button-link elementor-button elementor-size-xs\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-right\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-angle-right\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Ver m\u00e1s<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-4efec68\" data-id=\"4efec68\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-44ca651 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"44ca651\" data-element_type=\"section\" id=\"card-tratamiento\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-5275b2b\" data-id=\"5275b2b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7bdfead elementor-widget elementor-widget-image\" data-id=\"7bdfead\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"101\" height=\"119\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Vectssor-Smart-Object.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eb76fb8 elementor-widget elementor-widget-heading\" data-id=\"eb76fb8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">CONTROLES<br> PERI\u00d3DICOS<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a888b1 elementor-widget elementor-widget-spacer\" data-id=\"1a888b1\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ffbf661 elementor-align-left elementor-widget elementor-widget-button\" data-id=\"ffbf661\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"#CONTROLES\" class=\"elementor-button-link elementor-button elementor-size-xs\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-right\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-angle-right\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Ver m\u00e1s<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-e66b240\" data-id=\"e66b240\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-84aea15 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"84aea15\" data-element_type=\"section\" id=\"card-tratamiento\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-47a19b4\" data-id=\"47a19b4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-84e4128 elementor-widget elementor-widget-image\" data-id=\"84e4128\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"110\" height=\"114\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Icono_Precauciones_sol.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61213d4 elementor-widget elementor-widget-heading\" data-id=\"61213d4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">PRECAUCIONES <br>CON EL SOL <\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-93f46ae elementor-widget elementor-widget-spacer\" data-id=\"93f46ae\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9c7db8d elementor-align-left elementor-widget elementor-widget-button\" data-id=\"9c7db8d\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"#PRECAUCIONES\" class=\"elementor-button-link elementor-button elementor-size-xs\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-right\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-angle-right\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Ver m\u00e1s<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-970dbfe elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"970dbfe\" data-element_type=\"section\" id=\"EMBARAZO\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9031c0e\" data-id=\"9031c0e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d0a587a elementor-widget elementor-widget-heading\" data-id=\"d0a587a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">EMBARAZO Y LACTANCIA <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e1ff19 elementor-widget elementor-widget-spacer\" data-id=\"8e1ff19\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-abf759e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"abf759e\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-cacfedd\" data-id=\"cacfedd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5dd6887 elementor-widget__width-initial elementor-widget-tablet__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"5dd6887\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Embarazo y miastenia gravis son compatibles y no hay ninguna raz\u00f3n para desalentar la concepci\u00f3n en las mujeres con miastenia. La mayor\u00eda de las mujeres con miastenia bien controlada pueden tener un embarazo normal.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4af0abb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4af0abb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4b86a4b\" data-id=\"4b86a4b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4f77789 elementor-widget elementor-widget-text-editor\" data-id=\"4f77789\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Es importante tener en cuenta algunas recomendaciones especiales y que se necesita asesoramiento previo a la concepci\u00f3n, para que los resultados sean \u00f3ptimos para la madre y el beb\u00e9.<br \/>\u2022 El manejo de la mujer con miastenia embarazada debe ser multidisciplinario, con la colaboraci\u00f3n de especialistas en neurolog\u00eda, ginecolog\u00eda, obstetricia y pediatr\u00eda.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-bb9aa21\" data-id=\"bb9aa21\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6dd040e elementor-widget elementor-widget-image\" data-id=\"6dd040e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"261\" height=\"325\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Ilus_embarazo.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-85f5aff elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"85f5aff\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-164c0b7\" data-id=\"164c0b7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1640855 elementor-widget elementor-widget-eael-adv-tabs\" data-id=\"1640855\" data-element_type=\"widget\" data-widget_type=\"eael-adv-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t        <div id=\"eael-advance-tabs-1640855\" class=\"eael-advance-tabs eael-tabs-horizontal eael-tab-auto-active active-caret-on responsive-vertical-layout\" data-tabid=\"1640855\">\n            <div class=\"eael-tabs-nav\">\n                <ul class=\"\">\n                                            <li id=\"consejos-previosbral-embarazo\" class=\"inactive eael-tab-item-trigger\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"consejos-previosbral-embarazo-tab\" aria-expanded=\"false\">\n                            \n                            \n                            \n                                                            <span class=\"eael-tab-title  title-after-icon\">CONSEJOS PREVIOS<br>AL EMBARAZO<\/span>                                                    <\/li>\n                                            <li id=\"durante-la-brgestacin\" class=\"inactive eael-tab-item-trigger\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"durante-la-brgestacin-tab\" aria-expanded=\"false\">\n                            \n                            \n                            \n                                                            <span class=\"eael-tab-title  title-after-icon\">DURANTE LA <br>GESTACI\u00d3N<\/span>                                                    <\/li>\n                                            <li id=\"parto-vaginal-bro-cesrea\" class=\"inactive eael-tab-item-trigger\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"parto-vaginal-bro-cesrea-tab\" aria-expanded=\"false\">\n                            \n                            \n                            \n                                                            <span class=\"eael-tab-title  title-after-icon\">\u00bfPARTO VAGINAL <br>O CES\u00c1REA?<\/span>                                                    <\/li>\n                                            <li id=\"cules-son-los-riesgos-brpara-el-beb\" class=\"inactive eael-tab-item-trigger\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"cules-son-los-riesgos-brpara-el-beb-tab\" aria-expanded=\"false\">\n                            \n                            \n                            \n                                                            <span class=\"eael-tab-title  title-after-icon\">\u00bfCU\u00c1LES SON LOS RIESGOS <br>PARA EL BEB\u00c9?<\/span>                                                    <\/li>\n                                            <li id=\"lactancia-brs-o-no\" class=\"inactive eael-tab-item-trigger\" aria-selected=\"false\" data-tab=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"lactancia-brs-o-no-tab\" aria-expanded=\"false\">\n                            \n                            \n                            \n                                                            <span class=\"eael-tab-title  title-after-icon\">LACTANCIA <br>\u00bfS\u00cd O NO?<\/span>                                                    <\/li>\n                                    <\/ul>\n            <\/div>\n            \n            <div class=\"eael-tabs-content\">\n\t\t        \n                    <div id=\"consejos-previosbral-embarazo-tab\" class=\"clearfix eael-tab-content-item inactive\" data-title-link=\"consejos-previosbral-embarazo-tab\">\n\t\t\t\t        \t\t\t\t\t        \t\t<div data-elementor-type=\"section\" data-elementor-id=\"948\" class=\"elementor elementor-948\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d29a2d5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d29a2d5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-51df2ae\" data-id=\"51df2ae\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-aeb1afb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aeb1afb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-84ae17c\" data-id=\"84ae17c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f87ed5b elementor-widget elementor-widget-image\" data-id=\"f87ed5b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"734\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Group-76.svg\" class=\"attachment-large size-large\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-69b87a5\" data-id=\"69b87a5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-faf7107 elementor-widget elementor-widget-text-editor\" data-id=\"faf7107\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 <b>Planifique el embarazo<\/b>. Ello le permitir\u00e1 elegir el mejor momento debido a que lo ideal es que la MG est\u00e9 <b>controlada y estable<\/b>. Tambi\u00e9n permitir\u00e1 <b>sustituir <\/b>los f\u00e1rmacos inmunosupresores que se asocian con mayor riesgo de malformaciones para el feto: <b>metotrexato, micofenolato mofetil y rituximab<\/b>, con suficiente antelaci\u00f3n antes de la concepci\u00f3n. <br>\u2022 Los riesgos son m\u00ednimos para la embarazada y el feto cuando la MG es leve y se ha mantenido bajo <b>control <\/b>los <b>meses previos a la concepci\u00f3n<\/b>. La mayor\u00eda de las mujeres miast\u00e9nicas se mantienen estables durante la gestaci\u00f3n. <\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac76540 elementor-widget elementor-widget-text-editor\" data-id=\"ac76540\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Las mujeres a quienes se ha realizado una <b>timectom\u00eda <\/b>tienen <b>menos riesgo de empeoramiento<\/b> de la miastenia. Debido a que los resultados suelen comenzar a ser evidentes al menos un a\u00f1o despu\u00e9s de la cirug\u00eda, se aconseja realizar la timectom\u00eda lo m\u00e1s temprano posible despu\u00e9s del diagn\u00f3stico (Medicina 2021;57:1277). <br \/>\u2022 Se deben <b>evitar <\/b>los factores que puedan <b>desencadenar <\/b>un <b>aumento <\/b>de los <b>s\u00edntomas<\/b>, tales como infecciones (urinaria, endometriosis, mastitis), f\u00e1rmacos contraindicados en la MG u otros. <br \/>\u2022 Se aconseja recibir \u00e1cido f\u00f3lico desde que se planifica la concepci\u00f3n hasta el segundo trimestre del embarazo, para prevenir malformaciones fetales del tubo neural.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t                            <\/div>\n\t\t        \n                    <div id=\"durante-la-brgestacin-tab\" class=\"clearfix eael-tab-content-item inactive\" data-title-link=\"durante-la-brgestacin-tab\">\n\t\t\t\t        \t\t\t\t\t        \t\t<div data-elementor-type=\"section\" data-elementor-id=\"961\" class=\"elementor elementor-961\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d29a2d5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d29a2d5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-51df2ae\" data-id=\"51df2ae\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-aeb1afb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aeb1afb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-84ae17c\" data-id=\"84ae17c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f87ed5b elementor-widget elementor-widget-image\" data-id=\"f87ed5b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"792\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Group-203.svg\" class=\"attachment-large size-large\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-69b87a5\" data-id=\"69b87a5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-faf7107 elementor-widget elementor-widget-text-editor\" data-id=\"faf7107\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Mantenga estable su tratamiento y ajuste la dosis, si el m\u00e9dico lo considera necesario.<br \/>\u2022 Mantenga una dieta saludable y con suficiente aporte de nutrientes b\u00e1sicos. Si realiza actividad f\u00edsica, debe ser moderada y adaptada a la gestaci\u00f3n.<br \/>\u2022 Son seguros los f\u00e1rmacos anticolinester\u00e1sicos y los corticosteroides, as\u00ed como la plasmaf\u00e9resis y la inmunoglobulina intravenosa si fueran necesarios. Se deben usar con la dosis m\u00ednima posible la azatioprina, la ciclosporina y el tacrolimus. El metotrexato, el micofenolato mofetil y el rituximab no deber\u00eda usarse en el embarazo, en especial, durante el primer trimestre, momento de mayor riesgo de malformaciones fetales (teratog\u00e9nesis). <\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac76540 elementor-widget elementor-widget-text-editor\" data-id=\"ac76540\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Realice los controles ecogr\u00e1ficos peri\u00f3dicos que indique el obstetra. La ecograf\u00eda fetal es importante para detectar anomal\u00edas del desarrollo y crecimiento del beb\u00e9. En algunos casos, puede estar indicado el control m\u00e1s frecuente con ecograf\u00eda, por ejemplo, mensual.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t                            <\/div>\n\t\t        \n                    <div id=\"parto-vaginal-bro-cesrea-tab\" class=\"clearfix eael-tab-content-item inactive\" data-title-link=\"parto-vaginal-bro-cesrea-tab\">\n\t\t\t\t        \t\t\t\t\t        \t\t<div data-elementor-type=\"section\" data-elementor-id=\"965\" class=\"elementor elementor-965\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d29a2d5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d29a2d5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-51df2ae\" data-id=\"51df2ae\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-aeb1afb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aeb1afb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-84ae17c\" data-id=\"84ae17c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f87ed5b elementor-widget elementor-widget-image\" data-id=\"f87ed5b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"339\" height=\"390\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Vector-Smart-Object-1.png\" class=\"attachment-large size-large\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Vector-Smart-Object-1.png 339w, https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Vector-Smart-Object-1-261x300.png 261w\" sizes=\"(max-width: 339px) 100vw, 339px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-69b87a5\" data-id=\"69b87a5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-faf7107 elementor-widget elementor-widget-text-editor\" data-id=\"faf7107\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Se recomienda el<b> parto vaginal espont\u00e1neo<\/b>. Se debe tener en cuenta que puede fatigarse durante el parto o no tener suficiente fuerza en los m\u00fasculos abdominales para lograr la expulsi\u00f3n del beb\u00e9; en esos casos, puede requerirse el uso de instrumentos como f\u00f3rceps. <br \/>\u2022 La ces\u00e1rea se reserva para indicaciones obst\u00e9tricas. No hay contraindicaci\u00f3n para el bloqueo epidural.<br \/>\u2022 En el primer mes siguiente al parto hay riesgo de empeoramiento de la miastenia y se aconseja consultar si los s\u00edntomas tienden a acentuarse.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t                            <\/div>\n\t\t        \n                    <div id=\"cules-son-los-riesgos-brpara-el-beb-tab\" class=\"clearfix eael-tab-content-item inactive\" data-title-link=\"cules-son-los-riesgos-brpara-el-beb-tab\">\n\t\t\t\t        \t\t\t\t\t        <p>\u2022 Los anticuerpos AChRA maternos pueden atravesar la placenta y afectar al beb\u00e9 en el \u00fatero, pudiendo causar:<br \/>\u2022 Una malformaci\u00f3n cong\u00e9nita grave, llamada <strong>artrogriposis m\u00faltiple cong\u00e9nita<\/strong>, que es infrecuente (1% de las gestaciones) y se detecta mediante la ecograf\u00eda; <br \/>\u2022 Miastenia neonatal, un cuadro transitorio, <strong>autolimitado<\/strong> y generalmente leve, que puede presentarse en <strong>10% a 20%<\/strong> de los beb\u00e9s. La miastenia neonatal se debe a la presencia de anticuerpos maternos AChRA en la circulaci\u00f3n del reci\u00e9n nacido. A medida que estos anticuerpos son eliminados y el beb\u00e9 produce sus defensas, el cuadro desaparece. Se debe estar atentos a la aparici\u00f3n de s\u00edntomas dentro de los tres primeros d\u00edas siguientes al nacimiento: p\u00e1rpados ca\u00eddos, dificultad para mamar, llanto d\u00e9bil, flaccidez general. <\/p>\t\t\t\t                            <\/div>\n\t\t        \n                    <div id=\"lactancia-brs-o-no-tab\" class=\"clearfix eael-tab-content-item inactive\" data-title-link=\"lactancia-brs-o-no-tab\">\n\t\t\t\t        \t\t\t\t\t        \t\t<div data-elementor-type=\"section\" data-elementor-id=\"971\" class=\"elementor elementor-971\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d29a2d5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d29a2d5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-51df2ae\" data-id=\"51df2ae\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-aeb1afb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aeb1afb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-84ae17c\" data-id=\"84ae17c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f87ed5b elementor-widget elementor-widget-image\" data-id=\"f87ed5b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"172\" height=\"284\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Vector-Smart-Object-2.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-69b87a5\" data-id=\"69b87a5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-faf7107 elementor-widget elementor-widget-text-editor\" data-id=\"faf7107\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 S\u00ed: la lactancia materna es segura y recomendable. <br \/>\u2022 Solamente debe evitarse: 1) en caso de miastenia neonatal, porque los anticuerpos AChRA pueden ser transferidos a trav\u00e9s de la leche materna y, 2) si la madre recibe azatioprina, micofenolato mofetil o ciclofosfamida, que pueden causar inmunodepresi\u00f3n en el beb\u00e9.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t                            <\/div>\n\t\t                    <\/div>\n        <\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-607cef4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"607cef4\" data-element_type=\"section\" id=\"VACUNAS\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6ae7c3e\" data-id=\"6ae7c3e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c8d4a6d elementor-widget elementor-widget-heading\" data-id=\"c8d4a6d\" data-element_type=\"widget\" id=\"LAS VACUNAS\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">LAS VACUNAS<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-81f19a2 elementor-widget elementor-widget-text-editor\" data-id=\"81f19a2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Las vacunas son importantes para prevenir infecciones respiratorias, que pueden desencadenar una crisis miast\u00e9nica y comprometer los m\u00fasculos respiratorios.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-d2549d8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d2549d8\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-6a71e1a\" data-id=\"6a71e1a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6179c1b elementor-widget__width-initial elementor-widget-tablet__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"6179c1b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Las vacunas son seguras para las personas con miastenia, con la excepci\u00f3n de las elaboradas con microorganismos vivos atenuados, que no deben administrarse a quienes reciben inmunosupresores.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-3e5d7ad elementor-widget elementor-widget-heading\" data-id=\"3e5d7ad\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">VACUNAS RECOMENDADAS<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-911fb01 elementor-widget elementor-widget-text-editor\" data-id=\"911fb01\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Las siguientes vacunas se administran habitualmente para prevenir la infecci\u00f3n por:<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-fc52c5c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fc52c5c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-df94d9c\" data-id=\"df94d9c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f27bea2 elementor-widget elementor-widget-text-editor\" data-id=\"f27bea2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Influenza (Gripe), intramuscular: Se recomienda la vacunaci\u00f3n estacional, anual. La vacuna con virus inactivado, aplicada por v\u00eda intramuscular, es segura en la MG.<br \/>\u2022 Neumococo (Neumon\u00eda): La vacuna con bacterias inactivadas se considera segura para las personas inmunosuprimidas.<br \/>\u2022 Meningococo (Meningitis): En especial para quienes iniciar\u00e1n tratamiento con eculizumab.<br \/>\u2022 Hepatitis B.<br \/>\u2022 DTaP (Difteria \u2013 T\u00e9tanos \u2013 Tos ferina [Pertussis acelular]).<br \/>\u2022 VPH (Virus de papiloma humano).<br \/>\u2022 MMR (Sarampi\u00f3n \u2013 Paperas &#8211; Rub\u00e9ola).<br \/>\u2022 Varicela (Varicela): A edad temprana.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ccb51f6\" data-id=\"ccb51f6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-92b8d28 elementor-widget elementor-widget-image\" data-id=\"92b8d28\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"944\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Ilus_Vacunas.svg\" class=\"attachment-large size-large\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-80b3dc8 elementor-widget elementor-widget-text-editor\" data-id=\"80b3dc8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Shingrix\u00ae (Herpes Z\u00f3ster) (vacuna recombinante): Para los adultos mayores de 50 a\u00f1os. <br \/>\u2022 SARS-CoV-2 (COVID-19): Se recomienda para todos los pacientes con enfermedades autoinmunes como la MG, excepto alguna contraindicaci\u00f3n espec\u00edfica como alergia a cualquiera de los componentes de la vacuna. A la fecha, no hay preferencia por una vacuna sobre otra. Se recomienda estar atento para detectar cualquier evento adverso post inmunizaci\u00f3n.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-72ec9ac elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"72ec9ac\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6312890\" data-id=\"6312890\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-12d9905 elementor-widget elementor-widget-heading\" data-id=\"12d9905\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">VACUNAS CONTRAINDICADAS SI RECIBE INMUNOSUPRESORES<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-cf46731 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cf46731\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b42b4ab\" data-id=\"b42b4ab\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-521fdfe elementor-widget elementor-widget-text-editor\" data-id=\"521fdfe\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Si recibe terapia inmunosupresora, est\u00e1n contraindicadas las vacunas en base a microorganismos vivos atenuados:<br \/>\u2022 Contra el Herpes Z\u00f3ster con virus vivo atenuado,<br \/>\u2022 Anti influenza en spray nasal,<br \/>\u2022 Contra la fiebre amarilla (en caso de viajar a zonas end\u00e9micas),<br \/>\u2022 MMR (Sarampi\u00f3n \u2013 Paperas &#8211; Rub\u00e9ola).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0815c44\" data-id=\"0815c44\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-67db7cc elementor-widget elementor-widget-image\" data-id=\"67db7cc\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"195\" height=\"167\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Vector-Smart-Object-1.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6cb916f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6cb916f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2b2ab57\" data-id=\"2b2ab57\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cc00f1f elementor-widget elementor-widget-text-editor\" data-id=\"cc00f1f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Es aconsejable recibir las vacunas con tiempo suficiente antes de iniciar la terapia inmunosupresora.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ccc434b elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"ccc434b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Para la gran mayor\u00eda de las personas con MG, los beneficios de la vacunaci\u00f3n superan los riesgos potenciales como, por ejemplo, un posible empeoramiento transitorio de los s\u00edntomas.<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d88d636 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d88d636\" data-element_type=\"section\" id=\"URGENCIA\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dab6159\" data-id=\"dab6159\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a000534 elementor-widget elementor-widget-heading\" data-id=\"a000534\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">CU\u00c1NDO BUSCAR ATENCI\u00d3N M\u00c9DICA CON URGENCIA (CRISIS MIAST\u00c9NICA)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c6a5c9a elementor-widget elementor-widget-heading\" data-id=\"c6a5c9a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u00bfQU\u00c9 ES UNA CRISIS MIAST\u00c9NICA?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e547c66 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e547c66\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-023ad75\" data-id=\"023ad75\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-52417f6 elementor-widget elementor-widget-image\" data-id=\"52417f6\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"559\" height=\"471\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Ilus_Hospital.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4b8d0e9\" data-id=\"4b8d0e9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e511069 elementor-widget elementor-widget-text-editor\" data-id=\"e511069\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Una crisis miast\u00e9nica ocurre cuando la debilidad compromete de manera grave a los m\u00fasculos respiratorios, como el diafragma y los m\u00fasculos intercostales, o los m\u00fasculos orofar\u00edngeos. <br \/>\u2022 Es una emergencia m\u00e9dica, que requiere internaci\u00f3n y tratamiento inmediato, debido a que puede haber riesgo para la vida. <br \/>\u2022 En general, una crisis miast\u00e9nica es desencadenada por alguna infecci\u00f3n, puede aparecer durante un posoperatorio o si se abandona la medicaci\u00f3n para tratar la miastenia, especialmente los corticoesteroides, de forma brusca. Algunas veces, no se encuentra ninguna causa desencadenante.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-fcd921f elementor-widget elementor-widget-text-editor\" data-id=\"fcd921f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Durante la crisis, es fundamental asegurar la ventilaci\u00f3n pulmonar y la oxigenaci\u00f3n, para lo cual puede llegar a ser necesaria la ventilaci\u00f3n mec\u00e1nica en la Unidad de Cuidados Intensivos.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cdb5c62 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cdb5c62\" data-element_type=\"section\" id=\"MEDICAMENTOS\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ab5e8b3\" data-id=\"ab5e8b3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-92f0d5e elementor-widget elementor-widget-heading\" data-id=\"92f0d5e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">MEDICAMENTOS QUE CAUSAN O EMPEORAN LA MIASTENIA<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-903f5b1 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"903f5b1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Algunos medicamentos pueden empeorar los s\u00edntomas de miastenia. Recuerde avisar siempre a cualquier m\u00e9dico o dentista que lo asista, que usted tiene miastenia gravis. <\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1dacfbf4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1dacfbf4\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1ad6f68\" data-id=\"1ad6f68\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-8558be9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8558be9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7f2025ee\" data-id=\"7f2025ee\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-282cfd0 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"282cfd0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">F\u00c1RMACOS QUE SE DEBEN EVITAR O USAR CON CAUTELA PORQUE PUEDEN DESENCADENAR O EMPEORAR LA MIASTENIA*<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-465441cd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"465441cd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-2e58750e\" data-id=\"2e58750e\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7285b17c elementor-widget elementor-widget-heading\" data-id=\"7285b17c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Bloqueadores neuromusculares y relajantes<br>musculares \n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bd53588 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"bd53588\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 <b>Toxina botul\u00ednica <br>(NO USAR).<\/b><br>\n\u2022 Succinilcolina.<br>\n\u2022 Pancuronio, D-tubocurarina.\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3762936 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"3762936\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 Sulfato de magnesio (en altas dosis <br>intravenosas) y sales de magnesio.<br>\n\u2022 Metocarbamol.\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-467ef7d8\" data-id=\"467ef7d8\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0628f42 elementor-widget elementor-widget-heading\" data-id=\"0628f42\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Anest\u00e9sicos (generales y locales) y depresores del sistema nervioso<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a63fd65 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"a63fd65\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 Diazepam<br>\n\u2022 \u00c9ter<br>\n\u2022 Halotano<br>\n\u2022 Ketamina<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cc43fbe elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"cc43fbe\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 Propanidida<br>\n\u2022 Cloroproca\u00edna<br>\n\u2022 Lidoca\u00edna<br>\n\u2022 Proca\u00edna<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-85f3ba6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"85f3ba6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-dbcdfc4\" data-id=\"dbcdfc4\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-66c8f47 elementor-widget elementor-widget-heading\" data-id=\"66c8f47\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Antibi\u00f3ticos<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6fe22cc elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"6fe22cc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 <b>Telitromicina<br>(NO USAR).<\/b><br>\n\u2022  Aminogluc\u00f3sidos: Gentamicina, neomicina, tobramicina.\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9ae3fdf elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"9ae3fdf\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 Macr\u00f3lidos: Eritromicina, azitromicina, claritromicina.\n\u2022 Fluoroquinolonas: Ciprofloxacina, levofloxacina, moxifloxacina, ofloxacina\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8f966a2\" data-id=\"8f966a2\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-57c7228 elementor-widget elementor-widget-heading\" data-id=\"57c7228\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Inhibidores de puntos de control inmunitario<br><br>\n\n\u2022 Ipilimumab, pembrolizumab, nivolumab,<br> atezolizumab.<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4943be7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4943be7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-dd600fc\" data-id=\"dd600fc\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bbdc665 elementor-widget elementor-widget-heading\" data-id=\"bbdc665\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">F\u00e1rmacos antiepil\u00e9pticos<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16d892e elementor-widget elementor-widget-heading\" data-id=\"16d892e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 Gabapentina.<br>\n\u2022 Fenito\u00edna.<br>\n\u2022 Trimetadiona.\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-121cf4c\" data-id=\"121cf4c\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-764b500 elementor-widget elementor-widget-heading\" data-id=\"764b500\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">F\u00e1rmacos antipsic\u00f3ticos<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-519b393 elementor-widget elementor-widget-heading\" data-id=\"519b393\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 Clorpomazina.<br>\n\u2022 Litio.<br>\n\u2022 Fenotiazinas.<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-36ee3f7f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"36ee3f7f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-2dd1c618\" data-id=\"2dd1c618\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c51b91b elementor-widget elementor-widget-heading\" data-id=\"c51b91b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Medicamentos cardiovasculares<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2774066 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"2774066\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 Bloqueadores beta <br>(betabloqueantes):<br>Propranolol, atenolol, <br>labetalol, metoprolol, <br>nadolol y otros.<br>\n\u2022 Procainamida.<br>\n\u2022 Bretilio.<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-806d3f3 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"806d3f3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 Propafenona.<br>\n\u2022 Quinina, quinidina.<br>\n\u2022 Bloqueadores del <br>canal de calcio: <br>Verapamilo y otros.<br>\n\u2022 Estatinas.\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3ca843fb\" data-id=\"3ca843fb\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-eabce87 elementor-widget elementor-widget-heading\" data-id=\"eabce87\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Varios<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-98bc06c elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"98bc06c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 <b>D-penicilamina <br>NO USAR)<\/b><br>\n\u2022 <b>Interfer\u00f3n alfa <br>(NO USAR)<\/b><br>\n\u2022 Cloroquina,<br> hidroxicloroquina\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-370cb1f elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"370cb1f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u2022 Deferroxamina<br>\n\u2022 Agentes de contraste <br>radiol\u00f3gico yodados <br>(los m\u00e1s modernos son <br>m\u00e1s seguros)\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-5289ece elementor-widget elementor-widget-spacer\" data-id=\"5289ece\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b8e7b1e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"7b8e7b1e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t*Es preferible usar otra alternativa terap\u00e9utica. Utilizar s\u00f3lo en caso de que los beneficios superen un posible riesgo de agravamiento y no existan alternativas <br>adecuadas. Se recomienda estar sumamente atento a los s\u00edntomas.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a1e85c6 elementor-widget elementor-widget-spacer\" data-id=\"a1e85c6\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-6378ac34 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6378ac34\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-2e8e0979\" data-id=\"2e8e0979\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-50a2ebc3 elementor-widget elementor-widget-image\" data-id=\"50a2ebc3\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"83\" height=\"71\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Color-Overlay.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-6844f5ce\" data-id=\"6844f5ce\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43b8387b elementor-widget-tablet__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"43b8387b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Precauci\u00f3n especial al inicio del tratamiento inmunosupresor con corticoesteroides: puede haber un empeoramiento transitorio de la miastenia, dentro de las 2 primeras semanas.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-f31f8ba elementor-widget elementor-widget-spacer\" data-id=\"f31f8ba\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-02f178d elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"02f178d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Consulte con su m\u00e9dico antes de comenzar cualquier tratamiento nuevo, incluso si se trata de productos sin prescripci\u00f3n m\u00e9dica (de venta libre). Si sus s\u00edntomas empeoran al iniciar un nuevo medicamento, avise a su m\u00e9dico.<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f58d0d0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f58d0d0\" data-element_type=\"section\" id=\"CONTROLES\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8899bb1\" data-id=\"8899bb1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-119c44d elementor-widget elementor-widget-heading\" data-id=\"119c44d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">CONTROLES PERI\u00d3DICOS<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-81ad78c elementor-widget elementor-widget-text-editor\" data-id=\"81ad78c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Adem\u00e1s del seguimiento por el neur\u00f3logo, es muy importante el control peri\u00f3dico por otros especialistas, para la detecci\u00f3n y el manejo de cualquier otra afecci\u00f3n general (hipertensi\u00f3n arterial, diabetes mellitus, etc.) o espec\u00edfica (cataratas).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-a4c1cec elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a4c1cec\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-487802a\" data-id=\"487802a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-48dacbf elementor-widget elementor-widget-text-editor\" data-id=\"48dacbf\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 M\u00e9dico cl\u00ednico,<br \/>\u2022 Laboratorio de an\u00e1lisis cl\u00ednicos,<br \/>\u2022 Ginecolog\u00eda,<br \/>\u2022 Densitometr\u00eda \u00f3sea, <br \/>\u2022 Odontolog\u00eda, <br \/>\u2022 Oftalmolog\u00eda.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b126358\" data-id=\"b126358\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a835fb7 elementor-widget elementor-widget-image\" data-id=\"a835fb7\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"485\" height=\"256\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Ilus_Mdedicos.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d090101 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d090101\" data-element_type=\"section\" id=\"PRECAUCIONES\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bc8baca\" data-id=\"bc8baca\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dae5e56 elementor-widget elementor-widget-heading\" data-id=\"dae5e56\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PRECAUCIONES CON EL SOL <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cb066f elementor-widget elementor-widget-text-editor\" data-id=\"1cb066f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Para las personas con MG que reciben tratamiento inmunosupresor cr\u00f3nico, existe riesgo aumentado de desarrollar c\u00e1ncer de piel, melanoma o no melanoma. <br \/>Algunos de los f\u00e1rmacos que se asocian con mayor riesgo de c\u00e1ncer de piel son: <br \/>\u2022 Azatioprina,<br \/>\u2022 Micofenolato mofetil, <br \/>\u2022 Tacrolimus,<br \/>\u2022 Ciclosporina.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-97610ec elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"97610ec\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b228e91\" data-id=\"b228e91\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-28b7aa1 elementor-widget elementor-widget-heading\" data-id=\"28b7aa1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PREVENCI\u00d3N DE C\u00c1NCER DE PIEL<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7ebc0bc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7ebc0bc\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-f323efd\" data-id=\"f323efd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ffb9258 elementor-widget elementor-widget-image\" data-id=\"ffb9258\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"256\" height=\"285\" src=\"https:\/\/centrodemiastenia.com\/pacientes\/wp-content\/uploads\/sites\/2\/2022\/10\/Vector-Smart-Object.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d745230\" data-id=\"d745230\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ce6074c elementor-widget elementor-widget-text-editor\" data-id=\"ce6074c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Antes de iniciar la terapia inmunosupresora, se recomienda un examen completo de piel por un especialista en dermatolog\u00eda. <br \/>\u2022 Realice un examen regular de la piel de todo el cuerpo cada 6 a 12 meses, seg\u00fan cada situaci\u00f3n personal: antecedentes familiares, exposici\u00f3n al sol laboral, etc.<br \/>\u2022 Use factor de protecci\u00f3n (SPF) 50 todos los d\u00edas, incuso si est\u00e1 nublado. <br \/>\u2022 Use ropa con mangas largas y de color oscuro.<br \/>\u2022 Evite la exposici\u00f3n al sol entre las 12 am y las 16 pm.<br \/>\u2022 Use un sombrero o una gorra con ala ancha.<br \/>\u2022 No utilice camas de bronceado con rayos ultravioleta.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>RECOMENDACIONES ESPECIALES EMBARAZO Y LACTANCIA Ver m\u00e1s LAS VACUNAS Ver m\u00e1s CU\u00c1NDO BUSCAR ATENCI\u00d3N M\u00c9DICA CON URGENCIA (CRISIS MIAST\u00c9NICA) Ver m\u00e1s MEDICAMENTOS QUE CAUSAN O EMPEORAN LA MIASTENIA Ver m\u00e1s CONTROLES PERI\u00d3DICOS Ver m\u00e1s PRECAUCIONES CON EL SOL Ver m\u00e1s EMBARAZO Y LACTANCIA Embarazo y miastenia gravis son compatibles y no hay ninguna raz\u00f3n para [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"_links":{"self":[{"href":"https:\/\/centrodemiastenia.com\/pacientes\/wp-json\/wp\/v2\/pages\/680"}],"collection":[{"href":"https:\/\/centrodemiastenia.com\/pacientes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/centrodemiastenia.com\/pacientes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/centrodemiastenia.com\/pacientes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/centrodemiastenia.com\/pacientes\/wp-json\/wp\/v2\/comments?post=680"}],"version-history":[{"count":253,"href":"https:\/\/centrodemiastenia.com\/pacientes\/wp-json\/wp\/v2\/pages\/680\/revisions"}],"predecessor-version":[{"id":1002,"href":"https:\/\/centrodemiastenia.com\/pacientes\/wp-json\/wp\/v2\/pages\/680\/revisions\/1002"}],"wp:attachment":[{"href":"https:\/\/centrodemiastenia.com\/pacientes\/wp-json\/wp\/v2\/media?parent=680"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}