{"id":11511,"date":"2025-07-26T15:27:12","date_gmt":"2025-07-26T13:27:12","guid":{"rendered":"https:\/\/valintermed.com\/?p=11511"},"modified":"2025-07-26T15:27:12","modified_gmt":"2025-07-26T13:27:12","slug":"giperemezis-beremennyh","status":"publish","type":"post","link":"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/","title":{"rendered":"Hyperemesis gravidarum"},"content":{"rendered":"<div class=\"fpm_start\"><\/div>\n<p>Hyperemesis gravidarum is a severe form of toxicosis characterized by significant nausea and vomiting that makes adequate nutrition and hydration difficult or impossible. This condition usually occurs in the first trimester of pregnancy and can persist until delivery. Hyperemesis gravidarum differs from normal morning sickness in its intensity and duration, and sometimes leads to significant weight loss, electrolyte imbalances, and other systemic complications. These manifestations can negatively affect not only the health of the pregnant woman, but also the development of the fetus, which makes timely diagnosis and treatment especially important.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-flat ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Content<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 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href=\"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/#%D0%98%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%8F_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%B8_%D0%B8%D0%BD%D1%82%D0%B5%D1%80%D0%B5%D1%81%D0%BD%D1%8B%D0%B5_%D0%B8%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D1%84%D0%B0%D0%BA%D1%82%D1%8B\" >History of the disease and interesting historical facts<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/#%D0%AD%D0%BF%D0%B8%D0%B4%D0%B5%D0%BC%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%8F\" >Epidemiology<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/#%D0%93%D0%B5%D0%BD%D0%B5%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F_%D0%BF%D1%80%D0%B5%D0%B4%D1%80%D0%B0%D1%81%D0%BF%D0%BE%D0%BB%D0%BE%D0%B6%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D1%8C_%D0%BA_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%BC%D1%83_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8E\" >Genetic predisposition to this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/#%D0%A4%D0%B0%D0%BA%D1%82%D0%BE%D1%80%D1%8B_%D1%80%D0%B8%D1%81%D0%BA%D0%B0_%D0%B2%D0%BE%D0%B7%D0%BD%D0%B8%D0%BA%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Risk factors for the development of this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/#%D0%94%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Diagnosis of this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/#%D0%9B%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5\" >Treatment<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/#%D0%A1%D0%BF%D0%B8%D1%81%D0%BE%D0%BA_%D0%BB%D0%B5%D0%BA%D0%B0%D1%80%D1%81%D1%82%D0%B2_%D0%BF%D1%80%D0%B8%D0%BC%D0%B5%D0%BD%D1%8F%D0%B5%D0%BC%D1%8B%D1%85_%D0%B4%D0%BB%D1%8F_%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >List of medications used to treat this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/#%D0%9C%D0%BE%D0%BD%D0%B8%D1%82%D0%BE%D1%80%D0%B8%D0%BD%D0%B3_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Disease monitoring<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/#%D0%92%D0%BE%D0%B7%D1%80%D0%B0%D1%81%D1%82%D0%BD%D1%8B%D0%B5_%D0%BE%D1%81%D0%BE%D0%B1%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D0%B8_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Age-related features of the disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/#%D0%92%D0%BE%D0%BF%D1%80%D0%BE%D1%81%D1%8B_%D0%B8_%D0%BE%D1%82%D0%B2%D0%B5%D1%82%D1%8B\" >Questions and Answers<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/hyperemesis-gravidarum-2\/#%D0%A1%D0%BE%D0%B2%D0%B5%D1%82%D1%8B_%D0%BE%D1%82_%D0%B4%D0%BE%D0%BA%D1%82%D0%BE%D1%80%D0%B0_%D0%9E%D0%BB%D0%B5%D0%B3%D0%B0_%D0%9A%D0%BE%D1%80%D0%B6%D0%B8%D0%BA%D0%BE%D0%B2%D0%B0\" >Advice from Dr. Oleg Korzhikov<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%D0%98%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%8F_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%B8_%D0%B8%D0%BD%D1%82%D0%B5%D1%80%D0%B5%D1%81%D0%BD%D1%8B%D0%B5_%D0%B8%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D1%84%D0%B0%D0%BA%D1%82%D1%8B\"><\/span>History of the disease and interesting historical facts<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hyperemesis gravidarum has been known for centuries. In ancient times, it was described as a \u201ccurse\u201d associated with pregnancy and was thought to be the result of an evil eye. In the Middle Ages, according to some sources, women suffering from the disorder could be accused of witchcraft. In more modern times, hyperemesis gravidarum began to be closely analyzed in the early 20th century, and its mechanisms were first studied. In the 1940s, extensive research was conducted that showed a link between hyperemesis and vitamin deficiency, which influenced changes in clinical practice in the treatment of this condition.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%AD%D0%BF%D0%B8%D0%B4%D0%B5%D0%BC%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%8F\"><\/span>Epidemiology<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>According to modern research, hyperemesis gravidarum occurs in 0.3-3% of all pregnancies. The frequency of its occurrence varies depending on the population and a number of other factors. In some ethnic groups, this syndrome is more common, which may be due to genetic, environmental and social factors. A high risk is observed in women who have already had cases of hyperemesis in their anamnesis, as well as in women with multiple pregnancies. Scientists have found that patients with hyperemesis have increased rates of hospitalization in the first months of pregnancy, which emphasizes the importance of early diagnosis and treatment.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%93%D0%B5%D0%BD%D0%B5%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F_%D0%BF%D1%80%D0%B5%D0%B4%D1%80%D0%B0%D1%81%D0%BF%D0%BE%D0%BB%D0%BE%D0%B6%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D1%8C_%D0%BA_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%BC%D1%83_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8E\"><\/span>Genetic predisposition to this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Current genetic research suggests a possible predisposition to hyperemesis gravidarum. In particular, neurotropic genes responsible for the regulation of vomiting and nausea, such as the serotonin (5-HT3) gene, may play a key role in the pathogenesis of the condition. Some studies suggest that mutations in these genes may lead to a strong reactivity to pregnancy hormones such as hCG and estradiol, which contributes to the development of hyperemesis gravidarum. However, more research is needed to better understand the genetic factors associated with this condition.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%A4%D0%B0%D0%BA%D1%82%D0%BE%D1%80%D1%8B_%D1%80%D0%B8%D1%81%D0%BA%D0%B0_%D0%B2%D0%BE%D0%B7%D0%BD%D0%B8%D0%BA%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Risk factors for the development of this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Risk factors for hyperemesis gravidarum can be divided into several categories:<\/p>\n<ul>\n<li>Physical factors: previous experience of hyperemesis, multiple pregnancy, history of migraine.<\/li>\n<li>Chemical factors: the influence of pregnancy hormones, especially hCG and estrogens.<\/li>\n<li>Psychological factors: presence of stress or previous anxiety disorders.<\/li>\n<li>Other factors: the woman\u2019s age (more common in young women), the presence of certain genetic predispositions.<\/li>\n<\/ul>\n<p>A good understanding of these risk factors allows physicians to more effectively diagnose and manage patients&#039; conditions.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%94%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Diagnosis of this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Diagnosis of hyperemesis gravidarum includes several stages:<\/p>\n<ul>\n<li>Main symptoms: persistent vomiting, severe nausea, loss of appetite, weight loss of more than 5% from the initial weight, electrolyte disturbances.<\/li>\n<li>Laboratory tests: blood tests to determine electrolyte levels, glucose and kidney function.<\/li>\n<li>Radiological examinations: If necessary, ultrasound examination may be used to assess the condition of the fetus and exclude other complications.<\/li>\n<li>Other types of disease diagnostics: keeping a food diary, assessing the quality of life.<\/li>\n<li>Differential diagnosis: It is important to exclude conditions such as gastritis, pancreatitis and other infections.<\/li>\n<\/ul>\n<p>This comprehensive approach allows for the identification of hyperemesis at an early stage and the initiation of appropriate treatment.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%9B%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5\"><\/span>Treatment<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Treatment for hyperemesis gravidarum usually involves several components:<\/p><script data-noptimize=\"\" data-wpfc-render=\"false\">\nfpm_start( \"true\" );\n<\/script>\n\n<ul>\n<li>General treatment: correction of water-electrolyte balance using infusion therapy.<\/li>\n<li>Pharmacological treatment: use of antiemetics such as metoclopramide, ondansetron, etc., to reduce vomiting.<\/li>\n<li>Surgical treatment: In rare cases, placement of a feeding tube or gastrostomy may be required.<\/li>\n<li>Other treatments: Alternative methods such as acupuncture and the use of ginger.<\/li>\n<\/ul>\n<p>Treatment should be individually tailored based on the severity of the condition and response to therapy.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%A1%D0%BF%D0%B8%D1%81%D0%BE%D0%BA_%D0%BB%D0%B5%D0%BA%D0%B0%D1%80%D1%81%D1%82%D0%B2_%D0%BF%D1%80%D0%B8%D0%BC%D0%B5%D0%BD%D1%8F%D0%B5%D0%BC%D1%8B%D1%85_%D0%B4%D0%BB%D1%8F_%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>List of medications used to treat this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Some of the commonly used medications to treat hyperemesis gravidarum include:<\/p>\n<ul>\n<li>metoclopramide<\/li>\n<li>Ondansetron<\/li>\n<li>Dexamethasone<\/li>\n<li>Pyridoxine (vitamin B6)<\/li>\n<li>Ginger (as supplements or tea)<\/li>\n<\/ul>\n<p>It is also worth noting that drug treatment should be carried out under the strict supervision of a physician.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%9C%D0%BE%D0%BD%D0%B8%D1%82%D0%BE%D1%80%D0%B8%D0%BD%D0%B3_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Disease monitoring<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Monitoring the condition of a pregnant woman with hyperemesis is a key aspect to prevent complications. It usually includes:<\/p>\n<ul>\n<li>Monitoring body weight and water-electrolyte balance.<\/li>\n<li>Regular laboratory tests to assess liver and kidney function.<\/li>\n<li>Assessment of the condition of the fetus using ultrasound.<\/li>\n<li>Prognosis: With timely treatment, most women recover without serious consequences.<\/li>\n<li>Complications: May occur in advanced cases, including dehydration and electrolyte imbalance.<\/li>\n<\/ul>\n<p>Proper monitoring can reduce the risk of complications.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%92%D0%BE%D0%B7%D1%80%D0%B0%D1%81%D1%82%D0%BD%D1%8B%D0%B5_%D0%BE%D1%81%D0%BE%D0%B1%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D0%B8_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Age-related features of the disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hyperemesis gravidarum can manifest itself in different ways depending on age:<\/p>\n<ul>\n<li>Young women (under 25 years of age) are more likely to experience more severe forms of hyperemesis.<\/li>\n<li>Middle-aged women (25-35 years) may have more persistent symptoms that are easier to treat.<\/li>\n<li>Older women (over 35 years) may be at risk for developing underlying medical conditions, which can complicate diagnosis and treatment.<\/li>\n<\/ul>\n<p>This requires an individual approach and a combination of treatment methods.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%92%D0%BE%D0%BF%D1%80%D0%BE%D1%81%D1%8B_%D0%B8_%D0%BE%D1%82%D0%B2%D0%B5%D1%82%D1%8B\"><\/span>Questions and Answers<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li><strong>What is hyperemesis gravidarum?<\/strong> This is a severe form of toxicosis, characterized by constant nausea and vomiting, often requiring hospitalization.<\/li>\n<li><strong>What are the main symptoms of hyperemesis?<\/strong> The main symptoms include severe nausea, vomiting, weight loss and abnormal blood tests.<\/li>\n<li><strong>How is this disease diagnosed?<\/strong> Diagnosis includes blood tests, nutritional status assessment and exclusion of other pathologies.<\/li>\n<li><strong>What treatment methods exist?<\/strong> Treatment may include medications, infusion therapy, and in extreme cases, surgery.<\/li>\n<li><strong>What is the prognosis for hyperemesis gravidarum?<\/strong> With timely and adequate treatment, most women recover without significant complications.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%A1%D0%BE%D0%B2%D0%B5%D1%82%D1%8B_%D0%BE%D1%82_%D0%B4%D0%BE%D0%BA%D1%82%D0%BE%D1%80%D0%B0_%D0%9E%D0%BB%D0%B5%D0%B3%D0%B0_%D0%9A%D0%BE%D1%80%D0%B6%D0%B8%D0%BA%D0%BE%D0%B2%D0%B0\"><\/span>Advice from Dr. Oleg Korzhikov<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If symptoms of hyperemesis occur, it is important not to delay a visit to the doctor and strictly follow his instructions. Questions that patients often have:<br \/>\n\u2014 Nutrition: \u201cWhat should I eat if everything makes me vomit?\u201d Answer: Try to eat small portions, avoiding fatty and heavy foods.<br \/>\n\u2014 Hydration: \u201cHow should I drink if I am constantly vomiting?\u201d The answer is to drink sips, use special solutions for rehydration.<br \/>\n\u2014 Medicines: \u201cCan I take medicines without a doctor\u2019s prescription?\u201d The answer is no way, it can make the condition worse.<\/p>\n<p>Trust your doctor and listen to recommendations.<\/p>\n<div class=\"fpm_end\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Hyperemesis gravidarum is a severe form of toxicosis characterized by significant nausea and vomiting, which makes it difficult or impossible to eat properly and<\/p>","protected":false},"author":1,"featured_media":19434,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[298],"tags":[],"class_list":["post-11511","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medlibrary"],"_links":{"self":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts\/11511","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/comments?post=11511"}],"version-history":[{"count":1,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts\/11511\/revisions"}],"predecessor-version":[{"id":15704,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts\/11511\/revisions\/15704"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/media\/19434"}],"wp:attachment":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/media?parent=11511"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/categories?post=11511"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/tags?post=11511"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}