{"id":12601,"date":"2024-10-11T18:54:08","date_gmt":"2024-10-11T16:54:08","guid":{"rendered":"https:\/\/valintermed.com\/?p=12601"},"modified":"2024-10-11T18:54:08","modified_gmt":"2024-10-11T16:54:08","slug":"postpoliomielitnyy-sindrom","status":"publish","type":"post","link":"https:\/\/valintermed.com\/en\/medlibrary\/post-polio-syndrome\/","title":{"rendered":"Post-polio syndrome"},"content":{"rendered":"<div class=\"fpm_start\"><\/div>\n<p>Post-polio syndrome (PPS) is a disorder that occurs in some people who have had polio, usually 15 to 40 years after the initial infection. It is characterized by severe weakness, muscle fatigue, pain, and other neurological symptoms. PPS is considered a poorly understood condition and the mechanism by which it occurs is not fully understood, but it is clear that many polio survivors experience long-term emotional and physical difficulties that can significantly impact their quality of life. Since polio has been largely eliminated in some parts of the world due to vaccination, interest in PPS has increased as survivors seek to understand the nature of their symptoms and how to improve their condition.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 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 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/post-polio-syndrome\/#%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\/post-polio-syndrome\/#%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\/post-polio-syndrome\/#%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\/post-polio-syndrome\/#%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\/post-polio-syndrome\/#%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\/post-polio-syndrome\/#%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\/post-polio-syndrome\/#%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\/post-polio-syndrome\/#%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\/post-polio-syndrome\/#%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\/post-polio-syndrome\/#%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><\/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>Polio, a viral disease caused by the polio virus, has been known since ancient times, but its widespread occurrence occurred in the 20th century. The first major epidemics occurred in the United States in 1894, and the disease caused considerable suffering, especially among children. In the 1950s and 60s, with the introduction of vaccines developed by Jonas Salk and Albert Sabin, the incidence of the disease dropped sharply. However, already in the 1970s, it became apparent that some people who survived polio developed new symptoms, which led to the formation of the concept of &quot;post-polio syndrome&quot;. Interestingly, PPS was first described in the 1980s, when researchers began to notice recurring cases of disability among survivors of the acute period of polio.<\/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>The epidemiology of post-polio syndrome remains an active subject of research. It is estimated that approximately 25-40% of polio survivors may develop PPS 15-40 years after the initial infection. In this context, it is important to note that the incidence of the syndrome varies by geographic region, time, and vaccination coverage. In countries where a large-scale vaccination program has been implemented, PPS is more common among older people who have had severe forms of polio. For example, a 2009 study showed that among patients over 50 years of age, the prevalence of PPS was up to 50%. The main risk groups include people who have had both severe and mild forms of polio, but symptoms may vary in severity.<\/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>Research suggests that genetic predisposition may play a role in the development of post-polio syndrome. Although the exact mechanisms are not fully understood, it is assumed that certain mutations in genes associated with neurotrophic factors may influence the development of adverse effects after poliomyelitis. In particular, the involvement of genes responsible for the synthesis of neurotrophins, such as NGF (nerve growth factor), has been established in some studies. People with certain polymorphisms of these genes have more pronounced neurological symptoms. In addition, it is assumed that inflammatory reactions initiated by the virus may leave long-term changes in the genetic code of neurons, thus contributing to the development of PPS.<\/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>Like many other syndromes, PPS has a number of risk factors that may contribute to its development. These may be both physical and chemical. Physical risk factors include:<\/p>\n<ul>\n<li>Age at the time of poliomyelitis \u2013 higher risks are observed in people who had the disease in childhood.<\/li>\n<li>Severity of the initial infection \u2013 the more severe the polio case, the higher the likelihood of developing PPS.<\/li>\n<\/ul>\n<p>Chemical risk factors include exposure to certain toxins that can affect the nervous system. Research suggests that long-term exposure to certain chemicals (such as organic solvents) can worsen symptoms of PPS. Other risk factors may include conditions such as chronic physical overexertion, stress, and long-term infectious diseases that can affect a person\u2019s overall health.<\/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>The diagnosis of post-polio syndrome is based on clinical criteria and exclusion of other conditions. The main symptoms include:<\/p>\n<ul>\n<li>Fatigue that does not go away after rest.<\/li>\n<li>Muscle weakness, pain in the limbs.<\/li>\n<li>Sleep disorders.<\/li>\n<li>Breathing problems.<\/li>\n<li>Reduced stamina levels.<\/li>\n<\/ul>\n<p>Laboratory tests may include blood tests to rule out other conditions, such as myasthenia gravis or chronic fatigue syndrome, as their symptoms can overlap. Radiological tests, particularly MRI, can be used to visualize the spinal cord and muscle tissue, although they do not always provide a definitive diagnosis.<\/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 of post-polio syndrome involves a multidisciplinary approach aimed at relieving symptoms and improving the patient&#039;s quality of life. Common interventions may include:<\/p><script data-noptimize=\"\" data-wpfc-render=\"false\">\nfpm_start( \"true\" );\n<\/script>\n\n<ul>\n<li>Physical rehabilitation aimed at improving muscle tone and functional activity.<\/li>\n<li>Psychotherapy for coping support and overcoming emotional difficulties associated with the disease.<\/li>\n<\/ul>\n<p>Pharmacological treatment may include medications such as:<\/p>\n<ul>\n<li>Drugs that improve blood circulation.<\/li>\n<li>Nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain symptoms.<\/li>\n<li>Antidepressants in the presence of psychological difficulties.<\/li>\n<\/ul>\n<p>In some cases, surgery may be required to correct orthopedic complications. Developing individual treatment programs and support from medical specialists are fundamental to improving the effectiveness of recovery.<\/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>Among the most frequently used drugs in the treatment of post-polio syndrome are:<\/p>\n<ul>\n<li>Ibuprofen \u2013 to relieve muscle pain and inflammation.<\/li>\n<li>Serotonergic antidepressants (eg, fluoxetine) to regulate mood and reduce chronic fatigue.<\/li>\n<li>Neuroprotective drugs such as citicoline to improve neural function.<\/li>\n<li>Physical and occupational therapy, such as transdermal patches with local anesthetics.<\/li>\n<\/ul>\n<p>It is important to correctly select therapies in accordance with the individual needs of the patient, carrying out dynamic monitoring and correction of treatment if necessary.<\/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 post-polio syndrome requires regular monitoring of the patient&#039;s condition and assessment of the progress of therapy. Key monitoring steps include:<\/p>\n<ul>\n<li>Periodic examinations by a neurologist and rehabilitation specialists to assess functional limitations.<\/li>\n<li>Conducting vital function tests such as endurance and strength tests.<\/li>\n<li>Psychological assessment of the condition to identify and correct emotional difficulties.<\/li>\n<\/ul>\n<p>The prognosis for post-polio syndrome can vary. Some patients experience sustained improvement, while others may experience worsening symptoms and require more intensive medical care. Complications may include additional disability and decreased quality of life.<\/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>Post-polio syndrome can manifest itself differently depending on the age group. In children who had polio, symptoms often appear earlier and may be more severe. In adults who had polio as children, PPS may not manifest itself for many years, with symptoms often beginning in the 30s and 40s. Older patients tend to have more severe forms of the syndrome due to a combination of age-related changes and previous neurological damage.<\/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 are the main symptoms of post-polio syndrome?<\/strong> The main symptoms include fatigue, muscle weakness, pain, sleep disturbances and decreased physical activity levels.<\/li>\n<li><strong>How is post-polio syndrome diagnosed?<\/strong> Diagnosis is based on clinical criteria, exclusion of other conditions, and assessment of the patient&#039;s medical history.<\/li>\n<li><strong>What treatment is effective for PPS?<\/strong> Effective treatment includes physical rehabilitation, pharmacological treatment and psychological support.<\/li>\n<li><strong>What is the likelihood of people who have had polio developing PPS?<\/strong> Approximately 25-40% people who have had polio may develop PPS 15-40 years after infection.<\/li>\n<li><strong>What are the risk factors for post-polio syndrome?<\/strong> Risk factors include age at the time of illness, severity of viral infection and the presence of underlying pathology.<\/li>\n<\/ul>\n<div class=\"fpm_end\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Post-polio syndrome (PPS) is a disorder that occurs in some people who have had polio, usually 15 to 40 years after the initial infection.<\/p>","protected":false},"author":1,"featured_media":22164,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[298],"tags":[],"class_list":["post-12601","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\/12601","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=12601"}],"version-history":[{"count":1,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts\/12601\/revisions"}],"predecessor-version":[{"id":14478,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts\/12601\/revisions\/14478"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/media\/22164"}],"wp:attachment":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/media?parent=12601"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/categories?post=12601"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/tags?post=12601"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}