{"id":8021,"date":"2016-10-31T00:00:00","date_gmt":"2016-10-30T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=18139725ec17d6ec2cf5c83efc2fa4b9"},"modified":"2018-08-21T17:24:12","modified_gmt":"2018-08-21T09:24:12","slug":"bb%e6%9c%aa%e5%87%ba%e4%b8%96%e5%81%9a%e6%89%8b%e8%a1%93-%e7%be%8e%e5%9c%8b%e5%a5%87%e8%b9%9f%e5%af%b6%e5%af%b6-%e5%8f%96%e5%87%ba%e5%89%b2%e7%98%a4%e5%86%8d%e5%9b%9e%e6%af%8d%e9%ab%94","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/bb%e6%9c%aa%e5%87%ba%e4%b8%96%e5%81%9a%e6%89%8b%e8%a1%93-%e7%be%8e%e5%9c%8b%e5%a5%87%e8%b9%9f%e5%af%b6%e5%af%b6-%e5%8f%96%e5%87%ba%e5%89%b2%e7%98%a4%e5%86%8d%e5%9b%9e%e6%af%8d%e9%ab%94\/","title":{"rendered":"BB\u672a\u51fa\u4e16\u505a\u624b\u8853 \u7f8e\u570b\u5947\u8e5f\u5bf6\u5bf6 \u53d6\u51fa\u5272\u7624\u518d\u56de\u6bcd\u9ad4"},"content":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u3011\u4eca\u5e74\u4e2d\uff0c\u7f8e\u570b\u6709\u91ab\u751f\u5c0723\u5468\u7684\u80ce\u5152\u5f9e\u6bcd\u89aa\u5b50\u5bae\u53d6\u51fa\uff0c\u65bd\u884c\u624b\u8853\uff0c\u7136\u5f8c\u653e\u56de\u6bcd\u89aa\u5b50\u5bae\u88cf\uff0c\u8b93\u6bcd\u89aa\u7e7c\u7e8c\u61f7\u5b55\u81f3\u8db3\u6708\uff0c\u516d\u6708\u5e73\u5b89\u51fa\u751f\u3002\u807d\u8d77\u4f86\u532a\u5937\u6240\u601d\u3002\u9999\u6e2f\u91ab\u7642\u6280\u8853\u5148\u9032\uff0c\u70ba\u4f55\u6c92\u6709\u9019\u7a2e\u624b\u8853\uff1f<\/p>\n

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\u7f8e\u570b\u5973\u5b30LynLee Hope Boemer\u88ab\u7a31\u70ba\u300c\u51fa\u751f\u5169\u6b21\u300d\u7684\u5947\u8e5f\u5bf6\u5bf6\u3002LynLee\u5728\u6bcd\u89aa\u5b50\u5bae\u5167\uff0c\u88ab\u767c\u73fe\u6709\u5148\u5929\u7684\u9ab6\u5c3e\u7578\u80ce\u7624\uff0c\u5371\u53ca\u6027\u547d\u3002\u91ab\u751f\u5728\u80ce\u515223\u5468\u6642\uff0c\u5256\u958b\u6bcd\u89aa\u5b50\u5bae\uff0c\u53d6\u51fa\u80ce\u5152\u65bd\u884c\u624b\u8853\uff0c\u7136\u5f8c\u653e\u56de\u5b50\u5bae\u5167\uff0c\u76f4\u81f3\u4eca\u5e74\u516d\u6708\uff0c\u80ce\u515236\u5468\u8db3\u6708\u5256\u8179\u51fa\u751f\u3002<\/p>\n

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\u63d2\u5165\u80ce\u5152\u93e1 \u5b50\u5bae\u5167\u65bd\u624b\u8853<\/p>\n

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1. \u96d9\u80de\u80ce\u8f38\u8840\u75c7 <\/p>\n

\u6fc0\u5149\u71d2\u65b7\u8840\u7ba1<\/p>\n

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2. \u80ba\u7a4d\u6c34<\/p>\n

\u5c0e\u7ba1\u5f15\u80ba\u6c34<\/p>\n

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3. \u6e1b\u80ce<\/p>\n

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4. \u8ca7\u8840<\/p>\n

\u523a\u7a7f\u81cd\u5e36\u8f38\u8840<\/p>\n

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\u25a0\u9999\u6e2f\u7d93\u9a57<\/p>\n

\u9838\u7624\u58d3\u6c23\u7ba1 \u672a\u526a\u81cd\u5e36\u5148\u63d2\u5589<\/p>\n

\u300c\u662f\u6b21\u7f8e\u570b\u5973\u5b30\u63a5\u53d7\u7684\u624b\u8853\uff0c\u540d\u70ba\u5b50\u5bae\u5167\u80ce\u5152\u624b\u8853\uff08Fetal Surgery\uff09\uff0c\u9999\u6e2f\u672a\u6709\u7d93\u9a57\uff0c\u4f46\u65e9\u5728\u5341\u5e74\u524d\uff0c\u9999\u6e2f\u5df2\u505a\u5230\u5206\u5a29\u6642\u5b50\u5bae\u5916\u6cbb\u7642\uff08Ex-utero Intrapartum Treatment\uff0c\u7c21\u7a31EXIT\uff09\u3002\u300d\u806f\u5408\u91ab\u9662\u5152\u7ae5\u53ca\u9752\u5c11\u5e74\u79d1\u90e8\u9580\u4e3b\u7ba1\u91ab\u751f\u9673\u884d\u6a19\u8aaa\uff0c\u5206\u5a29\u6642\u5b50\u5bae\u5916\u6cbb\u7642\uff0c\u5373\u5728\u80ce\u5152\u51fa\u751f\u6642\uff0c\u5c07\u80ce\u5152\u7531\u5b50\u5bae\u53d6\u51fa\uff0c\u8207\u81cd\u5e36\u5206\u96e2\u524d\u9032\u884c\u624b\u8853\uff0c\u53ef\u8655\u7406\u90e8\u5206\u5b30\u5152\u5148\u5929\u6027\u554f\u984c\uff0c\u589e\u52a0\u5b58\u6d3b\u7387\u3002<\/p>\n

2005\u5e74\uff0c\u806f\u5408\u91ab\u9662\u6210\u529f\u9032\u884c\u5168\u6e2f\u9996\u5b97\u300cEXIT\u300d\uff0c\u7576\u6642\u9673\u884d\u6a19\u91ab\u751f\u6709\u53c3\u8207\u5176\u4e2d\u3002\u4ed6\u6307\uff0c\u7576\u5e74\u7684\u500b\u6848\u662f\u5728\u7522\u524d\u8d85\u8072\u6ce2\u6aa2\u67e5\u6642\uff0c\u767c\u73fe\u80ce\u5152\u9838\u90e8\u9577\u4e86\u4e00\u500b\u5f88\u5927\u7684\u6dcb\u5df4\u816b\u7624\uff0c\u53ef\u80fd\u58d3\u4f4f\u80ce\u5152\u7684\u6c23\u7ba1\uff0c\u80ce\u5152\u5728\u6bcd\u9ad4\u5167\u900f\u904e\u81cd\u5e36\u7372\u5f97\u990a\u5206\uff0c\u5f71\u97ff\u4e0d\u5927\uff0c\u7136\u800c\u4e00\u65e6\u51fa\u751f\uff0c\u6703\u56e0\u7121\u6cd5\u547c\u5438\u800c\u5371\u53ca\u6027\u547d\u3002<\/p>\n

\u81cd\u5e36\u7e7c\u7e8c\u4f9b\u6c27 \u63d2\u5589\u52a9\u547c\u5438<\/p>\n

\u6240\u4ee5\uff0c\u624b\u8853\u5256\u8179\u53d6\u51faBB\u5f8c\uff0c\u5148\u4e0d\u526a\u53bb\u81cd\u5e36\uff0c\u8b93BB\u900f\u904e\u81cd\u5e36\u4f9b\u61c9\u6c27\u6c23\u53ca\u71df\u990a\uff0c\u5f85\u91ab\u8b77\u4eba\u54e1\u6aa2\u67e5\u80ce\u5152\u7684\u6c23\u7ba1\u6709\u5426\u9589\u585e\uff0c\u5373\u6642\u63d2\u4e0a\u5589\u7ba1\uff0c\u5e6b\u52a9\u547c\u5438\uff0c\u624d\u526a\u53bb\u81cd\u5e36\uff0c\u5b30\u5152\u6700\u7d42\u5e73\u5b89\u51fa\u751f\u3002\u7fcc\u5e74\uff0c\u5728\u5a01\u723e\u65af\u89aa\u738b\u91ab\u9662\u4ea6\u6709\u7b2c\u4e8c\u5b97\u4ee5\u300cEXIT\u300d\u8655\u7406\u547c\u5438\u9053\u963b\u585e\u7684\u80ce\u5152\u500b\u6848\u3002<\/p>\n

\u9673\u884d\u6a19\u8aaa\uff0c\u4e8b\u524d\u8981\u9760\u5a66\u7522\u79d1\u91ab\u751f\u4ed4\u7d30\u8a55\u4f30\u5256\u8179\u751f\u7522\u7684\u624b\u8853\u6642\u6a5f\uff0c\u904e\u65e9\u6613\u4ee4\u5b30\u5152\u65e9\u7522\uff0c\u592a\u9072\u5247\u6703\u81ea\u7136\u5206\u5a29\uff0c\u4f86\u4e0d\u53ca\u505a\u624b\u8853\uff0c\u800c\u7576\u5e74\u7684\u500b\u6848\u5728\u80ce\u515230\u591a\u5468\u6642\u9032\u884c\u3002\u624b\u8853\u7531\u5a66\u7522\u79d1\u3001\u5152\u79d1\u3001\u9ebb\u9189\u79d1\u3001\u8033\u9f3b\u5589\u79d1\u91ab\u751f\u8de8\u90e8\u9580\u5408\u4f5c\uff0c\u9023\u540c\u5354\u52a9\u7684\u91ab\u8b77\u4eba\u54e1\uff0c\u7576\u6642\u624b\u8853\u5ba4\u5167\u6709\u903e30\u4eba\u3002<\/p>\n

\u300cEXIT\u300d\u7121\u6cd5\u61c9\u4ed8\u6025\u5207\u75c5\u60a3<\/p>\n

\u65e2\u7136\u300cEXIT\u300d\u90fd\u53ef\u8655\u7406\uff0c\u70ba\u4ec0\u9ebc\u4eca\u6b21\u7f8e\u570b\u7684\u6848\u4f8b\u9700\u8981\u572823\u5468\u5c07\u5b30\u5152\u53d6\u51fa\uff0c\u518d\u653e\u56de\u5b50\u5bae\uff1f\u9673\u884d\u6a19\u89e3\u91cb\uff0c\u6709\u4e9b\u60c5\u51b5\u80ce\u5152\u9700\u8981\u6025\u5207\u624b\u8853\u3002\u4eca\u6b21\u7f8e\u570b\u7684\u6848\u4f8b\uff0c\u816b\u7624\u751f\u65bc\u810a\u690e\uff08\u5c3e\u9f8d\u9aa8\uff09\u9644\u8fd1\uff0c\u6703\u4ee4\u8840\u6db2\u4f9b\u61c9\u5927\u91cf\u50b3\u8f38\u81f3\u8a72\u8655\uff0c\u5f71\u97ff\u8840\u6db2\u5faa\u74b0\u7cfb\u7d71\uff1b\u5f85\u81f330\u591a\u5468\u6642\uff0c\u80ce\u5152\u53ef\u80fd\u5df2\u51fa\u73fe\u5fc3\u81df\u8870\u7aed\u3001\u8eab\u9ad4\u816b\u8139\uff0c\u4ee5\u53ca\u80ba\u3001\u809d\u81df\u7b49\u529f\u80fd\u4e0d\u6b63\u5e38\u3002\u6240\u4ee5\uff0c\u9019\u7a2e\u60c5\u51b5\u4e0b\u5fc5\u9808\u53ca\u65e9\u5c07\u80ce\u5152\u53d6\u51fa\uff0c\u79fb\u9664\u816b\u7624\uff0c\u4ee4\u816b\u7624\u4e0d\u518d\u300c\u6436\u8d70\u300d\u8840\u6db2\u4f9b\u61c9\u3002<\/p>\n

\u6587\uff1a\u912d\u5bf6\u83ef\u3001\u5433\u7a4e\u6e58<\/p>\n

\u5716\uff1a\u53d7\u8a2a\u8005\u63d0\u4f9b\u3001\u8cc7\u6599\u5716\u7247<\/p>\n

\u7de8\u8f2f\uff1a\u5c48\u66c9\u5f64<\/p>\n

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【明報專訊】今年中，美國有醫生將23周的胎兒從母親子宮取出，施行手術，然後放回母親子宮裏，讓母親繼續懷孕至足月，六月平安出生。聽起來匪夷所思。香港醫療技術先進，為何沒有這種手術？<\/p>\n

懷胎十月，胎兒可能出現不同問題，病毒感染、貧血、肺積水等，如何保住BB？不剖開子宮，可否為胎兒做手術？<\/p>\n

美國女嬰LynLee Hope Boemer被稱為「出生兩次」的奇蹟寶寶。LynLee在母親子宮內，被發現有先天的骶尾畸胎瘤，危及性命。醫生在胎兒23周時，剖開母親子宮，取出胎兒施行手術，然後放回子宮內，直至今年六月，胎兒36周足月剖腹出生。<\/p>\n

兩個手術：剖母子宮除胎瘤<\/p>\n

懷孕期間，要剖腹取出胎兒做手術，難度在於保住胎盤和子宮，中大婦產科學系系主任梁德楊教授解釋，要剖開子宮取出未足月的胎兒做手術，當中涉及兩個手術。<\/p>\n

以前述的切除胎兒骶尾畸胎瘤為例，首先，婦產科醫生剖開子宮，這與剖腹產子不同，因為胎兒未足月，子宮下端狹窄，不能橫切，必須直切，這對孕婦創傷較大，疤痕亦會影響下一次懷孕。另外，取出胎兒後，羊水流走，子宮就會自然收縮，胎盤供血亦會減少，就無法放回胎兒；因此在手術過程中，醫生必須用藥物和灌水令子宮放鬆。<\/p>\n

而另一個手術，則是小兒外科為胎兒切除腫瘤。未足月胎兒很細小，全程要為她保暖，監察心跳、供血。手術風險視乎胎兒腫瘤大小和深入度，如果只是表面，相對簡單，但若涉及血管、肌肉和神經線，手術便較困難。<\/p>\n

手術是否值得？醫生和準父母要平衡風險作出決定。「要衡量手術風險，包括胎兒和母親安全、腫瘤嚴重程度、子宮疤痕會增加將來懷孕風險等。歐美地區，相對較多父母傾向保住胎兒，而香港的大多選擇終止懷孕，因此香港沒有相關的手術經驗。」<\/p>\n

插入胎兒鏡 子宮內施手術<\/p>\n

除了畸胎瘤，懷孕中的胎兒亦可能會出現各種疾病。梁德楊指出，其實可以不用打開子宮，利用胎兒鏡、超聲波、激光、射頻等技術，都可以在母親子宮內，為還未出生的胎兒做各種手術﹕<\/p>\n

1. 雙胞胎輸血症 <\/p>\n

激光燒斷血管<\/p>\n

單卵雙胞胎的胎盤，血管相連，如果供血不平均，血液經胎盤由一個胎兒流到另一個胎兒。一胎變得貧血，缺乏足夠氧分，影響發育；另一胎則血液過量，對心臟和循環系統造成負荷，雙胞胎同樣有危險，這稱為雙胞胎輸血症。目前可用胎兒鏡，即是將直徑2毫米腹腔鏡插入子宮，利用激光燒斷胎盤上相連的血管，令血液不再從一個胎兒流到另一個去。<\/p>\n

2. 肺積水<\/p>\n

導管引肺水<\/p>\n

產前檢查若發現胎兒肺積水，可在超聲波引導下，用針刺經母親肚皮，將一條導管插入胎兒肺部，引出肺水。導管會一直放在胎兒身上，直至胎兒出生後才拔走。<\/p>\n

3. 減胎<\/p>\n

射頻切斷臍帶<\/p>\n

懷有雙胞胎，有可能因為疾病或不同情况，必須犧牲一個胎兒。利用胎兒鏡以射頻技術，切斷其中一個胎兒的臍帶，胎兒因缺血而死亡。<\/p>\n

4. 貧血<\/p>\n

刺穿臍帶輸血<\/p>\n

感染微小病毒，胎兒不能製造紅血球，導致貧血；另外，如果母親為負型血，胎兒為正型血，母親會產生抗體抑制正型血，令胎兒貧血。一旦遇上這些情况，可以經肚皮用針刺穿臍帶，輸血給胎兒。<\/p>\n

另外，最近外國有研究，利用胎兒鏡治療先天性橫膈膜疝。梁德楊指出，橫膈膜將心肺和腹腔內臟分隔，一旦穿孔，腹腔內臟會上湧，壓迫心肺，影響肺部發育，令胎兒出生後肺功能不足死亡。而外國研究利用胎兒鏡將一個球囊放入胎兒氣管，阻塞氣管出入口，增加肺部壓力，令肺部膨脹。<\/p>\n

中大亦嘗試為兩名胎兒做相關手術，手術雖然成功，但術後胎兒肺部發育並不理想，出生後死亡。梁表示，手術仍在研究階段，成功與否有很多因素影響，例如橫膈膜疝面積太大，即使利用球囊為肺部加壓，亦未必足夠對抗外來的壓力。<\/p>\n

■香港經驗<\/p>\n

頸瘤壓氣管 未剪臍帶先插喉<\/p>\n

「是次美國女嬰接受的手術，名為子宮內胎兒手術（Fetal Surgery），香港未有經驗，但早在十年前，香港已做到分娩時子宮外治療（Ex-utero Intrapartum Treatment，簡稱EXIT）。」聯合醫院兒童及青少年科部門主管醫生陳衍標說，分娩時子宮外治療，即在胎兒出生時，將胎兒由子宮取出，與臍帶分離前進行手術，可處理部分嬰兒先天性問題，增加存活率。<\/p>\n

2005年，聯合醫院成功進行全港首宗「EXIT」，當時陳衍標醫生有參與其中。他指，當年的個案是在產前超聲波檢查時，發現胎兒頸部長了一個很大的淋巴腫瘤，可能壓住胎兒的氣管，胎兒在母體內透過臍帶獲得養分，影響不大，然而一旦出生，會因無法呼吸而危及性命。<\/p>\n

臍帶繼續供氧 插喉助呼吸<\/p>\n

所以，手術剖腹取出BB後，先不剪去臍帶，讓BB透過臍帶供應氧氣及營養，待醫護人員檢查胎兒的氣管有否閉塞，即時插上喉管，幫助呼吸，才剪去臍帶，嬰兒最終平安出生。翌年，在威爾斯親王醫院亦有第二宗以「EXIT」處理呼吸道阻塞的胎兒個案。<\/p>\n

陳衍標說，事前要靠婦產科醫生仔細評估剖腹生產的手術時機，過早易令嬰兒早產，太遲則會自然分娩，來不及做手術，而當年的個案在胎兒30多周時進行。手術由婦產科、兒科、麻醉科、耳鼻喉科醫生跨部門合作，連同協助的醫護人員，當時手術室內有逾30人。<\/p>\n

「EXIT」無法應付急切病患<\/p>\n

既然「EXIT」都可處理，為什麼今次美國的案例需要在23周將嬰兒取出，再放回子宮？陳衍標解釋，有些情况胎兒需要急切手術。今次美國的案例，腫瘤生於脊椎（尾龍骨）附近，會令血液供應大量傳輸至該處，影響血液循環系統；待至30多周時，胎兒可能已出現心臟衰竭、身體腫脹，以及肺、肝臟等功能不正常。所以，這種情况下必須及早將胎兒取出，移除腫瘤，令腫瘤不再「搶走」血液供應。<\/p>\n

文：鄭寶華、吳穎湘<\/p>\n

圖：受訪者提供、資料圖片<\/p>\n

編輯：屈曉彤<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20161031\/news\/_31YD006_.jpg中大婦產科學系系主任梁德楊教授（資料圖片）;https:\/\/health2.mingpao.com\/ftp\/Health2\/20161031\/news\/_31yd101.jpg胎兒天生骶尾畸胎瘤，在尾龍骨下生出腫瘤，大都屬良性，但若腫瘤太大，會對胎兒心臟造成負荷。如果胎兒足月，可以出生後做手術切除；但若未足月，可能需要終止懷孕。圖為香港患上相若毛病的胎兒，最後父母選擇終止懷孕。（圖片經黑白處理，箭嘴為腫瘤位置）（圖：受訪者提供）;https:\/\/health2.mingpao.com\/ftp\/Health2\/20161031\/news\/_31yd102.jpg產前檢查若發現胎兒肺積水，可在超聲波引導下，用針刺經母親肚皮，將一條導管插入胎兒肺部，引出肺水。（圖：受訪者提供）;https:\/\/health2.mingpao.com\/ftp\/Health2\/20161031\/news\/_31YD002_X.jpg肺積水導管（圖：受訪者提供）;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":9838,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3],"tags":[1120,1121],"class_list":["post-8021","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-1120","tag-1121"],"publishpress_future_action":{"enabled":false,"date":"2026-11-16 09:52:10","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/8021"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=8021"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/8021\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/9838"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=8021"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=8021"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=8021"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}