{"id":6075,"date":"2023-10-10T11:23:22","date_gmt":"2023-10-10T11:23:22","guid":{"rendered":"https:\/\/www.ginefiv.com\/treatment\/dgp\/"},"modified":"2024-11-22T08:48:42","modified_gmt":"2024-11-22T08:48:42","slug":"dgp","status":"publish","type":"treatment","link":"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/dgp\/","title":{"rendered":"DPG o Test Gen\u00e8tic Preimplantacional"},"content":{"rendered":"<section class=\"page-cover treatment-section has-thumbnail dark-theme\">     <div class=\"page-cover__container container treatment-page\">         <div class=\"row\">             <div class=\"col-12 col-lg-6 pt-4 pt-lg-0\">                 <div class=\"page-cover__heading\">                     <div class=\"page-cover__heading-wrapper treatment-heading\">                                                   <div class=\"page-cover__heading-subtitle heading-subtitle text-xxl\">                             <p>Reproducci\u00f3n asistida<\/p>                         <\/div>                          <div class=\"page-cover__heading-title heading-title title-display\">                             <h1 class=\"title-display\" style=\"overflow-wrap: normal;\">DPG o Test Gen\u00e8tic Preimplantacional<\/h1>                         <\/div>                                                      <div class=\"page-cover__heading-content text-lg\">                                 <p>Els PGT (Preimplantation Genetic Testing) o DGP (Diagn\u00f2stic Gen\u00e8tic Preimplantacional) s\u00f3n m\u00e8todes de prevenci\u00f3 prim\u00e0ria que permeten anticipar la detecci\u00f3 d\u2019alteracions a nivell gen\u00e8tic als embrions, tant cromos\u00f2miques (PGT-A, PGT-SR) com g\u00e8niques (PGT-M), i la selecci\u00f3 dels embrions viables per a la seva transfer\u00e8ncia a l\u2019\u00fater.<\/p>                             <\/div>                                                                      <\/div>                 <\/div>             <\/div>              <div class=\"col-12 col-lg-6 pt-5 pt-lg-0 pl-lg-5\">                 <div class=\"treatment-links-container\">                                             <div class=\"treatment-links-container__links text-lg\">                             <ul> <li><a href=\"#en-que-consiste\" rel=\"noopener\">\u00bfEn qu\u00e9 consiste el PGT o DGP? <\/a><\/li> <li><a href=\"#cuando\" rel=\"noopener\">\u00bfCu\u00e1ndo est\u00e1 indicado el diagn\u00f3stico gen\u00e9tico preimplantacional (DGP)?<\/a><\/li> <li><a href=\"#mas-info\" rel=\"noopener\">Pide cita o consulta con un especialista<\/a><\/li> <\/ul>                         <\/div>                                     <\/div>             <\/div>         <\/div>     <\/div>               <div class=\"parallax-trigger fullsize page-cover-thumbnail treatment-thumbnail\" data-magic=\"parallax\">             <picture class=\"page-cover__picture parallax-trigger__item\" data-item=\"parallax-item\">                 <img decoding=\"async\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/shutterstock_386367766-scaled.webp\" alt=\"DPG o Test Gen\u00e8tic Preimplantacional\">             <\/picture>         <\/div>       <\/section>   <section class=\"wp-block-breadcrumbs\">   <div class=\"content-wrapper\">     <ul>                   <li>               <a href=\"https:\/\/www.ginefiv.com\/ca\/\" title=\"Ginefiv Espa\u00f1a\">                 Ginefiv              <\/a>             <\/li>                         <li>               <span class=\"current\" title=\"DPG o Test Gen\u00e8tic Preimplantacional\">                 DPG o Test Gen\u00e8tic Preimplantacional              <\/span>             <\/li>                 <\/ul>   <\/div> <\/section>   <section  class=\"image-text-block custom-block-spacing align-right\" data-magic=\"float-zigzag\">   <div class=\"container\">         <div class=\"row\">       <div class=\"img-col col-12 col-md-6\">                   <picture class=\"image-text-block__img-wrapper image-wrapper zigzag-element\">                         <img data-src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/Rectangle-29-1.webp\" alt=\"\">           <\/picture>               <\/div>       <div class=\"text-col col-12 col-md-6\">         <div class=\"image-text-block__text-wrapper text-heading-block zigzag-element\">           <div class=\"image-text-block__text-wrapper__content\">             <div class=\"text-block-wrapper\">                             <h3 class=\"title-display\">Objetiu del Diagn\u00f2stic Gen\u00e8tic Preimplantacional (DGP)<\/h3> <p>L\u2019objectiu del Diagn\u00f2stic Gen\u00e8tic Preimplantacional \u00e9s augmentar les possibilitats que neixin fills sans, sense s\u00edndromes cromos\u00f2mics ni patologies heredit\u00e0ries, mitjan\u00e7ant l\u2019\u00fas d\u2019alta tecnologia en cadascun dels embrions pr\u00e8viament obtinguts en una FIV.<\/p>                           <\/div>                       <\/div>         <\/div>       <\/div>     <\/div>   <\/div>  <\/section>   <div class=\"wp-block-columns alignfull has-turquoise-teal-background-color has-background is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\"> <div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"> <section class=\"grid-icons-block content-wrapper\">        <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         35 anys d&#8217;experi\u00e8ncia      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Seguretat garantida      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Assist\u00e8ncia personalitzada      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         A l&#8217;avantguarda tecnol\u00f2gica      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Taxa d&#8217;\u00e8xit elevada      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Tarifes econ\u00f2miques      <\/div>     <\/div>     <\/section><\/div> <\/div>    <p><\/p>   <section id=\"en-que-consiste\" class=\"video-text-block custom-block-spacing\">     <div class=\"container\">                     <div class=\"row\">                 <div class=\"title-col col-12\"><h3 class=\"title-display\">En qu\u00e8 consisteix la t\u00e8cnica?<\/h3> <\/div>             <\/div>                  <div class=\"row\">             <div class=\"video-col col-12 col-md-6\">                 <iframe loading=\"lazy\" title=\"DIAGN\u00d3STICO GEN\u00c9TICO PREIMPLANTACIONAL (PGT)\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/mC3If_FgtW0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>            <\/div>             <div class=\"text-col col-12 col-md-6\">                 <div class=\"video-text-block__text-wrapper\">                                         <p>La t\u00e8cnica consisteix a extreure un petit nombre de c\u00e8l\u00b7lules (2-7) de cada embri\u00f3 que hagi estat capa\u00e7 d\u2019arribar a evolucionar fins a l\u2019estat de <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/transferencia-blastocistos\/\">blastocist <\/a><\/strong>expandit, estat que s\u2019assoleix el dia 5-6 de desenvolupament embrionari. Un cop es fa la bi\u00f2psia es procedeix a la vitrificaci\u00f3 de l\u2019embri\u00f3, a l\u2019espera del resultat del laboratori de gen\u00e8tica.<\/p> <p>Les c\u00e8l\u00b7lules que s\u2019obtenen mitjan\u00e7ant la bi\u00f2psia s\u2019analitzen per comprovar si l\u2019embri\u00f3 porta alguna alteraci\u00f3 cromos\u00f2mica o gen\u00e8tica. Aix\u00f2 permet seleccionar nom\u00e9s els embrions que siguin viables per a la seva posterior transfer\u00e8ncia a l\u2019\u00fater de la pacient.<\/p> <p>Aquesta t\u00e8cnica representa una alleujament per a moltes parelles, ja que evita molts casos d\u2019avortaments espontanis i augmenta les possibilitats de tenir un beb\u00e8 sa impedint la transmissi\u00f3 d\u2019una determinada malaltia.<\/p>                 <\/div>             <\/div>         <\/div>     <\/div> <\/section>   <section  class=\"banner-testimonies-block-container\">     <div class=\"banner-testimonies-bg\" style=\"background-image:url(https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/bg-testimonial-logo.svg)\"><\/div>     <div class=\"banner-testimonies-block\">         <div class=\"banner-testimonies-block__content\">             <!--h3 class=\"testimonies-block__title heading-md\"-->                 Somnis complerts            <!--\/h3-->             <div class=\"testimonies-block__cards-container\" data-slider=\"testimony\">                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                              <p>Fuimos a Ginefiv porque a varias amigas les hab\u00eda funcionado y ya eran mam\u00e1s. El pron\u00f3stico no era muy favorable, ya que yo ten\u00eda baja reserva ov\u00e1rica, pero el doctor nos dijo que los \u00f3vulos que tuviera pod\u00edan ser de buena calidad.<\/p> <p>Me hicieron la primera inseminaci\u00f3n que vivimos con mucha emoci\u00f3n sabiendo que pr\u00e1cticamente era imposible que funcionara a la primera, pero en la betaespera yo ya sospechaba que estaba embarazada. Y nos dieron la ansiada noticia: \u00a1est\u00e1bamos embarazadas! Y s\u00ed, a la primera, hab\u00eda funcionado.<\/p> <p>Nueve meses despu\u00e9s naci\u00f3 nuestra peque\u00f1a Olivia, de la que no podemos estar m\u00e1s enamoradas.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Mar\u00eda y Rodrigo                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p><span><\/span>Llegamos a Ginefiv por recomendaci\u00f3n de unos amigos y desde la primera visita ni nos planteamos buscar otras cl\u00ednicas.<\/p> <p>Ven\u00edamos de m\u00e1s de 7 a\u00f1os de tratamientos fallidos en la Seguridad Social.<br \/>En Ginefiv me qued\u00e9 embaraza en la segunda transferencia.<\/p> <p>Solo tenemos buenas palabras para Ginefiv y su forma de cuidarnos. Encontramos la mejor cl\u00ednica y a la mejor doctora del mundo.&nbsp;<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Roberto y Aurora                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p><span><\/span>Hicimos en Ginefiv un tratamiento de ovodonaci\u00f3n y dos tratamientos de adopci\u00f3n de embriones. Las doctoras siempre nos dec\u00edan que lo conseguir\u00edamos. Est\u00e1bamos en plena pandemia y nos cuidaron much\u00edsimo hasta que \u00a1por fin nos quedamos embarazados! Tenemos un precioso ni\u00f1o y estamos muy agradecidos por todo a Ginefiv porque nunca se rindieron con nosotros. M\u00e9dicos, enfermeras, atenci\u00f3n al paciente\u2026 siempre que llamaba con dudas estaban ah\u00ed.<\/p> <p>Es un camino duro pero tenemos muy buenos recuerdos. Muchas gracias.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Mayte y Enrique                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Agotada de otra cl\u00ednica llegu\u00e9 a ellos y menudo cambio para bien. Pasaban los meses sin conseguir quedarme embarazada y las pruebas indicaban que no exist\u00edan impedimentos para ello. <\/p> <p>Despu\u00e9s de un tiempo lo hemos logrado. Y todo a pesar del momento vivido de incertidumbre por la salud, pero pensando en mi peque se me cambia el \u00e1nimo. <\/p> <p>Agradecerles a todos el trabajo.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Carla Ruiz                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Nos aconsejaron una FIV con microinyecci\u00f3n en la que obtuvimos buenos embriones.<br \/>Me transfirieron tres de esos \u201cpeque\u00f1os\u201d y me qued\u00e9 embarazada de Cristina.<br \/>Todo fue tan bien y tan f\u00e1cil que a los 15 meses decidimos buscar un hermanito. No pudo ser a la primera pero al tercer intento con embriones descongelados dio fruto y vino nuestra segunda hija, Carolina. Imposible ser m\u00e1s felices.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Pilu                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Los mejores profesionales, la mejor atenci\u00f3n. Dimos con Ginefiv por una pareja conocida cuando est\u00e1bamos en plena pandemia. Aunque ten\u00edamos muchas dudas, afortunadamente no desistimos y ahora estamos esperando a nuestra hija.<\/p> <p>\u00a1Vaya aventura con pandemia y todo! Gracias a todo el equipo de atenci\u00f3n al paciente, a las psic\u00f3logas, al equipo m\u00e9dico, recepci\u00f3n\u2026 a todos.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Sandra Trigo                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Cl\u00ednica muy profesional, personal atento y resolutivo durante todo el tratamiento. Asistencia personalizada en franc\u00e9s (correo, tel\u00e9fono o in situ) para franc\u00f3fonos. Para elegir sin dudarlo para un tratamiento de reproducci\u00f3n asistida en el extranjero.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Caroline Mercier                        <\/p>                     <\/div>                             <\/div>         <\/div>     <\/div> <\/section>  <section id=\"cuando\" class=\"text-block background-light custom-block-spacing\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <h3 class=\"title-display\">Quan es recomana el diagn\u00f2stic gen\u00e8tic preimplantacional?<\/h3> <p>Les situacions en qu\u00e8 el diagn\u00f2stic gen\u00e8tic preimplantacional es recomana s\u00f3n variades i no sempre estan relacionades amb una malaltia familiar, causada per anomalies gen\u00e8tiques detectades i definides, un cariotip parental alterat, una hist\u00f2ria cl\u00ednica d\u2019avortaments repetits causats per cromosomopaties de l\u2019embri\u00f3, etc<\/p> <p>Per regla general, el diagn\u00f2stic gen\u00e8tic preimplantacional es recomana en els seg\u00fcents casos:<\/p> <ul> <li>Parelles que porten o tenen malalties d\u2019origen g\u00e8nic o cromos\u00f2mic que es puguin transmetre a la descend\u00e8ncia.<\/li> <li>Dones en edat avan\u00e7ada.<\/li> <li>Dones que tenen avortaments de repetici\u00f3.<\/li> <li>Dones que ja han realitzat diversos cicles de FIV sense \u00e8xit.<\/li> <\/ul>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section  class=\"text-block background-light custom-block-spacing\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <h3 class=\"title-display\">S\u00f3n fiables els resultats del DGP?<\/h3> <p>Amb relaci\u00f3 a la seguretat del resultat, \u00e9s molt alta, per\u00f2 hem de tenir en compte que, com qualsevol altra t\u00e8cnica en biologia, no \u00e9s el 100% fiable. Per comen\u00e7ar perqu\u00e8 com que la quantitat de material biol\u00f2gic disponible \u00e9s molt poca, collint una \u00fanica c\u00e8l\u00b7lula es corre el risc que, en cas de mosaicisme \u2013quan conviuen diverses l\u00ednies cel\u00b7lulars amb informaci\u00f3 gen\u00e8tica diferent en un mateix organisme\u2013, no sigui representativa, per\u00f2 com que \u00e9s un risc baix, el resultat d\u2019aquesta c\u00e8l\u00b7lula es considera v\u00e0lid en m\u00e9s del 95% dels casos.<\/p>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>   <div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\"> <div class=\"wp-block-column wp-column-is-centred is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:610px\"> <h2 class=\"wp-block-heading has-text-align-center\">Demana cita o consulta amb un especialista<\/h2>    <p class=\"has-text-align-center\">Tens l&#8217;opci\u00f3 de fer la teva primera consulta in situ a la cl\u00ednica o per videoconfer\u00e8ncia. 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