{"id":8606,"date":"2019-03-20T13:34:44","date_gmt":"2019-03-20T13:34:44","guid":{"rendered":"https:\/\/www.centrojuliafarre.es\/?p=8606"},"modified":"2019-03-20T13:34:44","modified_gmt":"2019-03-20T13:34:44","slug":"inflor-abdominal","status":"publish","type":"post","link":"https:\/\/www.centrojuliafarre.es\/ca\/blog\/inflor-abdominal\/","title":{"rendered":"Inflor abdominal: Causes i solucions"},"content":{"rendered":"<p>[et_pb_section bb_built=\u00bb1&#8243; _builder_version=\u00bb3.0.47&#8243;][et_pb_row _builder_version=\u00bb3.0.48&#8243; background_size=\u00bbinitial\u00bb background_position=\u00bbtop_left\u00bb background_repeat=\u00bbrepeat\u00bb][et_pb_column type=\u00bb4_4&#8243;][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n\n<p>Tenir la panxa inflada pot deure&#8217;s a causes molt diverses, no obstant aix\u00f2 totes tenen en com\u00fa la distensi\u00f3 a\u00a0 la zona abdominal.<\/p>\n<p>Podem adonar-nos d&#8217;aquesta situaci\u00f3 en el moment en que:<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243; background_color=\u00bb#f5f5f5&#8243; border_color_all=\u00bb#e09900&#8243; custom_padding=\u00bb10px|10px|10px|10px\u00bb]<\/p>\n<ul>\n<li>Notem que els pantalons, cinturons o camises queden m\u00e9s justos a la panxa i s\u00f3n m\u00e9s inc\u00f2modes de portar.<\/li>\n<li>Sentim mol\u00e8sties a l&#8217;abdomen, com a digestions pesades o acumulaci\u00f3 de gasos.<\/li>\n<li>Tamb\u00e9 podem aixecar-nos b\u00e9 i al llarg del dia sentir com es va inflant progressivament l\u2019abdomen.<\/li>\n<li>En els casos m\u00e9s extrems, al mirar al terra un pot tenir major dificultat per veure&#8217;s els peus a causa de l&#8217;augment de volum de la panxa.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<p>Una persona amb inflor abdominal pot no tenir s\u00edmptomes, tenir mol\u00e8sties o fins i tot arribar a patir un dolor intens fins al punt de tenir suors i patir un episodi de hipotensi\u00f3.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<h2>Qu\u00e8 pot produir inflor abdominal?<\/h2>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; _builder_version=\u00bb3.21&#8243; \/][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<p>Tenir <strong>sobrep\u00e8s o obesitat<\/strong>, \u00a0un problema digestiu lleu, una malaltia o afectaci\u00f3 digestiva m\u00e9s greu,\u00a0 tenir la musculatura local alterada o fins i tot pot ser causat per <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/blog\/gestio-emocions\/\">motius emocionals<\/a>. Tamb\u00e9 alguns mals h\u00e0bits poden accentuar aquest estat inflamatori.<\/p>\n<p>La causa m\u00e9s com\u00fa \u00e9s tenir exc\u00e9s de pes i greix acumulat a la zona de l&#8217;abdomen, aix\u00f2 augmenta el risc de tenir malalties cardiovasculars i diabetis.<\/p>\n<p>En aquest cas s&#8217;aconsella seguir una <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/perdre-pes\/\">pauta diet\u00e8tica per perdre pes<\/a>.<\/p>\n<p>Veiem pas per pas altres possibles causes de la distensi\u00f3 abdominal.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<h3>1. Causes digestives<\/h3>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; _builder_version=\u00bb3.21&#8243; custom_padding=\u00bb||\u00bb custom_margin=\u00bb-10px||\u00bb \/][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<h4><strong><u>Canvi de dieta<\/u><\/strong><\/h4>\n<p><strong>Fer un canvi dr\u00e0stic en l&#8217;alimentaci\u00f3<\/strong>, ja sigui cap a millor o cap a pitjor, \u00e9s normal que tingui repercussions digestives.<\/p>\n<p>Moltes persones noten que si mengen m\u00e9s fruites i verdures la seva digesti\u00f3 \u00e9s m\u00e9s lleugera i van millor de ventre, per\u00f2 quan redueixen el seu consum i mengen aliments m\u00e9s processats, elaborats o amb m\u00e9s salses s&#8217;inflen m\u00e9s i tenen problemes al moment d&#8217;evacuar.<\/p>\n<p>Si canvies la teva alimentaci\u00f3 \u00e9s molt probable que tinguis s\u00edmptomes digestius. Si est\u00e0s millorant la teva alimentaci\u00f3 i incrementant la teva ingesta de fibra et recomano:<\/p>\n<ol>\n<li>Que ho facis molt progressivament perqu\u00e8 el teu intest\u00ed s&#8217;acostumi a poc a poc a les noves dosis de fibra.<\/li>\n<li>Tenir molta paci\u00e8ncia, l&#8217;intest\u00ed requereix d&#8217;un temps per habituar-se. Pot ser que notis alguns s\u00edmptomes per\u00f2 aniran desapareixent amb el pas del temps i si no \u00e9s aix\u00ed consulta a un metge digestiu.<\/li>\n<\/ol>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243; background_color=\u00bb#f5f5f5&#8243; border_width_all=\u00bb2px\u00bb border_color_all=\u00bb#e09900&#8243; border_style_all=\u00bbdashed\u00bb custom_padding=\u00bb10px|10px|10px|10px\u00bb]<\/p>\n<p>Sobre aix\u00f2, m&#8217;agradaria afegir una an\u00e8cdota:<br \/>He conegut de primera m\u00e0 a persones que al fer el canvi de dieta omn\u00edvora a <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/dieta-vegetariana\/\">ovolactovegetariana o vegetariana estricta<\/a>, han tingut molts gasos, dolors i fins i tot diarrees fortes. En anar al metge, aquest no els hi ha preguntat per si han fet un canvi d&#8217;alimentaci\u00f3 i directament els han diagnosticat \u201cintest\u00ed irritable\u201d.<br \/>\u00c9s absurd, per\u00f2 aix\u00f2 \u00e9s real i succeeix en algunes consultes m\u00e8diques.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<h4><strong><u>Reflux i acidesa<\/u><\/strong><\/h4>\n<p>Les principals causes d&#8217;aquests s\u00edmptomes s\u00f3n: Tenir sobrep\u00e8s o obesitat, \u00falcera p\u00e8ptica, h\u00e8rnia de hiat, gastritis, hipoclorh\u00eddria i infecci\u00f3 per <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/dieta-per-combatre-helicobacter-pylori\/\">Helicobacter Pylori<\/a>.<\/p>\n<p>Tots aquests problemes afecten tant a l&#8217;es\u00f2fag com a l&#8217;est\u00f3mac i poden produir danys en la mucosa d&#8217;aquests teixits o alteracions en el seu funcionament produint tots aquests s\u00edmptomes.<\/p>\n<p><strong>La pauta diet\u00e8tica s&#8217;ha d&#8217;adaptar en funci\u00f3 dels s\u00edmptomes i el diagn\u00f2stic<\/strong> (en el cas que hi hagi diagn\u00f2stic m\u00e8dic). Per exemple:<\/p>\n<ul>\n<li>Quan hi ha un exc\u00e9s de pes millora la simptomatologia quan es realitza una dieta per perdre pes<\/li>\n<li>Tamb\u00e9 millora aquest tipus de simptomatologia al fer una dieta saludable de protecci\u00f3 g\u00e0strica que tingui en compte altres factors relacionats com a horaris, la gesti\u00f3 de l&#8217;estr\u00e8s i la qualitat del descans entre altres<\/li>\n<\/ul>\n<h4><strong><u>Alteraci\u00f3 de la flora i permeabilitat intestinal<\/u><\/strong><\/h4>\n<p>Podem tenir la flora i\/o la mucosa intestinal alterades per molts motius: per l\u2019estr\u00e8s, tenir mals h\u00e0bits alimentaris o per haver fet una tanda d&#8217;antibi\u00f2tics (que destrueixen tant els bacteris \u201cbons\u201d com els \u201cdolents\u201d).<\/p>\n<p>Aquest quadre intestinal pot produir alguns s\u00edmptomes com <strong>inflamaci\u00f3, gasos, diarrea o restrenyiment<\/strong>. En el cas que siguin persistents, recomano acudir a un metge digestiu perqu\u00e8 pugui realitzar les proves que consideri convenients i tamb\u00e9, acudir a un <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/\">dietista-nutricionista<\/a> per millorar tots aquests problemes.<\/p>\n<h4><strong><u>Restrenyiment o diarrees<\/u><\/strong><\/h4>\n<p>Alguna vegada t&#8217;has fixat en com s\u00f3n les teves deposicions? Proporciona molta informaci\u00f3! Fixa&#8217;t en:<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243; background_color=\u00bb#f5f5f5&#8243; custom_padding=\u00bb10px|10px|10px|10px\u00bb]<\/p>\n<ol>\n<li>La freq\u00fc\u00e8ncia en la que vas al bany de ventre.<\/li>\n<li>Si per evacuar has d&#8217;esfor\u00e7ar-te molt o no.<\/li>\n<li>Textura, consist\u00e8ncia i forma de la femta.<\/li>\n<li>Color de la femta (encara que dependr\u00e0 molt del que hagis menjat, per\u00f2 tamb\u00e9 pot donar informaci\u00f3).<\/li>\n<\/ol>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<p>Tots aquests factors donen molta informaci\u00f3 que pot resultar-te \u00fatil a tu, al teu dietista-nutricionista i al teu metge, per saber com s\u00f3n les teves digestions, la teva dieta i si pot haver-hi algun aliment que et costi digerir.\u00a0<\/p>\n<p>Si pateixes restrenyiment <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/dieta-restrenyiment\/\">aquest article pot ajudar-te a millorar el teu tr\u00e0nsit intestinal<\/a>.<\/p>\n<p>Tant el restrenyiment com la diarrea poden cursar amb <strong>distensi\u00f3 abdominal produ\u00efda per gasos o la pr\u00f2pia inflamaci\u00f3 de l&#8217;intest\u00ed<\/strong>.<\/p>\n<p>L&#8217;alimentaci\u00f3 \u00e9s un factor clau per millorar el tr\u00e0nsit intestinal. En aquests casos visitar a un dietista-nutricionista pot ser de gran ajuda per regular aquesta situaci\u00f3.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<h3>2. Malalties digestives\u00a0<\/h3>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; _builder_version=\u00bb3.21&#8243; custom_margin=\u00bb-10px||\u00bb \/][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<h4><strong><u>Malalties inflamatorias intestinals (EII)<\/u><\/strong><\/h4>\n<p>Les <strong>EII<\/strong> (colitis ulcerosa i malaltia de Chron) produeixen un estat inflamatori cr\u00f2nic del tub digestiu i generen s\u00edmptomes intestinals com a diarrees, dolors i c\u00f2lics abdominals o inapet\u00e8ncia.<\/p>\n<p>Malgrat ser malalties cr\u00f2niques, si es segueix una pauta diet\u00e8tica adequada i adaptada que estigui elaborada per un dietista-nutricionista, es pot millorar molt la qualitat de vida de les persones que pateixen aquestes patologies.<\/p>\n<h4><strong>S\u00edndrome de l&#8217;intest\u00ed irritable<\/strong><\/h4>\n<p>Aquest trastorn comporta dolor abdominal i canvis en el tr\u00e0nsit intest\u00ed.<\/p>\n<p>Apareixen brots amb major o menor freq\u00fc\u00e8ncia (en funci\u00f3 de cada cas) en els quals la simptomatologia digestiva \u00e9s m\u00e9s forta.<\/p>\n<p>El suport d&#8217;un dietista-nutricionista en aquests casos \u00e9s essencial per millorar l&#8217;alimentaci\u00f3 i millorar la qualitat de vida.<\/p>\n<h4><strong><u>Intoler\u00e0ncies<\/u><\/strong><\/h4>\n<p>La intoler\u00e0ncia a la lactosa i al gluten s\u00f3n les m\u00e9s conegudes.<\/p>\n<p>Quan una persona pateix una intoler\u00e0ncia, significa que el seu sistema digestiu no \u00e9s capa\u00e7 de digerir una subst\u00e0ncia concreta (com la lactosa o el gluten), la qual cosa produeix una simptomatologia digestiva que pot cursar amb <strong>diarrea, gasos, v\u00f2mits, restrenyiment, inflamaci\u00f3 abdominal<\/strong>\u2026<\/p>\n<p>Aquestes patologies han d\u2019estar per un metge digestiu i un dietista-nutricionista pot donar eines per saber quins aliments, ingredients i additius evitar en cada cas.<\/p>\n<h4><strong><u>Infeccions<\/u><\/strong><\/h4>\n<p>Quan una persona t\u00e9 una infecci\u00f3 (ja sigui v\u00edrica, bacteriana o parasit\u00e0ria), pot patir s\u00edmptomes digestius i inflamaci\u00f3 abdominal.<\/p>\n<p>A causa d&#8217;aquestes infeccions (i fins i tot al seu tractament) la flora intestinal s&#8217;altera i es produeix <strong>inflamaci\u00f3 en l&#8217;intest\u00ed que en conseq\u00fc\u00e8ncia malabsorci\u00f3 a algun component dels aliments<\/strong>.<\/p>\n<p>La malabsorci\u00f3 que observem m\u00e9s freq\u00fcentment en consulta \u00e9s la <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/intolerancia-la-fructosa\/\">intoler\u00e0ncia a la fructosa i al sorbitol<\/a>.<\/p>\n<p>En aquests casos \u00e9s imprescindible acudir a un metge per realitzar el tractament que consideri adequat. L&#8217;ajuda d&#8217;un dietista-nutricionista pot ajudar a millorar la simptomatologia secund\u00e0ria a la infecci\u00f3.<\/p>\n<h4><strong><u>Disbiosis intestinal<\/u><\/strong><\/h4>\n<p>La disbiosis \u00e9s el desequilibri de la microbiota intestinal causat per canvis en la quantitat de bacteris, la seva qualitat i\/o tamb\u00e9 la seva distribuci\u00f3 (hi ha bacteris que estan en una part de l&#8217;intest\u00ed on no haurien d&#8217;estar).<\/p>\n<p>Tot aix\u00f2 produeix una <strong>alteraci\u00f3 de l&#8217;activitat de l&#8217;intest\u00ed<\/strong> afectant a la permeabilitat intestinal i generant inflamaci\u00f3 en el teixit, la qual cosa pot desenvolupar malabsorci\u00f3 (en major o menor grau) a alguns nutrients o reduir la capacitat de tolerar algunes fibres presents en els aliments que s\u00f3n fermentables produint un exc\u00e9s de gas en l&#8217;abdomen.<\/p>\n<p>Les persones que pateixen disbiosis poden notar grans canvis al llarg del dia en el volum del seu abdomen: notar-la molt m\u00e9s inflada despr\u00e9s dels menjars, o aixecar-se amb la panxa plana i al llarg del dia anar notant com es va inflant.<\/p>\n<p>Per millorar aquest quadre \u00e9s important el tractament multidisciplinari d&#8217;un metge digestiu i un\/a dietista-nutricionista.<\/p>\n<h4><strong><u>Ascitis<\/u><\/strong><\/h4>\n<p>L&#8217;ascitis \u00e9s l&#8217;acumulaci\u00f3 de l\u00edquid en el revestiment de l&#8217;abdomen i en els \u00f2rgans de la zona. \u00c9s una conseq\u00fc\u00e8ncia produ\u00efda per una alta pressi\u00f3 en els gots sanguinis del fetge i baixos nivells d&#8217;alb\u00famina en sang.<\/p>\n<p>Aquest problema es pot produir a causa d&#8217;una infecci\u00f3 cr\u00f2nica com a hepatitis C o B, un <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/blog\/alcohol-enemic-dieta\/\">consum excessiu d&#8217;alcohol<\/a>, tenir fetge gras o tenir insufici\u00e8ncia card\u00edaca congestiva.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<h3>3. 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UnhideWhenUsed=\"true\" Name=\"footer\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"index heading\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"35\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"caption\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"table of figures\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"envelope address\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"envelope return\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"footnote reference\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"annotation reference\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"line number\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"page number\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"endnote reference\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"endnote text\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"table of authorities\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"macro\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"toa heading\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Bullet\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Number\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List 4\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List 5\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Bullet 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Bullet 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Bullet 4\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Bullet 5\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Number 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Number 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Number 4\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Number 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"10\" QFormat=\"true\" Name=\"Title\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Closing\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Signature\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"1\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Default Paragraph Font\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Body Text\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Body Text Indent\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Continue\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Continue 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Continue 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Continue 4\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"List Continue 5\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Message Header\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"11\" QFormat=\"true\" Name=\"Subtitle\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Salutation\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Date\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Body Text First Indent\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Body Text First Indent 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Note Heading\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Body Text 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Body Text 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Body Text Indent 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Body Text Indent 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Block Text\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Hyperlink\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"FollowedHyperlink\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"22\" QFormat=\"true\" Name=\"Strong\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"20\" QFormat=\"true\" Name=\"Emphasis\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Document Map\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Plain Text\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"E-mail Signature\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Top of Form\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Bottom of Form\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Normal (Web)\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Acronym\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Address\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Cite\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Code\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Definition\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Keyboard\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Preformatted\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Sample\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Typewriter\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"HTML Variable\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Normal Table\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"annotation subject\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"No List\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Outline List 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Outline List 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Outline List 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Simple 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Simple 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Simple 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Classic 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Classic 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Classic 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Classic 4\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Colorful 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Colorful 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Colorful 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Columns 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Columns 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Columns 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Columns 4\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Columns 5\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Grid 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Grid 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Grid 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Grid 4\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Grid 5\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Grid 6\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Grid 7\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Grid 8\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table List 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table List 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table List 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table List 4\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table List 5\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table List 6\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table List 7\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table List 8\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table 3D effects 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table 3D effects 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table 3D effects 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Contemporary\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Elegant\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Professional\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Subtle 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Subtle 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Web 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Web 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Web 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Balloon Text\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"39\" Name=\"Table Grid\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Table Theme\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Note Level 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Note Level 2\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Note Level 3\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Note Level 4\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Note Level 5\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Note Level 6\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Note Level 7\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Note Level 8\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\" Name=\"Note Level 9\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" Name=\"Placeholder Text\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"1\" QFormat=\"true\" Name=\"No Spacing\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" SemiHidden=\"true\" Name=\"Revision\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"34\" QFormat=\"true\" Name=\"List Paragraph\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"29\" QFormat=\"true\" Name=\"Quote\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"30\" QFormat=\"true\" Name=\"Intense Quote\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 1\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 2\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 3\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 4\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 5\"\/><br \/>  <w:LsdException Locked=\"false\" Priority=\"60\" 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\/>\tmso-tstyle-rowband-size:0;<br \/>\tmso-tstyle-colband-size:0;<br \/>\tmso-style-noshow:yes;<br \/>\tmso-style-priority:99;<br \/>\tmso-style-parent:\"\";<br \/>\tmso-padding-alt:0cm 5.4pt 0cm 5.4pt;<br \/>\tmso-para-margin:0cm;<br \/>\tmso-para-margin-bottom:.0001pt;<br \/>\tmso-pagination:widow-orphan;<br \/>\tfont-size:12.0pt;<br \/>\tfont-family:Calibri;<br \/>\tmso-ascii-font-family:Calibri;<br \/>\tmso-ascii-theme-font:minor-latin;<br \/>\tmso-hansi-font-family:Calibri;<br \/>\tmso-hansi-theme-font:minor-latin;<br \/>\tmso-ansi-language:ES;<br \/>\tmso-fareast-language:EN-US;}<br \/><\/style>\n\n\n\n\n<p><![endif]--> <!--StartFragment--><span lang=\"CA\" style=\"font-size: 14.0pt; font-family: Calibri; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-ansi-language: CA; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;\">La musculatura abdominal tamb\u00e9 incrementa el volum de la panxa quan:<\/span><!--EndFragment-->\u00a0 \u00a0\u00a0<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243; background_color=\u00bb#f5f5f5&#8243; custom_padding=\u00bb10px|10px|10px|10px\u00bb]<\/p>\n<ul>\n<li>La faixa abdominal est\u00e0 fl\u00e0ccida.<\/li>\n<li>Es realitzen abdominals fent una for\u00e7a cap a l&#8217;exterior. No tots els exercicis d&#8217;abdominals fan que el ventre estigui pla, alguns contribueixen al fet que l&#8217;abdomen sobresurti cap enfora m\u00e9s.<\/li>\n<li>Ruptura dels m\u00fasculs abdominals. Aix\u00f2 pot succeir despr\u00e9s d&#8217;un embar\u00e0s, tenir un r\u00e0pida p\u00e8rdua de pes o tenir molta flacciditat.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<h3>4. Causes emocionals<\/h3>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; _builder_version=\u00bb3.21&#8243; custom_margin=\u00bb-10px||\u00bb \/][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<p>Quantes vegades haur\u00e9 sentit aix\u00f2 de \u201ca la meva els nervis se&#8217;m posen en l&#8217;est\u00f3mac\u201d. Fins i tot algunes persones tenen la necessitat urgent d&#8217;anar de ventre en situacions d&#8217;estr\u00e8s per una situaci\u00f3 que els ha posat molt nervioses.<\/p>\n<p>Si tens <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/psiconutricio\/ansietat-per-menjar\/\">ansietat<\/a> i aix\u00f2 produeix que la teva panxa estigui m\u00e9s sensible o tinguis problemes digestius, et recomano fer di\u00e0riament activitats que t&#8217;ajudin a gestionar aquest estat nervi\u00f3s: meditar, fer ioga, escoltar m\u00fasica relaxant, prendre infusions, fer una passejada o fer qualsevol altra activitat que pugui relaxar com llegir, pintar, escriure o dibuixar\u2026<\/p>\n<p>Si pateixes alts nivells d&#8217;estr\u00e8s i asseguis que repercuteix en la teva salut i benestar et recomano que acudeixis a un <a href=\"https:\/\/www.centrojuliafarre.es\/ca\/psiconutricio\/\">professional de la psicologia<\/a>.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<h3>5. Altres causes<\/h3>\n<p>[\/et_pb_text][et_pb_divider color=\u00bb#e09900&#8243; _builder_version=\u00bb3.21&#8243; custom_margin=\u00bb-10px||\u00bb \/][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<p>Altres causes de tenir la panxa inflada pot ser tenir una <strong>mala alimentaci\u00f3, menjar r\u00e0pid, no mastegar b\u00e9 els aliments, empassar aire en parlar o en menjar i beure begudes amb gas o alcoh\u00f2liques amb freq\u00fc\u00e8ncia<\/strong>.<\/p>\n<p>Como pots veure, hi ha molt\u00edssimes causes i afeccions que poden produir aquest augment de volum a la zona de la panxa.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb3.21&#8243;]<\/p>\n<p>Les dietistes-nutricionistes del Centre J\u00falia Farr\u00e9 podem ajudar-te a:<\/p>\n<ul>\n<li><strong>Perdre pes i reduir el volum<\/strong> produ\u00eft per l&#8217;exc\u00e9s de greix acumulat en l&#8217;abdomen.<\/li>\n<li><strong>Regular el teu tr\u00e0nsit intestinal<\/strong>.<\/li>\n<li>En el cas que tinguis digestions pesades per tenir una mala alimentaci\u00f3, <strong>t&#8217;ajudem a millorar els teus h\u00e0bits<\/strong>.<\/li>\n<li><strong>Fer una dieta de protecci\u00f3 g\u00e0strica<\/strong> o de f\u00e0cil digesti\u00f3 per desinflamar el teu est\u00f3mac i reduir la sensaci\u00f3 de reflux i acidesa.<\/li>\n<li>Si pateixes alguna malaltia digestiva ja diagnosticada et donem pautes per <strong>adaptar la teva alimentaci\u00f3 i guanyar en qualitat de vida<\/strong>.<\/li>\n<li>Si tens problemes gastrointestinals forts, et recomano que acudeixis a un metge digestiu perqu\u00e8 et realitzi les proves que consideri adequades. Podria tractar-se d&#8217;una situaci\u00f3 de disbiosis que produeixi de forma secund\u00e0ria una malabsorci\u00f3 aliment\u00e0ria o una intoler\u00e0ncia. Una vegada tinguis el diagn\u00f2stic (i el tractament m\u00e8dic que el teu metge digestiu hagi considerat necessari), <strong>podem fer-te una pauta personalitzada que t&#8217;ajudi a solucionar el problema digestiu<\/strong>.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_cta title=\u00bbVols reduir el teu inflor abdominal?\u00bb button_url=\u00bbhttps:\/\/www.centrojuliafarre.es\/ca\/dietes-barcelona\/\u00bb button_text=\u00bbContacta amb nosaltes\u00bb _builder_version=\u00bb3.21&#8243; background_color=\u00bb#f5f5f5&#8243; border_width_all=\u00bb1px\u00bb border_color_all=\u00bb#e09900&#8243; custom_button=\u00bbon\u00bb button_text_color=\u00bb#000000&#8243; button_border_color=\u00bb#e09900&#8243; button_icon=\u00bb%%28%%\u00bb button_icon_placement=\u00bbleft\u00bb background_layout=\u00bblight\u00bb custom_padding=\u00bb10px|10px|10px|10px\u00bb header_level=\u00bbh3&#8243; \/][et_pb_team_member name=\u00bbAna Amengual \u00bb position=\u00bbDietista &#8211; Nutricionista\u00bb image_url=\u00bbhttps:\/\/www.centrojuliafarre.es\/wp-content\/uploads\/2016\/12\/ana-amengual-dietista.jpg\u00bb _builder_version=\u00bb3.21&#8243; \/][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><!--TOC--> Tenir la panxa inflada pot deure&#8217;s a causes molt diverses, no obstant aix\u00f2 totes tenen en com\u00fa la distensi\u00f3 a\u00a0 la zona abdominal. Podem adonar-nos d&#8217;aquesta situaci\u00f3 en el moment en que: Notem que els pantalons, cinturons o camises queden m\u00e9s justos a la panxa i s\u00f3n m\u00e9s inc\u00f2modes de portar. Sentim mol\u00e8sties a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8630,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[7],"tags":[],"class_list":["post-8606","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alimentacio-salut"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Distensi\u00f3 o inflor abdominal: Causes i soluci\u00f3 | Centre J\u00falia Farr\u00e9<\/title>\n<meta name=\"description\" content=\"Si pateixes d&#039;inflor abdominal \u00e9s molt probable que es degui a alguna d&#039;aquestes causes. 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