{"id":12925,"date":"2021-08-08T07:05:20","date_gmt":"2021-08-08T04:05:20","guid":{"rendered":"https:\/\/drcihankaya.com\/index.php\/2021\/08\/08\/endometriozis\/"},"modified":"2024-07-15T17:43:09","modified_gmt":"2024-07-15T14:43:09","slug":"what-is-endometriosis-chocolate-cyst","status":"publish","type":"post","link":"http:\/\/drcihankaya.com\/en\/index.php\/2021\/08\/08\/what-is-endometriosis-chocolate-cyst\/","title":{"rendered":"What is Endometriosis (Chocolate cyst)?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"12925\" class=\"elementor elementor-12925 elementor-11\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7bc3ccae elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7bc3ccae\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1e9200d7 top column-style-top\" data-id=\"1e9200d7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d1ead70 elementor-widget elementor-widget-text-editor\" data-id=\"d1ead70\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t\n<p>\u00a0<\/p>\n\n<p>Endometriozis, rahim i\u00e7 tabakas\u0131nda bulunan h\u00fccrelerin rahim d\u0131\u015f\u0131nda bulunmas\u0131 ile olu\u015fan \u00f6strojen hormonu ile ili\u015fkili bir hastal\u0131k olarak tan\u0131mlan\u0131r. \u00dcreme \u00e7a\u011f\u0131ndaki her on kad\u0131ndan birinde g\u00f6r\u00fcld\u00fc\u011f\u00fc bildirilmi\u015ftir. Hastal\u0131k adet d\u00f6nemi \u00f6ncesi k\u0131zlarda ya da menopoz sonras\u0131 kad\u0131nlar\u0131n y\u00fczde 2 ila 5&#8217;inde de g\u00f6r\u00fclebilir. \u00c7ikolata kisti tan\u0131s\u0131 \u015fikayetler ba\u015flad\u0131ktan sonra ortalama 7 ila 12 y\u0131ll\u0131k s\u00fcre i\u00e7erisinde konmaktad\u0131r.\u00a0<\/p>\n\n<p><strong>\u015eikayetler nelerdir?<\/strong><\/p>\n\n<p>\u00c7o\u011funlukla alt kar\u0131n b\u00f6lgesinde, yumurtal\u0131k ve t\u00fcplerde, ba\u011f\u0131rsak, diyafram, sinirler ve g\u00f6\u011f\u00fcs bo\u015flu\u011fu dahil olmak \u00fczere bir\u00e7ok b\u00f6lgede ortaya \u00e7\u0131kabilir. Endometriozis yayg\u0131n ve iyi huylu bir hastal\u0131k olmakla birlikte, endometriozis sonucu olu\u015fan h\u00fccresel de\u011fi\u015fiklikler, a\u011fr\u0131l\u0131 adet, a\u011fr\u0131 kesicilere cevap vermeyen adet d\u00f6nemi a\u011fr\u0131lar\u0131 nedeni ile acil ba\u015fvurular\u0131n\u0131n olmas\u0131, cinsel birliktelik s\u0131ras\u0131nda a\u011fr\u0131, s\u00fcrekli kas\u0131k a\u011fr\u0131s\u0131, d\u0131\u015fk\u0131lama ya da idrar yaparken a\u011fr\u0131, ishal-kab\u0131zl\u0131k ataklar\u0131, arka bacak-bel a\u011fr\u0131s\u0131, kronik yorgunluk, \u00e7ocuk sahibi olamama, daha nadiren kanl\u0131 kusma ve sa\u011f omuz a\u011fr\u0131s\u0131na neden olabilir. Bu belirtilerin \u015fiddeti ki\u015fiden ki\u015fiye farkl\u0131l\u0131klar g\u00f6sterebilirken \u00f6zellikle adet d\u00f6neminde k\u00f6t\u00fcle\u015febilirler.<\/p>\n\n<p><strong>Nas\u0131l olu\u015fur?<\/strong><\/p>\n\n<p>Bu konu hen\u00fcz net olmasa da \u00e7ikolata kisti hastal\u0131\u011f\u0131nda rahim i\u00e7 zar\u0131na ait h\u00fccreler t\u00fcplerden ge\u00e7erek kar\u0131n i\u00e7inde bulunan organlar \u00fczerine yerle\u015fir. \u00c7o\u011fu kad\u0131nda bu h\u00fccreler v\u00fccuttan uzakla\u015ft\u0131r\u0131labilirken endometriozisi olan hastalarda bu mekanizmada bir bozukluk oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir. Bu teori d\u0131\u015f\u0131nda do\u011fumdan itibaren var olan h\u00fccrelerin zamanla \u00e7ikolata kistlerine de farkl\u0131la\u015ft\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclmektedir. Burada ger\u00e7ekle\u015fen h\u00fccresel farkl\u0131la\u015fmalar sonucu yumurtal\u0131klarda kan \u00fcr\u00fcnlerini i\u00e7eren \u00e7ikolata renginde kistler ve di\u011fer organlarda sert nod\u00fcl ad\u0131 verilen olu\u015fumlar meydana gelir.\u00a0<\/p>\n\n<p>Endometriozis geli\u015ftikten sonra \u00f6zellikle a\u011fr\u0131 geli\u015fiminde bu b\u00f6lgede bulunan sinirlerin direk tutulmas\u0131 ya da salg\u0131lanan baz\u0131 maddelerin bu sinirleri uyarmas\u0131 sorumlu tutulmaktad\u0131r.\u00a0<\/p>\n\n<p><strong>Ka\u00e7 tipi vard\u0131r?\u00a0<\/strong><\/p>\n\n<p>Endometriozis lezyonlar\u0131 kar\u0131n i\u00e7 zar\u0131n\u0131 tutan y\u00fczeyel ya da ba\u011f\u0131rsak, idrar borular\u0131, mesane, rahim ba\u011flar\u0131n\u0131 tutan derin yerle\u015fimli olarak kategorize edilebilir. Bunun d\u0131\u015f\u0131nda tutulan organ ve hastal\u0131\u011f\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fcne g\u00f6re hafif , orta ve \u015fiddetli olmak \u00fczere 4 evreye de ayr\u0131labilir. Endometriozis dokusu s\u0131kl\u0131kla sert, koyu kahverengi i\u00e7erikli kistler \u015feklinde g\u00f6r\u00fcl\u00fcr.\u00a0<\/p>\n\n<p><strong>Kimlerde daha s\u0131k g\u00f6r\u00fcl\u00fcr?<\/strong><\/p>\n\n<p>Artm\u0131\u015f endometriozis riski ile ili\u015fkili fakt\u00f6rler aras\u0131nda do\u011fum yapmam\u0131\u015f olmak, erken adet ya\u015f\u0131 ge\u00e7 menopoza girme, adetler aras\u0131 k\u0131sa s\u00fcre, do\u011fumsal organ bozukluklar\u0131, ailede endometriozis olmas\u0131, uzun boy, y\u00fcksek trans doymam\u0131\u015f ya\u011f t\u00fcketimi, end\u00fcstriyel b\u00f6lgede ya\u015fama gibi nedenler vard\u0131r.<\/p>\n\n<p><strong>Yumurtal\u0131kta \u00e7ikolata kisti (endometrioma)\u00a0<\/strong><strong>\u2014<\/strong>\u00a0\u00c7ikolata kisti veya endometrioma, yumurtal\u0131k i\u00e7inde rahim i\u00e7 zar\u0131na ait h\u00fccrelerin yerle\u015fimi ile olu\u015fur, koyu kahverengi bir kist i\u00e7eri\u011fi mevcuttur. S\u0131kl\u0131kla ultrason muayenesinde farkedilirler. \u0130ki tarafl\u0131 olabilir. \u0130ki tarafl\u0131 olmas\u0131 durumunda ileri evre endometriozis ile birlikte olma ihtimali y\u00fcksektir.\u00a0<\/p>\n\n<p><strong>Derin (ileri evre) endometriozis \u2014<\/strong>\u00a0Derin (ileri evre) endometrioziste s\u0131kl\u0131kla kar\u0131n i\u00e7 zar\u0131, rahmi tutan ba\u011flar, ba\u011f\u0131rsaklar, mesane, sinirler, idrar borular\u0131, diyafram, akci\u011fer ve vajina gibi di\u011fer pelvik organlar da tutulmu\u015ftur.\u00a0<\/p>\n\n<p><strong>Muayene bulgular\u0131\u00a0<\/strong>\u2014vajinal muayenede hassasiyet, nod\u00fcllerin ele gelmesi, nadiren rahim a\u011fz\u0131 veya vajinal dokuda endometriozis tutulumunun g\u00f6r\u00fcnt\u00fclenmesidir. Bu bulgular\u0131n olmamas\u0131 hastal\u0131\u011f\u0131n olmad\u0131\u011f\u0131n\u0131 g\u00f6stermez.<\/p>\n\n<p><strong>Kan testi<\/strong>\u2014\u00a0Endometriozis i\u00e7in kesin tan\u0131 koydurabilecek bir laboratuvar testi yoktur.\u00a0Serum kanser antijeni (CA) 125 de\u011feri, endometriozisi olan kad\u0131nlarda (yani 35 \u00fcnite\/mL&#8217;den fazla) y\u00fckselebilir, ancak serum CA 125&#8217;in tan\u0131daki rol\u00fc net de\u011fildir. Her hastadan istenmesi \u00f6nerilmez.\u00a0<\/p>\n\n<p><strong>Radyolojik testler\u2014<\/strong>\u00c7ikolata kisti tan\u0131s\u0131nda \u00e7o\u011funlukla vajinal ya da abdominal ultrason yeterlidir. Bunun d\u0131\u015f\u0131nda tecr\u00fcbeli ellerde ba\u011f\u0131rsak \u2013mesane-rahmi tutan ba\u011flardaki nod\u00fclleri g\u00f6rmek m\u00fcmk\u00fcnd\u00fcr. Baz\u0131 olgularda alt bat\u0131n kontrastl\u0131 manyetik rezonans g\u00f6r\u00fcnt\u00fcleme (MR) da tan\u0131da kullan\u0131labilir.\u00a0<\/p>\n\n<p>Endometriozis kesin tan\u0131s\u0131 \u015f\u00fcphe ve ba\u015flanacak olan tedaviye verilen cevaba g\u00f6re konur. Laparoskopik biyopside endometriozis g\u00f6r\u00fclmemesi endometriozis olmad\u0131\u011f\u0131 anlam\u0131na gelmez.\u00a0Cerrahi s\u0131ras\u0131nda endometriozis odaklar\u0131 beyaz-pembe-kahverengi-siyah \u015fekillerde g\u00f6r\u00fclebilir.\u00a0<\/p>\n\n<p><strong>Tedavi Se\u00e7enekleri<\/strong><\/p>\n\n<p><strong>A\u011fr\u0131 kesiciler<\/strong><\/p>\n\n<p>\u00d6zellikle adet d\u00f6neminde a\u011fr\u0131 \u015fikayeti \u00f6n planda olan hastalarda tercih edilebilir. Endometriozis tedavisinde sadece \u015fikayetlerin bask\u0131lanmas\u0131na y\u00f6nelik kullan\u0131labilir, kesin tedavide yeri yoktur.<\/p>\n\n<p><strong>Progesteron i\u00e7eren ila\u00e7lar<\/strong><\/p>\n\n<p>A\u011fr\u0131 \u015fikayeti \u00f6n planda olan hastalarda kullan\u0131labilir,<strong>\u00a0<\/strong>a\u011fr\u0131lar\u0131 k\u0131smen azaltabilir,<strong>\u00a0<\/strong>kesin tedavide yeri yoktur. Rahim tutulumu olan ve adet d\u00fczensizli\u011fi olan hastalarda progesteron salg\u0131layan rahim i\u00e7i spiraller kullan\u0131labilir. Hormon tedavileri s\u0131ras\u0131nda lekelenme \u015feklinde adet aras\u0131 kanamalar olabilece\u011fi bir s\u00fcre sonra adet kanamalar\u0131n\u0131n kesilebilece\u011fi unutulmamal\u0131d\u0131r.<\/p>\n\n<p><strong>\u00d6strojen-progesteron i\u00e7eren ila\u00e7lar (do\u011fum kontrol haplar\u0131)<\/strong><\/p>\n\n<p>Progesteron tedavisi s\u0131ras\u0131nda adet d\u00fczensizlikleri olan ya da a\u011fr\u0131 \u015fikayetleri olan \u00e7ikolata kisti hastalar\u0131na direk olarak do\u011fum kontrol haplar\u0131n\u0131n ara vermeden kullan\u0131m\u0131 \u00f6nerilebilir. Bu haplar ayn\u0131 zamanda do\u011fum kontrol\u00fc amac\u0131 ile de kullan\u0131labilir.<\/p>\n\n<p><strong>GnRH T\u00fcrevleri (ge\u00e7ici menopoz i\u011fneleri)<\/strong><\/p>\n\n<p>Bu ila\u00e7lar \u00f6strojen hormonu d\u00fczeylerini bask\u0131layarak hastalarda ge\u00e7ici menopozal bir durum olu\u015fturur. \u0130la\u00e7lar b\u0131rak\u0131ld\u0131ktan sonra bu durum ortadan kalkar. Uzun s\u00fcre kullan\u0131mlar\u0131nda kemik erimesi riski nedeni ile 6 ay \u00fczeri kullan\u0131mlar\u0131 \u00f6nerilmemektedir.<\/p>\n\n<p><strong>Laparoskopi\u00a0<\/strong><\/p>\n\n<p>Laparoskopi kar\u0131n cildine yap\u0131lan 3-4 k\u00fc\u00e7\u00fck kesi<strong>\u00a0<\/strong>\u00a0ile cerrahi aletler kullan\u0131larak kar\u0131n i\u00e7erisinin g\u00f6r\u00fcnt\u00fclenmesi ve gerekli durumlarda \u00e7ikolata kisti odaklar\u0131n\u0131n \u00e7\u0131kar\u0131lmas\u0131 y\u00f6ntemidir. \u00d6zellikle ila\u00e7 tedavisine yan\u0131t vermeyen g\u00fcnl\u00fck hayat kalitesini bozan pelvik a\u011fr\u0131n\u0131n devam\u0131, b\u00fcy\u00fck boyutlu \u015f\u00fcpheli g\u00f6r\u00fcn\u00fcml\u00fc yumurtal\u0131k kistlerinin olmas\u0131 ba\u011f\u0131rsak ve mesane tutulumu olmas\u0131, idrar borular\u0131n\u0131n tutularak b\u00f6brek kayb\u0131 riskinin olmas\u0131, akci\u011fer tutulumu, sinir tutulumu, \u00f6nceki cerrahiler sonras\u0131 kesi yerlerinde ele gelen endometriozis nod\u00fclleri cerrahi tedavi gerektirir.\u00a0\u00a0\u00a0<\/p>\n\n<p>Laparoskopik tedavinin ba\u015far\u0131s\u0131 kitle boyutuna, iki yumurtal\u0131\u011f\u0131 ve rahmi tutmas\u0131na, cerrahinin eksiksiz yap\u0131lmas\u0131na ve cerrah\u0131n deneyimine ba\u011fl\u0131d\u0131r.\u00a0<\/p>\n\n<p>Endometriozisin evresi, a\u011fr\u0131 \u015fikayetlernin ortaya \u00e7\u0131kmas\u0131 veya \u015fiddeti ile ili\u015fkili de\u011fildir\u00a0<\/p>\n\n<p><strong>\u00c7ikolata kisti ve yumurtal\u0131k rezervi<\/strong><\/p>\n\n<p>Ergenlik d\u00f6nemindeki k\u0131z \u00e7ocuklar\u0131nda yakla\u015f\u0131k 400.000 adet yumurta bulunmaktad\u0131r. Bu yumurta havuzundan baz\u0131 yumurtalar her ay se\u00e7ilerek at\u0131l\u0131r. Ya\u015f ilerledik\u00e7e yumurta havuzu da azalmaya ba\u015flar. Bunun d\u0131\u015f\u0131nda \u00e7ikolata kisti gibi hastal\u0131klar bu rezervin azalma s\u00fcresini h\u0131zland\u0131r\u0131r. Ayr\u0131ca mevcut yumurtalar\u0131n kalitesini bozdu\u011funa dair veriler de bulunmaktad\u0131r. Bu ama\u00e7la daha \u00f6nce yumurtal\u0131k ameliyat\u0131 ge\u00e7irmi\u015f, ileri ya\u015f ya da iki tarafl\u0131 \u00e7ikolata kisti olan hastalarda yumurtal\u0131k rezervinin d\u00fc\u015f\u00fck olma ihtimali y\u00fcksektir. Yumurta rezervini belirlemede adetin 3. G\u00fcn\u00fc yap\u0131lan FSH testi, ultrason ile yumurta say\u0131m\u0131 ya da kanda AMH testi kullan\u0131l\u0131r.<\/p>\n\n<p><strong>\u00c7ikolata kisti ve \u00e7ocuk istemi<\/strong><\/p>\n\n<p>\u00c7ikolata kisti olan kad\u0131nlarda infertilite (k\u0131s\u0131rl\u0131k) oranlar\u0131 yakla\u015f\u0131k %30-40\u2019lardad\u0131r. Burada bir \u00e7ok fakt\u00f6r sorumlu tutulmaktad\u0131r. Bunlar; kar\u0131n i\u00e7erisinde ya da t\u00fcplerde olan yap\u0131\u015f\u0131kl\u0131klar, yumurta rezervinin azalmas\u0131, yumurta kalitesinin azalmas\u0131, kistten sal\u0131nan s\u0131v\u0131lar\u0131n bebe\u011fin yerle\u015fmesi i\u00e7in uygun olmas\u0131 gereken ortam\u0131 bozmas\u0131, yumurtan\u0131n spermle birle\u015fiminin engellenmesi, ve bebe\u011fin rahim i\u00e7erisine tutunmas\u0131n\u0131n engellenmesi gibi fakt\u00f6rler olarak s\u0131ralanabilir. \u00d6zellikle iki tarafl\u0131 kisti olan, daha \u00f6nce yumurtal\u0131k cerrahisi ge\u00e7irmi\u015f, aktif a\u011fr\u0131 \u015fikayeti olmayan, 35 ya\u015f\u0131ndan b\u00fcy\u00fck, yumurtal\u0131k rezerv testleri d\u00fc\u015f\u00fck olan hastalar\u0131n \u00e7ocuk istemeleri durumunda ameliyattan \u00f6nce mutlaka yumurta ya da evli ise embriyo dondurma se\u00e7eneklerini \u00f6n planda d\u00fc\u015f\u00fcnmeleri gerekmektedir.<\/p>\n\n<p><strong>\u00c7ikolata kisti varken gebelik seyri<\/strong><\/p>\n\n<p>Hamilelik s\u0131ras\u0131nda<strong>\u00a0<\/strong>endometriozis lezyonlar\u0131 de\u011fi\u015fen hormonal ortama yan\u0131t olarak bazen kaybolabilir. Ancak bu durum lezyonlar\u0131 tamamiyle bask\u0131lamaz. \u00c7ikolata kisti varken gebelik olmas\u0131 durumunda d\u00fc\u015f\u00fckler, gebelik zehirlenmesi, erken do\u011fum, bebek e\u015finin (plasenta) yap\u0131\u015fmas\u0131nda bozukluklar nadir de olsa g\u00f6r\u00fclebilir.\u00a0\u00a0<\/p>\n\n<p><strong>\u00c7ikolata kisti ve Kanser<\/strong><\/p>\n\n<p>\u00c7ikolata kisti nadir de olsa kanserler ile ili\u015fkili olabilir ancak genel risk d\u00fc\u015f\u00fck g\u00f6r\u00fcnmektedir. Yap\u0131lan bir \u00e7al\u0131\u015fmaya g\u00f6re bu risk genel toplumda %2.56 gibi g\u00f6r\u00fcnmekte, \u00f6zellikle 40 ya\u015f\u0131ndan \u00f6nce bu risk daha az iken (%1) 40 ya\u015f \u00fcst\u00fc hastalarda bu risk biraz daha fazla olabilmektedir. Kanser geli\u015fmesinde \u00f6zellikle anne-karde\u015fler de meme-yumurtal\u0131k-rahim-ba\u011f\u0131rsak kanseri olmas\u0131 ve kitle g\u00f6r\u00fcnt\u00fcs\u00fcn\u00fcn kanser \u00f6zellikleri ile birlikte olmas\u0131 \u00f6nemlidir.\u00a0<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Endometriosis is defined as a disease related to the estrogen hormone that occurs when cells in the inner layer of the uterus are found outside the uterus. It has been [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":11184,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-12925","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"http:\/\/drcihankaya.com\/en\/index.php\/wp-json\/wp\/v2\/posts\/12925","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/drcihankaya.com\/en\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/drcihankaya.com\/en\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/drcihankaya.com\/en\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/drcihankaya.com\/en\/index.php\/wp-json\/wp\/v2\/comments?post=12925"}],"version-history":[{"count":1,"href":"http:\/\/drcihankaya.com\/en\/index.php\/wp-json\/wp\/v2\/posts\/12925\/revisions"}],"predecessor-version":[{"id":12928,"href":"http:\/\/drcihankaya.com\/en\/index.php\/wp-json\/wp\/v2\/posts\/12925\/revisions\/12928"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/drcihankaya.com\/en\/index.php\/wp-json\/wp\/v2\/media\/11184"}],"wp:attachment":[{"href":"http:\/\/drcihankaya.com\/en\/index.php\/wp-json\/wp\/v2\/media?parent=12925"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/drcihankaya.com\/en\/index.php\/wp-json\/wp\/v2\/categories?post=12925"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/drcihankaya.com\/en\/index.php\/wp-json\/wp\/v2\/tags?post=12925"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}