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54348960进行预约。我们的门诊时间总是在周一和周五。","我如何进行预约？",{"_uid":335,"answer":336,"question":337,"component":329},"f04f4535-5ac5-4465-b885-fa2a129a5fb4","请带上你的保险卡和所有以前的检查结果，包括X光片。不需要单独拍摄X光图像。","我在预约时需要什么？","一般","Faq",{"_uid":341,"component":342},"226e3bb5-96a8-41b3-b643-c5aa37c251a4","Seperator",{"_uid":344,"items":345,"title":212,"component":339},"8f2487bc-7a80-4693-b4d3-1a7d51a09e27",[346,350,354,358,362,366,370,374,378,382,386,390,394,398],{"_uid":347,"answer":348,"question":349,"component":329},"c65c239e-f5b6-42b2-b9e1-cf0ecbd5f431","第一次观察到骨头能过在牵引下生长可以追溯到150多年前。这种方法在临床上已经使用了大约50年。","从什么时候开始可以通过手术延长腿部？",{"_uid":351,"answer":352,"question":353,"component":329},"0618a1d0-98e1-4313-8abe-980c1473b9e4","骨头被轻轻地切开，然后以每天约1毫米的速度慢慢拉开。新的骨组织在缝隙中形成，与自然生长的骨头没有区别，并且随后会生长得同样坚固。","在外科腿部延长术中会发生什么？",{"_uid":355,"answer":356,"question":357,"component":329},"cf3e8a2d-4961-4bec-8dfb-8e5fce089f49","从理论上讲，骨头或周围的软组织可以被延长的程度是没有限制的。将股骨（大腿骨）和胫骨（小腿骨）延长10厘米或以上在理论上是可行的。然而，如果骨头过度延长，那么韧带和肌腱等伸展性较差的结构的收紧会导致邻近关节的位移和僵硬。","可以延长到多少？",{"_uid":359,"answer":360,"question":361,"component":329},"d9c1e48f-51d7-4c5a-abaf-1fc89f427066","血液的形成主要发生在扁平骨（肋骨、椎骨、骨盆）中。因此，即使四肢的所有骨骼都植入了髓内钉，也不会产生不良影响。","使用髓内钉时，骨髓会发生什么变化？",{"_uid":363,"answer":364,"question":365,"component":329},"930185ec-64d4-474d-8cd7-698bcbbe6be3","程序控制的FITBONE-髓内牵引钉具有强大而可靠的电机，应用范围最广。Precice-髓内牵引钉由旋转的磁铁驱动，技术简单。","有哪些髓内牵引钉，有什么区别？",{"_uid":367,"answer":368,"question":369,"component":329},"831480e9-7f53-44d8-91d7-045b79325f17","环形固定器（也称为伊利扎洛夫装置）在过去10年中已基本被所谓的六轴外固定架所取代，其设置由计算机程序计算。另外，也有一些轻型金属固定器连接在骨头的一侧，这对病人来说相对更舒适，特别是在大腿上。","有哪些固定器并且有哪些区别？",{"_uid":371,"answer":372,"question":373,"component":329},"f6b125bb-5eed-4538-b319-6b1bcb412bcb","牵引术治疗相对来水比较少见。只有当一个医疗中心拥有必要的后勤保障时，才能将这样的治疗安全进行。外科医生必须有丰富的经验，并且在手术之后仍能一直和患者保持联系。","为什么在一个中心接受治疗很重要？",{"_uid":375,"answer":376,"question":377,"component":329},"2c1b0259-7736-4613-907f-1b1fd2f208a7","所有种类的植入体都可以在ZEM-Germany得到。然而，由于FITBONE-髓内牵引钉的性能优越，因此占有特殊地位。","在ZEM-Germany中心会用到哪些髓内牵引钉？",{"_uid":379,"answer":380,"question":381,"component":329},"96ca73ab-3cb0-4d07-95a3-f3c03ce76d6c","只要医学上有可能，ZEM-Germany中心就会推荐使用髓内牵引钉，因为这类植入体提供了最佳的治疗安全性和舒适性。但是，在不可能使用髓内牵引钉的情况下，ZEM-Germany中心也会使用特别轻巧、技术先进的外固定器。","在ZEM-Germany中心也使用外固定器吗？",{"_uid":383,"answer":384,"question":385,"component":329},"a6c0ea34-4cb2-4c96-b2f9-325d9e2dd4e1","所有重大手术都在我们的合作医院进行，在那里我们配备了设备精良的手术室，有经过认证的卫生标准，有非常专业的护理，如果需要，还可以在手术后的第一个晚上提供监护病房。","在哪里进行手术？",{"_uid":387,"answer":388,"question":389,"component":329},"86254ba1-a0ac-4299-be66-9569a8ddc0ed","平均而言，ZEM-Germany中心每年进行约200例矫正手术。其中每年约有100例使用髓内牵引钉--自ZEM-Germany中心成立以来达到将近2000例。","ZEM-Germany中心进行了多少次肢体延长术？",{"_uid":391,"answer":392,"question":393,"component":329},"b845b1b3-eccf-4fec-8600-8444053fafa1","在有医疗必要的情况下，治疗费用由法定或私人医疗保险支付。非医疗必要的手术必须由病人自己支付。一个髓内牵引钉的费用约为15,000欧元，延长一根骨头的费用约为35,000欧元。在ZEM-Germany中心进行初次咨询后，具体费用将进行精确的计算。","治疗费用是多少？",{"_uid":395,"answer":396,"question":397,"component":329},"7abad0e0-509a-42b4-a5ad-70fa592a7d01","我们要求有法定医保的患者出示医保卡。私人医保的患者或法定医保患者但有私人补充保险的，应提供相应证明。自费的患者需要提供身份证明，可以用现金或刷卡支付。如果已经拍过X光片，患者最好是拷贝到光盘上带来，以避免重复X光检查。","我在第一次预约时需要携带什么？",{"_uid":399,"answer":400,"question":401,"component":329},"24d34eca-a9ab-4611-b7d1-979405edeadd","往返于医院住院治疗的旅费通常由医疗保险公司承担。医疗保险公司不会报销去门诊就诊的旅行费用，但我们建议向医保提交申请要求报销，因为ZEM-Germany中心在这里提供的特殊治疗方案，通常是距离最近的“合适”治疗机构。","旅行费用能否报销？",{"_uid":403,"component":342},"44cfc6f7-55b9-4196-8156-8166518bab62",{"_uid":405,"items":406,"title":239,"component":339},"80ed30ee-e208-464d-b5fd-df2850f8f09d",[407,411,415,419,423,427,431],{"_uid":408,"answer":409,"question":410,"component":329},"e3036693-6680-44bf-a2b1-bea9874ee437","腿长差异也可以通过缩短较长的那条腿来纠正。对于特别高的人来说，缩短两条腿是一种美容措施，患者必须自己支付。","在ZEM-Germany也进行腿部缩短术吗？",{"_uid":412,"answer":413,"question":414,"component":329},"0be9f596-7866-4f4f-b4fd-1ec4600f7798","在大腿上可以缩短3-4厘米，在小腿上可以缩短2-3厘米，而不会有不良后果。除此之外，应该分两步进行。","一条腿可以缩短多少厘米？",{"_uid":416,"answer":417,"question":418,"component":329},"da8b7d23-7aea-4634-8ac2-aa751c612205","如果有腿长差异，医疗保险将支付治疗费用。为缩小体型而进行的美容性腿部缩短术，根据程度不同，费用在20.000欧元至50.000欧元之间，不属于医疗保险的范围。","腿部缩短的费用是多少？",{"_uid":420,"answer":421,"question":422,"component":329},"70cad5e7-8fcc-48b6-832d-c6ccececcf9b","通过一个小的皮肤切口，从骨干中部取出一段骨，然后将剩余的骨头推到一起。稳定是由髓内钉提供的，在骨头愈合后将其取出。","腿部缩短手术是如何进行的？",{"_uid":424,"answer":425,"question":426,"component":329},"bff7f77c-84c2-4034-aa4d-2974b1ce2e55","在诊所的逗留时间约为3-4天。之后是部分负重和使用拐杖，持续6-12周。此后，可以恢复完全负重。","腿部缩短需要多长时间？",{"_uid":428,"answer":429,"question":430,"component":329},"24540cfe-b1f4-4f32-aea8-17c4de59d0b5","在腿长不齐的情况下，同时还有畸形的那条腿应始终得到治疗，以便在手术中对两者进行矫正。但是，在许多情况下，这个问题并不存在，这取决于病人的身高。","延长腿还是缩短腿？",{"_uid":432,"answer":433,"question":434,"component":329},"4fe042cf-2faa-421b-996b-624c04a1dbd2","如果腿部不成比例地缩短，血管可能会扭结，导致血管闭塞。","腿部缩短的风险是什么？",{"_uid":436,"component":342},"7cd98432-cbcd-4534-9f38-85515f889206",{"_uid":438,"items":439,"title":218,"component":339},"d114a397-c47a-452a-885b-426569ce0fd9",[440,444,448],{"_uid":441,"answer":442,"question":443,"component":329},"dfa92896-57e3-4e84-b4cd-a996f10aad14","手臂延长术几乎只在上臂进行。在这里，如果最初的长度允许，髓内钉也是有优势的。骨头被切断并慢慢拉开，以便新的骨组织能够重新生长。","手臂延长术是如何进行的？",{"_uid":445,"answer":446,"question":447,"component":329},"4bff3b3b-01c5-4fae-a2ce-270f324d4ea2","约6厘米或更多的长度差异往往会导致歪斜的姿势和疼痛。上臂延长术可以解决这个问题。如果前臂骨的长度不匹配，疼痛就会发生在手腕上。通常情况下，桡骨被延长。在身材矮小的人中，个人卫生问题可能是主要问题，因此只有双侧上臂延长术才能提供缓解。","什么时候进行手臂延长术是有意义的？",{"_uid":449,"answer":450,"question":451,"component":329},"df1b5ed4-3759-42c2-80a4-9aa4e042b5dd","在上臂，桡神经处于危险之中，因为它紧贴着骨头运行。桡神经损伤会导致垂腕（无法抬起手腕）。在前臂上，重要的是保留前臂的旋转功能（旋前和旋后）。","手臂延长术的风险是什么？",{"_uid":453,"component":342},"edb45e6f-b598-4ebd-9500-bbcfa7ebfd88",{"_uid":455,"items":456,"title":489,"component":339},"f40dddc0-e348-43e6-894e-db456d6578cd",[457,461,465,469,473,477,481,485],{"_uid":458,"answer":459,"question":460,"component":329},"f8e473ac-5fe9-4276-8969-c98285d44fef","由Wittenstein intens公司（Igersheim）制造的植入体内部安装着一个完全密封的电动马达。通过安置于皮肤下的天线，将发射器置于其上，把能量传输给电机。由于无需线缆连接，术后皮肤上的创口是完全闭合的。小巧的外部控制器携带方便，并能安全地根据需要来控制植入的马达。完全排除了诸如无意的或不受控制的延长等故障的出现。内置的马达可以产生相当大的力量，因此能够匀速地用合适的小步骤拉开骨骼，这对健康的新骨形成尤其重要。延长过程本身是完全无痛的，病人不会注意到。只有软组织的收紧和对关节的压力会在较大的延长量下会造成疼痛感。从美容方面上看，效果也明显更好，因为最长的疤痕只有大约2厘米，而且通常情况下几乎可以愈合得不可见。","完全植入式髓内牵引钉FITBONE是如何工作的？",{"_uid":462,"answer":463,"question":464,"component":329},"2faff9fd-1e08-4601-bb25-8532b137fa9c","FITBONE-植入体可以进行最大80毫米的延长，并具有最先进的电动技术和控制功能。超过这个范围的延长需要一次中间手术。尤其重要的是，ZEM-Germany中心开发的方案规划技术（反向规划法）和微创手术技术，也可以同时完成畸形矫正（O型腿和X型腿）以及旋转畸形，目前任何其他植入体都无法以类似的精度做到这一点。即使是长段骨缺损，如事故或骨肿瘤后，也可以用FITBONE系统进行治疗，因此不需要使用外固定器。如果要同时进行大腿（股骨）和小腿（胫骨）的延长，通常在大腿放置一枚完全植入的髓内牵引钉，在小腿放置另一枚髓内牵引钉。两件植入体都可以通过膝盖骨下方的一个小的皮肤切口插入，以后可以与皮肤褶皱平行地愈合到几乎不可见。由于大腿和小腿的延长是以每天1毫米的速度进行的，因此整条腿可以以每天2毫米的速度延长，这导致了总治疗时间的大幅减少。","完全可植入的髓内牵引钉FITBONE能做什么？",{"_uid":466,"answer":467,"question":468,"component":329},"6e905b91-af64-4a98-ad53-42f0358eff69","每当在进行延长治疗时，无论是否需要其他矫正措施，只要需要治疗骨头可以容纳髓内钉，FITBONE-髓内牵引钉都是一个有利的选择。这适用于腿部及上臂单侧和双侧的延长。\n单侧的延长治疗可以在骨折后或骨骼正常生长受到干扰而导致过短后进行。双腿延长术在医学上适用于身材矮小的情况，如软骨发育不全、特纳综合征或拉塞尔-西尔弗综合征。对于那些骨骼没有病理变化，而只是感觉太矮的人，也可以使用FITBONE系统进行双腿延长术。然而，在这种情况下，整个治疗的费用必须由患者承担。全植入型的FITBONE髓内牵引钉也可用于重建因事故或者良性或恶性骨肿瘤切除后造成的长段骨缺损。","何时使用FITBONE全植入式髓内牵引钉？",{"_uid":470,"answer":471,"question":472,"component":329},"29b499ef-b17a-4bd5-81ed-ea6b89c7232b","FITBONE-髓内牵引钉也可用于10岁左右的儿童的大腿和小腿，例如因腿长差异太大，以至于增高鞋过度妨碍活动这类情况。然而，必须严格审查每个病例的适应证。在身高发育完成后通过手术矫正腿长差异是最有利的，因为腿长差异的大小不会再变化，女孩的腿部生长通常在15岁左右完成，男孩在16岁左右完成。","FITBONE-髓内牵引钉是否也可用于儿童？",{"_uid":474,"answer":475,"question":476,"component":329},"43f9f930-b20d-4dcc-a8b5-2f8e5d5a6bd5","两条腿的延长术可以用不同的方式进行。对患者来说，最简单的方法是两腿分开进行延长，这样总有一条腿可以全面承重，从而最小的限制了患者在治疗期间的活动能力。为了减少治疗的总时间，患者通常希望对两侧同时或重叠治疗。在对一侧的大腿和小腿进行第一次手术后，另一侧的手术最早可在1周后进行，不过一般来说等待4至6周比较好。双腿同时进行延长治疗的优点包括节省了治疗时间，并能在同一治疗过程中进行双腿的理疗。然而，这些优点被缺点所抵消，即在治疗过程的一段时期内，病人的活动受到明显限制，需要依赖外界帮助和使用轮椅，因为在延长的骨头变硬之前，没有腿可以完全负重。在同一手术中对两条腿的骨头进行手术，也会大大增加栓塞的风险，因此在我们中心不进行这种手术。","如何使用FITBONE-髓内牵引钉进行双腿延长术？",{"_uid":478,"answer":479,"question":480,"component":329},"6cd8384d-2496-4b32-a194-51ea8d340a33","所有FITBONE-髓内牵引钉的基本技术都是一样的。钉子中始终集成着一个高性能电机，由可靠的，易于使用的电子装置提供能量，并通过数字信号控制，从而可以防止出现故障。\n最常用的FITBONE型号是伸缩式髓内钉（TAA），它可用于股骨和胫骨的延长，也可同时矫正骨轴线。使用TAA模型进行上臂延长术也是很有优势的。一个特别的亮点 --在德国是独一无二的--是对高位髋关节脱位的治疗。在这种情况下，由于髋关节畸形或发育不全，腿部不能正确地支撑骨盆，FITBONE TAA可以将腿部带入正确的解剖位置，这样之后就可以在正确的位置进行髋关节置换。\n另一个独特的型号是实心滑孔式（SAA）FITBONE，它已经为曾经认为无望矫正的大腿畸形带来了出色的治疗效果。这种植入体不仅能延长大腿，还能以生物学方式闭合骨缺损。这种型号主要用于严重外伤损坏的骨骼或极端的，先天性的畸形。\n其他型号例如FITBONE-FSA，它结合了两个系统的一些优点，用于治疗骨缺损和大小腿的过短。它的使用只限于以前没有其他植入体可用的特殊情况。\nFITBONE-髓内牵引钉在儿童中与所谓的生长假体（MUTARS）结合使用时发现了特殊的应用。恶性骨肿瘤（骨癌、骨肉瘤、尤文氏肉瘤）主要发生在生长过程中的关节附近。在受影响的儿童中，他们自己的关节通常要被切除，并由关节假体取代。随着另一条腿的继续生长，由于生长区的丧失，将形成腿长的差异，而这种差异必须得到弥补。直到现在，在肿瘤手术后延长骨头或假体是不可行的，因此这些孩子不得不终生忍受变形的鞋子，或者接受破坏形体外观的手术。FITBONE髓内牵引钉既可以延长假体（Xpand），也可以延长剩余的骨骼（BioXpand），这是ZEM-Germany中心与Implantcast公司（Buxtehude）合作的一项创新，为患病儿童开辟了全新的前景。","FITBONE-髓内牵引钉的不同型号有哪些？",{"_uid":482,"answer":483,"question":484,"component":329},"e8cfc0ff-8129-4cae-9582-4bc70f926f01","每一个腿部延长术对成年人来说都与骨骼的手术分割、固定和牵引有关。尽管根据我们的经验，FITBONE系统是最安全的治疗选择，但在极其罕见的情况下也不能完全排除风险。一般性质的风险包括术后出血、血管和神经损伤、功能障碍、伤口愈合问题和血栓。对于任何类型的髓内钉，也有肺栓塞的风险，因为脂肪骨髓可能从长骨内移出。尽管在使用外固定器进行延长治疗时，感染的风险明显较高，但在植入髓内牵引钉后也可能发生感染，就像任何手术后一样。在某些情况下，可能需要从外部稳定骨骼，至少是暂时的。这种并发症在ZEM-Germany极为罕见，远低于0.1%。在延长过程中，可能会出现牵引间隙内新骨形成过慢的情况，特别是在小腿（胫骨），因为在这里，由于包裹胫骨的软组织数量较少，骨的血液供应减少，特别是在前部。如果牵引间隙中形成的新骨不足以允许完全负重，必须从髂嵴（骨盆）取少量松质骨“植入”牵引间隙中，之后新骨通常会在6周内变得坚固。这种措施在多达15%的病例中是必要的，特别是以前骨骼受损或吸烟者。","使用FITBONE-髓内牵引钉延长可能出现哪些并发症？",{"_uid":486,"answer":487,"question":488,"component":329},"3a7a6012-7e02-40dd-a7e6-d0e73085d0be","FITBONE-髓内牵引钉通过闭合的皮肤从外界接收能量。特别有利的是，能量供应完全不受干扰。这意味着，你的手机或任何其他电子设备都不能影响其功能。与磁力驱动的髓内钉（Precice）相比，控制单元方便、轻巧，因为不需要磁铁，即使软组织层稍厚，联接也总是可靠地工作。FITBONE也是唯一一种患者可以立即检查延长过程是否真的发生的植入体。总之，具有控制和监测功能的FITBONE植入体提供了最大的安全性和舒适性。","如何操控FITBONE？","FITBONE",{"_uid":491,"component":342},"cd0cc41f-e8a0-43d3-a954-21aadc96a55f",{"_uid":493,"items":494,"title":519,"component":339},"371318f9-cbf2-4c85-90ee-e7293ad75d71",[495,499,503,507,511,515],{"_uid":496,"answer":497,"question":498,"component":329},"60d6d8b9-9398-4aa7-9214-192a6edd6b61","获得专利的Xpand - 生长假体是一种肿瘤型假体，里面有FITBONE-髓内牵引钉驱动。  在切除骨肉瘤或尤文氏肉瘤的儿童中，通过延长假体长度，这些假体可以用来弥补由于另一侧长度增加而产生的腿长差异。这类假体适合于青少年患者，目标群体是12岁左右。对于年龄较小的儿童，由于肿瘤切除手术后，手术腿与对侧腿的生长量有较大差异，因此腿长不平等的情况会更严重，此时BioXpand生物假体更有优势。使用ZEM-Germany开发的这些创新的生长假体，可以创造新的骨骼，因为延长的不是假体本身，而是剩余的骨骼。","Xpand和BioXpand--有什么区别？",{"_uid":500,"answer":501,"question":502,"component":329},"217718db-f660-43d6-bec0-532db93ea78d","MUTARS BioXpand代表了生长假体发展的一个巨大飞跃，因为这种假体首次使骨骼在已植入肿瘤型假体的情况下也能生长。这里的FITBONE-髓内牵引钉并不延长假体，而是通过骨痂牵引法延长剩余的骨骼。这种方法所产生的更大的骨长度导致了更好的锚定可能性，从而大大增加了假体的稳定性。","BioXpand的优势是什么？",{"_uid":504,"answer":505,"question":506,"component":329},"3725d18b-02a4-4ef1-adc5-0e960d6aeede","BioXpand于2006年获得专利，并于2007年在ZEM-Germany中心首次用于临床。第一批病例取得了以前无法想象的成功，刺激了该系统的进一步发展和改进。BioXpand的基本原理是让骨头生长，而不是让假体生长，这一点在BioXpand的所有型号中都得到了应用。对于最初的型号BioXpand I来说，从最初的抛光假体柄更换为FITBONE-髓内牵引钉，以及随后的每次更换（例如在生长结束后更换为最终保留的、可长入骨内的假体柄），都需要暴露甚至更换假体，因此需要一个”大“的手术通路。随着BioXpand II的引入，由此带来的感染风险得以大幅降低。在保留BioXpand I所有优点的同时，BioXpand 二代现在只需要最小的手术通路，因为所有的置换手术都是从远离关节的一侧通过小的皮肤切口（最大3厘米）进行的，假体本身几乎不受影响。这一优势最初只能在大腿上实现。然而，与此同时，ZEM-Germany中心已经在计划和开发所有后续的手术治疗方案，包括针对小腿的治疗（BioXpand III），从而避免在假体部分重新开大的手术通路。","有哪些不同型号的BioXpand？",{"_uid":508,"answer":509,"question":510,"component":329},"ac4582a0-a743-4b9a-89b8-b9d3002eebec","原则上说，如果换成BioXpand能使患儿的治疗方案得到有意义的改善，那么总是有可能的。如果植入的是抛光假体柄，那么更换就相对简单了。但是，如果初次植入的假体带有涂层的假体柄，且假体柄牢固地长入骨骼，则必须非常严格地审查更换的适应证，因为只有通过极其侵入性和复杂的方式才能去除这些假体柄。从一开始就选择一种不会使后续治疗更加困难甚至不可能的手术治疗方案就更加重要了。因此，如果肿瘤手术要在其他诊所进行，也应该在重建手术前到ZEM-Germany做个咨询。","可以在后期植入BioXpand吗？",{"_uid":512,"answer":513,"question":514,"component":329},"1c8b9e18-772c-4fa0-81b2-31c4a2117d6b","使用任何类型的肿瘤型假体时，最大的危险是感染。当然感染也可能由生长假体带来，尤其是在需要进行多次更换手术的情况下。然而，BioXpand II和正在开发的BioXpand III极大地降低了感染的风险，因为不再需要直接在假体区域进行大面积的手术暴露。","BioXpand会有什么并发症？",{"_uid":516,"answer":517,"question":518,"component":329},"9da22bb8-8044-4001-b002-912ff1ce50fa","在恶性骨肿瘤的情况下，完全切除骨肿瘤和周围的软组织仍然是手术首选，因为患者的生存取决于此。如果已经决定使用MUTARS BioXpand，在第一次的手术中应始终使用带有“光滑、抛光”假体柄的临时假体，这在最初可以确保最佳的稳定性，并给后续重建留出选择项。同样重要的是得考虑到，儿童此时因化疗而变得虚弱，最终预后尚不明确。目前，大腿和小腿可用的MUTARS BioXpand II具备抛光且可更换的假体柄，这至少在肿瘤经常位于大腿远端时，允许了微创延长治疗。将来，BioXpand III也有抛光假体柄，可以通过微创技术在大腿和小腿进行延长手术，这一前景直到近期似乎还无法想象。","该疗法是如何运作的？","BioXpand",{"id":99,"alt":99,"name":9,"focus":99,"title":99,"filename":99,"copyright":99,"fieldtype":11},"Page",[],[524],"max-w-screen-lg","与腿部延长术以及FITBONE-髓内牵引钉和BioXpand-生长假体相关主题的常见问题解答。",70,[528],"ToDo",0,"45da7b1a-4b16-4f75-8f83-2f6ce39be2b3","2021-05-17T15:59:54.100Z",[],[534,536,540,544,548],{"path":89,"name":87,"lang":535,"published":21},"en",{"path":537,"name":538,"lang":539,"published":21},"preguntas-frecuentes","PREGUNTAS FRECUENTES","es",{"path":541,"name":542,"lang":543,"published":21},"altalymat","التعليمات","ar",{"path":545,"name":546,"lang":547,"published":21},"chasto-zadavaemye-voprosy","ЧАСТО ЗАДАВАЕМЫЕ ВОПРОСЫ","ru",{"path":549,"name":90,"lang":201,"published":21},"chang2-jian4-wen4-ti2",1793077576969]