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234					<h1 class="elementor-heading-title elementor-size-default">ניתוחים להסרת גליומות</h1>				</div>
235				</div>
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238					
239<p class="wp-block-paragraph">גליומה &#8211; גליומות מהוות כשליש מכלל הגידולים במוח. מקור הגליומות הוא מתאי התמך (תאי גליה) שתפקידם לתת תמיכה והגנה לתאי העצב במוח. גידולים גליאלים (גליומות) נוצרים, גדלים ומסננים את רקמת המוח. קיימות 4 דרגות ממאירות. נהוג לחלק את הגליומות לכאלה מדרגה נמוכה (דרגה 1-2) המתאפיינות בקצב גדילה איטי. קיימת גליומה מדרגה גבוהה (דרגה 3-4). גידולים המתפתחים מהר יחסית בדרגת ממאירות גבוהה. גידולים אלה מחייבים טיפול גם לאחר כריתה ניתוחית. זאת לאור יכולת תאי הגידול לסנן את המוח גם לאזורים מרוחקים מהגוש הגידולי עצמו. </p>
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242
243<p class="wp-block-paragraph">הטיפול בגליומה מותאם לרוב באופן אינדיבידואלי ונקבע על פי מצבו הנוירולוגי של המטופל. מיקום הגידול ואבחנתו ההיסטופתולוגית גם קובעים את סוג הטיפול עם דגש על מאפייניו המולקולרים. מחקרים רבים שפורסמו בעשור האחרון הראו באופן ברור כי כריתה מלאה / מקסימלית של <a href="https://he.wikipedia.org/wiki/%D7%92%D7%9C%D7%99%D7%95%D7%9E%D7%94" type="link" id="https://he.wikipedia.org/wiki/%D7%92%D7%9C%D7%99%D7%95%D7%9E%D7%94" target="_blank" rel="noreferrer noopener">גידולים גליאלים</a> מביאה להארכת חיי המטופלים. אנו רואים את היעילות בכל הדרגות הממאירות. זאת כמובן תוך שימור תפקוד המנותח ואף שיפור באיכות החיים. במקרים בהם אנו לא יכולים לבצע כריתה של הגידול, נבצע ביופסיה סטראוטקטית לצורך קבלת אבחנה בלבד ולקביעת דרך הטיפול.</p>
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245
246
247<h2 class="wp-block-heading">גליומה &#8211; מטרת הניתוח</h2>
248
249
250
251<p class="wp-block-paragraph">מטרת הניתוח היא לבצע כריתה מקסימלית של הגידול. השאיפה היא לא לפגוע ברקמת המוח סביב. כיוון שמדובר בגידול המסנן את רקמת המוח, לא קיים גבול ברור בין הגידול לבין רקמת המוח. כיום ידוע כי תאי הגידול מסננים אף אזורים הרחוקים מהגידול. זאת ניתן להבין בבירור ב MRI ועל כן לא ניתן לבצע כריתה של כל תאי הגידול. קיים אתגר גדול בכריתת גידולים אלה מפני שהם מערבים את רקמת המוח עצמו. לאור החשיבות לשמירת תפקוד החולים, קיימות טכנולוגיות מתקדמות אשר התפתחו בשנים האחרונות. באמצעותן אנו יכולים היום להשיג כריתה מקסימלית של גידולים מסוג זה תוך שימור תפקוד המטופלים. </p>
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255<p class="wp-block-paragraph">ניתוחים לכריתת גליומות מבוצעים באופן שגרתי תוך שימוש בטכניקות מיקרוכירורגיות מתקדמות. בנוסף, אנו משתמשים במיקרוסקופ ניתוחי מתקדם, בהנחיית מערכת ניווט. כך אנו יכולים לתכנן באופן מדויק את אופן הגישה וביצוע הקרניוטומיה (פתיחת עצם הגולגולת). אנו משתמשים באופן שגרתי בטכנולוגיית הדמיית MRI מסוג Diffuse Tensor Imaging (DTI) אשר מדגימה את מסילות החומר הלבן הרלוונטיות הנמצאות בקרבת הגידול (ראה תמונה) ובהדמיות פונקציונליות.</p>
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258
259<h2 class="wp-block-heading">תהליך ניתוח להסרת גליומה</h2>
260
261
262
263<p class="wp-block-paragraph">במהלך הכריתה, אנו משתמשים במידת הצורך באולטראסאונד תוך ניתוחי או ב MRI תוך ניתוחי. אלו נותנים אומדן למידת הכריתה הניתוחית בזמן אמת. אנו משתמשים באופן שגרתי בסמן פלואורסנטי בשם 5ALA הניתן למטופל בשתייה מס' שעות לפני הניתוח. לאחר כריתת מרבית הגידול, באזורים בהם ×
263’ובל הגידול עם רקמת המוח, שימוש בסמן 5ALA מגדיר את גבולות הכריתה. תחת אור מיקרוסקופ עם פילטר אולטרה-סגול, מודגמים תאי הגידול בצבע פלואורסנטי ורוד. בניגוד לרקמת מוח אשר לא עוברת פלואורסנציה (ראה בתמונה דוגמה לפלואורסנציה של גידול גליאלי כפי שמודגם מבעד למיקרוסקופ בזמן הניתוח). בתום הניתוח, יועבר המטופל להשגחה בטיפול נמרץ עד הבוקר שלמחרת. ב 48 שעות שלאחר הניתוח יבצע המנותח MRI מוח על מנת להדגים את מידת כריתת הגידול ועל מנת לשלול סיבוכים ניתוחיים כגון החמרה בבצקת, אוטמים מוחיים או דימומים. מרבית המטופלים משתחררים לביתם תוך 2-3 ימים לאחר הניתוח בהמתנה לתוצאות האבחנה ההיסטופתולוגית של הגידול והחלטה על צורך בטיפול עתידי.</p>
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303					<h3 class="elementor-heading-title elementor-size-default">יצירת קשר</h3>
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318														<input size="1" type="text" name="form_fields[name]" id="form-field-name" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="שם מלא:" required="required">
319											</div>
320								<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-phone elementor-col-25">
321												<label for="form-field-phone" class="elementor-field-label elementor-screen-only">
322								טלפון							</label>
323														<input size="1" type="text" name="form_fields[phone]" id="form-field-phone" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="טלפון:">
324											</div>
325								<div class="elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-25 elementor-field-required">
326												<label for="form-field-email" class="elementor-field-label elementor-screen-only">
327								אימייל							</label>
328														<input size="1" type="email" name="form_fields[email]" id="form-field-email" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="אימייל:" required="required">
329											</div>
330								<div class="elementor-field-type-text">
331					<input size="1" type="text" name="form_fields[field_5cff81e]" id="form-field-field_5cff81e" class="elementor-field elementor-size-sm " style="display:none !important;">				</div>
332								<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-subject elementor-col-25">
333												<label for="form-field-subject" class="elementor-field-label elementor-screen-only">
334								נושא הפניה							</label>
335														<input size="1" type="text" name="form_fields[subject]" id="form-field-subject" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="נושא הפניה:">
336											</div>
337								<div class="elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons">
338					<button class="elementor-button elementor-size-md" type="submit">
339						<span class="elementor-button-content-wrapper">
340																						<span class="elementor-button-text">שלח</span>
341													</span>
342					</button>
343				</div>
344			</div>
345		<input
346                    class="apbct_special_field apbct_email_id__elementor_form"
347                    name="apbct__email_id__elementor_form"
348                    aria-label="apbct__label_id__elementor_form"
349                    type="text" size="30" maxlength="200" autocomplete="off"
350                    value=""
351                /></form>
352						</div>
353				</div>
354					</div>
355		</div>
356					</div>
357		</section>
358				<section class="has_ae_slider elementor-section elementor-top-section elementor-element elementor-element-04fdad6 elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default" data-id="04fdad6" data-element_type="section" data-e-type="section" data-settings="{&quot;background_background&quot;:&quot;classic&quot;}">
359						<div class="elementor-container elementor-column-gap-default">
360					<div class="has_ae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f70de58 ae-bg-gallery-type-default" data-id="f70de58" data-element_type="column" data-e-type="column">
361			<div class="elementor-widget-wrap elementor-element-populated">
362						<section class="has_ae_slider elementor-section elementor-inner-section elementor-element elementor-element-b16f622 elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default" data-id="b16f622" data-element_type="section" data-e-type="section">
363						<div class="elementor-container elementor-column-gap-default">
364					<div class="has_ae_slider elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-72c301d ae-bg-gallery-type-default" data-id="72c301d" data-element_type="column" data-e-type="column">
365			<div class="elementor-widget-wrap elementor-element-populated">
366						<div class="elementor-element elementor-element-84a3672 elementor-widget elementor-widget-image" data-id="84a3672" data-element_type="widget" data-e-type="widget" data-widget_type="image.default">
367				<div class="elementor-widget-container">
368																<a href="https://www.rachelgrossman.co.il/">
369							<img width="200" height="80" src="https://www.rachelgrossman.co.il/wp-content/uploads/2020/05/RG_Logo_White_B.png" class="attachment-large size-large wp-image-758" alt="פרופסור רחל גרוסמן - ניורוכירורגית" />								</a>
370															</div>
371				</div>
372					</div>
373		</div>
374				<div class="has_ae_slider elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-ac2e3a5 ae-bg-gallery-type-default" data-id="ac2e3a5" data-element_type="column" data-e-type="column">
375			<div class="elementor-widget-wrap elementor-element-populated">
376						<div class="elementor-element elementor-element-e0d62a0 elementor-widget elementor-widget-heading" data-id="e0d62a0" data-element_type="widget" data-e-type="widget" data-widget_type="heading.default">
377				<div class="elementor-widget-container">
378					<h2 class="elementor-heading-title elementor-size-default">ניווט באתר</h2>				</div>
379				</div>
380				<div class="elementor-element elementor-element-e6dcf99 elementor-mobile-align-center elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="e6dcf99" data-element_type="widget" data-e-type="widget" data-widget_type="icon-list.default">
381				<div class="elementor-widget-container">
382							<ul class="elementor-icon-list-items">
383							<li class="elementor-icon-list-item">
384											<a href="https://www.rachelgrossman.co.il/">
385
386											<span class="elementor-icon-list-text">דף הבית</span>
387											</a>
388									</li>
389								<li class="elementor-icon-list-item">
390											<a href="https://www.rachelgrossman.co.il/%d7%9e%d7%a0%d7%aa%d7%97-%d7%9e%d7%95%d7%97/">
391
392											<span class="elementor-icon-list-text">מנתח מוח</span>
393											</a>
394									</li>
395								<li class="elementor-icon-list-item">
396											<a href="https://www.rachelgrossman.co.il/%d7%9e%d7%a8%d7%9b%d7%96-%d7%99%d7%93%d7%a2/">
397
398											<span class="elementor-icon-list-text">פרסומים ומאמרים</span>
399											</a>
400									</li>
401								<li class="elementor-icon-list-item">
402											<a href="https://www.rachelgrossman.co.il/%d7%92%d7%99%d7%93%d7%95%d7%9c%d7%99-%d7%9e%d7%95%d7%97/">
403
404											<span class="elementor-icon-list-text">גידולי מוח</span>
405											</a>
406									</li>
407								<li class="elementor-icon-list-item">
408											<a href="https://www.rachelgrossman.co.il/%d7%99%d7%a6%d7%99%d7%a8%d7%aa-%d7%a7%d7%a9%d7%a8-%d7%a4%d7%a8%d7%95%d7%a4%d7%a1%d7%95%d7%a8-%d7%a8%d7%97%d7%9c-%d7%92%d7%a8%d7%95%d7%a1%d7%9e%d7%9f/">
409
410											<span class="elementor-icon-list-text">צור קשר</span>
411											</a>
412									</li>
413								<li class="elementor-icon-list-item">
414											<a href="https://www.rachelgrossman.co.il/%d7%94%d7%a6%d7%94%d7%a8%d7%aa-%d7%a0%d7%92%d7%99%d7%a9%d7%95%d7%aa/">
415
416											<span class="elementor-icon-list-text">הצהרת נגישות</span>
417											</a>
418									</li>
419						</ul>
420						</div>
421				</div>
422					</div>
423		</div>
424				<div class="has_ae_slider elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-7702cb3 ae-bg-gallery-type-default" data-id="7702cb3" data-element_type="column" data-e-type="column">
425			<div class="elementor-widget-wrap elementor-element-populated">
426						<div class="elementor-element elementor-element-0b28b0b elementor-widget elementor-widget-heading" data-id="0b28b0b" data-element_type="widget" data-e-type="widget" data-widget_type="heading.default">
427				<div class="elementor-widget-container">
428					<h2 class="elementor-heading-title elementor-size-default">תחומי התמחות</h2>				</div>
429				</div>
430				<div class="elementor-element elementor-element-56f72a2 elementor-mobile-align-center elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="56f72a2" data-element_type="widget" data-e-type="widget" data-widget_type="icon-list.default">
431				<div class="elementor-widget-container">
432							<ul class="elementor-icon-list-items">
433							<li class="elementor-icon-list-item">
434											<a href="https://www.rachelgrossman.co.il/expertise/%d7%92%d7%9c%d7%99%d7%95%d7%9e%d7%94/">
435
436											<span class="elementor-icon-list-text">ניתוחים להסרת גליומות</span>
437											</a>
438									</li>
439								<li class="elementor-icon-list-item">
440											<a href="https://www.rachelgrossman.co.il/expertise/%d7%9e%d7%a0%d7%99%d7%a0%d7%92%d7%99%d7%95%d7%9e%d7%94/">
441
442											<span class="elementor-icon-list-text">ניתוחים להסרת מנינגיומות</span>
443											</a>
444									</li>
445								<li class="elementor-icon-list-item">
446											<a href="https://www.rachelgrossman.co.il/expertise/%d7%90%d7%a0%d7%93%d7%95%d7%a1%d7%a7%d7%95%d7%a4%d7%99%d7%94/">
447
448											<span class="elementor-icon-list-text">ניתוחים אנדוסקופיים</span>
449											</a>
450									</li>
451								<li class="elementor-icon-list-item">
452											<a href="https://www.rachelgrossman.co.il/expertise/%d7%91%d7%99%d7%95%d7%a4%d7%a1%d7%99%d7%aa-%d7%9e%d7%95%d7%97/">
453
454											<span class="elementor-icon-list-text">ביופסית מוח</span>
455											</a>
456									</li>
457								<li class="elementor-icon-list-item">
458											<a href="https://www.rachelgrossman.co.il/expertise/%d7%a0%d7%99%d7%aa%d7%95%d7%97%d7%99%d7%9d-%d7%9c%d7%94%d7%a1%d7%a8%d7%aa-%d7%a7%d7%91%d7%a8%d7%a0%d7%95%d7%9e%d7%95%d7%aa/">
459
460											<span class="elementor-icon-list-text">ניתוחים להסרת קברנומות</span>
461											</a>
462									</li>
463								<li class="elementor-icon-list-item">
464											<a href="https://www.rachelgrossman.co.il/expertise/%d7%a7%d7%a8%d7%a0%d7%99%d7%95%d7%a4%d7%9c%d7%a1%d7%98%d7%99%d7%a7%d7%94/">
465
466											<span class="elementor-icon-list-text">ניתוחי קרניופלסטיקה</span>
467											</a>
468									</li>
469								<li class="elementor-icon-list-item">
470											<a href="https://www.rachelgrossman.co.il/expertise/%d7%a9%d7%90%d7%a0%d7%98/">
471
472											<span class="elementor-icon-list-text">ניתוחי שאנט להידרוצפלוס</span>
473											</a>
474									</li>
475						</ul>
476						</div>
477				</div>
478					</div>
479		</div>
480				<div class="has_ae_slider elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-58b202c ae-bg-gallery-type-default" data-id="58b202c" data-element_type="column" data-e-type="column">
481			<div class="elementor-widget-wrap elementor-element-populated">
482						<div class="elementor-element elementor-element-1841119 elementor-mobile-align-center elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="1841119" data-element_type="widget" data-e-type="widget" data-widget_type="icon-list.default">
483				<div class="elementor-widget-container">
484							<ul class="elementor-icon-list-items">
485							<li class="elementor-icon-list-item">
486											<a href="/cdn-cgi/l/email-protection#c1b3a0a2a9a4adb8a681a9aeb5aca0a8adefa2aeac" target="_blank">
487
488											<span class="elementor-icon-list-text">דוא"ל: <span class="__cf_email__" data-cfemail="e89a898b808d84918fa880879c85898184c68b8785">[email&#160;protected]</span></span>
489											</a>
490									</li>
491						</ul>
492						</div>
493				</div>
494				<div class="elementor-element elementor-element-6c82c05 elementor-shape-circle e-grid-align-right e-grid-align-mobile-center elementor-grid-0 elementor-widget elementor-widget-social-icons" data-id="6c82c05" data-element_type="widget" data-e-type="widget" data-widget_type="social-icons.default">
495				<div class="elementor-widget-container">
496							<div class="elementor-social-icons-wrapper elementor-grid">
497							<span class="elementor-grid-item">
498					<a class="elementor-icon elementor-social-icon elementor-social-icon-youtube elementor-animation-grow elementor-repeater-item-726d058" href="https://www.youtube.com/channel/UCDNKTOBcjlBb-2cfhteQSxw" target="_blank">
499						<span class="elementor-screen-only">Youtube</span>
500						<i aria-hidden="true" class="fab fa-youtube"></i>					</a>
501				</span>
502					</div>
503						</div>
504				</div>
505				<div class="elementor-element elementor-element-72030e1 elementor-align-start elementor-mobile-align-center elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="72030e1" data-element_type="widget" data-e-type="widget" data-widget_type="icon-list.default">
506				<div class="elementor-widget-container">
507							<ul class="elementor-icon-list-items">
508							<li class="elementor-icon-list-item">
509											<a href="http://www.aurion.co.il" target="_blank">
510
511											<span class="elementor-icon-list-text">אוריון שיווק באינטרנט</span>
512											</a>
513									</li>
514						</ul>
515						</div>
516				</div>
517					</div>
518		</div>
519					</div>
520		</section>
521					</div>
522		</div>
523					</div>
524		</section>
525				</footer>
vendor: 112 bytes, lines 525-527
525
526		
527<script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script>
527<script type="speculationrules">
528{"prefetch":[{"source":"document","where":{"and":[{"href_matches":"/*"},{"not":{"href_matches":["/wp-*.php","/wp-admin/*","/wp-content/uploads/*","/wp-content/*","/wp-content/plugins/*","/wp-content/themes/rg/*","/wp-content/themes/hello-elementor/*","/*\\?(.+)"]}},{"not":{"selector_matches":"a[rel~=\"nofollow\"]"}},{"not":{"selector_matches":".no-prefetch, .no-prefetch a"}}]},"eagerness":"conservative"}]}
529</script>
529
530			
530<script>
531				( () => {
532					const lazyloadRunObserver = () => {
533						const lazyloadBackgrounds = document.querySelectorAll( `.e-con.e-parent:not(.e-lazyloaded)` );
534						const lazyloadBackgroundObserver = new IntersectionObserver( ( entries ) => {
535							entries.forEach( ( entry ) => {
536								if ( entry.isIntersecting ) {
537									let lazyloadBackground = entry.target;
538									if( lazyloadBackground ) {
539										lazyloadBackground.classList.add( 'e-lazyloaded' );
540									}
541									lazyloadBackgroundObserver.unobserve( entry.target );
542								}
543							});
544						}, { rootMargin: '200px 0px 200px 0px' } );
545						lazyloadBackgrounds.forEach( ( lazyloadBackground ) => {
546							lazyloadBackgroundObserver.observe( lazyloadBackground );
547						} );
548					};
549					const events = [
550						'DOMContentLoaded',
551						'elementor/lazyload/observe',
552					];
553					events.forEach( ( event ) => {
554						document.addEventListener( event, lazyloadRunObserver );
555					} );
556				} )();
557			</script>
557
558			
558<script id="ae-pro-js-js-extra">
559var aepro = {"ajaxurl":"https://www.rachelgrossman.co.il/wp-admin/admin-ajax.php","current_url":"https%3A%2F%2Fwww.rachelgrossman.co.il%2Fexpertise%2F%25D7%2592%25D7%259C%25D7%2599%25D7%2595%25D7%259E%25D7%2594%2F","plugin_url":"https://www.rachelgrossman.co.il/wp-content/plugins/anywhere-elementor-pro","queried_page":{"ID":146,"page_type":"single"},"access_level":"2","aep_nonce":"a432bba7f3"};
560//# sourceURL=ae-pro-js-js-extra
561</script>
vendor: 1 bytes, line 561
561
562<script id="ae-pro-js-js" src="https://www.rachelgrossman.co.il/wp-content/plugins/anywhere-elementor-pro/includes/assets/js/ae-pro.min.js?ver=2.30.1"></script>
vendor: 1 bytes, line 562
562
563<script id="aep-build-js-extra">
564var aepro = {"ajaxurl":"https://www.rachelgrossman.co.il/wp-admin/admin-ajax.php","current_url":"https%3A%2F%2Fwww.rachelgrossman.co.il%2Fexpertise%2F%25D7%2592%25D7%259C%25D7%2599%25D7%2595%25D7%259E%25D7%2594%2F","plugin_url":"https://www.rachelgrossman.co.il/wp-content/plugins/anywhere-elementor-pro","queried_page":{"ID":146,"page_type":"single"},"access_level":"2","aep_nonce":"a432bba7f3"};
565//# sourceURL=aep-build-js-extra
566</script>
vendor: 1 bytes, line 566
566
567<script id="aep-build-js" src="https://www.rachelgrossman.co.il/wp-content/plugins/anywhere-elementor-pro/build/index.min.js?ver=2.30.1"></script>
vendor: 1 bytes, line 567
567
568<script id="pojo-a11y-js-extra">
569var PojoA11yOptions = {"focusable":"","remove_link_target":"","add_role_links":"","enable_save":"","save_expiration":""};
570//# sourceURL=pojo-a11y-js-extra
571</script>
vendor: 1 bytes, line 571
571
572<script id="pojo-a11y-js" src="https://www.rachelgrossman.co.il/wp-content/plugins/pojo-accessibility/modules/legacy/assets/js/app.min.js?ver=1.0.0"></script>
vendor: 1 bytes, line 572
572
573<script id="elementor-webpack-runtime-js" src="https://www.rachelgrossman.co.il/wp-content/plugins/elementor/assets/js/webpack.runtime.min.js?ver=4.3.3"></script>
vendor: 1 bytes, line 573
573
574<script id="elementor-frontend-modules-js" src="https://www.rachelgrossman.co.il/wp-content/plugins/elementor/assets/js/frontend-modules.min.js?ver=4.3.3"></script>
vendor: 1 bytes, line 574
574
575<script id="jquery-ui-core-js-before">
576jQuery.uiBackCompat = true;
577//# sourceURL=jquery-ui-core-js-before
578</script>
vendor: 1 bytes, line 578
578
579<script id="jquery-ui-core-js" src="https://www.rachelgrossman.co.il/wp-includes/js/jquery/ui/core.min.js?ver=1.14.2"></script>
vendor: 1 bytes, line 579
579
580<script id="elementor-frontend-js-extra">
581var PremiumSettings = {"ajaxurl":"https://www.rachelgrossman.co.il/wp-admin/admin-ajax.php","nonce":"ce027aa0b0"};
582//# sourceURL=elementor-frontend-js-extra
583</script>
vendor: 1 bytes, line 583
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615				<a class="pojo-a11y-toolbar-link pojo-a11y-toolbar-toggle-link" href="javascript:void(0);" title="כלי נגישות" role="button">
616					<span class="pojo-sr-only sr-only">פתח סרגל נגישות</span>
617					<svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 100 100" fill="currentColor" width="1em">
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624					<p class="pojo-a11y-toolbar-title">כלי נגישות</p>
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626					<ul class="pojo-a11y-toolbar-items pojo-a11y-tools">
627																			<li class="pojo-a11y-toolbar-item">
628								<a href="#" class="pojo-a11y-toolbar-link pojo-a11y-btn-resize-font pojo-a11y-btn-resize-plus" data-action="resize-plus" data-action-group="resize" tabindex="-1" role="button">
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636						
637													<li class="pojo-a11y-toolbar-item">
638								<a href="#" class="pojo-a11y-toolbar-link pojo-a11y-btn-background-group pojo-a11y-btn-grayscale" data-action="grayscale" data-action-group="schema" tabindex="-1" role="button">
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648								<a href="#" class="pojo-a11y-toolbar-link pojo-a11y-btn-background-group pojo-a11y-btn-negative-contrast" data-action="negative-contrast" data-action-group="schema" tabindex="-1" role="button">
649
650									<span class="pojo-a11y-toolbar-icon"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" width="1em" viewBox="0 0 448 448"><title>ניגודיות הפוכה</title><path fill="currentColor" d="M416 240c-23.75-36.75-56.25-68.25-95.25-88.25 10 17 15.25 36.5 15.25 56.25 0 61.75-50.25 112-112 112s-112-50.25-112-112c0-19.75 5.25-39.25 15.25-56.25-39 20-71.5 51.5-95.25 88.25 42.75 66 111.75 112 192 112s149.25-46 192-112zM236 144c0-6.5-5.5-12-12-12-41.75 0-76 34.25-76 76 0 6.5 5.5 12 12 12s12-5.5 12-12c0-28.5 23.5-52 52-52 6.5 0 12-5.5 12-12zM448 240c0 6.25-2 12-5 17.25-46 75.75-130.25 126.75-219 126.75s-173-51.25-219-126.75c-3-5.25-5-11-5-17.25s2-12 5-17.25c46-75.5 130.25-126.75 219-126.75s173 51.25 219 126.75c3 5.25 5 11 5 17.25z"></path></svg></span><span class="pojo-a11y-toolbar-text">ניגודיות הפוכה</span>								</a>
651							</li>
652						
653													<li class="pojo-a11y-toolbar-item">
654								<a href="#" class="pojo-a11y-toolbar-link pojo-a11y-btn-background-group pojo-a11y-btn-light-background" data-action="light-background" data-action-group="schema" tabindex="-1" role="button">
655									<span class="pojo-a11y-toolbar-icon"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" width="1em" viewBox="0 0 448 448"><title>רקע בהיר</title><path fill="currentColor" d="M184 144c0 4.25-3.75 8-8 8s-8-3.75-8-8c0-17.25-26.75-24-40-24-4.25 0-8-3.75-8-8s3.75-8 8-8c23.25 0 56 12.25 56 40zM224 144c0-50-50.75-80-96-80s-96 30-96 80c0 16 6.5 32.75 17 45 4.75 5.5 10.25 10.75 15.25 16.5 17.75 21.25 32.75 46.25 35.25 74.5h57c2.5-28.25 17.5-53.25 35.25-74.5 5-5.75 10.5-11 15.25-16.5 10.5-12.25 17-29 17-45zM256 144c0 25.75-8.5 48-25.75 67s-40 45.75-42 72.5c7.25 4.25 11.75 12.25 11.75 20.5 0 6-2.25 11.75-6.25 16 4 4.25 6.25 10 6.25 16 0 8.25-4.25 15.75-11.25 20.25 2 3.5 3.25 7.75 3.25 11.75 0 16.25-12.75 24-27.25 24-6.5 14.5-21 24-36.75 24s-30.25-9.5-36.75-24c-14.5 0-27.25-7.75-27.25-24 0-4 1.25-8.25 3.25-11.75-7-4.5-11.25-12-11.25-20.25 0-6 2.25-11.75 6.25-16-4-4.25-6.25-10-6.25-16 0-8.25 4.5-16.25 11.75-20.5-2-26.75-24.75-53.5-42-72.5s-25.75-41.25-25.75-67c0-68 64.75-112 128-112s128 44 128 112z"></path></svg></span><span class="pojo-a11y-toolbar-text">רקע בהיר</span>								</a>
656							</li>
657						
658													<li class="pojo-a11y-toolbar-item">
659								<a href="#" class="pojo-a11y-toolbar-link pojo-a11y-btn-links-underline" data-action="links-underline" data-action-group="toggle" tabindex="-1" role="button">
660									<span class="pojo-a11y-toolbar-icon"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" width="1em" viewBox="0 0 448 448"><title>הדגשת קישורים</title>
660<path fill="currentColor" d="M364 304c0-6.5-2.5-12.5-7-17l-52-52c-4.5-4.5-10.75-7-17-7-7.25 0-13 2.75-18 8 8.25 8.25 18 15.25 18 28 0 13.25-10.75 24-24 24-12.75 0-19.75-9.75-28-18-5.25 5-8.25 10.75-8.25 18.25 0 6.25 2.5 12.5 7 17l51.5 51.75c4.5 4.5 10.75 6.75 17 6.75s12.5-2.25 17-6.5l36.75-36.5c4.5-4.5 7-10.5 7-16.75zM188.25 127.75c0-6.25-2.5-12.5-7-17l-51.5-51.75c-4.5-4.5-10.75-7-17-7s-12.5 2.5-17 6.75l-36.75 36.5c-4.5 4.5-7 10.5-7 16.75 0 6.5 2.5 12.5 7 17l52 52c4.5 4.5 10.75 6.75 17 6.75 7.25 0 13-2.5 18-7.75-8.25-8.25-18-15.25-18-28 0-13.25 10.75-24 24-24 12.75 0 19.75 9.75 28 18 5.25-5 8.25-10.75 8.25-18.25zM412 304c0 19-7.75 37.5-21.25 50.75l-36.75 36.5c-13.5 13.5-31.75 20.75-50.75 20.75-19.25 0-37.5-7.5-51-21.25l-51.5-51.75c-13.5-13.5-20.75-31.75-20.75-50.75 0-19.75 8-38.5 22-52.25l-22-22c-13.75 14-32.25 22-52 22-19 0-37.5-7.5-51-21l-52-52c-13.75-13.75-21-31.75-21-51 0-19 7.75-37.5 21.25-50.75l36.75-36.5c13.5-13.5 31.75-20.75 50.75-20.75 19.25 0 37.5 7.5 51 21.25l51.5 51.75c13.5 13.5 20.75 31.75 20.75 50.75 0 19.75-8 38.5-22 52.25l22 22c13.75-14 32.25-22 52-22 19 0 37.5 7.5 51 21l52 52c13.75 13.75 21 31.75 21 51z"></path></svg></span><span class="pojo-a11y-toolbar-text">הדגשת קישורים</span>								</a>
661							</li>
662						
663													<li class="pojo-a11y-toolbar-item">
664								<a href="#" class="pojo-a11y-toolbar-link pojo-a11y-btn-readable-font" data-action="readable-font" data-action-group="toggle" tabindex="-1" role="button">
665									<span class="pojo-a11y-toolbar-icon"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" width="1em" viewBox="0 0 448 448"><title>פונט קריא</title><path fill="currentColor" d="M181.25 139.75l-42.5 112.5c24.75 0.25 49.5 1 74.25 1 4.75 0 9.5-0.25 14.25-0.5-13-38-28.25-76.75-46-113zM0 416l0.5-19.75c23.5-7.25 49-2.25 59.5-29.25l59.25-154 70-181h32c1 1.75 2 3.5 2.75 5.25l51.25 120c18.75 44.25 36 89 55 133 11.25 26 20 52.75 32.5 78.25 1.75 4 5.25 11.5 8.75 14.25 8.25 6.5 31.25 8 43 12.5 0.75 4.75 1.5 9.5 1.5 14.25 0 2.25-0.25 4.25-0.25 6.5-31.75 0-63.5-4-95.25-4-32.75 0-65.5 2.75-98.25 3.75 0-6.5 0.25-13 1-19.5l32.75-7c6.75-1.5 20-3.25 20-12.5 0-9-32.25-83.25-36.25-93.5l-112.5-0.5c-6.5 14.5-31.75 80-31.75 89.5 0 19.25 36.75 20 51 22 0.25 4.75 0.25 9.5 0.25 14.5 0 2.25-0.25 4.5-0.5 6.75-29 0-58.25-5-87.25-5-3.5 0-8.5 1.5-12 2-15.75 2.75-31.25 3.5-47 3.5z"></path></svg></span><span class="pojo-a11y-toolbar-text">פונט קריא</span>								</a>
666							</li>
667																		<li class="pojo-a11y-toolbar-item">
668							<a href="#" class="pojo-a11y-toolbar-link pojo-a11y-btn-reset" data-action="reset" tabindex="-1" role="button">
669								<span class="pojo-a11y-toolbar-icon"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" width="1em" viewBox="0 0 448 448"><title>איפוס</title><path fill="currentColor" d="M384 224c0 105.75-86.25 192-192 192-57.25 0-111.25-25.25-147.75-69.25-2.5-3.25-2.25-8 0.5-10.75l34.25-34.5c1.75-1.5 4-2.25 6.25-2.25 2.25 0.25 4.5 1.25 5.75 3 24.5 31.75 61.25 49.75 101 49.75 70.5 0 128-57.5 128-128s-57.5-128-128-128c-32.75 0-63.75 12.5-87 34.25l34.25 34.5c4.75 4.5 6 11.5 3.5 17.25-2.5 6-8.25 10-14.75 10h-112c-8.75 0-16-7.25-16-16v-112c0-6.5 4-12.25 10-14.75 5.75-2.5 12.75-1.25 17.25 3.5l32.5 32.25c35.25-33.25 83-53 132.25-53 105.75 0 192 86.25 192 192z"></path></svg></span>
670								<span class="pojo-a11y-toolbar-text">איפוס</span>
671							</a>
672						</li>
673					</ul>
674									</div>
675			</div>
676		</nav>
677		
678<script type="module" src="https://static.cloudflareinsights.com/beacon.min.js/v31edd6df95cf4e85bb4c19e7a9bdbcba1788362987495" integrity="sha512-iIg7k2xntmwu6/uSb5tpc/hySgZc4eoL31yB29W6tJFo2akwjPWcEqnCEdJvGexCL0KEQwVYv5BlowfhVz26hg==" data-cf-beacon='{"version":"2024.11.0","token":"81dd7f792fc34459b34251a302a70fc8","r":1,"spa":2}' crossorigin="anonymous"></script>
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