{"id":3175,"date":"2020-09-21T17:15:11","date_gmt":"2020-09-21T14:15:11","guid":{"rendered":"https:\/\/groupflorence.com\/ro\/?page_id=3175"},"modified":"2021-01-05T18:00:13","modified_gmt":"2021-01-05T15:00:13","slug":"drugs-used-in-liver-transplant","status":"publish","type":"page","link":"https:\/\/groupflorence.com\/ro\/centers-treatments\/liver-transplantation-center\/drugs-used-in-liver-transplant\/","title":{"rendered":"Medicamente utilizate \u00een transplantul hepatic"},"content":{"rendered":"<section id=\"bt_section69eb97d80f469\"  class=\"boldSection gutter inherit treatment-container\" ><div class=\"port\"><div class=\"boldCell\"><div class=\"boldCellInner\"><div class=\"boldRow treatment-container \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-4 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator topSpaced noBorder\" ><hr><\/div><div class=\"btCustomMenu treatment-sidebar\" ><div class=\"menu-liver-transplantation-center-container\"><ul id=\"menu-liver-transplantation-center\" class=\"menu\"><li id=\"menu-item-3356\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-3356\"><a href=\"https:\/\/groupflorence.com\/ro\/centers-treatments\/\">Centre &#038; 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Medicamentele imunosupresoare sl\u0103besc r\u0103spunsul sistemului imunitar \u0219i \u00eempiedic\u0103 respingerea transplantului hepatic. Cu toate acestea, medicamentele imunosupresoare, de asemenea, v\u0103 pot face mai sensibile la infec\u021bii. Doza de medicamente imunosupresoare necesar\u0103 pentru conservarea organului transplantat func\u0163ional va fi redus\u0103 \u00een primele luni dup\u0103 opera\u0163ie, rezult\u00e2nd un risc sc\u0103zut de infec\u0163ie. Cu toate acestea, sistemul imunitar va trebui s\u0103 fie suprimat chiar \u0219i dup\u0103 ani lungi de chirurgie de transplant. Prin urmare, nu trebuie s\u0103 s\u0103ri\u021bi o doz\u0103 sau s\u0103 reduce\u021bi cantitatea de medicamente f\u0103r\u0103 a v\u0103 consulta mai \u00eent\u00e2i medicul.<\/p>\n<p>Nu to\u021bi pacien\u021bii supu\u0219i unei interven\u021bii chirurgicale de transplant hepatic folosesc toate medicamentele. De aceea, nu trebuie s\u0103 v\u0103 face\u0163i griji dac\u0103 oricare dintre medicamentele imunosupresoare nu este inclus \u00een regimul dumneavoastr\u0103.<\/p>\n<p>Informa\u021biile generale furnizate mai jos nu trebuie considerate opinia \u0219i specialitatea medicului dumneavoastr\u0103, ci doar complementare. Consulta\u021bi medicul pentru mai multe detalii.<\/p>\n<p>Multe efecte secundare ale medicamentelor enumerate mai jos pot fi eliminate prin reducerea temporar\u0103 sau \u00eencetarea medicamentului. Cu toate acestea, medicamentul nu trebuie redus f\u0103r\u0103 instruc\u021biuni clare ale medicului dumneavoastr\u0103.<\/p>\n<p>Dac\u0103 ave\u021bi \u00eendoieli atunci c\u00e2nd sunte\u021bi gravid\u0103, adresa\u021bi-v\u0103 imediat medicului dumneavoastr\u0103 sau echipei de transplant.<\/p>\n<h3>Neoral\/ciclosporin\u0103 (Sandimmun\/Neoral)<\/h3>\n<p>Eficacitatea ciclosporinei rezult\u0103 din inhibarea activ\u0103rii limfocitelor T (un tip de globule albe din s\u00e2nge), prevenind atacurile asupra noului ficat. Neoral este adesea administrat pe cale oral\u0103 \u00een asociere cu azatioprin\u0103 \u015fi\/sau corticosteroizi. Concentra\u0163ia ciclosporinei care circul\u0103 \u00een corpul dumneavoastr\u0103 poate fi m\u0103surat\u0103 printr-un test de s\u00e2nge, iar rezultatele pot fi utilizate la determinarea momentului \u015fi modului de ajustare a dozei, dac\u0103 este necesar.<\/p>\n<p><strong>Utilizare neoral\u0103<\/strong><\/p>\n<ol>\n<li>Neoral se administreaz\u0103 zilnic cu lapte sau suc de mere \u00een acela\u015fi moment al zilei, la fiecare 12 ore.<\/li>\n<li>\u00cen ziua vizitei de verificare, se elibereaz\u0103 primul e\u0219antion \u00eenainte de doza Neoral (C0) \u0219i al doilea dup\u0103 cele 2 ore de doz\u0103 Neoral.<\/li>\n<li>Nu depozita\u021bi ciclosporina \u00een frigider. P\u0103stra\u021bi medicamentele departe de lumina zilei \u00eentr-un loc r\u0103coros \u0219i uscat.<\/li>\n<li>Neoral poate interac\u0163iona cu anumite medicamente utilizate frecvent. Trebuie s\u0103 v\u0103 adresa\u021bi medicului dumneavoastr\u0103 sau echipei de transplant \u00eenainte de a lua un nou medicament.<\/li>\n<\/ol>\n<p><strong>Efecte secundare: <\/strong>Efectele secundare includ anomalii ale func\u021biei renale, hipertensiune arterial\u0103, gum\u0103 hiperplazie, glucoz\u0103 din s\u00e2nge, hirsutism \u0219i tremor. Cele mai multe dintre aceste reac\u021bii adverse pot fi evitate sau reduse prin reducerea dozei. Este posibil s\u0103 nu prezenta\u0163i toate sau majoritatea acestor reac\u0163ii adverse. Efectele secundare se vor diminua \u00een timp, atunci c\u00e2nd doza este redus\u0103.<\/p>\n<h3>Tacrolimus<\/h3>\n<p>Ca \u015fi \u00een cazul ciclosporinei, tacrolimusul blocheaz\u0103 activarea limfocitelor T \u015fi le \u00eempiedic\u0103 s\u0103 atace noul ficat. Tacrolimus se administreaz\u0103 adesea \u00een asociere cu azatioprin\u0103 \u015fi\/sau corticosteroizi. Concentra\u0163ia de tacrolimus care circul\u0103 \u00een corpul dumneavoastr\u0103 poate fi m\u0103surat\u0103 printr-un test de s\u00e2nge, iar rezultatele pot fi utilizate la determinarea momentului \u015fi modului de ajustare a dozei, dac\u0103 este necesar.<\/p>\n<p><strong>Tacrolimus Utilizare (capsule)<\/strong><\/p>\n<ol>\n<li>Tacrolimus se administreaz\u0103 zilnic cu lapte sau suc de mere \u00een acela\u015fi moment al zilei, la fiecare 12 ore.<\/li>\n<li>\u00cen ziua vizitei de verificare, v\u0103 administra\u0163i proba de s\u00e2nge \u00eenainte de a lua doza de Tacrolimus.<\/li>\n<li>Capsulele trebuie administrate cu cel pu\u021bin 1 or\u0103 sau 2-3 ore \u00eenainte de mas\u0103 sau dup\u0103 2-3 ore.<\/li>\n<\/ol>\n<p><strong>Efecte secundare: <\/strong>Efectele secundare includ disfunc\u021bie renal\u0103, hipertensiune arterial\u0103, tulbur\u0103ri de somn, niveluri ridicate de glucoz\u0103 din s\u00e2nge, amor\u021beal\u0103 \u0219i furnic\u0103turi ale m\u00e2inilor \u0219i picioarelor \u0219i tremor. Tacrolimus poate interac\u0163iona cu anumite medicamente utilizate frecvent. Trebuie s\u0103 v\u0103 adresa\u021bi medicului sau echipei de transplant \u00eenainte de a lua un nou medicament.Cele mai multe dintre aceste reac\u021bii adverse pot fi evitate sau reduse prin reducerea dozei. Este posibil s\u0103 nu prezenta\u0163i toate sau majoritatea acestor reac\u0163ii adverse. Reac\u0163iile adverse se vor diminua \u00een timp c\u00e2nd doza este redus\u0103.Rapamune (SIROLIMUS) Sirolimus este un inhibitor mTOR care inhib\u0103 limfocitele B \u015fi T, celulele albe din s\u00e2nge, responsabil de respingere. Activitatea sa este diferit\u0103 de Neoral \u0219i Tacrolimus \u0219i, prin urmare, nu provoac\u0103 majoritatea efectelor secundare ale acestor medicamente, cum ar fi toxicitatea renal\u0103, diabetul zaharat \u0219i hipertensiunea arterial\u0103. Concentra\u0163ia sirolimusului care circul\u0103 \u00een corpul dumneavoastr\u0103 poate fi m\u0103surat\u0103 printr-un test de s\u00e2nge, iar rezultatele pot fi utilizate la determinarea momentului \u015fi modului de ajustare a dozei, dac\u0103 este necesar.<\/p>\n<p><strong>Cum se utilizeaz\u0103: <\/strong>Acest comprimat este (de obicei) administrat o dat\u0103 pe zi, \u00een acela\u0219i timp, cu sau f\u0103r\u0103 mese. Dac\u0103 ciclosporina este, de asemenea, prescris\u0103 cu sirolimus pentru dumneavoastr\u0103, lua\u021bi acest medicament la patru ore dup\u0103 administrarea dozei de ciclosporin\u0103.<\/p>\n<p><strong>Efecte secundare: <\/strong>Cele mai frecvente efecte secundare includ grea\u021b\u0103, diaree, ulcer oral, \u0219i acnee. Nivelurile de colesterol din s\u00e2nge \u015fi trigliceride pot ridica, dar aceast\u0103 cre\u015ftere este reglementat\u0103 \u00een timp. De asemenea, s- a raportat sc\u0103derea num\u0103rului de trombocite sau de celule albe din s\u00e2nge. Cele mai multe dintre aceste reac\u021bii adverse pot fi evitate sau reduse prin reducerea dozei.<\/p>\n<p><strong>Doza omis\u0103: <\/strong>Dac\u0103 uita\u0163i o doz\u0103 de sirolimus, lua\u0163i doza uitat\u0103 imediat ce v\u0103 aminti\u0163i. Dac\u0103 este aproape timpul pentru urm\u0103toarea doz\u0103, s\u0103ri\u0163i peste doza uitat\u0103 \u015fi lua\u0163i urm\u0103toarea doz\u0103 la ora obi\u015fnuit\u0103. Nu lua\u0163i dou\u0103 doze de sirolimus.<\/p>\n<h3>Corticosteroizi (Wysolone &#8211; Prednisolon)<\/h3>\n<p>Prednisolonul este un corticosteroid care poate fi utilizat pe tot parcursul vie\u021bii pentru imunosupresie pentru a preveni respingerea organului sau pentru tratamentul respingerii cu doze mai mari. Corticosteroizii sunt produ\u0219i \u00een mod natural \u00een organism \u00een ciclul de 24 de ore. Ar trebui s\u0103 lua\u021bi medicamentul corticosteroid diminea\u021ba pentru a se potrivi cu ritmul natural al corpului.<\/p>\n<p><strong>Utilizarea Corticosteroizilor: <\/strong>Lua\u0163i comprimatele cu mese. Dac\u0103 lua\u0163i comprimatele o dat\u0103 pe zi, lua\u0163i- le \u00eempreun\u0103 cu micul dejun diminea\u0163a.<\/p>\n<p><strong>Efecte secundare<br \/>\n<\/strong><br \/>\nEfectele secundare pe termen scurt ale corticosteroizilor includ urm\u0103toarele:<\/p>\n<ol>\n<li>Sensibilitate crescut\u0103 la infec\u021bii \u0219i r\u0103ni slab vindecate<\/li>\n<li>Suprimarea r\u0103spunsului la febr\u0103 normal\u0103 \u0219i alte simptome ale infec\u021biei<\/li>\n<li>Cre\u015fterea glicemiei, \u00een special la pacien\u0163ii cu diabet<\/li>\n<\/ol>\n<p>Efectele secundare ale corticosteroizilor sunt legate de utilizarea pe termen lung a dozelor. Atunci c\u00e2nd se iau doze mari, cre\u0219terea poftei de m\u00e2ncare \u0219i greutate, modificarea distribu\u021biei de gr\u0103sime corporal\u0103 (dezvoltarea de caracteristici cushinglike \u2014 umflarea fe\u021bei, rotunjirea spatelui), sub\u021bierea pielii \u0219i a oaselor, sl\u0103biciune muscular\u0103, hipertensiune arterial\u0103, gastrit\u0103, ulcer, reflux, diabet, cataract\u0103, \u0219i formarea crescut\u0103 de acnes.<\/p>\n<p>De\u0219i aceast\u0103 list\u0103 poate p\u0103rea \u00eenfrico\u0219\u0103toare, aceste reac\u021bii adverse vor fi foarte rare, cu doze relativ mai mici de corticosteroizi utilizate recent.<\/p>\n<h3>Azatioprin\u0103<\/h3>\n<p>Azatioprina ac\u0163ioneaz\u0103 prin inhibarea capacit\u0103\u0163ii celulelor de a se diviza. Se utilizeaz\u0103 \u00eentotdeauna \u00een asociere cu al\u021bi agen\u021bi imunosupresoare.<\/p>\n<p><strong>Utilizarea Azatioprinei: <\/strong>Pute\u0163i lua comprimatele \u00een orice moment al zilei, dar \u00eencerca\u0163i s\u0103 lua\u0163i medicamentul \u00een acela\u015fi moment al zilei.<\/p>\n<p><strong>Efecte secundare: <\/strong>doze mici adecvate de azatioprin\u0103 sunt sigure pentru a preveni respingerea organelor la majoritatea oamenilor. Celulele m\u0103duvei osoase sunt adesea \u00eemp\u0103r\u021bite \u0219i foarte sensibile la efectele azatioprinei. Sensibilitatea pacien\u0163ilor care utilizeaz\u0103 azatioprin\u0103 la infec\u0163ii poate cre\u015fte, iar num\u0103rul lor de hemoglobin\u0103, leucocite sau trombocite poate sc\u0103dea. Dac\u0103 medicamentul este \u00eentrerupt temporar, efectele azatioprinei asupra m\u0103duvei osoase pot fi inversate.<\/p>\n<h3>Cellcept (Micofenolat Mofetil)<\/h3>\n<p>Cellcept suprim\u0103 proliferarea limfocitelor care sunt critice pentru respingere (respingerea organului).<\/p>\n<p><strong>Utilizarea Cellcept: <\/strong>Lua\u021bi acest medicament a\u0219a cum este prescris, cu o or\u0103 \u00eenainte de mese pe stomacul gol sau dou\u0103 ore dup\u0103 mese, de dou\u0103 ori pe zi. \u00cenghi\u0163i\u0163i capsula \u00eentreag\u0103. Nu zdrobi\u0163i, mesteca\u0163i sau deschide\u0163i capsulele.<\/p>\n<p><strong>Efecte secundare: <\/strong>Acest medicament poate provoca ame\u021beli, somnolen\u021b\u0103, dureri de cap, grea\u021b\u0103, v\u0103rs\u0103turi, diaree, gaz, tremor, modific\u0103ri ale dispozi\u021biei sau modific\u0103ri ale vederii. \u00cen plus, poate reduce num\u0103rul de globule albe sau trombocite din s\u00e2nge. Medicii se ocup\u0103 de obicei de aceste reac\u021bii adverse prin reducerea temporar\u0103 a dozei sau \u00eentreruperea tratamentului.<\/p>\n<p><strong>Doza omis\u0103: <\/strong>Dac\u0103 omite\u0163i o doz\u0103 de cellcept, lua\u0163i doza uitat\u0103 imediat ce v\u0103 aminti\u0163i. Dac\u0103 este aproape timpul pentru urm\u0103toarea doz\u0103, s\u0103ri\u0163i peste doza uitat\u0103 \u015fi lua\u0163i urm\u0103toarea doz\u0103 la ora obi\u015fnuit\u0103. Nu lua\u0163i dou\u0103 doze de cellcept pentru a compensa.<\/p>\n<p>Myfortic<\/p>\n<p>Myfortic a fost recent dezvoltat ca o nou\u0103 formulare de acoperire enteric\u0103 a medicamentului descris mai sus (mikofenolat de sodiu) pentru a proteja sistemul digestiv superior reduce astfel tulbur\u0103rile de stomac cauzate de Cellcept.<\/p>\n<h3>\u00a0Zenapax (Daclizumab &#8211; Injec\u0163ie)<\/h3>\n<p>Acest medicament este un receptor IL2 uman care leag\u0103 anticorpii monoclonali la limfocitele active. Medicamentul inhib\u0103 efectul semnificativ al receptorilor IL2 asupra prolifer\u0103rii celulelor (limfocite), care determin\u0103 respingerea \u0219i blocheaz\u0103 respingerea (respingerea organului). Atunci c\u00e2nd se administreaz\u0103 \u00eempreun\u0103 cu alte medicamente conven\u021bionale, acest lucru \u00eembun\u0103t\u0103\u021be\u0219te rolul acestor medicamente \u00een prevenirea respingerii transplantului de organe.<\/p>\n<p><strong>Cum se utilizeaz\u0103: <\/strong>Acest medicament este mai \u00eent\u00e2i diluat \u00eentr-o solu\u021bie salin\u0103 \u00eentr-o propor\u021bie adecvat\u0103 \u0219i apoi administrat\u0103 IV. Administreaz\u0103-l cu 24 de ore \u00eenainte de transplant, la fiecare 14 zile, fiecare \u00een perioada de 15 minute \u015fi 2-5 doze.<\/p>\n<p><strong>Efecte secundare: <\/strong>Pot s\u0103 apar\u0103 grea\u021b\u0103, v\u0103rs\u0103turi sau tulbur\u0103ri ale stomacului. De asemenea, au fost raportate reac\u0163ii alergice (erup\u0163ii cutanate, m\u00e2nc\u0103rime, dificult\u0103\u0163i de respira\u0163ie), cefalee, ame\u0163eli, dureri \u00een piept, umfl\u0103turi ale bra\u0163elor sau picioarelor, tuse, vindecare inadecvat\u0103 a r\u0103nilor \u015fi dureri musculare.<\/p>\n<p><strong>P\u0103strarea: <\/strong>Flacoanele trebuie p\u0103strate la frigider la 2- 8\u00b0C, la distan\u0163\u0103 de lumina direct\u0103 a zilei. Nu trebuie agitat sau \u00eenghe\u021bat.<\/p>\n<h3>Simulect (Basiliximab &#8211; Injec\u0163ie)<\/h3>\n<p>Acest medicament este un receptor chimeric murino- uman de legare a anticorpilor IL2 la limfocitele active. Medicamentul inhib\u0103 efectul semnificativ al receptorilor IL2 asupra prolifer\u0103rii celulelor (limfocite), care determin\u0103 respingerea \u0219i blocheaz\u0103 fenomenul de respingere (respingerea organului). Atunci c\u00e2nd se administreaz\u0103 \u00eempreun\u0103 cu alte medicamente conven\u021bionale, acest lucru \u00eembun\u0103t\u0103\u021be\u0219te rolul acestor medicamente \u00een prevenirea respingerii transplantului de organe.<\/p>\n<p><strong>Cum se utilizeaz\u0103: <\/strong>Acest medicament este mai \u00eent\u00e2i diluat \u00eentr-o solu\u021bie salin\u0103 \u00eentr-o propor\u021bie adecvat\u0103 \u0219i apoi administrat\u0103 IV. De obicei se administreaz\u0103 \u00een dou\u0103 doze: prima doz\u0103 se administreaz\u0103 \u00een dou\u0103 ore \u00eenainte de opera\u0163ia de transplant, iar a doua doz\u0103 se administreaz\u0103 la 4 zile dup\u0103 opera\u0163ie.<\/p>\n<p><strong>Efecte secundare: <\/strong>Pot s\u0103 apar\u0103 grea\u021b\u0103, v\u0103rs\u0103turi sau tulbur\u0103ri ale stomacului. De asemenea, au fost raportate reac\u021bii alergice (erup\u021bie cutanat\u0103, m\u00e2nc\u0103rime, dificult\u0103\u021bi de respira\u021bie), dureri de cap, ame\u021beli, febr\u0103, vindecarea necorespunz\u0103toare a r\u0103nilor, probleme vizuale, modific\u0103ri ale dispozi\u021biei, puls neregulat.<\/p>\n<p><strong>P\u0103strarea: <\/strong>Flacoanele trebuie p\u0103strate la frigider la 2- 8\u00b0C, la distan\u0163\u0103 de lumina direct\u0103 a zilei. Nu trebuie agitat sau \u00eenghe\u021bat.<\/p>\n<p>\n<\/div><div class=\"btClear btSeparator topSemiSpaced noBorder\" ><hr><\/div><header class=\"header btClear medium btDash bottomDash  btAccentDash\" ><div class=\"dash\"><h3><span class=\"headline\"><em>Contact Us Now<\/em><\/span><\/h3><\/div><\/header><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><div class=\"btText\" >\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2891-o1\" lang=\"tr-TR\" dir=\"ltr\" data-wpcf7-id=\"2891\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ro\/wp-json\/wp\/v2\/pages\/3175#wpcf7-f2891-o1\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"\u0130leti\u015fim Formu\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2891\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"tr_TR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2891-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p style=\"margin-bottom:30px !important;\">\u00cen timp ce completa\u021bi formularul de contact de mai jos, pute\u021bi, de asemenea, s\u0103 ne trimite\u021bi fi\u0219ierele medicale ale pacientului\/dumneavoastr\u0103 prin <strong>transfer<\/strong>. A doua opinie medical\u0103 v\u0103 va fi prezentat\u0103 \u00een termen de 48 de ore.\n<\/p>\n<div class=\"boldRow boldInnerRow  \">\n\t<div class=\"rowItem rowInnerItem col-md-6  btTextLeft\">\n\t\t<div class=\"rowItemContent\">\n\t\t\t<p><label><span class=\"bt_bb_required\">Numele t\u0103u<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t\t<p><label><span class=\"bt_bb_required\">E-mailul dvs.<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t\t<p><label><span class=\"bt_bb_required\">Telefonul dvs.<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-phonetext wpcf7-text wpcf7-validates-as-phonetext\" id=\"int_phone\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-phone\" \/><input type=\"hidden\" name=\"your-phone-country-code\" class=\"wpcf7-phonetext-country-code\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t\t<p><label><span class=\"bt_bb_required\">Mesajul dvs.<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n\t\t\t<\/p>\n\t\t\t<p><label><span class=\"bt_bb_required\" style=\"margin-top:25px !important;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"accept-this-1\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"accept-this-1\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Sunt de acord cu <a target=\"_blank\" href=\"https:\/\/groupflorence.com\/ro\/terms-of-use\/\">Termenii \u0219i Serviciile<\/a>.<\/span><\/label><\/span><\/span><\/span><\/span><\/label>\n\t\t\t<\/p>\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner contact_button_int\" type=\"submit\" value=\"TRIMITE MESAJ\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rowItem rowInnerItem col-md-6  btTextLeft\">\n\t\t<div class=\"rowItemContent\">\n\t\t\t<p align=\"center\" style=\"margin-top:30px;\"><br \/>\n<a href=\"http:\/\/florencenightingale.wetransfer.com\/\" target=\"_blank\" title=\"Click Here To Transfer Your Documents via WeTransfer\"><img decoding=\"async\"  align=\"center\" style=\"max-width:250px !important;\" class=\"lazy loaded\" src=\"https:\/\/groupflorence.com\/ro\/wp-content\/uploads\/2020\/08\/89130-wetransfer-default-logo-rgb-original-1365619064-e1599162229581.png\" data-src=\"https:\/\/groupflorence.com\/ro\/wp-content\/uploads\/2020\/08\/89130-wetransfer-default-logo-rgb-original-1365619064-e1599162229581.png\" alt=\"Click Here To Transfer Your Documents via WeTransfer\" title=\"Click Here To Transfer Your Documents via WeTransfer\" data-was-processed=\"true\" \/><\/a>\n\t\t\t<\/p>\n\t\t\t<h3 align=\"center\"><a href=\"http:\/\/florencenightingale.wetransfer.com\/\" target=\"_blank\" title=\"Click Here To Transfer Your Documents via WeTransfer\">Trimite prin WeTransfer<\/a>\n\t\t\t<\/h3>\n\t\t\t<p align=\"center\">Pute\u021bi trimite documentele dvs. medicale supradimensionate (\u00eenregistr\u0103ri RMN, rezultate de laborator, imagini etc.) folosind contul nostru WeTransfer. Este u\u0219or, rapid \u0219i sigur.\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<center>\n\t\t\t<p><a href=\"http:\/\/florencenightingale.wetransfer.com\/\" class=\"btBtn btBtn btnFilledStyle btnAccentColor btnSmall btnNormalWidth btnRightPosition btnNoIcon\" target=\"_blank\"><span class=\"btnInnerText\">Trimite acum<\/span><\/a>\n\t\t\t<\/p>\n\t\t<\/center>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div><div class=\"btClear btSeparator topSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":2503,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3175","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/pages\/3175","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/comments?post=3175"}],"version-history":[{"count":4,"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/pages\/3175\/revisions"}],"predecessor-version":[{"id":6224,"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/pages\/3175\/revisions\/6224"}],"up":[{"embeddable":true,"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/pages\/2503"}],"wp:attachment":[{"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/media?parent=3175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}