{"id":3725,"date":"2020-10-01T22:14:23","date_gmt":"2020-10-01T19:14:23","guid":{"rendered":"https:\/\/groupflorence.com\/ro\/?page_id=3725"},"modified":"2020-12-16T23:37:29","modified_gmt":"2020-12-16T20:37:29","slug":"lumbar-disc-hernia","status":"publish","type":"page","link":"https:\/\/groupflorence.com\/ro\/centers-treatments\/spine-center-orthopedics\/lumbar-disc-hernia\/","title":{"rendered":"Hernie de Disc Lombar"},"content":{"rendered":"<section id=\"bt_section69ebad0d1f82a\"  class=\"boldSection gutter\" ><div class=\"port\"><div class=\"boldCell\"><div class=\"boldCellInner\"><div class=\"boldRow  \" ><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-spine-center-container\"><ul id=\"menu-spine-center\" class=\"menu\"><li id=\"menu-item-3705\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-3705\"><a href=\"https:\/\/groupflorence.com\/ro\/centers-treatments\/\">Centre &#038; Departamente<\/a><ul class=\"sub-menu\"><li id=\"menu-item-3706\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-3706\"><a href=\"https:\/\/groupflorence.com\/ro\/centers-treatments\/spine-center-orthopedics\/\">Centrul Coloanei Vertebrale &#038; Ortopedie<\/a><ul class=\"sub-menu\"><li id=\"menu-item-3709\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3709\"><a href=\"https:\/\/groupflorence.com\/ro\/centers-treatments\/spine-center-orthopedics\/scoliosis\/\">Scolioz\u0103<\/a><\/li><li id=\"menu-item-3713\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3713\"><a href=\"https:\/\/groupflorence.com\/ro\/centers-treatments\/spine-center-orthopedics\/eos-ultra-low-dose-2d-3d-orthopedic-imager\/\">Imager Ortopedic 2D\/3D cu Doz\u0103 Ultra-mic\u0103<\/a><\/li><li id=\"menu-item-3717\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3717\"><a href=\"https:\/\/groupflorence.com\/ro\/centers-treatments\/spine-center-orthopedics\/kyphosis\/\">Cifoz\u0103<\/a><\/li><li id=\"menu-item-3727\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3727\"><a href=\"https:\/\/groupflorence.com\/ro\/centers-treatments\/spine-center-orthopedics\/lumbar-disc-hernia\/\">Hernie de Disc Lombar<\/a><\/li><li id=\"menu-item-3733\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3733\"><a href=\"https:\/\/groupflorence.com\/ro\/centers-treatments\/spine-center-orthopedics\/spondylosis-and-spondylolisthesis\/\">Spondiloz\u0103 \u0219i Spondilolistez\u0103<\/a><\/li><\/ul><\/li><\/ul><\/li>\n<\/ul><\/div><\/div><div class=\"btClear btSeparator topSemiSpaced noBorder\" ><hr><\/div><div class=\"boldRow boldInnerRow  bt_bb_hidden_xs bt_bb_hidden_ms bt_bb_hidden_sm\" ><div class=\"rowItem rowInnerItem col-md-12  btTextCenter btMiddleVertical\"  ><div class=\"rowItemContent\"><div class=\"bpgPhoto btTextCenter\" > \r\n\t\t\t\t\t<a href=\"https:\/\/groupflorence.com\/ro\/patient-guide\/covid-19-precautions\/\" target=\"_blank\" title=\"\"><\/a>\r\n\t\t\t\t\t<div class=\"boldPhotoBox\"><div class=\"bpbItem\"><div class = \"btImage\"><img decoding=\"async\" src=\"https:\/\/groupflorence.com\/ro\/wp-content\/uploads\/2020\/12\/covid-safe-sidebar-320x186.jpg\" alt=\"\" title=\"\" ><\/div><\/div><\/div>\r\n\t\t\t\t\t<div class=\"captionPane\">\r\n\t\t\t\t\t\t<div class=\"captionTable\">\r\n\t\t\t\t\t\t\t<div class=\"captionCell\">\r\n\t\t\t\t\t\t\t\t<div class=\"captionTxt\"><\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div><\/div><div class=\"btClear btSeparator topSmallSpaced bottomSmallSpaced border\" ><hr><\/div><a href=\"https:\/\/groupflorence.com\/ro\/contact-us\/\" class=\"btBtn btBtn btnFilledStyle btnAccentColor btnBig btnNormalWidth btnLeftPosition btnNoIcon\" ><span class=\"btnInnerText\">Ask A Question<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"rowItem col-md-8 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator topSemiSpaced noBorder\" ><hr><\/div><header class=\"header btClear medium btDash bottomDash  btNormalDash\" ><div class=\"dash\"><h3><span class=\"headline\"><b class=\"animate\">Hernie de Disc Lombar<\/b><\/span><\/h3><\/div><\/header><div class=\"btClear btSeparator topExtraSmallSpaced noBorder\" ><hr><\/div><div class=\"btText\" ><\/p>\n<p>Partea lombar\u0103 a coloanei vertebrale este compus\u0103 din cinci vertebre. Exist\u0103 un \u021besut conjunctiv special \u00een form\u0103 de disc, care faciliteaz\u0103 mi\u0219carea \u00eentre vertebre, permite coloanei vertebrale s\u0103 fie puternic, \u0219i func\u021bioneaz\u0103 ca un protector \u00eempotriva impactului. Acest disc este compus din dou\u0103 sec\u021biuni, stratul interior \u0219i exterior. Stratul moale din interior iese atunci c\u00e2nd stratul exterior este deformat. Aceast\u0103 sec\u021biune herniat\u0103 comprim\u0103 nervii din canalul spinal \u0219i prinde ace\u0219ti nervi. Uneori, aceast\u0103 sec\u021biune herniat\u0103 elimin\u0103 substan\u021be chimice, duc\u00e2nd la durere. Acestea sunt toate numite hernie de disc lombar. Discul lombar herniat la tineri este mai degrab\u0103 asociat cu ridicarea obiectelor grele sau a mi\u0219c\u0103rilor lombare for\u021bate. La v\u00e2rstnici, mi\u0219c\u0103rile lombare for\u021bate minore, dar repetate de-a lungul anilor, pot duce la hernie de disc lombar de-a lungul timpului.<\/p>\n<p>Cea mai frecvent\u0103 pl\u00e2ngere a pacien\u021bilor cu hernie de disc este durerea din partea inferioar\u0103 a spatelui care radiaz\u0103 picioarele \u0219i picioarele. \u00cen cazurile progresate, pot ap\u0103rea probleme cum ar fi amor\u021beal\u0103 \u0219i sl\u0103biciune \u00een plus fa\u021b\u0103 de durerea din spate \u0219i picioare. La pacien\u021bii netrata\u021bi, poate ap\u0103rea pierderea mi\u0219c\u0103rii ascendente a gleznei, pe care o numim pic\u0103tur\u0103 de picior \u0219i incontinen\u021ba urinar\u0103.<\/p>\n<h4>Diagnosticul<\/h4>\n<p>Examinarea clinic\u0103 este foarte important\u0103 \u00een diagnosticare. Sursa durerii poate fi identificat\u0103 printr-un examen clinic detaliat. Diagnosticul se face definitiv prin studiul RMN. Evaluarea nervului numit EMG trebuie efectuat\u0103, de asemenea, \u00een cazuri suspectate, pentru a sprijini diagnosticul.<\/p>\n<h4>Tratament<\/h4>\n<p>Scopul principal al tratamentului herniei de disc este de a elimina durerea pentru a se asigura c\u0103 pacientul poate reveni la via\u021ba sa zilnic\u0103 normal\u0103. Primul lucru pe care trebuie s\u0103-l face\u021bi este odihna \u00een pat \u0219i medica\u021bia \u0219i apoi educarea pacien\u021bilor. Medicul trebuie s\u0103 spun\u0103 pacien\u021bilor despre cauza durerii \u0219i ce s\u0103 fac\u0103 pentru a preveni reapari\u021bia bolii.<\/p>\n<p>Structurile din jurul coloanei vertebrale sunt \u00eent\u0103rite \u0219i masa corporal\u0103 este distribuit\u0103 mai uniform prin exerci\u021bii de terapie fizic\u0103, astfel \u00eenc\u00e2t sarcina pe disc poate fi redus\u0103 par\u021bial \u0219i pl\u00e2ngerile pot fi reduse la minimum. Injec\u021biile epidurale sau blocurile sunt alte metode utilizate pentru a elimina durerea pacien\u021bilor. Acest lucru este asigurat prin injec\u021bii cu corticosteroizi administrate \u00een spa\u021biul din jurul nervilor spinali.<\/p>\n<p>\u00cen caz de pierdere de putere \u0219i senza\u021bie la nivelul picioarelor \u0219i picioarelor, sau metode de tratament conservatoare nu reu\u0219esc s\u0103 elimine pl\u00e2ngerile pacien\u021bilor, materialul de disc herniat este \u00eendep\u0103rtat chirurgical pentru a calma nervii. \u00cen plus fa\u021b\u0103 de chirurgia deschis\u0103, metodele chirurgicale microscopice sau endoscopice pot fi aplicate \u00een chirurgia discului lombar, \u00een func\u021bie de rezultatele clinice \u0219i radiologice. O alt\u0103 metod\u0103 de tratament utilizat\u0103 la clinica noastr\u0103 este aplicarea protezei discului. Utilizarea protezei de disc la pacien\u021bii corespunz\u0103tori va conserva mi\u0219c\u0103rile coloanei vertebrale \u0219i va permite eliminarea durerii. Conservarea mi\u0219c\u0103rii evit\u0103 problemele degenerative care ar putea ap\u0103rea \u00een viitor.<\/p>\n<p>\n<\/div><div class=\"btClear btSeparator topSmallSpaced noBorder\" ><hr><\/div><header class=\"header btClear medium btDash bottomDash  btAccentDash\" ><div class=\"dash\"><h3><span class=\"headline\">Boli degenerative ale discului lombar \u0219i stenoz\u0103 spinal\u0103<\/span><\/h3><\/div><\/header><div class=\"btClear btSeparator topExtraSmallSpaced noBorder\" ><hr><\/div><div class=\"btText\" ><\/p>\n<p>Exist\u0103 structuri numite \u201edisc\u201d \u00eentre vertebrele din zona inferioar\u0103 a spatelui coloanei vertebrale, care permit mi\u0219carea \u0219i transportul greut\u0103\u021bii. \u00centre vertebre, discuri \u0219i oase vertebrale care se al\u0103tur\u0103 la spate, exist\u0103 un canal spinal \u00een care exist\u0103 m\u0103duva spin\u0103rii \u0219i nervii care se extind la picioare. Ligamentele care ata\u0219eaz\u0103 vertebrele \u00eentre ele \u0219i articula\u021biile dintre vertebre sunt \u00eengro\u0219ate ca urmare a calcific\u0103rii cu v\u00e2rsta. Discurile dintre vertebre \u00ee\u0219i pierd natura spongiform\u0103 \u0219i \u00eencep s\u0103 con\u021bin\u0103 mai pu\u021bin\u0103 ap\u0103 cu v\u00e2rsta. Aceasta determin\u0103 sc\u0103derea \u00een\u0103l\u0163imii discului \u015fi a discului calcificat care se deplaseaz\u0103 spre canalul spinal. \u0218i pinteni osoase numit osteofit, care este format de organism pentru a limita mi\u0219carea coloanei vertebrale comprim\u0103 nervii. Toate aceste modific\u0103ri au ca rezultat stenoza m\u0103duvei spin\u0103rii, care este fie numit\u0103 \u201estenoz\u0103 spinal\u0103\u201d, fie \u201ecanal \u00eengustat\u201d.<\/p>\n<p>Cea mai frecvent\u0103 pl\u00e2ngere la pacien\u021bii cu stenoz\u0103 spinal\u0103 este durerea de spate. Durerea cre\u0219te caracteristic cu \u0219edin\u021ba, mersul pe jos, tusea \u0219i tensionarea \u0219i scade cu odihn\u0103. Claudica\u021bia neurogenic\u0103, care este un semn tipic al stenozei spinale, se caracterizeaz\u0103 prin durere, amor\u021beal\u0103, furnic\u0103turi la nivelul picioarelor, \u00een special la vi\u021bel, produse prin mersul pe jos, care scade prin repaus. De\u0219i de obicei porne\u0219te de la partea inferioar\u0103 a spatelui \u0219i radiaz\u0103 \u00een jos picioarele, nu este \u00eentotdeauna acela\u0219i \u0219i loca\u021bia \u0219i caracterul durerii pot fi schimbate chiar \u0219i \u00een timpul zilei. Majoritatea pacien\u021bilor se pl\u00e2ng de crampe \u0219i amor\u021beal\u0103 obi\u0219nuit\u0103 \u0219i chiar apari\u021bia brusc\u0103 a senza\u021biei de sl\u0103biciune (picioarele ced\u00e2nd) \u00een timpul mersului pe jos. Pacien\u021bii au o pozi\u021bie tipic\u0103 atunci c\u00e2nd stau \u0219i merg pe jos. Durerea (sciaticalgia) care radiaz\u0103 diferite p\u0103r\u021bi ale piciorului, \u00een func\u021bie de nivelul stenozei \u0219i compresia nervilor poate s\u0103 apar\u0103. Curburile se pot dezvolta pe coloana vertebral\u0103 pentru a reduce durerea \u0219i tensiunea r\u0103d\u0103cinilor nervoase comprimate, iar lordoza lombar\u0103 (curba spatelui sc\u0103zut) poate fi redus\u0103. Acest lucru este numit colocvial spate aplatiza. Pacien\u021bii pot prezenta sc\u0103derea concentra\u021biei \u00een diferite zone ale mu\u0219chilor \u0219i defecte senzoriale \u0219i reflexe \u00een timp, \u00een func\u021bie de nivelul r\u0103d\u0103cinii nervoase comprimate. Pacien\u021bii netrata\u021bi sunt susceptibili de a vizita un medic cu pl\u00e2ngeri cum ar fi controlul intestinului \u0219i vezicii urinare (incontinen\u021b\u0103 urinar\u0103 \u0219i fecal\u0103).<\/p>\n<h4>Diagnosticul<\/h4>\n<p>Anamneza (istoricul medical) \u0219i examenul fizic sunt primii pa\u0219i \u00een diagnosticare. Examinarea senzorial\u0103 \u0219i reflex\u0103 trebuie efectuat\u0103 de speciali\u0219ti pentru to\u021bi pacien\u021bii. Radiografiile directe pot fi utilizate pentru a identifica patologiile osoase \u0219i curburile coloanei vertebrale. Este posibil s\u0103 vizualiza\u021bi toate vertebrele \u0219i picioarele de la craniu p\u00e2n\u0103 la picioare pe aceea\u0219i imagine \u0219i s\u0103 explora\u021bi tulbur\u0103rile de echilibru \u00een organism prin grafii EOS disponibile la spitalul nostru.<\/p>\n<p>Tomografia computerizat\u0103 poate afi\u0219a \u00een mod clar canalul spinal, articula\u021biile fa\u021betelor \u0219i patologiile osoase legate de structurile osoase din spate. O alt\u0103 metod\u0103 utilizat\u0103 \u00een diagnostic este mielografia. Mielografia este o metod\u0103 de diagnostic efectuat\u0103 de radiologi care implic\u0103 injectarea de material de contrast \u00een spa\u021biul subarahnoidian pentru a afi\u0219a marginile canalului spinal. Poate afi\u0219a compresia pe m\u0103duva spin\u0103rii sau pe r\u0103d\u0103cinile nervoase.<\/p>\n<p>EMG (electromiografie) poate afi\u0219a, de asemenea, nervii. Este o metod\u0103 util\u0103 \u00een alegerea unei metode de tratament pentru identificarea loca\u021biei \u0219i severit\u0103\u021bii compresiei pe nervi. Imaginarea prin rezonan\u021b\u0103 magnetic\u0103 (RMN) este cea mai valoroas\u0103 metod\u0103 standard de diagnosticare neinvaziv\u0103 \u00een identificarea bolilor coloanei vertebrale. Este, de asemenea, util pentru diagnosticul diferen\u021bial al bolilor cu pl\u00e2ngeri similare.<\/p>\n<h4>Tratament<\/h4>\n<p>Tratamentul este \u00eenceput cu repaus la pat \u00eenso\u021bit de analgezice \u0219i relaxante \u0219i continuat cu terapie fizic\u0103. Deoarece cauza de baz\u0103 nu va fi schimbat cu un tratament conservator, nu este posibil s\u0103 se ob\u021bin\u0103 rezultate perfecte pe termen lung. Injec\u021bia de steroizi epidural ca bloc caudal sau transforaminal selectiv r\u0103d\u0103cin\u0103 nervului este administrat\u0103 prin spa\u021biul interlaminar. Astfel de aplica\u021bii pot oferi beneficii pacien\u021bilor selecta\u021bi.<\/p>\n<p>\u00cen caz de durere sever\u0103 care nu r\u0103spunde la metodele conservatoare \u0219i limiteaz\u0103 \u00een mod semnificativ activit\u0103\u021bile de via\u021b\u0103 de zi cu zi ale pacientului, tratamentul chirurgical va fi necesar la pacien\u021bii cu descoperiri neurologice. Dac\u0103 constat\u0103rile clinice, examenul fizic \u0219i rezultatele imagistice ale pacien\u021bilor cu astfel de pl\u00e2ngeri (\u00een special claudica\u021bia neurogenic\u0103) corespund stenozei spin\u0103rii, trebuie planificat un tratament chirurgical. Consecin\u021bele tratamentului chirurgical numai pentru durerile de spate nu sunt favorabile.<\/p>\n<p>Obiectivul principal \u00een tratamentul chirurgical este eliminarea compresiei pe m\u0103duva spin\u0103rii. Aceasta se nume\u0219te decompresie \u0219i se realizeaz\u0103 prin \u00eendep\u0103rtarea structurilor osoase (laminectomie) care formeaz\u0103 peretele posterior al canalului spinal prin interven\u021bia din partea inferioar\u0103 a spatelui. O alt\u0103 etap\u0103 de decompresie este eliminarea discurilor care provoac\u0103 compresie. Spa\u021biul rezultat \u00eentre vertebre dup\u0103 \u00eendep\u0103rtarea discurilor este sus\u021binut prin plasarea cu\u0219tile de titan umplute cu grefe osoase. Aceast\u0103 interven\u021bie poate fi efectuat\u0103 din fa\u021b\u0103 (ALIF), lateral (XLIF) sau incizii pe partea inferioar\u0103 a spatelui (TLIF). Activarea echilibrului \u015fi stabilit\u0103\u0163ii coloanei vertebrale prin fixarea cu \u015furub efectuat\u0103 din nou din spate (instrumenta\u0163ie posterioar\u0103) este esen\u0163ial\u0103 pentru a oferi pacientului confortul postoperator \u015fi pentru a preveni reapari\u0163ia bolii. Rec\u00e2\u0219tigarea curburilor fiziologice normale ale coloanei vertebrale (echilibrul spinal) trebuie s\u0103 fie activat\u0103 dup\u0103 tratamentul chirurgical.<\/p>\n<p>\n<\/div><div class=\"btClear btSeparator topSemiSpaced noBorder\" ><hr><\/div><div class=\"boldRow boldInnerRow  bt_bb_hidden_xs bt_bb_hidden_ms bt_bb_hidden_sm bt_bb_hidden_md bt_bb_hidden_lg\" ><div class=\"rowItem rowInnerItem col-md-4  btTextCenter inherit btNoPadding\" style=\"border: 1px solid #999;background-color: rgba(241, 241, 241, 1);\" ><div class=\"rowItemContent\"><div class=\"bpgPhoto btTextCenter\" ><div class=\"btImage\"><img decoding=\"async\" src=\"https:\/\/groupflorence.com\/ro\/wp-content\/uploads\/2020\/10\/Eyu\u0308p-Bakmaz.jpg\" alt=\"\" title=\"\"><\/div><\/div><div class=\"btIconImageRow btIconsHalfHoverPosition\" ><\/div><div class=\"btClear btSeparator topSmallSpaced noBorder\" ><hr><\/div><div class=\"btText\" ><\/p>\n<h4><a href=\"https:\/\/groupflorence.com\/ro\/doctors\/eyup-bakmaz\/\">Ey\u00fcp Bakmaz, MD<\/a><\/h4>\n<p>\n<\/div><div class=\"btClear btSeparator bottomExtraSmallSpaced noBorder\" ><hr><\/div><a href=\"https:\/\/groupflorence.com\/ro\/doctors\/eyup-bakmaz\/\" class=\"btBtn btBtn btnFilledStyle btnLightColor btnSmall btnNormalWidth btnRightPosition btnNoIcon\"  target=\"_blank\"><span class=\"btnInnerText\">VIEW CV<\/span><\/a><div class=\"btClear btSeparator topExtraSmallSpaced bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><div class=\"rowItem rowInnerItem col-md-4  btTextCenter inherit btNoPadding\" style=\"border: 1px solid #999;background-color: rgba(241, 241, 241, 1);\" ><div class=\"rowItemContent\"><div class=\"bpgPhoto btTextCenter\" ><div class=\"btImage\"><img decoding=\"async\" src=\"https:\/\/groupflorence.com\/ro\/wp-content\/uploads\/2020\/10\/Sinan-Kahraman.jpg\" alt=\"\" title=\"\"><\/div><\/div><div class=\"btIconImageRow btIconsHalfHoverPosition\" ><\/div><div class=\"btClear btSeparator topSmallSpaced noBorder\" ><hr><\/div><div class=\"btText\" ><\/p>\n<h4><a href=\"https:\/\/groupflorence.com\/ro\/doctors\/sinan-kahraman\/\">Assoc. Prof. Sinan Kahraman, MD<\/a><\/h4>\n<p>\n<\/div><div class=\"btClear btSeparator bottomExtraSmallSpaced noBorder\" ><hr><\/div><a href=\"https:\/\/groupflorence.com\/ro\/doctors\/sinan-kahraman\/\" class=\"btBtn btBtn btnFilledStyle btnLightColor btnSmall btnNormalWidth btnRightPosition btnNoIcon\"  target=\"_blank\"><span class=\"btnInnerText\">VIEW CV<\/span><\/a><div class=\"btClear btSeparator topExtraSmallSpaced bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><div class=\"rowItem rowInnerItem col-md-4  btTextCenter inherit btNoPadding\" style=\"border: 1px solid #999;background-color: rgba(241, 241, 241, 1);\" ><div class=\"rowItemContent\"><\/div><\/div><\/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\/3725#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":2463,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3725","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/pages\/3725","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=3725"}],"version-history":[{"count":3,"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/pages\/3725\/revisions"}],"predecessor-version":[{"id":6056,"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/pages\/3725\/revisions\/6056"}],"up":[{"embeddable":true,"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/pages\/2463"}],"wp:attachment":[{"href":"https:\/\/groupflorence.com\/ro\/wp-json\/wp\/v2\/media?parent=3725"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}