{"id":6246,"date":"2016-10-07T08:50:53","date_gmt":"2016-10-07T06:50:53","guid":{"rendered":"http:\/\/spital.sf.treime.md\/?p=6246"},"modified":"2016-10-08T17:24:10","modified_gmt":"2016-10-08T15:24:10","slug":"afectiunile-glandei-tiroide","status":"publish","type":"post","link":"https:\/\/treime.md\/ru\/afectiunile-glandei-tiroide\/","title":{"rendered":"Afec\u0163iunile glandei tiroide"},"content":{"rendered":"<p>[vc_row][vc_column][vc_images_carousel images=&#187;3538,3829,3536,3525,3530,6257&#8243; img_size=&#187;&#187; slides_per_view=&#187;4&#8243; autoplay=&#187;yes&#187; wrap=&#187;yes&#187; el_class=&#187;carusel_post&#187;][vc_empty_space][vc_column_text]<strong> <\/strong>Glanda tiroid\u0103 este o glanda endocrin\u0103  ce se localizeaz\u0103 pe partea anterioar\u0103 a g\u00e2tului, sub \u201em\u0103rul lui Adam\u201c, are o form\u0103 de fluture, 2 lobi (\u201caripile\u201d)  lega\u0163i de istm.<!--more--><\/p>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/1.png\" rel=\"attachment wp-att-6247\"><img loading=\"lazy\" class=\" wp-image-6247 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/1.png\" alt=\"1\" width=\"482\" height=\"392\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/1.png 741w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/1-300x244.png 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/1-500x407.png 500w\" sizes=\"(max-width: 482px) 100vw, 482px\" \/><\/a><\/p>\n<p>Glanda este alc\u0103tuit\u0103 din foliculi \u015fi canale produc\u0103toare de tiroxin\u0103. \u00cen interiorul foliculilor se g\u0103se\u0219te un coloid proteic care con\u021bine o singur\u0103 protein\u0103, tireoglobulina, din care sunt sintetiza\u021bi hormonii tiroidieni: T4 ( tiroxina) \u0219i T3 (triiodotironina). Pentru elaborarea hormonilor e nevoie de iod, care este furnizat prin alimenta\u021bie. Secre\u021bia de hormoni tiroidieni (tiroxina- T4 \u015fi triiodotironina-T3) este stimulat\u0103 de c\u0103tre un alt hormon numit TSH (Thyroid Stimulating Hormone) care este secretat de glanda hipofiz\u0103.<\/p>\n<p>De asemenea, tiroida produce calcitonina, antagonist al hormonului paratiroidian, ce scade pragul calcemiei \u0219i stimuleaz\u0103 osteogeneza.<\/p>\n<p>Hormonii tiroidieni influen\u0163eaz\u0103 majoritatea \u0163esuturilor organismului prin cre\u015fterea activit\u0103\u0163ii celulare.  Astfel, rolul tiroidei este extrem de important pentru organism, afect\u00e2nd metabolismul general, termoreglarea, pulsul \u015fi tensiunea arterial\u0103, nivelul de colesterol, tonusul muscular, excitabilitatea sistemului nervos, starea psihic\u0103, etc.<\/p>\n<p>Patologia glandei tiroide reprezinta cea mai mare parte a afec\u0163iunilor endocrine. Patologia tiroidian\u0103 se poate manifesta prin<\/p>\n<p>&#8212; deregl\u0103ri  func\u0163ionale \u2013 c\u00e2nd are loc eliberarea crescut\u0103 (hipertiroidism) sau insuficien\u0163\u0103 (hipotiroidism) a hormonilor tiroidieni;<\/p>\n<p>&#8212; afec\u0163iuni structurale &#8212;  la cre\u015fterea excesiv\u0103 a \u0163esutului glandular, determin\u00e2nd apari\u0163ia de noduli, mici tumefieri sau gu\u015f\u0103 la nivelul glandei.<\/p>\n<p>&#8212; disfunc\u0163ii autoimune<\/p>\n<p>Semnele \u015fi simptomele cele mai frecvente cu care pacien\u0163ii se prezint\u0103 la endocrinolog:<\/p>\n<ul>\n<li>Cre\u015fterea\/sc\u0103derea in greutate,<\/li>\n<li>disconfort la nivelul g\u00e2tului,<\/li>\n<li>palpita\u0163ii, tahicardie (cre\u015fterea pulsului),<\/li>\n<li>iritabilitate,<\/li>\n<li>insomnii, somnolent\u0103,<\/li>\n<li>tremur, intoleran\u0163\u0103 la c\u0103ldur\u0103\/frig, etc.<\/li>\n<\/ul>\n<p><strong>Nodulii tiroidieni<\/strong><\/p>\n<p>Nodulii tiroidieni \u00een sine nu reprezint\u0103 o boala. De fapt, se estimeaz\u0103 c\u0103 unu din zece oameni, \u015fi una din 5 femei,  va dezvolta noduli tiroidieni la un moment dat de-a lungul vie\u0163ii; la ecografia tiroidiana, in 50% dintre cazuri se detecteaz\u0103 noduli tiroidieni . Totu\u015fi, nodulii indic\u0103 prezen\u0163a unei probleme a tiroidei \u015fi ar trebui evalua\u0163i dac\u0103 sunt descoperi\u0163i.<\/p>\n<p>Majoritatea nodulilor sunt proliferari benigne, discrete ale celulelor tiroidiene, care nu func\u0163ioneaz\u0103 ca \u021besutul tiroidian normal. Totu\u0219i, exist\u0103 un risc ca un nodul tiroidian sa fie canceros \u2013 cam 1-5% dintre noduli sunt cancero\u015fi \u2013 deci este important ca ace\u015fti noduli sa fie evalua\u0163i de un medic.<\/p>\n<p>\u00cen timp ce majoritatea nodulilor nu determin\u0103 apari\u0163ia unor simptome, nu sunt niciodat\u0103 detecta\u0163i \u015fi sunt inofensivi, unii pot fi destul de mari pentru a presa traheea \u015fi a determina dificult\u0103\u0163i de degluti\u0163ie sau tuse. Un nodul poate deveni, de asemeni, supraactiv, cu eliberare exagerat\u0103 de hormoni tiroidieni, determin\u00e2nd hipertiroidism.<\/p>\n<p><strong>Diagnostic<\/strong><\/p>\n<ul>\n<li>R\u0103gu\u015feal\u0103, disfagie (probleme la \u00eenghi\u0163it)<\/li>\n<li>Noduli la palparea tiroidian\u0103<\/li>\n<li>Doz\u0103ri hormonale<\/li>\n<li>Ecografia tiroidian\u0103<\/li>\n<li>Elastografia tiroidian\u0103 (ecografie ce apreciaza elasticitatea nodulilor)<\/li>\n<li>Punc\u0163ia biopsie aspirativ\u0103 cu ac fin (FNAB)<\/li>\n<\/ul>\n<p>NB: \u00cen afar\u0103 de examenul histologic (dup\u0103 \u00eendep\u0103rtarea chirurgical\u0103 sau punc\u0163ie-biopsie a \u0163esutului tiroidian,) nici o modalitate nu poate diferen\u0163ia nodulii benigni de cei maligni cu o siguran\u0163a de 100%.<\/p>\n<p><strong>Gu\u015f\u0103 difuz\u0103 sau nodular\u0103<\/strong><\/p>\n<p>Gu\u015f\u0103, prin defini\u0163ie, reprezint\u0103 cre\u015fterea \u00een volum a glandei tiroide, de obicei cu p\u0103strarea func\u0163iei sale.<\/p>\n<p>Cauza gu\u015fii endemice (care apare \u00een aceia\u015fi regiune geografic\u0103) este o caren\u0163\u0103 \u00een aportul de iod din alimenta\u0163ie \u015fi ap\u0103. O alt\u0103 cauz\u0103 a gu\u015fii poate fi tiroidita cronic\u0103 autoimun\u0103 Hashimoto.<\/p>\n<p>Semne \u015fi simptome clinice dependente de dimensiunea glandei tiroide hipertrofiate:<\/p>\n<ul>\n<li>fenomene compresive<\/li>\n<li>dificultate de a \u00eenghi\u0163i,<\/li>\n<li>modificarea vocii prin r\u0103gu\u015feal\u0103,<\/li>\n<li>tulbur\u0103ri de respira\u021bie \u015fi chiar de circula\u0163ie sanguin\u0103 la nivelul g\u00e2tului.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/4.jpg.png\" rel=\"attachment wp-att-6250\"><img loading=\"lazy\" class=\"wp-image-6250 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/4.jpg.png\" alt=\"4.jpg\" width=\"203\" height=\"213\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/4.jpg.png 510w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/4.jpg-287x300.png 287w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/4.jpg-500x524.png 500w\" sizes=\"(max-width: 203px) 100vw, 203px\" \/><\/a><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/3.jpg.png\" rel=\"attachment wp-att-6249\"><img loading=\"lazy\" class=\"wp-image-6249 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/3.jpg.png\" alt=\"3.jpg\" width=\"210\" height=\"214\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/3.jpg.png 469w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/3.jpg-295x300.png 295w\" sizes=\"(max-width: 210px) 100vw, 210px\" \/><\/a><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/2.jpg.png\" rel=\"attachment wp-att-6248\"><img loading=\"lazy\" class=\"alignleft wp-image-6248\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/2.jpg.png\" alt=\"2.jpg\" width=\"229\" height=\"232\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/2.jpg.png 520w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/2.jpg-296x300.png 296w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/2.jpg-96x96.png 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/2.jpg-500x507.png 500w\" sizes=\"(max-width: 229px) 100vw, 229px\" \/><\/a><\/p>\n<p>Semne \u015fi simptome datorate caren\u0163ei de iod<\/p>\n<ul>\n<li>Caren\u0163a de iod duce la sinteza deficitar\u0103 a hormonilor tiroidieni p\u00een\u0103 la apari\u0163ia hipotiroidismului cu:<\/li>\n<li>cre\u015fterea \u00een greutate (p\u00e2n\u0103 5-10 kg),<\/li>\n<li>intoleran\u0163a la frig<\/li>\n<li>edeme ale pleoapelor, m\u00e2inilor \u015fi a picioarelor,<\/li>\n<li>piele uscat\u0103, palid\u0103, unghii friabile, c\u0103derea p\u0103rului,<\/li>\n<li>r\u0103gu\u015feal\u0103,tulbur\u0103ri digestive (gre\u0163uri, v\u0103rs\u0103turi, constipa\u0163ie), dureri articulare, sl\u0103biciune muscular\u0103, crampe musculare, somnolen\u0163\u0103, oboseal\u0103, letargie.<\/li>\n<\/ul>\n<p>Diagnostic<\/p>\n<ul>\n<li>Examen clinic<\/li>\n<li>Doz\u0103rile hormonale<\/li>\n<li>Ultrasonografie tiroidian\u0103<\/li>\n<li>Punc\u0163ie aspira\u0163ie noduli tiroidieni<\/li>\n<li>CT cervico-toracal (uneori)<\/li>\n<\/ul>\n<p><strong>Hipotiroidism<\/strong><\/p>\n<p>Apare \u00een cazul care tiroida produce o cantitate insuficient\u0103 de hormoni.<\/p>\n<p>Manifest\u0103rile specifice hipotiroidismului sunt:<\/p>\n<ul>\n<li>cre\u015ftere \u00een greutate p\u00e2n\u0103 5-10kg<\/li>\n<li>intoleran\u0163\u0103 la frig<\/li>\n<li>oboseal\u0103, astenie, fatigabilitate<\/li>\n<li>edeme (umfl\u0103tur\u0103) al pleoapelor(pungi sub ochi), a m\u00e2inilor \u015fi a picioarelor<\/li>\n<li>piele uscat\u0103, descuamat\u0103, aspr\u0103, palid\u0103,<\/li>\n<li>unghii friabile, c\u0103derea parului<\/li>\n<li>p\u0103r uscat, aspru \u015fi fragil<\/li>\n<li>m\u0103rirea limbii, \u00eengro\u015farea buzelor<\/li>\n<li>r\u0103gu\u015feala, voce groas\u0103,<\/li>\n<li>sc\u0103derea poftei de m\u00e2ncare, gre\u021buri, vome, constipa\u0163ie, colici<\/li>\n<li>dureri articulare, sl\u0103biciune \u015fi durere muscular\u0103, crampe musculare, furnic\u0103turi<\/li>\n<li>somnolen\u0163\u0103, oboseal\u0103, letargie, tulbur\u0103ri de memorie, de concentrare, depresie, agita\u0163ie<\/li>\n<li>infertilitate, tulbur\u0103ri de ciclu menstrual<\/li>\n<li>sc\u0103derea libidolului, tulbur\u0103ri erectile, infertilitate<\/li>\n<\/ul>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/5.jpg.png\" rel=\"attachment wp-att-6251\"><img loading=\"lazy\" class=\"wp-image-6251 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/5.jpg.png\" alt=\"5.jpg\" width=\"495\" height=\"325\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/5.jpg.png 1250w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/5.jpg-300x197.png 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/5.jpg-1024x672.png 1024w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/5.jpg-500x328.png 500w\" sizes=\"(max-width: 495px) 100vw, 495px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/6.jpg.png\" rel=\"attachment wp-att-6252\"><img loading=\"lazy\" class=\" wp-image-6252 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/6.jpg.png\" alt=\"6.jpg\" width=\"385\" height=\"289\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/6.jpg.png 480w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/6.jpg-300x225.png 300w\" sizes=\"(max-width: 385px) 100vw, 385px\" \/><\/a><\/p>\n<p>Diagnostic:<\/p>\n<ul>\n<li>Examen clinic<\/li>\n<li>Doz\u0103ri hormonale<\/li>\n<li>Analiza general\u0103 a s\u00e2ngelui (anemie),<\/li>\n<li>Lipidograma<\/li>\n<li>Ultrasonografia glandei tiroide<\/li>\n<li>EKG, ecografie cardiac\u0103, radiografie pulmonar\u0103<\/li>\n<\/ul>\n<p><strong> <\/strong><strong>Hipertiroidismul, boala Basedow-Graves<\/strong><\/p>\n<p>Producerea \u00een exces a hormonilor tiroidieni.<\/p>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/8.jpg.png\" rel=\"attachment wp-att-6253\"><img loading=\"lazy\" class=\"wp-image-6253 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/8.jpg.png\" alt=\"8.jpg\" width=\"408\" height=\"246\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/8.jpg.png 1193w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/8.jpg-300x181.png 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/8.jpg-1024x616.png 1024w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/8.jpg-500x301.png 500w\" sizes=\"(max-width: 408px) 100vw, 408px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/11.jpg.png\" rel=\"attachment wp-att-6256\"><img loading=\"lazy\" class=\"wp-image-6256 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/11.jpg.png\" alt=\"11.jpg\" width=\"240\" height=\"186\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/11.jpg.png 792w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/11.jpg-300x233.png 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/11.jpg-500x388.png 500w\" sizes=\"(max-width: 240px) 100vw, 240px\" \/><\/a><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/9.jpg.png\" rel=\"attachment wp-att-6254\"><img loading=\"lazy\" class=\"alignleft wp-image-6254\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/9.jpg.png\" alt=\"9.jpg\" width=\"186\" height=\"160\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/9.jpg.png 731w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/9.jpg-300x258.png 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/9.jpg-500x430.png 500w\" sizes=\"(max-width: 186px) 100vw, 186px\" \/><\/a><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/10.jpg.png\" rel=\"attachment wp-att-6255\"><img loading=\"lazy\" class=\" wp-image-6255 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/10.jpg.png\" alt=\"10.jpg\" width=\"152\" height=\"175\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/10.jpg.png 593w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/10.jpg-261x300.png 261w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/10.jpg-500x575.png 500w\" sizes=\"(max-width: 152px) 100vw, 152px\" \/><\/a><\/p>\n<p>Seme \u015fi simptome<\/p>\n<ul>\n<li>Sc\u0103dere rapid\u0103 \u00een greutate cu apetit p\u0103strat sau chiar crescut<\/li>\n<li>Intoleran\u0163\u0103 la c\u0103ldur\u0103, transpira\u0163ie excesiv\u0103<\/li>\n<li>Agita\u0163ie, labilitate emotiv\u0103, insomnie, tulbur\u0103ri de concentrare, fug\u0103 de idei<\/li>\n<li>Tremur fin al m\u00e2inilor, sl\u0103biciune muscular\u0103<\/li>\n<li>Palpita\u0163ii, tahicardie, ritm cardiac neregulat, hipertensiune arterial\u0103, insuficien\u0163\u0103 cardiac\u0103<\/li>\n<li>oboseal\u0103 la efort minim,<\/li>\n<li>Scaune frecvente, diaree, vome, dureri abdominale<\/li>\n<li>Piele cald\u0103, transpirat\u0103<\/li>\n<li>Tulbur\u0103ri de ciclu menstrual<\/li>\n<li>Disfunc\u0163ie erectil\u0103<\/li>\n<li>Osteoporoz\u0103, osteopenie (fracturi)<\/li>\n<li>Tulbur\u0103ri oculare, senza\u0163ie de nisip \u00een ochi, fotofobie, l\u0103crimare, edem al (umfl\u0103tura) pleoapelor, durere spontan\u0103 la ap\u0103sarea sau la mi\u015fcarea ochilor<\/li>\n<\/ul>\n<p>Este esen\u0163ial\u0103 evitarea efortului fizic, stresului, fumatului, expunerii la soare.<\/p>\n<p>Diagnostic<\/p>\n<ul>\n<li>Analize de laborator<\/li>\n<li>Doz\u0103ri hormonale<\/li>\n<li>Ecografie tiroidian\u0103, scintigrafie tiroidian\u0103<\/li>\n<\/ul>\n<p>La necesitate<\/p>\n<ul>\n<li>Analiza general\u0103 a s\u00e2ngelui, ionograma, func\u0163ia hepatic\u0103, func\u0163ia renal\u0103.<\/li>\n<li>Consult oftalmologic, ecografie ocular\u0103,<\/li>\n<li>CT \/ RMN de orbit\u0103<\/li>\n<li>Osteodensitometrie DXA<\/li>\n<li>EKG<\/li>\n<\/ul>\n<p><strong>Tiroidita cronic\u0103 autoimun\u0103 Hashimoto<\/strong><\/p>\n<p>Boala autoimun\u0103 caracterizat\u0103 printr-o agresare a organismului de c\u0103tre propriul sau sistem imunitar. Este una dintre cele mai frecvente cauze de gu\u015f\u0103.<\/p>\n<p>Seme \u015fi simptome<\/p>\n<ul>\n<li>cre\u015fterea \u00een volum a tiroidei, de obicei f\u0103r\u0103 noduli tiroidieni<\/li>\n<li>poate produce fenomene compresive: senza\u0163ie de presiune sau disconfort , tulbur\u0103ri de \u00eenghi\u0163ire<\/li>\n<li>poate duce la atrofia (mic\u015forarea) glandei tiroide cu apari\u0163ia hipotiroidismului (adaos \u00een greutate, somnolen\u0163\u0103, sc\u0103derea capacit\u0103\u0163ii de munc\u0103)<\/li>\n<\/ul>\n<p><u>Diagnostic <\/u><\/p>\n<ul>\n<li>Dozarea hormonilor tiroidieni<\/li>\n<li>Ecografia tiroidian\u0103<\/li>\n<\/ul>\n<p>Deoarece problemele nediagnosticate ale tiroidei pot cre\u015fte dramatic riscul apari\u0163iei obezit\u0103\u0163ii, bolilor cardiovasculare, depresiei, anxiet\u0103\u0163ii, pierderii p\u0103rului, disfunc\u0163iilor sexuale, infertilit\u0103\u0163ii, dar \u015fi a altor probleme de s\u0103n\u0103tate, este important s\u0103 merge\u0163i din timp la medicul endocrinolog pentru investiga\u0163ii \u015fi tratament adecvat.<\/p>\n<p><strong>Autori:<\/strong><\/p>\n<p><strong>Dr. Elena Bivol- medic endocrinolog,doctorant<\/strong><\/p>\n<p><strong>Dr. Natalia Baltag \u2013 medic endocrinolog, sef sec\u021bie,categoria superioar\u0103, asistent universitar<\/strong><\/p>\n<p><strong>Dr.Natalia Porcereanu \u2013 medic endocrinolog,doctorant<\/strong><\/p>\n<p><strong>Dr Tatiana Abras- medic endocrinolog<\/strong><\/p>\n<p><strong>Dr. Vlada Bistri\u021bchii- medic endocrinolog, <\/strong><\/p>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/IMG_5570.jpg\" rel=\"attachment wp-att-6257\"><img loading=\"lazy\" class=\"alignleft wp-image-6257\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/IMG_5570.jpg\" alt=\"IMG_5570\" width=\"480\" height=\"320\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/IMG_5570.jpg 1200w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/IMG_5570-300x200.jpg 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/IMG_5570-1024x683.jpg 1024w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/IMG_5570-225x150.jpg 225w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/IMG_5570-500x333.jpg 500w\" sizes=\"(max-width: 480px) 100vw, 480px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>&#8212; <\/strong>[\/vc_column_text][vc_empty_space]<ul class=\"photostream clearfix page_margin_top_section\"><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/11.jpg-96x96.png\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/11.jpg-96x96.png 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/11.jpg-200x200.png 200w, 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href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/10\/2.jpg.png\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/1-96x96.png\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/1-96x96.png 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/1-200x200.png 200w, https:\/\/treime.md\/wp-content\/uploads\/2016\/10\/1-150x150.png 150w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/10\/1.png\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><\/ul>[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_images_carousel images=&#187;3538,3829,3536,3525,3530,6257&#8243; img_size=&#187;&#187; slides_per_view=&#187;4&#8243; autoplay=&#187;yes&#187; wrap=&#187;yes&#187; el_class=&#187;carusel_post&#187;][vc_empty_space][vc_column_text] Glanda tiroid\u0103 este o glanda endocrin\u0103 ce se localizeaz\u0103 pe partea anterioar\u0103 a g\u00e2tului, sub \u201em\u0103rul lui Adam\u201c, are o form\u0103 de fluture, 2 lobi (\u201caripile\u201d) lega\u0163i de istm.<\/p>\n","protected":false},"author":2,"featured_media":6247,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[53],"tags":[],"_links":{"self":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts\/6246"}],"collection":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/comments?post=6246"}],"version-history":[{"count":3,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts\/6246\/revisions"}],"predecessor-version":[{"id":6260,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts\/6246\/revisions\/6260"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/media\/6247"}],"wp:attachment":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/media?parent=6246"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/categories?post=6246"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/tags?post=6246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}