{"id":20781,"date":"2025-03-05T12:08:18","date_gmt":"2025-03-05T10:08:18","guid":{"rendered":"https:\/\/www.clinica-sante.com\/ro\/?p=20781"},"modified":"2026-03-20T12:19:19","modified_gmt":"2026-03-20T10:19:19","slug":"litiaza-biliara-sau-pietrele-la-fiere-ce-trebuie-sa-stii","status":"publish","type":"post","link":"https:\/\/www.clinica-sante.com\/ro\/litiaza-biliara-sau-pietrele-la-fiere-ce-trebuie-sa-stii\/","title":{"rendered":"Litiaza biliar\u0103 sau \u201cpietrele la fiere\u201d \u2013 ce trebuie s\u0103 \u0219tii"},"content":{"rendered":"    <div class=\"block_cuprins_articol\">\r\n        <div class=\"block_cuprins_articol_title\">\r\n            <p>Cuprins<\/p>\r\n        <\/div>\r\n        <ol  class=\"block_cuprins_articol_list\" > \r\n                            <li>\r\n                    <span><a href=\"#titlu_1\">Ce este litiaza biliar\u0103 \u0219i cum apare?<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_2\">C\u00e2t de frecvent\u0103 este litiaza biliar\u0103?<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_3\">Manifest\u0103ri clinice<\/a><\/span>\r\n                <\/li>\r\n                            <li>\r\n                    <span><a href=\"#titlu_4\">Metode de diagnostic<\/a><\/span>\r\n                <\/li>\r\n                    <\/ol>\r\n    <\/div>\r\n    \r\n\n\n\n<div id=\"titlu_1\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">1.<\/span>\n                <span style=\"color: #f58220\"> Ce este litiaza biliar\u0103 \u0219i cum apare? <\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p><span style=\"color: #008080\"><strong>Litiaza biliar\u0103 sau colelitiaza<\/strong><\/span> reprezint\u0103 formarea de calculi (pietre) de diferite dimensiuni (de la c\u00e2\u021biva milimetri, p\u00e2n\u0103 la calculi mari, peste 2 cm) la nivelul vezicii biliare. Bila (denumit\u0103 popular \u0219i fiere) este un lichid digestiv de culoare galben-verzuie, produs la nivelul ficatului, depozitat \u00een vezica biliar\u0103 \u0219i apoi eliberat \u00een duoden, unde contribuie la digerarea gr\u0103similor din alimente.<\/p>\n<p>Calculii biliari apar atunci c\u00e2nd exist\u0103 un exces al componentelor bilei, cum ar fi colesterolul sau bilirubina (pigmentul biliar) sau \u00een condi\u021bii de staz\u0103 biliar\u0103, din cauza golirii necorespunz\u0103toare a con\u021binutului biliar. Astfel se formeaz\u0103 depozite solide de colesterol sau bilirubin\u0103.<\/p>\n<p>Calculii de colesterol sunt cei mai frecven\u021bi \u0219i se formeaz\u0103 atunci c\u00e2nd bila con\u021bine prea mult colesterol \u0219i prea pu\u021bine s\u0103ruri biliare. Calculii pigmentari (prin exces de bilirubin\u0103) apar de obicei la pacien\u021bi cu ciroz\u0103 hepatic\u0103, infec\u021bii ale tractului biliar sau boli de s\u00e2nge, precum anemia falciform\u0103.<\/p>\n<\/div>\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_2\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">2.<\/span>\n                <span style=\"color: #f58220\"> C\u00e2t de frecvent\u0103 este litiaza biliar\u0103?<\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Litiaza biliar\u0103 este o afec\u021biune relativ comun\u0103, fiind \u00eent\u00e2lnit\u0103 la 10-15% din popula\u021bia adult\u0103. Femeile sunt mai predispuse dec\u00e2t b\u0103rba\u021bii s\u0103 dezvolte calculi biliari, iar riscul cre\u0219te odat\u0103 cu \u00eenaintarea \u00een v\u00e2rst\u0103. Cu toate acestea, doar aproximativ 20% din persoanele afectate prezint\u0103 simptome sau necesit\u0103 tratament specific.<\/p>\n<p><strong><span style=\"color: #f58220\"> Factori de risc<\/span><\/strong><\/p>\n<p><span style=\"color: #008080\"><strong>Principalii factorii de risc sunt:<\/strong><\/span><\/p>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Sexul feminin<\/strong><\/span><\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>V\u00e2rsta peste 40 de ani<\/strong><\/span><\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Dieta bogat\u0103 \u00een gr\u0103simi \u0219i carbohidra\u021bi<\/strong><\/span><\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Hipercolesterolemia<\/strong><\/span><\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Obezitatea<\/strong><\/span> \u2013 persoanele cu greutate peste normal au niveluri mai ridicate de colesterol, ceea ce favorizeaz\u0103 formarea calculilor.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Posturile prelungite \u0219i pierderea rapid\u0103 \u00een greutate<\/strong><\/span> \u2013 pot favoriza dezechilibre \u00een compozi\u021bia bilei.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Diabetul zaharat<\/strong> <\/span>\u2013 pacien\u021bii cu diabet au un risc crescut din cauza nivelurilor ridicate de trigliceride.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Sarcina<\/strong> <\/span>\u2013 modific\u0103rile hormonale (excesul de estrogeni) pot influen\u021ba secre\u021bia \u0219i compozi\u021bia bilei.<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_3\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">3.<\/span>\n                <span style=\"color: #f58220\"> Manifest\u0103ri clinice<\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Majoritatea pacien\u021bilor sunt asimptomatici \u0219i descoper\u0103 afec\u021biunea \u00eent\u00e2mpl\u0103tor, de obicei \u00een timpul unor investiga\u021bii imagistice.<\/p>\n<p>Cu toate acestea, atunci c\u00e2nd calculii biliari devin mai mari sau \u00eencep s\u0103 blocheze c\u0103ile biliare pot ap\u0103rea simptome specifice \u2013 \u201ecrize biliare\u201d, de obicei dup\u0103 consumul unei mese bogate \u00een gr\u0103simi sau pe timpul nop\u021bii. Totodat\u0103 calculii de dimensiuni mari sau cei de dimensiuni mai mici care migreaz\u0103 pot determina obstruc\u021bia vezicii biliare, respectiv a c\u0103ilor biliare \u0219i apari\u021bia unor complica\u021bii severe, ce pot deveni amenin\u021b\u0103toare de via\u021b\u0103. Bila nu mai poate circula normal \u0219i se acumuleaz\u0103 la nivelul c\u0103ilor biliare \u0219i organelor, provoc\u00e2nd inflama\u021bie acut\u0103 \u0219i favoriz\u00e2nd apari\u021bia infec\u021biilor bacteriene.<\/p>\n<\/div>\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"684\" src=\"https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art3-Litiaza-biliara-2-1024x684.jpg\" alt=\"\" class=\"wp-image-20790\" srcset=\"https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art3-Litiaza-biliara-2-1024x684.jpg 1024w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art3-Litiaza-biliara-2-900x601.jpg 900w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art3-Litiaza-biliara-2-300x200.jpg 300w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art3-Litiaza-biliara-2-768x513.jpg 768w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art3-Litiaza-biliara-2-1536x1026.jpg 1536w, https:\/\/www.clinica-sante.com\/ro\/wp-content\/uploads\/2025\/03\/art3-Litiaza-biliara-2-2048x1368.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div  class=\"bloc_description_section\"><p><span style=\"color: #333333\"><strong>Semnele \u0219i simptomele asociate \u201ecrizelor biliare\u201d sau complica\u021biilor includ: <\/strong><\/span><\/p>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Durere intens\u0103 \u00een partea dreapt\u0103 a abdomenului<\/strong> <strong>(colic\u0103 biliar\u0103)<\/strong> <\/span>\u2013 apare brusc, cre\u0219te rapid \u00een intensitate \u0219i dureaz\u0103 de la c\u00e2teva minute la c\u00e2teva ore.<br \/>\nAceast\u0103 durere poate iradia \u0219i \u00een um\u0103rul drept sau spre spate, \u00eentre omopla\u021bi.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Grea\u021b\u0103, v\u0103rs\u0103turi<\/strong>.<\/span><\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Balonare, indigestie<\/strong> <\/span>\u2013 \u00een special dup\u0103 consumul de alimente grase sau pr\u0103jite.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Icter<\/strong><\/span> \u2013 apare prin acumularea bilirubinei \u00een s\u00e2nge, \u00een cazul unei obstruc\u021bii biliare.<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Febr\u0103, frisoane<\/strong> <\/span>\u2013 \u00een general \u00een cazul apari\u021biei complica\u021biilor.<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div  class=\"bloc_description_section\"><p><strong>Complica\u021bii posibile:<\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"bloc-lista-simpla\">\n    <ul class=\"bloc-lista-simpla-unordonated\">                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Colecistita acut\u0103<\/strong><\/span> (inflama\u021bia vezicii biliare)<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Colangita<\/strong><\/span> (inflama\u021bia c\u0103ilor biliare)<\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Pancreatita<\/strong><\/span><\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Hepatita<\/strong><\/span><\/p>\n<\/li>\n                                    <li class=\"bloc-lista-simpla-list\"><p><span style=\"color: #008080\"><strong>Sepsis<\/strong><\/span> \u2013 \u00een cazuri foarte severe.<\/p>\n<\/li>\n                <\/ul><\/div>\n\n\n<div class=\"bloc_separator_sante\">\n    <span>sus<\/span>\n<\/div>\n\n\n<div id=\"titlu_4\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                    <span style=\"color: #f58220\">4.<\/span>\n                <span style=\"color: #f58220\">Metode de diagnostic<\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Investiga\u021bia de baz\u0103 pentru identificarea calculilor biliari este <span style=\"color: #008080\"><strong>ecografia abdominal\u0103<\/strong><\/span>, fiind o metod\u0103 simpl\u0103, neinvaziv\u0103 \u0219i cu acurate\u021be mare. Alte metode imagistice, cum ar fi tomografia computerizat\u0103 (CT), colangiopancreatografia prin rezonan\u021b\u0103 magnetic\u0103 (MRCP) sau colangiopancreatografia retrograda endoscopica (ERCP) pot fi utilizare \u00een cazuri mai complicate, atunci c\u00e2nd un calcul este blocat \u00een tractul biliar sau chiar \u00een scop terapeutic.<br \/>\n<span style=\"color: #008080\"><strong>Analizele de s\u00e2nge<\/strong><\/span> sunt utile pentru eviden\u021bierea inflama\u021biei, infec\u021biei, icterului sau obstruc\u021biei biliare (cre\u0219terea bilirubinei, transaminazelor, fosfatazei alcaline).<\/p>\n<p><span style=\"color: #008080\"><strong>Managementul litiazei biliare<\/strong><\/span><\/p>\n<p>Tratamentul litiazei biliare depinde de prezen\u021ba sau absen\u021ba simptomelor, respectiv a complica\u021biilor. Pacien\u021bii asimptomatici nu necesit\u0103 tratament \u00een general, \u00eens\u0103 este recomandat\u0103 monitorizarea periodic\u0103.<br \/>\nInterven\u021bia chirurgical\u0103 (colecistectomia laparoscopic\u0103 sau prin chirurgie deschis\u0103) este tratamentul de elec\u021bie \u00een cazurile simptomatice sau complicate. Tratamentul medicamentos, cum ar fi acidul ursodeoxicolic poate ajuta la dizolvarea calculilor mici, \u00eens\u0103 acest tratament este rar utilizat deoarece necesit\u0103 mult timp \u0219i nu este \u00eentotdeauna eficient, fiind rezervat pacien\u021bilor la care nu se poate interveni chirurgical.<\/p>\n<\/div>\n\n<section class=\"section_carusel_produse\">\n    <div class=\"container\">\n        <div class=\"splide splide-carousel-guttenberg\">\n            <div class=\"splide__track\">\n                <ul class=\"splide__list\">\n                                                        <li class=\"splide__slide\">\n                                        <div class=\"product prod\">\n                                                                                             <div class=\"loop-product-discount\">-12%<\/div>                                                                                        <a title=\"Bilirubina totala\"\n                                                href=\"https:\/\/www.clinica-sante.com\/ro\/analize-biochimie\/bilirubina-totala\/\"\n                                                class=\"woocommerce-LoopProduct-link woocommerce-loop-product__link\">\n                                                <h4 class=\"woocommerce-loop-product__title\">\n                                                    Bilirubina totala                                                <\/h4>\n                                            <\/a>\n                                            <div class=\"loop-product-wrapper\">\n                                                <div class=\"loop-product-prices\">\n                                                    <del aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>18,00&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/del> <span class=\"screen-reader-text\">Pre\u021bul ini\u021bial a fost: 18,00&nbsp;lei.<\/span><ins aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>15,84&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/ins><span class=\"screen-reader-text\">Pre\u021bul curent este: 15,84&nbsp;lei.<\/span>                                                <\/div>\n                                            <\/div>\n                                                    <div class=\"loop-product-footer\" id=\"identificator_list_prod_26830\"\n            data-prod-title=\"Bilirubina totala\"\n            data-prod-sku=\"6222\">\n\n            \n<div\n\tclass=\"yith-wcwl-add-to-wishlist add-to-wishlist-26830 yith-wcwl-add-to-wishlist--link-style wishlist-fragment on-first-load\"\n\tdata-fragment-ref=\"26830\"\n\tdata-fragment-options=\"{&quot;base_url&quot;:&quot;&quot;,&quot;product_id&quot;:26830,&quot;parent_product_id&quot;:0,&quot;product_type&quot;:&quot;simple&quot;,&quot;is_single&quot;:false,&quot;in_default_wishlist&quot;:false,&quot;show_view&quot;:false,&quot;browse_wishlist_text&quot;:&quot;&quot;,&quot;already_in_wishslist_text&quot;:&quot;Produsul este deja in lista de favorite&quot;,&quot;product_added_text&quot;:&quot;Produs ad\\u0103ugat \\u00een lista de favorite&quot;,&quot;available_multi_wishlist&quot;:false,&quot;disable_wishlist&quot;:false,&quot;show_count&quot;:false,&quot;ajax_loading&quot;:false,&quot;loop_position&quot;:&quot;shortcode&quot;,&quot;item&quot;:&quot;add_to_wishlist&quot;}\"\n>\n\t<\/div>\n<div class=\"add-to-cart-container mt-auto\"><a href=\"\/ro\/wp-json\/wp\/v2\/posts\/20781?add-to-cart=26830\" data-quantity=\"1\" class=\"button product_type_simple add_to_cart_button ajax_add_to_cart comandaButton\" product-title=\"Bilirubina totala\" data-product_id=\"26830\" data-product_category=\"Analize\" data-product_subcategory=\"Biochimie; Serviciu laborator\" data-product_sku=\"6222\" aria-label=\"Adaug\u0103 \u00een co\u0219: &amp;lbquo;Bilirubina totala&rdquo;\" rel=\"nofollow\" regular_price=\"18\" sale_price=\"15.84\" discount_difference=\"2.16\"><div class=\"btn-loader\"><span class=\"spinner-border spinner-border-sm\"><\/span><\/div>Adaug\u0103 \u00een co\u0219 <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                            <path d=\"M12.8 12.8C11.912 12.8 11.2 13.512 11.2 14.4C11.2 14.8243 11.3686 15.2313 11.6686 15.5314C11.9687 15.8314 12.3757 16 12.8 16C13.2243 16 13.6313 15.8314 13.9314 15.5314C14.2314 15.2313 14.4 14.8243 14.4 14.4C14.4 13.9757 14.2314 13.5687 13.9314 13.2686C13.6313 12.9686 13.2243 12.8 12.8 12.8ZM0 0V1.6H1.6L4.48 7.672L3.392 9.632C3.272 9.856 3.2 10.12 3.2 10.4C3.2 10.8243 3.36857 11.2313 3.66863 11.5314C3.96869 11.8314 4.37565 12 4.8 12H14.4V10.4H5.136C5.08296 10.4 5.03209 10.3789 4.99458 10.3414C4.95707 10.3039 4.936 10.253 4.936 10.2C4.936 10.16 4.944 10.128 4.96 10.104L5.68 8.8H11.64C12.24 8.8 12.768 8.464 13.04 7.976L15.904 2.8C15.96 2.672 16 2.536 16 2.4C16 2.18783 15.9157 1.98434 15.7657 1.83431C15.6157 1.68429 15.4122 1.6 15.2 1.6H3.368L2.616 0M4.8 12.8C3.912 12.8 3.2 13.512 3.2 14.4C3.2 14.8243 3.36857 15.2313 3.66863 15.5314C3.96869 15.8314 4.37565 16 4.8 16C5.22435 16 5.63131 15.8314 5.93137 15.5314C6.23143 15.2313 6.4 14.8243 6.4 14.4C6.4 13.9757 6.23143 13.5687 5.93137 13.2686C5.63131 12.9686 5.22435 12.8 4.8 12.8Z\" fill=\"white\"><\/path>\n                        <\/svg><\/a><\/a><\/div>        <\/div>\n                                                <\/div>\n                                    <\/li>\n                                                                   <li class=\"splide__slide\">\n                                        <div class=\"product prod\">\n                                                                                             <div class=\"loop-product-discount\">-12%<\/div>                                                                                        <a title=\"TGO \/ AST\"\n                                                href=\"https:\/\/www.clinica-sante.com\/ro\/analize-biochimie\/tgo-ast\/\"\n                                                class=\"woocommerce-LoopProduct-link woocommerce-loop-product__link\">\n                                                <h4 class=\"woocommerce-loop-product__title\">\n                                                    TGO \/ AST                                                <\/h4>\n                                            <\/a>\n                                            <div class=\"loop-product-wrapper\">\n                                                <div class=\"loop-product-prices\">\n                                                    <del aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>17,00&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/del> <span class=\"screen-reader-text\">Pre\u021bul ini\u021bial a fost: 17,00&nbsp;lei.<\/span><ins aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>14,96&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/ins><span class=\"screen-reader-text\">Pre\u021bul curent este: 14,96&nbsp;lei.<\/span>                                                <\/div>\n                                            <\/div>\n                                                    <div class=\"loop-product-footer\" id=\"identificator_list_prod_27228\"\n            data-prod-title=\"TGO \/ AST\"\n            data-prod-sku=\"30\">\n\n            \n<div\n\tclass=\"yith-wcwl-add-to-wishlist add-to-wishlist-27228 yith-wcwl-add-to-wishlist--link-style wishlist-fragment on-first-load\"\n\tdata-fragment-ref=\"27228\"\n\tdata-fragment-options=\"{&quot;base_url&quot;:&quot;&quot;,&quot;product_id&quot;:27228,&quot;parent_product_id&quot;:0,&quot;product_type&quot;:&quot;simple&quot;,&quot;is_single&quot;:false,&quot;in_default_wishlist&quot;:false,&quot;show_view&quot;:false,&quot;browse_wishlist_text&quot;:&quot;&quot;,&quot;already_in_wishslist_text&quot;:&quot;Produsul este deja in lista de favorite&quot;,&quot;product_added_text&quot;:&quot;Produs ad\\u0103ugat \\u00een lista de favorite&quot;,&quot;available_multi_wishlist&quot;:false,&quot;disable_wishlist&quot;:false,&quot;show_count&quot;:false,&quot;ajax_loading&quot;:false,&quot;loop_position&quot;:&quot;shortcode&quot;,&quot;item&quot;:&quot;add_to_wishlist&quot;}\"\n>\n\t<\/div>\n<div class=\"add-to-cart-container mt-auto\"><a href=\"\/ro\/wp-json\/wp\/v2\/posts\/20781?add-to-cart=27228\" data-quantity=\"1\" class=\"button product_type_simple add_to_cart_button ajax_add_to_cart comandaButton\" product-title=\"TGO \/ AST\" data-product_id=\"27228\" data-product_category=\"Analize\" data-product_subcategory=\"Biochimie; Serviciu laborator\" data-product_sku=\"30\" aria-label=\"Adaug\u0103 \u00een co\u0219: &amp;lbquo;TGO \/ AST&rdquo;\" rel=\"nofollow\" regular_price=\"17\" sale_price=\"14.96\" discount_difference=\"2.04\"><div class=\"btn-loader\"><span class=\"spinner-border spinner-border-sm\"><\/span><\/div>Adaug\u0103 \u00een co\u0219 <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                            <path d=\"M12.8 12.8C11.912 12.8 11.2 13.512 11.2 14.4C11.2 14.8243 11.3686 15.2313 11.6686 15.5314C11.9687 15.8314 12.3757 16 12.8 16C13.2243 16 13.6313 15.8314 13.9314 15.5314C14.2314 15.2313 14.4 14.8243 14.4 14.4C14.4 13.9757 14.2314 13.5687 13.9314 13.2686C13.6313 12.9686 13.2243 12.8 12.8 12.8ZM0 0V1.6H1.6L4.48 7.672L3.392 9.632C3.272 9.856 3.2 10.12 3.2 10.4C3.2 10.8243 3.36857 11.2313 3.66863 11.5314C3.96869 11.8314 4.37565 12 4.8 12H14.4V10.4H5.136C5.08296 10.4 5.03209 10.3789 4.99458 10.3414C4.95707 10.3039 4.936 10.253 4.936 10.2C4.936 10.16 4.944 10.128 4.96 10.104L5.68 8.8H11.64C12.24 8.8 12.768 8.464 13.04 7.976L15.904 2.8C15.96 2.672 16 2.536 16 2.4C16 2.18783 15.9157 1.98434 15.7657 1.83431C15.6157 1.68429 15.4122 1.6 15.2 1.6H3.368L2.616 0M4.8 12.8C3.912 12.8 3.2 13.512 3.2 14.4C3.2 14.8243 3.36857 15.2313 3.66863 15.5314C3.96869 15.8314 4.37565 16 4.8 16C5.22435 16 5.63131 15.8314 5.93137 15.5314C6.23143 15.2313 6.4 14.8243 6.4 14.4C6.4 13.9757 6.23143 13.5687 5.93137 13.2686C5.63131 12.9686 5.22435 12.8 4.8 12.8Z\" fill=\"white\"><\/path>\n                        <\/svg><\/a><\/a><\/div>        <\/div>\n                                                <\/div>\n                                    <\/li>\n                                                                   <li class=\"splide__slide\">\n                                        <div class=\"product prod\">\n                                                                                             <div class=\"loop-product-discount\">-12%<\/div>                                                                                        <a title=\"TGP \/ ALT\"\n                                                href=\"https:\/\/www.clinica-sante.com\/ro\/analize-biochimie\/tgp-alt\/\"\n                                                class=\"woocommerce-LoopProduct-link woocommerce-loop-product__link\">\n                                                <h4 class=\"woocommerce-loop-product__title\">\n                                                    TGP \/ ALT                                                <\/h4>\n                                            <\/a>\n                                            <div class=\"loop-product-wrapper\">\n                                                <div class=\"loop-product-prices\">\n                                                    <del aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>17,00&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/del> <span class=\"screen-reader-text\">Pre\u021bul ini\u021bial a fost: 17,00&nbsp;lei.<\/span><ins aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>14,96&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/ins><span class=\"screen-reader-text\">Pre\u021bul curent este: 14,96&nbsp;lei.<\/span>                                                <\/div>\n                                            <\/div>\n                                                    <div class=\"loop-product-footer\" id=\"identificator_list_prod_27148\"\n            data-prod-title=\"TGP \/ ALT\"\n            data-prod-sku=\"31\">\n\n            \n<div\n\tclass=\"yith-wcwl-add-to-wishlist add-to-wishlist-27148 yith-wcwl-add-to-wishlist--link-style wishlist-fragment on-first-load\"\n\tdata-fragment-ref=\"27148\"\n\tdata-fragment-options=\"{&quot;base_url&quot;:&quot;&quot;,&quot;product_id&quot;:27148,&quot;parent_product_id&quot;:0,&quot;product_type&quot;:&quot;simple&quot;,&quot;is_single&quot;:false,&quot;in_default_wishlist&quot;:false,&quot;show_view&quot;:false,&quot;browse_wishlist_text&quot;:&quot;&quot;,&quot;already_in_wishslist_text&quot;:&quot;Produsul este deja in lista de favorite&quot;,&quot;product_added_text&quot;:&quot;Produs ad\\u0103ugat \\u00een lista de favorite&quot;,&quot;available_multi_wishlist&quot;:false,&quot;disable_wishlist&quot;:false,&quot;show_count&quot;:false,&quot;ajax_loading&quot;:false,&quot;loop_position&quot;:&quot;shortcode&quot;,&quot;item&quot;:&quot;add_to_wishlist&quot;}\"\n>\n\t<\/div>\n<div class=\"add-to-cart-container mt-auto\"><a href=\"\/ro\/wp-json\/wp\/v2\/posts\/20781?add-to-cart=27148\" data-quantity=\"1\" class=\"button product_type_simple add_to_cart_button ajax_add_to_cart comandaButton\" product-title=\"TGP \/ ALT\" data-product_id=\"27148\" data-product_category=\"Analize\" data-product_subcategory=\"Biochimie; Serviciu laborator\" data-product_sku=\"31\" aria-label=\"Adaug\u0103 \u00een co\u0219: &amp;lbquo;TGP \/ ALT&rdquo;\" rel=\"nofollow\" regular_price=\"17\" sale_price=\"14.96\" discount_difference=\"2.04\"><div class=\"btn-loader\"><span class=\"spinner-border spinner-border-sm\"><\/span><\/div>Adaug\u0103 \u00een co\u0219 <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                            <path d=\"M12.8 12.8C11.912 12.8 11.2 13.512 11.2 14.4C11.2 14.8243 11.3686 15.2313 11.6686 15.5314C11.9687 15.8314 12.3757 16 12.8 16C13.2243 16 13.6313 15.8314 13.9314 15.5314C14.2314 15.2313 14.4 14.8243 14.4 14.4C14.4 13.9757 14.2314 13.5687 13.9314 13.2686C13.6313 12.9686 13.2243 12.8 12.8 12.8ZM0 0V1.6H1.6L4.48 7.672L3.392 9.632C3.272 9.856 3.2 10.12 3.2 10.4C3.2 10.8243 3.36857 11.2313 3.66863 11.5314C3.96869 11.8314 4.37565 12 4.8 12H14.4V10.4H5.136C5.08296 10.4 5.03209 10.3789 4.99458 10.3414C4.95707 10.3039 4.936 10.253 4.936 10.2C4.936 10.16 4.944 10.128 4.96 10.104L5.68 8.8H11.64C12.24 8.8 12.768 8.464 13.04 7.976L15.904 2.8C15.96 2.672 16 2.536 16 2.4C16 2.18783 15.9157 1.98434 15.7657 1.83431C15.6157 1.68429 15.4122 1.6 15.2 1.6H3.368L2.616 0M4.8 12.8C3.912 12.8 3.2 13.512 3.2 14.4C3.2 14.8243 3.36857 15.2313 3.66863 15.5314C3.96869 15.8314 4.37565 16 4.8 16C5.22435 16 5.63131 15.8314 5.93137 15.5314C6.23143 15.2313 6.4 14.8243 6.4 14.4C6.4 13.9757 6.23143 13.5687 5.93137 13.2686C5.63131 12.9686 5.22435 12.8 4.8 12.8Z\" fill=\"white\"><\/path>\n                        <\/svg><\/a><\/a><\/div>        <\/div>\n                                                <\/div>\n                                    <\/li>\n                                                                   <li class=\"splide__slide\">\n                                        <div class=\"product prod\">\n                                                                                             <div class=\"loop-product-discount\">-12%<\/div>                                                                                        <a title=\"Fosfataza alcalina\"\n                                                href=\"https:\/\/www.clinica-sante.com\/ro\/analize-biochimie\/fosfataza-alcalina\/\"\n                                                class=\"woocommerce-LoopProduct-link woocommerce-loop-product__link\">\n                                                <h4 class=\"woocommerce-loop-product__title\">\n                                                    Fosfataza alcalina                                                <\/h4>\n                                            <\/a>\n                                            <div class=\"loop-product-wrapper\">\n                                                <div class=\"loop-product-prices\">\n                                                    <del aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>25,00&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/del> <span class=\"screen-reader-text\">Pre\u021bul ini\u021bial a fost: 25,00&nbsp;lei.<\/span><ins aria-hidden=\"true\"><span class=\"woocommerce-Price-amount amount\"><bdi>22,00&nbsp;<span class=\"woocommerce-Price-currencySymbol\">lei<\/span><\/bdi><\/span><\/ins><span class=\"screen-reader-text\">Pre\u021bul curent este: 22,00&nbsp;lei.<\/span>                                                <\/div>\n                                            <\/div>\n                                                    <div class=\"loop-product-footer\" id=\"identificator_list_prod_26837\"\n            data-prod-title=\"Fosfataza alcalina\"\n            data-prod-sku=\"32\">\n\n            \n<div\n\tclass=\"yith-wcwl-add-to-wishlist add-to-wishlist-26837 yith-wcwl-add-to-wishlist--link-style wishlist-fragment on-first-load\"\n\tdata-fragment-ref=\"26837\"\n\tdata-fragment-options=\"{&quot;base_url&quot;:&quot;&quot;,&quot;product_id&quot;:26837,&quot;parent_product_id&quot;:0,&quot;product_type&quot;:&quot;simple&quot;,&quot;is_single&quot;:false,&quot;in_default_wishlist&quot;:false,&quot;show_view&quot;:false,&quot;browse_wishlist_text&quot;:&quot;&quot;,&quot;already_in_wishslist_text&quot;:&quot;Produsul este deja in lista de favorite&quot;,&quot;product_added_text&quot;:&quot;Produs ad\\u0103ugat \\u00een lista de favorite&quot;,&quot;available_multi_wishlist&quot;:false,&quot;disable_wishlist&quot;:false,&quot;show_count&quot;:false,&quot;ajax_loading&quot;:false,&quot;loop_position&quot;:&quot;shortcode&quot;,&quot;item&quot;:&quot;add_to_wishlist&quot;}\"\n>\n\t<\/div>\n<div class=\"add-to-cart-container mt-auto\"><a href=\"\/ro\/wp-json\/wp\/v2\/posts\/20781?add-to-cart=26837\" data-quantity=\"1\" class=\"button product_type_simple add_to_cart_button ajax_add_to_cart comandaButton\" product-title=\"Fosfataza alcalina\" data-product_id=\"26837\" data-product_category=\"Analize\" data-product_subcategory=\"Biochimie; Serviciu laborator\" data-product_sku=\"32\" aria-label=\"Adaug\u0103 \u00een co\u0219: &amp;lbquo;Fosfataza alcalina&rdquo;\" rel=\"nofollow\" regular_price=\"25\" sale_price=\"22\" discount_difference=\"3\"><div class=\"btn-loader\"><span class=\"spinner-border spinner-border-sm\"><\/span><\/div>Adaug\u0103 \u00een co\u0219 <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                            <path d=\"M12.8 12.8C11.912 12.8 11.2 13.512 11.2 14.4C11.2 14.8243 11.3686 15.2313 11.6686 15.5314C11.9687 15.8314 12.3757 16 12.8 16C13.2243 16 13.6313 15.8314 13.9314 15.5314C14.2314 15.2313 14.4 14.8243 14.4 14.4C14.4 13.9757 14.2314 13.5687 13.9314 13.2686C13.6313 12.9686 13.2243 12.8 12.8 12.8ZM0 0V1.6H1.6L4.48 7.672L3.392 9.632C3.272 9.856 3.2 10.12 3.2 10.4C3.2 10.8243 3.36857 11.2313 3.66863 11.5314C3.96869 11.8314 4.37565 12 4.8 12H14.4V10.4H5.136C5.08296 10.4 5.03209 10.3789 4.99458 10.3414C4.95707 10.3039 4.936 10.253 4.936 10.2C4.936 10.16 4.944 10.128 4.96 10.104L5.68 8.8H11.64C12.24 8.8 12.768 8.464 13.04 7.976L15.904 2.8C15.96 2.672 16 2.536 16 2.4C16 2.18783 15.9157 1.98434 15.7657 1.83431C15.6157 1.68429 15.4122 1.6 15.2 1.6H3.368L2.616 0M4.8 12.8C3.912 12.8 3.2 13.512 3.2 14.4C3.2 14.8243 3.36857 15.2313 3.66863 15.5314C3.96869 15.8314 4.37565 16 4.8 16C5.22435 16 5.63131 15.8314 5.93137 15.5314C6.23143 15.2313 6.4 14.8243 6.4 14.4C6.4 13.9757 6.23143 13.5687 5.93137 13.2686C5.63131 12.9686 5.22435 12.8 4.8 12.8Z\" fill=\"white\"><\/path>\n                        <\/svg><\/a><\/a><\/div>        <\/div>\n                                                <\/div>\n                                    <\/li>\n                                               <\/ul>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n<div id=\"titlu_\" class=\"bloc_title_section\">\n        <h2 style=\"color: ;\">\n                <span style=\"color: #f58220\">Programeaz\u0103-te acum!<\/span>    <\/h2>\n<\/div>\n\n\n<div  class=\"bloc_description_section\"><p>Ai aflat <span style=\"color: #008080\"><strong>c\u00e2t de importante sunt analizele<\/strong><\/span>\u00a0despre care am vorbit mai sus. Nu am\u00e2na grija pentru s\u0103n\u0103tatea ta!<\/p>\n<\/div>\n\n\n<div class=\"bgOrange bloc_title_section\">\n    <div class=\"m-3\">\n     <div class=\"row\">\n        <div class=\"col-md-3 col-lg-2 borderMap \">\n        <div class=\" leftBox\">\n                <div class=\"flexMob\">\n            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"61\" height=\"61\" viewBox=\"0 0 61 61\" fill=\"none\">\n            <g clip-path=\"url(#clip0_15501_13162)\">\n                <path d=\"M53.8333 0.260742H7.16667C3.5 0.260742 0.533333 3.26074 0.533333 6.92741L0.5 53.5941C0.5 57.2607 3.5 60.2607 7.16667 60.2607H53.8333C57.5 60.2607 60.5 57.2607 60.5 53.5941V6.92741C60.5 3.26074 57.5 0.260742 53.8333 0.260742ZM47.1667 36.9274H37.1667V46.9274C37.1667 48.7607 35.6667 50.2607 33.8333 50.2607H27.1667C25.3333 50.2607 23.8333 48.7607 23.8333 46.9274V36.9274H13.8333C12 36.9274 10.5 35.4274 10.5 33.5941V26.9274C10.5 25.0941 12 23.5941 13.8333 23.5941H23.8333V13.5941C23.8333 11.7607 25.3333 10.2607 27.1667 10.2607H33.8333C35.6667 10.2607 37.1667 11.7607 37.1667 13.5941V23.5941H47.1667C49 23.5941 50.5 25.0941 50.5 26.9274V33.5941C50.5 35.4274 49 36.9274 47.1667 36.9274Z\" fill=\"white\"\/>\n            <\/g>\n            <defs>\n                <clipPath id=\"clip0_15501_13162\">\n                <rect width=\"60\" height=\"60\" fill=\"white\" transform=\"translate(0.5 0.260742)\"\/>\n                <\/clipPath>\n            <\/defs>\n            <\/svg>\n        <\/div>\n        <p class=\"text-white textMap\">\n            Centre de <br> recoltare                            \n        <\/p>\n        <\/div>\n    <\/div>\n    <div class=\"col-md-8 col-lg-9\">\n        <div class=\"marginDekstop\">\n      <h2 class=\"text-white mb-4\">Sun\u0103 acum la num\u0103rul scurt *8787, alege centrul de recoltare cel mai apropiat \u0219i programeaz\u0103-te pentru efectuarea analizelor. Un gest simplu care poate face o mare diferen\u021b\u0103!<\/h2>\n\n     <p class=\"text-white mb-4\">Peste 300 de centre proprii de recoltare, \u00een toate jude\u021bele \u021b\u0103rii<\/p>\n          <a href=\"https:\/\/www.clinica-sante.com\/ro\/locatii\" class=\"buttonCentre\">\n                Vezi harta loca\u021biilor\n            <i class=\"fa-solid fa-caret-right\"><\/i>\n         <\/a>\n    <\/div>\n<\/div>\n  <\/div>\n    <\/div>\n<\/div>\n\n\n\n<div class=\"bloc_details_sections\">\n    <div class=\"bloc_details_sections_icons\">\n                            <svg width=\"16\" height=\"17\" viewBox=\"0 0 16 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                        <g clip-path=\"url(#clip0_1902_1526)\">\n                            <path d=\"M14.2222 0.893555H1.77778C0.8 0.893555 0 1.69355 0 2.67133V15.1158C0 16.0936 0.8 16.8936 1.77778 16.8936H14.2222C15.2 16.8936 16 16.0936 16 15.1158V2.67133C16 1.69355 15.2 0.893555 14.2222 0.893555ZM9.77778 13.338H3.55556V11.5602H9.77778V13.338ZM12.4444 9.78244H3.55556V8.00467H12.4444V9.78244ZM12.4444 6.22689H3.55556V4.44911H12.4444V6.22689Z\" fill=\"#666666\"\/>\n                        <\/g>\n                        <defs>\n                            <clipPath id=\"clip0_1902_1526\">\n                                <rect width=\"16\" height=\"16\" fill=\"white\" transform=\"translate(0 0.893555)\"\/>\n                            <\/clipPath>\n                        <\/defs>\n                    <\/svg>\n\n                        <\/div>\n    <div class=\"bloc_details_sections_details\">\n        <h2><span style=\"color: #f58220\">Concluzie<\/span><\/h2>\n        <p><p><span style=\"color: #008080\"><strong>Litiaza biliar\u0103<\/strong><\/span> este o afec\u021biune frecvent\u0103, care poate r\u0103m\u00e2ne asimptomatic\u0103 sau poate provoca complica\u021bii grave. Diagnosticul se bazeaz\u0103 \u00een principal pe efectuarea unei ecografii abdominale, iar managementul terapeutic variaz\u0103 de la monitorizare la colecistectomie, \u00een func\u021bie de severitate. Adoptarea unui stil de via\u021b\u0103 echilibrat \u0219i men\u021binerea unei greut\u0103\u021bi optime pot reduce riscul de apari\u021bie a calculilor biliari.<\/p>\n<\/p>\n    <\/div>\n<\/div>\n\n\n\n<div  class=\"bloc_description_section\"><p><strong><span style=\"color: #f58220\"> Bibliografie:<\/span><\/strong><\/p>\n<p>1.<a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/7313-gallstones\"> https:\/\/my.clevelandclinic.org\/health\/diseases\/7313-gallstones<\/a><br \/>\n2. <a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/gallstones\">https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/gallstones<\/a><br \/>\n3. <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/gallstones\/symptoms-causes\/syc-20354214\">https:\/\/www.mayoclinic.org\/diseases-conditions\/gallstones\/symptoms-causes\/syc-20354214<\/a><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Litiaza biliar\u0103 sau colelitiaza reprezint\u0103 formarea de calculi (pietre) de diferite dimensiuni (de la c\u00e2\u021biva milimetri, p\u00e2n\u0103 la calculi mari, peste 2 cm) la nivelul vezicii biliare. Bila (denumit\u0103 popular \u0219i fiere) este un lichid digestiv de culoare galben-verzuie, produs la nivelul ficatului, depozitat \u00een vezica biliar\u0103 \u0219i apoi eliberat \u00een duoden, unde contribuie la digerarea gr\u0103similor din alimente.<\/p>\n","protected":false},"author":303,"featured_media":29402,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[396],"tags":[],"class_list":["post-20781","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-util-pentru-sanatatea-ta"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/20781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/users\/303"}],"replies":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/comments?post=20781"}],"version-history":[{"count":21,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/20781\/revisions"}],"predecessor-version":[{"id":30197,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/posts\/20781\/revisions\/30197"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media\/29402"}],"wp:attachment":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media?parent=20781"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/categories?post=20781"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/tags?post=20781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}