{"id":10340,"date":"2020-04-23T05:03:30","date_gmt":"2020-04-23T02:03:30","guid":{"rendered":"https:\/\/www.synevo.ro\/product\/test-de-toleranta-la-glucoza-diabet-gestational-75-g\/"},"modified":"2025-07-01T07:56:36","modified_gmt":"2025-07-01T04:56:36","slug":"test-de-toleranta-la-glucoza-diabet-gestational-75-g","status":"publish","type":"product","link":"https:\/\/old.synevo.md\/ru\/shop\/test-de-toleranta-la-glucoza-diabet-gestational-75-g\/","title":{"rendered":"\u0413\u043b\u044e\u043a\u043e\u0437\u043e\u0442\u043e\u043b\u0435\u0440\u0430\u043d\u0442\u043d\u044b\u0439 \u0442\u0435\u0441\u0442 \u043f\u0440\u0438 \u0433\u0435\u0441\u0442\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u043c \u0434\u0438\u0430\u0431\u0435\u0442\u0435 (75 \u0433)"},"content":{"rendered":"

NOT\u0102: Pentru acest test, va fi necesar s\u0103 verifica\u021bi mai \u00eent\u00e2i, nivelul glucozei serice, \u00een centrele de recoltare SYNEVO.<\/strong><\/em><\/span>
\nContacta\u021bi Call-Centru pentru a confirma disponibilitatea testului \u00eenainte de a vizita centrul de recoltare.<\/strong><\/em><\/span><\/p>\n

Informa\u0163ii generale \u015fi recomand\u0103ri<\/em><\/strong><\/span><\/p>\n

Diabetul gesta\u0163ional este definit ca orice tip de intoleran\u0163\u0103 la glucoz\u0103 care apare sau este recunoscut pentru prima dat\u0103 \u00een timpul sarcinii1;2<\/sup>. Dup\u0103 na\u015ftere cele mai multe paciente revin la o toleran\u0163\u0103 normal\u0103 la glucoz\u0103; ~60% devin diabetice \u00een urm\u0103torii 16 ani2<\/sup>. Este foarte important s\u0103 se depisteze aceast\u0103 condi\u0163ie pentru a reduce at\u00e2t complica\u0163iile materne c\u00e2t \u015fi morbiditatea \u015fi mortalitatea perinatal\u0103 (na\u015ftere de copil mort, macrosomie, hipoglicemie, hiperbilirubinemie, hipocalcemie, policitemie)1;2<\/sup>.\u00a0 <\/span><\/p>\n

Defini\u0163ia diabetului gesta\u0163ional a determinat aplicarea unei strategii uniforme pentru detec\u0163ia \u015fi clasificarea acestei forme de diabet, ale c\u0103rei limite au fost recunoscute de mai mult timp. Una dintre aceste limite se refer\u0103 la faptul c\u0103 nu este exclus\u0103 posibilitatea ca intoleran\u0163a la glucoz\u0103 s\u0103 precead\u0103 sarcina sau s\u0103 debuteze concomitent cu aceasta. Datorit\u0103 inciden\u0163ei \u00een cre\u015ftere a obezit\u0103\u0163ii \u015fi a diabetului la femeile aflate la v\u00e2rsta reproductiv\u0103, num\u0103rul gravidelor cu diabet zaharat de tip II nediagnosticat a devenit din ce \u00een ce mai mare. Din acest motiv, se recomand\u0103 chiar de la prima vizit\u0103 prenatal\u0103, ca toate pacientele cu risc crescut s\u0103 efectueze screening-ul diabetului zaharat tip II <\/span>utiliz\u00e2ndu-se criteriile standard de diagnostic. \u00cen categoria asociat\u0103 cu risc crescut de diabet sunt incluse persoanele av\u00e2nd un indice de mas\u0103 corporal\u0103 BMI \u2265 25 kg\/m2 <\/sup>care asociaz\u0103 unul din urm\u0103torii factori de risc:<\/span><\/p>\n

\u2013 lipsa de activitate fizic\u0103;<\/span><\/div>\n
\u2013 rude de gradul I cu diabet zaharat;<\/span><\/div>\n
\u2013 apartenen\u0163a la o etnie cu risc crescut;<\/span><\/div>\n
\u2013 diabet gesta\u0163ional \u00een antecedente sau na\u015fterea anterioar\u0103 a unui f\u0103t macrosom;<\/span><\/div>\n
\u2013 hipertensiune arterial\u0103;<\/span><\/div>\n
\u2013 HDL-colesterol < 35 mg\/dL (0.9 mmol\/L) \u015fi\/sau trigliceride \u2265 250 mg\/dL (2.82 mmol\/L);<\/span><\/div>\n
\u2013 diagnostic de sindrom al ovarelor polichistice;<\/span><\/div>\n
\u2013 HbA1c \u2265 5.7%, glicemie bazal\u0103 modificat\u0103 sau intoleran\u0163\u0103 la glucoz\u0103 la test\u0103ri anterioare;<\/span><\/div>\n
\u2013 alte condi\u0163ii clinice asociate cu rezisten\u0163a la insulin\u0103 (acanthosis nigricans);<\/span><\/div>\n
\u2013 istoric de afec\u0163iuni cardiovasculare.<\/span><\/div>\n

Gravidele depistate cu diabet la prima vizit\u0103 nu<\/span> vor primi diagnosticul de diabet gesta\u0163ional5<\/sup>.<\/span><\/p>\n

De-a lungul timpului au existat controverse \u00een ceea ce prive\u015fte screening-ul \u015fi diagnosticul diabetului gesta\u0163ional. P\u00e2n\u0103 nu demult s-a considerat c\u0103 nu exist\u0103 suficiente date care s\u0103 justifice un screening universal \u00een sarcin\u0103, astfel c\u0103 testarea a fost recomandat\u0103 numai la persoanele cu factori de risc. <\/span><\/p>\n

Cu toate acestea, au ap\u0103rut recent date noi ca urmare a studiului multina\u0163ional HAPO(Hyperglicemia and Adverse Pregnancy Outcomes). Studiul ce a inclus aproximativ 25 000 gravide a demonstrat c\u0103 riscul de evenimente adverse materne, fetale \u015fi neonatale cre\u015fte continuu odat\u0103 cu glicemia matern\u0103 \u00een intervalul 24-28 s\u0103pt\u0103m\u00e2ni de sarcin\u0103, chiar \u015fi la valori ale glicemiei considerate anterior ca fiind normale \u00een cursul sarcinii. Astfel, a fost demonstrat\u0103 o rela\u0163ie linear\u0103 \u00eentre glicemia matern\u0103 (at\u00e2t bazal\u0103 c\u00e2t \u015fi \u00een cadrul testului de toleran\u0163\u0103 la glucoz\u0103 la 1 or\u0103 \u015fi 2 ore) \u015fi greutatea f\u0103tului la na\u015ftere. Totu\u015fi nu a putut fi stabilit\u0103 o valoare prag a glicemiei de la care s\u0103 fie diagnosticat cu precizie diabetul gesta\u0163ional.<\/span><\/p>\n

Rezultatele acestui studiu au determinat o reconsiderare atent\u0103 a criteriilor de diagnostic pentru diabetul gesta\u0163ional. Dup\u0103 \u00eendelungi deliber\u0103ri, grupul de consens interna\u0163ional IADPSG (International Association of Diabetes and Pregnancy Study Groups), care cuprinde speciali\u015fti din multiple organiza\u0163ii de obstetric\u0103 \u015fi diabet, inclusiv ADA (American Diabetes Association), a formulat \u00een 2010 recomand\u0103ri noi pentru diagnosticul diabetului gesta\u0163ional. <\/span><\/p>\n

Astfel, grupul a recomandat c\u0103 toate<\/span> femeile gravide, care nu sunt cunoscute cu diabet, s\u0103 efectueze \u00een cursul s\u0103pt\u0103manilor 24-28 de sarcin\u0103 un test de toleran\u0163\u0103 la 75g glucoz\u0103 administrat\u0103 oral (75g \u2013 OGTT). \u00cen plus, grupul a stabilit valori cut-off pentru glicemia bazal\u0103, glicemia la 1 or\u0103 \u015fi glicemia la 2 ore care se asociaz\u0103 cu o rat\u0103\u00a0\u00a0a evenimentelor adverse de 1.75 ori mai mare\u00a0\u00een compara\u0163ie cu nivelurile medii ale glicemiei din studiul HAPO4;5<\/sup>.<\/span><\/p>\n

Va rugam verificati in laboratorul Synevo din orasul dumneavoastra conditiile de efectuare ale acestui test.<\/span><\/em><\/p>\n

Preg\u0103tirea pacientei <\/em><\/strong>-<\/em> ultimul consum de alimente trebuie s\u0103 fie cu cel pu\u0163in 8 ore \u00eenaintea efectu\u0103rii testului; este permis\u0103 ingestia unor cantit\u0103\u0163i mici de ap\u0103. Pacienta trebuie s\u0103 aib\u0103 o diet\u0103 normal\u0103\u00a0\u00een ultimele 72 ore3;5<\/sup>. <\/span><\/p>\n

Efectuarea testului <\/em><\/strong>-<\/em> testul va fi efectuat diminea\u0163\u0103; pacientei i se administreaz\u0103 75 g glucoz\u0103 anhidr\u0103 dizolvat\u0103 \u00een ap\u0103 rece. Nu este permis s\u0103 m\u0103n\u00e2nce, s\u0103 bea, s\u0103 fumeze sau s\u0103 mestece gum\u0103\u00a0\u00een timpul testului. Se recolteaz\u0103 3 probe de s\u00e2nge: \u00eenainte de administrarea glucozei, la 1 or\u0103 \u015fi la 2 ore dup\u0103 administrarea de\u00a0glucoz\u01033;5<\/sup>.<\/span><\/p>\n

Valori de referin\u0163\u0103 \u015fi <\/em><\/strong>interpretarea rezultatelor<\/em><\/strong><\/span><\/p>\n\n\n\n\n\n\n
\n

Cut-off-uri<\/em><\/strong>\u00a0<\/em><\/strong><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

\u00c0 jeun<\/em><\/span><\/p>\n<\/td>\n

\n

\u00a0\u00a0\u00a0 92 mg\/dL (5.1 mmol\/L)\u00a0<\/em><\/strong><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

La 1 or\u0103<\/em><\/span><\/p>\n<\/td>\n

\n

180 mg\/dL (10 mmol\/L)<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

La 2 ore<\/em><\/span><\/p>\n<\/td>\n

\n

\u00a0 153 mg\/dL\u00a0(8.5 mmol\/L)<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Diagnosticul de diabet gesta\u0163ional se stabile\u015fte dac\u0103 se ob\u0163ine cel pu\u0163in o valoare<\/span> a glicemiei peste cut-off-urile men\u0163ionate.<\/span><\/p>\n

Aceste criterii noi vor cre\u015fte semnificativ prevalen\u0163a diabetului gesta\u0163ional, \u00een principal datorit\u0103 faptului c\u0103 este suficient\u0103 o singur\u0103 valoare anormal\u0103 pentru diagnostic. Cu toate acestea,\u00a0\u00een condi\u0163iile cre\u015fterii inciden\u0163ei obezit\u0103tii \u015fi a diabetului, scopul este de a reduce complica\u0163iile materne \u015fi fetale. Pentru 80-90% din pacientele cu form\u0103 u\u015foar\u0103 de diabet gesta\u0163ional studiile au ar\u0103tat c\u0103 este suficient s\u0103 se instituie modific\u0103ri ale dietei5<\/sup>.<\/span><\/p>\n

O pacient\u0103 cu diabet gesta\u0163ional este reevaluat\u0103 la 6-12 s\u0103pt\u0103m\u00e2ni dup\u0103 na\u015ftere. Dac\u0103 la testul de toleran\u0163\u0103 la glucoz\u0103 se ob\u0163in valori normale, se consider\u0103 c\u0103 a fost \u00eentr-adev\u0103r vorba de un diabet gesta\u0163ional, \u00eens\u0103 glicemia trebuie testat\u0103 periodic (cel pu\u0163in o dat\u0103 la 3 ani) datorit\u0103 riscului de apari\u0163ie a diabetului zaharat. Dac\u0103 testul efectuat postpartum d\u0103 rezultate anormale, modific\u0103rile care apar vor fi \u00eencadrate\u00a0\u00een glicemie bazal\u0103 modificat\u0103, intoleran\u0163a la glucoz\u0103 sau diabet zaharat, conform criteriilor men\u0163ionate la testul de toleran\u0163\u0103 la adult (75g)1;2;5<\/sup>.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u0411\u0438\u0431\u043b\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f<\/span><\/strong><\/p>\n

1. Frances Fischbach. Chemistry Studies. In A Manual of Laboratory and Diagnostic Tests. Lippincott Williams & Wilkins, USA, 8 ed., 2009, 350-355.<\/span><\/div>\n
2. Jacques Wallach. Afec\u0163iuni endocrine. \u00cen Interpretarea testelor de diagnostic. Editura Stiin\u0163elor Medicale, Romania, 7 ed., 2001, 807- 818.<\/span><\/div>\n
3. Laborator Synevo. Referin\u0163ele specifice tehnologiei de lucru utilizate 2011. Ref Type: Catalog.<\/span><\/div>\n
4. Royal College of Obstetricians and Gynaecologists. Diagnosis and Treatment of Gestational Diabetes. In Scientific Advisory Committee Paper 23, January 2011.<\/span><\/div>\n
5. Standards of Medical Care in Diabetes \u2013 2011. American Diabetes Association. In Diabetes Care, vol.23, supplement 1, January 2011.<\/span><\/div>","protected":false},"excerpt":{"rendered":"

\u041f\u0440\u0438\u043c\u0435\u0447\u0430\u043d\u0438\u0435: \u0434\u043b\u044f \u044d\u0442\u043e\u0433\u043e \u0442\u0435\u0441\u0442\u0430 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u043e \u0441\u043d\u0430\u0447\u0430\u043b\u0430 \u043f\u0440\u043e\u0432\u0435\u0440\u0438\u0442\u044c \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0433\u043b\u044e\u043a\u043e\u0437\u044b \u0432 \u0441\u044b\u0432\u043e\u0440\u043e\u0442\u043a\u0435 \u043a\u0440\u043e\u0432\u0438 \u0432 \u0446\u0435\u043d\u0442\u0440\u0430\u0445 \u0441\u0431\u043e\u0440\u0430 Synevo.<\/span>
\n\u0421\u0432\u044f\u0436\u0438\u0442\u0435\u0441\u044c \u0441 Call-\u0446\u0435\u043d\u0442\u0440\u043e\u043c, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0434\u0438\u0442\u044c \u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u0442\u0435\u0441\u0442\u0430 \u043f\u0435\u0440\u0435\u0434 \u043f\u043e\u0441\u0435\u0449\u0435\u043d\u0438\u0435\u043c \u0446\u0435\u043d\u0442\u0440\u0430 \u0441\u0431\u043e\u0440\u0430 Synevo.<\/span><\/p>\n

\u041f\u0435\u0440\u043e\u0440\u0430\u043b\u044c\u043d\u044b\u0439 \u0433\u043b\u044e\u043a\u043e\u0437\u043e\u0442\u043e\u043b\u0435\u0440\u0430\u043d\u0442\u043d\u044b\u0439 \u0442\u0435\u0441\u0442, \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u043c\u044b\u0439 \u043d\u0430 \u0444\u043e\u043d\u0435 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438, \u0437\u0430\u043a\u043b\u044e\u0447\u0430\u0435\u0442\u0441\u044f \u0432 \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0435\u043d\u0438\u0438 \u0443\u0440\u043e\u0432\u043d\u044f \u0433\u043b\u044e\u043a\u043e\u0437\u044b \u043f\u043b\u0430\u0437\u043c\u044b \u043a\u0440\u043e\u0432\u0438 \u043d\u0430\u0442\u043e\u0449\u0430\u043a, \u0447\u0435\u0440\u0435\u0437 \u043e\u0434\u0438\u043d \u0438 \u0434\u0432\u0430 \u0447\u0430\u0441\u0430 \u043f\u043e\u0441\u043b\u0435 \u0443\u0433\u043b\u0435\u0432\u043e\u0434\u043d\u043e\u0439 \u043d\u0430\u0433\u0440\u0443\u0437\u043a\u0438 \u0432 \u0446\u0435\u043b\u044f\u0445 \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438 \u043d\u0430\u0440\u0443\u0448\u0435\u043d\u0438\u044f \u0443\u0433\u043b\u0435\u0432\u043e\u0434\u043d\u043e\u0433\u043e \u043e\u0431\u043c\u0435\u043d\u0430 (\u0433\u0435\u0441\u0442\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u0441\u0430\u0445\u0430\u0440\u043d\u043e\u0433\u043e \u0434\u0438\u0430\u0431\u0435\u0442\u0430).<\/p>\n

\u041f\u043e\u0441\u043b\u0435 \u0432\u0437\u044f\u0442\u0438\u044f \u043a\u0440\u043e\u0432\u0438 \u043d\u0430\u0442\u043e\u0449\u0430\u043a \u0438\u0441\u043f\u044b\u0442\u0443\u0435\u043c\u044b\u0439 \u0434\u043e\u043b\u0436\u0435\u043d \u043d\u0435 \u0431\u043e\u043b\u0435\u0435 \u0447\u0435\u043c \u0437\u0430 5 \u043c\u0438\u043d\u0443\u0442 \u0432\u044b\u043f\u0438\u0442\u044c 75 \u0433 \u0431\u0435\u0437\u0432\u043e\u0434\u043d\u043e\u0439 \u0433\u043b\u044e\u043a\u043e\u0437\u044b \u0438\u043b\u0438 82,5 \u0433 \u043c\u043e\u043d\u043e\u0433\u0438\u0434\u0440\u0430\u0442\u0430 \u0433\u043b\u044e\u043a\u043e\u0437\u044b, \u0440\u0430\u0441\u0442\u0432\u043e\u0440\u0435\u043d\u043d\u044b\u0445 \u0432 250-300 \u043c\u043b \u0432\u043e\u0434\u044b. \u0412 \u043f\u0440\u043e\u0446\u0435\u0441\u0441\u0435 \u0442\u0435\u0441\u0442\u0430 \u043d\u0435 \u0440\u0430\u0437\u0440\u0435\u0448\u0430\u0435\u0442\u0441\u044f \u043a\u0443\u0440\u0435\u043d\u0438\u0435 \u0438 \u0430\u043a\u0442\u0438\u0432\u043d\u0430\u044f \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u043d\u0430\u0433\u0440\u0443\u0437\u043a\u0430. \u0427\u0435\u0440\u0435\u0437 1 \u0438 2 \u0447\u0430\u0441\u0430 \u043e\u0441\u0443\u0449\u0435\u0441\u0442\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043f\u043e\u0432\u0442\u043e\u0440\u043d\u043e\u0435 \u0432\u0437\u044f\u0442\u0438\u0435 \u043a\u0440\u043e\u0432\u0438. \u0421\u043b\u0435\u0434\u0443\u0435\u0442 \u043f\u043e\u043c\u043d\u0438\u0442\u044c, \u0447\u0442\u043e \u0432 \u0441\u043b\u0443\u0447\u0430\u0435 \u0435\u0441\u043b\u0438 \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0433\u043b\u044e\u043a\u043e\u0437\u044b \u043a\u0440\u043e\u0432\u0438 \u043d\u0430\u0442\u043e\u0449\u0430\u043a \u043f\u0440\u0435\u0432\u044b\u0448\u0430\u0435\u0442 5,1 \u043c\u043c\u043e\u043b\u044c\/\u043b, \u0442\u043e \u043f\u0435\u0440\u043e\u0440\u0430\u043b\u044c\u043d\u044b\u0439 \u0433\u043b\u044e\u043a\u043e\u0437\u043e\u0442\u043e\u043b\u0435\u0440\u0430\u043d\u0442\u043d\u044b\u0439 \u0442\u0435\u0441\u0442 \u043f\u0440\u0438 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438 \u043d\u0435 \u0432\u044b\u043f\u043e\u043b\u043d\u044f\u0435\u0442\u0441\u044f, \u0442\u0430\u043a \u043a\u0430\u043a \u0442\u0430\u043a\u043e\u0439 \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0433\u043b\u044e\u043a\u043e\u0437\u044b \u043a\u0440\u043e\u0432\u0438 \u0441\u0430\u043c \u043f\u043e \u0441\u0435\u0431\u0435 \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043e\u0434\u043d\u0438\u043c \u0438\u0437 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u0435\u0432 \u043f\u043e\u0441\u0442\u0430\u043d\u043e\u0432\u043a\u0438 \u0434\u0438\u0430\u0433\u043d\u043e\u0437\u0430 “\u0433\u0435\u0441\u0442\u0430\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u0441\u0430\u0445\u0430\u0440\u043d\u044b\u0439 \u0434\u0438\u0430\u0431\u0435\u0442”.<\/p>\n

\u041f\u0435\u0440\u043e\u0440\u0430\u043b\u044c\u043d\u044b\u0439 \u0433\u043b\u044e\u043a\u043e\u0437\u043e\u0442\u043e\u043b\u0435\u0440\u0430\u043d\u0442\u043d\u044b\u0439 \u0442\u0435\u0441\u0442 \u043f\u0440\u0438 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438 \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u043d\u0430\u0440\u0443\u0448\u0435\u043d\u0438\u044f \u0443\u0433\u043b\u0435\u0432\u043e\u0434\u043d\u043e\u0433\u043e \u043e\u0431\u043c\u0435\u043d\u0430 \u043d\u0430 \u0444\u043e\u043d\u0435 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438 (\u0433\u0435\u0441\u0442\u0430\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u0441\u0430\u0445\u0430\u0440\u043d\u044b\u0439 \u0434\u0438\u0430\u0431\u0435\u0442), \u043d\u043e \u043e\u043a\u043e\u043d\u0447\u0430\u0442\u0435\u043b\u044c\u043d\u0430\u044f \u043f\u043e\u0441\u0442\u0430\u043d\u043e\u0432\u043a\u0430 \u0434\u0438\u0430\u0433\u043d\u043e\u0437\u0430 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u0430 \u0442\u043e\u043b\u044c\u043a\u043e \u043f\u043e\u0441\u043b\u0435 \u043e\u0431\u044f\u0437\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u043a\u043e\u043d\u0441\u0443\u043b\u044c\u0442\u0430\u0446\u0438\u0438 \u044d\u043d\u0434\u043e\u043a\u0440\u0438\u043d\u043e\u043b\u043e\u0433\u0430.<\/p>\n

\u041f\u043e\u0436\u0430\u043b\u0443\u0439\u0441\u0442\u0430, \u043f\u0440\u043e\u0432\u0435\u0440\u044c\u0442\u0435 \u0432 \u043b\u0430\u0431\u043e\u0440\u0430\u0442\u043e\u0440\u0438\u0438 Synevo \u0432 \u0432\u0430\u0448\u0435\u043c \u0433\u043e\u0440\u043e\u0434\u0435 \u0443\u0441\u043b\u043e\u0432\u0438\u044f \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u044d\u0442\u043e\u0433\u043e \u0442\u0435\u0441\u0442\u0430.<\/span><\/p>\n

\u041a\u043e\u0433\u0434\u0430 \u043d\u0430\u0437\u043d\u0430\u0447\u0430\u0435\u0442\u0441\u044f \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0435?<\/p>\n

\u0412 \u0441\u043b\u0443\u0447\u0430\u0435 \u0441\u043e\u043c\u043d\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u0437\u043d\u0430\u0447\u0435\u043d\u0438\u0439 \u0433\u043b\u0438\u043a\u0435\u043c\u0438\u0438 \u0434\u043b\u044f \u0443\u0442\u043e\u0447\u043d\u0435\u043d\u0438\u044f \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u044f \u0443\u0433\u043b\u0435\u0432\u043e\u0434\u043d\u043e\u0433\u043e \u043e\u0431\u043c\u0435\u043d\u0430 \u043d\u0430 \u0444\u043e\u043d\u0435 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438.<\/p>\n

\u041a\u0430\u043a \u043f\u0440\u0430\u0432\u0438\u043b\u044c\u043d\u043e \u043f\u043e\u0434\u0433\u043e\u0442\u043e\u0432\u0438\u0442\u044c\u0441\u044f \u043a \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044e?<\/p>\n

\u041d\u0435 \u043f\u0440\u0438\u043d\u0438\u043c\u0430\u0442\u044c \u043f\u0438\u0449\u0443 \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 12 \u0447\u0430\u0441\u043e\u0432 \u0434\u043e \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f, \u043c\u043e\u0436\u043d\u043e \u043f\u0438\u0442\u044c \u0447\u0438\u0441\u0442\u0443\u044e \u043d\u0435\u0433\u0430\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u0443\u044e \u0432\u043e\u0434\u0443.
\n\u0418\u0441\u043a\u043b\u044e\u0447\u0438\u0442\u044c (\u043f\u043e \u0441\u043e\u0433\u043b\u0430\u0441\u043e\u0432\u0430\u043d\u0438\u044e \u0441 \u0432\u0440\u0430\u0447\u043e\u043c) \u043f\u0440\u0438\u0435\u043c \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u043e\u0432, \u043f\u043e\u0432\u044b\u0448\u0430\u044e\u0449\u0438\u0445 \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0433\u043b\u0438\u043a\u0435\u043c\u0438\u0438 (\u0433\u043b\u044e\u043a\u043e\u043a\u043e\u0440\u0442\u0438\u043a\u043e\u0438\u0434\u044b, \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u043d\u044b\u0435 \u0433\u043e\u0440\u043c\u043e\u043d\u044b, \u0442\u0438\u0430\u0437\u0438\u0434\u044b, \u0431\u0435\u0442\u0430-\u0431\u043b\u043e\u043a\u0430\u0442\u043e\u0440\u044b, \u043e\u0440\u0430\u043b\u044c\u043d\u044b\u0435 \u043a\u043e\u043d\u0442\u0440\u0430\u0446\u0435\u043f\u0442\u0438\u0432\u044b) \u0437\u0430 3 \u0434\u043d\u044f \u0434\u043e \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f.
\n\u0418\u0441\u043a\u043b\u044e\u0447\u0438\u0442\u044c \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0438 \u044d\u043c\u043e\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u043e\u0435 \u043f\u0435\u0440\u0435\u043d\u0430\u043f\u0440\u044f\u0436\u0435\u043d\u0438\u0435 \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 30 \u043c\u0438\u043d\u0443\u0442 \u0434\u043e \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f.
\n\u041d\u0435 \u043a\u0443\u0440\u0438\u0442\u044c \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 30 \u043c\u0438\u043d\u0443\u0442 \u0434\u043e \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f.
\n\u041d\u0435 \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0443\u0435\u0442\u0441\u044f \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u0442\u044c \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0435 \u043d\u0430 \u0444\u043e\u043d\u0435 \u043b\u044e\u0431\u043e\u0433\u043e \u043e\u0441\u0442\u0440\u043e\u0433\u043e \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f, \u0432 \u0442\u043e\u043c \u0447\u0438\u0441\u043b\u0435 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e.
\n\u041a\u043e\u0433\u0434\u0430 \u043d\u0435\u043b\u044c\u0437\u044f \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u0442\u044c \u043f\u0435\u0440\u043e\u0440\u0430\u043b\u044c\u043d\u044b\u0439 \u0433\u043b\u044e\u043a\u043e\u0437\u043e\u0442\u043e\u043b\u0435\u0440\u0430\u043d\u0442\u043d\u044b\u0439 \u0442\u0435\u0441\u0442 \u043f\u0440\u0438 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438?<\/p>\n

\u041d\u0430 \u0444\u043e\u043d\u0435 \u043b\u044e\u0431\u043e\u0433\u043e \u043e\u0441\u0442\u0440\u043e\u0433\u043e \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f, \u0432 \u0442\u043e\u043c \u0447\u0438\u0441\u043b\u0435 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e.
\n\u041d\u0430 \u0444\u043e\u043d\u0435 \u043f\u0440\u0438\u0435\u043c\u0430 \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u043e\u0432, \u043f\u043e\u0432\u044b\u0448\u0430\u044e\u0449\u0438\u0445 \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0433\u043b\u0438\u043a\u0435\u043c\u0438\u0438 (\u0433\u043b\u044e\u043a\u043e\u043a\u043e\u0440\u0442\u0438\u043a\u043e\u0438\u0434\u044b, \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u043d\u044b\u0435 \u0433\u043e\u0440\u043c\u043e\u043d\u044b, \u0442\u0438\u0430\u0437\u0438\u0434\u044b, \u0431\u0435\u0442\u0430-\u0431\u043b\u043e\u043a\u0430\u0442\u043e\u0440\u044b). \u0422\u0440\u0435\u0431\u0443\u0435\u0442\u0441\u044f (\u0436\u0435\u043b\u0430\u0442\u0435\u043b\u044c\u043d\u043e) \u0438\u0445 \u043e\u0442\u043c\u0435\u043d\u0430 \u0437\u0430 3 \u0434\u043d\u044f \u0434\u043e \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u0442\u0435\u0441\u0442\u0430.<\/p>","protected":false},"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[1000],"product_tag":[],"class_list":{"0":"post-10340","1":"product","2":"type-product","3":"status-publish","5":"product_cat-biochimie-generala-sange-urina","7":"first","8":"instock","9":"sold-individually","10":"shipping-taxable","11":"purchasable","12":"product-type-simple"},"_links":{"self":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product\/10340","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/comments?post=10340"}],"wp:attachment":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media?parent=10340"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product_brand?post=10340"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product_cat?post=10340"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product_tag?post=10340"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}