{"id":2337,"date":"2019-09-09T09:16:03","date_gmt":"2019-09-09T13:16:03","guid":{"rendered":"http:\/\/aamac.ca\/?page_id=2337"},"modified":"2019-09-19T14:39:45","modified_gmt":"2019-09-19T18:39:45","slug":"wallet-card-pnh","status":"publish","type":"page","link":"https:\/\/aamac.ca\/fr\/wallet-card-pnh\/","title":{"rendered":"H\u00e9moglobinurie paroxystique nocturne (HPN)"},"content":{"rendered":"<p><div class=\"frm_forms  with_frm_style frm_center_submit frm_style_formidable-style\" id=\"frm_form_22_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_walletcardpnh-fr\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Wallet Card PNH -FR<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"22\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_22\" id=\"frm_hide_fields_22\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"walletcardpnh-fr\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_22\" name=\"frm_submit_entry_22\" value=\"513bbd6b91\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/2337\" \/><div id=\"frm_field_196_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3 style=\"text-align: center;\">RENSEIGNEMENTS POUR L'URGENCE<\/h3>\n<h4 style=\"text-align: center;\">H\u00e9moglobinurie paroxystique nocturne (HPN)<\/h4>\n<\/p><\/div>\n<div id=\"frm_field_197_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm_first\">\r\n    <label for=\"field_c91sw6\" id=\"field_c91sw6_label\" class=\"frm_primary_label\">Nom :\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_c91sw6\" name=\"item_meta[197]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_211_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_5pcz0\" id=\"field_5pcz0_label\" class=\"frm_primary_label\">Adresse courriel :\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_5pcz0\" name=\"item_meta[211]\" value=\"\"  data-reqmsg=\"Adresse courriel : cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_198_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_eli5b6\" id=\"field_eli5b6_label\" class=\"frm_primary_label\">Date du diagnostic :\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_eli5b6\" name=\"item_meta[198]\" value=\"\"  data-invmsg=\"Text is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_199_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_1oobv6\" id=\"field_1oobv6_label\" class=\"frm_primary_label\">Type sanguin :\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1oobv6\" name=\"item_meta[199]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_200_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_g3eot6\" id=\"field_g3eot6_label\" class=\"frm_primary_label\">Anticorps connus :\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_g3eot6\" name=\"item_meta[200]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_201_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm_first\">\r\n    <label for=\"field_4cwiq6\" id=\"field_4cwiq6_label\" class=\"frm_primary_label\">Allergies m\u00e9dicamenteuses :\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_4cwiq6\" name=\"item_meta[201]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_202_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_sah0n6\" id=\"field_sah0n6_label\" class=\"frm_primary_label\">M\u00e9decin :\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_sah0n6\" name=\"item_meta[202]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_203_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_w2pjz6\" id=\"field_w2pjz6_label\" class=\"frm_primary_label\">H\u00f4pital : \r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_w2pjz6\" name=\"item_meta[203]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_204_container\" class=\"frm_form_field  frm_html_container form-field\"><strong>G\u00e9n\u00e9ralit\u00e9s : <\/strong>L'HPN est une maladie sanguine acquise gravissime et extr\u00eamement rare. Elle se caract\u00e9rise par une destruction des globules rouges (an\u00e9mie h\u00e9molytique), des caillots sanguins (thrombose) et une dysfonction m\u00e9dullaire. Les patients peuvent pr\u00e9senter de l'an\u00e9mie, des ecchymoses au moindre choc ou des saignements.<br \/>\n<span style=\"color:red\">N.B. : Des infections \u00e0 m\u00e9ningocoque gravissimes et fatales sont survenues chez des patients trait\u00e9s par Soliris\u00ae. L'infection \u00e0 m\u00e9ningocoque peut rapidement devenir gravissime ou fatale si elle n'est pas reconnue et trait\u00e9e rapidement. <\/span><\/div>\n<div id=\"frm_field_206_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_tbd9m6\" id=\"field_tbd9m6_label\" class=\"frm_primary_label\">Traitement actuel : \r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[206]\" id=\"field_tbd9m6\" rows=\"5\"  data-invmsg=\"Traitement actuel :  est non valide\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_207_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_5qahk6\" id=\"field_5qahk6_label\" class=\"frm_primary_label\">Autres renseignements :\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[207]\" id=\"field_5qahk6\" rows=\"5\"  data-invmsg=\"Autres renseignements : est non valide\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_311_container\">\n\t\t\t<label for=\"field_4t7bk\" >\n\t\t\t\tSi vous \u00eates un humain, ne remplissez pas ce champ.\t\t\t<\/label>\n\t\t\t<input  id=\"field_4t7bk\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[311]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"o0SmQgc+HgerWGf9VQwl\/GOQ5cBQ0GpDcRlQCAELgzjOHs8hGl8\/Imb+g94upTxQ\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n<\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/aamac.ca\/fr\/wp-json\/wp\/v2\/pages\/2337"}],"collection":[{"href":"https:\/\/aamac.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aamac.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aamac.ca\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/aamac.ca\/fr\/wp-json\/wp\/v2\/comments?post=2337"}],"version-history":[{"count":0,"href":"https:\/\/aamac.ca\/fr\/wp-json\/wp\/v2\/pages\/2337\/revisions"}],"wp:attachment":[{"href":"https:\/\/aamac.ca\/fr\/wp-json\/wp\/v2\/media?parent=2337"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}