Disease List – Django REST framework

ВОзвращает список болезней. Можно фильтр/искать

search, age, gender, parent, symptoms, sort_name, sort_by, rand, branches

GET /disease/?format=api&ordering=-block_rubric&page=184

HTTP 200 OK
Allow: GET, HEAD, OPTIONS
Content-Type: application/json
Vary: Accept

{
    "count": 11794,
    "next": "http://api.symptomd.ru/disease/?format=api&ordering=-block_rubric&page=185",
    "previous": "http://api.symptomd.ru/disease/?format=api&ordering=-block_rubric&page=183",
    "results": [
        {
            "id": 14877,
            "symptoms": [],
            "alternative_names": [],
            "complications": [],
            "medicine_branches": [],
            "who": [
                {
                    "id": 14402,
                    "gender": 1,
                    "diseased": 31489,
                    "deaths": 0,
                    "danger": 0.0,
                    "mortality": 0.0,
                    "outpatient_days": 19,
                    "hospital_days": 61,
                    "diseased_1": 382,
                    "diseased_1_4": 2099,
                    "diseased_5_9": 2672,
                    "diseased_10_14": 2672,
                    "diseased_15_19": 3053,
                    "diseased_20_24": 3435,
                    "diseased_25_29": 2863,
                    "diseased_30_34": 2481,
                    "diseased_35_39": 954,
                    "diseased_40_44": 2099,
                    "diseased_45_49": 2099,
                    "diseased_50_54": 573,
                    "diseased_55_59": 1145,
                    "diseased_60_64": 1527,
                    "diseased_65_69": 1527,
                    "diseased_70_74": 763,
                    "diseased_75_79": 382,
                    "diseased_80_84": 573,
                    "diseased_85_89": 0,
                    "diseased_90_94": 191,
                    "diseased_95": 0,
                    "disease": 7262
                },
                {
                    "id": 14403,
                    "gender": 2,
                    "diseased": 22831,
                    "deaths": 0,
                    "danger": 0.0,
                    "mortality": 0.0,
                    "outpatient_days": 26,
                    "hospital_days": 58,
                    "diseased_1": 0,
                    "diseased_1_4": 1593,
                    "diseased_5_9": 1062,
                    "diseased_10_14": 708,
                    "diseased_15_19": 3717,
                    "diseased_20_24": 885,
                    "diseased_25_29": 1593,
                    "diseased_30_34": 1593,
                    "diseased_35_39": 2301,
                    "diseased_40_44": 885,
                    "diseased_45_49": 1239,
                    "diseased_50_54": 1062,
                    "diseased_55_59": 1062,
                    "diseased_60_64": 1062,
                    "diseased_65_69": 0,
                    "diseased_70_74": 1062,
                    "diseased_75_79": 531,
                    "diseased_80_84": 1770,
                    "diseased_85_89": 354,
                    "diseased_90_94": 177,
                    "diseased_95": 177,
                    "disease": 7262
                }
            ],
            "thumbnail_100x100": null,
            "thumbnail_300x300": null,
            "thumbnail_600x600": null,
            "symptom_count": 0,
            "symptom_matched": 0,
            "relevance": 0.14909413346862913,
            "who_popularity": 54320.0,
            "group_population": 364333584,
            "who_danger": 0.0,
            "svg": {
                "svg": "<svg baseProfile=\"full\" height=\"9525\" version=\"1.1\" width=\"9525\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:ev=\"http://www.w3.org/2001/xml-events\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><defs /><path d=\"m5046.45996,686.46c-71,-94 -175,-151 -300,-164c-57,-6 -153,10 -212,20c1,0 0,2 0,2c-6,11 35,-22 -8,11c-19,14 1,0 -26,15c-42,23 -20,7 -52,34c-148,125 -143,175 -116,367c18,134 -37,163 20,311c26,66 29,62 46,142c32,152 107,-49 40,428c-15,103 -79,139 -160,183c-200,109 -373,109 -486,191c-129,94 -173,309 -147,529c44,378 74,157 59,623c-14,458 -37,305 -77,605c-27,207 1,432 13,640c4,61 9,151 0,236c-3,28 -17,61 -19,87c-4,38 -17,64 -23,98c-14,83 -17,167 -14,190c25,48 64,115 78,156c25,8 111,60 133,87c57,31 30,17 112,46l4,-41l-20,-32c-26,3 -81,-52 -105,-108c-7,-16 -5,-36 -5,-64c0,-36 2,-70 8,-87c15,-46 34,-7 46,15c8,15 12,34 11,56c-1,19 -11,41 -12,60c-1,16 8,32 13,43c6,14 33,2 34,0c6,-57 41,-142 40,-237c0,-33 -27,-50 -38,-93c-63,-245 -64,-246 -2,-512c36,-156 91,-326 91,-494c0,-115 -11,-174 16,-286c30,-120 27,-519 3,-775c-59,-639 30,441 80,592c14,65 -1,701 -5,737c-27,234 -69,454 -86,693c-38,552 43,892 123,1408c55,353 -37,516 -55,714c-29,313 191,954 279,1282c29,108 27,84 5,184c-15,66 18,75 -35,137c-69,80 -165,143 -194,180c49,77 400,110 495,42c13,-57 -7,-413 -15,-495c-62,-631 71,-1000 -7,-1420c-38,-206 8,-264 25,-448c8,-86 -3,-166 6,-249c8,-76 21,-146 30,-222c19,-159 37,-298 48,-462c6,-95 -1,-486 29,-540c19,32 76,990 106,1218c11,86 -1,160 6,246c17,202 62,227 28,459c-74,493 19,572 17,951c-2,271 -67,757 -48,955c76,52 134,43 250,37c80,-4 191,-9 250,-59c-11,-45 -24,-43 -57,-68c-141,-106 -111,-124 -170,-167c-6,-63 7,-46 -2,-101c-18,-110 -27,-49 17,-229c80,-322 276,-867 263,-1176c-14,-327 -132,-293 -14,-980c84,-486 119,-830 70,-1338c-21,-218 -69,-416 -81,-638c-12,-228 2,-498 5,-730c66,-183 96,-696 80,-696c0,0 -7,256 -25,464c-12,136 -38,254 -36,260c6,13 7,18 11,34c128,437 2,377 158,976c66,251 35,289 -18,513c-38,158 43,384 43,318c0,-6 39,-55 22,-96c-27,-65 32,-133 34,-114c0,4 18,56 17,110c0,30 -13,59 -21,84c-20,63 -77,93 -79,98c-27,39 -10,16 -19,79c136,-60 149,-60 216,-103c27,-17 31,-42 42,-59c31,-50 49,-85 58,-120c14,-54 -9,-129 -7,-230c-10,-61 -43,-115 -45,-168c-7,-194 12,-391 20,-593c12,-300 -70,-451 -86,-779c-7,-140 -27,-297 7,-429c29,-114 41,-241 53,-289c1,-3 3,-7 3,-9c6,-25 11,-11 -5,-21c8,-369 -39,-473 -360,-572c-426,-132 -429,-195 -454,-489c-17,-201 -10,-48 70,-291c26,-77 83,-137 54,-283c-14,-68 -1,-147 -5,-220c-7,-104 19,-95 -40,-172l4,2z \" fill=\"#ffffff\" fill-opacity=\"0.3\" id=\"svg_2\" stroke=\"#2196f3\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"52.92\" /></svg>",
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            },
            "code": "S03.1",
            "name": "Вывих хрящевой перегородки носа",
            "icd_name": "Вывих хрящевой перегородки носа",
            "gender": 0,
            "age_min": 1,
            "age_max": 100,
            "cause": [],
            "periodicity": 1,
            "slug": "s03.1_vyvih_hryaschevoy_peregorodki_nosa",
            "lead": "",
            "description": "",
            "etiology": "",
            "pathogenesis": "",
            "diagnostics": "",
            "treatment": "",
            "prevention": "",
            "clinical_picture": "",
            "image": null,
            "image_alt": null,
            "standard_type": 3,
            "danger": 1,
            "published": 1,
            "parent": 7262,
            "block_rubric": 200,
            "standards": []
        },
        {
            "id": 14876,
            "symptoms": [
                {
                    "id": 2977,
                    "synonyms": [
                        {
                            "name": "Боль зубов"
                        },
                        {
                            "name": "Болит зуб"
                        },
                        {
                            "name": "боль при надавливании на зуб"
                        },
                        {
                            "name": "зубная боль при жевании"
                        },
                        {
                            "name": "Боль во рту"
                        },
                        {
                            "name": "Чувствительность зубов"
                        },
                        {
                            "name": "Болит верхняя челюсть"
                        },
                        {
                            "name": "Болит нижняя челюсть"
                        },
                        {
                            "name": "Боли в челюстях"
                        },
                        {
                            "name": "Боли под челюстью"
                        }
                    ],
                    "body_points": [
                        {
                            "x": 36,
                            "y": 116,
                            "r": 4
                        },
                        {
                            "x": 42,
                            "y": 116,
                            "r": 4
                        },
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                            "x": 273,
                            "y": 1439,
                            "r": 100
                        },
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                            "x": 654,
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                            "r": 100
                        },
                        {
                            "x": 464,
                            "y": 1381,
                            "r": 297
                        }
                    ],
                    "disease_count": 15,
                    "svg": "<svg baseProfile=\"full\" height=\"9525\" version=\"1.1\" width=\"9525\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:ev=\"http://www.w3.org/2001/xml-events\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><defs /><circle cx=\"4762.5\" cy=\"4762.5\" fill=\"#ffffff\" id=\"svg_1\" r=\"4730\" stroke=\"#2196f3\" stroke-width=\"52.92\" /><path d=\"m5046.45996,686.46c-71,-94 -175,-151 -300,-164c-57,-6 -153,10 -212,20c1,0 0,2 0,2c-6,11 35,-22 -8,11c-19,14 1,0 -26,15c-42,23 -20,7 -52,34c-148,125 -143,175 -116,367c18,134 -37,163 20,311c26,66 29,62 46,142c32,152 107,-49 40,428c-15,103 -79,139 -160,183c-200,109 -373,109 -486,191c-129,94 -173,309 -147,529c44,378 74,157 59,623c-14,458 -37,305 -77,605c-27,207 1,432 13,640c4,61 9,151 0,236c-3,28 -17,61 -19,87c-4,38 -17,64 -23,98c-14,83 -17,167 -14,190c25,48 64,115 78,156c25,8 111,60 133,87c57,31 30,17 112,46l4,-41l-20,-32c-26,3 -81,-52 -105,-108c-7,-16 -5,-36 -5,-64c0,-36 2,-70 8,-87c15,-46 34,-7 46,15c8,15 12,34 11,56c-1,19 -11,41 -12,60c-1,16 8,32 13,43c6,14 33,2 34,0c6,-57 41,-142 40,-237c0,-33 -27,-50 -38,-93c-63,-245 -64,-246 -2,-512c36,-156 91,-326 91,-494c0,-115 -11,-174 16,-286c30,-120 27,-519 3,-775c-59,-639 30,441 80,592c14,65 -1,701 -5,737c-27,234 -69,454 -86,693c-38,552 43,892 123,1408c55,353 -37,516 -55,714c-29,313 191,954 279,1282c29,108 27,84 5,184c-15,66 18,75 -35,137c-69,80 -165,143 -194,180c49,77 400,110 495,42c13,-57 -7,-413 -15,-495c-62,-631 71,-1000 -7,-1420c-38,-206 8,-264 25,-448c8,-86 -3,-166 6,-249c8,-76 21,-146 30,-222c19,-159 37,-298 48,-462c6,-95 -1,-486 29,-540c19,32 76,990 106,1218c11,86 -1,160 6,246c17,202 62,227 28,459c-74,493 19,572 17,951c-2,271 -67,757 -48,955c76,52 134,43 250,37c80,-4 191,-9 250,-59c-11,-45 -24,-43 -57,-68c-141,-106 -111,-124 -170,-167c-6,-63 7,-46 -2,-101c-18,-110 -27,-49 17,-229c80,-322 276,-867 263,-1176c-14,-327 -132,-293 -14,-980c84,-486 119,-830 70,-1338c-21,-218 -69,-416 -81,-638c-12,-228 2,-498 5,-730c66,-183 96,-696 80,-696c0,0 -7,256 -25,464c-12,136 -38,254 -36,260c6,13 7,18 11,34c128,437 2,377 158,976c66,251 35,289 -18,513c-38,158 43,384 43,318c0,-6 39,-55 22,-96c-27,-65 32,-133 34,-114c0,4 18,56 17,110c0,30 -13,59 -21,84c-20,63 -77,93 -79,98c-27,39 -10,16 -19,79c136,-60 149,-60 216,-103c27,-17 31,-42 42,-59c31,-50 49,-85 58,-120c14,-54 -9,-129 -7,-230c-10,-61 -43,-115 -45,-168c-7,-194 12,-391 20,-593c12,-300 -70,-451 -86,-779c-7,-140 -27,-297 7,-429c29,-114 41,-241 53,-289c1,-3 3,-7 3,-9c6,-25 11,-11 -5,-21c8,-369 -39,-473 -360,-572c-426,-132 -429,-195 -454,-489c-17,-201 -10,-48 70,-291c26,-77 83,-137 54,-283c-14,-68 -1,-147 -5,-220c-7,-104 19,-95 -40,-172l4,2z \" fill=\"#cc0000\" fill-opacity=\"0.3\" id=\"svg_2\" stroke=\"#2196f3\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"52.92\" /><circle cx=\"4298.5\" cy=\"116\" fill=\"#ff0000\" fill-opacity=\"0.7\" r=\"4\" /><circle cx=\"4304.5\" cy=\"116\" fill=\"#ff0000\" fill-opacity=\"0.7\" r=\"4\" /><circle cx=\"4535.5\" cy=\"1439\" fill=\"#ff0000\" fill-opacity=\"0.7\" r=\"100\" /><circle cx=\"4916.5\" cy=\"1439\" fill=\"#ff0000\" fill-opacity=\"0.7\" r=\"100\" /><circle cx=\"4726.5\" cy=\"1381\" fill=\"#ff0000\" fill-opacity=\"0.7\" r=\"297\" /></svg>",
                    "popularity": null,
                    "thumbnail_100x100": null,
                    "thumbnail_300x300": null,
                    "thumbnail_600x600": null,
                    "name": "Боль в челюсти ",
                    "gender": 0,
                    "age_min": 1,
                    "age_max": 100,
                    "slug": "bol_v_chelyusti",
                    "lead": "Боль в челюсти может быть от тянущей до острой, в любом случае лучше  не затягивать и обратиться к врачу",
                    "image": null,
                    "published": 1,
                    "danger": false
                },
                {
                    "id": 3010,
                    "synonyms": [
                        {
                            "name": "Слюни"
                        },
                        {
                            "name": "Слюноотделение"
                        }
                    ],
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                        {
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                        }
                    ],
                    "disease_count": 14,
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                    "popularity": null,
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                    "thumbnail_600x600": null,
                    "name": "Слюнотечение",
                    "gender": 0,
                    "age_min": 0,
                    "age_max": 100,
                    "slug": "slyunotechenie",
                    "lead": "Повышенное слюноотделение хроническое или  аномальное следует проверить у врача",
                    "image": null,
                    "published": 1,
                    "danger": false
                },
                {
                    "id": 2819,
                    "synonyms": [
                        {
                            "name": "кровь из уха"
                        },
                        {
                            "name": "кровь в ушной раковине"
                        }
                    ],
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            "code": "S03.0",
            "name": "Вывих челюсти",
            "icd_name": "Вывих челюсти",
            "gender": 0,
            "age_min": 1,
            "age_max": 100,
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            "slug": "s03.0_vyvih_chelyusti",
            "lead": "состояние, при котором наблюдается смещение головки нижней челюсти из своего привычного положения и выход ее из суставной капсулы",
            "description": "",
            "etiology": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Смещение головки сустава и последующий вывих могут произойти при очень резком внезапном открытии рта. Такая ситуация характерна для громкого крика, зевоты, принятия пищи, рвотных позывах, а также сильного внешнего воздействия - удара или падения. Эта травма наиболее характерна для спортсменов, занимающихся боксом и всеми видами борьбы.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Вывих нижней челюсти происходит также по причине ослабления или деформации связок, удерживающих на месте головку сустава. У больных ревматоидными артритами, артрозами или подагрой связки расслаблены, сустав зафиксирован слабо и постепенно деформируется. В этом случае для вывиха со временем достаточно простой пощёчины или неудачного зевка.</span></p>\r\n<p><span id=\"docs-internal-guid-03c12168-7fff-8aec-9a9d-d6ccb7ed84a3\">&nbsp;</span></p>",
            "pathogenesis": "",
            "diagnostics": "<p>&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Выявление указанной патологии происходит путем опроса и первичного осмотра. В процессе врач-стоматолог анализирует состояние ВНЧС, собирает анамнез и изучает жалобы больного. Несмотря на то, что вывих нижней челюсти имеет достаточно характерную и явную клиническую картину, для постановки диагноза требуется рентгенографическое исследование или проведение компьютерной томографии. Это существенно повышает точность диагностики, позволяет подобрать эффективное лечение</span></p>",
            "treatment": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Вправление. Суть данной манипуляции заключается в том, что челюсть ставится на свое \"законное\" место. Для этого пациенту в сидячем положении приподнимают подбородок, а на челюсть надавливают, принуждая двигаться ее вниз и назад. Большие пальцы рук врача находятся при этом на молярах нижней челюсти. При очень сильных болях (а также при старых вывихах) процедура производится под анестезией.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Наложение фиксирующей повязки или подбородочной пращи. Это необходимо для обеспечения неподвижности, чтобы головка зафиксировалась на своем анатомически правильном месте.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Обязательно назначение диеты (полужидкая пища). По показаниям проводится хирургическое лечение: увеличивают глубину ямки нижней челюсти, а также делают выше суставной бугорок.</span></p>\r\n<p>&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Нехирургические методы лечения вывиха челюсти направлены на лечение дисфункции височно-нижнечелюстного сустава, укрепление связок и назначение медикаментозных средств. Показано ношение специальных шин или аппаратов для ограничения открывания рта.</span></p>",
            "prevention": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Профилактика данной патологии подразумевает воздержание от интенсивного и сильного раскрытия рта, а также исключение вредных привычек (открытия зубами бутылок, попыток разгрызть орехи и пр.).</span></p>\r\n<p>&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Также немаловажно посещать профилактические осмотры стоматолога, поскольку некоторым формам данной патологии свойственно скрытое течение.</span></p>",
            "clinical_picture": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Головка челюсти может уходить при вывихе вперед и назад, соответственно, вывих бывает передним и задним, а также, в зависимости от стороны поражения, одно- и двусторонним. Наиболее часты передние вывихи.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Симптомы:</span></p>\r\n<ul>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Только что полученный двусторонний вывих сопровождается сильными болями, слюнотечением, рот широко раскрыт, а подборок смещен вперед. Из-за его смещения вниз лицо кажется длиннее, чем есть на самом деле.</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Односторонний вывих также протекает с острыми болями и смещением подбородка, но передние резцы и уздечка нижней губы отклоняются в противоположную от вывиха сторону. Рот слегка открыт, а под скулой заметно выпячивание.</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Задний вывих обычно происходит после травмы подбородка, челюсть уходит назад, суставная сумка разрывается и ломается стенка слухового прохода. Это вызывает кровотечение из уха.</span></li>\r\n</ul>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</p>\r\n<p>&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Иную симптоматику имеет привычный (хронический) вывих. Челюсть смещается из своего нормального положения не один раз за день. Сильные боли отсутствуют, человек может вправить такой вывих самостоятельно.</span></p>",
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            "description": " Синдром внезапной детской смерти – понятие, применяемое в отношении неожиданной смерти ребенка первого года, наступившей во сне без установленных причин.",
            "etiology": "<p>Точные причины СВДС пока не установлены.  </p>\r\n<p>К факторам риска развития СВДС относят: </p>\r\n<ul>\r\n<li>сон ребенка на животе; </li>\r\n<li>использование для ребенка мягких постельных принадлежностей: матраса, подушки, одеяла; </li>\r\n<li>перегревание ребенка (использование ватных одеял или чрезмерное отопление в комнате); </li>\r\n<li>недоношенность; </li>\r\n<li>Малый вес ребенка при рождении; </li>\r\n<li>многоплодная беременность; </li>\r\n<li>большое число беременностей у матери и короткие промежутки между ними; </li>\r\n<li>случаи СВДС или мертворождение ранее родившихся детей у этих родителей; </li>\r\n<li>позднее начало или отсутствие врачебного наблюдения в период беременности; </li>\r\n<li>анемия и гипоксия плода; </li>\r\n<li>недавно перенесенное ребенком заболевание; </li>\r\n<li>возраст матери моложе 17 лет; </li>\r\n<li>курение, употребление наркотических веществ или алкоголя матерью; </li>\r\n<li>плохие экономические или социальные условия в семье (скученность в квартире, отсутствие регулярного проветривания, курение членов семьи, безработные родители, отсутствие знаний по уходу за младенцем); </li>\r\n<li>рождение ребенка у матери-одиночки; </li>\r\n<li>депрессия у матери в послеродовом периоде. </li>\r\n</ul>",
            "pathogenesis": "<p>Существует несколько теорий, объясняющих механизм возникновения СВДС</p>\r\n<p>Нарушение функции дыхания </p>\r\n<p>Во время сна в норме периодически возникает нарушение функции дыхания, и дыхание на короткое время прекращается.  В результате такой остановки дыхательной деятельности в крови образуется недостаточное количество кислорода (гипоксемия), что в норме вызывает пробуждение и восстановление дыхания. Если же восстановление дыхания не происходит, ребенок умирает. </p>\r\n<p>Нарушение сердечной деятельности </p>\r\n<p>Некоторые ученые считают ведущим фактором при СВДС нарушение ритма сердечной деятельности, остановку сердца (асистолию). Факторами риска эти ученые называют нарушения ритма сердца по типу экстрасистол и блокад на электрокардиограмме, снижение числа сердечных сокращений менее 70 в 1 минуту (брадикардия), часто меняющуюся частоту сердечных сокращений. </p>\r\n<p>Стресс. </p>\r\n<p>Это такие изменения, как: мелкие кровоизлияния в вилочковой железе, легких, иногда в наружной оболочке сердца, следы изъязвления слизистой пищеварительного тракта, сморщенные лимфоидные образования, снижение вязкости крови. Все эти явления –  симптомы неспецифического синдрома стресса. </p>\r\n<p>Иммунная теория и инфекционный механизм возникновения СВДС  </p>\r\n<p>У большей части детей, умерших внезапно, в течение недели или в последний день жизни имели место проявления какой-либо инфекции.  </p>\r\n<p>Сторонники этой теории считают, что микроорганизмы выделяют токсины или цитокинины, которые вызывают нарушение механизмов защиты в организме. В итоге наличие факторов риска при возникновении инфекции усугубляется. Токсины микроорганизмов (чаще всего посмертно выделяли золотистый стафилококк) провоцируют и усиливают воспалительную реакцию. А организм младенца еще не в состоянии регулировать собственные защитные реакции. </p>",
            "diagnostics": "<p>Детям, перенесшим абортивный синдром внезапной детской смерти, необходимо проведение комплексного обследования. </p>\r\n<p>Из инструментальных исследований наибольшее диагностическое значение могут представлять электроэнцефалографию, исследование сна, УЗИ головы, ЭКГ, УЗИ сердца ребенку, холтеровский мониторинг ЭКГ, рентгенография грудной клетки.  </p>\r\n<p>Лабораторные методы могут включать инфекционную диагностику (ИФА, ПЦР, микробиологическое исследование), определение кислотно-основного состояния крови, биохимический анализ крови и др.  </p>",
            "treatment": "<p>При возникновении очевидного жизнеугрожающего эпизода необходимо взять ребенка на руки, потормошить, энергично помассировать кисти рук, ступни, мочки ушей, спину вдоль позвоночника. Обычно этих действий бывает достаточно, чтобы ребенок снова задышал. Если дыхание не восстановилось, необходимо срочно вызывать «скорую помощь» и начинать проведение искусственного дыхания и закрытого массажа сердца. </p>\r\n<p> </p>",
            "prevention": "<p>Считается достаточно эффективным для профилактики СВСМ выполнение родителями следующих общих рекомендаций: </p>\r\n<ul>\r\n<li>Головка ребенка должна быть открыта во время сна </li>\r\n<li>Ребенка нельзя туго пеленать, оставлять в постели с соской </li>\r\n<li>Ограничить или не использовать в кроватке пуховые одеяла, подушки, думки, мягкие игрушки и мягкие бортики </li>\r\n<li>Рекомендуется укладывать спать ребенка на спине или на боку с валиком, мешающим ему перевернуться и оказаться лежащим вниз лицом </li>\r\n<li>Использовать жесткий, пригнанный матрас </li>\r\n<li>Необходимо оградить младенца от пассивного курения </li>\r\n<li>Обязательно регулярно проветривать комнаты </li>\r\n<li>Исключить шум, громкую музыку и т.п. </li>\r\n<li>Проводить тактильную стимуляцию.</li>\r\n</ul>",
            "clinical_picture": "<p>Клиническими проявлениями этого синдрома являются такие признаки, как насморк, выделения из глаз; увеличение миндалин, печени и селезенки; сыпь; потеря веса. Эти симптомы отмечаются за 2-3 недели до СВДС у 90 % детей.  </p>\r\n<p>В отношении младенцев, переживших в грудном возрасте очевидный жизнеугрожающий эпизод и выжившим, используется понятие абортивный синдром внезапной детской смерти или near-miss СВДС.  </p>\r\n<p>Предвестником синдрома внезапной смерти у детей можно быть апноэ. При задержке дыхания у младенца может быть резкая слабость, посинение кожных покровов, состояние «замирания», снижение тонуса мышц. </p>\r\n<p>В 50-70% случаях у таких детей удается выявить корреляцию очевидного жизнеугрожающего эпизода с каким-либо патологическим состоянием: судорожным синдромом, миопатией, инфекциями дыхательных путей, гастроэзофагеальной рефлюксной болезнью, врожденными аномалиями развития, заболеваниями обмена веществ и пр. </p>",
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