ВОзвращает список болезней. Можно фильтр/искать

search, age, gender, parent, symptoms, sort_name, sort_by, rand, branches
GET /disease/?format=api&ordering=-who&page=47
HTTP 200 OK
Allow: GET, HEAD, OPTIONS
Content-Type: application/json
Vary: Accept

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                    "lead": "Различают врождённое (присутствует при рождении или появляется в первые 6 месяцев) и приобретённое косоглазие.\r\n\r\nЧаще всего явное косоглазие является горизонтальным: сходящееся косоглазие (convergent strabismus или esotropia) и расходящееся косоглазие (divergent strabismus или exotropia); однако иногда может наблюдаться и вертикальное (с отклонением кверху — гипертропия, книзу — гипотропия).\r\n\r\nКосоглазие, в зависимости от того, косит один или оба глаза, делится на монокулярное и альтернирующее.\r\nПри монокулярном косоглазии всегда косит только один глаз, которым человек никогда не пользуется. Зрение косящего глаза чаще всего снижено. Мозг приспосабливается таким образом, что информация считывается только с одного, не косящего глаза. Косящий же глаз в зрительном акте не участвует, поэтому его зрительные функции снижаются. Снижение зрения от функционального бездействия косящего глаза называется дисбинокулярной амблиопией. Если восстановить зрение косящего глаза невозможно, косоглазие исправляется как косметический дефект.\r\nАльтернирующее косоглазие (косит то левый, то правый глаз, при этом величина отклонения от прямого положения примерно одинаковая) характеризуется тем, что человек смотрит попеременно то одним, то другим глазом, то есть хотя и попеременно, но использует оба глаза. Амблиопия если и развивается, то в гораздо более лёгкой степени.\r\nПо причине возникновения косоглазие бывает содружественное и паралитическое.\r\nСодружественное косоглазие возникает обычно в детском возрасте. Для него характерно сохранение полного объёма движений глазных яблок, равенство первичного угла косоглазия (то есть отклонения косящего глаза) и вторичного (то есть здорового), отсутствие двоения и нарушения бинокулярного зрения.\r\nПаралитическое косоглазие обусловлено параличом или повреждением одной или нескольких глазодвигательных мышц. Оно может возникнуть в результате патологических процессов, поражающих сами мышцы, нервы или головной мозг.",
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                    "age_min": 0,
                    "age_max": 100,
                    "slug": "diplopiya",
                    "lead": "Диплопия (нем. Diplopie, англ. Diplopia), широко известная также как двойное зрение (нем. Doppelbilder, англ. double vision), — одновременное представление двух изображений одного объекта, которые могут быть смещены по горизонтали, вертикали, диагонали (то есть по вертикали и горизонтали одновременно) или повёрнуты относительно друг друга[1]. Это, как правило, результат нарушения функции глазодвигательных мышц (нем. Augenmuskeln, англ. extraocular muscles, EOM), когда оба глаза по-прежнему функционируют, но они не могут сходиться к нужному целевому объекту[1]. Проблемы с EOM могут быть из-за механических проблем, нарушений нервно-мышечного соединения, нарушений в черепных нервах (III, IV, и VI), которые стимулируют мышцы, а иногда и нарушения, вовлекающие супрануклеарные глазодвигательные пути или заглатывание токсинов[2].\r\n\r\nДиплопия может быть одним из первых признаков системного заболевания[en], в частности мышечного или неврологического процесса[3], и это может нарушить баланс движения и/или способность чтения у человека[1][4].",
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                    "name": "генетика",
                    "code": "B6",
                    "branch_medicine_code": "006",
                    "slug": "genetika",
                    "lead": "Область медицины, включающая в себя лечение 284 заболеваний. В 37 клиниках России оказывается помощь по этому направлению медицины.",
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                {
                    "id": 15,
                    "disease_count": null,
                    "name": "кардиология, детская кардиология",
                    "code": "B15",
                    "branch_medicine_code": "015",
                    "slug": "kardiologiya_detskaya_kardiologiya",
                    "lead": "Область медицины, включающая в себя лечение 634 заболеваний. В 731 клинике России оказывается помощь по этому направлению медицины.",
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                {
                    "id": 23,
                    "disease_count": null,
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                    "branch_medicine_code": "023",
                    "slug": "nevrologiya",
                    "lead": "ЛидОбласть медицины, включающая в себя лечение 1036 заболеваний. В 1140 клиниках России оказывается помощь по этому направлению медицины.",
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                {
                    "id": 46,
                    "disease_count": null,
                    "name": "сурдология оториноларингология",
                    "code": "B46",
                    "branch_medicine_code": "046",
                    "slug": "surdologiya_otorinolaringologiya",
                    "lead": "Область медицины, включающая в себя лечение 36 заболеваний. В 23 клиниках России оказывается помощь по этому направлению медицины.",
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                {
                    "id": 16,
                    "disease_count": null,
                    "name": "клиническая лабораторная диагностика",
                    "code": "B16",
                    "branch_medicine_code": "016",
                    "slug": "klinicheskaya_laboratornaya_diagnostika",
                    "lead": "Область медицины, включающая в себя лечение 2214 заболеваний. В 886 клиниках России оказывается помощь по этому направлению медицины.",
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                {
                    "id": 52,
                    "disease_count": null,
                    "name": "ультразвуковая диагностика",
                    "code": "B52",
                    "branch_medicine_code": "052",
                    "slug": "ultrazvukovaya_diagnostika",
                    "lead": "Область медицины, включающая в себя лечение 515 заболеваний. В 980 клиниках России оказывается помощь по этому направлению медицины.",
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                },
                {
                    "id": 4,
                    "disease_count": null,
                    "name": "гастроэнтерология",
                    "code": "B4",
                    "branch_medicine_code": "004",
                    "slug": "gastroenterologiya",
                    "lead": "Область медицины, включающая в себя лечение 211 заболеваний. В 341 клинике России оказывается помощь по этому направлению медицины.",
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                {
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                    "disease_count": null,
                    "name": "нефрология",
                    "code": "B25",
                    "branch_medicine_code": "025",
                    "slug": "nefrologiya",
                    "lead": "Область медицины, включающая в себя лечение 175 заболеваний. В 146 клиниках России оказывается помощь по этому направлению медицины.",
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                {
                    "id": 13,
                    "disease_count": null,
                    "name": "диетология",
                    "code": "B13",
                    "branch_medicine_code": "013",
                    "slug": "dietologiya",
                    "lead": "Область медицины, включающая в себя лечение 114 заболеваний. В 600 клиниках России оказывается помощь по этому направлению медицины.",
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                },
                {
                    "id": 29,
                    "disease_count": null,
                    "name": "офтальмология",
                    "code": "B29",
                    "branch_medicine_code": "029",
                    "slug": "oftalmologiya",
                    "lead": "Область медицины, включающая в себя лечение 851 заболевания. В 696 клиниках России оказывается помощь по этому направлению медицины.",
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                },
                {
                    "id": 31,
                    "disease_count": null,
                    "name": "педиатрия",
                    "code": "B31",
                    "branch_medicine_code": "031",
                    "slug": "pediatriya",
                    "lead": "Область медицины, включающая в себя лечение 647 заболеваний. В 2328 клиниках России оказывается помощь по этому направлению медицины.",
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                {
                    "id": 35,
                    "disease_count": null,
                    "name": "психиатрия и судебно психологическая экспертиза",
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                    "slug": "psihiatriya_i_sudebno_psihologicheskaya_ekspertiza",
                    "lead": "Область медицины, включающая в себя лечение 486 заболеваний. В 491 клинике России оказывается помощь по этому направлению медицины.",
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                    "disease_count": null,
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                    "branch_medicine_code": "058",
                    "slug": "endokrinologiya",
                    "lead": "Область медицины, включающая в себя лечение 730 заболеваний. В 623 клиниках России оказывается помощь по этому направлению медицины.",
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                    "disease_count": null,
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                    "branch_medicine_code": "054",
                    "slug": "fizioterapiya",
                    "lead": "Область медицины, включающая в себя лечение 743 заболеваний. В 1561 клинике России оказывается помощь по этому направлению медицины.",
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            "code": "H49",
            "name": "Паралитическое косоглазие",
            "icd_name": "Паралитическое косоглазие",
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            "age_min": 0,
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            "slug": "h49_paraliticheskoe_kosoglazie",
            "lead": "Нарушение здоровья, относящееся к группе болезни мышц глаза, нарушения содружественного движения глаз, аккомодации и рефракции",
            "description": "Паралитическое косоглазие обусловлено параличом или парезом одной или нескольких\r\nглазодвигательных мышц, вызванным различными причинами: травмой, инфекциями,\r\nновообразованиями и др. Оно характеризуется прежде всего ограничением или отсутствием\r\nподвижности косящего глаза в сторону действия парализованной мышцы. При взгляде в эту\r\nсторону возникает двоение, или диплопия.",
            "etiology": "<p>Выделяют следующие причины паралитического косоглазия:<br /> кровоизлияние в головной мозг (вследствие инсульта);</p>\r\n<p> прогрессирующий паралич зрительных нервов;</p>\r\n<p> наличие новообразований в головном мозге;<br /> травмы черепа;<br /> множественный склероз сосудов;<br /> нейросифилис;<br /> переломы основания черепа;<br /> менингит;<br /> неврит инфекционной или токсической природы;<br /> опухоль глазницы;<br /> ранения глаза;<br /> миозит;<br /> периостит.<br />Врожденное паралитическое косоглазие у детей может возникнуть внутриутробно из-за<br />неправильного образа жизни матери, наличия в организме женщины опасных инфекций и т.д.</p>",
            "pathogenesis": "<p>Поражение ядер или стволов глазодвигательного, блокового и отводящего нервов, поражение нервов или самих мышц приводят к параличу или парезу глазодвигательных мышц. Больной при этом поворачивает голову в сторону действия пораженной мышцы, что компенсирует ее функциональную недостаточность.</p>",
            "diagnostics": "<p><strong></strong></p>\r\n<p>Физикальное обследование </p>\r\n<ul>\r\n<li>Исследование положения глаз и степени девиации (угла косоглазия) в различных позициях взора. </li>\r\n<li>Определение величины отклонения глаз от срединной позиции (по Гиршбергу). </li>\r\n<li>Исследование подвижности глаз. </li>\r\n<li>Исследование объёма движений глаз проводят, предъявляя пациенту движущийся объект фиксации (например, конец карандаша) в различных позициях взора: вверх, вниз, направо, влево, вверх-вправо, вниз-вправо, вверх-влево, вниз-влево. </li>\r\n</ul>\r\n<p>Метод коордиметрии позволяет определить поле взора каждого глаза и выявить его ограничения в зоне действия той или иной мышцы. Метод основан на разделении полей взора правого и левого глаза при помощи красного и зелёного фильтров, окрашенных в дополнительные цвета. При наложении этих цветов друг на друга возникает эффект гашения изображения. Метод учитывает характер локализации в пространстве изображений обоих глаз при косоглазии.  </p>\r\n<p>Особое внимание при обследовании пациентов необходимо уделять характеру вынужденного положения головы. Поворот головы имеет целью вывести глаз из области двоения и действия парализованной мышцы, то есть пациент поворачивает голову в сторону действия поражённой мышцы</p>",
            "treatment": "<p>Немедикаментозное лечение </p>\r\n<ul>\r\n<li>Мышечная гимнастика. </li>\r\n<li>Упражнения на слияние двойных изображений. </li>\r\n<li>Физиотерапевтическое лечение (магнито-, электрофорез: электростимуляция </li>\r\n<li>глазодвигательных мышц; рефлексотерапия).</li>\r\n</ul>\r\n<p>Хирургическое лечение </p>\r\n<ul>\r\n<li>Операции по усилению или ослаблению заинтересованных мышц. </li>\r\n<li>Пластика глазодвигательных мышц по О’Коннору, Аветисову с пересадкой волокон </li>\r\n<li>действующих мышц (например, вертикальных к парализованной горизонтальной мышце). </li>\r\n</ul>",
            "prevention": "<p>Профилактика паралитического косоглазия включает:</p>\r\n<ul>\r\n<li>профилактику травматизма на производстве и в быту;</li>\r\n<li>предупреждение родовых травм;</li>\r\n<li>ранняя диагностика и лечение заболеваний, предшествующих косоглазию.</li>\r\n</ul>",
            "clinical_picture": "<p>При паралитическом косоглазии отмечаются:</p>\r\n<ul>\r\n<li>отклонение глазного яблока в ту или иную сторону (в случаях изолированного поражения одной из мышц больной глаз отклоняется в сторону, противоположную парализованной мышце);</li>\r\n<li>неравенство первичного и вторичного углов отклонения. При фиксации какого-либо предмета парализованным глазом отклоняется здоровый глаз, причем на значительно больший угол, чем тот, на который был отклонен больной глаз (угол вторичного отклонения больше угла первичного отклонения);</li>\r\n<li>двоение - диплопия, поскольку изображение одного и того же предмета падает на диспаратные отделы сетчаток обоих глаз;</li>\r\n<li>расстройство глубинного или стереоскопического зрения;</li>\r\n<li>головокружение вследствие двоения, а главное, в связи с постоянным изменением пространственных отношений истинных и мнимых изображений при поворотах глазных яблок в ту или иную сторону у больного создается впечатление, что все предметы, окружающие его, находятся в непрерывном движении;</li>\r\n<li>вынужденное положение головы (глазной тортиколис), что избавляет больного от двоения. Поворот или наклон головы при этом должен быть направлен в сторону действия парализованной мышцы.</li>\r\n</ul>\r\n<p>При одновременном параличе всех глазных нервов наступает полная офтальмоплегия, которая характеризуется неподвижностью глаза, птозом и расширением зрачка.</p>",
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                    "slug": "genetika",
                    "lead": "Область медицины, включающая в себя лечение 284 заболеваний. В 37 клиниках России оказывается помощь по этому направлению медицины.",
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                    "slug": "nevrologiya",
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                    "lead": "Область медицины, включающая в себя лечение 2214 заболеваний. В 886 клиниках России оказывается помощь по этому направлению медицины.",
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                    "lead": "Область медицины, включающая в себя лечение 515 заболеваний. В 980 клиниках России оказывается помощь по этому направлению медицины.",
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                    "slug": "nefrologiya",
                    "lead": "Область медицины, включающая в себя лечение 175 заболеваний. В 146 клиниках России оказывается помощь по этому направлению медицины.",
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                    "disease_count": null,
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            },
            "code": "H49",
            "name": "Паралитическое косоглазие",
            "icd_name": "Паралитическое косоглазие",
            "gender": 0,
            "age_min": 0,
            "age_max": 100,
            "cause": [
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            "periodicity": 1,
            "slug": "h49_paraliticheskoe_kosoglazie",
            "lead": "Нарушение здоровья, относящееся к группе болезни мышц глаза, нарушения содружественного движения глаз, аккомодации и рефракции",
            "description": "Паралитическое косоглазие обусловлено параличом или парезом одной или нескольких\r\nглазодвигательных мышц, вызванным различными причинами: травмой, инфекциями,\r\nновообразованиями и др. Оно характеризуется прежде всего ограничением или отсутствием\r\nподвижности косящего глаза в сторону действия парализованной мышцы. При взгляде в эту\r\nсторону возникает двоение, или диплопия.",
            "etiology": "<p>Выделяют следующие причины паралитического косоглазия:<br /> кровоизлияние в головной мозг (вследствие инсульта);</p>\r\n<p> прогрессирующий паралич зрительных нервов;</p>\r\n<p> наличие новообразований в головном мозге;<br /> травмы черепа;<br /> множественный склероз сосудов;<br /> нейросифилис;<br /> переломы основания черепа;<br /> менингит;<br /> неврит инфекционной или токсической природы;<br /> опухоль глазницы;<br /> ранения глаза;<br /> миозит;<br /> периостит.<br />Врожденное паралитическое косоглазие у детей может возникнуть внутриутробно из-за<br />неправильного образа жизни матери, наличия в организме женщины опасных инфекций и т.д.</p>",
            "pathogenesis": "<p>Поражение ядер или стволов глазодвигательного, блокового и отводящего нервов, поражение нервов или самих мышц приводят к параличу или парезу глазодвигательных мышц. Больной при этом поворачивает голову в сторону действия пораженной мышцы, что компенсирует ее функциональную недостаточность.</p>",
            "diagnostics": "<p><strong></strong></p>\r\n<p>Физикальное обследование </p>\r\n<ul>\r\n<li>Исследование положения глаз и степени девиации (угла косоглазия) в различных позициях взора. </li>\r\n<li>Определение величины отклонения глаз от срединной позиции (по Гиршбергу). </li>\r\n<li>Исследование подвижности глаз. </li>\r\n<li>Исследование объёма движений глаз проводят, предъявляя пациенту движущийся объект фиксации (например, конец карандаша) в различных позициях взора: вверх, вниз, направо, влево, вверх-вправо, вниз-вправо, вверх-влево, вниз-влево. </li>\r\n</ul>\r\n<p>Метод коордиметрии позволяет определить поле взора каждого глаза и выявить его ограничения в зоне действия той или иной мышцы. Метод основан на разделении полей взора правого и левого глаза при помощи красного и зелёного фильтров, окрашенных в дополнительные цвета. При наложении этих цветов друг на друга возникает эффект гашения изображения. Метод учитывает характер локализации в пространстве изображений обоих глаз при косоглазии.  </p>\r\n<p>Особое внимание при обследовании пациентов необходимо уделять характеру вынужденного положения головы. Поворот головы имеет целью вывести глаз из области двоения и действия парализованной мышцы, то есть пациент поворачивает голову в сторону действия поражённой мышцы</p>",
            "treatment": "<p>Немедикаментозное лечение </p>\r\n<ul>\r\n<li>Мышечная гимнастика. </li>\r\n<li>Упражнения на слияние двойных изображений. </li>\r\n<li>Физиотерапевтическое лечение (магнито-, электрофорез: электростимуляция </li>\r\n<li>глазодвигательных мышц; рефлексотерапия).</li>\r\n</ul>\r\n<p>Хирургическое лечение </p>\r\n<ul>\r\n<li>Операции по усилению или ослаблению заинтересованных мышц. </li>\r\n<li>Пластика глазодвигательных мышц по О’Коннору, Аветисову с пересадкой волокон </li>\r\n<li>действующих мышц (например, вертикальных к парализованной горизонтальной мышце). </li>\r\n</ul>",
            "prevention": "<p>Профилактика паралитического косоглазия включает:</p>\r\n<ul>\r\n<li>профилактику травматизма на производстве и в быту;</li>\r\n<li>предупреждение родовых травм;</li>\r\n<li>ранняя диагностика и лечение заболеваний, предшествующих косоглазию.</li>\r\n</ul>",
            "clinical_picture": "<p>При паралитическом косоглазии отмечаются:</p>\r\n<ul>\r\n<li>отклонение глазного яблока в ту или иную сторону (в случаях изолированного поражения одной из мышц больной глаз отклоняется в сторону, противоположную парализованной мышце);</li>\r\n<li>неравенство первичного и вторичного углов отклонения. При фиксации какого-либо предмета парализованным глазом отклоняется здоровый глаз, причем на значительно больший угол, чем тот, на который был отклонен больной глаз (угол вторичного отклонения больше угла первичного отклонения);</li>\r\n<li>двоение - диплопия, поскольку изображение одного и того же предмета падает на диспаратные отделы сетчаток обоих глаз;</li>\r\n<li>расстройство глубинного или стереоскопического зрения;</li>\r\n<li>головокружение вследствие двоения, а главное, в связи с постоянным изменением пространственных отношений истинных и мнимых изображений при поворотах глазных яблок в ту или иную сторону у больного создается впечатление, что все предметы, окружающие его, находятся в непрерывном движении;</li>\r\n<li>вынужденное положение головы (глазной тортиколис), что избавляет больного от двоения. Поворот или наклон головы при этом должен быть направлен в сторону действия парализованной мышцы.</li>\r\n</ul>\r\n<p>При одновременном параличе всех глазных нервов наступает полная офтальмоплегия, которая характеризуется неподвижностью глаза, птозом и расширением зрачка.</p>",
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