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"lead": "Область медицины, включающая в себя лечение 908 заболеваний. В 1399 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 53,
"disease_count": null,
"name": "урология, детская урология андрология",
"code": "B53",
"branch_medicine_code": "053",
"slug": "urologiya_detskaya_urologiya_andrologiya",
"lead": "Область медицины, включающая в себя лечение 430 заболеваний. В 596 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 51,
"disease_count": null,
"name": "трансфузиология",
"code": "B51",
"branch_medicine_code": "051",
"slug": "transfuziologiya",
"lead": "Область медицины, включающая в себя лечение 83 заболеваний. В 290 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"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.",
"image": null
},
{
"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.",
"image": null
},
{
"id": 20,
"disease_count": null,
"name": "лечебная физкультура и спортивная медицина",
"code": "B20",
"branch_medicine_code": "020",
"slug": "lechebnaya_fizkultura_i_sportivnaya_medicina",
"lead": "Область медицины, включающая в себя лечение 412 заболеваний. В 579 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 50,
"disease_count": null,
"name": "травматология и ортопедия",
"code": "B50",
"branch_medicine_code": "050",
"slug": "travmatologiya_i_ortopediya",
"lead": "Область медицины, включающая в себя лечение 351 заболевания. В 523 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 37,
"disease_count": null,
"name": "пульмонология",
"code": "B37",
"branch_medicine_code": "037",
"slug": "pulmonologiya",
"lead": "Область медицины, включающая в себя лечение 145 заболеваний. В 181 клинике России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 40,
"disease_count": null,
"name": "ревматология",
"code": "B40",
"branch_medicine_code": "040",
"slug": "revmatologiya",
"lead": "Область медицины, включающая в себя лечение 136 заболеваний. В 177 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 28,
"disease_count": null,
"name": "оториноларингология",
"code": "B28",
"branch_medicine_code": "028",
"slug": "otorinolaringologiya",
"lead": "Область медицины, включающая в себя лечение 685 заболеваний. В 631 клинике России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"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.",
"image": null
},
{
"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.",
"image": null
},
{
"id": 27,
"disease_count": null,
"name": "онкология",
"code": "B27",
"branch_medicine_code": "027",
"slug": "onkologiya",
"lead": "Область медицины, включающая в себя лечение 354 заболеваний. В 378 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 24,
"disease_count": null,
"name": "нейрохирургия",
"code": "B24",
"branch_medicine_code": "024",
"slug": "neyrohirurgiya",
"lead": "Область медицины, включающая в себя лечение 173 заболеваний. В 95 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 14,
"disease_count": null,
"name": "инфекционные болезни",
"code": "B14",
"branch_medicine_code": "014",
"slug": "infekcionnye_bolezni",
"lead": "Область медицины, включающая в себя лечение 518 заболеваний. В 499 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 38,
"disease_count": null,
"name": "радиология и радиотерапия",
"code": "B38",
"branch_medicine_code": "038",
"slug": "radiologiya_i_radioterapiya",
"lead": "Область медицины, включающая в себя лечение 237 заболеваний. В 15 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 18,
"disease_count": null,
"name": "колопроктология",
"code": "B18",
"branch_medicine_code": "018",
"slug": "koloproktologiya",
"lead": "Область медицины, включающая в себя лечение 37 заболеваний. В 153 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 59,
"disease_count": null,
"name": "эндоскопия",
"code": "B59",
"branch_medicine_code": "059",
"slug": "endoskopiya",
"lead": "Область медицины, включающая в себя лечение 53 заболеваний. В 414 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 55,
"disease_count": null,
"name": "фтизиатрия",
"code": "B55",
"branch_medicine_code": "055",
"slug": "ftiziatriya",
"lead": "Область медицины, включающая в себя лечение 204 заболеваний. В 249 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 65,
"disease_count": null,
"name": "стоматология терапевтическая",
"code": "B65",
"branch_medicine_code": "065",
"slug": "stomatologiya_terapevticheskaya",
"lead": "Область медицины, включающая в себя лечение 87 заболеваний. В 1270 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 2,
"disease_count": null,
"name": "аллергология и иммунология",
"code": "B2",
"branch_medicine_code": "002",
"slug": "allergologiya_i_immunologiya",
"lead": "Область медицины, включающая в себя лечение 66 заболеваний. В 202 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 32,
"disease_count": null,
"name": "неонатология",
"code": "B32",
"branch_medicine_code": "032",
"slug": "neonatologiya",
"lead": "Область медицины, включающая в себя лечение 54 заболеваний. В 163 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
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{
"id": 69,
"disease_count": null,
"name": "другое",
"code": "B69",
"branch_medicine_code": "069",
"slug": "drugoe",
"lead": "Область медицины, включающая в себя лечение 268 заболеваний. В 3931 клинике России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 64,
"disease_count": null,
"name": "стоматология и стоматология детская",
"code": "B64",
"branch_medicine_code": "064",
"slug": "stomatologiya_i_stomatologiya_detskaya",
"lead": "Область медицины, включающая в себя лечение 116 заболеваний. В 1200 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
},
{
"id": 43,
"disease_count": null,
"name": "сердечно сосудистая хирургия, рентгенэндоваскулярная диагностика и лечение",
"code": "B43",
"branch_medicine_code": "043",
"slug": "serdechno_sosudistaya_hirurgiya_rentgenendovaskulyarnaya_diagnostika_i_lechenie",
"lead": "Область медицины, включающая в себя лечение 110 заболеваний. В 78 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
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{
"id": 68,
"disease_count": null,
"name": "челюстно лицевая хирургия",
"code": "B68",
"branch_medicine_code": "068",
"slug": "chelyustno_licevaya_hirurgiya",
"lead": "Область медицины, включающая в себя лечение 13 заболеваний. В 42 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
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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.",
"image": null
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{
"id": 67,
"disease_count": null,
"name": "стоматология хирургическая",
"code": "B67",
"branch_medicine_code": "067",
"slug": "stomatologiya_hirurgicheskaya",
"lead": "Область медицины, включающая в себя лечение 13 заболеваний. В 630 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
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{
"id": 8,
"disease_count": null,
"name": "дерматовенерология и косметология",
"code": "B8",
"branch_medicine_code": "008",
"slug": "dermatovenerologiya_i_kosmetologiya",
"lead": "Область медицины, включающая в себя лечение 376 заболеваний. В 728 клиниках России оказывается помощь по этому направлению медицины.",
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{
"id": 36,
"disease_count": null,
"name": "психиатрия наркология",
"code": "B36",
"branch_medicine_code": "036",
"slug": "psihiatriya_narkologiya",
"lead": "Область медицины, включающая в себя лечение 149 заболеваний. В 377 клиниках России оказывается помощь по этому направлению медицины.",
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{
"id": 57,
"disease_count": null,
"name": "хирургия, хиругия (трансплантация органов и тканей) и комбустиология",
"code": "B57",
"branch_medicine_code": "057",
"slug": "hirurgiya_hirugiya_transplantaciya_organov_i_tkaney_i_kombustiologiya",
"lead": "Область медицины, включающая в себя лечение 253 заболеваний. В 632 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
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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.",
"image": null
},
{
"id": 25,
"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.",
"image": null
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{
"id": 39,
"disease_count": null,
"name": "рентгенология",
"code": "B39",
"branch_medicine_code": "039",
"slug": "rentgenologiya",
"lead": "Область медицины, включающая в себя лечение 4 заболеваний. В 933 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
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{
"id": 17,
"disease_count": null,
"name": "клиническая фармакология",
"code": "B17",
"branch_medicine_code": "017",
"slug": "klinicheskaya_farmakologiya",
"lead": "Область медицины, включающая в себя лечение 16 заболеваний. В 110 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
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{
"id": 26,
"disease_count": null,
"name": "общая врачебная практика (семейная медицина)",
"code": "B26",
"branch_medicine_code": "026",
"slug": "obschaya_vrachebnaya_praktika_semeynaya_medicina",
"lead": "Область медицины, включающая в себя лечение 151 заболевания. В 203 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
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{
"id": 49,
"disease_count": null,
"name": "торакальная хирургия",
"code": "B49",
"branch_medicine_code": "049",
"slug": "torakalnaya_hirurgiya",
"lead": "Область медицины, включающая в себя лечение 34 заболеваний. В 23 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
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{
"id": 12,
"disease_count": null,
"name": "диабетология",
"code": "B12",
"branch_medicine_code": "012",
"slug": "diabetologiya",
"lead": "Область медицины, включающая в себя лечение 33 заболеваний. В 15 клиниках России оказывается помощь по этому направлению медицины.",
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{
"id": 22,
"disease_count": null,
"name": "мануальная терапия",
"code": "B22",
"branch_medicine_code": "022",
"slug": "manualnaya_terapiya",
"lead": "Область медицины, включающая в себя лечение 11 заболеваний. В 217 клиниках России оказывается помощь по этому направлению медицины.",
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{
"id": 44,
"disease_count": null,
"name": "скорая медицинская помощь",
"code": "B44",
"branch_medicine_code": "044",
"slug": "skoraya_medicinskaya_pomosch",
"lead": "Область медицины, включающая в себя лечение 328 заболеваний. В 200 клиниках России оказывается помощь по этому направлению медицины.",
"image": null
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{
"id": 42,
"disease_count": null,
"name": "сексология",
"code": "B42",
"branch_medicine_code": "042",
"slug": "seksologiya",
"lead": "Область медицины, включающая в себя лечение 3 заболеваний. В 9 клиниках России оказывается помощь по этому направлению медицины.",
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"id": 66,
"disease_count": null,
"name": "стоматология ортопедическая",
"code": "B66",
"branch_medicine_code": "066",
"slug": "stomatologiya_ortopedicheskaya",
"lead": "Область медицины, включающая в себя лечение 6 заболеваний. В 987 клиниках России оказывается помощь по этому направлению медицины.",
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"lead": "состояние, при котором в стенке органа присутствуют мешковидные углубления, сообщающиеся с основной полостью через канал – шейку дивертикула.",
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"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;\">Нарушение может быть врожденным или приобретенным. Во втором случае дивертикул образуется из-за за нарушений в стенках органа. Постоянное чрезмерное растяжение приводит к истончению стенок и потере мышечного тонуса. Такие выпячивания чаще проявляются на боковой или задней стороне. Дивертикулы могут разниться по размерам: быть совсем небольшими или даже превосходить по объему мочевой пузырь.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </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;\">Среди причин выпячивания стенки мочевого пузыря:</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;\">нарушение оттока мочи;</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;\">травматическое поражение;</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;\">операции на стенках органа;</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;\">мочекаменная болезнь;</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;\">хронические инфекционные процессы (пиелонефрит, цистит, ХПН);</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;\">повышение внутрипузырного давления из-за простатита, аденомы, рака мочевого пузыря, стриктуры уретры.</span></li>\r\n</ul>",
"pathogenesis": "",
"diagnostics": "<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;\">Дивертикул редко выявляют как самостоятельное заболевание. Обычно это происходит во время обследования мочевого пузыря из-за наличия у пациента при частых рецидивирующих циститах и пиелонефритах. Для этого проводят следующие исследования:</span></p>\r\n<ul style=\"margin-top: 0; margin-bottom: 0; padding-inline-start: 48px;\">\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">УЗИ мочевого пузыря для выяснения размера и форм образования;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">цистоскопию для выявления перешейка дивертикула;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">урофлоуметрию и цистометрию для определения уровня обструкции;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">цистографию с рентгеноконтрастным веществом.</span></li>\r\n</ul>\r\n<p> </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;\">Контраст накапливается в дивертикуле. После опорожнения мочевого пузыря он остается в полости образования. Его тень смотрится более плотной в сравнении самим пузырем. Это образование легче выявляется в боковой или косой проекциях.</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;\">Оперативное лечение дивертикула мочевого пузыря – «золотой стандарт» для удаления патологии. Оптимальными считаются малоинвазивные вмешательства, которые минимизируют травматическое повреждение тканей и существенно сокращают реабилитационный период.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </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;\">В рамках лечения может проводиться трансуретральная резекция шейки дивертикула. В данном случае хирург через естественные отверстия мочевыводящих путей проникает в полость органа. Проводится пластика шейки выпячивания, через которую сообщаются две полости (нормальная – мочевой пузырь и патологическая – дивертикулезная полость). Дивертикул не иссекается полностью, однако прошивание шейки устраняет нарушение оттока мочи и связанную с этим симптоматику.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </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;\">Радикальное оздоровление предусматривает полное устранение выпячивания. Его удаление может выполняться лапароскопическим и традиционным открытым путем. В первом случае хирург через небольшие проколы в брюшной стенке проводит инструменты к пузырю, иссекает выпячивание и проводит пластику дефекта. Преимуществом такой операции считается ее низкая травматичность, высокая эффективность и короткий восстановительный период. Открытое иссечение предусматривает выполнение надлобкового разреза с последующим выведением мочевого пузыря в рану и удалением выпячивания. Реабилитация в данном случае продлевается.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </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;\">Больным доступен весь спектр операций, которые используются для устранения дивертикулов мочевого пузыря. В практической деятельности специалисты применяют только проверенные методики, целесообразность которых доказана в крупномасштабных исследованиях. При этом применяются новейшие эндоскопические и вспомогательные инструменты.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </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;\">Хирурги отдают предпочтение лапароскопическим операциям. Популярность подобных вмешательств связана с низкой травматичностью, что существенно сокращает длительность реабилитационного периода. В зависимости от размеров патологического выпячивания хирурги подбирают оптимальный вариант лечения. В настоящее время проводятся следующие операции:</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;\">Трансуретральная резекция (ТУР) шейки дивертикула.</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;\">Лапараскопическое удаление дивертикула.</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;\">Открытое иссечение дивертикула.</span></li>\r\n</ul>\r\n<p> </p>\r\n<p><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;\"> </span></p>",
"prevention": "<p> </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;\">Профилактика приобретенных дивертикулов требует своевременного устранения причин, способствующих возникновению патологии (гиперплазии простаты, склероза шейки мочевого пузыря, стриктур уретры и др.).</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;\">Клиническая картина дивертикула в мочевом пузыре зависит от его размеров. При небольшом объеме выпячивания не наблюдается нарушений оттока мочи. В таком случае больные не подозревают о своей проблеме.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </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;\">К врачам пациенты традиционно обращаются со следующими жалобами:</span></p>\r\n<ul style=\"margin-top: 0; margin-bottom: 0; padding-inline-start: 48px;\">\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Ощущение неполного опорожнения мочевого пузыря.</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Необходимость дважды помочиться. При повторном походе в туалет больные отмечают наличие мутной мочи.</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Болевой синдром при сочетанном развитии мочекаменной болезни или воспалительного процесса.</span></li>\r\n</ul>\r\n<p> </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;\">Дивертикулы являются «подходящим» местом для образования конкрементов или роста опухолей. При отсутствии адекватного и своевременного лечения развивается атрофия стенки органа с возможным ее прорывом и присоединением перитонита.</span></p>",
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"code": "N35",
"name": "Стриктура уретры",
"icd_name": "Стриктура уретры",
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"lead": "Нарушение здоровья, относящееся к группе другие болезни мочевой системы",
"description": "Стриктура уретры – патологическое сужение внутреннего просвета мочеиспускательного канала, приводящее к расстройствам мочеиспускания различной степени выраженности. Мочеиспускание при стриктуре уретры становится затрудненным, частым и болезненным, сопровождается разбрызгиванием струи мочи и чувством неполного опорожнения мочевого пузыря.",
"etiology": "<p>Причинами патологии могут стать: </p>\r\n<ul>\r\n<li>Травмы половых органов. </li>\r\n<li>Перелом пениса. </li>\r\n<li>Проникающие ножевые или огнестрельные ранения передней уретры. </li>\r\n<li>Катетеризации (особенно при длительных операциях). </li>\r\n<li>Хирургические вмешательства. </li>\r\n<li>Переломы таза в результате производственных травм или падений с высоты. </li>\r\n<li>Радикальная простатэктомия. </li>\r\n<li>Венерические заболевания, возбудителями которых становятся трихомонады, хламидии, микоплазмы, гонококки. </li>\r\n<li>Туберкулез половых органов. </li>\r\n<li>Химические повреждений уретры в результате самолечения. </li>\r\n<li>Ухудшение кровоснабжения области половых органов при системном атеросклерозе сосудов или сахарном диабете. </li>\r\n</ul>",
"pathogenesis": "<p>Существует три основные фазы развития патологии: </p>\r\n<ul>\r\n<li>При травмировании переходного эпителия повреждается слизистая оболочка органа; </li>\r\n<li>Из-за присутствия мочи, представляющей собой благодатную среду для микроорганизмов, происходит интенсивное вторичное инфицирование; </li>\r\n<li>Структура внутренних тканей видоизменяется, слизистая заменяется твёрдой рубцовой тканью. </li>\r\n</ul>\r\n<p>Результатом тяжёлой стадии становится большая площадь неэластичной грубой ткани. </p>",
"diagnostics": "<p>У мужчин и женщин обязательными методами диагностики при подозрении на сужение уретры являются: </p>\r\n<ul>\r\n<li>УЗИ уретры – для поиска места расположения и причины стриктуры;</li>\r\n<li>УЗИ мочевого пузыря после опорожнения – для определения остаточной мочи и ее количества; </li>\r\n<li>МРТ или КТ с контрастом – для уточнения вида, размера, локализации стриктуры уретры, особенно необходимы перед операцией;</li>\r\n<li>Уретроскопия – для визуализации внутренних стенок мочеиспускательного канала;</li>\r\n<li>Общий анализ мочи – для оценки работы мочевыделительной системы;</li>\r\n<li>Бакпосев мочи – для исключения инфекционного процесса;</li>\r\n<li>Урофлоуметрия – для анализа скорости опорожнения мочевого пузыря.</li>\r\n</ul>\r\n<p>Также мужчинам делают пальцевое ректальное исследование простаты и прямой кишки для исключения поражения этих органов. </p>",
"treatment": "<p>Существуют различные методы лечения стриктуры уретры, одним из них является бужирование. Процедура предполагает расширение и растягивание уретры с помощью металлического стержня. Такой вид операции показан при единичной, короткой или средней стриктуре. Медики утверждают, что бужирование не предохраняет от рецидива и со временем уретра вновь сузиться. В таком случае повторное лечение таким методом не эффективно и противопоказано. </p>\r\n<p>Уретротомию применяют в том случае, когда стриктура небольшого размера. Процедура проводится с применением цистоскопа, которым рассекают суженную часть органа, затем вставляют металлический стержень. Процедура не спасает от рецидива, после которого операцию такого типа делать нельзя. Самым безопасным является лечение с использованием лазера. Прежде чем начать операцию, следует провести оптическое обследование, а затем проводит хирургическое вмешательство. </p>\r\n<p>При стентировании в участок, где образовалась стриктура, вправляют уретральную пружину или стент, за счет которых происходит расширение отверстия. Стентирование используется в редких случаях, поскольку возможны побочные эффекты. Нередко наблюдается смещение пружины в стороны, что влечет за собой опасные последствия. </p>",
"prevention": "<p>Предупреждение развития стриктуры уретры заключается в профилактике ЗППП, своевременном лечении уретрита под врачебным контролем, осторожном проведении эндоуретральных процедур, исключении травм и других неблагоприятных факторов. Профилактика рецидива стриктуры уретры требует выбора адекватного метода лечения патологии. </p>\r\n<p> </p>",
"clinical_picture": "<p>При стриктурах уретры симптоматика проявляется достаточно быстро и имеет ярко выраженные признаки. В первую очередь пациент жалуется на проблемы с выведением мочи. Это связано с тем, что просвет сужается и не дает урине выходить в полной мере. Со временем проявляются такие признаки: </p>\r\n<ul>\r\n<li>боль в тазовом отделе; </li>\r\n<li>кровянистые выделения при мочеиспускании; </li>\r\n<li>у мужчин кровь в сперме; </li>\r\n<li>выведение урины тонкой струей; </li>\r\n<li>болезненное мочеиспускание; </li>\r\n<li>ощущение переполненного мочевого пузыря; </li>\r\n<li>сокращение количества урины. </li>\r\n</ul>\r\n<p>В тяжелых случаях наблюдается выведение урины несколькими каплями или вовсе прекращается процесс мочеиспускания за счет закупорки просвета. При появлении вышеперечисленных признаков, следует как можно скорее обратиться за медицинской помощью, поскольку осложнения стриктуры уретры крайне опасны и грозят непоправимыми последствиями. </p>",
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