Лучшие акушер-гинекологи, отзывы
По вашему запросу найдено 89 врачей
Ами Амит
64 года /
Профессор /
Общий стаж 45 лет
Заведующий отделением экстракорпорального оплодотворения ЭКО \ IVR. Является сооснователем первого центра экстракорпорального оплодотворения в Израиле
Получить консультацию
Михал Куницки
63 года /
Кандидат медицинских наук /
Общий стаж 42 года
Михал Куницки - квалифицированный специалист в области акушерства и гинекологии
Получить консультацию
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string(73) "Важная информация По статистике, ЭКО за рубежом дает положительный результат после первой процедуры в 30-50% случаев. Такая результативность объясняется высочайшим уровнем репродуктивных технологий. При этом обследованием, подготовкой и непосредственным проведением ИКСИ и переноса эмбрионов здесь занимаются специалисты выделенных институтов.
По отзывам, основным преимуществом ЭКО за рубежом относятся индивидуализация и высокий уровень программ репродукции, выгодные условия работы с иностранными пациентами, новейшие ВРТ-технологии, лояльность к однополым парам и прогрессивное законодательство, регламентирующее количество ооцитов для инсеминации.
Сколько стоит ЭКО за границей? Стоимость ЭКО существенно различается от страны к стране, например, в Испании финансовые условия одни из наиболее демократичных в Европе, но на итоговую цену влияет сложность конкретного случая, необходимость использования донорской яйцеклетки или повторной попытки.
Методы диагностики и лечения Традиционная схема ЭКО включает 6 этапов:
обследование (базовые лабораторные тесты и генетическая диагностика); индукция овуляции и фолликулярная пункция; оплодотворение эмбриона (ИКСИ); выращивание эмбрионов; подсадка эмбрионов и поддержание лютеиновой фазы; итоговый тест на беременность по ХГЧ-анализу крови через 10 дней после трансплантации эмбрионов Важная информация По статистике, ЭКО за рубежом дает положительный результат после первой процедуры в 30-50% случаев. Такая результативность объясняется высочайшим уровнем репродуктивных технологий. При этом обследованием, подготовкой и непосредственным проведением ИКСИ и переноса эмбрионов здесь занимаются специалисты выделенных институтов.
По отзывам, основным преимуществом ЭКО за рубежом относятся индивидуализация и высокий уровень программ репродукции, выгодные условия работы с иностранными пациентами, новейшие ВРТ-технологии, лояльность к однополым парам и прогрессивное законодательство, регламентирующее количество ооцитов для инсеминации.
Сколько стоит ЭКО за границей? Стоимость ЭКО существенно различается от страны к стране, например, в Испании финансовые условия одни из наиболее демократичных в Европе, но на итоговую цену влияет сложность конкретного случая, необходимость использования донорской яйцеклетки или повторной попытки.
Методы диагностики и лечения Традиционная схема ЭКО включает 6 этапов:
обследование (базовые лабораторные тесты и генетическая диагностика); индукция овуляции и фолликулярная пункция; оплодотворение эмбриона (ИКСИ); выращивание эмбрионов; подсадка эмбрионов и поддержание лютеиновой фазы; итоговый тест на беременность по ХГЧ-анализу крови через 10 дней после трансплантации эмбрионов Общая информация Роды за рубежомвыбирают все больше семей, и это объяснимо, учитывая высокий уровень акушерства в этой стране и множество положительных отзывов на просторах интернета. Даже если беременность протекает нормально, хочется, чтобы ребенок появился на свет под контролем квалифицированных специалистов. При патологии беременности и возможных осложнениях в родах причин обратиться в клинику с надежной репутацией становится еще больше.
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Гинекология за границей предоставляет широкие возможности для качественной диагностики и грамотного лечения любых заболеваний женской репродуктивной системы, включая нарушения менструального цикла, воспалительные процессы матки и придатков, бесплодие, эндометриоз, патологии молочной железы, доброкачественные и злокачественные опухоли органов половой сферы.
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Медикаментозная терапия . Многие заболевания женской половой системы успешно поддаются лекарственному лечению. В зависимости от характера патологии могут быть назначены:
гормональные препараты – для нормализации функций эндокринной системы и восстановления гормонального баланса. Они также могут использоваться для препятствования формированию спаек в брюшной полости и области малого таза;нестероидные противовоспалительные средства – для устранения воспалительных процессов;антибиотики, противовирусные и противогрибковые препараты – для лечения инфекционных заболеваний и их последствий. Лазерная терапия . Один из самых действенных и безопасных методов, с помощью которого проводят лечение гинекологических заболеваний за рубежом. Он эффективно устраняет различные патологии шейки матки, в том числе склонные к злокачественной трансформации, новообразования придатков, хронические воспалительные процессы и т.д. В основе метода лежит воздействие на патологически измененные ткани лазерным лучом, направление и мощность которого врач регулирует самостоятельно, чем обеспечивает высокую точность и безопасность процедуры.
Манипуляция безболезненна, бескровна и не требует восстановления.
Криодеструкция . Современный безоперационный метод, заключающийся в разрушении пораженных тканей органов женской половой системы путем воздействия на них сверхнизкими температурами, которые достигаются с помощью жидкого азота. В результате мгновенного охлаждения происходит кристаллизация внутриклеточной и межклеточной жидкости – аномальные клетки замораживаются и погибают, после чего выводятся из организма естественным путем в течение двух-трех месяцев.
Эту эффективную и безопасную процедуру широко применяют в терапии дисплазии, эрозии, эктопии, лейкоплакии и кисты шейки матки, цервицита, кондилом и иных гинекологических патологий.
Радиоволновая терапия . Еще одна щадящая методика лечения различных патологий шейки матки, в частности у женщин, планирующих в будущем беременность, которую активно используют гинекологические клиники за границей. Безболезненное уничтожение дефектных участков ткани происходит благодаря направленному воздействию высокочастотных волн, энергия которых нагревает и испаряет их клетки. Обработанные таким образом ткани восстанавливаются в кратчайшие сроки. Риск кровотечений и постпроцедурных осложнений при этом полностью отсутствует.
Для проведения радиоволновой терапии используется специальный аппарат, позволяющий разрушить патологические клетки без повреждения здоровой ткани. В ходе манипуляции он одновременно дезинфицирует и коагулирует вскрывшиеся сосуды, благодаря чему этот метод более эффективен и безопасен в сравнении с прижиганием, к тому же не оставляет рубцов.
Фокусированный ультразвук высокой интенсивности (HIFU) . Неинвазивный органосохраняющий метод устранения небольших доброкачественных опухолей органов женской репродуктивной системы, в том числе миомы матки. Он использует энергию высокочастотного сфокусированного ультразвука для местного нагревания и разрушения поврежденных участков ткани с последующей термической коагуляцией. HIFU отличается высокой точностью воздействия, благодаря которой здоровые клетки, расположенные по соседству с патологическим очагом, остаются невредимыми.
Найти опухолевый узел помогает специальный ультразвуковой датчик, после чего врач задает через компьютер необходимые параметры: локализацию и размер миомы, интенсивность волн и температуру, требуемую для разрушения патологических тканей.
Эмболизация маточных артерий . Как и HIFU, используется в основном для безопасного уничтожения миоматозных узлов матки. Подразумевает искусственное перекрытие кровотока в маточных артериях при помощи эмболизирующих микрочастиц, выполненных из специального медицинского полимера. Введенные через небольшой катетер, они закупоривают просвет артерий, которые питают опухолевое образование в тканях матки, вследствие чего миома лишается питания и некротизируется.
Лапароскопия . Современный хирургический метод, который используется в качестве альтернативы традиционной хирургии. Абсолютное большинство операций, которые специалисты зарубежных клиник выполняют для устранения гинекологических патологий, проводят именно лапароскопически – через три сантиметровых прокола в брюшной стенке и стенке влагалища. Такие вмешательства гораздо менее травматичны, не сопровождаются осложнениями, не оставляют грубых эстетических дефектов на теле женщины и не требуют длительного восстановления.
Лапароскопическим методом, в частности, удаляют спайки, полипы, доброкачественные и злокачественные опухоли женских половых органов, лечат эндометриоз, восстанавливают проходимость фаллопиевых труб и т.д.
Передовые способы диагностики в гинекологии Успешность любого лечения напрямую зависит от качества диагностики. Чтобы обеспечить своим пациенткам наилучший результат, гинекология за рубежом использует самые точные, информативные и безопасные диагностические методы. Они позволяют с высокой степенью достоверности установить характер и причину патологии, определить ее особенности и подобрать наиболее оптимальную схему терапии.
Диагностическая программа в большинстве зарубежных клиник включает в себя три этапа, которые реализуются за несколько рабочих дней.
Этап 1. Консультация гинеколога и первичный осмотр Как только пациентка прибывает в страну, она в тот же день отправляется в больницу на прием к ведущему специалисту гинекологического отделения. Врач выслушивает ее жалобы, расспрашивает о характере и интенсивности симптомов, изучает привезенную медицинскую документацию с результатами уже пройденных исследований и проводит гинекологический осмотр. На основе собранной информации он определяет список диагностических проверок, которые необходимы для уточнения предварительного диагноза.
Этап 2. Обследование Диагностика при гинекологических заболеваниях может включать в себя:
колькоскопию – метод исследования слизистой оболочки шейки матки с помощью специального оптического прибора, позволяющий выявить патологические изменения;гистероскопию – используется для оценки состояния эндометрия и полости матки, а также цервикального канала; гистеросальпингографию – рентгеноконтрастное исследование полости матки и маточных труб, которое дает возможность выявить аномальные изменения в полости матки, непроходимость фаллопиевых труб, наличие спаечного процесса;ультразвуковое исследование органов малого таза;компьютерную и магнитно-резонансную томографию , которые незаменимы при диагностике злокачественных опухолей женской репродуктивной системы;биопсию с последующим гистологическим и цитологическим исследованием образца;лабораторные исследования крови . Этап 3. Утверждение терапевтической тактики Как только результаты обследований готовы, их передают на рассмотрение консилиума, состоящего из специалистов разного профиля (в зависимости от характера патологии). Они тщательно анализируют полученные данные, обсуждают возможные варианты лечения и в итоге согласовывают оптимальный терапевтический план.
Стоимость лечения гинекологических заболеваний за границей Цена медицинских услуг будет разниться, в зависимости от характера гинекологического заболевания, его тяжести, задействованных терапевтических методик, вида и количества понадобившихся обследований, необходимости хирургического вмешательства и его сложности, стоимости используемых фармакологических препаратов, числа привлеченных специалистов и множества других факторов. Обычно итоговую цену врачи зарубежных медцентров называют только после того, как выполнят нужные диагностические проверки и утвердят программу терапии.
На размер стоимости не в последнюю очередь и влияет страна, которая была выбрана для прохождения лечения. При аналогичном качестве медицинского обслуживания дороже всего оно обойдется в Западной Европе, Америке и Канаде, дешевле – в Израиле: разница в цене услуг между этими странами составляет порядка 30–50%.
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string(1803) "Гинекологические клиники за границей славятся безупречным качеством медицинского обслуживания и высоким уровнем сервиса. Каждый год для эффективного решения проблем с женским здоровьем за рубеж отправляются десятки тысяч представительниц прекрасного пола, желающих получить высокопрофессиональную врачебную помощь за разумные деньги. Их привлекает международный авторитет, высокая квалификация и внушительный опыт зарубежных специалистов, суперсовременное оснащение гинекологических отделений, доступ к прогрессивным лечебно-диагностическим методикам и инновационным лекарственным препаратам.
Гинекология за границей предоставляет широкие возможности для качественной диагностики и грамотного лечения любых заболеваний женской репродуктивной системы, включая нарушения менструального цикла, воспалительные процессы матки и придатков, бесплодие, эндометриоз, патологии молочной железы, доброкачественные и злокачественные опухоли органов половой сферы.
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["description"]=>
string(16042) "Современные методы лечения гинекологических заболеваний за рубежом Гинекологи ведущих клиник мира в своей практике используют только проверенные терапевтические методики с доказанной эффективностью. При этом они отдают предпочтение безоперационным вариантам лечения, а если ситуация требует хирургического вмешательства, делают выбор в пользу щадящих техник, позволяющих сохранить максимальный объем здоровых тканей.
Медикаментозная терапия . Многие заболевания женской половой системы успешно поддаются лекарственному лечению. В зависимости от характера патологии могут быть назначены:
гормональные препараты – для нормализации функций эндокринной системы и восстановления гормонального баланса. Они также могут использоваться для препятствования формированию спаек в брюшной полости и области малого таза;нестероидные противовоспалительные средства – для устранения воспалительных процессов;антибиотики, противовирусные и противогрибковые препараты – для лечения инфекционных заболеваний и их последствий. Лазерная терапия . Один из самых действенных и безопасных методов, с помощью которого проводят лечение гинекологических заболеваний за рубежом. Он эффективно устраняет различные патологии шейки матки, в том числе склонные к злокачественной трансформации, новообразования придатков, хронические воспалительные процессы и т.д. В основе метода лежит воздействие на патологически измененные ткани лазерным лучом, направление и мощность которого врач регулирует самостоятельно, чем обеспечивает высокую точность и безопасность процедуры.
Манипуляция безболезненна, бескровна и не требует восстановления.
Криодеструкция . Современный безоперационный метод, заключающийся в разрушении пораженных тканей органов женской половой системы путем воздействия на них сверхнизкими температурами, которые достигаются с помощью жидкого азота. В результате мгновенного охлаждения происходит кристаллизация внутриклеточной и межклеточной жидкости – аномальные клетки замораживаются и погибают, после чего выводятся из организма естественным путем в течение двух-трех месяцев.
Эту эффективную и безопасную процедуру широко применяют в терапии дисплазии, эрозии, эктопии, лейкоплакии и кисты шейки матки, цервицита, кондилом и иных гинекологических патологий.
Радиоволновая терапия . Еще одна щадящая методика лечения различных патологий шейки матки, в частности у женщин, планирующих в будущем беременность, которую активно используют гинекологические клиники за границей. Безболезненное уничтожение дефектных участков ткани происходит благодаря направленному воздействию высокочастотных волн, энергия которых нагревает и испаряет их клетки. Обработанные таким образом ткани восстанавливаются в кратчайшие сроки. Риск кровотечений и постпроцедурных осложнений при этом полностью отсутствует.
Для проведения радиоволновой терапии используется специальный аппарат, позволяющий разрушить патологические клетки без повреждения здоровой ткани. В ходе манипуляции он одновременно дезинфицирует и коагулирует вскрывшиеся сосуды, благодаря чему этот метод более эффективен и безопасен в сравнении с прижиганием, к тому же не оставляет рубцов.
Фокусированный ультразвук высокой интенсивности (HIFU) . Неинвазивный органосохраняющий метод устранения небольших доброкачественных опухолей органов женской репродуктивной системы, в том числе миомы матки. Он использует энергию высокочастотного сфокусированного ультразвука для местного нагревания и разрушения поврежденных участков ткани с последующей термической коагуляцией. HIFU отличается высокой точностью воздействия, благодаря которой здоровые клетки, расположенные по соседству с патологическим очагом, остаются невредимыми.
Найти опухолевый узел помогает специальный ультразвуковой датчик, после чего врач задает через компьютер необходимые параметры: локализацию и размер миомы, интенсивность волн и температуру, требуемую для разрушения патологических тканей.
Эмболизация маточных артерий . Как и HIFU, используется в основном для безопасного уничтожения миоматозных узлов матки. Подразумевает искусственное перекрытие кровотока в маточных артериях при помощи эмболизирующих микрочастиц, выполненных из специального медицинского полимера. Введенные через небольшой катетер, они закупоривают просвет артерий, которые питают опухолевое образование в тканях матки, вследствие чего миома лишается питания и некротизируется.
Лапароскопия . Современный хирургический метод, который используется в качестве альтернативы традиционной хирургии. Абсолютное большинство операций, которые специалисты зарубежных клиник выполняют для устранения гинекологических патологий, проводят именно лапароскопически – через три сантиметровых прокола в брюшной стенке и стенке влагалища. Такие вмешательства гораздо менее травматичны, не сопровождаются осложнениями, не оставляют грубых эстетических дефектов на теле женщины и не требуют длительного восстановления.
Лапароскопическим методом, в частности, удаляют спайки, полипы, доброкачественные и злокачественные опухоли женских половых органов, лечат эндометриоз, восстанавливают проходимость фаллопиевых труб и т.д.
Передовые способы диагностики в гинекологии Успешность любого лечения напрямую зависит от качества диагностики. Чтобы обеспечить своим пациенткам наилучший результат, гинекология за рубежом использует самые точные, информативные и безопасные диагностические методы. Они позволяют с высокой степенью достоверности установить характер и причину патологии, определить ее особенности и подобрать наиболее оптимальную схему терапии.
Диагностическая программа в большинстве зарубежных клиник включает в себя три этапа, которые реализуются за несколько рабочих дней.
Этап 1. Консультация гинеколога и первичный осмотр Как только пациентка прибывает в страну, она в тот же день отправляется в больницу на прием к ведущему специалисту гинекологического отделения. Врач выслушивает ее жалобы, расспрашивает о характере и интенсивности симптомов, изучает привезенную медицинскую документацию с результатами уже пройденных исследований и проводит гинекологический осмотр. На основе собранной информации он определяет список диагностических проверок, которые необходимы для уточнения предварительного диагноза.
Этап 2. Обследование Диагностика при гинекологических заболеваниях может включать в себя:
колькоскопию – метод исследования слизистой оболочки шейки матки с помощью специального оптического прибора, позволяющий выявить патологические изменения;гистероскопию – используется для оценки состояния эндометрия и полости матки, а также цервикального канала; гистеросальпингографию – рентгеноконтрастное исследование полости матки и маточных труб, которое дает возможность выявить аномальные изменения в полости матки, непроходимость фаллопиевых труб, наличие спаечного процесса;ультразвуковое исследование органов малого таза;компьютерную и магнитно-резонансную томографию , которые незаменимы при диагностике злокачественных опухолей женской репродуктивной системы;биопсию с последующим гистологическим и цитологическим исследованием образца;лабораторные исследования крови . Этап 3. Утверждение терапевтической тактики Как только результаты обследований готовы, их передают на рассмотрение консилиума, состоящего из специалистов разного профиля (в зависимости от характера патологии). Они тщательно анализируют полученные данные, обсуждают возможные варианты лечения и в итоге согласовывают оптимальный терапевтический план.
Стоимость лечения гинекологических заболеваний за границей Цена медицинских услуг будет разниться, в зависимости от характера гинекологического заболевания, его тяжести, задействованных терапевтических методик, вида и количества понадобившихся обследований, необходимости хирургического вмешательства и его сложности, стоимости используемых фармакологических препаратов, числа привлеченных специалистов и множества других факторов. Обычно итоговую цену врачи зарубежных медцентров называют только после того, как выполнят нужные диагностические проверки и утвердят программу терапии.
На размер стоимости не в последнюю очередь и влияет страна, которая была выбрана для прохождения лечения. При аналогичном качестве медицинского обслуживания дороже всего оно обойдется в Западной Европе, Америке и Канаде, дешевле – в Израиле: разница в цене услуг между этими странами составляет порядка 30–50%.
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Гинекология за границей предоставляет широкие возможности для качественной диагностики и грамотного лечения любых заболеваний женской репродуктивной системы, включая нарушения менструального цикла, воспалительные процессы матки и придатков, бесплодие, эндометриоз, патологии молочной железы, доброкачественные и злокачественные опухоли органов половой сферы.
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Медикаментозная терапия . Многие заболевания женской половой системы успешно поддаются лекарственному лечению. В зависимости от характера патологии могут быть назначены:
гормональные препараты – для нормализации функций эндокринной системы и восстановления гормонального баланса. Они также могут использоваться для препятствования формированию спаек в брюшной полости и области малого таза;нестероидные противовоспалительные средства – для устранения воспалительных процессов;антибиотики, противовирусные и противогрибковые препараты – для лечения инфекционных заболеваний и их последствий. Лазерная терапия . Один из самых действенных и безопасных методов, с помощью которого проводят лечение гинекологических заболеваний за рубежом. Он эффективно устраняет различные патологии шейки матки, в том числе склонные к злокачественной трансформации, новообразования придатков, хронические воспалительные процессы и т.д. В основе метода лежит воздействие на патологически измененные ткани лазерным лучом, направление и мощность которого врач регулирует самостоятельно, чем обеспечивает высокую точность и безопасность процедуры.
Манипуляция безболезненна, бескровна и не требует восстановления.
Криодеструкция . Современный безоперационный метод, заключающийся в разрушении пораженных тканей органов женской половой системы путем воздействия на них сверхнизкими температурами, которые достигаются с помощью жидкого азота. В результате мгновенного охлаждения происходит кристаллизация внутриклеточной и межклеточной жидкости – аномальные клетки замораживаются и погибают, после чего выводятся из организма естественным путем в течение двух-трех месяцев.
Эту эффективную и безопасную процедуру широко применяют в терапии дисплазии, эрозии, эктопии, лейкоплакии и кисты шейки матки, цервицита, кондилом и иных гинекологических патологий.
Радиоволновая терапия . Еще одна щадящая методика лечения различных патологий шейки матки, в частности у женщин, планирующих в будущем беременность, которую активно используют гинекологические клиники за границей. Безболезненное уничтожение дефектных участков ткани происходит благодаря направленному воздействию высокочастотных волн, энергия которых нагревает и испаряет их клетки. Обработанные таким образом ткани восстанавливаются в кратчайшие сроки. Риск кровотечений и постпроцедурных осложнений при этом полностью отсутствует.
Для проведения радиоволновой терапии используется специальный аппарат, позволяющий разрушить патологические клетки без повреждения здоровой ткани. В ходе манипуляции он одновременно дезинфицирует и коагулирует вскрывшиеся сосуды, благодаря чему этот метод более эффективен и безопасен в сравнении с прижиганием, к тому же не оставляет рубцов.
Фокусированный ультразвук высокой интенсивности (HIFU) . Неинвазивный органосохраняющий метод устранения небольших доброкачественных опухолей органов женской репродуктивной системы, в том числе миомы матки. Он использует энергию высокочастотного сфокусированного ультразвука для местного нагревания и разрушения поврежденных участков ткани с последующей термической коагуляцией. HIFU отличается высокой точностью воздействия, благодаря которой здоровые клетки, расположенные по соседству с патологическим очагом, остаются невредимыми.
Найти опухолевый узел помогает специальный ультразвуковой датчик, после чего врач задает через компьютер необходимые параметры: локализацию и размер миомы, интенсивность волн и температуру, требуемую для разрушения патологических тканей.
Эмболизация маточных артерий . Как и HIFU, используется в основном для безопасного уничтожения миоматозных узлов матки. Подразумевает искусственное перекрытие кровотока в маточных артериях при помощи эмболизирующих микрочастиц, выполненных из специального медицинского полимера. Введенные через небольшой катетер, они закупоривают просвет артерий, которые питают опухолевое образование в тканях матки, вследствие чего миома лишается питания и некротизируется.
Лапароскопия . Современный хирургический метод, который используется в качестве альтернативы традиционной хирургии. Абсолютное большинство операций, которые специалисты зарубежных клиник выполняют для устранения гинекологических патологий, проводят именно лапароскопически – через три сантиметровых прокола в брюшной стенке и стенке влагалища. Такие вмешательства гораздо менее травматичны, не сопровождаются осложнениями, не оставляют грубых эстетических дефектов на теле женщины и не требуют длительного восстановления.
Лапароскопическим методом, в частности, удаляют спайки, полипы, доброкачественные и злокачественные опухоли женских половых органов, лечат эндометриоз, восстанавливают проходимость фаллопиевых труб и т.д.
Передовые способы диагностики в гинекологии Успешность любого лечения напрямую зависит от качества диагностики. Чтобы обеспечить своим пациенткам наилучший результат, гинекология за рубежом использует самые точные, информативные и безопасные диагностические методы. Они позволяют с высокой степенью достоверности установить характер и причину патологии, определить ее особенности и подобрать наиболее оптимальную схему терапии.
Диагностическая программа в большинстве зарубежных клиник включает в себя три этапа, которые реализуются за несколько рабочих дней.
Этап 1. Консультация гинеколога и первичный осмотр Как только пациентка прибывает в страну, она в тот же день отправляется в больницу на прием к ведущему специалисту гинекологического отделения. Врач выслушивает ее жалобы, расспрашивает о характере и интенсивности симптомов, изучает привезенную медицинскую документацию с результатами уже пройденных исследований и проводит гинекологический осмотр. На основе собранной информации он определяет список диагностических проверок, которые необходимы для уточнения предварительного диагноза.
Этап 2. Обследование Диагностика при гинекологических заболеваниях может включать в себя:
колькоскопию – метод исследования слизистой оболочки шейки матки с помощью специального оптического прибора, позволяющий выявить патологические изменения;гистероскопию – используется для оценки состояния эндометрия и полости матки, а также цервикального канала; гистеросальпингографию – рентгеноконтрастное исследование полости матки и маточных труб, которое дает возможность выявить аномальные изменения в полости матки, непроходимость фаллопиевых труб, наличие спаечного процесса;ультразвуковое исследование органов малого таза;компьютерную и магнитно-резонансную томографию , которые незаменимы при диагностике злокачественных опухолей женской репродуктивной системы;биопсию с последующим гистологическим и цитологическим исследованием образца;лабораторные исследования крови . Этап 3. Утверждение терапевтической тактики Как только результаты обследований готовы, их передают на рассмотрение консилиума, состоящего из специалистов разного профиля (в зависимости от характера патологии). Они тщательно анализируют полученные данные, обсуждают возможные варианты лечения и в итоге согласовывают оптимальный терапевтический план.
Стоимость лечения гинекологических заболеваний за границей Цена медицинских услуг будет разниться, в зависимости от характера гинекологического заболевания, его тяжести, задействованных терапевтических методик, вида и количества понадобившихся обследований, необходимости хирургического вмешательства и его сложности, стоимости используемых фармакологических препаратов, числа привлеченных специалистов и множества других факторов. Обычно итоговую цену врачи зарубежных медцентров называют только после того, как выполнят нужные диагностические проверки и утвердят программу терапии.
На размер стоимости не в последнюю очередь и влияет страна, которая была выбрана для прохождения лечения. При аналогичном качестве медицинского обслуживания дороже всего оно обойдется в Западной Европе, Америке и Канаде, дешевле – в Израиле: разница в цене услуг между этими странами составляет порядка 30–50%.
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string(1803) "Гинекологические клиники за границей славятся безупречным качеством медицинского обслуживания и высоким уровнем сервиса. Каждый год для эффективного решения проблем с женским здоровьем за рубеж отправляются десятки тысяч представительниц прекрасного пола, желающих получить высокопрофессиональную врачебную помощь за разумные деньги. Их привлекает международный авторитет, высокая квалификация и внушительный опыт зарубежных специалистов, суперсовременное оснащение гинекологических отделений, доступ к прогрессивным лечебно-диагностическим методикам и инновационным лекарственным препаратам.
Гинекология за границей предоставляет широкие возможности для качественной диагностики и грамотного лечения любых заболеваний женской репродуктивной системы, включая нарушения менструального цикла, воспалительные процессы матки и придатков, бесплодие, эндометриоз, патологии молочной железы, доброкачественные и злокачественные опухоли органов половой сферы.
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["description"]=>
string(16042) "Современные методы лечения гинекологических заболеваний за рубежом Гинекологи ведущих клиник мира в своей практике используют только проверенные терапевтические методики с доказанной эффективностью. При этом они отдают предпочтение безоперационным вариантам лечения, а если ситуация требует хирургического вмешательства, делают выбор в пользу щадящих техник, позволяющих сохранить максимальный объем здоровых тканей.
Медикаментозная терапия . Многие заболевания женской половой системы успешно поддаются лекарственному лечению. В зависимости от характера патологии могут быть назначены:
гормональные препараты – для нормализации функций эндокринной системы и восстановления гормонального баланса. Они также могут использоваться для препятствования формированию спаек в брюшной полости и области малого таза;нестероидные противовоспалительные средства – для устранения воспалительных процессов;антибиотики, противовирусные и противогрибковые препараты – для лечения инфекционных заболеваний и их последствий. Лазерная терапия . Один из самых действенных и безопасных методов, с помощью которого проводят лечение гинекологических заболеваний за рубежом. Он эффективно устраняет различные патологии шейки матки, в том числе склонные к злокачественной трансформации, новообразования придатков, хронические воспалительные процессы и т.д. В основе метода лежит воздействие на патологически измененные ткани лазерным лучом, направление и мощность которого врач регулирует самостоятельно, чем обеспечивает высокую точность и безопасность процедуры.
Манипуляция безболезненна, бескровна и не требует восстановления.
Криодеструкция . Современный безоперационный метод, заключающийся в разрушении пораженных тканей органов женской половой системы путем воздействия на них сверхнизкими температурами, которые достигаются с помощью жидкого азота. В результате мгновенного охлаждения происходит кристаллизация внутриклеточной и межклеточной жидкости – аномальные клетки замораживаются и погибают, после чего выводятся из организма естественным путем в течение двух-трех месяцев.
Эту эффективную и безопасную процедуру широко применяют в терапии дисплазии, эрозии, эктопии, лейкоплакии и кисты шейки матки, цервицита, кондилом и иных гинекологических патологий.
Радиоволновая терапия . Еще одна щадящая методика лечения различных патологий шейки матки, в частности у женщин, планирующих в будущем беременность, которую активно используют гинекологические клиники за границей. Безболезненное уничтожение дефектных участков ткани происходит благодаря направленному воздействию высокочастотных волн, энергия которых нагревает и испаряет их клетки. Обработанные таким образом ткани восстанавливаются в кратчайшие сроки. Риск кровотечений и постпроцедурных осложнений при этом полностью отсутствует.
Для проведения радиоволновой терапии используется специальный аппарат, позволяющий разрушить патологические клетки без повреждения здоровой ткани. В ходе манипуляции он одновременно дезинфицирует и коагулирует вскрывшиеся сосуды, благодаря чему этот метод более эффективен и безопасен в сравнении с прижиганием, к тому же не оставляет рубцов.
Фокусированный ультразвук высокой интенсивности (HIFU) . Неинвазивный органосохраняющий метод устранения небольших доброкачественных опухолей органов женской репродуктивной системы, в том числе миомы матки. Он использует энергию высокочастотного сфокусированного ультразвука для местного нагревания и разрушения поврежденных участков ткани с последующей термической коагуляцией. HIFU отличается высокой точностью воздействия, благодаря которой здоровые клетки, расположенные по соседству с патологическим очагом, остаются невредимыми.
Найти опухолевый узел помогает специальный ультразвуковой датчик, после чего врач задает через компьютер необходимые параметры: локализацию и размер миомы, интенсивность волн и температуру, требуемую для разрушения патологических тканей.
Эмболизация маточных артерий . Как и HIFU, используется в основном для безопасного уничтожения миоматозных узлов матки. Подразумевает искусственное перекрытие кровотока в маточных артериях при помощи эмболизирующих микрочастиц, выполненных из специального медицинского полимера. Введенные через небольшой катетер, они закупоривают просвет артерий, которые питают опухолевое образование в тканях матки, вследствие чего миома лишается питания и некротизируется.
Лапароскопия . Современный хирургический метод, который используется в качестве альтернативы традиционной хирургии. Абсолютное большинство операций, которые специалисты зарубежных клиник выполняют для устранения гинекологических патологий, проводят именно лапароскопически – через три сантиметровых прокола в брюшной стенке и стенке влагалища. Такие вмешательства гораздо менее травматичны, не сопровождаются осложнениями, не оставляют грубых эстетических дефектов на теле женщины и не требуют длительного восстановления.
Лапароскопическим методом, в частности, удаляют спайки, полипы, доброкачественные и злокачественные опухоли женских половых органов, лечат эндометриоз, восстанавливают проходимость фаллопиевых труб и т.д.
Передовые способы диагностики в гинекологии Успешность любого лечения напрямую зависит от качества диагностики. Чтобы обеспечить своим пациенткам наилучший результат, гинекология за рубежом использует самые точные, информативные и безопасные диагностические методы. Они позволяют с высокой степенью достоверности установить характер и причину патологии, определить ее особенности и подобрать наиболее оптимальную схему терапии.
Диагностическая программа в большинстве зарубежных клиник включает в себя три этапа, которые реализуются за несколько рабочих дней.
Этап 1. Консультация гинеколога и первичный осмотр Как только пациентка прибывает в страну, она в тот же день отправляется в больницу на прием к ведущему специалисту гинекологического отделения. Врач выслушивает ее жалобы, расспрашивает о характере и интенсивности симптомов, изучает привезенную медицинскую документацию с результатами уже пройденных исследований и проводит гинекологический осмотр. На основе собранной информации он определяет список диагностических проверок, которые необходимы для уточнения предварительного диагноза.
Этап 2. Обследование Диагностика при гинекологических заболеваниях может включать в себя:
колькоскопию – метод исследования слизистой оболочки шейки матки с помощью специального оптического прибора, позволяющий выявить патологические изменения;гистероскопию – используется для оценки состояния эндометрия и полости матки, а также цервикального канала; гистеросальпингографию – рентгеноконтрастное исследование полости матки и маточных труб, которое дает возможность выявить аномальные изменения в полости матки, непроходимость фаллопиевых труб, наличие спаечного процесса;ультразвуковое исследование органов малого таза;компьютерную и магнитно-резонансную томографию , которые незаменимы при диагностике злокачественных опухолей женской репродуктивной системы;биопсию с последующим гистологическим и цитологическим исследованием образца;лабораторные исследования крови . Этап 3. Утверждение терапевтической тактики Как только результаты обследований готовы, их передают на рассмотрение консилиума, состоящего из специалистов разного профиля (в зависимости от характера патологии). Они тщательно анализируют полученные данные, обсуждают возможные варианты лечения и в итоге согласовывают оптимальный терапевтический план.
Стоимость лечения гинекологических заболеваний за границей Цена медицинских услуг будет разниться, в зависимости от характера гинекологического заболевания, его тяжести, задействованных терапевтических методик, вида и количества понадобившихся обследований, необходимости хирургического вмешательства и его сложности, стоимости используемых фармакологических препаратов, числа привлеченных специалистов и множества других факторов. Обычно итоговую цену врачи зарубежных медцентров называют только после того, как выполнят нужные диагностические проверки и утвердят программу терапии.
На размер стоимости не в последнюю очередь и влияет страна, которая была выбрана для прохождения лечения. При аналогичном качестве медицинского обслуживания дороже всего оно обойдется в Западной Европе, Америке и Канаде, дешевле – в Израиле: разница в цене услуг между этими странами составляет порядка 30–50%.
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xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx"
["_hhvmException":"yii\base\ErrorHandler":private]=>
NULL
["_events":"yii\base\Component":private]=>
array(0) {
}
["_eventWildcards":"yii\base\Component":private]=>
array(0) {
}
["_behaviors":"yii\base\Component":private]=>
NULL
}
["request"]=>
object(yii\web\Request)#9 (34) {
["enableCsrfValidation"]=>
bool(false)
["csrfParam"]=>
string(5) "_csrf"
["csrfCookie"]=>
array(1) {
["httpOnly"]=>
bool(true)
}
["enableCsrfCookie"]=>
bool(true)
["enableCookieValidation"]=>
bool(false)
["cookieValidationKey"]=>
string(32) "szRDj2ALlUXe91N9_-EOjbldVBEZdJ9A"
["methodParam"]=>
string(7) "_method"
["parsers"]=>
array(0) {
}
["trustedHosts"]=>
array(0) {
}
["secureHeaders"]=>
array(5) {
[0]=>
string(15) "X-Forwarded-For"
[1]=>
string(16) "X-Forwarded-Host"
[2]=>
string(17) "X-Forwarded-Proto"
[3]=>
string(15) "Front-End-Https"
[4]=>
string(13) "X-Rewrite-Url"
}
["ipHeaders"]=>
array(1) {
[0]=>
string(15) "X-Forwarded-For"
}
["secureProtocolHeaders"]=>
array(2) {
["X-Forwarded-Proto"]=>
array(1) {
[0]=>
string(5) "https"
}
["Front-End-Https"]=>
array(1) {
[0]=>
string(2) "on"
}
}
["_cookies":"yii\web\Request":private]=>
NULL
["_headers":"yii\web\Request":private]=>
object(yii\web\HeaderCollection)#57 (1) {
["_headers":"yii\web\HeaderCollection":private]=>
array(7) {
["referer"]=>
array(1) {
[0]=>
string(43) "http://docland.ru/doctors/akusher-ginekolog"
}
["accept-encoding"]=>
array(1) {
[0]=>
string(23) "gzip, br, zstd, deflate"
}
["user-agent"]=>
array(1) {
[0]=>
string(103) "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
}
["accept"]=>
array(1) {
[0]=>
string(3) "*/*"
}
["host"]=>
array(1) {
[0]=>
string(10) "docland.ru"
}
["content-length"]=>
array(1) {
[0]=>
string(0) ""
}
["content-type"]=>
array(1) {
[0]=>
string(0) ""
}
}
}
["_rawBody":"yii\web\Request":private]=>
NULL
["_bodyParams":"yii\web\Request":private]=>
NULL
["_queryParams":"yii\web\Request":private]=>
NULL
["_hostInfo":"yii\web\Request":private]=>
string(18) "https://docland.ru"
["_hostName":"yii\web\Request":private]=>
NULL
["_baseUrl":"yii\web\Request":private]=>
string(0) ""
["_scriptUrl":"yii\web\Request":private]=>
string(10) "/index.php"
["_scriptFile":"yii\web\Request":private]=>
NULL
["_pathInfo":"yii\web\Request":private]=>
string(25) "doctors/akusher-ginekolog"
["_url":"yii\web\Request":private]=>
string(26) "/doctors/akusher-ginekolog"
["_port":"yii\web\Request":private]=>
NULL
["_securePort":"yii\web\Request":private]=>
NULL
["_contentTypes":"yii\web\Request":private]=>
NULL
["_languages":"yii\web\Request":private]=>
NULL
["_csrfToken":"yii\web\Request":private]=>
NULL
["_isConsoleRequest":"yii\base\Request":private]=>
NULL
["_events":"yii\base\Component":private]=>
array(0) {
}
["_eventWildcards":"yii\base\Component":private]=>
array(0) {
}
["_behaviors":"yii\base\Component":private]=>
NULL
["_scriptFile":"yii\base\Request":private]=>
NULL
}
["log"]=>
object(yii\log\Dispatcher)#11 (5) {
["targets"]=>
array(1) {
[0]=>
object(yii\log\FileTarget)#16 (19) {
["logFile"]=>
string(45) "/var/www/html/docland.ru/runtime/logs/app.log"
["enableRotation"]=>
bool(true)
["maxFileSize"]=>
int(10240)
["maxLogFiles"]=>
int(5)
["fileMode"]=>
NULL
["dirMode"]=>
int(509)
["rotateByCopy"]=>
bool(true)
["categories"]=>
array(0) {
}
["except"]=>
array(0) {
}
["logVars"]=>
array(6) {
[0]=>
string(4) "_GET"
[1]=>
string(5) "_POST"
[2]=>
string(6) "_FILES"
[3]=>
string(7) "_COOKIE"
[4]=>
string(8) "_SESSION"
[5]=>
string(7) "_SERVER"
}
["prefix"]=>
NULL
["exportInterval"]=>
int(1000)
["messages"]=>
array(0) {
}
["microtime"]=>
bool(false)
["_levels":"yii\log\Target":private]=>
int(3)
["_enabled":"yii\log\Target":private]=>
bool(true)
["_events":"yii\base\Component":private]=>
array(0) {
}
["_eventWildcards":"yii\base\Component":private]=>
array(0) {
}
["_behaviors":"yii\base\Component":private]=>
NULL
}
}
["_logger":"yii\log\Dispatcher":private]=>
object(yii\log\Logger)#13 (7) {
["messages"]=>
array(247) {
[0]=>
array(6) {
[0]=>
string(65) "Opening DB connection: mysql:host=localhost;dbname=docland28mar22"
[1]=>
int(4)
[2]=>
string(23) "yii\db\Connection::open"
[3]=>
float(1715527347,1338)
[4]=>
array(0) {
}
[5]=>
int(4806504)
}
[1]=>
array(6) {
[0]=>
string(65) "Opening DB connection: mysql:host=localhost;dbname=docland28mar22"
[1]=>
int(80)
[2]=>
string(23) "yii\db\Connection::open"
[3]=>
float(1715527347,1338)
[4]=>
array(0) {
}
[5]=>
int(4807256)
}
[2]=>
array(6) {
[0]=>
string(65) "Opening DB connection: mysql:host=localhost;dbname=docland28mar22"
[1]=>
int(96)
[2]=>
string(23) "yii\db\Connection::open"
[3]=>
float(1715527347,1395)
[4]=>
array(0) {
}
[5]=>
int(4851200)
}
[3]=>
array(6) {
[0]=>
string(95) "SELECT * FROM `country` WHERE (`country`.`public`=1) AND (`country`.`link`='akusher-ginekolog')"
[1]=>
int(4)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,1395)
[4]=>
array(0) {
}
[5]=>
int(4851456)
}
[4]=>
array(6) {
[0]=>
string(95) "SELECT * FROM `country` WHERE (`country`.`public`=1) AND (`country`.`link`='akusher-ginekolog')"
[1]=>
int(80)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,1395)
[4]=>
array(0) {
}
[5]=>
int(4852424)
}
[5]=>
array(6) {
[0]=>
string(95) "SELECT * FROM `country` WHERE (`country`.`public`=1) AND (`country`.`link`='akusher-ginekolog')"
[1]=>
int(96)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,1398)
[4]=>
array(0) {
}
[5]=>
int(4855800)
}
[6]=>
array(6) {
[0]=>
string(72) "SELECT * FROM `speciality` WHERE `speciality`.`link`='akusher-ginekolog'"
[1]=>
int(4)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,14)
[4]=>
array(0) {
}
[5]=>
int(4887520)
}
[7]=>
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float(1715527347,1695)
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string(9090) "SELECT * FROM `doctor` WHERE (`doctor`.`public`=1) AND (`id` IN ('3', '77', '6', '68', '43', '56', '69', '44', '19', '75', '61', '62', '30', '35', '23', '36', '76', '24', '18', '70', '38', '25', '57', '45', '53', '52', '63', '78', '13', '54', '64', '37', '71', '9', '26', '58', '65', '218', '31', '80', '32', '66', '21', '34', '33', '27', '17', '15', '12', '67', '47', '48', '46', '20', '74', '59', '79', '40', '51', '29', '42', '41', '216', '14', '55', '16', '39', '81', '50', '215', '49', '73', '28', '82', '83', '84', '85', '86', '87', '88', '89', '91', '92', '93', '94', '95', '96', '97', '1102', '99', '100', '101', '102', '103', '104', '105', '106', '107', '108', '110', '111', '112', '113', '114', '115', '116', '117', '118', '119', '120', '121', '122', '123', '124', '125', '126', '127', '128', '129', '130', '131', '132', '133', '134', '135', '109', '136', '138', '139', '140', '142', '141', '143', '144', '145', '146', '153', '154', '155', '156', '157', '158', '147', '148', 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[1]=>
int(80)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,1697)
[4]=>
array(0) {
}
[5]=>
int(7362408)
}
[23]=>
array(6) {
[0]=>
string(9090) "SELECT * FROM `doctor` WHERE (`doctor`.`public`=1) AND (`id` IN ('3', '77', '6', '68', '43', '56', '69', '44', '19', '75', '61', '62', '30', '35', '23', '36', '76', '24', '18', '70', '38', '25', '57', '45', '53', '52', '63', '78', '13', '54', '64', '37', '71', '9', '26', '58', '65', '218', '31', '80', '32', '66', '21', '34', '33', '27', '17', '15', '12', '67', '47', '48', '46', '20', '74', '59', '79', '40', '51', '29', '42', '41', '216', '14', '55', '16', '39', '81', '50', '215', '49', '73', '28', '82', '83', '84', '85', '86', '87', '88', '89', '91', '92', '93', '94', '95', '96', '97', '1102', '99', '100', '101', '102', '103', '104', '105', '106', '107', '108', '110', '111', '112', '113', '114', '115', '116', '117', '118', '119', '120', '121', '122', '123', '124', '125', '126', '127', '128', '129', '130', '131', '132', '133', '134', '135', '109', '136', '138', '139', '140', '142', '141', '143', '144', '145', '146', '153', '154', '155', '156', '157', '158', '147', '148', 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'1150', '1151', '1152', '1153', '1154', '1155', '1156', '1157', '1158', '1159', '1160', '1161', '1162', '1163', '1164', '1165', '1166', '1168', '1169', '1170', '1171', '1172', '1173', '1174', '1175', '1176', '1177', '1178', '1179', '1180', '1181', '1182', '1183', '1184', '1185', '1186', '1187', '1188', '1189', '1190', '1191', '1192', '1193', '1194', '1195', '1196', '1197', '1198', '1199', '1200', '1201', '1202', '1203', '1204', '1205', '1206', '1207', '1208', '1209', '1210', '1211', '1212', '1213', '1214', '1215', '1216', '1217', '1218', '1219', '1220', '1221', '1222', '1223', '1224', '1225', '1226', '1227', '1228', '1229', '1230', '1231', '1232', '1233', '1234', '1235', '1236', '1237', '1238', '1239', '1240', '1241', '1242', '1243', '1244', '1245', '1246', '1247', '1248', '1249', '1250', '1251', '1252', '1253', '1254', '1255', '1256', '1257', '1258', '1259', '1260', '1261', '1262', '1263', '1264', '1265', '1266', '1267', '1268', '1269', '1270', '1271', '1272', '1273', '1274', '1275', '1276', '1280', '1282', '1283', '1284', '1285', '1286', '1287', '1278', '1281', '1288', '1289', '1290', '1291'))"
[1]=>
int(96)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,1756)
[4]=>
array(0) {
}
[5]=>
int(12877256)
}
[24]=>
array(6) {
[0]=>
string(607) "SELECT `country`.*, COUNT(DISTINCT doctor.id) AS count FROM `country` LEFT JOIN `city` ON `country`.`id` = `city`.`country_id` LEFT JOIN `clinic` ON `city`.`id` = `clinic`.`city_id` LEFT JOIN `doctor_to_clinic` ON `clinic`.`id` = `doctor_to_clinic`.`clinic_id` LEFT JOIN `doctor` ON `doctor_to_clinic`.`doctor_id` = `doctor`.`id` LEFT JOIN `doctor_to_speciality` ON `doctor`.`id` = `doctor_to_speciality`.`doctor_id` LEFT JOIN `speciality` ON `doctor_to_speciality`.`speciality_id` = `speciality`.`id` WHERE (`country`.`public`=1) AND (`speciality`.`id`=16) AND (`doctor`.`public`=1) GROUP BY `country`.`id`"
[1]=>
int(4)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2039)
[4]=>
array(0) {
}
[5]=>
int(25003888)
}
[25]=>
array(6) {
[0]=>
string(607) "SELECT `country`.*, COUNT(DISTINCT doctor.id) AS count FROM `country` LEFT JOIN `city` ON `country`.`id` = `city`.`country_id` LEFT JOIN `clinic` ON `city`.`id` = `clinic`.`city_id` LEFT JOIN `doctor_to_clinic` ON `clinic`.`id` = `doctor_to_clinic`.`clinic_id` LEFT JOIN `doctor` ON `doctor_to_clinic`.`doctor_id` = `doctor`.`id` LEFT JOIN `doctor_to_speciality` ON `doctor`.`id` = `doctor_to_speciality`.`doctor_id` LEFT JOIN `speciality` ON `doctor_to_speciality`.`speciality_id` = `speciality`.`id` WHERE (`country`.`public`=1) AND (`speciality`.`id`=16) AND (`doctor`.`public`=1) GROUP BY `country`.`id`"
[1]=>
int(80)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2039)
[4]=>
array(0) {
}
[5]=>
int(25005584)
}
[26]=>
array(6) {
[0]=>
string(607) "SELECT `country`.*, COUNT(DISTINCT doctor.id) AS count FROM `country` LEFT JOIN `city` ON `country`.`id` = `city`.`country_id` LEFT JOIN `clinic` ON `city`.`id` = `clinic`.`city_id` LEFT JOIN `doctor_to_clinic` ON `clinic`.`id` = `doctor_to_clinic`.`clinic_id` LEFT JOIN `doctor` ON `doctor_to_clinic`.`doctor_id` = `doctor`.`id` LEFT JOIN `doctor_to_speciality` ON `doctor`.`id` = `doctor_to_speciality`.`doctor_id` LEFT JOIN `speciality` ON `doctor_to_speciality`.`speciality_id` = `speciality`.`id` WHERE (`country`.`public`=1) AND (`speciality`.`id`=16) AND (`doctor`.`public`=1) GROUP BY `country`.`id`"
[1]=>
int(96)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2088)
[4]=>
array(0) {
}
[5]=>
int(25145912)
}
[27]=>
array(6) {
[0]=>
string(71) "SELECT * FROM `city` WHERE `country_id` IN (5, 6, 7, 8, 10, 11, 12, 14)"
[1]=>
int(4)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2097)
[4]=>
array(0) {
}
[5]=>
int(25311992)
}
[28]=>
array(6) {
[0]=>
string(71) "SELECT * FROM `city` WHERE `country_id` IN (5, 6, 7, 8, 10, 11, 12, 14)"
[1]=>
int(80)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2097)
[4]=>
array(0) {
}
[5]=>
int(25311312)
}
[29]=>
array(6) {
[0]=>
string(71) "SELECT * FROM `city` WHERE `country_id` IN (5, 6, 7, 8, 10, 11, 12, 14)"
[1]=>
int(96)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2125)
[4]=>
array(0) {
}
[5]=>
int(25664928)
}
[30]=>
array(6) {
[0]=>
string(552) "SELECT * FROM `clinic` WHERE `city_id` IN (11, 10, 8, 9, 12, 13, 14, 15, 16, 17, 18, 19, 136, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 32, 33, 35, 42, 43, 44, 45, 46, 137, 48, 132, 134, 135, 51, 52, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 143, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 141, 140, 146, 151, 153, 163, 165)"
[1]=>
int(4)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2175)
[4]=>
array(0) {
}
[5]=>
int(26634552)
}
[31]=>
array(6) {
[0]=>
string(552) "SELECT * FROM `clinic` WHERE `city_id` IN (11, 10, 8, 9, 12, 13, 14, 15, 16, 17, 18, 19, 136, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 32, 33, 35, 42, 43, 44, 45, 46, 137, 48, 132, 134, 135, 51, 52, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 143, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 141, 140, 146, 151, 153, 163, 165)"
[1]=>
int(80)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2175)
[4]=>
array(0) {
}
[5]=>
int(26606344)
}
[32]=>
array(6) {
[0]=>
string(552) "SELECT * FROM `clinic` WHERE `city_id` IN (11, 10, 8, 9, 12, 13, 14, 15, 16, 17, 18, 19, 136, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 32, 33, 35, 42, 43, 44, 45, 46, 137, 48, 132, 134, 135, 51, 52, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 143, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 141, 140, 146, 151, 153, 163, 165)"
[1]=>
int(96)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2239)
[4]=>
array(0) {
}
[5]=>
int(29255776)
}
[33]=>
array(6) {
[0]=>
string(1448) "SELECT * FROM `doctor_to_clinic` WHERE `clinic_id` IN (5, 6, 19, 21, 22, 24, 26, 165, 325, 327, 339, 340, 341, 343, 12, 25, 301, 306, 309, 9, 11, 307, 311, 8, 16, 231, 236, 297, 300, 308, 323, 7, 296, 14, 15, 324, 18, 13, 322, 10, 20, 23, 269, 298, 36, 37, 41, 45, 52, 54, 59, 65, 67, 73, 79, 40, 43, 53, 56, 57, 63, 64, 74, 232, 235, 305, 38, 55, 58, 60, 66, 125, 130, 160, 206, 200, 203, 210, 220, 221, 242, 314, 48, 47, 46, 50, 51, 72, 68, 71, 208, 80, 126, 168, 171, 177, 182, 77, 180, 78, 81, 170, 178, 181, 49, 157, 243, 371, 42, 196, 75, 110, 111, 121, 244, 292, 44, 61, 209, 217, 228, 70, 62, 69, 76, 102, 105, 106, 107, 262, 98, 100, 101, 99, 103, 233, 245, 247, 250, 91, 104, 97, 263, 109, 279, 315, 114, 113, 115, 118, 119, 116, 117, 120, 123, 124, 127, 128, 129, 282, 162, 161, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 254, 255, 256, 257, 258, 259, 261, 266, 283, 284, 289, 293, 316, 355, 356, 357, 358, 359, 360, 361, 362, 363, 366, 367, 313, 152, 153, 251, 252, 132, 163, 212, 222, 223, 342, 133, 134, 135, 136, 372, 275, 290, 304, 370, 364, 365, 373, 155, 158, 191, 154, 159, 166, 167, 176, 169, 172, 173, 174, 175, 179, 164, 194, 195, 197, 280, 287, 198, 199, 201, 202, 204, 205, 207, 211, 234, 213, 214, 215, 237, 238, 239, 299, 241, 216, 219, 276, 224, 225, 192, 193, 218, 226, 227, 229, 240, 248, 249, 246, 260, 264, 354, 265, 267, 268, 270, 271, 274, 273, 272, 286, 122, 291, 17, 321, 328, 374)"
[1]=>
int(4)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2385)
[4]=>
array(0) {
}
[5]=>
int(32861496)
}
[34]=>
array(6) {
[0]=>
string(1448) "SELECT * FROM `doctor_to_clinic` WHERE `clinic_id` IN (5, 6, 19, 21, 22, 24, 26, 165, 325, 327, 339, 340, 341, 343, 12, 25, 301, 306, 309, 9, 11, 307, 311, 8, 16, 231, 236, 297, 300, 308, 323, 7, 296, 14, 15, 324, 18, 13, 322, 10, 20, 23, 269, 298, 36, 37, 41, 45, 52, 54, 59, 65, 67, 73, 79, 40, 43, 53, 56, 57, 63, 64, 74, 232, 235, 305, 38, 55, 58, 60, 66, 125, 130, 160, 206, 200, 203, 210, 220, 221, 242, 314, 48, 47, 46, 50, 51, 72, 68, 71, 208, 80, 126, 168, 171, 177, 182, 77, 180, 78, 81, 170, 178, 181, 49, 157, 243, 371, 42, 196, 75, 110, 111, 121, 244, 292, 44, 61, 209, 217, 228, 70, 62, 69, 76, 102, 105, 106, 107, 262, 98, 100, 101, 99, 103, 233, 245, 247, 250, 91, 104, 97, 263, 109, 279, 315, 114, 113, 115, 118, 119, 116, 117, 120, 123, 124, 127, 128, 129, 282, 162, 161, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 254, 255, 256, 257, 258, 259, 261, 266, 283, 284, 289, 293, 316, 355, 356, 357, 358, 359, 360, 361, 362, 363, 366, 367, 313, 152, 153, 251, 252, 132, 163, 212, 222, 223, 342, 133, 134, 135, 136, 372, 275, 290, 304, 370, 364, 365, 373, 155, 158, 191, 154, 159, 166, 167, 176, 169, 172, 173, 174, 175, 179, 164, 194, 195, 197, 280, 287, 198, 199, 201, 202, 204, 205, 207, 211, 234, 213, 214, 215, 237, 238, 239, 299, 241, 216, 219, 276, 224, 225, 192, 193, 218, 226, 227, 229, 240, 248, 249, 246, 260, 264, 354, 265, 267, 268, 270, 271, 274, 273, 272, 286, 122, 291, 17, 321, 328, 374)"
[1]=>
int(80)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2386)
[4]=>
array(0) {
}
[5]=>
int(32789888)
}
[35]=>
array(6) {
[0]=>
string(1448) "SELECT * FROM `doctor_to_clinic` WHERE `clinic_id` IN (5, 6, 19, 21, 22, 24, 26, 165, 325, 327, 339, 340, 341, 343, 12, 25, 301, 306, 309, 9, 11, 307, 311, 8, 16, 231, 236, 297, 300, 308, 323, 7, 296, 14, 15, 324, 18, 13, 322, 10, 20, 23, 269, 298, 36, 37, 41, 45, 52, 54, 59, 65, 67, 73, 79, 40, 43, 53, 56, 57, 63, 64, 74, 232, 235, 305, 38, 55, 58, 60, 66, 125, 130, 160, 206, 200, 203, 210, 220, 221, 242, 314, 48, 47, 46, 50, 51, 72, 68, 71, 208, 80, 126, 168, 171, 177, 182, 77, 180, 78, 81, 170, 178, 181, 49, 157, 243, 371, 42, 196, 75, 110, 111, 121, 244, 292, 44, 61, 209, 217, 228, 70, 62, 69, 76, 102, 105, 106, 107, 262, 98, 100, 101, 99, 103, 233, 245, 247, 250, 91, 104, 97, 263, 109, 279, 315, 114, 113, 115, 118, 119, 116, 117, 120, 123, 124, 127, 128, 129, 282, 162, 161, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 254, 255, 256, 257, 258, 259, 261, 266, 283, 284, 289, 293, 316, 355, 356, 357, 358, 359, 360, 361, 362, 363, 366, 367, 313, 152, 153, 251, 252, 132, 163, 212, 222, 223, 342, 133, 134, 135, 136, 372, 275, 290, 304, 370, 364, 365, 373, 155, 158, 191, 154, 159, 166, 167, 176, 169, 172, 173, 174, 175, 179, 164, 194, 195, 197, 280, 287, 198, 199, 201, 202, 204, 205, 207, 211, 234, 213, 214, 215, 237, 238, 239, 299, 241, 216, 219, 276, 224, 225, 192, 193, 218, 226, 227, 229, 240, 248, 249, 246, 260, 264, 354, 265, 267, 268, 270, 271, 274, 273, 272, 286, 122, 291, 17, 321, 328, 374)"
[1]=>
int(96)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2398)
[4]=>
array(0) {
}
[5]=>
int(33569896)
}
[36]=>
array(6) {
[0]=>
string(6388) "SELECT * FROM `doctor` WHERE (`doctor`.`public`=1) AND (`id` IN (3, 19, 6, 18, 17, 9, 16, 15, 12, 13, 14, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 39, 38, 40, 41, 42, 43, 44, 45, 46, 47, 37, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 87, 88, 82, 83, 84, 85, 86, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, 176, 177, 178, 179, 180, 181, 182, 183, 184, 185, 186, 187, 188, 189, 190, 191, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 303, 209, 210, 211, 1167, 213, 214, 215, 216, 218, 221, 220, 222, 223, 224, 225, 226, 227, 228, 229, 230, 231, 232, 233, 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1206, 1207, 1208, 1209, 1210, 1211, 1212, 1213, 1214, 1215, 1216, 1217, 1218, 1219, 1220, 1221, 1222, 1223, 1224, 1225, 1226, 1227, 1228, 1229, 1230, 1231, 1232, 1233, 1234, 1235, 1236, 1237, 1238, 1239, 1240, 1241, 1242, 1243, 1244, 1245, 1246, 1247, 1248, 1249, 1255, 1256, 1257, 1258, 1259, 1260, 1261, 1262, 1263, 1264, 1265, 1266, 1267, 1268, 1269, 1270, 1271, 1273, 1274, 1275, 1276, 1289, 1290, 1291))"
[1]=>
int(4)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2491)
[4]=>
array(0) {
}
[5]=>
int(34502736)
}
[37]=>
array(6) {
[0]=>
string(6388) "SELECT * FROM `doctor` WHERE (`doctor`.`public`=1) AND (`id` IN (3, 19, 6, 18, 17, 9, 16, 15, 12, 13, 14, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 39, 38, 40, 41, 42, 43, 44, 45, 46, 47, 37, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 87, 88, 82, 83, 84, 85, 86, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, 176, 177, 178, 179, 180, 181, 182, 183, 184, 185, 186, 187, 188, 189, 190, 191, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 303, 209, 210, 211, 1167, 213, 214, 215, 216, 218, 221, 220, 222, 223, 224, 225, 226, 227, 228, 229, 230, 231, 232, 233, 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1033, 1034, 1035, 1036, 1037, 1038, 1039, 1040, 1041, 1042, 1043, 1044, 1045, 1287, 1286, 1285, 1284, 1051, 1052, 1053, 1054, 1055, 1056, 1057, 1058, 1059, 1060, 1061, 1062, 1063, 1064, 1065, 1066, 1067, 1068, 1069, 1070, 1071, 1072, 1073, 1074, 1075, 1076, 1077, 1080, 1081, 1082, 1083, 1079, 1084, 1085, 1086, 1087, 1283, 1282, 1281, 1091, 1280, 1279, 1278, 1277, 1096, 1097, 1098, 1099, 1100, 1101, 1102, 1103, 1104, 1105, 1106, 1107, 1108, 1109, 1110, 1111, 1112, 1113, 1114, 1115, 1116, 1117, 1118, 1119, 1120, 1121, 1122, 1123, 1124, 1125, 1126, 1130, 1132, 1136, 1137, 1138, 1139, 1140, 1141, 1143, 1144, 1145, 1146, 1147, 1148, 1149, 1150, 1151, 1152, 1153, 1154, 1155, 1156, 1157, 1127, 1128, 1129, 1133, 1134, 1135, 1142, 1158, 1159, 1162, 1163, 1164, 1165, 1166, 1168, 1169, 1171, 1172, 1173, 1174, 1175, 1176, 1177, 1178, 1179, 1180, 1181, 1182, 1183, 1184, 1185, 1186, 1187, 1188, 1189, 1190, 1191, 1192, 1193, 1194, 1195, 1196, 1197, 1198, 1199, 1200, 1201, 1202, 1203, 1204, 1205, 1206, 1207, 1208, 1209, 1210, 1211, 1212, 1213, 1214, 1215, 1216, 1217, 1218, 1219, 1220, 1221, 1222, 1223, 1224, 1225, 1226, 1227, 1228, 1229, 1230, 1231, 1232, 1233, 1234, 1235, 1236, 1237, 1238, 1239, 1240, 1241, 1242, 1243, 1244, 1245, 1246, 1247, 1248, 1249, 1255, 1256, 1257, 1258, 1259, 1260, 1261, 1262, 1263, 1264, 1265, 1266, 1267, 1268, 1269, 1270, 1271, 1273, 1274, 1275, 1276, 1289, 1290, 1291))"
[1]=>
int(80)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2493)
[4]=>
array(0) {
}
[5]=>
int(34203480)
}
[38]=>
array(6) {
[0]=>
string(6388) "SELECT * FROM `doctor` WHERE (`doctor`.`public`=1) AND (`id` IN (3, 19, 6, 18, 17, 9, 16, 15, 12, 13, 14, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 39, 38, 40, 41, 42, 43, 44, 45, 46, 47, 37, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 87, 88, 82, 83, 84, 85, 86, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, 176, 177, 178, 179, 180, 181, 182, 183, 184, 185, 186, 187, 188, 189, 190, 191, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 303, 209, 210, 211, 1167, 213, 214, 215, 216, 218, 221, 220, 222, 223, 224, 225, 226, 227, 228, 229, 230, 231, 232, 233, 234, 235, 236, 237, 238, 239, 240, 241, 242, 243, 244, 245, 246, 247, 248, 249, 250, 251, 252, 253, 254, 255, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 280, 281, 282, 283, 284, 285, 286, 287, 288, 289, 290, 291, 292, 293, 294, 295, 296, 297, 298, 299, 300, 301, 302, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 332, 333, 334, 335, 336, 337, 338, 339, 340, 341, 342, 343, 344, 345, 346, 347, 348, 349, 350, 351, 352, 353, 354, 355, 356, 357, 358, 359, 360, 361, 362, 363, 364, 365, 366, 367, 368, 369, 370, 371, 372, 373, 374, 375, 376, 377, 378, 379, 380, 381, 382, 383, 384, 385, 386, 387, 388, 389, 390, 391, 392, 393, 394, 395, 396, 397, 398, 399, 400, 401, 402, 403, 404, 405, 406, 407, 408, 409, 410, 411, 412, 413, 414, 415, 416, 417, 418, 419, 420, 421, 422, 423, 424, 425, 426, 427, 429, 430, 428, 431, 432, 433, 434, 435, 436, 437, 438, 439, 440, 441, 175, 442, 443, 444, 445, 446, 447, 448, 449, 450, 451, 452, 453, 454, 455, 456, 457, 458, 459, 460, 461, 462, 463, 464, 465, 466, 467, 468, 469, 470, 471, 472, 473, 474, 475, 476, 477, 478, 479, 480, 481, 482, 483, 484, 492, 486, 487, 488, 489, 490, 491, 493, 494, 495, 496, 497, 498, 499, 500, 501, 502, 503, 504, 505, 506, 507, 508, 509, 511, 512, 513, 514, 515, 516, 517, 518, 519, 520, 521, 522, 523, 524, 525, 526, 527, 528, 529, 530, 531, 532, 533, 534, 535, 536, 537, 538, 539, 540, 541, 542, 543, 544, 545, 546, 547, 548, 549, 550, 551, 552, 553, 554, 555, 556, 557, 558, 559, 560, 561, 562, 563, 564, 565, 566, 567, 568, 569, 570, 571, 572, 573, 574, 575, 576, 577, 578, 579, 580, 581, 582, 583, 586, 587, 588, 589, 590, 591, 592, 593, 594, 595, 596, 597, 598, 599, 600, 601, 602, 603, 604, 605, 606, 607, 608, 609, 610, 611, 612, 613, 614, 615, 616, 617, 618, 619, 620, 621, 622, 623, 624, 625, 626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 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1033, 1034, 1035, 1036, 1037, 1038, 1039, 1040, 1041, 1042, 1043, 1044, 1045, 1287, 1286, 1285, 1284, 1051, 1052, 1053, 1054, 1055, 1056, 1057, 1058, 1059, 1060, 1061, 1062, 1063, 1064, 1065, 1066, 1067, 1068, 1069, 1070, 1071, 1072, 1073, 1074, 1075, 1076, 1077, 1080, 1081, 1082, 1083, 1079, 1084, 1085, 1086, 1087, 1283, 1282, 1281, 1091, 1280, 1279, 1278, 1277, 1096, 1097, 1098, 1099, 1100, 1101, 1102, 1103, 1104, 1105, 1106, 1107, 1108, 1109, 1110, 1111, 1112, 1113, 1114, 1115, 1116, 1117, 1118, 1119, 1120, 1121, 1122, 1123, 1124, 1125, 1126, 1130, 1132, 1136, 1137, 1138, 1139, 1140, 1141, 1143, 1144, 1145, 1146, 1147, 1148, 1149, 1150, 1151, 1152, 1153, 1154, 1155, 1156, 1157, 1127, 1128, 1129, 1133, 1134, 1135, 1142, 1158, 1159, 1162, 1163, 1164, 1165, 1166, 1168, 1169, 1171, 1172, 1173, 1174, 1175, 1176, 1177, 1178, 1179, 1180, 1181, 1182, 1183, 1184, 1185, 1186, 1187, 1188, 1189, 1190, 1191, 1192, 1193, 1194, 1195, 1196, 1197, 1198, 1199, 1200, 1201, 1202, 1203, 1204, 1205, 1206, 1207, 1208, 1209, 1210, 1211, 1212, 1213, 1214, 1215, 1216, 1217, 1218, 1219, 1220, 1221, 1222, 1223, 1224, 1225, 1226, 1227, 1228, 1229, 1230, 1231, 1232, 1233, 1234, 1235, 1236, 1237, 1238, 1239, 1240, 1241, 1242, 1243, 1244, 1245, 1246, 1247, 1248, 1249, 1255, 1256, 1257, 1258, 1259, 1260, 1261, 1262, 1263, 1264, 1265, 1266, 1267, 1268, 1269, 1270, 1271, 1273, 1274, 1275, 1276, 1289, 1290, 1291))"
[1]=>
int(96)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2616)
[4]=>
array(0) {
}
[5]=>
int(39484320)
}
[39]=>
array(6) {
[0]=>
string(6172) "SELECT * FROM `doctor_to_speciality` WHERE `doctor_id` IN (19, 6, 18, 17, 9, 16, 15, 12, 13, 14, 20, 21, 22, 23, 3, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 215, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 100, 109, 101, 108, 107, 102, 105, 106, 104, 103, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 1176, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 179, 180, 181, 182, 183, 184, 185, 186, 187, 188, 189, 190, 191, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 303, 209, 210, 1078, 211, 213, 214, 216, 218, 220, 221, 222, 223, 224, 225, 226, 227, 228, 229, 230, 231, 232, 233, 234, 235, 236, 237, 238, 239, 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1065, 1066, 1067, 1068, 1069, 1070, 1071, 1072, 1073, 1074, 1075, 1076, 1077, 1079, 1080, 1081, 1082, 1083, 1084, 1085, 1099, 1086, 1087, 1091, 1096, 1097, 1098, 1100, 1101, 1102, 1103, 1104, 1105, 1106, 1107, 1108, 1109, 1110, 1111, 1112, 1113, 1114, 1115, 1116, 1117, 1118, 1158, 1119, 1120, 1121, 1122, 1123, 1124, 1125, 1126, 1127, 1128, 1129, 1130, 1132, 1133, 1134, 1135, 1136, 1137, 1138, 1182, 1139, 1140, 1142, 1143, 1144, 1145, 1146, 1147, 1155, 1148, 1149, 1150, 1151, 1152, 1190, 1153, 1167, 1157, 1156, 1171, 1169, 1173, 1174, 1175, 1177, 1178, 1179, 1180, 1181, 1183, 1184, 1185, 1186, 1187, 1188, 1189, 1191, 1192, 1193, 1194, 1195, 1196, 1197, 1198, 1199, 1200, 1201, 1202, 1203, 1204, 1205, 1206, 1207, 1208, 1209, 1210, 1211, 1212, 1213, 1214, 1215, 1216, 1217, 1218, 1219, 1220, 1221, 1222, 1223, 1224, 1225, 1226, 1227, 1228, 1229, 1230, 1231, 1232, 1233, 1234, 1235, 1236, 1237, 1238, 1239, 1240, 1241, 1242, 1243, 1244, 1245, 1246, 1247, 1248, 1249, 1255, 1256, 1257, 1258, 1259, 1260, 1261, 1262, 1263, 1264, 1265, 1266, 1267, 1268, 1269, 1270, 1271, 1272, 1273, 1274, 1275, 1276, 1278, 1279, 1280, 1281, 1282, 1283, 1284, 1285, 1286, 1287, 1288, 1289, 1290, 1291)"
[1]=>
int(4)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2846)
[4]=>
array(0) {
}
[5]=>
int(54546480)
}
[40]=>
array(6) {
[0]=>
string(6172) "SELECT * FROM `doctor_to_speciality` WHERE `doctor_id` IN (19, 6, 18, 17, 9, 16, 15, 12, 13, 14, 20, 21, 22, 23, 3, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 215, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 100, 109, 101, 108, 107, 102, 105, 106, 104, 103, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 1176, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 179, 180, 181, 182, 183, 184, 185, 186, 187, 188, 189, 190, 191, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 303, 209, 210, 1078, 211, 213, 214, 216, 218, 220, 221, 222, 223, 224, 225, 226, 227, 228, 229, 230, 231, 232, 233, 234, 235, 236, 237, 238, 239, 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655, 656, 658, 659, 660, 661, 662, 663, 664, 665, 674, 675, 676, 677, 678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690, 691, 692, 693, 694, 695, 696, 697, 698, 699, 700, 701, 702, 703, 704, 705, 706, 707, 708, 709, 710, 711, 712, 713, 714, 715, 716, 717, 718, 719, 720, 721, 722, 723, 724, 725, 726, 727, 728, 729, 730, 731, 732, 733, 734, 735, 736, 737, 738, 739, 740, 741, 742, 743, 744, 745, 746, 747, 748, 749, 750, 751, 752, 753, 754, 767, 769, 771, 772, 773, 774, 775, 776, 777, 778, 779, 780, 781, 782, 783, 784, 785, 786, 787, 788, 789, 790, 791, 792, 793, 794, 795, 796, 797, 798, 799, 800, 801, 802, 803, 804, 805, 806, 807, 808, 809, 810, 811, 812, 813, 814, 815, 816, 817, 818, 819, 820, 821, 822, 823, 824, 825, 826, 827, 828, 829, 830, 831, 832, 833, 834, 835, 836, 837, 838, 839, 840, 841, 842, 843, 844, 846, 847, 848, 849, 850, 851, 852, 853, 854, 855, 856, 857, 858, 859, 860, 861, 862, 863, 864, 865, 866, 867, 868, 869, 870, 871, 872, 873, 874, 875, 939, 876, 877, 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1065, 1066, 1067, 1068, 1069, 1070, 1071, 1072, 1073, 1074, 1075, 1076, 1077, 1079, 1080, 1081, 1082, 1083, 1084, 1085, 1099, 1086, 1087, 1091, 1096, 1097, 1098, 1100, 1101, 1102, 1103, 1104, 1105, 1106, 1107, 1108, 1109, 1110, 1111, 1112, 1113, 1114, 1115, 1116, 1117, 1118, 1158, 1119, 1120, 1121, 1122, 1123, 1124, 1125, 1126, 1127, 1128, 1129, 1130, 1132, 1133, 1134, 1135, 1136, 1137, 1138, 1182, 1139, 1140, 1142, 1143, 1144, 1145, 1146, 1147, 1155, 1148, 1149, 1150, 1151, 1152, 1190, 1153, 1167, 1157, 1156, 1171, 1169, 1173, 1174, 1175, 1177, 1178, 1179, 1180, 1181, 1183, 1184, 1185, 1186, 1187, 1188, 1189, 1191, 1192, 1193, 1194, 1195, 1196, 1197, 1198, 1199, 1200, 1201, 1202, 1203, 1204, 1205, 1206, 1207, 1208, 1209, 1210, 1211, 1212, 1213, 1214, 1215, 1216, 1217, 1218, 1219, 1220, 1221, 1222, 1223, 1224, 1225, 1226, 1227, 1228, 1229, 1230, 1231, 1232, 1233, 1234, 1235, 1236, 1237, 1238, 1239, 1240, 1241, 1242, 1243, 1244, 1245, 1246, 1247, 1248, 1249, 1255, 1256, 1257, 1258, 1259, 1260, 1261, 1262, 1263, 1264, 1265, 1266, 1267, 1268, 1269, 1270, 1271, 1272, 1273, 1274, 1275, 1276, 1278, 1279, 1280, 1281, 1282, 1283, 1284, 1285, 1286, 1287, 1288, 1289, 1290, 1291)"
[1]=>
int(80)
[2]=>
string(21) "yii\db\Command::query"
[3]=>
float(1715527347,2848)
[4]=>
array(0) {
}
[5]=>
int(54258576)
}
[41]=>
array(6) {
[0]=>
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string(744) "SELECT * FROM `doctor` WHERE (`doctor`.`public`=1) AND (`id` IN ('30', '93', '94', '96', '102', '119', '128', '162', '191', '192', '193', '194', '195', '196', '197', '198', '200', '203', '1167', '235', '239', '246', '251', '252', '317', '318', '319', '320', '359', '360', '395', '404', '433', '448', '479', '490', '508', '537', '538', '560', '566', '595', '596', '614', '638', '641', '650', '651', '688', '690', '703', '729', '733', '738', '748', '770', '777', '783', '789', '824', '828', '866', '867', '868', '869', '870', '871', '872', '940', '975', '976', '977', '978', '979', '980', '981', '982', '1019', '1022', '1053', '1058', '1064', '1068', '1107', '1124', '1134', '1144', '1148', '1233', '1267', '1291')) ORDER BY `rating` DESC LIMIT 8"
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string(21) "yii\db\Command::query"
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string(21) "yii\db\Command::query"
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string(21) "yii\db\Command::query"
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string(21) "yii\db\Command::query"
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string(21) "yii\db\Command::query"
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string(21) "yii\db\Command::query"
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int(53688336)
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string(21) "yii\db\Command::query"
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string(21) "yii\db\Command::query"
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float(1715527347,3226)
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По отзывам, основным преимуществом ЭКО за рубежом относятся индивидуализация и высокий уровень программ репродукции, выгодные условия работы с иностранными пациентами, новейшие ВРТ-технологии, лояльность к однополым парам и прогрессивное законодательство, регламентирующее количество ооцитов для инсеминации.
Сколько стоит ЭКО за границей? Стоимость ЭКО существенно различается от страны к стране, например, в Испании финансовые условия одни из наиболее демократичных в Европе, но на итоговую цену влияет сложность конкретного случая, необходимость использования донорской яйцеклетки или повторной попытки.
Методы диагностики и лечения Традиционная схема ЭКО включает 6 этапов:
обследование (базовые лабораторные тесты и генетическая диагностика); индукция овуляции и фолликулярная пункция; оплодотворение эмбриона (ИКСИ); выращивание эмбрионов; подсадка эмбрионов и поддержание лютеиновой фазы; итоговый тест на беременность по ХГЧ-анализу крови через 10 дней после трансплантации эмбрионов Важная информация По статистике, ЭКО за рубежом дает положительный результат после первой процедуры в 30-50% случаев. Такая результативность объясняется высочайшим уровнем репродуктивных технологий. При этом обследованием, подготовкой и непосредственным проведением ИКСИ и переноса эмбрионов здесь занимаются специалисты выделенных институтов.
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Сколько стоит ЭКО за границей? Стоимость ЭКО существенно различается от страны к стране, например, в Испании финансовые условия одни из наиболее демократичных в Европе, но на итоговую цену влияет сложность конкретного случая, необходимость использования донорской яйцеклетки или повторной попытки.
Методы диагностики и лечения Традиционная схема ЭКО включает 6 этапов:
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string(1803) "Гинекологические клиники за границей славятся безупречным качеством медицинского обслуживания и высоким уровнем сервиса. Каждый год для эффективного решения проблем с женским здоровьем за рубеж отправляются десятки тысяч представительниц прекрасного пола, желающих получить высокопрофессиональную врачебную помощь за разумные деньги. Их привлекает международный авторитет, высокая квалификация и внушительный опыт зарубежных специалистов, суперсовременное оснащение гинекологических отделений, доступ к прогрессивным лечебно-диагностическим методикам и инновационным лекарственным препаратам.
Гинекология за границей предоставляет широкие возможности для качественной диагностики и грамотного лечения любых заболеваний женской репродуктивной системы, включая нарушения менструального цикла, воспалительные процессы матки и придатков, бесплодие, эндометриоз, патологии молочной железы, доброкачественные и злокачественные опухоли органов половой сферы.
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Медикаментозная терапия . Многие заболевания женской половой системы успешно поддаются лекарственному лечению. В зависимости от характера патологии могут быть назначены:
гормональные препараты – для нормализации функций эндокринной системы и восстановления гормонального баланса. Они также могут использоваться для препятствования формированию спаек в брюшной полости и области малого таза;нестероидные противовоспалительные средства – для устранения воспалительных процессов;антибиотики, противовирусные и противогрибковые препараты – для лечения инфекционных заболеваний и их последствий. Лазерная терапия . Один из самых действенных и безопасных методов, с помощью которого проводят лечение гинекологических заболеваний за рубежом. Он эффективно устраняет различные патологии шейки матки, в том числе склонные к злокачественной трансформации, новообразования придатков, хронические воспалительные процессы и т.д. В основе метода лежит воздействие на патологически измененные ткани лазерным лучом, направление и мощность которого врач регулирует самостоятельно, чем обеспечивает высокую точность и безопасность процедуры.
Манипуляция безболезненна, бескровна и не требует восстановления.
Криодеструкция . Современный безоперационный метод, заключающийся в разрушении пораженных тканей органов женской половой системы путем воздействия на них сверхнизкими температурами, которые достигаются с помощью жидкого азота. В результате мгновенного охлаждения происходит кристаллизация внутриклеточной и межклеточной жидкости – аномальные клетки замораживаются и погибают, после чего выводятся из организма естественным путем в течение двух-трех месяцев.
Эту эффективную и безопасную процедуру широко применяют в терапии дисплазии, эрозии, эктопии, лейкоплакии и кисты шейки матки, цервицита, кондилом и иных гинекологических патологий.
Радиоволновая терапия . Еще одна щадящая методика лечения различных патологий шейки матки, в частности у женщин, планирующих в будущем беременность, которую активно используют гинекологические клиники за границей. Безболезненное уничтожение дефектных участков ткани происходит благодаря направленному воздействию высокочастотных волн, энергия которых нагревает и испаряет их клетки. Обработанные таким образом ткани восстанавливаются в кратчайшие сроки. Риск кровотечений и постпроцедурных осложнений при этом полностью отсутствует.
Для проведения радиоволновой терапии используется специальный аппарат, позволяющий разрушить патологические клетки без повреждения здоровой ткани. В ходе манипуляции он одновременно дезинфицирует и коагулирует вскрывшиеся сосуды, благодаря чему этот метод более эффективен и безопасен в сравнении с прижиганием, к тому же не оставляет рубцов.
Фокусированный ультразвук высокой интенсивности (HIFU) . Неинвазивный органосохраняющий метод устранения небольших доброкачественных опухолей органов женской репродуктивной системы, в том числе миомы матки. Он использует энергию высокочастотного сфокусированного ультразвука для местного нагревания и разрушения поврежденных участков ткани с последующей термической коагуляцией. HIFU отличается высокой точностью воздействия, благодаря которой здоровые клетки, расположенные по соседству с патологическим очагом, остаются невредимыми.
Найти опухолевый узел помогает специальный ультразвуковой датчик, после чего врач задает через компьютер необходимые параметры: локализацию и размер миомы, интенсивность волн и температуру, требуемую для разрушения патологических тканей.
Эмболизация маточных артерий . Как и HIFU, используется в основном для безопасного уничтожения миоматозных узлов матки. Подразумевает искусственное перекрытие кровотока в маточных артериях при помощи эмболизирующих микрочастиц, выполненных из специального медицинского полимера. Введенные через небольшой катетер, они закупоривают просвет артерий, которые питают опухолевое образование в тканях матки, вследствие чего миома лишается питания и некротизируется.
Лапароскопия . Современный хирургический метод, который используется в качестве альтернативы традиционной хирургии. Абсолютное большинство операций, которые специалисты зарубежных клиник выполняют для устранения гинекологических патологий, проводят именно лапароскопически – через три сантиметровых прокола в брюшной стенке и стенке влагалища. Такие вмешательства гораздо менее травматичны, не сопровождаются осложнениями, не оставляют грубых эстетических дефектов на теле женщины и не требуют длительного восстановления.
Лапароскопическим методом, в частности, удаляют спайки, полипы, доброкачественные и злокачественные опухоли женских половых органов, лечат эндометриоз, восстанавливают проходимость фаллопиевых труб и т.д.
Передовые способы диагностики в гинекологии Успешность любого лечения напрямую зависит от качества диагностики. Чтобы обеспечить своим пациенткам наилучший результат, гинекология за рубежом использует самые точные, информативные и безопасные диагностические методы. Они позволяют с высокой степенью достоверности установить характер и причину патологии, определить ее особенности и подобрать наиболее оптимальную схему терапии.
Диагностическая программа в большинстве зарубежных клиник включает в себя три этапа, которые реализуются за несколько рабочих дней.
Этап 1. Консультация гинеколога и первичный осмотр Как только пациентка прибывает в страну, она в тот же день отправляется в больницу на прием к ведущему специалисту гинекологического отделения. Врач выслушивает ее жалобы, расспрашивает о характере и интенсивности симптомов, изучает привезенную медицинскую документацию с результатами уже пройденных исследований и проводит гинекологический осмотр. На основе собранной информации он определяет список диагностических проверок, которые необходимы для уточнения предварительного диагноза.
Этап 2. Обследование Диагностика при гинекологических заболеваниях может включать в себя:
колькоскопию – метод исследования слизистой оболочки шейки матки с помощью специального оптического прибора, позволяющий выявить патологические изменения;гистероскопию – используется для оценки состояния эндометрия и полости матки, а также цервикального канала; гистеросальпингографию – рентгеноконтрастное исследование полости матки и маточных труб, которое дает возможность выявить аномальные изменения в полости матки, непроходимость фаллопиевых труб, наличие спаечного процесса;ультразвуковое исследование органов малого таза;компьютерную и магнитно-резонансную томографию , которые незаменимы при диагностике злокачественных опухолей женской репродуктивной системы;биопсию с последующим гистологическим и цитологическим исследованием образца;лабораторные исследования крови . Этап 3. Утверждение терапевтической тактики Как только результаты обследований готовы, их передают на рассмотрение консилиума, состоящего из специалистов разного профиля (в зависимости от характера патологии). Они тщательно анализируют полученные данные, обсуждают возможные варианты лечения и в итоге согласовывают оптимальный терапевтический план.
Стоимость лечения гинекологических заболеваний за границей Цена медицинских услуг будет разниться, в зависимости от характера гинекологического заболевания, его тяжести, задействованных терапевтических методик, вида и количества понадобившихся обследований, необходимости хирургического вмешательства и его сложности, стоимости используемых фармакологических препаратов, числа привлеченных специалистов и множества других факторов. Обычно итоговую цену врачи зарубежных медцентров называют только после того, как выполнят нужные диагностические проверки и утвердят программу терапии.
На размер стоимости не в последнюю очередь и влияет страна, которая была выбрана для прохождения лечения. При аналогичном качестве медицинского обслуживания дороже всего оно обойдется в Западной Европе, Америке и Канаде, дешевле – в Израиле: разница в цене услуг между этими странами составляет порядка 30–50%.
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["about"]=>
string(1803) "Гинекологические клиники за границей славятся безупречным качеством медицинского обслуживания и высоким уровнем сервиса. Каждый год для эффективного решения проблем с женским здоровьем за рубеж отправляются десятки тысяч представительниц прекрасного пола, желающих получить высокопрофессиональную врачебную помощь за разумные деньги. Их привлекает международный авторитет, высокая квалификация и внушительный опыт зарубежных специалистов, суперсовременное оснащение гинекологических отделений, доступ к прогрессивным лечебно-диагностическим методикам и инновационным лекарственным препаратам.
Гинекология за границей предоставляет широкие возможности для качественной диагностики и грамотного лечения любых заболеваний женской репродуктивной системы, включая нарушения менструального цикла, воспалительные процессы матки и придатков, бесплодие, эндометриоз, патологии молочной железы, доброкачественные и злокачественные опухоли органов половой сферы.
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["description"]=>
string(16042) "Современные методы лечения гинекологических заболеваний за рубежом Гинекологи ведущих клиник мира в своей практике используют только проверенные терапевтические методики с доказанной эффективностью. При этом они отдают предпочтение безоперационным вариантам лечения, а если ситуация требует хирургического вмешательства, делают выбор в пользу щадящих техник, позволяющих сохранить максимальный объем здоровых тканей.
Медикаментозная терапия . Многие заболевания женской половой системы успешно поддаются лекарственному лечению. В зависимости от характера патологии могут быть назначены:
гормональные препараты – для нормализации функций эндокринной системы и восстановления гормонального баланса. Они также могут использоваться для препятствования формированию спаек в брюшной полости и области малого таза;нестероидные противовоспалительные средства – для устранения воспалительных процессов;антибиотики, противовирусные и противогрибковые препараты – для лечения инфекционных заболеваний и их последствий. Лазерная терапия . Один из самых действенных и безопасных методов, с помощью которого проводят лечение гинекологических заболеваний за рубежом. Он эффективно устраняет различные патологии шейки матки, в том числе склонные к злокачественной трансформации, новообразования придатков, хронические воспалительные процессы и т.д. В основе метода лежит воздействие на патологически измененные ткани лазерным лучом, направление и мощность которого врач регулирует самостоятельно, чем обеспечивает высокую точность и безопасность процедуры.
Манипуляция безболезненна, бескровна и не требует восстановления.
Криодеструкция . Современный безоперационный метод, заключающийся в разрушении пораженных тканей органов женской половой системы путем воздействия на них сверхнизкими температурами, которые достигаются с помощью жидкого азота. В результате мгновенного охлаждения происходит кристаллизация внутриклеточной и межклеточной жидкости – аномальные клетки замораживаются и погибают, после чего выводятся из организма естественным путем в течение двух-трех месяцев.
Эту эффективную и безопасную процедуру широко применяют в терапии дисплазии, эрозии, эктопии, лейкоплакии и кисты шейки матки, цервицита, кондилом и иных гинекологических патологий.
Радиоволновая терапия . Еще одна щадящая методика лечения различных патологий шейки матки, в частности у женщин, планирующих в будущем беременность, которую активно используют гинекологические клиники за границей. Безболезненное уничтожение дефектных участков ткани происходит благодаря направленному воздействию высокочастотных волн, энергия которых нагревает и испаряет их клетки. Обработанные таким образом ткани восстанавливаются в кратчайшие сроки. Риск кровотечений и постпроцедурных осложнений при этом полностью отсутствует.
Для проведения радиоволновой терапии используется специальный аппарат, позволяющий разрушить патологические клетки без повреждения здоровой ткани. В ходе манипуляции он одновременно дезинфицирует и коагулирует вскрывшиеся сосуды, благодаря чему этот метод более эффективен и безопасен в сравнении с прижиганием, к тому же не оставляет рубцов.
Фокусированный ультразвук высокой интенсивности (HIFU) . Неинвазивный органосохраняющий метод устранения небольших доброкачественных опухолей органов женской репродуктивной системы, в том числе миомы матки. Он использует энергию высокочастотного сфокусированного ультразвука для местного нагревания и разрушения поврежденных участков ткани с последующей термической коагуляцией. HIFU отличается высокой точностью воздействия, благодаря которой здоровые клетки, расположенные по соседству с патологическим очагом, остаются невредимыми.
Найти опухолевый узел помогает специальный ультразвуковой датчик, после чего врач задает через компьютер необходимые параметры: локализацию и размер миомы, интенсивность волн и температуру, требуемую для разрушения патологических тканей.
Эмболизация маточных артерий . Как и HIFU, используется в основном для безопасного уничтожения миоматозных узлов матки. Подразумевает искусственное перекрытие кровотока в маточных артериях при помощи эмболизирующих микрочастиц, выполненных из специального медицинского полимера. Введенные через небольшой катетер, они закупоривают просвет артерий, которые питают опухолевое образование в тканях матки, вследствие чего миома лишается питания и некротизируется.
Лапароскопия . Современный хирургический метод, который используется в качестве альтернативы традиционной хирургии. Абсолютное большинство операций, которые специалисты зарубежных клиник выполняют для устранения гинекологических патологий, проводят именно лапароскопически – через три сантиметровых прокола в брюшной стенке и стенке влагалища. Такие вмешательства гораздо менее травматичны, не сопровождаются осложнениями, не оставляют грубых эстетических дефектов на теле женщины и не требуют длительного восстановления.
Лапароскопическим методом, в частности, удаляют спайки, полипы, доброкачественные и злокачественные опухоли женских половых органов, лечат эндометриоз, восстанавливают проходимость фаллопиевых труб и т.д.
Передовые способы диагностики в гинекологии Успешность любого лечения напрямую зависит от качества диагностики. Чтобы обеспечить своим пациенткам наилучший результат, гинекология за рубежом использует самые точные, информативные и безопасные диагностические методы. Они позволяют с высокой степенью достоверности установить характер и причину патологии, определить ее особенности и подобрать наиболее оптимальную схему терапии.
Диагностическая программа в большинстве зарубежных клиник включает в себя три этапа, которые реализуются за несколько рабочих дней.
Этап 1. Консультация гинеколога и первичный осмотр Как только пациентка прибывает в страну, она в тот же день отправляется в больницу на прием к ведущему специалисту гинекологического отделения. Врач выслушивает ее жалобы, расспрашивает о характере и интенсивности симптомов, изучает привезенную медицинскую документацию с результатами уже пройденных исследований и проводит гинекологический осмотр. На основе собранной информации он определяет список диагностических проверок, которые необходимы для уточнения предварительного диагноза.
Этап 2. Обследование Диагностика при гинекологических заболеваниях может включать в себя:
колькоскопию – метод исследования слизистой оболочки шейки матки с помощью специального оптического прибора, позволяющий выявить патологические изменения;гистероскопию – используется для оценки состояния эндометрия и полости матки, а также цервикального канала; гистеросальпингографию – рентгеноконтрастное исследование полости матки и маточных труб, которое дает возможность выявить аномальные изменения в полости матки, непроходимость фаллопиевых труб, наличие спаечного процесса;ультразвуковое исследование органов малого таза;компьютерную и магнитно-резонансную томографию , которые незаменимы при диагностике злокачественных опухолей женской репродуктивной системы;биопсию с последующим гистологическим и цитологическим исследованием образца;лабораторные исследования крови . Этап 3. Утверждение терапевтической тактики Как только результаты обследований готовы, их передают на рассмотрение консилиума, состоящего из специалистов разного профиля (в зависимости от характера патологии). Они тщательно анализируют полученные данные, обсуждают возможные варианты лечения и в итоге согласовывают оптимальный терапевтический план.
Стоимость лечения гинекологических заболеваний за границей Цена медицинских услуг будет разниться, в зависимости от характера гинекологического заболевания, его тяжести, задействованных терапевтических методик, вида и количества понадобившихся обследований, необходимости хирургического вмешательства и его сложности, стоимости используемых фармакологических препаратов, числа привлеченных специалистов и множества других факторов. Обычно итоговую цену врачи зарубежных медцентров называют только после того, как выполнят нужные диагностические проверки и утвердят программу терапии.
На размер стоимости не в последнюю очередь и влияет страна, которая была выбрана для прохождения лечения. При аналогичном качестве медицинского обслуживания дороже всего оно обойдется в Западной Европе, Америке и Канаде, дешевле – в Израиле: разница в цене услуг между этими странами составляет порядка 30–50%.
"
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}
[15]=>
object(yii\web\UrlRule)#45 (16) {
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string(20) "blog/page/"
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string(33) "#^blog/page/(?P\d+)$#u"
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NULL
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string(10) "blog/index"
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array(0) {
}
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NULL
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NULL
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NULL
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bool(true)
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NULL
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int(2)
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array(1) {
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string(4) "page"
}
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string(18) "/blog/page//"
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NULL
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array(1) {
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string(8) "#^\d+$#u"
}
["_routeParams":"yii\web\UrlRule":private]=>
array(0) {
}
}
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object(yii\web\UrlRule)#46 (16) {
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string(29) "blog/"
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string(36) "#^blog/(?P[a-z0-9\-]+)$#u"
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NULL
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string(9) "blog/view"
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array(0) {
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NULL
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NULL
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NULL
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bool(true)
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NULL
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int(2)
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array(1) {
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string(11) "rewriteName"
}
["_template":"yii\web\UrlRule":private]=>
string(20) "/blog//"
["_routeRule":"yii\web\UrlRule":private]=>
NULL
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array(1) {
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string(16) "#^[a-z0-9\-]+$#u"
}
["_routeParams":"yii\web\UrlRule":private]=>
array(0) {
}
}
[17]=>
object(yii\web\UrlRule)#47 (16) {
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string(4) "blog"
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string(9) "#^blog$#u"
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NULL
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string(10) "blog/index"
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array(0) {
}
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NULL
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NULL
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bool(true)
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NULL
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int(2)
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array(0) {
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["_template":"yii\web\UrlRule":private]=>
string(6) "/blog/"
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NULL
["_paramRules":"yii\web\UrlRule":private]=>
array(0) {
}
["_routeParams":"yii\web\UrlRule":private]=>
array(0) {
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}
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object(yii\web\UrlRule)#48 (16) {
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NULL
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array(0) {
}
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NULL
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bool(true)
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int(2)
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array(3) {
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string(11) "countryLink"
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string(8) "cityLink"
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string(10) "branchLink"
}
["_template":"yii\web\UrlRule":private]=>
string(47) "/sitemap////"
["_routeRule":"yii\web\UrlRule":private]=>
NULL
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array(3) {
["countryLink"]=>
string(0) ""
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string(0) ""
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string(0) ""
}
["_routeParams":"yii\web\UrlRule":private]=>
array(0) {
}
}
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object(yii\web\UrlRule)#49 (16) {
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string(34) "sitemap//"
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string(56) "#^sitemap/(?P[^\/]+)/(?P[^\/]+)$#u"
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NULL
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array(0) {
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NULL
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bool(true)
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NULL
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int(2)
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array(2) {
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string(11) "countryLink"
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string(10) "branchLink"
}
["_template":"yii\web\UrlRule":private]=>
string(36) "/sitemap///"
["_routeRule":"yii\web\UrlRule":private]=>
NULL
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array(2) {
["countryLink"]=>
string(0) ""
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string(0) ""
}
["_routeParams":"yii\web\UrlRule":private]=>
array(0) {
}
}
[20]=>
object(app\components\DoctorUrlRule)#50 (0) {
}
[21]=>
object(app\components\SpecialityUrlRule)#51 (0) {
}
[22]=>
object(app\components\CountryUrlRule)#52 (0) {
}
[23]=>
object(app\components\CityUrlRule)#53 (0) {
}
[24]=>
object(app\components\DiseaseUrlRule)#54 (0) {
}
[25]=>
object(app\components\BranchUrlRule)#55 (0) {
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[26]=>
object(app\components\ClinicUrlRule)#56 (0) {
}
}
["suffix"]=>
NULL
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bool(false)
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string(1) "r"
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object(yii\redis\Cache)#28 (10) {
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object(yii\redis\Connection)#30 (14) {
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NULL
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string(4) "AUTH"
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string(12) "BGREWRITEAOF"
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string(6) "BGSAVE"
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string(8) "BITCOUNT"
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string(8) "BITFIELD"
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string(5) "BITOP"
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string(6) "BITPOS"
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string(5) "BLPOP"
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string(5) "BRPOP"
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string(10) "BRPOPLPUSH"
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string(11) "CLIENT KILL"
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string(11) "CLIENT LIST"
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string(14) "CLIENT GETNAME"
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string(12) "CLIENT PAUSE"
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string(12) "CLIENT REPLY"
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string(14) "CLIENT SETNAME"
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string(16) "CLUSTER ADDSLOTS"
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string(23) "CLUSTER COUNTKEYSINSLOT"
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string(16) "CLUSTER DELSLOTS"
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string(16) "CLUSTER FAILOVER"
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string(14) "CLUSTER FORGET"
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string(21) "CLUSTER GETKEYSINSLOT"
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string(12) "CLUSTER INFO"
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string(15) "CLUSTER KEYSLOT"
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string(12) "CLUSTER MEET"
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string(13) "CLUSTER NODES"
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string(17) "CLUSTER REPLICATE"
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string(13) "CLUSTER RESET"
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string(18) "CLUSTER SAVECONFIG"
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string(15) "CLUSTER SETSLOT"
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string(14) "CLUSTER SLAVES"
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string(13) "CLUSTER SLOTS"
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string(7) "COMMAND"
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string(13) "COMMAND COUNT"
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string(15) "COMMAND GETKEYS"
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string(12) "COMMAND INFO"
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string(10) "CONFIG GET"
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string(14) "CONFIG REWRITE"
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string(10) "CONFIG SET"
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string(16) "CONFIG RESETSTAT"
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string(6) "DBSIZE"
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string(12) "DEBUG OBJECT"
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string(14) "DEBUG SEGFAULT"
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string(4) "DECR"
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string(6) "DECRBY"
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string(3) "DEL"
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string(7) "DISCARD"
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string(4) "DUMP"
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string(4) "ECHO"
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string(4) "EVAL"
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string(7) "EVALSHA"
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string(4) "EXEC"
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string(6) "EXISTS"
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string(6) "EXPIRE"
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string(8) "EXPIREAT"
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string(8) "FLUSHALL"
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string(7) "FLUSHDB"
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string(6) "GEOADD"
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string(7) "GEOHASH"
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string(6) "GEOPOS"
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string(7) "GEODIST"
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string(9) "GEORADIUS"
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string(17) "GEORADIUSBYMEMBER"
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string(3) "GET"
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string(6) "GETBIT"
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string(8) "GETRANGE"
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string(6) "GETSET"
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string(4) "HDEL"
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string(7) "HEXISTS"
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string(4) "HGET"
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string(7) "HGETALL"
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string(7) "HINCRBY"
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string(12) "HINCRBYFLOAT"
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string(5) "HKEYS"
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string(4) "HLEN"
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string(5) "HMGET"
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string(5) "HMSET"
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string(4) "HSET"
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string(6) "HSETNX"
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string(7) "HSTRLEN"
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string(5) "HVALS"
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string(4) "INCR"
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string(6) "INCRBY"
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string(11) "INCRBYFLOAT"
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string(4) "INFO"
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string(4) "KEYS"
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string(8) "LASTSAVE"
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string(6) "LINDEX"
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string(7) "LINSERT"
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string(4) "LLEN"
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string(4) "LPOP"
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string(5) "LPUSH"
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string(6) "LPUSHX"
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string(6) "LRANGE"
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string(4) "LREM"
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string(4) "LSET"
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string(5) "LTRIM"
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string(4) "MGET"
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string(7) "MIGRATE"
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string(7) "MONITOR"
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string(4) "MOVE"
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string(4) "MSET"
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string(6) "MSETNX"
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string(5) "MULTI"
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string(6) "OBJECT"
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string(7) "PERSIST"
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string(7) "PEXPIRE"
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string(9) "PEXPIREAT"
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string(5) "PFADD"
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string(7) "PFCOUNT"
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string(7) "PFMERGE"
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string(4) "PING"
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string(6) "PSETEX"
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string(10) "PSUBSCRIBE"
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string(6) "PUBSUB"
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string(4) "PTTL"
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string(7) "PUBLISH"
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string(12) "PUNSUBSCRIBE"
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string(4) "QUIT"
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string(9) "RANDOMKEY"
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string(8) "READONLY"
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string(9) "READWRITE"
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string(6) "RENAME"
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string(8) "RENAMENX"
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string(7) "RESTORE"
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string(4) "ROLE"
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string(4) "RPOP"
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string(9) "RPOPLPUSH"
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string(5) "RPUSH"
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string(6) "RPUSHX"
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string(4) "SADD"
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string(4) "SAVE"
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string(5) "SCARD"
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string(12) "SCRIPT DEBUG"
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string(13) "SCRIPT EXISTS"
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string(12) "SCRIPT FLUSH"
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string(11) "SCRIPT KILL"
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string(11) "SCRIPT LOAD"
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string(5) "SDIFF"
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string(10) "SDIFFSTORE"
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string(6) "SELECT"
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string(3) "SET"
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string(6) "SETBIT"
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string(5) "SETEX"
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string(8) "SETRANGE"
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string(8) "SHUTDOWN"
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string(6) "SINTER"
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string(11) "SINTERSTORE"
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string(9) "SISMEMBER"
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string(7) "SLAVEOF"
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string(7) "SLOWLOG"
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string(8) "SMEMBERS"
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string(5) "SMOVE"
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string(4) "SORT"
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string(4) "SPOP"
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string(11) "SRANDMEMBER"
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string(4) "SREM"
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string(6) "STRLEN"
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string(9) "SUBSCRIBE"
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string(6) "SUNION"
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string(6) "SWAPDB"
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string(4) "SYNC"
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string(4) "TIME"
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string(5) "TOUCH"
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string(3) "TTL"
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string(4) "TYPE"
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string(11) "UNSUBSCRIBE"
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string(6) "UNLINK"
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string(7) "UNWATCH"
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string(4) "WAIT"
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string(5) "WATCH"
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string(4) "ZADD"
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string(5) "ZCARD"
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string(6) "ZCOUNT"
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string(7) "ZINCRBY"
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string(11) "ZINTERSTORE"
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string(9) "ZLEXCOUNT"
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string(6) "ZRANGE"
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string(11) "ZRANGEBYLEX"
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string(14) "ZREVRANGEBYLEX"
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string(13) "ZRANGEBYSCORE"
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string(5) "ZRANK"
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string(4) "ZREM"
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string(14) "ZREMRANGEBYLEX"
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string(15) "ZREMRANGEBYRANK"
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string(16) "ZREMRANGEBYSCORE"
[189]=>
string(9) "ZREVRANGE"
[190]=>
string(16) "ZREVRANGEBYSCORE"
[191]=>
string(8) "ZREVRANK"
[192]=>
string(6) "ZSCORE"
[193]=>
string(11) "ZUNIONSTORE"
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string(4) "SCAN"
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string(5) "SSCAN"
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string(5) "HSCAN"
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string(5) "ZSCAN"
}
["_socket":"yii\redis\Connection":private]=>
resource(55) of type (stream)
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array(0) {
}
["_eventWildcards":"yii\base\Component":private]=>
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}
["enableReplicas"]=>
bool(false)
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array(0) {
}
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int(0)
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array(0) {
}
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array(0) {
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NULL
}
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array(1) {
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string(15) "yii\web\UrlRule"
}
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bool(false)
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string(18) "yii\web\UrlManager"
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string(0) ""
["_scriptUrl":"yii\web\UrlManager":private]=>
NULL
["_hostInfo":"yii\web\UrlManager":private]=>
string(18) "https://docland.ru"
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array(24) {
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array(7) {
[0]=>
object(app\components\DoctorUrlRule)#50 (0) {
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[1]=>
object(app\components\SpecialityUrlRule)#51 (0) {
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[2]=>
object(app\components\CountryUrlRule)#52 (0) {
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object(app\components\CityUrlRule)#53 (0) {
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[4]=>
object(app\components\DiseaseUrlRule)#54 (0) {
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[5]=>
object(app\components\BranchUrlRule)#55 (0) {
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object(app\components\ClinicUrlRule)#56 (0) {
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}
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object(app\components\DoctorUrlRule)#50 (0) {
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object(app\components\SpecialityUrlRule)#51 (0) {
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[2]=>
object(app\components\CountryUrlRule)#52 (0) {
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[3]=>
object(app\components\CityUrlRule)#53 (0) {
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[4]=>
object(app\components\DiseaseUrlRule)#54 (0) {
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[5]=>
object(app\components\BranchUrlRule)#55 (0) {
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[6]=>
object(app\components\ClinicUrlRule)#56 (0) {
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["speciality/view?speciality&"]=>
array(2) {
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object(app\components\DoctorUrlRule)#50 (0) {
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object(app\components\SpecialityUrlRule)#51 (0) {
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["request?"]=>
array(7) {
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object(app\components\DoctorUrlRule)#50 (0) {
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object(app\components\SpecialityUrlRule)#51 (0) {
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object(app\components\CountryUrlRule)#52 (0) {
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[3]=>
object(app\components\CityUrlRule)#53 (0) {
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[4]=>
object(app\components\DiseaseUrlRule)#54 (0) {
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[5]=>
object(app\components\BranchUrlRule)#55 (0) {
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[6]=>
object(app\components\ClinicUrlRule)#56 (0) {
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}
["doctors?"]=>
array(7) {
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object(app\components\DoctorUrlRule)#50 (0) {
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[1]=>
object(app\components\SpecialityUrlRule)#51 (0) {
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[2]=>
object(app\components\CountryUrlRule)#52 (0) {
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[3]=>
object(app\components\CityUrlRule)#53 (0) {
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[4]=>
object(app\components\DiseaseUrlRule)#54 (0) {
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[5]=>
object(app\components\BranchUrlRule)#55 (0) {
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[6]=>
object(app\components\ClinicUrlRule)#56 (0) {
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}
["doctors#COUNTRY#?"]=>
array(7) {
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object(app\components\DoctorUrlRule)#50 (0) {
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[1]=>
object(app\components\SpecialityUrlRule)#51 (0) {
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[2]=>
object(app\components\CountryUrlRule)#52 (0) {
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[3]=>
object(app\components\CityUrlRule)#53 (0) {
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[4]=>
object(app\components\DiseaseUrlRule)#54 (0) {
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[5]=>
object(app\components\BranchUrlRule)#55 (0) {
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[6]=>
object(app\components\ClinicUrlRule)#56 (0) {
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array(1) {
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object(yii\web\UrlRule)#34 (16) {
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string(97) ""
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string(108) "#^(?P(login|logout|change-email|change-password|error|prices|about|contacts|register-partner))$#u"
["host"]=>
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string(13) "site/"
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array(0) {
}
["suffix"]=>
NULL
["verb"]=>
NULL
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NULL
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bool(true)
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NULL
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int(2)
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array(1) {
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string(6) "action"
}
["_template":"yii\web\UrlRule":private]=>
string(10) "//"
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string(113) "#^site/(?P(login|logout|change-email|change-password|error|prices|about|contacts|register-partner))$#u"
["_paramRules":"yii\web\UrlRule":private]=>
array(0) {
}
["_routeParams":"yii\web\UrlRule":private]=>
array(1) {
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string(8) ""
}
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}
["blog/view?rewriteName&"]=>
array(1) {
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object(yii\web\UrlRule)#46 (16) {
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NULL
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array(0) {
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NULL
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NULL
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bool(true)
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NULL
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int(2)
["placeholders":protected]=>
array(1) {
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string(11) "rewriteName"
}
["_template":"yii\web\UrlRule":private]=>
string(20) "/blog//"
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NULL
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array(1) {
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string(16) "#^[a-z0-9\-]+$#u"
}
["_routeParams":"yii\web\UrlRule":private]=>
array(0) {
}
}
}
["search/index?"]=>
array(1) {
[0]=>
object(yii\web\UrlRule)#39 (16) {
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string(7) "clinics"
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string(12) "#^clinics$#u"
["host"]=>
NULL
["route"]=>
string(12) "search/index"
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По отзывам, основным преимуществом ЭКО за рубежом относятся индивидуализация и высокий уровень программ репродукции, выгодные условия работы с иностранными пациентами, новейшие ВРТ-технологии, лояльность к однополым парам и прогрессивное законодательство, регламентирующее количество ооцитов для инсеминации.
Сколько стоит ЭКО за границей? Стоимость ЭКО существенно различается от страны к стране, например, в Испании финансовые условия одни из наиболее демократичных в Европе, но на итоговую цену влияет сложность конкретного случая, необходимость использования донорской яйцеклетки или повторной попытки.
Методы диагностики и лечения Традиционная схема ЭКО включает 6 этапов:
обследование (базовые лабораторные тесты и генетическая диагностика); индукция овуляции и фолликулярная пункция; оплодотворение эмбриона (ИКСИ); выращивание эмбрионов; подсадка эмбрионов и поддержание лютеиновой фазы; итоговый тест на беременность по ХГЧ-анализу крови через 10 дней после трансплантации эмбрионов Важная информация По статистике, ЭКО за рубежом дает положительный результат после первой процедуры в 30-50% случаев. Такая результативность объясняется высочайшим уровнем репродуктивных технологий. При этом обследованием, подготовкой и непосредственным проведением ИКСИ и переноса эмбрионов здесь занимаются специалисты выделенных институтов.
По отзывам, основным преимуществом ЭКО за рубежом относятся индивидуализация и высокий уровень программ репродукции, выгодные условия работы с иностранными пациентами, новейшие ВРТ-технологии, лояльность к однополым парам и прогрессивное законодательство, регламентирующее количество ооцитов для инсеминации.
Сколько стоит ЭКО за границей? Стоимость ЭКО существенно различается от страны к стране, например, в Испании финансовые условия одни из наиболее демократичных в Европе, но на итоговую цену влияет сложность конкретного случая, необходимость использования донорской яйцеклетки или повторной попытки.
Методы диагностики и лечения Традиционная схема ЭКО включает 6 этапов:
обследование (базовые лабораторные тесты и генетическая диагностика); индукция овуляции и фолликулярная пункция; оплодотворение эмбриона (ИКСИ); выращивание эмбрионов; подсадка эмбрионов и поддержание лютеиновой фазы; итоговый тест на беременность по ХГЧ-анализу крови через 10 дней после трансплантации эмбрионов Общая информация Роды за рубежомвыбирают все больше семей, и это объяснимо, учитывая высокий уровень акушерства в этой стране и множество положительных отзывов на просторах интернета. Даже если беременность протекает нормально, хочется, чтобы ребенок появился на свет под контролем квалифицированных специалистов. При патологии беременности и возможных осложнениях в родах причин обратиться в клинику с надежной репутацией становится еще больше.
Сколько стоят роды за рубежом? Цены на роды за рубежом варьируются в значительных пределах и зависят от нескольких факторов:
Уровень палат и общего сервиса. Популярность клиники (в ряде случаев приходится доплатить за известное имя). Наличие осложнений беременности, необходимость дополнительных исследований и манипуляций. Особенности родов: кесарево сечение за рубежом стоит дороже, чем обычные физиологические роды. Наличие инфекций, которые могут передаться плоду во время родов, требует особой техники их проведения. Например, за рубежом есть возможность организовать роды с ВИЧ. Роды за рубежом для россиян На сегодняшний день существует отработанная схема организации родов за рубежом для россиян. Достаточно прислать посреднику документы о протекании беременности, которые будут переданы в выбранную клинику, и прилететь за месяц до родов. Заблаговременный прилет избавит от риска родов в самолете или экстренных родов до выполнения необходимого обследования.
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Уровень палат и общего сервиса. Популярность клиники (в ряде случаев приходится доплатить за известное имя). Наличие осложнений беременности, необходимость дополнительных исследований и манипуляций. Особенности родов: кесарево сечение за рубежом стоит дороже, чем обычные физиологические роды. Наличие инфекций, которые могут передаться плоду во время родов, требует особой техники их проведения. Например, за рубежом есть возможность организовать роды с ВИЧ. Роды за рубежом для россиян На сегодняшний день существует отработанная схема организации родов за рубежом для россиян. Достаточно прислать посреднику документы о протекании беременности, которые будут переданы в выбранную клинику, и прилететь за месяц до родов. Заблаговременный прилет избавит от риска родов в самолете или экстренных родов до выполнения необходимого обследования.
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string(1803) "Гинекологические клиники за границей славятся безупречным качеством медицинского обслуживания и высоким уровнем сервиса. Каждый год для эффективного решения проблем с женским здоровьем за рубеж отправляются десятки тысяч представительниц прекрасного пола, желающих получить высокопрофессиональную врачебную помощь за разумные деньги. Их привлекает международный авторитет, высокая квалификация и внушительный опыт зарубежных специалистов, суперсовременное оснащение гинекологических отделений, доступ к прогрессивным лечебно-диагностическим методикам и инновационным лекарственным препаратам.
Гинекология за границей предоставляет широкие возможности для качественной диагностики и грамотного лечения любых заболеваний женской репродуктивной системы, включая нарушения менструального цикла, воспалительные процессы матки и придатков, бесплодие, эндометриоз, патологии молочной железы, доброкачественные и злокачественные опухоли органов половой сферы.
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string(16042) "Современные методы лечения гинекологических заболеваний за рубежом Гинекологи ведущих клиник мира в своей практике используют только проверенные терапевтические методики с доказанной эффективностью. При этом они отдают предпочтение безоперационным вариантам лечения, а если ситуация требует хирургического вмешательства, делают выбор в пользу щадящих техник, позволяющих сохранить максимальный объем здоровых тканей.
Медикаментозная терапия . Многие заболевания женской половой системы успешно поддаются лекарственному лечению. В зависимости от характера патологии могут быть назначены:
гормональные препараты – для нормализации функций эндокринной системы и восстановления гормонального баланса. Они также могут использоваться для препятствования формированию спаек в брюшной полости и области малого таза;нестероидные противовоспалительные средства – для устранения воспалительных процессов;антибиотики, противовирусные и противогрибковые препараты – для лечения инфекционных заболеваний и их последствий. Лазерная терапия . Один из самых действенных и безопасных методов, с помощью которого проводят лечение гинекологических заболеваний за рубежом. Он эффективно устраняет различные патологии шейки матки, в том числе склонные к злокачественной трансформации, новообразования придатков, хронические воспалительные процессы и т.д. В основе метода лежит воздействие на патологически измененные ткани лазерным лучом, направление и мощность которого врач регулирует самостоятельно, чем обеспечивает высокую точность и безопасность процедуры.
Манипуляция безболезненна, бескровна и не требует восстановления.
Криодеструкция . Современный безоперационный метод, заключающийся в разрушении пораженных тканей органов женской половой системы путем воздействия на них сверхнизкими температурами, которые достигаются с помощью жидкого азота. В результате мгновенного охлаждения происходит кристаллизация внутриклеточной и межклеточной жидкости – аномальные клетки замораживаются и погибают, после чего выводятся из организма естественным путем в течение двух-трех месяцев.
Эту эффективную и безопасную процедуру широко применяют в терапии дисплазии, эрозии, эктопии, лейкоплакии и кисты шейки матки, цервицита, кондилом и иных гинекологических патологий.
Радиоволновая терапия . Еще одна щадящая методика лечения различных патологий шейки матки, в частности у женщин, планирующих в будущем беременность, которую активно используют гинекологические клиники за границей. Безболезненное уничтожение дефектных участков ткани происходит благодаря направленному воздействию высокочастотных волн, энергия которых нагревает и испаряет их клетки. Обработанные таким образом ткани восстанавливаются в кратчайшие сроки. Риск кровотечений и постпроцедурных осложнений при этом полностью отсутствует.
Для проведения радиоволновой терапии используется специальный аппарат, позволяющий разрушить патологические клетки без повреждения здоровой ткани. В ходе манипуляции он одновременно дезинфицирует и коагулирует вскрывшиеся сосуды, благодаря чему этот метод более эффективен и безопасен в сравнении с прижиганием, к тому же не оставляет рубцов.
Фокусированный ультразвук высокой интенсивности (HIFU) . Неинвазивный органосохраняющий метод устранения небольших доброкачественных опухолей органов женской репродуктивной системы, в том числе миомы матки. Он использует энергию высокочастотного сфокусированного ультразвука для местного нагревания и разрушения поврежденных участков ткани с последующей термической коагуляцией. HIFU отличается высокой точностью воздействия, благодаря которой здоровые клетки, расположенные по соседству с патологическим очагом, остаются невредимыми.
Найти опухолевый узел помогает специальный ультразвуковой датчик, после чего врач задает через компьютер необходимые параметры: локализацию и размер миомы, интенсивность волн и температуру, требуемую для разрушения патологических тканей.
Эмболизация маточных артерий . Как и HIFU, используется в основном для безопасного уничтожения миоматозных узлов матки. Подразумевает искусственное перекрытие кровотока в маточных артериях при помощи эмболизирующих микрочастиц, выполненных из специального медицинского полимера. Введенные через небольшой катетер, они закупоривают просвет артерий, которые питают опухолевое образование в тканях матки, вследствие чего миома лишается питания и некротизируется.
Лапароскопия . Современный хирургический метод, который используется в качестве альтернативы традиционной хирургии. Абсолютное большинство операций, которые специалисты зарубежных клиник выполняют для устранения гинекологических патологий, проводят именно лапароскопически – через три сантиметровых прокола в брюшной стенке и стенке влагалища. Такие вмешательства гораздо менее травматичны, не сопровождаются осложнениями, не оставляют грубых эстетических дефектов на теле женщины и не требуют длительного восстановления.
Лапароскопическим методом, в частности, удаляют спайки, полипы, доброкачественные и злокачественные опухоли женских половых органов, лечат эндометриоз, восстанавливают проходимость фаллопиевых труб и т.д.
Передовые способы диагностики в гинекологии Успешность любого лечения напрямую зависит от качества диагностики. Чтобы обеспечить своим пациенткам наилучший результат, гинекология за рубежом использует самые точные, информативные и безопасные диагностические методы. Они позволяют с высокой степенью достоверности установить характер и причину патологии, определить ее особенности и подобрать наиболее оптимальную схему терапии.
Диагностическая программа в большинстве зарубежных клиник включает в себя три этапа, которые реализуются за несколько рабочих дней.
Этап 1. Консультация гинеколога и первичный осмотр Как только пациентка прибывает в страну, она в тот же день отправляется в больницу на прием к ведущему специалисту гинекологического отделения. Врач выслушивает ее жалобы, расспрашивает о характере и интенсивности симптомов, изучает привезенную медицинскую документацию с результатами уже пройденных исследований и проводит гинекологический осмотр. На основе собранной информации он определяет список диагностических проверок, которые необходимы для уточнения предварительного диагноза.
Этап 2. Обследование Диагностика при гинекологических заболеваниях может включать в себя:
колькоскопию – метод исследования слизистой оболочки шейки матки с помощью специального оптического прибора, позволяющий выявить патологические изменения;гистероскопию – используется для оценки состояния эндометрия и полости матки, а также цервикального канала; гистеросальпингографию – рентгеноконтрастное исследование полости матки и маточных труб, которое дает возможность выявить аномальные изменения в полости матки, непроходимость фаллопиевых труб, наличие спаечного процесса;ультразвуковое исследование органов малого таза;компьютерную и магнитно-резонансную томографию , которые незаменимы при диагностике злокачественных опухолей женской репродуктивной системы;биопсию с последующим гистологическим и цитологическим исследованием образца;лабораторные исследования крови . Этап 3. Утверждение терапевтической тактики Как только результаты обследований готовы, их передают на рассмотрение консилиума, состоящего из специалистов разного профиля (в зависимости от характера патологии). Они тщательно анализируют полученные данные, обсуждают возможные варианты лечения и в итоге согласовывают оптимальный терапевтический план.
Стоимость лечения гинекологических заболеваний за границей Цена медицинских услуг будет разниться, в зависимости от характера гинекологического заболевания, его тяжести, задействованных терапевтических методик, вида и количества понадобившихся обследований, необходимости хирургического вмешательства и его сложности, стоимости используемых фармакологических препаратов, числа привлеченных специалистов и множества других факторов. Обычно итоговую цену врачи зарубежных медцентров называют только после того, как выполнят нужные диагностические проверки и утвердят программу терапии.
На размер стоимости не в последнюю очередь и влияет страна, которая была выбрана для прохождения лечения. При аналогичном качестве медицинского обслуживания дороже всего оно обойдется в Западной Европе, Америке и Канаде, дешевле – в Израиле: разница в цене услуг между этими странами составляет порядка 30–50%.
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string(1803) "Гинекологические клиники за границей славятся безупречным качеством медицинского обслуживания и высоким уровнем сервиса. Каждый год для эффективного решения проблем с женским здоровьем за рубеж отправляются десятки тысяч представительниц прекрасного пола, желающих получить высокопрофессиональную врачебную помощь за разумные деньги. Их привлекает международный авторитет, высокая квалификация и внушительный опыт зарубежных специалистов, суперсовременное оснащение гинекологических отделений, доступ к прогрессивным лечебно-диагностическим методикам и инновационным лекарственным препаратам.
Гинекология за границей предоставляет широкие возможности для качественной диагностики и грамотного лечения любых заболеваний женской репродуктивной системы, включая нарушения менструального цикла, воспалительные процессы матки и придатков, бесплодие, эндометриоз, патологии молочной железы, доброкачественные и злокачественные опухоли органов половой сферы.
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string(16042) "Современные методы лечения гинекологических заболеваний за рубежом Гинекологи ведущих клиник мира в своей практике используют только проверенные терапевтические методики с доказанной эффективностью. При этом они отдают предпочтение безоперационным вариантам лечения, а если ситуация требует хирургического вмешательства, делают выбор в пользу щадящих техник, позволяющих сохранить максимальный объем здоровых тканей.
Медикаментозная терапия . Многие заболевания женской половой системы успешно поддаются лекарственному лечению. В зависимости от характера патологии могут быть назначены:
гормональные препараты – для нормализации функций эндокринной системы и восстановления гормонального баланса. Они также могут использоваться для препятствования формированию спаек в брюшной полости и области малого таза;нестероидные противовоспалительные средства – для устранения воспалительных процессов;антибиотики, противовирусные и противогрибковые препараты – для лечения инфекционных заболеваний и их последствий. Лазерная терапия . Один из самых действенных и безопасных методов, с помощью которого проводят лечение гинекологических заболеваний за рубежом. Он эффективно устраняет различные патологии шейки матки, в том числе склонные к злокачественной трансформации, новообразования придатков, хронические воспалительные процессы и т.д. В основе метода лежит воздействие на патологически измененные ткани лазерным лучом, направление и мощность которого врач регулирует самостоятельно, чем обеспечивает высокую точность и безопасность процедуры.
Манипуляция безболезненна, бескровна и не требует восстановления.
Криодеструкция . Современный безоперационный метод, заключающийся в разрушении пораженных тканей органов женской половой системы путем воздействия на них сверхнизкими температурами, которые достигаются с помощью жидкого азота. В результате мгновенного охлаждения происходит кристаллизация внутриклеточной и межклеточной жидкости – аномальные клетки замораживаются и погибают, после чего выводятся из организма естественным путем в течение двух-трех месяцев.
Эту эффективную и безопасную процедуру широко применяют в терапии дисплазии, эрозии, эктопии, лейкоплакии и кисты шейки матки, цервицита, кондилом и иных гинекологических патологий.
Радиоволновая терапия . Еще одна щадящая методика лечения различных патологий шейки матки, в частности у женщин, планирующих в будущем беременность, которую активно используют гинекологические клиники за границей. Безболезненное уничтожение дефектных участков ткани происходит благодаря направленному воздействию высокочастотных волн, энергия которых нагревает и испаряет их клетки. Обработанные таким образом ткани восстанавливаются в кратчайшие сроки. Риск кровотечений и постпроцедурных осложнений при этом полностью отсутствует.
Для проведения радиоволновой терапии используется специальный аппарат, позволяющий разрушить патологические клетки без повреждения здоровой ткани. В ходе манипуляции он одновременно дезинфицирует и коагулирует вскрывшиеся сосуды, благодаря чему этот метод более эффективен и безопасен в сравнении с прижиганием, к тому же не оставляет рубцов.
Фокусированный ультразвук высокой интенсивности (HIFU) . Неинвазивный органосохраняющий метод устранения небольших доброкачественных опухолей органов женской репродуктивной системы, в том числе миомы матки. Он использует энергию высокочастотного сфокусированного ультразвука для местного нагревания и разрушения поврежденных участков ткани с последующей термической коагуляцией. HIFU отличается высокой точностью воздействия, благодаря которой здоровые клетки, расположенные по соседству с патологическим очагом, остаются невредимыми.
Найти опухолевый узел помогает специальный ультразвуковой датчик, после чего врач задает через компьютер необходимые параметры: локализацию и размер миомы, интенсивность волн и температуру, требуемую для разрушения патологических тканей.
Эмболизация маточных артерий . Как и HIFU, используется в основном для безопасного уничтожения миоматозных узлов матки. Подразумевает искусственное перекрытие кровотока в маточных артериях при помощи эмболизирующих микрочастиц, выполненных из специального медицинского полимера. Введенные через небольшой катетер, они закупоривают просвет артерий, которые питают опухолевое образование в тканях матки, вследствие чего миома лишается питания и некротизируется.
Лапароскопия . Современный хирургический метод, который используется в качестве альтернативы традиционной хирургии. Абсолютное большинство операций, которые специалисты зарубежных клиник выполняют для устранения гинекологических патологий, проводят именно лапароскопически – через три сантиметровых прокола в брюшной стенке и стенке влагалища. Такие вмешательства гораздо менее травматичны, не сопровождаются осложнениями, не оставляют грубых эстетических дефектов на теле женщины и не требуют длительного восстановления.
Лапароскопическим методом, в частности, удаляют спайки, полипы, доброкачественные и злокачественные опухоли женских половых органов, лечат эндометриоз, восстанавливают проходимость фаллопиевых труб и т.д.
Передовые способы диагностики в гинекологии Успешность любого лечения напрямую зависит от качества диагностики. Чтобы обеспечить своим пациенткам наилучший результат, гинекология за рубежом использует самые точные, информативные и безопасные диагностические методы. Они позволяют с высокой степенью достоверности установить характер и причину патологии, определить ее особенности и подобрать наиболее оптимальную схему терапии.
Диагностическая программа в большинстве зарубежных клиник включает в себя три этапа, которые реализуются за несколько рабочих дней.
Этап 1. Консультация гинеколога и первичный осмотр Как только пациентка прибывает в страну, она в тот же день отправляется в больницу на прием к ведущему специалисту гинекологического отделения. Врач выслушивает ее жалобы, расспрашивает о характере и интенсивности симптомов, изучает привезенную медицинскую документацию с результатами уже пройденных исследований и проводит гинекологический осмотр. На основе собранной информации он определяет список диагностических проверок, которые необходимы для уточнения предварительного диагноза.
Этап 2. Обследование Диагностика при гинекологических заболеваниях может включать в себя:
колькоскопию – метод исследования слизистой оболочки шейки матки с помощью специального оптического прибора, позволяющий выявить патологические изменения;гистероскопию – используется для оценки состояния эндометрия и полости матки, а также цервикального канала; гистеросальпингографию – рентгеноконтрастное исследование полости матки и маточных труб, которое дает возможность выявить аномальные изменения в полости матки, непроходимость фаллопиевых труб, наличие спаечного процесса;ультразвуковое исследование органов малого таза;компьютерную и магнитно-резонансную томографию , которые незаменимы при диагностике злокачественных опухолей женской репродуктивной системы;биопсию с последующим гистологическим и цитологическим исследованием образца;лабораторные исследования крови . Этап 3. Утверждение терапевтической тактики Как только результаты обследований готовы, их передают на рассмотрение консилиума, состоящего из специалистов разного профиля (в зависимости от характера патологии). Они тщательно анализируют полученные данные, обсуждают возможные варианты лечения и в итоге согласовывают оптимальный терапевтический план.
Стоимость лечения гинекологических заболеваний за границей Цена медицинских услуг будет разниться, в зависимости от характера гинекологического заболевания, его тяжести, задействованных терапевтических методик, вида и количества понадобившихся обследований, необходимости хирургического вмешательства и его сложности, стоимости используемых фармакологических препаратов, числа привлеченных специалистов и множества других факторов. Обычно итоговую цену врачи зарубежных медцентров называют только после того, как выполнят нужные диагностические проверки и утвердят программу терапии.
На размер стоимости не в последнюю очередь и влияет страна, которая была выбрана для прохождения лечения. При аналогичном качестве медицинского обслуживания дороже всего оно обойдется в Западной Европе, Америке и Канаде, дешевле – в Израиле: разница в цене услуг между этими странами составляет порядка 30–50%.
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["attributes"]=>
array(2) {
["beforeInsert"]=>
array(2) {
[0]=>
string(10) "created_at"
[1]=>
string(10) "updated_at"
}
["beforeUpdate"]=>
string(10) "updated_at"
}
["skipUpdateOnClean"]=>
bool(true)
["preserveNonEmptyValues"]=>
bool(false)
["owner"]=>
*RECURSION*
}
[1]=>
string(18) "evaluateAttributes"
}
[1]=>
NULL
}
}
["beforeUpdate"]=>
array(1) {
[0]=>
array(2) {
[0]=>
array(2) {
[0]=>
object(yii\behaviors\TimestampBehavior)#8423 (7) {
["createdAtAttribute"]=>
string(10) "created_at"
["updatedAtAttribute"]=>
string(10) "updated_at"
["value"]=>
object(Closure)#8425 (1) {
["this"]=>
*RECURSION*
}
["attributes"]=>
array(2) {
["beforeInsert"]=>
array(2) {
[0]=>
string(10) "created_at"
[1]=>
string(10) "updated_at"
}
["beforeUpdate"]=>
string(10) "updated_at"
}
["skipUpdateOnClean"]=>
bool(true)
["preserveNonEmptyValues"]=>
bool(false)
["owner"]=>
*RECURSION*
}
[1]=>
string(18) "evaluateAttributes"
}
[1]=>
NULL
}
}
}
["_eventWildcards":"yii\base\Component":private]=>
array(0) {
}
["_behaviors":"yii\base\Component":private]=>
array(2) {
[0]=>
object(app\components\MultilingualBehavior)#8424 (12) {
["attributes"]=>
array(11) {
[0]=>
string(6) "public"
[1]=>
string(5) "title"
[2]=>
string(4) "link"
[3]=>
string(14) "genitive_title"
[4]=>
string(5) "about"
[5]=>
string(11) "description"
[6]=>
string(10) "full_title"
[7]=>
string(6) "seo_h1"
[8]=>
string(9) "seo_title"
[9]=>
string(12) "seo_keywords"
[10]=>
string(15) "seo_description"
}
["languages"]=>
array(1) {
[0]=>
string(2) "en"
}
["defaultLanguage"]=>
string(2) "ru"
["tableName"]=>
string(11) "lang_branch"
["langClassName"]=>
string(21) "app\models\BranchLang"
["langClassSuffix"]=>
string(4) "Lang"
["langForeignKey"]=>
string(9) "branch_id"
["languageField"]=>
string(8) "language"
["forceDelete"]=>
bool(true)
["currentLanguage"]=>
string(2) "ru"
["langAttributes":"app\components\MultilingualBehavior":private]=>
array(0) {
}
["owner"]=>
*RECURSION*
}
[1]=>
object(yii\behaviors\TimestampBehavior)#8423 (7) {
["createdAtAttribute"]=>
string(10) "created_at"
["updatedAtAttribute"]=>
string(10) "updated_at"
["value"]=>
object(Closure)#8425 (1) {
["this"]=>
*RECURSION*
}
["attributes"]=>
array(2) {
["beforeInsert"]=>
array(2) {
[0]=>
string(10) "created_at"
[1]=>
string(10) "updated_at"
}
["beforeUpdate"]=>
string(10) "updated_at"
}
["skipUpdateOnClean"]=>
bool(true)
["preserveNonEmptyValues"]=>
bool(false)
["owner"]=>
*RECURSION*
}
}
}
}
}
["_relationsDependencies":"yii\db\BaseActiveRecord":private]=>
array(1) {
["id"]=>
array(1) {
["branches"]=>
string(8) "branches"
}
}
["_errors":"yii\base\Model":private]=>
NULL
["_validators":"yii\base\Model":private]=>
NULL
["_scenario":"yii\base\Model":private]=>
string(7) "default"
["_events":"yii\base\Component":private]=>
array(5) {
["afterFind"]=>
array(1) {
[0]=>
array(2) {
[0]=>
array(2) {
[0]=>
object(app\components\MultilingualBehavior)#71 (12) {
["attributes"]=>
array(5) {
[0]=>
string(5) "title"
[1]=>
string(4) "link"
[2]=>
string(12) "plural_title"
[3]=>
string(14) "genitive_title"
[4]=>
string(21) "genitive_plural_title"
}
["languages"]=>
array(1) {
[0]=>
string(2) "en"
}
["defaultLanguage"]=>
string(2) "ru"
["tableName"]=>
string(15) "lang_speciality"
["langClassName"]=>
string(25) "app\models\SpecialityLang"
["langClassSuffix"]=>
string(4) "Lang"
["langForeignKey"]=>
string(13) "speciality_id"
["languageField"]=>
string(8) "language"
["forceDelete"]=>
bool(true)
["currentLanguage"]=>
string(2) "ru"
["langAttributes":"app\components\MultilingualBehavior":private]=>
array(0) {
}
["owner"]=>
*RECURSION*
}
[1]=>
string(9) "afterFind"
}
[1]=>
NULL
}
}
["afterUpdate"]=>
array(1) {
[0]=>
array(2) {
[0]=>
array(2) {
[0]=>
object(app\components\MultilingualBehavior)#71 (12) {
["attributes"]=>
array(5) {
[0]=>
string(5) "title"
[1]=>
string(4) "link"
[2]=>
string(12) "plural_title"
[3]=>
string(14) "genitive_title"
[4]=>
string(21) "genitive_plural_title"
}
["languages"]=>
array(1) {
[0]=>
string(2) "en"
}
["defaultLanguage"]=>
string(2) "ru"
["tableName"]=>
string(15) "lang_speciality"
["langClassName"]=>
string(25) "app\models\SpecialityLang"
["langClassSuffix"]=>
string(4) "Lang"
["langForeignKey"]=>
string(13) "speciality_id"
["languageField"]=>
string(8) "language"
["forceDelete"]=>
bool(true)
["currentLanguage"]=>
string(2) "ru"
["langAttributes":"app\components\MultilingualBehavior":private]=>
array(0) {
}
["owner"]=>
*RECURSION*
}
[1]=>
string(11) "afterUpdate"
}
[1]=>
NULL
}
}
["afterInsert"]=>
array(1) {
[0]=>
array(2) {
[0]=>
array(2) {
[0]=>
object(app\components\MultilingualBehavior)#71 (12) {
["attributes"]=>
array(5) {
[0]=>
string(5) "title"
[1]=>
string(4) "link"
[2]=>
string(12) "plural_title"
[3]=>
string(14) "genitive_title"
[4]=>
string(21) "genitive_plural_title"
}
["languages"]=>
array(1) {
[0]=>
string(2) "en"
}
["defaultLanguage"]=>
string(2) "ru"
["tableName"]=>
string(15) "lang_speciality"
["langClassName"]=>
string(25) "app\models\SpecialityLang"
["langClassSuffix"]=>
string(4) "Lang"
["langForeignKey"]=>
string(13) "speciality_id"
["languageField"]=>
string(8) "language"
["forceDelete"]=>
bool(true)
["currentLanguage"]=>
string(2) "ru"
["langAttributes":"app\components\MultilingualBehavior":private]=>
array(0) {
}
["owner"]=>
*RECURSION*
}
[1]=>
string(11) "afterInsert"
}
[1]=>
NULL
}
}
["afterDelete"]=>
array(1) {
[0]=>
array(2) {
[0]=>
array(2) {
[0]=>
object(app\components\MultilingualBehavior)#71 (12) {
["attributes"]=>
array(5) {
[0]=>
string(5) "title"
[1]=>
string(4) "link"
[2]=>
string(12) "plural_title"
[3]=>
string(14) "genitive_title"
[4]=>
string(21) "genitive_plural_title"
}
["languages"]=>
array(1) {
[0]=>
string(2) "en"
}
["defaultLanguage"]=>
string(2) "ru"
["tableName"]=>
string(15) "lang_speciality"
["langClassName"]=>
string(25) "app\models\SpecialityLang"
["langClassSuffix"]=>
string(4) "Lang"
["langForeignKey"]=>
string(13) "speciality_id"
["languageField"]=>
string(8) "language"
["forceDelete"]=>
bool(true)
["currentLanguage"]=>
string(2) "ru"
["langAttributes":"app\components\MultilingualBehavior":private]=>
array(0) {
}
["owner"]=>
*RECURSION*
}
[1]=>
string(11) "afterDelete"
}
[1]=>
NULL
}
}
["beforeValidate"]=>
array(1) {
[0]=>
array(2) {
[0]=>
array(2) {
[0]=>
object(app\components\MultilingualBehavior)#71 (12) {
["attributes"]=>
array(5) {
[0]=>
string(5) "title"
[1]=>
string(4) "link"
[2]=>
string(12) "plural_title"
[3]=>
string(14) "genitive_title"
[4]=>
string(21) "genitive_plural_title"
}
["languages"]=>
array(1) {
[0]=>
string(2) "en"
}
["defaultLanguage"]=>
string(2) "ru"
["tableName"]=>
string(15) "lang_speciality"
["langClassName"]=>
string(25) "app\models\SpecialityLang"
["langClassSuffix"]=>
string(4) "Lang"
["langForeignKey"]=>
string(13) "speciality_id"
["languageField"]=>
string(8) "language"
["forceDelete"]=>
bool(true)
["currentLanguage"]=>
string(2) "ru"
["langAttributes":"app\components\MultilingualBehavior":private]=>
array(0) {
}
["owner"]=>
*RECURSION*
}
[1]=>
string(14) "beforeValidate"
}
[1]=>
NULL
}
}
}
["_eventWildcards":"yii\base\Component":private]=>
array(0) {
}
["_behaviors":"yii\base\Component":private]=>
array(1) {
[0]=>
object(app\components\MultilingualBehavior)#71 (12) {
["attributes"]=>
array(5) {
[0]=>
string(5) "title"
[1]=>
string(4) "link"
[2]=>
string(12) "plural_title"
[3]=>
string(14) "genitive_title"
[4]=>
string(21) "genitive_plural_title"
}
["languages"]=>
array(1) {
[0]=>
string(2) "en"
}
["defaultLanguage"]=>
string(2) "ru"
["tableName"]=>
string(15) "lang_speciality"
["langClassName"]=>
string(25) "app\models\SpecialityLang"
["langClassSuffix"]=>
string(4) "Lang"
["langForeignKey"]=>
string(13) "speciality_id"
["languageField"]=>
string(8) "language"
["forceDelete"]=>
bool(true)
["currentLanguage"]=>
string(2) "ru"
["langAttributes":"app\components\MultilingualBehavior":private]=>
array(0) {
}
["owner"]=>
*RECURSION*
}
}
}
["country"]=>
NULL
["_events":"yii\base\Component":private]=>
array(0) {
}
["_eventWildcards":"yii\base\Component":private]=>
array(0) {
}
["_behaviors":"yii\base\Component":private]=>
NULL
}
["doctorSearch"]=>
object(app\components\search\DoctorSearch)#91 (3) {
["_events":"yii\base\Component":private]=>
array(0) {
}
["_eventWildcards":"yii\base\Component":private]=>
array(0) {
}
["_behaviors":"yii\base\Component":private]=>
NULL
}
["i18n"]=>
object(yii\i18n\I18N)#5224 (5) {
["translations"]=>
array(5) {
["app*"]=>
object(app\components\CustomMessageSource)#8471 (8) {
["basePath"]=>
string(13) "@app/messages"
["fileMap"]=>
NULL
["forceTranslation"]=>
bool(false)
["sourceLanguage"]=>
string(2) "ru"
["_messages":"yii\i18n\MessageSource":private]=>
array(0) {
}
["_events":"yii\base\Component":private]=>
array(0) {
}
["_eventWildcards":"yii\base\Component":private]=>
array(0) {
}
["_behaviors":"yii\base\Component":private]=>
NULL
}
["seo*"]=>
object(app\components\CustomMessageSource)#5226 (8) {
["basePath"]=>
string(13) "@app/messages"
["fileMap"]=>
NULL
["forceTranslation"]=>
bool(false)
["sourceLanguage"]=>
string(2) "ru"
["_messages":"yii\i18n\MessageSource":private]=>
array(0) {
}
["_events":"yii\base\Component":private]=>
array(0) {
}
["_eventWildcards":"yii\base\Component":private]=>
array(0) {
}
["_behaviors":"yii\base\Component":private]=>
NULL
}
["yii"]=>
object(yii\i18n\PhpMessageSource)#8420 (8) {
["basePath"]=>
string(13) "@yii/messages"
["fileMap"]=>
NULL
["forceTranslation"]=>
bool(false)
["sourceLanguage"]=>
string(5) "en-US"
["_messages":"yii\i18n\MessageSource":private]=>
array(1) {
["ru/yii"]=>
array(118) {
[""{attribute}" does not support operator "{operator}"."]=>
string(74) ""{attribute}" не поддерживает оператор "{operator}"."
["Condition for "{attribute}" should be either a value or valid operator specification."]=>
string(150) "Условие для "{attribute}" должно быть или значением или верной спецификацией оператора."
["Operator "{operator}" must be used with a search attribute."]=>
string(111) "Оператор "{operator}" должен использоваться через атрибут поиска."
["Operator "{operator}" requires multiple operands."]=>
string(83) "Оператор "{operator}" требует несколько операндов."
["The format of {filter} is invalid."]=>
string(53) "Формат фильтра {filter} не верен."
["Unknown filter attribute "{attribute}""]=>
string(66) "Неизвестный атрибут фильтра "{attribute}""
[" and "]=>
string(4) " и "
["(not set)"]=>
string(19) "(не задано)"
["An internal server error occurred."]=>
string(66) "Возникла внутренняя ошибка сервера."
["Are you sure you want to delete this item?"]=>
string(80) "Вы уверены, что хотите удалить этот элемент?"
["Delete"]=>
string(14) "Удалить"
["Error"]=>
string(12) "Ошибка"
["File upload failed."]=>
string(48) "Загрузка файла не удалась."
["Home"]=>
string(14) "Главная"
["Invalid data received for parameter "{param}"."]=>
string(71) "Неправильное значение параметра "{param}"."
["Login Required"]=>
string(28) "Требуется вход."
["Missing required arguments: {params}"]=>
string(76) "Отсутствуют обязательные аргументы: {params}"
["Missing required parameters: {params}"]=>
string(76) "Отсутствуют обязательные параметры: {params}"
["No"]=>
string(6) "Нет"
["No results found."]=>
string(33) "Ничего не найдено."
["Only files with these MIME types are allowed: {mimeTypes}."]=>
string(119) "Разрешена загрузка файлов только со следующими MIME-типами: {mimeTypes}."
["Only files with these extensions are allowed: {extensions}."]=>
string(127) "Разрешена загрузка файлов только со следующими расширениями: {extensions}."
["Page not found."]=>
string(37) "Страница не найдена."
["Please fix the following errors:"]=>
string(51) "Исправьте следующие ошибки:"
["Please upload a file."]=>
string(28) "Загрузите файл."
["Powered by {yii}"]=>
string(27) "Работает на {yii}"
["Showing {begin, number}-{end, number} of {totalCount, number} {totalCount, plural, one{item} other{items}}."]=>
string(100) "Показаны записи {begin, number}-{end, number} из {totalCount, number} ."
["The combination {values} of {attributes} has already been taken."]=>
string(92) "Комбинация {values} параметров {attributes} уже существует."
["The file "{file}" is not an image."]=>
string(67) "Файл «{file}» не является изображением."
["The file "{file}" is too big. Its size cannot exceed {formattedLimit}."]=>
string(118) "Файл «{file}» слишком большой. Размер не должен превышать {formattedLimit}."
["The file "{file}" is too small. Its size cannot be smaller than {formattedLimit}."]=>
string(118) "Файл «{file}» слишком маленький. Размер должен быть более {formattedLimit}."
["The format of {attribute} is invalid."]=>
string(63) "Неверный формат значения «{attribute}»."
["The image "{file}" is too large. The height cannot be larger than {limit, number} {limit, plural, one{pixel} other{pixels}}."]=>
string(219) "Файл «{file}» слишком большой. Высота не должна превышать {limit, number} {limit, plural, one{пиксель} few{пикселя} many{пикселей} other{пикселя}}."
["The image "{file}" is too large. The width cannot be larger than {limit, number} {limit, plural, one{pixel} other{pixels}}."]=>
string(219) "Файл «{file}» слишком большой. Ширина не должна превышать {limit, number} {limit, plural, one{пиксель} few{пикселя} many{пикселей} other{пикселя}}."
["The image "{file}" is too small. The height cannot be smaller than {limit, number} {limit, plural, one{pixel} other{pixels}}."]=>
string(219) "Файл «{file}» слишком маленький. Высота должна быть более {limit, number} {limit, plural, one{пиксель} few{пикселя} many{пикселей} other{пикселя}}."
["The image "{file}" is too small. The width cannot be smaller than {limit, number} {limit, plural, one{pixel} other{pixels}}."]=>
string(219) "Файл «{file}» слишком маленький. Ширина должна быть более {limit, number} {limit, plural, one{пиксель} few{пикселя} many{пикселей} other{пикселя}}."
["The requested view "{name}" was not found."]=>
string(90) "Запрашиваемый файл представления "{name}" не найден."
["The verification code is incorrect."]=>
string(55) "Неправильный проверочный код."
["Total {count, number} {count, plural, one{item} other{items}}."]=>
string(128) "Всего {count, number} {count, plural, one{запись} few{записи} many{записей} other{записи}}."
["Unable to verify your data submission."]=>
string(73) "Не удалось проверить переданные данные."
["Unknown alias: -{name}"]=>
string(50) "Неизвестный псевдоним: -{name}"
["Unknown option: --{name}"]=>
string(43) "Неизвестная опция: --{name}"
["Update"]=>
string(26) "Редактировать"
["View"]=>
string(16) "Просмотр"
["Yes"]=>
string(4) "Да"
["Yii Framework"]=>
string(13) "Yii Framework"
["You are not allowed to perform this action."]=>
string(84) "Вам не разрешено производить данное действие."
["You can upload at most {limit, number} {limit, plural, one{file} other{files}}."]=>
string(157) "Вы не можете загружать более {limit, number} {limit, plural, one{файла} few{файлов} many{файлов} other{файла}}."
["in {delta, plural, =1{a day} other{# days}}"]=>
string(103) "через {delta, plural, =1{день} one{# день} few{# дня} many{# дней} other{# дня}}"
["in {delta, plural, =1{a minute} other{# minutes}}"]=>
string(125) "через {delta, plural, =1{минуту} one{# минуту} few{# минуты} many{# минут} other{# минуты}}"
["in {delta, plural, =1{a month} other{# months}}"]=>
string(125) "через {delta, plural, =1{месяц} one{# месяц} few{# месяца} many{# месяцев} other{# месяца}}"
["in {delta, plural, =1{a second} other{# seconds}}"]=>
string(135) "через {delta, plural, =1{секунду} one{# секунду} few{# секунды} many{# секунд} other{# секунды}}"
["in {delta, plural, =1{a year} other{# years}}"]=>
string(101) "через {delta, plural, =1{год} one{# год} few{# года} many{# лет} other{# года}}"
["in {delta, plural, =1{an hour} other{# hours}}"]=>
string(105) "через {delta, plural, =1{час} one{# час} few{# часа} many{# часов} other{# часа}}"
["just now"]=>
string(23) "прямо сейчас"
["the input value"]=>
string(35) "введённое значение"
["{attribute} "{value}" has already been taken."]=>
string(72) "Значение «{value}» для «{attribute}» уже занято."
["{attribute} cannot be blank."]=>
string(56) "Необходимо заполнить «{attribute}»."
["{attribute} contains wrong subnet mask."]=>
string(93) "Значение «{attribute}» содержит неверную маску подсети."
["{attribute} is invalid."]=>
string(48) "Значение «{attribute}» неверно."
["{attribute} is not a valid URL."]=>
string(80) "Значение «{attribute}» не является правильным URL."
["{attribute} is not a valid email address."]=>
string(97) "Значение «{attribute}» не является правильным email адресом."
["{attribute} is not in the allowed range."]=>
string(126) "Значение «{attribute}» не входит в список разрешенных диапазонов адресов."
["{attribute} must be "{requiredValue}"."]=>
string(86) "Значение «{attribute}» должно быть равно «{requiredValue}»."
["{attribute} must be a number."]=>
string(68) "Значение «{attribute}» должно быть числом."
["{attribute} must be a string."]=>
string(70) "Значение «{attribute}» должно быть строкой."
["{attribute} must be a valid IP address."]=>
string(94) "Значение «{attribute}» должно быть правильным IP адресом."
["{attribute} must be an IP address with specified subnet."]=>
string(93) "Значение «{attribute}» должно быть IP адресом с подсетью."
["{attribute} must be an integer."]=>
string(79) "Значение «{attribute}» должно быть целым числом."
["{attribute} must be either "{true}" or "{false}"."]=>
string(96) "Значение «{attribute}» должно быть равно «{true}» или «{false}»."
["{attribute} must be equal to "{compareValueOrAttribute}"."]=>
string(96) "Значение «{attribute}» должно быть равно «{compareValueOrAttribute}»."
["{attribute} must be greater than "{compareValueOrAttribute}"."]=>
string(115) "Значение «{attribute}» должно быть больше значения «{compareValueOrAttribute}»."
["{attribute} must be greater than or equal to "{compareValueOrAttribute}"."]=>
string(133) "Значение «{attribute}» должно быть больше или равно значения «{compareValueOrAttribute}»."
["{attribute} must be less than "{compareValueOrAttribute}"."]=>
string(115) "Значение «{attribute}» должно быть меньше значения «{compareValueOrAttribute}»."
["{attribute} must be less than or equal to "{compareValueOrAttribute}"."]=>
string(133) "Значение «{attribute}» должно быть меньше или равно значения «{compareValueOrAttribute}»."
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string(76) "Значение «{attribute}» не должно превышать {max}."
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string(79) "Значение «{attribute}» должно быть не меньше {min}."
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string(77) "Значение «{attribute}» не должно быть подсетью."
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string(80) "Значение «{attribute}» не должно быть IPv4 адресом."
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string(80) "Значение «{attribute}» не должно быть IPv6 адресом."
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string(101) "Значение «{attribute}» не должно быть равно «{compareValueOrAttribute}»."
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string(192) "Значение «{attribute}» должно содержать минимум {min, number} {min, plural, one{символ} few{символа} many{символов} other{символа}}."
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string(79) "{delta, plural, one{# год} few{# года} many{# лет} other{# года}}"
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Сколько стоит ЭКО за границей? Стоимость ЭКО существенно различается от страны к стране, например, в Испании финансовые условия одни из наиболее демократичных в Европе, но на итоговую цену влияет сложность конкретного случая, необходимость использования донорской яйцеклетки или повторной попытки.
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Гинекология за границей предоставляет широкие возможности для качественной диагностики и грамотного лечения любых заболеваний женской репродуктивной системы, включая нарушения менструального цикла, воспалительные процессы матки и придатков, бесплодие, эндометриоз, патологии молочной железы, доброкачественные и злокачественные опухоли органов половой сферы.
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Медикаментозная терапия . Многие заболевания женской половой системы успешно поддаются лекарственному лечению. В зависимости от характера патологии могут быть назначены:
гормональные препараты – для нормализации функций эндокринной системы и восстановления гормонального баланса. Они также могут использоваться для препятствования формированию спаек в брюшной полости и области малого таза;нестероидные противовоспалительные средства – для устранения воспалительных процессов;антибиотики, противовирусные и противогрибковые препараты – для лечения инфекционных заболеваний и их последствий. Лазерная терапия . Один из самых действенных и безопасных методов, с помощью которого проводят лечение гинекологических заболеваний за рубежом. Он эффективно устраняет различные патологии шейки матки, в том числе склонные к злокачественной трансформации, новообразования придатков, хронические воспалительные процессы и т.д. В основе метода лежит воздействие на патологически измененные ткани лазерным лучом, направление и мощность которого врач регулирует самостоятельно, чем обеспечивает высокую точность и безопасность процедуры.
Манипуляция безболезненна, бескровна и не требует восстановления.
Криодеструкция . Современный безоперационный метод, заключающийся в разрушении пораженных тканей органов женской половой системы путем воздействия на них сверхнизкими температурами, которые достигаются с помощью жидкого азота. В результате мгновенного охлаждения происходит кристаллизация внутриклеточной и межклеточной жидкости – аномальные клетки замораживаются и погибают, после чего выводятся из организма естественным путем в течение двух-трех месяцев.
Эту эффективную и безопасную процедуру широко применяют в терапии дисплазии, эрозии, эктопии, лейкоплакии и кисты шейки матки, цервицита, кондилом и иных гинекологических патологий.
Радиоволновая терапия . Еще одна щадящая методика лечения различных патологий шейки матки, в частности у женщин, планирующих в будущем беременность, которую активно используют гинекологические клиники за границей. Безболезненное уничтожение дефектных участков ткани происходит благодаря направленному воздействию высокочастотных волн, энергия которых нагревает и испаряет их клетки. Обработанные таким образом ткани восстанавливаются в кратчайшие сроки. Риск кровотечений и постпроцедурных осложнений при этом полностью отсутствует.
Для проведения радиоволновой терапии используется специальный аппарат, позволяющий разрушить патологические клетки без повреждения здоровой ткани. В ходе манипуляции он одновременно дезинфицирует и коагулирует вскрывшиеся сосуды, благодаря чему этот метод более эффективен и безопасен в сравнении с прижиганием, к тому же не оставляет рубцов.
Фокусированный ультразвук высокой интенсивности (HIFU) . Неинвазивный органосохраняющий метод устранения небольших доброкачественных опухолей органов женской репродуктивной системы, в том числе миомы матки. Он использует энергию высокочастотного сфокусированного ультразвука для местного нагревания и разрушения поврежденных участков ткани с последующей термической коагуляцией. HIFU отличается высокой точностью воздействия, благодаря которой здоровые клетки, расположенные по соседству с патологическим очагом, остаются невредимыми.
Найти опухолевый узел помогает специальный ультразвуковой датчик, после чего врач задает через компьютер необходимые параметры: локализацию и размер миомы, интенсивность волн и температуру, требуемую для разрушения патологических тканей.
Эмболизация маточных артерий . Как и HIFU, используется в основном для безопасного уничтожения миоматозных узлов матки. Подразумевает искусственное перекрытие кровотока в маточных артериях при помощи эмболизирующих микрочастиц, выполненных из специального медицинского полимера. Введенные через небольшой катетер, они закупоривают просвет артерий, которые питают опухолевое образование в тканях матки, вследствие чего миома лишается питания и некротизируется.
Лапароскопия . Современный хирургический метод, который используется в качестве альтернативы традиционной хирургии. Абсолютное большинство операций, которые специалисты зарубежных клиник выполняют для устранения гинекологических патологий, проводят именно лапароскопически – через три сантиметровых прокола в брюшной стенке и стенке влагалища. Такие вмешательства гораздо менее травматичны, не сопровождаются осложнениями, не оставляют грубых эстетических дефектов на теле женщины и не требуют длительного восстановления.
Лапароскопическим методом, в частности, удаляют спайки, полипы, доброкачественные и злокачественные опухоли женских половых органов, лечат эндометриоз, восстанавливают проходимость фаллопиевых труб и т.д.
Передовые способы диагностики в гинекологии Успешность любого лечения напрямую зависит от качества диагностики. Чтобы обеспечить своим пациенткам наилучший результат, гинекология за рубежом использует самые точные, информативные и безопасные диагностические методы. Они позволяют с высокой степенью достоверности установить характер и причину патологии, определить ее особенности и подобрать наиболее оптимальную схему терапии.
Диагностическая программа в большинстве зарубежных клиник включает в себя три этапа, которые реализуются за несколько рабочих дней.
Этап 1. Консультация гинеколога и первичный осмотр Как только пациентка прибывает в страну, она в тот же день отправляется в больницу на прием к ведущему специалисту гинекологического отделения. Врач выслушивает ее жалобы, расспрашивает о характере и интенсивности симптомов, изучает привезенную медицинскую документацию с результатами уже пройденных исследований и проводит гинекологический осмотр. На основе собранной информации он определяет список диагностических проверок, которые необходимы для уточнения предварительного диагноза.
Этап 2. Обследование Диагностика при гинекологических заболеваниях может включать в себя:
колькоскопию – метод исследования слизистой оболочки шейки матки с помощью специального оптического прибора, позволяющий выявить патологические изменения;гистероскопию – используется для оценки состояния эндометрия и полости матки, а также цервикального канала; гистеросальпингографию – рентгеноконтрастное исследование полости матки и маточных труб, которое дает возможность выявить аномальные изменения в полости матки, непроходимость фаллопиевых труб, наличие спаечного процесса;ультразвуковое исследование органов малого таза;компьютерную и магнитно-резонансную томографию , которые незаменимы при диагностике злокачественных опухолей женской репродуктивной системы;биопсию с последующим гистологическим и цитологическим исследованием образца;лабораторные исследования крови . Этап 3. Утверждение терапевтической тактики Как только результаты обследований готовы, их передают на рассмотрение консилиума, состоящего из специалистов разного профиля (в зависимости от характера патологии). Они тщательно анализируют полученные данные, обсуждают возможные варианты лечения и в итоге согласовывают оптимальный терапевтический план.
Стоимость лечения гинекологических заболеваний за границей Цена медицинских услуг будет разниться, в зависимости от характера гинекологического заболевания, его тяжести, задействованных терапевтических методик, вида и количества понадобившихся обследований, необходимости хирургического вмешательства и его сложности, стоимости используемых фармакологических препаратов, числа привлеченных специалистов и множества других факторов. Обычно итоговую цену врачи зарубежных медцентров называют только после того, как выполнят нужные диагностические проверки и утвердят программу терапии.
На размер стоимости не в последнюю очередь и влияет страна, которая была выбрана для прохождения лечения. При аналогичном качестве медицинского обслуживания дороже всего оно обойдется в Западной Европе, Америке и Канаде, дешевле – в Израиле: разница в цене услуг между этими странами составляет порядка 30–50%.
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Гинекология за границей предоставляет широкие возможности для качественной диагностики и грамотного лечения любых заболеваний женской репродуктивной системы, включая нарушения менструального цикла, воспалительные процессы матки и придатков, бесплодие, эндометриоз, патологии молочной железы, доброкачественные и злокачественные опухоли органов половой сферы.
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Медикаментозная терапия . Многие заболевания женской половой системы успешно поддаются лекарственному лечению. В зависимости от характера патологии могут быть назначены:
гормональные препараты – для нормализации функций эндокринной системы и восстановления гормонального баланса. Они также могут использоваться для препятствования формированию спаек в брюшной полости и области малого таза;нестероидные противовоспалительные средства – для устранения воспалительных процессов;антибиотики, противовирусные и противогрибковые препараты – для лечения инфекционных заболеваний и их последствий. Лазерная терапия . Один из самых действенных и безопасных методов, с помощью которого проводят лечение гинекологических заболеваний за рубежом. Он эффективно устраняет различные патологии шейки матки, в том числе склонные к злокачественной трансформации, новообразования придатков, хронические воспалительные процессы и т.д. В основе метода лежит воздействие на патологически измененные ткани лазерным лучом, направление и мощность которого врач регулирует самостоятельно, чем обеспечивает высокую точность и безопасность процедуры.
Манипуляция безболезненна, бескровна и не требует восстановления.
Криодеструкция . Современный безоперационный метод, заключающийся в разрушении пораженных тканей органов женской половой системы путем воздействия на них сверхнизкими температурами, которые достигаются с помощью жидкого азота. В результате мгновенного охлаждения происходит кристаллизация внутриклеточной и межклеточной жидкости – аномальные клетки замораживаются и погибают, после чего выводятся из организма естественным путем в течение двух-трех месяцев.
Эту эффективную и безопасную процедуру широко применяют в терапии дисплазии, эрозии, эктопии, лейкоплакии и кисты шейки матки, цервицита, кондилом и иных гинекологических патологий.
Радиоволновая терапия . Еще одна щадящая методика лечения различных патологий шейки матки, в частности у женщин, планирующих в будущем беременность, которую активно используют гинекологические клиники за границей. Безболезненное уничтожение дефектных участков ткани происходит благодаря направленному воздействию высокочастотных волн, энергия которых нагревает и испаряет их клетки. Обработанные таким образом ткани восстанавливаются в кратчайшие сроки. Риск кровотечений и постпроцедурных осложнений при этом полностью отсутствует.
Для проведения радиоволновой терапии используется специальный аппарат, позволяющий разрушить патологические клетки без повреждения здоровой ткани. В ходе манипуляции он одновременно дезинфицирует и коагулирует вскрывшиеся сосуды, благодаря чему этот метод более эффективен и безопасен в сравнении с прижиганием, к тому же не оставляет рубцов.
Фокусированный ультразвук высокой интенсивности (HIFU) . Неинвазивный органосохраняющий метод устранения небольших доброкачественных опухолей органов женской репродуктивной системы, в том числе миомы матки. Он использует энергию высокочастотного сфокусированного ультразвука для местного нагревания и разрушения поврежденных участков ткани с последующей термической коагуляцией. HIFU отличается высокой точностью воздействия, благодаря которой здоровые клетки, расположенные по соседству с патологическим очагом, остаются невредимыми.
Найти опухолевый узел помогает специальный ультразвуковой датчик, после чего врач задает через компьютер необходимые параметры: локализацию и размер миомы, интенсивность волн и температуру, требуемую для разрушения патологических тканей.
Эмболизация маточных артерий . Как и HIFU, используется в основном для безопасного уничтожения миоматозных узлов матки. Подразумевает искусственное перекрытие кровотока в маточных артериях при помощи эмболизирующих микрочастиц, выполненных из специального медицинского полимера. Введенные через небольшой катетер, они закупоривают просвет артерий, которые питают опухолевое образование в тканях матки, вследствие чего миома лишается питания и некротизируется.
Лапароскопия . Современный хирургический метод, который используется в качестве альтернативы традиционной хирургии. Абсолютное большинство операций, которые специалисты зарубежных клиник выполняют для устранения гинекологических патологий, проводят именно лапароскопически – через три сантиметровых прокола в брюшной стенке и стенке влагалища. Такие вмешательства гораздо менее травматичны, не сопровождаются осложнениями, не оставляют грубых эстетических дефектов на теле женщины и не требуют длительного восстановления.
Лапароскопическим методом, в частности, удаляют спайки, полипы, доброкачественные и злокачественные опухоли женских половых органов, лечат эндометриоз, восстанавливают проходимость фаллопиевых труб и т.д.
Передовые способы диагностики в гинекологии Успешность любого лечения напрямую зависит от качества диагностики. Чтобы обеспечить своим пациенткам наилучший результат, гинекология за рубежом использует самые точные, информативные и безопасные диагностические методы. Они позволяют с высокой степенью достоверности установить характер и причину патологии, определить ее особенности и подобрать наиболее оптимальную схему терапии.
Диагностическая программа в большинстве зарубежных клиник включает в себя три этапа, которые реализуются за несколько рабочих дней.
Этап 1. Консультация гинеколога и первичный осмотр Как только пациентка прибывает в страну, она в тот же день отправляется в больницу на прием к ведущему специалисту гинекологического отделения. Врач выслушивает ее жалобы, расспрашивает о характере и интенсивности симптомов, изучает привезенную медицинскую документацию с результатами уже пройденных исследований и проводит гинекологический осмотр. На основе собранной информации он определяет список диагностических проверок, которые необходимы для уточнения предварительного диагноза.
Этап 2. Обследование Диагностика при гинекологических заболеваниях может включать в себя:
колькоскопию – метод исследования слизистой оболочки шейки матки с помощью специального оптического прибора, позволяющий выявить патологические изменения;гистероскопию – используется для оценки состояния эндометрия и полости матки, а также цервикального канала; гистеросальпингографию – рентгеноконтрастное исследование полости матки и маточных труб, которое дает возможность выявить аномальные изменения в полости матки, непроходимость фаллопиевых труб, наличие спаечного процесса;ультразвуковое исследование органов малого таза;компьютерную и магнитно-резонансную томографию , которые незаменимы при диагностике злокачественных опухолей женской репродуктивной системы;биопсию с последующим гистологическим и цитологическим исследованием образца;лабораторные исследования крови . Этап 3. Утверждение терапевтической тактики Как только результаты обследований готовы, их передают на рассмотрение консилиума, состоящего из специалистов разного профиля (в зависимости от характера патологии). Они тщательно анализируют полученные данные, обсуждают возможные варианты лечения и в итоге согласовывают оптимальный терапевтический план.
Стоимость лечения гинекологических заболеваний за границей Цена медицинских услуг будет разниться, в зависимости от характера гинекологического заболевания, его тяжести, задействованных терапевтических методик, вида и количества понадобившихся обследований, необходимости хирургического вмешательства и его сложности, стоимости используемых фармакологических препаратов, числа привлеченных специалистов и множества других факторов. Обычно итоговую цену врачи зарубежных медцентров называют только после того, как выполнят нужные диагностические проверки и утвердят программу терапии.
На размер стоимости не в последнюю очередь и влияет страна, которая была выбрана для прохождения лечения. При аналогичном качестве медицинского обслуживания дороже всего оно обойдется в Западной Европе, Америке и Канаде, дешевле – в Израиле: разница в цене услуг между этими странами составляет порядка 30–50%.
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