Лечение за рубежом/Результаты поиска
Лучшие нефрологи, отзывы

По вашему запросу найдено 30 врачей
A. Чандра Шекар
58 лет / доктор /
Общий стаж 33 года
0 отзывов
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Специализируется на трансплантации почек и профилактической нефрологии.
Место работы:
Госпиталь Аполло ,
Дели , Индия
Специализация:
Нефролог
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Элизер Хольцман
64 года / доктор /
Общий стаж 32 года
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Ведущий специалист в области нефрологии, специализируется на лечении гипертензии, заболеваний мочевыделительной системы и онкологических патологий почек.
Место работы:
Больница им. Хаима Шиба ,
Рамат-Гана , Израиль
Специализация:
Нефролог
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Амол Рамеш Махалдар
48 лет / Доктор медицинских наук, Доктор /
Общий стаж 28 лет
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Врач уролог-нефролог, имеет докторскую степень. Специалист по диализу, пересадке почек.
Место работы:
Сеть клиник Манипал (Manipal Hospitals) ,
Бангалор , Индия
Специализация:
Уролог, Нефролог
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Кешавамурти Мохан
65 лет / Доктор /
Общий стаж 43 года
1 отзыв
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Известный уролог и нефролог, пионер в области лазерной урологии. Врач за время практики провел более 1000 операций и почти сотню пересадок поджелудочной железы.
Место работы:
Клиника Фортис FMRI (Fortis Memorial Research Institute) ,
Гургаон , Индия
Специализация:
Уролог, Нефролог
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С.В. Котвал
69 лет / Доктор /
Общий стаж 44 года
0 отзывов
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Уролог с огромным опытом, провел чрескожную нефролитотомию более 4000 раз. Проводит полный спектр хирургических вмешательств, включая операции по смене пола.
Место работы:
Институт здоровья Артемис ,
Гургаон , Индия
Специализация:
Уролог, Нефролог
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Манджу Аггарвал
53 года / Доктор медицинских наук, Доктор /
Общий стаж 32 года
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Специалист по ведению пациентов в программе по пересадке почки. Проводит диализ, широкий спектр нефрологических процедур.
Место работы:
Институт здоровья Артемис ,
Гургаон , Индия
Специализация:
Уролог, Нефролог
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Франк Штурц
52 года / Профессор /
Общий стаж 26 лет
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Заведующий отделения нефрологии, специализируется на диагностике и лечении заболеваний почек.
Место работы:
Немецкая Диагностическая Клиника ,
Висбаден , Германия
Специализация:
Нефролог
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Маттиас Гирндт
54 года / Профессор /
Общий стаж 35 лет
0 отзывов
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Ведущий специалист-нефролог, заведует отделением нефрологии и ревматологии.
Место работы:
Университетская клиника Галле (Заале) ,
Галле , Германия
Специализация:
Нефролог, Ревматолог
Получить консультацию
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                string(5216) "Цены

Стоимость лечения зависит от характера заболевания, его стадии, того, какие меры надо принять в данном случае, чтобы получить максимально положительный эффект. Еще до поездки пациент знакомится с расценками той клиники, куда отправляется лечиться, но после прохождения диагностики и уточнения диагноза стоимость может быть немного откорректирована. Цена за терапию полностью соответствует ее высокому качеству.

С каждым годом все большее число граждан стран СНГ при болезнях почек отправляются лечиться за границу. Дело не только в том, что в наше время медицинский туризм стал более доступным, но и в том, что нефрология за рубежом развита гораздо сильнее. К сожалению, немногие больницы в странах СНГ, особенно не столичные, могут похвастать инновационным оборудованием и возможностью лечить по новейшим международным протоколам. Лечение почек за рубежом дает шанс на выздоровление даже тем больным, которым у них на родине не могут оказать действенную эффективную помощь.

Нефрологические клиники за рубежом тесно сотрудничают с исследовательскими центрами, благодаря чему в них оперативно внедрятся инновационные методики лечения почек, как консервативные, так и оперативные. В клиники Израиля, Германии, США, Франции и других развитых стран приезжают для лечения самых тяжелых и распространенных почечных недугов, таких, как пиелонефрит, почечная недостаточность, врожденные дефекты мочевыводящей системы, мочекаменная болезнь, доброкачественные и злокачественные новообразования почек. Также эффективно проводится лечение патологий почек, которые возникли как осложнения других заболеваний.


Преимущества лечения почек за границей
Достоверная диагностика. Возможно диагностирование болезни на самой ранней стадии развития, когда ее лечение не такое сложное и дорогостоящее.

Высокий уровень компетентности врачей. В клиниках Германии, Израиля, США, которые принимают пациентов из-за границы, работают высокопрофессиональные нефрологи и хирурги. Полную информацию о лечащем враче и его компетентности можно узнать на сайте клиники.

Современные протоколы лечения. Пациент может быть уверен, что для его лечения будут использованы только самые современные виды терапии и новейшие лекарства.

Щадящая терапия. Врачи выбирают те виды лечения, как консервативного, так и оперативного, которые имеют меньше всего осложнений и менее травматичны для больного.

Круглосуточное сопровождение. Пациентам гарантировано не только высокое качество предоставления медицинских услуг, но и забота о бытовых и организационных моментах. Например, международный отдел клиники позаботится о том, чтобы был составлен удобный график диагностики и лечения, предоставит переводчика, при необходимости поможет решить вопросы с жильем и проездом.



"
                ["description"]=>
                string(8933) "Точная диагностика
Пациент, попадая в зарубежную клинику на лечение, в первую очередь, проходит тщательную диагностику. Даже если он обследовался у себя на родине, зарубежные нефрологи должны быть уверены, что поставленный там диагноз верен. К сожалению, от 30 до 40% диагнозов, поставленных в странах СНГ, оказываются неверными или некорректными. Это связано с несовершенством оборудования и методик, которые используют в больницах этих стран.
Чтобы определить точную картину заболевания и назначить наиболее действенное лечение, в зарубежных клиниках назначают такие виды исследований:

	Лабораторные исследования мочи. Широко применяемые экспересс-тесты позволяют в кратчайшие сроки исследовать состав мочи, а именно: наличие в моче белка, сахара, кетона, крови, нитратов, лейкоцитов и так далее. Данные тесты дают возможность судить о характере патологи. 
	Биопсия тканей почки. В некоторых случаях, например, при подозрении на опухолевое образование, именно исследование тканей биоптата – единственная возможность точно установить характер патологии. 
	DMSA-сканирование. Современный вид радиоизотопного исследования, который позволяет оценить функциональность почки, определить локализацию, размер аномалии. Этот вид исследований не имеет возрастных ограничений и может быть использован как у взрослых, так и у детей.Димеркаптоянтарная кислота, обогащенная радиоактивными ионами, вводится непосредственно в вену, когда она попадает в ткани почек, орган сканируют в гамма-камере и поучают объемное его изображение высокого разрешения. 
	МРТ, КТ. Эти виды визуальных исследований также позволяют получить изображение высокого уровня разрешения. 
	Ангиография сосудов почек. Если есть подозрения на сосудистые нарушения, этот метод позволяет их обнаружить. Используется при разных патологиях почек: опухолях, кровотечениях и так далее. 
	ПЭТ-КТ. Инновационный метод диагностики, который назначается при подозрении на наличие онкообразований. Позволяет обнаружить даже мельчайшие скопления атипичных клеток. 
	Ретроградная пиелография, экскреторная урография. Методы исследования функциональности почек и мочевыводящих путей, используется при различных почечных патологиях. 
Лечение болезней почек за границей
В каждом случае планы терапии назначаются индивидуально, с учетом клинической картины, возраста пациента, характера патологии.
Мочекаменная болезнь. В прогрессивных иностранных клиниках используют как неоперационные, так и малоинвазивные методики лечения камней в почках. Если камни небольшого размера, их дробят с применением литотрипсии – методики воздействия на них электромагнитными волнами. Если же камни не удается уничтожить без операции, проводится трансуретральная нефролитотрипсия: без единого разреза, через уретру, вводят катетер, который является проводником лазерного луча. Еще один вид операции, которую могут использовать – это доступ к пораженному участку через маленький, в несколько сантиметров, прокол. Малоинвазивные методики имеют существенные преимущества: они менее травматичны для пациентов и сокращают срок восстановления до нескольких дней.
Почечная недостаточность. Эта тяжелая патология, при которой почки утрачивают способность самостоятельно справляться с функцией очистки крови,требует использования гемодиализа – процедуры по очистке крови от токсинов, лишней жидкости и солей. Проводимые за границей процедур гемодиализа позволяют стабилизировать состояние больного, поддержать функционирование почек достаточно долго.
Пиелонефрит. Для борьбы с этим недугом используют современные антибактериальные препараты, имеющие высокий показатель эффективности и низкий процент побочных явлений. Если пиелонефрит имеет гнойный характер, проводится малоинвазивная операция: делается небольшой прокол, через который осуществляется дренирование.
Рак почки. Применяется комплексный подход: химиотерапия по современным протоколам, с использованием препаратов нового поколения, прогрессивная радиотерапия, при которой облучение пораженного участка ведется максимально точно, с минимальным вредом для здоровых тканей. Однако самый действенный вид лечения рака почки – это проведение операции. В клиниках за границей преимущественно используют малоинвазивные методики: абляция лазером, током, заморозка патоочага жидким азотом. Для доступа может быть использован доступ через мочеиспускательный канал, без разрезов тканей. Также могут проводится щадящие лапароскопические операции, когда делается несколько разрезов или один маленький, в области пупка (SILS). В последнее время все активнее применяют такие инновационные методы, как таргетную терапию (щадящее лечение, при котором поражаются только атипичные клетки), и иммунотерапию (метод стимуляции иммунной системы больного на борьбу с онкопатологией).
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                string(5216) "Цены

Стоимость лечения зависит от характера заболевания, его стадии, того, какие меры надо принять в данном случае, чтобы получить максимально положительный эффект. Еще до поездки пациент знакомится с расценками той клиники, куда отправляется лечиться, но после прохождения диагностики и уточнения диагноза стоимость может быть немного откорректирована. Цена за терапию полностью соответствует ее высокому качеству.

С каждым годом все большее число граждан стран СНГ при болезнях почек отправляются лечиться за границу. Дело не только в том, что в наше время медицинский туризм стал более доступным, но и в том, что нефрология за рубежом развита гораздо сильнее. К сожалению, немногие больницы в странах СНГ, особенно не столичные, могут похвастать инновационным оборудованием и возможностью лечить по новейшим международным протоколам. Лечение почек за рубежом дает шанс на выздоровление даже тем больным, которым у них на родине не могут оказать действенную эффективную помощь.

Нефрологические клиники за рубежом тесно сотрудничают с исследовательскими центрами, благодаря чему в них оперативно внедрятся инновационные методики лечения почек, как консервативные, так и оперативные. В клиники Израиля, Германии, США, Франции и других развитых стран приезжают для лечения самых тяжелых и распространенных почечных недугов, таких, как пиелонефрит, почечная недостаточность, врожденные дефекты мочевыводящей системы, мочекаменная болезнь, доброкачественные и злокачественные новообразования почек. Также эффективно проводится лечение патологий почек, которые возникли как осложнения других заболеваний.


Преимущества лечения почек за границей
Достоверная диагностика. Возможно диагностирование болезни на самой ранней стадии развития, когда ее лечение не такое сложное и дорогостоящее.

Высокий уровень компетентности врачей. В клиниках Германии, Израиля, США, которые принимают пациентов из-за границы, работают высокопрофессиональные нефрологи и хирурги. Полную информацию о лечащем враче и его компетентности можно узнать на сайте клиники.

Современные протоколы лечения. Пациент может быть уверен, что для его лечения будут использованы только самые современные виды терапии и новейшие лекарства.

Щадящая терапия. Врачи выбирают те виды лечения, как консервативного, так и оперативного, которые имеют меньше всего осложнений и менее травматичны для больного.

Круглосуточное сопровождение. Пациентам гарантировано не только высокое качество предоставления медицинских услуг, но и забота о бытовых и организационных моментах. Например, международный отдел клиники позаботится о том, чтобы был составлен удобный график диагностики и лечения, предоставит переводчика, при необходимости поможет решить вопросы с жильем и проездом.



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                string(8933) "Точная диагностика
Пациент, попадая в зарубежную клинику на лечение, в первую очередь, проходит тщательную диагностику. Даже если он обследовался у себя на родине, зарубежные нефрологи должны быть уверены, что поставленный там диагноз верен. К сожалению, от 30 до 40% диагнозов, поставленных в странах СНГ, оказываются неверными или некорректными. Это связано с несовершенством оборудования и методик, которые используют в больницах этих стран.
Чтобы определить точную картину заболевания и назначить наиболее действенное лечение, в зарубежных клиниках назначают такие виды исследований:

	Лабораторные исследования мочи. Широко применяемые экспересс-тесты позволяют в кратчайшие сроки исследовать состав мочи, а именно: наличие в моче белка, сахара, кетона, крови, нитратов, лейкоцитов и так далее. Данные тесты дают возможность судить о характере патологи. 
	Биопсия тканей почки. В некоторых случаях, например, при подозрении на опухолевое образование, именно исследование тканей биоптата – единственная возможность точно установить характер патологии. 
	DMSA-сканирование. Современный вид радиоизотопного исследования, который позволяет оценить функциональность почки, определить локализацию, размер аномалии. Этот вид исследований не имеет возрастных ограничений и может быть использован как у взрослых, так и у детей.Димеркаптоянтарная кислота, обогащенная радиоактивными ионами, вводится непосредственно в вену, когда она попадает в ткани почек, орган сканируют в гамма-камере и поучают объемное его изображение высокого разрешения. 
	МРТ, КТ. Эти виды визуальных исследований также позволяют получить изображение высокого уровня разрешения. 
	Ангиография сосудов почек. Если есть подозрения на сосудистые нарушения, этот метод позволяет их обнаружить. Используется при разных патологиях почек: опухолях, кровотечениях и так далее. 
	ПЭТ-КТ. Инновационный метод диагностики, который назначается при подозрении на наличие онкообразований. Позволяет обнаружить даже мельчайшие скопления атипичных клеток. 
	Ретроградная пиелография, экскреторная урография. Методы исследования функциональности почек и мочевыводящих путей, используется при различных почечных патологиях. 
Лечение болезней почек за границей
В каждом случае планы терапии назначаются индивидуально, с учетом клинической картины, возраста пациента, характера патологии.
Мочекаменная болезнь. В прогрессивных иностранных клиниках используют как неоперационные, так и малоинвазивные методики лечения камней в почках. Если камни небольшого размера, их дробят с применением литотрипсии – методики воздействия на них электромагнитными волнами. Если же камни не удается уничтожить без операции, проводится трансуретральная нефролитотрипсия: без единого разреза, через уретру, вводят катетер, который является проводником лазерного луча. Еще один вид операции, которую могут использовать – это доступ к пораженному участку через маленький, в несколько сантиметров, прокол. Малоинвазивные методики имеют существенные преимущества: они менее травматичны для пациентов и сокращают срок восстановления до нескольких дней.
Почечная недостаточность. Эта тяжелая патология, при которой почки утрачивают способность самостоятельно справляться с функцией очистки крови,требует использования гемодиализа – процедуры по очистке крови от токсинов, лишней жидкости и солей. Проводимые за границей процедур гемодиализа позволяют стабилизировать состояние больного, поддержать функционирование почек достаточно долго.
Пиелонефрит. Для борьбы с этим недугом используют современные антибактериальные препараты, имеющие высокий показатель эффективности и низкий процент побочных явлений. Если пиелонефрит имеет гнойный характер, проводится малоинвазивная операция: делается небольшой прокол, через который осуществляется дренирование.
Рак почки. Применяется комплексный подход: химиотерапия по современным протоколам, с использованием препаратов нового поколения, прогрессивная радиотерапия, при которой облучение пораженного участка ведется максимально точно, с минимальным вредом для здоровых тканей. Однако самый действенный вид лечения рака почки – это проведение операции. В клиниках за границей преимущественно используют малоинвазивные методики: абляция лазером, током, заморозка патоочага жидким азотом. Для доступа может быть использован доступ через мочеиспускательный канал, без разрезов тканей. Также могут проводится щадящие лапароскопические операции, когда делается несколько разрезов или один маленький, в области пупка (SILS). В последнее время все активнее применяют такие инновационные методы, как таргетную терапию (щадящее лечение, при котором поражаются только атипичные клетки), и иммунотерапию (метод стимуляции иммунной системы больного на борьбу с онкопатологией).
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Стоимость лечения зависит от характера заболевания, его стадии, того, какие меры надо принять в данном случае, чтобы получить максимально положительный эффект. Еще до поездки пациент знакомится с расценками той клиники, куда отправляется лечиться, но после прохождения диагностики и уточнения диагноза стоимость может быть немного откорректирована. Цена за терапию полностью соответствует ее высокому качеству.

С каждым годом все большее число граждан стран СНГ при болезнях почек отправляются лечиться за границу. Дело не только в том, что в наше время медицинский туризм стал более доступным, но и в том, что нефрология за рубежом развита гораздо сильнее. К сожалению, немногие больницы в странах СНГ, особенно не столичные, могут похвастать инновационным оборудованием и возможностью лечить по новейшим международным протоколам. Лечение почек за рубежом дает шанс на выздоровление даже тем больным, которым у них на родине не могут оказать действенную эффективную помощь.

Нефрологические клиники за рубежом тесно сотрудничают с исследовательскими центрами, благодаря чему в них оперативно внедрятся инновационные методики лечения почек, как консервативные, так и оперативные. В клиники Израиля, Германии, США, Франции и других развитых стран приезжают для лечения самых тяжелых и распространенных почечных недугов, таких, как пиелонефрит, почечная недостаточность, врожденные дефекты мочевыводящей системы, мочекаменная болезнь, доброкачественные и злокачественные новообразования почек. Также эффективно проводится лечение патологий почек, которые возникли как осложнения других заболеваний.


Преимущества лечения почек за границей
Достоверная диагностика. Возможно диагностирование болезни на самой ранней стадии развития, когда ее лечение не такое сложное и дорогостоящее.

Высокий уровень компетентности врачей. В клиниках Германии, Израиля, США, которые принимают пациентов из-за границы, работают высокопрофессиональные нефрологи и хирурги. Полную информацию о лечащем враче и его компетентности можно узнать на сайте клиники.

Современные протоколы лечения. Пациент может быть уверен, что для его лечения будут использованы только самые современные виды терапии и новейшие лекарства.

Щадящая терапия. Врачи выбирают те виды лечения, как консервативного, так и оперативного, которые имеют меньше всего осложнений и менее травматичны для больного.

Круглосуточное сопровождение. Пациентам гарантировано не только высокое качество предоставления медицинских услуг, но и забота о бытовых и организационных моментах. Например, международный отдел клиники позаботится о том, чтобы был составлен удобный график диагностики и лечения, предоставит переводчика, при необходимости поможет решить вопросы с жильем и проездом.



"
                  ["description"]=>
                  string(8933) "Точная диагностика
Пациент, попадая в зарубежную клинику на лечение, в первую очередь, проходит тщательную диагностику. Даже если он обследовался у себя на родине, зарубежные нефрологи должны быть уверены, что поставленный там диагноз верен. К сожалению, от 30 до 40% диагнозов, поставленных в странах СНГ, оказываются неверными или некорректными. Это связано с несовершенством оборудования и методик, которые используют в больницах этих стран.
Чтобы определить точную картину заболевания и назначить наиболее действенное лечение, в зарубежных клиниках назначают такие виды исследований:

	Лабораторные исследования мочи. Широко применяемые экспересс-тесты позволяют в кратчайшие сроки исследовать состав мочи, а именно: наличие в моче белка, сахара, кетона, крови, нитратов, лейкоцитов и так далее. Данные тесты дают возможность судить о характере патологи. 
	Биопсия тканей почки. В некоторых случаях, например, при подозрении на опухолевое образование, именно исследование тканей биоптата – единственная возможность точно установить характер патологии. 
	DMSA-сканирование. Современный вид радиоизотопного исследования, который позволяет оценить функциональность почки, определить локализацию, размер аномалии. Этот вид исследований не имеет возрастных ограничений и может быть использован как у взрослых, так и у детей.Димеркаптоянтарная кислота, обогащенная радиоактивными ионами, вводится непосредственно в вену, когда она попадает в ткани почек, орган сканируют в гамма-камере и поучают объемное его изображение высокого разрешения. 
	МРТ, КТ. Эти виды визуальных исследований также позволяют получить изображение высокого уровня разрешения. 
	Ангиография сосудов почек. Если есть подозрения на сосудистые нарушения, этот метод позволяет их обнаружить. Используется при разных патологиях почек: опухолях, кровотечениях и так далее. 
	ПЭТ-КТ. Инновационный метод диагностики, который назначается при подозрении на наличие онкообразований. Позволяет обнаружить даже мельчайшие скопления атипичных клеток. 
	Ретроградная пиелография, экскреторная урография. Методы исследования функциональности почек и мочевыводящих путей, используется при различных почечных патологиях. 
Лечение болезней почек за границей
В каждом случае планы терапии назначаются индивидуально, с учетом клинической картины, возраста пациента, характера патологии.
Мочекаменная болезнь. В прогрессивных иностранных клиниках используют как неоперационные, так и малоинвазивные методики лечения камней в почках. Если камни небольшого размера, их дробят с применением литотрипсии – методики воздействия на них электромагнитными волнами. Если же камни не удается уничтожить без операции, проводится трансуретральная нефролитотрипсия: без единого разреза, через уретру, вводят катетер, который является проводником лазерного луча. Еще один вид операции, которую могут использовать – это доступ к пораженному участку через маленький, в несколько сантиметров, прокол. Малоинвазивные методики имеют существенные преимущества: они менее травматичны для пациентов и сокращают срок восстановления до нескольких дней.
Почечная недостаточность. Эта тяжелая патология, при которой почки утрачивают способность самостоятельно справляться с функцией очистки крови,требует использования гемодиализа – процедуры по очистке крови от токсинов, лишней жидкости и солей. Проводимые за границей процедур гемодиализа позволяют стабилизировать состояние больного, поддержать функционирование почек достаточно долго.
Пиелонефрит. Для борьбы с этим недугом используют современные антибактериальные препараты, имеющие высокий показатель эффективности и низкий процент побочных явлений. Если пиелонефрит имеет гнойный характер, проводится малоинвазивная операция: делается небольшой прокол, через который осуществляется дренирование.
Рак почки. Применяется комплексный подход: химиотерапия по современным протоколам, с использованием препаратов нового поколения, прогрессивная радиотерапия, при которой облучение пораженного участка ведется максимально точно, с минимальным вредом для здоровых тканей. Однако самый действенный вид лечения рака почки – это проведение операции. В клиниках за границей преимущественно используют малоинвазивные методики: абляция лазером, током, заморозка патоочага жидким азотом. Для доступа может быть использован доступ через мочеиспускательный канал, без разрезов тканей. Также могут проводится щадящие лапароскопические операции, когда делается несколько разрезов или один маленький, в области пупка (SILS). В последнее время все активнее применяют такие инновационные методы, как таргетную терапию (щадящее лечение, при котором поражаются только атипичные клетки), и иммунотерапию (метод стимуляции иммунной системы больного на борьбу с онкопатологией).
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                  string(5216) "Цены

Стоимость лечения зависит от характера заболевания, его стадии, того, какие меры надо принять в данном случае, чтобы получить максимально положительный эффект. Еще до поездки пациент знакомится с расценками той клиники, куда отправляется лечиться, но после прохождения диагностики и уточнения диагноза стоимость может быть немного откорректирована. Цена за терапию полностью соответствует ее высокому качеству.

С каждым годом все большее число граждан стран СНГ при болезнях почек отправляются лечиться за границу. Дело не только в том, что в наше время медицинский туризм стал более доступным, но и в том, что нефрология за рубежом развита гораздо сильнее. К сожалению, немногие больницы в странах СНГ, особенно не столичные, могут похвастать инновационным оборудованием и возможностью лечить по новейшим международным протоколам. Лечение почек за рубежом дает шанс на выздоровление даже тем больным, которым у них на родине не могут оказать действенную эффективную помощь.

Нефрологические клиники за рубежом тесно сотрудничают с исследовательскими центрами, благодаря чему в них оперативно внедрятся инновационные методики лечения почек, как консервативные, так и оперативные. В клиники Израиля, Германии, США, Франции и других развитых стран приезжают для лечения самых тяжелых и распространенных почечных недугов, таких, как пиелонефрит, почечная недостаточность, врожденные дефекты мочевыводящей системы, мочекаменная болезнь, доброкачественные и злокачественные новообразования почек. Также эффективно проводится лечение патологий почек, которые возникли как осложнения других заболеваний.


Преимущества лечения почек за границей
Достоверная диагностика. Возможно диагностирование болезни на самой ранней стадии развития, когда ее лечение не такое сложное и дорогостоящее.

Высокий уровень компетентности врачей. В клиниках Германии, Израиля, США, которые принимают пациентов из-за границы, работают высокопрофессиональные нефрологи и хирурги. Полную информацию о лечащем враче и его компетентности можно узнать на сайте клиники.

Современные протоколы лечения. Пациент может быть уверен, что для его лечения будут использованы только самые современные виды терапии и новейшие лекарства.

Щадящая терапия. Врачи выбирают те виды лечения, как консервативного, так и оперативного, которые имеют меньше всего осложнений и менее травматичны для больного.

Круглосуточное сопровождение. Пациентам гарантировано не только высокое качество предоставления медицинских услуг, но и забота о бытовых и организационных моментах. Например, международный отдел клиники позаботится о том, чтобы был составлен удобный график диагностики и лечения, предоставит переводчика, при необходимости поможет решить вопросы с жильем и проездом.



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                  ["description"]=>
                  string(8933) "Точная диагностика
Пациент, попадая в зарубежную клинику на лечение, в первую очередь, проходит тщательную диагностику. Даже если он обследовался у себя на родине, зарубежные нефрологи должны быть уверены, что поставленный там диагноз верен. К сожалению, от 30 до 40% диагнозов, поставленных в странах СНГ, оказываются неверными или некорректными. Это связано с несовершенством оборудования и методик, которые используют в больницах этих стран.
Чтобы определить точную картину заболевания и назначить наиболее действенное лечение, в зарубежных клиниках назначают такие виды исследований:

	Лабораторные исследования мочи. Широко применяемые экспересс-тесты позволяют в кратчайшие сроки исследовать состав мочи, а именно: наличие в моче белка, сахара, кетона, крови, нитратов, лейкоцитов и так далее. Данные тесты дают возможность судить о характере патологи. 
	Биопсия тканей почки. В некоторых случаях, например, при подозрении на опухолевое образование, именно исследование тканей биоптата – единственная возможность точно установить характер патологии. 
	DMSA-сканирование. Современный вид радиоизотопного исследования, который позволяет оценить функциональность почки, определить локализацию, размер аномалии. Этот вид исследований не имеет возрастных ограничений и может быть использован как у взрослых, так и у детей.Димеркаптоянтарная кислота, обогащенная радиоактивными ионами, вводится непосредственно в вену, когда она попадает в ткани почек, орган сканируют в гамма-камере и поучают объемное его изображение высокого разрешения. 
	МРТ, КТ. Эти виды визуальных исследований также позволяют получить изображение высокого уровня разрешения. 
	Ангиография сосудов почек. Если есть подозрения на сосудистые нарушения, этот метод позволяет их обнаружить. Используется при разных патологиях почек: опухолях, кровотечениях и так далее. 
	ПЭТ-КТ. Инновационный метод диагностики, который назначается при подозрении на наличие онкообразований. Позволяет обнаружить даже мельчайшие скопления атипичных клеток. 
	Ретроградная пиелография, экскреторная урография. Методы исследования функциональности почек и мочевыводящих путей, используется при различных почечных патологиях. 
Лечение болезней почек за границей
В каждом случае планы терапии назначаются индивидуально, с учетом клинической картины, возраста пациента, характера патологии.
Мочекаменная болезнь. В прогрессивных иностранных клиниках используют как неоперационные, так и малоинвазивные методики лечения камней в почках. Если камни небольшого размера, их дробят с применением литотрипсии – методики воздействия на них электромагнитными волнами. Если же камни не удается уничтожить без операции, проводится трансуретральная нефролитотрипсия: без единого разреза, через уретру, вводят катетер, который является проводником лазерного луча. Еще один вид операции, которую могут использовать – это доступ к пораженному участку через маленький, в несколько сантиметров, прокол. Малоинвазивные методики имеют существенные преимущества: они менее травматичны для пациентов и сокращают срок восстановления до нескольких дней.
Почечная недостаточность. Эта тяжелая патология, при которой почки утрачивают способность самостоятельно справляться с функцией очистки крови,требует использования гемодиализа – процедуры по очистке крови от токсинов, лишней жидкости и солей. Проводимые за границей процедур гемодиализа позволяют стабилизировать состояние больного, поддержать функционирование почек достаточно долго.
Пиелонефрит. Для борьбы с этим недугом используют современные антибактериальные препараты, имеющие высокий показатель эффективности и низкий процент побочных явлений. Если пиелонефрит имеет гнойный характер, проводится малоинвазивная операция: делается небольшой прокол, через который осуществляется дренирование.
Рак почки. Применяется комплексный подход: химиотерапия по современным протоколам, с использованием препаратов нового поколения, прогрессивная радиотерапия, при которой облучение пораженного участка ведется максимально точно, с минимальным вредом для здоровых тканей. Однако самый действенный вид лечения рака почки – это проведение операции. В клиниках за границей преимущественно используют малоинвазивные методики: абляция лазером, током, заморозка патоочага жидким азотом. Для доступа может быть использован доступ через мочеиспускательный канал, без разрезов тканей. Также могут проводится щадящие лапароскопические операции, когда делается несколько разрезов или один маленький, в области пупка (SILS). В последнее время все активнее применяют такие инновационные методы, как таргетную терапию (щадящее лечение, при котором поражаются только атипичные клетки), и иммунотерапию (метод стимуляции иммунной системы больного на борьбу с онкопатологией).
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        ["yii\web\Application"]=>
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xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx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xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx"
          ["_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(5) {
              ["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(16) "doctors/nefrolog"
          ["_url":"yii\web\Request":private]=>
          string(17) "/doctors/nefrolog"
          ["_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(220) {
              [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(1714097823,2394)
                [4]=>
                array(0) {
                }
                [5]=>
                int(4805176)
              }
              [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(1714097823,2394)
                [4]=>
                array(0) {
                }
                [5]=>
                int(4805928)
              }
              [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(1714097823,2464)
                [4]=>
                array(0) {
                }
                [5]=>
                int(4849872)
              }
              [3]=>
              array(6) {
                [0]=>
                string(86) "SELECT * FROM `country` WHERE (`country`.`public`=1) AND (`country`.`link`='nefrolog')"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2464)
                [4]=>
                array(0) {
                }
                [5]=>
                int(4850128)
              }
              [4]=>
              array(6) {
                [0]=>
                string(86) "SELECT * FROM `country` WHERE (`country`.`public`=1) AND (`country`.`link`='nefrolog')"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2464)
                [4]=>
                array(0) {
                }
                [5]=>
                int(4851096)
              }
              [5]=>
              array(6) {
                [0]=>
                string(86) "SELECT * FROM `country` WHERE (`country`.`public`=1) AND (`country`.`link`='nefrolog')"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2466)
                [4]=>
                array(0) {
                }
                [5]=>
                int(4854456)
              }
              [6]=>
              array(6) {
                [0]=>
                string(63) "SELECT * FROM `speciality` WHERE `speciality`.`link`='nefrolog'"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2469)
                [4]=>
                array(0) {
                }
                [5]=>
                int(4886176)
              }
              [7]=>
              array(6) {
                [0]=>
                string(63) "SELECT * FROM `speciality` WHERE `speciality`.`link`='nefrolog'"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2469)
                [4]=>
                array(0) {
                }
                [5]=>
                int(4887280)
              }
              [8]=>
              array(6) {
                [0]=>
                string(63) "SELECT * FROM `speciality` WHERE `speciality`.`link`='nefrolog'"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2495)
                [4]=>
                array(0) {
                }
                [5]=>
                int(4888880)
              }
              [9]=>
              array(6) {
                [0]=>
                string(61) "SELECT * FROM `doctor_to_speciality` WHERE `speciality_id`=42"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2543)
                [4]=>
                array(0) {
                }
                [5]=>
                int(5371368)
              }
              [10]=>
              array(6) {
                [0]=>
                string(61) "SELECT * FROM `doctor_to_speciality` WHERE `speciality_id`=42"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2543)
                [4]=>
                array(0) {
                }
                [5]=>
                int(5372472)
              }
              [11]=>
              array(6) {
                [0]=>
                string(61) "SELECT * FROM `doctor_to_speciality` WHERE `speciality_id`=42"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2583)
                [4]=>
                array(0) {
                }
                [5]=>
                int(5389144)
              }
              [12]=>
              array(6) {
                [0]=>
                string(294) "SELECT COUNT(*) FROM `doctor` WHERE (`doctor`.`public`=1) AND (`id` IN ('137', '206', '220', '229', '240', '254', '390', '415', '437', '480', '488', '521', '539', '616', '653', '679', '713', '726', '742', '761', '803', '969', '971', '972', '973', '974', '1005', '1006', '1007', '1008', '1009'))"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2584)
                [4]=>
                array(0) {
                }
                [5]=>
                int(5392040)
              }
              [13]=>
              array(6) {
                [0]=>
                string(294) "SELECT COUNT(*) FROM `doctor` WHERE (`doctor`.`public`=1) AND (`id` IN ('137', '206', '220', '229', '240', '254', '390', '415', '437', '480', '488', '521', '539', '616', '653', '679', '713', '726', '742', '761', '803', '969', '971', '972', '973', '974', '1005', '1006', '1007', '1008', '1009'))"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2584)
                [4]=>
                array(0) {
                }
                [5]=>
                int(5385120)
              }
              [14]=>
              array(6) {
                [0]=>
                string(294) "SELECT COUNT(*) FROM `doctor` WHERE (`doctor`.`public`=1) AND (`id` IN ('137', '206', '220', '229', '240', '254', '390', '415', '437', '480', '488', '521', '539', '616', '653', '679', '713', '726', '742', '761', '803', '969', '971', '972', '973', '974', '1005', '1006', '1007', '1008', '1009'))"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2604)
                [4]=>
                array(0) {
                }
                [5]=>
                int(5386088)
              }
              [15]=>
              array(6) {
                [0]=>
                string(296) "SELECT `speciality`.*, COUNT(DISTINCT doctor.id) AS count FROM `speciality` LEFT JOIN `doctor_to_speciality` ON `speciality`.`id` = `doctor_to_speciality`.`speciality_id` LEFT JOIN `doctor` ON `doctor_to_speciality`.`doctor_id` = `doctor`.`id` WHERE `doctor`.`public`=1 GROUP BY `speciality`.`id`"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2615)
                [4]=>
                array(0) {
                }
                [5]=>
                int(5476352)
              }
              [16]=>
              array(6) {
                [0]=>
                string(296) "SELECT `speciality`.*, COUNT(DISTINCT doctor.id) AS count FROM `speciality` LEFT JOIN `doctor_to_speciality` ON `speciality`.`id` = `doctor_to_speciality`.`speciality_id` LEFT JOIN `doctor` ON `doctor_to_speciality`.`doctor_id` = `doctor`.`id` WHERE `doctor`.`public`=1 GROUP BY `speciality`.`id`"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2615)
                [4]=>
                array(0) {
                }
                [5]=>
                int(5478000)
              }
              [17]=>
              array(6) {
                [0]=>
                string(296) "SELECT `speciality`.*, COUNT(DISTINCT doctor.id) AS count FROM `speciality` LEFT JOIN `doctor_to_speciality` ON `speciality`.`id` = `doctor_to_speciality`.`speciality_id` LEFT JOIN `doctor` ON `doctor_to_speciality`.`doctor_id` = `doctor`.`id` WHERE `doctor`.`public`=1 GROUP BY `speciality`.`id`"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2683)
                [4]=>
                array(0) {
                }
                [5]=>
                int(5521432)
              }
              [18]=>
              array(6) {
                [0]=>
                string(281) "SELECT * FROM `doctor_to_speciality` WHERE `speciality_id` IN (5, 6, 7, 8, 9, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 44, 45, 47, 48, 49, 50, 51, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65)"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2688)
                [4]=>
                array(0) {
                }
                [5]=>
                int(5995432)
              }
              [19]=>
              array(6) {
                [0]=>
                string(281) "SELECT * FROM `doctor_to_speciality` WHERE `speciality_id` IN (5, 6, 7, 8, 9, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 44, 45, 47, 48, 49, 50, 51, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65)"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2689)
                [4]=>
                array(0) {
                }
                [5]=>
                int(5982496)
              }
              [20]=>
              array(6) {
                [0]=>
                string(281) "SELECT * FROM `doctor_to_speciality` WHERE `speciality_id` IN (5, 6, 7, 8, 9, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 44, 45, 47, 48, 49, 50, 51, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65)"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2698)
                [4]=>
                array(0) {
                }
                [5]=>
                int(6911976)
              }
              [21]=>
              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', 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'1274', '1275', '1276', '1280', '1282', '1283', '1284', '1285', '1286', '1287', '1278', '1281', '1288', '1289', '1290', '1291'))"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2711)
                [4]=>
                array(0) {
                }
                [5]=>
                int(7668712)
              }
              [22]=>
              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', 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                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,2713)
                [4]=>
                array(0) {
                }
                [5]=>
                int(7361008)
              }
              [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', 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'1148', '1149', '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(1714097823,2783)
                [4]=>
                array(0) {
                }
                [5]=>
                int(12875856)
              }
              [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`=42) AND (`doctor`.`public`=1) GROUP BY `country`.`id`"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,306)
                [4]=>
                array(0) {
                }
                [5]=>
                int(25010008)
              }
              [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`=42) AND (`doctor`.`public`=1) GROUP BY `country`.`id`"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,306)
                [4]=>
                array(0) {
                }
                [5]=>
                int(25011704)
              }
              [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`=42) AND (`doctor`.`public`=1) GROUP BY `country`.`id`"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3114)
                [4]=>
                array(0) {
                }
                [5]=>
                int(25085984)
              }
              [27]=>
              array(6) {
                [0]=>
                string(53) "SELECT * FROM `city` WHERE `country_id` IN (5, 6, 10)"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3118)
                [4]=>
                array(0) {
                }
                [5]=>
                int(25184672)
              }
              [28]=>
              array(6) {
                [0]=>
                string(53) "SELECT * FROM `city` WHERE `country_id` IN (5, 6, 10)"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3118)
                [4]=>
                array(0) {
                }
                [5]=>
                int(25185248)
              }
              [29]=>
              array(6) {
                [0]=>
                string(53) "SELECT * FROM `city` WHERE `country_id` IN (5, 6, 10)"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3122)
                [4]=>
                array(0) {
                }
                [5]=>
                int(25413384)
              }
              [30]=>
              array(6) {
                [0]=>
                string(392) "SELECT * FROM `clinic` WHERE `city_id` IN (11, 10, 8, 9, 12, 13, 14, 15, 16, 17, 18, 19, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 42, 43, 44, 46, 48, 132, 134, 51, 52, 57, 58, 60, 61, 62, 63, 64, 65, 81, 84, 85, 86, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 146, 151, 153, 165)"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3133)
                [4]=>
                array(0) {
                }
                [5]=>
                int(26087200)
              }
              [31]=>
              array(6) {
                [0]=>
                string(392) "SELECT * FROM `clinic` WHERE `city_id` IN (11, 10, 8, 9, 12, 13, 14, 15, 16, 17, 18, 19, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 42, 43, 44, 46, 48, 132, 134, 51, 52, 57, 58, 60, 61, 62, 63, 64, 65, 81, 84, 85, 86, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 146, 151, 153, 165)"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3133)
                [4]=>
                array(0) {
                }
                [5]=>
                int(26068512)
              }
              [32]=>
              array(6) {
                [0]=>
                string(392) "SELECT * FROM `clinic` WHERE `city_id` IN (11, 10, 8, 9, 12, 13, 14, 15, 16, 17, 18, 19, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 42, 43, 44, 46, 48, 132, 134, 51, 52, 57, 58, 60, 61, 62, 63, 64, 65, 81, 84, 85, 86, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 146, 151, 153, 165)"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3155)
                [4]=>
                array(0) {
                }
                [5]=>
                int(27745464)
              }
              [33]=>
              array(6) {
                [0]=>
                string(874) "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, 49, 157, 243, 371, 42, 196, 44, 61, 209, 217, 228, 70, 62, 69, 102, 105, 106, 107, 262, 98, 100, 101, 99, 103, 233, 245, 247, 250, 91, 104, 97, 263, 132, 163, 212, 222, 223, 342, 155, 158, 191, 154, 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, 264, 354, 265, 17, 321, 328, 374)"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,319)
                [4]=>
                array(0) {
                }
                [5]=>
                int(29935864)
              }
              [34]=>
              array(6) {
                [0]=>
                string(874) "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, 49, 157, 243, 371, 42, 196, 44, 61, 209, 217, 228, 70, 62, 69, 102, 105, 106, 107, 262, 98, 100, 101, 99, 103, 233, 245, 247, 250, 91, 104, 97, 263, 132, 163, 212, 222, 223, 342, 155, 158, 191, 154, 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, 264, 354, 265, 17, 321, 328, 374)"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,319)
                [4]=>
                array(0) {
                }
                [5]=>
                int(29892832)
              }
              [35]=>
              array(6) {
                [0]=>
                string(874) "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, 49, 157, 243, 371, 42, 196, 44, 61, 209, 217, 228, 70, 62, 69, 102, 105, 106, 107, 262, 98, 100, 101, 99, 103, 233, 245, 247, 250, 91, 104, 97, 263, 132, 163, 212, 222, 223, 342, 155, 158, 191, 154, 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, 264, 354, 265, 17, 321, 328, 374)"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,32)
                [4]=>
                array(0) {
                }
                [5]=>
                int(30524472)
              }
              [36]=>
              array(6) {
                [0]=>
                string(5047) "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, 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, 172, 178, 191, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 303, 209, 210, 211, 213, 214, 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, 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, 638, 639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651, 652, 653, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664, 665, 666, 668, 667, 669, 670, 671, 672, 673, 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, 755, 756, 757, 758, 760, 761, 762, 763, 764, 765, 766, 767, 768, 769, 770, 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, 845, 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, 876, 877, 878, 879, 880, 881, 882, 883, 884, 885, 886, 887, 888, 889, 890, 891, 892, 893, 894, 895, 896, 897, 965, 899, 900, 901, 902, 903, 904, 905, 906, 907, 908, 909, 910, 911, 912, 913, 914, 915, 916, 917, 918, 919, 920, 921, 922, 923, 924, 925, 926, 927, 928, 929, 930, 931, 932, 933, 934, 935, 936, 937, 938, 939, 940, 941, 943, 946, 947, 949, 950, 951, 952, 953, 955, 954, 956, 959, 960, 961, 962, 945, 964, 966, 967, 968, 969, 971, 972, 973, 974, 975, 977, 976, 978, 979, 980, 981, 982, 983, 984, 985, 986, 987, 988, 989, 990, 991, 992, 993, 994, 995, 996, 997, 998, 999, 1000, 1001, 1002, 1003, 1004, 1005, 1006, 1007, 1008, 1009, 1010, 1011, 1012, 1013, 944, 654, 942, 1016, 1084, 1085, 1099, 1100, 1101, 1102, 1103, 1104, 1105, 1106, 1107, 1108, 1109, 1110, 1111, 1112, 1113, 1114, 1115, 1116, 1117, 1118, 1124, 1125, 1126, 1136, 1137, 1138, 1141, 1143, 1144, 1146, 1147, 1149, 1153, 1154, 1155, 1157, 1168, 1169, 1172, 1173, 1174, 1175, 1180, 1182, 1183, 1184, 1185, 1186, 1187, 1188, 1189, 1190, 1191, 1192, 1193, 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, 1266))"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3307)
                [4]=>
                array(0) {
                }
                [5]=>
                int(31191472)
              }
              [37]=>
              array(6) {
                [0]=>
                string(5047) "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, 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, 172, 178, 191, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 303, 209, 210, 211, 213, 214, 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, 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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, 638, 639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651, 652, 653, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664, 665, 666, 668, 667, 669, 670, 671, 672, 673, 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, 755, 756, 757, 758, 760, 761, 762, 763, 764, 765, 766, 767, 768, 769, 770, 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, 845, 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, 876, 877, 878, 879, 880, 881, 882, 883, 884, 885, 886, 887, 888, 889, 890, 891, 892, 893, 894, 895, 896, 897, 965, 899, 900, 901, 902, 903, 904, 905, 906, 907, 908, 909, 910, 911, 912, 913, 914, 915, 916, 917, 918, 919, 920, 921, 922, 923, 924, 925, 926, 927, 928, 929, 930, 931, 932, 933, 934, 935, 936, 937, 938, 939, 940, 941, 943, 946, 947, 949, 950, 951, 952, 953, 955, 954, 956, 959, 960, 961, 962, 945, 964, 966, 967, 968, 969, 971, 972, 973, 974, 975, 977, 976, 978, 979, 980, 981, 982, 983, 984, 985, 986, 987, 988, 989, 990, 991, 992, 993, 994, 995, 996, 997, 998, 999, 1000, 1001, 1002, 1003, 1004, 1005, 1006, 1007, 1008, 1009, 1010, 1011, 1012, 1013, 944, 654, 942, 1016, 1084, 1085, 1099, 1100, 1101, 1102, 1103, 1104, 1105, 1106, 1107, 1108, 1109, 1110, 1111, 1112, 1113, 1114, 1115, 1116, 1117, 1118, 1124, 1125, 1126, 1136, 1137, 1138, 1141, 1143, 1144, 1146, 1147, 1149, 1153, 1154, 1155, 1157, 1168, 1169, 1172, 1173, 1174, 1175, 1180, 1182, 1183, 1184, 1185, 1186, 1187, 1188, 1189, 1190, 1191, 1192, 1193, 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, 1266))"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3308)
                [4]=>
                array(0) {
                }
                [5]=>
                int(30946856)
              }
              [38]=>
              array(6) {
                [0]=>
                string(5047) "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, 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, 172, 178, 191, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 303, 209, 210, 211, 213, 214, 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, 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, 638, 639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651, 652, 653, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664, 665, 666, 668, 667, 669, 670, 671, 672, 673, 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, 755, 756, 757, 758, 760, 761, 762, 763, 764, 765, 766, 767, 768, 769, 770, 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, 845, 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, 876, 877, 878, 879, 880, 881, 882, 883, 884, 885, 886, 887, 888, 889, 890, 891, 892, 893, 894, 895, 896, 897, 965, 899, 900, 901, 902, 903, 904, 905, 906, 907, 908, 909, 910, 911, 912, 913, 914, 915, 916, 917, 918, 919, 920, 921, 922, 923, 924, 925, 926, 927, 928, 929, 930, 931, 932, 933, 934, 935, 936, 937, 938, 939, 940, 941, 943, 946, 947, 949, 950, 951, 952, 953, 955, 954, 956, 959, 960, 961, 962, 945, 964, 966, 967, 968, 969, 971, 972, 973, 974, 975, 977, 976, 978, 979, 980, 981, 982, 983, 984, 985, 986, 987, 988, 989, 990, 991, 992, 993, 994, 995, 996, 997, 998, 999, 1000, 1001, 1002, 1003, 1004, 1005, 1006, 1007, 1008, 1009, 1010, 1011, 1012, 1013, 944, 654, 942, 1016, 1084, 1085, 1099, 1100, 1101, 1102, 1103, 1104, 1105, 1106, 1107, 1108, 1109, 1110, 1111, 1112, 1113, 1114, 1115, 1116, 1117, 1118, 1124, 1125, 1126, 1136, 1137, 1138, 1141, 1143, 1144, 1146, 1147, 1149, 1153, 1154, 1155, 1157, 1168, 1169, 1172, 1173, 1174, 1175, 1180, 1182, 1183, 1184, 1185, 1186, 1187, 1188, 1189, 1190, 1191, 1192, 1193, 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, 1266))"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3361)
                [4]=>
                array(0) {
                }
                [5]=>
                int(34989256)
              }
              [39]=>
              array(6) {
                [0]=>
                string(4846) "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, 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, 100, 109, 101, 108, 107, 102, 105, 106, 104, 103, 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, 191, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 303, 209, 210, 211, 213, 214, 218, 220, 221, 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, 255, 254, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 306, 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, 301, 300, 302, 304, 305, 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, 373, 374, 375, 376, 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, 482, 405, 406, 407, 408, 409, 410, 411, 412, 413, 414, 415, 416, 417, 418, 419, 420, 421, 422, 423, 424, 425, 426, 427, 428, 429, 430, 431, 432, 433, 434, 435, 436, 437, 438, 439, 440, 441, 845, 442, 443, 444, 445, 446, 447, 448, 449, 450, 451, 452, 481, 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, 483, 484, 486, 487, 488, 489, 490, 491, 492, 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, 1141, 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, 624, 621, 622, 623, 625, 626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638, 639, 647, 649, 650, 651, 653, 654, 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, 878, 879, 880, 881, 882, 883, 884, 943, 885, 886, 887, 888, 889, 890, 942, 891, 892, 893, 894, 895, 1016, 896, 940, 897, 938, 899, 900, 901, 902, 903, 904, 905, 906, 907, 908, 909, 910, 937, 911, 912, 913, 914, 936, 915, 916, 917, 918, 935, 919, 920, 921, 922, 923, 924, 925, 941, 926, 927, 928, 929, 930, 931, 932, 933, 934, 944, 945, 946, 947, 949, 950, 951, 952, 953, 954, 955, 956, 959, 960, 961, 962, 964, 965, 966, 967, 968, 969, 971, 972, 973, 974, 975, 976, 977, 978, 979, 980, 981, 982, 983, 984, 985, 986, 987, 988, 989, 990, 991, 992, 993, 994, 995, 996, 997, 998, 999, 1000, 1001, 1002, 1003, 1004, 1005, 1006, 1007, 1008, 1009, 1010, 1011, 1012, 1013, 1172, 1154, 1168, 1084, 1085, 1099, 1100, 1101, 1102, 1103, 1104, 1105, 1106, 1107, 1108, 1109, 1110, 1111, 1112, 1113, 1114, 1115, 1116, 1117, 1118, 1124, 1125, 1126, 1136, 1137, 1138, 1182, 1143, 1144, 1146, 1147, 1155, 1149, 1190, 1153, 1157, 1169, 1173, 1174, 1175, 1180, 1183, 1184, 1185, 1186, 1187, 1188, 1189, 1191, 1192, 1193, 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, 1266)"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3612)
                [4]=>
                array(0) {
                }
                [5]=>
                int(47085032)
              }
              [40]=>
              array(6) {
                [0]=>
                string(4846) "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, 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, 100, 109, 101, 108, 107, 102, 105, 106, 104, 103, 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, 191, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 303, 209, 210, 211, 213, 214, 218, 220, 221, 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, 255, 254, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 306, 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, 301, 300, 302, 304, 305, 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, 373, 374, 375, 376, 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, 482, 405, 406, 407, 408, 409, 410, 411, 412, 413, 414, 415, 416, 417, 418, 419, 420, 421, 422, 423, 424, 425, 426, 427, 428, 429, 430, 431, 432, 433, 434, 435, 436, 437, 438, 439, 440, 441, 845, 442, 443, 444, 445, 446, 447, 448, 449, 450, 451, 452, 481, 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, 483, 484, 486, 487, 488, 489, 490, 491, 492, 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, 1141, 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, 624, 621, 622, 623, 625, 626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638, 639, 647, 649, 650, 651, 653, 654, 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, 878, 879, 880, 881, 882, 883, 884, 943, 885, 886, 887, 888, 889, 890, 942, 891, 892, 893, 894, 895, 1016, 896, 940, 897, 938, 899, 900, 901, 902, 903, 904, 905, 906, 907, 908, 909, 910, 937, 911, 912, 913, 914, 936, 915, 916, 917, 918, 935, 919, 920, 921, 922, 923, 924, 925, 941, 926, 927, 928, 929, 930, 931, 932, 933, 934, 944, 945, 946, 947, 949, 950, 951, 952, 953, 954, 955, 956, 959, 960, 961, 962, 964, 965, 966, 967, 968, 969, 971, 972, 973, 974, 975, 976, 977, 978, 979, 980, 981, 982, 983, 984, 985, 986, 987, 988, 989, 990, 991, 992, 993, 994, 995, 996, 997, 998, 999, 1000, 1001, 1002, 1003, 1004, 1005, 1006, 1007, 1008, 1009, 1010, 1011, 1012, 1013, 1172, 1154, 1168, 1084, 1085, 1099, 1100, 1101, 1102, 1103, 1104, 1105, 1106, 1107, 1108, 1109, 1110, 1111, 1112, 1113, 1114, 1115, 1116, 1117, 1118, 1124, 1125, 1126, 1136, 1137, 1138, 1182, 1143, 1144, 1146, 1147, 1155, 1149, 1190, 1153, 1157, 1169, 1173, 1174, 1175, 1180, 1183, 1184, 1185, 1186, 1187, 1188, 1189, 1191, 1192, 1193, 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, 1266)"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3613)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46850976)
              }
              [41]=>
              array(6) {
                [0]=>
                string(4846) "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, 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, 100, 109, 101, 108, 107, 102, 105, 106, 104, 103, 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, 191, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 303, 209, 210, 211, 213, 214, 218, 220, 221, 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, 255, 254, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 306, 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, 301, 300, 302, 304, 305, 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, 373, 374, 375, 376, 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, 482, 405, 406, 407, 408, 409, 410, 411, 412, 413, 414, 415, 416, 417, 418, 419, 420, 421, 422, 423, 424, 425, 426, 427, 428, 429, 430, 431, 432, 433, 434, 435, 436, 437, 438, 439, 440, 441, 845, 442, 443, 444, 445, 446, 447, 448, 449, 450, 451, 452, 481, 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, 483, 484, 486, 487, 488, 489, 490, 491, 492, 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, 1141, 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, 624, 621, 622, 623, 625, 626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638, 639, 647, 649, 650, 651, 653, 654, 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, 878, 879, 880, 881, 882, 883, 884, 943, 885, 886, 887, 888, 889, 890, 942, 891, 892, 893, 894, 895, 1016, 896, 940, 897, 938, 899, 900, 901, 902, 903, 904, 905, 906, 907, 908, 909, 910, 937, 911, 912, 913, 914, 936, 915, 916, 917, 918, 935, 919, 920, 921, 922, 923, 924, 925, 941, 926, 927, 928, 929, 930, 931, 932, 933, 934, 944, 945, 946, 947, 949, 950, 951, 952, 953, 954, 955, 956, 959, 960, 961, 962, 964, 965, 966, 967, 968, 969, 971, 972, 973, 974, 975, 976, 977, 978, 979, 980, 981, 982, 983, 984, 985, 986, 987, 988, 989, 990, 991, 992, 993, 994, 995, 996, 997, 998, 999, 1000, 1001, 1002, 1003, 1004, 1005, 1006, 1007, 1008, 1009, 1010, 1011, 1012, 1013, 1172, 1154, 1168, 1084, 1085, 1099, 1100, 1101, 1102, 1103, 1104, 1105, 1106, 1107, 1108, 1109, 1110, 1111, 1112, 1113, 1114, 1115, 1116, 1117, 1118, 1124, 1125, 1126, 1136, 1137, 1138, 1182, 1143, 1144, 1146, 1147, 1155, 1149, 1190, 1153, 1157, 1169, 1173, 1174, 1175, 1180, 1183, 1184, 1185, 1186, 1187, 1188, 1189, 1191, 1192, 1193, 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, 1266)"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3638)
                [4]=>
                array(0) {
                }
                [5]=>
                int(47581592)
              }
              [42]=>
              array(6) {
                [0]=>
                string(348) "SELECT * FROM `speciality` WHERE `id` IN ('23', '9', '5', '7', '6', '11', '12', '13', '14', '16', '15', '17', '18', '19', '41', '21', '20', '44', '22', '24', '26', '25', '27', '29', '38', '30', '8', '37', '39', '40', '42', '45', '32', '47', '28', '48', '60', '49', '50', '54', '51', '57', '34', '55', '58', '56', '53', '36', '33', '59', '35', '64')"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3643)
                [4]=>
                array(0) {
                }
                [5]=>
                int(47390640)
              }
              [43]=>
              array(6) {
                [0]=>
                string(348) "SELECT * FROM `speciality` WHERE `id` IN ('23', '9', '5', '7', '6', '11', '12', '13', '14', '16', '15', '17', '18', '19', '41', '21', '20', '44', '22', '24', '26', '25', '27', '29', '38', '30', '8', '37', '39', '40', '42', '45', '32', '47', '28', '48', '60', '49', '50', '54', '51', '57', '34', '55', '58', '56', '53', '36', '33', '59', '35', '64')"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3643)
                [4]=>
                array(0) {
                }
                [5]=>
                int(47378696)
              }
              [44]=>
              array(6) {
                [0]=>
                string(348) "SELECT * FROM `speciality` WHERE `id` IN ('23', '9', '5', '7', '6', '11', '12', '13', '14', '16', '15', '17', '18', '19', '41', '21', '20', '44', '22', '24', '26', '25', '27', '29', '38', '30', '8', '37', '39', '40', '42', '45', '32', '47', '28', '48', '60', '49', '50', '54', '51', '57', '34', '55', '58', '56', '53', '36', '33', '59', '35', '64')"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3645)
                [4]=>
                array(0) {
                }
                [5]=>
                int(47417400)
              }
              [45]=>
              array(6) {
                [0]=>
                string(56) "SELECT * FROM `seo_item` WHERE `url`='/doctors/nefrolog'"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3695)
                [4]=>
                array(0) {
                }
                [5]=>
                int(45356448)
              }
              [46]=>
              array(6) {
                [0]=>
                string(56) "SELECT * FROM `seo_item` WHERE `url`='/doctors/nefrolog'"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3695)
                [4]=>
                array(0) {
                }
                [5]=>
                int(45357520)
              }
              [47]=>
              array(6) {
                [0]=>
                string(56) "SELECT * FROM `seo_item` WHERE `url`='/doctors/nefrolog'"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3697)
                [4]=>
                array(0) {
                }
                [5]=>
                int(45358368)
              }
              [48]=>
              array(6) {
                [0]=>
                string(54) "SELECT * FROM `params` WHERE `name`='settings.view.ru'"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3766)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46073832)
              }
              [49]=>
              array(6) {
                [0]=>
                string(54) "SELECT * FROM `params` WHERE `name`='settings.view.ru'"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3766)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46074904)
              }
              [50]=>
              array(6) {
                [0]=>
                string(54) "SELECT * FROM `params` WHERE `name`='settings.view.ru'"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3767)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46076312)
              }
              [51]=>
              array(6) {
                [0]=>
                string(47) "SELECT * FROM `branch` WHERE `speciality_id`=42"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3779)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46271560)
              }
              [52]=>
              array(6) {
                [0]=>
                string(47) "SELECT * FROM `branch` WHERE `speciality_id`=42"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3779)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46272640)
              }
              [53]=>
              array(6) {
                [0]=>
                string(47) "SELECT * FROM `branch` WHERE `speciality_id`=42"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3801)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46298104)
              }
              [54]=>
              array(6) {
                [0]=>
                string(88) "SELECT * FROM `doctor_to_speciality` WHERE (`speciality_id`=42) AND (`speciality_id`=42)"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3806)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46398240)
              }
              [55]=>
              array(6) {
                [0]=>
                string(88) "SELECT * FROM `doctor_to_speciality` WHERE (`speciality_id`=42) AND (`speciality_id`=42)"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3806)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46399144)
              }
              [56]=>
              array(6) {
                [0]=>
                string(88) "SELECT * FROM `doctor_to_speciality` WHERE (`speciality_id`=42) AND (`speciality_id`=42)"
                [1]=>
                int(96)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3808)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46415808)
              }
              [57]=>
              array(6) {
                [0]=>
                string(318) "SELECT * FROM `doctor` WHERE (`doctor`.`public`=1) AND (`id` IN ('137', '206', '220', '229', '240', '254', '390', '415', '437', '480', '488', '521', '539', '616', '653', '679', '713', '726', '742', '761', '803', '969', '971', '972', '973', '974', '1005', '1006', '1007', '1008', '1009')) ORDER BY `rating` DESC LIMIT 8"
                [1]=>
                int(4)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3808)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46418872)
              }
              [58]=>
              array(6) {
                [0]=>
                string(318) "SELECT * FROM `doctor` WHERE (`doctor`.`public`=1) AND (`id` IN ('137', '206', '220', '229', '240', '254', '390', '415', '437', '480', '488', '521', '539', '616', '653', '679', '713', '726', '742', '761', '803', '969', '971', '972', '973', '974', '1005', '1006', '1007', '1008', '1009')) ORDER BY `rating` DESC LIMIT 8"
                [1]=>
                int(80)
                [2]=>
                string(21) "yii\db\Command::query"
                [3]=>
                float(1714097823,3808)
                [4]=>
                array(0) {
                }
                [5]=>
                int(46412016)
              }
              [59]=>
              array(6) {
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Стоимость лечения зависит от характера заболевания, его стадии, того, какие меры надо принять в данном случае, чтобы получить максимально положительный эффект. Еще до поездки пациент знакомится с расценками той клиники, куда отправляется лечиться, но после прохождения диагностики и уточнения диагноза стоимость может быть немного откорректирована. Цена за терапию полностью соответствует ее высокому качеству.

С каждым годом все большее число граждан стран СНГ при болезнях почек отправляются лечиться за границу. Дело не только в том, что в наше время медицинский туризм стал более доступным, но и в том, что нефрология за рубежом развита гораздо сильнее. К сожалению, немногие больницы в странах СНГ, особенно не столичные, могут похвастать инновационным оборудованием и возможностью лечить по новейшим международным протоколам. Лечение почек за рубежом дает шанс на выздоровление даже тем больным, которым у них на родине не могут оказать действенную эффективную помощь.

Нефрологические клиники за рубежом тесно сотрудничают с исследовательскими центрами, благодаря чему в них оперативно внедрятся инновационные методики лечения почек, как консервативные, так и оперативные. В клиники Израиля, Германии, США, Франции и других развитых стран приезжают для лечения самых тяжелых и распространенных почечных недугов, таких, как пиелонефрит, почечная недостаточность, врожденные дефекты мочевыводящей системы, мочекаменная болезнь, доброкачественные и злокачественные новообразования почек. Также эффективно проводится лечение патологий почек, которые возникли как осложнения других заболеваний.


Преимущества лечения почек за границей
Достоверная диагностика. Возможно диагностирование болезни на самой ранней стадии развития, когда ее лечение не такое сложное и дорогостоящее.

Высокий уровень компетентности врачей. В клиниках Германии, Израиля, США, которые принимают пациентов из-за границы, работают высокопрофессиональные нефрологи и хирурги. Полную информацию о лечащем враче и его компетентности можно узнать на сайте клиники.

Современные протоколы лечения. Пациент может быть уверен, что для его лечения будут использованы только самые современные виды терапии и новейшие лекарства.

Щадящая терапия. Врачи выбирают те виды лечения, как консервативного, так и оперативного, которые имеют меньше всего осложнений и менее травматичны для больного.

Круглосуточное сопровождение. Пациентам гарантировано не только высокое качество предоставления медицинских услуг, но и забота о бытовых и организационных моментах. Например, международный отдел клиники позаботится о том, чтобы был составлен удобный график диагностики и лечения, предоставит переводчика, при необходимости поможет решить вопросы с жильем и проездом.



"
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Пациент, попадая в зарубежную клинику на лечение, в первую очередь, проходит тщательную диагностику. Даже если он обследовался у себя на родине, зарубежные нефрологи должны быть уверены, что поставленный там диагноз верен. К сожалению, от 30 до 40% диагнозов, поставленных в странах СНГ, оказываются неверными или некорректными. Это связано с несовершенством оборудования и методик, которые используют в больницах этих стран.
Чтобы определить точную картину заболевания и назначить наиболее действенное лечение, в зарубежных клиниках назначают такие виды исследований:

	Лабораторные исследования мочи. Широко применяемые экспересс-тесты позволяют в кратчайшие сроки исследовать состав мочи, а именно: наличие в моче белка, сахара, кетона, крови, нитратов, лейкоцитов и так далее. Данные тесты дают возможность судить о характере патологи. 
	Биопсия тканей почки. В некоторых случаях, например, при подозрении на опухолевое образование, именно исследование тканей биоптата – единственная возможность точно установить характер патологии. 
	DMSA-сканирование. Современный вид радиоизотопного исследования, который позволяет оценить функциональность почки, определить локализацию, размер аномалии. Этот вид исследований не имеет возрастных ограничений и может быть использован как у взрослых, так и у детей.Димеркаптоянтарная кислота, обогащенная радиоактивными ионами, вводится непосредственно в вену, когда она попадает в ткани почек, орган сканируют в гамма-камере и поучают объемное его изображение высокого разрешения. 
	МРТ, КТ. Эти виды визуальных исследований также позволяют получить изображение высокого уровня разрешения. 
	Ангиография сосудов почек. Если есть подозрения на сосудистые нарушения, этот метод позволяет их обнаружить. Используется при разных патологиях почек: опухолях, кровотечениях и так далее. 
	ПЭТ-КТ. Инновационный метод диагностики, который назначается при подозрении на наличие онкообразований. Позволяет обнаружить даже мельчайшие скопления атипичных клеток. 
	Ретроградная пиелография, экскреторная урография. Методы исследования функциональности почек и мочевыводящих путей, используется при различных почечных патологиях. 
Лечение болезней почек за границей
В каждом случае планы терапии назначаются индивидуально, с учетом клинической картины, возраста пациента, характера патологии.
Мочекаменная болезнь. В прогрессивных иностранных клиниках используют как неоперационные, так и малоинвазивные методики лечения камней в почках. Если камни небольшого размера, их дробят с применением литотрипсии – методики воздействия на них электромагнитными волнами. Если же камни не удается уничтожить без операции, проводится трансуретральная нефролитотрипсия: без единого разреза, через уретру, вводят катетер, который является проводником лазерного луча. Еще один вид операции, которую могут использовать – это доступ к пораженному участку через маленький, в несколько сантиметров, прокол. Малоинвазивные методики имеют существенные преимущества: они менее травматичны для пациентов и сокращают срок восстановления до нескольких дней.
Почечная недостаточность. Эта тяжелая патология, при которой почки утрачивают способность самостоятельно справляться с функцией очистки крови,требует использования гемодиализа – процедуры по очистке крови от токсинов, лишней жидкости и солей. Проводимые за границей процедур гемодиализа позволяют стабилизировать состояние больного, поддержать функционирование почек достаточно долго.
Пиелонефрит. Для борьбы с этим недугом используют современные антибактериальные препараты, имеющие высокий показатель эффективности и низкий процент побочных явлений. Если пиелонефрит имеет гнойный характер, проводится малоинвазивная операция: делается небольшой прокол, через который осуществляется дренирование.
Рак почки. Применяется комплексный подход: химиотерапия по современным протоколам, с использованием препаратов нового поколения, прогрессивная радиотерапия, при которой облучение пораженного участка ведется максимально точно, с минимальным вредом для здоровых тканей. Однако самый действенный вид лечения рака почки – это проведение операции. В клиниках за границей преимущественно используют малоинвазивные методики: абляция лазером, током, заморозка патоочага жидким азотом. Для доступа может быть использован доступ через мочеиспускательный канал, без разрезов тканей. Также могут проводится щадящие лапароскопические операции, когда делается несколько разрезов или один маленький, в области пупка (SILS). В последнее время все активнее применяют такие инновационные методы, как таргетную терапию (щадящее лечение, при котором поражаются только атипичные клетки), и иммунотерапию (метод стимуляции иммунной системы больного на борьбу с онкопатологией).
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                        string(5216) "Цены

Стоимость лечения зависит от характера заболевания, его стадии, того, какие меры надо принять в данном случае, чтобы получить максимально положительный эффект. Еще до поездки пациент знакомится с расценками той клиники, куда отправляется лечиться, но после прохождения диагностики и уточнения диагноза стоимость может быть немного откорректирована. Цена за терапию полностью соответствует ее высокому качеству.

С каждым годом все большее число граждан стран СНГ при болезнях почек отправляются лечиться за границу. Дело не только в том, что в наше время медицинский туризм стал более доступным, но и в том, что нефрология за рубежом развита гораздо сильнее. К сожалению, немногие больницы в странах СНГ, особенно не столичные, могут похвастать инновационным оборудованием и возможностью лечить по новейшим международным протоколам. Лечение почек за рубежом дает шанс на выздоровление даже тем больным, которым у них на родине не могут оказать действенную эффективную помощь.

Нефрологические клиники за рубежом тесно сотрудничают с исследовательскими центрами, благодаря чему в них оперативно внедрятся инновационные методики лечения почек, как консервативные, так и оперативные. В клиники Израиля, Германии, США, Франции и других развитых стран приезжают для лечения самых тяжелых и распространенных почечных недугов, таких, как пиелонефрит, почечная недостаточность, врожденные дефекты мочевыводящей системы, мочекаменная болезнь, доброкачественные и злокачественные новообразования почек. Также эффективно проводится лечение патологий почек, которые возникли как осложнения других заболеваний.


Преимущества лечения почек за границей
Достоверная диагностика. Возможно диагностирование болезни на самой ранней стадии развития, когда ее лечение не такое сложное и дорогостоящее.

Высокий уровень компетентности врачей. В клиниках Германии, Израиля, США, которые принимают пациентов из-за границы, работают высокопрофессиональные нефрологи и хирурги. Полную информацию о лечащем враче и его компетентности можно узнать на сайте клиники.

Современные протоколы лечения. Пациент может быть уверен, что для его лечения будут использованы только самые современные виды терапии и новейшие лекарства.

Щадящая терапия. Врачи выбирают те виды лечения, как консервативного, так и оперативного, которые имеют меньше всего осложнений и менее травматичны для больного.

Круглосуточное сопровождение. Пациентам гарантировано не только высокое качество предоставления медицинских услуг, но и забота о бытовых и организационных моментах. Например, международный отдел клиники позаботится о том, чтобы был составлен удобный график диагностики и лечения, предоставит переводчика, при необходимости поможет решить вопросы с жильем и проездом.



"
                        ["description"]=>
                        string(8933) "Точная диагностика
Пациент, попадая в зарубежную клинику на лечение, в первую очередь, проходит тщательную диагностику. Даже если он обследовался у себя на родине, зарубежные нефрологи должны быть уверены, что поставленный там диагноз верен. К сожалению, от 30 до 40% диагнозов, поставленных в странах СНГ, оказываются неверными или некорректными. Это связано с несовершенством оборудования и методик, которые используют в больницах этих стран.
Чтобы определить точную картину заболевания и назначить наиболее действенное лечение, в зарубежных клиниках назначают такие виды исследований:

	Лабораторные исследования мочи. Широко применяемые экспересс-тесты позволяют в кратчайшие сроки исследовать состав мочи, а именно: наличие в моче белка, сахара, кетона, крови, нитратов, лейкоцитов и так далее. Данные тесты дают возможность судить о характере патологи. 
	Биопсия тканей почки. В некоторых случаях, например, при подозрении на опухолевое образование, именно исследование тканей биоптата – единственная возможность точно установить характер патологии. 
	DMSA-сканирование. Современный вид радиоизотопного исследования, который позволяет оценить функциональность почки, определить локализацию, размер аномалии. Этот вид исследований не имеет возрастных ограничений и может быть использован как у взрослых, так и у детей.Димеркаптоянтарная кислота, обогащенная радиоактивными ионами, вводится непосредственно в вену, когда она попадает в ткани почек, орган сканируют в гамма-камере и поучают объемное его изображение высокого разрешения. 
	МРТ, КТ. Эти виды визуальных исследований также позволяют получить изображение высокого уровня разрешения. 
	Ангиография сосудов почек. Если есть подозрения на сосудистые нарушения, этот метод позволяет их обнаружить. Используется при разных патологиях почек: опухолях, кровотечениях и так далее. 
	ПЭТ-КТ. Инновационный метод диагностики, который назначается при подозрении на наличие онкообразований. Позволяет обнаружить даже мельчайшие скопления атипичных клеток. 
	Ретроградная пиелография, экскреторная урография. Методы исследования функциональности почек и мочевыводящих путей, используется при различных почечных патологиях. 
Лечение болезней почек за границей
В каждом случае планы терапии назначаются индивидуально, с учетом клинической картины, возраста пациента, характера патологии.
Мочекаменная болезнь. В прогрессивных иностранных клиниках используют как неоперационные, так и малоинвазивные методики лечения камней в почках. Если камни небольшого размера, их дробят с применением литотрипсии – методики воздействия на них электромагнитными волнами. Если же камни не удается уничтожить без операции, проводится трансуретральная нефролитотрипсия: без единого разреза, через уретру, вводят катетер, который является проводником лазерного луча. Еще один вид операции, которую могут использовать – это доступ к пораженному участку через маленький, в несколько сантиметров, прокол. Малоинвазивные методики имеют существенные преимущества: они менее травматичны для пациентов и сокращают срок восстановления до нескольких дней.
Почечная недостаточность. Эта тяжелая патология, при которой почки утрачивают способность самостоятельно справляться с функцией очистки крови,требует использования гемодиализа – процедуры по очистке крови от токсинов, лишней жидкости и солей. Проводимые за границей процедур гемодиализа позволяют стабилизировать состояние больного, поддержать функционирование почек достаточно долго.
Пиелонефрит. Для борьбы с этим недугом используют современные антибактериальные препараты, имеющие высокий показатель эффективности и низкий процент побочных явлений. Если пиелонефрит имеет гнойный характер, проводится малоинвазивная операция: делается небольшой прокол, через который осуществляется дренирование.
Рак почки. Применяется комплексный подход: химиотерапия по современным протоколам, с использованием препаратов нового поколения, прогрессивная радиотерапия, при которой облучение пораженного участка ведется максимально точно, с минимальным вредом для здоровых тканей. Однако самый действенный вид лечения рака почки – это проведение операции. В клиниках за границей преимущественно используют малоинвазивные методики: абляция лазером, током, заморозка патоочага жидким азотом. Для доступа может быть использован доступ через мочеиспускательный канал, без разрезов тканей. Также могут проводится щадящие лапароскопические операции, когда делается несколько разрезов или один маленький, в области пупка (SILS). В последнее время все активнее применяют такие инновационные методы, как таргетную терапию (щадящее лечение, при котором поражаются только атипичные клетки), и иммунотерапию (метод стимуляции иммунной системы больного на борьбу с онкопатологией).
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Стоимость лечения зависит от характера заболевания, его стадии, того, какие меры надо принять в данном случае, чтобы получить максимально положительный эффект. Еще до поездки пациент знакомится с расценками той клиники, куда отправляется лечиться, но после прохождения диагностики и уточнения диагноза стоимость может быть немного откорректирована. Цена за терапию полностью соответствует ее высокому качеству.

С каждым годом все большее число граждан стран СНГ при болезнях почек отправляются лечиться за границу. Дело не только в том, что в наше время медицинский туризм стал более доступным, но и в том, что нефрология за рубежом развита гораздо сильнее. К сожалению, немногие больницы в странах СНГ, особенно не столичные, могут похвастать инновационным оборудованием и возможностью лечить по новейшим международным протоколам. Лечение почек за рубежом дает шанс на выздоровление даже тем больным, которым у них на родине не могут оказать действенную эффективную помощь.

Нефрологические клиники за рубежом тесно сотрудничают с исследовательскими центрами, благодаря чему в них оперативно внедрятся инновационные методики лечения почек, как консервативные, так и оперативные. В клиники Израиля, Германии, США, Франции и других развитых стран приезжают для лечения самых тяжелых и распространенных почечных недугов, таких, как пиелонефрит, почечная недостаточность, врожденные дефекты мочевыводящей системы, мочекаменная болезнь, доброкачественные и злокачественные новообразования почек. Также эффективно проводится лечение патологий почек, которые возникли как осложнения других заболеваний.


Преимущества лечения почек за границей
Достоверная диагностика. Возможно диагностирование болезни на самой ранней стадии развития, когда ее лечение не такое сложное и дорогостоящее.

Высокий уровень компетентности врачей. В клиниках Германии, Израиля, США, которые принимают пациентов из-за границы, работают высокопрофессиональные нефрологи и хирурги. Полную информацию о лечащем враче и его компетентности можно узнать на сайте клиники.

Современные протоколы лечения. Пациент может быть уверен, что для его лечения будут использованы только самые современные виды терапии и новейшие лекарства.

Щадящая терапия. Врачи выбирают те виды лечения, как консервативного, так и оперативного, которые имеют меньше всего осложнений и менее травматичны для больного.

Круглосуточное сопровождение. Пациентам гарантировано не только высокое качество предоставления медицинских услуг, но и забота о бытовых и организационных моментах. Например, международный отдел клиники позаботится о том, чтобы был составлен удобный график диагностики и лечения, предоставит переводчика, при необходимости поможет решить вопросы с жильем и проездом.



"
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Пациент, попадая в зарубежную клинику на лечение, в первую очередь, проходит тщательную диагностику. Даже если он обследовался у себя на родине, зарубежные нефрологи должны быть уверены, что поставленный там диагноз верен. К сожалению, от 30 до 40% диагнозов, поставленных в странах СНГ, оказываются неверными или некорректными. Это связано с несовершенством оборудования и методик, которые используют в больницах этих стран.
Чтобы определить точную картину заболевания и назначить наиболее действенное лечение, в зарубежных клиниках назначают такие виды исследований:

	Лабораторные исследования мочи. Широко применяемые экспересс-тесты позволяют в кратчайшие сроки исследовать состав мочи, а именно: наличие в моче белка, сахара, кетона, крови, нитратов, лейкоцитов и так далее. Данные тесты дают возможность судить о характере патологи. 
	Биопсия тканей почки. В некоторых случаях, например, при подозрении на опухолевое образование, именно исследование тканей биоптата – единственная возможность точно установить характер патологии. 
	DMSA-сканирование. Современный вид радиоизотопного исследования, который позволяет оценить функциональность почки, определить локализацию, размер аномалии. Этот вид исследований не имеет возрастных ограничений и может быть использован как у взрослых, так и у детей.Димеркаптоянтарная кислота, обогащенная радиоактивными ионами, вводится непосредственно в вену, когда она попадает в ткани почек, орган сканируют в гамма-камере и поучают объемное его изображение высокого разрешения. 
	МРТ, КТ. Эти виды визуальных исследований также позволяют получить изображение высокого уровня разрешения. 
	Ангиография сосудов почек. Если есть подозрения на сосудистые нарушения, этот метод позволяет их обнаружить. Используется при разных патологиях почек: опухолях, кровотечениях и так далее. 
	ПЭТ-КТ. Инновационный метод диагностики, который назначается при подозрении на наличие онкообразований. Позволяет обнаружить даже мельчайшие скопления атипичных клеток. 
	Ретроградная пиелография, экскреторная урография. Методы исследования функциональности почек и мочевыводящих путей, используется при различных почечных патологиях. 
Лечение болезней почек за границей
В каждом случае планы терапии назначаются индивидуально, с учетом клинической картины, возраста пациента, характера патологии.
Мочекаменная болезнь. В прогрессивных иностранных клиниках используют как неоперационные, так и малоинвазивные методики лечения камней в почках. Если камни небольшого размера, их дробят с применением литотрипсии – методики воздействия на них электромагнитными волнами. Если же камни не удается уничтожить без операции, проводится трансуретральная нефролитотрипсия: без единого разреза, через уретру, вводят катетер, который является проводником лазерного луча. Еще один вид операции, которую могут использовать – это доступ к пораженному участку через маленький, в несколько сантиметров, прокол. Малоинвазивные методики имеют существенные преимущества: они менее травматичны для пациентов и сокращают срок восстановления до нескольких дней.
Почечная недостаточность. Эта тяжелая патология, при которой почки утрачивают способность самостоятельно справляться с функцией очистки крови,требует использования гемодиализа – процедуры по очистке крови от токсинов, лишней жидкости и солей. Проводимые за границей процедур гемодиализа позволяют стабилизировать состояние больного, поддержать функционирование почек достаточно долго.
Пиелонефрит. Для борьбы с этим недугом используют современные антибактериальные препараты, имеющие высокий показатель эффективности и низкий процент побочных явлений. Если пиелонефрит имеет гнойный характер, проводится малоинвазивная операция: делается небольшой прокол, через который осуществляется дренирование.
Рак почки. Применяется комплексный подход: химиотерапия по современным протоколам, с использованием препаратов нового поколения, прогрессивная радиотерапия, при которой облучение пораженного участка ведется максимально точно, с минимальным вредом для здоровых тканей. Однако самый действенный вид лечения рака почки – это проведение операции. В клиниках за границей преимущественно используют малоинвазивные методики: абляция лазером, током, заморозка патоочага жидким азотом. Для доступа может быть использован доступ через мочеиспускательный канал, без разрезов тканей. Также могут проводится щадящие лапароскопические операции, когда делается несколько разрезов или один маленький, в области пупка (SILS). В последнее время все активнее применяют такие инновационные методы, как таргетную терапию (щадящее лечение, при котором поражаются только атипичные клетки), и иммунотерапию (метод стимуляции иммунной системы больного на борьбу с онкопатологией).
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                    ["about"]=>
                    string(5216) "Цены

Стоимость лечения зависит от характера заболевания, его стадии, того, какие меры надо принять в данном случае, чтобы получить максимально положительный эффект. Еще до поездки пациент знакомится с расценками той клиники, куда отправляется лечиться, но после прохождения диагностики и уточнения диагноза стоимость может быть немного откорректирована. Цена за терапию полностью соответствует ее высокому качеству.

С каждым годом все большее число граждан стран СНГ при болезнях почек отправляются лечиться за границу. Дело не только в том, что в наше время медицинский туризм стал более доступным, но и в том, что нефрология за рубежом развита гораздо сильнее. К сожалению, немногие больницы в странах СНГ, особенно не столичные, могут похвастать инновационным оборудованием и возможностью лечить по новейшим международным протоколам. Лечение почек за рубежом дает шанс на выздоровление даже тем больным, которым у них на родине не могут оказать действенную эффективную помощь.

Нефрологические клиники за рубежом тесно сотрудничают с исследовательскими центрами, благодаря чему в них оперативно внедрятся инновационные методики лечения почек, как консервативные, так и оперативные. В клиники Израиля, Германии, США, Франции и других развитых стран приезжают для лечения самых тяжелых и распространенных почечных недугов, таких, как пиелонефрит, почечная недостаточность, врожденные дефекты мочевыводящей системы, мочекаменная болезнь, доброкачественные и злокачественные новообразования почек. Также эффективно проводится лечение патологий почек, которые возникли как осложнения других заболеваний.


Преимущества лечения почек за границей
Достоверная диагностика. Возможно диагностирование болезни на самой ранней стадии развития, когда ее лечение не такое сложное и дорогостоящее.

Высокий уровень компетентности врачей. В клиниках Германии, Израиля, США, которые принимают пациентов из-за границы, работают высокопрофессиональные нефрологи и хирурги. Полную информацию о лечащем враче и его компетентности можно узнать на сайте клиники.

Современные протоколы лечения. Пациент может быть уверен, что для его лечения будут использованы только самые современные виды терапии и новейшие лекарства.

Щадящая терапия. Врачи выбирают те виды лечения, как консервативного, так и оперативного, которые имеют меньше всего осложнений и менее травматичны для больного.

Круглосуточное сопровождение. Пациентам гарантировано не только высокое качество предоставления медицинских услуг, но и забота о бытовых и организационных моментах. Например, международный отдел клиники позаботится о том, чтобы был составлен удобный график диагностики и лечения, предоставит переводчика, при необходимости поможет решить вопросы с жильем и проездом.



"
                    ["description"]=>
                    string(8933) "Точная диагностика
Пациент, попадая в зарубежную клинику на лечение, в первую очередь, проходит тщательную диагностику. Даже если он обследовался у себя на родине, зарубежные нефрологи должны быть уверены, что поставленный там диагноз верен. К сожалению, от 30 до 40% диагнозов, поставленных в странах СНГ, оказываются неверными или некорректными. Это связано с несовершенством оборудования и методик, которые используют в больницах этих стран.
Чтобы определить точную картину заболевания и назначить наиболее действенное лечение, в зарубежных клиниках назначают такие виды исследований:

	Лабораторные исследования мочи. Широко применяемые экспересс-тесты позволяют в кратчайшие сроки исследовать состав мочи, а именно: наличие в моче белка, сахара, кетона, крови, нитратов, лейкоцитов и так далее. Данные тесты дают возможность судить о характере патологи. 
	Биопсия тканей почки. В некоторых случаях, например, при подозрении на опухолевое образование, именно исследование тканей биоптата – единственная возможность точно установить характер патологии. 
	DMSA-сканирование. Современный вид радиоизотопного исследования, который позволяет оценить функциональность почки, определить локализацию, размер аномалии. Этот вид исследований не имеет возрастных ограничений и может быть использован как у взрослых, так и у детей.Димеркаптоянтарная кислота, обогащенная радиоактивными ионами, вводится непосредственно в вену, когда она попадает в ткани почек, орган сканируют в гамма-камере и поучают объемное его изображение высокого разрешения. 
	МРТ, КТ. Эти виды визуальных исследований также позволяют получить изображение высокого уровня разрешения. 
	Ангиография сосудов почек. Если есть подозрения на сосудистые нарушения, этот метод позволяет их обнаружить. Используется при разных патологиях почек: опухолях, кровотечениях и так далее. 
	ПЭТ-КТ. Инновационный метод диагностики, который назначается при подозрении на наличие онкообразований. Позволяет обнаружить даже мельчайшие скопления атипичных клеток. 
	Ретроградная пиелография, экскреторная урография. Методы исследования функциональности почек и мочевыводящих путей, используется при различных почечных патологиях. 
Лечение болезней почек за границей
В каждом случае планы терапии назначаются индивидуально, с учетом клинической картины, возраста пациента, характера патологии.
Мочекаменная болезнь. В прогрессивных иностранных клиниках используют как неоперационные, так и малоинвазивные методики лечения камней в почках. Если камни небольшого размера, их дробят с применением литотрипсии – методики воздействия на них электромагнитными волнами. Если же камни не удается уничтожить без операции, проводится трансуретральная нефролитотрипсия: без единого разреза, через уретру, вводят катетер, который является проводником лазерного луча. Еще один вид операции, которую могут использовать – это доступ к пораженному участку через маленький, в несколько сантиметров, прокол. Малоинвазивные методики имеют существенные преимущества: они менее травматичны для пациентов и сокращают срок восстановления до нескольких дней.
Почечная недостаточность. Эта тяжелая патология, при которой почки утрачивают способность самостоятельно справляться с функцией очистки крови,требует использования гемодиализа – процедуры по очистке крови от токсинов, лишней жидкости и солей. Проводимые за границей процедур гемодиализа позволяют стабилизировать состояние больного, поддержать функционирование почек достаточно долго.
Пиелонефрит. Для борьбы с этим недугом используют современные антибактериальные препараты, имеющие высокий показатель эффективности и низкий процент побочных явлений. Если пиелонефрит имеет гнойный характер, проводится малоинвазивная операция: делается небольшой прокол, через который осуществляется дренирование.
Рак почки. Применяется комплексный подход: химиотерапия по современным протоколам, с использованием препаратов нового поколения, прогрессивная радиотерапия, при которой облучение пораженного участка ведется максимально точно, с минимальным вредом для здоровых тканей. Однако самый действенный вид лечения рака почки – это проведение операции. В клиниках за границей преимущественно используют малоинвазивные методики: абляция лазером, током, заморозка патоочага жидким азотом. Для доступа может быть использован доступ через мочеиспускательный канал, без разрезов тканей. Также могут проводится щадящие лапароскопические операции, когда делается несколько разрезов или один маленький, в области пупка (SILS). В последнее время все активнее применяют такие инновационные методы, как таргетную терапию (щадящее лечение, при котором поражаются только атипичные клетки), и иммунотерапию (метод стимуляции иммунной системы больного на борьбу с онкопатологией).
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                  [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)#5199 (5) {
          ["translations"]=>
          array(5) {
            ["app*"]=>
            object(app\components\CustomMessageSource)#7480 (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)#5201 (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)#7439 (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}»."
                  ["{attribute} must be no greater than {max}."]=>
                  string(76) "Значение «{attribute}» не должно превышать {max}."
                  ["{attribute} must be no less than {min}."]=>
                  string(79) "Значение «{attribute}» должно быть не меньше {min}."
                  ["{attribute} must not be a subnet."]=>
                  string(77) "Значение «{attribute}» не должно быть подсетью."
                  ["{attribute} must not be an IPv4 address."]=>
                  string(80) "Значение «{attribute}» не должно быть IPv4 адресом."
                  ["{attribute} must not be an IPv6 address."]=>
                  string(80) "Значение «{attribute}» не должно быть IPv6 адресом."
                  ["{attribute} must not be equal to "{compareValueOrAttribute}"."]=>
                  string(101) "Значение «{attribute}» не должно быть равно «{compareValueOrAttribute}»."
                  ["{attribute} should contain at least {min, number} {min, plural, one{character} other{characters}}."]=>
                  string(192) "Значение «{attribute}» должно содержать минимум {min, number} {min, plural, one{символ} few{символа} many{символов} other{символа}}."
                  ["{attribute} should contain at most {max, number} {max, plural, one{character} other{characters}}."]=>
                  string(194) "Значение «{attribute}» должно содержать максимум {max, number} {max, plural, one{символ} few{символа} many{символов} other{символа}}."
                  ["{attribute} should contain {length, number} {length, plural, one{character} other{characters}}."]=>
                  string(183) "Значение «{attribute}» должно содержать {length, number} {length, plural, one{символ} few{символа} many{символов} other{символа}}."
                  ["{delta, plural, =1{1 day} other{# days}}"]=>
                  string(79) "{delta, plural, one{# день} few{# дня} many{# дней} other{# дня}}"
                  ["{delta, plural, =1{1 hour} other{# hours}}"]=>
                  string(83) "{delta, plural, one{# час} few{# часа} many{# часов} other{# часа}}"
                  ["{delta, plural, =1{1 minute} other{# minutes}}"]=>
                  string(97) "{delta, plural, one{# минута} few{# минуты} many{# минут} other{# минуты}}"
                  ["{delta, plural, =1{1 month} other{# months}}"]=>
                  string(99) "{delta, plural, one{# месяц} few{# месяца} many{# месяцев} other{# месяца}}"
                  ["{delta, plural, =1{1 second} other{# seconds}}"]=>
                  string(105) "{delta, plural, one{# секунда} few{# секунды} many{# секунд} other{# секунды}}"
                  ["{delta, plural, =1{1 year} other{# years}}"]=>
                  string(79) "{delta, plural, one{# год} few{# года} many{# лет} other{# года}}"
                  ["{delta, plural, =1{a day} other{# days}} ago"]=>
                  string(103) "{delta, plural, =1{день} one{# день} few{# дня} many{# дней} other{# дня}} назад"
                  ["{delta, plural, =1{a minute} other{# minutes}} ago"]=>
                  string(125) "{delta, plural, =1{минуту} one{# минуту} few{# минуты} many{# минут} other{# минуты}} назад"
                  ["{delta, plural, =1{a month} other{# months}} ago"]=>
                  string(125) "{delta, plural, =1{месяц} one{# месяц} few{# месяца} many{# месяцев} other{# месяца}} назад"
                  ["{delta, plural, =1{a second} other{# seconds}} ago"]=>
                  string(135) "{delta, plural, =1{секунду} one{# секунду} few{# секунды} many{# секунд} other{# секунды}} назад"
                  ["{delta, plural, =1{a year} other{# years}} ago"]=>
                  string(101) "{delta, plural, =1{год} one{# год} few{# года} many{# лет} other{# года}} назад"
                  ["{delta, plural, =1{an hour} other{# hours}} ago"]=>
                  string(105) "{delta, plural, =1{час} one{# час} few{# часа} many{# часов} other{# часа}} назад"
                  ["{nFormatted} B"]=>
                  string(15) "{nFormatted} Б"
                  ["{nFormatted} GB"]=>
                  string(17) "{nFormatted} ГБ"
                  ["{nFormatted} GiB"]=>
                  string(19) "{nFormatted} ГиБ"
                  ["{nFormatted} KB"]=>
                  string(17) "{nFormatted} КБ"
                  ["{nFormatted} KiB"]=>
                  string(19) "{nFormatted} КиБ"
                  ["{nFormatted} MB"]=>
                  string(17) "{nFormatted} МБ"
                  ["{nFormatted} MiB"]=>
                  string(19) "{nFormatted} МиБ"
                  ["{nFormatted} PB"]=>
                  string(17) "{nFormatted} ПБ"
                  ["{nFormatted} PiB"]=>
                  string(19) "{nFormatted} ПиБ"
                  ["{nFormatted} TB"]=>
                  string(17) "{nFormatted} ТБ"
                  ["{nFormatted} TiB"]=>
                  string(19) "{nFormatted} ТиБ"
                  ["{nFormatted} {n, plural, =1{byte} other{bytes}}"]=>
                  string(92) "{nFormatted} {n, plural, one{байт} few{байта} many{байтов} other{байта}}"
                  ["{nFormatted} {n, plural, =1{gibibyte} other{gibibytes}}"]=>
                  string(124) "{nFormatted} {n, plural, one{гибибайт} few{гибибайта} many{гибибайтов} other{гибибайта}}"
                  ["{nFormatted} {n, plural, =1{gigabyte} other{gigabytes}}"]=>
                  string(124) "{nFormatted} {n, plural, one{гигабайт} few{гигабайта} many{гигабайтов} other{гигабайта}}"
                  ["{nFormatted} {n, plural, =1{kibibyte} other{kibibytes}}"]=>
                  string(124) "{nFormatted} {n, plural, one{кибибайт} few{кибибайта} many{кибибайтов} other{кибибайта}}"
                  ["{nFormatted} {n, plural, =1{kilobyte} other{kilobytes}}"]=>
                  string(124) "{nFormatted} {n, plural, one{килобайт} few{килобайта} many{килобайтов} other{килобайта}}"
                  ["{nFormatted} {n, plural, =1{mebibyte} other{mebibytes}}"]=>
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Стоимость лечения зависит от характера заболевания, его стадии, того, какие меры надо принять в данном случае, чтобы получить максимально положительный эффект. Еще до поездки пациент знакомится с расценками той клиники, куда отправляется лечиться, но после прохождения диагностики и уточнения диагноза стоимость может быть немного откорректирована. Цена за терапию полностью соответствует ее высокому качеству.

С каждым годом все большее число граждан стран СНГ при болезнях почек отправляются лечиться за границу. Дело не только в том, что в наше время медицинский туризм стал более доступным, но и в том, что нефрология за рубежом развита гораздо сильнее. К сожалению, немногие больницы в странах СНГ, особенно не столичные, могут похвастать инновационным оборудованием и возможностью лечить по новейшим международным протоколам. Лечение почек за рубежом дает шанс на выздоровление даже тем больным, которым у них на родине не могут оказать действенную эффективную помощь.

Нефрологические клиники за рубежом тесно сотрудничают с исследовательскими центрами, благодаря чему в них оперативно внедрятся инновационные методики лечения почек, как консервативные, так и оперативные. В клиники Израиля, Германии, США, Франции и других развитых стран приезжают для лечения самых тяжелых и распространенных почечных недугов, таких, как пиелонефрит, почечная недостаточность, врожденные дефекты мочевыводящей системы, мочекаменная болезнь, доброкачественные и злокачественные новообразования почек. Также эффективно проводится лечение патологий почек, которые возникли как осложнения других заболеваний.


Преимущества лечения почек за границей
Достоверная диагностика. Возможно диагностирование болезни на самой ранней стадии развития, когда ее лечение не такое сложное и дорогостоящее.

Высокий уровень компетентности врачей. В клиниках Германии, Израиля, США, которые принимают пациентов из-за границы, работают высокопрофессиональные нефрологи и хирурги. Полную информацию о лечащем враче и его компетентности можно узнать на сайте клиники.

Современные протоколы лечения. Пациент может быть уверен, что для его лечения будут использованы только самые современные виды терапии и новейшие лекарства.

Щадящая терапия. Врачи выбирают те виды лечения, как консервативного, так и оперативного, которые имеют меньше всего осложнений и менее травматичны для больного.

Круглосуточное сопровождение. Пациентам гарантировано не только высокое качество предоставления медицинских услуг, но и забота о бытовых и организационных моментах. Например, международный отдел клиники позаботится о том, чтобы был составлен удобный график диагностики и лечения, предоставит переводчика, при необходимости поможет решить вопросы с жильем и проездом.



"
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                          string(8933) "Точная диагностика
Пациент, попадая в зарубежную клинику на лечение, в первую очередь, проходит тщательную диагностику. Даже если он обследовался у себя на родине, зарубежные нефрологи должны быть уверены, что поставленный там диагноз верен. К сожалению, от 30 до 40% диагнозов, поставленных в странах СНГ, оказываются неверными или некорректными. Это связано с несовершенством оборудования и методик, которые используют в больницах этих стран.
Чтобы определить точную картину заболевания и назначить наиболее действенное лечение, в зарубежных клиниках назначают такие виды исследований:

	Лабораторные исследования мочи. Широко применяемые экспересс-тесты позволяют в кратчайшие сроки исследовать состав мочи, а именно: наличие в моче белка, сахара, кетона, крови, нитратов, лейкоцитов и так далее. Данные тесты дают возможность судить о характере патологи. 
	Биопсия тканей почки. В некоторых случаях, например, при подозрении на опухолевое образование, именно исследование тканей биоптата – единственная возможность точно установить характер патологии. 
	DMSA-сканирование. Современный вид радиоизотопного исследования, который позволяет оценить функциональность почки, определить локализацию, размер аномалии. Этот вид исследований не имеет возрастных ограничений и может быть использован как у взрослых, так и у детей.Димеркаптоянтарная кислота, обогащенная радиоактивными ионами, вводится непосредственно в вену, когда она попадает в ткани почек, орган сканируют в гамма-камере и поучают объемное его изображение высокого разрешения. 
	МРТ, КТ. Эти виды визуальных исследований также позволяют получить изображение высокого уровня разрешения. 
	Ангиография сосудов почек. Если есть подозрения на сосудистые нарушения, этот метод позволяет их обнаружить. Используется при разных патологиях почек: опухолях, кровотечениях и так далее. 
	ПЭТ-КТ. Инновационный метод диагностики, который назначается при подозрении на наличие онкообразований. Позволяет обнаружить даже мельчайшие скопления атипичных клеток. 
	Ретроградная пиелография, экскреторная урография. Методы исследования функциональности почек и мочевыводящих путей, используется при различных почечных патологиях. 
Лечение болезней почек за границей
В каждом случае планы терапии назначаются индивидуально, с учетом клинической картины, возраста пациента, характера патологии.
Мочекаменная болезнь. В прогрессивных иностранных клиниках используют как неоперационные, так и малоинвазивные методики лечения камней в почках. Если камни небольшого размера, их дробят с применением литотрипсии – методики воздействия на них электромагнитными волнами. Если же камни не удается уничтожить без операции, проводится трансуретральная нефролитотрипсия: без единого разреза, через уретру, вводят катетер, который является проводником лазерного луча. Еще один вид операции, которую могут использовать – это доступ к пораженному участку через маленький, в несколько сантиметров, прокол. Малоинвазивные методики имеют существенные преимущества: они менее травматичны для пациентов и сокращают срок восстановления до нескольких дней.
Почечная недостаточность. Эта тяжелая патология, при которой почки утрачивают способность самостоятельно справляться с функцией очистки крови,требует использования гемодиализа – процедуры по очистке крови от токсинов, лишней жидкости и солей. Проводимые за границей процедур гемодиализа позволяют стабилизировать состояние больного, поддержать функционирование почек достаточно долго.
Пиелонефрит. Для борьбы с этим недугом используют современные антибактериальные препараты, имеющие высокий показатель эффективности и низкий процент побочных явлений. Если пиелонефрит имеет гнойный характер, проводится малоинвазивная операция: делается небольшой прокол, через который осуществляется дренирование.
Рак почки. Применяется комплексный подход: химиотерапия по современным протоколам, с использованием препаратов нового поколения, прогрессивная радиотерапия, при которой облучение пораженного участка ведется максимально точно, с минимальным вредом для здоровых тканей. Однако самый действенный вид лечения рака почки – это проведение операции. В клиниках за границей преимущественно используют малоинвазивные методики: абляция лазером, током, заморозка патоочага жидким азотом. Для доступа может быть использован доступ через мочеиспускательный канал, без разрезов тканей. Также могут проводится щадящие лапароскопические операции, когда делается несколько разрезов или один маленький, в области пупка (SILS). В последнее время все активнее применяют такие инновационные методы, как таргетную терапию (щадящее лечение, при котором поражаются только атипичные клетки), и иммунотерапию (метод стимуляции иммунной системы больного на борьбу с онкопатологией).
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Стоимость лечения зависит от характера заболевания, его стадии, того, какие меры надо принять в данном случае, чтобы получить максимально положительный эффект. Еще до поездки пациент знакомится с расценками той клиники, куда отправляется лечиться, но после прохождения диагностики и уточнения диагноза стоимость может быть немного откорректирована. Цена за терапию полностью соответствует ее высокому качеству.

С каждым годом все большее число граждан стран СНГ при болезнях почек отправляются лечиться за границу. Дело не только в том, что в наше время медицинский туризм стал более доступным, но и в том, что нефрология за рубежом развита гораздо сильнее. К сожалению, немногие больницы в странах СНГ, особенно не столичные, могут похвастать инновационным оборудованием и возможностью лечить по новейшим международным протоколам. Лечение почек за рубежом дает шанс на выздоровление даже тем больным, которым у них на родине не могут оказать действенную эффективную помощь.

Нефрологические клиники за рубежом тесно сотрудничают с исследовательскими центрами, благодаря чему в них оперативно внедрятся инновационные методики лечения почек, как консервативные, так и оперативные. В клиники Израиля, Германии, США, Франции и других развитых стран приезжают для лечения самых тяжелых и распространенных почечных недугов, таких, как пиелонефрит, почечная недостаточность, врожденные дефекты мочевыводящей системы, мочекаменная болезнь, доброкачественные и злокачественные новообразования почек. Также эффективно проводится лечение патологий почек, которые возникли как осложнения других заболеваний.


Преимущества лечения почек за границей
Достоверная диагностика. Возможно диагностирование болезни на самой ранней стадии развития, когда ее лечение не такое сложное и дорогостоящее.

Высокий уровень компетентности врачей. В клиниках Германии, Израиля, США, которые принимают пациентов из-за границы, работают высокопрофессиональные нефрологи и хирурги. Полную информацию о лечащем враче и его компетентности можно узнать на сайте клиники.

Современные протоколы лечения. Пациент может быть уверен, что для его лечения будут использованы только самые современные виды терапии и новейшие лекарства.

Щадящая терапия. Врачи выбирают те виды лечения, как консервативного, так и оперативного, которые имеют меньше всего осложнений и менее травматичны для больного.

Круглосуточное сопровождение. Пациентам гарантировано не только высокое качество предоставления медицинских услуг, но и забота о бытовых и организационных моментах. Например, международный отдел клиники позаботится о том, чтобы был составлен удобный график диагностики и лечения, предоставит переводчика, при необходимости поможет решить вопросы с жильем и проездом.



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                          string(8933) "Точная диагностика
Пациент, попадая в зарубежную клинику на лечение, в первую очередь, проходит тщательную диагностику. Даже если он обследовался у себя на родине, зарубежные нефрологи должны быть уверены, что поставленный там диагноз верен. К сожалению, от 30 до 40% диагнозов, поставленных в странах СНГ, оказываются неверными или некорректными. Это связано с несовершенством оборудования и методик, которые используют в больницах этих стран.
Чтобы определить точную картину заболевания и назначить наиболее действенное лечение, в зарубежных клиниках назначают такие виды исследований:

	Лабораторные исследования мочи. Широко применяемые экспересс-тесты позволяют в кратчайшие сроки исследовать состав мочи, а именно: наличие в моче белка, сахара, кетона, крови, нитратов, лейкоцитов и так далее. Данные тесты дают возможность судить о характере патологи. 
	Биопсия тканей почки. В некоторых случаях, например, при подозрении на опухолевое образование, именно исследование тканей биоптата – единственная возможность точно установить характер патологии. 
	DMSA-сканирование. Современный вид радиоизотопного исследования, который позволяет оценить функциональность почки, определить локализацию, размер аномалии. Этот вид исследований не имеет возрастных ограничений и может быть использован как у взрослых, так и у детей.Димеркаптоянтарная кислота, обогащенная радиоактивными ионами, вводится непосредственно в вену, когда она попадает в ткани почек, орган сканируют в гамма-камере и поучают объемное его изображение высокого разрешения. 
	МРТ, КТ. Эти виды визуальных исследований также позволяют получить изображение высокого уровня разрешения. 
	Ангиография сосудов почек. Если есть подозрения на сосудистые нарушения, этот метод позволяет их обнаружить. Используется при разных патологиях почек: опухолях, кровотечениях и так далее. 
	ПЭТ-КТ. Инновационный метод диагностики, который назначается при подозрении на наличие онкообразований. Позволяет обнаружить даже мельчайшие скопления атипичных клеток. 
	Ретроградная пиелография, экскреторная урография. Методы исследования функциональности почек и мочевыводящих путей, используется при различных почечных патологиях. 
Лечение болезней почек за границей
В каждом случае планы терапии назначаются индивидуально, с учетом клинической картины, возраста пациента, характера патологии.
Мочекаменная болезнь. В прогрессивных иностранных клиниках используют как неоперационные, так и малоинвазивные методики лечения камней в почках. Если камни небольшого размера, их дробят с применением литотрипсии – методики воздействия на них электромагнитными волнами. Если же камни не удается уничтожить без операции, проводится трансуретральная нефролитотрипсия: без единого разреза, через уретру, вводят катетер, который является проводником лазерного луча. Еще один вид операции, которую могут использовать – это доступ к пораженному участку через маленький, в несколько сантиметров, прокол. Малоинвазивные методики имеют существенные преимущества: они менее травматичны для пациентов и сокращают срок восстановления до нескольких дней.
Почечная недостаточность. Эта тяжелая патология, при которой почки утрачивают способность самостоятельно справляться с функцией очистки крови,требует использования гемодиализа – процедуры по очистке крови от токсинов, лишней жидкости и солей. Проводимые за границей процедур гемодиализа позволяют стабилизировать состояние больного, поддержать функционирование почек достаточно долго.
Пиелонефрит. Для борьбы с этим недугом используют современные антибактериальные препараты, имеющие высокий показатель эффективности и низкий процент побочных явлений. Если пиелонефрит имеет гнойный характер, проводится малоинвазивная операция: делается небольшой прокол, через который осуществляется дренирование.
Рак почки. Применяется комплексный подход: химиотерапия по современным протоколам, с использованием препаратов нового поколения, прогрессивная радиотерапия, при которой облучение пораженного участка ведется максимально точно, с минимальным вредом для здоровых тканей. Однако самый действенный вид лечения рака почки – это проведение операции. В клиниках за границей преимущественно используют малоинвазивные методики: абляция лазером, током, заморозка патоочага жидким азотом. Для доступа может быть использован доступ через мочеиспускательный канал, без разрезов тканей. Также могут проводится щадящие лапароскопические операции, когда делается несколько разрезов или один маленький, в области пупка (SILS). В последнее время все активнее применяют такие инновационные методы, как таргетную терапию (щадящее лечение, при котором поражаются только атипичные клетки), и иммунотерапию (метод стимуляции иммунной системы больного на борьбу с онкопатологией).
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