In recent years, inflammatory bowel diseases have been increasingly detected not only in adults, but also in children. Ulcerative colitis is a severe inflammatory disease affecting the large intestine, as a result of which edema develops in the intestine, the mucous membrane collapses with the formation of erosions and ulcers. The disease is indicated by the appearance of diarrhea, blood and mucus in the stool, as well as pain. The disease can be caused by a hereditary predisposition, as well as intestinal infections and environmental factors.
It should be noted that the advent of biological anti-cytokine drugs has made a real revolution in the treatment of severe intestinal diseases such as ulcerative colitis and Crohn's disease. New treatments have given patients a chance to lead a fulfilling life and avoid, or seriously delay, surgery.
The Expert Council of the Society for the Study of Inflammatory Bowel Diseases, held under the auspices of the Russian Gastroenterological Association, recently took place. The meeting was attended by leading international experts. The event was timed to coincide with the registration of new treatment regimens for ulcerative colitis. So far, only one drug has been used in the treatment of this disease in the Russian Federation. The Expert Council pointed to the experience of using anti-cytokine therapy in the treatment of patients with inflammatory bowel diseases, noted the increase in its importance at the present stage, the importance of developing this area and the emergence of new drugs with better properties.
For the first time in Russia, complete clinical trial data is presented. It should also be noted that the significant clinical effect was already 2 weeks after the start of therapy. The healing efficiency of intestinal lesions is about 65-72% during 6 weeks of treatment. The new treatment regimens are included in clinical guidelines and standards for use in Russian gastroenterological clinical practice. This allows for effective treatment of ulcerative colitis, including clinical remission without steroids, healing of the colon mucosa, and improved quality of life for patients.
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Questions and answers
LASIK
Whether LASIK fits everyone?
The main age group for this operation are patients over 18 years with myopia, hyperopia and astigmatism. There are number contraindications for LASIC such as some chronic diseases, including eye diseases.
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Elias Raid
08 September 2016
Sudden rises of blood pressure
How to stabilize sudden rises of blood pressure, accompanied by nausea and vomiting in a patient with chronic hypertension (it is not always clear what comes first - nausea and vomiting and, as a consequence, the blood pressure increase, or Vice versa).
An adjustment of appropriate permanent antihypertensive therapy is required for blood pressure to be stabilized. It is best to schedule a consultation with the cardiologist and undergo heart ultrasound, 24-hour blood pressure monitoring and ECG. You can make an appointment by phone +7 (495) 933-66-55. Specialists of
the Cardiology Department will be happy to help you.
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Extrasystoles
Extrasystoles appeared on my husband’s ECG following smoking cessation. He has a serious intension to undergo a thorough examination. What kind on up-to-date methods are used in your clinic?
EMS offers the most up-to-date methods of examination for your husband to clarify the nature of arrhythmias. ECHO-cardiography, 24 hour Holter monitoring ECG, loading tests, and, if needed, 24-hour blood pressure monitoring as well as all laboratory tests are available at EMC’s cardiology department. There is an
option to undergo a comprehensive examination under the program "Health Status after 40", which includes specialists' consultations, diagnostic laboratory and instrumental tests. We will be happy to help you. You can make an appointment by phone +7 (495) 933-66-55.
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Dyagileva Mariya
08 September 2016
How soon another attempt is possible?
Twin pregnancy resulted from IVF, but cervical dilatation occurred and water broke at 20 weeks, so the pregnancy was not maintained. How soon another attempt is possible?
At least a year interval between childbirth and repeated IVF program is required. It is advisable to be prepared and to make every effort to get a singleton pregnancy.
Рolyp of the cervical canal
Hysteroscopy revealed a polyp of the cervical canal, it was removed, but there are plenty of micropolips. May I do IVF or they should be treated?
Usually, all polyps are removed at therapeutic and diagnostic hysteroscopy. It makes no sense to leave them in the uterus cavity. I think that if manipulation such as "Hysteroscopy with separate diagnostic curettage" was done, you have no polyps now and may safely prepare for IVF.
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