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
How to stop dreaming?
Can you tell me if there are any medications that stop a person dreaming? I have been dreaming constantly for a long time, and the dreams are always vivid and emotionally charged. I wake up tired, not wanting to do anything, and I feel only lethargy and apathy. I live in another city.
We have all the tools for an accurate, comprehensive diagnosis, and medical treatment of such conditions, as well as psychosocial rehabilitation, which is critical for returning to an active lifestyle. The support program includes modern methods of diagnosis, regular professorial meetings, and comprehensive
psychological and neurocognitive support. Unfortunately, all the necessary diagnostic and therapeutic interventions can only be done with the patient being present at the Clinic. We are ready to welcome you to the EMC. Inpatient and outpatient psychiatry clinics operate within the multidisciplinary hospital, which creates the most comfortable conditions for patients.
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Rivkina Natalya
09 November 2015
Baby teeth - treat or not?
Baby teeth do not need to be treated, because they will drop out in any case - is it true?
If the teeth are not cleaned properly white carious spots will appear underneath the soft plaque. This initial stage of decay is reversible: with proper hygiene the stain will gradually fade. The next stage is when the defect appears: the integrity of the enamel (the outer shell of the tooth ) is broken and a
cavity appears in the tooth . From this moment caries begins to develop more rapidly since the dentin (the hard tissue of the tooth located under the enamel) is less dense than enamel, and it becomes difficult to clean the teeth properly.
If microorganisms get into the cavity of the tooth where the nerve passes, this will cause pulpitis - inflammation of the pulp of the tooth (the pulp consists of blood vessels and nerves), which may be accompanied by pain, but in the milk teeth is usually asymptomatic.
Pain may occur later, when the nerve has died completely and infection occurs outside the tooth - in the bone. In addition to pain, pulpitis is sometimes accompanied by swelling of the gums, fistulas (channels between the foci of the infection and the gum) and loose teeth .
The pathological process - from the appearance of a white spot to the development of inflammation outside of the tooth root - can be fast and take a few months or last for years, depending on many factors.
To avoid problems with your child’s teeth , you should visit the paediatric dentist regularly. The first appointment with the dentist should be when the child is 1.5 years old. Following on from this there should be regular check-ups every 6 months, or more frequently as directed by the doctor.
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Diagnosed infertility - what to do?
I’m 27 years old, diagnosed infertility since 5 years ago, tubal factor and only one working ovary. Have gone through 3 tries of in vitro fertilization, one was stimulated, had no response, in all 3 cases I had only one oocyte. AMH 0,91. Do you think I have a chance for a pregnancy with my own oocyte? Sperm quality
is good.
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Yes, of course, you should fight for your oocytes. There is a variety of minimal stimulations: modified cycles, natural cycles etc. If these methods don’t work, so we will think about donor cells. But you must definitely give your ovaries a chance.
Severe cervical dysplasia
I have a transplanted kidney and I was recently found to have severe cervical dysplasia. The biopsy results are not yet back, but the physician says I must have my uterus and cervix removed. My question is: Can I have the operation in your clinic?
For severe cervical dysplasia, usually cervical conization is sufficient. If you have no plans for reproduction, or you already have children, then theoretically you can discuss having a laparoscopic removal of the uterus and cervix, but these decisions should not be made through correspondence. If you have a
referral for an operation in the city where you live, and have the opportunity to come to Moscow, come for a free consultation using "Second Opinion" promotion. If necessary, we can quickly provide operative treatment at a discount.
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Vladimir Nosov
09 November 2015
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