What is a parabulbar administration of the drug. Parabulbar administration what it is

With the development of some complex infectious diseases of the visual bodies, there is a need to introduce drugs directly into the eyeball zone.

Medical term "parabulbar administration" means the injection of drugs into the eye area. The needle for injections is introduced through the skin of the lower eyelid towards the edge of the eyeball, to the fiber, at a depth of 1 cm.

This method is rather painful, apply it to introduce painkillers or therapeutic drugs in ophthalmology. The procedure should only carry out an ophthalmologist in cases of acute necessity and if it is impossible to carry out treatment by any other method.

Most often, the parabulbar administration of drugs is used for the anesthesia of the organs of vision during ophthalmic operations. To reduce the sensitivity of the nerve eye receptors, make lidocaine injection with hyaluronidase.

In therapeutic purposes, this method is injected with inflammation of the front or rear eye of the eyeball, with diseases such as neuroretinite, keratitis, iridocyclite, sclerts, during retina hemorrhages.

Features and possible complications

Eye is a very sensitive body. Such an unpleasant and painful procedure, as a parabulbar administration of medication, has its own characteristics:

pain during the procedure;
dose limitation of the drug administered;
toxicity - with injections like this method, the percentage of drug content in the vitreous body is much higher than when the same drugs are introduced by other methods (intravenously, intramuscularly);
possible necrosis of fabrics and the formation of scars at the injection site.

The complexity of the procedure involves some complications and risks during / after it. A qualified ophthalmologist appoints a procedure only in the most difficult cases, taking into account all possible consequences:

plushing (prolapse) of the vitreous body (often this phenomenon is characterized by the words "Eye Output") may occur as a result of careless, too deeply introducing the needle to the eye, injury to the vitreous body;
inflammation, the edema of the mucous membrane of the eye - Hemosis conjunctiva. This is a normal reaction to irritation and drugs. Eveniness may have a local character, only in the place of the injection, or to affect the entire mucous membrane of the eye. In cases of parabulbar administration of Mildronate at the end of the course of treatment, the inflammatory process gradually passes;
swap shell prolapse - a consequence of the transferred operation, eye injury;
tarve the rear capsule, zinnovy ligaments;
intraocular hemorrhage.

Any of the above complications is associated with an eye injury. Careless treatment of a needle, a sharp movement of the patient during the procedure can lead to severe painful sensations, complete loss of vision, so the parabulbar administration of medicines is obliged to exercise only an experienced specialist.

Preparation Mildronat: composition and pharmacological properties

Mildronat is a drug for injections, which is a colorless, transparent solution of propionate dihydrate for intravenous (V / C), intramuscular (in / m) and parabulbar administration.

In 1 ml of the solution, 100 mg of meldonia dihydrate (active ingredient), distilled water (auxiliary substance) is contained.

The active ingredient of the drug is a structural analogue of gamma-butyrobeta pool - substances included in each cell of the human body.

Mildronat is a wide range of a wide range of action that improves metabolism in tissues at the cellular level. It is effective for the treatment of various diseases in which the supply of cells with nutritional elements and the removal of harmful, toxic substances is disturbed.

The drug is used to treat a number of cardiovascular diseases, with physical and mental exhaustion of the body. Athletes drug are prescribed to restore physical forces after severe, exhausting loads.

Meldonium (active substance) suppresses the effect of enzymes that are transported into cells non-oxidized fatty acids (in the case of oxygen starvation of cells), thereby cause a metabolic disorder.

Meldonium helps restore disturbed metabolism in cells. It is very important for the operation of myocardial cells, as they are susceptible to heavy loads and often experience oxygen starvation.

The drug is very quickly absorbed into the blood and is absorbed by cells by 78% (in capsules), and when in / in injections, the bioavailability (ability to be absorbed) mildronate is 100%.

The drug is shown in a wide range of diseases:

cardiovascular failure;
ischemic heart disease;
hemorrhage in the retina eye or the vitreous body;
retinopathy of various origin;
retinal veins thrombosis;
breeding violations of the brain;
other diseases.

Parabulbar administration Mildronata

There are a number of drugs for injections in the lower eyelid under the eyeball. But Mildronat is used most often for these purposes. The drug reports tissues energy, as a result of which they better carry various loads and are restored faster. This property of mildronate is used in the treatment of severe eye diseases.

For parabulbar administration, a drug in 5 ml ampoules is used in the form of a colorless, transparent solution. The parabulabal method of drug injections and painkillers is applied only in ophthalmology. The course of treatment is 10 days, including in combination therapy.

Other ways to introduce drugs

In ophthalmology there are several methods for administering medicines:

eye drops;
gels and ointment for eyes;
peroxy injections are parabulbar, retrobulbar, subconjunctive.

Retrobulbar injections on the technique are similar to parabulbar, but much painful, so they are carried out under local anesthesia. The needle is introduced to a depth of 4-4.5 cm for the eyeball, from the side of the temple. Retrobulbar injections are shown in pathological changes in the optic nerve, retina. The peculiarity of this procedure is that the needle is entered by the edge of the eyeball, there is a risk of damage to the vessels.

Subconjunctive injections are the introduction of drugs directly to the conjunctival, under the eyeball. This procedure is carried out under local anesthesia with a very thin insulin needle. The procedure requires high mastery and skills of specialists.

For children, such injections do not make, since for their implementation, complete immobility of the patient's head is necessary and the fulfillment of the necessary requirements of the doctor is necessary, which is very difficult to achieve from a child with such a complex and painful procedure. Otherwise, injury or damage to eye vessels, retina, cornea is possible.

The cost of injections

The procedure for parabulbar administration of the drug is a complex process that requires a certain qualifications of a doctor and medical personnel. In order to prescribe an injection, an ophthalmologist must hold a sick series of surveys, put an accurate diagnosis and appoint treatment. The price of a complete examination in private clinics of Moscow is about 3,500 rubles, the cost of injections:

parabulbar - 700 rubles (not counting the price of the drug itself);
retrobulbar - 1000 rubles;
subconjunctive - 500 rubles.

Prices are excluding drugs.

Parabulbar injections - the procedure is not pleasant, but it helps to achieve tangible results in the treatment of many diseases and their prevention.

In contact with

All forms of release are designed to treat diseases in adults:

Ischemic disease - the defeat of myocardium of the heart.
Heart failure - violation of myocardial functionality.
Syndrome is overtraining at the athletes - the appearance of pain, non-leaving fatigue after rest.
Increased mental load, reducing the concentration of attention and memory.
Thumping syndrome - the appearance of symptoms of alcohol breakage.
Brain circulation dysfunction.
Reducing performance, chronic fatigue syndrome;
Hemophthalm - blood penetration or the formation of blood clots in the vitreous body of the eye.
Retinopathy is the defeat of the retina of the eye.

For diseases of the cardiovascular system, this drug for treatment is used as a supplement to the main therapy. It improves blood circulation, normalizes myocardial reduction indicators.

For several weeks, athletes are recommended to use Mildronat to increase physical strength, improvement of metabolicism. This is due to the fact that there are Meldonium in the composition, which is a synthesized analogue of gamma-butyrobetain (substance present in cells).

All forms of this drug have contradiction:

minor age;
pregnancy and breastfeeding period;
sensitivity to substances that are part of;
intracranial pressure;
brain tumors.

Consultation of the doctor before starting therapy makes it possible to exclude contraindications and determine whether the drug is suitable for a specific person. It is important to take into account the individual characteristics of the body and the existing diseases.

It is not recommended to take the drug in conjunction with alcohol. If you plan to have a holiday with alcohol drinks, then you need to use it no earlier than 12 hours after the administration of the medication. During this time, the active substance is completely excreted from the body.

complex therapy of ischemic heart disease (angina, myocardial infarction);

chronic heart failure and cardiomyopathy on the background of dormriconal disorders;

complex therapy of acute and chronic violations of blood supply to the brain (stroke and cerebrovascular failure);

hemophthalm and hemorrhage in the retina of various etiologies, the thrombosis of the central veins of the retina and its branches, retinopathy of various etiologies (diabetic, hypertonic);

reduced performance;

mental and physical overload (including athletes) (the drug may give a positive result when performing doping control (see "Special instructions");

abstine syndrome in chronic alcoholism (in combination with specific therapy of alcoholism).

hypersensitivity to the components of the drug;

increased HBF (with impaired venous outflow, intracranial tumors);

pregnancy;

breastfeeding period;

age up to 18 years (efficiency and security are not established).

With caution: liver disease and / or kidney.

Pharmacodynamics and pharmacokinetics

Meldonium (Mildonat® drug) is a structural analogue of gamma-butyrobeta pool - a substance that is located in each human body cell.

Under the conditions of an increased load, the Mildronat® drug restores the equilibrium between the delivery and the need of cells in oxygen, eliminates the accumulation of toxic exchange products in cells, protecting them from damage; It also has a tonic effect. As a result of its use, the body acquires the ability to withstand the load and quickly restore energy reserves.

Thanks to these properties, Mildonat® drug is used to treat various violations of the activities of the CCC, the blood supply to the brain, as well as to increase physical and mental performance. As a result of the reduction in the concentration of carnitine, the gamma-butyrobetaine, which has vasodilant properties, is strongly synthesized.

In the case of acute ischemic damage to myocardium, the drug Mildronat® slows down the formation of a necrotic zone, shortens the rehabilitation period. In heart failure, it increases the reduction of myocardium, increases the tolerance to physical exertion, reduces the frequency of seizures of angina.

With acute and chronic ischemic violations of the brain circulation, the drug Mildronat® improves blood circulation in the area of \u200b\u200bischemia, contributes to the redistribution of blood in favor of the stylish area. The drug eliminates the functional disorders of the nervous system in patients with chronic alcoholism in the syndrome of abstinence.

The bioavailability of the drug after in / in administration is 100%. Cmax in blood plasma is achieved immediately after its introduction.

Metabolized in the body with the formation of 2 main metabolites, which are derived by the kidneys. T1 / 2 is 3-6 hours.

The main substance of this medication is Meldonia Dihydrate. It was synthesized around half a century ago in Latvia.

Initially, the drug was prescribed military, in particular, to eliminate drowsiness and syndrome

chronic fatigue. But in the future, scientists have established the positive properties of Mildronate for the work of the cardiovascular and the body as a whole.

The active substance acts comprehensively. It restores the equilibrium between the needs of the cells in

oxygen and its delivery, displays the accumulated toxins and the consequences of their impact on the body.

As a result of the use of Mildronate, the body increases endurance to physical and

To other pharmacodynamic properties of the drug refers:

normalization of cerebral circulation;
improving blood circulation in the center of ischemia;
slowdown in the formation of the necrotic zone;
elimination of functional disorders of the nervous system;
reducing the rehabilitation period in the treatment of heart diseases, stroke and alcoholism.

After taking inside, Mildronat is quickly absorbed from the gastrointestinal tract. Displays with urine after 3-6 hours.

Pharmacological group

Rubric ICB-10	Synonyms for diseases of the ICD-10
E63 physical and mental overload	Recovery period among athletes
	Restoration of the physical performance of athletes

	High psycho-emotional loads
	High Physical and Mental Loads
	High exercise
	Long overload and voltage
	Long physical and mental load
	Long exercise
	Intellectual Loads
	Intensive mental and physical exertion
	Intense physical exertion
	Tense mental activity
	Violation of mental performance
	Failure failure in physical and mental overloads
	Nerve-emotional overload
	Nervous and physical overvoltage
	Nervous overvoltage
	Nervous overwork
	Increased mental and physical exertion
	Increased physical activity
	Increased physical and mental load
	Increased physical and psycho-emotional load
	Increased physical and emotional load
	Elevated psycho-emotional loads
	Increased exercise
	Lowering mental performance
	Lowering physical and mental performance
	Reduced performance
	Mental and physical overwork
	Psychological and physical stress
	Psycho-emotional overload
	Psycho-emotional tension
	Psycho-emotional disorder
	Physical overvoltage syndrome
	Reduced mental performance
	Reduced tolerance of psychophysical loads
	Reduced mental performance
	State of fatigue
	Mental and psycho-emotional load
	Mental and physical overload
	Mental and physical fatigue
	Mental and physical exhaustion
	Mental and physical tension
	Mental and physical overvoltage
	Mental and physical overwork
	Mental overload
	Enhanced physical and mental load
	Physical and mental performance
	Physical overload
	Physical and emotional overload
	Physical exercise
	Physical overload
	Physical and mental
	Physical and mental tension
	Physical overvoltage
	Executive loads
	Chronic fatigue
	Chronic physical overstrain
	Excessive Physical and Mental Load
	Excessive physical and mental load
	Excessive mental and physical stress
	F10.2 Alcoholic Dependency Syndrome	Alcoholism
		Alcohol addiction
Dipcomania
Alcohol dependence
Switched drunkenness
Wind state
Alcohol abuse
Ideacher violation with alcoholism
Quarterly stop
Obsessive attraction to alcohol
Neurotic symptoms for alcoholism
Pathological attraction to alcohol
Psychoorganic syndrome in chronic alcoholism
Decline in alcohol
Chronic alcoholism
F10.3 abstineent status	Abstineent alcoholic syndrome
	Abstineent syndrome
	Abstineent syndrome with alcoholism
	Abstinence
	Alcoholic abstinence
	Alcohol abstinence
	Alcohol abstinence
	Alcohol abstineent syndrome
	Podbastinent disorder
	Podbstartenna
	Thumping syndrome.
	Abstinence syndrome
	Syndrome of alcoholic abstinence
	Alcohol abolition syndrome
	State of abstinence
H34.8 Other retinal vascular occlusion	Angiospasty retinit
	Atherosclerotic changes of the retina and vascular shell
	Venous pathology retina
	Violation of intraocular blood circulation
	Blood circulation eye
	Breaking eye violation
	Vessel thromboosis
H35.0 Background Retinopathy and Retinal Vascular Changes
	Retinopathy
	Retinopathy
	Retinopathy newborns
H35.6 Retinal hemorrhage	Hemorrhagic retinopathy
	Hemorrhage in retina
	Hemorrhage in retina eye
	Hemorrhage in the eye
	Retid hemorrhage at altitudes
	Retail hemorrhage
	Rota spots
H36.0 diabetic retinopathy (E10-E14 with total fourth sign 3)	Hemorrhagic diabetic retinopathy
	Diabetic Retinopathy
	Retina dystrophy in patients with diabetes
H36.8 Other retinal disorders in diseases classified in other categories	Arteriosclerotic retinopathy
	Atherosclerotic retinopathy
	Hypertensive retinopathy
H44.8 Other diseases of the eyeball	Hemophthalm.
H44.8 Other diseases of the eyeball	Spikes Eyes
I20 angina [breast toad]	Gebereden's disease
	Angina pectoris
	Stenokard attack
	Recurrent angina
	Spontaneous angina
	Stable angina
	Stencardia X Syndrome
	Angina
	Angina (attack)
	Threw stress
	Road angina
	Handicardia progressive
	Stenicard mixed
	Spontaneous angina
	Stenzard stable
	Chronic stable angina
I21 acute myocardial infarction	Heart attack left ventricle
	Myocardial infarction without teeth Q
	Myocardial infarction in a sharp period
	Myocardial infarction Non-Prommural (subendocardial)
	Myocardial infarction sharp
	Myocardial infarction with pathological tooth Q and without it
	Miocardial transmural infarction
	Myocardial infarction complicated with cardiogenic shock
	Non-Prommural myocardial infarction
	Acute myocardial infarction phase
	Acute myocardial infarction
	MOCARD INDART STAGE
	MOCARD MOCARD PERIOD
	Subendocardial myocardial infarction
	Coronary artery thrombosis (arteries)
	Threatening myocardial infarction
I25.9 chronic ischemic heart disease unspecified	IBS
	Coronary atherosclerosis in patients with IHS
	Insufficiency of coronary blood circulation
I43.1 Cardiomyopathy in metabolic disorders	Domor monomal cardiomyopathy
I43.1 Cardiomyopathy in metabolic disorders	Climetheque myocardiodistrophy
I50.0 congestive heart failure	Anasawa Cardual
	Decompensated chronic heart failure
	Constant insufficiency of blood circulation
	Stagnant heart failure with high postload
	Stagnant chronic heart failure
	Changing the liver function during heart failure
	Cardiomyopathy with severe chronic heart failure
	Compensated chronic heart failure
	Swelling in case of blood circulation
	Hearts of Heart Origin
	Edema Cardual
	Sundrow Syndrome with Heart Diseases
	Entry syndrome with congestive heart failure
	Hard syndrome in heart failure
	Hard syndrome in heart failure or liver cirrhosis
	Reasonless failure
	Cardiac insufficiency stagnant
	Cardiac insufficiency of congestive type
	Cardiac insufficiency with low heart emissions
	Cardiac insufficiency chronic
	Heart swelling
	Chronic decompensated heart failure
	Chronic stagnant heart failure
	Chronic heart failure
I67 Other Cerebrovascular Diseases	Pain syndrome at vertebrogenic lesions
	Vertebro Basilar Insufficiency
	Vertebrobasilar insufficiency
	Brain circulation disorders
	Acute breeding of the blood supply of the brain
	Cerebrovascular insufficiency
I67.9 cerebrovascular disease unspecified	Angioerereatia
	Arterial angiopathy
	Hypoxia brain
	Encephalopathy
	Vascular and age brain disease
	Coma in violation of cerebral circulation
	Lacooned status
	Metabolic and vascular brain disorders
	Violation of the blood supply of the brain
	Violation of cerebral circulation
	Brain Violation of Functions
	Violation of the functions of the cerebral cortex
	Violation of cerebral blood circulation
	Brain circulation deficiency
	Acute brainwater failure
	Acute violation of cerebral circulation
	Defeat of brain vessels
	Progression of destructive changes in the brain
	Brain circulation disorders
	Cerebral insufficiency syndrome
	Vascular brain deficiency
	Vascular encephalopathy
	Brain vascular diseases
	Vascular brain disorders
	Vascular brain lesions
	Functional brain disorders
	Chronic brain ischemia
	Chronic blood circulation failure
	Chronic brainwater failure
	Chronic cerebrovascular insufficiency
	Chronic Brain Blood Violation
	Cerebral insufficiency
	Cerebral organic insufficiency
	Cerebrasty
	Cerebro vascular pathology
	Cerebr\u003e Syndrome.
	Cerebrovascular disease
	Cerebrovascular disease
	Cerebrovascular violation
	Cerebrovascular disorder
	Encephalopathy discirculatory
I69.4 Consequences of stroke, not specified as hemorrhage or infarction of the brain	The consequence of stroke
	Postsential state
	Status after stroke
Z73.6 Limitations of activity caused by disability	Total weakness
	Mental fatigue
	Syndrome Reduced performance and physical overvoltage
	Weakness
	Reducing motor activity
	Reduced performance
	Reduced physical performance
	Reduced performance
	Reduced organism
	Reduced performance when working in extreme situations

Structure

The composition of the medication depends on the form of release. In ampoules for intravenous administration, two substances are contained:

meldonium;
water for injections.

As part of the capsules for oral administration, more substances are contained:

meldonium;
potato starch;
calcium stearate;
silicon dioxide colloid;
titanium dioxide and gelatin as part of the shell.

In Mildronat syrup, it includes:

meldonium;
purified water;
cherry essence;
glycerol;
dyes;
propylene glycol.

Form release

Transparent colorless liquid.

Solution for intramuscular, intravenous and parabulb injection, 100 mg / ml. 5 ml in an ampoule of a colorless glass of a hydrolytic class with a line or a fracture point.

5 AMP. In the cellular package from the PVC film or from the PET film without a coating (pallet). 2 or 4 (only for manufacturers of Santonics CJSC and Eich Bi Em Pharma S.R.O.) Cell packaging (pallet) in a pack of cardboard.

Mildronat is available in three forms:

Capsules. Sometimes they are mistakenly called pills, but this concept is not true. Tabletized forms of this drug is not available. Capsules are two species: with 250 mg and 500 mg of active substance. Available in cardboard packaging, which contains 40 and 60 pieces.
Syrup. Two species are sold: 150 ml and 250 ml. In 5 ml (one dose) of the medication contains 250 mg of the active substance. Produced in cardboard packaging. Included a dimensional spoon with a volume of 5 ml.
Ampoules. One ampoule contains 5 ml of the drug, in which 250 mg of the active substance. Released in 10 ampoules cardboard packaging.

The diversity of the forms of the drug allows you to choose the most convenient way of use.

Mildronat produced in ampoules has the fastest suction. The solution is introduced into the muscle or vein and reaches the maximum concentration in the blood immediately after administration. In second place in the speed of suction - syrup. But it is more convenient to take capsules, drinking them with water.

Parabulbar administration is the introduction of an anesthetic or any other drug through the skin into the lower eyelid area. Such an injection procedure is most often carried out in ophthalmological practice.

Method of application and dose

In the event of an overdose you need to rinse the stomach and consult a doctor.

Side effects

Depending on the frequency of occurrence, the following groups of unwanted adverse reactions on WHO are distinguished: Very often ((Amp) GT; 1/10); Often (((AMP) GT; 1/100, (AMP) LT; 1/10); infrequent (((amp) gt; 1/1000, (Amp) lt; 1/100); rarely (((amp) gt; 1/10000, (amp) lt; 1/1000); very rare ((amp) lt; 1/10000), including individual messages; The frequency is unknown - cannot be determined according to the available data.

Rarely - allergic reactions (redness, rash, itching, swelling), as well as dyspeptic phenomena, tachycardia, decrease or increased blood pressure, excitation.

Very rarely - eosinophilia, general weakness.

Side effects are possible with the individual intolerance to the components of the drug. These include:

skin rashes;
malaise;
down or increase blood pressure values;
excitability;
diarrhea.

If the dosage is chosen correctly, and the drug is used only by appointment, then side effects

not observed. If the patient has listed symptoms, then it is necessary to cancel the reception of the medicine and consult a doctor to revise therapy.

Analogs of Mildronata

The pharmacological market contains many analogues of Mildronate. These include:

Riboxin - from 37 rubles;
Vazomag - from 200 rubles;
Melfor - from 500 rubles;
Midolat - from 128 rubles;
Cardionate - from 170 rubles;
Metonat - from 300 rubles;
Meldonium - from 230 rubles.

The feasibility of using analogues is discussed with the attending physician. The appointment of another drug is necessary in the event of side effects from Mildronate.

Interaction

As you know, such an injection is made directly under the conjunctival of the eye. Due to soreness, it is carried out only after preliminary local anesthesia (instillation of the lidocaine or dicain solution).

It can be combined with antichangal agents, anticoagulants, anti-agregants, antiarrhythmic drugs, diuretics, bronchoditics.

Enhances the action of cardiac glycosides.

Due to the possible development of moderate tachycardia and arterial hypotension, caution should be observed in combination with nitroglycerin, nifedipine, alpha-adrenobloclars, other hypotensive drugs and peripheral vasodilators, because Preparation Mildronat® enhances their action.

In general, Mildronat interact well with other drugs. But you should consider a few points:

Tachycardia is possible with a one-time reception with nitroglycerin and nifedipine. A similar side effect is found with the joint use of mildronate and hypotensive drugs.
The drug enhances the effect of the adoption of heart glycosides and antianginal medicines.
You can combine with drugs from other groups. For example, means against diseases of the lungs, arrhythmias.

The question of joint admission of mildronate with other drugs should be resolved.

special instructions

The many years of experience in the treatment of acute myocardial infarction and unstable angina in the cardiology offices shows that the drug Mildronat® is not a preparation of I series with acute coronary syndrome, and its application is not sharply necessary.

From January 1, 2016, Meldonium is included in the list of prohibited substances of the World Anti-Doping Agency.

Impact on the ability to control vehicles and mechanisms. There is no data on the adverse effects of the drug Mildronat® for the rate of psychomotor reaction.

Parabulbar administration is like? A comprehensive answer to the question will be presented in the materials of this article. In addition, we will tell you about what the injection is used, as it is carried out and what medicines are used for this.

general information

Parabulbar administration is the introduction of an anesthetic or any other drug through the skin into the lower eyelid area. Such an injection procedure is most often carried out in ophthalmological practice.

Procedure course

Parabulbar administration is a rather painful procedure at which the needle is introduced to a depth of about 1 centimeter towards the ecker of the eye, that is, to the fiber located around the eyeball. This method of administration of the drug substance applies only during acute necessity. It should also be noted that only an experienced ophthalmologist should be carried out.

In what cases are used?

Parabulbar administration is a method of administering a drug, which is most often used during operation in front of anesthesia. This method of anesthesia of the operated area is carried out by reducing the sensitivity of nerve receptors. As a rule, in such cases anesthesiologist uses a 0.5% lidocaine solution with hyaluronidase for injection.

Features of the procedure
It should be especially noted that parabulbar administration is a procedure that is used to administer the drug in the lower eyelid area not only for an anesthetic effect, but also for therapeutic purposes. During therapy, such injections are used with inflammation of the front and rear segments of the eye, as well as in keratitis, neuroretinites, iridocyclites and sclerites.
The presented method of introducing a medical device has its own characteristics, namely:

pain during the procedure;
limited dose of injected medication;
toxicity;
possible development of necrosis;
scarring injection zone.

It is impossible to leave without attention, and the fact that not so long ago, auto-diographic studies have shown that, compared with the subcutaneous, intramuscular and intravenous method of administering antibiotic preparations and steroids, the parabulbar leads to the greatest content of the drug in the vitreous body.

Possible complications

Complications that may well occur in this method of administration of the drug include the following pathological conditions:

flaxing bias;
rear capsule rupture;
hemosis conjunctiva;
disrupting zinnovy ligaments;
subconjunctive or retrobulbar hemorrhage;
prolapse iris.

As you can see, the parabulbar administration of medication is not a safe procedure. In this regard, doctors resort to it only in extreme cases.

Medicines intended for parabulbar administration

There are quite a few drugs that are intended for such painful administration. But most often in the region of the lower eyelid, the Mildronat medicine is injected. This is a synthetic preparation that significantly improves tissue metabolism and provides them with energy.

As a result of the use of such a drug in patients, the ability to withstand heavy loads increases, and also very quickly recovery after them. Thanks to such properties, the presented medication is used at:

physical overvoltage;
reduced performance;
thrombosis of the central veins of the retina, as well as its branches;
retinopathy of various origin, including hypertensive and diabetic;
hemophthalm;
hemorrhages in retina of various origin;
as part of complex therapy in chronic alcoholism (abstine syndrome).

Parabulbar administration "Mildronata" is like? For such a procedure, the drug is used in the form of a transparent colorless solution. In 1 ml of this, the means contains about 100 mg of the active component - Meldonia. It should also be noted that the Mildonat preparation comes on sale in 5 ml ampoules.

Why can not be introduced medicine intramuscularly?

In what form to use such a drug, only an experienced doctor should solve. However, in the instructions of this medication, it is clear that with intramuscular administration, Mildonat preparation is capable of not only to provide an annoying effect, but also lead to the development of local painful sensations and an allergic reaction.

Other methods of administration of the drug in ophthalmology

Now you know that such a parabulbar administration of medicine. However, it should be noted that in some diseases of the organs of vision, there is an urgent need to introduce the drug right under the eyeball. To carry out such a procedure, not only the parabulbar injection is used. For such an introduction, the subconjunctival method is often used. The choice of this or that method remains behind the attending physician. Although the subconjunctive administration of the medication, compared with the parabulbar, is more painful.

The drug of the regenerant and reparants of Retinalamin is an effective ophthalmic agent for improving the state and the function of the retina during its degeneration, tpetortoretinal abiotrophy, primary open-angle glaucoma, diabetic retinopathy, myopia, etc.

The drug is prescribed in the form of intramuscular and parabulbar injections. The course of such injections is advisable to go through both the treatment of pathology and in order to prevent the progression of eye disease.

Eye is a very sensitive body. Such an unpleasant and painful procedure, as a parabulbar administration of medication, has its own characteristics:

pain during the procedure;
dose limitation of the drug administered;
toxicity - with injections like this method, the percentage of drug content in the vitreous body is much higher than when the same drugs are introduced by other methods (intravenously, intramuscularly);
possible necrosis of fabrics and the formation of scars at the injection site.

plushing (prolapse) of the vitreous body (often this phenomenon is characterized by the words "Eye Output") may occur as a result of careless, too deeply introducing the needle to the eye, injury to the vitreous body;
inflammation, the edema of the mucous membrane of the eye - Hemosis conjunctiva. This is a normal reaction to irritation and drugs. Eveniness may have a local character, only in the place of the injection, or to affect the entire mucous membrane of the eye. In cases of parabulbar administration of Mildronate at the end of the course of treatment, the inflammatory process gradually passes;
swap shell prolapse - a consequence of the transferred operation, eye injury;
tarve the rear capsule, zinnovy ligaments;
intraocular hemorrhage.

Preparation Mildronat: composition and pharmacological properties

Mildronat is a drug for injections, which is a colorless, transparent solution of propionate dihydrate for intravenous (V / C), intramuscular (in / m) and parabulbar administration.

In 1 ml of the solution, 100 mg of meldonia dihydrate (active ingredient), distilled water (auxiliary substance) is contained.

The active ingredient of the drug is a structural analogue of gamma-butyrobeta pool - substances included in each cell of the human body.

The drug is used to treat a number of cardiovascular diseases, with physical and mental exhaustion of the body. Athletes drug are prescribed to restore physical forces after severe, exhausting loads.

Meldonium (active substance) suppresses the effect of enzymes that are transported into cells non-oxidized fatty acids (in the case of oxygen starvation of cells), thereby cause a metabolic disorder.

Meldonium helps restore disturbed metabolism in cells. It is very important for the operation of myocardial cells, as they are susceptible to heavy loads and often experience oxygen starvation.

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The drug is very quickly absorbed into the blood and is absorbed by cells by 78% (in capsules), and when in / in injections, the bioavailability (ability to be absorbed) mildronate is 100%.

The drug is shown in a wide range of diseases:

cardiovascular failure;
ischemic heart disease;
hemorrhage in the retina eye or the vitreous body;
retinopathy of various origin;
retinal veins thrombosis;
breeding violations of the brain;
other diseases.

Parabulbar administration Mildronata

Other ways to introduce drugs

In ophthalmology there are several methods for administering medicines:

eye drops;
gels and ointment for eyes;
peroxy injections are parabulbar, retrobulbar, subconjunctive.

The cost of injections

parabulbar - 700 rubles (not counting the price of the drug itself);
retrobulbar - 1000 rubles;
subconjunctive - 500 rubles.

Prices are excluding drugs.

Parabulbar injections - the procedure is not pleasant, but it helps to achieve tangible results in the treatment of many diseases and their prevention.

Retinal therapy

Retinalamine is produced in the form of a white powder (lyophilisate), during the dilution of which the solution is obtained for injections.

The main active substance of the drug is the polypeptide fractions isolated from the biomaterial of the eye of cattle and pigs. Due to their integrated effects, the cellular levels of photoreceptors and the retina pigment epithelium occurs, protein synthesis processes are activated. The reactions of the interaction normalize the permeability of the vessel walls, accelerate the processes of recovery and repair, help return the photosensitivity of the mesh eye shell and increase visual sharpness.

The drug is prescribed in the form of injections that perform intramuscularly or parabulbarno - through the skin of the lower eyelid under the eyeball. According to the indications, the injections are performed daily in the dosage of 5-10 mg of the substance once. The course of treatment is from five to ten days and can be appointed again after three months.

In children's ophthalmology, a solution of retinalamin, it is used mainly in the form of injections performed intramuscularly.

Parabulbar injections

When the course of parabulbar injections is prescribed by Retinolamine, they are performed by a specialist with sufficient experience of such procedures in a specially equipped clinic office or in a sterile operating room. Special preparations of the injection of the drug do not require.

To obtain an injection solution, the ledophilisate of the drug is divorced using a solution isotonic or plot (0.5%) and water for injection. Introduction is carried out by a disposable syringe with a slightly dull needle. During the procedure, the needle is perculfoline in the lower eyelid (outer edge) and moves about 1 cm in depth. The required dose of the medicinal substance is found in the space at the back wall of the eyeball.

The solution of retinolamine is not subject to storage, so after the injection, the residues are utilized.

Side Effects, Complications and Contraindications

Parabulbar injections of retortalamine are considered one of the most effective ways to deliver a drug to the place of defeat, however, they are very painful and can be accompanied by bruises and binding edema under the eyes, as well as the occurrence of allergic reactions.

Among the possible negative effects of the procedure, specialists also mention:

The occurrence of pellets in front of the eyes, which reduces visual sharpness.
Hemorrhage under the conjunctiva.
Collecting zinc ligaments (rarely).
Prolapse of iris (very rare).

Patinalamin injections are not prescribed in individual intolerance to the components of the means. The restriction also serves age up to 18 years (the exception of children with central retinal dystrophy) and pregnancy condition. Women, nursing, when appropriate injectations of Retinalamin, is recommended for breastfeeding to temporarily refuse.

Mechanism for the development and form of age macular degeneration (NMD)

Makula is several layers of special cells. The photoreceptor layer is located above the retinal pigment epithelium cell layer, and below is the thin membrane of Bruch, separating the upper layers from the circulatory vessel network (chori-pointers) that provide macula with oxygen and nutrients.

As the eyes agrees, the cells of cell exchange accumulate, forming the so-called "dubs" - yellowish thickening under the retina pigment epithelium. The presence of many small friends or one (or more) large friends is considered the first sign of the early stage of the "dry" form of the NMD. "Dry" (non-appliant) form most often occurs (approximately in 90% of cases).

As you accumulate, the dresses can cause inflammation, provoking the appearance of the endothelial growth factor of the vessels (Vascular Endothelial Grows Factor - VEGF) - protein that contributes to the growth of new blood vessels in the eye. The growth of new pathological blood vessels begins, this process is called angiogenesis.

New blood vessels germinate through the membrane of Bruch. Since the newly formed vessels by nature of their pathological, blood plasma and even blood pass through their walls and fall into the layers of macula.

From this point on, the NMD begins to progress, turning to another, more aggressive form - "wet". The disease accumulates between the membrane of the Bruch and the layer of photoreceptors, is striking vulnerable nerves, providing healthy vision. If you do not stop this process, then the hemorrhages will lead to detachments and the formation of scar tissue, which threatens the irrepustible loss of central vision. "Wet" (exudative) form meets much less frequently "dry" (approximately one-two cases out of 10), but is more dangerous - rapid progression occurs and the vision is worsening very quickly.

Symptoms of "wet" form of NMD

A sharp decline in visual acuity, the lack of opportunity to improve eye-minded vision.
Curiousness of vision, reduction of contrast sensitivity.
Loss of individual letters or curvature of lines when reading.
Distortion of objects (metamorphopsy).
The appearance of a dark spot in front of the eye (scotoma).

What does scientific research show?

The clinical activity and safety of drugs were proved in a number of major international tests. The results are truly impressive - most patients have not only stopped the progression of the disease and the acuity of vision has been preserved, but this figure improved significantly.

The thickness of the central zone of the retina before and after treatment

In comparison with laser treatment (photodynamic therapy), anti-VEGF therapy preparations have significantly exceeded the results of visual acute: by 6 months of treatment, injection therapy gave

8.5-11.4 letters (on the ETDRS scale), whereas in the group of laser treatment - 2.5 letters. By 52 weeks of the Anti-VEGF group acquired 9.7-13.1 letters, while the laser treatment group lost 1 letter.

After 52 weeks of treating the share of patients who preserved visual acuity, in groups that Lutnotis and Eilea took, were 94.4% and 95.3%, respectively.

The fractions of patients with an increase in visual acuity on ≥15 letters on the ETDRS scale - with Eilea - 30.6%, with lucentis - 30.9%, and the average value of improving visual acuity - 7.9 letters and 8.1 letters in the treatment of Eilea and Lucentis.

Average change in the thickness of the central zone of the retina: -128.5 μm (Eilea) and -116.8 μm (Lucentis).

Intravitreal injection (eye injection)

An injection injection or eye injection is a complex procedure requiring jewelry accuracy. This operation holds a highly qualified specialist. Many requirements are followed: the sterile room for the operation is thoroughly prepared by the injection, the operation passes according to a special algorithm. Treatment with ukolov has a high degree of efficiency.

Types of eye injections

Parabulbar injection. The eyeball is formed by the bones of the skull and is a pyramid. The peak of such a "pyramid" is inside the skull. The eyeball is placed in the eye, which surrounds fiber fabrics. The parabulbar space is a place that is between the eyeball and the periosteum. Parabulbar injection in the eye is the introduction of the drug through the skin of the lower eyelid into the fatty tissue.
Retrobulbar injection. When implementing such a type of procedure, the medicine is injected for the eyeball. The needle is introduced deep into the eyeboard.
Substitutional injection. Another injection is called substantive. The medicine is injected into the mucous membrane of the eye - conjunctiva.
Intravitreal injection. Operation when the medicine is administered directly to the eye, in the vitreous body.

One or another injection is appointed by a doctor depending on the disease. The advantage of treatment with the use of injections is its high efficiency and long therapeutic effect. The big professional experience of ophthalmologists of our eye clinic makes it possible to perform the procedure for administering drugs directly into the vitreous body of the eye in the treatment of age macular degeneration, diabetic macular edema, diseases of the retinal vessels, intraocular hemorrhages, inflammation of the inner shells of the eyeball.

Injection genome Returns Vision

Specialists of the Children's Hospital of Philadelphia (Children's Hospital of Philadelphia), Pennsylvania, USA, and University College of London (University College London), United Kingdom, successfully applied gene therapy to recover blind patients, reports Associated Press. Significant changes for the better were recorded from four test participants from six. The results of the researchers are set forth in the article in New England Journal of Medicine.

All participants in the tests suffer from a rare shape of blindness - congenital amavrica of the Lebra, a variety of retinal dystrophy. It develops due to the mutation of the gene responsible for the production of retinal protein. People suffering from this disease begin to lose sight of even early childhood, they cannot focus in the dark and finally be blinded, barely enhancing in adulthood.

During the experiments, the doctors were injected into the eyes of millions of copies of the working gene. Only one eye was treated, in the worst state, thus, untouched remained for comparison. In addition to periodic measurements of vision and skin sensitivity to light, the patients were offered to enter a labyrinth or in a dark room with a lot of items, removing their movements on the camcorder.

Six months later, in a group of Philadelphia, vision improved in all three patients, two women 18 and 26 years, and a 26-year-old man from Italy. If earlier they traveled only the movements of the hands, now they could see the lines in the table and better oriented with dim light. In the British group therapy worked only with one patient of three, 18-year-old Steven Howarth. By the end of the treatment, he passed a poorly lit labyrinth with obstacles in 14 seconds. Without a single error, while at the beginning on average spent on a test with 8 errors 77 seconds.

Genetic therapy with varying success was tested in humans in the last 15 years. In 1999, part of the research was suspended after the death of a 18-year-old patient, which was treated from the liver disorder. In addition, several children with immune disorders who have passed gene therapy subsequently developed leukemia. According to experts, now, after the inspiring results of American and British doctors, the study boom in this area can begin again.

Other Publications: Glaucoma Center in Perm

Last year, American scientists announced the successes of gene therapy in the treatment of brain disease. This year, British experts proposed to apply it to patients with AIDS.

Is it possible to cure take off at home

The danger of uveitis is in a partial or complete loss of vision with inadequate or late help.

The main symptoms and signs of uveita:

hyperemia;
discomfort;
pain;
photophobia;
involuntary tearing;
vagueness of images;
spots before your eyes.

The treatment of uveitis in the hospital is carried out with an active inflammatory process or, if necessary, surgical correction of complications. If a solution is made in favor of conservative treatment, this does not mean that you can be treated outside the clinic. In the active period, the introduction of drugs is shown systemically and locally, which is not always possible to do at home. Compared with drops that the patient can introduce independently, subconjunctive, parabulbar injections of drugs - injections to the orbit area of \u200b\u200bthe eye - more efficient.

Treatment of uveitis at home in most cases is difficult.

Midryatiki

The group of mydriatics combine drugs that promote the expansion of the pupil - mydriazaz. Pharmacologically, they belong to M-cholinoblockers. The principle of operation is explained by the ability to influence the muscarinic receptors, relaxing the circular muscle of the iris and the ciliary muscle responsible for the accommodation of the eye. If you take treatment with the preparations of this type ensures the comfort of the eyes. Apply Atropine to 14 days, later - tropics. The introduction of injections under the conjunctiva prevents the formation and rupture of the rear synefishes - adhesions in the eyeball.

Midship preparations:

midryacil;
iCF;
tropicid;
atropine;
cycled.

The use of mydriatics is prohibited at the closed-coronal glaucoma. They block the outflow of intraocular fluid, increasing the risk of glaucoma attack.

Other states under which the application is prohibited:

angina;
thyrotoxicosis;
arrhythmia;
pregnancy;
lactation;

Children's age patients need to use preparations with caution, not exceeding the designated dosage.

Steroids

The base in the treatment of various uvets of the front localization is corticosteroids. The course is from a drop of medicine with dexamethasone every 5 minutes to drops every 48 hours for 5-6 weeks. With a sharp process - up to several months, with chronic - up to several years. There is a risk of many complications: glaucoma, cataract, the melting of the cornea due to the decrease in collagen synthesis. It is possible to avoid them, producing peripulum injections instead of instillations. Properties - long battery due to the formation of depot preparations, the concentration of the lens, the penetration of water-soluble substances into the eye through the scler.

Among all glucocorticosteroids, prednisone in tablets leads, especially with uveiti therapy resistant.

Steroid system reception rules:

start from a large dose to smaller;
the dosage is calculated taking into account the patient's weight;
taking time clarifies the doctor who appointed the drug;
with a decrease in inflammation, the dose must be gradually reduced.

The patient should be prevented on the likely development of side effects, especially with a debt.

Some manifestations:

stomach ulcer;
electrolyte violations;
nectoommic coma;
cataract;
myopathy;
suspension of development in children.

Contraindications for therapy with steroids are inactive inflammation in the eye, the intermediate will take off without falling visual acuity, Fuchs syndrome.

Drops to reduce high intraocular pressure

If the front will be carried away is accompanied by an increase in intraocular pressure - shown drops for damage to hazardous consequences: complete loss. Therapeutic tactics consists of hypotensive drugs. Treatment begins with medication from a group of beta adrenoblockers. In the absence of results, it is transferred to combined therapy from two β-adrenobloclockers, then a β-adrenobloclocator and M-cholinomimetics or carbonic henching inhibitor are combined. Tactics change to three times a year.

Used drops:

Xalatan;
Timolol;
Aruthimol;
Fotil.

Contraindications:

some heart and vessel diseases;
bronchial asthma in the aggravation stage;
allergies to components;
retinal disinsertion;
chronic lung pathology.

Complex Vitamins

When choosing vitamin complexes for the treatment of uveitis, it is necessary to pay attention to the presence of riboflavin (B2) in them or buy a monopreparation.

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Vitamin enriches the fabric of the eye oxygen, stimulates metabolic processes. Responsible for the normal work of the retina, supports visual sharpness, improves the conductivity of the nerves.

Doppelgers Active with lutein contains zeaxanthin, zinc, a, e, s. Showing capsule per day for a month to increase the functional state of the eyes. In addition, it minimizes pain, redness, eye fatigue. Filight Lutein Forte is used in the treatment of most ophthalmological pathologies. Luthene, zeaxantine, vitamins with and e, zinc, selenium prevent the development of cataracts and retinal dystrophy. Drink at a capsule once 24 hours after meals, at least 1 month.

Other funds

In some cases, if you need to assign immunosuppressive therapy with cytostatics. Indications:

reversible injections on both sides, threatening blindness and intricate steroid treatment;
contraindications for hormones treatment.

Side effects of application - an increase in blood pressure, kidney damage.

At home, you can mix the juice of the meakty aloe with cooled boiled water in the ratio of 1:10. Use as eye drops when you learn after discussion with your doctor.

Clinical Diagnostic Laboratory

Clinical Diagnostic Laboratory (CDL) OJSC "EUROMEDSERVIS" KDC is equipped with the most modern diagnostic equipment of Beckman Coulter, Bio Rad, Roche Diagnostics, famous for high accuracy equipment manufacturers. Patient survey programs are based on an integrated diagnostic approach. Laboratory staff have qualifying categories, certificates, work experience in diagnostic departments.

The nurse takes blood from Vienna in patients in vacuum tubes, which provide maximum patient safety, exclude patient's blood contact with the environment, reduce the risk of infection.

The laboratory includes eight sections:

Hematological;
Generalized;
Serological;
Cytological;
Biochemical;
Coagulological;
Section of PCR (polymerase chain reaction);
Immunological.

List of services services:

Complex research
Biochemistry
Diagnosis of anemia
Cardiomarkers
Hormones
Diagnosis of pregnancy and infertility
Diagnosis of diseases of the gastrointestinal tract
Diagnosis of osteoporosis
Antioxidance status
Proteinazno-inhibitory system
Oncomarkers
General blood analysis
Immunohematology
Hemostasis
Immunology
Genetic predisposition
Panel "Biological age"
Panel "Metabolic Syndrome"
Panel "Obesity Syndrome"
Allergology
Individual allergens
Markers of autoimmune diseases
PCR diagnostics
Immunosorological studies
Study urine
Histology
Cytology
Microscopic research
Research ejaculate
Study Cala
Cultural research
Medicinal Monitoring and Narcology

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Allergology

The relevance and popularity of the medical direction on allergology-immunology at the moment of time causes the dissemination of this type of pathology among the population.

The impact of harmful factors on the body leads to the development of many diseases and states, which are based on "breakdowns" in the work of various unmunign system links.

An unfavorable environmental situation, water pollution, the emergence of new infections, new mutations of viruses and bacteria, massive use of antibiotics and dubious food additives, stress factors, increased solar insolation lead to the breakdown of the adaptation capabilities of the body and as a result of the violation of the work of the immune system. Patients "rush" in the pharmacy and acquire various immunopreparations, not realizing that their implacable use leads to deposits. From constant stimulation (on the one hand, the factors of external influence, with the other - drugs and food additives) the immune system does not cope and the immunosuppression develops. Fashionable word - an immunodeficiency state is based on its complex process in the body and does not always correctly characterize the disorders. An immunologist-allergologist is correctly evaluated correctly, which, according to clinical signs, in combination with laboratory indicators, will set the diagnosis and correctly appoint the therapy.

It should be noted that according to some diseases, for example, tumor processes, urogenital pathology, hepatitis, the doctor immunologist-allergologist is engaged in the correction of immunological disorders, together with the main physician observing the patient, and acts as an assistant in a difficult situation.

Consult a doctor of an immunologist-allergist and get answers to specific questions you can, after posting the reception.

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Gynecology

In the "EUROMEDSERVIS CDC" experienced specialists are advised by a young pregnancy planning family, laboratory screening of pregnancy planning.

An integrated approach to the examination and treatment of patients allows you to solve such a complex problem of our time as: infertility.

Our gynecology-endocrinets are diagnosed with infertility reasons, determining the level of blood hormonal indicators, an assessment of immune status, full control of smears, hysterosalpingography, will be an individual pair survey plan and will select the most optimal treatments with the use of extracorporeal methods.

Inflammatory diseases of the small pelvis organs - anti-inflammatory treatment in full makes it possible to reduce the risk of complications to a minimum. Ozonized solutions, therapeutic laser, correction of immune status reduce the amount of drugs taken inward and treatment time.

The CDC in the shortest possible time is a comprehensive examination of patients with common diseases:

Myoma
Violations of vaginal microflora
Cervical diseases
Menopausal disorders
Dispositive abortion
Sexually transmitted infections

All gynecological manipulations are necessarily carried out with preliminary anesthesia, the biopsy of the cervix is \u200b\u200bcarried out using the Bard puncture system. To remove the formations of the cervix and vagina (ectopia, leukoplakia, cysts, kondillary, etc.) use the method of molecular resonance (the device "Obesalius"), thanks to which there are no painful sensations, there is no formation of scars. Monitoring the patient is carried out in the hospital of one day of the center.

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X-ray diagnostics

In the X-ray office of EUROMEDSERVIS, an X-ray diagnostic complex is used, which can operate both in the digital mode of receiving the image and in classic mode (using X-ray film). The use of technical devices and methodological techniques reduces the resulting radiation dose to minimal values \u200b\u200bthat are logged in objective by a special device.

When conducting contrast research, modern X-ray-contrast drugs are used with an extremely low probability of the occurrence of allergic reactions.

Once the data obtained is stored indefinitely on laser media and are used to identify the dynamics of the disease.

Dermatology

Do not forget that the skin is most closely connected with the internal organs, and any failures in their work may affect the condition of the skin.

So, when hepatitis, there is a yellowed skin, with diabetes, patients complain about skin itch, and when avitaminosis, the skin becomes pale and sluggish.

We offer you diagnosis and treatment of skin diseases:

Eczema
Obschi ordinary, youthful
Dermatitis (allergic, contact)
Psoriasis
Red flat lichen
Hives
Erythema
Alopecia
Anomalies of hair color and hair rod
Skin pigmentation disorder
Warts, corns, contagious mollusk, pointed kondil

If you are worried about such problems as bad complexion, skin defects, wrinkles, dryness or excessive fatty skin.

Dermatologist-beautician clinic will help you.

By contacting us, you will be able to complete a full examination, according to the results of which the appropriate treatment will be appointed.

Treatment includes the use of the latest drugs for combating chronic exchange violations in the body, psychotherapy, dietherapy, phytotherapy, cryotherapy, photo and laser and therapy, elecorporal blood purification techniques.

At the same time, the dermatologists of our clinic will offer you a comprehensive treatment with an individual approach to each patient.

Treatment techniques contribute to rapid resolution of the pathological skin process, get rid of pain, itching, restore metabolic processes. Different blood purification methods (immunosovation, liposorption, correction of metabolic syndrome) will strengthen the immune system. The newest developments of therapeutic cosmetology will eliminate cosmetic skin defects (Kelloid scars, contractures, stretch marks after pregnancy) and will give full recovery.

Antiage programs help our patients to restore health and attractiveness in a short time, significantly improve the quality of life.

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Stomatology

With the development of modern medicine, fear of visiting the dentist remained in the distant past. Modern painkillers, contactless methods of diagnosis and treatment, high qualifications of our specialists allow us to carry out the treatment of teeth not only completely painlessly, but not even delivering untidy sensations. They are not afraid to walk even small children - doctors know how to take them in a short period of teeth treatment. Take care of your smile, and our doctors will make you never worried about it anymore.

For our customers, we offer:

The implementation of the procedure for treating teeth only with high-class dentists on the most modern equipment and using high-quality materials.
An integrated approach to the diagnosis and treatment of teeth. All procedures are carried out in one place.
Treatment of teeth on technology leading global clinics, many of which are unique.
An individual approach to solving dental problems for each client.

Still ancient said that healthy teeth are the key to the health of the entire organism of the person. Trust your health professionals, and your smile will always be snow-white!

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Cosmetology

Modern rhythm of life and other factors such as environmental

the situation, not always balanced nutrition, stress and so on adversely affect human health. And the consequences of the effects of these factors are primarily reflected in appearance in the form of various cosmetic problems, such as the appearance of overweight, wrinkles, skin rashes, and many other unpleasant phenomena, which are not decorated. Of course, you can always try to eliminate them yourself, but experiments on our own health are very dangerous, and their results are often unpredictable. It is much safer and more efficient to contact the clinic of the aesthetic cosmetology of JSC KDC Euromedservice.

To date, science has a massive method of solving cosmetic problems. In our center of aesthetic cosmetology, procedures giving the skin a rapid appearance and returning health, it is possible to correct the shape.

Advantages of the center of the aesthetic cosmetology of JSC "EUROMEDSERVIS" KDC

All clinic doctors have high qualifications confirmed by documented, as well as rich work experience in the field of aesthetic cosmetology.

In the center of JSC "EUROMEDSERVIS", all wishes of the client are heard, and if problems arise in different areas, the specialists of other specialized specialties are invited and the questions are solved comprehensively with a minimum of inconvenience for our client.

For each client, specialists from the center of aesthetic cosmetology are suitable individually, and the streaming method of treatment does not apply.

The clinic has the most modern equipment from leading manufacturers with all the necessary certificates.

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Gastroenterology

OJSC "EUROMEDSERVIS CDC" is a modern, multidisciplinary medical and prophylactic institution, providing medical services in various areas at the highest level, in accordance with world standards.

A considerable role in the diagnosis and treatment of gastrointestinal diseases is played by the Endoscopy. This compartment is equipped with the latest diagnostic equipment of the last generation Oljmpus (Japan).

Experienced doctors - endoscopists provide invaluable assistance in identifying and treating patients with a wide range of digestive system diseases:

acute and chronic gastritis;
inflammatory duodenal diseases;
ulcerative disease of the stomach and duodenum;
reflux disease gasts;
an irritable colon syndrome;
novo-formation of the gastrointestinal tract of various nature;
many other diseases.

Working in close contact with therapists, gastroenterologists, histologists, the doctors of the clinical diagnostic laboratory, it is possible to achieve high results in early diagnosis, rational treatment and prevention of diseases of the gastrointestinal tract. Medical staff of the department is formed from experts with richest experience.

Many specialists have scientific degrees of candidates and doctors of medical sciences for this specialty.

Endoscopic research methods in recent years occupy one of the main (leading) roles in the diagnosis of gastroenterological diseases. This circumstance is due to the high accuracy and speed of this type of study. Considering that endoscopic diagnostics is an invasive study method, the safety of providence of this manipulation for the patient becomes an important factor. The endoscopic branch of OJSC "EUROMEDSERVIS" KDC has a special installation for sterilizing endoscopic equipment, allowing you to fully automate the process of sterilization and exclude the "unfavorable factor" in this important process.

We wish you success and good health.

Immunology

Fashionable word - the immunodeficiency state is based on its complex process in the body.

Here are the symptoms and diseases that must lead you to the reception of the doctor's immunologist-allergist.

An unfavorable ecological situation, water pollution, the emergence of new infections, new mutations of viruses and bacteria, massive use of antibiotics and dubious food additives, stress factors, increased solar insolation lead to a breakdown of the adaptation capabilities of the body and, as a result, impaired the work of the immune system.

Do not fall on the tricks of "specialists" approve of dubious "medicinal" means!

Manual therapy

Comprehensive application of manual therapy with reflexology:

According to WHO, 2/3 of the population of the globe suffer from root and articular pains with different degrees of severity, leading to temporary, and partly and to the resistant disability.

A sedentary, sedentary lifestyle, a violation of posture - these are the main causes of the number of patients with osteochondrosis of the spine, arthrosis, scoliosis and other degenerative-dystrophic diseases.

Manual therapy and reflexotherapy are the most effective methods of treatment of diseases of the spine and joints. An experienced specialist allows in a short time to restore the function of the motor segment, remove the pain syndrome, normalize muscle tone.

We are holding treatment

diseases of the musculoskeletal system (scoliosis, arthritis, arthrosis, osteochondrosis).
tobacco
pain Sound Syndrome
dorsalgia
spondylogenic Headache
nervous System Diseases (Neuralgia, Neverity, Vegeta Dystonia, Migraine, Head Pains)
correction of posture.

In the Clinical and Diagnostic Center "EuromedService", the patient can get in full:

Corporate (on the point of the body) reflexotherapy.
Auricular (on the point of ear shell) reflexotherapy.
Cranial (on the point of head) reflexology.

By the impact method:

1. Mechanical impacts:

a) Igloreflexotherapy - introduction of needles in acupuncture points.

b) Zubotherapy (micropressorceplicity therapy) - imposition of various items (metal balls, medicinal plants, etc.) to the area of \u200b\u200bthe acupuncture point.

c) pressorflexotherapy - Press (massage) points.

d) microneflexotherapy - introduction of microne, buttons to the point.

2. Thermal:

a) thermorexophusotherapy - warming points.

b) thermo-burn reflexotherapy - local cavity in the dots area.

c) Thermoigloreflexotherapy - warming through the needle entered in points.

d) cryoraflexotherapy - cooling and freezing (practically not applied).

3. Electrical (for all types of receptors).

a) Electroreflexotherapy - surface percutaneous electrostimulation of points.

b) electrigloreflexotherapy - deep electrostimulation of points through the needles entered.

A good effect is observed with a combination of conventional drug therapy with manual therapy and reflexology.

Otorinolaryngology

Ear diseases, throat, nose are currently not only relevant, but also socially significant. The upper respiratory tract begin with the nose. The first one perceives the air, which is heated here, cleared, moistened. Therefore, the diseases of the nose significantly reduce the overall condition of the person, make it difficult for its social life. Angina - in incidence occupies one of the first places, 15.8% of the population is chronic tonsillitis. Today, sharp respiratory diseases complicated by sinusitis are relevant. The infection can penetrate into the incomplete sinuses from the nose, teeth, causing severe complications. Ear diseases lead to the development of resistant hearing disorders - hearing loss or even deafness. The reason for the sudden loss of hearing is often unclear. Complete recovery of hearing to achieve difficult, there remains ringing in the ears, which significantly worsens the quality of life. To avoid late complications, the patient must receive treatment as early as possible.

In our center, we offer you a complete comprehensive treatment of such diseases as:

Rinith (infectious, allergic, hypertrophic, atrophic.)

Sinusitis (acute purulent, polypotic, aggravation of chronic)

Pharyngitis (atrophic, hypertrophic, granular)

Tonsillitis (chronic compensated)

Larygitis (acute, aggravation of chronic)

Otitis (medium, outdoor, adhesive)

Neurosensory touginess

We use:

molecularly resonant method (apparatus "Vezalius),

thermocouples

vacuum moving when washing the incomplete sinuses

pneumatic massage drummers

washing sulfur traffic jams

spraying of drugs

washing Lakun Almonds

electrocoagulation

endoscopy on the equipment of the company "Interacoustics" - (Germany)

microscopy with Optical Equipment of the company "Modula Endo" - "Modula Zeug"

tympanometry

audiometry

cryovozoa and others.

The EUROMEDSERVIS CDC is a further examination using digital radiography and computed tomography; We are fulfilled by different types of operational benefits; A physiotherapeutic method of treatment is carried out - laser-treatment; In case of sudden loss of hearing, a unique technique is applied - reofeferis.

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Ophthalmology

Ophthalmology - the area of \u200b\u200bclinical medicine that studies the diseases of the eyeball and its appendages (eyelids, tear organs and the mucous membrane of the eye - conjunctive). Some diseases are found quite often and well for all familiar (conjunctivitis, barley, myopia, etc.), only the doctor is often facing and for their recognition, special diagnostic techniques are required (astigmatism, glaucoma, cataract, retinal pathology and optic nerve, demodecosis , chlamydia, etc.).

The reason to appeal to the ophthalmologist can be:

redness and eye irritation;
dryness, feeling of the foreign body in the eye;
reducing vision of the distance and near;
eye fatigue with visual loads;
bulk view;
discomfort in own glasses;
tear and lights;
myopia, hyperopia, astigmatism, glaucoma, cataract, retinal dystrophy, etc.

In conducting medical and preventive measures, the equipment of an ophthalmic cabinet plays a major role, so in the EUROMEDSERVIS CDC, the most modern diagnostic and therapeutic equipment of leading companies NIDEK (Japan) and Oculus (Germany): Projector of signs and foropter to determine visual acuity and selection of glasses, computer Autocoremorefractometer (Defraction of the refraction of the eye), a computer pneumothonometer (contactless measurement of intraocular pressure), computer perimetry (definition of fields of vision), as well as equipment for biomicroscopic examination of the eye and inspection of the eye dna.

The diagnostic capabilities of an ophthalmic cabinet complement laboratory, radiological research methods, and the joint work of doctors of different specialties of our center contributes to the early detection and adequate treatment of acute inflammatory, chronic, allergic, post-traumatic and other pathology of the eyes.

In an ophthalmologic office are held:

complete diagnosis with the study of visual functions;
study of the organ of vision and angle of the anterior chamber of the eye with the help of biomicroscopy;
selection of simple and sophisticated glasses at myopia, hyperopia and astigmatism;
ophthalmoscopy of the Eye DNA;
treatment of acute and chronic inflammatory and allergic diseases of the mucous eye and eyelids;
laboratory diagnostics of inflammatory diseases;
diagnosis and treatment of demodic blophiesonjunctivitis;
early diagnosis and knowledge of glaucoma;
therapy of computer visual syndrome;
treatment of therapeutic eye pathology (corneal dystrophy, maculodystrophy, chorioretinal dystrophy, etc.);
removal of foreign bodies of cornea and conjunctiva;
opening of the retention cyst, contagious mollusk, barley, and TP.;
washing the tear paths and activation of tear dots;
subcactive and parabulbar injections;
injections of drugs in the chalazion cavity;
century massage with other therapeutic procedures;
ophthalmchromotherapy and light pulse therapy.

In the recovery process, a large role is played by a number of healing machines for phototherapy, magnetotherapy, light pulse therapy, which activate processes on molecular, cellular, tissue and systemic levels and have a pronounced anti-inflammatory, anti-reflection, biostimulating and pain relief effects, normalize blood circulation, so apply to preventive and indispensable in the treatment of spasm accommodation, myopia, hyperopia, visual fatigues, inflammatory, vascular and dystrophic eye diseases.

Various ophthalmic programs for the treatment of computer eye visual syndrome, demodicosis, glaucoma, retina pathology, etc., will be offered, will save money, time and will help to maintain a unique sense of feelings, which will save % information about the world around.