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Стаж 11 лет"],"source":{"url":"https://napopravku.ru/tyumen/doctor-profile/ziteva-ekaterina-sergeevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3673053","text":"napopravku.ru"},"withCut":false},{"text":["Занимаюсь диагностикой, лечением и профилактикой заболеваний эндокринной системы: болезни щитовидной и паращитовидных желез: ТИРЕОИДИТЫ, йоддефицитные состояния, ГИПОТИРЕОЗЫ, диффузные и узловые нетоксические зобы, ДИФФУЗНО-ТОКСИЧЕСКИЕ ЗОБЫ, БОЛЕЗНЬ…"],"fullText":["Занимаюсь диагностикой, лечением и профилактикой заболеваний эндокринной системы: болезни щитовидной и паращитовидных желез: ТИРЕОИДИТЫ, йоддефицитные состояния, ГИПОТИРЕОЗЫ, диффузные и узловые нетоксические зобы, ДИФФУЗНО-ТОКСИЧЕСКИЕ ЗОБЫ, БОЛЕЗНЬ ГРЕЙВСА-БАЗЕДОВА, функциональные автономии щитовидной железы, зно щитовидной железы, ГИПЕРПАРАТИРЕЗЫ, аденомы и образования паращитовидных желез и др. Провожу подбор доз заместительной гормонотерапии при гипотиреозах в сочетании с аит, в том числе послеоперационных, подбор доз тиреостиков и динамическую оценку эффективности лечения тиреотоксикоза.направляю на консультации смежных специалистов при подозрении на осложнения (эндокринная офтальмопатия и др), оцениваю динамику роста узловых образований щитовидной железы. Провожу ультразвуковое исследование щитовидной и паращитовидной желез с описанием согласно общепринятой современной системы EU-TIRADS (European THYROID IMAGING REPORTING AND DATA SYSTEM), определяю показания к проведению пункционной биопсии щитовидной железы, при наличии образований в ней, согласно современным стандартам и клиническим рекомендациям. НАПРАВЛЯЮ, провожу УЗИ навигация совместно с хирургом в бригаде при выполнении таб (тонкоигольной аспирационной биопсией), для дальнейшего исследования гистологами биоматериала, интерпретирую результаты пункционной биопсии щитовидной железы, даю современные рекомендации, основанные на доказательной базе по дальнейшему наблюдению, лечению и ведению узловых зобов и других состояний. Направляю на миниинвазивные методики лечения узловых зобов (ЛАЗЕРНАЯ, лиит деструкция), выставляю показания и направляю на радикальное лечение заболеваний щитовидной железы (ТИРЕОДЭКТОМИЯ, ГЕМИТИРЕОИДЭКТОМИЯ, РАДИОЙОДТЕРАПИЯ) и паращитовидной желез (ПАРААДЕНОМЭКТОМИЯ). Направляю и расшифровываю результаты лабораторных (АНАЛИЗОВ) и инструментальных методов диагностики (УЗИ, СЦИНТИГРАФИЯ, кт шеи с контрастированием и др) при патологии щитовидной и паращитовидной желез. Веду и консультирую беременных с патологией щитовидной и паращитовидной желез, согласно современным стандартам и клиническим рекомендация, помогаю женщинам, стать родителями здоровых детей. Нарушения углеводного обмена - сахарный диабет, ПРЕДДИАБЕТ — нарушение гликемии натощак и / или нарушенная толерантность к углеводам. Уточняю тип сахарного диабета, назначаю лечение с учетом особенностей состояния организма, занимаюсь подбором и коррекцией проводимой терапии, титрую дозы инсулина, помогаю с рассчетом углеводного коэффициента и коэффициента чувствительности к инсулину. Направляю и расшифровываю лабораторные и инструментальные методы диагностики нарушений углеводного обмена. Провожу динамическое наблюдение пациентов с СД для оценки наличия осложнений сахарного диабета или их профилактики. Выдаю заключение об отсутствии противопоказаний для планового оперативного лечения и рекомендации по ведению пациентов с сахарным диабетом во время операции. Устанавливаю и обучаю мониторингу глюкозы с помощью систем НМГ (FREESTYLE LIBRE И ДР), оцениваю время нахождения пациента в целевом диапозоне, коэффициент вариабельности гликемии, безопасность проводимой терапии по данным самоконтроля. Обучаю пациентка работе с помпой, введению болюса, настройки, подбор доз на основании НМГ, обучаю технике смены расходных материалов к помпе, проведению технике инъекций инсулина с помощью инсулиновой предзаполненной ШПРИЦ- РУЧКИ, проведению самоконтроля с помощью глюкометра, ведению дневника самоконтроля глюкозы и дневника питания и др. Провожу обучение в рамках школы сд и индивидуальные беседы на тему профилактики. Направляю на консультации к смежным специалистам, при наличии осложнений сахарного диабета или подозрении на сопутствующую патологию. Направляю на профилактическое лечение в условиях дневного стационара и др, физиолечение при установленных осложнениях сд или с целью их профилактики по санаторно-курортной МОДЕЛИ. Веду и консультирую беременных с гестационным сд и ожирением, провожу прегравидарную подготовку женщин репродуктивного возраста, назначаю диетическую коррекцию (соотношение и вида макронутриентов для снижения инсулинорезистентности и оценки микронутриентов, оказывающих влияние на инсулинорезистентность, систему гемостаза и др) с целью предотвращения избыточного набора веса у матери, снижения риска патологии плода. При наличии показаний назначаю совместно с диетотерапией медикаментозное лечение, в том числе инсулинотерапию, обучаю коррекции и подбору доз, и технике инъекции инсулина. Проблемы ожирения и метаболического синдрома. Уточненяю эндокринный генеза этих состояний, провожу профилактику и успешное лечение ожирения (КОНСЕРВАТИВНОЕ, ОПЕРАТИВНОЕ - бариатрическая хирургия, ФИЗИОЛЕЧЕНИЕ), а также даю рекомендации по дальнейшей поддержке показателей масы тела и здоровья. Определяю показания и провожу динамическая оценка показателей ИМТ, ОТ , ОБ, лабораторных и инструментальных исследований, относящихся в обменным нарушениям. Обучаю пациентов ведению дневника питания с подсчетом макроэлементов и распределения их в своем суточном рационе, даю рекомендации по физической нагрузке согласно особенностям организма, веду пациентов после операции по лечению ожирения (БАРИАТРИЧЕСКИХ) и др. ОЦЕНИВАЮ СЕРДЕЧНО- сосудистый риск пациентов с метаболическим синдромом и определяюсь со схемой по его снижению. Занимаюсь дислипидемиями: ПРОФИЛАКТИКА, оценка липидного спектра, лечение дислипопротеинемий. Нарушения репродуктивной сферы у женщин: различные виды нарушения менструального цикла, БЕСПЛОДИЕ, СПКЯ, ГИПЕРАНДРОГЕНИЯ, ИНСУЛИНОРЕЗИСТЕНТНОСТЬ, АКНЕ, ГИРСУТИЗМ, снижение либидо, ГАЛАКТОРЕЯ, гиперпролактинемический синдром, ПРОЛАКТОНОМА, ПЕРИМЕНОПАУЗА, КЛИМАКТЕРИЙ, хирургическая менопауза и др виды дисфункции яичников. ДИАГНОСТИКА, ЛЕЧЕНИЕ, коррекция данных состояний. Оцениваю лабораторные и инструментальные методы обследований: половые гормоны согласно фазе менструального цикла, ультразвуковое исследование малого таз и др. Готовлю заключение для протокола ЭКО по запросам репродуктологов. Направляю на консультации смежных специалистов для уточнения диагноза. Изменения в работе репродуктивной сферы у мужчин: ГИПОГОНАДИЗМ, ассоциированный с ожирением и сахарным диабетом, ассоциированный с бесплодием, ПРОФИЛАКТИКА, ДИАГНОСТИКА, интерпретация анализов, заместительная гормонотерапия препаратами тестостерона, динамическое наблюдение, оценка лабораторных и клинических симптомов, подбор терапии, ГИНЕКОМАСТИЯ, врожденные синдромы, андропауза и др виды дисфункции яичек. ЗАБОЛЕВАНИЯ гипоталамо-гипофизарной системы (НЕЙРОЭНДОКРИНОЛОГИЯ): ГОМОНАЛЬНО- активные и неактивные образования гипофиза: ИНЦИДЕНТАЛОМЫ, ПРОЛАКТИНОМЫ, АКРОМЕГАЛИЯ, БИК, несахарный диабет, ГИПЕРПРОЛАКТИНЕМИЯ, вторичный гипопитуитаризм, редкие эндокринные синдромы мэн и др . Провожу диагностику, ЛЕЧЕНИЕ, наблюдение при данных патологиях. Направляю на вспомогательные методы диагностики: КТ, МРТ, оцениваю их результаты, наблюдаю в динамике. Направляю на консультацию в специализированные центры при сложностях постановки диагноза, необходимости специфической терапии, радикального лечения и др. Патология надпочечников: ГОРМОНАЛЬНО-АКТИВНЫЕ: ИНЦИДЕНТАЛОМЫ, ФЕОХРОМОЦИТОМЫ, кортикостеромы и ГОРМОНАЛЬНО-НЕАКТИВНЫЕ образования надпочечников. Провожу оценку динамики роста, уточняю диагноз и наличие или отсутствие гормональной активности, назначаю лечение, провожу динамическое наблюдение, симптоматические артериальные гипертензии — уточнение эндокринных причин, ВДКН, надпочечниковая недостаточность и др. НАРУШЕНИЯ ФОСФОРНО- кальциевого обмена. ГИПЕРКАЛЬЦИЕМИЯ, ГИПОКАЛЬЦИЕМИЯ, недостаточность и дефицит витамина Д, коррекция и профилактика состояний, связанных с недостатком или дефицитом, поддержка адекватных уровней, уточнение причин, ЛЕЧЕНИЕ. 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