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Услуги Шипиловская
КОНТАКТЫ
MED Cемья на Шипиловской
+7 (499) 322-12-62
г. Москва, Борисовский проезд, 15к1с2
метро Шипиловская
График работы

Пн-Сб с 8:00 до 21:00
Вс с 9:00 до 19:00

МЕТРО РЯДОМ С НАМИ
  • Борисово
  • Красногвардейская

Лечение миопатии на Шипиловской

Что такое миопатия и каковы ее причины?

Миопатией называют совокупность симптомов, возникающих в результате повреждения мышц. В отличие от заболеваний периферической нервной системы, (при которых мышцы также повреждены, но это связано с предшествующим повреждением снабжающих их нервов), при миопатиях болезненный процесс локализуется в самой мышце.

Записаться на прием
Специалисты
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	<li>Кировский государственный медицинский университет (нефрология) (2015 г.).</li>
	<li>Кировский государственный медицинский университет (неврология) (2017 г.).</li>
	<li>Кировский государственный медицинский университет (хирургия) (2017 г.).</li>
	<li>Кировский государственный медицинский университет (ревматология) (2018 г.).</li>
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  • Кировский государственный медицинский университет (ультразвуковая диагностика) (2014 г.).
    • 
	
  • Кировский государственный медицинский университет (нефрология) (2015 г.).
    • 
	
  • Кировский государственный медицинский университет (неврология) (2017 г.).
    • 
	
  • Кировский государственный медицинский университет (хирургия) (2017 г.).
    • 
	
  • Кировский государственный медицинский университет (ревматология) (2018 г.).
    • 


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	 Зеленов Василий Алексеевич работает в сфере ревматологии и неврологии. Неврологи работают со всевозможными патологиями нервной системы. Диагностировать их удастся уже на начальных этапах, вовремя заметив появление таких симптомов, как внезапная потеря сознания, шум в ушах, скачки внутричерепного давления, дискомфорт в области позвоночника, головокружение, мигрени или частые головные боли.
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	 Василий Зеленов проанализирует все необходимые данные для постановки диагноза, а затем сформирует формат терапии в зависимости от вашего текущего состояния.
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	 Занимается диагностикой и лечением:
</p>
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	<li>различных заболеваний ревматологического профиля;</li>
	<li>системных заболеваний соединительной ткани (системная склеродермия, перекрестные формы склеродермии, диффузный эозинофильный фасциит, склеродемой Бушке, очаговая склеродермия, дермато-полимиозит, синдромом Рейно, ревматоидный артрит, системная красная волчанка, системные васкулиты, анкилозирующий спондилоартрит, остеоартроз, реактивные артриты и др.).</li>
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	 Зеленов Василий Алексеевич работает в сфере ревматологии и неврологии. Неврологи работают со всевозможными патологиями нервной системы. Диагностировать их удастся уже на начальных этапах, вовремя заметив появление таких симптомов, как внезапная потеря сознания, шум в ушах, скачки внутричерепного давления, дискомфорт в области позвоночника, головокружение, мигрени или частые головные боли.




	 Василий Зеленов проанализирует все необходимые данные для постановки диагноза, а затем сформирует формат терапии в зависимости от вашего текущего состояния.




	 Занимается диагностикой и лечением:



    
	
  • различных заболеваний ревматологического профиля;
    • 
	
  • системных заболеваний соединительной ткани (системная склеродермия, перекрестные формы склеродермии, диффузный эозинофильный фасциит, склеродемой Бушке, очаговая склеродермия, дермато-полимиозит, синдромом Рейно, ревматоидный артрит, системная красная волчанка, системные васкулиты, анкилозирующий спондилоартрит, остеоартроз, реактивные артриты и др.).
    • 


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Зеленов Василий Алексеевич
Невролог, Ревматолог

Клиника Шипиловская
Записаться на прием
Зеленов Василий Алексеевич
Невролог, Ревматолог
Клиника в Шипиловская

Общая информация

Стаж: 18 лет

Образование:
2006 г. - Кировский государственный медицинский университет (лечебное дело)

Записаться на прием 
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	<li>2014 г. — повышение квалификации по программе «Экстрапирамидные расстройства. Клиника, диагностика и лечение»</li>
	<li>2010 г. — повышение квалификации по программе «Ботулинотерапия в медицинской практике»</li>
	<li>2010 г. — повышение квалификации по программе «Экстрапирамидная патология»</li>
	<li>2011 г. — ГАУ ДПО «Институт усовершенствования врачей», профессиональная переподготовка по специальности «Анестезиология и реаниматология»</li>
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  • 2014 г. — повышение квалификации по программе «Экстрапирамидные расстройства. Клиника, диагностика и лечение»
    • 
	
  • 2010 г. — повышение квалификации по программе «Ботулинотерапия в медицинской практике»
    • 
	
  • 2010 г. — повышение квалификации по программе «Экстрапирамидная патология»
    • 
	
  • 2011 г. — ГАУ ДПО «Институт усовершенствования врачей», профессиональная переподготовка по специальности «Анестезиология и реаниматология»
    • 


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	 Ведет прием с 1 года
</p>
<p>
	 Специализируется на диагностике, лечении, профилактике и реабилитации заболеваний, затрагивающих периферическую и центральную нервную систему, а также патологий, связанных с опорно-двигательным аппаратом и сопровождающихся неврологической симптоматикой.
</p>
<p>
	 Занимается сбором анамнеза, проведением неврологического обследования, назначением необходимых дополнительных и инструментальных методов диагностики, разработкой индивидуальной схемы лечебной терапии и реабилитационных мероприятий.
</p>
<p>
	Владеет следующими методиками:
</p>
<ul>
	<li>люмбальная пункция</li>
	<li>лечебные блокады (паравертебральные, сакральные, фасеточные)</li>
	<li>инъекции ботулотоксина типа А (диспорт, ксеомин, ботокс, лантокс) при любой нозологии, в том числе под КТ, УЗИ, ЭНМГ, ФГС</li>
	<li>мезотерапия</li>
	<li>ботулинотерапия</li>
</ul>
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	 Ведет прием с 1 года




	 Специализируется на диагностике, лечении, профилактике и реабилитации заболеваний, затрагивающих периферическую и центральную нервную систему, а также патологий, связанных с опорно-двигательным аппаратом и сопровождающихся неврологической симптоматикой.




	 Занимается сбором анамнеза, проведением неврологического обследования, назначением необходимых дополнительных и инструментальных методов диагностики, разработкой индивидуальной схемы лечебной терапии и реабилитационных мероприятий.




	Владеет следующими методиками:



    
	
  • люмбальная пункция
    • 
	
  • лечебные блокады (паравертебральные, сакральные, фасеточные)
    • 
	
  • инъекции ботулотоксина типа А (диспорт, ксеомин, ботокс, лантокс) при любой нозологии, в том числе под КТ, УЗИ, ЭНМГ, ФГС
    • 
	
  • мезотерапия
    • 
	
  • ботулинотерапия
    • 


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Мокина Татьяна Владимировна
Невролог, Детский невролог

Клиника Шипиловская
Записаться на прием
Мокина Татьяна Владимировна
Невролог, Детский невролог
Клиника в Шипиловская

Общая информация

Стаж: 18 лет

Образование:
2014 г. — ГАУ ДПО «Институт усовершенствования врачей», ординатура по специальности «Анестезиолог...

Записаться на прием 
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	<li>2020 "Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)", Портал непрерывного медицинского и фармацевтического образования<br>
 </li>
	<li>2020 "Неврология", Российский национальный исследовательский медицинский университет имени Н.И. Пирогова<br>
 </li>
	<li>2019 "Организация здравоохранения и общественное здоровье", Российская медицинская академия непрерывного профессионального образования</li>
	<li>2022 "Методики локальной инъекционной терапии болевых синдромов осевого скелета", Первый Санкт-Петербургский государственный медицинский университет им. И.П. Павлова<br>
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  • 2020 "Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)", Портал непрерывного медицинского и фармацевтического образования
    
 
    • 
	
  • 2020 "Неврология", Российский национальный исследовательский медицинский университет имени Н.И. Пирогова
    
 
    • 
	
  • 2019 "Организация здравоохранения и общественное здоровье", Российская медицинская академия непрерывного профессионального образования
    • 
	
  • 2022 "Методики локальной инъекционной терапии болевых синдромов осевого скелета", Первый Санкт-Петербургский государственный медицинский университет им. И.П. Павлова
    
 
    
 
    • 


 

 

 

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<ul>
	<li>2021<br>
	 Врач-невролог, Клиника здорового позвоночника "Здравствуй!" Москва<br>
 <br>
 </li>
	<li>2018-2021<br>
	 Заведующая неврологическим отделением, ЦКБ Москва<br>
 <br>
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	 Врач-невролог, ГКБ №55 (в последующем ОКД 1 филиал №1) Москва<br>
 <br>
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	<li>2010-2015<br>
	 Врач-невролог, Детский оздоровительный лагерь «Юный ленинец» Горловка, Московская обл.<br>
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  • 2021
    
	 Врач-невролог, Клиника здорового позвоночника "Здравствуй!" Москва
    
 
    
 
    • 
	
  • 2018-2021
    
	 Заведующая неврологическим отделением, ЦКБ Москва
    
 
    
 
    • 
	
  • 2015-2018
    
	 Врач-невролог, ГКБ №55 (в последующем ОКД 1 филиал №1) Москва
    
 
    
 
    • 
	
  • 2010-2015
    
	 Врач-невролог, Детский оздоровительный лагерь «Юный ленинец» Горловка, Московская обл.
    
 
    
 
    • 


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	<li>ишемический, геморрагический инсульт;</li>
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  • Остеохондроз;
    • 
	
  • межпозвоночная грыжа, ущемление спинномозгового нерва, радикулит, спондилёз;
    • 
	
  • ишемический, геморрагический инсульт;
    • 
	
  • бессонница;
    • 
	
  • менингит, миелит, полиомиелит;
    • 
	
  • проводит диагностику;
    • 
	
  • мигрень, невралгия, рассеянный склероз;
    • 
	
  • болезнь Паркинсона, Альцгеймера;
    • 
	
  • гидроцефалия, повышенное внутричерепное давление;
    • 
	
  • миопатия;
    • 
	
  • проведение консультативных приемов, осмотр пациента, назначение лечения.
    • 


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Сергеева Наталья Анатольевна
Невролог

Орехово, Шипиловская
Записаться на прием
Сергеева Наталья Анатольевна
Невролог
Домодедовская, Орехово, Шипиловская

Общая информация

Стаж: 29 лет

Образование:
1998 Ординатура по специальности "Неврология", Смоленская государственная медицинская академия ...

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Наш центр поможет подобрать оптимальное обследование и назначить правильное лечение для жителей района:

Лечение миопатии у метро Борисово
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Лечение миопатии у метро Красногвардейская
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Миопатии представляют собой очень большую группу заболеваний с различными причинами, разным течением и прогнозом. Общей чертой является мышечная слабость - поражение мышц бедер и рук, хотя мышцы лица также могут быть ослаблены. Сенсорные расстройства при миопатиях не встречаются. Мышечная слабость обычно двусторонняя и симметричная с самого начала, то есть сходна с обеих сторон тела - левой и правой.

Миопатии могут быть генетическими или приобретенными. Генетически обусловленные миопатии включают, например, мышечные дистрофии, которые характеризуются аномальной структурой мышечных клеток (например, из-за врожденного недостатка любого из его компонентов). С другой стороны, приобретенные миопатии имеют воспаление (воспалительные миопатии), могут сопровождать эндокринные заболевания (например, гипотиреоз), а также могут возникать в результате повреждения мышц некоторыми лекарственными средствами или токсичными соединениями (например, алкоголем).

Насколько распространена миопатия?

Термин «миопатия» очень широк и охватывает множество различных заболеваний. Поэтому общую заболеваемость миопатией трудно определить. Как правило, миопатии являются редкими заболеваниями.

Как проявляется миопатия?
Основным симптомом миопатии является мышечная слабость. Чаще всего это касается мышц бедер и рук - пациентам, например, трудно подниматься по лестнице, вставать из положения сидя, сидеть или выполнять действия с поднятыми руками (например, повесить шторы или делать прическу). Мышечная слабость может сопровождаться болью. При некоторых миопатиях участвуют мышцы лица или горла. Может быть опущение век, снижение подвижности глазных яблок, невнятная речь, затрудненное глотание. Иногда мышцы шеи слабые - тогда не держится голова. При некоторых миопатиях может возникнуть слабость дыхательных мышц, приводящая к одышке. Иногда при миопатиях наблюдаются проблемы с расслаблением мышц, например, пациент не может быстро разжать пальцы после сжимания кулака. При прогрессирующих и длительных миопатиях возникает атрофия мышц. Эти симптомы могут сопровождаться признаками повреждения других тканей и органов вне мышечной системы.

Что делать, если появились симптомы миопатии (слабости в конечностях)?


Если замечены какие-либо симптомы, которые могут указывать на миопатию, нужно обратиться к врачу общей практики или терапевту, который затем направит пациента к специалисту, обычно неврологу. Если симптомы длятся недолго (к примеру, несколько недель) и быстро нарастают, следует как можно скорее прийти к врачу.

Как врач диагностирует миопатию?

Врач собирает историю болезни пациента и проводит тест, который обычно показывает парез мышц (бедра, руки, иногда лица), иногда также ослабление рефлексов, вызванных при постукивании с помощью неврологического молотка. Затем он заказывает дополнительные тесты. Обычно это лабораторные анализы крови, в том числе уровни электролита, ТТГ, воспаления и креатинкиназы. Это чувствительный показатель разрушения мышц, и его уровень повышается у большинства пациентов с миопатией. Он также может быть увеличен при заболеваниях, когда повреждение мышц вызвано повреждением нервов, таких как боковой амиотрофический склероз или полинейропатия, а иногда и у здоровых людей, например, после физической нагрузки или травмы мышц. Электромиография (ЭМГ) является еще одним дополнительным тестом, важным для диагностики. ЭМГ позволяет подтвердить миопатию или указывает на другое заболевание, которое вызывает аналогичные симптомы. Окончательный диагноз миопатии, то есть определение ее типа и причины, чаще всего возможен после теста среза мышечной ткани (для этой цели берут маленький фрагмент ткани под местной анестезией для микроскопического исследования) или генетического анализа из образца крови, взятого у пациента. Генетическое тестирование проводится только для некоторых генетических миопатий.

Как лечить миопатию?

Как и в случае с полиневропатией, можно выделить причинно-следственное и симптоматическое лечение. Возможно причинное лечение, например, при воспалительных миопатиях. В этих случаях используются глюкокортикоиды (стероидные гормоны), иммунодепрессанты или внутривенные иммуноглобулины. Причинное лечение миопатии, возникающей при эндокринных заболеваниях (например, заболевание щитовидной железы, гиперпаратиреоз или гиперадренокортицизм), включает лечение гормональных нарушений. При лекарственной или токсической миопатии нужно попытаться перестать принимать лекарство или прекратить воздействие токсического соединения, которое вызвало повреждение мышц. В редких случаях генетической миопатии, суть которой заключается в отсутствии одного из ферментов, необходимых для правильного функционирования мышц, возможно причинное лечение в виде введения недостающего фермента.

Симптоматическое лечение - это прежде всего реабилитация. В случае, если для пациента с быстрым мышечным расслаблением возникают обременительные трудности, фармакологическое лечение используется для смягчения этого симптома. При некоторых заболеваниях мышц поражаются другие органы, такие как сердечная мышца. Тогда для пациентов важно регулярно проходить осмотры у кардиолога. Кроме того, генетическое консультирование следует давать пациентам с генетической миопатией.

Можно ли полностью вылечить миопатию?

При генетических миопатиях полное выздоровление невозможно. Прогноз для приобретенных миопатий зависит от их причины: например, при воспалительных миопатиях мышечная сила обычно улучшается после начала лечения, а в миопатии, вызванной гормональными нарушениями, мышечные симптомы обычно исчезают после излечения основного заболевания.

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