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            [TEXT] => Лечение гемангиомы
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    [29] => Array
        (
            [TEXT] => Антивозрастная физиотерапия
            [LINK] => /services/antivozrastnaya-fizioterapiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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                    [0] => Антивозрастная физиотерапия
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            [DEPTH_LEVEL] => 1
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    [30] => Array
        (
            [TEXT] => Поверхностная шлифовка лица
            [LINK] => /services/antivozrastnaya-fizioterapiya/shlifovka/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/shlifovka/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 30
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Поверхностная шлифовка лица
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [31] => Array
        (
            [TEXT] => Плазмолифтинг
            [LINK] => /services/antivozrastnaya-fizioterapiya/plazmolifting/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/plazmolifting/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 31
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Плазмолифтинг
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [32] => Array
        (
            [TEXT] => Устранение мимических морщин
            [LINK] => /services/antivozrastnaya-fizioterapiya/morshhiny/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/morshhiny/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 32
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Устранение мимических морщин
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [33] => Array
        (
            [TEXT] => Механическая алмазная микродермабразия
            [LINK] => /services/antivozrastnaya-fizioterapiya/mikrodermabraziya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/mikrodermabraziya/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 33
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Механическая алмазная микродермабразия
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [34] => Array
        (
            [TEXT] => Мезотерапия
            [LINK] => /services/antivozrastnaya-fizioterapiya/mezoterapiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/mezoterapiya/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 34
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Мезотерапия
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [35] => Array
        (
            [TEXT] => Карбоновый пиллинг
            [LINK] => /services/antivozrastnaya-fizioterapiya/karbonovyy-pilling/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/karbonovyy-pilling/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 35
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Карбоновый пиллинг
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [36] => Array
        (
            [TEXT] => Коррекция объема и формы губ
            [LINK] => /services/antivozrastnaya-fizioterapiya/guby/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/guby/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 36
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Коррекция объема и формы губ
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [37] => Array
        (
            [TEXT] => Лечение гипергидроза
            [LINK] => /services/antivozrastnaya-fizioterapiya/gipergidroz/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/gipergidroz/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 37
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение гипергидроза
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [38] => Array
        (
            [TEXT] => Фотоомолаживание кожи
            [LINK] => /services/antivozrastnaya-fizioterapiya/fotoomolozhenie/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/fotoomolozhenie/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 38
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Фотоомолаживание кожи
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [39] => Array
        (
            [TEXT] => Биоревитализация
            [LINK] => /services/antivozrastnaya-fizioterapiya/biorevitalizaciya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/biorevitalizaciya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 39
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Биоревитализация
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [40] => Array
        (
            [TEXT] => Безинъекционная мезотерапия
            [LINK] => /services/antivozrastnaya-fizioterapiya/bezinekcionnaya-mezoterapiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/bezinekcionnaya-mezoterapiya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 40
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Безинъекционная мезотерапия
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [41] => Array
        (
            [TEXT] => Восстановление иммунитета
            [LINK] => /services/vosstanovlenie-immuniteta/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/vosstanovlenie-immuniteta/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 41
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 1
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            [CHAIN] => Array
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                    [0] => Восстановление иммунитета
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            [DEPTH_LEVEL] => 1
            [IS_PARENT] => 1
        )

    [42] => Array
        (
            [TEXT] => Аллергический ринит
            [LINK] => /services/immunologiya-i-allergologiya/allergicheskiy-rinit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 42
            [PARAMS] => Array
                (
                    [SHITTY] => 1
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Аллергический ринит
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [43] => Array
        (
            [TEXT] => Гинекология
            [LINK] => /services/ginekologiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 43
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 1
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            [CHAIN] => Array
                (
                    [0] => Гинекология
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            [DEPTH_LEVEL] => 1
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    [44] => Array
        (
            [TEXT] => Лечение вульвовагинита
            [LINK] => /services/ginekologiya/vulvovaginit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/vulvovaginit/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 44
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Лечение вульвовагинита
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [45] => Array
        (
            [TEXT] => Лечение вульвита
            [LINK] => /services/ginekologiya/vulvit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/vulvit/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 45
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение вульвита
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [46] => Array
        (
            [TEXT] => Лечение вагинита
            [LINK] => /services/ginekologiya/vaginit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/vaginit/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 46
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение вагинита
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [47] => Array
        (
            [TEXT] => Лечение спаек
            [LINK] => /services/ginekologiya/spajki-prichina-besplodiya.-spajki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/spajki-prichina-besplodiya.-spajki/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 47
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение спаек
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [48] => Array
        (
            [TEXT] => Лечение сальпингоофорита (аднексита)
            [LINK] => /services/ginekologiya/salpingooforit-adneksit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/salpingooforit-adneksit/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 48
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение сальпингоофорита (аднексита)
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [49] => Array
        (
            [TEXT] => Плазмолифтинг в гинекологии
            [LINK] => /services/ginekologiya/plazmolifting-v-ginekologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/plazmolifting-v-ginekologii/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 49
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Плазмолифтинг в гинекологии
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [50] => Array
        (
            [TEXT] => Фотодинамическая терапия в гинекологии
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 50
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Фотодинамическая терапия в гинекологии
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 1
        )

    [51] => Array
        (
            [TEXT] => Лечение лейкоплакии вульвы и шейки матки
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/lechenie-leykoplakii-s-pomoshchyu-fdt/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/lechenie-leykoplakii-s-pomoshchyu-fdt/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 51
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лечение лейкоплакии вульвы и шейки матки
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [52] => Array
        (
            [TEXT] => Фотодинамическая терапия вульвы
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-vulvy/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-vulvy/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 52
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Фотодинамическая терапия вульвы
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [53] => Array
        (
            [TEXT] => Фотодинамическая терапия шейки матки
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-sheyki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-sheyki-matki/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 53
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Фотодинамическая терапия шейки матки
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [54] => Array
        (
            [TEXT] => Лечение оофорита
            [LINK] => /services/ginekologiya/ooforit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/ooforit/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 54
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение оофорита
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [55] => Array
        (
            [TEXT] => Лечение миомы матки
            [LINK] => /services/ginekologiya/mioma-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/mioma-matki/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 55
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение миомы матки
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [56] => Array
        (
            [TEXT] => Лечение лейкоплакии
            [LINK] => /services/ginekologiya/lejkoplakiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/lejkoplakiya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 56
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение лейкоплакии
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 1
        )

    [57] => Array
        (
            [TEXT] => Лейкоплакия вульвы
            [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-vulvy/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/lejkoplakiya/leykoplakiya-vulvy/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 57
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лейкоплакия вульвы
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [58] => Array
        (
            [TEXT] => Лейкоплакия шейки матки
            [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-sheyki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/lejkoplakiya/leykoplakiya-sheyki-matki/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 58
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лейкоплакия шейки матки
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [59] => Array
        (
            [TEXT] => Лазерная терапия в гинекологии
            [LINK] => /services/ginekologiya/lazernaya-terapiya-v-ginekologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/lazernaya-terapiya-v-ginekologii/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 59
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лазерная терапия в гинекологии
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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            [PERMISSION] => R
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            [DEPTH_LEVEL] => 2
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    [61] => Array
        (
            [TEXT] => Лечение эрозия шейки матки
            [LINK] => /services/ginekologiya/eroziya-shejki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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        )

    [62] => Array
        (
            [TEXT] => Лечение эндометрита
            [LINK] => /services/ginekologiya/endometrit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/endometrit/
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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                    [0] => Лечение эндометрита
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    [63] => Array
        (
            [TEXT] => Лечение эндоцервицита (цервицита)
            [LINK] => /services/ginekologiya/endocervicit-cervicit/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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    [64] => Array
        (
            [TEXT] => Лечение дисплазии шейки матки
            [LINK] => /services/ginekologiya/displaziya-shejki-matki/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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        (
            [TEXT] => Лечение бартолинита
            [LINK] => /services/ginekologiya/bartolinit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/bartolinit/
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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                    [0] => Лечение бартолинита
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            [DEPTH_LEVEL] => 2
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    [66] => Array
        (
            [TEXT] => Лечение бактериального вагиноза
            [LINK] => /services/ginekologiya/bakterialnyj-vaginoz/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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                    [0] => Лечение бактериального вагиноза
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            [DEPTH_LEVEL] => 2
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        (
            [TEXT] => Диагностика аппаратная
            [LINK] => /services/diagnostika-apparatnaya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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                    [0] => Диагностика аппаратная
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    [68] => Array
        (
            [TEXT] => Видеокольпоскопия
            [LINK] => /services/diagnostika-apparatnaya/videokolposkopiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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                    [0] => Видеокольпоскопия
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            [DEPTH_LEVEL] => 2
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        (
            [TEXT] => Спектрально-флюоресцентная диагностика
            [LINK] => /services/diagnostika-apparatnaya/spektralno-flyuorescentnaya-diagnostika/
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            [PERMISSION] => R
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                    [FROM_IBLOCK] => 1
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                    [0] => Спектрально-флюоресцентная диагностика
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            [DEPTH_LEVEL] => 2
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        (
            [TEXT] => Кардиовизор
            [LINK] => /services/diagnostika-apparatnaya/kardiovizor/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/diagnostika-apparatnaya/kardiovizor/
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                    [0] => Кардиовизор
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            [DEPTH_LEVEL] => 2
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    [71] => Array
        (
            [TEXT] => Функциональная компьютерная диагностика
            [LINK] => /services/diagnostika-apparatnaya/funkcionalnaya-kompyuternaya-diagnostika/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [TEXT] => Дерматоскопия
            [LINK] => /services/diagnostika-apparatnaya/dermatoskopiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => Дерматоскопия
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            [DEPTH_LEVEL] => 2
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    [73] => Array
        (
            [TEXT] => Избавление от татуировок и татуажа
            [LINK] => /services/izbavlenie-ot-tatuirovok-i-tatuazha/
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            [PERMISSION] => R
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                    [FROM_IBLOCK] => 1
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    [74] => Array
        (
            [TEXT] => Реабилитация после травм и операций
            [LINK] => /services/reabilitaciya-posle-travm-i-operacij/
            [SELECTED] => 
            [PERMISSION] => R
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                    [0] => /services/reabilitaciya-posle-travm-i-operacij/
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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                    [0] => Реабилитация после травм и операций
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        (
            [TEXT] => Фотодинамическая терапия
            [LINK] => /services/fotodinamicheskaya-terapiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => Фотодинамическая терапия
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        (
            [TEXT] => Фотодинамическая терапия в онкологии
            [LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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                    [SHITTY] => 1
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    [77] => Array
        (
            [TEXT] => Фотодинамическая терапия в гинекологии
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
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            [ITEM_TYPE] => D
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                    [SHITTY] => 1
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    [78] => Array
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            [TEXT] => Фотодинамическая терапия в стоматологии
            [LINK] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-stomatologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-stomatologii/
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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                    [0] => Фотодинамическая терапия в стоматологии
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            [DEPTH_LEVEL] => 2
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    [79] => Array
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            [TEXT] => Фотодинамическая терапия в дерматологии
            [LINK] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-dermatologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-dermatologii/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 79
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                    [FROM_IBLOCK] => 1
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            [DEPTH_LEVEL] => 2
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    [80] => Array
        (
            [TEXT] => Неврология
            [LINK] => /services/nevrologiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/nevrologiya/
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            [ITEM_TYPE] => D
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                    [0] => Неврология
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    [81] => Array
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            [TEXT] => Озонотерапия
            [LINK] => /services/ozonoterapiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ozonoterapiya/
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
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                    [0] => Озонотерапия
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    [82] => Array
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            [TEXT] => Озонотерапия в гинекологии
            [LINK] => /services/ozonoterapiya/ozonoterapiya-v-ginekologii/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] => Озонотерапия в гинекологии
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            [DEPTH_LEVEL] => 2
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    [83] => Array
        (
            [TEXT] => Восстановление легких после Covid-19
            [LINK] => /services/ozonoterapiya/vosstanovlenie-legkikh-posle-covid-19/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ozonoterapiya/vosstanovlenie-legkikh-posle-covid-19/
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                    [0] => Восстановление легких после Covid-19
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            [TEXT] => Лечение легких после пневмонии
            [LINK] => /services/ozonoterapiya/lechenie-legkikh-posle-pnevmonii/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ozonoterapiya/lechenie-legkikh-posle-pnevmonii/
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                    [FROM_IBLOCK] => 1
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                    [0] => Лечение легких после пневмонии
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    [85] => Array
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            [TEXT] => Озонотерапия внутренних органов
            [LINK] => /services/ozonoterapiya/ozonoterapiya-vnutrennikh-organov/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ozonoterapiya/ozonoterapiya-vnutrennikh-organov/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 85
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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            [DEPTH_LEVEL] => 2
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    [86] => Array
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            [TEXT] => Кислородная терапия
            [LINK] => /services/kislorodnaya-terapiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/kislorodnaya-terapiya/
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            [ITEM_INDEX] => 86
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                    [0] => Кислородная терапия
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            [DEPTH_LEVEL] => 1
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    [87] => Array
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            [TEXT] => Комплексное лечение
            [LINK] => /services/kompleksnoe-lechenie/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/kompleksnoe-lechenie/
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    [88] => Array
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            [TEXT] => Лазерная терапия
            [LINK] => /services/lazernaya-terapiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
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    [89] => Array
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            [TEXT] => Лечение аллергии
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
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                    [0] => Лечение аллергии
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            [DEPTH_LEVEL] => 1
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    [90] => Array
        (
            [TEXT] => Аллергический ринит
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] => Аллергический ринит
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    [91] => Array
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            [TEXT] => Лечение онкологии
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            [PERMISSION] => R
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                (
                    [0] => /services/onkologiya/
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            [PERMISSION] => R
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] =>  Лечение рака желудка
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 94
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            [CHAIN] => Array
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                    [0] =>  Лечение рака легких
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [95] => Array
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
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            [IS_PARENT] => 
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/onkologiya/rak-pochki/
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                (
                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
                (
                    [0] =>  Лечение рака почки
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

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        (
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            [LINK] => /services/onkologiya/rak-tolstogo-kishechnika/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/onkologiya/rak-tolstogo-kishechnika/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 97
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] =>  Лечение рака толстого кишечника
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [98] => Array
        (
            [TEXT] =>  Лечение рака шейки и тела матки, опухоли яичников
            [LINK] => /services/onkologiya/rak-sheyki-i-tela-matki-opukholi-yaichnikov/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/onkologiya/rak-sheyki-i-tela-matki-opukholi-yaichnikov/
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            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] =>  Лечение рака шейки и тела матки, опухоли яичников
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    [99] => Array
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            [PERMISSION] => R
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            [CHAIN] => Array
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            [DEPTH_LEVEL] => 2
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            [PERMISSION] => R
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            [DEPTH_LEVEL] => 2
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    [101] => Array
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            [TEXT] => Лечение рака пищевода
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
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            [CHAIN] => Array
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                    [0] => Лечение рака пищевода
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            [DEPTH_LEVEL] => 3
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    [102] => Array
        (
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
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            [PARAMS] => Array
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            [CHAIN] => Array
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            [DEPTH_LEVEL] => 3
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            [DEPTH_LEVEL] => 3
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        )

    [104] => Array
        (
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [105] => Array
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            [LINK] => /services/onkologiya/rak-predstatelnoy-zhelezy/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/onkologiya/rak-predstatelnoy-zhelezy/
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            [CHAIN] => Array
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                    [0] => Рак предстательной железы
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [106] => Array
        (
            [TEXT] => Лечение меланомы
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
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                    [0] => Лечение меланомы
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [107] => Array
        (
            [TEXT] => Базалиома. Базальноклеточный рак
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/onkologiya/fotodinamicheskaya-terapiya/bazalioma-bazalnokletochnyy-rak/
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
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    [108] => Array
        (
            [TEXT] => Лечение табакокурения у женщин
            [LINK] => /services/lechenie-ot-kureniya/lechenie-tabakokureniya-u-zhenshchin/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/lechenie-ot-kureniya/lechenie-tabakokureniya-u-zhenshchin/
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            [DEPTH_LEVEL] => 2
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    [109] => Array
        (
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            [PERMISSION] => R
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            [CHAIN] => Array
                (
                    [0] => Базалиома. Базальноклеточный рак
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [110] => Array
        (
            [TEXT] => Лечение рака печени
            [LINK] => /services/onkologiya/rak-pecheni/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/onkologiya/rak-pecheni/
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            [CHAIN] => Array
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                    [0] => Лечение рака печени
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [111] => Array
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            [TEXT] => Лечение рака пищевода
            [LINK] => /services/onkologiya/rak-pishchevoda/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/onkologiya/rak-pishchevoda/
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
                (
                    [0] => Лечение рака пищевода
                )

            [DEPTH_LEVEL] => 2
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    [112] => Array
        (
            [TEXT] => Онкоиммунология
            [LINK] => /services/onkologiya/onkoimmunologiya/
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            [PERMISSION] => R
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    [113] => Array
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            [LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/rak-kozhi/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
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                    [0] => Лечение рака кожи
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    [114] => Array
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            [TEXT] => Hidden
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            [ADDITIONAL_LINKS] => Array
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                    [0] => /hidden/
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            [CHAIN] => Array
                (
                    [0] => Hidden
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            [DEPTH_LEVEL] => 3
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    [115] => Array
        (
            [TEXT] => Лечение позвоночника и суставов
            [LINK] => /services/lechenie-pozvonochnika-i-sustavov/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
                (
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            [DEPTH_LEVEL] => 1
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    [116] => Array
        (
            [TEXT] => Лечение позвоночника и суставов
            [LINK] => /services/lechenie-pozvonochnika-i-sustavov/oporno-dvigatelnyj-apparat/
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            [ADDITIONAL_LINKS] => Array
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            [DEPTH_LEVEL] => 2
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    [117] => Array
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            [TEXT] => Лечение артроза
            [LINK] => /services/lechenie-pozvonochnika-i-sustavov/oporno-dvigatelnyj-apparat/lechenie-artroza/
            [SELECTED] => 
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                    [0] => Лечение артроза
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            [SELECTED] => 
            [PERMISSION] => R
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)

Гипертрофия аденоидов

гипертрофия аденоидовГипертрофия аденоидов — это патологическое разрастание лимфатической ткани. Другими словами, миндалины увеличиваются в размерах и не способны выполнять свои защитные функции. Поводов к этому может быть несколько, но не все они связаны с инфекцией.

Причины

Часто это заболевание обнаруживается у детей. В дошкольном возрасте аденоиды только начинают формироваться и правильно работать. Обычно во взрослом состоянии они атрофируются.

Так почему возникает заболевание? Есть несколько факторов:

  • Генетическая предрасположенность. Если родители имеют проблему с увеличенными или больными аденоидами, то и ребёнку передаётся такая патология.

  • Ослабление иммунитета, местного или общего. Тогда организм атакуют различные патогены. Аденоиды просто не справляются с нагрузкой. Ткани органа увеличиваются за счет разрастания лимфоидной ткани и воспаляются.

  • Снижение иммунитета.

  • Аллергические реакции.

  • Условия проживания. Например, негативные последствия могут возникнуть, если температура в помещении будет повышена и воздух будет пересушен. Снижается местный иммунитет, и человек будет часто болеть простудными инфекциями.

  • Вирусы герпеса: Эпштейна-Барр и Цитомегаловирус. Они атакуют именно лимфатическую ткань.

  • Хронические болезни носоглотки.

  • Перенесенные инфекции: корь, коклюш, скарлатина и др.

Степени заболевания

  • 1 ст. При такой форме увеличенные аденоиды перекрывают носовые ходы на ⅓.

  • 2 ст. Гипертрофированная лимфоидная ткань уже наполовину закрывает носовые ходы.

  • 3 ст. Полное перекрывание носовых ходов.

гипертрофия аденоидов степени заболевания

Симптомы

Развитие клинических признаков заболевания напрямую зависит от степени выраженности проблемы. Патология может себя ничем существенным не показывать, а может и иметь яркую симптоматику.

  • При насморке — большое количество выделений из носа гнойного содержимого. При этом патология носит затяжной характер.

  • Кашель. Особенно по ночам.

  • Бессонница.

  • Быстрая утомляемость и снижение внимания.

  • Затрудненное дыхание. При полном перекрытии носовых ходов — невозможность дышать носом. Храп.

  • Головные боли из-за недостатка кислорода клетками головного мозга.

  • Глухота. Разросшаяся лимфоидная ткань может перекрыть слуховые ходы.

  • На фоне спада иммунитета возникают постоянные простуды и другие инфекции.

  • Изменение черт лица: оно становится вытянутым, рот приоткрывается и верхняя челюсть делается длиннее, передние зубы немного выходят вперёд.

  • Деформация грудной клетки. Грудина заметно выступает.


Последствия

Важно понимать, что нужно тщательно следить за своим здоровьем и не откладывать лечение, даже при незначительных изменениях в размере миндалин. Если игнорировать заболевание даже на ранних стадиях, то это может привести к серьезным осложнениям:

  • Отиты. Возможен разрыв барабанной перепонки.

  • Бронхиты.

  • Трахеиты.

  • Инфекционные заболевания на фоне снижения иммунитета.

  • Гаймориты.

  • Синуситы.

  • Тугоухость.

  • Нарушение сна.

  • Снижение концентрации внимания.

  • Усталость.

осложнения при гипертрофии аденоидов

Диагностика

Диагноз устанавливается комплексно. Врач проводит осмотр и необходимые исследования:

  • Эндоскопия. Определяют степень патологии, выраженность воспалительной реакции и состояние слизистой оболочки.

  • Компьютерная томография. Оценивается костная и мышечная ткань.

  • При необходимости делаются исследование крови на вирус Эпштейна-Барр.

  • Проводятся аллергопробы, если есть подозрения на аллергическую природу заболевания.

  • Анализ бактериологического посева носовых выделений.

  • Исследование слухового аппарата.

Методы лечения

Лечение патологии может быть консервативным и оперативным. Полное удаление миндалин возможно лишь при большом разрастании лимфоидной ткани.

Сущность консервативной терапии:

  • Витаминотерапия.

  • Физиопроцедуры.

  • Антигистаминные препараты.

  • Антибиотикотерапия (при необходимости).

  • Промывание антисептическими растворами.

  • Противовоспалительные средства.

  • Применение лекарств на основе серебра.

  • Сосудосуживающие капли или спреи.

  • Стимуляторы иммунитета.

В клинике «Лазер и Здоровье» на протяжении многих лет очень успешно применяется метод комбинированной лазерной терапии, направленный как на лечение самих аденоидов, так и на противоаллергическое, иммуновосстанавливающее, противовоспалительное и противоотечное действия.

Прием ведут:

Юсупов Азат Салихович

Директор клиники, врач-специалист лазерной медицины, врач-онколог высшей категории, доктор медицинских наук, профессор. Стаж работы более 45 лет.

Читать подробнее
Самигуллин Артур Рависович

Врач-специалист лазерной медицины в области дерматологии, кожных образований, сосудистых заболеваний.

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Лечить или удалять?

Хирургическое лечение аденоидов показано лишь при 2-3 степени развития патологии. Но иногда операцию назначают и при 1 ст., если идет нарушение слуха.

Во многих случаях, комбинированная лазерная терапия позволяет избежать хирургического лечения.

Лечение лазерами безопасное, безболезненное, практически не имеет противопоказаний.

операция при гипертрофии аденоидов

Профилактика

Чтобы избежать заболевания, надо придерживаться ряда нестрогих правил. Это прежде всего повышение резистентности организма, особенно местного иммунитета. Также стоит не забывать, что нужно избегать неблагоприятных условий среды, для этого нужно проветривать помещение, увлажнять воздух, проводить уборку.

Стоит учесть, что необходимо:

  • избегать большого скопления людей, особенно во время эпидемий;

  • поменьше контактировать с больными;

  • важно сбалансировать питание;

  • избегать холодных напитков и еды.

Заболевание всегда легче предотвратить, чем лечить. Соблюдая несложные рекомендации, можно навсегда забыть про больные аденоиды.

Имеются противопоказания. Необходима консультация специалиста.

Что нужно для прохождения лечения?

  • Записаться на первичный прием к врачу для подбора индивидуального лечения гипертрофии аденоидов и достижения максимального эффекта. Запись на прием осуществляется по указанным на сайте телефонам.

  • Возьмите с собой на прием результаты всех ранее выполненных исследований, снимки, медицинские документы – т.е. все, что есть в наличии. Врачу будет важно понять целостную картину Вашего здоровья.

  • Наш врач подберет Вам наиболее эффективные методы лечения, учитывая все особенности Вашего организма и имеющиеся заболевания, подробно проинформирует о тактике лечения и ответит на все возникшие у вас вопросы.

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