{"cx1r0":{"state":{"headerProps":{"form":{"action":"/medicine/diabeticheskaja-nefropatija_yuzhno-sakhalinsk","searchLabel":"Bul","logo":{"href":"//yandex.com.tr","isForeign":true,"size":44}},"actions":{},"user":{"loggedIn":false,"ariaLabel":"Menü","plus":false,"birthdayHat":false,"child":false,"dialogProps":{"host":"yandex.com.tr","lang":"tr","project":"medicine","queryParams":{"exp_flags":"skin","preset":"oceania","utm_source":"medicine-app"},"retpath":"https%3A%2F%2Fgs.yandex.com.tr%2Fmedicine%2Fdiabeticheskaja-nefropatija_yuzhno-sakhalinsk%3Flr%3D213%26text%3D%25D0%259B%25D0%25B5%25D1%2587%25D0%25B5%25D0%25BD%25D0%25B8%25D0%25B5%2B%25D0%25B4%25D0%25B8%25D0%25B0%25D0%25B1%25D0%25B5%25D1%2582%25D0%25B8%25D1%2587%25D0%25B5%25D1%2581%25D0%25BA%25D0%25BE%25D0%25B9%2B%25D0%25BD%25D0%25B5%25D1%2584%25D1%2580%25D0%25BE%25D0%25BF%25D0%25B0%25D1%2582%25D0%25B8%25D0%25B8%2B%25D0%25B2%2B%25D1%258E%25D0%25B6%25D0%25BD%25D0%25BE-%25D1%2581%25D0%25B0%25D1%2585%25D0%25B0%25D0%25BB%25D0%25B8%25D0%25BD%25D1%2581%25D0%25BA%25D0%25B5%26unifilter%3DEoABGk8KD3Nfc3BlY2lhbF9za2lsbBI8KG5lZnJvbG9nfDB80JTQuNCw0LHQtdGC0LjRh9C10YHQutCw0Y8g0L3QtdGE0YDQvtC%252F0LDRgtC40Y8pGhwKEHNfc3BlY2lhbGl6YXRpb24SCG5lZnJvbG9nkgEOCghSZWdpb25JZBICODA%253D%26ncrnd%3D27030","tld":"com.tr","platform":"desktop"},"loginUrl":"https://passport.yandex.com.tr/auth?retpath=%2F&origin=serp_desktop_auth_new","loginText":"Giriş yap"},"navigation":{"tabs":[{"id":"search","label":"Arama","url":"//yandex.com.tr/search","params":{"text":"[$query]","site":"[$site]","source":"tabbar"}},{"id":"images","label":"Görsel","url":"//yandex.com.tr/gorsel/search","params":{"text":"[$query]","site":"[$site]","noreask":"[$noreask]","nomisspell":"[$nomisspell]","parent-reqid":"[$reqid]","from":"tabbar"}},{"id":"medicine","label":"Медицина","url":"//yandex.com.tr/medicine","params":{"lr":"[$lr]","from":"tabbar"},"target":"_self"},{"id":"video","label":"Video","url":"//yandex.com.tr/video/search","params":{"text":"[$query]","site":"[$site]","noreask":"[$noreask]","parent-reqid":"[$reqid]","from":"tabbar"}},{"id":"newstr","label":"Gündem","url":"//yandex.com.tr/gundem/search_external","params":{"text":"[$query]"}},{"id":"maps","label":"Haritalar","url":"//yandex.com.tr/harita","params":{"text":"[$query]","source":"serp_navig"}},{"id":"translate","label":"Çeviri","url":"//ceviri.yandex.com.tr","params":{"text":"[$query]","from":"tabbar"}}],"selectedTabId":"medicine"},"context":{"query":"Лечение диабетической нефропатии в южно-сахалинске","reqid":"1760557061981672-14287527766673065258-balancer-l7leveler-kubr-yp-vla-252-BAL","lr":"213","aliceDeeplink":"{\"text\":\"Лечение диабетической нефропатии в южно-сахалинске\"}","counters":{"type":"b","data":{"$header":"cx1rz000","logo":"cx1rz001","advanced-search":"cx1rz002","login":"cx1rz004","usermenu":"cx1rz005","market-cart":"cx1rz007","more-button":"cx1rz008","cbir":"cx1rz009","clear":"cx1rz00a","submit":"cx1rz00b","alice":"cx1rz00c","$navigation":"cx1rz00d","item":"cx1rz014","tab-search":"cx1rz00t","tab-images":"cx1rz00v","tab-medicine":"cx1rz00x","tab-video":"cx1rz00z","tab-newstr":"cx1rz011","tab-maps":"cx1rz013","tab-translate":"cx1rz015"}}},"loggedIn":false,"mix":{"outerContainer":["HeaderDesktop_tr"]},"suggestUrl":"/medicine/suggest","suggestPlaceholder":"Doktor, klinik, hizmet bul","suggestParams":{}},"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"cx1rw01-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"header"}}}}},"type":"unisearch/medicine","subtype":"header"},"cx1r1":{"state":{"snippetId":"reef_unisearch/medicine_list","title":"Лечение диабетической нефропатии","subtitle":"1 doktor","count":1,"countText":"1","countA11yLabel":"1 doktor","showMoreInfoA11yLabel":"Tüm doktorları listele","items":[{"ento":"0oChBkb2N3QUswY1p4eDdFUko3GAJCMdCa0LDQvSDQr9C90LAg0KHQtdGA0LPQtdC10LLQvdCwINC90LXRhNGA0L7Qu9C-0LOjTmo3","specializations":["нефролог"],"specializationsText":"Нефролог","features":["Deneyim: 5 yıl"],"photo":"https://avatars.mds.yandex.net/get-unisearch/5392786/medicine_DAbFRM5rtWGyqCTTvGGu/210x210face","descriptionSource":{"text":"НаПоправку","url":"https://napopravku.ru/yuzhno-sahalinsk/doctor-profile/kan-yana-sergeevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3613130&price_type=basic"},"featuresSource":{"text":"Медицинский центр «НЕРАТО»","url":"https://sakh-hepato.ru/personnel/kan-yana-sergeevna/?offer-id=4712"},"name":"Кан Яна Сергеевна","sourceName":"ДОКТУ","url":"https://sakh-hepato.ru/personnel/kan-yana-sergeevna/?offer-id=4712","descriptions":[{"text":["Нефролог. Взрослый. Стаж 5 лет"],"fullText":["Нефролог. Взрослый. Стаж 5 лет"],"source":{"url":"https://sakh-hepato.ru/personnel/kan-yana-sergeevna/?offer-id=4712","text":"sakh-hepato.ru"},"withCut":false},{"text":["Врач осуществляет диагностику и терапию хронических и острых форм гломерулонефрита, диабетической нефропатии, ишемической болезни почек, пиелонефрита, цистита, нефрогенной анемии, поликистозной болезни почек и других заболеваний. Кан Яна Сергеевна…"],"fullText":["Врач осуществляет диагностику и терапию хронических и острых форм гломерулонефрита, диабетической нефропатии, ишемической болезни почек, пиелонефрита, цистита, нефрогенной анемии, поликистозной болезни почек и других заболеваний. Кан Яна Сергеевна наблюдает пациентов с терминальной почечной недостаточностью, проходящих гемодиализ, а также тех, кто перенёс трансплантацию почки."],"source":{"url":"https://napopravku.ru/yuzhno-sahalinsk/doctor-profile/kan-yana-sergeevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3613130&price_type=basic","text":"napopravku.ru"},"withCut":true}],"entityCardUrl":"https://gs.yandex.com.tr/medicine/doctor/kan_yana_wAK0cZxx7ERJ7","shareUrl":"https://gs.yandex.com.tr/medicine/doctor/kan_yana_wAK0cZxx7ERJ7","isVerified":false,"doctorId":"wAK0cZxx7ERJ7","previewCvData":{"cvItems":[]},"clinicsFeatures":["Гепато ve 0 daha"],"host":"sakh-hepato.ru","aggregatorOffers":[{"id":"sakh-hepato.ru","name":"Медицинский центр «НЕРАТО»","favicon":"https://avatars.mds.yandex.net/get-unisearch/6118978/medicine_yPcngzui7p68tsU0700x/210x210face","url":"https://sakh-hepato.ru/personnel/kan-yana-sergeevna/?offer-id=4712"},{"id":"prodoctorov.ru","name":"ПроДокторов","favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_LoqgwCaCV2eKSwA6cOuB/210x210","url":"https://prodoctorov.ru/yuzhno-sahalinsk/vrach/1041978-kan/"},{"id":"doctu.ru","name":"ДОКТУ","favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","url":"https://doctu.ru/juzhno-sakhalinsk/doctor/kan-jana-sergeevna"},{"id":"napopravku.ru","name":"НаПоправку","favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_AB5pYW2JP3p6uYc0WW0R/210x210","url":"https://napopravku.ru/yuzhno-sahalinsk/doctor-profile/kan-yana-sergeevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3613130&price_type=basic"}],"bestOffer":{"price":{"currency":"RUR","text":"","value":2800,"product":"за приём"},"name":"Гепато","address":"Авиационная улица, 57Б, Южно-Сахалинск","geoId":"115150421188","appointmentUrl":"https://doctu.ru/juzhno-sakhalinsk/doctor/kan-jana-sergeevna","phone":"+7 (4242) 490-906","phoneOnly":false},"appointments":[{"name":"Гепато","address":"Авиационная улица, 57Б, Южно-Сахалинск","geoId":"115150421188","link":"https://gs.yandex.com.tr/medicine/clinic/gepato_115150421188","geoLink":"https://yandex.ru/maps/?ll=142.740752,46.92164&rtext=~46.92164,142.740752&ruri=~ymapsbm1://org?oid=115150421188","clinicUrl":"https://sakh-hepato.ru/","openHours":{"days":{"mon":{"intervals":[{"from":"08:00","to":"20:00"}]},"tue":{"intervals":[{"from":"08:00","to":"20:00"}]},"wed":{"intervals":[{"from":"08:00","to":"20:00"}],"current":true},"thu":{"intervals":[{"from":"08:00","to":"20:00"}]},"fri":{"intervals":[{"from":"08:00","to":"20:00"}]},"sat":{"intervals":[{"from":"08:00","to":"16:00"}]},"sun":{"intervals":[{"from":"10:00","to":"15:00"}]}},"buttonText":"Закрыто до 08:00"},"logo":"https://avatars.mds.yandex.net/get-altay/10648814/2a0000018d11955f44e92dc4d37af5cf1900/M","phone":"+7 (4242) 490-906","sourcesInfo":[{"id":"doctu.ru","price":{"currency":"RUR","text":"","value":2800,"product":"за приём"},"appointmentUrl":"https://doctu.ru/juzhno-sakhalinsk/doctor/kan-jana-sergeevna","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","name":"ДОКТУ","id":"doctu.ru"}},{"id":"sakh-hepato.ru","price":{"currency":"RUR","text":"","value":3000,"product":"за приём"},"appointmentUrl":"https://sakh-hepato.ru/personnel/kan-yana-sergeevna/?offer-id=4712","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/6118978/medicine_yPcngzui7p68tsU0700x/210x210face","name":"Медицинский центр «НЕРАТО»","id":"sakh-hepato.ru"},"isClinicOffer":true},{"id":"prodoctorov.ru","price":{"currency":"RUR","text":"","value":3000,"product":"за приём"},"appointmentUrl":"https://prodoctorov.ru/yuzhno-sahalinsk/vrach/1041978-kan/","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_LoqgwCaCV2eKSwA6cOuB/210x210","name":"ПроДокторов","id":"prodoctorov.ru"}},{"id":"napopravku.ru","price":{"text":""},"appointmentUrl":"https://napopravku.ru/yuzhno-sahalinsk/doctor-profile/kan-yana-sergeevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3613130&price_type=basic","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_AB5pYW2JP3p6uYc0WW0R/210x210","name":"НаПоправку","id":"napopravku.ru"}}],"phoneOnly":false,"compulsoryInsurance":false,"minPrice":{"currency":"RUR","text":"","value":2800,"product":"за приём"},"appointmentsSchedule":{"dates":[],"userTime":{"timezone":3,"currentTimestamp":1760557061000}},"rating":5,"ratingBase":5,"reviewsCount":72}],"mergedTranslitNames":["kan_yana"],"mergedDoctorKeys":["wAK0cZxx7ERJ7"],"moreClinicsLabel":"-2 klinik daha göster","initialClinicsLimit":3,"jobExperience":{"type":"list","items":[],"itemsShownBeforeUncollapse":2},"education":{"type":"list","items":[{"type":"studyplace","positions":[{"period":""}]}],"itemsShownBeforeUncollapse":2},"feedbackUrl":"https://yandex.ru/support/webmaster/troubleshooting/health-partner.html","ugc":{"otype":"Hum","appId":"spectre-search","count":0,"tags":["Doctor"],"objectId":"docwAK0cZxx7ERJ7","countText":"0","hideReactions":true,"isLoginNeeded":true,"baseUrl":"//reviews.yandex.com.tr","initialSuggest":[{"id":"/sprav/115150421188","title":"Гепато","subtitle":"Авиационная улица, 57Б, Южно-Сахалинск"}],"subtitle":"нефролог"},"exp1AspectsEnabled":false,"reviewAspect":{"negative":null,"total_cnt":null,"positive":null},"linkTarget":"_blank","id":"wAK0cZxx7ERJ7","offerIds":["2011079","42","43","d-3427748-w-3613130","doctor-3528466"],"withoutUGC":false,"appointmentScheduleVisible":true,"openPreviewOnLinkClick":true,"withLink":true}],"extraLinks":{"items":[{"variant":"reportFeedback","reportFeedback":{"feature":"Универсальный тематический блок: врачи","checkBoxLabels":[]}},{"variant":"connect","url":"https://yandex.ru/support/webmaster/health/partners.html"}],"hidden":true},"moreFilterValue":"","filterAjaxUrl":"/medicine/result?type=unisearch%2Fmedicine","filterAjaxQuery":"Лечение диабетической нефропатии в южно-сахалинске","filterAjaxQueryOriginal":"Лечение диабетической нефропатии в южно-сахалинске","titleFilter":{"name":"s_toponym","disabled":false,"quickClear":false,"orderButton":1,"orderDrawer":1,"active":false,"type":"city","suggestCGI":{"add_geoid":1,"results":20,"ull":"142.729587,46.95777","bases":"locality","countries":"ru"},"requestWithoutGeo":"лечение диабетической нефропатии","searchPlaceholder":"Выберите город или населённый пункт","hasFocusableInput":true,"maximize":true,"toponymWithPreposition":"в Южно-Сахалинске","initialItems":[{"subtitle":"30.73 км","tag":"locality","text":"Сахалинская область, Анива","title":"Анива"},{"subtitle":"36.13 км","tag":"locality","text":"Сахалинская область, Корсаков","title":"Корсаков"},{"subtitle":"41.08 км","tag":"locality","text":"Сахалинская область, Долинск","title":"Долинск"},{"subtitle":"52.97 км","tag":"locality","text":"Сахалинская область, Холмск","title":"Холмск"},{"subtitle":"73.68 км","tag":"locality","text":"Сахалинская область, Невельск","title":"Невельск"},{"subtitle":"102.48 км","tag":"locality","text":"Сахалинская область, Томари","title":"Томари"},{"subtitle":"185.22 км","tag":"locality","text":"Сахалинская область, Макаров","title":"Макаров"},{"subtitle":"241.13 км","tag":"locality","text":"Сахалинская область, Углегорск","title":"Углегорск"},{"subtitle":"249.28 км","tag":"locality","text":"Сахалинская область, Шахтерск","title":"Шахтерск"},{"subtitle":"253.28 км","tag":"locality","text":"Сахалинская область, Поронайск","title":"Поронайск"},{"subtitle":"439.99 км","tag":"locality","text":"Сахалинская область, Александровск-Сахалинский","title":"Александровск-Сахалинский"},{"subtitle":"440.96 км","tag":"locality","text":"Сахалинская область, Курильск","title":"Курильск"},{"subtitle":"737.73 км","tag":"locality","text":"Сахалинская область, Оха","title":"Оха"},{"subtitle":"1061.85 км","tag":"locality","text":"Сахалинская область, Северо-Курильск","title":"Северо-Курильск"}]},"filters":[{"name":"s_toponym","title":"Район","disabled":false,"quickClear":true,"orderButton":4,"orderDrawer":4,"active":false,"type":"toponyms","suggestCGI":{"results":20,"bases":"metro,street,district","countries":"ru","bbox":"142.6126265,46.8307677,142.8465475,47.0844697"},"requestWithoutGeo":"лечение диабетической нефропатии","toponym":"Южно-Сахалинск","searchPlaceholder":"Район","hasFocusableInput":true,"maximize":true,"initialItems":[{"subtitle":"планировочный район Большая Елань, Южно-Сахалинск","tag":"district","text":"Россия, Сахалинская область, Южно-Сахалинск, планировочный район Большая Елань","title":"планировочный район Большая Елань"}],"interactionItems":{},"cityAddress":"Россия, Сахалинская область, Южно-Сахалинск"},{"name":"i_price_bucket","title":"Цена приёма","disabled":false,"quickClear":false,"orderButton":30,"orderDrawer":10,"active":false,"type":"select","subtype":"list","search":false,"hasFocusableInput":false,"maximize":false,"multi":true,"grouped":false,"disableDefaultValue":false,"values":[{"id":"1","title":"до 1 000 ₽","active":false,"disabled":false},{"id":"2","title":"1 001 - 2 500 ₽","active":false,"disabled":false},{"id":"3","title":"2 501 - 5 000 ₽","active":false,"disabled":false},{"id":"4","title":"от 5 001 ₽","active":false,"disabled":false}]},{"name":"i_experience","title":"Стаж","disabled":false,"quickClear":false,"orderButton":40,"orderDrawer":20,"active":false,"type":"select","subtype":"list","search":false,"hasFocusableInput":false,"maximize":false,"multi":true,"grouped":false,"disableDefaultValue":false,"values":[{"id":"1","title":"до 5 лет","active":false,"disabled":false},{"id":"2","title":"5 - 15 лет","active":false,"disabled":false},{"id":"3","title":"от 15 лет","active":false,"disabled":false}]},{"name":"i_age","title":"Специализация по возрасту","disabled":false,"quickClear":false,"orderButton":10,"orderDrawer":40,"active":false,"type":"select","subtype":"list","search":false,"hasFocusableInput":false,"maximize":false,"multi":false,"grouped":false,"defaultValue":{"title":"Взрослые и детские врачи","shortTitle":"Взрослые и детские","active":true},"disableDefaultValue":false,"values":[{"id":"1","title":"Детские","active":false,"disabled":false},{"id":"0","title":"Взрослые","active":false,"disabled":false}]},{"name":"i_degree","title":"Учёная степень","disabled":false,"quickClear":false,"orderButton":60,"orderDrawer":60,"active":false,"type":"select","subtype":"list","search":false,"hasFocusableInput":false,"maximize":false,"multi":true,"grouped":false,"disableDefaultValue":false,"values":[{"id":"1","title":"Кандидат медицинских наук","shortTitle":"КМН","active":false,"disabled":false},{"id":"2","title":"Доктор медицинских наук","shortTitle":"ДМН","active":false,"disabled":false}]},{"name":"i_clinic_id_2","title":"Клиника","disabled":false,"quickClear":false,"orderButton":20,"orderDrawer":80,"active":false,"type":"geo_search","hints":{"not_enough_items":"Если вашей поликлиники нет в списке, воспользуйтесь поиском","too_much_items":"Если вашей поликлиники нет в списке, воспользуйтесь поиском"},"suggestCGI":{"nearby_orgs_limit":20,"results":20,"local_only":1,"org_rubrics":"184105950,184105956,184105958,184105984,184105986,184105988,184106010,184106012,184106014,184106016,184106020,184106066,184106074,184106090,184106100,184106106,184106108,184106110,184106116,184106130,184106132,845622661,892508964,53437260559,62907138794,70647216620","client_id":"medicine","bbox":"142.6126265,46.8307677,142.8465475,47.0844697","rubrics_strict":"184105950,184105956,184105958,184105984,184105986,184105988,184106010,184106012,184106014,184106016,184106020,184106066,184106074,184106090,184106100,184106106,184106108,184106110,184106116,184106130,184106132,845622661,892508964,53437260559,62907138794,70647216620"},"searchPlaceholder":"Название клиники или адрес","hasFocusableInput":true,"maximize":true,"interactionItems":{},"activeItemsIds":[],"initialItems":[{"subtitle":"Авиационная улица, 57Б, Южно-Сахалинск","title":"Гепато","id":"115150421188"}]},{"name":"s_special_skill","title":"Болезни и симптомы","tooltip":"Уточните специализацию или процедуру","disabled":false,"quickClear":true,"orderButton":10,"orderDrawer":40,"active":true,"type":"select","subtype":"list","search":true,"searchPlaceholder":"Болезнь, симптом или процедура","hasFocusableInput":true,"maximize":true,"multi":false,"grouped":true,"disableDefaultValue":true,"values":[{"id":"(nefrolog|0|Гломерулонефрит)","title":"Гломерулонефрит","active":false,"disabled":false},{"id":"(nefrolog|0|Диабетическая нефропатия)","title":"Диабетическая нефропатия","active":true,"disabled":false},{"id":"(nefrolog|0|Нефропатия)","title":"Нефропатия","active":false,"disabled":false},{"id":"(nefrolog|0|Поликистоз почек)","title":"Поликистоз почек","active":false,"disabled":false},{"id":"(nefrolog|0|Синдром нефротический)","title":"Синдром нефротический","active":false,"disabled":false}]}],"currentFilterHash":"Eo0BGhwKEHNfc3BlY2lhbGl6YXRpb24SCG5lZnJvbG9nGk8KD3Nfc3BlY2lhbF9za2lsbBI8KG5lZnJvbG9nfDB80JTQuNCw0LHQtdGC0LjRh9C10YHQutCw0Y8g0L3QtdGE0YDQvtC/0LDRgtC40Y8pQgdhc3BlY3RzSABQAZIBDgoIUmVnaW9uSWQSAjgw","filtersTexts":{"resultText":"1 doktor göster","loadingText":"Aranıyor..."},"animationDisabled":false,"footerProps":{"partnershipUrl":"https://yandex.ru/support/webmaster/health/partners.html","partnershipText":"Kullanım koşulları","isHide":false,"isHideBottom":true},"moreButtonText":"Daha fazla göster","moreButtonView":"default","activeFiltersFirst":true,"counterId":731962,"notFoundTexts":{"title":"Hiçbir şey bulunamadı","subtitle":"Filtreleri sıfırlayın ve tekrar deneyin","button":"Tüm filtreleri sıfırla"},"activeOrder":"Eo0BGk8KD3Nfc3BlY2lhbF9za2lsbBI8KG5lZnJvbG9nfDB80JTQuNCw0LHQtdGC0LjRh9C10YHQutCw0Y8g0L3QtdGE0YDQvtC/0LDRgtC40Y8pGhwKEHNfc3BlY2lhbGl6YXRpb24SCG5lZnJvbG9nQgdhc3BlY3RzSABQAZIBDgoIUmVnaW9uSWQSAjgw","orderList":[{"label":"Популярные рядом","value":"EoIBGk8KD3Nfc3BlY2lhbF9za2lsbBI8KG5lZnJvbG9nfDB80JTQuNCw0LHQtdGC0LjRh9C10YHQutCw0Y8g0L3QtdGE0YDQvtC/0LDRgtC40Y8pGhwKEHNfc3BlY2lhbGl6YXRpb24SCG5lZnJvbG9nUAGSAQ4KCFJlZ2lvbklkEgI4MA=="},{"label":"По рейтингу","value":"EpEBGk8KD3Nfc3BlY2lhbF9za2lsbBI8KG5lZnJvbG9nfDB80JTQuNCw0LHQtdGC0LjRh9C10YHQutCw0Y8g0L3QtdGE0YDQvtC/0LDRgtC40Y8pGhwKEHNfc3BlY2lhbGl6YXRpb24SCG5lZnJvbG9nQgtyZXZpZXdzX25ld0gAUAGSAQ4KCFJlZ2lvbklkEgI4MA=="},{"label":"По количеству отзывов","value":"EpMBGk8KD3Nfc3BlY2lhbF9za2lsbBI8KG5lZnJvbG9nfDB80JTQuNCw0LHQtdGC0LjRh9C10YHQutCw0Y8g0L3QtdGE0YDQvtC/0LDRgtC40Y8pGhwKEHNfc3BlY2lhbGl6YXRpb24SCG5lZnJvbG9nQg1yZXZfY291bnRfbmV3SABQAZIBDgoIUmVnaW9uSWQSAjgw"},{"label":"По времени приёма","value":"Eo8BGhwKEHNfc3BlY2lhbGl6YXRpb24SCG5lZnJvbG9nGk8KD3Nfc3BlY2lhbF9za2lsbBI8KG5lZnJvbG9nfDB80JTQuNCw0LHQtdGC0LjRh9C10YHQutCw0Y8g0L3QtdGE0YDQvtC/0LDRgtC40Y8pQgl0aW1lc2xvdHNIAFABkgEOCghSZWdpb25JZBICODA="},{"label":"По количеству отзывов по теме","value":"Eo0BGk8KD3Nfc3BlY2lhbF9za2lsbBI8KG5lZnJvbG9nfDB80JTQuNCw0LHQtdGC0LjRh9C10YHQutCw0Y8g0L3QtdGE0YDQvtC/0LDRgtC40Y8pGhwKEHNfc3BlY2lhbGl6YXRpb24SCG5lZnJvbG9nQgdhc3BlY3RzSABQAZIBDgoIUmVnaW9uSWQSAjgw"}],"orderIconOnly":false,"appointmentsAjaxUrl":"/medicine/search/result","listTheme":"cards","breadcrumbs":[{"title":"Вся медицина","url":"/medicine"}],"titleTag":"h1","nonceId":"8486","specialization":"nefrolog","useThinArrowsTheme":true,"map":{"pins":[{"id":115150421188,"title":"Гепато","coordinates":[142.740752,46.92164],"rating":{"value":5,"base":5,"decimalSeparator":","},"doctorsCount":1,"minPrice":2800,"category":"medicine"}],"bounds":[[142.7368899629305,46.92281407162743],[142.74461403706948,46.92046590264319]],"title":"нефрологи","specializationSlug":"nefrolog","dragContext":"ZAAAAMoCGXNfc3BlY2lhbGl6YXRpb249bmVmcm9sb2c=","assetId":"ua_34_1233077153","ajaxPath":"/medicine/search/geo"},"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"cx1rw02-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"list"}}}}},"type":"unisearch/medicine","subtype":"list"},"cx1r2":{"state":{"globalStoreProps":{"imageBackendUrl":"https://gs.yandex.com.tr/images-apphost/image-download?cbird=171","query":"Лечение диабетической нефропатии в южно-сахалинске","retina":false,"avatarId":"0","isMacOS":false,"isEmbeddedFuturis":false,"brand":"yazeka","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Диабетическая нефропатия: что это?","markdown":"**Диабетическая нефропатия** — осложнение сахарного диабета, при котором происходит поражение почек [1](https://gutaclinic.ru/articles/diabeticheskaya-nefropatiya-kak-sakharnyy-diabet-vliyaet-na-pochki/)[2](https://www.invitro.ru/library/bolezni/42980/)[13](https://polyclinika.ru/tech/diabeticheskaya-nefropatiya-simptomy-i-lechenie/). Характеризуется развитием гломерулосклероза (склероза почечных клубочков) и нарушением функции почек [2](https://www.invitro.ru/library/bolezni/42980/). Со временем почки теряют фильтрующую способность, ткани замещаются соединительной тканью, что чревато развитием хронической почечной недостаточности [2](https://www.invitro.ru/library/bolezni/42980/). \n\nЗаболевание может появиться при сахарном диабете 1-го и 2-го типа [2](https://www.invitro.ru/library/bolezni/42980/). Как правило, проявляется через 10–20 лет после манифестации диабета [2](https://www.invitro.ru/library/bolezni/42980/).\n\n\n\n## Причины\nГлавная причина — **высокий уровень глюкозы в крови** (гипергликемия) [1](https://gutaclinic.ru/articles/diabeticheskaya-nefropatiya-kak-sakharnyy-diabet-vliyaet-na-pochki/)[8](https://geraci.ru/our-blog/diabeticheskaya-nefropatiya-2/). Избыток сахара повреждает капилляры внутри почек, со временем сосуды утолщаются, а их просвет сужается [1](https://gutaclinic.ru/articles/diabeticheskaya-nefropatiya-kak-sakharnyy-diabet-vliyaet-na-pochki/). Это ухудшает циркуляцию крови и снижает поступление кислорода и питательных веществ к почечной ткани [1](https://gutaclinic.ru/articles/diabeticheskaya-nefropatiya-kak-sakharnyy-diabet-vliyaet-na-pochki/). \n\nФакторы риска: длительный период неконтролируемого сахарного диабета, высокое артериальное давление, курение, ожирение, высокий уровень холестерина, генетическая предрасположенность [8](https://geraci.ru/our-blog/diabeticheskaya-nefropatiya-2/).\n\n## Симптомы\nНа ранних стадиях заболевание протекает бессимптомно [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). По мере прогрессирования появляются [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/): \n* слабость, утомляемость [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/); \n* отёки (в первую очередь — нижних конечностей и лица) [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/); \n* повышение артериального давления [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/); \n* снижение диуреза [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/); \n* анемия [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/); \n* кожный зуд [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/); \n* нарушение аппетита [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). \n\nДиагностикой и лечением занимается нефролог, эндокринолог [11](https://medcentr-Sochi.ru/endokrinolog/diabeticheskaya-nefropatiya.html).\n\n## Диагностика\nНекоторые методы диагностики: \n* **Общий анализ мочи** — оценка плотности, белка, осадка [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). \n* **Анализ мочи на микроальбуминурию** — основной маркер ранней нефропатии [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). \n* **Проба по Зимницкому или суточный диурез** — оценка концентрационной функции [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). \n* **Биохимия крови** — креатинин, мочевина, общий белок, электролиты [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). \n* **УЗИ почек** — оценка размеров, структуры, исключение вторичных причин [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). \n* **Измерение артериального давления** — в том числе суточный мониторинг [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). \n\nМикроальбуминурия должна определяться ежегодно у всех больных диабетом, при выявлении альбуминурии — контроль каждые 3–6 месяцев [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/).\n\n## Лечение\nЦель терапии — замедлить прогрессирование нефропатии, предотвратить терминальную почечную недостаточность и сохранить качество жизни пациента [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). Некоторые методы лечения: \n* **Строгий контроль гликемии** — HbA1c ≤ 7%, при поздних стадиях — 7,5–8% для профилактики гипогликемии [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). \n* **Коррекция доз инсулина** с учётом нарушенной экскреции [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). \n* **Контроль артериального давления** — целевое значение — \u003c 130/80 мм рт. ст. [14](https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/). \n\nПри тяжёлом течении болезни может быть показан диализ или трансплантация почки [3](https://unionclinic.ru/diabeticheskaya-nefropatiya/).","linksData":[{"sourceId":1,"url":"https://gutaclinic.ru/articles/diabeticheskaya-nefropatiya-kak-sakharnyy-diabet-vliyaet-na-pochki/","shownUrl":"https://gutaclinic.ru/articles/diabeticheskaya-nefropatiya-kak-sakharnyy-diabet-vliyaet-na-pochki/","title":"Диабетическая нефропатия: причины появления, симптомы заболевания и способы лечения","shortUrl":"gutaclinic.ru","isTranslated":false,"description":"","greenUrl":"gutaclinic.ru"},{"sourceId":2,"url":"https://www.invitro.ru/library/bolezni/42980/","shownUrl":"https://www.invitro.ru/library/bolezni/42980/","title":"Диабетическая нефропатия - причины появления, симптомы заболевания, диагностика и способы лечения","shortUrl":"invitro.ru","isTranslated":false,"description":"","greenUrl":"invitro.ru"},{"sourceId":3,"url":"https://unionclinic.ru/diabeticheskaya-nefropatiya/","shownUrl":"https://unionclinic.ru/diabeticheskaya-nefropatiya/","title":"Диабетическая нефропатия, причины, симптомы, диагностика | Справочник ЮНИОН КЛИНИК","shortUrl":"unionclinic.ru","isTranslated":false,"description":"","greenUrl":"unionclinic.ru"},{"sourceId":4,"url":"https://hadassah.moscow/nefrologija/diabeticheskaja-nefropatija/","shownUrl":"https://hadassah.moscow/nefrologija/diabeticheskaja-nefropatija/","title":"Диабетическая нефропатия - симптомы и диагностика, цены на лечение диабетической нефропатии в Москве в клинике Хадасса","shortUrl":"hadassah.moscow","isTranslated":false,"description":"","greenUrl":"hadassah.moscow"},{"sourceId":5,"url":"https://www.yamed.ru/services/endokrinologiya/diabeticheskaya-nefropatiya/","shownUrl":"https://www.yamed.ru/services/endokrinologiya/diabeticheskaya-nefropatiya/","title":"Диабетическая нефропатия - причины, симптомы и лечение","shortUrl":"yamed.ru","isTranslated":false,"description":"","greenUrl":"yamed.ru"},{"sourceId":6,"url":"https://www.OnClinic.ru/diabeticheskaya-nefropatiya/","shownUrl":"https://www.OnClinic.ru/diabeticheskaya-nefropatiya/","title":"Диабетическая нефропатия - причины, симптомы, диагностика, лечение и профилактика","shortUrl":"OnClinic.ru","isTranslated":false,"description":"","greenUrl":"OnClinic.ru"},{"sourceId":7,"url":"https://yandex.ru/health/turbo/articles?id=6695","shownUrl":"https://yandex.ru/health/turbo/articles?id=6695","title":"Диабетической нефропатии","shortUrl":"yandex.ru","isTranslated":false,"description":"","greenUrl":"yandex.ru"},{"sourceId":8,"url":"https://geraci.ru/our-blog/diabeticheskaya-nefropatiya-2/","shownUrl":"https://geraci.ru/our-blog/diabeticheskaya-nefropatiya-2/","title":"Диабетическая нефропатия - лечение в Ростове-на-Дону","shortUrl":"geraci.ru","isTranslated":false,"description":"","greenUrl":"geraci.ru"},{"sourceId":9,"url":"https://ProBolezny.ru/diabeticheskaya-nefropatiya/","shownUrl":"https://ProBolezny.ru/diabeticheskaya-nefropatiya/","title":"Диабетическая нефропатия: причины, симптомы и лечение в статье эндокринолога Абдуллина Г. А.","shortUrl":"ProBolezny.ru","isTranslated":false,"description":"","greenUrl":"ProBolezny.ru"},{"sourceId":10,"url":"https://MedAboutMe.ru/articles/porazhenie_pochek_pri_sakharnom_diabete/","shownUrl":"https://MedAboutMe.ru/articles/porazhenie_pochek_pri_sakharnom_diabete/","title":"Диабетическая нефропатия: что происходит с почками? | MedAboutMe","shortUrl":"MedAboutMe.ru","isTranslated":false,"description":"","greenUrl":"MedAboutMe.ru"},{"sourceId":11,"url":"https://medcentr-Sochi.ru/endokrinolog/diabeticheskaya-nefropatiya.html","shownUrl":"https://medcentr-Sochi.ru/endokrinolog/diabeticheskaya-nefropatiya.html","title":"Диабетическая нефропатия: симптомы, причины и лечение у врача эндокринолога в МКЦ «Проксима» (г. Сочи)","shortUrl":"medcentr-Sochi.ru","isTranslated":false,"description":"","greenUrl":"medcentr-Sochi.ru"},{"sourceId":12,"url":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_endocrinology/diabetic-nephropathy","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_endocrinology/diabetic-nephropathy","title":"Диабетическая нефропатия - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":13,"url":"https://polyclinika.ru/tech/diabeticheskaya-nefropatiya-simptomy-i-lechenie/","shownUrl":"https://polyclinika.ru/tech/diabeticheskaya-nefropatiya-simptomy-i-lechenie/","title":"Диабетическая нефропатия - причины, стадии, симптомы, признаки, осложнения, диагностика, лечение, профилактика","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":14,"url":"https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/","shownUrl":"https://premium-clinic.ru/chto-takoe-diabeticheskaya-nefropatiya-i-kak-eyo-lechit/","title":"Диабетическая нефропатия: что это и как проводится её лечение","shortUrl":"premium-clinic.ru","isTranslated":false,"description":"","greenUrl":"premium-clinic.ru"}]}},"metaInfoData":{"Question":{"messageId":"fake-id-Question","withoutAnimation":true}},"statusData":{"Question":{"isCompleteResults":true}}}},"snackbarStoreProps":{},"query":"Диабетическая нефропатия: что это?","title":"Ответы на вопросы про заболевания","pairUUID":"Question","baobab":{"parentNode":{"context":{"genInfo":{"prefix":"cx1rw03-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"meta_question"}}}}},"type":"unisearch/medicine","subtype":"meta_question"},"cx1r3":{"state":{"title":"Люди ищут","items":[{"specialization":"nefrolog","url":"/medicine/nefrolog_yuzhno-sakhalinsk","title":"Нефрологи в Южно-Сахалинске","additionalLogNodeAttrs":{"specialization":"nefrolog"}},{"url":"/medicine/yuzhno-sakhalinsk","title":"Врачи в Южно-Сахалинске"},{"url":"/medicine/glomerulonefrit_yuzhno-sakhalinsk","title":"Лечение гломерулонефрита в Южно-Сахалинске"},{"url":"/medicine/nefropatija_yuzhno-sakhalinsk","title":"Лечение нефропатии в Южно-Сахалинске"},{"url":"/medicine/polikistoz-pochek_yuzhno-sakhalinsk","title":"Лечение поликистоза почек в Южно-Сахалинске"},{"url":"/medicine/sindrom-nefroticheskij_yuzhno-sakhalinsk","title":"Лечение синдрома нефротического в Южно-Сахалинске"}],"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"cx1rw04-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"relative"}}}}},"type":"unisearch/medicine","subtype":"relative"},"cx1r4":{"state":{"isRightColumn":true,"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"cx1rw05-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"doctor_right"}}}}},"type":"unisearch/medicine","subtype":"doctor_right"},"cx1r5":{"state":{"linksGroups":[{"type":"geo","links":[{"label":"Columbus","title":"Columbus","url":"//yandex.com.tr/tune/geo","logNode":{"name":"region"},"target":"_self","a11yLabel":"Bölgeniz Columbus","needRetpath":true}]},{"type":"feedback","links":[{"label":"Hata bildir","logNode":{"name":"feedback","attrs":{"behaviour":{"type":"dynamic"}}}}]},{"type":"settings","links":[{"label":"Ayarlar","url":"//yandex.com.tr/tune/common","logNode":{"name":"settings"},"target":"_self","needRetpath":true}]},{"type":"company","links":[{"label":"Hakkımızda","url":"https://company.yandex.com.tr","logNode":{"name":"about"},"target":"_blank"},{"label":"Ticari teklifler","url":"/search/direct?text=%D0%9B%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5%20%D0%B4%D0%B8%D0%B0%D0%B1%D0%B5%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%BE%D0%B9%20%D0%BD%D0%B5%D1%84%D1%80%D0%BE%D0%BF%D0%B0%D1%82%D0%B8%D0%B8%20%D0%B2%20%D1%8E%D0%B6%D0%BD%D0%BE-%D1%81%D0%B0%D1%85%D0%B0%D0%BB%D0%B8%D0%BD%D1%81%D0%BA%D0%B5&filters_docs=direct_cm","logNode":{"name":"commercial"},"target":"_blank"},{"label":"Kariyer","url":"//yandex.com.tr/jobs/?utm_source=serp_turkie&utm_medium=footerlink&utm_content=career","logNode":{"name":"vacancy"},"target":"_blank"},{"label":"Kullanım lisansı","url":"//yandex.com.tr/legal/termsofuse/","logNode":{"name":"license"},"target":"_blank"},{"label":"Gizlilik Politikası","url":"//yandex.com.tr/legal/confidential/","logNode":{"name":"confidential"},"target":"_blank"}],"a11yHidden":true}],"reportFeedbackProps":{"feature":"Вертикаль медицины","title":"Hata bildir","checkBoxLabels":[]},"isWide":false,"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"cx1rw06-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"footer"}}}}},"type":"unisearch/medicine","subtype":"footer"}}
