{"1p4y0":{"state":{"headerProps":{"form":{"action":"/medicine/gastroshizis_pskov","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%2Fgastroshizis_pskov%3Flr%3D213%26text%3D%25D0%259B%25D0%25B5%25D1%2587%25D0%25B5%25D0%25BD%25D0%25B8%25D0%25B5%2B%25D0%25B3%25D0%25B0%25D1%2581%25D1%2582%25D1%2580%25D0%25BE%25D1%2588%25D0%25B8%25D0%25B7%25D0%25B8%25D1%2581%25D0%25B0%2B%25D0%25B2%2B%25D0%25BF%25D1%2581%25D0%25BA%25D0%25BE%25D0%25B2%25D0%25B5%26unifilter%3DEncaPgoPc19zcGVjaWFsX3NraWxsEisoZ2FzdHJvZWhudGVyb2xvZ3wwfNCT0LDRgdGC0YDQvtGI0LjQt9C40YEpGiQKEHNfc3BlY2lhbGl6YXRpb24SEGdhc3Ryb2VobnRlcm9sb2eSAQ4KCFJlZ2lvbklkEgIyNQ%253D%253D%26ncrnd%3D66206","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":"[$query]","from":"tabbar"}}],"selectedTabId":"medicine"},"context":{"query":"Лечение гастрошизиса в пскове","reqid":"1760374017161433-14635875822183837212-balancer-l7leveler-kubr-yp-klg-128-BAL","lr":"213","aliceDeeplink":"{\"text\":\"Лечение гастрошизиса в пскове\"}","counters":{"type":"b","data":{"$header":"1p4yz000","logo":"1p4yz001","advanced-search":"1p4yz002","login":"1p4yz004","usermenu":"1p4yz005","market-cart":"1p4yz007","more-button":"1p4yz008","cbir":"1p4yz009","clear":"1p4yz00a","submit":"1p4yz00b","alice":"1p4yz00c","$navigation":"1p4yz00d","item":"1p4yz014","tab-search":"1p4yz00t","tab-images":"1p4yz00v","tab-medicine":"1p4yz00x","tab-video":"1p4yz00z","tab-newstr":"1p4yz011","tab-maps":"1p4yz013","tab-translate":"1p4yz015"}}},"loggedIn":false,"mix":{"outerContainer":["HeaderDesktop_tr"]},"suggestUrl":"/medicine/suggest","suggestPlaceholder":"Doktor, klinik, hizmet bul","suggestParams":{}},"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"1p4yw01-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"header"}}}}},"type":"unisearch/medicine","subtype":"header"},"1p4y1":{"state":{"snippetId":"reef_unisearch/medicine_list","title":"Лечение гастрошизиса","subtitle":"3 doktor, 18 yorum","count":3,"countText":"3","countA11yLabel":"3 doktor","showMoreInfoA11yLabel":"Tüm doktorları listele","items":[{"ento":"0oChBkb2M2OURrWG5oOWkxT3M3GAJCR9Ck0LXQtNC-0YDQvtCy0LAg0K7Qu9C40Y8g0K7RgNGM0LXQstC90LAg0LPQsNGB0YLRgNC-0Y3QvdGC0LXRgNC-0LvQvtCzUHIYyg","specializations":["гастроэнтеролог"],"specializationsText":"Гастроэнтеролог","features":["Deneyim: 12 yıl"],"photo":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_pipYElou7NVnvrMrQXGh/210x210face","descriptionSource":{"text":"napopravku.ru","url":"https://napopravku.ru/pskov/doctor-profile/fedorova-julija-jurevna-gastroehnterolog/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3262959&price_type=basic"},"featuresSource":{"text":"НаПоправку","url":"https://napopravku.ru/pskov/doctor-profile/fedorova-julija-jurevna-gastroehnterolog/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3262959&price_type=basic"},"name":"Федорова Юлия Юрьевна","url":"https://napopravku.ru/pskov/doctor-profile/fedorova-julija-jurevna-gastroehnterolog/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3262959&price_type=basic","descriptions":[{"text":["Гастроэнтеролог. Взрослый. Стаж 12 лет"],"fullText":["Гастроэнтеролог. Взрослый. Стаж 12 лет"],"source":{"url":"https://napopravku.ru/pskov/doctor-profile/fedorova-julija-jurevna-gastroehnterolog/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3262959&price_type=basic","text":"napopravku.ru"},"withCut":false}],"entityCardUrl":"https://gs.yandex.com.tr/medicine/doctor/fedorova_yuliya_69DkXnh9i1Os7","shareUrl":"https://gs.yandex.com.tr/medicine/doctor/fedorova_yuliya_69DkXnh9i1Os7","isVerified":false,"doctorId":"69DkXnh9i1Os7","previewCvData":{"cvItems":[]},"clinicsFeatures":["Псковская областная клиническая больница ve 2 daha"],"host":"napopravku.ru","aggregatorOffers":[{"id":"napopravku.ru","name":"НаПоправку","favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_AB5pYW2JP3p6uYc0WW0R/210x210","url":"https://napopravku.ru/pskov/doctor-profile/fedorova-julija-jurevna-gastroehnterolog/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3262959&price_type=basic"},{"id":"doctu.ru","name":"ДОКТУ","favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","url":"https://doctu.ru/pskov/doctor/fedorova-julija-jurevna-5"},{"id":"prodoctorov.ru","name":"ПроДокторов","favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_LoqgwCaCV2eKSwA6cOuB/210x210","url":"https://prodoctorov.ru/pskov/vrach/353300-fedorova/"}],"otherClinicsInfo":{"text":"2 klinikte daha kabul ediliyor","insuranceText":"Zorunlu Sağlık Sigartası (OMS) ile kayıt olabilirsiniz"},"bestOffer":{"price":{"text":""},"name":"Псковская областная клиническая больница","address":"Улица Малясова, 2, Псков","geoId":"170696188860","appointmentUrl":"https://napopravku.ru/pskov/doctor-profile/fedorova-julija-jurevna-gastroehnterolog/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3262959&price_type=basic","phone":"+7 (811) 229-58-50","phoneOnly":false},"appointments":[{"name":"Псковская областная клиническая больница","address":"Улица Малясова, 2, Псков","geoId":"170696188860","link":"https://gs.yandex.com.tr/medicine/clinic/pskovskaya-oblastnaya-klinicheskaya-bolnitsa_170696188860","geoLink":"https://yandex.ru/maps/?ll=28.325886,57.812071&rtext=~57.812071,28.325886&ruri=~ymapsbm1://org?oid=170696188860","clinicUrl":"http://pskovokb.ru/","openHours":{"days":{"mon":{"twentyFourHours":true,"current":true},"tue":{"twentyFourHours":true},"wed":{"twentyFourHours":true},"thu":{"twentyFourHours":true},"fri":{"twentyFourHours":true},"sat":{"twentyFourHours":true},"sun":{"twentyFourHours":true}},"buttonText":"Круглосуточно"},"phone":"+7 (811) 229-58-50","sourcesInfo":[{"id":"napopravku.ru","price":{"text":""},"appointmentUrl":"https://napopravku.ru/pskov/doctor-profile/fedorova-julija-jurevna-gastroehnterolog/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3262959&price_type=basic","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_AB5pYW2JP3p6uYc0WW0R/210x210","name":"НаПоправку","id":"napopravku.ru"}},{"id":"doctu.ru","price":{"text":""},"appointmentUrl":"https://doctu.ru/pskov/doctor/fedorova-julija-jurevna-5","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","name":"ДОКТУ","id":"doctu.ru"}}],"phoneOnly":false,"compulsoryInsurance":false,"minPrice":{"text":""},"appointmentsSchedule":{"dates":[],"userTime":{"timezone":3,"currentTimestamp":1760374017000}},"rating":4.4,"ratingBase":5,"reviewsCount":163},{"name":"Гастроэнтерологическое отделение","address":"Улица Малясова, 2/4, Псков","geoId":"32935526723","link":"https://gs.yandex.com.tr/medicine/clinic/gastroenterologicheskoye-otdeleniye_32935526723","geoLink":"https://yandex.ru/maps/?ll=28.325475,57.810126&rtext=~57.810126,28.325475&ruri=~ymapsbm1://org?oid=32935526723","phone":"+7 (8112) 29-58-18","sourcesInfo":[{"id":"doctu.ru","price":{"text":""},"appointmentUrl":"https://doctu.ru/pskov/doctor/fedorova-julija-jurevna-5","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","name":"ДОКТУ","id":"doctu.ru"}}],"phoneOnly":false,"compulsoryInsurance":false,"minPrice":{"text":""},"appointmentsSchedule":{"dates":[],"userTime":{"timezone":3,"currentTimestamp":1760374017000}},"rating":4.4,"ratingBase":5,"reviewsCount":6},{"name":"Областная консультативная поликлиника","address":"Улица Малясова, 2/13, Псков","geoId":"1551735716","link":"https://gs.yandex.com.tr/medicine/clinic/oblastnaya-konsultativnaya-poliklinika_1551735716","geoLink":"https://yandex.ru/maps/?ll=28.324716,57.810987&rtext=~57.810987,28.324716&ruri=~ymapsbm1://org?oid=1551735716","clinicUrl":"http://www.oblmed-pskov.ru/","openHours":{"days":{"mon":{"intervals":[{"from":"08:00","to":"16:00"}],"current":true},"tue":{"intervals":[{"from":"08:00","to":"16:00"}]},"wed":{"intervals":[{"from":"08:00","to":"16:00"}]},"thu":{"intervals":[{"from":"08:00","to":"16:00"}]},"fri":{"intervals":[{"from":"08:00","to":"16:00"}]},"sat":{},"sun":{}},"buttonText":"Закрыто до завтра"},"phone":"+7 (8112) 29-58-28","sourcesInfo":[{"id":"doctu.ru","price":{"text":""},"appointmentUrl":"https://doctu.ru/pskov/doctor/fedorova-julija-jurevna-5","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","name":"ДОКТУ","id":"doctu.ru"}}],"phoneOnly":false,"compulsoryInsurance":false,"minPrice":{"text":""},"appointmentsSchedule":{"dates":[],"userTime":{"timezone":3,"currentTimestamp":1760374017000}},"rating":3.8,"ratingBase":5,"reviewsCount":50}],"mergedTranslitNames":["fedorova_yuliya"],"mergedDoctorKeys":["69DkXnh9i1Os7"],"moreClinicsLabel":"0 klinik daha göster","initialClinicsLimit":3,"jobExperience":{"type":"list","items":[],"itemsShownBeforeUncollapse":2},"education":{"type":"list","items":[],"itemsShownBeforeUncollapse":2},"feedbackUrl":"https://yandex.ru/support/webmaster/troubleshooting/health-partner.html","ugc":{"otype":"Hum","appId":"spectre-search","count":6,"tags":["Doctor"],"objectId":"doc69DkXnh9i1Os7","countText":"6","reviewsText":"6 yorum","hideReactions":true,"isLoginNeeded":true,"baseUrl":"//reviews.yandex.com.tr","initialSuggest":[{"id":"/sprav/170696188860","title":"Псковская областная клиническая больница","subtitle":"Улица Малясова, 2, Псков"},{"id":"/sprav/32935526723","title":"Гастроэнтерологическое отделение","subtitle":"Улица Малясова, 2/4, Псков"},{"id":"/sprav/1551735716","title":"Областная консультативная поликлиника","subtitle":"Улица Малясова, 2/13, Псков"}],"subtitle":"гастроэнтеролог"},"exp1AspectsEnabled":false,"reviewAspect":{"negative":null,"total_cnt":null,"positive":null},"linkTarget":"_blank","id":"69DkXnh9i1Os7","topReview":{"id":"NknxAz7Z4UnOPfe8cuFhFDafRoTJ1dQ","rating":{"max":5,"val":5},"text":"Просто не знаю, что было бы, если бы не обратилась к Юлии Юрьевна когда впервые почувствовала желудочный боли которые появились после приёма травяного сбора для очищения от шлаков. Она внимательно выслушала и назначила курс лечения. Боль ушла и я опять смогла перейти на привычное питание. Теперь буду наблюдаться только у этого грамотного, внимательного и профессионального гастроэнтеролога, которому можно доверять.","fullText":"","time":"20 mayıs"},"offerIds":["1404402","432784","941118","d-3065414-w-3262959"],"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 гастрошизиса в пскове","filterAjaxQueryOriginal":"Лечение гастрошизиса в пскове","titleFilter":{"name":"s_toponym","disabled":false,"quickClear":false,"orderButton":1,"orderDrawer":1,"active":false,"type":"city","suggestCGI":{"add_geoid":1,"results":20,"ull":"28.332792,57.819307","bases":"locality","countries":"ru"},"requestWithoutGeo":"лечение гастрошизиса","searchPlaceholder":"Выберите город или населённый пункт","hasFocusableInput":true,"maximize":true,"toponymWithPreposition":"в Пскове","initialItems":[{"subtitle":"42.86 км","tag":"locality","text":"Псковская область, Печоры","title":"Печоры"},{"subtitle":"53.08 км","tag":"locality","text":"Псковская область, Остров","title":"Остров"},{"subtitle":"72.98 км","tag":"locality","text":"Псковская область, Порхов","title":"Порхов"},{"subtitle":"87.51 км","tag":"locality","text":"Псковская область, Пыталово","title":"Пыталово"},{"subtitle":"96.51 км","tag":"locality","text":"Псковская область, Дно","title":"Дно"},{"subtitle":"106.29 км","tag":"locality","text":"Псковская область, Новоржев","title":"Новоржев"},{"subtitle":"107.18 км","tag":"locality","text":"Псковская область, Гдов","title":"Гдов"},{"subtitle":"124.49 км","tag":"locality","text":"Псковская область, Опочка","title":"Опочка"},{"subtitle":"171.75 км","tag":"locality","text":"Псковская область, Себеж","title":"Себеж"},{"subtitle":"176.32 км","tag":"locality","text":"Псковская область, Пустошка","title":"Пустошка"},{"subtitle":"197.23 км","tag":"locality","text":"Псковская область, Новосокольники","title":"Новосокольники"},{"subtitle":"210.56 км","tag":"locality","text":"Псковская область, Великие Луки","title":"Великие Луки"},{"subtitle":"222.29 км","tag":"locality","text":"Псковская область, Невель","title":"Невель"}]},"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":"28.22821,57.75178465,28.437374,57.88670265"},"requestWithoutGeo":"лечение гастрошизиса","toponym":"Псков","searchPlaceholder":"Район","hasFocusableInput":true,"maximize":true,"initialItems":[{"subtitle":"улица Малясова, Псков","tag":"street","text":"Россия, Псковская область, Псков, улица Малясова","title":"улица Малясова"}],"interactionItems":{},"cityAddress":"Россия, Псковская область, Псков"},{"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":"28.22821,57.75178465,28.437374,57.88670265","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":"Улица Малясова, 2/4, Псков","title":"Гастроэнтерологическое отделение","id":"32935526723"},{"subtitle":"Улица Малясова, 2/13, Псков","title":"Областная консультативная поликлиника","id":"1551735716"},{"subtitle":"Улица Малясова, 2, Псков","title":"Псковская областная клиническая больница","id":"170696188860"}]},{"name":"i_has_cmi","title":"По ОМС","disabled":false,"quickClear":false,"orderButton":5,"orderDrawer":5,"active":false,"type":"bool","isQuick":true},{"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":"(gastroehnterolog|0|Гастрит)","title":"Гастрит","active":false,"disabled":false},{"id":"(gastroehnterolog|0|Гастрошизис)","title":"Гастрошизис","active":true,"disabled":false}]}],"currentFilterHash":"EoQBGj4KD3Nfc3BlY2lhbF9za2lsbBIrKGdhc3Ryb2VobnRlcm9sb2d8MHzQk9Cw0YHRgtGA0L7RiNC40LfQuNGBKRokChBzX3NwZWNpYWxpemF0aW9uEhBnYXN0cm9laG50ZXJvbG9nQgdhc3BlY3RzSABQAZIBDgoIUmVnaW9uSWQSAjI1","filtersTexts":{"resultText":"3 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","counterId":731962,"notFoundTexts":{"title":"Hiçbir şey bulunamadı","subtitle":"Filtreleri sıfırlayın ve tekrar deneyin","button":"Tüm filtreleri sıfırla"},"activeOrder":"EoQBGiQKEHNfc3BlY2lhbGl6YXRpb24SEGdhc3Ryb2VobnRlcm9sb2caPgoPc19zcGVjaWFsX3NraWxsEisoZ2FzdHJvZWhudGVyb2xvZ3wwfNCT0LDRgdGC0YDQvtGI0LjQt9C40YEpQgdhc3BlY3RzSABQAZIBDgoIUmVnaW9uSWQSAjI1","orderList":[{"label":"Популярные рядом","value":"EnkaJAoQc19zcGVjaWFsaXphdGlvbhIQZ2FzdHJvZWhudGVyb2xvZxo+Cg9zX3NwZWNpYWxfc2tpbGwSKyhnYXN0cm9laG50ZXJvbG9nfDB80JPQsNGB0YLRgNC+0YjQuNC30LjRgSlQAZIBDgoIUmVnaW9uSWQSAjI1"},{"label":"По рейтингу","value":"EogBGiQKEHNfc3BlY2lhbGl6YXRpb24SEGdhc3Ryb2VobnRlcm9sb2caPgoPc19zcGVjaWFsX3NraWxsEisoZ2FzdHJvZWhudGVyb2xvZ3wwfNCT0LDRgdGC0YDQvtGI0LjQt9C40YEpQgtyZXZpZXdzX25ld0gAUAGSAQ4KCFJlZ2lvbklkEgIyNQ=="},{"label":"По количеству отзывов","value":"EooBGiQKEHNfc3BlY2lhbGl6YXRpb24SEGdhc3Ryb2VobnRlcm9sb2caPgoPc19zcGVjaWFsX3NraWxsEisoZ2FzdHJvZWhudGVyb2xvZ3wwfNCT0LDRgdGC0YDQvtGI0LjQt9C40YEpQg1yZXZfY291bnRfbmV3SABQAZIBDgoIUmVnaW9uSWQSAjI1"},{"label":"По времени приёма","value":"EoYBGiQKEHNfc3BlY2lhbGl6YXRpb24SEGdhc3Ryb2VobnRlcm9sb2caPgoPc19zcGVjaWFsX3NraWxsEisoZ2FzdHJvZWhudGVyb2xvZ3wwfNCT0LDRgdGC0YDQvtGI0LjQt9C40YEpQgl0aW1lc2xvdHNIAFABkgEOCghSZWdpb25JZBICMjU="},{"label":"По количеству отзывов по теме","value":"EoQBGiQKEHNfc3BlY2lhbGl6YXRpb24SEGdhc3Ryb2VobnRlcm9sb2caPgoPc19zcGVjaWFsX3NraWxsEisoZ2FzdHJvZWhudGVyb2xvZ3wwfNCT0LDRgdGC0YDQvtGI0LjQt9C40YEpQgdhc3BlY3RzSABQAZIBDgoIUmVnaW9uSWQSAjI1"}],"orderIconOnly":false,"appointmentsAjaxUrl":"/medicine/search/result","listTheme":"cards","breadcrumbs":[{"title":"Вся медицина","url":"/medicine"}],"titleTag":"h1","nonceId":"8362","specialization":"gastroehnterolog","useThinArrowsTheme":true,"map":{"pins":[{"id":170696188860,"title":"Псковская областная клиническая больница","coordinates":[28.325886,57.812071],"rating":{"value":4.4,"base":5,"decimalSeparator":","},"doctorsCount":3,"category":"medicine"}],"bounds":[[28.322023962930515,57.812986704809354],[28.329748037069486,57.81115527193941]],"title":"гастроэнтерологи","specializationSlug":"gastroehnterolog","dragContext":"ZAAAAMoCIXNfc3BlY2lhbGl6YXRpb249Z2FzdHJvZWhudGVyb2xvZw==","assetId":"ua_34_821887268","ajaxPath":"/medicine/search/geo"},"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"1p4yw02-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"list"}}}}},"type":"unisearch/medicine","subtype":"list"},"1p4y2":{"state":{"globalStoreProps":{"imageBackendUrl":"https://gs.yandex.com.tr/images-apphost/image-download?cbird=171","query":"Лечение гастрошизиса в пскове","retina":false,"avatarId":"0","isHermione":false,"isMacOS":false,"tld":"com.tr","isEmbeddedFuturis":false,"isLoggedIn":false,"brand":"yazeka","reqId":"1760374017161433-14635875822183837212-balancer-l7leveler-kubr-yp-klg-128-BAL","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Гастрошизис: что это?","markdown":"**Гастрошизис** — врождённый дефект передней брюшной стенки, при котором через расщелину из брюшной полости выпадают петли кишечника (а иногда и другие органы) [2](https://ru.wikipedia.org/wiki/%D0%93%D0%B0%D1%81%D1%82%D1%80%D0%BE%D1%88%D0%B8%D0%B7%D0%B8%D1%81)[9](https://yandex.ru/medicine/disease/gastroshizis). Возникает во время внутриутробного развития на месте стыка пупка и нормальной кожи, чаще справа [2](https://ru.wikipedia.org/wiki/%D0%93%D0%B0%D1%81%D1%82%D1%80%D0%BE%D1%88%D0%B8%D0%B7%D0%B8%D1%81)[9](https://yandex.ru/medicine/disease/gastroshizis). \n\nВыделяют две формы гастрошизиса [1](https://mc21.ru/articles/gastroshizis/): \n1. **Простая** — изолированный порок, размер дефектного отверстия — 2–5 см, отверстие может быть круглым или овальным [1](https://mc21.ru/articles/gastroshizis/). Петли кишечника, выпавшего в отверстие, часто отёчны, вздуты, со спайками [1](https://mc21.ru/articles/gastroshizis/). \n2. **Осложнённая** — сопровождается развитием вторичных патологий, например, дивертикула, стеноза или перфорации (прободения стенок) кишечника [1](https://mc21.ru/articles/gastroshizis/).\n\n\n\n## Причины\nТочную причину развития гастрошизиса сложно определить, но существуют факторы, увеличивающие риск формирования дефекта [1](https://mc21.ru/articles/gastroshizis/)[9](https://yandex.ru/medicine/disease/gastroshizis). Некоторые из них: \n* употребление алкоголя, наркотиков и табачных изделий во время беременности [1](https://mc21.ru/articles/gastroshizis/)[9](https://yandex.ru/medicine/disease/gastroshizis); \n* инфекции в период беременности [1](https://mc21.ru/articles/gastroshizis/)[9](https://yandex.ru/medicine/disease/gastroshizis); \n* молодой возраст матери (до 21 года) [1](https://mc21.ru/articles/gastroshizis/)[9](https://yandex.ru/medicine/disease/gastroshizis). \n\nСуществует теория о генетической предрасположенности, но наследственные случаи составляют не более 4% [7](https://www.KrasotaiMedicina.ru/diseases/children/gastroschisis).\n\n## Симптомы\n* **Визуально заметный дефект** в брюшной стенке, через который видны выступающие наружу органы [9](https://yandex.ru/medicine/disease/gastroshizis)[10](https://kirsanovkids.ru/napravleniya/poroki-peredney-brushnoy-stenki/gastroshizis/). \n* **Проблемы с пищеварением** — в зависимости от степени выступления органов и их состояния новорождённый может испытывать трудности с пищеварением и усвоением питательных веществ [9](https://yandex.ru/medicine/disease/gastroshizis)[10](https://kirsanovkids.ru/napravleniya/poroki-peredney-brushnoy-stenki/gastroshizis/). \n* **Риск инфекций** — выступающие органы подвержены риску инфекций, поскольку находятся вне защитной среды брюшной полости [9](https://yandex.ru/medicine/disease/gastroshizis)[10](https://kirsanovkids.ru/napravleniya/poroki-peredney-brushnoy-stenki/gastroshizis/). \n* **Проблемы с питанием и ростом** — новорождённые с гастрошизисом могут испытывать задержку в росте и развитии из-за недостаточного питания и проблем с усвоением пищи [9](https://yandex.ru/medicine/disease/gastroshizis)[10](https://kirsanovkids.ru/napravleniya/poroki-peredney-brushnoy-stenki/gastroshizis/).\n\n## Диагностика\n* **Пренатальная диагностика** — основным методом внутриутробного исследования плода является УЗИ [9](https://yandex.ru/medicine/disease/gastroshizis). Уже на 10-й неделе гестации удаётся выявить дефект передней брюшной стенки и заподозрить развитие гастрошизиса [9](https://yandex.ru/medicine/disease/gastroshizis). Окончательный диагноз выставляется на 13–14 неделях [9](https://yandex.ru/medicine/disease/gastroshizis). \n* **Постнатальная диагностика** — гастрошизис устанавливается только на основе осмотра акушером и неонатологом или педиатром [9](https://yandex.ru/medicine/disease/gastroshizis). Визуально определяется эвентрация кишечника через дефект передней брюшной стенки [9](https://yandex.ru/medicine/disease/gastroshizis).\n\n## Лечение\n**Основной метод лечения** — **хирургическое вмешательство** [3](https://xn--d1abuo3e.xn--p1ai/diseases/gastroshizis/). Цель — возврат выброшенных кишечных петель обратно в брюшную полость и пластика передней стенки [3](https://xn--d1abuo3e.xn--p1ai/diseases/gastroshizis/). \n\nПрименяются два метода [3](https://xn--d1abuo3e.xn--p1ai/diseases/gastroshizis/): \n1. **Первичная пластика** — немедленное возвращение кишечника в брюшную полость с использованием тканей ребёнка для закрытия дефекта [3](https://xn--d1abuo3e.xn--p1ai/diseases/gastroshizis/). Однако этот способ может вызвать повышенное внутрибрюшное давление и осложнения, включая тромбоз и некроз [3](https://xn--d1abuo3e.xn--p1ai/diseases/gastroshizis/). \n2. **Отсроченная пластика** — создание временного экстраабдоминального мешка, в котором органы постепенно возвращаются в брюшную полость с использованием различных биологических и синтетических материалов [3](https://xn--d1abuo3e.xn--p1ai/diseases/gastroshizis/). \n\n**Прогноз** зависит от степени повреждения кишечника, наличия сопутствующих заболеваний и пороков внутриутробного развития, а также от качественного и своевременного хирургического вмешательства [3](https://xn--d1abuo3e.xn--p1ai/diseases/gastroshizis/).","linksData":[{"sourceId":1,"url":"https://mc21.ru/articles/gastroshizis/","shownUrl":"https://mc21.ru/articles/gastroshizis/","title":"Гастрошизис: причины, рекомендации и когда последствия приводят к необходимости операции","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":2,"url":"https://ru.wikipedia.org/wiki/%D0%93%D0%B0%D1%81%D1%82%D1%80%D0%BE%D1%88%D0%B8%D0%B7%D0%B8%D1%81","shownUrl":"https://ru.wikipedia.org/wiki/%D0%93%D0%B0%D1%81%D1%82%D1%80%D0%BE%D1%88%D0%B8%D0%B7%D0%B8%D1%81","title":"Гастрошизис — Википедия","shortUrl":"ru.wikipedia.org","isTranslated":false,"description":"","greenUrl":"ru.wikipedia.org"},{"sourceId":3,"url":"https://xn--d1abuo3e.xn--p1ai/diseases/gastroshizis/","shownUrl":"https://xn--d1abuo3e.xn--p1ai/diseases/gastroshizis/","title":"Гастрошизис: причины, симптомы, диагностика, лечение","shortUrl":"медэп.рф","isTranslated":false,"description":"","greenUrl":"медэп.рф"},{"sourceId":4,"url":"https://diseases.medelement.com/disease/%D0%B3%D0%B0%D1%81%D1%82%D1%80%D0%BE%D1%88%D0%B8%D0%B7%D0%B8%D1%81-%D0%BE%D0%BC%D1%84%D0%B0%D0%BB%D0%BE%D1%86%D0%B5%D0%BB%D0%B5-%D1%8D%D0%BA%D0%B7%D0%BE%D0%BC%D1%84%D0%B0%D0%BB%D0%BE%D0%B7/14861","shownUrl":"https://diseases.medelement.com/disease/%D0%B3%D0%B0%D1%81%D1%82%D1%80%D0%BE%D1%88%D0%B8%D0%B7%D0%B8%D1%81-%D0%BE%D0%BC%D1%84%D0%B0%D0%BB%D0%BE%D1%86%D0%B5%D0%BB%D0%B5-%D1%8D%D0%BA%D0%B7%D0%BE%D0%BC%D1%84%D0%B0%D0%BB%D0%BE%D0%B7/14861","title":"Гастрошизис. Омфалоцеле (Экзомфалоз) > Клинические протоколы МЗ РК - 2016 (Казахстан) > MedElement","shortUrl":"diseases.medelement.com","isTranslated":false,"description":"","greenUrl":"diseases.medelement.com"},{"sourceId":5,"url":"https://ProBolezny.ru/gastroshizis/","shownUrl":"https://ProBolezny.ru/gastroshizis/","title":"Гастрошизис: причины, симптомы и лечение в статье детского хирурга Вавилов А. С.","shortUrl":"ProBolezny.ru","isTranslated":false,"description":"","greenUrl":"ProBolezny.ru"},{"sourceId":6,"url":"https://MedAboutMe.ru/articles/gastroshizis_u_novorozhdennogo_kogda_srochno_nuzhno_lechenie/","shownUrl":"https://MedAboutMe.ru/articles/gastroshizis_u_novorozhdennogo_kogda_srochno_nuzhno_lechenie/","title":"Гастрошизис: серьёзный порок развития у ребёнка | MedAboutMe","shortUrl":"MedAboutMe.ru","isTranslated":false,"description":"","greenUrl":"MedAboutMe.ru"},{"sourceId":7,"url":"https://www.KrasotaiMedicina.ru/diseases/children/gastroschisis","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/children/gastroschisis","title":"Гастрошизис - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":8,"url":"https://ru.ruwiki.ru/wiki/%D0%93%D0%B0%D1%81%D1%82%D1%80%D0%BE%D1%88%D0%B8%D0%B7%D0%B8%D1%81","shownUrl":"https://ru.ruwiki.ru/wiki/%D0%93%D0%B0%D1%81%D1%82%D1%80%D0%BE%D1%88%D0%B8%D0%B7%D0%B8%D1%81","title":"Гастрошизис — Рувики: Интернет-энциклопедия","shortUrl":"ru.ruwiki.ru","isTranslated":false,"description":"","greenUrl":"ru.ruwiki.ru"},{"sourceId":9,"url":"https://yandex.ru/medicine/disease/gastroshizis","shownUrl":"https://yandex.ru/medicine/disease/gastroshizis","title":"Гастрошизис - симптомы, причины и лечение","shortUrl":"yandex.ru","isTranslated":false,"description":"","greenUrl":"yandex.ru"},{"sourceId":10,"url":"https://kirsanovkids.ru/napravleniya/poroki-peredney-brushnoy-stenki/gastroshizis/","shownUrl":"https://kirsanovkids.ru/napravleniya/poroki-peredney-brushnoy-stenki/gastroshizis/","title":"Гастрошизис у детей: хирургическое лечение","shortUrl":"kirsanovkids.ru","isTranslated":false,"description":"","greenUrl":"kirsanovkids.ru"},{"sourceId":11,"url":"https://www.bsmu.by/upload/docs/kafedri/k_det_hir/stud/2024-1/p27.pdf","shownUrl":"https://www.bsmu.by/upload/docs/kafedri/k_det_hir/stud/2024-1/p27.pdf","title":"Слайд 1","shortUrl":"bsmu.by","isTranslated":false,"description":"","greenUrl":"bsmu.by"},{"sourceId":12,"url":"https://www.acibademhealthpoint.com/%D0%B3%D0%B0%D1%81%D1%82%D1%80%D0%BE%D1%88%D0%B8%D0%B7%D0%B8%D1%81-%D0%BF%D1%80%D0%B8%D1%87%D0%B8%D0%BD%D1%8B-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5-%D0%BF%D1%80%D0%BE%D0%B3%D0%BD%D0%BE%D0%B7/","shownUrl":"https://www.acibademhealthpoint.com/%D0%B3%D0%B0%D1%81%D1%82%D1%80%D0%BE%D1%88%D0%B8%D0%B7%D0%B8%D1%81-%D0%BF%D1%80%D0%B8%D1%87%D0%B8%D0%BD%D1%8B-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5-%D0%BF%D1%80%D0%BE%D0%B3%D0%BD%D0%BE%D0%B7/","title":"Гастрошизис: Причины Лечение Прогноз | Acibadem Health Point - ACIBADEM Hospitals - Acibadem Health Group","shortUrl":"acibademhealthpoint.com","isTranslated":false,"description":"","greenUrl":"acibademhealthpoint.com"},{"sourceId":13,"url":"https://med-bd-buzvovodkb-vologda-r19.gosweb.gosuslugi.ru/netcat_files/55/173/gastroshizis_e586d49797.pdf","shownUrl":"https://med-bd-buzvovodkb-vologda-r19.gosweb.gosuslugi.ru/netcat_files/55/173/gastroshizis_e586d49797.pdf","title":"БУЗ ВО лВологодская областная детская клиническая больница╗","shortUrl":"med-bd-buzvovodkb-vologda-r19.gosweb.gosuslugi.ru","isTranslated":false,"description":"","greenUrl":"med-bd-buzvovodkb-vologda-r19.gosweb.gosuslugi.ru"}]}},"metaInfoData":{"Question":{"messageId":"fake-id-Question","withoutAnimation":true}},"statusData":{"Question":{"isCompleteResults":true}}}},"snackbarStoreProps":{},"query":"Гастрошизис: что это?","title":"Ответы на вопросы про заболевания","pairUUID":"Question","baobab":{"parentNode":{"context":{"genInfo":{"prefix":"1p4yw03-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"meta_question"}}}}},"type":"unisearch/medicine","subtype":"meta_question"},"1p4y3":{"state":{"title":"Люди ищут","items":[{"specialization":"gastroehnterolog","url":"/medicine/gastroehnterolog_pskov","title":"Гастроэнтерологи в Пскове","additionalLogNodeAttrs":{"specialization":"gastroehnterolog"}},{"url":"/medicine/pskov","title":"Врачи в Пскове"}],"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"1p4yw04-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"relative"}}}}},"type":"unisearch/medicine","subtype":"relative"},"1p4y4":{"state":{"isRightColumn":true,"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"1p4yw05-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"doctor_right"}}}}},"type":"unisearch/medicine","subtype":"doctor_right"},"1p4y5":{"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%B3%D0%B0%D1%81%D1%82%D1%80%D0%BE%D1%88%D0%B8%D0%B7%D0%B8%D1%81%D0%B0%20%D0%B2%20%D0%BF%D1%81%D0%BA%D0%BE%D0%B2%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":"1p4yw06-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"footer"}}}}},"type":"unisearch/medicine","subtype":"footer"}}
