{"8tci0":{"state":{"headerProps":{"form":{"action":"/medicine/kishechnyj-svisch_mozhaysk","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%2Fkishechnyj-svisch_mozhaysk%3Flr%3D213%26text%3D%25D0%259B%25D0%25B5%25D1%2587%25D0%25B5%25D0%25BD%25D0%25B8%25D0%25B5%2B%25D0%25BA%25D0%25B8%25D1%2588%25D0%25B5%25D1%2587%25D0%25BD%25D0%25BE%25D0%25B3%25D0%25BE%2B%25D1%2581%25D0%25B2%25D0%25B8%25D1%2589%25D0%25B0%2B%25D0%25B2%2B%25D0%25BC%25D0%25BE%25D0%25B6%25D0%25B0%25D0%25B9%25D1%2581%25D0%25BA%25D0%25B5%26unifilter%3DEmsaGwoQc19zcGVjaWFsaXphdGlvbhIHa2hpcnVyZxo4Cg9zX3NwZWNpYWxfc2tpbGwSJShraGlydXJnfDB80JrQuNGI0LXRh9C90YvQuSDRgdCy0LjRiSmSAREKCFJlZ2lvbklkEgUxMDczOQ%253D%253D%26ncrnd%3D63532","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":"[$query]","from":"tabbar"}}],"selectedTabId":"medicine"},"context":{"query":"Лечение кишечного свища в можайске","reqid":"1759857524178822-2110976961432781177-balancer-l7leveler-kubr-yp-klg-32-BAL","lr":"213","aliceDeeplink":"{\"text\":\"Лечение кишечного свища в можайске\"}","counters":{"type":"b","data":{"$header":"8tciz000","logo":"8tciz001","advanced-search":"8tciz002","login":"8tciz004","usermenu":"8tciz005","market-cart":"8tciz007","more-button":"8tciz008","cbir":"8tciz009","clear":"8tciz00a","submit":"8tciz00b","alice":"8tciz00c","$navigation":"8tciz00d","item":"8tciz014","tab-search":"8tciz00t","tab-images":"8tciz00v","tab-medicine":"8tciz00x","tab-video":"8tciz00z","tab-newstr":"8tciz011","tab-maps":"8tciz013","tab-translate":"8tciz015"}}},"loggedIn":false,"mix":{"outerContainer":["HeaderDesktop_tr"]},"suggestUrl":"/medicine/suggest","suggestPlaceholder":"Doktor, klinik, hizmet bul","suggestParams":{}},"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"8tciw01-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"header"}}}}},"type":"unisearch/medicine","subtype":"header"},"8tci1":{"state":{"snippetId":"reef_unisearch/medicine_list","title":"Лечение кишечного свища","subtitle":"2 doktor, 14 yorum","count":2,"countText":"2","countA11yLabel":"2 doktor","showMoreInfoA11yLabel":"Tüm doktorları listele","items":[{"ento":"0oChBkb2M2eGtKMWtOdkpveUh5GAJCP9CT0YPRgNC60L4g0JDQu9C10LrRgdCw0L3QtNGAINCc0LjRhdCw0LnQu9C-0LLQuNGHINGF0LjRgNGD0YDQs7Levsw","specializations":["хирург"],"specializationsText":"Хирург","features":["Deneyim: 23 yıl"],"photo":"https://avatars.mds.yandex.net/get-unisearch/5402360/medicine_GZDH0sxWxV1WUOSaZ03U/210x210face","descriptionSource":{"text":"НаПоправку","url":"https://napopravku.ru/moskva/doctor-profile/gurko-aleksandr-mihaylovich/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3484936&price_type=basic"},"featuresSource":{"text":"Семейная клиника","url":"https://7-clinic.ru/mozhajsk-mira/vrachi/gurko-aleksandr-mixajlovich"},"name":"Гурко Александр Михайлович","sourceName":"ДОКТУ","url":"https://7-clinic.ru/mozhajsk-mira/vrachi/gurko-aleksandr-mixajlovich","descriptions":[{"text":["Хирург. Взрослый. Стаж 23 года"],"fullText":["Хирург. Взрослый. Стаж 23 года"],"source":{"url":"https://7-clinic.ru/mozhajsk-mira/vrachi/gurko-aleksandr-mixajlovich","text":"7-clinic.ru"},"withCut":false},{"text":["Оказывает терапию при травмах слизистой оболочки прямой кишки, свищах различной сложности, анальных трещинах, геморрое, узлах, недержании кала, язвах и язвенном колите. Проводит амбулаторные вмешательства."],"fullText":["Оказывает терапию при травмах слизистой оболочки прямой кишки, свищах различной сложности, анальных трещинах, геморрое, узлах, недержании кала, язвах и язвенном колите. Проводит амбулаторные вмешательства."],"source":{"url":"https://napopravku.ru/moskva/doctor-profile/gurko-aleksandr-mihaylovich/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3484936&price_type=basic","text":"napopravku.ru"},"withCut":false}],"entityCardUrl":"https://gs.yandex.com.tr/medicine/doctor/gurko_aleksandr_6xkJ1kNvJoyHy","shareUrl":"https://gs.yandex.com.tr/medicine/doctor/gurko_aleksandr_6xkJ1kNvJoyHy","isVerified":false,"doctorId":"6xkJ1kNvJoyHy","previewCvData":{"cvItems":[]},"clinicsFeatures":["Семейная клиника ve 1 daha"],"host":"7-clinic.ru","aggregatorOffers":[{"id":"7-clinic.ru","name":"Семейная клиника","favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_bltKqH7YqX7GLxJS0wXV/210x210face","url":"https://7-clinic.ru/mozhajsk-mira/vrachi/gurko-aleksandr-mixajlovich"},{"id":"doctu.ru","name":"ДОКТУ","favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","url":"https://doctu.ru/msk/doctor/gurko-aleksandr-mikhajjlovich"},{"id":"napopravku.ru","name":"НаПоправку","favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_AB5pYW2JP3p6uYc0WW0R/210x210","url":"https://napopravku.ru/moskva/doctor-profile/gurko-aleksandr-mihaylovich/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_f&utm_content=3484936&price_type=basic"},{"id":"prodoctorov.ru","name":"ПроДокторов","favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_LoqgwCaCV2eKSwA6cOuB/210x210","url":"https://prodoctorov.ru/mozhaysk/vrach/171030-gurko/"}],"otherClinicsInfo":{"text":"1 klinikte daha kabul ediliyor"},"bestOffer":{"price":{"product":"за приём","currency":"RUR","value":1500,"text":""},"name":"Семейная клиника","address":"Проезд Мира, 4, Можайск","geoId":"206194939388","appointmentUrl":"https://doctu.ru/msk/doctor/gurko-aleksandr-mikhajjlovich","phoneOnly":false},"appointments":[{"name":"Семейная клиника","address":"Проезд Мира, 4, Можайск","geoId":"206194939388","link":"https://gs.yandex.com.tr/medicine/clinic/semeynaya-klinika_206194939388","geoLink":"https://yandex.ru/maps/?ll=36.042182,55.502471&rtext=~55.502471,36.042182&ruri=~ymapsbm1://org?oid=206194939388","clinicUrl":"https://7-clinic.ru/","openHours":{"days":{"mon":{"intervals":[{"from":"07:30","to":"20:00"}]},"tue":{"intervals":[{"from":"07:30","to":"20:00"}],"current":true},"wed":{"intervals":[{"from":"07:30","to":"20:00"}]},"thu":{"intervals":[{"from":"07:30","to":"20:00"}]},"fri":{"intervals":[{"from":"07:30","to":"20:00"}]},"sat":{"intervals":[{"from":"08:00","to":"19:00"}]},"sun":{"intervals":[{"from":"08:00","to":"19:00"}]}},"buttonText":"Закрыто до завтра"},"logo":"https://avatars.mds.yandex.net/get-altay/1696029/2a0000016ea234b90214eed95bc945c68a36/M","sourcesInfo":[{"id":"doctu.ru","price":{"product":"за приём","currency":"RUR","value":1500,"text":""},"appointmentUrl":"https://doctu.ru/msk/doctor/gurko-aleksandr-mikhajjlovich","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","name":"ДОКТУ","id":"doctu.ru"}}],"phoneOnly":false,"compulsoryInsurance":false,"minPrice":{"product":"за приём","currency":"RUR","value":1500,"text":""},"appointmentsSchedule":{"dates":[],"userTime":{"timezone":3,"currentTimestamp":1759857524000}},"rating":4.9,"ratingBase":5,"reviewsCount":568},{"name":"Научно-практический центр современной медицины","address":"Улица Строителей, 1, Можайск","geoId":"88119768504","link":"https://gs.yandex.com.tr/medicine/clinic/nauchno-prakticheskiy-tsentr-sovremennoy-meditsiny_88119768504","geoLink":"https://yandex.ru/maps/?ll=36.027253,55.49739&rtext=~55.49739,36.027253&ruri=~ymapsbm1://org?oid=88119768504","clinicUrl":"http://sovremed.com/","openHours":{"days":{"mon":{"intervals":[{"from":"08:00","to":"20:00"}]},"tue":{"intervals":[{"from":"08:00","to":"20:00"}],"current":true},"wed":{"intervals":[{"from":"08:00","to":"20:00"}]},"thu":{"intervals":[{"from":"08:00","to":"20:00"}]},"fri":{"intervals":[{"from":"08:00","to":"20:00"}]},"sat":{"intervals":[{"from":"08:00","to":"20:00"}]},"sun":{"intervals":[{"from":"08:00","to":"20:00"}]}},"buttonText":"Закрыто до завтра"},"logo":"https://avatars.mds.yandex.net/get-altay/16318204/2a00000198acd885cae3545794b94a709e9c/M","sourcesInfo":[{"id":"doctu.ru","price":{"text":""},"appointmentUrl":"https://doctu.ru/msk/doctor/gurko-aleksandr-mikhajjlovich","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":1759857524000}},"rating":4.3,"ratingBase":5,"reviewsCount":116}],"mergedTranslitNames":["gurko_aleksandr"],"mergedDoctorKeys":["6xkJ1kNvJoyHy","mHDIDGKarTcQO"],"moreClinicsLabel":"-1 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":7,"tags":["Doctor"],"objectId":"doc6xkJ1kNvJoyHy","countText":"7","reviewsText":"7 yorum","hideReactions":true,"isLoginNeeded":true,"baseUrl":"//reviews.yandex.com.tr","initialSuggest":[{"id":"/sprav/206194939388","title":"Семейная клиника","subtitle":"Проезд Мира, 4, Можайск"},{"id":"/sprav/88119768504","title":"Научно-практический центр современной медицины","subtitle":"Улица Строителей, 1, Можайск"}],"subtitle":"хирург"},"exp1AspectsEnabled":false,"reviewAspect":{"negative":null,"total_cnt":null,"positive":null},"commonSource":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","name":"ДОКТУ","id":"doctu.ru"},"linkTarget":"_blank","id":"6xkJ1kNvJoyHy","topReview":{"id":"tKC8zeoYHg3Ugblo02I856Ika8AyLWU","rating":{"max":5,"val":5},"text":"Грамотный специалист в своей области. Быстро выявил заболевание и оперативно решил проблему. Рекомендую 👍","fullText":"","time":"20 haziran"},"offerIds":["1256214","1374735","Gurko-1","d-3328127-w-3484936"],"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 кишечного свища в можайске","filterAjaxQueryOriginal":"Лечение кишечного свища в можайске","titleFilter":{"name":"s_toponym","disabled":false,"quickClear":false,"orderButton":1,"orderDrawer":1,"active":false,"type":"city","suggestCGI":{"add_geoid":1,"results":20,"ull":"36.016968,55.506953","bases":"locality","countries":"ru"},"requestWithoutGeo":"лечение кишечного свища","searchPlaceholder":"Выберите город или населённый пункт","hasFocusableInput":true,"maximize":true,"toponymWithPreposition":"в Можайске","initialItems":[{"subtitle":"21.08 км","tag":"locality","text":"Московская область, Верея","title":"Верея"},{"subtitle":"24.49 км","tag":"locality","text":"Московская область, Руза","title":"Руза"},{"subtitle":"43.36 км","tag":"locality","text":"Московская область, Кубинка","title":"Кубинка"},{"subtitle":"46.59 км","tag":"locality","text":"Московская область, Наро-Фоминск","title":"Наро-Фоминск"},{"subtitle":"58.96 км","tag":"locality","text":"Московская область, Волоколамск","title":"Волоколамск"},{"subtitle":"62.22 км","tag":"locality","text":"Московская область, Голицыно","title":"Голицыно"},{"subtitle":"66.64 км","tag":"locality","text":"Московская область, Апрелевка","title":"Апрелевка"},{"subtitle":"69.57 км","tag":"locality","text":"Московская область, Истра","title":"Истра"},{"subtitle":"79.56 км","tag":"locality","text":"Московская область, Дедовск","title":"Дедовск"},{"subtitle":"80.66 км","tag":"locality","text":"Московская область, Одинцово","title":"Одинцово"},{"subtitle":"81.22 км","tag":"locality","text":"Москва, Троицк","title":"Троицк"},{"subtitle":"84.31 км","tag":"locality","text":"Москва, Московский","title":"Московский"},{"subtitle":"88.84 км","tag":"locality","text":"Московская область, Красногорск","title":"Красногорск"},{"subtitle":"92.34 км","tag":"locality","text":"Москва, Зеленоград","title":"Зеленоград"},{"subtitle":"96.37 км","tag":"locality","text":"Московская область, Солнечногорск","title":"Солнечногорск"},{"subtitle":"96.39 км","tag":"locality","text":"Московская область, Высоковск","title":"Высоковск"},{"subtitle":"96.71 км","tag":"locality","text":"Московская область, Подольск","title":"Подольск"},{"subtitle":"97.49 км","tag":"locality","text":"Москва, Щербинка","title":"Щербинка"},{"subtitle":"99.59 км","tag":"locality","text":"Московская область, Чехов","title":"Чехов"},{"subtitle":"101.88 км","tag":"locality","text":"Московская область, Клин","title":"Клин"}]},"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":"35.9689935,55.48438551,36.0649425,55.52950751"},"requestWithoutGeo":"лечение кишечного свища","toponym":"Можайск","searchPlaceholder":"Район","hasFocusableInput":true,"maximize":true,"initialItems":[{"subtitle":"проезд Мира, Можайск","tag":"street","text":"Россия, Московская область, Можайск, проезд Мира","title":"проезд Мира"},{"subtitle":"улица Строителей, Можайск","tag":"street","text":"Россия, Московская область, Можайск, улица Строителей","title":"улица Строителей"}],"interactionItems":{},"cityAddress":"Россия, Москва и Московская область, Можайск"},{"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":"35.9689935,55.48438551,36.0649425,55.52950751","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 Строителей, 1, Можайск","title":"Научно-практический центр современной медицины","id":"88119768504"},{"subtitle":"Проезд Мира, 4, Можайск","title":"Семейная клиника","id":"206194939388"}]},{"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":"(koloproktolog_proktolog|0|Геморрой)","title":"Геморрой","active":false,"disabled":false},{"id":"(khirurg|0|Иссечение анальной трещины)","title":"Иссечение анальной трещины","active":false,"disabled":false},{"id":"(khirurg|0|Кишечный свищ)","title":"Кишечный свищ","active":true,"disabled":false},{"id":"(khirurg|0|Удаление свища)","title":"Удаление свища","active":false,"disabled":false}]}],"currentFilterHash":"EngaGwoQc19zcGVjaWFsaXphdGlvbhIHa2hpcnVyZxo4Cg9zX3NwZWNpYWxfc2tpbGwSJShraGlydXJnfDB80JrQuNGI0LXRh9C90YvQuSDRgdCy0LjRiSlCB2FzcGVjdHNIAFABkgERCghSZWdpb25JZBIFMTA3Mzk=","filtersTexts":{"resultText":"2 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":"EngaOAoPc19zcGVjaWFsX3NraWxsEiUoa2hpcnVyZ3wwfNCa0LjRiNC10YfQvdGL0Lkg0YHQstC40YkpGhsKEHNfc3BlY2lhbGl6YXRpb24SB2toaXJ1cmdCB2FzcGVjdHNIAFABkgERCghSZWdpb25JZBIFMTA3Mzk=","orderList":[{"label":"Популярные рядом","value":"Em0aOAoPc19zcGVjaWFsX3NraWxsEiUoa2hpcnVyZ3wwfNCa0LjRiNC10YfQvdGL0Lkg0YHQstC40YkpGhsKEHNfc3BlY2lhbGl6YXRpb24SB2toaXJ1cmdQAZIBEQoIUmVnaW9uSWQSBTEwNzM5"},{"label":"По рейтингу","value":"EnwaOAoPc19zcGVjaWFsX3NraWxsEiUoa2hpcnVyZ3wwfNCa0LjRiNC10YfQvdGL0Lkg0YHQstC40YkpGhsKEHNfc3BlY2lhbGl6YXRpb24SB2toaXJ1cmdCC3Jldmlld3NfbmV3SABQAZIBEQoIUmVnaW9uSWQSBTEwNzM5"},{"label":"По количеству отзывов","value":"En4aOAoPc19zcGVjaWFsX3NraWxsEiUoa2hpcnVyZ3wwfNCa0LjRiNC10YfQvdGL0Lkg0YHQstC40YkpGhsKEHNfc3BlY2lhbGl6YXRpb24SB2toaXJ1cmdCDXJldl9jb3VudF9uZXdIAFABkgERCghSZWdpb25JZBIFMTA3Mzk="},{"label":"По времени приёма","value":"EnoaOAoPc19zcGVjaWFsX3NraWxsEiUoa2hpcnVyZ3wwfNCa0LjRiNC10YfQvdGL0Lkg0YHQstC40YkpGhsKEHNfc3BlY2lhbGl6YXRpb24SB2toaXJ1cmdCCXRpbWVzbG90c0gAUAGSAREKCFJlZ2lvbklkEgUxMDczOQ=="},{"label":"По количеству отзывов по теме","value":"EngaOAoPc19zcGVjaWFsX3NraWxsEiUoa2hpcnVyZ3wwfNCa0LjRiNC10YfQvdGL0Lkg0YHQstC40YkpGhsKEHNfc3BlY2lhbGl6YXRpb24SB2toaXJ1cmdCB2FzcGVjdHNIAFABkgERCghSZWdpb25JZBIFMTA3Mzk="}],"orderIconOnly":false,"appointmentsAjaxUrl":"/medicine/search/result","listTheme":"cards","breadcrumbs":[{"title":"Вся медицина","url":"/medicine"}],"titleTag":"h1","nonceId":"8966","specialization":"khirurg","useThinArrowsTheme":true,"map":{"pins":[{"id":206194939388,"title":"Семейная клиника","coordinates":[36.042182,55.502471],"rating":{"value":4.9,"base":5,"decimalSeparator":","},"doctorsCount":2,"minPrice":1500,"category":"medicine"}],"bounds":[[36.03831996293051,55.5034445883208],[36.046044037069485,55.5014973876054]],"title":"хирурги","specializationSlug":"khirurg","dragContext":"ZAAAAMoCGHNfc3BlY2lhbGl6YXRpb249a2hpcnVyZw==","assetId":"ua_34_3343159080","ajaxPath":"/medicine/search/geo"},"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"8tciw02-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"list"}}}}},"type":"unisearch/medicine","subtype":"list"},"8tci2":{"state":{"globalStoreProps":{"imageBackendUrl":"https://gs.yandex.com.tr/images-apphost/image-download?cbird=171","query":"Лечение кишечного свища в можайске","retina":false,"avatarId":"0","isHermione":false,"isMacOS":false,"tld":"com.tr","isEmbeddedFuturis":false,"isLoggedIn":false,"brand":"yazeka","reqId":"1759857524178822-2110976961432781177-balancer-l7leveler-kubr-yp-klg-32-BAL","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","baseUrlWs":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Кишечный свищ: что это?","markdown":"**Кишечный свищ** — это патологическое состояние, при котором образуется аномальное сообщение между двумя участками желудочно-кишечного тракта или между желудочно-кишечным трактом и другими органами брюшной полости [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). \n\nСвищи могут быть: \n* **Внутренними** — располагаются между двумя участками тонкой или толстой кишки, а также между желудком и двенадцатиперстной кишкой [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). \n* **Внешними** — проходят через стенку живота и открываются наружу, формируя фистульную трубку [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). \n\nЧаще всего кишечный свищ — не самостоятельная болезнь, а осложнение основного заболевания [2](https://www.gosmed.ru/lechebnaya-deyatelnost/spravochnik-zabolevaniy/khirurgiya-bolezny/kishechnyy-svishch/).\n\n\n\n## Причины\nНекоторые причины возникновения кишечного свища: \n* **Хирургические вмешательства** на желудочно-кишечном тракте, особенно при удалении злокачественных опухолей или лечении воспалительных заболеваний кишечника [3](https://ru.ruwiki.ru/wiki/%D0%9A%D0%B8%D1%88%D0%B5%D1%87%D0%BD%D1%8B%D0%B9_%D1%81%D0%B2%D0%B8%D1%89). \n* **Воспалительные процессы** в брюшной полости (аппендицит, колит) [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). \n* **Травмы брюшной полости** [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). \n* **Радиационная терапия** [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). \n* **Заболевания печени и поджелудочной железы** [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). \n* **Некоторые инфекционные заболевания** (туберкулёз, сифилис) [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/).\n\n## Симптомы\nСимптомы кишечных свищей зависят от типа свища, его расположения и размера [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). Некоторые признаки: \n* боли в животе [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/); \n* вздутие живота [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/); \n* диарея [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/); \n* потеря веса [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/); \n* непереносимость определённых продуктов [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/); \n* слабость [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/); \n* лихорадка [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/); \n* тошнота и рвота [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/).\n\n## Диагностика\nДля диагностики кишечных свищей используют различные методы исследования, например: \n* рентгенографию с контрастным веществом [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/); \n* компьютерную томографию [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/); \n* ультразвуковое исследование [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/); \n* колоноскопию [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/).\n\n## Лечение\nЛечение кишечных свищей зависит от их типа, размера и локализации [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). В большинстве случаев лечение проводится **хирургическим путём** [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). Хирургическое вмешательство может включать удаление свища, пластику дефекта кишечной стенки, создание искусственного анального отверстия и другие манипуляции [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). \n\nВ некоторых случаях может быть показана **консервативная терапия**: назначение специальной диеты, приём лекарственных препаратов, физиотерапия [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/). \n\n**Профилактика** кишечных свищей заключается в своевременном выявлении и лечении заболеваний, которые могут стать причиной их образования [1](https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/).","linksData":[{"sourceId":1,"url":"https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/","shownUrl":"https://semeynaya.ru/directions/khirurgiya/kishechnyy-svisch/","title":"Кишечный свищ","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":2,"url":"https://www.gosmed.ru/lechebnaya-deyatelnost/spravochnik-zabolevaniy/khirurgiya-bolezny/kishechnyy-svishch/","shownUrl":"https://www.gosmed.ru/lechebnaya-deyatelnost/spravochnik-zabolevaniy/khirurgiya-bolezny/kishechnyy-svishch/","title":"Кишечный свищ – лечение, операция в СПб","shortUrl":"gosmed.ru","isTranslated":false,"description":"","greenUrl":"gosmed.ru"},{"sourceId":3,"url":"https://ru.ruwiki.ru/wiki/%D0%9A%D0%B8%D1%88%D0%B5%D1%87%D0%BD%D1%8B%D0%B9_%D1%81%D0%B2%D0%B8%D1%89","shownUrl":"https://ru.ruwiki.ru/wiki/%D0%9A%D0%B8%D1%88%D0%B5%D1%87%D0%BD%D1%8B%D0%B9_%D1%81%D0%B2%D0%B8%D1%89","title":"Кишечный свищ — Рувики: Интернет-энциклопедия","shortUrl":"ru.ruwiki.ru","isTranslated":false,"description":"","greenUrl":"ru.ruwiki.ru"},{"sourceId":4,"url":"https://surgery-first.ru/chto-my-lechim/zabolevaniya/svishh-tolstoj-kishki/","shownUrl":"https://surgery-first.ru/chto-my-lechim/zabolevaniya/svishh-tolstoj-kishki/","title":"Свищ толстой кишки — surgery-first.ru","shortUrl":"surgery-first.ru","isTranslated":false,"description":"","greenUrl":"surgery-first.ru"},{"sourceId":5,"url":"https://proctolog81.ru/svishhi-pryamoj-kishki/lechenie/","shownUrl":"https://proctolog81.ru/svishhi-pryamoj-kishki/lechenie/","title":"Лечение свища кишки -","shortUrl":"proctolog81.ru","isTranslated":false,"description":"","greenUrl":"proctolog81.ru"},{"sourceId":6,"url":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/Intestinal-fistula","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/Intestinal-fistula","title":"Кишечный свищ - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":7,"url":"https://www.euroonco.ru/terms-from-a-z/svishch","shownUrl":"https://www.euroonco.ru/terms-from-a-z/svishch","title":"Что такое свищ, причины, симптомы и лечение | Клиники «Евроонко»","shortUrl":"euroonco.ru","isTranslated":false,"description":"","greenUrl":"euroonco.ru"},{"sourceId":8,"url":"https://gemotest.ru/info/spravochnik/zabolevaniya/svishch-pryamoy-kishki/","shownUrl":"https://gemotest.ru/info/spravochnik/zabolevaniya/svishch-pryamoy-kishki/","title":"Свищ прямой кишки — симптомы у мужчин и женщин, лечение","shortUrl":"gemotest.ru","isTranslated":false,"description":"","greenUrl":"gemotest.ru"},{"sourceId":9,"url":"https://polyclin.ru/articles/svishi/","shownUrl":"https://polyclin.ru/articles/svishi/","title":"Свищи прямой кишки: причины, симптомы и лечение","shortUrl":"polyclin.ru","isTranslated":false,"description":"","greenUrl":"polyclin.ru"},{"sourceId":10,"url":"https://www.smclinic.ru/diseases/svishch-pryamoy-kishki/","shownUrl":"https://www.smclinic.ru/diseases/svishch-pryamoy-kishki/","title":"Свищ прямой кишки – симптомы, причины, виды, диагностика и методы лечения в «СМ-Клиника»","shortUrl":"smclinic.ru","isTranslated":false,"description":"","greenUrl":"smclinic.ru"},{"sourceId":11,"url":"https://polyclinika.ru/tech/svishch-pryamoy-kishki-prichiny-simptomy-lechenie/","shownUrl":"https://polyclinika.ru/tech/svishch-pryamoy-kishki-prichiny-simptomy-lechenie/","title":"Свищ прямой кишки - причины, виды, симптомы, признаки, диагностика, лечение (операция по удалению)","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"}]}},"metaInfoData":{"Question":{"messageId":"fake-id-Question","withoutAnimation":true}},"statusData":{"Question":{"isCompleteResults":true}}}},"snackbarStoreProps":{},"query":"Кишечный свищ: что это?","title":"Ответы на вопросы про заболевания","pairUUID":"Question","baobab":{"parentNode":{"context":{"genInfo":{"prefix":"8tciw03-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"meta_question"}}}}},"type":"unisearch/medicine","subtype":"meta_question"},"8tci3":{"state":{"title":"Люди ищут","items":[{"specialization":"khirurg","url":"/medicine/khirurg_mozhaysk","title":"Хирурги в Можайске","additionalLogNodeAttrs":{"specialization":"khirurg"}},{"url":"/medicine/mozhaysk","title":"Врачи в Можайске"},{"url":"/medicine/issechenie-analnoj-treschiny_mozhaysk","title":"Иссечение анальной трещины в Можайске"},{"url":"/medicine/vereya","title":"Врачи в Верее"},{"specialization":"terapevt","url":"/medicine/terapevt_vereya","title":"Терапевты в Верее","additionalLogNodeAttrs":{"specialization":"terapevt"}},{"specialization":"ginekolog","url":"/medicine/ginekolog_vereya","title":"Гинекологи в Верее","additionalLogNodeAttrs":{"specialization":"ginekolog"}},{"specialization":"stomatolog","url":"/medicine/stomatolog_vereya","title":"Стоматологи в Верее","additionalLogNodeAttrs":{"specialization":"stomatolog"}},{"specialization":"psikholog","url":"/medicine/psikholog_vereya","title":"Психологи в Верее","additionalLogNodeAttrs":{"specialization":"psikholog"}}],"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"8tciw04-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"relative"}}}}},"type":"unisearch/medicine","subtype":"relative"},"8tci4":{"state":{"isRightColumn":true,"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"8tciw05-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"doctor_right"}}}}},"type":"unisearch/medicine","subtype":"doctor_right"},"8tci5":{"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%BA%D0%B8%D1%88%D0%B5%D1%87%D0%BD%D0%BE%D0%B3%D0%BE%20%D1%81%D0%B2%D0%B8%D1%89%D0%B0%20%D0%B2%20%D0%BC%D0%BE%D0%B6%D0%B0%D0%B9%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":"8tciw06-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"footer"}}}}},"type":"unisearch/medicine","subtype":"footer"}}