{"6yvm0":{"state":{"headerProps":{"form":{"action":"/medicine/revmatizm_bryansk","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%2Frevmatizm_bryansk%3Flr%3D213%26text%3D%25D0%259B%25D0%25B5%25D1%2587%25D0%25B5%25D0%25BD%25D0%25B8%25D0%25B5%2B%25D1%2580%25D0%25B5%25D0%25B2%25D0%25BC%25D0%25B0%25D1%2582%25D0%25B8%25D0%25B7%25D0%25BC%25D0%25B0%2B%25D0%25B2%2B%25D0%25B1%25D1%2580%25D1%258F%25D0%25BD%25D1%2581%25D0%25BA%25D0%25B5%26unifilter%3DEmgaHgoQc19zcGVjaWFsaXphdGlvbhIKcmV2bWF0b2xvZxo0Cg9zX3NwZWNpYWxfc2tpbGwSIShyZXZtYXRvbG9nfDB80KDQtdCy0LzQsNGC0LjQt9C8KZIBDwoIUmVnaW9uSWQSAzE5MQ%253D%253D%26ncrnd%3D85258","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":"[$query]","from":"tabbar"}}],"selectedTabId":"medicine"},"context":{"query":"Лечение ревматизма в брянске","reqid":"1760549617538353-9300736849629522597-balancer-l7leveler-kubr-yp-sas-99-BAL","lr":"213","aliceDeeplink":"{\"text\":\"Лечение ревматизма в брянске\"}","counters":{"type":"b","data":{"$header":"6yvmz000","logo":"6yvmz001","advanced-search":"6yvmz002","login":"6yvmz004","usermenu":"6yvmz005","market-cart":"6yvmz007","more-button":"6yvmz008","cbir":"6yvmz009","clear":"6yvmz00a","submit":"6yvmz00b","alice":"6yvmz00c","$navigation":"6yvmz00d","item":"6yvmz014","tab-search":"6yvmz00t","tab-images":"6yvmz00v","tab-medicine":"6yvmz00x","tab-video":"6yvmz00z","tab-newstr":"6yvmz011","tab-maps":"6yvmz013","tab-translate":"6yvmz015"}}},"loggedIn":false,"mix":{"outerContainer":["HeaderDesktop_tr"]},"suggestUrl":"/medicine/suggest","suggestPlaceholder":"Doktor, klinik, hizmet bul","suggestParams":{}},"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"6yvmw01-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"header"}}}}},"type":"unisearch/medicine","subtype":"header"},"6yvm1":{"state":{"snippetId":"reef_unisearch/medicine_list","title":"Лечение ревматизма","subtitle":"4 doktor, 124 yorum","count":4,"countText":"4","countA11yLabel":"4 doktor","showMoreInfoA11yLabel":"Tüm doktorları listele","items":[{"ento":"0oChBkb2N3RjFZVlBIUmxrYXlsGAJCP9CR0LDQt9C10LLQuNGHINCv0L3QsCDQm9C10L7QvdC40LTQvtCy0L3QsCDRgNC10LLQvNCw0YLQvtC70L7Qs_Oxbeg","specializations":["ревматолог"],"specializationsText":"Ревматолог","features":["Deneyim: 16 yıl"],"photo":"https://avatars.mds.yandex.net/get-unisearch/5458967/medicine_jgBm4v2EJKI1fu1RbU2g/210x210face","descriptionSource":{"text":"СберЗдоровье","url":"https://bry.docdoc.ru/checkout?pid=27997&doctorId=786888&clinicId=121484&isNetwork=true&specializationId=110&receptionType=clinic&cityId=54®City=bry"},"featuresSource":{"text":"СберЗдоровье","url":"https://bry.docdoc.ru/checkout?pid=27997&doctorId=786888&clinicId=121484&isNetwork=true&specializationId=110&receptionType=clinic&cityId=54®City=bry"},"name":"Базевич Яна Леонидовна","sourceName":"СберЗдоровье","url":"https://bry.docdoc.ru/checkout?pid=27997&doctorId=786888&clinicId=121484&isNetwork=true&specializationId=110&receptionType=clinic&cityId=54®City=bry","descriptions":[{"text":["Ревматолог. Взрослый. Стаж 16 лет"],"fullText":["Ревматолог. Взрослый. Стаж 16 лет"],"source":{"url":"https://bry.docdoc.ru/checkout?pid=27997&doctorId=786888&clinicId=121484&isNetwork=true&specializationId=110&receptionType=clinic&cityId=54®City=bry","text":"bry.docdoc.ru"},"withCut":false},{"text":["Занимается диагностикой и лечением различных заболеваний ревматологического профиля, в том числе системных заболеваний соединительной ткани (системная склеродермия, перекрестные формы склеродермии, диффузный эозинофильный фасциит, склеродемой Бушке,…"],"fullText":["Занимается диагностикой и лечением различных заболеваний ревматологического профиля, в том числе системных заболеваний соединительной ткани (системная склеродермия, перекрестные формы склеродермии, диффузный эозинофильный фасциит, склеродемой Бушке, очаговая склеродермия, дермато-полимиозит, синдромом Рейно, ревматоидный артрит, системная красная волчанка, системные васкулиты, анкилозирующий спондилоартрит, остеоартроз, реактивные артриты и др.)."],"source":{"url":"https://bry.docdoc.ru/checkout?pid=27997&doctorId=786888&clinicId=121484&isNetwork=true&specializationId=110&receptionType=clinic&cityId=54®City=bry","text":"bry.docdoc.ru"},"withCut":true}],"entityCardUrl":"https://gs.yandex.com.tr/medicine/doctor/bazevich_yana_wF1YVPHRlkayl","shareUrl":"https://gs.yandex.com.tr/medicine/doctor/bazevich_yana_wF1YVPHRlkayl","isVerified":false,"doctorId":"wF1YVPHRlkayl","previewCvData":{"cvItems":[]},"clinicsFeatures":["Эксперт МРТ ve 1 daha"],"host":"bry.docdoc.ru","aggregatorOffers":[{"id":"docdoc.ru","reviewCount":"3 yorum","name":"СберЗдоровье","favicon":"https://bry.docdoc.ru/static/new-doc-doc/images/sberhealth_600px.png","url":"https://bry.docdoc.ru/checkout?pid=27997&doctorId=786888&clinicId=121484&isNetwork=true&specializationId=110&receptionType=clinic&cityId=54®City=bry"},{"id":"napopravku.ru","name":"НаПоправку","favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_AB5pYW2JP3p6uYc0WW0R/210x210","url":"https://napopravku.ru/bryansk/doctor-profile/bazevich-jana-leonidovna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3053517&price_type=basic"},{"id":"prodoctorov.ru","name":"ПроДокторов","favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_LoqgwCaCV2eKSwA6cOuB/210x210","url":"https://prodoctorov.ru/bryansk/vrach/91373-bazevich/"},{"id":"doctu.ru","name":"ДОКТУ","favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","url":"https://doctu.ru/bryansk/doctor/bazevich-ja-l"}],"otherClinicsInfo":{"text":"1 klinikte daha kabul ediliyor","insuranceText":"Zorunlu Sağlık Sigartası (OMS) ile kayıt olabilirsiniz"},"bestOffer":{"price":{"currency":"RUR","text":"","value":1870},"name":"Эксперт МРТ","address":"Проспект Станке Димитрова, 28, Брянск","geoId":"244146184267","appointmentUrl":"https://bry.docdoc.ru/checkout?pid=27997&doctorId=786888&clinicId=121484&isNetwork=true&specializationId=110&receptionType=clinic&cityId=54®City=bry","phone":"+7 (483) 232-13-61","phoneOnly":false},"appointments":[{"name":"Эксперт МРТ","address":"Проспект Станке Димитрова, 28, Брянск","geoId":"244146184267","link":"https://gs.yandex.com.tr/medicine/clinic/ekspert-mrt_244146184267","geoLink":"https://yandex.ru/maps/?ll=34.33334,53.247255&rtext=~53.247255,34.33334&ruri=~ymapsbm1://org?oid=244146184267","clinicUrl":"https://mrt32.ru/","openHours":{"days":{"mon":{"intervals":[{"from":"07:00","to":"00:00"}]},"tue":{"intervals":[{"from":"07:00","to":"00:00"}]},"wed":{"intervals":[{"from":"07:00","to":"00:00"}],"current":true},"thu":{"intervals":[{"from":"07:00","to":"00:00"}]},"fri":{"intervals":[{"from":"07:00","to":"00:00"}]},"sat":{"intervals":[{"from":"07:00","to":"00:00"}]},"sun":{"intervals":[{"from":"07:00","to":"00:00"}]}},"buttonText":"Открыто до 00:00"},"logo":"https://avatars.mds.yandex.net/get-altay/6444937/2a00000182ab185fbc1b17d2a1f9da4d3ced/M","phone":"+7 (483) 232-13-61","sourcesInfo":[{"id":"docdoc.ru","price":{"currency":"RUR","text":"","value":1870},"appointmentUrl":"https://bry.docdoc.ru/checkout?pid=27997&doctorId=786888&clinicId=121484&isNetwork=true&specializationId=110&receptionType=clinic&cityId=54®City=bry","source":{"favicon":"https://bry.docdoc.ru/static/new-doc-doc/images/sberhealth_600px.png","name":"СберЗдоровье","url_template":"https://bry.docdoc.ru/checkout?pid=27997&doctorId=786888&clinicId=121484&isNetwork=true&specializationId=110&receptionType=clinic&cityId=54®City=bry&rform=1&clinicId=%7Bclinic_id%7D&dateAdmission=%7Bstart_time%7D","doctor_id":"786888","id":"docdoc.ru"}},{"id":"doctu.ru","price":{"currency":"RUR","text":"","value":2000,"product":"за приём"},"appointmentUrl":"https://doctu.ru/bryansk/doctor/bazevich-ja-l","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","name":"ДОКТУ","id":"doctu.ru"}},{"id":"napopravku.ru","price":{"currency":"RUR","text":"","value":2200,"product":"за приём"},"appointmentUrl":"https://napopravku.ru/bryansk/doctor-profile/bazevich-jana-leonidovna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3053517&price_type=basic","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_AB5pYW2JP3p6uYc0WW0R/210x210","name":"НаПоправку","doctor_id":"2969825","id":"napopravku.ru"},"strictAppointmentUrl":"https://napopravku.ru/bryansk/doctor-profile/bazevich-jana-leonidovna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3053517&price_type=basic"},{"id":"prodoctorov.ru","price":{"currency":"RUR","text":"","value":2200,"product":"за приём"},"appointmentUrl":"https://prodoctorov.ru/bryansk/vrach/91373-bazevich/","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_LoqgwCaCV2eKSwA6cOuB/210x210","name":"ПроДокторов","id":"prodoctorov.ru"}}],"phoneOnly":false,"compulsoryInsurance":false,"minPrice":{"currency":"RUR","text":"","value":1870},"appointmentsSchedule":{"nearestAppointments":{"date":"2025-10-22","values":[{"sources":[{"data":{"clinic_id":"2912624","start_time":"2025-10-22T18:10:00"},"cgi":{"ya_token":"CgcyOTY5ODI1EgcyOTEyNjI0GhMyMDI1LTEwLTIyVDE4OjEwOjAwIPG1v8cGKJgR","utm_term":"feeds_exp","date_time":"2025-10-22T18:10","service_id":"1134087"},"id":"napopravku.ru"}],"title":"22 ekim, 18:10","start_ts":1761145800,"id":"2025-10-22T18:10:00"},{"id":"2025-10-25","start_ts":1761350400000,"sources":[],"title":"25 ekim, ","dayName":"cts","dayNameA11y":"cumartesi"},{"id":"2025-10-28","start_ts":1761609600000,"sources":[],"title":"28 ekim, ","dayName":"sal","dayNameA11y":"salı"},{"id":"2025-10-22","start_ts":1761091200000,"title":"Başka bir saat","sources":[],"logNodeName":"more-dates-button"}]},"dates":["2025-10-22","2025-10-25","2025-10-28"],"userTime":{"timezone":3,"currentTimestamp":1760549617000},"timeTableText":["Yakında 22 ekim в 18:10"]},"rating":4.9,"ratingBase":5,"reviewsCount":478},{"name":"Государственное Автономное Учреждение Здравоохранения Брянская Областная Больница № 1","address":"Проспект Станке Димитрова, 86, Брянск","geoId":"116467830649","link":"https://gs.yandex.com.tr/medicine/clinic/gosudarstvennoye-avtonomnoye-uchrezhdeniye-zdravookhraneniya-bryanskaya-oblastnaya-bolnitsa-1_116467830649","geoLink":"https://yandex.ru/maps/?ll=34.321034,53.231012&rtext=~53.231012,34.321034&ruri=~ymapsbm1://org?oid=116467830649","openHours":{"days":{"mon":{"intervals":[{"from":"09:00","to":"16:00"}]},"tue":{"intervals":[{"from":"09:00","to":"16:00"}]},"wed":{"intervals":[{"from":"09:00","to":"16:00"}],"current":true},"thu":{"intervals":[{"from":"09:00","to":"16:00"}]},"fri":{"intervals":[{"from":"09:00","to":"16:00"}]},"sat":{},"sun":{}},"buttonText":"Закрыто до завтра"},"phone":"+7 (483) 232-90-42","sourcesInfo":[{"id":"napopravku.ru","price":{"text":""},"appointmentUrl":"https://napopravku.ru/bryansk/doctor-profile/bazevich-jana-leonidovna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3053522&price_type=basic","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_AB5pYW2JP3p6uYc0WW0R/210x210","name":"НаПоправку","doctor_id":"2969825","id":"napopravku.ru"}},{"id":"doctu.ru","price":{"text":""},"appointmentUrl":"https://doctu.ru/bryansk/doctor/bazevich-ja-l","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":1760549617000}}}],"mergedTranslitNames":["bazevich_yana"],"mergedDoctorKeys":["wF1YVPHRlkayl"],"moreClinicsLabel":"-1 klinik daha göster","initialClinicsLimit":3,"jobExperience":{"type":"list","items":[],"itemsShownBeforeUncollapse":2},"education":{"type":"list","items":[{"type":"studyplace","positions":[{"position":"Интернатура","period":"2010"}],"title":"Смоленская государственная медицинская академия"},{"type":"studyplace","positions":[{"position":"ВУЗ","period":"2009"}],"title":"Медицинский институт орловского государственного университета им. И.С.Тургенева"}],"itemsShownBeforeUncollapse":2},"feedbackUrl":"https://yandex.ru/support/webmaster/troubleshooting/health-partner.html","ugc":{"otype":"Hum","appId":"spectre-search","count":28,"tags":["Doctor"],"objectId":"docwF1YVPHRlkayl","countText":"28","reviewsText":"28 yorum","hideReactions":true,"isLoginNeeded":true,"baseUrl":"//reviews.yandex.com.tr","initialSuggest":[{"id":"/sprav/244146184267","title":"Эксперт МРТ","subtitle":"Проспект Станке Димитрова, 28, Брянск"},{"id":"/sprav/116467830649","title":"Государственное Автономное Учреждение Здравоохранения Брянская Областная Больница № 1","subtitle":"Проспект Станке Димитрова, 86, Брянск"}],"subtitle":"ревматолог"},"exp1AspectsEnabled":false,"reviewAspect":{"negative":4,"total_cnt":28,"positive":24},"linkTarget":"_blank","id":"wF1YVPHRlkayl","topReview":{"id":"eowiIYeiBCWksOentSNpCycXkVittMV","rating":{"max":5,"val":5},"text":"Вежливый , знающий своё дело, внимательный к пациентам и их проблемам","fullText":"","time":"27 ağustos"},"offerIds":["352297","492764","d-2969825-w-3053517","d-2969825-w-3053522","doctor-2698586","doctor_786888_121484_1_110"],"withoutUGC":false,"appointmentScheduleVisible":true,"openPreviewOnLinkClick":true,"withLink":true},{"ento":"0oChBkb2N4aHZuSURSSHNiVFBsGAJCR9Cc0LDQvNC60L7QstCwINCd0LDRgtCw0LvRjNGPINCd0LjQutC-0LvQsNC10LLQvdCwINGA0LXQstC80LDRgtC-0LvQvtCzzOF_LQ","specializations":["ревматолог"],"specializationsText":"Ревматолог","features":["Deneyim: 23 yıl"],"photo":"https://avatars.mds.yandex.net/get-unisearch/6118978/medicine_lAkp8QkgWmhsUzd4idB9/210x210face","descriptionSource":{"text":"НаПоправку","url":"https://napopravku.ru/bryansk/doctor-profile/mamkova-natalja-nikolaevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3698367&price_type=basic"},"featuresSource":{"text":"НаПоправку","url":"https://napopravku.ru/bryansk/doctor-profile/mamkova-natalja-nikolaevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3698367&price_type=basic"},"name":"Мамкова Наталья Николаевна","sourceName":"НаПоправку","url":"https://napopravku.ru/bryansk/doctor-profile/mamkova-natalja-nikolaevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3698367&price_type=basic","descriptions":[{"text":["Ревматолог. Взрослый. Стаж 23 года"],"fullText":["Ревматолог. Взрослый. Стаж 23 года"],"source":{"url":"https://napopravku.ru/bryansk/doctor-profile/mamkova-natalja-nikolaevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3698367&price_type=basic","text":"napopravku.ru"},"withCut":false},{"text":["Врач ведёт приём взрослых пациентов, осуществляет диагностику, профилактические меры и терапию заболеваний соединительной ткани, включая остеопороз, ревматоидный артрит, ревматическую болезнь сердца, системные васкулиты, фибромиалгию, системную…"],"fullText":["Врач ведёт приём взрослых пациентов, осуществляет диагностику, профилактические меры и терапию заболеваний соединительной ткани, включая остеопороз, ревматоидный артрит, ревматическую болезнь сердца, системные васкулиты, фибромиалгию, системную красную волчанку, подагру и другие. Наталья Николаевна Мамкова занимается лечением склеродермии."],"source":{"url":"https://napopravku.ru/bryansk/doctor-profile/mamkova-natalja-nikolaevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3698367&price_type=basic","text":"napopravku.ru"},"withCut":true}],"entityCardUrl":"https://gs.yandex.com.tr/medicine/doctor/mamkova_natalya_xhvnIDRHsbTPl","shareUrl":"https://gs.yandex.com.tr/medicine/doctor/mamkova_natalya_xhvnIDRHsbTPl","isVerified":false,"doctorId":"xhvnIDRHsbTPl","previewCvData":{"cvItems":[]},"clinicsFeatures":["Спектр-Диагностика ve 1 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/bryansk/doctor-profile/mamkova-natalja-nikolaevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3698367&price_type=basic"},{"id":"prodoctorov.ru","name":"ПроДокторов","favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_LoqgwCaCV2eKSwA6cOuB/210x210","url":"https://prodoctorov.ru/bryansk/vrach/162809-mamkova/"},{"id":"doctu.ru","name":"ДОКТУ","favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","url":"https://doctu.ru/bryansk/doctor/mamkova-natalja-nikolaevna"}],"otherClinicsInfo":{"text":"1 klinikte daha kabul ediliyor","minPrice":1800,"minPriceFromText":"min."},"bestOffer":{"price":{"currency":"RUR","text":"","value":1900,"product":"за приём"},"name":"Спектр-Диагностика","address":"Улица имени О.Н. Строкина, 2, Брянск","geoId":"48712364495","appointmentUrl":"https://napopravku.ru/bryansk/doctor-profile/mamkova-natalja-nikolaevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3698367&price_type=basic","phone":"+7 (483) 236-22-81","phoneOnly":false},"appointments":[{"name":"Спектр-Диагностика","address":"Улица имени О.Н. Строкина, 2, Брянск","geoId":"48712364495","link":"https://gs.yandex.com.tr/medicine/clinic/spektr-diagnostika_48712364495","geoLink":"https://yandex.ru/maps/?ll=34.345269,53.26922&rtext=~53.26922,34.345269&ruri=~ymapsbm1://org?oid=48712364495","clinicUrl":"https://spektr-diagnostica.ru/","openHours":{"days":{"mon":{"twentyFourHours":true},"tue":{"twentyFourHours":true},"wed":{"twentyFourHours":true,"current":true},"thu":{"twentyFourHours":true},"fri":{"twentyFourHours":true},"sat":{"twentyFourHours":true},"sun":{"twentyFourHours":true}},"buttonText":"Круглосуточно"},"logo":"https://avatars.mds.yandex.net/get-altay/5296145/2a0000017ec43be004c10ead4829d0bc187a/M","phone":"+7 (483) 236-22-81","sourcesInfo":[{"id":"napopravku.ru","price":{"currency":"RUR","text":"","value":1900,"product":"за приём"},"appointmentUrl":"https://napopravku.ru/bryansk/doctor-profile/mamkova-natalja-nikolaevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3698367&price_type=basic","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_AB5pYW2JP3p6uYc0WW0R/210x210","name":"НаПоправку","doctor_id":"3098550","id":"napopravku.ru"},"strictAppointmentUrl":"https://napopravku.ru/bryansk/doctor-profile/mamkova-natalja-nikolaevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=3698367&price_type=basic"},{"id":"prodoctorov.ru","price":{"currency":"RUR","text":"","value":1900,"product":"за приём"},"appointmentUrl":"https://prodoctorov.ru/bryansk/vrach/162809-mamkova/","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_LoqgwCaCV2eKSwA6cOuB/210x210","name":"ПроДокторов","id":"prodoctorov.ru"}},{"id":"doctu.ru","price":{"currency":"RUR","text":"","value":1900,"product":"за приём"},"appointmentUrl":"https://doctu.ru/bryansk/doctor/mamkova-natalja-nikolaevna","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","name":"ДОКТУ","id":"doctu.ru"}}],"phoneOnly":false,"compulsoryInsurance":false,"minPrice":{"currency":"RUR","text":"","value":1900,"product":"за приём"},"appointmentsSchedule":{"nearestAppointments":{"date":"2025-10-19","values":[{"sources":[{"data":{"clinic_id":"2940660","start_time":"2025-10-19T16:30:00"},"cgi":{"ya_token":"CgczMDk4NTUwEgcyOTQwNjYwGhMyMDI1LTEwLTE5VDE2OjMwOjAwIPG1v8cGKOwO","utm_term":"feeds_exp","date_time":"2025-10-19T16:30"},"id":"napopravku.ru"}],"title":"19 ekim, 16:30 itibarıyla","start_ts":1760880600,"id":"2025-10-19"},{"id":"2025-10-20","start_ts":1760918400000,"sources":[],"title":"20 ekim, ","dayName":"pzt","dayNameA11y":"pazartesi"},{"id":"2025-10-21","start_ts":1761004800000,"sources":[],"title":"21 ekim, ","dayName":"sal","dayNameA11y":"salı"},{"id":"2025-10-22","start_ts":1761091200000,"sources":[],"title":"22 ekim, ","dayName":"çş","dayNameA11y":"çarşamba"},{"id":"2025-10-23","start_ts":1761177600000,"sources":[],"title":"23 ekim, ","dayName":"per","dayNameA11y":"perşembe"},{"id":"2025-10-24","start_ts":1761264000000,"sources":[],"title":"24 ekim, ","dayName":"cu","dayNameA11y":"cuma"},{"id":"2025-10-27","start_ts":1761523200000,"sources":[],"title":"27 ekim, ","dayName":"pzt","dayNameA11y":"pazartesi"},{"id":"2025-10-28","start_ts":1761609600000,"sources":[],"title":"28 ekim, ","dayName":"sal","dayNameA11y":"salı"},{"id":"2025-10-19","start_ts":1760832000000,"title":"Başka bir saat","sources":[],"logNodeName":"more-dates-button"}]},"dates":["2025-10-19","2025-10-20","2025-10-21","2025-10-22","2025-10-23","2025-10-24","2025-10-27","2025-10-28"],"userTime":{"timezone":3,"currentTimestamp":1760549617000},"timeTableText":["Yakında 19 ekim в 16:30","Devam:","20.10","21.10"]},"rating":5,"ratingBase":5,"reviewsCount":313},{"name":"Прайм Медикал","address":"Улица Романа Брянского, 6, Брянск","geoId":"1161689024","link":"https://gs.yandex.com.tr/medicine/clinic/praym-medikal_1161689024","geoLink":"https://yandex.ru/maps/?ll=34.321447,53.264093&rtext=~53.264093,34.321447&ruri=~ymapsbm1://org?oid=1161689024","clinicUrl":"https://primemed32.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":"09:00","to":"16:00"}]},"sun":{"intervals":[{"from":"09:00","to":"16:00"}]}},"buttonText":"Закрыто до завтра"},"logo":"https://avatars.mds.yandex.net/get-altay/1881714/2a0000016a444ebbfcd89a77d207bec50924/M","phone":"+7 (483) 230-07-77","sourcesInfo":[{"id":"napopravku.ru","price":{"currency":"RUR","text":"","value":1800,"product":"за приём"},"appointmentUrl":"https://napopravku.ru/bryansk/doctor-profile/mamkova-natalja-nikolaevna/?utm_source=yandex_feeds&utm_medium=organic&utm_campaign=feeds_p&utm_content=2948664&price_type=basic","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/5710903/medicine_AB5pYW2JP3p6uYc0WW0R/210x210","name":"НаПоправку","doctor_id":"3098550","id":"napopravku.ru"}},{"id":"doctu.ru","price":{"currency":"RUR","text":"","value":1900,"product":"за приём"},"appointmentUrl":"https://doctu.ru/bryansk/doctor/mamkova-natalja-nikolaevna","source":{"favicon":"https://avatars.mds.yandex.net/get-unisearch/9811071/medicine_Jv7kppdLL6WvPueK7OXV/210x210face","name":"ДОКТУ","id":"doctu.ru"}}],"phoneOnly":false,"compulsoryInsurance":false,"minPrice":{"currency":"RUR","text":"","value":1800,"product":"за приём"},"appointmentsSchedule":{"dates":[],"userTime":{"timezone":3,"currentTimestamp":1760549617000}},"rating":4.7,"ratingBase":5,"reviewsCount":664}],"mergedTranslitNames":["mamkova_natalya"],"mergedDoctorKeys":["xhvnIDRHsbTPl"],"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":34,"tags":["Doctor"],"objectId":"docxhvnIDRHsbTPl","countText":"34","reviewsText":"34 yorum","hideReactions":true,"isLoginNeeded":true,"baseUrl":"//reviews.yandex.com.tr","initialSuggest":[{"id":"/sprav/48712364495","title":"Спектр-Диагностика","subtitle":"Улица имени О.Н. Строкина, 2, Брянск"},{"id":"/sprav/1161689024","title":"Прайм Медикал","subtitle":"Улица Романа Брянского, 6, Брянск"}],"subtitle":"ревматолог"},"exp1AspectsEnabled":false,"reviewAspect":{"negative":12,"total_cnt":34,"positive":22},"linkTarget":"_blank","id":"xhvnIDRHsbTPl","topReview":{"id":"2sQL1dHht2VT0t_5FzNlONZMKFRJaG8f","rating":{"max":5,"val":5},"text":"Хочу выразить благодарность Мамковой Наталье Николаевне. Очень болели колени,гонартроз,разрыв менисков...Только Наталья Николаевна назначила правильное и грамотное лечение,показала какие упражнения можно делать,какие нельзя,ответила на все мои вопросы.Я очень довольна,что есть такие грамотные специалисты,которые реально помогают людям.Боли прошли.Хожу только к Мамковой!Большое спасибо этому врачу!","fullText":"","time":"26 temmuz"},"offerIds":["2097851","765643","d-3098550-w-2948664","d-3098550-w-3698367","doctor-3998570"],"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 ревматизма в брянске","filterAjaxQueryOriginal":"Лечение ревматизма в брянске","titleFilter":{"name":"s_toponym","disabled":false,"quickClear":false,"orderButton":1,"orderDrawer":1,"active":false,"type":"city","suggestCGI":{"add_geoid":1,"results":20,"ull":"34.363991,53.2434","bases":"locality","countries":"ru"},"requestWithoutGeo":"лечение ревматизма","searchPlaceholder":"Выберите город или населённый пункт","hasFocusableInput":true,"maximize":true,"toponymWithPreposition":"в Брянске","initialItems":[{"subtitle":"22.47 км","tag":"locality","text":"Брянская область, Сельцо","title":"Сельцо"},{"subtitle":"23.83 км","tag":"locality","text":"Брянская область, Фокино","title":"Фокино"},{"subtitle":"39.40 км","tag":"locality","text":"Брянская область, Дятьково","title":"Дятьково"},{"subtitle":"43.41 км","tag":"locality","text":"Брянская область, Карачев","title":"Карачев"},{"subtitle":"52.84 км","tag":"locality","text":"Брянская область, Жуковка","title":"Жуковка"},{"subtitle":"70.11 км","tag":"locality","text":"Брянская область, Почеп","title":"Почеп"},{"subtitle":"84.07 км","tag":"locality","text":"Брянская область, Трубчевск","title":"Трубчевск"},{"subtitle":"103.14 км","tag":"locality","text":"Брянская область, Мглин","title":"Мглин"},{"subtitle":"121.26 км","tag":"locality","text":"Брянская область, Севск","title":"Севск"},{"subtitle":"121.58 км","tag":"locality","text":"Брянская область, Унеча","title":"Унеча"},{"subtitle":"130.10 км","tag":"locality","text":"Брянская область, Стародуб","title":"Стародуб"},{"subtitle":"133.99 км","tag":"locality","text":"Брянская область, Сураж","title":"Сураж"},{"subtitle":"152.66 км","tag":"locality","text":"Брянская область, Клинцы","title":"Клинцы"},{"subtitle":"181.06 км","tag":"locality","text":"Брянская область, Новозыбков","title":"Новозыбков"},{"subtitle":"198.46 км","tag":"locality","text":"Брянская область, Злынка","title":"Злынка"}]},"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":"34.1808425,53.14795128,34.5471395,53.33863528"},"requestWithoutGeo":"лечение ревматизма","toponym":"Брянск","searchPlaceholder":"Район","hasFocusableInput":true,"maximize":true,"initialItems":[{"subtitle":"проспект Станке Димитрова, Брянск","tag":"street","text":"Россия, Брянская область, Брянск, проспект Станке Димитрова","title":"проспект Станке Димитрова"},{"subtitle":"улица Романа Брянского, Брянск","tag":"street","text":"Россия, Брянская область, Брянск, улица Романа Брянского","title":"улица Романа Брянского"},{"subtitle":"улица имени О.Н. Строкина, Брянск","tag":"street","text":"Россия, Брянская область, Брянск, улица имени О.Н. Строкина","title":"улица имени О.Н. Строкина"}],"interactionItems":{},"cityAddress":"Россия, Брянская область, Брянск"},{"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_has_schedule","title":"Доступное время","disabled":false,"quickClear":false,"orderButton":6,"orderDrawer":6,"active":false,"type":"bool","isQuick":true},{"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":"34.1808425,53.14795128,34.5471395,53.33863528","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":"Проспект Станке Димитрова, 86, Брянск","title":"Государственное Автономное Учреждение Здравоохранения Брянская Областная Больница № 1","id":"116467830649"},{"subtitle":"Улица Романа Брянского, 6, Брянск","title":"Прайм Медикал","id":"1161689024"},{"subtitle":"Улица имени О.Н. Строкина, 2, Брянск","title":"Спектр-Диагностика","id":"48712364495"},{"subtitle":"Проспект Станке Димитрова, 28, Брянск","title":"Эксперт МРТ","id":"244146184267"}]},{"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":"(revmatolog|0|Артрит)","title":"Артрит","active":false,"disabled":false},{"id":"(revmatolog|0|Болезнь Рейно)","title":"Болезнь Рейно","active":false,"disabled":false},{"id":"(revmatolog|0|Подагра)","title":"Подагра","active":false,"disabled":false},{"id":"(revmatolog|0|Ревматизм)","title":"Ревматизм","active":true,"disabled":false},{"id":"(revmatolog|0|Системная красная волчанка)","title":"Системная красная волчанка","active":false,"disabled":false},{"id":"(revmatolog|0|Склеродермия)","title":"Склеродермия","active":false,"disabled":false}]}],"currentFilterHash":"EnUaNAoPc19zcGVjaWFsX3NraWxsEiEocmV2bWF0b2xvZ3wwfNCg0LXQstC80LDRgtC40LfQvCkaHgoQc19zcGVjaWFsaXphdGlvbhIKcmV2bWF0b2xvZ0IHYXNwZWN0c0gAUAGSAQ8KCFJlZ2lvbklkEgMxOTE=","filtersTexts":{"resultText":"4 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":"EnUaHgoQc19zcGVjaWFsaXphdGlvbhIKcmV2bWF0b2xvZxo0Cg9zX3NwZWNpYWxfc2tpbGwSIShyZXZtYXRvbG9nfDB80KDQtdCy0LzQsNGC0LjQt9C8KUIHYXNwZWN0c0gAUAGSAQ8KCFJlZ2lvbklkEgMxOTE=","orderList":[{"label":"Популярные рядом","value":"EmoaHgoQc19zcGVjaWFsaXphdGlvbhIKcmV2bWF0b2xvZxo0Cg9zX3NwZWNpYWxfc2tpbGwSIShyZXZtYXRvbG9nfDB80KDQtdCy0LzQsNGC0LjQt9C8KVABkgEPCghSZWdpb25JZBIDMTkx"},{"label":"По рейтингу","value":"EnkaHgoQc19zcGVjaWFsaXphdGlvbhIKcmV2bWF0b2xvZxo0Cg9zX3NwZWNpYWxfc2tpbGwSIShyZXZtYXRvbG9nfDB80KDQtdCy0LzQsNGC0LjQt9C8KUILcmV2aWV3c19uZXdIAFABkgEPCghSZWdpb25JZBIDMTkx"},{"label":"По количеству отзывов","value":"EnsaHgoQc19zcGVjaWFsaXphdGlvbhIKcmV2bWF0b2xvZxo0Cg9zX3NwZWNpYWxfc2tpbGwSIShyZXZtYXRvbG9nfDB80KDQtdCy0LzQsNGC0LjQt9C8KUINcmV2X2NvdW50X25ld0gAUAGSAQ8KCFJlZ2lvbklkEgMxOTE="},{"label":"По времени приёма","value":"EncaHgoQc19zcGVjaWFsaXphdGlvbhIKcmV2bWF0b2xvZxo0Cg9zX3NwZWNpYWxfc2tpbGwSIShyZXZtYXRvbG9nfDB80KDQtdCy0LzQsNGC0LjQt9C8KUIJdGltZXNsb3RzSABQAZIBDwoIUmVnaW9uSWQSAzE5MQ=="},{"label":"По количеству отзывов по теме","value":"EnUaHgoQc19zcGVjaWFsaXphdGlvbhIKcmV2bWF0b2xvZxo0Cg9zX3NwZWNpYWxfc2tpbGwSIShyZXZtYXRvbG9nfDB80KDQtdCy0LzQsNGC0LjQt9C8KUIHYXNwZWN0c0gAUAGSAQ8KCFJlZ2lvbklkEgMxOTE="}],"orderIconOnly":false,"appointmentsAjaxUrl":"/medicine/search/result","listTheme":"cards","breadcrumbs":[{"title":"Вся медицина","url":"/medicine"}],"titleTag":"h1","nonceId":"9033","specialization":"revmatolog","useThinArrowsTheme":true,"map":{"pins":[{"id":244146184267,"title":"Эксперт МРТ","coordinates":[34.33334,53.247255],"rating":{"value":4.9,"base":5,"decimalSeparator":","},"doctorsCount":1,"minPrice":1870,"category":"medicine"},{"id":48712364495,"title":"Спектр-Диагностика","coordinates":[34.345269,53.26922],"rating":{"value":5,"base":5,"decimalSeparator":","},"category":"medicine"}],"bounds":[[34.277511906888215,53.27468905064724],[34.401097093111794,53.24178244013897]],"title":"ревматологи","specializationSlug":"revmatolog","dragContext":"ZAAAAMoCG3Nfc3BlY2lhbGl6YXRpb249cmV2bWF0b2xvZw==","assetId":"ua_34_860901229","ajaxPath":"/medicine/search/geo"},"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"6yvmw02-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"list"}}}}},"type":"unisearch/medicine","subtype":"list"},"6yvm2":{"state":{"globalStoreProps":{"imageBackendUrl":"https://gs.yandex.com.tr/images-apphost/image-download?cbird=171","query":"Лечение ревматизма в брянске","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":"Ревматизм: что это?","markdown":"**Ревматизм** (острая ревматическая лихорадка) — **системное воспалительное заболевание соединительной ткани**, которое поражает преимущественно сердечно-сосудистую и суставную системы [3](https://Megapteka.ru/specials/revmatizm-simptomy-i-4228)[5](https://www.fdoctor.ru/bolezn/revmatizm/). Также может затрагивать кожу, нервную систему или сердце [4](https://gemotest.ru/info/spravochnik/zabolevaniya/revmatizm/). \n\nЧаще всего встречается у детей и подростков 7–15 лет, но изредка может дебютировать и в более старшем возрасте [4](https://gemotest.ru/info/spravochnik/zabolevaniya/revmatizm/).\n\n\n\n## Причины\nОсновная причина — **инфекция, вызванная стрептококком группы А** (чаще всего — ангина или скарлатина) [5](https://www.fdoctor.ru/bolezn/revmatizm/). Однако ревматизм возникает не у всех, кто переболел стрептококковой инфекцией, а только у людей с генетической предрасположенностью [5](https://www.fdoctor.ru/bolezn/revmatizm/). \n\nМеханизм развития: иммунная система вырабатывает антитела для борьбы с бактерией, но белки на поверхности стрептококка похожи на белки, содержащиеся в соединительной ткани человека [5](https://www.fdoctor.ru/bolezn/revmatizm/). Из-за этого антитела, которые должны атаковать бактерию, путают микроорганизмы с собственными клетками организма [5](https://www.fdoctor.ru/bolezn/revmatizm/).\n\n## Симптомы\nСимптомы ревматизма разнообразны и могут затрагивать различные органы [5](https://www.fdoctor.ru/bolezn/revmatizm/). Некоторые проявления: \n* **Сердечные проявления (ревмокардит)**: одышка даже при небольшой физической нагрузке, учащённое сердцебиение, перебои в работе сердца, давящая боль в груди, головокружение [5](https://www.fdoctor.ru/bolezn/revmatizm/). Если воспалительный процесс затрагивает клапаны, со временем ревматизм приводит к порокам сердца [5](https://www.fdoctor.ru/bolezn/revmatizm/). \n* **Поражение суставов**: мигрирующая боль — воспаление переходит с одного сустава на другой, симметричность, отёк и покраснение, ограничение движений [5](https://www.fdoctor.ru/bolezn/revmatizm/). \n* **Кожные изменения**: кольцевидная эритема — бледно-розовые пятна в форме колец, которые появляются на туловище, руках или ногах, не зудят и исчезают при надавливании, подкожные узелки — небольшие уплотнения размером с горошину, которые образуются над костями (например, на локтях или запястьях) [5](https://www.fdoctor.ru/bolezn/revmatizm/). \n* **Общие симптомы**: повышение температуры до 38–39°C, слабость, потеря аппетита, потливость, быстрая утомляемость, бледность кожи [5](https://www.fdoctor.ru/bolezn/revmatizm/). \n\nНе все симптомы проявляются одновременно — у некоторых людей возникает только артрит, у других — поражение сердца или хорея [5](https://www.fdoctor.ru/bolezn/revmatizm/).\n\n## Диагностика\nДиагностика ревматизма включает клиническое обследование, лабораторные тесты и инструментальные исследования [12](https://xn--76-vlciiiddr.xn--p1ai/osobennosti-lecheniya-revmatizma-i-ego-diagnostika). Некоторые методы: \n* **Электрокардиограмма (ЭКГ)** — позволяет выявить нарушения сердечного ритма, характерные для ревматического поражения сердца [12](https://xn--76-vlciiiddr.xn--p1ai/osobennosti-lecheniya-revmatizma-i-ego-diagnostika). \n* **Эхокардиография** — используется для оценки состояния клапанного аппарата и определения наличия ревматического поражения сердца (ревмокардита) [12](https://xn--76-vlciiiddr.xn--p1ai/osobennosti-lecheniya-revmatizma-i-ego-diagnostika). \n* **Рентгенография суставов** — хотя изменения суставов при ревматизме, как правило, обратимы, рентген помогает исключить другие формы артритов и оценить степень воспаления [12](https://xn--76-vlciiiddr.xn--p1ai/osobennosti-lecheniya-revmatizma-i-ego-diagnostika).\n\n## Лечение\nЛечение ревматизма направлено на купирование воспалительного процесса, предотвращение повреждения сердечно-сосудистой и опорно-двигательной систем, а также минимизацию рецидивов [12](https://xn--76-vlciiiddr.xn--p1ai/osobennosti-lecheniya-revmatizma-i-ego-diagnostika). Некоторые методы терапии: \n* **Антибактериальная терапия** — пенициллины — препараты выбора для уничтожения стрептококковой инфекции [12](https://xn--76-vlciiiddr.xn--p1ai/osobennosti-lecheniya-revmatizma-i-ego-diagnostika). \n* **Противовоспалительная терапия** — нестероидные противовоспалительные препараты (НПВП) — основа лечения ревматического полиартрита [13](https://citilab.ru/articles/revmatizm/). \n* **Симптоматическая терапия** — при хорее Сиденгама используются нейролептики в минимальных эффективных дозах, дополнительно могут назначаться противосудорожные препараты [13](https://citilab.ru/articles/revmatizm/). \n* **Хирургическое лечение** — оперативное лечение пороков показано при выраженных клинических проявлениях сердечной недостаточности, не поддающихся медикаментозной терапии [13](https://citilab.ru/articles/revmatizm/). \n\nЛечение ревматизма ведёт ревматолог [4](https://gemotest.ru/info/spravochnik/zabolevaniya/revmatizm/). Если воспаление касается сердца (кардит), лечение может вести кардиолог [4](https://gemotest.ru/info/spravochnik/zabolevaniya/revmatizm/).","linksData":[{"sourceId":1,"url":"https://www.smclinic-ryazan.ru/about/diseases/revmatizm/","shownUrl":"https://www.smclinic-ryazan.ru/about/diseases/revmatizm/","title":"Ревматизм: причины, симптомы и лечение в «СМ-Клиника» в Рязани","shortUrl":"smclinic-ryazan.ru","isTranslated":false,"description":"","greenUrl":"smclinic-ryazan.ru"},{"sourceId":2,"url":"https://bogolubov.center/about/news/articles/revmatizm","shownUrl":"https://bogolubov.center/about/news/articles/revmatizm","title":"Ревматизм – Причины, симптомы, диагностика и лечение в МЦ «Доктор Боголюбов","shortUrl":"bogolubov.center","isTranslated":false,"description":"","greenUrl":"bogolubov.center"},{"sourceId":3,"url":"https://Megapteka.ru/specials/revmatizm-simptomy-i-4228","shownUrl":"https://Megapteka.ru/specials/revmatizm-simptomy-i-4228","title":"Ревматизм симптомы и лечение: Диагностика и клинические рекомендации","shortUrl":"Megapteka.ru","isTranslated":false,"description":"","greenUrl":"Megapteka.ru"},{"sourceId":4,"url":"https://gemotest.ru/info/spravochnik/zabolevaniya/revmatizm/","shownUrl":"https://gemotest.ru/info/spravochnik/zabolevaniya/revmatizm/","title":"Ревматизм (острая ревматическая лихорадка) — что это такое, клинические рекомендации при ОРЛ","shortUrl":"gemotest.ru","isTranslated":false,"description":"","greenUrl":"gemotest.ru"},{"sourceId":5,"url":"https://www.fdoctor.ru/bolezn/revmatizm/","shownUrl":"https://www.fdoctor.ru/bolezn/revmatizm/","title":"Ревматизм (острая ревматическая лихорадка) - причины, проявления, методы диагностики и лечения","shortUrl":"fdoctor.ru","isTranslated":false,"description":"","greenUrl":"fdoctor.ru"},{"sourceId":6,"url":"https://premiumzdravclinic.ru/revmatizm-prichiny-zabolevaniya","shownUrl":"https://premiumzdravclinic.ru/revmatizm-prichiny-zabolevaniya","title":"Лечение ревматизма: симптомы и лечение | Запись к ревматологу в клинику Premium ZdravClinic","shortUrl":"premiumzdravclinic.ru","isTranslated":false,"description":"","greenUrl":"premiumzdravclinic.ru"},{"sourceId":7,"url":"https://polyclin.ru/articles/revmatizm/","shownUrl":"https://polyclin.ru/articles/revmatizm/","title":"Лечение ревматизма: симптомы и лечение","shortUrl":"polyclin.ru","isTranslated":false,"description":"","greenUrl":"polyclin.ru"},{"sourceId":8,"url":"https://doct.ru/diseases/revmatizm.html","shownUrl":"https://doct.ru/diseases/revmatizm.html","title":"Лечение ревматизма: причины, формы, диагностика","shortUrl":"doct.ru","isTranslated":false,"description":"","greenUrl":"doct.ru"},{"sourceId":9,"url":"https://www.smclinic.ru/diseases/revmatizm/","shownUrl":"https://www.smclinic.ru/diseases/revmatizm/","title":"Ревматизм - причины появления, симптомы заболевания, диагностика и способы лечения | СМ-Клиника","shortUrl":"smclinic.ru","isTranslated":false,"description":"","greenUrl":"smclinic.ru"},{"sourceId":10,"url":"https://ozerki.ru/articles/revmatizm-simptomy-i-lecheniye-u-vzroslykh/","shownUrl":"https://ozerki.ru/articles/revmatizm-simptomy-i-lecheniye-u-vzroslykh/","title":"Ревматизм суставов у взрослых: симптомы и лечение, профилактика ревматизма | Аптека «Озерки»","shortUrl":"ozerki.ru","isTranslated":false,"description":"","greenUrl":"ozerki.ru"},{"sourceId":11,"url":"https://polyclinika.ru/tech/revmatizm-prichiny-simptomy-lechenie/","shownUrl":"https://polyclinika.ru/tech/revmatizm-prichiny-simptomy-lechenie/","title":"Ревматизм суставов - причины, симптомы, признаки, диагностика, лечение, профилактика у детей и взрослых","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":12,"url":"https://xn--76-vlciiiddr.xn--p1ai/osobennosti-lecheniya-revmatizma-i-ego-diagnostika","shownUrl":"https://xn--76-vlciiiddr.xn--p1ai/osobennosti-lecheniya-revmatizma-i-ego-diagnostika","title":"Особенности лечения ревматизма и его диагностика | «Омикрон - Томоград» «Омикрон - Томоград»","shortUrl":"омикрон76.рф","isTranslated":false,"description":"","greenUrl":"омикрон76.рф"},{"sourceId":13,"url":"https://citilab.ru/articles/revmatizm/","shownUrl":"https://citilab.ru/articles/revmatizm/","title":"Ревматизм — симптомы, причины и лечение заболевания.","shortUrl":"citilab.ru","isTranslated":false,"description":"","greenUrl":"citilab.ru"}]}},"metaInfoData":{"Question":{"messageId":"fake-id-Question","withoutAnimation":true}},"statusData":{"Question":{"isCompleteResults":true}}}},"snackbarStoreProps":{},"query":"Ревматизм: что это?","title":"Ответы на вопросы про заболевания","pairUUID":"Question","baobab":{"parentNode":{"context":{"genInfo":{"prefix":"6yvmw03-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"meta_question"}}}}},"type":"unisearch/medicine","subtype":"meta_question"},"6yvm3":{"state":{"title":"Люди ищут","items":[{"specialization":"revmatolog","url":"/medicine/revmatolog_bryansk","title":"Ревматологи в Брянске","additionalLogNodeAttrs":{"specialization":"revmatolog"}},{"url":"/medicine/bryansk","title":"Врачи в Брянске"},{"url":"/medicine/artrit_bryansk","title":"Лечение артрита в Брянске"},{"url":"/medicine/sistemnaja-krasnaja-volchanka_bryansk","title":"Лечение системной красной волчанки в Брянске"},{"url":"/medicine/sklerodermija_bryansk","title":"Лечение склеродермии в Брянске"},{"url":"/medicine/bolezn-rejno_bryansk","title":"Лечение болезни Рейно в Брянске"}],"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"6yvmw04-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"relative"}}}}},"type":"unisearch/medicine","subtype":"relative"},"6yvm4":{"state":{"isRightColumn":true,"baobab":{"parentNode":{"context":{"genInfo":{"prefix":"6yvmw05-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"doctor_right"}}}}},"type":"unisearch/medicine","subtype":"doctor_right"},"6yvm5":{"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%D1%80%D0%B5%D0%B2%D0%BC%D0%B0%D1%82%D0%B8%D0%B7%D0%BC%D0%B0%20%D0%B2%20%D0%B1%D1%80%D1%8F%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":"6yvmw06-0-1"},"ui":"desktop","service":"medicine","fast":{"name":"unisearch/medicine","subtype":"footer"}}}}},"type":"unisearch/medicine","subtype":"footer"}}