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лечит болезни**, а **диагностирует состояние внутренних органов, тканей и систем** с помощью ультразвукового исследования (УЗИ) [1](https://unclinic.ru/uzi/specialist-uzd/)[4](https://www.gosmed.ru/staff/vrach-ultrazvukovoy-diagnostiki/)[22](https://www.profguide.io/professions/uzist.html). Его задача — оценить размеры, структуру и форму органов, выявить наличие кист и опухолей, скопление жидкости в органах и полостях [15](https://avromed.ru/news/ultrazvukovaya-diagnostika-uzi/). \n\nУЗИ используют для диагностики различных заболеваний и состояний, например: \n* **Заболевания органов брюшной полости**: печени, желчного пузыря, поджелудочной железы, селезёнки, почек, мочевого пузыря [3](https://zhgkb.ru/services/spetsializatsiya/vrach-ultrazvukovoy-diagnostiki/). \n* **Заболевания сердца и сосудов**: ультразвуковое исследование сердца (эхокардиография) позволяет оценить работу клапанов, функцию сердечной мышцы, определить наличие пороков сердца [3](https://zhgkb.ru/services/spetsializatsiya/vrach-ultrazvukovoy-diagnostiki/). \n* **Заболевания щитовидной железы**: ультразвуковое исследование помогает выявить увеличение или уменьшение щитовидной железы, определить наличие узлов, кист, опухолей [3](https://zhgkb.ru/services/spetsializatsiya/vrach-ultrazvukovoy-diagnostiki/). \n* **Заболевания молочных желёз**: УЗИ молочных желёз позволяет обнаружить кисты, опухоли, определить их характер (доброкачественные или злокачественные) [3](https://zhgkb.ru/services/spetsializatsiya/vrach-ultrazvukovoy-diagnostiki/). \n* **Заболевания мягких тканей и суставов**: ультразвуковая диагностика позволяет выявить воспалительные процессы, опухоли, травмы, кисты и другие изменения [3](https://zhgkb.ru/services/spetsializatsiya/vrach-ultrazvukovoy-diagnostiki/).\n\n## Обязанности\nВрач УЗИ не ставит окончательный диагноз — заключение относительно наличия или отсутствия патологии даёт лечащий врач [22](https://www.profguide.io/professions/uzist.html). Некоторые обязанности УЗИ-специалиста: \n* **Проведение ультразвуковых исследований** у пациентов различного возраста (включая беременных женщин) [26](disuria.ru/_ld/5/517_Pr161nMT190319.pdf)[7](https://bazanpa.ru/mintrud-rossii-prikaz-n161n-ot19032019-h4368905/). \n* **Расшифровка результатов** обследования и передача заключения лечащему врачу [1](https://unclinic.ru/uzi/specialist-uzd/)[2](https://ginclinic-spb.ru/specialist-ultrazvukovoj-diagnostiki-uzd/). \n* **Контроль хода малоинвазивных хирургических процедур** (коронарокардиография, стентирование, урография, колоноскопия, ЭКО) [22](https://www.profguide.io/professions/uzist.html).\n\n## Показания\nПроведение ультразвуковой диагностики назначается лечащим врачом [2](https://ginclinic-spb.ru/specialist-ultrazvukovoj-diagnostiki-uzd/). На обследование может направить терапевт, гинеколог, уролог, кардиолог, эндокринолог, невропатолог [2](https://ginclinic-spb.ru/specialist-ultrazvukovoj-diagnostiki-uzd/). Некоторые показания: \n* **Беременность** — УЗИ проводится 2–3 раза для оценки состояния и размеров плода, выявления аномалий развития, количества околоплодных вод [2](https://ginclinic-spb.ru/specialist-ultrazvukovoj-diagnostiki-uzd/). \n* **Заболевания почек и мочевыводящих путей** — УЗИ-специалист может определить гидронефроз, пиелонефрит, уролитиаз, камни в почках и в мочевыводящих путях [2](https://ginclinic-spb.ru/specialist-ultrazvukovoj-diagnostiki-uzd/). \n* **Патологии органов малого таза** — у женщин — оценка матки, яичников и эндометрия, у мужчин — исследование предстательной железы (трансректальное УЗИ) [11](https://center-light.ru/article/uzi-kak-chast-regulyarnoj-diagnostiki-chto-proveryat-ezhegodno).\n\n## Противопоказания\n**Прямых противопоказаний к УЗИ не существует** [11](https://center-light.ru/article/uzi-kak-chast-regulyarnoj-diagnostiki-chto-proveryat-ezhegodno). Однако существуют относительные факторы, которые могут повлиять на качество визуализации [11](https://center-light.ru/article/uzi-kak-chast-regulyarnoj-diagnostiki-chto-proveryat-ezhegodno). Например: \n* сильное повреждение кожи в зоне сканирования (ожоги, открытые раны, свежие послеоперационные швы) [11](https://center-light.ru/article/uzi-kak-chast-regulyarnoj-diagnostiki-chto-proveryat-ezhegodno); \n* выраженный метеоризм (вздутие живота) — может затруднить оценку органов брюшной полости [11](https://center-light.ru/article/uzi-kak-chast-regulyarnoj-diagnostiki-chto-proveryat-ezhegodno); \n* ожирение — при значительной толщине подкожной жировой клетчатки снижается проникающая способность ультразвуковых волн [11](https://center-light.ru/article/uzi-kak-chast-regulyarnoj-diagnostiki-chto-proveryat-ezhegodno).\n\n## Где получить\n**Образование врача УЗИ** включает несколько этапов [22](https://www.profguide.io/professions/uzist.html): \n1. Окончить медицинский вуз по одному из направлений (5 лет) [22](https://www.profguide.io/professions/uzist.html). \n2. Пройти специализацию «Ультразвуковая диагностика» в ординатуре (2 года) [22](https://www.profguide.io/professions/uzist.html). \n\n**Курсы по переквалификации** на врача УЗИ проводят медицинские вузы и учебные центры ДПО (дополнительного профобразования) [22](https://www.profguide.io/professions/uzist.html). 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