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Пульс - медицинский центр
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Большой проблемой является выбор наиболее оптимального лечения АГ, способного затормозить прогрессирование поражений сердца, сосудов, почек, головного мозга и глаз. Подавляющему большинству больных АГ, которые обращаются за медицинской помощью, требуется назначение комбинированной антигипертензивной терапии. При этом наиболее целесообразным на современном уровне считается применение фиксированных комбинаций таких лекарств. И пациенты, и врачи должны хорошо понять необходимость длительной терапии с периодическим контролем ключевых показателей и обязательным достижением так называемых целевых уровней АД, то есть стабильной нормализации АД. Только такой подход к лечению больных АГ может дать успешный результат. Но в настоящее время, как было указано выше, только очень небольшое количество больных АГ лечится эффективно. В этой связи в Украине не наблюдается снижение частоты осложнений данного заболевания.
Back in 2002, according to the justification of the Institute, inactivated polio vaccine (IPV) was introduced into the Immunization Calendar of Ukraine for the 1st vaccination against poliomyelitis (children continued to receive OPV for the remaining 5 doses by age). In 2006, this vaccine was also used for the second vaccination. This made it possible to first reduce and then practically stop the cases of vaccine-associated paralytic poliomyelitis in Ukraine. Since then, the issue of switching to a full IPV vaccination scheme in Ukraine has been repeatedly raised, as has been practiced for many years in all European countries, the USA, Canada, and Australia. Currently, this problem is becoming even more urgent, given both the epidemic situation and the prospects for Ukraine's accession to the EU.
The most common diseases associated with hypertension include: obesity, primarily abdominal obesity (AO), type 2 diabetes mellitus (DM), coronary heart disease (CHD), arrhythmias and conduction disorders, chronic kidney disease (CKD), cerebrovascular diseases , joint diseases, chronic obstructive pulmonary disease, sleep apnea syndrome, thyroid disease and other endocrine diseases. In this regard, the 2018 European Society of Hypertension and European Society of Cardiology guidelines emphasized the need for careful stratification of cardiovascular and overall risk of complications in order to select the most optimal antihypertensive therapy.
Specialists of the Laboratory of Epidemiological Research and Medical Informatics of the State Institution “Institute of Public Health named after A.I. O.M. Marzeeva NAMNU” researched the issues of health status, its subjective feeling, as well as behavior that contributes to health or is risky among people of all ages. Assessment by adolescents and young people of their own health, life satisfaction is important for the development of both preventive programs and directions for promoting health. At the same time, it is also important for the elderly and elderly to maintain an active lifestyle, maintain health, work (self-realization), and overcome the so-called biological determinism. It is reasonable to consider the social environment as an important determinant of health. In this regard, the question of optimizing the social environment arises, since in the absence of a comfortable social environment focused on human development, there are actually no constructive conditions for the formation of good health.
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