SAGITTARIUS Clinic

Effective treatment of psoriasis in children in Batumi

Sagittarius Clinic — Fri, 06 Oct 2023 17:26:39 +0000

Effective treatment of psoriasis in children in Batumi

Psoriasis is an inflammatory disease in which a specific rash appears on the skin. Sometimes the rash is accompanied by itching. In about 15% of cases, psoriasis develops in childhood. The older the child, the higher the probability of developing the disease. A diagnosis of psoriasis usually causes great anxiety and excitement in parents. Although there is currently no way to permanently cure psoriasis, there are many methods that can help children with the disease lead a comfortable and socially active life. So what`s effective treatment of psoriasis in children in Batumi?

Often, childhood psoriasis is mild and responds well to treatment. It is possible to achieve long-term remission when psoriasis symptoms are absent or minimal. In rare cases, anti-inflammatory treatment is prescribed orally or by injection.

Causes of psoriasis in children

Often, the cause of psoriasis is a bacterial infection, such as sore throat. In addition, children inherit certain genes from their parents that increase the likelihood of its development. Risk factors for developing the disease in children also include: certain medications, cold weather, and high levels of stress. However, it is often impossible to find out the actual cause of psoriasis.

In rare cases, it is necessary to take a small piece of skin (no more than 4 mm) from the rash area to clarify the diagnosis with the help of histological examination.

Treatment of psoriasis in children in Batumi

The basis of external treatment of psoriasis is external corticosteroid drugs, which quickly reduce the inflammatory process. Parents are sometimes afraid to prescribe such drugs. These fears are not unfounded, if medicines are used uncontrollably, without a doctor’s prescription, the course of the disease can significantly worsen and cause other problems. The correct use of corticosteroids prescribed by a specialist allows you to achieve a quick and stable positive result without causing unwanted effects. Sometimes, as needed, both external and internal medicines are prescribed, which increase the effectiveness of the prevention of this disease.

In difficult cases, systemic anti-inflammatory drugs such as cyclosporine or methotrexate are used.

Currently, in addition to traditional medicines, more modern biological drugs are used to treat psoriasis in adolescents, which are aimed at blocking specific proteins that play a key role in the development of psoriasis. These medications are intended to treat patients with severe psoriasis. The list of these drugs approved for the treatment of children is gradually expanding.

Narrow-spectrum ultraviolet rays treatment of psoriasis in children in Batumi

A method that has proven its effectiveness is treatment with narrow-spectrum ultraviolet rays (UV 311 nm). This method is more suitable for adults, whose skin area is affected by psoriasis at least 10%. For young children, such treatment should be performed with caution to avoid heavy radiation exposure, as this may increase the risk of developing skin malignancies later. On the other hand, in adults (UV 311 nm), studies of exposure to ultraviolet radiation have shown that there is no risk of developing such neoplasms in adult patients, which cannot be said about tanning under the sun, and even more so mechanically, i.e. in a solarium.

The key to success in the treatment of psoriasis in children is to consult a doctor and carefully follow the instructions of a specialist, prevent possible factors contributing to the development of the disease, and provide psychological support to the little patient.

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Where to do a general blood test in Batumi?

Sagittarius Clinic — Fri, 06 Oct 2023 17:05:20 +0000

Where to do a general blood test in Batumi?

Any pathological process in the body affects our blood. Therefore, the general blood analysis is often one of the first diagnostic procedures prescribed by the doctor. So, where to do a general blood test in Batumi?

Why is it important to do a general blood test?

Blood taken from a vein is more informative and accurate than finger capillary blood analysis. When taking blood from a finger, there is always a possibility of blood inaccuracy. In addition, the volume of blood drawn from the finger is often limited, so it can be difficult to verify the results.

When is a general blood test prescribed?

General blood analysis is prescribed in the following cases:

As part of a routine, annual medical examination, to assess the state of health.
If necessary, before starting any course of treatment, for maximum effectiveness of treatment.
In case of infectious diseases.

Description of blood analysis procedure:

In the blood collection process, a rubber band is placed on the patient's hand and they are asked to clench and then open their fist to increase blood flow. Until then, the skin in the elbow area is cleaned with an alcohol wipe, after which a needle is inserted into the vein. As a result, we get the required amount of blood, which is placed in special flasks.

After the mentioned procedure, a one-time sterile sticker is attached to the patient in the place of Nanemsari, which should be left on for 5-7 minutes. Different approaches are needed to understand different indicators of blood. Therefore, if different analyzes are needed, it becomes necessary to fill several flasks.

How to prepare for a blood test in Betumi?

If necessary, a blood test can be performed at any time of the day, regardless of whether you have eaten or not.

But according to the recommendation of doctors, it is preferable to take blood from a vein in the morning, on an empty stomach.

Why can't you eat before the blood test analysis?

After eating, the substances react with the blood, which indirectly affects various indicators. Therefore, for complete accuracy, it is recommended to pass the analysis on an empty stomach.

What should not be done before taking a blood test?

The doctor will definitely give a recommendation in advance on what procedure to undergo for the patient, before passing the blood test. First of all, as already mentioned, it is necessary to avoid taking food (if you will undergo a biochemical analysis) and it is also important not to have taken any unknown type of medication a few days before.

What can you drink before the general blood test?

Before the blood test, you can drink an unlimited amount of water.

Main indicators of general blood examination:

Hemoglobin is a protein found in red blood cells. Its main function is to supply the body with oxygen. Increased and decreased hemoglobin levels can indicate serious disorders: gastrointestinal tract problems, iron deficiency anemia, heart failure, etc.

Erythrocytes in a general blood test

Erythrocytes - the main function of erythrocytes is to transfer oxygen from the lungs to the tissues of the body and remove carbon dioxide in the reverse direction, the hemoglobin molecule helps them in this. However, in addition to participating in the breathing process, erythrocytes also perform the following functions: regulation of the acid-alkaline balance of the environment; maintenance of iso-osmotic pressure of blood and tissues; Absorption of amino acids, lipids from blood plasma and their transfer to tissues. It takes 10-12 days for erythrocytes to mature in the bone marrow.

Reticulocytes in a general blood test

Reticulocytes - are immature erythrocytes (red blood cells). As a rule, the determination of the number of reticulocytes is necessary to determine the adequacy of anemia and its treatment.

Platelet in a general blood test

Platelet - An irregular, disc-shaped element in the blood that helps blood clot. During normal blood clotting, platelets clump together (aggregate). Although platelets are often classified as blood cells, they are actually fragments of large bone marrow cells called megakaryocytes. A deviation from the normal level of platelets can indicate the presence of serious diseases.

"Erythrocyte sedimentation rate" may indirectly indicate the presence of an inflammatory process in the body.

Leukocytes in a general blood examination

Leukocytes are white blood cells. Their deficiency, among other things, may indicate the presence of an infectious disease.

Neutrophils are a type of leukocytes in the blood

Neutrophils are a type of leukocytes. It helps the body fight bacteria. Their reduced content may indicate the presence of a severe infection in the body. If other parameters of the blood are normal, an increase in the level of neutrophils does not indicate the presence of serious problems in the body.

General blood test and Lymphocytes

Lymphocytes - a small white blood cell (leukocyte) that plays a major role in protecting the body from diseases. Lymphocytes are responsible for immune responses.

Monocytes are a type of white blood cell

Their function is to cleanse the body and strengthen the immune system. An increase in their content may indicate an inflammatory or oncological disease.

Eosinophils are white blood cells that are responsible for destroying foreign proteins in the body. They increase during allergic diseases.

Sagittarius Clinic Batumi will give you a general blood analysis and give you all the necessary analysis of indicators. Make an appointment with our therapist via chat on this page or by phone 422279553!

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Ophthalmology examination and visit ophthalmologist in Batumi

Sagittarius Clinic — Sat, 30 Sep 2023 11:23:06 +0000

Ophthalmology examination and visit ophthalmologist in Batumi

The first eye examination is carriedout in the maternity ward on the first days of the baby’s life. If this does not happen, it is recommended to visit an ophthalmologist within a month after birth. (Children born prematurely have a special schedule for examinations).

During a standard eye examination – with biomicroscopy, an ophthalmologist checks the eyelids and the condition of the tear tubes (about 30% have congenital obstruction of the tear ducts, which may require special treatment), as well as checks the conjunctiva (thin transparent tissue) cornea and lens. The doctor also checks the inherent anomalies (strabismus, glaucoma, cataracts, etc.), which, in case of such, You needurgent treatment. It is also important to know that congenital cataractA is subject to surgical treatment (no later than 6 months after birth) . Examination also includes an examination of the condition of the bottom of the eye.

Ophthalmoscopy in Batumi

Ophthalmoscopy – the condition of the optic nerve and blood vessels is also checked. To determine eye refraction of newborns and children aged 2-3 years, skiascopy is used, an objective study method of clinical refraction based on observing the movement of shadows obtained in the area of vision.

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In the presence or absence of pathology, the next consultation with an ophthalmologist is planned after 6-12 months. During this period, the child’s eye goes through the phase of active growth, it is possible to form: far-sightedness, astigmatism, congenital myopia, or anisomemetropia. Conducting an examination using “skiascopy” at this age is very important, since the quality of vision of the child in the future depends on its results. From the second month of the child’s birth, it is possible to determine whether he needs any correction to the eye, and from the age of six months it becomes possible to wear glasses as needed.

Prevent strabismus in children in Batumi

In addition to the above, the critical age is 2.5 – 3 years, when a binocular, “three-dimensional” (3D vision, the ability of the eyes to determine the position of objects in a three-dimensional space) vision is formed. This is the age of development of concomitant strabismus. In most cases, early detection of refractive change and appointment of adequate adjustments is the best way to prevent strabismus.

Important to consult an ophthalmologist once a year

It is important to consult an ophthalmologist once a year. At the age of 7 – 14 years, the risk of developing myopia is common, so a timely visit to an ophthalmologist will help reduce the rate of visual impairment. At the age of 13 – 20 years, hormonal changes and an increase in eye strain can manifest itself in the form of headaches and eye pain, astigmatism may develop – An ophthalmologist can prescribe a full precision treatment in this situation.

After this comes a period of 35-40 years, when all organs of the body work with maximum efficiency. After the processes of “dehydration” of tissues begin, which also affects the eyes – there are problems with close vision, the eyes suffer from a lack of moisture, intraocular pressure may increase.

After 55-60 years, “age-related” diseases may begin: retinal dystrophy, cataracts, glaucoma. And only timely detection and early prevention can ensure vision is maintained until old age.

Standard examination of an ophthalmologist includes:

Biomicroscopy in Batumi

Biomicroscopy is a method of visual examination of the tissues of the eye and its light turning areas, which is performed through a fissure lumen of the eye and its light turning areas, which is performed through a fissure lumen (examination of the anterior section of the eye). At the same time, the doctor can determine the presence of chronic inflammation, the risk of developing glaucoma or cataracts.

Phonoscopy in Batumi

Phonoscopy – a foundation check can be carried out using a microscope and a special lens – you can see the periphery of the retina. A monocular or binocular ophthalmoscope can also be used – N is pre-used to visualize the peripheral parts of the retina. It is also possible to use a special device – a fundcoscope – where the digital image of the foundation is stored in the computer’s memory and can be accessed at any time. During the examination, a conclusion is made on the general condition of the vascular system of the body and the degree of compensation for various diseases.

Kerato refractometry in Batumi

Kerato refractometry – measurement of the curvature of the cornea and examination of the eye using a special device (myopia, foresight, astigmatism are detected at this stage). Based on this data, you can mixglasses or contact lenses.

Retinoscopy in Batumi

Retinoscopy – a variant of refractometry, performed using retinoscopes and neutralizing lenses. This is the most accurate method of determining pathologies in children.

Tonometry in Adjara

Tonometry – tonometry is a procedure by which the pressure in the eye is measured. This study is important to diagnose such a serious pathology as glaucoma.

The test of visual acuity in Batumi

The test of visual acuity – according to special tables, can be determined: degree of myopia, foresight or astigmatism. And in children, in this way, it is possible to determine the primary stage of development of amblyopia – the “lazy eye” and timely treatment.

Perimeter visual fields examination in Batumi

Perimeter – the study of visual fields on a special device. It lasts from 5 to 25 minutes and provides very important information about the functional state of the retina, optic nerve, visual vision and functional state.

The best ophthalmologists of the “SAGITTARIUS” clinic in Batumi, Georgia, treat various eye diseases.

Write to us in the chat on this page for a consultation.

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Acute respiratory – viral infection in children treatment in Batumi

Sagittarius Clinic — Mon, 30 Nov -0001 00:00:00 +0000

Acute respiratory - viral infection in children treatment in Batumi

Complaints about runny nose, cough and sore throat are one of the most common symptoms in children. At first glance, it’s just a common cold, but think about how many unpleasant minutes it takes to spend sleepless nights. The child cannot walk in educational institutions, lags behind the educational program, does not participate in competitions and performances. Parents do not sleep enough, receive an extra load and either cannot go to work due to the need to care for the sick.

Questions about what can be done to prevent respiratory viral infection, how to speed upthe recovery process, and which medications are most effective in treating this in children? Constantly heard in the pediatrics office, in parental forums, these questions. Parents buy special devices for purification and disinfection of air, buy various medicines to prevent these viral infections, check their blood for immune status or immediately turn to an immunologist. But the condition does not improve. What happened? Let’s find out what is happening and how to help adults.

The reasons causes of ARVI in children

The first thing parents think about when the moment of exposure to acute respiratory and virulent infections in a child is hypothermia. The parent automatically begins to recall various situations: when the child ran barefoot on the cold floor, walking outside without a hat and scarf, sitting at a slightly open window or drinking an excessively cold drink. Despite the fact that the infectious nature of the disease has long been studied and known, many people still believe that the main cause of these diseases – hypothermia. Of course, this opinion has the right to exist, especially when we have infection and hypothermia on the face, or we are dealing with a “dormant” infection in the body. In this case, the temperature is the so-called stress factor.
Breathing, shortness of breath, and chest pain may occur. Moderate to severe course usually requires hospitalization.

In some infections, a clear manifestation, Thus, adenoviral infection often occurs in the form of conjunctivitis, enlarged lymph nodes, and abundant mucous discharge from the nose. Influenza presents with severe headaches, muscle and joint pain, high fever and, first of all, mild discharge and cough.

Diagnostics of viral infection in children in Batumi

If the child gets sick, it is important to understand what pathogen caused the disease in order to correctly prescribe treatment, and also to pre-determine possible complications. For example, respiratory syncytial viruscan cause serious respiratory problems in children under one year of age. And for the flu there is effective antiviral therapy, which should be prescribed as quickly as possible at its initial stage. Therefore, we try to make the necessary diagnostics during the first visit. For this purpose, rapid tests are used to detect influenza virus and respiratory syncytial virus. In addition, many other acute respiratory infections are possible. Diagnosis of pathogen and streptococcal infection using PCR tests.

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Why viral infection diagnostics is important?

If the child is infected with an acute respiratory – viral infection, no specific therapy is required, the doctor will give recommendations on alleviating the symptoms of the disease.
If a child hasflu symptoms, it is important to detect the course and start specific treatment as quickly as possible.
If it is a streptococcal infection, the child should begiven antibiotic therapy. This infection can lead to severe heart disease, kidneys and joints.
Respiratory-syncytial virus is the main cause of lower respiratory tract infections, the most common cause of bronchiolitis and pneumonia in children under 1 year of age, one of the most common causes of respiratory disorders leading to hospitalization.

The express test is notpainful nor dangerous, most importantly, we get the result in 5-10 minutes. You don’t have to go to the lab, stand in a tiring queue and wait. Our doctors conduct rapid examinations both at home (both rapid tests and blood tests).

In addition to studies aimed at diagnosing the pathogen, blood tests are performed: a clinical blood test with leukocyte formula; C-reactive level determination; Protein, erythrocyte sedimentation rate, and x-ray of the chest and paranasal sinuses can be added if necessary.

Treatment of respiratory viral infection in children in Batumi

Treatment of acute respiratory – viral infectionis carried out under the supervision of a doctor. It is recommended to carry out treatment at home.The child’s activity should correspond to the ability of the child. In a good, general condition, short hygienic water procedures (bathing) will not become the cause of contraindications. And if the diseaseproceeds mildly, you canadd a walk to the fresh air to the activity… Of course, it would be wiser to exclude contact with other children to prevent further spread of the disease.

No special nutritional recommendations are required. Interestingly, different countries have different approaches to the treatment of acute respiratory – viral infectioninterms of food temperature. So, in some countries for sore throat, it is officially recommended to take both warm and hot liquids.

Treatment of colds in Batumi

In the treatment of colds, it is especially important to observe the regimen of fluid intake. The humidity of the child’s body is spent on the production of mucus.In case of discharge and cough from the nose, as well as shortness of breath and fever, it is lost. In order for the body temperature to adjust faster and reduce intoxication, it is necessary to take enough fluid. It is acceptable to drink water in a clean form, as well as other liquids. The excretion of mucus from the nose can be facilitated by the use of a physiological solution. During airway edema, vasoconstrictors are used, which can be used very carefully, strictly following the specified instructions, preventing overdose and other side effects.

When coughing, we use simple, “folk” methods: warm drinks (water, tea, compote, broth), honeys (allowed for children over 1 year old who do not have a risk of allergic reactions), etc.

In case of sore throat, various sprays and pastiles are used. Please consider the age restrictions on their use. Etiotropic therapy, i.e. therapy aimed at eliminating the causes of acute respiratory viral infections, is confirmed for daily practice internationally only for the treatment of influenza.

Prevention of viral – respiratory infection in children

How can we prevent acute respiratory infection or at least reduce the spread of the disease? First of all, it is worth remembering that it is important to take the necessary amount of fluid in order to avoid dehydration. It is important to maintain room temperature at 19-21 degrees Celsius, timely ventilation and maintaining the optimal level of humidity (about 50%).

Follow a strict daily routine and avoid falling asleep late. It is important to teach the child to adhere to hygiene standards, for example: washing hands immediately after returning home, as well as after eating, after using the restroom…

Is it worth checking if the child has enlarged adenoids? This can be controlled by a consultation with the ear and nose doctor, who can conduct an endoscopic examination in which adenoids can be seen on the monitor with your own eyes. If we cannot perform the procedure due to the age of the child or the attitude to the endoscopic procedure, it is possible to choose on the x-ray of the nasopharynx.

Find out the allergic process is a precursor to the development of acute respiratory diseases. The pediatrician will help you answer this question and make an appropriate initial diagnosis. If an allergy is detected, an allergist-immunologist will help you solve the problem.

Together with your pediatrician, perform vitamin D analysis, laboratory diagnostics of iron levels and thyroid function. If necessary, the pediatrician will prescribe a customized meal and the necessary medications.

Initially, high doses of vitamins D and C were prescribed for treatment and prophylaxis. Now it is known that the additional intake of these vitamins does not affect the frequency of respiratory infections and the severity of their symptoms to alleviate it. However, vitamin C can slightly reduce their duration (by only 14%).

Scientists have proven that microelement-zinc reduces the duration and severity of symptoms of respiratory infections. However, a significant disadvantage of its use, along with the duration of the course, is the unpleasant taste and nausea, which is often observed when taking it.

Vaccinated against respiratory infections in Batumi

It is very important to get vaccinated against respiratory infections. Every year in the autumn months, seasonal flu immunization is carried out. Traditionally, in our country, a three-valent vaccine is used in children. However, next season, we can hope that there will be a new Ottawa flu vaccine C. There are opinions that the vaccine is not effective enough and therefore this vaccination is ineffective. We cannot agree with this claim.

True, vaccine efficacy may vary in humans. However, if one person is sick for whom the vaccine was not very effective and all people around it are vaccinated, their vaccination effectiveness may be high enough. Thus, the infection will no longer spread, or the wider the vaccination, the lower the risk of spreading the disease. This is especially important to protect people with weak immonte. In children under 9 years of age, the vaccine is administered 2 times between 4 weeks. For special groups of young children, the monoclonal antibody-based drug has long been effectively used to prevent the respiratory syncytial virusthat is injected intramuscularly.

The topic that is related to children is especially sensitive, so it is necessary to entrust their health to professionals.

Sagittarius clinic in Batumi pediatricians are always ready to help you and your children.

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Myopia in children – early diagnosis and treatment in Batumi

Sagittarius Clinic — Fri, 29 Sep 2023 08:51:44 +0000

Myopia in children - early diagnosis and treatment in Batumi

When parents find out that their child has myopia, they ask the following questions:

What causes myopia?
How should we treat it?
What influences the development of myopia?

During the last decades, the number of children with myopia is gradually increasing. To date, according to various researchers, every third child has some form of myopia. Scientists wonder what influences these statistics: the spread of computers and various gadgets, reading, changes in diet/nutrition, or something else? But the main question for parents is, what can be done to slow or stop the progression of myopia in children? Or, if the child is already myopic, will his vision deteriorate each year?

What are the dangers of myopia in children?

We do not consider the cost of glasses or contact lenses that need to be replaced every year. The earlier myopia is formed (7-8 years), the higher the probability that in adulthood (after 20 years) we will have the so-called High myopia (this term refers to a correction of -6.25D or more). And in the case of high myopia, there are risks of developing other serious eye diseases – cataracts, retinal degeneration, etc.

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What causes myopia in children?

Why some teenagers develop myopia and others don’t. The issue of inheritance is important here. In other words, if both parents are myopic, then there is a good chance that the child will also be myopic. However, it is impossible to predict which child will carry this gene and which will not.

Some researchers note the negative impact of reading in children. Spasm of accommodation during excessive reading or near reading for long periods of time can increase the risk of developing myopia.

The cause of the onset and progression of myopia is not completely clear. Recently, new interesting data appeared: the more time a child spends in a closed space (especially at the age of 6-10), the less often myopia appears or progresses more slowly! (British researchers in 2011 collected data from 10,400 children over the age of 10).

Ophthalmologists have tried different methods of controlling myopia in Batumi

Over the years, ophthalmologists have tried different methods of controlling myopia. In the arsenal of ophthalmologists, you can find various medicines, vitamins and dietary supplements designed to improve blood circulation, improve trophism and increase the adaptive capacity of the eyes. Various laser-magnetic, vibrating color stimulation and electrophoresis are used for the same purpose. Various exercises are performed for eye muscles. We also paid attention to osteopaths, massage therapists and acupuncture.

Different types of training glasses were invented – with small holes, progressive (multifocal or special lenses that correct the “peripheral hyperopic defocus of myopia”) and other specialized lenses. Rigid contact lenses (so-called “night lenses“) are used in orthokeratology. Different surgical interventions have been developed, which aim at mechanical fastening of the walls of the inner membrane of the eye – retroscleroplasty with collagen, sectorial scleroplasty, circular scleroplasty and others.

One of the more recent developments is the long-term use of atropine in low, homeopathic doses. But it should be noted that it binds sclera receptors and inhibits its growth. Each of these methods was received with great enthusiasm by both doctors and parents. Short-term follow-up (1-4 years) shows promising results. Some researchers report an 85% success rate in nearsighted people in slowing the process of vision loss.

Glasses or contact lenses to control of myopia in children

Another method of myopia control is its purposeful correction with glasses or contact lenses. The idea was that partial correction reduced the need for instant focus. Unfortunately, research has shown that such a method does not reduce the progression of myopia, but on the contrary, it can accelerate its development. Myopia usually develops in elementary or middle school. The peak of visual impairment occurs at the age of 10-12 years. During adulthood, these processes slow down.

It is necessary to understand that in order to “control” myopia in children, it is important to correct it in time and strictly follow the instructions of the ophthalmologist.

Myopia in children prevention and treatment in Batumi

Myopia in children prevention and treatment in Batumi by the best ophthalmologists in Georgia from the Sagittarius Clinic Batumi. Contact us via chat on this page and make an appointment.

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Cataract prevention and treatment options: myths and reality

Sagittarius Clinic — Wed, 20 Sep 2023 17:54:18 +0000

Cataract prevention and treatment options: myths and reality

Many patients have personal experience with cataract surgery. Although this operation is positively predictable and usually a favorable surgical intervention in a person’s life, the possibility of avoiding it attracts many patients. The opinion of ophthalmologists is usually categorical – there is no alternative to surgical treatment of cataracts… sooner or later, you will have to do surgery. Therefore, it is better to do this at the initial stage of the disease. At this time, the operation is simpler, сataract prevention and treatment options: myths and reality, and is easier to predict.

Cataract mainly develops in old age

Cataract mainly develops in old age. Its surgical treatment is required by people – (between 40-60 years old), and older people (60-80 years old) and the risk of its development is also higher (at the age of 80+). At this stage of life, the eye accommodation device often no longer works, so the patient is forced to To use glasses for “near vision” in the work process. If an artificial lens is implanted during the surgical treatment of cataract, which creates the effect of pseudo accommodation, then the quality of vision is restored. After that, it is possible to refuse the glasses. In this sense, after cataract surgery, the patient will be rejuvenated by at least 30 years.

Cataract surgical treatment in Batumi

It is believed that surgical treatment of cataract is a real opportunity to preserve vision. This view is correct. This issue is attractive to people who agree to the emergence and development of new ideas in life and try to embody everything in the reality around them.

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But there are also people who oppose radical ideas and innovations. For them, the use of conventional traditional methods is more acceptable. People with a similar type of sitting try to deal with this disease with natural methods, which are unsuccessful. The ophthalmological community strongly opposes natural treatment methods.

Ineffectiveness of anti-cataract drops

Yes, clinical studies and ongoing biological processes confirm the ineffectiveness of anti-cataract drops, both official and unofficial. The spectrum of these cases leads to a dead end.Let’s try to understand the matter more.

Is it possible to prevent the development of cataracts without surgery?

The lens of the eye is located directly inside the eye. It has no blood vessels (arteries and veins). But it is living, biological tissue. It is constantly self-updating. For this, he must use energy and organic compounds such as: (proteins, fats, carbohydrates, etc.). Also, oxygen is needed to produce energy.. where are we going to get all this if there is no blood circulation? To solve this problem, nature placed the lens in the “intraocular fluid“.

Intraocular fluid

The above-mentioned “intraocular fluid” flows and brings oxygen and necessary organic compounds, vitamins and trace elements. And it receives ATP (energy production), radicals (residues obtained after the decomposition of organic compounds), and excess ions (after the use of trace elements).

If the flow of “liquid” slows down, then the vitality in it decreases. Compensatory (protective) mechanisms begin to activate and engage in the process. Sometimes they act adequately and the disease does not develop, and sometimes their action exceeds the limits of adequacy and structural changes begin accordingly. In the crystal, organic substances begin to form, which have deviations in the chemical structure. They seem to be a bit different from the ones before. But the general physico-chemical properties of their constituent bodies change essentially.

If you think that the above question is logical, then you have already made a simple conclusion – “fluid flow”, which is called intraocular hydrodynamics, should be restored if necessary, as a result of which the chances of cataract development are minimized.

Cataract prevention and treatment options in Batumi

Cataract prevention and treatment optionsi in Batumi by the best ophthalmologists in Georgia from the Sagittarius Clinic Batumi. Contact us via chat on this page and make an appointment.

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Intraocular lens AcrySof IQ Toric

Sagittarius Clinic — Mon, 05 Sep 2022 19:38:37 +0000

Intraocular lens AcrySof IQ Toric

The American company Alcon has been producing artificial intraocular lenses for years. Considers all clinical cases in ophthalmic surgery.

Presented intraocular lenses

Presented intraocular lenses: AcrySof IQ, AcrySof IQ Toric, Acrysof IQ PanOptix. It allows patients to receive individual services specific to their disease.

The standard intraocular lens is used during the surgical treatment of cataract. After implantation, visual acuity improves without glasses or contact correction.

And those patients who have astigmatism, after implantation of a standard intraocular lens, remain blurred vision. Because, with a standard artificial intraocular lens, it is not possible to correct astigmatism.

Accordingly, additional correction is required: either with glasses or contact lenses.

Intraocular lens for Astigmatism

Astigmatism – is a refractive change when the cornea is of the wrong shape, and the beam is focused on the retina not at one point, but at several places.

It is for such patients that Acrysof IQ Toric is recommended.

Accordingly, additional correction is required: either with glasses or contact lenses.

Astigmatism – this is a refractive change when the cornea is of the wrong shape, and the beam is focused on the retina not at one point, but at several places.

It is for such patients that Acrysof IQ Toric is recommended.

Remember! The selection of an artificial intraocular lens is made after a complete ophthalmological examination, with the lights of modern diagnostic equipment. In the “Sagitarius” clinic, you can get a complete, modern and high-tech ophthalmological examination.

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Advantage of biological therapy in rheumatoid arthritis

Sagittarius Clinic — Mon, 05 Sep 2022 18:56:27 +0000

Advantage of biological therapy in rheumatoid arthritis

Rheumatoid arthritis (RA) is usually treated with one or more disease-modifying antirheumatic drugs (DMARDs), which are available. In different ways, these drugs calm the activity of the immune system so that it stops attacking and damaging the joints.

Common DMARDs for RA

Common DMARDs for RA (such as methotrexate and sulfasalazine, Arava, Plaquenil) and drugs such as steroids are effective, but they suppress many aspects of the body’s immune response at once.

Abnormal immune response that occurs in RA

As we learn more about the so-called abnormal immune response that occurs in RA, it has become possible to develop treatments that target very specific aspects of it: these are biological therapies.

Biologics are genetically engineered proteins that target specific parts of the immune system that promote inflammation. Non-biologic drugs such as methotrexate offer a more diffuse approach.

“If you’re fighting a war, biologics are the snipers. They will take out one target.”

– explains Jeffrey Curtis, MD, MPH, director of the Arthritis Clinical Intervention Program at the University of Alabama (UAB) and director of the Center for Therapy Education and Research at Birmingham.

There are the following types of biological therapy of Rheumatoid arthritis:

Tumor necrosis factor-α (TNF) inhibitors
Acting on B-cell immunity
Inhibitor of interleukin.

Of course, the said therapy has inclusion criteria

The NICE RA guideline states that biologics should be eligible for RA patients with a high level of disease activity.

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Seafarers medical examination in Batumi

Sagittarius Clinic — Mon, 21 Oct 2019 09:09:13 +0000

Seafarers medical examination in Batumi

The sailors of the world are obliged to take periodic seafarers medical examination s to determine the fitness of their professional work in the sea. The purpose of medical examination is to safeguard the seafarer’s health, as well as the safe and unwanted professional duties of the sailor and ship crew.

“Sagittarius” Marine Medical Center one of the leading medical institutions in region. We provide medical care for citizens of Georgia and tightly cooperate with list of international crewing and shipping companies carrying out medical examination of seafarers, establishing of their fitness for work on vessels, issuing of medical certificates.

The medical examination of students and students of seafarers’ educational institutions is also undertaken. Examination is fulfilled in compliance with the requirements of the International Marine Organization (IMO), International Labour Organization (ILO) and World Health Organization (WHO). The center is accredited by the Ministry of Health of Georgia, authorized by Transport Administration of Georgia, certified according standard ISO 9001:2015 and Regulation 1.2 of the MLC 2006. In 2015, the International Union of National Business Ratings was honored by the “Leader of the Leader 2015”.

Georgian and international sailors’ health is our top priority. We take care of each sailor, their problems and their demands.

The doctors of the Center are authorized by Transport Administration of Georgia, highly qualified and experienced professionals who will provide you with professional consultation, medical care and assistance in the sea and on the ground.

We protect your rights over your professional work.

Seafarers medical examination package in determining occupational fitness include:

ORGANS SYSTEMS AND PHYSYCAL EXAMINATION BY PHYSICIAN (AUTHORISED DOCTOR)
ULTRASOUND EXAMINATION OF LOW ABDOMINALS
BLOOD EXAMINATION (Complete blood count, Blood typing, Fasting blood sugar, HIV, Hepatit B,C antigen, VDRL )
URINALYSIS: Blood, Proteine, Sugar
OPHTALMOLOGICAL EXAMINATION
ENT EXAMINATION
EEG
DENTAL EXAMINATION

Additional Seafarers medical examination Tests:

DRUG and ALCOHOL TEST
CARDIO STRESS TEST (OPTIONAL, AFTER 50 MANDATORY)
PSYCHOLOGICAL EVALUATION
LIVER FUNCTION TEST
CHEST X-RAY

Please note that there is not vaccination in the center. Vaccination in Georgia is carried out in specialized institutions.

Please telephone or contact us on T: +995 577 77 97 97, T:+995 568 69 41 76: e-mail: info@sagitarius.ge to book your appointment or other questions.
Examination costs are dependent on the specific requirements of each case.
Please arrive 20 minutes before you appointment to allow time for the additional tasks needed.
On arrival for your appointment, please expect to be:

1 asked to complete a form giving your personal details

2 given a container to provide a urine sample

Our responsibility to arrange an interpreter if you feel your English is not sufficient to consult a doctor
Contact lens wearers please remove contact lenses before your medical to allow your eyes to settle for testing but please remember to bring a spare pair and any spectacles that you use
You should bring along your previous medical certificate (unless this is your first examination)
Please bring with you a form of photo identification (e.g passport, discharge book or other certified photographic proof [for example, a company photo pass])
Please bring with you any medications, recent medical letters, discharge notes, sight test results etc

Book Seafarers medical examination

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Clinical Pearls for Treating Uveitis

Sagittarius Clinic — Wed, 13 Mar 2019 15:52:57 +0000

Clinical Pearls for Treating Uveitis

By the time a patient arrives at a uveitis clinic, he or she is usually very frustrated. The patient has seen multiple doctors, and not just ophthalmologists. He or she has been on a variety of corticosteroid, topical, oral or injectable medications and may have had several surgeries. The inflammation often comes back when the medications are tapered, and the patient still doesn’t have a “diagnosis.”

The key to uveitis treatment is simple: A good workup with appropriate lab work, enough of the right medication used long enough, knowing when it’s time to move on to something else, knowing when to refer and not operating unless absolutely necessary.

1. Anatomical location of the inflammation. Determining the location of the inflammation in the eye is critical in establishing the workup, the possible associated systemic diseases and the treatment. Pain, redness and photophobia typically indicate inflammation in the anterior segment, such as an anterior uveitis, or anterior inflammation accompanied by deeper inflammation, as in panuveitis. Floaters or visual disturbances in the absence of pain, redness and photophobia often indicate inflammation in the vitreous, choroid or retina.

2. Patient’s current treatments and medications. Find out all pertinent information, including dose, concentration, length of therapy and route of delivery. If the patient’s inflammation recurs when the drops or systemic medications are tapered down or discontinued, then the therapy was insufficient or the inflammation is chronic and requires continuous treatment. Topical corticosteroids are often initially dosed in too low a concentration or quantity and tapered too quickly. Drops are not appropriate treatment for intermediate, posterior or panuveitis because the concentration in the vitreous will be insufficient for effective treatment. Once the inflammation involves the posterior segment, either regional (injections) or systemic medications are required.

3. A targeted review of systems. Consider the anatomical location of the inflammation and ask questions accordingly. An anterior uveitis raises suspicions for positive HLA-B27-associated diseases (low back pain that is worse in the morning, heel pain, inflammatory bowel diseases, psoriatic arthritis), herpetic diseases (oral or genital ulcers, history of herpes zoster) or Behçet’s (oral or genital ulcers). With intermediate uveitis, pay attention to possible neurologic findings associated with multiple sclerosis. If panuveitis is present, consider the possibility of Vogt-Koyanagi-Harada (VKH) and target the ROS accordingly. Always consider sarcoid and syphilis, no matter where the inflammation is. Add Lyme disease to the workup when geographically appropriate.

4.The workup. Many diagnoses can be eliminated from the differential by doing a careful history and ROS and by determining the anatomical location of the inflammation. Think horses, not zebras. The basic workup for an anterior uveitis includes an HLA-B27, RPR, FTA-Abs, CXR and Lyme Ab, depending on geographic location. The utility of obtaining an ACE is debated among uveitis specialists because of the many factors impacting the level. For intermediate uveitis, an MRI might be necessary if the patient has neurologic findings. For posterior or panuveitis, an HLA-B27 would typically not be necessary. If the uveitis appears on examination to be infectious (toxoplasmosis or toxocariasis), the appropriate antibody screen should be obtained. Obtaining a rheumatoid factor in anyone or an ANA in an adult is usually unnecessary. The exception might be an ANA in a child with anterior uveitis and concern for juvenile rheumatoid arthritis. Rheumatoid arthritis and lupus are typically associated with scleritis, not uveitis. Lupus can be associated with an occlusive vasculopathy.

5. Corticosteroids are the mainstay of therapy. For anterior uveitis, higher-potency drops, specifically prednisolone acetate 1%, should be used initially. Lower-potency topical corticosteroids should be avoided initially because of the limited concentrations achieved in the aqueous. Start with one drop every one to two hours and do not taper until a two-step improvement in the grade of inflammation has been achieved. If the inflammation has not responded within a reasonable period of time (i.e., one month), drops are inadequate treatment and therapy should be reevaluated. The median duration of an HLA-B27 attack of anterior uveitis is six weeks, so the drops should be extended for at least that length of time or inflammation may recur after they are discontinued. Local corticosteroid injections, subtenons or intravitreal, are useful for episodic intermediate uveitis associated with decreased vision or with CME. A short-term course of oral prednisone is sometimes needed, in addition to drops or injections for acute flares of uveitis. Chronic posterior or panuveitis requires longer oral prednisone therapy at a dose of 1 mg/kg/day (60 mg), followed by a slower taper to lower doses. Since the inflammation must be controlled, the temptation to reduce topical corticosteroids should be avoided. Elevated pressure should be treated with pressure-lowering drops, reserving prostaglandin analogs for last because of their association with inflammation. Rimexalone, a lower potency topical corticosteroid than prednisolone acetate 1%, is often as effective in the short-term and may help decrease the steroid-induced IOP response.

6. New approaches in immunotherapy involve more cellular-specific targeting, such as T-cells. Efficacy of the anti-TNF alpha agents has already been established in the treatment of uveitis. Local delivery systems, such as intravitreal injections of triamcinolone and sustained-release intravitreal implants, are available; intravitreal injections of nanoparticles and local delivery of immunosuppressive agents are under investigation.

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მიღებაზე ჩაწერა

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