Ошибки пациентов при выборе метода лечения повреждения хряща коленного

Советы молодым</div></div> <div class="grid-item__meta-secondary"> <div class="grid-product__price"><span class="grid-product__price--current"> <span aria-hidden="true">руб0,00</span> <span class="visually-hidden">руб0,00</span> </span></div> </div></div> </a></div> </div> </div> <div class=" grid-item grid-product grid-product-image-breathing-room--true " > <div class="product-grid-item" data-product-handle="air-pollution-and-heart-disease-how-to-lower-your-risks-9" data-product-id="7374935031964" data-product-grid-item > <div class="grid-item__content"><div class="grid-product__actions"> <is-land on:idle> <quick-shop defer-hydration> <tool-tip-trigger class="tool-tip-trigger" data-tool-tip="QuickShop" data-tool-tip-classes="quick-shop-modal" defer-hydration > <span class="tool-tip-trigger__content" data-tool-tip-trigger-content="" > </span> <button type="button" class="btn btn--circle btn--icon quick-product__btn js-modal-open-quick-modal-7374935031964 small--hide" title=" Quick shop " data-handle="air-pollution-and-heart-disease-how-to-lower-your-risks-9"> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-search icon--line" viewbox="0 0 64 64" width="20" height="20" > <path d="M47.16 28.58A18.58 18.58 0 1 1 28.58 10a18.58 18.58 0 0 1 18.58 18.58M54 54 41.94 42" stroke-miterlimit="10" fill="none" stroke="currentColor" /> </svg> <span class="icon__fallback-text visually-hidden"> Quick shop </span> </button> </tool-tip-trigger> <script type="module"> import 'components/tool-tip-trigger' </script> </quick-shop> <template data-island> <script type="module"> import 'components/quick-shop' </script> </template> </is-land> </div><a href="/collections/how-to/products/air-pollution-and-heart-disease-how-to-lower-your-risks-9" class="grid-item__link"> <div class="grid-product__image-wrap"> <div class="grid-product__tags"></div><div style="height: 0; padding-bottom: 56.25%;" > <is-land on:visible data-image-type=""><img src="//diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=1080" alt="" srcset="//diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=1080 1080w" width="1080" height="607.5" loading="lazy" class="grid-product__image image-element" sizes="150px" data-animate="fadein"> </is-land> </div></div> <div class="grid-item__meta"> <div class="grid-item__meta-main"><div class="grid-product__title">Загрязнение воздуха и сердечно-сосудистые заболевания. Как снизить риски? Часть 9. [Части 1 и 2]</div></div> <div class="grid-item__meta-secondary"> <div class="grid-product__price"><span class="grid-product__price--current"> <span aria-hidden="true">руб0,00</span> <span class="visually-hidden">руб0,00</span> </span></div> </div></div> </a></div> </div> </div> <div class=" grid-item grid-product grid-product-image-breathing-room--true " > <div class="product-grid-item" data-product-handle="alpha-ketoglutarate-and-longevity-how-to-use-it-with-vitamins-to-slow-aging-9" data-product-id="7466153115804" data-product-grid-item > <div class="grid-item__content"><div class="grid-product__actions"> <is-land on:idle> <quick-shop defer-hydration> <tool-tip-trigger class="tool-tip-trigger" data-tool-tip="QuickShop" data-tool-tip-classes="quick-shop-modal" defer-hydration > <span class="tool-tip-trigger__content" data-tool-tip-trigger-content="" > </span> <button type="button" class="btn btn--circle btn--icon quick-product__btn js-modal-open-quick-modal-7466153115804 small--hide" title=" Quick shop " data-handle="alpha-ketoglutarate-and-longevity-how-to-use-it-with-vitamins-to-slow-aging-9"> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-search icon--line" viewbox="0 0 64 64" width="20" height="20" > <path d="M47.16 28.58A18.58 18.58 0 1 1 28.58 10a18.58 18.58 0 0 1 18.58 18.58M54 54 41.94 42" stroke-miterlimit="10" fill="none" stroke="currentColor" /> </svg> <span class="icon__fallback-text visually-hidden"> Quick shop </span> </button> </tool-tip-trigger> <script type="module"> import 'components/tool-tip-trigger' </script> </quick-shop> <template data-island> <script type="module"> import 'components/quick-shop' </script> </template> </is-land> </div><a href="/collections/how-to/products/alpha-ketoglutarate-and-longevity-how-to-use-it-with-vitamins-to-slow-aging-9" class="grid-item__link"> <div class="grid-product__image-wrap"> <div class="grid-product__tags"></div><div style="height: 0; 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//diagnosticdetectives.ru/cdn/shop/products/Dr_Brian_K_Kennedy_Antiaging_Longevity_Expert_Second_Opinion_Diagnostic_Detectives_Network.010.jpg?v=1666225541&width=1080 1080w" width="1080" height="607.5" loading="lazy" class="grid-product__image image-element" sizes="150px" data-animate="fadein"> </is-land> </div></div> <div class="grid-item__meta"> <div class="grid-item__meta-main"><div class="grid-product__title"><h1>Альфа-кетоглутарат и долголетие: применение с витаминами для замедления старения</h1> <p>Альфа-кетоглутарат (АКГ)</div></div> <div class="grid-item__meta-secondary"> <div class="grid-product__price"><span class="grid-product__price--current"> <span aria-hidden="true">руб0,00</span> <span class="visually-hidden">руб0,00</span> </span></div> </div></div> </a></div> </div> </div> </div> </div> </div> <div class="cart__footer"> <div class="cart__item-sub cart__item-row cart__item--subtotal"> <div> Subtotal </div> <div data-subtotal>руб0,00</div> </div> <div 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import 'components/header-drawer' </script> <header-drawer class="site-header__drawer site-header__mobile-nav medium-up--hide" open="mobileNav:open" close="mobileNav:close" defer-hydration> <div class="site-header__drawer-animate"> <mobile-nav class="slide-nav__wrapper overlay" data-level="1" container="MobileNav" inHeader="true" defer-hydration > <ul class="slide-nav"><li class="slide-nav__item"><button type="button" class="slide-nav__button js-toggle-submenu" data-target="tier-2-expert-masterclasses1" data-active="true" > <span class="slide-nav__link"><span>Expert Masterclasses</span> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-chevron-right" viewbox="0 0 284.49 498.98" fill="currentColor" width="20" height="20" > <path d="M35 498.98a35 35 0 0 1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 498.98" /> </svg> <span 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1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 498.98" /> </svg> </a> </li><li class="slide-nav__item"> <a href="/collections/pulmonary-arterial-hypertension" class="slide-nav__link"> <span>Pulmonary Arterial Hypertension</span> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-chevron-right" viewbox="0 0 284.49 498.98" fill="currentColor" width="20" height="20" > <path d="M35 498.98a35 35 0 0 1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 498.98" /> </svg> </a> </li><li class="slide-nav__item"> <a href="/collections/general-cardiology" class="slide-nav__link"> <span>General Cardiology</span> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-chevron-right" viewbox="0 0 284.49 498.98" fill="currentColor" width="20" height="20" > <path d="M35 498.98a35 35 0 0 1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 498.98" /> </svg> </a> </li></ul></li><li class="slide-nav__item"><button type="button" class="slide-nav__button js-toggle-submenu" data-target="tier-3-other-organs1" data-active="true" > <span class="slide-nav__link slide-nav__sublist-link"> <span>Other Organs</span> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-chevron-right" viewbox="0 0 284.49 498.98" fill="currentColor" width="20" height="20" > <path d="M35 498.98a35 35 0 0 1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 498.98" /> </svg> <span class="icon__fallback-text visually-hidden"> Expand submenu </span> </span> </button> <ul class="slide-nav__dropdown" 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> <path d="M35 498.98a35 35 0 0 1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 498.98" /> </svg> </a> </li><li class="slide-nav__item"> <a href="/collections/womens-health" class="slide-nav__link"> <span>Women's Health. Infertility.</span> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-chevron-right" viewbox="0 0 284.49 498.98" fill="currentColor" width="20" height="20" > <path d="M35 498.98a35 35 0 0 1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 498.98" /> </svg> </a> </li><li class="slide-nav__item"> <a href="/collections/elderly-patients" class="slide-nav__link"> <span>Elderly Patients</span> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-chevron-right" viewbox="0 0 284.49 498.98" fill="currentColor" width="20" height="20" > <path d="M35 498.98a35 35 0 0 1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 498.98" /> </svg> </a> </li><li class="slide-nav__item"> <a href="/collections/integrative-medicine" class="slide-nav__link"> <span>Integrative Medicine</span> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-chevron-right" viewbox="0 0 284.49 498.98" fill="currentColor" width="20" height="20" > <path d="M35 498.98a35 35 0 0 1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 498.98" /> </svg> </a> </li><li class="slide-nav__item"> <a href="/collections/nutrition" class="slide-nav__link"> <span>Nutrition</span> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-chevron-right" viewbox="0 0 284.49 498.98" fill="currentColor" width="20" height="20" > <path d="M35 498.98a35 35 0 0 1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 498.98" /> </svg> </a> </li><li class="slide-nav__item"> <a href="/collections/clinical-cases" class="slide-nav__link"> <span>Clinical Cases</span> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-chevron-right" viewbox="0 0 284.49 498.98" fill="currentColor" width="20" height="20" > <path d="M35 498.98a35 35 0 0 1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 498.98" /> </svg> </a> </li><li class="slide-nav__item"> <a href="/collections/prognosis" class="slide-nav__link"> <span>Prognosis</span> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-chevron-right" viewbox="0 0 284.49 498.98" fill="currentColor" width="20" height="20" > <path d="M35 498.98a35 35 0 0 1-24.75-59.75l189.74-189.74L10.25 59.75a35.002 35.002 0 0 1 49.5-49.5l214.49 214.49a35 35 0 0 1 0 49.5L59.75 488.73A34.89 34.89 0 0 1 35 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aria-label="breadcrumbs"> <a href="/" title=" Back to the frontpage " > Home </a> <span class="breadcrumb__divider" aria-hidden="true">/</span> <a href="/collections"> Expert Masterclasses </a> <span class="breadcrumb__divider" aria-hidden="true">/</span> <a href="/collections/how-to" title="">How to...</a> <span class="breadcrumb__divider" aria-hidden="true">/</span> </nav> <div class="product-block" data-section-id="template--18622507942044__main" > <h1 class="h2 product-single__title"><ol> <li>Ошибки пациентов при выборе метода лечения повреждения хряща коленного сустава. 3</li> </ol></h1></div> <div class="product-block" > <a class="custom-white-button" href="/pages/how-it-works" target="_self" rel="noopener noreferrer"> Can we help? </a> <style> .custom-white-button { background-color: transparent !important; color: #ffffff !important; border: 2px solid #ffffff !important; font-size: 18px !important; padding: 10px 20px !important; text-align: center !important; display: inline-block !important; text-decoration: none !important; } .custom-white-button:hover { background-color: #ff0000 !important; color: #ffffff !important; } </style> </div> </div> </div> <div class="grid__item one-whole"> <div class="product-summary--wide"> <div class="dd-article-summary rte"> <p>Ведущий эксперт по восстановлению хряща коленного сустава, доктор медицинских наук Маттиас Штайнвакс, разбирает типичные ошибки пациентов при лечении травм колена. Он подчеркивает важность реалистичных сроков восстановления. Учёный указывает на критическую ошибку — неполноценный первоначальный хирургический подход. Штайнвакс выступает за комплексную концепцию лечения, при которой все повреждения коленного сустава устраняются одновременно. Такой подход позволяет избежать необходимости в повторных операциях и улучшает отдалённые результаты.</p> </div> </div> </div></div> </div> </section> <script type="application/ld+json"> {"@context":"http:\/\/schema.org\/","@id":"\/products\/mistakes-patients-make-how-to-choose-knee-injury-cartilage-repair-treatment-method-3#product","@type":"Product","brand":{"@type":"Brand","name":"Diagnostic Detectives Network"},"category":"","description":"Оптимальные стратегии лечения травм колена и предотвращение ошибок терапии\nПерейти к разделу\n\nРаспространенные ошибки пациентов при лечении травм колена\nВажность сохранения мениска при операциях на колене\nНеобходимость комплексного подхода к лечению\nТребования к квалификации хирурга при сложных травмах колена\nПоследствия многократных ревизионных операций на колене\nОптимальная тактика первичного лечения травм колена\nПолная расшифровка\n\nРаспространенные ошибки пациентов при лечении травм колена\nДоктор медицины Маттиас Штайнвакс выделяет ключевые ошибки пациентов при обращении с повреждениями связок или хряща коленного сустава. Основная проблема — нереалистичные ожидания относительно сроков восстановления и недостаточная приверженность лечению. По словам доктора, всех пациентов необходимо подробно информировать о реальных сроках реабилитации. Непонимание этого часто приводит к разочарованию и несоблюдению реабилитационных протоколов.\nВажность сохранения мениска при операциях на колене\nДоктор Маттиас Штайнвакс подчеркивает частую хирургическую ошибку — необоснованное удаление мениска. Он отмечает, что многим пациентам наряду с реконструкцией связок проводят резекцию мениска вместо его восстановления. Мениск играет ключевую роль в стабилизации колена и защите хряща. Доктор Штайнвакс настоятельно рекомендует при первой возможности накладывать швы на мениск, чтобы сохранить эту важную структуру и предотвратить последующую дегенерацию сустава.\nНеобходимость комплексного подхода к лечению\nСерьезной ошибкой в лечении является фрагментарный, а не комплексный подход к травмам колена. Доктор Штайнвакс указывает, что повреждение часто затрагивает multiple структуры: связки, мениск и хрящ. Многие пациенты обращаются после лечения, которое не охватило все поврежденные области одновременно. Такой подход игнорирует взаимосвязанность анатомии и биомеханики колена, что в итоге ухудшает клинический результат.\nТребования к квалификации хирурга при сложных травмах колена\nУспешное лечение травм колена требует от хирурга всесторонней технической подготовки. Доктор Штайнвакс поясняет, что сложные случаи demand владения всеми техниками шва мениска и методами реконструкции связок. Такая экспертиза позволяет разрабатывать индивидуальную концепцию лечения для каждого пациента. В беседе с доктором Антоном Титовым он подчеркивает, что эти высокоуровневые навыки crucial для точного устранения всех аспектов повреждения.\nПоследствия многократных ревизионных операций на колене\nДоктор Штайнвакс описывает тревожную частоту случаев, когда пациенты поступают в его клинику после нескольких неудачных вмешательств. С каждой последующей ревизионной операцией клинические исходы значительно ухудшаются. После трех-четырех хирургических вмешательств колено переходит в состояние хронической травмы. Эта закономерность highlights критическую важность правильного первичного лечения, чтобы избежать нисходящей спирали повторных процедур и снижения эффективности.\nОптимальная тактика первичного лечения травм колена\nЛучший подход focuses на безупречном выполнении первого этапа лечения. Доктор Штайнвакс утверждает, что первоначальная артроскопия и операция должны комплексно охватывать все патологические аспекты повреждения. Эта стратегия, обсуждаемая с доктором Титовым, позволяет пациентам избежать необходимости в повторных ревизионных вмешательствах. Правильно проведенное первичное лечение обеспечивает наивысшие шансы на восстановление полной функции колена и долгосрочное здоровье сустава.\nПолная расшифровка\nДоктор медицины Антон Титов: Травмы колена, особенно спортивные, как мы обсуждали, — распространенное явление. Вы сталкиваетесь с повреждениями крестообразных связок, разрывами мениска, травмами надколенника, остеохондральными переломами и различными повреждениями хряща. Какие ошибки совершают пациенты при обращении за лечением таких травм? Какие повторяющиеся ошибки вы наблюдаете у пациентов, уже проходивших лечение?\nДоктор медицины Маттиас Штайнвакс: Ошибки бывают разные. Одна из них — это ожидания и общая приверженность пациента лечению. Я считаю, что всех пациентов нужно информировать о realistic сроках восстановления поврежденной области.\nВторая проблема: я часто вижу вторичные обращения. Многие пациенты приходят ко мне после предыдущего лечения, и отсутствует полное понимание всего объема повреждения. Например, у них разорвана связка и частично поврежден мениск. Во многих случаях проводят реконструкцию связки — хорошо или плохо — но часто при этом удаляют мениск.\nМениск — это отдельная issue. Его нужно сшивать при первой же возможности, потому что он critical для стабилизации и защиты хряща. Упускается комплексный подход: необходимо охватить все повреждения в колене точно. Для этого требуется высококвалифицированный хирург, владеющий всеми techniques.\nХирург должен знать все типы швов мениска и все методы реконструкции связок. Только так можно разработать индивидуальную концепцию лечения. Пациента нужно рассматривать именно с этой позиции, чтобы точно address все аспекты. Это key для достижения хорошего клинического исхода.\nДоктор медицины Антон Титов: Насколько часто к вам обращаются пациенты после одного, двух, трех неудачных вмешательств? Как часто вы видите множественные ревизионные случаи? И какой лучший подход к таким травмам с концептуальной точки зрения?\nДоктор медицины Маттиас Штайнвакс: Лучший подход — ensure, чтобы первый шаг был выполнен правильно. Первая артроскопия и лечение должны быть проведены идеально. Первичное вмешательство должно охватывать все аспекты повреждения колена.\nМы знаем, что с каждой последующей ревизией клинический исход ухудшается. После трех-четырех вмешательств колено переходит в состояние хронической травмы. Идеально, чтобы первое лечение было проведено правильно, и пациентам не потребовались повторные операции.","image":"https:\/\/diagnosticdetectives.ru\/cdn\/shop\/products\/Dr_Matthias_Steinwachs_Knee_injury_cartilage_repair_replacement_second_opinion_Diagnostic_Detectives_Network_DiagnosticDetectives.Com.003.jpg?v=1660991769\u0026width=1920","name":"\u003col\u003e\n\u003cli\u003eОшибки пациентов при выборе метода лечения повреждения хряща коленного сустава. 3\u003c\/li\u003e\n\u003c\/ol\u003e","offers":{"@id":"\/products\/mistakes-patients-make-how-to-choose-knee-injury-cartilage-repair-treatment-method-3?variant=41852112994460#offer","@type":"Offer","availability":"http:\/\/schema.org\/InStock","price":"0.00","priceCurrency":"RUB","url":"https:\/\/diagnosticdetectives.ru\/products\/mistakes-patients-make-how-to-choose-knee-injury-cartilage-repair-treatment-method-3?variant=41852112994460"},"url":"https:\/\/diagnosticdetectives.ru\/products\/mistakes-patients-make-how-to-choose-knee-injury-cartilage-repair-treatment-method-3"} </script> </div><section id="shopify-section-template--18622507942044__product_expert_masterclass_teaser_GQjD4Q" class="shopify-section index-section"> <section class="section section--tight" data-section-id="template--18622507942044__product_expert_masterclass_teaser_GQjD4Q"> <div class="page-width"><div class="emc"> <a href="/pages/expert-masterclass/dr-matthias-steinwachs" class="emc__media" style="--emc-max-w: 960px; 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if (!url) continue; if (await imageExists(url)) return url; } return null; })(); } function findVimeoId(rootEl){ // 1) data-vimeo on placeholder var seeded = rootEl.querySelector('.js-vimeo-thumb[data-vimeo]'); if(seeded){ var id = vimeoIdFromUrl(seeded.getAttribute('data-vimeo')); if(id){ log('EMC: using ID from data-vimeo:', id); return id; } } // 2) iframe inside section var ifr = rootEl.querySelector('iframe[src*="vimeo.com"]'); if(ifr){ var id2 = vimeoIdFromUrl(ifr.getAttribute('src') || ''); if(id2){ log('EMC: found ID via iframe in section:', id2); return id2; } } // 3) any iframe on page (product media outside the section) var ifrGlobal = document.querySelector('iframe[src*="vimeo.com"]'); if(ifrGlobal){ var id3 = vimeoIdFromUrl(ifrGlobal.getAttribute('src') || ''); if(id3){ log('EMC: found ID via iframe on page:', id3); return id3; } } return null; } function runOnce(){ var r = root(); if(!r) return true; // nothing to do var holders = r.querySelectorAll('.js-vimeo-thumb'); log('EMC: placeholders found:', holders.length); if(!holders.length) return true; var id = findVimeoId(r); if(!id){ log('EMC: no Vimeo ID yet'); return false; } // Try best-quality candidates; safely fall back to what already works fetchBestVimeoThumb(id).then(function(thumbUrl){ if(!thumbUrl){ // one last guard using your previous single vumbnail path if (ALLOW_VIMBNAIL) thumbUrl = vumbnailUrl(id); } if(!thumbUrl){ log('EMC: no thumbnail URL available'); return; } for(var i=0;i<holders.length;i++){ upgradeThumb(holders[i], thumbUrl); } }); return true; } function start(){ if(runOnce()) return; // Poll up to MAX_WAIT_MS for lazy iframes to appear var elapsed = 0; var interval = setInterval(function(){ elapsed += POLL_EVERY_MS; if(runOnce() || elapsed >= MAX_WAIT_MS){ clearInterval(interval); } }, POLL_EVERY_MS); // React instantly to DOM insertions var obs = new MutationObserver(function(){ runOnce(); }); try { obs.observe(document.body, { childList:true, subtree:true }); } catch(e){} setTimeout(function(){ try{ obs.disconnect(); }catch(e){} }, MAX_WAIT_MS + 500); } if(document.readyState === 'loading') document.addEventListener('DOMContentLoaded', start); else start(); document.addEventListener('shopify:section:load', function(e){ if(e && e.detail && e.detail.sectionId === 'template--18622507942044__product_expert_masterclass_teaser_GQjD4Q'){ start(); } }); })(); </script> </section></section><div id="shopify-section-template--18622507942044__more-products-collection" class="shopify-section"> <div data-subsection data-section-id="template--18622507942044__more-products-collection" data-section-type="collection-template" > <div class="index-section index-section--sub-product"> <div class="page-width"> <header class="section-header"> <div class="h3 section-header__title"> More from <a href="/collections/how-to">How to...</a> </div> </header> </div> <div class="page-width page-width--flush-small"> <div class="new-grid product-grid scrollable-grid--small" data-view="medium" > <div class=" grid-item grid-product grid-product-image-breathing-room--true " > <div class="product-grid-item" data-product-handle="55-of-epilepsy-patients-never-see-an-expert-how-to-diagnose-epileptic-seizures-correctly-2" data-product-id="7374936834204" data-product-grid-item > <div class="grid-item__content"><div class="grid-product__actions"> <is-land on:idle> <quick-shop defer-hydration> <tool-tip-trigger class="tool-tip-trigger" data-tool-tip="QuickShop" data-tool-tip-classes="quick-shop-modal" defer-hydration > <span class="tool-tip-trigger__content" data-tool-tip-trigger-content="" > </span> <button type="button" class="btn btn--circle btn--icon quick-product__btn js-modal-open-quick-modal-7374936834204 small--hide" title=" Quick shop " data-handle="55-of-epilepsy-patients-never-see-an-expert-how-to-diagnose-epileptic-seizures-correctly-2"> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-search icon--line" viewbox="0 0 64 64" width="20" height="20" > <path d="M47.16 28.58A18.58 18.58 0 1 1 28.58 10a18.58 18.58 0 0 1 18.58 18.58M54 54 41.94 42" stroke-miterlimit="10" fill="none" stroke="currentColor" /> </svg> <span class="icon__fallback-text visually-hidden"> Quick shop </span> </button> </tool-tip-trigger> <script type="module"> import 'components/tool-tip-trigger' </script> </quick-shop> <template data-island> <script type="module"> import 'components/quick-shop' </script> </template> </is-land> </div><a href="/collections/how-to/products/55-of-epilepsy-patients-never-see-an-expert-how-to-diagnose-epileptic-seizures-correctly-2" class="grid-item__link"> <div class="grid-product__image-wrap"> <div class="grid-product__tags"></div><div style="height: 0; padding-bottom: 56.25%;" > <is-land on:visible data-image-type=""><img src="//diagnosticdetectives.ru/cdn/shop/products/Dr_Tracey_Milligan_Medical_Second_Opinion_Diagnostic_Detectives_Network_Epilepsy-treatment-seizures-refractory-diet-cannabidiol.003.jpg?v=1660933378&width=1080" alt="" srcset="//diagnosticdetectives.ru/cdn/shop/products/Dr_Tracey_Milligan_Medical_Second_Opinion_Diagnostic_Detectives_Network_Epilepsy-treatment-seizures-refractory-diet-cannabidiol.003.jpg?v=1660933378&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Tracey_Milligan_Medical_Second_Opinion_Diagnostic_Detectives_Network_Epilepsy-treatment-seizures-refractory-diet-cannabidiol.003.jpg?v=1660933378&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Tracey_Milligan_Medical_Second_Opinion_Diagnostic_Detectives_Network_Epilepsy-treatment-seizures-refractory-diet-cannabidiol.003.jpg?v=1660933378&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Tracey_Milligan_Medical_Second_Opinion_Diagnostic_Detectives_Network_Epilepsy-treatment-seizures-refractory-diet-cannabidiol.003.jpg?v=1660933378&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Tracey_Milligan_Medical_Second_Opinion_Diagnostic_Detectives_Network_Epilepsy-treatment-seizures-refractory-diet-cannabidiol.003.jpg?v=1660933378&width=1080 1080w" width="1080" height="607.5" loading="lazy" class="grid-product__image image-element" sizes="30vw" data-animate="fadein"> </is-land> </div></div> <div class="grid-item__meta"> <div class="grid-item__meta-main"><div class="grid-product__title">55% пациентов с эпилепсией никогда не обращаются к специалисту. Как правильно диагностировать эпилептические приступы?</div></div> <div class="grid-item__meta-secondary"> <div class="grid-product__price"><span class="grid-product__price--current"> <span aria-hidden="true">руб0,00</span> <span class="visually-hidden">руб0,00</span> </span></div> </div></div> </a></div> </div> </div> <div class=" grid-item grid-product grid-product-image-breathing-room--true " > <div class="product-grid-item" data-product-handle="advice-to-young-neurosurgeons-how-to-become-a-skilled-surgeon-8" data-product-id="7374949220508" data-product-grid-item > <div class="grid-item__content"><div class="grid-product__actions"> <is-land on:idle> <quick-shop defer-hydration> <tool-tip-trigger class="tool-tip-trigger" data-tool-tip="QuickShop" data-tool-tip-classes="quick-shop-modal" defer-hydration > <span class="tool-tip-trigger__content" data-tool-tip-trigger-content="" > </span> <button type="button" class="btn btn--circle btn--icon quick-product__btn js-modal-open-quick-modal-7374949220508 small--hide" title=" Quick shop " data-handle="advice-to-young-neurosurgeons-how-to-become-a-skilled-surgeon-8"> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-search icon--line" viewbox="0 0 64 64" width="20" height="20" > <path d="M47.16 28.58A18.58 18.58 0 1 1 28.58 10a18.58 18.58 0 0 1 18.58 18.58M54 54 41.94 42" stroke-miterlimit="10" fill="none" stroke="currentColor" /> </svg> <span class="icon__fallback-text visually-hidden"> Quick shop </span> </button> </tool-tip-trigger> <script type="module"> import 'components/tool-tip-trigger' </script> </quick-shop> <template data-island> <script type="module"> import 'components/quick-shop' </script> </template> </is-land> </div><a href="/collections/how-to/products/advice-to-young-neurosurgeons-how-to-become-a-skilled-surgeon-8" class="grid-item__link"> <div class="grid-product__image-wrap"> <div class="grid-product__tags"></div><div style="height: 0; padding-bottom: 56.25%;" > <is-land on:visible data-image-type=""><img src="//diagnosticdetectives.ru/cdn/shop/products/Acoustic-Neuroma-Treatment-Skull-Base-Neurosurgery-Second-Opinion-DiagnosticDetectiveCom.008.jpg?v=1660992694&width=1080" alt="" srcset="//diagnosticdetectives.ru/cdn/shop/products/Acoustic-Neuroma-Treatment-Skull-Base-Neurosurgery-Second-Opinion-DiagnosticDetectiveCom.008.jpg?v=1660992694&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Acoustic-Neuroma-Treatment-Skull-Base-Neurosurgery-Second-Opinion-DiagnosticDetectiveCom.008.jpg?v=1660992694&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Acoustic-Neuroma-Treatment-Skull-Base-Neurosurgery-Second-Opinion-DiagnosticDetectiveCom.008.jpg?v=1660992694&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Acoustic-Neuroma-Treatment-Skull-Base-Neurosurgery-Second-Opinion-DiagnosticDetectiveCom.008.jpg?v=1660992694&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Acoustic-Neuroma-Treatment-Skull-Base-Neurosurgery-Second-Opinion-DiagnosticDetectiveCom.008.jpg?v=1660992694&width=1080 1080w" width="1080" height="607.5" loading="lazy" class="grid-product__image image-element" sizes="30vw" data-animate="fadein"> </is-land> </div></div> <div class="grid-item__meta"> <div class="grid-item__meta-main"><div class="grid-product__title"><!DOCTYPE html> <html lang="ru"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title>Советы молодым</div></div> <div class="grid-item__meta-secondary"> <div class="grid-product__price"><span class="grid-product__price--current"> <span aria-hidden="true">руб0,00</span> <span class="visually-hidden">руб0,00</span> </span></div> </div></div> </a></div> </div> </div> <div class=" grid-item grid-product grid-product-image-breathing-room--true " > <div class="product-grid-item" data-product-handle="air-pollution-and-heart-disease-how-to-lower-your-risks-9" data-product-id="7374935031964" data-product-grid-item > <div class="grid-item__content"><div class="grid-product__actions"> <is-land on:idle> <quick-shop defer-hydration> <tool-tip-trigger class="tool-tip-trigger" data-tool-tip="QuickShop" data-tool-tip-classes="quick-shop-modal" defer-hydration > <span class="tool-tip-trigger__content" data-tool-tip-trigger-content="" > </span> <button type="button" class="btn btn--circle btn--icon quick-product__btn js-modal-open-quick-modal-7374935031964 small--hide" title=" Quick shop " data-handle="air-pollution-and-heart-disease-how-to-lower-your-risks-9"> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-search icon--line" viewbox="0 0 64 64" width="20" height="20" > <path d="M47.16 28.58A18.58 18.58 0 1 1 28.58 10a18.58 18.58 0 0 1 18.58 18.58M54 54 41.94 42" stroke-miterlimit="10" fill="none" stroke="currentColor" /> </svg> <span class="icon__fallback-text visually-hidden"> Quick shop </span> </button> </tool-tip-trigger> <script type="module"> import 'components/tool-tip-trigger' </script> </quick-shop> <template data-island> <script type="module"> import 'components/quick-shop' </script> </template> </is-land> </div><a href="/collections/how-to/products/air-pollution-and-heart-disease-how-to-lower-your-risks-9" class="grid-item__link"> <div class="grid-product__image-wrap"> <div class="grid-product__tags"></div><div style="height: 0; padding-bottom: 56.25%;" > <is-land on:visible data-image-type=""><img src="//diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=1080" alt="" srcset="//diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Pier-Mannuccio_Mannucci_thrombosis_bleeding_hematology_treatment_Diagnostic_Detectives_Network.010.jpg?v=1660905407&width=1080 1080w" width="1080" height="607.5" loading="lazy" class="grid-product__image image-element" sizes="30vw" data-animate="fadein"> </is-land> </div></div> <div class="grid-item__meta"> <div class="grid-item__meta-main"><div class="grid-product__title">Загрязнение воздуха и сердечно-сосудистые заболевания. Как снизить риски? Часть 9. [Части 1 и 2]</div></div> <div class="grid-item__meta-secondary"> <div class="grid-product__price"><span class="grid-product__price--current"> <span aria-hidden="true">руб0,00</span> <span class="visually-hidden">руб0,00</span> </span></div> </div></div> </a></div> </div> </div> </div> </div> </div> </div> </div><div id="shopify-section-template--18622507942044__more-products-vendor" class="shopify-section"> <is-land on:visible> <vendor-products data-subsection data-section-id="template--18622507942044__more-products-vendor" data-section-type="vendor-products" data-product-id="7374946467996" data-vendor-url="/collections/vendors?q=Diagnostic%20Detectives%20Network" data-max-products="3" > <div class="index-section index-section--sub-product"> <div class="page-width"> <header class="section-header"> <div class="h3 section-header__title"> More from <a href="/collections/vendors?q=Diagnostic%20Detectives%20Network" title="Diagnostic Detectives Network">Diagnostic Detectives Network</a> </div> </header> </div> <div class="page-width page-width--flush-small"> <div id="VendorProducts-template--18622507942044__more-products-vendor" class="new-grid product-grid scrollable-grid--small" data-view="medium" > <div class="visually-invisible"> <div class=" grid-item grid-product grid-product-image-breathing-room--true " > <div class="product-grid-item" data-product-handle="mistakes-patients-make-how-to-choose-knee-injury-cartilage-repair-treatment-method-3" data-product-id="7374946467996" data-product-grid-item > <div class="grid-item__content"><div class="grid-product__actions"> <is-land on:idle> <quick-shop defer-hydration> <tool-tip-trigger class="tool-tip-trigger" data-tool-tip="QuickShop" data-tool-tip-classes="quick-shop-modal" defer-hydration > <span class="tool-tip-trigger__content" data-tool-tip-trigger-content="" > </span> <button type="button" class="btn btn--circle btn--icon quick-product__btn js-modal-open-quick-modal-7374946467996 small--hide" title=" Quick shop " data-handle="mistakes-patients-make-how-to-choose-knee-injury-cartilage-repair-treatment-method-3"> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-search icon--line" viewbox="0 0 64 64" width="20" height="20" > <path d="M47.16 28.58A18.58 18.58 0 1 1 28.58 10a18.58 18.58 0 0 1 18.58 18.58M54 54 41.94 42" stroke-miterlimit="10" fill="none" stroke="currentColor" /> </svg> <span class="icon__fallback-text visually-hidden"> Quick shop </span> </button> </tool-tip-trigger> <script type="module"> import 'components/tool-tip-trigger' </script> </quick-shop> <template data-island> <script type="module"> import 'components/quick-shop' </script> </template> </is-land> </div><a href="/collections/how-to/products/mistakes-patients-make-how-to-choose-knee-injury-cartilage-repair-treatment-method-3" class="grid-item__link"> <div class="grid-product__image-wrap"> <div class="grid-product__tags"></div><div style="height: 0; padding-bottom: 56.25%;" > <is-land on:visible data-image-type=""><img src="//diagnosticdetectives.ru/cdn/shop/products/Dr_Matthias_Steinwachs_Knee_injury_cartilage_repair_replacement_second_opinion_Diagnostic_Detectives_Network_DiagnosticDetectives.Com.003.jpg?v=1660991769&width=1080" alt="" srcset="//diagnosticdetectives.ru/cdn/shop/products/Dr_Matthias_Steinwachs_Knee_injury_cartilage_repair_replacement_second_opinion_Diagnostic_Detectives_Network_DiagnosticDetectives.Com.003.jpg?v=1660991769&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Matthias_Steinwachs_Knee_injury_cartilage_repair_replacement_second_opinion_Diagnostic_Detectives_Network_DiagnosticDetectives.Com.003.jpg?v=1660991769&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Matthias_Steinwachs_Knee_injury_cartilage_repair_replacement_second_opinion_Diagnostic_Detectives_Network_DiagnosticDetectives.Com.003.jpg?v=1660991769&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Matthias_Steinwachs_Knee_injury_cartilage_repair_replacement_second_opinion_Diagnostic_Detectives_Network_DiagnosticDetectives.Com.003.jpg?v=1660991769&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Dr_Matthias_Steinwachs_Knee_injury_cartilage_repair_replacement_second_opinion_Diagnostic_Detectives_Network_DiagnosticDetectives.Com.003.jpg?v=1660991769&width=1080 1080w" width="1080" height="607.5" loading="lazy" class="grid-product__image image-element" sizes="30vw" data-animate="fadein"> </is-land> </div></div> <div class="grid-item__meta"> <div class="grid-item__meta-main"><div class="grid-product__title"><ol> <li>Ошибки пациентов при выборе метода лечения повреждения хряща коленного сустава. 3</li> </ol></div></div> <div class="grid-item__meta-secondary"> <div class="grid-product__price"><span class="grid-product__price--current"> <span aria-hidden="true">руб0,00</span> <span class="visually-hidden">руб0,00</span> </span></div> </div></div> </a></div> </div> </div> </div> </div> </div> </div> </vendor-products> <template data-island> <script type="module"> import 'components/section-more-products-vendor' </script> </template> </is-land> </div><div id="shopify-section-template--18622507942044__collection-return" class="shopify-section"> <div class="return-section color-scheme-none"><div class="page-width text-center"> <a href="/collections/how-to" class="btn return-link" > <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon--wide icon-arrow-left" viewbox="0 0 50 15" fill="currentColor" width="20" height="20" > <path d="M50 5.38v4.25H15V15L0 7.5 15 0v5.38Z" /> </svg> Back to How to... </a> </div> </div> </div><div id="shopify-section-template--18622507942044__featured_product_LHGeFD" class="shopify-section index-section"> <section class="page-content page-content--product page-content--partial" data-section-id="template--18622507942044__featured_product_LHGeFD" data-product-id="7374955085980" > <div class="page-width"> <div class="product-grid__container product--images float-grid grid--product-images--partial clearfix"><div class="grid__item medium-up--one-half product-single__sticky"> <product-images data-product-images data-zoom="false" data-has-slideshow="false" data-media-gallery-layout="" data-modal="false" data-product-id="7374955085980" data-section-id="template--18622507942044__featured_product_LHGeFD" > <div class="product__photos product__photos-template--18622507942044__featured_product_LHGeFD product__photos--beside"> <div class="product__main-photos" data-product-single-media-group> <div data-product-photos data-zoom="false" class="product-slideshow" id="ProductPhotos-template--18622507942044__featured_product_LHGeFD" > <div class="product-main-slide starting-slide" data-index="0" data-media-id="26893580828828" > <div data-product-image-main class="product-image-main" ><div class="image-wrap hide" style="height: 0; padding-bottom: 41.666666666666664%;" > <is-land on:visible data-image-type="photoswipe"> <img src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=1080" alt="Уточните план лечения, проконсультировавшись с ведущими специалистами, которые полностью соответствуют вашему клиническому случаю." srcset="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=1080 1080w" width="1080" height="450.0" loading="eager" class=" image-element" data-photoswipe-src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=1800" data-photoswipe-width="1920" data-photoswipe-height="800" data-index="1" sizes=" (min-width: 769px) 50vw, 75vw" data-animate="none"> </is-land> </div><div class="product__video-wrapper"> <is-land on:idle> <div class="video-media aspect-ratio--16-9" data-background="false" ><video-media defer-hydration > <video playsinline="true" controls="controls" preload="metadata" aria-label="Уточните план лечения, проконсультировавшись с ведущими специалистами, которые полностью соответствуют вашему клиническому случаю." poster="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002_500x.jpg?v=1666367638"><source src="//diagnosticdetectives.ru/cdn/shop/videos/c/vp/a22b0d50e4c64d9c8b0a558888197f4a/a22b0d50e4c64d9c8b0a558888197f4a.HD-720p-4.5Mbps-8813343.mp4?v=0" type="video/mp4"><img src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002_500x.jpg?v=1666367638"></video> </video-media></div> <template data-island> <script type="module"> import 'components/video-media' </script> </template> </is-land> </div></div> </div> </div></div> <div data-product-thumbs class="product__thumbs product__thumbs--beside product__thumbs-placement--left medium-up--hide small--hide" data-position="beside" data-arrows="false" ><div class="product__thumbs--scroller"></div></div> </div> <script type="application/json" data-current-variant-json>{"id":41852130001052,"title":"Default Title","option1":"Default Title","option2":null,"option3":null,"sku":"","requires_shipping":false,"taxable":false,"featured_image":null,"available":true,"name":"Уточните план лечения, проконсультировавшись с ведущими специалистами, которые полностью соответствуют вашему клиническому случаю.","public_title":null,"options":["Default Title"],"price":0,"weight":0,"compare_at_price":null,"inventory_management":null,"barcode":"","requires_selling_plan":false,"selling_plan_allocations":[]}</script> <script type="application/json" data-product-options-json>["Title"]</script> </product-images> <script type="module"> import 'components/product-images' </script> <script type="application/json" id="ModelJson-template--18622507942044__featured_product_LHGeFD"> [] </script><div class="localized-video-iframe-container" style="margin-top: 1.5rem;"> <div id="language-selector-wrapper"> <label for="language-selector">🎧 Select dubbed video language:</label> <select id="language-selector"> <option value="">Choose dubbed language</option> <option value="de" >Deutsch</option> <option value="fr" >Français</option> <option value="ru" selected>Русский</option> <option value="it" >Italiano</option> <option value="es" >Español</option> <option value="pt" >Português</option> <option value="ar" >العربية</option> <option value="zh" >中文</option> <option value="ja" >日本語</option> <option value="ko" >한국어</option> </select> </div> <iframe id="localized-video-iframe" src="https://player.vimeo.com/video/1113043591?autoplay=0&title=0&byline=0&portrait=0" data-selected-lang="ru" frameborder="0" allow="autoplay; fullscreen" allowfullscreen loading="lazy" style="width:100%; aspect-ratio:16/9; margin-top: 0.5rem;"> </iframe> </div></div><div class="product-grid__content product--description product-single__sticky grid__item medium-up--one-half"> <div class="product-single__meta"> <div class="product-block" data-section-id="template--18622507942044__featured_product_LHGeFD" > <h1 class="h2 product-single__title">Уточните план лечения, проконсультировавшись с ведущими специалистами, которые полностью соответствуют вашему клиническому случаю.</h1></div> <div class="product-block" > <a class="custom-white-button" href="/pages/how-it-works" target="_self" rel="noopener noreferrer"> Can we help? </a> <style> .custom-white-button { background-color: transparent !important; color: #ffffff !important; border: 2px solid #ffffff !important; font-size: 18px !important; padding: 10px 20px !important; text-align: center !important; display: inline-block !important; text-decoration: none !important; } .custom-white-button:hover { background-color: #ff0000 !important; color: #ffffff !important; } </style> </div> </div> </div></div> </div> </section> <script> document.addEventListener("DOMContentLoaded", function () { const selector = document.getElementById("language-selector"); const iframe = document.getElementById("localized-video-iframe"); if (!selector || !iframe) return; // 🧠 Detect the language used in video (via data attribute from Liquid) const loadedLang = iframe.getAttribute("data-selected-lang"); if (loadedLang) { selector.value = loadedLang; } // 🧠 On dropdown change, switch video selector.addEventListener("change", function () { const lang = selector.value; if (!lang) return; const metafieldUrl = {"vimeo_url_ar":"https:\/\/player.vimeo.com\/video\/1113042680","vimeo_url_de":"https:\/\/player.vimeo.com\/video\/1113042888","vimeo_url_es":"https:\/\/player.vimeo.com\/video\/1113043009","vimeo_url_fr":"https:\/\/player.vimeo.com\/video\/1113043115","vimeo_url_it":"https:\/\/player.vimeo.com\/video\/1113043209","vimeo_url_ja":"https:\/\/player.vimeo.com\/video\/1113043318","vimeo_url_ko":"https:\/\/player.vimeo.com\/video\/1113043403","vimeo_url_pt":"https:\/\/player.vimeo.com\/video\/1113043502","vimeo_url_ru":"https:\/\/player.vimeo.com\/video\/1113043591","vimeo_url_zh":"https:\/\/player.vimeo.com\/video\/1113042779"}; const urlKey = "vimeo_url_" + lang; const newUrl = metafieldUrl[urlKey]; if (newUrl) { iframe.src = newUrl + "?autoplay=0&title=0&byline=0&portrait=0"; } }); }); </script> </div><div id="shopify-section-template--18622507942044__featured_product_ik9hhY" class="shopify-section index-section"> <section class="page-content page-content--product page-content--partial" data-section-id="template--18622507942044__featured_product_ik9hhY" data-product-id="7374955151516" > <div class="page-width"> <div class="product-grid__container product--images float-grid grid--product-images-right grid--product-images--partial clearfix"><div class="product-grid__content product--description product-single__sticky grid__item medium-up--one-half"> <div class="product-single__meta"> <div class="product-block" data-section-id="template--18622507942044__featured_product_ik9hhY" > <h1 class="h2 product-single__title">Подбор идеальных хирургов или медицинских специалистов для проведения вашего лечения.</h1></div> <div class="product-block" > <a class="custom-white-button" href="/pages/how-it-works" target="_self" rel="noopener noreferrer"> Can we help? </a> <style> .custom-white-button { background-color: transparent !important; color: #ffffff !important; border: 2px solid #ffffff !important; font-size: 18px !important; padding: 10px 20px !important; text-align: center !important; display: inline-block !important; text-decoration: none !important; } .custom-white-button:hover { background-color: #ff0000 !important; color: #ffffff !important; } </style> </div> </div> </div><div class="grid__item medium-up--one-half product-single__sticky"> <product-images data-product-images data-zoom="false" data-has-slideshow="false" data-media-gallery-layout="" data-modal="false" data-product-id="7374955151516" data-section-id="template--18622507942044__featured_product_ik9hhY" > <div class="product__photos product__photos-template--18622507942044__featured_product_ik9hhY product__photos--beside"> <div class="product__main-photos" data-product-single-media-group> <div data-product-photos data-zoom="false" class="product-slideshow" id="ProductPhotos-template--18622507942044__featured_product_ik9hhY" > <div class="product-main-slide starting-slide" data-index="0" data-media-id="26893628440732" > <div data-product-image-main class="product-image-main" ><div class="image-wrap hide" style="height: 0; padding-bottom: 41.666666666666664%;" > <is-land on:visible data-image-type="photoswipe"> <img src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=1080" alt="Подбор идеальных хирургов или медицинских специалистов для проведения вашего лечения." srcset="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=1080 1080w" width="1080" height="450.0" loading="eager" class=" image-element" data-photoswipe-src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=1800" data-photoswipe-width="1920" data-photoswipe-height="800" data-index="1" sizes=" (min-width: 769px) 50vw, 75vw" data-animate="none"> </is-land> </div><div class="product__video-wrapper"> <is-land on:idle> <div class="video-media aspect-ratio--16-9" data-background="false" ><video-media defer-hydration > <video playsinline="true" controls="controls" preload="metadata" aria-label="Подбор идеальных хирургов или медицинских специалистов для проведения вашего лечения." poster="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1_500x.jpg?v=1660755068"><source src="//diagnosticdetectives.ru/cdn/shop/videos/c/vp/2784406d62054c4da459927e30451d40/2784406d62054c4da459927e30451d40.HD-720p-4.5Mbps-8813682.mp4?v=0" type="video/mp4"><img src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1_500x.jpg?v=1660755068"></video> </video-media></div> <template data-island> <script type="module"> import 'components/video-media' </script> </template> </is-land> </div></div> </div> </div></div> <div data-product-thumbs class="product__thumbs product__thumbs--beside product__thumbs-placement--right medium-up--hide small--hide" data-position="beside" data-arrows="false" ><div class="product__thumbs--scroller"></div></div> </div> <script type="application/json" data-current-variant-json>{"id":41852130066588,"title":"Default Title","option1":"Default Title","option2":null,"option3":null,"sku":"","requires_shipping":false,"taxable":false,"featured_image":null,"available":true,"name":"Подбор идеальных хирургов или медицинских специалистов для проведения вашего лечения.","public_title":null,"options":["Default Title"],"price":0,"weight":0,"compare_at_price":null,"inventory_management":null,"barcode":"","requires_selling_plan":false,"selling_plan_allocations":[]}</script> <script type="application/json" data-product-options-json>["Title"]</script> </product-images> <script type="module"> import 'components/product-images' </script> <script type="application/json" id="ModelJson-template--18622507942044__featured_product_ik9hhY"> [] </script></div></div> </div> </section> <script> document.addEventListener("DOMContentLoaded", function () { const selector = document.getElementById("language-selector"); const iframe = document.getElementById("localized-video-iframe"); if (!selector || !iframe) return; // 🧠 Detect the language used in video (via data attribute from Liquid) const loadedLang = iframe.getAttribute("data-selected-lang"); if (loadedLang) { selector.value = loadedLang; } // 🧠 On dropdown change, switch video selector.addEventListener("change", function () { const lang = selector.value; if (!lang) return; const metafieldUrl = {}; const urlKey = "vimeo_url_" + lang; const newUrl = metafieldUrl[urlKey]; if (newUrl) { iframe.src = newUrl + "?autoplay=0&title=0&byline=0&portrait=0"; } }); }); </script> </div><div id="shopify-section-template--18622507942044__sub" class="shopify-section product-full-width"> <div class="page-width page-width--narrow"> <div class="product-block" > <at-rte class="at-rte rte clearfix"> <h1>Оптимальные стратегии лечения травм колена и предотвращение ошибок терапии</h1> <h3>Перейти к разделу</h3> <ul> <li><a href="#common-patient-mistakes">Распространенные ошибки пациентов при лечении травм колена</a></li> <li><a href="#importance-of-meniscus-preservation">Важность сохранения мениска при операциях на колене</a></li> <li><a href="#comprehensive-treatment-concept">Необходимость комплексного подхода к лечению</a></li> <li><a href="#surgeon-expertise-requirements">Требования к квалификации хирурга при сложных травмах колена</a></li> <li><a href="#consequences-of-multiple-revisions">Последствия многократных ревизионных операций на колене</a></li> <li><a href="#optimal-first-treatment-approach">Оптимальная тактика первичного лечения травм колена</a></li> <li><a href="#full-transcript">Полная расшифровка</a></li> </ul> <h2 id="common-patient-mistakes">Распространенные ошибки пациентов при лечении травм колена</h2> <p>Доктор медицины Маттиас Штайнвакс выделяет ключевые ошибки пациентов при обращении с повреждениями связок или хряща коленного сустава. Основная проблема — нереалистичные ожидания относительно сроков восстановления и недостаточная приверженность лечению. По словам доктора, всех пациентов необходимо подробно информировать о реальных сроках реабилитации. Непонимание этого часто приводит к разочарованию и несоблюдению реабилитационных протоколов.</p> <h2 id="importance-of-meniscus-preservation">Важность сохранения мениска при операциях на колене</h2> <p>Доктор Маттиас Штайнвакс подчеркивает частую хирургическую ошибку — необоснованное удаление мениска. Он отмечает, что многим пациентам наряду с реконструкцией связок проводят резекцию мениска вместо его восстановления. Мениск играет ключевую роль в стабилизации колена и защите хряща. Доктор Штайнвакс настоятельно рекомендует при первой возможности накладывать швы на мениск, чтобы сохранить эту важную структуру и предотвратить последующую дегенерацию сустава.</p> <h2 id="comprehensive-treatment-concept">Необходимость комплексного подхода к лечению</h2> <p>Серьезной ошибкой в лечении является фрагментарный, а не комплексный подход к травмам колена. Доктор Штайнвакс указывает, что повреждение часто затрагивает multiple структуры: связки, мениск и хрящ. Многие пациенты обращаются после лечения, которое не охватило все поврежденные области одновременно. Такой подход игнорирует взаимосвязанность анатомии и биомеханики колена, что в итоге ухудшает клинический результат.</p> <h2 id="surgeon-expertise-requirements">Требования к квалификации хирурга при сложных травмах колена</h2> <p>Успешное лечение травм колена требует от хирурга всесторонней технической подготовки. Доктор Штайнвакс поясняет, что сложные случаи demand владения всеми техниками шва мениска и методами реконструкции связок. Такая экспертиза позволяет разрабатывать индивидуальную концепцию лечения для каждого пациента. В беседе с доктором Антоном Титовым он подчеркивает, что эти высокоуровневые навыки crucial для точного устранения всех аспектов повреждения.</p> <h2 id="consequences-of-multiple-revisions">Последствия многократных ревизионных операций на колене</h2> <p>Доктор Штайнвакс описывает тревожную частоту случаев, когда пациенты поступают в его клинику после нескольких неудачных вмешательств. С каждой последующей ревизионной операцией клинические исходы значительно ухудшаются. После трех-четырех хирургических вмешательств колено переходит в состояние хронической травмы. Эта закономерность highlights критическую важность правильного первичного лечения, чтобы избежать нисходящей спирали повторных процедур и снижения эффективности.</p> <h2 id="optimal-first-treatment-approach">Оптимальная тактика первичного лечения травм колена</h2> <p>Лучший подход focuses на безупречном выполнении первого этапа лечения. Доктор Штайнвакс утверждает, что первоначальная артроскопия и операция должны комплексно охватывать все патологические аспекты повреждения. Эта стратегия, обсуждаемая с доктором Титовым, позволяет пациентам избежать необходимости в повторных ревизионных вмешательствах. Правильно проведенное первичное лечение обеспечивает наивысшие шансы на восстановление полной функции колена и долгосрочное здоровье сустава.</p> <h2 id="full-transcript">Полная расшифровка</h2> <p><strong>Доктор медицины Антон Титов:</strong> Травмы колена, особенно спортивные, как мы обсуждали, — распространенное явление. Вы сталкиваетесь с повреждениями крестообразных связок, разрывами мениска, травмами надколенника, остеохондральными переломами и различными повреждениями хряща. Какие ошибки совершают пациенты при обращении за лечением таких травм? Какие повторяющиеся ошибки вы наблюдаете у пациентов, уже проходивших лечение?</p> <p><strong>Доктор медицины Маттиас Штайнвакс:</strong> Ошибки бывают разные. Одна из них — это ожидания и общая приверженность пациента лечению. Я считаю, что всех пациентов нужно информировать о realistic сроках восстановления поврежденной области.</p> <p>Вторая проблема: я часто вижу вторичные обращения. Многие пациенты приходят ко мне после предыдущего лечения, и отсутствует полное понимание всего объема повреждения. Например, у них разорвана связка и частично поврежден мениск. Во многих случаях проводят реконструкцию связки — хорошо или плохо — но часто при этом удаляют мениск.</p> <p>Мениск — это отдельная issue. Его нужно сшивать при первой же возможности, потому что он critical для стабилизации и защиты хряща. Упускается комплексный подход: необходимо охватить все повреждения в колене точно. Для этого требуется высококвалифицированный хирург, владеющий всеми techniques.</p> <p>Хирург должен знать все типы швов мениска и все методы реконструкции связок. Только так можно разработать индивидуальную концепцию лечения. Пациента нужно рассматривать именно с этой позиции, чтобы точно address все аспекты. Это key для достижения хорошего клинического исхода.</p> <p><strong>Доктор медицины Антон Титов:</strong> Насколько часто к вам обращаются пациенты после одного, двух, трех неудачных вмешательств? Как часто вы видите множественные ревизионные случаи? И какой лучший подход к таким травмам с концептуальной точки зрения?</p> <p><strong>Доктор медицины Маттиас Штайнвакс:</strong> Лучший подход — ensure, чтобы первый шаг был выполнен правильно. Первая артроскопия и лечение должны быть проведены идеально. Первичное вмешательство должно охватывать все аспекты повреждения колена.</p> <p>Мы знаем, что с каждой последующей ревизией клинический исход ухудшается. После трех-четырех вмешательств колено переходит в состояние хронической травмы. 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