Article in English: Your dad's death may have left you with lots of confusion or unanswered questions.  Though your mom or other relatives might be trying to protect you, it's understandable that you want to know the truth.  Talk to your family and tell them what you'd like to know.   You might say, “Hey Aunt Judy, I know everyone is saying that Dad got in a car wreck, but no one is saying how. I have a lot of questions.  Can you answer them for me?” The more you know about the situation, the easier it will be for you to properly grieve. Don't be afraid to ask questions that you want or need to know the answer to. During this difficult time, try to spend some time each day just being sad.  Crying can help you grieve by getting your emotions out.  Don't be embarrassed to show how you're feeling, even if you have to cry in front of others.  They'll understand. Sometimes, you might also feel numb or completely in shock, and that's okay, too.  If you can't cry, don't force yourself.  Just take some time to be alone with your thoughts. Take some time to reflect on all the memories you have of your father.  Pull out some photo albums and remember him as he was.  This will probably make you feel sad, and that's normal. You'll also feel moments of happiness as you reflect on good times.  Reflect especially on the times you spent alone with your dad.  Remember that those memories are special because they are only between the two of you. If you have painful or difficult memories of your dad, try not to feel guilty. It is normal for some people to feel angry during grief. Though it's nice to talk to adults during this time, sometimes conversations with others can be more helpful.  If your dad had other kids, talk to them, especially if you're around the same age.  They'll be able to understand your pain better than anyone because he was their dad, too. Writing can help you release all of the pent-up feelings you may have. At the end of each day or when you're having a really tough moment, jot down your feelings on paper.  Sometimes,...

Summary in Russian:

Ищите ответы у взрослых. Плачьте, если потребуется. Предавайтесь воспоминаниями. Поговорите с братьями и сестрами. Запишите свои мысли. Выражайте чувства в творчестве. Выберите и сохраните несколько личных вещей отца. Попросите некоторое время не ходить в школу. Находите способы почтить память отца в важные дни. Помните, что в случившемся нет вашей вины.


Article in English: Your daily caloric needs depend on your age, gender, height, activity level, and current weight. To lose weight you need to burn more than you consume.   A woman aged 19-30 who is sedentary (with only minimal physical activity each day) should consume anywhere from 1,550 to 1,800 calories per day to maintain her weight, and should restrict herself to between 1,000 and 1,250 calories per day to lose weight.  A man aged 19-30 who is sedentary should consume anywhere from 2,050 to 2,200 calories per day to maintain his weight, and should restrict himself to between 1,250 and 1,650 calories per day to lose weight. When you severely restrict calories, your body can begin to think that it’s starving, and it will then hold on to everything you eat — meaning you can actually gain weight. What you eat is really more important than how much you eat. Eating whole foods will help you feel more satisfied with less calories; in addition, pay attention to how you feel while you eat, and stop when you’re satisfied — not full. Eating two to three large meals per day, with hours in between, will cause your metabolism to slow between meals. By eating a small meal or snack every 3 to 4 hours, you keep your metabolism more steady and will burn more calories over the course of the day. Aim to eat at least 2/3rds of your day’s calories before dinner. Try eating your lightest meal at dinner — for example, a soup and salad with no heavy meat proteins or grains. Eating lighter at night might even help you sleep better — another important aspect of losing weight (being well rested). There is little evidence to show that eating at night can actually cause weight gain, but what it can do is cause indigestion as you lie down so soon after eating, or insomnia if you eat something like chocolate, for example. Science still shows that the calories in/calories out rule applies, and as long as your nighttime snack is part of your caloric intake planned for the day, you should be fine; the problems arise when you don’t snack healthfully before...

Summary in Russian:

Сократите калорийность рациона. Не голодайте. Ешьте маленькими порциями и часто. Не наедайтесь на ночь. Не ешьте прямо перед сном. Научитесь чувствовать разницу между голодом и жаждой. Ешьте медленно.


Article in English: Your date will start off on the wrong foot if you smell bad! Wash behind your ears, between your toes, and all around your private area (including the back). If you are male, shave your face closely if you have uneven stubble, or trim your beard and mustache if you have them. Long hair can look nice if it’s curled or braided, and short hair looks great if you gel back any flyaways. Make sure your hair is clean and well-combed. Carefully trim any nose or ear hair that’s sticking out with scissors, and pluck any stray hairs between your eyebrows with tweezers. Don’t use too much hair gel. If your hair is stiff and shiny after you’ve styled it, you’ve used too much! Your hair should still be able to move and bounce a little. You may want to cover any blemishes you have or enhance your eyes, but overdone makeup can look artificial. A little bit of eye liner or sheer lip color can look nice. If you want to wear makeup but don't have a lot of experience, head to Ulta, Sephora, or Target and ask for tips on how to enhance your features. Scrub the skin where the nail used to be to get rid of any dirt. Freshly cut nails can be sharp, so use a file to smooth the edges by running the file across the top of the nail several times in one direction. Don’t forget to smooth out the corners! If you’re wearing sandals, make sure your toenails are trimmed and neat, too! If you don’t want to buy a whole bottle of perfume or cologne for a date, go to the mall right before your date and spray yourself with a sample at a department store beauty counter. Consider coming back to buy the cologne if your date likes it, or if you find yourself using that trick often. Don’t layer several scents on top of each other, as the smells can mix and become overpowering. If you’re going to a coffee shop in the afternoon, a casual outfit of jeans and a T-shirt is fine. If you’re going to a nice restaurant late in the evening, a collared shirt, sport jacket, and slacks will look great on a guy, while a nice dress will look lovely on a girl. Match...

Summary in Russian:

Как следует помойтесь. Уложите волосы в соответствии со своей текущей стрижкой. Не переусердствуйте с макияжем. Подстригите ногти. Нанесите небольшое количество духов или одеколона на область груди или шеи. Наденьте чистую одежду, которая сидит по фигуре и соответствует месту свидания. Поддерживайте хорошую осанку на протяжении всего свидания.


Article in English: Your daughter may feel more comfortable and excited about learning to use the potty if the experience is tailored to her.  Choose a training potty or training seat with a design or color that appeals to your little girl. If possible, write her name directly on the training device, or allow her to decorate the sides of the training potty with colorful stickers. Similarly, when it is time for your daughter to switch to underwear instead of diapers, choose colorful, fun designs to make her feel eager about wearing them. Your toddler may feel apprehensive about climbing onto the potty since it seems so unfamiliar, but you can help ease her anxiety by allowing her to transition into the process gradually.  Let her start with her clothes on.  By allowing her to sit on the potty with her clothes on, you are allowing her the chance to get accustomed to the view and to the way the seat feels. Transition to a pants-off approach after a week or so. After she seems comfortable sitting on her training potty with her clothes on, she might be ready to sit on it with her pants off. If she resists, though, give it more time. Avoid getting into fights or power struggles that could dampen the experience and make her even more resistant. Children often have an easier time determining when they need to use the bathroom without clothing on. Make sure that your daughter's training potty is nearby, and rush her there as soon as her body language suggests that she needs to go. Encourage her to sit until she goes. Keep her entertained while she's waiting.  Supply her with a stack of picture books, or a few toys to play with. Books and videos that are about potty training are especially helpful because they will reinforce what you are trying to teach her. Girls are at a higher risk of developing urinary tract infections, and girls in the middle of potty training are at an even higher risk since they are more likely to spread bacteria around. Instruct her to move the toilet paper from front to back. If she cannot remember to move the...

Summary in Russian:

Делайте обучение индивидуальным. Познакомьте ее с туалетом. Разрешите вашему ребенку посидеть раздетым до пояса какое-то время. Научите ее вытираться правильно.


Article in English: Your dentists will examine your teeth and gums, take x-rays, and assess the extent of your gum disease by measuring the depth of periodontal pocket.  She will then have you schedule a deep cleaning and give you instructions on oral hygiene and home care leading up to that appointment.  It is very important that you follow these instructions carefully. Your dentist may also refer you to a periodontist, a dental specialist who has received three additional years of training in treating and managing the effects of gum disease. During deep cleaning, tartar is removed through scaling and root planing. Scaling removes tartar above and below the gum line where aggressive bacteria forms by scraping and ultrasonics. Root planing removes bacteria on the tooth root and may be done by laser. This sterilizes the area covered, but it is hard to control a laser during these types of procedures.   It is common to be nervous about the deep cleaning, but remember that it is an ’’extremely’’ important first step to treating a serious condition, and most people find it is quite tolerable.  Many dentists offer anesthesia options for the deep cleaning, ranging from topical numbing gel, to numbing injections, nitrous oxide, and in some cases full sedation. If you are nervous, let your doctor know ahead of time, and speak up during the appointment if you experience pain or discomfort. Your dentist or periodontist may determine that antibiotics are necessary to treat your periodontal disease. After root planing, he may insert antibiotic chips in the gum pockets that will slowly dissolve and release medication to kill bacteria in a small area without influencing your entire body.  He may also prescribe one or more of the following: oral antibiotics, a prescription antibiotic mouthwash, or a topical antibiotic gel to apply to your gums daily.  Be sure to fill these prescriptions right away and use them as directed. After your deep cleaning, you will need to see your dentist more frequently so that she can measure the periodontal...

Summary in Russian:

Посетите стоматолога для осмотра. Сделайте глубокую чистку зубов и десен. Принимайте назначенные врачом препараты. Запишитесь на следующий прием.


Article in English: Your dermatologist or doctor will be able to point out medications, both topical and in pill form, which may be able to fully treat your breakouts in a matter of weeks. Dermabrasion is basically when a doctor scrapes the top layer of skin, or epidermis, with a very fine diamond bur or wire brush, thereby "softening" the irregularities in the skin. It is good for blemishes or scars caused by acne. Try microdermabrasion. Like dermabrasion, just with a lighter implement. A soft abrasive is moved over the epidermis, softening the blemishes and encouraging collagen production. Similar to dermabrasion, except the dermatologist removes the outer layer of skin not by scraping the skin away, but by "planing" it away with a series of back-and-forth oscillations. Your local aesthetician will have a high frequency machine that uses a current to kill the bacteria that causes inflamed blemishes. A small electrode is run over the blemish and will be noticeably smaller in a few hours. You can also purchase a Zeno device, which is the same thing as these high frequency machines. The only difference is that they are handheld and battery operated. Your dermatologist can inject cortisone into a blemish, which will reduce swelling within a day. However, this is typically seen as a last resort method for when your skin isn't responding to other treatments.

Summary in Russian:

Лекарственные средства. Попробуйте дермабразию. Попробуйте дермапланинг. Сотрите пятна. Сделайте укол кортизона.


Article in English: Your desires or longings say a lot about you, even if you've been spending a lot of time denying them. Consider why you want to complete those activities or goals and what it will take to reach them. Chances are, these are your passions and dreams in life, which are typically areas of great strength. Many people fall into the trap of doing what their families want and becoming a doctor or lawyer when they'd rather have been a ballet dancer or a mountain trekker instead. In a different section of your journal, write down your desires or life's longings. Ask yourself, "What are my desires in life?" Whether you're applying for your first job or have just settled into retirement, you should always have goals and yearnings in life. Determine what drives you and what makes you happy. Begin to ask yourself about the things you most enjoy in life. Write down the answers to the question, "What types of activities do I find satisfying or appealing?" For some people, sitting by the fire with their Labrador Retriever by their sides is extremely satisfying. For others, they’d rather be rock climbing or taking a road trip. Make a list of the activities or things you do that make you happy and provide you with pleasure. Most likely, these areas where you find your hobbies are some strong areas for you. Along with your desires, you need to decide what keeps you motivated in life. In your journal, write down your answers to the question, "When do I feel energized and motivated?" Consider times in your life when you feel ready to take the world on by storm or inspired to go to the next level. The areas that inspire and motivate you are typically where you are strongest. Note that many people feel desires very early on in life, indicating the childlike self-knowledge that many come to lose when family, peer, and social expectations or financial pressures push the initial desires down deep.

Summary in Russian:

Проанализируйте свои желания. Определите свои пристрастия. Узнайте, что вас мотивирует.


Article in English: Your device, whether it’s an iPod, laptop, or smartphone, has an audio input that your headphone jack should fit into perfectly. An mp3 player only has one input, which takes any guesswork out of the equation. For a laptop or larger device, you may need to check around the perimeter and on the back to find the right audio input.  The headphone jack should pop into the input without having to be forced. If yours won’t fit, the headphones may be incompatible with the device. If you have wireless headphones, use your device’s Bluetooth connection to link the headphones to it. Many headphones specify which ear cup goes over the left ear and which one goes over the right. Check around your ear cups for the “L” and “R” markings, which mean "Left" and "Right."  If you find these markings, follow the instructions for distinguishing which ear cups goes over which ear. If you don’t find these markings, you can wear the cups over either ear. The band that connects the cups should fit snugly over the top of your head. Most headphone bands are adjustable, so if the fit isn’t comfortable, try adjusting it. Tug at the band to see if it gets smaller or larger, then adjust as needed. Adjust them a bit so that the cups cover your ears comfortably. Over-ear headphones, which have large cushions as ear cups, create a slight seal effect over each ear, which cancels out noise during use. On-ear headphones are smaller, and the cups are usually around the size of your ear. They will fit directly over the ear hole. You may need to remove your earrings if you find that the cups push into the jewelry uncomfortably.

Summary in Russian:

Подсоедините наушники к аудиоустройству. Проверьте, помечены ли наушники буквами «L» и «R». Наденьте наушники на голову. Наденьте чашки наушников на уши.


Article in English: Your diet and other health habits have a big effect on the texture of your hair. When you eat plenty of protein, nutrients, and healthy fats, your hair looks shiny and healthy. When you don't, your hair is the first place it shows. Watch and see how your hair improves when you do the following:  Eat food that contains protein, omega-3 fatty acids, and iron. Salmon, sardines, avocados, nuts, and flaxseeds are all excellent for promoting healthy hair growth. Stay hydrated by drinking plenty of water. When you're dehydrated, your hair can end up getting dry and brittle. Avoid smoking cigarettes. Smoke damage can make hair look dull and dried out. Ingredients in your shampoo and conditioner may be making your hair look dry and dull instead of silky and shiny. Switch to all-natural shampoos and conditioners that nourish your hair instead of stripping its gleam and weighing it down. Here's what to use:  Choose sulfate-free shampoo. Sulfates are harsh cleansers used in everything from dish soap to laundry detergent, and people are starting to realize they're not very good for hair. Look for shampoos that say "sulfate-free" and are made with natural cleansers. Sulfate-free shampoos are also good for those with curly and wavy hair, because they help prevent frizz. Choose a silicone-free conditioner. Silicons are added to conditioner because they make hair look shiny and smooth after the first few applications. Unfortunately, over time they build up in your hair and cause it to look weighed-down and dull. You're better off with silicone-free options. Besides feeling great, massage promotes good circulation in the scalp, which helps your hair grow faster and stronger. Do a scalp massage every day, or at least every time you take a shower. Just place your fingers on your scalp and rub it using a gentle circular motion.  To enhance your massage, try using coconut oil, almond oil, or jojoba oil. This is especially beneficial if you're worried about thinning hair. Tea tree oil, lavender oil or cedar wood oil are also...

Summary in Russian:

Следите за своим здоровьем. Используйте натуральные средства для волос. Массируйте кожу головы, так как это стимулирует рост волос. Регулярно подстригайте кончики волос.


Article in English: Your diet can have a big impact on all aspects of your overall health, including your fertility. Eat a balanced diet rich in healthy foods to help get your fertility on track.  Make sure to include healthy foods from all major food groups. Your diet should be a mix of a variety of fruits and vegetables, whole grains, lean protein, and low-fat dairy. Cook your foods in a healthy fashion. Bake and grill foods instead of frying them, for example. Nutritionists recommend that you try and make half of your plate vegetables at each meal.  This will increase your fiber intake and overall wellbeing. Antioxidants may increase sperm count. Try adding antioxidant-rich foods to your diet, such as berries, pears, apples, asparagus, broccoli, kale, tomatoes, and nuts. Regular physical activity can help your overall health, which could cause an increase in fertility. If you're trying to increase fertility, work on developing a healthy exercise routine; however, you may want to avoid certain activities. While more studies are needed, research has linked a drop in fertility to certain forms of physical exercise.  Some studies indicate biking may cause a drop in fertility. Very strenuous forms of exercise, such as training for a triathlon, may also cause a drop in fertility. Stick to lighter, consistent physical activity to boost your fertility. Being underweight, overweight or obese may reduce sperm count and increase the likelihood of producing abnormal sperm; therefore, work on getting to a normal weight if you're over- or underweight for your height. Talk to your doctor about how to get to a good weight. You may need to eat more or less depending on whether you need to gain or lose weight. It's best to have your doctor monitor your weight loss or gain to make sure it's done in a healthy fashion. Not only can stress interfere with your sexual health, high levels of stress can cause changes in hormones that affect sperm production, reducing fertility. If you have a high-stress lifestyle, take steps to reduce stress. This can...

Summary in Russian:

Питайтесь здоровой пищей. Чтобы повысить количество сперматозоидов, занимайтесь спортом больше. Поддерживайте здоровый вес. Контролируйте уровень стресса. Не забывайте о профилактике инфекций, передающихся половым путем. Принимайте поливитамины.


Article in English: Your diet plays a considerable role in how much weight you lose. Having three balanced and healthy meals every day can help you shed weight and burn excess fat. Whole foods that are high in vitamins and minerals, complex carbohydrates, and moderate amounts of fat can promote your well being and help you lose weight.  Subtracting 500 – 1,000 calories per day from your current intake is a good rule of thumb to follow when cutting calories. Remember that you shouldn’t go below 1,200 calories a day or you may not see any results (because your body thinks you are starving and is conserving energy and fat) and you will also be miserable because you’re not getting enough to eat. If you want to know an exact number, the National Institutes of Health has devised a new tool that can help you specifically pinpoint how many calories you need every day in order to lose weight. There are many different sites at which you can access this calculator including http://www.healthyweightforum.org/eng/calculators/calories-required/ and https://www.supertracker.usda.gov/bwp/index.html. Incorporate different foods from the five food groups into your daily meals and snacks. The five food groups are: fruits, vegetables, grains, proteins, and dairy. Make sure to vary your choices so that you get a range of nutrients to promote your health and weight loss. Healthy foods often also have a lot of fiber, which can help keep you full throughout the day.  Eat whole fruits and vegetables such as raspberries, blueberries, broccoli and carrots. Get your whole grains from foods like whole wheat pasta or bread, oatmeal, brown rice or cereal. For protein, eat lean cuts of meat like pork or poultry as well as cooked beans, eggs, or peanut butter. Your dairy will come from sources like cheese, yogurt, cow and nut milks, and even ice cream. It might taste great, but junk food is a dieter’s worst enemy. Unhealthy foods are often loaded with fat and calories that can keep you from losing weight.  Avoid starchy foods made out of refined carbohydrates...

Summary in Russian:

Регулярно питайтесь и ешьте богатые питательными веществами продукты. Скажите нет нездоровой пище. Изменяйте свою диету постепенно. Составьте план питания


Article in English: Your doctor and physical therapist will give you specific instructions for exercises to do during the post-operative period. Follow these instructions as carefully as possible, as they will help you regain your full range of motion. After two weeks, your physical therapy should increase in intensity. You may begin placing more emphasis on strengthening, balance ,and proprioceptive (related to reaction movements) exercises. Physical therapy should continue to get more and more demanding over the next few months. Rehabilitation can take six months to a year or more. Each individual’s progress will be different, so ask your doctor before you return to sports or any other strenuous activity outside of physical therapy.

Summary in Russian:

Тщательно выполняйте послеоперационные упражнения. Постепенно увеличивайте интенсивность. Возобновите занятия спортом только после одобрения врача.


Article in English: Your doctor can determine if an injury or underlying condition is causing your hand cramps. Additionally, they can recommend treatments or lifestyle changes that can help relieve the cramps. Write down the times of day you are experiencing cramps and any activities that seem to cause them. You should also give your doctor a history of how long you’ve experienced the pain. Rheumatoid arthritis can cause recurring hand cramps that will likely worsen over time. See your doctor if you have pain and swelling that lasts for several weeks.  Stretching and massage may help relieve your rheumatoid arthritis, but it’s best to meet with a physical therapist to learn how to do them correctly, so as not to aggravate your condition. If the doctor determines that you do have rheumatoid arthritis, they can prescribe medications to treat it. In addition to NSAIDs, you can take corticosteroids, disease-modifying antirheumatic drugs (DMARDs), or biological response modifiers to help relieve your symptoms. In some cases, carpal tunnel syndrome can cause hand cramps. You will likely also experience tingling, numbness, and weakness in both your hand and forearm. Carpal tunnel syndrome is usually caused by pressure on your nerve. Your doctor may do a physical exam, X-rays, and an electromyogram, which allows the doctor to measure the electrical discharges inside your muscle. If you have type 1 or type 2 diabetes, then you’re at risk for diabetic stiff hand syndrome, which can cause hand cramps. This condition makes it hard for you to move your fingers and bring them together. The best way to treat or prevent it is to manage your blood sugar and do daily hand stretches.  It’s also a great idea to do exercises that keep your hands strong, such as strength training or playing ball sports.  Follow your doctor’s instructions for taking your medication. Talk to a dietician to make sure your diet is appropriate.

Summary in Russian:

Обратитесь к врачу, если спустя пару часов судорога так и не пройдет. Пройдите обследование на симптомы ревматоидного артрита, если испытываете хронические судороги. Узнайте у врача, нет ли у вас запястного синдрома. Лечите диабет, чтобы предотвратить синдром диабетической руки.


Article in English: Your doctor can diagnose if it really is a bladder infection or something else. If you can’t get an appointment with your normal doctor, try visiting an urgent care center.  If you suspect a bladder infection, you can purchase a urinary tract infection home test kit at your local pharmacy. You can also check your urine for signs of infection by urinating into a clear glass container and letting it sit for a while. Hold the glass up to the light and look for clouding or sediment. These are both signs of infection. Symptoms of a bladder infection include a constant desire to urinate, a burning sensation when you urinate, red or cloudy urine, a foul unusual smell from your urine, or pelvic pain in women. If you have a fever, chills, flushed skin, or back pain, the infection may have spread to your kidneys. Get immediate medical care. Tell your doctor if you are pregnant or if you could be pregnant. Your doctor may ask you to urinate into a cup. Follow your doctor’s instructions for this test. Generally, you will step into the bathroom and clean your genitals using an antibacterial wipe given to you by your doctor. Hold the cup above the toilet as you urinate into it.  Your doctor may be able to test the sample right in their own office. In some cases, however, they will need to send it off to a lab. Some types of bacteria are resistant to certain antibiotics, so your doctor may want to get a culture and sensitivity test done on your urine to be sure you are getting the most effective treatment. Make sure to follow up with them about the results. Your doctor will likely prescribe you a pill to take once or twice a day. Although discomfort and burning may clear up in a few days, do not stop taking your antibiotic until you have gone through the full course of medication.  Women may take antibiotics for as few as 3 days, although pregnant women may need them for up to 2 weeks. Men will usually take antibiotics for 1-2 weeks. If you stop taking the medication, the infection could return, and it may be harder to...

Summary in Russian:

Если вы подозреваете, что у вас инфекция мочевого пузыря, обратитесь к врачу. Сдайте анализ мочи, чтобы выявить возможную инфекцию. Принимайте назначенные антибиотики в соответствии с указаниями врача. В серьезном случае может потребоваться госпитализация и внутривенные инъекции.


Article in English: Your doctor can examine your skin cells under a microscope to give you the most accurate diagnosis, ensuring that you're on the right treatment plan. Yeast infections can require a prescription anti-fungal to properly heal, which you will need to obtain from a doctor. Your doctor can prescribe you both a topical cream and an oral antifungal. There are many skin disorders that look similar to yeast infections, such as seborrheic dermatitis, psoriasis, contact dermatitis, or Lyme disease. Your doctor will be able to tell you for certain if you have a yeast infection or one of these other conditions. Coconut oil and tea tree oil are both commonly available natural antifungals that you can use on your yeast infection. Both coconut oil and tea tree oil kill fungi, including yeast.  To use coconut oil, smooth it onto your skin 3 times a day. You should see reduced redness after about a week of treatment. To use tea tree oil, apply 2-3 drops of oil onto your infection 3 times a day. Expect the treatment to take a few weeks before you see results. You can purchase several topical antifungals over-the-counter that will treat your yeast infection. While you will commonly find them in the department that specializes in foot care, you can treat your yeast infection with some of the same products used to treat athlete's foot. Try antifungals like clotrimazole, such as Lotrimin AF, or miconazole, which includes Desenex or Neosporin AF. These antifungal brands are widely available at department stores and online retailers.  Smoothe the product over the entire affected area. Reapply twice daily. You may not see an improvement until 2-4 weeks of treatment have passed. Consult your product packaging for more information.

Summary in Russian:

Обратитесь к врачу. Попробуйте натуральные средства. Воспользуйтесь безрецептурными противогрибковыми средствами.


Article in English: Your doctor can explain the different treatment options and what to expect. The treatment options usually consist of a surgery, chemotherapy and radiation. Esophagectomy is one possible treatment for esophageal cancer. Although there are several variations of the operation, the underlying principle is the same – the surgeon removes the part of the esophagus with the tumor.  This operation will take place first in your abdomen (to free the stomach) and then in your chest to remove the part of the esophagus with cancer. This is followed by re-attaching the stomach to the remaining esophagus.  One common variation on the esophagectomy is an Ivor-Lewis esophagectomy. It can be done either transthoracic (with a large open incision in the chest) or minimally-invasive (using specialized equipment and robotic technology).  If done in the minimally-invasive way, you’ll have smaller incisions, less blood loss, fewer post-operative complications, a shorter hospital stay, and better preservation of pulmonary function after the operation. You doctor may decide that chemotherapy should be administered alone to manage symptoms or in conjunction with other treatment modalities. Chemotherapy consists of receiving cancer-killing drugs through an IV or oral medication.  Chemotherapy may be administered prior to surgery to shrink targeted tumors, or after surgery to kill any cancerous cells that are left behind.  If you are in poor health and cannot manage surgery, chemotherapy may be your main treatment modality. Unfortunately chemotherapy drugs have many side effects, including nausea, vomiting, and hair loss. It is important you understand the possible adverse effects prior to therapy so you can prepare for them appropriately.  Chemotherapy can also be combined with radiation therapy, which is known as chemoradiation. Another treatment option for esophageal cancer is radiation therapy.  Radiation therapy uses high-energy radiation to shrink cancerous tissues. Radiation therapy can be administered from outside the body or...

Summary in Russian:

Поговорите с врачом о лечении. Знайте, когда показана операция. Спросите врача о химиотерапии. Спросите врача о радиационной терапии. Спросите врача, потребуется ли вам зонд для питания.


Article in English: Your doctor can give corticosteroids in injection or pill form to help reduce pain and swelling caused by your pinched nerve. They may also suggest you take over-the-counter pain relievers. Always follow your doctor's instructions on dosage and never take more than the recommended amount. Side effects of corticosteroids include raising blood sugars and increased risk of infections. These are most common when the medication is used long-term. Your doctor may also supply you with a brace or sling to wear. This will restrict movement so your shoulder can heal faster. The doctor will tell you how long to wear the brace. A therapist can develop a specific program of exercises to strengthen and stretch your muscles, and relieve pressure on the pinched nerve. Since repetitive or stressful movements can sometimes cause pinched nerves, these exercises are often an important part of the healing process. Ask your doctor for a referral to a physical therapist, if you aren't sure which one to visit. Make sure you tell the masseuse you have a pinched nerve in your shoulder before you begin the session. They can then work on releasing tension and pain in your shoulder and neck to address your condition. Search online for a trained masseuse who has experience working on shoulder issues. You can also ask friends or family members to recommend a masseuse. Surgery is normally only used to treat a pinched nerve if other treatments do not lead to improvement after weeks or months. Doctors will decide if a surgical procedure to operate on the pinched nerve will be more beneficial than other treatments.  Surgery may be used if a bone, disc or scar is causing the pinched nerve, or if there is a wound associated with pinched nerve. Before surgery, your doctor will ask you about any medications you take or conditions you have. They will also give you a chance to ask questions. Make sure to ask your doctor about how to care for your shoulder after surgery.

Summary in Russian:

Принимайте пероральные кортикостероиды. Носите шину на плече. Ходите на физиотерапию. Запишитесь на массаж глубоких тканей. Пройдите операцию на плече, если необходимо.


Article in English: Your doctor can go over the different options available to you and help you decide which one will suit you best. You will also find out what to expect, how to take certain medications, and what risks may be involved. This is the safest way to go about stopping or missing your monthly periods. The only way to stop your normal monthly periods are by using hormones. Hormones can be oral, injected, or come in patch form. There are many different brands and hormone strengths out there, so advise your physician of your plans for the best recommendation. Birth control pills with extended cycle regimens are the best method. Seasonale, Lybrel, and Seasonique are three types of oral contraception that are formulated to cause your period less often. In most cases, it will take at least three weeks of medication to effectively skip your period. So if you are trying to miss your period for a certain event, be sure to leave yourself enough time for you body to get on schedule. Birth control pills can be expensive, so make sure your insurance provider will cover and refill your prescription every month.

Summary in Russian:

Запишитесь на прием к гинекологу. Различные методы. Учитесь планировать. Узнайте о возможности получать противозачаточные бесплатно.


Article in English: Your doctor can prescribe a stronger antiperspirant than those available over the counter. These are typically applied only once or twice a day, and in small amounts, due to the more concentrated chemicals. Once this gets working, you'll only need to reapply once every week or 2. These can irritate your skin. If necessary, ask your doctor for hydrocortisone lotion to soothe your skin. These soak the sweating area in water, then send a mild electrical current through it. While it is unclear why this works, it is a mainstream medical treatment. This is generally more effective for hands and feet, but special devices do exist for armpits. Ask a doctor about this treatment, or purchase a less powerful over-the-counter version. Patients generally try the treatment daily for several weeks, then continue on a less frequent schedule if effective.  Ask a doctor first if you have a metal medical implant (such as a pacemaker or IUD), if you are pregnant, if you experience cardiac arrhythmia, or if you have a skin rash on your underarms.  This treatment can cause red skin, and more rarely blisters. There are several types of pills that can reduce sweating, but these have serious side effects. In some cases, your dermatologist may recommend a Botox injection or other treatment before these are considered. The following are 2 of the most common treatment approaches of this type:  Anticholinergic drugs are effective in about 50% of cases, but often cause unpleasant side effects such as confusion and constipation.  Beta blockers can reduce sweating, particularly if caused by anxiety. All drugs of this type have serious side effects, and cannot be taken by people with asthma or most heart conditions. Any beta blocker may cause depression or dizziness, and specific drugs may have additional side effects. The following treatments should only be administered by an experienced dermatologist. In most cases, your medical insurance will not cover these procedures. Ask your dermatologist or primary care physician to recommend an MD...

Summary in Russian:

Купите специальный дезодорант-антиперспирант, который отпускается по рецепту. Подумайте о процедуре ионофореза. Подумайте о сильных пероральных препаратах. Узнайте у врача-дерматолога о более серьезных способах борьбы с гипергидрозом.


Article in English: Your doctor can suggest the use of prescription chemical treatments to try to kill off the skin cells of the warts. These treatments usually contain chemicals such as formaldehyde, glutaraldehyde, and silver nitrate.  The side effects of these chemical treatments include the skin around the wart being stained brown, and burns to the skin surrounding the wart.  Your doctor may also suggest prescription-strength wart medication that contains salicylic acid. This medication will remove layers of the wart over time and is often more effective when used in combination with freezing or cryotherapy. Cryotherapy is a procedure where your doctor applies liquid nitrogen to your wart, which causes a blister to form under and around your wart. The dead tissue can then be removed seven to ten days after the freezing. However, this method can trigger your immune system to fight viral warts and you may need repeat treatments done to remove the wart completely.  Cryotherapy sessions usually take five to 15 minutes and can be painful. If the warts on your hands are large, they may need to be frozen several times before they are fully removed. There are several side effects of cryotherapy, including pain, blistering, and discolored skin around the wart. Your doctor may suggest that you try pulse-dye laser treatment to burn off tiny blood vessels in the wart. The infected tissue will then die and the wart will fall off. Keep in mind the effectiveness of this method is limited. It can also cause pain and scarring around the affected area.

Summary in Russian:

Попросите врача выписать вам химическое средство для выведения бородавок. Узнайте у врача насчет криотерапии. Подумайте об удалении бородавок с помощью лазера.


Article in English: Your doctor can test your GFR by administering a creatinine blood test. Creatinine is a waste product present in your blood. If the amount of creatinine contained within a sample is too high, your kidneys' filtering ability (GFR) is likely too low. Alternatively, your doctor might administer a creatinine clearance test, which measures the amount of creatinine in both your blood and urine. Your test results are only one factor involved in calculating your GFR. Doctors also take into consideration your age, race, body size, and gender when determining the actual GFR rate.  If your GFR is 90 mls/min/1.73m2 or greater, your kidneys are considered to be in good health.  GFR between 60 and 89 mls/min/1.73m2 puts you into stage two chronic kidney disease (CKD). A rate between 30 and 59 mls/min/1.73m2 puts you into stage three CKD, and rate between 15 and 29 mls/min/1.73m2 are considered stage four CKD. Once your GFR dips below 15 mls/min/1.73m2, you are in stage five CKD, which means your kidneys have failed. Your doctor can provide you with additional detail regarding your GFR score and how it impacts your life. If your numbers are lower than they should be, your physician will probably recommend some type of treatment, but the specifics may vary from patient to patient.  You'll need to make certain changes to your diet and overall lifestyle regardless of which stage of CKD you've entered. During the early stages, however, these changes might be enough to improve your GFR. This is especially true if you've had no prior history of kidney problems. During the later stages of CKD, your doctor will likely prescribe some form of medication to help improve your kidney function. This medication should be used alongside lifestyle changes and should not be thought of as a substitute treatment. In the final stages of CKD, your doctor will almost always put you on dialysis or recommend a kidney transplant.

Summary in Russian:

Сдайте необходимые анализы. Узнайте, что показывают результаты анализов. Обсудите ситуацию с врачом.


Article in English: Your doctor is the best way to get your iron levels checked. Make an appointment to see your doctor within 1-2 weeks if you're showing basic signs of anemia like fatigue. The first step the doctor will take is to ask you about any history you've had with low iron in the past. Then, the doctor will ask you questions about your recent symptoms and health.  If you are having heart palpitations or shortness of breath, go immediately to urgent care or the emergency room. If you're having chest pains and breathing problems together, go straight to the emergency room. Your doctor may ask you about your diet. For women, they may also ask if you've had a heavy period recently. It can help to write down any symptoms you've been experiencing before you head to the doctor. That way, you won't forget when you get to the exam room. The doctor will do things like look at your mouth, skin, and nail beds, listen to your heart and lungs, and feel your abdominal area. They will be checking for signs of low or high iron.  Some signs of low iron may include fatigue, shortness of breath, dizziness, coldness in your extremities, pale skin, slowed appetite, and cravings for non-food items (known as pica). Let your doctor know if you have experienced any of these.  Other physical signs your doctor may look for include brittle nails, a swollen tongue, cracks in the sides of the mouth, and frequent infections. The doctor will order blood tests if they suspect your iron levels aren't right. The doctor may use more than one type of blood test to check to see whether your iron levels are high or low. Usually, you'll get results between 1-3 days after you had the blood test. These tests will give your doctor an idea of your hemoglobin levels. These levels measure how much oxygen is binding with your red blood cells.

Summary in Russian:

Запишитесь на прием к врачу, если думаете, что у вас дефицит железа. Пройдите осмотр у врача. Будьте готовы к тому, чтобы сдать анализ крови.


Article in English: Your doctor may also recommend that you get hand therapy, a special kind of physical therapy that focuses solely on the hands and wrists. You will be required to go to regular sessions and perform a variety of exercises meant to strengthen your hands and reduce your pain. Your hand therapist may also request that you do exercises at home between appointments. If you want your condition to improve, it's very important that you do them as instructed. If you need pain relief, but you're not ready for surgery, you can consider seeing a doctor to have injections in your wrists. These normally only provide temporary pain relief.  Steroid injections are commonly used to relieve pain from carpal tunnel syndrome. Botox injections may also help your condition. If you're looking for a drug-free way to treat your pain, you may want to look into acupuncture and cupping. Both techniques rely on the theory that the body has multiple pressure points that can be stimulated to reduce pain. Acupuncture involves the use of small needles, while cupping involves placing a series of glass cups on the body's pressure points to create suction. For most people, surgery is a last resort, but if carpal tunnel syndrome is interfering with your life and nothing else is working to improve your symptoms, it may be the best option for you. Talk to your doctor about the risks and benefits of surgery to determine if it is right for you.  Carpal tunnel release surgery involved cutting the tissue around the medial nerve in order to release the pressure. There are two types of carpal tunnel surgery: open release surgery requires a two-inch long incision, while endoscopic release surgery requires two smaller incisions, which may reduce the patient's pain and recovery time. It can take several months to fully recover from carpal tunnel surgery, although you may experience relief of your symptoms immediately after the procedure. . Obesity can be related to carpal tunnel syndrome, so a structured weight loss program may improve carpal tunnel...

Summary in Russian:

Пройдите терапию для ладоней. Попробуйте инъекции. Попробуйте акупунктуру или банки. Подумайте об операции. Подумайте о том, чтобы сбросить лишний вес


Article in English: Your doctor may give you a prescription for a muscle relaxant to help your jaw muscles loosen up before bed. This is not an effective long term cure for bruxism and will likely only help you sleep better, not stop grinding your teeth. Some anti-anxiety medications like buspirone and clonazepam can work to stop bruxism. However, some anti-anxiety medications can stop working after a few months of use. Some people can develop bruxism as a side effect of anti-anxiety medication. If this happens, talk to your doctor about changing your medication. Never go off your medication without talking to your doctor. These drugs can help to reduce any pain or inflammation around your jaw due to grinding. But they will not cure bruxism or prevent bruxism.

Summary in Russian:

Попросите врача назначить вам мышечные релаксанты. Посоветуйтесь с врачом относительно противотревожного средства. Узнайте у врача о нестероидных противовоспалительных средствах.


Article in English: Your doctor may have you wear a finger splint at night to keep the affected finger in an extended position while you sleep, which helps stretch it out. Splint use may be needed for up to 6 weeks. Splinting also helps prevent you from curling your fingers into a fist while you sleep, which can exacerbate trigger finger.  During the day, take the splint off periodically to perform finger stretches or light massages. Alternatively, you can make your own by buying an aluminum finger splint from a pharmacy and attaching it with water resistant medical tape. An injection of steroid medication near or into the tendon's sheath can quickly reduce inflammation and allow normal, unrestricted movement of your finger again. Corticosteroid injection is considered to be the first-line treatment of choice for trigger finger. Typically two injections are needed (3-4 weeks apart) and it's effective in up to 90% of patients with trigger finger. The most common preparations used are prednisolone, dexamethasone and triamcinolone.  Potential complications of corticosteroid injections include infection, bleeding, tendon weakening, local muscle atrophy and nerve irritation / damage. If corticosteroid injections fail to provide adequate resolution, then surgery should be considered. The primary indications for getting a trigger finger surgically repaired is if it doesn't respond to any of your home remedies or splinting and/or steroid injections, or if the finger is severely bent and irreducibly locked. There are two main types of surgery: open trigger finger release surgery and percutaneous trigger finger release surgery. Open surgery involves making a small incision near the base of your affected finger and cutting open the constricted section of tendon sheath. Percutaneous release involves inserting a needle into the tissue around the affected tendon and moving it around in order to break apart the constriction.  Finger surgery is typically done as an outpatient procedure using local anesthesia. Possible complications from surgery...

Summary in Russian:

Подберите лонгеты для пальцев. Узнайте у врача об инъекциях кортикостероидов. Хирургическое вмешательство.


Article in English: Your doctor may prescribe a course of ursodiol to dissolve your gallstones without surgery.  These treatments are essentially bile acids in pill form.  Ursodiol, in particular, is a popular treatment because it is one of the safest common drugs available.  Oral dissolution therapy is most likely to be successful in treating small stones (less than 1.5 centimeters in diameter) with high cholesterol content.  About 30 percent of gallbladder patients are candidates for this treatment. If you are suffering from pigment stones, you will likely need to pursue other treatment. This treatment tends to be less successful for obese patients. This therapy is often used in combination with oral dissolution therapy, although laparoscopic surgery is now so readily available that shock wave therapy is rarely performed today.  This therapy, also called lithotripsy, uses sound waves to break gallstones into more easily dissolvable pieces.  This treatment works best on gallstones under 2 centimeters in diameter.  This treatment is somewhat rare, as it is only available in a few locations. Gallstones return in a majority of patients who pursue dissolution treatments.  As a result, these treatments are no longer common.  Typically they are used for patients who are physically unable to tolerate surgery.

Summary in Russian:

Подумайте о прохождении пероральной литолитической терапии. Пройдите ударно-волновую терапию. Вы должны понимать, что после прохождения безоперационных методов лечения, желчные камни, как правило, появляются вновь.


Article in English: Your doctor may prescribe anti allergy creams or medication to help with any discomfort or itching. You can also buy over-the-counter antihistamine cream to help with these symptoms. Apply the cream as directed on the package. These are both triggering factors for HIV rashes, and can make your HIV rash worse.  If you are going to go outside, apply sunscreen to your body to protect your skin or wear long sleeves and pants. Wear a coat and warm clothing when going outside to avoid exposing your skin to extreme cold. Hot water will irritate your rash. Skip the hot baths or showers and go for a cold water bath or sponge bath to soothe your skin. You can use lukewarm water and pat, rather than rub, at your skin in the shower or the bath. Apply an all natural moisturizer to your skin to help it heal, such as creams that contain coconut oil or aloe vera, as soon as you get out of the bath or shower. The top layer of your skin is like a sponge, so applying moisturizer once you have stimulated your pores will trap water inside your skin and prevent dryness. Chemical based soap can irritate your skin and cause dryness and itching. Look for mild soap, such as baby soap, or herbal body wash at your local drugstore.  Avoid products that contain chemicals such as Petrolatum; Methyl-, Propyl-, Butyl-, Ethylparaben; and Propylene Glycol. These are all synthetic ingredients that can irritate your skin or cause an allergic reaction. You can also make your own herbal body wash with natural moisturizers like olive oil, aloe vera, and almond oil. Be sure to apply all natural moisturizer right after your bath or shower and throughout the day to keep your skin hydrated. Clothing made of synthetic or non breathable fibers can cause you to sweat and make your skin more irritated. Tight clothing can also rub against your skin and worsen the HIV rash. Let the anti-HIV medication prescribed by your doctor run its course. It will improve your t-cell count and can treat symptoms like HIV rash, as long as you are not having an allergic...

Summary in Russian:

Намажьте сыпь медицинским кремом. Избегайте прямых солнечных лучей или сильного холода. Принимайте прохладный душ и ванну. Перейдите на мягкое мыло или гель для душа с экстрактом трав. Носите мягкую одежду из хлопка. Продолжайте принимать противовирусные препараты.


Article in English: Your doctor may recommend an over-the-counter cream to treat your infection. However, they may decide that a prescription cream is a better option. Apply your cream daily as directed until your yeast infection completely clears. Antifungal creams are often sold over-the-counter as athlete’s foot treatments. However, they’ll work on any skin yeast infection. You can find these in the foot care aisle. Common antifungal creams for skin yeast infections include miconazole, clotrimazole, oxiconazole.

Summary in Russian:

Узнайте у врача, какой противогрибковый крем вам подходит.


Article in English: Your doctor may recommend that you temporarily cease activities that cause the pain, such as running or cycling.  If your pain is caused by the pressure from sitting for long periods of time, take regular breaks to get up and stretch. Doctors recommend that you get up, walk around, and lightly stretch every 20 minutes. If you are driving for long periods of time, take frequent breaks to stand and stretch.  Avoid sitting or standing in the positions that cause pain. Physical therapy treatment is generally beneficial, especially if it is started early. Your doctor can work with your physical therapist to come up with a regimen that’s right for you.  Your physical therapist will probably guide you through a series of stretches, flexion, adduction, and rotation exercises. Soft-tissue massage of the gluteal and lumbosacral regions may also help relieve irritation. Chiropractic, yoga , acupuncture, and massage have all been used to treat piriformis syndrome. Because alternative medicine practices generally have not been scientifically researched to the same degree as more conventional medical approaches, you may want to consider discussing these methods with your doctor before beginning treatment. Sometimes piriformis symptoms can be caused by trigger points, or more commonly known as muscle knots. These knots are usually present in the piriformis or gluteal muscles. Pressure on these knots can produce local and referred pain. Most of the time, trigger points can mimic" a piriformis syndrome. This is one reason why a lot of medical tests may come back negative, and may be the reason why doctors may under diagnose this condition. Seek a health professional that has training in trigger point therapy, such as a massage therapist, chiropractor, physical therapist or even a physician. If trigger points are the cause, a combination of acupressure, stretching and strengthening exercises will often be recommended. In addition to the exercises your physical therapist has you do, your doctor can recommend stretches for you...

Summary in Russian:

Не занимайтесь тем, что провоцирует боль. Займитесь лечебной физкультурой. Обратитесь к альтернативной медицине. Займитесь лечением триггерных зон. Спросите врача, какие упражнения на растяжку вам стоит выполнять и когда. Снимайте болевые ощущение теплом и холодом. Используйте нестероидные болеутоляющие. Спросите врача об инъекциях. Спросите врача о хирургических методах лечения.


Article in English: Your doctor may treat you with recommended medications or may refer you to a mental health professional to evaluate and prescribe medications. Both a regular doctor and a mental health physician will likely recommend a cognitive behavioral therapist. Many panic attacks are commonly related to other underlying disorders, including some mental health conditions and some medical problems. Talk to your doctor to rule out an underlying medical condition. Studies show that people that are treated for panic attacks and panic disorder early, have better overall outcomes with fewer complications. Commonly used agents include benzodiazepines, both rapid acting and intermediate acting. Benzodiazepines are considered addictive, so be sure to take them exactly as your doctor advised. Taking more than is recommended is dangerous and can cause serious and potentially fatal withdrawal effects if taken chronically. Rapid acting agents help to manage the symptoms when you feel a panic attack beginning. These are often prescribed to have available if needed, or when you begin to have a panic attack.  Take these agents only when needed to avoid becoming tolerant to the prescribed dose. Examples of medications prescribed to take when an attack begins, on an as needed basis, are lorazepam, alprazolam, and diazepam. The intermediate agents take a little longer to start working, but have longer lasting effects.  These medications are often prescribed for routine dosing, to help you avoid attacks, until further steps, such as cognitive behavioral therapy, can be taken.  Examples of intermediate acting agents include clonazepam, oxazepam, and chlordiazepoxide. Selective serotonin reuptake inhibitors, commonly known as SSRIs, are effective in treating panic attacks and panic disorder. SSRIs that are FDA approved for use in treating panic symptoms include fluoxetine, fluvoxamine, citalopram, escitalopram, paroxetine, and sertraline. Duloxetine is a closely related agent and is also approved for use in the treatment of panic symptoms....

Summary in Russian:

Обратитесь к врачу по поводу панических атак. Не затягивайте с обращением к врачу. Принимайте предписанные лекарства. Принимайте быстродействующие препараты в исключительных случаях. Регулярно принимайте препараты замедленного действия или делайте это в соответствии с предписанием врача. Принимайте селективные ингибиторы обратного захвата серотонина (СИОЗС). Посещайте психолога, который использует когнитивно-поведенческие методы терапии. Определите, действительно ли у вас приступ паники.


Article in English: Your doctor may use several different methods to remove skin for a biopsy. Determining which kind of biopsy you had can help you more effectively heal the site.  A shave biopsy removes the top layers of skin, or epidermis and part of the dermis, with a tool that looks like a razor. Shave biopsies don’t usually require stitches.  A punch biopsy removes a smaller and deeper section of skin than a shave biopsy. Larger punch biopsies may need stitches.  An excisional biopsy removes a large section of abnormal skin with a scalpel.  It’s common to need stitches to close an excisional biopsy site. Depending on the size of your biopsy site and if it continues to bleed after the procedure, your doctor may instruct you to keep the area covered with a bandage for a day or more. This will help protect the biopsy site and absorb any bleeding. If the area bleeds, simply apply a new bandage and some light pressure. If the bleeding is heavy or continues for a protracted period, contact your doctor. For the day after your biopsy, leave on the original bandage your doctor used. Make sure to keep the bandages and area dry. This will help the site begin to heal and may keep bacteria from entering the wound. Make sure to keep the area dry for the first day after your biopsy. You can begin to shower and clean the site the day after the procedure. You should change the bandages protecting your biopsy site on a daily basis. This will help keep the area clean and dry and may prevent infection or serious scarring.  Make sure you use a bandage that will allow the biopsy site to breathe. This will allow air to flow and help heal the wound. Make sure only the nonstick prat of the bandage touches the wound.  You can get breathable bandages at most drug stores and at many grocery stores. Your doctor may also provide you with dressings for the wound. The average time for bandage use is 5-6 days but may be as long as two weeks.  Continue to change bandages every day until you see no open wounds or your doctor instructs you to discontinue...

Summary in Russian:

Узнайте, каким методом будет удаляться кожа. Накройте место биопсии повязкой. Не снимайте повязку в течение суток после биопсии. Меняйте повязку ежедневно. Мойте руки, прежде чем прикоснуться к месту биопсии. Содержите место биопсии в чистоте. Наносите мазь с антибиотиком или вазелин на рану. Избегайте больших физических нагрузок в первые дни после процедуры. Принимайте болеутоляющие. Снимите швы. Обратитесь к врачу, если возникнут осложнения.


Article in English: Your doctor needs to know if you are having chronic issues with sleep. It is a serious issue. If you constantly oversleep throughout the week, you may suffer from headaches or back pain. Oversleeping affects the neurotransmitters in your brain and lead to headaches. Back pain can be caused from sleeping on a regular mattress for a prolonged period of time. There are also psychological side effects of oversleeping, including depression, anxiety, and drowsiness. Your doctor can treat these side effects by suggesting adjustments to your sleeping habits, your daily habits, or by prescribing certain medications. There are many medical conditions and disorders that can interfere with sleep. Let your doctor know about specific symptoms or patterns in your sleep issues. If you can’t get up in the morning due to oversleeping, have difficulty staying awake while sitting still, fall asleep while driving, and require caffeine every day to stay awake, you may have a sleep disorder. There are four main types of sleep disorders:  Insomnia: The most common sleep complaint and a major cause of oversleeping. Insomnia is often a symptom of another issue, such as stress, anxiety, depression, or another health condition. It can also be caused by lifestyle choices, like medication you take, a lack of exercise, jet lag, or your caffeine intake. Sleep apnea: This occurs when your breathing temporarily stops during sleep due to a blockage in your upper airways. These pauses in breathing interrupt your sleep, leading to many awakenings throughout the night. Sleep apnea is a serious, and potentially life threatening sleep disorder. If you suffer from this disorder, it’s important to talk to a doctor and get a Continuous Positive Airway Pressure (CPAP) machine. This device delivers a stream of air to your airways while you sleep and can successfully treat the disorder. Restless leg syndrome: (RLS) is a sleep disorder caused by an irresistible urge to move your arms and legs. This urge usually occurs when you’re lying down and is due to...

Summary in Russian:

Поговорите с доктором о побочных эффектах просыпания. Пройдите диагностику на наличие расстройств сна. Поговорите с врачом о посещении центра сна.


Article in English: Your doctor or should give you detailed directions on the type of injection you will administer as well as the technique. When you are ready, review the detailed instructions that come with the medication as well as the directions given to you by your doctor, nurse, or pharmacist. If you have any questions or doubts about how and when to administer the injection, talk to your doctor, nurse, or pharmacist. Ask questions if you are not sure about the correct syringe, needle length, and needle gauge before proceeding.  Some medications come ready-to-use, while others require you to fill the needle with medication from a vial. Be very clear on the supplies you need for the injection. Some people receive more than one type of injection at home. It is easy to confuse the syringes and needles needed for one injection with those intended for use with another medication injection. Not all injectable medication packaging is the same. Some medications may need reconstitution before administration. Many come packaged with everything you need including syringes and needles. Again, it is imperative that your healthcare provider teaches you about your medication and any preparatory steps specific to that medication. Simply reading the instructions or a "How To" is not sufficient — you must have access to a direct link to ask questions and become educated on your medication and the administration.  Once you have talked to your doctor, you can also review the product literature, which will give clear step-by-step instructions on anything you need to do in order to prepare the medication for administration. Again, this is should not be considered a replacement for talking to your healthcare provider about how to prepare and administer the medication. The literature will also tell you the recommended syringe size, needle size, and needle gauge, if those are not included in the packaging. Give a medication packaged in a single dose vial. Common manufacturer packaging for many injectable medications is done by putting the...

Summary in Russian:

Определите вид инъекций. Осмотрите упаковку препарата. Приготовьтесь к инъекции препарата из пузырька с несколькими дозами. Подготовьте все необходимое. Проверьте лекарство. Вымойте руки. Осмотрите шприц и иглу. Убедитесь в том, что шприц имеет подходящий тип и объем. Наполните шприц. Подготовьте пациента.


Article in English: Your doctor should be able to determine the cause of your onycholysis by examining your nails. They may also take a tissue sample from underneath one of your nails to test for fungus or other infections. See your doctor if:  One or more of your nails have lifted from the nail bed underneath The border between your nail bed and the white outside of your nail on one or more of your nails is unevenly shaped A large portion of your nail(s) are opaque or discolored One or more of your nails plates are deformed with indentations or bent edges Some medications can make your nails react to sun exposure, resulting in nails that lift away from their nail beds. Medicines in the psoralen, tetracycline or fluoroquinolone categories are the most notable causes of this reaction. Tell your doctor about any prescription or over-the-counter medications you are taking to rule out this possible cause. Tell your doctor if you have been diagnosed with psoriasis in the past, as it can cause onycholysis.  If you have not received this diagnosis, tell your doctor about any skin problems you may have experienced recently. Symptoms of psoriasis can include:  Dry, cracked, or bleeding skin Red patches of skin Silvery scale marks on the skin Itchy, burning, or sore skin Trauma to the nail bed can cause onycholysis gradually and painlessly. Tell your doctor if you have experienced any injuries that may have affected your nails. This may include impact injuries and piercing injuries, where the nail was cut or torn. Injuries may range from small incidents like stubbing your toe to more major accidents, such as slamming your finger in a car door. Exposure to stressors can damage your nails, eventually leading to onycholysis over time. Consider your regular cleaning, grooming, and physical activities to determine what habits might be to blame. These environmental or occupational stressors could include:  Prolonged periods in water (e.g. frequent swimming or washing dishes) Regular use of nail polish, artificial nails, or nail polish removers...

Summary in Russian:

Посетите врача, если у вас наблюдаются симптомы онихолизиса. Сообщите врачу о принимаемых вами препаратах. Скажите врачу, если в прошлом вы болели псориазом или другим кожным заболеванием. Расскажите о недавних травмах рук и ног. Примите во внимание факторы окружающей среды.


Article in English: Your doctor will be able to help you best when they have a clear idea of your symptoms. Track what symptoms you experience, when you experience them, and how long they last. Common symptoms of poor circulation include: Tingling in your leg Numbness in your leg Throbbing or stinging in your leg Pain in your leg muscles Muscle cramps

Summary in Russian:

Следите за симптомами.


Article in English: Your doctor will be able to provide you with specific information regarding what restrictions you have with foods and what texture foods you need to consume (soft and mushy vs pureed liquids).  Your doctor should also provide you with a timeline of how long you need to follow a modified diet.  Ask your doctor to specify exactly what you can and cannot eat.  It's better to be very clear and get too much information than eat something that could cause pain or further injury. Also ask if you're at risk for any nutrient deficiencies or if there are types of foods or groups of foods that you should be consuming daily or completely avoiding. It may also be beneficial to see a registered dietitian or nutritionist.  These nutrition experts will be able to tailor a diet specifically for your issue and give you examples of types of foods or create a meal plan that's appropriate for you. Ask your doctor for a recommendation. Having a meal plan to follow will be helpful while you're consuming a modified or restricted diet.  It can help take the guesswork out of daily meal planning and give you the frame work for an appropriate diet.  Write up a week's worth of meals and snacks that are appropriate for your situation.  You may need to get creative with different recipes — especially if you're going to be on a modified diet for longer periods of time. Sample meals for a soft diet can include:  oatmeal for breakfast, beef stew for lunch and meatloaf with gravy and well-steamed broccoli for dinner. Sample meals for a liquid or pureed diet can include:  yogurt with pureed peaches for breakfast, a green smoothie (with milk, frozen fruit, spinach, and protein powder) for lunch, and black bean soup for dinner. Your doctor may have a sample meal plan on hand.  Ask to see if you could have a copy to take home to mimic or start you off for a few days. After you write up your meal plan and talk to your doctor, take a trip to the grocery store to stock up on appropriate foods for your diet.  Having the right foods on hand will make...

Summary in Russian:

Проконсультируйтесь с врачом. Составьте план питания. Посетите супермаркет. Приобретите соответствующий кухонный инвентарь.


Article in English: Your doctor will first ask you questions about your medical history to find out if you have issues like severe acne, irregular periods, hair loss or hair gain, and weight problems. They will then take a sample of your saliva, urine, and blood to test your androgen levels. If the tests come back positive, they will let you know that you have high androgen and need to address it so you can stay healthy. Oral contraceptives will ensure your periods are more regular and reduce the level of androgens in your ovaries. They can also help to clear up acne and excessive hair growth caused by high androgen levels. Your doctor can prescribe oral birth control that you take once a day at the same time every day.  Oral contraceptives can also be a good long-term treatment for high androgen levels if you do not plan on getting pregnant. Your doctor should outline any possible side effects of oral birth control before prescribing them to you. These medications can also help you ovulate regularly and lower your cholesterol levels. Your doctor can prescribe this medication and discuss the proper dosage with you.  This medication can also help with weight loss and clear up acne caused by high androgen levels. This medication may not be safe to take if you are pregnant. Your doctor may suggest you try diet or lifestyle changes instead. These medications prevent your body from making androgens and limit the effects of androgen. Your doctor can discuss this medication with you and prescribe the proper daily dosage.  Anti-androgens can cause birth defects. For this reason, this medication is often paired with oral contraceptives to prevent pregnancy. If you become pregnant, you will likely need to try other treatments like diet or lifestyle changes.

Summary in Russian:

Сдайте анализы, чтобы подтвердить высокий уровень андрогенов. Проконсультируйтесь с эндокринологом по поводу приема пероральных противозачаточных средств. Принимайте лекарства от гипогликемии, чтобы снизить уровень инсулина и андрогенов. Спросите врача об антиандрогенных препаратах.


Article in English: Your doctor will have you describe all your symptoms.  He or she will then analyze them, and use your medical profile, lifestyle, and family history to form a diagnosis. They will ask specific questions about what kind of jobs/sport you participate in, or any other activities that may irritate your sciatica. Your doctor might also ask if you have any problems controlling your bladder or bowel movements, if you have experienced excessive numbness or weakness in your leg or thigh, or if you suffer from frequent urinary tract infections. In addition to the background diagnostics, your doctor will use a physical examination to identify pain locations and to determine the main causes of your sciatica. This will primarily focus on whether the sciatica originates from the spine or not. This test can determine if you are suffering from a case of sciatica.  You will lay down on a bed, on your back with both legs straight. You will be asked to raise the affected leg at a 45 degree angle, while keeping it straight. Then, the doctor will test the reflexes of your foot. If your feel any pain at your lower back or thigh, you are probably suffering from sciatica. Your doctor may use other tests to determine your condition. These tests include:  Blood tests to determine whether or not you are suffering from infection X-ray or CT scans that can pick up any spinal deformities or herniated discs MRIs to gain a more detailed picture of the condition of your nerves and bones

Summary in Russian:

Посетите вашего врача для получения детальных медицинских назначений. Пройдите физическое обследование у врача. Проведите тест симптома натяжения, чтобы определить ишиалгию. Пройдите дополнительную диагностику.


Article in English: Your doctor will help you determine a medication regimen that will help you control bipolar symptoms. Always take your medications as prescribed, since skipping a dose may induce a manic episode. Alert your doctor if you are having sleep problems. Consistent sleep deprivation may exacerbate bipolar symptoms, affect quality of life, and even lead to a substance abuse problem. Some medications such as antidepressants may actually cause sleep disruption. If you are taking such medications, talk to your doctor to see if you can change your meds or add additional meds to your current regimen that will help you sleep better. This is a form of psychotherapy based upon the idea that bipolar disorder is caused or made worse by disruptions to circadian rhythms and sleep deprivation. Its goal is to reduce the reoccurrence of manic episodes. IPSRT can be conducted one-on-one or in a group setting. It focuses on helping people with mood disorders like yourself better manage their everyday lives with routines and strategies to improve sleep and manage stress. Melatonin is a hormone that is naturally secreted by the body. It helps regulate circadian rhythms and acts as an internal clock controlling sleep. Secretion is high at night and low in the morning and during the day. Talk to your doctor to see if this supplement may be useful in helping you achieve better quality sleep. Your psychiatrist may also suggest non-addictive sleep aids that can be purchased over-the-counter like diphenhydramine.

Summary in Russian:

Найдите психиатра с опытом лечения биполярного расстройства. Интерперсональная и социально-ритмическая терапия (ИПСРТ). Спросите врача, можете ли вы принимать мелатонин.


Article in English: Your doctor will look closely at the growths on your body to confirm you have genital warts, particularly any growths on your genital area and your rectum.  For women, your doctor may perform a complete pelvic exam to check your cervix for genital warts. Your doctor may also take a sample of fluid to test for other STIs, like gonorrhea and chlamydia, as well as a blood sample to test for syphilis and HIV. HPV is a group of more than 60 viruses, some of which can cause genital warts. During your check up for genital warts, your doctor may suggest you also get tested for HPV. For women, this means getting a Pap smear to look for any changes in your cervix that could be symptoms of an HPV infection. It is possible that HPV can lead to cervical cancer in women, and it is very important that you get a yearly Pap smear to monitor any possible infections in your cervix; however, the types of HPV that cause genital warts do not cause cancer.  People with anogenital HPV are at increased risk for a number of anogenital cancers, so it is important to let your doctor know if you have or think you may have genital herpes so that proper screening can be done.  There is no HPV test for men. If your doctor confirms you have genital warts, you should have a talk about possible treatments for the STI. One option is to allow your body to fight off the virus and let the warts go away on their own. You should keep the area as dry as possible and wear cotton underwear to allow the warts to clear up.  If the warts are uncomfortable you can remove them with various genital warts treatments. Keep in mind the warts may still return after treatment, as the treatment cannot cure the virus that causes the warts. Refrain from sexual intercourse when you have an active outbreak of warts from HPV, as that is when the virus is most transmissible. Your doctor may prescribe medicated creams or ointment that can be applied directly to the genital warts to prevent them from spreading and to help them heal. You can also ask your doctor about...

Summary in Russian:

Обратитесь за осмотром и консультацией к врачу. Позвольте врачу провести обследование на наличие ВПЧ. Обсудите варианты лечения с врачом.


Article in English: Your doctor will need to perform several tests to determine if you have diabetes. If you do, in fact, have diabetes or pre-diabetes, you will need to follow-up with regular treatment by following your doctor's instructions. The blood glucose test does exactly what it sounds like it does: it tests the amount of glucose (sugar) in your blood. This will be used to determine whether you have diabetes or are at risk of developing it. This test will done under one of three circumstances:  A fasting glucose blood test is done after you haven't had anything to eat for at least eight hours. If it is an emergency, your doctor will do a random blood glucose test regardless of whether you have eaten recently. A two-hour postprandial test is done two hours after eating a specific number of carbohydrates to test your body's ability to handle the sugar load. This test is usually done in a hospital so they can measure the number of carbs eaten before the test. An oral glucose tolerance test requires you to drink a high glucose fluid. They will test your blood and urine every 30-60 minutes to measure how well the body is able to tolerate the additional load. This test is not done if the doctor suspects type 1 diabetes. This blood test is also called the glycated hemoglobin test. It measures the amount of sugar attached to the body's hemoglobin molecules. This measurement gives the doctor a good indication of your average blood sugar measurements over the past 30 to 60 days. Ketone is found in the blood when an insulin shortage forces the body to break down fat for energy. It comes out through the urine, most often in patients with type 1 diabetes. Your doctor may recommend a blood or urine test for ketone:  If your blood sugar is higher than 240 mg/dL. During an illness such as pneumonia, stroke or heart attack. If you experience nausea and vomiting. During pregnancy. If you have diabetes or are at risk of developing it, it's important to monitor your health and blood sugar levels regularly. High blood sugar will cause damage...

Summary in Russian:

Немедленно обратитесь к врачу, если вы испытываете характерные симптомы. Сдайте анализ крови на сахар. Сдайте анализ крови на HbA1с. При необходимости сдайте анализ на кетоны. Проходите плановые осмотры.


Article in English: Your doctor will perform a pelvic exam and take a sample of your vaginal secretions to confirm you have BV. She will then prescribe a pill or a cream to help eliminate the infection.  You may receive Metronidazole, a medication available in pill or gel form. Your doctor may prescribe Clindamycin, available in the form of a cream you insert into your vagina. Finally, your doctor may prescribe Tinidazole, which can be taken orally. Avoid drinking alcohol while on Metronidazole and Tinidazole and for at least one day after completing treatment with either drug. Recurrence of BV symptoms within three to 12 months of treatment is common. If your symptoms recur, talk to your doctor about other treatment options. Your doctor will test a sample of your vaginal fluid to confirm you have this STI. She will then prescribe one megadose of either metronidazole or tinidazole. If you have a sexual partner, you and your partner should both be treated for trichomoniasis. Avoid sexual intercourse until one week after treatment, when the infection is cured. You should not drink alcohol 24 hours after taking metronidazole or 72 hours after taking tinidazole, as this can cause severe nausea and vomiting. Your doctor will perform a pelvic exam and take a sample of your vaginal secretions to confirm you have a yeast infection.  If you have an uncomplicated yeast infection, with mild to moderate symptoms and infrequent episodes of yeast infections, your doctor will prescribe a one time application or one to three day application of an antifungal cream, an ointment, a tablet, or a suppository. Your doctor may also recommend an over the counter treatment. If you have a complicated yeast infection, where your infection is recurring and your symptoms are severe, your doctor may prescribe a vaginal cream, ointment, tablet, or suppository for seven to ten days. Your doctor may also recommend a maintenance plan to monitor your yeast growth and prevent further yeast infections.

Summary in Russian:

Обратитесь к гинекологу, если, как вам кажется, у вас бактериальный вагиноз. Пройдите курс лечения от трихомониаза, прописанный вашим врачом. Обратитесь к гинекологу, если у вас грибковая инфекция, чтобы он назначил вам подходящее лечение.


Article in English: Your doctor will prescribe (or recommend an over-the-counter version of) an anti-worm medication. Some examples include Mebendazole, Pyrantel permeate, and Albendazole. You will be directed to take one dose of one of these medications (follow the specific instructions of your doctor) and then to wait two weeks. The way this medication works is that it kills off any adult worms. They are all eradicated, except for the eggs which will remain in your system. After two weeks have passed, you will be directed to take one more dose of the same anti-worm medication. The purpose of this second dose is to kill any new worms that have formed as a result of the eggs. The two week timing is extremely important, as it catches the worms at just the right phase in their lifecycle so as to kill all of them without needing any further doses after this one. Since threadworms are so easily passed from one person to another, your doctor will likely recommend that everyone in the household be treated with two doses of the anti-worm medication. It is better to be safe rather than sorry, and to prevent the hassle of someone in the household showing signs of an infection just after the initial person was cured. This is especially true if you are treating pinworm infections in children. Although pinworms can technically be treated with six weeks of very strict hygiene measures (because the lifecycle of the worm is six weeks), it is very challenging to adhere by these strict standards at home, particularly if children are involved.  The benefit of medication is that it is extremely effective at clearing the infection in two weeks. Hygienic measures can then be used as a means to prevent re-occurence or subsequent infections down the road.

Summary in Russian:

Примите одну дозу противоглистного средства. Спустя две недели примите еще одну дозу. Дайте лекарство всему семейству. Поймите, что лекарство — это самое эффективное средство.


Article in English: Your doctor will prescribe a medication to help you pass the tapeworm. Carefully follow your doctor's instructions for how to take your medication. The most common medications prescribed to treat a tapeworm infection include:  Praziquantel (Biltricide). This medication works by killing certain worms. Do not take this medication if you are pregnant or breastfeeding, allergic to any ingredient in the medication, have a worm infection in your eye, or if you are on rifampin.  Albendazole (Albenza). This medication prevents newly hatched worms from growing in your body. It treats specific types of tapeworm infections, including those you get from eating pork and from being around infected dogs.  Nitazoxanide (Alinia). This medication is mainly used to treat parasites that you pick up from swimming in a lake or spending time in other moist places. If you have to pass a large tapeworm, it is likely that you will have some pain and cramping. This is normal, but make sure that you call your doctor if the pain becomes severe. To ensure that you are tapeworm free, your doctor will need to check your stools again one month following your treatment and then again three months after your treatment. Make sure that you keep this appointment even if you are feeling fine.

Summary in Russian:

Пройдите курс лечения, чтобы избавиться от ленточных червей. Будьте готовы к боли в животе и спазмам. Запишитесь к врачу для контрольной явки.


Article in English: Your doctor will recommend a course of treatment once your vaginal infection is diagnosed. Treatment will depend on the type of infection, how extensive or severe it is and how long you have had the infection. These are typical treatments for:  Bacterial Vaginosis: Antibiotics like metronidazole  or clindamycin. These are considered safe if you are pregnant. Male partners usually don’t need treatment, but female partners should be informed and tested.  Yeast Infection: Antifungal creams, ointments, oral dose of fluconazole, or vaginal suppositories. Examples of these treatments are butoconazole, clotrimazole, miconazole (sold under the brand name Monistat) and terconazole. Your doctor can prescribe them or they are available (in weaker doses) over-the-counter at your pharmacy. Recurrent or more complicated yeast infections: Higher doses of medications used to treat yeast infections or you may be told to take them for a longer period of time. Since your partner may be the source of your recurring yeast infections, your partner may need to be treated as well.  Trichomoniasis: A single dose of either metronidazole or tinidazole. These antibiotics are also considered safe if you are pregnant. Trichomoniasis is an STI, so make sure your sexual partner(s) are treated as well.  You should wait for 7 days after treatment before you resume sexual activities. Douching is the procedure of washing or cleaning out the inside of the vagina with water or other fluids. Douching isn't recommended because the vagina naturally cleans itself and douching can increase the risk of bacterial infections.  Douching can actually introduce bacteria, causing vaginal infections and other serious infections like pelvic inflammatory disease. There are no known methods to reduce your risk of infection from douching. If you have recurrent bacterial infections, consider getting probiotics through yogurt. Probiotics can be effective in preventing future infections. Eat 150 grams of yogurt that has 4 to 5 billion Colony Forming Units (CFU)...

Summary in Russian:

Принимайте препараты. Откажитесь от спринцевания. Ешьте йогурт.


Article in English: Your doctor will recommend dietary changes for the specific type of stones you have. Adjustments such as limiting sodium, eating a low-fat diet, and staying hydrated apply for all types, but certain foods contribute to specific types of kidney stones.  For example, if you have uric acid stones, you'll need to avoid herring, sardines, anchovies, organ meats (such as liver), mushrooms, asparagus, and spinach. If you have calcium stones, you'll need to avoid calcium and vitamin D supplements, limit your intake of calcium-rich foods to 2 to 3 daily servings, and avoid antacids that contain calcium. Note that people who have kidney stones once are at an increased risk of having them in the future. Kidney stones recur within 5 to 10 years in about 50% of people who have them once. Preventative measures, however, may lower your risk of recurrence. While 2300 mg of sodium is the maximum daily amount recommended for adults, your doctor will probably suggest sticking to 1500 mg per day. Avoid adding extra salt to your food, and try to limit the amount of salt you use to cook.  Instead of cooking with salt, flavor your meals with fresh and dried herbs, citrus juice, and zest. Try to cook your own food as much as possible instead of going to restaurants. When you eat out, you can't control the amount of salt in your meals. Avoid deli and processed meats, as well as meats that have been pre-marinated. Additionally, steer clear of salty snacks, such as chips, and canned foods, such as soups. Check the sodium content on any packaged foods before you eat them. Squeeze a lemon into your water or have a daily glass of low-sugar lemonade. Lemon can help break down calcium stones and might prevent them from forming.  Lemon may also help lower the risk of uric acid stones. Try not to drink lemonade or other lemon products that are high in sugar. You'll likely be able to eat animal products in moderation, provided they're low-fat, such as white meat poultry and eggs. To lower the risk of kidney stones of any type, avoid fatty cuts...

Summary in Russian:

Проконсультируйтесь с врачом насчет того, как можно предотвратить образование почечных камней определенного типа. Постарайтесь употреблять не более 1500 миллиграммов соли в день. Включите в свой рацион лимоны, особенно если у вас кальциевые камни. В умеренных количествах употребляйте нежирную белковую пищу. Включите в свой рацион богатые кальцием продукты, но при этом воздерживайтесь от приема пищевых добавок. Регулярно занимайтесь физическими упражнениями, но при этом пейте больше воды, чтобы поддержать водный баланс.


Article in English: Your doctor will want to see you regularly in the months after your surgery to ensure you are healing correctly.  Don’t skip your post-surgical appointments as they are important to ensure your foot is healing as planned. Bring up any questions or concerns you have regarding the progress of your foot to your doctor. After your surgery, you may be on crutches, in a cast, or specialized footwear.  Depending on your surgery, your mobility may be significantly limited.  Your doctor will tell you if you are ready for any amount of weight bearing. Be patient, rushing to place weight on your foot after surgery could re-injure you. There are a number of possible complications that may result from foot surgery.  If you notice symptoms of these issues arise, contact your doctor immediately.  Infection can be a risk early in your recovery.  If you notice redness and warm swelling around the surgery site or are experiencing a fever you may have an infection. Nerve damage is often not permanent, but you may experience numbness or tingling in the region surrounding the surgical incision.  While it usually passes, you should discuss it with your doctor

Summary in Russian:

Сходите на послеоперационный осмотр. Научитесь обходиться с травмированной ногой. Остерегайтесь возникновения осложнений.


Article in English: Your doctor will work with you to create a written plan that you can follow when you start having an asthma attack or coughing fit. The action plan should give you a list of steps to follow to get your breathing back to normal. It should also list emergency and medical contacts. The doctor will explain how the action plan moves from green to yellow to red. Each colored section should list symptoms you should look for, your medication and treatments, and a place for you to record your lung function. If you're having a coughing attack, you'll probably be advised to use an inhaler. Your inhaler is designed to quickly get medication (like short acting beta agonists) into your airways so they open. Your doctor may prescribe albuterol, levalbuterol, pirbuterol, ipratropium, or corticosteroids.  To use an inhaler, take off the cap and shake the inhaler. Three or four good shakes should work. Remove the cap and breathe out. Put the inhaler mouthpiece to your mouth and breathe in slowly. Press down once on the inhaler's button, and continue taking in one long, slow breath. Take the inhaler out of your mouth. Hold your breathe for ten seconds, and then breathe out. These medications are used every day to prevent coughing and other asthma symptoms . They won't give immediate relief (you should use your inhaler or other short-term medication for that). Instead, long-term medications can reduce inflammation, open your airways, and reduce your body's response to triggers. You may also need treatments for allergies that trigger asthma attacks. Long-term medications or treatments include:  Allergy shots Inhaled corticosteroids like fluticasone, budesonide, flunisolide, ciclesonide, beclomethasone and mometasone Anti-inflammatory medicines like cromolyn Long-acting beta agonists like salmeterol and formoterol Biological medicines like omalizumab and leukotriene modulators Theophylline An important part of managing your asthma cough is knowing when to get medical treatment for it. Besides cough one hallmark sign of worsening...

Summary in Russian:

Составьте с врачом план лечения. Контролируйте астму с помощью препаратов для кратковременного использования. Используйте при лечении астмы препараты для долговременного применения. Обратитесь за неотложной медицинской помощью.


Article in English: Your dog is going to be scared and confused during and after a seizure, so it is crucial to do everything that you can to help them feel less afraid. If your dog suffers from frequent seizures, you will also want to learn how to recognize the signs of a seizure so that you can prepare. Some simple steps that you can take to comfort your dog during a seizure include:  Placing a cushion or pillow beneath your dog’s head. This will help to protect your dog's head during a seizure. Speaking to your dog in a low, soothing voice. Say things like, "It's okay, buddy. That's a good dog. Easy, easy, I got you." Petting your dog in a calming, gentle way. You may also consider letting your dog lay across your lap or holding them if they are a small dog. It is a misconception that dogs will swallow their tongues, and under no circumstances should you stick your hand or fingers into your dog's mouth when they are having a seizure. You will likely get bit. Do not try to put any objects into your dog’s mouth either or your dog may break a tooth or even choke. It is important to get your dog calmed before taking any other action. Sometimes the seizure will restart if your dog is very nervous and/or tries to get up before they have recovered. Continue soothing your dog and stay close for a while after the episode. To help your dog relax, keep the room quiet. Turn off the radio and TV and don’t allow more than one or two people in the room. Take other pets out of the room as well. Try to keep track of how long the seizures last. If your phone is handy take a video of the event. This documentation may help the veterinarian to diagnose and properly treat your dog. If the seizure continues for longer than five minutes, get your pet to a veterinary emergency room as quickly as possible. Long seizures can exhaust the respiratory muscles and, thereby, interfere with your dog's ability to breathe.

Summary in Russian:

Успокойте собаку во время приступа. Держите руки подальше от пасти собаки. Успокойте собаку после приступа. Обратите внимание на длительность припадков.