LIST OF MEDICAL SERVICES, PROVIDED TO FOREIGNERS BY HEALTH INSTITUTIONS OF THE REPUBLIC OF BELARUS State Institution Republican Scientific and Practical Centre “Mother and Child” 220053, Minsk, ul. Orlovskaya, 66 Phone 233-55-84 Obstetrics: In-patient examination and treatment pregnant women (from 28 weeks of pregnancy) and delivery: late gestational toxicosis, medium and serious; threat of abortion; anti-phospholipid syndrome; circulatory system and blood disorders; thromboembolic disorders; diabetes mellitus; НЕLLР syndrome; acute fatty hepatosis in pregnant women, thrombocytopenia and other blood and hemopoetic diseases; renal and urinary tract diseases; endocrinological disorders; anaemia of pregnancy, III order; immunoincompatible pregnancy. Neonatology and paediatrics: Treatment of mature and premature babies: infection pathology (congenital infections, respiratory viral infections, sepsis, etc.); cardiovascular pathology; congenital and hereditary diseases (congenital hypothyroidism, phenylketonuria, enzyme corporal, adrenogenital syndrome, etc.); hyperbilirubinemia; prenatal central and peripheral nervous system pathology; 2 clinical conditions requiring intensive therapy; premature children with a low or extremely low body weight using expert class incubators, advanced artificial lungs, follow-up equipment, exogenous surfactants. Treatment of infants: perinatal nervous system disorders (starting with early rehabilitation period) with locomotory disorders such as paresis and paralysis, delayed motor and psychic development of all degrees; traumatic nervous system disorders (subdural and cerebral haemorrhage, damaged vertebra and marrow, damaged cranial and peripheral nerves); hypoxic CNS damage (medium and moderate asphyxia, hypoxia, anoxia); toxic CNS damage; infectious CNS damage (congenital rubella, congenital cytomegaloviral, herpes, listerial infection, toxoplasmosis and other congenital infections); infantile cerebral paralysis (all forms of locomotory disorders, psychoverbal retardation, any degree of oligophrenia combines with convulsive disorders, different paroxysmal conditions); consequences of early organic CNS disorders with locomotory disorders; peripheral nervous system disorders (infectious, allergic, ischemic, traumatic, toxic and other origin) with motor disorders; obvious and post-trauma and cerebral-asthenic syndrome; congenital and degenerative nervous system disorders, including motor disorders, hyperkinesis, static and dynamic lost of coordination; early assessment of psychic conditions using neuropsychological and neurophysiological surveys. X-ray diagnosis: prenatal ultrasonic diagnosis of pregnancy; ultrasonic cardiography of foetus at different terms of gestation; colour Doppler analysis of uteroplacental haemodynamics; comprehensive ultrasonic brain examination in infants (neurosonography, Doppler ultrasonography of cerebral vessels); radiographic survey of bones, thoracic organs, abdomen, including irrigoscopy, retroperitoneal space, including general and intravenous urography, metrosalpingography, in adults and children, including neonates; X-ray computer angiography of brain vessels, thoracic organs, retroperitoneal space, using 3D reformation in adults and children; X-ray computer tomography of all organs and system in adults and children, including neonates; MRI computer tomography all organs and system in adults and children, including neonates. Examinations are made using modern hi-tech diagnosis equipment applying modern anaesthetic methods. Endoscopic diagnosis: esophagogastroduodenoscopy in adults and children, including neonates; 3 colonoscopy in adults and children, including neonates. Examinations are made using modern hi-tech diagnosis equipment applying modern anaesthetic methods. Functional diagnosis: colour Doppler ultrasonic cardiography in adults and children, including neonates; rheography examination (rheoencephalography, rheovasography, central haemodynamics measurement) in adults and children over 3 year; electrocardiography in adults and children, including neonates; electroencephalography in adults and children, including neonates; respiratory function in adults and children over 4 years. Examinations are made using modern hi-tech diagnosis equipment. Genetic examinations: Diagnosis: hereditary metabolic disorders of different groups: aminoacidopathy, simple and complex carbohydrates metabolic disorders, metal metabolic disorders; hereditary metabolic pathology, such as liver disorders (galactosemia, fructose intolerance, glycogenosis, alpha 1 antitrypsin deficiency, KonovalovWilson’s disease, haemochromatosis, Gilbert's disease); all classes of lysosomal disorders, including neuron ceroid lipofuscinosis; childhood progressing neurological diseases, caused by hereditary metabolic disorders (Canavan disease, sphingolipidosis, mucolipidosis type 4, ceroid lipofuscinosis); congenital and acquired thrombophilia; disturbed hormone synthesis and action (primary congenital hypothyroidism, congenital adrenal cortex hyperplasia); sudden infant death syndrome (biochemical and DNA diagnosis). Prenatal diagnosis: all classes of lysosomal disorders during 1st and 2nd trimesters (including samples, cell culture, biochemical and molecular analysis); cytogenetic diagnosis of foetus chromosomal pathology by chorionic villi biopsy study, cultured cells of amniotic fluid (including sampling of prenatal material, culture analysis and karyological analysis). DNA diagnosis: mucoviscidosis, azoospermia, Charcot-Marie-Tooth disease neural amyotrophia, fragile X chromosome syndrome, Friedreich's ataxia, Steinert's disease, family hypercholesteremia, Duchenne-Becker muscular dystrophy, Huntington's chorea, DOPHA-sensitive torsion distonia, presymptomatic breast and/or ovarian cancer. Cytogenetic diagnosis of chromosomal pathology: karyotyping of peripheral blood lymphocytes; 4 chromosomal instability detection and determination of its type; FISH (fluorescence in situ hybridization). Medical genetic counselling is provided by high-skill professionals using computer diagnosis programmes. Clinical laboratory diagnosis: Determination: D dimers; heparin cofactor activity; lupus anticoagulant; antibodies IgM and IgG antibodies to toxoplasm, rubella virus, herpes simplex virus types 1 and 2, cytomegalovirus, Epstein-Barr virus; IgА and IgG antibodies to Chlamydia; Genome of Chlamydia, toxoplasm, cytomegalovirus, herpes simplex virus. Ejaculate examination. Examinations are made using modern hi-tech diagnosis equipment. Specialized medical care: Specialists of the counselling and policlinic department provide counselling using modern diagnosis and treatment protocols: Allergologist Children 0-18, for: - bronchial asthma; - allergic rhinitis and conjunctivitis; - pollen fever; - respiratory diseases, requiring differential diagnosis; - recurrent urticaria and Quincke's oedema; - drug allergy; - atopic eczema; - allergy reaction to insect bites. Pulmonologist Children 0-18, for: - chronic bronchitis and pneumonia; - multiple bronchiectasis; - congenital anomaly of the respiratory system; - mucoviscidosis; - suspected hereditary respiratory system disorders; 5 - acute pneumonia usually prolonged; prolonged bronchitis and pneumonia; recurrent bronchitis; fibrosing alveolitis and bronchopulmonary dysphasia; previous obliterating bronchiolitis. Nephrologist Pregnant women and children 0-18, for: - acute glomerulonephritis in remission; - chronic glomerulonephritis; - acute and chronic interstitial nephritis; - hereditary nephritis; - urinary tract infections; - acute pyelonephritis at the stage of reduced active manifestation and remission; - acute pyelonephritis; - cast nephropathy; - nephropathy; - congenital urinary system anomaly, not requiring surgery; - crystalluria; - renal diseases with chronic nephratonia; - systemic disease with kidney pathology; - vascular vegetative dysfunction of hypertonic type. Gastroenterologist Pregnant women and children 0-18, for: - abdominal pain syndrome; - dyspeptic disorders; - ulceration and erosion of oesophagus, stomach, duodenum; - chronic gastritis and и gastroduodenitis; - gastro-oesophageal reflux disease; - chronic colitis; - irritated colon syndrome; - non-specific ulcerative colitis; - chronic hepatitis; - cholelithiasis; - chronic cholecystitis; 6 - biliary dyskinesia; chronic pancreatitis; gluten-sensitive enteropathy, mucoviscidosis; intestine dysbacteriosis. Haematologist Children 0-18, for: - iron deficiency anaemia, poliaanemia, noncorrectible anaemia; - limphoadenopathy; - leukemoid response; - leukopenic condition; - megalosplenia; - bleeding diathesis; - infectious mononucleosis, recovery stage. Immunologist Children 0-18, for: - primary and secondary immunodeficiency; - prolonged subfebrile state and fever of unclear aetiology; - thymomegalia, thymus gland hypoplasia; - prolonged pyoinflammatory skin and mucus disease; - recurrent herpes and fungus disease. Neurologist Children 0-18, for: - perinatal nervous system disorders; - after-effects of inflammatory central nervous system disorders; - after-effects of peripheral nervous system disorders; - rheumatic and other systemic lesions of connective tissue with the nervous system pathology; - after-effects of cranial and spinal traumas, inter alia, after surgical operations; - hereditary degenerative nervous system disorders; - subacute and chronic demyelinating nervous system disorders; - convulsive disorder, paroxysmal conditions, related to loss or change of consciousness for differential diagnosis; - neurosis or neurosis-like conditions; - epilepsy without psychic disorders. 7 Врач-кардиолог Ophthalmologist Urinologist Pregnant women and children 0-18, for: - congenital and acquired cardiac defects; - disturbed cardiac rhythm and conduction; - non-rheumatic carditis, cardiomyopathy; - rheumatism; - arterial hypertension, hypotension; - mitral and tricuspid valve prolapse, 1st and 2nd degree, with signs of myxomatous degeneration; - myocardiodystrophy of different origin; - vegetative dysfunction syndrome; - arthropathia; - juvenile rheumatoid arthritis; - systemic lupus erythematosus; - acute disseminated myositis; - systemic angiitis. Children 0-18, for: - congenital eye pathology and suspected congenital pathology: from families with hereditary eye problems; - refraction anomalies (myopia, hypermetropia, astigmatism), amblyopia, heterotropia, nystagmus, ptosis; - inflammation of eye muscles and front eye sector, prolonged and recurrent; - lens disease (congenital cataract, aphakia, pseudophakia, developmental disorder); - choroid and retina disease (uveitis, retinitis, chorioretinitis, retinopathy, developmental disorder, dystrophic changes); - optic nerve disorders (optic nerve abnormal development, atrophy); - glaucoma and suspected increased ophthalmotonus; - tumours of eyes and subsidiary organs; - post-trauma changes of eye and eye muscles; - eye pathology with general diseases. Children 0-18, for: - urolithiasis; - hydronephrosis and ureterohydronephrosis; - vesicoureteral reflux; - chronic obstructive pyelonephritis, related to urinary system anomaly; - solitary paired; - congenital developmental anomaly of kidneys, urinary system, complicated and non-complicated pyelonephritis - externalia pathology (hypospadias, anaspadias, cryptorchidism, pampinocele, hydrocele and funicular hydrocele, 8 phimosis, adhesive balanitis); - neurogenic dysfunction; - chronic granular cystitis; - falling of kidney. Otorhinolaryngologist Children 0-18, for: - recurrent otitis; - prolonged and chronic rhinitis, sinusitis, pharyngitis; - recurrent epistaxis; - adenoiditis; - vasculomotor and allergic rhinitis. Endocrinologist Pregnant women and children 0-18, for: - diabetes mellitus; - gestational diabetes mellitus; - diffuse-nodular goitre; - thyroadenitis; - congenital and acquired hypothyroidism; - parathyroid gland pathology (hypoparathyroidism and hyperparathyroidism); - hypothalamic-pituitary diseases; - adrenal pathology; - metabolic disorders; - gynaecomastia, trichauxis, hirsuties; - puberty disorders. Geneticist Medical and genetic counselling before and during pregnancy: - families with congenital developmental disorders or hereditary diseases in children, spouses or their family members; habitual noncarrying of pregnancy; close relative marriages; psychic, nervous and nervous-muscular disorders in children, spouses or their family members; - pregnant women with diabetes mellitus, hypothyroidism, thyrotoxicosis, systemic diseases of connective tissues, teratogenic exposure during the first trimester; pregnant women with ultrasonic markers of congenital developmental disorders and hereditary pathology; identified foetus developmental defects; pregnant women 30 year and older; pregnant women after radiation and chemotherapy; Invasive prenatal diagnosis methods for risk group pregnant women: 9 - biochemical screening during the second trimester; - multi-parameter screening during the first trimester; - ultrasonic screening during the first trimester; - with ultrasonic markers of chromosomal diseases; - with congenital developmental foetus defects, identified by ultrasonic examination; - with chromosomal aberrations; - over 35 years of age; - families with Down’s syndrome in medical history and monogenetic diseases, for which special prevention measures are designed. Doctor of the department of family planning and auxiliary reproduction technologies Counselling of reproductive age women: depending on the age - contraception, including extragenital pathology; - pre-pregnancy preparation, identification of occupational diseases, prevention of disorders, occupational diseases and their impact on the female reproductive function; - woman reproductive prognosis, - family planning; - identification and treatment of chronic inflammatory diseases, sexually transmitted infections and genital tumours before planned pregnancy. Gynaecologist – endocrinologist Counselling of women, 18-40 years, for: - menstrual disorders (amenorrhea, ovarian dysfunction, dysmenorrhea); - neuroendocrinal syndromes (polycystic ovary syndrome, adrenogenital syndrome, galactorrhea, premenstrual and post-orchotomy syndrome); - endocrine-related infertility; endometriosis; endocrinal diseases accompanied by menstrual function disorders (diabetes, thyroidism, etc.). Gynaecologist in the habitual noncarrying of pregnancy office Counselling of couples when they have previous history of: - two or spontaneous miscarriages; - non-developing pregnancies up to 12 weeks, or one non-developing pregnancy after 12 weeks; - premature or emergency labours with the loss of foetus in early prenatal period; - antenatal foetus death. 10 Doctor, office of female and Counselling of couples in case no pregnancy during one year, inter alia, when artificial fertilization was used: male infertility - insemination with enriched husband’s sperm; - extracorporeal fertilization (ECF); - extracorporeal fertilization with micromanipulations. Doctor, office of climacteric Counselling of women up to 60 years of age, with medium or serious climacteric disorders and complications; selection pathology of treatment methods, inter alia, substitution hormone therapy for prevention of late climacteric complications. Psychologist Counselling of patients on family problems.