The Clinic of the Institute of Pediatric Endocrinology celebrated its 50th anniversary in 2011. This is the first specialized clinic in Russia for the diagnosis and treatment of endocrine diseases in children. Currently, they are developing and implementing clinical practice Newest technologies using genomic markers, innovative methods treatments based on the latest advances in pharmacology, the methodological basis for predicting and preventing endocrinopathies in children is being improved.
Priority areas of the institute:
- Ensuring optimal physical and sexual development of children and adolescents with various diseases endocrine system.
- Creation of National Registers of Endocrine Diseases.
- Development and implementation of screening programs for early detection endocrine diseases.
- Development and implementation of preventive programs aimed at reducing morbidity and improving the quality of life of children with endocrine diseases.
- Development of methods for psychosocial adaptation of patients with various endocrine pathology.
- Genetic family counseling in families of patients with various endocrine diseases.
Structure of the Research Institute of Pediatric Endocrinology:
- Children's department diabetes mellitus
- Children's Department of Thyroidology, Reproductive and Somatic Development
- Children's Department of Endocrine Tumors
- Children's surgical department
- Reception department
Every year, at the Institute of Pediatric Endocrinology, as part of the provision of high-tech and specialized endocrinological care, 6 - 7 thousand children and adolescents are examined and treated. Of these, 90% are from the regions Russian Federation, 10% - from Moscow and foreign countries.
Medical care is provided in a hospital full day and a consultative and diagnostic center.
Scientific and methodological activities of the institute:
The Institute's staff consists of leading Russian specialists - professors, doctors and candidates of medical sciences, with extensive experience and knowledge of modern technologies diagnosis and treatment of diseases of the endocrine system in children and adolescents - works closely with pediatric endocrinologists from all regions of Russia, many of whom are co-authors scientific research, national registries and multicenter programs. The Institute of Pediatric Endocrinology also cooperates with leading foreign clinics and research centers. Within the framework of the postgraduate education and advanced training program, educational activities. Doctors undergo primary specialization and retraining in pediatric endocrinology. The Institute is the organizer of All-Russian and Regional conferences on pediatric endocrinology. Employees of the Institute of Pediatric Endocrinology carry out advisory assistance in the regions of the Russian Federation, conduct visiting lectures and seminars for regional pediatric endocrinologists, prepare publications of articles in leading domestic and foreign journals, guidelines, monographs.
P 
program for helping children with diseases of the endocrine system “Alpha-Endo” helps improve quality and accessibility medical care children. The program is funded by Alfa Group and implemented by the KAF Foundation for the Support and Development of Philanthropy together with the Federal State Budgetary Institution Endocrinological Research Center of the Russian Ministry of Health and the Life Line Foundation.
Main directions of the Program:
- Molecular genetic diagnosis of childhood endocrinopathies;
- Educational programs for specialists;
- Introduction of modern computer technology in diabetology;
- Support for patient communities;
- Prevention of obesity in children.
The curator of the program from the ENC is Valentina Aleksandrovna Peterkova, director of the Institute of Pediatric Endocrinology of the ENC, deputy director of the ENC for scientific work, chief specialist - pediatric endocrinologist of the Ministry of Health of Russia, corresponding member of the Russian Academy of Sciences, professor, doctor of medical sciences.
The child’s health status is determined proper development and the harmonious functioning of everything body generally.
The most important system child's body is considered endocrine, since it is she who coordinates most processes.
To find out if it's working properly endocrine system child, parents should know what symptoms of diseases associated with this system exist, and in which cases it is necessary to consult a doctor.
What does an endocrinologist treat?
Endocrinologist - doctor, who diagnoses and also prescribes effective treatment in case of disturbances in the functioning of the endocrine system.
The endocrine system is glands internal secretion , which produce and release hormones into the blood that coordinate the basic processes of the body. These include the pituitary gland, pancreas, hypothalamus, thyroid gland, testes and ovaries, and so on.
The endocrine system is a rather sensitive mechanism that is able to respond to negative impact various factors. This system a child's body is more susceptible to such factors than the same system of an adult body.
Many diseases This system begins its development in childhood, for this reason it is important to periodically visit an endocrinologist, especially if you notice that the child is showing signs of diseases of this system. Timely diagnosis and treatment will avoid serious complications.
Symptoms that indicate the presence of an endocrine disease in a child.
1. Stopping sexual development or premature development.
If girls who have reached the age of fifteen do not menstruate and the mammary glands do not develop, and boys at this age do not have pubic and armpit hair, and the testicles are not enlarged, this indicates a delay. development of the reproductive system.
It happens that this delay is not caused by a malfunction of the endocrine system, but is genetic. Despite this, it is still necessary to visit endocrinologist, which will confirm or deny the presence of diseases of this system.
Premature development reproductive system implies the presence of menstruation and enlarged mammary glands in girls under nine years of age, and in boys under ten years of age - the presence of hair in the armpits and pubic area, as well as big sizes testicles.
Almost all cases of early puberty are explained by disorders in the endocrine system.
2. Signs of diabetes.
If the functioning of the endocrine system malfunctions, the baby may experience signs diabetes: the child drinks a lot of liquid, runs to the toilet very often, large quantities eats sweets, there is a decrease in body weight for no particular reason, he complains of weakness, does not want to play, jump or run.
IN in this case You should immediately seek help from a doctor.
3. Too short or excessive growth.
Pay attention to your baby's peers and compare them height as your child grows. If your baby is too small compared to others, he may be experiencing growth retardation. If he is much taller than other children of the same age, this indicates excessive growth.
Such violations may be caused not only by diseases associated with the endocrine system, but also hereditary disorders osteoarticular system. In this case, visit a doctor who will prescribe an examination of the child’s hands and joints using x-rays.
4. Low and overweight.
Be sure to know the rules weight child at one age or another at the doctor. If your baby's weight does not correspond to them, you need to be examined by an endocrinologist.
5. Enlarged thyroid gland.
It is quite difficult to notice the enlargement of this gland. However, the child may complain of feeling discomfort when swallowing, a feeling of a lump in the larynx, there may also be minor pain.
In this case, it is necessary to undergo tests to doctor was able to diagnose the disease, identify the cause of its occurrence and prescribe the correct treatment.
It is also necessary to consult with a specialist if your child’s weight at birth was more than 4 kg, and if there are relatives relatives who had endocrine diseases.
Hormonal disorders are quite common in both adults and children. A pediatric endocrinologist is involved in the diagnosis and treatment of these pathologies in young patients. Many parents are scared when the pediatrician writes a referral for consultation with this specialist. However, in most cases such fears are unfounded. Let's consider what pediatric endocrinology is and when an appointment with a pediatric endocrinologist is necessary.
What is pediatric endocrinology?
Endocrinology is medical science, which studies the structure and work endocrine glands, as well as diseases that are caused by disruption of their functioning. Pediatric endocrinology, as a separate specialty, has appeared quite recently. Its occurrence is associated with some features of the development of endocrine diseases in children and adolescents. Experts note that, for example, diabetes mellitus in children often resembles influenza, childhood infections and acute abdominal syndrome.
The human endocrine system is represented by endocrine glands, which are responsible for the production and release of hormones into the blood. Hormones regulate the functioning of the body and directly affect the growth and development of the child. The organs of the endocrine system include: the hypothalamic-pituitary system, thyroid, pancreas, adrenal glands and sex glands (gonads).
Separately, it is worth mentioning the pediatric gynecologist-endocrinologist. A doctor in this specialty deals with the treatment and prevention of diseases of the genital organs in girls that are associated with endocrine disorders.
What does an endocrinologist treat?
According to reviews, a pediatrician usually refers a child to a pediatric endocrinologist. The specialist determines the disease and, if present, selects the most appropriate treatment regimen and ways to prevent complications.
What diseases does a pediatric endocrinologist diagnose and treat? Such pathologies include:
- Diseases thyroid gland: hypo- and hyperthyroidism, nodular goiter, diffuse toxic goiter, thyroiditis, iodine deficiency pathologies;
- Diabetes;
- Dysfunctions of the hypothalamic-pituitary system: diencephalic syndrome, acromegaly, Itsenko-Cushing's disease;
- Adrenal dysfunction;
- Puberty disorders.
The specialization of a pediatric gynecologist-endocrinologist includes the diagnosis and treatment of the following diseases in girls:
- Congenital malformations of the reproductive organs;
- Disorders of sexual development.
At the appointment, the doctor collects a medical history (anamnesis), examines the child, and gets acquainted with complaints, if any. A good pediatric endocrinologist will prescribe additional examinations for a small patient. Most often these are: ultrasound, CT or MRI, biochemical analysis blood, blood tests for sugar and hormones.
If the child does not have any pathology, but there are prerequisites for its development, the doctor may prescribe preventive therapy.
Usually parents take their child for a consultation with a doctor on the direction of a pediatrician. However, there are some symptoms that may indicate the development of endocrine diseases. Noticing a child the following manifestations, you need to show it to a good pediatric endocrinologist:
- Drowsiness, lethargy, fast fatiguability, irritability, mild excitability;
- Attacks of rapid heartbeat;
- Excess weight, stretch marks on the skin;
- Sudden weight loss;
- Constant thirst and frequent urination;
- Promotion blood pressure During a long time;
- Lagging behind peers in growth or sharply exceeding their growth;
- Drowsiness during the day and insomnia at night;
- Swelling and dry skin;
- Discomfort or painful sensations in the front of the neck;
- If symptoms of puberty (enlarged mammary glands, growth of pubic and armpit hair) appeared before age 8 or are absent after age 13.
Parents should know that the earlier a child is diagnosed endocrine disease, the more effective his treatment will be. Therefore, if suspicious symptoms appear, you should show the baby to a pediatric endocrinologist. To do this, you need to contact a children's clinic at your place of residence or a private medical center.
¦ Department of Endocrinology
From the first days to the present day, the endocrinology department has practically been the center of pediatric emergency endocrinology in Moscow. This is actually related to priority in the practical as well as scientific work of the department - the management of patients suffering from type 1 diabetes mellitus, which is the most common and severe endocrinological pathology of childhood.
Now the methods of examination and treatment of sick children in the department, thanks to the active support of the Moscow Department of Health for modern equipment, technological and medicinal equipment, as well as cooperation with leading Moscow laboratories and children's clinics, in all areas of pediatric endocrinology meet high international standards.
Vast experience in treating urgent patients allowed the team of the endocrinology department to develop and implement methodological recommendations for treatment in children diabetic coma. In addition to young patients suffering from diabetes, children with diabetes are examined and treated in this department. various pathologies thyroid gland, adrenal glands, parathyroid glands, with growth and puberty disorders, not only as part of urgent, but also planned hospitalizations.
Among the prospects for the development of the endocrinology department, the following should be highlighted:
- further optimization of examination and treatment of children with one or another endocrine pathology using modern hospital-saving technologies;
- implementation in daily practice the latest, effective drugs and the latest models of medical equipment in order to improve the quality of life of children with various endocrine pathologies;
- conducting scientific and practical research in the field of preventing the development of diabetes mellitus, detecting intermediate forms of this disease, as well as the development and improvement of treatment and diagnostic protocols for rare forms of diabetes.
Currently, the endocrinology department actively cooperates with the district endocrinology departments of the Moscow Department of Health, the endocrinology clinic of the Moscow Department of Health, the Russian National Research medical university, Republican Children's Clinical Hospital, Endocrinological Scientific Center RAMS, Institute of Physico-Chemical Medicine of Roszdrav, Department of Endocrinology and Diabetes at Unicampus Biomedica University (Rome, Italy), Department of Endocrinology at Maimonides Children's Hospital (New York, USA) and other leading research and clinical institutions Russian Federation and foreign countries.
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