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What is Mesotherapy?
15 July 2025
Mesotherapy is a non-surgical aesthetic treatment in which a combination of vitamins, minerals, amino acids, and enzymes is injected into the middle layer of the skin. The method gets its name from the Greek word "meso" (middle) and aims to directly treat problem areas by delivering active ingredients closer to the target tissues. While it resembles acupuncture in technique, mesotherapy is performed with fine needles or special devices.It is legally permitted for healthy individuals over 18, but certain conditions (like pregnancy or chronic illness) may make someone ineligible. Each treatment is personalized, taking into account a person’s age, skin type, health, and specific needs.How is Mesotherapy Applied?Before beginning, a physical exam helps define the problem area and determine the correct approach. The skin may be numbed with anesthetic cream. Using fine disposable needles or a mechanical injector, the practitioner delivers a small amount of solution into the middle skin layer at an angle. The number of sessions depends on the area and desired results.The procedure is quick, outpatient-based, and doesn’t require dressing or significant downtime. Most people return to their daily activities the same day unless they experience rare side effects like redness or swelling.What are the Types of Mesotherapy?Mesotherapy can be divided into three injection techniques:•Point by Point•Upper Skin Mesotherapy•Comprehensive MesotherapyIn terms of application areas, mesotherapy includes:•Hair Mesotherapy•Mesolifting (facial rejuvenation)•Body Mesotherapy (for fat and cellulite)How Does Mesotherapy Work?After analyzing a patient’s needs, health, and skin condition, a mix of substances like amino acids, antioxidants, hyaluronic acid, and vitamins is prepared. These are injected into the skin, where they stimulate collagen and elastin—key elements that maintain skin firmness and elasticity.The injected nutrients also improve blood and lymph circulation and trigger the body’s natural repair mechanisms. This process restores skin tightness, reduces signs of aging, and enhances overall skin vitality. The outcome varies based on the patient’s condition, substance composition, and session count.In Which Areas Can Mesotherapy Be Applied?Hair Mesotherapy:Used for both men and women suffering from hair thinning or hair loss. Vitamins and minerals are injected into the scalp to strengthen follicles and stimulate new growth.Facial Mesotherapy:Reduces wrinkles, dryness, uneven tone, and signs of aging. Substances like hyaluronic acid and vitamin C brighten the complexion, restore elasticity, and improve skin barrier function.Neck Mesotherapy:Targets sagging and wrinkles in the neck and under-chin areas. It firms the skin and can help dissolve localized fat, especially in the double chin region.Body Mesotherapy:Applied to hips, abdomen, arms, and thighs to break down fat cells and improve skin texture. Effective in treating cellulite without the need for surgical intervention.If you're considering mesotherapy for skin rejuvenation, hair loss, or body contouring, it's important to choose a clinic you can trust. At Dalimed Medical Center, our qualified specialists offer personalized treatments using safe, effective techniques tailored to your needs. Let us help you feel confident in your skin again.
What is vitiligo?
15 July 2025
Vitiligo is a long-term skin condition where pale or white patches gradually appear on different parts of the body. These patches form when the immune system mistakenly attacks and destroys melanocytes — the cells responsible for producing melanin, the pigment that gives your skin its color. When this happens in areas with hair, the hair may also turn white or silver.Who does vitiligo affect?Vitiligo can affect anyone, regardless of age, sex, or ethnicity, although it’s more noticeable in people with darker skin. Most people notice the first signs — small light patches or macules — before they turn 30.Certain autoimmune conditions can increase your risk of developing vitiligo, such as:•Addison’s disease•Anemia•Type 1 diabetes•Lupus•Psoriasis•Rheumatoid arthritis•Thyroid disordersSymptoms of vitiligoVitiligo typically starts as a pale patch that may gradually turn completely white. Sometimes, the center of the patch is white, surrounded by a lighter-toned border. If blood vessels are visible underneath, the area might appear pink instead.Commonly affected areas include:•Around the mouth and eyes•Fingers and wrists•Armpits and groin•Genitals•Inside the mouth•The scalp or anywhere with hair folliclesThe edges of the patches might be smooth or uneven, and in some cases, they may look red, inflamed, or show a brownish tint (known as hyperpigmentation). Although the patches usually don’t cause any discomfort or dryness, they may occasionally feel itchy.The extent of skin involvement differs from person to person. Some develop only a few small spots, while others experience larger patches that may merge over time. Unfortunately, there’s no way to predict how the condition will progress, and the patches are usually permanent.TriggersSeveral factors may trigger or worsen vitiligo, including:•High-stress events like childbirth•Skin trauma such as cuts or severe sunburn (known as the Koebner phenomenon)•Hormonal shifts like those during puberty•Liver or kidney issues•Exposure to certain chemicalsImportantly, vitiligo is not contagious and cannot be passed from person to person.How is vitiligo treated?Vitiligo is a cosmetic condition and does not harm your physical health, so treatment isn't medically required. However, if it affects your emotional well-being or self-esteem, there are options available to even out your skin tone — either by restoring pigment (repigmentation) or removing the remaining pigment (depigmentation).Treatment options include:•Medications•Light (phototherapy) treatment•Depigmentation therapies•Surgical procedures•Psychological counselingWhat can I expect if I have vitiligo?Living with vitiligo can be emotionally challenging due to changes in appearance. It's not unusual to feel self-conscious or anxious in social settings. Many people benefit from speaking with a mental health professional to build confidence and cope with the emotional effects.While there’s no known cure, effective treatments are available. Our healthcare provider can help you find the right approach based on your skin type and personal preferences.
What is orthostatic hypotension?
14 July 2025
Orthostatic hypotension is a sudden drop in blood pressure when getting up from a sitting or lying position. This can cause dizziness or even fainting.What is blood pressure?Blood pressure shows how much force the blood exerts on the walls of the arteries when the heart is working. It is measured by two indicators in millimeters of mercury (mmHg):•Systolic pressure – when the heart contracts and pushes blood out.•Diastolic pressure – when the heart rests between beats.Blood pressure is recorded as systolic/diastolic. Normal blood pressure is below 120/80 mmHg , and blood pressure below 90/60 mmHg is considered low.Why does orthostatic hypotension occur?When lying or sitting, blood easily returns to the heart. When standing up, blood pools in the legs, and there is less for the heart and brain – blood pressure temporarily drops. Possible causes:•Weak heart contractility•Dysfunction of the autonomic nervous system•Diseases such as Parkinson's or Lewy body dementia•Prolonged bed rest•Blood or fluid loss•Adrenal gland problems•Medication side effectsWhat are the symptoms?Symptoms usually worsen in the morning when blood pressure is at its lowest. Some people have no symptoms, while others find them worse in hot weather, with fever, or after a hot shower.The main symptom is dizziness or weakness when standing up, which resolves when sitting or lying down.Other possible signs include:•Fainting•Blurred vision•Fatigue, weakness•Chest, neck, or shoulder pain•Difficulty concentrating•Headaches•Rapid heartbeat•Nausea, sweating•Shortness of breathHow is it diagnosed?A doctor will measure your blood pressure while lying down, sitting, and standing. They may also order:•Blood tests (e.g., for anemia or diabetes)•ECG – to assess heart rhythm•EchoCG – to check how the heart works•Stress test•Holter monitoring•Tilt table testWhat are the possible complications?Orthostatic hypotension can lead to:•Falls, fractures, concussions•Post-meal hypotension (especially after carbohydrate-rich meals)•Lower blood pressure when lying down•Stroke or heart disease due to blood pressure fluctuations•Organ damage if blood pressure remains lowWhat to expect?The condition is usually manageable. Simple measures, such as getting out of bed more slowly, help. Serious complications are rare.Can orthostatic hypotension be cured?There is no complete cure, but symptoms can be alleviated by following a doctor's recommendations:•Taking medications•Increasing fluid intake•Eating small, frequent meals•Wearing compression stockingsHow to reduce the risk?•Avoid very hot showers and baths•Drink enough water, limit alcohol, do not overeat•Sleep with your head elevated•Get up slowly, especially in the mornings•Do light exercises – squeeze a ball, march in place•Use compression garments (stockings, belts)If you notice signs of orthostatic hypotension, do not delay visiting a specialist. Timely diagnosis and treatment will help avoid complications and improve your quality of life. At Dalimed Medical Center, you can receive qualified assistance and undergo all necessary examinations under the supervision of experienced doctors.
How to Lower Cholesterol?
11 July 2025
Lowering cholesterol levels requires a comprehensive approach that includes both lifestyle changes and, in some cases, medication.Lifestyle Changes1.Heart-Healthy Diet. Diet plays a key role in cholesterol control. Doctors recommend eliminating trans fats and limiting saturated fat intake. It is also important to monitor calorie intake to avoid weight gain. The emphasis is on a varied and nutritious diet—fruits, vegetables, whole grains, and lean proteins.2.Maintaining a Healthy Weight. Excess weight is one factor that increases LDL (bad cholesterol) and lowers HDL (good cholesterol). This is especially relevant for people with metabolic syndrome—a set of conditions that increase the risk of cardiovascular disease.3.Physical Activity. Regular exercise helps lower triglycerides and LDL, while simultaneously raising HDL. The appropriate level of activity should be discussed with your doctor, especially if you have not exercised before.4.Stress Reduction. Constant psycho-emotional stress can negatively affect cholesterol balance, increasing LDL and lowering HDL. Stress management methods—from meditation to walks—can be helpful.5.Quitting Smoking. By quitting smoking, you can increase your HDL levels, which helps remove LDL from the body. This is one of the most effective steps toward improving cardiovascular health.6.Quality Sleep. 7 to 9 hours of sleep each night also affects cholesterol levels. Lack of sleep can contribute to its increase.Medication TherapyWhen lifestyle changes are not enough, doctors may prescribe cholesterol-lowering medications. There are different types of such medications, each with its own mechanism of action and possible side effects. It is important to choose the right medication in consultation with your doctor. However, even when taking medication, it is important to continue to follow a healthy lifestyle—diet, physical activity, and avoiding bad habits remain important.Additional Treatments1.Lipoprotein Apheresis. Some patients with hereditary hypercholesterolemia (FH) may require an apheresis procedure. Using special equipment, LDL is removed from the blood, after which the rest of the blood is returned to the body.2.Dietary Supplements. Many supplements are available on the market that promise to lower cholesterol. However, not all of them have proven their effectiveness. Here's what the research base shows:•Plant stanols and sterols, especially when taken with food, can lower cholesterol levels.•Soy products may have a slight positive effect. However, soy products are more effective than supplements.•Whole flaxseed and flax lignans help lower cholesterol, but flaxseed oil does not.•Garlic supplements may slightly lower cholesterol, but their effect is significantly weaker than that of medications.Always consult your doctor before taking any supplements. Some of them may cause side effects or interact with medications.
Summer and Children
11 July 2025
Summer is a wonderful time to be outside all day, running, playing, and having an incredibly fun time, but with all that, the risk of developing heatstroke, burns, and dehydration is high. Therefore, it is important to know the simple rules for sun protection:•Try to stay indoors at midday to avoid the sun's strong and harmful rays (specifically between 10:00 AM and 4:00 PM), or hide in shady places (under a tree, an umbrella, or in a tent).•Dress children in long-sleeved, cotton, loose-fitting clothes to protect exposed areas of their body.•Buy a wide-brimmed hat to cover the head, neck, and ears. This is especially important for toddlers with short hair.•Older children can wear sunglasses that will protect their eyes from the sun's UV rays (when buying, pay attention to the percentage: 97-100% UV protection).•Do not forget to use sunscreen (at least 15 SPF), applying it 30 minutes before going outside and reapplying every 2 hours.By the way, before applying the cream completely, it is important to do a patch test on a small area of the skin to check for an allergic reaction. Also, before buying a sunscreen, pay attention to the ingredients. It is desirable that it does not contain oxybenzone. The American Academy of Pediatrics does not recommend using sunscreen for children under 6 months old, but if sun exposure is unavoidable, apply a thin layer with zinc oxide or titanium dioxide.However, even slight carelessness can lead to sunburn. The first signs of a burn often appear 6-12 hours after being in the sun. A mild burn does not require special hospital treatment; this refers to localized redness, warmth, or pain on the skin. In such a case, it is important to:•Offer plenty of fluids to avoid dehydration.•Bathe only with lukewarm water.•Give the child some pain reliever (paracetamol or ibuprofen; follow the age and weight-appropriate dosage indicated in the leaflet).•Avoid various lotions and creams intended for adults, and consult a pediatrician before use.•Avoid the sun until the burned skin has healed.•Remain under the supervision of a pediatrician.In case of a more severe burn (blistering, fever, chills, headache, weakness), contact a pediatrician immediately or go to the nearest children's hospital.
Jaundice in Newborns
10 July 2025
It’s one of the first things new parents might notice after birth — a yellowish tint to their baby’s skin or eyes. This condition, known as jaundice, is extremely common in newborns. In fact, it affects up to 60% of full-term babies and as many as 80% of preterm infants in the first week of life.While it’s usually harmless and temporary, understanding why jaundice happens — and when it might signal a more serious issue — is important for every parent.What Is Jaundice and Why Does It Happen?Jaundice in newborns occurs when there’s too much bilirubin in the baby’s blood — a condition called hyperbilirubinemia. Bilirubin is a yellow pigment produced during the normal breakdown of red blood cells.Before birth, the mother's liver does all the work of removing bilirubin for the baby. But after birth, that job shifts to the baby’s own liver — which may not be fully developed yet. If the liver can’t filter out bilirubin quickly enough, the substance starts to build up in the baby’s body, giving their skin and eyes a yellow hue.This yellowing typically starts on the face and can spread to the chest, abdomen, arms, and legs as bilirubin levels rise. It’s easiest to spot in natural light, and in babies with darker skin, it may be more noticeable in the whites of the eyes or under the tongue.Types of Newborn JaundiceNot all jaundice is the same. There are several types, each with different causes and timeframes:1.Physiological Jaundice. This is the most common type and occurs in nearly all newborns to some extent. It usually appears within 2 to 3 days after birth and disappears on its own within one to two weeks. It’s a natural part of the baby’s adjustment to life outside the womb as their liver matures.2.Breastfeeding Jaundice. This can develop in the first week of life when a baby isn’t getting enough breast milk. It may be due to difficulties with latching, a delay in milk coming in, or infrequent feedings. Less feeding means fewer bowel movements — and that leads to slower elimination of bilirubin from the body.3.Breast Milk Jaundice. This is different from breastfeeding jaundice. It typically appears after the first week and can last for a month or longer. In this case, certain substances in the mother's milk may interfere with how the baby’s liver processes bilirubin. Although it sounds concerning, breast milk jaundice is usually harmless and doesn’t require stopping breastfeeding.4.Jaundice from Medical Conditions. In some rare cases, jaundice can be caused by underlying health problems, such as:•Blood type incompatibility between mother and baby•Bruising during birth (which increases red blood cell breakdown)•Infections like sepsis•Liver conditions, including biliary atresia•Low oxygen levels at birth•An excess of red blood cellsThese forms of jaundice are less common but more serious and require immediate medical attention.Symptoms to Watch ForThe most obvious sign is yellowing of the skin and eyes. But parents should also monitor for other warning signs that may indicate severe jaundice or related complications:•Bright yellow or orange-tinted skin•Excessive sleepiness or trouble waking for feeds•Baby is very fussy or difficult to calm•Poor feeding, whether at the breast or with a bottle•Not enough wet or dirty diapersIf jaundice seems to be getting worse after the first few days — or lasts longer than two weeks — it’s time to call your pediatrician.How Is Jaundice Treated?In most cases, no treatment is needed. As your baby’s liver matures and they begin feeding regularly, bilirubin levels naturally decrease. Frequent feedings — around 10 to 12 times a day — help stimulate more bowel movements, which remove bilirubin through the stool.However, if bilirubin levels are too high or rising quickly, your baby’s doctor may recommend phototherapy — a safe and effective treatment that uses special blue lights to help break down bilirubin in the skin.In rare, severe cases, where phototherapy isn’t enough, a treatment called an exchange transfusion may be necessary. This involves replacing a portion of the baby’s blood with donor blood to quickly reduce bilirubin levels. Fortunately, this is rarely needed with early monitoring and intervention.While jaundice in newborns can be unsettling for new parents, it’s important to know that it’s usually a normal part of development. Most cases resolve without complications, especially when babies are well-fed and monitored closely.Still, severe jaundice can pose serious risks, including brain damage if left untreated — so staying informed and knowing when to call your healthcare provider is essential.If you’re ever unsure, don’t hesitate to reach out to your pediatrician. When caught early, jaundice is almost always treatable and temporary.
Vitamin A Deficiency
07 July 2025
Vitamin A deficiency occurs when the body lacks this substance for normal functioning. This can lead to impaired vision and even blindness, as well as problems with the skin, heart, lungs, immune system, and body tissues. Vitamin A is important for vision, metabolism, and cell development. It is necessary for maintaining the health of the immune and reproductive systems. The body does not produce vitamin A on its own, so it must be obtained through food.How does vitamin A deficiency affect vision?Eyes need vitamin A to form the pigments necessary for proper retinal function. A deficiency leads to impaired night vision and dry cornea. This can cause corneal damage and ultimately lead to vision loss.What body systems suffer from a lack of vitamin A?•Vision: impaired pigment formation and eye lubrication.•Skin: dryness, itching, peeling.•Reproductive system: difficulties with conception, infertility.•Immunity: increased risk of respiratory infections.•Development in children: slowed growth and development.What signs can indicate vitamin A deficiency?One of the first symptoms is night blindness (nyctalopia): vision worsens in low light conditions, although it remains normal in good light.Why does vitamin A deficiency occur?Main reasons:1.Lack of vitamin in food (especially in developing countries).2.Liver dysfunctions – the main storage organ for vitamin A.3.Diseases that interfere with fat absorption, for example:•Chronic diarrhea.•Celiac disease.•Cystic fibrosis.•Pancreatic disorders.•Gallbladder diseases.•Zinc or iron deficiency.•Intestinal or stomach surgeries.•Alcohol abuse.How to diagnose vitamin A deficiency?A doctor will diagnose based on symptoms and a blood test for vitamin A levels.How to prevent vitamin A deficiency?The best way is a balanced diet that includes foods rich in vitamin A:•Green vegetables (spinach, broccoli).•Orange and yellow vegetables (carrots, pumpkin, sweet potatoes).•Fruits (mango, papaya, melon, oranges).•Liver, beef, chicken.•Fish (salmon).•Dairy products and eggs.•Fortified cereals and soy products with vitamin A.If necessary, vitamin A supplements can be taken.Timely checking of vitamin A levels through a blood test can prevent serious complications. We recommend undergoing an examination at one of the best medical centers – Dalimed, where you will be provided with accurate diagnostics and a professional approach.
Childhood Vaccinations in Armenia: Essential Guide for Parents
30 June 2025
Have you ever wondered why children receive so many vaccinations, and why the timing seems so precise? It's not random; it's a carefully crafted plan designed to give our little ones the best possible start in life. In Armenia, this crucial timeline is developed by our own National Centre for Disease Control (NCDC) and the Ministry of Health, closely following the expert guidance of the World Health Organization. Vaccinations aren't just a suggestion; they are a fundamental pillar of public health, essential for ensuring optimal immune response and timely protection for every child.How the Schedule is Determined?The specific ages at which vaccines are administered are far from arbitrary; they are determined by science and smart planning. Think of it as a strategic defense against diseases. Two primary factors guide this vital timeline:•Immune System Readiness: Imagine giving a tiny shield to a developing knight. Vaccines work most effectively when a child's immune system is ready to build strong, lasting defenses against specific threats. Administering a vaccine at just the right moment ensures maximum benefit.•Risk of Exposure: It's also about anticipating danger. Vaccine timing perfectly aligns with periods when children are most vulnerable to certain diseases, offering protection precisely when they need it most.How and Where Your Child Gets Vaccinated?Access to these life-saving immunizations is straightforward in Armenia. Vaccines are provided completely free of charge through local antenatal clinics and polyclinics, all conveniently based on residence registration.Routine visits, which combine check-ups and vaccinations, typically follow a clear pattern:•0–1 year: Expect to visit every two months for comprehensive check-ups and vital vaccinations.•1–6 years: Annual or semi-annual visits are common, especially as school entry vaccinations become due.Beyond the Basics: Optional and Seasonal VaccinesWhile the standard schedule covers critical protection, Armenian children may also benefit from additional vaccines:•Influenza vaccine: Recommended annually during flu season to bolster defenses against seasonal outbreaks.•HPV vaccine: Often available around age 13–14, with catch-up programs designed for older teens and young adults. This is a powerful tool in preventing certain cancers.•Travel or risk-based vaccines: Depending on family travel plans or specific risk factors, vaccines like hepatitis A or rabies might be recommended.Why Every Dose Counts?Let's recap why the vaccine schedule is so incredibly important for our children and our community:•Timing is critical: Every single vaccine is strategically scheduled to maximize immune protection, giving your child the best defense possible.•High coverage works: Armenia has done a remarkable job! Thanks to sustained efforts and widespread vaccination, serious childhood diseases are kept under control across the nation. This collective effort protects everyone.•The public is in the loop: With new electronic systems, parents can accurately follow the schedule, ensuring their children remain fully protected.If you ever find that your child has fallen behind on vaccinations, or if you're simply unsure about the timing, please don't hesitate! Consult your pediatrician or local clinic immediately. Catch-up doses are always a possibility —because protecting your child and the entire community truly starts with staying up to date.

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