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What is rheumatism? Rheumatism, or more correctly, acute rheumatic fever, is an inflammatory disease of the connective tissue that occurs after tonsillitis and pharyngitis caused by group A beta-hemolytic streptococcus. Children are at risk for this disease, who often get sick with angina. The risk of developing the disease in adults is relatively lower. That is, this bacterium disrupts our immune mechanisms, leads to autoimmune inflammation, as a result of which our immune system shows an aggressive response to our own tissues. The joints, heart, as well as the skin, nervous system, kidneys, blood vessels, respiratory system, gastrointestinal system, etc. are most often affected. The occurrence of rheumatism is characterized by a benign course, lasts about 2-3 weeks and passes independently or against the background of weak anti-inflammatory drugs, without causing joint deformation. We distinguish chronic rheumatic disease, which is already a heart disease, it occurs after a severe acute rheumatic fever and leads mainly to damage to the heart valve apparatus. Therefore, most of the causes of the development of heart valve defects are acute rheumatic fever in childhood. Among the developing heart defects are mitral stenosis, mitral valve insufficiency, aortic valve insufficiency, etc. Early diagnosis of defects is very important, as this can lead to the development of heart failure. Based on the complications that arise, rheumatism is more a heart disease than a joint disease. Therefore, stable, long-term, deforming arthritis in adulthood is unlikely to be due to rheumatism, so you should consult a rheumatologist for diagnosis and treatment. Prevention of rheumatism: As with any disease, in this case, it is naturally more correct to prevent the development of the disease - prophylaxis. Prevention in rheumatism is primary and secondary. Primary prevention is aimed at increasing the resistance of the immune system. These include: full nutrition with vitamins and proteins, physical activity, frequent ventilation in closed collectives, vaccination against seasonal flu. Secondary prevention includes, especially in children, early diagnosis of angina, tonsillitis, pharyngitis, and treatment with antibiotics. Treatment of rheumatism: Group A beta-hemolytic streptococcus is especially sensitive to penicillin antibiotics. However, due to various circumstances (the SARS-Cov 2 pandemic, the unjustified use of antibiotics during respiratory viral infections, etc.), unfortunately, antibiotic resistance has developed, which complicates the treatment of streptococcal infections. Bicillin prophylaxis is also important in patients who have had acute rheumatic attacks in their anamnesis. Bicillin prophylaxis prevents the development of heart defects, and if the heart valves have already been affected, the patient must receive bicillin injections throughout his life. For the correct diagnosis and effective treatment of rheumatic diseases, it is important to contact an experienced specialist. Leading specialists who work at the Dalimed Medical Center, will help prevent the development of the disease.

Myopia is a visual impairment in which close objects are clearly visible, while distant objects are blurry. It is one of the most common problems today, especially among children and adolescents.Causes of myopia Myopia usually occurs when the eyeball is too long or the cornea is too curved. As a result, the light that enters the eye does not focus directly on the retina, but in front of it. As a result, the field of view becomes blurry. Genetics plays a big role. If one or both parents are myopic, the child is more likely to be. However, there is another important reason today: the excessive use of modern technology and screens. Children and adults spend a lot of time in front of phones, computers and tablets, which leads to strain on the eye muscles and, ultimately, the development of myopia. Symptoms of myopia The main symptom of myopia is blurred vision of distant objects. However, there are other signs: •Headache, especially after prolonged reading or staring at a screen •Eye fatigue or worsening pain •Frequent need to squint to see better •Difficulty with night vision If you experience these symptoms, it is important to see an eye doctor as soon as possible for a proper diagnosis. Treatment of myopia The most common treatment for myopia is optical devices, such as glasses or contact lenses. They change the direction of light so that it focuses directly on the retina. There are also modern surgical options, such as laser vision correction (LASIK, PRK, etc.), which permanently change the shape of the cornea. In recent years, orthokeratology, the use of night lenses that temporarily change the shape of the cornea to improve vision without having to wear lenses or glasses during the day, has also become popular. Prevention of myopia Although genetics cannot be changed, some precautionary steps can slow or reduce the development of myopia: •Be sure to rest your eyes every 20-30 minutes after spending a long time in front of screens •Work or read with effective lighting •Spend more time outdoors, as natural sunlight promotes eye health •Get an eye exam at least once a year for early detection Myopia is a widespread problem, but also a well-controlled one. Timely diagnosis, the right choice of treatments and preventive actions can significantly improve the quality of life and prevent complications.

What is liver ultrasound? A liver ultrasound is a simple, non-invasive imaging test that helps doctors get a clear look at your liver. It’s commonly used to screen for liver conditions, detect abnormalities like lesions, monitor chronic liver disease, or check how well your treatment is working. In some cases, the ultrasound alone can confirm or rule out a diagnosis. In others, it may guide the need for further testing. Why would a doctor order a liver ultrasound? Your healthcare provider may recommend a liver ultrasound for a variety of reasons, such as: •You have symptoms of liver disease, like abdominal pain or jaundice (yellowing of the skin and eyes). •Other tests, like liver function tests, show unusual results. •You’ve already been diagnosed with a liver condition, and your doctor needs to determine the disease stage. •Your doctor wants to evaluate how well your liver treatment is working. This scan can reveal important clues—such as fat deposits, scarring, unusual growths, inflammation, and swelling—that may affect your liver’s function. Liver ultrasound results The insights you get from a liver ultrasound depend on the specific type of scan used, but all types aim to show whether your liver is healthy or if something is wrong. Normal liver ultrasound results: •The liver has a typical size, shape, and a consistent gray color. •Its surface appears smooth, without any unusual bumps or bulges. •The bile ducts and blood vessels look normal and are not enlarged. Abnormal liver ultrasound results: •The liver may appear larger or smaller than normal. •It might look too dark or too light on the scan. •The surface may appear uneven, indicating potential damage or scarring. •If elastography is used, the scan can show signs of fibrosis (scarring) or fat buildup, suggesting moderate to advanced liver disease. Why do I need a liver ultrasound? If you have any signs that something might be wrong with your liver, an ultrasound is a helpful tool to diagnose what’s going on. It gives your doctor a clearer picture of your liver’s condition and can help determine whether you need treatment—or if your current treatment plan should be adjusted. It's an essential step in both early detection and ongoing care for liver conditions. At Dalimed Medical Center, we offer high-quality liver ultrasound exams using modern imaging equipment and experienced specialists. Our goal is to provide accurate, comfortable diagnostics that help you take control of your liver health.

What is pregnancy Ultrasound? Ultrasound is a safe, non-invasive imaging method used throughout pregnancy to monitor the health and development of the fetus. It’s a test that uses sound waves to create images of your baby in the womb. It helps check fetal growth, position, and health. Why do I need an ultrasound? Your provider may recommend ultrasound to: •Confirm pregnancy. •Estimate due date and fetal age. •Check for twins or more. •Monitor fetal movement and heartbeat •Detect birth defects. •Measure amniotic fluid levels. When is pregnancy ultrasound done? Most providers recommend a detailed anatomy scan around 20 weeks of pregnancy. This mid-pregnancy ultrasound checks the fetus’s organs, spine, limbs, and overall development. It also helps verify the position of the placenta and the amount of amniotic fluid. During this scan, the biological sex of the fetus can often be seen. Will I need more than one pregnancy ultrasound? Yes, if there are concerns such as abnormal growth or fluid levels. High-risk pregnancies often need more frequent scans. What’s the difference between 2D, 3D, and 4D ultrasounds? •2D ultrasound: Standard, flat images to view organs and structures. •3D ultrasound: Shows surface features like the face. •4D ultrasound: 3D in motion—used occasionally to spot facial or skeletal concerns. Is pregnancy ultrasound safe? Yes. Ultrasounds use no radiation and are safe when performed by trained professionals. Can ultrasounds detect all birth defects? While ultrasounds are highly effective in detecting many structural abnormalities, they cannot identify all genetic or functional conditions. Depending on findings, your provider might recommend further testing, such as blood tests, amniocentesis, or fetal MRI. Where can I get a high-quality pregnancy ultrasound? At “Dalimed” Medical Center, we provide expert ultrasound services using the Canon Aplio 450, a modern scanner known for sharp, detailed imaging. Our skilled team ensures accurate, comfortable care during every visit.