Preventive medicine ≠ prophylactic. This is a fundamentally new ideology of medical practice based on high technologies. The main idea of ​​preventive and prophylactic medicine is not

Preventive medicine ≠ prophylactic. This is a fundamentally new ideology of medical practice based on high technologies.

The basic idea of ​​preventive and prophylactic medicine is not new, back in the 15th century N. Machiavelli wrote: “A serious illness is easy to cure at first, but difficult to recognize. When it has intensified, it is easier to recognize it, but it is already more difficult to cure.

The key points that distinguish preventive medicine from preventive medicine are the following:

• preventive medicine is the identification of changes that can lead to diseases and the adoption targeted measures, aimed at preventing diseases and leading to an improvement in the health status of an individual (personalized preventive medicine) or a specific population (public).
• The main component of preventive medicine is the detection of diseases in groups of people at an early stage. At the same time, it should be understood that those stages at which most diseases can be diagnosed (secondary prevention), using available methods such as laboratory tests, x-rays, ultrasound, etc. actually are not early! At best, it is possible to diagnose them at the preclinical stages (when there are no symptoms yet).
• preventive medicine is not personalized in principle, that is, recommendations for preventing the development (primary prevention) or progression of diseases are the same for everyone (physical education and sports, proper nutrition).

Preventive medicine, thanks to modern technologies, makes it possible to foresee the very possibility of developing a particular disease in a certain person and take appropriate actions for him, aimed at preventing the development of this disease.

Thus, preventive medicine is a fundamentally new ideology of medical practice, developed on the basis of revolutionary discoveries in the field of molecular genetics, molecular biology, biostatistics, and bioengineering.

Preventive medicine is an opportunity not only to identify diseases at the preclinical stage, but also to predict predisposition to them based on genome analysis. And, therefore, this is the possibility of specific actions to prevent the very development of diseases, actions that are effective for each individual person. Now the doctor can give the patient specific recommendations on which foods, vitamins or spa procedures are harmful to him, and which ones are useful and why; What type of exercise should be prioritized?After all, it turned out that many products traditionally considered useful for people with certain features of the work of enzyme systems are very harmful, and generally accepted types of training are ineffective. And in the end, the doctor has the opportunity to reasonably explain to the patient, why it is critical to quit a bad habit for it. Thus, preventive medicine makes non-drug treatment much more efficient.

When it comes to really early diagnosis of diseases with the help of biomarkers, the approach of preventive medicine allows drug treatment not only more efficient, but also more secure. The sad truth about modern drug treatment is that, firstly, as a rule, effective drugs, have pronounced side effects, and secondly, they are in principle indefinitely from all (when testing drugs, Number Needed to Treat is used – this The number of people you need to treat to one (!) helped, this indicator at best (!) is 1: 5-1: 10). Modern technologies are developing along the path of creating targeted therapy (target – goal), acting selectively and point.

The use of a preventive approach is key in all medical directions of MC "fabric", including gynecological and reproductive. Start take care of your health while it's a lot!