СЛОВО ГЛАВНОГО РЕДАКТОРА
Наше издание является научно-практическим журналом, в котором публикуются основные научные результаты диссертаций на соискание ученой степени кандидата и/или доктора медицинских наук как нашего института, так и других лечебно-учебных медицинских учреждений, интересные случаи из практики, обзоры литературы, лекции и юбилейные статьи. Журнал выходит 4 раза в год, и каждый номер имеет не менее 80 страниц. Каждая поступающая статья принимается по требованиям, проходит строгий отбор и отдается для выпуска в номер только после рецензирования и обязательного редактирования.
У нас принято одностороннее слепое рецензирование. Рецензенты уделяют особое внимание содержанию статьи и проверке данных статистической обработки, их соответствие современным требованиям.Главный редактор журнала доктор медицинских наук Мухиддинов Н. Д.
REGIONAL PARTICULARITIES OF TRAUMATISM ТРАВМА¬ТИЗМА IN THE REPUBLIC OF TAJIKISTAN
SIRODZHOV K.H., TOLIBOV SH.M., ESHONOV I.E.
Analyzing results of the diagnostics and treatments 300 patients with polytrauma, is revealed specific particularities traumatism in Republics Tajikistan. Prevalence the low high¬speed highways and low floor at home lead less the heavy to damages of a skeleton and low relative density of lethal outcomes to the sharp period of a polytrauma, absence of the doctrine of rendering of primary medical aid at a pre-hospital stage, continuity with presence traumas of the centers 1st and 2nd level in most cases is the reason of high relative density of a traumatic shock, volume blood losses and others the vital infringements.
ENDOVIDEOSURGICAL TREATMENT OF ECHINOCOCCOSIS OF THE LIVER
GUL’MURADOV T.G., SANGOV D.S., NAZAROV F.N.
THE DEPARTMENT OF CARDIOVASCULAR AND RECONSTRUCTION SURGERY TIPGPM RSCSSH MPH RT
To conduct comparative assessment of the results videolaparoscopycal and traditional echi-nococcectomya of liver and improve the results of surgical treatment of echinococcosis of the liver using videolaparoscopycal technology analyzes the results of surgical treatment of 206 patients with echinococcosis of liver aged 15 to 64 years. 96 patients operated with the use of videolaparoscopycal technology (main group) and 110 – traditional way (control group). Indi¬cation for use videoendosurgical technology was the presence of uncomplicated echinococcosis cysts of the liver in zones good view, not lying deep into the parenchyma, with a diameter of 10 cm in the absence of signs of sepsis, and a breakthrough in the bile ducts. When diagnostic laparoscopy in 6 cases was detected intrahepatic localization cysts, Two patients detected adhe¬sions in subdiaphragmatic space,
INFLUENCE OF VAGINAL CANDIDIASIS IN PREGNANCY
NURMATOVA Z.I., NURMATOV. A. A., IBRAGIMOVAN.I.
Thus, genital candidiasis taped nearly every fourth pregnant, and half of these infections are asymptomatic. Candidiasis is a token of trouble in the body, and specific treatment of anti-fungal drugs he requires a full survey and address the root causes of immunodeficiency. Among the causative agents of genital candidiasis is dominated by c. Albicans, which show the greatest sensitivity to nistatino. In a large percentage of cases of candidiasis is combined with a bacterial infection, so when treating candidiasis in pregnancy it is advisable to use a combination of drugs that include Nystatin. Considering that pregnancy is a major predispos¬ing factor for the development of kandidoznogo vulvowaginita, a special problem is the treatment for this condition. The main requirement in this case is the safety of the treatment. According to various authors, when pregnancy has not been established.
Modern possibilities of diagnostics and surgical treatment of the acute cholecystitis at sick of the virus hepatitis “B” and “C”
Tagoybekov Z.S., Akhmedov S.M., Safarov B.D., Rasulov N.A.
It has been analyzed the results of complex diagnostic and surgical methods treatment of patients with acute calculus cholecystitis accompanied by virus hepatitis «В» and «С».
In depend from types of destructive acute cholecystitis and its complications there have been used a different type of chole- and hemostatic methods after cholecystectomy such as pnevmothermocoagulation and «Tachokomb» platelets.
QUANTITATIVE AND ENZYMOCHEMICAL ESTIMATION OF THE CREVICULAR LIQUID
MUKHAMEDOV SH.SH., ASHUROV G.G., KARIMOV S.M.
THERAPEUTICALLY DENTISTRY DEPARTMENT OF TAJIK INSTITUTE OF POST-GRADUATE EDUCATION OF MEDICAL STATE INTERNATIONAL ASSOCIATION STOMATOLOGISTS OF THE REPUBLIC OF TAJIKISTAN
Crevicular liquid, representing itself transudation fluid part of blood, contains the squirrel, presented albumin and globulin. There are uniform elements of blood, epitheliocity, microorganisms, ferments, products of tissues disintegration in the crevicular liquid. Under inflammatory disease of parodont process of transudation of mentioned liquid replaced to exudation. Enzymochemical aspect of crevicular liquid under prosthesis with using of metalceramic designs present actual. In presented article determined dynamic of matrix metalloproteinase which are significant for prosthetic’s gingivitis and capable to serve the marker of the condition of the fabric gums beside orthopedic patients. Organized analysis has revealed the type of matrix metalloproteinase, which is found
DYNAMICS IMMUNOLOGICAL INDICES IN PATIENTS OF CHRONIC GENERALIZED PERIODONTITIS DURING THERAPY WITH MELLINOL
AKHROROVA Z.K., KOMILOV F.M., NOSIROV A.F., FAYZOV K.S.
THE DEPARTMENT OF ORTHOPEDIC STOMATOLOGY TIPGPMP
With the purpose of correction of immunological changes in dental patients has been studied the influence of the drug mellinol in the treatment of generalized periodontitis in 32 patients with chronic viral hepatitis b and C. The results obtained show that in the group of patients with chronic viral hepatitis b and C using the drug significantly increased rates of T-lymphocyte subpopula¬tions of T-helpers, a marked increase the number of B-lymphocytes and natural killer cells, and increased the number of cells expressing a chain of the IL-2 receptor and receptor to transferrin that shows a marked improvement periodontal status among the surveyed population. Initially reduced rates of T-lymphocytes and T-helpers, expression markers of activation, as a manifestation of immune dysfunction in patients with chronic viral hepatitis b and C, during the therapy with mellinol significantly
THE ROLE AND PLACE IN THE STRUCTURE OF MORBIDITY OF RESPIRATORY DISEASES AND DYNAMICS OF MORBIDITY FROM CHRONIC BRONCHITIS AND ASTHMA FOR 2002 -2010 YEARS FOR EXAMPLE TURSUNZODA, FAIZABAD AND SARBAND AREAS IN TAJIKISTAN
YAKUBOV M.R., MURADOVA.M., KHAMROKULOV A.A.
THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY TIPGPMP
The article presents the analysis of population morbidity chronic bronchitis and asthma for the period from 2002 to 2010, on the examples of Tursunzade, Sarband and Faizabad districts of the Republic of Tajikistan. The results of these studies suggest that respiratory diseases occupy the first rank place of uptake of the adult population for medical help. In the dynamics of increase in incidence of respiratory diseases for 6 years has decreased by 24%. For the period from 2002 to 2010, the proportion of hospitalized children under 14 years of age increased from 26% to 67% of the total number of cases of appeals regarding the pneumonia. Despite declining in-hospital mortality of children under 14 years of age, they exceed 2 times mortality among the adult population. Levels of primary and total prevalence of chronic bronchitis in the Republic for 11 years grew 1.3 and 3 times respectively.
THE HEMODYNAMIC CONDITION OF THE SYSTEMIC CIRCULATION IN PATIENTS WITH BILIARY TRACT DISORDERS
KOSIMOVZ .K., KHOMIDOVJ.B., MAHMUDOVS.A., NAIMOVA.H., MAHMADIEROVS.I.
112 patients with biliary tract disorders have studied hemodynamic circulation. The changes of hemodynamic severity of which was dependent on the severity of choledocholithiasis, cholehemia and toxemia
TRIOIN’S EFFECT ON CARDIOVASCULAR SYSTEM (EXPERIMENTAL WORK)
THE DEPARTMENT OF CARDIOLOGY WITH THE COURSE OF CLINICAL PHARMACOLOGY TIPGPMP
The article presents results of studies on the action of a solution trionini on the cardiovas¬cular system. Work is based on the experiment on animals: 20 white rats weighing 200-220 g, cats weight from 3 to 4 kg under uretan anesthesia. Impact trionini on blood pressure were also studied in healthy intact rabbits and rabbits with experimental caused by atherosclerosis. There were 86 series of experiments conducted more than 150 biochemical, 25 haematological analy-ses, prepared 40 drugs from the internal organs of the experimental and control series animals. Heart rate became less 20-22%, the amplitude of the pulse wave increased respiratory activity remained unchanged. There has been little increase of pulse wave and slowing the pace of car¬diac function at 8-10%. In rabbits with atherosclerosis latent phase actions trionini reached 26 seconds, in healthy animals, it was 3-5 sec., that can
THE DEPENDENCE OF THE INDICES OF CENTRAL HEMODYNAMICS AND SYNDROME OF ENDOGENOUS INTOXICATION FROM ABDOMINAL PRESSURE IN TERMINAL STAGE OF PERITONITIS
MURADOV A.M., AKILOV KH.D., SHUMILINA O.V., KAKHAROV M.A.
THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY OF TIPGPMP
THE DEPARTMENT OF ANESTHESIOLOGY AND REANIMATOLOGY TIPGPMP
THE DEPARTMENT OF SURGERY WITH COURSE OF TOPOGRAPHIC ANATOMY KHD TIPGPMP
Increasingly important for evaluation of the patient, forecasting the severity of the disease and treatment outcomes acquires indicator of intra-abdominal pressure, which affects all organs and body systems, including the cardiovascular system, manifested by inhibition of the indices of Central hemodynamics. The article presents the results of monitoring of the parameters of Central hemodynamics 24 patients in the terminal stage of peritonitis in the preoperative period and at different times after the surgery. In parallel was monometry intra-abdominal pressure. Clinical observations have shown that an increase intraperitoneal pressure to levels I and II degrees has an identical effect on the indices of Central hemodynamics. Among