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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.
THE MAIN REASONS, TERMS OF ENTRANCE AND ACCOMPANY PATHOLOGY OF PATIENTS WITH STROKE ON THE EXAMPLE OF DEPARTMENT OF REANIMATION OF A CITY SCIENTIFIC CENTER OF REANIMATION AND DETOXIFICATION AND SUGHD REGIONAL HOSPITAL
Aim. Analysis of results of the main causes, risk factors, period of receipt and accompanying pathology in patients with acute infringement of cerebrovascular circulation of the blood admitted to the reanimation department of a city scientific center of reanimation and detoxification in Dushanbe and Sughd Regional Hospital in 2012-2014.
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, in 2 cases visualize echinococcosis cysts failed. To substantiate the high efficiency and minimal invasiveness of laparoscopic technology in comparison with traditional echinococcectomya of the liver. Thanks to the use of videolaparoscopycal technol¬ogies, elimination of the biliary fistula, ultrasonic cavitation and omentoplastic residual cavity cysts, significantly decreased the frequency of postoperative complications, reduced the period of inpatient treatment, decreased cost of surgical treatment.
Influences of age on expressed and frequency of separate components of metabolic syndrome at the patients with podagra
Age dimorphism hypertriglyceridemia at the patients with podagra proved to be true also by presence of return correlation relation between a level of whey triglyceridemias and age on the moment of inspection. The frequency of revealing of the increased meaning of AP, on the contrary, has increased with age. It proved to be true also by presence of direct correlation dependence between age and absolute meanings systolic and diastolic of AP. Naturally, that the duration of disease was progressively increased with age of the surveyed patients. Nevertheless, the patients were younger, the in earlier age debuted podagra.
МИЛДРОНАТ® В КОМПЛЕКСНОЙ ТЕРАПИИ ИШЕМИЧЕСКОЙ БОЛЕЗНИ СЕРДЦА В УСЛОВИЯХ ВЫСОТНОЙ ГИПОКСИИ
* RAKHIMOV Z.YA., **KUDRATBEKOVA., * NARZULLAYEVA A.R.
**CARDIOLOGISTS ASSOCIATION OF THE REPUBLIC OF TAJIKISTAN
*DEPARTMENT OF CARDIOLOGY WITH THE COURSE OF CLINICAL PHARMACOLOGY TIPGPMP
The article is devoted to the study of the use of Meldrony in 30 patients with chronic coronary heart disease, stable angina of II-III class combined with arterial hypertension of II degree with high and very high risk of cardiovascular complications in conditions, Midlands Gorno-Badakhshan Autonomous region of Tajikistan. Among the examined patients on the background of the drug Meldrony in a daily dose of 1000 mg, showed a significant improvement cardiohaemodynamic indicators. Simultaneously, a decrease of the average frequency of angina attacks a day with 2,77±0,26 to 1,52±0,17. Also noted a decrease of the daily quantity of consumed nitroglycerin from 2,4 to±0,23 to 1,4±0,16 and significant increase of tolerance to physical activity detected test 6-minute walk from 388±33 m up to 512±39 m Significantly increased the degree of shortening the anterior-posterior size of the left ventricle and the speed of the circular of the shortening of the fibres infarction. Examine the safety and efficacy of the use of Meldrony patients with stenocardia voltage conditions, Midlands Pamir confirmed distinct antianginal its properties.
Used folic acid inpregnant women for profiluctic opinc bifide in pructice family doctors
Mirzoeva Z.A., Okilova M.N., Pulatova S.S.
The author showed that, in line with current literature, pregnant women should not be advised to keep a diet. All women with a desire to become pregnant should be advised to use folic acid. Women who previously gave birth to a child with a neural tube defect should be offered consultation before pregnancy and should be advised to use 4 mg of folic acid per day.
Operation of emergency medical services and evaluation of its effectiveness in diverse countries around the world
Muminov B.G., Akhmedov A.A.
Choosing a model service organization depend on many factors. In the developed countries to the fore the economic aspects. In this connection, he prefers low-cost paramedical teams. In Russia and CIS countries in the Republic of Tajikistan to doctors there is no single approach. It would be expedient to adopt organizational commitment in the choice of the ratio of different teams (specialized, linear, BIT, paramedical and paramedical teams), in favor of teams BIT, paramedical and paramedical teams.
X-ray estimation to alveolar bone in patients with chronic diseases organ and systems
Ashurov G.G., Ismoilov A.A.
On the grounds of X-ray examination patients with diseases of the gastrointestinal tract (25), endocrine (27) and cardiovascular (26) pathology is installed risk of the development osteoporosis of the alveolar offshoot and is forecasted development actively progressing resorbtion of the bone fabrics. Amongst patients with presence raised mineral sediment in year, 18 months and 3 accordingly in 85,7% , 81,6% and 79,5% events X-ray’s were not noted reduction of the height interdentally alveolar partition. For similar period of the observation beside persons without surplus sediment calcium on peripheries of the alveolar offshoot importance reduction of the height interdentally alveolar partition corresponded to 74,3%, 69,2% and 61,7%.
Bioelectric activity of brain and nervous-mental status of the liquidators of the Chernobyl accident in the remote.
Aliyev Z.D., Odinaev Sh.F., Odinaev F.I., Mehmonov P.H.
A study of bioelectric activity brain (for 100 people) of neuropsychological status (1464) persons involved in the accident and its effects on Chernobyl showed reduction bioelectric activity of brain dysfunction-median structures of the brain by patofiziologičeskih developments intensity of metabolic processes in the brain. Radiative forcing in remote time significantly affect the functional status of the nervous system and in structure of morbidity in place leading liquidators asteno-neurotic condition, neurocirculatory dystonia and discirculatory encephalopathy.
THE NATURE OF THE PAIN SYNDROME IN PATIENTS WITH ADVANCED STAGES OF MALIGNANT NEOPLASMS MAXILLOFACIAL AND EFFICIENCY TRADITIONAL PAIN THERAPY
GAFAROV H.O., SHAKIROV M.N., MIRZOEV M.SH.
THE DEPARTMENT OF MAXILLOFACIAL SURGERY WITH CHILDREN STOMATOLOGY OF TIPGPMP
Questionnaire of 108 patients with advanced stages of malignant tumors of maxillo-facial region studied the nature of the chronic pain syndrome and assessing the effectiveness of traditional pain therapy. The 58,3% of the observed diagnosed with advanced stage cancer of mucous membranes of the oral cavity, 23.1% of installed cancer of mucous membrane of the maxillary sinus, a 3.7% identified advanced stage of osteosarcoma jaws. The 3rd and the 4th stage of malignant process revealed respectively of 17.6% and 82.5% of the observed. Among patients with the character of the pain syndrome and effectiveness of the analgetic therapy were studied by the method of questioning on the specially prepared questionnaire. Study of the dynamics of pain syndrome showed that the pain intensified after their first appearance during the first 3 months of 20,3% of patients during 3-6 months – 37,0%in 6-12 months in 25,9%, later than 1 year – 16,6% of patients. Analysis of the nature of pain showed that 37.9% of persons they are «Ripper» character, 27.7% of «capturing», 23.1% of the «hot», 6,5% – «breaking», 4.6% – «whining». It is established that the pain syndrome in this category of patients is often neuropathic development mechanism, which explains the lack of effectiveness of pain therapy using drugs. The findings suggest the need for further improvement of the well-known methods and search for new, more effective methods of reduction of chronic pain syndrome in this category of patients.
INFLUENCE ADIPOSITY AT WOMEN ON AN OUTCOME OF PREGNANCY AND SORTS
Nurmatov A.A., Nurmatova Z.I., Ibragimova N.I., Rakhimov of MM.
Thus, the adiposity, which frequency has an authentic tendency to increase, is a negative background for development of pregnancy and a current of sorts. The complications specified in work authentically are is more often noted at a combination of adiposity to others others disease by diseases. Hence, women with adiposity should be carried to group of risk of development of complications during pregnancy, in sorts and perinatal disease. Frequency of complications of pregnancy and perinatal outcomes are defined by presence and degree of expressiveness НЖО (infringement of a fatty exchange), increase proportion-ally to increase of degree of adiposity. The further researches will allow to win the answer contract the arisen questions and to optimize tactics of conducting pregnancy and sorts at women with adiposity.