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.
PATHOLOGICAL CHANGES IN THE PERIMENOPAUSAL PERIOD AND THEIR INFLUENCE ON THE FORMATION OF HYPERTENSION AND CORONARY HEART DISEASE IN WOMEN
NARZULLAEVA A.R., RAKHIMOV Z.Y., MURADOV A.M., ROFIEVA KH.SH.
DEPARTMENT OF CARDIOLOGY WITH A COURSE OF CLINICAL PHARMACOLOGY OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN)
The review describes the issues of influence reduce levels of sex hormones on the cardiovascular system and contribute to the development of climacteric hypertension and coronary heart disease in the perimenopausal period. Proved that the perimenopausal period is an additional risk factor for cardiovascular disease in women due to lower cardioprotective effects of estrogen. At the same time noted that the appearance of pronounced climacteric syndrome revealed deeper changes in the cardiovascular system , namely, left ventricular hypertrophy , metabolic changes , both on the carbohydrate and lipid metabolism by more malignant for hypertension and coronary artery disease.
Preventive maintenance and therapy of shortage of iron in an organism at pregnancy
Nurmatova Z.I., Nurmatov A.A., N.I. Ibragimov
Thus, the preparation of folic acid (folacini) can be recommended for wide application in practical public health services in female consultations, maternity hospitals for treatment of anemia’s at pregnant women and women in childbirth in the postnatal period, especially at transferred blood in тhe use and early postnatal the periods or at a Cesarean section. The given preparation is safe; simple in also does not demand additional service (the pregnant woman can easy accept itself).
It is not necessary to stop treatment by preparations of iron after normalization of level of hemoglobin and the maintenance earitrocitis in an organism. Normalization of level of hemoglobin in an organism does not mean restoration of stocks of iron in it. For this purpose experts the CART recommend after 2-3 the monthly treatments and liquidation hematology a picture of an anemia not to stop therapy carrying out, and only to reduce twice a dose of a preparation which was used for treatment against an anemia anemias. Such course of treatment proceeds within 3 months. Even having restored completely iron stocks in an organism expediently during half a year to accept small doses of ferriferous preparations.
Development of an anemia during pregnancy negatively influences a current development process and is the serious factor of braking after a birth adaptations.
Timely and adequate treatment, preventive application shortage of iron in an organism
Preparations from early terms hestacy – pledge of safe end of pregnancy both for mother, and for the newborn.
Planed relaparotomiya in treatment of the terminal stage of the general peritonitis
Аkilov H.D., Kaharov M. A., Sidikov A. U.
We analyzed the results of surgical treatment of 61 patients admitted to hospital in the terminal stage of peritonitis. Along with a complex of modern medical diagnostic measures the authors studied the prognostic significance of MPI, which allowed surgeons to concentrate on the most difficult group of patients. The dynamics of change in the number of microbial cells during the planned renovation of the abdomen that will optimize the treatment policy for these patients. Research in this direction is continuing.
Influences of age on expressed and frequency of separate components of metabolic syndrome at the patients with podagra
Abduloev H.J., Sunatulloev D.S.
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.
CONTRACEPTIVE BEHAVIOR OF WOMEN OF REPRODUCTIVE AGE SUGHD REGION IN MODERN CONDITIONS
We analyzed the statistical materials of the Republican Center of medical statistics and in¬formation of the Ministry of Health of the Republic of Tajikistan, the data of annual reports of the Khujand regional and district Centers of Reproductive health, as well as the data of annual reports of obstetrical establishments of the Sughd region in 1995-2011. Found a low level of contraceptive use among women of childbearing age Sughd region. The Revealed existence of significant differences both across regions, and on the socio -demographic population groups in regard to the prevalence of contraception in General and the structure of the used funds.
SOME FACTORS AFFECTING IN THE MALYARIOLOGY SITUATION IN PREDELIMNATION PERIOD IN THE REPUBLIC OF TAJIKISTAN
SHARIPOV A.A., NARZULOEVA M.F.
THE DEPARTMENT OF INFECTIOUS DISEASES, EPIDEMIOLOGY, HYGIENE AND ENVIRONMENTAL PROTECTION TIPGPMP
antimalarial drugs. Since the beginning of the 90s in the Republic of Tajikistan epidemiological malaria situation started to deteriorate due to the mass migration of refugees on the territory of Afghan¬istan and their subsequent return to their former place of residence, the sharp weakening of the work of the General and special services, and the conductors real absence of measures to fight against carriers of infection due to economic instability in the Republic of Tajikistan. The article was to study the epidemio¬logical features of the spread of malaria in the Republic of Tajikistan and the factors affecting the malarial situation in preelimination period. The situational analysis is based on data archival materials, annual reports district, regional and Republican centers for combating tropical diseases. Analysis of the archival documents showed that in 1994 and 1995 officially registered 2411 and 6103 cases pathology, respectively, reaching values 29794 patients in 1997. In 2005 as a result of anti-malaria activities registered 2309 malaria cases, in 2008 – 318, in 2010 – 112, in 2011 – 78 and in 2012 – 33 cases. In 2013, however, the incidence of malaria has increased in 1,6 times in comparison with 2012, that is connected with rapid development of road transport infrastructure, construction of new bridges connecting the two States.
The epidemic situation of malaria in the last decade was complicated by the advent of pathogen resis¬tance to
Condition and methods of prevention at school and street accidents reading to disability (in Dushanbe, Tajikistan)
Mirzoeva Z.A., Hisomova H.K., Ortikova M.M.
The family doctor can show care, gain trust of children and their parents, attention and correctness in relation to patients. It has good knowledge and skills of questions to prevention of a school and street invalidation. The family doctor has a key to professional consultation.
DETERMINANT ELEMENTS OF LIFE’S QUALITY WHICH CONNECTED WITH DENTISTRY ASPECT OF HEALTH BESIDE INHABITANTS OF THE KUKHISTON MATCHO REGION
BOBOEV K.R., ASHUROV G.G.
Life’s quality in patient with dentistry pathology is defined many social factor – a floor, social position, formation, labor employment, level of income and household position. For achievement of the firm positive result of the treatment among dentistry patient, which valued the life’s quality as “high”, it is enough education their rule hygiene of oral cavity and undertaking professional hygiene.
THE INTERACTION OF THE MYOCARDIUM IN PATIENTS WITH CORONARY HEART DISEASE AGAINST THE BACK¬GROUND OF DILATATION OF BOTH VENTRICLES
SAMADOV SH.KH., KOKSHENEVA I. V., BUZIASHVILI Y.I., ELTANAZAROV M.D.
The results obtained demonstrate the close interconnection of the two ventricles, which increases with the progression of their dilatation. The main mechanism of implementation of the interventricularinteractions is the limitation of the pericardium. Pericardium by creating a rigid limited amount for the four chambers of the heart and increases the influence of diastolic volume of one chamber to another, calling it the configuration changes and influencing the characteristics of its content. Another possible mechanism of implementation of the diastolic interventricularinteraction – deformation of the ventricles, which takes place in the ratio of forces in the ventricular septum (transseptalpressure gradient) and the severity of structural changes of the ventricles.
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.