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
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
06.05.2015
Kosimov Z.Kh., Muradov A.M.
Department of Efferent Medicine and Intensive Care of State Educational Establishment «Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan» Regional Clinical Hospital named after Kutfidinov
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.
Materials and methods. Were analyzed results of complex research of 70 patients with acute infringement of cerebrovascular circulation of the blood, and 20 healthy of control group. The diagnosis was confirmed clinically and by computer tomography. Patients were divided into 2 groups: 1 group – 35 patients with ischemic stroke (IS), 2 – 35 patients with hemorrhagic stroke (HS).
Assessment of the status of patients performed by the Scandinavian scale (Scandinavian Stroke Study Group, 1985) (in points), the degree of impairment of consciousness – Glasgow Coma Scale (in points), the severity of state in subarachnoid hemorrhage – on a scale of Hunt-Hes (0-Vstepeney)
Results. Analysis of the period of receipt showed the late hospitalization of more than 78,6% of patients with stroke. The main cause of the development of the brain catastrophe is a cerebral arterial hypertension (AH). Accompanying pathology: diseases of the endocrine system – more than 21,4%, vascular pathology – 8,6%, cardiac arrhythmias – 7,1%, kidney disease – 47,1%, gastrointestinal tract suffered – 35,7%, cardiovascular disease system – 45,7%, respiratory – 30% (21), endocrine pathology – 21,4%. Risk factors of the stroke in investigated patients were smoking – more than 60,0% and chronic alcoholism – more than 1/3 of the surveyed and increased body mass index of – 2/3 of patients.
Conclusion. In the examined group of patients indicated the low health index and the presence of risk factors, which together with the late hospitalization redouble the course, diagnosis, prevention and treatment of disease.
REFERENCES
1. Vilenskiy B. S. Insult – sovremennoe sostoyanie problemy [The stroke – modern state of the problem]. Nev-rologicheskiy zhurnal – Journal of Neurology, 2008. vol. 13, no. 2, pp. 4-10.
2. Printsipy diagnostiki i lecheniya bolnykh s ostrymi narusheniyami mozgovogo krovoobrashcheniya: metodicheskie rekomendatsii po ONMK [Principles of diagnosis and treatment of patients with acute cerebral circulatory disorders: a methodical recommendations on Acute Cerebral Circulatory Disorders ]. Moscow, 2000. 16 p.
3. De Silva D. A., Woon F. P., Lee M. P. Ischemic Cerebrovascular Disease: Differences between Ethnic South Asian and Ethnic Chinese Patients. Journal of Stroke and Cerebrovascular Diseases, 2005, vol. 20, no. 5, pp. 407-409.
4. Gallego J., Erro E., Soriano G. Ischemic stroke in elderly population. Comparative study of risk factors and early outcome. Navarra Hospital Stroke Registry. Journal of Stroke and Cerebrovascular Diseases, 2000, vol. 10, suppl. 2, pp. 9-11.
5. Choi-Kwon S., Han S. W., Kim J. S. Poststroke Fa-tique: Characteristics and Related Factors. Journal of Stroke and Cerebrovascular Diseases, 2005, vol. 19, no. 2, pp. 84-90.
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.-
COMPARATIVE CHARACTERISTICS OF MALARIA INHABITANTS OF THE BORDER AREAS OF THE KHATLON REGION OF THE REPUBLIC OF TAJIKISTAN.
AKHMEDOV A., SHARIPOV A. A., NARZULOEVA M. F., SHARIPOVA SH. T., TOLIBOV A. H.
Thus we can assume that of the anti-malaria activities only intensified in the border areas of Tajikistan with the Islamic State of Afghanistan persistent results to restrict importation of malaria mosquitoes can not give. In this connection it is necessary to undertake joint efforts for anti-malaria activities in the northern areas bordering Tajikistan the Islamic State of Afghanistan in order to create a barrier of the border zone, a depth of at least 10 – 15 km, in which mosquito measures should be implemented after termination of the rest of the country. -
Efficacy of fluсopt to treat otomycosis in children
Azizov K. N., Bustonov M. O., Abdukhalilov Z. A., Azimova S. Ch.
In article are results of clinical study of efficacy of flucopt used to treat otomycosis in children. according to the results of the study flucopt has effectively surpressed the mycotic in-fection and ameliorated symptoms of the disease, thus promoting earlier recovery. -
SOME EPIDEMIOLOGICAL AND EPIZOOTIC FEATURES PREVALENCE OF BRUCELLOSIS IN DISTRICTS OF REPUBLICAN SUBORDINATION REPUBLIC OF TAJIKISTAN
subordination republic of Tajikistan.
Aim. Study of some epidemiological and epizootic features prevalence of brucellosis in districts of republican -
USING THE METHOD OF THE TISSUE ENGINEERING ON BASE OF THE ALLOY NIKELID TITANIUM AT TREATMENT THE PATIENS WITH BENIGNANT NEW FORMATIONS OF THE BONES MAXILLOFACIAL AREA
Aim. To improve the tacticians of surgical treatment of the patients with benignant neoplasms (new formations) of the bones of maxillofacial area using the tissue engineering method on the basis of the small-pelleted nikelid titanium.
-
The contribution to studing the pathology of infections
A.A. Sharipov, M.F. Narzuloeva, A.H. Tolibov, A.D. Salimov
-
OPTIMIZATION OF THE PREVENTION OF COMPLICATIONS AND TREATMENT OF DAMAGE TO THE SKELETON AT THE POLYTRAUMA
SIRODJOVK.KH., AKHMEDOVSH.M., RAXIMOV A.T., TOLIBOVSH.M., ESHONOV I.B.
Through the use of optimized complex diagnostics of acute period polytrauma, by deter-mining the fat globulemia on roots in 43 patients, and treatment of purposeful application of the solution rheomacrodex with combination with curantylum, glucose-novocaine mixture intravenously along with specific therapy globulemia, managed to reduce the number of complications in comparison with indexes in the control group. -
THE SYNDROME OF ENDOGENOUS INTOXICATION IN PATIENTS WITH CANCER OF THE MAMMARY GLAND
RASULOV S.R., MURODOV А.М., KHAMIDOV А.К., ASHUROVA M.J.
In the structure of the morbidity and mortality of the female population of cancer of the mammary gland takes the first place. The severity of manifestations of GIS in patients with cancer of the mammary gland caused by the passage of the disease (depending on the stage of the disease) and the applied method of special treatment: surgery, chemotherapy, radiation therapy. Study of biochemical markers of endogenous intoxication in patients with cancer of the mammary gland showed a decrease in total protein, albumin fraction and test the Paramecium, a slight increase in globulin, which testifies to the existence of the phenomena of intoxication depend on the stage of the prevalence of tumor process. In patients with cancer of the mammary gland, compared with healthy, have lower indicators of the quality of life, especially for the account of such scales as physical functioning and men-tal and emotional state. -
Influence adiposity at women on an outcome of pregnancy and sorts
Nurmatov A.A., Nurmatova Z.I., Ibragimova N.I., Rakhimov of M. Н.
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 proportionally 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. -
Expiries and activities of the Nursing Hospital in Dushanbe
Samadova G.A., Mulloes A.M., Kosumbekova G.A., Hasanova N.H.
For the period from 2006 to 2010 the expiries is expended significantly that is prove by the following indicators: use of hospital beds structure of hospital lazed diseases. To note the budgetary funding is same, i.e. insufficient. -
THE HEALTH CARE OF NEWBORNS (NATIONAL PROTOCOL)
MAKHKAMOV K.K., SAIDMURADOVA R.KH., BUZRUKOVA N.D
DEPARTMENT OF NEONATOLOGY OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN»
This paper presents the national protocol for the care of healthy newborns, which is approved by Ministry of Health and social protection of the population of the Republic of Tajikistan 07.06.2011 (№318), including 5 protocols of maintaining newborns (care of the healthy newborn, reanimation of newborns, sepsis of newborns, pneumonia of newborns, a haemolytic illness of newborns). The approved standard was the first step on standardization and optimization of the neonatologic help, and respectively, decrease in incidence, mortality and an invalidization of newborns. Мaterial is based on the available evidence regarding the practice of medicine and nursing care of newborns in many countries, including your own experience, and consistent with the recommendations of WHO
Comments