TWO CASES OF LATE DIAGNOSIS OF ACROMEGALIA
28.10.2015Rahmonov V.D., Kasymova S.D.
TWO CASES OF LATE DIAGNOSIS OF ACROMEGALIA
Course of Endocrinology of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”
This article describes 2 cases of late diagnosis of acromegaly caused by pituitary adenomas. Showing difficulties primary diagnosis of the disease. Demonstrated experience in application of modern methods of drug therapy Sando- statin LAR in adequate doses to the achievement of the inactive phase of the disease
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.-
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.
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THE MORPHOLOGY OF MICROVASCULARCHANNEL A LARGE GLAND DOG IN NORM AND IN CASE OF PERITONITIS IN THE CONDITIONS OF THE PLATEAU
MIRZOEV KH.M., ZOKIROV R.KH., PULADOV A.KH., KARIMOV S.S.
Study of the regularities of the structure of the structural organization of microvascular channel a large gland dog in norm and in case of peritonitis in the conditions of the plateau, showed that the presence of high-grade microvascularnetwork in a large gland, ensures a high level of metabolism and is evidence of the involvement of his in the processes of filtra¬tion, resorption of serous fluid abdominal cavity and protective functions. Morphological, hemodynamic and morphometric changes microvascular channel omentum and their in¬crease in peritonitis due to the toxicity of the blood of experimental animals, because the later stages of peritonitis in the blood circulate products of destruction of bacteria-endotoxins and biologically active the substance of the damaged tissue. -
REIDREDUCING EFFICIENCY OF THE TOOTHPASTES IN DEPENDING OF LOCATIONS OF THE EDGE OF METALCERAMIC CROWN
Aim. Preventive maintenance prosthetic’s gingivitis in system of metalceramic designs with use of fermentcontaining toothpastes.
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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. -
Diagnosis and surgical treatment of occlusive lesions of brachiocephalic arteries
Gulmurod U.T., Sultonov D.D., Gulmurodov T.G.
Observed the results of observation and surgical treatment of 102 patients with occlusions defeat of brachiocephalicus trunk and artery subclavia, caused by atherosclerosis (57), nonspecific aorto-arterition (36), and consequences of traumas of arteries (9). Investigation of regional and a brain haemodynamics has shown that occlusion of trunk brachiocephalicus and I – segment artery subclavia essential decrease a brain blood-groove for the account “steal syndrome” on vertebral and to sleepy arteries.
Choice of a method of operation depended on localization, quantities and extents of defeat of vessels. Shunting operative interventions were applied: intrathoracies (18) and extrathoracies (82). At defeats of left sleepy and subclavia arteries used link sided lateral thoracial access. At occlusion of distal portions of artery subclavia a choice method was roundabout autovenouse shunting.
Optimization of surgical tactics has allowed to reach good results in the nearest postoperative period at 93,1 %, in kept away – at 93,5 % of patients. -
Optimization of combined treatment of fractures of the long bones in patients with signs of fatty hiperglobulemiya
Sirodzhov K.H., Karimov K.K., Mirov N. Sh. Ahmedov Sh.M.
This paper analyses the results of treatment of 78 patients admitted to hospital with different mechanisms of injury, which was provided emergency and scheduled inpatient care. Together with a complex of modern medical – diagnostic measures authors studied a prognostic significance of diagnostics fat globulemiya. Express method according to Kornilov, which contributed to the early diagnosis of the syndrome of fat embolism and improve the results of surgical treatment of patients with injuries of the musculoskeletal system. -
Differentiated approach to surgical treatment of groin hernias.
Pirov B.S., Nurmatova M.M.
In work analysed results of operative treatment of 283 patients during the period with 1997 on 2011 with groin hernias by which in a planned and emergency order it is made Hernia section. The patient intraoperative 1s made measurement of structures groin`s channel, is revealed degree of changes of fabrics also picks up a method of operations. Thus some kinds of groin section are modified by us. At the differentiated approach it is possible to lower risk of development of complications and percent of relapse of disease to 1,3 %. -
Possible estimation failure of diabetes mellitus in dentistry patients
Ashurov G.G., Shakirov M.N., Dzhuraeva Sh.F.
In the article the study of failure diabetes of 106 patients (46 women, 60 men) in oral cavity was made. Results investigation was shown direct correlation between pathologic action of carbohydrate exchange, statues of parodontal diseases quality of the life of dentistry patients. -
DISTRIBUTION OF DIABETES AND IMPAIRED GLUCOSE TOLERANCE IN THE POPULATION OF KHATLON AREA
KASIMOVA S.D., MATTIS B., TAGOEV T.S., ABDURAHMONOV T.A.
The study of the prevalence of ID and DGT in 2 districts of Khatlon region, the inhabitants at the age of 45 years and older revealed a high prevalence of ID (21,2%) and DGT(9,4%).The above studies substantiate the need to implement a standardized screening all over the Republic with the purpose of identifying ID in the early stages. -
Ekological unusual use herbae Origanum qualitative detoxikacion and regined means
Zubaydova T.M., Nuraliev Yu. N., Ghaniev Kh.A.
The herbae Origanum as classical underefined means with the theory of Avicena increase the function of all excreate systems (bowels, kidneys, respiratory, disease, clemni and sebctons qlands).
Refiring watery medium of organism (biood composition, limps, urine and the watery bilious) tissue consider the tactical hersion-tajik medicine.
The preparion used with those purpose ibn Cino called retiring means, whose low to assist dusting wish toksical thing from organism, between sebseous and clammy glands, conaider wide apply Origanum as detoxical resources.
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