Kuldzhanov M. K.
Kuldzhanov M. K.
06.04.2016Kuldzhanov M. K. Doctor of medical sciences, Professor General Director of Republican Center of health development of the Ministry of Health of Kazakhstan, Alma-Ata
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 IMPACT OF INDIRECT ELECTROCHEMICAL OXIDATION THE TOXICITY OF BLOOD IN PATIENTS IN THE TERMINAL PHASE OF PERITONITIS, DUE TO PANCREONECROSIS
DOSTIEVA Z.A., SHUMILINA O.V., MURADOV A.M., HAMROKULOV A.A.
THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY TIPGPMP
In 15 patients with pancreonecrosis complicated by the terminal phase of peritonitis, we estimated the effect of indirect electrochemical blood oxidation on the state of the detoxification function of the lungs by intravenous 0,06% solution of sodium hypochlorite. To study the detoxification function of the lungs compared the blood of the right ventricle of the heart and arterial blood from radiotherapy or femoral artery, taken simultaneously. Study was carried out after 1 and 4-6 h after infusions of the mentioned solution. If, prior to the infusion of sodium hypochlorite concentration of urea and creatinine in the blood drains were reliably higher than in streams to the light respectively by 20,9% and 12,9%, for 1 hour, these figures are reduced to the respective indicators of 18,2% and 7,6%, and after 6 hours of light to see themselves their detoxifying that points to the restoration of detoxification functions of the body. The results obtained showed that sodium hypochlorite solution is a powerful oxidant toxic blood components, primarily amphiphilic, hydrophilic and hydrophobic metabolites, are in low – small and medium molecular fractions, as well as lipid structures of cell membranes due to changes in their perme¬ability and mode of operation. The use of a solution in the first 4-6 hours causes significant improvement detoxification function of the lungs and its recovery depending on the stage of the infringement. -
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. -
SITUATIONAL ASSESSMENT OF THE RESULTS OF TREATMENT ABSENCE OF TEETH REMOVABLE DENTURES
KARIMOV S.M., GUREZOV M.R., YERAKOV F.M.
THE DEPARTMENT OF THERAPEUTIC STOMATOLOGY TIPGPMP
To study the results of orthopedic treatment of occlusive defects removable dentures assessed the state of orthopedic status of the oral cavity in 198 patients aged 20 to 60 years and older. In patients examined dentures are the most used in combined defects of dentitions, singly standing tooth in the jaw, and at the end defects. The least dentures are used when included occlusive defects. The number of removable dentures made on the upper and lower jaw, respectively 49,3% and 50,7%. The share of clasp prostheses made of the lower jaw with partial absence of teeth, amounted to 54,6 per cent. In the absence of teeth laminar dentures in 61,4% of the cases were made in the upper jaw. The largest number of laminar dentures (37,4%) had a life span 3 to 5 years. There was a significant predominance of the laminar dentures in need of re-manufacturing, over clasp, the service life of up to 5 years. If a period of more than 5 years, the number of clasp dentures exceeds the number of laminar. Comparing the reasons for replacement of removable dentures with partial absence of teeth, it can be noted that the leading position clasp prostheses occupy complications associated with fractures of the abutment teeth, laminar – breakdown of prosthesis (38,7%) and aesthetic dis¬orders (13,6%). The main causes of alteration of a laminar dentures were bad fixation (45,4%) and breakage of prosthesis (29,4%). Aesthetic disorders amounted to 13,4%, 8,8% of cases the cause of re-prosthetics was a subjective desire of the patient, 2,9% of cases – other reasons. -
Comparative estimation of efficiency of some methods of treatment papillomatos throats at children
Shamsidinov B.N., Mahmudnazarov M.I., Bekov A.A., Shajdoev S.S., Bustonov M.O.
During the period with 2006 for 2010 under supervision of authors there were 45 children with papillomatosis of laryngs in children’s ЛОР – branch NMS MZ RT by which during the first hours stay in branch in an emergency order it is spent endolaryngeal removal of papillomas of a throat. With the account of character of a clinical current papillomatosis of laryngs patients have been divided into 2 groups. In the postoperative period, patients of both groups have received viferon-2 (500 000 МЕ) on 1 суппозиторий two times a day with the 12-sentry an interval every other day. Course of treatment made 5 days. For preventive maintenance of relapses of disease 17 (70 %) the patient of 1 group and 10 (60 %) to patients of the second group the first days after operation have been entered preparations индукторы interferon (ИФН) – амиксин and циклоферон. Clinical supervision have shown that in groups where patients have received complex therapy with application амиксина and циклоферона in a combination with антиоксидантой therapy frequency of relapses of disease were reduced almost in 2 times. From here conclusions that endolaryngeal removal of throat papillomas with the subsequent use индукторов interferon and antioxidants in the postoperative period is the optimal and effective method of complex therapy papillomatosis of laryngs at children are drawn.
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THE SPREAD OF DENTAL CARIES AMONG CASES SUFFERING FROM CHRONIC VIRAL HEPATITIS
AHROROVAZ.K., KHOLOVAS.M., KOMILOVF.M., RAHMONOVAN. O.
According to the results of examination of cases suffering from chronic viral hepatitis, the spread of dental caries among them averaged between 84,6-97,6% and the index of KPU had made to 10, 18%. -
Iodine deficiency diseases (IDD) and helmint infections among schoolchilrens of four pilot districts of Sino project in Tajikistan.
Kasimova S., Davlatmamadova М.
Problems of IDD spreading in Tajikistan among schoolchildren some regions of the Republic ase still under consideration. Situation with IDD is worsfen by helmint infection among schoolchildren/ these two diseases are worsfen each other and negatively affect physical and mental helth of schoolchildren. Despite the progress the Republic of Tajikistan did not achieve the necessary level of the Program of World Salt iodiration.
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LESON IN THE COMPLEX TREATMENT OF ALLERGIC DERMATOSES
Aim. To study the efficiency of Leson in the complex treatment of atopic dermatitis (AD) and chronic urticaria (CU).
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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.
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Analysis of cases of maternal mortality in the republic of Tajikistan
Mukhamadieva S.M., Kurbanov Sh. M., Chalova O.D.
The structure of maternal mortality consists of controlled factors by 77 %. Causes of maternal mortality often seen not from a position of obstetric errors, and in connection with the difficulties of diagnosis, intensive care, which largely depend on the allied professionals. At the same time eliminating the elimination of obstetric complications in the main role of an obstetrician-gynecologist is obvious. The prospect of further reduction in obstetric complications and maternal mortality is the use of new scientific advances. The introduction of national standards is the realistic way to reduce maternal morbidity and mortality. Research on privacy and investigation of cases of maternal loses and maternal audit will let to improve the quality of medical services.
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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%.
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