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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.-
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. -
The possibilities of using different versions of enteral feeding of the preterm infants
Khojibekova N.A., Saidmuradova R. Kh., Buzrukova N. J.
The work is based on summing the first experience of enteral feeding of 29 preterm infants with very low and extremely low birth weight in ICU of maternity hospital No. 3, Dushanbe and the ways of transitional period of limited feeding duration reduce of the preterm infants are identified.
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THE EFFECTIVENESS OF THERAPY IMMUNOSTIMULATING ONYCHOMYCOSIS IN ELDERLY AND SENILE AGES
KASYMOV O.I., KASYMOV A.O.
THE DEPARTMENT OF DERMATOVENEROLOGY OF TIPGPMP
The article shows the efficiency of complex method of treatment of mycosis stop with onychomycosis in elderly and senile ages using immunostimulant thymocine 45 patients aged 60 to 85 years. Using methods of bacteriological research, 64.4% of the patients were grown culture of Trichophyton rubrum, in 11.1% of Trichophyton mentagrophytis var.interdigitale, in 24.4% – fungi not sown. Intertriginous form of mycosis stop diagnosed in 12 patients, dishydrotic – 6, mixed – 18. Combination squamous and intertriginous forms was observed in 11 patients, squamous, dishydrotic and intertriginous – for 7. The erased form of mycosis stop was noted in 9 patients. Immediate and remote results of treatment showed a significant advantage of an integrated method of treatment with the application of immune system stimulant. By the end of 6 months of follow-up highly effective results when immunostimulating therapy were achieved in 83,3% of patients in the group of patients treated without immunomodulator, efficiency indicator accounted for 61.9%. Among patients with total-dystrophic and proximal forms of combined treatment of onychomycosis gave clinical and mycological recovery in 66.7%, without immunostimulant – only 50%. The average speed of growth of nail plates stop in complex treatment using thymocine amounted to 1.37±0.06 mm per month, which is much faster than in the treatment only systemic antimycotics. The obtained results have shown the effectiveness of immunostimulating method of treatment of athlete’s foot with onychomycosis, compared with the traditional. -
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. -
EMPHYSEMATOUS COMPLICATIONS SOFT TISSUE OF MAXILLOFACIAL AREA AFTER DENTISTRY’S INTERFERENCE
Aim. Discovery of determinate factors of the development and formation background principle treatments the emphy¬sema of soft tissue maxillofacial area.
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EFFECTIVENESS OF BAKTOVEGA THE TREATMENTOF ACUTE AND CHRONIC RHINOSINUSITIS
Aim. Increase the effectiveness of treatment of patients with inflammatory diseases of the paranasal sinuses by applying regional (endonasal) antibiotic therapy.
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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. -
INFLUENCE OF MELDONY ON CARDIOTOXITY OF DOXORUBICINE IN PATIENTS WITH ACUTE LEUKEMIAS
RASULOV U.R., SHARIFOV M.M., SHAMSOV A.T., KHASANOV D.M., RAKHIMOV B.R., SUN’ATULLOEV D.S.
THE DEPARTMENT OF THE INTERNAL DISEASES №3 TSMU BY NAME ABUALI IBN SINA THE DEPARTMENT OF THERAPY WITH COURSE OF THE ENDOCRINOLOGY TIPGPMP
Acute leukemia, as a rare disease, is only 3% of human malignancies. The aim of treatment of acute leukemia is eradication of leukemic clone restore normal blood, achieveming long-term disease free survival of patients. This is achieved through the use of myelotoxical anticancer drugs that cause deep aplasia haemopoesis. In the present
paper summarises the results of the antitumor antibiotic antratcycline stimulants doxorubicin, with a joint appointment cardioprotector meldony. Under the supervision were 147 patients with acute leukemia. Among the observed patients 85 people received chemotherapy initially, 62 people – previously been subjected to chemotherapy effects. For the induction of remission patients of the 1st group was appointed polychemotherapy by the scheme “7+3”. Patients in group 2 received similar polychemotherapy together with cardioprotector Mildronate. During the treatment of patients of group 1 in 32% of cases were observed sinus tachycardia, atrial and ventricular arrhythmia, changes in segment ST, 7% of cases developed a complete atrioventricular block that shows the development of early cardiac toxicity of doxorubicin. In 19,04% of cases in patients of group 2 were observed ventricular tachycardia, and changes in segment ST. -
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. -
The influence special hygien on the factor on distribution tuberculosis in Tajik Republic
Kasimova S., Davlatmamadova М.
Population health depends on influence socially-hygienic and economic factors. In uncomfortable living conditions lives more than 92,0 % of patients. Of the general quantity of respondents of 87,8 % make sick of unsatisfactory vital conditions. Security a floor space below a sanitary code, (less than 9 sq.m. on one person), the monthly income below a living wage and patients basically from large families. Growth of number of the unemployed, the big density and the low monthly income contribute to higher growth and prevalence of disease of a tuberculosis.