Author Archives: gou ipovsz

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.

THE NATURE OF THE PAIN SYNDROME IN PATIENTS WITH ADVANCED STAGES OF MALIGNANT NEOPLASMS MAXILLOFACIAL AND EFFICIENCY TRADITIONAL PAIN THERAPY

GAFAROV H.O., SHAKIROV M.N., MIRZOEV M.SH.
THE DEPARTMENT OF MAXILLOFACIAL SURGERY WITH CHILDREN STOMATOLOGY OF TIPGPMP
Questionnaire of 108 patients with advanced stages of malignant tumors of maxillo-facial region studied the nature of the chronic pain syndrome and assessing the effectiveness of traditional pain therapy. The 58,3% of the observed diagnosed with advanced stage cancer of mucous membranes of the oral cavity, 23.1% of installed cancer of mucous membrane of the maxillary sinus, a 3.7% identified advanced stage of osteosarcoma jaws. The 3rd and the 4th stage of malignant process revealed respectively of 17.6% and 82.5% of the observed. Among patients with the character of the pain syndrome and effectiveness of the analgetic therapy were studied by the method of questioning on the specially prepared questionnaire. Study of the dynamics of pain syndrome showed that the pain intensified after their first appearance during the first 3 months of 20,3% of patients during 3-6 months – 37,0%in 6-12 months in 25,9%, later than 1 year – 16,6% of patients. Analysis of the nature of pain showed that 37.9% of persons they are «Ripper» character, 27.7% of «capturing», 23.1% of the «hot», 6,5% – «breaking», 4.6% – «whining». It is established that the pain syndrome in this category of patients is often neuropathic development mechanism, which explains the lack of effectiveness of pain therapy using drugs. The findings suggest the need for further improvement of the well-known methods and search for new, more effective methods of reduction of chronic pain syndrome in this category of patients.

ESTIMATION QUALITY OF CONSTRUCTIVE FEATURES NON-REMOVABLE PROTHESIS IN ORAL CAVITY

ASHUROV G.G., KARIMOV S.M.
THE DEPARTMENT OF THERAPEUTIC STOMATOLOGY TIPGPMP
To determine the frequency of various types of fixed prosthesis in need of re-manufacture, conducted clinical and epidemiological study of orthopedic status in 264 patients, including men and women, respectively, 62,10% and 37,9%. All examined patients previously received orthopedic treatment and had dentures in the oral cavity. Age range, the largest group comprised patients older than 60 and 50-59 years (according to 34,5% and 27,2%). IN patients with partial absence of teeth investigated 1167 fixed prosthesis in need of re-manufacture, among which 66.1% was forged-soldered lined or without it, 29,8% – solid lined or without it, 3,2% – plastic and 0,9% -ceramic. Among fixed prosthesis oral prevail forged-pressure welded prostheses, the number of which was two times more than one, and twenty times more, than plastic and ceramic. Service life of 5 to 7 years have 37,6% of one-piece prostheses, life for over 7 years – 36,25% one-constructions without facing. Dominated by the share of remade one-piece designs over forged-soldered in a pe¬riod of use up to 7 years. After a seven-year term of use of an increase in the share forged-soldered prostheses, compared with the solid. The most common causes of withdrawal of fixed prosthesis were aesthetic disorders and the need to manufacture additional dentures.

ON THE ROLE OF SPECIALIZED MEDICAL ASSISTANCE IN MODERN CONDITIONS IN THE REGIONAL HOSPITAL NAME A. HAGHNAZAROV THE CITY OF KULYAB

AKHMEDOV A., KABIROV A., TAVACALOVA M.
THE DEPARTMENT OF PUBLIC HEALTH, ECONOMY, MANAGEMENT BY PUBLIC HEALTH WITH COURSE OF THE MEDICAL STATISTICS OF TIPGPMP
KHATLON REGIONAL HOSPITAL №2 NAME A.HAGHNAZAROV THE CITY OF KULYAB
One of the main directions of improving the quality of medical care is its specialization, which gives a broad and qualitative information on the human health and the factors that disturb it. High-quality medical assistance, as an objective process of development of a science and prac¬tice, cannot develop in isolation from the improvement of the overall health system. With the purpose of studying of quality of rendering of specialized medical aid to the analysis of 16034 static cards of the patients for the period from 2009 to 2012, During the monitoring period, of the total number of hospitalized residents of the city amounted to 32,3%, 67,7% came from rural areas. For three years in the gastroenterology Department received 1387 patients, among which the urban and rural residents amounted to 30,3% and 69,7 percent respectively. Out of the total number of hospitalized patients 99,9% of rural residents were delivered later than 24 hours of onset due to the fact that the rugged mountain terrain, climate conditions and problems of road infrastructure are the difficulty in timely delivery. In the statistical analysis revealed that women get sick more often, however, the mortality rate of men exceeds that of women is almost twice; the mortality rate among rural inhabitants exceeds the mortality rate of urban 3.5 times. Obtained in the course of the study, data demonstrate the necessity of conducting sociological survey to identify the factors affecting the availability, timeliness and quality specialized medical assistance to the population of rural areas.

TO QUESTION ABOUT PREVALENCE AND INTENSITIES OF ENDOPERIAPICAL’S COMPLICATIONS IN DENTISTRY PRACTICE (REVIEW OF THE LITERATURE)

TURAEV N.G., ISMOILOV A.A.
Endoperiapical’s syndrome often is a reason of odontogenic inflammatory processes of the max¬illa-face area, including sharp odontogenic sepsis, odontogenic mediastinitis and inwardlyskull’s of inflammatory processes.

SOME SOCIO-HYGIENIC ASPECTS OF PRETERM BIRTH AND LOW BIRTH WEIGHT BABIES

SAIDMURADOVA R.H., MACHKAMOV K.K., KUTUSHEVA O. F., OCHILDIEVA N.SH.
The first time for carried out a comprehensive study of the health of infants born with low birth weight from birth and throughout the first year of their life. The main factors contributing to the birth of these children. The estimation of adaptation feeding neuropsychological development and nursing. Reflects the structure of morbidity and mortality of infants born with low birth weight.

INFLUENCE OF VAGINAL CANDIDIASIS IN PREGNANCY

NURMATOVA Z.I., NURMATOV. A. A., IBRAGIMOVAN.I.
Thus, genital candidiasis taped nearly every fourth pregnant, and half of these infections are asymptomatic. Candidiasis is a token of trouble in the body, and specific treatment of anti-fungal drugs he requires a full survey and address the root causes of immunodeficiency. Among the causative agents of genital candidiasis is dominated by c. Albicans, which show the greatest sensitivity to nistatino. In a large percentage of cases of candidiasis is combined with a bacterial infection, so when treating candidiasis in pregnancy it is advisable to use a combination of drugs that include Nystatin. Considering that pregnancy is a major predispos¬ing factor for the development of kandidoznogo vulvowaginita, a special problem is the treatment for this condition. The main requirement in this case is the safety of the treatment. According to various authors, when pregnancy has not been established.

ENDOPROTEZIROVANIE BONE DEFECT AT OSTEOMIELITIS OF THE MANDIBLE

MIRZOEV M.SH., SHAKIROV M.N., GAFAROV KH.O., SHAKIROV M.K.
The Organized analysis еndoprotezirovanie bone defect beside 14 sick with chronic osteomieli¬tis of the mandible different genesis. As endoprotesis are used different designs from porous-perme¬able nickelid of titanium, made as industrial, so and with provision for the individual parameter with using stereolitografiy technology.

TO QUESTION ABOUT DINAMICS OF THE INTENSITIES OF CARIES AND VELOCITY NATURAL REMINERALIZATION OF ENAMEL DEFECTS IN DEPENDING OF STRUCTURED-FUNCTIONAL TEETH REZISTANCE

YORAKOV F.M.
Indicates of structured-functional resistance of the enamel are diametrically opposite with im¬portance of the intensities of the caries. If beside examined persons with high structured-function¬al enamel’s resistance index of intensities of the caries has at the average formed 4,22±0,41 then beside persons with very low cariesresistance -7,82±0,64. Full recovering the area after action of acid to enamel surface occurred in relatively short periods that is indicative of high level enamel resistance.