Tag Archives: bronchial asthma

COMPARATIVE ANALYSIS OF LUNGS FUNCTION BY REGULATION OF ELECTROLYTES AT PATIENTS WITH DIFFERENT PATHOLOGY IN THE CRITICAL STATE

Aim. Carry out a comparative analysis of lung function by regulation of electrolytes in patients with different pathologies in critical states in dependence from hypocoagulating function.
Materials and methods. In order to determine the participation of lungs in regulation of blood electrolytes were compared the patients in critical states with different pathologies : I group – 119 puerperas with hemorrhagic syndrome, complicated by acute renal failure (ARF), II – 85 patients with severe craniocerebral trauma (SCCT), III – 110 patients with bronchial asthma at bronhoastmatic state. The findings were compared with the control group (IV) – 20 healthy people. Lung function by regula¬tion of blood electrolytes was determined by veno-arterial difference between mixed venous blood (MVB) and flowing arterial blood (FAB), taken simultaneously, by indicators of electrolytes – potassium, sodium – in plasma and erythrocytes and calcium.
Results. At patients in critical states with different pathology observed disorders of water-electrolyte balance in the form of retention by light Na+ from plasma of the FAB. It points to the beginning of interstitial hypostasis of lungs, not yet manifested in the radiological examination of lungs. Process of retention of sodium by lungs has a direct correlation dependence with the degree of disorders of hypocoagulating lung function and severity of patients status, compounded from 1 to 3 group, which influences to severity of patients. Detected the process of transmineralization or «sick cell syndrome» during the transition of sodium into the cell and potassium from the cell, growing in more severe patients of 2-3 groups. Consumption by lungs of calcium from blood, as clotting factor, occurs particularly active from 1 group to 3 under all studied pathologies during disorders of hypocoagulating lung function.
Conclusion. Determination of concentration of Na+ and K+ in plasma and erythrocytes, Ca2+ in plasma of MVB and FAB has diagnostic and prognostic value for determining and early diagnosis of interstitial hypostasis of lungs and cells transmineralization syndrome, and also status of hypocoagulating lung function in critical states, which makes possible to determine the severity of state and disease outcome.
Key words: hypocoagulating lung function, mixed venous blood, flowing arterial blood, electrolytes, acute renalfailure, severe craniocerebral trauma, bronchial asthma, syndrome of transmineralization

DIAGNOSIS OF BRONCHIAL ASTHMA IN FAMILY DOCTOR’S PRACTICE

Aim. Evaluation of status of patients with a diagnosis of “bronchial asthma”, consisting on the dispensary in hospital of Tursunzade city.
Materials and methods. Were examined 30 patients aged 20 to 70 years (20 women, 10 men), consisting in dispensary with a diagnosis of “bronchial asthma”. Patients were full explored in: palpation, percussion, auscultation of the chest, the assessment heart rate respiratory rate, calculated body mass index, peak flow and pulsoxymetry performed.
Results. 10 patients (33,3%) had a mild intermittent, 8 (26,7%) – with mild persistent, 7 (23,3%) – with moderate, 5 (16,7%)
– with severe bronchial asthma severity. In 11 (36,7%) diagnosed with lung exacerbation of asthma. According to the datas of peakflowmetry in 17 of examined obstruction has an corresponding partially controlled asthma, 13 – severe degree. Among 5 patients pulseoximetry were below 95%, which indicates the presence of respiratory failure.
Conclusion. In spite of the existing protocols on keeping major respiratory diseases at PHC level, a survey of patients and their assigned treatment was not carried out.

THE ROLE AND PLACE IN THE STRUCTURE OF MORBIDITY OF RESPIRATORY DISEASES AND DYNAMICS OF MORBIDITY FROM CHRONIC BRONCHITIS AND ASTHMA FOR 2002 -2010 YEARS FOR EXAMPLE TURSUNZODA, FAIZABAD AND SARBAND AREAS IN TAJIKISTAN

YAKUBOV M.R., MURADOVA.M., KHAMROKULOV A.A.
THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY TIPGPMP
The article presents the analysis of population morbidity chronic bronchitis and asthma for the period from 2002 to 2010, on the examples of Tursunzade, Sarband and Faizabad districts of the Republic of Tajikistan. The results of these studies suggest that respiratory diseases occupy the first rank place of uptake of the adult population for medical help. In the dynamics of increase in incidence of respiratory diseases for 6 years has decreased by 24%. For the period from 2002 to 2010, the proportion of hospitalized children under 14 years of age increased from 26% to 67% of the total number of cases of appeals regarding the pneumonia. Despite declining in-hospital mortality of children under 14 years of age, they exceed 2 times mortality among the adult population. Levels of primary and total prevalence of chronic bronchitis in the Republic for 11 years grew 1.3 and 3 times respectively. On bronchial asthma in the country in General there is a tendency to reduce the level of primary and total morbidity, which testifies to Associa this disease, poor availability of medical care, as well as low material and social status of patients.