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.

Mirzoeva Z.A., Hisomova H.K., Ortikova M.M.

The family doctor can show care, gain trust of children and their parents, attention and correctness in relation to patients. It has good knowledge and skills of questions to prevention of a school and street invalidation. The family doctor has a key to professional consultation.

RASULOV S.R.
КАФЕДРА ОНКОЛОГИИ ТИППМК
The work presents the results of scientific and statistical analysis of materials of primary breast cancer patients registered at the polyclinic of the Republican oncological scientific center of the Republic of Tajikistan in 2012. Analysis of data of out-patient cards of 215 patients ages 25 to 97 years, with the presence of a tumor in the breast. Study of age-related data breast cancer patients showed that up to 24 years of age are not encountered a single case of the disease. In the 25-29 age noted only 3,3% of women with this pathology. The peak incidence of pathology occurs at the age 45-49 years, accounting for 16,7% of the total number of women. Analysis of statistical material has shown that starting from the age of 60, breast cancer risk is gradually fading. Of the total number of patients for 64,7% of the нозологией were residents of rural areas, 35,3% is urban. On топическому location of the cancer in 54% of cases localized in the right breast, in one case, occurs bilateral defeat of the mammary glands, which amounted to 0,5%. Locally common cancer was 83,3%. Metastases in supraclavicular lymph nodes on the side of formerly belonged to the M1, and since 2002 became as N3, that the demand to include them in the group of patients with locally advanced process. Patients with category N3 in this group are 4,5%. The incidence of breast cancer in the Republic of Tajikistan increases from year to year and steadily occupies the first rank place among malignant neoplasms of the female population.

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.

Mirzаbekova B.T., Mukhamadieva S.M., Sultanova M.
The features of the clinical manifestations of urination disorders are their difficulty in all age periods of menopause: stress – in 54.6%, urge – in 46.6%, the imperative – to 42.9%. Anonymous survey of women at menopausal age with the use of rating scales let us to evaluate voiding disorders severity of subjective symptoms, quality of life of this category of patients and conduct performance monitoring of therapeutic measures. An integrated approach with involvement of related professionals will quickly identify reproductive tract disorders and improve this category of patients

Каsimov O. I., Salimov B. M., Каsimov A. O.
From among 45 patients at the age of 60-85 (men – 36, women – 9) with onychomycosis 23 (51.1%) had distal and lateral form, 5 (11.1%) – superficial and white, 6 (13.3%) – proximal and hyponychial, 11 – total and dystrophic. All patients with onychomycosis had various forms of the athlete’s foot. The cell immunity decreased (fall of CD3 and CD8) and the humoral one increased (raise of IgM, IgG and the circulating immune complexes).

Ahrorova Z.K., Kholova S.M., Komilov F.M., Rahmonova N.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%.

Nyrmatova Z.I., Samieva N.U., Nyrmatov A.A.

Studying of a current of pregnancy and sorts at women with an insufficient actual food has shown high relative density, late hestos, threates, anomalies of patrimonial activity, a trauma of soft patrimonial ways, an asphyxia of newborns. Lactation infringement it is diagnosed for every seventh woman in childbirth. Studying of the reasons гипогалактии has shown them: mediko- social, connected with complications of pregnancy and the sorts, caused by affective and personal infringements.

The conducted research is a substantiation for system engineering of preventive, medical and rehabilitation actions for correction of a diet of an actual food of pregnant women and women in childbirth taking into account mediko- social factors that will allow to reduce number of complications during pregnancy and sorts, frequency and weight reduction milk allocation, to improve quality of life of feeding mothers.

Akhmedov A.A., Bobokhojaeva M.O., Nazirova M.A., Kasimova M.K., Khusainova A.A.
On material State statistical Agency at Government RT,the annual report data Centre of Reproductiv health (Natinal, re- gional,Dushanbe citi.),Republican Centre of the medical statistics and information MZ RT for last 20 years, The General census of the Repablic Tadzhikistan 2000 and sociological questioning 2000 persons by questionnaire method of the population of the row city and region of the republic to student trends reproducing the population,are determined modern factors,influencing upon birth rate fnd track record of the change to birth rate in condition of the transition to market economies.

The Changes to speaker of the factors reproducing the population of Tadzhikistan at transformatiionfl period conditionally possibl to value as transition from mfinli traditinfl to modern to type reproduction.

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.