Pub Date : 2024-02-26DOI: 10.52888/0514-2515-2023-359-4-103-108
S. M. Shukurova, Kh. F. Rakhmatulloev, O. H. Odinaev
Aim. To present the echocardiographic picture of the presence of thrombi in the left atrial appendage in patients with atrial fibrillation in the outpatient stage.Material and research methods. The study involved 56 patients with permanent atrial fibrillation, observed in outpatient conditions at the National Medical Center of the Republic of Tajikistan “Shifobakhsh” between 2019 and 2022. All patients underwent transesophageal echocardiography using standard methodology.Research results. According to the results of transesophageal echocardiography, all patients (n=56) were divided into two groups: Group I - 42 (75%) with no thrombosis in the left atrial appendage; Group II - 14 (25%) with the presence of a thrombosis. Patients with thrombosis of the left atrial appendage had a high degree of thromboembolic, hemorrhagic risk, left atrial enlargement and a low level of peak blood flow velocity. At the same time, the phenomenon of spontaneous echo contrast in patients with thrombosis was on average 22% higher compared to the subgroup without thrombosis.Conclusions. Our data showed that during transesophageal echocardiography in patients with atrial fibrillation, peak blood flow velocity and spontaneous echo contrast can be taken as predictors of thrombosis of the left atrial appendage.
{"title":"Echocardiographic picture of left atrial appendage thrombi in patients with atrial fibrillation","authors":"S. M. Shukurova, Kh. F. Rakhmatulloev, O. H. Odinaev","doi":"10.52888/0514-2515-2023-359-4-103-108","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-103-108","url":null,"abstract":"Aim. To present the echocardiographic picture of the presence of thrombi in the left atrial appendage in patients with atrial fibrillation in the outpatient stage.Material and research methods. The study involved 56 patients with permanent atrial fibrillation, observed in outpatient conditions at the National Medical Center of the Republic of Tajikistan “Shifobakhsh” between 2019 and 2022. All patients underwent transesophageal echocardiography using standard methodology.Research results. According to the results of transesophageal echocardiography, all patients (n=56) were divided into two groups: Group I - 42 (75%) with no thrombosis in the left atrial appendage; Group II - 14 (25%) with the presence of a thrombosis. Patients with thrombosis of the left atrial appendage had a high degree of thromboembolic, hemorrhagic risk, left atrial enlargement and a low level of peak blood flow velocity. At the same time, the phenomenon of spontaneous echo contrast in patients with thrombosis was on average 22% higher compared to the subgroup without thrombosis.Conclusions. Our data showed that during transesophageal echocardiography in patients with atrial fibrillation, peak blood flow velocity and spontaneous echo contrast can be taken as predictors of thrombosis of the left atrial appendage.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"221 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140428199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-26DOI: 10.52888/0514-2515-2023-359-4-125-133
M. B. Karimov, Sh. Q. Makhmadzoda, P. M. Ostanaeva
The provided review reflects the modern methods of early diagnosis of primary open-angle glaucoma applied today, evaluating their positive and negative aspects. One of the diagnostic criteria for glaucoma is the thickness of the retinal nerve fiber layer. A high diagnostic value has been established for determining the thickness of the retinal nerve fiber layer in primary open-angle glaucoma. Literature analysis shows that early diagnosis and treatment of glaucoma at the initial stage of its development are most effective in preventing the progression of the glaucomatous process and exacerbating its course, which can lead to blindness and disability. This underscores the necessity for further refinement and study in this field.
{"title":"A contemporary view on the significance of the thickness of the retinal nerve fiber layer in the diagnosis of primary open-angle glaucoma","authors":"M. B. Karimov, Sh. Q. Makhmadzoda, P. M. Ostanaeva","doi":"10.52888/0514-2515-2023-359-4-125-133","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-125-133","url":null,"abstract":"The provided review reflects the modern methods of early diagnosis of primary open-angle glaucoma applied today, evaluating their positive and negative aspects. One of the diagnostic criteria for glaucoma is the thickness of the retinal nerve fiber layer. A high diagnostic value has been established for determining the thickness of the retinal nerve fiber layer in primary open-angle glaucoma. Literature analysis shows that early diagnosis and treatment of glaucoma at the initial stage of its development are most effective in preventing the progression of the glaucomatous process and exacerbating its course, which can lead to blindness and disability. This underscores the necessity for further refinement and study in this field.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"80 S53","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140429333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-26DOI: 10.52888/0514-2515-2023-359-4-109-116
I. K. Emomzoda, Sh. F. Odinaev, M. E. Rajabzoda, R. A. Tursunov
Aim. To assess the effectiveness of antianemic therapy in patients with severe iron deficiency anemia.Material and Methods. For inpatient treatment, 30 patients with severe iron deficiency anemia, who exhibited significant cardiovascular system disturbances in the form of developed cardiomyopathy of anemic origin, were selected.Results and discussion. Therefore, the therapy conducted on average contributes to an increase in hemoglobin level by 5.0-6.0 g/l, serum iron by 1.25 µmol/l, and erythrocytes up to 4.0±0.03. In addition to the pronounced clinical effect, patients showed an increase in hemoglobin levels from 75.0±4.5 g/l to 95.0±5.0 g/l. The content of total lipids did not change significantly.Conclusion. The treatment course conducted in patients with severe forms of anemia was found to contribute to an increase in the number of erythrocytes, and levels of hemoglobin, hematocrit, serum iron, and ferritin. This suggests its effectiveness and safety as a treatment method for patients with iron deficiency anemia in the context of developed cardiomyopathy of anemic origin.
{"title":"Effectiveness of antianemic therapy for patients with severe iron deficiency anemia","authors":"I. K. Emomzoda, Sh. F. Odinaev, M. E. Rajabzoda, R. A. Tursunov","doi":"10.52888/0514-2515-2023-359-4-109-116","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-109-116","url":null,"abstract":"Aim. To assess the effectiveness of antianemic therapy in patients with severe iron deficiency anemia.Material and Methods. For inpatient treatment, 30 patients with severe iron deficiency anemia, who exhibited significant cardiovascular system disturbances in the form of developed cardiomyopathy of anemic origin, were selected.Results and discussion. Therefore, the therapy conducted on average contributes to an increase in hemoglobin level by 5.0-6.0 g/l, serum iron by 1.25 µmol/l, and erythrocytes up to 4.0±0.03. In addition to the pronounced clinical effect, patients showed an increase in hemoglobin levels from 75.0±4.5 g/l to 95.0±5.0 g/l. The content of total lipids did not change significantly.Conclusion. The treatment course conducted in patients with severe forms of anemia was found to contribute to an increase in the number of erythrocytes, and levels of hemoglobin, hematocrit, serum iron, and ferritin. This suggests its effectiveness and safety as a treatment method for patients with iron deficiency anemia in the context of developed cardiomyopathy of anemic origin.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"45 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140431419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-26DOI: 10.52888/0514-2515-2023-359-4-117-125
M. K. Gulov, Z. M. Nurzoda, K. R. Ruziboyzoda, S. Alizade, B. I. Safarov
This paper presents a review of the literature, which covers the main issues of the etiology and pathogenesis of chronic colonic stasis, starting from the era of Avicenna to modern views. Various classifications are provided, covering all the nuances of this polyetiological problem, and risk factors that contribute to the development of such a severe pathology.
{"title":"Some issues of classification and etiopathogenesis of chronic colonic stasis","authors":"M. K. Gulov, Z. M. Nurzoda, K. R. Ruziboyzoda, S. Alizade, B. I. Safarov","doi":"10.52888/0514-2515-2023-359-4-117-125","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-117-125","url":null,"abstract":"This paper presents a review of the literature, which covers the main issues of the etiology and pathogenesis of chronic colonic stasis, starting from the era of Avicenna to modern views. Various classifications are provided, covering all the nuances of this polyetiological problem, and risk factors that contribute to the development of such a severe pathology.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"158 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140428874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-25DOI: 10.52888/0514-2515-2023-359-4-88-95
F. K. Safedov, A. A. Azizov, Sh. A. Badalov, F. M. Gulomov, I. K. Atoev
The purpose of the study. Improving the results of diagnosis and surgical treatment of patients with secondary nephrolithiasis by renal parenchymal dysplasia on the background of renal failure caused in children.Material and research methods. Clinic of Pediatric Surgery, Avicenna TSMU Abualiibn Sino analyzed 34 patients with renal failure of calculous etiology. In all cases, the biopsy was taken from the cortex – medulla of the kidney during nephrotomy, and during pyelotomy from the site of the nephrostomy tube. Studies of biopsy materials were carried out in laboratorits at the departments of histology, anatomy and oncology.Research results. We analyzed the results of a morphological study of 34 patients with CKD of calculous etiology. Chronic calculous pyelonephritis was detected in 32 (94,1%) patients, in whom the diagnoses coincided with the clinical and morphological ones. Of these, dysplasia of the renal parenchyma was detected in 8 patients. In 2 patients, histological examination did not reveal structural changes, possibly a biopsy was taken from healthy areas of the kidney tissue, although clinically and laboratory 100% calculous pyelonephritis occurred.Conclusion. Thus, in case of obstructive-calculous pyelonephritis, against the background of dysplasia of the kidney parenchyma, early clinical and morphological diagnostics, radical decompressive and sanitation surgery with reliable external urine wood is restored, the process of further wrinkling of the kidney is suspended.
{"title":"Clinical and morphological of diagnostics and surgical tactics in the treatment of patients with secondary nephrolithiasis by renal parenchymal dysplasia on the background of renal failure caused in children","authors":"F. K. Safedov, A. A. Azizov, Sh. A. Badalov, F. M. Gulomov, I. K. Atoev","doi":"10.52888/0514-2515-2023-359-4-88-95","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-88-95","url":null,"abstract":"The purpose of the study. Improving the results of diagnosis and surgical treatment of patients with secondary nephrolithiasis by renal parenchymal dysplasia on the background of renal failure caused in children.Material and research methods. Clinic of Pediatric Surgery, Avicenna TSMU Abualiibn Sino analyzed 34 patients with renal failure of calculous etiology. In all cases, the biopsy was taken from the cortex – medulla of the kidney during nephrotomy, and during pyelotomy from the site of the nephrostomy tube. Studies of biopsy materials were carried out in laboratorits at the departments of histology, anatomy and oncology.Research results. We analyzed the results of a morphological study of 34 patients with CKD of calculous etiology. Chronic calculous pyelonephritis was detected in 32 (94,1%) patients, in whom the diagnoses coincided with the clinical and morphological ones. Of these, dysplasia of the renal parenchyma was detected in 8 patients. In 2 patients, histological examination did not reveal structural changes, possibly a biopsy was taken from healthy areas of the kidney tissue, although clinically and laboratory 100% calculous pyelonephritis occurred.Conclusion. Thus, in case of obstructive-calculous pyelonephritis, against the background of dysplasia of the kidney parenchyma, early clinical and morphological diagnostics, radical decompressive and sanitation surgery with reliable external urine wood is restored, the process of further wrinkling of the kidney is suspended.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"49 151","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140432549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-25DOI: 10.52888/0514-2515-2023-359-4-81-88
B. A. Salimov
Aim. To assess the human resources capacity of the dental service in Dushanbe, regardless of the form of ownership of the dental institution.Material and methods. An analysis was made of the data of the official statistical reporting “Report on medical personnel” form 17, approved by order No.054 of the Agency for Statistics under the President of the Republic of Tajikistan dated October 11, 2013. The analysis covered data from the period 2017 to 2021, focusing on state medical organizations providing dental care to children. Statistical data, the determination of extensive and intensive indicators, the significance of their differences using the t-criterion of reliability (differences were considered significant at t>3), and analysis of dynamic series were used.Results and Discussion. Of the total number of dentists in Dushanbe, about 70% are dental therapists. Among all dentists, every fifth dentist is a pediatric dentist, which is twice as many as the national average. The number of orthodontist dentists does not differ significantly from the data for the republic. Dentists and surgeons work 1.5 times more in Dushanbe compared to the national data.Conclusions. The indicator of the number of dentists of all qualifications in Dushanbe is several times higher than the national average. Over the past five years, there has been a tendency to reduce the number of pediatric dentists. The number of doctors with the highest qualification category decreased by 13%, the indicator is identical to the national data.
{"title":"Characterisation of the human resources of the dental services in Dushanbe","authors":"B. A. Salimov","doi":"10.52888/0514-2515-2023-359-4-81-88","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-81-88","url":null,"abstract":"Aim. To assess the human resources capacity of the dental service in Dushanbe, regardless of the form of ownership of the dental institution.Material and methods. An analysis was made of the data of the official statistical reporting “Report on medical personnel” form 17, approved by order No.054 of the Agency for Statistics under the President of the Republic of Tajikistan dated October 11, 2013. The analysis covered data from the period 2017 to 2021, focusing on state medical organizations providing dental care to children. Statistical data, the determination of extensive and intensive indicators, the significance of their differences using the t-criterion of reliability (differences were considered significant at t>3), and analysis of dynamic series were used.Results and Discussion. Of the total number of dentists in Dushanbe, about 70% are dental therapists. Among all dentists, every fifth dentist is a pediatric dentist, which is twice as many as the national average. The number of orthodontist dentists does not differ significantly from the data for the republic. Dentists and surgeons work 1.5 times more in Dushanbe compared to the national data.Conclusions. The indicator of the number of dentists of all qualifications in Dushanbe is several times higher than the national average. Over the past five years, there has been a tendency to reduce the number of pediatric dentists. The number of doctors with the highest qualification category decreased by 13%, the indicator is identical to the national data.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"27 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140431966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-25DOI: 10.52888/0514-2515-2023-359-4-95-103
M. S. Tabarov, F. A. Shukurov, Z. M. Toshtemirova, M. K. Khojaeva
Aim. To assess the state of the vascular endothelium in patients with myocardial infarction in terms of desquamated endotheliocytes before and after treatment.Material and methods. The results of morphological study of 30 patients with coronary heart disease: post infarction cardio sclerosis and 20 healthy volunteers are presented for comparison with the mean age of 65,1±3,6 and 62,7±3,7 years, respectively. In order to determine the number of DECs, we used the morphological method proposed by N.N. Petrishcheva et al. (2001), before and after impatient treatment.Results. Statistically significant DEC parameters were obtained in patients with myocardial infarction. The highest rates of DEC were found in 10% of patients (19±0,1×104 cells/l). Most patients (53.33%) had a moderate level of endotheliocytemia (11,2±0,7×104 cells/l). The control group, taken for comparison, had the upper limits of the physiological norm (3,9±0,9×104 cells/l). This shows a significant role of endothelial dysfunction in the pathogenesis of myocardial infarction. A group of patients who had up to 10 years of a heart attack history revealed a direct correlation with the level of DEC.Conclusion. The number of DECs was significantly increased in patients with myocardial infarction compared with the control group before treatment. Against the background of complex therapy, the level of endotheliocytemia is significantly reduced, but does not reach physiological parameters.
目的评估心肌梗死患者治疗前后血管内皮细胞脱屑的状况。对 30 名冠心病：心肌梗死后心肌硬化症患者和 20 名健康志愿者进行形态学研究，并将研究结果与平均年龄（65.1±3.6）岁和（62.7±3.7）岁的患者进行对比。为了确定 DEC 的数量，我们采用了 N.N. Petrishcheva 等人（2001 年）提出的形态学方法，在急躁治疗前后进行了比较。心肌梗塞患者的 DEC 参数具有统计学意义。10%的患者 DEC 含量最高（19±0.1×104 cells/l）。大多数患者（53.33%）有中度内皮细胞血症（11,2±0,7×104 个细胞/升）。作为对比，对照组的内皮细胞处于生理正常值的上限（3,9±0,9×104 个细胞/升）。这表明内皮功能障碍在心肌梗死的发病机制中起着重要作用。一组心梗病史长达 10 年的患者显示，DEC 的水平与心肌梗死有直接关系。与治疗前的对照组相比，心肌梗死患者的 DEC 数量明显增加。在复合疗法的背景下，内皮细胞血症的水平明显降低，但并未达到生理参数。
{"title":"Circulating endothelial cells – as an indicator of endothelial dysfunction in patients with miocardial infarction","authors":"M. S. Tabarov, F. A. Shukurov, Z. M. Toshtemirova, M. K. Khojaeva","doi":"10.52888/0514-2515-2023-359-4-95-103","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-95-103","url":null,"abstract":"Aim. To assess the state of the vascular endothelium in patients with myocardial infarction in terms of desquamated endotheliocytes before and after treatment.Material and methods. The results of morphological study of 30 patients with coronary heart disease: post infarction cardio sclerosis and 20 healthy volunteers are presented for comparison with the mean age of 65,1±3,6 and 62,7±3,7 years, respectively. In order to determine the number of DECs, we used the morphological method proposed by N.N. Petrishcheva et al. (2001), before and after impatient treatment.Results. Statistically significant DEC parameters were obtained in patients with myocardial infarction. The highest rates of DEC were found in 10% of patients (19±0,1×104 cells/l). Most patients (53.33%) had a moderate level of endotheliocytemia (11,2±0,7×104 cells/l). The control group, taken for comparison, had the upper limits of the physiological norm (3,9±0,9×104 cells/l). This shows a significant role of endothelial dysfunction in the pathogenesis of myocardial infarction. A group of patients who had up to 10 years of a heart attack history revealed a direct correlation with the level of DEC.Conclusion. The number of DECs was significantly increased in patients with myocardial infarction compared with the control group before treatment. Against the background of complex therapy, the level of endotheliocytemia is significantly reduced, but does not reach physiological parameters.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140432699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-24DOI: 10.52888/0514-2515-2023-359-4-77-81
N. O. Rakhimov, H. J. Rakhmonov, J. R. Sanginov, M. V. Davlatov, S. S. Bakhodurov
Aim. To improve the results of neurosurgical treatment of patients with acute cerebrovascular disorders.Material and Methods. An analysis of the results of neurosurgical treatment of 48 patients admitted to the Department of Neurosurgery of the State Institution National Medical Center - “Shifobakhsh” was carried out. The age of patients ranged from 30 to 75 years. In each case, patients underwent clinical and laboratory studies, including using CT and MRI, as well as using three-dimensional (3D) and four-dimensional (4D) reconstruction methods of cerebral vessels.Result and Discussion. The most common cause leading to the formation of intracranial hematomas was hypertension, found in 32 (66.6%) patients, while other causes were identified in 12 (25%) patients (including angiopathy, cerebral vascular pathologies, amyloidosis, and the use of certain medications, among others). All patients underwent neurosurgical operations. The highest frequency of recurrences (4.1%) was observed after surgical interventions performed within the first 24 hours following the hemorrhagic event.Conclusion. With early detection of intracranial hematomas and with the optimal choice of method for their treatment, good functional results are observed with a low incidence of deaths.
{"title":"Emergency neurosurgical care for patients with acute cerebral circulation disorders","authors":"N. O. Rakhimov, H. J. Rakhmonov, J. R. Sanginov, M. V. Davlatov, S. S. Bakhodurov","doi":"10.52888/0514-2515-2023-359-4-77-81","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-77-81","url":null,"abstract":"Aim. To improve the results of neurosurgical treatment of patients with acute cerebrovascular disorders.Material and Methods. An analysis of the results of neurosurgical treatment of 48 patients admitted to the Department of Neurosurgery of the State Institution National Medical Center - “Shifobakhsh” was carried out. The age of patients ranged from 30 to 75 years. In each case, patients underwent clinical and laboratory studies, including using CT and MRI, as well as using three-dimensional (3D) and four-dimensional (4D) reconstruction methods of cerebral vessels.Result and Discussion. The most common cause leading to the formation of intracranial hematomas was hypertension, found in 32 (66.6%) patients, while other causes were identified in 12 (25%) patients (including angiopathy, cerebral vascular pathologies, amyloidosis, and the use of certain medications, among others). All patients underwent neurosurgical operations. The highest frequency of recurrences (4.1%) was observed after surgical interventions performed within the first 24 hours following the hemorrhagic event.Conclusion. With early detection of intracranial hematomas and with the optimal choice of method for their treatment, good functional results are observed with a low incidence of deaths.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"12 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140434480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-24DOI: 10.52888/0514-2515-2023-359-4-5-9
A. A. Azizov, F. K. Safedov, Sh. A. Badalov, D. R. Magzumov, B. A. Azizov
Aim. To improve the effectiveness of prevention and metaphylaxis in complicated nephrolithiasis among children.Material and methods. Based on many years of experience in a pediatric urology department of a children’s surgery clinic, we have accumulated significant data on risk factors and their importance in practical work. Using data from 152 patients, we have developed a clinical classification and a list of risk factors.Results of the stady. The study identified various risk factors such as: age of children; variants of nephrolithiasis (unilateral, bilateral, solitary, multiple, staghorn, obstructive); stages of CP, CG, CKD, pyonephrosis and paranephritis; stages, volume and methods of surgery; dysmetabolic nephropathy and dysplasia of the renal parenchyma. By studying and analyzing risk factors in 152 patients with complicated nephrolithiasis, covering etiopathogenesis, volume of surgery, errors during surgery and factors of recurrent stone formation, we developed a clinical classification of risk factors, which was introduced into the scientific and practical activities of doctors.Conclusion. Summarizing the importance of risk factors for complicated nephrolithiasis, it is necessary to consider a combination of etiopathogenetic, clinical-laboratory, reconstructive-restorative, rehabilitative, and prognostic risk factors, to improve the quality of life for children with nephrolithiasis.
{"title":"Contemporary perspective on the problem of risk factors for complicated nephrolithiasis in children","authors":"A. A. Azizov, F. K. Safedov, Sh. A. Badalov, D. R. Magzumov, B. A. Azizov","doi":"10.52888/0514-2515-2023-359-4-5-9","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-5-9","url":null,"abstract":"Aim. To improve the effectiveness of prevention and metaphylaxis in complicated nephrolithiasis among children.Material and methods. Based on many years of experience in a pediatric urology department of a children’s surgery clinic, we have accumulated significant data on risk factors and their importance in practical work. Using data from 152 patients, we have developed a clinical classification and a list of risk factors.Results of the stady. The study identified various risk factors such as: age of children; variants of nephrolithiasis (unilateral, bilateral, solitary, multiple, staghorn, obstructive); stages of CP, CG, CKD, pyonephrosis and paranephritis; stages, volume and methods of surgery; dysmetabolic nephropathy and dysplasia of the renal parenchyma. By studying and analyzing risk factors in 152 patients with complicated nephrolithiasis, covering etiopathogenesis, volume of surgery, errors during surgery and factors of recurrent stone formation, we developed a clinical classification of risk factors, which was introduced into the scientific and practical activities of doctors.Conclusion. Summarizing the importance of risk factors for complicated nephrolithiasis, it is necessary to consider a combination of etiopathogenetic, clinical-laboratory, reconstructive-restorative, rehabilitative, and prognostic risk factors, to improve the quality of life for children with nephrolithiasis.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"26 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140434676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-24DOI: 10.52888/0514-2515-2023-359-4-30-38
F. Z. Imomova, S. M. Karimov, G. Ashurov
Aim: The study aimed to improve the treatment outcomes of combined pulpal-periodontal lesions in patients with various multisystem disorders.Material and Methods: The study included 150 patients with associated lesions of the intracanal-periradicular complex and various multisystem disorders. The age of the patients ranged from 20 to over 50 years. The patients were grouped based on the method used for endo-periapical therapeutic and preventive intervention. The first (main) group of somatic patients (n=50) received Hyaludent №4 and a calcium hydroxide preparation for prolonged endo-periapical effect over a month, coupled with macrophage reprogramming procedures using autoplasm.Results and Discussion: In the somatic patients of the main group, by the end of the year from the start of the endoperiapical treatment and after 24 months, the visual-instrumental examination indicator of the intracanal and periradicular status was zero. In the first control group of patients, the total indicator of the visual-instrumental examination of the endo-periapical state after the first month was 17.1% less than that of the second group, and after 6 months, it was 10.2% less. In the second control group of patients, the minimum value of the visual-instrumental examination of the intracanal-periradicular status was noted one year from the beginning of the pulpal-periodontal treatment.Conclusion: The maximum effectiveness of endo-periapical treatment was achieved in the main group of patients with intrasystem pathology, where the efficacy of endo-periapical treatment was nearly 90.0%.
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