Differentiated approach to surgical treatment of groin hernias.
01.01.2014Pirov B.S., Nurmatova M.M.
In work analysed results of operative treatment of 283 patients during the period with 1997 on 2011 with groin hernias by which in a planned and emergency order it is made Hernia section. The patient intraoperative 1s made measurement of structures groin`s channel, is revealed degree of changes of fabrics also picks up a method of operations. Thus some kinds of groin section are modified by us. At the differentiated approach it is possible to lower risk of development of complications and percent of relapse of disease to 1,3 %.
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.-
Medical and social characteristics of women with cervical pathological processes at their different life periods
Mukhamadieva S.M., Hayriddinova D., Sultanova M.
Thus, conducted research has let to provide medical and social characteristics of women of reproductive age with pathological processes of the cervix, which is represented by housewives (68.8%), repeated (37.3%) – and multiparous (39.6%), with low health index, frequent to abortion (48.8%), those who do not use barrier methods of contraception (83.1%) and those with Cancer history (10.1%). Particular at risk group for the development of pathological processes of the cervix, are sexually active adolescents, which typically have dishormonal disorders and early occurrence of inflammatory processes of the lower part of the genitals. The high frequency of hyperplastic processes in women of late reproductive age is a risk factor for precancerous cervical disease. The main factors determining the development of pathological processes in the cervical region of high fertility are: early sexual activity (22.9%), change of sexual partners (11.4%), migration (20%), low levels of awareness about healthy lifestyles.
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The skrining of crawfish of neck’s womb by means of vaginal svad of pap in the practice of doctor’s family
Mirzoeva Z. A., Khajaeva D. S., Abdulhaeva Sh.R., Kabirov K. M.
Dab screening according to Papanikolau should cover age from 30 to 60 years with a condition of passing of screening each 5 years. The obtained data and experience of carrying out screening show that quality of dabs and correctness of the cytologic diagnosis have bigger value for decrease in a disease by a cancer of a neck of a uterus, than increase in frequency of screening or the screening beginning at earlier age. The majority of cases of a weak displaziya (CIN 1) without treatment is exposed to return development while cases of a heavy displaziya (CIN III) without treatment tend to development of an invasive cancer. The most “vulnerable” site is the zone of transition multilayered flat an epiteliya in cylindrical epiteliya. This research traced the women (424) who have addressed to family doctors to whom dab on flora was taken. The big percent of incidence was observed by inflammatory diseases among women at the age of 21-25 years (16,03 %); 26-30 years (28,5 %); 31-35 years (13,31 %); 36-40 years (10,6 %), belong to these age structures most sexually active women. Among the women having in cytologic dab expressed degree of a displaziya, at 18,75 % the invasive cancer of a neck of a uterus aged is es- tablished 40 years are more senior. Experience specifies that the risk of development of an inva- sive cancer of a neck of a uterus is available even after carrying out anti-inflammatory treatment in the presence of a heavy displaziya of a neck of a uterus.
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The effectiveness of modern tools for locating individuals who use removable plate denture
Ibragimov B.H., Nazarov Z.A.
In this study are noted, the effectiveness of modern adhesive products Corega and Protefix in 54 patients, using partial and full removable dentures. The use of these resources contributes to a better adhesive fixation of prostheses, accelerate adaptation. They have a healing, analgesic, isolation and prophylactic properties.
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DISSEMINATION OF SOME FACTORS OF RISK OF CARDIOVASCULAR DISEASES AMONG THE POPULATION OF THE ISTARAVSHAN CITY
Mirzoeva Z.A., Nazirova N.K., Khodjaeva D.S
It is very important to identify among the population of arterial hypertension and associate with it the risk factors of cardiovascular disease, the combination of which leads to potential negative trade-offs and greatly increases the total (global) the risk of cardiovascular complications, such as heart attack, stroke, heart failure. All of these trends is important to understand for further construction of effective programs for prevention of major non-communicable diseases, first of all, such as artery hypertension and coronary artery disease.
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PARTICULARITIES OF THE CLINICAL COURSE AND SURGICAL TACTICS IN BAKTERIOIDICAL INFECTIONS AT MAXILLOFACIAL AREA
Mirzoev M.Sh., Shakirov M.N., Gafarov Kh.O., Khushvakhtov D.I. Depertment of Maxillofacial Surgery with Children's Stomatology of State Educational Establishment «Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan» Aim. To study the particularities of the clinical course and surgical tactics treatment of the festering-inflammatory processes of maxillofacial area and necks, caused bakterioidical infections….
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The clinical and immunological features of onychomycosis in elderly and the senile age
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). -
METHODS OF PREVENTION OF TACTICAL AND THERAPEUTIC ERRORS IN THE TREATMENT OF EPILEPSY
KHADIBAEVA G.R., IZZATOV KH.N., SHARIFOVA B.A.
DEPARTMENT OF NEUROLOGY AND MEDICAL GENETICS OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN»
The publication highlights modern conception about etiology and pathogenesis, clinical manifestation and treatment of different types of epilepsy. Tour has been undertaken to understand different types of convulsion and non-convul¬sion paroxysm, as well as modern antiepileptic treatment. In addition the analysis of medical records undertaken by neurologists and psychiatrists allowed to objectives a great deal tactical and therapeutically doctor’s mistakes.
It was determined that doctors not always clearly differentiate type of paroxysm. The medicine prescribed by spe¬cialists not relevant to the given type of convulsion. The treatment starts with multi-therapy, which not recommended in modern literature sources. In treatment scheme along with anti-convulsive drugs indicated medicines that contrain-dicated for treatment of epilepsy, these aggravate course of disease and facilitate early development of epileptic status as well as epileptic encephalopathy.
Therefore publication and informing wide auditorium the correct treatment tactics of epileptic patients will promote correct anti-epileptic drugs and reduce mistakes during epilepsy treatment. -
Results atraumatic restavration therapy of teeth partial demineralization in connection of enamel resistance
Yorakov F.M., Ashurov G.G.
Evaluated results of atraumatic restavration therapy beside 78 children at age 9-12 years with sign of partial demineralization of the enamel. It is revealled that used glassionomer cements after smallinvasive preventive filling remained safe through 24 month on 100% surfaces teeth beside persons with high structured-functional resistnce of enamel, on 95,3% surfaces teeth – beside persons with moderate cariesresistance, on 85,8 and 66,7% surfaces teeth – accordingly beside persons with lowered and very low structured-functional resistance of the enamel teeth.
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The analysis of application of practice of abortion among women of Sogd area.
Nazirova M.A, Ahmedov А.A, Kasymova M. K.
On the basis of the analysis of statistical materials of the State agency at the Government of Republic Tajikistan, the Republican Center of medical statistics and the information of Ministry of Health of the Republic Tajikistan, given annual reports Hudzhand regional Centers of Reproductive health, and also data of annual reports of obstetrical establishments of Sogd area for 2001-2010 it is established, that among women of reproductive age widespread abortion practice that testify to unsatisfied requirement of women of active reproductive age for contraception and about necessity of carrying out of actions for expansion of access of target groups to services in the field of reproductive health and family planning. -
The connection of erosive and ulcerative lesions of the stomach and duodenum Identification of Helicobacter pylori of chronic pancreatitis.
Ducmatov A.V., Mirodgov G.K., Ichankulova D.M., Raupov N.G.
During exacerbation of chronic pancreatitis, most often changes of gastric mucosa-coolant and duodenum, which takes the form of active inflammation of gastric mucosa, otrafiyu, erosive and ulcerative lesions of the stomach and duodenum. Thus during the exacerbation of chronic pancreatitis in Hp-positive patients was dominated by inflammatory changes of gastric mucosa, superficial gastritis, manifested a bright gipermiey mucosa, predominantly fundus and antrum, thickening, swelling, swollen folds.
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