Call toll free: 0307 472 1942

Search

    THE DEPENDENCE OF THE INDICES OF CENTRAL HEMODYNAMICS AND SYNDROME OF ENDOGENOUS INTOXICATION FROM ABDOMINAL PRESSURE IN TERMINAL STAGE OF PERITONITIS

    THE DEPENDENCE OF THE INDICES OF CENTRAL HEMODYNAMICS AND SYNDROME OF ENDOGENOUS INTOXICATION FROM ABDOMINAL PRESSURE IN TERMINAL STAGE OF PERITONITIS

    Muradov A.M., Akilov Kh.D., Shumilina O.V., Kakharov M.A.

    The department of efferent medicine and intensive therapy of TIPGPMP

    The department of anesthesiology and reanimatology TIPGPMP

    The department of surgery with course of topographic anatomy KhD TIPGPMP

    Increasingly important for evaluation of the patient, forecasting the severity of the disease and treatment outcomes acquires indicator of intra-abdominal pressure, which affects all organs and body systems, including the cardiovascular system, manifested by inhibition of the indices of Central hemodynamics. The article presents the results of monitoring of the parameters of Central hemodynamics 24 patients in the terminal stage of peritonitis in the preoperative period and at different times after the surgery. In parallel was monometry intra-abdominal pressure. Clinical observations have shown that an increase intraperitoneal pressure to levels I and II degrees has an identical effect on the indices of Central hemodynamics. Among the surveyed, there is reduction of the pay and minute performance of the heart due to the decreasing venous return to the heart. Toxemia accompanied by a decline in heart emission and support perfusion of tissues was provided by a moderate ascending indicators poststrain result of voltage humoral factors. The obtained results showed that patients in the terminal stage of peritonitis observed gypokinetical type of circulation, which is characterized by pronounced hypovolemia and reduced poststrain. Against the background of peripheral vascular insufficiency noted the inconsistency of the Central mechanisms of hemodynamics, due to the depression of the myocardium contractile function. Indicator intraperitoneal pressure is a prognostic criterion of the severity of the syndrome of endogenous intoxication and can be applied at the preoperative stage of examination and treatment of patients in the terminal stage of peritonitis.

    REFERENCES

    1. Dolina O.A. Anesteziologiya i reanimatologiya [Anesthesiology and Intensive Care]. Moscow, Meditsina Publ., 2007. 544p.

    2. Malahova M.Ya. Endogen intoxication as reflection compensational realignments of the change processes in organism.Efferent therapy, 2000, vol.6, no. 4, pp. 3-14.

    3. Hamidov D.D. Anesteziologicheskoe posobie i lazeroterapiya v kompleksnom lechenii bol'nyh s peritonitom.Kon.med.nauk. Diss [Anesthetic guide and laser therapy in complex treatment patients with peritonitis. Kn. Med. Sci. diss.]. Dushanbe, 2007. 135 p.

    4. Shumilina O.V. Nepryamoe elektrohimicheskoe okislenie v kompleksnom lechenii detoksikatsionnoy funktsii legkikh u bol'nyh peritonitom. Kon.med.nauk. Diss. [aIndirect electrochemical oxidation in complex treatment of detoxication functions of lungs in patients with peritonitis. kn. med. sci. diss.]. Dushanbe, 2012. 156p.

    5. Basu A., Pai D.R. Eagly elevation of intra-abdominal pressure after laparotomy for secondary peritonitis: a predictor of relaparotomy. World Journal of Surgery, 2008, Vol.32, no. 8, pp. 1851-1856.

    6. Morgan G.E., Mikhail M.S. Klinicheskaya anesteziologiya (kniga tret'ya) [Clinical anesthesiology (the third book).]. Moscow, BINOM Publ., 2003. 304 p.

    7. Perez. D., Wildi S., Demartines N. et al. Prospective evaluation of vacuum-assisted closure in abdominal compartment syndrome and severe abdominal sepsis. The Journal of the American College of Surgeons, 2007, Vol. 205, no. 4, pp. 586-592.

    8. Sandra R.V. Abdominal compartment syndrome. Annals of Saudi medicine, 2007, Vol.27, no 4, pp. 183-90.

    Information about the authors:

    Shumilina Ol'ga Vladimirovna – the assistance of department of efferent medicine and intensive therapy TIPGPMP, cn. med. sci.; Tel: (+992) 900002345; e-mail: oshumilina2008@yandex.ru

    Keywords::

    Comments

    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.

    • Retrospective estimation results of endodontic’s treatment in patients with somatic pathology

      Ismoilov A.A., Aurochs N.G.
      Results of the retrospective analysis of endodontic treatments analyzed beside 609 persons at age from 20 before 60 with presence of commonsomatic pathology in article. Got data point to insufficient possession physician modern technology that from dentist is require mastering and intensive introduction modern endodontic technology of the passing root channel and their obturation with use of corresponding filling materials.

    • Clinic-instrumental and morphological feature Disease Banti

      Gaibuloev M.M., Kaharov M.A., Barotov I. Sh.
      The paper analyses the current state of diagnostics and treatment of rare spleen and liver disease – Banti disease. Provide histological research of liver and spleen in different stage of diseases. On the basis of sufficient clinical material efficiency of the operational treatment in the first and second stages of the disease is shown . Which improves the quality of patients life and stabilizes the reticuloendothelial system. In the third stage of the Banti disease symptomatic treatment is preferable

    • Ekological unusual use herbae Origanum qualitative detoxikacion and regined means

      Zubaydova T.M., Nuraliev Yu. N., Ghaniev Kh.A.
      The herbae Origanum as classical underefined means with the theory of Avicena increase the function of all excreate systems (bowels, kidneys, respiratory, disease, clemni and sebctons qlands).
      Refiring watery medium of organism (biood composition, limps, urine and the watery bilious) tissue consider the tactical hersion-tajik medicine.
      The preparion used with those purpose ibn Cino called retiring means, whose low to assist dusting wish toksical thing from organism, between sebseous and clammy glands, conaider wide apply Origanum as detoxical resources.

    • About the prediabetogenic effect of lemon juice Citrus limon (L)

      Nuraliev. Yu. N., Ghaniev. Kh.A., Zubaydova. T.M.,.Samandarov N.Y.
      Testing experiments discovered the new unknown phisiological and patogenitical uccuronce connects the breaching of metabolism process on the whole of corbohidrate exchange, prediabetes of patogenes and insulinresistion, mark the beginning metabolitical sindrom with the hard results of illness.
      At the state of development the prediabet and insulinresistion the patient must not be use acid food products with cold nature and use products high level alkaline elements.
      Only this method of medical prophilaction measures, as recommended and practiced famous Avicena low to stop the developing growth of diabetes and other illness.

    • EPIDEMIOLOGICAL SURVEILLANCE OF NOSOCOMIAL INFECTIONS IN SURGICAL HOSPITAL

      Aim. To develop and implement programs for the Epidemiological Monitoring of nosocomial infections in surgical departments, according to the recommendations of the Ministry of Health of the Republic of Tajikistan on the need to create model programs for each department, as well as some projects WHO.

    • 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.

    • Structural studying of pathology ENT bodies at children for the five years’ period

      Shamsidinov B.N., Mahmudnazarov M.I., Gijasov H.A., Kosimov A.A., Shajdoev S.S.

      In given article authors make the analysis of structure hospital ENT pathologies at children according to case records for the five years’ period on an example children’s ENT branches of the National medical centre of Republic Tajikistan. The increase in number of planned hospitalisation over the last 5 years is noted. It is established that in structure нозологических forms of diseases ENT of bodies of children’s age a leading place occupy a pathology of the top respiratory ways. The tendency to increase in number of patients with the complicated forms of a chronic purulent average otitis, and also papilomatos throats is revealed. Conclusions are drawn on organisation perfection оториноларингологической the help to children by carrying out of regular preventive actions on places and timely treatment of sharp pathologies ENT of bodies at children.

    • TO QUESTION ABOUT CONDITION OF THE MARGINALADAPTATION OF FILLING MATERIALS WHEN UNDERTAKING RECONSTRUCTION TREATMENT OF TOOTH CARIES

      Aim. A comparative estimation of the influence of the different measures of the preventive maintenance on perme¬
      ability of the border in system “teeth-filling”.

    • THE NEEDS OF COMMERCIAL SEX WORKERS IN HEALTH SERVICES

      BOBOKHODJAEVA M.O
      On the basis of analysis of cards 600 commercial sex workers, filled with the use of coding systems, applied in “the Cabinet of confidence” in the City center of reproductive health of the city. Dushanbe for 2008 – 2012 y . identified the need of commercial sex workers in the health services. It is established, health services are one of the basic needs of commercial sex workers, and the most priority is the need for medical assistance on the issues of sexual health, contraceptive assistance needs in the prevention of unwanted pregnancy, STI/HIV.
      The high cost of diagnostic laboratory research methods and medicines is a major barrier to timely treatment for medical services and provide timely qualified medical help, therefore in the framework of the programmes on STI/HIV/AIDS consider it necessary organized the program by SW.

    • COMPARATIVE CHARACTERISTICS OF MALARIA INHABITANTS OF THE BORDER AREAS OF THE KHATLON REGION OF THE REPUBLIC OF TAJIKISTAN.

      AKHMEDOV A., SHARIPOV A. A., NARZULOEVA M. F., SHARIPOVA SH. T., TOLIBOV A. H.
      Thus we can assume that of the anti-malaria activities only intensified in the border areas of Tajikistan with the Islamic State of Afghanistan persistent results to restrict importation of malaria mosquitoes can not give. In this connection it is necessary to undertake joint efforts for anti-malaria activities in the northern areas bordering Tajikistan the Islamic State of Afghanistan in order to create a barrier of the border zone, a depth of at least 10 – 15 km, in which mosquito measures should be implemented after termination of the rest of the country.

    Back to Top