PALLIATIVE PERCUTANEOUS TRANSHEPATIC INTERVENTIONS IN COMPLICATED LIVER ALVEOCOCCOSIS
Turar A. Yermekov, Shamil M. Chingyshpayev
Introduction. The article presents the experience of transcutaneous transhepatic drainage of the decay cavity in complicated liver alveococcosis. This intervention was used in the complex of both palliative care and in the preparation of the patient for radical surgical intervention. The results of treatment of 20 patients with complicated liver alvecoccosis are reflected. The effectiveness of transcutaneous transhepatic interventions to facilitate the condition of patients and/or prepare them for extensive surgical operations compared to open methods of drainage of alveococcal caverns has been shown.
The aim of this article is to evaluate the effectiveness of transcutaneous transhepatic interventions on the biliary system and the decay cavity (caverns) of the liver alveococcosis as palliative therapy for complicated forms of the disease.
Materials and methods. The work was based on the results of the examination and treatment of 20 patients with complicated liver alveococcosis, who were in hospital treatment in surgical clinics in Bishkek between 2010 and 2019. All patients have transhepatic drainage of the decay cavity in combination with external cholangiostomy.
The results. After drainage of the decay cavity and transhepatic drainage of the bile ducts in all patients, there was an improvement in the general condition with a decrease in purulent intoxication and symptoms of mechanical jaundice.
Conclusions. Transcutaneous drainage of the decay cavity in complicated liver alveococcosis in combination with percutaneous transhepatic endobiliary interventions is an effective palliative therapy and a choice in relation to open surgical drainage methods.
Keywords: liver alveococcosis, decay cavity, transhepatic drainage, palliative therapy, liver resection.
FREQUENCY AND POSSIBLE CAUSES OF BILIARY DYSKINESIA IN PATIENTS WITH BRONCHIAL ASTHMA IN THE KYRGYZ REPUBLIC
M.E. Asheraliev, A.T. Alymkulov, Gupta Richa
The article shows the actual component of the frequency of biliary dyskinesia (BAD) in a sample of patients with bronchial asthma. The data on dysfunctions of the gastrointestinal tract at the subclinical level of manifestations, and a comparative characteristic of the functions of external respiration between patients with DVP in the subclinical course and the period of remission are presented.
Key words: bronchial asthma, DVP, FVD, gastroduodenal pathology.
HISTORY OF DEVELOPMENT AND STATE OF HEMODIALYSIS SERVICE IN AZERBAIJAN
Fariz G. Babaev ogly
Currently, the most pressing medical and social health problem is the progressive growth of chronic renal failure. The organization and development of hemodialysis treatment in Azerbaijan is associated with the name of the founder and founder of the school of urology, nephrology, hemodialysis and kidney transplantation in Azerbaijan, academician M.D. Javad-zadeh. For the first time in the USSR on March 4, 1958 with the participation of M.D. Javad-zade at the urology clinic of the second MOLGMI named after N.I. Pirogov, the first hemodialysis session was carried out in a patient with acute renal failure.
In 1969, an artificial kidney laboratory was created at the Republican Clinical Urological Hospital by Academician M.D. Javad-zade, who laid the foundations for chronic hemodialysis and kidney transplantation in Azerbaijan. In 1971, for the first time in Transcaucasia, a kidney transplant was carried out for end-stage renal failure.
In the Republic of Azerbaijan, since 2006, a register of patients receiving renal replacement therapy has been introduced and the State Program of Measures for Chronic Renal Failure (2006-2011), the second stage of the State Program for the Reduction of Chronic Renal Failure in Azerbaijan (2011-2016) and the Program of Chronic renal failure 2016-2020. During the implementation of the State Programs, certain successes have been achieved.
In many regions of the republic, the population is provided with dialysis care free of charge from the state budget. By January 1, 2020, there are 3 kidney transplant centers and 45 hemodialysis centers in the republic, which are equipped with 716 dialysis machines. A total of 503,839 dialysis sessions were held, of which 218735 (44.3%) in Baku and 285104 (56.6%) in the regions. To date, there are no problems in the provision of patients with programmed hemodialysis in the republic, and the available dialysis places are sufficient to receive new patients.
Key words: hemodialysis, state program, dialysis centers, chronic renal failure, kidney transplant.
RESULTS OF SURGICAL TREATMENT OF BENIGN ADRENAL TUMORS
B.H. Bebezov, T.A. Ermekov, A. Kydyraliev
The results and analysis of surgical treatment of 48 patients with adrenal tumors operated from 2009 to 2018 are shown. The indication for surgical treatment of adrenal gland masses is the clinical manifestation of the tumor, its hormonal activity and the high malignant potential of the tumor. Of the 48 (100%) cases of benign adrenal tumors, in most cases adenomas of the adrenal cortex - 26 (54.0%) patients. Then pheochromocytomas - 11 (23.0%), adrenal cysts - 7 (15.0%), adrenal hyperplasia - 3 (6.0%) and myelolipomas - 1 (2%). The laparotomic approach is the most convenient, effective and sparing approach, which improves the patient's quality of life in the postoperative period than the thoracoabdominal and translumbar approaches.
Key words: adrenal tumor, adrenalectomy.
COMPARATIVE CHARACTERISTICS OF THE FREQUENCY AND LEVEL OF ANXIETY DISORDERS AMONG RESPONDENTS LIVING IN KYRGYZSTAN AND KAZAKHSTAN DURING THE COVID -19 PANDEMIC
O. Zh. Uzakov, S.Yu. Komissarova, A.T. Alymkulov, Kermaly kyzy M.
Introduction. At present COVID-19 pandemic is an acute and socially significant problem for the whole world population, which is explained by its scale, contagiousness, insidiousness of the pathogen and lack of effective preventive means (vaccine) and effective therapeutic ways to combat this infection. It is safe to say that one of the main parameters of Covid-19 pandemic evaluation is the psycho-emotional and psychological health of the population
The aim. Evaluation of anxiety disorders in people living in Kyrgyzstan and comparison with population of Kazakhstan, under conditions of quarantine and state of emergency due to COVID-19 epidemic.
Materials and methods. This article presents the results of a survey of 832 people during the COVID-19 epidemic, quarantine and state of emergency. The questionnaire included questions concerning the detection of anxiety disorders according to the C.D.Spielberger scale. Because of quarantine measures and restriction for contacts between people, the survey was conducted by online questionnaire. Respondents were selected by random and continuous sampling.
Results. The results of the questionnaire showed that a high level of reactive anxiety prevails among representatives of Kyrgyzstan. In contrast, the majority of survey participants from the Republic of Kazakhstan had an average level of reactive anxiety.
Conclusions: The study showed that the development of the COVID-19 epidemic had a significant impact on the psycho-emotional state of young people aged 17-25 years.
Key words: respondents, coronavirus infection, anxiety disorders, reactive anxiety, personality anxiety, epidemic.
GLAUCOMA AS A SOCIALLY SIGNIFICANT EYE DISEASE AMONG ADULTS AND CHILDREN UNDER 14
Annotation. Introduction. Glaucoma is one of the leading causes of irreversible vision loss, so it is one of the pressing problems of modern healthcare. According to WHO, glaucoma accounts for up to 5% of all ocular pathology. By 2020, the number of patients will increase to 5.9 million and 5.3 million will lose vision due to primary glaucoma. Among the causes of primary disability, glaucoma has remained stable at a fairly high level for many years, amounting to 20-28%. The aim of the study: is to conduct an analysis of the prevalence of eye incidence and its appendages, glaucoma in various age groups for the period from 2014 to 2018. The material of the study was the statistical data of the Republican Medical Information Center of the Ministry of Health of the Kyrgyz Republic from 2014 to 2018. Statistical method of investigation was used. Results and discussion. In this article, the author considered the dynamics of the prevalence of glaucoma in the Kyrgyz Republic. On the basis of a comprehensive analysis, trends in the incidence of diseases of the eye and its appendages, glaucoma among adults, adolescents and children of the Kyrgyz Republic, consisting in an increase in the indicator in 2015, 2017 and 2018, were revealed. The proportion of glaucoma from the total incidence of the eye and its appendages among adults and adolescents in the study years was on average 6.5%, among children under 14 years old - 0.2%. Output. During this period, there was a tendency to increase the incidence of eyes, its appendages, and in particular glaucoma in various age groups. Recommendations. It is necessary to strengthen measures for the early detection, medical examination of glaucoma patients, as well as information work among the population.
Key words: eye diseases and its appendages, glaucoma, disease dynamics, medical examination, prevalence.
MORPHOLOGICAL FEATURES OF THE SOMATOTYPE OF FOREIGN AND LOCAL STUDENTS
Nurgul K. Omuralieva, Aigul A. Chonkoeva
Introduction. It is well known that one of the main criteria of health is the adaptive capacity of the body and physical development. The geoclimatic distribution of various populations in the usual living conditions leaves certain imprints on cultural traits, morphological and physiological characteristics of the organism's vital activity.
The aim of this study is a comparative analysis of the characteristics of the somatotype in local and foreign students.
Materials and research methods. The students of the Kyrgyz-Russian Slavic University (KRSU) and foreign students of the International Higher School of Medicine (IHSM) aged 18 to 19 served. The research was conducted in compliance with all ethical standards, with the consent of the respondents. To assess somatotypes, the centile method of scales according to the parameters of physical development was used.
Research results. In 95 Indian students from IHSM (50 boys and 45 girls) and 30 local students from KRSU (15 boys and 15 girls) aged 18-19, anthropometric indicators were studied and morphometric indices were calculated, such as body mass index and index. physique. Comparative analysis of anthropometric indicators of local and foreign students showed that local students in all parameters have higher values, characterizing better physical development, compared with their foreign peers.
1. The morphological indicators of local students are higher than those of foreign students.
2. According to the degree of proportionality of the body among local students, hypersthenics prevail, among foreign students asthenic body type, indicating insufficient physical development of the body.
Key words: Students, morphometric indicators, anthropometric indicators, body mass index, physique index.
MAIN ISSUES OF MANAGEMENT AND MEDICAL COUNSELING OF TRANSFEMINAL PEOPLE
Sidikova Margarita Makhamad-Rasulovna
Described the medico-social aspects of working with transgender patients. Today, the problem of socialization of transfeminine people remains open, along with the general problems of adaptation and the formation of relationships in society, social realization, and the provision of medical care at all levels of health care. The main provisions on transgender transition, hormonal feminizing therapy, features, risk factors, expected effects, and complications are presented. In fact, there is no such thing as gender reassignment. There is a transgender transition - this is a set of actions that a person takes to bring the inner feeling of gender closer to the outer one. In providing medical advice to transfeminine people, it is important to maintain an ethical work ethic with tact, sensitivity, and confidentiality. It is important to build contact with the patient, one of the important keys to which is trans-tact.
Keywords: transfeminine people, transgender transition, feminizing therapy, trans-tact, trans inclusivity.