An analysis of the treatment of 122 patients with various types of congenital clefts of the upper lip and palate was performed on the basis of the 2nd clinic of the Samarkand State Medical Institute. As a result of our studies, it was found that congenital clefts of the upper lip and palate are found in combination with developmental abnormalities of other organs. The main ones were short frenulum of lips and tongue in 76 patients, low body mass index in 97, vertebral deformity in 6, clubfoot in 19, congenital flat feet in 5, congenital dysplasia of the hip joint in 2, defects in the development of the urinary system in 19, prenatal encephalopathy in 46, congenital muscle failure in 15 children. Analysis of the study showed that to achieve a high level of medical care for children with this pathology, a clear and uniform, interconnected tactics of all specialists involved in the treatment of a child with congenital cleft lip and palate is required.
The article presents its own material 66 observations of patients with funnel-like deformation of the chest. It is shown that multispiral computed tomography is the most informative method in determining the shape, severity of curvature and the degree of cardiorespiratory disorders, and also determining the choice of therapeutic tactics. Starting in 2013, patients with this congenital pathology were operated using the method of minimally invasive thoracoplasty according to D. Nuss. It is noted that the application of this method of correc-tion of funnel-shaped deformation of the chest is a method of choice and gives good functional and cosmetic results.
A Shamsiev, J Shamsiev, Yu Turaev, A Mutalibov, M Burgutov
This article reflects of the material 49 observation children with. Starting in 2013, patients with this congenital pathology operated miniinvasive thoracoplasty way for D. Nuss. It is noted that the application for D. Nuss at thoracoplastythe correction of funnel chest in children and adolescents is the method of choice and gives good clinical results.
A Shamsiev, J Shamsiev, Yu Turaev, M Burgutov, A Mutalibov, D Imamov
Цель работы улучшение результатов хирургического лечения и профилактики рецидивов эхинококкоза печени у детей.
В 1998-2001 гг. оперировали 137 (36,1%) больных, у которых обработка остаточной полости проводилась 2-5% раствором
формалина (контрольная группа). В группу сравнения включены 119 (31,3%) больных, оперированных в 2002-2005 гг., у которых для обработки остаточной полости использовали 100% глицерин комнатной температуры. В основную - группу вошли 124 (32,6%) ребенка, оперированные в 2006-2010 гг., у которых остаточная полость при неосложненном эхино-
коккозе обрабатывалась горячим глицерином, а при осложненном - горячим глицерином в соче-тании с УЗНЧ. Из общего числа наблюдаемых нами больных дети с множественными кистами составляли 36,3%, с осложненными - 32,1%.
The basis for the study was 371 patients with liver echinococcosis, admitted to the departments of sur-
gery of the 1st and 2nd clinic of the Samarkand State Medical Institute. Only through intraoperative treatment of the residual cavity with glycerin at room temperature was it possible to reduce the frequency of recurrence of echinococcosis from 27.2 to 7.3%, and the use of hot glycerin in combination with postoperative chemother-apy allowed the cases of relapse to be reduced to zero
Sonographic indicators were evaluated: the presence of liquid in peritoneal cavity and its localization, the presence of the peristaltic of intestines, the diameter and the thickness of intestines, gathering of the liq-uid and gases between the gaps of intestines and controlling the movement of the humus though intestines. While comparing of prioperational evidences of USS with the results of intraoperational revision of perito-neal cavity in 91,2% of echographical evidences were similar to an intraoperational. USS in post operational period allows to recognize not only pros of a clinic evidence but also allows to identify post-operational in-nerperitoneal complications (such as abcsesses of peritoneal cavity, complications in commissury)
Materials and methods. The study is based on the experience of surgical treatment of 427 patients with liver echinococcosis of various localization , operated in the II summit of the clinic from 2003 to 2015. In 2003-2006 . we operated 154 (36.1 %) patients. These patients were in the control group. The comparison group included 134 (31.4 %) patients operated in 2007-2010. The study group included 139 (32.5 %) patients operated in 2011-2015. Results. Compared with the years 2003-2006 . the frequency of postoperative complications decreased almost 5 times - from 18.4 % to 4.0 %. Relapses echinococcosis late after surgery occurred in 12.9 % of pa-tients and in the group operated in 2003-2006, this figure reached 28.2 %. In subsequent years, against the backdrop of intra- and postoperative prevention of recurrence of the disease in the control group was reduced to 8.8 %, and in the main group reduced to zero. Conclusions: Among the most vivid and germicides skoleksotsidnoe quick impact provides 80-100 % glycerol, heated to 70°C, which causes destructive changes in the adjacent parenchyma. The surgery of the liver echinococcosis preference should be given the topical minimal access , the possibility of which can be greatly enhanced by conducting intraoperative ultrasound and videoendoscopy assisting. Reduction of trau-ma intervention , the conservation of the affected organ anatomical integrity , reduce the frequency of iatro-genic contribute to the proposed method of suturing the residual liver cavities.
A Shamsiev, K Rakhmanov, J Shamsiev, Z Kurbaniyazov
The problem of acute hematogenous osteomyelitis (AHO) in children in practical healthcare remains relevant to this day, due to the high incidence rate, severity of the course, difficulties in early diagnosis, persistent high mortality, frequent transition of the disease into a chronic form with subsequent disability of children [2, 6, 20, 22].
In the present study included children with congenital cleft lip and palate, who were under the supervi-sion of the department of surgery and planned surgery newly-born RSSPMCP in the period from 2009 to 2013. Of the 50 patients observed in 29 children, he was given a cleft upper lip, and 21 patients with cleft lip combined with more true-term cleft of sky. The patients' age at the time of surgery ranged from 1 month to 3 years. All children enrolled in the constituent-stage surgical treatment, check-marked original cardiocycles sympathicotonia. Held preoperative preparation for correction of iron deficiency, lipid disorders, and aimed at improving the microcirculation it possible to obtain better results in the near and long-term periods due to improved performance of vegetative balance and indicators of microcirculation of the soft tissues of the up-per lip.
In the Samarkand branch of Pediatric Surgery of PSRSPMCP in the period from 2000 to 2010 were hospitalized 62 patients aged from 10 months to 17 years with congenital anomalies of uretero- pelvic junc-tion (CAUPJ) and urolithiasis (VC). Patients with malfunctions of urodynamic were conducted magnetic resonance imaging (MRI) and multispiral computer tomography (MSCT). All patients underwent open or nephrotoxicity pelviolithotomy. In this aberrant vessel ureteropelvic junction (UPJ) obstruction was detected in 40, embryonic commissure of UPJ in 11, stenosis of UPJ in 4, the valve of UPJ - in 4 patients. In 3 pa-tients with irreversible destructive changes of renal tissue, accompanied by a complete lack of function was conducted nefrureterektomy. Using MRI and MSCT reveals CAUPJ in the preoperative period that determines the amount of surgery. Timely surgical correction of UPJ anomalies can prevent the development of recurrent kidney stones.
A Shamsiev, D Atakulov, J Shamsiev, Sh Komilov, E Daniyarov
Anorectal malformations (ARMs) are one of the most common pathologies among congenital anomalies [10]. According to various authors, the incidence of this pathology ranges from 1:2000 to 1:9000 newborns [6,11,12].
A Shamsiev, J Shamsiev, M Saidov, R Aipov, D Atakulov
In the period from 2004 to 2014 in the Clinic itself 2- MI were treated 41 patients with ССLandP. Of those with unilateral cleft - 35, two - six patients; girls - 14, boys respectively - 27. For effective correction of congenital cleft lip and palate in children requires a long complex treatment involving many specialists. Firstly, this early orthopedic treatment with the first days of life, carrying out massage and myogyms moth-er's participation. Secondly, it is a careful preoperative preparation and reasonable tactic-stage surgery with a properly conducted postoperative period. Postoperatively, after each stage of correction should be prescribed orthodontic treatment, speech therapy training, physiotherapy massage, Improved sanitation activities pedia-trician, otolaryngologist, dentist.
To study the effect of albendazole in various dosages on the formation of the echinococcal cyst (bladder), experiments were conducted on sheep (8 sheep) artificially infected with echinococcosis. To determine the ef-fect of albendazole, liver tissues of sheep subjected to and not subjected to chemotherapy were studied. A com-parative study of the emerging embryonic blisters of sheep treated and not treated with albendazole showed a significant difference in the dynamics of the formation of embryonic blisters. Albendazole in a dose of 5 mg / kg of weight affects the fatal effect on the embryonic form of echinococcus and is an effective therapeutic dose without toxic effect in the prevention of relapse of echinococcosis
A Shamsiev, J Shamsiev, T Eshkobilov, F Oripov, K Rakhmanov
Patients surviving infancy hematogenous osteomyelitis of the hip bones, complicated by the destruction of the joint and the shortening of the lower limb, using the Ilizarov apparatus, without subperiosteal bone resection was produced lengthening limbs
При лечении эхинококкоза часто приме-няются органосохраняющие вмешательства. Выступают вопросы надежной антипарази-тарной обработки эхинококковой кисты и образующейся остаточной полости.
A Shamsiev, J Shamsiev, U Suvonkulov, D Imamov, J Ruziev
The study presents the acidity of gastric juice in 389 children with echinococcosis, as well as in 133 members of their families from 42 households. All children with echinococcosis were operated on in the 2nd clinic of Samarkand State Medical Institute. The nature of the acid-forming function of the stomach in the general population of children was studied on the basis of a survey of 60 healthy children. Studies of the acid-forming function of the stomach showed that echinococcosis in 81.7% of children is associated with a hypoacid state of gastric juice.
The article talks about the character of Malik-Jamshid in folk tales, inspired by the image of the legendary king Jamshid. Although this image in Persian and Tajik folk tales differs from the traditional Jamshid, some elements characteristic of the image have been preserved. In folklore, the hero of Jamshid appears as a minister, a magician, an ambitious and business-like hero.
Несмотря на очевидные успехи в диагностике и лечении больных с инородными телами трахеобронхиального дерева, проблема эта остается весьма актуальной. Обусловлено это, прежде всего, быстрым развитием тяжелых, а порой и необратимых изменений структурных компонентов бронхо-легочной системы вследствие поздней диагностики и несвоевременного удаления аспирированного предмета у детей.
Bronchopulmonary pathology occupies a significant place in the structure of childhood morbidity. In the last two decades, there has been an increase in the proportion of recurrent and chronic respiratory diseases in children, which often continue into adulthood age and are the cause of disability and disability [1,4,16, 28,30, 32].
A Shamsiev, L Mukhamadieva, Sh Yusupov, D Rabbimova
The aim of the work was to assess the state of the immune system of children with out-of-hospital pneumonia, comparative analysis of the main parameters of the immune system show ed that the inclusion of an immunocorrec-tor for bronchomunal according to the scheme contributes to a more positive clinical and immunological dynamics, correcting the broken links of immunity.
F Shamsiev, N Shavazi, D Tadzhikhanova, М Kurbanova, S Khaydarova
The frequency and prevalence of the birth of children with congenital cleft lip and palate. Congenital cleft lip and palate (CCLP) in the structure of congenital anomalies
development of the maxillofacial region in frequency takes the first place, and among all types of congenital anomalies 4-7 place and are among the most severe malformations leading to significant anatomical (cosmetic) and functional disorders (V.I. Ismailo- va, 2000, Jr. Coleman, 2001, A. A. Mamedov, 2002, G. I. Ochneva, 2002, A. Khemprikh, 2002, S. Sh., Murzabaeva, 2004, V. V. Sutulov, 2006,
I.V. Dvoryakovsky, 2007; A.Yu. Kugushev, 2012; O.V. Nelyubina, 2012).
In the Republic of Uzbekistan, a great attention is paid to Healthcare problems, including its integral part of Dentistry.
Therefore, in this article authors deal with issues of quality prosthetic on the patients with increased vomiting reflex, based on foreign. National and own clinical observations.
Острая гнойная хирургическая инфекция занимает одно из ведущих мест в структуре заболеваемости детского населения. Среди нозологических форм острой хирургической инфекции по тяжести течения, трудностям диагностики и неблагоприятным исходам доминирующее место принадлежит острому гематогенному остеомиелиту, наблюдаемому преимущественно в детском возрасте [2,7,8].
In 97 childrens with congenital cleft palate were investigated the role of infectione foci in the nasopharinx and lungs in the regulation oftrombocytes characteristics.There was considered the dysbalans of the POL-AOS system: the excess activity of POL on decreased results of AOS thal leads to the changing of activity ofagregation ofthetrombocytes.
M Dusmukhamedov, A Khodzhimetov, A Dusmukhamedova, R Shamsiev
On stationary treatment there were 28 patients with a stone of the bottom third urethra, with heavy infringement urodinamic. By all 28 patients with stones of the bottom third urethra by us are executed endo-scopic intervention. Interoperation the complications were not. The duration drenirovan transurethralno ure-thra of system at stones of the bottom third urethra has made 7-10 days. Advantages endokhirurgic of operations are reduction of duration narcosis operation.
J Shamsiev, E Daniyarov, T Yusupov, Sh Komilov, I Bobomurodov