Tekshiruvda standart usullardan foydalanib va JSST
(1981)tavsiyalaridan kelib chiqib glikemiya naxorda va
tekshiruvchilar 75 gr. glyukoza qabul qilganlaridan keyin
1 va 2 soat utib aniqlandi. Bunda ortotoluidinli usuldan
foydalanildi
Гексокиназа - биринчи глюкоза метаболизм ферменти, ҳужайрада глюкоза мавжудлиги, биринчи навбатда, қондан цитоpолгача махсус транспорт оқсиллари - глюкоза ташувчилар (GLUT) иштирокида осон тарқалиши билан таъминланади [1].
For studying reactance of an organism at various forms nephrotuberculosis, 237 patients have been twisted to complex clinic
- laboratory inspection. With the purpose of revealing of different combinations of genetic markers defined phenotypes haptoglobin, activity erythrocytes glucose -6 phosphatedehidrogenese, type inactivation (HINA). On combinations of a complex of these genetic markers defined 4 combinations of genetic markers: adverse, favorable, rather adverse and rather
favorable. Researches have shown high frequency of the widespread forms nephrotuberculosis at persons with adverse and rather adverse combinations of genetic markers. Definition on combination with chronic renal insufficiency of different combinations of genetic markers can be used for revealing groups of risk on the given disease
Sholini tozalashda maydalangan donidan glyukoza olish va uni biotexnologik yo‘l bilan ferentatsiyalab O‘zbekistonda kamyob mahsulotni turini ko‘paytirish dolzar muammolardan biri hisoblanadi.
The aim of the study. To improve the quality of perioperative analgesia by combined multimodal use of paracetamol and ketorolac tromethamine in children after abdominal surgery.
Materials and methods. 48 children (6–17 years old) with choledochal, pancreatic cysts, hepatic echinococcosis, and abdominal trauma. The study period was from January 2021 to January 2022. Group 1 (main group, n=28): baseline analgesia - 15 min before surgery, intravenous paracetamol administration at 25–30 mg/kg. In order to prevent postoperative pain syndrome 15 minutes before the end of the surgery, we administered ketorolac and tromethamine in a dose of 0.5 mg/kg. Pain relief was repeated 6-8 h later with ketorolac at a dose of 0.5 mg/kg. Group 2 (comparison, n=20), who received 0.2 – 0.3 mg/kg promedol (trimeperidin) in the postoperative period. Both groups received standard endotracheal anaesthesia (propofol + fentanyl + arduan against the background of Low-flow anaesthesia with sevoflurane MAK=1). Systemic haemodynamics, C-reactive protein, and glucose were investigated, and a visual analogue scale was applied at the main stages of the study.
Results: Analysis of the parameters of central hemodynamics, parameters of the operational stress response and clinical data showed that in the postoperative period, sufficient analgesic effect was established only in children in group 1 with the preventive combined administration of paracetamol and ketorolac on the operating table, which allows recommending them in the practice of perioperative analgesia during abdominal surgical interventions.
Conclusions. Optimised method of preventive (preoperative) use of paracetamol in children at a dose of 25–30 mg/kg during abdominal surgery followed by administration of ketorolac tromethamine (15 minutes before the end of the surgery) increases the degree of nociceptive protection. It ensures high efficiency of postoperative pain relief, which allows to recommend it in the practice of perioperative analgesia for the above abdominal surgical interventions in children
Fast track surgery (FTS), or rapid recovery surgery, is a fundamentally new approach to surgery. FTS was developed by Kehlet F.I. (1993) and assumed the following aspects to minimize stress reactions and significantly reduce the recovery period of patients: regional anesthesia, minimally invasive operations, aggressive postoperative rehabilitation (early enteral nutrition and activation of patients). Wind J. (2006) specified FTS as follows: informing the patient, avoiding bowel preparation and premedication, using probiotics, avoiding preoperative dry fasting, oral glucose (5%, 150 ml 2 hours before surgery), regional anesthesia or anesthetics short-acting, adequate perioperative infusion, surgical mini-invasiveness, prevention of hyposermia, non-opioid analgesia, avoidance of routine nasogastric tubes and drains, early removal of the urinary catheter, prokinetics, early enteral nutrition and patient activation.
Biochemical studies of blood and chamber moisture in children with congenital cataract
are of great clinical importance. Chamber moisture is an ultrafiltrate of blood plasma and can be
an indicator of various pathological conditions of the body as a whole, and the eye in particular.
The study of the level of protein, glucose in the blood and chamber moisture of all the examined
children was carried out. As an indicator of inflammatory complications in the postoperative period,
the threshold value of total blood protein of 62.2±1.3 g/l and an increase protein content in chamber
moisture to 3.5±0.09 g/l can be used.
В последние годы проблема с сахарного диабета (СД) ввиду широкой распространенности в мировой популяции и тяжести его осложнений приобретает особую важность. Среди всех больных с хроническими заболеваниями, находящихся на диспансерном учёте каждый десятый (9,8%) страдает СД. При СД наблюдаются поражения различных органов и систем, наиболее часто встречающимся осложнением СД являются сосудистые поражения.