268 research outputs found
INNOVATIVE BREAD TECHNOLOGIES IN AN ACCELERATED METHOD WITH AND WITHOUT THE USE OF SOUCE AND YEAST
The article presents the results of a study of the possibilities of obtaining bread using accelerated technology, and the relationship between the obtained results of a study and the technological processes used to produce bread is considered. The express way of preparing dough on sourdough allows more efficient use of the main and additional raw materials in order to intensify the ripening of the dough and improve the quality of bread. Different technological processes of making bread were used and the revealed pattern between different technological processes, the addition of starters and the quality of bread was analyzed. As a result, the obtained bread products have high organoleptic and physico-chemical properties, corresponding to the prescription composition, and can be taken as the basis for the development of technical documentation for new types of enriched products
Replacement of the aortic valve, ascending aorta and arch in a patient with dextrocardia in the context of situs inversus totalis: a case report
The article discusses a rare case of successful replacement of the aortic valve, ascendingΒ aorta and arch in a patient with dextrocardiaΒ in the contextΒ of situs inversus totalis. Situs inversus is a rare variant of normal anatomyΒ in which the major visceral organs are mirrored from their normal positions
Surgical treatment of cardiac echinococcosis: a case report
Echinococcosis refers is a chronic disease caused by tapeworms of the order Cyclophyllidea. Echinococcal cysts increase in size slowly and are often asymptomatic, and the symptoms of cardiac echinococcosis are nonspecific, which in turn can make diagnosis difficult. Early diagnosis and surgical treatment of this disease is crucial to prevent severe complications. Considering that the heart is affected extremely rarely, we want to demonstrate the successful surgical treatment
On the collective monograph βEthnonational processes in the Arctic: trends, problems, and prospectsβ
The article represents the review of the collective monograph βEthnonational processes in the Arctic: trends, problems, and prospects.β The monograph is an original joint work of researchers at Russian research centers specializing in the study of the Arctic. The researchers focus on ethnonational processes in the context of the socio-economic, socio-political, legal, socio-cultural development of the Arctic territories of Russia. The interdisciplinary nature of the research, the full coverage of ethnonational policies and subregions, the depth of the study, the visualization of the material with tables, charts, graphs, maps determines not only the academic but also the comprehensive nature of the monograph under review
Π‘ΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠΉ Π²Π·Π³Π»ΡΠ΄ Π½Π° ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² ΡΠΊΡΡΡΠ°ΠΊΠΎΡΠΏΠΎΡΠ°Π»ΡΠ½ΠΎΠΉ Π΄Π΅ΡΠΎΠΊΡΠΈΠΊΠ°ΡΠΈΠΈ ΠΏΡΠΈ ΡΠ°Π±Π΄ΠΎΠΌΠΈΠΎΠ»ΠΈΠ·Π΅ (ΠΎΠ±Π·ΠΎΡ)
Rhabdomyolysis is a syndrome caused by destruction and necrosis of muscle tissue, which is accompanied by the release of intracellular contents into the systemic circulation. The etiology of rhabdomyolysis is multifaceted, however, regardless of the etiological factor, the central element of its pathophysiology is systemic endotoxemia with multiple organ failure syndrome. Acute renal failure is one of the most common manifestations of organ dysfunction. Considering the pathogenetic model of the development of systemic endotoxemia, the timely use of extracorporeal therapy, which reduces mortality in organ failure, seems promising. All the current types of extracorporeal therapy can be divided into convection (hemoο¬ltration), diο¬usion (hemodialysis), convection/diο¬usion (hemodiaο¬ltration), sorption (hemoperfusion) and plasma exchange (plasmapheresis, plasma exchange, plasma sorption, etc.) methods based on physical principle.The aim of the review was to summarize the available clinical data on extracorporeal treatments for rhabdomyolysis and to assess the feasibility and best indications for these methods based on the current pathogenetic model of rhabdomyolysis.Material and methods. The search for information was carried out in the Web of Science, Scopus, Medline, PubMed, RSCI, E-library and other databases. Eighty-one sources were identiο¬ed containing current therapeutic approaches and relevant data of clinical and scientiο¬c research on the subject of this review.Results. In this review, the main etiological, epidemiological and pathogenetic models of acute renal injury in rhabdomyolysis have been discussed. The main methods of extracorporeal therapy have been reviewed and evaluated based on current understanding, and latest clinical data on their eο¬ectiveness have been summarized.Conclusion. The choice of the optimal extracorporeal treatment method, the time of initiation and duration of the procedure still remain controversial. The solution to this issue can potentially help to better correct the electrolyte disturbances and could protect against organ dysfunction, which would improve the outcome in patients with rhabdomyolysis.Π Π°Π±Π΄ΠΎΠΌΠΈΠΎΠ»ΠΈΠ· ΡΡΠΎ ΡΠΈΠ½Π΄ΡΠΎΠΌ, ΠΎΠ±ΡΡΠ»ΠΎΠ²Π»Π΅Π½Π½ΡΠΉ ΡΠ°Π·ΡΡΡΠ΅Π½ΠΈΠ΅ΠΌ ΠΈ Π½Π΅ΠΊΡΠΎΠ·ΠΎΠΌ ΠΌΡΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ, ΠΊΠΎΡΠΎΡΡΠΉ ΡΠΎΠΏΡΠΎΠ²ΠΎΠΆΠ΄Π°Π΅ΡΡΡ Π²ΡΠ±ΡΠΎΡΠΎΠΌ Π²Π½ΡΡΡΠΈΠΊΠ»Π΅ΡΠΎΡΠ½ΠΎΠ³ΠΎ ΡΠΎΠ΄Π΅ΡΠΆΠΈΠΌΠΎΠ³ΠΎ Π² ΡΠΈΡΡΠ΅ΠΌΠ½ΡΠΉ ΠΊΡΠΎΠ²ΠΎΡΠΎΠΊ. ΠΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡ ΡΠ°Π±Π΄ΠΎΠΌΠΈΠΎΠ»ΠΈΠ·Π° ΠΌΠ½ΠΎΠ³ΠΎΠ³ΡΠ°Π½Π½Π°, ΠΎΠ΄Π½Π°ΠΊΠΎ ΠΏΡΠΈ Π½Π΅ΠΌ, Π²Π½Π΅ Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΡΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ°ΠΊΡΠΎΡΠ°, ΡΠ΅Π½ΡΡΠ°Π»ΡΠ½ΡΠΌ ΡΠ»Π΅ΠΌΠ΅Π½ΡΠΎΠΌ ΠΏΠ°ΡΠΎΡΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΡΠΎΡΠ΅ΡΡΠ°, ΡΠ²Π»ΡΠ΅ΡΡΡ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ ΡΠΈΡΡΠ΅ΠΌΠ½ΠΎΠ³ΠΎ ΡΠ½Π΄ΠΎΡΠΎΠΊΡΠΈΠΊΠΎΠ·Π° ΠΈ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ° ΠΏΠΎΠ»ΠΈΠΎΡΠ³Π°Π½Π½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ. ΠΠ΄Π½ΠΈΠΌ ΠΈΠ· ΡΠ°ΡΡΡΡ
ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΠΉ ΠΎΡΠ³Π°Π½Π½ΠΎΠΉ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΠΈ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΎΡΡΡΠΎΠ΅ ΠΏΠΎΡΠ΅ΡΠ½ΠΎΠ΅ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΠ΅. Π£ΡΠΈΡΡΠ²Π°Ρ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΡΡ ΠΌΠΎΠ΄Π΅Π»Ρ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΡΠΈΡΡΠ΅ΠΌΠ½ΠΎΠ³ΠΎ ΡΠ½Π΄ΠΎΡΠΎΠΊΡΠΈΠΊΠΎΠ·Π°, Π²Π΅ΡΡΠΌΠ° ΠΏΠ΅ΡΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΡΠΌ ΠΈ ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΡΠΌ Π²ΠΈΠ΄ΠΈΡΡΡ ΡΠ²ΠΎΠ΅Π²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠ΅ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΡΠΊΡΡΡΠ°ΠΊΠΎΡΠΏΠΎΡΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡΠ΅ΠΉ ΡΠ½ΠΈΠ·ΠΈΡΡ Π²Π΅ΡΠΎΡΡΠ½ΠΎΡΡΡ Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΈΡΡ
ΠΎΠ΄Π° ΠΏΡΠΈ ΡΠ°Π·Π²ΠΈΡΠΈΠΈ ΠΎΡΠ³Π°Π½Π½ΠΎΠΉ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΠΈ. ΠΡΠ΅ ΠΏΡΠΈΠΌΠ΅Π½ΡΠ΅ΠΌΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ ΡΠΊΡΡΡΠ°ΠΊΠΎΡΠΏΠΎΡΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΏΠΎ ΡΠΈΠ·ΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΏΡΠΈΠ½ΡΠΈΠΏΠ°ΠΌ ΠΌΠΎΠΆΠ½ΠΎ ΠΏΠΎΠ΄Π΅Π»ΠΈΡΡ Π½Π° ΠΊΠΎΠ½Π²Π΅ΠΊΡΠΈΠΎΠ½Π½ΡΠ΅ (Π³Π΅ΠΌΠΎΡΠΈΠ»ΡΡΡΠ°ΡΠΈΡ), Π΄ΠΈΡΡΡΠ·ΠΈΠΎΠ½Π½ΡΠ΅ (Π³Π΅ΠΌΠΎΠ΄ΠΈΠ°Π»ΠΈΠ·), ΠΊΠΎΠ½Π²Π΅ΠΊΡΠΈΠΎΠ½Π½ΠΎΠ΄ΠΈΡΡΡΠ·ΠΈΠΎΠ½Π½ΡΠ΅ (Π³Π΅ΠΌΠΎΠ΄ΠΈΠ°ΡΠΈΠ»ΡΡΡΠ°ΡΠΈΡ), ΡΠΎΡΠ±ΡΠΈΠΎΠ½Π½ΡΠ΅ (Π³Π΅ΠΌΠΎΠΏΠ΅ΡΡΡΠ·ΠΈΡ) ΠΈ ΠΏΠ»Π°Π·ΠΌΠΎΠΎΠ±ΠΌΠ΅Π½Π½ΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ Π»Π΅ΡΠ΅Π½ΠΈΡ (ΠΏΠ»Π°Π·ΠΌΠ°ΡΠ΅ΡΠ΅Π·, ΠΏΠ»Π°Π·ΠΌΠΎΠΎΠ±ΠΌΠ΅Π½, ΠΏΠ»Π°Π·ΠΌΠΎΡΠΎΡΠ±ΡΠΈΡ ΠΈ Π΄Ρ.).Π¦Π΅Π»Ρ ΠΎΠ±Π·ΠΎΡΠ°. ΠΠ±ΠΎΠ±ΡΠΈΡΡ ΠΈΠΌΠ΅ΡΡΠΈΠ΅ΡΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΠΏΠΎ ΡΠΊΡΡΡΠ°ΠΊΠΎΡΠΏΠΎΡΠ°Π»ΡΠ½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄Π°ΠΌ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΏΡΠΈ ΡΠ°Π±Π΄ΠΎΠΌΠΈΠΎΠ»ΠΈΠ·Π΅. ΠΡΠ΅Π½ΠΈΡΡ ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎΡΡΡ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΈ ΡΠΎΡΠΊΠΈ ΠΏΡΠΈΠ»ΠΎΠΆΠ΅Π½ΠΈΡ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² Ρ ΡΠΎΡΠΊΠΈ Π·ΡΠ΅Π½ΠΈΡ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΎΠ΄Π΅Π»ΠΈ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΡΠ°Π±Π΄ΠΎΠΌΠΈΠΎΠ»ΠΈΠ·Π°.ΠΠ°ΡΠ΅ΡΠΈΠ°Π». ΠΠΎΠΈΡΠΊ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ ΠΎΡΡΡΠ΅ΡΡΠ²Π»ΡΠ»ΠΈ Π² Π±Π°Π·Π°Ρ
Π΄Π°Π½Π½ΡΡ
: Web of Science, Scopus, Medline, PubMed, Π ΠΠΠ¦, E-library ΠΈ Π΄Ρ. ΠΡΠΎΠ±ΡΠ°Π»ΠΈ 81 Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ½ΡΠΉ ΠΈΡΡΠΎΡΠ½ΠΈΠΊ, ΡΠΎΠ΄Π΅ΡΠΆΠ°ΡΠΈΠΉ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ Π»Π΅ΡΠ΅Π±Π½ΡΠ΅ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄Ρ Π² ΡΠ΅ΡΠ΅Π½ΠΈΠΈ ΠΏΠΎΡΡΠ°Π²Π»Π΅Π½Π½ΠΎΠΉ Π·Π°Π΄Π°ΡΠΈ, Π° ΡΠ°ΠΊΠΆΠ΅ Π°ΠΊΡΡΠ°Π»ΡΠ½ΡΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈ Π½Π°ΡΡΠ½ΡΡ
ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ ΠΏΠΎ ΡΠ΅ΠΌΠ΅ ΠΎΠ±Π·ΠΎΡΠ°.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. Π Π΄Π°Π½Π½ΠΎΠΌ ΠΎΠ±Π·ΠΎΡΠ΅ ΡΠ°ΡΡΠΌΠΎΡΡΠ΅Π»ΠΈ ΠΎΡΠ½ΠΎΠ²Π½ΡΠ΅ ΡΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅, ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΌΠΎΠ΄Π΅Π»ΠΈ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΎΡΡΡΠΎΠ³ΠΎ ΠΏΠΎΡΠ΅ΡΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΡ ΠΏΡΠΈ ΡΠ°Π±Π΄ΠΎΠΌΠΈΠΎΠ»ΠΈΠ·Π΅. Π‘ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΡΠΎΡΠΊΠΈ Π·ΡΠ΅Π½ΠΈΡ ΡΠ°ΡΡΠΌΠΎΡΡΠ΅Π»ΠΈ ΠΈ ΠΏΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π»ΠΈ ΠΎΡΠ½ΠΎΠ²Π½ΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ ΡΠΊΡΡΡΠ°ΠΊΠΎΡΠΏΠΎΡΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΈ ΠΏΡΠΈΠ²Π΅Π»ΠΈ Π°ΠΊΡΡΠ°Π»ΡΠ½ΡΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΠΏΠΎ ΠΈΡ
ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΡΠ±ΠΎΡ ΠΎΠΏΡΠΈΠΌΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΠΊΡΡΡΠ°ΠΊΠΎΡΠΏΠΎΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΌΠ΅ΡΠΎΠ΄Π° Π»Π΅ΡΠ΅Π½ΠΈΡ, Π²ΡΠ΅ΠΌΡ Π½Π°ΡΠ°Π»Π° ΠΈ Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΏΡΠΎΡΠ΅Π΄ΡΡ Π² Π½Π°ΡΡΠΎΡΡΠ΅Π΅ Π²ΡΠ΅ΠΌΡ ΡΠ²Π»ΡΠ΅ΡΡΡ Π΄ΠΈΡΠΊΡΡΠ°Π±Π΅Π»ΡΠ½ΠΎΠΉ ΠΈ Π½Π΅ ΡΠ΅ΡΠ΅Π½Π½ΠΎΠΉ Π½Π°ΡΡΠ½ΠΎΠΉ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠΎΠΉ. Π Π΅ΡΠ΅Π½ΠΈΠ΅ Π΄Π°Π½Π½ΠΎΠΉ Π·Π°Π΄Π°ΡΠΈ, ΠΌΠΎΠΆΠ΅Ρ ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΠΎΠ²Π°ΡΡ Π½Π΅ ΡΠΎΠ»ΡΠΊΠΎ ΠΊΠΎΡΡΠ΅ΠΊΡΠΈΠΈ ΡΠ»Π΅ΠΊΡΡΠΎΠ»ΠΈΡΠ½ΡΡ
Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ, Π½ΠΎ ΠΏΡΠΎΡΠ΅ΠΊΡΠΈΠΈ ΠΎΡΠ³Π°Π½Π½ΠΎΠΉ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΠΈ ΠΈ ΠΊΠ°ΠΊ ΡΠ»Π΅Π΄ΡΡΠ²ΠΈΠ΅ β ΡΠ»ΡΡΡΠ΅Π½ΠΈΡ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² Π»Π΅ΡΠ΅Π½ΠΈΡ Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ ΡΠ°Π±Π΄ΠΎΠΌΠΈΠΎΠ»ΠΈΠ·ΠΎΠΌ
Modified Ross operation (literature review)
One of the surgical methods for treating aortic valve pathology is the Ross operation, which was proposed by the British cardiac surgeon D. Ross in 1967. Numerous studies have shown excellent long-term outcomes of this operation. However, in some patients, pulmonary autograft dilatation may occur in the long term. To avoid this complication, technical modifications of this procedure have been proposed. A literature review on modified Ross operation as a prevention of pulmonary autograft dilatation is presented
Pulmonary homograft dysfunction after Ross procedure in adults: a single center experience
The Ross procedure was first proposed by Donald Ross in 1967. Numerous studies show excellent long-term outcomes of the Ross operation. One of its disadvantages is the intervention on two valves due to pulmonary homograft dysfunction.Aim.Β To study long-term outcomes of pulmonary homograft use after Ross operation (cumulative incidence of pulmonary homograft dysfunction, freedom from reoperation on pulmonary homograft, long-term survival, predictors of pulmonary homograft dysfunction) using data from one Russian center.MaterialΒ andΒ methods. A retrospective study included patients aged 18 years and older with aortic valve disease who underwent Ross procedure from April 2009 to December 2020 by a single surgeon. The age of the patients was 35 (26-44) years (men, 159 (75%)). Infective endocarditis as a cause of aortic valve pathology was diagnosed in 55 (26%) patients. Bicuspid aortic valve was diagnosed in 131 (62%) patients. The median follow-up period was 79 (26,5102,7) months.Results. Combined interventions were performed in 40 cases (18,9%). The modified Ross procedure was used in 54 (25,5%) cases (intra-aortic β 29, using Dacron tube graft β 25). Inhospital mortality was 0,5%. The 5- and 10-year allcause survival rates were 98,5% and 95,4%, while the 10-year cumulative pulmonary valve reoperation rate and pulmonary homograft dysfunction was 4,6% and 35,2%, respectively. The only factor affecting pulmonary homograft dysfunction was patient age β€30 years (odds ratio =0,2 with 95% confidence interval: 0,06-0,7; p=0,02).Conclusion.Β Fresh pulmonary homografts have a low incidence of dysfunction and reintervention after Ross procedure. Young age is the only independent risk factor for pulmonary homograft dysfunction
Pregnancyas a cause of varicose veins of the genital organs (Literature review)
A review of the literature is presented in which the authors consider the problem of varicose veins (RVV) of the pelvic organs. The first cases of the disease description by domestic and foreign scientists are given. It was found that of 25% of all patients with varicose veins (WB) 2/3 are women and in 75% of cases the pathology develops during pregnancy. According to the literature in the etiology and pathogenesis of ERW of the genitals during pregnancy, there was a mechanical theory of vasodilation, which was that the increasing uterus compresses the veins of the pelvic organs, leading to increased hydrostatic pressure, lower blood flow rate. Other authors believe that this theory does not explain the complex pathogenesis of vascular wall dilation and why, in some cases, the disease appears in the early stages of gestation, when the mechanical effect of the pregnant uterus is not yet expressed? It is believed that an equally important role is played by ovarian occlusion and pelvic vein thrombosis in history. Arteriovenous dysplasia of the deep veins of the lower extremities and compression of the veins by the pelvic organs (pregnant uterus, retro and anteflexio of the uterus, which leads to an in-flection of the uterine ligaments with a further violation of the outflow of venous blood) are also important. The problem is very urgent, since a large part of wom-en with external and internal genital organs often occurs at a young age, is latent, and the doctor does not always associate these processes with pregnancy and childbirth.ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ ΠΎΠ±Π·ΠΎΡ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ, Π² ΠΊΠΎΡΠΎΡΠΎΠΌ Π°Π²ΡΠΎΡΡ ΡΠ°ΡΡΠΌΠ°ΡΡΠΈΠ²Π°ΡΡ ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ Π²Π°ΡΠΈΠΊΠΎΠ·Π½ΠΎΠ³ΠΎ ΡΠ°ΡΡΠΈΡΠ΅Π½ΠΈΡ Π²Π΅Π½ (ΠΠ Π) ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΌΠ°Π»ΠΎΠ³ΠΎ ΡΠ°Π·Π°. ΠΡΠΈΠ²Π΅Π΄Π΅Π½Ρ ΠΏΠ΅ΡΠ²ΡΠ΅ ΡΠ»ΡΡΠ°ΠΈ ΠΎΠΏΠΈΡΠ°Π½ΠΈΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ ΠΎΡΠ΅ΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΠΌΠΈ ΠΈ Π·Π°ΡΡΠ±Π΅ΠΆΠ½ΡΠΌΠΈ ΡΡΠ΅Π½ΡΠΌΠΈ. Π£ΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ, ΡΡΠΎ ΠΈΠ· 25% Π²ΡΠ΅Ρ
ΡΡΡΠ°Π΄Π°ΡΡΠΈΡ
Π²Π°ΡΠΈΠΊΠΎΠ·Π½ΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΡΡ (ΠΠ) 2/3 ΡΠΎΡΡΠ°Π²Π»ΡΡΡ ΠΆΠ΅Π½ΡΠΈΠ½Ρ ΠΈ ΠΏΡΠΈ ΡΡΠΎΠΌ Π² 75% ΡΠ»ΡΡΠ°ΡΡ
ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡ ΡΠ°Π·Π²ΠΈΠ²Π°Π΅ΡΡΡ Π²ΠΎ Π²ΡΠ΅ΠΌΡ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ. ΠΠΎ Π΄Π°Π½Π½ΡΠΌ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ Π² ΡΡΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅Π·Π΅ ΠΠ Π ΠΏΠΎΠ»ΠΎΠ²ΡΡ
ΠΎΡΠ³Π°Π½ΠΎΠ² Π²ΠΎ Π²ΡΠ΅ΠΌΡ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ ΡΡΡΠ΅ΡΡΠ²ΠΎΠ²Π°Π»Π° ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠ΅ΠΎΡΠΈΡ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΡ ΡΠ°ΡΡΠΈΡΠ΅Π½ΠΈΡ ΡΠΎΡΡΠ΄ΠΎΠ², ΠΊΠΎΡΠΎΡΠ°Ρ Π·Π°ΠΊΠ»ΡΡΠ°Π»Π°ΡΡ Π² ΡΠΎΠΌ, ΡΡΠΎ ΡΠ²Π΅Π»ΠΈΡΠΈΠ²Π°ΡΡΠ°ΡΡΡ ΠΌΠ°ΡΠΊΠ° ΡΠ΄Π°Π²Π»ΠΈΠ²Π°Π΅Ρ Π²Π΅Π½Ρ ΡΠ°Π·ΠΎΠ²ΡΡ
ΠΎΡΠ³Π°Π½ΠΎΠ², ΠΏΡΠΈΠ²ΠΎΠ΄ΡΡΠ΅Π΅ ΠΊ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΡ Π³ΠΈΠ΄ΡΠΎΡΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π΄Π°Π²Π»Π΅Π½ΠΈΡ, ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΡ ΡΠΊΠΎΡΠΎΡΡΠΈ ΠΊΡΠΎΠ²ΠΎΡΠΎΠΊΠ°. Π΄ΡΡΠ³ΠΈΠ΅ Π°Π²ΡΠΎΡΡ ΡΡΠΈΡΠ°ΡΡ, ΡΡΠΎ Π΄Π°Π½Π½Π°Ρ ΡΠ΅ΠΎΡΠΈΡ Π½Π΅ ΠΎΠ±ΡΡΡΠ½ΡΠ΅Ρ ΡΠ»ΠΎΠΆΠ½ΡΠΉ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅Π· Π΄ΠΈΠ»Π°ΡΠ°ΡΠΈΠΈ ΡΠΎΡΡΠ΄ΠΈΡΡΠΎΠΉ ΡΡΠ΅Π½ΠΊΠΈ ΠΈ ΠΏΠΎΡΠ΅ΠΌΡ Π² Π½Π΅ΠΊΠΎΡΠΎΡΡΡ
ΡΠ»ΡΡΠ°ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ ΠΏΠΎΡΠ²Π»ΡΠ΅ΡΡΡ Π² ΡΠ°Π½Π½ΠΈΡ
ΡΡΠΎΠΊΠ°Ρ
Π³Π΅ΡΡΠ°ΡΠΈΠΈ, ΠΊΠΎΠ³Π΄Π° ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π²Π»ΠΈΡΠ½ΠΈΠ΅ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΌΠ°ΡΠΊΠΈ Π΅ΡΠ΅ Π½Π΅ Π²ΡΡΠ°ΠΆΠ΅Π½ΠΎ? Π‘ΡΠΈΡΠ°Π΅ΡΡΡ, ΡΡΠΎ Π½Π΅ ΠΌΠ΅Π½Π΅Π΅ Π²Π°ΠΆΠ½ΡΡ ΡΠΎΠ»Ρ ΠΈΠ³ΡΠ°Π΅Ρ ΠΎΠΊΠΊΠ»ΡΠ·ΠΈΡ ΡΠΈΡΠ½ΠΈΠΊΠΎΠ²ΡΡ
ΠΈ ΡΡΠΎΠΌΠ±ΠΎΠ· ΡΠ°Π·ΠΎΠ²ΡΡ
Π²Π΅Π½ Π² Π°Π½Π°ΠΌΠ½Π΅Π·Π΅. ΡΠ°ΠΊ ΠΆΠ΅ ΠΈΠΌΠ΅Π΅Ρ Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ Π°ΡΡΠ΅ΡΠΈΠΎΠ²Π΅Π½ΠΎΠ·Π½Π°Ρ Π΄ΠΈΡΠΏΠ»Π°Π·ΠΈΡ Π³Π»ΡΠ±ΠΎΠΊΠΈΡ
Π²Π΅Π½ Π½ΠΈΠΆΠ½ΠΈΡ
ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΡΡΠ΅ΠΉ ΠΈ ΠΊΠΎΠΌΠΏΡΠ΅ΡΡΠΈΡ Π²Π΅Π½ ΠΎΡΠ³Π°Π½Π°ΠΌΠΈ ΠΌΠ°Π»ΠΎΠ³ΠΎ ΡΠ°Π·Π° (Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½Π°Ρ ΠΌΠ°ΡΠΊΠ°, retro ΠΈ anteflexio ΠΌΠ°ΡΠΊΠΈ, ΠΊΠΎΡΠΎΡΠ°Ρ ΠΏΡΠΈΠ²ΠΎΠ΄ΠΈΡ ΠΊ ΠΏΠ΅ΡΠ΅Π³ΠΈΠ±Ρ ΠΌΠ°ΡΠΎΡΠ½ΡΡ
ΡΠ²ΡΠ·ΠΎΠΊ Ρ Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠΈΠΌ Π½Π°ΡΡΡΠ΅Π½ΠΈΠ΅ΠΌ ΠΎΡΡΠΎΠΊΠ° Π²Π΅Π½ΠΎΠ·Π½ΠΎΠΉ ΠΊΡΠΎΠ²ΠΈ). ΠΡΠΎΠ±Π»Π΅ΠΌΠ° ΠΎΡΠ΅Π½Ρ Π°ΠΊΡΡΠ°Π»ΡΠ½Π°, ΡΠ°ΠΊ ΠΊΠ°ΠΊ Ρ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ ΡΠ°ΡΡΠΈ ΠΆΠ΅Π½ΡΠΈΠ½ ΠΠ Π Π½Π°ΡΡΠΆΠ½ΡΡ
ΠΈ Π²Π½ΡΡΡΠ΅Π½Π½ΠΈΡ
ΠΏΠΎΠ»ΠΎΠ²ΡΡ
ΠΎΡΠ³Π°Π½ΠΎΠ² ΡΠ°ΡΠ΅ Π²ΡΠ΅Π³ΠΎ Π²ΠΎΠ·Π½ΠΈΠΊΠ°Π΅Ρ Π² ΠΌΠΎΠ»ΠΎΠ΄ΠΎΠΌ Π²ΠΎΠ·ΡΠ°ΡΡΠ΅, ΠΏΡΠΎΡΠ΅ΠΊΠ°Π΅Ρ Π»Π°ΡΠ΅Π½ΡΠ½ΠΎ, ΠΈ Π²ΡΠ°Ρ Π½Π΅ Π²ΡΠ΅Π³Π΄Π° ΡΠ²ΡΠ·ΡΠ²Π°Π΅Ρ ΡΡΠΈ ΠΏΡΠΎΡΠ΅ΡΡΡ Ρ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΡΡ ΠΈ ΡΠΎΠ΄Π°ΠΌΠΈ
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