Биология ва тиббиёт муаммолари 2024 №2 (152)

Тема статьи

IMPROVING METHODS OF COMPLEX SURGICAL TREATMENT OF DIABETIC FOOT SYNDROME (121-128)

Авторы

Rajabov Doston Uktamovich

Учреждение

Bukhara State Medical Institute, Republic of Uzbekistan, Bukhara

Аннотация

The use of long-term intra-arterial perfusions of L-arginine in complex treatment of patients with purulent-necrotic complications of diabetic foot syndrome with ischemia of the lower extremities led to a sharp decrease in the number of cases of progression of the pathological process and ischemia in the foot, which was observed in only 10.2% of patients at that time they were an order of magnitude higher and amounted to 30.7% in patients without the use of this method of complex treatment. Mortality in treated patients was 4.54% and 13.18%, respectively.

Ключевые слова

purulent-necrotic process, diabetic foot syndrome, lower limb ischemia.

Литературы

1. Akhmedov R.M., Khamdamov B.Z. Evaluation of amputation methods at the tibia level in severe forms of diabetic foot syndrome. Biology va tibbiyot muammolari. Samarkand, 2019, No. 4 (113). – pp. 29-32. 2. Akhmedov RM, Khamdamov BZ, Khamdamov IB Assessment of methods of amputation at the level of the lower leg in severe forms of diabetic foot syndrome //Problems of biology and medicine. - Samarkand, 2019. No. 4 (113). –Pp. 29-32 3. Babadzhanov BD, Matmurodov K. Zh., Sattorov IS, Atadzhanov T. sh. Analysis of the effectiveness of minimally invasive methods in the treatment of diabetic migraine of the lower extremities. Materials of the 4th international Congress “Wounds and wound infections” Moscow 2018, P. 20-22. 4. Davlatov S. et al. Intraoperative determination of the level of amputation in patients with diabetic foot syndrome //Solution of social problems in management and economy. – 2023. – Т. 2. – №. 13. – С. 140-151. 5. Davlatov S. S. The review of the form of neuropathic diabetic foot //Вопросы науки и образования. – 2021. – №. 24 (149). – С. 28-42. 6. Davlatov S. S., Khamdamov B. Z., Teshaev S. J. Neuropathic form of diabetic foot syndrome: etiology, pathogenesis, classifications and treatment (literature review) //Journal of Natural Remedies. – 2021. – Т. 22. – №. 1 (2). – С. 147-156. 7. Davlatov SS, Khamdamov BZ, Teshaev Sh.J. _ Neuropathic form of diabetic foot syndrome: etiology, pathogenesis, classifications and treatment (literature review). Journal of Natural Remedies Vol. 22, No. 1(2), (2021) P.-117-123. JNR Online Journal ISSN: 2320-3358 (e) ISSN: 0972-5547(p) 8. Hikmatov J.S. (2023). Use of the mos sf-36 questionnaire in the assessment of quality of life in surgery. Journal of applied medical sciences, 6(4), 49-55. 9. Ikhtiyarova G. A. et al. Pathomorphological changes of the placenta in pregnant women infected with Coronavirus COVID-19 //International Journal of Pharmaceutical Research (09752366). – 2020. – Т. 12. – №. 3. 10. Khamdamov B.Z. A method for correcting critical ischemia of the lower extremities in the treatment of purulent-necrotic complications of diabetic foot syndrome. Journal of Biomedicine and Practice. Tashkent 2020, Special issue 2. Part 8. - WITH. 968-977. 11. Khamdamov B.Z. Comparative analysis of the effectiveness of the results of complex treatment of diabetic foot syndrome with critical ischemia of the lower extremities using perftoran perfusion. Electronic periodical scientific journal “Sci-article.ru”, No. 14 (October) 2014. P. 80-84. 12. Khamdamov B.Z. Comparative evaluation of methods of amputation related to tidiotarus witn severe forms of diadetic foot syndrome. European Science Review. Austria, Vienna 2014 Septemba-October No. 9-10. - C. 58-60. 13. Khamdamov B.Z. Complex treatment of diabetic foot syndrome with critical ischemia of the lower extremities. Journal of Biomedicine and Practice. Tashkent 2020, Special issue. Part 5 – WITH. 801-814. 14. Khamdamov B.Z. Method of laser photodynamic therapy in the treatment of wound infection in diabetic foot syndrome. Biology va tibbiyot muammolari No. 1 (116) 2020. – P. 142-148 15. Khamdamov B.Z. Morphological changes when using photodynamic therapy in the treatment of wound infection in an experiment. Journal of Morphology. Saint Petersburg. 2020. Volume 157 (2-3). -WITH. 223-224. 16. Khamdamov B.Z. Optimization of methods for local treatment of purulent-necrotic lesions of the foot in diabetes mellitus. Magazine. Tibbiyotda yangi kun. 2018, No. 4 (24) - S. 112-115. 17. Khamdamov B.Z., Dekhkonov A.T. Prospects for the use of silver preparations for local treatment of wound infections. Magazine. Tibbiyotda yangi kun. 2021, No. 2 (34) pp.-141-146. 18. Khamdamov B.Z., Gaziev K.U., Khamdamov A.B. Immune status in patients with diabetic foot syndrome with critical lower limb ischemia. Electronic scientific journal. Biology and Integrative Medicine. 2021. No. 1. January-February (47). – P.50-69. 19. Khamdamov B.Z., Islomov A.A. Method of prevention of postoperative complications of surgical treatment of diabetic foot syndrome. European Science Review. Austria, Vienna 2018 Septemba-October No. 9-10. C/-194-196. 20. Khamdamov B.Z., Khamdamov A.B., Dzhunaidova A.Kh. Improving treatment methods for diabetic foot syndrome with critical ischemia of the lower extremities. Bulletin of the Dagestan State Medical Academy. -2020. -No. 2(35). - pp. 11-17. 21. Khamdamov B.Z., Khamdamov I.B., Gaziev K.U., Dekhkonov A.T. Immunocytokine profile of patients with diabetic foot syndrome with critical ischemia of the lower extremities. Biology va tibbiyot muammolari. 2021. No. 2 (127). – P.149-156. 22. Khamdamov B.Z., Nuraliev N.A., Khamdamov I.B. Experimental development of methods for treating wound infections. Biology va tibbiyot muammolari. Samarkand, 2020. -№1 (116). –P.194-199. 23. Khamdamov B.Z., Teshaev Sh.Zh., Khamdamov I.B. An improved method of amputation at the shin level for severe forms of diabetic foot syndrome. Operative surgery and clinical anatomy (Pirogov scientific journal). - 2020.-T.4.-No.2.-P.37-40. https://doi.org/10.17116/operhirurg2020402137 24. Khamdamov BZ Indicators of immunocitocine status in purulent-necrotic lesions of the lover extremities in patients with diabetes mellitus. American Journal of Medicine and Medical Sciences, 2020 10 (7): 473-478 DOI: 10.5923/j.20201001.08 25. Khamdamov BZ, Askarov TA the use of perfluorocarbons in the treatment of neuroisemic forms of diabetic foot syndrome. Journal. Tibbietda Yangi kun. 2018, No. 4 (23).-Pp. 56-60. 26. Khamdamov BZ, Nuraliev NA Pathogenetic approach in complex treatment of diabetic foot syndrome with critical lower limb ischemia. American Journal of Medicine and Medical Sciences, 2020 10 (1) 17-24 DOI: 10.5923/j.20201001.05. 27. Khamdamov, B., & Dekhkonov, A. (2022). Clinical and laboratory parameters of the wound process complicated by the systemic inflammatory response syndrome in patients with diabetes mellitus. Journal of education and scientific medicine, 2(3), 25-29. Retrieved from https://journals.tma.uz/index.php/jesm/article/view/349 28. Nuraliev N.A., Khamdamov B.Z. Comparative assessment of the immune status of patients with diabetic foot syndrome with critical ischemia of the lower extremities. Bulletin of the Tashkent Medical Academy. Tashkent, No. 1. - 2020. – P. 132-138. 29. Sabirov D.M., Oltiev U.B., Khamdamov B.Z., Dekhkonov A.T. The choice of anesthesia method in the surgical treatment of purulent-necrotic complications of the lower extremities in patients with diabetes mellitus. Biology va tibbiyot muammolari. 2021. No. 2 (127). - WITH. 118-121. 30. Sulaymonovich D. S., Zarifivich K. B. The state of regional blood flow in diabetic foot syndrome //Проблемы биологи и медицины. – 2022. – №. 4. – С. 137. 31. Teshaev O.R., Murodov A.Kh., Sadykov R.R., Khamdamov B.Z. Improved results of treatment of purulent wounds with complex use photodynamic therapy and CO2 laser in the experiment. European Science Review. Austria, Vienna 2016 March-April No. 3-4. - R. 185-189. 32. Teshayev S. J., Khudoyberdiyev D. K., Davlatov S. S. The impact of exogenous and endogenous factors on the stomach wall, macro-, microscopic anatomy of newborn white rats //International Journal of Pharmaceutical Research (09752366). – 2021. – Т. 13. – №. 1.