Intensive Care Unit and Intensive Care Therapy is located in the 9th block of a building on the 2nd floor of Multifunctional Clinic of TMA and treats acute emergency conditions all systems of the human body. Activities carried out to restore the function of human organs is called - resuscitation. Resuscitation should be equipped with modern medical equipment and should be carried out in specialized units.
Branch therapeutic resuscitation is equipped with modern medical equipment and diagnostic methods of examination of patients. The department for 20 beds. This time in the department 19 physicians provide high-quality medical care. One of the doctors PhD, others have the first and highest category. Of the 47 nurses operating in the department have the highest category of employees 7, the first category of 6 employees, the second category of 3 employees.
Head of the Department of Medical intensive care unit of the medical work is a doctor of medical sciences, Nurullayeva Nargiza Muhtarhanovna.
Intensive therapy and resuscitation therapy for patients with acute urgent conditions.
In intensive care and therapy resuscitation carried out treatment of patients with acute ischemic and hemorrhagic stroke, hepatic encephalopathy in liver cirrhosis, hyper or hypoglycemic condition in diabetes, hyper- and hypoglycemic coma, pneumonia in severe stages of asthma attacks and bouts of chronic obstructive pulmonary disease lung, hypoxic encephalopathy and coma, severe course of GBS, hepatic coma, cerebral coma, drug poisoning and coma, severe course of allergic diseases such as Stevens-Johnson and Lyell, meningoencephalitis, encephalomyelitis, convulsive syndromes, severe course of myasthenia gravis and other diseases with acute urgent states.
Intensive care and resuscitation therapy are equipped with bedside oxygen supply systems, with assessment indicators (blood pressure, heart rate). Intensive care patients with acute diseases pressing is carried out in strict accordance with international, national guidelines and standards of care to patients with acute pressing diseases.
In the department of speech therapists working on a daily basis, instructors LFK, neuropsychologists, experts diagnostic services. Where indicated, the patient or the improvement of the patients being translated into other hospitals.
Conducted clinical conference on analysis of clinically complex patients with the participation of staff from other departments.
Group ultrasonic and functional diagnostics
To identify symptoms of hemodynamically significant stenosis in the carotid doplerography conducted studies of patients with stroke with a further transfer to angionevrologichesky surgical hospital.
Neurorehabilitation
The department formed a complex of rehabilitation measures aimed at recovery of lost functions in patients with stroke. From the first days of finding the patient in the neurology department with him begin work neuropsychology, speech therapists, specialists in physical therapy and physical therapists.
Motor rehabilitation
for motor rehabilitation specialists perform comprehensive medical rehabilitation of patients with the full range of movement disorders. To do this, use massage and individually chosen methods of medical gymnastics.
Physiotherapy rehabilitation
The unique combination of physical factors, individually tailored to each patient in the early stages allows to restore motor and sensory disorders activate tissue metabolism and improves blood supply to the brain and spinal cord, and peripheral nervous system. Physical therapy procedures have analgesic, trophostimulating, lymph drainage, anti-inflammatory and detoniating effects. Early application of magnetic therapy and microcurrent can significantly reduce the duration of the recovery period in patients with acute urgent diseases of the nervous system.
Branch is equipped with resuscitation therapeutic instruments meet the global standards of diagnosis and treatment (electrocardiograph, spirograph, portable X-ray machine, artificial lung ventilation apparatus, defibrillator, pacemaker, heart monitor, echocardiography, echoencephalography, electroencephalograph). Patients during the day carried out monitoring observations. Hospitalization of patients is carried out through the emergency room, by transfer from other departments of the clinic as well as from other medical institutions of the Republic according to the established order of the Ministry of Health. Therapeutic measures carried out by international standards and standards of the Ministry of Health of the Republic of Uzbekistan. After emergency treatment, the patients are transferred to specialized departments. Branch is considered the basis of the department "GPs №1" of the Tashkent Medical Academy. Patients are regularly inspected by the department staff. If you want to organize consultations of narrow specialists (ophthalmologist, neurologist, surgeon, urologist, cardiologist va other).
Patients emergency order is listed below laboratory and instrumental research:
- Clinical examination of laboratory;
- CT scan;
- General and morphological analysis of blood;
- General urine analysis;
- General analysis of feces;
- Determination of uric acid, total protein and blood sugar;
- Anal blood enzymes;
- ALT;
- AST;
- CK;
- LDH;
- Bilirubin;
- Cholesterol;
- Β-lipoproteins;
- Phospholipids;
- Urea;
- Creatinine;
- Uric acid blood;
- Total protein and fractions;
- Testosterone;
- Cortisol;
- T3;
- T4;
- TTG;
- ACTH;
- Acute-phase blood test;
- Haptoglobin;
- Seromucoid;
- C-reactive protein;
- Fibrinogen;
- TORCH-infection, hepatitis B and C, the determination of antibodies, immunoassays;
- ECG;
- EhoKs;
- Ultrasound examination of internal organs;
- X-Ray examinations;
- Bacteriological examination of blood, urine, sputum other liquids.
Determination of the pathogen and antibiotic sensitivity;
- Gastroduodenal examination;
- Determination of Helicobacter pylori by the method of ELISA assay;
- Fibergastroscope;
- Ultrasonography;
- Sigmoidoscopy;
- Colonoscopy;
- Barium enema;
- Angiography vessels;
- Doppler blood vessels;
- EEG;
- REG;
- EhoEs.
Emergency care in the department is listed below disease:
- Acute ischemic attack;
- Diabetes Mellitus (complications);
- Bronchial asta in respiratory failure and acute severe asthma;
- Pneumonia and bronchitis during heavy;
- Cirrhosis of the liver;
- Rheumatism;
- Hypertonic disease;
- Ischemic heart disease and type;
- Spastic syndrome and other neurological diseases;
- Systemic lupus erythematosus;
- Other connective tissue disease;
- Kidney disease;
- Myocarditis;
- Drug allergy;
- Severe anemia;
- Dilated cardiomyopathy;
- Other diseases (acute allergic condition, anaphylactic shock, coma of unknown etiology, electrocution, strangulation asphyxia, drowning, cancer, dermatological diseases heavy currents, hypovolemic states and others)
Doctors advise patients separating the first and second compartments clinic TMA. The offices employ qualified staff and emotional stability. Patients are regularly seen middle and junior medical staff and nurses are actively involved in all the manipulations. In particular: involving resuscitation, events artificial ventilation, cardiac massage, the definition of respiratory rate, heart rate, blood pressure patients and the general care of the seriously ill.
The department regularly conducts research for the pathological and pathophysiological intensive treatment of patients.
Head of the Department of Medical intensive care unit of the medical work is a doctor of medical sciences, associate professor Nurullayeva Nargiza Muhtarhanovna.
The healing process of each patient actively participates department supervisors, doctors and lechyaschie lechyaschie Medical sister. If you want to organize consultations of narrow specialists (ophthalmologist, neurologist, surgeon, urologist, cardiologist, purulent surgery, ENT doctor, vascular surgeon, nephrologist, a gynecologist). After stabilization of the patient's condition is transferred to another therapeutic department.