BIOMICROSCOPY OF THE CAPILLARY FLOW - INTERDISCIPLINARY APPROACH AND EFFECTIVENESS OF PATHOLOGICAL CONDITIONS DIAGNOSTICS

Y. Nechytailo, I.O. Yukhimets, О.Yu. Nechytailo, B. Mabrouk, Т.М. Micheeva, D. Nechytailo
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Abstract

The goal – to evaluate the features and diagnostic value of the capillary bedbiomicroscopy results in various pathological conditions.Material and methods. The paper presents data on microcirculation study in patientsof various ages (adults and children) with different somatic pathologies (with diabetesmellitus, arterial hypertension, chronic gastroduodenitis, acute bronchitis) comparedwith healthy persons. The state of microcirculation was recorded using a digital USBmicroscope and evaluated by qualitative and semi quantitative assessment.Results. In patients with diabetes, the most changes in the form of capillariesand venules microaneurism, reduction of the functioning vessels number, slowingblood flow, decrease of arteriolo-venular coefficient were registered. In arterialhypertension, the signs of an increase in peripheral resistance were dominated, andin inflammatory diseases of the gastroduodenal zone and during bronchitis there wasa slowing of blood flow in arterioles and capillaries, an increase in the vascularity ofarterioles and the erythrocytes adhesion inside vessels.Conclusions. Biomicroscopy is simple and informative method for studyingmicrocirculation both chronic and acute diseases, the volume and nature of violationspredominantly depends on the type of pathology, its severity and duration.
毛细管流动的生物显微镜-病理诊断的跨学科方法和有效性
目的是评价不同病理条件下毛细血管床生物显微镜的特征和诊断价值。材料和方法。本文介绍了不同年龄(成人和儿童)不同躯体病变(糖尿病、动脉高血压、慢性胃十二指肠炎、急性支气管炎)患者与健康人的微循环研究资料。采用数字usb显微镜记录微循环状态,并进行定性和半定量评价。糖尿病患者毛细血管及小静脉形态变化最多,功能血管数减少,血流减慢,小静脉系数降低。动脉性高血压以外周阻力增加为主,胃十二指肠区炎症性疾病和支气管炎小动脉和毛细血管血流减慢,小动脉血管性增加,血管内红细胞粘连增加。生物显微镜是研究慢性和急性微循环疾病的一种简单而翔实的方法,其数量和性质主要取决于病理类型、严重程度和持续时间。
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