Frequently asked questions

Since October 1, 2021, the following has been introduced at the Republican specialized pediatric scientific and practical medical center:

at the expense of the state budget, the procedure for issuing a quota order to persons belonging to the preferential category has been abolished, and an electronic information system for sending sick children belonging to the preferential category to their accounting

Parents must first contact their family doctor's office or family polyclinics and:

1. Each patient is directed to the district (city) multidisciplinary central polyclinics for a narrow specialist examination by the family doctor points or family polyclinics where the child lives.
2. In the central multidisciplinary polyclinics of the district, narrow specialists are entered into the electronic system of patient information after examination and after making a decision on whether it should be treated on a Republican scale. After consideration by the commission of the district (Shahar) Medical Association, the patient's data is sent through an electronic system to the Khududiy multidisciplinary children's Medical Center (Tashkent City – Shahar children's Clinical Hospital No. 1). In these maussasas, it is considered that the patient is then referred to the Republican specialized pediatric scientific and practical Medical Center.
3. Information about the patient was studied by specialists of the mahsus Medical Commission of the National Children's multidisciplinary centers (Tashkent City – Shahar children's Clinical Hospital No. 1), and if the patient's illness corresponds to the diseases that give the right to treatment at our Center at the expense of the state budget, it will be conveyed through the electronic system to the poor persons of the Republican specialized
if the patient can be provided with medical care in the multidisciplinary centers of the Holy children (Tashkent City – City children's Clinical Hospital No. 1), or if his illness does not coincide with the diseases that give the right to treatment at the expense of the state budget in our center, the patient is directed to these institutions.

4. If the disease in the patient falls on the disease that gives the right to treatment at the expense of the state budget in our center, a referral with a matrix barcode (QR code)for the patient's treatment will be formalized in a period of 1 day and delivered through an electronic system to the Khududi children's Multidisciplinary Center (Tashkent City-Shahar children's Clinical Hospital No. 1). The day of the patient's bedtime is set in the Center.
if the disease in the patient does not correspond to the disease in our Center, which gives the right to treatment at the expense of the state budget, treatment is denied at the Center, this decision is conveyed through the electronic system to the Khududi children's Multidisciplinary Center (Tashkent City – Shahar children's Clinical Hospital No. 1).

5. The patient should receive a referral with a formalized matrix barcode (QR-code)to the Center for hospitalization at the institution where the parents first applied for inclusion in the electronic system, that is, in the District Central multidisciplinary polyclinics.
patients are admitted to the Center after receiving information from the center by a call or SMS to their parents ' phone number specified in the electronic system.

a referral with a matrix bar code (QR-code)is automatically formed in the information system, and a patient who falls into a privileged category gives the child the right to receive treatment from the state budget funds at the center.

At the center, the list of diseases that give the right to treat sick children at the expense of the state budget is approved in the Order of the Ministry of health of the Republic of Uzbekistan No. 215 of August 30, 2021. In this case, diseases are confirmed in all directions of the center. Patient children with these diseases are directed to the Center for treatment in the same order as indicated above, that is, in the case when the referral with a matrix barcode (QR-code)is automatically formed in the Electronic Information System.

Xa, can. In this case, treatment should be paid on the basis of approved preyskurant.

In this case, treatment should be paid on the basis of approved base prices. Only a patient child who belongs to the referral preferential category with a matrix barcode (QR-code), which is automatically formed in the electronic system, that is, his illness is part of the list approved by the Ministry of health of the Republic of Uzbekistan in order No. 215 of August 30, 2021, which gives the center the right to receive treatment

What is celiac? What do mothers know about this disease? Are you sure that your child is infected with symptoms of celiac disease? What to do? Who to apply for? How to treat?

The clinical picture of celiac or gluten enteropathy was first scientifically covered by Samuel Dji 100 years earlier. For the first time, it was found to be accompanied by height growth lag, diarrhea, and eating disorders syndrome. Nevertheless to this day, many scientific papers continue to be published on the alarming hidden clinical signs of this disease and the dramatic results of gluten-free treatment. The prevalence is 1:366 for children of early and school age in our God, about 1:300, 1:500 in European states, with the highest prevalence in Italy being 1:198.

although Seliachia is not abundant in our God, but the presence is very disturbing to us. It is considered a classic model of primary absorption disorder and immune disorders.

unlike acute diarrhea with a celiac infectious character, prolonged diarrhea is associated in most cases with noninfection factors i.e. non-digestion of food and impaired absorption in the intestines.

inability to digest the grains of legumes is one of the most common forms of inability to digest food. In 5 of the large number of Spike plants used by mankind, humans with a strong sensitivity in the body have gluten and proteins similar to it, which have a toxic effect on the mucous membrane of the small intestine. These are wheat, rye, oats, millet and barley, the protein of which has the property of causing an ogir disease called celiac.

celiac disease is a congenital, multi-sign and worsening disease that results from damage to the mucous membrane of the small intestine by the action of the protein gliadin of stinging grains. It is accompanied by a violation of food absorption in the affected part of the mucous membrane of the small intestine. The clinical picture is dominated by steotorrhea, which causes severe syndrome of large amounts of fluid departure of the inside and impaired absorption in the intestine. Celiac is diagnosed late, which is due to certain difficulties in carrying out morphological and instrumental examinations in children, especially children under 3 years of age, atypical course of the disease, the degree of occurrence of non-intestinal signs. As a result of late diagnosis of the disease, severe metabolic disorders occur in the body that threaten the life of the patient. The diagnosis of celiac disease placed on the child means that he is disabled. For this reason, early diagnosis is very difficult, since the fact that the disease is strained increases the risk of developing malignant tumors in the intestine in addition to leading to disability and, as a result, leads to an increase in the death of children.

spike crops are affected by gluten protein, the mucous membrane of the small intestine is thinned, the intestinal suckers are flattened. This sharply reduces the surface of the intestinal sucker, resulting in a violation of the absorption of all nutrients, especially fats. The "classic" form of the disease manifests itself after 4-8 weeks in clinical terms. Most often, Manny porridge or a decoction of Hercules, biscuits, bread give such signs. Most often, the disease begins in the second year of a child's life, (in some cases, under the influence of factors that allow genetic defects to occur, it begins late for intestinal infections or other acute diseases, ruxiy-exciting conditions and headsets).

Seliacia is characterized by the arrival of a large amount of porridge or, in liquid form, a bad, shiny (greasy) stool on the surface. After a while, the weight gain in the patient's weight stops, the abdomen becomes larger, the muscle tissue decreases, the patient loses weight (loses weight). In some cases, constipation occurs as a result of the effect of fat on the large intestine, and in this there is a decrease in the rectum, a decrease in appetite, an increase, or a complete loss. With regard to age, weight and height growth are left behind. In some patients, the appearance of a burning ovate allergy – atopic dermatitis is noticeable. As the disease progresses, calcium-phosphorus deficiency is manifested: pain in the bones at physical exertion or at rest, fracture of the bones in the Sala, damage to tooth enamel, caries of the teeth, tightness of calcium deficiency. Children become Jackal, aggressive. Common signs in patients other than the main signs mentioned above- vitamin-mineral and oxyl deficiency is observed: frequent colds (ORVI), impotence of muscle tissue, decreased and coughing sensitivity, muscle tension up to tetany, fainting, hair loss, dystrophic changes and fracture of nails, pain in bones, bone twitching, lagging behind physical development, increased mining-from small –small blood clots to nosebleeds, poor night vision, follicular hyperkeratosis, colds of the vocal cords, frequent return stomatites, protein-free tumors.
< br> the alternation of periods of tension and remission is characteristic of the course of celiac disease. The period of remission can last for several decades. The recurrence of the disease is accompanied by a new-a new organ and a discharge of the systems. Timely referral to a doctor and anicization of the diagnosis, the implementation of the necessary treatment procedures will restore the ability to work in many without leaving the patient's life intact. In most cases, patients are treated with antibacterial drugs for a long time in infectious hospitals, the effect of which is bulmas. This leads to further disease progression and deeper metabolic changes.

For the purpose of early anicization of the disease, we recommend that parents trust the following main and additional symptoms.

main characters:

- two or more times a day, in large quantities, when it is applied, the arrival of smelly, shiny colored garbage;
- body weight and height overtaking;
- increased abdominal circumference size;
- abdominal pain;
- vomiting, some-from some-to relapse on the day of the fever;
- decreased or elevated appetite;
- pronounced signs of pain, dental caries, bone fracture, rickets in the bones;
- jaundice and aggression;
- unconscious sleep;
- allergic dermatitis
- additional signs:

- frequent colds (ORVI), more than 3 times in 1 year;
-rectum drop;
- muscle impotence;
- recurrent muscle irritation;
- recurrent;
- frequent bleeding from the nose;
- worsening vision at night;
-the appearance of itching on the skin;
- recurrent stomatitis;
- protein-free tumors in the arms and legs;

if in children they notice the addition of 3 main signs or 2 main signs and 2 or more additional signs, they are obliged to consult a specialist pediatrician or a gastroenterologist doctor, since these signs are the signs that kill celiac.

Treatment for celiac disease consists in removing gluten and gluten-containing products from the patient's food. Bread and bakery products, oats, millet, barley porridge are prohibited, instead of which Rice, Mecca, marjumak (buckwheat) are used. It is worth remembering that canned tomato fish, boiled sausages and other foods contain flour, which is harmful to patients. 200-250 mg of gluten is'temol per day will be enough to cause impaired intestinal absorption!

in young children with celiac disease, Ham gluten is removed from the OVCA diet, replaced by hydrolyzates, gluten-free-milk porridge, gluten-free breakfasts, meat, poultry, fruit and vegetable-based children's dietary canned food.at the beginning of treatment, it is better to remove cow's milk from children's food.

gluten-free milk bottles:

gluten-free ready breakfasts: mackerel, rice cucumbers, pencils, breads.

It is important that parents always remember that celiac is a lifelong disease. Most parents hesitantly accept a breadless diet, which in their opinion it is impossible for Hech Ham to eat a child without bread. They must always understand: bread, which is a benefit for other children, makes them poisonous for their children.

a few months after the start of treatment, children become full health, intestinal absorption is restored. In the same vaccine, the hoax of giving the child a tamed biscuit or a hole ashtray appears, supposedly no matter how unpleasant this HOG does not cause. Of course, in practice this does not lead to constipation, but the amount of anti-gluten antibodies increases, and again mucosal atrophy occurs in the intestine. If the child did not take gluten in his first year, then in the future the extensibility to bread will not be felt, dietary restrictions will not torment him.

Intestinal dysbiosis is a change in the amount and/or composition of normal intestinal microflora caused by various negative factors, and this, in turn, is not considered a diagnosis.

Bifidobacteria make up 85-98% of the intestinal microflora according to the age of the child, there are also lactobacilli, intestinal stick, Escherichia, Clostridium, staphylococci, streptococci. Some of these are useful: they help in the synthesis of vitamins, improving food digestion and the immune system, and in the implementation of other important tasks in the body.

some – relatively harmful: they can increase the process of intestinal rot as well as disrupt the digestive process. If the balance between these is disturbed intestinal dysbiosis develops.

- Artificial feeding;
- incorrect placement on the breast;
- frequent changes in mixtures;
-allergic reactions to milk or some component of the mixture;
- introduction of early complementary foods;
- antibiotic treatment;
- frequent infection with acute respiratory disease and other infectious diseases;
- poor immune system;
-Caeserva surgical delivery.

More drugs are available to treat intestinal dysbiosis. They can be divided into 2 groups: probiotics – preserve bacteria useful for the intestines. Prebiotics-these contribute to the reproduction of microorganisms that have them. Since prebiotics enhance the effect of probiotics, it is advisable to use them together, i.e. Symbiotics.

During treatment, it is necessary to give food warm so that it is well digested, taking into account the characteristics of the body. In intestinal dysbiosis, the diet is carried out in 2 stages: Stage 1: diet for the first 2 - 3 days, Stage 2 for the next 3 – 6 days. In Step 1, lean broths, unsweetened compote, parda ripe fruits and vegetables, biokefir are served. In Step 2, in addition to step 1, cooked lean meat, unsweetened fat-free cottage cheese and porridge are added.
< br> drug treatment lasts 3-8 days. When the diet ends, the usual diet is switched to ration. This process should be carried out gradually: 2-3 new products are added every day.

The main signs are:

vomiting;
bending of the legs; < br> The Child's litter is bruised, foamy, liquid, coming with a white clot. It usually smells sour or rotten;
After 2 to 2.5 hours of eating, pain appears and has an irritable character;
bondage of the inside;
diarrhea;
frequent calls for constipation;
flatulence;
vomiting;
decreased body weight;
appearance of allergic reactions.

In this case, it is necessary to treat the disease that causes a change in the intestinal microflora. The correction of such a disorder is part of the treatment of the underlying disease, to which the treatment is prescribed by a pediatrician, gastroenterologist, infectious disease specialist or allergologist.

Increase the proportion of yogurt products;
give fruits and vegetables to the child every day;
limit or reduce the consumption of preservative – containing products;
The Eating interval should not exceed 3.5-5 hours, but the interval should not be less.

Meanwhile, antibiotics are used against most bacterial infections, but in addition to killing the bacteria that the disease calls, it also loses the microorganisms necessary for the normal functioning of the body and, as a result, dysbiosis develops.

Prolonged intestinal dysbiosis leads to a decrease in the protective functions of the body, the appearance of inflammatory diseases and allergic reactions.