Comorbid patient — the patient, which now faces the doctor of any specialty at all stages of care. Ignore this trend is simply impossible. The core of any comorbid pathology is the so-called «vascular» pathology, in particular hypertension, atherosclerosis and other multifocal. On the development of vascular comorbidity and methods of its prevention and treatment described in the article.
Hypertension — the most common cardiovascular disease, is a background for coronary heart disease, cerebrovascular disease. When there is inadequate antihypertensive therapy destabilization of arterial hypertension, which leads to the urgent conditions — hypertensive crisis. Hypertensive crisis, depending on the presence or absence of target organ damage can be complicated and uncomplicated. This is the determining factor in the selection of treatment of the patient and the need for hospitalization.
In Europe it is cardio — vascular diseases (CVD) which are called also as «murderer № 1» as more than a half of all death is the share of them. The heart trouble — a heart attack or a stroke which reasons noncommunicable disease are leading cause of death. In many countries from 70 to 80% of expenses on medical care it is the share of treatment of chronic diseases, thus chronic patients are intensive users of medical services.
Anemia, according to WHO, is found in 27% of the world's population that certainly shows the pervasiveness of this nosology. One of most known anemia is a common iron anemia. Also consider the existence of latent iron deficiency. Both conditions require not only timely diagnosis, but also the etiologic search, as well as adequate therapy.
Chronic obstructive pulmonary disease is a systemic disease, the manifestations of which go far beyond the respiratory system. Several studies have shown that patients with COPD can develop hypogonadism. Its prevalence in men with COPD can vary from 22 to 69%, and also displays include osteoporosis, muscle weakness, and depression.
Patients with cancer, perhaps one of the most difficult categories of patients. Both in terms of medical intervention (volume radical surgery, the need for chemotherapy or radiotherapy), and from the point of view of the psychological state of the patient. In addition to the treatment of the main manifestations of the cancer process (the primary tumor and metastases) the patient is necessary to ensure a decent quality of life by getting rid of chronic pain syndrome and prevention of possible complications, one of which is pulmonary embolism. This article is devoted to.
The surgical approach is the only treatment for the colorectal cancer liver metastasis. The publications on current methods of surgical treatment were reviewed with the use of web search at PubMed, eLibrary, Google. It was found that modern techniques help to minimize postoperative complications and the mortality rate does not exceed 5%. Moreover, 5 year overall survival rate reaches 40–58%. Techniques of laparoscopic resections are actively developing at laparoscopic surgery, where the results are comparable to those in conventional approaches. The results of liver transplantation seem to be optimistic, as 5 year survival rate reaches 60%.
