RESUMEN
An analysis of nonspecific resistance in burn patients is conducted. The role of subpopulations of neutrophils and monocytes/ macrophages in severe burn injury is discussed. The significance of blood cells for the burn-induced immune dysfunction, susceptibility to sepsis and multiple organ failure is underscored. The involvement of secondary complications in the development of morbidity and mortality in patients with burn injury is shown. New approaches to identifying individuals with a risk of adverse outcome are considered.
Asunto(s)
Quemaduras , Sepsis , Quemaduras/complicaciones , Humanos , Insuficiencia Multiorgánica/etiología , Neutrófilos , Sepsis/complicacionesRESUMEN
The problem of combatants' rehabilitation in the modern world is relevant for medicine in all countries. The forms of care are inpatient, sanatorium, outpatient and polyclinic. The choice of a specific program for a combatant is based on the compilation of a personalized target map with the measurement of the functional index measurements that allow assigning patients to relevant correction groups. Three variants of programs for the combatants' rehabilitation are proposed. Each one considers such components as a regimen and drug therapy. Psychotherapy plays an important role. The volume and tasks of psychotherapeutic influences are determined taking into account the mechanisms of the disease development and the psychological state of the patient. In the process of psychotherapy, various techniques and methods are used (psychodynamic, humanistic, cognitive-behavioral). Along with traditional psychotherapeutic techniques, psychophysiological trainings using the principle of biofeedback are used. An urgent component of the rehabilitation of veterans is carrying out correctional work with their family members. An important place is given to the rehabilitation of victims' family members - work with acute grief, life crisis, and catastrophic experiences. Preserving and restoring the health of war veterans is not only a medical but also a social problem.