Modern Approaches to the Diagnosis and Management of Patients with Acute Gouty Arthritis in the Primary Health Care Setting

Abstract

The diagnostic criteria and treatment strategy, which are used for patients with acute gouty arthritis in primary health care practice is given in the article. The algorithm of primary medicine doctor’s action in the management of patients with the acute gout attack is represented.

Evaluation of the results of pH-metry of the stomach in patients with peptic ulcer of the stomach and duodenum under the influence of a physical therapy program

“…In cases of a long course of the phase of unstable remission, it is better to apply sequential, step-by-step actions by various physical factors (Fedorov, 2004;Ponomarenko, 2022). However, Khimion, Yashchenko, Danyliuk, and Sityuk (2018) recommend the use of physiotherapy methods for patients with uncomplicated peptic ulcer in the acute phase (sinusoidal modulated currents, diadynamic Bernard currents, microwave therapy, intranasal electrophoresis with a solution -cadmium, argon, neon and krypton lasers); in the decay phase of exacerbation: thermal procedures (mud, peat, ozocerite, paraffin applications), electrophoresis of drugs (papaverine, platifillin, novocaine, dalargin) on the epigastric region, hydrotherapy; in remission phase: ultrasound, microwave therapy, diadynamic sinusoidal modulated currents, electrophoresis with…”

“…There are several reasons for the increase in the incidence of peptic ulcer: improved diagnostic capabilities due to the introduction of new and complex research methods; high risk of malignant degeneration of stomach and duodenal ulcers; increase in the number of patients with peptic ulcer (Svintsytskyi & Solovyova, 2015;Khimion, at al., 2018).…”

“…the use of drugs, baths (pine, pearl, oxygen, radon), local thermal procedures, acupuncture (Yakovenko, & Samoilenko, 2011;Khimion, at al., 2018;Deinega, 2018) A special place in the treatment of peptic ulcer is given to therapeutic nutrition (diet therapy), the main principle of which is the physiological interaction between individual nutrients, taking into account the needs of the body. It is necessary to introduce fats of animal (70%) and vegetable (30%) origin into the diet.…”