Diseases of the hepatobilar system in the adult population in the zone of ecological trouble in the Aral Sea region have a special damage mechanism. The main factors are environmental pollution among chemicals against the background of use for irrigation of land in the Southern region of Kazakhstan. In recent years, the growth of the disease in the disaster zone of the Aral Sea region has been revealed. The main load in the body takes the liver. One of the functions of the liver is the synthesis and regulation of bio-elements in the body.
Two settlements were selected for the surveys: from the disaster zone of the Aral Sea region of Aralsk and the control zone of the village of Atau of the Karaganda region, which are as close as possible to the population and living conditions. Diseases of the hepatobiliary system are exposed according to the protocols of diagnosis and treatment: clinical examination, biochemical blood analysis, ultrasound examination of the hepatobiliary zone and determination of all the examined individuals in the blood zinc. Emphasis was placed on the time a person lived in the area.
The most sensitive tests for liver damage are triglycerides, cholesterol, aspartate aminotransferase, and a decrease in blood zinc. Ultrasound diagnostics of the hepatobiliary system does not always correspond to laboratory parameters. Consequently, a decrease in zinc is characteristic of the disaster zone of the Priaralye, which is an indicator of damage to the hepatobiliary zone, which requires preventive measures for the population of the Aral Sea region.
Batyrbekova LS, Amanbekova AU and Baymanova AM
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