In our Independent, Permanently Neutral Turkmenistan, the friendly and close-knit team of the Multifunctional Hospital of the Akhal region contribute to the implementation of the Law of Turkmenistan “On the Protection of Citizens' Health” of the State Program of the President of Turkmenistan “Health”, the implementation of the socio-economic development of Turkmenistan planned for 2011 by the “National Program” -2030 ”and the Ministry of Health and Medical Industry of Turkmenistan works on health care.
Guided by the wise saying of our Esteemed President Gurbanguly Berdimuhamedov “Health of the nation is the wealth of the country!”, Human health in our country is considered the most basic wealth.
In the era of the power and happiness of our country, great work is being done in the development of the health care system, the introduction of the principles of a healthy lifestyle, large-scale work and the prevention and elimination of diseases. This in turn creates opportunities for the protection and strengthening of public health, for lengthening life expectancy.
On April 1, 1998, the Multifunctional Hospital of the Akhal region began its work on the basis of Order No. 89 of the Ministry of Health and the Medicine Industry of Turkmenistan (documents are attached). The hospital is currently located in the Bezmein etrap city of Ashgabat. Through the efforts of our Hero, Arkadag, in order to fulfill the main tasks of the State program “Health”, in 2009 overhaul works were carried out in the main building of the hospital with equipping with medical equipment in accordance with international standards.
The structure of the hospital consists of 232 beds intended for inpatient treatment of patients (Department of Cardiology, Surgery, Neurology, Ophthalmology, Traumatology, Obstetrics and Resuscitation), a consultative and diagnostic department with a capacity of 50 visits per shift. All departments have all the conditions for improving the health of citizens, that is, the rooms are heated and air-conditioned by the centralized ERISAN apparatus, equipped with televisions, refrigerators, modern bed sets, and conditions for daily maintenance of sanitary and hygienic rules. All departments are provided with medicinal teas prepared from medicinal plants from their encyclopedic book of our Esteemed President “Medicinal Plants of Turkmenistan”. Departments are fully provided with necessary medicines and other medical devices. All procedures carried out in the surgical department of the hospital are carried out after all the patient’s data is fully presented by the attending physician at the daily meeting of doctors, indicating the method, type of procedure, expected results on the interactive whiteboard. With the help of a telebridge, equipped in the intensive care unit, of the hospital, consultations of the corresponding patients with specialists of health centers and hospitals are made.
The structure of the Multifunctional Hospital of the Akhal region from 232 beds:
Reception Office is centralized where all hospitalized patients are registered, which helps to improve the quality of medical care. The first emergency department with a narrow profile appears to receive a full medical examination (electrocardiography, X-ray, computed tomography, ultrasound, advanced blood and urine tests, biochemical blood tests, ELISA, blood cholesterol, tumor markers). For additional studies of citizens, an ECG 100G electrocardiography apparatus and a DKI-H-10 AXION defibrillator monitor are used to provide emergency care by means of electro-pulse therapy.
Cardiology department (40 beds). The department is equipped with modern equipment to fully promote the health of patients suffering from cardiovascular diseases. Equipped with a special room for the provision of electrical pulse therapy. All devices are installed in the ward, which are based on patients feeling their own regimen, are also equipped with the Drager Infiniti Vista (Germaniýa) ”SAWINA” artificial respiration apparatus, the Drager Infiniti Vista (Germaniýa) cardiomonitor, and electrocardiogram devices also function.
The therapeutic department (31 beds), the treatment activities carried out in the department are based on the prevention of noncommunicable diseases. In the department, patients suffering from diseases of the digestive, respiratory and urinary systems receive full treatment. Patients receiving treatment in the department receive full physiotherapeutic measures in the recovery period.
Department of Neurology (42 beds). The department treats patients suffering from cerebrovascular diseases, inflammatory diseases of the central nervous system, extrapyramidal and other motor disorders, episodic and paroxysmal disorders, disorders of the peripheral nervous system, diseases of the neuromuscular synapse and muscles, cerebral palsy and other paralytic syndromes. The department conducts full-fledged therapeutic measures using physiotherapy, therapeutic mud of the Mollakarin resort, sea salts, ozokerite, paraffin, massage, reflexology, electrophoresis, amploplus, solux, UHF, quartz, and a spine stretcher.
Surgical department (30 beds). The department has 2 operating units, preoperative and postoperative wards. All types of planned and emergency operations are performed (on the stomach, pancreas, liver, gall bladder, intestines, kidneys and urinary tract, prostate gland, ENT organs, n skin and subcutaneous tissue, reconstructive and plastic surgeries, operations on large and small benign formations, removal of a post-traumatic defect on the skin, treatment of diseases of the retroperitoneal space). Most of the operations are carried out endoscopically, that is, the department has 2 operating equipment: End o medium (Russia), Laparoscopic equipment MGB (Germany) ARISTO L3 PHASER
Department of Ophthalmology (35 beds). The department is fully equipped for appropriate treatment of patients (surgical microscope, perimeter, biomicroscope, ophthalmoscope, skiaskop, visiometer, autorefractometer, Maklakov tonometer, diaphanoscope, indirect ophthalmoscope, lens kit, lens meter). The department conducts ophthalmic surgery: removal of pterygium, extracapsular cataract extraction, extracapsular cataract extraction with IOL implantation, trabeculotopy, basal iridectomy, strabismus correction, correction of halazion, removal of trichiasis, lacrimal opening and probing, removal of benign tumors, dacryocystorinotomyotomy, sclerotomy, removal, epilepsy, ile sclerotomy, removal of , enucleation of the orbit, evisceration of the orbit, extraction of the luxated lens, primary surgical treatment of the cornea, rvichnye ablative surgical operation in severe eye injury. The operating equipment is operating in the department: Kare Zerss (Germany) OPMI VIZU-160
Department of Traumatology (22 beds). The Department of Traumatology diagnoses fractures and dislocations and provides specialized medical care to patients. The treatment is carried out using high-tech methods using modern equipment that meets international standards. The department performs intramedullary and extramedullary operations for osteosynthesis, treatment with laser equipment.
The consultative and diagnostic department has all the facilities for conducting medical research of citizens, the department is also equipped with modern equipment: computed tomography, X-ray equipment AKSION ICONA R 200 (Germany), ultrasound equipment in the amount of 5 pieces manufactured by SIMENS, electrocardiographic equipment. The department provides consultations for narrow doctors.
In the physiotherapy department: they carry out full-fledged therapeutic measures using physiotherapy, therapeutic mud of the Mollakarin spa, sea salts, ozokerite, paraffin, massage, reflexology, electrophoresis, amploplus, solux, UHF, quartz, and a spine stretcher.
Obstetric department (32 beds). The department is level II with the following services:
Reception of normal childbirth, childbirth with a large fetus and childbirth with gestational periods of 33-37 weeks, planned and emergency operations by Cesarean section, emergency care of infants weighing more than 1800-2500 grams, treatment of pregnant women with extra genital diseases.
Laboratory department: general clinical, biochemical studies, ELISA of blood are provided. Investigations of the protein fraction by the turbodiometric method are performed, that is, analyzes for immunoglobulins A, M, G; protein fractions, rheumatoid factor, C-reactive protein, antistreptolysin. Enzyme-linked immunosorbent assays include: Anti-HbsAg, EIA, HbeAgEIA, Anti-HAY, HAC, PSR study of hepatitis C virus RNA for phospholipid antibodies, thyroglobulin antibodies, antibodies for DNA, determination of Helicobacter pylori IgG, Echinococcus, Chladimia, Trichomaniasis IgA. IgG, estradiol, progesterone, parathyroid hormone, osteocalcin, free T3, T4, luteinizing hormone, prolactin, testosterone, TSH, triiodothyronine, thyroxine, cortisol, somatotropic hormone, adrenocorticotropic hormone, C-peptide specific hormone general, HSG, CEA, Ferritin, Alfa-feroproten, etc.
Department of Dentistry: Patients entering the department are provided with first aid using the medical equipment installed in the department that meets international standards, that is, dental disease treatment services, orthopedic and surgical services, physical treatment. The department also has an X-ray diagnostic room. The dental department is equipped with modern equipment that meets international standards.
Our address: 744000 Ashgabat city, Bezmein district, Oguz Khan street, 39 Tel: (+993 12) 33-15-04,33-07-51 Fax: 33-10-44
Emergency first aid center, which is 10 storeyed, 200 placed, provided with modern new equipment of world level, with existing “First Aid” call center, was given in exploitation with go-ahead of our Esteemed President on 21.07.2014.
Emergency First Aid Center consists of operation, burn treatment, endoscopic surgery, nerve- traumatology, thoracoabdominal surgery, general surgery and 18 placed reanimation departments.
Patients are taken in the “Emergency aid” room to be specially set up for the first time and their diagnosis is determined in short time by modern equipment in the admission’s center. Room is equipped with up-to-date defibrillator, manual respirator, laryngoscope, ultrasound unit, electrocardiograph, movable X-ray photography, glucose measuring device and other diagnostic, pharmaceutical and bandage products. Condition of emergency operation of patient is created in this room. Doctors render first health protection aid to patients with equipment confirming to the world standards in specialized rooms, when necessary operations are made and patients are placed to respective departments or reanimation of the Center.
There are all possibilities to determine diagnosis of patients by unprecedented equipment of computerized tomography, X-ray- photorentgenography, electrocardiograph ultrasound, fibrogastroduodenoscopy, spirography, bronchoscopy and in revealing the alterations in human body in diagnostic-consulting department of the Center. Highly-qualified doctors determine the diagnosis of patient in short time with the help of above-mentioned equipment. Diagnosis determined in proper time is one of the conditions of effective treatment.
General clinic, biochemical, serologic, bacteriologic and other assays are conducted in the laboratory of the Center. Analysers, photometers and other equipment conforming to world standards help in conducting assays in short time and in large quantities and in making the works more effective.
Patients are given emergency medical aid in the reanimation department of the Center. There are manual respirators, cardiomonitoring device, defibrillator, multifiltrate device, infusion devices and other medical appliances in this department. Multifunctional special beds of this department can be changed in position comfortable for patients. Also, special conditions are created for patients in order to carry out cleaning works.
Laparoscopic surgery, nerve-traumatic surgery, thoracoabdominal surgery and other complicated operations are conducted to patients with burns by medical equipment intended for conducting several operations simultaneously in the emergency condition in the department of operation.
By studying the world practice, we learned that introducing new methods of treatment, sharing an experience with qualified specialists of Germany in the direction existing in the Center, arranging the conduct of operations together with surgery, nerve surgery doctors of Germany take important role in work experience.
Less invasive endoscopic operations are conducted in the existing endoscopic surgery department of the Center. All surgery doctors of Center can conduct such operations in high level. Patients who had such kind of operation can go home 2-3 days after operation. This helps patients come back to their work places and to their families in proper time.
Conduct of less invasive operations by optical duodenoscope in patalogy of pancreato-duodenal system and diseases of gall bladder is introduced in the Center. In the nerve-surgery sphere, removal of vertebral hernia – microdiscectomy, new method of removal of vertebral hernia, putting an implant to the place of removed disk by the help of microscopic equipment, conducting stabilizing operations with the usage of new methods in the case of vertebral instability and operative treatment of removal of intervertebral hernia are arranged.
Treatment measures are taken with the help of autodermoplastics in places of burns taking large area of human body in the operation room intended for burns. This helps to save patients in the case of burns taking large area of human body. Up-to-date special bath rooms, ionized showers used in binding, aerotheraphy rooms of disinfecting burns conforming to the world standards in the department help to the treatment of patients within short period.
Hospital wards are intended for 1 or 2 persons and all conditions which are necessary for the patient are created. There are various functional beds, televisions, fridges for foodstuff, special wardrobes for dresses and hygiene rooms in the rooms. Oxygen system, call points of hospital nurses, centralized heating and air conditioning systems exist in wards.
There is, one of the main stages of treatment, physiotherapy department for patients in the Center. Treatments are provided in following methods such as massaging, physical treatment, needle treatment, physical education treatment and other methods.
Receiving calls, transferring them to respective doctors and achieving their execution in a timely manner are the main functions of the existing call service of Center. GPS communicaton system witnesses the improvement of the work of the Center to the world level by learning the work experience of specialists from Germany with purpose to use “First Aid” automobiles regularly and enhance the quality of emergency medical aid rendered to population.
Opportunity of using time economically and effectively is created by introducing GPS system to the call service. To be precise, by the electronic card of Ashgabat city placed in the Center, we can determine the itinerary of “First aid” automobile and move that first aid car to the next call. According to the colour sign of “First aid” automobile depicted in the map, we can determine whether this vehicle is on call and whether this vehicle can depart to the next call.
By the help of GPS system and radios we can inform other hospitals in emergency to be prepared to admit patient on the way from the call address. In the event of complicated cases, doctor on call or medical attendant can consult with doctor on duty from the Center in order to come up with certain decision. Consulting services of qualified doctors to the citizens by the phone is arranged at any time.
Moreover, reanimation, cardiology, neurology, traumatology, pediatric call groups serve for rendering specialized emergency medical aid in the Center.
Medical helicopter equipped with up-to-date medical appliances conforming to the world standards and “First aid” reanimobile vehicles are in population’s service for the purpose of rendering health protection aid. By the medical helicopter patients who need emergency medical aid are transported from various regions of our country to the specialized hospitals of capital. This helps to prevent disability, prolonging life expectancy of people which are the main function of the State program “Health”.
The existence of faculties of the Center in the State Medical University of Turkmenistan help to the consulting services of professor-teachers in short period to patients and training of specialist in respective directions and training of highly qualified specialists.
Doctors working in the Center where all necessary conditions are created express their deepest gratitude to our Esteemed President! We wish to our Esteemed President long life, sound health and best of luck in all his undertakings!
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