On approval of State mandatory standards and model professional training programs in medical and pharmaceutical specialties
On approval of the rules of placing of the state order, admission for training and training of medical personnel in the residence
On approval of the Rules of sending a specialist to work, granting the right to self-employment, exemption from duty or termination of duty to work by citizens trained on the basis of a state educational order, and the introduction of amendments and additions to the Resolution of the Government of the Republic of Kazakhstan of 23 January 2008 58 "On approval of the Rules for awarding an educational grant"
On approval of the Rules of sending a specialist to work, granting the right to self-employment, exemption from duty or termination of duty to work by citizens trained on the basis of a state educational order, and the introduction of amendments and additions to the Resolution of the Government of the Republic of Kazakhstan of 23 January 2008 58 "On approval of the Rules for awarding an educational grant"
On approval of the nomenclature of specialties and specializations in the field of health care, nomenclature and qualification characteristics of positions of health workers
Order 58 Approval of the DIS list
Library Rules
NROC LLP defines the following procedure for providing relatives and friends of patients with information about the health status of patients undergoing inpatient treatment:
The list of medical care in the system of compulsory social health insurance
Approved by the Decree of the Government
of the Republic of Kazakhstan
dated June 20, 2019 No. 421
List of medical care in the system of compulsory social health insurance
Footnote. The list as amended by Decree of the Government of the Republic of Kazakhstan dated 10/16/2020 No. 673 (shall be enforced ten calendar days after the day of its first official publication).
Medical care in the system of compulsory social health insurance includes:
Specialized medical care on an outpatient basis:
1) preventive medical examinations in the manner and at the intervals determined by the authorized body, with the exception of preventive examinations within the guaranteed volume of free medical care (hereinafter referred to as the GBMP);
2) reception and consultations by specialized specialists, as well as the services of a mobile team at home for diseases that cause a deterioration in the epidemiological situation in the country and in cases of suspicion of them;
3) dynamic observation by specialized specialists of persons with chronic diseases in the manner and at intervals established by the authorized body;
4) provision of dental care in emergency and planned form to certain categories of the population according to the list approved by the authorized body;
5) diagnostic services, including laboratory diagnostics;
6) procedures and manipulations according to the list determined by the authorized body.
Specialized, including high-tech, medical care in hospital-replacing conditions (with the exception of cases of treatment of diseases within the framework of the guaranteed volume of medical care); as well as home hospital services for diseases causing deterioration of the epidemiological situation in the country and in cases of suspicion of them.
Specialized, including high-tech, medical care in stationary conditions:
1) in a planned form, with the exception of cases of treatment of diseases within the framework of the guaranteed volume of medical care;
2) in an emergency form, including carrying out medical and diagnostic measures in the emergency department of a round-the-clock hospital, with the exception of cases of treatment of diseases within the framework of the guaranteed volume of medical care.
Medical rehabilitation in the manner and according to the list of diseases determined by the authorized body.
Pathological anatomical diagnostics in the provision of specialized medical care in outpatient, inpatient and inpatient settings.
Preparation of a post-mortem donor for the removal of organs (parts of organs) and (or) tissues (parts of tissue), removal, conservation, procurement, storage, transportation of organs (parts of organs) and (or) tissues (parts of tissue) in the order and according to the list of diseases, determined by the authorized body.
Provision of medicines, medical devices, specialized medical products, immunobiological preparations in the provision of:
1) specialized, including high-tech, medical care in inpatient and hospital-replacing conditions in accordance with the medicinal formularies of healthcare organizations;
2) primary health care and specialized medical care on an outpatient basis in accordance with the list of medicines, medical devices approved by the authorized body for certain categories of citizens with certain diseases (conditions).
Information source: https://adilet.zan.kz/rus/docs/P1900000421
Approved by the Decree of the Government
of the Republic of Kazakhstan
dated June 20, 2019 No. 421
List of medical care in the system of compulsory social health insurance
Footnote. The list as amended by Decree of the Government of the Republic of Kazakhstan dated 10/16/2020 No. 673 (shall be enforced ten calendar days after the day of its first official publication).
Medical care in the system of compulsory social health insurance includes:
Specialized medical care on an outpatient basis:
1) preventive medical examinations in the manner and at the intervals determined by the authorized body, with the exception of preventive examinations within the guaranteed volume of free medical care (hereinafter referred to as the GBMP);
2) reception and consultations by specialized specialists, as well as the services of a mobile team at home for diseases that cause a deterioration in the epidemiological situation in the country and in cases of suspicion of them;
3) dynamic observation by specialized specialists of persons with chronic diseases in the manner and at intervals established by the authorized body;
4) provision of dental care in emergency and planned form to certain categories of the population according to the list approved by the authorized body;
5) diagnostic services, including laboratory diagnostics;
6) procedures and manipulations according to the list determined by the authorized body.
Specialized, including high-tech, medical care in hospital-replacing conditions (with the exception of cases of treatment of diseases within the framework of the guaranteed volume of medical care); as well as home hospital services for diseases causing deterioration of the epidemiological situation in the country and in cases of suspicion of them.
Specialized, including high-tech, medical care in stationary conditions:
1) in a planned form, with the exception of cases of treatment of diseases within the framework of the guaranteed volume of medical care;
2) in an emergency form, including carrying out medical and diagnostic measures in the emergency department of a round-the-clock hospital, with the exception of cases of treatment of diseases within the framework of the guaranteed volume of medical care.
Medical rehabilitation in the manner and according to the list of diseases determined by the authorized body.
Pathological anatomical diagnostics in the provision of specialized medical care in outpatient, inpatient and inpatient settings.
Preparation of a post-mortem donor for the removal of organs (parts of organs) and (or) tissues (parts of tissue), removal, conservation, procurement, storage, transportation of organs (parts of organs) and (or) tissues (parts of tissue) in the order and according to the list of diseases, determined by the authorized body.
Provision of medicines, medical devices, specialized medical products, immunobiological preparations in the provision of:
1) specialized, including high-tech, medical care in inpatient and hospital-replacing conditions in accordance with the medicinal formularies of healthcare organizations;
2) primary health care and specialized medical care on an outpatient basis in accordance with the list of medicines, medical devices approved by the authorized body for certain categories of citizens with certain diseases (conditions).
Information source: https://adilet.zan.kz/rus/docs/P1900000421
Renal cancer is a malignant tumor of the kidney, which is most often a carcinoma and develops either from the epithelium of the proximal tubules and collecting ducts, or from the epithelium of the pelvicalyceal system.
In Kazakhstan, in the structure of morbidity, kidney cancer occupies the 8th place, more than 1200 cases of malignant neoplasms are detected annually for the first time in life, and mortality is more than 300 cases.
Causes of the disease and risk factors:
Age. More often it is diagnosed in people aged 50-70 years - Hippel-Lindau syndrome. Inherited gene mutations can increase the chance of developing kidney cancer.
Gender. Men are twice as likely to develop kidney cancer than women.
Exposure to chemicals. Some chemicals - asbestos, cadmium, organic solvents - can significantly increase the risk of developing kidney cancer.
Long-term dialysis. Patients on long-term dialysis may develop cysts in the kidneys, which can contribute to the development of kidney cancer.
Smoking. The risk of developing kidney cancer in smokers is 2 times higher than in non-smokers.
Overweight. Eating high-calorie foods that contribute to obesity leads to an increased risk of getting sick.
The presence of risk factors does not necessarily mean that a kidney tumor will appear, but it increases the likelihood.
Symptoms of kidney cancer:
In the early stages, symptoms may not appear. It should be noted the symptoms of kidney cancer, which may indirectly indicate a possible disease:
hematuria (blood in the urine);
the presence of swelling in the lumbar region, which can be detected by probing;
deterioration in general condition, weakness, lethargy, loss of appetite;
increase in body temperature;
swelling of the legs;
anemia;
causeless increase in blood pressure;
pain in the kidney area.
In a few tens of percent of cases, kidney cancer does not show symptoms in any way and is detected quite by accident - during a preventive examination or an ultrasound examination of the abdominal organs (ultrasound) for some other disease. Only an experienced specialist can detect the disease at an early stage or confirm its absence.
Diagnostics:
When diagnosing kidney cancer, the following research methods are used:
ultrasound, which helps to distinguish a tumor from another formation;
x-ray diagnostics: radiography (including renal angiography, urography, etc.);
CT scan;
laboratory tests of blood and urine.
In difficult cases, when other studies are not informative, the latest PET-CT examination method is used for diagnosis.
It should be noted that tumor biopsy is contraindicated, as it can provoke the spread of the disease.
Doctor's recommendations for the prevention of kidney cancer:
The main prevention of the disease is to give up bad habits, such as smoking, alcohol abuse. Also, if possible, avoid contact with chemicals (asbestos, cadmium, etc.). Adhere to the basic rules of a healthy diet, an active lifestyle.
If you have any suspicions or want to be examined in our clinic, please call the Call Center 8(7172)702-911. Here, you can get qualified advice from urologists, surgical oncologists and transplantologists, as well as the full range of diagnostic services and the definition of treatment tactics.
I would like to once again say a big thank you to the staff of the National Cancer Research Center and express my sincere gratitude to the entire Department of Cardiology and especially the Department of interventional radiosurgery of this center - in the person of its head, Viktor Viktorovich Zemlyansky.
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