Место работы автора, адрес/электронная почта: Северо-Восточный федеральный университет им. М. К. Аммосова, Медицинский институт, Кафедра "Пропедевтическая и факультетская терапия с эндокринологией и ЛФК" ; 677007, г. Якутск, ул. Ойунского, 27 ; e-mail: lg.chibieva@s-vfu.ru, chibyeva_l@mail.ru ; https://www.s-vfu.ru
Ученая степень, ученое звание: д-р мед. наук
Область научных интересов: Гастроэнтерология, гепатология
ID Автора: SPIN-код: 6355-1160, РИНЦ AuthorID: 473942
Деятельность: В 1971-1975 гг. - участковый терапевт в поликлинике N 2 г. Якутска, депутат Якутского горсовета. С 1975 г. работает Якутском государственном университете.
Количество страниц: 4 с.
In recent years, many facts have accumulated, indicating that immune reactions play a significant role in the pathogenesis of viral liver damage [1, 3]. The manifestation of a violation of the humoral component of immunity in patients with chronic viral hepatitis and cirrhosis is the change in the concentration of immunoglobulins in blood scrum Some authors note an increase in immunoglobulins of classes M and G. while others indicate a polyclonal increase in the concentration of all classes of immunoglobulins A, M, G [2, 4, 5], which is considered to be characteristic of chronic viral hepatitis, immunoglobulin G. In cirrhotic patients with viral etiology, as a rule, an increase in all three classes of immunoglobulins [1, 6] Лnumber of researchers have received evidence in favor of the role of the CEC in the emergence of organ and tissue damage in chronic viral liver lesions Many authors point to an increase in the CIC in the serum m chronic liver lesions of viral genesis with extrahepatic manifestations. I he study of the features of changes in the immune system of combined (virus + alcohol) liver damage, depending on the activity of the disease, the development of clinical and immunological characteristics and criteria for differential diagnosis in this pathology.as well as predicting the outcome of the disease is currently relevant and requires a more in- depth study of this problem The manifestation of a violation of the humoral component of immunity in patients with chronic viral hepatitis and cirrhosis is the change in the concentration of immunoglobulins in blood scrum Alcoholic hepatitis is one of the most difficult diagnosed alcoholic liver lesions The complexity of diagnosing alcoholic hepatitis is due to the fact that in 7-11 % this disease is initially asymptomatic. With continued use of alcohol, the process becomes irreversible and either becomes chronic, giving periodically more and more severe exacerbations, or already for several months leads to the development of cirrhosis and lethal outcome [6, 7]
Чибыева, Л. Г. Иммунологическая характеристика хронических алкогольных и алкогольно-вирусных гепатитов / Л. Г. Чибыева. М. И. Гатилова // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 4 (09). — С. 117-120.
Количество страниц: 4 с.
Клиника-морфологическая характеристика слизистой оболочки желудка у больных кислотозависимыми заболеваниями / Н. В. Аввакумова, Л. Г. Чибыева, Н.Н. Васильев, О. П. Баланова, А. М. Постникова, А. А. Константинова // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2016. — N 3 (04). — С. 8-10.
Количество страниц: 4 с.
The survey covered 36 patients with the confirmed history of rheumatoid arthritis for 5-10 years and longer. All patients underwent a comprehensive liver function study that included clinical and laboratory examination of the patients to assess the activity of the main biochemical syndromes: cytolysis (alanine and asparagine transaminases, lactate dehydrogenase), cholestasis (general, direct, indirect bilirubin, alkaline phosphatase). All patients underwent an ultrasound examination to study the liver pattern. The ultrasound examination revealed the following changes in the liver: heterogeneous structure, densification and enlargement of the size (55 %), expansion of the diameter of the intrahepatic vessels of medium and small caliber (22 %), multiple small foci of compaction (30 %). The analysis of the data showed that, in addition to the clinical manifestations of the disease itself, there are functional changes in the liver, which depend on the clinical form and activity of the process
Чибыева, Л. Г. Клинико-функциональное состояние печени у больных ревматоидным артритом / Л. Г. Чибыева, А. А. Лыткина // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 4 (09). — С. 59-61.
Количество страниц: 4 с.
Recently, numerous studies have confirmed the existence of a certain relationship between Helicobacter pylori (HP) - associated gastroduodenal diseases and gastroesophageal reflux disease (GERD). HP is found in the gastric mucosa in patients with GERD in 52.4 %, which is significantly lower than in the general population: 73-91 % [2, 5]. In adults with chronic gastritis (CG), HP is detected in over 80 % cases, peptic ulcer of the stomach - 70-85 %, peptic ulcer of duodenum (PUD) - 90-95 % [1, 3, 4]. Attention was drawn to the fact that after successful eradication of HP infection, the number of patients with HP-associated PU decreased, and the number of patients with GERD, in contrast, significantly increased by about 2 times [7, 8]. The clinical picture of GERD is very diverse and variable: it can be typical and atypical, with characteristic clinical “masks” (coronary, pulmonary, otolaryngological mask, etc.) Chronic gastritis with dyspepsia syndrome caused by Helicobacter pylori infection should be regarded as a manifestation of functional dyspepsia. According to the Roman Criteria IV (2016), there are two criteria for the functional dyspepsia syndrome: postprandial distress syndrome and epigastric pain syndrome. Peptic ulcer is a systemic gastroenterological disease with a multifactorial pathogenesis, and HP infection is one of the important but locally predominant factors in its pathogenesis and the indicator of relapses of HP-associated forms
Клинико-эндоскопическая характеристика ГЭРБ, хронического гастрита и язвенной болезни у различных этнических групп больных, проживающих в условиях Севера / Н. В. Аввакумова, Л. Г. Чибыева, К. М. Николаева [и другие] // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 4 (09). — С. 8-11.
Количество страниц: 4 с.
The analysis of clinical-endoscopic manifestations of lesion of stomach and duodenum mucosa at thyroid gland dysfunctions in the various ethnic groups, living in Republic Sakha (Yakutia) is carried out
Клинико-эндоскопическая характеристика эрозивно-язвенных поражений желудка и двенадцатиперстной кишки у больных с дисфункцией щитовидной железы в Республике Саха (Якутия) / К. М. Николаева, Л. Г. Чибыева, В. А. Аргунов [и другие] // Якутский медицинский журнал. – 2011. – N 3 (35). – С. 18-20.
Количество страниц: 3 с.
The features of the clinical course of alcoholic liver disease in various ethnic groups were studied in comparison with chronic alcohol-viral and viral hepatitis B. All patients underwent clinical and laboratory examination. It was revealed that in indigenous patients chronic alcoholic hepatitis was formed in a shorter time, as evidenced by the high frequency of their detection in the age groups up to 20 and from 20 to 29 years and was characterized by more pronounced clinical manifestations. The main distinguishing features of alcoholic liver damage, regardless of the presence or absence of HBV infection, are hepatomegaly, the prevalence of pronounced extrahepatic manifestations, increased activity of AlAT in combination with GGT, and immunological changes.
Гатилова, М. И. Клиническая характеристика алкогольной болезни печени / М. И. Гатилова, Л. Г. Чибыева // Якутский медицинский журнал. — 2018. — N 4 (64). — С. 37-39. — DOI: 10.25789/YMJ.2018.64.10.
DOI: 10.25789/YMJ.2018.64.10
Количество страниц: 4 с.
- Прикладные науки. Медицина. Ветеринария. Техника. Сельское хозяйство > Медицина > Патология. Клиническая медицина > Гепатология,
- НАУКА ЯКУТИИ > ПРИКЛАДНЫЕ НАУКИ. МЕДИЦИНА. ТЕХНИКА. СЕЛЬСКОЕ ХОЗЯЙСТВО > Медицина > Патология. Клиническая медицина > Гепатология,
- КНИГАКАН > Медицина. Ветеринария. Техника. Транспорт. Строительство.
Чибыева, Л. Г. Клиническая характеристика алкогольных поражений печени в различных этнических группах проживающих в условиях Севера / Л. Г. Чибыева, М. И. Гатилова ; Северо-Восточный федеральный университет им. М. К. Аммосова // Евразийский союз ученых. – 2016. – Ч. 1, N 11 (44). – С. 117-120.
Количество страниц: 2 с.
- Прикладные науки. Медицина. Ветеринария. Техника. Сельское хозяйство > Медицина > Анатомия. Физиология,
- Прикладные науки. Медицина. Ветеринария. Техника. Сельское хозяйство > Медицина > Патология. Клиническая медицина,
- НАУКА ЯКУТИИ > ПРИКЛАДНЫЕ НАУКИ. МЕДИЦИНА. ТЕХНИКА. СЕЛЬСКОЕ ХОЗЯЙСТВО > Медицина.
The character of clinical endoscopic features of gastropathies, induced by the intake of non-steroidal anti-inflammatory drugs, was evaluated in patients with cardiac pathology. The clinical picture of NSAIDs-gastropathies in patients with IHD was characterized by a mismatch of symptoms and endoscopic changes. This manifested itself in the fact that in the presence of a bright endoscopic picture (erosion, ulcer), NSAIDs-gastropathies were often asymptomatic. In contrast, in most patients who have noticed pain or other dyspeptic disorders, endoscopic examination revealed minimal changes in the mucosa of the gastroduodenal zone. Therefore, carrying out endoscopic control, preferably in the early stages of treatment, is the most necessary and mandatory method of preventing serious complications.
НПВП-гастропатия у больных с патологией сердца / А. А. Лыткина, Л. Г. Чибыева // Якутский медицинский журнал. — 2018. — N 3 (63). — С. 35-36
DOI: 10.25789/YMJ.2018.63.10
Количество страниц: 8 с.
- Общественные науки. Образование > Народное образование. Воспитание. Обучение. Организация досуга > Высшее образование. Высшая школа. Подготовка научных кадров,
- Прикладные науки. Медицина. Ветеринария. Техника. Сельское хозяйство > Медицина > Патология. Клиническая медицина,
- НАУКА ЯКУТИИ > ОБЩЕСТВЕННЫЕ НАУКИ > Народное образование. Воспитание. Обучение. Организация досуга > Высшее образование. Высшая школа. Подготовка научных кадров,
- НАУКА ЯКУТИИ > ПРИКЛАДНЫЕ НАУКИ. МЕДИЦИНА. ТЕХНИКА. СЕЛЬСКОЕ ХОЗЯЙСТВО > Медицина > Патология. Клиническая медицина.
In the process of teaching students the curse on propaedeutics of internal diseases and for the control of knowledge, there are various methods applied - problem studies and test control. Propaedeutic therapy involves the study of methods of examining the patient in the clinic of internal diseases and primary assimilation of the clinical thinking elements. Logically holistic structures of tasks aimed at creating methods of thinking open the real potential of developing general and special mechanisms of mental activity in students: synthesis, analysis, and abstraction. A problem-solving exercise involves creating a problematic situation when a student can not complete the task by the ways known to him and must find a new way of acting. Accordingly, the problematic activity helps to build skills for diagnostic search, using the “from simple to complex” method. The pedagogical control, based on the feedback principle, is understood as timely and constant adjustments of mental activities of students, with confirmation of the correct answer and correction of errors serving as further training motivation. Test control, as a modification of the pedagogical control, is an easy-to-implement and effective option used as a feedback between the lecturer and the student. Test control assists in solving two main problems in managing the optimization of training: firstly, the time spent by lecturers and students and, secondly, the achieved educational outcome. In accordance with the integrative approach, test tasks are not the result of mechanical interaction, but of complex interaction of individual images properties. A systematic, orderly, focused test of knowledge control provides effective learning of a large amount of new information by students, develops the ability to exercise self-control and self-evaluation, meets the important objective - to use every minute of the student and faculty time fully and effectively
Дайбаннырова, Л. В. Оптимизация учебного процесса на курсе пропедевтики внутренних болезней / Л. В. Дайбаннырова, Л. Г. Чибыева // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 1 (06). — С. 64-70.
Количество страниц: 4 с.
The analysis of the clinical and endoscopic picture of peptic ulcer disease (UD) in patients in the studied ethnic groups in the Far North conditions was carried out. Duodenal ulcer was detected in both ethnic groups, more often in men. In the indigenous population UD was detected mainly in the middle working age, more often with the localization of an ulcer in the stomach. In patients with a long ulcer history, the degree of HP contamination in the mucous membrane is reduced. At the same time, weak contamination is more frequent in the group of patients from the indigenous population than in non-indigenous one
Отличительные особенности язвенной болезни желудка и двенадцатиперстной кишки в условиях Крайнего Севера / Н. В. Аввакумова, Л. Г. Чибыева, Н. Н. Васильев, Л. В. Дайбанырова // Якутский медицинский журнал. — 2020. — N 1 (69). — С. 84-87
DOI: 10.25789/YMJ.2020.69.20