THE DEGREE OF COMORBID PATHOLOGY IN DIFFUSE-NODAL GOITER AND ITS DY- NAMICS IN THE POSTOPERATIVE PERIOD
High degree of comorbidity in diffuse-nodular goiter increases anesthetic risk during surgery, complicates the course of the postoperative period, especially in patients with concomitant diabetes, cardiovascular diseases, bronchial asthma. Materials and methods. A study was made of the degree of comorbidity among 95 patients with diffuse-nodular goiter forms. All patients were divided into 2 groups: the first - euthyroid goiter, the second - hypothyroid goiter. Polymorbidity was analyzed by the Charlson's comorbidity index. Results. The median of the indicator the somatic diseases per personfor in diffuse-nodal goiter with euthyroidism was 2,87, with hypothyroidism - 4,01. All of the nosology analyzed in the study was significantly more likely to be registered in patients with the initial hypothyroidism and had a low correlation with the duration of the registration of a decreased thyroid function, since only 4 patients were diagnosed with a relatively accurate onset of hypothyroidism that underwent an annual thyroid hormone level. The quality of compensation for hypothyroidism and comorbidity index had an average interrelationship (r = 0,49, p <0,05). The frequency and degree of comorbidity in the postoperative period was higher with the original euthyroid state. Conclusions. Hypothyroidism is accompanied by multiple dysfunctions of various organs and systems «per se». At the same time, this group of patients, who knows their diagnosis and its consequences, take their health more seriously. All this leads to the fact that they often have comorbid pathology, but less significant it progresses in the postoperative period.