Medicina v Kuzbasse (Nov 2021)
ISSUES OF LABOR REHABILITATION AT WORKERS OF RAILWAY TRANSPORT AFTER ONCOLOGICAL DISEASES
Abstract
In recent years, there has been a significant increase in cancer incidence. Often, the treatment of the tumor process is accompanied by pronounced reactions from organs and systems. Decompensation of existing somatic diseases is often observed. At the same time, the rehabilitation of an oncological patient has certain difficulties due to the lack of regulatory documents. After the end of special treatment, the problem of returning the patient to work in harmful working conditions often arises, since there are no clear criteria for determining the criteria for his professional suitability. Subject of research. We examined 76 railway workers with cured cancer. Objective of the study – to determine the effect of anticancer treatment of oncological pathology on the health status of railway workers and to determine the criteria for professional suitability after treatment. Research methods. The study included 76 patients with various forms of oncological pathology who received special treatment. The assessment of concomitant diseases was carried out according to the comorbidity indices, as well as on the basis of the results of instrumental studies. Results. During the special treatment, various manifestations of a toxic nature were revealed in patients. At the same time, the comorbidity of the effect was noted. During the treatment of a malignant tumor, an individual rehabilitation program is developed, taking into account the toxic reactions to special treatment, the current state of the patient. After the end of the rehabilitation treatment, an extraordinary EEC is carried out to determine the possibility of working in hazardous working conditions. Conclusion. When planning antitumor treatment, it is necessary to assess the presence of concomitant pathology, as well as the degree of its compensation. And during the conduct, to assess the degree of toxic reactions, and their timely therapy, as this will help to prevent the development of complications in the future and will allow the patient to return to work in his profession.
