Main Article Content
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.
Keywords
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
Bichkaev YaI, Gorokhova LM, Martynova NA. Influence of production factors on development of main diseases in different professional groups of railway staff. Human ecology. 2008; 1: 44-51. Russian (Бичкаев Я.И., Горохова Л.М., Мартынова Н.А. Влияние производственных факторов на развитие основных заболеваний у различных профессиональных групп железнодорожников //Экология человека. 2008. № 1. С. 44-51)
Bukhtiyarov IV, Rubtsov MYu, Yushkova OI. Occupational stress caused by shift work as a risk factor for workers' health disorders. Health Risk Analysis. 2016; 3: 103-113. Russian (Бухтияров И.В., Рубцов М.Ю. Юшкова О.И. Профессиональный стресс в результате сменного труда как фактор риска нарушения здоровья работников //Анализ риска здоровью. 2016. № 3. С. 110-121)
Loginova VA. Hygienic assessment of working conditions and occupational risk for workers health at railway transport objects. Health Risk Analysis. 2017; 2: 89-93. Russian (Логинова В.А. Гигиеническая оценка условий труда и профессионального риска здоровью работников на объектах железнодорожного транспорта //Анализ риска здоровью. 2017. № 2. С. 89-93)
Order of January 28, 2021 N 29n. «On the approval of the procedure for conducting mandatory preliminary and periodic medical examinations of employees, provided for in part 4 of Article 213 of the Labor Code of the Russian Federation, a list of medical contraindications to work with harmful and (or) hazardous production factors, as well as work in which mandatory preliminary and periodic medical examinations». Russian (Приказ от 28 января 2021 г. N 29н. «Об утверждении порядка проведения обязательных предварительных и периодических медицинских осмотров работников, предусмотренных частью 4 статьи 213 Трудового кодекса Российской Федерации, перечня медицинских противопоказаний к осуществлению работ с вредными и(или) опасными производственными факторами, а также работам, при выполнении которых проводятся обязательные предварительные и периодические медицинские осмотры»)
Order of the Ministry of Labor and Social Protection of the Russian Federation, the Ministry of Health of the Russian Federation of December 31, 2020 N 988n/1420n «On approval of the list of harmful and (or) hazardous production factors and work, during which mandatory preliminary medical examinations are carried out upon admission to work and periodic medical examinations». Russian (Приказ Минтруда и соцзащиты РФ, Минздрава РФ от 31.12.2020 № 988н/1420н «Об утверждении перечня вредных и(или) опасных производственных факторов и работ, при выполнении которых проводятся обязательные предварительные медицинские осмотры при поступлении на работу и периодические медицинские осмотры»)
Blair A, Blask D, Bråtveit M, Brock T, Burgess JL, Costa G, et al. Painting, Firefighting, and Shiftwork. IARC Monogr Eval Carcinog Risks Hum. 2010; 98: 9-38
Takala Yu. Eliminating occupational cancer in Europe and globally. Brussels. ETUI. 2015. 25 p. DOI: 10.2139/ssrn.2681092
Wang FW, Yu T. Night-shift work and risk of breast cancer: a meta-analysis. Occup Environ Med. 2013; 70(1): A120. DOI: 10.1136/oemed-2013-101717.353