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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">gtrud</journal-id><journal-title-group><journal-title xml:lang="ru">Гигиена труда и медицинская экология</journal-title><trans-title-group xml:lang="en"><trans-title>Occupational Hygiene and Medical Ecology</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">3106-5538</issn><publisher><publisher-name>Национальный центр гигиены труда и профессиональных заболеваний</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.65491/1727-9712-2025-3-41-51</article-id><article-id custom-type="elpub" pub-id-type="custom">gtrud-177</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПРОФПАТОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OCCUPATIONAL PATHOLOGY</subject></subj-group></article-categories><title-group><article-title>Иммунно-ферментные сдвиги в аспекте системного воспаления у больных силикозом</article-title><trans-title-group xml:lang="en"><trans-title>Immunoenzymatic alterations in the context of systemic inflammation in patients with silicosis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Агзамова</surname><given-names>Г. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Agzamova</surname><given-names>G. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор, ученый секретарь медико-педагогического факультета </p><p>2100109, г.Ташкент, ул. Фараби 2, e-mail: info@tma.uz</p></bio><bio xml:lang="en"><p>Doctor of Medical Sciences, Professor, Scientific Secretary of the Medical-Pedagogical Faculty</p><p>2100109, Tashkent, Farabi Str. 2, e-mail: info@tma.uz</p></bio><email xlink:type="simple">agzamovagulya58@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Абдиева</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Abdieva</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>2100109, г.Ташкент, ул. Фараби 2, e-mail: info@tma.uz</p></bio><bio xml:lang="en"><p>2100109, Tashkent, Farabi Str. 2, e-mail: info@tma.uz</p></bio><email xlink:type="simple">tta2005@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Ташкентская медицинская академия<country>Узбекистан</country></aff><aff xml:lang="en">Tashkent Medical Academy<country>Uzbekistan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>08</day><month>10</month><year>2025</year></pub-date><volume>0</volume><issue>3</issue><fpage>41</fpage><lpage>51</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Агзамова Г.С., Абдиева Ю.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Агзамова Г.С., Абдиева Ю.А.</copyright-holder><copyright-holder xml:lang="en">Agzamova G.S., Abdieva Y.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://nauka.naoncgt.kz/jour/article/view/177">https://nauka.naoncgt.kz/jour/article/view/177</self-uri><abstract><p>Вредные факторы условий труда работающих в горнодобывающей промышленности являются самостоятельным риск-фактором возникновения легочной патологии. Выявлено что наиболее часто заболевают проходчики, средний возраст 41,6±1,2 лет, стаж до 10 лет. С нарастанием степени тяжести силикоза повышается уровень СВФ. Вторая, третья стадии силикоза и наличие СВФ позволили достоверно прогнозировать вероятность развития легочной патологии профессионального генеза.</p></abstract><trans-abstract xml:lang="en"><p>Harmful occupational factors in the mining industry are independent risk factors for the development of pulmonary pathology. It was found that drillers (tunnelers) are most frequently affected, with an average age of 41.6±1.2 years and work experience of up to 10 years. As the severity of silicosis increases, the level of systemic inflammatory factors (SIF) also rises. The presence of second- and third-stage silicosis and elevated SIF levels made it possible to reliably predict the likelihood of developing occupationnally induced pulmonary pathology.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>горнорудная промышленность</kwd><kwd>силикоз</kwd><kwd>диагностика</kwd><kwd>фиброгенная пыль</kwd><kwd>системные воспалительные факторы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>mining industry</kwd><kwd>silicosis</kwd><kwd>diagnostics</kwd><kwd>fibrogenic dust</kwd><kwd>systemic inflamematory factors</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Бабанов С.А., Будаш Д.С. Изучение цитокинового профиля и прогнозирование течения профессиональных заболеваний легких в крупном промышленном регионе // Медицинская наука и образование Урала. - 2016. - №1. - С.30-35.</mixed-citation><mixed-citation xml:lang="en">Babanov S.A., Budash D.S. 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