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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">medecol</journal-id><journal-title-group><journal-title xml:lang="ru">Медицина и экология</journal-title><trans-title-group xml:lang="en"><trans-title>Medicine and ecology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2305-6045</issn><issn pub-type="epub">2305-6053</issn><publisher><publisher-name>Карагандинский медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.59598/ME-2305-6053-2026-118-1-68-78</article-id><article-id custom-type="elpub" pub-id-type="custom">medecol-1312</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>ЭКОЛОГИЯ И ГИГИЕНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ECOLOGY AND HYGIENE</subject></subj-group></article-categories><title-group><article-title>Влияние пантогематогена на показатели клеточного иммунитета у женщин фертильного возраста с железодефицитной анемией</article-title><trans-title-group xml:lang="en"><trans-title>The effect of pantohematogen on cellular immunity indicators in women of fertile age with iron deficiency anemia</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>Курмангалиев</surname><given-names>К. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Kurmangaliev</surname><given-names>K. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>030019, г. Актобе, ул. Маресьева, 68</p></bio><bio xml:lang="en"><p>030019, Aktobe c., Maresyeva str., 68</p></bio><email xlink:type="simple">Emhana14@mail.ru</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>Бахытжан</surname><given-names>Ұ. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Bakhytzhan</surname><given-names>U. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>030019, г. Актобе, ул. Маресьева, 68</p></bio><bio xml:lang="en"><p>030019, Aktobe c., Maresyeva str., 68</p></bio><email xlink:type="simple">Emhana14@mail.ru</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>Рахимжанова</surname><given-names>Ф. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Rakhimzhanova</surname><given-names>F. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>071400, г. Семей, ул. Абая Кунанбаева, 103</p></bio><bio xml:lang="en"><p>071400, Semey c., Abaya Kunanbayeva str., 103</p></bio><email xlink:type="simple">smu@smu.edu.kz</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жексенова</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhexenova</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>030019, г. Актобе, ул. Маресьева, 68</p></bio><bio xml:lang="en"><p>030019, Aktobe c., Maresyeva str., 68</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ильясова</surname><given-names>Э. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Ilyassova</surname><given-names>E. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>010000, г. Астана, просп. Жеңіс, 81</p></bio><bio xml:lang="en"><p>010000, Astana c., Zhenis ave., 81</p></bio><email xlink:type="simple">Emhana14@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Курмангалиева</surname><given-names>С. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kurmangalieva</surname><given-names>S. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саулеш Сейтжановна Курмангалиева</p><p>030019, г. Актобе, ул. Маресьева, 68</p></bio><bio xml:lang="en"><p>Saulesh Seitzhanovna Kurmangalieva</p><p>030019, Aktobe c., Maresyeva str., 68</p></bio><email xlink:type="simple">saule_cc@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Кафедра микробиологии, вирусологии и иммунологии НАО «Западно-Казахстанский медицинский университет им. Марата Оспанова»<country>Казахстан</country></aff><aff xml:lang="en">Department of Microbiology, Virology and Immunology of West Kazakhstan Marat Ospanov Medical University NC JSC<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Кафедра микробиологии им. проф. М. М. Уразалина НАО «Медицинский университет Семей»<country>Казахстан</country></aff><aff xml:lang="en">Department of Microbiology named after prof. M. M. Urazalin of Semey Medical University NC JSC<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">Кафедра патологической физиологии НАО «Западно-Казахстанский медицинский университет им. Марата Оспанова»<country>Казахстан</country></aff><aff xml:lang="en">Department of Pathological Physiology of West Kazakhstan Marat Ospanov Medical University NC JSC<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">Служба качества медицинских услуг, поддержки пациентов и стратегического развития ГКП на ПХВ «Городская поликлиника №14» акимата г. Астаны<country>Казахстан</country></aff><aff xml:lang="en">Department for Quality of Medical Services, Patient Support, and Strategic Development of State Municipal Enterprise on the Right of Economic Management «City Polyclinic №14» of the Akimat of Astana c.<country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>05</day><month>07</month><year>2026</year></pub-date><volume>0</volume><issue>1</issue><fpage>68</fpage><lpage>78</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Курмангалиев К.Б., Бахытжан Ұ.М., Рахимжанова Ф.С., Жексенова А.Н., Ильясова Э.Т., Курмангалиева С.С., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Курмангалиев К.Б., Бахытжан Ұ.М., Рахимжанова Ф.С., Жексенова А.Н., Ильясова Э.Т., Курмангалиева С.С.</copyright-holder><copyright-holder xml:lang="en">Kurmangaliev K.B., Bakhytzhan U.M., Rakhimzhanova F.S., Zhexenova A.N., Ilyassova E.T., Kurmangalieva S.S.</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://medecol.qmu.kz/jour/article/view/1312">https://medecol.qmu.kz/jour/article/view/1312</self-uri><abstract><p>Исследования последних лет свидетельствуют о том, что дефицит железа и низкое содержание сывороточного железа (гипоферремия) не только вызывают анемию, но могут ухудшать адаптивный иммунитет  и  эффективность  вакцинации.  В  настоящее  время  активно  исследуются  механизмы действия  продуктов  пантового  оленеводства,  возможности  их  применения  в  профилактических  и реабилитационных  программах.  С  терапевтической  точки  зрения  перспективна  попытка  создания комплексных препаратов на основе пантов марала, а также продуктов растительного и минерального происхождения  –  биологически  активных  добавок  (БАД).  В  условиях  жизни  мегаполиса  и  питания полуфабрикатами употребление БАД  становится актуальным.</p><sec><title>Цель</title><p>Цель.  Изучение  влияния  биологически  активной  добавки  пантогематоген  жидкий  (КХ  «Зару», Республика  Казахстан)  на  показатели  клеточного  иммунитета  CD4,  CD8  у  женщин  фертильного возраста, страдающих железодефицитной анемией.</p></sec><sec><title>Материалы  и  методы</title><p>Материалы  и  методы.  В  исследование  были  включены  66  женщин  в  возрасте  от  18  до  49 лет.  Все  обследованные  женщины  рандомно  были  разделены  на  две  группы:  I  (основная)  группа  – 33  женщин;  II  (контрольная)  группа  –  33  женщин.  Основной  группе  была  предложена  биологически активная добавка пантогематоген жидкий в дозе 15 мл 2 раза в день, в течение 14 дней. Контрольной группе  было  предложено  вести  здоровый  образ  жизни  и  рекомендовано  правильное  питание  при железодефицитной  анемии.  На  18  –  20  сут  после  приема  пантогематогена  по  плану  проведено повторное исследование показателей крови.</p><p>Результаты  и  обсуждение.  При  исследовании  клеток  иммунной  системы  в  основной  группе выявлено повышение клеток – общей популяции лимфоцитов CD3+ с 68,53 до 71,90. Также отмечено повышение  кортикальных  тимоцитов  (двойных  позитивных  лимфоцитов)  CD4+CD8+ с  1,18  до  1,96. Отмечено  повышение  субпопуляции  клеток  CD3+CD8+  с  36,30  до  37,96.  А  также  было  выявлено значительное повышение Т-хелперных клеток CD3+CD4+ с 50,25 до 60,16 9 (р=0,001). В контрольной группе достоверных различий выявлено не было.</p></sec><sec><title>Выводы</title><p>Выводы. После применения пантогематогена уровень Т-хелперных клеток CD4+ увеличился с 50,3% до 60,2% (p=0,001).</p></sec></abstract><trans-abstract xml:lang="en"><p>Recent studies indicate that iron deﬁciency and low serum iron levels (hypoferremia) not only cause anemia but may also impair adaptive immunity and reduce the eﬃcacy of vaccination. In recent years, the mechanisms of action of products derived from antler deer farming and their potential applications in preventive and rehabilitation programs have been actively investigated. From a therapeutic perspective, the development of complex preparations based on maral antlers, as well as plant- and mineral-derived products (biologically active supplements (BAS) is considered promising. In the context of urban living and diets dominated by processed foods, the use of BAS becomes increasingly relevant.</p><sec><title>Aim</title><p>Aim. To assess the impact of the biologically active supplement «Liquid pantogematogen» (Zaru Pfarm, Republic of Kazakhstan), on cellular immunity indicators CD4 and CD8 in women of reproductive age suﬀering from iron deﬁciency anemia.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. The study included 66 women aged 18 to 49 years. All participants were randomly assigned to two groups: Group I (main) – 33 women; group II (control) – 33 women. The main group received the biologically active supplement «Liquid pantogematogen» at a dose of 15 ml twice daily for 14 days. The control group was advised to maintain a healthy lifestyle and adhere to a proper diet for iron deﬁciency anemia. On days 18-20 follow-up testing of blood parameters was performed as scheduled.</p></sec><sec><title>Results and discussion</title><p>Results and discussion. Examination of immune system cells in the main group revealed an increase in the total lymphocyte population CD3+ from 68.53 to 71.90. An increase was also observed in cortical thymocytes (double-positive lymphocytes) CD4+CD8+ from 1.18 to 1.96. The subpopulation of CD3+CD8+ cells rose from 36.30 to 37.96. A signiﬁcant increase in T-helper cells CD3+CD4+ was noted – from 50.25 to 60.16 (p=0.001). No statistically signiﬁcant diﬀerences were observed in the control group.</p></sec><sec><title>Conclusions</title><p>Conclusions. Following the use of pantogematogen, the level of CD4+ T-helper cells increased from 50.3% to 60.2% (p=0.001).</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>жидкий пантогематоген</kwd><kwd>клеточный иммунитет</kwd><kwd>Т-лимфоциты</kwd><kwd>железодефицитная анемия</kwd><kwd>женщины фертильного возраста</kwd></kwd-group><kwd-group xml:lang="en"><kwd>liquid pantogematogen</kwd><kwd>cellular immunity</kwd><kwd>T-lymphocytes</kwd><kwd>iron deficiency anemia</kwd><kwd>women&#13;
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