Categories of suitability for military service schedule. The most detailed list of diseases exempting from the army
Every young man who does not want to go to serve in the Armed Forces sees in a document such as the 2016 sick schedule for conscripts into the army, a straw that one can grab onto. The list of diseases is an appendix to another document called “Regulations on military medical examination” and contains a list of more than 2,000 diseases. In accordance with this list, the conscript is assigned a “fitness category” - an indicator that determines his fate young man at least for the next year. If you have a suitable category, you can count on “military” or a long deferment.
What categories are we talking about?
Based on the results of the medical examination, the conscript is assigned one of the following categories:
- A- The owner of this category can pack his bags - he is 100% healthy and the 2016 illness schedule is no help to him. As a rule, troops are formed from conscripts with category A special purpose. There are also subcategories: A1 indicates that the conscript will endure any physical activity and has not had any illnesses in the past, A2- about what the conscript had serious illness or injury, as a result of which the loads to which it is exposed must be limited. The existence of category A2 is a rather strange moment: common sense suggests that citizens who have suffered a serious illness should be assigned a different, “softer” category.
- B– awarded if the young person has minor health problems that are not sufficient to warrant a deferment. Holders of category B are also sent to the Armed Forces, but the type of military service depends on the subcategory. Deviations in health can be found so insignificant that the “fighter” will be taken into special forces (subcategory B1).
- IN– The conscript is released from service, receives a military ID and continues to lead a quiet life in civilian life in peacetime. However, in case of war, the state reserves the right to draft holders of category B into the ranks of the Armed Forces.
- G– means delay. The conscript remains in limbo for another six months or a year - after the allotted period has expired, he needs to come back for a medical examination. It should be recalled that a deferment in category G can be given a maximum of twice for 6 months or once for a year, after which the conscript is released from service - this “life hack” is used quite successfully by those who want to “slack off.”
- D-they will not be called up for service even during the war.
You can get D if you have a very significant health disorder, for example, the absence of a limb, diabetes mellitus or AIDS. In most cases, recipients of military tickets are content with category B, which means they cannot feel fully safe.
How to use the schedule?
To find out whether a disease falls into the “required” category of the 2016 schedule of diseases for conscripts, you should not wait for a medical examination - after its completion it can be difficult to correct anything. It is better to independently check which category an existing health disorder entitles you to, when things “smell like a fry” - for example, in the last year of university. Fortunately, the schedule of diseases that exempt you from service in the Russian Federation is freely available on the Internet.
You need to use the schedule like this:
- Select the appropriate disease section. All diseases in the 2016 disease schedule for army conscripts are very conveniently grouped. There are 16 sections in total. If we assume that the disease that worries the conscript is, say, retinal detachment, then he needs to select section 7 entitled “Diseases of the eye and its auxiliary organs.”
- Select the appropriate article. Section 7 includes 8 articles, from 29 to 36. The 31st article is called: “Retinal detachment” - that’s what we need.
- Select the desired item. When you open the article, you will see the following table:
In this case, point a) with the coveted category D is assigned only to those citizens who experience retinal detachment in both eyes and have gone through an unsuccessful surgical intervention. Most often, recruits find a suitable option in the final paragraph, which gives the smallest “dividends”. The figure shows that retinal detachment in one eye may qualify for categories B and B, and in this case a lot depends on the column. Conscripts should only worry about Column I. The 2nd column is intended for medical examination of citizens enrolled in the reserves, and the 3rd column is for checking contract soldiers. It is interesting that there are double standards: with a disease that is the reason for issuing a military ID to conscripts, contract soldiers are taken “for their dear soul.” From the table we understand that a conscript with a detached retina will not be accepted into the army.
Body mass index
Body mass index (BMI) is the ratio of the height and weight of a young person. Low weight (as well as being overweight) may be grounds for receiving a six-month deferment. If after six months the weight does not change, the young man will be drafted into the Armed Forces. A military ID is given in cases of decreased physical performance, a negative trend (a person has lost even more weight or gained weight) or the manifestation of a disease that has led to a loss of body weight. Category G, given by BMI, obliges a citizen to undergo monthly weighings and stress tests.
BMI is calculated as follows:
BMI = Body weight / (Height in meters)^2
For example, for a young man 1.75 m tall and weighing 57 kg, BMI will be determined as follows:
BMI = 57 / 3.06 = 18.6
Whether a six-month deferment will be given depends on the age of the conscript:
- Citizens between the ages of 18 and 25 need a BMI below 18.5 or above 35 to receive an additional 6 months of freedom.
- For conscripts over 25, more flexible limits have been established - below 19 and above 36.
The result of our example is ambiguous: a BMI of 18.6 will give the right to a deferment only if the citizen is over 25 years old. Conscription at this age is rare: modern students They finish their master's degree at 23-24 years old, and after graduate school they are no longer required to serve.
The latest changes to the 2016 sick schedule for the army were made in October 2014. A trend is visible: it is becoming more and more difficult to obtain a “military certificate” for health reasons. A striking example– flat feet: 2nd degree foot deformity according to the new schedule is considered a minor health deviation, and the owner of this “sore” is definitely “fit.” Even with epilepsy you can now end up in the army.
Therefore, it is important for the conscript to familiarize himself with the latest edition of the schedule - perhaps the disease for which he intended to “mow” no longer gives the right to exemption from military service.
(newest) (Appendix to the Regulations on Military Medical Examination).Schedule of illnesses is a document in accordance with which a citizen’s fitness category is determined during a medical examination.
List of diseases exemptions from military conscription are contained in the Schedule of Diseases.
As our experience shows, more than 97% of conscripts have non-conscription diseases and at the same time consider themselves absolutely healthy.
We understand how difficult it is to understand the medical terminology contained in the schedule. Therefore, you can use ours and ask your question.
Also, a service has been developed on our resource - according to the Schedule of Diseases (and in our own database).
Instructions for using the Disease Schedule.
1. First, let's open the Schedule of Diseases.
Open it.
Scroll down the slider below until you find the tables.
The table has its own structure and logic, which we will analyze with you
First of all, we are interested in the list of diseases, according to which the conscript’s fitness category for the army is determined. This list of diseases is presented in the form of disease schedule articles. In turn, each article is presented in the form of a table.
In total, the Schedule of Diseases contains 88 articles, which corresponds to approximately 2000 diseases in one form or another.
Let's understand the structure of the table.
2. Disease schedule graphs.
As we can see in the table there are 3 columns. Each column is intended for a specific category of citizens. The first column is the most popular - it is intended for conscripts and pre-conscripts. Let's decipher each column of the illness schedule:
Column I - citizens upon initial registration for military service, conscription for military service, citizens who have not completed military service or have completed military service by conscription (with the exception of citizens indicated in column III), entering military service under a contract for military positions, replaced soldiers, sailors, sergeants and foremen, in the mobilization human reserve, in military professional educational organizations and military educational organizations higher education(hereinafter referred to as military educational institutions), military personnel undergoing military service upon conscription and entering military educational institutions or military service under a contract for military positions, replaced by soldiers, sailors, sergeants and foremen, citizens in the reserves of the Russian Armed Forces Federations and those who have not completed military service (who have completed military service by conscription), when they are called up for military training held in the Armed Forces of the Russian Federation, other troops and military formations, for military positions filled by soldiers, sailors, sergeants and foremen (with the exception of citizens , staying in the mobilization human reserve);
II column - military personnel who do not have military rank officers who are or have completed conscription military service (with the exception of military personnel indicated in Column I), citizens who are in the reserves of the Armed Forces of the Russian Federation and have not completed military service or have completed conscription military service (except for citizens who are in the mobilization manpower reserve ), when examining them for accounting purposes and during military training held in the Armed Forces of the Russian Federation, other troops and military formations, on military positions, replaced by soldiers, sailors, sergeants and foremen;
Column III - citizens who are or have completed military service under a contract, reserve officers of the Armed Forces of the Russian Federation who did not undergo military service under a contract, when they entered military service under a contract, entered the mobilization manpower reserve, citizens staying in the mobilization manpower reserve.";
3. Category of validity of the article Schedule of diseases.
We have decided which specific column of the illness schedule is suitable for us. Now let's decide what these letters “D”, “B” mean (there are also “A”, “B”, “G”). This is the fitness category, i.e. what a citizen can count on if he has a disease. Let's decide what categories of suitability there are:
A - fit for military service; (subject to conscription)
B - fit for military service with minor restrictions; (subject to conscription)
B - limited fit for military service; (exemption from conscription)
G - temporarily unfit for military service; (deferment from conscription for 6-12 months)
D - not fit for military service. (exemption from conscription)
Let's go down a little below the table...
4. Health requirements.
As a rule, each article of the Schedule of Diseases is divided into sub-items in accordance with the degree of dysfunction. After all, you and I know that every disease can be manifested to a greater or lesser extent. Depending on the degree of manifestation of a particular disease, a citizen can count on different categories suitability. Let's look at this in more detail.
At the bottom of each table of the disease schedule, as a rule, there is an explanation of the article. These explanations play a big role in determining the category of suitability and classification of a particular disease. Therefore, some explanation should be given Special attention when studying tables of disease schedules and when comparing an existing disease with the table.
5. How to look for a disease in the Schedule of Diseases.
If for some reason you do not want to use our service, you can use the built-in search in the text editor that you used to open the Schedule of Diseases (just enter the desired diagnosis and search). It should be understood that each disease has many synonyms; for this reason, do not be upset if the disease suddenly turns out not to be found.
6. The ratio of height and body weight (Table 2).
The requirements for height and body weight when determining the fitness category are specified in Article 13 of the Schedule of Diseases.
To assess nutritional status, body mass index (BMI) is used, which is determined by the formula: BMI = [body weight (kg)]/[height squared (m)].
Conclusion.
If you are unable to find legal grounds for exemption due to health reasons, do not despair. As our experience shows, more than 97% of conscripts have non-conscription diseases. Perhaps the fact is that you formulated your search query incorrectly, or did not conduct a medical examination of the body so thoroughly. We are always ready to help you.
We have:
- Free consultations on ;
- Convenient service by ;
- We provide services for organizing independent medical examination and legal support for the conscript (full package);
And remember, there is a way out of any life situation- Always.
What diseases are young people not called to serve with? This article contains a list of diseases that exempt you from military service. But since the official list is very large, the explanations stretch over dozens of pages, too many medical terms, so we will explore the main areas and diseases for which you may not be called upon.
It is worth noting right away that there is a list of diseases for which conscription is limited. So, let's start studying.
Diseases such as syphilis, tuberculosis, HIV, mycoses, leprosy and others that pose a threat to life or interfere with a full existence.
Unfortunately, diseases associated with neoplasms, both benign and malignant, are increasing at an alarming rate.
Let's start with the first type. If there are cysts or polyps that do not affect organs or systems and do not continue to grow, then they may be called in. Otherwise, you are released from service.
Malignant tumors, cancer of any organ or system are in any case exempt from conscription, and the citizen is also required to register a disability. No matter how well a young man feels, no matter how successful the treatment is, you can’t even dream of ankle boots and a machine gun.
Blood diseases
Absolutely any blood disease is included in the list of diseases exempt from military service. If common and biochemical tests blood is not good (that is, the indicators do not correspond to the norm), then doctors will prescribe additional examination to understand what the reason is.
If over time the tests are bad again and the cause of the illness is determined, then you don’t have to wait for a summons from the military registration and enlistment office. You will be assigned a fitness category B, D or D, depending on the diagnosis and degree of pathology. That is, you are either freed from it completely, or you will be called upon in turbulent times. D - this is the case if you have a temporary illness and there is a prognosis for a quick recovery.
Endocrine system
Diabetes mellitus - if there is such a diagnosis, then you don’t have to wait for a summons. This refers to metabolic disorders with dysfunction of organs and systems.
Goiter is another reason why they may not be drafted. But doctors, as a rule, suggest surgery to remove it. The patient has the right to refuse such an offer, citing fear and possible complications.
Mental disorders
If a conscript is registered at a psychoneurological dispensary, they will give the fitness category “unfit”, since they are practically incurable. Mental deviations due to traumatic brain injury are considered temporary illnesses, therefore they are temporarily suspended from service.
This includes autism, Down syndrome, schizophrenia and other diseases that do not allow one to lead a normal lifestyle. The list of diseases that are not accepted into the army has gradually been reduced over the years, and in some cases it has been supplemented with new diseases. More likely, mental disorders- one of the few types of deviations from the norm that will never be canceled.
But in practice there are some nuances. Sometimes during a medical examination, a psychologist or psychoneurologist talks with a conscript, and suddenly it turns out that he has deviations. For example, he is not afraid of anything at all or is eager to serve the Motherland at all costs. Such examples exist.
Nervous system
Patients with regular epileptic seizures are not conscripted into the army. But if there is a stable remission (for 5 years or more), then they can give a B-4 fitness category.
Those who have suffered a stroke, have vascular diseases or systemic atrophy will not have to join the army. Spinal cord and brain injuries are also barriers to military service.
Eyes
Who is visually unfit for military service? Firstly, people with blindness in one or both eyes, as well as with myopia of 6 diopters, are not recruited. Secondly, if there is a color anomaly (including color blindness) and poor color perception.
Almost all diseases of the eyelids, tear ducts, conjunctiva, and orbits prevent a person from living a normal life and performing various activities.
Burns, injuries, retinal detachment, eye muscle disease, glaucoma are serious diseases for which the young man receives category B or D. But if doctors consider that the deviations are not serious (especially after injury and burns), there is hope that damaged tissue recovers, they may give a deferment. But if the condition improves, at the next examination they may be sent to serve, because the list of diseases exempt from conscription explains it all.
Ears
Any hearing problems, with vestibular apparatus, with inflammation of the middle ear will become an obstacle to service. Therefore, young people with such diseases immediately receive the “unfit” category.
In this case, there is no need to continue voicing the list of diseases that exempt from military service based on hearing: deafness, sensorineural hearing loss of any degree. In the army, it is very important that a soldier listens to commands, signals, and alarms. A warrior's life may depend on his state of health. What will happen if he does not hear the enemy's footsteps behind him?
Circulation
Rheumatism, ischemia, and constant high blood pressure (hypertension) deprive people of the opportunity to repay their debt to the Motherland.
If a person has blood clots or poor blood clotting, this can be life-threatening. Hemorrhoids of any degree (except mild) are a terrible discomfort that does not allow you to live in peace.
Breath
How important it is for a person to have healthy breathing, both nasal and pulmonary. Here is a list of diseases that exempt you from military service:
As you can see, any chronic abnormality in the respiratory system is not a criterion for fitness for duty.
Digestion
There is also a list of diseases that give a deferment and exemption from the army - these are diseases of any digestive organs:
- gastritis;
- ulcers;
- hernia (if it prevents normal image life);
- diseases of the liver, biliary tract;
- stones;
- cirrhosis of the liver.
The list can be endless. If you have complaints of pain in the side or abdomen, be sure to tell your doctor about it. You can’t put it off until later, as the disease can be detected by early stage and possibly eliminated.
More than half are missing teeth, even if they have dentures, serious gum disease, and maxillofacial anomalies are also included in the list of diseases exempt from military service.
Leather
Bones and muscles
Arthritis, arthrosis, joint destruction, bone and cartilage diseases. How a soldier can run, jump, do push-ups and others physical exercise, bear the load if he has problems with joints and bones? Spinal diseases and scoliosis higher than 2 degrees and a curvature angle of more than 17 degrees, flat feet. Of course, all this is included in the list
It is worth noting that the surgeon checks whether all body parts are present and whether there are any defects.
Genitourinary system
Kidney diseases, genitourinary system, diseases of the genital organs, if the symptoms are incurable, do not allow military service.
Other options
Do you know that those with a body weight of less than 45 kg and height below 150 cm are not accepted into the army? Speech impairment with the inability to pronounce words clearly, the consequences of toxic poisoning, enuresis, and injuries are also included in the list of diseases exempt from military service.
The portal site prepared material in which they displayed the most detailed list illnesses and illnesses that give the conscript exemption from the army and military service.
The article belongs to the portal site (OOO Etazh), copying without written permission prohibited.
Young men of pre-conscription age who are interested in the issue of diseases that give the right to exemption from universal military service, or, simply put, military service, can familiarize themselves with the most full list such pathologies are presented below. So, you don’t have to worry about a summons from the military registration and enlistment office if you suffer from:
1. The presence of human immunodeficiency virus (HIV).
2. Leprosy.
3. Tuberculosis, in active form(regardless of whether sputum is produced or not) or clinically treated with residual effects in the form of components of the tuberculosis complex.
4. Syphilis - congenital, primary or late, if it is clinical picture indicates a generalized lesion skeletal system or other organs and systems of the body.
5. Severe infectious intestinal diseases, including viral etiology, as well as zoonoses of bacterial origin, helminthiasis, etc. similar ailments, if they are practically impossible to cure or this process is associated with significant difficulties.
6. Candidiasis internal organs, actino-, blasto- or chromomycosis, coccidioidosis, histoplasmosis, sporotrichosis, pheomycotic abscess and mycetoma.
7. Any cancer.
8. Benign neoplasms, if the functions of the relevant systems and individual organs big enough.
9. Diseases of the hematopoietic system in the presence of functional disorders.
10. Eutheroid goiter.
11. Other diseases affecting the glandular system internal secretion, in which even minor functional impairments are observed.
12. Thyroiditis in subacute form With periodic relapses.
13. Obesity (3rd degree only).
14. Diabetes mellitus, if the hypoglycemic index is within 8.9 mmol/l per day ( similar condition, by the way, can be adjusted quite easily with the help of an appropriate diet).
15. Schizophrenia.
16. Endogenous psychoses.
17. Mental disorders, classified as organic, even if the severity of such violations can be called moderate. In addition, this item may include disorders of psychotic and non-psychotic types that are short-term transitory nature, the cause of which is acute organic diseases or head injuries (signs of organic damage to the central nervous system are not observed in this case; after recovery, asthenic syndrome may remain, the severity of which is insignificant).
18. Somatomorphic and neurotic disorders (post-stress), even if the latter are expressed to a moderate degree, are short-term in nature and after favorable course ends with full compensation.
19. Mental and behavioral disorders caused by taking drugs that have psychoactivity.
20. Mental disorders of exogenous origin, including symptomatic ones. Painful manifestations in this case can be persistent and pronounced, or have a long duration or recur with moderate severity. This also includes long-term, up to three months, asthenia, which sometimes accompanies acute infectious diseases, even if there are no phenomena indicating organic disturbances in the activity of the central nervous system. The specified disorders resulting from acute poisoning alcoholic beverages or substances that affect the body toxic effect(narcotic).
21. Mental retardation.
22. Various personality disorders.
23. Epilepsy (except symptomatic).
24. Inflammatory diseases CNS, causing demyelination, as well as their consequences or residual effects, which led to a slight dysfunction of the central nervous system and are expressed in a combination of vegetative-vascular dystonia and asthenic syndrome with some signs of organic disorders that cannot be treated. If the patient's condition subsequently improves, he undergoes medical examination according to paragraph "g".
25. Degenerative diseases Central nervous system of hereditary origin and neuromuscular diseases characterized by the presence organic changes. There are two possible cases of their development: slow progression with mildly expressed symptoms (an example is syringomyelia, characterized by weak expression of dissociated sensitivity disorders, when trophic disorders, in particular, muscle tissue atrophy, are absent) and the absence of any progress for quite a long time. for a long time.
26. Vascular diseases, both spinal cord and brain:
- separate arterial aneurysms, the appearance of which was caused by intracranial clipping, as well as exclusion from the blood circulation (artificial thrombosis or balloonization);
- violations cerebral circulation, for example, hypertensive, cerebral crises or transient ischemia, which occur no more than twice a year, are transient in nature and are accompanied by unstable (less than a day) disorders of the central nervous system such as paresis, paresthesia, speech disorders or impaired coordination of movements, without negative consequences for functioning nervous system;
- insufficiency of cerebral circulation in the initial stage or dyscirculatory encephalopathy (stage 1), characterized by pseudoneurotic syndrome, that is, emotional instability, memory problems, increased irritability, frequent dizziness and headaches, sleep disturbances and other symptoms;
- migraine in its various forms, if attacks of the disease last a long time - more than a day, and are repeated more than three times during the year;
- vegetative-vascular dystonia, if crises (attacks of acute anemia of the brain), leading to simple or convulsive loss of consciousness, occur more than once a month, which has documentary evidence.
27. Diseases peripheral parts nervous system, be it relapses of diseases of the nerve plexuses and the nerves themselves, which rarely worsen without increasing disturbances of sensitivity, movements or trophic disorders, or the consequences of previously suffered exacerbations, which do not have significant severity and do not lead to significant dysfunction.
28. Injuries to the spinal cord and brain, as well as their consequences, and other lesions of the central nervous system, the appearance of which is caused by the influence of external factors. This may include such consequences of damage as traumatic arachnoiditis, which is not accompanied by an increase in intracranial pressure, the signs of which include asymmetry of the innervation of the cranium, anisoreflexia, mild sensory disturbances and similar neurological symptoms (usually they are combined with persistent symptoms of an asthenoneurotic nature and instability of the autonomic system). vascular system). A history of depressed skull fracture, if there are no signs of organic or functional disorders, also applies to this section of the classification. It should be clarified that the examination under clause “c” occurs only if the prescribed treatment has not led to positive changes in the patient’s condition and a decrease in the manifestations of the disease; the same approach is applied in the case of prolonged decompensation or its recurrence. If the clinical manifestations of the disease are compensated, the patient’s condition improves, and his ability to perform military service is restored, the conscript will be examined under paragraph “d”.
29. Injuries to parts of the peripheral nervous system or their consequences, leading to a slight impairment of the functions of the limbs, for example, if the radial or ulnar nerve is damaged, which leads to a decrease in the strength of the muscles that extend the hand and, accordingly, limits its dorsal flexion.
30. Diseases of the orbit, eyelid, tear ducts, conjunctiva, in particular:
- blepharitis, which has a pronounced ulcerative nature, resulting in cicatricial degeneration of the edge of the eyelid and loss of eyelashes;
- conjunctivitis in a chronic form, exacerbating at least twice a year and leading to the accumulation of a large amount of infiltrate in the submucosal tissues, if treatment in a hospital did not have a pronounced effect therapeutic effect;
- trachomatous lesions of the conjunctiva, causing chronic nature;
- diseases of the ducts of the lacrimal glands with relapses of the pterygoid hymen, causing disturbances visual functions and progressive despite repeated use surgical methods inpatient treatment;
- ptosis (congenital or acquired), if the upper eyelid covers more than half of the pupil of one eye or a third or more of both when the forehead muscles are relaxed;
- conditions caused by reconstructive surgery associated with the installation of a lakoprosthesis.
31. Various diseases other parts visual analyzer, which include the iris, sclera, ciliary body, cornea, choroid, vitreous, lens, retina, optic nerve, namely:
- diseases in which the deterioration of the functions of the organ of vision progresses despite conservative and surgical treatment;
- conditions caused by a keratoprosthetic procedure to which one or both eyes were subjected;
- taperetinal abiotrophy, chronic uveitis or uveopathy, which are established in a hospital setting and are accompanied by an increase in intraocular pressure(keratoconus and keratoglobus);
- aphakia or pseudophakia (one or both eyes);
- degenerative-dystrophic changes in the fundus of the eye, if vision loss continues to progress, - posterior staphyloma, marginal retinal degeneration, multiple chorioretinal foci;
- presence in the eye cavity foreign body that does not lead to tissue inflammation or dystrophic changes.
32. Detachment or rupture of the retina.
33. Glaucoma.
34. Visual acuity is 0.4 or less in one eye, if the other has 0.3-0.1 or less.
35. Diseases eye muscles, leading to disturbances in the coherence of movements of both eyes, in particular, their persistent paralysis due to diplopia.
36. Deafness, hearing loss or deaf-muteness.
37. Diseases of the middle ear, as well as the mastoid process, namely:
- otitis media in chronic form (unilateral or bilateral) accompanied by polyps, with granulation tympanic cavity in the presence of bone caries, which can be combined with chronic inflammation paranasal sinus;
- purulent otitis media in a chronic form (unilateral or bilateral), as a result of which difficult nasal breathing appears;
- a condition following surgical intervention to eliminate diseases of the middle ear, when the postoperative cavity is not completely epidermalized due to the presence of purulent or cholesteatoma masses or granulations;
- durable dry perforation eardrums on both sides or a postoperative condition due to radical surgery, when the process of epidermization of the cavities is completely completed (the examination is carried out according to columns 1 and 2 of the disease schedule).
38. Hypertension - its first stage, when blood pressure measured at rest exceeds 150-159 mm Hg. Art. (systolic) and 95-99 mm Hg. Art. (diastolic), respectively.
39. Coronary heart disease.
40. Rheumatism or other heart diseases of a rheumatic and non-rheumatic nature in the presence of heart failure characterized by moderate severity:
- zombified or combined acquired heart defects, regardless of the presence of heart failure;
- diseases leading to heart failure of the 4th functional class;
- isolated aortic defects hearts accompanied by heart failure of functional class 2-4;
- dilated or restrictive cardiomyopathy or hypertrophic cardiomyopathy in the presence of obstruction of the outflow tract in the left ventricle;
- isolated stenosis of the left atrioventricular orifice;
- persistent disturbances of heart rhythm and conduction with complete AV block, polytopic ventricular extrasystole, paroxysmal tachyarrhythmias, sick sinus syndrome, which are persistent and not amenable to therapeutic correction, with heart failure of the 2nd functional class;
- consequences of operations affecting the valvular heart apparatus, or implantation of an artificial pacemaker (heart failure of functional class 1-4);
- primary prolapse of the heart valves, including the mitral valve, myocardial cardiosclerosis, which are accompanied by disturbances of heart rhythm and conduction (possible heart failure of the 2nd functional class);
- repeated rheumatic attacks;
- hypertrophic cardiomyopathy, regardless of whether signs of heart failure of the 1st functional class are present or not;
- conditions that occur after surgery aimed at correcting congenital or acquired heart disease, implantation of an artificial pacemaker, if there is no heart failure.
41. Diseases and consequences of damage when it comes to the aorta, lymphatic vessels, arteries and veins (both main and peripheral), in particular:
- elephantiasis (2nd degree);
- postthrombotic and varicose veins legs, in which the phenomena venous insufficiency have a chronic nature and the 2nd degree of severity, accompanied by periodic swelling of the lower leg and foot, resulting from long-term loads(standing or walking) and disappearing after rest;
- obliterating endarteritis, thromboangiitis, vascular atherosclerosis in the 1st stage, localized in the lower extremities;
- angiotrophoneurosis in the 1st stage;
- varicose veins of the spermatic cord of the 2nd degree of severity (when the spermatic cord descends below the level of the upper pole of the testicle, but testicular atrophy has not occurred), which is observed as a relapse, despite repeated surgical intervention (with a single relapse of the grounds for using p. “ c" no), if the patient refuses further treatment (if the examination is carried out according to the 3rd column of the disease schedule, paragraph "d" applies).
42. Neurocirculatory asthenia, if vegetative-vascular disorders are pronounced and persistent.
43. Hemorrhoids at stage 2 or 3 (nodes fall out).
44. Diseases and various injuries to the cervical parts of the trachea or larynx, which lead to persistent disruption of the breathing process with the occurrence of obstructive respiratory failure of the 1st degree or more.
45. Diseases of the pharynx, nasal cavity or paranasal sinuses, in particular purulent or polypous sinusitis, leading to persistent difficulty breathing through the nose, in cases where exacerbations occur more than twice during the year.
46. Other diseases of the respiratory system, including diseases of the bronchopulmonary apparatus in a chronic form (in the presence of pulmonary insufficiency of the 2nd degree), bronchiectasis, sarcoidosis of the 1st or 2nd stage (in the presence of positive results histological studies).
47. Bronchial asthma, including that form in which short attacks occur less than once a day and can be easily eliminated with the help of bronchodilators, and also if during the period between exacerbations there are no symptoms, and the function lungs are normalized (with daily fluctuations in PSV or FEV being less than 30%, between attacks - more than 80%).
48. Periodontitis or severe periodontal disease with generalized tissue damage.
49. Disturbances in the eruption and development of teeth, when they are missing (or replaced removable denture): 10 or more teeth on one jaw, 8 molars on one jaw, 4 molars on the upper and lower jaws with different sides.
50. Other diseases and changes in teeth, their supporting apparatus, jaws or maxillofacial anomalies (congenital malformations do not belong to this group):
- chronic sialadenitis in the presence of frequent exacerbations; - defects of the lower jaw in the presence of grafts after surgery (if the examination takes place according to column 1 or 2 of the disease schedule);
- malocclusions of 2-3 degrees of severity (separation - more than 5 mm or chewing efficiency - less than 60%);
- actinomycosis affecting maxillofacial region with satisfactory treatment results;
- osteomyelitis of the jaws in the event of sequestration and sequestration.
51. Gastric or duodenal ulcer.
52. Chronic pancreatitis.
53. Diseases of the esophagus, intestines (excluding the duodenum), peritoneum, namely:
- neuromuscular diseases or scar narrowing of the esophagus, if clinical manifestations require surgical intervention or the systematic use of methods such as
- bougienage or balloon dilatation;
- acquired fistulas - esophageal-tracheal or esophageal-bronchial;
- eating disorders (BMI no more than 18.5-19) and digestion that occur as a result of the removal of at least 1.5 m of the small intestine or at least 0.3 m of the large intestine;
- nonspecific ulcerative colitis or enteritis in a chronic form with severe digestive dysfunction;
- insufficiency of the anal sphincter (3rd degree);
- insufficiency of the anal sphincter (1st and 2nd degree);
- intestinal or fecal fistulas at the final stage of surgical treatment or an unnatural anus;
- prolapse of the rectum (all layers) due to walking or changing body position from horizontal to vertical - stage 3;
- rectal prolapse due to physical activity - stage 2;
- prolapse of the rectum during defecation - stage 1, as well as chronic paraproctitis, if exacerbations occur rarely;
- chronic paraproctitis, with exacerbations more than twice a year;
- chronic paraproctitis, if the fistulas open frequently or are persistent;
- cicatricial narrowings or neuromuscular diseases of the esophagus, if conservative treatment has led to satisfactory results;
- diverticula of the esophagus, the clinical manifestations of which do not require surgical intervention;
- Crohn's disease or nonspecific ulcerative colitis in a chronic form with periodic relapses, regardless of their frequency and the severity of functional disorders;
- enteritis in case of impaired secretory function, which is also characterized by nutritional disorders (BMI less than 18.5) and the presence of frequent exacerbations, when hospital treatment does not produce results and there is a need for re-hospitalization for a period exceeding two months;
- resection of at least 1 m small intestine or 20 cm thick with the imposition of a gastrointestinal anastomosis, if dumping syndrome does not occur often;
- peritoneal adhesions, which, due to violations of the evacuation function, require re-hospitalization, and the presence of adhesions must be confirmed by the results of laboratory tests - endoscopic, x-ray or laparotomy;
- peritoneal adhesions, as well as other diseases of the esophagus and intestines with minor functional changes.
54. Various hernias with moderate functional impairment.
55. Neurodermatitis.
56. Eczema.
57. Atropathies of inflammatory or infectious etiology, systemic lesions connective tissues.
58. Surgical diseases and lesions of cartilage and large joints, osteopathy, chondropathy, as well as:
- pathological mobility or persistent contracture of one of the joints, leading to significant limitation of mobility;
- ankylosis of one of the large joints in a vicious position, fibrous ankylosis or the presence of an artificial joint;
- severe deforming arthrosis of large joints, in which coarse bone growths of the articular ends reach 2 mm or more, and recurrent exacerbations with pain occur at least twice a year, or destruction articular cartilage if the radiograph indicates the presence of a joint space less than 2 mm wide and deformation of the limb axis occurs;
- aseptic necrosis femoral head;
- bone defect (1 cm or more), leading to limb instability4 - osteomyelitis, if there are sequestra and sequestral cavities or fistulas that open more than twice a year and do not heal for a long time;
- frequent dislocations of large joints, occurring more than three times a year as a result of minor physical exertion and characterized by relapses of synovitis of the joint and its severe instability, which leads to moderate atrophy of the muscles of the corresponding limb;
- dislocations of the shoulder joints, occurring less than three times a year, as well as their instability and synovitis after physical activity moderate degree;
- ankylosis of joints in a functionally advantageous position, if the functional compensation of the artificial joint is assessed as good (the examination is carried out according to column 3, item “b”);
- osteomyelitis, including primary in chronic form, exacerbations of which are observed annually;
- osteomyelitis, which rarely worsens - approximately every 2-3 years (sequestra and sequestral cavities are absent);
- persistent contracture of any kind large joint leading to moderate limitation of range of motion;
- persistent contracture large joint if the traffic restrictions are minor;
- deforming arthrosis of a large joint if present pain syndrome, if the radiograph indicates the presence of a joint space 2-4 mm wide; - hyperostosis, which creates obstacles for normal movement limbs, as well as wearing military shoes, clothing and equipment.
59. Diseases spinal column or their consequences (congenital deformations and defects are not included in this group):
- Kümmel disease (traumatic spondylopathy);
- spondylitis of infectious origin, if exacerbations occur more than three times during the year;
- infectious spondylitis, exacerbations of which are rare;
- spondylolisthesis of 3-4 degrees with displacement of the vertebral body by a distance exceeding half of its transverse diameter, if there is instability of the spine, and the pain syndrome is pronounced and permanent;
- deforming spondylosis involving the thoracic and lumbar regions, which is accompanied by deep tetra- and paraparesis (in this case, the function of the sphincters is impaired, lateral syndrome is observed amyotrophic sclerosis, expressed pain, poliomyelitis, caudal, vascular or compression syndrome, as well as static-dynamic disorders), if treatment in a hospital for more than three months over the course of a year did not have a sustainable effect;
- deforming spondylosis of the cervical spine, which is characterized by instability;
- spondylolisthesis of the 1st and 2nd degrees, accompanied by pain (the vertebral body is displaced by a quarter or half of its transverse diameter);
- widespread deforming spondylosis or intervertebral osteochondrosis in the presence of multiple massive coracoid growths at the joints of the vertebrae, if pain is noted;
- fixed curvatures of the spinal column, which include wedge-shaped deformities and rotation of the vertebral bodies in those places where the spine bends the most - kyphosis, scoliosis of the 4th degree, etc., if there is a sharp deformity chest and respiratory failure of the restrictive type of the 3rd degree;
- osteochondropathy of the spinal column - kyphosis and scoliosis of the 3rd degree (structural and non-structural), if the deformation of the chest is moderate, and respiratory failure of a restrictive type is of the 2nd degree of severity;
- conditions caused by the removal of intervertebral discs (examination in columns 1 and 2);
- limited deforming spondylosis or intervertebral osteochondrosis, if more than three vertebral bodies or more than three discs are affected, respectively (anatomical signs of deformation are clearly visible and pain is present after significant physical activity);
- fixed curvatures of the spinal column of an acquired nature in the presence of rotation of the vertebrae - scoliosis of the 2nd degree, osteochondropathy kyphosis, leading to wedge-shaped deformation of more than three vertebrae (the height of their anterior surfaces is reduced by more than half);
60. Flat feet or other foot deformities, in particular:
- longitudinal and transverse flatfoot 2nd degree, leading to second stage arthrosis of the middle parts of the feet;
- longitudinal flatfoot of the 3rd degree, even if the phenomena indicate the presence of deforming arthrosis of the middle parts of the feet, and valgus position calcaneal bones absent;
- moderate deformities of the feet, if the disturbance of statics and pain are moderate;
- post-traumatic deformation of the calcaneus (Behler angle decreases from zero to minus ten degrees) with arthrosis of the subtalar joints;
- deforming arthrosis, affecting the first joint of the metatarsus, stage three (movements are limited - less than 10 degrees with plantar flexion, less than 20 with dorsiflexion).
61. Shortening the lower limb by 2-5 cm.
62. Osteochondrosis in case of extensive pain syndrome.
63. Deformations and defects of the fingers and hands, or their absence, or rather:
- absence on both hands of the first and second fingers to the metacarpophalangeal joint;
- absence of four fingers on both hands up to the distal ring of the main phalanx;
- absence of three fingers on both hands up to the metacarpophalangeal joint;
- absence of the hand to the level of the carpal joint or metacarpal bones;
- absence of both hands up to the level of the wrist joint;
- the absence of three fingers to the metacarpophalangeal joint on one hand and four to the distal end of the main phalanx on the other;
- absence of the 1st and 2nd fingers to the metacarpophalangeal joint, the 1st - to the interphalangeal joint and from the 2nd to 5th - to the distal end of the middle phalanx, or on each hand, 1st finger to the metacarpal -phalangeal joint;
- chronic dislocations and defects of more than three metacarpal bones;
- injuries to the elbows and radial arteries together or separately, which led to a sharp disruption of the blood supply to the fingers and hands, ischemic contracture of the small muscles of the hands may be observed;
-defects, destruction or consequences of arthroplasty of more than three metacarpophalangeal joints, as well as two of them;
- defects or old tendon injuries on more than three fingers;
- persistent contracture and severe violations trophism - anesthesia, hypoesthesia and others, the cause of which was chronic damage to more than three fingers in total;
- old dislocations and osteochondropathy of the hand joint;
- false joints, osteomyelitis of more than three metacarpal bones in a chronic form; - dislocations and defects of two metacarpus bones; - carpal or lateral tunnel syndrome;
- chronic injuries of the tendons on two fingers (level of the metacarpal bone), the long flexor on the 1st finger;
- in totality various damages, which is accompanied by functional disorders of the hands, trophic disorder or circulatory disorders, expressed moderately.
64. Kidney diseases causing chronic renal failure:
- bilateral nephroptosis in the 3rd stage;
- the absence of one of the kidneys, if the second has any functional impairment;
- urolithiasis(if both kidneys are affected, and treatment has not brought a satisfactory result), hydronephrosis, pyonephrosis, secondary pyelonephritis, which cannot be treated;
- pelvic dystopia of the kidneys;
- consequences of resection or plastic surgery Bladder;
- urethral stricture, if it systematically or no more than twice during the year (in case of a satisfactory treatment result) requires bougienage;
- sclerosis of the bladder neck in the presence of vesicoureteral reflux or accompanied by secondary bilateral pyelonephritis or chronic hydronephrosis;
- the absence of a kidney or its non-functioning, in the case when the other one is working normally;
- urolithiasis, in the presence of attacks renal colic more than three times during the year, with the passage of stones, if the excretory function is moderately impaired;
- unilateral nephroptosis in the 3rd stage or bilateral in the 2nd stage in the presence of constant pain, secondary pyelonephritis or vasorenal hypertension;
- sclerosis of the bladder neck, if there are secondary unilateral changes in the urinary system;
- unilateral pelvic dystopia;
- persistent symptomatic arterial hypertension, if correction with medications cannot be avoided, regardless of the severity of functional disorders (item “b”);
- the presence of single stones (up to 5 mm and more than 5 mm), if the excretory function is not impaired, and attacks of renal colic are rare (up to three times a year) - when confirmed by ultrasound and test data;
- unilateral nephroptosis in the 2nd stage, accompanied by secondary pyelonephritis or bilateral - if the clinical manifestations and functional disorders are insignificant;
- lumbar dystopia, if the excretory function is slightly impaired;
- cystitis, urethritis and others chronic diseases, frequent exacerbations of which require inpatient treatment.
65. Endometriosis (clinical manifestations are moderate character, exacerbations more than twice during the year);
66. Chronic prostatitis(in the presence of stones) or benign hyperplasia prostate gland in the 1st stage.
67. Congenital heart defects (combined or combined, with or without heart failure).
68. Isolated congenital defects heart (heart failure FC 2-4).
69. Congenital anomalies respiratory organs (respiratory failure of the 3rd degree).
70. Congenital fixed curvature of the spinal column, if there is a sharp deformation of the chest and respiratory failure of the restrictive type of the 3rd degree, as well as the 2nd.
71. Congenital absence ears, cleft palate or lip, other anomalies digestive organs congenital character, if present sharp violation functions, and clinical manifestations are pronounced.
72. Congenital absence of one kidney or its functions, if there are functional disorders in the functioning of the remaining one, as well as if it functions normally.
73. Polycystic kidney disease with significant impairment of excretory functions or chronic renal failure.
74. Anomalies of the renal vessels, as confirmed by angiography, in the presence of vasorenal arterial hypertension and renal bleeding.
75. Osteosclerosis, osteopetrosis, marble disease.
76. Abnormalities of the genital organs (vaginal atresia or absence of the penis).
77. Absence of a limb segment.
78. Bone deformation, if the limb is shortened by more than 8 cm, as well as from 5 to 8 cm or from 2 to 5 cm.
79. O-shaped or X-shaped curvature lower limbs V to a large extent.
80. Other defects, deformations, diseases musculoskeletal system, if there is minor, moderate or significant impairment of function.
81. Congenital ichthyosis, dominant ichthyosis, black and blackening recessive ichthyosis or ichthyosiform erythroderma.
82. Non-closure of the ductus botalus or defect interventricular septum.
83. Dysplasia, double kidneys, horseshoe kidney, anomalies of the ureters and bladder.
84. Bilateral microtia.
85. Scrotal or perineal hypospadias.
86. Single solitary renal cysts with minor functional disorders.
87. Retention of one or two testicles in the inguinal canals, at their external openings or in abdominal cavity.
88. Fistula urethra(from the root to the middle of the penis).
89. Dermoid cysts of the coccyx with relapses, despite radical surgical intervention performed more than three times.
90. Hereditary keratoderma of the palms or soles, leading to impaired hand function or difficulty walking.
