BEL UMURTQASINING DORSOPATIYASIDA NEYROVASKULYAR KASALLIKLARNI DAVOLASHNING INNOVATSION USULLARI
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Dorsopatiya, og‘riq, neyrovaskulyar, endotelry, sitoprotektor, venotonik, bel, umurtqa, gomotsistein, IL-10##article.abstract##
Tadqiqotning maqsadi:Bel umurtqa pog‘onalarining dorsopatiyalarida nervo-sud tizimi buzilishlarini diagnostika qilish, ularning patogenezdagi rolini aniqlash va davolash usullarini takomillashtirish.
Materiallar va metodlar:Samarkand markaziy shifoxonasining nevrologiya bo‘limida 2022-2023 yillarda 180 nafar bemorda bel umurtqa pog‘onasi dorsopatiyasi (110 nafar asosiy guruhda, 70 nafar solishtirish guruhida) aniqlangan, shuningdek, 40 nafar bemor (nazorat guruhi) ushbu holatga ega bo‘lmagan holda tekshirilgan. Tadqiqotda klinik-nevrologik tekshiruv, laboratoriya tahlillari (gomoцистеin, IL-10), neyrovisualizatsiya (bel umurtqa pog‘onasining rentgenografiyasi, MRT, KT), instrumental usullar (UzdG, ENMG), og‘riq intensivligini baholash shkalasi (VAS) va statistik usullar qo‘llanilgan.
Natijalar:O‘tkazilgan tadqiqotlarni tahlil qilish bel umurtqa sindromining rivojlanishida ba'zi belgilarni ko‘rsatdi, bu belgilarning ko‘proq subyektiv dorsalgiya bilan kasallangan bemorlarda uchrashi kuzatildi. Biroq, ob'ektiv tekshiruv natijalari shuni ko‘rsatdiki, bel umurtqa pog‘onalari dorsopatiyasi va ildiz sindromi bo‘lgan bemorlarda bel og‘rig‘i balli 2,8±0,3 bo‘ldi, ikkinchi guruhda esa bu ko‘rsatkich 2,6±0,2 ballni tashkil etdi. Og‘riq sindromining intensivligi va davomiyligiga javoban, birinchi guruhda miofiksatsiya ko‘rsatkichlari ustunlik qildi – ipsilateral ko‘p bo‘linma mushaklarining tarangligi simptomlari – 2,8±0,3 ball, ikkinchi guruhda esa bu ko‘rsatkich 2,5±0,2 ballni tashkil etdi. Bel umurtqa pog‘onalari dorsopatiyasi, dorsalgiya va ildiz sindromlari bilan kasallangan bemorlarda miofiksatsiyaning aniqligi, umurtqa sindromi koeffitsienti yordamida tasdiqlandi. Birinchi guruh bemorlarida bu ko‘rsatkich 11,5±1,1 birlikni, ikkinchi guruhda esa 10,6±1,1 nisbiy birlikni tashkil etdi, bu esa og‘ir darajani anglatadi.
Xulosa:Davolash samaradorligi neyrologik zararlanish dinamikasi va neyrofiziologik tadqiqotlar ma'lumotlari asosida tahlil qilindi. Bemorlarni qayta tekshirish natijalari har ikkala guruhda ijobiy dinamikani ko‘rsatdi, ammo qo‘shimcha davolanish olgan guruhda natijalar sezilarli darajada yaxshi bo‘ldi.
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