SURUNKALI YURAK YETISHMOVCHILIGI BO'LGAN KEKSA BEMORLARDA KORONAR ARTERIYALARNI STENTLASH NATIJALARI
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teri orqali koronar aralashuv, natriyuretik peptid, surunkali yurak yetishmovchiligi, chap qorincha chiqarish fraksiyasi, yurak ishemik kasalligi, aorna koronar shuntlash##article.abstract##
Maqsad: Keksa bemorlarda NT-proBNPni kamaytirish va chap qorincha chiqarish fraktsiyasini oshirishda perkutan koronar aralashuvning (PCI) afzalliklarini baholash.
Usullar: Respublika ixtisoslashtirilgan kardiologiya ilmiy-amaliy tibbiyot markazi Samarqand viloyati hududiy filiali maʼlumotlariga asosan 2022-yil 1-sentabrdan 1-martgacha boʻlgan davrda TKA tekshiruvidan oʻtgan keksa bemorlarni tahlil qildik. Jami 80 ta bemor tahlil qilindi, ularda radial yondashuv 58,75% (n=74) va boshqa yondashuvlar 3,68% (n=6) bilan interventsion aralashuv (TKA) o'tkazildi. Erkaklar 68,1% (n=43), ayollar 31,9% (n=37). O'rtacha yoshi 63,46 edi.
Natijalar. Tadqiqot shuni ko'rsatdiki, YUIK tashxisi bo'lgan keksa odamlarda quyidagilar aniqlandi: infarktdan keyingi kardioskleroz (IKKS) - 40% (n=32), miokard infarkti bilan 42,5% (n=34), zo’riqish stenokardiyasi FS 3 - 17,5% (n=14). 2-diagrammadan ko'rinib turibdiki, ko’pincha egilgan shoxchasining zararlanadi, 40 ta bemorda o'rtacha shikastlanish darajasi 80%, old qorinchalararo shohi zararlanishi (LAB) - 20 (25%), bunda o'rtacha shikastlanish darajasi 70% ni tashkil qiladi, 14 bemorda o'ng koronar arteriya (RCA) zararlanishi bor, bu o'rtacha darajaning 70% ni tashkil qiladi, 49 bemorda o'tmas chekka shoxchasi (OBB) ta'sirlangan, bu 69% ni tashkil etdi, diagonal shox. (DV) 2 bemorda zararlangan va 78% ni tashkil etdi, ularda koronar arteriyalarni stentlashda o’tkazilgan, CHQ CHF , E/e' va NTproBNP darajasi sezilarli darajada oshganligi kuzatiladi.
Xulosa: Hozirgi vaqtda koronar arteriyalarni stentlash, balonli angioplastika va koronar arteriya shuntlashni o'z ichiga olgan interventsion jarrohlik yurak ishemik kasalligi bo'lgan bemorlarni davolashning eng yuqori cho'qqisida. Shu bilan birga, komorbid bemorlarga yanada ehtiyotkorlik bilan yondashish, surunkali yurak yetishmovchiligi bo'lgan bemorlarni yoshini hisobga olgan holda amalga oshirilishi kerak, ular uchun natriuretik peptid darajasini o'rganish, shuningdek, davolash natijalarini uzoq muddatli monitoring qilish muhimdir.
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