OYOQ SUYAKLARI SINISHLARI VA QON TOMIR ZARARLANISHI BILAN JABRLANGAN BEMORLARGA TIBBIY YORDAM KO'RSATISHNING MAQBUL USULLARI

##article.authors##

  • TILYAKOV Xasan Azizovich
  • TILYAKOV Aziz Burievich
  • TEMUROV Alisher Akmaljon o’g’li
  • Nomozov Fazliddin Nuritdin o'g'li

##article.subject##:

suyak-qon tomir shikastlanishi, to'liq va to'liq bo'lmagan amputatsiyalar, osteosintez, arterial anastomozlar, autovenoz protezlar

##article.abstract##

Shuni ta'kidlash kerakki, oyoq suyaklarining ochiq va yopiq sinishlarini davolash muammosi katta qon tomirlarining shikastlanishi bilan birgalikda uchragan hollarda juda dolzarb mavzudir. Bunday jarohatlarning asosiy sabablari asosan yo'l-transport hodisalari, sport jarohatlari va ishlab chiqarish bilan bog'liq jarohatlardir. Suyak sinishi paytida qon tomirlarining shikastlanishi 0,6-10% hollarda kuzatiladi, bu o'rtacha 4-5% [5, 111; 8, 58-63; 10, 308-325].

Hozirgi vaqtda angio va mikroxirurgiyaning jadal rivojlanishi, erta o'z vaqtida tashxis qo'yish (puls oksimetriyasi, Doppler ultratovush, MSKT angiografiyasi va boshqalar) va natijada rekonstruktiv operatsiyalarni o'z vaqtida bajarish tufayli amputatsiya chastotasi sezilarli darajada kamaydi. Biroq, erishilgan yutuqlarga qaramay, amputatsiya (3-60%) va o'limning yuqori darajasi hali ham mavjud (7.3-24.0%) [2, 22-25; 7, 1011]. Masalan, bilvosita shikastlanish holatlarida, pastki uchdan bir qismidagi son sinishi 11% hollarda arteriya shikastlanishi, 8% hollarda boldir dislokatsiyasi va sonning bo’g’im ichi sinishi bilan birga keladi.

Библиографические ссылки

Abyshov N.S. Immediate and long-term results in traumatic injuries of the arteries of the extremities. Angiol and vascular hir. 2002;8 (4):103-110. In Russian.

Afanasyev L.M., Aghajanyan V.V., Yakushin O.A. On the issue of organizing care for patients with complete, incomplete tears and open combined injuries of blood vessels, nerves, tendons of extremities. VI Congress of orthopedic traumatologists of Uzbekistan. 2002;11-13. In Russian.

Akhadov A.M. Features of angiosurgical care for gunshot wounds of the main vessels of the extremities in armed conflict. Abstract of the thesis ....Candidate of Technical Sciences. .. Candidate of Medical Sciences. science. Rostov n/a 2000;25. In Russian.

Shapovalov V.M., Gladkov R.V. Explosive injuries of peacetime: epidemiology, pathogenesis and main clinical manifestations. Biomedical and socio-psychological problems of safety in emergency situations. 2014;3:5-13. In Russian.

Dadadzhanova F.Z. Surgical tactics for combined gunshot bone and vascular diseases of the limb. Abstract of the thesis .... Candidate of Pedagogical Sciences. Candidate of Medical Sciences. science. Dushanbe, 2000. In Russian.

Datiashvili R.O. Limb transplantation. M.: Medicine. 1991:240. In Russian.

Zhigunov A.K. Surgical treatment of patients with combined vascular and bone injuries of the extremities. Abstract of the thesis .... Candidate of Pedagogical Sciences. Doctor of Medical Sciences. nauka. M., 2007;26. In Russian.

Zhigunov A.K., Aslanov A.D., Kudryavtsev B.P. and others. Organizational, diagnostic and therapeutic measures at the prehospital stage of accompanying victims with combined injuries with limb injuries. Med-catastrophe 2006;1-2:34-36. In Russian.

Krylov K.M. Surgical treatment of deep burns: abstract. dis.... candidate of medical sciences. Doctor of Medical Sciences. nauka. SPb., 2000;42. In Russian.

Lemenev V.L., Mikhailov I.P., Isaev G.A. Treatment of patients with trauma of the main arteries of the lower extremities. Angiology and vascular surgery. 2005;11(3):108-114. In Russian.

Poyarkov V.D., Danilov V.A. Correction of blood circulation in the treatment of combined traumatic limb injuries. July East-Siberian Research Center of the Siberian Branch of the Russian Academy of Sciences. 2007;43:151-151. In Russian.

Fomin V.N. Treatment of injuries to the main vessels of the extremities in the conditions of the central district hospital. Bulletin of Surgery. 2008;167(6):127- 128. In Russian.

Steinle A.V. Angiography for injuries of the main vessels of the extremities (historical review). Sib. med. journal. 2008;23(1):99-112. In Russian.14. Mossadegh S., Midwinter M., Parker P. Developing a cumulative anatomic scoring system for military perineal and pelvic blast injuries. J. R. Army. Med. Corps. 2013; 159(3):40-144.

Piatek S., Burger T., Halloul Z., Westphal T., Holmenschlager F., Winckler S. Arterial vascular injuries in fractures and dislocations. Zentralbl Chir. 2001;126(5):379-384. German.

Rizaev , Zh., Azimov, A., & Khramova, N. (2021). Prehospital factors influencing the severity of odontogenic diseases purulent-inflammatory diseases and their outcome. Medicine and Innovation, 1(1), 28–31.

Isakulov , Sh., & Rizaev , Zh. (2022). CHARACTERISTICS OF COMBINED CRANIOFACIAL TRAUMA IN ADULTS. Magazine dentistry And craniofacial Research , 2(3), 47–50. https://doi.org/10.26739.2181-0966-2021-3-8

Статья поступила в редакцию 03.03.2024; одобрена после рецензирования 24.04.2024; принята к публикации 26.04.2024.

The article was submitted 03.03.2024; approved after reviewing 24.04.2024; accepted for publication 26.04.2024.

Информация об авторах:

Хасан А. Тиляков - кандидат медицинских наук, заведующий кафедрой травматологии-ортопедии, нефрохирургии и офтальмологии. Самаркандский государственный медицинский университет. Факультет последипломного образования. ORCID: 0000-0001-5574-7302, E-mail: shaxxas.tilyakov@gmail.com,

Азиз Б. Тиляков - кандидат медицинских наук, доцент. Ташкентский педиатрический медицинский институт, Ташкент, Узбекистан. Электронная почта: tiliakov@bk.ru, https://orcid.org/0000-0002-9743-0482

Темуров Алишер Анатольевич - ассистент кафедры "Травматология-ортопедия, нефрохирургия и офтальмология" Самаркандского государственного медицинского университета. Факультет последипломного образования. ORCID: 0009-0002-6628-4125, Электронная почта: alishertemurov6@gmail.com

Фазлиддин Номозов - ординатор кафедры травматологии-ортопедии, нефрохирургии и офтальмологии. Самаркандский государственный медицинский университет, факультет последипломного образования. Самарканд, Узбекистан. E-mail: nfazliddin021@gmail.com

Источники финансирования: Работа не получила какого-либо конкретного финансирования.

Конфликт интересов: Авторы заявляют об отсутствии явных или потенциальных конфликтов интересов, связанных с публикацией данной статьи.

Вклад авторов:

Тиляков Х.А. — идеологическая концепция работы, написание текста; редактирование статьи;

Тиляков А.Б. — идеологическая концепция произведения, написание текста; редактирование статьи;

Темуров А.А. — сбор и анализ литературных источников, написание текста.

Номозов Ф.Н. - написание статьи, внесение изменений в текст, обработка материалов.

Author in formation:

Xasan A. Tilyakov- PhD, Head of department Traumatology-Orthopedics, Nephrosurgery and Ophthalmology. Samarkand State Medical University. Faculty of Postgraduate Education

ORCID ID: 0000-0001-5574-7302, E-mail: shaxxas.tilyakov@gmail.com,

Aziz B. Tilyakov - PhD, dotcent. Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan. E-mail: tiliakov@bk.ru, https://orcid.org/0000-0002-9743-0482

Alisher A. Temurov- Assistant of the department " Traumatology-Orthopedics, Nephrosurgery and Ophthalmology" Samarkand State Medical University. Faculty of Postgraduate Education

ORCID ID: 0009-0002-6628-4125, E-mail: alishertemurov6@gmail.com

Fazliddin N. Nomozov - is a resident of the Department of Traumatology-Orthopedics, Nephrosurgery and Ophthalmology. Samarkand State Medical University, Faculty of Postgraduate Education .Samarkand, Uzbekistan. E-mail: nfazliddin021@gmail.com

Sources of funding: The work did not receive any specific funding.

Conflict of interest: The authors declare no explicit or potential conflicts of interest associated with the publication of this article.

Contribution of the authors:

Tilyakov XA— ideological concept of the work, writing the text; editing the article;

Tilyakov A.B. — the ideological concept of the work, writing the text; editing the article;

Temurov AA — collection and analysis of literature sources, writing the text.

Nomozov FN- writing an article, making changes to the text, processing materials.

Загрузки

##submissions.published##

2024-06-15