KIMMERLE ANOMALIYASIDA VERTEBROBASILAR ZONASIDA QON AYLANISHINING BUZILISHINI BAHOLASH
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vertebral arteriya, atlant, transkranial dopplerografiya, kraniovertebral zonasi, qon aylanish.##article.abstract##
Rentgenologik aniqlangan Kimmerle anomaliyasi (KA) bo'lgan 110 bemorning transkranial dopplerografiya (TKDG) ma'lumotlari tahlil qilindi. Atlant suyak halqasining variantlariga qarab umurtqa arteriyada (UA) qon oqimining sekinlashishi va assimetriyasi aniqlandi. Kimmerle anomaliya bo’glan bemorlarda umurtqa arteriyada qon oqimining me'yoriy ko'rsatkichlariga asoslanib qon oqimi tezligining pasayishining turli darajalari aniqlandi. Kimmerle anomaliyaning bir tomonlama ochiq variantida qon oqimi tezligida gemodinamik jihatdan muhim o'zgarishlar qayd etilmadi. Kimmerle anomaliyasining ikki tomonlama ochiq shaklida esa qon oqimining pasayishi me'yoriy mezonlarini past doirasida edi.
Kimmerle anomaliyasi umurtqa arteriyalari va simpatik nerv bilan bog'liq holda klinik ma'noga ega, shuningdek, umurtqa arteriya sindromi ko’rsatkichi ham bo’lishi mumkin. Bu boshga qonning yetarlicha kelmasligi natijasida yuzaga keladigan potentsial vegetativ-irritant perivaskulyar simpatik va ishemik mexanizmlar bilan bog'liq.
Umurtqa arteriya V3 va V4 segmentlarida burilish sinovi bo'yicha o'tkazilgan qon oqimi dinamikasining TKDG tekshiruvi, ayniqsa ikki tomonlama to'liq Kimmerle anomaliyasi bo'lgan bemorlarda xuddi boshni ipsilateral yon burilishida xos bo'lgan chiziqli qon oqimi tezligining pasayishini aniqladi.
Kimmerle anomaliyasining yopiq shakli bo'lgan bemorlarda barcha yosh guruhlarida har doim nevrologik belgilarga olib kelmasa ham qon oqimida gemodinamik jihatdan muhim o'zgarishlar qayd etilgan.
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Статья поступила в редакцию 10.05.2024; одобрена после рецензирования 21.06.2024; принята к публикации 29.06.2024.
The article was submitted 10.05.2024; approved after reviewing 21.06.2024; accepted for publication 29.06.2024.
Информация об авторах:
Янова Эльвира Умаржоновна- PhD. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: sammi@sammi.uz
Источники финансирования: Работа не имела специального финансирования.
Конфликт интересов: Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.
Вклад авторов:
Янова Э. — идеологическая концепция работы, редактирование статьи; сбор и анализ источников литературы, написание текста.
Information about the authors:
Yanova Elvira Umarjonovna- PhD. Samarkand State Medical University, Samarkand, Uzbekistan. E-mail: sammi@sammi.uz
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:
Yanova E. — ideological concept of the work, editing the article; collection and analysis of literature sources, writing the text.
