MARKAZIY ASAB TIZIMI PERINATAL SHIKASTLANISHINING UZOQ MUDDATLI OQIBATLARI FONIDA BRONXIAL ASTMA BILAN OG'RIGAN BOLALARNING JISMONIY RIVOJLANISH XUSUSIYATLARI
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bronxial astma, perinatal shikastlanish, markaziy asab tizimi, asfiksiya, tana massa indeksi, jismoniy rivojlanish, bolalar, hisoblash indekslari##article.abstract##
Tadqiqotning maqsadi: Markaziy asab tizimi perinatal shikastlanishi oqibatlarining bronxial astma bilan og'rigan bolalarning jismoniy rivojlanish ko'rsatkichlariga ta'sirini o'rganish.
Materiallar va usullar: ishning birinchi bosqichida markaziy asab tizimining perinatal shikastlanishi oqibatlari bo'lgan bolalarda bronxial astma kursining anamnestik va klinik -funktsional xususiyatlari o'rganildi. Maqolaning tahliliy qismida bronxial astma tashxisi qo'yilgan 5 yoshdan 7 yoshgacha bo'lgan 103 bolani har tomonlama tekshirish natijalari keltirilgan. Asosiy guruhni bronxial astma bilan og'rigan 72 bola (51 o'g'il va 21 qiz) tashkil etdi, ular markaziy asab tizimiga uzoq muddatli shikastlanish belgilarini ko'rsatdilar va nevrologik alomatlari bo'lmagan bronxial astma bilan kasallangan 31 bola (19 o'g'il va 12 qiz) taqqoslash guruhiga kirdi. Anamnestik ma'lumotlarni to'plash va klinik tekshiruv bilan bir qatorda, markaziy asab tizimining perinatal shikastlanishining bronxial astma bilan og'rigan bolalarning jismoniy rivojlanishiga ta'siri tahlil qilindi. Jismoniy rivojlanishni baholashda Rorer, Pin’ye, Brugsh va Vervekning hisoblash indekslari, shuningdek, tana massasi indeksi kombinatsiyasidan foydalanildi.
Natijalar: yangi tug'ilgan chaqaloqlarning tug'ilgandan keyingi holatini tahlil qilganda, taqqoslash guruhidagi bolalarning 93,5 foizi tug'ilgandan keyingi birinchi daqiqada 8-10 ball olgan, asosiy guruhda esa barcha bolalar asfiksiya holatida tug'ilgan. Ma'lum bo'lishicha, 3 oydan 6 oygacha bo'lgan yosh faqat emizishni davom ettirish va bolalarni sun'iy oziqlantirishga o'tkazish uchun juda zaif davrdir, bu allergik kasallikka moyillikni yuzaga chiqarishning asosiy mexanizmlaridan biridir. Bronxial astma bilan og'rigan bolalarda markaziy asab tizimining perinatal shikastlanishi oqibatlari fonida tana massasi indeksini baholashda bemorlarning deyarli uchdan birida-3CO-(- 1CO) parametrlari bilan yengil va o'rtacha ovqatlanish buzilishi (37,5%) aniqlandi. Olingan antropometrik xususiyatlarni hisoblash indekslari bo'yicha taqqoslash, taqqoslash guruhidagi bolalardan farqli o'laroq, disgarmonik jismoniy rivojlanishning asosiy guruhidagi bolalar orasida ishonchli ustunligini ko'rsatdi.
Xulosa: yangi tug'ilgan chaqaloqlarning tug'ilgandan keyingi holatini tahlil qilishda asosiy guruhdagi bolalarning aksariyati yengil (52,8%), o'rtacha (27,8%) va og'ir (19,4%) asfiksiyada tug'ilganligi aniqlandi, taqqoslash guruhidagi bolalarning atigi 6,5% yengil asfiksiyada tug'ilgan, qolgan 93,5% esa 8-10 ballar bilan tug'ilgan. Shu bilan birga, bronxial astma bilan og'rigan bolalarda, markaziy asab tizimining perinatal shikastlanishi oqibatlari fonida, jismoniy rivojlanishning nomutanosibligi bilan yengil va o'rtacha ovqatlanish buzilishi eng ko'p qayd etildi, ayni paytda taqqoslash guruhining har uchinchi bolasi uchun ortiqcha vazn xarakterlidir.
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