XAVFLI FEOXROMASITOMA LARNI BOSHQARISH VA JARROHLIK DAVOLASH XUSUSIYATLARI
##article.subject##:
feokromotsitoma; feokromositomani davolash; alfa adrenoblokada; operatsiyadan oldingi tibbiy tayyorgarlik; operatsiya vaqtida gemodinamik beqarorlik; minimal invaziv jarrohlik; adrenalektomiya##article.abstract##
Alfa-adrenoblokatorlar bilan operatsiyadan oldingi tayyorgarlik 1960-yillarning boshida operatsiya vaqtida gemodinamik beqarorlikni oldini olish va shuning uchun asoratlar xavfi yuqori bo'lgan bemorlarda o'limni kamaytirish uchun joriy etilgan. Darhaqiqat, o'sha paytda jarrohlik yuqori kasallanish va o'lim ko'rsatkichlari bo'lgan ochiq adrenalektomiyalardan iborat edi. Hozirgi klinik tavsiyalar ushbu dastlabki tajribaga asoslanadi. Biroq, yangi texnologiyalar feokromotsitoma bilan og'rigan bemorlarda o'lim darajasini keskin kamaytirishga imkon berdi. Biroq, klinik ko'rsatmalar bir xil tezlikda rivojlanmagan.
Feokromotsitomalarni davolash so'nggi 50 yil ichida, ayniqsa 1990-yillarda laparoskopik muolajalar kabi yangi texnologiyalar paydo bo'lishi bilan sezilarli darajada o'zgardi. Amaldagi klinik ko'rsatmalar operatsiya vaqtida gemodinamik beqarorlik va yurak-qon tomir asoratlarini oldini olish uchun gipotenziv dorilarni qo'llashni tavsiya qiladi. Biroq, bu tavsiyalar hali ham oldingi tajribaga asoslanadi va ilmiy jamoatchilikda muhokama qilinadi.
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