NORMAL TUG'RUQDA TUG'RUQ TRAVMALARI TUZILISHI TAHLILI

##article.authors##

  • TODJIYEVA Nigina Iskandarovna

##article.subject##:

Tos bo'shlig'i mushaklarining yetishmovchiligi (TBMY), tug’ruq travmalari, qayta tug’uvchi ayollar, asoratlar.

##article.abstract##

Maqolada ayollarda tug'ruq jarohatlarining tuzilishi tahlili keltirilgan. SamDTU ko’p tarmoqli klinikasi tug’ruq kompleksida 2023-2024 yillar oralig’ida anamnezida tug’ruq travmasi (1,5-2 yil oldin) bo’lgan qayta tug’uvchi ayollar tadqiqot davomida o’rganildi (n=105). Bemorning kasallik tarixini, shu jumladan oldin o'tkazgan va surunkali ekstragenital kasalliklarni o'rganishda, alomatlari qorin bo'shlig'i bosimining oshishi (yo'tal, ich qotishi), shuningdek biriktiruvchi to'qima yetishmovchiligining namoyon bo'lishi bo'lgan kasalliklarga (varikoz tomirlarni kengayishi, ichki organlarning churralari, bo'g'imlarning chiqishi, miopiya, mitral klapan prolapsi va boshqalar) alohida e'tibor qaratildi. O'rtacha arifmetik qiymatlar (M) va standart og'ishlar (SO), 95% ishonch oralig'i (95% IO) chegaralari hisoblab chiqilgan. Oddiy taqsimlangan miqdoriy ma'lumotlar to'plamidagi o'rtacha qiymatlarni solishtirganda, Styudent t-testi hisoblab chiqilgan. Aniqlanishicha, tug'ruqdagi barcha ayollarda eng ko'p uchraydigan yoriqlar qin devorlari va kichik lablarning yorilishi hisoblanadi. Shu bilan birga, birinchi marta tug’uvchi ayollar 1 va 2-darajali bachadon bo'yni yirtilishi, oraliq sohasi yorilish va tug'ruq travmasining og'ir shakllariga, masalan, 3-darajali bachadon bo'yni va 3-darajali oraliq sohasi yorilishlarga ko'proq moyil bo'lib, kelajakda tabiiy tug'ilish imkoniyatini istisno qiladi. Bundan tashqari, birinchi tug’uvchi ayollar tug'ruqdan keyingi davrda infektsiyalanmagan choklarning ochilishi kabi asoratlarni boshdan kechirish ehtimoli ko'proq. Olingan ma'lumotlar tug'ruq travması xavfini kamaytirish uchun birinchi bor tug’uvchi ayollarda tug'ruq travmalarining oldini olish va boshqarishga alohida e'tibor berish zarurligini ta'kidlaydi.

Библиографические ссылки

Afshari P., Dabagh F., Iravani M., Abedi P. Comparison of pelvic floor muscle strength in nulliparous women and those with normal vaginal delivery and cesarean section // Int Urogynecol J. 2017 Aug;28(8):1171-1175. doi: 10.1007/s00192-016-3239-6. Epub 2016 Dec 26.PMID: 28025685.

Agabekyan Nonna Vachaganovna Selikhova M. S. The influence of obstetric trauma on the condition of the pelvic floor in primiparous women. Dissertation of the candidate of medical sciences (in Russ).

Berg M.R., Sahlin Y. Anal incontinence and unrecognized anal sphincter injuries after vaginal delivery- a cross-sectional study in Norway // BMC Womens Health. 2020 Jun 22;20(1): 131. doi: 10.1186/s12905-020-00989-5.PMID: 32571291.

DeLancey J.O., Swenson C.W., Morgan D.M., George J. et al. Effect of cyctocele repair on cervix location in women with uterus in situ // Female Pelvic Med. Reconstr. Surg. 2017. Vol. 10. P. 1097.

Dubinskaya E.D., Babicheva I.A., Kolesnikova S.N. et al. Clinical features and risk factors for early forms of pelvic organ prolapse // Issues of gynecology, obstetrics and perinatology. - 2015. - V.14.- No.6. - P. 5-11. (in Russ).

Iskandarovna T. N. REVIEW OF THE LITERATURE ON RECENT RESEARCH IN THE FIELD OF OBSTETRICS AND GYNECOLOGY //International Journal of Medical Sciences And Clinical Research. – 2024. – Т. 4. – №. 12. – С. 28-33.

Iskandarovna T. N. CURRENT TRENDS IN GYNECOLOGY //International Journal of Medical Sciences And Clinical Research. – 2024. – Т. 4. – №. 05. – С. 91-96.

Gommesen D., N0hr E., Qvist N., Rasch V. Obstetric perineal tears, sexual function and dyspareunia among primiparous women 12 months postpartum: a prospective cohort study // BMJ Open. 2019 Dec 16;9(12):e032368. doi: 10.1136/bmjopen-2019-032368.PMID: 31848167

Kawasoe I., Kataoka Y. Prevalence and risk factors for postpartum urinary retention after vaginal delivery in Japan: A case-control study. Jpn J Nurs Sci. 2020 Apr;17(2):e12293. doi: 10.1111/jjns.12293. Epub 2019 Aug 29.PMID: 31465155

Karen Ng., Rachel Yau Kar Cheung, Lai Loi Lee at al. An observational follow-up study on pelvic floor disorders to 3-5 years after delivery // Int. Urogynecol. J. - 2017. -Vol. 28. - №9. - P.1393-1399. PMID: 28197646

Manresa M., Pereda A., Bataller E., Terre-Rull C., Ismail K.M., Webb S.S. Incidence of perineal pain and dyspareunia following spontaneous vaginal birth: a systematic review and meta-analysis. Int Urogynecol J. 2019 Jun;30(6):853-868. doi: 10.1007/s00192-019-03894-0. Epub 2019 Feb 15.PMID: 30770967

Radzinsky V.E. Guide to outpatient care in obstetrics and gynecology. 2nd edition, revised and enlarged. Moscow: GEOTAR-Media, 2014. 944 p.(in Russ).

Zhao Y., Zou L., Xiao M., Tang W., Niu H.Y., Qiao F.Y. Effect of different delivery modes on the short-term strength of the pelvic floor muscle in Chinese primipara. BMC Pregnancy Childbirth. 2018 Jul 3;18(1):275. doi: 10.1186/s12884-018-1918-7.PMID: 29970030.

Zafarovna B. Z. SEXUAL DYSFUNCTION IN PREGNANCY: PROBLEMS AND SOLUTIONS //International Journal of Medical Sciences And Clinical Research. – 2024. – Т. 4. – №. 10. – С. 30-34.

Shakhanova S. et al. MELANOMA OF THE SKIN AND PREGNANCY //Eurasian Journal of Academic Research. – 2023. – T. 3. – No. 3. – pp. 120-128.

Abdurakhmonov Jurabek , Rahimov Nodir , Shakhanova Shakhnoza . Modern view on ascite in ovarian cancer. Journal of Biomedicine and Practice . 2022, vol . 7, issue 4, pp . 130-139

Jasur Rizayev Alimjanovich , Larisa Rubenovna Agababyan , Anvar Ibragimovich Kamalov . AYOLLARDA TUG'RUQDAN KEYINGI QON KETISHLARNI OLDINI OLISH VA ULARGA QARSHI KURASHISH BO'YICHA KO'RSATILAYOTGAN XIZMATLAR SIFATINING MONITORINGINI TASHKIL ETISH // Oriental Renaissance: Innovative, educational, natural and social sciences Volume 1_ ISSUE 10 202 1 p.m. 166-169

Alimjanovich JR, Agababyan LR, Kamalov AI Prevention and Treatment of Postpartum Hemorrhage //CENTRAL ASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCES. – 2021. – T. 2. – No. 4. – S. 204-209.

Rizaev Jasur Alimjanovich , Agababyan Larisa Rubenovna , Davlatova Aziza, Ahmedova Aziza Tayirovna , Rasulova Feruza Golibovna , The state of the oral cavity in pre-pregnant women, Journal of reproductive health and uronephrology research 2023, vol. 4, issue 4, pp7-11

Загрузки

##submissions.published##

2025-08-07