MORBID SEMIZLIK BILAN OG‘RIGAN BEMORLARDA VENTRAL CHURRALAR BO‘LGAN HOLATLARDA QO‘SHMA OPERATSIYALAR NATIJALARIGA HAMROH JARROHLIK PATOLOGIYASINING TA’SIRI
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ventral churralar, morbid semizlik, hamroh patologiya, simulyatsion operatsiyalar, hayot sifati##article.abstract##
Morbid semizlik va ventral churralari bo‘lgan 156 nafar bemorda jarrohlik davolash natijalari tahlil qilindi. Asosiy guruhni hamroh jarrohlik patologiyasini bir vaqtning o‘zida korreksiya qilish bilan simulyatsion (qo‘shma) operatsiyalar bajarilgan 102 nafar bemor tashkil etdi. Intraoperatsion ko‘rsatkichlar, operatsiyadan keyingi asoratlar chastotasi, shifoxonada yotish davomiyligi, uzoq muddatli natijalar hamda SF-36 so‘rovnomasi asosida hayot sifati ko‘rsatkichlari baholandi. Asosiy guruhdagi barcha bemorlarda hamroh jarrohlik patologiyasi mavjudligi aniqlandi, eng ko‘p uchragan holatlar qatoridan qorin bo‘shlig‘ining yopishma kasalligi, o‘t-tosh kasalligi va kichik chanoq a’zolari patologiyasi o‘rin oldi. Operatsiya davomiyligi va asoratlar chastotasiga eng katta ta’sirni qorin bo‘shlig‘ining yopishma kasalligi ko‘rsatdi. Shu bilan birga, simulyatsion jarrohlik taktikasini qo‘llash yara bilan bog‘liq va qorin bo‘shlig‘idan tashqari asoratlar chastotasining ishonchli darajada oshishiga olib kelmadi. Uzoq muddatli kuzatuvlarda ventral churralar retsidivlari chastotasining kamayishi va hayot sifati ko‘rsatkichlarining ishonchli yaxshilanishi qayd etildi. Morbid semizlik bilan og‘rigan bemorlarda hamroh jarrohlik patologiyasining mavjudligi simulyatsion operatsiyalarni bajarish uchun qarshi ko‘rsatma hisoblanmaydi. Bir vaqtning o‘zida bajarilgan va oqilona rejalashtirilgan hamroh kasalliklarni korreksiya qilish barqaror klinik natijalarga erishish va bemorlarning hayot sifatini yaxshilashni ta’minlaydi.
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