SURUNKALI MIGRENNING QO‘SHMA SHAKLLARIDA JARROHLIK DAVOLASH HAJMI VA BOSQICHLILIGINI TANLASH STRATEGIYASI
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surunkali migren, qo‘shma shakllar, jarrohlik taktikasi, bosqichli davolash, trigger zonalar##article.abstract##
Kirish. Surunkali migrenning qo‘shma shakllari bir nechta trigger zonalar ishtirokidagi ko‘p omilli patogenez bilan tavsiflanadi va jarrohlik taktikasini tanlashni qiyinlashtiradi. Trigger zonalarning patogenetik ahamiyatini ierarxik baholamasdan amalga oshirilgan bir vaqtli jarrohlik aralashuvlari ko‘p hollarda barqaror klinik natija bermaydi.
Tadqiqot maqsadi. Surunkali migrenning qo‘shma shakllari bo‘lgan bemorlarda jarrohlik davolash hajmi va bosqichliligini tanlash strategiyasini ishlab chiqish va klinik jihatdan asoslash.
Materiallar va usullar. Bir nechta trigger zonalariga ega surunkali migrenli bemorlarda jarrohlik davolash natijalari tahlil qilindi. Asosiy guruhda jarrohlik taktikasi trigger zonalarning ierarxik baholanishi, yetakchi patogenetik mexanizmni aniqlash va bosqichma-bosqich yondashuv asosida shakllantirildi. Natijalar an’anaviy bir vaqtli jarrohlik usuli bilan taqqoslandi.
Natijalar. Bosqichli jarrohlik strategiyasini qo‘llash ortiqcha keng ko‘lamli operatsiyalar ulushini kamaytirdi, klinik samaraning barqarorligini oshirdi va og‘riq sindromi retsidivi xavfini pasaytirdi. Takroriy operatsiyalar va asoratlar sonining kamayishi kuzatildi.
Xulosa. Taklif etilgan jarrohlik strategiyasi surunkali migrenning qo‘shma shakllarida individual yondashuvni ta’minlab, jarrohlik travmatizatsiyasini kamaytiradi va klinik natijalarni yaxshilaydi.
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