BOSH MIYA JAROHATLANISHIDA OZUQAVIY QO'LLAB -QUVVATLASH
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ozuqaviy qullab-quvvatlash, bosh miya shikastlanishi, ozukaviy etishmovchilik##article.abstract##
Maqsad: yopiq miya jarohati olgan bemorlardagi hypercatabolism-hypermetabolism sindromida oqsil va energiya ta'minotini ta'minlash va ozuqaviy quvvatlantirishni amalga oshirish.
Material va Metodlar: 2016-2020-yillarda Toshkent shahridagi Respublika shoshilinch tibbiy yordam ilmiy markazining neyrohirurgiya reanimatsiyasi bo‘limida davolangan turli etiologiyali YOBMSh bulgan 92 nafar bemorni tekshirish va kompleks davolash natijalari tahlil qilindi. Parenteral va enteral ovqatlanish variantlari o'rganildi va farmakonutrientlarning standart ozuqaviy qo'llab-quvvatlashiga qo'shimcha ravishda foydalanishdagi samaradorligi natigalari urganildi.
Natijalar: Tahlillar, birinchi sutkada bosh miya shikastlanishida metabolik javob energiyaga bo'lgan ehtiyojning ortishi, salbiy azot balansining ko'payishi, gipoproteinemiya, gipotransferinemiya, dislipidemiya bilan namoyon bo'lishini aniqlashga imkon berdi; YoBMSh bulgan bemorlarga glutaminni qo'shimcha enteral yuborish bemorlarning nazorat guruhiga nisbatan 2-3 kun oldin oshqozon-ichak traktining funktsiyalarini tiklashga olib keladi; YoBMSh bulgan bemorlarga qo'shimcha enteral oziqlantirishda farmakonutrient va diet tolasini o'z ichiga olgan giperkaloriyali enteral aralashma tavsiya etilganda gipermetabolizm-giperkatabolizm sindromini tezroq bartaraf etishga, energiya tanqisligini bartaraf etishga, oqsil almashinuvini tiklashga yordam beradi. Bu davolash natijalarining umumiy yaxshilanishi va o'limning 5,3 ± 0,7% ga kamayishiga olib keladii.
Xulosa. Bizning natijalarimiz shikastlanishdan keyingi erta davrda farmakonutrientlarni enteral yuborish bilan to'ldirilgan nutritiv kumak, davolashning klinik samaradorligini oshiradi va YoBMSh bemorlarini davolash natijalarini yaxshilaydi hamda reanimatsiya va intensiv terapiya bo'limida qolish muddatlarini kamaytiradi.
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