IKKILAMCHI BEPUSHTLIK BILAN AYOLLARNIOLIB BORISHDA ENDOVIZUAL TADQIQOT USULLARNING IMKONIYATLARI
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gisteroskopiya, laparoskopiya, ikkilamchi bepushtlik##article.abstract##
Bepushtlik deb kamida bir yil davomida muntazam himoyalanmagan jinsiy hayotga ega bo'lgan ayollarda homiladorlikning kuzatilmasligiga aytiladi. Hozirgi kunda bepushtlik nafaqat tibbiy, balki ijtimoiy muammodir. Adabiyotlardagi ma’lumotlarga ko'ra, bepushtlik ayollarning ginekologik yordam so'rashining uchinchi eng keng tarqalgan sababi bo'lib, butun dunyo bo'ylab 186 million kishi bu kassallikdan aziyat chekadi. Turli mualliflarning ma’lumotlariga ko'ra, er-xotinlarning 10-15 foizi bepushtlikdan aziyat chekmoqda, ularning 40-45 foizi ayol omiliga bog'liq. Shu bilan birga, ayollarda eng ko'p uchraydigan sabablar bu – nay-peritoneal (40-50%), ovulyatsiya buzilishi (30-40%) va bachadon omillari (15-20%). Tadqiqot maqsadi: Ikkilamchi bepushtlik bilan kasallangan ayollarni olib borishda endovizual tashxislash va davolash usullarining o’rnini baholash. Tadqiqot materiali va usullari. tadqiqotda ikkilamchi bepushtlik bilan kasallangan 35 ayolning tekshirish va davolash natijalari keltirilgan. Tadqiqot natijalari: 35 nafar ayoldan 19 nafarida (54,3%) normal gisteroskopik tasvir aniqlandi. Ularga simultan ravishda xromopertubatsiya bilan diagnostic laparoskopiya amaliyoti o’tkazildi. Biz o‘rgangan 35 nafar ayolning 16 tasida (45,7%) diagnostik gisteroskopiya davomida bachadon bo‘shlig‘ining yot jismi, bachadon ichi sinexiyasi, endometrial poliplar, bachadon submukoz miomasi, istmotsele (bachadon nishasi) kabi patologiyalar aniqlandi. 19 nafar diafnostik laparoskopiya o’tkazgan bemorlarimizda biz 32% holatlarda endometrioz (chanoq bo’shlig’i bitishmalari), 26% holatlarda periadneksal bitishmalar va 42% holatlarda esa peritubar bitishmalarni aniqladik. Aytib o’tilgan barcha ayollarga biz simultan ravishda adgesiolisis – bitishmalarni ajratish amaliyotini bajardik. Xulosa: Shunday qilib, bugungi kunda bepushtlikni tashxislash uchun tavsiya etilgan gisterosalpingografiya va ultratovush tekshiruvi kabi standart usullar, har doim ham to’liq ma'lumot bera olmaydi. Gistero-laparoskopiya bepushtlikni tashxislashning eng maqbul usuli hisoblanadi. Ayniqsa bu usullar “kichik turdagi” zararlanishlar deb atalmish endometrial poliplar, bachadon ichi bitishmalari va boshqalarni aniqlash imkoniyatini beradi. Bundan tashqari, ushbu usulning katta afzalligi – natijalarni o’z ko’zi bilan ko’rib baholash bilan bir vaqtda davolashni o’tkazish imkoniyatini berishidir.
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