JIGAR SIRROZIDA QIZILONGACH-ME'DA QON KETISHINI JARROR YO'LI BILAN DAVOLASH
Abstrakt
Rezyume. jigar sirrozida oshqozon-ichak trakti funktsiyasiga ta'sir qiluvchi portal tizimda gemodinamik buzilishlar kuzatiladi. O'n ikki barmoqli ichak va oshqozonda patologik jarayonlarning rivojlanishida jigarning oshqozon-ichak trakti organlari bilan kuchli funktsional aloqalari, shuningdek, o'zaro gumoral ta'sirlar muhim rol o'ynaydi. Yuqori oshqozon-ichak traktidan qon ketishining ayrim sabablari, ularning patogenezi va paydo bo'lish mexanizmlari qisman o’rganiladi va muhokama qilinadi. Ko'rinib turibdiki, oshqozon-ichak traktining yuqori qismidan qon ketishining sababi nafaqat shilliq qavatdagi patologik o'zgarishlar, balki jigarda diffuz o'zgarishlar ham ekanligi ma'lum. Oshqozon yarasi (o'tkir va surunkali), eroziv gastrit, oshqozon-ichak traktidan qon ketish mexanizmi, klinik kechishi haqida juda ko'p ma'lumotlar mavjud, ammo bu patologik jarayonning qo'shma borishi haqida ilmiy tadqiqotlarga asoslangan ma'lumotlar kamdan-kam uchraydi. Biz tekshirgan adabiyotlarda tibbiyotning dolzarb muammolaridan biri bo'lgan ushbu patologik jarayon haqida hech qanday ma'lumot topilmadi. Bugungi kunga qadar jarrohlik aralashuvining 200 dan ortiq usullari taklif qilingan, bu muammoning o'ta murakkabligi, kasallikning klinik ko'rinishlarining xilma-xilligi va jarrohlik davolashning mutlaqo ishonchli usullarining yo'qligi bilan izohlanadi.
Maqsad. jigar sirrozi bilan qo'shilgan yarali qon ketishi bilan og'rigan bemorlarda diagnostika va davolash taktikasining eng maqbul usullarini tanlash orqali jarrohlik taktikasi natijalarini yaxshilash.
Material va usullar. Sirozni o'n ikki barmoqli ichak va oshqozon-ichak yaralari bilan birgalikda hisobga olgan holda, biz pg dan qon ketishi bilan og'rigan 83 bemorni davolash natijalarini ko'rib chiqdik. Bemorlarning yoshi 25 yoshdan 79 yoshgacha. Ushbu patologiya bilan og'rigan bemorlarning aksariyati (71,1%) mehnatga layoqatli yoshdagi (40-60 yosh). Aholining 67,5 foizini erkaklar, 32,5 foizini ayollar tashkil qiladi. Qon ketish manbai 41 bemorda (49,4%) qizilo'ngachning varikoz tomirlari (bpb) va oshqozon kardiyasining arroziyasi edi; 31 bemorda oshqozon va o'n ikki barmoqli ichak yarasi (37,3%); ushbu bemorlarning sakkiztasida qon ketish manbai gigant oshqozon va o'n ikki barmoqli ichak yarasi edi; 11 bemorda (13,3%) bir vaqtning o'zida bpb va oshqozon va o'n ikki barmoqli ichak yaralari kuzatildi.
Natijalar. Jarrohlik davolangan 83 nafar bemorning 71 nafarida (85,5%) me'da va o'n ikki barmoqli ichak yarasi, 24 nafarida qizilo'ngach va oshqozon yarasi qon ketishi, 11 nafar bemorda esa bir vaqtning o'zida ikkala manbadan qon ketish kuzatilgan. qizilo'ngach, oshqozon va o'n ikki barmoqli ichak yaralarining BPB ni tikish zarurati. 39 (54,9%) bemorga shoshilinch va shoshilinch jarrohlik amaliyoti o'tkazildi (jadval). B 24 (33,8%) bemorda ikki soatdan bir kungacha, qon ketishining eng yuqori cho'qqisida (ikki soatdan olti soatgacha - 18 bemorda) shoshilinch jarrohlik amaliyoti o'tkazildi. 4-20 soatda.Ulardan 15 nafarida (2-3 kungacha) yoki 21,1 foizida 4 nafar bemorda takroriy qon ketish kuzatilgan, bu shoshilinch operativ chora-tadbirlar zarurligini ko'rsatadi.32 nafarida (45,1%) barqaror gemostaz holati qayd etilgan.
Mualliflar haqida
Adabiyotlar ro'yxati
Beresnev S.A. Features of the treatment of ulcerative gastroduodenal bleeding in patients with liver pathology: Abstract . dis . Dr. honey. Sciences.— Kharkov, 1991.-41 With.
Eramishantsev A.K., Manukyan G.V. “Today” and “tomorrow” of portal hypertension surgery // Annals of Surgical Hepatology . - 1998. - T. 3, No. 2.—S. 111–114.
Zaitsev V. T., Veligotsky N. N., Bersenev S. A. Surgical tactics for bleeding due to peptic ulcer disease in the presence of portal hypertension syndrome // Surgical treatment of portal hypertension, diseases and injuries of the liver. - Kharkov, 1986. - P. 29–30.
Kataev S. S., Shifrin O. S., Golovanova O. Yu. et al. Hepatogenic ulcer (some aspects of pathogenesis) // Klin. med.—1989.—T. _ 67.—S. 32–36.
Pruchansky V.S., Prozorovsky K.V. Changes in the mucous membrane of the stomach and duodenum in patients with chronic diffuse liver diseases // Vestn . roentgenol. — 1993.—No . 5.—S. 24–26.
Khalmetov B. T. Surgery of portal hypertension in combination with gastroduodenal ulcers in patients with liver cirrhosis: Author's abstract . dis . Ph.D. honey. Sciences.— Tashkent, 1995.—17 p.
Khanevich M.D., Khrupkin V.I., Zherlov G.K. and others. Bleeding from chronic gastroduodenal ulcers in patients with intravenous triphepatic portal hypertension. —Novosibirsk: Science, 2003.—198 With.
Khamroev Kh.N., Ganzhiev F.Kh. « Dynamics of structural and functional disorders of the liver of rats during experimental alcoholism cirrhosis." P roblemsofmodern surgery ” 06.10.2023. https://adti.uz/konferensiyalar/
Khamroev H.N. " Influe of diffusion diseases of the liver on the current and forecfst of obstructive jaundice" Tibbiyotda Yangi kun 1 (30) 2019, 275-277 bet.
Khamroev H.N. “ The influence of diffuse liver diseases on the course and prognosis of obstructive jaundice ” Collection of materials from the first Bukhara international conference of “medical students and youth” volume 2019. 136-137 pp. https://repo.knmu.edu.ua/bitstream/123456789/24890/1/%D0%9D%D0%B5%D1%87%D0%B8%D0%BF%D0%BE%D1%80%D1 %83%D0%BA_%D0%91%D1%83%D1%85%D0%B0%D1%80%D0%B0%20(pdf.io).pdf
Khamroev Kh.N., Ayubov B.M., Khaidarov F.N., Musoev T.Ya. 2019 YIL « Results percutaneous interventions under ultrasonic control for obstructive jaundice of various origins" Collection of abstracts of a scientific and practical conference with international participation " Current issues of socially significant diseases " 84-85 art.
Hamroev Khudoyshukur Nutfilloevich, Khasanova Dilnoza Akhrorovna. " With omparative classification of liver morphometric parameters in the liver and in experimental chronic alcoholism." International Journal of Cognitive Neuroscience and Psychology IJCNP, Volume 1, Issue 1, 2023 https://medicaljournals.eu/index.php/IJCNP/article/view/18
Khamroev Kh.N, Khasanova D.A. "Comparative characteristics of morphometric parameters of the liver." Journal Problems of biology and medicine PBiM 2023 No. 5. https://www.sammu.uz/ru/journals .
Khamroyev Kh.N. _ “To assess liver morphological changes in the norm and features of the character of its changes during chronic alcohol intoxication.” International Scientific and Practical Conference of Young Scientists “Science and Youth: Conference on the Quality of Medical Care and Medical Literacy ” April 25, 2023. https://ksph.edu.kz/ru/2023/04/%d0%bc%d0%b0%d1%82%d0%b5%d1%80%d0%b8%d0%b0%d0%bb%d1 %8b%d0%ba%d0%be%d0%bd%d1%84%d0%b5%d1%80%d0%b5%d0%bd%d1%86%d0%b8%d0%b8/
Khamroev Kh.N. “ To assess the morphological changes in the liver under normal conditions and the characteristics of the nature of its changes during chronic alcohol intoxication.” Republican scientific and practical conference with international participation 05/30/2023. A p p l i cat i on o fh i gh i n n ovat i vetechnolog i es i nprev en t i vemed i c i n e. https://adti.uz/konferensiyalar/
Urokov, Sh. T., & Khamroev , Kh. N. (2018). Clinical and diagnostic aspects of obstructive jaundice combined with chronic diffuse liver diseases (literature review). Achievements of science and education , (12 (34)), 56-64.
Khamroev , Kh. N., & Urokov, Sh. T. (2019). INFLUENCE OF DIFFUSE LIVER DISEASES ON THE COURSE AND PROGNOSIS OF OBSTRUCTIONAL JAUNDICE. A New Day in Medicine , (3), 275-278.
Khamroev , Kh. N., & Ganzhiev , F. Kh. (2023). Dynamics of structural and functional disorders of the liver of rats with experimental alcoholic cirrhosis. R oblemsofmodernsurgery , 6 . _
Nutfilloevich , H. K., & Akhrorovna , K. D. (2023). COMPARATIVE CLASSIFICATION OF LIVER MORPHOMETRIC PARAMETERS IN THE LIVER AND IN EXPERIMENTAL CHRONIC ALCOHOLISM. International Journal of Cognitive Neuroscience and Psychology , 1 (1), 23-29.
Nutfilloevich , H. K., & Akhrorovna , K. D. (2023). COMPARATIVE CLASSIFICATION OF LIVER MORPHOMETRIC PARAMETERS IN THE LIVER AND IN EXPERIMENTAL CHRONIC ALCOHOLISM. International Journal of Cognitive Neuroscience and Psychology , 1 (1), 23-29.
Latipov , I. I., & Khamroev , Kh. N. (2023). Improved Result of Diagnosis of Doppler Ultrasound of Chronic Abdominal Ischemia Syndrome. Central Asian Journal of Medical and Natural Science , 4 (4), 522-525.
Sh T, U., IK, S., Kh N, H., & Sh I, S. (2023). IMPROVING THE IMMEDIATE RESULTS OF SURGICAL TREATMENT OF ACUTE CHOLECYSTITIS IN PATIENTS WITH LIVER CIRRHOSIS. Journal of Pharmaceutical Negative Results , 14 (2).
Xamroyev , X. N. (2022). The morphofunctional changes in internal organs during alcohol intoxication. EUROPEAN JOURNAL OF MODERN MEDICINE AND PRACTICE , 2 (2), 9-11.
Khamroyev , X. N. (2022). TOXIC LIVER DAMAGE IN ACUTE PHASE OF ETHANOL INTOXICATION AND ITS EXPERIMENTAL CORRECTION WITH CHELATE ZINC COMPOUND. European Journal of Modern Medicine and Practice , 2 (2), 12-16.
TESHAEV, S. J., TUHSANOVA, N. E., & HAMRAEV, K. N. (2020). Influence of environmental factors on the morphometric parameters of the small intestine of rats in postnatal ontogenesis. I
Nutfilloevich, K. K., & Akhrorovna, K. D. (2024). MORPHOLOGICAL CHANGES IN THE LIVER IN NORMAL AND CHRONIC ALCOHOL POISONING. ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ, 36(3), 77-85.
Nutfilloyevich, K. K. (2024). NORMAL MORPHOMETRIC PARAMETERS OF THE LIVER OF LABORATORY RATS. ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ, 36(3), 104-113.
Уроков, Ш. Т., Холиков, Ф. Й., Кенжаев, Л. Р., & Хамроев, Х. Н. (2023, December). СОВРЕМЕННАЯ ДИАГНОСТИКА И ТАКТИКА ЛЕЧЕНИЯ ПРИ ОСТРЫХ КОЛЕЦИСТИТАХ И ГРЫЖАХ ДИАФРАГМЫ. In Proceedings of Scientific Conference on Multidisciplinary Studies (Vol. 2, No. 12, pp. 114-116).
Каюмова, Г. М., Хамроев, Х. Н., & Ихтиярова, Г. А. ПРЕЖДЕВРЕМЕННЫЕ РОДЫ В УСЛОВИЯХ ПАНДЕМИИ COVID-19. Современный мир, природа и человек: сборник материалов XXII-ой, 214.