COVID-19 DA MIOKARD SHIKASTLANISHINING MORFOLOGIK NAMOYON BO’LISHI

TO'LIQ MATN:

Abstrakt

Bugungi holatda  COVID-19  patogenezi va morfogenezi yetarlicha o’rganilmagan, shuning uchun ushbu maqola COVID-19da miokard parenximatoz-stromal  elementlarining shikastlanishini o’rganishga bag’ishlanadi. Tadqiqot materiali bo’lib 28 yoshdan 56 yoshgacha  vafot etgan 26 bemorning COVID -19 da oshqozon devorlari miokardidan olingan kesmalar xizmat qiladi. Morfologik tadqiqot natijalari ko’rsatishicha, COVID-19da miokard  interstitsial to’qimasining mukoid bo’kishi va shishishi   gialuronan to’planishi, distrofiya, disgeneratsiya rivojlanishi hamda biriktiruvchi to’qima tuzilishi va tomirlar yallig’lanishi hisobiga yuz beradi. Miokard parenximasida kontraktli buzilish, kardiomiotsit sitoplazmalarining gomogen zichlashishi (jipslashishi), miofibrill ko’ndalang chizig’ining yo’qolishi, bazofiliyaning o’choqli rivojlanishi, kardiomiotsitlarning ShIK-ijobiy (musbat) metaplaziyasi,mushak tolalarining nekrobiozi va degeneratsiyasi; kardiomiotsitlar yadrosining parchalanishi va jipslashishi aniqlanadi. Shikastlangan kardiomiotsitlar dastlab yadro shakli va bo’yalishining o’zgarishi, sarkoplazma vakulizatsiyasida namoyon bo’ladi, so’ngra   displaziya turida yadro giperxromaziyasi va yiriklashishi kuzatiladi, keyinchalik yadro haroratning sekin asta pastlab, bemorning sog’ayishi bilan havo rangda bo’yalishi hamda  gomogenizatsiya, metaxromaziya aniqlanadi; keyinchalik metaxromaziya kardiomiotsit barcha sitoplazmasini egallaydi  va  hujayralar nobud bo’ladi.

Mualliflar haqida

Adabiyotlar ro'yxati

Ackermann M., Verleden S. E., Kuehnel M. Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19. N Engl J Med. 2020; DOI: 10.1056/NEJMoa2015432. DOI: https://doi.org/10.1056/NEJMoa2015432

De Rosa S., Spaccarotella C., Basso C. et al.; on behalf of Societa Italiana di Cardiologia and the CCU Academy investigators group. Reduction of hospitalizations for myocardial infarction in Italy in the COVID-19 era. Eur Heart J.2020; doi:10.1093/ eurheartj/ehaa409.

Guo T., Fan Y., Chen M. et all. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19) // JAMA Cardiol. 2020; 5 (7): 811-818. DOI: https://doi.org/10.1001/jamacardio.2020.1017

Kuster G. M., Pfister O., Burkard T. et al. SARS-CoV2: should inhibitors of the renin -angiotensin system be with drawn in patients with COVID-19? Eur Heart J.2020; 41: 1801-1803. DOI: https://doi.org/10.1093/eurheartj/ehaa235

Lax S. F., Skok K., Zechner P. et al.Pulmonary Arterial Thrombosis in COVID-19 With Fatal Outcome: Results From a Prospective, Single-Center, Clinicopathologic Case Series. Ann Intern Med. 2020; https://doi.org/10.7326/M20-2566 DOI: https://doi.org/10.7326/M20-2566

Shi S., Qin M., Shen B. et all. Association of cardiac injury with mortality in hospitalized patients with COVID-19 in Wuhan, China // JAMA Cardiol. 2020; 5 (7): 802-810. DOI: https://doi.org/10.1001/jamacardio.2020.0950

Vaduganathan M., Vardeny O., Michel T. et al. Renin -Angiotensin -AldosteroneSystem Inhibitors in Patients with Covid-19. N Engl J Med. 2020; 382: 1653-1659. DOI: https://doi.org/10.1056/NEJMsr2005760

Varga Z., Flammer A. J., Steiger P. Endothelial cell infection and endotheliitis inCOVID-19. Lancet. 2020; https://doi. org/10.1016/S0140-6736 (20) 30937-5 DOI: https://doi.org/10.1016/S0140-6736(20)30937-5

Qanday qilib iqtibos keltirish kerak

Zumrad Р., & Ergasheva З. (2022). COVID-19 DA MIOKARD SHIKASTLANISHINING MORFOLOGIK NAMOYON BO’LISHI. Xalqaro Ilmiy Pediatriya Jurnali, 1(1), 46–52. https://doi.org/10.56121/2181-2926-2022-1-46-52
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