BOLALARDA URETEROTSELENI DAVOLASHNING KLINIK-DIAGNOSTIK JIHATLARI VA TAKTIKASI.
Abstrakt
Ureterosele (UC) - siydik yo'llarining shilliq osti qismining kistaga o'xshash kengayishi, teshikning tug'ma stenozi natijasida kelib chiqqan, uning distal qismining kengayishi bilan tavsiflanadi. Pediatr amaliyotiga yangi texnologiyalarni joriy etish bolalarda ureterotselni tashxislash va davolashda sezilarli yaxshilanishlarga olib keldi. Turli mualliflarning fikriga ko'ra, ularning paydo bo'lish chastotasi barcha urologik bemorlarning 1 dan 4% gacha. Cambele ma'lumotlariga ko'ra, UC tarqalishi 1: 4000 ni tashkil qiladi. Bolalarning 80% da ureterosele qo'sh siydik yo'li bo'lgan bolalarda aniqlanadi va 60% ektopikdir [2,4,10]. Endourologik davolash usullarini joriy etishga qaramasdan, bir qator klinisyenler ularni amalga oshirgandan so'ng yuzaga keladigan asoratlarni ko'rsatadilar. Tadqiqotning maqsadi - klinik kursni o'rganish, diagnostika protokolini yaratish va optimal jarrohlik taktikasini ishlab chiqish orqali ureterotselni jarrohlik davolash natijalarini yaxshilash. Materiallar va usullar. Andijon shahridagi Sharqiy tibbiyot markazining urologiya bo‘limida 2010-2023-yillarda davolanayotgan 1 yoshdan 18 yoshgacha bo‘lgan 67 nafar ureterosele (UK) bilan kasallangan bolalarning davolash natijalari tahlil qilindi. Ulardan 25 nafari oʻgʻil (37,3%), 42 nafari qiz (62,6%). Natijalar va muhokama. Operatsiya turiga qarab bemorlarning ikki guruhining klinik kuzatish ma'lumotlarini tahlil qilish amalga oshirildi. Asosiy klinik guruhga ureterotselning (TURU) transuretral eksizyonini o'tkazgan bolalar - 38 bemor kiradi. Barcha bemorlarga ureterotselning keng endoskopik diseksiyasi o'tkazildi. Endoskopik aralashuv siydik yo'llarining obstruktsiyasi yo'qolganda, VUR yoki siydik yo'llari infektsiyasi yo'q bo'lganda muvaffaqiyatli deb hisoblanadi. Xulosa. Diagnostika va endoskopik tuzatishning ishlab chiqilgan algoritmiga rioya qilish davolash samaradorligini oshirish, bolalarda asoratlar sonini kamaytirish imkonini beradi. Utereroselni endoskopik tuzatish yuqori siydik yo'llarining normal urodinamikasini dekompressiyalash va tiklashning yuqori samarali usuli hisoblanadi. Past travmatik tabiatni hisobga olgan holda, ureterotselning turi, tabiati va darajasidan qatiy nazar, transuretral rezektsiya tanlov usuli hisoblanadi. Malformatsiyani tuzatgandan so'ng, bolalar bilan birga keladigan kasalliklarni va yuzaga kelishi mumkin bo'lgan asoratlarni o'z vaqtida tashxislash va davolash uchun majburiy dinamik monitoring va bosqichma-bosqich tekshiruv o'tkaziladi.
Kalit so'zlar:
Mualliflar haqida
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