BOLALARDA ANOREKTAL MALFORMORMASYSIDA REKONSTRUKTIV TASHRIHDAN SO’NGI ASORATLARDA KOLOSTOMİYA
Abstrakt
Bolalarda anorektal malformatsiyalar hali ham bolalar koloproktologiyasining murakkab muammolaridan biri bo'lib qolmoqda. Ko'pgina pediatrik jarrohlar dastlabki kolostoma va kechiktirilgan proktoplastikaning maqsadga muvofiqligi to'g'risida fikr yuritishda davom etmoqdalar, bu taktikani murakkab aralashuvni amalga oshirish uchun maqbul sharoitlarni yaratish, anestetik xavfni kamaytirish va texnik xatolardan qochish imkoniyati bilan rag'batlantiradi. Maqsad: Dastlabki kolostomali bolalarda anorektal malformatsiyalarni davolash natijalarini yaxshilash. Materiallar va tadqiqot usullari. Bizning ishimiz 154 (100%) kolostomiyadan foydalanishni tahlil qildi. Andijon davlat tibbiyot instituti klinikasining bolalar xirurgiyasi bo‘limlarida 2005-2021-yillarda 117 nafar (76%) bolalarda fistulozli va oqmasiz, shuningdek, anorektal malformatsiyaning yuqori fistuloz shakllari oldindan shakllangan kolostomiyaga ega. Perinatal markazlarda yoki yashash joyidagi klinikalarda davolanadi. Bolalarning yoshi 2 oydan 14 yoshgacha bo'lgan. Natijalar va muhokama. 37 (24%) bolada kolostomalarning shakllanishi (ileostomiyalar) bevosita biz tomonidan amalga oshirildi. Ulardan 9 nafari (5,8 foiz) nuqsonning yuqori shaklini birlamchi radikal tuzatishgacha bo‘lgan birinchi bosqichdagi bolalar bo‘lib, 10 nafari (6,5 foiz) qo‘pol anatomik va funksional buzilishlar rivojlanishi bilan bir yoki bir necha marta operatsiya qilingan bolalardir. takroriy tuzatish operatsiyalarini talab qiladigan qisqargan ichak va perineumning 5 (3,2%) bemorida operatsiyadan keyingi erta davrda asoratlar paydo bo'lganidan keyin kolostomiya qo'yildi; 13 (8,5%) holatda, yondosh anomaliyalar va nuqsonlar bo'lsa, kolostomalar shakllangan. anorektal malformatsiyaga nisbatan klinik jihatdan "dominant" bo'lganlar aniqlangan. Xulosa. 1) Asoratlarning barcha holatlarida takroriy tuzatish operatsiyalari faqat "himoya" kolostomiyasi ostida amalga oshirilishi kerak. 2) Bir barrelli end kolostomani (sigmostoma) hosil qilish afzaldir; 3) Anorektal malformatsiyada klinik jihatdan "hukmron" bo'lgan aniqlangan anomaliyalar va nuqsonlar uchun kolostomiya zarur;
Kalit so'zlar:
Mualliflar haqida
Adabiyotlar ro'yxati
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