RETROXORIAL GEMATOMA BILAN ASORATLANGAN BIRINCHI TRIMESTRDAGI HOMILADORLIK NATIJALARI
Abstrakt
Kirish. Ayollarda homiladorlikning dastlabki davrida retroxorial gematoma (RCH) ona, homila va yangi tug'ilgan chaqaloq uchun salbiy natijalarni bashorat qilishi mumkin. RCH mavjudligi, uning joylashuvi, hajmi va perinatal asoratlar o'rtasidagi bog'liqlik o'rganildi. RCH hajmining oshishi birinchi trimestrda vaginal qonash, homilaning erta yo'qolishi, homila o'sishining cheklanishi, platsenta uzilishi va muddatidan oldin tug'ruq kabi homiladorlik asoratlari xavfining ortishi bilan bog'liq. Ushbu tadqiqotning maqsadi birinchi trimestrdagi retroxorial gematoma va homiladorlik va perinatal asoratlar o'rtasidagi bog'liqlikni o'rganish edi. Bemorlar va usullar. Birinchi trimestrda (<14 hafta) homiladorlik davri retroxorial gematoma bilan murakkablashgan 177 bemor haqidagi ma'lumotlar 2023-yil yanvaridan 2025-yil dekabrigacha bo'lgan davrda 6-sonli Toshkent mintaqaviy klinik-amaliy markazida o'tkazilgan arxiv materiallari tahlilidan olingan. Ushbu muassasaning ambulatoriya klinikasidan nazorat guruhi (35 nafar sog'lom homilador ayol) jalb qilingan. Retroxorial gematoma tashxisi qo'yilgan paytda homilaning yurak faoliyati mavjudligi tadqiqotga kiritilishi uchun zarur shart bo'lgan. Gematoma hajmiga qarab, RCH bilan kasallangan homilador ayollar uch guruhga bo'lingan: kichik gematomali (RCH-I guruhi, n = 57), o'rtacha gematomali (RCH-II guruhi (n = 101) va katta gematomali (RCH-III guruhi, n = 19). Nazorat guruhi RCH va vaginal qon ketishi bo'lmagan 35 homilador ayoldan iborat edi. Ma'lumotlarni statistik qayta ishlash Statistica dasturidan (25.0 versiyasi) foydalangan holda retrospektiv tadqiqot doirasida amalga oshirildi. Natijalar. Retroxorial gematoma birinchi trimestrda, hajmidan qat'i nazar, qon ketish chastotasining oshishi, shuningdek, tug'ruq paytida homilaning homiladorlik yoshining pastligi bilan bog'liq. Shu bilan birga, retroxorial gematoma hajmining oshishi platsenta ajralishi, muddatidan oldin tug'ruq, SIDS va homila yo'qolishi xavfini oshiradi. Xulosalar. Shunday qilib, erta homiladorlik retroxorial gematomasining ona, homila va neonatal asoratlar bilan bog'liqligi keng muhokama qilinmoqda va retroxorial gematoma va salbiy homiladorlikning umumiy patogenetik mexanizmlarini aniqlashga qaratilgan qo'shimcha tadqiqotlarni talab qiladi. natijalar, xususan, homila o'sishini cheklash sindromi.
Kalit so'zlar:
Mualliflar haqida
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