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O’TKIR YOPISHQOQ ICHAK TUTILISHINI DAVOLASH VA TASHXIS QO’YISHDA ZAMOVAVIY YONDASHUV

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MAQOLA ANNOTATSIYASI

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O’tkir ichak tutilishi bo’lgan bemorlarni jarrohlik davolash uchun optimal variantni o’z vaqtida tashxislash va tanlash shoshilinch qorin jarrohligidagi eng murakkab va dolzarb muammolardan biridir [8,12]. O’tkir yopishqoq ichak tutilishi [2] – qorin bitishmalar shakllanishi alohida turiga ajratilgan ichak tutilishi asosiy sabablaridan biri hisoblanadi. Bu shikastlanish va jarrohlik aralashuvlardan so’ng bir qator yallig’lanish jarayonlari bilan bog’liq. Turli jarrohlik aralashuvlar soni va hajmini ortishi tufayli ushbu muammo tobora dolzarb bo’lib kelmoqda [8]. Peritoneal сhandiqlar (yopishqoqlar) yosh bemorlarda tobora ko’proq uchraydi va bir qator asoratlarni rivojlanishiga olib keladi. Qorin bo’shlig’ining yopishqoqligi, uning kamayish tendentsiyasisiz,o’limning yuqori darajasi bilan kechadigan ichak tutilishining eng keng tarqalgan sabablaridan biridir [9]. Yopishqoq shakllanishining chastotasi qorin bo’shlig’I jarrohligidan keyin 67% dan 93% gacha o’zgaradi va ochiq ginekologik aralashuvlardan so’ng deyarli 97% ni tashkil qiladi. Zamonaviy qorin bo’shlig’I jarrohligida operatsiadan keyingi yopishqoqlikning shakllanish muammosi dolsarbligini yo’qotmagan [11,3]. O’tkir yopishqoq ichak tutilishi strangulyatsion shakllarida patofizyologik o’zgarishlarning kuchayib borishi va tezligi, klinik ko’rinishlarning xilma-xilligi va diagnostika bilan bog’liq qiyinchiliklar, jarrohlik davolash va profilaktikaning taktik va texnik murakkabligi bilan ajralib turadi [4,15]. Shuning uchun, O’tkir yopishqoq ichak tutilishi operatsiyadan keying o’lim darajasi 15% gacha saqlanib turibdi, ish qobiliyati faqat 40 - 50% bemorlarda tiklanadi va konservativ davolanishdan so’ng - 30-35% [5].

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Teglar

# лапароскопия# laparoscopy# acute adhesive intestinal obstru# спаечная болезнь# острая спаечная кишечная непрохо# адгезиолизис# adhesive disease# adhesiolysis# yopishqoq kasallik# o’tkir yopishqoq ichak tutilishi# laparoskopiya# adgezioliz

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Maqola idintifikatorlari

Foydalanilgan adabiyotlar

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2. Boyko V.V., Taraban I.A., Yevtushenko D.O., Yevtushenko I.J., Vjscresenscay N.M., Bacherikova Y.A., Novichenko A.V.The present state of acute adhesive intestinal obstruction. Украины 2014; 1-10pp

3. A comparative study of postoperative adhesion formation afterlaparoscopicvs open cholecystectomy /Polymeneas G, Theodosopoulos T, Stamatiadis A, Kourias E// SurgEndosc– 2015 – №15 – P. 41-43.

4. Intra-abdominal adhesions: Cellular mechanisms and strategies for prevention Allison H. Maciver, Michael McCall, A.M. James Shapiro/International Journal of Surgery 9 (2016) 589-594pp

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7. The incidence and risk factors of post-laparotomy adhesive small bowel obstruction/ G. Barmparas, B.C. Branco, B. Schnuriger et.al // J. Gastrointest. Surg. – 2010. – Vol. 14, N 10. – P. 1619 – 1628.

8. Andreev A.A., Ostroushko A.P., Kiryanova D.V., Sotnikova E.S., Britikov V.N. Spaechnaya bolezn bryushnoj polosti // [Adhesive disease of the abdominal cavity // Bulletin of Experimental and Clinical Surgery, 2017. - №4.- P.320-326] Vestnik ekspirementalnoj i klinicheskoj hirurgii, 2017.- №4. - S.320-326.

9. Belokonev V.I., Krichmar A.M., CvetkovB.Yu., Lecheniyapacienta s posleoperacionnoj spaechnoj kishechnoj neprohodimostyu, oslozhnennojperitonitom i svishamitonkojkishki [Treatment of a patient with postoperative adhesive intestinal obstruction complicated by peritonitis and fistula of the small intestine ] // Infekcii v hirurgii, 2018. - №1-2.- S. 31-34.pp

10. KarimovSh.I., Asrarov A.A., Bajmakov S.R., Bakterialnaya translokaciyapri OKN i puti ego profilaktiki [Bacterial translocation with OKN and ways to prevent it] // Byulleten associacii vrachej Uzbekistana, 2016. - №3. - S. 12-17pp.

11. Karimov Sh.I., Asrarov A.A., Bajmakov S.R. Izuchenie mikroflory i faktorov mestnoj zashity pri OKN [The study of microflora and factors of local protection in OKN] // Zhurnal teoritecheskoj i klinicheskoj mediciny, 2016. - №4. - S. 43-47.pp

12. Timofeev M. E., Fedorov E. D., Bachurin A. N. Laparoskopicheskoe razreshenie ostroj spaechnoj tonkokishechnoj neprohodimosti, prichinoj kotoroj posluzhila ranee perenesennaya laparoskopicheskay aappendektomiya. [Laparoscopic resolution of acute adhesive intestinal obstruction, the cause of which was previously transferred laparoscopic appendectomy] Endoskopicheskayahirurgiya. 2014; 1: 48–51.pp

13. Timofeev M. E., Shapovalyanc S. G., Fedorov E. D., Primenenie laparoskopicheskih vmeshatelstv v diagnostike i lechenii ostroj spaechnoj tonkokishechnoj neprohodimosti u bolnyh bez perenesennyh operacii na organah bryushnoi polosti. [Application of laparoscopic interventions in the diagnosis and treatment of acute adhesive small bowel obstruction in patients without previous operations on the abdominal organs.]Hirurg (Ryazan). 2013; 9: 11.pp

14. Karimov Sh.I., Asrarov A.A., Bajmakov S.R. Enteralnaya detoksikaciya v kompleksnom lechenie OKN [Interal detoxification in complex treatment of OCs] // Vestnik Tashkentskoj medicinskoj akademii, 2016. - №3. - S. 74-78pp

15. Amin M.B., Greene F.L., Edge S.B., et al. (2017) The eighth edition AJCC Cancer Staging Manual: continuing to build a bridge from a population-based to a more “personalized” approach to cancer staging. CA Cancer J Clin.;67:93-99;

16. Aslonov Z.A., Gulmanov I.D., Boltaev Sh. Sh., Prognosticheskie kriterii spajkoobrazovaniya u bolnyh s ostrymi hirurgicheskimi zabolevaniyami bryushnoi polosti.Osoblivosti modernizacii predmetudoslidzhenpredstavniki v medichnihnauk: zbirnik mater mizhnarodnoi naukovo-praktkonferencii. [Prognostic criteria of adhesions in patients with acute surgical diseases of the abdominal cavity. The special features of the modernized subject are presented in the medical sciences: the participants of the international scientific and practical conference III.] Kiiv 3-4 chrevnya 2016 r. S.19-22.pp

17. A Rizaev Jasur, Hiromichi Maeda. Plastic surgery for the defects in maxillofacial region after surgical resection of benign tumors. Annals of Cancer Research and Therapy. №27, Japan, 2019

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