EPILEPSIYADA VAHIMALI-PANIK BUZILISHLARNING KLINIK ASPEKTLARI
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vahima, depressiya, psixiatrik komorbidlik, ikki tomonlama munosabat, davolash xususiyatlari##article.abstract##
2021 yildagi kontseptual ta'rifga ko'ra, epilepsiya-bu epileptik tutqanoq xurujlarni keltirib chiqarishga doimiy moyillik va bu holatning neyrobiologik, kognitiv, psixologik va ijtimoiy oqibatlari bilan tavsiflangan miya buzilishi xisoblanadi. Bu tushuncha epilepsiyaga qarshi xalqaro liga (ILAE) ishchi guruhi tomonidan taklif qilingan ta'rif xisoblanib, murakkab ruhiy holatlarda epilepsiya davosida kompleks yondoshuvni (psixologik ta'rifda aytib o'tilgan) va qo'shma ruhiy holatlarning mavjudligini hisobga olish zarurligini anglatadi. Epilepsiya holatini har tomonlama fanlararo baholash muhimligini hisobga olgan holda, paroksismal holatlar va komorbid psixopatologik belgilar uchun A. Kanner konvulsiv tasnifga psixiatrik kasalliklarni qo'shishni taklif qildi. Mazkur tasnifga yuldosh ruhiy patologiyani anamnezidan mavjudligi yoki yo'qligi, kasallik paydo bo'lishi o'rtasidagi vaqtinchalik bog'liqlik (paroksismdan oldin, keyin yoki paytida), hamroh bo'lgan ruhiy kasallikning turi kabi mezonlarga e'tibor qaratildi. Nevrologlar va epileptologlar epilepsiya kasalligida ruhiy belgilar komorbidligi muhimligini bilishadi, shuning uchun ular mazkur komorbidlikning negativ oqibatlariga e'tibor qaratishadi. Bu komorbidlik to'tqanoq xurujlarini tezlashtiradi va og'irlashtiradi. Oxirgi yillarda epilepsiya bilan xasatalangan bemorlarda uchraydigan depressiv buzilishlarga e'tibor qaratilmoqda. Epilepsiya bilan xasatalangan bemorlarning har kunlik hayotidagi ko'pgina anksiogen omillar (xurujlarning bashorat qilinmasligi, jismoniy zarbalar, ijtimoiy stigma, diskriminatsiya, iqtisodiy, oilaviy, kasbiy qiyinchiliklar) bir-biriga o'zaro ta'sir kursatadi, natijada bemorlarni hayot sifatini yomonlashtirib, vahimaning kuchayishiga olib keladi.
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Статья поступила в редакцию 11.07.2024; одобрена после рецензирования 21.08.2024; принята к публикации 24.08.2024.
The article was submitted 11.07.2024; approved after reviewing 21.08.2024; accepted for publication 24.08.2024.
Информация об авторах:
Толиб М. Тураев — аспирант Самаркандского государственного медицинского университета. Самарканд, Узбекистан; E-mail: tolibturaev544@gmail.com, https://orcid.org/0009-0003-2861-6579
Чарос А. Кучимова — кандидат медицинских наук, ассистент Самаркандского государственного медицинского университета. Самарканд, Узбекистан; E-mail:charos_kuchimova@mail.ru, https://orcid.org/0000-0001-8352-3744
Источники финансирования: Работа не получала какого-либо конкретного финансирования.
Конфликт интересов: Авторы заявляют об отсутствии явных или потенциальных конфликтов интересов, связанных с публикацией этой статьи.
Вклад авторов:
Тураев Т.М. — идеологическая концепция работы, написание текста; редактирование статьи;
Кучимова Ч.А — сбор и анализ литературных источников, написание текста.
Information about the authors:
Tolib M. Turaev — basic doctoral student of Samarkand state medical university. Samarkand, Uzbekistan; E-mail: tolibturaev544@gmail.com, https://orcid.org/0009-0003-2861-6579
Charos A. Kuchimova — PhD, assistant of Samarkand state medical university. Samarkand, Uzbekistan; E-mail:charos_kuchimova@mail.ru, https://orcid.org/0000-0001-8352-3744
Sources of funding: The work did not receive any specific funding.
Conflict of interest: The authors declare no explicit or potential conflicts of interest associated with the publication of this article.
Contribution of the authors:
Turaev T.M — ideological concept of the work, writing the text; editing the article;
Kuchimova Ch.A — collection and analysis of literature sources, writing the text.
