II TIPDАGI QАNDLI DIАBETDА OʼPKАNING SURUNKАLI OBSTRUKTIV KАSАLLIGI RENTGENOLOGIK SEMIOTIKАSI
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SO‘OK, 2-tip qandli diabet, rentgenologik tashxis, MSKT, mikroangiopatiya##article.abstract##
Kirish: Surunkali obstruktiv o‘pka kasalligi (SO‘OK) va 2-tip qandli diabet birga kechganida patologik o‘zgarishlar kuchayib, bemor holati og‘irlashadi va hayot sifati pasayadi. Rentgenologik belgilarni erta bosqichda aniqlash samarali tashxis qo‘yishga yordam beradi.
Usullar: 2020–2023 yillarda 75 nafar bemor tekshirildi: I-guruh — SO‘OK + 2-tip diabet (40 bemor), II-guruh — SO‘OK (20), III-guruh — faqat diabet (15). Rentgen, MSKT va spirometrik tadqiqotlar o‘tkazildi.
Natijalar: SO‘OK va diabetli bemorlarda klinik simptomlar og‘irroq (nafas qisishi — 75%, bronxlar qalinlashuvi — 80%). MSKT nafas yo‘llari va o‘pka parenximasidagi o‘zgarishlarni aniqladi. Ko‘p hollarda mikroangiopatiya belgilariga — tomir kengayishi, “marjon”simon deformatsiya va peribronxial o‘zgarishlarga duch kelindi. Emfizema va bronxoektaziya ham aynan shu guruhda ko‘p uchradi.
Muhokama: SO‘OK va diabet birgaligi o‘pka to‘qimalarining strukturaviy va funksional o‘zgarishlariga olib keladi. MSKT yuqori sezuvchanlik (95%) va spetsifiklik (93,8%) ko‘rsatkichlariga ega bo‘lib, erta tashxis qo‘yishda tavsiya etiladi.
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