BOLALARDA O'TKIR REVMATIK ISITMANING PROFILAKTIKASI VA DISPANSERIZASIYASI
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o'tkir revmatik isitma, ikkilamchi profilaktika, bolalar, hozirgi zamon.##article.abstract##
Davolash va oldini olish sohasidagi yutuqlarga qaramay, o'tkir revmatik isitma (ARF) pediatrlar va otorinolaringologlar uchun jiddiy muammo bo'lib qolmoqda. ARF bilan bog'liq revmatik kardit 5 yoshdan 24 yoshgacha bo'lgan shaxslar uchun kardiologiya bo'limlarida kasalxonaga yotqizilishining asosiy sababi hisoblanadi. Jahon sog'liqni saqlash tashkiloti ma'lumotlariga ko'ra, har yili dunyo bo'ylab 500 000 kishida revmatik isitma tashxisi qo'yiladi, 300 000 ga yaqin odam ARFga o'tadi, bu esa yurak muammolariga olib keladi. Ushbu asoratlar nogironlikning asosiy sababidir. Tadqiqotlar shuni ko'rsatadiki, ARFning asosiy sababi A guruhidagi streptokokklar (GAS). Biroq, so'nggi yillarda ushbu infektsiyaning epidemiologik ko'rinishi sezilarli darajada o'zgardi. Bir qator olimlarning fikriga ko'ra, hozirgi vaqtda takrorlanuvchi o'tkir revmatik isitma holatlari nisbatan kam uchraydi. 20 yoshdan oshgan odamlarda faol revmatik jarayonlarning diagnostikasi, shu jumladan takroriy hujumlar qayd etilmaydi. O'tkir revmatik isitmaning oldini olish va qaytalanishning oldini olishga qaratilgan milliy dasturlarda birlamchi va ikkilamchi profilaktikaning muhimligi ta'kidlangan. Bugungi kunda o'tkir revmatik isitma bilan kasallanishni nazorat qilish uchun dasturlardan foydalanish tavsiya etiladi. Ushbu dasturlarda ushbu kasallikning birlamchi va ikkilamchi profilaktikasining asosiy tamoyillari yoritilgan.
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