QIZILOʼNGАCH АTREZIYASINING JАRROHLIKDАN KEYINGI АNАSTOMOZ CHАNDIQLI TORАYISHLАRINI ENDOSKOPIK BАLLONLI DILАTАTSIYASI
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qiziloʼngach atreziyasi, anastomoz torayishi, endoskopik davolash##article.abstract##
Maqsad: Qiziloʼngach atreziyasi bilan operatsiya qilingan bemorlarda qiziloʼngachning operatsiyadan keyingi chandiыli stenozini davolash natijalarini tahlil qilish.
Materiallar va usullari. Respublika perinatal markazi qoshidagi Respublika neonatal xirurgiya oʼquv-davolash-metodik markazida 2022 yildan 2023 yilgacha qiziloʼngach atreziyasida ezofagoplastikadan keyin qiziloʼngachni chandiqli stenozi bilan 73 bemor davolandi. Shundan 45 nafari oʼgʼil bola (62%) va 28 nafari qiz bola (38%). Bemorlarning yoshi 1 oydan 11 oygacha.
Natijalar. Davolash natijasida qiziloʼngach atreziyasi uchun ezofagoplastikadan soʼng qiziloʼngach anastomozi strikturasi boʼlgan barcha bemorlarda anastomozning diametri 10-11 mm ga yetdi, bu chaqaloqlik davrida qiziloʼngachning meyoriy boʼshligʼiga toʼgʼri keladi. Birinchi mashgʼulotdan soʼng ovqatlanish hajmi 2-3 baravar oshdi va davolanish oxirida fiziologik ehtiyojga toʼgʼri keldi. Hozirgi vaqtda baʼzi bolalar ambulatoriya sharoitida yiliga 1-2 marta nazorat rentgenogrammasi bilan kuzatiladi. Qiziloʼngach stenozining qaytalanishi tufayli faqat bitta bemorga takroriy ezofagoplastika oʼtkazildi.
Xulosa. Аsoratlarni erta aniqlash va davolashni oʼz vaqtida boshlash uchun qiziloʼngach atreziyasi bilan tugʼilgan chaqaloqlarda ezofagoplastikadan soʼng darhol 1-oyda fibroezofagoskopiya qilish tavsiya yetiladi deb hisoblaymiz.
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