TUG'MA OBSTRUKTIV UROPATIYALI BOLALAR UCHUN PERINATAL MONITORING VA BOSHQARUV TAKTIKASINING MINTAQAVIY MODELINI OPTIMALLASHTIRISH
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obstruktiv uropatiya, prenatal tashxis, yangi tug'ilgan chaqaloqlar, gidronefroz, perinatal monitoring, iqtisodiy samaradorlik##article.abstract##
Ushbu maqolada Samarqand viloyati uchun moslashtirilgan tug'ma obstruktiv uropatiyalarning (KOU) perinatal monitoringi uchun takomillashtirilgan uch bosqichli model taqdim etilgan. Muallif "bemor sifatida homila" paradigmasiga o'tishni taklif qiladi, jumladan, birlamchi tibbiy yordam darajasida "Prognostik skrining varag'i" dan foydalanish va tug'ruqdan keyingi ultratovush diagnostikasi uchun "72 soatlik qoida" ni joriy etish. Modelni joriy etish COU ni jarrohlik yo'li bilan tuzatish uchun o'rtacha yoshni 8,5 ± 2,1 dan 3,2 ± 1,4 oygacha qisqartirdi. Hayotning dastlabki uch kunida siydik yo'llarining muhim nuqsonlari uchun erta dekompressiyasi nefrektomiya darajasini 18% ga kamaytirishi ko'rsatilgan. Bemorlarni boshqarish taktikasini optimallashtirish kasalxona o'rinlaridan foydalanishni soddalashtirish va keraksiz invaziv tekshiruvlarni bartaraf etish orqali sezilarli iqtisodiy foyda keltirdi. Taklif etilayotgan algoritm siydik yo'llari patologiyasi bo'lgan bolalarda erta nogironlikning oldini olishga yordam beradi.
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