YURAK ISHEMIK KASALLIGIDA O'NG QORINCHA DISFUNKSIYASI: MUAMMONING ZAMONAVIY TUSHUNCHALARI VA DIAGNOSTIKA USULLARI
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yurak ishemik kasalligi, o'ng qorincha, miokard disfunksiyasi, exokardiyografiya##article.abstract##
Bizning hozirgi tibbiyotimiz ko'p yillar davomida dunyoda kasallanishning kamayishi bilan kurashib kelmoqda va buning natijasi, qoida tariqasida, bemorlarning kasalxonaga yotqizilishi va davolanish uchun sarf xarajatlarning kamayishida aks etishi zarur. Bunday natijalarga kasalliklarning og’ir prognozi belgilarini erta aniqlash va tegishli profilaktika choralarini ko'rish orqali erishish mumkin.
Zamonaviy kardiologiyaning shunday dolzarb tibbiy-ijtimoiy muammolaridan biri koronar tomirlarning aterosklerotik shikastlanishi natijasida yuzaga keladigan yurak ishemik kasalligidir [1]. Bu uning keng tarqalganligi, ushbu patologiya bilan bog'liq nogironlik va o'limning yuqori ko'rsatkichlari bilan bog'liqdir. Xususan, miokard infarkti (MI) ushbu turdagi kasallikning qabih asorati hisoblanadi.
Shunday qilib, yevropalik ekspertlarning ma'lumotlariga ko'ra, yil davomida erkaklarning 21 foizi va ayollarning 22 foizi yurak-qon tomir kasalliklari natijasida vafot etadi, bu yiliga 2 millionga yaqin o'limdir [2]. MI bilan og'rigan bemorlarning yashash davomiyligi prognozi ko'p jihatdan yurak etishmovchiligining rivojlanishi va rivojlanishi uchun asos bo'lgan infarktdan keyingi remodellanish og'irligiga va miokard disfunksiyasi darajasiga bog'liq [3].
Shuni ta'kidlash kerakki, bugungi kunda amaliy nuqtai nazardan, chap qorinchaning gemodinamik xususiyatlari eng ko'p talab qilinadigan va eng ko'p o'rganilgan hisoblanadi, chunki bu asosiy kamera bo'lib, bevosita koronar arteriyalarning shikastlanishiga bog'liq va uning funksional imkoniyatlari yashash davomiyligi istiqbollarini ishonchli belgilaydi. O'ng qorincha disfunksiyasi va uning salbiy oqibatlarning rivojlanishidagi roli haqida juda kam ma'lumot olingan. Biroq, klinik amaliyotga yurakning tasviriy diagnostika qilishning yangi imkoniyatlari kiritilishi bilan yurak o'ng bo'limlari dusfunksiyasi, ayniqsa o'ng qorincha disfunksiyasi yuqoridagi muammolarni hal qilish yo'llaridagi keyingi o’rganish mavzusiga aylanadi.
Ushbu sharhda o'ng qorinchaning asosiy jihatlari, uning disfunksiyasini tashxislashning zamonaviy usullari va prognozga ta'siri ko'rib chiqiladi.
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