ORQA KRANIAL CHUQURCHA O‘SMASI OLIB TASHLANGANIDAN KEYIN BEMORLARNI KOMPLEKS REABILITATSIYA QILISH
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orqa kranial chuqurcha o‘smalari, neyroreabilitatsiya, miyacha ataksiyasi, miyacha mutizmi, disfagiya, dizartriya, funktsional mustaqillik, hayot sifati, multidisiplinar yondashuv##article.abstract##
Orqa kranial chuqurcha o‘smalari eng murakkab neyro-onkologik kasalliklar qatoriga kiradi, chunki ular miyacha, miya poyasi, IV qorincha, kranial nervlarning kaudal guruhi va likvor yo‘llariga bevosita yaqin anatomik cheklangan bo‘shliqda joylashadi. O‘smani texnik jihatdan muvaffaqiyatli jarrohlik yo‘li bilan olib tashlangandan keyin ham bemorlarning katta qismida koordinatsion, harakat, nutq, bulbar, kognitiv va psixoemotsional buzilishlar saqlanib qoladi. Maqolaning maqsadi orqa kranial chuqurcha o‘smalari olib tashlanganidan keyin bemorlarni kompleks reabilitatsiya qilishni erta operatsiyadan keyingi davr, nevrologik defitsit tuzilmasi va funktsional prognozni hisobga olgan holda ilmiy asoslashdan iborat. Maqolada neyroreabilitatsiyaning asosiy tarkibiy qismlari: erta vertikallashtirish, davolash jismoniy tarbiyasi, vestibulyar-koordinatsion mashqlar, logopedik korreksiya, disfagiya terapiyasi, neyropsixologik qo‘llab-quvvatlash va ergoterapiya ko‘rib chiqilgan. SARA shkalasi, Berg Balans Shkalasi, Barthel Indeksi/FIM, MoCA va SF-36 yordamida tiklanishni baholashga alohida e’tibor qaratilgan. Kompleks reabilitatsiya muvozanat, yurish, o‘z-o‘ziga xizmat qilish, nutq faolligi, yutish, kognitiv mahsuldorlik va hayot sifatini yaxshilashga yordam berishi ko‘rsatilgan, biroq yaqqol ifodalangan orqa kranial chuqurcha sindromi, miyacha mutizmi, miya poyasi shikastlanishi va agressiv onkologik davolash hollarida to‘liq tiklanishga har doim ham erishilmaydi. Orqa kranial chuqurcha o‘smalari bo‘lgan bemorlarni davolash samaradorligi nafaqat rezeksiya radikalligi, balki keyingi bosqichli neyroreabilitatsiya sifati bilan ham belgilanadi, degan xulosaga kelingan.
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