BO‘YIN VA KO‘KRAQ OMURTQALARI DARAJASIDAGI POSTTRAVMATIK MIYOPATIYALARNING JARROHLIK VA REABILITATSIYA DAVOLASHINI STRATIFIKATSIYALASH
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posttravmatik miyopatiya, davolash stratifikatsiyasi, jarrohlik davolash, reabilitatsiya, umurtqa kanali stenozi, siydik chiqarish a'zolari funksiyasining buzilishi (NBD), harakat buzilishlari##article.abstract##
Maqolada 170 bemorni retrospektiv tahlil asosida posttravmatik miyopatiyalarning jarrohlik va reabilitatsiya davolashini stratifikatsiyalash taklif etilgan. Tadqiqot muammoning yuqori dolzarbligini (umurtqa miya shikastlanishlarining 68%, mehnat yoshidagi shaxslarning nogironligi, tez-tez uchraydigan siydik chiqarish a'zolari funksiyasining buzilishi (NBD) va harakat buzilishlari) tasdiqladi. Stratifikatsiya uchun asosiy omillar sifatida umurtqa kanali stenoz darajasi va metall konstruksiyalarning barqarorligi aniqlandi. Xavf guruhlariga (engil, o‘rta, og‘ir) qarab differensial jarrohlik aralashuv algoritmlari (konservativ taktikadan tortib revizion operatsiyalargacha) va shaxsiylashtirilgan reabilitatsiya dasturlari (NFD va spastiklikni tuzatishga qaratilgan) ishlab chiqildi. Noqulay prognoz omillari aniqlandi (stenoz >70%, siydikni ushlab qolish, yoshi >50 yosh, konstruksiyalarning beqarorligi). Uzoq muddatli natijalar (12 oydan keyin) barcha guruhlarda funksional natijalarning ayniqsa erta dekompressiya va multidisiplinar yondashuv bilan sezilarli yaxshilanishini ko‘rsatdi. Taklif etilgan stratifikatsiya posttravmatik miyopatiyali bemorlarni boshqarish strategiyasini optimallashtirish imkonini beradi.
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