BOSH MIYA SHIKASTLANISHINING KLINIK NAMOYONLARI VA NEYROVIZUALIZATSIYA NATIJALARI O‘RTASIDAGI BOG‘LIQLIK: RETROSPEKTIV TAHLILIY TADQIQOT
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bosh miya shikastlanishi, multispiral kompyuter tomografiya, intrakranial gematoma, subaraxnoid qon ketishi, klinik-radiologik bog‘liqlik, neyrovizualizatsiya##article.abstract##
Bosh miya shikastlanishi (BMSh) butun dunyo bo‘yicha o‘lim va uzoq muddatli nogironlikning asosiy sabablaridan biri bo‘lib, sog‘liqni saqlash tizimi uchun muhim muammo hisoblanadi. Ushbu retrospektiv tahliliy tadqiqotning maqsadi bosh miya shikastlanishining klinik namoyonlari va multispiral kompyuter tomografiya (MSKT) orqali olingan neyroviziallizatsiya natijalari o‘rtasidagi bog‘liqlikni baholashdan iborat edi. Tadqiqotga kranioserebral travmasidan keyin intrakranial patologiyaga shubha qilingan 142 nafar bemor kiritildi. Klinik baholash nevrologik tekshiruv va Glazgo koma shkalasi yordamida amalga oshirildi, neyrovizualizatsiya esa 64-kesimli KT apparatida bajarildi. Natijalar klinik-radiologik nomuvofiqlik mavjudligini ko‘rsatdi: bemorlarning 31,7% ida klinik simptomlar bo‘lishiga qaramay, KT da struktur o‘zgarishlar aniqlanmadi, shu bilan birga, ayrim simptomlarsiz bemorlarda yashirin intrakranial shikastlanishlar aniqlandi. Epidural gematoma, subdural gematoma va subaraxnoid qon ketishi mos ravishda 32,4%, 11,3% va 24,6% hollarda qayd etildi. Ushbu natijalar bosh miya shikastlanishiga shubha qilingan barcha bemorlarda neyrovizualizatsiya skriningi zarurligini ta’kidlaydi.
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