KOMBINATSIYALANGAN VERTEBROGEN PATOLOGIYASI VA CHANOQ A'ZOLARI FUNKSIYASI BUZILISHI BO'LGAN BEMORLARNI BOSHQARISH STRATIFIKATSIYASI: MULTIDISTSIPLINAR YONDASHUV
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miyelopatiya, chanoq a'zolari funksiyasi buzilishi (ChAFB), umurtqa kanali stenozi, post-travmatik kaskad, metall konstruksiyalar, xavf stratifikatsiyasi, multiditsiplinar yondashuv, umurtqa pog'onasining degenerativ o‘zgarishlari, urodinamik buzilishlar, orqa miya shikastlanishi bo'lgan bemorlarni reabilitatsiya qilish##article.abstract##
Ahamiyati. Umurtqa pog'onasi va orqa miya patologiyasi O‘zbekistonda dolzarb tibbiy-ijtimoiy muammodir. "Post-travmatik kaskad"ni shakllantiruvchi birlashgan patologiyani (stenoz, metall konstruksiyalar, degenerativ o‘zgarishlar) boshqarish murakkablikni tug‘diradi.
Maqsad. Klinik-demografik ma'lumotlar, neyrovizualizatsiya va xavf omillariga asosan vertebrogen patologiyasi va ChAFB (chanoq a'zolari funksiyasi buzilishi) bo'lgan bemorlarni boshqarish bo'yicha stratifikatsiya algoritmini ishlab chiqish.
Materiallar va usullar. Miyelopatiyasi va ChAFB bo'lgan 250 bemor tibbiy hujjatlarining retrospektiv tahlili (o'rtacha yoshi 38.6±12.4 yosh). Nevrologik baholash (ASIA shkalasi), urodinamik tekshiruvlar, MRT/KT va statistik ishlov berish qo'llanildi.
Natijalar. Degenerativ o‘zgarishlar ("post-travmatik kaskad" 82% hollarda) bilan bog'liq post-travmatik miyelopatiya (68%) ustunlik qildi. Stenoz >50% ChAFB og‘irligi bilan korrelyatsiyada bo'ldi (r=0.82, p<0.001). Siydik ushishi (62%) bo'yin kasalliklarida ko'p uchradi. Xavf omillari: yoshi >50 yosh, stenoz >70%, siydik ushishi.
Xulosa. Differensial boshqarish taktikasi bilan bemorlarning uch darajali stratifikatsiyasi taklif etildi. Davolashni optimallashtirish uchun multiditsiplinar yondashuv (nevropatolog, vertebrolog, urolog, reabilitolog) zarurligi tasdiqlandi.
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