INSULTDAN KEYINGI KOGNITIV VA PSIXOEMOTSIONAL BUZILISHLARNI ERTA ANIQLASH VA REABILITATSIYADAGI ZAMONAVIY YONDASHUVLAR
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ishemik insult, postinsult kognitiv buzilish, depressiya, xavotir, kognitiv reabilitatsiya##article.abstract##
Insultdan keyingi kognitiv va affektiv buzilishlarning klinik ahamiyatini baholash, ularning reabilitatsiya jarayoniga ta’sirini aniqlash hamda zamonaviy xalqaro ilmiy tadqiqotlar asosida erta diagnostika va kompleks reabilitatsiyaning samaradorligini tahlil qilish uchun tadqiqotga 18–74 yoshdagi 87 nafar insult o‘tkazgan bemor kiritilgan. Asosiy guruhni birlamchi ishemik insult o‘tkazgan 48 nafar (55,1%), taqqoslash guruhini esa takroriy ishemik insult o‘tkazgan 39 nafar (44,9%) bemor tashkil etdi. Kognitiv funksiyalar MoCA va MMSE, xavotir va depressiv simptomlar HADS yordamida baholandi. Insultdan keyingi kognitiv va affektiv buzilishlar bemorning funksional tiklanishi, kundalik faoliyati va reabilitatsiya jarayonida faol ishtirok etishiga sezilarli ta’sir ko‘rsatadi. MoCA, MMSE va HADS kabi standartlashtirilgan shkalalardan erta bosqichda foydalanish xavf guruhidagi bemorlarni aniqlash imkonini beradi. Kognitiv trening, jismoniy mashqlar, psixologik yordam va individual reabilitatsiyani birlashtirgan kompleks yondashuv istiqbolli strategiya hisoblanadi.
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