LAKTATSIYA DAVRIDAGI RUHIY-EMOTSIONAL BUZILISHLAR: NEYROENDOKRIN, GEMODINAMIK MEXANIZMLAR VA KOMPLEKS AMBULATOR REABILITATSIYA SAMARADORLIGI
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laktatsiya, tug‘ruqdan keyingi depressiya, xavotir, kortizol, D vitamini, transkranial doppler, ko‘krak suti bilan boqish, reabilitatsiya##article.abstract##
Maqsad: laktatsiya davridagi ruhiy-emotsional buzilishlarning klinik-nevrologik, psixometrik, neyroendokrin va gemodinamik xususiyatlarini aniqlash hamda kompleks ambulator reabilitatsiya dasturi samaradorligini baholash. Ruhiy-emotsional buzilishlari bo‘lgan 20–32 yoshli 100 nafar emizikli ayol va 20 nafar sog‘lom ona tekshirildi. Bemorlarda o‘rta darajali xavotir-depressiv sindrom (EPDS 14,51±0,11; BAI 18,51±0,12 ball), giperkortizolemiya (649,75±3,94 nmol/l), D vitamini tanqisligi (14,16±0,49 ng/ml), simpatikotoniya va o‘rta miya arteriyasida Vmean ning 59,7% ga oshishi aniqlandi. Kompleks dastur EPDS ni 65,2% ga (standart davolashda 44,4%) kamaytirdi, kortizol, D vitamini va miya gemodinamikasini me’yorlashtirdi (p<0,001).
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