EKSSUDATIV O’RTA OTIT DAVOLASH USULLARINI TAHLIL QILISH
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ekssuzativ muhit, davolash taktikasi, timpanostomiya##article.abstract##
Ushbu maqolada ekssudativ o‘rta otitni davolash muammosi bo‘yicha adabiyotlar tahlil qilinadi. Ekssudativ otit muhiti o‘rta quloqning polietiologik yallig‘lanish kasalligi bo‘lib, uning etiopatogenezida eshitish naychasi disfunksiyasi ishtirok etadi. Ekssudativ o‘rta otitning patomorfologik substrati shilliq qavatning surunkali yallig‘lanishi, asosan mezo-, gipotimpanum va eshituv nayining yallig‘lanishi bo‘lib, klinik belgilari nog‘ora bo‘shlig‘ida ekssudatning mavjudligi, nog‘ora pardaning o‘tkir yallig‘lanish va nuqson belgilarining yo‘qligi hisoblanadi. Ekssudativ o‘rta otitning eng keng tarqalgan sababi respirator virusli infeksiya, ikkinchi sababi o‘tkir o‘rta otitdir. Ekssudativ o‘rta otitning tarqalishi yoshga bog‘liq bo‘lib, turli mualliflarning fikriga ko‘ra, 1 yoshgacha bo‘lgan bolalarda 35% gacha; 3-5-yil - 10-30%; 6-7 yoshda - 3-10%; 9-10-yil-1-3%. Ekssudativ otit 2 yoshdan 7 yoshgacha bo‘lgan bolalarda eshitish qobiliyatini yo‘qotishning eng keng tarqalgan sababi hisoblanadi - bolalarni ommaviy tekshirish paytida u 30,2% hollarda aniqlanadi. Chet el olimlarining tadqiqotlari shuni ko‘rsatadiki, ekssudativ o‘rta otitning aksariyat holatlari o‘z-o‘zidan tuzaladi, aks holda bemorlar davolanishga muhtoj bo‘ladi. Zamonaviy tibbiyot ekssudativ o‘rta otitni davolashning turli usullarini taklif qiladi, jumladan boshqa turdagi davolash usullari qo‘llab bo‘lmaydigan bemorlar uchun eshitish moslamalaridan foydalanish imkoniyatini ham ko‘rib chiqadi. Ba’zi mamlakatlarda ekssudativ o‘rta otit tashxisi qo‘yilganda, ko‘pincha bemorlarni faol kuzatuvga olmasdan, to‘g‘ridan-to‘g‘ri dori-darmon yoki jarrohlik yo‘li bilan davolash tayinlanadi.
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