MODERN METHODS IN COGNITIVE REHABILITATION IN PATIENTS WITH TYPE 1 DIABETES MELLITUS
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1-tip qandli diabet, nevrologik status, kognitiv funksiyalar##article.abstract##
Qandli diabet (QD) 1-turi metabolik buzilish hisoblanib, nishon a’zolarga ko‘p omilli salbiy ta’sirga olib keladi, shu bilan birga kognitiv buzilishlar rivojlanishida muhim xavf omili bo‘lib, ularni oldini olish va davolash muammosi hozirgi kunda zamonaviy endokrinologiya va nevrologiyada markaziy o‘rinlardan birini egallaydi. Tadqiqotning maqsadi 1-tur QD bilan og‘rigan bemorlarda kognitiv buzilishlarni korreksiyalashda zamonaviy reabilitatsiya usullarini baholashdan iborat. 1-tur QD bilan kasallangan 18 yoshdan 45 yoshgacha bo‘lgan 50 nafar bemor tekshirildi. Barcha bemorlarga nahorda glikemiya, glikirlangan gemoglobin (HbA1c) darajasi o’lchandi. Randomizatsiya o‘tkazildi: 1-guruh bemorlari haftasiga 2 marta 45 daqiqadan Happy Neuron Pro kompyuterlashtirilgan dasturidan foydalangan holda kognitiv treningdan o‘tkazildi; 2-guruhda sport-sog‘lomlashtirish majmuasi bazasida haftasiga 2 marta 60 daqiqadan davolovchi jismoniy tarbiya mashg‘ulotlari o‘tkazildi. HbA1c darajasini baholashda 1-guruhda uning 2-guruhga nisbatan ko‘proq pasayishi qayd etildi (mos ravishda 0,7% va 0,3%). Ikkala reabilitatsiya guruhida ham kognitiv funksiyalar o‘rtacha 2 ballga yaxshilandi. Harakat va kompyuter reabilitatsiyasi usullaridan foydalanish 1-tur QD bilan og‘rigan bemorlarda kognitiv funksiyalarni yaxshilaydi. Kompyuterlashtirilgan treningdan foydalanish uglevod almashinuvi ko‘rsatkichlarining sezilarli darajada yaxshilanishiga olib keladi.
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