KICHIK CHANOQ BO`SHLIG`I A`ZOLARI OPERATSIYALAR VAQTIDA O`TKAZILADIGAN REGIONAL ANESTEZIYADA DEKSMEDETOMIDINNING ROLI
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sedatsiya, regional anesteziya, deksmedetomidin##article.abstract##
Hozirgi vaqtda anesteziologiyaning dolzarb muammolaridan biri mahalliy anesteziya vaqtida xavfsiz va yetarli darajada uxlatishdir. Zamonaviy anesteziologiyaning asosiy tamoyillariga ko'ra, xavfsiz va samarali uxlatish bemorning psixo-emotsional holatini himoya qilishni, operatsiya vaqtida bemor uyg'onmasligini, og'riq va qo'rquvning bo`lmasligini, operatsiyadan keyingi davrda ko'ngil aynishi va qayt qilishning bo`lmasligini ta'minlashi kerak; shu bilan bir vaqtda nafas olish depressiyasini chaqirmasligi va gemodinamikaga ta'sir qilishni keltirib chiqarmasligi hamda psixomotor funksiyalarning kechiktirilgan tiklanishi bilan birga bo'lmasligi kerak. Mavjud adabiyotlarni o'rganib, o'z kuzatishlarimizni tahlil qilib, biz mahalliy anesteziya sharoitida propofoldan ko'ra deksmedetomidin yordamida uxlatish afzalroq degan xulosaga keldik. Deksmedetomidin bilan uxlatish operatsiyadan keyingi erta davrda kognitiv buzilishlarning kamayishiga, og'riq intensivligining pasayishiga, operatsiyadan keyin tiklanish va faollashuvga foydali ta'sir ko'rsatadi, shuningdek operatsiya vaqtida gipoksemiya va gipotenziya kelib chiqish chastotasini kamaytiradi.
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