TUXUMDONLARNING KISTALARI BO'LGAN CHAQALOQLARNI DAVOLASH VA KUZATUVNING ZAMONAVIY ASPEKTLARI
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chaqaloqlar, tuxumdonlar o’smasi, tuxumdon kistalari, cistadenoma, tuxumdon buralishi, tuxumdon o’smalarining diagnostikasi, tuxumdon o’smalarining jarrohlik va konservativ davolash##article.abstract##
Homilador ayollar va yangi tug'ilgan chaqaloqlarning ultratovush tekshiruvi tez-tez o'tkazilishi tufayli homila va chaqaloqlarda tuxumdonlar kistalari tashxisi qo'yilganlar soni ko'paydi. Tadqiqot maqsadi. Tuxumdon kistalari bo'lgan chaqaloqlarni davolash va monitoringining zamonaviy jihatlarini aniqlash. Tadqiqot materiallari va usullari. Tadqiqotda 68 homilador ayol va ularning tuxumdon kistalari tashxisi qo'yilgan chaqaloqlari ishtirok etdi.
Tadqiqot natijalari. Xomilada tuxumdonlar o’malari aniqlashning o'rtacha homiladorlik davri 31,4±3,2 haftani tashkil etdi. Chaqaloqlarni jarrohlik yo'li bilan davolash 31 (45,5%) holatda, 9 holatda - laparoskopiya, 22 holatda - paraumbilikal doiraviy kesma yoki inferomedial laparotomiya yo'li bilan amalga oshirildi. 83,8% hollarda jarrohlik davolash tuxumdonni saqlash operatsiyalarini o'z ichiga oldi. Konservativ taktika va kuzatish 37 ta holatda (54,4%) amalga oshirildi, bu bolalarni kuzatish dinamikasida 35 ta holatda 3-12 oy ichida tuxumdon kistasi spontan regressiyasi kuzatildi. Xulosa. Tuxumdon kistalari xususiyatlariga qarab (“oddiy” yoki “murakkab”, suyuqlikli yoki solid, xavfli o'smaga shubha yoki shubha yo'qligi), simptomlarning mavjudligi yoki yo'qligi, shuningdek kistalar hajmini hisobga olgan holda jarrohlik yoki konservativ-kuzatuv usullarda davolash mumkin.. Jarrohlik davolash paytida, iloji bo'lsa, tuxumdonlarni saqlash usulidan foydalanish lozim, chunki tuxumdon to'qimalarining saqlanishi qizbolaning fertilligi va keyingi to'liq jinsiy rivojlanishi uchun muhimdir. Chaqaloqlarda tuxumdon kistalarini davolash bo’yicha dunyoda yagona yondashuvning yo'qligi keyingi tadqiqotlarni talab qiladi.
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