ERTA TUG‘RUQDAN KEYINGI DAVRDA AKUSHERLIK QON KETISHLARINI BOSQICHMA-BOSQICH OLIB BORISH: AMALIY ALGORITM VA ZAMONAVIY TAVSIYALAR
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: erta tug‘ruqdan keyingi qon ketish; massiv qon yo‘qotish; protokol; traneksam kislota; ballonli tamponada; B-Linch; koagulopatiya.##article.abstract##
Akusherlik qon ketishlari ona o‘limi va og‘ir ona kasallanishining oldini olish mumkin bo‘lgan yetakchi sabablaridan biri bo‘lib qolmoqda. Noqulay natijaga olib keluvchi asosiy omillar — qon yo‘qotilishining ortib borishini kech aniqlash, jamoaviy tezkor javobning kechikishi, uterotonik terapiyaning yetarli darajada bo‘lmasligi hamda gemostatik reanimatsiyani o‘z vaqtida boshlamaslikdir. Ushbu ishning maqsadi — erta tug‘ruqdan keyingi qon ketishni (ETQK) boshqarishning bosqichma-bosqich algoritmini, ayniqsa natija hal bo‘ladigan dastlabki 20 daqiqaga urg‘u bergan holda tizimlashtirish, shuningdek rezistent qon ketishda amaliy taktika sxemalarini taqdim etishdir, klinik tavsiyalar va konsensuslar bo‘yicha narrativ ko‘rib chiqish (RCOG Green-top 52, ACOG Practice Bulletin 183, traneksam kislotasi bo‘yicha JSST tavsiyalari va boshqalar) o‘tkazildi hamda shoshilinch akusherlik yordami bo‘yicha mahalliy protokollarning asosiy qoidalari umumlashtirildi.
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