SURUNKALI BUYRAK KASALLIGIGA CHALINGAN BOLALARDA BUYRAK FAOLIYATINI BAHOLASHNING ZAMONAVIY USULLARI
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anemiya, temir tanqisligi anemiyasi, surunkali buyrak kasalligi, glomerulyar filtratsiya##article.abstract##
Surunkali buyrak kasalligi (CBP) kasallikning oldindan aytib bo'lmaydigan kursi va o'z vaqtida tashxis qo'yish va davolash bo'lmaganda yuzaga keladigan asoratlar tufayli jiddiy sog'liqni saqlash muammosi hisoblanadi. Mavjud ma'lumotlarga ko'ra, 16 yoshgacha bo'lgan bolalarda CKDning terminal bosqichining o'rtacha kasallanish darajasi har yili 1 million bola populyatsiyasiga 1-3 holatni tashkil qiladi [1-4]. Bolalikda CKD bosqichlarini tashxislash va aniqlash mezonlari 2012 yilda KDIGO tomonidan moslashtirilgan [5]. Cbp tashxisi buyrak to'qimalarida qaytarilmas strukturaviy va morfologik o'zgarishlarning laboratoriya va instrumental belgilari mavjud bo'lganda, glomerulyar filtratsiya tezligi (GFR) 3 oy yoki undan ko'proq vaqt davomida 60 ml/min/1,73 m² dan pastga tushganda aniqlangan buyrak shikastlanishining klinik belgilariga asoslanadi. Bundan tashqari, biokimyoviy qon testlari (karbamid, kreatinin, karbamid azoti va boshqalar) va siydik sinovlari (leykotsituriya, eritrotsituriya, proteinuriya, albuminuriya va boshqalar)dagi o'zgarishlar.
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