SEPSIS TUFAYLI KELIB CHIQQAN AKUSHERLIKDA KRITIK HOLATLARNI SKRINING VA ERTA ANIQLASHNING ZAMONAVIY IMKONIYATLARI
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ona sepsisi, kritik holatlar, skrining o'lchovlari##article.abstract##
Sepsis bilan bog'liq bo'lgan akusherlikdagi favqulodda va kritik holatlarni bashorat qilish va erta tashxislash masalalari hozirda munozarali. So'nggi paytlarda akusherlik bemorlari holatining og'irligini aniqlash uchun turli xil skrining tizimlari ishlab chiqilgan va klinik amaliyotda joriy etilgan bo'lib, ular organlarning disfunktsiyasini rivojlanish xavfi yuqori bo'lgan guruhlarni aniqlash, salbiy natijalarni bashorat qilish, ko'rsatiladigan joy va tibbiy yordam miqdori to'g'risida qaror qabul qilish uchun mo'ljallangan. Biroq, ularning hech biri afzalliklari va kamchiliklari mavjudligi sababli amalda qo'llash uchun yagona va yagona sifatida qabul qilinishi mumkin emas. Ona sepsisini erta tashxislash uchun tavsiya etilgan baholash tizimlari allaqachon an'anaviy ravishda qSOFA, SIRS, SOS tarozilaridir. Tadqiqotning maqsadi akusherlik amaliyotida septik sharoitlarda salbiy natijalarni erta tashxislash va bashorat qilishda sofa, SIRS, SOS tarozilarining maqbulligi va ma'lumotliligini baholash edi. Tarozilarning har biri klinik akusherlik amaliyotida qo'llanilishi mumkin. Shu bilan birga, ulardan birortasi uchun bemorning ahvolini izolyatsiya qilingan baholash tavsiya etilmaydi, skrining tarozilarining har biri uchun har tomonlama birlashtirilgan baholash zarur. Bizning ma'lumotlarimizga ko'ra, SOS shkalasi tanqidiy holatlarni bashorat qilish va sepsis skriningida ko'proq ma'lumotga ega edi. qSOFA va SIRS tarozilari resurslari cheklangan va tezkor laboratoriya diagnostikasi mavjud bo'lmagan muassasalar uchun qulaydir, bu ularning har qanday darajadagi tug'ruq muassasalarida keng qo'llanilishini mutlaqo istisno etmaydi.
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