RESTENOZ KUZATILGAN BEMORLARNI OLIB BORISHDA MODERNIZATSIYALASHTIRILGAN ASPEKTLAR
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Abstract
So'nggi 50 yil ichida dunyoning ko'plab mamlakatlari iqtisodiy jihatdan tez o'sishi va rivojlanishi bilan ajralib turdilar; bu ularni quyidagi guruhlarga bo'lish uchun asos bo'lib xizmat qildi: rivojlangan va rivojlanayotgan. Bu haqiqat hayot sharoitlarida yaxshi tomonga sezilarli o'zgarishlarga olib keladi va hayot sifatini to'g'ridan-to'g'ri nomutanosib ravishda oshiradi. O'z navbatida, aterosklerotik o'zgarishlarning paydo bo'lishiga olib keladigan omillar quyidagi turlarni ifodalaydi: nosog'lom turmush tarziga rioya qilish, xususan, nosog'lom ovqatlanish; arterial gipertenziyaning yuqori darajasi; gipodinamik ish va umuman turmush tarzi, chekish va yomon odatlar deb belgilangan boshqa barcha xavf omillari. Bularga yurak-qon tomir tizimining (YQT) aterosklerozi kiradi, bu koronar arteriya kasalligi (KAK) dan oldinroq bo'lgan. Aynan mana shu nozologiya dunyo mamlakatlarining o'lim va nogironlik darajasi yetakchisi vazifasini bajaradi [1,3,5]. Teri orqali koronar aralashuv (TOKA) saprning turli shakllarining terapevtik maqsadlari uchun eng keng tarqalgan, xususan, kardiovaskular sistemani (KVS)ni stentlash usuli sifatida, restenozlar sonining progressiv o'sishiga olib keladi, bu usul hozirgi vaqtda interventsion kardiologiyaning eng dolzarb muammosi hisoblanadi [2,4,7]. Pcidan keyin restenozning ishonchli aniqlangan chastotasi unchalik oson ish emas. Ko'pgina ishonchli manbalarda aytilishicha, koronar stentlar yaratilishidan oldingi davrda, balon angioplastikasi o'tkazilgandan so'ng, restenozning paydo bo'lish chastotasi 38-58% ga etadi.
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