KATTALARDA KINDIK CHURRASI: EMBRIOLOGIYASI, ANATOMIYASI, PATOGENEZI VA JARROHLIK DAVOLASH USULLARI
Keywords:
Hernia umbilicalis, anulus umbilicalis, linea alba, hernioplastica, mesh implant, strangulatio, abdominal wall, intra-abdominal pressureAbstract
Kattalarda kindik churrasi old qorin devori churralari orasida muhim klinik ahamiyatga ega bo‘lgan patologik holat hisoblanadi. Ushbu kasallik qorin bo‘shlig‘i a’zolarining kindik halqasi orqali chiqib ketishi bilan tavsiflanadi va ko‘pincha qorin ichi bosimining ortishi hamda biriktiruvchi to‘qima zaifligi bilan bog‘liq holda rivojlanadi. Ushbu ilmiy ishda kindik churrasining embriologik rivojlanishi, anatomik tuzilishi, etiologiyasi, patogenezi, klinik belgilari, diagnostika usullari, differensial diagnostikasi, zamonaviy jarrohlik davolash usullari, operatsiyadan keyingi asoratlari, prognozi va profilaktikasi keng yoritilgan. Tadqiqot davomida klinik anatomiya va umumiy jarrohlik bo‘yicha zamonaviy ilmiy adabiyotlar tahlil qilindi va churraning rivojlanish mexanizmlari anatomik va klinik jihatdan asoslab berildi. Natijalar shuni ko‘rsatdiki, kindik churrasi rivojlanishida asosiy omillar qorin ichi bosimining surunkali ortishi, linea alba tolalarining cho‘zilishi va biriktiruvchi to‘qima kollagen tuzilishining buzilishi hisoblanadi. Jarrohlik davolash usullari ichida zamonaviy tension-free hernioplastika, ya’ni sintetik to‘r implant yordamida qorin devorini mustahkamlash usuli eng samarali va retsidiv darajasi eng past usul ekanligi aniqlandi. Ushbu ilmiy ish natijalari klinik amaliyotda kindik churrasini erta tashxislash, to‘g‘ri operatsiya usulini tanlash va operatsiyadan keyingi asoratlarning oldini olishda muhim ahamiyatga ega.
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