Журнал кардиореспираторных исследований 2025. №1

Subject of the article

MIOKARD INFARKTINING CHANDIQLI DAVRIDA GEPATIT B ASOSIDA GEMORRAGIK VASKULIT RIVOJLANISHI: KLINIK KUZATUV (61-66)

Authors

Mamatkulova F.X., Amerova D.A., Fayziyev A.U.

Institution

Samarqand Davlat Tibbiyot universiteti ,Samarqand ko‘p tarmoqli tibbiyot markazi

Abstract

Har qanday shifokorning amaliyotida bemorda yuqori nafas yo‘llarining infeksiyasi, tonzillit yoki gripp bilan og‘riganidan keyin pastki soxalarda gemorragik toshmalar, shilliq qavatlarda qon ketishi, bo‘g‘imlarning shikastlanishi va qorin og‘rig‘i paydo bo‘lishi mumkin. Qorin og‘rig‘i, meteorizm, najasning buzilishi, ko‘ngil aynishi va qayt qilishning sababi, ba’zan qon bilan aralashib, ichak devoriga qon quyiladi. Bu belgilar gemorragik vaskulitlarga xosdir (GV). Keksa yoshdagi ushbu kasallikning jiddiy komorbid patologiyasi mavjudligi kasallik boshlanishida har doim ham dastlab to‘g‘ri tashxis qo‘yish imkonini bermaydi. Ta’riflangan klinik kuzatishda GV va virusli gepatit V ning kombinatsiyasi, shuningdek, kichik o‘choqli miokard infarktining chandiqlari davrida vaskulitning boshlanishi differensial tashxis qo‘yishda qiyinchiliklarga olib keladi. Isitma va aniq qorin sindromi yo‘q edi, ammo artralgiya, xarakterli toshma va pastki soxalarda yaqqol ifodalangan shishlar kuzatildi. Gepatit V ning klinik ko‘rinishlari surunkali yurak yetishmovchiligining dekompensatsiyasi belgilari uchun olingan. Shu munosabat bilan terapiya samarasiz bo‘lib, buyrak shikastlanishi glomerulonefrit turiga qarab rivojlandi. To‘g‘ri tashxis glyukokortikoidlar bilan patogenetik terapiyani boshlash va klinik ko‘rinishlarning ijobiy dinamikasini olish imkonini berdi.

Key words

gemorragik vaskulit, petexial toshmalar, bo‘g‘im sindromi, qorin og‘rig‘i, virusli gepatitV, miokard infarkti, surunkali yurak yetishmovchiligi, buyrak shikastlanishi, glyukokortikoidlar.

Literature

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