Kardiorespirator tadqiqotlar jurnali. Maxsus son. 2022


Maqola mavzusi

YURAK ISHEMIK KASALLIGI BO'LGAN BEMORLARDA BO`LMACHALAR FIBRILATSIYASI PATOGENEZINING ZAMONAVIY KO'RINISHLARI (142-147)

Mualliflar

Tajiyev T.I., Abdulloeva M.D., Tashkenbayeva E.N.

Muassasa

Samarqand Davlat Tibbiyot Universiteti

Annotatsiya

Bo`lmachalar fibrillatsiya (BF) va o'tkir miokard infarkti (O`MI) o'rtasidagi munosabatlar uzoq vaqt davomida o'rnatilgan. 1970 yilda M. Klass va, L.J. Xeyvud BF xurujlari 7,5% hollarda MIni murakkablashtirishini aniqladi. O'sha vaqtdan beri, ko'plab tadqiqotlarga ko'ra, miokard infarktida BF bilan kasallanish darajasi 7% dan 21% gacha[1]. Bo`lmachalar fibrillatsiyaning har qanday yangi tashxis qo'yilgan epizodi, simptomlarning davomiyligi va og`irlik darajasidan qat'iy nazar, yangi tashxis qo'yilgan bo`lmachalar fibrillatsiya deb hisoblanadi. Bo`lmachalar fibrillatsiyaning paroksizmal shakli - bu ritmning buzilishi odatda 7 kundan ortiq bo'lmagan (ko'pincha 24-48 soatgacha) o'z-o'zidan to'xtab qoladigan shakl. 1 yildan ortiq davom etadigan bo`lmachalar fibrillatsiyaning barqaror shakli bilan bo`lmachalar fibrillatsiyaning doimiy shaklining rivojlanishi haqida gap ketganda, unda kardioversiya ko'rsatilmaydi va samarali emas. BF xurujlarining boshlanishi shartlariga va uning oqibatlariga qarab, dori-darmonlarni davolashdan sinus ritmini tiklamasdan, favqulodda ko'rsatmalar uchun kardioversiyagacha bo'lgan davolanishga turli yondashuvlar imkoniyatini bilish juda muhimdir. BF hujumining sabablarini bilish asosan aritmiya paytida ham, xurujdan keyin ham bemorlarni davolash taktikasini aniqlashi mumkin.

Kalit so'zlar

miokard infarkti, bo`lmachalar fibrilatsiya, kardioversiya, o'tkir chap qorincha yetishmovchiligi, revaskulyarizatsiya

Adabiyotlar

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