Biomeditsina va amaliyot jurnali, 2022 №1
Subject of the article
A MODERN APPROACH TO VERTICALIZATION IN EARLY REHABILITATION OF ISCHEMIC STROKE AND DIABETES PATIENTS (124-132)
Authors
PULATOV Sadriddin Sayfullaevich
Institution
Bukhara State Medical Institute
Abstract
Purpose of the study: to evaluate the safety and efficacy of early rehabilitation in the acute period of the disease using clinical and instrumental methods in patients with ischemic stroke and type 2 diabetes mellitus. Materials and Methods: Our clinical study involved 32 patients who were treated with the diagnosis of "acute impairment of cerebral circulation ischemic type against the background of type 2 diabetes mellitus" at the branch of the Republican Scientific Medical Center Bukhara from January to December 2021, and 40 patients who were treated with the diagnosis of "acute impairment of cerebral circulation ischemic type". Results: In patients with ischemic stroke, who on the background of diabetes mellitus maintained 15-30° in the first days of passive verticalization, 93.8% of patients were in the control group, 55% were in the control group, and after 5-7 days of the study was achieved 90° in the upright position, observed 65.6% in the formation. Conclusions:Thus, ischemic stroke is relatively slow in the process of vertigo in patients with diabetes mellitus on the background, as well as the long-term course of orthostatic insufficiency, manifestations of various degrees of diabetic polyneuropathy and diabetic nephropathy are relatively low recovery of neurological defects on the vertigo scale and NIHSS, longer processes of early rehabilitation and reducing their effectiveness.
Key words
stroke, diabetes mellitus, rehabilitation, verticalization.
Literature
1. Хожиева Д.Т., Пулатов С.С., Хайдарова Д.К. 2015. Все о геморрагическом инсульте у лиц пожилого и старческого возраста. Наука молодых. 87-96. 2. М.М. Танашян, К.В. Антонова, О.В. Лагода, М.Ю. Максимова, М.В. Глебов, А.А. Шабалина, “Қандли диабет 2 тип фонида бош мияда қон айланишининг ўткир бузилишлари” «Неврология илмий маркази» РАМН (Москва)Клиник неврология, Сони 8. № 3 2014, 4-8 бетлар. 3. Шмонин А.А. Современные подходы к реабилитации пациентов с инсультом, 12-е занятие, Санкт-Петербург 2014-2015. 4. Б.Н. Маньковский, Инсульт у больных сахарным диабетом, г. Киев, Журнал Практическая ангиология: 2-1' 2010 5. Khaidarov Nodir Kadyrovich, Shomurodov Kahramon Erkinovich, & Kamalova Malika Ilhomovna. (2021). Microscopic Examination Of Postcapillary Cerebral Venues In Hemorrhagic Stroke. The American Journal of Medical Sciences and Pharmaceutical Research, 3(08), 69–73. 6. Khodjieva D.T., Khaydarova D.K. Diagnosis and treatment of posttraumatic epilepsy. Journal of Research in Health Science 1 (2) issue 2018. 7. Khodjieva D.T., Khaydarova D.K. Clinical features of vertical sight disorders in patients with parkinson’s disease. Journal of Research in Health Science 1 (2) issue 2018 8. Kamalova M. I., Khaidarov N. K., Islamov Sh.E. Clinical and demographic quality of life for patients with ischemic stroke in Uzbekistan academician: An International Multidisciplinary Research Journal. 9. 9.Kamalova M. I., Islamov Sh. E., Khaydarov N.K.// morphological changes in brain vessels in ischemic stroke. Journal of Biomedicine and Practice 2020, vol. 6, issue 5, pp.280-284 10. Khaidarov Nodir Kadyrovich, Shomurodov Kahramon Erkinovich, & Kamalova Malika Ilhomovna. (2021). Microscopic Examination Of Postcapillary Cerebral Venues In Hemorrhagic Stroke. The American Journal of Medical Sciences and Pharmaceutical Research, 3(08), 69–73. 11. Jauch E.C., Saver J.L., Adams H.P., Bruno A., Connors J.J., Demaerschalk B.M., Khatri P., McMullan P.W. Jr., Qureshi A.I., Rosenfield K. Scott P.A., Summers D.R., Wang D.Z., Wintermark M., Yonas H. 2013. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 44(3):870-947. doi: 10.1161/STR.0b013e318284056a. 12. Alvarez-Sabin J, Quitana M, Santamarina E, Maisterra O. 2014. Triflusal and aspirin in secondary prevention of atherothrombotic ischemic stroke: a very long-term-follow-up. Cerebrovascular Diseases. 37: 155-234.