UJCR; 2023, Vol. 3, Issue 3

Тема статьи

Markaziy nerv sistemasining perinatal zararlanishi bilan tug’ilgan bolalardagi ko’ruv analizatorining o’ziga xos klinik ko’rinishi (60-62)

Авторы

Djurabekova AT, Niyozov ShT, Ergashev SS, Mamurova MM

Учреждение

Samarqand Davlat Tibbiyot Universiteti

Аннотация

Markaziy nerv sistemasining perinatal zararlanishi bilan tug’ilgan 50 ga yaqin chaqaloqlarning natijlari bayon etilib, ularning yosh ko’rsatkichlari 10 kundan to 8 yoshgacha bo’lgan davr oralig’ida bo’lgan. Ushbu chaqaloqlarni tekshirish maqsadida oftalmologik, klinik-labarator va instrumentaldiagnostik usullardan foydalanilgan. Bundan tashqari tor mutaxasisslar ko’rigi ham amalga oshirilgan. Markaziy nerv sistemasining perinatal zaralanishi bilan aziyat chekadigan bolalarning ko’ruv analizatorlaridagi klinik o’zgarishlarning tahlili quyidagi ko’rsatgichlarni bayon etdi: glaukoma 14 ta (35%), katarakta 12ta (32%), ko’ruv nervi diski atrofiyasi 5 ta ( 8%), birlamchi g’ilaylik 2 ta (1%), ko’ruv nervi diski gipoplaziyasi 5 ta (4%), chaqaloqlardagi bosh miyaning onkologik kasalliklari (1%), to’rparda angiopatiyasi 3 ta (2%) holatlari ko’rsatildi. Bulardan tashqari 9 ta (18%) nistagm va ikkilamchi g’ilaylik holatlari ham kuzatildi. Neyrosonografiya tahlillari asosida shu narsa ma’lum bo’ldiki, gipokso-ishemik ensefalopatiya va ventrikulo-dilyatatsiya holatlari glaukoma (10 ta 72%) va katarakta (3 ta 21%) bilan tug’ilgan bchaqaloqlarda qon tomirlar stenozi bilan namoyon bo’lgan. Elektroensefalografiya tekshirish usullari olib borilganda po’stloq osti tuzilmalarning epiaktivlik holatlari 6 ta (12%) chaqaloqlarda kuzatilgan bo’lib, ularning barchasida tug’ruq travmalari natijasida ko’z tubi jarohatlari va buning oqibatida g’ilayliklar kuzatilgani aniqlandi. Yuqorida bayon etilgan oftalmopatiya holatlariga olib keladigan perinatal xavf omillari quyidagilarni tashkil etadi: temir tanqisligi bilan bog’liq bo’lgan anemiya 23 ta (46%), homiladorlikdagi erta toksikoz holatlari 17 ta (34%) va o’tkir respirator infeksiyalar 13 ta (26%).

Ключевые слова

Markaziy nerv sistemasining perinatal zararlanishi, chaqaloqlardagi bosh miyaning onkologik kasalliklari, neyrosonografiya, elektroensefalografiya, oftalmopatiya, perinatal xavf omillar.

Литературы

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