Биология ва тиббиёт муаммолари 2024 №2 (152)

Maqola mavzusi

FEATURES OF ETIOLOGIS, PATHOGENESIS AND TACTICS OF COMPLEX TREATMENT OF HEMORRHOIDS IN CHILDREN (209-212)

Mualliflar

Khamraev Abdurashid Jurakulovich, Faizullaev Fazliddin Sayfullaevich

Muassasa

1 - Tashkent Pediatric Medical Institute, Republic of Uzbekistan, Tashkent; 2 - Samarkand State Medical University, Republic of Uzbekistan, Samarkand

Annotatsiya

This paper presents clinical materials from the examination and treatment of 90 children with hemorrhoids over the past 11 years. The authors compare the features of the etiopathogenesis of hemorrhoids in children from the literature and their own research data. The proposed non-invasive compression methods in the complex treatment of hemorrhoids in childhood are more effective among children of early and preschool age. A study of long-term results of complex conservative treatment in 44 patients with hemorrhoids, good results were noted in 38(86.5%), satisfactory - in 4(9%) and unsatisfactory (relapses) - in 2(4.5%) of patients. Surgical treatment of hemorrhoids in children was used only when a course of conservative treatment was unsuccessful in 11 (12.2%) patients with good long-term results in all cases. Indications for hemorrhoidectomy were: frequent prolapse of hemorrhoids (HU). After surgical treatment, good results were obtained in all cases; no relapses were observed. Thanks to the optimization of conservative and surgical treatment taking into account the age characteristics of children, good results were achieved.

Kalit so'zlar

hemorrhoids in children, conservative treatment, surgical treatment.

Adabiyotlar

1. Гарбузов, Р. В. Заболевания вен таза у детей. Клинические проявления, диагностика, лечение : автореф. дис. … д-ра мед. наук : 14.01.19. Гарбузов H.D. – М., 2013. 2. Степанова Н. М., и др. / Геморрой у детей // Российский вестник детской хирургии, анесте-зиологии и реаниматологии. 2020. № S (10). C. 164–164. 3. Сви А.П. /Геморрой и сосудистые мальформации прямой кишки у детей, алгоритм диагностики и лечения// Дис. на соис. уч. степ. к.м.н.,Москва. 2019.С-120. 4. Джавадов Э. А., Халилова Л.Ф./Геморроидальная болезнь, сопровождаю-щаяся анальным пролапсом, и методы ее лечения: научное издание //Хирургия. Журнал имени Н.И. Пирогова.М.2014.№ 3. C. 43–48. 5. Ливзан М.А. и др. Геморрой: причины, сим-птомы, диагностика и подходы к терапии. // Лечащий врач. – М., 2014. – № 6. – C. 84–86. 6. Макаров И.В./Частная проктология. Геморрой // Учеб. пособие / И.В. Макаров, О.Ю. Долгих. – М.: Форум, 2015. С– 96-180. 7. Ривкин В.Л. Амбулаторное лечение геморроя // Стационарозамещающие технологии: Амбулаторная хирургия.М. 2014.Том 55–56, № 3–4. – C. 35–37. 8.Ривкин В.Л., Капуллер Л.Л. Геморрой. М.: Медицинская практика, 2003. №3, C. 65–73. 9. Зольников З.И, Зольникова Т. В./ Клиника, диагностика и лечение геморроя у де-тей.//Актуальные проблемы современной клинической хирургии.М.2015. С- 163-165. 10. Цуканов Ю.Т. и др. Поражение тазовых органов при вторичном варикозном расширении вен малого таза : научное издание // Ангиология и сосудистая хирургия. - М., 2015. - Том 21 N2. - C. 94-100. 11. Хамраев А. Ж., и др.. Геморрой у детей // Таврический медико-биологический вестник. 2020. № 3 (23). C. 73–77. 12. Хамраев А. Ж., и др./ Тактика лечения геморроя в детском возрасте// Журнал «Новый день в медицине» - Ташкент, 2023.10/60 № 2. С-171-176. 13. Aggarwal B, Gupta S. /Effectiveness of Retro-grade Endoscopic Sclero Therapy (REST) for first and second degree internal hemorrhoids in children. /Indian J Res Rep Med Sci. 2013;3(4):18-20.12. 14. Turan Yildiz et al. / External hemorrhoidal dis-ease in child and teenage: Clinical presentations and risk factors./ Pak J Med Sci May - June 2019 Vol. 35 No. 3 www.pjms.org.pk. 15. Gupta PJ. /Grade III bleeding haemorrhoids in a 6-year-old boy.// Surgical Practice 2005; 9: 50-52. 16.Gupta P J. Advanced grades of bleeding hemorrhoids in a young boy . Eur Rev Med Pharmacolol Sci. 2007; 11: 129-132. 17. Grossmann O, Soccorso G, Murthi G. /LigaSure Hemorrhoidectomy for Symptomatic Hemorrhoids:First Pediatric Experience. /Eur J Pediatr Surg. 2015;25(4):377-380. doi: 10.1055/s-0034-1382258. 18.Nijhawan S, Udawat H, Gupta G , Sharma A et al. Flexble Video Endoscopic injection Sclerotherapy for second and third degree internal Hemorrhoids. Journal of Digestive Endoscopy. 2011; 2(1):1-5. 19. Staford SJ, Klein MD.et al. / Hemorrhoids. //Textbook of Pediatrics, Elsevier , New Delhi, India, 2012, 19e; 1360-61. 20. Watanabe, T., Ohno, M., Tahara, K., et al. / Efficacy and safety of sclerotherapy with polidocanol in children with internal hemorrhoids. //Pediatrics International, 2021, 63(7), 813–817. 21. Khamraev A.J., Jorayev S. Sh. /Features of the clinical course and complex treatment of hemorrhoids in children//Neonatology, surgery and perinatal medicine medical scientific journal/ Kiev. 2022. №1. С -55-64. 22.https://studfile. net/preview/3270325/page:6/ 23. https://doi.org/10.1111/ped.14506.