burun atrofisi davolash protokoli

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6- stansiya burun kasalliklari buyicha vaziyatli masalalar. murakkablashtirilgan masala №1 bemor 34 yoshda, chap tomonda burnidan yiringli ajralma oqishiga, burni orqali nafas olish qiyinlashganligiga, subfebril haroratga shikoyat qiladi. keyingi 10 yil davomida tumov tez-tez bezovta qilayotganini va uzoq vaqt davom etishini ta’kidlaydi. bundan 3 yil ilgari kasallik avj olgan paytda birinchi marta “burun atrofi bo‘shliqlarining yallig‘lanishi” tashxisi qo‘yilgan va ambulator davolangan. rinoskopiyada (endoskopiya): burun bo‘shlig‘ining shilliq qavati qizargan, infiltrlangan, chap tomonda o‘rta burun yo‘lida yiringli ajralma ko‘rinadi. chap tomonda yuqori jag‘ bo‘shlig‘i sohasi bosilganda og‘riydi. chap tomonda burun orqali nafas olish qiyinlashgan. faringoskopiyada halqumning orqa devori bo`ylab yiringli ajralma oqayotganligi ko‘zga tashlanadi. rengenogrammada, ktda: chap tomonda yuqori jag‘ bo‘shlig‘i havoliligi xiralashgan. sizning tashxisingiz. aniq tashxis qo‘yish uchun yana nimalar qilish kerak? bemorni qanday davolaysiz? i.dastlabki tashxis: ______________________________________________________________________________________ ii.asosiy tekshirish usullari 1.tashqi ko‘ruv ________________________________________________________________________________________________ 2.rinoskopiya ________________________________________________________________________________________________ 3.mezofaringoskopiya _______________________________________________________________________________________ 4. rengenogramma, kt____________________________________________________________________________ 5. chap yuqori jag‘ bo‘shlig‘ini teshib ko‘rish______________________________________________________________ iii.qo‘shimcha tekshirish usullari …

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iqlarining rentgenografiyasi, diafonoskopiya, kt _____________________________________ _____________________________________________________________________________________________ 3. bakteriologik tekshiruv ____________________________________________________________________ 4. __________________________________________________________________________________________ 5. __________________________________________________________________________________________ iv. tashxisni asoslash _______________________________________________________________________ v. qiyosiy tashxisot_________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ vi.davolash a) umumiy 1. _____________________________________________________________________________________________________________ 2. _____________________________________________________________________________________________________________ 3._____________________________________________________________________________________________________________ 4. _____________________________________________________________________________________________________________ b) mahalliy 1. _____________________________________________________________________________________________________________ 2. _____________________________________________________________________________________________________________ 3.__________________________________________________________________________________________________ 6- stansiya murakkablashtirilgan masala №2 bemor shikoyatlari o‘tkir tumovdan so‘ng bemorda chap tomonda tashqi burnining terisida shish, qizarish, og‘riq va bosh og‘rishi paydo bo‘lgan. og‘riq tishlarga, chakka sohasiga va chap ko‘ziga

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tarqaladi, tana harorati 38 0 c gacha ko‘tarildi. obyektiv tekshiruvda: chap tomonda burun qanoti sohasi markazida yiring to‘plami bo‘lgan och qizil chegaralangan shish ko‘rinadi. sizning tashxisingiz. bemorni qanday davolaysiz? i.dastlabki tashxis: _____________________________________________________________________________________ ii.asosiy tekshirish usullari 1.tashqi ko‘ruv ________________________________________________________________________________________________ 2.rinoskopiya _________________________________________________________________________________________________ iii.qo‘shimcha tekshirish usullari 1.laborator tekshiruvlar: ___________________________________________________________________________________ 2.mutaxassis maslahati_______________________________________________________________________________________ iv.tashxisni asoslash ______________________________________________________________________________ v. qiyosiy tashxisot________________________________________________________________________________ ___________________________________________________________________________________________________ vi.davolash a) umumiy 1. ____________________________________________________________________________________________________________ 2. ____________________________________________________________________________________________________________ 3. _____________________________________________________________________________________________________________ 4. _____________________________________________________________________________________________________________ b) mahalliy 1. _____________________________________________________________________________________________________________ 2. _____________________________________________________________________________________________________________ 6- stansiya murakkablashtirilgan masala №3 bemor burni orqali nafas olishi qiyinlashganligiga, burun sohasi og‘rishiga, tana haroratining 37,

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50 c gacha ko‘tarilishiga shikoyat qiladi. yuqorida sanab o‘tilgan belgilar uch kun ilgari burniga olgan zarbidan so‘ng paydo bo‘lgan, burnidan qon ketgan. obyektiv tekshiruvda: burun to‘sig‘i yumshoq to‘qimalarining infiltratsiyasi tufayli burun yo‘llari toraygan. infiltrat markazi yumshoq, zond yordamida tekshirilganda flyuktuatsiya aniqlanadi. burun orqali nafas olish qiyinlashgan. sizning tashxisingiz. bemorni qanday davolaysiz? 1.dastlabki tashxis: _______________________________________________________________________________________ ii.asosiy tekshirish usullari 1.tashqi ko‘ruv ________________________________________________________________________________________________ 2.rinoskopiya _________________________________________________________________________________________________ iii.qo‘shimcha tekshirish usullari 1.laborator tekshiruvlar: ___________________________________________________________________________________ 2.burun yondosh bo‘shliqlarining rentgenografiyasi __________________________________________________________ iv.tashxisni asoslash ______________________________________________________________________________ v. qiyosiy tashxisot_______________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ vi.davolash a) umumiy 1. ____________________________________________________________________________________________________________ 2. _____________________________________________________________________________________________________________ 3. _____________________________________________________________________________________________________________ 4. _____________________________________________________________________________________________________________ b) mahalliy 1. _______________________________________________________

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______________________________________________________ 2. _____________________________________________________________________________________________________________ 6- stansiya murakkablashtirilgan masala №4 bemor 26 yoshda, o‘ng peshona sohasiga tarqalgan bosh og‘rigiga, boshida og‘irlik his etishiga, tumov, burun orqali nafas olishi qiyinlashganligiga, tana harorati 38 0 c gacha ko‘tarilishiga, umumiy holsizlik shikoyatlari bilan murojaat qildi. yuqoridagi belgilar yuqori nafas yo‘llari shamollagandan bir hafta o‘tgach paydo bo‘lgan. obyektiv tekshiruvda: teri qoplamlari biroz nam. burun bo‘shlig‘ining shilliq pardasi qizargan, infiltrlangan. o‘ng tomonda yuqori jag‘ bo‘shlig‘i, peshona bo‘shlig‘i, g‘alvirsimon bo‘shliqlar sohasi paypaslanganda bemor og‘riq sezadi. ichki a’zolar o‘zgarishsiz. rentgenogrammada o‘ng tomonda peshona bo‘shlig‘i devoroldi pardasi hamda g‘alvirsimon va yuqori jag‘ bo‘shliqlarining sohasi keskin xiralashganligi ko‘rinadi. sizning tashxisingiz. bemorni qanday davolaysiz? i.dastlabki tashxis_________________________________________________________________________ ii.asosiy tekshirish usullari 1. uch shoxli asab tolasi chiqish nuqtalarini paypaslash _____________________________________________ 2. rinoskopiya _________________________________________________________________________________ 3. mezofaringoskopiya________________________________________________________________________ 4. burun yondosh bo‘shliqlarining rentgenografiyasi____________________________________________ 5. o‘ng yuqori jag‘ bo‘shlig‘ini teshib ko‘rish va peshona bo‘shlig‘ini burun bo‘shlig‘i ichidan tabiiy teshigi orqali drenajlash______________________________________________________________________ iii.qo‘shimcha tekshirish usullari 1. laborator tekshiruvlar_________________________________________________________ 2. …

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6- stansiya burun kasalliklari buyicha vaziyatli masalalar. murakkablashtirilgan masala №1 bemor 34 yoshda, chap tomonda burnidan yiringli ajralma oqishiga, burni orqali nafas olish qiyinlashganligiga, subfebril haroratga shikoyat qiladi. keyingi 10 yil davomida tumov tez-tez bezovta qilayotganini va uzoq vaqt davom etishini ta’kidlaydi. bundan 3 yil ilgari kasallik avj olgan paytda birinchi marta “burun atrofi bo‘shliqlarining yallig‘lanishi” tashxisi qo‘yilgan va ambulator davolangan. rinoskopiyada (endoskopiya): burun bo‘shlig‘ining shilliq qavati qizargan, infiltrlangan, chap tomonda o‘rta burun yo‘lida yiringli ajralma ko‘rinadi. chap tomonda yuqori jag‘ bo‘shlig‘i sohasi bosilganda og‘riydi. chap tomonda burun orqali nafas olish qiyinlashgan. faringoskopiyada halqumning orqa devori b...

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