varikoz kasalligi

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slayd 1 varikoz kasalligi venoz trombozlar posttromboflebitik sindrom tdsi xirurgiya va xdj kafedrasi dotsent pulatov m.m. * varicose dilatation (varicose disease) – irregular dilatation of vein’s lumen and its pathological deformation, accompanied by regional and systemic lesions of blood flow. varikoznoe rasshirenie – neravnomernoe uvelichenie prosveta veni i ee patologicheskaya izvitost, soprovojdayushiesya regionarnimi i sistemnim narusheniem venoznogo ottoka * urgency in the world diseases of veins – about 35-55% of adult population. this category of patients makes more than 10% arriving in surgical hospitals. more often representatives of professions connected with long stay standing suffer. usually get sick tall and having the increased body weight. seldom suffer representatives of mongoloid and negroid race. epidemiology: arterial bosimni tasiri rn-15 ro-25 rn-30 ro-25 ro-10 rn-8 a b rn-28 ro-25 rn-30 ro-25 arteriya pulsatsiyasini tasiri yurganda oeq kaft yuzasini bosilishi venoz-mushak pompa diafragmaning nasos funktsiyasi etiologiya va patogenez omillar yosh – qarilik (10-12 …

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v – trofik uzgarishlar v – trofik uzgarishlar + yopiq yara vi – trofik uzgarishlar + ochiq yara etiologiya birlamchi ikkilamchi anatomichesk segment yuzaki venalar chuqur venalar patofiziologiya reflyuks okklyuziya reflyuks va okklyuziya v 1994 godu gruppa amerikanskogo venoznogo foruma sozdala klassifikatsiyu sear * kurik * davolash xirurgik endovaskulyar flebosklerozlovchi tarix otto wilhelm madelung (1846-1926) madelung operatsiyasi (1884) tarix 1888 y. – troyanov 1890 y. – trendelenburg aleksey alekseevich troyanov (1848-1916) friedrich trendelenburg (1844-1924) tarix 1906 g. – narat william wayne babcock (1872-1963) albert narat (1864-1924) 1907 g. – bebkokk tarix 1938 y. – robert linton 1955 y. – d.felder 1985 y. – g.hauer tarix 1975 g. – robert kistner valvuloplastika 1982 g. – s.a.taheri - venoz klapanni kuchirib utkazish bebkokk operatsiyasi bebkokk-narat linton operatsiyasi kokket operatsiyasi stripping skleroterapiya endovaskulyar usullar endovazal lazer koagulyatsiya manipulyatsiya etaplari asoratlar qonash varikotromboflebit trofik yara * venoz tromboz * asorat kon ketish varikotromboflebit trofik …

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omli uate 300 000 tasi uladi sabab – venoz trombozlar son-yonbosh segmentdagi tromblar eng xaflidir wh geerts, gf pineo and ja heit et al., prevention of venous thromboembolism: the tenth accp conference on antithrombotic and thrombolytic therapy, xhest 126 ( 3 suppl) (2014), pp 338s-400s contrasted angiography of the pulmonary artery fogarty’s catheter thrombectomy from the femoral vein with the fogarty’s catheter two of the probable reasons of the intraoperative tepa at the thrombectomy from the inferior cava vein at the femoral access bandaging of the femoral vein thrombectomy from the iliac vein indications to the plication plication of the inferior cava vein plication modern cava-filters kava-filtr turlari «korona» «zontik» izvlekaemiy kava-filtr installation of the cava-filter into the cava vein from the subclavian access stages of the implantation of the cava-filter cavagraphy after the implantation of the cava-filter kuk flegmaziya (yoki greguar kasaligi) venoz gangrena ( gershey-snayderagan grenasi) venoz gangrena …

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zvivayutsya u 90% (pri otsutstvii adekvatnogo lecheniya) chastota aktivnix i zarubtsevavshixsya yazv – 0,3-1% 65 esh - 3 barobar kup, 3-6% bianchi c., ballard j.l., abou$zamzam a.m., teruya t.n. subfascial endoscopic perforator vein surgery combined with saphenous vein ablation: results and critical analysis // j. vass. surg.— 2010.— vol. 38, n 1.— p. 67—71. * otsutstvie tselenapravlennogo lecheniya pri xvn v 90 % sluchayax privodit k razvitiyu troficheskix yazv, kotorie soprovojdayutsya bolyami, otekami, snijeniem opornoy funktsii konechnosti, kosmeticheskimi neudobstvami i v itoge yavlyayutsya prichinoy visokogo urovnya invalidizatsii patsientov. chastota patsientov u kotorix yazvi ne zajivayut ili chasto retsidiviruyut sostavlyaet do 1%. v vozraste starshe 65 let chastota venoznix troficheskix narusheniy vozrastaet v 3 raza i bolee, dostigaya 3-6% obshego chisla lyudey etoy vozrastnoy gruppi. sleduet otmetit, chto venoznie troficheskie yazvi v znachitelnoy stepeni snijayut vse aspekti kachestva jizni patsientov i ne tolko stanovyatsya prichinoy fizicheskix stradaniy, no i sozdayut sereznie …

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imeyut xvn v stadii troficheskix izmeneniy. mi priblizitelno podschitali zatrati u svoix bolnix i viyasnili chto kajdiy patsient sam tratit primerno v god 2,5-3 milliona sumov dlya lecheniya svoego zabolevaniya. xvn vizivaet ne tolko ekonomicheskie problemi ona vizivaet bolshie sotsialnie problemi to est primerno 300000 lyudey yavlyayutsya invalidami, teryaetsya kachestvo jizni etix bolnix * 1. vertikal reflyuksni bartaraf etish operatsiyasi 2. gorizontal venoz reflyuksni bartaraf etish operatsiyalari 3. chukur venalarda reflyuksni bartaraf etish operatsiyalari klapanlar intravazal korrektsiyasi: sun'iy klapanlar: klapanlar transplantatsiyasi 4. aynalma yullar xosil kilish operatsiyalari linton operatsiyasi mnogoletniy mejdunarodniy opit primeneniya operatsii lintona i ee modifikatsiy, s odnoy storoni, podtverdil visokuyu effektivnost etogo metoda, a s drugoy — viyavil ryad prisushix ey sereznix nedostatkov. tak, u 20—30 % operirovannix patsientov v blijayshem posleoperatsionnom periode razvivayutsya gnoyno-nekroticheskie oslojneniya, znachitelno udlinyayushie period mediko-sotsialnoy reabilitatsii. bolee chem v polovine sluchaev operatsionnaya travma podkojnix nervov privodit k stoykim narusheniyam chuvstvitelnosti. nemalovajno i …

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slayd 1 varikoz kasalligi venoz trombozlar posttromboflebitik sindrom tdsi xirurgiya va xdj kafedrasi dotsent pulatov m.m. * varicose dilatation (varicose disease) – irregular dilatation of vein’s lumen and its pathological deformation, accompanied by regional and systemic lesions of blood flow. varikoznoe rasshirenie – neravnomernoe uvelichenie prosveta veni i ee patologicheskaya izvitost, soprovojdayushiesya regionarnimi i sistemnim narusheniem venoznogo ottoka * urgency in the world diseases of veins – about 35-55% of adult population. this category of patients makes more than 10% arriving in surgical hospitals. more often representatives of professions connected with long stay standing suffer. usually get sick tall and having the increased body weight. seldom suffer representatives of ...

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