varikoz kasalligi, venoz trombozlar, posttromboflebitik sindrom

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slayd 1 hoxishsiz talaba, qanotsiz qush, uni qancha o'rgatma ucha olmaydi, (sa'diy sheroziy) yoki : - kuchuk bilan xo'tikni qilsang tarbiya, it bo'lur, eshshak bo'lur, aslo bo'lmas odamiy ustozlar o'giti........ varikoz kasalligi venoz trombozlar posttromboflebitik sindrom toshkent davlat stomatologiya instituti xirurgiya va xdj kafedrasi t.f.d., dotsent po'latov mirxokim mirsovirovich * urgency dunyo axolisini – 35-55% shu kasallik bilan og'riydi. xirurgik shifoxonada yotgan kasallarni 10% tashkil qiladi. davodan keyin xam uzoq vaqt ishga layoqatsiz bo'lib qoladi. bemorni turmush tarzini yomonlashtiradi. mongoloid, negroid va sog'lom turmush tarziga amal qilmagan(aqillilarda) ko'proq uchraydi, va natijada qizlarni va yigitlarni chiroyli oyoqlari mana bunday bo'lib qoladi: epidemiology: dunyoda 35-55% odamlarda venalarni varikoz kengayishi kuzatiladi; ular xirurgik klinikalarda yotgan bemorlarni 10 % ni tashkil qiladi; * varicose dilatation (varicose disease) – irregular dilatation of vein’s lumen and its pathological deformation, accompanied by regional and systemic lesions of blood flow. varikoz kasalligi bu – venalarni notekis kengayishi va …

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eleangioektaziya, retikulyar varikoz i utib ketuvchi shishish, varikoz transformatsiya ii turg'un shishish, giperpigmentatsiya, lipodermoskleroz, ekzema iii indurativ tsellyulit, trofik yara, ikkilamchi limfedema sear klassifikatsiyasi (slinical etiological anatomical pathophysiological,1994) klinik kurinishi 0 – kasalik belgilari kurinmaydi i – teleangioektaziyalar, retikulyar varikoz ii – varikoz venalar iii – shishish iv – 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. – …

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i s dovolno tyajelim techeniem i visokim riskom tyajeloy tela * kontrast flebografiya * kt - flebografiya mrt - flebografiya to'satdan o'lim (1/3 xolatda) - o'ate 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 aksh 570 000-650 000 simptomli o'ate 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 …

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zvivaetsya v venoznoy sisteme konechnosti v otdalennom periode posle tromboza glubokix ven i proyavlyaetsya simptomami, xarakternimi dlya xronicheskoy venoznoy nedostatochnosti * yomonlashadi xayot mazmuni posttromboflebotic disease * posttromboflebitik sindrom troficheskie yazvi razvivayutsya 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 …

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llarov v god, a v ssha – bolee 1 milliarda dollarov ejegodno. * uzbekiston 0,3-1,0% - 100 000 - 300 000 inson 4-5 mln. sum 300 000 - invalid chislennost naseleniya respubliki uzbekistan an segodnyashniy den sostavlyaet primerno 30 millionov. 0,3-1% iz 30mil eto- 100000-300000 lyudey 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 …

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slayd 1 hoxishsiz talaba, qanotsiz qush, uni qancha o'rgatma ucha olmaydi, (sa'diy sheroziy) yoki : - kuchuk bilan xo'tikni qilsang tarbiya, it bo'lur, eshshak bo'lur, aslo bo'lmas odamiy ustozlar o'giti........ varikoz kasalligi venoz trombozlar posttromboflebitik sindrom toshkent davlat stomatologiya instituti xirurgiya va xdj kafedrasi t.f.d., dotsent po'latov mirxokim mirsovirovich * urgency dunyo axolisini – 35-55% shu kasallik bilan og'riydi. xirurgik shifoxonada yotgan kasallarni 10% tashkil qiladi. davodan keyin xam uzoq vaqt ishga layoqatsiz bo'lib qoladi. bemorni turmush tarzini yomonlashtiradi. mongoloid, negroid va sog'lom turmush tarziga amal qilmagan(aqillilarda) ko'proq uchraydi, va natijada qizlarni va yigitlarni chiroyli oyoqlari mana bunday bo'lib qoladi: epidemiology: du...

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