EXINOKOKK KASALLIGINI KONSERVATIV DAVOLASH
Maqolaning asosiy mazmuni
Abstrak
Exinokokk kasalligini konservativ davolash natijalarini yaxshilash. Material va usullar. Kasallik retsidivlarining oldini olish va ularni kamaytirish maqsadida exinokokkoz bo'yicha operatsiya qilingan 81 bemorga (26 nafari o'pka exinokokkozi, 45 nafari jigar exinokokkozi va 8 nafari o'pka hamda jigarning qo'shma exinokokkozi bilan og'rigan bemorlarga 3 kursdan terapiya o'tkazilgan) mebendazol bilan dori terapiyasi o'tkazildi. 197 bemorga (69 nafari o'pka exinokokkozi, 107 nafari jigar exinokokkozi va 21 nafari o'pka va jigarning qo'shma exinokokkozi bilan) albendazol sutkasiga 12 mg/kg dozada 30 kun davomida (3 kurs) berildi. Davolash maqsadida albendazol 38 bemorda qo'llanildi. Natijalar. Exinokokk kasalligi bilan og'rigan bemorlarga operatsiyadan keyingi davrda dori terapiyasi o'tkazildi. 79 bemor mebendazolni tana vazniga nisbatan 40 ml/kg miqdorida 30-35 kun davomida qabul qildi. 197 bemor albendazolni tana vazniga nisbatan 12 ml/kg hisobida 30 kun davomida qabul qildi. Mebendazol va albendazol preparatlarining antigelmint samaradorligi dinamik ultrasonografiya, MSKT va rentgenologik nazorat asosida baholandi. Dori terapiyasi natijalarini baholashda JSST ekspertlari taklif etgan parametrlardan (yaxshi va a'lo natijalar; qoniqarli natijalar; qoniqarsiz natijalar) foydalanildi. Jigar va o'pkaning gidatidoz exinokokkozini albendazol bilan davolash samaradorligi 58,37% dan 82,23% gacha bo'ldi, retsidivlar o'rtacha bemorlarning 17,77% ida qayd etildi. Xulosalar. Exinokokkoz bo'yicha an'anaviy va kam invaziv aralashuvlarda keyinchalik albendazol bilan profilaktik dori terapiyasi o'tkazish qat'iy zarur.
Maqola tafsilotlari
Nashr
Bo'lim

Ushbu asar Creative Commons Attribution 4.0 International litsenziyasi asosida litsenziyalangan.
Qanday iqtibos keltirish kerak
Adabiyotlar
Bildik N, Cevik A, Altintas M, Ekinci H, Canberk M, Gülmen M. Efficiency of preoperative use of albendazole by month for hydatid cyst of the liver. Дж. Клин Гастроэнтерол . 2007 г.; 41 (3): 312–316.
Halezeroglu S, Okur E. Surgical management for hydatid disease. Thorac Surg Clin 2012;22:375-85. 10.1016/j.thorsurg.2012.04.004
Keshmiri M, Baharvahdat H, Fattahi SH, et al. Albendazole versus placebo in treatment of echinococcosis. Trans R Soc Trop Med Hyg 2001;95:190-4. 10.1016/S0035-9203(01)90162-2
Larrieu E, Del Carpio M, Mercapide CH, Salvitti JC, Sustercic J, Moguilensky J, Panomarenko H, Uchiumi L, Herrero E, Talmon G, Volpe M, Araya D, Mujica G, Mancini S, Labanchi JL, Odriozola M. Programme for ultrasound diagnoses and treatment with albendazole of cystic echinococcosis in asymptomatic carriers: 10 years of follow-up of cases. Acta Trop. 2011;117:1–
Шевченко Ю.Л, Назыров Ф.Г. Хирургия эхинококкоза. М. : Династия, 2016. 244-255 с
Todorov T, Vutova K, Donev S, et al. The types and timing of the degenerative changes seen in the cysts during and after benzimidazole treatment of cystic echinococcosis. Ann Trop Med Parasitol 2005;99:649-59.10.1179/ 136485905X65125
Usluer O, Kaya SO, Samancilar O, et al. The effect of preoperative albendazole treatment on the cuticular membranes of pulmonary hydatid cysts: should it be administered preoperatively? Kardiochir Torakochirurgia Pol 2014;11:26-9. 10.5114/kitp.2014.