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Abstract
Annotatsiya. Tizimli vaskulitlar fonida yuz-jag‘ sohasida yuzaga keladigan yiringli-nekrotik asoratlar og‘ir kechishi, to‘qimalarda ishemiya va destruksiya, uzoq davom etuvchi yallig‘lanish, immunosupressiv davolash bilan bog‘liq infeksion xavf hamda jarohat bitishining sekinlashuvi bilan tavsiflanadi. Shu sababli bunday bemorlarda jarrohlik amaliyotidan keyingi reabilitatsiya alohida klinik ahamiyatga ega. Zamonaviy manbalarga ko‘ra, ANCA bilan bog‘liq vaskulitlar kam uchraydigan, ammo hayot uchun xavfli kasalliklar bo‘lib, og‘iz bo‘shlig‘i va yuz-jag‘ sohasidagi o‘zgarishlar, ayniqsa granulomatoz poliangiitda, ayrim holatlarda kasallikning ilk belgilaridan biri bo‘lishi mumkin. Shuningdek, immunosupressiya fonida invaziv stomatologik va jag‘-yuz muolajalaridan keyin lokal infeksiya va kechikkan bitish xavfi ortadi.
Tadqiqotning maqsadi tizimli vaskulitlarda yuz-jag‘ sohasidagi yiringli-nekrotik asoratlar bo‘yicha jarrohlik amaliyoti o‘tkazilgan bemorlarda kompleks reabilitatsiya dasturining klinik samaradorligini baholashdan iborat bo‘ldi.
Tadqiqotga Toshkent davlat tibbiyot universiteti Ko‘p tarmoqli klinikasida davolangan 64 nafar bemor kiritildi. Bemorlar ikki guruhga ajratildi: 32 nafar bemorda standart operatsiyadan keyingi olib borish, 32 nafar bemorda esa optimallashtirilgan reabilitatsiya dasturi qo‘llandi. Optimallashtirilgan dastur tarkibiga revmatolog bilan birgalikda immunosupressiv terapiyani muvofiqlashtirish, mikrobiologik monitoring, mahalliy yara parvarishi, oziqlantiruvchi qo‘llab-quvvatlash, erta funksional mashqlar va masofaviy kuzatuv kiritildi.
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