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Mavzu №28. Ginekologiyada oʻtkir qorin bachadondan tashqari homiladorlik, tuxumdon apopleksiyasi, tuxumdon kistomasi oyoqchasining buralib qolishi. Tashxislash. Kritik xolatda

Bu tavsiyaga asosan qorindani og‘riq bulgan va xomiladorlikka shubxa qilgan ayollarda xomiladorlik testini (isbotlangan tibbiyet darajasi V1)va kichik chanok a’zolari UTTni (isbotlangan tibbiyet darajasi S1) utkazish lozim.
8. http://medline.com/doc/8680222.htm
O.Yu. Pankova, A.A. Yevseyev, V.G. Breusenko, Yu.A. Goova, S.V. Shtыrov
Rossiya davlat tibbet universiteti pediatriya fakulteti akusherlik va ginekologiya kafedrasi (kafedra mudiri - akademik RAMN, prof. G.M. Saveleva) 125ta ayolda tekshirish utkazilgan. So‘ngi vaktlarda UTT keng kullanilmokda, birok tuxumdon apopleksiyasini aniklashda kompleks tekshirish va anamnestik ma’lumotlar hamda laborator-asbobli tekshirish usullarni ham kullash lozim
9. Color and pulsed Dopler ultrasonografy imaging of tubal ectopic pregnancy: study of 100 cases Material vzyat iz cachranelibrary.com department de Gynecologie-Obstetrique, Centre Hospitalier Regional d”Orleans, BP 2439, 45032 Orleans
Materials and methods: a prospective stidy of one hundred patient with tubal ecopic pregnancies was carried out im the emergency ward by two operators from january 1993 to march 1999/ following transabdominal and/or endovaginal sonografy of the pelvis, color Doppler of the adnexa and of any suspected latero-uterine abdormal vascularity were studied wiyh pulsed doppler.
Results: sixty-six peripheral hypervascularisations, 27 irregular hypervascularisations and 7 false nagatives were found with color Doppler. The pulsed Doppler spectrum revaled a low-impedance flow in 47 cases (D/S index>or =0,35 ) and high impedance flow in 46 cases(D/S undex <0,35). The latter spectrum was found in 7 cases of tubal ruptere with massiwe hemmorhage and 39 cases of barely evolutive ectopic pregnancies.
8. Adabiyotlar.

  1. Akusherstvo i ginekologiya/ Ch.Bekmann, F. Ling, B. Barjanski i dr.- Perevod s angliyskogo A.Shur. – M.: Med. lit., 2004. -548s.

  2. Akusherstvo Spravochnik Kaliforniyskogo universiteta pod red. K. Nisvandera, A. Evansa. M., 1999

  3. Ginekologiya: uchebnik / Pod red. Savelevoy G.M, Breusenko V.G. – 3-e izd., M.: GEOTAR Me­ditsina 2008. -432s.

  4. Grigorev P.Ya., Yakovenko E.P. Abdominalnыe boli: etiologiya, patogenez, diagnostika, vrachebnaya taktika. - Praktikuyuщiy vrach. - 2002. № 1. - s. 39-41.

  5. Klinicheskiye rekomendatsii, osnovannыe na dokazatelnoy meditsine: Per. s angl. / Pod red. Yu.L. Shevchenko, I.N. Denisova, V.I. Kulakova, R.M. Xaitova. – 2-e izd., ispr.. -M.: GEOTAR-MYeD, 2002.-1248 s.

  6. Neotlojnaya pomoщ v akusherskoy praktike. Paket uchebnыx materialov po IVBR. USAID, Proyoqt Zdorovaya Semya. Tashkent.-2004.-209s.

  7. Prakticheskaya ginekologiya: Rukovodstvo dlya vrachey / Lixachev V.K.- M.: OOO «meditsinskoye informatsionnoye agenstvo», 2007 – 664s.

  8. Smetnik V.P., Tumilovich L.G. Neoperativnaya ginekologiya. Rukovodstvo dlya vrachey. M., Meditsinskoye Informatsionnoye Agenstvo. 2001.-592s.

  9. Spravochnik vracha obщey praktiki. Merta. Angliya, 1998

  10. Spravochnik Kaliforniyskogo Universiteta //. Akusherstvo pod red. K. Nisvandera A.Evansa. Lecheniye prervavsheysya trubnoy beremennosti. // S.369-377. 1999

  11. Klinicheskiye rekomendatsii, osnovannыe na dokazatelnoy meditsine: Per. s angl. / Pod red. Yu.L. Shevchenko, I.N. Denisova, V.I. Kulakova, R.M. Xaitova. – 2-e izd., ispr..-M.: GEOTAR-MYeD,2002.-1248 s.


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