KEKSA AHOLIDA O'TKIR APPENDITSIT: KLINIK XUSUSIYATLARI, DIAGNOSTIKASI VA DAVOLASH USULLARI
Keywords:
Kalit soʼzlar: O'tkir appenditsit, keksa aholi, diagnostik qiyinchiliklar, perforatsiya darajalari, laparoskopik appendektomiya, komorbiditlar.Abstract
O'tkir appenditsit, keng tarqalgan xirurgik holati bo'lib, u keksalarda yuzaga
kelganda o'ziga xos qiyinchiliklarni keltirib chiqaradi. Garchi u appenditsit
holatlarining 5-10% ini tashkil etsa-da, keksa yoshdagi insonlarda kasallikning
uchrashi tezligi yiliga taxminan 10000 odamdan 1,5-2 ta holatni tashkil etadi. Ushbu
sharh 65 yosh va undan katta bo'lgan bemorlarda appenditsitning epidemiologiyasi,
klinik ko'rinishi, diagnostik muammolari, davolash variantlari va natijalarini ko'rib
chiqadi. Keksalarda odatda atipik alomatlar kuzatiladi, bu esa diagnostika
kechikishiga va asoratlarning yuqori darajaga ko'tarilishiga olib keladi. Ushbu
guruhda perforatsiya ko'rsatkichlari 30-50% ni tashkil etadi, bu yosh bemorlarda
kuzatilgan 20% dan ancha yuqori bo'lib, o'lim darajasi 5-15% ni tashkil etadi, yosh
guruhlarda esa bu ko'rsatkich 1% dan kam. Komorbitlar va atipik belgilarning
mavjudligi diagnostikani yanada qiyinlashtiradi. Tasvirlash usullari, xususan, KТ,
yuqori aniqligi sababli juda muhim hisoblanadi. Davolash rejalari har bir bemorga
individual ravishda tanlanishi kerak, jarrohlik va konservativ usullar orasidagi xavf
va foydalarni muvozanatlash kerak.
Minimal invaziv bo'lgan laparoskopik appendektomiya tezroq tiklanishni
ta’minlaydi, ammo bemorning umumiy sog'lig'i ehtiyotkorlik bilan hisobga olinishi
lozim.
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