YURAK YETISHMOVCHILIGIDA LVAD (LEFT VENTRICULAR ASSIST DEVICE) QO‘LLANILISHI VA UNING BEMOR SIFATIGA TA’SIRI
Keywords:
Yurak yetishmovchiligi, LVAD, chap qorincha yordamchi moslamasi, hayot sifati, yurak transplantatsiyasi, mexanik yordam, kardiomiopatiya, og‘ir yurak disfunksiyasiAbstract
Yurak yetishmovchiligi og‘ir klinik sindrom bo‘lib, yurakning organizm ehtiyojini ta’minlaydigan darajada qon hayday olmasligi bilan tavsiflanadi. Ushbu holatning og‘ir darajalarida dori vositalari samarasiz bo‘lganida yoki yurak transplantatsiyasini kutayotgan bemorlarda muqobil chora sifatida LVAD (Left Ventricular Assist Device – chap qorincha yordamchi moslamasi) qo‘llaniladi. LVAD yurakning chap qorinchasi faoliyatini mexanik ravishda qo‘llab-quvvatlab, periferik organlarga yetarli qon aylanishini ta’minlaydi. Ushbu maqolada LVAD tizimining ishlash mexanizmi, klinik qo‘llanilishi, bemorlarning hayot sifati, jismoniy faolligi va psixologik holatiga ta’siri tahlil qilinadi. Klinik amaliyotda LVAD samaradorligi va asoratlar darajasi, shuningdek, bemorlarni tanlash mezonlari bo‘yicha ham ilmiy ma’lumotlar keltiriladi. Natijalar LVAD texnologiyasining yurak yetishmovchiligi bo‘yicha zamonaviy muqobil yechim sifatida ustuvorligini ko‘rsatadi.
References
1. Slaughter MS, Rogers JG, Milano CA, et al. "Advanced heart failure treated with continuous-flow left ventricular assist device." New England Journal of Medicine. 2009;361(23):2241–2251.
2. Kirklin JK, Pagani FD, Kormos RL, et al. "Seventh INTERMACS annual report: 15,000 patients and counting." Journal of Heart and Lung Transplantation. 2015;34(12):1495–1504.
3. Rose EA, Gelijns AC, Moskowitz AJ, et al. "Long-term use of a left ventricular assist device for end-stage heart failure." New England Journal of Medicine. 2001;345(20):1435–1443.
4. Mehra MR, Naka Y, Uriel N, et al. "A fully magnetically levitated circulatory pump for advanced heart failure." New England Journal of Medicine. 2017;376(5):440–450.
5. Morshuis M, El-Banayosy A, et al. "Current status of long-term mechanical circulatory support." Best Practice & Research Clinical Anaesthesiology. 2012;26(2):209–221.
6. Jahangir E, Arain SA, et al. "LVAD: Clinical indications and management." Cleveland Clinic Journal of Medicine. 2020;87(7):413–421.
7. Respublikamizda yurak transplantatsiyasi va LVAD texnologiyasini rivojlantirish bo‘yicha O‘zbekiston Respublikasi Sog‘liqni saqlash vazirligining 2023-yilgi tahliliy hisobotlari.