BOLALARDA O‘N IKKI BARMOQ ICHAK YARASI: AHAMIYATI, KLINIK BELGILARI VA DAVOLASH TAMOYILLARI
Keywords:
o‘n ikki barmoq ichak yarasi, bolalar, peptik yara, Helicobacter pylori, epigastral og‘riq, gastrointestinal qon ketish, proton pompa ingibitorlari, eradikatsion terapiya.Abstract
O‘n ikki barmoq ichak yarasi bolalarda nisbatan kam uchraydigan, ammo o‘z vaqtida aniqlanmasa jiddiy asoratlarga olib kelishi mumkin bo‘lgan gastroenterologik kasallikdir. Kasallikning rivojlanishida Helicobacter pylori infeksiyasi, nosteroid yallig‘lanishga qarshi preparatlar (NYAQV), irsiy moyillik va ayrim og‘ir sistemali kasalliklar muhim o‘rin tutadi. Bolalarda kasallik klinik jihatdan yoshga qarab turlicha namoyon bo‘ladi: katta yoshdagi bolalarda epigastral og‘riq, ayniqsa tungi yoki och qoringa og‘riq kuzatilsa, kichik yoshdagi bolalarda qusish, ovqatlanishning buzilishi va bezovtalik ustun bo‘lishi mumkin. Asosiy diagnostik usul — yuqori gastrointestinal endoskopiya. Davolashning asosiy yo‘nalishlari sababni bartaraf etish, kislota sekretsiyasini bostirish, H. pylori aniqlansa eradikatsiya qilish hamda qon ketish yoki perforatsiya kabi asoratlarni o‘z vaqtida davolashdan iborat.
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