KATTALARDAGI TUG‘MA YURAK NUQSONLARI VA BIR QORINCHA FIZIOLOGIYASIDA UMRBOQIY KUZATUV HAMDA BOSHQARUV
Abstract
bolalik davridagi kardiojarrohlik va interventsion kardiologiya yutuqlari tug‘ma yurak nuqsoni bilan tug‘ilgan bemorlarning aksariyatini kattalik yoshiga yetkazdi. Biroq anatomik nuqsonning operatsion korreksiyasi umrboqiy klinik kuzatuvga ehtiyojni yo‘qotmaydi. Kattalardagi tug‘ma yurak nuqsonlari, ya’ni ACHD, aritmiya, rezidual shunt, klapan disfunksiyasi, yurak yetishmovchiligi, o‘pka gipertenziyasi, aorta patologiyasi, endokardit, homiladorlik va psixososial muammolar bilan kechishi mumkin. Ushbu maqolada ACHD bemorlarida umrboqiy kuzatuvning tashkiliy modeli, xavfni anatomik va fiziologik mezonlar asosida baholash, ko‘p tarmoqli markazlarning roli hamda bir qorincha fiziologiyasi va Fontan qon aylanishini boshqarish tahlil qilinadi. Fontan bemorlarida yurak bilan bir qatorda jigar, buyrak, limfatik tizim, qon ivishi va ruhiy salomatlikni muntazam baholash zarurligi asoslab beriladi.
Downloads
References
1. Gurvitz M, et al. 2025 ACC/AHA/HRS/ISACHD/SCAI Guideline for the Management of Adults With Congenital Heart Disease. Circulation. 2025.
2. 2025 ACC/AHA/HRS/ISACHD/SCAI Guideline. Fontan palliation of single-ventricle physiology.
3. Baumgartner H, et al. 2020 ESC Guidelines for the management of adult congenital heart disease. European Heart Journal. 2021;42:563-645.
4. Stout KK, et al. 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease. Journal of the American College of Cardiology. 2019;73:e81-e192.
5. Rychik J, et al. Evaluation and management of the child and adult with Fontan circulation. Circulation. 2019;140:e234-e284.
6. ESC Working Group on Adult Congenital Heart Disease. Clinical practical advice for anaesthetic management of adults with congenital heart disease undergoing non-cardiac surgery. 2025.
7. New perspectives in ACHD management. Roadmap for lifelong ACHD cardiovascular care. 2025.
