OG'RIQSIZ MIOKARD INFARKTI: DIABET VA AYOLLARDA YASHIRIN KECHUVCHI XAVF. ATIPIK BELGILAR TUFAYLI O'TKAZIB YUBORILADIGAN INFARKT HAQIDA
Keywords:
ASOSIY QISM.2-tip qandli diabetli bemorlarda o'tkazilgan FIELD tadqiqotida barcha infarktlarning 36,8 foizi jim kechgan (2). Sharh maqolasida esa bu ko'rsatkich bemorning holatiga bog'liq ekani aytilgan: boshqa yurak kasalligi bo'lmagan diabetlilarda taxminan 4 foiz, nerv tolalari shikastlangan (neyropatiya) bo'lsa 10 foiz, yurak yoki oyoq tomirlari kasalligi qo'shilsa 30 foizga yaqin . Sababi to'liq aniq emas. Og'riq signali yurakda hosil bo'lmasligi, uzatilmasligi yoki miyada sezilmasligi mumkin (3). Ayollarda manzara boshqacha.Abstract
Infarkt desak, ko'pchilik yurak sohasidagi kuchli og'riqni tasavvur qiladi. Lekin har doim ham shunday emas: ba'zi bemorlar infarktni sezmaydi yoki charchoq deb o'ylaydi. Framingham tadqiqotida 708 ta infarktning to'rtdan bir qismidan ko'pi faqat rejali EKG paytida topilgan, ularning deyarli yarmi butunlay belgisiz o'tgan . Bilinmay qolgan infarkt xavfsiz degani emas: undan keyin o'lim, yurak yetishmovchiligi va insult xavfi bilingan infarktdagidek yuqori (1).
References
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