Vol. 2 No. 5 (2026), Articles
Vol. 2 No. 5 (2026)

QALQONSIMON BEZ JARROHLIGIDA QAYTUVCHI NERV ANATOMIYASI: SHIKASTLANISH XAVFINI KAMAYTIRISH

Articles
Published 2026-02-10
Nurniyazova Dilnuraxan Piryar qizi
Samarqand davlat tibbiyot universiteti, Pediatriya fakultetining 2-bosqich talabasi
Jienbaeva Fatima Hakimniyaz qizi
Samarqand davlat tibbiyot universiteti, Davolash ishi fakultetining 2-bosqich talabasi
Reyova Shaxzoda Daulet qizi
Samarqand davlat tibbiyot universiteti, Davolash ishi fakultetining 2-bosqich talabasi
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Keywords

Qalqonsimon bez jarrohligi, qaytuvchi nerv, anatomik variantlar, shikastlanish xavfi, neyromonitoring, jarrohlik texnikasi, postoperativ asoratlar, bemor xavfsizligi, ovoz funksiyasi, preoperativ baholash, endokrin jarrohlik

Abstract

Qalqonsimon bez jarrohligi dunyo amaliyotida keng tarqalgan operatsiyalar qatoriga kiradi va jarrohlik davomida qaytuvchi nerv (nervus recurrens) shikastlanish xavfi yuqori bo‘lishi sababli, bu mavzu klinik ahamiyatga ega. Qaytuvchi nerv anatomiyasi murakkabligi, uning qalqonsimon bez va uning atrofidagi strukturalar bilan o‘zaro aloqalari, shuningdek, anatomik variantlarning ko‘p uchrashi jarrohning ehtiyotkorligini talab qiladi. Shikastlanishning asoratlari orasida ovoz balandligi pasayishi, ovoz ohangining o‘zgarishi, yutish muammolari va ba’zan respirator qiyinchiliklar kuzatiladi, bu esa bemor sifatiga va postoperativ hayot sifatiga salbiy ta’sir ko‘rsatadi. Mazkur maqolada qaytuvchi nervning klassik va noan’anaviy kursi, qalqonsimon bez jarrohligida xavfni kamaytirish usullari, neyromonitoringning amaliy qo‘llanilishi, jarrohlik texnikasidagi innovatsiyalar va preoperativ hamda postoperativ baholash metodlari tizimli tarzda tahlil qilinadi. Shuningdek, bemor xavfsizligini oshirish, asoratlarni minimallashtirish va jarrohlik natijalarini optimallashtirishga qaratilgan tavsiyalar ham keltiriladi.     

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References

1. Абдурасулов, Ш.А. Qalqonsimon bez jarrohligi: nazariy va amaliy qo‘llanma. Toshkent: Tibbiyot nashriyoti, 2018. – 256 b.

2. Karimov, R., & Yusupov, S. Endokrin jarrohlik va qaytuvchi nerv anatomiyasi. Samarqand: SamDTU nashriyoti, 2020. – 184 b.

3. Gray, H. Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 42nd ed. London: Elsevier, 2020. – 1760 p.

4. Randolph, G.W. Surgery of the Thyroid and Parathyroid Glands. 3rd ed. Philadelphia: Elsevier, 2013. – 624 p.

5. Lee, S.J., & Kim, Y.H. Intraoperative neuromonitoring in thyroid surgery: principles and applications. Journal of Clinical Endocrinology, 2019, vol. 104(6), pp. 2201–2210.

6. LiVolsi, V.A. Pathology of the Thyroid. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2011. – 720 p.

7. Турсунов, А.И. Qalqonsimon bez o‘smalari jarrohligi va asoratlar profilaktikasi. Toshkent: Fan va Texnologiya, 2019. – 198 b.

8. Randolph, G.W., & Dralle, H. Management of Recurrent Laryngeal Nerve in Thyroid Surgery. London: Springer, 2012. – 312 p.

9. Terris, D.J., & Snyder, S.K. Minimally invasive and robotic thyroid surgery: techniques and outcomes. New York: Springer, 2014. – 280 p.

10. Хакимов, М., & Джураев, Н. Neyromonitoring texnologiyalari va qalqonsimon bez jarrohligi. Toshkent: Tibbiyot fanlari nashriyoti, 2021. – 142 b.

11. Mazzaferri, E.L., & Jhiang, S.M. Thyroid cancer management guidelines and surgical considerations. Endocrine Reviews, 2017, vol. 38(1), pp. 1–20.

12. Pacini, F., et al. Thyroid surgery: complications and prevention strategies. The Lancet Diabetes & Endocrinology, 2018, vol. 6(4), pp. 298–310.