РАСПРОСТРАНЕННОСТЬ МАЛЫХ АНОМАЛИЙ СЕРДЦА У ДЕТЕЙ ПО ДАННЫМ ЭХОКАРДИОГРАФИИ

Аннотация

Small anomalies of the heart in children are anatomical changes in the architecture of the heart and trunk blood vessels that are not important, and in the functions of the cardiovascular system there are no sudden changes, but with age they OPEN ACCESS can progress and develop. In the syndrome of connective tissue dysplasia of the heart, IJSP a violation of the structure and heart rhythm of small anomalies in children was detected. The first to determine the role of the vegetative system in the management of risk factors and heart rhythm in the development of their anomalies. Studies have shown that in 11 (47.8%) children with mitral valve prolapse, the value of the last diastolic diameter of the left ventricle was more than 75 percent, which is higher than in children with additional structures in the left ventricular cavity and significantly higher compared to the size of the inner diameter of the left ventricle in the control group. The most commonly identified small anomalies of the left ventricle: the left ventricle was found to have anomalous located hordes, additional hordes, and the mitral valve prolapse.In children with minor abnormalities of the heart, intra-cardiac hemodynamics is characterized by constant changes in the systolic and diastolic functions of the left ventricle, which can occur due to the adaptive restructuring of intracardial hemodynamics. Academic Editor: Arzikulov A. Key words: echocardiography, small anomalies of the heart, arrhythmia, risk Professor, Andijan State Medical factors, children. Institute Kirish. So’nggi o’n yil ichida bolalik davridagi yurak-qon tomir Received: 14 September 2022 patologiyasining tuzilishi sezilarli o’zgarishlarga duch keldi. Yurak Accepted: 25 September 2022 aritmiyalari, kardiyomiyopatiyalar va tug’ma yurak nuqsonlari ulushi Published: 30 September 2022 oshdi [1,3,5]. Hozirgi vaqtda biriktiruvchi to’qima displaziyasida (BTD) Publisher’s Note: IJSP stays yurakdagi o’zgarishlar bilan bog’liq holatlar tobora muhim ahamiyat kasb neutral with regard to jurisdictional claims in published maps and etmoqda [2,4,6,9, 11]. Ushbu holat yurakning ultratovush tekshiruvini institutional affiliations. klinik amaliyotga joriy etish bilan bog’liq bo’lib, bu ko’plab kasalliklarni rivojlanishning dastlabki bosqichlarida “in vivo” tashhislash, normadan aniq og’ishlarni aniqlash va umuman olganda, kardiologlarning imkoniyatlarini kengaytirishga olib keladi. Invaziv bo’lmagan usul, tadqiqot Copyright: © 2022 by the authors. Licensee IJSP, Andijan, uchun keng ko’rsatmalar, uni uzluksiz kuzatish imkoniyati va diagnostika Uzbekistan. This article is an open asbob-uskunalarining yuqori rezolyutsiyasi yurakdagi mikrotuzilmaviy access article distributed under the terms and conditions of the o’zgarishlarni aniqlash imkonini beradi, keyinchalik bu o’zgarishlar Creative Commons Attribution «yurakning kichik anomaliyalari» (YuKA) deb ta’riflanadi [1,5,8,10]. YuKA (CC BY-NC-ND) license (https:// creativecommons.org/licenses/by- - bu yurak va katta tomirlar arxitektoniyasidagi gemodinamik jihatdan nc-nd/4.0/). ahamiyatsiz anatomik o’zgarishlar bo’lib, ular yurak-qon tomir tizimi funktsiyalarining qo’pol buzilishiga olib kelmaydi [2,3,7]. Ushbu tuzilmalar (noto’g’ri joylashgan horda va trabekulalar, yurak klapanlarining prolapsi, yurak pardasining kichik anevrizmasi, ko’krak qafasidagi mushaklar va o’ng bo’lmachada cho’zilgan evstaxiyev klapani, ochiq oval teshik, aorta va o’pka arteriyasining chegarada kengayishi, funktsional tor aorta) bugungi kunda turli mutaxassisliklar shifokorlarida katta qiziqish uyg’otmoqda [1,3,5]. YuKA ba’zi hollarda bolalarda yurak-qon tomir patologiyasining asosi hisoblanadi, ammo ba’zi tadqiqotchilar ularni norma yoki chegara sharoitlarining variantlari deb hisoblashadi. Biroq, yillar davomida YuKA turli xil asoratlarning rivojlanishiga sabab bo’lishi yoki boshqa patologik holatlar, hamda kasalliklarning kuchayishiga olib kelishi mumkin [6,8]. Sog’lom bolalarda yurakni stigmatizatsiya qilishning www.ijsp.uz 11 2022 / Issue 05 / Article 02 International Journal of Scientific Pediatrics published: 30 September 2022 belgilangan chegara darajasidan oshib ketishi (yurak rivojlanishidagi 3 dan ortiq kichik anomaliyalar) salomatlikning shakllanishiga ta’sir qiluvchi omillar va uni tavsiflovchi ko’rsatkichlar nuqtai nazaridan ham mumkin bo’lgan noqulaylikni ko’rsatadi [2,9]. Turli ma’lumotlarga ko’ra, bolalar va o’smirlar orasida ekokardiyografik tekshiruv (ExoKG) paytida ularni aniqlash chastotasi 39 dan 68,9% gacha, ba’zi tadqiqotchilar ularni norma yoki chegaradosh variantlari deb hisoblashadi [2,6]. Tadqiqot maqsadi. Exokardiyografik ma’lumotlarga ko’ra bolalar va o’smirlarda kichik yurak anomaliyalarining tarqalishi va tuzilishini aniqlash. Materiallar va usullar. Viloyat bolalar tibbiyot markazi, kardiorevmatologiya bo‘limida davolanayotgan 3 yoshdan 15 yoshgacha bo‘lgan 52 nafar bolalar va o‘smirlarning ExoKG natijalari tahlil qilindi. O’rganilayotgan