Bolalarda refraksion ambliopiyani bolalar tserebral falaji (BTF) bilan kechuvchi holatlarda tashxislash va davolashning xususiyatlari
Referat
Maqsad. Bolalar tserebral falaji (BTF) bilan og‘rigan bolalarda refraksion ambliopiyaning klinik va funksional xususiyatlarini aniqlash hamda an’anaviy va moslashtirilgan terapiya usullarini birlashtiruvchi kompleks oftalmologik korreksiyaning samaradorligini baholash.
Materiallar va usullar. Prospektiv klinik tadqiqotga 3 yoshdan 12 yoshgacha bo‘lgan, BTF tashxisi qo‘yilgan va refraksion ambliopiya aniqlangan 39 nafar bola (78 ko‘z) jalb qilindi. Ko‘rish buzilishlari maxsus moslashtirilgan, harakat va kognitiv buzilishlar bilan bog‘liq cheklovlarni hisobga olgan metodikalar asosida tashxis qilindi. Davolashga individual tarzda tanlangan optik korreksiya, okklyuziya, apparat usullari (ambliotron), shuningdek, logopedik va psixologik yordam kiritildi.
Natijalar. Olti oylik davolash kursidan so‘ng ko‘rish o‘tkirligi (0,31 dan 0,47 gacha; p<0,01), fiksa qilish barqarorligi va ko‘z harakati koordinatsiyasida ishonchli ijobiy o‘zgarishlar kuzatildi. Ayniqsa, yosh bolalarda va kognitiv funksiyalari saqlanib qolganlarda aniq ijobiy dinamika qayd etildi. Shuningdek, nevrologik yetishmovchilik darajasi terapiya muvaffaqiyatining muhim prognoz omili ekani aniqlandi.
Xulosa. Xulosa sifatida, BTF va ambliopiyasi bo‘lgan bemorlarni boshqarishda multidisiplinar yondashuv va erta aralashuv zarurligi ta’kidlanadi.
Mualliflar haqida
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