DOI
https://doi.org/10.47689/2181-3663-vol4-iss4-pp110-118Kalit so‘zlar
postkovid sindromi , bolalar , bronxopnevmoniya , klinik kechishiAnnotasiya
So‘nggi yillardagi adabiyotlarda bolalarda postkovid sindromining klinik kechishi haqida yakka-yagona ma’lumotlar aks ettirilgan: bola organizmining ko‘p a’zoli zararlanishlari, autoimmun shikastlanishlar, immunitet tizimidagi sezilarli o‘zgarishlar kuzatilganligi qayd etilgan. Bolalarda koronavirus infeksiyasining uzoq muddatli oqibatlari hali yetarlicha o‘rganilmagan.
Maqsad: bolalarda postkovid sindromida bronxopnevmoniyaning klinik kechish xususiyatlarini o‘rganish.
Material va usullar: Kuzatuvimiz ostida 179 nafar bemor bo‘ldi: 61 nafari - "uzoq kovid" (simptomlarning davomiyligi 4 haftadan ortiq, ammo 12 haftadan kam), 68 nafari - SPS (surunkali postkovid sindromi; XKT-10 bo‘yicha kasallik boshlanganidan beri 12 haftadan ortiq), shuningdek, 1 yoshdan 12 yoshgacha bo‘lgan noaniq etiologiyali KTB (kasalxonadan tashqari bronxopnevmoniya) bilan og‘rigan 50 nafar bola. Barcha bolalar bronxopnevmoniya tashxisi bilan Termiz shahridagi ODMMM statsionariga yotqizilgan va pulmonologiya hamda RITB bo‘limlariga joylashtirilgan. S-RBD SARS-CoV-2 IgG uchun IFA > 1 XB/ml qiymatida ijobiy deb hisoblangan.
Natijalar va muhokama. Uzoq kovidda bronxopnevmoniya asosan kasallikning o‘rtacha og‘ir kechishida namoyon bo‘lib, hansirash, nafas olishda qovurg‘a osti sohalarining tortilishi kuzatildi, ko‘pincha bronxopnevmoniyaning segmentar shakli aniqlandi. SPS og‘ir bronxopnevmoniyaning yuqori chastotasi, markaziy sianoz, og‘ir nafas yetishmovchiligi (bosh silkitish harakatlari), markaziy asab tizimi intoksikatsiyasining yaqqol belgilari (tana haroratining 35°S va undan pastga tushishi, yurak urishining tezlashishi) bilan kechdi, ko‘pincha interstitsial pnevmoniya tashxisi qo‘yildi. SPSning uzoq muddatli namoyon bo‘lishi oxir-oqibat autoimmun patologiya va yuvenil revmatoid artrit, oshqozon-ichak trakti kasalliklari va ich ketishi, Giyen-Barre sindromi, poliradikulonevropatiya kabi holatlar bilan xarakterlandi. Uzoq kovidda turli a’zolar va tizimlarning umumiy zararlanishi hamda Stivens-Jonson sindromi bilan septik jarayonning rivojlanishi qayd etildi.
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