Online ISSN: 3007-0244,
Print ISSN:  2410-4280
ARUBA СЫНАҒЫНЫҢ ҚАЗІРГІ ТӘЖІРИБЕГЕ ӘСЕРІ: ARUBA-ДАН КЕЙІНГІ ДӘУІРДЕГІ МИДЫҢ ЖАРЫЛМАҒАН АРТЕРИОВЕНОЗДЫ АҚАУЛАРЫНДАҒЫ ИНТЕРВЕНЦИЯЛЫҚ ЕМДЕУ ЖӘНЕ ИНСУЛЬТ КӨРСЕТКІШТЕРІ
Мидың артериовеналық мальформациялары – бас ауруларына, құрысуларға және қан кетулерге әкелуі мүмкін ми тамырлары мен артериялары арасындағы қалыптан тыс байланыс. АВМ үшін емдеуді таңдау ақаулардың мөлшері мен орналасуы, симптомдардың ауырлығы және қан кету қаупі сияқты бірнеше факторларға байланысты. ARUBA жарылмаған АВМ үшін ең жақсы емдеу әдісін анықтауға бағытталған клиникалық сынақ болып табылады. Оның нәтижелері консервативті басқарудың араласумен салыстырғанда өлім немесе инсульт қаупінің айтарлықтай төмен болуымен байланысты екенін көрсетті, бұл нейрохирургтердің тәжірибесіне өзгерістер енгізді. Бұл шолуда ARUBA-дан кейінгі инсульт жылдамдығының үрдістері және жарылмаған АВМ үшін хирургиялық араласулар талқыланады. ARUBA -дан кейін жарылмаған АВМ үшін араласулар санының айтарлықтай төмендеуі байқалды. Бұл төмендеу әсіресе эндоваскулярлық эмболизация және стереотактикалық радиохирургия сияқты аз инвазивті процедураларда айқын болды. Дегенмен, шағын өлшемді АВМ үшін алтын стандарт болып саналатын микрохирургия ARUBA-ға жарамды пациенттер үшін орындалатын процедуралар саны бойынша тұрақты болып қалды.
Чингиз С. Нуриманов1, https://orcid.org/0000-0002-8251-7980 Карашаш К. Менлибаева1, https://orcid.org/0000-0002-3021-6350 Ербол Т. Махамбетов1, https://orcid.org/0000-0003-1180-4285 Елена В. Жолдыбаева2, https://orcid.org/0000-0002-9677-008X 1 Ұлттық нейрохирургия орталығы, Астана қ., Қазақстан Республикасы; 2 Ұлттық биотехнология орталығы, Астана қ., Қазақстан Республикасы.
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Нуриманов Ч.С., Менлибаева К.К., Махамбетов Е.Т., Жолдыбаева Е.В. ARUBA сынағының қазіргі тәжірибеге әсері: ARUBA-дан кейінгі дәуірдегі мидың жарылмаған артериовенозды ақауларындағы интервенциялық емдеу және инсульт көрсеткіштері // Ғылым және Денсаулық сақтау. 2024. Т.26 (2). Б. 113-120. doi 10.34689/SH.2024.26.2.015

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