Encephalo π§
Bemor 76 yoshda, ayol kishi . O'g'lining so'zlariga ko'ra ertalab bomdod namoziga o'rnidan turganida boshi aylangan, oyog'ida tik turolmay o'tirib qolgan va onasidan gapirish so'raganida chalkash gapirgan. O'g'li zudlik bilan '' tez tibbiy yordam '' gaβ¦
Obunachilarim uchun yozdim, o'qib chiqinglar. Dr. Ibrakhimov UASH kanalida shunday yozilgandi. Men tahlilini ochib berdimπ€¨π.
Asoratlangan gipertonik krizga uchrabdi bechora 4-5 kungacha saqlanadi. Qon bosimini tushsa ham foydasi yo'q endi belgilar saqlanib qoladi.
O'zi ortostatik holat( gorizontal holatdan vertikal holatga o'tish) bu bemorga dabafka nagruska bo'lgan( simpatik NS faollashadi) Ko'proq Broka markazi[3-peshona burmasing orqa pastki qismida joylashgan] zararlangan(Broka afaziyasi).
Endi qiziqtirgan savol bemorda Ishemik insultmi, gemoragik insultmi yoki TIA
1) AB oshgan vaqtda ko'p miqdorda qon oqib kelganda arteriyalar yetarli darajada kompensator qarshilik ,spazmga uchraydi. Bu esa qon oqimini old miyya atreriyasi, o'rta miyya va orqa miyya arteriyasiga kelishini qiyinlashtiradi. To davleniya tushguncha bu holat saqlanadi. Demak 4-5 kun saqlansa ishemik insultmi? Yo'q, gipertonik krizni bartaraf etilishiga qaraladi.
2) Gemoragik insult nega bo'lishi mumkin, axir spazmga uchragan ediku, bo'lishi mumkin emasπ€―. Nimalar deb tashayapsanπ.
Shoshma! Shunaqa odamlar bor Likvorli tipda boshi og'rib turadigan. Ularda tepada aytgan mexanizm ishlamaydi.
Gipertonik kriz 300/170 ga yaqinlashganida ham spazm qo'yvoradi natijada kichkina ariqchaga bir kanal suv haydagandek gap[gemoragik insult]
3] TIA( tranzitor ishemik ataka). Bunisichi? 4-5 kun saqlansa, a TIA 24 soat vaqt inobatga olinadiku. Yo'q 4-5 kunda belgilar saqlansa, TIA qo'yolmaysan. Ha agar 24 soat ichida bo'layotgan bo'lsachi, qayerdan bilasan, 3lasini qanday farqlaysan. Bemor zudlik bilan KT tekshiriladi. AB tushuriladi. Tepada aytganimdek Xudo agar asoratlanmaganini bergan bo'lsa, juda yaxshi(gipotenziv vositalar effekti chotki). Asoratlangan bo'lsa, tepada sanadim.
Faqatgina insultda emas, gipertonik ensefalopatiya holatidayam insultga o'xshash belgilar bo'ladi...
BE FAST va Sinsinnati shkalasi bilan tezroq taxminiy tashxis qo'yib tomografiya qilgan avzal.
E xullas shuda qisqacha 3tasi birdaπ
@firstaidstep1
Asoratlangan gipertonik krizga uchrabdi bechora 4-5 kungacha saqlanadi. Qon bosimini tushsa ham foydasi yo'q endi belgilar saqlanib qoladi.
O'zi ortostatik holat( gorizontal holatdan vertikal holatga o'tish) bu bemorga dabafka nagruska bo'lgan( simpatik NS faollashadi) Ko'proq Broka markazi[3-peshona burmasing orqa pastki qismida joylashgan] zararlangan(Broka afaziyasi).
Endi qiziqtirgan savol bemorda Ishemik insultmi, gemoragik insultmi yoki TIA
1) AB oshgan vaqtda ko'p miqdorda qon oqib kelganda arteriyalar yetarli darajada kompensator qarshilik ,spazmga uchraydi. Bu esa qon oqimini old miyya atreriyasi, o'rta miyya va orqa miyya arteriyasiga kelishini qiyinlashtiradi. To davleniya tushguncha bu holat saqlanadi. Demak 4-5 kun saqlansa ishemik insultmi? Yo'q, gipertonik krizni bartaraf etilishiga qaraladi.
2) Gemoragik insult nega bo'lishi mumkin, axir spazmga uchragan ediku, bo'lishi mumkin emasπ€―. Nimalar deb tashayapsanπ.
Shoshma! Shunaqa odamlar bor Likvorli tipda boshi og'rib turadigan. Ularda tepada aytgan mexanizm ishlamaydi.
Gipertonik kriz 300/170 ga yaqinlashganida ham spazm qo'yvoradi natijada kichkina ariqchaga bir kanal suv haydagandek gap[gemoragik insult]
3] TIA( tranzitor ishemik ataka). Bunisichi? 4-5 kun saqlansa, a TIA 24 soat vaqt inobatga olinadiku. Yo'q 4-5 kunda belgilar saqlansa, TIA qo'yolmaysan. Ha agar 24 soat ichida bo'layotgan bo'lsachi, qayerdan bilasan, 3lasini qanday farqlaysan. Bemor zudlik bilan KT tekshiriladi. AB tushuriladi. Tepada aytganimdek Xudo agar asoratlanmaganini bergan bo'lsa, juda yaxshi(gipotenziv vositalar effekti chotki). Asoratlangan bo'lsa, tepada sanadim.
Faqatgina insultda emas, gipertonik ensefalopatiya holatidayam insultga o'xshash belgilar bo'ladi...
BE FAST va Sinsinnati shkalasi bilan tezroq taxminiy tashxis qo'yib tomografiya qilgan avzal.
E xullas shuda qisqacha 3tasi birdaπ
@firstaidstep1
π11π4
Biochemistryni vitaminlar mavzusi tugadi. Endi metabolizm qismini boshlaymiz. Vitaminlar mavzusida turli xil kasalliklarni kelib chiqishini tahlil qildi endi metabolizm qismida yanada qiziqarli va muhim azizlar!π8π1
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π Ethanol metabolism Part 1
#biochemistry
Super high yield
π°
π YouTube π
https://www.youtube.com/embed/PQSvdOzDroY
#jonsharipov
@firstaidstep1
#biochemistry
Super high yield
π°
Decrease ADH
π° Body size
π° Water depletion
π° Lactic acidosis
π° Fasting hypoglycemia
π° Ketoacidosis
π° Hepatosteatosis
π° Stage fatty in liver
π° Hangover symptoms
π° Discouraging drinking
π YouTube π
https://www.youtube.com/embed/PQSvdOzDroY
#jonsharipov
@firstaidstep1
π11β‘1π1
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π Ethanol metabolism Part 2
#biochemistry
Super high yield
π°
πYouTube π
https://www.youtube.com/embed/fqnhu3QpjGk
#jonsharipov
@firstaidstep1
#biochemistry
Super high yield
π°
Decrease ADH
π° Body size
π° Water depletion
π° Lactic acidosis
π° Fasting hypoglycemia
π° Ketoacidosis
π° Hepatosteatosis
π° Stage fatty in liver
π° Hangover symptoms
π° Discouraging drinking
π° Hyperurecemia
π° Vomiting
π° Pain
π° Hepatitis πYouTube π
https://www.youtube.com/embed/fqnhu3QpjGk
#jonsharipov
@firstaidstep1
π10π1π₯1π1π€©1
Biochemistry tugaganidan so'ng STEP 1 dan nimani tahlil qilamiz?
Anonymous Poll
7%
Genetics
29%
Cardiovascular system
19%
Endocrinology system
19%
Pharmacology
7%
Renal system
3%
Hematology system
16%
Gastrointestinal system
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π Enzyme terminology | Fermentlar terminalogiyasi
#biochemistry
Ko'pchilikni qiynaydigan va biochemistryni tushunish uchun ildiz hisoblanadigan mavzuβοΈ
π΄
π YouTube π
https://www.youtube.com/embed/7ZFasUIvyhI
π Bularsiz biochemistryga yo'l yo'qβοΈ
π’ #jonsharipov
@firstaidstep1
#biochemistry
Ko'pchilikni qiynaydigan va biochemistryni tushunish uchun ildiz hisoblanadigan mavzuβοΈ
π΄
Kinase
π΄ Phosphorilase
π΄ Phosphotase
π΄ Dehydrogenase
π΄ Hydroxylase
π΄ Carboxylase
π΄ Mutase
π΄ Synthase
π΄ Synthetaseπ YouTube π
https://www.youtube.com/embed/7ZFasUIvyhI
π Bularsiz biochemistryga yo'l yo'qβοΈ
π’ #jonsharipov
@firstaidstep1
π10β‘3
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π Enzymes in metabolism | Metabolizmda fermentlar
#biochemistry
π° Process
π° Enzymes
π° Regulators
πMetabolism sites
π° Mitochondria
π° Cytoplasm
π° Both
π YouTube π
https://www.youtube.com/embed/6N6HDjBfcyE
@firstaidstep1
#biochemistry
π° Process
π° Enzymes
π° Regulators
πMetabolism sites
π° Mitochondria
π° Cytoplasm
π° Both
π YouTube π
https://www.youtube.com/embed/6N6HDjBfcyE
@firstaidstep1
π7π€©1
Encephalo π§
Biochemistry tugaganidan so'ng STEP 1 dan nimani tahlil qilamiz?
π After biochemistry, we will analyze the Cardiovascular system...
π6π₯2
#Biochemistry_keys
43 yoshli ayol, taxminan 4 hafta oldin oβtkazilgan suyak iligi biopsiyasi natijalarini shifokor bilan muhokama qilish
uchun gematologiya klinikasiga murojaat qildi.Uning boshqa barcha noninvaziv test natijalari samara
bermagandan keyin, surunkali anemiyani baholash uchun ushbu klinikaga yuborilgan edi. Bugun ayolning qon
bosimi 114/76 mm/Hg, puls 94/min, nafas olish tezligi 21/min, harorati 36,6 *C.Unda yengil sariqlik va nafas
qisilishi bor.Suyak iligi biopsiyasi namunasi, Prussiya koβki bilan ranglantirilgan sitoplazmik strukturalarni tutuvchi
yetilmagan eritrotsitlarni koβrsatgan.Quyida koβrsatilgan moddalarning qaysi birining yetishmovchiligi yuqoridagi
topilmalarga sabab boβlgan?
43 yoshli ayol, taxminan 4 hafta oldin oβtkazilgan suyak iligi biopsiyasi natijalarini shifokor bilan muhokama qilish
uchun gematologiya klinikasiga murojaat qildi.Uning boshqa barcha noninvaziv test natijalari samara
bermagandan keyin, surunkali anemiyani baholash uchun ushbu klinikaga yuborilgan edi. Bugun ayolning qon
bosimi 114/76 mm/Hg, puls 94/min, nafas olish tezligi 21/min, harorati 36,6 *C.Unda yengil sariqlik va nafas
qisilishi bor.Suyak iligi biopsiyasi namunasi, Prussiya koβki bilan ranglantirilgan sitoplazmik strukturalarni tutuvchi
yetilmagan eritrotsitlarni koβrsatgan.Quyida koβrsatilgan moddalarning qaysi birining yetishmovchiligi yuqoridagi
topilmalarga sabab boβlgan?
Yuqoridagi keys uchun mos javobni tanlang Encephalo kanal a'zolari
Anonymous Quiz
10%
Niatsin(BΒ³)
13%
Tiamin(BΒΉ)
39%
Folik kislota(BβΉ)
15%
Riboflavin (BΒ²)
23%
Piridoksin(BβΆ)
β‘6π3π€1
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π Glycolysis | Glikoliz
#biochemistry
π° Mechanism
π YouTube π
https://www.youtube.com/embed/BPwH1_9nJ6g
@firstaidstep1
#biochemistry
π° Mechanism
π YouTube π
https://www.youtube.com/embed/BPwH1_9nJ6g
@firstaidstep1
π9β‘2π₯1
#biochemistry_keys
16-yoshli oβspirin maktabga ketayotgan paytida muz ustida sirpanib yiqilganligi sababli tez yordam
boβlimiga olib kelindi.U boshini yoβlak chetiga urgan ammo xushini yoβqotmagan.Voqea sodir boβlganidan
keyin bir soat ichida uni tez tibbiy yordam xonasiga olib kelishdi.Tez yordam shifokori uni darhol
kompyuter tomografiya tekshiruviga yubordi va muntazam qon tekshiruvini buyurdi.Shifokor stress
holatlarida, masalan,bu bemorda, maβlum garmonlar konsentratsiya koβpayishini , boshqalarini esa
kamayishini biladi.Fermentlarning garmonlar taβsirida allosterik boshqariluvini hisobga olgan holda ,
quyida keltirilgan qaysi ferment bu bemorda ingibirlangan?
16-yoshli oβspirin maktabga ketayotgan paytida muz ustida sirpanib yiqilganligi sababli tez yordam
boβlimiga olib kelindi.U boshini yoβlak chetiga urgan ammo xushini yoβqotmagan.Voqea sodir boβlganidan
keyin bir soat ichida uni tez tibbiy yordam xonasiga olib kelishdi.Tez yordam shifokori uni darhol
kompyuter tomografiya tekshiruviga yubordi va muntazam qon tekshiruvini buyurdi.Shifokor stress
holatlarida, masalan,bu bemorda, maβlum garmonlar konsentratsiya koβpayishini , boshqalarini esa
kamayishini biladi.Fermentlarning garmonlar taβsirida allosterik boshqariluvini hisobga olgan holda ,
quyida keltirilgan qaysi ferment bu bemorda ingibirlangan?
π13
Encephalo kanal a'zolari to'g'ri javobni tanlang! Javob ertaga komentda tashaladi...
Anonymous Quiz
21%
Piruvat karboksilaza
23%
Fosfofruktokinaza
23%
Glukoza-6-fosfataza
13%
Fruktoza 1,6-bisfosfataza
21%
Glikogen fosforilaza
β‘5π2π1
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π Gluconeogenesis | Glukoneogenez
#biochemistry
π YouTube π
https://www.youtube.com/embed/FdKcjyqNqLY
@firstaidstep1
#biochemistry
π° Cahill cycle
π° Cori cycle
π° Von Gierke disease
π° Irreversibly enzymes π YouTube π
https://www.youtube.com/embed/FdKcjyqNqLY
@firstaidstep1
π6β‘5π₯2π1
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πTransports | Important enzymes | Electron acceptors
#biochemistry
π°
π YouTube π
https://www.youtube.com/embed/iVFDwZgaRPw
@firstaidstep1
#biochemistry
π°
Activated carriers
π° Universal electron acceptors
π° Hexokinase
π° Glucokinase
π° And other π YouTube π
https://www.youtube.com/embed/iVFDwZgaRPw
@firstaidstep1
π10π₯2π2
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π Regulation glycolysis and gluconeogenesis with key enzymes | Asosiy fermentlar orqali glikoliz va glukoneogenezning boshqarilishi
π° Mechanism
π YouTube π
https://www.youtube.com/embed/Cg9igc2MF2c
@firstaidstep1
π° Mechanism
π YouTube π
https://www.youtube.com/embed/Cg9igc2MF2c
@firstaidstep1
π10π3π₯2
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πPyruvate dehydrogenase complex and deficiency | Piruvat degidrogenasa kompleksi va defitsiti
π° Mechanism
πYouTube π
https://www.youtube.com/embed/v_u-2Vk4P_w
@firstaidstep1
π° Mechanism
πYouTube π
https://www.youtube.com/embed/v_u-2Vk4P_w
@firstaidstep1
π6π3π₯2
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π Pyruvat metabolism | Piruvat metabolizm
π°
https://www.youtube.com/embed/sSgsqtfm7Jw
@firstaidstep1
π°
Cori cycle
π° Cahill cycle
π YouTube πhttps://www.youtube.com/embed/sSgsqtfm7Jw
@firstaidstep1
π10π2π₯1
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Revmatoid artrit uchun tuzulgan va boshqa bo'g'im kasalliklariga ham zanjir hisoblangan PENTADA 1-bosqich dorilari ichidan INFLIKSIMAB dorisi haqida qisqacha.π INFLIKSIMAB
Yaratgan Pentadamning ikki bosqichini bemorlarga shaxsan qo'llab ko'rdim va a'lo natija oldim.
π° Qo'llanishi
@firstaidstep1
π10π₯3π1π1
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π TCA cycle | Krebs sikli
#biochemistry
π° Mechanism
π
π YouTube π
https://www.youtube.com/embed/dH-4MrmX9rI
@firstaidstep1
#biochemistry
π° Mechanism
π
Kalamush so'lagi
π BΒΉ defitsiti
π Dengiz mahsulotini ko'p iste'moli
π Glukoza ko'p iste'mol qilish
π YouTube π
https://www.youtube.com/embed/dH-4MrmX9rI
@firstaidstep1
π9β‘2π1
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πElectron transport chain and oxidative phosphorilation | Electron transport zanjir va oksidativ fosforillanish
#biochemistry
π° Mechanism
π
π YouTube π
https://www.youtube.com/embed/b9yWnJDoJy8
@firstaidstep1
#biochemistry
π° Mechanism
π
ASPIRIN intake overdose π YouTube π
https://www.youtube.com/embed/b9yWnJDoJy8
@firstaidstep1
π9β‘2π1π₯1