Encephalo 🧠
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πŸ”° USMLE materialiga asoslangan
πŸ”° MRT/KT
πŸ”° Terapiya
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Encephalo 🧠
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 '' ga…
Obunachilarim uchun yozdim, o'qib chiqinglar. Dr. Ibrakhimov UASH kanalida shunday yozilgandi. Men tahlilini ochib berdimπŸ€¨πŸ“Œ.

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 emas🀯. Nimalar deb tashayapsan😭.
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 birda😁

@firstaidstep1
πŸ‘11😁4
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!
πŸ‘8πŸ‘Ž1
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πŸ“Œ Ethanol metabolism Part 1

#biochemistry
Super high yield

πŸ”° Decrease ADH
πŸ”° Body size
πŸ”° Water depletion
πŸ”° Lactic acidosis
πŸ”° Fasting hypoglycemia
πŸ”° Ketoacidosis
πŸ”° Hepatosteatosis
πŸ”° Stage fatty in liver
πŸ”° Hangover symptoms
πŸ”° Discouraging drinking

πŸ›‘ YouTube πŸ‘‡
https://www.youtube.com/embed/PQSvdOzDroY

#jonsharipov

@firstaidstep1
πŸ‘11⚑1πŸ‘Ž1
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πŸ“Œ Ethanol metabolism Part 2

#biochemistry
Super high yield

πŸ”° Decrease ADH
πŸ”° Body size
πŸ”° Water depletion
πŸ”° Lactic acidosis
πŸ”° Fasting hypoglycemia
πŸ”° Ketoacidosis
πŸ”° Hepatosteatosis
πŸ”° Stage fatty in liver
πŸ”° Hangover symptoms
πŸ”° Discouraging drinking
πŸ”° Hyperurecemia
πŸ”° Vomiting
πŸ”° Pain
πŸ”° Hepatitis


πŸ›‘YouTube πŸ‘‡
https://www.youtube.com/embed/fqnhu3QpjGk

#jonsharipov

@firstaidstep1
πŸ‘10πŸ‘Ž1πŸ”₯1πŸ‘1🀩1
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πŸ“Œ Enzyme terminology | Fermentlar terminalogiyasi

#biochemistry

Ko'pchilikni qiynaydigan va biochemistryni tushunish uchun ildiz hisoblanadigan mavzu❗️

πŸ”΄ Kinase
πŸ”΄ Phosphorilase
πŸ”΄ Phosphotase
πŸ”΄ Dehydrogenase
πŸ”΄ Hydroxylase
πŸ”΄ Carboxylase
πŸ”΄ Mutase
πŸ”΄ Synthase
πŸ”΄ Synthetase


πŸ›‘ YouTube πŸ‘‡
https://www.youtube.com/embed/7ZFasUIvyhI

πŸ”• Bularsiz biochemistryga yo'l yo'q❗️

πŸ“’ #jonsharipov

@firstaidstep1
πŸ‘10⚑3
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πŸ“Œ Enzymes in metabolism | Metabolizmda fermentlar

#biochemistry

πŸ”° Process
πŸ”° Enzymes
πŸ”° Regulators


πŸ“ŒMetabolism sites

πŸ”° Mitochondria
πŸ”° Cytoplasm
πŸ”° Both


πŸ›‘ YouTube πŸ‘‡
https://www.youtube.com/embed/6N6HDjBfcyE

@firstaidstep1
πŸ‘7🀩1
Encephalo 🧠
Biochemistry tugaganidan so'ng STEP 1 dan nimani tahlil qilamiz?
πŸ“Œ After biochemistry, we will analyze the Cardiovascular system...
πŸ‘6πŸ”₯2
#Biochemistry_keys

43 yoshli ayol, taxminan 4 hafta oldin o’tkazilgan 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 ko’ki bilan ranglantirilgan sitoplazmik strukturalarni tutuvchi
yetilmagan eritrotsitlarni ko’rsatgan.Quyida ko’rsatilgan moddalarning qaysi birining yetishmovchiligi yuqoridagi
topilmalarga sabab bo’lgan
?
Yuqoridagi keys uchun mos javobni tanlang Encephalo kanal a'zolari
Anonymous Quiz
10%
Niatsin(BΒ³)
13%
Tiamin(BΒΉ)
39%
Folik kislota(B⁹)
15%
Riboflavin (BΒ²)
23%
Piridoksin(B⁢)
⚑6πŸ‘3πŸ€”1
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πŸ“Œ Glycolysis | Glikoliz

#biochemistry

πŸ”° Mechanism

πŸ›‘ YouTube πŸ‘‡
https://www.youtube.com/embed/BPwH1_9nJ6g

@firstaidstep1
πŸ‘9⚑2πŸ”₯1
#biochemistry_keys

16-yoshli o’spirin maktabga ketayotgan paytida muz ustida sirpanib yiqilganligi sababli tez yordam
bo’limiga olib kelindi.U boshini yo’lak chetiga urgan ammo xushini yo’qotmagan.Voqea sodir bo’lganidan
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, ma’lum garmonlar konsentratsiya ko’payishini , boshqalarini esa
kamayishini biladi.Fermentlarning garmonlar ta’sirida allosterik boshqariluvini hisobga olgan holda ,
quyida keltirilgan qaysi ferment bu bemorda ingibirlangan
?
πŸ‘13
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
⚑5πŸ‘2πŸ‘Ž1
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πŸ“Œ Gluconeogenesis | Glukoneogenez

#biochemistry

πŸ”° Cahill cycle
πŸ”° Cori cycle
πŸ”° Von Gierke disease
πŸ”° Irreversibly enzymes


πŸ›‘ YouTube πŸ‘‡
https://www.youtube.com/embed/FdKcjyqNqLY


@firstaidstep1
πŸ‘6⚑5πŸ”₯2πŸ‘Ž1
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πŸ“ŒTransports | Important enzymes | Electron acceptors

#biochemistry

πŸ”° Activated carriers
πŸ”° Universal electron acceptors
πŸ”° Hexokinase
πŸ”° Glucokinase
πŸ”° And other


πŸ›‘ YouTube πŸ‘‡
https://www.youtube.com/embed/iVFDwZgaRPw

@firstaidstep1
πŸ‘10πŸ”₯2πŸ‘2
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πŸ“Œ Regulation glycolysis and gluconeogenesis with key enzymes | Asosiy fermentlar orqali glikoliz va glukoneogenezning boshqarilishi

πŸ”° Mechanism

πŸ›‘ YouTube πŸ‘‡
https://www.youtube.com/embed/Cg9igc2MF2c

@firstaidstep1
πŸ‘10πŸ‘3πŸ”₯2
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πŸ“ŒPyruvate dehydrogenase complex and deficiency | Piruvat degidrogenasa kompleksi va defitsiti

πŸ”° Mechanism

πŸ›‘YouTube πŸ‘‡
https://www.youtube.com/embed/v_u-2Vk4P_w

@firstaidstep1
πŸ‘6πŸ‘3πŸ”₯2
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πŸ“Œ Pyruvat metabolism | Piruvat metabolizm

πŸ”° Cori cycle
πŸ”° Cahill cycle

πŸ›‘
YouTube πŸ‘‡
https://www.youtube.com/embed/sSgsqtfm7Jw


@firstaidstep1
πŸ‘10πŸ‘2πŸ”₯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.
πŸ’Š INFLIKSIMAB

Yaratgan Pentadamning ikki bosqichini bemorlarga shaxsan qo'llab ko'rdim va a'lo natija oldim.

πŸ”° Qo'llanishi

@firstaidstep1
πŸ‘10πŸ”₯3πŸ‘Ž1πŸ‘1
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πŸ“Œ TCA cycle | Krebs sikli

#biochemistry

πŸ”° Mechanism

πŸ”˜ Kalamush so'lagi
πŸ”˜ BΒΉ defitsiti
πŸ”˜ Dengiz mahsulotini ko'p iste'moli
πŸ”˜ Glukoza ko'p iste'mol qilish

πŸ›‘ YouTube πŸ‘‡
https://www.youtube.com/embed/dH-4MrmX9rI

@firstaidstep1
πŸ‘9⚑2πŸ‘1
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πŸ“ŒElectron transport chain and oxidative phosphorilation | Electron transport zanjir va oksidativ fosforillanish

#biochemistry

πŸ”° Mechanism

πŸ”˜ ASPIRIN intake overdose

πŸ›‘ YouTube πŸ‘‡
https://www.youtube.com/embed/b9yWnJDoJy8


@firstaidstep1
πŸ‘9⚑2πŸ‘Ž1πŸ”₯1