Terapiya UZ
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๐Ÿ”ฐ USMLE materialiga asoslangan
๐Ÿ”ฐ MRT/KT
๐Ÿ”ฐ Terapiya
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๐Ÿ“Œ Bacillary angiomatosis

Immunitet pasaygan odamlarda(OIV/OITS) bartonella bakteriyalaro sababli rivojlanadi, qon tomirli proliferativ teri kasalligi.


๐ŸŒก Klinikasi

๐Ÿ”˜ Qizil yoki binafsha papula/nodular
๐Ÿ”˜ Tez o'sadi
๐Ÿ”˜ Oson qonaydi
๐Ÿ”˜ bir nechta o'choq bo'lishi mumkin


๐Ÿ’‰ Davolash
Antibiotiklar va birlamchi kasallikka kurashish


@firstaidstep1
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๐Ÿ“Œ Glomus tumor

Glomus tanachalardan kelib chiqadigan, odatda yaxshi sifatli(benign) perivaskular o'sma. Glomus tanachalar termoregulyatsiyada ishtirok etuvchi arteriovenoz anastomozlar hisoblanadi. Tirnoq osti sohasida yuzaga keladi.


๐ŸŒก Klinikasi

๐Ÿ”˜ Qizil-ko'k tumor
๐Ÿ”˜ Og'riqli, ayniqsa bosganda
๐Ÿ”˜ Sovuqqa sezuvchanlik yuqori


@firstaidstep1
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๐Ÿ“Œ Normal bosh aylanasi

Rasmda grafikasi keltirilgan. Moslab hisoblaysizlar oyma-oy yil-yosh bo'yicha

๐Ÿ”˜ Bolalarda
๐Ÿ”˜ Qizlarda

๐Ÿงฎ O'lchash texnikasi

Ensa-peshona aylana uzunligi inobatga olinadi, ya'ni bola boshining eng katta aylana o'lchami...

O'lchov lentasi:
Oldinda: glabella-qoshlar orasidagi eng chiqib turgan nuqta
Orqada- ensaning eng chiqib turgan nuqtasi
Orqali aylantiriladi.

Klinik ahamiyati:
Agar ensa-peshona aylanasi oshgan bo'lsa macrosefaliya; masalan, gidrosefaliya, megalesefaliya
Agar kamaygan bo'lsa, microsefaliya


@firstaidstep1
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๐Ÿ“Œ Tenia capitis- Bosh terisi temiratkisi

Bosh terisi va soch follikulalari zambrug'li infeksiyasi.


๐ŸŒกKlinikasi:
๐Ÿ”˜ Bosh terisida qichishish va qiliqli dog'lar
๐Ÿ”˜ Soch sinishi va kal dog'i hosil bo'lishi
๐Ÿ”˜ Terining qizarishi yoki kulrang tusga kirishi
๐Ÿ”˜ Og'ir holatda yiringli, og'riqli shishlar(kerion) paydo bo'lishi


๐Ÿ’‰Davolash:

๐ŸงฟTerbinafin yoki kloritromazol mazlarini surtish

๐ŸงฟKetokanazolli shampunlarda bosh yuvish
๐ŸงฟVitaminoterapiya
๐ŸงฟUmumiy immunitetni ko'tarish


@firstaidstep1
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Forwarded from Terapiya UZ
๐Ÿ“ŒUSMLE STEP1 bo'yicha biochemistry barcha mavzulari tahlili.

๐Ÿ—ฃ Steptaker: #jon_sharipov


1] Yog'da va suvda eriydigan vitaminlar. Umumiy ma'lumot

2] Vitaminlar qo'shimcha qilish. Vitamin A

3] Vitamin Bยน va Bยฒ

4] Vitamin Bยณ

5] Vitamin Bโต Bโถ Bโท

6] Vitamin Bโน

7] Vitamin Bยนยฒ

8] Vitamin C

9] Vitamin va mineral absorption

10] Vitamin D

11] Vitamin E, K va Sink

12] KWASHIORKOR and MARASMUS

13] Ethanol metabolism Part 1

14] Ethanol metabolism Part 2

15] Enzyme terminology

16] Enzymes in metabolism

17] Glycolysis

18] Gluconeogenesis

19] Transports| Important enzymes

20] Regulation glycolysis and Gluconeogenesis with key enzymes

21] Piruvat dehydrogenase complex and deficiency

22] Pyruvate metabolism

23] TCA cycle(Krebs sikli)

24] Electron transport chain and oxidative phosphorilation

25] Pentose phosphate pathway

26] Glucose-6-phosphate dehydrogenase deficiency

27] Disorder o Fructose metabolism

28] Disorder of Galactose metabolism

29] Sorbitol

30] Lactase deficiency

31] Amino Acids

32] Urea cycle(mochevina sikli)

33] Hyperammonemia

34] Amino Acids derivatives| Catecholamine Synthesis| Tyrosine catabolism

35] Phenylketonuria

36] Maple syrup urine disease

37] Homocystinuria

38] Cystinuria and Organic acidemias

39] Glycogen metabolism by hormones and enzymes

40] Glycogen storage diseases Part 1

41] Glycogen storage diseases Part 2

42] Lysosomal storage diseases

43] Fatty acid metabolism| Yog' kislota metabolizmi

44] Ketone bodies

45] BILIRUBIN METABOLIZMI

46] Fasting and Fed state| Ochlik va To'qlik holati

47] Lipoprotein metabolism Part 1


Kanalga obuna boโ€™ling๐Ÿ‘‡
@firstaidstep1
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๐Ÿ“Œ Lemierra syndrome

Bu orofaringeal infeksiya(og'iz-halqum) internal vena tromboflebitiga va keyinchalik septik emboliyaga sabab bo'ladigan holat.
๐Ÿ”˜ Angina
๐Ÿ”˜ Tonzilit
๐Ÿ”˜ Faringit

lardan keyin yuzaga keladi.

๐Ÿฆ Fusobacterium necrophorum bakteriyasi bilan bog'liq

๐Ÿ’‰ Davolash
Intravenoz antibiotiklar(klindamitsin, beta laktam/beta laktamaza ingibitorlari)
๐Ÿ”ชJarrohlik

@firstaidstep1
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๐Ÿ“Œ Evans indeksi

Bu miya qorinchalaring, ayniqsa lateral qorinchalar Frontal shoxlarning kengayishini baholash uchun ishlatiladigan kraniometrik ko'rsatgich.

๐Ÿงฎ Qanday hisoblanadi?

A- lateral qorinchalarning Frontal shoxlari orasidagi eng katta ichki kenglik
B- shu kesimdagi bosh suyagining eng katta ichki diametri

๐Ÿ“Evans indeks=A/B normada 0.2-0.25 , 0.25-0.3 chegaraviy, >0,3 bu ventricular kattalashish yoki kengayish

๐Ÿ“Nega kerak?

๐Ÿ”˜ Gidrosefaliyani baholashda
๐Ÿ”˜ Normal bosimli gidrosefaliyani tekshirishda
๐Ÿ”˜ Ventrikulomegaliyani miqdoriy baholashda

โ—๏ธMuhim: Evans indeksining o'zi Gidrosefaliya tashxisini qo'ymaydi. Klinik belgilar va boshqa MRT/KT belgilari bilan birga baholanadi

@firstaidstep1
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๐Ÿ“Œ Sut emizadigan ayollarga mos antibiotiklar

Dizuriyada(siyish vaqtida og'riq, achishish yoki kuydirish hissi),(sistit/uretrit) tavsiya etilgan dorilar rasmda ko'rsatilganidek sut emizuvchi ayollarda ba'zi bir antibiotiklarni mumkin deb ko'rsatmoqda.


๐Ÿ”˜ Biseptol(trimetoprim-sulfametoksazol)
๐Ÿ”˜ Amoksatsilin
๐Ÿ”˜ Furadonin(nitrofurantoin)
๐Ÿ”˜ Siprofloksatsin
๐Ÿ”˜ Oflofloksatsin

Manba:
#American_Academy_of_Pediatrics_Committee_on_Drug.

Haqiqatdan shundaymi deb ba'zi bir saytlardan qidirdim. Tepada ko'rsatilgan antibiotiklar boshqa antibiotiklarga nisbattan sutga kam miqdorda o'tar ekan va emizishda qabul qilish mumkin demoqda. Ammo bolada diareya, og'iz kandidozi va oshqozon-ichaklar ta'sirlarga kuzatish tavsiya etiladi deb yozgan.

Lekin doim ehtiyot bo'lish kerak

๐Ÿ”ฐ Yangi tug'ilgan chaqaloq bo'lsa
๐Ÿ”ฐ Chala tug'ilgan bo'lsa
๐Ÿ”ฐ Sariqligi bo'lsa(biseptol kuchaytirib, karnikterus rivojlanish xavfi bor)
๐Ÿ”ฐ Bola kasal/stress holatida bo'lsa


@firstaidstep1
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๐Ÿ“Œ Baker kistasi

Bu tizza orqa qismida paydo bo'ladigan, synovial suyuqlik bilan to'lgan qopcha(kista). Uni ba'zan popliteal cyst ham deb atashadi.


Uchraydigan kasalliklari

๐Ÿ”˜ Artroz(osteoarthritis)
๐Ÿ”˜ Revmatoid arthrit
๐Ÿ”˜ Menisk jarohati
๐Ÿ”˜ Sinovitlarda


๐Ÿ”ฐ Tizza orqa qismida shish
๐Ÿ”ฐ Oyoqni to'lliq bukmaslik
๐Ÿ”ฐ Qattiqlik
๐Ÿ”ฐ Og'riq(ayniqsa yurganda va bukkanda)


๐ŸฉปDiagnosis
UZI-eng oson usul
MRT-aniq diagnostika

๐Ÿ’‰ Davolash
๐Ÿ›ก Tinchlik
๐Ÿ›ก Yallig'lanishga qarshi dorilar
๐Ÿ›ก Fizioterapiya
๐Ÿ›ก Asosiy kasallikni davolash
๐Ÿ›ก Kistani punksiya qilish
๐Ÿ›ก Corticosteroidlar inyeksiyasi
๐Ÿ›ก Kistani olib tashlash

@firstaidstep1
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