EPILEPSIYANI JARROHLIK USULDA DAVOLASH: IMKONIYATLAR VA XAVF-XATARLAR
Keywords:
Epilepsiya, jarrohlik davolash, epileptik o‘choq, neyroxirurgiya, xavf-xatar, dori-darmonlarga chidamli epilepsiya.Abstract
Epilepsiya — markaziy asab tizimining eng keng tarqalgan surunkali kasalliklaridan biri bo‘lib, ko‘plab bemorlarda konservativ davolash (antikonvulsant dorilar) yetarli natija bermaydi. Bunday hollarda jarrohlik usullari qo‘llanilishi dolzarb hisoblanadi. Zamonaviy neyroxirurgik amaliyot epileptik o‘choqni aniqlash va uni jarrohlik yo‘li bilan olib tashlash imkonini beradi. Bu esa dori-darmonlarga chidamli epilepsiya bilan og‘rigan bemorlarning hayot sifatini yaxshilash, tutqanoqlar chastotasini kamaytirish yoki butunlay bartaraf etishda muhim ahamiyat kasb etadi. Shu bilan birga, jarrohlik usullari bilan bog‘liq xavf-xatarlar, nevrologik asoratlar va qaytalanish ehtimoli ham mavjud. Ushbu maqolada epilepsiyani jarrohlik davolashning imkoniyatlari, samaradorligi va xavf-xatarlari haqida so‘z yuritiladi.
References
1. Engel J. Surgical Treatment of the Epilepsies. 2nd Edition. New York: Raven Press, 1993.
2. Wiebe S, Blume WT, Girvin JP, Eliasziw M. A randomized, controlled trial of surgery for temporal-lobe epilepsy. New England Journal of Medicine. 2001;345(5):311–318.
3. Téllez-Zenteno JF, Hernández-Ronquillo L, Moien-Afshari F, Wiebe S. Surgical outcomes in lesional and non-lesional epilepsy: A systematic review and meta-analysis. Epilepsy Research. 2010;89(2-3):310–318.
4. Rosenow F, Lüders H. Presurgical evaluation of epilepsy. Brain. 2001;124(9):1683–1700.
5. Kwan P, Brodie MJ. Early identification of refractory epilepsy. New England Journal of Medicine. 2000;342(5):314–319.
6. McIntosh AM, Kalnins RM, Mitchell LA, et al. Temporal lobectomy: Long-term seizure outcome, late recurrence and risks for seizure recurrence. Brain. 2004;127(9):2018–2030.
7. Spencer SS, Berg AT, Vickrey BG, et al. Health-related quality of life over time since resective epilepsy surgery. Annals of Neurology. 2007;62(4):327–334.
8. Fisher R, Salanova V, Witt T, et al. Electrical stimulation of the anterior nucleus of thalamus for treatment of refractory epilepsy. Epilepsia. 2010;51(5):899–908.