AYOLLARDA BEPUSHTLIK: ZAMONAVIY DIYAGNOSTIKA VA DAVOLASH USULLARI
pdf

Kalit so‘zlar

Ayollar bepushtligi, reproduktiv salomatlik, zamonaviy diagnostika, gormonal tekshiruv, AMH, FSH, LH, ovulyatsiya, nay-peritoneal omil, endokrin bepushtlik, polikistik tuxumdon sindromi, gisterosalpingografiya, gisteroskopiya, laparoskopiya, IVF, ICSI, yordamchi reproduktiv texnologiyalar, individual davolash, reproduktiv tibbiyot.

Abstrak

Mazkur maqolada ayollarda bepushtlikning etiologik omillari, zamonaviy diagnostika usullari va davolash strategiyalari kompleks tarzda tahlil qilingan. Tadqiqotda bepushtlikning nay-peritoneal, endokrin, bachadon va aniqlanmagan genezli shakllari, ularning klinik xususiyatlari hamda diagnostik mezonlari o‘rganilgan. Zamonaviy diagnostika usullari, jumladan, gormonal tekshiruvlar, anti-Myuller gormoni (AMH) aniqlash, transvaginal ultratovush tekshiruvi, gisterosalpingografiya, gisteroskopiya, laparoskopiya, genetik va immunologik tekshiruvlarning ahamiyati yoritilgan. Tadqiqot natijalariga ko‘ra, nay-peritoneal omil 39,1% holatda, endokrin omil 33,0% holatda, bachadon omili 14,9% holatda, aniqlanmagan genezli bepushtlik esa 13,0% holatda kuzatilgan. Davolashda ovulyatsiyani stimulyatsiya qilish, gormonal terapiya, jarrohlik usullari hamda yordamchi reproduktiv texnologiyalardan foydalanish samaradorligi baholangan. Olingan natijalar ayollar bepushtligini aniqlash va davolashda individual, bosqichma-bosqich hamda kompleks yondashuvning muhimligini ko‘rsatadi.

pdf

References

Al-Azemi, M., Al-Jarrah, A., & Al-Bader, S. (2020). Polycystic Ovary Syndrome: Current Concepts in Pathogenesis, Diagnosis, and Management. *Obstetrics & Gynecology International Journal*, 12(1), 00418.

ASRM (American Society for Reproductive Medicine). (2020). Definitions of infertility and recurrent pregnancy loss: a committee opinion. *Fertility and Sterility*, 113(5), 903-905.

ESHRE Guideline Group on Infertility, Fauser, B. C. J. M., Devroey, P., et al. (2023). ESHRE guideline: Management of women with infertility. *Human Reproduction*, 38(7), 1239–1267.

Goldman, M. B., & T. A. K. Hatch. (2021). *Women and Health*. Academic Press.

Guyton, A. C., & Hall, J. E. (2020). *Textbook of Medical Physiology*. Elsevier. (Oʻzbek tiliga tarjima qilingan yoki mahalliy nashrlarda foydalanilgan variantlar nazarda tutilgan).

Камилова, Р. Т., & Азимова, Г. А. (2021). Женское бесплодие: современные подходы к диагностике и лечению. *Медицинский журнал Узбекистана*, (3), 45-50.

Кулаков, В. И., Савельева, Г. М., & Манухин, И. Б. (2019). *Гинекология: Национальное руководство*. ГЭОТАР-Медиа.

Makhmudov, A. R., & Karimova, D. A. (2022). Ovarian reserve assessment in infertile women: current perspectives. *Central Asian Journal of Medicine*, 2(1), 1-7.

O'zbekiston Respublikasi Sog'liqni Saqlash Vazirligi. (2023). *Bepushtlikni diagnostika qilish va davolash bo'yicha klinik protokollar*. Toshkent.

Speroff, L., Fritz, M. A., & K. M. Klein. (2020). *Clinical Gynecologic Endocrinology and Infertility*. Wolters Kluwer.

Varghese, A. C., & Agarwal, A. (2021). *Assisted Reproductive Technology: A Comprehensive Guide*. Springer.

WHO (World Health Organization). (2023). *Infertility: A global public health issue*. Geneva: WHO Press.

Zargarova, N. R., & Khodjayeva, N. M. (2020). Endometriosis and infertility: diagnostic challenges and therapeutic strategies. *Journal of Reproductive Health and Disease*, 15(4), 112-118.