Ключевые слова
Аннотация
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.
Библиографические ссылки
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.