{"id":13483,"date":"2024-09-06T10:46:56","date_gmt":"2024-09-06T10:46:56","guid":{"rendered":"https:\/\/hilol-med.uz\/?p=13483"},"modified":"2024-09-07T10:14:59","modified_gmt":"2024-09-07T10:14:59","slug":"tizmli-qizil-boricha-sistemali-tizimli-qizil-volchanka-skvsabablari-diagnostika-davolash","status":"publish","type":"post","link":"https:\/\/hilol-med.uz\/uz\/tizmli-qizil-boricha-sistemali-tizimli-qizil-volchanka-skvsabablari-diagnostika-davolash\/","title":{"rendered":"Tizmli qizil bo\u2018richa Sistemali (tizimli) qizil volchanka (SKV)sabablari, diagnostika, davolash."},"content":{"rendered":"\n

Tizmli qizil bo\u2018richa Sistemali (tizimli) qizil volchanka<\/strong> \u2014 og\u2018ir kechadigan surunkali kasallik bo\u2018lib, qon tomirlari, teri, barcha ichki a\u02bczolar biri<\/p>\n\n\n\n

ktiruvchi to\u2018qimasining shikastlanishi bilan kechadi. Bu kasallik ko\u2018pincha yoshlarda (ayniqsa, ayollar va qizlarda), kasallikka moyil bo\u2018lgan kishilarda uchraydi. Sistemali qizil volchanka kasalligida ichki a\u02bczolarning zararlanishi asosiy o\u2018rin tutadi.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Tarixi \u201eTizimli qizil bo\u02bbricha<\/strong>\u201c   – \u201eLupus erythematosus\u201c, \u201elupus\u201c tarjimasi \u201ebo\u02bbri\u201c, \u201eerythematosus\u201c-«qizil». 1872 y.- avstriyalik vrach-dermatolog Moriz Kaposi birinchi marta tizimli poliorgan kasallik deb yozgan. 1948 y. \u2014 Hargveis «bo\u02bbrichali hujayra» fenomeni \u2014 LE-hujayralarni aniqladi. 1948 y. \u2014 Nobel mukofoti laureati Nench tizimli qizil yugurik va boshqa biriktiruvchi to\u02bbqima kasalliklarini davolashda GKS rolini aniqladi Tizimli qizil yugurikka duchor bo\u02bblgan va shu kasallikdan vafot etgan Janubiy Amerikalik yozuvchi Flannery O\u02bbConnor kasallik haqida shunday yozadi: Menga juda qo\u02bbrqinchli, chunki bo\u02bbri ich-etimni tilka-pora qilyapti!<\/p>\n\n\n\n

Tizmli qizil bo\u02bbricha Epidimiologiyasi<\/strong> <\/strong>(<\/strong>insonlarda uchrashi<\/strong>)<\/strong>:  <\/p>\n\n\n\n

 Tarqalishi bo\u02bbyicha 100000 ta aholiga 25-50 nafar bemorni tashkil etadi. Ayollarda erkaklarga nisbatan 10 barobar ko\u02bbproq uchraydi. Kasallikni boshlanishi ko\u02bbpincha 14-40 yoshlar oralig\u02bbiga to\u02bbg\u02bbri keladi.<\/p>\n\n\n\n

\n

Bizning Hilol Med klinikamizda 7 yillik tajribaga ega revmatolog shifokor Omonov Bekzod Xasanovich, Professor Miraxmedova Hilola To\u2019xtasinovnalar birgalikda tizimli autoimmun kasalliklar, jumladan Revmatoid artrit bilan og\u2019rigan bemorlarni davolashadi. Sizda yoki yaqinlaringizda revmatoid artrit bo\u2019lsa xoziroq ro\u2019yxatdan o\u2019ting<\/a> yoki +998712002303 ga qo\u2019ng\u2019iroq qiling.<\/em><\/strong><\/p>\n\n\n\n

\"\"<\/a><\/figure>\nTizimli qizil bo’richa xaqida video ko’rish <\/a><\/cite><\/blockquote>\n\n\n\n

Tasnifi Kechishi bo\u02bbyicha<\/strong><\/p>\n\n\n\n

I. O\u02bbtkir<\/p>\n\n\n\n

II. O\u02bbtkir osti<\/p>\n\n\n\n

III. Surunkali:<\/p>\n\n\n\n

1)Qaytalanuvchi poliartrit yoki serozit<\/p>\n\n\n\n

2)Diskoidli qizil yugurik sindromi<\/p>\n\n\n\n

3)Reyno sindromi<\/p>\n\n\n\n

4)Verlgof sindromi<\/p>\n\n\n\n

5)Epilepsiya sindromi<\/p>\n\n\n\n

Faolligi bo\u02bbyicha<\/strong><\/p>\n\n\n\n

    \n
  1. Faol bosqichi<\/li>\n\n\n\n
  2. Yuqori (3-daraja)<\/li>\n\n\n\n
  3. Yengil (2-daraja)<\/li>\n\n\n\n
  4. Minimal (1-daraja)<\/li>\n<\/ol>\n\n\n\n

    II. Nofaol bosqichi (remissiya)<\/p>\n\n\n\n

    Zararlanishning klinik<\/strong> \u2014 morfologik tasnifi<\/strong><\/p>\n\n\n\n

      \n
    1. Teri -ekssudatli eritema, diskoidli yugurik, kapilyar purpura<\/li>\n\n\n\n
    2. Bo\u02bbg\u02bbim- artralgiya, poliartrit Buyrak \u2014 diffuz glomerulonefrit<\/li>\n\n\n\n
    3. Yurak \u2014 miokardit, endokardit, mitral klapan yetishmovchiligi<\/li>\n\n\n\n
    4. O\u02bbpka \u2014 pnevmonit, pnevmoskleroz<\/li>\n\n\n\n
    5. Nerv tizimi \u2014 ensefalonevrit, polinevrit<\/li>\n<\/ol>\n\n\n\n
      \"\"<\/figure>\n\n\n\n

      Sistemali qizil volchanka etiologiyasi<\/strong> Kasallikning kelib chiqishida RNK guruhiga taalluqli sekin ta\u02bcsir qiluvchi virus asosiy sababchi hisoblanadi. Kasallik paydo bo\u2018lishida irsiy moyillik, revmatizm va ba\u02bczi allergik kasalliklar bilan og\u2018rish, bemorlar qonida qizamiqqa qarshi antitanalar borligi, kasallik avj olishida tashqi muhit ta\u02bcsiri, fizioterapiya muolajalari, quyosh nuri, dori-darmonlar qabul qilish alohida o\u2018rin egallaydi.<\/p>\n\n\n\n

      Sistemali qizil volchanka patogenezi<\/strong> Virus ta\u02bcsirida (ba\u02bczan virusga qarshi antitanalar ta\u02bcsirida) shu kasallikka moyillik mavjudligida immunologik javobni boshqarish o\u2018zgaradi: T-limfotsitlar kamayishi va B-limfotsitlar faolligining ortishi \u2014 gumoral immunitetning faolligini oshiradi. Bemorlar a\u02bczoi badanida nazorat qilib bo\u2018lmaydigan, har xil to\u2018qimalarga, tana oqsillariga qarshi antitanalar paydo bo\u2018ladi. Birinchi bosqichda immun birikmalar paydo bo\u2018ladi va ular a\u02bczolar va to\u2018qimalarda joylashadi (xususan, mayda qon tomirlarda), bu birikmalar a\u02bczolarni jarohatlantiradi va immun yallig\u2018lanishga olib keladi. Yallig\u2018lanish va biriktiruvchi to\u2018qimaning zararlanishi natijasida yangi antigenlar paydo bo\u2018ladi, bunga javoban yana antitanalar kuzatiladi, shu tariqa kasallik surunkali kechadi.<\/p>\n\n\n\n

      Patalogik anatomiyasi<\/strong> Sistemali qizil volchanka kasalligida barcha a\u02bczolar va to\u2018qimalar zararlanadi. Tomirlarda va kapillyarlarda yallig\u2018lanish kuzatiladi. Biriktiruvchi to\u2018qimada fibrinoid nekroz rivojlanadi, bu fibrinoid parchalangan DNK moddalariga boy bo\u2018ladi. Ichki a\u02bczolarda qon tomirlaridagi o\u2018zgarishlar bilan bir qatorda limfoid va plazmatik to\u2018qimalarning ichiga botgan joylari kuzatiladi. Ba\u02bczi a\u02bczolardagi morfologik o\u2018zgarishlar sistemali qizil volchankaga xos bo\u2018lib, ayniqsa, taloqning markaziy arteriyasida periferik skleroz, buyrak koptokchalarida qon tomirlarining qalinlashuvi natijasida paydo bo\u2018lgan simga o\u2018xshash tugunchalar, yurak qopqoqlari va endokardning yallig\u2018lanishi bilan ifodalangan volchanka endokarditi ko\u2018rinishida o\u2018tadi.<\/p>\n\n\n\n

      Diagnostika\u0441\u0438:<\/p>\n\n\n\n

      Katta belgilar<\/strong>:<\/p>\n\n\n\n

      \u2022 Kapalaksimon toshma<\/p>\n\n\n\n

      \u2022 Lyupus nefrit<\/p>\n\n\n\n

      \u2022 Lyupus artrit<\/p>\n\n\n\n

      \u2022 Pnevmonit<\/p>\n\n\n\n

      \u2022 LE hujayralari aniqlanishi<\/p>\n\n\n\n

      \u2022 Gemolitik anemiya<\/p>\n\n\n\n

      \u2022 DNK qarshi antiteloni aniqlanishi<\/p>\n\n\n\n

      Kichik belgilar<\/strong><\/p>\n\n\n\n

      \u2022Isitma<\/p>\n\n\n\n

      \u2022 Ozish<\/p>\n\n\n\n

      \u2022 Poliserozit<\/p>\n\n\n\n

      \u2022 Limfadenopatiya<\/p>\n\n\n\n

      \u2022 Miokardit<\/p>\n\n\n\n

      \u2022 Gepatosplenomegaliya<\/p>\n\n\n\n

      \u2022 Ensefalopatiya<\/p>\n\n\n\n

      \u2022 Vaskulit<\/p>\n\n\n\n

      \u2022 ECHT ortishi<\/p>\n\n\n\n

      \u2022 Leykopeniya<\/p>\n\n\n\n

      \u2022 Trombositopeniya<\/p>\n\n\n\n

      Differensial diagnostika<\/strong>:<\/p>\n\n\n\n

      -Revmatik isitma<\/p>\n\n\n\n

      -Revmatoid artrit<\/p>\n\n\n\n

      -Sistemali sklerodermiya<\/p>\n\n\n\n

      -Shegren sindromi<\/p>\n\n\n\n

      -Tizimli vaskulit<\/p>\n\n\n\n

      -Sarkoidoz<\/p>\n\n\n\n

      -Trombositopenik purpura<\/p>\n\n\n\n

      – OITS<\/p>\n\n\n\n

      -Bakterial endokardit<\/p>\n\n\n\n

      Sistemali qizil volchanka klinikasi<\/strong>: Kasallik belgilari har xil bo\u2018lib, asta-sekin zo\u2018rayib boradi.<\/p>\n\n\n\n

      \"\"<\/figure>\n\n\n\n

       Asosan 3 ta \u201ekatta\u201c belgisi bilan ifodalanadi: dermatit (terining yallig\u2018lanishi), poliartrit (bo\u2018g\u2018imlar yallig\u2018lanishi), poliserozit (har xil a\u02bczolar seroz qavatida yallig\u2018lanishi, suyuqlik yig\u2018ilishi). Sistemali qizil volchanka ko\u2018p belgili kasallik bo\u2018lib, tez rivojlanishi, ikkilamchi infeksiya qo\u2018shilishi, salbiy oqibati bilan boshqa kasalliklardan ajralib turadi. Kasallikning klinik manzarasida aksariyat biror belgi ustunlik qiladi. Kasallik ko\u2018pincha bo\u2018g\u2018imlar zararlanishi bilan boshlanadi.<\/p>\n\n\n\n

      Bo\u2018g\u2018imlarning zararlanishi (lyupus artrit)<\/strong> deb ataladi. Sistemali qizil volchanka bilan og\u2018rigan deyarli hamma bemorlarda o\u2018tkir va surunkali artrit, poliartralgiyalar kuzatiladi. Ko\u2018pincha barmoqlar, kaft, tizza, to\u2018piq bo\u2018g\u2018imlari shikastlanadi. O\u2018tkir yallig\u2018lanish turida bo\u2018g\u2018imlarda shish, terisida qizarish, qattiq og\u2018riq, toshmalar paydo bo\u2018lganligi, bo\u2018g\u2018imlar qiyshayib, harakati chegaralangani bilan ifodalanadi. Zararlangan bo\u2018g\u2018imlardagi og\u2018riq va shish orasida bog\u2018liqlik bo\u2018lmaydi. Ko\u2018proq tizza, taqim, bilak, panja bo\u2018g\u2018imlari zararlanadi. O\u2018tkir lyupusartritda turg\u2018un bo\u2018g\u2018im yetishmovchiligi kuzatilmaydi. Surunkali lyupusartritda bo\u2018g\u2018imlarda kasallik boshlangandan 10-15 yil o\u2018tgach bo\u2018g\u2018imlarning ko\u2018rinishi o\u2018zgaradi, ankiloz rivojlanadi. Bo\u2018g\u2018imlarning yallig\u2018lanishi nosimmetrik bo\u2018lib, bo\u2018g\u2018im o\u2018zgarishlari sezilarsezilmasligi, muskullar va suyaklarda yallig\u2018lanish mavjudligi bilan ajralib turadi. Bo\u2018g\u2018imlar rentgen nuri yordamida tekshirib ko\u2018rilsa, mayda bo\u2018g\u2018imlar epifizida osteoporoz belgisi, ba\u02bczan bo\u2018g\u2018im subxondrial plastinkasining yupqalanganligi aniqlanadi. Sinovial parda biopsiyasi yordamida o\u2018tkir va o\u2018rtacha o\u2018tkir sinovit belgilarini topish mumkin. Bo\u2018g\u2018imlardagi kabi teri qoplamlarida ham kasallik belgilari topiladi.<\/p>\n\n\n\n

      Teri zararlanishi:<\/strong> Burun usti va yon atrofida qizil rangli \u201ekapalak qanoti singari \u201c toshmalar<\/strong> paydo bo\u2018ladi. Teridagi o\u2018zgarishlar turlicha ko\u2018rinishda, turli turg\u2018unlikdagi yallig\u2018lanish belgilari bilan kechadi. Bu yallig\u2018lanish quyosh nuri, sovuq havo, shamol kabi ta\u02bcsirlardan so\u2018ng kuchayadi. Bemor yuzidagi \u201ekapalak nusxa\u201c qizillik markazga yaqinlashgan sari kuchayib, yaqqollashib boradi, teri o\u2018zgarishlari bo\u2018yin, to\u2018sh, qo\u2018l va oyoqning kiyim berkitmaydigan ochiq qismida (baliq tangachalariga o\u2018xshash gardishli eritema) ham kuzatiladi. Teridagi o\u2018zgarishlar og\u2018iz bo\u2018shlig\u2018ida, qattiq tanglay enantemasi, stomatit, lab bichilishi, toshmalar ko\u2018rinishida ham uchraydi. Bemorlar tezda ozib ketadilar, sochlari to\u2018kiladi, o\u2018choqli kallik, soch tolalarining mo\u2018rtligi rivojlanadi. Tirnoqlar mo\u2018rtlashib, sinuvchan bo\u2018lib qoladi, teri va shilliq pardalarda trofik o\u2018zgarishlar, yaralar paydo bo\u2018ladi. Sistemali qizil volchanka bilan og\u2018rigan bemorlarning aksariyatida seroz shilliq pardalar yallig\u2018lanishi (poliserozit) kuzatiladi. Plevra, perikard zararlanishi ko\u2018proq, qorin bo\u2018shlig\u2018idagi shilliq pardaning zararlanishi esa kamroq uchraydi. Shilliq pardalar yallig\u2018lanishi quruq va serozli, serozfibrinli, fibrinozli suyuqlik to\u2018planishi bilan o\u2018tishi mumkin. Bemorlarni exokardiografiya qilganda yurakning tashqi pardasida seroz yoki serozfibrinli suyuqlik borligi aniqlanadi.<\/p>\n\n\n\n

      Sistemali qizil volchanka uchun turli a\u02bczolar shilliq pardalari oralig\u2018ida suyuqlik yig\u2018ilishi xosdir.<\/strong> Serozitlar qisqa vaqt davom etganligi sababli bemorlarni tekshirganda plevroperikardial chandiqlar, plevraning o\u2018choqli qalinlashgani asosida tashxis qo\u2018yiladi.<\/p>\n\n\n\n

      Yurak qon-tomirlar tizimining zararlanishi<\/strong> sistemali qizil volchanka uchun juda xos belgi bo\u2018lib, lyupus karditda miokard va endokard zararlanadi. Miokardit o\u2018choqli yoki yalpi bo\u2018ladi. Bemor yurak urishi, hansirashdan shikoyat qiladi. Pankardit \u2014 yurak barcha qavatlarining birdaniga zararlanishi deyarli uchramaydi. Perikardit va notipik so\u2018galsimon Libman-Saks endokarditi exokardiografiyada aniqlanishi mumkin. Quruq perikarditda to\u2018sh suyagidan chaproqda 3-4- qovurg\u2018a oralig\u2018ida perikard ishqalanish shovqini eshitiladi. Libman-Saks endokarditi uchun yurak cho\u2018qqisida dag\u2018al sistolik shovqin va I tonning susayishi, o\u2018pka arteriyasida II ton kuchayishi xarakterlidir. Volchanka endokarditi yurak illati \u2014 mitral qopqoqlar yetishmovchiligiga olib keladi.<\/p>\n\n\n\n

      Reyno belgisi<\/strong> sistemali qizil volchankaning boshlang\u2018ich davridayoq ko\u2018rinadi, bu tomirlarning tizim yallig\u2018lanishi natijasidir. Bu kasallikda qo\u2018l sovishi, oqarib, ko\u2018kimtir tus olishi, uvishishi, barmoqlar qorayib, nekrozga uchrashi mumkin. Bemorlarda glomerulonefrit rivojlanib, qon bosimining ko\u2018tarilishi, angiopatiyalar, miya qon tomirlarining jarohatlanishi rivojlanishi mumkin.<\/p>\n\n\n\n

      Sistemali qizil volchanka 2-4 yil davom etgach, o\u2018pka zararlanadi \u2014 lyupus pnevmonit.<\/strong> Bemorlarda nafas qisishi, quruq yoki balg\u2018amli (ba\u02bczan qon aralash) yo\u2018tal, hansirash, ko\u2018krak qafasida og\u2018riq bo\u2018lishi kabi belgilar, o\u2018pkaning pastki bo\u2018laklarida mayda pufakchali nam xirillashlar, krepitatsiya eshitilishi kabilar bilan ifodalanadi. Rentgen nuri bilan tekshirilganda o\u2018pka tasviri shaklining o\u2018zgarishi va kuchayishi, diafragmaning yuqori joylashganligi, gardishli atelektazlar ko\u2018rinishi mumkin. Ba\u02bczan o\u2018pkaning zararlanishi pnevmosklerozga, o\u2018pka va o\u2018pkayurak faoliyatining yetishmovchiligiga olib keladi.<\/p>\n\n\n\n

      Sistemali qizil volchanka kasalligida bemorlarda ko\u2018pincha buyraklar zararlanishi \u2014 lyupus nefrit kuzatiladi.<\/strong> Lyupus nefrit glomerulonefrit, nefrotik belgi, siydikda o\u2018zgarish ko\u2018rinishida, kortikosteroidlar yordamida davolangan bemorlarda qisman piyelonefrit ko\u2018rinishida namoyon bo\u2018ladi. Sistemali qizil volchanka kasalligida buyraklarda bo\u2018ladigan o\u2018zgarishlar shu kasallikka xos bo\u2018lib, radioizotop renografiya, buyraklarni punksiya qilib tekshirish yordamida tasdiqlanadi.<\/p>\n\n\n\n

      Ovqat hazm qilish a\u02bczolarining sistemali qizil volchanka tufayli zararlanishida<\/strong> dispeptik belgilar, ba\u02bczan qorin og\u2018rishi va qorin pardasining zararlanganligi kuzatiladi. Bu kasallikda ba\u02bczi bemorlarda gepatit bo\u2018ladi, gepatit tez-tez qaytalanib turadi (asosiy kasallik faollashgan davrda). Natijada jigar va taloq kattalashadi.<\/p>\n\n\n\n

      Ba\u02bczan sistemali qizil volchanka bilan og\u2018rigan bemorlarda Shegren belgisi uchraydi<\/strong>, bu belgi \u201equruq\u201c belgi deb ham yuritiladi. Bunga ko\u2018z shilliq pardasining quruqligi, quruq stomatit, quloq oldi va pastki jag\u2018 bezlarining yallig\u2018lanib kattalashishi kiradi.<\/p>\n\n\n\n

      Markaziy va periferik asab tizimining zararlanishi<\/strong> \u2014 neyrolyupus \u2014 bosh miya va uning qobiqlari qon tomirlarining zararlanish belgilari bilan ifodalanadi.<\/strong> Qizil volchanka astenovegetativ belgi: behollik, tez charchash, bosh og\u2018rishi, uyqu buzilishi, ko\u2018p terlash, hayajonlanish yoki tushkunlik, xotiraning pasayishi bilan kechishi, alahlash, gallyutsinatsiyalar, polinevrit, ko\u2018ndalang miyelit, meningoensefalit belgilari kuzatilishi mumkin. Ba\u02bczan quyonchiq tutqanog\u2018i, ruhiy o\u2018zgarishlar aniqlanadi. Bemorlarda ko\u2018pincha tashqi limfa bezlari kattalashadi, paypaslab ko\u2018rilganda og\u2018riq sezilmaydi. Tez charchash, ozish, kamquvvatlik rivojlanadi. Barcha bemorlarda tana harorati ko\u2018tariladi. Bunday bemorlarga antibiotik va sulfanilamidlar yordam bermaydi, glyukokortikoidlar yaxshi ta\u02bcsir ko\u2018rsatadi.<\/p>\n\n\n\n

      Sistemali qizil volchanka kasalligini tekshiruv usullari:<\/strong><\/p>\n\n\n\n

      -Bemorni shikoyatlari.<\/p>\n\n\n\n

      -Bemordan yig’ilgan anamnez.<\/p>\n\n\n\n

      -Umumiy qon tahlili ( bunda biz uchun judayam muxim SOE natijasiga qaraladi)<\/p>\n\n\n\n

      -Umumiy siydik analizi (bunda siydik tarkibidagi oqsil miqdori juda katta axamiyatga ega)<\/p>\n\n\n\n

      -Rvmoproba<\/p>\n\n\n\n

      -Qon bioximyasi: (Mochevina, kreatinin, ALT,AST, bilurubin, albumin, umumiy oqsil) <\/p>\n\n\n\n

      – \u0410N\u0410 (antinuklear antitela)<\/p>\n\n\n\n

      – Ikki spiralli DNK antitelasi<\/p>\n\n\n\n

      -Teri biopsiyasi<\/p>\n\n\n\n

      Sistemali qizil volchanka kasalligini davolash usullari:<\/strong><\/p>\n\n\n\n

        \n
      1. Glyukokortikosteroidlar <\/li>\n\n\n\n
      2. Sitostatik xarakterga ega bazis yallig’lanishga qarshi dorilar<\/li>\n\n\n\n
      3. Qon reologiyasini yaxshilovchi dori vositalari<\/li>\n\n\n\n
      4. Antibiotiklar<\/li>\n\n\n\n
      5. Nosteroid yallig’lanishga qarshi dori vositalari<\/li>\n\n\n\n
      6. Gen injinering davo maqsadida biologik aktiv preparatlar<\/li>\n<\/ol>\n\n\n\n

        Sistemali qizil volchanka kasalligini profilaktikasi ya’ni oldini olish usullari:<\/strong><\/p>\n\n\n\n

          \n
        1. Parxez \u2116 7 stol: Qizil va sho’r maxsulotlar (qizil pomidor, qizil lavlagi, qizil qalampir, kola, fanta, qizil soklar mumkin emas)<\/li>\n\n\n\n
        2. Quyosh nuridan himoyalanish.<\/li>\n\n\n\n
        3. Zax va sovuq joyda ishlamaslik, yashamaslik (bunday sharoitda yashaydigan yoki ishlaydigan bemorlar yashaydigan yoki ishlaydigan joyini o’zgartirishi talab e’tiladi)<\/li>\n\n\n\n
        4. Yuqumli kasalliklardan extiyot bo’lish<\/li>\n\n\n\n
        5. Zararli odatlar (spirtli ichimliklar ichmaslik, chekish qatiyan man qilinadi) <\/li>\n\n\n\n
        6. Fizioterapiya muolajalari mumkin emas.<\/li>\n<\/ol>\n\n\n\n

          Bizning Hilol Med klinikamizda 7 yillik tajribaga ega revmatolog shifokor Omonov Bekzod Xasanovich, Professor Miraxmedova Hilola To\u2019xtasinovnalar birgalikda tizimli autoimmun kasalliklar, jumladan Revmatoid artrit bilan og\u2019rigan bemorlarni davolashadi. Sizda yoki yaqinlaringizda revmatoid artrit bo\u2019lsa xoziroq ro\u2019yxatdan o\u2019ting<\/a> yoki +998712002303 ga qo\u2019ng\u2019iroq qiling.<\/em><\/strong><\/p>\n\n\n\n

          \"\"<\/figure>\n\n\n\n

          Omonov Bekzod Xasanovich vrach revmatolog<\/p>\n","protected":false},"excerpt":{"rendered":"

          Tizmli qizil bo\u2018richa Sistemali (tizimli) qizil volchanka \u2014 og\u2018ir kechadigan surunkali kasallik bo\u2018lib, qon tomirlari, teri, barcha ichki a\u02bczolar biri ktiruvchi to\u2018qimasining shikastlanishi bilan kechadi. Bu kasallik ko\u2018pincha yoshlarda (ayniqsa, ayollar va qizlarda), kasallikka moyil bo\u2018lgan kishilarda uchraydi. Sistemali qizil volchanka kasalligida ichki a\u02bczolarning zararlanishi asosiy o\u2018rin tutadi. Tarixi \u201eTizimli qizil bo\u02bbricha\u201c   – \u201eLupus erythematosus\u201c, […]<\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"_jet_sm_ready_style":"","_jet_sm_style":"","_jet_sm_controls_values":"","_jet_sm_fonts_collection":"","_jet_sm_fonts_links":"","footnotes":""},"categories":[142],"tags":[146,158,159,157,152,150,162,163,160,161],"class_list":["post-13483","post","type-post","status-publish","format-standard","hentry","category-revmatologiya","tag-revmatolog","tag-siztemali-qizil-volchanka","tag-skv","tag-tizimli-qizil-boricha","tag-152","tag-150","tag-162","tag-163","tag-160","tag-161","no-thumb"],"yoast_head":"\nTizmli qizil bo\u2018richa Sistemali (tizimli) qizil volchanka (SKV)sabablari, diagnostika, davolash. % - Hilol Med<\/title>\n<meta name=\"description\" content=\"xususiy klinika\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hilol-med.uz\/uz\/tizmli-qizil-boricha-sistemali-tizimli-qizil-volchanka-skvsabablari-diagnostika-davolash\/\" \/>\n<meta property=\"og:locale\" content=\"uz_UZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tizmli qizil bo\u2018richa Sistemali (tizimli) qizil volchanka (SKV)sabablari, diagnostika, davolash. % - 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