УЛГАЙГАН ЖАНА КАРЫЛЫК КУРАКТАГЫ АДАМДАРДА БАШ МЭЭНИН СУПРАТЕНТОРИАЛДЫК ШИШИКТЕРИН ДАРЫЛОО: БИОЛОГИЯЛЫК КУРАК КОНЦЕПЦИЯСЫНАН ЖЕКЕЛЕШТИРИЛГЕН ТАКТИКАГА
DOI:
https://doi.org/10.52754/16948610_2026_3_3%20Ачкыч сөздөр:
нейроонкология; улгайган жана карылык курак; менингиома; глиобластома; карылык астения; нейровизуализация; операциядан кийинки багууАннотация
Калктын карылоосу нейрохирургиялык агымдын түзүмүн өзгөртүүдө: адистештирилген стационарларда улгайган жана карылык курактагы бейтаптардын үлүшү туруктуу өсүүдө. Иштин максаты — гериатриялык бейтаптарда супратенториалдык глиомалардын жана менингиомалардын эпидемиологиясы, молекулярдык биологиясы жана клиникалык жүргүзүлүшү боюнча заманбап маалыматтарды жалпылоо. Акыркы он жылдыктагы басылмаларга нарративдик сереп жүргүзүлдү: эл аралык клиникалык колдонмолор, рандомизацияланган изилдөөлөр, системалуу серептер жана популяциялык каттоолордун маалыматтары. Бул курактык топто залалсыз шишиктердин арасында менингиомалар, залалдуу шишиктердин арасында изоцитратдегидрогеназанын мутациясы жок глиобластомалар басымдуулук кылары көрсөтүлдү, ал эми томографиянын жеткиликтүүлүгүнүн өсүшү белгисиз өткөн менингиомалардын аныкталышын көбөйтүүдө. Шишиктин инвазия чегин тактоодо мультимодалдык нейровизуализациянын ролу негизделди. Операциядан кийинки өлүмдүн азайышы хирургиялык техника менен гана эмес, полиморбиддүүлүктү жана госпиталдык инфекциялардын коркунучун эске алуу менен узартылган операциядан кийинки мезгилди жүргүзүүнү стандартташтыруу менен да аныкталат. Мындай бейтаптарды жекелештирилген жүргүзүү боюнча методикалык сунуштарды иштеп чыгуу артыкчылыктуу маселе бойдон калууда.
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