O‘zbekiston respublikasi oliy ta’lim vazirligi fan va innovatsiyalar vazirligi

TADQIQOT NATIJALARINING AMALDA QO‘LLANILISHI:

Tadqiqot natijalari vrach-Revmatolog, Terapevt, Oilaviy shifokor ishi faoliyatida, shuningdek, IV,V,VI kurs bakalavr talabalari, terapiya yo‘nalishi magistrantlari, terapiya va revmatologiya yo‘nalishi klinik ordinatorlari o‘qish jarayonida ishlatiladi.

ANNOTATION TO MASTER’S DISSERTATION WORK
Actuality of the problem. Claw joint osteoarthrosis (OA) is a social problem due to its prevalence and occurrence among people of the same working age. The result of various searches is from 6.8 to 51% of the spread of the disease. The main clinical signs are triad: pain and numbness in the forearm, varying degrees of functional insufficiency, and finger difiguration. Contrary to the similarity of clinical signs, disease expression joint lesions of the subchondreal branch of the lower bone vary at the expense of synovial floor, ligament, capsule and perearticular muscle damage.
Other OA location patterns are similar. Currently, there are different forms of hand Joint OA, regardless of the lack of the same classification. A number of authors have differentiated the downstream types of OA : erosive OA, 1st finger OS, InterDigital joints OA (with or without nodes), a form that is conducive to damage to all ligaments of the claw.
The forms shown are different in clinical appearance and course ,and despite the differential approach to treatment, are not fully studied at the moment. There are no clear criteria for dividing OA into types other than this.
Current international recommendations require problem solving, but there is little research on the differentiation and otherness of hand paw OA variants. Much research is devoted to erosive OA, and does not apply to other OA forms. Differences in clinical signs and course of claw joints OA are attributed to several major pathophysiological mechanisms. Local inflammation and bone subchondrial changes are significant in addition to tagay resorption, which is considered the main link in pathogenesis, while Standard radiography detecting bone element degradation does not show signs of synovitis, causing X-ray change expression to be disproportionate to pain and functional deficits.
The development of new diagnostic methods over the past 10-15 years has made it possible to assess different areas of OA pathogenesis. One such method is hand paw joint ultrasound.
In the example of rheumatoid arthritis, the clinical examination of this technique with synovitis precedes standard radiography in detecting cortical insufficiency and confirms that in the case of synovitis, magnetic resonance is not inferior to tomagraphy. Additionally, the presence of synovitis in the joint has been found to correlate with the larynx in joint palpation, but the extent of larynx syndrome and functional disorders have not been found to be dependent on synovitis impairment and expression.
Despite being of different types of OA, very little research has compared erosive and non-erosive variants. Alternatively, the method of joint ultrasound answers the question of whether the same variants are phenotypic all or different variants have one pathogenesis, and the Hand joint OS helps to determine the criteria for different diagnoses.
In practical terms, it is significant to improve the quality of life of patients who have shoulder joint OA. According to international recommendations, when assessing patients with this disease, it should be noted that the degree of burglary, functional work capacity and general self-assessment are more pronounced, and there will be an inflammatory process.
The result of several studies dedicated to assessing the quality of life shows that patients with OA have different health, physical and mental indicators. It is likely that this is due to the work being researched and the scarcity of groups ,as well as the fact that OA is present in various variants. In the erosive and non-erosive types of OA in the absence of side diseases, the degree of pain and rubbing is fundamentally different.
In addition to deep pain and function disorders , most research shows finger defiguration at the expense of osteophytes and deviations. The change in the appearance of the armpits due to the high incidence of armpit OA mainly among women aged 45-48 years is the main factor that negatively affects the quality of life and psychological status of aesthetic dyskamfort patients. Despite the fact that the international recommendations in assessing the shoulder joint OA provide for the consideration of aesthetic discamfort, only a few studies in the literature are indicated by the fact that the Claw is not satisfied with its appearance.Various variants of OA have given aesthetic diskamfort deferential evaluation.
Despite the significant decrease in quality of life, there is little scientific work devoted to the patalogic consequences of claw joints OA, and the results shown in these are difficult to detect(interpret) due to the lack of standard surveys similar to aesthetic discamfort.
Identifying different variants of claw joints OA, assessing the quality of life of patients and aesthetic dyscamfort helps to approach patients individually in their treatment, which is the main task of modern medicine.