YURAK-QON TOMIR KASALLIKLARI, XUSUSAN MITRAL YURAK NUQSONI BILAN KASALLANGAN BEMORLARDA OG‘IZ BO‘SHLIGINING STOMATOLOGIK HOLATI (adabiyotlar tahlili)
Keywords:
bakteriyemiya,, mitral klapan nuqsoni,, parodontit,, odontogen infektsiya,, sistemik yallig‘lanish,, stomatologik profilaktikaAbstract
Yurak-qon tomir kasalliklari va og‘iz bo‘shlig‘i patologiyalari o‘rtasidagi o‘zaro bog‘liqlik so‘nggi yillarda klinik va ilmiy jamoatchilik e’tiborida bo‘lib, ushbu ikki tizimning patofiziologik aloqalari chuqur o‘rganilmoqda. Yurak-qon tomir tizimi kasalliklari, jumladan arterial gipertenziya, ateroskleroz hamda yurak klapanlarining organik nuqsonlari, global sog‘liqni saqlash tizimi uchun eng dolzarb muammolardan biri bo‘lib qolmoqda. Og‘iz bo‘shlig‘i kasalliklari ichida kariyes, ildiz cho‘qqisi periodontiti va xususan surunkali parodontit yuqori tarqalish ko‘rsatkichlariga ega bo‘lib, ular ko‘pincha sistemik yallig‘lanish reaksiyasining surunkali manbai sifatida namoyon bo‘ladi. Shu nuqtayi nazardan, stomatologik aralashuvlar yoki oddiy gigiyena manipulyatsiyalari vaqtida bakteriyemiya yuzaga kelishi va natijada kasallikka moyil bo‘lgan bemorlarda yuqumli endokardit rivojlanish ehtimoli ortishi ilmiy asoslangan fakt hisoblanadi. Mitral klapan nuqsoni bo‘lgan bemorlarda og‘iz bo‘shlig‘i salomatligining buzilishi ko‘pincha parodont destruksiyasi va odontogen infektsiyalar bilan kechib, ularning yurak klapanlari integritetiga bevosita xavf tug‘diradi. Ushbu sharhda mitral klapan nuqsoniga ega bemorlarning og‘iz bo‘shlig‘i holatini tavsiflovchi zamonaviy adabiyotlar tahlil qilinadi. Maqsad — ushbu bemorlar guruhida og‘iz bo‘shlig‘ida kuzatiladigan o‘ziga xos morfofunksional va yallig‘lanish o‘zgarishlarini ilmiy manbalar asosida chuqur tahlil qilish.
References
1. Avila, M., Ojcius, D. M., Yilmaz, O. (2009). The Oral Microbiota: Living with a Permanent Guest. DNA Cell Biol. 28 (8), 405–411. doi: 10.1089/dna.2009.0874. PubMed Abstract | CrossRef Full Text | Google Scholar
2. Fernandes AMS, Bitencourt LS, Lessa IN, et al. Impact of socio-economic profile on the prosthesis type choice used on heart surgery. Rev Bras Cir Cardiovasc 2012; 27:211–216.
3. Humphrey LL, Fu R, Buckley DI, Freeman M, Helfand M. Periodontal disease and coronary heart disease incidence: a systematic review and meta-analysis. J Gen Intern Med. 2008 Dec;23(12):2079-86. doi: 10.1007/s11606-008-0787-6. Epub 2008 Sep 20. PMID: 18807098; PMCID: PMC2596495.
4.Iwashima Y, Kokubo Y, Ono T, Yoshimuta Y, Kida M, Kosaka T, Maeda Y, Kawano Y, Miyamoto Y. Additive interaction of oral health disorders on risk of hypertension in a Japanese urban population: the Suita Study. Am J Hypertens. 2014 May;27(5):710-9. doi: 10.1093/ajh/hpt227. Epub 2013 Dec 16. PMID: 24343779.13. Zeigler CC, Wondimu B, Marcus C, Modeer T. Pathological periodontal pockets are associated with raised diastolic blood pressure in obese adolescents. BMC Oral Health. 2015 Mar 24;15:41. doi: 10.1186/s12903-015-0026-6.
5. Jockel-Schneider Y, Harks I, Haubitz I, et al. Arterial stiffness and pulse wave reflection are increased in patients suffering from severe periodontitis. PLoS One. 2014 Aug 1;9 (8): e103449. https://doi.org/10.1371/journal.pone.0103449
6.Kozarov E. Bacterial invasion of vascular cell types: vascular infectology and atherogenesis. Future Cardiol. 2012 Jan;8(1):123-38. doi: 10.2217/fca.11.75. PMID: 22185451; PMCID: PMC3311919.
7. Lassig E, Auer J, Weber T, Berent R, Hartl P, Krennmair G, Eber B, Infection sources in HNO- and jawbone regions in patients before valve replacement surgery, Herz, 2004, vol.29 (pg.317-321)
8. Lockhart P.B., Bolger A.F., Papapanou P.N., Osinbowale O., Trevisan M., Levison M.E., Taubert K.A., Newburger J.W., Gornik H.L., Gewitz M.H., et al. American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young, Council on Epidemiology and Prevention, Council on Peripheral Vascular Disease, and Council on Clinical Cardiology. Periodontal disease and atherosclerotic vascular disease: Does the evidence support an independent association? A scientific statement from the American Heart Association. Circulation. 2012;125:2520–2544. doi: 10.1161/CIR.0b013e31825719f3. - DOI - PubMed
9. Nagpal R., Yamashiro Y., Izumi Y. The two-way association of periodontal infection with systemic disorders: An overview. Mediat. Inflamm. 2015:793898. doi: 10.1155/2015/793898. - DOI - PMC - PubMed
10. Nakano K, Nemoto H, Nomura R, et al. Detection of oral bacteria in cardiovascular specimens. Oral Microbiol Immunol 2009; 24:64–68.
11. Oliveira FJ, Vieira RW, Coelho OR, et al. Inflamacäo sistemica causada pela periodontite crónica em pacientes vítimas deataque cardiaco isquemico agudo. Rev Bras Cir Cardiovasc. 2010;25 (1): 51-8. https://doi.org/10.1590/S0102-76382010000100013
12. Raffaelli L., Santangelo R., Falchetti P., Galluccio F., Luciani N., Anselmi A., Nowzari H., Verdugo F., Fadda G., D’Addona A. Examination of periodontal pathogens in stenotic valve specimens and in whole blood samples in patients affected by aortic valve stenosis and chronic periodontitis. Int. J. Immunopathol. Pharmacol. 2010;23:561–566. doi: 10.1177/039463201002300218. - DOI - PubMed
13. Sari A., Davutoglu V., Bozkurt E., Tarakcioglu M., Erciyas K. Effect of periodontitis on oxidative stress parameters in patients with rheumatic heart valve disease. Arch. Oral Biol. 2021;121:104961. doi: 10.1016/j.archoralbio.2020.104961. - DOI - PubMed
14. Serra e Silva Filho W, Casarin RC, Nicolela EL Jr, Passos HM, Sallum AW, Gonçalves RB. Microbial diversity similarities in periodontal pockets and atheromatous plaques of cardiovascular disease patients. PLoS One. 2014 Oct 16;9(10):e109761. doi: 10.1371/journal.pone.0109761. PMID: 25329160; PMCID: PMC4199612.
15. Shi XR, Chen BY, Lin WZ, Li YL, Wang YL, Liu Y, Huang JJ, Zhang WW, Ma XX, Shao S, Li RG, Duan SZ. Microbiota in Gut, Oral Cavity, and Mitral Valves Are Associated With Rheumatic Heart Disease. Front Cell Infect Microbiol. 2021 Mar 9;11:643092. doi: 10.3389/fcimb.2021.643092. PMID: 33768014; PMCID: PMC7985333.
16. Sia S.K., Jan M.S., Wang Y.H., Huang Y.F., Wei J.C. Periodontitis is associated with incidental valvular heart disease: A nationwide population-based cohort study. J. Clin. Periodontol. 2021;48:1085–1092. doi: 10.1111/jcpe.13478. - DOI - PubMed
17. Silvestre FJ, Gil-Raga I, Martinez-Herrera M, Lauritano D, Silvestre-Rangil J. Prior oral conditions in patients undergoing heart valve surgery. J Clin Exp Dent. 2017 Nov 1;9(11):e1287-e1291. doi: 10.4317/jced.53902. PMID: 29302279; PMCID: PMC5741840.
18. Socransky SS, Haffajee AD. Periodontal microbial ecology. Periodontol 2000. 2005;38:135-87. doi: 10.1111/j.1600-0757.2005.00107.x. PMID: 15853940
19. Tandon, R., Sharma, M., Chandrashekhar, Y., Kotb, M., Yacoub, M. H., Narula, J. (2013). Revisiting the pathogenesis of rheumatic fever and carditis. Nat. Rev. Cardiol. 10 (3), 171–177. doi: 10.1038/nrcardio.2012.197. PubMed Abstract | CrossRef Full Text | Google Scholar
20. Terezhalmy GT, Safadi TJ, Longworth DL, Muehrcke DD, Oral disease burden in patients undergoing prosthetic heart valve implantation, Ann Thorac Surg, 1997, vol.63 (pg.402-404)
21. Trukhan DI, Viktorova IA, Trukhan Lyu. Changing the organs and tissues of the oral cavity at diseases of internal organs. M.: Practical Medicine, 2012. 208 p. Russian (Трухан Д.И., Викторова И.А., Трухан Л.Ю. Изменение органов и тканей полости рта при заболеваниях внутренних органов. М.: Практическая медицина, 2012. 208 с).
22. Van Dyke TE, Starr JR. Unraveling the link between periodontitis and cardiovascular disease. J Am Heart Assoc. 2013 Dec 16;2(6):e000657. doi: 10.1161/JAHA.113.000657. PMID: 24342998; PMCID: PMC3886775.
23. Yoshitsugu Nakamura, Osamu Tagusari, Yoshimasa Seike, Yujiro Ito, Ken-ichi Saito, Ryozo Miyamoto, Kiyoharu Nakano, Fumiaki Shikata, Prevalence of periodontitis and optimal timing of dental treatment in patients undergoing heart valve surgery, Interactive CardioVascular and Thoracic Surgery, Volume 12, Issue 5, May 2011, Pages 696–700, https://doi.org/10.1510/icvts.2010.255943
24. Zhang L, Li YF, Liang ZZ, Ba PF, Sang XH, Liu J, Abudula D, Wang WL. [The association between chronic periodontitis and hypertension in rural adult Uygur residents]. Zhonghua Xin Xue Guan Bing Za Zhi. 2011 Dec;39(12):1140-4. Chinese. PMID: 22336509.
25. Бекжанова , О., Ризаев, Э. ., & Олимджонов, К. (2022). МНОГОФАКТОРНЫЙ АНАЛИЗ РАЗВИТИЯ ПАРОДОНТИТА. Журнал стоматологии и краниофациальных исследований, 1(2), 26–30. https://doi.org/10.221.
