Authors

  • Temirova Dilnoza Olimjonovna

Author Biography

  • Temirova Dilnoza Olimjonovna

    Asian International University

DOI:

https://doi.org/10.71337/inlibrary.uz.mead.94353

Abstract

Bacterial vaginosis (BV) is a disorder of the vaginal microflora that occurs when the normal microbiota is replaced by high concentrations of anaerobic bacteria.  Statistics from various authors show that 40–50% of all cases of the appearance or change of vaginal discharge are caused by bacterial vaginosis and approximately 25 to 50% of women today suffer from this disease [1–5].


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BACTERIAL VAGINOSIS IS A DANGEROUS DISEASE

Asian International University

Temirova Dilnoza Olimjonovna

Bacterial vaginosis (BV) is a disorder of the vaginal microflora that occurs

when the normal microbiota is replaced by high concentrations of anaerobic bacteria.

Statistics from various authors show that 40–50% of all cases of the appearance or

change of vaginal discharge are caused by bacterial vaginosis and approximately 25

to 50% of women today suffer from this disease [1–5].

The incidence of this disorder often depends on the population of women

examined. It is 17–19% in family planning clinics and among female students

observed in student clinics; 24–37% – among women undergoing treatment in

sexually transmitted disease clinics; 20–25% – among pregnant women [6, 7]. The

presence of this disease is observed in 30–50% of African American women, and in

10–20% of white women [8, 9].

Given the frequency of BV relapses, treatment and prevention of disease

relapses are currently an important problem in pharmacotherapy. The ineffectiveness

of antimicrobial drugs occurs due to the lack of a complete understanding of the

pathogenesis of BV, as well as the causes of its relapses, which affects the

effectiveness of treatment

This review examines the latest data on the pathogenesis of BV, treatment

methods, and possible strategies to reduce disease relapses. Currently, new strategies

to improve the effectiveness of disease treatment include changes in drug dose,

treatment duration, long-term prophylactic regimens, and the use of biofilm

disrupting agents. the use of high-dose suppositories containing metronidazole in

combination with an antifungal agent, usually miconazole, which is also useful for

mixed bacterial-fungal infections of the vagina. It is likely that future therapy will

involve the simultaneous use of several components, including combinations of

antibiotics, antibiofilm agents and probiotics.


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Key words: bacterial vaginosis, vaginal microflora, treatment, metronidazole,

clindomycin, suppositories.

The prevalence of BV varies by country and population, but a recent

systematic review and meta-analysis estimated the global prevalence of BV among

women of reproductive age to be 23–29%.

BV increases the risk of contracting HIV, as well as the acquisition and

onward transmission of other STIs and, if untreated, can lead to adverse consequences

in pregnancy

The main similarity between AB and BV is that in both conditions there is a

significant decrease in the amount lactobacilli, leading to a decrease in the

concentration of lactic acid and, accordingly, an increase in the pH of the vaginal

environment, and their replacement by conditionally pathogenic microorganisms. The

differences between these diseases are significant. BV is characterized by the absence

of inflammation and the presence of a large amount of anaerobic microflora. Usually

involved in the development of BV

Gardnerella vaginalis, Atopobium vaginae, Prevotella spp., Porphyromonas

spp., Bacteroides spp., Peptostreptococcus spp., Mobiluncus spp., Megasphaera spp.,

Leptotrichia spp., Dialister spp., bacteria associated with bacterial vaginosis (bacterial

vaginosis associated bacteria) BVAB1, BVAB2, BVAB3, belonging to the order

Clostridiales. AB in its typical presentation is characterized by an increased

inflammatory response and/or severe signs of atrophy of the vaginal epithelium and

the presence of a moderate amount of commensal intestinal microflora

Most often, Streptococcus spp is detected in AV. (up to 59% of cases),

Staphylocuccus aureus (up to 42%), coagulase-negative staphylococci (up to 37%),

Escherichia coli (up to 23%) [1]. BV is the most common disorder of the vaginal

microecosystem in women of reproductive age. The prevalence of the disease varies

extremely widely (7–68%) depending on region, ethnicity/race, and population

studied [2].

Thus, among women with vaginal discharge, the incidence of BV is 20–30%,

and among patients at high risk of sexually transmitted infections (STIs), it reaches


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50–60% [3]. The main clinical manifestation of BV is specific discharge formed as a

result of fermentation of normal vaginal mucin gel. Amines give the secretions a

specific (“fishy”) odor.

At an alkaline pH, the non-volatile salts of these compounds are converted

into volatile amines, and the “fishy” odor becomes noticeable or intensifies. Signs of

vulvovaginitis are not typical for BV (unless it is accompanied by trichomoniasis or

candidiasis). Many women with BV have no symptoms. Research in recent years

shows that BV not only reduces a woman’s quality of life, but is also associated with

a number of inflammatory diseases of the genitourinary tract, and is one of the

common causes of pregnancy complications [4–7]. The disease often takes a relapsing

form: 60% of women experience relapses of BV within 12 months after treatment [8].

The prevalence of AV among women of reproductive age, according to different

authors, varies from 5 to 24% [1, 9, 10]. In a study by M. Jahic et al. (2013) AB

frequency in women with signs of vaginitis was 51% [11]. In women with a normal

pregnancy, AV was detected in 3–10% of cases [12–14]. The clinical picture of AB

is similar to the clinical picture of trichomoniasis: profuse yellow or greenish-yellow

discharge, burning and itching in the vagina and in the area of the vaginal vestibule,

dyspareunia. During a gynecological examination, swelling, hyperemia, petechial

rashes are noted, superficial erosions of the mucous membrane of the cervix, walls

and vestibule of the vagina. As with trichomoniasis, the pH of vaginal discharge is

elevated, but unlike trichomoniasis, in which the amine test is often positive, the

amine test for AB gives a negative result. Symptoms may be present for a long time

(months and sometimes years), with varying degrees of severity. Not uncommon

cases when patients receive several courses of therapy for AV without visible results.

Many women have microscopic signs of AV in the absence of symptoms, but the

frequency of such asymptomatic forms of AV is unknown. The severe form of AV is

very similar to desquamative inflammatory vaginitis, a clinical syndrome

characterized by diffuse exudative inflammation, desquamation of parabasal

epithelial cells, abundant purulent discharge, increased pH value of the vaginal


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environment [15–17]. In 1994 J.D. Sobel retrospectively described 51 cases of this

disease [17].

The results of the studies allow us to distinguish two variants of the clinical

course of BV: asymptomatic and with clinical symptoms. It should be noted that the

majority of women (50–75%) who are diagnosed with bacterial vaginosis have no

symptoms of this condition at all. In this case, we talk about the so-called

asymptomatic form of bacterial vaginosis. With an asymptomatic course, there are no

clinical manifestations of the disease along with positive laboratory signs. Other

patients with BV, as a rule, complain of copious white or gray discharge from the

genital tract, often with a “fishy” o especially after unprotected intercourse or during

menstruation. Seminal fluid has a pH of 7.0, so after ejaculation, the vaginal pH

increases, as a result of which amines become free and cause an unpleasant odor.

Thus, an increase in unpleasant odor after sexual intercourse serves as a definite

differential diagnostic sign of BV.

The duration of these symptoms can be years. As the process progresses, the

discharge acquires a yellowish-greenish color, becomes thicker, foamy, slightly

viscous and sticky, and is evenly distributed over the walls of the vagina. The amount

of leucorrhoea varies from moderate to very profuse. BV itself does not pose a threat

to health, but prolonged and abundant

vaginal discharge is accompanied by a significant decrease in a

woman’s quality of life (sexual function is impaired, performance decreases, etc.).

According to the recommendations of the Center for Disease Control

(CDC), the treatment regimen for BV includes:

• metronidazole orally 500 mg 2 times a day for 7 days;

• clindamycin cream 2% – 1 full applicator (5 g) intravaginally at

night for 7 days;

• metronidazole gel 0.75% – 1 applicator (5 g) intravaginally at night

for 5 days.

The following are considered alternative treatment regimens:

• metronidazole orally 2 g once;


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• clindamycin orally 300 mg 2 times a day for 7 days;

• clindamycin 100 mg intravaginally at night for 3 days.

According to the recommendations of the World Health Organization

(WHO), the standard treatment for bacterial vaginosis is taking metronidazole 400 or

500 mg twice a day for 7 days or 2 g once. The European Association for STIs

(IUSTI/WHO) also recommends metronidazole 400 or 500 mg twice a day for 7 days

or 2 g once or clindamycin vaginal cream 2% 5 g at night for 7 days. According to

2010 Federal Guidance.

(Formular system), for BV it is recommended:

• clindamycin 2% 5 g 1 r/day (at night) intravenously (using a

standard applicator) for 3 days;

• metronidazole po 0.5 g every 12 hours for 7 days;

• metronidazole IV 1 tablet. (0.5 g) at night, course 10 days;

• metronidazole gel 0.75% (5.0 g) at night, course 5 days.

A randomized clinical trial using placebo control examined daily

vaginal metronidazole for 16 weeks [22]. As a result, 70% of women in the treatment

group showed no symptoms of BV, compared with 30% in the placebo group. After

treatment ended, relapses occurred in 65% of women in the treatment group at 12

months and in 80% of women in the placebo group. In addition, in patients

Those who used vaginal cream metronidazole were more likely to

have vulvovaginal candidiasis (p = 0.02).

Taking into account the above, it seems relevant to use combination

drugs for the treatment of BV, containing, in addition to the antibacterial, also an

antimycotic component. One such combination drug is Neo-Penotran, containing 500

mg of metronidazole and 100 mg

• miconazole nitrate in a convenient form in the form of vaginal pessaries,

which have virtually no local irritating effect on the vaginal mucosa, ensuring rapid

solubility and good acceptability for patients, which distinguishes them favorably

from the dosage form - vaginal tablets. Thanks to the combined antibacterial,

antiprotozoal and antimycotic action, the presented combination has high clinical


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effectiveness. According to various authors [2], the cure rate for BV with the use of

Neo-Penotran reaches 96–98%. The drug is prescribed 1 vaginal suppository 2 times

a day for 7 days.

Summary. Bacterial vaginosis is now very common and cases of relapse of

the disease are observed. This is due to the fact that patients do not complete the full

course of treatment together.

with a sexual partner, as well as with reduced immunity or frequent regime

changes. sexual partners. Therefore, I believe that the main task required of

gynecologists is to give the patient a complete understanding of the treatment

procedure and disease prevention. Every attentive woman should undergo medical

examinations on time and lead a healthy lifestyle.

LITERATURA

1.

Temirova, D. O. (2024). Diagnosis of Cervical Erosion.

American Journal of

Bioscience and Clinical Integrity

,

1

(11), 84-89.

2.

ZHUMAEVA,

D.

(2024).

OPTIMIZATION

OF

METHODS

OF

DIAGNOSTICS OF VARIOUS FORMS OF ENDOMETRIOSIS IN WOMEN OF

REPRODUCTIVE AGE.

Valeology: International Journal of Medical Anthropology

and Bioethics (2995-4924)

,

2

(9), 120-125.

3.

Абдукаримов, У. Г., Ихтиярова, Г. А., & Джумаева, Д. Р. (2024). Скрининг

Рака Молочной Железы: Настоящее И Будущее. Обзор Литературы.

Research

Journal of Trauma and Disability Studies

,

3

(2), 144-148.

4.

Хикматова, Н. И., & Жумаева, Д. Р. (2023). Инвазивные И Неинвазивные

Методы Диагностики Заболевания Молочных Желез.

Central Asian Journal of

Medical and Natural Science

,

4

(6), 652-658.

5.

D.R.Zhumaeva,

D.R.Zhumaeva (2024)

The

State

of

the

Vaginal

Microbiocenosis, Bacterial Vaginosis andits Treatment Options.

American

Journal of Bioscience and Clinical Integrity, 1 (11). pp. 78-83. ISSN 2997-7347

6.

ERGASHEVA,

G.

T.

(2024).

OBESITY

AND

OVARIAN

INSUFFICIENCY.

Valeology: International Journal of Medical Anthropology and

Bioethics

,

2

(09), 106-111.


background image

MODERN EDUCATION AND DEVELOPMENT

Выпуск журнала №-19

Часть–3_ Февраль –2025

145

7.

Ergasheva, G. T. (2024). Modern Methods in the Diagnosis of Autoimmune

Thyroiditis.

American Journal of Bioscience and Clinical Integrity

,

1

(10), 43-50.

8.

Tokhirovna, E. G. (2024). COEXISTENCE OF CARDIOVASCULAR

DISEASES IN PATIENTS WITH TYPE 2 DIABETES.

TADQIQOTLAR. UZ

,

40

(3),

55-62.

9.

Toxirovna, E. G. (2024). DETERMINATION AND STUDY OF GLYCEMIA

IN PATIENTS WITH TYPE 2 DIABETES MELLITUS WITH COMORBID

DISEASES.

TADQIQOTLAR. UZ

,

40

(3), 71-77.

10.

Toxirovna, E. G. (2024). XOMILADORLIKDA QANDLI DIABET

KELTIRIB

CHIQARUVCHI

XAVF

OMILLARINI

ERTA

ANIQLASH

USULLARI.

TADQIQOTLAR. UZ

,

40

(3), 63-70.

11.

Toxirovna, E. G. (2024). QANDLI DIABET 2-TIP VA KOMORBID

KASALLIKLARI

BO’LGAN

BEMORLARDA

GLIKEMIK

NAZORAT.

TADQIQOTLAR. UZ

,

40

(3), 48-54.

12.

Tokhirovna, E. G. (2024). MECHANISM OF ACTION OF METFORMIN

(BIGUANIDE) IN TYPE 2 DIABETES.

JOURNAL OF HEALTHCARE AND LIFE-

SCIENCE RESEARCH

,

3

(5), 210-216.

13.

Tokhirovna, E. G. (2024). THE ROLE OF METFORMIN (GLIFORMIN) IN

THE

TREATMENT

OF

PATIENTS

WITH

TYPE

2

DIABETES

MELLITUS.

EUROPEAN

JOURNAL

OF

MODERN

MEDICINE

AND

PRACTICE

,

4

(4), 171-177.

14.

Эргашева, Г. Т. (2024). Эффект Применения Бигуанида При Сахарным

Диабетом 2 Типа И Covid-19.

Research Journal of Trauma and Disability

Studies

,

3

(3), 55-61.

15.

Toxirovna, E. G. (2024). QANDLI DIABET 2 TUR VA YURAK QON

TOMIR

KASALLIKLARINING

BEMOLARDA

BIRGALIKDA

KECHISHI.

ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В

МИРЕ

,

38

(7), 202-209.

16.

Мухиддинова, Х. С. (2024). РАЗВИТИЕ ЯИЧНИКОВ, ИХ

МОРФОЛОГИЯ

И

ОСОБЕННОСТИ


background image

MODERN EDUCATION AND DEVELOPMENT

Выпуск журнала №-19

Часть–3_ Февраль –2025

146

ФУНКЦИОНИРОВАНИЕ.

ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ

ИДЕИ В МИРЕ

,

55

(2), 134-141.

17.

Мухитдинова, Х. С. (2024). СОВРЕМЕННЫЕ ВЗГЛЯДЫ НА РАЗВИТИЕ

БАКТЕРИАЛЬНОГО

ВАГИНОЗА

У

ЖЕНЩИН

ФЕРТИЛЬНОГО

ВОЗРАСТА.

ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В

МИРЕ

,

55

(2), 97-103.

18.

Мухитдинова, Х. С. (2024). ЗАБОЛЕВАЕМОСТЬ СПИДОМ,

МОРФОЛОГИЧЕСКИЕ ОСОБЕННОСТИ БОЛЕЗНИ.

ОБРАЗОВАНИЕ НАУКА

И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ

,

55

(2), 104-112.

19.

Samikhovna, M. K. (2024). Clinical and Morphological Aspects of the

Functioning of the Lymphatic System.

International Journal of Alternative and

Contemporary Therapy

,

2

(9), 101-106.

20.

Samikhovna, M. K. (2024). MODERN VIEWS ON ACROMEGALY AND

IMMUNOMORPHOLOGY OF THIS DISEASE.

EUROPEAN JOURNAL OF

MODERN MEDICINE AND PRACTICE

,

4

(10), 179-183.

21.

Saloxiddinovna, X. Y. (2024). Modern Views on the Effects of the Use of

Cholecalciferol on the General Condition of the Bod.

JOURNAL OF HEALTHCARE

AND LIFE-SCIENCE RESEARCH

,

3

(5), 79-85.

22.

Халимова, Ю. С., & Хафизова, М. Н. (2024). МОРФО-

ФУНКЦИОНАЛЬНЫЕ И КЛИНИЧЕСКИЕ АСПЕКТЫ СТРОЕНИЯ И

РАЗВИТИЯ ЯИЧНИКОВ (ОБЗОР ЛИТЕРАТУРЫ).

TADQIQOTLAR. UZ

,

40

(5),

188-198.

23.

Халимова, Ю. С. (2024). Морфологические Особенности Поражения

Печени У Пациентов С Синдромом Мэллори-Вейса.

Journal of Science in

Medicine and Life

,

2

(6), 166-172.

24.

Xalimova, Y. S. (2024). Morphology of the Testes in the Detection of

Infertility.

Journal of Science in Medicine and Life

,

2

(6), 83-88.

25.

Халимова, Ю. С., & Хафизова, М. Н. (2024). ОСОБЕННОСТИ

СОЗРЕВАНИЕ И ФУНКЦИОНИРОВАНИЕ ЯИЧНИКОВ.

ОБРАЗОВАНИЕ

НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ

,

55

(2), 188-194.


background image

MODERN EDUCATION AND DEVELOPMENT

Выпуск журнала №-19

Часть–3_ Февраль –2025

147

26.

Хафизова, М. Н., & Халимова, Ю. С. (2024). МОТИВАЦИОННЫЕ

МЕТОДЫ

ПРИ

ОБУЧЕНИИ

ЛАТЫНИ

И

МЕДИЦИНСКОЙ

ТЕРМИНОЛОГИИ.

ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В

МИРЕ

,

55

(2), 165-171.

27.

Хафизова, М. Н., & Халимова, Ю. С. (2024). ИСПОЛЬЗОВАНИЕ

ЧАСТОТНЫХ ОТРЕЗКОВ В НАИМЕНОВАНИЯХ ЛЕКАРСТВЕННЫХ

ПРЕПАРАТОВ

В

ФАРМАЦЕВТИКЕ.

ОБРАЗОВАНИЕ

НАУКА

И

ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ

,

55

(2), 172-178.

28.

Saloxiddinovna, X. Y., & Ne’matillaevna, X. M. (2024). FEATURES OF THE

STRUCTURE OF THE REPRODUCTIVE ORGANS OF THE FEMALE

BODY.

ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ

,

55

(2),

179-183.

29.

Халимова, Ю. С., & Хафизова, М. Н. (2024). КЛИНИЧЕСКИЕ АСПЕКТЫ

ЛИЦ

ЗЛОУПОТРЕБЛЯЮЩЕЕСЯ

ЭНЕРГЕТИЧЕСКИМИ

НАПИТКАМИ.

TADQIQOTLAR. UZ

,

40

(5), 199-207.

30.

Халимова, Ю. С., & Хафизова, М. Н. (2024). КЛИНИЧЕСКИЕ

ОСОБЕННОСТИ ЗАБОЛЕВАНИЙ ВНУТРЕННИХ ОРГАНОВ У ЛИЦ,

СТРАДАЮЩИХ

АЛКОГОЛЬНОЙ

ЗАВИСИМОСТЬЮ.

TADQIQOTLAR.

UZ

,

40

(5), 240-250.

31.

Халимова, Ю. С., & Хафизова, М. Н. (2024). кафедра Клинических наук

Азиатский международный университет Бухара, Узбекистан.

Modern education

and development

,

10

(1), 60-75.

32.

Халимова, Ю. С., & Хафизова, М. Н. (2024). МОРФО-

ФУНКЦИОНАЛЬНЫЕ И КЛИНИЧЕСКИЕ АСПЕКТЫ ФОРМИРОВАНИЯ

КОЖНЫХ ПОКРОВОВ.

Modern education and development

,

10

(1), 76-90.

33.

Nematilloevna, K. M., & Salokhiddinovna, K. Y. (2024). IMPORTANT

FEATURES IN THE FORMATION OF DEGREE OF COMPARISON OF

ADJECTIVES IN LATIN.

ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ

ИДЕИ В МИРЕ

,

55

(2), 150-157.


background image

MODERN EDUCATION AND DEVELOPMENT

Выпуск журнала №-19

Часть–3_ Февраль –2025

148

34.

KHALIMOVA,

Y.

S.

(2024).

MORPHOFUNCTIONAL

CHARACTERISTICS OF TESTICULAR AND OVARIAN TISSUES OF

ANIMALS IN THE AGE ASPECT.

Valeology: International Journal of Medical

Anthropology and Bioethics

,

2

(9), 100-105.

35.

Salokhiddinovna, K. Y., Saifiloevich, S. B., Barnoevich, K. I., & Hikmatov, A.

S. (2024). THE INCIDENCE OF AIDS, THE DEFINITION AND CAUSES OF THE

DISEASE.

ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В

МИРЕ

,

55

(2), 195-205.

36.

Salokhiddinovna, K. Y. (2024). IMMUNOLOGICAL CRITERIA OF

REPRODUCTION AND VIABILITY OF FEMALE RAT OFFSPRING UNDER

THE INFLUENCE OF ETHANOL.

EUROPEAN JOURNAL OF MODERN

MEDICINE AND PRACTICE

,

4

(10), 200-205.

37.

Nematilloyevna, X. M., & Saloxiddinovna, X. Y. (2024). TIBBIYOT

FANLARIDA

MOTIVATSIYON

METODLAR.

Modern

education

and

development

,

16

(7), 31-42.

38.

Nematilloyevna, X. M., & Saloxiddinovna, X. Y. (2024). TURLI TIBBIY

TERMINLARNING

YASALISH

USULLARI.

Modern

education

and

development

,

16

(7), 68-78.

39.

Nematilloyevna, X. M., & Saloxiddinovna, X. Y. (2024). TIBBIY

TERMINOLOGIYADA TARJIMA MASALALARI.

Modern education and

development

,

16

(7), 43-56.

40.

Nematilloyevna, X. M., & Saloxiddinovna, X. Y. (2024). TIBBIY

TERMINOLOGIYADA TARJIMA MASALALARI.

Modern education and

development

,

16

(7), 43-56.

41.

Nematillaevna, K. M., & Salokhiddinovna, K. Y. (2024). NUMERALS IN

THE LATIN.

Modern education and development

,

16

(7), 57-67.

42.

Khalimova, Y. S. (2024). Features of Sperm Development: Spermatogenesis

and Fertilization.

American Journal of Bioscience and Clinical Integrity

,

1

(11), 90-

98.


background image

MODERN EDUCATION AND DEVELOPMENT

Выпуск журнала №-19

Часть–3_ Февраль –2025

149

43.

Sharapova, N. (2023). ARTERIAL GIPERTENZIYA VA SEMIZLIK

KASALLIKLARINING O’ZARO BOG’LIQLIK SABABLARI VA METABOLIK

SINDROMLAR.

Центральноазиатский журнал образования и инноваций

,

2

(11

Part 2), 174-179.

44.

Шарапова, Н. (2023). КЕКСА ВА ҚАРИ ЁШЛИ АЁЛЛАРДА БЕЛ

АЙЛАНАСИНИНГ ЖИСМОНИЙ ФАОЛЛИК БИЛАН БОҒЛИҚЛИГИ

ҚИЁСИЙ

ТАҲЛИЛИ.

Центральноазиатский

журнал

образования

и

инноваций

,

2

(12 Part 2), 127-133.

45.

Erkinjonovna, S. N. (2023). DIABETES MELLITUS IN PREGNANT

WOMEN.

Best Journal of Innovation in Science, Research and Development

, 110-

116.

46.

Erkinjonovna, S. N. (2024). CHARACTERISTICS OF DENTAL

PROSTHESES WEARING IN PATIENTS WITH TYPE 2 DIABETES

ACCORDING TO KIDNEY IMPAIRMENT.

PEDAGOG

,

7

(1), 84-88.

47.

Erkinjonovna, S. N. (2024). THE BEST WAYS TO CONTROL HIGH

BLOOD PRESSURE WITHOUT MEDICATION.

Journal of new century

innovations

,

47

(2), 175-183.

48.

Halimovna, M. M. (2021). The Role of Features of Linguocountrylearning in

Teaching English.

Central Asian Journal of Literature, Philosophy and

Culture

,

2

(10), 64-68.

49.

MAKHMUROVA, M. K. (2021, March). GRAMMATICAL CATEGORIES

IN GERMAN AND UZBEK. In

E-Conference Globe

(pp. 118-123).

50.

Махмурова, М. Х. (2021). METAFORALAR NUTQ SHAKLI

SIFATIDA.

МЕЖДУНАРОДНЫЙ ЖУРНАЛ ИСКУССТВО СЛОВА

,

4

(1-1).

51.

A'zamovna, A. R., Halimovna, M. M., & Bakhtiyorovna, N. M. (2019). The

matter of equivalence in English and Uzbek proverbs.

Test Engineering and

Management

,

81

(11-12), 1632-1637.

52.

Makhmurova, M. H. (2024). Applications of the Latin Language in Speech.

American Journal of Alternative Education

,

1

(8), 59-63.


background image

MODERN EDUCATION AND DEVELOPMENT

Выпуск журнала №-19

Часть–3_ Февраль –2025

150

53.

Махмурова, М. Х. (2024). Теоретикo-Литературное Развитие Учащихся

При Изучении Басен.

Miasto Przyszłości

,

54

, 1032-1035.

54.

Maxmurova,

M.

(2021).

ЎҚУВЧИ

БИЛИШ

ФАОЛИЯТИНИ

ФАОЛЛАШТИРИШДА ИЖОДИЙ ГРАФИК МАСАЛАЛАРНИ Auto CAD

ДАСТУРИ АСОСИДА ЕЧИШ.

ЦЕНТР НАУЧНЫХ ПУБЛИКАЦИЙ (buxdu.

uz)

,

3

(3).

55.

BABAYEVA, V. T., MAKHMUROVA, M. H., & NAZAROVA, G. K. (2021,

March). Studying language as the second language learners. In

E-Conference

Globe

(pp. 89-94).

56.

Salokhiddinovna, X. Y. (2023). Anemia of Chronic Diseases.

Research

Journal of Trauma and Disability Studies

,

2

(12), 364-372.

57.

Salokhiddinovna, X. Y. (2023). MALLORY WEISS SYNDROME IN

DIFFUSE LIVER LESIONS.

Journal of Science in Medicine and Life

,

1

(4), 11-15.

58.

Salohiddinovna, X. Y. (2023). SURUNKALI KASALLIKLARDA

UCHRAYDIGAN

ANEMIYALAR

MORFO-FUNKSIONAL

XUSUSIYATLARI.

Ta'lim innovatsiyasi va integratsiyasi

,

10

(3), 180-188.

59.

Халимова,

Ю.

С.

(2024).

КЛИНИКО-МОРФОЛОГИЧЕСКИЕ

ОСОБЕННОСТИ

ВИТАМИНА

D

В

ФОРМИРОВАНИЕ

ПРОТИВОИНФЕКЦИОННОГО ИММУНИТА.

ОБРАЗОВАНИЕ НАУКА И

ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ

,

36

(3), 86-94.

60.

Saloxiddinovna, X. Y. (2024). CLINICAL FEATURES OF VITAMIN D

EFFECTS

ON

BONE

METABOLISM.

ОБРАЗОВАНИЕ

НАУКА

И

ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ

,

36

(5), 90-99.

61.

Saloxiddinovna, X. Y. (2024). CLINICAL AND MORPHOLOGICAL

ASPECTS OF AUTOIMMUNE THYROIDITIS.

ОБРАЗОВАНИЕ НАУКА И

ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ

,

36

(5), 100-108.

62.

Saloxiddinovna, X. Y. (2024). MORPHOFUNCTIONAL FEATURES

BLOOD

MORPHOLOGY

IN

AGE-RELATED

CHANGES.

Лучшие

интеллектуальные исследования

,

14

(4), 146-158.


background image

MODERN EDUCATION AND DEVELOPMENT

Выпуск журнала №-19

Часть–3_ Февраль –2025

151

63.

Saloxiddinovna, X. Y. (2024). CLINICAL MORPHOLOGICAL CRITERIA

OF LEUKOCYTES.

Лучшие интеллектуальные исследования

,

14

(4), 159-167.

64.

Saloxiddinovna, X. Y. (2024). Current Views of Vitamin D Metabolism in the

Body.

Best Journal of Innovation in Science, Research and Development

,

3

(3), 235-

243.

65.

Saloxiddinovna, X. Y. (2024). MORPHOFUNCTIONAL FEATURES OF

THE STRUCTURE AND DEVELOPMENT OF THE OVARIES.

EUROPEAN

JOURNAL OF MODERN MEDICINE AND PRACTICE

,

4

(4), 220-227.