klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
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da-s gamokvleva da mkurnaloba<br />
rda gamowveuli sisxldeniT diax dazustdes sisxldenis<br />
diagnostirebuli anamnezisa da mizezi<br />
gamokvlevis Sedegad<br />
ara<br />
sqema 2<br />
mamakacebi da qalebi, romlebsac diax 50w. meti asakis avadmyofebSi<br />
ara aqvT menstruacia kuW-nawlavis endoskopiuri<br />
ara<br />
da kolonoskopiuri gamokvleva.<br />
1 Tvis mkurnalobis Semdeg diax gagrZeldes mkurnaloba<br />
(Hb moimata 10-20 g/l metad) 2- 3 Tve.<br />
ara<br />
diagnozis dazusteba.<br />
Tu ara gvaqvs Sedegi vatarebT<br />
gamokvlevebs<br />
diagnozis dazustebis<br />
mizniT.<br />
A<br />
A<br />
randomizebuli gamokvlevebiT dadasturebulia kuW-nawlavis endoskopiuri<br />
gamokvlevis aucilebloba rda daavadebul 50 welze meti asakis mamakacebsa<br />
da qalebSi, romelTac ar aqvT menstrualuri cikli 47 [B].<br />
dadgenilia HH. bacteri-is roli rda-s ganviTarebaSi (21).<br />
Zalian xSirad rda-s gamomwvevi mizezi SeiZleba iyos ramdenime erTad:<br />
magaliTad menoragia, hipoaciduri gastriti, alimenturi deficiti da a.S.<br />
amitom aucilebelia daavadebis gamomwvevi yvela mizezis dazusteba.<br />
gansakuTrebiT yuradReba unda mieqces kuW-nawlavis paTologias, rom ar<br />
gamogvrCes kuW-nawlavidan sisxldena. sasurvelia gastroenterologis<br />
konsultacia (22, 23).<br />
Tu materialur-teqnikuri saSualebebi ar iZleva saSualebas, SeiZleba<br />
gamokvlevis I etapidan III-ze gadasvla. III etapze gansakuTrebulad unda<br />
gamaxvildes yuradReba kuW-nawlavis paTologiaze, rom ar gamogvrCes<br />
mxedvelobidan faruli sisxldena. Semdegi etapia mkurnalobis dawyeba 120 mg<br />
elementaruli rkiniT. Tu Hb-10g/l metad ar moimatebs hematokriti ki 3%-ze<br />
14
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