klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
klinikuri praqtikis erovnuli rekomendacia (gaidlaini) klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
klinikuri praqtikis erovnuli rekomendacia (gaidlaini) `rkinadeficituri anemia~ miRebulia klinikuri praqtikis erovnuli rekomendaciebis (gaidlainebi) da daavadebaTa marTvis saxelmwifo standartebis (protokolebi) SemuSavebis, Sefasebis da danergvis erovnuli sabWos 2008 wlis 5 noembris #1 sxdomaze da damtkicebulia saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2009 wlis 21 ianvris # 38/o brZanebiT. 2
kinadeficituri anemia 1. daaavdebis definicia, sinonimebi, klasifikacia da terminologia rkinadeficituri anemia (rda) _ ganpirobebulia organizmSi rkinis raodenobis SemcirebiT, ris Sedegadac irRveva hemoglobinis sinTezi da mcirdeba misi koncentracia TiToeul eriTrocitSi. gamoyofen rkinis deficitis 2 formas: 1. rkinis faruli (latenturi) deficiti _ xasiaTdeba rkinis maragisa da satransporto rkinis SemcirebiT, normaluri hemoglobinisa da eriTrocitebis maCveneblebiT; 2. rkinadeficituri anemia _ xasiaTdeba yvela metaboluri fondis SemcirebiT (maT Soris satransportoc), aseve eriTrocitebisa da hemoglobinis raodenobis SemcirebiT. rda sinonimebi da terminologia: hipoqromuli anemia, mikrocituli anemia, posthemoragiuli anemia, rkinis deficiti, kuW-nawlavidan sisxldena, menometroragia, cxviridan sisxldena, hematuria, melena, simsivnuri daavadebebi, pagofagia, qlorozi, koilonixia, atrofiuli glositi, hemoglobinuria, agastruli mdgomareoba, hipoaciduri gastriti, anaciduri gastriti, Tormetgoja nawlavis rezeqcia, wvrili nawlavis rezeqcia, kronis daavadeba. 2. epidemiologia rda-s pirveli adgili ukavia msoflioSi yvelaze gavrcelebul 38 daavadebas Soris. pirveli adgili ukavia mas aseve kvebis darRvevebiT gamowveul daavadebaTa Soris. janmos monacemebiT rda daavadebulTa ricxvi 1,8 miliards Seadgens, rkinadeficituri mdgomareoba ki orjer met adamians aReniSneba. sxvadasxva genezis anemiaTa Soris rda-ze modis 70-80% (1,2,3,4). is yvelaze xSirad gvxvdeba reproduqciuli asakis qalebSi, orsul da meZuZur qalTa Soris, agreTve adreuli da pubertuli asakis bavSvebSi. gansakuTrebiT maRalia avadobis sixSire susti socialur-ekonomiuri ganviTarebis qveynebSi (arasrulfasovani kveba _ rkiniT, cilebiTa da vitaminebiT Raribi sakvebi produqtebis miReba, samedicino momsaxurebis miuwvdomloba). ganviTarebul evropis qveynebSi qalebisa da bavSvebis rda avadoba Seadgens 7-14%. ganviTarebad qveynebSi es maCvenebeli 40%-ze metia. aziis zogierT qveyanaSi es maCvenebeli 65-70% aRwevs. (5) msoflioSi orsuli qalebis TiTqmis naxevari savaraudod anemiuria. (6) bolo wlebSi rda avadobam moimata saqarTveloSic. sazogadoebrivi jandacvis departamentis monacemebiT 2006 wels rda avadobam saqarTveloSi Seadgina orsul qalebSi _ 66%, reproduqciuli asakis (17-45ww.) qalebSi _ 31%, mozrdilebSi (14-16ww.) gogonebSi _ 24 %. 3
- Page 1: kinadeficituri anemia klinikuri pra
- Page 5 and 6: cxrili 1 rkinaze moTxovnileba da mi
- Page 7 and 8: mcirdeba feritinis raodenobac, rome
- Page 9 and 10: (simSrale, Tmis da frCxilebis dazia
- Page 11 and 12: • feritinis raodenoba mamakacebis
- Page 13 and 14: Sardis buStis simsivne, Tirkmelebis
- Page 15 and 16: metad, saWiroa avadmyofis gagzavna
- Page 17 and 18: profilaqtika orsulebSi rda, romelic
- Page 19 and 20: suspenzia _ 30 mg (6 mg elementuri
- Page 21 and 22: hemoglobinisa da hematokritis donee
- Page 23 and 24: 12. gamoyenebuli literatura 1. Anem
- Page 25: 13. avtorTa jgufi saqarTevlos hemat
kinadeficituri anemia<br />
1. daaavdebis definicia, sinonimebi, klasifikacia da<br />
terminologia<br />
rkinadeficituri anemia (rda) _ ganpirobebulia organizmSi rkinis<br />
raodenobis SemcirebiT, ris Sedegadac irRveva hemoglobinis sinTezi da<br />
mcirdeba misi koncentracia TiToeul eriTrocitSi.<br />
gamoyofen rkinis deficitis 2 formas:<br />
1. rkinis faruli (latenturi) deficiti _ xasiaTdeba rkinis maragisa da<br />
satransporto rkinis SemcirebiT, normaluri hemoglobinisa da<br />
eriTrocitebis maCveneblebiT;<br />
2. rkinadeficituri anemia _ xasiaTdeba yvela metaboluri fondis<br />
SemcirebiT (maT Soris satransportoc), aseve eriTrocitebisa da<br />
hemoglobinis raodenobis SemcirebiT.<br />
rda sinonimebi da terminologia: hipoqromuli anemia, mikrocituli anemia,<br />
posthemoragiuli anemia, rkinis deficiti, kuW-nawlavidan sisxldena, menometroragia,<br />
cxviridan sisxldena, hematuria, melena, simsivnuri daavadebebi,<br />
pagofagia, qlorozi, koilonixia, atrofiuli glositi, hemoglobinuria,<br />
agastruli mdgomareoba, hipoaciduri gastriti, anaciduri gastriti,<br />
Tormetgoja nawlavis rezeqcia, wvrili nawlavis rezeqcia, kronis daavadeba.<br />
2. epidemiologia<br />
rda-s pirveli adgili ukavia msoflioSi yvelaze gavrcelebul 38 daavadebas<br />
Soris. pirveli adgili ukavia mas aseve kvebis darRvevebiT gamowveul<br />
daavadebaTa Soris. janmos monacemebiT rda daavadebulTa ricxvi 1,8<br />
miliards Seadgens, rkinadeficituri mdgomareoba ki orjer met adamians<br />
aReniSneba. sxvadasxva genezis anemiaTa Soris rda-ze modis 70-80% (1,2,3,4). is<br />
yvelaze xSirad gvxvdeba reproduqciuli asakis qalebSi, orsul da meZuZur<br />
qalTa Soris, agreTve adreuli da pubertuli asakis bavSvebSi.<br />
gansakuTrebiT maRalia avadobis sixSire susti socialur-ekonomiuri<br />
ganviTarebis qveynebSi (arasrulfasovani kveba _ rkiniT, cilebiTa da<br />
vitaminebiT Raribi sakvebi produqtebis miReba, samedicino momsaxurebis<br />
miuwvdomloba). ganviTarebul evropis qveynebSi qalebisa da bavSvebis rda<br />
avadoba Seadgens 7-14%. ganviTarebad qveynebSi es maCvenebeli 40%-ze metia.<br />
aziis zogierT qveyanaSi es maCvenebeli 65-70% aRwevs. (5) msoflioSi orsuli<br />
qalebis TiTqmis naxevari savaraudod anemiuria. (6) bolo wlebSi rda<br />
avadobam moimata saqarTveloSic. sazogadoebrivi jandacvis departamentis<br />
monacemebiT 2006 wels rda avadobam saqarTveloSi Seadgina orsul qalebSi<br />
_ 66%, reproduqciuli asakis (17-45ww.) qalebSi _ 31%, mozrdilebSi (14-16ww.)<br />
gogonebSi _ 24 %.<br />
3
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