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neiro-regulatorulipaTologiebi<br />

rekurentuli<br />

pnevmoniebi<br />

filtvis aspiraciuli daavadebebi.<br />

imunodeficituri mdgomareoba. atipiuri<br />

infeqciebi. filtvis Cirqovani davadebebi.<br />

filtvis Tandayolili paTologiebi.<br />

traqeo-ezofaguri fistula.<br />

qronikuli xvelis uxSiresi mizezebi. ( 1. ).<br />

1. qronikuli xvelis mqone pacientebSi, romelTac<br />

gulmkerdis R-gramaze ar aReniSnebaT raime Sesabamisi<br />

paTologia, ar ganicdian Tambaqos bolis zemoqmedebas<br />

da ar iReben a.S.e.i. (angiotenzinis SemboWveli enzimis<br />

inhibitori) medikamentebs, xvelis mizezis sadiagnostiko<br />

da samkurnalo mimarTulebebi ZiriTadad fokusirebuli<br />

unda iyos iseT daavadebebze, rogoricaa z.s.g.x.s. (zemo<br />

sasunTqi gzebis xvelis sindromi), asTma, a.a.e.b. (ara<br />

asTmuri eozinofiluri bronqiti) an g.e.f.r. (gastroezofaguri<br />

refluqsi), _ TviToeuli izolirebulad an<br />

ramdenime maTganis kombinacia. sakiTxisadmi aseTi midgoma<br />

qmnis efeqturi mkurnalobisa da Sesabamisi Sedegis<br />

miRwevis saSualebas. B.<br />

2. qronikuli xvelis mqone pacientebSi, miuxedavad<br />

imisa, gamoxatuli aqvT Tu ara maT z.s.g.x.s.-is, asTmis an<br />

g.e.f.r.-is klinikuri simptomatika, saWiroa TviToeuli<br />

am diagnozis guldasmiT ganxilva. radgan am daavadebebisa<br />

Tu mdgomareobis klinikuri gamovlineba SeiZleba<br />

gamoixatos mxolod xveliT («xveliT mimdinare asTmis<br />

varianti» an «faruli g.e.f.r.» da «z.s.g. faruli daavadeba»),<br />

sxva klinikuri simptomatikis gareSe. B.<br />

3. qronikuli xvelis mqone pacientebSi, xvelis dasaxasiaTeblad<br />

arsebuli iseTi niSnebi, rogoricaa xvelis<br />

xasiaTi (mSrali, sveli, myefavi, metalis elferi, reprizebiT<br />

da sxva), xvelis gamovlenis upiratesi dro dRe-<br />

11

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