x v e l i s m a r T v a
x v e l i s m a r T v a
x v e l i s m a r T v a
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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 />
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