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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tomografia) saSualebiT, pansinusiti nanaxi iqna SemTxvevaTa<br />
66%-Si (21). asimptomur pacientebSi ki es paTologia<br />
meryeobda 22% dan 82%-amde.<br />
adamianTa daaxloebiT 2,3% _ 4,2%-s aqvs vagusis aurikularuli<br />
toti, romlis gaRizianebac SeiZleba xvelis<br />
mizezi gaxdes (e.w. Arland-is refleqsi)(20). amitom, smenis<br />
arxebis gaRizianeba (magaliTad gogirdiT) SeiZleba xvelis<br />
mizezi gaxdes. amis gamo, xvelis mizezTa Soris yuris<br />
paTologiis ganxilva aucileblad gasaTvalisinebelia pediatriul<br />
praqtikaSi.<br />
«gaciebiT» da surdoTi gamowveuli xvela. (3 ).<br />
1. pacientebs mwvave xveliT, romelic asocirebulia<br />
«gaciebasTan» (rinitis movlenebi, yelis tkivili), unda<br />
vumkurnaloT pirveli generaciis antihistaminuri preparatebiT<br />
da dekongensantebiT. SeiZleba gamoviyenoT<br />
naproqsenic, romelic amcirebs xvelis intensivobas. A.<br />
2. pacentebs, romelTac aReniSnebaT gacieba da xvela,<br />
am mdgomareobis Sesamsubuqeblad ar eZlevaT arasedaciuri<br />
antihistaminuri preparatebi, radgan isini ver amcireben<br />
xvelis intensivobas. D.<br />
3. pacientebs, romelTac daewyoT xvela da zemo respiratoruli<br />
sistemis mwvave infeqciis sxva klinikuri<br />
gamovlinebebi, magram rendgenogramaze ar vlindeba sinusitis<br />
suraTi, Sesabamisi klinikuri simptomebis arsebobisas,<br />
mainc SeiZleba daesvas sinusitis savaraudo<br />
diagnozi. radgan am paTologiis radiografiuli dadas-<br />
tureba daavadebis dawyebidan pirveli kviris ganmavlobaSi<br />
ver xerxdeba. D.<br />
SeniSvna: «gacieba« an «surdo» aris zemo sasunTqi gzebis<br />
msubuqad mimdinare infeqciebis krebiTi da pirobiTi<br />
saxelwodeba. igi vlindeba cxviridan gamonadeniT<br />
da gaWedviT, cxviris ceminebiT, yelis tkiviliT da<br />
xveliT. zogjer am simptomebs emateba cxeleba, mial-<br />
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