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

gia da zogadi sisuste. xvela vlindeba pirveli 2 dRis
ganmavlobaSi da SemTxvevaTa 83%-Si misi ZiriTadi mizezia
cxviridan sasunTq gzebSi lorwos Cadineba. rogorc
Cans, aseve mniSvnelovan rols TamaSobs zemo da qvemo
sasunTqi sistemis lorwovani garsis receptorTa identuroba.
ris gamoc, aseT xvelas “zemo sasunTqi gzebis
xvelis sindromi” ewodeba da qmnis mwvave bronqitisagan
diferencirebis sirTules.
eqspertTa monacemebiT (12), adreul asakSi xvelis ux-
Siresi mizezi respiratoruli virusuli infeqciaa. r.v.i.
eqimTan mimarTvis yvelaze xSiri mizezia. 4 wlamde asakis
janmrTel bavSvebSi, weliwadSi, Cveulebriv aRiniSneba
r.v.i.-is 5 _ 8 epizodi. 4 _ 10 wlis asakSi _ 2,.2 _
5,3 epizodi; _ 10 _ 14 wlis asakSi _ 2 _ 5 epizodi da 20
welze zemo asakSi _ 1,7 epizodi (14). am tipis daavadeba
26%-Si grZeldeba 7 dRe da 5%-Si _ 14 dReze meti (4).
respiratoruli virusuli infeqcia, 0 _ 4 wlamde asakSi,
SemTxvevaTa 5% _ 10%-Si rTuldeba bronqitiTa da pnevmoniiT(12).
asTmiT gamowveuli qronikuli xvela ( 4 ).
1. pacientebSi, romelTac aReniSnebaT qronikuli xvela,
yovelTvis unda iyos ganxiluli asTmis diagnozi, radgan
asTma aris am mdgomareobis erT-erTi yvelaze xSiri
mizezi. A.
2. qronikuli xvlis mqone pacientebSi, romlebic saeWvoni
arian xveliT mimdinare asTmis variantis (x.m.a.)
arsebobaze, magram fizikaluri kvleva da spirometriuli
monacemebi ar iZlevian am diagnozis dasmis Sesa-
Zleblobas, acetilqoliniT Catarebuli provokaciuli
testi SeiZleba gaxdes asTmis diagnostirebis safuZveli.
Tumca x.m.a.-Ti gamowveuli xvelis diagnostirebis
saukeTeso saSualebaa xvelis Sewyveta asTmis sawinaaRmdego
specifiuri Terapiis (sainhalacio k.s.) Catarebis
Semdeg. Tu ver vakeTebT provokaciul tests, SeiZleba
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