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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uli virusuli infeqciis mizeziTac, rac gamowveulia<br />
virusis mier bronqebis lorwovanSi arsebuli b2 receptorebze<br />
zemoqmedebiT. amis gamo, asTma 1/3 SemTxvevaSi<br />
diagnostirdeba, rogorc mwvave bronqiti da Sesabamisad<br />
mkurnalobac ara adeqvaturad mimdinareobs.<br />
gasaTvaliswinebelia monacemebi, romelTa mixedviTac<br />
_ Tu pacients, eqimis mier, mwvave bronqitis diagnozi,<br />
bolo 5 wlis manZilze daesva 2-jer, aseT pacietTa daaxloebiT<br />
65%-s aReniSneba msubuqad mimdinare asTma (4).<br />
amasTan mwvave bronqiti SeiZleba iyos asTmis preludiac,<br />
ris gamoc, am daavadebaTa gansxvaveba zogjer sakmaod<br />
rTulia.<br />
eqspertTa nawili miiCnevs, rom bavSvebSi, qronikuli<br />
xvelis xSiri mizezi asTmaa (2). sxva mkvlevarebi am azrs<br />
uaryofen (9, 25.) da miiCneven, rom qronikuli xvelis mqone<br />
bavSvTa umetesobas ar aReniSneba asTma da rom izolirebuli<br />
xvela araa asTmis markeri. amasTan, Ramis xvela<br />
ar aris mainca da mainc asTmis maniSnebeli. Tumca yvela<br />
Tanxmdeba imaze, rom asTmasTan asocirebuli xvela aris<br />
mSrali. adreul asakSi ganviTarebuli rekurentuli xvela,<br />
umetes SemTxvevaSi, TavisiT gaivlis (2, 18). amitom,<br />
asTmis diagnozis dasasmelad sakmarisi araa mxolod xvela.<br />
avtorTa nawili aseve eWvqveS ayenebs Ramis xvelis<br />
maRal asociacias asTmasTan da miuTiTebs, rom Ramis xvela<br />
aReniSneba bronqebis hiperreaqtiulobis mqone bavSv-<br />
Ta mxolod 1/3-s (2, 5). sainteresoa monacemebi, romelTa<br />
mixedviTac, rekurentuli xvelis mqone, 4 dan 7 wlamde<br />
asakis bavSvTa kontingentSi, 3 wliani dakvirvebis Semdeg,<br />
SemTxvevaTa 56%-Si, xvela Sewyda; xvela grZeldeboda<br />
SemTxvevaTa 37%-Si da transformirda bronqospazmsa<br />
da mstvinav sunTqvaSi 7,2% SemTxvevaSi. am monacemebze<br />
dayrdnobiT, avtorebi askvnian, rom persistuli xvela<br />
bavSvTa asakSi iSviaTad transformirdeba asTmaSi (10) da<br />
asTmis diagnozis dasadgenad saWiroa ojaxuri da personaluri<br />
anamnezis, klinikuri monacemebis, alergiuli<br />
sinjebisa da spirometriuli monacemebis gaTvaliswineba.<br />
17
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