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x v e l i s m a r T v a x v e l i s m a r T v a
quli asTmis gamwvavebis periodSi, yvela asakis bavSvebSi. preparatebis sainhalacio formebi xasiaTdebian ufro swrafi da efeqturi moqmedebiT, vidre peroraluri an saineqcio. preparatebis oraluri formebi upiratesad gamoiyeneba mcire asakis bavSvebSi, romlebic teqnikuri mizezebis gamo ver axerxeben peparatis inhalaciuri gziT miRebas. preparatebis gverdiTi efeqtebidan aRsaniSnavia kunTTa tremori, Tavis tkivili, gulis cemis gaZliereba da agzneba. aRniSnuli gverdiTi efeqtebi upiratesad dozadamokidebulia da mJRavndeba preparatebis maRali dizebiT miRebisas. swrfad moqmedi b-2 agonistia salbutamoli (sainhalacio formis preparati gamodis salbutamolisa da ventolinis saxlwodebiT). antiqolinerguli preparatebi. antiqolinerguli preparatebis sainhalacio formebi gamoiyeneba bronquli asTmis Setevis winaaRmdeg da araa rekomendirebuli daavadebis xangrZlivi marTvisaTvis. antiqolinerguli preparatebidan, bronquli asTmis gamwvavebis periodSi, rekomendirebulia mxold ipratropium bromidi (savaWro saxelwodeba _ atroventi). aseve ipratropium bromidis Semcveli, kombinirebuli (iprateopium bromidi + fenoteroli) preparati (savaWro saxelwodeba – beroduali). asTmis samkurnalo medikamentebis gamoyenebis meTodebi. preparatebi, romlebic asTmis samkurnalod gamoiyeneba, pacients SeiZleba mivceT sainhalacio gziT, peroralurad an parenteralurad (kanqveSa, intramuskularuli an intravenuri ineqcia). umetes SemTxvevaSi, upiratesoba eniWeba sainhalacio gziT miRebul preparatebs, radgan: isini pirdapir moqmedebeb sasunTq sistemaze da uSualod paTologiis keraSi qmnian maqsimalur koncentracias; aqvT sistemuri moqmedebis minimaluri 22
iski da sxva gziT miRebul medikamentebTan SedarebiT, maqsimalur efeqts iZlevian, miniSvnelovnad ufro mcire dozebiT. sainhalacio preparatebi pacients SeiZleba mivawodoT wneviani, dozirebuli inhaleriT; SesunTqviT aqtivirebadi, dozirebuli inhaleriT; mSrali fxvnilis Semcveli inhaleriT,; mcired danotiavebuli inhaleriT da nebulaizeriT („sveli inhalaciis“ wesiT). yvela, CamoTvlil sainhalacio saSualebas aqvs Tavisi moxmarebis wesi da sanam pacienti maT gamoyeneba daiwyebs, aucilebelia mas Cautardes Zalian zusti instruqtaJi da treningi aRniSnuli medikamentis gamoyenebis Sesaxeb. aucileblad unda vicodeT da pacientsac unda ganvumartoT, rom sainhalacio gziT misaRebi medikamentis gamoyenebis teqnikur mxares aqvs Zalian didi mniSvneloba daavadebis efeqturi marTvisaTvis. wneviani inhalerebis gamoyenebisas saWiroa kanistris Zirze xelis daWerisa (inhaleridan preparatis gamoSveba) da CasunTqvis sinqronizireba, rac mcire asakis (6 _ 7 wlamde) bavSvebSi praqtikulad SeuZlebelia. mcire asakis bavSvebSi, rodesac SeuZlebelia wneviani an „SesunTqviT aqtivirebadi“ inhalerebis gamoyeneba, preparatis miwodeba rekomendirebulia e.w. speiseris an nebulaizeris saSualebiT. speiseri saSualebas iZleba mSral, wnebian inhalerSi moTavsebuli preparati mivawodiT yvela asakis pacients. mSrali, wneviani inhalerebi gamoiyeneba yvela simZimis asTmis SemTxveaSi, maT Soris gamwvavebis drosac. asTmis mkurnaloba bavSvTa asakSi. bavSvTa asakSi asTmis mkurnalobis ZiriTadi meTodi sainhalacio formis medikamentebis gamoyenebaa. Tumca, sxvadasxva asakis bavSvebSi, mkurnalobis am meTodis teqnikuri mxare gansxvavebulia. bunebrivia, gansxvaebulia medikamentebis dozebic. sainhalacio saSualebis (medikamentis) da ihalaciis meTodis SerCevisas iTvaliswineben 23
- Page 1 and 2: m. d. ramaz RulaZe m. d. daviT frui
- Page 3 and 4: winasityvaoba xvela aris pacientis
- Page 5 and 6: xvelis marTva klinikuri gaidlaini g
- Page 7 and 8: monacemTa sarwmunoobis xarisxi aRin
- Page 9 and 10: 4. yefis msgavsi xvela. 5. xvela re
- Page 11 and 12: neiro-regulatorulipaTologiebi rekur
- Page 13 and 14: adiografiuli monacemebi da gansakuT
- Page 15 and 16: gia da zogadi sisuste. xvela vlinde
- Page 17 and 18: uli virusuli infeqciis mizeziTac, r
- Page 19 and 20: sainhalacio glukokortikosteroidebi.
- Page 21: meore jgufs miekuTvneba zeleutoni (
- Page 25 and 26: oloSi _ saxis niRabi an munStuki. s
- Page 27 and 28: suri mkurnaloba. B. 11. rodesac dav
- Page 29 and 30: 4b. mwvave bronqitis diagnozis mqon
- Page 31 and 32: uli anTebadi kerebi. bronqitis dros
- Page 33 and 34: zianeblebisagan Tavis arideba. aRni
- Page 35 and 36: ara asTmuri eozinofiluri bronqitiT
- Page 37 and 38: gamoxatulia lorwos hipersekrecia (W
- Page 39 and 40: 11. d.p.b.-iT daavadebis dros saWir
- Page 41 and 42: sunTqvis ukmarisobis seriozuli gamo
- Page 43 and 44: yivanaxvela, unda gaviTvaliswinoT S
- Page 45 and 46: Cutardes gulmkerdis R-grafia. E/A.
- Page 47 and 48: angiotenzin-SemboWveli enzimis inhi
- Page 49 and 50: viloT iseTi faqtorebis arsebobaze,
- Page 51 and 52: profesiuli da garemoSi arsebuli miz
- Page 53 and 54: is arsebobis SesaZleblobac, romlebi
- Page 55 and 56: 8a. qronikuli xvelis mqone paciente
- Page 57 and 58: eriuli supresantebi, rogoricaa maga
- Page 59 and 60: duram SeiZleba mdgomareobis gauares
- Page 61 and 62: li faqtorebi, rogoricaa magaliTad T
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- Page 65 and 66: algoriTmi 5. qronikuli, specifiuri
- Page 67 and 68: 19. Ronald B. Turner., Gregory F. H
quli asTmis gamwvavebis periodSi, yvela asakis bavSvebSi.<br />
preparatebis sainhalacio formebi xasiaTdebian ufro<br />
swrafi da efeqturi moqmedebiT, vidre peroraluri an<br />
saineqcio. preparatebis oraluri formebi upiratesad<br />
gamoiyeneba mcire asakis bavSvebSi, romlebic teqnikuri<br />
mizezebis gamo ver axerxeben peparatis inhalaciuri<br />
gziT miRebas.<br />
preparatebis gverdiTi efeqtebidan aRsaniSnavia<br />
kunTTa tremori, Tavis tkivili, gulis cemis gaZliereba<br />
da agzneba. aRniSnuli gverdiTi efeqtebi upiratesad<br />
dozadamokidebulia da mJRavndeba preparatebis maRali<br />
dizebiT miRebisas.<br />
swrfad moqmedi b-2 agonistia salbutamoli (sainhalacio<br />
formis preparati gamodis salbutamolisa da ventolinis<br />
saxlwodebiT).<br />
antiqolinerguli preparatebi. antiqolinerguli preparatebis<br />
sainhalacio formebi gamoiyeneba bronquli<br />
asTmis Setevis winaaRmdeg da araa rekomendirebuli daavadebis<br />
xangrZlivi marTvisaTvis.<br />
antiqolinerguli preparatebidan, bronquli asTmis<br />
gamwvavebis periodSi, rekomendirebulia mxold ipratropium<br />
bromidi (savaWro saxelwodeba _ atroventi).<br />
aseve ipratropium bromidis Semcveli, kombinirebuli<br />
(iprateopium bromidi + fenoteroli) preparati (savaWro<br />
saxelwodeba – beroduali).<br />
asTmis samkurnalo medikamentebis<br />
gamoyenebis meTodebi.<br />
preparatebi, romlebic asTmis samkurnalod gamoiyeneba,<br />
pacients SeiZleba mivceT sainhalacio gziT, peroralurad<br />
an parenteralurad (kanqveSa, intramuskularuli<br />
an intravenuri ineqcia). umetes SemTxvevaSi,<br />
upiratesoba eniWeba sainhalacio gziT miRebul preparatebs,<br />
radgan: isini pirdapir moqmedebeb sasunTq sistemaze<br />
da uSualod paTologiis keraSi qmnian maqsimalur<br />
koncentracias; aqvT sistemuri moqmedebis minimaluri<br />
22
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