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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
amaz RulaZe, daviT fruiZe. xvelis marTva. naSromi momzadebulia Tbilisis, g.Jvanias saxelobis, pediatriul klinikaSi. recenzentebi : medicinis doqtori, profesori maia. CxaiZe. medicinis mecnierebaTa doqtori, profesori ivane. CxaiZe gamocemis redaqtori: medicinis doqtori, daviT kvirkelia. avtorebi: ramaz RulaZe g.Jvanias saxelobis pediatriuli klinikis eqimi, alergolog-imunologi, medicinis doqtori. daviT fruiZe g.Jvanias saxelobis pediatriuli klinikis generaluri direqtori, medicinis doqtori. ISBN 978-9941-0-3298-1
winasityvaoba xvela aris pacientis eqimTan misvlis yvelaze xSiri mizezi. es problema gansakuTrebiT xSiradaa mcire asakis bavSvTa mSoblebisa da pediatrebis SeSfoTebis sababi. zogjer, iseTi msubuqi daavadebac ki, rogoric gacivebaa (zemo respiratoruli sistemis msubuqad momdinare virusuli infeqcia) sakmaod intensiuri da xangrZlivi xvelis mizezi xdeba, romelic ar emorCileba mkurnalobas da seriozul diskomforts uqmnis pacients da mis mSoblebs (an momvlels). iSviaTi ar aris iseTi SemTxvebebic, rodesac xvelis mizezi gaurkvevelia da es simptomi gamoxatulia izolirebulad, sxva, yovelgvari paTologiuri gamovlinebis gareSe, rac sakmaod rTul mdgomareobaSi ayenebs eqims da aZnelebs mkurnalobis meTodis SerCevas. yvela zemoTaRniSnuli siZnele gamomdinareobs im faqtidan, rom xvela warmoadgens polietilogiur da gansxvavebuli paTogeneziT ganpirobebul simptoms, rac gansazRvravs diagnostikur da paTologiis marTvasTan dakavSirebul sirTuleebs. diagnostikuri Secdoma ki ganapirobebs araadeqvatur marTvas, rac kiderv ufro arTulebs mdgomareobas. erT-erTi mniSvnelovani problema, romelsac xvelis mar- Tvis procesSi realurad vawydebiT, aris sakiTxi antibiotikebis gamoyenebis Sesaxeb. pacientebi, romelTac xvela respiratoruli virusuli infeqciis, sasunTqi sistemis hiperreaqtiulobis (mag. alergiis) an sxva arainfeqciuri mizezis (mag. g.e.f.r.) gamo aReniSnebaT, Zalian xSirad, rogorc eqimis daniSnulebiT, ise Tavisi gadawyvetilebiT, sruliad usafuZvlod, iReben antibiotikebs. Tu xvela qronikuli an recidiulia da antibiotikebis usafuZvlo moxmareba _ sistematiuri, es erTi mxriv qmnis alergizaciisa da meore mxriv antibiotikebis mimarT rezistentuli mikrofloris Camoyalibebis saSiSrobas. magram rac mTavaria, am dros ar xdeba pacientis mdgomareobis realuri Sefaseba, xvelis gamomwvevi paTologiis drouli diagnostireba da Sesabamisi mkurnaloba, rac SeiZleba mdgomareobis damZimebis mizezi gaxdes. magaliTad, recidiuli bronqitis diagnozis safarqveS, xSirad imaleba asTmis msubuqi forma, rac bronqitisagan kardinalurad gansxvavebul mkurnalobas moiTxovs. meore mniSvnelovani problema, romelsac xveliT mimdin- 3
- Page 1: m. d. ramaz RulaZe m. d. daviT frui
- 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 and 22: meore jgufs miekuTvneba zeleutoni (
- Page 23 and 24: iski da sxva gziT miRebul medikamen
- 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
winasityvaoba<br />
xvela aris pacientis eqimTan misvlis yvelaze xSiri mizezi.<br />
es problema gansakuTrebiT xSiradaa mcire asakis bavSvTa<br />
mSoblebisa da pediatrebis SeSfoTebis sababi.<br />
zogjer, iseTi msubuqi daavadebac ki, rogoric gacivebaa<br />
(zemo respiratoruli sistemis msubuqad momdinare virusuli<br />
infeqcia) sakmaod intensiuri da xangrZlivi xvelis mizezi<br />
xdeba, romelic ar emorCileba mkurnalobas da seriozul diskomforts<br />
uqmnis pacients da mis mSoblebs (an momvlels).<br />
iSviaTi ar aris iseTi SemTxvebebic, rodesac xvelis mizezi<br />
gaurkvevelia da es simptomi gamoxatulia izolirebulad, sxva,<br />
yovelgvari paTologiuri gamovlinebis gareSe, rac sakmaod<br />
rTul mdgomareobaSi ayenebs eqims da aZnelebs mkurnalobis<br />
meTodis SerCevas.<br />
yvela zemoTaRniSnuli siZnele gamomdinareobs im faqtidan,<br />
rom xvela warmoadgens polietilogiur da gansxvavebuli<br />
paTogeneziT ganpirobebul simptoms, rac gansazRvravs diagnostikur<br />
da paTologiis marTvasTan dakavSirebul sirTuleebs.<br />
diagnostikuri Secdoma ki ganapirobebs araadeqvatur<br />
marTvas, rac kiderv ufro arTulebs mdgomareobas.<br />
erT-erTi mniSvnelovani problema, romelsac xvelis mar-<br />
Tvis procesSi realurad vawydebiT, aris sakiTxi antibiotikebis<br />
gamoyenebis Sesaxeb.<br />
pacientebi, romelTac xvela respiratoruli virusuli infeqciis,<br />
sasunTqi sistemis hiperreaqtiulobis (mag. alergiis)<br />
an sxva arainfeqciuri mizezis (mag. g.e.f.r.) gamo aReniSnebaT,<br />
Zalian xSirad, rogorc eqimis daniSnulebiT, ise Tavisi<br />
gadawyvetilebiT, sruliad usafuZvlod, iReben antibiotikebs.<br />
Tu xvela qronikuli an recidiulia da antibiotikebis usafuZvlo<br />
moxmareba _ sistematiuri, es erTi mxriv qmnis alergizaciisa<br />
da meore mxriv antibiotikebis mimarT rezistentuli<br />
mikrofloris Camoyalibebis saSiSrobas. magram rac mTavaria,<br />
am dros ar xdeba pacientis mdgomareobis realuri Sefaseba,<br />
xvelis gamomwvevi paTologiis drouli diagnostireba da Sesabamisi<br />
mkurnaloba, rac SeiZleba mdgomareobis damZimebis<br />
mizezi gaxdes. magaliTad, recidiuli bronqitis diagnozis<br />
safarqveS, xSirad imaleba asTmis msubuqi forma, rac bronqitisagan<br />
kardinalurad gansxvavebul mkurnalobas moiTxovs.<br />
meore mniSvnelovani problema, romelsac xveliT mimdin-<br />
3
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