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
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
4. asTmisa da sxva infeqciuri (mag. yivana xvela) da ara<br />
infeqciuri, (mag. ucxo sxeuli) mizezebisagan, romelTa<br />
drosac aseve adgili aqvs mwvaved dawyebul xvelas.<br />
aseve unda ganvixiloT _ “postinfeqciuri xvela“, zemo<br />
sasunTqi gzebis dazianebiT gamowveuli xvela, gastroezofaguri<br />
refluqsi (g.e.f.r.), filtvis qronikuli obstruqciuli<br />
daavadeba (f.q.o.d)., da gulis paTologiebi.<br />
bronqitis gamomwvevi virusebidan uxSiresad gvxvdeba:<br />
1. gripis virusebi - A da B., paragripis virusi da RSV.<br />
aseve rinovirusi, adenovirusi da korona-virusi.<br />
baqteriebidan, romlebic mwvave bronqits iwveven<br />
sayuradReboa: Mycoplasma pneumoniae, Chlamidia pneumoniae,<br />
Bordetella pertusis da bordetella parapertusis. Streptococcus<br />
pneumoniae da He-Hemofi lus infl uensae.<br />
mwvave bronqitis diagnozi SeiZleba daisvas Tu manamade<br />
janmrTel pacients uecrad ewyeba (gansakuTrebiT<br />
cxelebasTan asocirebuli) xvela, naxveliT an mis gareSe<br />
da ar aris diagnostirebuli “gacieba”, pnevmonia,<br />
asTma an qronikuli bronqitis gamwvaveba. (Semdeg ganixileba<br />
sxva daavadebebis da mdgomareobebis arsebobis<br />
SesaZlebloba). (17).<br />
mwvave bronqitis diagnozi ZiriTadad emyareba klinikur<br />
monacemebs da ar arsebobs sxva obieqturi kriteriumi<br />
mis dasadastureblad.<br />
zemo sasunTqi gzebis virusuli ineqciebi, 4 wlamde<br />
asakis bavSvTa daaxloebiT 5% _ 10%-Si SeiZleba garTuldes<br />
bronqitiTa da pnevmoniiT (12). bronqitis gamokveTili<br />
sadiagnostiko kriteriumebi dReisaTvis sabolood<br />
definirebuli araa da xSiria rodesac zemo sasunTqi<br />
gzebis infeqcia diagnostirdeba rogorc bronqiti.<br />
upirvelesi niSani, romelic bronqits zemo sasunTqi<br />
gzebis infeqciisagan ganasxvavebs, aris filtvebis auskulptaciiT<br />
dadasturebuli, simetriulad gamoxatuli,<br />
sxvadasxva yalibis sveli da mSrali xixini. xolo pnevmoniisagan<br />
gansxvavebiT ar aRiniSneba lokaluri auskulptaciuri<br />
cvlilebebi da radiologiurad dadasture-<br />
30
Change language