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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
qronikuli bronqitiT gamowveuli qronikuli xvela (7). 1. mozrdil pacientebs, visac anamnezSi aReniSneba qronikuli xvela an naxvelis gamoyofa umetesi dReebis ganmavlibaSi 3 Tvis manZilze da es simptomebi gamoxatulia bolo 2 wlis ganmavlobaSi; Tu uaryofilia yvela sxva, xveliTa da naxvelis gamoyofiT mimdinare, respiratoruli an kardiologiuri profilis daavadebis arseboba, SeiZleba davusvaT qronikuli broqitis diagnozi. B. 2. qronikuli xvelis SemTxvevaSi, qronikuli bronqitis diagnozis dasmamde, aucilebelia anamnezis detaluri Seswavla da pacientis irgvliv arsebuli iseTi faqtorebis gaTvaliswineba, rogoricaa respiratoruli sistemis gamRizianebeli agentebi _ sigaretis boli, garemos dabinZureba sxvadasxva qimiuri nivTierebebiT, romlebic riskfaqtorebia qronikuli bronqitis ganvi- TarebisaTvis. B. 3. yvela eqsperti da samuSao jgufi Tanxmdeba imaze, rom sigaretisagan Tavisufali garemo unda arsebobdes yvela socialuri da asakobrivi jgufis sacxovrebel Tu samuSao adgilze. E/A. 4. qronikuli bronqitis stabilurad gamoxatuli klinikis mqone pacientebSi, mdgomareobis uecari gauaresebis SemTxvevaSi (xvelis gaxSireba, naxvelis gamoyofis gaZliereba, Cirqovani naxvels gaCena da qoSinis ganviTareba, rac xSirad mosdevs Tan zemo sasunTqi gzebis infeqciis sxva niSnebis gamovlinebas), unda vivaraudoT, rom saqme gvaqvs qronikuli bronqitis gamwvavebasTan. amasTan, unda gamoiricxos mwvave traqeobronqitis arsebobis SesaZlebloba. E/A. 5. qronikuli xvelis mqone pacientebs, romlebic sistematiurad ganicdian respiratorul traqtze iseTi gamRizianeblebis zemoqmedebas, rogoricaa Tambaqos boli da garemoSi arsebuli sxva gamRizianeblebi, aucileblad unda vurCioT garemos Secvla da am gamRi- 32
zianeblebisagan Tavis arideba. aRniSnuli RonisZieba iTvleba qronikuli bronqitis simptomTa Semamsubuqebel efeqtur saSualebad. cnobilia, rom qronikuli bronqitis mqone pacientebSi, sigaretis wevisaTvis Tavis danebeba, SemTxvevaTa 19%-Si iwvevs xvelis Sewyvetas. A. 6. qronikuli bronqitis mqone pacientebSi, xanmokle kursis antibiotiko-profilaqtika araa rekomendirebli. I . 7. qronikuli bronqitis gamwvavebisas rekomendirebulia antibiotikis gamoyeneba. antibiotiki gansakuTrebiT rekomendirebulia mZime gamwvavebisa da mZime obstruqciis SemTxvevaSi. A. 8. qronikuli bronqitis mqone pacientebSi, posturaluri drenaJisa da gulmkerdis perkusiis gamoyeneba ar iZleva dadebiT klinikur efeqts, ris gamoc, es procedurebi, araa rekomendirebuli. I . 9. qronokuli bronqitis gamwvavebis SemTxvevaSi posturaruli drenaJi ar aris rekomendirebuli. I . 10a. qronikuli bronqitiT daavadebul pacientebSi Sei- Zleba gamoviyenoT xanmokle moqmedebis B2-agonostebi da vakontroloT bronqospazmi, ramac SesaZloa Seamciros xvela. A. 10b. qronikuli bronqitiT daavadebul pacientebSi, ipratropium bromidis gamoyenebam SeiZleba Seamciros xvela. A. 10g. qronikuli bronqitiT daavadebul pacientebSi, xvelis Sesamcireblad, SeiZleba ganvixiloT Teufilinis gamoyenebis sakiTxi. magram am SemTxvevaSi aucilebelia mdgomareobis monitoringi, raTa Tavidan iqnas acilebuli Teufilinis gverdiTi moqmedebiT gamowveuli gar- Tulebebi. A. 11. qronikuli bronqitis gamwvavebis SemTxvevaSi Sesa- Zlebelia gamoviyenoT xanmokle moqmedebis b2-agonisti da antiqolinerguli saSualeba. Tu erTi maTgani uSedegoa, unda gadavideT meoreze da gamoviyenoT maqsimaluri doziT. A. 33
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qronikuli bronqitiT gamowveuli<br />
qronikuli xvela (7).<br />
1. mozrdil pacientebs, visac anamnezSi aReniSneba qronikuli<br />
xvela an naxvelis gamoyofa umetesi dReebis ganmavlibaSi<br />
3 Tvis manZilze da es simptomebi gamoxatulia<br />
bolo 2 wlis ganmavlobaSi; Tu uaryofilia yvela sxva,<br />
xveliTa da naxvelis gamoyofiT mimdinare, respiratoruli<br />
an kardiologiuri profilis daavadebis arseboba,<br />
SeiZleba davusvaT qronikuli broqitis diagnozi. B.<br />
2. qronikuli xvelis SemTxvevaSi, qronikuli bronqitis<br />
diagnozis dasmamde, aucilebelia anamnezis detaluri<br />
Seswavla da pacientis irgvliv arsebuli iseTi<br />
faqtorebis gaTvaliswineba, rogoricaa respiratoruli<br />
sistemis gamRizianebeli agentebi _ sigaretis boli,<br />
garemos dabinZureba sxvadasxva qimiuri nivTierebebiT,<br />
romlebic riskfaqtorebia qronikuli bronqitis ganvi-<br />
TarebisaTvis. B.<br />
3. yvela eqsperti da samuSao jgufi Tanxmdeba imaze, rom<br />
sigaretisagan Tavisufali garemo unda arsebobdes yvela<br />
socialuri da asakobrivi jgufis sacxovrebel Tu samuSao<br />
adgilze. E/A.<br />
4. qronikuli bronqitis stabilurad gamoxatuli<br />
klinikis mqone pacientebSi, mdgomareobis uecari gauaresebis<br />
SemTxvevaSi (xvelis gaxSireba, naxvelis gamoyofis<br />
gaZliereba, Cirqovani naxvels gaCena da qoSinis ganviTareba,<br />
rac xSirad mosdevs Tan zemo sasunTqi gzebis<br />
infeqciis sxva niSnebis gamovlinebas), unda vivaraudoT,<br />
rom saqme gvaqvs qronikuli bronqitis gamwvavebasTan.<br />
amasTan, unda gamoiricxos mwvave traqeobronqitis arsebobis<br />
SesaZlebloba. E/A.<br />
5. qronikuli xvelis mqone pacientebs, romlebic<br />
sistematiurad ganicdian respiratorul traqtze iseTi<br />
gamRizianeblebis zemoqmedebas, rogoricaa Tambaqos<br />
boli da garemoSi arsebuli sxva gamRizianeblebi,<br />
aucileblad unda vurCioT garemos Secvla da am gamRi-<br />
32
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