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
onqoeqtaziuli daavadebiT gamowveuli qronikuli xvela (9). 1. pacientebSi, romelTac aReniSnebaT bronqoeqtaziis klinikuri niSnebi, magram diagnozi ver dasturdeba gulmkerdis R-grafiuli monacemebiT, sadiagnostikod saWiroa ufro zusti da mgrZnobiare meTodis _ kompiuteruli tomografiis (k.t.) gamoyeneba. B. 2. qronikuli xvelis mqone pacientebSi, sadac xvelis cxadi mizezis dadgena ver xerxdeba, unda veZeboT bronqoeqtaziis gamomwvevi sxva darRvevebi da paTologiebi B. 3. bronqoeqtaziuli daavadebis mqone pacientebSi, sadac gamoxatulia bronquli obstruqcia an bronqebis hiperreaqtiuloba, rekomendirebulia bronqodilatatorebis gamoyeneba. E/C. 4. Tu qronikuli xvelis mqone pacientebSi, bronqoeqtazia gamowveulia kistofibroziT, rekomendirebulia rhDNase -s gamoyeneba. rac daavadebis klinikur mimdinareobas aumjobesebs. C. 5. kistofibrozis (k.f.) dros xangrZlivi, sistemuri k.s.-iT Terapia araa rekomendirebuli. radgan didia gverdiTi movlenebis ganviTarebis Sansi. I . 6. idiopaTiuri bronqoeqtaziis dros, xangrZlivi antibiotikoTerapia SeiZleba iwvevdes xvelisa da Cirqovani naxvelis Semcirebas. magram am dros gasaTvaliswinebelia xangrZlivi antibiotikoTerapiis mosalodneli gverdiTi efeqtebic (rezistentuli floris Camoyalibeba, kuWnawlavis traqtis baqteriuli floris gamofitva da sensibilizacia). I . 7. k.f.-Tan erTad arsebuli bronqoeqtaziis dros, rekomendirebulia anti fsevdomonazuri antibiotikoTerapia, sainhalacio formiT. C. 8. idiopaTiuri bronqoeqtaziis dros antibiotikebis aerozoliT mkurnaloba araa rekomendirebuli. D. 9. bronqoeqtaziuli daavadebis mqone pacientebSi, roca 36
gamoxatulia lorwos hipersekrecia (Warbi naxveli) da amoxvelebis unaris daqveiTeba (an ar arseboba), rekomendirebulia gulmkerdis fizioTerapia da simptomTa monitoringi. E/C. 10. lokaluri bronqoeqtaziis mqone zogierT pacientSi, sadac mkurnalobis Terapiuli meTodebi uSedegoa, saWiroa qirurgiuli Careva. B. 11. bronqoeqtaziuli daavadebis gamwvavebis SemTxveva- Si, gamwvavebis gamomwvevi mikrobebis Taviseburebis gaTvaliswinebiT, saWiroa antibiotikoTerapia. B. SeniSvna: maRali xarisxis radiologiuri kvlevis (k.t.) monacemebi miuTiTeben, rom bavSvebSi, qronikuli produqciuli xvelis dros, SemTxvevaTa 43%-Si, diagnostirebulia bronqoeqtaziuli daavadeba (16). aRniSnulis gamo, qronikuli xvelis yvela SemTxvevaSi, aucileblis filtvebis radiologiuri kvleva. rhDnase (rekombinanturi deoqsiribonukleaza) aris katalizuri fermenti. aerozolis saxiT igi gamoiyeneba bronquli obstrqciisa da respiratoruli infeqciis sixSiris Sesamcireblad. preparati iwvevs bronqebis lorwovanis elastiurobis gaumjobesebas. sasunTqi gzebis, ara bronqoeqtaziuli Cirqovani daavadebiT (baqteriuli bronqioliti) gamowveuli qronikuli xvela (10). 1. qronikuli xvelis mqone pacientebSi, romelTac aReniSnebaT sunTqvis ukmarisoba, maRali xarisxis kompiuterul-tomografiuli kvleviT gamoxatulia mcire kalibris bronqebis dazianebis pirdapiri an arapirdapiri niSnebi an bronqoskopiiT miiReba Cirqovani sekreti, unda ganvixiloT bronqiolitis arsebobis SesaZlebloba. E/A. 2. qronikuli xvelis mqone pacientebSi, sadac, Se- 37
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onqoeqtaziuli daavadebiT gamowveuli<br />
qronikuli xvela (9).<br />
1. pacientebSi, romelTac aReniSnebaT bronqoeqtaziis<br />
klinikuri niSnebi, magram diagnozi ver dasturdeba<br />
gulmkerdis R-grafiuli monacemebiT, sadiagnostikod<br />
saWiroa ufro zusti da mgrZnobiare meTodis _ kompiuteruli<br />
tomografiis (k.t.) gamoyeneba. B.<br />
2. qronikuli xvelis mqone pacientebSi, sadac xvelis<br />
cxadi mizezis dadgena ver xerxdeba, unda veZeboT bronqoeqtaziis<br />
gamomwvevi sxva darRvevebi da paTologiebi<br />
B.<br />
3. bronqoeqtaziuli daavadebis mqone pacientebSi, sadac<br />
gamoxatulia bronquli obstruqcia an bronqebis<br />
hiperreaqtiuloba, rekomendirebulia bronqodilatatorebis<br />
gamoyeneba. E/C.<br />
4. Tu qronikuli xvelis mqone pacientebSi, bronqoeqtazia<br />
gamowveulia kistofibroziT, rekomendirebulia<br />
rhDNase -s gamoyeneba. rac daavadebis klinikur mimdinareobas<br />
aumjobesebs. C.<br />
5. kistofibrozis (k.f.) dros xangrZlivi, sistemuri<br />
k.s.-iT Terapia araa rekomendirebuli. radgan didia<br />
gverdiTi movlenebis ganviTarebis Sansi. I .<br />
6. idiopaTiuri bronqoeqtaziis dros, xangrZlivi antibiotikoTerapia<br />
SeiZleba iwvevdes xvelisa da Cirqovani<br />
naxvelis Semcirebas. magram am dros gasaTvaliswinebelia<br />
xangrZlivi antibiotikoTerapiis mosalodneli gverdiTi<br />
efeqtebic (rezistentuli floris Camoyalibeba, kuWnawlavis<br />
traqtis baqteriuli floris gamofitva da sensibilizacia).<br />
I .<br />
7. k.f.-Tan erTad arsebuli bronqoeqtaziis dros,<br />
rekomendirebulia anti fsevdomonazuri antibiotikoTerapia,<br />
sainhalacio formiT. C.<br />
8. idiopaTiuri bronqoeqtaziis dros antibiotikebis<br />
aerozoliT mkurnaloba araa rekomendirebuli. D.<br />
9. bronqoeqtaziuli daavadebis mqone pacientebSi, roca<br />
36
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