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
SesunTqvian 2 - 8 kviris Semdeg, viTardeba Seuqcevadi bronquli obstruqcia (maoblitirebeli bronqioliti). xSiria mdgomareobis progresuli gauareseba da fataluri Sedegi. etio-paTogenezuri da klinikuri Taviseburebebis gansxvavebis gamo gamohyofen bronqiolitebis sxvadasxva formebs. - mwvave infeqciuri (virusuli bronqioliti ZiriTadad viTardeba mcire asakis bavSvebSi. ufrosi asakis bavSvebsa da mozrdilebSi SeiZleba ganviTardes baqteriuli bronqiolitic). - maoblitirebeli bronqioliti (asocirebulia toqsiuri anaorTqlebis SesunTqvasTan, medikamentebTan, infeqciasTan, organoTa transplantaciasTan, hiperreaqtiulobasTan, SemaerTqsovilovan sistemis paTologiebTan) - maoblitirebeli bronqioliti organizebul pnevmoniasTan erTad. - respiratoruli bronqioliti (gamowveulia alveolebis makrofagebiT infiltraciiT). - difuziuri panbronqioliti (ZiriTadad gavrcelebulia aziaSi). mozrdilebisagan gansxvavebiT, romelTac infeqciuri genezis bronqioliti iSviaTad aReniSnebaT, bavSvebSi, gansakuTrebiT axalSobilebSi, qvemo respiratoruli traqtis dazianeba xSirad vlindeba bronqiolitiT, romlis gamomwvevi mizezic uxSiresad virusuli (gansakuTrebiT RSV) infeqciaa. mozrdil bavSvebsa da zrdasrul pirebSi, bronqioliti asocirebulia iseT paTologiebTan da paTogenebTan, rogorebicaa Mycoplasma pneumoniae, Legionella pneumophilia da sxvadasxva virusebi _ maT Soris adenovirusi, gripisa da paragripis virusebi. mcire asakis bavSvebSi ganviTarebuli bronqioliti Cveulebriv mimdinreobs, rogorc tipiuri virusuli infeqcia. mravali dRis ganmavlobaSi gamoxatulia xvela, dispnea da cxeleba. miuxedavad imisa, rom vizingi, gulmkedis retraqcia da cianozi SeiZleba ganviTardes, 40
sunTqvis ukmarisobis seriozuli gamovlineba iSvia- Tia. peribronqialuri anTeba da epiTeliaruli nekrozi iwvevs sasunTqi gzebis periferiuli ubnebis obstruqcias mcire asakis bavSvebSi, ris Sedegadac filtvis qsovilis gadaberva da gazTa cvlis darRveva viTardeba. rendgenogramaze, uxSiresad, gamoxatulia gadaberili filtvi da zogjer peribronquli limfuri jirkvlebis Crdili, lokalur ateleqtazebTan da anTebad kerebTan erTad. virusuli genezis bronqioliti, Cveulebriv, TviTgankurnebadi daavadebaa da sruli gamojanmrTeleba xdeba ramdenime dRidan, ramdenime kviris ganmavlobaSi. simptomuri mkurnaloba gulisxmobs Jangbadisa da adeqvaturi raodenobis siTxeebis miwodebas. Cvil bavSvTa asakSi ganviTarebuli bronqiolitis gadatanis Semde, ara iSviaTia persistuli vizingis da bronquli hiperreaqtiulobis ganviTareba. aseTi mdgomareoba SeiZleba, bronqiolitis gadatanis Semdeg, 3 wlis ganmavlobaSi mimdinareobdes. virusuli bronqiolitis gadatanis Semdeg, filtvebis qronikuli obstruqciuli daavadebis ganviTrebis riski ar vlindeba. mkurnalobis sqemaSi bronqodilatatorebis, antibiotikebis an kortikosteroidebis CarTva araa rekomendirebuli. Tumca, daavadebis mogvianebiT stadiaze, empiriulad, mainc mimarTavren am saSualebebs. imis gamo, rom virusuli infeqciebis dros adgili aqvs leikotrienebis donis matebas, RSV-inducirebuli bronqiolitis dros ganviTarebuli vizingis winaaRmdeg, zogierTi avtori SesaZleblad miiCnevs leikotrienebis modifikatorebis gamoyenebas. anatomiuri Taviseburebidan gamomdinare, periferiuli sasunTqi gzebis dazianebis diagnostika rTulia da miT umets Zalian rTulia dazianebis etiologiuri faqtoris identificireba. amitom progresirebadi maoblitirebeli bronqiolitis definiciisaTis xSirad 41
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- 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
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- 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: 11. d.p.b.-iT daavadebis dros saWir
- 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
- Page 63 and 64: algoriTmi 3. qronikuli xvelis marTv
- Page 65 and 66: algoriTmi 5. qronikuli, specifiuri
- Page 67 and 68: 19. Ronald B. Turner., Gregory F. H
sunTqvis ukmarisobis seriozuli gamovlineba iSvia-<br />
Tia. peribronqialuri anTeba da epiTeliaruli nekrozi<br />
iwvevs sasunTqi gzebis periferiuli ubnebis obstruqcias<br />
mcire asakis bavSvebSi, ris Sedegadac filtvis qsovilis<br />
gadaberva da gazTa cvlis darRveva viTardeba.<br />
rendgenogramaze, uxSiresad, gamoxatulia gadaberili<br />
filtvi da zogjer peribronquli limfuri jirkvlebis<br />
Crdili, lokalur ateleqtazebTan da anTebad kerebTan<br />
erTad.<br />
virusuli genezis bronqioliti, Cveulebriv, TviTgankurnebadi<br />
daavadebaa da sruli gamojanmrTeleba<br />
xdeba ramdenime dRidan, ramdenime kviris ganmavlobaSi.<br />
simptomuri mkurnaloba gulisxmobs Jangbadisa da adeqvaturi<br />
raodenobis siTxeebis miwodebas. Cvil bavSvTa<br />
asakSi ganviTarebuli bronqiolitis gadatanis Semde, ara<br />
iSviaTia persistuli vizingis da bronquli hiperreaqtiulobis<br />
ganviTareba. aseTi mdgomareoba SeiZleba, bronqiolitis<br />
gadatanis Semdeg, 3 wlis ganmavlobaSi mimdinareobdes.<br />
virusuli bronqiolitis gadatanis Semdeg, filtvebis<br />
qronikuli obstruqciuli daavadebis ganviTrebis riski<br />
ar vlindeba.<br />
mkurnalobis sqemaSi bronqodilatatorebis, antibiotikebis<br />
an kortikosteroidebis CarTva araa rekomendirebuli.<br />
Tumca, daavadebis mogvianebiT stadiaze, empiriulad,<br />
mainc mimarTavren am saSualebebs.<br />
imis gamo, rom virusuli infeqciebis dros adgili<br />
aqvs leikotrienebis donis matebas, RSV-inducirebuli<br />
bronqiolitis dros ganviTarebuli vizingis winaaRmdeg,<br />
zogierTi avtori SesaZleblad miiCnevs leikotrienebis<br />
modifikatorebis gamoyenebas.<br />
anatomiuri Taviseburebidan gamomdinare, periferiuli<br />
sasunTqi gzebis dazianebis diagnostika rTulia<br />
da miT umets Zalian rTulia dazianebis etiologiuri<br />
faqtoris identificireba. amitom progresirebadi maoblitirebeli<br />
bronqiolitis definiciisaTis xSirad<br />
41
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