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x v e l i s m a r T v a
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saxezea am daavadebis arsebobis didi albaToba, pacients<br />
vaZlevT makrolids da vaxdenT mis izolacias mkurnalobis<br />
dawyebidan xuTi dRis ganmavlobaSi. naadrevad (pirveli<br />
kvireebis ganmavlobaSi) dawyebuli mkurnaloba efeqturia<br />
da SesamCnevad aumjobesebs mdgomareobas, maSin,<br />
roca mogvianebiTi mkurnalobis efeqti saeWvoa. A.<br />
11. B2-agonistebis, antihistaminuri preparatebis, k.s.<br />
da specifiuri Ig-is gamoyeneba yivanaxvelas samkurnalod<br />
ar aris efeqturi da ar aris rekomendirebuli. D.<br />
12. yivanaxvelas profilaqtikisaTvis rekomendirebulia<br />
specifiuri vaqcinacia. A.<br />
14. 65 welze ufrosi asakis pirebSi yivanaxvelas sawinaaRmdego<br />
vaqcinacia tardeba Sesabamisi gaidlainis<br />
mixedviT. E/A.<br />
SeniSvna: postinfeqciuri xvelis mizezi bavSvTa<br />
kontingentSi xSiradaa yivanaxvela. infeqciiT gamowveuli<br />
persistuli da qronikuli xvelis SemTxvevaSi, yivanaxvelas<br />
xvedriTi wili daaxloebiT 56%-ia. am paTogeniT<br />
gamowveuli xvela saSualod grZeldeba 51 dRis ganmavlobaSi.<br />
Semdeg modis mikoplazmiT gamowveuli xvela<br />
_ 26% (xvela grZeldeba saSualod 23 dRe), qlamidia _<br />
17% (xvelis saSualo xangrZlioba 26 dRea), para yivanaxvelaze<br />
modis xvelis mxolod 2%. (11). yivanaxvelas<br />
msgavsi xvela (xvela reprizebiT) SeiZleba gamoiwvios<br />
adenoviusma, paragripma, respiratorul-sincitialurma<br />
virusma da mokoplazmam(25). amitom, vaqcinirebul bavSvebSi<br />
sakmaod Znelia yivanasvelad diagnostireba.<br />
filtvebis simsivniT gamowveuli<br />
qronikuli xvela (12).<br />
1. qronikuli xvelis mqone pacientebs, romelTac amave<br />
dros aReniSnebaT simsivnis ganviTarebis risk-faqtorebi<br />
(magaliTad sigaretis weva), an sasunTqi sistemis dadasturebuli<br />
simsivne an saeWvoa simsivnis an sxva organoebSi<br />
ganviTarebuli simsivnis metastazebis arseboba, unda<br />
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