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
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xvelis marTva<br />
klinikuri gaidlaini<br />
gaidlainis mizania: samedicino personals, uaxlesi da<br />
sarwmuno monacemebis saSualebiT, gaacnos, samedicino<br />
praqtikaSi, erT_ereTi yvelaze gavrcelebuli siptomis<br />
_ xvelis, Tanamedrove menejmentis sakiTxebi.<br />
Sesavali<br />
xvela aris pacientis eqimTan mimarTvis yvelaze xSiri<br />
mizezi. es faqti gansakuTrebiT damaxasiaTebelia bavSvTa<br />
kontingentisaTvis. dReisaTvis sayovelTaod gavrcelebulia<br />
eqspertTa mosazreba, rom rogorc xvelis mizezebi, ise<br />
menejmenti, bavSvebsa (gansakuTrebiT mcire asakis bavSvebsa)<br />
da mozrdilebSi gansxvavebulia. amasTan, bavSvTa asakSi,<br />
es sakiTxebi bolomde Seswavlili araa da arsebobs bevri<br />
urTierT sawinaaRmdego mosazreba, rogorc diagnostikisa<br />
da mdgomareobis Sefasebis, ise mkurnalobis meTodebis<br />
Sesaxeb.<br />
magaliTad, xvelis iseTi gavrcelebuli mizezebi mozrdilebSi,<br />
rogoricaa asTma, g.e.f.r. da z.s.g.x.s. (zemo sasunTqi<br />
gzebis xvelis sindromi), naklebadaa xvelis mizezi<br />
bavSvebSi. eqspertTa did nawils miaCnia, rom am kontingentSi<br />
xvelis mizezi, upiratesad virusuli an sxva (mag. yivanaxvela)<br />
infeqciaa.<br />
rac Seexeba mkurnalobas _ mozrdilebSi, xvelis sawinaaRmdegod,<br />
empiriulad da uxSiresad gamoyenebuli iseTi<br />
saSualebebi, rogoricaa pirveli Taobis H1 blokatorebi,<br />
ar xasiaTdebian maRali efeqtiT bavSvebSi da maTi<br />
gamoyeneba am kontingentSi, xSirad asocirdeba gverdiT<br />
efeqtebTan. igive SeiZleba iTqvas H1 blokatorebisa da<br />
fsevdoefedrinis kombinaciaze (mag. aqtifedi), romelic<br />
Zalze frTxilad unda iyos gamoyenebuli mcire asakis<br />
bavSvebSi. aseve SerCeviT da frTxilad gamoiyeneba bavSveb-<br />
Si deqstrometorfanis preparatebi (mag. magitusi). xolo,<br />
5
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