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
mozrdilebSi xvelis kupirebisaTvis warmatebiT gamoyenebuli iseTi medikamenti, rogoricaa kodeini da misi Semcveli preparatebi, bavSvebSi saerTod ar ixmareba. samwuxarod, dReisaTvis ar arsebobs bavSTa asakSi ganvi- Tarebuli xvelis srulyofili gaidlaini da monacemebi am kontingentSi xvelis marTvis Sesaxeb, warmodgenilia rogorc mozrdil kontingentSi xvelis marTvis gaidlainis nawili. aqve miTiTebulia, rom Tu bavSvebSi xvelis marTvis, aq mocemuli, rekomendaciebi ver gvexmareba menejmentis srulad ganorcielebaSi, am mizniT SeiZleba gamoviyenoT ufrosebSi xvelis marTvis warmodgenili gaidlaini, romelic SedarebiT srulyofilia da eyrdnoba mravalricxovani kvlevis monacemebs. Cvens mier warmodgenili monacemebi ZiriTadad eyrdnoba gaidlains: “Diagnosis and Management of Cough. Executive Summary ACCP Evidence-Based Clinical Practice Guidelines.”(Chest - Volume 129, Issue 1 (January 2006) - Copy- rig -2006. The American College of Chest Physicians), romelic Sevsebulia sxva literaturul wyaroebiT. yvela cxrili da algoriTmi ekuTvnis zemoT dasaxelebul gaid-lains. konkretuli medikamentebis savaWro saxelwodebis dasaxeleba, romelic teqstSia aRniSnuli, erTi mxriv eyrdnoba orginalur gaidlainSi mowodebuli farmakologiuri saSualebebis jgufebis specifikas da meore mxriv, qarTul farmakologiur bazarze maTi registraciis arsebobis faqts. gaidlains erTvis, rogorc specifiuri ise araspecifiuri, xvelis marTvis algoriTmebi, < 14 wlamde asakis bavSvebisa da mozrdilebisaTvis. gaidlainis TviToeuli Tavis dasaxelebis Semdeg miTiTebulia Sesabamisi algoriTmisa da masSi specialuri segmentis nomeri, rac saSualebas iZleva advilad moxdes Sesabamisi paTologiis identifikacia. aseve, TviToeuli Tavis bolos, SeniSvnis saxiT, mocemulia sxvadasxva avtorTa monacemebi aRniSnuli sakiTxis irgvliv. 6
monacemTa sarwmunoobis xarisxi aRiniSneba Semdegi maCveneblebiT: A. mkacrad sarwmuno rekomendacia. B. zomierad sarwmuno rekomendacia. C. mcired sarwmuno rekomendacia. D. negatiuri rekomendacia. I. saerTod ar aris rekomendacia E/A _ mkacrad sarwmuno rekomendacia, romelic eyrdnoba mxolod eqsprtTa mosazrebas. E/B _ zomierad sarwmuno rekomendacia, romelic eyrdnoba mxolod eqspertTa mosazrebas. E/C _ mcired sarwmuno rekomendacia, romelic eyrdnoba mxolod eqspertTa mosazrebas. E/D _ uaryofiTi rekomendacia, romelic eyrdnoba mxolod eqspertTa mosazrebas. xvelis fiziologia. • xvelis refleqss gansazRvravs vagusis aferentuli nervi. • xvela, iseve rogorc ylapva, defekacia, Sardva da Rebineba kontrolirdeba kortikaluri aridan (maRali donis kortikaluri kontroli). • xvelis kortikaluri kontroli vlindeba: 1. xvelis nebelobiT, nawilobriv SewyvetaSi an 2. xvelis nebelobiT dawyebaSi. • anu : 1. mkurnalobis placebo meTodi SeiZleba gaxdes xvelis Sewyvetis mizezi. 2. xvela SeiZleba iyos qcevis gamovlineba. 7
- Page 1 and 2: m. d. ramaz RulaZe m. d. daviT frui
- Page 3 and 4: winasityvaoba xvela aris pacientis
- Page 5: xvelis marTva klinikuri gaidlaini g
- Page 9 and 10: 4. yefis msgavsi xvela. 5. xvela re
- 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 and 40: 11. d.p.b.-iT daavadebis dros saWir
- Page 41 and 42: sunTqvis ukmarisobis seriozuli gamo
- 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
monacemTa sarwmunoobis xarisxi aRiniSneba Semdegi<br />
maCveneblebiT:<br />
A. mkacrad sarwmuno rekomendacia.<br />
B. zomierad sarwmuno rekomendacia.<br />
C. mcired sarwmuno rekomendacia.<br />
D. negatiuri rekomendacia.<br />
I. saerTod ar aris rekomendacia<br />
E/A _ mkacrad sarwmuno rekomendacia, romelic eyrdnoba<br />
mxolod eqsprtTa mosazrebas.<br />
E/B _ zomierad sarwmuno rekomendacia, romelic eyrdnoba<br />
mxolod eqspertTa mosazrebas.<br />
E/C _ mcired sarwmuno rekomendacia, romelic eyrdnoba<br />
mxolod eqspertTa mosazrebas.<br />
E/D _ uaryofiTi rekomendacia, romelic eyrdnoba mxolod<br />
eqspertTa mosazrebas.<br />
xvelis fiziologia.<br />
• xvelis refleqss gansazRvravs vagusis aferentuli<br />
nervi.<br />
• xvela, iseve rogorc ylapva, defekacia, Sardva da Rebineba<br />
kontrolirdeba kortikaluri aridan (maRali<br />
donis kortikaluri kontroli).<br />
• xvelis kortikaluri kontroli vlindeba: 1. xvelis nebelobiT,<br />
nawilobriv SewyvetaSi an 2. xvelis nebelobiT<br />
dawyebaSi.<br />
• anu :<br />
1. mkurnalobis placebo meTodi SeiZleba gaxdes xvelis<br />
Sewyvetis mizezi.<br />
2. xvela SeiZleba iyos qcevis gamovlineba.<br />
7
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