respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da
respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da
respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da
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saWiro gaurTulebel SemTxvevebSi sinusitis sawyisi mkurnalobis<br />
gansazRvrisaTvis. Rrus pir<strong>da</strong>piri punqcia <strong>da</strong> aspiracia naCvenebia, Tu:<br />
<strong>da</strong>avadeba mZimed mimdinareobs;<br />
imunodeficituri mdgomareobis dros;<br />
intrakranialuri garTulebebis SemTxvevaSi.<br />
mkurnaloba<br />
kvlevebi a<strong>da</strong>stureben, rom sinusiti uxSiresad virusuli genezisaa <strong>da</strong><br />
60% SemTxvevaSi spontanurad gaivlis antibiotikoTerapiiis gareSe.<br />
baqteriuli sinusitis mkurnalobis mizania sinusis Rrus SigTavsis<br />
drenireba <strong>da</strong> paTologiuri baqteriebis zrdis Seferxeba. bavSvebSi<br />
baqteriuli sinusitis samkurnalod naCvenebia antibiotikoTerapia<br />
(mtkicebulebis done A).<br />
antibiotikoTerapia<br />
baqteriuli sinusitis mkurnalobis mizania sinusis Rrus SigTavsis<br />
drenireba <strong>da</strong> paTologiuri baqteriebis zrdis Seferxeba. mwvave sinusitis<br />
samkurnalod antibiotikoTerapiis <strong>da</strong>wyebis Cvenebas, rogorc<br />
mozrdilebSi, ise bavSvebSi warmoadgens Semdegi klinikuri simtomatikis<br />
arseboba:<br />
• simptomebis persistireba (magaliTad, Tu klinikuri niSnebi<br />
grZeldeba 7 - 10 dReze meti);<br />
• mZime simptomatika (mag: profuzuli Cirqovani gamonadeni cxviri<strong>da</strong>n,<br />
saxis tkivili <strong>da</strong> sistemuri <strong>da</strong>zianebis niSnebi);<br />
• pacientis mdgomareobis <strong>da</strong> simptomebis gauareseba.<br />
mozrdilebSi randomizirebuli, ormagi brma, placebokontrolirebadi<br />
kvlevebiT mwvave baqteriuli rinosinusitis<br />
mkurnalobamde <strong>da</strong> mkurnalobis Semdeg miRebuli sinusis aspiratis<br />
kulturis monacemebi ar a<strong>da</strong>sturebs antibiotikoTerapiis gamoyenebis<br />
saWiroebas. mwvave rinosinusitis dros xuT randomizirebul, ormag-brma<br />
klinikur kvlevebSi antibiotikebiT mkurnaloba Se<strong>da</strong>rebul iqna<br />
placebosTan. Tumca antibiotikebi ufro efeqturia, vidre placebo,<br />
simptomebis Semcirebis TvalTaxedviT efeqtis sidide (sarwmunoebis<br />
xarisxi) Se<strong>da</strong>rebiT <strong>da</strong>balia. ufro metic, pacientTa umravlesobis<br />
mdgomareoba, romlebic Rebuloben placebos, gaumjobes<strong>da</strong><br />
antibiotikoTerapiis gareSec.<br />
antibiotikoTerapiis <strong>da</strong>niSvnisas SeiZleba gamoyenebuli iyos “moicade<br />
<strong>da</strong> Seafase”–s principi, roca eqimi pacients ganmeorebiT vizitze ibarebs.<br />
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