respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da
respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da
seriozul problemad rCeba. gasaTvaliswinebelia sakiTxis socialuri mniSvnelobac – mwvave respiraciuli paTologiiT avadoba qveynisaTvis seriozuli ekonomikuri tvirTia, romlis Semadgenelia rogorc uSualod mkurnalobaze daxarjuli Tanxa, ise droebiTi SromisuunarobiT gamowveuli danakargebi. mwvave respiraciuli paTologiis gaidlainSi ganxiluli iqneba zemo sasunTqi gzebis mwvave paTologia. qvemoT moyvanili diagrama asaxavs gaidlainis organizacias: mwvave respiraciuli paTologia zemo sasunTqi gzebis mwvave paTologia qvemo sasunTqi gzebis mwvave paTologia otiti pnevmonia bronqiti gacieba sinusiti faringiti winamdebare gaidlainSi moyvanilia stacionarSi mwvave otitis, sinusitis, faringitis da gaciebis marTvis Tanamedrove rekomendaciebi. gaidlaini mniSvnelovania ori TvalsazrisiT. pirvel rigSi, is aRwers diagnostikisa da mkurnalobis im problemebs, romlebTanac eqimebs yoveldRiuri Sexeba aqvT. meores mxriv, am daavadebaTa marTva xSirad Seusabamo medikamentebiT xdeba, gansakuTrebiT es exeba antibiotikebs. antibiotikebis gamoyeneba maSin, rodesac is aucilebeli ar aris; meore da mesame Taobis antibiotikebis gamoiyeneba maSin, rodesac pirveli Taobisaa saWiro – yvelaferi es jandacvis seriozul problemas qmnis: yalibdeba baqteriebis antibiotikebis mimarT rezistentuli Stamebi. amitom am gaidlainSi gansazRvruli iqneba antibiotikis adeqvaturi gamoyenebis 2
Cvenebebi, romelic saSualebas miscems eqims daicvas medicinis erT-erTi mTavari postulati – premium non nocere (ar avno). gaidlainebSi moyvanili informacia Sefasebulia faqtebze damyarebuli medicinis (Evidance Based Medicine) sarwmunoebis TvalsazrisiT. done I II II I IV Va V b mtkicebulobis done da rekomendaciis xarisxi mtkicebulebis siZlieris done Zlieri mtkicebuleba, eyrdnoba minimum erT sistemur mimoxilvas, romelic efuZneba swori dizainis mqone randomizebul kontrolirebadi kvlevas Zlieri mtkicebuleba, eyrdnoba minimum erT swori dizainis mqone randomizebul kontrolirebadi kvlevas klinikuri kvleva randomizaciis gareSe, kohortuli da SemTxvevakontrolis kvlevebi araeqsperimentuli multicentruli kvlevebi avtoritetul profesionalTa mosazreba klinikuri gamocdileba, aRwerilobiTi kvlevebi an eqspertTa angariSi xarisxi A B C D rekomendaciis xarisxi eyrdnoba I donis mtkicebulebas da Sesabamisad mtkiced rekomendebulia eyrdnoba II donis mtkicebulebas da Sesabamisad rekomendebulia eyrdnoba III donis mtkicebulebas da SeiZleba CaiTvalos Sesabamisad eyrdnoba IV da V donis mtkicebulebas, saWiroebs konsesuss mwv av e far ing iti gaidlainis aucilebloba. SemTxvevaTa umravlesobaSi mwvave faringiti msubuqad mimdinareobs da ar saWiroebs mkurnalobas. mas mxolod erTeuli mogvianebiTi garTulebebi axasiaTebs. miuxedavad amisa, xSirad mwvave faringitis dros aqtiurad iyeneben antibiotikebs, romelTa aucilebloba dadasturebuli ar aris da, amave dros, maTi daniSvna mniSvnelovnad aZvirebs mkurnalobas. 3
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- Page 5 and 6: Zvlis fragmentiT), alergia an postn
- Page 7 and 8: nuSura jirkvlebis nacxSi streptokok
- Page 9 and 10: preparatad rezistentul floraze misi
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- Page 13 and 14: stagnacias, pH-is da Jangbadis konc
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- Page 17 and 18: (mtkicebulebis done A). sinusitis d
- Page 19 and 20: aseT dros antibiotiki iniSneba, Tu
- Page 21 and 22: gamoyenebis sasargeblod mxolod mcir
- Page 23 and 24: pediatri; zogadi praqtikis eqimi; g
- Page 25 and 26: klinikuri suraTi Sua yuris anTebis
- Page 27 and 28: damadasturebeli kontrolirebadi kvle
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- Page 33 and 34: 29. Heikkinen T, Chonmaitree T: Inc
- Page 35 and 36: aseve SesaZlebelia: • cxeleba;
- Page 37 and 38: Tu pacients mkurnaloben antibiotike
- Page 39 and 40: unda miewodoT informacia mosalodnel
- Page 41: • ko-amoqsiklavi; • cefuroqsimi
seriozul problemad rCeba. gasaTvaliswinebelia sakiTxis socialuri<br />
mniSvnelobac – mwvave <strong>respiraciuli</strong> paTologiiT avadoba qveynisaTvis<br />
seriozuli ekonomikuri tvirTia, romlis Semadgenelia rogorc uSualod<br />
mkurnalobaze <strong>da</strong>xarjuli Tanxa, ise droebiTi SromisuunarobiT<br />
gamowveuli <strong>da</strong>nakargebi.<br />
mwvave <strong>respiraciuli</strong> paTologiis gaidlainSi ganxiluli iqneba zemo<br />
sasunTqi gzebis mwvave paTologia. qvemoT moyvanili diagrama asaxavs<br />
gaidlainis organizacias:<br />
mwvave <strong>respiraciuli</strong><br />
paTologia<br />
zemo sasunTqi gzebis mwvave<br />
paTologia<br />
qvemo sasunTqi gzebis mwvave<br />
paTologia<br />
otiti<br />
pnevmonia<br />
bronqiti<br />
gacieba<br />
sinusiti<br />
faringiti<br />
winamdebare gaidlainSi moyvanilia stacionarSi mwvave otitis,<br />
sinusitis, faringitis <strong>da</strong> gaciebis marTvis Tanamedrove rekomen<strong>da</strong>ciebi.<br />
gaidlaini mniSvnelovania ori TvalsazrisiT. pirvel rigSi, is aRwers<br />
diagnostikisa <strong>da</strong> mkurnalobis im problemebs, romlebTanac eqimebs<br />
yoveldRiuri Sexeba aqvT. meores mxriv, am <strong>da</strong>avadebaTa marTva xSirad<br />
Seusabamo medikamentebiT xdeba, gansakuTrebiT es exeba antibiotikebs.<br />
antibiotikebis gamoyeneba maSin, rodesac is aucilebeli ar aris; meore <strong>da</strong><br />
mesame Taobis antibiotikebis gamoiyeneba maSin, rodesac pirveli Taobisaa<br />
saWiro – yvelaferi es <strong>jan<strong>da</strong>cvis</strong> seriozul problemas qmnis: yalibdeba<br />
baqteriebis antibiotikebis mimarT rezistentuli Stamebi. amitom am<br />
gaidlainSi gansazRvruli iqneba antibiotikis adeqvaturi gamoyenebis<br />
2
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