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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definicia<br />
mwvave otitis marTvis<br />
protokoli<br />
ar arsebobs otitis SeTanxmebuli definicia. samuSao definiciad<br />
mowodebulia Sua yuris anTeba swrafi ganviTarebiT adgilobrivi (yuris<br />
tkivili) <strong>da</strong> zogadi simptomatikiT (cxeleba, gaRizianeba, cudi Zili).<br />
SesaZlebelia adgili hqondes ze<strong>da</strong> sasunTqi gzebis <strong>da</strong>avadebisTvis<br />
<strong>da</strong>maxasiaTebel simptomebs: xvelas <strong>da</strong> rinoreas.<br />
<strong>da</strong>ma<strong>da</strong>sturebeli kriteriumebi<br />
mwvave otitis diagnozi moiTxovs: <strong>da</strong>avadebis simptomebis ganviTarebis<br />
mwvave <strong>da</strong>sawyiss; gamonadenis arsebobas Sua yurSi (timpanuri membranis<br />
SeSupeba, timpanuri membranis mobilurobis SezRudva an ararseboba,<br />
otorea); Sua yuris anTebis niSnebis <strong>da</strong> simptomebis arsebobas (timpanuri<br />
membranis hiperemia, otalgia).<br />
klinikuri ni Snebi<br />
Sua yuris anTebis uxSiresi simptomebia: tkivili, cxeleba,<br />
gaRizianebadoba, otorea (gamonadeni yuri<strong>da</strong>n), leTargia, anoreqsia <strong>da</strong><br />
Rebineba. specifiuri niSnebis nakleboba, gansakuTrebiT or wlamde asakSi,<br />
arTulebs Sua yuris mwvave anTebis dignozis <strong>da</strong>dgenas.<br />
Sua yuris anTeba gamonadeniT SesaZloa saerTod simptomebis gareSe<br />
mimdinareobdes <strong>da</strong> gamovlenil iyos mxolod urTierTobis, qcevis,<br />
swavlis <strong>da</strong> metyvelebis problemebiT.<br />
mwvave otitis diagnostika<br />
klinikuri niSnebi <strong>da</strong> otoskopiuri kvleva.<br />
rekomendebulia pacientebSi morecidive mwvave otitiT<br />
gansakuTrebuli yuradReba <strong>da</strong>eTmos Civils smenis <strong>da</strong>qveiTebis, metyvelebis<br />
Seferxebis Sesaxeb.<br />
aucileblad un<strong>da</strong> iqnes gaTvaliswinebuli, rom otitisaTvis<br />
<strong>da</strong>maxasiaTebeli simptomebi <strong>da</strong> niSnebi SeiZleba gaqres membranis<br />
perforaciis Semdeg. gar<strong>da</strong> amisa, <strong>da</strong>avadebis ga<strong>da</strong>tanis Semdeg Sua<br />
yurSi gamonadeni SeiZleba <strong>da</strong>rCes mwvave otitis simptomebis<br />
gaqrobis Semdeg<br />
MmarTva<br />
a n a l g e t i k e b i . tkivilis SemTxvevaSi aucilebelia analgetikebis<br />
(acetaminofeni, ibuprofeni) amoyeneba. tkivilis marTva, gansakuTrebiT<br />
<strong>da</strong>avadebis pirvel 24 saaTSi, aucilebelia antibiotikoTerapiis<br />
miuxe<strong>da</strong>vad. tkivilis marTvaSi paracetamols upiratesoba un<strong>da</strong> mieniWos<br />
arasteroiduli anTebis sawinaaRmdego saSualebebTan Se<strong>da</strong>rebiT am<br />
ukanasknelis gverdiTi movlenebis gamo (sarwmunoebis done I). mSoblebs<br />
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