aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ... aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
ganmavlobaSi 2 Tvis manZilze (xelis TiTebis dazianebisas), 3-4 Tve (fexis TiTebi dazianebisas) 3.2.7. seboreuli dermatiti • aiv inficirebulebs xSirad uviTardebaT seboreuli dermatiti. varaudoben, rom mas iwvevs soko Pityrosporum ovale (aseva cnobilia, rogorc Malassezia furfur). • elementi warmoadgens wiTeli feris laqas, romelic iqercleba. aiv inficirebulebSi dazianeba vrcelia, elementebi xangrZlivad rCeba da xSirad iZleva recidivs. diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA diagnozi ismeba klinikuri suraTiT. Cveulebriv gamonayari gvxvdeba: o saxeze o cxviris nestoebis irgvliv o cxvir-tuCis naoWze, o warbebze, o Tavis Tmian nawilze, o gul-mkerdis areSi o iRliebSi, o tanis zeda nawilsa da o sazardulis areSi. diagnozi dasturdeba sokos aRmoCeniT kanis dazianebuli ubnidan anafxeki masalis mikroskopuli gamokvlevisas. mkurnalobaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA o rekomendebulia dazianebuli ubnebis xSirad dabana qerclis mosaSoreblad, o karg Sedegs iZleva selenis sulfidis Semcveli samkurnalo Sampunebis gamoyeneba. o SesaZloa yvelaze efeqturi aRmoCndes hidrokortizonis 1%-ani mazis aplikaciebi. aseve karg Sedegs iZleva ketokonazolis 2%-ani kremi. 3.2.8. muni muns iwvevs tkipa Sarcoptes scabiei. mdedr tkipas kanSi gahyavs gasasvleli, romelsac aqvs ramodenime sm sigrZis zedapiridan wamoweuli wiTeli nawiburis Sesaxedaoba. mdedri tkipa gayvanil gasasvlelSi debs kvercxebs da Semdeg gadaadgildeba sxeulis sxva nawilSi. kvercxebidan gamodis tkipebis axali Taoba, romlebic izrdebian, jvardebian, gahyavT axali gasasvlelebi da deben axal kvercxebs. o parazitis pirveladi SeWridan daaxloebiT erT Tvis ganmavlobaSi (2-6 kvira) simptomebi TiTqmis ar aRiniSneba. 104
o ganmeorebiTi invaziis Semdeg ki viTardeba alergiuli reaqcia da simptomebi gamovlindeba 1-4 dRis ganmavlobaSi. o kanqveSa gasasvlelis gayvanisas viTardeba gamonayari, romelic xSirad gvxvdeba: o xelebze - mtevnebze (gansakuTrebiT TiTebs Soris), o majis, idayvis, muxlismomxrel zedapirebze, o winamxris idayviskena zedapirze, o sasqeso asoze, o sarZeve jirkvlebsa da o beWebze. o tkipebi da maT mier gayvanili gasasvlelebi SeiZleba iyos Zalian mcire raodenobiT da gagviWirdes maTi danaxva. o avadmyofs ZiriTadad awuxebs tanis Zlieri qavili, gansakuTrebiT RamiT. o imunodeficitis mqone pacientebs xSirad uviTardebaT munis mZime forma, romelsac uwodeben norvegiuls. misTvis damaxasiaTebelia vezikuluri gamonayari da sqeli fufxebis warmoqmna mTel sxeulze. munis am formis dros qavili ar aris gamoxatuli. o qavilis gamo muni xSirad rTuldeba meoradi infeqciebiT. diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA o diagnozi ismeba klinikuri gamovlinebebisa da dazianebuli keris anafxekis mikroskopuli gamokvlevis safuZvelze. o mikroskopiisas aRmoCndeba tkipebi an/da maTi kvercxebi. mkurnalobaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA o SerCevis preparats warmoadgens adgilobrivad gamosayenebeli 1%- ani gamabenzen heqsaqloridi, romelic ismeba mTels tanze, Tavis garda, mozrdilebSi Camoibaneba 24 sT-Si , xolo bavSvebSi_8sT-Si. sakmarisia erTjeradi damuSaveba. o aseve SesaZlebelia kanis damuSaveba 1%-ani permetriniT an 1%-ani lindaniT; es preparatebic ismeba mTels tanze da Camoibaneba 8 sT- Si. permetrinisa da lindanis gamoyeneba ar SeiZleba orsulebisaTvis, meZuZuri dedebisa da bavSvebisaTvis. o norvegiuli munis samkurnalod, imunodeficitis mqone pacientebSi, efeqturia ivermeqtini, 200 mg/kg PO erTjeradad. o tansacmeli, TeTreuli da pirsaxocebi unda gamoixarSos da dauTovdes gaSrobis Semdeg. o munis mkurnaloba unda Cautardes sqesobriv partniors da yvelas vinc sayofacxovrebo kontaqtSi iyo avadmyofTan. 3.2.9. stafilokokuri folikuliti o folikuliti _ kanis infeqciaa, romlis drosac procesi Tmis folikulSia lokalizebuli. o aiv inficirebulebs xSirad uviTardebaT pustularuli perifolikuliti. o folikulits, rogorc wesi, iwvevs Staphylococcus aureus, magram sxva mikroorganizmebsac SeuZlia misi gamowveva. diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA o diagnozi ismeba klinikuri gamovlinebebis safuZvelze. 105
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o ganmeorebiTi invaziis Semdeg ki viTardeba alergiuli reaqcia <strong>da</strong><br />
simptomebi gamovlindeba 1-4 dRis ganmavlobaSi.<br />
o kanqveSa gasasvlelis gayvanisas viTardeba gamonayari, romelic<br />
xSirad gvxvdeba:<br />
o xelebze - mtevnebze (gansakuTrebiT TiTebs Soris),<br />
o majis, i<strong>da</strong>yvis, muxlismomxrel ze<strong>da</strong>pirebze,<br />
o winamxris i<strong>da</strong>yviskena ze<strong>da</strong>pirze,<br />
o sasqeso asoze,<br />
o sarZeve jirkvlebsa <strong>da</strong><br />
o beWebze.<br />
o tkipebi <strong>da</strong> maT mier gayvanili gasasvlelebi SeiZleba iyos Zalian<br />
mcire raodenobiT <strong>da</strong> gagviWirdes maTi <strong>da</strong>naxva.<br />
o avadmyofs ZiriTa<strong>da</strong>d awuxebs tanis Zlieri qavili, gansakuTrebiT<br />
RamiT.<br />
o imunodeficitis mqone pacientebs xSirad uviTardebaT munis mZime<br />
forma, romelsac uwodeben norvegiuls. misTvis <strong>da</strong>maxasiaTebelia<br />
vezikuluri gamonayari <strong>da</strong> sqeli fufxebis warmoqmna mTel<br />
sxeulze. munis am formis dros qavili ar aris gamoxatuli.<br />
o qavilis gamo muni xSirad rTuldeba meoradi infeqciebiT.<br />
diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA<br />
o diagnozi ismeba <strong>klinikuri</strong> gamovlinebebisa <strong>da</strong> <strong>da</strong>zianebuli keris<br />
anafxekis mikroskopuli gamokvlevis safuZvelze.<br />
o mikroskopiisas aRmoCndeba tkipebi an/<strong>da</strong> maTi kvercxebi.<br />
<strong>mkurnaloba</strong>AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA<br />
o SerCevis preparats warmoadgens adgilobrivad gamosayenebeli 1%-<br />
ani gamabenzen heqsaqloridi, romelic ismeba mTels tanze, Tavis<br />
gar<strong>da</strong>, mozrdilebSi Camoibaneba 24 sT-Si , xolo bavSvebSi_8sT-Si.<br />
sakmarisia erTjeradi <strong>da</strong>muSaveba.<br />
o aseve SesaZlebelia kanis <strong>da</strong>muSaveba 1%-ani permetriniT an 1%-ani<br />
lin<strong>da</strong>niT; es preparatebic ismeba mTels tanze <strong>da</strong> Camoibaneba 8 sT-<br />
Si. permetrinisa <strong>da</strong> lin<strong>da</strong>nis gamoyeneba ar SeiZleba<br />
orsulebisaTvis, meZuZuri dedebisa <strong>da</strong> bavSvebisaTvis.<br />
o norvegiuli munis samkurnalod, imunodeficitis mqone pacientebSi,<br />
efeqturia ivermeqtini, 200 mg/kg PO erTjera<strong>da</strong>d.<br />
o tansacmeli, TeTreuli <strong>da</strong> pirsaxocebi un<strong>da</strong> gamoixarSos <strong>da</strong><br />
<strong>da</strong>uTovdes gaSrobis Semdeg.<br />
o munis <strong>mkurnaloba</strong> un<strong>da</strong> Cautardes sqesobriv partniors <strong>da</strong> yvelas<br />
vinc sayofacxovrebo kontaqtSi iyo <strong>avadmyofTa</strong>n.<br />
3.2.9. stafilokokuri folikuliti<br />
o folikuliti _ kanis <strong>infeqcia</strong>a, romlis drosac procesi Tmis<br />
folikulSia lokalizebuli.<br />
o <strong>aiv</strong> inficirebulebs xSirad uviTardebaT pustularuli<br />
perifolikuliti.<br />
o folikulits, rogorc wesi, iwvevs Staphylococcus aureus, magram sxva<br />
mikroorganizmebsac SeuZlia misi gamowveva.<br />
diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA<br />
o diagnozi ismeba <strong>klinikuri</strong> gamovlinebebis safuZvelze.<br />
105
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