Tavis tvinis mwvave dazianebis mqone pacientTa marTva ...

yovelwliur SemTxvevaTa raodenoba aris 1 – 2 yovel 1000 mosaxleze, romelTaganumetesoba Semowmebisas aris sruliad naTel gonebaze da aReniSnebaT mxolod msubuqiformis Tavis tvinis travmuli dazianeba. sikvdiloba izolirebuli msubuqi formis Tavistvinis travmuli dazianebis SemTxvevaSi aris 1%-ze naklebi.III. etiopaTogenezi:etiologiuri mizezebis mixedviT gamoyofen Semdegi xasiaTis tramvebs:• satransporto travma;• sayofacxovrebo travma;• katastrofebi;• terorizmi;• sporti.paTogenezurad Tavis travmis dros Tavis tvinis dazianeba SeiZleba iyos pirveladi dameoradi. pirveladi dazianeba ganpirobebulia uSualod travmis mier, paTomorfologiuradgamoixateba nervuli boWkoebis difuzuri dazianebiT. xolo meoradi dazianeba viTardebaqalasSida garTulebebis Sedegad (magaliTad, qalasSida hematomebi, tvinis SeSupeba,infeqcia).klinikurad maRali riskis asakobrivi jgufebi Tavis tvinis travmuli dazianebisas arianZalian axalgazrdebi da Zalian moxucebi, maT visac utardebaT Terapiuli antikoagulaciaan aqvT raime saxis koagulopaTia an Talasemia, aReniSnebaT Tavis qalis kompleqsurimotexiloba da aqvT mravlobiTi dazianebebi.IV. klinikuri simptomatika da diagnozinebismier pacientze daxuruli travmiT, romelsac aReniSneba cnobierebis dakargvaSeiZleba vivaraudoT Tavis tvinis travmuli dazianeba.Tavis tvinis travmuli dazianebis sami kategoria arsebobs: (I) msubuqi _ glazgos komisSkaliT (gkS) 13-15 qula; (II) saSualo simZimis _ gkS-iT 9-12 qula; da (III) mZime – gkS-iT 9qulaze naklebi. msubuqi formis Tavis tvinis travmuli dazianebisaTvis damaxasiaTebeliamcire xniT cnobierebis dakargva, amnezia da tranzitoruli nevrologiuri deficiti.klinikuri prognozic am maxasiTeblebTan aris dakavSirebuli.travmuli pacientis Sefaseba