2006 წლის I ნახევარი

aqvs qronikuli pielonefriti. cemis Semdeg mas hematuria ar hqonia,Tumca pirveli moSardvis Semdeg igrZno Zlieri simxurvale da wvisSegrZneba, aseve dRemde aReniSneba tkivili sasqeso organoebis midamoSi.avadmyofi aRniSnavs rom miuxedavad araerTi moTxovnisa eqimsjerjerobiT ar unaxavs. avadmyofs sxeulis sxvadasxva midamoSiaReniSneba sxvadasxva xasiaTis dazianeba. zurgis midamoSi aReniSnebasami postoperaciuli Wrilobis Sexorcebis nawiburi, romlebic aSkaradgamoirCeva didi xandazmulobiT. avadmyofis ganmartebiT aRniSnuliSedegia ramdenime wlis win zurgis midamoSi arsebuli nakveTi Wrilobispirveladi qirurgiuli damuSavebisa. avadmyofs yvelaze ufro SesamCnevidazianeba savaraudo cemis Semdeg miRebuli aqvs zurgis midamosmarcxena naxevarSi, kisris VII malis waziduli morCidan daaxloebiT 15-16 sm-iT qvemoT, upiratesad marcxniv aRiniSneba daaxloebiT 10-11 smsigrZis Wriloba. Wriloba pirRiaa, kideebi Secilebulia. sisxldenagasinjvis momentSi ar aRiniSneba. mimdebare qsovilebze aRiniSnebaSededebuli sisxlisa da koltebis kvali. Wriloba damuSavebuli araris, dabinZurebulia. palpatorulad Zlier mtkivneulia wel-zurgismidamo, orive Tirkmlis saproeqcio areSi, sadac, rogorc avadmyofiaRniSnavs yvelaze ufro metad urtyamdnen. obieqturad: mucelisunTqvisas SezRudulia, gansakuTrebiT zogavs marjvena naxevars.avadmyofs ileocekalur areSi aReniSneba apendeqtomiis Semdgominawiburi; aseve marcxena sazardulis midamoSi gadataniliTiaqarplastikis Sedegad Camoyalibebuli nawiburi. marjvena ferdqveSamidamo Sexebisas da gansakuTrebiT palpaciisas Zlier mtkivneulia.avadmyofi dazianebebis miRebis Semdeg eqims an eqTans ar unaxavs,miuxedavad araerTi moTxovnisa. Wrilobebi ar aris damuSavebuli daSexveuli, avadmyofs aranairi samedicino daxmareba ar aRmoCenia, arcuSualod travmis miRebis Semdeg, arc Semdgom periodSi, Cveni vizitisperiodis CaTvliT. diagnozi: gulmkerdis daxuruli travma, sxeulissxvadasxva midamos eqskoriaciebi da sisxlnaJRenTebi, zurgis midamosmarjvena naxevris nafleTovani Wriloba, sxeulis zogadi daJeJiloba.patimari mixeil k. movinaxuleT #1 sapyrobilis #-- sakanSi. mixeil k.-sgadmocemiT, 6 seqtembers, saRamos saaTebSi gaiyvanes sxva patimarTanerTad derefanSi da fizikuri Seuracxofa miayenes. sxva, ukve nacemi,patimrebi iqve iyvnen miyudebuli kedlebze da maT ayurebinebdnen morigicemis faqtebs. aRniSnul periodSi, avadmyofis gadmocemiT, mas moxvdakefis midamoSi, aseve uknidan marjvena beWisa da zurgis midamoSi.savaraudod, mas scemdnen gaSlili xelis mtevniT. igi cemis dros arwaqceula, goneba ar daukargavs. amJamad tkivili mcire intensivobisaazemoaRniSnul midamoebSi. rogorc patimari aRniSnavs, sxvebTanSedarebiT misi dazianebebi TiTqmis umniSvneloa da raime kvali mas ukveaRar aReniSneba, ris gamoc igi ar miiCnevs mizanSewonilad,dagvaTvalierebinos sxeulis dazianebuli midamoebi. sunTqvisa damoZraobis dros mas tkivili ar aReniSneba. Tavbruxveva, gulisrevisSegrZneba an sxva raime msgavsi niSani ar ganviTarebia. patimars marcxenaloyaze aReniSneba simsivnuri warmonaqmni. palpatorulad igi unda iyosSedarebiT zedapirulad ganTavsebuli cista. warmonaqmni rbilia,savaraudod, Seicavs siTxes. mixeil k.-s gadmocemiT, aRniSnuli163