2006 წლის I ნახევარი

Wrilobis supuracia da sxeulis sxvadasxva midamoSi hematomisformireba. amJamad centraluri nervuli sistemis mxriv sayuradReboaqala-tvinis daxuruli travmuli dazianeba (Tavis tvinis daJeJiloba)amiostatikuri sindromis niSnebi. fsiqikuri sferos mxriv sayuradReboagabruebis mdgomareoba, cnobierebis tranzistoruli aSla, fiqsaciurida anterograduli mexsierebis moSla, rac anamnezze, cns-is, somaturmdgomareobasa da obieqtur monacemebze dayrdnobiT, gamowveulia qalatvinistravmisa da intoqsikaciuri fonis Sedegad. gamovlenilifsiqikuri aSlilobani miuTiTebs qala-tvinis gamoxatul dazianebaze(Tavis tvinis daJeJiloba) da aseve SesaZloa mas amZimebdesintoqsikaciuri foni (savaraudod, acidozi), rac SesaZloa,ganpirobebulia respiraciuli meqanizmiT. aRsaniSnavia, rom pacients arutardeba adekvaturi mkurnaloba da imyofeba Seusabamo higienur damovlis pirobebSi. prognozi: intensiuri Terapiis dauyovnebliv dawyebisgareSe gardauvalia avadmyofis janmrTelobis mdgomareobis kritikulimoSla da Semdgomi letaluri (sasikvdilo) gamosavali. diagnozi:sxeulis zogadi daJeJiloba, gulmkerdisa da muclis daxuruli travma,sxeulis sxvadasxva midamos eqskoriaciebi da sisxlnaJRenTebi;marjvenamxrivi pnevmoToraqsi, marcxena barZayis lateraluri midamosdamwvrobis Semdgomi supuracia. qala-tvinis daxuruli travma (Tavistvinis daJeJiloba), amiostatikuri sindromis niSnebi. gabruebismdgomareoba, tranzistoruli deliriozuli CarTvebiT (gamowveuliTavis tvinis organuli dazianebiT da intoqsikaciuri foniT).rekomendaciebi: 1) avadmyofi saswrafo wesiT unda iqnes gadayvanilimravalprofilian stacionarSi intensiuri Terapiis dawyebisa dadiagnozis Semdgomi srulyofis mizniT (instrmentul-laboratoriuligamokvlevebis safuZvelze); 2) adekvaturi multiprofilurimkurnalobisa da reabilitaciis kursis gansazRvra; 3) avadmyofisjanmrTelobis mdgomareobaze mudmivi monitoringi.rogorc moyvanili magaliTidan Cans, avadmyofis mkurnalobis procesSiCaurevloba gardauvlad damTavrdeboda misi sikvdiliT. sayuradReboa,rom msgavsi faqtebi arcTu iSviaTad gvxvdeba, ra Tqma unda, TiToeulmaTganSi Careva da maTi monitoringi, Cveni resursebis gaTvaliswinebiTSeuZlebelia.saavadmyofos Terapiul ganyofilebaSi avadmyofTa raodenobis garkvevaver movaxerxeT. aq xSiria SemTxveva, rodesac eqimisa da eqTnis moZiebaSeuZlebelia. avadmyofTa umravlesoba fexiT mosiarulea, erTi SexedviT,maTi mdgomareoba damakmayofilebeli unda iyos. erT konkretulSemTxvevaSi moviTxoveT stacionaris avadmyofis samedicino baraTi,romlis moZieba SeuZlebeli aRmoCnda, miuxedavad imisa, rom im periodSiSenobaSi imyofeboda ganyofilebis gamge. rogorc man gangvimarta, morigepersonals aranairi Sexeba ar aqvs avadmyofobis istoriebTan da es massruliad bunebriv da dasaSveb qcevad miaCnia. Cveni kategoriulimoTxovnis Semdeg ganyofilebis gamge Setevaze gadmovida da tons auwia.mogvTxova dagvetovebina misi ganyofileba. damatebiTi SekiTxvebis Semdeggangvimarta, rom istoriebi seifSia Caketili da Tu misi naxva gvinda,winaswar unda davrekoT da SevuTanxmoT mas, rom dagvaxvedrosdokumentacia. Cvens kiTxvaze, Tu ratom aris dokumentebixelmiuwvdomeli morige samedicino personalisaTvis, man gangvimarta:169