54 socialuri, ekologiuri da klinikuri pediatria 2012 weli
socialuri, ekologiuri da klinikuri pediatria 55 rkinadeficituri anemiis erovnuli gaidlaini rkinadeficituri anemia (rda) aris paTologiuri mdgomareoba, romelic ganpirob<strong>eb</strong>ulia organizmSi rkinis raodenobis Semcir<strong>eb</strong>iT, hemoglobinis sinTezisa da misi saSualo koncentraciis daqveiT<strong>eb</strong>iT TiToeul eriTrocitSi. epidemiologia. yvela sxva anemi<strong>eb</strong>s Soris rda xvedriTi wili Seadgens 70-80%-s. saqarTveloSi (XXI saukunis I dekadaSi) rkinadeficituri anemia bavSv<strong>eb</strong>Si gvxvd<strong>eb</strong>oda 21, 4%-Si, xolo rkinis latenturi deficiti – 13, 4%-Si. aRniSnuli tipis anemi<strong>eb</strong>i 6 Tvemde asakis bavSv<strong>eb</strong>Si dafiqsir<strong>eb</strong>ulia 57%-Si, xolo 6-12 Tvis asakobriv jgufSi – 71%-Si. etiologia. rkinadeficituri anemiis ZiriTadi mizez<strong>eb</strong>ia: antenataluri: placentarul-saSvilosnos sisxlis mimoqcevis moSla, placentaruli ukmarisoba, feto-placentaruli da fetodediseuli sisxlis dena, mravalnayofiani orsulobis fetaluri transfuziis sindromi, dRenakluloba, mravalnayofianoba, dedis organizmSi rkinis xangrZlivi da Rrma deficiti. intranataluri: feto-placentaruli transfuzia, droze adre an mogvian<strong>eb</strong>iT Wiplaris gadakvanZva, anomaluri placenta, intranataluri sisxlis dena meanis mier travmis miyen<strong>eb</strong>is Sedegad. postnataluri: sakv<strong>eb</strong>i produqt<strong>eb</strong>iT rkinis miwod<strong>eb</strong>is nakl<strong>eb</strong>oba – xelovnur kv<strong>eb</strong>aze bavSvis adreuli gadayvana, araadaptir<strong>eb</strong>uli rZis narev<strong>eb</strong>is gamoyen<strong>eb</strong>a, Zroxisa da Txis rZis gamoyen<strong>eb</strong>a, vegetarianuli da fqvileuli sakv<strong>eb</strong>is gamoyen<strong>eb</strong>a, arabalansir<strong>eb</strong>uli dieta Raribi cxoveluri produqt<strong>eb</strong>iT, rkinis maRali moTxovna bavSvis organizmis swrafi tempiT zrdis gamo (dRenakluli da mravalnayofiani orsulobidan dabad<strong>eb</strong>uli bavSv<strong>eb</strong>i, sxeulis didi masiT dabad<strong>eb</strong>ulni, pubertuli da prepubertuli periodis mozard<strong>eb</strong>i), rkinis swrafi dakargva organizmidan sxvadasxva etiologiis sisxlis denis dros, nawlav<strong>eb</strong>idan sakv<strong>eb</strong>is Sewovis darRveva; aseve xangrZlivi da uxvi sisxlis dena gogon<strong>eb</strong>Si menstrualuri ciklis dawy<strong>eb</strong>isas; rkinis transportis darRveva organizmSi transferinis deficitTan dakavSir<strong>eb</strong>iT. rkinadeficituri mdgomareobis stadi<strong>eb</strong>i: ü rkinis prelatenturi deficiti; ü rkinis latenturi deficiti; ü rkinadeficituri anemia. 2012 weli a. kvezereli-kopaZe, m. kvezereli-kopaZe, z. mTvareliZe Sps „bavSvTa axali klinika“, Tssu g. Jvanias sax. pediatriis akademiuri klinika rkinadeficituri anemiis klinikuri simptom<strong>eb</strong>i anemiuri sindromi ü kanisa da lorwovani gars<strong>eb</strong>is sifer - mkrTale; ü madis daqveiT<strong>eb</strong>a; ü fizikuri da gon<strong>eb</strong>rivi daZabulobis momat<strong>eb</strong>a; ü gul-sisxlZarRvTa sistemis darRvev<strong>eb</strong>i (Tavbrusxveva, yur<strong>eb</strong>Si Suili, gulis ton<strong>eb</strong>is moyru<strong>eb</strong>a da sistoluri Suili). sideropeniuri sindromi: ü kanis distrofiuli cvlil<strong>eb</strong><strong>eb</strong>i (kanis simSrale); ü frCxil<strong>eb</strong>is mtvr<strong>eb</strong>adoba; ü Tmis cvena (mtvrevadoba, gaTxe l<strong>eb</strong>a); ü cxviris, saylapavis da kuWis lorwovanis atrofia; ü dispefsiuri movlen<strong>eb</strong>i; ü nawlav<strong>eb</strong>idan sakv<strong>eb</strong>is Sewovis darRveva; ü ynosvis da gemovn<strong>eb</strong>is gaukuRmarT<strong>eb</strong>a; ü kunT<strong>eb</strong>is tkivili da misi tonusis daqveiT<strong>eb</strong>a; ü kbil<strong>eb</strong>is kariesi, emalis defeqti; ü subf<strong>eb</strong>riliteti. rkinadeficituri anemiis diagnostikis laboratoriuli kriterium<strong>eb</strong>i: 1. hemoglobini
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ISSN 1987-9865 SOCIAL, ECOLOGICAL &
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