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,fdidsf rfhlbjkjubf<br />
pilorostenozi Tanamedrove pediatriis<br />
erT-erT aqtualur problemas warmoadgens.<br />
msoflio jandacvis organizaciis ukanaskneli<br />
2005 wlis monacemebiT,misi sixSire, yovel<br />
1000 axalSobilze saSualod Seadgens<br />
0,5-3.<br />
saqarTveloSi 1998-2003 wlis oficialuri<br />
statistikuri monacemebis mixedviT maRalia<br />
ganviTarebis anomaliiT dabadebul axalSobilTa<br />
xvedriTi wili<br />
histologiuri Taviseburebebia: piloruli<br />
arxis mkveTri Seviwroeba,<br />
kedlis gasqeleba (erTi mxridan SeiZleba<br />
miaRwios 6-12 mm3arxis dagrZeleba<br />
(30-40mm.), arxi aris qliaviseburi formis,<br />
struqtura myife, feri-TeTri.<br />
maRali riskis jgufs warmoadgenen:<br />
vaJebi. (jandacvis saerTaSoriso msoflio<br />
organizaciis uaxloesi statistikuri monacemebiT<br />
daavadebis gamovlinebis Tanafardoba<br />
gogonebsa da vaJebs Soris meryeobs 1/4-dan<br />
1/7-mde.)<br />
memkvidruli ganwyoba vlindeba 6,9 %-Si<br />
sisxliT naTesavTa qorwinebidan miRebul<br />
bavSvebSi.<br />
social-ekonomiur-biologiur maRali riskis<br />
orsulTa axalSobilebi.<br />
axalSobilebi mucladyofnis ganviTarebis<br />
SeferxebiT.<br />
paraklinikuri diagnostika emyareba: gastroduodenoskopias,<br />
rentgenografiasa da<br />
ultrabgeriTi kvlevas.<br />
@__) otkb<br />
23<br />
ultrasonografiis, rogorc arainvaziuri<br />
<strong>info</strong>rmaciuli specifikuri da mgrZnobiare<br />
radiologiuri meTodis efeqturoba (roli)<br />
pilorostenozis adreul etapze diagnoscirebaSi<br />
z. zarnaZe, T. robaqiZe,<br />
m. inasariZe, n. Wanturaia,<br />
i. korinTeli, n. maisuraZe<br />
(kritikuli medicinis instituti, saqarTvelos<br />
olimpiuri komitetis samedicino samsaxuri,<br />
safexburTo klubebis samedicino samsaxurebi.)<br />
ultrabgeriTi kvlevis SesaZleblobebi:<br />
pilorusis dagrZelebis vizualizicia.(20.mm.-ze<br />
meti.)<br />
arxis sanaTuris Seviwroebis vizualizacia<br />
kunTovani Sris gasqelebis vizualizacia.(4mm.<br />
da meti.)<br />
Seviwroebuli arxiT pasaJis xasiaTis Sefaseba.<br />
kuWis zomebis gadidebis Sefaseba.<br />
kuWSi lorwosa da sakvebis narCenebis vizualizacia<br />
kuWSi peristaltikuri talRebis dafiqsireba.<br />
ultrabgeriTi kvlevis SesaZleblobebis<br />
upiratesobani sxva paraklinikur meTodeb-<br />
Tan SedarebiT: mxolod ultrabgeriTi gamokvleviT<br />
aris SesaZlebeli zemoT aRniSnuli<br />
oTxive niSnis erTdrouli dafiqsireba<br />
da Sefaseba. arainvaziuroba. gamokvlevas winaswari<br />
mom zadeba ar esaWiroeba. diagnoscireba<br />
drois xanmokle SualedSi.(5-10 wT.)<br />
aratoqsiuroba, radiologiurad usafrTxo.<br />
literatura<br />
1.Poland R.L., T.S., Shankaran S. Normal values for ventricular<br />
size as determined by real time sonographic techniques//<br />
Pediatric Radiology. – 1985.- V. 108, #15.-P.12-14.<br />
2.Fok T.E., Davies D.P.A studi of periventricular hemorrhage,<br />
post-hemorragic ventricular<br />
dilatation and periventricular leucomalacia in chinese<br />
preterm infants// J.Paediatr. child.health.-1990.-<br />
V.26,#10.-P.271-275.<br />
3.Volpe J.J. of the newborn.-Philadelphia: I.B.<br />
Lippincott Co., 1995.-876p.<br />
4.Haddad J., Messer J., Aranda J. Periventricular hemorrhagic<br />
infarction associated with<br />
subependymal germinal matrix hemorrhage in the premature<br />
newborn.Report of two cases//Eur.J.Pediatr.-1992.-V.15,#1.-P.63-65.<br />
5.Hofmann V., Deegk H., hoyer P.F. Ultrashalldiagnostic in<br />
Padiatrie und kinderchirurgie.-N.Y.:Verlag Stuttgart,1996.-541 p.<br />
fexburTelTa sportuli travmebis reabilitacia.<br />
kompleqsur mkurnalobaSi mikroplazmuri samkurnalo<br />
prof. s. jaiani, prof. z. kaxabriSvili,<br />
eq. z. lominaZe, eq d. zaaliSvili.<br />
danadgaris gamoyenebiT<br />
problemis aqtualoba.<br />
sxvadasxva klasis fexburTelTa Soris<br />
farTod gavrcelebuli mikrotravmebi, maTi<br />
swrafi diagnostireba da mkurnaloba, aseve<br />
am aspeqtSi mraval sakiTxTa gadauwyvetloba<br />
ZiriTadad gansazRvravsAarsebuli problemebis<br />
aqtualobas sportul medicinaSi
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