Tbilisi - sppf.info

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IgA-deficiti.
B-ujredebis deficiti.
pirveladi ciliaruli diskinezia.
Sidsi.
bronqoeqtazia.
mukociliaruli klirensis darRveva.
kisto-fibrozi.
pirveladi ciliaruli diskinezia.
bronqoeqtazia.
bronqo-pulmonaluri displazia.
aspiraciuli sindromi.
g.e.f. refluqsi.
faringialuri da ylapvis disfunqcia.
filtvebis intersticialuri paTologia
(maT Soris maoblitirebeli bronqioliti).
gulis paTologia.
anafilaqsia.
inhalaciuri dazianeba _ damwvroba.
mwvave bronqioliti.
mwvave bronqioliti ZiriTadad virusuli
eTiologiis daavadebaa. igi ZiriTadad (50%)
gamowveulia RSV-iT. sxva agentebia: paragripis
virusi, adenovirusi, mikoplazma da iSviaTad
sxva virusebi. adamianis metapnevmovirusi xSiradaa
pirveladi infeqciis mizezi an Tan erTvis
xolme RSV-s. ar aris dadasturebuli
baqteriuli bronqiolitis arseboba. Tumca
baqteriuli pnevmonia zogjer diagnostirdeba,
rogorc bronqioliti an Tavad bronqioliti
rTuldeba baqteriuli pnevmoniiT.
aS.S-Si, yovelwliurad, RSV-iT gamowveuli
daavadebis diagnoziT, xdeba 50000 _ 80000 bav-
Svis hospitalizacia. aqedan 200 dan 500-made
SemTxvevaSi Sedegi fataluria.
bronqioliti ufro xSiria vaJebSi,vidre gogonebSi;
aseve xelovnur kvebaze myof da mravalricxovad
ojaxebSi mcxovreb bavSvebSi. infeqciis
wyaro, umetes SemTxvevaSi, aris ujaxis
ufrosi wevri. maTSi RSV-iT, an axva agentiT,
gamowveuli infeqcia, SeiZleba minimaluri klinikuri
suraTiT iyos gamoxatuli.
yvela dainficirebul Cvils ar unviTardeba
qvemo sasunTqi gzebis dazianeba. anatomiuri da
imunologiuri faqtorebi mniSvnelovan gavlenas
axdenen daavadebis ganviTarebis simZimeze.
Cvilebi _ mcire zomis bronqebiTa da filtvis
susti funqciiT _ ufro mZimed avaddebian, vid-
re SedarebiT mozrdilebi. RSV iw-vevs kompleqsur
imunur pasuxs _ eozinofilebis degranulacias
da kaTionuri cilebis mier bronqebis
lrwovanis toqsiur dazianebas. mniSvnelovania
IgE-Ti ganpirobebuli reqciis roli da LT-ebis
faqtori.
mwvave bronqioliti xasiaTdeba bronqialuri
obstruqciiT, bronqebis lorwovanis SeSupebiT,
lorwosa da ujredebis CamofcqvniT. vi-
Tardeba mcire kalibris bronqebis lorwovanis
SeSupeba da rogorc eqspiraciuli, ise inspiraciuli
SezRudva. Tumca eqspiracia ufro
metad izRudeba. Tu obstruqcia srulia _ vi-
Tardeba ateleqtazi.
qronikuli infeqcia.
qronikuli infeqciis arseboba xSiria kisto-fibrozis
dros. am dros saxezea persistuli
respiratoruli sindromi,dolis TiTebi,maladsorbcia,
ganviTarebaSi CamorCena, eleqtrolituri
balansis darRveva da rezistentuli
bronqodilatacia.
alergia da asTma
alergia da asTma aris “vizingis” uxSiresi
mizezi. asTmis dros saqme gvaqvs SeqceviTi xasiaTis
bronqospazmTan da bronqebis hiperreaqtiulobasTan.
literaturuli monacemebis mixedviT, 3 wlamde
asakis bavSTa 19,9%%-s, mwvavve respiratoruli
virusuli infeqciiT avadobis SemTveaSi,
aReniSneba “vizingi”, romelic aRar meordeba da
bunebrivia ar SeiZleba CaiTvalos asTmad. bav-
SvTa 13,3%-s aReniSneba persistuli “vizingi”
romelic, aseve xSirad vlindeba respiratorul
infeqciasTan erTad da grZeldeba 6 wlis asakamde.
bavSvTa daaxloebiT 15%-s “vizingis” gamovlineba
ewyeba 3 wlis asakis Semdeg da aqedan
mxolod 1/2-s ugrZeldeba igi 6 wlis asakis Semdeg.
3 wlamde asakis bavSvTa 60%-s, romelTac
persistuli “vizingi” aReniSnebaT, es sindromi
aRar aReniSnebaT 6 wlis asakis Semdeg.
aRniSnulis gamo,ioli ar aris 3 wlamde asakis,
Tundac persistuli “vizingis” mqone, bavSvebSi
asTmis diagnosis dasma.
aseT SemTxvevaSe aucileblad unda iyos
gaTvaliswinebuli ojaxuri atopiuri anamnezi
(gansakuTrebiT dedis asTma) da kanis alergiuli
gamovlinebebi bavSSi.
zogadad, adreuli “vizingis” gamovlinebaSi
aseve mniSvnelovani risk-faqtorebia dedis as-
Tma, dedis mier sigaretis moxmareba, saerTod
sigaretis moxmareba bavSvis sacxovrebel garemoSi,
bavSSi, respiratoruli infeqciis gareSe,
ganviTarebuli xSiri riniti da egzema 1 wlamde
asakSi.
@__) otkb