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r di li asa kis pa ci en te bis T vis
mxo lod do za aris mci re da
amav d ro u lad iniS ne ba di di
sif r Txi liT
gan vi xi loT Tu ro gor ixi -
lavs ucxo e li av to re bi hi per -
ten zi is eti o lo gi is sa kiTxs
asa kis mi xed viT:
Hypertension can be pri mary (ie, es -
sen ti al) or se con dary. In ge ne ral, the yo -
un ger the child and the hig her the BP,
the gre a ter the li ke li ho od that hyper ten -
si on is se con dary to an iden ti fi ab le ca -
u se (see Tab le 1 ). A se con dary ca u se of
hyper ten si on is most li kely to be fo und
be fo re pu berty; af ter pu berty, hyper ten -
si on is li kely to be es sen ti al.
A review of the literature revealed
that most of the young patients with secondary
hypertension had a renal
parenchymal abnormality; in the remaining
patients, the causes of hypertension
(in order of frequency) were renal artery
stenosis, coarctation of the aorta,
pheochromocytoma, and a variety of
other conditions
amJamad ki Cven gvsurs klinicistebs
pirvel rigSi movawodoT
hipertenziis uxSiresi
mizezebi 7–12 wlis asakSi:
am de nad,un da Ggvaxsobdes:
hi per ten zi is ux Si re si mi ze -
ze bi 7-12 wlis bav S veb Si
1. Tir k m lis pa ren qi mis da a -
va de be bi
2. Tir k m lis sis x l Zar R ve bis
ano ma li e bi
3. endokrinuli mi ze ze bi
4. esenciuri hi per ten zia
hipertenzias
78%-Si ga na pi ro bebs Tir k m -
lis pa ren qi mis ano ma lia,
22%-Si Tir k m lis ar te ri is
ste no zi, aor tis ko ar qa cia, fe -
,fdidsf rfhlbjkjubf
oq ro mo ci to ma da sxva mdgo ma -
re o be bi (vil m sis sim si ve, hi -
per Ti ro i diz mi, Tir k mel ze da
jir k v lis hi per p la zia, ter ne -
ris sim p to mi)
Llaboratoriuli kvle ve bi -
dan:
1. Sar dis sa er To ana li zici
la, eriT ro ci te bi - > Tir -
k m lis pa ren qi mis da zi a ne bis
in di ka to ri
2. Sis x lis bi o qi mi u rik v le -
va:
kre a ti ni ni^ - Tir k m lis da -
zi a ne ba;
hi po ka le mia – hi pe ral dos -
te ro niz mi
3. sis x l Si hor mo ne bi:
re ni ni^- hi per ten zi is mi ze -
zi Se iZ le ba iyos Tir k m lis
sis x l Zar R ve bis ano ma lia aor -
tis ko ar q ta ci is CaT v liT
re ni ni daq ve i Te bu li – al -
dos te ro niz mi, ro me lic Se iZ -
le ba ga ni kur nos ste ro i de -
biT
2013 weli