respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da
respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da
respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da
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omelic grZeldeba 30-<strong>da</strong>n 90 dRemde <strong>da</strong> romlis Semdeg simptomebi<br />
mTlianad ixsneba;<br />
morecidive sinusitis diagnozi ismeba im SemTxvevaSi, Tu sinusitis<br />
epizodebis sixSirea 4 an metia weliwadSi, TiToeuli epizodis<br />
xangrZlivobaa 10 dRe <strong>da</strong> meti, <strong>da</strong> Tu gamwvavebaTa Soris periodSi<br />
pacients simptomatika ar uvlindeba;<br />
qronikuli sinusiti grZeldeba 12 kvira <strong>da</strong> meti mkurnalobis fonze an<br />
mis gareSe.<br />
epidemiologia<br />
Cveulebriv mozrdili a<strong>da</strong>miani wlis ganmavlobaSi 3-4 jer avadobs<br />
mwvave <strong>respiraciuli</strong> infeqciiT, bavSvTa asakSi mri-s sixSire<br />
gacilebiTYmetia <strong>da</strong> Seadgens <strong>da</strong>axloebiT 6-10 weliwadSi. mri-s<br />
SemTxvevaTa <strong>da</strong>axloebiT 0,5-2%, xolo sxva avtorTa monacemebiT 7%,<br />
rTuldeba baqteriuli sinusitiT. un<strong>da</strong> aRiniSnos, rom virusuli<br />
rinosinusiti 200-jer ufro xSiria, vidre baqteriuli.<br />
etiologia<br />
Cveulebriv paranazaluri sinusebi steriluria. baqteriuli sinusitis<br />
ZiriTadi gamomwvevebia: Streptococus pneumonie; Haemophilus influenzae.<br />
am or gamomwvevze modis baqteriuli sinusitis <strong>da</strong>axloebiT 50%<br />
rogorc mozrdilebSi, ise bavSvTa asakSi. rogorc mozrdilebSi, ise<br />
bavSvebSi sinusitis 5%-s iwvevs Staphylococcus aureus, Staphylococcus pyogenes.<br />
bavSvebSi xSiria agreTve Moraxella catarrhalis (<strong>da</strong>axloebiT 20%),<br />
mozrdilebSi misi mizeziT gamowveuli sinusiti iSviaTia.<br />
mozrdilebSi sinusitis 10% gamowveulia anaerobuli baqteriebiT<br />
(Bacteroides spp, Porphyromonas spp, Peptosostreptococus spp). am floriT gamowveuli<br />
sinusiti xSir SemTxvevaSi asocirebulia kbilis <strong>da</strong>zianebasTan.<br />
Zalze iSviaTad (
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