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respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da

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• Sefasdes garTulebebis arseboba;<br />

• Sefasdes, Tu ramdenad asrulebs pacienti eqimis <strong>da</strong>niSnulebas.<br />

Tu pacienti sworad ar asrulebs eqimis <strong>da</strong>niSnulebas:P<br />

• SeiZleba gagrZeldes mocemuli antibiotiki;<br />

• Tu antibiotikze aRiniSneba Rebineba, igi un<strong>da</strong> Seicvalos pirveli<br />

rigis sxva preparatiT, an <strong>da</strong>iniSnos saineqcio antibiotiki, sanam<br />

ar moxdeba Rebinebis kupireba, ris Semdegac kvlav xdeba<br />

ga<strong>da</strong>svla oralur antibiotikze.<br />

Tu pacienti sworad asrulebs eqimis <strong>da</strong>niSnulebas:<br />

• saWiroa meore rigis antibiotikebis gamoyeneba.<br />

meore rigis preparatebs miekuTvneba:<br />

• im pirebSi, romelTac ar aqvT alergia penicilinze<br />

amoqsicilinis <strong>da</strong> klavulonis mJavis kombinirebuli preparati<br />

efeqturia im baqteriebis sawinaaRmdegod romelic iwvevs<br />

sinusits, maT Soris Moraxella catharalis, Streptococus pneumonie-is<br />

penicilin-rezistentuli Stamebis mimarT.<br />

• II Taobis cefalosporinebi.<br />

Tu saeWvoa anaerobuli baqteriebiT gamowveuli sinusiti<br />

SesaZlebelia mkurnalobaSi gamoyenebuli iqnas metroni<strong>da</strong>zoli.<br />

Tu antibiotikis meore kursis Semdeg pacientis mdgomareoba ar<br />

umjobesdeba, mizanSewonilia sinusis punqcia <strong>da</strong> aspirati<strong>da</strong>n kulturis<br />

mgrZnobelobis gansazRvra.<br />

orsul qalebTan <strong>da</strong> meZuZur dedebTan gamoiyeneba eriTromicini.<br />

miuxe<strong>da</strong>vad imisa, rom klaritromicinTan <strong>da</strong> azitromicinTan Se<strong>da</strong>rebiT is<br />

metad aRizianebs kuW-nawlavis traqts <strong>da</strong> Haemophilus influenzae–ze naklebad<br />

moqmedebs, <strong>da</strong>dgenilia eriTromicinis usafrTxoeba orsulebSi.<br />

ana lgetiuri <strong>da</strong> an tipiretuli saSualebebi<br />

mwvave sinusitis mqone pacientebSi, romelTac gamoxatuli aqvT<br />

tkivilis sindromi, iniSneba antipiretuli preparatebi tkivilisa <strong>da</strong><br />

temperaturuli reaqciis kupirebis mizniT. rogorc bavSvebSi, ise<br />

mozrdilebSi naCvenebia paracetamolis an iboprufenis gamoyeneba.<br />

antibiotikebi <strong>da</strong> analgetikebi Cveulebriv sakmarisia sinusitis<br />

samkurnalod. Tumca SesaZlebelia iSviaT SemTxvevaSi <strong>da</strong>matebiT<br />

gamoyenebuli iqnas preparatebi, romlebic amcireben lorwovanis<br />

SeSupebas, aumjobeseben sinusis drenaJs.<br />

dekongestantebi<br />

intranazaluri dekongestantebis gamoyeneba moklevadiani kursiT<br />

SesaZlebelia sinusitis samkurnalod (mtkicebuleba C), Tumca maTi<br />

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