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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yvela SemTxvevaSi rentgenografia un<strong>da</strong> Catardes pacientis<br />
vertikalur poziciaSi, raTa rentgenogramaze Sefasdes sinusSi haerisiTxis<br />
done.<br />
gaurTulebeli mwvave sinusitis dros sisxlis saerTo analizis an<br />
nazofaringiuli kulturis rutinulad Catareba ar aris rekomendebuli.<br />
garTulebuli sinusitebis SemTxvevaSi diagnostikis “oqros<br />
stan<strong>da</strong>rtad” iTvleba sinusis aspiracia <strong>da</strong> baqteriuli kulturis<br />
Seswavla.<br />
mwvave sinusitis arsebobas gamoricxavs simptomebis persistireba 4<br />
kviraze metad.<br />
mkurnaloba<br />
antibiotikoTerapia<br />
baqteriuli sinusitis mkurnalobis mizania sinusis Rrus SigTavsis<br />
drenireba <strong>da</strong> paTologiuri baqteriebis zrdis Seferxeba. antibiotiko-<br />
Terapiis Cvenebaa:<br />
• simptomebis persistireba (magaliTad, Tu klinikuri niSnebi<br />
grZeldeba 7 - 10 dReze meti);<br />
• mZime simptomatika (mag: profuzuli Cirqovani gamonadeni cxviri<strong>da</strong>n,<br />
saxis tkivili <strong>da</strong> sistemuri <strong>da</strong>zianebis niSnebi);<br />
• pacientis mdgomareobis <strong>da</strong> simptomebis gauareseba.<br />
pirveli rigis preparats miekuTvneba amoqsicilini. Tu arsebobs<br />
alergiuli anamnezi penicilinebis jgufis antibiotikebis mimarT SeiZleba<br />
<strong>da</strong>iniSnos azitromicini <strong>da</strong> klaritromicini, <strong>da</strong>dgenilia maTi maRali<br />
efeqturoba sinusitis gamomwvevebis mimarT.<br />
meore rigis preparatebs miekuTvneba: ko-amoqsiklavi, cefuroqsimi,<br />
levofloqsacini (12 wlis zemo asakSi).<br />
ana lgetiuri <strong>da</strong> an tipiretuli saSualebebi<br />
tkivilisa <strong>da</strong> temperaturuli reaqciis kupirebis mizniT bavSvebSi<br />
naCvenebia paracetamolis an iboprufenis gamoyeneba.<br />
dekongestantebi<br />
intranazaluri dekongestantebis gamoyeneba moklevadiani kursiT<br />
SesaZlebelia sinusitis samkurnalod, intranazaluri dekongestantebis<br />
xangrZlivi droiT (7 dRe <strong>da</strong> meti) gamoyeneba ar aris rekomendebuli.<br />
sxva saSualebebi<br />
ar arsebobs klinikuri mtkicebulebebi nazalurad fiziologiuri<br />
xsnaris gamoyenebis Sesaxeb. Tumca SesaZlebelia fiziologiuri xsnaris<br />
gamoyenebam xeli SeuSalos fufxebis warmoqmas <strong>da</strong> gaaTxelos sekreti,<br />
rac gaaioloebs mis drenaJs.<br />
<strong>da</strong>kvirveba<br />
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