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respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da

respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da

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definicia<br />

mwvave otitis marTvis<br />

protokoli<br />

ar arsebobs otitis SeTanxmebuli definicia. samuSao definiciad<br />

mowodebulia Sua yuris anTeba swrafi ganviTarebiT adgilobrivi (yuris<br />

tkivili) <strong>da</strong> zogadi simptomatikiT (cxeleba, gaRizianeba, cudi Zili).<br />

SesaZlebelia adgili hqondes ze<strong>da</strong> sasunTqi gzebis <strong>da</strong>avadebisTvis<br />

<strong>da</strong>maxasiaTebel simptomebs: xvelas <strong>da</strong> rinoreas.<br />

<strong>da</strong>ma<strong>da</strong>sturebeli kriteriumebi<br />

mwvave otitis diagnozi moiTxovs: <strong>da</strong>avadebis simptomebis ganviTarebis<br />

mwvave <strong>da</strong>sawyiss; gamonadenis arsebobas Sua yurSi (timpanuri membranis<br />

SeSupeba, timpanuri membranis mobilurobis SezRudva an ararseboba,<br />

otorea); Sua yuris anTebis niSnebis <strong>da</strong> simptomebis arsebobas (timpanuri<br />

membranis hiperemia, otalgia).<br />

klinikuri ni Snebi<br />

Sua yuris anTebis uxSiresi simptomebia: tkivili, cxeleba,<br />

gaRizianebadoba, otorea (gamonadeni yuri<strong>da</strong>n), leTargia, anoreqsia <strong>da</strong><br />

Rebineba. specifiuri niSnebis nakleboba, gansakuTrebiT or wlamde asakSi,<br />

arTulebs Sua yuris mwvave anTebis dignozis <strong>da</strong>dgenas.<br />

Sua yuris anTeba gamonadeniT SesaZloa saerTod simptomebis gareSe<br />

mimdinareobdes <strong>da</strong> gamovlenil iyos mxolod urTierTobis, qcevis,<br />

swavlis <strong>da</strong> metyvelebis problemebiT.<br />

mwvave otitis diagnostika<br />

klinikuri niSnebi <strong>da</strong> otoskopiuri kvleva.<br />

rekomendebulia pacientebSi morecidive mwvave otitiT<br />

gansakuTrebuli yuradReba <strong>da</strong>eTmos Civils smenis <strong>da</strong>qveiTebis, metyvelebis<br />

Seferxebis Sesaxeb.<br />

aucileblad un<strong>da</strong> iqnes gaTvaliswinebuli, rom otitisaTvis<br />

<strong>da</strong>maxasiaTebeli simptomebi <strong>da</strong> niSnebi SeiZleba gaqres membranis<br />

perforaciis Semdeg. gar<strong>da</strong> amisa, <strong>da</strong>avadebis ga<strong>da</strong>tanis Semdeg Sua<br />

yurSi gamonadeni SeiZleba <strong>da</strong>rCes mwvave otitis simptomebis<br />

gaqrobis Semdeg<br />

MmarTva<br />

a n a l g e t i k e b i . tkivilis SemTxvevaSi aucilebelia analgetikebis<br />

(acetaminofeni, ibuprofeni) amoyeneba. tkivilis marTva, gansakuTrebiT<br />

<strong>da</strong>avadebis pirvel 24 saaTSi, aucilebelia antibiotikoTerapiis<br />

miuxe<strong>da</strong>vad. tkivilis marTvaSi paracetamols upiratesoba un<strong>da</strong> mieniWos<br />

arasteroiduli anTebis sawinaaRmdego saSualebebTan Se<strong>da</strong>rebiT am<br />

ukanasknelis gverdiTi movlenebis gamo (sarwmunoebis done I). mSoblebs<br />

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