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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mastoiditi; Tu eqvsi Tvis ganmavlobaSi aRiniSna mwvave otitis sami an<br />
meti epizodi, an oTxi epizodi aRiniSna 12 Tvis ganmavlobaSi; Tu<br />
mkurnalobis <strong>da</strong>mTavrebis Semdeg eWvi gaqvT smenis deficitze (gamoikvlieT<br />
yvela avadmyofi. CurCuli un<strong>da</strong> ismodes <strong>da</strong>axloebiT 6 metrze).<br />
protokolis wyaro. winamdebare protokoli efuZneba saqarTvelos<br />
<strong>respiraciuli</strong> asociaciis “mwvave otitis marTvis gaidlains”.<br />
mwv ave si nusitis mar Tvis al goritmi<br />
mw vave si nusitis diagnostika<br />
pa cienti mw vave mZ ime<br />
im onokompetentur pa cientSi<br />
si nusitiT<br />
bavSvi:<br />
bavSvi <strong>da</strong> mozrdili:<br />
• cxviri<strong>da</strong>n gamonadenis gaxangrZliveba;<br />
• maRali (>39 0 C) an mudmivi<br />
• xveleba dRis saaTebSi;<br />
cxeleba (>3-4 dReze)<br />
• 10-14 dReSi ar aris gaumjobeseba.<br />
• periorbituli SeSupeba<br />
mozrdili:<br />
• 10-14 dReSi ar aris<br />
• Cirqovani gamonadeni cxviri<strong>da</strong>n;<br />
gaumjobeseba<br />
• tkivili ze<strong>da</strong> ybis areSi (gans. calmxrivi);<br />
• saxis/kbilis Zlieri<br />
• cal mxares sinusis mgrZnobeloba;<br />
tkivili<br />
• sawyisi gaumjobesebis Semdeg mdgomareobis<br />
• am simptomebis arsebobisas,<br />
gauareseba;<br />
miuxe<strong>da</strong>vad maTi<br />
• gaumjobesebis ararseboba7-10 dRis Semdeg; ai rCieT erTi<br />
xangrZlivobisa,<br />
ai rCieT<br />
saWiroa<br />
erTi<br />
• sinusis rentgenografia morecidive an qr.<br />
<strong>da</strong>uyovneblivi <strong>da</strong>xmareba<br />
• amoqsicilini:<br />
• amoqsicilini:<br />
sinusitis dros.<br />
sim ptomuri mk urnaloba mozrdilebi 1500<br />
mozrdilebi 3<br />
fiziologiuri xsnaris CawveTeba,<br />
analgetiki/anti-<br />
miRebaze; bavSvebSi: 45 miRebaze;<br />
mg/dReSi 2 an 3<br />
g/dReSi 2 an 3<br />
SeniSvna piretiki, adgilobrivi <strong>da</strong>/an mg/kg/dReSi 2 an 3<br />
bavSvebSi: 90<br />
* p en ic xangrZlivoba oraluri il in ze Wedekongestatebi,<br />
Sm ar< it7-14 i aldReze<br />
er gi a: 7-10 miRebaze dRe (mozrdilebSi) an 10-14 dRe mg/kg/dReSi (bavSvebSi) 2 an gaumjobesebis<br />
• pen icilinze gareSe an ufro met xans miRebaze saSualo simZimis<br />
3<br />
urtikaria (antibiotikebi met anafilaqsia xans Tu ara gaumjobeseba<br />
aris) mwvave gamonayari an <strong>respiraciuli</strong><br />
simptomebi ar aris an WeSmariti<br />
mZime simptomatika, mudmivi • serozul-Cirqovani<br />
pen icilinze<br />
penicilinze efeqturia<br />
miuTuTebs WeSmarit alergiaze.<br />
makulopapuluri<br />
WeSmariti msubuqad infeqciis alergia aris dros Tu agamoxatuli<br />
na<strong>da</strong> mn ezar Si ax-<br />
il inzbaqteriuli e We Sm ar it i sinusitis<br />
al er gi a,<br />
azitromicini an<br />
alergia:*<br />
ar is gamonadeni alergia:* cxviri<strong>da</strong>n <strong>da</strong>/an xvela WeSmariti dRis saaTebSi<br />
pen icdens<br />
cef al os po riprevencias0<br />
ni s d an iS vn am de<br />
klaritromicini<br />
cefalosporini<br />
mii Re T Tu a le4- rg5 oldReSi og is kar on suiq ltna<br />
ac ia<br />
<strong>da</strong>/an<br />
an ifi qr eT re spir ac iu l<br />
fto rqga inumjobeseba, ol ze 1 8 we lzsaWiroa<br />
e me ti romelime mkurnaloba risk-faqtori un<strong>da</strong> saxezea asaki alergologis<br />
2 w-mde, aRzr<strong>da</strong><br />
ganme orebiTi<br />
40<br />
asa ki s pa ci en te bS i<br />
organizebul gagrZeldes koleqtivebSi, myari antibiotikebis konsultacia gamoyeneba<br />
** klavulanis komJavis nsultacia doza ar un<strong>da</strong> gaumjobeseba<br />
bolo gaumjobesebi<strong>da</strong>n<br />
ar aris<br />
3 Tvis manZilze 7 dRe<br />
48-72 saaTSi mxolod mudmivi<br />
gamonadeni ar aris mkurnalobis an morecidive Secvlis infeqcia.<br />
aRematebodes 10mg/kg/dReSi<br />
Cveneba
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