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respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da

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aRiniSnos, rom mwvave faringitis an tonzilitis simptomebi TavisTavad<br />

mcirdeba <strong>da</strong>avadebis <strong>da</strong>wyebi<strong>da</strong>n 48-72 saaTis Semdeg (sarwmunoebis done I).<br />

amave dros, arasteroiduli anTebis sawinaaRmdego saSualebebis<br />

gamoyeneba <strong>da</strong>kavSirebulia gastrointestinaluri sisxldenis, gulisrevis,<br />

Rebinebis, muclis tkivilis <strong>da</strong> diareis ganviTarebis <strong>da</strong><strong>da</strong>sturebul<br />

riskTan.<br />

<br />

arasteroiduli anTebis sawinaaRmdego saSualebebis gamoyenebis<br />

riskis gamo maTi rutinuli gamoyeneba mwvave faringitis dros<br />

rekomendebuli ar aris.<br />

d a m a t e b i T i T e r a p i a . erTeul kvlevebSi aris <strong>da</strong><strong>da</strong>sturebuli<br />

savlebi saSualebebis (benzi<strong>da</strong>minis hidroqloridis) efeqturoba tkivilis<br />

<strong>da</strong> disfagiis Semcirebis TvalsazrisiT, magram es Sedegebi Semdgom<br />

<strong>da</strong><strong>da</strong>sturebas moiTxoven (sarwmunoebis done I).<br />

a n t i b i o t i k e b i s g a m o y e n e b a .<br />

antibitikebi mwvave faringitis dros. mwvave faringitis yvela<br />

SemTxveva ar aris baqteriuli etiologiis, ase rom alogikuria mwvave<br />

faringitis yvela SemTxvevaSi gamoyenebul iqnes antibiotiki.<br />

Ria kvlevaSi, romelic 700 pacientSi Seiswavli<strong>da</strong> mkurnalobis<br />

sxva<strong>da</strong>sxva reJimis efeqturobas (antibiotiki, antibiotikis gareSe,<br />

antibiotikis <strong>da</strong>niSvna sami dRis <strong>da</strong>gvianebiT) naCvenebia, rom am jgufebs<br />

Soris <strong>da</strong>avadebis gamosavalis TvalsazrisiT gansxvaveba ar aris<br />

(sarwmunoebis done I).<br />

ar arsebobs sakmarisi informacia, romelis <strong>da</strong>a<strong>da</strong>sturebs<br />

antibiotikebis rutinuli gamoyenebis aucileblobas mwvave faringitis<br />

dros.<br />

<br />

<strong>da</strong>avadebis mZime mimdinareobisas, rodesac pacientis zogadi<br />

mdgomareoba mZimea, antibiotiki un<strong>da</strong> iqnes gamoyenebuli<br />

(penicilini V 250 4-jer an 500 mg 2-jer an 4-jer dReSi 10 dRis<br />

ganmavlobaSi; bavSvebSi 250 mg 2-jer an 3 jer dReSi, 10 dRe per os)<br />

an<br />

penicilini G (benzatin penicilini) erTjera<strong>da</strong>d kunTebSi, 1.200.000<br />

mozrdilebSi, 27 kg-mde wonis bavSvebSi – 600.000.<br />

eqimma un<strong>da</strong> gaiTvaliswinos, rom mZime faringiti <strong>da</strong> kisris<br />

limfuri jirkvlebis gadideba SeiZleba infeqciuri mononukleozis<br />

niSani iyos, amitom un<strong>da</strong> moeridos pirveli rigis preparatad<br />

ampicilinis gamoyenebas.<br />

<br />

amerikis pediatriis akademiis <strong>da</strong> <strong>da</strong>avadebaTa kontrolis centris<br />

(CDC) mier rekomendebulia amoqsicilinis gamoyeneba meore rigis<br />

8

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