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5HT3 receptorebis antagonistebidan klinikurad uxSiresad gamoiyeneba<br />

ondasteroni (zofrani, emetroni) intravenurad 0,15 mg/kg an 5 mg/m 2 samjer<br />

dReSi. sadReRamiso maqsimaluri doza sasurvelia ar aRematebodes 32 mgs.<br />

deqsametazonis kombinaciis SemTxvevaSi pacients eZleva 4-8 mg yovel 8<br />

saaTSi erTxel.<br />

tkivili da misi menejmenti<br />

tkivili simsivniT daavadebul pacientebSi SesaZloa gamowveuli iqnas<br />

mTeli rigi faqtorebiT: simsivnis masis zewoliT an infiltraciiT<br />

sxvadasxva qsovilebSi da igi cnobilia simsivnesTan asocirebuli<br />

tkiviliT. qimioTerapiasTan da radioTerapiasTan dakavSirebuli tkivili<br />

asocirebulia qsovilebis dazianebasTan, infeqciebTan, nekrozebsa da<br />

obstruqciebTan.<br />

tkivilis samarTavad gamoiyeneba analgeziuri saSualebebi, romelic<br />

dayofilia 2 ZiriTad jgufad:<br />

1. araopioiduri analgeziuri medikamentebi - ZiriTadad isini<br />

ganekuTvnebian arasteroidul anTebis sawinaaRmdego preparatebs<br />

da gamoiyenebian msubuqi simZimis tkivilis dros. aRniSnuli<br />

medikamentebis tipebi da dozireba ixileT Semdeg cxrilSi:<br />

medikamentis tipi<br />

tipiuri standartuli dozebi<br />

Acetaminophen 10 - 15 mg/kg oralurad yovel 4<br />

saaTSi erTxel<br />

maqs. doza 650 mg<br />

Aspirin 10 - 15 mg/kg oralurad yovel 6-8<br />

saaTSi erTxel<br />

maqs. doza 650 mg<br />

Ibuprofen 10 mg/kg oralurad yovel 6-8<br />

saaTSi erTxel<br />

maqs. erTjeradi doza 800 mg<br />

Naproxen 5-7,5 mg/kg oralurad yovel 12<br />

saaTSi erTxel<br />

maqs. doza 500 mg<br />

Ketorolac 0,5 - 1 mg/kg oralurad yovel 6<br />

saaTSi erTxel<br />

maqs. erTjeradi doza 30 mg<br />

xangrZlivoba maqsilamalurad 5<br />

dRe<br />

2. opioidebi boWavs centralur receptorebs centralur nervul<br />

sistemaSi da periferiul qsovilebSi Semdgomi analgeziuri efeqtis<br />

miRweviT da isini gamoiyenebian saSualo da Zlieri tkivilebis dros.<br />

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