bavSvTa asakis mwvave
bavSvTa asakis mwvave
bavSvTa asakis mwvave
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• cerebrospinalur siTxeSi ujredebis raodenoba metia 5 /l –<br />
ze;<br />
• pacients aReniSneba centraluri nervuli sistemis dazianebis<br />
klinikuri niSnebi (Tavis nervebis parezi) im SemTxvevaSic ki,<br />
rodesac cerebrospinaluri siTxe aris blastebisagan<br />
Tavisufali da ar vlindeba radiologiuri cvlilebebi Tavis<br />
tvinis kompiuteruli tomografiis an magnitur-rezonansuli<br />
kvlevebiT (Ingram LC et al. 1991, Smith M et al. 1996);<br />
• pacients aReniSneba masis efeqti Tavis tvinSi an meningialur<br />
garsebSi kompiuteruli tomografiis an magniturrezonansuli<br />
kvlevebiT;<br />
• paTologiuri cvlilebebi retinaze im SemTxvevaSic ki,<br />
rodesac cerebrospinaluri siTxe Tavisufalia blastebisagan<br />
da ar gvaqvs masis efeqti kompiuteruli tomografiis an<br />
magnitur-rezonansuli kvlevebiT (Smith M et al. 1996).<br />
SeniSvna: amrigad, centraluri nervuli statusis Seswavlis rutinuli<br />
meTodebi aris cerebrospinaluri siTxis citomorfologiuri kvleva da<br />
Tvalis fskeris Seswavla. sxva yvela danarCeni kvlevebi pacients<br />
utardeba mxolod im SemTxvevaSi, rodesac eWvi aris mas efeqtze da igi<br />
wydeba protokolis koordinatorTan SeTanxmebiT.<br />
ConCxis statusis Sesaswavli diagnostikuri meTodebi<br />
ConCxis statusis Sesaswavli diagnostikuri meTodebi tardeba mxolod<br />
im SemTxvevaSi, rodesac pacients aqvs aRniSnuli sistemis dazianebis<br />
klinikuri gamovlinebebi – saxsrebisa da Zvlebis tkivili, moZraobis<br />
SezRudva an Zvlebis spontanuri motexiloba diagnozis dasmis momentSi.<br />
kvlevebi moicavs gul-mkerdis, xerxemlis rendgenografias 2 proeqciaSi.<br />
ConCxis Seswavla ar gansazRvravs mkurnalobis Semdgom taqtikas da igi<br />
saWiroa mkurnalobaze pasuxis dinamikaSi Sesaswavlad.<br />
saTesle parkebis statusis Seswavla (biWebSi)<br />
saTesle parkebis statusis Seswavla (biWebSi) keTdeba mxolod im<br />
SemTxvevaSi, rodesac pacients aReniSneba saTesle parkebis<br />
mktkivneuloba da SeSupeba. rutinuli kvleva aris orive saTesle parkis<br />
sonografiuli gamokvleva. inicialuri biofsia rutinulad ar<br />
gamoiyeneba, magram im SemTxvevaSi, Tu pacients darCa saTesle parkebis<br />
mktkivneuloba da SeSupeba qimioTerapiis remisiis induqciis kursis<br />
Semdegac, misi riskis jgufSi Semdgomi stratifikaciis mizniT saWiroa<br />
Catardes biofsia Semdgomi citologiuri kvleviT.<br />
hemostazis inicialuri diagnostika<br />
hemostazis inicialuri diagnostika utardebaT mxolod im pacientebs,<br />
romlebsac memkvidreobaSi aReniSnebaT Tandayololi<br />
hemokuagulopaTiebi an pacientebs, romelTac diagnozisas aReniSnebaT<br />
mZime hemoragiuli sindromi. kvleva moicavs srul koagulogramas.<br />
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