saqarTvelos samedicino Jurnali Medical Journal of Georgia

More documents

Recommendations

Info

34abdominaluri qronikuli tkivilis marTvabavSvebSic. farulava,i. manjaviZe, i. zarnaZe, o. gerzmava, S. zarnaZeTbilisis saxelmwifo samedicino universitetiqronikuli abdominaluri tkivili warmoadgens sami ZiriTadi tkivilis mizezs - Tavis,muclisa da kidurebis.literaturis monacemebiT, bavSvTa asakSi qronikuli abdominaluri tkivilis Sesaxeb,urTierTwinaaRmdegobrivia. 90% tkivili atarebs funqciur xasiaTs, xolo 10% - organulia.Tumca funqciuri darRvevebis mizezebi ucnobia.qronikuli abdominaluri tkivilis marTva moicavs Semdeg mimarTulebebs: mSoblebisinformirebas,individur dietas,motorikis darRvevebis koreqcias,simptomur mkurnalobasada sxva.amrigad, qronikuli abdominaluri tkivili xSirad gvxvdeba bavSvTa asakSi da xSirSemTxvevaSi funqciuri xasiaTisaa. gulmodgine klinikuri kvleva da minimaluri raodenobisdiagnostikuri testebi gvexmareba kuWnawlavis traqtis organuli da funqciuridaavadebebis diferencirebaSi.MANAGEMENT OF CHILDRENS CHRONIC ABDOMINAL PAINT. Parulava, I. Manjavidze, I. Zarnadze, O. Gerzmava,S. ZаrnаdzеBackground and aim: Chronic abdominal pain (CAP), defined as at least 3 pain episodes over at least 3monthes interfering with daily activity, is common in children. Affected children and their families experiencedistress and anxiety. CAP is usually functional in origin without evidence of underlying organic disorder. Insufficientknowledge among health care professionals lead to inadequate use of great amount laboratory tests,instrumental investigations and increase economic cost related to this condition.The aim of study was to collect evidence-based data about evaluation and treatment of CAP in children.Methods: review of medical literature for 2002-2008 years.Conclusions: Children with CAP mostly do not have serious underlying gastrointestinal desease. Successfulmanagement dependants on an accurate diagnosis. Clinical assessment is most effective approach. Thepresence of alarm symptoms and signs strongly suggest the prevalence of organic desease and justify theperformance of diagnostic tests. Functional abdominal pain usually is benign problem. Individualized approach,time-limited use of medications, patient and parenteral reassurance is very importantЛИТЕРАТУРА:1. Drossman DA, Camilleri M, Mayer EA, Whitehead WE. AGA technical review î irritable bowelsyndrome. Gastroenterology. 2002;123:2108-21312. Di Lorenzo C, Youssef NN, Sigurdsson L,Scharff L, et al. Visceral hyperalgesia in children withfunctional abdominal pain. J.Pediatr. 2001; 139:838-843.3. American Academy of Pediatrics, Subcommitee in Chronic Abdominal Pain; North American Society forPediatric Gastroenterology, Hepatology and Nutrition. Chronic Abdominal Pain in Children. Pediatrics. 2005;115 :e3 70-e381.4. Hyams J, Colletti R, Faure C. et al Functional gastrointestinal disorders: Working Group Report of thefirst World Congress of Pediatric Gastroenterology, Hepatology And Nutrition. J. Pediatr.Gastroenterol. Nutre.2002;35(suppl 2):S 110-S117.5. Ts. Parulava, I. Mandjavidze, T. Gotua et al. Chronic Abdominal Pain in Children And Adolescents.Acta Pediatrica 2008,97 (suppl. 459).
35tropikuli medicina, alergologiavisceruli leiSmaniozi da alergian. xvitia, d.cxomeliZe, e. mWedliSviliTbilisis saxelmwifo samedicino universitetis samedicinobiologiisa da parazitologiis departamenti(recenzenti – profesori b. yuraSvili)Tanamedrove globaluri daTbobisa damosaxleobis aqtiuri migraciis pirobebSimniSvnelovani cvlilebebi aRiniSneba mravalidaavadebis gavrcelebis Taviseburebebsada paTogenezSi. am mxriv arc parazitulidaavadebebi warmoadgens gamonakliss (1, 3,4). ufro metic, saqarTveloSi Tavi iCinafasciolozis, leiSmaniozis, triqinelozisada sxva parazituli daavadebebis sakmaoddinamikurma mimdinareobam da daavadebisaxal-axali kerebis gamovlinebam. gardaamisa, am bolo dros, parazitologebTanerTad, molekulur biologiaSi momuSavecnobilma mecnierebma gaaZlieres TavianTikvlevebi samedicino parazitologiaSi. esgansakuTrebiT exeba iseT parazitul daavadebas,rogoric aris leiSmaniozi. arc Tuise didi xnis winaT, indoelma mecnierebma q.kalkutaSi SeZles leiSmaniidan iseTi cilovanikompleqsis gamoyofa, romelic uaxloesmomavalSi, albaT, gamoyenebuli iqnebaadamianSi mitoqondriuli genebis mutaciebiTgamowveuli daavadebebis samkurnalod(2). Tumca, aRsaniSnavia, rom leiSmaniaara marto saintereso samedicino kvlevisobieqts warmoadgens, aramed igi kvlavindeburadsaSiSia rogorc parazitulidaavadeba da gamoirCeva ganviTarebisgarkveuli TaviseburebebiT (4,5). es parazitigvxvdeba msoflios 88 qveyanaSi, xuT kontinentzeda sadReisod daaxloebiT 150milioni adamiani imyofeba leiSmanioziTdasnebovnebis riskis qveS (3).2006-2008 wlebSi Cveni departamentismier saqarTvelos dedaqalaqsa da mis SemogarenSivisceruli leiSmaniozis gavrcelebisarealis gafarTovebis mizezebisdasadgenad da garkveuli statistikurimonacemebis dasazustebladCatarda kvleviTi samuSaoebi. Cven veTanxmebiTprofesor o. zenaiSvilis mosazrebas,rom saqarTveloSi leiSmaniozisarealis esooden swraf gafarToebaSigarkveul rols asrulebs rezervuaricxovelebis raodenobis mkveTrimateba. mraval faqtorTa Soris, romelicganapirobebs rezervuari cxovelebisuCveulo momravlebas, Cven mier CatarebulkvlevebSi (romelic amJamadac gr-Zeldeba studentebis aqtiuri monawileobiT)mniSvnelovan problemas warmoadgensadamianis mometebuli mgrZnobelobisricxvis zrda. aRsaniSnavia, rom es alergeni(cxovelis bewvi) mTeli msofliosmasStabiT sakmaod Zlier alergens warmoadgens.ufro metic, swored am mizezisgamo, alergiis am formiT daavadebuliadamianebi, miuxedavad cxovelebis mimarTdidi siyvarulisa, garkveuli droisSemdeg, iZulebuli xdebian saxlidan gauSvanan gaaCuqon maTi janmrTelobisaTvissaziano cxoveli. Sedegad saxezea rezervuaricxovelebis _ mawanwala ZaRlebis damaT Soris leiSmanioziT dasnebovnebuli,kontrolsdauqvemdebarebeli mawanwalaZaRlebis raodenobis mniSvnelovanizrda). rogorc Cans, am erTi SexedviT umniSvneloproblemas, germaniaSi gacilebiTmet yuradRebas aqceven, vidresaqarTveloSi, radgan germaniaSi alergiazetestis gavlis gareSe adamians armiscemen ZaRlis ayvanis uflebas.gasaTvaliswinebelia isic, rom saerTa-Soriso eqspertebis azriT, sadReisod,
Page 1 and 2: 1Tbilisis saxelmwifo samedicino uni
Page 3 and 4: 3sadReiso problemebionkologiuri daa
Page 5 and 6: 5miaaxlova kibos problemis gadaWras
Page 7 and 8: 7daakonkretoT kibossawinaaRmdego br
Page 9 and 10: 9_ bronqopnevmoniasTan da 1,0(4,2%)
Page 11 and 12: 11biT, kvlav rCeboda maRali, Tumca
Page 13 and 14: 13da 22-s postmenopauzis ufro meti
Page 15 and 16: 15REPLACEMENT HORMONAL THERAPY: EFF
Page 17 and 18: 17acetilqolinis moqmedebis analogiu
Page 19 and 20: 19Для установления
Page 21 and 22: 21Однако у больных Э
Page 23 and 24: 23The level of IL-1b and IL-8 in bl
Page 25 and 26: 25bis SemTxvevebi zRvaSi banaobisas
Page 27 and 28: 27bi Tvalis toqsokarozis dros nakle
Page 29 and 30: 29gamoiyeneba imunologiuri testi mo
Page 31 and 32: 31ПЕДИАТРИЯМЕНЕДЖМ
Page 33: 33запора (уровень до
Page 37 and 38: 37dedaqalaqis mravalferovani flora
Page 39 and 40: 39asa-is diagnostireba xdeboda germ
Page 41 and 42: 41literatura:1. Александр
Page 43 and 44: 4341,6758,33fekalur mikrofloraSi mW
Page 45 and 46: 45МИКРОБИОЦЕНОЗ ТОЛ
Page 47 and 48: 47МИКРОБИОЛОГИЯ, ИМ
Page 49 and 50: 49клеток, нами был и
Page 51 and 52: 51ОНКОЛОГИЯОСОБЕНН
Page 53 and 54: 53Мезенхимально-вос
Page 55 and 56: 55diagnostic search and on this rea
Page 57 and 58: 57tomiidan eqvsi Tvis Semdeg. Cven
Page 59 and 60: 59epizootologiasaqarTveloSi gavrcel
Page 61 and 62: 61gairkva, rom saqarTveloSi eqinoko
Page 63 and 64: 63ba kargad garecxili xili, bostneu
Page 65 and 66: 65eqsperimentuli medicinafsiqodinam
Page 67 and 68: 67formebs Soris Semdegnairi kavSiri
Page 69 and 70: 69temperamentisa da ganwyobis saxee
Page 71 and 72: 71xelovani medikosebiansambli - aRm
Page 73 and 74: 73israelidan gvatyobinebenqarTvel g
Page 75 and 76: 75is samecniero-kvleviTi centrs. am
Page 77 and 78: 77vani specialistidan amave institu
Page 79 and 80: 79nekrologimurman mamalaZeCveni qve
Page 81 and 82: 81samedicino krosvordimkiTxvels vTa
Page 83: 83mTavari redaqtori -jangir mamalaZ

saqarTvelos samedicino Jurnali Medical Journal of Georgia

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?