saqarTvelos samedicino Jurnali Medical Journal of Georgia

42kvlevis mizania msxvili nawlavis fekalisda Camonarecxi wylebis gamokvleulimikrobuli struqturis Tvisobrivi daraodenobrivi monacemebis safuZvelzedisbaqteriozis arsebobisa da misi xarisxisdadgena iseTi kuW-nawlavis traqtisqronikuli paTologiis dros, rogoricaaqronikuli kataruli koliti da gaRizianebulimsxvili nawlavis sindromi.kvlevis masala da meTodebi. ambulatoriulmkurnalobaze myofi pacientebisaganklinikuri diagnoziT _ qronikulikataruli koliti da gaRizianebuli msxvilinawlavis sindromi paTologiurimasalis baqteriuli kvlevis Sedegebisgaanalizeba.mikroorganizmebis identifikacia dabiologiuri Tvisebebis Seswavla xdebodaklasikur baqteriologiur meTodebzedayrdnobiT (7-9). mxvili nawlavis mikroflorisTvisobrivi da raodenobrivi kvlevatardeboda saTanado meTodurirekomendaciebis mixedviT (10-13).kvlevis Sedegebi da maTi ganxilva. 96pacientis gamokvlevisas, romelTachqondaT dasmuli klinikuri diagnoziqronikulikataruli koliti, pirvelixarisxis nawlavis disbaqteriozi gamouvlinda56 pirs (58,33 ±5,03%), xolo meorexarisxis - 40-s (41,67±5,03%) (diagrama 1).aRsaniSnavia, rom kvlevis masalis Segrovebisperiodi daemTxva Cvens qveyana-Si rTul socialur-ekonomikur pirobebs,amitom mogvixda met-naklebad aratradiciuliasakobrivi jgufebis daxarisxeba:17-dan 40 wlamde; 40-dan 65 wlamde da 65-dan 79 wlamde; gamokvlevas eqvemdebarebodnen,orive sqesis pirebi: 54 mdedrobi-Ti da 42 mamrobiTi. asakis mixedviT Semdemikrobiologiamikrobiocenozi qronikuli kataruli kolitiTada msxvili nawlavis sindromiT daavadebulebSim. sinjikaSviliTbilisis saxelmwifo samedicino universiteti,mikrobioloogiisa da imunoloogiis deparatamenti(recenzenti _ profesori m. CijavaZe)TiToeuli adamianisaTvis damaxasiaTebeliaTavisi mikrobiologiuri fenotipi,romelic formirdeba memkvidruli daaramemkvidruli cvalebadobis sxvadasxvafaqtoris zegavleniT (1,2,3). mikro- da makroorganizmis mudmivi urTierTqmedebisprocesSi formirdeba unikaluri ekosistema,romelic dinamikuri wonasworobismdgomareobaSia. adamianis msxvili nawlavismikrobiocenozi normaSi da qronikulianTebiTi daavadebis dros asaxavs aseTiurTierTqmedebis Taviseburebebs. kuWnawlavistraqtis qronikuli daavadebebimniSvnelovan xvedriT wils ikavebs avadobissaerTo struqturaSi da, mkurnalobisarsebuli meTodebis siuxvis miuxedavad,mainc avlens zrdisadmi aSkara tendencias.es, udavod, dakavSirebuli unda iyosdisbaqteriozis problemasTan, romelicSeiZleba warmoadgendes rogorc mizezs,aseve gamosavals im anTebiTi procesebisa,romelic azianebs kuW-nawlavis traqtis amaTu im monakveTs, ris gamoc kuW-nawlavistraqtis mkurnaloba disbaqteriozis koreqciisgareSe saeWvoa da arasakmarisadSedegiani (4,6).zemoTqmulidan gamomdinare didi mniSvnelobaunda mieniWos nawlavTa pa-Tologiis dros, pirvel rigSi ki qronikuladmimdinare procesebis fonze nawlavismikrobiologiur Sefasebas da masSi dar-Rvevebis arsebobis dadgenis SemTxvevaSidrouli koreqciis Catarebis aucileblobas.ZiriTadi daavadebis mkurnalobis efeqturobiszrdis mizniT, miT ufrosaqarTveloSi, sadac kuW-nawlavis traqtissxvadasxva nozologiuri formis daavadebebisda maTTan dakavSirebuli disbaqteriozisproblema metad aqtualuria.