saqarTvelos samedicino Jurnali Medical Journal of Georgia

56sapasuxod-sakvlevi piri xels aWers kompiuterismausis marcxena klaviSs,aRniSnuli stimulebi miewodeboda 5 wu-Tis ganmavlobaSi. 5-wuTiani SesvenebisSemdeg iwyeboda xuTwuTiani datvirTvisfaza, rodesac displeize Cndeboda igivesixSiriTa da xangrZlivobiT rgolebi,oRond wris sxvadasxva seqtorze 3-5 an 4muqi segmentiT. gamosakvlevi piri arCevdakent segmentebs wyvilisagan da aWerdamausis macxena an marjvena klaviSisTiTs. amgvarad, drois deficitispirobebSi, sakvlev pirs uxdeba martiviamocanis swarfi gadawyveta, rac iwvevsmisi gonebrivi Sromisunarianobis gada-Zabvas. kvlevis mTel periodSi xdebodasensomotoruli reaqciis drois da daSvebuliSecdomebis aRnusxva.aRniSnul kontingents gamokvlevebiCautardaT tonzileqtomiis sami da eqvsiTvis Semdeg. sami Tvis Semdeg gamokvleulTvramet pirs aRar aReniSna operaciamdearsebuli Civilebi. Tormets anamnezSisubieqturi Civilebidan darCa adviladdaRla, periodulad gulis areSi CxvletiTixasiaTis tkivili. obieqturi monacemebiT,cxra gamokvleul pirseqokardiogramaze aReniSna marcxena miokardiumismasis indeqsisa da gandevnisfraqciis cvlilebebi.tonzileqtomiidan sami Tvis Semdeg,fsiqikuri datvirTvis sinjis Catarebisas,miRebuli maxasiaTeblebi praqtikuladar Secvlila: raodenoba sensimetriulireaqciis dro udrida 878±24,0mlwams, Secdomebisa 9,1±9,35%.sul sxva suraTi miviReT tonzileqotolaringologiamozardTa zogierTi mentaluri maxasiaTebelitonzileqtomiis Semdgom periodSii. kekeliZeTbilisis saxelmwifo samedicino universitetis yel-yurcxvirissneulebaTa departamenti(recenzenti – profesori a. cibaZe)pirveladi revmokarditiTa da qronikulitonzilitiT daavadebulTa Soriskardiogenuli Civilebis paralelurad,xSiria saerTo adinamia, daRliloba, swavlaSiCamorCena, qveiTdeba iseTi fizikurimaxasiaTeblebi, rogoricaa martivi sensorulireaqciebi (1).miznad davisaxeT Segveswavla mozard-Ta zogierTi mentaluri maxasiaTebelifsiqikuri datvirTvis sinjis meSveobiTtonzileqtomiidan mesame da meeqvseTveze.Cven mier Seswavlil iqna 12-15 wlis 40avadmyofi, maT Soris kompensirebuliqronikuli tonzilitiT - 15, dekompensirebulitonizilitiT - 14, xolo pirveladirevmokarditiTa da qronikulitonzilitiT daavadebuli – 11 avadmyofi.sakontrolo jgufi Seadgina 20 janmrTelmavaJma.gamoyenebul iqna fsiqikuri datvirTvissinji, romelic damuSavebuli iyo germanelida qarTveli mecnierebis mier (4, 5, 6).saTanado instruqciis Catarebis Semdeg,sakvlev pirebs utardebodaT erTi anori sacdeli gamokvleva da rodesac vrwmundebodiT,rom maT savsebiT kargadaiTvises kvlevis meTodi, vatarebdiTfsiqikuri datvirTvis sinjs, romelicSedgeba xuTi fazisgan: mosvenebis, martivisensomotoruli reaqciis, mosvenebismeore fazis, fsiqikuri datvirTvisa dadatvirTvis Semdgomi fazisgan. swavlebisperiodSi kompiuteris displeis ekranzeCndeba naTeli rgoli 3 da 5 wyvetilizoliT, naTebis xangrZlivoba 35ml wami.intervali stimulebs Soris 1200 ml.wami.