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 <strong>samedicino</strong> universitetis yel-yurcxvirissneulebaTa departamenti(recenzenti – pr<strong>of</strong>esori 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 40avadmy<strong>of</strong>i, maT Soris kompensirebuliqronikuli tonzilitiT - 15, dekompensirebulitonizilitiT - 14, xolo pirveladirevmokarditiTa da qronikulitonzilitiT daavadebuli – 11 avadmy<strong>of</strong>i.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.
57tomiidan eqvsi Tvis Semdeg. Cven mier Seswavliliiyo 24 pacienti. romlebicdavyaviT or jgufad. pirvel jgufSi 15avadmy<strong>of</strong>s sagrZnoblad gauumjobesdagonebrivi Sromisunarianobis maxasiaTeblebi.kerZod, Semcirda sensimetriulireaqciis dro da daSvebuli Secdomebisraodenoba da miuaxlovda sakontrolojgufis monacemebs (reaqciis dro631±12,32 wami, daSvebuli Secdomebisraodenoba 6,1±0,19%). meore jgufis 9avadmy<strong>of</strong>s, romelTac darCenili hqondaTkardialuri xasiaTis subieqturi daobieqturi cvlilebebi, aReniSnaT momatebulisensomotoruli reaqciis dro914±21 wami da daSvebuli Secdomebis didiricxvi 10,1±0,41%.amgvarad, pirveladi revmokarditiTada dekompensirebuli tonizlitiT daavadebulpirebSi tonzileqtomiamde umetesobasaReniSneba gonebrivi SromisunarianobisdaqveiTeba. 80-85% SemTxvevaSitonzileqtomia aumjobesebs avadmy<strong>of</strong>Tasubieqtur da obieqtur maxasiaTeblebs,Tumca zog SemTxvevaSi maT rCebaT kardialuriCivilebi da gonebrivi SromisunarianobismaxasiaTeblebis daqveiTeba,rac dRis wesrigSi ayenebs maTi dispanserulimeTvalyureobis aucileblobas.aRniSnuli jgufis avadmy<strong>of</strong>ebma, CveniazriT, konservatiuli mkurnaloba undagaagrZelon eqim-kardiologTan.amgvarad, fsiqikuri datvirTvis sinjiwarmoadgens erT-erT obieqtur da xelmisawvdommeTods avadmy<strong>of</strong>Ta obieqturimdgomareobis SefasebisaTvis da qronikulitonzilitis sxvadasxva formis sworidiagnozis dasazusteblad.НЕКОТОРЫЕ МЕНТАЛЬНЫЕ ХАРАКТЕРИСТИКИ ПОДРОСТКОВВ ПЕРИОД ПОСЛЕ ТОНЗИЛЛЭКТОМИИТБИЛИСКИЙ ГОСУДАРСТВЕННЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ.ДЕПАРТАМЕНТ БОЛЕЗНЕЙ УХО-ГОРЛО-НОСАИ. КекелидзеЦель работы: изучить некоторые ментальные показатели подростков с использованием психическойнагрузочной пробы спустя 3 и 6 месяцев после тонзиллэктомии. Обследовано 40 больных в возрасте от12 до 15 лет и 20 здоровых лиц мужского пола.Установлено понижение умственной способности до операции у больных первичным ревмокардитоми декомпенсированныем тонзиллитом. Тонзиллэктомия улучшает субъективные и объективныепоказатели у 80% больных, хотя в ряде случаев остаются кардиальные жалобы и снижение умственнойспособности, что ставит на повестку дня необходимость дальнейшей диспансеризации дляконсервативного лечения по показаниям.SOME MENTAL CHARACTERISTICS OF ADOLESCENTS AFTERTONSILLITISI. KekelidzePurpose <strong>of</strong> Investigation: to study some mental characteristics <strong>of</strong> adolescents after tonsillitis on the thirdand the sixth month(s) by means <strong>of</strong> mental workload test. Forty sick and twenty healthy males at the age <strong>of</strong> 12-15 were examined.It was found: the decrease <strong>of</strong> mental performance among sick adolescents with primary rheumatic cariditisand decompensated tonsillitis before operation. Tonsillitis improves subjective and objective rates <strong>of</strong> sick patientsin 80% cases. But sometimes the complaints <strong>of</strong> cardiological types and the decrease <strong>of</strong> mental performance areremained that necessitate the further clinical examination <strong>of</strong> sick adolescents and their conservative treatment incase <strong>of</strong> need.
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1Tbilisis saxelmwifo samedicino uni
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3sadReiso problemebionkologiuri daa
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- Page 15 and 16: 15REPLACEMENT HORMONAL THERAPY: EFF
- Page 17 and 18: 17acetilqolinis moqmedebis analogiu
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- Page 23 and 24: 23The level of IL-1b and IL-8 in bl
- Page 25 and 26: 25bis SemTxvevebi zRvaSi banaobisas
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- Page 31 and 32: 31ПЕДИАТРИЯМЕНЕДЖМ
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- Page 35 and 36: 35tropikuli medicina, alergologiavi
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- Page 41 and 42: 41literatura:1. Александр
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- Page 67 and 68: 67formebs Soris Semdegnairi kavSiri
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