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Tavis tkivili

Tavis tkivili. saojaxo medicinis erovnuli saswavlo centri. anamnezuri monacemebi. Tavis tkivilis xandazmuloba tkivilis sixSire Setevis tipi Setevis xangrZlivoba tkivilis lokalizacia siZliere tkivilis daxasiaTeba. gamamwvavebeli faqtorebi sagangaSo simptomebi Tanmxlebi simptomebi

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Tavis tkivili

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  1. Tavistkivili saojaxo medicinis erovnuli saswavlo centri

  2. anamnezuri monacemebi • Tavis tkivilis xandazmuloba • tkivilis sixSire • Setevis tipi • Setevis xangrZlivoba • tkivilis lokalizacia • siZliere • tkivilis daxasiaTeba

  3. gamamwvavebeli faqtorebi • sagangaSo simptomebi • Tanmxlebi simptomebi • Semamsubuqebeli faqtorebi da tkivilTan brZolis gzebi • tramvis anamnezi • medikamenturi anamnezi • Tavis tkivilis ojaxuri anamnezi

  4. pirveladi Tavis tkivili a) Sakiki: • Sakiki auris gareSe • Sakiki auriT (klasikuri Sakiki) • garTulebuli Sakiki (romelsac Tan axlavs kargad gamoxatuli nevrologiuri simptomebi) • bazilaruli Sakiki • hemiplegiuri Sakiki • ofTolmoplegiuri Sakiki

  5. b) klasteruli Tavis tkivili • epizoduri • qronikuli g) epizoduri daZabvis Tavis tkivili d) qronikuli dRiuri Tavis tkivili • qronikuli daZabvis Tavis tkivili • Sakikis da daZabvis tipis Tavis tkivilis kopleqsi (Sereuli an kombinirebuli Tavis tkivilebi) • analgeziuri saSualebebiT/ergotaminiT gamowveuli Tavis tkivili

  6. meoradi Tavis tkivilis mizezebi • pacientebi subaraqnoiduli sisxlCaqceviT an intrakranialuri moculobiTi procesiT • giganturujredovani anu kranialuri arteriti • sunusiti • posttramvuli Tavis tkivili • trigeminuli nevralogia • Tavis tkivili, gamowveuli xerxemlis kisris nawilis paTologiiT

  7. klasikuri Sakiki

  8. Sakikis maprovocirebeli faqtorebi egzogenuri • sakvebi (Sokoladi, citrusebi, pamidori, yveli), danamatebi (nitratebi) • alkoholi (wiTeli Rvino) • medikamentebi – vazodilatatorebi, estrogenebi, indometacini • kaSkaSa sinaTle • Zlieri xmauri • mkveTri suni • qala-tvinis travma (umniSvneloc ki)

  9. endogenuri • xangrZlivi Zili • daRliloba, fsiqo-emociuri gadaZabva • alergia • hormonuli Zvrebi: pubertatuli periodi; menstruacia; klimaqsuri periodi; orsuloba • SimSili

  10. Sakiki auris gareSe ar axlavs nevrologiuri moSlilobebi. xSiri simpromebia: • gulisreva • Rebineba • fotofobia • fonofobia • zogadi mgrZnobelobiTi darRvevebi sxva simptomebia: • Tavbrusxveva • muclis tkivili • diarea • cxviris gaWedva

  11. klasteruli (hortonis) Tavis tkivili

  12. daZabvis Tavis tkivili

  13. Tavis tkivili gamowveuli intrakranialuri hipertenziiT

  14. giganturujredovani arteritis epidemiologia • avadobis piki aRiniSneba 60-75 wlis asakSi • qalebSi daavadeba samjer ufro xSirad viTardeba, vidre mamakacebSi • yovelwliurad avadobis maCvenebeli 50 wlis zemoT pirebSi Seadgens 18/100.000 mosaxleze • daavadeba upiratesad TeTrkanian pacientebSi gvxvdeba • aRwerilia ojaxuri SemTxvevebi, rac miuTiTebs daavadebis etiologiaSi genetikuri faqtorebis rolze

  15. revmatulipolimialgia • kisris, mxris da menjis sartylis saxsrebSi tkivili da SeboWiloba • sistemuri simptomebi, rogoricaa subfebriliteti, daRliloba da wonaSi dakleba • eriTrocitebis daleqvis siCqaris mkveTri momateba • kortikosteriodebis mcire dozebze aRiniSneba dramatuli pasuxi

  16. giganturujredovani arteritis mkurnaloba sawyisi doza _20-40 mg dReSi 8 kviris ganmavlobaSi. pacientebSi, mxedvelobiTi simptomebiT SesaZloa saWiro gaxdes 80 mg prednizolonis gamoyeneba. yovel 2-4 kviraSi SesaZloa Semcirdes doza 2-5 mg-iT, vidre doza 10 mg ar gaxdeba, Semdeg doza SeiZleba Semcirdes 1 mg-iT 4-6 kviris ganmavlobaSi SemanarCunebeli doza dReSi daaxloebiT 3 mg

  17. revmatuli polimialgiis mkurnaloba sawyisi doza_ prednizoloni 10-20 mg dReSi, erTi Tve yovel 2-4 kviraSi SesaZloa Semcirdes doza 2-5 mg-iT, vidre doza 10 mg ar gaxdeba, Semdeg doza SeiZleba Semcirdes 1 mg-iT 4-6 kviris ganmavlobaSi

  18. SemanarCunebeli doza _ daaxloebiT 10 mg, mkurnalobis dawyebidan 6 Tve da 5-7,5 mg erTi wlis ganmavlobaSi. pacientis umravlesobas esaWiroeba 3-4 wliani mkurnaloba

  19. Tavis tkivili gamowveuli xerxemlis kisris nawilis paTologiiT

  20. Tavis tkivilis marTvis ZiriTadi principebi • ar aris aucilebeli, rom Tavis tkivilis gamomwvevi faqtori misi gaqronikulebis mizezi gaxdes • mkurnalobis mTavari mizani ar aris Tavis tkivilis sruli kupireba • mkurnalobis dros pacienti aqtiur Tanamonawiled unda iqces • gadauWreli ojaxuri problemebi, SesaZloa, Tavis tkivilis gaqronikulebis mizezi gaxdes • medikamentebis zedmetad gamoyeneba, xSirad, Tavis tkivilis mizezi xdeba • mkurnaloba individualurad unda SeirCes

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