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Tavis tkivili






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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
Tavis tkivili

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Slide 1

Tavistkivili

saojaxo medicinis erovnuli saswavlo centri

Slide 2

anamnezuri monacemebi

  • Tavis tkivilis xandazmuloba

  • tkivilis sixSire

  • Setevis tipi

  • Setevis xangrZlivoba

  • tkivilis lokalizacia

  • siZliere

  • tkivilis daxasiaTeba

Slide 3

  • gamamwvavebeli faqtorebi

  • sagangaSo simptomebi

  • Tanmxlebi simptomebi

  • Semamsubuqebeli faqtorebi da tkivilTan brZolis gzebi

  • tramvis anamnezi

  • medikamenturi anamnezi

  • Tavis tkivilis ojaxuri anamnezi

Slide 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

Slide 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

Slide 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

Slide 7

klasikuri Sakiki

Slide 9

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)

Slide 10

endogenuri

  • xangrZlivi Zili

  • daRliloba, fsiqo-emociuri gadaZabva

  • alergia

  • hormonuli Zvrebi: pubertatuli periodi; menstruacia; klimaqsuri periodi; orsuloba

  • SimSili

Slide 11

Sakiki auris gareSe

ar axlavs nevrologiuri moSlilobebi. xSiri simpromebia:

  • gulisreva

  • Rebineba

  • fotofobia

  • fonofobia

  • zogadi mgrZnobelobiTi darRvevebi

    sxva simptomebia:

  • Tavbrusxveva

  • muclis tkivili

  • diarea

  • cxviris gaWedva

Slide 13

klasteruli (hortonis) Tavis tkivili

Slide 16

daZabvis Tavis tkivili

Slide 19

Tavis tkivili gamowveuli intrakranialuri hipertenziiT

Slide 21

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

Slide 22

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

Slide 24

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

Slide 25

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

Slide 26

SemanarCunebeli doza _ daaxloebiT 10 mg, mkurnalobis dawyebidan 6 Tve da 5-7,5 mg erTi wlis ganmavlobaSi.

pacientis umravlesobas esaWiroeba 3-4 wliani mkurnaloba

Slide 27

Tavis tkivili gamowveuli xerxemlis kisris nawilis paTologiiT

Slide 30

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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