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Tavis tkivili PowerPoint PPT Presentation


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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 - PowerPoint PPT Presentation

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Tavis tkivili

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Tavis tkivili

Tavistkivili

saojaxo medicinis erovnuli saswavlo centri


Anamnezuri monacemebi

anamnezuri monacemebi

  • Tavis tkivilis xandazmuloba

  • tkivilis sixSire

  • Setevis tipi

  • Setevis xangrZlivoba

  • tkivilis lokalizacia

  • siZliere

  • tkivilis daxasiaTeba


Tavis tkivili

  • gamamwvavebeli faqtorebi

  • sagangaSo simptomebi

  • Tanmxlebi simptomebi

  • Semamsubuqebeli faqtorebi da tkivilTan brZolis gzebi

  • tramvis anamnezi

  • medikamenturi anamnezi

  • Tavis tkivilis ojaxuri anamnezi


Pirveladi tavis tkivili

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


Tavis tkivili

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


Meoradi tavis tkivilis mizezebi

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


Klasikuri sakiki

klasikuri Sakiki


Sakikis maprovocirebeli faqtorebi

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)


Tavis tkivili

endogenuri

  • xangrZlivi Zili

  • daRliloba, fsiqo-emociuri gadaZabva

  • alergia

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

  • SimSili


Sakiki auris garese

Sakiki auris gareSe

ar axlavs nevrologiuri moSlilobebi. xSiri simpromebia:

  • gulisreva

  • Rebineba

  • fotofobia

  • fonofobia

  • zogadi mgrZnobelobiTi darRvevebi

    sxva simptomebia:

  • Tavbrusxveva

  • muclis tkivili

  • diarea

  • cxviris gaWedva


Klasteruli hortonis tavis tkivili

klasteruli (hortonis) Tavis tkivili


Dazabvis tavis tkivili

daZabvis Tavis tkivili


Tavis tkivili gamowveuli intrakranialuri hipertenziit

Tavis tkivili gamowveuli intrakranialuri hipertenziiT


Giganturujredovani arteritis epidemiologia

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


Revmatuli polimialgia

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


Giganturujredovani arteritis mkurnaloba

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


Revmatuli polimialgiis mkurnaloba

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


Tavis tkivili

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

pacientis umravlesobas esaWiroeba 3-4 wliani mkurnaloba


Tavis tkivili gamowveuli xerxemlis kisris nawilis patologiit

Tavis tkivili gamowveuli xerxemlis kisris nawilis paTologiiT


Tavis tkivilis martvis ziritadi principebi

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