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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

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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
slide3
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
slide5
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
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)
slide10
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
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

slide26
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 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