კერძო ქირურგიის მიმართულება კერძო ქირურგიის … · \\\\ 48 wlis qali uCivis saerTo sisustes, advilad

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კერძო ქირურგიის მიმართულება კერძო ქირურგიის მიმართულება კერძო ქირურგიის მიმართულება კერძო ქირურგიის მიმართულება N.N.N.N.1111

საგამოცდო ტესტებისაგამოცდო ტესტებისაგამოცდო ტესტებისაგამოცდო ტესტები \\\\ romeli ar miekuTvneba farisebri jirkvlis hormonebs? \\\ Tireokalcitonini; \\\ Tiroqsini; \\ Tireotropuli; \\\ triiodTironini; \\\ diiodTironini; \\\\ saidan gamodis farisebri sakuTari arteria (A. thyroydea ima)? \\\ laviwis arteriidan; \\\ gareTa saZile arteriidan; \\ aortis rkalidan; \\\ SigniTa saZile arteriidan; \\\ far-kisris Rerodan; \\\\ SemTxvevaTa ramden procentSi gvxvdeba a. thyreoidea ima? \\\ 5-6. \\ 10-12. \\\ 20-22. \\\ 35-36. \\\ 7-8. \\\\ farisebri jirkvlis mier gamomuSavebuli nivTierebebidan romeli ar Seicavs iods? \\\ Tiroqsini; \\ Tireokalcitonini; \\\ triiodTironini; \\\ monoiodTirozini; \\\ diiodTirozini; \\\\ Ciyvis romeli xarisxia: jirkvali SeiniSneba daTvalierebisas, icvleba kisris konturebi da “msxvili kisris” STabeWdilebas tovebs. \\\ I \\\ II \\ III \\\ IV \\\ V \\\\ romeli niSani axasiaTebs difuzur toqsiur Ciyvs? \\\ bradikardia. \\\ hipoTermia. \\\ mSrali kani. \\\ enofTalmi. \\ nawlavTa peristaltikis gaZliereba.

\\\\ Tireotoqsikozis dros Tvalis simtomebs ar miekuTvneba: \\\ mebiusis; \\ blumbergis; \\\ grefes; \\\ Stelvagis; \\\ koxeris. \\\\ difuzuri toqsiuri Ciyvis dros egzofTalmis mizezia? \\\ quTuToebis mrgvali kunTebis tonusis daqveiTeba. \\\ Tvalis iribi kunTebis tonusis siWarbe. \\ retrobulbaruli cximovani qsovilis SeSupeba. \\\ Tirkmelzeda jirkvlis ukmarisoba. \\\ Tvalbudis Sida wnevis cvlilebebi. \\\\ 50 wlis qali aRniSnavs saerTo sisustes, advilad daRlas, ylapvis gaZnelebas. palpaciiT isinjeba usworo zedapiris xorkliani kvanZi farisebri jirkvlis marjvena wilSi. daasaxeleT gamokvlevis romeli meTodi iqneba yvelaze informaciuli diagnostikis mizniT: \\\ farisebri jirkvlis kompiuteruli tomografia \\\ farisebri jirkvlis izotopuri skanireba \\\ sisxlsi farisebri jirkvlis hormonebis gamokvleva \\ ultrasonografia da wvrili nemsiT aspiraciuli biofsia \\\ farisebri jirkvlis rentgenografia \\\\ difuzuri toqsiuri Ciyvis konservatul mkurnalobaSi romeli jgufis farmakologiuri preparatebi ar gamoiyeneba? \\\ Tireostatiuri.

\\\ β-adrenomablokirebeli. \\\ glukokortikoidebi. \\ antibiotikebi. \\\ trankvilizatorebi.

\\\ difuzuri toqsiuri Ciyvis operaciuli mkurnalobis garTulebebs ar miekuTvneba \\\ haerovani embolia. \\\ xorxis Sebrunebuli nervis dazianeba. \\\ Tireotoqsiuri krizi. \\\ sisxldena. \\ cTomili nervis dazianeba.

\\\\ endemiuri Ciyvis dros aRiniSneba: \\\ Tireoiduli hormonebis gamomuSavebis momateba. \\ Tireotropuli hormonis gamomuSavebis momateba. \\\ egzofTalmi. \\\ oflianoba. \\\ taqikardia.

\\\\ farisebri jirkvlis kibos ar miekuTvneba \\ adenokarcinoma. \\\ meduluri. \\\ papilaruli.

\\\ folikuluri. \\\ aradiferencirebuli.

\\\\ farisebri jirkvlis kibos romeli forma gvxvdeba yvelaze xSirad? \\\ folikuluri. \\\ aradiferencirebuli. \\ papilaruli. \\\ meduluri. \\\ brtyelujredovani.

\\\\ romelia marTebuli farisebri jirkvlis kibosTan mimarTebaSi? \\\ igi ufro xSiria mamakacebSi, vidre qalebSi. \\\ misi ganviTarebis xelSemwyob faqtorad ar iTvleba qronikuli anTebiTi daavadebebi. \\\ mkurnalobis ZiriTadi meTodia sxivuri Terapia. \\ diagnostikis mniSvnelovani meTodia ultrabgeriTi kontrolis qveS kvanZis punqciuri biofsia. \\\ kompleqsuri mkurnalobis Semdeg saukeTeso Sedegi aRiniSneba aradiferencirebuli kibos SemTxvevaSi. \\\\ Ciyvis romeli forma ar arsebobs? \\\ kvanZovani Ciyvi; \\\ difuzuri Ciyvi; \\ universaluri Ciyvi; \\\ euTiroiduli Ciyvi; \\\ hipoTiroiduli Ciyvi; \\\\ bazedovis daavadebas axasiaTebs – triada: \\\ maRali temperatura, sunTqvis ukmarisoba, taqikardia. \\\ sunTqvis ukmarisoba, taqikardia, ekzofTalmi. \\\ ormxrivi difuzuri Ciyvi, ekzofTalmi, sunTqvis ukmarisoba. \\ ormxrivi difuzuri Ciyvi, taqikardia, ekzofTalmi. \\\ ormxrivi difuzuri Ciyvi, taqikardia, maRali temperatura. \\\\ romeli garTuleba ar aris damaxasiaTebeli farisebr jirkvalze operaciisSemdgom periodSi? \\\ Sebrunebuli nervis dazianeba; \\ hepatargia; \\\ Tireotoqsikuri krizi; \\\ hipoparaTiroiduli tetania; \\\ sisxldena; \\\\ romeli gamokvleva ar gamoiyeneba farisebri jirkvlis gamokvlevis mizniT? \\\ radioizotopuri meTodi; \\\ eqoskopia; \\\ hormonuli kvleva; \\ encefalografia; \\\ palpacia;

\\\\ romeli klinikuri niSani ar axasiaTebs Tireotoqsikozs? (bazedovis daavadeba) \\\ tremori; \\\ oflianoba; \\\ uZiloba; \\\ menstrualuri ciklis darRveva; \\ wonaSi momateba; \\\\ romeli medikamenti ar ixmareba Tireotoqsikozis samkurnalod? \\\ sedaciuri saSualebebi; \\\ Tireostatikuri saSualebebi; \\\ radioaqtiuri iodi; \\ antacidebi;

\\\ β-blokerebi; \\\\ hiperparaTireozis dros paraThormonis hipersekreciis fonze adgili aqvs: \\\ hiperglikemias; \\ hiperkalcemias; \\\ hipernatremias; \\\ hiperqloremias; \\\ hiperqolesterinemias; \\\\ hiperparaTireozis dros SeiZleba ganviTardes: \\ osteoporozi; \\\ diabeti; \\\ insulti; \\\ cirozi; \\\ infarqti; \\\\ romeli niSani ar axasiaTebs hiperparaTireozs? \\\ hiperkalcemia; \\\ osteoporozi; \\\ paTologiuri motexiloba; \\\ nefroliTiazi; \\ qoledoqoliTiazi; \\\\ 30 wlis qali uCivis advilad gaRizianebas, gulis frials. obieqturad: pulsi - 100, riTmuli, arteriuli wneva – 140/70 mm. vwy.sv., temperatura – 37,1. palpaciiT gamoxatulia meore xarisxis Ciyvi. anamnezidan sayuradReboa, rom msgavsi Civilebi axalgazrdobaSi aReniSneboda avadmyofis dedas. farisebri jirkvlis romeli paTologia aqvs avadmyofs? \\\ sporaduli Ciyvi; \\\ endemuri Ciyvi; \\\ haSimotos Ciyvi; \\ difuzur-toqsiuri Ciyvi; \\\ farisebri jirkvlis kibo.

\\\\ 48 wlis qali uCivis saerTo sisustes, advilad daRlas, periodulad ylapvis gaZnelebas. palpaciiT aReniSneba uswormasworo zedapiriani, xorkliani kvanZi farisebri jirkvlis marcxena wilSi. gamokvlevis romel meTodebs mianiWebT upiratesobas diagnostikis mizniT? \\\ farisebri jirkvlis ultrabgeriTi kvleva; \\\ farisebri jirkvlis kompiuteruli tomografia; \\\ sisxlSi Tireoiduli hormonebis kvleva; \\ ultrabgeriTi kvleva punqciuri (aspiraciuli) biofsia; \\\ farisebri jirkvlis da gulmkerdis mimoxilviTi R-grafia; \\\\ 30 wlis qals aReniSneba kisris wina zedapiris gamodreka, egzoftalmi, taqikardia. ra paTlogia aReniSneba pacients? \\\ mwvave Tireoiditi \\\ qvemwvave Tireoiditi \\ difuzuri toqsiuri Ciyvi \\\ Tandayolili hipoTireozi \\\ hiperparaTireozi \\\\ 50 wlis qals ganuviTarda mravlobiTi kvanZebi kiserze. palpaciiT farisebri jirkvali xorkliania, moZraobaSi SezRuduli, regionuli limfuri kvanZebi gadidebulia. ra paTologia aReniSneba pacients? \\ farisebri jirkvlis kibo \\\ miqsedema \\\ haSimotos Ciyvi \\\ ridelis Ciyvi \\\ hiperparaTireozi \\\\ 45wlis qals aReniSneba difuzurad gadidebuli farisebri jirkvali, romelic Zalian mkvrivia da Sexorcebulia mimdebare qsovilebTan, limfuri kvanZebi gadidebuli ar aris. antiTireoiduli antisxeulebis titri normaSia. ra paTologia aqvs pacients? \\ ridelis Ciyvi \\\ haSimotos Ciyvi \\\ difuzuri toqsiuri Ciyvi \\\ farisebri jirkvlis kibo \\\ hiperparaTireozi \\\\ 47 wlis qals aReniSneba difuzurad gadidebuli farisebri jirkvali, mkvrivi konsistenciis, umtkivneulo, palpaciis dros moZravi. regionali limfuri kvanZebi gadidebuli ar aris antiTireoiduli antisxeulebis titri momatebulia. ra paTologia aqvs pacients? \\\ difuzuri toqsiuri Ciyvi \\\ hiperparaTireozi \\\ rideli Ciyvi \\ haSimotos Ciyvi \\\ farisebri jirkvlis kibo \\\\ didi zomis CiyviT simpaTikuri nervuli wnulebis kompresia iwvevs: \\\ koxeris symptoms \\\ grefes symptoms \\\ Stelvagis symptoms

\\\ mebiusis symptoms \\ bernar-horneris sindroms \\\\ 40 wlis qalbatons aReniSneba wonaSi momaterba, moZraobis Seneleba, niRabiseburi saxe, kani aqvs mSrali, civi da pastozuri. igi aRniSnavs xasiaTis Secvlas da interesis daqveiTebas gare samyaros mimarT. romeli daavadeba aqvs pacients? \\\ toqsiuri adenoma \\\ difuzuri toqsiuri Ciyvi \\\ Tireoiditi \\ hipoTireozi \\\ farisebri jirkvlis kibo \\\\ ra triada axasiaTebs difuzur toqsiur Ciyvs? \\\ Ciyvi, egzoftalmi, bradikardia \\\ Ciyvi, mSrali xvela, Taqikardia \\ Ciyvi, egzoftalmi, taqikardia \\\ Ciyvi, sunTqvis gaZneleba, xvela \\\ Ciyvi sunTqvis gaZneleba, tkivli mkerdis Zvlis ukan \\\\ 25 wlis qali uCivis advilad agznebadobas, umizezo nerviulobas, dabneulobas, cud Zils, oflianobas, kidurebis kankals, zogjer tkivils gulis areSi, menstrualuri ciklis darRvevas. ra saxis daavadebazea saubari? \\\ farisebri jirkvlis toqsiuri adenoma \\ difuzuri toqsiuri Ciyvi \\\ hipoTireozi \\\ farisebri jirkvlis kibo \\\ hiperparaTireozi \\\\ farisebri jirkvlis daavadebebSi ZiriTadad gamoyofen Semdeg paTologiebs: \\\ Ciyvi, abscesi, flegmona; \\ Ciyvi, Tireoiditi da simsivneebi; \\\ anTeba, distrofia, simsivne; \\\ Ciyvi, bazedovis daavadeba, hopoparaTireozi; \\\ malignizacia, Ciyvi, miqsedema. \\\\ ramdeni saxis Ciyvi arsebobs funqciis mixedviT? \\\ 0, I, II da III xarisxis; \\\ endemuri da sporaduli; \\ hiperTireoiduli, euTireoiduli, hipoTireoiduli; \\\ difuzuri, kvanZovani da retrosternaluri Ciyvi; \\\ bazedovis daavadeba, koloiduri Ciyvi da miqsedema. \\\\ Tu pacients aReniSneba ormxrivi difuzuri Ciyvi, taqikardia da egzofTalmi, igi avadaa: \\\ euTireoiduli CiyviT; \\\ paraTireoiduli tetaniiT; \\ bazedovis daavadebiT; \\\ miqsedemiT;

\\\ TireoiditiT. \\\\ hiperTireoziT mimdinare kvanZovani Ciyvis dros mkurnaloba unda iyos: \\\ konservatiuli; \\\ qirurgiuli da Semdeg konservatiuli; \\\ konservatiuli da sanatoriul-kurortuli; \\\ konservatiuli da sxivuri; \\ konservatiuli (rogorc winasaoperacio mosamzadebeli) da qirurgiuli. \\\\ Tu avadmyofs aReniSneba Sesieba kisris wina zedapirze (SesaZloa SewiTlebac), tkivili farisebri jirkvlis areSi, romelic iradirebs kefisa da yuris midamoSi, regionuli limfuri kvanZebis gadideba, temperaturis momateba, sunTqvis gaZneleba, pacienti avadaa: \\\ haSimotos CiyviT; \\\ ridelis CiyviT; \\\ bazedovis daavadebiT; \\\ farisebri jirkvlis simsivniT; \\ mwvave TireoiditiT.

\\\\ 28 wlis qals awuxebs advilad agznebadoba, cudi Zili, oflianoba. obieqturi gamokvleviT: palpaciiT - difuzuri Ciyvi, taqikardia, sistoluri arteriuli hipertenzia. savaraudo diagnozia: \\\ endemiuri Ciyvi. \\\ sporadiuli Ciyvi. \\\ haSimotos Ciyvi. \\ difuzuri toqsiuri Ciyvi. \\\ fariseburi jirkvlis kibo. \\\\ 45 wlis qals ramodenime welia kisris wina zedapirze aReniSneba simsivnuri warmonaqmni. Aawuxebs saerTo sisuste, Zilianoba. obieqturad: bradikardia. palpaciiT fariseburi jirkvali gadidebulia orive wilis xarjze, mkvrivi konsistenciis, umtkivneulo, moZravi. Regionuli limfuri kvanZebi gadidebuli ar aris. Ppunqciuri biofsiiT nanaxia limfocitebiT da plazmuri ujredebiT jirkvlis infiltracia, folikulebis daSla da maTi Canacvleba SemaerTebeli qsoviliT. anamnezSi sayuradReboa, rom pacientis da daavadebulia revmatoiduli arTritiT. savaraudo diagnozia: \\\ endemiuri Ciyvi. \\\ sporadiuli Ciyvi. \\ haSimotos Ciyvi. \\\ difuzuri toqsiuri Ciyvi. \\\ fariseburi jirkvlis kibo. \\\\ 34 wlis qals difuzuri toqsiuri Ciyvis gamo gaukeTda operacia: subtotaluri rezeqcia. Ooperaciidan meore dRes pacients daewyo gulisreva, pirRebineba, hiperTermia 41°C-mde, mzardi taqikardia da arteriuli hipotonia. operaciisSemdgomi romeli garTuleba aReniSneba pacients?

\\\ haerovani embolia. \\ Tireotoqsiuri krizi. \\\ xorxis Sebrunebuli nervis dazianeba. \\\ hipoTireozi. \\\ traqeomalacia. \\\\ 40 wlis qals awuxebs simsivnuri warmonaqmnis arseboba kisris wina zedapirze, mSrali xvela. palpaciiT areniSneba me-2 xarisxis difuzuri Ciyvi. ultrabgeriTi gamokvleviT fariseburi jirkvali moculobaSi momatebulia. sisxlSi yuradRebas iqcevs euTireozi da Tireotropuli hormonis mkveTri momateba. aRsaniSnavia, rom pacienti aris im raionidan, sadac biosfero Raribia iodiT. romeli daavadeba aqvs pacients? \\ endemiuri Ciyvi. \\\ sporadiuli Ciyvi. \\\ haSimotos Ciyvi. \\\ difuzuri toqsiuri Ciyvi. \\\ fariseburi jirkvlis kibo. \\\\ 50 wlis qals awuxebs kisris wina zedapirze simsivnuri warmonaqmni arseboba. palpaciiT farisebur jirkvalSi isinjeba xorkliani, uZravi simsivnuri kvanZi. ultrabgeriTi gamokvleviT es kvanZi aris daqveitebuli eqigenobis, uswormasworo konturebiT. Ppunqciuri biofsiiT nanaxia atipiuri ujredebi. savaraudo diagnozia: \\\ endemiuri Ciyvi. \\\ sporadiuli Ciyvi. \\\ haSimotos Ciyvi. \\\ difuzuri toqsiuri Ciyvi. \\ fariseburi jirkvlis kibo. \\\\ avadmyofi uCivis tkivils kisris areSi gansakuTrebiT ylapvis dros. obieqturad aReniSneba difuzurad gadidebuli farisebri jirkvali, igi hiperemiuli da palpaciiT mtkivneulia. ra daavadeba aReniSneba avadmyofs? \\\ farisebri jirjvlis kibo \\\ hasimotos Ciyvi \\ Tireoiditi \\\ difuzuri toqsiuri Ciyvi \\\ strumiti \\\\ avadmyofi uCivis farisebri jirkvlis swraf momatebas zomaSi. obieqturad gadidebul farisebr jirkvalSi aReniSneba uswormasworo zedapiris mqone kvanZi, igi SezRudulia moZraobaSi, farisebri jirkvlis skanirebiT vlindeba “civi” kvanZi. ra paTologia aReniSneba avadmyofs? \\\ hasimotos Ciyvi \\\ difuzuri toqsiuri Ciyvi \\\ farisebri jirkvlis adenoma \\\ strumiti \\ farisebri jirjvlis kibo \\\\ romeli simptomi axasiaTebs difuzur toqsiur Ciyvs? \\\ bradikardia.

\\\ hipoTermia. \\\ arteriuli hipotonia. \\ oflianoba. \\\ madis daqveiTeba. \\\\ 32 wlis qals awuxebs sunTqvis gaZneleba, TavSi simZimis SegrZneba sxeulis daxrisas, kisris venebi SesamCnevad daberili aqvs, gulmkerdis zeda nawilSi wina zedapirze aReniSneba `meduzas Tavi~. savaraudo diagnozia: \\\ saylapavis ukana Ciyvi \\\ haSimotos Ciyvi \\ mkerdukana Ciyvi \\\ kisris Ciyvi \\\ farisebri jirkvlis kibo \\\\ 44 wlis qali uCivis wonaSi wonaSi mkveTr klebas, madis gaZlierebas, advilad daRlas da oflianobas, amenoreas. Tvalebis irgvliv gamoxatuli pigmentacia, egzofTalmia. savaraudo diagnozia: \\ bazedovis daavadeba \\\ farisebri jirkvlis kibo \\\ miqsedema \\\ haSimotos Ciyvi \\\ euTireoduli Ciyvi \\\\ 53 wlis qals aReniSneba farisebri jirkvlis difuziuri gadideba, jirkvali qvasaviT mkvirivia da naklebad moZravia, gamoxatulia zomieri hipoTireozis niSnebi. biofsiiT Warbobs SemarTebeli qsovili. atipiuri ujredebi naxuli ver iqna. savaraudo diagnozia: \\\ endemuri Ciyvi \\\ haSimotos Ciyvi \\\ sporduli Ciyvi \\ ridelis Ciyvi \\\ difuzuri toqsuri Ciyvi \\\\ 48 wlis qals aReniSneba kisris wina zedapirze simsivnuri, mkvrivi warmonaqmnis arseboba. misi konturebi uswormasworoa. ultrabgeriTi kvleviT masSi fiqsirdeba dabali eqogenobis kvanZi. radiozotopuri kvleviT nanaxia `civi kvanZi~. savaraudo diagnozia: \\\ mwvave Tireoiditi \\\ ridelis Ciyi \\\ haSimotos Ciyvi \\\ kvanZovani toqsiuri Ciyvi \\ farisebri jirkvlis kibo \\\\ 35 wlis qals toqsiuri Ciyvis gamo gaukeTda operacia. garkveli periodis Semdeg pacients daewyo saerTo sisuste, Zilianoba, mudmivi daRlilobis SegrZneba. kani mSrali da danaoWebuli aqvs. daewyo Tmis cvena, sqesobrivi funqcia dauqveiTda. operaciis Semdgom romel garTulebasTan gvaqvs saqme? \\\ Tireotoqsiuri krizi \\ hipoTireozi

\\\ aerovani embolia \\\ SebrunebiTi nervis dazianeba \\\ hipoparaTireozi \\\\ 32 wlis qali uCivis wonaSi mkveTr klebas, agznebadobas, uZilobas, oflianobas, xelebis kankals. obieqturad: palpaciiT – farisebri jirkvali gadidebulia difuzurad, arteriuli hipertenzia da taqikardiaa. savaraudo diagnozia: \\\ haSimotos Ciyvi \\ difuzuri toqsuri Ciyvi \\\ sporaduli Ciyvi \\\ endemuri Ciyvi \\\ hipoTireozi \\\\ 45 wlis qali uCivis kisris wina zedapirze simsivnuri warmonaqmnis arsebobas. palpaciiT farisebr jirkvalSi uZravi, mkvrivi da uswormasworo kideebis mqone warmonaqmni isinjeba. ultrabgeriT dabali eqogenobis, uswormasworo kideebis mqone warmonaqmnia. savaraudo diagnozia: \\\ haSimotos Ciyvi \\\ sporaduli Ciyvi \\\ ridelis Ciyvi \\ farisebri jirkvlis kibo \\\ endemuri Ciyvi \\\\ 48 wlis qali uCivis kisris wina zedapirze simsivnuri warmonaqmnis arsebobas. palpaciiT farisebri jirkvali naklebad moZravia da qvasaviT mkvrivia. zomieri hipoTireozis niSnebia. biofsiiT farisebri jirkvlis struqturaSi Warbadaa SemaerTebeli qsovili. savaraudo diagnozia: \\\ farisebri jirkvlis kibo \\\ haSimotos Ciyvi \\ ridelis Ciyvi \\\ endemiuri Ciyvi \\\ sporaduli Ciyvi \\\\ solitaruli kvanZi farisebur jirkvalSi simsivnuri warmoSobisaa Tu \\\ iod 131 -iT skanirebisas is aRmoCnda “cxeli’’ \\\ aspiraciuli biofsiisas vlindeba misi kistozuri buneba \\ momarTvamde itarebda sxivur Terapias \\\ aqvs Tireotoqsikozis niSnebi \\\ aqvs haSimotos Tireoiditi \\\\ orive Sebrunebuli nervis dazianeba ( Tireoideqtomiis SesaZlebeli garTuleba ) iwvevs yvela qvemoT CamoTvlil Sedegebs Ggarda \\ xmis CaxleCvas da Sesustebas \\\ mbgeravi iogebis ormxriv damblas \\\ sasunTqi gzebis gamavlobis moSlas \\\ mbgeravi iogebis Suamdebare pozicias (dgindeba laringoskopiiT) \\\ gadaudebeli traqeostomiis aucileblobas

\\\\ 50 wlis qals farisebr jirkvalis marcxena wilSi palpaciiT aReniSneba gadidebuli kvanZi, xorkliani zedapiriT, uZravi, romelic Cazrdilia irgvlivmdebare qsovilebSi. kt kvleviT dgindeba kisrisa da Suasyaris limfuri kvanZebis gadideba. ra paTologia aReniSneba pacients? \\\ ridelis Ciyvi \\ farisebri jirkvlis kibo \\\ xaSimotos Ciyvi \\\ qvemwvave Tireoiditi \\\ toqsiuri adenoma \\\\ 34 wlis qals awuxebs mousvenroba, SiSebi, oflianoba, mtevnis TiTebis tremori. Ggamoxatulia taqikardia, sistoluri arteriuli hipertenzia.palpaciiT isinjeba difuzurad gadidebuli fariseburi jirkvali. savaraudod romeli daavadeba aqvs pacients? \\\ endemuri Ciyvi. \\ Tireotoqsikozi \\\ mwvave Tireoiditi \\\ farisebri jirkvlis kibo \\\ sporadiuli Ciyvi \\\\ romeli niSani ar axasiaTebs hiperparaTireozs? \\\ hiperkalcemia; \\\ osteoporozi; \\\ paTologiuri motexiloba; \\\ nefroliTiazi; \\ qoledoqoliTiazi; \\\\ romeli paTologiis ganviTareba ar aris mosalodneli hiperparaTireozis dros? \\\ paraTireoiduli jirkvlis adenoma; \\\ hiperplazia; \\\ kibo; \\\ osteoporozi; \\ recidiuli Ciyvi;

\\\\ romeli regionis limfur kvanZebSi ar grovdeba limfa sarZeve jirkvlidan? \\\ parasternaluri. \\\ interpeqtoruli. \\\ iRliis. \\ retroperitoneuli. \\\ laviwqveda.

\\\\ romeli ar miekuTvneba sarZeve jirkvlebis gamokvlevis instrumentul meTodebs? \\\ mamografia. \\ sisxlSi estrogenebisa da progesteronis donis gansazRvra. \\\ ultrabgeriTi gamokvleva. \\\ punqciuri biofsia.

\\\ birTvul-magnitur-rezonansuli tomografia. \\\\ sarZeve jirkvlis romeli keTilTvisebiani simsivnis sadiagnostikod gamoiyeneba galaqtografia? \\\ fibroadenoma. \\\ lipoma. \\ papiloma. \\\ galaqtocele. \\\ adenoma. \\\\ sarZeve jirkvlis kvlevis romeli meTodia yvelaze dabalinformaciuli? \\ Termografia. \\\ mamografia. \\\ ultrasonografia. \\\ birTvul magnitur rezonansuli tomografia. \\\ punqciuri biofsia.

\\\\ lokalizaciis mixedviT romelia mwvave mastitis forma? \\\ submukozuri. \\\ subserozuli. \\ subkutaneuri. \\\ sublingvaluri. \\\ subplevraluri. \\\\ romeli simptomi ar axasiaTebs mwvave mastits? \\\ sarZeve jirkvlis hiperemia. \\\ hiperTermia. \\\ leikocitozi. \\ leikopenia. \\\ taqikardia. \\\\ romeli hormoni ar monawileobs mastopaTiis ganviTarebaSi? \\\ prolaqtini. \\\ progesteroni. \\\ estrogenebi. \\\ folikulomastimulirebeli. \\ paraThormoni.

\\\\ romeli niSani axasiaTebs kvanZs kvanZovani mastopaTiis dros? \\\ umtkivneuloa. \\ dakavSirebuli ar aris kanTan. \\\ uZravia. \\\ limfuri kvanZebi gadidebulia. \\\ dakavSirabulia dvrilTan.

\\\\ romelia marTebuli difuzur mastopaTiasTan mimarTebaSi? \\\ sarZeve jirkvali umtkivneuloa. \\\ sarZeve jirkvali rbilia. \\\ gamokvlevis ZiriTadi meTodia Torakoskopia.

\\ mkurnaloba konservatulia. \\\ saWiroa sarZeve jirkvlis seqtoruli rezeqcia.

\\\\ romelia sarZeve jirkvlis yvelaze xSiri keTilTvisebiani simsivne? \\ fibroadenoma. \\\ foTliseburi simsivne. \\\ lipoma. \\\ adenoma. \\\ papiloma.

\\\\ romelia marTebuli sarZeve jirkvlis fibroadenomasTan mimarTebaSi? \\\ aqvs uswormasworo zedapiri. \\\ waxnagovani formisaa. \\\ Cazrdilia kanSi. \\\ mkurnalobis meTodia masteqtomia. \\ palpaciiT umtkivneuloa. \\\\ gamokvlevis romeli meTodi iZleva saSualebas, raTa dadgindes sarZeve jirkvlis papilomis zusti mdebareoba? \\\ ultrabgeriTi gamikvleva. \\\ Termografia. \\ duqtografia. \\\ mamografia. \\\ punqciuri biofsia.

\\\\ sarZeve jirkvlis kibos kvanZovani formis dros simsivne yvelaze xSirad mdebareobs: \\\ qvemo SigniTa kvadrantSi. \\ zeda gareTa kvadrantSi. \\\ qveda gareTa kvadrantSi. \\\ zeda SigniTa kvadrantSi. \\\ centralurad. \\\\ romelia marTebuli sarZeve jirkvlis kibos kvanZovan formasTan mimarTebaSi? \\\ palpaciiT igi rbili konsistenciisaa. \\\ aqvs sada zedapiri. \\\ moZravia. \\ gamovlindeba ùmbilikaciis~ simptomi. \\\ simsivne ar izrdeba kanis mimarTulebiT.

\\\\ romeli niSani ar axasiaTebs sarZeve jirkvlis kibos SeSupebiT-infiltraciul formas? \\\ viTardeba axalgazrda qalebSi. \\\ tkivili xSirad ar aRiniSneba. \\\ sarZeve jirkvlis mkvrivi ubnebis swrafi zrda. \\\ sarZeve jirkvlis qsovilisa da kanis SeSupeba. \\ regionul limfur kvanZebSi metastazebi Cndeba mogvianebiT.

\\\\ romelia marTebuli sarZeve jirkvlis dvrilis kibosTan (pejetis kibo) mimarTebaSi? \\\ igi Seadgens sarZeve jirkvlis kibos 30-35%-s. \\ axasiaTebs dvrilis da areolebis kanis egzemismagvari dazianeba. \\\ regionul limfur kvanZebSi metastazebi Cndeba adreulad. \\\ diagnostikis ZiriTadi meTodia ultrabgeriTi gamokvleva. \\\ mkurnalobis ZiriTadi meTodia qimioTerapia. \\\\ mkurnalobis romeli meTodi ar gamoiyeneba sarZeve jirkvlis kibos dros? \\\ operaciuli. \\\ sxivuri. \\ fizioTerapia. \\\ qimioTerapia. \\\ hormonoTerapia. \\\\ ramdeni wilisgan Sedgeba sarZeve jirkvali? \\\ 2; \\\ 5-7; \\\ 7-10; \\ 15-20; \\\ 25-30; \\\\ romeli gamokvleva ar gamoiyeneba sarZeve jirkvlis paTologiebis dros? \\\ eqoskopia; \\\ mamografia; \\\ Termografia; \\ angiografia; \\\ biofsia; \\\\ romel daavadebaTa jgufs miekuTvneba mastopaTia? \\\ anTebiT daavadebebs; \\ dishormonul daavadebebs; \\\ ulcerogenul daavadebebs; \\\ ganviTarebis anomaliebs; \\\ naoperacievi sarZeve jirkvlis daavadebebs; \\\\ CamoTvlilTagan romeli ar miekuTvneba mastopaTiis ganviTarebis xelSemwyob faqtorebs? \\\ abortebi; \\\ xanmokle laqtacia; \\\ sasqeso organoebis qronikuli anTebiTi daavadebebi; \\ kuWukana jirkvlis funqciis moSla; \\\ Tirkmelzeda jirkvlis funqciis moSla; \\\\ mastopaTiis formebia: \\ difuzuri; \\\ universaluri; \\\ totaluri;

\\\ invaziuri; \\\ SexorcebiTi; \\\\ mkurnalobis romeli meTodi ar gamoiyeneba mastopaTiis dros? \\\ seqtoruli rezeqcia; \\\ vitaminoTerapia; \\\ iodis preparatebi; \\\ hormonoTerapia; \\ antacidebi; \\\\ mastitis romrli forma ar arsebobs? \\\ subareoluri; \\\ kanqveSa; \\ supramamaruli \\\ intramamaruli; \\\ retromamaruli; \\\\ CamoTvlilidan romeli ar warmoadgens sarZeve jirkvlis kibos ganviTarebis xelSemwyob faqtorebs? \\\ hormonuli disbalansi; \\\ reproduqciuli funqciis darRveva; \\\ laqtaciuri funqciis darRveva; \\ RviZlis funqciuri ukmarisoba; \\\ sasqeso da endokrinul organoTa daavadebebi; \\\\ romeli ar miekuTvneba sarZeve jirkvlis kibos difuzur formebs? \\\ SeSupebiTi forma; \\\ mastitismagvari forma; \\\ erizepeloiduri forma; \\\ pejetis simsivne; \\ fsevdotumorozuli; \\\\ mastopaTiis formebs ar miekuTvneba: \\\ difuzuri; \\\ kvanZovani; \\ infiltraciuli; \\\ sarZeve jirkvlis fibroadenoma; \\\ sisxlmdeni sarZeve jirkvali; \\\\ lokalizaciis mixedviT Cirqovani mastitis formebia yvela CamoTvlili, garda \\\ subareoluri; \\\ kanqveSa; \\ supraduqturi; \\\ intramamaruli; \\\ retromamaruli abscesi; \\\\ romeli miekuTvneba sarZeve jirkvlis kibos difuzur formebs? \\\ SeSupebiT-infiltraciuli; \\\ mastitismagvari; \\\ erizipeloiduri;

\\\ javSniani; \\ yvela maTgani; \\\\ radikaluri masteqtomiis winaaRmdegCvenebaa: \\\ qronikuli hepatiti; \\\ simsivnis lokalizacia orive sarZeve jirkvalSi; \\\ pejetis kibo; \\ simsvnis meoTxe stadia mravlobiTi metastazebiT; \\\ insulindamokidebuli Saqriani diabeti; \\\\ radikaluri masteqtomiis win sxivuri Terapia naCvenebia: \\ didi zomis simsivneebis dros da regionul limfur koleqtorebSi metastazebis arsebobisas; \\\ mxolod didi zomis simsivneebis dros; \\\ nebismieri zomis simsivneebis dros; \\\ Soreuli metastazebis arsebobis SemTxvevaSi; \\\ sxivuri Terapia radikaluri masteqtomiis win ar aris naCvenebi; \\\\ 40 wlis qals sarZeve jirkvalSi aReniSneba mcired mtkivneuli gamkvrivebuli ubani, romelic moZravia da woliT mdgomareobaSi ar isinjeba. limfuri jirkvlebi gadidebuli ar aris. ra paTologia aReniSneba pacients? \\\ difuzri mastopaTia \\ kvanZovani mastipaTia \\\ mastitis \\\ sarZeve jirkivlis kibo \\\ javSniani kibo \\\\ Tu 30 wlis pacients aReniSneba, sarZeve jirkvlis zemo gareTa kvadrantSi, moZravi, umtkivneulo sisivnuri warmonaqmni, zomiT 2X3 sm-ze, romelic zurgze wolisas palpaciis dros ar qreba, unda vifiqroT, rom pacients aqvs: \\\ mastiti – infiltraciis stadiaSi \\\ pejetis daavadeba \\ sarZeve jirkvlis fibroadenoma \\\ kvanZovani mastopaTia \\\ papiloma \\\\ avadmyofi qali 35 wlis, uCivis marjvena sarZeve jirkvlis zeda gareTa kvadratSi simsivnuri kvanZis arsebobas. aRniSnuli warmonaqmni momrgvalo formisaa, swori sada zedapiriT, mimdebare qsovilebTan Sexorcebuli ar aris, palpaciiT umtkivneuloa. woliT mdgomareobaSi sarZeve jirkvlis palpaciis dros simsivne ar qreba. Mmamogramaze vxedavT kargad gamoxatul konturebis mqone Crdils. ra daavadeba aReniSneba avadmyofs? \\\ sarZeve jirkvlis kibo \\\ sarZeve jirkvlis kvanZovani mastopaTia \\ fibroadenoma \\\ sarZeve jirkvlis foTlisebri simsivne \\\ qronikuli mastiti

\\\\ 55 wlis qals sarZeve jirkvlis palpaciiT aReniSneba uswormasworo zedapiriani kvanZi. gamoxatulia ùmbilikaciisa~ da `limonis qerqis~ simptomebi. ra paTologia aReniSneba pacients? \\ sarZeve jirkivlis kibo \\\ mastiti \\\ difuzri mastopaTia \\\ reklius daavadeba \\\ SimelbuSis daavadeba \\\\ 40 wlis qals aReniSneba sarZeve jirkvlis dvrilisa da areolis hiperkeratozi, tenianoba, kanis egzemisebri cvlilebebi da dawylulebuli ubnebi. ra paTologia aReniSneba pacients? \\\ mastitismagvari kibo \\\ erizipeloiduri kibo \\ pejetis kibo \\\ javSniani kibo \\\ reklius daavadeba \\\\ avadmyofi qali 34 wlis, marjvena sarZeve jirkvalSi aReniSneba avTvisebiani simsivne romelic ar aRemateba 0,5 sm-s. xeliT ar isinjeba. Mmamogramaze vlindeba varskvlavis formis Crdili (romelic mimarTulia periferiisken). operaciuli mkurnalobis ra saxe migaCniaT adeqvaturad? \\\ kvadrantis rezeqcia \\\ kanqveSa ( subkutanuri) rezeqcia \\\ martivi masteqtomia \\ seqtoruli masteqtomia \\\ masteqtomia \\\\ avadmyofi qali 38 wlis uCivis tkivils marjvena sarZeve jirkvalSi. jirkvali mkvrivi, infiltrirebulia, kani hiperemiuli, uswormasworo, adgilobrivad momatebulia temperatura, simsivnuri kvanZi palpaciiT ar vlindeba.Ddifuzuri kibos romel formasTan gvaqvs saqme? \\\ sarZeve jirkvlis dvrilis kibo (pejetis kibo) \\ wiTeli qaris magvari kibo \\\ mastitiseburi kibo \\\ javSniani kibo \\\ SeSupebiTi infiltraciuli formis kibo \\\\ 35 wlis qals aReniSneba sarZeve jirkvlis gamkvriveba, misi infiltraciiT, kanis hiperemiiT, uswormasworo, enismagvari kideebis mqone laqebis saxiT. ra paTologia aReniSneba pacients? \\\ javSniani kibo \\\ pejetis kibo \\\ SimelbuSis daavadeba \\\ kvanZovani mastipaTia \\ erizipeloiduri kibo \\\\ avadmyofi qali 52 wlis uCivis marjvena sarZeve jirkvlis dvrilisa da areolis areSi qavils, dvrilis sisveles. obieqturad aReniSneba kanis egzemismagvari cvlilebebi, dawylulebuli monakveTebiT, kani

aqerclilia. aRiniSneba dvrilis deformacia. difuzuri kibos romel formasTan gvaqvs saqme? \\\ javSniani kibo \\\ wiTeli qaris magvari kibo \\\ mastitiseburi kibo \\\ SeSupebiTi infiltraciuli formis kibo \\ sarZeve jirkvlis dvrilis kibo (pejetis kibo) \\\\ gamokvlevis romeli meTodiT xdeba sarZeve jirkvlis sadinrebis mdgomareobis Sefaseba? \\\ mamografiiT \\\ ultrasonografiiT \\\ TermografiiT \\ duqtografiiT \\\ kompiuteruli tomografiiT \\\\ 30 wlis qals sarZeve jirkvalSi aReniSneba gamkvrivebuli ubani, palpaciiT umtkivneulo, mimdebare qsovilebTan Sexorcebuli ar aris, wolisas palpaciiT warmonaqmni ar qreba. ra paTologia aReniSneba pacients? \\ fibroadenoma \\\ kvanZovani mastipaTia \\\ sarZeve jirkivlis kibo \\\ sarZeve jirkivlis tuberkulozi \\\ sarZeve jirkivlis aTaSangi \\\\ 40 wlis qali aRniSnavs tkivils sarZeve jirkvalSi menstrualuri ciklis Sua periodSi. zogjer aReniSneba gamonadeni dvrilidan. palpaciiT vlindeba uswormasworo zedapiriani, wilakovani gamkvriveba, aqvs daWimulobis da tkivilis SegrZneba mTel sarZeve jirkvalSi. ra paTologia aReniSneba pacients? \\ difuzuri mastopaTia \\\ kvanZovani mastipaTia \\\ mastitis \\\ fibroadenoma \\\ adenoma \\\\ romel daavadebaTa jgufs miekuTvneba mastopaTia? \\\ anTebiT daavadebebs \\\ ganviTarebis anomaliebs \\ dishormonul daavadebebs \\\ sarZeve jirkivlis simsivneebs \\\ arcerT zemoCamoTvlils \\\\ sarZeve jirkvlis romel daavadebas axasiaTebs ùmbilikaciis~ fenomeni? \\\ adenomas \\\ mastits \\\ fibroadenomas \\\ mastopaTias \\ kibos

\\\\ Tu pacients aReniSneba tkivili sarZeve jirkvlis areSi da misi zomaSi mateba, gadidebuli limfuri jirkvlebi iRliis fosoSi imavve mxares, temperaturis momateba 38-39 gradusamde, igi avadaa: \\\ mastopaTiiT; \\ mwvave mastitiT; \\\ anizomastiiT; \\\ ZuZus avTvisebiani simsivniT; \\\ fibromatoziT. \\\\ Cirqgrovis lokalizaciis mixedviT ganarCeven Semdegi saxis mastitebs: \\\ retromamaruli, intramamaruli da submamaruli; \\\ subkutaneuri, intrakutaneuri da intramamaruli; \\ subareolaruli, intramamaruli da retromamaruli; \\\ subareolaruli, intraareolaruli da retroglandularuli; \\\ intramamaruli, intraalveolaruli da postmamaruli. \\\\ mastitis romeli stadiis dros aris saWiro operaciuli mkurnaloba? \\\ infiltraciuli da abscedirebuli formebis dros; \\\ serozuli da abscedirebuli formebis SemTxvevaSi; \\\ infiltraciuli da flegmonuri formebis dros; \\\ serozuli da infiltraciuli formebis dros; \\ abscedirebuli da flegmonuri formebis dros. \\\\ ZuZus kibos SemTxvevaSi daavadeba romel stadiaSia da TNM klasifikaciiT romlis formulireba daewereba Tu simsivne 2-5 sm zomisaa xolo regionuli limfuri kvanZebis gadideba da Soreuli metastazebi ar aReniSneba? \\\ I stadia, T1N0M0; \\ II aAstadia T2N0M0; \\\ II bBstadia T2N1M1; \\\ III aAstadia T3N1M0; \\\ IV stadia nebismieri T. N da M1. \\\\ ZuZus kibos SemTxvevaSi simsivne anatomiuri lokalizaciiT gvxvdeba Semdgomi sixSiriT (ufro xSiridan iSviaTisaken): \\\ zemo SigniTa kvadranti, zemo gareTa kvadranti, qvemo gareTa kvadranti, qvemo SigniTa kvadranti; \\ zemo gareTa kvadranti, zemo SigniTa kvadranti, qveda gareTa kvadranti da qveda SigniTa kvadranti; \\\ qveda gareTa kvadranti, qveda SigniTa kvadranti, zeda gareTa kvadranti da zeda SigniTa kvadranti; \\\ qveda gareTa kvadranti, zemo gareTa kvadranti, qveda SigniTa kvadranti, qveda gareTa kvadranti; \\\ qveda SigniTa kvadranti, zemo gareTa kvadranti, qveda gareTa kvadranti, zemo SigniTa kvadranti. \\\\ 19 wlis melogine qals me-3 dRea awuxebs Zlieri tkivili marjvena sarZeve jirkvalSi da SeSupeba. aReniSneba hiperTermia 39°C-mde. sarZeve

jirkvali hiperemiulia, SeSupebulia da palpaciiT mtkivneulia. Sisxlis saerTo analizSi – leikocitozi. savaraudo diagnozia: \\ mwvave mastiti. \\\ difuzuri mastopaTia. \\\ fibroadenoma. \\\ pejetis kibo. \\\ kibos kvanZovani forma. \\\\ 35 wlis qals marcxena sarZeve jirkvalSi aReniSneba 1,5×1sm zomis mtkivneuli, gamkvrivebuli, moZravi kvanZi, romelic ar aris dakavSirebuli kanTan da dvrilTan. Llimfuri kvanZebi gadidebuli ar aris. Mmamogramaze moCans daCrdiluli da naTeli ubnebis monacvleoba. savaraudo diagnozia: \\\ mwvave mastiti. \\ kvanZovani mastopaTia. \\\ fibroadenoma. \\\ kibo. \\\ lipoma. \\\\ 22 wlis qali uCivis marcxena sarZeve jirkvlis SeSupebas da Zlier tkivils, Semcivnebas. jirkvali SeSupebulia, hiperebulia, palpaciiT mtkivneulia. t – 39,5 ºC. savaraudo diagnozia: \\\ fibroadenoma \\ mwvave mastiti \\\ pejetis kibo \\\ difuzuri mastopaTia \\\ kvanZovani mastopaTia \\\\ 58 wlis qals awuxebs marjvena sarZeve jirkvlis qavili, dvrilis aqercvla. aqvs dvrilidan gamonadeni. dvrili deformiulia. biofsiiT nanaxia giganturbirTviani ujredebi. savaraudo diagnozia: \\\ kvanZovani kibo \\\ fibriadenoma \\\ mwvave mastiti \\ pejetis kibo \\\ difuzuri mastopaTia \\\\ 30 wlis qals marjvena sarZeve jirkvalSi esinjeba momrgvalo formis, sada zedapiris mkafio konturebiani, umtkivneulo, moZravi simsivnuri warmonaqmni. Mmamogramaze – kargad gamoxatuli konturebis mqone mrgvali Crdili. savaraudo diagnozia: \\\ mwvave mastiti. \\\ kvanZovani mastopaTia. \\ fibroadenoma. \\\ kibo. \\\ difuzuri mastopaTia. \\\\ 55 wlis qals marjvena sarZeve jirkvalSi esinjeba mkvrivi, umtkivneulo, xorkliani, uZravi kvanZi. kvanZis proeqciaze kans aqvs limonis qerqis forma. savaraudo doagnozia:

\\\ mwvave mastiti. \\\ kvanZovani mastopaTia. \\\ fibroadenoma. \\ kvanZovani kibo. \\\ pejetis kibo. \\\\ 62 wlis qals awuxebs marcxena sarZeve jirkvlis dvrilidan gamonadeni, dvrilis qavili, aqercvla da masze qerqebis gaCena. palpaciiT kvanZi ar isinjeba, limfuri kvanZebi gadidebuli ar aris. gamonadenis citologiuri gamokvleviT aRmoCenilia giganturbirTviani ujredebi. savaraudo diagnozia: \\\ mwvave mastitis. \\\ kvanZovani mastopaTia. \\\ fibroadenoma. \\\ kvanZovani kibo. \\ pejetis kibo. \\\\ 35 wlis qals sarZeve jirkvlis kibos gamo gaukeTda operacia masteqtomia. mokveTili organos paTomorfologiuri gamokvleviT dadginda, rom simsivnis zomaa 3sm, dazianebis mxares iRliis moZrav limfur kvanZSi metastazia, Soreuli metastazi ar aRiniSneba. CawereT es SemTxveva TNM sistemis mixedviT. \\\ T1N1M0 \\ T2N1M0 \\\ T1N2M0 \\\ T3N1M0 \\\ T2N2M0 \\\\ 36 wlis qals aReniSneba sarZeve jirkvlSi simsivnuri warmonaqmni. aRniSnuli warmonaqmnis xasiaTis dasadgenad kvlevis romeli meTodia ZiriTadi? \\\ mamografia \\\ Termografia \\\ ultrabgeriTi kvleva \\ morfologiuri kvleva \\\ duqtografia \\\\ 41 wlis qali uCivis tkivils orive sarZeve jirkvalSi menstruaciis dawyebis win, aseve aRniSnavs sarZeve jirkvlebis gamkvrivebas. palpaciiT sarZeve jirkvali zomierad da Tanabrad gamkvrivebulia. mamografze monacvleobs daCrdiluli da naTeli ubnebi. savaraudo diagnozia: \\\ fibroadenoma \\\ mastitismagvari kibo \\ difuzuri mastopaTia \\\ pejetis kibo \\\ mwvave mastiti \\\\ 26 wlis qali uCivis umniSvnelo tkivilis sarZeve jirkvalSi. aReniSneba moyviTalo-momwvano da sisxliani gamonadeni dvrilidan. duqtografiiT sadinrebSi mkveTri momrgvalo formebis avsebis defeqtebi fiqsirdeba. savaraudo diagnozia:

\\\ fibroadenoma \\ sadinris papilomebi \\\ erizepeloiduri kibo \\\ kvanZovani mastopaTia \\\ mastitismagvari kibo \\\\ 20 wlis qals aReniSneba hiperTermia 400C-mde. sarZeve jirkvlis zomaSi mateba, SeSupeba, hiperemia. punqciuri biofsiiT da citologiuri kvleviT nanaxia atipiuri ujredebi. savaraudo diagnozia: \\\ mwvave mastiti \\\ difuziuri mastopaTia \\\ pejetis kibo \\ mastitismagvari kibo \\\ fibroadenoma \\\\ pacienti klinikaSi Semovida SeboWvis grZnobiT golmkerdis areSi, marcxena ZuZu zomaSi Semcirebulia, SeWmuxnulia, mfaravi kani gasqelebulia. mkerdze aReniSneba Warbi pigmentacia. gamokvleviT dadginda ZuZus difuzuri kibo. aRniSnuli misi romeli formaa? \\\ erizipeloiduri \\\ SeSupebiT-infiltraciuli \\ javSniani \\\ mastitismagvari \\\ pejetis \\\\ 24 wlis qals me-5 dRea, rac daewyo tkivili sarZeve jirkvalSi. tkivili gaZlierda. jirkvali SeSupebulia, kani hiperemulia alag-alag cianozuric. hiperTermia 410c-mde. taqikardia 120-130-mde, sisxlSi gamokveTili leikocitozi da marcxniv gadaxra. savaraudo diagnozia: \\\ serozuli mastiti \\\ infiltruli mastiti \\\ gangrenuli mastiti \\ mastitismagvari kibo \\\ qronikuli araspecifiuri mastiti \\\\ romeli simptomia atipiuri sarZeve jirkvalis kibosaTvis? \\\ iRliisqveSa limfuri jirkvlebis izolirebuli gadideba \\ gamonadeni dvrilidan \\\ palpirebadi warmonaqmni sarZeve jirkvalSi \\\ mikrokalcinatebi mamogramaze \\\ dvrilis epidermisis desqvamacia

\\\\ CamoTvlili simptomebidan romeli SeiZleba miuTiTebdes ZuZus kibos arsebobaze 40 wlis qalSi \\\ didi moZravi infiltrate \\\ umtkivneulo moZravi warmonaqmni \\\ sisxliani gamonadeni dvrilidan \\\ gamWvirvale gamonadeni dvrilidan \\\ kanis limonis qerqis magvari SeSupeba

\\\\ radikaluri masteqtomia gansxvavdeba modificirebuli radikaluri masteqtomiisgan imiT, rom mis dros acileben \\\ ZuZus mTel qsovils dazianebis mxareze \\\ dvrils da areolas erT blokSi \\\ iRliisqveSa limfur kvanZebs dazianebis mxareze \\\ mkerdis mcire kunTs \\ mkerdis did kunTs \\\\ ZuZus kibos ganviTarebis riski qalebSi dakavSirebulia \\\ peroraluri kontraceptivebis gamoyenebasTanAA \\\ bevri ujredisis da mcire cximebis Semcvel dietasTan \\\ menstruaciis dagvianebasTan \\ adreul menopauzasTan \\\ anamnezSi endometrialur karcinomasTan \\\\ 42 wlis qals aReniSneba rbili konsistenciis simsivnuri simsivnuri warmonaqmni marcxena sarZeve jirkvlis gareTa zeda kvadrantSi, gamokvlevis romeli meTodia yvelaze ufro misaRebi diagnosis dasazusteblad? \\\ fizikaluri gamokvleva+mamografia; \\\ fizikaluri gamokvleva+mamografia+ultrasonografia; \\\ fizikaluri gamokvleva+mamografia+kompiuteruli tomografia; \\ fizikaluri gamokvleva+mamografia+ultrasonografia+biofsia; \\\ fizikaluri gamokvleva+Termografia+mamografia+biofsia.

\\\\ 30 wlis qals marjvena sarZeve jirkvalSi aReniSneba 3 sm-is zomis, rbili konsistenciis warmonaqmni, romlis proeqciazec kani hiperemiulia. biofsiiTa da histologiuri kvleviT dadgenilia piloiduri simsivnis diagnozi. mkurnalobis romeli meTodia marTebuli aseT SemTxvevaSi \\\ mxolod dakvirveba \\ dazianebuli ubnis rezeqcia 1 sm-is saRi qsovilebis farglebSi; \\\ masteqtomia; \\\ masteqtomia iRliis fosos limfodiseqciiT; \\\ konservatuli Terapia tamoqsifeniT. \\\\ 45 wlis qals daudginda marcxena sarZeve jirkvlis wilakovani acinusebidan ganviTarebuli preinvaziuri adenokarcinomis (carcinoma in situ) diagnozi. mkurnalobis rogor taqtikas airCevT aseT SemTxvevaSi? \\\ mxolod masteqtomia; \\\ masteqtomia iRliis fosos limfodiseqciiT; \\ mxolod masteqtomia da meore sarZeve jirkvlis biofsia, radgan aseTi simsivneebi 35-59%-Si ormxrivia, \\\ masteqtomia holstedis wesiT da Semdgomi qimioTerapia; \\\ dakvirveba dinamikaSi. preinvaziuri karcinomebis SemTxvevaSi masteqtomia ar aris naCvenebi, radgan isini kargad emorCilebian qimio da sxivur Terapias. \\\\ saylapavi mili mdebareobs? \\\ xaxasa da fundur nawils Soris; \\ xaxasa da kardiul nawils Soris; \\\ xorxsa da fundur nawils Soris;

\\\ xorxsa da kardiul nawils Soris; \\\ xaxasa da pilorul nawils Soris; \\\\ saylapavi mili Sedgeba: \\\ xorxis nawilisgan; \\ kisris nawilisgan; \\\ xaxis nawilisgan; \\\ funduri nawilisagan; \\\ antraluri nawilisagan; \\\\ romeli gamokvleva gamoiyeneba saylapavis daavadebebis diagnostitkis mizniT? \\\ irigografia; \\\ angiografia; \\\ kolonoskopia; \\\ koronarografia; \\ endoskopia; \\\\ romeli Sre ara aqvs saylapavi milis muclis nawils? \\\ serozuli; \\\ kunTovani; \\\ lorwovani; \\\ aqvs yvela CamoTvlili Sre; \\ endoTeluri; \\\\ qvemoT CamoTvlilTagan saylapavis anatomiis irgvliv romelia marTebuli? \\ saylapavsa da kuWs Soris sazRvari gadis saWreli kbilebidan 40 sm-is daSorebiT, saylapavis sigrZea 24 sm. \\\ saylapavis kunTovani Sre warmodgenilia ZiriTadad ganivzoliani muskulaturiT \\\ saylapavs ainervirebs diafragmis nervi \\\ saylapavis qvemo sfinqteri izolirebulia saylapavis kunTovani garsisagan \\\ diafragmis marcxena fexis kunTovani boWkoebi qmnian saylapavis xvrelis umetes nawils \\\\ cenkeris divertikuli aris: \\\ epibronquli; \\\ epifrenuli; \\ xaxa-saylapavis; \\\ xorx-saylapavis; \\\ traqea-saylapavis; \\\\ saylapavis divertikulis ganviTarebis mizezia: \\\ refluqs-ezofagiti \\\ kardiis ukmarisoba \\\ damwvrobis Semdgomi nawiburovani qsovilis warmoqmna \\\ saylapavis ucxo sxeuliT gamowveuli dazianeba \\ saylapavis irgvliv mdebare qsovilSi anTebiTi procesi danawiburebiT

\\\\ refluqs-ezofagitis mkurnalobisaTvis ar gamoiyeneba? \\\ protonuli tumbos inhibitorebi; \\\ H2-blokatorebi; \\\ vitaminebi; \\\ spazmolitikebi; \\ citostatikebi; \\\\ saylapavis inervacia xorcieldeba: \\ cTomili nerviT; \\\ enisqveSa nerviT; \\\ faSvis wnuliT; \\\ saxis nerviT; \\\ samwvera nerviT; \\\\ romeli niSani ar axasiaTebs saylapavis divertikuls? \\\ disfagia; \\ `mSieri~ tkivili; \\\ regurgitacia; \\\ sisxldena; \\\ ,,gulze lukmis dadgomis” SegrZneba; \\\\ 42 wlis mamakacs aqvs gulZmarva, boyini, sxeulis win gadaxrisas mwveli tkivili mkerdis Zvlis ukan. ezofagogastroduodenoskopiiT – saylapavis lorwovani hiperemiulia, kardialuri spinqteri srulad ar ixureba. savaraudo diagnozia: \\\ kardiospazmi \\\ saylapavis kibo \\\ aylapavis divertikuli \\ refluqs-ezofagiti \\\ saylapavis striqtura \\\\ 62 wlis mamakaci uCivis ylapvis gaZnelebas da ylapvisas tkivils mkerdis Zvlis ukan. rentgenologiuri kvleviT saylapavis Sua mesamedSi aRiniSneba uswormaworo konturis mqone avsebis defeqti. diagnozis dasmis mizniT romel gamokvlevas mianiWebT upiratesobas? \\\ ezofagofibroskopia \\ ezofagofibroskopia-biofsiiT \\\ kompiuteruli tomografia \\\ ezofagotonokimografia \\\ mediastinoskopia \\\\ saylapavis divertikulis diagnostikaSi wamyvani mniSvneloba eniWeba: \\\ angiografias; \\ ezofagoskopias; \\\ manometrias; \\\ buJirebas; \\\ PH metrias; \\\\ CamoTvlilidan romeli ar warmoadgens saylapavi mili divertikulis garTulebas? \\\ aspiraciuli pnevmonia;

\\\ mediastiniti; \\\ traqeobronqiti; \\ perikarditi; \\\ asfiqsia; \\\\ saylapavis divertikuli ar SeiZleba iyos? \\\ xaxa-saylapavis; \\\ epibronquli; \\ paraezofaguri; \\\ epifrenuli; \\\ traqciuli; \\\\ refluqs-ezofagitisTvis damaxasiTebeli uxSiresi simptomia? \\ tkivili mkerdis Zvlis ukan; \\\ xvela; \\\ disfagia; \\\ sisxldena; \\\ regurgitacia; \\\\ `paradoqsuli~ disfagia axasiaTebs: \\ kardiospazms; \\\ saylapavis nawiburovan striqturas; \\\ saylapavis divertikuls; \\\ saylapavis venebis varikozul gaganierebas; \\\ saylapavis kobos; \\\\ saylapavis keTilTvisebian simsivneebs miekuTvneba: \\\ adenoakanToma; \\\ karcinosarkoma; \\\ brtyelujredovani kibo; \\\ adenokarcinoma; \\ adenoma; \\\\ kardiospazmis dros ar gamoiyeneba: \\\ sedatiuri saSualebebi; \\\ spazmolitikebi; \\\ kardiodilatacia; \\\ fizioTerapia; \\ antibiotikebi; \\\\ romeli garTuleba ar aris damaxasiaTebeli kardiospazmisTvis? \\\ ezofagiti; \\\ sisxldena; \\\ paraezofagiti; \\ afonia; \\\ aspiraciuli bronqopnevmonia; \\\\ saylapavis kibos klinikur niSnebs ar miekuTvneba: \\\ disfagia; \\\ tkivili mkerdis Zvlis ukan; \\\ gaZlierebuli nerwyvdena;

\\\ xmis CaxleCa; \\ hipersplenizmi; \\\\ saylapavis kibos makroskopuli formebia: \\\ kvanZovani; \\\ wylulovani; \\\ infiltraciuli; \\ yvela maTgani; \\\ Sereuli; \\\\ 35 wlis mamakaci uCivis tkivils mkerdis Zvlis ukan, horizontuli mdebareobis miRebisas piris RruSi siTxis gadmosvlas da ylapvis gaZnelebas. amasTan aRniSnavs, rom ufro advilad ylapavs mSral sakvebs, vidre Txiers. romeli daavadeba unda hqondes pacients? \\\ saylapavis kibo; \\\ saylapavis striqtura; \\ kardiospazmi; \\\ saylapavis divertikuli; \\\ gastroezofaguri refluqs daavadeba; \\\\ avadmyofi qali 40 wlis uCivis tkivils mkerdis ukan, ylapvis gaZnelebas upiratesad Txieri da cxeli sakvebis miRebis dros. Ddisfagia Zlierdeba nervuli stresis dros. Pperiodulad aRniSnavs regurgitacias. ra paTologia aReniSneba avadmyofs? \\\ saylapavis kibo \\\ saylapavis divertikuli \\\ ezofagospazmi \\\ saylapavis striqtura \\ kardiis aqalazia (kardiospazmi) \\\\ axalSobils aReniSneba nerwyvisa da lorwos mudmivi dena pirisa da cxviris Rruebidan, kvebis dawyebisTanave auWreli rZis amoRebineba. ra paTologia aReniSneba axalSobils? \\\ saylapavis gaormageba \\ saylapavis atrezia \\\ Tandayolili aqalazia \\\ Tandayolili mokle saylapavi \\\ bronq-saylapavis xvrelmili \\\\ 30 wlis qals aReniSneba disfagia, romelic Zlierdeba nervuli agznebis Semdeg. regurgitacia woliT mdgomareobaSi da sxeulis win gadaxris dros, tkivili mkerdis Zvlis ukan. ra paTologia aReniSneba pacients? \\ kardiis aqalazia \\\ saylapavis atrezia \\\ saylapavis gaormageba \\\ bronq-saylapavis xvrelmili \\\ saylapav-sasulis xvrelmili \\\\ saylapavis kibos IV stadias TNM klasifikaciiT Seesabameba:

\\\ T1, N1, M0 \\\ T2, N1, M0 \\\ T3, N1, M0 \\\ T4, nebismieri N, M0 \\\ nebismieri T, nebismieri N, M1 \\\\ 30 wlis kacs aReniSneba yelSi fxaWnis da ucxo sxeulis SegrZneba. mSrali xvela, hipersalivacia. zogjer spazmuri disfagia. ylapvisas ismis buybuyis xma. ra paTologia aReniSneba pacients? \\\ kardiospazmi \\ saylapavis divertikuli \\\ saylapavis kibo \\\ ezofagospazmi \\\ saylapavis venebis varikozi \\\\ avadmyofs aReniSneba disfagia, ronelic daewyo uecrad da ufro metad gamoxatulia diliT.aReniSneba regurgitacia `sveli baliSis simptomi~. aqvs tkivili mkerdis Zvlis ukan, iradiaciiT marcxena mxris da beWis areSi. ra paTologia aReniSneba pacients? \\\ saylapavis divertikuli \\\ saylapavis kibo \\ kardiospazmi \\\ saylapavis damwvroba \\\ striqtura \\\\ avadmyofi mamakaci 62 wlis uCivis yelSi fxaWvnas da ucxo sxeulis SegrZnebas, mSral xvelas, disfagias, Tavis ukan gadawevisas kiserze aRiniSneba gamoberiloba. wylis dalevis Semdeg masze perkusiiT ismis Sxefis xma. ra daavadeba aReniSneba avadmyofs? \\\ kardiis ukmarisoba \\\ saylapavis kibo \\ saylapavis divertikuli \\\ kardiis spazmi \\\ saylapavis striqtura \\\\ avadmyofi 64 wlis uCivis ylapvis gaZnelebas. Tavidan uWirda mkvrivi da cudad daReWili sakvebis gadaylapva da mas axerxebda wylis ylupis saSualebiT, amJamad uWirs Txieri sakvebis gadaylapvac mkveTrad daiklo wonaSi. ra daavadeba aReniSneba avadmyofs? \\\ saylapavis divertikuli \\\ kardiis spazmi \\\ saylapavis striqtura \\\ kardiis ukmarisoba \\ saylapavis kibo \\\\ saylaapvis romel daavadebas axasiaTebs paradoqsuli disfagia? \\\ refluqs-ezofagiti \\ kardiospazmi \\\ saylapavis kibo \\\ cenkeris divertikuli \\\ epibronquli divertikuli

\\\\ saylapavis epiTelurqsovilovan simsivneebs miekuTvneba: \\\ leiomioma \\\ fibroma \\\ hemangioma \\\ nevrinoma \\ adenoma \\\\ 26 wlis qals awuxebs ylapvis gaZneleba, tkivili mkerdis Zvlis ukan da wolisas piris RruSi siTxis didi raodenobiT gadmosrola. igi aRniSnavs, rom ufro advilad ylapavs mSral sakvebs, vidre siTxeebs. Am yvelafers win uZRoda stresuli situacia. rentgenologiurad aRiniSneba saylapavis terminaluri nawilis Seviwroveba sada, swori, elastiuri konturebiT, lorwovani garsis naoWebis SenarCunebiT. savaraudo diagnozia: \\\ saylapavis divertikuli. \\ kardiospazmi. \\\ gastroezofaguri refluqs daavadeba. \\\ saylapavis striqtura. \\\ saylapavis kibo. \\\\ 35 wlis mamakacs awuxebs gulZmarva, wvis SegrZneba mkerdis Zvlis ukan, romelic Zlierdeba sxeulis win gadaxris dros, boyini. ezofagofibroskipiiT – saylapavis qvemo mesamedSi lorwovanis hyperemia, eroziebi, kardialuri sfinqteri bolomde ar ixureba. savaraudo diagnozia: \\\ saylapavis divertikuli. \\\ kardiospazmi. \\ gastroezofaguri refluqs daavadeba. \\\ saylapavis striqtura, \\\ saylapavis kibo. \\\\ 38 wlis mamakacs awuxebs xaxaSi ucxo sxeulis SegrZneba, mSrali xvela, cudi suni piridan, ylapvis gaZneleba. Tavi ukan gadawevisas kiserze aRiniSneba gamoberiloba, romelic rbili konsistenciisaa. masze zewolisas igi zomaSi mcirdeba. rentgenologiurad saylapavis dasawyisSi vlindeba kedlis gamoberiloba. Saylapavis romeli divertikuli aqvs pacients? \\ cenkeris. \\\ bifurkaciuli. \\\ epifrenuli. \\\ epibronquli. \\\ saylapavSua. \\\\ 65 wlis mamakacs awuxebs ylapvis gaZneleba, tkivili mkerdis Zvlis ukan, periodulad Rebineba. ezofagofibroskopiiT saylapavis Sua mesamedSi aRiniSneba uswormasworo zedapiris, xorkliani qsovili, romelic Sexebisas advilad sisxlmdenia. Mmisi zedapiri dafarulia ruxi nadebiT. savaraudo diagnozia: \\\ saylapavis divertikuli. \\\ kardiospazmi.

\\\ gastoezofaguri refluqs daavadeba. \\\ saylapavis striqtura. \\ saylapavis kibo. \\\\ saylapavis kibos SemTxvevaSi mezobel organoebze simsivnis gavrcelebis gamosavlenad romeli gamokvlevaa yvelaze informaciuli? \\\ ezofagofibroskopia. \\\ rentgenologiuri gamokvleva. \\ kompiuteruli tomografia. \\\ ezofagotonokimografia. \\\ biofsia. \\\\ Tu pacients aReniSneba simptomTa kompleqsi: ylapvis aqtisas `gafxaWvnisa~ da gulze lukmis dadgomis SegrZneba; disfagia; sakvebis regurgitacia, gansakuTrebiT wolisas; kisris areSi isinjeba rbili simsivnuri warmonaqmni, romelic zewolisas qreba; pacienti avadaa: \\\ mediastinitiT; \\ saylapavis divertikuliT; \\\ kardiis aqalaziiT; \\\ saylapavis qalaziiT \\\ saylapavis damwvrobiTs Semdgomi nawiburovani SeviwrovebiT \\\\ Tu pacients aReniSneba disfagia, regurgitacia, `sveli baliSis simptomi~, tkivili ylapvis dros mkerdis Zvlis ukan, `haeris ylapva~-aerofagia, TviTgamowveviTi pirRebineba, pacienti avadaa: \\\ saylapavis divertikuliT; \\ kardiospazmiT; \\\ kuWis kiboTi; \\\ mediastinitiT; \\\ saylapavis damwvrobiT. \\\\ 32 wlis mamakaci uCivis ylapvis gaZnelebas, tkivils mkerdis Zvlis ukan. Wamisas maleve ewyeba Rebineba mcire ulufiT. ukeT ylapavs Txier sakvebs. rentgenologiurad araTanabari da araregularuli peristaltikaa saylapavis diametri Seviwroebuli ubnebis zeviT da qveviT Seucvlelia. savaraudo diagnozia: \\\ kardiospazmi \\\ saylapavis kibo \\\ saylapavis divertikuli \\ ezofagospazmi \\\ saylapavis striqtura \\\\ 61 wlis mamakacs awuxebs ylapvis gaZneleba da tkivili mkerdis Zvlis ukan. rentgenologiurad aRiniSneba saylapavis lorwovanis uswormasworo konturi da avsebis defeqti. savaraudo diagnozia: \\\ kardiospazmi \\\ saylapavis striqtura \\ saylapavis kibo \\\ kardiis ukmarisoba \\\ saylapavis divertikuli

\\\\ 49 wlis mamakacs awuxebs ylapvis gaZneleba, tkivili mkerdis Zvlis ukan. xSirad aqvs pirRebineba sisxlis Semcveli mounelebeli sakvebiT. eWvi iqna mitanili saylapavis kiboze. diferenciuli diagnostikisaTvis romel kvlevas mianiWebT upiratesobas? \\\ saylapavis rentgenologiuri kvleva \\\ farmakodiagnostikuri sinjebi \\\ PH-metria \\\ ezofagotonokimografia \\ ezofagoskopia-biofsiiT \\\\ 28 wlis mamakacs awuxebs ylapvis gaZneleba, piridan cudi suni, mSrali xvela. Tavis ukan gadaxrisas kiserze Cndeba gamoberiloba, romelic zewolisas qreba. saylapavis romeli divertikuli aqvs pacients? \\\ epifrenuli \\ cenkeris \\\ epibronquli \\\ saylapavSua \\\ Sereuli \\\\ 29 wlis qali uCivis ylapvis gaZnelebas, tkivils mkerdis Zvlis ukan. myar sakvebs ukeT ylapavs, vidre Txiers. rentgenologiurad saylapavis terminaluri nawilis Seviwroebaa sada da swori konturebiT. savaraudo diagnozi: \\\ saylapavis striqtura \\\ saylapavis kibo \\ saylapavis aqlazia \\\ saylapavis divertikuli \\\ kardiis ukmarisoba \\\\ qvemoT CamoTvlilTagan saylapavis anatomiis irgvliv romelia marTebuli ? \\ saylapavsa da kuWs Soris sazRvari gadis saWreli kbilebidan 40 sm daSorebiT, saylapavis sigrZe 24sm-ia \\\ saylapavi Sedgeba ZiriTadad ganivzoliani muskulaturiT \\\ saylapavs ainervirebs diafragmis nervi \\\ saylapavis qvemo sfinqtri izolirebulia saylapavis kunTovani garsisagan \\\ diafragmis marcxena fexis kunTovani boWkoebi qmnian saylapavis xvrelis umetes nawils

\\\\ refluqs ezofagitis mkurnalobaSi Sedis yvela qvemoT CamoTvlili garda \\\ wonis Semcireba \\\ H2 receptorebis antagonistebis gamoyeneba \\\ antacidebis gamoyeneba \\ kalciumis arxis blokatorebis gamoyeneba \\\ mowevis da alkoholis akrZalva \\\\ saylapavis kibos ganviTarebasTan dakavSirebulia yvela qvemoT moyvanili faqtori garda

\\\ baretis saylapavi \\ saylapavis xvrelis Tiaqari \\\ qronikuli refluqs_ezofagiti \\\ Tambaqos moxmareba da alkoholis miReba \\\ axalazia \\\\ kardiaspazmis Sesaxeb yvela daskvna sworia garda \\\ kardiospazmian avadmyofebSi didia saylapavis kibos ganviTarebis riski \\\ kardiaspazmis diagnostikisaTvis saWiroa ezofagoskopia da manometria \\\ kardiospazmis dros momatebulia saylapavis qvemo spinqteri tonusi \\ pnevmatiuri kardiadilatacia kardiaspazmis araoperaciuli mkurnalobis meTodia \\\ Tu saWiroa operaciuli mkurnaloba kardiospazmis dros unda gakeTdes fundoplikacia nisenis wesiT

\\\\ amoarCieT swori mtkiceba kuW - saylapavis refluqsTan dakavSirebiT \\\ kuW - saylapavis refluqsi saylapavis xvrelis Tiaqaria \\\ Cndeba saylapavis qveda sfinqteris gaZlierebis dros \\\ SeiZleba dakavSirebuli iyos gastrinis sekreciis momatebasTan \\ diagnozi ismeba manometriiT da saylapavis qvemo nawilSi Ph-is 24 saaTiani gansazRvriT \\\ kuW - saylapavis refluqsi ezofagoskopiis SedarebiTi ukuCvenebaa

\\\\ CamoTvlilTagan romeli ar miekuTvneba Tiaqris komponentebs? \\\ Tiaqris parki; \\\ Tiaqris SigTavsi; \\\ Tiaqris kari; \\ Tiaqris fuZe; \\\ yvela CamoTvlili miekuTvneba; \\\\ romeli ar miekuTvneba gareTa Tiaqrebs? \\\ sazardulis Tiaqari; \\ diafragmuli Tiaqari; \\\ barZayis Tiaqari; \\\ Wipis Tiaqari; \\\ TeTri xazis Tiaqari; \\\\ sazardulis arxis kedlis SemadgenlobaSi ar Sedis: \\\ muclis gareTa iribi kunTis aponevrozi; \\\ pupartis iogi; \\\ ganivi fascia; \\\ SigniTa iribi da ganivi kunTebis qveda kideebi; \\ kuperis iogi; \\\\sazardulis arxis kedeli ar aris \\\ ganivi fascia. \\\ sazardulis iogi. \\ muclis swori kunTis gareTa kide. \\\ muclis SigniTa iribi da ganivi kunTebis qveda kide.

\\\ muclis gareTa iribi kunTis aponevrozi \\\\ sazardulis arxis gareTa (zedapiruli) rgoli Seqmnilia: \\\ ganivi fasciis defeqtiT; \\\ pupartis iogiT; \\\ SigniTa iribi kunTis ganSrevebiT; \\ gareTa iribi kunTis aponevrozis fexebiT; \\\ boqvenis simfizis napraliT; \\\\ Tu sazardulis Tiaqari iwyeba Suamdebare fosodan da sazardulis arxis gauvlelad gamodis kanqveS sazardulis arxis gareTa rgolSi, aseT Tiaqars ewodeba: \\\ sazardulis gareTa iribi Tiaqari; \\\ sazardulis SigniTa iribi Tiaqari; \\ sazardulis swori Tiaqari; \\\ sazardulis iribi recidiuli Tiaqari; \\\ sazardulis Tandayolili Tiaqari. \\\\ iSviaTi lokalizaciis Tiaqaria \\\ Wipis Tiaqari. \\\ sazardulis Tiaqari. \\ spigelis xazis Tiaqari. \\\ barZayis Tiaqari. \\\ TeTri xazis Tiaqari.

\\\\ muclis romeli Tiaqris SemTxvevaSi SeiZleba gamoyenebuli iyos konservatuli mkurnaloba? \\\ sazardulis Tandayolili Tiaqari. \\\ barZayis Tiaqari. \\\ TeTri xazis Tiaqari. \\\ sazardulis SeZenili Tiaqari. \\ Wipis Tiaqari axalSobilebSi. \\\\ sazardulis arxis SigniTa rgoli mdebareobiT Seesabameba: \\ pariesul peritoneumze lateralur fosos \\\ kanqveS mdebare lateralur fosos. \\\ pariesul peritoneumze supravezikalur fosos \\\ pariesul peritoneumze Suamdebare fosos \\\ pariesul peritoneumze medialur fosos \\\\ sazardulis iribi Tiaqari gamodis qveda epigastraluri arteriis \\\ win. \\\ medialurad. \\ lateralurad. \\\ ukan. \\\ zemoT.

\\\\ sazardulis swori TiaqrisTvis marTebulia: \\\ igi ufro xSirad gvxvdeba bavSvTa asakSi. \\\ xSirad calmxrivia.

\\\ Tiaqris parki moTavsebulia saTesle bagirakis gareT. \\ igi iSviaTad Cadis saTesle parkSi. \\\ sazardulis arxis ukana kedeli ar aris dasustebuli.

\\\\ sazardulis iribi TiaqrisTvis marTebuli ar aris: \\\ igi xSirad calmxrivia. \\ igi gvxvdeba mxolod moxucebSi. \\\ Tiaqris parki gaivlis saTesle bagirakSi. \\\ igi xSirad Cadis saTesle parkSi. \\\ igi gamodis sazardulis lateraluri fosodan. \\\\ sazardulis Tiaqris dros diferencialuri diagnozi ar unda gatardes: \\ Sardis buStis simsivne. \\\ hidrocele. \\\ varikocele. \\\ barZayis Tiaqari. \\\ sazardulis midamos lipoma.

\\\\ romeli ar miekuTvneba sazardulis Tiaqarplastikis meTodebs? \\\ basini. \\\ postempski. \\\ Jirari. \\\ Soldaisi. \\ meio. \\\\ sazardulis swori TiaqrisTvis marTebulia yvela pasuxi, garda: \\\ Tiaqris parki mrgvali formisa; \\\ Tiaqris parki ar eSveba saTesle jirkvlis parkSi; \\ gvxvdeba uxSiresad bavSvebSi; \\\ xSirad ormxrivia; \\\ mxolod SeZenilia; \\\\ sazardulis iribi TiaqrisTvis marTebulia yvela pasuxi, garda: \\\ Tiaqris parki mogrZo, ovaluri an msxlis formisaa; \\\ Tiaqris parki eSveba saTesle jirkvlis parkSi; \\\ gvxvdeba yvela asakSi; \\\ xSirad calmxrivia; \\ mxolod SeZenilia; \\\\ sazardulis arxis ukana kedlis plastikis meTodebs ar miekuTvneba \\\ Soldaisis; \\\ basinis; \\ Jiraris; \\\ lixtenSteinis; \\\ postemskis. \\\\ avadmyofs marjvena sazardulis areSi aReniSneba simsivnuri warmonaqmni, romlic xelis daWeriT ar qreba. misi mizezi SeiZleba iyos: a)marjvena sazardulis Seusworebeli iribi Tiaqari, Bb)gadidebuli

limfuri jirkvali, g) CamowveTili `civi~ abscesi, d) marjvena saTesle jirkvali. diagnozis dasadgenad gamokvlevis romel meTods mimarTavT upirvelesad: \\\ diafanoskopias \\\ biofsias \\ ultrasonografias \\\ kompiuterul tomografias \\\ mimoxilviT rentgenografias \\\\ avadmyofs aqvs sazardulis Tiaqari, masTan erTad aRniSnavs dizurias ufro metad safiqrebelia. \\\ barZayis Tiaqari; \\ sazardulis dacurebuli Tiaqari; \\\ sazardulis iribi Tiaqari; \\\ sazardulis CaWedili Tiaqari; \\\ spigelis Tiaqari \\\\ avadmyofs aqvs sazardulis Tiaqari, masTan erTad aRniSnavs dizurias ufro metad safiqrebelia. \\\ barZayis Tiaqari; \\ sazardulis dacurebuli Tiaqari; \\\ sazardulis iribi Tiaqari; \\\ sazardulis CaWedili Tiaqari; \\\ spigelis Tiaqari \\\\ Wipis Tiaqris parks Seadgens: \\ peritoneumis pariesuli furceli; \\\ swori kunTis bude; \\\ gareTa iribi kunTis aponevrozi; \\\ ganivi fascia; \\\ yvela maTgani; \\\\ sazardulis Tiaqari ar SeiZleba iyos: \\\ Tandayolili; \\\ SeZenili \\\ swori; \\\ iribi; \\ SigniTa; \\\\ barZayis TiaqrisTvis marTebulia \\\ muclis Tiaqrebs Soris igi yvelaze xSirad gvxvdeba. \\\ igi xSirad gvxvdeba mamakacebSi. \\\ Tiaqris parki mdebareobs barZayis venis lateralurad. \\ igi gamodis sazardulis iogis qvemoT. \\\ igi uxSiresad dacurebulia. \\\\ barZayis rgoli moisaZRvreba: \\\ winidan – pupartis iogis lateraluri fexiT, ukanidan – kuperis iogiT, medialurad boqvenis Zvali, lateralurad barZayis vena da ganieri fasciis namglisebri kide.

\\\ winidan – jimbernatis iogi, ukanidan – kuperis iogi, medialurad boqvenis Zvali, \\\ winidan – pupartis iogi, ukanidan – boqvenis Zvlis qedi, medialurad jimbernatis iogi, lateralurad barZayis vena da ganieri fasciis namglisebri kide. \\ winidan – pupartis iogi, ukanidan – kuperis iogiT, medialurad jimbernatis iogi, lateralurad barZayis vena da ganieri fasciis namglisebri kide. \\\ winidan – pupartis iogi, ukanidan – kuperis iogiT, medialurad barZayis vena, lateralurad ganieri fasciis namglisebri kide. \\\\ barZayis rgolis sazRvari ar aris \\\ sazardulis iogi. \\ barZayis arteria. \\\ barZayis vena. \\\ Sualedis (jimbernatis) iogi. \\\ boqvenis Zvlis qedi. \\\\ avadmyofi 62 wlis, aqvs sazardulis marjvenamxrivi Tiaqari, Tiaqris SigTavsi Camodis saTesle parkSi. Hhorizontalur mdgomareobaSi palpaciiT mTlianad brundeba muclis RruSi. xelis aSvebisas isev gamodis gareT. ra saxis TiaqarTan gvaqvs saqme? \\ iribi Tiaqari \\\ swori Tiaqari \\\ dacurebuli Tiaqari \\\ sazardulis Seusworebeli Tiaqari \\\ sazardulis CaWedili Tiaqari \\\\ sazardulis Tiaqrebis mkurnalobis romel meTods SeiZleba mivaniWoT upiratesoba axalgazrda asakSi? \\\ basinis \\\ Jiraris \\\ postemskis \\\ Soldaisis \\ lixtenSteinis \\\\ avadmyofi qali 55 wlis uCivis marjvniv sazardulis areSi simsivnuri warmonaqmnis arsebobas. Oobieqturad marjvniv barZay-sazardulis nakecis areSi sazardulis iogis qvemoT, barZayis sisxlZarRvebis SigniT aRiniSneba naxevradsferuli warmonaqmni. palpaciiT rbili zewolisas brundeba muclis RruSi. ra daavadebasTan gvaqvs saqme? \\\ sazardulis swori Tiaqari \\\ saSvilosnos mrgvali iogis kista \\\ sazardulis iribi Tiaqari \\ barZayis Tiaqari \\\ sazardulis dacurebuli Tiaqari \\\\ barZayis Tiaqris dros diferencialuri diagnozi unda gatardes yvela daavadebasTan, garda \\ Sardis buStis simsivne.

\\\ sazardulis Tiaqari. \\\ didi saCino venis varikozuli kvanZi. \\\ barZayis midamos lipoma. \\\ barZayis midamos limfadeniti. \\\\ Wipis TiaqrisTvis marTebulia \\\ muclis Tiaqrebs Soris sixSiriT pirvel adgilzea. \\\ ufro xSirad gvxvdeba mamakacebSi, vidre qalebSi. \\ Tiaqarplastikis erTerTi meTodia meios meTodi. \\\ bavSvebSi mkurnalobis meTodi mxolod qirurgiulia. \\\ diferencialuri diagnozi unda gatardes ganivi kolinjis kibos metastazTan. \\\\ muclis Tiaqrebis iSviaT saxeobas miekuTvneba: \\\ travmuli \\\ Tandayolili \\ maxviliseburi morCis \\\ CaWedili \\\ Sinagani \\\\ sazardulis arxis wina kedels qmnis: \\ muclis gareTa iribi kunTis aponevrozi \\\ pupartis iogi \\\ muclis SigniTa iribi kunTi \\\ ganivi kunTi \\\ ganivi fascia \\\\ sazardulis arxis ukana kedels qmnis: \\\ muclis gareTa iribi kunTis aponevrozi \\\ pupartis iogi \\\ muclis SigniTa iribi kunTi \\\ ganivi kunTi \\ ganivi fascia \\\\ sazardulis arxis zeda kedels qmnis: \\\ swori kunTi \\\ pupartis iogi \\ muclis SigniTa iribi da ganivi kunTebis qveda kideebi \\\ ganivi kunTi \\\ ganivi fascia \\\\ sazardulis arxis qveda kedels qmnis: \\\ muclis gareTa iribi kunTi \\ pupartis iogi \\\ muclis SigniTa iribi kunTi \\\ swori kunTi \\\ ganivi fascia \\\\ sazardulis iribi TiaqrisaTvis damaxasiaTebelia \\ gamodis muclis Rrudan, sazardulis lateraluri fosodan \\\ gaivlis pirdapiri mimarTulebiT sazardulis Sualeds

\\\ aqvs momrgvalo forma \\\ xSirad ormxrivia \\\ iSviaTad Cadis saTesle parkSi \\\\ sazardulis arxis ukana kedlis gasamagreblad gamoiyeneba: \\\ bobrovis wesi \\\ kimbarovskis nakeri \\\ Jiraris wesi \\\ spasokukockis wesi \\ basinis wesi \\\\ barZayis rgolis zeda sazRvars warmoadgens \\ puparts iogi \\\ barZayis vena \\\ barZayis arteria \\\ boqvenis Zvali \\\ jimbernatis iogi \\\\ barZayis rgolis medialur sazRvars warmoadgens \\\ puparts iogi \\\ barZayis vena \\\ barZayis arteria \\\ boqvenis Zvali \\ jimbernatis iogi \\\\ barZayis rgolis qveda sazRvars warmoadgens \\ puparts iogi \\\ barZayis vena \\\ barZayis arteria \\ boqvenis Zvalis qedi \\\ jimbernatis iogi \\\\ 40 wlis mamakacs aReniSneba saTesle parkis zomebis gadideba, mrgvali formis simsivnuri warmonaqmni, romlis perkusiiT moyruebaa, diafanoskopiiT iZleva wiTel fers, ultrabgeriTi kvleviT aRiniSneba siTxuri CanarTi. ra paTologiasTan gvaqvs saqme? \\\ sazardulis dacurebuli Tiaqari \\\ sazardulis iribi Tiaqari \\\ sazardulis swori Tiaqari \\ hidrocele \\\ varikocele \\\\ 39 wlis mamakacs aReniSneba simsivnuri warmonaqmni marcxena sazardulis midamoSi, romelic xelis daWeriT qreba. savaraudo diagnozia: \\\ varikocele \\ sazardulis Tiaqari \\\ sazardulis lipoma \\\ sazardulis limfadenopaTia \\\ hidrocele

\\\\ qvemoT CamoTvlilTagan romeli miekuTvneba iSviaTi lokalizaciis Tiaqrebs? \\ maxvilisebri morCis Tiaqari \\\ Wipis Tiaqari \\\ barZayis Tiaqari \\\ TeTri xazis Tiaqari \\\ operaciisSemdgomi Tiaqari \\\\ sazardulis Tiaqarplastikis romeli meTodis dros xdeba sazardulis ukana kedlis gamagreba? \\\ kimbarosvki \\ mak-vei \\\ bobrovi \\\ Jirari \\\ spasokukocki \\\\ 41 wlis mamakacs awuxebs gamoberiloba marjvena sazardulis midamoSi. Ees gamoberiloba qreba pacientis horizontalur mdgomareobaSi an xelis daWerisas. savaraudo diagnozia: \\ sazardulis Tiaqari. \\\ varikocele. \\\ hidrocele. \\\ lipoma. \\\ limfadenopaTia. \\\\ Tiaqarplastikis romeli meTodiT magrdeba sazardulis arxis ukana kedeli? \\\ Jirari. \\\ spasokukocki. \\\ kimbarovski. \\ Soldaisi. \\\ bobrovi. \\\\ sazardulis romeli meTodis dros gamoiyeneba endoprotezi? \\\ Soldaisi. \\ lixtenSteini. \\\ basini. \\\ mak-vei. \\\ postempski. \\\\ barZayis Tiaqris SemTxvevaSi barZayis rgolis romel sazRvars warmoadgens barZayis vena? \\\ SigniTa. \\\ zeda. \\ gareTa. \\\ qveda. \\\ barZaris vena ar mosazRvravs barZayis rgols \\\\ romeli Tiaqari miekuTvneba muclis iSviaT Tiaqrebs? \\\ sazardulis. \\\ barZayis.

\\\ operaciisSemdgomi. \\ spigelis. \\\ Wipis. \\\\ barZayis rgoli moisaZRvreba: \\\ winidan – pupartis iogis lateraluri fexiT, ukanidan – kuperis iogiT, medialurad boqvenis Zvali, lateralurad barZayis vena da ganieri fasciis namglisebri kide. \\\ winidan – jimbernatis iogi, ukanidan – kuperis iogi, medialurad boqvenis Zvali, \\\ winidan – pupartis iogi, ukanidan – boqvenis Zvlis qedi, medialurad jimbernatis iogi, lateralurad barZayis vena da ganieri fasciis namglisebri kide. \\ winidan – pupartis iogi, ukanidan – kuperis iogiT, medialurad jimbernatis iogi, lateralurad barZayis vena da ganieri fasciis namglisebri kide. \\\ winidan – pupartis iogi, ukanidan – kuperis iogiT, medialurad barZayis vena, lateralurad ganieri fasciis namglisebri kide. \\\\ Tiaqris elementebia: \\\ Tiaqris kari, Tiakris kedeli, Tiaqris garsebi, Tiaqris SigTavsi. \\\ Tiaqris garsebi, Tiakris parki, Tiaqris SigTavsi. \\ Tiaqris kari, Tiakris parki da Tiaqris SigTavsi. \\\ Tiaqris kari, Tiakris kvanZi da Tiaqris SigTavsi. \\\ Tiaqris kari, Sexorcebebi da Tiaqris SigTavsi. \\\\ dacurebuli Tiaqari ewodeba Tu \\\ parkis SigTAvss warmoadgens Camocurebuli erT-erTi organo. \\\ Tu Tiaqars parki ar aaqvs. \\\ Tu SigTavsi warmodgenilia 2 an meti organoTi. \\\ Tu Tiaqari ar brundeba muclis RruSi. \\ parkis erTi kedeli warmodgenilia Camocurebuli erT-erTi organoTi. \\\\ muclis Tiaqris Semadgeneli elementebia: \\\ dacurebuli organo, Tiaqris parki, kani da kanqveSa cximi da Tiaqris SigTavsi – nawlavis maryuJi; \\\ Tiaqris kari, Tiaqris garsebi, Tiaqris SigTavsi; \\ Tiaqris kari, parki, Tiaqris SigTvsi da garsebi; \\\ Tiaqris parki, Tiaqris SigTavsi da parkis SigniT arsebuli peritonealuri siTxe; \\\ Tiaqris kari, Tiaqris SigTavsi da Tiaqris garsebi. \\\\ Tu sazardulis Tiaqari iwyeba Suamdebare fosodan da sazardulis arxis gauvlelad gamodis kanqveS sazardulis arxis gareTa rgolSi, aseT Tiaqars ewodeba: \\\ sazardulis gareTa iribi Tiaqari; \\\ sazardulis SigniTa iribi Tiaqari; \\ sazardulis swori Tiaqari; \\\ sazardulis recidiuli Tiaqari; \\\ sazardulis iribi dacurebuli Tiaqari

\\\\ Tu pacients aqvs sazardulis gareTa iribi Tavisufali Tiaqari, maSin sazardulis arxSi Setanili TiTiT qveda epigastraluri arxis pulsacia SeigrZnoba: \\\ lateralurad; \\ medialurad; \\\ zemodan; \\\ qvemodan; \\\ siRrmeSi, ukana mxridan. \\\\ sazardulis arxis qveda kedels warmoadgens: \\\ muclis ganivi fascia \\ pupartis iogi \\\ gareTa iribi kunTis aponevrozi \\\ jimbernatis iogi \\\ SigniTa iribi da ganivi kunTebis kde \\\\ Tiaqrisplastikis romeli meTodiT magrdeba sazardulis arxis wina kedeli? \\\ Soldaisi \\\ postempski \\ Jirari \\\ basini \\\ lixtenSteini \\\\ Tiaqarplastikis romeli meTodiT magrdeba sazardulis arxis ukana kedeli? \\\ Jirari \\\ kimbarovski \\ Soldaisi \\\ spasokukocki \\\ bobrovi \\\\ Wipis Tiaqris SemTxvevaSi plastikis meTodi gamoiyeneba? \\\ basini \\\ Jirari \\ meio \\\ lixtenSteini \\\ Soldaisi \\\\ 52 wlis qals aReniSneba rbili, umtkivneulo simsivnuri warmonaqmni sazardulis iogis qvemoT, romelic dawolisas qreba. `xvelis biZgis~ simptomi dadebiTia. savaraudo diagnozia: \\\ spigelis Tiaqari \\\ barZayis lipoma \\\ sazardulis Tiaqari \\ barZayis Tiaqari \\\ didi saCino venis anevrizma \\\\ Rru organo warmoadgens Tiaqris parkis erT-erT kedels \\ dacurebul TiaqarSi \\\ rixteris TiaqarSi

\\\ gaWedil TiaqarSi \\\ sazardulis swor TiaqarSi \\\ kombinirebul TiaqarSi \\\\ kuWis anatomiuri regionebs ar miekuTvneba: \\\ kardiuli; \\ diafrgmuli; \\\ funduri; \\\ antraluri; \\\ piloruli; \\\\ romel Sres ar Seicavs kuWis kedeli? \\\ lorwovan Sres; \\\ serozul Sres; \\ adventiciur Sres; \\\ kunTovan Sres; \\\ arc erT maTgans; \\\\ romeli gamokvlevis dros SeiZleba gastrobiofsiis warmoeba? \\\ kompiuteruli tomografia; \\\ muclis Rrus eqoskopia; \\\ muclis Rrus mimoxilviTi rendgenoskopia; \\\ kuWis rentgenokontrastuli gsmokvleva bariumis fafiT; \\ fibroezofagogastroduodenoskopia. \\\\ 54 wlis mamakacs 1 wlis win dekompensirebuli pilorostenozis gamo gaukeTda operacia: kuWis rezeqcia bilroT me-2 wesiT, hofmaister-finstereris modifikaciiT. amJamad awuxebs sakvebis miRebidan 15 wT-Si ganviTarebuli Tavbrusxeva, gulis friali, saerTo sisuste. savaraudo diagnozia: \\\ momtani maryuJis sindromi \\\ gastrostazi \\ demping-sindromi \\\ refluqs-gastriti \\\ hipoglikemuri sindromi \\\\ 36 wlis mamakaci uCivis xSir gulZmarvas, Ramis da `mSieri~ xasiaTis tkivils epigastriumSi. Rebinebis Semdeg grZnobs Svebas. diagnostikisTvis gamokvlevis romeli meTodia yvelaze informatiuli? \\ ezofagogastroduodenoskopia \\\ kompiuteruli tomografia \\\ ultrasonografia \\\ kuWis rentgenologiuri kvleva \\\ birTvul-magnitur-rezonansuli tomografia \\\\ romeli ar miekuTvneba naoperacievi kuWis daavadebebs? \\\ momtani maryuJis sindromi; \\\ demping-sindromi; \\\ refluqs-gastriti; \\\ hipoglikemiuri sindromi; \\ melori-veisis sindromi;

\\\\ ra warmoSobis aris kuWis fitobezoari? \\\ cximovani; \\ mcenareuli; \\\ naRvlovani; \\\ fermentuli; \\\ pigmenturi; \\\\ wylulovani daavadebis ganviTarebas xels uwyobs: \\\ stafilokoki; \\\ streptokoki; \\\ yvela pasuxi sworia; \\\ diplokoki; \\ helikobaqter pilori; \\\\ wylulovani daavadebisTvis damaxasiaTebeli ar aris: \\\ ,,mSieri” tkivili; \\\ `Ramis~ tkivili; \\ tkivilis lokalizacia marjvena TeZos fosoSi; \\\ tkivilis loralizacia maxvilisebur morCTan; \\\ tkivilis lokalizacia marjvena ferdqveSa areSi; \\\\ gamokvlevis romeli meTodia yvelaze informatiuli wylulovani daavadebis dros? \\\ muclis Rrus eqoskopia; \\\ muclis Rrus magnitur-rezonansuli kvleva; \\\ muclis Rrus mimoxilviTi rentgenografia; \\ fibrogastroskopia; \\\ radioizotopuri gamokvleva; \\\\ romel faqtors ara aqvs mniSvneloba kuWisa da Tormetgoja nawlavis wylulovani daavadebis paTogenezSi: \\\ lorwovani garsis damcvelobiTi faqtorebis Sesustebas; \\ kuWqveSa jirkvlis egzokrinuli funqciis gaZlierebas; \\\ duodenogastralur refluqss; \\\ kuWis agresiuli faqtorebis momatebas; \\\ kuWis lorwqveSa garsis inficirebas piloruli helikobaqteriiT.

\\\\ romeli simptomi ar aris tipiuri kuWisa da Tormetgija nawlavis wylulovani daavadebisaTvis? \\ disfagia. \\\ Rebineba. \\\ gulZmarva. \\\ `mSieri tkivili”. \\\ boyini.

\\\\ romelia marTebuli kuWis da Tormetgoja nawlavis wylulovan daavadebasTan mimarTebaSi? \\\ kuWis wylulovani daavadeba 3-4-jer ufro xSiria, vidre Tormetgoja nawlavis wylulovani daavadeba.

\\\ qalebi ufro xSirad avaddebian, vidre mamakacebi. \\\ ZiriTadad avaddebian 60 wels gadacilebuli adamianebi. \\\ qirurgiuli mkurnalobis ZiriTadi meTodia gastreqtomia. \\ diagnostikis ZiriTadi meTodia ezofagogastroduodenoskopia.

\\\\ romelia marTebuli kuWis da Tormetgoja nawlavis sisxlmden wylulTan mimarTebaSi? \\\ mas ar axasiaTebs sisxliani Rebineba. \\\ tkivili epigastriumSi Zlierdeba. \\ mkurnalobis ZiriTadi meTodi konservatulia. \\\ gastroduodenoskopia nakleb informaciulia, vidre rentgenologiuri gamokvleva. \\\ nebismieri xarisxis sisxldenis dros saWiroa hemotransfuzia. \\\\ 12-goja nawlavis wyluli penetracias uxSirasad ganicdis: \\\ RviZl-Tormetgoja iogSi; \\ pankreasSi; \\\ RviZlis mrgval iogSi; \\\ naRvlis buStSi; \\\ RviZlSi; \\\\ wylulovani daavadebis dros peptiuri faqtorebis zemoqmedebiT warmoqmnil defeqts ar miekuTvneba: \\\ perforirebuli qronikuli wylulebi; \\\ qronikuli wylulebi; \\ lorwovani garsis naxeTqebi; \\\ penetrirebuli wylulebi; \\\ kalozuri wylulebi.

\\\\ wylulovani daavadebis ganviTarebis agresiis faqtorebs ar miekuTvneba: \\\ kuWis wvenis marilmJava; \\\ pepsini; \\ marilmJavas sekreciis ukuregulaciis meqanizmi; \\\ duodenogastraluri refluqsi; \\\ kuWis evakuaciuri funqciis darRveva. \\\\ CamoTvlilTagan, romeli ar miekuTvneba wylulovani daavadebis rentgenologiur niSnebs? \\\ kuWis lorwovanis naoWebis konvergencia; \\ avsebis defeqti; \\\ niSis arseboba; \\\ kuWis motorikis darRveva; \\\ kuWisa da Tormetgoja nawlavis deformacia. \\\\ wylulovani daavadebis qirurgiuli mkurnalobis Semdeg peptiuri wylulis recidivis savaraudo mizezi ar SeiZleba iyos: \\\ kuWis ekonomiuri rezeqcia \\\ gastrinoma \\\ arasruli vagotomia

\\\ pirveladi hiperparaTireozi \\ Saqriani diabeti \\\\ romeli preparati gamoiyeneba kuWis sekreciis stimulaciis mizniT: \\ insulini; \\\ atropini; \\\ cimetidini; \\\ prozerini; \\\ omeprazoli; \\\\ wylulovani daavadebis ganviTarebaSi mniSvneloba eniWeba: \\\ kuWis wvenis hipersekrecias; \\\ genetikur faqtorebs; \\\ mavne Cvevebs (alkoholi, Tambaqo); \\\ steroiduli preparatebis miRebas; \\ yvela pasuxi sworia; \\\\ romeli rentgenologiuri niSani aris damaxasiaTebeli wylulovani daavadebisaTvis? \\\ kloiberis fialebi; \\\ gadaberili wvrili nawlavis maryuJebi; \\\ avsebis defeqti; \\\ `qvafenilis~ simptomi; \\ haudekis simptomi; \\\\ romeli preparatebi gamoiyeneba wylulovani daavadebis konservatiuli mkurnalobis dros? \\\ steroiduli preparatebi; \\ protonuli tumbos inhibitorebi; \\\ hemostazuri preperatebi; \\\ antikoagulantebi; \\\ dezagregantebi; \\\\ romeli lokalizaciis wyluli ganicdis malignizacias? \\\ Tormetgoja nawlavis wina kedlis wyluli; \\\ Tormetgoja nawlavis ukana kedlis wyluli; \\\ postbulbaruli wyluli; \\ piloro-antraluri midamos wyluyli; \\\ Tormetgoja nawlavis qveda horizontaluri totis wyluli; \\\\ romeli miekuTvneba wylulovani daavadebis garTulebebs? \\\ strangulacia; \\\ evenetracia; \\\ obturacia; \\ stenozi; \\\ invaginacia; \\\\ wylulovani daavadebis qirurgiuli mkurnalobis meTodebs ar miekuTvneba: \\\ kuWis rezeqcia B-I wesiT; \\\ proqsimaluri seleqciuri vagotomia;

\\\ kuWis rezeqcia B-II wesiT; \\ gastreqtomia; \\\ Rerovani vagotomia madrenirebel operaciasTan erTad; \\\\ romeli paTologia miekuTvneba ulcerogenul endokrinul daavadebebs? \\ pirveladi hiperparaTireozi; \\\ melori-veisis sindromi; \\\ peitc-egersis sindromi; \\\ demping-sindromi; \\\ momtani maryuJis sindromi; \\\\ ra ar axasiaTebs demping-sindroms? \\\ sisuste; \\\ oflianoba; \\\ Tavbrusxveva; \\\ gulisreva; \\ wonaSi mateba; \\\\ kuWis rezeqciis Semdgom momtani muxlis sindroms ar axasiaTebs: \\\ tkivili epigastriumSi sakvebis miRebis Semdeg; \\\ pirRebineba naRvlovani SigTavsiT; \\\ ieiunogastruli refluqsi; \\ 12-goja nawlavis swrafi dacla; \\\ SigTavsis 12-goja nawlavSi Segubeba; \\\\ ram SeiZleba gamoiwvios wylulis recidivi? \\\ kuWis ekonomiurma rezeqciam; \\\ arasrulma da araadeqvaturma vagotomiam; \\\ antraluri midamos lorwovani garsis datovebam 12-goja nawlavis takvis zemoT; \\\ steroiduli hormonebis miRebam; \\ yvela CamoTvlilma; \\\\ romel daavadebaTa jgufs miekuTvneba zolinger-elisonis sindromi? \\\ anTebiT daavadebebs; \\ ulcerogenul endokrinul daavadebebs; \\\ simsivnur daavadebebs; \\\ stresul wylulebs; \\\ naoperacievi kuWis daavadebebs; \\\\ kuWis romel nawilSi viTardeba kibo yvelaze xSirad? \\\ kardialurSi. \\\ fundusSi. \\\ did simrudeze. \\\ sxeulSi. \\ antralurSi.

\\\\ kuWis kibos dros romeli ar miekuTvneba `kuWis diskomfortis” simptomebs? \\ anemia.

\\\ sakvebiT fiziologiuri daukmayofilebloba. \\\ yru tkivilis SegrZneba epigastriumSi. \\\ kuWis gadavsebis SegrZneba. \\\ madis gaukuRmarTeba. \\\\ kuWis kiboswinare mdgomareobebs ar miekuTvneba: \\\ kuWis polipi da polipozi; \\\ qronikuli atrofiuli gastriti; \\\ kuWis wylulovani daavadeba; \\ Tormetgoja nawlavis wyluli. \\\ kuWis epiTelis displazia. \\\\ kuWis kibos makroskopul formebs ar miekuTvneba: \\ pejetis kibo; \\\ difuzuri skiri; \\\ polipismagvari kibo; \\\ wylulovan-infiltraciuli kibo. \\\ dawylulebuli forma. \\\\ kuWis kibos Soreuli metastazebs ar miekuTvneba: \\\ virxovis metastazi; \\ bilroTis metastazi; \\\ Snicleris metastazi; \\\ krukenbergis metastazi. \\\ RviZlSi. \\\\ kuWis kibos qirurgiuli mkurnalobis radikalur meTodebs ar miekuTvneba: \\ kuWis rezeqcia bilroTis pirveli meTodiT; \\\ kuWis distaluri subtotaluri rezeqcia; \\\ kuWis proqsimaluri subtotaluri rezeqcia; \\\ gastreqtomia. \\\ kuWis subtotaluri rezeqcia limfadeneqtomiiT.

\\\\ romeli ar aris marTebuli kuWis kibosTan mimarTebaSi? \\\ igi ufro xSirad gvxvdeba mamakacebSi, vidre qalebSi. \\\ misTvis damaxasiaTebelia memkvidreobiTi winaswarganwyoba. \\\ diagnostikis ZiriTadi meTodia gastrofibroskopia damiznebiTi biofsiiT. \\ mkurnalobis ZiriTadi meTodia Rerovani vagotomia. \\\ histologiuri formebidan yveleze xSirad gvxvdeba adenokarcinoma. \\\\ ra operacia keTdeba kuWis kibos dros? \\\ Rerovani vagotomia madrenirebel operaciebTan erTad; \\\ proqsimaluri seleqciuri vagotomia; \\ gastreqtomia; \\\ kuWis 1/3-is rezeqcia; \\\ seromiotomia;

\\\\ pacienti uCivis tkivils epigastriumis midamoSi, gulZmarvas, boyins, Ramis da `mSier~ tkivils. romel gamokvlevs CautarebT pirvel rigSi? \\\ muclis Rrus eqoskopia; \\\ muclis Rrus mimoxilviTi rentgenografia; \\ fibroezofagogastroduodenoskopia; \\\ magnitur-rezonansuli kvleva; \\\ kompiuteruli tomografia; \\\\ pacients endoskopiuri kvleviT daudginda 12-goja nawlavis bolqvis midamos wyluli. mkurnalobis romel meTods airCevT? \\\ kuWis rezeqcia; \\\ vagotomia; \\\ gastreqtomia; \\ konservatuli mkurnaloba; \\\ gastroenteroanastomozi. \\\\ 56 wlis mamakaci uCivis tkivils epigastriumis areSi sakvebis miRebidan 1 saaTis Semdeg, Rebinebas, gulZmarvas, boyins. muclis zedapiruli palapaciiT aRiniSneba zomieri tkivili epigastriiumSi. rentgenologiurad kuWis kedelze aRiniSneba niSa krateris saxiT. kuWis SigTavsis evakuacia Senelebulia. ra paTologia aReniSneba avadmyofs? \\\ kuWis kibo \\ kuWis wylulovani daavadeba \\\ saylapavis kibo \\\ saylapavis divertikuli \\\ Tormetgoja nawlavis wylulovani daavadeba \\\\ 34 wlis mamakaci uCivis `mSier~ tkivils epigastriumis areSi, romelic qreba ssakvebis miRebis Semdeg, Rebinebas, romelic iwyeba sakvebis miRebidan 2-3 saaTis Semdeg, gulZmarvas, boyins. rentgenologiurad aRiniSneba Tormetgoja nawlavis bolqvis Sexorcebadi deformacia samyuras saxiT. ra paTologia aReniSneba avadmyofs? \\ Tormetgoja nawlavis wylulovani daavadeba \\\ kuWis wylulovani daavadeba \\\ qronikuli apendiciti \\\ kardiis aqalazia \\\ saylapav sasulis xvrelmili \\\\ kuWis rezeqciis Semdgom pacienti uCivis sisustes, oflianobas, Tavbrusxvevas, gulis wasvlas, àlebs~ mTel sxeulSi. es simptomebi viTardeba ZiriTadad tkbili da rZiani sakvebis miRebidan 10-15 wT-is Semdeg. am simptomebTan erTad gamovlindeba simZimisa da gvremis SegrZneba epigastriumis areSi. rentgenologiuri kvleviT aRiniSneba kuWis swrafi dacla. Tqveni savaraudo diagnozia: \\\ momtani maryuJis sindromi \\\ anastomozis peptiuri wyluli \\\ refluqs-ezofagiti \\ demping-sindromi \\\ refluqs-gastriti

\\\\ 64 wlis mamakacs gaukeTda operacia gastreqtomia kuWis kibos gamo. amokveTili preparatis morfologiuri gamokvleviT dadginda, rom simsivne Cazrdilia serozul garsSi, metastazi aRiniSneba regionul 6 limfur kvanZSi, Soreuli metastazi ar aRiniSneba. CawereT es mdgomareoba TNM klasifikaciis mixedviT. \\\ T2N1M0. \\ T3N1M0 \\\ T2N2M0 \\\ T3N2M0 \\\ T4N2M0 \\\\ wylulovani daavadebis gamo kuWis rezeqciis dros upiratesoba unda mieniWos gastroenteroanastomozs: \\\ bilroT I wesiT \\\ bilroT II wesiT \\\ bilroT II wesiT hofmaister finstereris modifikaciiT \\ rus wesiT \\\ polia-raixelis operacias \\\\ 30 wlis mamakaci anamnezSi aRniSnavs gulZmarvas, sakvebis miRebidan 10-15 wT-is Semdeg tkivils maxviliseburi morCis areSi iradiaciiT marcxena beWSi, rasac male Tan erTvis Rebineba, ris Semdegac tkivilis intensivoba mkveTrad mcirDeba, an tkivili qreba. romeli lokalizaciis wyluls axasiaTebs msgavsi klinikuri suraTi? \\ kuWis kardialuri nawilis wyluls \\\ kuWis piloruli nawilis wyluls \\\ Tormetgoja nawlavis bolqvis wina kedlis wyluls \\\ Tormetgoja nawlavis bolqvis ukana kedlis wyluls \\\ prepilorul wylulebs \\\\ wylulovani daavadebis konservatuli mkurnalobis Tanamedrove meTodi gulisxmobs sammag medikamentur Terapias, romelic warmodgenilia Semdegi sqemis saxiT: \\\ protonuli tumbos inhibitori + bismutis Sermcveli preparati + amoqsacilini \\\ protonuli tumbos inhibitori + almageli + metronidazoli \\ protonuli tumbos inhibitori + amoqsacilni + metronidazoli \\\ H2 receptoris blokatori + bismutis Sermcveli preparai + klaritromicini; \\\ H2 receptoris blokatori + almageli + amoqsacilini \\\\ naoperacievi kuWis romeli daavadeba iTvleba kuWis takvis kibos yvelaze did risk faqtorad? \\\ demping sindromi. \\\ anastomozis peptiuri wyluli. \\\ momtani totis sindromi. \\ refluqs-gastriti. \\\ gastrostazi. \\\\ avadmyofi uCivis tkivils marjvena ferdqveSa areSi, romelic iwyeba sakvebis miRebidan 1,5-2 saaTis Semdeg. gulZmarvas, boyins. tkivili

gansakuTrebiT Zlierdeba cxare da cximiani sakvebis miRebis Semdeg. Tqveni azriT romeli gamokvlevebi unda Cautardes pacients swori diferenciluri diagnozis gasatareblad? \\\ ezofagogastroduodenoskopia + kuWisa da Tormetgoja nawlavis kontrastuli rentgenoskopia \\ ezofagogastroduodenoskopia + RviZlisa da sanaRvle gzebis ultrasonografia \\\ RviZlisa da sanaRvle gzebis ultrasonografia + kompiuteruli tomografia \\\ kuWisa da Tormetgoja nawlavis kontrastuli rentgenoskopia + kuWis sekreciis gamokvleva fraqciuli meTodiT \\\ ezofagogastroduodenoskopia + kuWis sekreciis gamokvleva fraqciuli meTodiT \\\\ 52 wlis mamakacma mogmarTaT CivilebiT zogad saerTo sisusteze, advilad daRlaze, umadobaze, wonaSi daklebaze, simZimis SegrZnebaze epigastriumis areSi, gemovnebis gaukuRmarTebaze. periodulad aReniSneba subfebriluri temperatura, sisxlis saerTo analizSi vlindeba zomierad gamoxatuli anemia, eds-is momatebiT. romel diagnostikur gamokvlevas daniSnavT pirvel rigSi? \\\ gulmkerdis rentgenografia; \\\ gulmkerdis da muclis Rrus eqoskopia; \\ ezofagogastroduodenoskopia; \\\ kuW-nawlavis traqtis kontrastuli gamokvleva; \\\ muclis Rrus mimoxilviTi rentgenoskopia; \\\\ 30 wlis mamakacs awuxebs “mSieri” tkivili epigastriumSi, Rebineba, romelic aZlevs Svebas, gulZmarva, boyini. Gamokvlevis romeli meTodi iqneba yvelaze informaciuli diagnozis dasasmelad? \\\ kuWis rentgenologiuri gamokvleva. \\\ kompiuteruli tomografia. \\ ezofagogastroduodenofibroskopia. \\\ ultrabgeriTi gamokvleva. \\\ birTvul-magnitur-rezonansuli tomografia. \\\\ malori-veisis sindromi aris: \\\ zedapiruli wyluli antralur nawilSi; \\\ pankreasis adenoma, romelic iwvevs wylulebis gaCenas kuWsa da Tormetgoja nawlavSi (e.w. ulcerogenuli adenoma); \\ kuWis kardialuri nawilis lorwovani garsis radialuri dazianeba-naxeTqi; \\\ eroziuli gastriti; \\\ Tormetgojas bolqvis “mkocnavi wylulebi”. \\\\ 52 wlis mamakacma mogmarTaT CivilebiT zogad saerTo sisusteze, advilad daRlaze, umadobaze, wonaSi daklebaze, simZimis SegrZnebaze epigastriumis areSi, gemovnebis gaukuRmarTebaze. periodulad aReniSneba subfebriluri temperatura, sisxlis saerTo analizSi vlindeba zomierad gamoxatuli anemia, eds-is momatebiT. romeli daavadebisTvisaa damaxasiaTebeli aRniSnuli simptomokompleqsi: \\\ hipertrofiuli, hiperaciduri gastriti;

\\\ Tormetgoja nawlavis wylulovani daavadeba; \\ kuWis kibo; \\\ filtvis centraluri kibo; \\\ pankostis simsivne; \\\\ avadmyofi mamakaci 59 wlis ukanaskneli ramdenime Tve uCivis saerTo sisustes, uZilobas, wonaSi daklebas, advilad daRlas, gamoxatulia mkveTri anemia.Eeds momatebulia. rendgenologiurad mcire simrudeze fiqsirdeba didi zomis avsebis defeqti. ra daavadeba aqvs avadmyofs? \\\ kuWis wylulovani daavadeba \\\ 12-goja nawlavis wylulovani daavadeba \\\ kuWis polipi \\\ kuWis mezenqimuri keTilTvisebiani simsivneebi \\ kuWis kibo \\\\ CamoTvlilTagan romeli miekuTvneba kuWis mwvave wylulovan daavadebas: \\\ delafuas wyluli; \\\ medikamenturi wyluli; \\\ stresuli wyluli; \\\ arcerTi CamoTvlilTagani; \\ yvela zemoTCamoTvlili. \\\\ kuWisa da Tormetgoja nawlavis wylulovani daavdebis garTulebebia: \\ perforacia, sisxlisdena, stenozi da malignizacia; \\\ perforacia, sisxlisdena, stenozi, gauvaloba; \\\ stenozi, gastriti, perforacia da anemia; \\\ pnevmoperitoneumi, peritoniti, malignizacia da stenozi; \\\ refluqsgastriti, refluqsezofagiti, stenozi. \\\\ TNM klasifikaciiT romeli formulireba miesadageba III stadiis simsivnes? \\\ T1N0M0; \\\ T3N0M0; \\ T4N1M0; \\\ T4N1M1; \\\ T2 N0M0

\\\\ TNM klasifikaciiT romeli formulireba Seesabameba II stadiis kuWis kibos? \\\ T2N0M0; \\ T2N1M0; \\\ T3N2M0; \\\ T4N1M0; \\\ T3N2M1; \\\\ TNM klasifikaciiT romeli formulireba Seesabameba I stadiis kuWis kibos? \\\ T1aN0M0; \\\ T1bN0M0;

\\\ T2aN0M0; \\\ T2bN0M0; \\ yvela zemoTCamoTvlili. \\\\ kuWis kibos dros qirurgiuli operaciis radikaluri mkurnalobis meTodia: \\\ gastrostomia; \\\ kuWis rezeqcia bilroT I wesiT, regionul limfur kvanZebTan erTad; \\\ kuWis rezeqcia bilroT II wesiT, regionul limfur kvanZebTan erTad; \\\ gastroenteroanastomozi; \\ gastreqtomia, regionul limfur kvanZebTan, mcire da did badeqonTan erTad mocilebiT. \\\\ kuWis kibos SemTxvevaSi paliatiur operaciebs miekuTvneba: \\\ kuWis subtotaluri rezeqcia; \\\ gastreqtomia; \\\ rezeqcia bilroT I wesiT; \\\ rezeqcia bilroT II wesiT; \\ paliatiuri rezeqcia, SemovliTi anastomoziT an gastro-enteraluri stomebi kvebis mizniT. \\\\ romel baqterias eniWeba gadamwyveti mniSvneloba kuWisa da Tormetgoja nawlavis wylulovani daavadebis etiopaTogenezSi? \\\ Staphylococcus aureus. \\\ Sreptococcus pyogenes. \\\ Escherichia coli. \\ Helicobacter pilori. \\\ Pseudomonas aeroginosa. \\\\ kuWis sekreciaze cTomili nervis moqmedebis dasadgenad romeli cda gamoiyeneba? \\\ histaminis. \\\ pentagastrinis. \\\ keias. \\\ leporskis. \\ holanderis. \\\\ 45 wlis mamakacs 2 wlis win Tormetgoja nawlavis sisxlmdeni wylulis gamo gakeTebuli aqvs operacia: kuWis rezeqcia bilroT me-2 wesiT., hofmeister-finstereris modifikaciiT. amJamad awuxebs sakvebis miRebidan 10-15 wuTSi Tavbrusxveva, saerTo sisuste, gulis friali, oflianoba. savaraudo diagnozi: \\\ hipoglikemiuri sindromi. \\ demping sindromi. \\\ momtani maryuJis sindromi. \\\ tute refluqs-gastriti. \\\ gastrostazi. \\\\ 55 wlis mamakaci daaxloebiT 10 welia avadaa kuWis wylulovani daavadebiT. Uukanaskneli 6-7 Tvea tkivilma epigastriumSi miiRo mudmivi xasiaTi, dauqveiTda mada, awuxebs boyini, simZimis SegrZneba

epigastriumSi sakvebis moRebis Semdeg, daiklo wonaSi. Mkurnali eqimis mier eWvi iqna mitanili kuWis kiboze. romeli gamokvleva xasiaTdeba yvelaze maRali informaciulobiT am diagnozis dasadastureblad? \\\ ultrabgeriTi gamokvleva. \\\ kuWis rentgenologiuri gamokvleva. \\\ kompiuteruli tomografia. \\\ laparoskopia. \\ ezofagogastroduodenofibroskopia biofsiiT. \\\\ 45 wlis mamakacs awuxebs `mSieri~ tkivili epigastrumSi, gulZmarva, boyini, pirRebineba, romelic Svebas aZlevs. rentgenologiurad aRiniSneba `niSa~. savaraudo diagnozia: \\\ 12-goja nawlavis kibo \\\ 12-goja nawlavis divertikuli \\\ 12-goja nawlavis ucxo sxeuli \\ 12-goja nawlavis wylulovani daavadeba \\\ duodeniti \\\\ mekelis divertikuli yvelaze xSirad gamovlindeba: \\\ wvrili nawlavis gauvalobiT \\\ swori nawlavidan sisxldeniT \\ divertikulitiT \\\ yabzobiT \\\ sisxliani pirRebinebiT \\\\ 35 wlis mamakacs 12-goja nawlavis sisxlmdeni wylulis gamo gakeTebuli aqvs operacia: kuWis rezeqcia bilroT me-2 wesiT. amJamad aReniSneba sakvebis miRebidan 2-3 saaTSi saerTo sisuste, SimSilis grZnoba, kankali, Tavbrusxveva, gulis friali, arteriuli wnevis vardna. savaraudo diagnozi: \\\ momtani maryuJis sindromi \\ hipoglikemiuri sindromi \\\ demping sindromi \\\ gastrostazi \\\ mcire kuWis sindromi \\\\ kuWis romeli daavadebis dros viTardeba yvelaze xSirad kuWis kibo? \\\ kuWis polipi \\\ kuWis polipozi \\\ hipertrofiuli gastriti \\ atrofiuli gastriti \\\ kuWis wylulovani daavadeba \\\\ pacients daudginda diagnozi: kuWis poloriantraluri midamos kibo endofituri zrdiT. romeli operaciuli meTodia am SemTxvevaSi yvelaze optimaluri? \\\ kuWis proqsimaluri subtotaluri rezeqcia \\\ gastreqtomia \\\ kuWis rzeqcia bilroT-2 wesiT \\\ kuWis rezeqcia bilroT1 wesiT \\ kuWis distaluri subtotaluri rezeqcia

\\\\ ra nivTierebas gamoimuSavebs ‘’G’’ ujredi ? \\ gastrini \\\ pepsini \\\ pepsinogeni \\\ marilmJava \\\ glukagoni \\\\ CamoTvlili qirurgiuli operaciebidan romeli rTuldeba yvelaze iSviaTad demping_sindromiT? \\\ Rerovani vagotomia piloroplastikiT \\ seleqtiuri proqsimaluri vagotomia \\\ kuWis subtotaluri rezeqcia \\\ vagotomia antrumeqtomiiTBHD \\\ seleqtiuri vagotomiaHH

\\\\ wylulovani daavadebis gamo, bilroTis meore wesiT warmoebuli kuWis rezeqciidan ori Tvis Semdeg, pacienti uCivis saWmlis miRebidan naxevari saaTis Semdeg guliscemis aCqarebas, oflianobas, diareas, saxis hiperemias. Tqveni diagnozi : \\\ kuWis parezi \\ demping sindromi \\\ momtani maryuJis sindromi \\\ wamRebi maryuJis sindromi \\\ mcire kuWis sindromi \\\\ ramdeni nawilisgan Sedgeba wvrili nawlavi? \\\ ori; \\ sami; \\\ oTxi; \\\ xuTi; \\\ eqvsi; \\\\ romeli miekuTvneba wvril nawlavs? \\\ sigmuri nawlavi; \\ 12-goja nawlavi; \\\ brma nawlavi; \\\ ganivi kolinji; \\\ Wiayela nawlavi; \\\\ romeli Sre ar gaaCnia wvrili nawlavis WeSmarit (Tandayolil) divertikuls? \\\ serozuli Sre; \\\ kunTovani Sre; \\ sisxlZarRvovani Sre; \\\ lorwovani Sre; \\\ gaaCnia yvela CamoTvlili Sre; \\\\ sad ar SeiZleba iyos lokalizebuli kronis daavadeba? \\\ saylapavSi;

\\\ kuWSi; \\\ wvril nawlavSi; \\\ msxvil nawlavSi; \\ pankreasSi; \\\\ kronis daavadeba miekuTvneba: \\\ keTilTvisebian simsivnes; \\\ avTvisebian simsivnes; \\\ mwvave specifikur anTebiT daavadebebs; \\ qronikul araspecifikur anTebiT daavadebebs; \\\ endokrinul daavadebebs; \\\\ romeli ar miekuTvneba wvrili nawlavis keTilTvisebian simsivneebs? \\\ leiomioma; \\\ angioma; \\ aTeroma; \\\ fibroma; \\\ nevrinoma; \\\\ romeli miekuTvneba wvrili nawlavis fistulebs? \\\ sruli; \\\ tuCisebri; \\\ milakisebri; \\\ arasruli (nawilobrivi); \\ yvela maTgani; \\\\ romeli fistula mikuTvneba maRals? \\ mlivi nawlavis; \\\ TeZos nawlavis; \\\ brma nawlavis; \\\ aswvrivi kolinjis; \\\ ganivi kolinjis; \\\\ romeli fistulis dros aqvs adgili nivTierebaTa cvlis da wyal-eleqtrolituri balansis mkveTr darRvevas? \\\ TeZos nawlavis terminaluri nawilis fistula; \\\ ganivi kolinjis fistula; \\\ aswvrivi kolinjis fistula; \\\ brma nawlavis fistula; \\ mlivi nawlavis fistula; \\\\ mliv da TeZos nawlavebs arteriuli sisxliT amaragebs: \\\ faSvis Rero; \\\ zemo epigastruli arteria; \\\ jojrlis qvemo arteria; \\ jorjlis zemo arteria; \\\ qvemo epigastruli arteria; \\\\ Tu muclis Rrus sxva daavadebis gamo warmoebuli operaciisas aRmoCnda: ileocekaluri kuTxidan, proqsimalurad 25-30 sm.-Si, TeZos

nawlavze mdebare brma ,,parkovani” gamonazardi. ra ewodeba am gamonazards da rogor unda moviqceT aseT SemTxvevaSi? \\ mas ewodeba mekelis divertikuli da saWiroa divertikuleqtomia \\\ mas ewodeba cenkeris divertikuli da Tu anTebiTi ar aris ar mivmarTavT divertikuleqtomias \\\ mas ewodeba e.w. ,,kronis daavadeba” da ar saWiroebs amokveTas \\\ mas ewodeba wvrili nawlavis kista da igi unda amovkveToT. \\\ mas ewodeba. wvrili nawlavis cisturi pnevmatozi da igi unda amovkveToT \\\\ wvrili nawlavis SeZenili divertikulisTvis marTebulia: \\ mas ar gaaCnia kunTovani Sre; \\\ midrekilia malignizaciisaken; \\\ mas ar gaaCnia lorwovani garsi; \\\ mas ar gaaCnia serozuli garsi; \\\ mas ar gaaCnia nawlavis kedlis arcerTi garsi; \\\\ TeZos nawlavis (mekelis) divertikulitis klinikuri suraTi yvelaze metad hgavs Semdeg daavadebas: \\\ mwvave pankreatits; \\\ mwvave qolecistits; \\\ mwvave gastritis; \\ mwvave apendicits; \\\ mwvave sigmoidits; \\\\ 28 wlis mamakaci uCivis muclis tkivils, diareas, cxelebas, wonaSi daklebas. avadaa ukve ramodenime welia. aqvs perioduli gaumjobeseba. aReniSneba poliarTritis movlenebic. rentgenologiurad `simis~ simptomia. savaraudo diagnozia: \\\ mwvave dizenteria \\ kronis daavadeba \\\ araspecifiuri wylulovani koliti \\\ wvrili nawlavis limfoma \\\ mekelis divertikuli \\\\ mekelis divertikulis lokalizebulia: \\\ Tormetgoja nawlavSi \\\ mliv nawlavSi \\\ saylapavSi \\ TeZos nawlavSi \\\ sigmur kolinjSi \\\\ romeli garTuleba ar axasiaTebs kronis daavadebas: \\\ amiloidozi; \\\ uroliTiazi; \\ bronqoeqtazia; \\\ piodermiti; \\\ swori nawlavis fistulebi; \\\\ kronis daavadebis diagnostikaSi gamoiyeneba Semdegi meTodebi:

\\\ nawlavis rentgenokontrastuli gamokvleva; \\ yvela CamoTvlili; \\\ endoskopia; \\\ biofsia; \\\ kompiuteruli tomografia; \\\\ kronis daavadebis garTulebebs miekuTvneba: \\\ nawlavis perforacia; \\ yvela CamoTvlili; \\\ sisxldena nawlavidan; \\\ nawlavis xvrelmili; \\\ muclis Rrus abscesi; \\\\ kronis daavadebis samkurnalod gamoiyeneba: \\\ hemostazuri preparatebi; \\ steroiduli hormonebi; \\\ sxivuri Terapia; \\\ protonuli tumbos inhibitorebi;

\\\ β-blokerebi; \\\\ wvrili nawlavis keTilTvisebani simsivneebi yvelaze xSirad mdebareobs: \\ TeZos nawlavSi; \\\ Tormetgoja nawlavis zeda horizontelur totSi; \\\ fateris dvrilTan; \\\ mliv nawlavSi; \\\ Tormetgoja nawlavis aswvriv totSi; \\\\ wvrili nawlavis keTilTvisebian simsivneebs miekuTvneba: \\\ kapoSis simsine; \\ leiomioma; \\\ pejetis simsivne; \\\ feoqromocitoma; \\\ adenokarcinoma; \\\\ wvrili nawlavis simsivneebis radikaluri operaciuli meTodia: \\\ SemovliTi anastomozi; \\\ ieiunostomia; \\\ ileostomia; \\ nawlavis rezeqcia; \\\ gastroenteroanastomozi; \\\\ nawlavis xvrelmilis diagnostikis yvelaze informaciuli meTodia: \\\ ultrasonografia; \\\ birTvul-magnitur-rezonansuri tomografia; \\\ irigografia; \\\ endoskopia; \\ fistulografia; \\\\ nawlavis xvrelmilebi SeiZleba iyos: \\\ maRali;

\\ yvela CamoTvlili; \\\ dabali; \\\ Tandayolili; \\\ milakisebri; \\\\ Tormetgoja nawlavis divertikuli yvelaze xSirad mdebareobs: \\\ zeda horizontalur totSi; \\\ daswvriv totSi; \\\ qveda horizontalur totSi; \\\ pilorul nawilSi; \\ fateris dvrilTan; \\\\ mekelis divertikulis garTulebas ar warmoadgens: \\\ ileusi; \\\ divertikuliti; \\\ divertikulis perforacia; \\\ sisxldena; \\ mwvave gangrenuli apendiciti; \\\\ romeli daavadebisaTvis aris damaxasiaTebeli “simis simptomi”? \\\ araspecifiuri wylulovani koliti; \\ kronis daavadeba; \\\ wvrili nawlavis simsivne; \\\ mekelis divertikuli; \\\ sigmoiditi; \\\\ kronis daavadebis mkurnalobisaTvis gamoiyeneba: \\\ arasteroiduli anTebis sawinaaRmdego preparatebi; \\ hormonaluri preparatebi; \\\ antibiotikebi; \\\ citostatikebi; \\\ protonuli tumbos inhibitorebi; \\\\ 28 wlis mamakacma momarTa klinikas CivilebiT muclis mwvave movliTi xasiaTis tkivilze. aReniSneba xSiri kuWis moqmedeba, faRaraTi, ganavalSi SeiniSneba lorwos da sisxlis arseboba. cxeleba 38 gradusi. kanze eriTematozuli gamonayaria. gamoxatulia iridocikliti. rentgenologiuri kvleviT TeZos nawlavis terminalur nawilSi aRiniSneba ,, qvafenilis niSani”, aseve dadebiTia ,, simis simptomi’’. savaraudo diagnozia: \\\ mekelis divertikuliti; \\\ araspecifiuri wylulovani koliti; \\\ nawlavis polipozi garTulebuli sisxldeniT; \\ kronis daavadeba; \\\ wvrili nawlavis kibo; \\\\ 25 wlis pacientis rentgenologiiuri gamokvleviT vlindeba nawlavis Seviwroebuli da gafarToebuli segmentebis krialosnismagvari monacvleoba. endoskopiiT aRiniSneba lorwovani garsis `qvafenilis~ tipis reliefi. ra paTologia aReniSneba pacients? \\\ mwvave enteritis

\\\ wvrili nawlavis xvrelmili \\\ araspecifiuri wylulovani koliti \\ kronis daavadeba \\\ nawlavis divertikulozi \\\\ sad SeiZleba lokalizdebodes kronis daavadeba? \\\ mxolod mliv nawlavSi \\\ mxolod TeZos nawlavSi \\\ mxolod msxvil nawlavSi \\\ mxolod wvril da msxvil nawlavSi \\ saWmlis momnelebeli traqtis nebismier nawilSi \\\\ kronis daavadeba miekuTvneba \\\ keTilTvisebian simsivneebs \\\ avTvisebian simsivneebs \\\ mwvave specifiur anTebiT daavadebebs \\\ qronikul specifiur anTebiT daavadebebs \\ qronikul araspecifiur anTebiT daavadebebs \\\\ wvrili nawlavis divertikulis mqone pacients daewyo tkivili mucelSi, gulisreva, aReniSneba sxeulis temperaturis momateba, Semcivneba, palpaciiT muceli mtkivneulia dadebiTia peritoneumis garizianebis simptomebi, muclis Rrus rentgenologiuri kvleviT dgindeba pnevmoperitoneumi, ultrasonografiiT – peritoneumis RruSi Tavisufali siTxis arseboba. Tqveni savaraudo diagnozia: \\\ mwvave divertikuliti \\ divertikulis perforacia \\\ divertikulis Semogrexa \\\ divertikulis penetracia mezobel organoSi \\\ divertikulis malignizacia \\\\ romeli debulebaa marTebuli mekelis divertikulTan mimarTebaSi? \\\ igi cru divertikulia. \\\ igi viTardeba mliv nawlavSi. \\\ igi mdebareobs nawlavTan jorjlis mimagrebis adgilze. \\\ igi aReniSneba mosaxleobis 8-9%-s. \\ igi viTardeba embrionaluri yviTris sadinaris Seuxorceblobis Sedegad. \\\\ avadmyofs daudginda mwvave divertikulitis diagnozi, rogori mkurnalobis taqtikas airCevT? \\\ operaciuli Careva – divertikuleqtomia \\\ antibiotikoTerapia da dakvirveba dinamikaSi \\\ vitaminoTerapia da dakvirveba dinamikaSi \\\ sxivuri Terapia da dakvirveba dinamikaSi \\\ operaciuli Careva – nawlavTSorisi SemovliTi anastomozis formireba \\\\ avadmyofs daudginda divertikulis perforaciis diagnozi. rogori mkurnalobis taqtikas airCevT?

\\ operaciuli Careva – divertikuleqtomia, muclis Rrus sanaciiTa da drenirebiT \\\ antibiotikoTerapia da dakvirveba dinamikaSi, mdgomareobis gauaresebis SemTxvevaSi - operaciuli Careva. \\\ nazogastraluri zondis Cadgma kuWis SigTavsis mudmivi aspiraciiT da antibiotikoTerapia \\\ antibiotikoTerapia, vitaminoTerapia, sxivuri Terapia da dakvirveba dinamikaSi \\\ operaciuli Careva – nawlavTSorisi SemovliTi anastomozis formireba, muclis Rrus sanaciiTa da drenirebiT \\\\ kronis daavadebis utyuar niSnad iTvleba \\ rentgenologiurad `simis simptomi~ \\\ Tavisufali siTxis arseboba muclis RruSi \\\ radioimunologiuri meTodi - èlisonis sindromi~ \\\ pnevmoperitoneumi \\\ rentgenologiuri gamokvleviT `niSa~ (haudekis simptomi) \\\\ nawlavis romeli daavadebis dros aqvs mis lorwovan garss `qvafenilis~ saxe da aRiniSneba `kengurus naxtomebi~? \\\ wvrili nawlavis divertikuliti \\ kronis daavadeba \\\ araspecifiuri wylulovani koliti \\\ msxvili nawlavis divertikulozi \\\ wvrili nawlavis mravlobiTi polipebi \\\\ nawlavis kedlis romeli Sridan iwyeba paTologiuri procesi kronis daavadebis dros? \\\ lorwovani \\ lorwqveSa \\\ kunTovani \\\ serozuli \\\ erTdroulad yvela Sridan \\\\ ra meTodi gamoiyeneba mcire zomis, arasruli tuCiseburi xvrelmilis samkurnalod? \\ eqstraperitoneuli midgomiT maTi daxurva \\\ intraperitoneuli midgomiT maTi daxurva \\\ nawlavis rezeqcia \\\ konservatuli mkurnaloba \\\ plombireba biologiuri weboebis gamoyenebiT \\\ rodis SeiZleba xvrelmili warmatebiT iqnas likvidirebuli konservatuli mkurnalobis gamoyenebiT, Tu xvrelmili aris \\\ tuCisebri maRali \\\ milakovani maRali \\\ tuCisebri dabali \\ milakovani dabali \\\ fistulis salikvidaciod mxolod operaciuli Carevaa naCvenebi misi tipisa da lokalizaciis donis miuxedavad

\\\\ fistulis lokalizaciis donis dasadgenad upiratesoba unda mieniWos: \\\ kuW-nawlavis traqtis rentgenokontrastul kvlevas bariumis fafiT \\\ fistulografia Txieri kontrastis gamoyenebiT \\ kuW-nawlavis traqtis rentgenokontrastul kvleva Semxvedri fistulografiiT \\\ sakmarisia muclis Rrus kt kvleva kontrastis gareSe \\\ fistulebis diagnostikaSi òqros standartad~ iTvleba ultrasonografia doplerografiiT. \\\\ 25 wlis mamakacs awuxebs yru tkivili marjvena TeZos fosoSi, gulisreva, sxeulis temperaturis momateba. palpaciiT ileocekalur areSi gamoxatulia kunTTa daWimuloba, mtkivneuloba da peritoneumis gaRizianebis simptomebi. sisxlis saerTo analizSi – leikocitozi. ultrabgeriTi gamokvleviT miRebulia nawlavis divertikulitisaTvis damaxasiaTebeli suraTi. savaraudod romeli nawlavis divertikulis anTebasTan gvaqvs saqme? \\\ Tormetgoja nawlavi. \\\ mlivi nawlavi. \\ TeZos nawlavi. \\\ ganivi kolinji. \\\ sigmuri kolinji. \\\\ 30 wlis qals awuxebs tkivili mucelSi, diarea, sxeulis temperaturis momateba. Aavadaa ramodenime welia, periodulad mdgomareoba umjobesdeba, Semdeg kvlav uaresdeba. Ddaiklo wonaSi. aReniSneba poliarTritis movlenebic. kuW-nawlavis rentgenokontrastuli gamokvleviT nanaxia wvrili nawlavis Seviwroebuli da gafarToebuli segmentebis monacvleoba da ‘simis” simptomi. romeli gamokvleva iqneba yvelaze informaciuli diagnozis dasasmelad? \\\ ultrabgeriTi gamokvleva. \\ endoskopia biofsiiT. \\\ kompiuteruli tomografia. \\\ birTvul-magnitur-rezonansuli tomografia. \\\ mezenterikografia. \\\\ 30 wlis qals awuxebs tkivili mucelSi, diarea, sxeulis temperaturis momateba. Aavadaa ramodenime welia, periodulad mdgomareoba umjobesdeba, Semdeg kvlav uaresdeba. Ddaiklo wonaSi. aReniSneba poliarTritis movlenebic. kuW-nawlavis rentgenokontrastuli gamokvleviT nanaxia wvrili nawlavis Seviwroebuli da gafarToebuli segmentebis monacvleoba da ‘simis” simptomi. savaraudo diagnozia: \\\ wvrili nawlavis limfoma. \\\ mwvave dizenteria. \\\ araspecifiuri wylulovanikoliti. \\\ wvrili nawlavis hemangioma. \\ kronis daavadeba. \\\\ nawlavis xvrelmilebTan mimarTebaSi romeli debulebaa marTebuli?

\\\ rac ufro maRalia xvrelmili, miT naklebadaa gamoxatuli nivTierebaTa cvlis da eleqtrolituri balansis darRveva. \\\ diagnostikis yvelaze informaciuli saSualebaa ultrabgeriTi gamokvleva. \\\ xvrelmilio arasodes viTardeba operaciis Sedegad. \\ tuCiseburi xvrelmilis mkurnaloba mxolod qirurgiulia. \\\ arasruli xvrelmilis dros nawlavis SigTavsi mTlianad gamodis gareT. \\\\ wvrili nawlavis simsivneebTan mimarTebaSi romeli debulebaa marTebuli? \\\ es simsivneebi xSiria. \\\ kibo wvrili nawlavis avTvisebian simsivneTa Soris yvelaze xSiria. \\\ kibo histologiurad iSviaTad aris adenokarcinoma. \\\ keTilTvisebiani simsivneebis dros simptomebi xSirad gamovlindeba garTulebebis ganviTarebamde. \\ avTvisebiani simsivneebis ZiriTadi garTulebaa nawlavTa gauvaloba. \\\\ 28 wlis mamakacs awuxebs tkivili marjvena TeZos fosoSi. t-380c. palpaciiT adgilobrivad kunTebis daWimuloba da mtkivneulobaa. sisxlSi leikocitozia. rentgenokontrastuli kvleviT aRiniSneba wvrili nawlavis kedelTan dakavSirebuli momrgvalo formis damatebiTi Crdili. savaraudo diagnozia: \\\ mekelis divertikuli \\ mekelis divertikuliti \\\ mekelis divertikulis perforacia \\\ mekelis divertikulis dawyluleba \\\ mekelis divertikulidan sisxldena \\\\ 34 wlis qali uCivis muclis tkivils, diareas, wonaSi daklebas. aReniSneba sxeulis temperaturis momateba.. periodulad mdgomareoba uaresdeba. avadaa me-3 welia. rentgenokontrastuli kvleviT `simis simptomia~ wvril nawlavSi. savaraudo diagnozia: \\\ araspecifiuri wylulovani koliti \\\ wvrili nawlavis hemangnioma \\ kronis daavadeba \\\ mekelis divertikuli \\\ wvrili nawlavis kibo \\\\ 37 wlis qals awuxebs saerTo sisuste, xSiri kuWis moqmedeba Txieri sisxlis Semcveli masiT. wonaSi mkveTrad daiklo. gamoxatulia anemia. rentgenokontrastuli kvleviT wvril nawlavSi fiqsirdeba avsebis defeqti. eWvi iqna mitanili wvrili nawlavis sisxldeniT garTulebul simsivneze. romeli gamokvleva iqneba yvelaze informaciuli diagnozis dasasmelad? \\\ kompiuteruli tomografia \\\ ultrabgeriTi kvleva \\\ birTvuli-magnituli tomografia \\ mezenterikografia \\\ diagnostikuri laparoskopia

\\\\ xvrelmilTan mimarTebaSi romeli debulebaa ufro marTebuli? \\\ rac ufro maRalia xvrelmili, miT naklebadaa gamoxatuli cilovani da eleqtrolituli disbalansi \\\ xvrelmili viTardeba mxolod operaciis Semdeg \\ rac ufro maRalia xvrelmili, miT metadaa gamoxatuli cilovani da eleqtrolituri disbalansi \\\ mezenterikografia yvelaze inforatiuli gamokvlevis meTodia \\\ tuCisebri fistula xSirad TavisiT xorcdeba \\\\ gareTa xvrelmilis diagnostirebaSi yvelaze informaciuli meTodia: \\\ ultrabgeriTi kvleva \\\ mezenterikografia \\\ endoskopia biofsiiT \\\ rentgenografia kontrastis gareSe \\ fistulografia \\\\ ra arteriebiT maragdeba msxvili nawlavi. \\\ faSvis ReroTi; \\\ RviZlis saerTo arteriiT; \\ jorjlis zemo da qvemo arteriebiT; \\\ TeZos SigniTa arteriiT; \\\ TeZos gareTa arteriiT; \\\\ msxvili nawlavis sisxliT momaragebaSi ar monawileobs: \\\ jorjlis zemo arteria; \\ qvemo epigastruli arteria; \\\ TeZo-kolinjis arteria; \\\ jorjlis qvemo arteria; \\\ sigmuri kolinjis arteriebi; \\\\ hirSprungis daavadebisTvis ar aris marTebuli: \\\ axasiaTebs yabzoba; \\\ axasiaTebs muclis Seberiloba; \\ misi gamomwvevi mizezia nawlavis hipergangliozi; \\\ diagnostikis ZiriTadi meTodia irigoskopia; \\\ igi Tandayolili paTologiaa; \\\\ hirSprungis daavadebis simptomebs miekuTvneba: \\\ koprostazi; \\\ paradoqsuli diarea; \\ sworia yvela CamoTvlili; \\\ muclis Seberiloba; \\\ saerTo sisuste; \\\\ 26 wlis mamakaci uCivis muclis tkivils, diareas, cxelebas. ganavalSi Cirqi, lorwo da sisxlia. avidaa ramodenime welia. periodulad aqvs gaumjobesebac. kolnoskopiiT msxvili nawlavis lorwovani SeSupebuli, hiperebuli da sisxlmdenia. masze mralobiTi wylulebi da eroziebia. savaraudo diagnozia: \\\ kronis daavadeba

\\\ msxvili nawlavis polipozi \\\ hirSprungis daavadeba \\ araspecifiuri wylulovani koliti \\\ msxvili nawlavis divertikulozi \\\\ Tu pacients bavSvobis asakidan aReniSneba yabzoba, muclis Seberiloba, tkivili muclis areSi, kuWis moqmedebas axerxebs mxolod safaRaraTo saSualebebisa da gamwmendi oynis gamoyenebis Semdeg, irigoskopiis CatarebiT ki dgindeba gadidebuli msxvili nawlavis arseboba. aseT SemTxvevaSi, unda vifiqroT, rom pacients aqvs: \\\ araspecifiuri wylulovani koliti \\\ msxvili nawlavis divertikulozi \\\ msxvili nawlavis kibo \\\ msxvili nawlavis polipozi \\ hirSprungis daavadeba \\\\ 58 wlis mamakacs awuxebs muclis Seberva da movliTi xasiaTis tkivili, defekaciis gaZneleba. mkveTrad daiklo wonaSi. rentgenologiurad kolinji mkveTrad gadaberilia. romeli gamokvleva iqneba yvelaze informaciuli diagnozis dasasmelad? \\\ kompiuteruli tomografia \\\ diagnostikuri laparoskopia \\ kolonoskopia \\\ irigografia \\\ ultrabgeriTi kvleva \\\\ araspecifikuri wylulovani kolitis dros ziandeba: \\\ saylapavi; \\\ kuWi; \\\ Tormetgoja nawlavi; \\\ wvrili nawlavi; \\ msxvili nawlavi; \\\\ araspecifikuri wylulovani kolitisTvis ar aris damaxasiaTebelia: \\\ hipoproteinemia; \\\ hiperTermia; \\ eriTrocitozi; \\\ anemia; \\\ ganavalSi sisxlis, lorwos da Cirqis arseboba; \\\\ araspecifikuri wylulovani kolitis garTulebebs ar miekuTvneba: \\ nawlavis divertikulozi; \\\ sisxldena nawlavidan; \\\ perforacia; \\\ nawlavis stenozi; \\\ nawlavis toqsiuri dilatacia; \\\\ araspecifikuri wylulovani kolitis dros diferencialuri diagnozi gatareba ar aris rekomendirebuli: \\\ amebiazTan; \\ mwvave apendicitTan;

\\\ dizenteriasTan; \\\ kronis daavadebasTan; \\\ fsevdomembranuli enterokolitTan; \\\\ araspecifikuri wylulovani kolitis mkurnalobisTvis ar gamoiyeneba: \\\ antibaqteriuli preparatebi; \\\ dieta; \\\ steroiduli hormonebi; \\ citostatikuri preparatebi; \\\ nawlavis rezeqcia; \\\\ msxvili nawlavis polipebs ar miekuTvneba: \\\ iuveniluri; \\\ hiperplaziuri; \\ hipoplaziuri; \\\ adenomatozuri; \\\ xaoiani; \\\\ msxvili nawlavis polipis diagnostikis yvelaze srulyofili meTodia: \\\ radioizotopuri scintigrafia; \\\ ultrasonografia; \\\ anoskopia; \\\ irigografia; \\ kolonoskopia; \\\\ msxvili nawlavis polipis mkurnalobis meTodia; \\\ yvela CamoTvlili; \\\ sxivuri Terapia; \\\ qimioTerapia; \\ operacia; \\\ hormonoTerapia; \\\\ msxvili nawlavis kibos mikroskopul formebs ar miekuTvneba: \\\ adenokarcinoma; \\\ lorwovani; \\\ soliduri; \\\ aradiferencirebuli; \\ sarkoma; \\\\ msxvili nawlavis kibo yvelaze xSirad viTardeba: \\\ brma nawlavSi; \\\ aswvriv kolinjSi; \\\ daswvriv kolinjSi; \\ sigmur kolinjSi; \\\ ganiv kolinjSi; \\\\ msxvili nawlavis kibos klinikur formebs ar miekuTvneba: \\\ toqsiur-anemiuri; \\\ enterokolituri;

\\ fsevdomembranuli; \\\ dispefsiuri; \\\ obturaciuli; \\\\ kolinjis kibo Cazrdili nawlavis kunTovan garsSi da 3 metastazi regionul limfur kvanZebSi. CawereT es mdgomareoba TNM klasifikaciis mixedviT. \\\ T1N1M0. \\\ T1N2M0. \\ T2N1M0. \\\ T2N2M0. \\\ T2N2M0. \\\\ ra niSniT gansxvavdeba araspecifiuri wylulovani koliti kronis daavadebisagan? \\\ azianebs msxvil nawlavs. \\\ aRiniSneba muclis tkivili. \\\ aRiniSneba sisxliani faRaraTi. \\\ diagnostikis mniSvnelovani meTodia endoskopia biofsiiT. \\ daavadeba iwyeba nawlavis lorwovani garsidan. \\\\ msxvili nawlavis marcxena naxevris kibosaTvis ZiriTadad damaxasiaTebelia Semdegi klinikuri forma: \\\ enterokolituri; \\\ dispefsiuri; \\ obturaciuli; \\\ toqsiur-anemiuri; \\\ fsevdoanTebiTi; \\\\ msxvili nawlavis kibos ZiriTadi garTulebaa: \\\ strangulacia; \\\ invaginacia; \\\ nawlavis perforacia; \\\ nawlavis toqsiuri dilatacia; \\ nawlavis obturacia; \\\\ msxvili nawlavis kibos diagnostikis yvelaze informaciuli meTodia: \\\ angiografia; \\\ celiakografia; \\\ radioizotopuri scintigrafia; \\\ laparoskopia; \\ kolonoskopia; \\\\ msxvili nawlavis kibos mkurnalobis radikalur operaciebs miekuTvneba: \\\ xelovnuri ukana tani; \\\ SemovliTi kolo-koloanastomozi; \\\ ileo-ascendoanastomozi; \\ ganivi kolinjis rezeqcia; \\\ transverzo-sigmoanastomozi;

\\\\ 41 wlis avadmyofs kolonoskopiiTa da biofsiiT daudginda brma nawlavis adenokarcinoma. operaciis romeli meTodi migaCniaT adekvaturad? \\\ ileostomia; \\\ transverzostomia; \\\ marjvenamxrivi hemikoleqtomia da ileotransverzoanastomozi; \\ ileotransverzoanastomozi; \\\ sigmostomia. \\\\ 5 wlis pacients aReniSneba yabzoba, muclis Seberva, defekacia – mxolod safaRaraToebis miRebis Semdeg. reqtosigmoiduri ubnis endoskopiuri biofsiiT adgili aqvs meisnerisa da auerbaxis nervuli wnulebis deficits. ra paTologia aReniSneba pacients? \\\ araspecifiuri wylulovani koliti; \\ hirSprungis daavadeba; \\\ kronis daavadeba; \\\ msxvili nawlavis divertikulozi; \\\ msxvili nawlavis polipozi. \\\\ 65 wlis mamakaci uCivis saerTo sisustes, ukanaskneli 3 Tvis ganmavlobaSi wonaSi daklebas, cxelebas 38 gradusamde, yabzobisa da faRaraTis monacvleobas, yru xasiaTis tkivils muclis marjvena naxevarSi. sisxlis saerTo anlizSi – zomieri normoqromuli anemia eds-is momatebiT 25 mm/sT. romeli gamokvleva dagexmarebaT yvelaze metad diagnozis dadgenaSi? \\ kolonoskopia; \\\ kompiuteruli tomografia; \\\ ultrabgeriTi gamokvleva; \\\ ezofagogastroduodenoskopia; \\\ reqtoromanoskopia. \\\\ 5 wlis bavSvs areniSneba yabzoba, muclis tkivili. Seberiloba. irigoskopiiT dgindeba msxvili nawlavis Seviwrovebuli da gafarToebuli nawilebis monacvleoba. ra paTologia aReniSneba pacients? \\\ paraproqtiti \\\ araspecifiuri wylulovani koliti \\\ kronis daavadeba \\ hirSprungis daavadeba \\\ mekelis divertikuli \\\\ pacienti uCivis Zlier tkivils mucerlSi, faRaraTs (dRe-RameSi 40-mde). kolonoskopiiT vlindeba msxvili nawlavis lorWovani garsis SeSupeba da sisxldena. nawlavis sanaTurSi sisxlnarevi lorwo da Cirqi. ra paTologia aReniSneba pacients? \\\ paraproqtiti \\\ kolinjis divertikuli \\ araspecifiuri wylulovani koliti \\\ hirSprungis daavadeba

\\\ msxvili nawlavis polipozi \\\\ pacients msxvili nawlavis polipozTan erTad daudginda Zvlovani da rbili qsovilebis keTilTvisebiani simsivneebis Tanaarseboba. ra paTologia aReniSneba pacients? \\\ peitc-egersis sindromi \\ gardneris sindromi \\\ bernar-horneris sindromi \\\ demping- sindromi \\\ karTageneris sindromi \\\\ 5 wlis bavSvs reqtoskopiiT daudginda swori nawlavis polipi, romelsac makroskopulad aqvs yurZnis mtevnis forma, fexi, gluvi zedapiri. Seferiloba mimdebare dauzianebel lorwovan garsTan SedarebiT ufro mkveTria. polipis romeli saxe aqvs pacients? \\ iuveniluri \\\ hiperplaziuri \\\ adenomatozuri \\\ xaoiani polipi \\\ xaoiani simsivne \\\\ pacients aReniSneba faRaraTi dRe-RameSi 40-mde, sisxlis da lorwos gamoyofiT, zogjer Cirqisac. Zlieri tkivili mTel mucelSi, tenezmebi, Rebineba, sxeulis maRali temperature, muclis Seberva. romel daavadebas axasiaTebs msgavsi simptomebi? \\\ hirSprungis daavadebas \\\ buasils \\ araspecifiur wylulovan kolits \\\ kolinjis divertikulits \\\ kolinjis polipozs \\\\ ra arteriebiT maragdeba msxvili nawlavi. \\\ faSvis ReroTi; \\\ RviZlis saerTo arteriiT; \\ jorjlis zemo da qvemo arteriebiT; \\\ TeZos SigniTa arteriiT; \\\ TeZos gareTa arteriiT; \\\\ 4 wlis bavSvs awuxebs Sekruloba. Ddedis gadmocemiT Sekruloba aReniSneba dabadebis momentidan da amJamad defekacia aqvs 2-3 dReSi erTxel oynis saSualebiT. Mmuceli Seberilia, simetriulia. palpaciiT isinjeba gadaberili nawlavis maryuJebi. reqtoromanoskopiiT – swori nawlavi spazmirebulia, romelsac Semdeg mosdevs gaganierebuli ubani. savaraudo diagnozia: \\\ araspecifiuri wylulovani koliti. \\\ kronis daavadeba. \\\ msxvili nawlavis kibo. \\ hirSprungis daavadeba. \\\ msxvili nawlavis divertikuli.

\\\\ 28 wlis mamakacs awuxebs tkivili mucelSi, diarea dRe-RameSi 10-12-jer, ganavalSi CirqiT, lorwoTi da siszliT, cxeleba. Avadaa ramodenime welia. Pperiodulad es simptomebi klebulobs an qreba, Semdeg kvlav gamovlindeba. kolonoskopiiT – swori nawlavis da mTeli kolinjis lorwovani garsi hiperemiuli, SeSupebuli da sisxlmdenia. masze aRiniSneba mravlobiTi eroziebi da wylulebi. savaraudo diagnozia: \\ araspecifiuri wylulovani koliti. \\\ kronis daavadeba. \\\ kolinjis kibo. \\\ polipozi. \\\ hirSprungis daavadeba. \\\\ 55 wlis mamakacs ramodenime Tvea daewyo movliTi yru tkivili mucelSi, yuryuri, Seberiloba, defekaciis gaZneleba. Ddaiklo wonaSi. adre msgavsi movlenebi arasodes hqonia. palpaciiT muceli rbilia, isinjeba gadaberili ganivi kolinji. romeli gamokvleva iqneba yvelaze informaciuli diagnozis dasasmelad? \\\ ultrabgeriTi gamokvleva. \\\ irigografia. \\ kolonoskopia. \\\ kompiuteruli tomografia. \\\ muclis Rrus mimoxilviTi rentgenografia. \\\\ 55 wlis mamakacs ramodenime Tvea daewyo movliTi yru tkivili mucelSi, yuryuri, Seberiloba, defekaciis gaZneleba. Ddaiklo wonaSi. adre msgavsi movlenebi arasodes hqonia. palpaciiT muceli rbilia, isinjeba gadaberili ganivi kolinji. kolonoskopiiT nanaxia daswvrivi kolinjis kibo, romelic nawilobriv axSobs nawlavis sanaTurs. kompiuteruli tomografiiT regionuli da Soreuli metastazebi ar aRiniSneba. romeli operacia unda gakeTdes? \\ marcxenamxrivi hemikoleqtomia transverzisigmoanastomoziT. \\\ marcxenamxrivi hemikoleqtomia erTlula transverzostomiiT. \\\ sigmuri kolinjis rezeqcia. \\\ ganivi kolinjis rezeqcia transverzotransverzoanastomoziT. \\\ marjvenamxrivi hemikoleqtomia ileotransverzoanastomoziT. \\\\ 65 wlis mamakacs gaukeTda brma nawlavis adenokarcinomis gamo operacia: marjvenamxrivi hemikoleqtomia ileotransverzoanastomoziT. amokveTili preparatis gamokvleviT dadginda, rom simsivne azianebs nawlavis kedlis yvela Sres, iwvevs nawlavTa gauvalobas. regionul 2 limfur kvanZSi aRiniSneba metastazebi. Soreuli metastazebi ar aris. CawereT aRniSnuli SemTxveva TNM sistemis mixedviT. \\\ T2N1M0 \\\ T3N0M0 \\\ T3N1M1 \\\ T4N1M0. \\ T3N1M0. \\\\ hirSprungis daavadeba yvelaze xSirad gvxvdeba: \\ bavSvTa asakSi

\\\ mozrdilebSi \\\ moxucebSi \\\ qalebSi \\\ mamakacebSi \\\\ 44 wlis mamakacs awuxebs muclis tkivili, diarea (dRe-RameSi 10-15-jer). ganavalSi aris lorwo da sisxli. aqvs cxeleba. periodulad es simptomebi klebulobs da qreba. kolnoskopiiT kolinjis lorwovani SeSupebuli, dawylulebuli da sisxlmdenia. savaraudo diagnozia: \\\ kronis daavadeba \\ araspecifiuri wylulovani koliti \\\ kolinjis kibo \\\ polipozi \\\ hirSprungis daavadeba \\\\ CamoTvlil daavadebaTagan romeli aris miCneuli obligatur prekancerul (kiboswinare) daavadebad? \\\ hirSprungis daavadeba \\\ msxvili nawlavis divertikuli \\\ iuveniluri polipi \\\ hiperplastiuri polipi \\ difuzuri polipozi \\\\ 58 wlis mamakacs aReniSneba muclis Seberva, yuryuri, yabzobas enacvleba faTaraTi. uCivis yru xasiaTis tkivils mucelSi. ganavalSi aris sisxlic da lorwoc. wonaSi mkveTrad daiklo. kolinjis kibos romel klinikur formas miesadageba aRniSnuli simptomebi? \\\ toqsiko-anemiuri forma \\ enterokolituri forma \\\ dispefsiuri forma \\\ fsevdoanTebiTi forma \\\ obturaciuli forma \\\\ romeli operaciaa mowodebuli ojaxuri polipozis SemTxvevaSi? \\ subtotaluri koleqtomia \\\ marjvenamxrivi hemikoleqtomia \\\ marcxenamxrivi hemikoleqtomia \\\ sigmuri nawlavis rezeqcia \\\ endoskopiuri polipeqtomia \\\\ romeli anatomiuri ubani ar miekuTvneba swor nawlavs? \\\ yiTa; \\\ ampula; \\\ reqtosigmoiduri ubani; \\ sigmuri kolinji; \\\ analuri arxi; \\\\ romeli gamokvleva ar gamoiyeneba swori nawlavis daavadebebis dros? \\\ swori nawlavis TiTiT gasinjva; \\\ reqtoskopia; \\\ anoskopia;

\\\ kolonoskopia; \\ kolposkopia;

\\\\ buasilis dros arteriuli sisxldenis mizezia: \\\ lorwqveSa SreSi arteriolebis uxvi qseli. \\ kavernul sxeulebSi arteriul-venuri anastomozebis simravle. \\\ kunTovani garsis hipertrofia. \\\ naxeTqi lorwovan garsze. \\\ arteriuli anevrizmis gaskdoma.

\\\\ romeli simptomi ar axasiaTebs buasils? \\\ qavili. \\\ tkivili. \\ temperaturis momateba. \\\ sisxldena. \\\ kvanZis gamovardna.

\\\\ gamokvlevis romeli meTodi ar gamoiyeneba buasilis diagnostikisaTvis? \\ irigografia. \\\ anoskopia. \\\ reqtoskopia. \\\ swori nawlavis TiTiT gamokvleva. \\\ analuri midamos inspeqcia.

\\\\ romeli ar aris marTebuli analur napralTan mimarTebaSi? \\\ igi ufro xSirad uviTardebaT qalebs, vidre mamakacebs. \\\ xelSemwyobi faqtoria proqtiti. \\\ aRiniSneba mwveli tkivili. \\ aRiniSneba intensiuri sisxldena. \\\ qirurgiuli mkurnaloba gamoiyeneba konservatuli mkurnalobis uefeqtobis SemTxvevaSi.

\\\\ lokalizaciis mixedviT mwvave paraproqtitis romeli forma ar arsebobs? \\\ kanqveSa. \\\ lorwqveSa. \\\ iSioreqtuli. \\\ pelvioreqtuli. \\ anoreqtuli.

\\\\ romelia marTebuli qronikul paraproqtitTan mimarTebaSi? \\\ qalebi ufro xSirad avaddebian, vidre mamakacebi. \\\ anatomiuri niSnis mixedviT arsebobs nawilobrivi firma. \\\ sfinqterTan damokidebulebis mixedviT arsebobs antesfinqteruli forma. \\ diagnostikis erTerTi ZiriTadi meTodia fistulografia. \\\ mkurnalobis ZiriTadi meTodi konsrevatulia. \\\\ romeli ar iTvleba swori nawlavis kiboswinare daavadebad?

\\\ polipi. \\ koliti. \\\ analuri midamos naxeTqi. \\\ qronikuli paraproqtiti. \\\ kronis daavadeba.

\\\\ histologiuri Senebis mixedviT swori nawlavis kibos romeli forma ar arsebobs? \\\ adenokarcinoma. \\\ soliduri. \\ miomuri. \\\ lorwovani. \\\ brtyelujredovani.

\\\\ romeli simptomi vlindeba pirvelad swori nawlavis ampuluri nawilis kibos dros? \\\ tkivili mucelSi. \\\ nawlavTa gauvaloba. \\ paTologiuri minarevebi ganavalSi. \\\ anemia. \\\ Rebineba.

\\\\ romeli ar miekuTvneba swori nawlavis kibos garTulebebs? \\ buasili. \\\ nawlavTa mwvave gauvaloba. \\\ nawlavis perforacia. \\\ saSo-swori nawlavis fistula. \\\ Sardis buSt-swori nawlavis fistula.

\\\\ romeli operacia ar keTdeba swori nawlavis kibos dros? \\\ swori nawlavis abdominoperinealuri eqstirpacia. \\\ swori nawlavis wina rezeqcia. \\\ swori nawlavis abdomino-analuri rezeqcia. \\ marcxenamxrivi hemikoleqtomia. \\\ sigmostomia. \\\\ mwvave paraproqtitisTvis ar aris damaxasiaTebeli: \\\ tkivili swori nawlavis an Sorisis midamoSi; \\\ sxeulis temperaturis momateba \\\ Semcivneba; \\\ tenezmebi; \\ swori nawlavis prolafsi; \\\\ romeli ar miekuTvneba mwvave paraproqtits? \\\ lorwqveSa paraproqtiti; \\ parareqtuli fistula; \\\ iSioreqtuli paraproqtiti; \\\ pelvioreqtuli paraproqtiti; \\\ kanqveSa paraproqtiti; \\\\ romeli ar miekuTvneba qr. paraproqtits? (swori nawlavis xvrelmils)

\\\ intrasfinqteruli; \\\ transsfinqteruli; \\ pelveoreqtuli; \\\ eqstrasfinqteruli; \\\ sruli; \\\\ 40 wlis mamakaci uCivis usiamovno SegrZnebasa (ucxo sxeulis) da qavils ukana tanis midamoSi. deekaciis Semdgom ganavali dafarulia alisfei sisxliT. ra paTologia aReniSneba pacients? \\\ yiTas naxeTqi \\ buasili \\\ paraproqtiti \\\ swori nawlavis xvrelmili \\\ swori nawlavis kibo \\\\ 30 wlis mamakacs me-3 dRea awuxebs Zlieri tkivili Sorisis midamoSi, romelic Zlierdeba defekaciisas. t – 39ºC. amcivnebs. yiTas mimdebare qsovilebi hiperebuli da SeSupebulia, palpaciiT mtkivneulia. savaraudo diagnozia: \\\ yiTas naxeTqi \\ mwvave paraproqtiti \\\ swori nawlavis kibo \\\ buasili \\\ swori nawlavis polipi \\\\ avadmyofi mamakaci 66 wlis uCivis mwvave tkivils swor nawlavSi, romelic Zlierdeba moZraobis, gaWinTvis, defekaciis dros, aRiniSneba dizuria, maRali temperatura, xSiri SemcivnebiT. TiTiT gasinjvisas anusis areSi isinjeba kanis gamoberva, Sesieba, hiperemia. Aam midamos palpacia iZleva Zlier tkivils. ra lokalizaciis paraproqtiti aqvs avadmyofs? \\\ lorwqveSa \\ kanqveSa \\\ iSioreqtuli \\\ pelvioreqtuli \\\ reqtoreqtuli \\\\ 44 wlis qals awuxebs diskomforti yiTas midamoSi. sisxldena defekaciis dros. sisxli alisferia da Sereulia ganavalTan. \\\ qronikuli paraproqtiti \\\ swori nawlavis kibo \\\ mwvave paraproqtiti \\ buasili \\\ swori nawlavis fistula \\\\ 45 wlis qali uCivis mWrel, mwvel, mCxvletavi xasiaTis tkivils, romelic viTardeba defekaciis dros da grZeldeba ramdenime wuTidan ramdenime saaTamde. defekacias Tan axlavs umniSvnelo sisxldenac. ra paTologia aReniSneba pacients? \\ yiTas naxeTqi \\\ buasili

\\\ kolinjis divertikuliti \\\ swori nawlavis xvrelmili \\\ swori nawlavis kibo \\\\ romeli debulebaa mcdari buasilis kvanZebis TrombozTan mimarTebaSi? \\ iniSneba cxeli safenebi. \\\ iniSneba venotonuri preparatebi. \\\ iniSneba antikoagulantebi. \\\ iniSneba analgetikebi. \\\ mimarTaven operaciasac. \\\\ 45 wlis mamakaci uCivis Zlier mqaCav, mfeTqav tkivils Sorisis midamoSi, defekaciis Seferxebas, tenezmebs, dizuriul movlenebs, temperaturis momatebas. ra paTologia aReniSneba pacients? \\\ yiTas naxeTqi \\\ buasili \\ paraproqtiti \\\ kronis daavadeba \\\ hirSprungis daavadeba \\\\ 50 wlis mamakaci uCivis yru xasiaTis tkivils Sorisis siRRmeSi, romelic Zlierdeba xvelis, defekaciis dros. inspeqciiT yuradRebas ipyrobs dundulos midamos asimetria, naxevarmTvarisebri naoWebis gadasworeba. paraproqtitis romeli saxe aReniSneba pacients? \\ iSeoreqtuli \\\ lorwqveSa \\\ kanqveSa \\\ reqtoreqtuli \\\ pelveoreqtuli \\\\ buasilis dros operaciuli Carevis winaaRmdegCvenebad iTvleba: \\\ hemoroiduli sisxldena \\\ kvanZovani Trombozi \\ gamoxatuli portuli hipertenzia \\\ daavadebis II stadia \\\ kvanZis CaWedva \\\\ 40 wlis mamakacs awuxebs diskomforti yiTas midamoSi da sisxldena defekaciisas. sisxli aris alisferi da ar aris Sereuli ganavalTan. savaraudi diagnozia: \\ buasili. \\\ mwvave paraproqtiti. \\\ yiTas naxeTqi. \\\ swori nawlavis kibo. \\\ qronikuli paraproqtiti. \\\\ 40 wlis qalis, romelsac awuxebs Sekruloba, erTi kviraa aReniSneba Zlieri tkivili defekaciisas, romelic grZeldeba ramodenime saaTi da gadaecema SorisSi. Defekaciis dasrulebisas ganavalze aRiniSneba ramodenime wveTi sisxli, romelic ar aris Sereuli ganavalTan. savaraudo diagnozia:

\\\ buasili. \\\ mwvave paraproqtiti. \\ yiTas naxeTqi. \\\ swori nawlavis kibo. \\\ swori nawlavis polipi. \\\\ 50 wlis mamakacs 5 dRea awuxebs Zlieri tkivili Sorisis midamoSi, romelic gansakuTrebiT Zlierdeba defekaciisas, Semcivneba, hiperTermia. inspeqciiT – yiTas mimdebare qsovilebi SeSupebuli, hiperemiu;li, palpaciit mtkivneuli. swori nawlavis TiTiT gasinjvisas misi erTerTi kedeli infiltrirebulia da mtkivneulia. savaraudo diagnozia: \\\ buasili. \\ mwvave paraproqtiti. \\\ yiTas naxeTqi. \\\ swori nawlavis kibo. \\\ qronikuli paraproqtiti. \\\\ romeli debulebaa marTebuli qronikul paraproqtitTan mimarTebaSi? \\\ isi mizezi arasodes aris mwvave paraproqtitis mkurnalobisas mcdari qirurgiuli taqtika. \\\ intrasfinqteruli xvrelmilis arxis nawili gaivlis swori nawlavis sfinqters. \\\ transsfinqteruli xvrelmilis arxi mTlianad sfinqters SigniTaa. \\\ eqstrasfinqteruli forma ar arsebobs. \\ operaciis meTodis SesarCevad saWiroa gakeTdes fistulografia. \\\\ 60 wlis mamakacs ramodenime Tvea awuxebs ganavalSi sisxlis, lorwos da Cirqis arseboba. sisxli muqi ferisaa da Sereulia fekalur masebTan. aseve awuxebs yru tkivili hipogastriumSi, periodulad yabzobis da faRaraTis monacvleoba. swori nawlavis TiTiT gasinjvisas anusidan 8-9sm-ze isinjeba mkvrivi, uZravi, xorkliani simsivnuri warmonaqmni. savaraudo diagnozia: \\\ buasili. \\\ swori nawlavis polipi. \\\ mwvave paraproqtiti. \\ swori nawlavis kibo. \\\ qronikuli paraproqtiti. \\\\ 68 wlis mamakacs gaukeTda radikaluri operacia swori nawlavis ampularuli nawilis kibos gamo. amokveTili simsivnis histologiuri gamokvleviT dadginda, rom simsivne ikavebs nawlavis sanaTuris 1/3-ze mets, ara umetes 1/2 – sa, Cazrdilia kunTovan SreSi, Tan ar axlavs nawlavis gauvalobis simptomebi. TNM sistemis mixedviT T-s romel maCvenebels Seesabameba es SemTxveva? \\\ T0 \\\ T1 \\ T2 \\\ T3 \\\ T4 \\\\ ramden procentSi gvxvdeba swori nawlavis kibo. \\\ 90%;

\\ 24%; \\\ saerTod ar gvxvdeba; \\\ 2-10%; \\\ 73-80%; \\\\ mwvave paraproqtitis dros romeli Cirqgrova ar yalibdeba \\\ kanqveSa abscesi; \\\ iSioreqtaluri abscesi; \\\ pelveoreqtaluri abscesi; \\\ lorwqveSa abscesi; \\ duglasis fosos abscesi; \\\\ 46 wlis mamakacs awuxebs ucxo sxeulis SegrZneba da qavili yiTas midamoSi. defekaciisas ganavalTan Sereulia alisferi sisxli. savaraudo diagnozia: \\\ yiTas naxeTqi \\\ swori nawlavis fistula \\\ swori nawlavis kibo \\ buasili \\\ mwvave paraproqtiti \\\\ 49 wlis qals awuxebs yabzoba. defekaciisas Zlieri tkivili, romelic gadaecema SorisSi da grZeldeba 15-20 wuTi. defekaciisas ganavalze ramodenime wveTi sisxlia, romelic ar aris Sereuli ganavalTan. saaraudo diagnozia: \\\ swori nawlavis kibo \\ yiTas naxeTqi \\\ mwvave paraproqtiti \\\ swori nawlavis fistula \\\ buasili \\\\ 35 wlis mamakacs awuxebs Zlieri intensivobis tkivili swori nawlavisa da gavis midamoSi, romelic Zlierdeba defekaciisas, jdomisas da kudusunze zewolisas. romeli lokalizaciis parapriqtitTan gvaqvs saqme? \\\ kanqveSa \\\ iSio-reqtuli \\\ retroreqtuli \\ pelvioreqtuli \\\ lorwqveSa \\\\ pacients aReniSneba mwvave gauvaloba. kolonoskopiiT dadginda kibos arseboba anusidan 10-12 sm-is daSorebiT. romel operaciul meTods eniWeba upiratesoba. \\\ abdomino – analuri eqstirpacia \\ hartmanis operacia \\\ keniu-mailisis operacia \\\ wina rezeqcia \\\ marjvenamxrivi hemikoleqtomia

\\\\ 61 wlis mamakacs me-2 Tvea awuxebs yru tkiili mucelSi. yabzobas enacvleba faRaraTi. ganavalSi aRiniSneba sisxlis da lorwos arseboba. anusidan 10-11 sm-ze xeliT isinjeba mkvrivi mtkivneuli warmonaqmni uswormasworo kideebiT. savaraudo diagnozia: \\\ swori nawlavis fistula \\ swori nawlavis kibo \\\ buasili \\\ swori nawlavis polipi \\\ mwvave paraproqtiti \\\\ RviZlis ameburi abscesis mkurnalobisTvis gamoiyeneba: \\ metronidazolis preparatebi; \\\ penicilinis jgufis preparatebi; \\\ cefalosporinebi; \\\ kortikosteroidebi; \\\ antacidebi; \\\\ romeli gamokvlevaa naklebinformaciuli RviZlis baqteriuli (piogenuri) abscesis dros; \\\ abscesis Rrus punqcia; \\\ eqoskopia; \\\ kompiuteruli tomografia; \\\ rentgenologiuri gamokvleva; \\ ezofagogastroduodenoskopia; \\\\ RviZlis baqteriuli (piogenuri) abscesis garTulebas warmoadgens: \\\ abscesis gaxsna subdiafragmul sivrceSi; \\\ abscesis gaxsna plevris RruSi; \\\ abscesis gaxsna peritoneumis RruSi; \\\ abscesis gaxsna perikardiumis RruSi \\ yvela maTgani; \\\\ romeli simptomi ar axasiaTebs RviZlis baqteriul (piogenur) abscess? \\\ heqtiuri temperatura; \\\ Semcivneba; \\\ epigastriumis areSi mtkivneuli simsivnuri warmonaqmnis arseboba; \\\ siyviTle; \\ transaminazebis maCvenebelis mkveTri daqveiTeba; \\\\ RviZlis ameburi abscesis dros anamnezis Sekrebisas yuradreba unda mieqces: \\\ gadatanil virusul hepatits; \\\ gadatanil poliomielits; \\ gadatanil dizenterias; \\\ gadatanil stafilokokur infeqcias; \\\ gadatanil qolangits; \\\\ RviZlis eqinokokis diagnozis dasadgenad iyeneben? \\\ RviZlis funqciur sinjebs;

\\\ sisxlis saerTo analizs; \\ lateqs-aglutinaciis reaqcias; \\\ rivaltas cdas; \\\ hemaglutinaciis reaqcias; \\\\ RviZlis hidatiduri eqinokokisaTvis marTebuli ar aris: \\\ parazitis kistas aqvs momrgvalo forma; \\\ igi Seicavs `Svileul~ da `SviliSvileul~ buStukebs; \\\ aqvs qitinis garsi; \\\ aqvs Canasaxovani garsi; \\ garedan dafarulia serozuli garsiT; \\\\ RviZlis romeli keTilTvisebiani simsivne gvxvdeba yvelaze xSirad? \\\ hamartoma \\ hemangioma \\\ fibroma \\\ hepatoma \\\ lipoma \\\\ 54 wlis mamakaci ramodenime welia avadaa RviZlis ciroziT. amJamad aReniSneba Civilebi sisxliani pirRebinebisa da Savi feris ganavliT defekaciaze. sislxdenis mizezis dasadgenad romeli gamokvlevaa saWiro? \\\ ultrabgeriTi kvleva \\\ rentgenologiuri kvleva \\\ bronqoskopia \\ ezofagogastroduodenoskopia \\\ kompiuteruli tomografia \\\\ RviZlis keTilTvisebian simsivneebs ar miekuTvneba: \\\ hemangioma; \\\ hepatoadenoma; \\\ qolagiohepatoma; \\ hepatoceluluri karcinoma; \\\ miqsoma; \\\\ avadmyofi uCivis SimZimis SegrZnebas epigastriumsa da marjvena ferdqveSa midamoSi, aqvs periodulad tkivili dam as Semdeg aReniSneba WinWris ciebis msgavsi gamonayari. palpatorulad SeigrZnoba gadidebuli, sada zedapiriani RviZli. Cautarda ultrabgeriTi kvleva – RviZlis marjvena wilSi aRiniSneba mrgvali formis siTxovani warmonaqmni, rasac aseve adasturebs kompiuterul-tomografiuli kvleva. savaraudo diagnozia: \\\ RviZlis marjvena wilis abscesi \\ RviZlis marjvena wilis eqinokoki \\\ RviZlis marjvena wilis kibo \\\ RviZlis marjvena wilis ameburi abscesi \\\ RviZlis marjvena wilis hemangioma \\\\ portuli hipertenziis dros romeli porto-kavaluri anastomozi ar funqcionirebs?

\\\ kuWisa da saylapavis kardialuri venebi kenti da naxevradkenti venebis gavliT; \\\ swori nawlavis zeda, Sua da qvemo venebis gavliT; \\\ Wipisa da Wipis irgvliv muclis wina kedlis venbis gavliT; \\ jorjlis qvemo venasa da riolanis rkals Soris; \\\ yvela zemo CamoTvlili anastomozi funqcionirebs; \\\\ hidatiduri eqinokokis mkurnalobis meTodebs ar miekuTvneba: \\\ idealuri eqinokokeqtomia; \\\ kistis marsupializacia; \\\ daxuruli eqinokokeqtomia; \\\ naxevraddaxuruli eqinokokeqtomia; \\ cistieiunoanastomozi; \\\\ romeli niSani ar axasiaTebs portul hipertenzias? \\\ asciti; \\\ saylapavis venebis varikozuli gaganiereba; \\ RviZlSida sanaRvle gzebis dilatacia; \\\ hipersplenizmi; \\\ splenomegalia; \\\\ portuli hipertenziis diagnostikis arainvaziuri meTodia? \\ ultrasonografia doplerografiiT; \\\ splenomanometria; \\\ splenoportografia; \\\ kavagrafia; \\\ celiakografia; \\\\ avadmyofs aReniSneba portuli hipertenziisaTvis damaxasiaTebeli saylapavis varikozi, hipersplenizmi, RviZlis funqciis mcire darRveva,ascitis gareSe. aRniSnuli cvlilebebi umetesad axasiaTebs: \\\ portuli hipertenziis RviZlSida formas \\ portuli hipertenziis RviZlqveSa formas \\\ portuli hipertenziis RviZlzeda formas \\\ portuli hipertenziis Sereul formas \\\ portul hipertenzias msgavsi simptomokompleqsi ar axasiaTebs \\\\ portuli hipertenziis qirurgiuli mkurnalobis qvemoT CamoTvlili saxeebidan, romeli iwvevs umetesad encefalopaTias? \\ transiugularuli porto-sistemuri Sunti \\\ splenorenuli anastomozi \\\ omentorenopeqsia \\\ spleneqtomia \\\ spleneqtomia+omentorenopeqsia \\\\ qvemoT CamoTvlili RviZlis qronikuli daavadebebidan, romlis fonze viTardeba RviZlis kibo umetesad? \\ cirozi \\\ hemoqromatozi \\\ amebiazi \\\ Sistosomozi

\\\ opisTorqozi \\\\ portuli hipertenziis dros saylapavis varikozuli venebidan sisxldenis SesaCereblad ar gamoiyeneba: \\ peritoneumis Rrus drenireba ascituri siTxis evakuaciis mizniT; \\\ blekmoris zondi; \\\ endoskopiuri skleroTerapia; \\\ endoskopiuri ligireba; \\\ vazokonstriqtorebi; \\\\ romeli paTologiis drosaa SesaZlebeli RviZlSi mravlobiTi mcire zomis abscesebis ganviTareba: \\\ naRvlis buStis SigTavsis daCirqebis SemTxvevaSi; \\\ kenWovani qolecistitis dros; \\\ naRvlis saerTo sadinris kenWiT daxSobisas; \\\ bad-hiaris sindromis fonze; \\ Cirqovani qolangitis dros; \\\\ meqanikuri siyviTlis dros qolemiuri sisxldenis mizezia: \\\ Trombocitopenia; \\\ kapilarebis ganvladobis momateba; \\ RviZlSi proTrombinis sinTezis darRveva; \\\ sisxlSi fibrinogenis koncentraciis mkveTri Semcireba; \\\ hiperbilirubinemia; \\\\ RviZlis cirozis dros saylapavis varikozulad gaganierebuli venebidan sisxldenis mizezs ar warmoadgens: \\\ portul sistemaSi wnevis momateba; \\\ peptiuri faqtori; \\ hiperglikemia; \\\ sisxlis Semadedebeli sistemis darRvevebi; \\\ porto-kavaluri anastomozebis arseboba; \\\\ bad-hiaris sindromisa da hiaris daavadebis dros paTologia vlindeba: \\\ karis venaSi; \\\ elenTis venaSi; \\ RviZlis venebSi; \\\ qvemo Rru venaSi; \\\ jorjlis zemo venaSi; \\\\ Tu pacients aReniSneba lorwovanisa da kanis yviTlad Seferva, qavili, muqi Sardi da aqoliuri ganavali, anamnezSi 2 dRiT adre Zlieri SeteviTi xasiaTis tkivili epigastriumisa da marjvena ferdqveSa areSi, iradiaciiT gulisa da marcxniv beWqveSa midamosaken, am SemTxvevaSi winaswari diagnozia: \\\ pankreasis Tavis simsivne da meqanikuri siyviTle; \\\ hemolizi da hemolizuri siyviTle; \\ naRvelkenWovani daavadeba da meqanikuri siyviTle; \\\ qronikuli induraciuli pankreatiti da meqanikuri siyviTle; \\\ bad-hiaris sindromi

\\\\ RviZlis hemangiomis garTulebebia: \\\ hemangiomis gaskdoma; \\\ intraabdominuri sisxldena; \\\ danekrozeba; \\\ malignizacia; \\ yvela pasuxi sworia; \\\\ pacienti uCivis mudmivi yru xasiaTis tkivils marjvena ferdqveSa areSi, sadac inspeqciiT vlindeba muclis wina kedlis gamoberiloba, palpaciiT RviZli scildeba neknTa rkals dam is proeqciaZe isinjeba – mrgvali formis elastiuri konsistenciis simsivnuri warmonaqmni. sisxlSi – eozinofilia, lateqs-aglutinaciis reaqcia dadebiTia. ra paTologia aReniSneba pacients? \\\ RviZlis polikistozi \\ RviZlis eqinokoki \\\ RviZlis aqtinomikozi \\\ RviZlis araparazituli kista \\\ RviZlis posttravmuli hematoma \\\\ RviZlis eqinokokozis mkurnalobis optimaluri meTodia: \\\ fizioTerapiuli \\\ medikamenturi \\ qirurgiuli \\\ homeopaTiuri \\\ vitaminoTerapia \\\\ RviZlis cirozis mqone pacients TandaTanobiT ganuviTarda yru tkivili marjvena ferdqveSa areSi, palpaciiT vlindeba hepatomegalia, RviZlis qveda kide xorkliani da mkvrivia. sisxlSi fetoproteinis done maRalia. ra paTologia aReniSneba pacients? \\ hepatoceluluri kibo \\\ RviZlis eqinokoki \\\ RviZlis alveokokozi \\\ RviZlis abscesi \\\ RviZlis hemangioma \\\\ portuli hipertenziis romel formas iwvevs yvelaze xSirad RviZlis cirozi? \\\ RviZlqveda \\ RviZlSida \\\ RviZlzeda \\\ Sereuli \\\ cirozi portuli hipertenziis yvela formis ganviTarebaSi wamyvan rols asrulebs \\\\ pacienti uCivis `yavis naleqisebr~ Rebinebas, melenas, dispefsiur movlenebs. gamoxatulia siyviTle, asciti, `meduzas Tavi~. ra SesaZlo paTologia aReniSneba pacients? \\\ RviZlis abscesi \\\ kuWis wylulovani daavadeba

\\\ Tormetgoja nawlavis wylulovani daavadeba \\ portuli hipertenziis sindromi \\\ kardiis aqalazia \\\\ portuli hipertenziis RviZlzeda formas iwvevs: \\\ RviZlis cirozi \\\ karis venis aplazia \\ bad-kiaris sindromi \\\ karis venis hipoplazia \\\ eqinokokozi \\\\ romeli meTodi gamoiyeneba prehepaturi portuli hipertenziis dros karis venaSi wnevis Semcirebis mizniT, roca sisxlZarRvovani anastomozis dadebis winaarmdegCveneba ar arsebobs? \\ pirdapiri portokavaluri anstomozi \\\ omenTorenopeqsia \\\ omenTohepatopeqsia \\\ transiugularuli portosistemuri Suntireba \\\ spleneqtomia \\\\ 52 wlis mamakaci uCivis saerTo sisustes, siyviTles, qavils, muclis zomaSi momatebas, tkivils marjvena ferdqveSa midamoSi. ultrabgeriTi kvleviT aRiniSneba RviZlis karSi uswormasworo kideebis mqone hipoeqogenuri warmonaqmni, RviZlSida sanaRvle gzebis mkveTri dilatacia. mucelSi zomieri raodenobiT ascituri siTxe. sisxlSi aRiniSneba hiperbilirubinemia, zomieri anemiiT. Tqveni savaraudo diagnozi: \\\ qoledoqoliTiazi, meqanikuri siyviTle; \\\ RviZlis abscesi; \\\ mwvave virusuli hepatiti, parenqimuli siyviTle; \\\ RviZlis cirozi; \\ RviZlis centraluri kibo, meqanikuri siyviTle; \\\\ romeli debulebaa marTebuli RviZlis eqinokokTan mimarTebaSi? \\\ Wiis ZiriTadi maspinZelia adamiani. \\\ hidatidis kedeli Sedgeba sami garsisagan. \\\ daavadeba klinikurad mJRavndeba invaziidan Zalian male. \\ diagnostikis maRalinformaciuli meTodia kompiuteruli tomografia. \\\ mkurnalobis ZiriTadi meTodi konservatulia. \\\\ romeli debulebaa mcdari RviZlis araparazitul kistasTan mimarTebaSi? \\\ Tandayolili kista Signidan amofenilia kuburi an cilindruli epiTeliumiT. \\\ cru kista igive SeZenili kistaa. \\ cru kista Signidan amofenilia brtyelujredovani epiTeliumiT. \\\ kistis garTulebebia: gaskdoma, daCirqeba, mis sanaTurSi sisxlis Caqceva. \\\ diagnostikis maRalinformaciuli meTodia kompiuteruli tomografia. \\\\ RviZlis keTilTvisebiani simsivneebidan romelia yvelaze xSiri?

\\ hemangioma. \\\ hepatoma. \\\ fibroma. \\\ hamartoma. \\\ qolangiohepatoma. \\\\ 55 wlis mamakaci, romelsac ramodenime welia dadgenili aqvs RviZlis cirozis diagnozi, bolo Tveebis ganmavlobaSi uCivis Semdegi simptomebis gaZlierebas: saerTo sisuste, wonaSi dakleba, umadoba, Sromisunaris mkveTri daqveiTeba, fsiqiuri depresia, tkivili marjvena ferdqveSa midamoSi. aReniSneba asciti. savaraudod romel paTologiasTan unda gvqondes saqme? \\\ kuWi kibo. \\\ naRvlis buStis kibo. \\\ pankreasis kibo. \\ RviZlis pirveladi kibo. \\\ filtvis kibo. \\\\ 45 wlis mamakaci, romelsac ramodenime welia dadgenili aqvs RviZlis cirozis diagnozi, hospitalizebulia stacionarSi CivilebiT sisxlian Rebinebaze da defekaciaze Savi feris Txieri ganavlovani masebiT. sisxldenis genezis dasadgenad romeli gamokvlevaa gasakeTebeli? \\ ezofagogastroduodenofibroskopia. \\\ bronqoskopia. \\\ kolonoskopia. \\\ kompiuteruli tomografia. \\\ ultrabgeriTi gamokvleva. \\\\ portuli hipertenziis sindromis dros SeiZleba gamovlindes hipersplenizmi. ra aRiniSneba am dros? \\\ sisxlSi eriTrocitebis, leikocitebis raodenobis Semcireba da Trombocitebis raodenobis momateba. \\\ sisxlSi eriTrocitebis, leikocitebis da Trombocitebis raodenobis momateba. \\\ sisxlSi eriTrocitebis, Trombocitebis raodenobis Semcireba da leikocitebis raodenobis momateba. \\\ sisxlSi leikocitebis, Trombocitebis raodenobis Semcireba da eriTrocitebis raodenobis momateba. \\ sisxlSi eriTrocitebis, leikocitebis da Trombocitebis raodenobis Semcireba. \\\\ avadmyofs aReniSneba portuli hipertenziisaTvis damaxasiaTebeli saylapavis varikozi, hipersplenizmi, RviZlis funqciis mcire darRveva ascitis gareSe. aRniSnuli cvlilebebi umetesad axasiaTebs: \\\ portuli hipertenziis RviZlSida formas \\ portuli hipertenziis RviZlqveSa formas \\\ portuli hipertenziis RviZlzeda formas \\\ portuli hipertenziis Sereul formas \\\ aRniSnuli simptomokompleqsi ar aris damaxasiaTebeli portuli hipertenziisaTvis

\\\\ portuli hipertenziis qirurgiuli mkurnalobis qvemoT CamoTvlili saxeebidan, romeli iwvevs umetesad encefalopaTias? \\ mezenterul-kavaluri anastomozi \\\ splenorenuli anastomozi \\\ omentorenopeqsia \\\ spleneqtomia \\\ spleneqtomia+omentorenopeqsia

\\\\ qvemoT CamoTvlili RviZlis qronikuli daavadebebidan, romlis fonze viTardeba RviZlis kibo umetesad? \\ cirozi \\\ hemoqromatozi \\\ amebiazi \\\ Sistosomozi \\\ opisTorqozi

\\\\ RviZlis parazituli daavadebebidan romlis SemTxvevaSi viTardeba parazitsa da RviZlis qsovils Soris fibrozuli kafsula? \\\ ameburi abscesi \\ hidaturi eqinokokozi \\\ alveokokozi \\\ triqinelozi \\\ Sistosomozi \\\\ CamoTvlili simsivneebidan romeli miekuTvneba mezenqimur simsivneebs? \\\ hepatoma \\ hemangioma \\\ hamartoma \\\ melanoma \\\ karcinoma \\\\ eqinokoki, misi hidatiduri forma. parazitis organizmSi moxvedrisa da SeRwevadobis yvelaze xSiri gzaa: \\\ inhalaciuri gza-SesunTqva, alveolebi, sisxlis mimoqcevis mcire wre, guli, didi wre da SesaZlo yvela organo; \\\ dabinZurebuli Wrilobidan hematogenuri gziT; \\ saWmlis momnelebeli gziT. kuWis an nawlavis lorwovanidan, karis venis gziT - RviZli (I barieri). aqedan qvemo Rru vena, Semdeg guli da mcire wre - filtvebi (II barieri). misi gavlis Semdeg ki didi wre da SesaZlo yvela organo; \\\ saWmlis momnelebeli traqtidan mxolod limfogenuri gziT - limfuri kvanZidan eqinokokis cistis Semdgomi CamoyalibebiT; \\\ yvela CamoTvlili varianti Tanabrad. \\\\ Tu pacients aReniSneba lorwovanisa da kanis yviTlad Seferva, qavili, muqi Sardi da aqoliuri ganavali, anamnezSi 2 dRiT adre Zlieri SeteviTi xasiaTis tkivili epigastriumisa da marjvena ferdqveSa areSi, iradiaciiT gulisa da marcxniv beWqveSa midamosaken, aseTi pacienti avadaa daavadebiT: \\\ pankreasis Tavis simsivne da meqanikuri siyviTle;

\\\ hemolizi da hemolizuri siyviTle; \\ naRvelkenWovani daavadeba da meqanikuri siyviTle; \\\ qronikuli induraciuli pankreatiti da meqanikuri siyviTle; \\\ mwvave hepatiti \\\\ amoirCieT alkoholuri cirozis dros sikvdilis yvelaze xSiri mizezi portokavaluri anastomozis dadebis Semdeg \\\ sisxldena saylapavis varikozuli venebidan \\ RviZlis ukmarisoba da encefalopaTia \\\ malabsorbciis sindromi \\\ hepatoceluraluri carcinoma \\\ gulis ukmarisoba ascitiT da periferiuli SeSupebebiT \\\\ 48 wlis mamakaci uCivis yru xasiaTis tkivils marjvena ferdqveSa midamoSi. wonaSi daklebas, diareas, saerTo sisustes. ultrabgeriTi kvleviT RviZlis qsovilSi fiqsirdeba didi zois cistozuri warmonaqmni. kaconis cda dadebiTia. savaraudo diagnozia: \\\ RviZlis retenciuli cista \\ RviZlis eqinokokozi \\\ RviZlis hemangioma \\\ RviZlis kibo \\\ RviZlis cirozi \\\\ romeli debulebaa marTebuli RviZlis araparazitul cistasTan mimarTebaSi? \\ cista Signidan amofenilia kuburi an cilindruli epiTeliumiT \\\ cista amofenilia brtyelujredovani epiTelumiT \\\ cistas amomfeni apiTeluri qsovili ar gaaCnia \\\ cista yalibdeba travmis Semdeg \\\ kaconis cda dadebiTia \\\\ romeli debulebaa marTebuli RviZlis eqinokokTan mimarTebaSi? \\\ sixSiriT meore adgilzea filtvis eqinokokis Semdeg. \\\ kistis kedeli samSriania. \\\ Suamavali maspinZelia ZaRli. \\\ klinikuri mimdinareoba moicavs 4 stadias. \\ diagnostikisTvis gamoiyeneba lateqs-aglutinaciis reaqcia. \\\\ 58 wlis mamakacs ramodenime welia dadgenili aqvs RviZlis cirozis diagnozi. amJamad uCivis saerTo sisustes, umadobas, tkivils marjvena ferdqveSa midamoSi, wonaSi daklebas. aReniSneba asciti. savaraudo diagnozia: \\\ RviZlis eqinokokozi \\\ RviZlis araparazituli cista \\ RviZlis pirveladi kibo \\\ RviZlis hemangioma \\\ hepatoadenoma \\\\ 47 wlis mamakacs ramodenime welia dadgenili aqvs RviZlis cirozis diagnozi. uCivis Zlier tkivils epigastriumSi. amJamad aReniSneba asciti.

karis vena proqsimalurad okluzirebulia postuli hipertenziis romel fomasTan gvaqvs saqme? \\ bad-hiaris sindromi \\\ RviZlSida forma \\\ RviZlgareTa forma \\\ Sereuli forma \\\ hiaris daavadeba \\\\ 54 wlis mamakacs ramodenime welia dadgenili aqvs RviZlis cistis diagnozi. amJamad aReniSneba sisxliani pirRebineba da melena. sisxldenis gamomwvevi mizezis dasadgenad romeli gamokvlevaa aucilebeli? \\\\ kompiteruli tomografia \\ ezofagogastrotuodenoskopia \\\ kolonoskopia \\\ celiakografia \\\ rentgenografia kontrastis gareSe \\\\ romeli niSani ar axasiaTebs portul hipertenzias? \\\ asciti; \\\ saylapavis venebis varikozuli gaganiereba; \\ megakoloni; \\\ RviZlis venebis Tromboflebiti; \\\ splenomegalia; \\\\ portuli hipertenziis romel formas miekuTvneba bad-hiaris sindromi? \\ RviZlzeda bloki; \\\ Sereuli bloki; \\\ RviZlSiga bloki; \\\ RviZlqveda bloki; \\\ arcerTi CamoTvlilTagan; \\\\ portuli hipertenziis dros blekmoris zondis gamoyenebis mizans Seadgens: \\\ peritoneumis Rrus drenireba ascituri siTxis evakuaciis mizniT; \\\ RviZlis Trombozuli venebis rekanalizacia; \\\ Trombozuli karis venis rekanalizacia; \\ saylapavis varikozulad gaganierebili venebidan sisxldenis SeCereba; \\\ CamoTvlilTagan arcerTi; \\\\ sanaRvle gzebis paTologiebis dros romeli gamokvlevis meTodia yvelaze informatiuli: \\\ peroraluri qolecistografia; \\\ muclis Rrus mimoxilviTi rentgenografia; \\ eqoskopia; \\\ intravenuri qolecistografia; \\\ irigografia; \\\\ fateris dvrili mdebareobs: \\\ naRvlis buStis yelis midamiSi;

\\\ naRvlis buStis sadinarsa da qoledoqusis SeerTebis midamoSi; \\\ RviZlis marjvena da marcxena sadinrebis SeerTebis midamoSi; \\ qoledoqusis distalur midamoSi; \\\ RviZlSiga sadinarSi; \\\\ qoledoqusis distaluri ubanSi ganTavsebulia: \\\ luSkas sadinari; \\ odis sfinqteri; \\\ liutkensis sfinqteri; \\\ heisteris sarqvelebi; \\\ rokitansk-aSofis sinusebi; \\\\ naRvlkenWovani kolikis dros Zlieri tkivili gamowveulia: \\\ naRvlis buStis kedlebis anTebadi SeSupebiT; \\\ naRvlis saerTo sadinarSi wnevis momatebiT; \\ naRvlis buStis sadinris daxSobiT kenWiT; \\\ glisonis kafsulis gaWimviT; \\\ RviZlSida sanaRvle gzebSi naRvlis SegubebiT; \\\\ naRvlis buStis empiema aris: \\ naRvlis buStis SigTavsis daCirqeba naRvlis buStis sadinris daxSobis dros; \\\ naRvlis buStSi `TeTri~ naRvelis dagroveba; \\\ naRvlis buStis kedlis serozuli anTeba; \\\ naRvlis saerTo sadinris kenWiT daxSoba; \\\ `silis saaTis~ formis naRvlis buSti; \\\\ qolangitisTvis ar aris damaxasiaTebeli: \\\ simZime da yru xasiaTis tkivili marjvena ferdqveSa areSi; \\\ Semcivneba; \\\ siyviTle; \\\ heqtiuri cxeleba; \\ subfebriliteti; \\\\ qoledoqoliTiazis fonze ganviTarebuli obstruqciuli (meqanikuri) siyviTlisTvis damaxasiaTebeli ar aris: \\\ tkivili marjvena ferdqveSa midamoSi da epigastriumSi; \\\ qavili; \\ melena; \\\ ludisferi Sardi; \\\ proTrombinis raodenobis Semcireba sisxlSi; \\\\ meqanikuri siyviTlis ganviTarebis mizezia: \\\ neRvlis buStis sadinris kenWiT daxSoba; \\\ mwvave destruqciuli kenWovani qolecistiti; \\\ qolangiti; \\ naRvlis saerTo sadinris kenWiT daxSoba; \\\ yvela pasuxi sworia; \\\\ naRvlis buSti mdebareobs: \\ RviZlis marjvena da kvadratuli wilebis sazRvarze;

\\\ RviZlis marcxena da kaudaluri wilebis sazRvarze; \\\ RviZlis marjvena da kaudaluri wilebis sazRvarze; \\\ RviZlis kaudaluri da kvadratuli wilebis sazRvarze; \\\ RviZlis marjvena da marcxena wilebis sazRvarze; \\\\ kalos samkuTxedi iqmneba Semdegi anatomiuri warmonaqmnebisagan: \\\ naRvlis buStis arteria, naRvlis buStis sadinari, naRvlis saerTo sadinari; \\ naRvlis buStis arteria, naRvlis buStis sadinari, RviZlis sadinari; \\\ naRvlis buStis sadinari, naRvlis saerTo sadinari, karis vena; \\\ naRvlis buStis arteria, naRvlis saerTo sadinari, karis vena; \\\ RviZlis sakuTari arteria, naRvlis buStis arteria, karis vena; \\\\ sanaRvle gzebis daavadebaTa diagnostikaSi ar gamoiyeneba: \\\ endoskopiuri retrograduli qolangiopankreatografia; \\\ transhepaturi qolecistoqolangiografia; \\ kavagrafia; \\\ ultrasonografia; \\\ kompiuteruli tomografia; \\\\ romeli daavadebis gamovlinebaa `qolecisto-kardialuri~ sindromi: \\\ kuWis kardialuri midamos wyluli; \\\ saylapavis kardialuri nawilis kibo; \\\ kardiospazmi; \\ naRvelkenWovani daavadeba; \\\ mwvave pankreatiti; \\\\ avadmyofs qronikuli kalkulozuri qolecistitis gamo ukeTdeba operacia. operaciis dros nanaxi iqna gaganierebuli naRvlis saerTo sadinari. intraoperaciulad romel gamokvlevas TvliT saWirod? \\\ fibroezofagogastroduodenoskopia; \\\ celiakografia; \\\ portografia; \\ qolangiografia; \\\ irigografia; \\\\ avadmyofs qolecisteqtomiis Semdeg 3-dReSi ganuviTarda siyviTle, intraoperaciulad gakeTebuli aqvs qolangiografia, romliTac nanaxi ar iqna paTologia, siyviTlis ganviTarebis yvelaze SesaZlo mizezia? \\\ parenqimuli siyviTle; \\\ hemolizuri siyviTle; \\\ naRvlis saerTo sadinris kenWiT daxSoba; \\ qoledoqusis iatrogenuli dazianeba; \\\ RviZlis cirozi; \\\\ 45 wlis qals awuxebs yru xasiaTis tkivili marjvena ferdqveSa midamoSi, iradiaciiT beWSi, gulisreva. ultrasonografiiT daudginda naRvlis buStSi kenWebis arseboba. sanaRvle gzebi paTologiuri cvlilebebis gareSea. Mmkurnalobis romeli meTodi unda SeirCes konkretulad am SemTxvevisaTvis? \\ laparoskopiuli qolecisteqtomia.

\\\ Ria qolecisteqtomia. \\\ endoskopuri papilosfinqterotomia. \\\ perkutaneuli qolecistostomia. \\\ qoleliTotrifsia. \\\\ romeli debulebaa marTebuli biliodigestiur fistulasTan mimarTebaSi? \\\ igi axlad ganviTarebuli naRvlkenWovani daavadebis garTulebaa. \\\ yvelaze xSiria qolecistogastraluri fistula. \\\ diagnostikis yvelaze informaciuli meTodia ultrasonografia. \\ xSirad rTuldeba nawlavTa obturaciuli gauvalobiT. \\\ ar axasiaTebs qolangiti. \\\\ 65 wlis qali uCivis mWrel-Wvalisebr, SeteviTi xasiaTis tkivils marjvena ferdqveSa midamoSi, iradiaciiT marjvena beWSi, gulisrevas, Rebinebas. ena sveli, dafarulia moTeTro nadebiT. marjvena ferdqveSa midamos palpaciiT aRiniSneba mkveTri mtkivneuloba. dadebiTia merfis, ortneris da mebiusis simptomebi. ra paTologia aReniSneba pacients? \\\ naRvlis buStis kibo \\ naRvelkenWovani daavadeba \\\ RviZlis eqinokokozi \\\ RviZlis hematoma \\\ RviZlis alveokokozi \\\\ 50 wlis qali uCivis simZimis SegrZnebas marjvena ferdqveSa areSi, romelic Zlierdeba Wamis Sendeg. areneSneba meteorizmi, cximiani sakvebis miRebis Semdeg faRaraTi, pirSi simwaris SegrZneba da gulZmarva. ultrasonografiiT RviZlSida da RviZlgareTa sanaRvle sadinarebis dilatacia ar vlindeba, naRvlis buSti deformulia, RruSi fiqsirdeba eqopozitiuri signalebi. ra paTologia aReniSneba pacients? \\\ pankreasis Tavis kibo \\\ mwvave flegmonuri qolecistiti \\ qronikuli pirveladi kalkuluri qolecistiti \\\ RviZlis aqtinomikozi \\\ qronikuli ukenWo qolecistiti \\\\ naRvelSi mikrofloris dabali virulentobisa da kenWebiT naRvlis buStis yelis an misi sadinaris daxSobis SemTxvevaSi kalkuluri qolecistitis romeli garTuleba viTardeba? \\\ qoledoqoliTiazi \\\ qolangiti \\\ qoledoqis terminaluri nawilis SexorcebiTi striqtura \\\ Sinagani bileodigestiuri xvrelmili \\\ naRvlis buStis wyalmanki \\\\ 53 wlis qals dausves rezidualuri qoledoqoliTiazis diagnozi. mkurnalobis romel meTods unda mieniWos prioriteti? \\\ Ria wesiT qoledoqotomia da kenWis amoReba. \\\ qoledoqoduodenoanastomozi. \\ endoskopuri papilosfinqterotomia. \\\ transkutaneuri transhepaturi stentireba.

\\\ qoledoqusis nazobiliaruli drenireba. \\\\ qoledoqis striqturis dros, romelsac Tan axlavs qolangitisa da meqanikuri siyviTlis klinikuri suraTi, mkurnalobis saukeTeso meTodia: \\\ konservatuli Terapia \\\ qoledoqoduodenoanastomozis formireba \\\ qoledoqis gareTa drenireba keris meTodiT \\ qoledoqoenteroanastomozi rus SerTuliT \\\ hepatostomia \\\\ qoledoqoliTiazis, siyviTlisa da qolangitis dros avadmyofi saWiroebs: \\\ gastroenterologiaSi saswrafo konservatul Terapias \\\ saswrafo gadaudebel operacias \\ sanaRvle gzebis saswrafo miniinvaziur dekompresias \\\ gegmiur operacias \\\ qirurgiul stacionarSi konservatul Terapias da dinamiur dakvirvebas \\\\ ra intervaliT ganviTardeba siyviTle, Tu qolecisteqtomiis dros SemTxveviT gadaikvanZa naRvlis saerTo sadinari? \\\ dauyovnebliv \\\ 1 saaTSi \\\ 3 saaTis ganmavlobaSi \\ me-2-3 dRes \\\ 1 kviris Semdeg \\\\ avadmyofi uCivis Zlieri intensivobis tkivils marjvena ferdqveSa areSi, Semcivnebas, temperaturis momatebas 40-41 gradusamde, kanisa da xiluli lorwovani garsebsi iqterobas. gamokvleviT aRiniSneba marjvena ferdqveSa midamos mtkivneuloba, muclis kunTebis gamoxatuli daWimuloba. ra paTologia aReniSneba pacients? \\\ qoledoqoliTiazi \\ mwvave Cirqovani qolangiti \\\ qronikuli masklerozirebeli qolangiti \\\ mwvave ukenWo qolecistiti \\\ naRvlis buStis wyalmanki \\\\ RviZlismier siyviTles iwvevs: \\\ hemolizuri Sxamebi \\\ hemolizuri anemia \\\ qoledoqoliTiazi \\ virusuli hepatitis \\\ fateris dvrilis stenozi \\\\ 50 wlis qals awuxebs mudmivi intensiuri tkivili marjvena ferdqveSa midamoSi, romelic gadaecema marjvena beWSi, gulisreva, Rebineba, romelic ar aZlevs Svebas. aRniSnuli movlenebi daewyo didi raodenobiT cximiani sakvebis miRebis Semdeg. ramodenime welia periodulad aRniSnavs yru tkivils marjvena ferdqveSa midamoSi. palpaciiT marjvena ferdqveSa areSi gamoxatulia kunTTa umniSvnelo

daWimuloba da mtkivneuloba. Pperitoneumis gaRizianebis niSnebi uaryofiTia. Ppirvel rigSi romeli gamokvleva unda Cautardes pacients? \\\ ezofagogastroduodenofibroskopia. \\ ultrabgeriTi gamokvleva. \\\ kompiuteruli tomografia. \\\ birTvul-magnitur-rezonansuli tomografia. \\\ endoskopuri retrograduli qolangiopankreatografia. \\\\ 48 wlis qals ramodenime welia aqvs qronikuli kenWovani qolecistiti. meoTxe dRea uCivis tkivils marjvena ferdqveSa midamoSi, gamoixata siyviTle. Sardi muqi ludisferia. ultrabgeriTi kvleviT sanaRvle gzebi dilatirebulia. qoledoqusSi fateris dvrilTan 1,0X1,0sm zomis kenWis Crdilia. mkurnalobis romeli meTodia mizanSewonili? \\\ Ria qolecisteqtomia \\\ laparoskopiuli qolecisteqtomia \\ endoskopiuri papilospinqterotomia \\\ konservatiuli Terapia \\\ qoledoqoliTotomia, qoledoqusis drenirebiT. \\\\ 62 wlis mamakacs aReniSneba siyviTle, romelic ganuviTarda erT RameSi. uCivis tkivilis arsebobas, epigastriumSi, siyviTlis mizezis dasadgenad pirvel rigSi romel gamokvlevas gaakeTebdiT? \\\ kompiuteruli tomografia \\ ultrabgeriTi gamokvleva \\\ ezofagogastroduodenoskopia \\\ birTvul-magnitur-rezonansuli tomografia \\\ transkutaneuli-transhepaturi qolangiografia \\\\ 50 wlis qals awuxebs mudmivi intensiuri tkivili marjvena ferdqveSa midamoSi, romelic gadaecema marjvena beWSi, gulisreva, Rebineba, romelic ar aZlevs Svebas. aRniSnuli movlenebi daewyo didi raodenobiT cximiani sakvebis miRebis Semdeg. ramodenime welia periodulad aRniSnavs yru tkivils marjvena ferdqveSa midamoSi. palpaciiT marjvena ferdqveSa areSi gamoxatulia kunTTa umniSvnelo daWimuloba da mtkivneuloba. Pperitoneumis gaRizianebis niSnebi uaryofiTia. ultrabgeriTi gamokvleviT nanaxia naRvlis buStSi sxvadasxva zomis kenWebi, naRvlis saerTo sadinris diametri 5mm-ia. mkurnalobis romel meTodia naCvenebi? \\\ konservatiuli. \\\ Ria qolecisteqtomia. \\ laparoskopiuli qolecisteqtomia. \\\ Ria qolecisteqtomia, qoledoqotomia da naRvlis saerTo sadinris drenireba keris drenaJiT. \\\ endoskopuri papilosfinqterotomia. \\\\ 45 wlis qals, romelsac ramodenime welia dadgenili aqvs qronikuli kenWovani qolecistitis diagnozi, ramodenime dRea awuxebs tkivilis gaZliereba marjvena ferdqveSa midamoSi. Aamas Tan daerTo kanis da sklerebis siyviTle, muqi mowiTalo feris Sardis da TeTri feris ganavlis arseboba. muceli palpaciiT rbilia, mtkivneulia marjvena

ferdqveSa midamo, peritoneumis gaRizianebis niSnebi uaryofiTia. ultrabgeriTi gamokvleviT naRvlis buStSi nanaxia sxvadasxva zomis kenWebi. RviZlSida da RviZlgareTa sanaRvle gzebi dilatirebulia. naRvlis saerTo sadinris terminalur nawilSi, fateris dvrilTan fiqsirdeba 1×0,7sm zomis kenWis Crdili. mkurnalobis romeli meTodi unda iqnas gamoyenebuli pirvel rigSi? \\\ konservatuli. \\\ Ria qolecisteqtomia. \\\ laparoskopiuli qolecisteqtomia. \\\ Ria qolecisteqtomia, qoledoqotomia, qoledoqusis drenireba keris drenaJiT. \\ endoskopuri papilosfinqterotomia. \\\\ rogorc wesi, romeli daavadeba ar iwvevs meqanikur siyviTles? \\\ qoledoqoliTiazi. \\\ sanaRvle sadinrebis striqtura. \\\ pankreasis Tavis kibo. \\ Tormetgoja nawlavis wylulovani daavadeba. \\\ fateris dvrilis stenozi. \\\\ siyviTlis SemTxvevaSi misi meqanikuri genezis dasadgenad, romeli gamokvleva unda gakeTdes pirvel rigSi? \\\ ezofagogastroduodenofibroskopia. \\\ kompiuteruli tomografia. \\\ birTvul-magnitur-rezonansuli tomografia. \\ ultrabgeriTi gamokvleva. \\\ endoskopuri retrograduli qolangiopankreatografia. \\\\ qolecisteqtomiis Semdgomi siyviTlisa da qoledoqis rezidualuri kenWis SemTxvevaSi umjobesia: \\\ laparotomiuli midgomiT qoledoqotomia, kenWis amoReba da qoledoqis SigniTa an gareTa drenireba; \\\ laparoskopiulad kenWis amoReba da drenireba; \\ duodenoskopiiT-papilospinqterotomia da kenWis amoReba; \\\ konservatiuli mkurnaloba naRvelmdenebiTa da antispazmuri saSualebebiT; \\\ transkutaneuli qolangiostomia \\\\ 54 wlis qals awuxebs tkivili marjvena ferdqveSa midamoSi, gulisreva, Rebineba, romelic ar iZleva Svebas. aRniSnuli movlenebi daewyo cximiani sakvebis miRebis Semdeg. romeli gamokvleva unda Cautardes pacients upirveles yovlisa? \\\ retrograduli qolangiografia \\\ kompiuteruli tomografia \\ ultrabgeriTi kvleva \\\ ezofagogastroduodenoskopia \\\ birTvul-magnitur-rezonansuli tomografia \\\\ 68 wlis qals ramodenime dRea awuxebs tkivili marjvena ferdqveSa midamoSi. aseve gamoixata kanis da sklerebis siyviTle. Sardi gaumuqda da ganavali TeTri feris aqvs.w arsulSi dadgenili aqvs naRvlis buStSi

kenWebis arseboba. ultrabgeriTi kvleviT sanaRvle gzebi dilatirebulia. siyviTlis genezis dasadgenad upirvelesad romeli kvleva unda gakeTdes? \\\ ezofagogastroduodenoskopia \\\ ganmeorebiTi ultrabgeriTi kvleva \\\ kompiuteruli tomografia \\ retrograduli qolngiopankreatografia \\\ birTvul-magnitur-rezonansuli tomografia \\\\ naRvl-kenWovani daavadebisas upiratesad da yvelaze xSirad konkrementi sad fiqsirdeba? \\\ RviZlSida sanaRvle gzebSi \\\ marjvena RviZlis sadinarSi \\\ marcxena RviZlis sadinarSi \\\ naRvlis saerTo sadinarSi \\ naRvlis buStSi \\\\ 49 wlis mamakacs aReniSneba tkivili marjvena ferdqveSa midamoSi da epigastriumSi. gamoxatulia kanis da sklerebis siyviTle. ultrabgeriTi kvleviT RviZlSida da RviZlgareTa sanaRvle gzebi dilatirebulia. naRvlis saerTo sadinarSi, fateris dvrilTan fiqsirdeba konkrementi zomiT 0,8X0,8 sm. mkurnalobis romeli meTods eniWeba upiratesoba? \\\ Ria qoletisteqtomia, qoledoqoliTotomia, qoledoqusis drenireba \\\ laparaskopiuri qolecisteqtomia \\\ Ria qolecisteqtomia \\\ qoledoqoieiunoanastomozi \\ endoskopiuri papilospinqterotomia \\\\ CamoTvlilTagan romeli daavadeba iwvevs meqanikur siyviTles? \\\ qronikuli ukenWo qolecistiti \\ qoledoqoliTiazi \\\ qronikuli kenWovani qolecistiti \\\ Tormetgoja nawlavis wylulovani daavadeba \\\ naRvlis buStis wyalmanki \\\\ qolecisteqtomiidan 24 saaTSi 50 wlis pacient qals ganuviTarda Soki, romeli tipis Sokia ufro metad savaraudo ? \\\ endotoqsiuri \\ hemoragiuli (hemoperitoneumi) \\\ kardiogenuli (gulis infarqti) \\\ anafilaqsiuri \\\ hemolizuri

\\\\ pankreasis kveba ar xorcieldeba: \\\ gastroduodenuri arteriiT; \\\ pankreatoduodenuri arteriiT; \\ jorjlis qvemo arteriiT; \\\ jorjlis zemo arteriiT; \\\ elenTis arteriiT;

\\\\ pankreasi gamoimuSavebs fermentebs araaqtiuri saxiT e.w. profermentebs: trifsinogens, qimotrifsinogens, zimogens. maTi moqmedeba aqtiurdeba nawlavebSi fermentis moqmedebiT. CamoTvlilTagan romelia es fermenti? \\\ amilaza; \\\ lipaza; \\\ fosfolipaza A; \\\ karboqsipeptidaza; \\ enterokinaza. \\\\ romeli ar miekuTvneba pankreasis fermentebs: \\\ lipaza; \\\ trifsini; \\\ amilaza; \\ insulini; \\\ qimotrifsini; \\\\ pankreasis gamokvlevis romeli meTodia yvelaze naklebinformaciuli: \\\ ultrabgeriTi skanireba; \\\ kompiuteruli tomografia; \\\ retrograduli qolangiopankreatografia; \\\ seleqciuri angiografia; \\ muclis Rrus mimoxilviTi rentgenografia \\\\ meqanikuri siyviTle ar viTardeba: \\\ qronikuli induraciuli pankreatitis dros; \\\ pankreasis Tavis kibos dros; \\ qronikuli hepatitis dros; \\\ fateris dvrilis simsivnis fonze; \\\ qoledoqoliTiazis dros; \\\\ qronikuli pankreatitis romeli forma ar arsebobs? \\\ fsevdokistozuri pankreatiti; \\ hemoragiuli pankreatiti; \\\ fsevdotumoruli pankreatiti; \\\ induraciuli pankreatiti; \\\ kalkulozuri pankreatiti; \\\\ romeli gamokvlevis meTodi ar gamoiyeneba qronikuli pankreatitis diagnostikis mizniT? \\\ celiakografia; \\\ eqoskopia; \\ splenoportografia; \\\ kompiuteruli tomografia; \\\ endoskopiuri retrograduli qolangiopankreatografia; \\\\ romeli sindromi SeiZleba ganviTardes qronikuli induraciuli pankreatitis dros? \\\ horneris; \\ kurvazies; \\\ melori-veisis;

\\\ bad-hiaris; \\\ rovzingis sindromi; \\\\ uxSiresad pankreasis kibo lokalizebulia? \\\ sxeulSi; \\\ kudSi; \\ TavSi; \\\ totaluri formisaa; \\\ yvela lokalizaciis kibo erTnairi sixSiriT gvxvdeba; \\\\ pankreasis Tavis kibos dros SeiZleba ganviTardes: \\\ pankreonekrozi; \\\ Cirqovani pankreatiti; \\\ 12-goja nawlavis wylulovani daavadeba; \\ meqanikuri siyviTle; \\\ hemoragiuli pankreatiti; \\\\ pankreasis Tavis kibos dros paliatiur operacias warmoadgens: \\\ pankreasis distaluri rezeqcia; \\\ hemipankreateqtomia; \\\ pankreateqtomia; \\\ pankreatoduodenaluri rezeqcia; \\ qolecistoieiunoanastomozi; \\\\ pankreasis Tavis kibos damaxasiaTebeli simptomia: \\\ meio-robsonis; \\ kurvazies; \\\ koxeris; \\\ Stelvagis; \\\ ortneris; \\\\ qronikuli pankreatitis diagnostirebisatvis kvlevis ZiriTadi meTodia: \\ retrograduli qolangiopankreatografia \\\ fibrogastroskopia \\\ ultrasonografia \\\ laparaskopia \\\ muclis Rrus mimoxilviTi rentgenoskopia \\\\ qronikuli pankreatitis klinikuri gamovlinebis simptoms ar warmoadgens: \\\ tkivilis sindromi; \\\ steatorea; \\\ Saqriani diabeti; \\\ meqanikuri siyviTle; \\ disfagia; \\\\ CamoTvlilTagan, romeli daavadeba ar uwyobs xels qronikuli pankreatitis ganviTarebas \\\ qronikuli alkoholizmi; \\\ naRvlkenWovani daavadeba;

\\\ kuW-nawlavis traqtis qronikuli daavadebebi; \\\ gadatanili mwvave pankreatiti; \\ qronikuli paraproqtiti; \\\\ romeli operacia ar keTdeba pankreasis cistebis dros: \\ cistokolostomia; \\\ idealuri cisteqtomia; \\\ cistis SigniTa drenireba; \\\ cistis gareTa drenireba; \\\ cistoieiunostomia; \\\\ romeli debulebaa marTebuli qronikul pankreatitTan mimarTebaSi? \\\ arasodes aRiniSneba virzungoliTiazi. \\ SeiZleba garTuldes meqanikuri siyviTliT. \\\ ZiriTadi simptomia Sekruloba. \\\ diagnostikis ZiriTadi meTodia muclis Rrus mimoxilviTi rentgenografia. \\\ mkurnalobis sqemaSi ar unda gamoviyenoT pankreasis fermentebi. \\\\ 54 wlis mamakaci uCivis gulisrevas da tkivils epigastriumSi. wel-zurgSi sartylisebri tkivilic aqvs. palpaciiT muceli rbilia, mtkivneulia epigastriumSi. sisxlSi momatebulia lipaza. savaraudo diagnozia: \\ qronikuli pankreatiti \\\ qronikuli gastriti \\\ kuWis wylulovani daavadeba \\\ pankreasis kibo \\\ pankreasis cista \\\\ 61 wlis mamakacs aqvs saerTo sisuste, gulisreva, simZimis SegrZneba epigstriumSi. me-5 dRea SeamCnia kanisa da sklerebis siyviTle, Sardi muqi ludisferi aqvs, ganavali ki TeTri feris. ultrabgeriT pankreasi zomaSi momatebulia da aqvs uswormasworo konturebi, eqogenoba daqveiTebulia. savraudo diagnozia: \\\ fateris dvrilis kibo \\ pankreasis Tavis kibo \\\ pankreasis Tavis cista \\\ qronikuli pankreatiti \\\ mwvave pankreatiti \\\\ 46 wlis qalma mogmarTaT CivilebiT zogad saerTo sisusteze, umadobaze, wonaSi daklebaze, momarTvamde ramodenime dRiT adre ganuviTarda siyviTle kansa da xilul lorwovan garsebze. gasinjvisas muceli palpaciiT rbili, umtkivneulo, peritoneumis gaRizianebis niSnebi ar vlindeba. isinjeba gadidebuli, umtkivneulo naRvlis buSti. eqoskopiurad: naRvlis buSti gadidebulia, RruSi konkrementebs ar Seicavs, pankreasis Tavi zomebSi momatebulia. romeli daavadebisTvis aris damaxasiaTebeli aRniSnuli simptomokompleqsi? \\\ RviZlis ameburi abscesi; \\\ pankreasis cista; \\ pankreasis Tavis kibo;

\\\ qronikuli kalkulozuri pankreatiti; \\\ qoledoqoliTiazi; \\\\ 50 wlis qali uCivis tkivils epigastriumis areSi, dispefsiur movlenebs, yabzobisa da faRaraTis monacvleobas. koprologiuri kvlevit vlindeba steatorea da kreatorea. ra paTologia aReniSneba pacients? \\\ mwvave pankreatiti \\ qronikuli pankratiti \\\ Tormetgoja nawlavis wylulovani daavadeba \\\ kolinjis RviZlis kuTxis kibo \\\ qronikuli kenWovani qolecistiti \\\\ 60 wlis mamakaci uCivis mudmiv, yru xasiaTis tkivils epigastriumis areSi, romelic iradirebs zurgSi. inspeqciiT gamoxatulia siyviTle, dadebiTia kurvazies simptomi, ganavali aqoliuria ,Sardi muqi ludisferi. ra paTologia aReniSneba pacients? \\\ pankreasis sruli gareTa xvrelmili \\\ mwvave pankreatiti \\ pankreasis Tavis kibo \\\ kuWis wylulovani daavadeba \\\ kronis daavadeba \\\\ romel saxeobas miekuTvneba pankreasis kistebi, romlebic warmoiqmneba misi qsovilisa da gamomtani sadinrebis ganviTarebis mankebis Sedegad? \\ Tandayolils \\\ retenciuls \\\ degeneraciuls \\\ proliferaciuls \\\ aprazituls \\\\ pankreasis romeli xvrelmilisaTvisaa damaxasiaTebeli dRe-RameSi 1-1,5 l. pankreasis wvenis gamoyofa kanze? \\\ arasruli gareTa \\ sruli gareTa \\\ arasruli SigniTa \\\ sruli SigniTa \\\ kuWTan dakavSirebuli \\\\ pankreasis kistebis mkurnalobis meTodia: \\\ fizioTerapiuli \\\ medikamenturi \\ qirurgiuli \\\ homeopaTiuri \\\ fsiqoTerapiuli \\\\ 55 wlis qals awuxebs yru, sartyliseburi tkivili epigastriumSi, romelic Zlierdeba cximiani sakvebis miRebis Semdeg, gulisreva, yabzobisa da faRaraTis monacvleoba. avadaa ramodenime welia. aRniSnuli movlenebi daewyo mwvave pankreatitis gadatanis Semdeg.

palpaciiT muceli rbilia, mcired mtkivneulia epigastriumis midamo. peritoneumis gaRizianebis niSnebi uaryofiTia. savaraudo diagnozia: \\\ pankreasis kibo. \\\ pankreasis kista. \\ qronikuli pankreatiti. \\\ qronikuli gastriti. \\\ Tormetgoja nawlavis wylulovani daavadeba. \\\\ romeli debulebaa marTebuli pankreasis kistebTan mimarTebaSi? \\ cru kistis kedlebi Signidan dafarulia granulaciuri qsoviliT. \\\ WeSmarit kistebs miekuTvneba Tandayolili, retenciuli da degeneraciuli kistebi. \\\ WeSmariti kistebi, rogorc wesi aRweven did zomebs. \\\ WeSmariti kistebi viTardeba mwvave pankreonekrozis Semdeg. \\\ diagnostikis maRalinformaciuli meTodia muclis Rrus mimoxilviTi rentgenografia. \\\\ romeli debulebaa marTebuli qronikul pankreatitTan mimarTebaSi? \\\ daavadebas gaaCnia sami klinikur-morfologiuri forma. \\\ daavadebis dros arasodes viTardeba meqanikuri siyviTle. \\\ trifsinis da lipazis koncentracia Tormetgoja nawlavis SigTavsSi momatebulia. \\\ diagnostikis maRalinformaciuli meTodia muclis Rrus mimoxilviTi rentgenografia. \\ mkurnalobis ZiriTadi meTodi konservatulia. \\\\ avadmyofi uCivis tkivils epigastriumsa da orive ferdqveSa areSi, gamoxatul subiqteruss, tkivili yru xasiaTisaa da sartyliseburia. aRnuSnavs wonaSi mkveTr daklebas. aqvs dispefsiuri movlenebi, yabzobas xSirad cvlis diarea. savaraudo diagnozia: \\\ kronis daavadeba \\ qronikuli pankreatiti \\\ Tormetgoja nawlavis wylulovani daavadeba \\\ qronikuli kalkuluri qolecistiti \\\ qronikuli koliti \\\\ pankreasis SeZenili retenciuli kistis ganviTarebis mizezia: \\ pankreasis sadinaris striqtura \\\ pankreasis qsovilis travmuli dazianeba \\\ pankreasis kibo \\\ insulinoma \\\ pankreasis intraoperaciuli travma \\\\ 65 wlis mamakacs ramodenime Tvea awuxebs simZimis SegrZneba sakvebis miRebis Semdeg epigastriumSi, saerTo sisuste, gulisreva. Mme-6 dRea SeamCnia kanis da sklerebis siyviTle, muqi mowiTalo feris Sardi da TeTri feris ganavali. Mmuceli palpaciiT rbilia, Mmcired mtkivneuli marjvena ferdqveSa midamo. muclis Rrus ultrabgeriTi gamokvleviT – pankreasis Tavi zomaSi momatebuli, uswormasworo konturebiT, daqveiTebuli eqogenobis, hipervaskularizebuli. savaraudo diagnozia: \\\ qronikuli induraciuli pankreatiti.

\\\ pankreasis Tavis kista. \\\ qronikuli crusimsivnuri pankreatiti. \\ pankreasis Tavis kibo. \\\ fateris dvrilis kibo. \\\\ romeli debulebaa marTebuli pankreasis kibosTan mimarTebaSi? \\\ qalebi avaddebian ufro xSirad, vidre mamakacebi. \\ simsivne xSirad viTardeba pankreasis TavSi. \\\ daavadeba dasawyisSive xasiaTdeba tipiuri mravalferovani simptomebiT. \\\ diagnostikis ZiriTadi meTodia muclis Rrus mimoxilviTi rentgenografia. \\\ pankreasis sxeulis kibo, rogorc wesi rTuldeba meqanikuri siyviTliT. \\\\romeli mtkicebulebaa marTebuli pankreasis karcinomebis mimarT \\\ umravles SemTxvevebSi igi gamovlindeba mxolod siyviTliT \\\ kompiuteruli tomografia, angiografia da laparoskopia ar aris sakmarisi rezeqtabelurobis dasadgenad \\\ Tu pacients aqvs siyviTle rezeqciis warmoeba ar SeiZleba \\ pankresis kibos diagnozis dadgenis dros pacientebis 99%-s aReniSnebaT metastazebi \\\ pankreatoduodenuri rezeqciis Semdeg avadmyofebis 30-40%-is sicocxlis xangrZlivoba 5 welze metia \\\\romeli mtkicebulebaa marTebuli pankreasis adenokarcinomebis mimarT \\\ isini uxSiresad lokalizebulia pankreasis sxeulSi \\\ pacientebis 1-2%-Si sicocxlis xangrZlivoba aRwevs 5 wels \\\ simsivne ararrezeqtabeluria, Tu mas Tan axlavs mtkivneuloba da siyviTle \\ misi rezeqcia SesaZlebelia Tu simsivne lokalizebulia pankreasis sxeulsa da kudSi da ar vrceldeba saerTo sanaRvle sadinarze \\\ is uxSiresad asocirebulia uSaqro diabetTan \\\\pacientebs, romlebsac CautardaT totaluri pankreateqtomia SeiZleba ganuviTardes \\ Saqriani diabeti \\\ hiperkalcemia \\\ hiperfosfatemia \\\ yabzoba \\\ wonis swrafi mateba \\\\pankreasis SeZenil kistebs ar miekuTvneba \\\ retenciuli kistebi \\\ degeneraciuli kistebi \\\ proliferaciuli kistebi \\ regeneraciuli kistebi \\\ parazituli kistebi \\\\pankreasis kistebidan romeli gvxvdeba uxSiresad \\\ Tandayolili dizontogenezuri kista

\\\ SeZenili retenciuli kista \\\ cistadenoma \\\ cistadenocarcinoma \\ fsevdokista \\\\ pankreasi gamoimuSavebs fermentebs araaqtiuri saxiT e.w. profermentebs: trifsinogens, qimotrifsinogens, zimogens. maTi moqmedeba aqtiurdeba nawlavebSi fermentis moqmedebiT. CamoTvlilTagan romelia es fermenti? \\\ amilaza; \\\ lipaza; \\\ fosfolipaza; \\\ karboqsipeptidaza; \\ enterokinaza. \\\\ Tu pacients aReniSneba saerTo sisuste, umadoba, wonaSi mkveTri dakleba, siyviTle, gamoxatulia kurvuazies simptomi, aseT pacients aqvs: \\ pankreasis Tavis simsivne; \\\ qronikuli pankreatiti; \\\ naRvelkenWovani daavadeba; \\\ Tormetgoja nawlavis wyluli garTulebuli pilorostenoziT; \\\ RviZlis cirozi. \\\\ CamoTvlilTagan upiratesad pankreasis romel daavadebas axasiaTebs meqanikuri siyviTlis ganviTareba? \\\ pankreasis fistula \\\ pankreasis cista \\\ qronikuli fsevdocisturi pankreatiti \\\ qronikuli kenWovani pankreatiti \\ qronikuli induraciuli pankreatiti \\\\ pankreasis cru cistebTan mimarTebaSi romeli debulebaa marTebuli? \\\ cru cistebi viTardeba pankreasis qsovilis da sadinrebis ganviTarebis anomaliis Sedegad. \\ cru cistebi viTardeba mwvave desqtruqciuli pankreatitis Sedegad \\\ cru cistebi Signidan amofenilia epiTeliumiT \\\ cistadenoma cru cistas warmoadgens \\\ cistadenokarcinoma cru cistas warmoadgens \\\\ pankreasis WeSmarit cistebTan mimarTebaSi romeli debulebaa marTebuli? \\ cisadenoma WeSmariti cistaa \\\ WeSmariti cista Signidan amofenilia granulaciuri qsoviliT \\\ WeSmariti cistebi Seadgens yvelanairi cistebis 80%-s \\\ WeSmariti cista viTardeba mwvave pankreatitis Sedegad \\\ WeSmariti cista viTardeba pankreasis travmis Sedegad \\\\ 68 wlis mamakacs ramodenime Tvea awuxebs yru xasiaTis tkivili epigastriumSi, gulisreva, saerTo sisuste. erTi kviraa, rac SeamCnia kanisa da sklerebis siyviTle muqi, mowiTalo feris Sardi da TeTri feris ganavali. ultrabgeriTi kvleviT pankreasis Tavi zomaSi

momatebulia. eqogenoba daqveiTebulia, hipervaskularizebulia. savarudo diagnozia: \\\ fsevdotumoruli pankreatiti \\ pankreasis Tavis kibo \\\ pankreasis Tavis cista \\\ qronikuli induraciuli pankreatiti \\\ pankreasis fistula \\\\ romeli debulebaa marTebuli pankreasis kibos histologiur SenebasTan mimarTebaSi? \\ yvelaze xSiria adenokarcinoma \\\ yvelaze xSiria cilindrulujredovani Senebis \\\ yvelaze xSiria alveoluri kibo \\\ yvelaze xSiria fibrozuli kibo \\\ yvelaze xSiria brtyelujredovani kibo \\\\ SearCieT optimaluri operacia pankreasis qronikuli cru kistebis mkurnalobisa|Tvis \\\ kistis gareTa drenireba \\ kistis Sida drenireba \\\ pankreateqtomia \\\ kistis amokveTa \\\ pankreasis kudis rezeqcia darCenili nawilis anastomozi nawlavTan

\\\\ pankreasis Tavis kibos gamo ganviTarebuli meqanikuri siyviTlis dros SeiZleba iyos yvela CamoTvlili simptomi garda \\\ gadidebuli naRvlis buSti \\ Zlieri tkivili daavadebis dasawyisisas \\\ metastazebi filtvebSi \\\ Tromboflebiti \\\ simsivne pankreasis TavSi \\\\ romelia marTebuli bronqoeqtaziur daavadebasTan mimarTebaSi? \\\ bronqoeqtazia SeiZleba iyos pirveladi, meoradi da mesameuli. \\\ gamoyofen bronqoeqtaziebis ganviTarebis or stadias. \\\ igi mwvave daavadebaa. \\ mas axasiaTebs TiTebis dolisebri da frCxilebis saaTis minisebri cvlilebebi. \\\ bronqografia diagnostikis dabalinformaciuli meTodia.

\\\\ romeli ar aris marTebuli filtvis eqinokokTan mimarTebaSi? \\\ sixSiriT igi me-2 adgilzea RviZlis Semdeg. \\\ daavadebis ZiriTadi simptomebia: tkivili, xvela, qoSini. \\ diagnostikis ZiriTadi meTodia bronqofibroskopia. \\\ laboratoriuli diagnostikidan gamoiyeneba lateqs-aglutinaciis reaqcia. \\\ mkurnalobis ZiriTadi meTodi qirurgiulia.

\\\\ filtvis periferiuli kibos romeli forma ar arsebobs? \\\ wilSida. \\ diafragmuli.

\\\ subplevruli. \\\ Rrus forma. \\\ miliaruli. \\\\ filtvis centraluri kibos diagnostirebisaTvis romeli meTodia yvelaze nakleb informaciuli? \\ ultrabgeriTi gamokvleva. \\\ rentgenologiuri gamokvleva. \\\ bronqofibroskopia. \\\ kompiuteruli tomografia. \\\ citologiuri. \\\\ romel daavadebasTan ar unda gatardes diferencialuri diagnozi filtvis kibos dros? \\\ qronikuli pnevmonia. \\\ filtvis kista. \\\ filtvebis tuberkulozi. \\\ Suasayaris simsivne. \\ cenkeris divertikuli. \\\\ romeli niSani ar aris damaxasiaTebeli filtvis mwvave abscesisTvis? \\\ xvela; \\\ temperaturis momateba; \\ leikopenia; \\\ oflianoba; \\\ tkivili gulmkerdis areSi; \\\\ filtvis abscesis fonze SigTavsis evakuacias upiratesad adgili aqvs: \\ bronqSi; \\\ saylapavSi; \\\ subdiafragmul sivrceSi; \\\ perikardiumSi; \\\ mediastinumSi; \\\\ romeli diagnostikuri meTodi ar gamoiyeneba filtvebis daavadebis dros? \\\ gulmkerdis rentgenografia; \\\ kompiuteruli tomografia; \\\ bronqoskopia; \\ kolposkopia; \\\ gulmkerdis rentgenoskopia; \\\\ romeli preparatebi gamoiyeneba filtvis abscesis mkurnalobis mizniT? \\\ vitaminebi; \\\ antibiotikebi; \\ yvela CamoTvlili; \\\ dezintoqsikaciuri preparatebi; \\\ cilis Semcvleli xsnarebi;

\\\\ bronqoeqtaziuri daavadeba aris: \\\ bronqebis anTebiTi Seviwroveba; \\\ bronqebis simsivnuri obstruqcia; \\ bronqebis paTologiuri gaganiereba; \\\ bronqebis Cirqovani anTeba; \\\ bronqebis sisxlZarRvebis Trombozi; \\\\ 70 wlis mamakacs awuxebs xvela sisxliani naxveliT, RamiT oflianoba, wonaSi dakleba. 45 welia eweva sigarets. romeli gamokvleva mogcemT yvelaze srul informacias aqvs Tu ara pacients filtvis kibo? \\\ gulmkerdis rentgenografia. \\\ naxvelis morfologiuri gamokvleva. \\\ mediastinoskopia. \\ gulmkerdis kompiuteruli tomografia. \\\ bronqofibroskopia. \\\\ bronqoeqtaziuri daavadebis mkurnalobis operaciuli meTodebia: \\\ lobeqtomia; \\\ bilobeqtomia; \\\ segmenteqtomia; \\\ pulmoneqtomia; \\ yvela pasuxi sworia; \\\\ Cirqovani plevriti ganviTarebis mizezi SeiZleba iyos: \\\ subdiafragmuli abscesi; \\\ Cirqovani perikarditi; \\\ Cirqovani mediastiniti; \\ yvela pasuxi sworia; \\\ mwvave pnevmonia; \\\\ Cirqovani plevritis romeli forma ar arsebobs? \\\ metapnevmonuri; \\\ parapnevmonuri; \\\ pirveladi; \\\ meoradi; \\ universaluri; \\\\ plevris empiemis romeli forma ar arsebobs? \\\ bazaluri; \\\ wilTaSua; \\ induraciuli; \\\ mediastinuri; \\\ apikaluri; \\\\ romeli niSani ar axasiaTebs Cirqovan plevrits? \\ auskultaciiT filtvis xmianobis mkveTri gaZliereba; \\\ perkusiiT moyrueba; \\\ rentgenologiurad daCrdilva; \\\ taqipnoe; \\\ auskultaciiT filtvis xmianobis mkveTri Sesusteba;

\\\\ romeli meTodi ar gamoiyeneba Cirqovani plevritis mkurnalobis dros? \\\ plevris punqcia; \\\ plevris Rrus drenireba; \\\ dezintoqsikaciuri Terapia; \\\ antibiotikoTerapia; \\ pulmoneqtomia; \\\\ romeli diagnostikuri meTodi aris CamoTvlilTagan yvelaze naklebinformaciuli Cirqovani plevritis dros: \\\ plevris punqcia; \\ bronqoskopia; \\\ rentgenologiuri gamokvleva; \\\ kompiuteruli tomografia; \\\ yvela CamoTvlili meTodi maRalinformaciulia; \\\\ filtvis eqinokokis mkurnalobis Tanamedrove meTodebia: \\\ sxivuri Terapia; \\ operacia; \\\ qimioTerapia; \\\ imunoTerapia; \\\ antibiotikoTerapia; \\\\ romel daavadebaTa jgufs miekuTvneba filtvis eqinokokozi; \\\ anTebiT daavadebebs; \\ parazitul daavadebebs; \\\ dishormonul daavadebebs; \\\ ulcerogenul daavadebebs; \\\ keTilTvisebia simsivnur daavadebebs; \\\\ filtvis kibos formebia: \\ periferiuli; \\\ wilTaSua; \\\ intersticiuli; \\\ mediastinuri; \\\ papilaruli; \\\\ pankostas simsivne lokalizebulia: \\ filtvis mwvervalze; \\\ filtvis qveda wilSi; \\\ bazalur lateralur segmentSi; \\\ bazalur dorzalur segmentSi; \\\ medialur segmentSi; \\\\ romeli niSani ar axasiaTebs pankostas simsivnes? \\\ tkivili winamxris areSi; \\ tkivili mkerdis Zvlis ukan; \\\ kiduris SeSupeba; \\\ horneris simptomi; \\\ miozi;

\\\\ 44 wlis mamakacs, romelic misdevs mesaqonleobas, me-3 Tvea awuxebs tkivili gulmkerdis marjvena naxevarSi, mSrali xvela. simptomebi daewyo ramodenime Tvea. auskulaciiT _ marjvniv qveda wilSi Sesustebuli vezikuluri sunTqvaa. gulmkerdis rentgenogramaze _ marjvniv qveda wilSi aRiniSneba mrgvali, homogenuri Crdili. sisxlis saerTo analizSi – eozinofiliaa. dadebiTia sisxlis lateqs-aglutinaciis reaqcia. savaraudo diagnozia: \\ filtvis eqinokoki \\\ filtvis tuberkulozi \\\ bronqoeqtaziuri daavadeba \\\ filtvis abscesi \\\ filtvis kibo \\\\ 74 wlis mamakacs, romelic 45 welia eweva Tambaqos 3 Tvea aqvs Semawuxebeli xvela da saerTo sisuste. xvela xSirad sisxliania. gulmkerdis rentgenogramaze _ marjvena filtvis karTan uswormasworo konturebis mqone homogenuri daCrdilvaa. savaraudo diagnozia: \\\ filtvis eqinokoki \\\ filtvis abscesi \\\ bronqoeqtaziuri daavadeba \\\ filtvis tuberkulozi \\ filtvis kibo \\\\ 44 wlis mamakacs, romelic misdevs mesaqonleobas, me-3 Tvea awuxebs tkivili gulmkerdis marjvena naxevarSi, mSrali xvela. simptomebi daewyo ramodenime Tvea. auskulaciiT _ marjvniv qveda wilSi Sesustebuli vezikuluri sunTqvaa. gulmkerdis rentgenogramaze _ marjvniv qveda wilSi aRiniSneba mrgvali, homogenuri Crdili. sisxlis saerTo analizSi – eozinofiliaa. dadebiTia sisxlis lateqs-aglutinaciis reaqcia. savaraudo diagnozia: \\ filtvis eqinokoki \\\ filtvis tuberkulozi \\\ bronqoeqtaziuri daavadeba \\\ filtvis abscesi \\\ filtvis kibo \\\\ filtvis kibos simptomebia \\\ perkutoruli mtkivneuloba gulmkerdze da xerxemalze \\\ sisxliani xvela \\\ dispnoe \\ recidiuli pnevmoToraqsi \\\ mkSrali, myefavi xvela \\\\ 74 wlis mamakacs, romelic 45 welia eweva Tambaqos 3 Tvea aqvs Semawuxebeli xvela da saerTo sisuste. xvela xSirad sisxliania. gulmkerdis rentgenogramaze _ marjvena filtvis karTan uswormasworo konturebis mqone homogenuri daCrdilvaa. savaraudo diagnozia:

\\\ filtvis eqinokoki \\\ filtvis abscesi \\\ bronqoeqtaziuri daavadeba \\\ filtvis tuberkulozi \\ filtvis kibo \\\\ pnevmoniis mqone pacientis mdgomareoba damZimda, rentgenologiiurad vlindeba filtvis qsovilis gamkvriveba, mravlobiTi wvrilkerovani Crdilis arseboba. ra paTologia aReniSneba pacients? \\\ filtvis kista \\ stafilokokuri destruqcia \\\ saylapav-sasulis xvrelmili \\\ filtvis sekvestracia \\\ filtvis polikistozi \\\\ pacienti uivis xvelas, temperaturis momatebas, qoSins, tkivils gulmkerdSi. WurWelSi dayovnebis Semdeg naxveli iyofa sam Sred. inspeqciiT ariniSneba TiTebis dolis Cxirisebri da FrCxilebis saaTis minisebri cvlileba. gulmkerdis yafazi CamorCeba sunTqvaSi. perkusiiT yru xmianobaa. auskultaciiT amoxvelebamde moismineba msxvil da saSualo buStukovani sveli xixini. amoxvelebis Semdeg mSrali mstvinavi xixini. ra paTologia aReniSneba pacients? \\\ filtvis sekvestracia. \\\ filtvis hipoplazia \\ bronqoeqtaziuri daavadeba \\\ filtvis polikistozi \\\ filtvis eqinokokozi \\\\ pacienti uCivis yru xasiatis tkivils gulmkerdSi, qoSins, xvelas, temperaturis momatebas. rentgenologiuri gamokvleviT marjvena filtvSi aRiniSneba swori kideebis mqone mrgvali formis homogenuri daCrdilva. sisxlSi eozinofiliaa. dadebiTia lateqs-aglutinaciis reaqcia. ra paTologia aReniSneba pacients? \\\ filtvis kibo \\\ filtvis abscesi \\ filtvis eqinokokozi \\\ bronqoeqtaziuri daavadeba \\\ filtvis aTaSangi \\\\ 55 wlis mamakaci uCivis subfebrilur temperaturas, mcire raodenobis naxvelis gamoyofiT, naxveli lorwovania, mciredi sisxliT, sunis gareSe, naxvelis gamoyofis miuxedavad mdgomareoba ar umjobesdeba. filtvis qsovilSi rentgenologiurad vlindeba Rruebi gasqelebuli kedlebiT, romelTa Sinagani konturebi ubiseburad amoRrRnilia. filtvis sekvestrebi ar aRiniSneba. ra paTologia aReniSneba pacients? \\ filtvis periferiuli kibo \\\ pankostas simsivne \\\ filtvis eqinokokozi \\\ bronqoeqtaziuri daavadeba \\\ filtvis abscesi

\\\\ 65 wlis mamakaci uCivis tkivils mxarzeda midamoSi, romelic gadaecema xelSi. xeli SeSupebulia. gamoxatulia bernar-horneris sindromi. ra paTologia aReniSneba pacients? \\\ filtvis mediastinuri kibo \\\ bronqoeqtaziuri daavadeba \\\ pnevmonia \\\ filtvis abscesi \\ pankostas simsivne \\\\ 70 wlis mamakaci uCivis tkivils gulmkerdis areSi. aReniSneba saxisa da kisris SeSupeba, haeris ukmarisoba, mSrali xvela, xmis tembris Secvla. rentgenologiurad vlindeba Suasayaris Crdilis gafarToeba, Crdilis konturebi policikluria. ra paTologia aReniSneba pacients? \\\ pankostas kibo \\\ filtvis periferiuli kibo \\\ filtvis eqinokokozi \\ filtvis mediastinuri kibo \\\ bronqoeqtaziuri daavadeba \\\\ 66 wlis avadmyofi Semovida klinikaSi gadatanili pnevmoniis Semdgom periodSi. Semosvlisas aReniSneba maRali temperature, Semcivneba, marjvena filtvis Sua da qvemo wilis ateleqtazi. rentgenologiurad vlindeba mravlobiti wvrilkerovani Crdilebi, erTgan samkuTxa formis Crdili. ra paTologia aReniSneba pacients? \\\ filtvis tuberkulozi \\\ filtvis kibo \\\ filtvis daCirqebuli eqinokoki \\\ bronqoeqtaziuri daavadeba \\ filtvis stafilokokuri destruqcia \\\\ avadmyofi, 58 wlis mamakaci, uCivis saerTo sisustes, umadobas, wonaSi daklebas, sunTqvis gaZnelebas, xSir xvelas, zogjer sisxlnarevs. rentgenologiurad aRiniSneba marjvena filtvis Sua wilis ateleqtazi, kompiuteruli tomografiiT – bronqis amputacia. ra paTologia aReniSneba pacients? \\\ bronqoeqtaziuri daavadeba \\\ filtvis eqinokoki \\\ filtvis abscesi \\\ filtvis peribronquli kibo \\ egzofituri zrdis filtvis centraluri kibo \\\\ 48 wlis mamakaci uCivis yru xasiaTis tkivils gulmkerdis marjvena naxevarSi, xvelas, qoSins. rentgenologiurad dadginda marjvena filtvis zemo wilSi ovaluri formis daCrdilva siTxis horizontaluri doniT. sisxlSi aRiniSneba eozinofilia, lateqs-aglutinaciis reaqcia dadebiTia. ra paTologia aReniSneba pacients? \\\ filtvis abscesi \\\ filtvis kibo \\ filtvis eqinokoki \\\ bronqoeqtaziuri daavadeba \\\ filtvis tuberkulozi

\\\\ romeli debulebaa mcdari bronqoeqtaziur daavadebasTan mimarTebaSi? \\\ bronqoeqtaziebi SeiZleba iyos pirveladi da meoradi. \\\ bronqoeqtaziebis ganviTarebaSi gamoyofen sam stadias. \\\ daavadebisaTvis damaxasiaTebeli simptomia dolisebri TiTebis da saaTis minisebri frCxilebis arseboba. \\ ZiriTadi simptomia mSrali xvela. \\\ bronqografia zustad axasiaTebs paTologiuri procesis gavrcelebas da Taviseburebebs. \\\\ romeli debulebaa marTebuli filtvis eqinokokTan mimarTebaSi? \\\ adamianis eqinokokozSi sixSiris mixedviT igi pirvel adgilzea. \\\ mas ar axasiaTebs garTulebebi. \\\ diagnostikis ZiriTadi meTodia ultrabgeriTi gamokvleva. \\ filtvis rentgenogramaze mosCans mrgvali, sworkideebiani formis Crdili. \\\ ar arsebobs sisxlis serologiuri analizi, romelic dagvexmareba daavadebis diagnostikaSi. \\\\ 40 wlis mamakacs, romelic cxovrobs mTian regionSi da misdevs mesaqonleobas, awuxebs yru tkivili gulmkerdis marjvena naxevarSi, mSrali xvela. Ees simptomebi daewyo ramodenime Tvea. auskultaciiT – marjvniv qveda wilSi Sesustebuli vezikuluri sunTqva. Gulmkerdis rentgenogramaze – marjvniv qveda wilSi aRiniSneba mrgvali, sworkideebiani homogenuri Crdili. sisxlis saerTo analizSi-eozinofilia. dadebiTia sisxlis lateqs aglutinaciis reaqcia. savaraudo diagnozia: \\\ filtvis tuberkulozi. \\ filtvis eqinokoki. \\\ bronqoeqtaziuri daavadeba. \\\ filtvis abscesi. \\\ filtvis kibo. \\\\ filtvis kibosTan mimarTebaSi romeli debulebaa mcdari? \\\ centraluri kibo iyofa endobronqul da peribronqul formad. \\\ periferiul kibos aqvs 4 forma. \\ centraluri egzofituri kibo sxvebTan SedarebiT gamovlindeba ufro gvian. \\\ pankostas kibo miekuTvneba periferiul subplevrul formas. \\\ daavadebis xelSemwyobi ZiriTadi faqtoria inhalaciuri onkogenuri nivTierebebis CasunTqva. \\\\ 70 wlis mamakacs, romelic 50 welia eweva Tambaqos 4 Tvea aqvs Semawuxebeli xvela da saerTo sisuste. auskultaciiT filtvebSi vezikuluri sunTqva. Ggulmkerdis rentgenogramaze – marjvena filtvis karTan uswormaworo konturebis mqone homogenuri daCrdilva. savaraudo diagnozia: \\ filtvis kibo. \\\ filtvis eqinokoki. \\\ filtvis abscesi. \\\ bronqoeqtaziuri daavadeba.

\\\ filtvis tuberkulozi. \\\\ filtvis eqinokokozis Camoyalibebisas eqinokokis Wiis kvercxis filtvSi moxvedris gza SeiZleba iyos: \\\ limfogenuri gziT; \\ nawlavidan RviZlis barieris gavliT da sisxlis mimoqcevis mcire wriT; \\\ air-wveTovani gziT; \\\ kontaqturi mezobeli organodan: \\\ filtvis eqinokoki mxolod limfogenuri gziT vrceldeba. \\\\ wlis mamakaci uCivis saerTo sisustes, cxelebas. t-39,5 0C, Semcivnebas, oflianobas, sunTqvis gaZnelebas, auskultaciiT mwiri monacemebia. rentgenologiurad orive filtvis Sua da qveda wilebSi mravlobiTi wvrilkerovani daCrdiluli ubnebia. savaraudo diagnozia: \\\ filtvis eqinokokozi \\\ filtvis kibo \\ filtvis stafilokokuri deqstruqcia \\\ bronqoeqtaziuri daavadeba \\\ filtvis tuberkulozi \\\\ 42 wlis qals awuxebs mravali welia xvela da cxeleba, romelic periodulad qreba. amJamad aReniSneba xvela didi raodenobiT lorwovan-Cirqovani naxveliT. piridan cudi suni. rentgenologiurad samkuTxa Crdilia mwvervaliT filtvis karisken. savarudo diagnozia: \\\ fitvis tuberkulozi \\ bronqoeqtaziuri daavadeba \\\ filtvebis stafilokokuri desqtruqcia \\\ filtvis centraluri kibo \\\ filtvis abscesi \\\\ avadmyofi 62 wlis, uCivis mudmiv xvelas Cirqovani naxvelis gamoyofiT (dRe-RameSi 100-200 ml-mde) weliwadSi 2-3 jer gamwvavebas bronqopnevmoniis saxiT, sunTqvis gaZnelebas. rendgenologiurad vlindeba filtvis qsovilis vrceli dazianeba fibrozuli ubnebiT. ra dazianeba aReniSneba avadmyofs? \\\ filtvis tuberkuliozi \\\ filtvis kibo \\\ filtvis eqinokoki \\\ filtvis stafilokokuri destruqcia \\ bronqoeqtaziuri daavadeba \\\\ avadmyofi mamakaci 59 wlis ramdenime welia awuxebs xvela naxvelis raodenobis TandaTanobiT momatebiT, naxveli lorwovan-Cirqovania an Cirqovani, dayovnrbis SemTxvevaSi WurWelSi iyofa sam Sred (qveda Cirqi, Sua serozuli siTxe, zeda lorwo) zogjer naxvelSi Cans sisxlis kvali. ra paTologia aReniSneba avadmyofs? \\\ filtvis tuberkuliozi \\\ filtvis kibo \\\ filtvis eqinokoki \\\ filtvis stafilokokuri destruqcia \\ bronqoeqtaziuri daavadeba

\\\\ romeli debulebaa marTebuli filtvis eqinokokTan mimarTebaSi? \\\ ar axasiaTebs garTulebebi \\\ rentgenologiurad samkuTxa Crdilia mwvervaliT filtvis karisken \\ rentgenogramaze mravali sworkideebiani Crdilia \\\ diagnozi ismeba auskulteciuri monacemebiT \\\ ararsebobs sisxlis serologiuri analizi, romelic gvexmareba diagnostikaSi \\\\ filtvis kibosTan mimarTebaSi romeli debulebaa marTebuli? \\\ rentgenze mrgvali sworkideebiani Crdilia \\\ SemTxvevaTa 60–Si lokalizdeba filtvis qveda wilebSia \\\ ar axasiaTebs metastazireba SuasayarSi \\\ axasiaTebs dadebiTi lateqs-aglutinaciis testi da kazonis reaqcia \\ rentgenze filtvis karTan uswormasworo formis homogenuri daCrdilva \\\\ avadmyofi 62 wlis, uCivis mudmiv xvelas Cirqovani naxvelis gamoyofiT (dRe-RameSi 100-200 ml-mde) weliwadSi 2-3 jer gamwvavebas bronqopnevmoniis saxiT, sunTqvis gaZnelebas. rendgenologiurad vlindeba filtvis qsovilis vrceli dazianeba fibrozuli ubnebiT. ra daavadeba aReniSneba avadmyofs? \\\ filtvis tuberkuliozi \\\ filtvis kibo \\\ filtvis eqinokoki \\\ filtvis stafilokokuri destruqcia \\ bronqoeqtaziuri daavadeba \\\\ avadmyofi mamakaci 59 wlis ramdenime welia awuxebs xvela naxvelis raodenobis TandaTanobiT momatebiT, naxveli lorwovan-Cirqovania an Cirqovani, dayovnebis SemTxvevaSi WurWelSi iyofa sam Sred (qveda Cirqi, Sua serozuli siTxe, zeda lorwo) zogjer naxvelSi Cans sisxlis kvali. ra paTologia aReniSneba avadmyofs? \\\ filtvis tuberkuliozi \\\ filtvis kibo \\\ filtvis eqinokoki \\\ filtvis stafilokokuri destruqcia \\ bronqoeqtaziuri daavadeba \\\\ avadmyofi xangrZlivi periodis ganmavlobaSi uCivis xvelas didi raodenobis naxveliT, daTvalierebiT aRiniSneba gulmkerdis yafazis CamorCena sunTqvaSi marjvniv perkusiiT. Aam ubanSi aRiniSneba yru xmianoba. auskultaciiT msxvili da saSualo buStukovani sveli xixini, romelic ZiriTadad diliT moismineba avadmyofis amoxvelebamde. naxvelis didi raodenobiT amoRebis Semdeg moismineba mSrali mstvenavi xixini. ra daavadeba aReniSneba pacients? \\\ filtvis eqinokoki \\\ filtvis kibo \\\ filtvis tuberkulozi \\\ filtvis stafilokokuri destruqcia \\ bronqoeqtaziuri daavadeba

\\\\ avadmyofi 19 wlis Semovida klinikaSi gadatanili pnevmoniis Semdgom periodSi mZime mdgomareobaSi. aReniSneba maRali temperatura, Semcivnebebi, marjvena filtvis Sua da qvemo wilSi ateleqtazi. rendgenologiurad vlindeba filtvis qsovilis gamkvriveba, agreTve dazianebis keraSi mravlobiTi wvrilkerovani Crdilebi, erTgan samkuTxa formis Crdili. ra paTologia aReniSneba avadmyofs? \\\ filtvis eqinokoki \\\ filtvis kibo \\\ filtvis tuberkulozi \\ filtvis stafilokokuri destruqcia \\\ bronqoeqtaziuri daavadeba \\\\ avadmyofi 51 wlis mamakaci cxovrobs soflad, saxlSi yavs Sinauri cxovelebi. Semosvlisas uCioda yru xasiaTis tkivils gulmkerdis areSi marjvniv. Ggulmkerdis daTvalierebiT aRiniSneba dazianebuli mxaris gamodrekiloba. Aaqvs perkusiiT moyrueba, rendgenologiurad marjvniv vlindeba ovaluri formis homogenuri daCrdilva siTxis horizontaluri doniT. sisxlSi momatebulia eozinofilebi. ra paTologia aReniSneba avadmyofs? \\\ filtvis abscesi \\\ filtvis kibo \\\ bronqoeqtaziuri daavadeba \\ filtvis eqinokokozi \\\ filtvis tuberkulozi \\\\ avadmyofi 53 wlis mamakaci uCivis marjvena ferdqveSa areSi da epigastriumSi yru, mudmivi xasiaTis tkivils. daTvalierebiT Cans marjvena ferdqveSa areSi gamoberiloba, perkusiiT aRiniSneba RviZlis zemo da qvemo sazRvrebis gafarToeba, palpaciiT naxuloben mrgvali formis elastiuri konsistenciis warmonaqmns, rendgenologiurad dgindeba ovaluri formis simsivne, lateqs-aglutinaciis sinji dadebiTia. ra daavadebasTan gvaqvs saqme? \\\ RviZlis abscesi \\\ RviZlis araparazituli kistebi \\\ RviZlis keTilTvisebiani simsivneebi \\\ RviZlis kibo \\ RviZlis eqinokoki \\\\ qvemoT CamoTvlilTagan romeli miekuTvneba filtvis centralur kibos? \\\ `pankostis kibo~ \\ endobronquli kibo \\\ miliaruli kibo \\\ difuzuri kibo \\\ subplevruli kibo \\\\ arteriis kedlis SemadgenlobaSi ar Sedis: \\\ adventicia; \\ seroza; \\\ intima;

\\\ media; \\\ arcerTi CamoTvlili; \\\\ romeli gamokvleva ar miekuTvneba sisxlZarRvTa gamokvlevis arainvaziur meTodebs: \\\ punqciuri arteriografia; \\\ aortoarteriografia seldingeris wesiT; \\\ flebografia; \\\ kavagrafia; \\ dupleqs-skanireba; \\\\ sisxlZarRvTa gamokvlevis arainvaziuri meTodia: \\\ reovazografia; \\\ oscilografia; \\\ pletizmografia; \\ yvela CamoTvlili; \\\ eleqroTermografia; \\\\ arteriis cru anevrizmis ganviTarebis mizezia: \\ arteriis travmuli dazianeba; \\\ aTerosklerozi; \\\ kvanZovani periarteriiti; \\\ sifilisi; \\\ anTebiTi procesi; \\\\ WeSmariti anevrizma viTardeba: \\\ portuli hipertenziis dros; \\\ arteriis travmuli dazianebis SemTxvevaSi; \\ aTerosklerozis dros; \\\ varikozuli daavadebis dros; \\\ biurgeris daavadebis dros; \\\\ sisxlis dinebis Seneleba, sisxlZarRvis kedlis dazianeba, sisxlis Sededebis unaris momateba aris: \\\ falos triada; \\\ bad-hiaris triada; \\\ pavlovis triada; \\\ blumbergis triada; \\ virxovis triada; \\\\ Tirkmlis arteriis okluziis da vazorenuli hipertenziis ganviTarebis mizezia: \\\ Tirkmlis mwvave ukmarisoba; \\ fibrozur-kunTovani displazia; \\\ Tirkmlis qronikuli ukmarisoba; \\\ qronikuli nefriti; \\\ mwvave pielonefriti; \\\\ qveda kidurebis maoblitirebel daavadebebs ar miekuTvneba: \\\ endarteriti; \\\ aTerosklerozi;

\\\ biurgeris daavadeba; \\ hiaris daavadeba; \\\ leriSis sindromi; \\\\ maoblitirebeli endrteritiT ufro xSirad avaddebian: \\\ qveda kiduris venebis varikozuli daavadebis mqone qalebi; \\ axalgazrda mamakacebi; \\\ 50 wels gadacilebuli mamakacebi; \\\ mamakacebi 70 wlis zeviT \\\ qveda kiduris venebis varikozuli daavadebis mqone mamakacebi; \\\\ endarteritis ganviTarebas xels uwyobs: \\\ menjis Zvlebis motexiloba; \\\ kiduris damwvroba; \\\ hipertonuli daavadeba; \\ Tambaqos moxmareba; \\\ fizikuri datvirTva; \\\\ romeli niSani ar axasiaTebs maoblitirebel endarteriits: \\\ kiduris dabuJeba; \\ wvivis midamos WarbTmianoba; \\\ tkivili kiduris areSi; \\\ terfis arteriebze pulsaciis Sesusteba; \\\ kanqveSa cximovani qsovilis atrofia kiduris midamoSi; \\\\ romeli meTodi ar gamoiyeneba maoblitirebeli endarteritis mkurnalobis mizniT? \\\ endartereqtomia; \\\ antikoagulantebi; \\ vazokonstriqtorebi; \\\ kiduris amputacia; \\\ vazodilatatorebi; \\\\ biurgeris daavadeba aris: \\ maobilitirebeli Trombangiti; \\\ maobilitirebeli aTerosklerozi; \\\ maobilitirebeli fleboTrombozi; \\\ diabeturi angiopaTia; \\\ muclis aortis bifurkaciis okluzia; \\\\ romeli niSani ar axasiaTebs maoblitirebel Trombangits? \\\ xangamoSvebiTi koWloba; \\ kunTebis hipertrofia; \\\ hiperpigmentacia; \\\ Tromboflebiti; \\\ trofikuli moSlilobebi; \\\\ romeli preparatebi ar gamoiyeneba maoblitirebuli Trombangitis mkurnalobis mizniT? \\ hemostazuri preparatebi; \\\ antikoagulantebi;

\\\ Trombolizuri preparatebi; \\\ spazmolituri preparatebi; \\\ analgetikebi; \\\\ maoblitirebel aTerosklerozTan mimarTebaSi sworia Semdegi debuleba: \\\ gvxvdeba axalgazrda asakSi; \\\ ZiriTadad ziandeba periferiuli arteriebi; \\\ ZiriTadi cvlilebebi xdeba adventiciaSi; \\\ dazianeba moicavs arteriis kedlis yvela Sres, rac ganapirobebs mis Seviwrovebas; \\ ZiriTadi cvlilebebi xdeba arteriis intimaSi; \\\\ leriSis sindromis dros dazianeba moicavs? \\\ barZayisa da muxlqveSa arteriebs; \\\ muxlqveSa da wvivis arteriebs; \\ muclis aortis distalur segmentsa da TeZos arteriebs; \\\ mezenterialur arteriebs; \\\ muclis aortis proqsimalur segmentsa da faSvis Reros; \\\\ romeli debulebaa marTebuli qveda kidurebis arteriebis maoblitirebeli aTerosklerozisaTvis? \\ diagnostikis yvelaze informatiuli meTodia angiografia \\\ ufro xSirad gvxvdeba 40 welze ufrosi asakis qalebSi \\\ ZiriTadi cvlilebebi viTardeba arteriis gareTa garsSi. \\\ daavadeba upiratesad azianebs wvrili kalibris arteriebs. \\\ auskultaciiT stenozur arteriebze ZiriTadad moismineba diastoluri Suili. \\\\ 25 wlis mamakaci aRniSnavs Semcivnebas qvemo kidurebSi, krunCxvebsa da paresTezias, TiTebis boloebSi wvasa da Cxvletas. kiduri fermkrTalia, SexebiT civia, 500-1000 m-is gavlis Semdeg uviTardeba gardamavali koWloba. terfzurgis arteriaze pulsacia gamqralia. ra paTologia aReniSneba pacients? \\ maoblitirebeli endarteritis funqciuri kompensaciis stadia \\\ maoblitirebeli endarteritis subkompensaciis IIa stadia \\\ maoblitirebeli endarteritis subkompensaciis IIb stadia \\\ maoblitirebeli endarteritis dekompensaciis stadia \\\ maoblitirebeli endarteritis destruqciuli cvlilebebis stadia \\\\ 71 wlis qals awuxebs tkivili mucelSi, romelic iwyeba sakvebis miRebidan 0,5 sT-Si da grZeldeba 2 sT, wonaSi dakleba da ganavalSi lorwo da mounelebeli sakvebis narCenebi. jorjlis zeda arteriogramaze aRiniSneba avsebis defeqti. savaraudo diagnozia: \\ qronikuli abdominuri iSemia. \\\ wvrili nawlavis kibo. \\\ kronis daavadeba. \\\ wvrili nawlavis divertikuliti. \\\ wvrili nawlavis polipi.

\\\\ 50 wlis mamakaci, romelsac anamnezSi aqvs hipertonuli daavadeba, Saqriani diabeti, simsuqne, uCivis impotencias, tkivils Wipis irgvliv, barZayis midamosa da dundula kunTebSi. kanis safarveli fexebze spilos Zvlis feria, aReniSneba Tmis cvena, barZayis arteriebze pulsiar isinjeba. ra paTologia aReniSneba pacients? \\\ biurgeris daavadeba \\\ qvemo kidurebis venebis varikozuli daavadeba \\\ barZay-muxlqveSa segmentis aTerosklerozuli okluzia \\ leriSis sindromi \\\ spilovneba \\\\ 70 wlis mamakaci, romelsac aReniSneba sxeulis masis daqveiTeba, uCivis tkivils muclis areSi. tkivili Zlierdeba sakvebis miRebidan 15-20 wT-is Semdeg da mcirdeba sakvebis miRebis SezRudvisas. gamoxatulia nawlavta disfunqcia, muclis Seberva, yabzoba, koprograma avlens steatoreasa da kreatoreas. auskultaciiT epigastriumis midamoSi moismineba sistoluri Suili. ra paTologia aReniSneba pacients? \\\ leriSis sindromi \\\ vazorenuli hipertenzia \\\ maoblitirebeli endarteritis \\ qronikuli abdominuri iSemia \\\ biurgeris daavadeba \\\\ pacienti uCivis terfis wvasa da dabuJebas. aReniSneba trofiuli wylulebi periferiuli arteriebis pulsaciis senarCunebis fonze. gamoxatulia retino- da nefropaTia. sisxlsi glukozis done momatebulia. ra paTologia aReniSneba pacients? \\\ biurgeris daavadeba \\\ leriSis sindromi \\ diabeturi angiopaTia \\\ reinos daavadeba \\\ pejet-Sreteris sindromi \\\\ 30 wlis mamakaci uCivis mudmiv da autanel tkivils terfsa da TiTebSi. TiTebze aReniSneba wylulebi, romelTa kideebi da fskeri dafarulia WuWyian-nacrisferi nadebiT, granulaciebi ar aRiniSneba. pacients Sromis unari srulad dakarguli aqvs. maoblitirebeli endarteritis romel stadia aqvs pacients? \\\ kompensaciis stadia \\\ subkompensaciis IIa stadia \\\ subkompensaciis IIb stadia \\\ dekompensaciis stadia \\ destruqciuli cvlilebebis stadia \\\\ romelia vazorenuli hipertenziis yvelaze xSiri mizezi? \\\ Tirkmlis arteriis fibrozul-kunTovani displazi \\\ aortoarteriiti. \\ aTerosklerozi. \\\ Tirkmlis arteriaze garedan zewola. \\\ Tirkmlis arteriis anevrizma.

\\\\ romeli simptomi ar aris damaxasiaTebeli qveda kidurebis arteriebis qronikuli okluziuri daavadebebisaTvis? \\\ xangamoSvebiTi koWloba. \\\ wvisa da sicivis SegrZneba qveda kidurSi. \\\ kiduris sifermkrTale. \\\ terfis arteriebze pulsaciis Sesusteba an gaqroba. \\ palpaciiT kiduri Tbilia. \\\\ romeli debulebaa marTebuli qveda kidurebis arteriebis maoblitirebeli aTerosklerozisaTvis? \\\ daavadeba upiratesad azianebs wvrili kalibris arteriebs \\\ ufro xSirad gvxvdeba 40 welze ufrosi asakis qalebSi. \\\ ZiriTadi cvlilebebi viTardeba arteriis gareTa garsSi. \\diagnostikis yvelaze informaciuli meTodia angiografia. \\\ auskultaciiT stenozur arteriebze ZiriTadad moismineba diastoluri Suili. \\\\romeli simptomi ar aris damaxasiaTebeli qronikuli abdominuri iSemiisaTvis? \\\ muclis tkivili. \\\ sxeulis wonis daqveiTeba. \\\ muclis Seberiloba. \\ muclis auskultaciiT epigastrul midamoSi moismineba diastoluri Suili. \\\ fekalur masebSi aRiniSneba mounelebeli sakvebis narCenebi da lorwo. \\\\ romeli debulebaa marTebuli vazorenul hipertenziasTan mimarTebaSi? \\ plazmaSi reninis done mkveTrad momatebulia. \\\ arteriuli diastoluri wneva ar aRemateba 80 mm.vwy.sv.-s. \\\ Tirkmlis arteriis proeqciaze auskultaciiT moismineba diastoluri Suili. \\\ Tirkmlis arteriogramaze paTologiuri cvlilebebi ar vlindeba. \\\ radioizotopuri renografiiT dazianebul mxares izotopi ufro swrafad gamoiyofa, janmrTelTan SedarebiT. \\\\ 70 wlis mamakacs aReniSneba sakvebis miRebidan 30 wT-Si tkivilis dawyeba epigastriumSi, muclis Seberva. aseve aris yabzoba da ganavalSi mounelebeli sakvebi sisxlTan da lorwosTan erTad. auskulaciiT epigastrul midamoSi sistoluri Suilia. savaraudo diagnozia: \\\ maoblitirebeli aTerosklerozi \\ visceruli sisxlis mimoqcevis qronikuli moSla \\\ maobliterebeli Trombangiti \\\ maobliterebeli endarteriti \\\ diabeturi angiopaTia

\\\\ 66 wlis mamakaci uCivis tkivils qveda kidurebSi siarulisas, romelic qreba mciredi Sesvenebisas. aRniSnavs xangamoSvebiT koWlobis arsebobas, zogjer tkivili aqvs barZayis, sajdomi kunTebis da welis midamoSi. savaraudo diagnozia: \\ maoblitirebeli aTerosklerozi \\\ maoblitirebeli Trombangiti \\\ qronikuli visceruli sisxlis mimoqcevis moSla \\\ maobliterebeli endarteriti \\\ aortoarteriti \\\\ romel asakobriv jgufSi gvxvdeba xSirad maoblitirebeli endarteriti? \\\ 50-70 wlis mamakacebSi \\ 20-30 wlis mamakacebSi \\\ 20-30 wlis qalebSi \\\ 50-70 wlis qalebSi \\\ 70 wels zeviT mamakacebSi \\\\ 62 wlis mamakaci uCivis tkivils orive qveda kidurSi. TiTebis dabeJilobas da periodulad Cxvletis SegrZnebas.tkivili aris rogorc mosvenebis ise siarulis dros. Senaxuleriuli pulsacia, miuxedavad terfis trofuli wylulis da TiTebis gangrenisa. savaraudo diagnozia: \\ qvemo kidurebis diabeturi angiopaTia \\\ maobliterebuli endarteriti \\\ maobliterebuli aTerosklerozi \\\ aortoarteriti \\\ maobliterebuli Trombangiti \\\\ anevrizma WeSmaritia Tu: \\\ misi kedeli warmodgenilia SemaerTqsovilovani tomriT da kavSiri aqvs sisxlZarRvis sanaTurTan; \\\ Rru, romlis kedelic SemaerTebelqsovilovania da kavSiri aqvs rogorc arteriis aseve venis sanaTurTan; \\ mis kedels SenarCunebuli aqvs sisxlZarRvis kedlis struqtura; \\\ Tu igi aortasTan aris kavSirSi; \\\ Tu igi ganSrevebadia. \\\\ Tu pacients aReniSneba xangamoSvebiTi koWloba, paresTeziebi da trofikuli cvlilebebi qveda kidurebSi, kanis sifermkrTale, frCxilebis zrdis SeCereba da Tmis gacvena, igi avadaa:

\\ maoblitirebeli aTerosklerozi;; \\\ qvemo kidurebis venebis ukmarisobiT; \\\ aortis koarktaciiT; \\\ travmuli anevrizmiT; \\\ arcerTi zemoTCamoTvlili. \\\\\ monaxeT araswori mtkiceba muclis aortis anevrizmasTan dakavSirebiT \\\ ZiriTadi mizezia aTerosklerozi \\\ Cveulebriv anevrizmebi ganlagebulia Tirkmlis arteriebis zemoT \\ diagnozi dgindeba obieqturi gamokvlevis dros

\\\ kompiuteruli tomografia saSualebas gvaZlevs SeviswavloT anevrizmis anatomiuri damokidebuleba Tirkmlis da visceraluri arteriebis mimarT da gamovavlinoT Tanmxlebi venuri anomaliebi \\\ arteriografias ukeTeben yvela avadmyofs sadac arsebobs eWvi renovaskularul hipertoniasa an mezenterialur iSemiaze \\\\ qveda kidurebis venebis varikozuli daavadebis xelSemwyob faqtorebs ar miekuTvneba: \\\ simsivnis zewola msxvil sisxlZarRvebze; \\\ nayofis zewola sisxlZarRvebze; \\\ mZime fizikuri Sroma; \\ arteriolo-venularuli anastomozebis gaxsna; \\\ xangrZlivad vertikalur mdgomareobaSi yofna; \\\\ romeli meTodi gamoiyeneba qveda kidurebis venebis varikozuli gaganierebis mkurnalobis dros? \\\ endartereqtomia; \\ flebeqtomia; \\\ didi saCino venis proTezireba; \\\ arteriul-venuri Suntebis formireba; \\\ aorto-femoraluri Suntireba; \\\\ qveda kidurebis venebis mwvave TromboflebitisTvis damaxasiaTebelia: \\\ marmarilosebri kani; \\\ wvivis kunTebis atrofia; \\\ paresTezia; \\\ trofiuli wyluli; \\ tkivili; \\\\ romeli meTodi ar gamoiyeneba mwvave Tromboflebitis mkurnalobis mizniT? \\\ antibiotikoTerapia; \\\ antikoagulantebi; \\\ dezagregantebi; \\ steroiduli hormonebi; \\\ anTebis sawinaaRmdego arasteroiduli preparatebi; \\\\ spilovnebis (elefantiazis) ganviTarebis ZiriTad mizezs warmoadgens: \\\ barZayis venis mwvave Trombozi da kiduris SeSupeba; \\\ leriSis sindromi; \\ wiTeli qari; \\\ qveda kidurebis maoblitirebeli endarteriiti; \\\ qveda kidurebis maoblitirebeli aTerosklerozi; \\\\ 50 wlis qali uCivis swraf daRlas, fexebSi simZimis SegrZnebas, kanWis tyupi kunTebis krunCxvas, paresTezias, wvivebisa da terfebis SeSupebas, romelic Cndeba saRamos da qreba diliT. inspeqciiT mkafiod Cans daklaknili venebi. kani mbzinavia da mSrali, elastiuroba dakarguli. ra paTologia aReniSneba pacients? \\\ spilovneba \\\ leriSis sindromi

\\ qvemo kidurebis venebis varikozuli daavadeba \\\ biurgeris daavadeba \\\ reinos daavadeba \\\\ 55 wlis qali uCivis fexebSi simZimis SegrZnebas da mqaCav tkivils, romelic yuCdeba horizontalur mdgomareobaSi kidurebis aweviT. SeSupeba Cndeba saRamos da qreba diliT. kani wablisferia, medialuri gojebis midamoSi gamoxatulia induracia. kani mkvrivi da uZravia. ra paTologia aReniSneba pacients? \\\ spilovneba \\\ pejet-Sreteris sindromi \\ posttromboflebituri daavadeba \\\ biurgeris daavadeba \\\ reinos daavadeba \\\\ romeli funqciuri cda gviqmnis warmodgenas qveda kidurebis zedapiruli venebis sarqvelebis mdgomareobaze? \\\ delbe-pertesis marSis. \\\ pratis pirveli \\\ samlaxtiani \\ trendelenburgis \\\ pratis meore \\\\ ra ar aris damaxasiaTebeli qveda kidurebis venebis varikozuli gaganierebisaTvis? \\\ kidurebSi simZimis SegrZneba \\ kiduris kunTebis atrofia \\\ wvivis da terfis SeSupeba \\\ wvivis qvemo mesamedSi qsovilebis induracia \\\ egzema. \\\\ 50 wlis qals aReniSneba qvemo kidurebis fibredema, kidurebi moculobaSi momatebulia, cilindrulad deformiuli. vlindeba wvivisa da terfis kanis hiperkeratozi da pigmentacia, meWeWovani wanazardebi. ra paTologia aReniSneba pacients? \\ spilovneba \\\ leriSis sindromi \\ qvemo kidurebis venebis varikozuli daavadeba \\\ maoblitirebeli Trombangiti \\\ reinos daavadeba \\\\ pacients aReniSneba qvemo kidurebis venebis varikozuli daavadeba. zedapiruli venebis sarqvlovani aparatis mdgomareobis Sesafaseblad romel gamokvlevas mianiWebT upiratesobas? \\\ flebografias \\\ troianov-trendelenburgis cdas \\ dupleqssonografias doplerografiiT \\\ dinamiur scintigrafias \\\ Termografias \\\\ qvemo kidurebis Rrma venebis gadatanili Trombozis semdeg viTardeba

\\\ pejet-Sreteris sindromi \\ posttromboflebituri sindromi \\\ biurgeris daavadeba \\\ reinos daavadeba \\\ leriSis sindromi \\\\ romeli debulebaa marTebuli qveda kidurebis venur sistemasTan mimarTebaSi? \\\ zedapirul da Rrma venebs erTmaneTTan kavSiri ara aqvT. \\\ Rrma venebi warmodgenilia TiTebis, terfis, wvivis wyvili venebiT, romlebic qmnian muxlqveSa wyvil venebs. \\ gamgmirav (perforantul) venebs gaaCniaT sarqvelebi, romlebic normaSi atareben sisxls zedapirulidan Rrma venebisaken. \\\ Rrma venebs sarqvelebi ar aqvT. \\\ zedapiruli venebi wamodgenilia didi, saSualo da mcire saCino venebiT. \\\\ romeli funqciuri cda gviqmnis warmodgenas qveda kidurebis zedapiruli venebis sarqvelebis mdgomareobaze? \\\ delbe-pertesis marSis. \\\ pratis pirveli. \\\ samlaxtiani. \\\ pratis meore. \\ trendelenburgis.

\\\\ ra ar aris damaxasiaTebeli qveda kidurebis venebis varikozuli gaganierebisaTvis? \\\ fexebSi simZimis SegrZneba. \\ kiduris sifermkrTale. \\\ wvivis da terfis SeSupeba. \\\ wvivis qvemo mesamedSi qsovilebis induracia. \\\ egzema.

\\\\ ra ar aRiniSneba postTromboflebituri sindromis paTogenezSi? \\\ Rrma venebSi wnevis momateba. \\\ Rrma da gamgmiravi (perforantuli) venebis sarqvelebis ukmarisoba. \\\ zedapiruli venebis varikozuli gaganiereba. \\ sisxli Rrma venebidan ar gadadis zedapirul venebSi. \\\ wvivis qveda mesamedSi mikrocirkulaciis darRveva da iSemia. \\\\ postTromboflebituri sindromis konservatuli mkurnalobis sqemaSi ar gamoiyeneba: \\ nitratebi. \\\ elastiuri windebi. \\\ samkurnalo fizkultura. \\\ mikrocirkulaciis gamaumjobesebeli preparatebi. \\\ venuri tonusis gamaumjobesebeli preparatebi \\\\ romeli debulebaa marTebuli spilovnobasTan dakavSirebiT? \\\ 90-95%-Si ziandeba zeda kidurebi. \\\ sxivuri Terapia arasodes iwvevs am daavadebas.

\\ daavadebis mimdinareobaSi gamoyofen 2 stadias. \\\ diagnostikis ZiriTadi meTodia ultrabgeriTi gamokvleva. \\\ limfografia dabalinfornaciuli meTodia. \\\\ romeli debulebaa marTebuli qveda kidurebis venur sistemasTan mimarTebaSi? \\\ zedapirul da Rrma venebs erTmaneTTan kavSiri ara aqvT. \\\ Rrma venebi warmodgenilia TiTebis, terfis, wvivis wyvili venebiT, romlebic qmnian muxlqveSa wyvil venebs. \\ gamgmirav (perforantul) venebs gaaCniaT sarqvelebi, romlebic normaSi atareben sisxls zedapirulidan Rrma venebisaken. \\\ Rrma venebs sarqvelebi ar aqvT. \\\ zedapiruli venebi wamodgenilia didi, saSualo da mcire saCino venebiT. \\\\ romeli funqciuri cda gviqmnis warmodgenas qveda kidurebis zedapiruli venebis sarqvelebis mdgomareobaze? \\\ delbe-pertesis marSis. \\\ pratis pirveli. \\\ samlaxtiani. \\\ pratis meore. \\ trendelenburgis. \\\\ ra ar aris damaxasiaTebeli qveda kidurebis venebis varikozuli gaganierebisaTvis? \\\ fexebSi simZimis SegrZneba. \\ kiduris sifermkrTale. \\\ wvivis da terfis SeSupeba. \\\ wvivis qvemo mesamedSi qsovilebis induracia. \\\ egzema. \\\\ ra ar aRiniSneba postTromboflebituri sindromis paTogenezSi? \\\ Rrma venebSi wnevis momateba. \\\ Rrma da gamgmiravi (perforantuli) venebis sarqvelebis ukmarisoba. \\\ zedapiruli venebis varikozuli gaganiereba. \\ sisxli Rrma venebidan ar gadadis zedapirul venebSi. \\\ wvivis qveda mesamedSi mikrocirkulaciis darRveva da iSemia.

\\\\ postTromboflebituri sindromis konservatuli mkurnalobis sqemaSi ar gamoiyeneba: \\ nitratebi. \\\ elastiuri windebi. \\\ samkurnalo fizkultura. \\\ mikrocirkulaciis gamaumjobesebeli preparatebi. \\\ venuri tonusis gamaumjobesebeli preparatebi. \\\\ romeli funqciuri cda iZleva informacias qveda kidurebis zedapiruli venebis sarqvelebis mdgomareobaze? \\\ pratis – I \\\ pratis _ II

\\ trendelenburgis \\\ samlaxtiani \\\ talmanis \\\\ qvedakidurebis komunikanturis venebis mdgomareobis Sesafaseblad romeli cda gamoiyeneba? \\\ pratis _ I \\ pratis _ II \\\ trendelenburgis \\\ hakenbruxis \\\ marSis \\\\ qveda kidurebis venebis varikozuli daavadebisas mizanSewonilia operaciuli mkurnaloba. qvemoT CamoTvlilTagan romeli operaciuli meTodi ar gamoiyeneba? \\\ lintonis meTodi \\\ koketis meTodi \\\ trendelenburgis \\\ naratis meTodi \\ palmas meTodi \\\\ postTromboflebituri sindromis mkurnalobisTvis romeli operaciuli meTodia marTebuli? \\ palmas meTodi \\\ naratis meTodi \\\ koketis meTodi \\\ lintonis meTodi \\\ trendelenburgis \\\\ romeli daavadebis gamo viTardeba qvedakidurebis spilovneba? \\\ postTromboflebaturi sindromi \\\ qveda kidurebis venebis varikozuli daavadeba \\ qronikuli limfostazi \\\ maoblitirebeli Trombangiti \\\ qvemokidurebis diabeturi angiopaTia \\\\ Rrma venebis Trombozis diagnosis dadgenis Semdgom sawyisi mkurnaloba gulisxmobs: \\\ heparinis kanqveSa ineqcias \\ heparinis intravenur ineqcias \\\ Trombolizuri Terapias urokinaziT \\\ mkurnalobas aspiriniT \\\ fenilinis daniSvnas \\\\ qvemo kidurebis venebis mwvave Tromboflebitisagan gankurnebidan 6 Tvis Semdeg avadmyofs aReniSneba qvemo kidurebis gardamavali SeSupeba. mkurnalobis pirvel etapze optimaluri iqneba: \\\ diuretikebis gamoyeneba. \\\ Trombebis moSoreba. \\\ venuri Suntis Seqmna autoveniT. \\\ venis Suntireba proteziT.

\\ elastiuri windis gamoyeneba. \\\\ romeli debulebaa mcdari qveda kidurebis varikozul gaganierebasTan mimarTebaSi? \\\ erTerTi mizezia komunikaciuri venebiT Rrma venebidan sisxlis gadmosrola zedapirul venebSi. \\\ xangrZlivi drois ganmavlobaSi igi usimptomod mimdinareobs. \\\ trofiuli cvlilebebi yvelaze mZafrad gamoxatulia wvivis qveda mesamedSi. \\\ Rrma venebis gamavlobis dasadgenad iyeneben delbe-pertes cdas. \\ masklerozirebel Terapias aqvs farTo gamoyeneba.

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კერძო ქირურგიის მიმართულება კერძო ქირურგიის … · \\\\ 48 wlis qali uCivis saerTo sisustes, advilad