farisebri

კერძო ქირურგიის მიმართულება N.1 

საგამოცდო 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 


\\\\ 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 


\\\ difuzuri toqsiuri Ciyvi 

\\\ farisebri jirkvlis kibo 


\\\\ 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? 



\\\ rideli Ciyvi 

\\ haSimotos Ciyvi 


\\\\ 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 


\\\ Tireoiditi 

\\ hipoTireozi 


\\\\ 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 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: 



\\ haSimotos Ciyvi. 

\\\ difuzuri toqsiuri Ciyvi. 


\\\\ 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. 





\\\\ 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: 





\\ 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 


\\\ 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 


\\\ 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 


\\ mkerdukana Ciyvi 

\\\ kisris Ciyvi 


\\\\ 44 wlis qali uCivis wonaSi wonaSi mkveTr klebas, madis gaZlierebas, 

advilad daRlas da oflianobas, amenoreas. Tvalebis irgvliv 

gamoxatuli pigmentacia, egzofTalmia. savaraudo diagnozia: 

\\ bazedovis daavadeba 


\\\ miqsedema 


\\\ 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 


\\\ sporduli 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: 


\\\ ridelis Ciyi 


\\\ kvanZovani toqsiuri Ciyvi 


\\\\ 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: 


\\ difuzuri toqsuri Ciyvi 

\\\ sporaduli 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: 






\\\\ 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. 





\\\ endemiuri 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? 



\\\ 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 



\\\ sporadiuli Ciyvi 

\\\\ romeli niSani ar axasiaTebs hiperparaTireozs? 

\\\ hiperkalcemia; 


\\\ paTologiuri motexiloba; 

\\\ nefroliTiazi; 

\\ qoledoqoliTiazi; 

\\\\ romeli paTologiis ganviTareba ar aris mosalodneli 

hiperparaTireozis dros? 

\\\ paraTireoiduli jirkvlis adenoma; 

\\\ hiperplazia; 

\\\ kibo; 


\\ 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. 


\\\ 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. 


\\\ 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? 


\\\ 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 


\\\ 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 


\\\ 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? 


\\\ 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? 


\\\ 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 


\\\ 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 


\\\ 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. 


\\\ 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. 


\\\ mwvave mastiti. 

\\ kvanZovani mastopaTia. 


\\\ kibo. 

\\\ lipoma. 

\\\\ 22 wlis qali uCivis marcxena sarZeve jirkvlis SeSupebas da Zlier 

tkivils, Semcivnebas. jirkvali SeSupebulia, hiperebulia, palpaciiT 

mtkivneulia. t – 39,5 ºC. 



\\ mwvave mastiti 


\\\ difuzuri 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: 


\\\ 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:




\\ 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 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: 



\\ difuzuri mastopaTia 



\\\\ 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:


\\ sadinris papilomebi 

\\\ erizepeloiduri kibo 



\\\\ 20 wlis qals aReniSneba hiperTermia 40 0 C-mde. sarZeve jirkvlis 

zomaSi mateba, SeSupeba, hiperemia. punqciuri biofsiiT da citologiuri 

kvleviT nanaxia atipiuri ujredebi. savaraudo diagnozia: 


\\\ difuziuri mastopaTia 


\\ mastitismagvari kibo 


\\\\ 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 41 0 c-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; 


\\\ ,,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; 


\\\ 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; 


\\\ 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; 


\\\ 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 divertikuli 

\\\ ezofagospazmi 


\\ 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? 


\\ saylapavis divertikuli 


\\\ 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? 



\\ 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? 



\\ saylapavis divertikuli 

\\\ kardiis spazmi 


\\\\ 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? 


\\\ kardiis spazmi 



\\ saylapavis kibo 

\\\\ saylaapvis romel daavadebas axasiaTebs paradoqsuli disfagia? 


\\ kardiospazmi 


\\\ 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: 


\\\ 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: 


\\\ 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: 




\\ ezofagospazmi 


\\\\ 61 wlis mamakacs awuxebs ylapvis gaZneleba da tkivili mkerdis Zvlis 

ukan. rentgenologiurad aRiniSneba saylapavis lorwovanis 

uswormasworo konturi da avsebis defeqti. savaraudo diagnozia: 



\\ saylapavis kibo 


\\\ 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 aqlazia 



\\\\ 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. 


\\\ 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. 


\\\ 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. 


\\ sazardulis dacurebuli Tiaqari; 

\\\ sazardulis iribi Tiaqari; 

\\\ sazardulis CaWedili Tiaqari; 

\\\ spigelis Tiaqari 

\\\\ avadmyofs aqvs sazardulis Tiaqari, masTan erTad aRniSnavs dizurias 

ufro metad safiqrebelia. 


\\ sazardulis dacurebuli Tiaqari; 

\\\ sazardulis iribi Tiaqari; 

\\\ sazardulis CaWedili 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 



\\\ winidan – pupartis iogi, ukanidan – kuperis iogiT, 

medialurad barZayis vena, lateralurad ganieri fasciis 


\\\\ 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 




\\ ganivi fascia 

\\\\ sazardulis arxis zeda kedels qmnis: 

\\\ swori kunTi 


\\ muclis SigniTa iribi da ganivi kunTebis qveda kideebi 



\\\\ sazardulis arxis qveda kedels qmnis: 

\\\ muclis gareTa iribi kunTi 

\\ pupartis iogi 


\\\ swori kunTi 


\\\\ 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 



\\\ boqvenis Zvali 

\\ jimbernatis iogi 

\\\\ barZayis rgolis qveda sazRvars warmoadgens 

\\ puparts iogi 



\\ boqvenis Zvalis qedi 


\\\\ 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. 


\\\ 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 



\\ winidan – pupartis iogi, ukanidan – kuperis iogiT, medialurad 



\\\ 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 


\\\ 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: 


\\\ 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, hofmaisterfinstereris 

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 


\\\ 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 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; 


\\\ 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? 


\\ 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? 



\\ fibroezofagogastroduodenoskopia; 

\\\ magnitur-rezonansuli kvleva; 


\\\\ 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 



\\\ 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: 


\\\ anastomozis peptiuri wyluli 


\\ 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. 



\\\\ 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 dazianebanaxeTqi; 

\\\ 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? 


\\\ 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? 


\\\ kuWis rentgenologiuri gamokvleva. 


\\\ 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: 


\\ 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 


\\\\ 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 


\\\ 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); 


\\\\ romeli fistula mikuTvneba maRals? 

\\ mlivi nawlavis; 

\\\ TeZos nawlavis; 

\\\ brma nawlavis; 

\\\ aswvrivi kolinjis; 

\\\ ganivi kolinjis; 

\\\\ romeli fistulis dros aqvs adgili nivTierebaTa cvlis da wyaleleqtrolituri 

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. 


\\\ 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; 


\\\\ kronis daavadebis garTulebebs miekuTvneba: 

\\\ nawlavis perforacia; 


\\\ sisxldena nawlavidan; 

\\\ nawlavis xvrelmili; 

\\\ muclis Rrus abscesi; 

\\\\ kronis daavadebis samkurnalod gamoiyeneba: 

\\\ hemostazuri preparatebi; 

\\ steroiduli hormonebi; 

\\\ sxivuri Terapia; 


\\\ 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; 


\\\\ wvrili nawlavis simsivneebis radikaluri operaciuli meTodia: 

\\\ SemovliTi anastomozi; 

\\\ ieiunostomia; 

\\\ ileostomia; 

\\ nawlavis rezeqcia; 

\\\ gastroenteroanastomozi; 

\\\\ nawlavis xvrelmilis diagnostikis yvelaze informaciuli meTodia: 

\\\ ultrasonografia; 

\\\ birTvul-magnitur-rezonansuri tomografia; 


\\\ endoskopia; 

\\ fistulografia; 

\\\\ nawlavis xvrelmilebi SeiZleba iyos: 

\\\ maRali;


\\\ 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; 


\\ 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; 


\\\\ 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’’. 


\\\ mekelis divertikuliti; 


\\\ 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 



\\\ 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 



\\\ 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? 


\\ endoskopia biofsiiT. 



\\\ 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-38 0 c. 

palpaciiT adgilobrivad kunTebis daWimuloba da mtkivneulobaa. 

sisxlSi leikocitozia. rentgenokontrastuli kvleviT aRiniSneba 

wvrili nawlavis kedelTan dakavSirebuli momrgvalo formis damatebiTi 

Crdili. savaraudo diagnozia: 


\\ 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: 


\\\ wvrili nawlavis hemangnioma 



\\\ 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? 



\\\ 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: 


\\\ 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. 


\\\ kronis daavadeba

\\\ msxvili nawlavis polipozi 

\\\ hirSprungis daavadeba 

\\ araspecifiuri wylulovani koliti 


\\\\ 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: 



\\\ msxvili nawlavis kibo 


\\ 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? 


\\\ diagnostikuri laparoskopia 

\\ kolonoskopia 

\\\ irigografia 


\\\\ 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; 


\\\ anoskopia; 


\\ kolonoskopia; 

\\\\ msxvili nawlavis polipis mkurnalobis meTodia; 

\\\ yvela CamoTvlili; 


\\\ qimioTerapia; 

\\ operacia; 

\\\ hormonoTerapia; 

\\\\ msxvili nawlavis kibos mikroskopul formebs ar miekuTvneba: 


\\\ 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; 


\\\\ 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? 


\\ 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 edsis 

momatebiT 25 mm/sT. romeli gamokvleva dagexmarebaT yvelaze metad 

diagnozis dadgenaSi? 



\\\ 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 


\\\ kronis daavadeba 

\\ hirSprungis daavadeba 


\\\\ 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? 


\\\ kolinjis divertikuli 


\\\ hirSprungis daavadeba


\\\\ pacients msxvili nawlavis polipozTan erTad daudginda Zvlovani da 

rbili qsovilebis keTilTvisebiani simsivneebis Tanaarseboba. ra 


\\\ 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. 


\\\ 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. 


\\\ 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? 


\\\ irigografia. 

\\ kolonoskopia. 


\\\ 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: 



\\\ kolinjis kibo 

\\\ polipozi 


\\\\ CamoTvlil daavadebaTagan romeli aris miCneuli obligatur 

prekancerul (kiboswinare) daavadebad? 


\\\ 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. 


\\\\ 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 


\\\ 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. 



\\ mwvave paraproqtiti 


\\\ 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 


\\\ 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 


\\ yiTas naxeTqi 

\\\ buasili

\\\ kolinjis divertikuliti 

\\\ swori nawlavis xvrelmili 


\\\\ 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? 


\\\ buasili 

\\ paraproqtiti 



\\\\ 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. 


\\\\ 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. 


\\ yiTas naxeTqi. 


\\\ 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. 



\\\\ 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. 


\\\ buasili. 

\\\ swori nawlavis polipi. 


\\ swori nawlavis kibo. 


\\\\ 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. 





\\ buasili 


\\\\ 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: 


\\ yiTas naxeTqi 



\\\ 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 kibo 

\\\ buasili 

\\\ swori nawlavis polipi 


\\\\ RviZlis ameburi abscesis mkurnalobisTvis gamoiyeneba: 

\\ metronidazolis preparatebi; 

\\\ penicilinis jgufis preparatebi; 

\\\ cefalosporinebi; 

\\\ kortikosteroidebi; 

\\\ antacidebi; 

\\\\ romeli gamokvlevaa naklebinformaciuli RviZlis baqteriuli 

(piogenuri) abscesis dros; 

\\\ abscesis Rrus punqcia; 



\\\ 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 


\\\\ romeli simptomi ar axasiaTebs RviZlis baqteriul (piogenur) 

abscess? 

\\\ heqtiuri temperatura; 


\\\ 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? 


\\\ rentgenologiuri kvleva 

\\\ bronqoskopia 

\\ ezofagogastroduodenoskopia 


\\\\ 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. 


\\\ 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; 


\\\\ 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; 


\\\\ 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 


\\\ 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 



\\\ kuWis 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 


\\\\ 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. 



\\\\ 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+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 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 


\\\ 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; 


\\ eqoskopia; 

\\\ intravenuri qolecistografia; 


\\\\ 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; 


\\\ 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; 



\\\\ 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; 


\\\ portografia; 

\\ qolangiografia; 


\\\\ 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? 


\\ mwvave Cirqovani qolangiti 

\\\ qronikuli masklerozirebeli qolangiti 

\\\ mwvave ukenWo qolecistiti 


\\\\ RviZlismier siyviTles iwvevs: 

\\\ hemolizuri Sxamebi 

\\\ hemolizuri anemia 


\\ 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. 



\\\ 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? 


\\ ultrabgeriTi gamokvleva 

\\\ ezofagogastroduodenoskopia 


\\\ 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. 


\\ 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. 


\\\ 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. 




\\\ 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 


\\ ultrabgeriTi kvleva 



\\\\ 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? 


\\\ ganmeorebiTi ultrabgeriTi kvleva 


\\ retrograduli qolngiopankreatografia 


\\\\ 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 



\\\\ 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; 


\\\ 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? 



\\ splenoportografia; 


\\\ 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. welzurgSi 

sartylisebri tkivilic aqvs. palpaciiT muceli rbilia, 

mtkivneulia epigastriumSi. sisxlSi momatebulia lipaza. savaraudo 

diagnozia: 

\\ qronikuli pankreatiti 

\\\ qronikuli gastriti 


\\\ 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? 


\\ qronikuli pankratiti 


\\\ 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 





\\\\ 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 


\\\\ 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 


\\ 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: 


\\ qronikuli pankreatiti 


\\\ 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 


\\\ 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 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? 


\\\ rentgenologiuri gamokvleva. 

\\\ bronqofibroskopia. 


\\\ 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; 


\\\ 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; 


\\\ bronqoskopia; 

\\ kolposkopia; 

\\\ gulmkerdis rentgenoskopia; 

\\\\ romeli preparatebi gamoiyeneba filtvis abscesis mkurnalobis 

mizniT? 

\\\ vitaminebi; 

\\\ antibiotikebi; 


\\\ 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; 


\\\\ Cirqovani plevriti ganviTarebis mizezi SeiZleba iyos: 

\\\ subdiafragmuli abscesi; 

\\\ Cirqovani perikarditi; 

\\\ Cirqovani mediastiniti; 


\\\ 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; 


\\\ yvela CamoTvlili meTodi maRalinformaciulia; 

\\\\ filtvis eqinokokis mkurnalobis Tanamedrove meTodebia: 


\\ operacia; 

\\\ qimioTerapia; 

\\\ imunoTerapia; 


\\\\ romel daavadebaTa jgufs miekuTvneba filtvis eqinokokozi; 


\\ 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 lateqsaglutinaciis 

reaqcia. 


\\ 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. 


\\\ filtvis eqinokoki 




\\ 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 lateqsaglutinaciis 

reaqcia. 







\\\\ filtvis kibos simptomebia 

\\\ perkutoruli mtkivneuloba gulmkerdze da xerxemalze 

\\\ sisxliani xvela 

\\\ dispnoe 

\\ recidiuli pnevmoToraqsi 

\\\ mkSrali, myefavi xvela 


Semawuxebeli xvela da saerTo sisuste. xvela xSirad sisxliania. 

gulmkerdis rentgenogramaze _ marjvena filtvis karTan uswormasworo 

konturebis mqone homogenuri daCrdilvaa. 

savaraudo diagnozia:





\\ 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 eqinokokozi 


\\\ 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 abscesi

\\\\ 65 wlis mamakaci uCivis tkivils mxarzeda midamoSi, romelic 

gadaecema xelSi. xeli SeSupebulia. gamoxatulia bernar-horneris 

sindromi. ra paTologia aReniSneba pacients? 

\\\ filtvis mediastinuri kibo 


\\\ pnevmonia 


\\ 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 mediastinuri kibo 


\\\\ 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 daCirqebuli eqinokoki 


\\ 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? 




\\\ 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 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. 


\\ 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 analizSieozinofilia. 

dadebiTia sisxlis lateqs aglutinaciis reaqcia. 


\\\ 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. 


Semawuxebeli xvela da saerTo sisuste. auskultaciiT filtvebSi 

vezikuluri sunTqva. Ggulmkerdis rentgenogramaze – marjvena filtvis 

karTan uswormaworo konturebis mqone homogenuri daCrdilva. 


\\ 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 0 C, Semcivnebas, 

oflianobas, sunTqvis gaZnelebas, auskultaciiT mwiri monacemebia. 

rentgenologiurad orive filtvis Sua da qveda wilebSi mravlobiTi 

wvrilkerovani daCrdiluli ubnebia. savaraudo diagnozia: 



\\ filtvis stafilokokuri deqstruqcia 



\\\\ 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 


\\\ filtvebis stafilokokuri desqtruqcia 

\\\ filtvis centraluri kibo 


\\\\ 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 stafilokokuri destruqcia 


\\\\ 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? 





\\ 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? 






\\\\ 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? 






\\\\ 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? 





\\ 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 stafilokokuri destruqcia 


\\\\ 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 eqinokokozi 


\\\\ 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 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; 


\\\ 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; 


\\ 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 


\\ 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. 


\\\ 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 


\\\\ 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? 



\\ 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? 



\\\ 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? 


\\\ leriSis sindromi

\\ qvemo kidurebis venebis varikozuli 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 




\\ posttromboflebituri 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 


\\ spilovneba 


\\ qvemo kidurebis venebis varikozuli 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


\\ posttromboflebituri 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. 




\\\ pratis pirveli. 

\\\ samlaxtiani. 

\\\ pratis meore. 

\\ trendelenburgis. 



\\\ 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. 


\\\ 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. 




\\\ pratis pirveli. 

\\\ samlaxtiani. 

\\\ pratis meore. 

\\ trendelenburgis. 



\\\ 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 


\\\ 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 


\\\ naratis meTodi 

\\ palmas meTodi 

\\\\ postTromboflebituri sindromis mkurnalobisTvis romeli 

operaciuli meTodia marTebuli? 

\\ palmas meTodi 

\\\ naratis meTodi 

\\\ koketis meTodi 

\\\ lintonis meTodi 


\\\\ romeli daavadebis gamo viTardeba qvedakidurebis spilovneba? 

\\\ postTromboflebaturi sindromi 

\\\ qveda kidurebis venebis varikozuli daavadeba 

\\ qronikuli limfostazi 


\\\ 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.

farisebri

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