:

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n Bates guide to physical examination and

history taking, Lynn S. Bickley, Lippincott

Williams & Wilkins (Techniques of
Examination/The Vital Signs);
n MedlinePlus (www.nlm.nih.gov/medlineplus/)
A service of he U.S. National Library of
Medicine, National Institutes of Health;

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(Circulation
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http://circ.ahajournals.org/content/122/18_suppl_3/S640 )
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arteriuli wnevis gazomva:

28.03.2012

29

arteriuli wnevis gazomva:

arteriuli wnevis gazomva unda moxdes standartuli wesiT,
vargisi gasazomi aRWurvilobis gamoyenebiT;
pacienti unda ijdes skamze da sul mcire, 5 wuTis manZilze
unda isvenebdes; fexebi iatakze unda ebjinebodes, xolo zemo
kidurebi unda iyos gaSiSvlebuli da ganTavsebuli gulis
doneze (winamxari magidazea dayrdnobili);
pacients ar unda hqondes moweuli Tambaqo, ar unda hqondes
miRebuli kofeini da unda moeridos fizikur datvirTvas
wnevis gazmovamde 30 wuTis ganmavlobaSi;
garkveuli garemoebebis arsebobisas wneva unda gaizomos
fexze mdgomare poziciaSi;
28.03.2012

30

arteriuli wnevis gazomva:

gamoyenebuli unda iqnes Sesabamisi zomis manJeti; rezinis
gasaber manJets unda ekavos mxris, sul mcire 80%;
unda Catardes ori an meti gazomva xuTwuTiani
intervalebiT; dasawyisSi wneva orive xelze unda gaizomos;
unda dafiqsirdes rogorc sistoluri (korotkovis I faza),
ise diastoluri wneva (korotkovis V faza);

28.03.2012

31

arteriuli wnevis gazomva:

korotkovis tonebi
I.

tonebis gaCena

II. Suili
III.sistolumkafio tonebi (Suili qreba)

wnevamkveTri Sesusteba
IV.ri
tonebis
V.

tonebis gaqroba

diastoluri wneva
28.03.2012

32

28.03.2012

33

arteriuli wnevis gazomva:

wnevis gazomvis procesSi manJetSi wneva nela unda
Caitumbos, amasTan, manJetSi wnevis gazrda unda gagrZeldes
pulsis gaqrobis Semdeg (isinjeba palpaciiT) manam, sanam
manometrSi wneva kidev 20-30 mm-iT ar aiwevs.
manJetidan haeris gamoSvebisas yuradReba miaqcieT, rom haeri
nela gamovides - saSualod manJetSi wnevam wamSi 2 mm-iT
unda daiwios. es dagexmarebaT arteriuli wnevis zustad
gazomvaSi.
pacientis garkveviT unda miewodos informacia (rogorc
zepirad, ise werilobiT) gazomvis Sedegad dafiqsirebuli
arteriuli wnevis, agreTve arteriuli wnevis samizne cifrebis
Sesaxeb (sasurveli arteriuli wneva).

28.03.2012

34

 :
( )

28.03.2012

35