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Tavis saxis nawili

saxeze gamoiyofa saxis gverdiTi, saxis Rrma, Tvalbudis,


cxviris, pirisa da nikapis midamoebi.
saxis gverdiTi midamos sazRvrebi:
zevidan _ yvrimalis rkali da Tvalbudis
qveda kide,
qvevidan _ qvedaybis qveda kide,
winidan _ cxvirtuCis naoWi da piris
napralis kuTxe,
uknidan _ gareTa sasmeni xvreli da
dvrilisebri morCis wina kide.
garegani orientirebi: yvrimalis Zvali,
yvrimalis rkali, gamxdar subieqtebSi _
CaRrmaveba, romelic eSvis fosos
Seesabameba; yuris niJaris wina saxuris
win _ qveda ybis rokisebri morCi,
yvrimalis rkalis Sua nawilis qvemoT _
qveda ybis gvirgvinisebri morCi; qveda ybis morCis gareTa zedapirze,
gansakuTrebiT ReWvisas, SeimCneva saReWi kunTis Seqmnili SemaRleba.
kani Txelia, mtkiced aris dakavSirebuli kargad ganviTarebul
kanqveSa qsovilTan, Seicavs didi raodenobiT cximisa da oflis
jirkvlebs, mamakacebs Semosili aqvT TmiT.

kanqveSa qsovilSi ganlagebulia didi raodenobiT


sisxlZarRvebi da nervebi. saxe kargad maragdeba sisxliT. amiT
aixsneba, rom saxis Wriloba, Cveulebriv, male xorcdeba.
saxis gverdiTi midamos kans ainervirebs kranialuri nervebis V
wyvili nervis _ samwvera nervis totebi: Tvalbudis, zeda ybis da
qveda ybis nervebi.
saxis gverdiTi midamo, Tavis mxriv, iyofa ybayur-saReW da loyis
midamoebad, romelic gayofilia erTmaneTisgan saReWi kunTis wina
kidiT.
yba-yur-saReWi midamo (regio parotideomasseterica)

midamos wina nawili uWiravs


saReW kunTs, ukana nawili _ yba-
yuris jirkvals.
saReWi kunTis areSi kanqveS
ganlagebulia saxis nervis
loyis totebi, yba-yuris
jirkvlis sadinari, saxis ganivi
arteria da vena (a. et v. transversa
faciei), romlebic yba-yuris
jirkvlidan gamodian da
ganivad winisken miemarTebian.
saReWi kunTi (m. masseter)
dafarulia saReWi fasciiT,
romelic win loyis cximovani
sxeulis (corpus adiposus buccae)
fasciur budes ukavSirdeba,
ukan yba-yuris fasciaSi (fascia
parotidea) gadadis, zeviT
umagrdeba yvrimalis rkals,
qveviT _ qveda ybis kuTxes.
saReW kunTsa da qveda ybis
tots Soris faSari
SemaerTebeli qsoviliT
amovsebuli sivrcea,
romelic zeviT safeTqlis
fasciasa da safeTqlis
kunTs Soris arsebul
sivrceSi (safeTqlis III
SemaerTebelqsovilovan
SreSi) gadadis, xolo
SigniT _ qveda ybis
amonaWdeviT (incisura
mandibulare) saxis Rrma
midamos ukavSirdeba.
aRniSnuli naWdevis
gziT saxis Rrma midamodan
saReW kunTSi saReWi
arteria, vena da nervi (a. v.
et n. masseteriae) Sedis.
yba-yuris jirkvali
(glandula parotis) mdebareobs
qvedaybis ukana fosoSi,
romelic winidan
SemosazRvrulia saReWi
kunTiT, qveda ybis totis
ukana kidiT da
medialuri frTisebri
kunTiT (m. pterygoideus
medialis), zevidan — gareTa
sasmeni xvreliT, uknidan
_ dvrilisebri morCiTa
da mkerd-laviw-
dvrilisebri kunTis
dasawyisiT, qvevidan _
ormucela kunTis ukana
mucliT. fosos
medialurad moTavbebulia
sadgisisebri morCi
(processus styloideus) da
misgan dawyebuli sadgis-
inis, sadgis-enisa da
sadgis-xaxis kunTebi (mm.
stylohyoideus, styloglossus et
stylopharyngeus).
yba-yuris fascia (fascia
parotidea) jirkvlisTvis
qmnis kafsuls, romelic
qvedaybis ukana fosos
momsazRvreli kunTebis
mfarav fasciebTan aris
dakaviSirebuli.
jirkvlis zeda boloSi
igi gaTxelebulia da
zogjer ganleuli, xolo
medialur zedapirze
Seicavs defeqts,
romliTac jirvlis
parenqimis morCi
uSualod xaxis gverdiT
sivrceSia SeWrili. amis
gamo Cirqovani
parotitis
dros procesi SeiZleba gareTa sasmeni xvrelis irgvliv mdebare
SemaerTebel qsovilsa da xaxis gverdiT sivrceSi gavrceldes.
jirkvlis kafsula ise mWidrod aris dakavSirebuli organos
stromasTan, rom jirkvlis intrakafsuluri (subkafsuluri) amokveTa
teqnikurad SeuZlebelia.
yba-yuris
jirkvlis
sisqeSi gaivlis
gareTa saZile
arteriis
saboloo
nawili, qveda
ybis ukana vena,
saxisa da yur-
safeTqlis
nervebi.
gareTa
saZile
arterias yba-
yuris
jirkvalSi
gamoeyofa
safeTqlis
zedapiruli
arteria,
romelic
aqedan
safeTqlis
midamoSi
miemarTeba, da
zeda ybis
arteria,
romelic
saxis Rrma
midamoSi
gadadis.

safeTqlis zedapirul arterias yba-yuris jirvlis sisqeSi gamoeyofa


saxis ganivi arteria.
qveda ybis
ukana vena
jirkvalSi
gareTa saZile
arteriasTan
erTad
mdebareobs.
igi iqmneba yba-
yuris
jirkvlis,
zeda ybis,
saxis ganivi,
safeTqlis
zedapiruli,
Sua da Rrma
venebis
SeerTebiT.
qveda ybis
kuTxesTan igi
saxis venas
erTvis
jirkvalSi,
uSualod misi
kafsulis
qveS,
mdebareobs
limfuri
kvanZebi.
saxis nervi (n.
facialis) sadgis-
dvrilisebri
xvrelidan
gamosvlisTanave
yba-yuris
jirkvlis
sisqeSi Sedis da
iqve iyofa
totebad,
romlebic
erTmaneTs
ukavSirdebian da
qmnian wnuls _
plexus parotideus.
igi jirvalSi 1-2
sm-is siRrmeze
mdebareobs.

wnulidan gamosuli totebi tovebs jirkvals misi wina kidis areSi,


xvrets saReW fascias da kanqveSa qsovilSi mimikuri kunTebisken
miemarTeba.
arCeven saxis nervis
xuTi jgufis totebs:
1) safeTqlis totebi
(rami temporales)
miemarTeba win da
zeviT Tvalbudis
irgvlivi kunTisa da
qalasarqvlis kunTis
Sublis muclisaken; @2)
yvrimalis totebi (rami
zygomatici) anervebs
yvrimalisa da
Tvalbudis irgvliv
kunTebs; 3) loyis
totebi (rami buccales)
yvrimalis rkalis
qvemoT win _nestoebisa
da piris napralis irgvliv ganlagebuli kunTebisken miemarTeba; 4) qveda
ybis sanapiro toti (ramus marginalis mandibulae) miemarTeba win _ qveda ybis
kidis gaswvriv, nikapis midamoSi mdebare kunTebisken; 5) kisris toti (ramus
colli) kiserSi eSveba da kisris kanqveSa kunTis zeda nawilSi bolovdeba.
garda amisa, saxis nervi amaragebs yuris kunTebs, sadgis-inis kunTsa da
ormucela kunTis ukana mucels. saxis nervis totis dazianeba Sesabamisi
mimikuri kunTebis damblas iwvevs.
qveda ybis nervs
gamoeyofa yur-
safeTqlis nervi
ovaluri xvrelis
qveS (saxis Rrma
midamoSi), iqve
iyofa or totad,
romlebic magari
garsis arteriis
dasawyiss ori
mxridan
Semouvlian da
kvlav
erTiandebian.
Semdeg nervi
qveda ybis
rokisebri morCis
ukan gaivlis da yba-yuris jirkvalSi totiT ukavSirdeba saxis nervs,
aZlevs totebs gareTa sasmen xvrelsa da yba-yuris jirkvals, Semdeg
safeTqlis zedapirul arteriasTan erTad safeTqlis midamoSi
gadadis.
yba-yuris sadinari (ductus
parotideus) gamodis yba-yuris
jirkvlidan misi wina kidis
zeda nawilSi, saReWi
fasciis gareTa zedapirze
yvrimalis rkalidan 1
TiTis siganis qvemoT
horizontalurad winisaken
miemarTeba, saReWi kunTis
wina kidesTan SigniT ixreba,
loyis cximovan sxeulSi
gaivlis, loyis kunTs
xvrets da ixsneba piris
karibWeSi zeda meore didi
ZiriTadi kbilis doneze.
kanze igi proecirdeba
yuris wina Wavlidan
cxviris frTamde
gavlebuli xazis Sua
mesamedSi. misi dasawyisi
nawilis zemoT, Cveulebriv,
mdebareobs mcire zomis
damatebiTi yba-yuris
jirkvali.
loyis midamo, regio buccalis

kanqveSa SreSi
moTavsebulia
mimikuri kunTebi,
sisxlZarRvebi da
nervebi. mimikuri
kunTebi
ganlagebulia
Sreebad.
zedapirulad
mdebareobs Tvalis
irgvlivi kunTi (m.
orbicularis oculi), mis
qveS _ mcire da
didi yvrimalis
kunTebi (m.
zygomaticus major et
minor), ufro Rrmad
_ zeda tuCis amwevi
kunTi (m. levator labii
superioris).
mimikuri
kunTebis qveS
loyis kunTia
(m. buccinator). igi
iwyeba zeda
ybisa da qveda
ybis kbilbudeTa
nawilebidan,
frTa-qveda ybis
nakeridan (raphe
pterygomandibularis)
da qveda ybis
loyis xazidan,
umagrdeba piris
napralis

irgvliv ganlagebul mimikur kunTebs. garedan dafarulia mkvrivi loya-


xaxis fasciiT (f. buccopharyngea), Signidan _ loyis lorwovani garsiT.
saReWi kunTis win loyis kunTs xvrets yba-yuris jirkvlis sadinari.
kunTis gareTa zedaprze gaivlis loyis arteria (a. bucccalis) (zeda
ybis arteriis toti), loyis vena (v. buccalis) (erTvis frTisebr wnuls)
da loyis nervi (n. buccalis) (qveda ybis nervis toti).
kunTis gareTa
zedapirze mcire
zomis limfuri
kvanZia.
loyisa da saReW
kunTebs Soris _
sakuTar fasciur
budeSi —
mdebareobs loyis
cximovani sxeuli
(corpus adiposum
buccae),
romlisganac
warzidulia
morCebi
safeTqlis
fososken,
frTa_sasis
fososken da
Tvalbudisaken.
loyis midamos arteriebs
Soris yvelaze
mniSvnelovania saxis
arteria (saerTo saZile
arteriis toti). saReWi
kunTis wina kidesTan igi
qveda ybis kides gadauvlis
da saxeze gadadis; aq
loyis kunTis gareTa
zedapiriT zeviT da win
miemarTeba, piris kuTxis
amwev da zeda tuCis amwev
kunTebs Soris gaivlis da
Tvalbudis medialur
kuTxesTan grZeldeba
kuTxis arteriaSi. saxis
arteriis damaxasiaTebelia
daklakniloba, rac ufro
mkveTrad aris gamoxatuli
piris napralis gverdiT _
zeda da qveda tuCis
arteriebis gamosvlis
adgilas.
saxis arteria saxeze
anastomozebiT aris
dakavSirebuli saxis
ganiv arteriasTan
(safeTqlis zedapiruli
arteriis toti),
Tvalbudis qveda
arteriasTan (zeda ybis
arteriis toti) da
Tvalbudis arteriasTan
(SigniTa saZile arteriis
toti). igi saxeze
proeqcirdeba saReWi
kunTis wina kidisa da
qveda ybis qveda kidis
gadakveTis wertilidan
Tvalis napralis
SigniTa kuTxemde
gavlebul xazze.
saxis arteriis garda, loyis midamos kvebavs saxis ganivi arteria
(safeTqlis zedapiruli arteriis toti), loyis arteria da
Tvalbudis qveda arteria (a. infraorbitalis) (zeda ybis arteriis totebi).
saxis vena saxis
arteriasTan mdebareobs,
iwyeba Tvalbudis
medialur kuTxesTan
kuTxis veniT, saxidan
qveda ybisqveSa
samkuTxedSi gaivlis da
saZile samkuTxedSi
SigniTa sauRle venas
erTvis.
saxis vena da,
saerTod, saxis
zedapiruli
venebi
anastomozebiT
dakavSirebulia
Tvalbudis
venebTan, saxis
Rrma midamoSi
mdebare
frTisebr
wnulTan da
maTisaSualebiT
mRvimovan
sinusTan. amitom
saxis Cirqovani
procesebi
venebis gziT
SeiZleba magari
garsis
sinusebze da
TviT tvinis
garsebzec
gavrceldes.
limfuri
ZarRvebi
loyis
midamodan
yuris wina
da
ybisqveSa
limfur
kvanZebSi
ixsneba.
saxis nervis
totebi
kanqveSa
qsovilis
Rrma SreSi
gaivlis da
mimikur
kunTebSi
maTi SigniTa
zedapiridan
Sedis. kans
anervebs
Sublis
nervi da
Tvalbudis
qveda nervi.

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