aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
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aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
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Tavi IV. <strong>aiv</strong> <strong>infeqcia</strong>/<strong>SidsiT</strong> <strong>da</strong>avadebulTa imunizaciis<br />
ZiriTadi principebi<br />
ramdena<strong>da</strong>c <strong>aiv</strong> <strong>infeqcia</strong> iwvevs imunuri sistemis progresirebad<br />
<strong>da</strong>zianebas, SesaZloa <strong>aiv</strong> inficirebul pirebSi zogierTi vaqcina gaxdes<br />
mniSvnelovani gverdiTi reaqciis mizezi.<br />
imunobiologiuri produqti ar aris sruliad usafrTxo; amis<br />
gaTvaliswinebiT, axalSobilTa, bavSvTa <strong>da</strong> mozrdilTa vaqcinaciis<br />
ZiriTadi principebi efuZneba Semdegs:<br />
• imunobiologiuri produqtis maxasiaTeblebi;<br />
• aqtiuri <strong>da</strong> pasiuri imunizaciis principebis mecnieruli codna;<br />
• infeqciis epidemiologia;<br />
• infeqciis sawinaaRmdego proteqciis miRwevis <strong>da</strong>debiTi <strong>da</strong> uaryofiTi<br />
mxareebi.<br />
aRniSnuli <strong>da</strong>debiTi <strong>da</strong> uaryofiTi mxareebis zust Sefasebamde, rasac<br />
Semdgomi kvlevebi gviCvenebs, <strong>aiv</strong> <strong>infeqcia</strong> <strong>SidsiT</strong> <strong>da</strong>avadebul pirebSi<br />
nebismieri vaqcinacia un<strong>da</strong> tardebodes sifrTxiliT <strong>klinikuri</strong> <strong>da</strong><br />
prevenciuli medicinis eqspertebis SefasebiT.<br />
terminebi – vaqcinacia <strong>da</strong> imunizacia xSirad moiazreba sinonimebad.<br />
vaqcinacia es aris procesi, rodesac a<strong>da</strong>mianis organizmSi Segvyavs<br />
imunobiologiuri produqti (vaqcina an anatoqsini) <strong>da</strong> gulisxmobs<br />
aqtiur imunizacias. imunizacia ufro farTo mcnebaa <strong>da</strong> gulisxmobs<br />
imunitetis xelovnur induqcias, romelic SeiZleba iyos pasiuri an<br />
aqtiuri.<br />
<strong>aiv</strong> <strong>infeqcia</strong>/<strong>SidsiT</strong> <strong>da</strong>avadebulTa vaqcinaciis ZiriTadi principebia.<br />
• <strong>da</strong>xocili an inaqtivirebuli vaqcina ar warmoadgens safrTxes<br />
imunokompromitirebulTaTvis <strong>da</strong> ZiriTa<strong>da</strong>d gamoiyeneba iseve, rogorc<br />
janmrTel populaciaSi.<br />
• rac Seexeba cocxali virusis an baqteriis Semcvel vaqcinebs,<br />
rogoric aris BCG, oraluri poliovirusis, tifis(Ty21a), Cutyvavilas<br />
<strong>da</strong> yviTeli cxelebis vaqcinebi, maTi gamoyeneba <strong>aiv</strong> inficirebul<br />
pirebSi SesaZloa <strong>da</strong>kavSirebuli iyos garkveul riskTan <strong>da</strong>, amitom,<br />
un<strong>da</strong> tardebodes <strong>da</strong>debiTi <strong>da</strong> uaryofiTi mxareebis zedmiwevniT<br />
SefasebiT, <strong>aiv</strong> infeqciis stadiisa <strong>da</strong> imunuri sistemis supresiis<br />
xarisxis gaTvaliswinebiT.<br />
4.1. vaqcinebisa <strong>da</strong> imunoglobulinebis gamoyeneba<br />
<strong>aiv</strong> <strong>infeqcia</strong>/<strong>SidsiT</strong> <strong>da</strong>avadebulTa imunizaciisas gaTvaliswinebuli un<strong>da</strong><br />
iyos aRniSnuli vaqcinebis imunogenurobis ZiriTadi aspeqtebi.<br />
• miuxe<strong>da</strong>vad imisa, rom <strong>aiv</strong> inficirebul axalSobilebSi ujreduli <strong>da</strong><br />
humoruli imunitetis <strong>da</strong>qveiTeba iwyeba <strong>da</strong>badebisTanave, maT<br />
umravlesobaSi imunuri pasuxis unari sicocxlis pirveli 2 wlis<br />
ganmavlobaSi SenarCunebulia. rekomendebuli vaqcinebis 1 imunogenurobis<br />
Seswavlam gamoavlina serokonversiis <strong>da</strong>makmayofilebeli<br />
xarisxi <strong>aiv</strong> infeqciis adreul stadiaze. aRsaniSnavia, rom TiToeuli<br />
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