aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...

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inficirebul bavSvebSi (ramdenadac arsebobs disiminirebuli daavadebis albaToba). romelTac aqvT tuberkulozuri infeqciis ganviTarebis maRali riski, rac Tavis mxriv damokidebulia tuberkulozis lokalur gavrcelebaze. 4 maRali riskis SemTxvevaSi sasurvelia BCG imunizacia (CIII). rekomendaciebi • tuberkulozis dabali gavrcelebis arealSi 5 aiv inficirebul bavSvebSi, miuxedavad klinikuri stadiisa da imunodeficitis xarisxisa, ar unda Catardes BCG vaqcinacia. infeqciis maRali gavrcelebis arealSi BCG vaqcinacia unda Catardes mxolod aiv dadebiT asimptomur bavSvebSi. bavSvebi aiv infeqcia/Sidsis simptomebiT ar unda iyvnen BCG vaqcinirebuli (BII). • BCG vaqcina rekomendirebuli ar aris mozardebsa da mozrdilebSi, maT Soris aiv inficirebul pirebSi. ramdenadac is araefeqturia an umniSvnelod amcirebs mozrdilTa filtvis tuberkulozis SemTxvevebs. • prevenciuli antituberkulozuri mkurnaloba mkacrad rekomendirebulia im aiv infeqcia/SidsiT daavadebulebisaTvis, romlebic savaraudod inficirebulebi arian tuberkulozis mikobaqteriiT an imyofebian tuberkulozis ganviTarebis riskis qveS (AI). 4 aRsaniSnavia, rom im qveynebSic ki, sadac tuberkulozis gavrceleba dabalia, zogierTi subpopulacia SeiZleba gamoirCeodes daavadebis maRali prevalentobiT. 5 janmos evropis regionis qveynebi, sadac SemTxvevaTa raodenoba 100 000 mosaxleze 20- ze naklebia. 5 janmos evropis regionis qveynebi, sadac SemTxvevaTa raodenoba 100 000 mosaxleze 20- ze naklebia. 4.2.2. qoleris vaqcina (CVD 103-HgR) miuxedavad imisa, rom cocxali atenuirebuli oraluri vaqcina farTod gamoiyeneboda aiv infeqciis endemur kerebSi da seriozuli gverdiTi reaqciebi ar dafiqsirebula, usafrTxoebis Sesaxeb sakmarisi monacemebis ar arsebobis gamo is ukunaCvenebia aiv inficirebul pirebSi (CIII). daxocili WC/rBs vaqcina rekomendebulia aiv inficirebulTaTvis (BII). 4..2.3. wiTelas, ybayurasa da wiTuras vaqcinebi (MMR, MR, M, R vaqcinebi 6 ) aiv inficirebul asimptomur bavSvebs, aseve bavSvebs zomieri imunosupresiiT arainficirebuli bavSvebis msgavsad rutinulad unda CautardeT MMR da wiTelas Semcveli sxva vaqcinaciebi (AI). mniSvnelovania gvaxsovdes, rom wiTelas vaqcinis imunogenuroba mcirdeba, Tu vaqcinacia Catardeba adamianis normaluri imunoglobulinis gamoyenebidan 6 Tveze nakleb periodSi. miuxedavad imisa, rom aiv inficirebul asimptomur da simptomur pirebSi MMR-sa da wiTelas Semcveli sxva vaqcinebis gamoyenebisas Catarebuli kvlevebiT mniSvnelovani gverdiTi reaqciebi ar dafiqsirebula, es vaqcinebi rekomendebuli araa mniSvnelovani imunosupresiis mqone aiv inficirebulTaTvis. rekomendaciis ar arsebobis mizezebia: 112
• wiTelas vaqcinaciis Semdgomi pnevmoniis SemTxveva mZime imunosupresiis mqone recipientSi; • monacemebi wiTelas vaqcinaciaze gansxvavebuli imunuri pasuxis Sesaxeb mZime imunosupresiis mqone pirebSi; • monacemebi wiTelas vaqcinaciis Semdgomi virusuli infeqciiT gamowveuli letalobis Sesaxeb sul mcire 6 imunokompromitirebul pirSi. rekomendaciebi • MMR da wiTelas Semcveli sxva vaqcinebi saSualo an mkveTri imunosupresiis mqone bavSvebsa da mozrdilebSi ar gamoiyeneba (13 wlamde CD4+
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aiv infeqcia/SidsiT avadmyofTa mkur
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sarCevi klinikuri saxelmZRvanelo-re
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3.2.2.cxeleba aiv inficirebulebSi 3
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aiv infeqcia/Sidsis fonze ganviTare
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done mtkicebulebis siZlieris done (
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1.daavadebis definicia Sidsi abrevi
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Sidsi registrirebulia msoflios 216
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egistrirebul SemTxveevaTa 79% saqar
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adamianis imunodeficitis virusis sa
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aiv rnm-is koncentracia plazmaSi mk
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SeuZlebelia da gadamwyveti misi dia
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persistuli generalizebuli limfadeno
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signalis amplifikacia komplementuri
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• vizitamde rezistentobis testis
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• adamianis papilomavirusi (maxvi
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etinitis identifikaciisTvis, rodesa
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cxrili 8 rekomendaciebi arT dawyebi
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arv medikamentebi arseboben Semdegi
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aCveneben, rom pirveladi rezistento
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- tabletebis Cveneba pacientisTvis
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- aqedan gamomdinare, nrti+anrti re
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igulisxmeba im medikamentebis kombi
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X (arv): testebi, romlebic unda Cat
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maRali mgrZnobeloba abakaviri (ABC
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transaminazebis elevacia anrti (all
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ARV toqsiuroba menejmenti nefrotoqs
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xSiri oportonistuli infeqciebia, ma
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cxrilebis wakiTxvis magaliTi 1. cxr
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damateba2. jandacvis msoflio organi
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damateba 4. ZiriTadi informacia ant
Page 62 and 63: damateba 5. mkurnalobis reJimis dac
Page 64 and 65: saerTaSoriso saxeli stavudini (d4T)
Page 66 and 67: mcire mutacia muSaobs kombinaciaSi.
Page 68 and 69: 25. Phillips AN et al. Viral load o
Page 70 and 71: Suppl 2:S171-176. 73. Altice FL, Mo
Page 72 and 73: 122. Koval CE et al. Immune reconst
Page 74 and 75: kandidozi dRe yovel dRe - ko-trimoq
Page 76 and 77: karcinoma (ara SidsTan perikardiuli
Page 78 and 79: o cxeleba o wonaSi kleba o Ramis of
Page 80 and 81: indikatorebi filtvis darRveuli funq
Page 82 and 83: o yvelaze xSirad viTardeba diarea,
Page 84 and 85: o glukokortikoidebis sistematiuri m
Page 86 and 87: 100 mg/dReSi meore rigis sqemebi am
Page 88 and 89: o eqspoziciis Sedegad daavadebis ga
Page 90 and 91: o remisiis miRweva Zalian Znelia da
Page 92 and 93: qimioTerapiiT (mag : B-ALL reJimi)
Page 94 and 95: • imunodeficitis mqone pacientebS
Page 96 and 97: an famcikloviri 500 mg 3-jer dReSi
Page 98 and 99: • berkitis-tipis limfoma; • naz
Page 100 and 101: 3.2.2. cxeleba aiv inficirebulebSi
Page 102 and 103: afTozuri wylulebi stomatiti qeiliti
Page 104 and 105: ganmavlobaSi 2 Tvis manZilze (xelis
Page 106 and 107: o gamonayari warmodgenilia mravlobi
Page 108 and 109: 20. Chen XM et al. Cryptosporidiosi
Page 110 and 111: Tavi IV. aiv infeqcia/SidsiT daavad
Page 114 and 115: 8 igulisxmeba piri, romelsac aReniS
Page 116 and 117: 4.3. daxocili da inaqtivirebuli vaq
Page 118 and 119: kerebSi A hepatiti erTeuli an mcire
Page 120 and 121: 13 riski maRalia staJirebis periodS
Page 122 and 123: ganmavlobaSi, xolo SedarebiT ufro s
Page 124 and 125: 4.8. tkipismieri encefalitis vaqcin
Page 126 and 127: CvenebebiTa da doziT, rogorc imunok
Page 128 and 129: 4.11.2.3. cofis sawinaaRmdego imuno
Page 130 and 131: ekomendebulia: vaqcina rekomendebul
Page 132 and 133: 8. United States Centers for Diseas
Page 134 and 135: aiv infeqcia/Sidsis antiretrovirusu
Page 136 and 137: 5. mkurnaloba a) rekomendebuli pirv
Page 138 and 139: aiv infeqcia/SidsiT daavadebuli bav
Page 140 and 141: joxiseburi TiTebi. Tumca wlebis man
Page 142 and 143: * saWiroa arv preparatebis bavSvebi
Page 144 and 145: laboratoriuli monacemebis kontroli
Page 146 and 147: Tirkmlis funqciuri sinjebi, gulmker
Page 148 and 149: aiv infeqcia/Sidsis fonze ganviTare
Page 152 and 153: 6. reabilitacia da dakvirveba monit
Page 154 and 155: kandidozuri ezofagitis SemTxvevebSi
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martivi herpesvirusuli infeqciis mZ
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meTodiT, sisxlis saerTo analizi, Rv
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)gamomricxavi _ aiv infeqcia/Sidsis
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aiv infeqcia/SidsiT avadmyofebSi B
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dinamikaSi dakvirveba CD4≥500/mm
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HBV mkurnalobis efeqturoba HBeAg (+
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) gamomricxavi - aiv infeqcia/Sidsi
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pegilirebuli interferonis da ribavi
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i CD4 X X X X X X X X X TSH X X X H
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)gamomricxavi - aiv infeqcia/Sidsis
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pirveli rigis antituberkulozuri med
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testebi: • sisxlis saerTo analizi
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