aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
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kerebSi A hepatiti erTeuli an mcire jgufuri SemTxvevebis saxiT<br />
gvxvdeba. maRal-endemur kerebSi <strong>da</strong>avadeba ZiriTa<strong>da</strong>d gvxvdeba<br />
asimptomuri formiT bavSvTa asakSi. <strong>da</strong>bali an saSualo donis endemur<br />
areebSi mozrdilTa <strong>da</strong>avadeba Se<strong>da</strong>rebiT xSiria <strong>da</strong> A hepatiti SesaZloa<br />
warmoadgendes samedicino <strong>da</strong> ekonomikur tvirTs.<br />
A hepatitis vaqcinacia (erTjeradi doza 6-12 Tvis Semdgomi bustirebiT)<br />
mkacrad rekomendebulia aRniSnuli <strong>da</strong>avadebis an misi garTulebebis<br />
ganviTarebis riskis mqone pirebSi miuxe<strong>da</strong>vad imunuri <strong>da</strong> <strong>aiv</strong> statusisa<br />
(AI).<br />
risk-jgufs miekuTvnebian:<br />
• pirebi RviZlis qronikuli <strong>da</strong>avadebiT; 10<br />
• homoseqsuali mamakacebi (MSM);<br />
•<br />
narkotikebis momxmareblebi; 11<br />
• Sededebis faqtorTan <strong>da</strong>kavSirebuli <strong>da</strong>rRvevebis mqone pirebi;<br />
• <strong>da</strong>avadebis profesiuli riskis mqone pirebi (mag: laboratoriis<br />
muSakebi);<br />
• 1 wlis an ufrosi asakis pirebi araendemuri qveynebi<strong>da</strong>n, romlebic<br />
gegmaven mogzaurobas A hepatitis virusiT gamowveuli infeqciis<br />
maRali an saSualo endemurobis keraSi 12.<br />
A hepatitis vaqcina gamoirCeva maRali imunogenurobiT. mozrdilTa 95%-<br />
ze mets pirveli vaqcinacii<strong>da</strong>n 4 kviraSi ganuviTardeba proteqtoruli<br />
antisxeulebi. rac Seexeba bavSvebsa <strong>da</strong> mozardebs, pirveli vaqcinacii<strong>da</strong>n<br />
1 TveSi seropozitiuri aRmoCndeba 97%-ze meti. klinikur kvlevebSi<br />
vaqcinaciis ori dozis yvela recipients ganesazRvra antisxeulebis<br />
proteqtoruli done. aRniSnulis gamo, vaqcinaciis Semdgomi testireba<br />
naCvenebi ar aris. A hepatitis virusis sawinaaRmdego antisxeulebis<br />
<strong>da</strong>bali koncentraciis ganmsazRvreli testirebis meTodebi rutinuli<br />
diagnostikisaTvis vaqcinaciis Semdgom periodSi rekomendebuli ar aris<br />
(AI).<br />
monacemebi antisxeulebis persistenciisa <strong>da</strong> imunuri mexsierebis<br />
xangrZlivobis Sesaxeb mcirea, ramdena<strong>da</strong>c dReisaTvis xelmisawvdom<br />
vaqcinebze <strong>da</strong>kvirveba warmoebs 12 welze naklebi periodis ganmavlobaSi.<br />
busteruli dozis <strong>da</strong>matebis saWiroebas gansazRvravs Semdgomi kvlevebi.<br />
10 RviZlis qronikuli <strong>da</strong>avadebis mqone pirebi inficirebis SemTxvevaSi arian<br />
fulminanturi A hepatitis ganviTarebis gazrdili riskis qveS. <strong>aiv</strong> inficirebul pirebs<br />
Tanmxlebi qronikuli hepatitiT B an C, un<strong>da</strong> CautardeT vaqcinacia A hepatitis vaqciniT.<br />
11 A hepatitis virusi <strong>da</strong>avadebis sawyis stadiaze aRmoCndeba avadmyofis sisxlSi <strong>da</strong><br />
iSviaTad transmisia SesaZloa moxdes transfuziis gziT; virusi advilad vrceldeba<br />
antisanitariisa <strong>da</strong> personaluri higienis <strong>da</strong>bali donis pirobebSi, rac xSirad<br />
aRiniSneba narkotikebis momxmarebelTa Soris.<br />
12 vaqcinacia un<strong>da</strong> Catardes gamgzavrebamde 2-4 kviriT adre. maRali an saSualo<br />
endemurobis keras miekuTvneba msoflios yvela qveyana gar<strong>da</strong> kanadis, aSS-s, <strong>da</strong>savleT<br />
evropisa, skandinaviis, iaponiis, axali zelandiis <strong>da</strong> avstraliisa.<br />
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