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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parenteraluri Tu sqesobrivi eqspoziciis SemTxvevaSi B hepatitis<br />
sawinaaRmdego imunoglobuliniT (HBIg) profilaqtikis Sesaxeb.<br />
4.3. gripis vaqcina 15<br />
gripi SeiZleba gaxdes seriozuli avadmyofobisa <strong>da</strong> garTulebebis<br />
15 mas Semdeg, rac gripis cocxali vaqcina <strong>aiv</strong> <strong>infeqcia</strong>/<strong>SidsiT</strong> <strong>da</strong>avadebulebSi<br />
ukunaCvenebia, aRniSnul kategoriaSi gamoiyeneba gripis inaqtivirebuli vaqcina<br />
mizezi imunokompromitirebul pirebSi. aseTi pirebis did nawilSi<br />
vaqcinacia uzrunvelyofs proteqtoruli antisxeulebis gamomuSavebas.<br />
miuxe<strong>da</strong>vad imisa, rom <strong>aiv</strong> <strong>infeqcia</strong>/<strong>SidsiT</strong> <strong>da</strong>avadebulebSi informacia<br />
gripiT avadobis sixSirisa <strong>da</strong> simZimis Sesaxeb dReisaTvis mwiria, gripis<br />
sezonis <strong>da</strong>wyebis win rekomendebulia yvela <strong>aiv</strong> inficirebulis<br />
vaqcinacia. vaqcinaciis sapasuxo antisxeulebis titri <strong>aiv</strong> infeqciis<br />
Sorswasul stadiaze SeiZleba iyos <strong>da</strong>bali, Tumca imunuri pasuxis<br />
gasaZliereblad <strong>da</strong>matebiTi dozis efeqturoba <strong>da</strong>dgenili ar aris (CIII).<br />
4.4. meningokokuri vaqcina<br />
gansazRvruli serotipebis 16 Semcveli meningokokuri vaqciniT rutinuli<br />
imunizacia rekomendebulia meningokokuri <strong>da</strong>avadebis epidemiis arealSi<br />
wamsvlelTaTvis <strong>aiv</strong> statusis miuxe<strong>da</strong>vad, aseve risk-jgufebisaTvis,<br />
magaliTad pirebisaTvis anatomiuri an funqciuri aspleniiT (AI).<br />
4.5. pnevmokokuri vaqcina<br />
pnevmokokuri vaqcina rekomendebulia iseTi qronikuli <strong>da</strong>avadebis mqone<br />
pirebSi, romlebic asocirebulia pnevmokokuri <strong>da</strong>avadebis an misi<br />
garTulebebis gazrdil riskTan (BII). aseTi qronikuli <strong>da</strong>avadebebia<br />
imunosupresiasTan asocirebuli mdgomareobebi, maT Soris <strong>aiv</strong> <strong>infeqcia</strong>.<br />
arsebobs pnevmokokuri vaqcinis ori tipi: polisaqariduli pnevmokokuri<br />
vaqcina (ppv) <strong>da</strong> SekavSirebuli pnevmokokuri vaqcina (Spv).<br />
4.5..1. polisaqariduli pnevmokokuri vaqcina (ppv)<br />
ppv-s erTi doza gamoyenebul un<strong>da</strong> iqnas rutinulad 65 wlis asakis<br />
zeviT pirebSi imunuri <strong>da</strong> <strong>aiv</strong> statusis miuxe<strong>da</strong>vad (AI); 2 wlis asakis<br />
zeviT 17 qronikuli <strong>da</strong>avadebis mqone (kardiovaskularuli <strong>da</strong>avadeba,<br />
filtvis paTologia, diabeti, alkoholizmi, cirozi, cerebrospinaluri<br />
siTxis siWarbe) imunokompetentur pirebSi; 2 wlis asakis zeviT<br />
imunokomprometirebul (maT Soris <strong>aiv</strong> <strong>infeqcia</strong>/<strong>SidsiT</strong> <strong>da</strong>avadebulebi) 18<br />
pirebSi, romlebic imyofebian pnevmokokuri <strong>da</strong>avadebis ganviTarebis<br />
riskis qveS. pacientebs simptomuri an asimptomuri <strong>aiv</strong> infeqciiT<br />
vaqcinacia un<strong>da</strong> CautardeT diagnozis <strong>da</strong><strong>da</strong>sturebisTanave. Tu <strong>aiv</strong><br />
inficirebuli an zoga<strong>da</strong>d imunosupresirebuli (magaliTad,<br />
kortikosteroidebis xangrZivi kursis recipientebi) piris vaqcinaciis<br />
statusi ucnobia, aseT SemTxvevaSi vaqcinacia tardeba (BII).<br />
janmrTel mozrdilTa 80%-ze mets ppv-s miRebi<strong>da</strong>n 2-3 kviraSi<br />
ganuviTardeba antisxeulebi vaqcinis serotipebis mimarT. antisxeulebis<br />
maRali titri janmrTel mozrdilebSi narCundeba sul mcire 5 wlis<br />
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