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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A hepatitis prevenciis mizniT a<strong>da</strong>mianis normaluri imunoglobulinis<br />
gamoyeneba naCvenebia Semdeg jgufebSi:<br />
• pirebi, romlebic A hepatitis vaqcinacii<strong>da</strong>n 4 kviraze nakleb<br />
periodSi gegmaven mogzaurobas maRali riskis arealSi (vaqcinisa<br />
<strong>da</strong> imunoglobulinis ineqciis wertilebi un<strong>da</strong> iyos <strong>da</strong>Sorebuli)<br />
• 1 wlamde asakis bavSvebi. ramdena<strong>da</strong>c maT A hepatitis vaqcinacia ar<br />
utardebaT, maRali riskis arealSi mogzaurobisas mogzaurobis<br />
xangrZlivobis gaTvaliswinebiT un<strong>da</strong> gamoviyenoT 0.02-0.06ml/kg<br />
imunoglobulini.<br />
• A hepatitis virusTan eqspozirebuli aravaqcinirebuli pirebi.<br />
imunoglobulini un<strong>da</strong> gamoviyenoT eqspozicii<strong>da</strong>n 2 kviris<br />
ganmavlobaSi.<br />
• A hepatitiT <strong>da</strong>avadebulTan mWidro kontaqtSi myofi pirebi.<br />
• bavSvebi <strong>da</strong> momuSave personali bavSvTa centrebSi A hepatitis<br />
diagnostirebisas.<br />
• transmisiis maRali riskis mqone pirebi (mag.,kvebiT <strong>da</strong>wesebulebebSi<br />
inficirebul sakvebTan kontaqtisas).<br />
Tu A hepatitis vaqcinacii<strong>da</strong>n gasulia 1 Tve an meti a<strong>da</strong>mianis normaluri<br />
imunoglobulini ar gamoiyeneba.<br />
22 Tu ukanaskneli sqesobrivi kontaqti<strong>da</strong>n gasulia 14 dReze meti, miuxe<strong>da</strong>vad imisa, rom<br />
eqspoziciis Semdgomi profilaqtikis efeqturobis xarisxi cnobili ar aris, un<strong>da</strong><br />
Catardes B hepatitis vaqcinacia, xolo B hepatitis sawinaaRmdego imunoglobulini<br />
rekomendebuli ar aris.<br />
23 B hepatitis sawinaaRmdego imunoglobulini rekomendebuli ar aris CvilebisTvis,<br />
romelTac miiRes an un<strong>da</strong> miiRon vaqcinis meore doza.<br />
24 B hepatitis vaqcinacia rutinulad un<strong>da</strong> Catardes aseve sisxlismieri eqspoziciis<br />
gareSe mWidro arasqesobrivi kontaqtisas, gansakuTrebiT bavSvebsa <strong>da</strong> mozardebSi.<br />
25 HAV infeqciis prevenciisTvis rekomendebulia a<strong>da</strong>mianis normaluri imunoglobulini<br />
eqspoziciamde an eqspozicii<strong>da</strong>n 2 kviris manZilze. a<strong>da</strong>mianis normaluri<br />
imunoglobulinis mogvianebiTi gamoyeneba xSirad mxolod amcirebs HAV infeqciis<br />
klinikur gamovlinebebs.<br />
4.11.2.2. wiTela<br />
imunokompromitirebul pirebSi, maT Soris <strong>aiv</strong> inficirebulebSi,<br />
a<strong>da</strong>mianis normaluri imunoglobulini naCvenebia wiTelas virusTan<br />
eqspoziciis SemTxvevaSi prevenciis mizniT. wiTelas vaqcinaciis<br />
ukuCvenebis SemTxvevaSi, imunokompromitirebul pirebSi, maT Soris 1<br />
wlamde asakis bavSvebSi, naCvenebia a<strong>da</strong>mianis normaluri<br />
imunoglobulinis 0.5ml/kg (maqsimaluri doza - 15ml) intramuskularuli<br />
gamoyeneba eqspoziciisTanave. wiTelas virusTan eqspozirebul simptomur<br />
<strong>aiv</strong> inficirebulebSi a<strong>da</strong>mianis normaluri imunoglobulini un<strong>da</strong><br />
gamoviyenoT vaqcinaciis statusis miuxe<strong>da</strong>vad, ramdena<strong>da</strong>c am SemTxvevaSi<br />
vaqcinacia SeiZleba iyos araefeqturi <strong>da</strong> ganviTardes <strong>da</strong>avadeba.<br />
imunokompromitirebul pirebSi wiTelas profilaqtikis mizniT a<strong>da</strong>mianis<br />
normaluri imunoglobulinis gamoyenebisas, 6 Tvis ganmavlobaSi<br />
vaqcinacia ar tardeba.<br />
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