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

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4.11.2.3. cofis sawinaaRmdego imunoglobulini<br />

imunokompromitirebul pacientebSi, maT Soris <strong>aiv</strong> inficirebulebSi,<br />

cofis sawinaaRmdego imunoglobulini, gamoiyeneba igive CvenebebiTa <strong>da</strong><br />

dozirebiT, rogorc imunokompetentur pirebSi (AI). cofis sawinaaRmdego<br />

imunoglobulini naCvenebia III kategoriis kontaqtisas (transdermaluri<br />

nakbeni an nakawri, lorwovani membranis kontaminacia nerwyviT)<br />

vaqcinaciis kursis pirvel dozasTan erTad. cofis sawinaaRmdego<br />

imunoglobulini ar aris naCvenebi vaqcinirebuli pirebisaTvis<br />

maneitralizebeli antisxeulebis titriT 0.5se/ml an meti.<br />

Tu <strong>aiv</strong> inficirebul imunokompromitirebul pirs utardeba eqspoziciis<br />

Semdgomi <strong>mkurnaloba</strong>, cofis sawinaaRmdego imunoglobulini<br />

auculebelia vaqcinaciis kursis pirvel dozasTan erTad. amasTan,<br />

sasurvelia antisxeulebis serologiuri monitoringi.<br />

4.11.2.4. tetanusis sawinaaRmdego imunoglobulini<br />

imunokompromitirebul pacientebSi, maT Soris <strong>aiv</strong> inficirebulebSi,<br />

tetanusis sawinaaRmdego imunoglobulini, gamoiyeneba igive CvenebebiTa<br />

<strong>da</strong> dozirebiT, rogorc imunokompetentur pirebSi. tetanusis<br />

imunoglobulini rekomendebulia tetanusiT avadmyofebSi, aseve<br />

araadeqvaturi imunizaciisas pirebSi WrilobebiT an tetanusis<br />

ganviTarebis riskTan asocirebuli sxva mdgomareobebiT. tetanusis<br />

imunoglobulini axdens tetanusis mocirkulire toqsinis neitralizacias.<br />

is ar moqmedebs nervul sistemaSi moxvedril toqsinze.<br />

tetanusis mkurnalobisaTvis bavSvebsa <strong>da</strong> mozrdilebSi rekomendebulia<br />

erTjeradi intramuskularuli doza 3000-5000 erTeuli. tetanusis<br />

sawinaaRmdego imunoglobulinis gamoyenebis Cvenebebia:<br />

• mniSvenelovani zomis <strong>da</strong>binZurebuli Wriloba, imunizaciis<br />

gaurkveveli statusis an mxolod 2 dozis gamoyenebisas. aseT<br />

SemTxvevaSi <strong>da</strong>matebiT sasurvelia anatoqsinis gamoyeneba. 26<br />

26 anatoqsinis sawyisi dozebi ar axdens imunitetis inducirebas. tetanusis<br />

sawinaaRndego imunoglobulini uzrunvelyofs antitoqsinis proteqtorul dones<br />

imunuri pasuxis ganviTarebamde.<br />

•<br />

mniSvenelovani zomis <strong>da</strong>binZurebuli Wriloba tetanusis<br />

anatoqsinis gamoyenebis winaaRmdegCvenebiT.<br />

•<br />

tetanusis simptomebis arseboba.<br />

intravenuri imunoglobulini Seicavs tetanusis antitoqsins <strong>da</strong><br />

SesaZloa gamoyenebul iqnas, Tu tetanusis sawinaaRmdego<br />

imunoglobulini xelmisawvdomi ar aris.<br />

4.11.2.5. Cutyvavila-zosteris sawinaaRmdego imunoglobulini<br />

Cutyvavila-zosteris sawinaaRmdego imunoglobulini ZiriTa<strong>da</strong>d<br />

gamoiyeneba axalSobilTa <strong>da</strong> mniSvnelovnad imunikompromitirebul<br />

pirTa, maT Soris <strong>aiv</strong> inficirebulTa pasiuri imunizaciisaTvis<br />

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