aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ... aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
laboratoriuli monacemebis kontroli • CD4-is done (Tu SesaZlebelia) • sisxlis klinikuri analizi • RviZlis fermentebis aqtivoba (alt, ast) • damatebiTi gamokvlevebi: arT-s sqemisa da preparatebis gverdiTi efeqtebis mixedviT. 7.gaidlaini, romelsac eyrdnoba aRniSnuli protokoli aRniSnuli protokoli eyrdnoba jandacvis msoflio organizaciis 2006 wlis gaidlains: “aiv/SidsiT daavadebuli bavSvebis gamokvleva da antiretrovirusuli mkurnaloba”, aseve protokoli Sejerebulia DHHS, USA-IAS da EACS 2005 wlis bavSvTaAantirtrovirusuli mkurnalobis gaidlainebTan. 144
aiv infeqcia/Sidsis fonze ganviTarebuli baqteriuli pnevmoniebis marTvis saxelmwifo standarti (protokoli) 1. daavadebis/nozologiis/sindromis mokle ganmarteba _ aiv infeqcia/Sidsi ewodeba adamiani imunodeficitis virusiT gamowveul infeqciur daavadebas. baqteriuli pnevmoniss yvelaze xSiri gamomwvevia Streptococcus pneumoniae. sxva gamomwvevbia: Haemophilus influenzae, Klebsiella spp., Staphylococcus spp., Mycobacterium tuberculosis, Micobacterium aviumintracellulare. 2. kriteriumebi _ a) damadasturebeli _ aiv infeqcia/Sidsis damadasturebeli kriteriumebia: aiv antisxeulebis arseboba sisxlis SratSi imunoblotingis meTodiT, aiv rnm-is raodenobrivad da/an aiv provirus dnm-is Tvisobrivad aRmoCena sisxlSi polimerizaciis jaWvuri reaqciis meTodiT. zeda sasunTqi gzebis baqteriuli infeqciebis diagnozi efuZneba klinikur gamovlinebebsa da rentgenologiur cvlilebebs. rentgenogramaze SeiZleba aRmoCndes filtvis parenqimis wilovani, kerovani an difuzuri daCrdilva an gamovlindes atipuri cvlilebebi. b) gamomricxavi _ aiv infeqcia/Sidsis gamomricxavi kriteriumebia: aiv antisxeulebis ar arseboba sisxlis SratSi imunofermentuli meTodiT, raodenobrivad aiv rnm-is da/an Tvisobrivad aiv provirus dnm-is ar arseboba sisxlSi polimerizaciis jaWvuri reaqciis meTodiT. zeda sasunTqi gzebis baqteriuli infeqciebis gamomricxavi kriteriumebia klinikuri gamovlinebebisa da rentgenologiuri cvlilebebis ar arseboba. 3. simptomebi da niSnebi _ a) damadasturebeli _ aiv infeqcia/Sidss paTognomuri klinikuri niSnebi ar gaaCnia. igi miekuTvneba laboratoriulad sadiagnozo daavadebebs. simptomebidan SeiZleba gamovyoT: gaxangrZlivebuli cxeleba, gaxangrZlivebuli faRaraTi, limfadenopaTia, aramotivirebuli profuzuli oflianoba, Zlieri saerTo sisuste, aramotivirebuli wonaSi kleba (erTi Tvis ganmavlobaSi sxeulis wonis 10% da meti), sxvadasxva gamonayari kansa da lorwovanze, kandidozuri ezofagiti, cns-is atipiuri dazianebebi da sxva. zeda sasunTqi gzebis baqteriuli infeqciebis damadasturebel simptomebs ganekuTvneba cxeleba, advilad daRla, xveleba, qoSini, tkivili gulmkerdis areSi, taqipnoe. b) gamomricxavi _ aiv infeqcia/Sidsis gamomricxavi simptomebi ar arsebobs, aiv inficirebuli wlebis ganmavlobaSi SeiZleba Civilebs ar warmoadgendes. zeda sasunTqi gzebis baqteriuli infeqciebis gamomricxavi faqtoria Sesabamisi Civilebisa da simptomebis ar arseboba. 4. diagnostikur _ laboratoriuli testebi da specialistTa konsultaciebi CD3, CD4, CD8 limfocitebis absoluturi ricxvis gansazRvra, aiv virusuli datvirTvis gansazRvra polimerizaciis jaWvuri reaqciis meTodiT, sisxlis saerTo analizi, RviZlis funqciuri sinjebi, 145
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laboratoriuli monacemebis kontroli<br />
• CD4-is done (Tu SesaZlebelia)<br />
• sisxlis <strong>klinikuri</strong> analizi<br />
• RviZlis fermentebis aqtivoba (alt, ast)<br />
• <strong>da</strong>matebiTi gamokvlevebi: arT-s sqemisa <strong>da</strong> preparatebis gverdiTi<br />
efeqtebis mixedviT.<br />
7.gaidlaini, romelsac eyrdnoba aRniSnuli protokoli<br />
aRniSnuli protokoli eyrdnoba jan<strong>da</strong>cvis msoflio organizaciis 2006<br />
wlis gaidlains: “<strong>aiv</strong>/<strong>SidsiT</strong> <strong>da</strong>avadebuli bavSvebis gamokvleva <strong>da</strong><br />
antiretrovirusuli <strong>mkurnaloba</strong>”, aseve protokoli Sejerebulia DHHS,<br />
USA-IAS <strong>da</strong> EACS 2005 wlis bavSvTaAantirtrovirusuli mkurnalobis<br />
gaidlainebTan.<br />
144
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