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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<strong>aiv</strong> <strong>infeqcia</strong>/Sidsis fonze ganviTarebuli baqteriuli pnevmoniebis<br />
marTvis saxelmwifo stan<strong>da</strong>rti (protokoli)<br />
1. <strong>da</strong>avadebis/nozologiis/sindromis mokle ganmarteba _ <strong>aiv</strong><br />
<strong>infeqcia</strong>/Sidsi ewodeba a<strong>da</strong>miani imunodeficitis virusiT gamowveul<br />
infeqciur <strong>da</strong>avadebas. baqteriuli pnevmoniss yvelaze xSiri<br />
gamomwvevia Streptococcus pneumoniae. sxva gamomwvevbia: Haemophilus influenzae,<br />
Klebsiella spp., Staphylococcus spp., Mycobacterium tuberculosis, Micobacterium aviumintracellulare.<br />
2. kriteriumebi _<br />
a) <strong>da</strong>ma<strong>da</strong>sturebeli _ <strong>aiv</strong> <strong>infeqcia</strong>/Sidsis <strong>da</strong>ma<strong>da</strong>sturebeli<br />
kriteriumebia: <strong>aiv</strong> antisxeulebis arseboba sisxlis SratSi<br />
imunoblotingis meTodiT, <strong>aiv</strong> rnm-is raodenobrivad <strong>da</strong>/an <strong>aiv</strong><br />
provirus dnm-is Tvisobrivad aRmoCena sisxlSi polimerizaciis<br />
jaWvuri reaqciis meTodiT. ze<strong>da</strong> sasunTqi gzebis baqteriuli<br />
infeqciebis diagnozi efuZneba klinikur gamovlinebebsa <strong>da</strong><br />
rentgenologiur cvlilebebs. rentgenogramaze SeiZleba<br />
aRmoCndes filtvis parenqimis wilovani, kerovani an difuzuri<br />
<strong>da</strong>Crdilva an gamovlindes atipuri cvlilebebi.<br />
b) gamomricxavi _ <strong>aiv</strong> <strong>infeqcia</strong>/Sidsis gamomricxavi kriteriumebia:<br />
<strong>aiv</strong> antisxeulebis ar arseboba sisxlis SratSi<br />
imunofermentuli meTodiT, raodenobrivad <strong>aiv</strong> rnm-is <strong>da</strong>/an<br />
Tvisobrivad <strong>aiv</strong> provirus dnm-is ar arseboba sisxlSi<br />
polimerizaciis jaWvuri reaqciis meTodiT. ze<strong>da</strong> sasunTqi<br />
gzebis baqteriuli infeqciebis gamomricxavi kriteriumebia<br />
<strong>klinikuri</strong> gamovlinebebisa <strong>da</strong> rentgenologiuri cvlilebebis<br />
ar arseboba.<br />
3. simptomebi <strong>da</strong> niSnebi _<br />
a) <strong>da</strong>ma<strong>da</strong>sturebeli _ <strong>aiv</strong> <strong>infeqcia</strong>/Sidss paTognomuri <strong>klinikuri</strong><br />
niSnebi ar gaaCnia. igi miekuTvneba laboratoriulad sadiagnozo<br />
<strong>da</strong>avadebebs. simptomebi<strong>da</strong>n SeiZleba gamovyoT: gaxangrZlivebuli<br />
cxeleba, gaxangrZlivebuli faRaraTi, limfadenopaTia,<br />
aramotivirebuli profuzuli oflianoba, Zlieri saerTo<br />
sisuste, aramotivirebuli wonaSi kleba (erTi Tvis ganmavlobaSi<br />
sxeulis wonis 10% <strong>da</strong> meti), sxva<strong>da</strong>sxva gamonayari kansa <strong>da</strong><br />
lorwovanze, kandidozuri ezofagiti, cns-is atipiuri<br />
<strong>da</strong>zianebebi <strong>da</strong> sxva. ze<strong>da</strong> sasunTqi gzebis baqteriuli<br />
infeqciebis <strong>da</strong>ma<strong>da</strong>sturebel simptomebs ganekuTvneba cxeleba,<br />
advilad <strong>da</strong>Rla, xveleba, qoSini, tkivili gulmkerdis areSi,<br />
taqipnoe.<br />
b) gamomricxavi _ <strong>aiv</strong> <strong>infeqcia</strong>/Sidsis gamomricxavi simptomebi ar<br />
arsebobs, <strong>aiv</strong> inficirebuli wlebis ganmavlobaSi SeiZleba<br />
Civilebs ar warmoadgendes. ze<strong>da</strong> sasunTqi gzebis baqteriuli<br />
infeqciebis gamomricxavi faqtoria Sesabamisi Civilebisa <strong>da</strong><br />
simptomebis ar arseboba.<br />
4. diagnostikur _ laboratoriuli testebi <strong>da</strong> specialistTa<br />
konsultaciebi<br />
CD3, CD4, CD8 limfocitebis absoluturi ricxvis gansazRvra, <strong>aiv</strong><br />
virusuli <strong>da</strong>tvirTvis gansazRvra polimerizaciis jaWvuri reaqciis<br />
meTodiT, sisxlis saerTo analizi, RviZlis funqciuri sinjebi,<br />
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