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

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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 />

Tirkmlis funqciuri sinjebi, gulmkerdis rentgenologiuri gamokvleva,<br />

Pneumocystis jiroveci-is cistis aRmoCena naxvelSi an bronqoalveolaruli<br />

lavaJiT miRebul siTxeSi, eqim-pulmonologis konsultacia.<br />

5. pnevmocisturi pnevmoniis <strong>mkurnaloba</strong> tardeba stacionarSi.<br />

aucilebelia <strong>da</strong>mxmare Terapia JangbadiT inhalaciis CaTvliT.<br />

pnevmocisturi pnevmoniis pirveli rigis <strong>mkurnaloba</strong><br />

antimikrobuli<br />

agenti<br />

timetoprimi/<br />

sulfametoqsazoli<br />

doza M miRebis M miRebis mkurnalobis<br />

sixSire gza xangrZlivoba<br />

400/80 mg 4X dReSi PO/IV 21 dRe<br />

pnevmocisturi pnevmoniis meore rigis <strong>mkurnaloba</strong><br />

Kklin<strong>da</strong>micini<br />

+<br />

primaqini<br />

600mg<br />

15 mg<br />

4X dReSi<br />

2X dReSi<br />

PO/IV<br />

PO<br />

21 dRe<br />

an<br />

pentamidini (farTo 4 mg/kg IV<br />

speqtris<br />

dReSi. doza<br />

antibiotikTan mcir 2 mg/kg<br />

kombinaciaSi 5 dRis<br />

baqteriuli<br />

superinfeqciis<br />

mkurnalobis<br />

Semdeg (18)<br />

profilaqtikisTvis<br />

mag. ampicilin+<br />

sulbaqtami 10 dRe)<br />

dReSi<br />

erTxel<br />

IV<br />

21 dRe<br />

o mZime mdgomareobaSi myof avadmofebSi iniSneba prednizoloni, 80-<br />

250 mg PO/IV dReSi 1-2 kvira (amcirebs intersticiul SeSupebas).<br />

o mZime SemTxvevebSi ganixileba kombinirebuli <strong>mkurnaloba</strong>, mag. kotrimoqsazoli<br />

<strong>da</strong> pen<strong>da</strong>midini mxolod erTeuli Setyobinebuli<br />

SemTxvevebis mixedviT <strong>da</strong>kavSirebulia toqsiurobis maRal riskTan.<br />

pnevmocisturi pnevmoniis mZime SemTxvevebi moiTxovs xelovnur<br />

ventilacias an oqsigeniT saturacias (SO2)

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