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<br />
saxelmwifo stan<strong>da</strong>rti (protokoli)<br />
kandidozebis marTvis<br />
1. <strong>da</strong>avadebis/nozologiis/sindromis mokle ganmarteba _ <strong>aiv</strong><br />
<strong>infeqcia</strong>/Sidsi ewodeba a<strong>da</strong>mianis imunodeficitis virusiT gamowveul<br />
infeqciur <strong>da</strong>avadebas. kandidozebis gamomwvevia Candi<strong>da</strong> albicans.<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> provirus<br />
dnm-is Tvisobrivad aRmoCena sisxlSi polimerizaciis jaWvuri reaqciis<br />
meTodiT. orofaringeuli kandidozis diagnostika efuZneba klinikur<br />
niSnebs, gasinjvas <strong>da</strong> <strong>da</strong>zianebuli ubnebi<strong>da</strong>n aRebuli masalis<br />
mikroskopul <strong>da</strong>Tvalierebas. piris Rrus <strong>da</strong>Tvalierebisas vnaxulobT<br />
balTis formis TeTr nadebs SewiTlebul <strong>da</strong> anTebad lorwovan garsze.<br />
anTeba SeiZleba gavrceldes sasaze, xaxaze, RrZilebze, enasa <strong>da</strong> loyis<br />
lorwovanze. ena <strong>da</strong>zianebisas xdeba gluvi, wiTeli <strong>da</strong> dvrilebi<br />
swordeba. kandidozuri ezofagitis SemTxvevebSi diagnozis<br />
<strong>da</strong><strong>da</strong>sturebisTvis aucilebelia qsovilis bioptatis histologiuri<br />
gamokvleva.<br />
b)gamomricxavi _ <strong>aiv</strong> <strong>infeqcia</strong>/Sidsis gamomricxavi kriteriumebia: <strong>aiv</strong><br />
antisxeulebis ar arseboba sisxlis SratSi imunofermentuli meTodiT,<br />
raodenobrivad <strong>aiv</strong> rnm-is <strong>da</strong>/an Tvisobrivad <strong>aiv</strong> provirus dnm-is ar<br />
arseboba sisxlSi polimerizaciis jaWvuri reaqciis meTodiT.<br />
kandidozebis gamomricxavi kriteriumebia Sesabamisi <strong>klinikuri</strong><br />
gamovlinebebis ar arseboba.<br />
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 sisuste,<br />
aramotivirebuli wonaSi kleba (erTi Tvis ganmavlobaSi sxeulis<br />
wonis 10% <strong>da</strong> meti), sxva<strong>da</strong>sxva gamonayari kansa <strong>da</strong> lorwovanze,<br />
kandidozuri ezofagiti, cns-is atipiuri <strong>da</strong>zianebebi <strong>da</strong> sxva. piris<br />
Rrus kandidozi moicavs: loyis lorwovan garss, enas, pir-xaxas,<br />
RrZilebs, rbil <strong>da</strong> magar sasas. avadmyofs SeiZleba ar hqondes<br />
Civilebi an aRniSnavdes Wamis dros wvis SegrZnebas. zogierTi<br />
avadmyofi uCivis pirSi TeTri nadebis arsebobas. roca kandidozi<br />
vrceldeba saylapavze pacienti uCivis: tkivils ylapvis dros,<br />
retrosternalur tkivils, hipersalivacias.<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. kandidozebis gamomricxavi faqtoria<br />
Sesabamisi Civilebisa <strong>da</strong> 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 />
Tirkmlis funqciuri sinjebi, gulmkerdis rentgenologiuri gamokvleva,<br />
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