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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kriptokokis kulturis gamoyofa Tavzurgtvinis siTxi<strong>da</strong>n an, Sratsa<br />
<strong>da</strong>/an Tavzurgtvinis siTxeSi kriptokokuli antigenis aRmoCena.<br />
5.kriptokokuli meningitis <strong>mkurnaloba</strong><br />
antimikozuri doza<br />
agenti<br />
pirveli rigis sqemebi (27)<br />
amfotericini B 0,7-1,0 mg/kg<br />
+<br />
5-flucitozini 25 mg/kg<br />
M miRebis<br />
sixSire<br />
erTxel<br />
dReSi<br />
4X dReSi<br />
IV<br />
miRebis<br />
gza<br />
mkurnalobis<br />
xangrZlivoba<br />
14 dRe<br />
Semdeg<br />
flukonazoli 400 mg erTxel<br />
dReSi<br />
Semdeg<br />
flukonazoli 200mg erTxel<br />
dReSi<br />
meore rigis sqemebi<br />
amfotericini B 0,7-1,0 mg/kg<br />
+<br />
5-flucitozini 25 mg/kg<br />
erTxel<br />
dReSi<br />
4X dReSi<br />
PO sul mcire 10<br />
kvira<br />
PO<br />
IV<br />
mTeli<br />
cxovreba<br />
6-10 kvira<br />
an<br />
amfotericini B 0,7-1,0 mg/kg erTxel<br />
dReSi<br />
IV<br />
an (msubuq SemTxvevebSi)<br />
flukonazoli 400-800 mg erTxel PO<br />
dReSi<br />
Semdeg<br />
flukonazoli 200 mg erTxel PO<br />
dReSi<br />
6-10 kvira<br />
10-12 kvira<br />
mTeli<br />
cxovreba<br />
6.reabilitacia <strong>da</strong> <strong>da</strong>kvirveba<br />
aucilebelia mTeli cxovrebis manZilze Catardes kriptokokozis<br />
meoradiAqimioprofilaqtika. am mizniT iniSneba flukonazoli 200<br />
mg/dReSiAyoveldRe. alternativas warmoadgens itrakonazoli 200<br />
mg/dReSiAyoveldRe. SemanarCunebeli Terapiis aucilebloba pacientebSi,<br />
romelTa imunuri sistema aRdga (CD4 ricxvi >200 mm3) ar aris <strong>da</strong>mxmare<br />
<strong>da</strong> ar arsebobs raime sawinaaRmdego mosazreba am konkretuli<br />
SemTxvevisTvis.<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>avadebul mozrdil <strong>da</strong> mozard pirebSi<br />
oportunistuli infeqciebis profilaqtika <strong>da</strong> <strong>mkurnaloba</strong>”, aseve<br />
protokoli Sejerebulia DHHS, USA-AIS <strong>da</strong> EACS 2005 wlis oportunistuli<br />
infeqciebis mkurnalobis gaidlainebTan.<br />
157
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