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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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, Tavis tvinis MAC an MRI skanireba,<br />
serologiuri testebi toqsoplazmis sawinaaRmdegod gamomuSavebul<br />
antisxeulebze (IgG klasis), Tavis tvinis biofsia <strong>da</strong> qsovilis<br />
histologiuri gamokvleva.<br />
5. toqsoplazmozis <strong>mkurnaloba</strong><br />
preparati doza M miRebis<br />
sixSire<br />
miRebis<br />
gza<br />
mkurnalobis<br />
xangrZlivoba<br />
<strong>mkurnaloba</strong><br />
pirimetamini 200 mg erTjera<strong>da</strong>d PO<br />
erTjera<strong>da</strong>d<br />
(gajerebiTi doza)<br />
Semdeg<br />
pirimetamini 25 mg<br />
3-jer dReSi PO<br />
6-8 kvira<br />
an 50 mg 2-jer dReSi<br />
+<br />
foliumis 15 mg dReSi PO<br />
6-8 kvira<br />
mJava<br />
erTxel<br />
+<br />
sulfadiazini 1 g 4-jer dReSi PO 6-8 kvira<br />
am sqemaSi sulfadiazini SeiZleba Seicvalos:<br />
• klin<strong>da</strong>miciniT 600 mg i/v an PO dReSi 4-jer 6 kvira<br />
• azitromiciniT 1200 mg PO dReSi erTxel 6 kvira<br />
• klariTromiciniT 1 g PO 2-jer dReSi 6 kvira<br />
• atovakvoniT 750 mg PO 4-jer dReSi 6 kvira.<br />
6.reabilitacia <strong>da</strong> <strong>da</strong>kvirveba<br />
zogierT pacients sWirdeba xangrZlivi <strong>mkurnaloba</strong> toqsoplazmozis<br />
gamo. ga<strong>da</strong>wyvetileba efuZneba klinikur mdgomareobas <strong>da</strong> ganmeorebiT<br />
CAT skanirebas.<br />
meoradi profilaqtika grZeldeba efeqturi reJimis ganaxevrebuli<br />
dozebiT manamde sanam CD4 ujredebs ricxvi sami Tvis ganmavlobaSi<br />
stabilurad ar moimatebs (200 ujredi <strong>da</strong> meti).<br />
7.gaidlaini, rimelsac 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 />
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