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 />
marTvis saxelmwifo stan<strong>da</strong>rti (protokoli)<br />
sartyliseburi liqenis<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. <strong>da</strong>avadeba sartyliseburi liqenis gamomwvevia<br />
herpesis jgufis mesame tipis virusi Variccela zoster virus (VZV) . <strong>SidsiT</strong><br />
avadmyofebSi sartyliseburi liqeni multidermatomulia, persistirebs,<br />
axasiaTebs Zlieri tkivili <strong>da</strong> sisuste; SesaZloa moxdes infeqciis<br />
diseminacia kanis, nervuli sistemis, filtvebis, lorwovani garsebis<br />
CarTviT paTologiur procesSi.<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 kriteriumebia:<br />
<strong>aiv</strong> antisxeulebis arseboba sisxlis SratSi imunoblotingis meTodiT,<br />
<strong>aiv</strong> rnm-is raodenobrivad <strong>da</strong>/an <strong>aiv</strong> provirus dnm-is Tvisobrivad aRmoCena<br />
sisxlSi polimerizaciis jaWvuri reaqciis (pjr) meTodiT.<br />
sartylisebuli liqenis <strong>da</strong>ma<strong>da</strong>sturebeli kriteriumia <strong>da</strong>maxasiaTebeli<br />
vezikuluri gamonayaris arseboba dermatomis gaswvriv; cns-is<br />
<strong>da</strong>zianebisas Tav-zurg-tvinis siTxeSi VZV dnm-is aRmoCena pjr<br />
meTodiT.<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 />
sartyliseburi liqenis gamomricxavi kriteriumebia <strong>da</strong>maxasiaTebeli<br />
vezikuluri gamonayaris ar arseboba kanze.<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> niSnebi<br />
ar gaaCnia. igi miekuTvneba laboratoriulad sadiagnozo <strong>da</strong>avadebebs.<br />
simptomebi<strong>da</strong>n SeiZleba gamovyoT: gaxangrZlivebuli cxeleba,<br />
gaxangrZlivebuli faRaraTi, limfadenopaTia, aramotivirebuli<br />
profuzuli oflianoba, Zlieri saerTo sisuste, aramotivirebuli wonaSi<br />
kleba (erTi Tvis ganmavlobaSi sxeulis wonis 10% <strong>da</strong> meti), sxva<strong>da</strong>sxva<br />
gamonayari kansa <strong>da</strong> lorwovanze, kandidozuri ezofagiti, cns-is<br />
atipiuri <strong>da</strong>zianebebi <strong>da</strong> sxva. sartyliseburi liqenis dros saxezea<br />
vezikuluri gamonayari dermatomis gaswvriv, romelsac Tan axlavs<br />
Zlieri mtkivneuloba, zogjer cxeleba, regionuli limfadenopaTia,<br />
Zlieri sisuste; SesaZloa moxdes infeqciis diseminacia<br />
multidermatomuli formis ganviTarebiT, nervuli sistemis, filtvebis<br />
<strong>da</strong> lorwovani garsebis CarTviT paTologiur procesSi.<br />
b)gamomricxavi _ <strong>aiv</strong> <strong>infeqcia</strong>/Sidsis gamomricxavi simptomebi ar<br />
arsebobs, <strong>aiv</strong> inficirebuli wlebis ganmavlobaSi SeiZleba Civilebs ar<br />
warmoadgendes. sartyliseburi liqenis gamomricxavi faqtoria Sesabamisi<br />
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 />
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