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 stafilokokuri<br />
folikulitis marTvis saxelmwifo stan<strong>da</strong>rti (protokoli)<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. folikuliti _ kanis <strong>infeqcia</strong>a, romlis drosac<br />
procesi Tmis folikulSia lokalizebuli. <strong>aiv</strong> inficirebulebs<br />
xSirad uviTardebaT pustularuli perifolikuliti. folikulits,<br />
rogorc wesi, iwvevs Staphylococcus aureus, magram sxva<br />
mikroorganizmebsac SeuZlia misi gamowveva.<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><br />
provirus dnm-is Tvisobrivad aRmoCena sisxlSi polimerizaciis<br />
jaWvuri reaqciis meTodiT. stafilokokuri folikulitis diagnozi<br />
ismeba <strong>klinikuri</strong> gamovlinebebis safuZvelze. gamonayari<br />
warmodgenilia mravlobiTi wvrili (5 mm diametris), hiperemiuli<br />
folikulebiT, romlebic centrSi <strong>da</strong>Cirqebulia. xSirad elementebs<br />
aqvT midrekileba gaerTianebisaken. kanis <strong>da</strong>zianebas Tan axlavs<br />
qavili.<br />
b)gamomricxavi _ <strong>aiv</strong> <strong>infeqcia</strong>/Sidsis gamomricxavi kriteriumebia: <strong>aiv</strong><br />
antisxeulebis ar arseboba sisxlis SratSi imunofermentuli<br />
meTodiT, raodenobrivad <strong>aiv</strong> rnm-is <strong>da</strong>/an Tvisobrivad <strong>aiv</strong> provirus<br />
dnm-is ar arseboba sisxlSi polimerizaciis jaWvuri reaqciis<br />
meTodiT. stafilokokuri folikulitis gamomricxavi kriteriumia<br />
Sesabamisi <strong>klinikuri</strong> suraTis ar arseboba.<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. stafilokokuri folikulitis dros<br />
gamonayari warmodgenilia mravlobiTi wvrili (5 mm diametris),<br />
hiperemiuli folikulebiT, romlebic centrSi <strong>da</strong>Cirqebulia. xSirad<br />
elementebs aqvT midrekileba gaerTianebisaken. kanis <strong>da</strong>zianebas Tan<br />
axlavs qavili.<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. stafilokokuri folikulitis gamomricxavi faqtoria<br />
Sesabamisi gamonayaris ar arseboba.<br />
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