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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hepatitiTa <strong>da</strong> <strong>aiv</strong>-iT koinficirebuli pacienti wlebis ganmavlobaSi<br />
SeiZleba Civilebs ar warmoadgendes.<br />
4.diagnostikur-laboratoriuli testebi<br />
yvela HIV <strong>da</strong>debiT avadmyofs un<strong>da</strong> Cautardes gamokvleva HBsAg-ze <strong>da</strong><br />
anti-HBc antisxeulebze(AII). im SemTxvevaSi, Tu HBsAg uaryofiTia <strong>da</strong> anti-<br />
HBc <strong>da</strong>debiTi, maSin avadmyofs un<strong>da</strong> Cautardes gamokvleva anti-HBs-ze(AII)<br />
<strong>da</strong> ga<strong>da</strong>wydes esaWiroeba Tu ara avadmyofs HBV vaqcinacia.<br />
yvela avadmyofs, romelsac aqvs <strong>da</strong>debiTi HBsAg un<strong>da</strong> Cautardes<br />
gamokvleva anti-HDV-ze(AII).<br />
yvela avadmyofs, romelsac aqvs <strong>da</strong>debiTi HBsAg un<strong>da</strong><br />
un<strong>da</strong> Cautardes Semdegi gamokvlevebi:<br />
HBeAg <strong>da</strong> anti-HBe, HBV dnm-is gansazRvra, RviZlis ultrabgeriTi<br />
gamokvleva, RviZlis biofsia an fibrozis arainvaziuri markerebis<br />
gansazRvra RviZlis <strong>da</strong>avadebis simZimis Sesafaseblad, ALT-is gansazRvra<br />
(seriuli), CD3, CD4, CD8 limfocitebis absoluturi ricxvis gansazRvra,<br />
<strong>aiv</strong> virusuli <strong>da</strong>tvirTvis gansazRvra, sisxlis saerTo analizi.<br />
5.<strong>mkurnaloba</strong><br />
HBV infeqciis mkurnalobis SemTxvevaSi HIV koinfeqciT avadmyofebSi<br />
gaTvaliswinebul un<strong>da</strong> iqnas 2 ZiriTadi varianti:<br />
1. HBV mkurnalobis algoriTmi HIV koinfeqciiT avadmyofebisTvis,<br />
romelTac ar esaWiroebaT arv <strong>mkurnaloba</strong>. H<br />
HBV/HIV koinfeqciiT<br />
avadmyofebi HAART-is<br />
Cvenebis gareSeE.<br />
HBV DNA, ALT,<br />
HBeAg<br />
ALT-is normaluri<br />
done, HBV DNA-is<br />
<strong>da</strong>bali done<br />
HBVaqtiuri<br />
<strong>da</strong>avadeba, maRali<br />
HBV DNA.*<br />
dinamikaSi<br />
<strong>da</strong>kvirveba<br />
RviZlis <strong>da</strong>avadebis<br />
statusi<br />
RviZlis araaqtiuri<br />
an msubuqi <strong>da</strong>avadeba**<br />
aqtiuri <strong>da</strong>/an<br />
progresirebadi <strong>da</strong>avadeba***<br />
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