aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
) gamomricxavi - <strong>aiv</strong> <strong>infeqcia</strong>/Sidsis gamomricxavi simptomebi<br />
<strong>da</strong> niSnebi ar arsebobs, <strong>aiv</strong> inficirebuls wlebis<br />
ganmavlobaSi SesaZloa simptomebi ar aReniSnebodes; C<br />
hepatitis virusiT infeqciis simptomebi <strong>da</strong> niSnebi aseve ar<br />
arsebobs <strong>da</strong> avadmyofs wlebis ganmavlobaSi SesaZloa ar<br />
aReniSnebodes araviTari simptomi.<br />
4. diagnostikur-laboratoriuli testebi.<br />
yvela HIV <strong>da</strong>debiT avadmyofs udna Cautardes gamokvleva<br />
anti-HCV antisxeulebze(AII). Anti-HCV (+) pozitiuri Sedegis<br />
SemTxvevaSi un<strong>da</strong> Catardes HCV RNA-s gansazRvra.<br />
yvela avadmyofs, romelsac aqvs HCV RNA (+) pozitiuri un<strong>da</strong><br />
Catardes Semdegi gamokvlevebi:<br />
1. ΗCV genotipis gansazRvra .<br />
2. HCV virusuli <strong>da</strong>tvirTvis gansazRvra.<br />
3. sisxlis saerTo analizi, ALT, AST, G-GT, kreatinini.<br />
4. RviZlis ultrabgeriTi gamokvleva.<br />
5. RviZlis biofsia an fibrozis arainvaziuri markerebis<br />
gansazRvra RviZlis <strong>da</strong>avadebis simZimis Sesafaseblad<br />
6 CD3, CD4, CD8 limfocitebis absoluturi ricxvis gansazRvra,<br />
<strong>aiv</strong> virusuli <strong>da</strong>tvirTvis gansazRvra.<br />
5. <strong>mkurnaloba</strong><br />
HCV infeqciis samkurnalod HCV/HIV ko-infeqciiT avadmyofbSi gamoiyeneba<br />
kombinirebuli antivirusuli <strong>mkurnaloba</strong> pegilirebuli alfa<br />
interferoniT <strong>da</strong> ribaviriniT.<br />
mwvave C hepatitis mkurnalobis sakiTxi ko_infeqciiT avadmyofebSi jerjerobiT<br />
sabolood ga<strong>da</strong>Wrili ar aris.<br />
qronikuli C hepatitis <strong>mkurnaloba</strong>: Tu qronikuli C hepatitis diagnozi<br />
ganisazRvra <strong>aiv</strong> infeqciis adreul stadiaze (manamde, sanam avadmyofs ar<br />
Wirdeba HAART <strong>mkurnaloba</strong>) HCV infeqciis <strong>mkurnaloba</strong> <strong>da</strong>wyebul un<strong>da</strong><br />
iqnas. (AIII).<br />
Tu ko-infeqciT avadmyofebs aqvT Rrma imunodeficiti, jer <strong>da</strong>wyebul<br />
un<strong>da</strong> iqnas HAART <strong>da</strong> HCV mkurnalobis sakiTxi ganxilul un<strong>da</strong> iqnas<br />
mxolod CD4 ujredebis raodenobis momatebis Semdeg.(AII).<br />
HCV infeqciis mkurnalobis rejimi HIV koinfeqciiT avadmyofebSi<br />
interferoni:<br />
- PEG-IFN alpha 2α- 180 mkg 1 Xjer kviraSi an PEG-IFN alpha 2b 1.5 mkg/kg<br />
kviraSi erTxel.<br />
ribavirini<br />
- HCV 1 <strong>da</strong> HCV 4 genotipiT avadmyofebisTvis maRali virusuli<br />
<strong>da</strong>tvirTviT ribavirini 1000-1200 mg dReSi 1-jer (mkurnalobis<br />
<strong>da</strong>wyeba)(BIII)<br />
192
Change language