aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ... aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
) gamomricxavi - aiv infeqcia/Sidsis gamomricxavi simptomebi da niSnebi ar arsebobs, aiv inficirebuls wlebis ganmavlobaSi SesaZloa simptomebi ar aReniSnebodes; C hepatitis virusiT infeqciis simptomebi da niSnebi aseve ar arsebobs da avadmyofs wlebis ganmavlobaSi SesaZloa ar aReniSnebodes araviTari simptomi. 4. diagnostikur-laboratoriuli testebi. yvela HIV dadebiT avadmyofs udna Cautardes gamokvleva anti-HCV antisxeulebze(AII). Anti-HCV (+) pozitiuri Sedegis SemTxvevaSi unda Catardes HCV RNA-s gansazRvra. yvela avadmyofs, romelsac aqvs HCV RNA (+) pozitiuri unda Catardes Semdegi gamokvlevebi: 1. ΗCV genotipis gansazRvra . 2. HCV virusuli datvirTvis gansazRvra. 3. sisxlis saerTo analizi, ALT, AST, G-GT, kreatinini. 4. RviZlis ultrabgeriTi gamokvleva. 5. RviZlis biofsia an fibrozis arainvaziuri markerebis gansazRvra RviZlis daavadebis simZimis Sesafaseblad 6 CD3, CD4, CD8 limfocitebis absoluturi ricxvis gansazRvra, aiv virusuli datvirTvis gansazRvra. 5. mkurnaloba HCV infeqciis samkurnalod HCV/HIV ko-infeqciiT avadmyofbSi gamoiyeneba kombinirebuli antivirusuli mkurnaloba pegilirebuli alfa interferoniT da ribaviriniT. mwvave C hepatitis mkurnalobis sakiTxi ko_infeqciiT avadmyofebSi jerjerobiT sabolood gadaWrili ar aris. qronikuli C hepatitis mkurnaloba: Tu qronikuli C hepatitis diagnozi ganisazRvra aiv infeqciis adreul stadiaze (manamde, sanam avadmyofs ar Wirdeba HAART mkurnaloba) HCV infeqciis mkurnaloba dawyebul unda iqnas. (AIII). Tu ko-infeqciT avadmyofebs aqvT Rrma imunodeficiti, jer dawyebul unda iqnas HAART da HCV mkurnalobis sakiTxi ganxilul unda iqnas mxolod CD4 ujredebis raodenobis momatebis Semdeg.(AII). HCV infeqciis mkurnalobis rejimi HIV koinfeqciiT avadmyofebSi interferoni: - PEG-IFN alpha 2α- 180 mkg 1 Xjer kviraSi an PEG-IFN alpha 2b 1.5 mkg/kg kviraSi erTxel. ribavirini - HCV 1 da HCV 4 genotipiT avadmyofebisTvis maRali virusuli datvirTviT ribavirini 1000-1200 mg dReSi 1-jer (mkurnalobis dawyeba)(BIII) 192
- yvela sxva SemTxvevaSi (maT Soris HCV 1 da HCV 4 genotipiT avadmyofebisTvis dabali virusuli datvirTviT) ribavirini 800 mg dReSi 1-jer (AII). HIV/HCV ko-infeqciiT avadmyofebSi, genotipisgan damoukideblad mkurnalobis xangrZlivoba Seadgens 48 kviras (BI). HCV infeqciis mkurnalobis algoriTmi HCV/HIV koinfeqciiT avadmyofebSi HCV/HIV koinfeqcia HCV RNA (+) dadebiTi CD4+ >200/mm 3 ( 200-350 mm 3 ) CD4+ 800, 000 IU/ml) HCV 1 genotipi virsuli datvirTva (
- Page 142 and 143: * saWiroa arv preparatebis bavSvebi
- Page 144 and 145: laboratoriuli monacemebis kontroli
- Page 146 and 147: Tirkmlis funqciuri sinjebi, gulmker
- Page 148 and 149: aiv infeqcia/Sidsis fonze ganviTare
- Page 150 and 151: aiv infeqcia/Sidsis fonze ganviTare
- Page 152 and 153: 6. reabilitacia da dakvirveba monit
- Page 154 and 155: kandidozuri ezofagitis SemTxvevebSi
- Page 156 and 157: aiv infeqcia/Sidsis fonze ganviTare
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- Page 168 and 169: martivi herpesvirusuli infeqciis mZ
- Page 170 and 171: meTodiT, sisxlis saerTo analizi, Rv
- Page 172 and 173: )gamomricxavi _ aiv infeqcia/Sidsis
- Page 174 and 175: aiv infeqcia/Sidsis fonze ganviTare
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- Page 186 and 187: aiv infeqcia/SidsiT avadmyofebSi B
- Page 188 and 189: dinamikaSi dakvirveba CD4≥500/mm
- Page 190 and 191: HBV mkurnalobis efeqturoba HBeAg (+
- Page 194 and 195: pegilirebuli interferonis da ribavi
- Page 196 and 197: i CD4 X X X X X X X X X TSH X X X H
- Page 198 and 199: )gamomricxavi - aiv infeqcia/Sidsis
- Page 200 and 201: pirveli rigis antituberkulozuri med
- Page 202: testebi: • sisxlis saerTo analizi
- yvela sxva SemTxvevaSi (maT Soris HCV 1 <strong>da</strong> HCV 4 genotipiT<br />
avadmyofebisTvis <strong>da</strong>bali virusuli <strong>da</strong>tvirTviT) ribavirini 800 mg<br />
dReSi 1-jer (AII).<br />
HIV/HCV ko-infeqciiT avadmyofebSi, genotipisgan <strong>da</strong>moukideblad<br />
mkurnalobis xangrZlivoba Seadgens 48 kviras (BI).<br />
HCV infeqciis mkurnalobis algoriTmi HCV/HIV koinfeqciiT<br />
avadmyofebSi<br />
HCV/HIV ko<strong>infeqcia</strong><br />
HCV RNA (+) <strong>da</strong>debiTi<br />
CD4+ >200/mm 3<br />
( 200-350 mm 3 )<br />
CD4+ 800, 000 IU/ml)<br />
HCV 1 genotipi<br />
virsuli <strong>da</strong>tvirTva<br />
(