aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...

aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ... aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...

13.01.2015 Views

) 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 (

- 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 />

(

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