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 <strong>da</strong> tuberkulozis koinfeqciis marTvis<br />
saxelmwifo stan<strong>da</strong>rti (protokoli)<br />
1.ganmarteba – <strong>aiv</strong> <strong>infeqcia</strong>/Sidsi ewodeba a<strong>da</strong>mianis imunodeficitis<br />
virusiT gamowveul infeqciur <strong>da</strong>avadebas. tuberkulozis gamomwvevia<br />
tuberkulozis mikobaqteria. orive paTogeniT erTdroulad<br />
<strong>da</strong>avadebisas saubaria <strong>aiv</strong> <strong>infeqcia</strong>/Sidsis <strong>da</strong> tuberkuloziT<br />
ko<strong>infeqcia</strong>ze.<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<br />
<strong>aiv</strong> provirusis dnm-is Tvisobrivad aRmoCena sisxlSi<br />
polimerizaciis jaWvuri reaqciis meTodiT; tuberkuloziT<br />
<strong>da</strong>avadebis <strong>da</strong>ma<strong>da</strong>sturebeli kriteriumia: avadmyofis<br />
biologiur masalaSi (maT Soris naxvelis nacxSi)<br />
mJavagamZle baqteriebis (mgb) arseboba, biologiur masalaSi<br />
kulturaluri meTodiT tuberkulozis mikobaqteriis<br />
aRmoCena.<br />
b) gamomricxavi – <strong>aiv</strong> <strong>infeqcia</strong>/Sidsis gamomricxavi<br />
kriteriumebia: A<strong>aiv</strong> antisxeulebis ararseboba sisxlis<br />
SratSi imunofermentuli meTodiT, raodenobrivad <strong>aiv</strong> rnm-is<br />
<strong>da</strong>/an Tvisobrivad <strong>aiv</strong> provirus dnm-is ararseboba sisxlSi<br />
polimerizaciis jaWvuri reaqciis meTodiT; tuberkulozis<br />
gamomricxavi kriteriumebia: tuberkulozis <strong>da</strong>maxasiaTebeli<br />
<strong>klinikuri</strong> niSnebisa <strong>da</strong> simptomebis ar arseboba, biologiur<br />
masalaSi (maT Soris naxvelis nacxSi) baqterioskopiiT mgbsa<br />
<strong>da</strong> kulturaluri gamokvleviT tub.mikobaqteriis ar<br />
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><br />
niSnebi ar gaaCnia, igi miekuTvneba laboratoriulad sadiagnozo<br />
<strong>da</strong>avadebebs. simptomebi<strong>da</strong>n SesaZloa gamovyoT: gaxangrZlivebuli<br />
cxeleba, gaxangrZlivebuli faRaraTi, limfadenopaTia,<br />
aramotivirebuli profuzuli oflianoba, Zlieri saerTo sisuste,<br />
aramotivirebuli wonaSi kleba (1 Tvis ganmavlobaSi sxeulis wonis<br />
10% an meti), sxva<strong>da</strong>sxva gamonayari kansa <strong>da</strong> lorwovanze, kandidozuri<br />
ezofagiti, cns-is atipiuri <strong>da</strong>zianebebi; tuberkulozis<br />
<strong>da</strong>ma<strong>da</strong>sturebel simptomebs miekuTvneba: zogadi niSnebi:<br />
subfebriliteti, Ramis oflianoba, advilad <strong>da</strong>Rla, saerTo sisuste,<br />
Sromis unaris <strong>da</strong>qveiTeba, taqikardia. tuberkulozis filtvis formis<br />
dros zogad simptomatikas emateba: 2 kviris an meti xangrZlivobis<br />
xveleba (produqtiuli, mSrali an sisxliani), haeris ukmarisoba,<br />
usiamovno SegrZneba an tkivili gulmkerdSi; tuberkulozis<br />
filtvgareSe formebis dros ki zogado intoqsikaciis niSnebs emateba<br />
ama Tu im organos <strong>da</strong>zianebisaTvis <strong>da</strong>maxasiaTebeli lokaluri<br />
simptomatika.<br />
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