aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ... aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
Tavi I. aiv inficirebul pacientTa marTva 1. pacientTa gamokvleva pirveli vizitisas aiv inficirebuli pacientis gamokvleva pirveli vizitisas moicavs: • detalur personalur, ojaxis da samedicino istorias; • fizikalur gamokvlevas; • laboratoriul da sxva gamokvlevebs; • Sesabamisi specialistis gamokvlevas. 1.1. personaluri, ojaxis da samedicino istoria cxrili 3. informacia, romelic aucileblad unda Sediodes samedicino istoriaSi pirveli vizitisas ZiriTadi informacia: • pacientis saxeli • dabadebis weli, Tve, ricxvi • sqesi • vizitis TariRi informacia testirebis Sesaxeb • pirveli pozitiuri aiv testirebis TariRi • mizezi, Tu ratom Caitara testireba • bolo aiv negatiuri testirebis TariRi, Tu cnobilia aiv eqspoziciis riski da gadacemis kategoria (Tu cnobilia): • saineqcio narkotikebis gamoyeneba • sqesobrivi (sqesobrivi kontaqtis saxis miTiTebiT) • sisxlis an misi produqtebis gadasxma, organos an qsovilis gadanergva • dedidan bavSvze gadacema • samsaxureobrivi eqspozicia (aRwerilobiT) • ucnobi • sqesobrivi partnior(eb)is aiv statusi (Tu cnobilia) • sqesobrivi partnior(eb)is risk faqtorebi (Tu cnobilia) aiv infeqciis gadadebis dro da adgili (qveyana), romelic yvelaze metad aris savaraudo an cnobili (a) aiv infeqciis mkurnalobis da movlis istoria: (ix. damateba 1) • vizitamde aiv infeqciis mkurnalobis dro da adgili, mkurnalobis Sewyvetis miTiTebiT • mkurnalobis reJimi • gverdiTi efeqtebi • reJimis dacva • laboratoriuli monacemebi (CD4, virusuli datvirva, eleqtrolitebi, RviZlis funqciebi, Tirkmlis funqciebi, sisxlis saerTo analizi, didi xnis win inficirebuli pacientisTvis dalagebuli unda iyos qronologiurad) (7) 26
• vizitamde rezistentobis testis dokumentirebuli Sedegi (Tu iyo gakeTebuli) aiv asocirebuli daavadebebi da mdgomareobebi: • tuberkulozi • respiratoruli infeqciebi • virusuli, baqteriuli da sokovani infeqciebi • hepatiti B da C • neoplaziebi • sxva sxva daavadebebi da mdgomareobebi: • hospitalizacia • qirurgiuli Careva • sulieri mdgomareoba (depresia da a.S.) • Tirkmlis an RviZlis daavadebebi • endokrinologiuri daavadebebi • sqesobrivi gziT gadamdebi daavadebebi (sggd) • vaqcinaciebi • alergiebi • sxeulis cvlilebebi • mimdinare medikamentebi ojaxis samedicino istoria (diabeti, arteriuli hipertenzia, kanis daavadebebi, simsivneebi da a.S.) gul-sisxlZarRvTa daavadebebi da daavadebis risk-faqtorebi (simsuqne, Tambaqos Warbad moxmareba, arteriuli hipertenzia da a.S.) eqspozicia tuberkulozTan (personaluri an ojaxuri kontaqtebi) b mimdinare medikamentebi (opioid CanacvlebiTi Terapiis CaTvliT) nivTierebaTa moxmareba: • akrZaluli saineqcio narkotikebis moxmareba (warsulSi an awmyoSi) • alkoholuri damokidebuleba reproduqciuli da sqesobrivi janmrTeloba • kontracefciis meTodebi qalebSi • orsuloba (wina, mimdinare, dagegmili) • sqesobrivi praqtika socialuri istoria • sacxovrebeli pirobebi (partnior(eb)i / meuRle / ojaxis wevrebi, bavSvebi da a.S.) • profesia da Tanamdeboba • daxmarebis qseli (socialuri da samedicino dazRveva, sazogadoebrivi jgufi, vin icis pacientis aiv statusis Sesaxeb da a.S.) a saWiroa epidemiologiisTvis, virusis subtipi da savaraudo rezistentuli Stamebis profili. b tuberkulozze Semdgomi gamokvlevis instuqciisTvis ix. aiv infeqciis da tuberkulozis koinfeqciis marTvis gaidlaini 27
- Page 1 and 2: aiv infeqcia/SidsiT avadmyofTa mkur
- Page 3 and 4: sarCevi klinikuri saxelmZRvanelo-re
- Page 5 and 6: 3.2.2.cxeleba aiv inficirebulebSi 3
- Page 7 and 8: aiv infeqcia/Sidsis fonze ganviTare
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- Page 11 and 12: 1.daavadebis definicia Sidsi abrevi
- Page 13 and 14: Sidsi registrirebulia msoflios 216
- Page 15 and 16: egistrirebul SemTxveevaTa 79% saqar
- Page 17 and 18: adamianis imunodeficitis virusis sa
- Page 19 and 20: aiv rnm-is koncentracia plazmaSi mk
- Page 21 and 22: SeuZlebelia da gadamwyveti misi dia
- Page 23 and 24: persistuli generalizebuli limfadeno
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- Page 29 and 30: • adamianis papilomavirusi (maxvi
- Page 31 and 32: etinitis identifikaciisTvis, rodesa
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- Page 37 and 38: aCveneben, rom pirveladi rezistento
- Page 39 and 40: - tabletebis Cveneba pacientisTvis
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- Page 45 and 46: X (arv): testebi, romlebic unda Cat
- Page 47 and 48: maRali mgrZnobeloba abakaviri (ABC
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- Page 55 and 56: cxrilebis wakiTxvis magaliTi 1. cxr
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- Page 66 and 67: mcire mutacia muSaobs kombinaciaSi.
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- Page 72 and 73: 122. Koval CE et al. Immune reconst
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• vizitamde rezistentobis testis dokumentirebuli Sedegi (Tu iyo<br />
gakeTebuli)<br />
<strong>aiv</strong> asocirebuli <strong>da</strong>avadebebi <strong>da</strong> mdgomareobebi:<br />
• tuberkulozi<br />
• respiratoruli infeqciebi<br />
• virusuli, baqteriuli <strong>da</strong> sokovani infeqciebi<br />
• hepatiti B <strong>da</strong> C<br />
• neoplaziebi<br />
• sxva<br />
sxva <strong>da</strong>avadebebi <strong>da</strong> mdgomareobebi:<br />
• hospitalizacia<br />
• qirurgiuli Careva<br />
• sulieri mdgomareoba (depresia <strong>da</strong> a.S.)<br />
• Tirkmlis an RviZlis <strong>da</strong>avadebebi<br />
• endokrinologiuri <strong>da</strong>avadebebi<br />
• sqesobrivi gziT ga<strong>da</strong>mdebi <strong>da</strong>avadebebi (sggd)<br />
• vaqcinaciebi<br />
• alergiebi<br />
• sxeulis cvlilebebi<br />
• mimdinare medikamentebi<br />
ojaxis samedicino istoria (diabeti, arteriuli hipertenzia, kanis<br />
<strong>da</strong>avadebebi, simsivneebi <strong>da</strong> a.S.)<br />
gul-sisxlZarRvTa <strong>da</strong>avadebebi <strong>da</strong> <strong>da</strong>avadebis risk-faqtorebi (simsuqne,<br />
Tambaqos Warbad moxmareba, arteriuli hipertenzia <strong>da</strong> a.S.)<br />
eqspozicia tuberkulozTan (personaluri an ojaxuri kontaqtebi) b<br />
mimdinare medikamentebi (opioid CanacvlebiTi Terapiis CaTvliT)<br />
nivTierebaTa moxmareba:<br />
• akrZaluli saineqcio narkotikebis moxmareba (warsulSi an awmyoSi)<br />
• alkoholuri <strong>da</strong>mokidebuleba<br />
reproduqciuli <strong>da</strong> sqesobrivi janmrTeloba<br />
• kontracefciis meTodebi qalebSi<br />
• orsuloba (wina, mimdinare, <strong>da</strong>gegmili)<br />
• sqesobrivi praqtika<br />
socialuri istoria<br />
• sacxovrebeli pirobebi (partnior(eb)i / meuRle / ojaxis wevrebi,<br />
bavSvebi <strong>da</strong> a.S.)<br />
• profesia <strong>da</strong> Tanamdeboba<br />
• <strong>da</strong>xmarebis qseli (socialuri <strong>da</strong> samedicino <strong>da</strong>zRveva,<br />
sazogadoebrivi jgufi, vin icis pacientis <strong>aiv</strong> statusis Sesaxeb <strong>da</strong><br />
a.S.)<br />
a saWiroa epidemiologiisTvis, virusis subtipi <strong>da</strong> savaraudo<br />
rezistentuli Stamebis profili.<br />
b tuberkulozze Semdgomi gamokvlevis instuqciisTvis ix. <strong>aiv</strong><br />
infeqciis <strong>da</strong> tuberkulozis koinfeqciis marTvis gaidlaini<br />
27
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