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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- TiToeul centrs, sa<strong>da</strong>c tardeba <strong>aiv</strong> <strong>mkurnaloba</strong>, un<strong>da</strong> hqondes reJimis<br />
<strong>da</strong>cvis werilobiTi strategia, romelic ga<strong>da</strong>ixedeba regularulad.<br />
- jan<strong>da</strong>cvis muSakebi CarTulni un<strong>da</strong> iyvnen reJimis <strong>da</strong>cvis mxar<strong>da</strong>saWer<br />
programebSi (69) (CIII).<br />
- pacientTa survilis gaTvaliswinebam, CaerTos am programebSi<br />
SesaZloa gaaumjobesos reJimis <strong>da</strong>cva.<br />
- reJimis <strong>da</strong>cvaSi mxar<strong>da</strong>Wera un<strong>da</strong> SeeTavazos yvela pacients imis<br />
gaTvaliswinebiT, Tu ra xarisxiT icavs esa Tu is pacienti reJims.<br />
- mxa<strong>da</strong>Wera un<strong>da</strong> gagrZeldes meore rigis <strong>da</strong> “ga<strong>da</strong>rCenis" reJimis<br />
drosac. mkurnalobis araefeqturoba un<strong>da</strong> iyos sakvanZo sakiTxi reJimis<br />
<strong>da</strong>cvis <strong>da</strong> mxar<strong>da</strong>Weris RonisZiebebis gaZlierebisTvis (70).<br />
- reJimis <strong>da</strong>cvis maRali xarisxi xangrZlivi procesia <strong>da</strong> ara erTjeradi<br />
movlena (71) (DIV), avadmyofs mxar<strong>da</strong>Wera un<strong>da</strong> SevTavazos arT <strong>da</strong>wyebisas,<br />
Secvlisas <strong>da</strong> rutinuli meTvalyureobisas.<br />
- jan<strong>da</strong>cvis muSakma un<strong>da</strong> uzrunvelyos, rom pacients hqondes adekvaturi<br />
codna <strong>aiv</strong>-is, reJimis <strong>da</strong>cvas <strong>da</strong> rezistentobas Soris kavSiris, gverdiTi<br />
movlenebis Sesaxeb. sityvieri informacia un<strong>da</strong> gamyardes werilobiTi<br />
informaciiT.<br />
- jan<strong>da</strong>cvis muSakma SesaZloa rekomen<strong>da</strong>cia gauwios tabletebis miRebis<br />
dRiurs, cxrilebs, medikamentebis konteinerebs, ojaxis wevrebis <strong>da</strong><br />
megobrebis CarTvas “Semxseneblebad” (72) (DIV).<br />
- arT reJimis <strong>da</strong>cva umjobesdeba, Tu pacienti pozitiurad aRiqvams<br />
kavSirs eqimTan <strong>da</strong> jan<strong>da</strong>cvis sxva muSakebTan (73) (DIV).<br />
- reJimis <strong>da</strong>cvaze adreuli meTvalyureoba un<strong>da</strong> ganxorcieldes reJimis<br />
<strong>da</strong>wyebi<strong>da</strong>n an Secvli<strong>da</strong>n 2 dRis Semdeg imis gasarkvevad, esaWiroeba Tu<br />
ara pacients <strong>da</strong>matebiTi informacia an aqvs Tu ara raime<br />
gauTvaliswinebeli problema.<br />
4.3.1.3. reJimTan <strong>da</strong>kavSirebuli faqtorebi <strong>da</strong> strategiebi<br />
- dozireba dReSi orjer metad <strong>da</strong>kavSirebulia reJimis <strong>da</strong>cvis ufro<br />
<strong>da</strong>bal donesTan (74) (CIII), xolo dReSi erTxel an orjer misaReb<br />
reJimebs Soris sxvaoba savaraudod ar aris (75) (CIII). dReSi erTxel an<br />
orjer misaRebi reJimis dros, dozaTa umravlesoba droulad miiReba.<br />
multivariaciuli analiziT dozis miReba <strong>da</strong>niSnulze gvian<br />
<strong>da</strong>kavSirebulia mkurnalobis araefeqturobasTan (76) (AI).<br />
- reJimis <strong>da</strong>cvis done ar aris <strong>da</strong>kavSirebuli arv klasTan. Tumca kvebiTi<br />
SezRudva sxva<strong>da</strong>sxva medikamentisTvis SesaZloa qmnides problemas (77)<br />
(BII).<br />
- tabletebis mcire ricxvis dros metia albaToba, rom 48 kviris Semdeg<br />
virusuli <strong>da</strong>tvirTva iqneba < 50 asli/ml (75) (BII).<br />
- <strong>da</strong>mazianebelma wamlebis urTierTqmedebam <strong>da</strong> gverdiTma movlenebma<br />
SesaZloa gavlena moaxdinos reJimis <strong>da</strong>cvis xarisxze. doza SesaZloa<br />
gamotovebul iqnes gulisrevis <strong>da</strong> diareis gamo, sisustis gamo CaZinebam,<br />
agreTve, SesaZloa gamoiwvios dozis gamotoveba (78) (DIV).<br />
SesaZlo sawinaaRmdego strategiebi:<br />
- Sefasdes cxovrebis wesi (kvebis, Zilis, samuSao reJimi) <strong>da</strong> moergos<br />
samkurnalo reJimi;<br />
- Sefasdes pirovnebis ganwyoba sxva<strong>da</strong>sxva reJimis mimarT (tabletis<br />
zoma, formulireba, raodenoba, dieturi SezRudva <strong>da</strong> a. S.).<br />
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