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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maniSnebelia <strong>da</strong>avadebis duned progresirebis <strong>da</strong> piriqiT,<br />
maRali virusuli <strong>da</strong>tvirTva (>100 000 asli /ml) miuTiTebs<br />
<strong>da</strong>avadebis swraf progresirebaze.<br />
o ZiriTadi laboratoriuli testebi un<strong>da</strong> gakontroldes (cxr.<br />
12) yovel 6 TveSi, Tu ar aris raime sxva mizezi, mag. orsuloba.<br />
5.2. laboratoriuli maCvemeblebis monitoringi arv Terapiaze myof<br />
pacientebSi<br />
arT-s warmatebis pirveli maCvenebelia virusuli <strong>da</strong>tvirTva. imunuri<br />
pasuxi virusuli <strong>da</strong>tvirTvis Sedegia <strong>da</strong> mogvianebiT viTardeba. arT<br />
monitoringisTvis saukeTesoa orives gakontroleba.<br />
virusuli <strong>da</strong>tvirTva:<br />
o virusuli <strong>da</strong>tvirTva un<strong>da</strong> ganisazRvros mkurnalobis <strong>da</strong>wyebi<strong>da</strong>n<br />
4-8 kviraSi reJimis warmatebis SefasebisTvis. virusuli <strong>da</strong>tvirTva<br />
aragansazRvradi un<strong>da</strong> gaxdes 16-24 kviraSi.<br />
o virusuli <strong>da</strong>tvirTvis monitoringisTvis sasurveli intervalia 3-4-<br />
Tve.<br />
o Tu virusuli <strong>da</strong>tvirTva gax<strong>da</strong> aragansazRvradi (< 50 asli/ml) , is<br />
un<strong>da</strong> <strong>da</strong>rCes aragansazRvradi.<br />
o CD4 ujredebis ricxvi un<strong>da</strong> gakontroldes yovel 6 TveSi,<br />
<strong>klinikuri</strong> warumateblobis SemTxvevebis gar<strong>da</strong>.<br />
o ZiriTadi laboratoriuli testebi (cxr. 3 ) un<strong>da</strong> gakontroldes<br />
yovel 6 TveSi, Tu ar aris raime cvlilebebli arv Terapiis<br />
reJimSi.<br />
cxrili 12. laboratoriuli testebis sixSire ZiriTa<strong>da</strong>d <strong>da</strong> specifikuri<br />
arv-s reJimis gaTvaliswinebiT<br />
virusuli<br />
<strong>da</strong>tvirTva<br />
2 4 8 16 24 36 48<br />
sawyisi<br />
kvira kvira kvira kvira kvira kvira kvira<br />
X X X X X<br />
CD4<br />
ujredebis<br />
ricxvi<br />
sisxlis saerTo<br />
analizi<br />
RviZlis<br />
funqciuri<br />
sinjebi<br />
qolesterini<br />
trigliceridebi<br />
Tirkmlis<br />
funqciebi<br />
X X X (X) X<br />
X X X X<br />
(ZDV)<br />
X X X<br />
(NVP)<br />
X (PI)<br />
X<br />
X<br />
(TDF)<br />
X<br />
(TDF,<br />
IDV)<br />
X<br />
(NVP,<br />
ZDV,<br />
PI)<br />
X<br />
(NVP,<br />
PI)<br />
X<br />
(PI)<br />
X (X) X<br />
X (X) X<br />
X (X) X<br />
X: testebi, romlebic un<strong>da</strong> Catardes arv Terapiisgan <strong>da</strong>moukideblad;<br />
X<br />
(PI)<br />
44
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