13.01.2015 Views

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

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

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

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

X (arv): testebi, romlebic un<strong>da</strong> Catardes mocemuli preparatis<br />

arsebobisas arT reJimSi;<br />

(X): araucilebeli testebi.<br />

5.3. mkurnalobis reJimis <strong>da</strong>cvis monitoringi<br />

yvela pacienti, romelic imyofeba arT-ze mudmivad un<strong>da</strong> imyofebodnen<br />

meTvalyureobis qveS. sanam isini imyofebian mkurnalobis monitoringis<br />

qveS (ixileT <strong>da</strong>mateba 5), miRebuli meTodia stan<strong>da</strong>rtuli anketireba 14<br />

dReSi an TveSi erTxel.<br />

virusuli <strong>da</strong>tvirTvis cvlileba yovelTvis saWiroebs eqimis mier<br />

pacientTan erTad mkurnalobis reJimis ganxilvas. gamoiyeneba kiTxvari,<br />

romlis mixedviTac SeiZleba ganvsazRvroT <strong>da</strong>myoloba mkurnalobisadmi.<br />

mkurnalobis reJimis <strong>da</strong>cva 4-6 Tvis ganmavlobaSi saSualebas iZleva<br />

miRweul iqnas xangrZlivi imunovirusologiuri pasuxi (110) (AI).<br />

sxva<strong>da</strong>sxvagvari Careva SesaZlebelia, magram prioritetulia is reJimi,<br />

romelic adreul TveebSi iZleva arT-ze ukeTes pasuxs (110-114) (AI).<br />

mkurnalobis reJimis <strong>da</strong>cva SeiZleba iyos nawili rutinuli <strong>klinikuri</strong><br />

<strong>da</strong>kvirvebisa, romelsac axorcielebs yvela profesionali eqimi. yoveli<br />

vizitis dros eqimi un<strong>da</strong> <strong>da</strong>rwmundes, rom TiToeul pacients:<br />

o aqvs emociuri <strong>da</strong> fizikuri mxar<strong>da</strong>Wera<br />

o dRis ganmavlobaSi icavs wamlebis miRebis reJims<br />

o esmis, rom reJimis <strong>da</strong>rRveva gamoiwvevs rezistentobis<br />

ganviTarebas<br />

o gacnobierebuli un<strong>da</strong> hqondes, rom yvela doza droulad iqnas<br />

miRebuli<br />

o wamlebis miRebis dros Tavs un<strong>da</strong> grZnobdes komfortulad.<br />

o <strong>da</strong>icvas <strong>da</strong>niSnuleba<br />

o esmodes arv-s moqmedeba <strong>da</strong> gverdiTi efeqtebi.<br />

o icodes Tu rodis mimarTos eqims.<br />

sxva strategia moicavs:<br />

o depresiis <strong>mkurnaloba</strong>, raTa amaRldes mkurnalobis reJimis <strong>da</strong>cva<br />

<strong>da</strong> miRweul iqnas xangrZlivi Sedegi<br />

o wamlebis urTierTqmedebis <strong>da</strong> dozirebis menejmenti.<br />

o medikamentebis gacema mcire raodenobiT <strong>da</strong> xSiri intervalebiT,<br />

romelic aiolebs:<br />

1. problemebis droul gamovlenas, manam sanam ganviTardeba<br />

rezistentoba<br />

2. Semcirdes medikamentebis gacema <strong>da</strong> borotad gamoyeneba<br />

3. gamoyenebuli iqnas dReSi erTxel misaRebi, erTdoziani<br />

medikamentis kombinacia, rac xels Seuwyobs adreul etapze<br />

mkurnalobis <strong>da</strong>myolobas; <strong>da</strong><br />

45

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!