aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ... aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
o cxeleba o wonaSi kleba o Ramis oflianoba o diarea o ganleva. o mikobaqteriebis aRmoCena SesaZlebelia avadmyofis sisxlsa da eqskrementebSi. diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA o sisxlis specialur niadagze daTesva. o pacientebs klinikurad gamovlinebuli infeqciiT mikobaqteriebis intensivoba imgvari aqvT, rom gamomwvevis aRmoCena SesaZlebelia daTesili sisxlis TiTqmis yvela ulufaSi. o vinaidan, diseminirebuli infeqciis dros xSirad ziandeba RviZli da Zvlis tvini, mikobaqteriebis aRmoCena SesaZlebelia mJavagamZle baqteriebze SeRebil preparatebSi, romlebic damzadebulia am organoebidan aRebuli bioptatebisgan. o RviZlis bioptatis mikroskopuli gamokvlebis gziT winaswari diagnozis dasma saSualebas iZleva mkurnaloba daviwyoT droulad. mkurnalobaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA cxrili 24. atipuri mikobaqteriozebis mkurnaloba (AI) antibiotiki doza MmiRebis sixSire miRebis gza mkurnalobis xangrZlivoba pirveli rigis preparatebi (15,16) klariTromicini 500-1000 mg 2-jer dReSi PO 6 Tve ; damokidebulia klinikur mdgomareobaze + etambutoli 15 mg/kg dReSi erTxel + rifabutini 300-450 mg dReSi erTxel PO 6 Tve ; damokidebulia klinikur mdgomareobaze PO 6 Tve ; damokidebulia klinikur mdgomareobaze sxva preparatebi, rimlebic moqmedeben atipiur mikobaqteriebze a azitromicini 500-1200 mg dReSi PO 6 Tve erTxel ciprofloqsacini 500 mg 2-jer dReSi PO 6 Tve amikacini 15 mg/kg/dR dReSi 1X i/v 78
an 7,5 mg/kg/dR 2-jer dReSi i/v ara umetes 4 kvirisa a rifampicini ar aris efeqturi atipiruri mokibaqteriis mimarT. o Tu atipiuri mikobaqteriozebis mkurnalobis fonze mdgomareoba gaumjobesda da preparatebi kargad gadaitaneba unda daiwyos arT. o atipiuri mikobaqteriozebis mkurnalobodan 4-6- kviraSi iwyeba arT. 6 Tvis Semdeg imunuri pasuxis gaumjobesebis Semdeg (CD4 ricxvi>100mm3) Cerdeba atipiuri mikobaqteriozebis mkurnaloba da gamoiyeneba meoradi profilaqtika. o meoradi profilaqtikis Sewyveta SesaZlebelia, rodesac imunuri sistema stabiluria 3-6- Tvis manZilze. o atipiuri mikobaqteriozebis mkurnaloba da meoradi profilaqtika grZeldeba 6 Tve, rac aris mkurnalobis warmatebis da relapsis Tavidan acilebis sawindari. o didi mniSvneloba aqvs atipiuri mikobaqteriozebis mkurnalobis dawyebas arv Terapiis dawyebamde. o arsebobs albaToba imunuri rekonstituciis anTebiTi sindromis ganviTarebis arT-s dawyebis Semdeg.D 3.1.3. pnevmocisturi pnevmonia o pnevmocisturi pnevmonia erT-erTi gavrcelebuli oportunistuli infeqciaa aiv inficirebulebSi. misi gamomwvevia Pneumocystis jiroveci (adre moixseniebdnen Pneumocystis carinii–is saxeliT). o tipiuri klinikuri gamovlinebebia: xvela, qoSini da cxeleba. o zogjer pnevmocisturi pnevmonia mimdinareobs filtvismieri gamovlinebebis gareSe. o xSirad aRiniSneba sunTqvis ukmarisobis niSnebi, qoSini da cianozi. o daavadebis mimdinareoba SeiZleba iyos mZime da, Tu droulad ar dainiSneba mkurnaloba, SeiZleba damTavrdes sikvdiliT. diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA o diagnozi ismeba klinikuri suraTis mixedviT. aiv inficirebul pacients uviTardeba respiratoruli distresi cianoziT an mis gareSe. o SesaZloa aRiniSnebodes mSrali xvela, Tumca ufro mniSvnelovania, rom filtvebSi fizikaluri gamokvlevebiTAD mciredi cvlilebebia an saerTod ar aris. o gul-mkerdis rentgenologiuri gamokvleva: o orive filtvis qvemo wilSi gamWvirvalobis Rrubliseburi daqveiTeba_yvela pacients ar aReniSneba. o SesaZlebelia orive filtvSi aRmoCndes kerovani daCrdilva, romelic waagavs baqteriuli pnevmoniis an tuberkulozis suraTs. o pacientebis umetesobas, romelTac daudginda pnevmocisturi pnevmonia, rentgenologiuri cvlilebebi ar aReniSnebaT. o diagnozis oqros standarts warmoadgens bronquli lavaJi (14). diagnozi dasturdeba gamomwvevis cistis aRmoCeniT amonaxvelSi an bronquli lavaJis aspiratSi. o Tu bronqoskopiis Catareba SeuZlebelia, maSin pnevmocisturi pnevmoniis diagnozisTvis SesaZlebelia gamoyenebul iqnes rogorc 79
- Page 27 and 28: • vizitamde rezistentobis testis
- Page 29 and 30: • adamianis papilomavirusi (maxvi
- Page 31 and 32: etinitis identifikaciisTvis, rodesa
- Page 33 and 34: cxrili 8 rekomendaciebi arT dawyebi
- Page 35 and 36: arv medikamentebi arseboben Semdegi
- Page 37 and 38: aCveneben, rom pirveladi rezistento
- Page 39 and 40: - tabletebis Cveneba pacientisTvis
- Page 41 and 42: - aqedan gamomdinare, nrti+anrti re
- Page 43 and 44: igulisxmeba im medikamentebis kombi
- Page 45 and 46: X (arv): testebi, romlebic unda Cat
- Page 47 and 48: maRali mgrZnobeloba abakaviri (ABC
- Page 49 and 50: transaminazebis elevacia anrti (all
- Page 51 and 52: ARV toqsiuroba menejmenti nefrotoqs
- Page 53 and 54: xSiri oportonistuli infeqciebia, ma
- Page 55 and 56: cxrilebis wakiTxvis magaliTi 1. cxr
- Page 57 and 58: damateba2. jandacvis msoflio organi
- Page 59 and 60: damateba 4. ZiriTadi informacia ant
- Page 62 and 63: damateba 5. mkurnalobis reJimis dac
- Page 64 and 65: saerTaSoriso saxeli stavudini (d4T)
- Page 66 and 67: mcire mutacia muSaobs kombinaciaSi.
- Page 68 and 69: 25. Phillips AN et al. Viral load o
- Page 70 and 71: Suppl 2:S171-176. 73. Altice FL, Mo
- Page 72 and 73: 122. Koval CE et al. Immune reconst
- Page 74 and 75: kandidozi dRe yovel dRe - ko-trimoq
- Page 76 and 77: karcinoma (ara SidsTan perikardiuli
- Page 80 and 81: indikatorebi filtvis darRveuli funq
- Page 82 and 83: o yvelaze xSirad viTardeba diarea,
- Page 84 and 85: o glukokortikoidebis sistematiuri m
- Page 86 and 87: 100 mg/dReSi meore rigis sqemebi am
- Page 88 and 89: o eqspoziciis Sedegad daavadebis ga
- Page 90 and 91: o remisiis miRweva Zalian Znelia da
- Page 92 and 93: qimioTerapiiT (mag : B-ALL reJimi)
- Page 94 and 95: • imunodeficitis mqone pacientebS
- Page 96 and 97: an famcikloviri 500 mg 3-jer dReSi
- Page 98 and 99: • berkitis-tipis limfoma; • naz
- Page 100 and 101: 3.2.2. cxeleba aiv inficirebulebSi
- Page 102 and 103: afTozuri wylulebi stomatiti qeiliti
- Page 104 and 105: ganmavlobaSi 2 Tvis manZilze (xelis
- Page 106 and 107: o gamonayari warmodgenilia mravlobi
- Page 108 and 109: 20. Chen XM et al. Cryptosporidiosi
- Page 110 and 111: Tavi IV. aiv infeqcia/SidsiT daavad
- Page 112 and 113: inficirebul bavSvebSi (ramdenadac a
- Page 114 and 115: 8 igulisxmeba piri, romelsac aReniS
- Page 116 and 117: 4.3. daxocili da inaqtivirebuli vaq
- Page 118 and 119: kerebSi A hepatiti erTeuli an mcire
- Page 120 and 121: 13 riski maRalia staJirebis periodS
- Page 122 and 123: ganmavlobaSi, xolo SedarebiT ufro s
- Page 124 and 125: 4.8. tkipismieri encefalitis vaqcin
- Page 126 and 127: CvenebebiTa da doziT, rogorc imunok
o cxeleba<br />
o wonaSi kleba<br />
o Ramis oflianoba<br />
o diarea<br />
o ganleva.<br />
o<br />
mikobaqteriebis aRmoCena SesaZlebelia avadmyofis sisxlsa <strong>da</strong><br />
eqskrementebSi.<br />
diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA<br />
o sisxlis specialur nia<strong>da</strong>gze <strong>da</strong>Tesva.<br />
o pacientebs klinikurad gamovlinebuli infeqciiT<br />
mikobaqteriebis intensivoba imgvari aqvT, rom gamomwvevis<br />
aRmoCena SesaZlebelia <strong>da</strong>Tesili sisxlis TiTqmis yvela<br />
ulufaSi.<br />
o vinai<strong>da</strong>n, diseminirebuli infeqciis dros xSirad ziandeba<br />
RviZli <strong>da</strong> Zvlis tvini, mikobaqteriebis aRmoCena SesaZlebelia<br />
mJavagamZle baqteriebze SeRebil preparatebSi, romlebic<br />
<strong>da</strong>mzadebulia am organoebi<strong>da</strong>n aRebuli bioptatebisgan.<br />
o RviZlis bioptatis mikroskopuli gamokvlebis gziT winaswari<br />
diagnozis <strong>da</strong>sma saSualebas iZleva <strong>mkurnaloba</strong> <strong>da</strong>viwyoT<br />
droulad.<br />
<strong>mkurnaloba</strong>AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA<br />
cxrili 24. atipuri mikobaqteriozebis <strong>mkurnaloba</strong> (AI)<br />
antibiotiki doza MmiRebis<br />
sixSire<br />
miRebis<br />
gza<br />
mkurnalobis<br />
xangrZlivoba<br />
pirveli rigis preparatebi (15,16)<br />
klariTromicini 500-1000 mg 2-jer dReSi PO 6 Tve ;<br />
<strong>da</strong>mokidebulia<br />
klinikur<br />
mdgomareobaze<br />
+<br />
etambutoli 15 mg/kg dReSi<br />
erTxel<br />
+<br />
rifabutini 300-450 mg dReSi<br />
erTxel<br />
PO 6 Tve ;<br />
<strong>da</strong>mokidebulia<br />
klinikur<br />
mdgomareobaze<br />
PO 6 Tve ;<br />
<strong>da</strong>mokidebulia<br />
klinikur<br />
mdgomareobaze<br />
sxva preparatebi, rimlebic moqmedeben atipiur mikobaqteriebze a<br />
azitromicini 500-1200 mg dReSi PO<br />
6 Tve<br />
erTxel<br />
ciprofloqsacini 500 mg 2-jer dReSi PO<br />
6 Tve<br />
amikacini 15 mg/kg/dR dReSi 1X i/v<br />
78
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