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

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
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