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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100 mg/dReSi<br />
meore rigis sqemebi<br />
amfotericini B 0,3-0,5 mg/kg IV 10-14 dRe<br />
Aan<br />
itrakonazoli 200-400 mg dReSi<br />
erTxel<br />
PO<br />
2 kvira<br />
o kandidozuri ezofagitis mkurnalobis Semdeg saWiroa xangrZlivi<br />
SemanarCunebeli Terapia flukonazoliT 50-100 mg/dReSi yoveldRe,<br />
an itrakonazoliT 100 mg/dReSi yoveldRe, an ketokonazoliT 200<br />
mg/dReSi yoveldRe.<br />
o Tu <strong>mkurnaloba</strong> araefeqturia un<strong>da</strong> gamoiricxos virusuli<br />
(citomegalovirusuli an herpesuli) ezofagiti ezofagoskopiiT.<br />
o Candi<strong>da</strong> glabrata. C. krusei <strong>da</strong> C. tropicalis rezistentulia flukonazolis<br />
mimarT zogierT SemTxvevebSi. saWiroa nimuSebis kulivireba,<br />
SesaZlebelia savaraudo testireba <strong>da</strong> amfotericin B <strong>da</strong>niSvna<br />
ufro efeqturia. vorikonazoli, posakonazoli <strong>da</strong> kaspofungini<br />
axali antimikozuri medikamentebia, romelTa mimarT arcerTi<br />
gamomwvevi ar aris rezistentuli, maT Soris Aspergillus; yvela<br />
maTgani ZviradRirebulia. vorikonazoli ar un<strong>da</strong> <strong>da</strong>iniSnos<br />
efavirenzTan <strong>da</strong> ritonavirTan erTad. pacientebi, romlebic<br />
Rebuloben proteazas inhibitorebs vorikonazolTan erTad<br />
saWiroeben gverTiTi efeqtebis mWidro monirtorings (26).<br />
3.1.7. kriptokokuli meningiti<br />
o kriptokokozi xSirad mimdinareobs meningitis formiT, ufro<br />
iSviaTad viTardeba pnevmonia <strong>da</strong> diseminirebuli <strong>infeqcia</strong>.<br />
o kriptokokuli meningiti erT-erTi gavrcelebuli sistemuri<br />
mikozia <strong>aiv</strong>/<strong>SidsiT</strong> <strong>da</strong>avadebulebSi.<br />
o <strong>avadmyofTa</strong> sicocxlis xangrZlivoba mkurnalobis gareSe Tveze<br />
naklebia.<br />
diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA<br />
kriptokokozis diagnozireba Se<strong>da</strong>rebiT advilia. pacienti uCivisL Tavis<br />
tkivils, cxelebas, saxezea kefis kunTebis regidoba, Tavis qalis<br />
nervebis <strong>da</strong>zianeba, cnobierebis <strong>da</strong>rRveva, komatozuri mdgomareoba.<br />
meningitis niSnebi, maT Soris, cxeleba <strong>da</strong> kefis kunTebis rigidoba<br />
xSirad ar aRiniSneba. liqvors acentrifugireben, miRebul naleqs<br />
ikvleven mikroskopis qveS tuSis wveTis India ink <strong>da</strong>matebis Semdeg.<br />
o preparatSi naxuloben sqeli kafsuliT <strong>da</strong>farul safuaris<br />
ujredebs.<br />
o SesaZlebelia kriptokokis kulturis gamoyofa Tavzurgtvinis<br />
siTxi<strong>da</strong>n<br />
o gamoiyeneba Sratis <strong>da</strong> Tavzurgtvinis siTxis gamokvleva<br />
kriptokokul antigenze.<br />
<strong>mkurnaloba</strong>AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA<br />
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