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

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100 mg/dReSi meore rigis sqemebi amfotericini B 0,3-0,5 mg/kg IV 10-14 dRe Aan itrakonazoli 200-400 mg dReSi erTxel PO 2 kvira o kandidozuri ezofagitis mkurnalobis Semdeg saWiroa xangrZlivi SemanarCunebeli Terapia flukonazoliT 50-100 mg/dReSi yoveldRe, an itrakonazoliT 100 mg/dReSi yoveldRe, an ketokonazoliT 200 mg/dReSi yoveldRe. o Tu mkurnaloba araefeqturia unda gamoiricxos virusuli (citomegalovirusuli an herpesuli) ezofagiti ezofagoskopiiT. o Candida glabrata. C. krusei da C. tropicalis rezistentulia flukonazolis mimarT zogierT SemTxvevebSi. saWiroa nimuSebis kulivireba, SesaZlebelia savaraudo testireba da amfotericin B daniSvna ufro efeqturia. vorikonazoli, posakonazoli da kaspofungini axali antimikozuri medikamentebia, romelTa mimarT arcerTi gamomwvevi ar aris rezistentuli, maT Soris Aspergillus; yvela maTgani ZviradRirebulia. vorikonazoli ar unda dainiSnos efavirenzTan da ritonavirTan erTad. pacientebi, romlebic Rebuloben proteazas inhibitorebs vorikonazolTan erTad saWiroeben gverTiTi efeqtebis mWidro monirtorings (26). 3.1.7. kriptokokuli meningiti o kriptokokozi xSirad mimdinareobs meningitis formiT, ufro iSviaTad viTardeba pnevmonia da diseminirebuli infeqcia. o kriptokokuli meningiti erT-erTi gavrcelebuli sistemuri mikozia aiv/SidsiT daavadebulebSi. o avadmyofTa sicocxlis xangrZlivoba mkurnalobis gareSe Tveze naklebia. diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA kriptokokozis diagnozireba SedarebiT advilia. pacienti uCivisL Tavis tkivils, cxelebas, saxezea kefis kunTebis regidoba, Tavis qalis nervebis dazianeba, cnobierebis darRveva, komatozuri mdgomareoba. meningitis niSnebi, maT Soris, cxeleba da kefis kunTebis rigidoba xSirad ar aRiniSneba. liqvors acentrifugireben, miRebul naleqs ikvleven mikroskopis qveS tuSis wveTis India ink damatebis Semdeg. o preparatSi naxuloben sqeli kafsuliT dafarul safuaris ujredebs. o SesaZlebelia kriptokokis kulturis gamoyofa Tavzurgtvinis siTxidan o gamoiyeneba Sratis da Tavzurgtvinis siTxis gamokvleva kriptokokul antigenze. mkurnalobaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 86
ekomendacibi kriptokokuli meningitis mkurnalobis Sesaxeb mocemulia me-31 cxrilSi. cxrili 31. kriptokokuli meningitis mkurnaloba (AI) antimikozuri doza agenti pirveli rigis sqemebi (27) amfotericini B 0,7-1,0 mg/kg + 5-flucitozini 25 mg/kg M miRebis sixSire erTxel dReSi 4X dReSi IV miRebis gza mkurnalobis xangrZlivoba 14 dRe Semdeg flukonazoli 400 mg erTxel dReSi Semdeg flukonazoli 200mg erTxel dReSi meore rigis sqemebi amfotericini B 0,7-1,0 mg/kg + 5-flucitozini 25 mg/kg erTxel dReSi 4X dReSi PO sul mcire 10 kvira PO IV mTeli cxovreba 6-10 kvira an amfotericini B 0,7-1,0 mg/kg erTxel dReSi IV an (msubuq SemTxvevebSi) flukonazoli 400-800 mg erTxel PO dReSi Semdeg flukonazoli 200 mg erTxel PO dReSi 6-10 kvira 10-12 kvira mTeli cxovreba meoradiAqimioprofilaqtikaAan SemanarCunebeli Terapia o aucilebelia mTeli cxovrebis manZilze Catardes kriptokokozis meoradiAqimioprofilaqtika. am mizniT iniSneba flukonazoli 200 mg/dReSiAyoveldRe. o itrakonazoli 200 mg/dReSiAyoveldRe. o SemanarCunebeli Terapiis aucilebloba pacientebSi, romelTa imunuri sistema aRdga (CD4 ricxvi >200 mm3) ar aris damxmare da ar arsebobs raime sawinaaRmdego mosazreba am konkretuli SemTxvevisTvis. 3.1.8. histoplazmozi am araxSiri mwvave an qronikuli infeqciis gamowvevia soko Hispoplasma capsulatum inhalaciuri sporebi. 87
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aiv infeqcia/SidsiT avadmyofTa mkur
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sarCevi klinikuri saxelmZRvanelo-re
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3.2.2.cxeleba aiv inficirebulebSi 3
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aiv infeqcia/Sidsis fonze ganviTare
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done mtkicebulebis siZlieris done (
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1.daavadebis definicia Sidsi abrevi
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Sidsi registrirebulia msoflios 216
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egistrirebul SemTxveevaTa 79% saqar
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adamianis imunodeficitis virusis sa
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aiv rnm-is koncentracia plazmaSi mk
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SeuZlebelia da gadamwyveti misi dia
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persistuli generalizebuli limfadeno
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signalis amplifikacia komplementuri
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• vizitamde rezistentobis testis
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• adamianis papilomavirusi (maxvi
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etinitis identifikaciisTvis, rodesa
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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 78 and 79: o cxeleba o wonaSi kleba o Ramis of
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 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
Page 128 and 129: 4.11.2.3. cofis sawinaaRmdego imuno
Page 130 and 131: ekomendebulia: vaqcina rekomendebul
Page 132 and 133: 8. United States Centers for Diseas
Page 134 and 135: aiv infeqcia/Sidsis antiretrovirusu
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5. mkurnaloba a) rekomendebuli pirv
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aiv infeqcia/SidsiT daavadebuli bav
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joxiseburi TiTebi. Tumca wlebis man
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* saWiroa arv preparatebis bavSvebi
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laboratoriuli monacemebis kontroli
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Tirkmlis funqciuri sinjebi, gulmker
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6. reabilitacia da dakvirveba monit
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kandidozuri ezofagitis SemTxvevebSi
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martivi herpesvirusuli infeqciis mZ
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meTodiT, sisxlis saerTo analizi, Rv
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)gamomricxavi _ aiv infeqcia/Sidsis
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aiv infeqcia/SidsiT avadmyofebSi B
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dinamikaSi dakvirveba CD4≥500/mm
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HBV mkurnalobis efeqturoba HBeAg (+
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) gamomricxavi - aiv infeqcia/Sidsi
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pegilirebuli interferonis da ribavi
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i CD4 X X X X X X X X X TSH X X X H
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)gamomricxavi - aiv infeqcia/Sidsis
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pirveli rigis antituberkulozuri med
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testebi: • sisxlis saerTo analizi
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