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

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

13.01.2015 Views

klinikuri saxelmZRvanelo-rekomendaciebis zogadi mizani klinikuri saxelmZRvanelo-rekomendaciebis “aiv infeqcia/SidsiT avadmyofTa gamokvleva da mozardebisa da mozrdilTa antirertovirusuli mkurnaloba” mizans warmoadgens uaxles samecniero mtkicebulebebze dafuZnebuli informaciis miwodeba aiv-infeqcia/SidsiT avadmyofTa gamokvlevis, mkurnalobis, oportunistuli infeqciebis, vaqcinaciis, monitoringis Sesaxeb eqim - infeqcionistebisTvis, ojaxis eqimebisTvis, jandacvis pirveladi rgolis muSakebisTvis, zemoT aRniSnul dargSi momuSave saSualo samedicino personalisTvis da yvela dainteresebuli pirisTvis. ganxiluli klinikuri sakiTxebi mocemuli klinikuri rekomendaciebi ganixilaven aiv-infeqcia/Sidsis antiretrovirusul mkurnalobasTan dakavSirebul sakiTxebs, oportunistuli infeqciebis profilaqtikas, gamovlinebebs, diagnostikasa da mkurnalobas, vaqcinaciis ZiriTad principebs, avdmyofebis laboratorul-instrumentul gamokvlevebs mkurnalobamde da mkurnalobis dawyebis Semdeg, romlebic unda Catardes profilur dawesebulebaSi Sesabamisi kvalifikaciis mqone specialistis mier. visTvis aris gankuTvnili mocemuli klinikuri rekomendacia mocemuli klinikuri rekomendaciebi gankuTvnilia eqim infeqcionistebisTvis, nebismieri profilis eqimebisTvis, socialuri muSakebisTvis da eqTnebisaTvis. mtkicebulebaTa doneebisa da rekomendaciebis xarisxi winamdebare saxelmZRvaneloSi yvela rekomendacias gaaCnia gradacia, romelic aRiniSneba laTinuri asoebiT А- dan D- mde. amave dros yovel gradacias Seesabameba monacemTa mtkicebulebis garkveuli done. rac ufro maRalia rekomendaciis gradacia, miT ufro maRalia kvlevebis sizuste, romlebzec is aris dafuZnebuli 8

done mtkicebulebis siZlieris done (Muir Gray) xarisxi rekomendaciis xarisxi (Cook et al) I Zlieri mtkicebuleba, eyrdnoba minimum erT sistemur mimoxilvas, romelic efuZneba swori dizainis mqone randomizebul kontrolirebad kvlevas A eyrdnoba I donis mtkicebulebas da Sesabamisad mtkiced rekomendebulia II Zlieri mtkicebuleba, eyrdnoba minimum erTi swori dizainis mqone randomizebul kontrolirebad kvlevas B eyrdnoba I donis mtkicebulebas da Sesabamisad rekomendebulia III klinikuri kvleva randomizaciis gareSe, kohortuli da SemTxvevakontrolis kvlevebi C eyrdnoba III donis mtkicebulebas SeiZleba CaiTvalos Sesabamisad IV araeqsperimentuli multicentruli kvlevebi D eyrdnoba IV da Vdonis mtkicebulebas saWiroebs konsesuss Va avtoritetul profesionalTa mosazreba Vb klinikuri gamocdileba, aRwerilobiTi kvlevebi an eqspertTa angariSi 9

done<br />

mtkicebulebis siZlieris done<br />

(Muir Gray)<br />

xarisxi<br />

rekomen<strong>da</strong>ciis<br />

xarisxi<br />

(Cook et al)<br />

I<br />

Zlieri mtkicebuleba, eyrdnoba<br />

minimum erT sistemur<br />

mimoxilvas, romelic efuZneba<br />

swori dizainis mqone<br />

randomizebul kontrolirebad<br />

kvlevas<br />

A<br />

eyrdnoba I donis<br />

mtkicebulebas <strong>da</strong><br />

Sesabamisad mtkiced<br />

rekomendebulia<br />

II<br />

Zlieri mtkicebuleba, eyrdnoba<br />

minimum erTi swori dizainis<br />

mqone randomizebul<br />

kontrolirebad kvlevas<br />

B<br />

eyrdnoba I donis<br />

mtkicebulebas <strong>da</strong><br />

Sesabamisad<br />

rekomendebulia<br />

III<br />

<strong>klinikuri</strong> kvleva<br />

randomizaciis gareSe,<br />

kohortuli <strong>da</strong> SemTxvevakontrolis<br />

kvlevebi<br />

C<br />

eyrdnoba III donis<br />

mtkicebulebas<br />

SeiZleba CaiTvalos<br />

Sesabamisad<br />

IV<br />

araeqsperimentuli<br />

multicentruli kvlevebi<br />

D<br />

eyrdnoba IV <strong>da</strong><br />

Vdonis<br />

mtkicebulebas<br />

saWiroebs konsesuss<br />

Va<br />

avtoritetul profesionalTa<br />

mosazreba<br />

Vb<br />

<strong>klinikuri</strong> gamocdileba,<br />

aRwerilobiTi kvlevebi an<br />

eqspertTa angariSi<br />

9

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