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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o remisiis miRweva Zalian Znelia <strong>da</strong> pacientebis umetesobas<br />
uviTardebaT recidivi.<br />
o calkeuli elementebi SeiZleba moSordes qirurgiulad an<br />
lazeris, Txevadi azotis (relapsis maRali done) <strong>da</strong> <strong>da</strong>sxivebis<br />
zemoqmedebiT. demonstrirebuli iyo uSualod kapoSis<br />
sarkomatozul kvanZSi bleomicinis Seyvanis efeqturoba.<br />
o kapoSis sarkoma SesaZloa <strong>da</strong>eqvemdebaros mxolod arT-s <strong>da</strong> nelnela<br />
alagdes.<br />
3.1.10. saSvilosnos yelis kibo<br />
o saSvilosnos yelis kibo erT-erTi xSiri saxea simsivneebis,<br />
romelic mizezia qalTa sikvdilianobis mTels msoflioSi.<br />
savaraudo ricxvi axali SemTxvevebisa msoflioSi Seadgens 500 000<br />
weliwadSi (32) (AI).<br />
o saSvilosnos yelisa <strong>da</strong> vulvis kiboswinare mdgomareobisa <strong>da</strong><br />
kibos ganviTarebaSi wamyvan etiologiur faqtors warmoadgens<br />
a<strong>da</strong>mianis papilomavirusi.<br />
o <strong>aiv</strong> inficirebul qalebSi cervikaluri intraepiTeluri neoplaziis<br />
(cin) riski 5-10-jer maRalia, maTi Pap nacxi paTologiuria<br />
SemTxvevaTa 20-40%-Si (33,34) (BII).<br />
diagnostika<br />
o <strong>aiv</strong> inficirebul qals un<strong>da</strong> Cautardes ginekologiuri gasinjva <strong>da</strong><br />
saSvilosnos yelis nacxis citologiuri gamokvleva Pap<br />
papanikolaus SeRebvis meTodiT. ginekologiuri <strong>da</strong> citologiuri<br />
gamokvleva un<strong>da</strong> ganmeordes eqvi Tvis Semdeg <strong>da</strong> yovelwliurad.<br />
o saSvilosnos yelis kiboze eWvis SemTxvevaSi pacienti un<strong>da</strong><br />
gasinjos ginekolog-onkologma <strong>da</strong> saWiroebis SemTxvevaSi<br />
gaigzavnos onkodispanseris ginekologiur ganyofilebaSi.<br />
3.1.11. sxva avTvisebiani warmonaqmnebi<br />
imunodeficitis mqone <strong>aiv</strong> inficirebul pacientebSi maRalia limfomiT<br />
avadoba, maT Soris arahojkinis, cns-is pirveladi <strong>da</strong> berkitis<br />
limfomebiT, aseve brtyelujredovani kiboTi. yvela <strong>aiv</strong> inficirebuli<br />
simsivneze eWvis SemTxvevaSi un<strong>da</strong> gaigzavnos onkologiur klinikaSi.<br />
3.1.11.1.arahojkinis limfoma<br />
imunodeficitis mqone <strong>aiv</strong> inficirebulebSi xSirad gvxvdeba arahojkinis<br />
limfomebi B ujredovani, ufro iSviaTad T ujredovani. misi ganviTareba<br />
ar aris <strong>da</strong>mokidebuli CD4 ujredebis ricxvze. varaudoben, rom am<br />
<strong>da</strong>avadebis paTogenezSi did rols TamaSobs epStein-baris an romelime<br />
sxva virusi.<br />
simsivnuri arahojkinis limfomis ujredebis deteqcia SesaZlebelia<br />
limfur kvanZebSi, kunTebSi, RviZlSi, elenTaSi, gulSi, TvinSi <strong>da</strong> kuWnawlavis<br />
traqtSi <strong>da</strong> Se<strong>da</strong>rebiT iSviaTad ZvlebSi.<br />
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