aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ... aiv infeqcia/SidsiT avadmyofTa mkurnaloba da movla (klinikuri ...
• imunodeficitis mqone pacientebSi dazianeba SeiZleba iyos vrceli da persistuli, aseve, SesaZlebelia moxdes infeqciis diseminacia. • martivi herpesi aris meningitisa da meningoencefalitis gamomwvevi. diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA • diagnozi ZiriTadad ismeba tipiuri klinikuri gamovlinebebiT. • herpesuli gamonayari Cveulebriv warmodgenilia vezikulebiTa da mtkvneuli eroziebiT, romlebic ganlagebulia piris irgvliv, cxviris nestoebze, tuCebsa da sasqeso organoebze. • diseminirebuli martivi herpesiT gamowveuli infeqciis diagnozis dasma xSirad Znelia. amisaTvis saWiroa laboratoriuli kvlevebi, rogoricaa virusis kulturis gamoyofa, radio-imunoblotingis meTodi, imunofluoroescencia da monoklonuri antisxeulebiT testireba. • herpesul encefalits mivyavarT Tavis tvinSi dazianebis mravlobiTi kerebis ganviTarebamde, romelic TvalsaCinoa CAT skanirebiT. mkurnalobaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA mkurnalobis sqemebi mocemulia me-33 – 34-e cxrilebSi. cxrili 16. martivi herpesvirusuli infeqciis msubuqi formis mkurnaloba (44-47(AI) antivirusuli agenti doza MmiRebis sixSire M miRebi gza mkurnalobis xangrZlivoba pirveli rigis sqemebi acikloviri 400 mg 3-jer dReSi PO 7-10 dRe an famcikloviri 250 mg 3-jer dReSi PO 7-10 dRe an valacikloviri 1 g 2-jer dReSi PO 7-10 dRe cxrili 17. martivi herpesvirusuli infeqciis recidivis mkurnaloba (44-47) (AI) antivirusuli agenti doza MmiRebis sixSire M miRebi gza mkurnalobis xangrZlivoba pirveli rigis sqemebi acikloviri 800 mg 5-jer dReSi PO 7-10 dRe an famcikloviri 500 mg 3-jer dReSi PO 7-10 dRe an valacikloviri 1 g 2-jer dReSi per os 7-10 dRe cxrili 18. martivi herpesvirusuli infeqciis mZime formis mkurnaloba (44-47) (AI) antivirusuli doza MmiRebis M miRebis mkurnalobis 94
agenti sixSire gza xangrZlivoba pirveli rigis sqemebi acikloviri 10 mg/kg 3-jer dReSi IV 7-10 dRe an valacikloviri 1 g 2-jer dReSi PO 7-10 dRe cxrili 19. martivi herpesvirusuli infeqciis mZime visceraluri formebis mkurnaloba (44-47) (AI) antivirusuli agenti doza MmiRebis sixSire M miRebi gza mkurnalobis xangrZlivoba pirveli rigis sqemebi acikloviri 10 mg/kg 3-jer dReSi IV 14-21 dRe meore rigis sqema foskarneti (aciklovirze rezistentobis SemTxvevebSi) 40-60 mg/kg 3-jer dReSi IV 14 dRe 3.1.15. sartyliseburi liqeni (Herpes zoster) (48) (AI) • varicella-zoster-is virusiT gamowveuli pirveladi infeqcia mimdinareobs diseminirebuli formiT. • bavSvebSi viTardeba Cutyvavilas klinikuri suraTi, Tumca adamianTa umravlesobas es infeqcia gadaaqvs subklinikuri formiT. • pirveladi infeqciis Semdeg virusi wlebis ganmavlobaSi latentur mdgomareobaSi inaxavs Tavs zurgis tvinis gangliebSi. • imunitetis daqveiTebasTan erTad virusi mravldeba da viTardeba kanis dazianebuli ubnebiT nervis an dermatomis gaswvriv. • SesaZloa moxdes infeqciis diseminacia kanis, nervuli sistemis, filtvebis da lorwovani garsebis CarTviT paTologiur procesSi. • imunodeficitis fonze zosteri multidermatomulia, persistirebs, axasiaTebs Zlieri tkivili da sisuste. diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA diagnozi Cveulebriv ismeba klinikuri suraTis mixedviT. mkurnalobaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA mkurnalobis sqemebi mocemulia 35-e da 36-e cxrilebSi. cxrili 20 sartyliseburi liqenis (kanis formis) mkurnaloba (AI) antivirusuli agenti doza MmiRebis sixSire M miRebi gza mkurnalobis xangrZlivoba pirveli rigis sqemebi acikloviri 800 mg 5-jer dReSi PO 7-10 dRe an vezikulis gaSrobamdeE 95
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- Page 140 and 141: joxiseburi TiTebi. Tumca wlebis man
- Page 142 and 143: * saWiroa arv preparatebis bavSvebi
agenti sixSire gza xangrZlivoba<br />
pirveli rigis sqemebi<br />
acikloviri 10 mg/kg 3-jer dReSi IV 7-10 dRe<br />
an<br />
valacikloviri 1 g 2-jer dReSi PO 7-10 dRe<br />
cxrili 19. martivi herpesvirusuli infeqciis mZime visceraluri<br />
formebis <strong>mkurnaloba</strong> (44-47) (AI)<br />
antivirusuli<br />
agenti<br />
doza MmiRebis<br />
sixSire<br />
M miRebi<br />
gza<br />
mkurnalobis<br />
xangrZlivoba<br />
pirveli rigis sqemebi<br />
acikloviri 10 mg/kg 3-jer dReSi IV 14-21 dRe<br />
meore rigis sqema<br />
foskarneti<br />
(aciklovirze<br />
rezistentobis<br />
SemTxvevebSi)<br />
40-60 mg/kg 3-jer dReSi IV 14 dRe<br />
3.1.15. sartyliseburi liqeni (Herpes zoster) (48) (AI)<br />
• varicella-zoster-is virusiT gamowveuli pirveladi <strong>infeqcia</strong><br />
mimdinareobs diseminirebuli formiT.<br />
• bavSvebSi viTardeba Cutyvavilas <strong>klinikuri</strong> suraTi, Tumca<br />
a<strong>da</strong>mianTa umravlesobas es <strong>infeqcia</strong> ga<strong>da</strong>aqvs sub<strong>klinikuri</strong> formiT.<br />
• pirveladi infeqciis Semdeg virusi wlebis ganmavlobaSi latentur<br />
mdgomareobaSi inaxavs Tavs zurgis tvinis gangliebSi.<br />
• imunitetis <strong>da</strong>qveiTebasTan erTad virusi mravldeba <strong>da</strong> viTardeba<br />
kanis <strong>da</strong>zianebuli ubnebiT nervis an dermatomis gaswvriv.<br />
• SesaZloa moxdes infeqciis diseminacia kanis, nervuli sistemis,<br />
filtvebis <strong>da</strong> lorwovani garsebis CarTviT paTologiur procesSi.<br />
• imunodeficitis fonze zosteri multidermatomulia, persistirebs,<br />
axasiaTebs Zlieri tkivili <strong>da</strong> sisuste.<br />
diagnostikaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA<br />
diagnozi Cveulebriv ismeba <strong>klinikuri</strong> suraTis mixedviT.<br />
<strong>mkurnaloba</strong>AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA<br />
mkurnalobis sqemebi mocemulia 35-e <strong>da</strong> 36-e cxrilebSi.<br />
cxrili 20 sartyliseburi liqenis (kanis formis) <strong>mkurnaloba</strong> (AI)<br />
antivirusuli<br />
agenti<br />
doza MmiRebis<br />
sixSire<br />
M miRebi<br />
gza<br />
mkurnalobis<br />
xangrZlivoba<br />
pirveli rigis sqemebi<br />
acikloviri 800 mg 5-jer dReSi PO 7-10 dRe an<br />
vezikulis<br />
gaSrobamdeE<br />
95
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