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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diagnostika<br />
gamokvleva aucileblad un<strong>da</strong> moicavdes limfuri kvanZebis Semdegi<br />
jgufebis palpacias:<br />
• kisris wina <strong>da</strong> ukana<br />
• ybisqveSa<br />
• kefisukana<br />
• yuris irgvlivi (yuriswina <strong>da</strong> ukana)<br />
• iRliis orive<br />
• i<strong>da</strong>yvis are<br />
• sazardulis (am jgufis jirkvlebis gadideba janmrTel<br />
pirebSic gvxvdeba)<br />
persistuli generalizebuli limfadenopaTiis mqone <strong>aiv</strong><br />
inficirebulebSi SeiniSneba <strong>aiv</strong> infeqciis sxva gamovlinebebic. maT<br />
Soris:<br />
• piris Rrus kandidozi,<br />
• oraluri Tmovani leikoplakia,<br />
• qavana dermatiti,<br />
• frCxilebis gamuqeba,<br />
• oraluri <strong>da</strong> genitaluri herpesi,<br />
• umizezod wonaSi kleba,<br />
• ucnobi etiologiis cxeleba.<br />
generalizebuli limfadenopaTia <strong>da</strong>maxasiaTebelia sxva<br />
<strong>da</strong>avadebebisaTvisac, kerZod, tuberkulozis, leikozis, limfomis,<br />
kapoSis sarkomis, veneriuli limfogranulomis, sifilisis,<br />
citomegalovirusuli infeqciis, toqsoplazmozis, epStein-baris<br />
virusiT gamowveuli infeqciis, kriptokokozis, histoplazmozisa <strong>da</strong><br />
kanis Cirqovani infeqciebisaTvis, Savi Wirisa <strong>da</strong> B hepatitisaTvis.<br />
limfuri kvanZebis biofsiis Cvenebebi<br />
persistiuli generalizebuli limfadenopaTiis mqone pacientebi<br />
aucilebelia gagzavnil iqnas biofsiaze, Tu maT aReniSnebaT:<br />
• limfuri kvanZebis asimetriuli gadideba<br />
• limfuri kvanZebis gamoxatuli gadideba (3 sm diametris mqone erTi<br />
limfuri kvanZi mainc)<br />
• <strong>da</strong>kvirvebebis fonze limfuri kvanZebis gadideba<br />
• tuberkulozis raime niSnebi<br />
• gulmkerdis rentgenogramaze filtvis karis limfuri kvanZebis<br />
gadideba<br />
• nebismieri likalizaciis kapoSis sarkoma<br />
• cxeleba, Ramis oflianoba, wonaSi kleba erT kviraze xangZlivad.<br />
<strong>aiv</strong> asocirebuli limfadenopaTia ar aris seriozuli <strong>da</strong>avadebis, mag;<br />
lomfomis maniSnebeli. miuxe<strong>da</strong>vad amisa, mdgomareobis cvlilebisas, mag:<br />
persistuli cxelebis <strong>da</strong>matebisas sasurvelia limfadeneqtomia <strong>da</strong><br />
kvanZis histologiuri gamokvleva.<br />
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