rezistentuli tuberkulozi
rezistentuli tuberkulozi
rezistentuli tuberkulozi
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- axlo kontaqti MDR-TB pacientTan (ojaxis wevrebi);- pirveli rigis medikamentebiT mkurnalobis uSedego gamosavlisas(kulturiT dadasturebuli), rodesac DST pirveli rigismedikamentebis mimarT jer ar aris cnobili;- DST Sedegebi pirveli rigis medikamentebis mimarT cnobilia davelodebiT DST-s meore rigis medikamentebis mimarT.ETR Cvenebebicxrili #5uSedego kategoria kontaqti MDR-TB-Tankargi klinikurimdgomareoba- gaigzavnos DST- davucadoT saboloo- gaigzavnos DST- ETR*DST Sedegs sanamdaiwyeba ITRmZime klinikurimdgomareoba- gaigzavnos DST- ETR- gaigzavnos DST- ETR** gamoiyeneba konkretuli SemTxvevis DST wamlebis asarCevad + HR.MDR-TB pacientTan axlo kontaqtSi myofi pirebisTvis ETR SedgebaSemdegi medikamentebisgan: H - R - Z - Cm / Ofx / PAS ( an Cs) / Pto (HRZ + 4meore rigis medikamenti), H da R grZeldeba DST Sedegebis miRebamde.empiriuli mkurnalobis intensiuri faza, rodesac cnobilia DSTpirveli rigis medikamentebis mimarT, Cveulebriv Sedgeba Semdegimedikamentebisgan: Cm (an Km) +Fq +Eto + PAS + Cs + Z (Z + 5 meore rigismedikamenti), sanam cnobili gaxdeba meore rigis medikamentebis mimarTmgrZnobelobis testis Sedegi, rom daiwyos individualurimkurnaloba.7.3. mono da poli<strong>rezistentuli</strong> <strong>tuberkulozi</strong>s (PDR-TB)SemTxvevaTa marTvamono da poli<strong>rezistentuli</strong> <strong>tuberkulozi</strong>s mkurnaloba efuZnebaSemdgom sqemebs:sqema A.iniSneba H an HS rezistentobis SemTxvevaSiTu gamovlinda H rezistentoba I an II kategoriis intensiuri fazisdasrulebamde, unda Sewydes H–is gamoyeneba intensiuri fazisbolomde; Semdeg, im varaudiT, rom pacienti gaxda kultura-uaryofiTi,dainiSnos gagrZelebis faza 7 TviT (mag., 7REZ), rom Sesruldesmkurnalobis sruli kursis minimum 9 Tve. Tu pacienti kidev kulturadadebiTiamkurnalobis dawyebidan 2 Tvis Semdeg da DST Sedegi aricvleba*, grZeldeba adaptaciuri reJimiT mkurnaloba kulturiskonversiamde (kultura-uaryofiTad); mas Semdeg rac moxdeba konversia,11