rezistentuli tuberkulozi
rezistentuli tuberkulozi rezistentuli tuberkulozi
pacienti iwyebs gagrZelebis fazas 7REZ reJimiT. Tu pacienti kvlavackultura-dadebiTia adaptirebuli reJimis dawyebidan 3 Tvis Semdeg (HamoRebidan), es reJimi CaiTvleba uSedegod da pacienti gadaiyvanebaMDR mkurnalobaze.intensiuri fazis periodSi, rodesac avadmyofi diagnostirebuliarogorc PDR A SemTxveva, naxvelis nacxi da kulturaluri kvleva undaCatardes yovelTviurad da DST 2 TveSi erTxel. gagrZelebis fazaSinaxvelis nacxi da kulturaluri kvleva unda Catardes 2-3 TveSierTxel da DST, rodesac kultura dadebiTia.sqema B.iniSneba HE an HES rezistentobis SemTxvevaSireJimi: 3 Cm (an Km an S) Ofx da RZ / 7 Ofx da RZ.mas Semdeg rac cnobili gaxdeba DST Sedegi da dadasturdeba HESrezistentoba, an HE(S) rezistentoba im pacientisTvis, romelicdasawyis reJimSi ar iRebda S-s, yvela SemTxvevis mkurnaloba,miuxedavad nacxis pasuxisa, unda daiwyos Tavidan, zemoT moyvaniliintensiuri fazis Sesabamisad.Tu pacienti kvlavac kultura-dadebiTia adaptirebuli reJimisdawyebidan 2 Tvis Semdeg da DST Sedegi ar icvleba*, grZeldebaadaptaciuri reJimiT mkurnaloba kulturis konversiamde (kulturauaryofiTad);mas Semdeg rac moxdeba konversia, pacienti iwyebsgagrZelebis fazas OfxRZ reJimiT.Tu pacienti kvlavac kultura-dadebiTia adaptirebuli reJimisdawyebidan 3 Tvis Semdeg, es reJimi CaiTvleba uSedegod da pacientigadaiyvaneba MDR mkurnalobaze.intensiuri fazis periodSi, rodesac avadmyofi diagnostirebuliarogorc PDR B SemTxveva, naxvelis nacxi da kulturaluri kvleva undaCatardes yovelTviurad da DST 2 TveSi erTxel. gagrZelebis fazaSinaxvelis nacxi da kulturaluri kvleva unda Catardes 2-3 TveSierTxel da DST, rodesac kultura dadebiTia.sqema C.iniSneba R an RS rezistentobis SemTxvevaSireJimi: 3 Cap (an Km an S) Ofx da HEZ / 12 HEZ.mas Semdeg rac cnobili gaxdeba DST Sedegi da dadasturdeba R an RSrezistentoba, yvela SemTxvevis mkurnaloba, miuxedavad nacxispasuxisa, unda daiwyos Tavidan, zemoT moyvanili intensiuri fazisSesabamisad.Tu pacienti kvlavac kultura-dadebiTia adaptirebuli reJimisdawyebidan 2 Tvis Semdeg da DST Sedegi ar icvleba*, grZeldebaadaptaciuri reJimiT mkurnaloba kulturis konversiamde (kulturauaryofiTad);mas Semdeg rac moxdeba konversia, pacienti iwyebsgagrZelebis fazas 12 HEZ reJimiT.12
Tu pacienti kvlavac kultura-dadebiTia adaptirebuli reJimisdawyebidan 3 Tvis Semdeg, es reJimi icnoba uSedegod da pacientigadaiyvaneba MDR mkurnalobaze.intensiuri fazis periodSi, rodesac avadmyofi diagnostirebuliarogorc PDR C SemTxveva, naxvelis nacxi da kulturaluri kvleva undaCatardes yovelTviurad da DST 2 TveSi erTxel. gagrZelebis fazaSinaxvelis nacxi da kulturaluri kvleva unda Catardes 2-3 TveSierTxel da DST, rodesac kultura dadebiTia.sqema D.iniSneba RE an RES rezistentobis SemTxvevaSireJimi: 3 Cap (an Km an S) Ofx HZ / 12 OfxHZ.mas Semdeg rac cnobili gaxdeba DST Sedegi da dadasturdeba RE anRES rezistentoba, yvela SemTxvevis mkurnaloba, miuxedavad nacxispasuxisa, unda daiwyos Tavidan, zemoT moyvanili intensiuri fazisSesabamisad.Tu pacienti kvlavac kultura-dadebiTia adaptirebuli reJimisdawyebidan 2 Tvis Semdeg da DST Sedegi ar icvleba*, grZeldebaadaptaciuri reJimiT mkurnaloba kulturis konversiamde (kulturauaryofiTad);mas Semdeg rac moxdeba konversia, pacienti iwyebsgagrZelebis fazas 12 Ofx HZ reJimiT.Tu pacienti kvlavac kultura-dadebiTia adaptirebuli reJimisdawyebidan 3 Tvis Semdeg, es reJimi CaiTvleba uSedegod da pacientigadaiyvaneba MDR mkurnalobaze.intensiuri fazis periodSi, rodesac avadmyofi diagnostirebuliarogorc PDR D SemTxveva, naxvelis nacxi da kulturaluri kvleva undaCatardes yovelTviurad da DST 2 TveSi erTxel. gagrZelebis fazaSinaxvelis nacxi da kulturaluri kvleva unda Catardes 2-3 TveSierTxel da DST, rodesac kultura dadebiTia.* im SemTxvevaSi, Tu kulturalur kvlevasa da DST kvlevas Soris droSi arisgansxvaveba (imave nimuSis DST kvlevis Sedegi modis mogvianebiT), pacienti ganayvanilunda iqnas ETR MDR mkurnalobaze mas Semdeg, rac viciT, rom is aris kulturadadebiTi,sanam vucdiT DST Sedegs. Tu DST Sedegebi ar aris Secvlili, pacientiunda daubrundes sawyis mkurnalobis reJims.7.4. multirezistentuli tuberkulozis (MDR-TB) mkurnalobisprincipebipacientebs, romelTac aqvT MDR-TB da gakeTebuli aqvs mgrZnobelobiskvleva meore rigis antituberkulozuri yvela medikamentis mimarT,eniSnebaT individualuri reJimi (IRT) specifikur DST SedegzedayrdnobiT Semdegi principebis dacviT:• iniSneba minimum 4 medikamenti, romlTa mimarTac mgrZnobelobaeWvqveS ar aris13
- Page 4 and 5: The schools who have or will receiv
- Page 6 and 7: ganisazRvreba: MGIT swrafi meTodiT
- Page 8 and 9: cxrili #3meore rigis medikamentebi,
- Page 10 and 11: SesaZloa gamoyenebul iqnen MDR-TB p
- Page 14 and 15: • am medikamentebis daniSvnisas d
- Page 16 and 17: E da Z mimarT mgrZnobelobis SemTxve
- Page 18 and 19: aseT SemTxvevebSi saukeTesoa samkur
- Page 20 and 21: exmareba eqTans am samuSaos Sesrule
- Page 22 and 23: TionamidebieTionamidi(Eto)proTionam
- Page 24 and 25: amoqsicilini/klavulinismJavaklariTr
pacienti iwyebs gagrZelebis fazas 7REZ reJimiT. Tu pacienti kvlavackultura-dadebiTia adaptirebuli reJimis dawyebidan 3 Tvis Semdeg (HamoRebidan), es reJimi CaiTvleba uSedegod da pacienti gadaiyvanebaMDR mkurnalobaze.intensiuri fazis periodSi, rodesac avadmyofi diagnostirebuliarogorc PDR A SemTxveva, naxvelis nacxi da kulturaluri kvleva undaCatardes yovelTviurad da DST 2 TveSi erTxel. gagrZelebis fazaSinaxvelis nacxi da kulturaluri kvleva unda Catardes 2-3 TveSierTxel da DST, rodesac kultura dadebiTia.sqema B.iniSneba HE an HES rezistentobis SemTxvevaSireJimi: 3 Cm (an Km an S) Ofx da RZ / 7 Ofx da RZ.mas Semdeg rac cnobili gaxdeba DST Sedegi da dadasturdeba HESrezistentoba, an HE(S) rezistentoba im pacientisTvis, romelicdasawyis reJimSi ar iRebda S-s, yvela SemTxvevis mkurnaloba,miuxedavad nacxis pasuxisa, unda daiwyos Tavidan, zemoT moyvaniliintensiuri fazis Sesabamisad.Tu pacienti kvlavac kultura-dadebiTia adaptirebuli reJimisdawyebidan 2 Tvis Semdeg da DST Sedegi ar icvleba*, grZeldebaadaptaciuri reJimiT mkurnaloba kulturis konversiamde (kulturauaryofiTad);mas Semdeg rac moxdeba konversia, pacienti iwyebsgagrZelebis fazas OfxRZ reJimiT.Tu pacienti kvlavac kultura-dadebiTia adaptirebuli reJimisdawyebidan 3 Tvis Semdeg, es reJimi CaiTvleba uSedegod da pacientigadaiyvaneba MDR mkurnalobaze.intensiuri fazis periodSi, rodesac avadmyofi diagnostirebuliarogorc PDR B SemTxveva, naxvelis nacxi da kulturaluri kvleva undaCatardes yovelTviurad da DST 2 TveSi erTxel. gagrZelebis fazaSinaxvelis nacxi da kulturaluri kvleva unda Catardes 2-3 TveSierTxel da DST, rodesac kultura dadebiTia.sqema C.iniSneba R an RS rezistentobis SemTxvevaSireJimi: 3 Cap (an Km an S) Ofx da HEZ / 12 HEZ.mas Semdeg rac cnobili gaxdeba DST Sedegi da dadasturdeba R an RSrezistentoba, yvela SemTxvevis mkurnaloba, miuxedavad nacxispasuxisa, unda daiwyos Tavidan, zemoT moyvanili intensiuri fazisSesabamisad.Tu pacienti kvlavac kultura-dadebiTia adaptirebuli reJimisdawyebidan 2 Tvis Semdeg da DST Sedegi ar icvleba*, grZeldebaadaptaciuri reJimiT mkurnaloba kulturis konversiamde (kulturauaryofiTad);mas Semdeg rac moxdeba konversia, pacienti iwyebsgagrZelebis fazas 12 HEZ reJimiT.12
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