rezistentuli tuberkulozi

E da Z mimarT mgrZnobelobis SemTxvevaSi: iniSneba oTxi ZiriTadimeore rigis medikamenti (ineqciis CaTvliT) plus E da Z (sul 6medikamenti). E an Z mimarT mgrZnobelobis SemTxvevaSi: iniSneba oTxi ZiriTadimeore rigis medikamenti (ineqciis CaTvliT) plus E an Z (sul 5medikamenti). E da Z mimarT rezistentobis SemTxvevaSi: iniSneba oTxi ZiriTadimeore rigis medikamenti (ineqciis CaTvliT), sul 4 medikamenti. Tu ar aris iseTi 4 meore rigis medikamenti, romlis mimarTacarsebobs mgrZnobeloba, 2 mesame rigis medikamenti SeiZlebagamoyenebul iqnas, rogorc erTi meore rigis medikamenti.• ITR gagrZelebis fazaSi gamoiyeneba minimum 3 medikamenti, romlismimarTac mgrZnobeloba dadasturebulia. SesaZleblobis arsebobisSemTxvevaSi, sasurvelia E da Fq gamoyeneba.• mkurnalobis uefeqto reJims arasdros ar emateba mxolod erTimedikamenti.• erTi medikamentis damateba SesaZlebelia mxolod gverdiTireaqciis arsebobis SemTxvevaSi.• mkurnaloba arasodes ar unda Seicvalos laboratoriuligamokvlevis gareSe. Tu mkurnalobis procesSi miRebul iqnamxolod erTi iseTi Sedegi, romelic ar Seesabameba klinikurmdgomareobas, analizi unda gameordes da mkurnaloba ar undaSeicvalos laboratoriuli gamokvlevis Sedegebis miRebamde.• MDR-TB mkurnalobis intensiur fazaSi naxvelis nacxismikroskopuli da kulturalur gamokvleva tardeba TveSi erTxel,xolo DST mkurnalobis me-2 da me-6 Tveze.• gagrZelebis fazaSi naxvelis mikroskopuli da kulturalurgamokvleva tardeba 2-3 TveSi erTxel an ufro xSirad, Tu esnaCvenebia klinikurad, xolo DST aris kultura-dadebiTi Sedegisarsebobisas.• gverdiTi movlenebis mkurnaloba unda iyos aqtiuri, drouli daadeqvaturi, rom moxdes mkurnalobis Sewyvetis riskis minimumamdedayvana.• meore rigis medikamentebis miReba ar unda Sewydes gverdiTimovlenebis gamo, garda im SemTxvevisa, rodesac medikamentis miRebisSenarCunebis yvelanairi saSualeba amoiwureba (gverdiTi movlenebismkurnaloba, dRiuri dozebis dayofa, a.S.)7.5. qirurgiuli mkurnalobis roliqirurgiuli Careva qimioTerapiiis damxmare saSualebaa, romeliclokalizebuli procesis arsebobis SemTxvevaSi mkveTrad aumjobesebsgamosavals.16