rezistentuli tuberkulozi

aseT SemTxvevebSi saukeTesoa samkurnalo reJimSi CaerTos E 25 mg/kg.mSobiarobis Semdeg ki rekomendebuli reJims unda daematos saineqciomedikamenti – S, Km an Cm – da sxva nebismieri medikamenti, romlismimarTac tuberkulozis Stami mgrZnobiarea. bavSvis kvebis an movlisasdedam unda ataros specialuri niRabi.bavSvebimultirezistentuli tuberkuloziT daavadebul bavSvebs ZiriTadadaReniSnebaT pirveladi rezistentoba, rac ZiriTadad mozrdiliadamianebidan infeqciis transmisiis Sedegia. Tu aris DST saSualeba,mkurnaloba unda ganxorcieldes masze dayrdnobiT. kulturauaryofiTi,klinikurad dadasturebuli tuberkulozisa da ufrosMDR-TB daavadebul adamianTad kontaqtis arsebobis SemTxvevaSi,mkurnaloba unda dainiSnos kontaqtSi am adamianis (kontaqtSi myofiMDR-TB daavadebuli) DST Sedegebze dayrdnobiT.MDR-TB-s sicocxlisTvis saSiSi aspeqtebis gaTvaliswinebiT, arcerTitubsawinaaRmdego medikamenti ar aris absoluturad ukunaCvenebibavSvebSi.zogierTi meore rigis medikamentis gamoyeneba bavSvebSi rTulia maTidozirebis limitirebis gamo, magram nebismier SemTxvevaSi gamoyenebulunda iqnas mg/kg formulireba, romelic aRwerilia zemoT.7.7. mkurnalobaze damyolobamkurnalobaze damyoloba Zalian rTulia mravali mizezis gamo. maszegavlenas axdens Semdegi faqtorebi:(1) pacientis mxriv (mag., fsiqologiuri stresi, socialuriproblemebi, narkologiuri problemebi, mkurnalobis miznebisSesaxeb codna da rwmena, mkurnalobis atanis unari, ojaxTangancalkeveba, mkurnalobaSi rwmenis nakleboba);(2) pacientisa da eqimis urTierTobis mxriv (mag., pirovnuliTvisebebi, pacientis ndoba eqimisadmi);(3) mkurnalobis mxriv (mag., gverdiTi movlenebi, sirTule,xangrZlivoba, sicocxlis xarisxis gauareseba);(4) daavadebis mxriv (mag., qronikuloba, mkurnalobis cvalebadiefeqti);(5) mkurnalobis konteqstis mxriv (mag., Senoba, momsaxurebisxelmisawvdomoba).aseTi mravalferovani sirTuleebis pirobebSi pacientis mxardaWerisstrategia unda moicavdes ramdenime ZiriTad punqts:• samedicino da arasamedicino personalis codna mkurnalobisSesrulebaze moqmedi faqtorebis Sesaxeb da pacientisa damomvlelis urTierTobebis mniSvnelobis Sesaxeb;• pacientisaTvis sakmarisi informaciisa da codnis miwodeba misidaavadebisa da mkurnalobis Sesaxeb, sakuTari pasuxismgeblobisgasaazreblad da gasaziareblad;18