rezistentuli tuberkulozi

• profesiuli fsiqologiuri mxardaWera – individualuri anjgufuri Terapia;• intensiuri samedicino Careva gverdiTi movlenebis, narkologiuriproblemis, sxva samedicino mdgomareobebis, fsiqiatriulidaavadebebis da sxva manamde arsebuli daavadebebis mkurnalobissaxiT;• socialuri mxardaWera – sacxovrebeli pirobebis, transportis dasxva saWiroebebis uzrunvelyofa pacientisTvis da misiojaxisTvis. aseve sazogadoebasTan urTierTobis gaadvileba;• komfortuli sacxovrebeli pirobebis Seqmna saavadmyofoSi,romelic moicavs mcired gasarTob saSualebebs da ojaxTan damegobrebTan kontaqtis SesaZleblobas.7.8. medikamentebis gverdiTi movlenebis marTva 11 , 12MDR TB mkurnalobis programebSi arsebulma gamocdilebam aCvena, romgankurnebis Sansi ufro maRalia, rodesac gamoiyeneba meore rigismedikamentebis kombinaciebi maqsimaluri dozebiT da paraleluradxdeba gverdiTi movlenebis agresiuli mkurnaloba, amtanobisgasaumjobeseblad.dozis permanentuli Semcireba reJimidan mis srul amoRebamdewarmoadgens seriozul safexurs da xdeba mxolod maSin, rodesacsxva yvela saSualeba amowurulia rogorc ukanaskneli meTodi(organoTa Zlieri disfunqcia da simptomebis autanlobis SemsubuqebisSeuZlebloba). idealur pirobebSi, reJimidan TandaTanobiT amoRebulimedikamenti unda Seicvalos meore, identuri efeqturobismedikamentiT, rom mTliani reJimis efeqturoba ar Semcirdes.xSirad, rodesac gverdiTi movlenebis sruli aRmofxvra ver xerxdeba,pacients Txoven rogorme aitanos simptomebi, sanam isini ar gaivlis.Zneli gasagebia, gverdiTi movlena gamowveulia mxolod erTimedikamentiT, Tu ramodenimeTi erTdroulad. Tu mkurnalobis qvemoTmocemuli ramodenime sqemis ganxorcielebis miuxedavad rCeba Zneladasatani simptomebi, SesaZloa aucilebeli gaxdes erT-erTimedikamentis dozis Semcireba an sruli eliminacia. es xdebaetapobrivad, simptomebis gamomwvevi yvelaze metad savarudomedikamentis dozis SemcirebiT nel-nela erTi kviris ganmavlobaSi,rom inaxos simptomebi xom ar mcirdeba, an qreba. Tu simptomebi rCeba,medikamenti eZleva isev sawyisi doziT da igive procesi meordebaSemdegi medikamentisTvis. es grZeldeba manam, sanam ar moxdeba yvelapotenciuri gamomwvevis Semowmeba.Semdegi varianti SeiZleba iyos samkurnalo reJimis yvela medikamentisdozis Semcireba TandaTanobiT, erTdroulad. eqTanma unda aRricxosgverdiTi movlenebi da moaxsenos raime cvlilebis Sesaxebpasuxismgebel eqims rac SeiZleba male. aRricxvis Sesabamisi forma11 DOTS-PLUS pilot project for guidelines establishing for the management of multi-drug resistant tuberculosis. WorldHealth Organization 200012 Guidelines for the Pragmatic Management of Drug-Resistant Tuberculosis, WHO, 200619