rezistentuli tuberkulozi
rezistentuli tuberkulozi
rezistentuli tuberkulozi
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4. klinikuri simptomatikaDR-TB SemTxvevaTa ganmarteba xdeba daavadebis lokalizaciis,mkurnalobis anamnezis, rezistentobis profilisa da mkurnalobistipis mixedviT.daavadebis lokalizacia:filtvis (P) an filtvgareSe (EP);mkurnalobis anamnezi:axali, aranamkurnalebi SemTxveva _ pacienti, romelsac arasodesmiuRia tubsawinaaRmdego medikamentebi an Rebulobda araumetes erTiTvisa mocemul epizodamde.warsulSi pirveli rigis medikamentebiT namkurnalebi SemTxveva _pacienti, romelic warsulSi <strong>tuberkulozi</strong>s gamo itarebdamkurnalobas erTi Tvis an meti drois ganmavlobaSi pirveli rigistubsawinaaRmdego medikamentebiT.warsulSi meore rigis medikamentebiT namkurnalebi SemTxveva _pacienti, romelic warsulSi <strong>tuberkulozi</strong>s gamo itarebdamkurnalobas erTi Tvis an meti drois ganmavlobaSi meore rigistubsawinaaRmdego medikamentebiT.dabruneba mkurnalobis Sewyvetis Semdeg _ pacienti, romelsactubsawinaaRmdego mkurnaloba ar miuRia 2 an meti Tvea an pacienti,romelsac daaklda mkurnalobis minimum 20%.mkurnalobis adaptacia _ PDR pacientebi gadahyavT mkurnalobis sxvareJimze DST pasuxebis mixedviT.mkurnalobis tipi:ETR (multi<strong>rezistentuli</strong> <strong>tuberkulozi</strong>s empiriuli mkuranloba);ITR (individualuri mkurnaloba) adaptirebuli DST Sedegebis mixedviT.baqteriologiuri statusi:naxvelis nacxis mixedviT (mgb (+) dadebiTi; mgb (-) uaryofiTi)kultura (dadebiTi, uaryofiTi)DST profili5. daavadebis diagnozinaxvelis nacxis mikroskopia cil-nilsenis wesiT warmoadgens sawyisgamokvlevis meTods mgb (+) dadebiTi pacientebis gamosavlenad. tubprogramaSi integrirebuli yvela pacientis [mgb(+) da mgb(-)] naxvelisnimuSi gagzavnil iqneba kulturalur da DST kvlevebze pirveli dameore rigis tubsawinaaRmdego medikamentebis mimarT mgrZnobelobarezistentobisgansasazRvrad. kulturaluri gamokvleva da pirvelirigis tubsawinaaRmdego medikamentebis mimarT mgrZnobeloba5