rezistentuli tuberkulozi

More documents

Recommendations

Info

ganisazRvreba: MGIT swrafi meTodiT an levenStein-iensenis niadagze,xolo meore rigis tubsawinaaRmdego medikamentebisTvis ki levenSteiniensenisniadagze. rezistentuli tuberkulozis dignozi daklasifikacia, iseve rogorc pacientis PDR/MDR programaSiintegrirebis gadawyvetileba damokidebulia pacientis DST profilze.damatebiTi kvlevebi gvexmareba diagnostirebisa daklasifikaciisaTvis.6. gamokvlevebis sqemacxrili #1intensiurifazagagrZelebisfazapolirezistentulituberkulozinaxvelis mikroskopia dakulturaluri gamokvlevaTveSi erTxelDST or TveSi erTxelnaxvelis mikroskopia dakulturaluri gamokvleva2-3 TveSi erTxelDST rodesac kulturadadebiTiamultirezistentulituberkulozinaxvelis mikroskopia dakulturaluri gamokvlevaTveSi erTxelDST me-2 da me-6 Tvezenaxvelis mikroskopia dakulturaluri gamokvleva2-3 TveSi erTxelDST rodesac kulturadadebiTiagulmkerdis rentgenografia keTdeba rutinulad mkurnalobis me-3 dame-6 Tveze, Semdgom yovel 6 TveSi, Tu ufro xSirad Catarebaklinikurad ar aris naCvenebi.sisxlis saerTo analizi, Tirkmlis funqciuri analizi,eleqtrolitebis gansazRvra sisxlis SratSi, smenis da mxedvelobisSemowmeba etambutolis miRebisas tardeba kviraSi erTxel pirveliTvis ganmavlobaSi, TveSi erTxel intensiur fazaSi, Semdgom yovel 3TveSi, Tu ufro xSirad Catareba klinikurad ar aris naCvenebi.TSH donis kontroli tardeba saWiroebis mixedviT im pacientebSi,romlebic iReben PAS da/an Eto da aReniSnebaT farisebri jirkvlisdaavadebis niSnebi an simptomebi.sxva gamokvlevebi, rac saWiroa specifiuri mkurnalobis drospacientis mdgomareobis monitorirebisTvis mocemulia qvemoT,mkurnalobis qvepunqtSi.6
7. mkurnaloba7.1. mkurnalobis ZiriTadi principebi• yvela pacientis mkurnalobis uzrunvelyofa xdeba individualurireJimiT meore rigis medikamentebis DST mixedviT. empiriuli reJimisgamoyeneba SesaZlebelia savaraudo DR-TB pacientSi sanam cnobiligaxdeba meore rigis tubsawinaaRmdego medikamentebis DST pasuxi.• medikamentebis TiToeuli dozis miReba rogorc intensiur, isegagrZelebis fazaSi xdeba uSualo meTvalyureobis qveS DOTprincipiT.• zogierTi, Znelad asatani medikamentis miReba iwyeba dabalidozebiT, sasurvel dozamde zrda xdeba 3-10 dRis ganmavlobaSi 2 .• meore rigis medikamentebis maqsimaluri dozebi gamoyenebaSesaZleblobis farglebSi da aqtiuri gverdiTi movlenebismarTvasTan erTad.• mkurnaloba tardeba kviraSi 6 dRe, SesaZlebelia dReSi 2-jer.intermitiuli reJimi ar aris rekomedebuli arc intensiur da arcgagrZelebis fazaSi (gamonaklisia, peroraluri medikamentebi,romlebic SeiZleba dainiSnos kviraSi 3-jer, Tu aRiniSneba iseTigverdiTi movlenebi, rogoricaa mag., Tirkmlebis ukmarisoba).pirveli da meore rigis tubsawinaaRmdego medikamentebisrekomendebuli dozebi ZiriTad gverdiT movlenebTan erTadmoyvanilia cxrilSi #2 da 3.cxrili #2pirveli rigis tubsawinaaRmdego medikamentebis dozebi da gverdiTimovlenebipirveli rigismedikamentebirekomendebuli dRiuridozagverdiTi movlenaizoniazidi 5 mg/kg periferuli neiropaTia, siyviTle,fsiqiuri aSlilobis simptomebi,hipermgrZnobeloba (cxeleba angamonayari kanze)rifampicini 10 mg/kg siyviTle, Trombocitopenia,gripismagvari sindromipirazinamidi 25 mg/kg arTralgia, siyviTleetambutoli 15 mg/kg mxedvelobis nervis nevritistreptomicini 15 mg/kg ototoqsiuroba, nefrotoqsiuroba,hipermgrZnobeloba2 Iseman M. Treatment of multidrug-resistant tuberculosis. New Eng J 1993; 329: 784-791. A / II7
Page 4 and 5: The schools who have or will receiv
Page 8 and 9: cxrili #3meore rigis medikamentebi,
Page 10 and 11: SesaZloa gamoyenebul iqnen MDR-TB p
Page 12 and 13: pacienti iwyebs gagrZelebis fazas 7
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

rezistentuli tuberkulozi

Create successful ePaper yourself

Delete template?

Save as template?