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bavSvTa tuberkulozi kilimanjaros regionSi “samSabaToba”; maia SarifaSvili; 13.07.10

bavSvTa tuberkulozi kilimanjaros regionSi “samSabaToba”; maia SarifaSvili; 13.07.10. TB globaluri problema mTels msoflioSi tuberkulozi infeqciur daavadebaTa Soris umTavres problemad rCeba; weliwadSi fiqsirdeba tuberkuloziT daavadebis 9 milioni SemTxveva;

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bavSvTa tuberkulozi kilimanjaros regionSi “samSabaToba”; maia SarifaSvili; 13.07.10

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  1. bavSvTa tuberkulozi kilimanjaros regionSi “samSabaToba”; maia SarifaSvili; 13.07.10

  2. TB globaluri problema • mTels msoflioSi tuberkulozi infeqciur daavadebaTa Soris umTavres problemad rCeba; • weliwadSi fiqsirdeba tuberkuloziT • daavadebis 9 milioni SemTxveva; • gardacvalebis 2 milioni SemTxveva; • bolo wlebSi TB tvirTis zrda ganpirobebulia HIV/AIDS pandemiiT; • TB pacientTa saerTo ricxvis 11%-s 15 wlamde asakobrivi jgufis bavSvTa tuberkulozis SemTxvevebi Seadgenen;

  3. bavSvTa TB-is yvelaze maRali maCvenebeli afrikis dabali da saSualo Semosavlis mqone qveynebze modis; • warsulSi TB nacionaluri programebi upiratesad mozrdilTa TB problemis gadaWraze muSaobdnen; • bavSvTa TB-isadmi programuli midgoma arasakmarisad aqcentirebuli iyo; • uaxles TB kvlevebSi mniSvnelovani adgili daikava bavSvTa TB-m;

  4. kilimanjaros regionis 2002–2006 wlis monacemebi: • 15 wlamde asakis bavSvebSi registrirebuli iyo 1615 TB SemTxveva, rac TB saerTo maCveneblis 13%-s Seadgenda; • bavSvTa TB insidentobis saerTo maCvenebeli: • qalaqis mosaxleobaSi iyo 147/100 000 mosaxleze; • soflis mosaxleobaSi - 41.8/100 000 mosaxleze; • fitlvis formaze modiodabavSvTa TB SemTxvevaTa 75.2%, filtvgareSeformazebavSvTa TB SemTxvevaTa – 24.8%; • mkurnalobis warmatebuli gamosavali dafiqsirda SemTxvevaTa 79.9%-Si; • mkurnaloba Sewyvita 7%-ma; • letaluri gamosavali dafiqsirda 10.9%-Si;

  5. 1615 SemTxvevidan • naxvelis baqterioskopiuli gamokvleva Catarda 402 (29.2%) SemTxvevaSi; • naxvelis nacxiT dadebiTi aRmoCnda 5.8%, nacxiT uaryofiTi – 23.4%; • letalobis • yvelaze maRali maCvenebeli - 13.3% - dafiqsirda 2003 w-s; • yvelaze dabali – 9.4% - 2004 w-s; • mdedrobiTTan SedarebiT (73/733) sikvdilianobis ufro maRali maCvenebeli dafiqsirda mamrobiT sqesSi (102/869); • baqterioskopiiT dadasturebul TB SemTxvevebSi sikvdilianobis maCvenebeli iyo 9.6%, daudasturebel SemTxvevebSi – 15.8%;

  6. bavSvTa TB da HIV infeqcia • HIV maRali tvirTis miuxedavad afrikis kontinentze bavSvTa TB/HIV ko-infeqciis gamovlena arasrulyofili iyo; • 1615 TB SemTxvevidan sul aiv testi Cautarda 91-s, maTgan 75 (96.3%) SemTxvevaSi dafiqsirda TB/HIV ko-infeqcia; • aiv pozitiur bavSvebSi sikvdilianoba iyo 24,2%; • ART xelmisawvdomi iyo aiv inficirebulTa mxolod 4%-saTvis;

  7. 2004 wlidan tanzaniis regionSi yvela TB pacients utardeba aiv-testi; • 2005 wlidan afrikis aiv-inficirebuli bavSvTa mosaxleobisaTvis ART ufasoa, ramac Seamcira bavSvTa TB SemTxvevebis ricxvi.

  8. bavSvTa TB da BCG vaqcinacia • kvlevam gamoavlina BCG vaqcinaciis programis arasrulyofileba - regionebis mixedviT BCG vaqcinacia arasrulyofilad tardeboda, an arasrulyofilad registrirdeboda; • kvlevis Sedegebze dayrdnobiT SemuSavda BCG vaqcinaciis programis srulyofis rekomendacia – tanzaniaSi 2002 - 2006 ww-Si BCG vaqcinaciis maCvenebeli 88%-dan 99%-mde gaizarda.

  9. daskvna: • kvlevis Sedegad gamdidrda kilimanjaros regionSi bavSvTa TB monacemTa baza; • gamovlinda bavSvTa TB-is • maRali tvirTi; • diagnostikis problemebi; • warumatebeli gamosavlis maRali maCvenebeli; • arasrulyofili prevenciuli midgoma - aiv-testirebis da BCG vaqcinaciis dabali xarisxi.

  10. tfdec-is ambulatoriuli ganyofilebis fTizio-pediatriuli samsaxuris monacemebi: • 2002-2006 ww-Si gamokvleul iqna 2157 pacienti da 654 kontaqti; • TB diagnozi daudginda 236 (10.9%) pacients; • kontaqtidan avad gaxda 79 (12.1%) bavSvi; • TB pacientebidan baqteriagamomyofi iyo 9 (3.8%); • DR-TB dafiqsirda 3 (1.3%) pacientTan; • relafsi dafiqsirda 2 (0.9%) pacientTan; • generalizirebuli forma dafiqsirda 4 (1.7%) pacientTan;

  11. Cvens masalaze bavSvTa populaciaSi yvelaze xSirad gvxvdeba mkerdSida limfuri kvanZebis tuberkulozi - 142 (60.2%) SemTxveva; • Semdeg modis infiltraciuli tuberkulozi _ 32 (14.%) SemTxveva; • plevriti - 23 (9.7%) SemTxveva; • filtvgareSe formebi – 18 (7.6%) SemTxveva; • pirveladi tuberkulozuri kompleqsi – 16 (6.8%) SemTxveva; • diseminirebuli tuberkulozi – 3 (1.3%); • kerovani tuberkulozi - 2 (0.85%) SemTxveva;

  12. avadmyofoben ufro xSirad biWebi; • TiTqmis 2 jer metad avadmyofoben mozardebi (133 SemTxveva) vidre 5 wlamde asakis bavSvebi (45 SemTxveva); • rezistentuli formis tuberkulozis samive SemTxveva modis rezistentuli keridan; • relafsi ganviTarda 2 SemTxvevaSi; • generalizebuli formis tuberkulozi ganviTarda 4 SemTxvevaSi; bavSvTa asakSi tuberkulozis Sorswasuli formebi sakmaod xSiria, magram saimedoa is rom Cveni masalis safuZvelze wlebis mixedviT tuberkulozis zrdis tendencia ar SeimCneva.

  13. gmadlobT yuradRebisaTvis

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