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DR-TB pacientebis mier samkurnalo reJimebis Sesruleba. “ samSabaToba ” 29.06.10 cira Caxaia , TamTa komaxiZe. mizani. axali da warsulSi namkurnalebi pacientebis mier samkurnalo reJimebis Sesrulebis Sefaseba ganyofilebebisa da Tveebis mixedviT
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DR-TB pacientebis mier samkurnalo reJimebis Sesruleba “samSabaToba” 29.06.10 ciraCaxaia, TamTakomaxiZe
mizani • axali da warsulSi namkurnalebi pacientebis mier samkurnalo reJimebis Sesrulebis Sefaseba ganyofilebebisa da Tveebis mixedviT • preparatebis arasrulyofilad miRebis daxasiaTeba gamotovebuli dozebisa da dReebis mixedviT • dozis arasrulad miRebis sixSiris gansazRvra • im preparatebis gamovlena, romelTa arasruli doziT miReba xdeba upiratesad
mizani • samkurnalo reJimebis arasrulyofilad Sesrulebis mizezebis gansazRvra • stacionarul da ambulatoriul pirobebSi samkurnalo reJimebis Sesrulebis Sedareba • asocirebuli kavSiris dadgena preparatebis arasrul miRebasa da DST profilis cvlilebas Soris • asocirebuli kavSiris dadgena samkurnalo reJimis Sesrulebasa da mkurnalobis gamosavals Soris
meTodologia • 2010 wlisianvarSi, TebervalSi, martsadaaprilSigaweriliDR-TBpacientebismonacemebiSegrovdadadamuSavdatfdec-is I, III da V Terapiuliganyofilebebidan (maisismonacemebiTavadganyofilebebmadaamuSaves) • monacemebiSegrovdapacientTamonacemebiSegrovdapacientTamkurnalobismonitoringisformissafuZvelze; • specialuradSeqmnilikiTxvarisdaxmarebiTmonacemebidamuSavdaEpi-info-s programiT
kiTxvari • samkurnaloreJimisSesrulebasrulyofiladCaiTvala, TuTvisganmavlobaSiarcerTipreparatiarcerTxelariyogamotovebuli • TvisganmavlobaSierTidozisgamotovebackiarasrulyofilsamkurnaloreJimadCaiTvala • arasrulyofilisamkurnaloreJimidaiyo: • dozebismixedviT – 1, 2, 3 dayvelapreparatisgamotoveba • dReebismixedviT – 1-2, 3-9, 10 dametidRisgamotoveba
axali da warsulSi I da II rigis TB preparatebiT namkurnalebi pacientebis sixSire
axali da warsulSi namkurnalebi SemTxvevebis ganawileba ganyofilebebis mixedviT
axalidawarsulSinamkurnalebipacientebismiersamkurnaloreJimisSesruleba(ianvari)axalidawarsulSinamkurnalebipacientebismiersamkurnaloreJimisSesruleba(ianvari)
axalidawarsulSinamkurnalebipacientebismiersamkurnaloreJimisSesruleba(Tebervali)axalidawarsulSinamkurnalebipacientebismiersamkurnaloreJimisSesruleba(Tebervali)
axalidawarsulSinamkurnalebipacientebismiersamkurnaloreJimisSesruleba(marti)axalidawarsulSinamkurnalebipacientebismiersamkurnaloreJimisSesruleba(marti)
axalidawarsulSinamkurnalebipacientebismiersamkurnaloreJimisSesruleba(aprili)axalidawarsulSinamkurnalebipacientebismiersamkurnaloreJimisSesruleba(aprili)
daskvna • axal SemTxvevebTan SedarebiT warsulSi namkurnalebi pacientebi samkurnalo reJims gacilebiT ufro xSirad arRveven • gacilebiT xSiria preparatebis arasrulyofilad miReba • reJimebis arasrulad Sesrulebis SemTxvevebSi sWarbobs 1, 2, an 3 preparatis 1-2 da 3-9 dRis ganmavlobaSi gamotovebis sixSire • Tveebis mixedviT samkurnalo reJimebis Sesruleba gansxvavebuli da arastabiluria • rogorc mosalodneli iyo upiratesad xdeba PAS-is da Pto-is dozebis da dReebis mixedviT gamotoveba
preparatebis srulyofilad da arasrulyofilad miRebis sixSire ganyofilebebis mixedviT (maisi, 2010)