bavSvTa tuberkulozi kilimanjaros regionSi “samSabaToba”; maia SarifaSvili; 13.07.10
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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; 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;
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;
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 modioda bavSvTa TB SemTxvevaTa
75.2%, filtvgareSe formaze bavSvTa TB SemTxvevaTa – 24.8%;
mkurnalobis warmatebuli gamosavali dafiqsirda SemTxvevaTa 79.9%-Si;
mkurnaloba Sewyvita 7%-ma; letaluri gamosavali dafiqsirda 10.9%-Si;
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%;
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;
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.
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.
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.
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;
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;
TBG
SemTxvevebi
sqesis mixedviT
TBG SemTxvevebi
asakis mixedviT
gogo biWi 5 w-mde 6-9 w 10-16 w
109
(46.2%)
127
(53.8%)
45
(19.1%)
58
(24.6%)
133
(56.3%)
filtvgareSe tuberkulozi N=18
Zvalsaxsris tuberkulozi 8 (44.4%)
periferiuli l/kv tuberkulozi 2 (11.1%)
mezoadeniti 4 (22.2%)
tuberkulozuri meningiti 3 (16.7%)
tuberkulozuri keratokoniuqtiviti 1 (5.55%)
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.
gmadlobT yuradRebisaTvis
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