extensively drug-resistant tuberculosis<\/em>). Selle korral on m\u00fckobakteritel resistentsus bedakviliinile ja\/v\u00f5i linesoliidile lisaks teistele \u00fclalmainitud ravimitele.<\/p>\nKust ma v\u00f5in saada multiraviresistentne tuberkuloosi?<\/h3>\n
Tuberkuloosi \u00fclekandumine on alati sama – \u00f5hu kaudu. Infektsioon levib MDR-tuberkuloosi p\u00f5devalt inimeselt.<\/p>\n
MDR-tuberkuloos on sagedasem riikides, kus tuberkuloosi diagnostika ja ravimite k\u00e4ttesaadavus on halb (puudulikud oskused v\u00f5i vahendid).<\/p>\n
Samuti v\u00f5ivad olla raviskeemid ebaadekvaatsed.<\/p>\n
Vahel algselt ravimitundlik tuberkuloos muutub ravi k\u00e4igus rifampitsiinile ja isoniasiidile resistentseks. See v\u00f5ib juhtuda, kui tuberkuloosiravi on ebaregulaarne v\u00f5i ravi jooksul tekivad korduvad v\u00f5i pikad pausid.<\/p>\n
MDR-tuberkuloosi leidub kogu maailmas. Umbes pooled MDR-tuberkuloosi haigetest elavad Indias, Hiinas ja Venemaal. MDR-tuberkuloosi juhtude arv on eriti k\u00f5rge WHO Euroopa regioonis, peamiselt v\u00e4ljaspool Euroopa Liitu \/ Euroopa Majanduspiirkonda.<\/p>\n
Soomes on ravimiresistentne tuberkuloos harv. Igal aastal diagnoositakse vaid m\u00f5ned MDR-tuberkuloosi juhud. 2010.-2020. aastatel on olnud vaid \u00fcksikuid XDR-tuberkuloosi juhte.<\/p>\n
Kuidas multiraviresistentne tuberkuloosi ravitakse?<\/h3>\n
MDR-tuberkuloosi ravitakse mitmete ravimite kombinatsiooniga ja ravi kestab pikka aega.<\/p>\n
Algselt on vajalik 5-7 ravimi kombinatsioon, ravi hilisemas faasis v\u00f5ib ravimite hulka v\u00e4hendada 4-5-ni.<\/p>\n
Eesm\u00e4rk on leida igale patsiendile k\u00f5ige efektiivsem ravimikombinatsioon.<\/p>\n
Riiklik tuberkuloosiravi ekspertkomisjon annab raviarstile ravimikombinatsiooni osas soovitusi.<\/p>\n
MDR-tuberkuloosi ravi k\u00e4igus v\u00f5ib esineda k\u00f5rvaltoimeid. Patsiendile antakse informatsiooni ja juhiseid enda seisundi j\u00e4lgimiseks.<\/p>\n
K\u00f5rvaltoimeid on v\u00f5imalik leevendada. Vahel tuleb raskeid k\u00f5rvaltoimeid p\u00f5hjustav ravim l\u00f5petada.<\/p>\n
Tavap\u00e4raselt kestab MDR-tuberkuloosi ravi 2 aastat. Vahel ei piisa vaid ravimitest ning paranemiseks on vaja kirurgilist ravi.<\/p>\n
Kas multiraviresistentne tuberkuloosi on v\u00f5imalik v\u00e4lja ravida?<\/h3>\n
Ainus viis, kuidas MDR-tuberkuloosist terveneda, on p\u00fchendumine raviskeemi j\u00e4rgimisele. Seda toetavad v\u00e4lja\u00f5ppinud meditsiinit\u00f6\u00f6tajad, kes j\u00e4lgivad tuberkuloosiravimite v\u00f5tmist ja v\u00f5imalikke k\u00f5rvaltoimeid.<\/p>\n
MDR-tuberkuloosi ravi tulemuslikkus s\u00f5ltub mitmetest teguritest. Peamiselt m\u00f5jutavad seda haiguse raskusaste, tuberkuloosit\u00fcve resistentsus, patsiendi vanus ja kaasuvad haigused ning kui h\u00e4sti patsient talub tuberkuloosiravimeid.<\/p>\n
MDR-tuberkuloosi ravi eba\u00f5nnestub sagedamini, kui ravimitundliku tuberkuloosi ravi, sest ravimid on v\u00e4hemefektiivsed ja pikem ravikuur on seotud suurema t\u00f5en\u00e4osusega saada k\u00f5rvaltoimeid.<\/p>\n
MDR-tuberkuloosi raviks on vajalikud uued ja suurema efektiivsusega ravimid, mida arendatakse \u00fclemaailmselt.<\/p>\n","protected":false},"excerpt":{"rendered":"
Mis on multiravimiresistentne tuberkuloos? Multiravimiresistentne tuberkuloos on tekitatud m\u00fckobakterite poolt, mis on mitmetele ravimitele resistentsed. Multiravimiresistentse tuberkuloosi l\u00fchend on MDR (ingl multidrug-resistant tuberculosis). K\u00f5ige sagedamini kasutatavaid ja efektiivsemaid tuberkuloosiravimeid, nagu rifampitsiin ja isoniasiid, ei saa multiravimiresistentse tuberkuloosi korral kasutada. Kui tuberkuloos on resistentne ka fluorokinoloonidele, nimetatakse seda preekstensiivselt resistentseks tuberkuloosiks (pre-XDR-tuberkuloos). Eriti resistentse tuberkuloosi l\u00fchend … Read moreMultiravimiresistentne tuberkuloos<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":10,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-240","page","type-page","status-publish"],"yoast_head":"\nMultiravimiresistentne tuberkuloos - viro<\/title>\n<meta name=\"description\" content=\"Multiravimiresistentne tuberkuloos on tekitatud m\u00fckobakterite poolt, mis on mitmetele ravimitele resistentsed.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tuberkuloosi.fi\/et\/tuberkuloos\/multiravimiresistentne-tuberkuloos\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Multiravimiresistentne tuberkuloos - viro\" \/>\n<meta property=\"og:description\" content=\"Multiravimiresistentne tuberkuloos on tekitatud m\u00fckobakterite poolt, mis on mitmetele ravimitele resistentsed.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/tuberkuloosi.fi\/et\/tuberkuloos\/multiravimiresistentne-tuberkuloos\/\" \/>\n<meta property=\"og:site_name\" content=\"viro\" \/>\n<meta property=\"article:modified_time\" content=\"2022-11-18T10:25:16+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/tuberkuloosi.fi\\\/et\\\/tuberkuloos\\\/multiravimiresistentne-tuberkuloos\\\/\",\"url\":\"https:\\\/\\\/tuberkuloosi.fi\\\/et\\\/tuberkuloos\\\/multiravimiresistentne-tuberkuloos\\\/\",\"name\":\"Multiravimiresistentne tuberkuloos - 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