Sromis, janmrTelobisa da socialuri dacvis ... - Ken Swann
Sromis, janmrTelobisa
da socialuri dacvis saministro
reproduqciuli janmrTelobis
sakomunikacio gzavnilebis
saxelmZRvanelo
saqarTvelosTvis
sarCevi:
Sesavali da madloba monawileebs . . . . . . . . . . . . . . . . . . . . . . . . .3
saqarTvelos janmrTeli momavalis Cveni xedva . . . . . . . . . . . . .5
ojaxis dagegmva . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
dedaTa da axalSobilTa janmrTeloba . . . . . . . . . . . . . . . . . . . . 15
sqesobrivi janmrTeloba . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
reproduqciuli traqtisa da mkerdis simsivneebi . . . . . . . . . . 35
saxelmZRvanelos SemuSavebis procesSi monawileTa sia . . . . . 42
3
Sesavali da madloba monawileebs
`reproduqciuli janmrTelobis sakomunikacio
gzavnilebis saxelmZRvanelo”
gamiznulia saxelmwifo, da arasamTavrovo
saagentoebis im saqmianobis xelSesawyobad,
romelic reproduqciuli janmrTelobisa
da ojaxis dagegmvis sferos exeba da miznad
isaxavs saqarTvelos mosaxleobis zusti da
sasargeblo informaciiT uzrunvelyofas.
saxelmZRvanelo Seicavs janmrTelobis Sesaxeb
informacias ori tipis gzavnilebis
saxiT: (a) sainformacio gzavnilebi reproduqciuli
janmrTelobis sakvanZo sakiTxebze,
da (b) qcevis Secvlaze mimarTuli
gzav nilebi, romelTa mizania sicocxlisa
da janmrTelobisadmi pozitiuri, jansaRi
da proaqtiuri (qmediTi) damokidebulebis
propaganda. qcevis Secvlaze mimarTuli
informaciis gamoyenebis gamocdilebam daadastura,
rom mosaxleobisaTvis aucilebelia
informaciis Tanmimdevruli miwodeba
sxvadasxva wyaroebis gamoyenebiT: masmediis
saSualebebi, saswavlo garemos Seqmna, broSurebis
da sxva nabeWdi masalebis gamoyeneba,
jandacvis muSakebTan individualuri,
pirispir gasaubreba. swored aseTi erToblivi
Zalisxmevis Sedegad, anu xangrZlivi
periodis ganmavlobaSi mediasa da servisebis
gziT erTi saxis informaciis sistematuri
miwodebis gziT, SesaZlebeli xdeba mosaxleobis
mier axali, pozitiuri, jansaRi
cxovrebis wesis miReba da gaTaviseba.
gzavnilebis saxelmZRvanelo SemuSavebulia
reproduqciuli janmrTelobis eqsper-
tebisa da am sferoSi momuSave praqtikosebis
erToblivi ZalisxmeviT. saxelmZRvaneloze
muSaobis procesis koordinacias
axorcielebdnen CoReform-is proeqti (USAID)
da OPM-is pirveladi jandacvis reformis
mxardaWeris proeqti (DfID).
samuSaos saerTo xelmZRvanelobas
uwevda saqarTvelos Sromis, janmrTelobis
da socialuri dacvis saministro, romlis
mizania saqarTveloSi reproduqciuli janmrTelobisa
da ojaxis dagegmvis sakiTxebze
Tanmimdevruli, zusti, qveynis kultureli
tradiciebis Sesaferisi da mosaxleobisaTvis
misaRebi informiciis gavrceleba
da codnis donis amaRlebis uzrunvelyofa.
sakomunikacio gzavnilebis saxelmZRvanelos
sakoordinacio jgufi gansakuTrebul
madlobas uxdis saqarTvelos Sromis,
janmrTelobis da socialuri dacvis
saministros, kerZod b-n nikoloz fruiZes
- ministris moadgiles, b-n varlam mosiZes
- ministris moadgiles da b-n zaza boxuas
- jandacvis departamentis ufrosis moadgiles,
maT mier gaweuli daxmarebisa da
mxardaWerisaTvis.
sakomunikacio gzavnilebis saxelmZRvanelo
saministros egidiT gavrceldeba.
gamovTqvamT imeds, rom saxelmZRvanelo
sasargeblo iqneba yvelasaTvis, vinc dainteresebulia
saqarTvelos mosaxleobis reproduqciuli
janmrTelobis mdgomareobis
gaumjobesebiT.
4
vis SeuZlia am saxelmZRvanelos
gamoyeneba?
sazogadoebrivi jandacvis departamentis da
daavadebaTa kontrolis erovnuli centris
TanamSromlebs (centralur da adgilobriv
doneze), romlebic pasuxismgebelni arian janmrTelobis
xelSewyobis RonisZiebebis dagegmvasa
da ganxorcielebaze;
jandacvis departamentis TanamSromlebs,
romlebic axorcieleben prog ramebisa da
standartebis SemuSavebas da reproduqciuli
janmrTelobis/ojaxis dagegmvis servisebis xarisxis
monitorings;
Sjsd saministros sazogadoebasTan urTier-
Tobis departamentis TanamSromlebs;
ojaxis eqimebs da eqTnebs, bebiaqalebs da
sxva pirveladi jandacvis servisebis mimwodeblebs;
jandacvis servisebis sxva mimwodeblebs,
romlebic specializirdebian dedaTa da axal-
SobilTa meTvalyureobis, ojaxis dagegmvisa
da uSvilobis konsultirebis, sqesobrivi janmrTelobis,
sggi/aiv-infeqciis da mamaqacTa
da mozardTa sqesobrivi janmrTelobis da reproduqciuli
kibos sakiTxebze;
adgilobrivi da saerTaSoriso arasamTavrobo
organizaciebis TanamSromlebs, romlebic
gegmaven da axorcieleben reproduqciuli
janmrTelobis xelSewyobisa da sainformacio
kampaniebs;
janmrTelobis sakiTxebSi Temebis ganmamnaTleblebs
da sxva pirebs, romlebic CarTulni
arian janmrTelobis xelSemwyobis adgilobriv
RonisZiebebSi.
rogor SeiZleba am saxelmZvanelos
gamoyeneba?
Sjsd saministros departamentebs Seu ZliaT
am saxelmZRvanelos gamoyeneba reproduqciuli
janmrTelobis xelSewyobis RonisZiebebis
Catarebis teqnikuri standartebis dasaweseblad;
saxelmZRvanelos dizaini iTvaliswinebs
mis gamoyenebas rogorc sainformacio kampaniis
dagegmarebisas, iseve arasamTavrobo organizaciebisa
da kerZo seqtoris mier SemuSavebuli
masalebisa da mesijebis xarisxis Sesafaseblad.
adgilobriv da saerTaSoriso arasamTavrobo
organizaciebs SeuZliaT am saxelmZRvanelos
gamoyeneba janmrTelobis xelSewyobis RonisZiebebis
dagegmarebisas; SemuSavebuli mesijebi ki
gamoiyenon rogorc safuZveli im sabeWdi da
audio masalebis SemuSavebisas, romlebic reproduqciuli
janmrTelobis xelSewyobis kampaniis
mxardasaWerad iqneba gankuTvnili.
saxelmZRvanelo aseve SeiZleba gamoyenebuli
iqnas janmrTelobis sakiTxebSi Temis ganmamna-
Tlebelis saswavlo seminarebis CatarebisaTvis
rogorc Sinaarsobrivi masala da aseve, rogorc
informaciuli da qcevis Secvlis mesijebs
Soris sxvaobis asaxsnelad.
jandacvis servisebis mimwodeblebsa da Temis
ganmamnaTleblebs SueZliaT saxelmZRvanelo
gamoiyenon rogorc janmrTelobis xelSewyobis
adgilobrivi RonisZiebebis dagegmarebisa
da masalebis SemuSavebisas, aseve klientebTan
individualuri konslutaciebis Casatareblad,
rogorc damxmare informaciis wyaro.
Sjsd saministros sazogadoebasTan urTierTobis
departamentis TanamSromlebs SeuZliaT
saxelmZRvanelos gamoyeneba mas-mediasTan ur-
TierTobebisas, raTa uzrunvelyon reproduqciuli
janmrTelobis sakiTxebze saministros
publikaciebis teqnikuri sizuste, iseve rogorc
sxva wyaroebidan miRebuli informaciis
sizuste da teqnikuri xarisxi.
gulwrfeli madlobiT - sakoordinacio jgufi:
heizel slavini, OPM
ken svoni, OPM
Tea mirianaSvili, OPM
lali beitriSvili, CoReform
maia maxaraSvili, CoReform
elen pirsi, CoReform
irakli xvedeliZe, HWG/ CSMA
qeTevan CxataraSvili, CoReform/ Curatio Int.
nensi harisi, HWG/ JSI
5
janmrTelobis xelSemwyobi sasargeblo
Cvevebi da cxovrebis stili, romelic
zusti informaciiT, maRalxarisxovani
momsaxu rebisa da Sesabamisi resursebiT
iqneba uzrunvelyofili.
saqarTvelos Sromis, janmrTelobis da
socialuri dacvis saministros mier
prioritetad iqneba dasaxuli da uzrunvelyofili
axalgazrdebis, qalebis,
bavSvebisa da ojaxebisdmi keTilganwyobili
reproduqciuli jan mrTelobis
servisebis Camoyalibeba; reproduqciuli
janmrTelobis da ojaxis dagegmvis
maRalxarisxiani servisebi gaxdeba misaRebi
da xelmisawvdomi yoveli moqalaqisaTvis;
am prioritetebis ganxorcielebisTvis
mTavrobasTan iTanamSromleben
arasamTavrobo organizaciebi,
kerZo seqtori, sazogadoebrivi jgufebi
da eklesia.
saxelmwifo gauwevs materialur, samarTlebriv,
socialur da politikur
mxardaWeras qalebsa da wyvilebs, romlebic
Svilis yolas isurveben; yoveli
orsuloba iqneba sasurveli da jansaRi,
mSobiaroba - usafrTxo, xolo qalebs
eqnebaT sruli mxardaWera da maRali mosaqarTvelos
janmrTeli momavlis Cveni xedva
`reproduqciuli janmrTelobis sakomunikacio
gzavnilebis saxelmZRvanelo” SemuSavebulia
sagangebod mowyobili samuSao
Sexvedris monawileebis mier. sainformacio
gzavnilebze muSaobis procesSi, Sexvedris
monawileebma Seecadnen aReweraT is momavali,
romlis imedic unda gvqondes, Tu warmatebiT
ganxorcieldeba yvela Zalisxmeva, romelic
qveynis mosaxleobisaTvis reproduqciuli
janmrTelobis da ojaxis dagegmvis sakiTxeb-
Si mosaxleobis srulfasovani informaciiT
da xarisxiani momsaxurebiT uzrunvelyofas
gulisxmobs, kerZod:
reproduqciul janmrTelobis problemeb
Tan dakavSirebuli sikvdilianoba
da avadobis done mniSvnelovnad Semcirdeba.
saqarTvelos TiToeuli moqalaqe srulad
iqneba informirebuli janmrTelobasTan
dakavSirebuli Tavisi uflebebis,
gansakuTrebiT Tavisufali arCevanis
uflebis, da pasuxismgeblobis Sesaxeb
da imoqmedebs Tavisi, ojaxis da sazogadoebis
janmrTelobis dacvis interesebis
Sesabamisad.
sazogadoebaSi dainergeba sicocxlisa da
6
tivacia ganaxorcielon Tavisi CvilisaTvis
mxolod ZuZuTi kveba.
qalebi gamoiyeneben ojaxis dagegmvis Tanamedrove,
janmrTelobisTvis usafrTxo
meTodebs, rogorc abortis alternativas.
mamakacebi aqtiurad iqnebian
CarTulni meuRlis orsulobis, mSobiarobisa
da bavSvis movlis procesebSi
– amiT isini pasuxismgeblobas aiReben
TavianTi partniorebis reproduqciuli
da sqesobrivi janmrTelobis xelSewyobaze
da mTlianad ojaxis janmrTelobaze.
sqesobrivi janmrTelobis done
amaRldeba, sqesobrivi cxovreba iqneba
usafrTxo, urTierTSeTanxmebuli da
ormxrivad sasurveli.
axalgazrdebi iqnebian ganaTlebulebi,
informirebulebi da Tavdajerebulebi
reproduqciuli janmrTelobis da ojaxis
dagegmvis sakiTxebSi, da mzad iqnebian
imisaTvis, Sevidnen mozrdilobaSi jansaRi
da usafrTxo CvevebiT - SemTxvevi-
Ti fexmZimobis, sqesobrivi gziT gadamdebi
infeqciebis (sggi), narkotikebis,
alkoholis, Tambaqos da arasasurveli
seqsualuri gamocdilebis gareSe.
janmrTelobis xelSewyoba prioritetuli
gaxdeba rogorc mTavrobisaTvis,
aseve moqalaqeebisaTvis, xolo yovelwliuri
profilaqtikuri gasinjvebis da
skriningis Catareba - jansaRi cxovrebis
wesis Cveulebrivi nawili. mkerdis, saSvilosnosa
da prostatis simsivneebis
dadgena moxdeba adreul stadiaze da
SesaZleblobisamebr ganxorcieldeba
maTi mkurnaloba. sqesobrivi gziT gadamdebi
infeqciis, aiv-infeqciis CaTvliT
diagnostika ganxorcieldeba adreul
stadiaze da Sesabamisad ganikurneba.
janmrTelobis xelSewyobisa da daavadebaTa
prevenciis doniT saqarTvelo sxva
ganviTarebul saxelmwifoebs daemsgavseba,
xolo jandacvis struqturebis da
arasamTavrobo organizaciebis warmatebuli
muSaobis gamocdilebas sxva qveynebs
gauziarebs.
7
ojaxis dagegmva
dedaTa da axalSobilTa
janmrTeloba
sqesobrivi janmrTeloba
reproduqciuli traqtisa
da mkerdis simsivneebi
9
ojaxis dagegmva
`ojaxis dagegmvis Ziriadi mizani imaSi mdgomareobs,
rom wyvilebsa da calkeul pirebs
SeswevdeT unari mTeli pasuximgeblobiT da
damoukideblad gansazRvron Svilebis raodenoba
da Sualedebi maT Soris, hqodeT SesaZlebloba
da saTanado informacia, rom
ganaxorcielon es unari; gaakeTon informirebuli
arCevani da hqondeT misawvdomoba
usafrTxo da efeqturi meTodebisadmi.”
(qairos konferenciis samoqmedo programa,
paragrafi 7.12). ojaxis dagegmvis momsaxureba,
iseve rogorc kontracefciasTan mimarTebaSi
saWiro informaciis miwodeba
gacnobierebuli arCevanis gasakeTeblad,
repoduqciuli janmrTelobis servisebis
erTerT Semadgenel nawils warmoadgens.
sakomunikacio gzavnilebis saxelmZRvanelos
winamdebare nawilSi moyvanilia informaciuli
da qcevis Secvlis gzavnilebi
ojaxis dagegmvis raobasa da mniSvnelobis
Sesaxeb, informacia arasasurveli orsulobis
Tavidan acilebis Tanamedrove meTodebis
gamoyenebasa da konkretuli meTodebis
upiratesobebisa da naklovani mxareebis
Sesaxeb. moyvanilia cnobebi imis Sesaxeb, Tu
rodis, sad da visgan SeiZleba konsultaciisa
da momsaxurebis miReba; Tu ra mniSvneloba
aqvs mamakacis mier mxardaWeras
da Tanamonawileobas ojaxis dagegmvisa da
wyvilTa urTierTobaSi; sqesobrivi gziT
gadamdebi daavadebebisa da daugegmavi orsulobisagan
ormagi dacvis mniSvnelobas.
moyvanilia informacia abortisa da mSobiarobis
Semdgom periodSi ojaxis dagegmvis
sakiTxebze konsultirebis mniSvnelobis
Sesaxeb.
10
sainformacio gzavnili
ojaxis dagegmva saSualebas iZleva
gansazRvroT Svilebis raodenoba
da Sualedi mSobiarobebs Soris
ojaxis dagegmva mniSvnelovania
qalis da bavSvis janmrTelobisaTvis
yvelas aqvs ufleba miiRos ojaxis
dagegmvis Sesaxeb informacia, konsultacia
da momsaxureba
ojaxis dagegmvis CamoTvlili me-
Todebi usafrTxo, efeqturi da
xelmisawvdomia saqarTveloSi:
oraluri kontraceptivebi-abebi
kondomi
spirali
saineqcio kontraceptivebi
spermicidebi
sqesobrivi kavSiri kontraceptivebis
gareSe SesaZloa arasasurveli
orsulobis mizezi gaxdes
ojaxis dagegmvis meTodebis swori
gamoyeneba Tavidan agacilebT
aborts.
ojaxis dagegmvis mravali meTodi
gacilebiT iafia vidre aborti.
ganmeorebiTi abortebi SesaZloa
gaxdes uSvilobis mizezi
kontraceptiuli abebi ojaxis dagegmvis
martivi da efeqturi meTodia,
amasTanave mas sxva upiratesobebic
aqvs:
awesrigebs menstrualur cikls
amcirebs Warb menstrualur gamonadens
_ riTac amcirebs anemiis risks
amcirebs mTeli rigi simsivneebis
warmoqmnis albaTobas
xels uwyobs aknes gaqrobas
kondomi dagicavT ara marto arasasurveli
orsulobisgan, aramed
orives dagicavT sqesobrivi gziT
gadamdebi daavadebebisagan, maT
Soris aiv/Sidsisagan
mSobiarobebs Soris 2 wliani Sualedi
saukeTesoa Tqveni ojaxis
janmrTeli da harmoniuli ganviTarebisTvis!
mSobiarobis Semdgom adreul periodSi,
miuxedavad ZuZuTi kvebisa,
mniSvnelovania miiRoT ojaxis dagegmvis
konsultacia.
ojaxis dagegmva ar aris mxolod
qalis sazrunavi!
arasasurveli orsulobis da sqesob
rivi gziT gadamdebi infeqciebis
profilaqtikis sakiTxebSi ma makacebsa
da qalebs Tanabari pasuxismgebloba
aqvT.
11
qcevis Secvlis gzavnili
dagegmeT Tqveni ojaxi: gamokiTxeT
eqimi kontracepciis
meTodebis Sesaxeb da
Tavad airCieT sasurveli
meTodi!
miiReT informacia ojaxis
dagegmvis Se saxeb da gaiareT
saTanado konsultacia
qorwinebamde
gamoiyeneT kontracefcia
abor tis Tavidan asacileblad
da ojaxis dasagegma
gamoiyeneT Tqvens mier ar-
Ceuli kontracepciis meTodi,
dagegmeT ojaxi da Tavidan
aicilebT aborts
mamakacebo, izruneT Tqveni
ojaxis janmrTelobasa da
keTildReobaze - dagegmeT
ojaxi
mamakacebo, arasasurveli
orsuloba ar aris mxolod
qalis problema - dagegmeT
ojaxi Tqvens meuRlesTan
erTad da airCieT orives-
Tvis sasurveli meTodi
yoveli sqesobrivi kavSiris
dros gamoiyeneT kondomi
da daculi iqnebiT rogorc
arasasurveli orsulobisagan,
aseve sgg infeqciebisagan
12
sainformacio gzavnili
Tqvens teritoriaze ojaxis dagegvis
momsaxurebas uzrunvelyofs:
(unda miesadagos konkretul teritoriebs)
- qalTa konsultacia
- ambulatoria;
- samSobiaro saxli
- reproduqciuli janmrTelobis
kabineti
- mSobelTa skolis kabineti
moiTxoveT eqimisagan, rom gagiwioT
ojaxis dagegmvis konsultacia -
dauyovnebliv abortis Semdgom periodSi
kontraceptivebis sxva da sxva saxeobebi
iyideba afTiaqebSi.
nebismieri informaciisaTvis ojaxis dagegmvis sakiTxebze dagvikavSirdiT cxel xazze
(saWiroebs damatebiT informacias – telefoni da sxva)
13
qcevis Secvlis gzavnili
• iyolieT Tqveni Cvili pirveli
6 Tvis ganmavlobaSi
mxolod ZuZuTi kvebaze (eqskluziurad)
- rac niSnavs
bavSvis janmrTelobis xel-
Sewyobas da dacvas orsulobisagan
• orsulobis periodSive mii-
ReT eqimisagan informacia
mSobiarobis Semdgomi ojaxis
dagegmvis meTodebis Sesaxeb
• moiTxoveT eqimisagan abortis
Semdgomi konsultacia
ojaxis dagegmvaze, airCieT
sasurveli meTodi da dauyovnebliv
daiwyeT SerCeuli
meTodis gamoyeneba ganmeorebiTi
abortebis Tavidan
asacileblad!
• momdevno orsulobis dasagegmad
ojaxis dagegmvis Sesabamisi
meTodi gamoiyeneT
dauyovnebliv mSobiarobis
Semdgom.
15
dedaTa da axalSobilTa janmrTeloba
reproduqciuli janmrTelobis dacva
uwyveti zedamxedvelobis princips emyareba.
saqarTvelos mTavrobas prioritetad aqvs
aRiarebuli orsulobis da usafrTxo mSobiarobis
xelSewyoba, dedisa da axalSobilis
movla, da mSobiarobis Semdgomi zedamxedvelobis
uzrunvelyofa. saxelmZRvanelos am
nawilSi moyvanili gzavnilebis mizania Ti-
Toeuli qalis, romelic apirebs Svilis yolas,
darwmuneba misTvis usafrTxo orsulobasa
da mSobiarobis, xolo axalSobilisaTvis
usafrTxo da janmrTeli sicocxlis dasawyisis
SesaZleblobaSi da amisaTvis saWiro wesebis
dacvis aucileblobaSi.
dedaTa da axalSobilTa janmrTelobis
Sesaxeb gzavnilebi moicavs antenatalur periods,
sadac aRbeWdilia TiToeuli qalis
ufleba miiRos orsulobis zedamxedvelobis
servisebi da saWiro informacia, Tavis
movlis principebis, mSobiarobisTvis momzadebis
procesis, meuRlisa da ojaxis xelSew-
yobisa da eqimis meTvalyurebis da daxmarebis
mniSvnelobis Sesaxeb. gzavnilebis nawili
exeba orsulobisaTvis saSiSi mdgomareobebis
niSnebsa da simptomebs, romlebic safrTxes
uqmnian orsulis sicocxles, ris gamoc qalma
dauyovnebliv unda mimarTos kvalificiur
samedicino daxmarebas. mSobiarobasTan da mSobiarobis
Semdgom periodTan dakavSirebuli
gzavnilebi moicavs im informacias, romlis
codna saWiroa qalisaTvis Tavisi uflebebis
dasacavad samSobiaro saxlis personal-
Tan urTierTobisas, raTa mSobiaroba gaxdes
misTvis usafrTxo da ufro komfortuli.
da bolos, gzavnilebis nawili axalSobilis
movlasTan dakavSirebiT moicavs cnobebs
ZuZuTi kvebis, mSobiarobis Semdgomi movlis
da mSobiarobis Semdgomi ojaxis dagegmvis
mniSvnelobis Sesaxeb.
erTi Svili - ara Svili,
ori Svili - viTom Svili,
sami Svili - marTla Svili,
dagegme Seni ojaxi!
16
sainformacio gzavnili
antenataluri periodi
Tu Tqven darwmundiT, rom orsulad
xarT, maSinve mimarTeT eqims -
pirveli antenetaluri viziti unda
Sedges orsulobis 12 kviremde.
saqarTveloSi TiToeul orsul
qals orsulobis ganmavlobaSi eku-
Tvnis oTxi ufaso viziti
orsulobis ganmavlobaSi Tqveni
uflebaa:
airCioT eqimi da samSobiaro
saxli
miiRoT sruli imfirmacia mSobiarobis
msvlelobis, gautkivarebis
meTodebis, da nebismieri proceduris
Sesaxeb, romelic SesaZloa
dagWirdeT mSobiarobis dros _
rac dagexmarebaT informirebuli
arCevanis gakeTebaSi
moiTxovoT mSobiarobaze ojaxis
wevris daswreba
mamakacTa monawileoba da Tanadgoma
orsulobisa da mSobiarobis
procesSi Zalzed mniSvnelovania.
orsulobis, mSobiarobis da axalSobilis
movlis gamocdileba sasurvelia,
rom urTierT gaiziaroT.
orsulobis periodSi erTad mimarTeT
`mSobelTa skolis” specialists,
romelic dgexmarebaT uke-
Tesad moemzadoT orsulobis, mSobiarobis
da axalSobilis movlisaTvis
(miTiTebul iqnes mSobelT
skolebis zusti mdebareoba)
mniSvnelovania moemzadoT orsulobis,
mSobiarobisa da axalSobilis
movlisaTvis - Tqveni eqimi an
eqTani dagexmarebaT miiRoT swori
informacia da upasuxeben Tqvens
nebismier SekiTxvas.
orsulobis ganmavlobaSi sgg infeqciebis
diagnoscireba da mkurnaloba
mniSvnelovania Tqveni da Tqveni
Svilis janmrTelobisaTvis.
17
qcevis Secvlis gzavnili
Tu Tqven eWvobT rom orsulad
xarT, maSinve mimarTeT
eqims da gadaamowmeT!
orsulobis ganmavlobaSi 4
- jer mainc unda gaiaroT sa -
medicino Semowmeba - orsulobis
me-13 kviramde, me-20-
22 kviraze, 30-32-e kviraze da
36-e kviraze).
orsulobis periodSive air-
CieT mSobiarobisaTvis TqvenTvis
sasurveli eqimi da sam-
Sobiaro saxli.
hkiTxeT Tqvens eqims mSo biarobis
procesze da gautkiverebis
meTodebze - wi nas war
moemzadeT, dasviT kiTxvebi
da miiReT gadawyvetileba
eqimis daxmarebiT.
winaswar SeuTanxmdiT eqims
Tqveni survilisamber ojaxis
romelime wevris mSobiarobaze
daswrebis Sesaxeb.
mamakacebo, izruneT Tqveni
meuRlis usafrTxo orsulobasa
da mSobiarobaze - wayeviT
eqimTan, gauwieT Tanadgoma
da gainawileT axalSobilze
zrunvis pasuxismgebloba.
mamakacebo, erTad moemzadeT
mSoblobisaTvis - gaiziareT
orsulobis, mSobiarobis
da axalSobilis movlis
gamocdileba.
CaitareT testireba sqesobrivi
gziT gadamdeb infeqciebze
orsulobis ganmavlobaSi
da dadebiTi pasuxis
SemTxvevaSi uzrunvelyaviT
Tqve ni da Tqeni partnoioris
srulyofili mkurnaloba .
18
sainformacio gzavnili
perinataluri periodi
orsulobis ganmavlobaSi swori
kveba mniSvnelovania rogorc dedis,
aseve nayofisaTvis - darwmundiT
rom ikvebebiT mravalferovani
sakvebiT. SeecadeT miiRoT sakmao
raodenobiT:
xorci, Tevzi an parkosani (lobio,
soia)
pureuli sakvebi
rZis produqtebi
xili da bostneuli
orsulobis dros sigaretis moweva
da alkoholis miReba saxifaToa momavali
SvilisaTvis
zogierTi wamlis miReba orsulobisas
saxifaToa - miiReT medikamenti
mxolod eqimTan konsultaciis Semdeg.
qvemoT CamoTvlili simptomebi
safrTxes uqmnis orsulobas, an/
da dedisa da nayofis sicocxles
- mimarTeT eqims maSinve, rogorc
ki erTerTi maTgani gamovlindeba:
sisxliani gamonadeni saSodan
Zlieri Tavis tkivili
krunCxvebi
gonebis dabindva, an mxedvelobis daqveiTeba
Zlieri tkivili muclis areSi
Zlieri sisuste an maRali sicxe
gaxSirebuli an gaZnelebuli sunTqva
orsulobis bolo periodSi qvemoT
CamoTvlili niSnebi miuTi-
Tebs mSobiarobis dawyebaze, an
nayofis prob lemebze:
mudmivi an movliTi xasiaTis tkivili
muclis midamoSi
sanayofe wylebis daRvra (gamWvirvale
didi raodenobiT si-
Txe)
sisixliani Warbi gamonadeni
saSodan
nayofis umoZraoba 8 saaTis
ganmav lobaSi (orsulobis 6 Tvis
zemoT vadaze).
19
qcevis Secvlis gzavnili
• orsulobis ganmavlobaSi
ecadeT miiRoT mravalferovani
sakvebi, sakuTriv:
• xorci, Tevzi an parkosani
(lobio, soia)
• pureuli
• rZis produqtebi
• xili da bostneuli
• rogorc ki darwmundiT rom
orsulad xarT, SewyviteT
moweva da ar miiRoT alkoholuri
sasmeli.
• orsulobis periodSi, nebismieri
wamlis miRebamde
hkiTxeT rCeva eqims, raTa
darwmundeT nayofisaTvis
mis usafrTxoebaSi.
• saswrafod mimarTeT eqims,
Tu gaqvT romelime qvemoT
CamoTvlili niSani:
• saSodan sisxldena
• Zlieri Tavis tkivili
• krunCxvebi
• gonebis dabindva an mxedvelobis
daqveiTeba
• Zlieri tkivili muclis are-
Si
• Zlieri sisuste an maRali sicxe
• gaxSirebuli an gaZnelebuli
sunTqva
• Tu orsulobis bolo vadaze
Tqven aRgeniSnebaT qvemoT
CamoTvlilidan erTerTi
niSani, dauyovnebliv mimar-
TeT eqims:
• mudmivi an movliTi xasiaTis
tkivilebi muclis midamoSi
• sanayofe wylebis daRvra
(saSodan didi raodenobiT
gamWvirvale siTxis gamodineba)
• sisixliani Warbi gamonadeni
saSodan
• nayofis moZraoba aRar SeimCneva
bolo 8 saaTis ganmavlobaSi
orsulobis 6 Tvis
vadidan
20
sainformacio gzavnili
mSobiarobis da adreuli posnataluri periodi
TqvenTvis da Tqveni SvilisaTvis
gacilebiT usafrTxoa
imSobiaroT samSobiaro saxlSi.
saxelmwifo programis fargleb-
Si Tqven gaqvT ufaso momsaxurebis
ufleba nebismier Tqven mier
arCeul samSobiaro saxlSi.
gaxsovdeT - Tu Tqven gaqvT survili
romelime ojaxis wevri daeswros
mSobiarobas, nebismier sam-
Sobiaro saxlSi es nebadarTulia.
mSobiarobis procesSi gautkivarebis
gamoyeneba _ Tqveni arCevania!
ganixileT SesaZlo variantebi
Tqvens mean-ginekologTan
mSobiarobis Semdeg sasurvelia
axalSobili Tqvens gverdiT iyolioT
- es Tqveni uflebaa! es Tavismxriv
xels Seuwyobs Tqveni
Svilis, srulfasovan ZuZuTi kvebas
da Tqvens Soris biologiur
kavSiris gamyarebas
mSobiarobis Semdgomi pirveli eqvsi
kviris ganmavlobaSi unda miaki-
TxoT eqims, raTa darwmundeT, rom
mSobiarobis Semdgomi periodi mimdinareobs
garTulebebis gareSe.
ZuZuTi kveba yvelaze janmrTeli
kvebaa Tqveni CvilisaTvis – axalSobils
araferi sWirdeba garda dedis
rZisa, pirveli eqvsi Tvis ganmavlobaSi.
dedis rZe pirveli vaqcinaa axalSobilisaTvis
– saukeTesoa daiwyoT
ZuZuTi kveba mSobiarobidan erTi
saaTis ganmavlobaSi.
qalebis umetesobas SeuZliaT Zu-
ZuTi kvebon Cvili – Tu Tqven pirvel
xanebSi gagiWirdaT ZuZuTi kveba
mimarTeT bebiaqals an eqTans daxmarebisaTvis.
pirveli eqvsi Tvis ganmavlobaSi
eqskluziuri ZuZuTi kveba dagexmarebaT
Tavi daicvaT naadrevi orsulobisagan.
qvemoT CamoTvlili simptomebi
mSobiarobis Semdgom - periodSi
miuTiTebs infeqciis arsebobaze,
romelic saSiSia Tqveni janmrTelobisaTvis
:
Warbi sisixliani gamonadeni
saSodan
Semcivneba da maRali sicxe
suniani gamonadeni saSodan
tkivili an diskomforti muclis
areSi
21
qcevis Secvlis gzavnili
imSobiareT mxolod samSobiaro
saxlSi – es gacilebiT
usafrTxoa TqvenTvis da
Tqveni axalSobilisaTvis.
moiTxoveT ojaxis wevris
daswreba mSobiarobaze, Tu
es Tqveni arCevania
gautkivarebis gamoye neba
Tqveni arCevani - da -
rwmundiT, rom Tqvenma eqimma
icis Tqveni arCevanis
Sesaxeb
mSobiarobis Semdgeg iyolieT
Tqveni Svili Tqvens
gverdiT - es saukeTeso ar-
Cevania TqvenTvis da Tqveni
axalSobilisaTvis, es
sa Sualebas mogcemT kveboT
Tqveni Svili misi moTxovnis
mixedviT.
SesTavazeT axalSobils ZuZu
mSobiarobisTanave - sauke-
Teso droa pirveli erTi
saaTi
dabadebidan pirveli eqvsi
Tvis ganmavlobaSi mxolod
ZuZuTi kvebeT Tqveni Cvili
mieciT ZuZu axalSobils mo-
Txovnilebisamebr – roca
ki moSivdeba – rac sasargebloa
rogorc misi, ise Tqveni
janmrTelobisaTvis.
Tu Tqven ZuZuTi kvebis problema
gaqvT, mimarTeT Tqven
eqims, bebeiaqals an eqTans.
isini sarZeve jirkvlebis
problemebis acilebaSi, xol
o Tqveni SvilisTvis kargi
sawyisis SeqmnaSi
mSobiarobidan eqvsi kviris
ganmavlobaSi, erTxel mainc
mimarTeT eqims, raTa darwmundeT,
rom mSobiarobis
Semdgomi periodi mimdinareobs
garTulebebis gareSe
da miiRe rCeva, an mkurnaloba
nebismieri problemis SemTxvevaSi.
droulad mimarTeT eqims, Tu
Tqven aRgeniSnebaT qve moT
CamoTvlili simptomebi:
Warbi sisxliani gamonadeni
saSodan
Semcivneba da maRali sicxe
suniani gamonadeni saSodan
tkivili an diskomforti
muclis areSi
22
sainformacio gzavnili
postnataluri periodi
Tqveni axalSobilis janmrTelobisaTvis
saSiSi niSnebia:
sunTqvis problemebi, araregularuli
an gaxSirebuli sunTqva
(meti vidre 60 wuTSi)
Semcirebuli kveba (50% nakleb
sakvebs iRebs vidre saerTod)
krunCxvebi, spazmi, daWimuloba,
krTo mebi
temperatura 38°C -ze meti an 36 °Cze
naklebi
kanis siyviTle, siwiTle an sisxl-
Caqcevebi
pirRebineba, Sekruloba an faRaraTi
kondomi SeiZleba gamoyenebuli iqnas
mSobiarobis Semdeg periodSi
SezRudvebis gareSe.
mini pilebi ar axdenen gavlenas dedis
rZis raodenobaze an xarisxze.
Tu Tqven axalSobils ar kvebavT
ZuZTi, anu axalSobili xelovnur
kvebazea, SegiZliaT daiwyoT kombinirebuli
kontraceptivebi mSobiarobidan
pirveli sami kviris vadidan.
maSinac ki rodesac ZuZuTi kvebavT
axalSobils, arsebobs daorsulebis
Sansi, mniSvnelovania
airCioT ojaxis dagegmvis Sesaferisi
meTodi, romelsac gamoiyenebT
mSobiarobis Semdeg.
momdevno orsulobamde orwliani
Sualedis dacva mizanSewonilia
Tqveni da Tqveni momavali
Svilis janmrTelobisaTvis
- uzrunvelyaviT ojaxis dagegmvis
meTodebis gamoyeneba dauyovnebliv
mSobiarobis Semdeg.
Tqven SegiZliaT gamoiyenoT
ojaxis dagegmvis meTodebidan
ne bismieri, mSobiarobidan eqvsi
kviris Semdeg:
spirali
mxolod progesteronuli abebi
— `minipilebi”
kondomi
saineqcio kontraceptivebi
23
qcevis Secvlis gzavnili
dauyovnebliv mimarTeT
eqims Tu Tqvens Svils aReniSneba
qvemoT CamoTvlili
niSnebi:
gaZnelebuli araregularuli
an gaxSirebuli sunTqva
(meti vidre 60 wuTSi)
kvebis darRvevebi (50% naklebad
iTxovs sakvebs vidre
saerTod)
krunCxvebi, spazmi, daWimuloba,
krTomebi
temperatura 38°C -ze meti
an 36 °C-ze naklebi
kanis siyviTle, siwiTle an
sisxlCaqcevebi
Rebineba, Sekruloba an fa-
RaraTi
miuxedavad ZuZuTi kvebisa,
miiReT mSobiarobis Semdgomi
konsultireba ojaxis
dagegmvis meTodebze Tqveni
eqimisagan - ar datovoT samSobiaro
saxli kontracepciis
arCevanis gareSe
imisaTvis, rom sworad dagegmoT
Tqveni Semdgomi orsuloba,
airCieT mSobiarobis
Semdgomi ojaxis dagagmvis
meTodi da gamoiyeneT igi regularulad.
25
sqesobrivi janmrTelobis mravali aspeqti,
marTalia, uSualod ara aris dakavSirebuli
reproduqciasTan, magram did gavlenas axdens
qalisa da mamakacis mier janmrTeli ojaxis
dagegmvis da masze zrunvis unarze. saxelmZRvanelos
es Tavi moicavs informacias, romelic
exeba uSvilobas, sqesobrivi gziT gadamdebi
infeqciebis (sggi), aiv/Sidsis CaTvliT,
profilaqtikas, diagnostikasa da marTvas, da
mamakacebisa da mozardebis gansakuTrebul
saWiroebebs reproduqciul da sqesobriv janmrTelobasTan
dakavSirebul informaciasa da
momsaxurebasTan mimarTebaSi.
uSvilobasTan dakavSirebuli informacia
moicavs uSvilobis ganmartebas, SesaZlo mizezebs
da im nabijebs, romelTa gadadgma SeuZliaT
uSvilobis problemis mqone wyvilebs. sggi, maT
Soris aiv infeqcia/Sidsis nawili moicavs ganmartebebs
infeqciis gadacemis gzebis, riskebis
da profilaqtikis, drouli diagnostikisa da
mkurnalobis mniSvnelobis, aiv/SidsTan dakavsqesobrivi
janmrTeloba
Sirebuli, araswori informaciiT gamowveuli
stigmisa da diskriminaciis daZlevis gzebis
Sesaxeb.
gzavnilebi mozardebisTvis moicavs sqesobriv
cxovrebasTan dakavSirebuli pasuxismgeblobebis,
swori arCevanis mniSvnelobas; axalgazrdebis
uflebas, miiRon reproduqciul
janmrTelobasTan dakavSirebuli informacia
da momsaxureba konfidencialobis dacviT;
agreTve reproduqciuli da sqesobrivi janmrTelobis
xelSewyobis wesebs, alkoholsa da
narkotikebze Tavis aridebis mniSvnelobas.
da bolos, gzavnilebi mamakacis sqesobriv
da reproduqciul janmrTelobasTan mimarTebaSi
exeba mamakacis pasuxismgelobas qalis da
ojaxis janmrTelobis mimarT, da amave dros
im nabijebs, romlebic mamakacma unda gadadgas
sakuTari janmrTelobis xelSewyobis mizniT.
26
sainformacio gzavnili
uSviloba
Tu wyvilma gadawyvita hyavdes
Svili da 12 Tvis ganmavlobaSi orsuloba
ar Sedga, es niSnavs, rom
maT Svilosnobis problema aqvT.
uSvilobis problema wyvilTa Tanabari
problema da sazrunavia
araregularuli menstrualuri
cikli SesaZloa Svilosnobis
problemis erTerTi niSani iyos.
sqeobrivi da reproduqciuli janmrTelobis
problemebis drouli
diagnostika da mkurnaloba dagexmarebaT
momavalSi Tavidan aiciloT
SvilosnobasTan dakavSirebuli
problemebi
arasrulad namkurnalevi an ara
namkurnalebi sqesobrivi gziT gadamdebi
infeqciebi SesaZloa momavalSi
uSvilobis mizezi gaxdes.
sgg infeqciebi maT Soris aiv/Sidsi
sgg infeqciebi _ es is infeqciebia,
romelTa gadacema upirtesad inficirebul
adamianTan sqesobriv kontaqtis
Sedegad xdeba
aranamkurnalevi sgg infeqciebi SesaZloa
SemdgomSi Tqveni janmrTelobis
gauaresebis erTerTi mizezi
gaxdes.
mniSvnelovania miiRoT mkurnaloba
kvalificiuri eqimisagan, CaitaroT
mkurnalobis sruli kursi da aseve
uzrunvelyoT Tqveni partnioris
Sesabamisi mkurnalobac.
mozardTaTvis sgg infeqciebis Tavidan
acilebis saukeTeso gzaa:
sqesobrivi partniorebis ricxvis
SezRudva
partniorisadmi erTgulebis SenarCuneba
kondomis gamoyeneba sworad da
yovelTvis
27
qcevis Secvlis gzavnili
Tu Tqven 12 Tvis ganmavlobaSi
ar daorsuldiT - mimarTeT
eqims - uSvilobis
umetesi mizezi gankurnebadia
uSvilobis mizezis dasadgenad
mimarTeT eqims meuRlesTan
erTad – es xels
Seuwyobs swori diagnozis
dasmas da warmatebul mkurnalobas.
gamoiyeneT kondomi sworad
yovelTvis, es Tavidan
agacilebT sgg infeqciebs
da momavalSi Svilosnobis
problemebs.
Tu Tqven aRmoaCenT, rom
sqesbrivi gziT gadamdebi
infeqciis raime simptomi
gaqvT, dauyonebliv mimar-
TeT eqims da CaitareT mkurnalobis
sruli kursi.
sqesobrivi gziT gadamdebi
infeqciisagan Tavis dacvis
mizniT yovelTvis gamoiyeneT
kondomi, Tanac gamoiyeneT
is swori wesis dacviT.
Tu Tqven sqesobrivi gziT
gadamdebi infeqciis diagnozi
dagidasturdaT, izruneT,
rom TqvenTan erTad
Tqvenma partniormac Caitaros
mkurnalobis sruli
kursi
28
sainformacio gzavnili
sgg infeqciebi da aiv/Sidsi
sgg infeqciis simptomebia:
sasqeso organoebis wva da qavili
uCveulo gamonadebi
siwiTle, wylulebi, gamonayari
mtkivneuli Sardva
Sidsi, anu `SeZenili imunodeficitis
sindromi”, mimdinareobs organizmis
dacviTi sistemebis dazianebiT, rac
iwvevs sxvadasxva mZime daavadebis
ganviTarebas da adamianis sikvdils.
aiv, anu `adamianis imunodeficitis
virusi”, es aris virusuli infeqcia,
romelic iwvevs Sidsis ganviTarebas.
daimaxsovre! Cven vebrZviT Sidss
da ara SidsiT daavadebulebs
daimaxsovre, Sidsi megobrobiT ar
gadadis
nebismieri adamiani imsaxurebs
keTilganwyobas da mxardaWeras,
maT Soris SidsiT daavadebulic.
SidsiT daavadebuli an inficirebis
riskis qveS myofi adamianis
diskriminacia arRvevs adamianis
uflebebs da sazogadoebrivi jandacvis
principebs. TiToeuli SidsiT
daavadebuli an aiv infeqciis
matarebeli imsaxurebs keTilganwyobas
da Tanadgomas.
aiv infeqcia SesaZloa gadaeces:
sqesobrivi kontaqtiT (vaginaluri
da analuri)
aiv infeqciaze Seumowmebeli
sisxlis gadasxmiT
saziaro nemsisa da Spricis gamoyenebiT
narkotikebis momxareblebSi
inficirebuli dedisagan Svilze,
orsulobis, mSobiarobisa da Zu-
ZuTi kvebis dros.
arasteriluri samedicino xelsawyoebiT
aiv infeqcia ar gadadis yoveldRiuri
(Cveulebrivi) kontaqtiT:
xelis CamorTmeviT, sacurao auzidan,
saziaro sapirfareSos gamoyenebiT,
saziaro TeTreuliT, saziaro
WurWliT, sakvebiT, mwerebis
nakbeniT, xveliT da ceminebiT.
29
qcevis Secvlis gzavnili
Tu Tqen aRgeniSnebaT nebismieri
sgg infeqciisaTvis
damaxasiaTebeli simptomi
dauyovnebliv mimarTeT kvalificiur
eqims da CaitareT
mkurnaloba
sqesobrivi gziT gadamdebi
infeqcia xSirad usimptomod
mimdinareobs, amitom,
Tu arsebobs dainficirebis
eWvic ki, droulad mimar-
TeT eqims gamokvlevisa da
drouli mkurnalobisaTvis.
orsulobis periodSi
droulad CaitareT gamokvleva
sifilisze da
sqesobrivi gziT gadamdeb
sxva infeqciebze, es daigcavT
Tqven da Tqveni Svilis
janmrTelobas.
imisaTvis, rom daculi iyoT
da daicvaT Tqveni partniori
sgg infeqciebisa da aiv inficirebisagan,
yovelTvis da
sworad gamoiyeneT kondomi.
arasodes gamoiyenoT saziaro
nemsi da Sprici, Tu jerjerobiT
ver daZlieT narkotikebis
moxmarebis seni.
saeqimo kabinetSi nebismieri
proceduris Catarebis
dros, yovelTvis moiTxoveT
erTjeradi an kargad gasterilebuli
Spricebis da sxva
samedicino xelsawyoebis gamoyeneba.
30
sainformacio gzavnili
mozardTa reproduqciuli da sqesobrivi janmrTeloba
nu aiZuleb Sens Tavs gqondes sqesobrivi
urTierToba sxvebis miba-
ZviT – Seni uflebaa Tavad airCio
SenTvis da Seni partniorisaTvis
usafrTxo da urTierT pasuxismgeblobaze
dafuZnebuli urTierTobebis
forma.
sqesobrivi cxovrebis dawyebis win
unda gaazrebuli gqondes Seni da
Seni partnioris pasuxismgebloba
erTmaneTis winaSe da SesaZlo Tanmxlebi
garTulebebisagan (infeqcia,
arasasurveli orsuloba) Tavis
dacva.
alkoholisa da narkotikebis gamoyeneba
zrdis daucveli seqsisa da
Zaladobis risks, ramac SesaZloa
gamoiwvios arasasurveli orsuloba
da sqesobrivi gziT gadamdebi
infeqciebi.
yvela axalgzardas aqvs ufleba
miiRos eqimisagan konsultireba
da mkurnaloba, konfidencialur
garemoSi da sruli anonimurobis
dacviT.
31
qcevis Secvlis gzavnili
yoveli sqesobrivi kavSiris
dros gamoiyene kondomi,
amiT Sen da Seni partniori
daculi iqnebiT rogorc
arasasurveli orsulobisagan,
ise sqesobrivi gziT gadamdebi
infeqciisagan.
kondomi saimedoa, Tu mas
sworad gamoiyeneb – miiRe
rCeva sando da gamocdili
adamianisagan, an miakiTxe
sakonsultacio centrs.
nu daamyareb sqesobriv ur-
TierTobebs mxolod sxvaTa
mibaZviT an/da waqezebiT,
saukeTeso arCevania Sen-
Tvis - Tavis Sekaveba, sanam
ar gaiazreb sakuTar survilebs
da partnioris winaSe
Sens pasuxismgeblobas.
narkotikebisa da alkoholis
zemoqmedebiT gamowveuli
sqesobrivi kavSiris
mav ne Sedegebisagan Tavis
dac vis erTaderTi gza aris
– uaris Tqma alkoholze da
narkotikebze!
nebismieri SekiTxviT an
problemiT seqsis da sqesobrivi
urTierobis Sesaxeb
mimarTe eqims, igi valdebulia
gagiwios konsultacia
da daxmareba konfidencialur
garemoSi sruli anonimurobis
dacviT.
32
sainformacio gzavnili
mamakacebis sqesobrivi da reproduqciuli janmrTeloba
alkoholis da narkotikebis moxmareba
xSirad ubiZgebs iseT sqesobriv
qcevisaken, romelic dakavSirebulia
ZaladobasTan, an romelic
gayenebT Tqven da Tqvens partniors
sqesobrivi gziT gadamdebi
infeqciisa da daugegmavi orsulobis
riskis qveS.
droebiTi impotencia SeiZleba gamoiwvios
rogorc fizikurma, aseve
fsiqologiurma faqtorebma da ux-
Sires SemTxvevaSi igi mkurnalobas
eqvemdebareba. es problema Sua xnis
da meti asakis mamakacebSi arc Tu
iSviaTia. sqesobrivi cxovrebis
mxriv nebismieri cvlilebis dros
mamakacma unda mimarTos andrologs,
urologs an sxva eqims, romelic
mas daexmareba problemis gadaWraSi
– araferia dasaZraxi ima-
Si, rom eZioT rCeva da mkurnaloba.
janmrTelobis SenarCunebisaTvis
mamakacebma regularulad unda
gaiaron samedicino Semowmeba. eqimi
ara mxolod gamoricxavs kardio-
vaskularuli da sxva qronikuli
daavadebebis arsebobas,
aramed mogcemT rCevas, CagitarebT
gamokvlevas da, Tu saWiroa, mkurnalobas
reproduqciuli da sqesobrivi
janmrTelobis problemebTan
mimarTebaSi..
33
qcevis Secvlis gzavnili
uari TqviT alkoholisa da
narkotikebis moxmarebaze
- es Tqven janmrTelobas SeginarCunebT
da amasTanave
Seamcirebs risks Tqven da
Tqveni partniorebi aRmoCndeT
Zaladobisa da daucveli
seqsis msxverpli.
mimarTeT eqims Tu Tqven gaqvT
potenciasTan dakavSirebuli
problemebi. droebi-
Ti impotencia mamakacebs
arc Tu iSviTad uviTardebaT
da igi xSirad savsebiT
gankurnebadia.
yovelwliurad gaiare saeqimo
Semowmeba, es xels
Seuwyobs janmrTelobis
problemebis profilaqtikas
an adreuli diagnostikas
manam, sanam problema
gaxdeba seriozuli
Tu Tqven 40 wlis zemoT
asakis xarT, regularulad
gaiareT saeqimo Semowmeba
prostatis kibos gamosaricxad.
saxelmZRvaneloSi warmodgenili yvela sakomunikacio gzavnili mniSvnelovania mamakacebisaTvis
- mamakacebi unda gaecnon informaciul mesijebs da SesZlon moqmedeba qcevis Secvlis gzavnilebis
Sesabamisad. ojaxis dagegmvis, uSvilobis da sgg daavadebebis da reproduqciuli simsivneebis seqcia-
Si arseobobs gzavnilebi orientirebuli specifiurad mamakacebze. gzavnilebis Sesabamisi moqmedebebi
gazrdis mamakacebis proaqtiurobas maTi partniorebis sqesobrivi da reproduqciuli janmrTelobis
mxardaWeraSi, iseve rogorc TavianTi janmrTelobis da keTildReobis xelSewyobaSi - mamakacebs reproduqciuli
janmrTelobis iseTive saWiorebebi da uflebebi aqavT rogorc nebismier sxvas!
35
reproduqciuli traqtisa
da mkerdis simsivneebi
saxelmZRvanelos daskvniTi nawili moicavs
informaciul da qcevis Secvlis gzavnilebs
reproduqciuli janmrTelobis mniSvnelovani
problemis – simsivneebis, kerZod, saqarTveloSi
yvelaze xSiri – saSvilosnos yelis,
ZuZus da prostatis simsivneebis Sesaxeb. moyvanilia
ganmartebebi TiToeul maTganTanis
ganviTarebis riskis, daavadebis adreul stadiaze
gamovlenis da gankurnebis Sansis ur-
TierTkavSiris Sesaxeb. rogorc sainformacio,
iseve qcevis Secvlis gzavnilebSi xazgasmulia
sistematuri gasinjvis, an skriningis mniSvneloba
reproduqciuli traqtis simsivneebis
profilaqtikis, adreuli gamovlenisa da mkurnalobisaTvis.
36
sainformacio gzavnili
saSvilosnos yelis kibo
saqarTveloSi, saSvilosnos yelis kibo warmoadgens qalebSi erT-erT yvelaze gavrcelebul
simsivnis formas.
saSvilosnos yelis kibos profilaqtika
iseve rogorc misgan gankurneba
SesaZlebelia, Tu misi gamovlena
adreul stadiaze moxdeba.
pap-testi martivi da swrafi testirebis
meTodia, romelmac SesaZloa
gamoavlinos saSvilosnos yelis
kibos winare mdgomareoba an kibos
adreuli stadia.
saSvilosnos yelis kibos erT-erTi
gamomwvevia – adamianis papilomis
virusi, romelic sqesobrivi gziT
gadaecema, Tumca am infeqciis matarebelTa
Soris kibo mxolod mcire
nawils uviTardebaT.
pap testi, iseve rogorc saSvilosnos
yelis daTvaliereba, warmoadgens
qalis samedicino Semowmebis
mniSvnelovan nawils, vinaidan am
meTodiT SesaZlebelia kibos wina
mdgomareobis an kibos adreuli
stadiis dadgena.
21 wlis asakidan yvela qalma sam
weliwadSi erTxel unda gaiaros
pap testi, saSvilosnos yelis cvlilebebis
dadgenisa da Sesabamisi
drouli mkurnalobis mizniT, rac
xels Seuwyobs saSvilosnos yelis
kibos profilaqtika..
37
qcevis Secvlis gzavnili
daadgineT Tqvens eqimTan,
Tu sad SeiZleba Tqvens regionSi
an qalaqSi pap testis
Catareba da gaiareT es gamokvleva
yovel sam weliwad-
Si erTxel
daicaviT Tavi adamianis
papiloma virusisagan iseve
rogorc nebismieri sgg
infeqciisagan - SeamcireT
sqesobrivi partniorebis
ricxvi da gamoiyeneT kondomi
yovelwliurad gaiareT saSvilosnos
yelis ginekologiuri
Semowmeba, xolo sam
weliwadSi erTxel – CaitareT
pap testi.
pap testis Sedegad aRmoCenili
atipiuri cvlilebebis
SemTxvevaSi dauyonebliv mimarTeT
ginekologs, am stadiaze
Catarebuli diagnostika
da mkurnaloba zrdis
kibos profilaktikis da/an
misgan gankurnebis Sanss.
38
sainformacio gzavnili
sarZeve jirkvlis kibo
sarZeve jirkvlis kibo warmoadgens
erT-erT yvelaze gavrcelebul
da amave dros, adreuli gamovlenis
SemTxvevaSi, erT-erT yvelaze
gankurnebad kibos qalis simsivneebs
Soris.
40 wlis zemoT asakis qalebSi sar-
Zeve jirkvlis kibos riski izrdeba,
gansakuTrebiT maT Soris,
visac ojaxSi am daavadebis SemTxvevebi
aReniSneba, amitom sarZeve
jirkvlis regularuli gamokvleva
mniSvnelovania am asakis yvela qalisaTvis.
reproduqciuli asakis yvela qals
unda SeeZlos da yovelTviurad
awarmoebdes sarZeve jirkvlis
TviTgasinjvas – am unarCvevis
Seswavlas Tqven SesZlebT Tqvens
eqimTan.
40 wlis zemoT asakis qalebisaTvis
mizanSewonilia yovelwliurad
sarZeve jirkvlis klinikuri gamokvlevis
gavla, xolo 50 wlis da
zemoT asakis qalebisaTvis – weliwadSi
erTxel mamografiis gake-
Teba.
sarZeve jirkvlis kibos mkurnalobis sxvadasxva meTodebidan eqimi-onkologi SegirCevT
TqvenTvis yvelaze metad misaRebs - gaxsovdeT, rac ufro adre daismeba diagnozi da daiwyeba
mkurnaloba, miT ufro izrdeba gankurnebis Sansi.
39
qcevis Secvlis gzavnili
daeufleT sarZeve jirkvlis
TviTgasinjvis teqnikas da
yovelTviurad, menstruaciis
damTavrebis Semdeg,
CaitareT ZuZus gasinjva.
nebismieri cvlilebis aRmo-
Cenisas mimarTeT eqims Semdgomi
kvlevisaTvis.
40 wlis asakidan weliwadSi
erTxel gaiareT ginekologiuri
Semowmeba da moiTxoveT
(ar dagaviwydeT) sarZeve
jirkvlis gamokvlevac.
50 wlis asakidan CaitareT
sarZeve jirkvlis yovelwliuri
gamokvleva mamografiis
saSualebiT.
40
sainformacio gzavnili
prostatis kibo
prostatis kibo mamakacebis, reproduqciuli
traqtis simsivneebs
Soris yvelaze gavrcelebuli simsivnea,
romelic xSir SemTxvevaSi,
adreul stadiaze gankurnebadia.
prostatis kibos riski asakTan er-
Tad izrdeba - igi iSviaTad gvxdeba
45 wlis qvemoT asakovan jgufSi da
ufro xSiria 65 wlis zemoT asakis
mamakacebSi.
40 wlis zemo asakis mamakacebma
yovel wliurad unda gaiaron Semowmeba
prostatis kiboze.
prostatis kibo gankurnebadia, Tu -
diagnozi dasmuli iqneba dro ulad.
mkurnalobis meTodebi Seicavs qirurgiul
Carevas, qimioTerapias,
sxivur Terapias da hormonalur
Terapias – eqimi-onkologi Segir-
CevT Tqveni mdgomareobisaTvis
saukeTeso meTods.
prostatis kibos adreul etapze gamoxatuli
simptomebi ara aqvs - qvemoT
CamoTvlili niSnebi damaxasiaTebelia
prostatitisaTvis, magram aseve SesaZloa
prostatis kibosaTvis :
gaxSirebuli Sardva, gansakuTrebiT
RamiT.
Sardis Sekaveba an gaZnelebuli
Sardva
mtkivneuli an Semcirebuli nakadiT
Sardva
ereqciasTan dakavSirebuli problemebi
an mtkivneuli eakulacia
sisxliani gamonadeni Sardsadinaridan
gamudmebuli tkivili an gakavebis
SegrZneba welis an menjis areSi.
41
qcevis Secvlis gzavnili
Tu Tqven 40 wlis an meti asakis
xarT, yovelwliurad
mimarTeT eqims da CaitareT
prostatis jirkvlis
gamokvleva, raTa droulad
aRmoaCinoT nebismieri saxis
cvlilebebi an kibos niSnebi.
Tu Tqvens eqims eWvi aqvs
prostatis kiboze, mimar-
TeT onkologs kvalificiuri
kvlevisa da Semdgomi
diagnostikis mizniT.
Tu Tqven gaqvT erTer-
Ti qvemoT CamoTvlili
si mptomebidan dauyovnebliv
mimarTeT eqims da gamoikvlieT
prostatis jirkvali:
gaxSirebuli Sardva
Sardis Sekaveba an gaZnelebuli
Sardva
mtkivneuli Sardva an Sardis
Semcirebuli nakadi
ereqciis problema an mtkivneuli
eakulacia
sisxliani gamonadeni Sardsadinaridan
gamudmebuli tkivili welis
an menjis areSi
42
saxelmZRvanelos SemuSavebaSi monawile
pirTa CamonaTvali
gvinda aRvniSnoT reproduqciuli janmrTelobis dargis im eqspertebis, praqtikosi eqimebis da
sxva specialistebis wvlili, romlebic sakoordinacio jgufTan erTad sakomunikacio gzavnilebis
saxelmZRvanelos SemuSavebis sawyiss seminarSi monawileobdnen. maTi gamocdilebis, miswrafebisa
da mizanmimarTuli Zalisxnevis gareSe saxelmZRvanelos samuSao versia verasdros ver
miiRebda saboloo saxes.
Tamar sirbilaZe
zaza boxua
manana beruCaSvili
robizon wiklauri
nana mebonia
Tamar CaCava
giorgi cercvaZe
qarTlos kankaZe
qeTevan qajaia
nodar gvetaZe
Tamar CikvaiZe
qeTevan nemsaZe
irakli xvedeliZe
ekaterine kikatuniZe
marine daviTuliani
mariam jaSi
nino xeTaguri
zviad eraZe
- aSS saerTaSoriso ganviTarebis saagento
- sSjsds jandacvis departamenti
- sSjsds sazogadoebrivi jandacvis departamenti
- sSjsds sazogadoebrivi jandacvis departamenti
- daavadebaTa kontrolis centri
- daavadebaTa kontrolis centri
- i.Jordanias sax. adamianis reproduqciis instituti
- jei-es-ai kvlevisa da swavlebis instituti
- jei-es-ai kvlevisa da swavlebis instituti
- saerTaSoriso fondi `kuracio”
- fondi `orTosi”
- bavSvTa uflebebis dacvis asociacia `klaritasi XXI”
- kavkasiis socialuri marketingis saagento
- federacia `gadavarCinoT bavSvebi”
- qalTa janmrTeobis da keTildReobis kavSiri `hera”
- gaeros bavSvTa fondi
- sainformacio samedicino-fsiqologiuri centri `Tanadgoma”
- guriis axalgazrdobis resurs centri
daavadebaTa kontrolis
da samedicino statistikis
erovnuli centri
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