Sromis, janmrTelobisa da socialuri dacvis ... - Ken Swann

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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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