2006 წლის I ნახევარი

saerTo mdgomareobisa, arsebobs maRali riski imisa, rom pacientsganumeordes sisxldena saWmlis momnelebeli sistemis zeda nawilebidan,risi precedentic ukve dafiqsirebulia 2 Tvis win da risi safuZvelicarsebobs saylapavi milis venebis varikozuli gaganierebis saxiT.avadmyofis janmrTelobis mdgomareobisa da asakis gaTvaliswinebiT misi”mkurnaloba” aRniSnul pirobebSi ar tardeba. igi ar imyofeba, sulmcire, samedicino nawilSic ki Cven ver movipoveT raime werilobiTisamedicino dokumenti, romelic asaxavs mis janmrTelobis mdgomareobas.safiqrebelia, rom msgavs pirobebSi sisxldenis xelmeored ganaxlebagardauvlad gamoiwvevs avadmyofis sikvdils. Cven mier gaicarekomendacia: avadmyofi dauyovnebliv unda moTavsdes samedicinonawilSi; daisvas misi gadayvanis sakiTxi Sesaferis samedicinodawesebulebaSi; saWiroa eqim hepatologis konsultacia. erT-erTiSemdgomi vizitis dros avadmyofi marTlac iyo gadayvanili samedicinonawilSi, Tumca samedicino aspeqtebze da maT adekvaturobaze saubari amSemTxvevaSi kvlav veranair kritikas ver uZlebs.monitoringis dros Cven aseve vnaxulobdiT iseT avadmyofebsac, romelTagasinjvisaTvis adgilobrivi eqimi mogvmarTavda. erT-erTi aseTimagaliTia qvemoT moyvanili SemTxveva:avadmyofi Temur r. warmogvidgina samedicino nawilis ufrosma, romelicmis mier gatarebul iqna komisiaze da gadaiyvanes patimarTaA damsjavrdebulTa samkurnalo dawesebulebaSi. miuxedavad avadmyofisjanmrTelobis mdgomareobisa, patimari wina SabaTs gamoweres ukan dadaabrunes me-5 sapyrobileSi. rogorc samedicino nawilis mTavarma eqimmagangvimarta, mas Seatyobines, rom aRniSnuli moxda operatiuliinformaciis safuZvelze, rasac, samwuxarod, upiratesi mniSvnelobamieniWa janmrTelobis mdgomareobasTan SedarebiT. avadmyofs warsulSigadatanili aqvs operacia muclis Rruze, romlis tipisa da moculobisdadgena ver xerxdeba. mas Semdeg Camouyalibda fistula, mucelSiCadebuli aqvs drenaJi, romliTac ukve erT weliwadze metia, gamoiyofaCirqi. periodulad aReniSneba temperatura. komisiis mier Sefasebuliaavadmyofis mdgomareoba da mizanSewonilad iqna miCneuli avadmyofisgadayvana samkurnalo dawesebulebaSi. miuxedavad amisa, Cirqis denismizezi ar dadgenila da avadmyofi ukan daabrunes.sayuradReboa, rom avadmyofi bolo periodSi aRniSnavs Cirqovanigamonadenis feris Secvlas. igi aRniSnavs, rom xelTaTmanis TiTebi(raSic Cadebulia drenaJi) ivseba momwvano feris siTxiT. safiqrebelia,rom aRniSnulis mizezi SeiZleba iyos mikrobis - mamwvanebeli daCirqebisCxiris (Ps. aeruginosa) zeddarTva infeqciaze. aRniSnuli tendencia kikatastrofuli SeiZleba aRmoCndes Sidahospitaluri infeqciisgavrcelebis TvalsazrisiT da safrTxe Seuqmnas samedicino nawilSimyofi yvela avadmyofis janmrTelobas, gansakuTrebiT TugaviTvaliswinebT im pirobebs, romelSic imyofebian avadmyofebi. meoremxriv, metad sagangaSoa is mdgomareoba, romelSic Tavad Temur r.imyofeba. safiqrebelia, rom Cirqis dena gamowveulia wina periodSiCatarebuli araadekvaturi operaciuli CareviT, postoperaciuligarTulebiT an postoperaciul periodSi avadmyofis uyuradRebod daumkurnalod datovebiT.155