8imaze metyvelebs, rom asea Tu ise, pirveladijandacvis eqimebSi gamoiRviZa `onkologiurmasifxizlem”, aqedan daaxloebiT10000 xvdeba Cvens centrSi samkurnalod,8000-s onkologiuri daavadeba ar udgindeba.samwuxarod, danarCeni 12000 daavadebisim stadiaSia, rodesac mkurnaloba ukve naklebadefeqturia. Tanamedrove onkologiaSifarTod gamoiyeneba mkurnalobisqirurgiuli, sxivuri da medikamenturi me-Todebi. onkologiuri principebidan gamomdinare,monokomponenturi mkurnalobaiSviaTad gamoiyeneba. ufro xSirad mivmarTavTkombinirebul da kompleqsurmkurnalobas: kombinirebulia mkurnaloba,roca erTdroulad gamoiyeneba ori me-Todi (qirurgiuli+ sxivuri, qirurgiuli+medikamenturi, sxivuri+ medikamenturi).kompleqsuri mkurnalobis dros erTdrouladgamoiyeneba samive ZiriTadi me-Todi (qirurgiuli, sxivuri, medikamenturi).ase rom, pacienti onkocentrTan kav-Sirs 1 vizitiT ar wyvets, xSirad mas esaWiroebaoperaciiswina da operaciis-Semdgomi qimia- da sxivuri Terapiis ramdenimekursi da, ra Tqma unda, dinamikurimeTvalyureoba. unda gvaxsovdes, romdrouli adekvaturi specializebuli mkurnalobisCatareba sicocxlis xangrZlivobisgazrdis, misi xarisxis gaumjobesebisada sruli gankurnebis Sanssac ki iZleva.avTvisebiani simsivneebis 55%-mde vizualurilokalizaciisaa: kanis, ZuZus, gareTasasqeso organoebis, tuCis, pirisRrus, limfuri kvanZebis, swori nawlavis dawinamdebare jirkvlis kibo. maTi gamovlenisTvisar aris saWiro didi danaxarjebi,rTuli sadiagnostiko aparatura, magramsaWiroa pirveladi jandacvis qselSimomzadebuli, onkologiurad ganaTlebulieqimi da Tu mis mier avadmy<strong>of</strong>is gasinjvasar eqneba fiqtiuri xasiaTi, arsebobsSansi saerTod aviciloT Tavidan simsivnean movaxdinoT misi drouli diagnostika daadekvaturi mkurnaloba, rac avadmy<strong>of</strong>issruli gamojanmrTelebis sawindaria.rac Seexeba Sinagani lokalizaciis simsivneebs:RviZlis, filtvis, kolinjis, ku-WqveSa jirkvlisa da a.S. kibos, maTi adreulidiagnostika zemoaRniSnuli gziT Seu-Zlebelia. am daavadebebis gamokvlevisTvissaWiroa skrininguli test-sistemis gamoyeneba.ZviradRirebuli diagnostikis SemdegmaTi mkurnaloba, vizualuri lokalizaciissimsivneebTan SedarebiT, dakavSirebuliadid danaxarjebTan da mkurnalobis SedegebicukeTesis survils tovebs. amitom Sinaganilokalizaciis simsivneebTan mimarTebaSiufro gamarTlebulia jandacvisstrategia da saxelmwifo investiciebi mimarTuliaRniSnuli daavadebis Tavidan acilebisRonisZiebebisaken.
9_ bronqopnevmoniasTan da 1,0(4,2%) _ medikamenturintoqsikaciasTan. klinikaSi moTavsebisassunTqvis mwvave ukmarisobaaReniSneboda yvela avadmy<strong>of</strong>s da isinipirvelive saaTebSi gadayvanil iqnen xelovnursunTqvaze. tramvuli Sokis mdgomareobaSiiyo 4,0(16,0%) avadmy<strong>of</strong>i, hipovolemiuriSokis _ 3,0(12,0%), septikuriSokis mdgomareobaSi ki _ 2,0(8,0%) avadmy<strong>of</strong>i.sxva avadmy<strong>of</strong>ebs sisxlis mimoqcevisukmarisoba CamouyalibdaT kritikulimdgomareobis momdevno etapebze. kritikulimdgomareobis sxvadasxva etapze amavadmy<strong>of</strong>ebs 15,0(10,2%) SemTxvevaSi CamouyalibdaTTavis tvinis SeSupeba. 3,0(12,0%)SemTxvevaSi RviZlisa da 2,0(8,0%) SemTxvevaSiTirkmlebis mwvave ukmarisoba. infeqciurigenezis garTulebebi ganuvi-Tarda 13,0(52,0%) avadmy<strong>of</strong>s. maT Soris10,0-s (40,0%) _ traqeo-bronqiti, 9,0-s(36,0%) _ bronqopnevmonia, 3,0(12,0%) _ cistiti,xolo 2,0(8,0%) avadmy<strong>of</strong>s _ mZime sefsisi.klinikaSi Semosvlisas yvela avadmy<strong>of</strong>iimy<strong>of</strong>eboda cerebruli komis mdgomareobaSi,romlis siRrme `glazgos skalis~mixedviT 9,0(36,0%) SemTxvevaSi 3-5bali iyo, 11,9 (44,0%) SemTxvevaSi _ 6-8bali, 5,0(20,0%) SemTxvevaSi ki _ 9-12 bali.am avadmy<strong>of</strong>Tagan 6,0(24,0%) imy<strong>of</strong>ebodakritikuli mdgomareobis pirvel stadia-Si, 13,0(52,0%) _ meore, xolo 6,0(24,0%) _ mesamestadiaSi. Apache-2 skaliT gamokvlevisasam avadmy<strong>of</strong>Tagan 7,0(28,0%) imsaxurebda10-20 qulas, 12,0(48,0%) avadmy<strong>of</strong>i _ 21-30 qulas, 6,0(24,0%) ki _ 31-ze met qulas.Yyvela avadmy<strong>of</strong>i namkurnalebi iyo tradiciulimeTodiT, romelic eyrdnobodakritikul avadmy<strong>of</strong>Ta mkurnalobis saxelmwifostandartebs (1). es moicavdafxv, Sokis sawinaaRmdego Terapias, wylikritikulimedicinaeleqtruli impulsebis gamoyeneba kritikulimdgomareobis drosz. xelaZe zv. xelaZe, r. Soniakritikuli medicinis instituti, Tbilisi, saqarTvelo(recenzenti – pr<strong>of</strong>esori n. gogebaSvili)aqtualoba: kritikuli mdgomareobamoicavs organoebisa da qsovilebiscalkeuli ubnis distr<strong>of</strong>iul cvlilebebsada nekrozs. amis gamo, dReisaTvis, kritikulimdgomareobebis mkurnalobaumTavresad ama Tu im organosa da qsovilisdauzianebeli ubnebis SenarCunebasada maTi funqciis gamarTvazea gaTvlili.Tumca, kritikuli mdgomareobebis likvidaciisasSemdgomi progresis miRwevaSeuZlebelia am ubnebis aRdgenis gareSe.amgvari procesebis mizandasaxuli mar-Tvis problema ki kritikul medicinaSidRemde ar dasmula. ufro metic, dRes medicinaSifarTod ganxiluli sakiTxi sxvadasxvasaxis daavadebis dros aRmocenebulipaTologiuri dazianebebis Rerovaniujredebis meSveobiT reparaciis Sesaxeb,amJamad mxolod progenituli Rerovaniujredebis transplantaciis saxiTaa warmodgenili.aqamde ar dasmula arc am ujredebiskomitirebis procesis uSualod organizmSimarTvis problemac (2).mizani da amocanebi: Rerovani ujredebisdiferencirebis procesis marTvakritikuli mdgomareobis dros eleqtruliimpulsebiT.masala da meTodebi. Seswavlili iyo25(100%) avadmy<strong>of</strong>i, qali iyo 8,0(32,0%)kaci_17,0(68,0%), zrdasruli asakis iyo _6,0(24,0%), gardamavali asakis _14,0 (56,0%)xanSiSesulTa da moxucTa asakis ki _ 5,0(20,0%) avadmy<strong>of</strong>i. 7,0(28,0%) SemTxvevaSikritikuli mdgomareoba asocirebuli iyoiSemiur insultTan, 5,0(20,0%) _ hemoragiulinsultTan, 3,0(12,8%) _ politravmasTan,2,0(8,0%) _ qala-tvinis mZimetravmasTan, 2,0(8,0%) _ RviZlis ukmarisobasTan,2,0(8,0%) _ Tirkmlebis ukmarisobasTan2,0(4,0%) _ mZime sefsisTan, 2,0(8,0%)