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qron181

577 10 07 06

577 10 07 06 saqarTveloSi moqmedebs kanoni „janmrTelobis mdgomareobis gamo sasjelis moxdisgan gan- Tavisuflebisa da sasjelis moxdis gadavadebis” Sesaxeb, romelsac, ratomRac, dRemde ar axmaureben. Sesabamisad, pa- timarTa ojaxebisTvis xelmiuwvdomelia im daavadebaTa CamonaTvali, romelic sasjelis moxdisgan gasaTavisufle- blad wardgenis safuZvels iZleva. „qronika+” am CamonaTvals pirvelad aqveynebs, vinaidan 2003 wlis 27 martis Semdeg es CamonaTvali, ubralod, gada- maluli iyo. arada, xsenebuli nusxa saqarTvelos kanonmdeblobiT da evrokonvenciis mesame muxliT aris ratificir- ebuli. savaraudod, am nusxis gamoqveynebas elis 15 aTasi adamiani da maTi ojaxebi, romelTa patimrebi sapatimroeb- Si sxvadasxva daavadebisgan itanjebian. „qronika+”-s esaubreba pa- cientTa „uflebebis dacvis asociaciis” Tavmjdomare _ nana sanaia: _ daavadeba ar unda uSlides xels sasjelis moxdaSi patimars da rodesac mZime da ukurnebel senTan gvaqvs saqme, sasjeli unda gadavaddes. gadavadebis SemTxvevaSi patimars saxlSi uSveben, raTa saxlisa da ojaxis pirobebSi imkurnalos. eqvs TveSi erTxel mas gamokvlevas utareben da es adamiani saxlSia mis arsebiT gamojanmrTelebamde. anu mkurnalobs ojaxSi da rogorc ki eqspertizis Sedegad damakmayofilebeli daskvna mova, sasjelaRsrulebis dawesebulebaSi brundeba. es daskvna ar unda daidos manamde, sanam mis janmrTelobaSi dadebiTi cvlilebebi ar iqneba, ris Semdegac patimari dabrundeba da sasjelis moxdas gaagrZelebs. magaliTad, iyo aseTi patimari, romelsac Tirkmlebis mudmivi problema hqonda, mas orive organoSi qvebi ugrovdeboda da sam TveSi erTxel operacia sWirdeboda. anu safuZveli arsebobda, rom gadavadeba mogveTxova. es aris mZime daavadeba, romelic adamians xels uSlis sasjelis moxdaSi. ase weria dRes moqmed kanonSi da evrokonvenciis mesame muxlSi. _ roca patimari gamojanmrTeldeba, cixeSi unda dab- rundes? _ diax. _ davuSvaT, patimars 6 weli miusajes, ijda 2 weli, Semdeg cixeSi daavadda, gadavadebiT saxlSi kidev 2 weli imkurna- la da ojaxur pirobebSi am xangrZlivi mkur- nalobis Semdeg gamojanmr- Telda, mere ra xdeba? _ dabrundeba cixeSi da darCenil 18 Tamar rostiaSvili 294 69 77; qronikaqronika@gmail.com 4 weliwads moixdis. anu saxl- Si yofna wlebSi ar CaeTvleba. _ ki magram, ase xom 8 weli- wadi gamodis? _ weliwadi rac darCa, is ar icvleba da srulad unda moixados Tavisuflebis aRkveTis adgilebSi. ubralod, gadavadebis arsi is aris, rom avadmyofi patimari mowyvetilia patronebs, diskomforti aqvs, rodesac mas mZime daavadeba sWirs da iseTi mZime, rom misi mkurnaloba cixis pirobebSi SeuZlebelia, am dros patimari ganicdis tkivils, tanjvas. misi gaCereba sasjelaRsrulebis dawesebulebaSi ewinaaRmdegeba evrokonvenciis mesame muxls, romlis mixedviTac avadmyofis wameba miuRebelia da araadamianur mopyrobaTa ricxvs ganekuTvneba. _ ki magram, saxlSi gankurnebul patimars ukan cixe- Si rom miabruneb, es xom imas niSnavs, rom mTeli mkurnalo- ba wyalSi Cauyaro. misi cixe- Si mibruneba mdgomareobis gauaresebas ar niSnavs? iq abru- neb, sadac daavadda? _ garkveulwilad, es amasac niSnavs, magram Cven kanonmdeblobas viTvaliswinebT da orientirebulebi varT imaze, arsebuli kanonmdeblobis farglebSi risi gakeTeba SegviZlia daavadebuli patimrebisTvis. iciT, albaT, rodesac adamiani cixeSi xvdeba, masze zrunva saxelmwifom unda aiRos da ar dauSvas misi daavadebis precedenti. piriqiT xdeba da sistematurad _ patimars SeiZleba gaurTuldes daavadeba, magram es Seusabamoba kanonis safuZvlebs ar auqmebs. `es nusxa 2003 wlis Semdeg TvaliT aravis unaxavs, saxelmwifom igi 15 aTas ojaxs daumala~ jandacvis ministris mier xelmowerili daavadebebis skandaluri CamonaTvali nana sanaia _ kargiT, mZime daavadebis safuZvelze patimarTa gada- vadebis an ganTavisuflebis faqtebi Tu yofila? _ ai, ukve mivediT mTavar da yvelaze skandalur Temamde: `daavadeba ar unda uSlides xels sasjelis moxdaSi patimars da rodesac mZime da ukurnebel senTan gvaqvs saqme, sasjeli unda gadavaddes. gadavadebis SemTxvevaSi patimars saxlSi uSveben, raTa saxlisa da ojaxis pirobebSi imkurnalos. eqvs TveSi erTxel mas gamokvlevas utareben da es adamiani saxlSia mis arsebiT gamojanmrTelebamde. anu mkurnalobs ojaxSi da rogorc ki eqspertizis Sedegad damakmayofilebeli daskvna mova, sasjelaRsrulebis dawesebulebaSi brundeba. es daskvna ar unda daidos manamde, sanam mis janmrTelobaSi dadebiTi cvlilebebi ar iqneba, ris Semdegac patimari dabrundeba da sasjelis moxdas gaagrZelebs. magaliTad, iyo aseTi patimari, romelsac Tirkmlebis mudmivi problema hqonda, mas orive organoSi qvebi ugrovdeboda da sam TveSi erTxel operacia sWirdeboda. anu safuZveli arsebobda, rom gadavadeba mogveTxova. es aris mZime daavadeba, romelic adamians xels uSlis sasjelis moxdaSi. ase weria dRes moqmed kanonSi da evrokonvenciis mesame muxlSi~ imisTvis, rom sasjeli gadavaddes, an piri ganTavisufldes, samxaraulis saxelobis eqspertizis saxelmwifo biurom eqspertizis daskvnaSi unda Caweros „mZime”. arada, amis daweras eridebian! Tu visaubrebT ganTavisuflebis faqtebze, ZiriTadad terminalur stadiaSi myof patimrebs aTavisufleben. terminaluri stadia ki niSnavs sikvdilis wina stadias. rac Seexeba „mZimes” _ mis magivrad weren, rom aris „prognozulad mZime”. _ „prognozulad mZime” ras niSnavs? _ „prognozulad mZime” niSnavs imas, rom axla ara, magram momavalSi damZimebis perspeqtivaa. Tanac am „prognozulad mZimes” weren iseT avadmyofebze, romlebic Zalian mZimed arian da momavalSi winasasikvdilo stadias uaxlovdebian. gvinda moviTxovoT, rom is realuri suraTi aisaxos eqspertizis am daskvnebSi, rac sinamdvileSia, imitom rom swored eqspertizis am daskvnebzea damokidebuli sasjelis gadavadebisa da ganTavisuflebis sakiTxebi. aseve eqspertizas Soris urTierTgamomricxavi Sinaarsis mqone daskvnebia. magaliTad, adre Cven ori dokumenti gvqonda, sadac eqspertizam „prognozulad mZime” Cawera, 18 N4 (181) 7.02-13.02.2017 w.

amdenime dReSi situacia rom damZimda da patimari sasikvdilo stadiaSi gadavida, Cawera „mZime”. anu rodesac xedaven, rom adamiani mokvdeba da pasuxismgebloba maT daekisreba, egreve cvlian daskvnas. _ gadavadebis SemTxvevaSi, ojaxSi mkurnalobis gavlis procesSi, exeba Tu ara pati- mars amnistia? _ Tu amnistia am muxliT gamocxadda da yvelas Seexeo, Seexeba im adamiansac, romelic „gadavadebiT” saxlSi mkurnalobs. avadmyofis mkurnaloba garkveul xarjebs ukavSirdeba da rodesac adamiani avadaa, saxelmwifo valdebulia, stacionarSi gadaiyvanos. axla naxeT, ra xdeba? _ sasjelaRsrulebis dawesebulebis samedicino stacionarebi, maincdamainc, kargad aRWurvili ar aris. rodesac patimris janmrTelobis mdgomareoba Zalian uaresdeba, imis gamo, rom TviTon ar aqvT arc saTanado aparatura da arc kvalificiuri specialistebi hyavT, sxva klinikebSi aTavseben. xelSekruleba aqvT dadebuli klinikebTan. „qronika+~ gTavazobT Sepirebul nusxas, romelsac saqarTveloSi arsebuli yvela pa- timris ojaxi elis. imdenad, ramdenadac igi sakmaod vrcelia, mis mxolod pirvel nawils gagacnobT. Semdegi naw- ili „qronika+”-is momdevno nomerSi gamoqveyndeba. saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris brZa- neba #72/n 2003 wlis 27 marti q. Tbilisi im mZime da ganukurnebel daavadebaTa CamonaTvalis damtkicebis Sesaxeb, romelic warmoadgens sasjelis moxdis- agan gasaTavisufleblad wardgenis safuZvels „patimrobis Sesaxeb” saqarTvelos kanonis 65-e muxlis me- 2 punqtis Sesabamisad, vbrZaneb: 1. damtkicdes im mZime da ganukurnebel daavadebaTa CamonaTvali, romelic warmoadgens sasjelis moxdisgan gasa- Tavisufleblad wardgenis safuZvels. 2. brZaneba amoqmeddes gamoqveynebisTanave. a. gamyreliZe sasjelis moxdisgan gasaTavisufleblad wardgenis safuZvels warmoadgens Semdegi daavadebebi: muxli 1. tuberkulozi 1. respiratoruli tuberkulozi baqteriologiurad an histologiurad dadasturebuli: n) sameano momsaxurebis saxelmwifo programa (danarTi #13). (8.04.2010 #90/n) a. filtvebis destruqciuli (fibrozul-kavernuli, diseminirebuli, cirozuli), progresirebadi tuberkulozi; b. progresirebadi kazeozuri pnevmonia; g. filtvebis zemdgradi tuberkulozi; d. plevris qronikuli totaluri empiema, plevro-bronquli marguliT. 2. sxva organoebis tuberkulozi: - Tirkmlebis ormxrivi kavernuli tuberkulozi, specifikuri procesis gavrcelebiT saSarde gzebSi; - xerxemlis, msxvili Zvlebisa da saxsrebis progresirebadi destruqciuli tuberkulozi; 3. miliaruli tuberkulozi. respiratoruli, sxva organoebisa da miliaruli tuberkulozi, garTulebuli qronikuli filtvismieri gulis dekompensaciis stadiaSi sunTqvi- Ti ukmarisoba IIIx. an/da Tirkmlis qronikuli ukmarisoba terminalur stadiaSi, amiloidozi. muxli 2. avTvisebiani sim- sivneebi 1. nebismieri lokalizaciis avTvisebiani simsivniT daavadebulni, romelTa mdgomareo- 294 69 77; qronikaqronika@gmail.com `qronika+~ am CamonaTvals pirvelad aqveynebs, vinaidan 2003 wlis 27 martis Semdeg es CamonaTvali, ubralod, gadamaluli iyo. arada, xsenebuli nusxa saqarTvelos kanonmdeblobiT da evrokonvenciis mesame muxliT aris ratificirebuli. savaraudod, am nusxis gamoqveynebas elis 15 aTasi adamiani da maTi ojaxebi, romelTa patimrebi sapatimroebSi sxvadasxva daavadebisgan itanjebian~ bac Seesabameba IV klinikuri jgufiT gansazRvrul kategorias. 2. limfuri da sisxlmbadi qsovilebis avTvisebiani daavadebebi. mioloprooliferaciuli simsivneebi. klinikuri diagnozi dadasturebuli unda iyos morfologiuri gamokvlevebiT. a) mwvave leikemia (yvela forma); b) (#57/n, 11.03.2004) – qronikuli mieloiduri leikemia – aqseleraciis stadia, blasturi krizi, kaxeqsiiT, anemiiT, an hemoragiuli sindromiT; g) qronikuli eriTromielozi – terminaluri stadia; d) eriTremia – garTulebuli sisxlCaqcevebiT an Tavis tvinis sisxlZarRvebis TrombozebiT; e) qronikuli limfoiduri leikemia – garTulebuli anemiiT, TrombocitopeniiT, an morecidive infeqciebiT; v) (#57/n, 11.03.2004) – qronikuli monocituri leikemia – aqseleraciis terminaluri stadia anemiiT, an hemor- agiuli sindromiT; z) – mravlobiTi mieloma – yvela forma (#57/n, 11.03.2004); T) – limfogranulomatozi – yvela stadia (#57/n, 11.03.2004); i) (#57/n,11.03.2004) – arahojkinis avTvisebiani, an aradiferencirebul ujredovani limfomebi _ yvela forma. muxli 3. sxivuri daavadeba 1. mwvave sxivuri daavadeba. a) III-IV xarisxis mwvave sxivuri daavadeba; b) garTulebuli kanis III-IV xarisxis adgilobrivi sxivuri dazianebebiT. 2. mwvave sxivuri daavadebebis Sedegebi: a) asteniuri sindromi regulatoruli sistemebis (upiratesad nervuli da sisxlZarRvovani) ukiduresi gamofitviTa da funqciuri ukmarisobiT; b) nervuli da sisxlis mimoqcevis sistemebis organuli dazianebebi Tavis tvinisa da periferiuli sisxlis mimoqcevis mZime moSliT; g) periferiuli sisxlis ma- Cveneblebis arastabiluroba gamoxatuli pancitopeniuri sindromiT, Zvlis hipoplaziis niSnebiT; d) Rrma trofikuli, degeneraciuli da sklerozuli mogvianebiTi radiaciuli wylulebi; e) sxivuri kataraqta III stadiis, ukeTmxedvel TvalSi mxedvelobis simaxviliT 0,05; v) mogvianebiTi sxivuri efeqtebi (RviZlis, filtvebis, Zvlovani da sisxlmbadi qsovilebis avTvisebiani simsivneebi). 3. qronikuli sxivuri daavadeba. a) qronikul sxivuri daavadeba III- IV xarisxis simZimis formirebis periodSi, agreTve, Soreuli periodis progresirebis stadiaSi; b) mogvianebiTi sxivuri efeqtebi (RviZlis, filtvebis, Zvlovani da sisxlmbadi qsovilebis avTvisebiani simsivneebi). muxli 4. endokrinuli sist- emis daavadebebi 1. tipi 1 Saqriani diabeti (insulindamokidebuli) mZime forma, ketoacidozisadmi midrekilebiT, mkurnalobisadmi rezistentuli – mZime garTulebebiT sasicocxlod mniSvnelovani organoebis (guli, centraluri nervuli sistema, Tirkmlebi) mxriv. 2. hipoparaTireozis inoperabeluri mZime forma, lulovani Zvlebisa da xerxemlis mravlobiTi paTologiuri motexilobiT da/an Tirkmlebis qronikuli, terminaluri, mkurnalobisadmi rezistentuli ukmarisobiT. 3. icenko-kuSingis daavadeba an sindromi, inoperabeluri mZime forma, mkurnalobisadmi rezistentuli, lulovani Zvlebisa da xerxemlis mravlobi- Ti paTologiuri motexilobiT. kunTebis atrofiiT, kardiomiopaTiiTa da gul-sisxlZar- RvTa sistemis mZime, mkurnalobisadmi rezistentuli ukmarisobiT, Tavis tvinSi sisxlis mimoqcevis moSliT, ori an meti kiduris plegiiT an pareziT. 4. hipoTalamo-hipofizuri kaxeqsia (simondisis daavadeba) mkurnalobisadmi rezistentuli mZime, terminaluri garTulebebiT Sinagani organoebis da nervuli sistemis mxriv. „qronika+” sasjelaRsrulebis saministros pressamsaxuris ufross, baia canavas da- ukavSirda: _ ramdenad moqmedebs 2003 wlis jandacvis ministris br- Zanebuleba, sadac is daavade- bebia CamoTvlili, romliTac patimrebi gadavadebas eqvem- debarebian, anu igive saxlSi mkurnalobas? _ unda movikiTxo. Tu Sei- Zleba, kiTxvebi gamomigzavneT da yvelaferze gipasuxebT _ ramden patimars unda gadauvaddes, moqmedebs Tu ara es br- Zaneba da romel daavadebebze. N4 (181) 7.02-13.02.2017 w. 19