gadanergili-organo gadarCenili sicocxle!

Tirkmlis transplantacia

Tirkmeli – adamianis ZiriTadi eqskretoruli organo

daSlis produqtebiT mdidari sisxli Tirkmels arteriiT miewodeba da ifiltreba

 sisxlis filtratia Sardi  Sardi SardsawveTiT Sardis buStSi grovdeba da SardsadeniT gareT gamoiyofa

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Tirkmlebi ganlagebulia retroperitonealur sivrceSi, gulmkerdis XI da welis III malebis doneze

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Tirkmlis masa 120-200 gr.

sirZe 10-12 sm.

sigane 5-6 sm.

sisqe 3-4 sm.

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Tirkmeli Sedgeba gareTa-qerqovani da SigniTa-tvinovani Sreebisagan

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Tirkmlis ZiriTad struqturul-funqciur erTeuls warmoadgens nefroni

Tirkmlebis umniSvnelovanesi fiziologiuri roli-homeostazis regulacia

   osmoregulacia volumoregulacia eleqtrolituri da mJava-tutovani balansis mudmivobis SenarCuneba      azotovani cvlis produqtebis eqskrecia cilebis, lipidebis, naxSirwylebis metabolizmSi monawileoba organizmidan toqsikuri nivTierebebis gauvnebelyofa da gamoyofa hemodinamikis regulacia inkretoruli funqcia

Tirkmlis mwvave da qronikuli ukmarisoba irRveva Tirmlis funqciebi

• wyalmarilovani, azotovani da sxva nivTerebaTa cvla

Tirkmlis mwvave ukmarisoba

• irRveva filtraciuli, gamomyofi da sekretoruli funqciebi

Tirkmlis qronikuli ukmarisobis mizezi SeiZleba iyos:

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yvla is daavadeba, romelic iwvevs Tirkmlis gorglebis dazianebas

Tirkmlis qronikul ukmarisobas iwveven Semdegi daavadebebi Tirkmlebis polikistozi arteriuli hipertenzia qronikuli glomerulonefriti, pielonefriti sistemuri wiTeli mglura, hemoragiuli vaskuliti Saqriani diabeti, podagra, amiloidozi

Tirkmlis qronikul ukmarisobas iwveven Semdegi daavadebebi SardkenWovani daava deba, hidronefrozi Tirkmlis ganviTa rebis Tandayolili anomaliebi Sardsadenze zemwoli simsivne

TirkmliT CanacvlebiTi Terapiis ori forma dializi transplantacia

Tirkmlis pirveli gadanergva

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1902 w. uremiiT daavadebuls gadaunerges Roris Tirkmeli

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1933 w. gadainerga gardacvlili adamianis Tirkmeli

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1954 warmatebiT gadainerga gardacvlili adamianis Tirkmeli

warmatebuli operaciisTvis ozef miurem 1990 wels nobelis premia miiRo

 swored miureis naSromebi daedo safuZvlad Tanamedrove transplantologias

Tirkmlis gadanergva saqarTveloSi

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1977 w. gadainerga gvamuri Tirkmeli

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1997 w. daarsda transplantologTa asociacia 30% 25% 20% 15% 10% 5% 0% 1995 1999 2000 2007

ლეტალურად დასრულებულ ი ოპერაციები

organoTa donaciis me-12 evropuli dRe TbilisSi

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2010 w. 23 oqtombers Tbilisma pirvelad umaspinZla “organoTa donaciis me-12 evropul dRes” RonisZiebaSi monawileoba miiRo ormocamde eqim transplantologma evrosabWos qveynebidan

imunosupresiuli preparatebia azatioprini prednizoloni ciklosporini

saqarTveloSi 2000 w. miRebuli kanonis Tanaxmad donori SeiZleba iyos, rogorc cocxali, ise gardacvlili adamiani

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recipients SeiZleba gadaenergos mxolod genetikuri naTesavis, meuRlis, an meuRlis naTesavis organo

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saqarTveloSi moqmedebs ‘donorTa gacvlis programa’

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organoebiT vaWroba saqarTveloSi xuTidan aT wlamde Tavisuflebis aRkveTiT isjeba

donori-adamiani, romlis sxeulidanac iReben gadasanerg qsovils an organos Tavsebadobis ZiriTadi parametrebi

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sisxlis jgufis Tanxvedra, leikocituri antigenebisa da e.w. jvaredini reaqciis mixedviT

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erTmaneTis msgavsi unda iyos donorisa da recipientis masa da asaki

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sasurvelia Tirkmlis gadanergva erTi da imave sqesis adamianebs Soris moxdes

yvela donorma unda gaiaros fsoqosocialuri gamokvleva, Tirkmlis gacemis motivaciis Sesafaseblad

recipienti-adamiani, romelsac energeba qsovili an organo

gadanergvisaTvis saWiroa recipientis momzadeba

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unda mowesrigdes sisxlis bioqimiuri maCveneblebi, arteriuli wneva, gul sisxlZarRvTa sistemis muSaoba aucelebelia ganikurnos yvela anTebiTi procesi sisxlSi eriTrocitebisa da hemoglobinis saTanado donis uzrunvelyofa donoris Tirkmlis Tavsebadobis dasadgenad unda Catardes antigenebisa da histoSeTavsebis sistemebis kompleqsuri gamokvleva

recipienti, rogorc donori, srulad unda iyos informirebuli yvela mosalodneli garTulebis Sesaxeb

operaciis dawyebamde

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xeli unda moaweroT Tanxmobis formaze, romelic adasturebs Tqvens Tanxmobas Tirkmlis gadanergvis operaciaze

operaciis mimdinareoba

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operaciis dros wamlebis Sesayvanad pacients venaSi udgamen ramdenime kaTeters wveTovaniT

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piridan filtvebSi SeyavT mili, romelic SeerTebulia filtvebis xelovnuri ventilaciis aparatTan

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akontroleben gulis cemis sixSires, arteriul wnevas, sunTqvas

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saoperacio velis kans daamuSaveben Zlieri antiseptikuri xsnariT

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eqimi avlbes grZel ganakveTs muclis qvemoT cal mxareze

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donoris Tirkmels aTavseben muclis RruSi

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donoruli Tirkmlis SardsawveTs uerTeben Sardis buSts

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donoruli Tirkmlis arteriasa da venas uerTeben pacientis TeZos arteriasa da venas

donoris marjvena Tirkmeli marcxniv inergeba, xolo marcxena-marjvniv; amiT advili xdeba donoruli Tirkmlis SardsawveTis mierTeba Sardis buStTan

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ganakveTs keraven qirurgiuli nakeriT

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SeSupebis Sesamcireblad ganakveTis ubanSi Tavsdeba drenaJi

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Wrilobas adeben sterilur saxvevs

Tirkmlis gadanergvis operaciis Semdeg

c

palataSi, mdgomareobis gaumjobesebis Semdeg gadayavT Cveulebriv palataSi

operaciis Semdeg pacients eniSneba medikamentebi, raTa organos mwvave mocilebis reaqcia ar ganviTardes

Sin dabrunebis Semdeg

 donorma erTxans Tavi unda aaridos zogierT sakvebs ( comeuls; mwares; cxares; marilians; alkoholur sasmelebs da sxva )  recipientisaTvis mniSvnelovania naoperaciebi midamos sufTad da mSralad SenarCuneba

Tirkmlis transplantantis daavadebebi

 qronikuli mocilebis sindromi  medikamentozuri intoqsikacia  transplantis qronikuli nefropaTia  rekurentuli daavadeba

msoflio statistikis Tanaxmad, gadanergili Tirkmlis funqcionirebis maqsimaluri xangrZlivoba 20-30 welia

gisurvebT janmrTelobas!