Transcript mosaxleobis garkveul jgufebSi tuberkulozze saeWvo

mosaxleobis garkveul jgufebSi tuberkulozze saeWvo
simptomebis mixedviT skriningi test-kiTxvaris
gamoyenebiT
e.sanikiZe
medicinis mecnierebaTa akademiuri doqtori
Sesavali
 tuberkulozis gamovlenis aqtiuri da pasiuri meTodebi
 pasiuri meTodis samedicino, socialuri da ekonomikuri aspeqtebi
 mosaxleobis garkveuli jgufebis aqtivireba tuberkulozze saeWvo niSnebis
mixedviT skriningis gziT (indoeTi, Cexoslovakia da sxva, janmos
eqspertTa merve da mecxre Sexvedrebi, stopTB 2009 wlis prioritetebi)
kvlevis mizani
test-kiTxvaris Sedegianobis Sefaseba modelze SemdgomSi misi farTod gamoyenebis
mizniT
kvlevis amocanebi:
1. tuberkulozze saeWvo niSnebis mqoneTa jgufis gamoyofa specifiur
mosaxleobaSi
2.
saeWvoTa Soris tuberkulozis dadasturebis SemTxvevaTa sixSiris
dadgena
3. miRebuli Sedegebis analizis safuZvelze rekomendaciis SemuSaveba da
Casatarebeli samuSaos dagegmva
kvlevis masala da meTodebi
 464 piri gansazRvruli socialuri fenidan-(ltolvilebi)
 200 piri saSualo da warmatebuli fenis zogadi mosaxleoba
a)skriningi-specialuri test-kiTxvaris gamoyenebiT, saeWvoTa gadarCeva 3 ZiriTadi
simtomiTa da maTi saTanado kombinaciiT.
b)tuberkulozis ganviTarebis maRali riskis jgufis gamoyofa
monacemTa damuSaveba Epi Infos saSualebiT
kvlevis Sedegebi
 I kategoria (464 piri)
 saeWvo niSnebi-29, tuberkuloz dadasturda-3 (wamyvani simtomi-mdgradi xvela)
 9 SemTxveva-respiratoruli infeqcia, 6-mwvave bronqiti;4-gulis ukmarisobaII x1-
revmatiuli karditi; 1-qolecistiti, 1-bronquli asTma; 1-refluqsi; 3-gamokvleva ar
Cautarebia
 II kategoria-saeWvo niSnebi-11
 gamokvleva-5
 1-SemTxveva-gaxangrZlivebuli pnevmonia, 3-bronqiti, 1-Suasayris simsivne
test-kiTxvaris SesaZleblobebi
I
 tuberkulozze saeWvo simptomebis mqoneTa jgufis gamoyofa
 maT Soris qvejgufebis dadgena
 aRniSnul qvejgufSi tuberkulozis SemTxvevis gamovlena
II
 aratuberkulozuri etiologiis daavadebaTa drouli gamovlena
 tuberkulozis ganviTarebis maRali riskis jgufebis dadgena (3 wlis
Semdeg ganmeorebiTi kvleviT-3 SemTxvevis (646/10000) ganviTareba
maRali riskis jgufebSi)
III
 informacia tuberkulozis Sesaxeb
 individualuri baraTi da algoriTmi
daskvnebi
 1. skriningi simptomebis mixedviT pacientebisa da medpersonalis aqtivirebas
gulisxmobs da efeqturia samedicino da ekonomikuri TvalsazrisiT
 test-kiTvari iZleva tuberkulozze saeWvo niSnebis mqoneTa da maT Soris,
tuberkulozis SemTxvevis dadgenis saSualebas
 test-kiTxvari specifiur mosaxleobaSi tuberkulozis aqtiuri meTodiT gamovlenis iafi,
advilad gansaxorcielebeli da dasamuSavebeli meTodia
 test-kiTxvaris iZleva sxva etiologiis drouli gamovlenis saSualebas
 test-kiTxvari tuberkulozis ganviTarebis maRali riskis jgufebis gamoyofisa da maT
mimarT prevenciuli zomebis miRebis saSualebas iZleva
 modelze Catarebuli kvlevis Sedegebi saSualebas iZleva daigegmos skriningi mosaxleobis
sxva jgufebSic (jariskacebi, usaxlkaroebi, TavSesafrebis, saerTo sacxovreblebis,
hospisebis binadrebi, araspecializebuli samedicino qselis pacientebi, patimrebi,
kontaqtebi da sxva). studentTa, rezidentTa da moxaliseTa CarTva am kvlevaSi kidev
ufro Seamcirebs xarjebs da respodentTa ganswavlas Seuwyobs xels.
 madloba yuradRebisaTvis