დიაბეტი – დაავადება, რომელიც შეიძლება მოულოდნელად ,,ეწვიოს” ყველა ოჯახს
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dReisaTvis msoflioSi 425 milionze meti adamiania daavadebuli Saqriani diabetiT, aqedan umravlesoba tipi 2 diabetiaT. oridan erTma adamianma ar icis, rom mas aqvs Saqriani diabeti. daavadebas ganviTarebis riski maRalia Warbi wonis mqone pacientebSic, romelTa raodenoba yovelwliurad izrdeba msoflioSi.
daavadebis Sesaxeb `aWarasTan~ baTumis endokrinologiis centris xelmZRvaneli, medicinis doqtori inga abesaZe saubrobs.
diabetis saerTaSoriso federaciam 2018-2019-is wlebis Temad daasaxela `diabeti da ojaxi~. es Tema iTvaliswinebs ojaxis rolis popularizacias diabetis marTvis, movlis, prevenciisa da ganaTlebis mxriv. diabetis msoflio dResTan dakavSirebiT, baTumis endokrinologiis centrSi Catarda Saqriani diabetiT daavadebul pacientTaTvis ufaso konsultaciebi da gamokvlevebi, aseve, Saqriani diabetis riskis jgufis mqone pacientebisaTvis – (Warbi wona, damZimebuli memkvidreoba) skriningi, ojaxebs saSualeba hqondaT daswrebodnen saganmanaTleblo gakveTilebs.
– Cveni da zogadad, endokrinologebis mizania, gavzardoT ganmanaTlebel RonisZiebaTa raodenoba, raTa SevZloT ojaxebSi Saqriani diabeti tipi 2-is prevencia. es gulisxmobs jansaRi cxovrebis wesis danergvas da jansaRi garemos Seqmnas ojaxebSi. meti informacia mivawodoT ojaxis wevrebs, raTa ukeT mouaron diabetiT daavadebul ojaxis wevrs, gavaumjobesoT diabetis kontroli da Tavidan aviciloT (an gadavavadoT) Saqriani diabetis garTulebebi. Cven gvinda mivitanoT Cvens ojaxebamde is, rom diabetis saukeTeso mkurnaloba garTulebaTa prevenciaa.
– qalbatono inga, ra unda gakeTdes imisaTvis, rom ojaxis wevrebs ar ganuviTardeT diabeti?
– ikvebeT jansaRad, iyaviT fizikurad aqtiuri, uari TqviT Tambaqoze. gvaxsovdes, rom Saqriani diabeti tipi 2-is prevencia 80 procentis SemTxvevaSia SesaZlebeli.
– SegviZlia Tu ara amovicnoT diabetis saSiSi simptomebi?
– piris simSrale, wyurvili, gaxSirebuli Sardva, sisuste, wonaSi umizezo kleba, Wrilobebis cudi Sexorceba. gvaxsovdes, rom oridan erT SemTxvevaSi diabeti ar aris diagnostirebuli da Tu miekuTvnebiT Saqriani diabetis maRali riskis jgufs (Warbi wona, damZimebuli memkvidreoba) akontroleT Saqris done sisxlSi. Saqriani diabetis adreuli gamovlena da misi mkurnaloba adamianis sicocxlis maRali xarisxis SenarCunebis sawindaria.
– rogor unda davexmaroT ojaxis wevrebs diabetis gamovlenis SemTxvevaSi?
– Saqriani diabetis gamovlenis SemTxvevaSi, upirvelesad, Tqveni ojaxis wevrs esaWiroeba fsiqologiuri mxardaWera, amaSi ki dagexmarebaT daavadebis Sesaxeb meti informaciis miReba – rogor unda ikvebebodes diabetiT daavadebuli ojaxis wevri, ra sixSiriT Caitaros glukozis kontroli. Tqven unda icodeT hipoglikemiis – dabali Saqris donisaTvis damaxasiaTebeli simptomebis gamocnoba, raTa SeZloT misTvis pirveladi daxmarebis gaweva. aRmoCnda, rom samidan orma adamianma ar icis, rogor mouaros diabetiT daavadebul ojaxis wevrs. ojaxs didi mniSvneloba aqvs, radganac Cvevebi yalibdeba ojaxSi!
– ramdenad gavrcelebuli daavadebaa Saqriani diabeti?
– Saqriani diabeti aragadamdeb daavadebaTa Soris, erT-erTi yvelaze gavrcelebuli daavadebaa. mraval ganviTarebad da industriul qveyanaSi Saqrianma diabetma miiRo epidemiis forma da mas sikvdilianobis mizezebs Soris meoTxe-mexuTe adgili uWiravs. janmrTelobis msoflio organizaciis monacemebiT, diabetisa da misi garTulebebisagan yovelwliurad iRupeba milionobiT adamiani.
– ra aris diabetiT daavadebulTa gardacvalebis mizezi?
– diabetiT daavadebulTa gardacvalebis ZiriTadi mizezebi – gulis daavadebebi da insulti 2-3-jer, sibrmave-10-jer, nefropaTia 12-15-jer, qvemo kidurebis gangrena 20-jer metad aris momatebuli msoflios mTel populaciasTan SedarebiT. bevr qveyanaSi diabeti aris sibrmavis, Tirkmlis ukmarisobis, gul-sisxlZarRvTa daavadebis, qvemo kidurebis amputaciis ZiriTadi mizezi; 2-dan 6-jer izrdeba Saqriani diabeti tipi 2-is ganviTarebis riski mSoblebsa da axlo naTesavebSi diabetis arsebobis dros. daavadebis memkvidreobis albaToba Seadgens 40 procents. bavSvobaSi kompensirebuli tipis diabetiT daavadebis SemTxvevaSi, sicocxlis xangrZlivoba aRwevs 50-60 wels da mets. sisxlSi glukozis umniSvnelo momateba klasificirdeba rogorc gestaciuri Saqriani diabeti, maSin, roca sisxlSi glukozis mniSvnelovani momateba – rogorc orsulebis Saqriani diabeti. Cveulebriv, gestaciuri Saqriani diabeti viTardeba orsulobis mogvianebiT periodSi, 24-e kviridan. hiperglikemiis aSkara simptomebi orsulobis periodSi viTardeba iSviaTad da Znelia maTi garCeva orsulobis Cveulebrivi simptomebisagan, Tumca SeiZleba adgili hqondes gaZlierebuli wyurvilis grZnobas da xSir Sardvas. Sesabamisad, mizanSewoni-
lia Catardes glukoziT datvirTvis peroraluri testi. Saqriani diabetis ganviTarebis maRali riskis jgufSi Semavalma qalebma aRniSnuli testi unda Caitaron orsulobis adreul etapze.
diabetis saerTaSoriso federaciis monacemebiT, 20,9 milioni axalSobilidan 16,2 procenti dabadebulia paTologiiT im dedebisagan, romelTac hqondaT hiperglikemia orsulobis dros. dadgenilia, rom orsulobis dros arsebobs hiperglikemiis prevalentobis regionaluri gansxvaveba, kerZod, aziis samxreT-dasavleT regionSi prevalentoba yvelaze maRalia.
– dabolos, qalbatono inga, ra doziTaa saxelmwifo CarTuli diabetis marTvaSi?
– saxelmwifo axorcielebs diabetis marTvis programas, romlis mizania Saqriani da uSaqro diabetiT daavadebuli pacientebis ambulatoriuli meTvalyureobis gaumjobeseba, SesaZlo garTulebebis prevencia da specifikuri medikamentebiT uzrunvelyofa. sayovelTao jandacvis programiT finansdeba endokrinologis konsultacia. qronikuli daavadebebis samkurnalo medikamentebiT uzrunvelyofis programiT – meore tipis diabetis medikamentebi: metformini, glimepiridi, gliklazidi. baTumis endokrinologiis centri yovelwliurad atarebs ufaso aqciebs, pacientebs saCuqrad gadavcemT glukometris aparatebs. Cven mudmivad vzrunavT pacientis janmrTelobaze.
