,, როცა საქმეს გულით მიუდგები და ძალისხმევას არ დაიშურებ, მადლიერებითა და სიყვარულით დაგიფასდება ”
მანანა ტაკიძე 577 10 15 17
2018 wlis statistikuri monacemebiT, msoflioSi yovelwliurad kiboTi 14 milioni adamiani avaddeba. maTi umravlesoba maleve iRupeba, rac sakmaod didi maCvenebelia. daavadebulTa met procents avTvisebiani simsivneebis sxvadasxva stadia udgindeba. kibo didi xania socialur problemad iqca, romelsac eqimebi da mecnierebi erTnairad ebrZvian. mzardi statistikiT SeSfoTebulia mosaxleoba, saxelmwifom ki kibos naadrev stadiaSi gamosavlenad araerTi programa SeimuSava. sxvadasxva klinika pacientebs sayovelTao dazRveviT ufaso medikamentebsa da maRalteqnologiur gamokvlevebs sTavazobs. miuxedavad amisa, mosaxleobaSi eqimTan misvlis da sakuTar janmrTelobaze zrunvis kultura mainc dabalia. maRalteqnologiuri hospital `medcentris~ qimioTerapiis departamentSi pacientebs avTvisebiani simsivneebis mkurnaloba uaxlesi teqnologiebiT utardebaT. medikamenturi mkurnaloba – qimioTerapia, imuno da targetuli Terapia neoaduantur, aduantur da paliatiur reJimSi, rogorc monoTerapiis, ise sxivur TerapiasTan kombinaciaSi efeqturia da pacientebis sicocxles axangrZlivebs.
ra siaxleebia onkologiaSi da ra sirTuleebTan uwevT eqimebs gamklaveba, am da mkiTxvelisTvis saintereso sxva sakiTxebze klinikuri onkologi, qimioTerapevti nino semionova gvesaubreba.
– qalbatono nino, bolo periodSi onkodaavadebulTa ricxvma sakmaod imata. Tqveni azriT, ra ganapirobebs aseT mzard statistikas?
– onkodaavadebebs mravali faqtori ganapirobebs. yvela Cvengani atarebs onkogenebs, romlis maprovocirebeli mizezi bevria. onkogenebis aqtivaciis Semdeg, xSirad procesis SeCereba SeuZlebeli xdeba. moqmedebs rogorc Sinagani – endogenuri faqtorebi, ise hormonaluri darRvevebi da anTebebi. xSirad genetikur faqtorsac didi mniSvneloba aqvs onkodaavadebebis gavrcelebaSi, moqmedebs ekologiuri faqtorebic, kerZod, radiaciis mateba, magnituri dasxiveba, razec radioantenebi da mobiluri telefonebi axdenen zegavlenas. ra Tqma unda, Tu adamiani cxovrobs saxifaTo sawarmosTan axlos, romelic garemoSi kancerogenebs afrqvevs, misi daavadebis riski metia. aseve maRalia megapolisebSi mcxovrebi adamianebis daavadebis riskic. arsebobs mosazreba, rom bavSvebSi leikozebis matebis da Tavis tvinis simsivneebis erT-erTi mizezi mobilurebsa da kompiuterebTan xangrZlivi urTierTobaa, F(vai-fai) uaryofiT zegavlenas axdens Cvens janmrTelobaze. arsebul uxarisxo saTamaSoebs emateba araswori kveba, ar vtvirTavT Tavs fizikuri varjiSebiT. jansaRi cxovrebis wesi ar aris CvenTvis prioriteti. es yvelaferi moqmedebs daavadebis mutaciaze da organizmSi simsivnuri procesebi viTardeba.
– amdeni welia am sferoSi muSaobT da rogoria onkologiuri daavadebis statistika?
– muSaoba klinikaSi 2008 wels daviwye. jer aWaris avtonomiuri respublikis onkologiuri centri iyo, axla – maRalteqnologiuri hospitali `medcentri~. 10-wliani muSaobis gamocdilebidan gamomdinare, SemiZlia vTqva, rom onkodaavadebulTa raodenoba mniSvnelovnad gazrdilia. klinikis eqimebi movuwodebT moqalaqeebs, gamoikvlion TavinTi janmrTeloba, raTa daavadeba dadgindes adreul periodSi, anu pirvel-meore stadiaSi, rac samwuxarod, ar xdeba. amis Sedegia, rom onkologiuri pacientebis ricxvi bolo 10 wlis ganmavlobaSi gaormagebulia. es problema aqtualuria rogorc saqarTveloSi, ise mTel msoflioSi.
– avTvisebian da keTilTvisebian simsivneebs Soris ra gansxvavebaa da ramdenad sworia daavadebis amgvari formulireba?
– avTvisebian simsivnes, kibos, SeuZlia daazianos axlomdebare qsovilebi da gavrceldes sxeulis sxva organoebze. axasiaTebs metastazebis swrafi gavrceleba da SesaZlebelia mokle droSi moicvas rogorc Sinagani organoebi, ise Zvali, Tavis tvini da nervuli sistema. daavadeba limfuri gzebiTac gadadis da pacienti ufro male iRupeba. keTilTvisebiani simsivne iSviaTad warmoadgens sicocxlisaTvis saSiS daavadebas da igi ar vrceldeba sxeulis danarCen nawilebze. keTilTvisebiani simsivnis qirurgiuli mocileba SesaZlebelia da Cveulebriv misi xelaxla warmoSobis riski dabalia. mas ar axasiaTebs metastazireba da invazia anu Cazrda irgvlivmdebare qsovilebSi. SesaZlebelia misi zomaSi gazrda, magaliTad, prostatis adenomebi, romelic keTilTvisebian simsivnes SeiZleba mivakuTvnoT, froadenomebi, romelic ZuZus daavadebebs ganekuTvneba, aseve, papilomebi, romlebsac ar aqvT avTvisebiani simsivnis simptomi. mokled, ase SegviZlia davaxasiaToT es ori jgufi.
– ratom ver amarcxebs medicina kibos?
– es Zalian seriozuli problemaa. onkologiur daavadebebs mxolod onkologebi ver gaumklavdebian, masTan brZolaSi msoflios Zalisxmevaa saWiro. procesic mravalfaqtoriania. amasTan sxvadasxva qveyanaSi sxvadasxva problemaa. aris qveynebi, sadac eqimebTan gamokvlevebze misvlis kultura dabalia. fiqroben, rom kibo ukurnebeli senia, mkurnaloba – araefeqturi, ver Svelian da adamiani mainc iRupeba, rac absoluturad araswori Sexedulebaa, amitom xSirad pacientebi eqimebs droulad ar akiTxaven da klinikebSi daavadebis iseT stadiaze midian, rodesac maTi gankurneba ukve SeuZlebelia.
– ra saxis simsivneebis matebaa bolo periodSi?
– mamakacebs Soris pirvel adgilzea filtvis simsivne, Semdeg modis prostatis da koloreqtaluri anu swori, msxvili da wvrili nawlavebis simsivneebi. sxvaTa Soris, SevniSne da kolegebsac gavuziare Cemi Sexeduleba – moimata Sardis buStis simsivneebma. rasTan aris es dakavSirebuli, ver getyviT. qalebs rac Seexeba, pirvel adgilzea ZuZus kibo, meoreze – ginekologiuri daavadebebi, saSvilosnos yelis kibo, Semdeg modis msxvili nawlavis simsivneebi. danarCen daavadebebs rac Seexeba, procentuli maCveneblebi dabalia.
– dRes, rogorc arsadros, iseTi didi xelSewyobaa saxelmwifos mxridan. 2019 wlidan mosaxleobisTvis onkodaavadebebis skriningi da mkurnaloba ufaso gaxda. miuxedavad yvelafrisa, mosaxleoba mainc pasiuria da ar sargeblobs am programebiT.
– marTali xarT. mosaxleoba, ZiriTadad, im dros gvakiTxavs, roca ukve dagvianebulia da rTulia daavadebis marTva. SeiZleba SiSis faqtoric ganapirobebs amas, eSiniaT, pasuxi maTTvis arasaxarbielo rom aRmoCndes da sanam tkivili ar SeawuxebT, ar modian. ar varT yuradRebiani Cveni Tavisa da janmrTelobis mimarT da mizezic esaa. magaliTisTvis getyviT, muSaoba rom daviwye, adreul stadiaSi vinc mimarTa eqims da imkurnala, dRemde cocxalia, akontroleben TavianT janmrTelobas da ganagrZoben gamokvlevebs. amiT imis Tqma msurs, rom ramdenadac droulad mogvmarTa pacientma, imdenad ukeTesi Sedegi miviReT. amas xels uwyobs saxelmwifos swori midgoma problemis mimarT. sayovelTao jandacvis programis farglebSi mniSvnelovnad gaizarda dafinanseba, didi yuradReba eTmoba skrinings, rac marTlac mniSvnelovania dadebiTi Sedegebis misaRebad. aRsaniSnavia, rom aWaraSi programebis dafinansebis moculoba danarCen saqarTvelosTan SedarebiT, gacilebiT didia, rasac sxvebic aRniSnaven. Tanadafinanseba medikamentebze didi SeRavaTia Cveni mosaxleobisTvis. Tanadafinasebaa sxivur TerapiaSi da maRalteqnologiur diagnostikaSi. yvelaferSi gvexmareba jandacvis saministro. pacients SeiZleba darCes minimaluri gadasaxdeli. es ar aris is Tanxa, romlis gamo pacientma uari Tqvas diagnostikaze da ar mogvmarTos.
– qalbatono nino, ra periodulobiT unda gavesinjoT?
– arsebobs simsivneebis adreul etapze gansazRvris meTodi, Sesabamisad, aris Sansi imisa, rom diagnozi sawyis stadiazeve daisvas. dRes medicina nebismieri simsivnis pirvel stadias kurnavs, yovel SemTxvevaSi, yvela gavrcelebul formas. magaliTad, filtvis, kuWis, nawlavis, sarZeve jirkvlebis, saSvilosnos yelis kibos da ase Semdeg. arsebobs simsivneebi, romelTa diagnostirebac adreul stadiaze Zalian rTulia. aseTia kuWqveSa jirkvlis kibo. amasTan, is cudadac ikurneba. sisxlmbadi qsovilis simsivneebis dadgena adreul stadiaze saerTod SeuZlebelia, samagierod, kargad ikurneba ukve momdevno stadiebzec. mokled, adamianis mxridan sakuTari janmrTelobis mimarT ufro pasuxismgebliani damokidebulebisa da regularuli gamokvlevebis Catarebis pirobebSi, situacia mniSvnelovnad gaumjobesdeba.
– Tqvens ganyofilebazec visaubroT, romelic erT-erTi urTulesia klinikaSi . . .
– qimioTerapiisa da paliatiuri mzrunvelobis departamenti sruli datvirTviT muSaobs. qimioTerapiis ambulatoriuli ganyofileba aRWurvilia Tanamedrove standartebis Sesabamisad da misi Catareba rogorc ambulatoriul, ise stacionarul pirobebSia SesaZlebeli. stacionarul pirobebSi pacientebs vTavazobT ramdenimedRian uwyvet qimioTerapias, romelic principulad mniSvnelovania zogierTi onkologiuri daavadebis pirveli xazis qimioTerapiaSi. stacionaruli ganyofileba aseve saSualebas iZleva adekvaturad, droulad da efeqtianad imarTos pacientebi qimioTerapiis Semdgomi garTulebebiT. paliatiuri mzrunveloba anu pacientebisaTvis tkivilis da sxva mtanjveli simptomebis Semsubuqeba, maT fsiqosocialur problemebze zrunva dasavleT saqarTveloSi mxolod Cvens klinikaSia SesaZlebeli. Cvens ganyofilebaSi yvela saxis tkivilis marTvaa xelmisawvdomi da pacientisTvis sicocxlis gasaxangrZliveblad yvelaferi keTdeba. paliatiur mzrunvelobaSi CarTulni arian kvalificiuri klinikuri onkologebi, onkologebi, fsiqologebi da sociologebi. onkopacientebisTvis gansakuTrebiT mniSvnelovania maTdami damokidebuleba, yuradReba da gulisxmiereba, ris deficitsac namdvilad ar ganicdian CvenTan. samwuxarod, aris SemTxvevebi, roca pacienti iRupeba, magram erTicaa – meoTxe klinikuri jgufi iseT kategorias ganekuTvneba, rom pacientis gadarCena da sruli gamojanmrTeleba SeuZlebelia. vaswavliT axloblebs, rogor moiqcnen, SeiZleba iTqvas, erTgvari fsiqologiuri mxardaWeracaa Cveni mxridan.
– dRes eqimis muSaoba Zalian garTulda. faqtobrivad, mas yvela pacientis istoriisa da daniSnulebis erTian eleqtronul bazaSi atvirTva evaleba. avadmyofebTan cocxali urTierTobisTvis ra dro grCebaT da aisaxeba Tua ara uaryofiTad es eqimis muSaobis xarisxze?
– marTali xarT. amis gamo marTlac iTrguneba Cveni muSaobis procesi. sabuTebTan muSaobas Zalian didi dro miaqvs. Aamis erTi dadebiTi mxare aris is, rom Tuki adre pacients Tavad mihqonda sayovelTao jandacvaSi dafinansebisTvis furclebi da didi dro da nervebi exarjeboda, axla yvelaferi eleqtronulad xdeba, Cven vagzavniT monacemebs da momsaxureba ufro komfortuli gaxda maTTvis. koordinatorebi da asistentebi SeZlebisdagvarad gvexmarebian, eqimebi, ZiriTadad, dRis bolosaTvis vitovebT am saqmes da met dros mainc pacientebs vuTmobT. sabuTomania dRemde rCeba erTgvar gamowvevad CvenTvis, rasac, imedia, moevleba. rac mTavaria, es pacientebis momsaxurebis xarisxze uaryofiTad ar aisaxeba.
– TqvenTvis ras niSnavs iyoT eqimi-onkologi da moqmedebs Tu ara aq arsebuli garemo Tqvens Semdgom ganwyobaze?
– geTanxmebiT, Zalian rTulia. xSirad mekiTxebian, nino eqimo, rogor uZlebT da itanT aseT did fsiqologiur datvirTvas, albaT, mieCvieTo. es araswori Sexedulebaa, ara mgonia, vinme mieCvios amas. rodesac modis pacienti, vcdilob, gamovnaxo gza da saSualeba mis droulad dasaxmareblad. civi guliT eqimi-onkologi ver imuSavebs. maxsovs, studentobisas erT-erTma uZlieresma specialistma, onkologiuri centris urologiis ganyofilebis gamgem daviT gocaZem miTxra: onkologia sulieri mdgomareobaao. cudi adamiani ver gaxdeba eqimi, miT umetes, onkologi. es medicinis iseTi sferoa, sadac umetes SemTxvevaSi, SenTan modis ganwiruli pacienti da droul daxmarebas, did mxardaWerasa da sicocxlis gaxangrZlivebas elodeba.
– amboben, kargi eqimi arasdros isvenebs, samsaxurSic da saxlSic pacientze fiqrobs da telefonis zaris molodinSiao. Tqvens SemTxvevaSi rogoraa?
– Cemi ojaxi oTxi mamakacisgan Sedgeba – meuRle, mamamTili da ori vaJi, romlebic skolis moswavleebi arian. maTac aseve didi yuradReba sWirdebaT. erTi qali var da, bunebrivia, yvelaferi Cemi gasakeTebelia. bavSvebs gakveTilebis momzadebaSic unda davexmaro, sufTa haerze gaseirnebac saWiroa. SabaT-kviras vcdilobT avinazRauroT erTmaneTTan urTierTobis deficiti, kinoTeatrSi an sadme gasarTobad wavideT erTad. Zalian miyvars mogzauroba da vcdilob, Svebulebis periodSi es Sansi xelidan ar gavuSva. telefons rac Seexeba, sxva gamosavali ar maqvs – roca vici, Cemi rCeva vinmesTvis Svebis momtania, unda vupasuxo. pacientsac ver datoveb uyuradRebod . . . rogorc xedavT, or frontze erTdoulad var. Cemi ojaxis wevrebi amas SeCveulebi arian, gverdiT midganan da SeZlebisdagvarad mexmarebian. bavSvebsac gaTavisebuli aqvT dedis rTuli profesia da cdiloben, zedmetad ar damtvirTon, kargad moiqcnen da iswavlon.
– Svilebs Tu surT eqimoba?
– biWebi patarebi arian – 9 da 12 wlis, jer profesia arCeuli ar aqvT. maTi mTavari safiqrali swavla da garTobaa. momavali gviCvenebs, ra iqneba. Tumca erTi ram ukve danamdvilebiT ician, eqimoba rTuli da sapasuxismgeblo profesiaa, adamianebis sicocxlisaTvis mouwevT brZola da zedapirulad gadawyvetilebas ver miiReben.
– qalbatono nino, Tqven Zalian bevri pacientis da maTi axloblebis siyvaruli da pativiscema daimsaxureT . . .
– rogorc ukve giTxariT, eqimoba da, zogadad onkologia, Zalian sariko da sapasuxismgeblo profesiaa. roca saqmes guliT miudgebi da Zalixsmevas ar daiSureb, madlierebiT da siyvaruliT aucileblad dagifasdeba, rac nebismieri eqimisTvis saamayoa. me, ubralod, bolomde erTguli var arCeuli profesiis, Cems profesional gundTan erTad keTilsindisierad vakeTeb saqmes da vcdilob, maqsimalurad davexmaro pacientebs. Tu es adamianebi Cemi muSaobiT kmayofilni da madlierni arian, bednieri var.
– rogorc Tavad TqviT, onkologebi umetesad sicocxlis gaxangrZlivebisTvis ibrZviT. ra SegrZneba geuflebaT maTTan erTad tkivilis gancdis Semdeg da ar ginaniaT eqimoba?
– Zalian bevri pacienti didi xnis ganmavlobaSi periodulad maxsendeba. zogierTi gansakuTrebul adgils iWers Cems gulSi da mosvenebas makargvinebs. yvelanairi pacienti myolia am xnis ganmavlobaSi – keTili da mSvidi, eWviani da avi, madlieri da daunaxavic, romelic ver afasebs eqimis Sromas da mudam pretenziulia. eqimi imitom xar, yvelas gaugo, moergo. vcdilob, yvelasTan gamovnaxo saerTo ena da maTi guli movigo. mgoni, gamomdis.
– fsiqologiurad ar moqmedebs Tqvenze mudam aseT sabrZolo da damTrgunvel mdgomareobaSi yofna?
– Zalian moqmedebs. optimisti var da xSirad meubnebian, rom yvelafers vardisferi saTvaleebiT vuyureb. vfiqrob, Tu am ganwyobas davkargav da brZolisunarianobas ar SevinarCuneb, ar meqneba pacientebis, xSirad mZimesa da uimedos gadarCenis SesaZlebloba, ar meqneba rwmena, rom SemiZlia maTi daxmareba da Seveguebi situacias. aseT SemTxvevaSi davkargav sakuTar Tavs. sul vfiqrob, rom yvelaferi kargad dasruldeba. albaT, es emociebi, keTilganwyoba gadadis Cems pacientebzec. maT sjeraT – radgan eqimma Tqva, yvelaferi kargad iqnebao, ese igi, asec iqneba.
– dabolos, ra rCevas miscemT mkiTxvels, sazogadoebas?
– gviyvardes sakuTari Tavi, maqsimalurad gavufrTxildeT Cvens janmrTelobas, axloblebis nervebs da gavixangrZlivoT sicocxle. meti yuradReba davuTmoT janmrTelobaze zrunvas, raSic dRes saxelmwifoc gviwyobs xels. erTxel da samudamod unda Camogviyalibdes eqimTan skriningze misvlis kultura, droulad CavitaroT gamokvlevebi da amiT magaliTi mivceT sxvebs.
