ცხელი დღეების, რუჯის და წითელას რისკი – აჭარის სინამდვილეში
ირმა ცეცხლაძე 27 48 93
dgeba zafxuli da cxel dReebSi xSirdeba mziT damwvrobis SemTxvevebi. aWaris sazogadoebrivi jandacvis centris direqtoris rusudan SaviSvilis gancxadebiT: `msgavsi ram xSiria axalgazrda gogonebSi, romelTac miaCniaT, rom ruji niSnavs karg janmrTelobas da esTetikur silamazes, Tumca dermatologebi ganmartaven, rom namzeurebi kanis mzisgan gamowveuli dazianebaa, romelic Cndeba ultraiisferi sxivebiT kanis pigmenturi ujredebis dazianebisas~.
ras iwvevs sezonze arsebuli, gasarTobad miCneuli sxvadasxva procedura, ras unda moveridoT sicxeSi da, saerTod, ra RonisZiebebs axorcielebs sazogadoebrivi jandacvis centri regionis masStabiT, amaze saubrobs `aWarasTan~ qalbatoni rusudani.
– gasaTvaliswinebelia, rom xSiri garujva iwvevs kanis naadrev daberebas, pigmenturi laqebis warmoqmnas, kanis kibos ganviTarebis riskis matebas da mxedvelobis darRvevasac ki (magaliTad, kataraqta, rac sibrmavis gamomwvevi mizezia).
– qalbatono rusudan, ra simptomebiT unda mivxvdeT, rom damwvrobasTan gvaqvs saqme?
– mzis sxivebis Tu solariumebSi zedmetad dasxivebis SemTxvevaSi, viTardeba kanis damwvroba Semdegi simptomatikiT: sisuste, dazianebuli ubnis SeSupeba, siTxis Semcveli buStukebis warmoqmna, tkivili, sicxe, gulisreva. msgavsi SegrZnebebis dafiqsirebisas dauyovnebliv miiReT aspirini an acetaminofeni (tilenoli), raTa moixsnas damwvrobis diskomforti da anTeba. dazianebul ubnebze daifineT civi kompresebi, miiReT civi abazana, waisviT aloes eqstratis Semcveli gamagrilebeli geli . . .
– am bolos sagrZnoblad moimata temperaturam, rasac bevri adamiani ar aqcevs saTanado yuradRebas.
– es ar SeiZleba, radgan cxeli dReebis dros maRal temperaturaze xangrZlivi drois ganmavlobaSi yofna iwvevs siTburi talRebis mavne zemoqmedebas. Tuki ramdenime dRe gastans maRali temperatura, es pirdapir gavlenas axdens adamianis janmrTelobaze, iwvevs rogorc garkveuli daavadebebis Camoyalibebas, aseve ukve arsebulis gamwvavebas da SesaZloa, sikvdilis mizezic ki gaxdes. sicxe gansakuTrebiT saSiSia bavSvebis, moxucebisa da qronikuli daavadebebis mqone pirebisaTvis – SeiZleba gamoiwvios guliscemis gaxSireba da sunTqvis gauareseba. janmrTelobis msoflio organizaciis monacemebiT, 2003 wels dafiqsirebuli `siTburi talRebi~ evropaSi 70 000 piris sikvdilis mizezi gaxda.
– iqneb sicxiT gamowveuli maRali riskebi dagvikonkretoT.
– dehidratacia (gauwylovneba, organizmSi wylis deficiti); gadaxureba, ramac SesaZloa gaauaresos gulis daavadebebsa da sunTqvasTan dakavSirebuli problemebis mqone pirTa janmrTelobis mdgomareoba; siTburi gamofitva; siTburi dakvra. aseT dReebSi moerideT 75 wels zemoT adamianebis da bavSvebis, gansakuTrebiT, axalSobilebis gareT gayvanas.
– ra mimarTulebiT muSaobs Tqveni uwyeba am bolo dros?
– saerTod, Cven orientirebulebi varT sazogadoebaSi jandacvis fonis Seqmnaze, cnobierebis amaRlebaze, ganaTlebaze, daavadebaTa prevenciaze, adreuli gamokvlevebis Catarebaze anu mosaxleobis janmrTelobis majiscemaze gviWiravs xeli. zogadad rom vTqvaT, Zalian bevri mimarTulebiT vmuSaobT.
– Tu SeiZleba, ganvixiloT gripis sezonze warmoqmnili garTulebebi da epidafeTqebebi, ramac mosaxleobis seriozuli SeSfoTeba gamoiwvia.
– mogexsenebaT, daavadebebi iyofa or jgufad _ gadamdebi da aragadamdebi. aragadamdebTa wili bevrad maRalia, xolo maTgan gamowveuli avadoba, Sromiunarianobis SezRudva da sikvdilianoba – meti, Tumca gadamdebi daavadebebisgan Tavis dacva SesaZlebelia da amitom es procesi, uwyebis funqciebidan gamomdinare, ufro sayuradRebo xdeba CvenTvis. gadamdeb daavadebebs aqvs konkretuli virusi, romelic asneulebs adamians, moyveba sxvadasxva garTuleba, rasac, sabolood, fatalur Sedegebamdec ki mivyavarT.
– romeli gripia ufro saxifaTo?
– gaaCnia, romeli virusi cirkulirebs qveyanaSi. wlevandeli gansakuTrebuli iyo im mxriv, rom bevri mZime SemTxveva dafiqsirda, maT Soris, fataluric.
– ramdeni adamiani gardaicvala gripiT?
– am informacias flobs daavadebaTa centri. sikvdili ukavSirdeboda an dagvianebul hospitalizacias, an romelime Tanmxleb, mZime qronikul daavadebas. adamianis individualur SesaZleblobebsac aqvs am brZolaSi gadamwyveti mniSvneloba, magram mTavari aRmoCnda swori saxelwifo strategia. dafiqsirda, rom virusi cirkulirebs wlis me-40 kviridan momdevno wlis me-20 kviris CaTvliT. temperaturis vardnasTan erTad xdeba misi gaaqtiureba. SeiZleba iseTi forma Semovides, msubuqad gadavlaxoT sezoni, magram wels iyo iseTi virusi, reaqtiulad rom vrceldeba, ramac gamoiwvia rigi garTulebebi.
– ra zomebs mimarTavT am periodSi?
– upirvelesia, cnobadobis amaRleba gripis sawinaaRmdego vaqcinaciasTan mimarTebaSi. am dros Seufasebelia Tqveni – mediasaSualebebis roli. Cvens vebgverdsac hyavs bevri momxmarebeli, romelic kiTxva-pasuxis reJimSi konsultacias gadis maRalkvalificiur specialistebTan – ra Rirs acra, vis ekuTvnis ufasod, rogor daicvan Tavi da a.S. momavali wlidan dagegmilia ara mxolod rutinuli, gripis acrebis raodenobis zrdac. aqve aRvniSnav, rom vaqcinaciis kultura gaizarda. xalxi modis da iTxovs gripis sawinaaRmdego acrebs.
– orsulebisTvis vaqcinacia dasaSvebia?
– diax, imdenad usafrTxo vaqcinaa, rom orsulebs ukeTdebaT pirvel trimestrSic ki, maSin, roca nayofi formirdeba. amasTan, vaqcina icavs rogorc dedas, ise bavSvs dabadebidan 6 Tvis ganmavlobaSi. wlebTan erTad sul ufro ixveweba vaqcinaciis formebi. saxelmwifo ufasod arigebs wamals im pirobiT, rom bolomde aviTvisebT da ar darCebian zemoT CamoTvlili adamianebi aucrelni.
– wiTelas epidemia aWaraSi naklebad igrZnoboda . . .
– diax, TiTqos gripi gavacileT da ianvarSi wiTelas infeqcia gamoCnda. am kuTxiT aWaraSi marTlac keTilsaimedo garemo aRmoCnda, rac ganapiroba SarSan, wiTelas lokaluri afeTqebis fonze, operatiulad Catarebulma aragegmurma acrebma (daaxloebiT 5 000 acra gakeTda). Tu SevadarebT wiTelas da gripis viruss, es ukanasknelic kontaqturad gadamdebia, magram SesaZlebelia misi Tavidan acileba pirbadiT Tu xelebis xSiri dabaniT da sxv. wiTelas virusma ki SeiZleba sxva sadarbazodan, mezobeli quCidan Tu saxlidan `mogakiTxos~, radgan maRali kontagiozuroba gaaCnia. emarTeba ganurCevlad yvelas, visac ar gadautania. visac ukve hqonda, masSi tovebs mudmiv, sicocxlis bolomde moqmed imunitets.
– rogor svamen Tanamedrove etapze wiTelas diagnozs?
– arcTu Soreul warsuls Tu gadavxedavT, gavixsenebT, rom eqimebi wiTelas diagnozs gasinjviT, daTvalierebiT svamdnen. ver dgindeboda, pacients gadatanili hqonda Tu ara es daavadeba, eyrdnobodnen mis bundovan mogonebebs. axla dainteresebul pirs SeuZlia kvleva Caitaros specialur laboratoriaSi, sadac gaarkveven, gadaitana Tu ara es daavadeba da amis safuZvelze aicreba Tavis dazRvevis mizniT.
– rogorc vici, gansazRvrulia wiTelas samizne jgufis asaki. ratom maincdamainc 20-dan 40 wlamde?
– am kuTxiT didi samuSao gaswies daavadebaTa kontrolisa da sazogadoebrivi jandacvis centris klinikosebma, analitikosebma da am asakis xalxi yvelaze daucvelad miiCnies, radgan 1978 wlis Semdgom 2000 wlamde dabadebulebs maSindelma acrebma ver Camouyaliba myari imuniteti, Tanac iyo 1 inieqcia. 21-e saukunidan uwevT ori inieqcia 1 wlis da 5 wlis asakSi. Tuki orive acra gakeTebuli aqvs bavSvs, mSobels SeuZlia mSvidad iyos.
– acrebis mowinaaRmdegeebi amtkiceben, rom uvargisi masaliT sargebloben vaqcinaciis dros. am informacias, arcTu iSviaTad, endobian axalgazrda dedebi, riTac safrTxes uqmnian Svilebs. . .
– asacreli masala janmrTelobis msoflio organizaciis mier kvalificirebuli, umaRlesi xarisxisaa. gaixseneT, ori aTeuli wlis winaT gamoirCeoda komerciuli da saxelmwifo, axla moixmareba franguli an holandiuri vaqcina, romelic Cinebulad muSaobs da zogierTi kategoriis daavadebas swored maTi saSualebiT amarcxeben. rac Seexeba zomebis miRebas – Semovida wesi, bolo ori wlis ganmavlobaSi arc erT saswavlo dawesebulebaSi ar miiReben pirs, Tu ar waradgens erovnuli kalendriT gansazRvruli acrebis srul dokumentacias. igulisxmeba rogorc skolebi, ise bavSvTa baRebi Tu umaRlesi saswavleblebi. sxvaTa Soris, acrebi savaldebulo gaxda rogorc ganaTlebis, ise jandacvis, Ss da Tavdacvis sistemebSi dasaqmebulTaTvisac.
– visTvisac acra nebayoflobiTia, maT dayoliebas rogor axerxebT?
– vcdilobT, im formiT mivitanoT sxvadasxva uwyebaSi informacia, rom gauCndeT acris motivacia. sxvaTa Soris, aWaris turizmis departamentSi viyaviT am mizniT da iseTi mzaoba iyo, gagvikvirda. maT kargad ician, rom wiTelas okeaneebi, kontinentebi ver amagrebs. amerikis SeerTebul StatebSi iseTi epidafeTqeba moxda, rom prezidentis brZanebiT 500 dolariT jarimdeba piri, romelic ar aicris, Tan aekrZaleba sajaro samsaxurSi muSaoba. 2019 wels janmrTelobis msoflio organizaciam gaakeTa yvelaze didi gamowvevebis aTpunqtiani CamonaTvali. maT Soris erT-erTi pirvelia vaqcinaciis winaaRmdeg gamomsvlelTa gadarwmuneba qalTa Tu dedebis Catebis meSveobiT da a.S.
– rogor mimdinareobs ც hepatitis, tuberkulozisa da aiv/SidsiT daavadebulTa gamovlena-mkurnaloba?
– am kuTxiT farTod mimdinareobs integrirebuli skriningi mTeli saqarTvelos masStabiT. Cvens qveyanas mieca unikaluri Sansi, CarTuliyo msoflios am udides eqsperimentSi, romelic gulisxmobs 2030 wlamde C hepatitis, tuberkulozis absolutur aRmofxvras kacobriobis istoriidan da aiv/Sidsis SeCerebas. am droisaTvis pirveli ori daavadeba unda dasamardes. Cven gvaqvs vada 2020 wlamde, raTa srulad gamovavlinoT am sami daavadebiT dasneulebulebi, radgan Semdeg gava es organizacia saqarTvelodan. unda movaswroT yvelas aRricxva da miznobrivi preparatiT mkurnaloba.
– ratom mkurnaloben am sam daavadebas da ara sxvas erTad?
– samive mrisxane daavadebaa, romelic erTi da igive riskis jgufebSi myof adamianebs emarTebaT. isini moiazrebian e.w. ko-infeqciad. aris SemTxvevebi, rodesac erT adamians aqvs ori, iSviaTad ki samive daavadeba erTad.
– tuberkulozi karga xnis win dasamarebuli megona. mis winaaRmdeg brZola ra formebiT mimdinareobs da ratom – maincdamainc aWaraSi?
– nulovani tuberkulozis programis mizania aWaris, rogorc turistulad strategiuli mniSvnelobis mqone regionis, tuberkulozisgan Tavisufal `kunZulad~ qceva. programa xorcieldeba saqarTvelos devnilTa, Sromis, janmrTelobisa da socialuri dacvis saministros mxardaWeriT, globaluri fondisa da adgilobrivi mTavrobis dafinansebiT. mosaxleobas ufasod vikvlevT zemoT xsenebul samive daavadebaze. procesi ukve SarSan, agvistoSi daviwyeT: mobiluri laboratoriiT aRWurvili manqaniT, winaswar momzadebuli grafikiT, gadis specialuri brigada ftiziatris, laborantis da SemTxvevis menejeris SemadgenlobiT. es ukanaskneli axdens beneficiarTa zedamxedvelobas, radgan xSirad tuberkulozze eWvmitanili adamianebi wyveten jaWvs da ar midian tubdispanserSi saboloo kvlevebisaTvis. aWaraSi amJamad muSaobs 18 aseTi menejeri – Cveni epidemiologebi. isini satelefono Tu piradi saubrebiT arwmuneben eWvqveS myofT, rom aucilebelia gamokvlevebi. cxadia, konfidencialuroba daculia, Tumca am piris garemocva da ojaxi aucileblad mowmdeba infeqciis keris sabolood aRmofxvris mizniT.
