,,მარიხუანის მოხმარება რომ არ ისჯება კანონმდებლობით, არ ნიშნავს, რომ იგი არ არის მავნებელი” …
ირმა ცეცხლაძე 27 48 93
narkomaniis gankurneba SeuZlebelia, Tumca miiRweva remisia, romelic SesaZloa mTeli cxovrebis ganmavlobaSi gagrZeldes. Tanamedrove medicina opioidebze damokidebulebas anu opioidur narkomanias ganixilavs, rogorc qronikul daavadebas, romelic remisiebiTa (naTeli periodebi) da recidivebiT (gamwvavebebi) mimdinareobs. arsebobs am daavadebis mkurnalobis sxvadasxva meTodi, romelic or ZiriTad jgufad erTiandeba: narkotikebis gareSe cxovrebaze orientirebuli Terapia da agonistebiT mxardamWeri mkurnaloba anu CanacvlebiTi Terapia. sazogadoebisTvis da, gansakuTrebiT, damokidebuli pirebis ojaxis wevrebisa da axloblebisTvis yvelaze misaRebi mkurnalobis iseTi meTodebia, romlebic Tavidanve orientirebulia narkotikebis miRebis Sewyvetaze. samwuxarod, mravalwlianma saerTaSoriso gamocdilebam aCvena, rom aseTi mkurnalobis efeqtianoba arc ise maRalia. amis gaTvaliswinebiT, saerTaSoriso organizaciebma SeimuSaves mkurnalobis gansxvavebuli meTodi – e. w. agonistebiT mxardamWeri Terapia, anu CanacvlebiTi Terapia, romelic gulisxmobs pacientisaTvis Camanacvlebeli narkotikuli saSualebis micemas xangrZlivi drois ganmavlobaSi.
CanacvlebiTi Terapiis mTavari Rirebuleba isic gaxlavT, rom beneficiarebs ar uwevT yoveldRiurad sxvadasxva meTodiT, maT Soris, kriminaluri gziT Tanxis moZieba, `Sav bazarze~ narkotikis SeZena. es Terapia Tvisobrivad ar warmoadgens samkurnalo komponents da misi mTavari faqtori dro ar gaxlavT; ZiriTadi daniSnuleba `quCis narkotikis~ legaluri narkotikuli saSualebiT Canacvlebaa, Tumca xSiria saswaulic – eqimebisa da Tavad pacientebis ZalisxmeviT dgeba xangrZlivi remisia.
Tu ra xdeba am kuTxiT saqarTveloSi, amaze saubrobs `aWarasTan~ interviuSi fsiqikuri janmrTelobisa da narkomaniis prevenciis centris generaluri direqtoris pirveli moadgile guri menabdiSvili.
– saqarTveloSi CanacvlebiTi Terapiis programa pirvelad 2004 wels ganxorcielda. igi gankuTvnili iyo ramdenime aTeuli pacientisTvis da srulad afinansebda globaluri fondi. programis efeqtianobidan gamomdinare, 2008 wlidan Cvens qveyanaSi amoqmedda metadoniT CanacvlebiTi Terapiis programa, romelic xorcieldeboda saxelmwifo programis farglebSi Tanadafinansebis principiT (pacientisa da saxelmwifos TanamonawileobiT). 2017 wlis zafxulidan gauqmda Tanadafinanseba da programa pacientebisTvis gaxda absoluturad ufaso. swored imitom, rom es gadawyvetileba saxelmwifos mxridan iyo gonivruli, drouli da Sedegze orientirebuli, myisierad gaizarda programaSi CarTul beneficiarTa ricxvi. xazgasmiT unda aRiniSnos, rom gaizarda ara narkotikebis damwyebi momxmareblebis xarjze, aramed xangrZlivi moxmarebis gamocdilebis mqone im pirebis CarTvis Sedegad, romlebic usaxsrobis gamo aqamde ver sargeblobdnen programiT.
– bevri miiCnevs, rom narkomanebze amxela Tanxebis xarjva, Cveni saxelmwifos mxridan ar aris marTebuli. . .
– diax, aris aseTi mosazreba, magram saerTaSoriso gamocdilebiT, partniorebis rekomendaciebiT movediT aqamde, radgan programiT gaxarjuli TiToeuli lari 8-10-jer met efeqts, mogebas iZleva socialuri danaxarjebis, faqtorebis TvalsazrisiT.
– ra SemTxvevaSi rTaven pirs am programaSi?
– programa `metadoniT Canacvlebis Terapia~ gansazRvrulia narkomaniiT daavadebuli pirebisaTvis da ara mxolod momxmareblebisaTvis. minda es fraza xazgasmiT ganvmarto – Tuki piri drogamoSvebiT iRebs narkotikul nivTierebebs, igi ver isargeblebs am programiT. sargeblobs is, visac daesva narkotikebze damokidebulebis diagnozi anu vinc verc erT dRes ver sZlebs wamlis gareSe. aqac aris erTi detali gasaTvaliswinebeli. beneficiarebad ahyavT mxolod is narkomanebi, romlebic arian opoidur narkotikebze damokidebuli. minimum sami eqimi narkologisgan Semdgarma samedicino komisiam unda daadasturos misi damokidebuleba opioidur narkotikul saSualebebze. programaSi ver moxvdebian araopioidur saSualebebze (mag. marixuana, amfetamini da sxv.) damokidebulebi. aqve unda gaiTvaliswinon, rom pirveli da umniSvnelovanesi aris asaki: 21 weli da zemoT, aucilebelia iyos Cveni qveynis moqalaqe da diagnozis garda, warmoadginos forma 100 janmrTelobis mdgomareobis Sesaxeb. cxadia, am formaSi unda iyos kardiologis daskvnac da sxva garTulebebi, rom Cven gaverkveT, xom ar Seuqmnis mas safrTxes programaSi monawileoba.
– Tavidanve dgindeba ra doziT miewodos beneficiars narkotiki?
– ara, dozirebas calmxrivad adgens ganyofilebis eqimi samedicino komisiasTan erTad, pacientis individualuri mdgomareobidan gamomdinare.
– ramdeni pacienti sargeblobs programiT dResdReobiT?
– 2019 wlis ganmavlobaSi programiT daaxloebiT 14 aTasma pirma isargebla, dRes ki 8 aTasze cota meti beneficiari gvyavs, romelic mudmiv reJimSi sargeblobs Canacvlebis TerapiiT.
– danarCeni ganikurna Tu . . .
– ara, gankurneba ZiriTadad ar xdeba, SesaZloa remisia, rac ar aris gamoricxuli sicocxlis bolomdec ki gagrZeldes, cxadia, eqimebis gansakuTrebuli yuradRebis qveS. ubralod, Cveni beneficiarebis nawili ixsnis am programaSi tkivilebs anu xdeba detoqsikacia, Semdeg nel-nela agdebs dozas da sabolood Tavisufldeba, raRac drois ganmavlobaSi mainc, narkotikebze damokidebulebisgan. statistikac gvidasturebs, rom simarTles ar Seefereba is warmodgena, TiTqos programaSi erTxel Casmuli piri mudmiv reJimSi unda darCes wamlebze damokidebuli. SarSanac msgavsi monacemebi gvqonda. weli daviwyeT 13.500 adamianiT da davasruleT 8 aTasiT. marTalia, monacemebi meryeobs, zusti cifrebi ar aris, magram garwmunebT, remisia dgeba da imaze ufro iolad, vidre es warmodgenili aqvs bevrs.
– principSi, mainc gankurnebulebi ubrundebian TavianT yoveldRiur cxovrebas. . .
– ara, gankurneba xmamaRalia naTqvamia, amas ewodeba remisirebuli faza. programaSi CarTulebma kargad ician, rom iseve rogorc nebismieri wamali, esec mavnebelia organizmisTvis. ase rom, isini, visac meti nebisyofa aqvs, cdilobs male datovos programa, ara imitom, rom `quCur narkotiks~ daubrundes, aramed narkotiks sabolood daemSvidobos da nel-nela fxizel cxovrebas Seeguos.
– ra medikamentebi gamoiyeneba TerapiaSi da ramdenad kontroldeba, rom iq miRebuli narkotikebi ar moxvdes `Sav bazarze~?
– mxardamWeri TerapiisTvis gamoiyeneba metadonis hidroqloridis sirofi, xsnari an abebi. medikamentis miReba xdeba specializebul dawesebulebaSi an ganyofilebaSi samedicino personalis uSualo meTvalyureobiT, rac maqsimalurad gamoricxavs metadonis samedicino dawesebulebidan `Sav bazarze~ moxvedras. preparatis miRebis Semdeg WurWeli, romliTac beneficiarma medikamenti miiRo, Tavsdeba specialurad gamoyofil adgilze utilizaciis mizniT. beneficiari valdebulia, verbalurad daemSvidobos gasvlisas dacvis TanamSromels.
– ra berketebs iyenebT, rom daicvaT beneficiarebi damatebiT sxva narkotikebis miRebisgan?
– `quCis~ narkotikebis miRebis Tavidan asacileblad pacientebs regularulad utardebaT urinotestireba narkotikul-fsiqotropuli nivTierebebis Semcvelobaze. pacientis mier mkurnalobis reJimis darRvevis, maT Soris, eqimis daniSnulebis gareSe narkotikebis miRebis SemTxvevaSi, dadgeba mis mier programis datovebis sakiTxi.
– saubari iyo narkomanebis TiTis anabeWdebis bazaSi Setanaze. . .
– diax, esec ganixileba erT-erT variantad servisis gaumjobesebis mizniT. yvela jerze, beneficiarma rom miiRos specialuri sarkmlidan Tavisi kuTvnili preparatebis gansazRvruli doza, unda waradginos piradobis mowmoba. es xdeba imis miuxedavad, vicnobT Tu ara mas pirovnulad. marTvis mowmobiTac ki ver vaZlevT. xSiria SemTxveva, rom aviwydebaT pasportis wamoReba, rac gulisxmobs kuTvnil dozaze uars. es ki TavisTavad gamoiwvevs im ukuCvenebebs, romelic kargad viciT yvelam. swored amitom daiwyo saubari, rom servisis gaumjobesebis mizniT, piris identificirebisaTvis SevitanoT beneficiarTa TiTis anabeWdebi bazaSi. es CvenTvis Zalian seriozuli danaxarjebi iqneba, Tumca wavalT amaze pacientebis interesebis gaTvaliswinebiT.
– rogor davijeroT, rom adamians, romelic wamlis saSovnelad kriminalzec ki midis, daaviwydeba pasporti, romlis meSveobiTac ufasod iRebs sasurvel dozas?
– warmoidgineT, msgavsi SemTxvevebi fiqsirdeba aTeulobiT, lamis yovel dRe. iwyeba wuwuni: `saxlSi ra dabrundeba~, `Sors vcxovrob~ da a. S. rom ar damdgariyo es sakiTxi, arc wamoiWreboda saubari. TiTis anabeWdebis meSveobiT martivad gadawydeba problema. miadebs TiTs da eleqtronuli versia gadaiSleba operatoris Tvalwin. gvinda, rom programis muSaobaSi es xelisSemSleli faqtori amovagdoT.
– rac Seexeba inkognitos dacvas?
– inkognitos dacva xdeba mudmivad. Cven bazaSi gvaqvs am pirebis rogorc piradobis aslebi, ise maTi yvela monacemi, magram mas aravis vacnobT. amas winaT gavrcelda Zalian cudi siuJeti, sadac saubari iyo, TiTqos Sinagan saqmeTa saministro kurirebs amas yvelafers. aRar minda am absurdis gaxseneba, radgan Zalian Seuracxyofilad vigrZeniT Tavi. Woris doneze gaugiaT ambavi. kargi iqneba, am dros Jurnalistma kompetentur pirebTan gadaamowmos moaruli xmebi. me sruli pasuxismgeblobiT geubnebiT, rom maSinac ki, rodesac Cveni pacientebi Cadian sisxlis samarTlis danaSauls, Tuki gamomZiebelma mogvmarTa werilobiTi moTxovniT, rom mivawodoT informacia, imyofeba Tu ara es piri CanacvlebiT programaSi, ar gavcemT informacias, Tu ar arsebobs an sasamarTlos ganCineba an Tavad pacientis survili, rom gavxsnaT inkognito. Tavad SegiZliaT gamoiTxovoT dokumentacia da naxoT, ramdeni werili gvaqvs msgavsi moTxovniT, romelic ar davakmayofileT.
– pacienti Tavad ra SemTxvevaSi avlens gamJRavnebis survils?
– xdeba, rom saerTo Semowmebisas SardSi metadoni aRmouCines an mivlinebaSia da SemTxveviT Tan waRebuli akrZaluli preparatebi upoves, maSin Tavad es piric mogvmarTavs, davudasturoT samarTaldamcvelebs misi programaSi monawileoba. ase rom, Cven mxolod ai am sam SemTxvevaSi vaZlevT pasuxs, sxva SemTxvevaSi vistumrebT uariT da vakvalianebT, ra unda warmoadginos pasuxis misaRebad. nebismieri piri, romelsac ara aqvs uflebamosileba, CvenTan verafers gaigebs. is ki ara, yvela TanamSromelsac ara aqvs wvdoma, Tuki uSualod sqemaSi araa CarTuli, araTu gare struqturebs da maT warmomadgenlobas.
– isev dgas saafTiaqo narkomaniis problema. . .
– es problema CvenTan ki ara, mTel msoflioSia, magram bolo wlebSi gatarebuli narkopolitikis liberalizaciis meSveobiT, ukve gvaqvs wingadadgmuli nabijebi. swored aman mniSvnelovnad Seamcira aRniSnuli problema, Tumca skolebSi, prevenciis gziT, kidev bevri ram aris gasakeTebeli.
– gulisxmobT narkomaniis gaaxalgazrdavebas?
– diax, vawydebiT problemebs 15-16-17 wlis axalgazrdebSi. amitom unda gatardes prevencia ara mxolod narkotikebis moxmarebis mxriv, aramed sxva alternatiuli saSualebebis gamoyenebaze.
– gulisxmobT marixuanas. misi gamoyeneba xom ar isjeba kanoniT?
– marixuanis moxmareba Tu ar isjeba kanonmdeblobiT, ar niSnavs, rom igi ar aris mavnebeli. marixuana mavnebelia, magram momxmarebeli ar unda daisajos moxmarebisTvis. es ori sxvadasxva cnebaa. swored amitomaa aucilebeli ufrosi klasebis moswavleebs avuxsnaT, ra xdeba da ratom. sxvaTa Soris, bevri skolis fsiqologi gadamzadda narkomaniis prevenciis specialistad. kargi iqneba, aman miiRos masStaburi xasiaTi anu saqarTvelos yvela skolaSi garkveuli saaTebi daeTmos am sakiTxebs.
– kidev ra programebi moqmedebs Tqvens centrSi?
– metadonis garda arsebobs kidev buprenofiniT Canacvlebis programa. saxelmwifoc afinansebs am programas, Tumca ufro metad amiT sargebloben kerZo klinikebi. narkologiaSi arsebobs kidev stacionaruli detoqsikacia. anu pirovnebas ganacxadis safuZvelze absoluturad ufasod SeuZlia Caitaros stacionarSi mkurnalobis kursi. agreTve, ganacxadis, Tanxis gadaxdis, rigis da lodinis gareSe Rebuloben im pacientebs, romlebsac narkotikis miRebis gamo mwvave fsiqozi ufiqsirdebaT. am SemTxvevaSic pirovnebebi Rebuloben ufaso narkologiur daxmarebas. ase rom, metadoniT Canacvlebis programis garda, stacionaruli detoksikaciac xelmisawvdomia, romelic finansdeba saxelmwifo mier 100%-iT.
aqve minda aRvniSno, rom yovel wels biujetSi Tanxis matebaa, romelic gaTvaliwinebulia narkomaniis winaaRmdeg gasatarebeli RonisZiebebisTvis. Sedegic aris. amJamad gacilebiT ukeTesi mdgomareobaa, rasac adasturebs programidan gasuli aTasobiT adamianis remisia. Tumca jer kidev uamravi safexuri gvaqvs gasavleli, rom SevqmnaT civilizebuli saxelmwifos Sesabamisi garemo Cveni pacientebisaTvis. sasurvelia, aseTi mkurnaloba kompleqsurad xorcieldebodes fsiqosocialuri Tanadgomis RonisZiebebTan erTad. dReisaTvis, saerTaSoriso eqspertebis mier, agonistebiT mxardamWeri Terapia opioidebze damokidebul pirTa mkurnalobis, dekriminalizaciis, socialuri integraciisa da `quCis narkotikebis~ moxmarebiT gamowveuli zianis Semcirebis yvelaze efeqtian saSualebad aris miCneuli. araoficialuri monacemebiT, wlebia, Cvens qveyanaSi damokidebul pirTa ricxvi 50 000-s aRwevs da maTgan rac ufro meti momxarebeli CaerTveba programaSi, miT ufro gamarTlebuli iqneba saxelmwifos narkopolitika CanacvlebiT TerapiasTan mimarTebaSi. metadoni xangrZlivi (24-36-saaTiani) moqmedebis sinTezuri narkotikuli saSualebaa. igi opioidebis agonistia, rac niSnavs, rom morfinisa da misi msgavsi narkotikuli saSualebebis analogiurad moqmedebs. metadoni, rodesac igi gamoiyeneba mxardamWeri TerapiisaTvis Sesabamisi dozebiT, narkotikuli efeqtis (e.w. kaifi) warmoqmnis gareSe mniSvnelovnad amcirebs narkotikebis moTxovnilebas da aRmofxvris aRkveTis sindromis (e.w. lomkis) niSnebs. eqimis meTvalyureobis qveS metadoniT mkurnalobisas, rogorc wesi, pacienti adekvaturi da Sromisunariania. es meTodi opioidebze damokidebul pirs saSualebas aZlevs, gaiumjobesos fizikuri da fsiqikuri janmrTeloba, uari Tqvas kriminalur cxovrebaze, efeqtianad iswavlos, imuSaos, gaxdes ojaxisa Tu sazogadoebis srulfasovani wevri. zogierT pacients agonistebiT mxardaWeris programa exmareba narkotikebze, maT Soris Camanacvlebel narkotikzec sabolood uaris TqmaSi. dReisaTvis saqarTveloSi CanacvlebiTi Terapiis programiT 8210 beneficiari sargeblobs.
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