,,მედცენტრში” თირკმლის ტრანსპლანტაცია წარმატებით ჩატარდა
ნინო ცხვარაძე 591 98 24 30
28 Tebervals, aWaraSi pirvelad, Tirkmlis gadanergvis operacia Catarda. maRalteqnologiur hospital `medcentrSi~ Tirkmlis transplantacia saqarTvelos urologiis centris profesorma, saqarTvelos urologTa asociaciis aRmasrulebelma mdivanma arCil Cxotuam Caatara. 23 wlis gogonas donori mama iyo. operaciam warmatebiT Caiara – donori da recipienti Tavs kargad grZnoben. batoni arCili dRes Cveni stumaria
– Tirkmlis transplantacias didi istoria aqvs. pirveli operacia 1976 wels, maSindel qirurgiis samecniero institutSi, rusma da qarTvelma specialistebma Caatares. medikosTa gunds ruseTis mxridan transplantaciis centris xelmZRvaneli profesori Sumakovi, saqarTvelodan ki maSindeli qirurgiis centris direqtoris moadgile, profesori laur managaZe xelmZRvanelobdnen. oTxi gvamuri Tirkmeli Camoitanes ruseTidan da qarTvel pacientebs gadaunerges. amis Semdeg iyo pauza. 1995 wels, maSindel urologiis samecniero institutSi, dRevandel urologiis erovnul centrSi, frangi da qarTveli eqimebis mier pirveli transplantacia Catarda – cocxali donorebidan aRebuli organoTi, ris Semdegac daiwyo am mimarTulebis ganviTareba da 2000 wlidan ukve regularulad tardeba Tirkmelis gadanergvis operaciebi.
– dRes uamravi adamiani dializzea damokidebuli. ra gansxvavebaa mkurnalobis am meTodsa da Tirkmlis gadanergvas Soris?
– dializi Tirkmlis funqciis Canacvlebis erT-erTi meTodia, Tumca yvelaze efeqturi transplantaciaa. gadanergil organos yvelaze ukeT SeuZlia Secvalos Tirkmlis funqcia. transplantacia mkurnalobis sxva danarCen meTodebs sjobs, es bevri parametriTaa damtkicebuli. kerZod, transplantaciis Semdeg adamianebi bevrad ufro didxans cocxloben, sikvdilianobis maCvenebeli ufro naklebia, Tu SevadarebT dializze myof pacientebs. metic, pacientebis sicocxlis xarisxi umjobesdeba da TiTqmis utoldeba janmrTeli adamianebis sicocxlis xarisxs. magaliTisTvis getyviT, pacientebma, romlebsac Tirkmeli gadavunergeT, Seqmnes ojaxebi, hyavT Svilebi, aqtiur cxovrebas ewevian.
– vin SeiZleba iyos donori?
– donoroba kanonmdeblobiT regulirdeboda wlebis ganmavlobaSi. 2000 wels miiRes saqarTvelos kanoni organoTa gadanergvis Sesaxeb, romlis mixedviTac donori SeiZleba yofiliyo ojaxis wevri da axlo naTesavi, meuRle, Tu isini samoqalaqo qorwinebaSi imyofebodnen erTi weli da meuRlis naTesavebi. ramdenime wlis win, saqarTvelos sakonstitucio sasamarTlom SeaCera am muxlis moqmedeba da garkveuli cvlilebebi Seitana. dRes, praqtikulad, aranaTesavs, emociurad dakavSirebul pirebsac SeuZliaT iyvnen donorebi, oRond es unda iyos usasyidlod – organoebiT vaWroba akrZalulia sisxlis samarTlis kodeqsiT. am SemTxvevaSi donori da recipienti midian sasamarTloSi, SeaqvT gancxadeba da sasamarTlos nebarTvis Semdeg gvaqvs ufleba gadanergvis.
– batono arCil, rogor pirobebSi mogiwiaT `medcentrSi~ operaciis Catareba da ramdenadaa klinika mzad, msgavs gamowvevebs upasuxos?
– operaciam warmatebiT Caiara. sasiamovnod gakvirvebuli var im maRali doniT, rac damxvda `medcentrSi~, rogorc saoperacio-intensiuri Terapiis ganyofileba, aseve, diagnostikuri rgoli, nefrologiis ganyofileba. amasTan ar minda gamomrCes da minda xazi gavusva samedicino personalis momzadebis maRal dones. vgulisxmob procesSi CarTul yvela rgols – qirurgebs, urologebs, anesTeziologebs, reanimatologebs, saSualo samedicino personals, amdenad, kmayofili var am SesaniSnavi gundiT. yvelaferi ki SeuZlebeli iqneboda, rom ara swori menejmenti. praqtikulad, gadanergilma Tirkmelma iqve, saoperacio magidaze daiwyo funqcionireba. gadanergili Tirkmeli intensiurad muSaobs da pacienti dializidan moxsnilia. rogorc donoris, ise recipientis yvela parametri Seesabameba im maCveneblebs, rac unda hqondeT. Cven optimisturad varT ganwyobili da es operacia kargi dasawyisi iqneba am dargis ganviTarebisTvis aWaris regionSi.
– Tirkmlis gadanergvas saxelmwifo afinansebs?
– rogorc donoris, ise recipientis operacia saxelmwifosgan finansdeba, praqtikulad – srulad. ufro metic, operaciis Semdgom isini imyofebian medikamentur Terapiaze, medikamentebi ki saxelmwifo programiT miewodebaT.
– Tirkmlis gadanergvas ukuCvenebac eqneba. . .
– diax, es aris infeqciuri, onkologiuri daavadebebi, mZime sistemuri paTologiebi – gulsisxlZarRvTa, RviZlis, sasunTqi sistemis daavadebebi.
– romeli asakia rekomendebuli?
– donoris asaki SezRuduli ar aris, Tumca 65 wlis zemoT donors, umeteswilad, veubnebiT uars. donoris standartuli asaki 60 wlamde ganixileba. 60-dan 65 wlamde yvela SemTxvevas individualurad SeviswavliT, ramdenad biologiurad axalgazrdaa Tirkmeli. rac Seexeba recipientebs, mkacrad ar aris asaki gansazRvruli – gadanergvas vakeTebT bavSvebSic. yvelaze patara pacienti 7 wlis gvyavda.
– erTi TirkmliT darCenili donoris sicocxles an janmrTelobas ra safrTxe emuqreba?
– donorebi erTi TirkmliT mTeli darCenili cxovreba cxovroben janmrTelad. bolo 20 wlis ganmavlobaSi, arc erTi donori dializze ar aris. erTi Tirkmeli yvela donorSi kargad muSaobda. ar yofila donoris TirkmelTan dakavSirebuli problemiT gardacvaleba. Tu donori gamokvleulia kargad, mas araferi emuqreba darCenili erTi TirkmliT. ra Tqma unda, man Tavis janmrTelobas meti yuradReba unda miaqcios.
– ra SemTxvevaSia transplantacia efeqturi?
– transplantacia yvelaze efeqturia, sanam dializze gadava pacienti. roca ukve dializi gardauvalia, maSinve gakeTebul operacias yvelaze naklebi garTuleba axlavs.
– maSin roca Tirkmlis transplantacias saxelmwifo afinansebs, ratom aris adamianebis didi nawili dializze damokidebuli? es informaciis naklebobiTaa gamowveuli Tu medikosebisadmi undoblobiT?
– albaT, raRac doziT arainformirebuloba da amasTan, donoris aryolaa mTavari faqtori. imedi maqvs, am warmatebuli operaciis Semdeg, `medcentrSi~, sadac dializis centria, pacientebi ufro moindomeben operaciis Catarebas. garda cocxali donorisa, aseve, SesaZlebalia gvamuri organoebis gadanergvac, rac samwuxarod, saqarTveloSi dRemde ver moxerxda. es Zalian mniSvnelovania, radgan yvela moTxovna cocxali donorisgan aRebuli Tirkmlis transplantaciiT ver dakmayofildeba.
operaciis warmatebiT Catarebas profesori arCil Cxotua `medcentris~ menejments ukavSirebs. Cven komentari vTxoveT aseve, maRalteqnologiuri hospitalis direqtors dea qajaias.
– qalbatono dea, sakmaod rTul operacias SeeWida `medcentri~. ram ganapiroba am mimarTulebiT daintereseba?
– klinikas hqonda Tirkmlis mZime, qronikuli paTologiebis mqone pacientebis marTvis gamocdileba. CvenTan uZlieresi urologiuri samsaxuria, Tanamedrove standartebis Sesabamisi saoperacio blokiT, gvaqvs mWidro kontaqti dializisa da nefrologiis centrTan. roca klinikaSi reanimaciuli ganyofilebebi gaixsna, daviwyeT urgentuli dializis Catareba. dializisa da nefrologiis centrTan erTad, Cven maqsimums vakeTebT pacientebis janmrTelobis mdgomareobis gasaumjobeseblad. pacientTa raodenoba dRiTi dRe matulobs. centris xelmZRvanel avTandil TaTaraZesTan da nefrolog qeTi gelaSvilTan xSirad vsaubrobdiT problemaze. samwuxarod, aris axalgazrda kontingenti da Cven SesaZlebloba gvqonda maTTvis sargebeli mogvetana – maTi cxovrebis xarisxis gaumjobesebis TvalsazrisiT. naxav donors, klinikas, sadac operaciis Catareba SesaZlebelia, magram cxovrob sxva qalaqSi, rac adamianebs garkveul diskomforts uqmnis da damatebiT xarjebTanaa dakavSirebuli. bolo ori weli vfiqrobdiT Tirkmlis transplantaciaze, gadavamzadeT medpersonali, rogorc anesTeziologebi, ise – meddebi, transplantaciis jgufi. gamoCndnen donori da recipienti, romlebic adgilobrivebi arian. xangrZlivi procedurebis da momzadebis Semdeg, miviReT gadawyvetileba, gadagvenerga Tirkmeli. bolo erTi Tvis ganmavlobaSi gavdiodiT detalebs, procesSi ramdenime departamenti iyo CarTuli, urologiis departamenti, misi xelmZRvaneli rostom xalvaSi gundTan erTad. Sesabamisad aRiWurva saoperacio bloki. marTalia, ZiriTadi aRWurviloba iyo, magram raRac detalebis damateba mainc gaxda aucilebeli. anesTeziologiuri, reanimaciuli, intensiuri Terapiis samsaxurebi srulad movamzadeT aseTi urTulesi operaciis Casatareblad. Cven yvela piroba SevqmeniT operaciisSemdgomi periodisTvis – infeqciuri da epidemiologiuri kontroli maqsimalurad daculia. gundma warmatebiT imuSava, yvela rgolma maqsimaluri gaakeTa. yvelaferma kargad Caiara, magram donors da recipients kidev aqvT gza gasavleli srul gamojanmrTelebamde. yvelafers gavakeTebT procesis warmatebiT dasrulebisTvis. garda amisa, darwmunebulebi varT, es ar iqneba Tirkmlis arc pirveli da arc ukanaskneli transplantacia Cvens klinikaSi. baton arCilTan vgegmavT urTierTobebis gaRrmavebas, CavatarebT masterklasebs urologiis erovnuli centris miRwevebis da gamocdilebis gasaziareblad.
