ისრაელის რეპროდუქტოლოგები – ბათუმში
õïüòï òïøâòäò 591 98 24 26 –
aWaris mTavroba uSvilobis mkurnalobasa da
diagnostikas daafinansebs
uSvilobis problema saukuneebis ganmavlobaSi idga kacobriobis winaSe da imis miuxedavad, rom ukve me-20 saukunis bolos dainerga reproduqciuli teqnologiebi, Zvirad Rirebul samedicino servisebs bevri ver wvdeba, amitom gansakuTrebuli datvirTva SeiZina aWaris mTavrobis Tavmjdomaris Tornike riJvaZis gancxadebam uSvilobis mkurnalobisa da diagnostikis dafinansebis Sesaxeb. naxevarmilioniani programis beneficiarebad moiazrebian sxvadasxva socialuri kategoriis pirebi, romelTac Svilis yolis mizniT esaWiroebaT reproduqciuli samedicino daxmareba. riJvaZis gancxadebiT, Semdgom etapze, momarTvianobidan gamomdinare, biujeti gaizrdeba.
gTavazobT intervius israelis xelovnuri ganayofierebis, donaciis da surogaciis baTumis centris B
reproduqtologsa da mean-ginekolog irma ramiSvilTan.
– qalbatono irma, saerTo raodenobis wyvilebis ra procenti saWiroebs xelovnur ganayofierebas?
– reproduqtiul asakSi, aWaraSic aris unayofobis zustad iseTive procenti, rogoric danarCen saqarTveloSi – 12-15%-mde. aqamde Cvens qveyanaSi ar funqcionirebda unayofo wyvilebis materialuri daxmarebis programa. amitom sasixaruloa, rom swored Cvens regionSi amoqmeddeba 6-Tviani sapilote programa mTavrobis Tavmjdomaris Tornike riJvaZis iniciativiT.
– rodis amuSavdeba es programa?
– rogorc naTqvamia, ivlisidan, oRond ra kriteriumebiT SeirCeva beneficiarebi, jerjerobiT ar viciT. mxolod isaa cnobili, rom aWaris mTavroba finansurad daexmareba Cvens regionSi registrirebul unayofo wyvilebs. aqve aRvniSnav, rom Tu momarTvianoba iqneba, momavali wlidan am programis dafinanseba gaizrdeba.
– unayofobis mkurnaloba da xelovnuri ganayofiereba sakmaod Zvirad Rirebuli procesia, beneficiari bevri iqneba… ramdenad sakmarisia mTavrobis mier SemoTavazebuli dafinanseba?
– pirvel etapze sakmarisia, radgan jer ar aris am mimarTulebiT kvlevebi Catarebuli, arc is viciT, romel wyvils ra sWirdeba, aq vgulisxmob, rom mkurnaloba, surogacia da xelovnuri ganayofiereba sxvadasxva Rirebulebis programaa, anu sxvadasxva diagnozis SemTxvevaSi sxvadasxva daxmarebaa saWiro. arsebobs martivi meTodebi, rac gulisxmobs wyvilis medikamentozur mkurnalobas, magram aris uSvilobis iseTi formebi, romelic specifikur daxmarebas iTxovs, vgulisxmob damxmare reproduqciuli teqnologiebis gamoyenebas. amaSi Sedis inseminacia da xelovnuri ganayofiereba. swored am ukanasknelis gamoyeneba aris Zvirad Rirebuli.
– programa am Zvirad Rirebuli teqnologiebis gamoyenebasac afinansebs?
– ra Tqma unda, swored amazea gaTvlili aWaris mTavrobis Tavmjdomaris mier inicirebuli es programa.
– Tu SeiZleba, klinikaze gviambeT, uWirT Tu ara Tqvenamde mosvla, vgulisxmob qarTul mentalitets, da ra momsaxurebas sTavazobT?
– aqamde mosvla namdvilad aravis uWirs, radgan sakmaod gaxsnilia sazogadoeba. wyvili Tavisuflad modis CvenTan, magram daxmareba ramdenad SegviZlia, amazea saubari. xSirad vawydebiT finansur Tu sxva sirTuleebs, ris gamoc ver vaxerxebT daxmarebas. imedi gvaqvs, mTavrobis proeqti gaamarTlebs, kidev ufro met beneficiars moikrebs da TavisTavad, uamrav sixaruls mivaniWebT unayofo wyvilebs da qveynis demografiis sakiTxsac SeveSvelebiT.
– razea damokidebuli unayofo wyvilis ganayofiereba?
– msoflio statistikiT, am proceduris warmatebis pirdapirproporciulia wyvilis asaki. ganayofierebis procenti maRalia 35 wlamde, meryeobs 60-65%-Si. meti asakis pacientisTvis, dafexmZimebis procentuli maCvenebeli naklebia. asaki zegavlenas axdens qalis reproduqciul unarze, anu am mimarTulebiT savalalo Sedegs iZleva.
– xom aris 50 wels zeviT asakis qalebis daorsulebis SemTxvevebi?
– aris, magram erTeulia, Tanac gaaCnia, ra meTodiT miviRebT orsulobas, isic Zalian dabal – daaxloebiT 1-2%-Si miiRweva.
– surogaciis procesze xom ar aris raime SezRudvebi?
– araviTari, es ukve Cveulebrivi, dakanonebuli procedura gaxlavT mraval qveyanaSi. ukve saqarTveloSic Zalian gavrcelda am meTodis gamoyenebis SemTxvevebi, miT umetes, bevri ojaxuri wyvilisTvis es erTaderTi gamosavalia.
– eklesia zRudavs am tipis procedurebs. . .
– arc me da arc sxva reproduqtologebs ar Segvxvedria am kuTxiT araviTari winaaRmdegoba. rodesac wyvili Cvenamde modis, ukve gadawyvetili aqvs bavSvis gaCena, raSic maqsimalurad vexmarebiT, vaniWebT udides sixaruls da bednierebas. Tanac, am meTodiT tyupebis gaCenis meti Sansia da ojaxs ori-sami bavSvis Sematebis saSualebac eZleva.
– ramdeni xania, rac baTumSi funqcionirebs Tqveni centri?
– ukve ori welia, Tumca rac gaixsna, mas Semdeg pandemia gamocxadda da SegvezRuda muSaoba, ver Camodiodnen eqspertebi israelidan, arada, am xalxs 40- wliani gamocdileba aqvs unayofobasTan brZolaSi. pandemia rogorc ki dasrulda, Cvenma kolegebma daiwyes gegmuri konsultaciebis da procedurebis Catareba. martSi iyvnen erTi kviriT da aprilSic gegmaven Camosvlas. isini qarTvel wyvilebs daexmarebian CvenTan erTad. kargia, rom gvaqvs SesaZlebloba, gaviziaroT israelis eqimebis mravalwliani gamocdileba uSvilobis urTulesi SemTxvevebis mkurnalobis Sesaxeb.
– ra servisebs sTavazobT pacientebs?
– umaRlesi xarisxiT uSvilobis mkurnalobas, in-vitro ganayofierebas, donaciis da surogaciis programebs, zusti diagnostikiT laboratoriul da ultrabgeriT gamokvlevebs. profesionalebisgan Semdgari gundi TiToeul pacients individualurad udgeba da misi interesebis maRali dacviT moqmedebs.
– Tqveni centris warmatebebze ras gvetyvT?
– pandemiamde, roca muSaoba SegveZlo, Cvens klinikaSi unayofobis mkurnalobis SemTxvevebis 50% warmatebiT dasrulda, maT Sorisaa klasikuri xelovnuri ganayofiereba, ganayofiereba donoris kvercxujredebiT da donoris spermiT. kargi Sedegebi gvaqvs surogaciis programis ganxorcielebaSic. aqve aRvniSnav, rom adgilobrivi pacientebis garda, Camosuli iyvnen wyvilebi somxeTidan, TurqeTidan, kanadidan da baltiispireTis qveynebidan. dainteresebul pirebs vacnobebT, rom amJamad gvaqvs SesaZlebloba, CavataroT embrionis preimplantaciuri genetikuri testireba. embrionis biofsia keTdeba Cvens laboratoriaSi da analizisTvis masala igzavneba erT-erT wamyvan laboratoriaSi. kovidviTarebis ganmuxtvasTan erTad, gaizarda rogorc qarTveli, aseve ucxoeli pacientebis momarTvianoba. rogorc aRvniSne, aprilidan yovelTviurad gvewvevian Cveni eqimebi israelidan. aqedan gamomdinare, viwyebT axal reJimSi muSaobas, raTa maqsimalurad gamoviyenoT maTi codna da gamocdileba.
– uSvilobis mkurnalobis yvelaze efeqtur meTodad romeli miiCneva?
– droulad miwodebuli yvela meTodi kargia, amitom dainteresebul wyvilebs jer vTavazobT konsultaciebisa da gamokvlevebis srul speqtrs, maT Soris laboratoriuli diagnozis Sedegebis Sefasebas, unayofobis daZlevis gzebis SemuSavebas. konsultaciebs atareben eqspertebi israelidan da klinikis lokaluri direqtori. rac Seexeba meTods, uSvilobis mkurnalobis yvelaze efeqtur procedurad xelovnuri ganayofiereba iTvleba, romelic rekomendebulia pacientebisTvis, romelTac uSvilobis mkurnalobis sxva meTodebi ar uxdebaT. procedura iTvaliswinebs sakvercxeebis hormonalur stimulacias, transvaginalur punqcias (sakvercxedan oocitebis amoReba), oocitebis ganayofierebas da embrionebis kultivacias, embrionis gadatanas saSvilosnoSi. aseve vakeTebT xelovnur ganayofierebas bunebriv ciklSi hormonaluri stimulaciis gareSe.
– Tuki mxolod erTia pacienti, meuRlis gareSe, mas daexmarebiT?
– Cvens donorTa bankSi arian qalebi 18-dan 33 wlis asakamde, romelTac hyavT Svilebi, aqvT kargi genetikuri istoria da survili – daexmaron sxva wyvilebs. maTi oocitebis saSualebiT Catarebula araerTi warmatebuli xelovnuri ganayofierebis procedura. ase rom, Sansi, mivaRwioT didi xnis nanatr orsulobas donoris oocitebis daxmarebiT, Zalian maRalia. qals SeuZlia nanatri orsulobis miReba donoris spermis daxmarebiT, Tundac im momentSi, rodesac mas ar hyavs meuRle an partniori. aqve davamateb, rom xelovnuri ganayofiereba aris bolo meTodi, romelic gamoiyeneba unayofobis dasaZlevad. uSvilobis mizezebidan gamomdinare, vcdilobT, gamoviyenoT sxva SesaZlo meTodebi orsulobis misaRebad. klinika -is saoperacio aRWurvilia mowinave teqnologiebiT, rac yvela proceduris Tanamedrove doneze Catarebis SesaZleblobas gvaZlevs.
– ras gvetyviT centrSi dasaqmebul eqimebze?
– Cveni profesionali reproduqtologebi da embriologebi wamyvani specialistebi arian israelis cnobil klinikebSi. TiToeuli maTgani 20 welze metia, am dargSi muSaobs, aseve arian israelis da saerTaSoriso asociaciis wevrebi, romlebic agreTve monawileoben kvercxujredis donaciis sxvadasxva programaSi.
– Tu SeiZleba Tqvens klinikaSi kvercxujredis gayinva misi Semdgomi gamoyenebis mizniT? es meTodi danergilia mowinave qveynebis centrebSi.
– ki. dRevandel samyaroSi, qalebi ufro xSirad cdiloben gansakuTrebuli yuradReba dauTmon karieras, TviTganviTarebas, mogzaurobas da Svilis gaCena gadades ufro gviani asakisTvis. aseT qalebs vTavazobT programas `gadadebuli dedoba~, romlis arsic aris Semdegi: qalebs axalgazrda asakSi (35 wlamde) SeuZliaT kvercxujredebis gayinva da mogvianebiT gamoyeneba. 40-45-50 wlis asakSic qals eqneba SesaZlebloba, daorsuldes da gaaCinos janmrTeli bavSvi, radgan kvercxujredebi iqneba im asakis, ra asakSic isini gaiyina. asakis matebasTan erTad, qalebis umravlesoba ar dafiqrebula imaze, rom janmrTeli kvercxujredebis raodenoba TandaTan mcirdeba. ganviTarebuli qveynebidan miRebuli statistikis Tanaxmad, Tanamedrove qali gegmavs orsulobas gvian asakSi. am tendenciis ZiriTadi mizezebia ganaTlebis miRebis, karieruli zrdis survili, uzrunvelyos sakuTari Tavi da Svilis momavali, `idealuri mamakacis~ povna da, ubralod, `sakuTari TavisTvis cxovreba~. Sedegad, orsuloba SeiZleba gadaidos Zalian didi xniT, magram 35 wlis Semdeg, sakvercxeebSi kvercxujredebis raodenoba mniSvnelovnad mcirdeba – am process ewodeba ovaraluri maragis Semcireba. aseve, uaresdeba kvercxujredebis xarisxic. daorsulebis Sansi mcirdeba, izrdeba genetikuri paTologiebis mqone bavSvis gaCenis riski.
– mainc ra asakSi unda gaiyinos kvercxujredi?
– es procedura yvelaze popularulia 25-35 wlis asakSi. gayinvis gadawyvetilebas iRebs Tavad qali, Tu is darwmunebulia, rom 35 wlis asakamde orsulobas ar gegmavs. aseve, kvercxujredebis gayinvis mizezad SeiZleba iqces samedicino Cvenebebi. modiT, yvelaferi ufro detalurad ganvixiloT: xSirad ise xdeba, rom Rirseuli mamakacis povnas, romelTanac surs qals ojaxis Seqmna, didi dro sWirdeba da rodesac `is~ gamoCndeba, SeiZleba dagvianebuli iyos. es rom ar gaxdes wuxilis mizezi da xangrZlivma gamokvlevebma, sxvadasxva klinikaSi vizitebma, mkurnalobis uSedego meTodebma ar daarRvios ojaxuri idilia, umjobesia, winaswar izrunos da gayinos `axalgazrda kvercxujredebi~, raTa SeZlos Svilis gaCena gvian asakSi. arastabiluri finansuri mdgomareoba, karieris Seqmnis survili, `fexze wamodgomac~ – xSirad xdeba orsulobis gadadebis mizezi. rodis dadgeba es finansuri stabiluroba – ucnobia, qali ki Sedis asakSi da berdeba misi kvercxujredebic. am da sxva mizezebis gamo, bevri mimarTavs kvercxujredis gayinvis meTods da kmayofilia miRebuli SedegebiT.
– rogorc aRniSneT, pandemiis periodSi israelidan eqimebi ver CamogyavdaT. onlainkavSiri gqondaT?
– ra Tqma unda, SevZeliT mudmivi onlainkontaqtis damyareba Cvens israelel specialistebsa da baTumis klinikas Soris. praqtikulad, unayofobis diagnostirebasTan dakavSirebuli mTeli procesi, hormonaluri stimulaciis sqemebis SemuSaveba da stimulaciis procesis monitoringi iyo da axlac aris israelis specialistebis sruli kontrolis qveS. aseve, Cven aviyvaneT TanamSromlad maRalprofesionali embriologi, romelsac aqvs didi gamocdileba xelovnuri ganayofierebis sferoSi da mudmivad saqarTveloSia. kvercxujredis aspiraciis da embrionis gadatanis procedurebs atareben gamocdili reproduqtologebi, romlebsac gaaCniaT israelis specialistebTan muSaobis didi gamocdileba da maTTan mudmiv kontaqtze arian.
