წამლის ფასი საქართველოში და მისი გაიაფების შემდგომი პერსპექტივები . . .
მანანა ძიძიშვილი: 598 24 94 97 –
swored es mniSvnelovani sakiTxebi ganixiles a(a) ip aWaris eqimTa gaerTianebuli sazogadoebisa da aWaris farmacevtTa registrirebuli kavSiris gamgeobebis pirvel erTobliv sxdomaze. mas aWaris eqimTa gaerTianebuli sazogadoebis Tavmjdomare, medicinis mecnierebaTa doqtori, profesori akaki beriZe uZRveboda
ra problemebi gamoikveTa am sferoebSi dasaqmebulTaTvis? Terapiuli profilis sabWos Tavmjdomare, profesorma sofio beriZem eletronuli receptis sistemis praqtikulad ganxorcielebaze, realobasa da perspeqtivaze isaubra. rogorc man aRniSna, is, rasac eqimebi wlebis ganmavlobaSi umaRles saswavleblebSi swavloben, or aqtivobas Seicavs: erTia operireba, intervencia da meore – wamliT mkurnaloba. eqimi farmakologias meoTxe-mexuTe semestrSi swavlobs da amis Semdgom am produqtebs ecnoba imiT, rasac farmacevtebi sTavazoben.
– am mimarTulebiT ar arsebobs postdiplomuri uwyveti ganaTleba. amitomacaa, rom bevri wamlis Semadgenloba ar icis eqimma, misi codna kargia, magram amis Seswavlas ver daavaleb. arada, realurad esec erT-erTi problemaa. vfiqrob, rom eleqtronuli receptebiT saxelmwifo swor nabijebs dgams, Tumca amis Sesaxeb brZaneba ar aris axali, igi 2009 wels gamoica, 2015 wels damuSavda da dRes Sevida aRsrulebaSi. Tumca, dRemde eleqtronulad bevri recepti iwereba. Tu ar vuwerT pacients recepts, isic ar gvTxovs. amiT vxvdebiT, rom masac afTiaqSi ar sTxoven, ese igi, es saqme isev qaRldzea. meorec, eqimebSi erTgvar protests iwvevs is, Tu ratom unda gadawyvitos farmacevtma, romeli wamali SeiZinos pacientma. Tumca amas farmacevti ar wyvets, is Cven mier daniSnul saerTaSoriso dasaxelebis sam ekonomiur wamals – alternativas sTavazobs. es procesi unda iyos gamWvirvale. ratom ar gamacnes me, rogorc eqims, ra SesTavazes? SesaZloa, man iseTi SesTavazos, rac mis (afTiaqis) intersebSi Sedis. amas saxelmwifo unda aregulirebdes. Cven ratom vambobT, rom esa Tu is wamali ar varga, Tu igi ukve registrirebulia laboratoriis mier? dRevandeli Sexvedra ar aris raime protestis gamoxatva, gvinda eqimebsa da farmacevtebs Soris daiwyos dialogi. aq aris `hekate~, sxva afTiaqebi, romelic wlebia muSaoben da maT saTaveSic iseTi adamianebi arian, romlebmac zustad ician, ra aris bioekvivalentoba da Sesabamisad, izruneben afTiaqis xarisxze, me ki ufro Tamamad SemeZleba maTTan TanamSromloba. amaSi cuds verafers vxedav. axla rac bazarze farmacevtul kompaniebsa da eqimebs Soris xdeba, aris Zalian maxinji TanamSromloba. sargebloben ra eqimebis (zogjer) dabali kompetenciiT im mimarTulebiT, rom is zustad ver gansazRvravs wamlebis vargisianobas, SesaZlebelia, erTi da igive kompaniam eqims SesTavazos xuTi antibiotiki, daainteresos xuTives daniSvniT, maSin roca, ori antibiotiki rom iniSneba erTad, ukve esec Zalian cudia (Tumca gamonaklis SemTxvevaSi antibiotikebis kombinaciac ki keTdeba). raSi vxedavT gamosavals? yvelaferi es rom sityvad ar darCes, am mimarTulebiT moZraoba unda gagrZeldes. unda gaverTiandeT eqimebi da farmacevtebi, gavagrZeloT diskusiebi. kargi iqneba Tu Cveni asociaciis saxeliT moviwyobT adaptirebul-klinikuri farmakologiis postdiplomur kurss. es rTuli gzaa, magram Rirs. Zalian kargi iqneba, Tu movawyobT klinikuri farmaciis xanmokle kurss praqtikosi eqimebisTvis. Cven xom ar vsaubrobT nanoteqnologiaze, vsaubrobT sabaziso ganaTlebaze. farmacevtuli kompaniebis warmomadgenlebs sWirdebaT eqimebTan adaptireba. axalgazrda Taoba wamovida da meti komunikaciaa saWiro maTTan farmacevtebis mxridan. Zalian Znelia, eqimma Tan pacienti gulisyuriT gasinjos, Tan eleqtronuli recepti Seavsos, es Zalian Sromatevadi saqmea, – aRniSna sofio beriZem.
farmacevtTa registrirebuli kavSiris Tavmjdomare vladimer maxaraZem isaubra wamlis fasze saqarTveloSi da misi gaiafebis gzebze, aRniSna, rom gaerTianebuli sazogadoebis da aWaris farmacevtTa asociaciis gamgeobebis erToblivi sxdoma tardeba pirvelad, rac baton akaki beriZis idea iyo.
– erToblivi sxdomis Catareba, azris gaziareba yvelas Zalian mogvewona, radgan es sakiTxi aucileblad unda iyos ganxiluli profesiul wreebSi. gvaqvs erTiani xedva, rom SevTavazoT iafi medikamentebi, ratom vuSvebT gamonakliss? Cveni iniciativaa, rac SeiZleba intensiurad muSaobdes postdiplomuri ganaTlebis kursebi, raTa saerTo jamSi, yvela vsaubrobdeT erT enaze, terminologia iyos SeTanxmebuli, gamoikveTos saerTo mizani, rom pacients movutanoT Sveba da ara ziani. ganvixileT ori Zalian seriozuli sakiTxi, erTia eleqtronuli recepti, misi realurad dRes amoqmedebis mdgomareoba da perspeqtiva da meore, wamlis fasi saqarTveloSi da misi gaiafebis Semdgomi perspeqtivebi, Tundac TurqeTidan importTan kavSirSi. eletronuli recepti savaldebulo gaxda mimdinare wlis 11 aprilidan, magram, SeiZleba iTqvas, igi ar amuSavda, radgan amisTvis dro ar darCa sakmarisi. Zalian cotaa eleqtronuli recepti. aseTi recepti zogierT afTiaqSi saerTod ar Sedis da igi dgeba alternativis winaSe, an unda daxuros afTiaqi an gayidos ureceptod. cxadia, amas umravlesoba ver izams (valdebulebebi, kreditebi aqvs) da wavida meore gziT – yidis ureceptod. am ramdenime xnis win Camovida maregulirebeli komisia da yvela aseTi afTiaqi daajarima. eqimma rom elqtronuli recepti gamoweros, mis samuSao adgilze unda iyos kompiuteri, interneti . . . meorec, gamoweras, mis gaformebas, sakmaod didi dro miaqvs. es iTxovs, rom yvela eqims hyavdes TanaSemwe, romelic am saqmes moaSorebs, rac didi fufunebaa. eqimis mTeli yuradReba midis gaformebaze, receptis Sevsebaze da amasobaSi, avadmyofisTvis cota dro rCeba. recepti rom afTiaqSi midis, eleqtronul sivrceSi mis Zebnas didi dro sWirdeba. zogjer interneti ar muSaobs gamarTulad da aqac dro daikarga. gasaTvaliswinebelia isic, rom soflis afTiaqebSi interneti ar aris, ra Tqma unda, mova dro da es yvelaferi dalagdeba, magram mTlianad sistema, jerjerobiT, ar aRmoCnda mzad eleqtronul receptze srulyofilad gadasasvlelad. isic unda vTqvaT, rom saerTod, eleqtronul recepts bevri dadebiTi aqvs, maT Soris is, rom wamlis sworad daniSvnaze da farmakoTerapiaze monitoringis Catarebas Seuwyobs xels, anu es anonimurobas gamoricxavs. eqimi, romelic eleqtronulad gamowers wamals, ukve iSifreba. zogjer avadmyofs rom bevr wamals uniSnaven, esec kontrolirebadi gaxdeba, kidev araerTi procesi iqneba gamWvirvale. cudia, rom dResdReobiT, Cvens qveyanaSi wamlis kontroli, monitoringi, rogorc es evropaSia, ar dainerga, ar aris aRricxva vin avaddeba wamliT, vin kvdeba, arada, qveyanaSi wamlismieri garTulebebis da daavadebebis didi ricxvia.
eleqtronuli receptis danergvis, misi gamoyenebis, saerTod am sistemis winaaRmdegi ki ar varT, es swori mimarTulebaa, progresi, magram damatebiT unda gatardes iseTi RonisZiebebi, rom yvelgan erTnairad amoqmeddes igi – qalaqsa Tu sofelSi. vfiqrob, es dro, gardamavali etapiviT, kidev unda gagrZeldes. iuridiulad saministros ver Seedavebi – dro iyo mocemuli, magram es ar aRmoCnda sakmarisi. meorec, wamlis gaiafebisTvis mxolod TurqeTidan misi importi sakmarisi ar aris, Tumca, udavod dadebiTi roli Seasrula am procesma. jerjerobiT, daaxloebiT 60 dasaxelebazea saubari. pirvel rigSi, unda movikiTxoT, rogor SeZlo TurqeTma wamlebis gaiafeba. aq aris universaluri pasuxi – wamlis fasis saxelmwifoebrivi regulirebiT. aq saubaria mxolod esencialur, anu sasicocxlod aucilebel wamlebze, romelic Seadgens daaxloebiT 325 dasaxelebas. Tu aseTi wamlebis fass saxelmwifo ver daaregulirebs, mis gareSe adamiani rCeba `gamoWerili~ – iZulebulia Tavad SeiZinos im fasad, romelsac afTiaqi sTavazobs. davexmaroT maT da 10 laris nacvlad ar gadavaxdevinoT 200 lari. ai, esaa mTeli `filosofia~, – aRniSna vladimer maxaraZem.
Sps `ruTamenis~ direqtori amiran maxaraZe ambobs, rom premieris iniciativiT TurqeTis respublikis paraleluri importis qveynebSi Casmam, didi SeRavaTi gauwia sazogadoebas.
– me SevZeli 60-mde dasaxelebis medikamentis Semotana, romlis fasi radikalurad gansxvavdeba yofilisgan, – minimum 50-70-procentiani sxvaobaa. mikvirs, pacientebi dRemde Civian, qselur afTiaqebSi wamals gacxadebuli fasebiT ver vyidulobTo. minda mivmarTo mosaxleobas, rom garda qselurisa, baTumSi SedarebiT patara, uamravi kerZo afTiaqia, rogoricaa, magaliTad Sps `ruTameni~, Sps `hekate~, Sps `impulsi~, romelic uSualod me uzrunvelvyavi Semotanili medikamentebiT. ZiriTadad, gulsisZarRvTa sistemis, aseve diabeturi preparatebiT da mimarTon maT. kargia, rom mTavroba cdilobs qveyanaSi wamlis fasebis dawevas, eZebs amis gzebs. magram, man Tavisi es nabiji unda daicvas xSiri monitoringiT, fasebis kontroliT, raTa viRacas ar gauCndes cduneba, rom igi isev monopoliur fasebze daabrunos, – Tqva amiran maxaraZem.
