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qarTveli eqimebis didi warmateba – tuberkulozis medikamenturi mkurnaloba 2 wlidan 6 Tvemde Seamcires
filtvis tuberkulozi haeriT gadamdebi daavadebaa, romelic gamowveulia mikobaqteria tuberkulozis mier. daavadeba msoflioSi sikvdilianobis 10 mowinave mizezs Sorisaa. igi agreTve warmoadgens aiv inficirebulTa gardacvalebis mTavar mizezs.
tuberkulozi gankurnebadia. rogorc kvlevebma aCvena, 2000-dan 2017 wlamde mkurnalobam msoflioSi 54 milionamde adamianis sicocxle gadaarCina, Tumca jer kidev arsebobs diagnostikis, mkurnalobisa da prevenciis gaumjobesebis saWiroeba. Sesabamisad, arsebobs damatebiT samecniero informaciis gadaudebeli aucileblobac. mimdinareobs sxvadasxva kvleva am informaciis misaRebad. aRniSnuli kvlevebi adgens tuberkulozis diagnostikis, axali mkurnalobis usafrTxoebis da efeqturobis gzebs. warsulSi, rodesac ar iyo tuberkulozis sawinaaRmdego maRalefeqturi samkurnalo saSualebebi, daavadebulTa mkurnalobas saavadmyofoebsa da sanatoriumebSi didi dro sWirdeboda, mkurnaloba mimarTuli iyo organizmis imunitetis asamaRleblad da gasaZliereblad, raTa Tavad SebrZoleboda daavadebas. aseTi midgoma dRes msoflioSi aRar gamoiyeneba. axali gaidlainebiT tuberkulozis mkurnalobis procesic Semcirebulia. Tu adre mkurnaloba ori wlis ganmavlobaSi mimdinareobda da yoveldRiurad uamravi medikamentisa da gadasxmis miRebas iTvaliswinebda, axla sul raRac 6 Tvis ganmavlobaSi pacients tuberkulozisgan srulad gankurneba SeuZlia. wamlebis mimarT mgrZnobiare tuberkulozis samkurnalod amJamad rekomendebulia ramdenime medikamentiT 6-Tviani mkurnaloba. Tu wamlebis mimarT mgrZnobiare tuberkulozis mkurnaloba arasrulyofilad Catarda, gamotovebuli dozebis, an Sewyvetili mkurnalobis gamo pacients SeiZleba ganuviTardes daavadebis recidivi anu relafsi, an ganviTardes tuberkulozis wamalgare forma. wamlebis mimarT mgrZnobiare tuberkulozis mqone pacientebs mkurnaloben yoveldRiurad, rifampicinis Semcveli 6-Tviani samkurnalo reJimiT. tubsawinaaRmdego medikamentebi, romlebic ZiriTadad, gamoiyeneba wamlebis mimarT mgrZnobiare tuberkulozis samkurnalod, aris Semdegi: 1.izoniazidi, 2 rifampicini, 3. pirazinamidi, 4. eTambutoli. tuberkulozis zogierTi forma gamZlea, anu ar pasuxobs zogierT tubsawinaaRmdego medikaments. multirezistentuli tuberkulozi gamZlea rifampicinisa da izoniazidis mimarT, romlebic pirveli rigis yvelaze efeqturi tubsawinaaRmdego medikamentebia. rezistentoba SeiZleba iyos SeZenili an gadacemuli. aRniSnuli formis tuberkulozis mkurnaloba ufro xangrZlivia da saWiroebs mkurnalobas meore rigis medikamentebiT, zogjer sainieqcio medikamentebiTac.
amJamad, rekomendebuli mkurnalobis xangrZlivoba 9-dan 20 Tvemdea, rac sirTules warmoadgens rogorc pacientisTvis, aseve jandacvis sistemisTvisac, xangrZlivobisa da mkurnalobis procesSi ganviTarebuli arasasurveli movlenebis gamo. pacientebi da jandacvis muSakebi Tanxmdebian, rom efeqturi xanmokle sruli oraluri multirezistentuli tuberkulozis mkurnalobis reJimi daexmareba pacients mkurnalobis dasrulebasa da srulad gankurnebaSi. aRniSnul xanmokle reJims SeuZlia, Seamciros rezistentuli tuberkulozis gavrceleba. imedismomcemi `axali xanmokle reJimebi~ amJamad Seswavlis procesSia mkurnalobis gamosavlebis gaumjobesebisa da daavadebis tvirTis Semcirebis mizniT. axali reJimebi ikvlevs iseT mimarTulebebs, rogorebicaa – sainieqcio medikamentebis amoReba da axali medikamentebis, bedaqilinisa da pretomanidis CarTva. profesor eka sanikiZis TqmiT, tuberkulozTan efeqturad brZolisTvis aucilebelia konkretul pacientze orientirebuli muSaoba, rac imas gulisxmobs, rom individualurad unda moxdes problemis Seswavla da am problemis myisieri mogvareba, Tumca Tu pacienti mkurnalobas wyvets, an uars ambobs medikosebis daxmarebaze, SesaZloa Sedegebi savalalo aRmoCndes.
– saqarTveloSi tuberkulozis programa imdenad warmatebulia, rom msoflio jandacvis organizacia aRiarebs rogorc yvelaze progresuls, saukeTesos Tavisi SedegiT. aman gamoiwvia is, rom es modeli gaxda samagaliTo da Cveni eqimebi atareben treningebs sxvadasxva qveyanaSi. CvenTan Camodian pacientebi imisaTvis, rom ganikurnon. erTi problemaa mxolod – programis gavrceleba, cnobadoba msoflios masStabiT ar xorcieldeba. imxela warmatebas miaRwies Cvenma eqimebma da aravin icis amis Sesaxeb. axalma gaidlainma Tavisi sityva Tqva msoflioSi da amaSi qarTveli eqimebis didi wvlilia. es xalxi ara mxolod eqimobs, aramed atarebs kvlevebs. isini arian Sefasebulni rogorc saukeTesoebi. umaRles donezea aRWurvili Cveni tuberkulozis centri. naxvelis transportirebis uzrunvelyofaSic pirvelebi viyaviT. pacienti rom ar Camosuliyo naxvelis Casabareblad, specialuri danadgariT xdeboda am naxvelis transportireba da Semdeg masze kvlevebis Catareba. tubdaavadebulebi da maTi ojaxis wevrebi informaciul vakuumSi arian, ris gamoc stigma maRalia. swori mkurnalobis SemTxvevaSi me-5-6 dRidan pacienti ver asnebovnebs janmrTel adamians. is gamoyofs baqterias, magram ar aris gadamdebi, mkvdaria es bacila, Zalagamoleuli. amisTvisaa saWiro informaciis gavrceleba, sworad mitana nebismier piramde. mkurnalobidan or TveSi tuberkuloziT daavadebuls SeuZlia Cveulebrivad gaagrZelos cxovreba – iaros saswavlebelSi, gaagrZelos muSaoba, magram mkurnaloba unda miiyvanos bolomde. SesaZloa mkurnalobis dawyebidan 2 TveSi pacientma Tavi igrZnos bevrad ukeT, vidre Tundac daavadebamde. amis gamo xSiria mkurnalobis Sewyveta, am SemTxvevaSi miZinebuli mikobaqteria iRviZebs da isev iCens Tavs. mTavaria, es mesiji mivitanoT mosaxleobamde, rom ar SeiZleba Sua gzaSi mivatovoT mkurnalobis procesi. medias didi roli aqvs virusze cnobadobis gazrdaSi. jandacvis menejmentSi ndoba da komunikaciis strategia mniSvnelovania, es aris masmediaze damokidebuli. rodesac informacia sworad gavrceldeba, es problemac maleve aRmoifxvreba, – ganacxada medicinis mecnierebaTa doqtorma, profesorma eka sanikiZem. SegaxsenebT, rom tuberkulozi msoflioSi erT-erT saSiS daavadebad iTvleba da is dRemde globalur safrTxedaaa gamocxadebuli. mis dasamarcxeblad mecnieruli kvlevebi isev mimdinareobs.