ra aris tuberkulozi?ra aris tuberkulozi?

trenerTa treningi saskolo trenerTa treningi saskolo

personalisaTvispersonalisaTvis

tuberkulozisa da filtvis tuberkulozisa da filtvis daavadebaTa erovnuli centridaavadebaTa erovnuli centriTbilisi, 2007 weli Tbilisi, 2007 weli

t uber kul oz i sa da fi l t vi s daavadebaTa er ovnul i centr i

tuberkulozi gavrcelebuli infeqciuri daavadebaa, tuberkulozi gavrcelebuli infeqciuri daavadebaa, romlis gamomwvevia romlis gamomwvevia tuberkulozis mikobaqteria tuberkulozis mikobaqteria

da vrceldeba mikoda vrceldeba mikobaqteriis gamomyofi filtvis baqteriis gamomyofi filtvis tuberkuloziT daavadebuli piris mier.tuberkuloziT daavadebuli piris mier.

infeqciis ZiriTadi wyaroinfeqciis ZiriTadi wyaro _ _ filtvis an xorxis tuberkuloziT filtvis an xorxis tuberkuloziT daavadebuli baqteriagamomyofi adamiani, romelic ceminebis, daavadebuli baqteriagamomyofi adamiani, romelic ceminebis, xvelebis, laparakis dros haerSi gamoyofs mikobaqteriebis xvelebis, laparakis dros haerSi gamoyofs mikobaqteriebis Semcvel umcires wveTebs Semcvel umcires wveTebs

infeqciis gadacema adamianidan adamianze xdeba haeris infeqciis gadacema adamianidan adamianze xdeba haeris meSveobiTmeSveobiT

umcires wveTebs ewodeba infeqciuri birTvebiumcires wveTebs ewodeba infeqciuri birTvebi

maTi diametri 1-5 mkm-mde da imyofebian haerSi SewonilmaTi diametri 1-5 mkm-mde da imyofebian haerSi Sewonil (aerozolis) mdgomareobaSi(aerozolis) mdgomareobaSi

rogor vrceldeba tuberkulozi

saubris, xvelis, ceminebis, saubris, xvelis, ceminebis, simReris dros garemoSi simReris dros garemoSi gamoyofili mikobaqteriebi gamoyofili mikobaqteriebi SesunTqul haerTan erTad SesunTqul haerTan erTad xvdebian adamianis xvdebian adamianis sasunTq organoebSi, sasunTq organoebSi, romelTa amomfeni romelTa amomfeni lorwovani garsi nawilobriv lorwovani garsi nawilobriv gamodevnis gamodevnis gamomwvevs, nawili ki gamomwvevs, nawili ki aRwevs filtvis qsovilamde, aRwevs filtvis qsovilamde, sadac organizmis dacviTi sadac organizmis dacviTi Zalebi axdenen maT Zalebi axdenen maT uvnebelyofas. uvnebelyofas.

erTi daxvelebiT gamoiyofa daaxloebiT 3,5 aTasi erTi daxvelebiT gamoiyofa daaxloebiT 3,5 aTasi

mikobaqteriamikobaqteria

igive raodenoba gamoiyofa 5 wuTiani laparakis drosigive raodenoba gamoiyofa 5 wuTiani laparakis dros

erTi daceminebisas daaxloebiT 1 mln. mikobaqteriaerTi daceminebisas daaxloebiT 1 mln. mikobaqteria

Tu adamianis organizmis dacviTi Zalebi sustia, SesaZloa, Tu adamianis organizmis dacviTi Zalebi sustia, SesaZloa, mikobaqteriebma daiwyon intensiuri gamravleba, cxovelqmedeba mikobaqteriebma daiwyon intensiuri gamravleba, cxovelqmedeba da gamoiwvion daavadebis ganviTareba. da gamoiwvion daavadebis ganviTareba.

rogor ar vrceldeba tuberkulozi?rogor ar vrceldeba tuberkulozi?

sayofacxovrebo sayofacxovrebo moxmarebis nivTebiT moxmarebis nivTebiT (WurWeli, TeTreuli, (WurWeli, TeTreuli, wignebi da sxva), wignebi da sxva), kocniT, daavadebulis kocniT, daavadebulis sigaretis moweviT sigaretis moweviT tuberkulozi ar tuberkulozi ar vrceldeba. vrceldeba.

kargad ganiavebul kargad ganiavebul SenobebSi da SenobebSi da Senobebs gareT Senobebs gareT inficirebis riski inficirebis riski minimaluriaminimaluria

1 tubdaavadebuli weliwadSi1 tubdaavadebuli weliwadSi 10-15 10-15 adamians adamians

ainficirebsainficirebs

daavadeba uviTardeba inficirebulTa daavadeba uviTardeba inficirebulTa

daaxloebiT 10%-s daaxloebiT 10%-s

daavadebulTa Ddrouli gamovlenisa da swori daavadebulTa Ddrouli gamovlenisa da swori

mkurnalobis SemTxvevaSi tuberkulozi mkurnalobis SemTxvevaSi tuberkulozi

gankurnebadia SemTxvevaTa TiTqmis 100 gankurnebadia SemTxvevaTa TiTqmis 100

%-Si%-Si

ras niSnavs inficireba da rogor aviciloT igi?ras niSnavs inficireba da rogor aviciloT igi?

bacilgamomyof tubdaavadebulTan xangrZlivi, bacilgamomyof tubdaavadebulTan xangrZlivi, xSiri kontaqti cudad ventilirebad garemoSi xels xSiri kontaqti cudad ventilirebad garemoSi xels uwyobs SesunTqul haerTan erTad uwyobs SesunTqul haerTan erTad mikobaqteriebis moxvedras janmrTel mikobaqteriebis moxvedras janmrTel organizmSi.organizmSi.

tuberkulozis gamomwvevis arsebobas tuberkulozis gamomwvevis arsebobas organizmSi daavadebisaTvis damaxasiaTebeli organizmSi daavadebisaTvis damaxasiaTebeli simptomebis ganviTarebis gareSe ewodeba simptomebis ganviTarebis gareSe ewodeba inficireba an latenturi tuberkulozi. inficireba an latenturi tuberkulozi.

inficirebis dros organizmis damcavi inficirebis dros organizmis damcavi Zalebi ar aZlevs saSualebas Zalebi ar aZlevs saSualebas mikobaqteriebs gamravldes da mikobaqteriebs gamravldes da gamoiwvios tuberkulozuri procesi. gamoiwvios tuberkulozuri procesi.

A am dros adamianis organizmSi A am dros adamianis organizmSi tuberkulozuri bacila SeboWil, tuberkulozuri bacila SeboWil, mTvlemare, araaqtiur mdgomareobaSia.mTvlemare, araaqtiur mdgomareobaSia.

swored amitom ar grZnoben isini Tavs swored amitom ar grZnoben isini Tavs avad da Sesabamisad, ar SeuZliaT avad da Sesabamisad, ar SeuZliaT infeqciis gavrceleba.infeqciis gavrceleba.

inficirebis dros ar aris cvlilebebi rentgenologiuri da inficirebis dros ar aris cvlilebebi rentgenologiuri da baqteriologiuri kvlevis SedegebSi, magram kanis baqteriologiuri kvlevis SedegebSi, magram kanis sinji tuberkulinze, Cveulebriv, dadebiTia. sinji tuberkulinze, Cveulebriv, dadebiTia.

inficirebis asacileblad saWiroa:inficirebis asacileblad saWiroa:

daavadebulma daicvas daavadebulma daicvas

xvelis higiena, xvelis higiena,

aucileblobisas aucileblobisas

gamoiyenos niRabi gamoiyenos niRabi

kontaqtSi myofma kontaqtSi myofma

xSirad gaaniavos da xSirad gaaniavos da

daasufTavos oTaxi, daasufTavos oTaxi,

sadac imyofeba(oda) sadac imyofeba(oda)

tubdaavadebulitubdaavadebuli

ras niSnavs daavadeba da rogor aviciloT igi ras niSnavs daavadeba da rogor aviciloT igi

Tu inficirebuli piri eweva Tu inficirebuli piri eweva

cxovrebis jansaR wess, cxovrebis jansaR wess,

ganuwyvetliv ganuwyvetliv

akontrolebs Tavisi akontrolebs Tavisi

janmrTerlobis janmrTerlobis

mdgomareobas da mdgomareobas da

asrulebs fTiziatris asrulebs fTiziatris

rekomendaciebs, rekomendaciebs,

SeZlebs aicilos SeZlebs aicilos

daavadebis ganviTareba. daavadebis ganviTareba.

rodis viTardeba daavadebarodis viTardeba daavadeba

cxovrebis romeliRac etapze, Tu cxovrebis romeliRac etapze, Tu

organizmis dacviTma Zalebma veRar organizmis dacviTma Zalebma veRar

SeZlo infeqciis kontroli, SeiZleba SeZlo infeqciis kontroli, SeiZleba

ganviTardes ganviTardes daavadeba.daavadeba.

ase xdeba yofis, kvebis pirobebis ase xdeba yofis, kvebis pirobebis

gauaresebis, mZime da xangrZlivi gauaresebis, mZime da xangrZlivi

daavadebebis, mavne Cvevebis daavadebebis, mavne Cvevebis

arsebobis SemTxvevaSi. arsebobis SemTxvevaSi.

ra faqtorebi uwyobs xels tuberkuloziT ra faqtorebi uwyobs xels tuberkuloziT daavadebis ganviTarebas?daavadebis ganviTarebas?

tuberkulozis mikobaqteriiT inficirebul zogierT tuberkulozis mikobaqteriiT inficirebul zogierT

adamians SeiZleba ganuviTardes daavadeba. es adamians SeiZleba ganuviTardes daavadeba. es

xdeba inficirebisTanave an mogvianebiT, mravali xdeba inficirebisTanave an mogvianebiT, mravali

wlis Semdeg sxvadasxva mizeziT organizmis wlis Semdeg sxvadasxva mizeziT organizmis

damcvelobiTi Zalebis (imunitetis) daqveiTebis damcvelobiTi Zalebis (imunitetis) daqveiTebis

Sedegad. imunuri sistemis damTrgunvel Sedegad. imunuri sistemis damTrgunvel

faqtorebs miekuTvneba:faqtorebs miekuTvneba:

socialuri faqtorebi;socialuri faqtorebi; samedicino faqtorebi. samedicino faqtorebi.

socialuri faqtorebi:socialuri faqtorebi:

arasrulfasovani kveba, narkomania, loToba, arasrulfasovani kveba, narkomania, loToba, umuSevroba, usaxlkaroba, patimroba da sxva.umuSevroba, usaxlkaroba, patimroba da sxva.

samedicino faqtorebi: samedicino faqtorebi: aiv/Sids inficireba da daavadeba, Saqriani diabeti, aiv/Sids inficireba da daavadeba, Saqriani diabeti,

kuWisa da Tormetgoja nawlavis wylulovani daavadeba, kuWisa da Tormetgoja nawlavis wylulovani daavadeba, sasunTqi organoebis qronikuli daavadebebi, Tirkmlis sasunTqi organoebis qronikuli daavadebebi, Tirkmlis qronikuli ukmarisoba, qronikuli alkoholizmi, simsivnuri qronikuli ukmarisoba, qronikuli alkoholizmi, simsivnuri daavadebebi, orsuloba, xangrZlivi steroiduli da sxivuri daavadebebi, orsuloba, xangrZlivi steroiduli da sxivuri Terapia.Terapia.

am faqtorebis mqone dainficirebul pirebs am faqtorebis mqone dainficirebul pirebs tuberkulozis ganviTarebis tuberkulozis ganviTarebis maRali riskis maRali riskis jgufebsjgufebs uwodeben. uwodeben.

Tu gamomwvevis gamravlebisa da Tu gamomwvevis gamravlebisa da

cxovelqmedebis SeCereba organizmis cxovelqmedebis SeCereba organizmis

damcavma Zalebma ver SeZlo, iwyeba damcavma Zalebma ver SeZlo, iwyeba

paTologiuri procesi da ziandeba organo paTologiuri procesi da ziandeba organo

an organoebi. an organoebi.

klinikurad gamoxatulia Civilebi da klinikurad gamoxatulia Civilebi da

viTardeba daavadeba.viTardeba daavadeba.

tuberkuloziT daavadebis dros tuberkuloziT daavadebis dros

laboratoriuli kvlevislaboratoriuli kvlevis SedegebSi SedegebSi

aRiniSneba saTanado cvlilebebiaRiniSneba saTanado cvlilebebi

pacienti, romelic ar gamoyofs pacienti, romelic ar gamoyofs

daavadebis gamomwvevs, ar daavadebis gamomwvevs, ar

aris gamavrcelebeli, anu aris gamavrcelebeli, anu

epidemiologiurad saSiSiepidemiologiurad saSiSi

filtvis tuberkuloziT filtvis tuberkuloziT

daavadebuli avrcelebs daavadebuli avrcelebs

infeqcias, Tu naxvelTan erTad infeqcias, Tu naxvelTan erTad

garemoSi gamoyofs garemoSi gamoyofs

mikobaqteriebs. mikobaqteriebs.

daavadebuli, romelic daavadebuli, romelic ar gamoyofs gamomwvevsar gamoyofs gamomwvevs

bacilgamomyofi bacilgamomyofi

daavadebulidaavadebuli

gansxvaveba tuberkulozur inficirebasa da gansxvaveba tuberkulozur inficirebasa da daavadebas Sorisdaavadebas Soris

inficirebainficireba daavadebadaavadeba

gulmkerdis rentgenograma cvlilebebis gareSe

rentgenogramaze paTologiuri cvlilebebi

naxvelis nacxis baqterioskopia da kulturaluri gamokvleva uaryofiTia

naxvelis nacxis baqterioskopia da kulturaluri gamokvleva dadebiTia

tuberkulozuri infeqciis gadacemis wyaros ar warmoadgens

umetes SemTxvevaSi warmoadgens tuberkulozuri infeqciis gadacemis wyaros

ra niSnebi axasiaTebs tuberkulozs?ra niSnebi axasiaTebs tuberkulozs?

tuberkulozis dros SeiZleba gamoixatos zogadi tuberkulozis dros SeiZleba gamoixatos zogadi

da adgilobrivi xasiaTis Civilebi. da adgilobrivi xasiaTis Civilebi.

adgilobrivi Civilebi damokidebulia dazianebul adgilobrivi Civilebi damokidebulia dazianebul

organosa da sistemaze. organosa da sistemaze.

tuberkulozis zogadi Civilebia:tuberkulozis zogadi Civilebia:

sxeulis temperaturis mateba, sxeulis temperaturis mateba, gansakuTrebiT dRis meore gansakuTrebiT dRis meore naxevarSi;naxevarSi;

advilad daRla;advilad daRla; Ramis oflianoba;Ramis oflianoba; madis daqveiTeba;madis daqveiTeba; wonaSi kleba;wonaSi kleba; Sromisunarianobis daqveiTeba Sromisunarianobis daqveiTeba

zemoT CamoTvlili klinikuri niSnebi yovelTvis zemoT CamoTvlili klinikuri niSnebi yovelTvis ar aris gamowveuli tuberkuloziT. igi SeiZleba ar aris gamowveuli tuberkuloziT. igi SeiZleba Segvxvdes sxva daavadebebis drosac. aseTi Segvxvdes sxva daavadebebis drosac. aseTi pacientebi iTvlebian tuberkulozze pacientebi iTvlebian tuberkulozze eWvmitanilad da saWiroeben gamokvlevas eWvmitanilad da saWiroeben gamokvlevas daavadebis zusti diagnozirebis mizniTdaavadebis zusti diagnozirebis mizniT

gaxangrZlivebuli gaxangrZlivebuli xvela ( 2 da meti kviris xvela ( 2 da meti kviris

ganmavlobaSi), zogjer sisxliani, upiratesad ganmavlobaSi), zogjer sisxliani, upiratesad

naxvelis gamoyofiT;naxvelis gamoyofiT;

tkivili an usiamovno SegrZneba gulmkerdis areSi;tkivili an usiamovno SegrZneba gulmkerdis areSi;

qoSini mcire fizikur datvirTvaze,qoSini mcire fizikur datvirTvaze,

haeris ukmarisoba.haeris ukmarisoba.

filtvgareSe tuberkulozisfiltvgareSe tuberkulozis dros vlindeba dazianebuli dros vlindeba dazianebuli

organosaTvis damaxasiaTebeli Civilebi (magaliTad, Tirkmlis organosaTvis damaxasiaTebeli Civilebi (magaliTad, Tirkmlis

tuberkulozis dros aRiniSneba yru tkivili welis areSi, sisixliani tuberkulozis dros aRiniSneba yru tkivili welis areSi, sisixliani

Sardi, saxsris tuberkulozis dros – Sesieba, tkivili, moZraobis Sardi, saxsris tuberkulozis dros – Sesieba, tkivili, moZraobis

SezRudva da a.S.)SezRudva da a.S.)

filtvis tuberkulozis simptomebiafiltvis tuberkulozis simptomebia

tuberkulozze saeWvo tuberkulozze saeWvo

simptomebis arsebobis simptomebis arsebobis

pacientma aucileblad pacientma aucileblad

unda mimarTos eqims unda mimarTos eqims

diagnozis dasazusteblad.diagnozis dasazusteblad.

MM

madlobamadloba

yuradRebisaTvisyuradRebisaTvis

madloba yuradRebisa da madloba yuradRebisa da TanadgomisaTvisTanadgomisaTvis

erTad SevaCeroT tuberkulozi!erTad SevaCeroT tuberkulozi!