tuberkulozi diplomisSemdgomi ganviTarebis

kursi eqimebisaTvis

wignis prezentacia

“samSabaToba”,

neli solomonia, 14.09.10

saqarTvelos fTiziatrTa da pulmonologTa asociaciis da samedicino momsaxurebis saerTaSoriso

korporaciis (MSCI) nayofieri urTierTanamSromlobiT ganxorcielebuli

RonisZiebebi (2007-2010):

saqarTvelos fTiziatrTa da pulmonologTa asociaciis forumi, 01.02.08;

samuSao Sexvedra arafTiziatri eqimebisaTvis “sworad vmarToT tuberkulozi”, 05.12.08, q. Tbilisi;

TB informirebis gazrdis da efeqturi urTierTanamSromlobis mizniT regionebSi arafTiziatrebis trenireba (q. Tbilisi, gori, quTaisi, baTumi; 2009-2010);

TB saerTaSoriso dRisadmi miZRvnili Tssu-Si organizebuli yovelwliuri RonisZiebebi (2008, 2009, 2010);

asociaciis prezidiumis warmomadgenlebis UNION-is da ERS-is wevroba (2008 wlidan);

aSS-is sagareo saqmeTa saministros mier organizebul programaSi monawileoba (2009);

tep-Si integrirebuli kvalificirebuli eqimi fTiziatrebis, momavali specialistebis da studentebisaTvis uaxlesi saxelmZRvaneloebis da sainformacio masalis Targmani;

filtvis wlisadmi miZRvnili qarTul-norvegiuli saerTaSoriso konferenciis organizeba (04.10.10).

mTargmenlobiTi muSaoba:

39-e msoflio konferencia (UNION), parizi, 2008

julia seieris julia seieris (WMA) (WMA) da da nika nasiZis nika nasiZis (MSCI) (MSCI)

urTierTanamSromlobaurTierTanamSromloba

Txovna

nebarTva

nebarTva

Txovna

qarTuli gamocema ATargmna

saqarTvelos fTiziatrTa da pulmonologTaasociaciis prezidentma lamara vaSakiZem; asociaciis mdivanma neli solomoniam; asociaciis wevrma qeTevan barbaqaZem; redaqtireba ekuTvnis irakli lomours;

Targmna da gamocema dafinansebulia samedicino momsaxurebis saerTaSoriso

korporaciis (MSCI) mier, romelic amerikis saerTaSoriso

ganviTrebis saagentos (USAID) mxardaWeriT saqarTveloSi anxorcielebs

tuberkulozis mkurnalobisa da kontrolis programas (TTCP)

tuberkulozi diplomisSemdgomi profesiuli ganviTarebis kursi

eyrdnoba tuberkulozis marTvis saerTaSoriso standartebs (ISTC) da jandacvis msoflio organizaciis (WHO) rekomendaciebs;

qveynebis mixedviT TB politika da gaidlainebi cvalebadia, Sesabamisad specifiuri regulaciebi kursSi ar aisaxeba;

kursi mowodebulia Seavsos da ara Caanacvlos nacionaluri da saerTaSoriso gaidlainebi;

adgilobrivi TB politikis detalebSi gasarkvevad mimarTeT TB kontrolis nacionalur gaidlainebs.

saxelmZRvaneloSi ganxilulia:

tuberkulozis globaluri epidemiologia (DS-TB, M/XDR-TB, HIV/AIDS-TB);

tuberkulozis etiologia da paTogenezi; tuberkulozis diagnostika; tuberkulozis mkurnaloba; gansakuTrebuli mdgomareobebi; pacientsa da eqims Soris urTierToba; mkurnalobaze damyoloba; tuberkulozis infeqciis kontroli.

kursis mizani Teoriuli codnis SeZena da praqtikuli unar-Cvevebis gamomuSavebaa

tuberkulozi diplomisSemdgomi profesiuli ganviTarebis kursi

gankuTvnilia: tuberkulozis erovnul programaSi integrirebuli eqimi

fTiziatrebis; sazogadoebrivi jandacvis farTo qselis eqimi-specialistebis

diplomisSemdgomi swavlebisaTvis;

mowodebulia rogorc damoukidebeli swavlebis moduli:

informacia mowodebulia kompaqturad, sqemebis da algoriTmebis saxiT;

TiToeuli Tavis bolos informacia Sejamebulia, mocemulia kiTxvebi da savarjiSoebi TviTSefasebisaTvis;

teqstSi miTiTebuli literatura mkiTxvels daexmareba damatebiTi informaciis moZiebaSi;

Tavi 3

tuberkuloziT daavadebuli pacientis mkurnaloba

swavlebis mizani:

mocemul TavSi Tqven SeiswavliT: pacientis klasifikacias da Sesabamisi samkurnalo reJimis

SerCevas...........

mocemul TavSi Tqven SeiswavleT: rogor ganvsazRvroT daavadebis lokalizacia da pacientis tipi da

SevarCioT mkurnalobis Sesabamisi kursi...........

kiTxvebi da savarjiSoebi TviTSefasebisaTvis:

samkurnalo reJimis SerCeva:

pacienti 5:P

KL, 52 wlis mZRoli. warmoadgens Civilebs: wonaSi dakleba, xvela, cxeleba Semcivneba da madis dakargva. gamokvlevis Sedegebi: aiv dadebiTi, pirveli nacxi ++, meore nacxi++;

pasuxi:

pacientis mkurnaloba daiwyeT TB axali SemTxvevis reJimiT. gansazRvreT SemdgomSi anti-retrovirusuli Terapiis saWiroeba.

filtvgareSe TB-ze eWvi miitaneT, Tu aRiniSneba 2 kviraze metad gaxangrZlivebuli xvela, an

wonaSi daklebaRamis oflianobiT;subfebriluri temperaturiT, an cxelebiT;qoSini (gamonaJoni/perikarditi), angadidebuli lim. kvanZebi kisris an iRliis fosoSi;C X-reymiliaruli an difuzuri cvlilebebimrgvali Crdilebi;plevriti;gadidebuli mkerdSida limfuri kvanZebi;qronikuli Tavis tkivili, an fsiqiuri aSlilobayvela aiv-inficirebulTan, romelsac aReniSneba swrafi, an SesamCnevi wonaSi dakleba, sicxe da Ramis oflianoba, eWvi miitaneT disiminirebul TB-ze

kisersa an iRliis fosoSi isinjeba gadidebuli lim. kvanZebi;savaraudoa limfuri kvanZebis TB;

plevritis niSnebi:auskultaciisas sunTqva ar tardeba;SezRudulia gulmkerdis moZraoba;perkusiiT fiqsirdeba moyrueba;savaraudoa TB plevriti;

perikarditis niSnebi:auskultaciisas gulis tonebis Sesusteba;kidurebis/muclis SeSupeba;xelaweul poziciaSi kisris da mxris venebis daberva;savaraudoa TB perikarditi;

meningitis niSnebi:kisris rigidoba;aRgznebadoba/nervuli aSliloba;nistagmi;savaraudoa TB meningiti;

filtvgareSe tuberkulozis (EPTB) diagnostika (TB/HIV gaidlaini, 2007)

 

mkurnalobis standartuli kursi warsulSi namkurnalebi pacientebisaTvis

wamlebis mimarT mgrZnobelobis testis rutinuli SesaZleblobidan gamomdinare ganmeorebiTi mkurnalobis individualuri marTva

multirezistentuli tuberkulozis ganviTarebis albaToba(pacientis registraciis jgufi – ix. I SeniSvna)

warsulSi namkurnalebi pacientebisaTvis

DST rutinulad xelmisawvdomia

maRali(uSedego mkurnaloba*)

saSualo an dabali(relafsi, an Sewyvetili

mkurnaloba)

swrafi molekuluri meTodi DST Sedegebi adasturebs an gamoricxavs multirezistentulobas

Cveulebrivi, araswrafi meTodebi

sanam velodebiT DST Sedegebs:

MDR-is empiriuli reJimi 2 HRZES / HRZE / 5 HRE

DST Sedegis mixedviT mkurnalobis reJimi SeiZleba Seicvalos

arcerTi (droebiTi)MDR-is empiriuli reJimi (mxolod maSin, roca DST adasturebs MDR-s). roca DST Sedegebi xelmisawvdomi gaxdeba mkurnalobis reJimi SegviZlia SevcvaloT.

2 HRZES / HRZE / 5 HRE mkurnalobis sruli kursisTvis

marTalia cxrilSi mocemuli mkurnalobis kursi aRiarebulia saerTaSoriso standartad, magram sxvadasxva qveynebs SeiZleba hqondeT mkurnalobis gansxvavebuli gaidlaini. gaiTvaliswineT Tqveni nacionaluri gaidlaini tuberkulozis mkurnalobis SemTxvevaSi bavSvebsa da mozrdilebSi.

http://www.who.int/tb/publications/global_report/2009/en/index.html

http://tbgeo.ge/http://tbgeo.ge/index.php?a=page&lang=ge&pid=156

publikaciebierovnuli programis saxelmZRvaneloebi

gmadlobT maRalprofesionaluri

da nayofieri

TanamSromlobisaTvis