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54. “adamianis uflebebi saqarTveloSi,” 2007 w. pirveli naxevari,saxalxo damcvelis saanagriSo moxseneba2007 w. seqtemberSi, q.Tbilisis #5 sapyrobileSi, romelic gaTvaliswinebulia 2020 msjavrdebulze, ganTavsebuli iyo 4 668 patimari.2007 w. 24 ivliss saxalxo damcvelis warmomadgenlebi imyofebodnen.sasjelaRsrulebis departamentis #5 sapyrobileSi, sadac moinaxules sapyrobilis 4yvelaze gadatvirTuli sakani. pirvel sakanSi imyofeboda 88 patimari, sakanSi 26dasawoli nari iyo. meore sakanSi imyofeboda 67 patimari, idga 26 dasawoli nari.imyofeboda tuberkuloziT daavadebuli 5 patimari. mesame sakanSi imyofeboda 83patimari, idga 24 dasawoli nari. mexuTe sakanSi imyofeboda 83 patimari idga 30dasawoli nari aq imyofebidnen tuberkuloziT daavadebuli patimrebic.gaixsna maRaziebi ramdenime sasjelaRsrulebis dawesebulebaSi, ramac patimrebiskvebis sakiTxi SedarebiT gaaumjobesa, Tumca aRniSnuli maRaziebiT Tbilisis mexuTesapyrobile da msjavrdebulTa da patimarTa samkurnalo dawesebuleba arsargeblobdnen.TiTqmis arcerT sasjelaRsruleis dawesebulebaSi ar aris damontaJebulixelovnuri ventilacia. gadatvirTulobis gamo patimrebs sirTuleebi eqmnebaT, viTarebarTuldeba zafxulSi, rodesac bunebrivi ventilacia arasakmarisia da patimrebssunTqva uWirT.higienis TvalsazrisiT, sasjelaRsrulebis dawesebulebaTa umravlesobaSiSemaSfoTebali mdgomareobaa. zogierT patimars Sxapis miReba sakanSi (sapirfareSoSi)uwevs, vinaidan mwyobridanaa gamosuli wyalgayvanilobis sistema.gavrcelebuli praqtikis Tanaxmad, saknebis sisufTaveze patimrebi piradadzrunaven. Sedegad, maT TviTon, maT xelT arsebuli saSualebebiT uxdebaT saknistualetis gawmenda. Aisini aseve erTmaneTs exmarebodnen Tmis SeWraSi da Tavadrecxavdnen sarecxs. zogierTi maTgani WuWyian TeTreuls gasarecxad sakuTar ojaxsugzavnida. rac Seexeba Tbilisis mexuTe sapyrobiles, patimrebis raodenoba dasaSvebze2,5-jer meti iyo. saxalxi damcvelis Tanaxmad, « higienaze laparaks azri ara aqvs. »Tavis moxsenebaSi, saxalxo damcveli mTavrobas aZlevs rekomendacias, rom metiyuradReba gaamaxvilos sasjelaRsrulebis dawesebulebebis higienur mdgomareobaze.sasjelaRsrulebis yvela dawesebulebaSi amuSavdes samrecxaoebi, mowesrigdessaSxapeebis problema, patimrebi uzrunvelyon piradi moxmarebis higienurisaSualebebiTa da dalaqis momsaxurebiT.saxalxo damcvelis Tanaxmad, patimrobis dros gardacvalebis SemTxvevaTaSeswavlam gamoavlina cixeebSi samedicino momsaxurebis sistemis xarvezebi. kerZod,cixeSi samedicino daxmareba ar arsebobs an naklebad xelmisawvdomia da samedicinomomsaxurebis xarisxi « veraviTar kritikas ver uZlebs. » sasjelaRsrulebis sistemaSisamedicino momsaxurebis sami umTavresi problemis CamoTvlis Semdeg, (sakanonmdeblodaregulirebis problema, msjavrdebulTa da patimarTa samkurnalo dawesebulebas argaaCnia samedicino saqmianobis warmoebis licenzia, adamianuri resursebis simwire,aseve am sferos warmomadgenelTa ukiduresad dabali kvalifikacia).saxalxo damcveli askvnis, rom saqarTvelos sasjelaRsrulebis dawesebulebebSisikvdilianobis maRali maCvenebeli gamowveulia ara obieqturi mizeziT, aramedsaxelmwifo politkis ararsebobiT.10
55. “adamianis uflebebi saqarTveloSi,” 2007 w. meore naxevari,saxalxo damcvelis mier parlamentSi wardgenili saanagriSo moxseneba2007 w. 13 oqtombrisTvis, saqarTvelos 18 penitencialur dawesebulebaSi 18 300patimari ixdida sasajels. cixeebSi muSaobda daaxloebiT 90 eqimi. saxalxo damcvelisTanaxmad, eqimebis aRniSnuli raodenoba sakmarisze bevrad naklebia.2007 w. 1 dekembrisTvis, Tbilisis mexuTe sapyrobileSi 5 276 patimari ixdidasasjels. Moxsenebis mixedviT am dawesebulebaSi « kauCukis sindromi » iyo vinaidan isimden patimars iRebda, ramdensac ugzavnodnen. saerTaSoriso standartebis Sesabamisiaxali cixe aSenda gldanSi (Tbilisi), romelmac unda gantvirTos gadatvirTulicixeebi.2007 wels, saqarTvelos sasjelaRsrulebiT dawesebulebebSi 101 patimarigardaicvala, maT Soris 91 janmrTelobis mdgomareobis gamo. patimarTa umetesobis (37)gardacvaleba tuberkulozma gamoiwvia aRniSnul patimarTa absoluturi umravlesobadaavadebuli iyo sxva Tanmxlebi daavadebebiT. egreTwodebuli damatebiTi daavadebebisakmarisi iyo imisaTvis, rom ZiriTadi daavadebebisgan damoukideblad gamoewviasikvdili an janmrTelobis seriozuli dazianeba.RviZlisa da gul-sisxlZarRvTa ukmarisobis garda, gardacvalebis gamomwvevmizezTa Soris hepatiti pirvel edgils ikavebs. is faqti, rom patimrebi C hepatitiTiyvnen daavadebulni, gvamebis gakveTis Sedegad dadginda, rac pacientebis sicocxleSiSesabamisi gamokvlevebiT ar yofila dadasturebuli. sikvdilis gamomwvev daavadebaTamaCveneblebi iZleva daskvnis saSualebas, rom sasjelaRsrulebis dawesebulebebSigavrcelebuli hepatiti virusuli saxeobisaa da rom C hepatiti pirvel adgils ikavebshepatitTan mimarTebaSi, sikvdilis Semdgomma samedicino eqspertizebma asevanaTlad aCvena, rom C hepatitiT daavadebulTa umravlesobas ukve hqonda cirozi. Tumca,oficialurad, 101-dan mxolod erTi patimari gardaicvala ciroziT. es diagnozi massicocxleSi dausves. sxva SemTxvevebSi, aRmouCeneli cirozis gamo, saylapavisvarikozulad dazianebuli venebidan sisxldenis gamo ramdenime patimari gardaicvala. 7pacients aReniSneboda cirozis gamo ganviTarebuli asciti (siTxis didi raodenobiTdagroveba), ramac gamouwvia sunTqvis ukmarisoba da garTulebebi sxvadasxva organoebisdoneze. 101 patimridan 40 gardaicvala kaheqsiiT (organizmis ukiduresi dasusteba,wonaSi dakleba, kunTebis atrofia da a.S.), rac gamowveuli iyo arasaTanado kvebiT dazogierTi daavadebis, maT Soris, RviZlis paTologiis, simptoms warmoadgenda.patimrebis hospitalizaciasa da gardacvalebas Soris ganvlili drodaaxloebiT 32 saaTia. saxalxo damcvelis Tanaxmad, aRniSnuli faqti mowmobs, romavadmyofi patimrebi droulad ar iyvnen hospitalizebulni maTi mkurnalobis mizniT.maTi hospitalizacia mxolod kritikul zRvramde misvlis Semdeg xdeboda. moxsenebismixedviT, patimarTa sikvdilianobis erT-erTo mTavri mizezi mdgomareobssasjelaRsrulebis dawesebulebebi xelmZRvanelobis mxridan Sesabamisi yuradRebisarasebobaSi.III. saerTaSoriso dokumentebi56. wamebis sawinaaRmdego komitis 2007 w. 25 oqtombris moxseneba2007 w. 21 martidan 2 aprilis CaTvliT ganxorcielebuli vizitis Sesaxeb“ 43. wamebis sawinaaRmdego komitetma ukve moinaxula Tbilisis №5 sapyrobile2001 w. maisSi, 2003 w. noembersa da 2004 w. maisSi da SeimuSava ramdenime gadaudebelixasiaTis rekomedacia.11
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54. “adamianis uflebebi saqarTveloSi,” 2007 w. pirveli naxevari,saxalxo damcvelis saanagriSo moxseneba2007 w. seqtemberSi, q.Tbilisis #5 sapyrobileSi, romelic gaTvaliswinebulia 2020 msjavr<strong>de</strong>bulze, ganTavsebuli iyo 4 668 patimari.2007 w. 24 ivliss saxalxo damcvelis warmomadgenlebi imy<strong>of</strong>ebodnen.sasjelaRsrulebis <strong>de</strong>partamentis #5 sapyrobileSi, sadac moinaxules sapyrobilis 4yvelaze gadatvirTuli sakani. pirvel sakanSi imy<strong>of</strong>eboda 88 patimari, sakanSi 26dasawoli nari iyo. meore sakanSi imy<strong>of</strong>eboda 67 patimari, idga 26 dasawoli nari.imy<strong>of</strong>eboda tuberkuloziT daava<strong>de</strong>buli 5 patimari. mesame sakanSi imy<strong>of</strong>eboda 83patimari, idga 24 dasawoli nari. mexuTe sakanSi imy<strong>of</strong>eboda 83 patimari idga 30dasawoli nari aq imy<strong>of</strong>ebidnen tuberkuloziT daava<strong>de</strong>buli patimrebic.gaixsna maRaziebi ram<strong>de</strong>nime sasjelaRsrulebis dawesebulebaSi, ramac patimrebiskvebis sakiTxi SedarebiT gaaumjobesa, Tumca aRniSnuli maRaziebiT Tbilisis mexuTesapyrobile da msjavr<strong>de</strong>bulTa da patimarTa samkurnalo dawesebuleba arsargeblobdnen.TiTqmis arcerT sasjelaRsruleis dawesebulebaSi ar aris damontaJebulixelovnuri ventilacia. gadatvirTulobis gamo patimrebs sirTuleebi eqmnebaT, viTarebarTul<strong>de</strong>ba zafxulSi, ro<strong>de</strong>sac bunebrivi ventilacia arasakmarisia da patimrebssunTqva uWirT.higienis TvalsazrisiT, sasjelaRsrulebis dawesebulebaTa umravlesobaSiSemaSfoTebali mdgomareobaa. zogierT patimars Sxapis miReba sakanSi (sapirfareSoSi)uwevs, vinaidan mwyobridanaa gamosuli wyalgayvanilobis sistema.gavrcelebuli praqtikis Tanaxmad, saknebis sisufTaveze patimrebi piradadzrunaven. Se<strong>de</strong>gad, maT TviTon, maT xelT arsebuli saSualebebiT ux<strong>de</strong>baT saknistualetis gawmenda. Aisini aseve erTmaneTs exmarebodnen Tmis SeWraSi da Tavadrecxavdnen sarecxs. zogierTi maTgani WuWyian TeTreuls gasarecxad sakuTar ojaxsugzavnida. rac Seexeba Tbilisis mexuTe sapyrobiles, patimrebis rao<strong>de</strong>noba dasaSvebze2,5-jer meti iyo. saxalxi damcvelis Tanaxmad, « higienaze laparaks azri ara aqvs. »Tavis moxsenebaSi, saxalxo damcveli mTavrobas aZlevs rekomendacias, rom metiyuradReba gaamaxvilos sasjelaRsrulebis dawesebulebebis higienur mdgomareobaze.sasjelaRsrulebis yvela dawesebulebaSi amuSav<strong>de</strong>s samrecxaoebi, mowesrig<strong>de</strong>ssaSxapeebis problema, patimrebi uzrunvelyon piradi moxmarebis higienurisaSualebebiTa da dalaqis momsaxurebiT.saxalxo damcvelis Tanaxmad, patimrobis dros gardacvalebis SemTxvevaTaSeswavlam gamoavlina cixeebSi samedicino momsaxurebis sistemis xarvezebi. kerZod,cixeSi samedicino daxmareba ar arsebobs an naklebad xelmisawvdomia da samedicinomomsaxurebis xarisxi « veraviTar kritikas ver uZlebs. » sasjelaRsrulebis sistemaSisamedicino momsaxurebis sami umTavresi problemis CamoTvlis Sem<strong>de</strong>g, (sakanonm<strong>de</strong>blodaregulirebis problema, msjavr<strong>de</strong>bulTa da patimarTa samkurnalo dawesebulebas argaaCnia samedicino saqmianobis warmoebis licenzia, adamianuri resursebis simwire,aseve am sferos warmomadgenelTa ukiduresad dabali kvalifikacia).saxalxo damcveli askvnis, rom saqarTvelos sasjelaRsrulebis dawesebulebebSisikvdilianobis maRali maCvenebeli gamowveulia ara obieqturi mizeziT, aramedsaxelmwifo politkis ararsebobiT.10
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