conseil de l'europe council of europe cour européenne des droits de ...
conseil de l'europe council of europe cour européenne des droits de ... conseil de l'europe council of europe cour européenne des droits de ...
81. sasamarTlo kmayofilebiT aRniSnavs, rom hospitalizaciisSemdeg, 2007 w. 22 ianvarsa da 20 Tebervals, momCivans cixis samkurnalodawesebulebis samedicino personalis mier mokle vadebSi CautardaSesabamisi gamokvlevebi da daeniSna hepatoproteqtorebi, antioqsidentebida vitaminebi, aseve, daeniSna mkurnaloba imunuri sistemis gaZlierebismizniT. aseve Catarda sisxlis ramdenime analizi, romlebmac daadasturamwvave C virusuli hepatitis diagnozi (ix.zemoT §§ 9-13 da §22). Tumca, ammomentidan hepatoproteqtorebiT mkurnaloba, romlebic icavs RviZlisqsovils virusis mospobis gareSe, ver CaiTvleba sakmarisad.82. rogorc avadmyofobis istoriidan irkveva, mkurnalobispirveladi stadiis dasrulebisa da saboloo diagnozis dasmis Semdeg,mTavrobas ar ganuxilavs sxva analizebis Catarebis aucilebloba(virusuli Semcvelobis gazomva “xarisxobrivi viremia”, virusuligenotipis gansazRvra, biopsiis Catareba, romelic aCvenebs RviZlisqsovilis mdgomareobas). vinaidan RviZlis dazianebebis, C virusulihepatitis genotipisa da sisxlSi virusebis Semcvelobis donis codnisgareSe SeuZlebelia adeqvaturi mkurnalobis daniSvna, TiToeuligenotipi sxvadasxvagvarad reagirebs Catarebul mkurnalobaze.aRniSnuli gamokvlevebisa da Sesabamisi antivirusuli mkurnalobisararsebobaze mTavrobas axsna-ganmarteba ar gaukeTebia. yovelSemTxvevaSi, 2007 w. aprilSi tuberkulozuri plevritis gamovlenamde,veraferi ver SeuSlida xels amgvari mkurnalobisa dawyebas.83. udavoa, rom tuberkulozuri plevritiT daavadebis Semdeg,mTavrobis amocana garTulda. vinaidan saWiro iyo aRniSnuli daavadebismkurnaloba, ise rom mas RviZlze uaryofiTi gavlena ar moexdina. Tumca,samedicino masalebidan ar irkveva, rom romelime momentSi mTavrobamSeimuSava mravalmxrivi da koordinirebuli mkurnalobis gegma, ise romtuberkulozis mkurnalobas ar gamoewvia C hepatitis gauareseba. imismiuxedavad, rom hepatologma Tavis 2007 w. 17 maisis daskvnaSi aRniSnaaseTi mkurnalobis Catarebis aucileblobis Sesaxeb, mTavrobam arCia,emkurnala tuberkulozisTvis da SeeCerebina C hepatitis mkurnaloba.84. sasamarTlos azriT, msgavsi midgoma metyvelebs C hepatitismkurnalobis aSkara ukmarisobaze. aRniSnulma ukmarisobam, iseve rogorchospitalizaciis ramdenjerme dausabuTeblad Sewyvetam (ix. qvemoT 90-eda momdevno paragrafebi), gamoiwvia daavadebis qronikul stadiaSigadasvla (ix. zemoT §§ 33, 41 da 72). Sesabamisad, qronikuli C hepatitiwarmoadgens cirozisa da RviZlis primitiuli kibos mTavar mizezs.85. tuberkulozTan dakavSirebiT, sasamarTlo aRniSnavs, rommomCivnis pirveli hospitalizaciisas, 2007 w. 31 ianvars Catarebulmafiltvebis gasinjvam gamoavlina bronqialuri tipis sunTqva daaucilebeli iyo gulmkerdis rentgenografiis Catareba (ix. zemoT § 13 infine). saavadmyofodan momCivnis eqimebis nebarTvis gareSe gawerisgaTvaliswinebiT, ar irkveva, rom aRniSnuli rengtenografia Catarda.20
Tumca, aTi dRis Semdeg, meored hospitalizaciisas, gasinjvasfiltvebisa da sunTqvis araviTari paTologia ar gamouvlenia. 2007 w.martSi Catarebulma rentgenografiam daadastura aRniSnuli diagnozi(ix. zemoT §§ 21 da 27 in fine). saavadmyofodan meored gawerisa daTbilisis me-5 sapyrobileSi gadayvanis Semdeg, ganmcxadebulituberkuloziT aRmoCnda daavadebuli, cixis eqimebma gamoavlines raplevris RruSi siTxis arseboba 2007 w. 23 aprils (ix. zemoT § 32 da 34).86. sasamarTlo iziarebs mTavrobis arguments imasTan dakavSirebiT,rom organizmma koxis Cxiri garkveuli periodis ganmavlobaSi SeiZlebaataros, avadmyofobis klinikuri gamovlinebis gareSe. Tumca, imisjerovnad dasadastureblad, rom momCivanis koxis Cxiris matarebelidapatimrebamde iyo, sasurveli iqneboda, rom mTavrobasgamcxadeblisTvis misi cixeSi SesvlisTanave Caetarebina Mantoux-isgamokvleva, baqteriologiuri gamokvleva, filtvebis rentgenografia, ansxva Sesabamisi aucilebeli gamokvlevebi. magram, rogorc irkveva,saqarTvelos penitencialuri sistemis administracia patimrebis cixeSiSesvlisas aseT gamokvlevebs ar atarebs (ix. zemoT § 56). Sesabamisad, araris gamoricxuli, rom momCivans dapatimrebamde ar hqonia kontaqtiinfeqciasTan da igi tuberkuloziT patimrobis periodSi daavadda,Tbilisis me-5 sapyrobilis ukiduresi gadatvirTulobis, higienisa daeqimis momsaxurebis xelmisawvdomobis arasebobis, aseve imisgaTvaliswinebiT, rom aRniSnuli cixis administracia ar axdendajanmrTeli da tuberkuloziT daavadebuli patimrebis gancalkevebas (ix.zemoT §§ 54 da 56). amas emateba isic, rom 2007 w. martSi Catarebulmagul-mkerdis rentgenografiam filtvebis araviTari paTologia argamoavlina. aqedan gamomdinare, sasamarTlo miiCnevs, rom momCivanituberkuloziT Tbilisis me-5 sapyrobileSi daavadda (Staïkov c. Bulgarie, n o49438/99, § 81, 12 octobre 2006 ; Yakovenko c. Ukraine, n o 15825/06, §§ 28 et 95, 25 octobre2007 ; Hummatov c. Azerbaïdjan, n os 9852/03 et 13413/04, § 111, 29 novembre 2007). miTufro, rom tuberkulozis riskis faqtorebi - cudi kveba, imunodepresia,intravenuri toqsikomania, mocemul SemTxvevaSi Tavs iyris.87. rac Seexeba momCivnisTvis tuberkulozis dadgenis SemdegCatarebul mkurnalobas, sasamarTlo aRniSnavs, rom plevris RrudansiTxis amoReba droulad Catarda, siTxis raodenobisa da momCivnissunTqvasTan dakavSirebuli problemebis gaTvaliswinebiT. amas garda,mTavrobam daiwyo tuberkulozis mkurnaloba infeqciis, maSasadame,plevritis wyaros aRmofxvris mizniT. Tumca, avadmyofobis istoriidanar irkveva, rom momCivans ufro gaZlierebuli mkurnaloba Cautardaplevris RruSi siTxis xelaxali dagrovebis Tavidan asacileblad, racsunTqvis problemebs iwvevs (ix. zemoT §§ 35 in fine da 45).88. rac Seexeba muns, romliTac momCivani cixis samkurnalodawesebulebadan meored gaweris Semdeg daavadda, sasamarTlo aRniSnavs,rom Tbilisis me-5 sapyrobileSi momCivans erTi kviris ganmavlobaSiutardeboda mkurnaloba benzoatiTa da benziliT. aRniSnulma21
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Tumca, aTi dRis Sem<strong>de</strong>g, meored hospitalizaciisas, gasinjvasfiltvebisa da sunTqvis araviTari paTologia ar gamouvlenia. 2007 w.martSi Catarebulma rentgenografiam daadastura aRniSnuli diagnozi(ix. zemoT §§ 21 da 27 in fine). saavadmy<strong>of</strong>odan meored gawerisa daTbilisis me-5 sapyrobileSi gadayvanis Sem<strong>de</strong>g, ganmcxa<strong>de</strong>bulituberkuloziT aRmoCnda daava<strong>de</strong>buli, cixis eqimebma gamoavlines raplevris RruSi siTxis arseboba 2007 w. 23 aprils (ix. zemoT § 32 da 34).86. sasamarTlo iziarebs mTavrobis arguments imasTan dakavSirebiT,rom organizmma koxis Cxiri garkveuli periodis ganmavlobaSi SeiZlebaataros, avadmy<strong>of</strong>obis klinikuri gamovlinebis gareSe. Tumca, imisjerovnad dasadastureblad, rom momCivanis koxis Cxiris matarebelidapatimrebam<strong>de</strong> iyo, sasurveli iqneboda, rom mTavrobasgamcxa<strong>de</strong>blisTvis misi cixeSi SesvlisTanave Caetarebina Mantoux-isgamokvleva, baqteriologiuri gamokvleva, filtvebis rentgenografia, ansxva Sesabamisi aucilebeli gamokvlevebi. magram, rogorc irkveva,saqarTvelos penitencialuri sistemis administracia patimrebis cixeSiSesvlisas aseT gamokvlevebs ar atarebs (ix. zemoT § 56). Sesabamisad, araris gamoricxuli, rom momCivans dapatimrebam<strong>de</strong> ar hqonia kontaqtiinfeqciasTan da igi tuberkuloziT patimrobis periodSi daavadda,Tbilisis me-5 sapyrobilis ukiduresi gadatvirTulobis, higienisa daeqimis momsaxurebis xelmisawvdomobis arasebobis, aseve imisgaTvaliswinebiT, rom aRniSnuli cixis administracia ar ax<strong>de</strong>ndajanmrTeli da tuberkuloziT daava<strong>de</strong>buli patimrebis gancalkevebas (ix.zemoT §§ 54 da 56). amas emateba isic, rom 2007 w. martSi Catarebulmagul-mkerdis rentgenografiam filtvebis araviTari paTologia argamoavlina. aqedan gamomdinare, sasamarTlo miiCnevs, rom momCivanituberkuloziT Tbilisis me-5 sapyrobileSi daavadda (Staïkov c. Bulgarie, n o49438/99, § 81, 12 octobre 2006 ; Yakovenko c. Ukraine, n o 15825/06, §§ 28 et 95, 25 octobre2007 ; Hummatov c. Azerbaïdjan, n os 9852/03 et 13413/04, § 111, 29 novembre 2007). miTufro, rom tuberkulozis riskis faqtorebi - cudi kveba, imuno<strong>de</strong>presia,intravenuri toqsikomania, mocemul SemTxvevaSi Tavs iyris.87. rac Seexeba momCivnisTvis tuberkulozis dadgenis Sem<strong>de</strong>gCatarebul mkurnalobas, sasamarTlo aRniSnavs, rom plevris RrudansiTxis amoReba droulad Catarda, siTxis rao<strong>de</strong>nobisa da momCivnissunTqvasTan dakavSirebuli problemebis gaTvaliswinebiT. amas garda,mTavrobam daiwyo tuberkulozis mkurnaloba infeqciis, maSasadame,plevritis wyaros aRm<strong>of</strong>xvris mizniT. Tumca, avadmy<strong>of</strong>obis istoriidanar irkveva, rom momCivans ufro gaZlierebuli mkurnaloba Cautardaplevris RruSi siTxis xelaxali dagrovebis Tavidan asacileblad, racsunTqvis problemebs iwvevs (ix. zemoT §§ 35 in fine da 45).88. rac Seexeba muns, romliTac momCivani cixis samkurnalodawesebulebadan meored gaweris Sem<strong>de</strong>g daavadda, sasamarTlo aRniSnavs,rom Tbilisis me-5 sapyrobileSi momCivans erTi kviris ganmavlobaSiutar<strong>de</strong>boda mkurnaloba benzoatiTa da benziliT. aRniSnulma21
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