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#@1, 27.06.2008
20.12.2008
23.12.2008
01.06.2009
19.12.2009
01.06.2010
03.12.2010
01.06.2011
92 950
gilocavT axal 2012 wels!gilocavT axal 2012 wels!gilocavT axal 2012 wels!gilocavT axal 2012 wels!gilocavT axal 2012 wels!
socialuri pediatriis dacvis fondis, evromecnierebis saqarTvelos erovnuli seqciis, da g. Jvanias sax. bavSvTa axali klnikis gazeTi 2011 w.
karaleTi
_ 01.06.2010
, II kongresi
; 1.06.2010; 09.12.2010; 01.06.2011
XX I -XX I I - XX I I I - XX IV -XXV -XXV I
#30#30#30#30#30
dekemberidekemberidekemberidekemberidekemberi
konferencia CONFERENCECONFERENCECONFERENCECONFERENCECONFERENCETbilisi 23-24.12.2011 TBILISITBILISITBILISITBILISITBILISI
(Tbilisis saxelmwifo samedicino universiteti mis. vaJa-fSavelas #29)(Tbilisis saxelmwifo samedicino universiteti mis. vaJa-fSavelas #29)(Tbilisis saxelmwifo samedicino universiteti mis. vaJa-fSavelas #29)(Tbilisis saxelmwifo samedicino universiteti mis. vaJa-fSavelas #29)(Tbilisis saxelmwifo samedicino universiteti mis. vaJa-fSavelas #29)
evromecnierebis saqarTvelos erovnuli seqciis sabWos sxdoma
XXIXXIXXIXXIXXI saukunis pediatria-invalidobis profilaqtikis medicinad unda iqces
2
,,Canasaxidan bavSvs ufleba aqvs iyos daculi”
,,bavSvTa usafrTxoeba mecnierebis gziT”
,,socialuri pediatria da bavSvTa usafrTxoeba”
(pres relizi)(pres relizi)(pres relizi)(pres relizi)(pres relizi)
2011 wlis 1 ivniss Cveni qvey-
nis pediatrebi, socialuri pe-
diatriis dacvis fondis war-
momadgenlebi, dedaqalaqis kli-
nikis warmomadgenlebi, mecnie-
rebi, sazogado moRvaweebi, spor-
tuli skolebis xelmZRvanele-
bi da sportsmenebi Seikrib-
nen konferenciaze
, romelic mieZRvna
profesor irakli ci-
ciSvilis saeqimo Rvaw-
lis 65 da pedagogiuri
moRvaweobis 60 wlisTavs.
konferncia Tbili-
sis saxelmwifo samedi-
cino universitetis, saqarTve-
los humanitaruli da saxelov-
nebo mecnierebaTa akademiis, so-
cialuri pediatriis dacvis
fondis, Tbilisis saxelmwifo
samedicino universitetis, bav-
SvTa axali klinikis, gestoze-
bis Svilobili samedicino dax-
marebis saerTaSoriso organi-
zaciis, samedicino-socialuri
mecnierebis interkontinenta-
luri akademiis, saqarTvelos
bavSvTa kardiologTa asocia-
ciis, saqarTvelos sabunebis-
metyvelo mecnierebaTa akademi-
is, saqarTvelos eqimTa asocia-
ciis, saqarTvelos meddaTa as-
ociaciis, aliansi koalicia da-
moukidebeli cxovreba `moZ-
raoba afxazeTisaTvis~, saqarT-
velos axalgazrda pediatrTa
ligis, sruliad saqarTvelos
qalTa kongresis, eqimTa ufle-
bebis dacvis asociaciis, sa-
qarTvelos samedicino specia-
listebis asociaciis, evropis
medikos studentTa asociaci-
is, saqarTvelos pediatrTa aka-
demiis, saqarTvelos bavSvTa qi-
rurgTa asociaciis, dedaTa da
bavSvTa janmrTelobis centris,
saqarTvelos sportis
departamentis, saqarT-
velos pediatrTa asocia-
ciis, Tssu studenturi
TviTmmarTvelobis, Tssu
studentTa samecniero
sabWos mier iyo organi-
zebuli.
konfernciis Tavmjdomaree-
bi:profesorebi giorgi Caxu-
naSvili, irakli ciciSvili, ro-
manoz svaniSvili, avTandil kve-
zereli-kopaZe, yaraman faRava,
igor doliZe, ramaz kutubiZe.
plenaruli sxdomebis reJim-
Si Catarda sami sxdoma:. konfe-
rencias miesalma saqarTvelos
parlamentis, saqarTvelos Sro-
mis, janmrTelobis da socialu-
ri dacvis komitetis Tavmjdo-
mare profesori oTar ToiZe,
Tbilisis saxelmwifo samedi-
cino universitetis vice-reqto-
ri, profesori daviT WavWaniZe,
saqarTvelos qalTa kongresis
prezidenti, qalbatoni lia kik-
naZe, profesori paata kervaliS-
vili (saqarTvelos sabunebis-
metyvelo mecnierebaTa akademi-
is prezidenti), bavSvTa dacvis
saerTaSoriso fondis ‘The WS& CH”-is vice-prezodents niu-
iorkis ofisis xelmZRvaneli g.
doRonaZe da sxv.
socialuri pediatriis dac-
vis fondis prezidentma pro-
fesorma g. CaxunaSvilma madli-
erebis sigeli gadasca profe-
sor levan avalianis ojaxs,qe-
bis sigelebi medicinis doq-
tors z. zarnaZes da bavSvTa
dacvis saerTaSoriso fondis
‘The WS & CH”-is vice-prezo-
dents niu-iorkis ofisis xel-
mZRvanels g. doRonaZes.
q-on T. sixaruliZes gadaeca
saqarTvelos evromecnierebis
erovnuli seqciis gamgeobis sa-
patio wevrobis sigeli da igi
arCeuli iqna mis sapatio gamge-
obaSi.
konferencias eswrebodnen so-
cialuri pediatriis dacvis
fondis warmomadgenlebi, mow-
veuli pediatrebi dedaqalaqis
klinikebidan, mecnierebi, sazo-
gado moRvaweebi, sportsmenebi,
mwvrTvnelebi. konferenciaze da-
registrirda 300-mde delegati.
pirvel plenarul sxdomaze
warmodgenili moxsenebebi exe-
boda Cveni epoqisTvis aqtualur
sakiTxebs.
kerZod, socialuri pediat-
riis dacvis fondis preziden-
tma giorgi CaxunaSvilma war-
moadgina moxseneba: `evrome-
cnierebis saqarTvelos erov-
nuli seqcia `Tbilisi - ga-
zafxuli 2011~ NATO-s konferen-
ciaze.
profesorma paata kervaliS-
vilma (saqarTvelos sabunebis-
metyvelo mecnierebaTa akademia
da amerikis mecnierebaTa fede-
racia) warmoadgina moxseneba
‘informaciulobi sinergia da
mdgradi ganviTareba~.
konferenciis meore plenaru-
li sxdoma mieZRvna profesor
irakli ciciSvilis saeqimo
Rvawlis 65 da pedagogiuri moR-
vaweobis 60 wlisTavs da misda-
mi medicinaSi ̀ varskvlavis”(oq-
ros stetoskopis) gadacemas, ro-
melic arasamTavrobo organi-
zaciebma samTavrobosTan erTad
erToblivad daawesa (aRsaniS-
navia,rom Semdegi `oqros ste-
toskopisa~ da `oqros lance-
tis~ varskvlavis mflobeli da-
saxeldeba 2012w-Si).
Rvawlmosil profesors gul-
Tbilad miesalmnen:
profesor irakli ciciSvilis saeqimo Rvawlis 65 da
pedagogiuri moRvaweobis 60 wlisTavisadmi miZRvnili konferencia
3
saqarTvelos parlamentis, sa-
qarTvelos Sromis, janmrTelo-
bis da socialuri dacvis ko-
mitetis Tavmjdomare profeso-
ri oTar ToiZe,
Tssu proreqtori d. WavWaniZe,
bavSvTa dacvis saerTaSori-
so fondis niu-iorkis ofisis
xelmZRvaneli g. doRonaZe,
qalTa kongresis preziden-
ti lia kiknaZe,
profesorebi:g.CaxunaSvili. av-
Tandil kvezereli-kopaZe, rezo
labaZe, iuri muCaiZe,
afxazeTis jandacvis minis-
tris moadgile manana anua,
medicinis akademiuri doqto-
ri neli badriaSvili,
rusudan jaSi,
profesori nugzar uberi,
profesori guram tatiSvili.
rogorc aRvniSneT arasamTav-
robo da samTavobo organiza-
ciaTa iniciativiT medicinis
sferoSi Seiqmna komisia ro-
melmac (Tavjdomare - j.Cant-
laZe) gaweuli RvawlisTvis pro-
fesor irakli ciciSvils ga-
dasca varskvlavi `oqros ste-
toskopi~. mTlianad sxdomam Ca-
iara gulTbil viTarebaSi,ro-
melic gagrZelda saRamoTi kar-
gad organizebul banketSi,sa-
dac mravali pofilis Rvawl-
mosil specialistebTan erTad
axalgazrobac iyo aqtiurad
CarTuli.
konferenciaze ̀ socialuri pe-
diatria da bavSvTa janmrTelo-
ba~ Tavmjdomareobdnen:profeso-
rebi: i. ciciSvili, g. CaxunaSvi-
li, r. svaniSvili, av. Kvezereli-
kopaZe, i .doliZe, y. faRava,r ku-
tubiZe.
warmodgenili iyo leqcie-
bi da moxsenebebi:
1. bavSvTa da mozardTa gul-
sisxlZarRvTa sistemis Tanamed-
rove marTva – sruli prof. g.Ca-
xunaSvili, med. Ddoq. Aasoc.
Pprof. n. jobava.
2. tyupebi – msgavseba da gan-
sxvaveba – prof. d. cxomeliZe.
3. skolebSi bavSvTa janmr-
Telobaze meTvalyureobis auci-
lebloba – d. CaxunaSvili, g,
Samugia, q. Coquri, g. kaSia.
4. NORDIC- is burRuleuli
jansaRi kvebis WrilSi - med.
doq. asoc. prof. d. gabunia.
5. klinikuri farmakologiis
da wamalTa gverdiTi movlene-
bis preblemebi pediatriaSi. - med.
doq. prof. r. jaSi.
6. polivitaminebi-
sa da polivitamin-po-
limineraluri komp-
leqsebis profilaq-
tikurad gamoyenebis
mizanSewoniloba -
med. doq. q. beriZe.
7. mwvave bronqitis
mkurnalobis Tanamed-
rove principebi - med.
doq. T. doRonaZe.
8. USE OF BRAINNATRIURETIC PEPTIDE
AS A PREPARTICIPATION SCREEN-ING TEST IN ATHLETS – ILIANADAREISHVILI, GEORGE CHAKHU-NASHVILI.
konferenciaze gaimarTa aq-
tualur sakiTxebze kamaTi, sa-
dac gamomsvlelebma daafiqsi-
res TavianTi poziciebi.
bolos miRebuli iqna rezo-
lucia:
proeqtis ̀ saqarTveloSi bav-
SvTa da mozardTa fizikuri ga-
naTlebisa da sportSi maTi ma-
sobrivi Cabmis erTiani erovnu-
li strategiisa da samoqmedo
gegmis SemuSaveba~ monapovars -
jandacvis, ganaTlebisa da spor-
tis saministroTa proeqtSi er-
Toblivi monawileobis auci-
leblobis aRiarebisa da misi
ganviTarebis aucilebeli kidev
erTxmadi mxardaWera.
miRebul iqna gadawyvetile-
bebi:
1. evromecnierebis saqarTve-
los erovnuli 2010-2011 wlebis
muSaoba Sefasdes
dadebiTad.
2. evromecniere-
bis saqarTvelos
erovnuli seqciis
2010-2016 wlebis
strategiuli gegma
gadiodes masSi axa-
lgazrdobis mecni-
erebaSi CarTvis
mkveTri matebisaken
da daevalos evro-
mecnierebis saqarT-
velos erovnuli
seqciis axalgazrdul depart-
ments maszed aqtiuri muSaoba.
3. Seiqmnas saorganizacio ko-
miteti 2012 wlis evromec-
nierebis forumebSi monawi-
leobisTvis, romelsac dae-
valeba misi sruli organi-
zeba.
4. evromecnierebis saqar-
Tvelos erovnulma seqci-
am yvela Rone ixmaros, ac-
nobos samTavrobo struq-
turebs da gaagrZelos Ta-
visi saorganizacio saqmi-
anoba, raTa saqarTveloSi
Catardes 2016wlis an 2018
wlis evromecnierebis fo-
rumi.
5. socialuri pediatriis dac-
vis fondma da bavSvTa kardio-
logTa asociaciam gaagrZelos
aqtiuri muSaoba miRebuli re-
zoluciebis Sesabamisad, amas-
Tan erTad 2012wlis 1 vnisisaT-
vis izrunos bavSvTa kardio-
logTa IV konferenciisa da sa-
qarTvelos meddaTa III konfe-
renciis Casatareblad,romelic
mieZRvneba bavSvTa saerTaSori-
so dacvis dRes. Aam dRisadmi
organizeba gaukeTdes Sesabami-
si asociaciebis pereregisTra-
ciasa da registraciebs.
6. arasamTavrobo organiza-
ciebis samTavrobosTan erTad
erToblivad daawesebuli ̀ oq-
ros stetoskopisa~ da `oqros
lancetis~ varskvlavis mflo-
beli dasaxeldes Seqmnili ko-
misiis mier araugvianes 2012w-
is 1 ivnisisa.
P.S. aRsaniSnavia, rom amavedRes konferenciis organiza-
torebsa da afxazeTis jandac-
vis saministros iniciativiT
bavSvTa dacvis dRes mieZRvna
bavSvTa saqvelmoqmedo konsul-
taciebi,romelic Catarda bavS-
vTa axal klinikaSi da gaisin-
ja 200-mde bavSvi.agreTve moewyo
afxazeTidan afxaz bavSvTa na-
muSevrebis naxatebis gamofena
da maT gadaecaT sertifikate-
bi. konferenciis msvlelobisas
saintereso namuSevrebis damo-
fena moawyo q.quTaisidan eqTan-
Ta asociaciam ,romelsac didi
mowoneba xvda wilad.
4
bavSvTa axali klini-
ka srulad amarTlebs Ta-
vis saxels. igulisxmeba
uaxlesi samedicino apa-
raturiT, samedicino da
saofise inventariT aR-
Wurvili, Tanamedrove
standartebiT daproeqte-
buli Senoba, romelic
mdebareobs TbilisSi,
lublianas q. #21-Si.
bavSvTa axali klini-
ka dakompleqtebulia
profesionali, gamocdi-
li kadrebiT da warmo-
adgens poliprofilur sa-
medicino dawesebulebas,
sadac daxmarebas aRmou-
Cenen pediatriuli yvela
mimarTulebiT.(qirurgiu-
li da Terapiuli).
saixles warmoadgens
inovaciebi menejmentSi,
sarTvis sistemis da aR-
ricxvianobis programuli
uzrunvelyofa SesaZleb-
lobas iZleva yvela pa-
cientis Sesaxeb sruli in-
formaciis mopovebisa
mkurnalobisa da kvlevis
nebismier etapze.
klinika Tanamsrom-
lobs ucxoel partnior
samedicino dawesebule-
bebTan, rac SesaZleblo-
bas iZleva ufro efeqtu-
rad gadawydes probleme-
bi da mZime pacientebis
marTva.
bavSvTa axali klini-
ka gilocavT damdeg axal
wels da gisurvebT janm-
rTelobas!!!
www.bac.ge
51. gadaudebeli
daxmarebagadaudebeli daxmarebis de-
partamenti samedicino daxma-
rebas uwevs TveSi 800-1000 pa-
cients. ganyofilebaSi pacien-
tis Semosvlis ZiriTadi mize-
zebia sunTqvis mwvave ukmari-
soba, hipovolemia, gulyra, sxva-
dasxva genezis intoqsikaciebi,
travmebi. pacientebs 24 saaTis
ganmavlobaSi emsaxureba gu-
lisxmieri da kvalificiuri
medpersonali. romlis amoca-
naa sicocxlisaTvis saSiSi
simptomenis kupireba an Sesus-
teba da 8 saaTis ganmavloba-
Si pacientis mdgomareobaze
montoringi. am drois gasvlis
Semdeg pacienti gaumjobese-
buli mdgomareobiTa da sa-
Tanado rekomendaciebiT ewe-
reba binaze (daaxloebiT 80%).
Tu bavSvi saWiroebs mkurna-
lobis gagrZelebas, gadadis Se-
sabamis ganyofilebaSi.
gadaudebeli daxmarebis
ganyofilebaSi 0-3 wlamde
asakis bavSvebis mkurnalo-
ba TveSi erTxel finansdeba
saxelmwifos mier.
ganyofilebas erTdrou-
lad SeuZlia 0-18 wlamde asa-
kis 15 pacientis miReba. Tana-
medrove aparaturiTa da la-
boratoriiT aRWurvil de-
partaments saSualeba aqvs
rogorc Terapiuli, ise qi-
rurgiuli pacientebis mkur-
nalobisa.
amave ganyofilebasTan
funqcionirebs acris kabine-
ti saqarTveloSi licenzi-
rebuli yvela maRalxaris-
xovani vaqciniT.
sakontaqto telefonebi:
890520303, 8322470401
gadaudebeli ganyofile-
ba gaSlilia 15 sawolze
2. kritikulimedicina
kritikuli medicinis de-
partamenti
kritikuli medicinis de-
partamenti funqcionirebs yo-
veldRiurad 24 saaTis ganmav-
lobaSi. dakompleqtebulia
licenzirebuli maRalkvali-
ficiuri personaliT. aRWur-
vilia Tanamedrove ucxouri
samedicino aparaturiT.
kritikuli medicinis de-
partamentSi gaerTianebulia
3 mimarTuleba:
• neonataluri mimarTu-
leba: yvela tipis neonata-
luri paTologia 0-28 dRis
CaTvliT
• axalSobilTa da Cvil
bavSvTa postoperaciuli mi-
marTuleba: yvela tipis qi-
rurgiuli paTologia(Tanda-
yolili/ SeZenili)0_6 Tvis
CaTvliT
• mozrdil bavSvTa pos-
toperaciuli da Terapiuli
mimarTuleba: asakobriv
jgufSi gaTvaliswinebuli
yvela tipis mwvave da qro-
nikuli paTologia
3. neonatologiuridepartamenti
neonatologiuri departa-
menti gaSlilia 25 sawolze
da aRWurvilia Tanamedrove
aparaturiT, JangbadiT, axalSo-
bilisa da dedisTvis saWiro
inventariT. TiToeuli pala-
ta komfortulia da gankuTv-
nilia mxolod erTi pacien-
tisa da dedisTvis. aq wvebian
axalSobilebi sicocxlis pir-
veli 28 dRis CaTvliT. depar-
tamentSi axalSobilebi xvde-
bian katastrofis medicinis
brigadis saSualebiT samSo-
biaro saxlebidan, saavadmyo-
fos axalSobilTa kritikuli
medicinis ganyofilebidan da
binidan. Aaq xdeba drouli da
dRenakli axalSobilis sxva-
dasxva paTologiebis (sefsi-
si, pnevmonia, hiperbilirubine-
miiT mimdinare daavadebebi,
axalSobilis sxvadasxva or-
ganoTa sistemis paTologie-
bi da sxv) marTva. aseve xdeba
janmrTeli dRenakli axal-
Sobilis gamozrdac. axalSo-
bilis mkurnalobis xarjebs
mTlianad faravs saxelmwifo
programa, xolo dazRvevis Sem-
TxvevaSi ki sadazRvevo kom-
paniebi.
4. qirurgiaTorakaluri qirurgia:
saylapavis atrezia, diaf-
ragmis Tiaqari, traqeis plas-
tika, kisris Sua kista, diaf-
ragmis relaqsacia, filtvis
eqinokoki, plevreqtomia, lo-
beqtomia, bronqoskopia, gul-
mkerdis RruSi Semavali Wri-
lobebi.
zogadi da abdominaluri
qirurgia:
saqardulis Tiaqari, TeT-
ri xazis Tiaqari, Wiplaris
Tiaqari, gastriSizi, anusis
atrezia, swori nawlavis ga-
movardna, Wipis fungusi, mwva-
ve da qornikuli osteomie-
liti, sxvadsaxva lokaliza-
ciis abscesebi, fistulebi
(muclis wina kedlis, retro-
vaginaluri da sxva), parap-
roqtiti, mw. apendiciti, peri-
toniti, nawlavTa gauvaloba,
sakvercxis kista, piloros-
tenozi, sxvadsaxva lokali-
caciis hermangiomebi da sim-
sivnuri warmonaqmnebi,
hirSprungis daavadeba,
megakoloni, nekrozul-
wylulovani entero-
koliti.
urologia:
kriptorqizmi, hipos-
padia, fimozi, saTesle
jirkvlis da hidati-
dis Semogrexva, vari-
kocele, hidrocele.
neiroqirurgia:
qala-tvinis travmuli da-
zianeba, zurgisa da Tavis tvi-
nis Tiaqrebi, hidrocefalia
(Suntireba) simsivnuri war-
monaqmnebi.
travmatologia:
Ria da daxuruli mote-
xilobebi, amovardnilobebi
autoremopastika, polidaqti-
lia, sindaqtilia, raSis ter-
fi, aqilevsis myesi, terfmru-
doba, barZayis Tandayolili
amovardniloba, Zvlebis des-
truqciuli kistebi.
ofTalmologia:
sielme, glaukoma, Tvalbu-
dis midamos travmuli da-
zianeba da abscesebi, simsiv-
nuri warmonaqmnebi.
yba-saxis qirurgia:
tuCisa da sasis Tandayo-
lili napralebi, yba-saxis mi-
damos simsivnuri da kisto-
zuri warmonaqmnebi, tramvu-
li dazinebebi, hemangoimebi,
enis mokle lagami, qoanebis
atrezia, odontogenuri peri-
ostiti.
5. pediatriuli(Terapiu-
li) departamenti
pediatriuli departamen-
tis SemadgenlobaSi Sedis
2 pediatriuli samsaxuri.
I pediatriuli samsaxuri
uzrunvelyofs zogadpediat-
riuli profilis avadmyof-
Ta ambulatoriul da sta-
cionarul kvlevasa da mkur-
bavSvTa axali klinika gTavazobT 24/7 gadaudebel
daxmarebas, mogemsaxurebaT gamocdili
specialistebi, momsaxurebis umaRlesi xarisxi,
komfortuli garemo da a.S.
Cveni partniorebi
klinikas hyavs partniori klinikebi: aSS, iutas Stati, | q. pro-
vos mraval profiliani klinika, | avstria, q. vena, wminda anas
bavSvTa saavadmyofo, | budapeSti epileptologiis centri
Tanamedrove aparaturiT aRWurvili saoperacioebi
maqsimalurad komfortuli garemo
sakmaod gamocdili personali
bioqimiuri kvlevebi
bilirubini saerTo
bilirubini pirdapiri
bilirubini arapirdapiri
kreatinini
Sardovana
saerTo cila
albumini
globulini
qolesterini
qolesterini HDL
qolesterini LDL
qolesterini VLDL
trigliceridebi
tute fosfataza
amilaza
asparigintransaminaza Astalalintransaminaza Antkomplementi C3glutamintranspeptidaza g GGtglukoza
narCeni azoti
laqtati
SardSi kreatinini
SardSi diastaza
SardmJava
feritini
difenilamini
C reaqtiuli cila
antistreptolizini
rev-faqtori
gazebi
natriumi
kaliumi
magniumi
kalciumi
fosfori
glukoza liqvorSi
rkina
transferini
ionizirebuli kalciumi
baqteriolugiuri
kvlevebi
sisxlis baqteriolo-
giuri gamokvleva
Sardis baqteriolo-
giuri gamokvleva
ganavlis baqterio-
logiuri gamokvleva
ganavlis kvleva dis-
baqteriozze
cxvir-xaxis nacxis
baqteriologiuri ga-
mokvleva
liqvoris baqterio-
logiuri gamokvleva
Cirqis baqteriologi-
uri gamokvleva
sxvadasxva saxis bu-
nebrivi masalis baqte-
riologiuri gamokv-
leva
dedis rZis gamokvle-
va sterilobaze
naxvelis mikroskopu-
li kvleva
u r o - g e n i t al u r i
nacxis mikroskopuli
kvleva
naxvelis baqterio-
logiuri gamokvleva
antibiotikogamis gan-
sazRvra
klinikuri kvlevebi
sisxlis saerTo analizi
Sardis saerTo analizi
ganavlis saerTo analizi
sisxlis jgufi da rezusi
ganavali farul sisxldenaze
retikulociti
acetonis gansazgvra SardSi
naRvlis pigmentebi
adis-kakovski
sisxlis Sededeba
Trombocitebi
hematokriti
liqvoris analizi
proTrombinis gansazRvra
koagulograma
plevris punqtatis gamokvle-
va
hemoglobini
Tavzurgtvinisa da RviZlis
tvinis punqcia da kvleva
dedis rZiT gamowveuli siy-
viTle
fetaluri hemoglobini
eriTrocitebis osmosuri re-
zistentoba
wiTeli sisxlis gamokvleva
eleqtrokardiografia (15ganraSi)
kapilaroskopia
Tanamedrove aparaturiT laboratotiuli kvlevebi:
nalobas.
II pediatriuli samsaxu-
ri uzrunvelyofs specia-
lizirebuli profilis (nef-
rologia,kardiologia, rev-
matologia, hematologia, nev-
rologia, endokrinologia)
avadmyofTa ambulatoriul
da stacionarul kvlevasa da
mkurnalobas
F
6. funqciuridiagnostika
(endoskopia, terfis diag-
nostika, kompiuteruli to-
mografia)
eqoskopiis kabinetSi war-
moebuli kvlevaTa CamonaT-
vali:
- muclis Rrus parenqimu-
li da Rru organoebis ult-
rabgeriTi kvleva
- Sardsasqeso or-
ganoebis ultrabgeri-
Ti kvleva
- kardioeqoskopia
- neirosonoskopia
- saxsrebis eqos-
kopia
- endokrinuli
jirkvlebis eqoskopia
- plevris Rrus da
perikardiumis eqosko-
pia
- rbili qsovile-
bis eqoskopia
Tanamedrove rentgenodiag-
nostika
7. imunizaciiskabineti
informacia vaqcinaciis ka-
binetis Sesaxeb: kabinets ga-
aCnia saukeTeso xarisxis
franguli warmoebis vaqcine-
bis yvela saxeoba, rac gaTva-
liswinebulia erovnuli vaq-
cinaciis kalendris mixedviT.
klinikis bazaze funqci-
onirebs imunizaciis kabine-
ti, sadac vaqcinacia tarde-
ba vaqcinaciis erovnuli ka-
lendris mixedviT Semdegi
vaqcinebiT:
infariqs heqsa (6 komponen-
tiani vaqcina -belgia), enjeriqsi
(B hepatiti- belgia), tetraqsi-
mi (ÀaÊÄÑ + poliomieliti),
trimovaqsi (wiTela, wiTura, yba-
yura safrangeTi), influvaki –
(gripis vaqcina- niderlande-
bi), vaqsigripi – (gripis vaqci-
na- safrangeTi), prioriqsi (wi-
Tela, wiTura, ybayura- belgia),
varilriqsi (Cutyvavila-bel-
gia), imovaqs polio(poliomie-
litis inaqt. vaqcina- safran-
geTi), avaqsimi (À hepatiti-saf-
rangeTi) da sxva.
imunizaciis Semdeg paci-
ents eZleva imunizaciis pas-
porti, sadac fiqsirdeba sa-
pasporto monacemebi, imuni-
zaciis Catarebis TariRi, Sem-
dgomi imunizaciis Catarebis
TariRi, vaqcinis dasaxeleba.
kabineti funqcionirebs di-
lis 10sT-idan 16.00sT-mde yo-
veldRe SabaT-kviris garda
8. rabilogiurisamsaxuri (cofis
vaqcinacia dapirveladi daxmareba
ZaRlis kbenisdros)
9. ambulatoriulisamsaxuri
ambulatoriuli samsaxu-
ri(poliprofiluri)
6evromecnierebis saqarTvelos erovnuli seqciis
ZiriTadi strategia axalgazrdobaze gadis
evromecnierebis saqarTvelos erovnuli seqciisevromecnierebis saqarTvelos erovnuli seqciisevromecnierebis saqarTvelos erovnuli seqciisevromecnierebis saqarTvelos erovnuli seqciisevromecnierebis saqarTvelos erovnuli seqciis
axalgazrduli departamentis ganvlili muSaobis Sedegebiaxalgazrduli departamentis ganvlili muSaobis Sedegebiaxalgazrduli departamentis ganvlili muSaobis Sedegebiaxalgazrduli departamentis ganvlili muSaobis Sedegebiaxalgazrduli departamentis ganvlili muSaobis Sedegebi
evromecniereba evropaSi
sakmaod cnobili, erT-erTi
gavleniani, aqtiuri da mecni-
erebaze erientirebuli orga-
nizaciaa. saqarTvelo misi wev-
ri gaxda ganvlili saukunis
90-iani wlebis dasasruls,
Tumca aqtiuri muSaoba daiwyo
2007 wlis Semdeg. am organi-
zaciis egidiT an/da monawi-
leobiT Catarda mravali ad-
gilobrivi da saerTaSoriso
mravalprofiluri konferen-
cia. maT Soris baTumis 2010
wlis (Batumi Sping 2010) saer-TaSoriso konferencia da
NATO–s daxmarebiT Catarebu-
li 2011 wlis konferencia stu-
Si. swored am konferenciebze,
gaiTvaliswina ra evromecni-
erebis saqarTvelos erov-
nulma seqciam is, rom saqarT-
velos da sxva evropul qvey-
nebsac gaaCniaT axalgazrda
mecnierTa deficiti, gadawyda
axalgazrduli departamentis
Seqmna. es gadawyvetileba mi-
Rebul iqna evromecnierebis
generaluri mdivnis b-n rai-
mond zelcis xelSewyobiT.
2011 wlis gazafxulze ev-
romecnierebis saqarTvelos
erovnuli seqciis axalgaz-
rulma departamentma miznad
daisaxa saqarTveloSi axal-
gazrda mecnierTa raodeno-
bisa da maTi muSaobis xaris-
xis gazrda. maT gadawyvites,
pirvel rigSi, Tbilisis wamy-
vani da umsxvilesi universi-
tetebis gaerTianeba. es gaer-
Tianeba gulisxmobda am uni-
versitetebis warmatebuli da
warCinebuli studentebs, baka-
lavrebisa da magistrebs So-
ris informaciis gacvlis da
gamocdilebis gaziarebis ga-
advilebas. swored amitom maT
saWirod CaTvales, yoveli uni-
versitetidan ramodenime war-
Cinebuli da aqtiuri studen-
tis Tavis rigebSi gawevria-
neba. am sakiTxze muSaoba am-
Jamadac mimdinareobs, ramode-
nime universitetis xelmZRva-
nelobam es iniciativa moiwo-
na da am etapze igegmeba am
proeqtis studentebisaTvis
prezentaciis mowyoba.
zemoTqmuli iniciativa ga-
momdinareobda iqidan, rom b-
n zelcma axalgazrdul
klubs daavala, saqarTvelos
mezobeli da partiori qvey-
nebis axalgazrdobis mecnie-
rebiTYdaintereseba da erT-
maneTTan informaciis gacv-
lis gaadvileba. swored, am
mizniT isini gaemgzavrnen ki-
evSi (2011w., agvisto), sadac da-
eswrnen sazafxulo skolas
da Sexvdnen evromecnierebis
adgilobrivi seqciis warmo-
madgenlebs. am sazafxulo
skolaSi monawileobas iReb-
dnen sxvadasxva qveynebis (aSS,
poloneTi, germania,dania, ru-
seTi, meqsika, irani, litva da
a.S.) axalgazrda mecnierebi.
evromecnierebis ukrainis
erovnuli seqciis warmomad-
genelma, pr.makarenkom, aseve mo-
iwona saqarTvelos axalgaz-
rduli departamentis wamowye-
ba da aRuTqva daxmareba. ax-
lo momavalSi dagegmilia mo-
laparakebebis gagrZeleba da
detalebis dazusteba belo-
rusiis, yazaxeTis, azerbaija-
nisa da somxeTis axalgazr-
dobebis warmomadgenlebTan.
ama wlis seqtemberSi, axal-
gazrduli departamenti Sex-
vda amerikis gulis asocia-
ciis evropisa da afrikis
mTavar koordinators da maT
ganixiles samomavlo Tanam-
Sromlobis gegmebi, rogor da
ranairad SeiZleba sxvadasx-
va erToblivi proeqtis gan-
xorcieleba.
klubma SeimuSava grZel-
vadiani samuSao gegma, romel-
sac qveviT gaecnobiT:
1. saqarTveloSi mecniere-
bis popularizacia:
7
evromecnierebis saqarTvelos erovnuli seqciis medicinisevromecnierebis saqarTvelos erovnuli seqciis medicinisevromecnierebis saqarTvelos erovnuli seqciis medicinisevromecnierebis saqarTvelos erovnuli seqciis medicinisevromecnierebis saqarTvelos erovnuli seqciis medicinisa da sportisa da sportisa da sportisa da sportisa da sportismecnierebis departamenti agrZelebs muSaobas Semdegi SemadgenlobiTmecnierebis departamenti agrZelebs muSaobas Semdegi SemadgenlobiTmecnierebis departamenti agrZelebs muSaobas Semdegi SemadgenlobiTmecnierebis departamenti agrZelebs muSaobas Semdegi SemadgenlobiTmecnierebis departamenti agrZelebs muSaobas Semdegi SemadgenlobiT
d.fruiZe, g.lobJaniZe
l.gujabiZe, d.zarnaZe,
g.kamkamiZe, m.buwaSvili,
i.zarnaZe, p.imnaZe, d.baqraZe
r.Sengelia
n.emxvari
k.CaxunaSvili (moadgile)
v.gvancelaZe, z.SaqaraSvili
n.lomiZe, r.kutubiZe, r.gagua
s.gordelaZe, d.WavWaniZe,
g.WaWia
g.CaxunaSvili (Tavmjd.)
y.faRava, q.nemsaZe
i.favleniSvili i.ciciSvili
a.kvezereli-kopaZe v.CxeiZe
d.tabucaZe, n.jobava,
n.uberi, l.JorJoliani
i.muCaiZeE
n.kintraia
b. tyeSelaSvili, d.gagua
ir.kvaWaZe, r.beriaSvili
r.CixlaZe, r.ruxaZe
l.kikaliSvili, g.didava
z.vadaWkoria
g.yifiani, g.menabde
n.gongaZe
l. kalandariSvili
l.gabunia
jandacvis organizacia
(profilaqtikuri
medicina da jan-
mrTelobis xelSewyoba)
medicinis istoria
(xalxuri medicina,
saeklesio medicina)
Terapia
qirurgia
pediatria
mean-ginekologia
fundamenturi
sabaziso medicina
stomatologia
farmakologia
saxeli, gvari mimarTulebebi
r.jaSi
T.Ciqovani
z.xelaZe, s.jaiani, n.lebaniZe
m.CxeiZe, maia CxeiZe
z. kakabaZeE
d.zurabaSvili
i.doliZe
z.kaxaberaSvili
p. kasraZe, z.fxalaZe
g.Caxava, r.RulaZe
z.beraSvili, l.ColoyaSvili
av.CxeiZe
d.kasraZe (sw. mdivani)
ir.manjaviZe, d.korZaia
l.CaCua
zv.selaZe, g.CaxunaSvili
d.CaxunaSvili, T.miqelaZe
m.alTunaSvili
T.gogotiSvili
T.mWedliSvili
gv.arvelaZe, q.nefariZe
m. nanobaSvili,
d. ramiSvili, n. marinaSvili
kl.farmakologia
imunologia
molekuluri biologia
kritikuli medicina
eqsperimentuli
medicina
fsiqologia
fsiqiatria
sportuli medicina
axal.spec.ganaTleba
samedicino
gamomcemloba
samedicino bioeTika
samedicino eqspertiza
mecnierebi 35 wlamde
saxeli, gvari mimarTulebebiSUPERVISION COUNCILChairman - Dr. Paata KervalishviliMembers:I.CicishviliN.AleksidzeG.SalaridzeS.Tvalchrelidze (secretary)G.AleksidzeK.NakhucrishviliI.DolidzheS.KenchadzeT.NatadzheL.MkhedzheV.TozashviliH.MeladzheV.KandelakiZ.JoxhadzeK.CkhadazeG.SikharulidzheT. SikharulidzeRaymond SeltzEuroscience association, France
01.06.2011.T.Sixarulidze Member of ESGNS-Supeviser board
q-on T. sixaruliZes gadaeca saqarTvelos
evromecnierebis erovnuli seqciis gamgeo-
bis sapatio wevrobis sigeli da igi arCeu-
li iqna mis sapatio gamgeobaSi.
1.1. Tbilisis udides universi-
tetebTan kavSiris gamyareba
1.2. samecniero muSakebisaTvis
(35 wels qveviT) sakvlevi masa-
lebis, literaturuli da sta-
tistikuri monacemebis xelmisaw-
vdomobis gazrda/gaadvileba.
1.3. sxvadasxva profilis sa-
mecniero muSakebis dakompleqte-
biT proeqtebis grantze.
1.4. saqarTvelos universite-
tebTan erTad samecniero konfe-
renciis Catareba, romelzec axal-
gazrda mecnierebi waradgenen Ta-
vianT naSromebs. am konferenci-
as unda qondes konkursis saxec.
2. ucxour qveynebTan urTierToba:
2.1. qarTuli samecniero naSro-
mebis ucxour, avtoritetul Jur-
nalebSi dabeWvdisTvis
Setana. qarTuli mecni-
erebis popularizacia
msoflio asparezze.
2.2. ucxo qveynebis
axalgazrda mecniereb-
Tan qarTveli axalaz-
rda mecnierebis dakav-
Sireba, informaciis
gacvla.
2.3. saqarTveloSi 1.4
punqtis ganxorciele-
bis Semdeg, amave for-
matSi ucxo qveyenbis
CarTva.
3. mecnierTa axal da
Zvel Taobebs Soris ar-
sebuli problemebis ga-
daWris gzebis monaxva
3.1. axalgarda mecni-
erTa kavSiris Seqmna, romleSic
warmodegnili iqnebian stundete-
bi, bakalavrebi, magisrebi, doqto-
rantebi, filosofiis doqtorebi
da profesorebi.
3.2. maT erTmaneTSi informaci-
is gacvla, problemebis garCeva
da maTi gadaWris gzebis moZieba
daevalebaT.
3.3. am kavSiris dasvknebis da
problemebis miwodeba sxvadasx-
va samecniero wresa da organi-
zaciaSi.
Mmed.doq. d.CaxunaSvili
k.CaxunaSvili
(evromecnierebis saqarTvelos
erovnuli seqciis
axalgazrduli departamenti)
saqrTvelos pediatrTa alademiis
prezidentTan i.ciciSvilTan
saqarTvelos pediatrTa asociaciis
prezidenTtan av.kvezerel-kopaZesTan
teqniku universitetSi
iv.javaxiSvilis universitetSi
82011 wlis 27-31 agvistos pariz-
Si (safrangeTi) Catarda evropis
kardiologTa asociaciis (ESC) mo-rigi kongresi. kongresze ofici-
alurd delegatebad warmodgeni-
li iyo saqarTvelos bavSvTa kar-
diologiis asociaciis wevrebi:
medicinis mecnierebaTa doqtori,
sruli profesori,akademikosi g.Ca-
xunaSvili (asociaciis preziden-
ti) da medicinis doqtori, aso-
cirebuli profesori n.jobava.
kongresSi monawileoba miznad
isaxavda:
1. 2001 wels kardiologTa msof-
lio kongresze stoqholmSi dawye-
buli saubris - saqarTvelos bav-
SvTa kardiologiis asociaciis
evropis bavSvTa asociaciaSi da-
moukideblad gawevrianebis Sesa-
xeb - gagrZelebas. aRsaniSnavia, rom
dReisTvis saqarTvelos bavSvTa
kardiologiis asociaciis wevre-
bi aT welze metia arian ESC-isoficialuri wevrebi da maT mona-
wileoba miiRes parizis da stok-
holmis garda birmingemis (ing-
lisi) - 1996 wlis kongresebSi;
2. kontaqtebis gaRrmavebas da
gafarToebas;
3. kongresze samkurnalo, samec-
niero, instrumentuli, saswavlo
da sxva informaciaTa gacnoba-mo-
poveba, maTi Semdgomi gadamuSave-
bisa da klinikur moRvaweobaSi
axalgazrdobis Cabmis swori taq-
tikis SemuSavebasa da strategiu-
li gegmebis dasaxvas.
4. kongresis programaSi Sedi-
oda kulturuli programebic, ro-
melSi monawileobac, Tavidanve sa-
Tanado drois racionalur gana-
wilebaSi mniSvnelovan rols mo-
iTxovda da asrulebda.
uSualod kongresi dReebis mi-
xedviT iTvaliswinebda:
26 agvisto - registracia
27 agvisto - opicialuri ce-
remoniali - kongresis gaxsna
28-29-30-31 agvisto ki- seqciebi,
seminarebi, leqciebi, sastendo
moxsenebebi, gamofenebi; kongresis
muSaobisas specialuri sainfor-
macio gazeTebi.
daxurva 31 agvisto.
rac Seexeba Cvens gegmebs, rome-
lic Cven CamovTvaleT mogaxsenebT
Semdegs:
1. daisaxa garkveuli konkretu-
li gzebi saqarTvelos bavSvTa
kardiologiis asociaciisa da mi-
si wevrebis evropis bavSvTa kar-
dioloiis asociaciis wevrobis-
Tvis. amasTan erTad unda aRiniS-
nos, rom gadaidga nabijebi ‘Cardi-ology in the young“ JurnalSi, (rome-
lic Cambridge University Press-iT ga-modis), saqarTvelos bavSvTa kar-
diologiis jurnalis redaqto-
ri moxvdes saerTaSoriso sare-
daqcio sabWoSi. ukve daigzavna
oficialuri werilebi AEPC-isprezidentsa da mis generalur
mdivans. imedia saqarTvelos bavS-
vTa kardiologTa asociacia Ta-
vis wvlils Seitans bavSvTa da
mozardTa gul-sisxlZarRvTa sis-
temaTa Tanamedrove diagnostikis,
mxurnalobisa Tu prevenciis sa-
kiTxebSi.
2. rac Seexeba kontaqtebs igi
ganaxlda amerikis kardiologTa
asociaciasTan (AHA), asociacias-Tan “SHAPE”, firma `Raisio“-sTanda a.S.
aqve aRvniSnav, rom kongresze
warmodgenili iyo saqarTvelos
kardiologTa delegacia, romlis
wevrebi saqarTvelos kardiolog-
Ta asociaciis flagmani profe-
sori bondo qobulia da saqarT-
velos kardiologTa asociaciis
generaluri mdivani irine jaSi,
Tavisebur eSxsa da elfers ma-
tebda kongresis oficialuri gax-
snis saRamos ceremonials.
rac Seexeba TviTon gaxsnis ce-
remonials: igi Sedga 27 agvis-
tos, 17:00-18:00. (Congress Venue ParisNord Villepointe Room Paris - Zone F).mis gaxsnas eswreboda daaxoebiT
2000 kaci, TiTqmis yvela kontinen-
tidan. aqve aRvniSnav, rom kongre-
si ki iyo evropis asociaciis mi-
er organizebuli, magram Tavisi
maStabebiT da SemadgenlobiT igi
msoflio kongresis rangSi Catar-
da. programa warimarTa skupulo-
zurad Sedgenili gegmiT:
- President Welcome AddressMichael Komajda
President of the Europeian Society ofCardiology
prezidentis Semdeg gamovida
samecniero programebis Tavmjdo-
mare Michael Bohm, ris Semdegacmoxda ESC-is oqros medliT da-
jildoeba. isini gadaecaT - Jean-Claude paubert-s, Henri Kulbertus da PetterLibby-is. maT Semdeg prezidentmagaakeTa moxseneba ori mimarTule-
biT - ESC traning & Research Awards- Cardiologists of Tomorrow
aq ar SemiZlia ar aRvniSno, is
garemoeba, rom axalgazrda speci-
alistebze da mecnierebze uzado
yuradRebaa da am mimarTuleiT Cve-
ni saqmianobis warmarTvac kidev
erTxel marTebulia.
CvenTvis, rogorc pediatrebi-
saTvis mniSvnelovani iyo ”EuropianHeart for Childrenis“-is oficialuri
prezentacia, romelic gaakeTa Ro-berto Ferrari-im. unda aRiniSnos, rommTeli ceremoniali iyo gaforme-
buli fantomebis Teatraluri da-
sis dasamaxsovrebeli gaformebiT.
kidev erxel xazi gaesva kardio-
logTa erTi ojaxis principepbs,
da ara marto evropaSi.
3. rac Seexeba kongresis 5 dRi-
an maraTons igi mimdinareobda
yoveldRe 8.30 dan 18:00-mde Semde-
gi mimarTulebiT:
-BBasic Sciense- Heart Failiare / Left Ventricular
DysFunction/- Arrhytmias- Hypertension / Pharma /- Prevention/ Reabilitation / Sports /
Nursing/- Cardiac Imaging / Computers /- Valvular Disease / Pulmonary Circula-
tion / Myicardial-Pericardial Disease / Con-genital Heart disease & Pediatric Cardio-logy
- Iutervetions / Peripherial circulation /Stroke / sargery
- Ishemia / Coronary Artery disease /Acute cardiac care
- Miscellaneous- Replay sessionparalelurad mimdinareobda
stenturi moxsenebebi da mraval-
mxrivi gamofenebi.
unda aRiniSnos rom, rogorc
yovelTvis gamofenebze uxvad iyo
instrumentul kvlevaTa aparatu-
ra, laboratoriuli Tanamedro-
ve kvlevebi, axali aparatebi da
kardiologiis xvalindeli dRis
perspeqtiva, rogorc samjurnalo-
diagnostikuri, aseve prevenciis
mimarTulebiT.
kongresis erT-erTi mniSvnelo-
vani RonisZieba iyo “ESC PocketGuidelines”, sadac sxvadasxva mniSv-nelovani gzamkvlevebi miiRes mo-
nawileebma.
im umniSvnelovanes informaci-
asTan erTad, romelic kongress
Tan axlda, samecniero, pedagogi-
ur da praqtikul kardiologia-
Si, mas wiTel zolad gasdevda
axalgazrdobis saqmianobaSi far-
TomasStabiani Cabmis survili.
am kongresze saqarTvelos bav-
SvTa kardiologTa asociacia aja-
mebs Tavis monawileobas da isa-
xavs muSaobis strategiul geg-
mas, rac mis mTavar mizans warmo-
adgens:
- uaxloesi 3-5 wlis ganmavlo-
baSi internsiurad unda Catar-
des:
a) b/kardiologiaSi skola-se-
minarebi
b) momzaddes da gadamzaddes
b/kardio-revmatologebi
g) gul-sisxZarRvTa kvlevis in-
strumentul kvlevaTa Sesaxeb
leqciebi (e.k.g, exokardigrafia,ka-
pilaroskopia da sxv.)
- gaZlierdes g.i.d.-Ta riskis
jgufebis kvleva ojaxebSi.
- momzaddes da Catardes spe-
cialuri leqciebi skolebSi
gul-sisxlZarRvTa sistemis daa-
vadebaTa ojaxuri riskis SesaZ-
leblobis Sesaxeb.
- gamaxvildes yuradReba uecar
sikvdilze
- gansakuTrebuli yuradReba da-
eTmos bavSvebsa da mozardebSi:
a) diabeti tipi I da tipi II
b) hipertenziebs
g) dislipoproteinemias
d) mcire wreSi hipertenzias
e) ariTmiebias
v) gamaxvildes yuradReba koa-
gulaciur sistemebze
z)sportsmenTa gul-sisxlZar-
RvTa sistemaze,
mis SesaZlo mosalodnel gar-
Tulebebze mcireodeni uyuradRe-
bobis SemTzvevaSic ki.
yovelive zemo aRniSnulis
profesionalurad SesrulebisT-
vis aucilebelia kompleqsuri
kvlevebi, romlebis Sesrulebac
SesaZlebelia mxolod sxva-dasx-
va dargobrivi asociaciebis koo-
peraciiT:
-bavSvTa kardioliogTa da nev-
rologTa,
- bavSvTa kardioliogTa da pul-
monologTa,
- bavSvTa kardioliogTa da he-
matologTa,
- bavSvTa kardioliogTa da di-
abetologTa,
- bavSvTa kardioliogTa da hi-
pertenziebis specialistTa,
- bavSvTa kardioliogTa da pa-
TanatomTa, da a.S.
unda daiweros erToblivi
vrceli programebi da Seitani-
li iqnas sxva-dasxva rangis gran-
tebis mosapoveblad.
amgvarad, (ra Tqma unda, Tanda-
yolili gulis paTologiebis gar-
da, romelic dRes-dReobiT 1 mi-
lionamdea, da sadac mxolod 200
aTass aqs daxmareba ESC 27-31.08.2011 Paris), aucileblad daxmareba
esaWiroeba bavSvTa da mozardTa
somatur da maT preenciul kar-
diologias.
kerZod, aucilebelia:
- gul-sisxZarvTa sistemis da-
zianebis drouli gamovlineba
sxvadasxva anTebadi da araanTeba-
di daavadebis dros, maTi drou-
li mkurnaloba,Sesabamisi reabi-
litacia da rac mTavaria gegma-
zomieri- gaazrebuli prevencia,
dawyebuli mucladyofnis perio-
didan.
- sayuradReboa jansaRi cxov-
rebis wesis monitoringi:
- kvebis reJimi,
- datvirTvis kontroli,
- riskis jgufebSi myofi bavS-
vebisa da mozardebis dispanseri-
zacia - maTi monitoringi.
- amasTan erTad gasaTvaliswi-
nebelia:
genetikuri datvirTva (kardi-
omiopaTia, hiperqolesterinemia, hi-
pertonuli krizebi, g.i.d. da a.S.),
sxvadasxva daavadebebi (gulis an-
TebiTi dazianebebi, diabeti II,Se-
maerTebeli qsovilis sistemuri
dazianebani da sxv. ), sxvadsxva
tipi ariTmiebis sixSire, gulis
areSi tkivili, ST segmentis ele-
vaciis gareSe.
yovelive zemo aRniSnulis gar-
da, mniSvnelovania sportsmenTa mo-
nitoringi asakisa da sqesis gaT-
valiswinebiT.
amdenad, 2011 wlis parizis ESCkongresi aris didi stimuli sa-
qarTvelos bavSvTa kardiolog-
Ta asociaciis muSaobis kidev uf-
ro gaZlierebisa da gaaqtiurebi-
saken, xolo Jurnal ‘bavSvTa kar-
diologias~ mieniWeba umniSvnelo-
vanesi roli am yvelafris Rirse-
ulad SesrulebaSi.
4. rac Seexeba, kongresis mier
organizebul kulturul Ronis-
Ziebebs unda iTqvas, rom sityvebi
ar iqneba sakmarisi im emociebis
gamosaxatad risi SesaZleblobac
mieca kongresis monawileebs. me
SemiZlia marto gavakeTo CamonaT-
vali:
parizi – “Eiffel Tower”, “L’Arcde triomphe de l’Étoile“, “les Champs-Élysées”“Montmartre”, “Secreouz“,“Moulin Rouge“; “Cite“- “Notre da-me“, “Sainte-Chapelle“;THE muse-umes - Louvre, D’ozsg, Rodin,Thearmy; “Jardin du Luxembourg”;“L’hôtel national des Invalides”; da mra-vali sxva.
versali – “Palace of Versailles”,“Gardens and Park of Versailles”,”Palacesof Tranon and Murie-Antoneette s Estate”.
Cemi azriT, komentaris gakeTe-
bac zedmetia, cota adamiani Tu
SeZlebs sityviT am zRaparSi yof-
nis gadmocemas.
bolos ki, didi madloba minda
gadavuxado
kongresis organizatorebs,
saqarTvelos kardiologTa
asociacias da saqarTvelos bavS-
vTa kardiologTa asociacias.
momaval kongresamde.
med. mecn.doqtori,
sruli profesori,
akademikosi g. CaxunaSvili
medicinis doqtori,
asocirebuli profesori
n. jobava
26-31.08.11, parizi-Tbilisi
PARISESC Congress 2011
After attending ESC 2011, Paris,Georgian Children Cardiology Associa-tion summed up participation and setsstrategy, completing which will be itsprimary goal. Strategy will be:
- In the nearest 3-5 years followingevent must take place:
a) seminars must be held in cardiol-ogy
b) cardiorheumatologists must beprepared or given additional training
c) lectures must be read about in-strumental research of cardio-vascularsystem ( ECG, Echocardiography, Cap-illaroscopy etc.)
- Research in ..... risk group must bemore careful
- Lectures about family risk of car-diovascular diseases must be preparedand read at school.
- We must pay more attention tosudden death
- We must pay more attention tofollowing groups in children and teen-agers:
a) Diabetes: type I and II.b) Hypertensionc) Dislipoproteinemiad) Hypertension in pulmonary cir-
culatione) Arrhythmiasf) More attention must
be paid to Coagulation sys-tems|
g)More attention mustbe paid to cardiovascularsystem of sportsmen.
All above mentioncannot be fulfilled profes-sionally If we do not per-form complex researches,which must be done by co-operation between differ-
ent Associations:- Children Cardiology and Neurol-
ogy- Children Cardiology and
Pulmonology- Children Cardiology and Hematol-
ogy- Children Cardiology and
Diabetology, etc.Programs must be written together
and those association must apply forgrants.
Children and Teenagers need urgenthelp in their somatic and preventioncardiology.
Several thing are needed to help themout:
- Detection of disease or malforma-tion, inflamatory or non-inflamatorydisease and their timely treatment, pre-vention must start from Fetus period.
- The healthy way of life must bepopularized (meal regiment and stressregiment (in sportsmen mostly)
- Children in high risk groups mustbe placed in dispensary and must be ob-served.
- Following factors must be forseen:Genetic (cardiomiopathy,
hipercholesterinemia etc), Diseases (Diabetes II, Systemic damaged of con-nective tissue etc), frequency of differenarrhythmias , pain in thoraxarea(without ST elevation).
- Also observation of sportsmen isvery important (depending on sex andage)
In summary, ESC 2011 Paris greatlyencouraged Georgian Children Cardiol-ogy Association to be more active. Alsomagazine “Children Cardiology” willplay main role in accomplishing abovesaid.
a/wlis oqtomberSi TbilisSi moxda
American Heart Asotiation-is warmomadgenlebis:
Clenn M.Vanden Houten-isa (Territory Director-Europe & Africa) da Jo Haag, RN, MSN-is(DirectorGlobal Training ECC Programs) oficia-luri Sexvedra saqarTvelos bavSvTa kari-
ologTa asociaciis prezidentTan prof.
g. CaxunaSvilTan, romelic uSualod pari-
zi-2011-is kardiologTa msoflio kongre-
sis gagrZeleba iyo.Sexvedram Caiara gul-
Tbil viTarebaSi da daisaxa Semdgomi ur-
TierTobebis gaRrmavebis strategia.unda
aRiniSnos, rom am Sexvedris lomis wili
baton qlenze modis, risTvisac mas did
madlobas vuxdiT.imedia SeZenili megob-
roba da megobrebi Tavis dadebiT kvals
datovebs saqarTvelos bavSvTa janmrTe-
lobis dacvis saqmianobaSi.
9sul mcire dro gavida mas Sem-
deg. rac saqarTvelos pediatriul
sazogadoebas gamoaklda misi erT-
erTi Rirseuli warmomadgeneli
prof. iuri muCaiZe.
igi daibada 1932 w. 14 maiss, q. Tbi-
lisSi, eqimis ojaxSi. 1950 w. daamTav-
ra
25-e saSualo skola oqros medal-
ze. Amave wels Cairicxa moskovis sa-
erTaSoriso urTierTobebis saxel-
mwifo institutSi, romlis reorga-
nizaciis Semdgom gadaiyvanes mos-
kovis me-2 samedicino institutSi. 1958
w. ojaxuri mdgomareobis gamogad-
movida Tssi-s me-5 kursze, romelic
daamTavra 1960 wels warCinebiT. 1963
w. Cairicxa miznobriv aspirantura-
Si saqarTvelos pediatriis samec-
niero-kvleviT intstitutSi da miav-
lines sakavSiro medicinis mecnie-
rebaTa akademiis moskovis pediat-
riis intitutis axalSobil da dRe-
naklul bavSvTa ganyofilebaSi. 1967
wels daicva sakandidato diserta-
cia TemiT: ‘Termoregulaciis Tvise-
bebi pirveli Tveebis dRenaklul
axalSobilebSi~. Aspiranturis dam-
Tavrebis Semdeg 1967-1968 ww.-Si igi
iyo saqarTvelos pediatiis samecni-
ero-kvleviTi institutis
bavSvTa higienis ganyofile-
bis ufrosi mecnier-TanamS-
romeli. 1972 wlis seqtemb-
ridan miavlines sakavSiro
medicinis mecnierebaTa aka-
demiis pediatriis samecnie-
ro-kvleviTi institutis
dRenaklul axalSobilTa
ganyofilebaSi doqtorantad.,
romelic warmaTebiT daam-
Tavra 1979 wels da sadac
daicva sadoqtoro diserta-
cia.
1979 wlidan batoni iuri
saqarTvelos pediatriis samecniero-
kvleviTi institutis samecniero
dargSi direqtoris moadgilis Ta-
namdebobazea, man gamoavlina Tavi, ro-
gorc farTo diapazonis mqone spe-
liastma-pediatrma, neonatalogma, mec-
nierma, romelic kargad iyo orien-
tebulia xalSobilTa fiziologi-
is da paTologiis sakiTxebze.
is iyo 170-mde samecnieronaSro-
misavtori. Misi uSualo monawileo-
biT SemuSavda hemodinamikis axali
Seswavlis fiziologiuri meTode-
bia xalSobilebSi.
axalSobilTa fiziologiisa da
paTologiis ganyofileba, romelsac
batoniiuri xelmZRvanelobda, Tbili-
sis sxvadasxva samSobiaro saxle-
bis bazaze arsebobda, wlebis manZil-
ze ikvlevda metadsaintereso da aq-
tualur problemebs neonatalogia-
Si. aRniSnuli mimarTulebiT miRe-
buli monacemebis safuZvelze Semu-
Savda da dainerga axalSobilTa mov-
1976 wels daamTavra so-
fel zemo-qedis saSualo
skola, 1977 wels Caabara mi-
saRebi gamocdebi q. Tbili-
sis saxelmwifo samedicino
institutis samkurnalo fa-
kultetze. 1983-84 wlebSi ga-
iara internatura q. Tbili-
sis #1 saavadmyofos bazaze.
1984-1987 wlebSi muSaobda ga-
nawilebiT samxreT-oseTis av-
tonomiuri olqis znauris
raipoliklinikaSi eqim of-
Talmologad. 1986 wels ga-
iara kvalifikaciis amaRle-
bis kursebi tarsaiZis saxe-
lobis Tvalis sneulebaTa
klinikis bazaze.
1987 wlis seqtemberSi Ca-
iricxa klinikur ordinatu-
lis da gamozrdis araerTi axali
meTodi. 1990 wlidan iuri muCaiZe swav-
lobda dRenaklTa, Tandayolili hi-
potrofiis mqonde da paTologiuri
orsulobidan dabadebul bavSvTa
imunologiur statuss deda-nayofis
rZis urTierTobis aspeqtSi.samedi-
cino qselSi misi da misi Tanaavto-
rebis mier SemuSavda da dainerga
17 meToduri rekomendacia da 13 me-
Toduri werili. momzadebulia 378
eqimi-neonatalogi respublikis sxva-
dasxva regionebidan.
wlebis ganmavlobaSi yovelkvar-
talurad batoni iuris mierCatare-
bulia mudmiv moqmedi seminarebi q.
Tbilisis neonatalogebis da ubnis
pediatrebisTvis – pediatriis samec-
niero-kvleviTi intitutis bazaze. igi,
rogorc saqarTvelos neonatalog-
Ta asociaciis vice-prezidenti, aqti-
ur monawileobas iRebda axalgazr-
da eqimebisTvis gamsvleli skola-
seminarebis muSaobaSi, neonatalog-
Ta sasertifikacio-sagamocdo tes-
tebis eqspertizaSi; iyo neonatalog-
Ta sasertifikacio gamocdebis ko-
misiis Tavmjdomaris moadgile. bav-
SvTa eqimTa respublikuri sazoga-
doebis gamgeobis wevri, Tssu-s saa-
testato sabWos wevri. misma naSrom-
ma ‘sxeulis mcire masis mqone axal-
SobilTa epidemiologia~ miiRo gran-
ti (saqarTvelos erovnuli samecni-
ero centri)
igi iyo Jurnal ‘saqarTvelos pe-
diatris~ saredaqcio sabWos wevri.
Jandacvis saminitros davalebiT igi
regularulad atarebda saqarTve-
loSi gardacvlil axalSobilTa
ganviTarebis istoriebis eqspertul
analizs.
wavida Cvengan keTilsindisieri,
uzomod Sromismoyvare da niWieri
mecniero, erudirebul ieqimi-pedi-
atri, mosiyvarule meuRle, mzrunve-
li da Tavdadebuli mama, sayvareli
babua, Rirseuli Svili, dasayrdeni
da uRalato megobari, misabaZi ko-
lega da TanamSromeli, samSoblo-
ze Seyvarebuli adamiani, romlis na-
Teli xsovna mudam darCeba misi me-
gobrebisa da saqarTvelos samedi-
cino sazogadoebi swarmomadgenel-
Ta gulSi.
Ppediatriis samecniero-
kvleviTi instituti.
saqarTvelos pediatrTa
asociacia
saqarTvelos neonatalogTa
asociacia
redaqcia gulTbilad uerTdeba am
Tbili werilis avtorT da kidev er-
Txel aRniSnavs aramarto saeqimo
sazogadoebis did danakliss.
gaxsenebagaxsenebagaxsenebagaxsenebagaxsenebaiuri muCaiZeiuri muCaiZeiuri muCaiZeiuri muCaiZeiuri muCaiZe
raSi q. Tbilisis saxelmwi-
fo samedicino institutis
Tvalis sneulebaTa kaTedra-
ze.
1989 welis seqtemberSi da-
amTavra ordinatura.
1989 wlidan moRvaweoba ga-
nagrZo bavSvTa II klinikur
saavadmyofoSi, Tssu g.Jvani-
as sax. pediatriul klinika-
Si da bavSvTa axal klinika-
Si,sadac igi sicocxlis bo-
lo wuTamde keTilsindisie-
rad asrulebda eqimis sapa-
tio movaleobas.
Cvenma koleqtivma didi da-
naklisi ganicada batoni va-
Jas udrood dakargvis gamo.
igi iyo gamorCeuli, iumoriT
savse pirovneba, Zalze ener-
giuli, patiosani da princi-
puli adamiani. Mmas axasia-
Tebda iseTi pasuxismgeblo-
ba saqmisadmi da adamianebi-
sadmi, rac xSirad Tavganwir-
vis tolfasi iyo. aqtiurad
monawileobda saqvelmoqme-
do aqciebSi da aseve Tavda-
debiT emsaxureboda agvis-
tos omSi daWrilebs.
is iyo Tavis samSobloze,
erze uzomod Seyvarebuli
pirovneba, metad gulisxmie-
ri da keTilmosurne megoba-
ri.
Mmegobrebs, axloblebsa da
naTesavebs dagvitova mouSu-
Sebeli Wriloba, sevdiani mo-
goneba, igi Tavisi sandomia-
ni saxiT,Tavisi iumoriT yo-
gogiSvili vaJa nikolozis
Ze dabadebuli 1959 w 15 ian-
vars wiTelwyaros raionis
sofel zemo-qedSi.
velTvis CvenTan, Cvens gver-
diT iqneba.
batoni vaJa gogiSvilis na-
Teli xsovna didxans darCe-
ba misi kolegebis, axloble-
bisa da madlieri paciente-
bis gulSi.
RmerTma naTelSi amyofos
misi suli.
megobrebis didi jgufi
10
11
saqvelmoqmedo aqcia rusTavsa da samtrediaSisaqvelmoqmedo aqcia rusTavsa da samtrediaSisaqvelmoqmedo aqcia rusTavsa da samtrediaSisaqvelmoqmedo aqcia rusTavsa da samtrediaSisaqvelmoqmedo aqcia rusTavsa da samtrediaSi
12saqvelmoqmedo aqcia qaqucoba 2008saqvelmoqmedo aqcia qaqucoba 2008saqvelmoqmedo aqcia qaqucoba 2008saqvelmoqmedo aqcia qaqucoba 2008saqvelmoqmedo aqcia qaqucoba 2008
saqvelmoqmedo aqcia xaSurSi 2009saqvelmoqmedo aqcia xaSurSi 2009saqvelmoqmedo aqcia xaSurSi 2009saqvelmoqmedo aqcia xaSurSi 2009saqvelmoqmedo aqcia xaSurSi 2009
saqvelmoqmedo aqcia barisaxo 2009saqvelmoqmedo aqcia barisaxo 2009saqvelmoqmedo aqcia barisaxo 2009saqvelmoqmedo aqcia barisaxo 2009saqvelmoqmedo aqcia barisaxo 2009
soc-ekologia-28a.ps
13saqvelmoqmedo aqcia kalaTburTelebis gasinjva 2010saqvelmoqmedo aqcia kalaTburTelebis gasinjva 2010saqvelmoqmedo aqcia kalaTburTelebis gasinjva 2010saqvelmoqmedo aqcia kalaTburTelebis gasinjva 2010saqvelmoqmedo aqcia kalaTburTelebis gasinjva 2010
saqvelmoqmedo aqcia karaleTi 2010saqvelmoqmedo aqcia karaleTi 2010saqvelmoqmedo aqcia karaleTi 2010saqvelmoqmedo aqcia karaleTi 2010saqvelmoqmedo aqcia karaleTi 2010
saqvelmoqmedo aqcia omis monawileTa ojaxebisa da wminda keTilmsaxurisaqvelmoqmedo aqcia omis monawileTa ojaxebisa da wminda keTilmsaxurisaqvelmoqmedo aqcia omis monawileTa ojaxebisa da wminda keTilmsaxurisaqvelmoqmedo aqcia omis monawileTa ojaxebisa da wminda keTilmsaxurisaqvelmoqmedo aqcia omis monawileTa ojaxebisa da wminda keTilmsaxuri
mefe Tamaris skola pansionis bavSvebi (dekanozi mirian samxaraZe) gasinjvamefe Tamaris skola pansionis bavSvebi (dekanozi mirian samxaraZe) gasinjvamefe Tamaris skola pansionis bavSvebi (dekanozi mirian samxaraZe) gasinjvamefe Tamaris skola pansionis bavSvebi (dekanozi mirian samxaraZe) gasinjvamefe Tamaris skola pansionis bavSvebi (dekanozi mirian samxaraZe) gasinjva
20102010201020102010
2010 wlis Ria karis dRe 04.XII sporcmenebTan2010 wlis Ria karis dRe 04.XII sporcmenebTan2010 wlis Ria karis dRe 04.XII sporcmenebTan2010 wlis Ria karis dRe 04.XII sporcmenebTan2010 wlis Ria karis dRe 04.XII sporcmenebTan
142011 wlis 1 ivniss
konferenciis organizatorebsa da afxazeTis jandacvis saministros iniciativiT
bavSvTa dacvis dRes mieZRvna bavSvTa saqvelmoqmedo konsultaciebi, romelic Ca-
tarda bavSvTa axal klinikaSi da gaisinja 200-mde bavSvi.agreTve moewyo afxazeTi-
dan afxaz bavSvTa namuSevrebis naxatebis gamofena da maT gadaecaT sertifikatebi.
15
dedaTa da bavSvTa
janmrTelobadaavadebaTa kontro-
lis da sazogadoebri-
vi janmrTelobis er-
ovnuli centris mona-
cemebi janmrTelobis
msoflio organizaci-
is eqspertebis 2002
wlis SefasebiT, saqar-
TveloSi avadmyofobis
tvirTis wilis 89% mo-
dis arainfeqciur da-
avadebebze, 5% - infeq-
ciur daavadebebze da
6% _ tramvebze. avadm-
yofobis tvirTis 10
ZiriTad mizezSi mesa-
me adgilze perinata-
lur periodSi warmoq-
nili mdgomareobebia.
2002 welsve eqsperte-
bis mier Sefasebuli
iqna 0-14 wlis asakis
bavSvebSi avadmyofobis
tvirTis 7 ZiriTadi
mizezi (DALYs 1000 mo-saxleze). pirvel ad-
gilze axalSobilTa
avadmyofobebia 32,4%
(mcire masa dabadebi-
sas, asfiqsia dabadebi-
sas da samSobiaro
tramvebi). meore adgil-
ze zeda da qveda sa-
sunTqi gzebis infeq-
ciebi 7,1%, mesameze _
Tandayolili anoma-
liebi 1,7% (gulis ano-
maliebi, daunis sind-
romi da spina bifi-
da).
saqarTveloSi damo-
ukideblobis aRdgenis
Semdeg qveynis janmr-
Telobis dacvis er-
TerT mTavar priori-
tetad aRiarebul iq-
na dedaTa da bavSvTa
janmrTelobis dacva.
SemuSavebul iqna da
Sesrulda mTeli ri-
gi saxelmwifo prog-
ramebi. aman asaxva hpo-
va 1997-2008 wlebSi de-
daTa da bavSvTa sik-
vdilianobis maCveneb-
lebis klebaSi. deda-
Ta sikvdilianobis maC-
venebeli Semcirda 70-
dan 14,3-mde, xolo Cvil
bavSvTa sikvdiliano-
bis maCvenebeli 23,7-dan
14,3-mde (cxrili 1;2). aq-
ve unda aRiniSnos, rom
gaerTianebuli erebis
organizaciis genera-
luri asambleis mier
2002 wels miRebul
`aTaswleulis ganvi-
Tarebis miznebSi~ gan-
sazRvrulia 2015 wlis
samizne maCveneblebi:
Cvil bavSvTa sikvdi-
lianobis Semcireba _
7,0-mde da dedaTa sik-
vdilianobis Semcire-
ba - 12,3-mde.
bavSvebs, romlebic xSirad
avaddebian mwvave respiratoru-
li infeqciebiT, uwodeben xSi-
rad moavade bavSvebs. dasavleT-
Si miRebulia agreTve termini „pa-
cientebi rekurentuli respira-
toruli infeqciebiT“. magaliTad
did britaneTSi daavadebul bav-
SvTa jgufs miakuTvneben pacien-
tebs, romelebic avaddebian we-
liwadis ganmavlobaSi mwvave res-
piratoruli daavadebiT 8-jer.
amrigad, xSirad moavade bav-
Svebi, es is jgufia, romlebic
sxvebTan SedarebiT ufro xSi-
rad avaddebian mwvave respira-
toruli infeqciebiT. amasTan,
xSirad moavade bavSvebs gane-
kuTvneba pacientebi, romelTac
aReniSnebaT imunuri sistemis
tranzitoruli da koregire-
badi gadaxrebi.
aRsaniSnavia isic, rom bavS-
vebSi, mwvave respiratorul in-
feqciebze modis mTlianad res-
piratoruli traqtis daavade-
baTa 90%. maqsimaluri avadoba
aRiniSneba 6 Tvidan 6 wlamde
asakSi.
gavrceleba bavSv-
Ta populaciaSi damo-
kidebulia asakze, ag-
reTve epidemiologiur
da socialur mdgoma-
reobaze da Seadgens 5-
50% sxvadasxva jgufeb-
Si. SemCneulia rom xSi-
rad moavade bavSvebs
xSirad uvlindebaT
qronikuli tonziliti
da filtvebis daavade-
bebi, agerTve midrekilni arian
kuW-nawlavis traqtis daavadebe-
bisken, sisxlZarRvovani disto-
niisken, maT ufro iolad uvi-
TardebaT nevrozuli reaqcie-
bi, advilad iRlebian, ufro
cudad swavloben. es yovelive
potenciurad iwvevs pedagogiur
problemebs (dabali akademiuri
moswreba).
garda amisa xSiri avadoba
iTxovs mniSvnelovan materia-
lur xarjebs, da moaqvs serio-
zuli ekonomiuri zarali, da-
kavSirebuli erTis mxriv mkur-
nalobis xarjebTan, meores
mxriv mSoblebis SromiTi drois
danaxarjTan.
amgvard, xSirad moavade bav-
Svebi ara mxolod samedicino,
aramed socialur-ekonomiuri
problemac aris, rac iTxovs kom-
plaqsur midgomas da moicavs
samkurnalo, profilaqtikur da
sareabilitacio RonisZiebebs.
arsebobs ori ZiriTadi
TvalTaxedva xSiri daavadebe-
bis mizezebTan mimarTebaSi.
prveli - imunuri sistemis fun-
qciis darRveva, romelic vlin-
deba garemo faqtorebis arasa-
sureveli zemoqmedebis Sedegad,
meore - genetikuri winaswargan-
wyoba, rac aseve vlindeba ara-
sasurveli garemo faqtorebis
zemoqmedebis Sedegad. ukanask-
nel wlebSi mecnierebi gansa-
kuTrebul yuradRebas uTmoben
imunuri sistemis mdgomareobas.
xSirad moavade bavSvTa imu-
nuri sistemis kvlevis dros, ga-
movlinda misi Taviseburebebi.
ukanasknelma kvlevebma aCvena, rom
aseT bavSvebs, klinikuri keTil-
dReobis drosac ki uvlindebaT
imunuri sistemis ujredebis
mniSvnelovani cvlilebebi: mo-
matebulia anTebisawinaaRmdego in-
terleikinebis titri (IL—2, IL—
4), maTSoris interleikinebis,
romlebic monawileoben proce-
sis qronizaciaSi (IL—6, IL—8).
amas Tan axlavs ujreduli ci-
totoqsiurobis daqveiTeba, di-
simunoglobulinemia.
bolo wlebSi miRebuli mo-
nacemebi adastureben imas, rom
xSirad moavade bavSvTa imunitets
ar gaaCnia uxeSi pirveladi an
SeZenili defeqtebi, Tumca xasi-
aTdeba imunuri reagirebis, uj-
redSorisi kooperaciis da sare-
zervo SesaZleblobebis ukidu-
resi daZabviT, rac, savaraudod
ganpirobebulia antigenis xangr-
Zlivi da masiuri zemoqmedebiT.
xSirad moavade bavSvebis ga-
movlenis mTavari kriteriumi
aris xSiri avadoba mwvave res-
piratoruli infeqciebiT, Tum-
ca auciliebelia gamokvleuli
iqnas lor-organoebi, nacxis baq-
teriologiuri analizi mikro-
buli speqtris gamosakvlevad.
samedicino RonisZiebebi xSi-
rad moavade bavSvebisTvis iyo-
fa sam ZiriTad mimarTulebad:
1. aRmdgeniTi da sareabili-
tacio RonisZiebebi, bavSvis or-
ganizmis rezistentobis gazr-
da. tardeba ZiriTadad klini-
kuri keTilReobis periodSi.
2. mwvave respiratoruli da-
avadebis dros etiopaTogenezu-
ri mkurnaloba.
3. vaqcinacia da araspeci-
fiuri profilaqtika.
aRmdgeniTi da sareabilita-
cio RonisZiebebis da imunuri
sistemis rezistentobis gazrdis-
Tvis warmatebiT SeiZleba gamo-
yenebuli iqnas preparati bio-
ritmo, radganac mis Semadgen-
lobaSi Semavali yvela kompo-
nenti mniSvnelovan rols asru-
lebs imunuri pasuxis formire-
baSi, gansakuTrebiT aRsaniSna-
via arginini. cnobilia argini-
nis Zlieri imunomastimulire-
beli moqmedeba, igi warmoadgebns
azotis oqsidis (NO) wyaros or-
ganizmSi. makrofagebis baqteri-
ociduli Tvisebebi damokidebu-
lia swored NO -s produqciaze.dReisaTvis arsebobs maRali
donis mtkicebulebebi imisa, rom
L-argininis dRiuri miReba mo-zardebSi aZlierebs imunur sta-
tuss. igi aaqtiurebs imunitets
ramdenime gziT. L-argininis aqvspirdapiri moqmedeba T- ujredeb-
ze rogorc in vitro aseve in vivo.kvlevebma uCvenes, rom arginini
iwvevs imunokompetenturi ujre-
debis proliferacias. da es nar-
Cundeba 2-3 kviris ganmavlobaSi.
es yovelive metyvelebs imaze, rom
bio-ritmo efeqturi saSualebaa
xSirad moavade bavSvebis imuno-
koreqciisTvis.
garda amisa, bio-ritmos gaaC-
nia bevri sxva Tviseba, radganac
misi komponentebi aucilebelia
ara mxolod daavadebuli, ara-
med janmrTeli organizmisTvis.
bavSvebi, romlebic aqtiurad ari-
an dakavebuli sportiT an uwevT
intensiuri gonebrivi datvirT-
va, agreTve saWiroeben bio-rit-
mos, radgan arginini bavSvebisT-
vis Seucvleli aminomJavaa, Sema-
erTebeli qsovilis struqturu-
li elementia, Sedis kolagenis
da sxva mniSvnelovani cilebis
SemadgenlobaSi, igi unikaluri
saSeni masalaa, agreTve igi erT-
erTi aucilebeli komponentia
sportul kvebaSi.
bio-ritmos gaaCnia:
• Zlieri imunomastimulire-
beli moqmedeba
• Zlieri antiasTeiuri da
antihipoqsiuri moqmedeba
• aumjobesebs cns-is sisxl-
momaragebas da inteleqtualur
SesaZleblobebs (B15 xels uw-
yobs glicinis, xolo argini-
ni - endorfinebis da enkefali-
nebis sinTezs)
• Zlieri antioqsidanti da
detoqsikatoria, radgan mona-
wileobs RviZlSi detoqsikaciis
procesSi (arginin-citrulinis
cikli)
• xsnis fizikur da fsiqi-
kur gadaRlas
gamoyenebuli literatura:
1. Sidney M. Morris Jr.* Arginine:Master and Commander in Im-mune Responses Innate. Sci. Sig-nal., 17 August 2010Vol. 3, Issue 135, p. pe27
2. Heyland DK, Novak F, Drover JW,Jain M, Su X, Suchner U. Should immu-nonutrition become routine in criticallyill patients? A systematic review of theevidence. JAMA. 2001;286:944-953.
3. Beale R, Bryg D, Bihari D.Immunonutrition in the critically ill: asystematic review of clinical outco-mes. Crit Care Med.1999;27:2799-2805
4. Suchner U, Heyland DK, PeterK. Immune-modulatory actions of ar-ginine in the critically ill. Br JNutr. 2002;87(suppl 1):S121-S132.
5. Bajoriûniene I, UrbonieneD, S, S, S.Lymphocyte subsets in pa-tients with recurrent upper airway in-fections. Medicina(Kaunas). 2005;41(3):203-7.
xSirad moavade bavSvebixSirad moavade bavSvebixSirad moavade bavSvebixSirad moavade bavSvebixSirad moavade bavSvebi
16
sportsmenebisaTvis aucilebelia:
mTavari redaqtori: g. CaxunaSvili
moadgile: T. miqelaZe
saredaqcio sabWo: _ n. marinaSvili, g. arvelaZe,
n. badriaSvili, n. TofuriZe, d. CaxunaSvili, g.
CaxunaSvili, q. nefariZe, b. zenaiSvili, n. kvirkvelia,
k. CaxunaSvili.
gasayidad
ar
gavrceldeba
ISSN 1987-9849
UDC (uak) 616-053.2(054) s-743