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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!