1

CMYB

#1, 27.06.2008

20.12.2008

23.12.2008

01.06.2009

19.12.2009

219 302dRemde humanitarulad

gasinjuli bavSvi da

mozardi

socialuri pediatriis dacvis fondis, evromecnierebis saqarTvelos erovnuli seqciis, da bavSvTa axali klnikis gazeTi 2014w.

karaleTikaraleTikaraleTikaraleTikaraleTi

_ 01.06.2010

, II kongresi; 1.06.2010; 09.12.2010; 01.06.2011; 23.12.2011;

#35#35#35#35#35

ivnisiivnisiivnisiivnisiivnisi

XXXII saerTaSoriso samecniero-praqtikuli konferencia

eqTanTa III konferenciaXXXIIXXXIIXXXIIXXXIIXXXII INTERNATIONAL SCIENTIFIC CONFERENCE INTERNATIONAL SCIENTIFIC CONFERENCE INTERNATIONAL SCIENTIFIC CONFERENCE INTERNATIONAL SCIENTIFIC CONFERENCE INTERNATIONAL SCIENTIFIC CONFERENCE

THIRD MEDICAL NURSE CONFERENCETHIRD MEDICAL NURSE CONFERENCETHIRD MEDICAL NURSE CONFERENCETHIRD MEDICAL NURSE CONFERENCETHIRD MEDICAL NURSE CONFERENCETbilisi 31.05-1-2.06.2014 TBILISITBILISITBILISITBILISITBILISI

(Tbilisis saxelmwifo samedicino universiteti mis. vaJa-fSavelas #33)(Tbilisis saxelmwifo samedicino universiteti mis. vaJa-fSavelas #33)(Tbilisis saxelmwifo samedicino universiteti mis. vaJa-fSavelas #33)(Tbilisis saxelmwifo samedicino universiteti mis. vaJa-fSavelas #33)(Tbilisis saxelmwifo samedicino universiteti mis. vaJa-fSavelas #33)

evromecnierebis saqarTvelos erovnuli seqciis sabWos sxdoma

XXIXXIXXIXXIXXI saukunis pediatria-invalidobis profilaqtikis medicinad unda iqces

janmrTelobasamecniero-praqtikuli konferencia: XII-XIII-XV-XVI-XVII-XVIII-XIX-XXXII-XIII-XV-XVI-XVII-XVIII-XIX-XXXII-XIII-XV-XVI-XVII-XVIII-XIX-XXXII-XIII-XV-XVI-XVII-XVIII-XIX-XXXII-XIII-XV-XVI-XVII-XVIII-XIX-XX

01.06.2012; 21.12.2012; 01.06.2013

01.06.2010; 03.12.2010 01.06.2011;

23.12.2011 01.06.2012; 21.12.2012

1-4.06.2013; 17-21.12.2013

: : : : : XXI-XXII-XXIII-XXIV-XXV-XXVI-XXVII-XXIX-XXXXXI-XXII-XXIII-XXIV-XXV-XXVI-XXVII-XXIX-XXXXXI-XXII-XXIII-XXIV-XXV-XXVI-XXVII-XXIX-XXXXXI-XXII-XXIII-XXIV-XXV-XXVI-XXVII-XXIX-XXXXXI-XXII-XXIII-XXIV-XXV-XXVI-XXVII-XXIX-XXX-----

XXXIXXXIXXXIXXXIXXXI

gilocavT bavSvTa saerTaSoriso dResgilocavT bavSvTa saerTaSoriso dResgilocavT bavSvTa saerTaSoriso dResgilocavT bavSvTa saerTaSoriso dResgilocavT bavSvTa saerTaSoriso dRes

1 1 1 1 1 ivnissivnissivnissivnissivniss!!!!!

2

bavSvTa dacvis saerTaSo-riso dRe Tbilisis saxelm-wifo samedicino universite-tis, saqarTvelos humanita-ruli da saxelovnebo mec-nierebis akademiis, organi-zacia _ International fund theworld security and child-is, so-cialuri pediatriis dacvisfondis, Tbilisis saxelmwi-fo samedicino universite-tis studenturi TviTTmar-Tvelobis da araerTi sxvapartniori organizaciis egi-diT, ivnisis pirvel dReebSisamedicino universitetSi ga-marTuli saerTaSoriso sa-mecniero-praqtikuli konfe-renciiT aRiniSna.

konferenciis farglebSi,medicinis sxvadasxva dargisaRiarebulma klinicistebmaasobiT patara pacienti gasin-jes _ 18-19-20-21 dekembers Ca-tarda bavSvTa ufaso Tbilis-Si (profilaqtikuri gasinj-vebi sportskola (mZleosne-bisaTvis), 21 poliklinika (di-Romi),sportskola (kalaTbur-TelebisaTvis). aqciebSi gai-cinja 280-ze meti bavSvi.

17.XII.13. Tssu-is saaqtodarbazSi Catarda oTxi ple-

naruli sxdoma, romelsacTavmjdomareobdnen akademi-kosebi – d. baSeleiSvili,p.kervaliSvili da g. Caxu-naSvili, a.kvezereli-kopaZe,q. nemsaZe,profesorebi: i. fav-leniSvili, y. faRava, v.Cxai-Ze, i. doliZe, r. kutubiZe.kon-ferenciis muSaobaSi monawi-leoba miiRo germaniidanprofesorma a.lencem.

konferenciaze Rvawlmo-sil neiroqirurgs, med.mecn.doqt. professor dar-gobrivi mecnierebaTa akade-miis akademikoss baton So-Ta xevsurians medicinis dar-gSi didi damsaxurebisTvis,uangaro fasdaudebeli Rvaw-lisTvis `Rirsebis brwyinva-le varskvlavi~ mianiWes.

es mniSvnelovani faqti Rir-seul kolegas miuloces sa-qarTvelos Sromis, janmrTe-lobis da socialuri dacvisministrma, d. sergeenkom, aka-demikosebma d. baSaleiSvil-ma, g. CaxunaSvilma da sxvebma.

amasTan erTad konferenci-aze Tbilad gaixsenes kole-gebi da „madlierebis sige-lebi“ gadaecaT: prof. irak-li ciciSvilis, docent T.ma-

rinaSvilis da baton niko-loz umikaSvilis ojaxebs.naCvenebi iqnqna filmi TamazmarinaSvilis ojaxis Sesaxeb.

rofesorma m.Wi paSvilmaSeasrula sapatio misia dasocialuri pediatriis dac-vis fondis Tavmgdomaresprofesor g.CaxunaSvils ga-dasca q.Jevevidan gamogzav-nili saCuqari specialurihalstuxi – “WHO” niSniT; aR-saniSnavia,rom batonma gior-gim aseTi saCuqari–halstu-xi miiRo 10 wlis win oRond„UNICEF”-is niSniT.

rac Seexeba konferenciissamecniero-praqtikul mimdi-nareobas, masze warmodgeni-li moxsenebebSi aqcenti iyodasmuli Tanamedrove pedi-atriis aqtualur sakiTxeb-ze, kerZod, msmenelma moismi-na Semdegi moxsenebebi:

• `evromecnierebis saqar-Tvelos erovnuli seqciis s-trategia” – evromecnierebissaqarTvelos erovnuli seq-ciis vice-prezidenti - m.d. d.CaxunaSvili, k. CaxunaSvili

“Srateagy of Euroscience GeorgianNational Section ” – Vice –president

`Canasaxidan bavSvs ufleba aqvs iyos daculi”“Children must have right to be defended since embryo”

bavSvTa usafrTxoebis uzrunvelyofa mecnierebis gziTChildren’s Security Through Science

socialuri pediatria da bavSvTa janmrTelobaSocial Pediatry and Child’s Health

Scientific Conferencesamecniero-praqtikulikonferencia

(pres-relizi)(pres-relizi)(pres-relizi)(pres-relizi)(pres-relizi)

XXXI konferenciaXXXI konferenciaXXXI konferenciaXXXI konferenciaXXXI konferencia-

3

of ESGNS Ph.D.MD. D. Chakhunas-hvili, K. Chakhunashvili

• `sens-era-evropulikoo-peracia”–evroxmelTaSua zR-vis saxelovnebo mecniereba-Ta akademiis prezidenti -p.kervaliSvili

“Sens-era- European Cooperati-on” –President of MediterraneanAcademy of Art SciencesP.Kervalishvili

3. `enobrivi cdomilebani(lafsusebi) medicinaSi” –sa-qarTvelos humanitarul dasaxelovnebo mecnierebaTa aka-demiis akademikosi g.bojgua

“Language Misinterpretations inMedicine” - Member of Academy ofHumanitarian and Art Sciences ofGeorgia G. Bojgua

da leqciebi Lectures andPresentations

– “e.k.g.-is klinikuri Ri-rebulebani bavSvTa da mo-zardTa asakSi

(pediatriasa da b/kardio-revmatologiaSi)” saqarTve-los bavSvTa kardiologTaasociaciis prezidenti: m.m.d.sr. profesori, akad. g. Caxu-naSvili (Tbilisi)

“Clinical Value of EKG in Childrenand Adolescents (Paediatry and Car-diorheumatology)”– President ofAssociation of Georgian Pediatric Car-diology G. Chakhunashvili (Tbilisi)

“mitoqondriuli dnm–i da eTnikuriwarmomavloba“–anu gvaxsovdes vi-si“gorisa“ varT! da evropelebic –varT! profesori m. WipaSvili (Tssu)

“Mitochondrial DNA and et-“Mitochondrial DNA and et-“Mitochondrial DNA and et-“Mitochondrial DNA and et-“Mitochondrial DNA and et-hnic descent” – remember whohnic descent” – remember whohnic descent” – remember whohnic descent” – remember whohnic descent” – remember whowe are! And we are European!we are! And we are European!we are! And we are European!we are! And we are European!we are! And we are European!– Prof. M. Tchipashvili (TSMU)– Prof. M. Tchipashvili (TSMU)– Prof. M. Tchipashvili (TSMU)– Prof. M. Tchipashvili (TSMU)– Prof. M. Tchipashvili (TSMU)

– ̀ jansaRi kveba BbavSvebs”::::: Healthy Food for Children:

1. sportsmenebSi mikronut-rientebisdeficitiskoregi-rebis aucilobloba“ – m.d.prof. d.zarnaZe, m.d.prof.i.zarnaZe (Tbilisi)

“ Importan of Importan of Importan of Importan of Importan of CorrectingMicronutrient Deficiency in Sports-men” – PhD MD Prof. D. Zarnadze,PhD, MD, Prof. I. Zarnadze (Tbilisi)

2. ̀ racionaluri kvebis auci-lebeli produqti – ̀ apipuri“(aminomJavebiT, vitaminebiTa damineralebiT gamdidrebuli pu-ri) – spdf, Sp.s.̀ puri“ – k.Caxu-naSvili, S.iusupovi, n.jobava,n.badriaSvili, z.fxalaZe, n.To-furiZe, gCaxunaSvili, i.kalan-dia, k.CaxunaSvili, k.kokaia, d.Ca-xunaSvili (Tbilisi).

“Apipuri” (Bread Enriched with

Amino acids, Minerals and Vitamins,LLC “puri”) essential Product for Ra-tional Nutrition -, K. Chakhunashvili,

S. yusupov, N. Jobava, N. Badriashvili,Z. Fkhaladze, N. Topuridze, G. Chak-hunashvili,,,,,I. kalandia,,,,, K. Chakhunas-hvili,K.Kokaia ,D.Chakhunash-,K.Kokaia ,D.Chakhunash-,K.Kokaia ,D.Chakhunash-,K.Kokaia ,D.Chakhunash-,K.Kokaia ,D.Chakhunash-vili(Tbilisi)vili(Tbilisi)vili(Tbilisi)vili(Tbilisi)vili(Tbilisi)

3 .„ adamianis janmrTelobaaxalSobilobidan iwyeba –m.m.d. sr. profesori, akad.ig.doliZe (Tbilisi)

Healthiness Begins From theHealthiness Begins From theHealthiness Begins From theHealthiness Begins From theHealthiness Begins From theBirth – MD, PhD, Prof. I.Birth – MD, PhD, Prof. I.Birth – MD, PhD, Prof. I.Birth – MD, PhD, Prof. I.Birth – MD, PhD, Prof. I.DolidzeDolidzeDolidzeDolidzeDolidze(Tbilisi)

– yavis roli meore tipisdiabetis prevenciaSi - c. dar-salia, m. xaraiSvili (Tssu}

Benefits of the coffee in preven-tion of type 2 diabetes–––––Ts.Darsalia, M. Kharaishvili Ts.Darsalia, M. Kharaishvili Ts.Darsalia, M. Kharaishvili Ts.Darsalia, M. Kharaishvili Ts.Darsalia, M. Kharaishvili –(TSMU)

_ „polimeruli jaWvurireaqcia da misi gamoyenebamedicinaSi“ prof.n.xvitia,prof. d.cxomeliZe, e.mWedliS-vili, m.WaliaSvili (Tssu)

“PCR and It’s use in“PCR and It’s use in“PCR and It’s use in“PCR and It’s use in“PCR and It’s use inMedicine” – Prof. N. Khvitia,Medicine” – Prof. N. Khvitia,Medicine” – Prof. N. Khvitia,Medicine” – Prof. N. Khvitia,Medicine” – Prof. N. Khvitia,Prof. D. Tskhomelidze, E.Prof. D. Tskhomelidze, E.Prof. D. Tskhomelidze, E.Prof. D. Tskhomelidze, E.Prof. D. Tskhomelidze, E.Mtchednidze, M. TchaliashviliMtchednidze, M. TchaliashviliMtchednidze, M. TchaliashviliMtchednidze, M. TchaliashviliMtchednidze, M. Tchaliashvili(TSMU)(TSMU)(TSMU)(TSMU)(TSMU)

_ epidermuli zrdis faq-toris Eeqspresia adamianis

endometriumishiperplaziisada karcinomis dros” - n.Zne-laSvili a.mariamiZe d.kasra-Ze a.TavarTqilaZe (daviTtvildianis saxelobis same-dicino universiteti, paTo-logiis departamenti)

”expresion of epidermalexpresion of epidermalexpresion of epidermalexpresion of epidermalexpresion of epidermalgrowth factor during endometri-growth factor during endometri-growth factor during endometri-growth factor during endometri-growth factor during endometri-al hyperplasy and carcinoma” – N.al hyperplasy and carcinoma” – N.al hyperplasy and carcinoma” – N.al hyperplasy and carcinoma” – N.al hyperplasy and carcinoma” – N.Dznelashvili, A. Mariamidze, D.Dznelashvili, A. Mariamidze, D.Dznelashvili, A. Mariamidze, D.Dznelashvili, A. Mariamidze, D.Dznelashvili, A. Mariamidze, D.Kasradze, A. Tavartkiladze (D.Kasradze, A. Tavartkiladze (D.Kasradze, A. Tavartkiladze (D.Kasradze, A. Tavartkiladze (D.Kasradze, A. Tavartkiladze (D.Tvildiani Medical University,Tvildiani Medical University,Tvildiani Medical University,Tvildiani Medical University,Tvildiani Medical University,Department of Pathology)Department of Pathology)Department of Pathology)Department of Pathology)Department of Pathology)

_ `torlaqi adreuli asa-kis bavSvTa kariesis mkurna-

lobaSi” m.m.d. prof. g.yifiani,q.dablianiZe, m.d. prof. m.fxa-laZe (S.p.s. `aversi”, Tssu)

“Torlack’s usage for treat- “Torlack’s usage for treat- “Torlack’s usage for treat- “Torlack’s usage for treat- “Torlack’s usage for treat-ment of Caries in early age” –ment of Caries in early age” –ment of Caries in early age” –ment of Caries in early age” –ment of Caries in early age” –MD, PhD, G. Kipiani, Q.MD, PhD, G. Kipiani, Q.MD, PhD, G. Kipiani, Q.MD, PhD, G. Kipiani, Q.MD, PhD, G. Kipiani, Q.Dablianidze, MD, Prof. M.Dablianidze, MD, Prof. M.Dablianidze, MD, Prof. M.Dablianidze, MD, Prof. M.Dablianidze, MD, Prof. M.Phkhaladze (LLC “Aversi”,Phkhaladze (LLC “Aversi”,Phkhaladze (LLC “Aversi”,Phkhaladze (LLC “Aversi”,Phkhaladze (LLC “Aversi”,TSMUTSMUTSMUTSMUTSMU

bolos gaimarTa disputi,romlis drosac Sejamda amperiodSi gaweuli saqmiano-ba, aseve, ganixiles mimdina-re saorganizacio sakiTxebi,gaimarTa aqtualur sakiT-xebze kamaTi, sadac gamomsv-lelebma daafiqsires Tavi-anTi poziciebi. bolos kikonferenciis monawileebmamiiRes Sesabamisi rezolu-cia da miRebul iqna gadawy-vetilebebi:

• evromecnierebis saqar-Tvelos erovnulma seqciam2013-2016 wlebSi metad aqti-urad gaagrZelos Tavisi sa-organizacio saqmianoba.

• 2014 welsMmomzaddes sa-qarTvelos eqTanTa III kon-ferencia.A

• evromecnierebis saqar-Tvelos erovnuli seqciisstrategiuli gegma gadio-des masSi axalgazrdobismecnierebaSi CarTvis mkveT-ri matebisaken da daevalosevromecnierebis saqarTve-los erovnuli seqciisaxalgazrdul departmentsmetad ganaxorcielos aqti-uri muSaoba SemuSavebuli

grZelvadiani gegmismixedviT.

• gazeTis `soci-aluri pediatria” daJurnalebis `socia-luri, ekologiurida klinikuri pedi-atriis” da `bavSvTakardiologiis” axa-li nomrebis WWW.sppf.info-is da WWW.esgns.org veb.gverdzeganTavsebisa da maT-

gan referirebad Jurnaleb-Si statiebis gamoqveynebisstrategiis gaaqtiveba.

5. arasamTavrobo organi-zaciebis samTavroboebTanerTad erToblivad dawese-buli medicinaSi ̀ oqros ste-toskopisa~ da `oqros lan-cetis” varskvlavis mflobe-li dasaxeldes (Tu aseTikandidatura SeirCeva msur-velTagan) Seqmnili komisi-is mier araugvianes 2014w-is1 ivnisisa.

6. medicinis, sportisa daganaTlebis erTiani mecnie-ruli marTvisaTvisaTvis gan-xorcieldes Sesabamisi Ro-nisZiebani.

7. pediatrTa profesiulimzadebis monitoringi inten-siurad ganxorcieldes.

RonisZiebis dasasruls ki18. 12. 2013. 14.00.

Tbilisis erT-erTi uZve-les klinikaSi winandlis q.#9 S.p.s. `q.Tbilisis 1 kli-nikuri saavadmyofo-avlaba-ri, metro ̀ 300 aragveli” gan-xorcielda 2013 welsmedicinis dargSi ̀ varskvla-vis” gaixsna Rvawlmosili ne-iro qirurgis, saqarTvelosmedico-biologiuri mecnie-rebaTa akademiis akademikosS.xevsurianisadmi.

90 wlis Warmagi dastaqa-ri, romelic TiTqmis 70 we-lia emsaxureba medicinisdacvis saqmes, im dResac Rir-seulad da amayad warsdgamravalricxovani kolegebisda stumrebis winaSe, romel-Tac es umniSvnelovanesi mov-lena saamayo medikossa daaRmzrdels, aTasobiT adami-anis gadamrCenels, mouRlelda umwikvlo pirovnebas di-di siyvaruliT da pativis-cemiT miuloces;

didi madloba yvela mo-nawiles.

4

2012-13 weli2012-13 weli2012-13 weli2012-13 weli2012-13 weli

(qirurgis - (qirurgis - (qirurgis - (qirurgis - (qirurgis - l.WaWiaSvilis – „rkinigzis saavadmyofoSi“-diRomSi)l.WaWiaSvilis – „rkinigzis saavadmyofoSi“-diRomSi)l.WaWiaSvilis – „rkinigzis saavadmyofoSi“-diRomSi)l.WaWiaSvilis – „rkinigzis saavadmyofoSi“-diRomSi)l.WaWiaSvilis – „rkinigzis saavadmyofoSi“-diRomSi)

saqarTveloSi medicinis dargSi miniWebuli da

klinikebSi gaxsnili `brwyinvalebis varskvlavi~

2010-11 weli2010-11 weli2010-11 weli2010-11 weli2010-11 weli

(pediatris -ir. ciciSvilis – „bavSvTa axal klinikaSi“)(pediatris -ir. ciciSvilis – „bavSvTa axal klinikaSi“)(pediatris -ir. ciciSvilis – „bavSvTa axal klinikaSi“)(pediatris -ir. ciciSvilis – „bavSvTa axal klinikaSi“)(pediatris -ir. ciciSvilis – „bavSvTa axal klinikaSi“)

2013-14 weli2013-14 weli2013-14 weli2013-14 weli2013-14 weli

(neiroqirurgis – S.xevsurianis – „#1 saavadmyofos neiroqirurgiul departamentSi“)(neiroqirurgis – S.xevsurianis – „#1 saavadmyofos neiroqirurgiul departamentSi“)(neiroqirurgis – S.xevsurianis – „#1 saavadmyofos neiroqirurgiul departamentSi“)(neiroqirurgis – S.xevsurianis – „#1 saavadmyofos neiroqirurgiul departamentSi“)(neiroqirurgis – S.xevsurianis – „#1 saavadmyofos neiroqirurgiul departamentSi“)

rogorc iqna daibada SesaniS-navi janmrTeli bavSvi, ras axved-rebs saqarTvelos pediatriulisamsaxuri am RvTisagan movlenilarsebas? saqarTvelos pediatri-ul samsaxurs mravali patronida gulSematkivari hyavda:

1. Tbilisis samedicino ins-titutis pediatriuli fakulte-ti misi kaTedrebiT;

2. jandacvis saministros de-daTa da bavSvTa sammarTvelo, ro-melic SemdgomSi gadakeTda imavedasaxelebis departamentad;

3. padiatriis s/k instituti,romelic specialurad gaixsna amdargis xelmZRvanelobisaTvis da50 wlis ganmavlobaSi didi wvli-li Sehqonda saqarTveloSi pedi-atriuli azrovnebis, praqtikulicodnis gaRrmavebisa da meTodo-logiuri kriteriumebis danerg-vis RonisZiebebSi.

yvela es CamoTvlili orga-nizaciebi saubedurod erTianadwarsuls Cabarda. gana kanonzo-mierad SeiZleba CaiTvalos isfaqti, rom dReisaTvis saqarTve-los genofondi, rodesac eseTmZime mdgomareobaSi imyofeba, misiflagmani pediatriis s/k insti-tuti likvidaciis formatSiawarmodgenili. Tu Rrmad gavaa-nalizebT dRevandeli pediat-riuli samsaxuris mowyobilo-

bas, davrwmundebiT, rom misi dRe-vandeli negatiuri movlenebismizezTa Soris garkveul rolsTamaSobs mravali pediatriulidawesebulebis kerZo seqtorSigadasvla. aRniSnulma reformeb-ma mokle droiT TiTqmis gaurk-veveli progresi gamoiwvia bavS-vTa momsaxureobis mravalmxri-vi servisebis danergvis sakiTxeb-Si, magram srulfasovani profi-laqtikisa da mkurnalobis gan-xriT mTlianad qveynis masSta-biT uaryofiTi zegavlena moax-dina. dairRva sinqronulad mim-dinare urTierTdamokidebulebapirveladi jandacvis rgolisa

da sadazRvevo kom-paniebsa da hospi-talur seqtorsSoris. amis mize-zad SeiZleba Ca-iTvalos komerci-isadmi didiltolva, ramac Ta-vis rigad gamoiw-via pacientebis mi-marT arasrulfa-sobani servisebisganxorcieleba da

mkurnalobis procesebis uxaris-xod Catareba.

dafiqrebas moiTxovs ramde-nad mizanSewonilia, rodesacmTlianad saqarTvelos pediatri-uli samsaxuri gadayvanili ariskerZo pirTa daqvemdebarebaSi. rauaryofiTi zegavlenis moxdena Se-uZlia Catarebul reformebs:

1. kerZo seqtori naklebad kon-trolirebadia saxelmwifo or-ganoebis mxridan;

2. srulad ignorirebulia pe-diatriuli dargis profilaqti-kuri medicinis safuZvlebi damTlianad gadasuli arian mxo-lod samkurnalo saqmeze;

3. metad savalaloa pediatri-uli samsaxuris mdgomareoba re-gionebSi, pirveladi jandacvis dahospitaluri momsaxureobis sfe-roebSi. igi gamoirCeva metad da-bali samedicino momsaxureobisdoniT, ramac gamoiwvia avadmyof-Ta ganuwyveteli dineba Tbili-sis stacionarebisaken, rac iwvevs

maT sagrZnob gadatvirTvas. saer-Tod unda aRiniSnos, rom saqarT-veloSi pediatriuli sawolebisdagegmarebis RonisZiebebs nakle-bi yuradReba eTmoba. daixura ram-denime bavSvTa stacionari, gauqm-da bavSvTa sawolebi zogierT moz-rdilTa saavadmyofoebSi, ramacmTlianobaSi gamoiwvia bavSvTa sa-wolebis fondis Semcireba qveya-naSi. Cvens mier Seswavlilma mo-nacemebma gamoavlina Semdegi su-raTi.

saqarTveloSi pediatriuli sa-wolebis saSualo wliuri rao-denoba sistematiurad mcirdebo-da, maSin, rodesac hospitalizi-rebul bavSvTa raodenoba wlo-biT izrdeboda da axlac grZel-deba. amitom bavSvTa hospitalu-ri sawolebis dabalansebisas jan-dacvis organoebma da keZo seq-torma unda gaiTvaliswinos aramarto sezonuri gadatvirTvebigamo, aramed TviT stacionarebSiinfeqciebis mimarT izolaciisswori organizaciis CatarebisaT-vis, romelic gamoricxavs mrava-li damatebiTi garTulebebis war-moSobas (erT palataSi sxvadasx-va nozologiis mqone avadmyofe-bis moTavseba).

dRes metad savalalo mdgoma-reoba Seiqmna pediatriis dargSimecnieruli da pedagogiuri kad-rebis aRzrdis mxrivac. axalgaz-rda medikosebs interesi gauqraTmecnierebisadmi, radgan sakvali-fikacio Sromis (disertaciebis)

pediatriis komercializacia miuRebeliaprofesori avTandil kvezereli-kopaZeavTandil kvezereli-kopaZeavTandil kvezereli-kopaZeavTandil kvezereli-kopaZeavTandil kvezereli-kopaZe

saqarTvelos pediatrTa asociaciis sapatio prezidenti

Sesruleba mxolod doqtorantu-ris xaziT SeiZleba ganxorci-eldes da rac mTavaria, igi didixarjebis gaRebas moiTxovs. al-baT mokle xanSi TiTqmis aRargveyoleba akademiuri aRmzrdelipedagogebi, romelTa gareSec vermoxdeba TaobaTa cvlis kanonzo-mieri procesebi saqarTveloSi.vin unda gamoasworos dRevande-li pediatriuli samsaxuris mZi-me mdgomareoba? mxolod jandac-vis samsaxuris ZalisxmeviT am dar-gis normalur pirobebSi Cayene-ba SeuZlebelia, Tu am saqmeSi arCaerTo mTlianad saqarTvelos pe-diatriuli sazogadoeba da misiwamyvani birTvi dargobrivi aso-ciacia, rogorc es dakanonebu-lia ucxoeTis samedicino darg-Si. maTi wevroba yvela pediatri-saTvis metad sasaxeloa, amitomyvelafers akeTeben, raTa sakuTa-ri wvlili Seitanon Tavisi dar-gis aRorZinebisaTvis. saqarTve-loSi ki metad samarcxvinoa, rombevrma pediatrma arc ki icis, romarsebobs aseTi arasamTavrobo or-ganizacia, romlis wevrobac sa-valdebuloa, vidre igi am profe-siiT aris dasaqmebuli.

dargobrivi asociaciis arse-boba da maTi mravalmxrivi saqmi-anoba is ZiriTadi qvakuTxedia,romliTac xorcieldeba profe-sionalizmis aRorZinebisa da gan-viTarebis saqme.

vimedovnebT, rom axlad arCeu-li pediatrTa asociaciis prezi-denti da gamgeobis wevrebi gamo-Zebnian iseT RonisZiebebs, rom-liTac daaintereseben saqarTve-los pediatrebs, rom isini gaxd-nen asociaciis namdvili wevrebida amiT nawilobriv mainc moax-dinon daqsaqsuli pediatriulisazogadoebis gamTlianeba.

cxrili #5zogierTi monacemi 0-dan 15 wlamde asakis bavSvTa letalobisa da samedicinoservisebis Sesaxeb saqarTveloSi

S O SS O SS O SS O SS O S

5

samedicino korporacia eveq-si qveynis masStabiT yvelazemsxvili hospitaluri qselia,romelic 6 regionSi 36 klini-kiT aris warmodgenili. korpo-raciam mravali axali samedi-cino strategia wamoiwyo qvynismasStabiT.

mis strategiasa da ganviTare-bas xelmZRvanelobs ̀ samedicinokorporacia eveqsis“ generaluri

direqtoris moadgile batoni gi-orgi fxakaZe,romlis mokle bi-ografiuli monacemebic gvindagavacnoT Cvens auditorias.

giorgi fxakaZe „samedicinokorporacia eveqsis“ generalu-ri direqtoris moadgile, stra-tegia da ganviTareba.

giorgi fxakaZe aris saerTa-Soriso eqsperti sazogadoebrivijandacvis sferoSi. igi 10 wel-ze metia muSaobs samxreT da cen-traluri aziis, aRmosavleT af-rikisa da aRmosavleT evropisregionebSi. garda amisa, is gax-ldaT gaeros ramdenime saagen-tos, globaluri fondis(GFATM), evrokavSiris, saerTa-Soriso sakonsultacio kompa-niebisa da saerTaSoriso ara-

samTavrobo organizaciebi seq-sperti sazogadoebrivi jandac-vis programebisa da polisebisimplementaciis mimarTulebiT.saerTaSoriso institutebis xa-ziT, giorgi fxakaZe warmoadgensvaqcinebisa da aimunizaciisglobaluri aliansis (GAVIAlliance) damoukidebeli ganxil-vis komitetisa daglobalurifondis (GFATM) teqnikuri mi-moxilvis kolegiis wevrs. igiaseve aris sertificirebuli zo-gadi qirurgi; epidemiologiisada sazogadoebrivi jandacvisasocirebuli profesori; sazo-gadoebrivi jandacvis magistri(MPH) da medicinis akademiuridoqtori anTropologiasa da sa-zogadoebriv jandacvaSi (PhD).

Dr GIORGI PKHAKADZE, MD,MPH, PhD – EVEX Medical Corpora-tion Deputy CEO, Strategy andDevelopment

Overseeing quality control, humanresources, capacity building and relati-on with external stakeholders.

Dr Pkhakadze has been working inthe field of public health for more thana decade, in South and Central Asia,Eastern Africa, and Easter Europe. Hehas been focusing on research and tec-hnical support for the set-up and imp-lementation of public health programs

ganaxlebuli samedicino strategia _

`samedicino korporacia eveqsi~

and policies for several UN agencies,for the Global Fund to fight AIDS, Tu-berculosis and Malaria (GFATM),European Union, private internatio-nal consultancy companies and for se-veral national and international non-governmental organizations. DrPkhakadze serves as a member of theIndependent Review Committee of theGlobal Alliance for Vaccines andImmunization (GAVI Alliance) and theTechnical Review Panel of theGFATM. He is also an AssociateProfessor in epidemiology and publichealth and published several books andarticles internationally in the field ofPublic Health and Anthropology. DrPkhakadze is a certified General Sur-geon with Master in Public Health andPhD in Public Health andAnthropology.

gazeTis redaqcia ̀ samedici-no korporacia eveqss“ usurvebsdid warmatebebs qveynis masSta-biT axali strategiebis ganxor-cielebaSi da baton giorgisudidesi pasuxismgeblobis Rir-seulad tarebas.

interviu kolegebTaninterviu kolegebTaninterviu kolegebTaninterviu kolegebTaninterviu kolegebTan

_ ram ganapiroba Tqveni pro-fesiisadmi siyvaruli da erT-guleba?

_ minda gavixseno brZeni sene-kas sityvebi _ ,`CvenTvis, adamiane-bisaTvis saWiroa imisTana kaci,rom mis mixedviT da magaliTiTSeviZloT sakuTari xasiaTis gaw-vrTna da ganmtkiceba. oh, ra bed-nieria igi, vinc aramcTu CvenTanyofniT gwvrTvnis Cven, aramed mar-to Tavisi saxelis xsenebiTaco“.Cveni pedagogebi aramarto pro-fesiuli, aramed moqalaqeobrivipoziTiiTac iyvnen samagaliTo-ni. mraval CvennTaganze udidesigavlena moaxdina profesorma me-ri gelovanma. mesame kursze pir-veli klinikuri sagnebis dawyeba,qalbatoni meris leqciebis mos-mena, Semovlebze daswreba, pacien-tis gasinjvis teqnika, kliniku-ri SemTxvevis garCeva, logikuriazrovneba daavadebebis diferen-ciuli diagnozi gatarebisas, nam-dvili dResaswauli iyo studen-tebisaTvis. dResac vfiqrob, rommaSindelma bavSvTa sneulebeTapropedevtikisa da safakultetopediatriis kaTedram, romelsacqalbatoni meri gelovani xelm-ZRvanelobda, gavapiroba Cemi da-mokidebuleba pediatriisadmi.

_ rogori iyo Tqveni pirvelinabijebi medicinaSi?

_ institutis damTavrebis Sem-deg gaviare klinikuri ordina-tura(axlandeli rezidenturisanalogiuri 2 wliani swavleba)pediatriis samecniero-kvleviTinstitutSi. instituti iyo sa-mecniero dawesebuleba, sadac yve-la samecniero muSaobis msur-vel axalgazrdas SesaZleblobaeZleoda CarTuliyo seriozulsamecniero muSaobaSi. marTlacbedma gamiRima da movxvdi metadsapativcemulo pirovnebasTan, WaS-marit mecnierTan profesor ci-sia gugutiSvilTan. misi xelm-ZRvanelobiT daviwye muSaoba sa-disertacio naSromze. bevri ramSemZina masTan muSaobam. wesrigi,punqtualoba, patiosneba mecnie-rebaSi, analizis didi unari, Se-degebis interpretaciis ligi-kuroba, es misTvis damaxasiaTebe-li Tvisebebi iyo. maSin diser-tacias rusulad vwerdiT, xaris-xis miniWeba moskovSi xdebodaumaRlesi saatestacio komisiismier. qarTulad dacva Tbilisissamedicino institutSi pediat-riul sabWoze warmoebda, Semdegdisertacia da sabWos dokumen-tacia moskovSi igzavneboda ,,vak“-Si. erT TveSi miviRe damtkice-bis mowmoba.

Cemi klinikuri moRvaweoba ma-Sin axalad gaxsnil klinikas, bav-

SvTa me-6 saavadmyofos (SemdegbavSvTa me-2, g. Jvanias saxelobispediatriuli klinika) daukavSir-da. sruliad gamoucdelma da-viwye eqim-reanimatologad muSa-oba. iyo siZneleebi, uZilo Rame-ebi, mudmivi muSaoba sakuTar ga-naTlebaze. yovelTvis gverdSigvedga prof. irakli ciciSvi-li. Seudarebeli iyo prof. iosebkvaWaZis Semovlebi, pacientis da-avadebis garCeva, diferenciulidiagnozi. batoni soso iyo no-vatori, misi leqciebi iyo imdroisaTvis medicinis uaxlesimiRwevebis demonstrireba.

_ pedagogiur saqmianobas ro-gor uTavsebdiT klinikur dasamecniero muSaobas?

_ ZiriTadad bavSvTa sneule-baTa propedevtikis kaTedraze vmu-Saobdi prof. nodar xerxeuli-ZesTan, Semdeg prof. nino manja-viZesTan. studentebSi gansakuT-rebul interess iwvevda praqti-kuli mecadineobebi - paci-entis gasinjvis unar-Cveve-bis SeZena, Teoriuli masa-lis paralelurad praqti-kuli da samecniero muSao-ba. aqtiurad vmonawileob-diT studentTa samecniero-praqtikul konferenciebSi.pirveli studenturi sauni-versiteto granti Cvenma sa-mecniero Sromam moipova, ro-melic mSobelTa mzrunve-lobas moklebuli bavSvebisganviTarebas exeboda. SemdegSromebi am Temis irgvlivgafarTovda da daibeWda ro-gorc respublikur, ise sa-erTaSoriso JurnalebSi.

_ siZneleebidan ras ga-ixsenebdiT?

_ siZneleebi dakavSire-bulia im socialur-ekono-mikur pirobebTan rac su-fevda Cven qveyanaSi gasuli sau-kunis miwurulSi. eleqtroener-giis, medikamentebis, samedicinoinstrumentebisa da aparaturisdeficiti, sicive, satransportosaSualebebis ar arseboba, uxel-fasoba. eqimis daucveloba, pro-fesiis upativcemuloba, maxsendebaSeiaraRebuli pirebis mier eqi-mebze zewolis faqtebi. samwuxa-rod, maSin bevri perspeqtiulieqimi dadga profesiis Secvalisaucileblobis winaSe.

_ rogoria Tqveni dRevande-li samuSao pirobebi?

bavSvTa axal klinikaSi ra-dikalurad gansxvavebuli piro-bebia wina wlebTan SedarebiT,materialur-teqnikuri baza sru-lad ganaxlebulia, saerTaSori-so standartebis donezea menej-menti, daaavadebebis diagnosti-ka da mkurnaloba warmoebs sa-Tanado gaidlainebisa da pro-tokolebis Sesabamisad. klini-ka muSaobs sruli datvirTviT,mravalprofiluria, dakompleq-teburia profesionalebiT. kli-nikis warmatebul saqmianobas ga-napirobebs TiToeuli departa-mentis muSaoba. gansakuTrebiTaRsaniSnavia kritikuli medici-nis wvlili aRniSnul saqmeSi.sistematuri xasiaTi aqvs TiTo-euli TanamSromlis profesiulzradaze zrunvas, rogorc eqime-bis, ise eqTnebisaTvis tardebakonfernciebi, testirebebi.

pacientisaTvis Seqmnilia yve-

la piroba, raTa mkurnalobisprocesSi komfortulad igrZ-nos Tavi. metad mniSvnelovnadmimaCnia pacientTa kvebis sa-kiTxis gadawyveta. erTi wlidanyvela pacients eZleva samjera-di saTanado kveba. mogexsenebaT,rom klinikaSi muSaobs nefro-logiisa da diabetis centrebi.klinika yvelasTvis cnobili dasayvareli pediatris, profesorirakli ciciSvilis saxelobi-saa. misi saxeli Zalian Zvirfa-sia TiToeuli CvenTaganisaTvis.

_ ra asakis pacientebi mkurna-loben TqvenTan departamentSida ZiriTadad ra daavadebebiT?mkurnalobasTan dakavSirebulsiZneleebs Tu aqvs adgili?

_ pacientTa asaki 29 dRidan18 wlamdea. rogorc yvela qveya-naSi CvenTanac hospitalizaci-is ZiriTadi mizezi sasunTqisistemis daavadebebia. sezonismixedviT mimdinare wlis me-40

kviridan momdevno wlis me-20 kvi-ris CaTvliT uxSiresi respira-toruli paTologiebia: zeda sa-sunTqi gzebis infeqciebi, mwvavebronqiti, laringiti, mwvavebronqioliti, pnevmonia. gansa-kuTrebul marTvas saWiroebsmwvave bronqioliti, radgan mi-si gamomwvevi virusebia da mkur-naloba Cveulebriv simptomuria.moiTxovs mudmiv monitorings, oq-sigenoTerapias, sasunTqi gzebissanacias, siTxiT uzrunvelyofas,nebulaizeroTerapias. zogadirekomendaciebis rutinuli ga-moyeneba yovelTvis ar aris sa-Wiro. mSoblebis ZiriTadi SfoT-va antibiotikebis ar gamoyene-basTan aris xolme dakavSirebu-li. mxolod mZime SemTxvevebi,baqteriuli koinfeqciis arse-boba, saWiroebs antibaqteriulisaSualebebis gamovenebas. Cven mi-er Seqmnilia mwvave bronqioli-tis marTvis protokoli klini-kisaTvis da erovnuli gaidlai-ni. aseve Zalian mniSvnelovaniamwvave laringitis marTva. welsmaRalia pnevmoniiT momarTvia-noba, xSiria mZime, polisegmen-turi pnevmoniis SemTxvevebi. Se-darebiT naklebia diareuli da-avadebebiT momarTvianoba, Ziri-Tadad nawlavTa virusuli in-feqciebiT. klinikaSi muSaobs iS-viaTi daavadebebis programa, arismukoviscidoziT, celiakiiT da-avadebulTa hospitalizaciisSemTxvevebi. mogvmarTaven gulis

Tandayolili mankiT daavadebu-li pacientebic ZiriTadad sa-sunTqi sistemis daavadebebiT.

_ rogoria Tqveni damokide-buleba daavedebebis prevenci-asTan mimarTebiT, mxedveloba-Si maqvs vaqcinaciis Catarebisaucilebloba, ras ukavSirdebaacris kalendris darRveva anuari vaqcinaciaze?

_ cnobilia, rom yovelgvarimoulodnelobisaTvis mzadyofnakulturis niSania. vaqcinacia esaris mosalodneli infeqciebisda maTi garTulebebis prevencia.Cemi damokidebuleba vaqcinaciismimarT erTmniSvnelovnad dade-biTia. dRes warmoudgenelia argaviTvaliswinoT is Sedegebi, rackacobriobis istoriaSi iqna miR-weuli vaqcinaciis Sedegad: mi-lionobiT gadarCenili bavSvi,sibrmavis, invalidobis, gonebri-vi CamorCenilobis da sxva mZimedaavadebebis prevencia. 2002 wli-

dan evropis qveynebi Tavisu-falia poliomielitisagan, xu-Ti milioni adamiani gadar-Cenilia poliomielitis Se-degad ganviTarebuli dambli-sagan. evropis regionSi faq-tiurad miRweulia wiTelasada wiTuras likvidacia. miu-xedavad imisa, rom 2008 welssaqarTveloSi Catarda wiTe-lasa da wiTuras sawinaaRm-dego nacionaluri kampania,dRes TiTqmis yoveldRiuradgvxvdeba wiTelas SemTxveve-bi mosaxleobis sxvadasxva asa-kobriv jgufebSi. aucileb-lad mimaCnia dausabuTebeliukuCvenebebis gareSe CatardesbavSvTa profilaqtikuri vaq-cinaciebi im 10 daavadebis pre-venciisaTvis, rac uzrunvel-yofilia saxelmwifos mier.aseve metad mniSvnelovnad mi-

maCnia gripis, adamianis rotavi-rusuli, pnevmokokuri, papiloma-virusuli, Cutyvavilas sawinaaR-mdego vaqcinacia. rac Seexeba uars,vfiqrob dakavSirebulia mSoble-bis arasaTanado informirebulo-basTan, ar aris gamoricxuli zo-gierTi kolegis uaryofiTi da-mokidebulebis zegavlenac. mimaC-nia, rom sworad unda Sefasdesis ukuCvenebebi, rac aris gansazR-vruli vaqcinebTan dakavSirebiT.acris Semdeg garTulebebis ris-ki damokidebula organizmis in-dividualur Taviseburebebze, zo-gadad garTulebebis riski Zali-an mcirea.

_ rogoria pacientis mSob-lebis damokidebuleba samedi-cino sferos mimarT?

_ me albaT Cven magaliTze Se-miZlia gipasuxoT. pediatrebisada mSoblebis saerTo interesibavSvis janmrTeloba da keTil-dReobaa. mSobeli informirebu-li unda iyos misi Svilis jamr-Telobis mdgomareobis Sesaxeb.kanoniT gaTvaliswinebulia mSob-lis informirebuloba da weri-lobiTi informirebuli Tanxmo-bis miReba nebismier samedicinomomsaxurebaze da masTan dakavSi-rebul sakiTxebze. ar gamovricxavSemTxvevebs, rodesac mSobeliiTxovs damatebiT samkurnalo sa-Sualebebs, ZiriTadad es exeba an-tibiotikebis daniSvnas. Tanamed-rove medicinis miRwevaa efeqtu-ri medikamentebis Seqmna, magram

maTi dausabuTebeli daniSvnaqmnis mniSvnelovan problemebs.antibaqteriuli Terapia ZiriTa-di iaraRia infeqciebis winaaRm-deg, magram eqimis codnazea damo-kidbuli ramdenad ,,ar avnos,, prin-ciiT gamoiyenebs am mZlavr saSu-alebas. mimaCnia, rom mtkicebule-bebze dafuZnebuli medicinis sa-fuZvlebis codna samkurnalo sa-Sualebebis racionaluri gamo-yenebis sawindaria. zogadad, an-tibiotikebis racionaluri menej-menti sirTuleebTan aris dakav-Sirebuli, araracionaluri anti-baqteriuli Terapiis SemTxvevesaraiSviaTad vxvdebiT.

_ ramdenadac CemTvis cnobi-lia saqarTvelos TiTqmis yve-la regionSi icnobT Tqven ko-legebs, rogor axorcielebdiTmaTTan urTierTobas?

_ es procesi ukavSirdeba jan-mos proeqtebis dawyebas saqarT-veloSi, rasac piradad me da Cemikolegebi WHO/UNICEF-is master-trenerebi 1994-2007 wlebSi va-xorcielebdiT. dasawyisSi iyorespiratorul daavadebebTanbrZolisa da diareuli daavade-bebis marTvis programebis da-nergva, Semdeg gagrZelda bavSvTaasakis daavadebebis integrirebu-li marTvis saxelmwifo progra-ma, romelic dainerga saqarTve-los yvela regionSi, maT SorismaRalmTianebSi. es iyo Zaliansaintereso samuSao, programagrZeldeboda 11 dRis manZilze.kolegebis didi interesi da mon-domeba igrZnoboda muSaobis pro-cesSi, CvenTvis ki ormagad sasar-geblo iyo - vasrulebdiT metadmniSvnelovan misias da vecnobo-diT mTel saqarTvelos. dRes siZ-neles ar warmoadgens uaxlesiinformaciis moZieba, yvela same-dicino dawesebulebisaTvis auci-lebelia daavadebebis marTvisprotokolebiT moqmedeba, Seqmni-lia daavadebebis marTvis erov-nuli gailainebi. maSin es prog-ramebi udidesi daxmareba iyo Ti-Toeuli Cveni kolegisaTvis, racTavisTavad dadebiTad aisaxa bav-SvTa mosaxleobis janmrTelo-baze.

_ ras usurvebT Tqven kole-gebs da axalgazrda medikosebs?

_ legenderul pirovnebas,akademikos vaxtang boWoriSvilsuTqvams: ,,ara mgonia, qveyanas isepatiosnad vinme emsaxurebodes,rogorc Cven _ eqimebi“, aseve,,swori diagnozis dasmidandawyebuli, mkurnalobis warmar-TviT damTavrebuli, eqims ara-feri ar unda eSlebodes“. mxo-lod dauRalavi SromiT, swav-liTa da ganaTlebiT, mudmiviprofesiuli zrdiT, pacienti-sadmi gulisxmierebiT SeiZle-ba miRwio warmatebas, mxolodSeni codniT SegiZlia daamtki-co, rom xar Rirseuli eqimi.

didi madloba qalbaton Ti-nas saintereso saubrisaTvis.

dRes redaqciis stumariair.ciciSvilis saxelobis bav-SvTa axali klinikis Terapiu-li departamentis xelZRvanelimedicinis doqtori qalbatoniTina RonRaZe

TiTqmis sami aTeuli weliaemsaxureba mis sayvarel saqmesda ver warmoudgenia sxva sfe-roSi moRvaweoba. profesiis ar-CevaSi dedis rekomendaciebi ga-iTvaliswina, Tumca mamas didisurvili hqonda swavla Tssuekonomikis fakultetze gaegr-Zelebina. Tavad medikosoba dapedagogoba izidavda, rac war-matebiT danaxorciela saxelm-wifo samedicino institutisdamTavrebis Semdeg.

6evromecnierebis saqarTvelos erovnulievromecnierebis saqarTvelos erovnulievromecnierebis saqarTvelos erovnulievromecnierebis saqarTvelos erovnulievromecnierebis saqarTvelos erovnuli

seqcia aqtiurdebaseqcia aqtiurdebaseqcia aqtiurdebaseqcia aqtiurdebaseqcia aqtiurdeba

2013 weli nayofierad imuSava saqarTvelos dar-gobrivma akademiebma

redaqcia ulocavs maT yvela wevrs bavSvTa saer-TaSoriso dRes 1 ivniss da usurvebs nayofier Se-moqmedebas saqarTvelos ukeTesi momavlisaTvis

evromecnierebis saqarTvelos erov-nuli seqciis axalgazrduli depart-menti didi pasuxismgeblobiT asru-lebs 2012 wlis 21-22 dekemberis, kon-ferenciis bolos miRebuli rezolu-cias da mecnierul muSaobasTan er-Tad aqtiurad Cabmulni arian sazoga-doebriv saqmianobaSi. survilia metiSemarTebiT ataron saqartvelos axal-gazrda mecnierTa droSa.

prof. paata kervaliSvilipaata kervaliSvilipaata kervaliSvilipaata kervaliSvilipaata kervaliSvili

konferencia nato-evrokavSiri, gaimarTa mart-Si TbilisSi da erToblivi muSaoba frang ko-legebTan aprilSi.

saqarTvelos sabunebismetyvelosaqarTvelos sabunebismetyvelosaqarTvelos sabunebismetyvelosaqarTvelos sabunebismetyvelosaqarTvelos sabunebismetyvelo

mecnierebaTa akademiamecnierebaTa akademiamecnierebaTa akademiamecnierebaTa akademiamecnierebaTa akademia

GEORGIAN ACADEMYOF NATURAL SCIENCES 2014 2014 2014 2014 2014

sensoruli fizikisa da teqnologi-is, maTi sistemebisa da inteleqtualu-ri qselebis ganviTarebis udidesma mniS-vnelobam da qarTveli mecnierebisa dainJinrebis seriozulma Rvawlma am dar-gSi ganapiroba evrokavSirisa da natossamecniero teqnologiuri programebisxelmZRvanelobis gadawyvetileba mWid-ro TanamSromloba daewyoT saqarTve-los teqnikuri universitetis inJiner-fizikosebTan axali sensoruli nanoma-salebis, nanoelementebisa nanosisteme-bis Seqmna-damuSavebaSi.

am urTierTobebis kidev ufro ganviTa-rebisaTvis saqarTvelos teqnikuri uni-versitetis sainJinro fizikis departa-mentma evrokavSirisa da natos xelSewyo-biT 2014 wlis 6-9 marts Caatara saerTaSo-riso samecniero konferencia (birTvul-radiaciuli nanosensorebi da nanosenso-ruli sistemebi), Tbilisi-gazafxuli-2011.

konferenciis mizans warmoadgenda sa-qarTvelosa da evro-antlantikuri koope-raciis qveynebis TanamSromlobis aqtivi-zacia mecnierebisa da teqnologiebis imdargebSi, romlebic sabazisoa nanoteqno-logiebis, nanostruqturebis fizikis, na-nosensoruli xelsawyoebisa da sensore-bis safuZvelze Seqmnili usafrTxoebissistemebis da qselebis damuSavebisaTvis.

konferenciaSi monawileoba miiRo 100-ze metma mecnierma saqarTvelos sxva-dasxva universitetebidan da kvleviTicentrebidan, maT Soris 50-ze metma ucxo-elma stumarma aSS-s, didi britaneTis,safrangeTis, germaniis, italiis, saberZ-neTisa da sxva qveynebidan (19 qveyana),maT Soris mezobeli saxelmwifoebidan.

konferenciaze moxsenebuli saukeTe-so samuSaoebi uaxloes TveebSi gamoi-cema specialur wignad Springeris sa-gamomcemlo saxlis mier.

The high importance of development ofPhysics and Technology of sensors, sensorysystems and their smart networks on the onehand, and Georgian researchers achievementson the other, was and is the main reason whyEuropean Commission framework and NATOScience for Peace programmes are closely wor-king with Georgian Technical University scien-tists and engineers engaged in research anddevelopment of novel materials, sensitive ele-ments and different sensory systems.

In line of these activities Department ofEngineering Physics of the Georgian TechnicalUniversity with the support of NATO SPS prog-ramme (NATO ARW 984596) at 6-9 of March,2014.organizes the International Scientific Con-ference on „Nuclear Radiation Nanosensors andNanosensory Systems“ (Tbilisi-Spring-2014).

The aim of the Conference is further activeutilization of Georgian and Regional scientificand technological potential in solution of the prob-lems of development of the Euro Atlantic scien-ce and technology space by detection and de-finition the ways of increase the works in na-notechnologies, relating nanostructures, nano-sensory devices, sensor based securitysystems and networks.

Participants of the Conference are the lea-ding specialists in signed fields from the count-ries, listed below: USA, UK, France, Germany,Italy, Greece, Belgium, Jordan, Turkey, Lithuania,Estonia, Moldova, Ukraine, Azerbaijan, Armenia,Russia, Kazakhstan, Kyrgyzstan and Georgia.

Selected papers of the conference will bepublished by the Publishing House “Springer”.

Tbilisi-gazafxuli-2014 konferenciis wamyvanebi

Tbilisi-gazafxuli-2014 monawileebis re-gistracia saqarTvelos teqnikuri univer-sitetis sakonferencio darbazis foieSi.

konferenciis saprogramo komiteti msje-lobs

erToblivi muSaoba frang kolegebTan aprilSierToblivi muSaoba frang kolegebTan aprilSierToblivi muSaoba frang kolegebTan aprilSierToblivi muSaoba frang kolegebTan aprilSierToblivi muSaoba frang kolegebTan aprilSi gamosxivebis wyaroebi, integralur-opti-kuri kvlevebi speqtris farTo diapazon-Si, piko-femto lazerebi da sxva. es er-Toblivi evropul-amerikuli da bilate-ruli (saqarTvelo-safrangeTi) samecnie-ro teqnologiuri proeqtebi grZelvadia-nia da ramdenime mniSvnelovani mimarTu-lebis ganviTarebas gulisxmobs.

qarTul-franguli samecniero-teqnolo-giuri TanamSromlobis farglebSi mimdi-nareobs erToblivi kvlevebi, romlebsacwarmarTaven saqarTvelos teqnikuri uni-versitetis sainJinro-fizikuri departa-mentisa da parizis universitetis (pari-

zis universiteti 11-pariziudi) da orsisqimiuri fizikis laboratoriis TanamS-romlebi. maT amocanebs Soris unda aRi-niSnos preceziuli araorganiuli nano-organoebis da aseve biomolekulebis la-zerul optikuri gamokvlevebi, romlebsac

udidesi samecniero-Teoriuli da praqti-kuli mniSvneloba aqvT. dagegmili eqspe-rimentebis SesrulebaSi CarTulia orsisqimiuri fizikis laboratoriis unikaluriteqnikuri saSualebebi: lazeruli siste-mebi Tavisufal eleqtronebze, birTvuli

doqtori Tamar berberaSvilimoaxsenebs kolegebs eqsperi-mentuli kvlevis Sedegebs

doqtori Tamar berberaSvi-li atarebs kompleqsur op-tikur speqtometrul analizs birTvuli fizikisa da teqnologiis korpusi

profesori paata kervaliSvili esaubreba Ta-vis samuSao oTaxSi franguli eqsperimentu-li jgufis xelmZRvanels qristof humbers

orsis qimiuri fizikis laboratoriis kor-pusi

7

problemis mniSvneloba.: sef-sisi Tanamedrove medicinis ur-Tulesi da erT-erTi yvelaze aq-tualuri problemaa. rogorc ar-sebuli literaturiTaa cnobi-li, sefsisiT avadoba araviTartendencias ar amJRavnebs kle-bisaken da zogierTi avtorismonacemebiT matulobs kidec(gansakuTrebiT kriptogenulisefsisi). Mmisgan ganpirobebuliamaRali letaloba da sakmaoddidi wili mosaxleobis sikv-dilianobaSi. sakmarisia iTqvas,rom iseT qveyanaSic ki, rogo-ric amerikis SeerTebuli Sta-tebia, sadac Sidsi gamocxadebu-lia nomer pirvel problemad,yovel weliwads meti iRupebasefsisisagan, vidre Sidsisagan.Tavis droze Seqmnili optimis-turi ganwyobileba, romelic an-tibiotikebis SemoRebasTan er-Tad Caisaxa sefsisuri daavade-bebis mkurnalobis perspeqtivisTvalsazrisiT, panacea ar gamod-ga, ukanasknel wlebSi sefsisisavadobis sixSire gauTanabrdaantibiotikebis Seqmnis eramdearsebul sixSires. Uufro metic,bolo dros mikrobebis antibi-otikogamZle formebis ricxviszrdisa da mozrdili adamiane-bis organizmis rezistentobissaerTo daqveiTebis fonze, aRi-niSneba septiuri procesebiT ava-dobis sixSiris matebis garkve-uli tendencia. rogorc zemoTaRniSnulidan Cans, sefsisisproblema gacilebiT ufroRrmaa da rTulad gadasawyvetia,vidre es dRemde iyo warmodge-nili. Eeqim-klinicistTa SorisgansakuTrebul Teoriul dapraqtikul interess iwvevs krip-togenuli sefsisis sakiTxi. Aamdaavadebis mniSvnelovani wiliwarmoadgens nawlavuri warmo-Sobis sefsiss garkveuli niR-biT, rac Tavis mxriv arTulebsmis droul gamocnobas (diag-nostirebas), mkurnalobasa daprofilaqtikuri RonisZiebebisCatarebas. sefsisis arsebul di-agnostikur procesSi gansakuT-rebuli mniSvneloba eniWeba in-feqciis WiSkris dadgenas, miTu-metes, rom am ukanasknelis gare-Se SeuZlebelia sefsisis war-moSoba da misi ganviTareba. uf-ro zusti ganmartebiT, Cven un-da vecadoT davadginoT pirve-ladi kera an infeqciis WiSkarida amiT kriptogenuli sefsisigadavaqcioT arakriptogenulad,anu iseT sefsisad, romlis wya-ro da WiSkari dadgenilia. li-teraturaSi vxvdebiT monacemebs,rom kriptogenuli sefsisi gax-Sirda 40-50 procentiT, rac mniS-vnelovan damokidebulebaSiasefsisis saxeobaze: qirurgiulisefsisis dros es procenti mi-nimaluria, xolo Terapiulisada pediatriulisa_sakmaod maRa-li.

termini `nawlavismieri sef-sisi”, Cveulebrivad aRiarebulipediatrebis mier (nawlavuriwarmoSobis sefsisis aRsaniSna-vad 1 wlamde asakis bavSvebSi),Terapevtebis praqtikaSi ar gvxde-ba. Nnawlavismieri sefsisi moz-rdilebSi mimdinareobs Terapi-uli (gulis iSemiuri daavadeba,kolagenozuri kardiomiopaTia,plevropnevmonia plevrodiafrag-muli sindromiT da sxv.), qirur-giuli (mwvave muceli da Tirk-mlis kolika, apendiciti, qole-cistiti), infeqciuri (miliaru-li tuberkulozi, salmonelo-zisa da iersiniozis generali-zebuli formebi, muclis tifi,enterovirusuli infeqciebi), he-matologiuri (limfomebi, lim-fogranulematozi da sxv.) daa-vadebebis niRbis qveS , rasacmivyavarT mcdar diagnozebTan,dagvianebul mkurnalobasTan daamis Sedegad maRal letalo-basTan. Eam daavadebas mravaliklinicisti ganmartavs, rogorckriptogenul sefsiss” (e.i. sef-sisi infeqciis DTvaliT uxila-vi WiSkriT). infeqciis pirvela-di keris dadgena praqtikulad

gaZnelebulia da Ees yovelTvisver xerxdeba gvamuri masalisvizualuri daTvalierebis dro-sac ki, Tumca organoebisa daqsovilebis paTomorfologiuricvlilebebi udavod miuTiTeb-

da septiuri procesis arsebo-baze.

vaRiarebT ra nawlavebis rolssefsisis sxvadasxva klinikur-pa-Togeneturi formebis (septicemia,septikopiemia, sefsisuri endokar-diti) ganviTarebaSi, romlis mi-

zezad gvevlineba dekompensirebu-li nawlavuri disbaqteriozi dastresuli situaciebi, am SemTxve-vaSi mravali avtori daumsaxureb-lad gverds uvlis klinikur praq-tikaSi terminis: `nawlavuri sef-

sisi mozrdilebSi” damkvidrebas..am cnebis Semotana ki klinikurpraqtikaSi, ueWvelad, xels Se-uwyobs adreul diagnostikas, xo-lo Sesabamisad sefsisis konkre-tul saxeobaSi warmatebul mkur-

nalobas. kriptogenuli sefsisisdros letalobam SeiZleba miaR-wios 100 procents.

warmodgenili Sromis miza-nia ganvixiloT mozrdilebSinawlavismieri sefsisis klini-kuri Taviseburebani, kerZod, na-

wilobriv gadavwyvitoT misi Te-oriul-praqtikuli xasiaTis sak-vanZo sakiTxebi; es uSualod da-kavSirebulia nawlavuri warmo-Sobis generalizebuli piro-biT-paTogenuri infeqciis di-

ferencirebul diagnostikaze daracionaluri mkurnalobis Ser-Cevaze, rac dRemde klinikur me-dicinaSi rCeba TiTqmis gamouk-vlevel problemad da nakle-bad cnobilia praqtikosi eqi-mebisaTvis.

nawlavismieri sefsisis veri-fikacia: klinikuri masalis Ses-wavlis safuZvels Seadgenda sef-sisis sawinaaRmdego centrSi(q.Tbilisi) 11 wlis manZilzekriptogenuli sefsisiT gatare-bul avadmyofTa klinikur-paTa-natomiuri monacemebis retros-peqtuli analizi. Aam ukanaskne-lis CatarebiT, Cven SevZeliT`kriptogenuli sefsisiT” daava-debul avadmyofTa jgufidan (337SemTxveva) gamogveyo nawlavismi-eri warmoSobis sefsisi (124 Sem-Txveva), rac efuZneboda daavade-bis dasawyiss (cxrili 1), orga-noebSi da sistemebSi paTomor-fologiur cvlilebebs (cxri-li 2) da etiologiuri faqto-ris dadgenas.

nawlavismieri sefsisis eti-ologiuri diagnozi avadmyofissicocxleSi baqteriologiuraddasturdeboda 50,8% SemTxveva-Si (63 avadmyofi) an sikvdilisSemdeg- 8,1% SemTxvevaSi, rac Se-adgenda 10 gvams. uaryofiTi he-mokulturis SemTxvevaSi nawla-vismieri sefsisis etiologia-ze vmsjelobdiT im Catarebuliserologiuri analizebis Sede-gianobiT, romelic arapirdapi-ri gziT miuTiTebda nawlavebi-dan mosalodneli infeqciis ge-neralizaciis arsebobaze. amisdasturad migvaCnia serologi-uri reaqciebis dadebiTi tit-ri salmonelebTan an nawlavu-ri iersiniebis baqteriebTan(45,2%), Sigelebis sxvadasxvajgufTan naxSirovani aglomera-ciis dadebiTi reaqciebi (5,9%)da klinikur-laboratoriuladgamoxatuli nawlavis disbaqte-riozi (49,9%).

nawlavismieri sefsisis paTo-genezis dadgenis mizniT zrda-dasrulebul ZaRlebSi Catare-bulma eqsperimentulma gamokvle-vebma gviCvena, rom nawlavuri in-feqciis generalizacias xelsuwyobda destruqciul-distrofi-uli darRvevebi nawlavis Sidaujredovan struqturebSi da naw-lavis lorwovanis yaenTvan-Sem-wov epiTeliumSi. es ki Tavis mxriviwvevda infeqciisagan nawlavisepiTeliumis dacviTi meqanizmismoSlas, endogenur baqteriemiasa

da endotoqsinemias, rac xdeba naw-lavismieri sefsisis sxvadasxvaklinikuri formebis (septicemiaseptikopiemia, septiuri endokar-diti) da septiuri Sokis ganvi-Tarebis mizezi, konkretuli pre-morbiduli fonisa da risk-faq-torebis pirobebSi (ixileT su-raTi 1 – nawlavismieri sefsisispaTogenezi).

sefsisis sawinaaRmdego cen-tris klinikaSi Semosvlis drosavadmyofebi upiratesad imyofe-bodnen ukiduresad mZime da mZi-me mdgomareobaSi (Sesabamisad 35-57 avadmyofi). daavadebis simZi-mes ganapirobebda infeqciur-toqsiuri Soki da Trombo-hemo-ragiuli sindromis III faza. naw-lavismieri sefsisis letalo-ba etiologiuri faqtoris mi-xedviT meryeobda 23,3 %-dan (eSe-rixiozuli) 50%-mde (proteuli).nawlavismieri sefsisis klini-kuri formis diagnoscireba si-cocxleSi xSirad arasworadxdeboda da amis TvalsaCinodadasturebad SeiZleba miviRoTgvamuri masalis paTomorfolo-giuri kvlevis Sedegebi, sadacsepticemia, septikopiemia da sef-sisuri endokarditi diagnos-cirdeboda Sesabamisad 55,9–20,6–23,5 procentis SemTxvevaSi, ma-Sin, roca avadmyofebis sicocx-leSi septicemia, septikopiemiada sefsisuri endokarditi di-agnoscirebuli iyo Sesabamisad83,0–10,5–6,5 procentSi.

diferencirebuli diagnosti-ka. miuxedavad mwvave nawlavismi-eri sefsisis klinikuri mimdi-nareobis polimorfizmisa, am da-avadebas aqvs generalizebuli en-dogenuri infeqciisaTvis dama-xasiaTebeli klinikur–labora-toriuli dinamika, romelic uSu-alo kavSirSia misi gamomwvevissaxeobaze. ase, magaliTad:

• eSerixiozuli infeqciisaT-vis damaxasiaTebelia ganmeore-biTi Sokebisadmi midrekileba(normaluri temperaturis piro-bebSic ki), cvlilebebi centra-luri nervuli sistemis mxriv(Tavis Zlieri tkivilebi, wonas-worobis dakargva), fsiqiur-emo-ciuri aramdgradoba, erTemato-zur-papulozuri gamonayari.

• proteusuli etiologiisdaavadebebisas agreTve vlinde-ba midrekileba Sokebisadmi dagarda amisa encefalopaTiisad-mi, kanSi mikrocirkulaciis moS-lisadmi („gvamuri laqebis“msgavsi), hemoragiebisadmi (spon-tanuri sisxldenebi sxvadasxvaorganoebidan), pielonefritebi-sadmi.

• stafilokokuri infeqcii-saTvis damaxasiaTebelia midre-kileba mravlobiTi pustulebiswarmoqmnisadmi, an migrirebulisubfascialuri da kunTTaSori-si flegmonebis ganviTarebisad-mi (migrirebuli arTralgiebi,saxsrebis SeSupeba da infilt-ratebi, eriTematozuri gamona-yari). amas xSirad Tan axldawamlismieri daavadebis ganviTa-rebac (antibiotikoTerapiaze po-limorfuli gamonayari qaviliT,hiperTermia, cremldena da a.S.).iSviaTad iyo endotoqsiuri So-kis gamovlineba da isic, rogorcwesi, mogvianebiT periodSi.

• rac Seexeba gaurkvevelietiologiis nawlavismier sef-siss, misTvis damaxasiaTebeliiyo gardamavali klinikuri su-raTi, romelic metad Camogavda

saqarTvelos humanitarul da saxelovnebo mecnierebaTa akademia

mozrdilebSi nawlavismieri sefsisis

klinikuri mimdinareobis Taviseburebaniigor doliZeigor doliZeigor doliZeigor doliZeigor doliZe

saqarTvelos humanitarul da saxelovnebo mecnierebaTa akademia

cxrili 1`mwvave nawlavismieri sefsisis” dros daavadebis dasawyisis xasiaTi (%-Si)

cxrili 2paTomorfologiuri cvlilebebi saWmlismomnelebel organoebSi da muclisRrus limfur sistemaSi nawlavismieri (34 SemTxveva) da aranawlavismieri (14SemTxveva) sefsisis dros

gagrZeleba me-8 gv.

8

4.6.farmaciis,bio-medi-4.6.farmaciis,bio-medi-4.6.farmaciis,bio-medi-4.6.farmaciis,bio-medi-4.6.farmaciis,bio-medi-

cinis , medicinisa dacinis , medicinisa dacinis , medicinisa dacinis , medicinisa dacinis , medicinisa da

sportis industriasportis industriasportis industriasportis industriasportis industria

4.6.1. dargis arsebulimdgomareobis Sefaseba

adamianis janmrTelobi-saTvis usafrTxo garemosSeqmna yvela, gansakuTrebiTgardamavali ekonomikis qvey-nebisaTvis, Zalze rTul amo-canas warmoadgens. misi ga-daWra SesaZlebelia saqar-Tvelos parlamentis sxva-dasxva saministroebisa dauwyebebis, adgilobrivi TviT-mmarTvelobisa da mmarTve-lobis organoebis erTobli-vi ZalisxmeviT.

swored, amitom maTi miza-ni unda iyos qveynis ganvi-Tarebis grZelvadiani stra-tegiis safuZvelze SeimuSa-vos da ganaxorcielos ga-remos higienis samoqmedoerovnuli gegma. am sferoSiqveyanaSi arsebuli proble-mebis gadasaWrelad saWiroaprioritetuli mimarTulebe-bisa da moqmedebebis gan-sazRvra, kerZod: politika ga-remosa da janmrTelobisdacvis sferoSi, garemos ga-jansaRebis marTva, wylisa dahaeris xarisxi, sakvebi pro-duqtebis xarisxi da usafr-Txoeba, myari narCenebi da ni-adagis dabinZureba, maionebe-li da aramaionebeli gamos-xiveba, stiqiuri ubedurebebi,samrewvelo avariebi da a.S.TiToeuli am sakiTxis gan-xilvisaTvis gaTvaliswine-buli unda iyos qveynis so-cialur-ekonomikuri, klima-tur-geografiuli, demogra-fiuli da sxva garemoebani.daswored, amitom

saqarTvelos ekonomikis,mecnierebis da ganaTlebisharmoniuli ganviTarebisprioritetuli mimarTule-bebSi saTanado adgili un-da daiWiros ,rogorc saqar-Tvelos ekonomikis gansavi-Tarebelma calkeulma dar-gma - - - - - farmaciis, bio-medici-nis, medicinisa da sportisindustriam.

farmaciis, bio-medicinis, me-dicinisa da sportis indus-triis rogorc saqarTvelosekonomikis, calke dargis Se-madgenlobaSi aucilebeliadamoukidebel qvedargebadganixilebodes: jandacva,farmacia, bio-samedicino in-dustria dasportis indust-ria.

rac Seexeba farmaciis, bio-medicinis, medicinis, sportismecnierebisa da ganaTlebissistemis srulfasovani har-moniuli ganviTarebisaTvisumniSvnelovanesia Semdegidargebi: medicina, , , , , farmacia,,,,,bio-medicina, , , , , sportuli me-dicina, xolo am dargebSiSesabamisad qvedargebi: medi-cinaSi - saeqimo saqmianoba,fizikuri medicina da reabi-litacia, saeqTno saqme, oku-paciuri Terapia, sazogado-ebrivi jandacva, stomatolo-gia. farmaciaSi - B B B B B samrewve-

lo farmacia, farmacevtulianalizi, farmacevtuli kos-metologia da parfiumeria,saveterinaro farmacia, bio-farmacia. bio-medicinaSi-sa-medicino bio-teqnologia.sportuli medicinaSi – va-leologia,sanologia, fizi-kuri medicina reabilitacia,fizioTerapia.zemo gamoyo-fil dargebsa da qvedargebssrulyofil funqcionirebi-saTvis esaWiroeba Semdegispecialobebi: diplomirebu-li medikosebi; diplomire-buli eqTani/bebia qali dasxv. romelic crilSia daw-vrilebiT mocemuli.

4.6.2. dargis struqturada ganviTarebis potenciali

farmaciis,bio-medici-farmaciis,bio-medici-farmaciis,bio-medici-farmaciis,bio-medici-farmaciis,bio-medici-

nis, medicinisa da spor-nis, medicinisa da spor-nis, medicinisa da spor-nis, medicinisa da spor-nis, medicinisa da spor-

tis tis tis tis tis industria ekonomikisganviTarebis TvalsazrisiTsam qvedargad iyofa:

• jandacva

• farmacia• bio-samedicino in-

dustria

• sportisindustriaTiToeuli aRniSnuli

qvedargis detaluristruqtura da ganviTa-rebis potenciali moce-mulia qvemoT.

4.6.2.1. jandacvaXXI saukunes Tavisi

gamowvevebi aqvs, racqarTul samedicino sa-mecniero saZogadoebasavaldebulebs profesi-onalurad Seafasos ar-sebuli realoba da Se-imuSaos jandacvis gan-viTarebis erovnuli progra-ma.

dReisaTvis udavoa, rommecnierebis ganviTarebaumaRles wertilebs uaxlov-deba; kerZod, genuri inJine-riiT axal adamiansac ki Se-eTamaSnen. ukve arsebobs xe-lovnuri ganayofierebac dapirveli axalSobilebic sa-xezea. aseve, adamiani XX sau-kuneSi vixileT mfrinavi ra-ketidan kosmosSi gamosulida sxva planetaze fexdadg-mulic ki.

magram, es ar niSnavs, rommecniereba saWiroebisamebrswrafad da mizanmimarTu-lad viTardeba, Tumca misganviTarebas qveynis mdgradganviTarebaSi, umniSvnelova-nesi roli eniWeba; Cveni az-riT,

jandacvis ganviTareba dausafrTxoeba, upirveles yov-lisa, unda eyrdnobodes bi-eTikuri normebis dacvas, damxolod amis Semdeg igi un-da ganisazRvrebodes socia-lur-ekonomiur da ekolo-giur garemosTan erTad darac mTavaria XXI saukunissamecniero mecniereba undaemsaxurebodes qveynis TiTo-euli moqalaqis usafrTxo-ebas, garemos SesaZlo uar-yofiTi gavlenisadmi preven-ciuli RonisZiebebis gatare-bas.

prevenciuli RonisZiebebisgatarebisaTvis ki aucilebe-li pirobaa sakiTxis funda-mentaluri codna da swraf-va gaazrebuli strategiulimimarTulebisaken romelicdafuZnebuli iqneba:

a) zust samedicino sta-tistikaze,

b) samedicino umaRles teq-nologiebze,

g) Tanamedrove kompiute-rul axal programebze, di-agnostikaze, analizsa daprognozirebaze.

msoflios yvela regionsTaviseburi jandacvis sfe-ros situacia-mdgomareobaaxasiaTebs, ris Sesafasebla-dac aucilebelia imsjelo:

• regionis saerTo situa-ciaze

• mosalodnel sicocxlisxangrZlivobasa da sikvdi-lianobaze

• mosalodneli janmrTe-

li cxovrebis xangrZlivo-baze

• daavadebaTa klasebze,rogoricaa kerZod:

• infeqciuri daavadebebi– sqesobrivi gziT gadamde-bi (���/����-is CaTvliT) tu-berkulozi, malaria, vaqcinop-rofilaqtikiT Tavidan asa-Sorebeli daavadebani (dif-teriaa-hepatiti poliomieli-ti)

• arainfeqciuri daavade-bebi (gul-sisxl sistemis da-avadebebi, simsivneebi, simsuq-ne, Saqriani diabeti)

• fsiqiuri janmrTelobad) ubeduri SemTxveva da

travmebiqveyanaSi jandacvis situ-

aciis Sesafaseblad aucile-belia mosaxleobis calkeu-li jgufebis monacemTa ana-lizi: pirveli jgufia – mo-nacemebi bavSvTa janmrTelo-bis Sesaxeb; amaTTan erTad,dedis sikvdilianoba, bavSv-Ta imunizacia, tuberkulioz-Tan da aiv/SidsTan brZolaganapirobebs qveyanaSi bavS-vTa janmrTelobis mdgoma-reobas.

amdenad, yovelive zemoT Ca-moTvlili mWidrodaa dakav-Sirebuli socialur, ekono-mikur da ekologiur faqto-rebze, romlebsac qvemoTgveqneba saubari. bavSvTa jan-mrTelobaze saubrisas

gverds ver avuvliT bavSv-Ta uflebaTa dacvis sa-kiTxebs, Tumca zemo CamoTv-lili yvela maCvenebeli exe-ba bavSvTa uflebaTa dacvissakiTxs.

bavSvis uflebaTa konve-ciis ZalaSi SesvlidandRemde bavSvebis dacvis saq-meSi miRweulia progresi. ga-daidga mniSvnelovani nabi-jebi. SemuSavda axali kanon-mdebloba, ufro daxvewilisaerTaSoriso normebiT, ro-goric aris bavSvis ufleba-Ta konvenciis damatebiTi oq-mebi bavSvebiT vaWrobis, bav-SvTa prostituciisa da por-nografiis, SeiaraRebul kon-fiqtebSi bavSvTa gamoyenebisSesaxeb. umniSvnelovanesiabavSvTa uflebebi konfliq-tis zonebSi da ar SemiZliaar Sevexo mas saqarTvelosmagaliTze.

sabWoTa kavSiris daSlamda Tavisuflebis dab-runebam saqarTvelosmosaxleobas moutanapolitikuri areuloba,samoqalaqo omi da eko-nomikis rRveva. sagu-lisxmoa, rom janmrTe-lobasTan, kvebasTan, ga-naTlebasTan, agreTve,bavSvebis dacvasa daganviTarebasTan dakav-Sirebuli problemebiufro mkveTrad arisgamoxatuli ruseTis

mier okupirebul zo-nebSi, vidre saqarTve-los danarCen nawileb-Si.

bavSvTa mdgomareo-baTa sakiTxis garda re-

gionebSi situaciaTa Sesafa-seblad aucilebelia mozar-debis, qalTa janmrTelobis,moberebisa da janmrTelebisjgufebis daxasiaTeba.

vixilavT ra mecnierebasada usafrTxoebas, unda aRi-niSnos janmrTelobis mTava-ri determinatebi:

• socialur-ekonomikuri:janmrTeloba da qveynis gan-viTareba, siRaribe, fsiqoso-cialuri faqtorebi, mosax-leobis dasaqmeba, ganaTle-ba.

• cxovrebis wesi, romlisSemadgenelicaa _ kveba, fi-zikuri aqtiuroba, moweva, al-koholizmi, narkomania-toqsi-mania.

umniSvnelovanesia romXXI saukuneSi axali gamow-vevebi aqvs samedicino pro-fesiasa da ganaTlebas.rome-lic specificur da Zlierprofesionalur midgomas mo-iTxovs.

da masTan dakavSirebuliprincipebi, koncefciebi darekomendaciebi gankuTvniliaimisTvis, raTa gaaZlierosmimdinare pediatriuli sa-ganmanaTleblo procesebi,ukeT moamzados momavliseqimis im axali sirTulee-bisaTvis, romelic mas uci-loblad elis. gvjera, rommaTi warmatebuli saeqimo

saqmianoba did sargebelsmoutans mosaxleobis im yve-laze saTuT nawils, romel-sac emsaxureba da icavs maTsamsaxuri.

umniSvnelovanesia, medici-nis, sportsa da ganaTlebismecnierul erTian marTvaSiprofesionali eqTani:

- samedicino dawesebule-bebSi (klinika, ambulatoriada a.S.)

- saganmanaTleblo siste-maSi (skola, baga-baRi)

- sportul sistemaSi (fi-zioTerapevtis profiliT)da a.S.

vubrundebi jandacvisvubrundebi jandacvisvubrundebi jandacvisvubrundebi jandacvisvubrundebi jandacvis

umniSvnelovanes deter-umniSvnelovanes deter-umniSvnelovanes deter-umniSvnelovanes deter-umniSvnelovanes deter-

minatebs;minatebs;minatebs;minatebs;minatebs;

janmrTelobis umnSvnelo-vanesi determinatia fiziku-ri garemo, romlis higienissamoqmedo gegma, dReisaTvismsoflios yvela regionma,da qveynam Tavis strategi-ul mimarTulebad unda aq-cios. ukanaskneli wlebisganmavlobaSi janmrTelobisdacvis msoflio organiza-ciis (janmo) mier miRebulprogramebsa da saxelmZRva-nelo dokumentebSi, maT So-ris frankfurtis (1989 w.),helsinkis (1994 w.) da lon-donis (1999 w.) garemosa dajanmrTelobis dacvis evro-pul konferenciebze xelmo-weril dokumentebSi Camoya-libebulia srulad axalimidgomebi da principebi mo-saxleobis janmrTelobisdacvis sferoSi.

am principebis Tanaxmad, ga-remosa da janmrTelobisdacvis seqtorebs daekisraTZiriTadi pasuxismgeblobaadamianis janmrTelobis, ga-remos dacvis politikisa damisi marTvis sferoebSi ise-Ti meqanizmebis SemuSavebisda ganxorcielebisaTvis, rom-lebic uzrunvelyofenmdgrad ganviTarebas ekolo-giuri TvalsazrisiT, adami-anis janmrTelobaze mavne ga-remo faqtorebis zemoqmede-bis efeqtur prevenciasa dakontrols.

yvela saxelmwifoSi aRi-arebuli unda iqnas ra ze-moaRniSnuli principebi dainiciativebi ̀ garemos dacvisSesaxeb~ da `janmrTelobisdacvis Sesaxeb~, kanonebSi Se-sabamisad unda iqnes gansazR-vruli Sesabamisi saminist-roebis kompetencia, adamianisjanmrTelobisaTvis usafr-Txo garemos uzrunvelyofissferoSi.

amasTan, adamianis janmrTe-lobisaTvis usafrTxo gare-mos Seqmna yvela, gansakuT-rebiT gardamavali ekonomi-kis qveynebisaTvis ZalzerTul amocanas warmoadgens.misi gadaWra SesaZlebeliamxolod sxvadasxva saminis-troebisa da uwyebebis, adgi-lobrivi TviTmmarTvelobi-sa da mmarTvelobis orga-noebis erToblivi Zalisxme-viT.

swored, amitom maTi miza-ni unda iyos SeimuSavos daganaxorcielos garemos hi-gienis samoqmedo erovnuligegma, garemosa da janmrTe-lobis dacvis sferoSi qve-yanaSi arsebuli probleme-bis Seswavla da Sefaseba, maTgadasaWrelad prioritetu-li mimarTulebebisa da moq-medebebis gansazRvra.

garda amisa, garemosa da

saqarTvelos ekonomikis, mecnierebis da ganaTlebissaqarTvelos ekonomikis, mecnierebis da ganaTlebissaqarTvelos ekonomikis, mecnierebis da ganaTlebissaqarTvelos ekonomikis, mecnierebis da ganaTlebissaqarTvelos ekonomikis, mecnierebis da ganaTlebis

harmoniuliharmoniuliharmoniuliharmoniuliharmoniuli ganviTarebisganviTarebisganviTarebisganviTarebisganviTarebis prioritetuliprioritetuliprioritetuliprioritetuliprioritetuli mimarTulebebimimarTulebebimimarTulebebimimarTulebebimimarTulebebi( k o n c e f c i a )( k o n c e f c i a )( k o n c e f c i a )( k o n c e f c i a )( k o n c e f c i a )

profesoriprofesoriprofesoriprofesoriprofesori g.CaxunaSvilig.CaxunaSvilig.CaxunaSvilig.CaxunaSvilig.CaxunaSvili

9janmrTelobis dacvis sfe-roSi SemuSavebuli da gan-xorcielebuli unda iyosiseTi politika, romelic uz-runvelyofs ekologiuriTvalsazrisiT mdgrad gan-viTarebas, janmrTelobisaT-vis mavne garemo faqtorebisefeqtur profilaqtikasa damaTze kontrols, agreTve sa-marTlianobis principebzedafuZnebuli xelmisawvdomijansaRi garemos Seqmnas;

Seswavlili unda iyos ise-Ti maCveneblebi romlebicaSuqeben:

a) garemo faqtorebis gav-lenas mosaxleobis janmrTe-lobis mdgomareobas maCve-neblebze

b) avlenen teritoriebsada regionebs, romlebic ga-moirCevian dabinZurebis ma-Rali doniT da mosaxleo-bis janmrTelobaze mavne ze-moqmedebiT

aucilebelia ganxilulida Sefasebuli iyos:

a) garemos higienis sfe-ros marTvis sistemebi

b) resursebi garemosa dajanmrTelobis dacvis poli-tikis gansaxorcieleblad

g) amasTan erTad garemoskonkretuli prioritetulifaqtorebi, kerZod:

garemos t0 _ XXI saukuneSimniSvnelovani adgili undadaeTmos globaluri daTbo-bis mosalodnel stiqiurubedurebebsa da sxvadasxvadaavadebaTa gavrcelebas –mosalodnel epidemiaTamzadyofnis sakiTxebs.

zemo aRniSnulis reali-zacia SesaZlebelia mxolodmoqmedebebze pasuxismgebelisaministroebis, uwyebebis, da-wesebulebebis, adgilobriviTviTmarTvelobis da mmarT-velobis organoebis, arasam-Tavrobo organizaciebismWidro interseqtoraluriTanamSromlobis safuZvel-ze, mosaxleobis farTo fe-nebis aqtiuri monawileobiT.mis ganxorcielebaSi gansa-kuTrebuli roli da pasu-xismgebloba eniWebaT adgi-lobrivi TviTmarTvelobisada mmarTvelobis organoebs,romlebmac janmo-s rekomen-daciis Tanaxmad unda Seimu-Savon da ganaxorcielon ad-gilobrivi (raionis, qalaqis)samoqmedo gegmebi, garemosada janmrTelobis gaumjobe-sebis calkeuli proeqtebi.gansazRvruli konkretuliprioritetuli RonisZiebebisgansaxorcieleblad umrav-les qveyanaSi (miT umetes possabWoTa kavSiris sivrces)arsebuli rTuli socialur-ekonomikuri mdgomareobisgaTvaliswinebiT, saWiro iq-neba dafinansebis sxvadasx-va wyaros mozidva, maT So-ris saerTaSoriso organza-ciebis, fondebis, donori qvey-nebis daxmareba.

kvlevebSi maRali teqno-logiebis CarTva, zusti sa-medicino statistikur mona-cemTa bazis arseboba, Tana-medrove kompiuterul prog-ramaTa Seqmna da gamoyeneba(daavadebaTa mimdinareobisprognozireba, riskis faqto-rebsa da jgufebis dadgenada sxva.) ai, is raze dayrd-nobiTac SesaZlebelia XXIsaukunis zemo CamoTvlilmraval problemaTa gadaW-ra.

yovelive zemo aRniSnuli-dan gamomdinare, mecniereba-Ta ganviTareba mimdinareobsda maTze monitoringis gan-xorcieleba warmoadgens Zi-riTad amocanas, romelic iT-valiswinebs qveyanaSi adami-anis janmrTelobisaTvisusafrTxo garemos Seqmnas,mosaxleobis janmrTelobi-sa da cxovrebis pirobebisgaumjobesebas, amasTan erTad,aucilebelia SesaZlo eko-paTologiuri prevenciuliRonisZiebebis gatareba, ro-melic XXI saukuneSi Ziri-Tad strategiad unda iqnesmiCneuli.

amdenad, regionSi jan-amdenad, regionSi jan-amdenad, regionSi jan-amdenad, regionSi jan-amdenad, regionSi jan-

dacvis ganviTarebis sa-dacvis ganviTarebis sa-dacvis ganviTarebis sa-dacvis ganviTarebis sa-dacvis ganviTarebis sa-

fuZvelia medicinis ,fuZvelia medicinis ,fuZvelia medicinis ,fuZvelia medicinis ,fuZvelia medicinis ,

sportisa da ganaTlebissportisa da ganaTlebissportisa da ganaTlebissportisa da ganaTlebissportisa da ganaTlebis

erTian mecnierul mar-erTian mecnierul mar-erTian mecnierul mar-erTian mecnierul mar-erTian mecnierul mar-

Tva, axali teqnologi-Tva, axali teqnologi-Tva, axali teqnologi-Tva, axali teqnologi-Tva, axali teqnologi-

ebze dafuZnebuli, soci-ebze dafuZnebuli, soci-ebze dafuZnebuli, soci-ebze dafuZnebuli, soci-ebze dafuZnebuli, soci-

alur-ekonomikuri gare-alur-ekonomikuri gare-alur-ekonomikuri gare-alur-ekonomikuri gare-alur-ekonomikuri gare-

mosa da jandacvis mniS-mosa da jandacvis mniS-mosa da jandacvis mniS-mosa da jandacvis mniS-mosa da jandacvis mniS-

vnelovani determinate-vnelovani determinate-vnelovani determinate-vnelovani determinate-vnelovani determinate-

bis gaTvaliswinebiT.bis gaTvaliswinebiT.bis gaTvaliswinebiT.bis gaTvaliswinebiT.bis gaTvaliswinebiT.

4.6.2.2. farmacia

• farmaciis dargis struq-turisa da ganviTarebis po-tenciali damokidebuliadargis da qvedargTa ganvi-Taremaze. kerZod farmacia-Si:

• adgilobrivi farmacev-tuli mreqveloba saerTaSo-riso GMP (Good ManufacturePractice- kargi sawarmoo praq-tika) doneze.

• GMP - inspeqtrati

• generikuli (arapatenti-rebuli) wamlebis warmoeba.

• saerTaSoriso doneze ak-reditebuli wamlis xaris-xis ganmsazRvreli labora-toriebi

• wamlis maregulirebeliorganos referens (saarbit-ros) laboratoria

• farmakoepidemiologia

• wamlebis gverdiTi efeq-tebis monitoringis centri

• farmacevtuli kadrebisgadamzadebis centri

• evrokavSiris farmacev-tul kanonmdeblobasTan har-monizaciis centri

samecniero TvalTaxedviT,

dargisa da qvedargiisaTvisaucilebelia:

• farmacevtul-mecnieru-li axali mimarTulebis gan-viTareba

• farmaciuli nanoteqno-logiebis ganviTareba

• farmakokinetikuri mec-nieruli kvlevebis ganviTa-reba

• adgilobrivi mcenareu-li nedleulidan moqmedisawyisebis gamoyofa da stan-dartizacia

• farmakoepidemiologiu-ri da socialuri farmaciiskuTxiT kvlevebis ganviTare-ba

• wamlebis gverdiT efeq-tebTan dakavSirebuli kvle-vebis ganviTareba

xolo dargisa da qvedar-gis saWiro specialobebia:

• inspeqtorebi licenzi-rebuli saerTaSoriso do-niT

• farmacevtuli nanoteq-nologiebis specialistebi

• klinikuri farmaciis spe-cialistebi

• wamalTa bioeqvivalen-tobis gansazRvris specia-listebi

• farmacevt-epidemiolo-gebi

• farmacevt-statistikose-bi

• wamlis xarisxis kont-rolis gansazRvris specia-listebi

• farmacevtul kanonmdeb-lobaSi momuSave specialis-tebi

• wamlis gverdiTi efeq-tebis dargSi momuSave spe-cialistebi

amdenad, saqarTveloSifarmaciis dargis ganviTare-bisaTvis inteleqtualuripotencialis resursi jer ki-dev arsebobs da misi drou-li amoqmedeba Cveni moqala-qeobrivi valia.

4.6.2.3. bio-samedicino in-dustria. . . . . bio-samedicino in-dustriis gadaudebeli samu-Saoebi da samomavlo ganvi-Tarebis strategiuli gegmamocemulia qvemo sqemaze:

gadaudebeli samuSaoebida samomavlo ganviTarebisstrategiuli gegma

I.Kvlevis obieqti a. xmele-Tis flora (Sesaswavlia9.5%):

1a. saqarTvelos endemurisamkurnalo mcenareebi

2a. mcenareebi3a. kavkasiis endemuri sam-

kurnalo mcenareebib. hidrobiontebi (Sesaswav-

lia 5%):1b. cxovelebi2b. wyalmcenareebiII. biologiurad aqtiuri

axali naerTebis (antikarce-nogenuli, imunotropuli, an-timikrobuli da antioqsi-danturi) skriningi da iden-tifikacia

winaklinikuri gamocdebiklinikuri gamocdebi

warmoeba GMPsistemiT:

• saineqcio preparatebi• wveTebi

• oraluri preparatebi

• malamoebiIII. Cveni bunebrivi da usaf-

rTxo samkurnalo da pro-filaqtikuri preparatebiTqveni janmrTeli da xangr-Zlivi cxovrebis imedi

xolo misi marTvis erTer-Ti mniSvnelovani determinan-tia Tanamebrove bio–samedi-cino teqnologiebi centri:

4.6.2.4. 4.6.2.4. 4.6.2.4. 4.6.2.4. 4.6.2.4. sportis indus-sportis indus-sportis indus-sportis indus-sportis indus-

triatriatriatriatria

dRes, profesiul sport-Si moqmedi sportsmenebis

janmrTelobis stabiluro-ba da maTi sportuli muSa-obis unarianobis done bev-rad aris damokidebuli ise-Ti mecnierebis Teoriul-praqtikul miRwevebTan, ro-goricaa prevenciuli medi-cina, pedagogika da fsiqo-logia.

ukanasknel wlebSi damsa-xurebuli adgili daikavamecnierebis axalma dargma,rogoricaa valeologia _mecniereba adamianis janmr-Telobis, misi praqtikuliSenarCunebisa da gakaJebis Se-saxeb.

amgvarad, sportsmenis or-ganizmSi mimdinare fsiqofi-ziologiuri da funqciuridarRvevebis gamovlenis va-leologiuri meTodologiaiZleva SesaZleblobas gamo-vavlinoT dinamiur reJimSiperspeqtiuli sportsmenebi,sworad gavukeToT organi-zeba maT trenings, droladavaciloT mosalodneli ga-dawvrTnisa da qronikulidaRlilobis sindromis gan-viTarebis sawyisi movlene-bi.H

qvemoT moyvanil sqemaSigamoxatulia arsebuliproblemebi da maTi gadaW-ris gzebi:L

amdenad aucilebelia sa-ministroebma sinqronuladganaxorcielo:

_ jandacvis saministrom:

• saeqimo kabinetis struq-turis gansazRvra

• gzamkvlevTa Seqmna

• specialistTa gadamza-debisa da momzadebis uSua-lo Sesruleba

• saeqimo saqmianobis mo-nitoringi

_ sportis da axalgazr-dobis saqmeTa samivistrom:

• specialistebis moTxov-nis gansazRvra:

• sportis eqimebis• fizioTerapevtebis

• meTodistebis da a.S._ ganaTlebis saministrom:

• specialistTa gadamza-debisa da momzadebis uSua-lo strategiis Seqmna

• skolebsa da baga-baReb-Si saeqimo saqmianobis aRd-gen

• 4.6.3. farmaciis,bio-me-farmaciis,bio-me-farmaciis,bio-me-farmaciis,bio-me-farmaciis,bio-me-

dicinis, medicinisa dadicinis, medicinisa dadicinis, medicinisa dadicinis, medicinisa dadicinis, medicinisa da

sportissportissportissportissportis industriis wvli-li qveynis mSp-Si da misi gan-viTarebis perspeqtivebi mo-cemulia sqemaSi

qveynis ekonomikis sworida logikuri ganviTarebisSemTxvevaSi (anu winamdeba-re strategiis mixedviT, sa-dac zemo sqemebSi mkafio-daa TiToeuli maTgani gan-xiluli) farmaciis, bio-farmaciis, bio-farmaciis, bio-farmaciis, bio-farmaciis, bio-

medicinis, medicinisa damedicinis, medicinisa damedicinis, medicinisa damedicinis, medicinisa damedicinis, medicinisa da

sportis sportis sportis sportis sportis industriis wvli-li qveynis mTlian Sida pro-duqtSi ara marto mokle(2020w-de), aramed, saSualo-da grZelvadian (2030 da2050ww) perspeqtivaSic ga-nuxrelad mzardi da metadmniSvnelovani iqneba. amdargis ganviTarebis prog-nozuli ekonomikuri maCve-neblebi mocemulia qvemocxrilSi.

4.6.4. mecnierebis da ganaT-lebis amocanebi dargis gan-viTarebisaTvis mocemuliasqemaze:

amdenad,zemoaRniSnuliproblemebis da arsebulimdgomareobis miuxedavad, un-da iTqvas, rom qveyanas jerkidev SemorCa sakmarisi ra-odenobis da xarisxis mecni-eri Tu profesionali praq-tikosi_specialisti. maTicodna_gamocdilebis konso-lidaciiT da swori organi-zebiT, SesaZlebelia, uaxlo-es 10 weliwadSi ganvaxor-cieloT mecnierebisa da ga-naTlebis sistemis Zireulireforma. aseve movaxdinoTmisi harmonizeba mwarmoeb-luri ekonomikis winamdeba-re strategiuli gegmiT gan-sazRvruli, prioritetulidargebis ganviTarebisaTvissaWiro sakadro moTxovneb-Tan.

farmaciis,bio-medici-farmaciis,bio-medici-farmaciis,bio-medici-farmaciis,bio-medici-farmaciis,bio-medici-

nis, medicinisa da spor-nis, medicinisa da spor-nis, medicinisa da spor-nis, medicinisa da spor-nis, medicinisa da spor-

tististististisMmecnierebisa daganaT-lebis sistemis fundamentu-ri gaumjobeseba did finan-sur da materialur resur-sebTan erTad did drosacmoiTxovs, amitom saswrafodSesadgenia maT mecnierebi-sa da ganaTlebis sistemisZireuli reformis proeqti,rac unda efuZnebodes qvey-nis socialur-ekonomikuriganviTarebis grZelvadianstrategias, rac `globalu-ri Cveni xedvis” sqemaSia mo-cemuli.

gagrZeleba me-10 gv.

10

reziume

saqarTvelos ekonomikis,saqarTvelos ekonomikis,saqarTvelos ekonomikis,saqarTvelos ekonomikis,saqarTvelos ekonomikis,

mecnierebis da ganaTlebismecnierebis da ganaTlebismecnierebis da ganaTlebismecnierebis da ganaTlebismecnierebis da ganaTlebis

harmoniuli ganviTarebisharmoniuli ganviTarebisharmoniuli ganviTarebisharmoniuli ganviTarebisharmoniuli ganviTarebis

prioritetuliprioritetuliprioritetuliprioritetuliprioritetuli

mimarTulebebimimarTulebebimimarTulebebimimarTulebebimimarTulebebi

(koncefcia)(koncefcia)(koncefcia)(koncefcia)(koncefcia)

profesori

g.CaxunaSvilig.CaxunaSvilig.CaxunaSvilig.CaxunaSvilig.CaxunaSvili

farmaciis, bio-medici-farmaciis, bio-medici-farmaciis, bio-medici-farmaciis, bio-medici-farmaciis, bio-medici-

nis, medicinisa da spor-nis, medicinisa da spor-nis, medicinisa da spor-nis, medicinisa da spor-nis, medicinisa da spor-

tis industriatis industriatis industriatis industriatis industria

adamianis janmrTelobi-

saTvis usafrTxo garemos

Seqmna yvela, gansakuTrebiT

gardamavali ekonomikis qvey-

nebisaTvis Zalze rTul amo-

canas warmoadgens. misi ga-

daWra SesaZlebelia mxolod

sxvadasxva saministroebisa

da uwyebebis, adgilobrivi

TviTmmarTvelobisa da mmar-

Tvelobis organoebis erTob-

livi ZalisxmeviT.

swored, amitom maTi mizani

unda iyos SeimuSavos da ga-

naxorcielos garemos higie-

nis samoqmedo erovnuli gegma,

garemosa da janmrTelobis

dacvis sferoSi qveyanaSi ar-

sebuli problemebis Seswav-

la da Sefaseba, maT gadasaW-

relad prioritetuli mi-

marTulebebisa da moqme-

debebis gansazRvra.

garemosa da janmrTe-

lobis dacvis sruli as-

peqti yvela gegmis mo-

TxovnaTa gaTvaliswine-

biT: politika garemosa da

janmrTelobis dacvis sfe-

roSi, garemos gajansaRe-

bis marTva, wylisa da hae-

ris xarisxi, sakvebi pro-

duqtebis xarisxi da usaf-

rTxoeba, myari narCenebi

da niadagis dabinZureba,

maionebeli da aramaione-

beli gamosxiveba, stiqiu-

ri ubedurebebi da samrew-

velo avariebi da a.S.

TiToeuli am sakiTxis

ganxilvisaTvis gaTva-

liswinebuli unda iyos

qveynis socialur-ekono-

mikuri, klimatur-geografiu-

li, demografiuli da sxva ga-

remoebani. da swored, amitom

saqarTvelos ekonomikis, mec-

nierebis da ganaTlebis har-

moniuli ganviTarebis prio-

ritetuli mimarTulebebSi

saqarTvelos ekonomikis, mecnierebis da ganaTlebissaqarTvelos ekonomikis, mecnierebis da ganaTlebissaqarTvelos ekonomikis, mecnierebis da ganaTlebissaqarTvelos ekonomikis, mecnierebis da ganaTlebissaqarTvelos ekonomikis, mecnierebis da ganaTlebis

harmoniuli ganviTarebis prioritetuli mimarTulebebiharmoniuli ganviTarebis prioritetuli mimarTulebebiharmoniuli ganviTarebis prioritetuli mimarTulebebiharmoniuli ganviTarebis prioritetuli mimarTulebebiharmoniuli ganviTarebis prioritetuli mimarTulebebi( k o n c e f c i a )( k o n c e f c i a )( k o n c e f c i a )( k o n c e f c i a )( k o n c e f c i a )

saTanado adgili unda dai-

Wiros ,rogorc saqarTvelos

ekonomikis gansaviTarebelma

calkeulma dargma - - - - - far-

maciis, bio-medicinis, me-

dicinisa da sportis in-

dustriam.

saqarTvelos ekonomi-

kis, rogorc calke dar-

gis -farmaciis, bio-medi-

cinis, medicinisa da

sportis industriis qve-

dargebSi aucilebelia

ganixilebodes damouki-

deblad : jandacva

farmacia

bio-samedicino indus-

tria da

sportis industria

rac Seexeba farmaci-

is, bio-medicinis, medici-

nis, sportis mecnierebi-

sa da ganaTlebis srul-

fasovani harmoniuli gan-

viTarebaSi umniSvnelo-

vanesia Semdegi dargebi:

medicina

farmacia B B B B B

dasasruli. dasawyisi me-9 gv. bio-medicina

sportuli medicina

xolo am dargebSi Sesa-

bamisad qvedargebi:

medicinaSi - saeqimo saq-

mianoba, fizikuri medicina

da reabilitacia

saeqTno saqme

okupaciuri Terapia

sazogadoebrivi jandacva

stomatologia

farmaciaSi - samrewvelo

farmacia

farmacevtuli analizi

farmacevtuli kosmeto-

logia da parfiumeria

saveterinaro farmacia

biofarmacia

bio-medicinaSi- samedici-

no bio-teqnologia

sportuli medicinaSi –

valeologia

sanologia

fizikuri medicina reabi-

litacia, fizioTerapia

zemo gamoyofil dargeb-

sa da qvedargebs srulyo-

fil funqcionirebisaTvis

esaWiroeba Semdegi specia-

lobebi:

diplomirebuli mediko-

sebi;

diplomirebuli eqTani/

bebia qali da sxv.

generalizebul gramuaryofiT

infeqcias, Taviseburi polimor-

fuli mimdinareobiTa da gar-

TulebebiT.

• nawlavismieri sefsisis mim-

dinareobis dros etiologiuri

faqtoris gaTvaliswinebiT daa-

vadebis simZimis mixedviT aRi-

niSneboda hemogramis mravalsa-

xovani cvlilebebi, rac SedegSi

gamoixateboda: sefsisis xangrZ-

livi mimdinareobis Sesabamisad

TeTri sisxli SeiZleba iyos ro-

gorc normaluri, ise aRiniSnos

leikocitozi an leikopenia, wi-

Teli sisxli xSirad normis far-

glebSia da amasTan, SeiZleba avad-

myofs gamoexatos mkveTri anemi-

ac (sicocxlesTan SeuTavsebelic

ki). hemogramaSi metad damaxasia-

Tebelia aneozinofilia, iSvia-

Tad– hipereozinofilia. leiko-

citarul formulaSi upirate-

sad neitrofilozia CxirbirT-

viani gadaxriT.

• mkurnaloba. nawlavismieri

sefsisis mkurnalobaSi maRale-

feqturi antibiotikis droul

CarTvas gadamwyveti mniSvnelo-

ba aqvs daavadebis kargi gamosav-

lisaTvis. unda aRiniSnos isic,

rom nawlavuri mikrobuli flo-

ris antibiotikebTan mgrZnobe-

loba metad gansxvavebulia im

mikrobebis antibiotikogramisa-

gan, romlebic gvxvdeba aranaw-

lavuri warmoSobis sefsisebis

(tonzilogenuri, filtvismieri,

nefrologiuri da a.S.) dros. amas-

Tan, racionaluri antibiotike-

bis SerCevis mizniT gaTvaliswi-

nebuli unda iyos gramuaryofi-

Ti infeqciebis dros im rekomen-

direbuli antibaqteriuli pre-

paratebis gamoyeneba, romlis

dros nawlavebSi arsebuli mik-

roflora gansakuTrebul mgrZno-

belobas iCens.

• mwvave nawlavismieri sef-

sisis dros antibiotikebis qi-

mioTerapiuli efeqti miiRweva

sxvadasxva xasiaTis Terapiul–

qirurgiuli midgomiT, romelic

damokidebulia gamomwvevis saxe-

obaze, kerZod:

• stafilokokuri etiologi-

is SemTxvevaSi temperaturis nor-

malizacia miiRweva antibioti-

kebis gamoyenebiT im pirobebSi,

roca organizmSi arsebuli Cir-

qovani kera drenirebulia an ra-

dikalurad mocilebuli. Ziri-

TadSi mkurnalobis efeqti mi-

iRweva aminoglikozidebis Ser-

wymiT antibiotikebis sxva jgu-

fis qimiopreparatebTan (naxevrad-

sinTezuri penicilinebi, levo-

micetin suqcinat natriumi, ce-

falosporinebi, rifampicini,

linkomicini). stafilokokuri

nawlavismieri sefsisis dros, arc

Tu iSviaTad, saWiro xdeba sef-

sisis mkurnaloba eqvsive mimar-

TulebiT (antibaqteriuli, imu-

nuri, antikoagulanturi, antifer-

mentuli, transfuziuli Terapia,

eqstrakorporaluri detoqsika-

cia mkurnalobis aratradiciu-

li meTodebiT) gamoyeneba;

• eSerixiozuli mikroflo-

ris generalizaciis dros an-

tibiotikebis qimioTerapiuli

efeqti miiRweva aminoglikozi-

debis SerwymiT naxevradsinTe-

zur penicilinebTan da levo-

micetin suqcinat natriumTan.

im SemTxvevaSi, rodesac mkurna-

lobaSi gamoiyeneba zemoaRniS-

nuli antibiotikebidan erT–er-

Ti da misi gamoyenebis SemTxve-

vaSi temperatura qveiTdeba sub-

febrilitetamde da xangrZli-

vad fiqsirdeba erT donemde, tem-

peraturis normalizacia SesaZ-

lebelia mkurnalobaSi indome-

tacinis CarTvis Semdeg; avadm-

yofebis am jgufSi didi yuradRe-

ba eqceva CanacvlebiT Terapias

wyal–eleqtrolituri, naxSirwy-

lebis cvlis darRvevebis kore-

girebas, rac mkveTrad aumjobe-

sebs organizmis ZiriTadi fun-

qciebis aRdgenas;

• proteusuli sefsisis dros

etiotropuli mkurnalobis efeq-

ti miiRweva naxevradsinTezuri

penicilinebis gamoyenebisas

prednizolonis saSualo doze-

bis (30 mg kg) da heparinoTerapi-

is (20–30 000 erT. dRe–RameSi) Car-

Tvis fonze. erT SemTxvevaSi Tir-

kmlis ukmarisobis ganviTarebi-

sas gamoyenebuli iqna amikacini

klaforanTan erTad. amasTan, an-

tibiotikoTerapia mimdinareob-

da grantis formulis gamoyene-

biT (sisxlSi kreatininis do-

nis mixedviT aminoglikozidebis

Seyvanis standartuli dozis in-

tervalis gazrda). amasTan aRsa-

niSnavia, rom proteuli sefsi-

sis mkurnaloba warmoadgens Znel

amocanas, radgan mis dros xSir

SemTxvevaSi gvxvdeba antibioti-

kebTan polirezitentuli gamom-

wvevi da, arc Tu ise iSviaTad,

viTardeba pielonefritis mZime

formebi (mikrobuli ureazebisa

da antikoagulazebis zemoqmede-

bis Sedegad Tirkmlis sisxlZar-

Rvebze da milakebis epiTelium-

ze). klinikuri masalis simcire

(12 SemTxveva) da maRali leta-

loba proteuli nawlavismieri

sefsisis dros (50 %) gvzRudavs

rekomendaciis gakeTebaSi anti-

biotikoTerapiis racionaluri

gamoyenebis TvalsazrisiT. amas-

Tan, Cveni klinikuri dakvirveba

gvaZlevs uflebas aRvniSnoT, rom

am daavadebis SemTxvevaSi saWi-

roa antibiotikoTerapiis Cata-

reba prednizolonTerapiisa (mci-

redan maRal dozebamde) paTo-

logiuri procesis simZimis gaT-

valiswinebiT) da heparinoTera-

piis fonze. saWiroebs sisxlSi

kreatininis raodenobis kont-

rols.

• daudgeneli etiologiis

sefsisis dros antibiotikebis

maRali qimioTerapiuli efeqti

aRiniSneba aminoglikozidebis

(25 %) an maTi Serwymisas naxev-

radsinTezur penicilinebTan (35

%) da cefalosporinebTan (20

%). dadebiTi Sedegi miiRweva ag-

reTve levomicetin suqcinat

natriumis gamoyenebisas (20 %).

saWiroebis SemTxvevaSi antibaq-

teriuli Terapiis efeqtianoba

SeiZleba gavzardoT sefsisis sa-

winaaRmdego mkurnalobis erTi

an ramdenime samkurnalo saSua-

lebebis (eqvsi mimarTulebidan)

CarTvis Sedegad. zogierT Sem-

TxvevaSi SeiZleba gamoyenebuli

iqnes steroiduli an arastero-

iduli anTebis sawinaaRmdego

preparatebi.

daskvna :daskvna :daskvna :daskvna :daskvna :

• nawlavismieri sefsisi moz-

rdilebSi warmoadgens axal (ad-

re ar aRweril) nozologiur

formas Cirqovan–septiur daa-

vadebaTa rigSi, rac dadasture-

bulia klinikur–paTanatomiuri

da eqsperimentuli masalebiT.

terminis „nawlavismieri sefsi-

si mozrdilebSi“ klinikur

praqtikaSi dakanoneba xels Se-

uwyobs mis adreul diagnosti-

kas da , maSasadame etiotropu-

li mkurnalobis maRal efeq-

turobas am daavadebis dros, ro-

melic jer kidev ganapirobebs

maRal letalobas.

• ucnobi etiologiis cxe-

lebebis dros, roca aRiniSneba

garkveuli winapiroba (premor-

biduli foni, risk-faqtorebi,

daavadebis dasawyisi) „nawlavu-

ri barieris“ darRvevisa da sef-

sisis klinika infeqciis Sema-

vali gzis daudgenlad, unda vi-

varaudoT nawlavismieri sefsi-

sis arseboba, rasac aqvs didi

klinikuri mniSvneloba adreu-

li adekvaturi mkurnalobis

dawyebisaTvis da letalobis

Sesamcireblad.

• mwvave nawlavismieri sef-

sisis etiologiuri faqtori

gansazRvravs etiotropul mkur-

nalobaSi antibiotikebis gamo-

yenebis Taviseburebebs. etiot-

ropuli mkurnalobis efeqti

aminoglikozidebis SerwymiT ce-

falosporinebTan da naxevarsin-

Tezur penicilinebTan vlindeba

eSerixiozuli infeqciis gene-

ralizaciisas arasteroiduli

anTebis sawinaaRmdego prepara-

tis CarTvis Semdeg. aseTive moq-

medeba miiRweva gliukokorti-

koidebis gamoyenebisas proteu-

li etiologiis daavadebis

dros; Cirqovani metastazebi me-

tad damaxasiaTebelia stafilo-

kokuri infeqciis generaliza-

ciisas, rac moiTxovs qirurgi-

ul sanacias da am mxriv gansa-

kuTrebul yuradRebas. nawlavis-

mieri sefsisis eqstrakorpora-

luri detoqsikacia unda gan-

xorcieldes daavadebis adre-

ul vadebSi da gagrZeldes toq-

sikozis movlenebis ukuganviTa-

rebamde.

igor doliZe igor doliZe igor doliZe igor doliZe igor doliZe _ sefsiso-

logiis axali mimarTulebis fu-

Zemdebeli

igor doliZe medicinis dar-

gobrivi ganaTlebiT akademikos

v.boWoriSvilis infeqciuri sko-

lis warmomadgenelia. Mmisi sa-

mecniero-praqtikuli moRvaweoba

sefsisis sawinaaRmdego centr-

Si (Tbilisi) upiratesad dakav-

Sirebuli iyo mozrdilebSi

kriptogenuli sefsisis etiolo-

giisa da paTogenezis dadgeniT,

romelic xels Seuwyobda dife-

rencirebul diagnostikasa da

adekvatur mkurnalobas. Mman sta-

cionarSi gatarebuli avadmyo-

febis istoriebis retrospeqtu-

li analiziT kriptogenuli sef-

sisiT diagnostirebuli 337 avad-

myofidan gamoyo 124 SemTxveva, ro-

melic Tavisi klinikur-labora-

toriuli gamokvlevebiT maRali

albaTobiT adasturebda pirobiT-

paTogenuri infeqciis SeWris re-

alur gzas nawlavebidan, e.i naw-

lavuri warmoSobis sefsisze, ro-

melic kriptogenuli sefsisis

niRbis qveS mimdinareobda.

Ppirvelad termini `nawlavismi-

eri sefsisi mozrdilebSi”, Ta-

visi klinikuri arsiTa da avad-

myofebis istoriebis ganxilviT

gamoyenebuli iqna 1989 _ 1990 wleb-

Si ruseTis centralur Jurna-

lebSi, ramac gansakuTrebuli aRi-

areba hpova saqveynod cnobil

klinicistebSi (z.barkagani, b.bo-

gomolovi-ruseTi; J.rebenoki-be-

lorusia; Carl abramson, Cathe-

rine Nnoka - USA). sadisertacio

naSromma: nawlavismieri sefsi-

si: etiologia, paTogenezi. diag-

nostika da mkurnaloba Tanamed-

rove kompiuteruli teqnologi-

is gamoyenebiT, romelic man da-

icva 1993 wels Tssu-Si, samecnie-

ro-saatestacio sabWos wevrebma,

profesorebma g.rcxilaZem da

a.xoWavam naSromi Seafasa, rogorc

axali, dRemde ucnobi nozolo-

giuri erTeulis aRmoCena. ruse-

Tis medicinis mecnierebaTa aka-

demiis akademikosma z.barkaganma

sadisertacio naSromi Seafasa,

rogorc mniSvnelovani epoqalu-

ri movlena Tanamedrove sefsi-

sologiis ganviTarebaSi, romel-

mac am mecnierebaSi safuZveli

Cauyara axal mimarTulebas da

gaxsna axali Tavi.

profesor i.doliZis mier

warmodgenili naSromi Jurnal

„bavSvTa kardiologiaSi“ gark-

veul codnas SeZens eqims naw-

lavismieri sefsisis kliniku-

ri mimdinareobis Taviseburebeb-

Si, sadac gansakuTrebuli ro-

li eniWeba sefsisur endokar-

dits, romlis diagnoscireba

garkveul siZneleebTan aris da-

kavSirebuli. Tu sefsisuri en-

dokarditis diagnozi sicocx-

leSi Seadgenda 6,5 procents,

gvamuri masalis paTomorfolo-

giuro kvlevisas diagnoscir-

deboda 23,5 procentSi. 17 pro-

centiT gansxvaveba seriozul

safrTxes uqmnis avadmyofis si-

cocxlisunarianobas.

saqarTvelos humanitarul da

saxelovnebo mecnierebaTa aka-

demiis akademikos-mdivans, medi-

cinis mecnierebaTa doqtors,

profesors igor doliZes Se-

usrulda 75 weli. mis mier gan-

vlilma mravalferovanma saeqi-

mo praqtikam, mravalmxrivma sa-

mecniero da pedagogiurma moR-

vaweobam moutana mas udidesi

profesiuli avtoriteti, pati-

viscema da siyvaruli avadmyo-

febs, studentebsa da pedagog–

kolegebs Soris.

batono igor idRegrZeleT,

ibedniereT! gaxsovdeT – Tqveni

wlebi da namoRvawari Cveni da

Tqveni simdidrea. RmerTi iyos

Tqveni mfarveli.

dasasruli. dasawyisi me-7 gv.

mozrdilebSi nawlavismieri sefsisis

klinikuri mimdinareobis Taviseburebani

11

yoveldRiuri da yvelasaTvisxelmisawvdomi iafi sakvebi pro-duqti `apipuri”. gamdidrebuliajanmTelobisaTvis aucilebeli a-minomJavebiT, vitaminebiT da mine-ralebiT. xali teqnologiiT dam-zadebuli puri saqarTveloSi Se-amcirebs masiurad gavrcelebulvitaminebis, aminomJavebis da mik-roelementebis deficitiT gamow-veul daavadebebs. saqarTveloSipuris moxmareba sakmarisze uf-ro maRalia. samwuxarod, dReisT-vis saqarTveloSi puri ZiriTa-dad iseTi fqvilisgan cxveba, ro-melic mikronutrientebis Semc-velobis erovnul standartebsar Seesabameba. puri asakis, sqesisda moxmarebis sixSiris mixedviTunikaluri produqtia; izrdebapremialuri jansaRi produqtiswili; etapobrivad xdeba bazrissegmentacia SefuTvis, dizainis xa-risxis da moxmarebis gamartive-bis mixedviT. bazarze gaizardaadgilobrivad warmoebuli xor-blis fqvilisagan damzadebulipuris jamuri simZlavre. GaizardamoTxovnileba vitaminebiT da mi-neralebiT gamdidrebul purze.sadReisod bazarze arsebuli vi-taminebiT da mineralebiT gamdid-rebuli pureulis raodenoba daSemadgenloba ver akmayofilebsmoTxovnilebas. Catarebuli kvle-vis Sedegebis mixedviT zogadaddadginda, rom puris nimuSebismxolod 24.9% iyo Sesabamisad for-tificirebuli, rac ar aris sak-marisi mosaxleobaSi mikronut-rientebis deficitis Semcirebis-Tvis. Cveni teqnologiiT damza-debuli puri, gamdidrebuli jan-mTelobisaTvis aucilebeli ami-nomJavebiT, vitaminebiT da mine-ralebiT unikaluri da maRal-moTxovnadia. Cven gmaokvlevebzedayrdnobiT, `apipuri“-s momxmare-beli mosaxleobis farTo fenaa.specifiuradki, ZiriTadi myidve-li da momxmarebeli _ bavSvi, xan-dazmuli adamiani da sportsme-nia. vinaidan, polideficits yve-laze metad aRniSnuli katego-ria ganicdis. S.p.s. `puri” da so-cialuri pediatriis dacvis fon-di, winaswari analizis datesti-rebis Semdeg, uzrunvelyofen pu-ri _ `apipuri”-s srul warmoebasda biologiurad aqtiuri buneb-rivi danamatis suspenziis Semad-genlobis daxvewas, licenzire-bas da produqciis farTo masS-tabian gamoSvebas. yovelTviuradgaizrdeba puris warmoebis mo-culoba da wlis bolos

miaRwevsdaaxloebiT 150 000 calpurs erT TveSi.gaizrdeba sawar-mos Semosavlebi 15%-iT. `apivi-ti” mzaddeba unikaluri Tvisebe-bis mqone qarTuli (kavkasiuri)futkris produqtebis nazaviT. ase,rom proeqtis mTavari mizani iq-neba, damuSavdes da daixvewos bi-ologiuri aqtiuri danamati sop-timaluri Semadgenloba, rac mog-vcems mosaxleobaSi janmrTelo-bis mdgomareobis maqsimalur ga-umjobesebas mikroelementebis, vi-

taminebis da aminmJavebis defici-tis mxriv. aseve, Cveni biologiu-rad aqtiuri danamatis Semadgen-lobis daxvewa gazrdis puris Se-naxvis vadas, rac mogvcems `apipu-ri”-is produqtis eqsportis sa-Sualebas mezobel qveynebSi. Sem-dgomSi vapirebT `apiviti”-is sus-penziaSi antiseptikuri Tvisebe-

bis gazrdiT miviRoT bunebrivikonservanti. Romelic gamoyene-buli iqneba sxva kvebis produq-tebis warmoebaSi. momavalSi, dax-vewis Semdeg, biologiurma dana-matma aseve SeiZleba Caanclos sin-Tezuri qimiuri konservantebi,romlebiC sakmaod didi raodeno-biT gamoiyeneba produqciaSi.

yoveldRiuri da yvelasaTvisxelmisawvdomi iafiFsakvebi pro-duqti `apipuri”. gamdidrebuliajanmTelobisaTvis aucilebeliaminomJavebiT, vitaminebiT da mi-neralebiT. igi Seamcirebs masiu-rad gavrcelebul vitaminebis, ami-nomJavebis da mikroelementebisdeficitiT gamowveul daavadebebs.mosaxleobis farTo fenebis kvebisracionSi sakmaodaa gavrcelebu-li mikonutrientebis deficitiromelic mravali daavadebis sa-windaria. cilovan-energetikulideficiti (zrdaSi CamorCena) bav-SvTa da mozardTa asakSi, janmo-s bavSvis zrdis standartTan(2.3%) SedarebiT, statistikuradmniSvnelovnad aris momatebuli.deficituri mdgomareobax SiradTavs spotsmenebSic iCens, sadacumniSvnelovanes problemas mwva-ve daqronikuli gadaZabvad amisiprofilaqtika warmoadgens. janm-rTelobis msoflio organizaci-is bavSvis zrdis standartis mi-

xedviT zrdaSi CamorCenis nebis-mieri maCvenebeli sagangaSoa daSesabamisi reagirebisa da kvebisada janmrTelobis programis gan-xorcielebis safuZvels warmo-adgens. janmo-smier mier aRiare-buli unikaluri programa-yovel-dRiurad yvelasaTvis xelmisawv-domi sakvebi produqtis – puris

Tundac rkiniT gamdidreba, saqar-TveloSi Seamcirebs anemiiT ga-mowveul daavadebebs. Kvlevis Se-degebis mixedviT zogadad dad-ginda, rom puris nimuSebis mxo-lod 24,9 % iyo Sesabamisad for-tificirebuli, rac araris sakma-risi mosaxleobaSi mikronutri-entebis deficitis SemcirebisT-vis. komerciul sacxobebsa da Si-nameurneobis pirobebSi puris ga-mosacxobad gamoyenebuli xorb-lis fqvilis umetesoba an ar i-yo rkiniT gamdidrebuli, an ara-sakmaris rkinas Seicavda. amgvarimdgomareoba yvela regionSi ga-movlinda. aRsaniSnavia, rom rad-gan rkina xSirad sxva mikroele-mentebiT Sesabamisi fortifika-ciis maCvenebelia da radgan qar-Tuli puri rkiniT ar aris sakma-risad fortificirebuli, SegviZ-lia davaskvnaT, rom puri sxva ele-mentebs, maT Soris foliumis mJa-vasac, arasakmarisad Seicavs. aRa-rafers vambobT vitaminebiT gam-didrebaze. aRniSnuli proble-mis gadawvetas moemsaxureba yve-lasaTvis xelmisawvdomi iafi sak-vebi produqtis puri -,,apipuri”-s warmoeba.

yoveldRiuri da yvelasaTvisxelmisawvdomi sakvebi produqtipuri, gamdidrebuli janmTelobi-saTvis aucilebeli aminomJavebiT,

vitaminebiT da mineralebiT, sa-qarTveloSi Seamcirebs masiuradgavrcelebul vitaminebis, aminom-Javebis da mikroelementebis de-ficitiT gamowveul daavadebebs,romlebic did safTxes uqnian bav-Svebs da saqarTvelos mTel mo-saxleobas. `apipuri” Seicavs yve-la zemoTqmul bunebri velementsda misi moxmareba mosaxleobasuzrunvelyofs janmrTelobisT-vis sakmaris vitaminebs, aminmJa-vebsa da mikroelementebs.

xali teqnologiiT damzade-buli puri `apipuri”, romelicgamdidrebulia biulogiurad aq-tiuri danamatiT `apivitiT” (fut-kris naturaluri produqtebisnazavi), gamoirCeva sasiamovno, spe-cifikuri surneliT da gemoTi,racproduqts ufro mimzidvelsxdis. vinaidan mosaxleoba darw-munebulia futkris produqtebissasargeblo TvisebebSi, produq-ti ufro metn dobas moipovebsmomxmarebelSi.

sxva ufro Zvirad Rirebulikvebis produqtebiT (rZis nawar-mi, xorci, Tevzeuli)

preparatebiT da kvebiTi dana-matebiT, romlebic Seicaven ami-nomJavebs, vitaminebs da minera-lebs, preparatebi (Multi-tabs B-com-plex da sxva), kvebiTi danamatebi)preparatebSi da kvebiT danamatebSiaminomJavebi, vitaminebi da mine-ralebi miRebulia sinTezuri

gziT. maTgan gansxvavebiT „apivi-ti“ warmoadgens bunebriv futk-ris produqtebis nazavs.

masSemdegrac„apviti“-is suspen-ziaSi ingredientebis wilobri-vi cvlilebebiT ise rom pro-duqts ar daekargos sasiamovnogemo da surneli, comSi mikrobi-ologiuri analizis safuZvel-ze miiRweva vargisianobis gazr-da. Adglobriv bazarTan erTadCveni samizne gaxdeba saerTaSo-riso bazaric.

puri „apipuri“ romelic gam-didrebulia bunebrivi biologi-urad aqturi produqtiT warmo-adgens siaxles rogorc adgilob-riv ise saerTaSoriso bazarze.ar arsebobs iseT pur-funTuSeu-lis produqti romelic SeicavserTdroulad amnomJavebs, vitam-nebs da mineralebs.

saqarTveloSi pur-funTunTu-Seulis mravali saxeoba iwarmo-eba. Cveni konkurentebi arian ismwarmoeblebi, romlebic uSvebenvitaminebiT da mineralebiT gam-didrebul purs. maTi produqciagamdidrebulia ZiriTadad rkiniTda B-jgufis vitaminebiT. aseT sa-warmoTa raodenoba mcirea da verakmayofilebs bazris miTxovnile-bas. Cvens mier warmoebuli puri-,,apipuri” gamdidrebuli aminom-JavebiT, vitaminebiT da minera-lebiT, zemoT CamoTvlili gam-didrebuli pureulisagan gansx-vavebiT, Seicavs yvelaze srul-yofil nakrebs. Mxolod mis Se-madgenlobaSia erTdroulad:mniSvnelovani naxSirwylebi(fruqtoza, glukoza), aminomJave-bis 22saxeoba (valini, lizini,leicini, glutamini, cistini dasxva), vitaminebi

(A, B1, B2,B5,B6,Bcac. folici,C,D,PP,E,Kfosfoterinebi, rutini(sisxlZarRvis kedlis gamamagre-beli flavinoidi) najeri da uje-ri cximovani mJavebi, mineralebi(Ca, Mg, Pp, Fe, Zn, I, Ka, Na, Cu).

yoveldRiuri da yvelasaTvisxelmisawvdomi iafiFsakvebi pro-duqti `apipuri”. romelc damza-debulia axali teqnologiiT, sa-qarTveloSi Seamcirebs masiuradgavrcelebul vitaminebis, aminom-Javebis da mikroelementebis de-ficitiT gamowveul daavadebebs.

`apipuri~ - aminomJavebiT, vitaminebiTa da mineralebiT gamdidrebuli puri“k. CaxunaSvili, S.iusupovi, i.kalandia, n.badriaSvili,k. CaxunaSvili, S.iusupovi, i.kalandia, n.badriaSvili,k. CaxunaSvili, S.iusupovi, i.kalandia, n.badriaSvili,k. CaxunaSvili, S.iusupovi, i.kalandia, n.badriaSvili,k. CaxunaSvili, S.iusupovi, i.kalandia, n.badriaSvili,

n.TofuriZe, g.CaxunaSvilin.TofuriZe, g.CaxunaSvilin.TofuriZe, g.CaxunaSvilin.TofuriZe, g.CaxunaSvilin.TofuriZe, g.CaxunaSvili

socialuri pediatriis dacvis fondi, S.p.s. `puri“

kvebis obieqtebi, mwarmoeblebTan erTad aqtiurad Caebnen

moZraobaSi ̀ jansaRi kveba bavSvebs~ sruldeba

12

- 2000-2004 ww.

Cvens mier saqvelmoqmedo aqciebSi gaisinja 19Cvens mier saqvelmoqmedo aqciebSi gaisinja 19Cvens mier saqvelmoqmedo aqciebSi gaisinja 19Cvens mier saqvelmoqmedo aqciebSi gaisinja 19Cvens mier saqvelmoqmedo aqciebSi gaisinja 198080808080 wlidan – wlidan – wlidan – wlidan – wlidan – dRemde 219 dRemde 219 dRemde 219 dRemde 219 dRemde 219 302302302302302 bavSvi. bavSvi. bavSvi. bavSvi. bavSvi.

saqvelmoqmedo aqciebi grZeldebasaqvelmoqmedo aqciebi grZeldebasaqvelmoqmedo aqciebi grZeldebasaqvelmoqmedo aqciebi grZeldebasaqvelmoqmedo aqciebi grZeldeba.....

qvelmoqmedebaqvelmoqmedebaqvelmoqmedebaqvelmoqmedebaqvelmoqmedeba

13saqvelmoqmedo aqcia rusTavsa da samtrediaSisaqvelmoqmedo aqcia rusTavsa da samtrediaSisaqvelmoqmedo aqcia rusTavsa da samtrediaSisaqvelmoqmedo aqcia rusTavsa da samtrediaSisaqvelmoqmedo aqcia rusTavsa da samtrediaSi

saqvelmoqmedo aqciasaqvelmoqmedo aqciasaqvelmoqmedo aqciasaqvelmoqmedo aqciasaqvelmoqmedo aqcia

qaqucoba 2008qaqucoba 2008qaqucoba 2008qaqucoba 2008qaqucoba 2008saqvelmoqmedo aqciebisaqvelmoqmedo aqciebisaqvelmoqmedo aqciebisaqvelmoqmedo aqciebisaqvelmoqmedo aqciebi

marneulSi, duSeTSi damarneulSi, duSeTSi damarneulSi, duSeTSi damarneulSi, duSeTSi damarneulSi, duSeTSi da

axaSenSiaxaSenSiaxaSenSiaxaSenSiaxaSenSi

Tbilisis saxelmwifoTbilisis saxelmwifoTbilisis saxelmwifoTbilisis saxelmwifoTbilisis saxelmwifosamedicino universitetissamedicino universitetissamedicino universitetissamedicino universitetissamedicino universitetisteritoriaze 2008 wlis 2teritoriaze 2008 wlis 2teritoriaze 2008 wlis 2teritoriaze 2008 wlis 2teritoriaze 2008 wlis 2

ivniss moewyo bavSvTa karaviivniss moewyo bavSvTa karaviivniss moewyo bavSvTa karaviivniss moewyo bavSvTa karaviivniss moewyo bavSvTa karavi(((((TTTTTeddy Veddy Veddy Veddy Veddy Veuz Hospiteuz Hospiteuz Hospiteuz Hospiteuz Hospitalalalalal),),),),), romelSic romelSic romelSic romelSic romelSic

monawileoba miiResmonawileoba miiResmonawileoba miiResmonawileoba miiResmonawileoba miiResuniversitetis studentebmauniversitetis studentebmauniversitetis studentebmauniversitetis studentebmauniversitetis studentebma

saqvelmoqmedo aqciasaqvelmoqmedo aqciasaqvelmoqmedo aqciasaqvelmoqmedo aqciasaqvelmoqmedo aqcia

xaSurSi 2009xaSurSi 2009xaSurSi 2009xaSurSi 2009xaSurSi 2009

saqvelmoqmedosaqvelmoqmedosaqvelmoqmedosaqvelmoqmedosaqvelmoqmedo

aqcia barisaxo 2009aqcia barisaxo 2009aqcia barisaxo 2009aqcia barisaxo 2009aqcia barisaxo 2009

14

saqvelmoqmedo aqcia omis monawileTa ojaxebisa da wminda keTilmsaxuri mefesaqvelmoqmedo aqcia omis monawileTa ojaxebisa da wminda keTilmsaxuri mefesaqvelmoqmedo aqcia omis monawileTa ojaxebisa da wminda keTilmsaxuri mefesaqvelmoqmedo aqcia omis monawileTa ojaxebisa da wminda keTilmsaxuri mefesaqvelmoqmedo aqcia omis monawileTa ojaxebisa da wminda keTilmsaxuri mefe

Tamaris skola pansionis bavSvebi (dekanozi mirian samxaraZe) gasinjva 2010Tamaris skola pansionis bavSvebi (dekanozi mirian samxaraZe) gasinjva 2010Tamaris skola pansionis bavSvebi (dekanozi mirian samxaraZe) gasinjva 2010Tamaris skola pansionis bavSvebi (dekanozi mirian samxaraZe) gasinjva 2010Tamaris skola pansionis bavSvebi (dekanozi mirian samxaraZe) gasinjva 2010

saqvelmoqmedo aqciasaqvelmoqmedo aqciasaqvelmoqmedo aqciasaqvelmoqmedo aqciasaqvelmoqmedo aqcia

kalaTburTelebis gasinjva 2010kalaTburTelebis gasinjva 2010kalaTburTelebis gasinjva 2010kalaTburTelebis gasinjva 2010kalaTburTelebis gasinjva 2010saqvelmoqmedo aqcia karaleTi 2010saqvelmoqmedo aqcia karaleTi 2010saqvelmoqmedo aqcia karaleTi 2010saqvelmoqmedo aqcia karaleTi 2010saqvelmoqmedo aqcia karaleTi 2010

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

2011 wlis 1 ivniss2011 wlis 1 ivniss2011 wlis 1 ivniss2011 wlis 1 ivniss2011 wlis 1 ivniss

2011 wlis2011 wlis2011 wlis2011 wlis2011 wlis1 ivniss1 ivniss1 ivniss1 ivniss1 ivniss

konferenciis organizatoreb-sa da afxazeTis jandacvis sami-nistros iniciativiT bavSvTa dac-vis dRes mieZRvna bavSvTa saq-velmoqmedo konsultaciebi, ro-melic Catarda bavSvTa axal kli-nikaSi da gaisinja 200-mde bavS-vi.agreTve moewyo afxazeTidanafxaz bavSvTa namuSevrebis na-xatebis gamofena da maT gadae-caT sertifikatebi.

15

27.07.12. Telavi27.07.12. Telavi27.07.12. Telavi27.07.12. Telavi27.07.12. Telavi

01.06.12. Tbilisi01.06.12. Tbilisi01.06.12. Tbilisi01.06.12. Tbilisi01.06.12. Tbilisi

11.08.12. karaleTi11.08.12. karaleTi11.08.12. karaleTi11.08.12. karaleTi11.08.12. karaleTi

saqvelmoqmedosaqvelmoqmedosaqvelmoqmedosaqvelmoqmedosaqvelmoqmedo

aqcia 24.12.2011.aqcia 24.12.2011.aqcia 24.12.2011.aqcia 24.12.2011.aqcia 24.12.2011.

bavSvTa axalbavSvTa axalbavSvTa axalbavSvTa axalbavSvTa axal

klinikaSiklinikaSiklinikaSiklinikaSiklinikaSi

(gaisinja 200-ze(gaisinja 200-ze(gaisinja 200-ze(gaisinja 200-ze(gaisinja 200-ze

meti bavSvi)meti bavSvi)meti bavSvi)meti bavSvi)meti bavSvi)

01.06.13 .01 .06.13 .01 .06.13 .01 .06.13 .01 .06.13 .

bavSvTa dacvis dRes afxazeTis jandacvis erToblivi aqcia ir.ciciSvi-lis sax. bavSvTa klinikaSi – gaicinja 250-ze meti bavSvi.

Tbilisi – ir,ciciSvilis sax.bavSvTa axali klinika, pediat-riis inctituti, sadiagnosti-ko centri 444, kardiologiis in-stituti S.p.s. ̀ kidmedi“. aWarisregioni1. ss ,,baTumis refera-luri saavadmyofo”2. Sps janmr-Telobis centri ,,medina”,3. Sps,,q. baTumis #1 poliklinika”4.Sps ,,Tamaris dasaxlebis saoja-xo medicinis centri”.5. Sps ,,q.baTumis #4 poliklinika”.6. Sps,,saojaxo medicinis regionulicentri”7. Sps ,,maxinjauris mra-valprofiluri poliklinika”gori–S.p.s.“gormedi, saaq.saz. “iav-nana“ goris dedaTa da bavSvTacentri Telavi -bavSvTa janmr-Telobis centri quTaisi inter-venciul centrSi upaso miReba31-Si mTeli dRe mxolod inva-lid da miusafar bavSvebisaT-vis. 01.06.13–.Si quTaisis TiTqmiskvela poliklinika 1. q. quTai-sis z.cxakaias saxelobis dasav-leT saqarTvelos intervenciu-li medicinis erovnuli cent-ri2q.quTaisis 1 pirveladi jan-dacvis centri 3q.quTaisis S.p.s.„g.g~. samkurnalo diagnostiku-ri centri. afxazeTis jandac-vis saministro.

aqciebSi gaicinja 1300–ze me-ti bavSvi

2013 wlis2013 wlis2013 wlis2013 wlis2013 wlis1 ivnisis1 ivnisis1 ivnisis1 ivnisis1 ivnisisaqciaSiaqciaSiaqciaSiaqciaSiaqciaSi

monawileobda:monawileobda:monawileobda:monawileobda:monawileobda:

01.06.13.01.06.13.01.06.13.01.06.13.01.06.13.aqcia aWaraSiaqcia aWaraSiaqcia aWaraSiaqcia aWaraSiaqcia aWaraSi

02.06.13.02.06.13.02.06.13.02.06.13.02.06.13.bavSvTa dacvis dRes S.p.s.”kidmedSi“ erToblivibavSvTa dacvis dRes S.p.s.”kidmedSi“ erToblivibavSvTa dacvis dRes S.p.s.”kidmedSi“ erToblivibavSvTa dacvis dRes S.p.s.”kidmedSi“ erToblivibavSvTa dacvis dRes S.p.s.”kidmedSi“ erToblivi

aqciiT 300–ze meti bavSvi gaisinjaaqciiT 300–ze meti bavSvi gaisinjaaqciiT 300–ze meti bavSvi gaisinjaaqciiT 300–ze meti bavSvi gaisinjaaqciiT 300–ze meti bavSvi gaisinja

saqvelmoqmedo aqciebSiaqtiuradaa CarTuli

socialuri pediatriisdacvis fondis a,S.S.-Si

warmomadgeneli –vaniko cxomeliZe

SPPF representative in TheSPPF representative in TheSPPF representative in TheSPPF representative in TheSPPF representative in TheUS – Vaniko TskhomelidzeUS – Vaniko TskhomelidzeUS – Vaniko TskhomelidzeUS – Vaniko TskhomelidzeUS – Vaniko Tskhomelidzeis actively involved in theis actively involved in theis actively involved in theis actively involved in theis actively involved in the

charity events of thecharity events of thecharity events of thecharity events of thecharity events of theorganizationorganizationorganizationorganizationorganization

16ufaso gasinjvebiufaso gasinjvebiufaso gasinjvebiufaso gasinjvebiufaso gasinjvebi FREE MEDICAL EXAMINATIONS 19-20-21.-XII, 20133333 10:00-14:00(Tbilisi-(profilaqtikuri gasinjvebi – sportskola (mZleosnebisaTvis),

#21Npoliklinika (diRomi)-), sportskola(kalaTburTelebisaTvis)

17.XX.132. gafor-mda memorandumi“socialuripediatriisdacvis fondsa“da”jansaRi dausafrTxo skola”specialistebsSoris SemdgomimWidro urTier-Tobis gasagrZe-leblad.gTava-zobT moklefotokolaJs.

21 marti daunis sindromis saerTa-Soriso dRea. daunis sindroms daautizms mieZRvna konferencia, romelicsastumro `simpatia”-Si Catarda,xoloucxoeli kolegebis uSualo monawi-leobiT skola – saminari mSoblabTanwarmatebiT warimarTa ir. ciciSvilissax. `bavSvTa axal klinikaSi”. kaform-da memorandumi socialuri pediatri-is dacvis fonds, `mzis Svilebsa” daucxoel specialistebs Soris Semdgo-mi mWidro urTierTobis gasagrZeleb-lad. gTavazobT mokle fotokolaJs.

17gaxseneba

levan uruSaZelevan uruSaZelevan uruSaZelevan uruSaZelevan uruSaZe

(1964–2013)saqarTvelos erovnuli

muzaumisderefanSi araerTigamoCenili mecnieri SeiZ-leba Segxvdes. Tumca, axa-li TanamSromeli SxiradmaT ise Cauvli gverds, romverc xvdebi amas. Semdegnel-nela icnob maT da mi-uxedavad imisa, rom igeb kon-kretulad ra sferos emsa-xurebian mainc bolomde veran ar ufiqrdebi im faqts,rom Sen win SeiZleba axlagamoCenili mecniero idges...an iqneb ufiqrdebi kidec,magram dro ar gyofnis, Se-Cerde da esaubro, ukeT ga-icno isini. es udroobacimdenad Tanmdevi gaxda Cve-ni 21-e saukunis cxovrebis,rom aRarc imis dro gvaqvsam Temaze didxans ifiqro...sul bevri saqme gvaqvs dasul cdilo yvelas sasw-rafod gasce pasuxi, an sas-wrafod daasrulo erTi saqe,meoreze rom gadaxvide daase.... es adamianebi ki arianSen gverdiT da vin icis,ramden SesaZleblobas uS-veb xelidan, rom maTgan uf-ro meti iswavlo, siamovne-ba miiRo maTtan urTier-TobiT da imaze cota uke-Tesi gaxde vidre manamdeiyavi... xandaxan wamiT fiq-rdebi amaze da mere Tavsiimedeb, rom roca iqneba mo-icli da... ase gadis dro...mere ucbad ityob Zaliansamwuxaro faqts _ garda-icvala...

22 oqtombers batoni le-van uruSaZe gardaicvala...aseTi ambis gavrcelebas wu-Tieri mwuxare dumili daSemdeg yvelas erTdrouladalaparakeba moyveba: „gaxsovs,bolos aq rom Semoiara“...„gaxsovs, derefanSi rom Seg-xvda, okupaciis muzeumTan da-kavSirebiT raRac saqme hqon-da“... mere wuxxar: neta ramexom ar vawyenine rodisme, anyuradReba xom ar movakeli...uceb gagielvebs fiqrad, romar aris advili monawile-obde eqspoziciis eqmnaSi, ro-melic Seni qveynis uaxlesda erT-erT yvelaze tragi-kul periods asaxavs da esimdenad kargad gaakeTo, rom,garda informaciisa, gadmos-cemde mTel im tragizms rac

Cveni qvetnis sabWoTa oku-pacias axlda Tan. gaxsebn-deba, rom sul ramdenjermexar am eqspoziciaze namyo-fi da yovelTvis cdilobTavi aarido iq Sesvlas, rad-ganac Znelia zido... albaTTviTon ramdens zidavdaofiqrob mere... ramdens ganic-dida da rogor ganicdidaCveni qveynis warsul, romSen daTlierebac giWirs dais mTel am masalas swav-loba, aanalizebda, alageb-da da amzadebda, rom mereCven gavcnobodiT... da xvde-bi, rom im kacis fizikuri

parametrebi derefanSi,rom gxvdeboda an rommodioda ama Tu im ad-ministraciul sakiTx-Tan dakavSirebiT arcmisi sasruli asaxuli-yo da arc sawyili- isbevrad ufro mastabu-ri pirovneba iyo...

da ai, zixar, aTvali-ereb mis pirad saqmesda igeb: cnobili qar-Tveli mecnieri, erov-nuli muzeumis ufro-si mecnier TanamSro-meli, sabWoTa okupaci-is muzeumis kuratori,istoriis mecnierebaTadoqtori, levan zura-bis Ze uruSaZe daiba-da 1964 wlis 7 Teber-vals qalaq TbilisSi.

1986 wels daamTavraTbilisis ivane java-

xiSvilis saxelobis saxel-mwifo universitetis aRmo-savleTmcodneobis fakulte-tis qveyanaTmcodneobis gan-yofileba. 2006 wels, amaveuniversitetSi daicva diser-

Sava masala, rom-lis safuZvel-zec Seiqmna sab-WoTa okupaciisamsaxveli eqspo-zicia.

1998 wels misiTavosnobiT da-fuZnda mecniere-bisa da teqno-

logiebis xelSemwyobipanevrpuli asociaci-is „evromecnierebis“saqarTvelos erovnuliseqcia. iyo misi jeraRmasrulebeli mdiva-ni, 2000-06 wlebSi ki -Tavmjdomare. 2007wlidan igi arCe-uli iqna samecni-ero kvlevaTa xel-Semwyobi saerTaSo-risao akademiisp r e z i d e n t a d(IAPSR- aSS). iyo di-di britaneTisa dairlandiis samefosaazio sazogado-ebis (RAS), xelov-nebisa da mecnie-rebis msoflioakademiis (WAAS,aSS); axali zelan-diis samefo sazo-gadoebisa da kul-t ur aT a Sor i skvlevebis saerTa-Soriso akademiis(IAIR, aSS) wevri.

levan uruSaZeiyo TurqeT-saqarTve-los urTierTobaTaistoriis, saqarTvelosSua saukuneTa istori-is wyaroTmcodneobis,saqarTvelos da kavka-siis axali da uaxle-si istoriis wyaroTm-codneobis, saqarTve-los XVII-XX saukune-

ebis istoriis, saqarTvelos1801-1917 da 1921-1991 wlebiserovnul-ganmaTavisublebe-li moZraobis istoriis, qar-Tuli politiku emigraci-is istoriis sakvanZo sa-

kiTxebze gamoqveynebuli 130-mde samecniero Sromis, maTSoris 7 monografiis, av-tori.masve ekuTvnis qarTulperiodikaSi gamoqveynebuli300-ze meti publicisturiwerili. monawileobda in-ternet-enciklopediebis _„vikinfos“ da „vikipedias“qarTuli versiis SeqmnaSi,sadac gamoqveynda misi 30termin-statia.

levan uruSaZes 2006 welsmieniWa istoriul kvleva-Ta saerTaSoriso akademi-is sapatio mdivnis wodebada genealogiur da doku-mentur mecnierebaTa sapa-tio mkvlevaris wodeba aSS-Si. 2000 wels „vin vinaaamerikaSi“ mier momzaddaspecialuri gamocema sadacSevida levan uruSaZes bi-ografia.

furclav saqaRaldeSi mo-Tavsebul avto-biografiebs,

diplomebs, sapatio sige-lebs, misadmi moweril Riawerilebs, jildoebs, wode-bebis nusxas da Tvalwincocxldeba uaRresad sain-tereso pirovneba da mecni-eri. gikvirs kidec, rom sak-maod axalgazrdam amdeniram moaswro da guli gwyde-ba, rom ara es tragikuliavtoavaria, levan uruSaZekidev ufro met naSroms ga-moaqveynebda da kidev bevr-jer warmoaCenda Cvens qve-yanas... Semdeg agroveb magi-daze gafantul furclebsda abruneb pirad saqmeSi...ucnauri da mZime gancdaa,rodesac aTvaliereb adami-anis cxovrebis furclebs,sadac martivad, qronolo-giuri mimdevrobiTaa dala-gebuli mniSvnelovani Ta-riRebi... am TariRebs ukanki dgas mecnieri, romelicsul cota xnis win CvengverdiT iyo...

naTia xuluzaurinaTia xuluzaurinaTia xuluzaurinaTia xuluzaurinaTia xuluzauri

saqarTvelos erovnulimuzeumis moambe(IV)

49-8.2013.620–622gv.

tacia da mieniWa is-toriis mecniereba-Ta doqtoris xa-risxi.

2006 wlus 26 ma-iss levan uruSa-Zis aqtiuri mona-wileobiT daars-da saqarTvelos

igi mxolod 50 wlis iqneboda1998 wels levan uruSaZis TavosnobiT dafuZnda

mecnierebisa da teqnologiebis xelSemwyobi panevr-puli asociaciis „evromecnierebis“ saqarTvelos erov-nuli seqcia. iyo misi jer aRmasrulebeli mdivani,2000-06 wlebSi ki - Tavmjdomare.

evromecnierebis saqarTvelos erovnuli seqcia gul-wrfel Tanadgomas ucxadebs mis inteligent ojaxs

erovnuli muzeumis sabWo-Ta okupaciis muzeumi. ro-gorc mecnier-konsultant-ma ramdenime Tvis ganmav-lobaSi imuSava sxvadasxvaarqivSi - moiZia da daamu-

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CMYB

mTavari redaqtori: mTavari redaqtori: mTavari redaqtori: mTavari redaqtori: mTavari redaqtori: g. CaxunaSvilimoadgile: moadgile: moadgile: moadgile: moadgile: T. miqelaZe, n. jobava, g. ZnelaZesaredaqcio sabWo: _ saredaqcio sabWo: _ saredaqcio sabWo: _ saredaqcio sabWo: _ saredaqcio sabWo: _ n. badriaSvili, n. TofuriZe,d. CaxunaSvili, g. CaxunaSvili, b. zenaiSvili,n. kvirkvelia, k. CaxunaSvili, m.wilosani,z. SaqaraSvili.

gasayidadar

gavrceldeba

ISSN 1987-9849

UDC (uak) 616-053.2(054) s-743

18

winamdebare damxmare sa-xelmZRvanelos II - tomi g.CaxunaSvili, n. jobava, k. Caxu-naSvili, d. CaxunaSvili „bav-SvTa kardio-revmatologiissafuZvlebi“ (II-tomi revmato-logia) qarTul,inglisur darusul enaze. Tbilisi, gamo-cemulia saqarTvelos bavSv-Ta kardiologTa asociaci-is mier 2014 w. gv.-150.

igi Sedgeba daavadebebismimoxilvis ori Tavisa dapraqtikosi eqimebisaTvis gan-kuTvnili ramodenime Tavisa-gan. daavadebebis mimoxilvispirvel TavSi mocemulia ar-Triti cxrilebsa da grafi-kebSi, xolo kerZo nawilSi –meore Tavi vfiqrobT ara tra-diciulad, magram originalu-rad kiTxva-pasuxis reJimSimowodebulia iuveniluriidiopaTuri arTriti, siste-muri wiTeli mglura, iuvenu-luri dermatomioziti, skle-rodermia, iuveniluri spon-diloarTropaTiebi, kavasakisdaavadeba, henox-Sonlainispurpura, iSviaTi iuveniluripirveladi sistemuri vasku-

litebi (kvanZovani poliar-teriti, takaiasu, vegenerisgranulomatozi, sxva vasku-litebi), revmatiuli cxeleba

da poststreptokokuli re-aqtiuli arTriti, bexCeTis da-avadeba, laimes arTriti. amTavSi ganxilulia agreTvetkivilis sindromebi, geneti-kur anomaliebTan dakavSire-buli morecidive cxelebebi,

ojaxuri xmelTaSua zRviscxeleba, medikamenturi Tera-pia da AUTOINFLAMMATORYDISEASES. rogorc zemoT aR-vniSneT Semdeg TavebSi mo-wodebulia praqtikosi eqime-bisaTvis saintereso da sa-Wiro informaciebi da aramarto maTTvis.

wignSi avtorebma gamoiye-nes klinikuri mavSvTa rev-matologiis uaxlesi mona-cemebi, saerTaSoriso klasi-fikaciebi, piradi mravalwli-ani klinikuri, samecniero dapedagogiuri gamocdileba.

wigni pirvel rigSi gankuT-vnilia samedicino universi-tetis studentebisaTvis, pedi-atr-rezidentebisaTvis, pediat-rebisaTvis, igi aseve did dax-marebas gauwevs am dargSi mo-muSave sxva profilis eqimebsda uSualod subspecialobabavSvTa kardio-revmatologi-aSi maT gadamzadebas.

recenzentebi:

profesori ir.ciciSviliir.ciciSviliir.ciciSviliir.ciciSviliir.ciciSvili

profesoriav. kvezereli-kopaZeav. kvezereli-kopaZeav. kvezereli-kopaZeav. kvezereli-kopaZeav. kvezereli-kopaZe

male eqimTa farTo sazogadoebamale eqimTa farTo sazogadoebamale eqimTa farTo sazogadoebamale eqimTa farTo sazogadoebamale eqimTa farTo sazogadoeba

miiRebs karg saCuqarsmiiRebs karg saCuqarsmiiRebs karg saCuqarsmiiRebs karg saCuqarsmiiRebs karg saCuqarsanonsi

erT-erTi pirvelierT-erTi pirvelierT-erTi pirvelierT-erTi pirvelierT-erTi pirveliqarTuliqarTuliqarTuliqarTuliqarTuli

preparatebipreparatebipreparatebipreparatebipreparatebi

SigniT misaRebi xsnarisSigniT misaRebi xsnarisSigniT misaRebi xsnarisSigniT misaRebi xsnarisSigniT misaRebi xsnaris

1 flakoni Seicavs1 flakoni Seicavs1 flakoni Seicavs1 flakoni Seicavs1 flakoni Seicavs

levokarnitinis 2,0 g-s.levokarnitinis 2,0 g-s.levokarnitinis 2,0 g-s.levokarnitinis 2,0 g-s.levokarnitinis 2,0 g-s.

metaboluri Terapiis racionaluri arCevani!metaboluri Terapiis racionaluri arCevani!metaboluri Terapiis racionaluri arCevani!metaboluri Terapiis racionaluri arCevani!metaboluri Terapiis racionaluri arCevani!

m e t a k a r t i n i

L - karnitinisaineqcio xsnarissaineqcio xsnarissaineqcio xsnarissaineqcio xsnarissaineqcio xsnaris

1 ampula Seicavs1 ampula Seicavs1 ampula Seicavs1 ampula Seicavs1 ampula Seicavs

levokarnitinis 1,0levokarnitinis 1,0levokarnitinis 1,0levokarnitinis 1,0levokarnitinis 1,0 g-s.g-s.g-s.g-s.g-s.

„samedicino„samedicino„samedicino„samedicino„samedicino

korporacia eveqsi“korporacia eveqsi“korporacia eveqsi“korporacia eveqsi“korporacia eveqsi“

EVEX MEDICAL CORPORATION