gadanergili-organo gadarcenili sicocxle! tirkmlis transplantacia
TRANSCRIPT
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gadanergili-organo gadarCenili sicocxle!
Tirkmlis transplantacia
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Tirkmeli – adamianis ZiriTadi eqskretoruli
organo
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daSlis produqtebiT mdidari sisxli Tirkmels arteriiT miewodeba da
ifiltreba sisxlis filtratia Sardi
Sardi SardsawveTiT Sardis buStSi grovdeba da SardsadeniT gareT gamoiyofa
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• Tirkmlebi ganlagebulia retroperitonealur sivrceSi, gulmkerdis XI da welis III malebis doneze
• Tirkmlis masa 120-200 gr.
• sirZe 10-12 sm.• sigane 5-6 sm.• sisqe 3-4 sm.
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Tirkmeli Sedgeba gareTa-qerqovani da SigniTa-tvinovani Sreebisagan
Tirkmlis ZiriTad struqturul-funqciur erTeuls warmoadgens nefroni
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Tirkmlebis umniSvnelovanesi fiziologiuri roli-homeostazis
regulacia
osmoregulacia volumoregulacia eleqtrolituri da mJava-tutovani balansis
mudmivobis SenarCuneba azotovani cvlis produqtebis eqskrecia cilebis, lipidebis, naxSirwylebis
metabolizmSi monawileoba organizmidan toqsikuri nivTierebebis
gauvnebelyofa da gamoyofa hemodinamikis regulacia inkretoruli funqcia
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Tirkmlis mwvave da qronikuli ukmarisoba
irRveva Tirmlis funqciebi• wyalmarilovani, azotovani
da sxva nivTerebaTa cvla Tirkmlis mwvave
ukmarisoba• irRveva filtraciuli,
gamomyofi da sekretoruli funqciebi
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Tirkmlis qronikuli ukmarisobis mizezi SeiZleba iyos:
yvla is daavadeba, romelic iwvevs Tirkmlis gorglebis dazianebas
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Tirkmlis qronikul ukmarisobas iwveven Semdegi daavadebebi
Tirkmlebis polikistozi
arteriuli hipertenzia
qronikuli glomerulonefriti, pielonefriti
sistemuri wiTeli mglura,hemoragiuli vaskuliti
Saqriani diabeti, podagra,amiloidozi
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Tirkmlis qronikul ukmarisobas iwveven Semdegi daavadebebi
SardkenWovani daava-deba, hidronefrozi
Tirkmlis ganviTa-rebis Tandayolili anomaliebi
Sardsadenze zemwoli simsivne
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TirkmliT CanacvlebiTi Terapiis ori forma
dializi transplantacia
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Tirkmlis pirveli gadanergva
1902 w. uremiiT daavadebuls gadaunerges Roris Tirkmeli
1933 w. gadainerga gardacvlili adamianis Tirkmeli
1954 warmatebiT gadainerga gardacvlili adamianis Tirkmeli
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swored miureis naSromebi daedo safuZvlad Tanamedrove transplantologias
warmatebuli operaciisTvis ozef miurem 1990 wels nobelis premia miiRo
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Tirkmlis gadanergva saqarTveloSi
1977 w. gadainerga gvamuri Tirkmeli 1997 w. daarsda transplantologTa asociacia
0%
5%
10%
15%
20%
25%
30%
1995-1999
2000-2007
ლეტალუ რადდასრუ ლებუ ლი ოპერაციები
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• 2010 w. 23 oqtombers Tbilisma pirvelad umaspinZla “organoTa donaciis me-12 evropul dRes”
• RonisZiebaSi monawileoba miiRo ormocamde eqim-transplantologma evrosabWos qveynebidan
organoTa donaciis me-12 evropuli dRe TbilisSi
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imunosupresiuli preparatebia
azatioprini ciklosporiniprednizoloni
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saqarTveloSi 2000 w. miRebuli kanonis Tanaxmad donori SeiZleba iyos, rogorc
cocxali, ise gardacvlili adamiani
» recipients SeiZleba gadaenergos mxolod genetikuri naTesavis, meuRlis, an meuRlis naTesavis organo
» saqarTveloSi moqmedebs ‘donorTa gacvlis programa’
» organoebiT vaWroba saqarTveloSi xuTidan aT wlamde Tavisuflebis aRkveTiT isjeba
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donori-adamiani, romlis sxeulidanac iReben gadasanerg qsovils an organos
• sisxlis jgufis Tanxvedra, leikocituri antigenebisa da e.w. jvaredini reaqciis mixedviT
• erTmaneTis msgavsi unda iyos donorisa da recipientis masa da asaki
• sasurvelia Tirkmlis gadanergva erTi da imave sqesis adamianebs Soris moxdes
Tavsebadobis ZiriTadi parametrebi
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yvela donorma unda gaiaros fsoqosocialuri gamokvleva, Tirkmlis
gacemis motivaciis Sesafaseblad
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recipienti-adamiani, romelsac energeba qsovili an organo
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gadanergvisaTvis saWiroa recipientis momzadeba
• unda mowesrigdes sisxlis bioqimiuri maCveneblebi, arteriuli wneva, gul-sisxlZarRvTa sistemis muSaoba
• aucelebelia ganikurnos yvela anTebiTi procesi
• sisxlSi eriTrocitebisa da hemoglobinis saTanado donis uzrunvelyofa
• donoris Tirkmlis Tavsebadobis dasadgenad unda Catardes antigenebisa da histoSeTavsebis sistemebis kompleqsuri gamokvleva
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recipienti, rogorc donori,srulad unda iyos informirebuli
yvela mosalodneli garTulebis Sesaxeb
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operaciis dawyebamde
xeli unda moaweroT Tanxmobis formaze, romelic adasturebs Tqvens Tanxmobas Tirkmlis gadanergvis operaciaze
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operaciis mimdinareoba
operaciis dros wamlebis Sesayvanad pacients venaSi udgamen ramdenime kaTeters wveTovaniT
piridan filtvebSi SeyavT mili, romelic SeerTebulia filtvebis xelovnuri ventilaciis aparatTan
akontroleben gulis cemis sixSires, arteriul wnevas, sunTqvas
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• saoperacio velis kans daamuSaveben Zlieri antiseptikuri xsnariT
• eqimi avlbes grZel ganakveTs muclis qvemoT cal mxareze
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donoris Tirkmels aTavseben muclis RruSi
donoruli Tirkmlis SardsawveTs uerTeben Sardis buSts
donoruli Tirkmlis arteriasa da venas uerTeben pacientis TeZos arteriasa da venas
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donoris marjvena Tirkmeli marcxniv inergeba, xolo
marcxena-marjvniv; amiT advili xdeba donoruli Tirkmlis
SardsawveTis mierTeba Sardis buStTan
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ganakveTs keraven qirurgiuli nakeriT
SeSupebis Sesamcireblad ganakveTis ubanSi Tavsdeba drenaJi
Wrilobas adeben sterilur saxvevs
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cTirkmlis gadanergvis operaciis Semdegpacients awvenen intensiuri Terapiis an
reanimaciis palataSi, mdgomareobis gaumjobesebis
Semdeg gadayavT Cveulebriv palataSi
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operaciis Semdeg pacients eniSneba
medikamentebi, raTa organos
mwvave mocilebis reaqcia ar
ganviTardes
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donorma erTxans Tavi unda aaridos zogierT sakvebs ( comeuls; mwares; cxares; marilians; alkoholur sasmelebs da sxva )
recipientisaTvis mniSvnelovania naoperaciebi midamos sufTad da mSralad SenarCuneba
Sin dabrunebis Semdeg
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qronikuli mocilebis sindromi
medikamentozuri intoqsikacia
transplantis qronikuli nefropaTia
rekurentuli daavadeba
Tirkmlis transplantantis daavadebebi
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msoflio statistikis Tanaxmad, gadanergili Tirkmlis funqcionirebis
maqsimaluri xangrZlivoba 20-30 welia
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gisurvebT janmrTelobas!