recenzentebi: abduselisvili daviti weisvili madona · semdgenlebi: abduselisvili daviti baziari...
TRANSCRIPT
Semdgenlebi:
abduSeliSvili daviTi
baziari vera
giuaSvili nino
dolaberiZe manana
zarnaZe medea
niJaraZe dea
xelaZe kaxa
wverava mixeili
WeiSvili madona
2
cnobari momzadebulia
asociacia “genezisi”-s sociacia “genezisi”-s sociacia “genezisi”-s sociacia “genezisi”-s sociacia “genezisi”-s da
saqarTvelos Sromis, janmrTelobisa da socialuri dacvissaqarTvelos Sromis, janmrTelobisa da socialuri dacvissaqarTvelos Sromis, janmrTelobisa da socialuri dacvissaqarTvelos Sromis, janmrTelobisa da socialuri dacvissaqarTvelos Sromis, janmrTelobisa da socialuri dacvis
saministros standartizaciis, saministros standartizaciis, saministros standartizaciis, saministros standartizaciis, saministros standartizaciis, normirebisa danormirebisa danormirebisa danormirebisa danormirebisa da
licenzirebis departamentis licenzirebis departamentis licenzirebis departamentis licenzirebis departamentis licenzirebis departamentis
erToblivi ZalisxmeviT.
gamocema dafinansebulia
NOVIB-is - «niderlandebis organizacia saerTaSoriso-is - «niderlandebis organizacia saerTaSoriso-is - «niderlandebis organizacia saerTaSoriso-is - «niderlandebis organizacia saerTaSoriso-is - «niderlandebis organizacia saerTaSoriso
ganviTarebis TanamSromlobisaTvis» ganviTarebis TanamSromlobisaTvis» ganviTarebis TanamSromlobisaTvis» ganviTarebis TanamSromlobisaTvis» ganviTarebis TanamSromlobisaTvis» mier.
This manual is a joint publication byThe Genesis Association and
The Department of Standards, Norms and Licenses ofthe Ministry of Labour, Health and Social Affairs,
and funded byNOVIB (The Netherlands Organisation forInternational Development Cooperation).
recenzentebi:asaTiani Tengizibukia TinaTinigadelia nanagujejiani rusudaniTomaZe giorgikavTiaSvili qeTevanifaRava yaramani
saredaqcio jgufi:goderZiSvili lizamaTeSvili sandromgalobliSvili maiamgalobliSvili irina
s a r C e v is a r C e v is a r C e v is a r C e v is a r C e v i
Sesavali.........................................................................................................................................................................................5
TaviTaviTaviTaviTavi I .I .I .I .I . kiTxvebi,kiTxvebi,kiTxvebi,kiTxvebi,kiTxvebi, romlebic uCndeba romlebic uCndeba romlebic uCndeba romlebic uCndeba romlebic uCndeba ebadeba ebadeba ebadeba ebadeba ebadeba licenziis maZiebels........ . . . . . . .licenziis maZiebels........ . . . . . . .licenziis maZiebels........ . . . . . . .licenziis maZiebels........ . . . . . . .licenziis maZiebels........ . . . . . . .7
TaviTaviTaviTaviTavi IIIIIIIIII licenzirebad samedicino da farmacevtul saqmianobaTa nusxa....licenzirebad samedicino da farmacevtul saqmianobaTa nusxa....licenzirebad samedicino da farmacevtul saqmianobaTa nusxa....licenzirebad samedicino da farmacevtul saqmianobaTa nusxa....licenzirebad samedicino da farmacevtul saqmianobaTa nusxa....13
2.1 licenzirebad samedicino saqmianobaTa nusxa.......................................................................................14
2.2 licenzirebadi farmacevtuli saqmianobis saxeebi.........................................................................28
TaviTaviTaviTaviTavi IIIIIIIIIIIIIII samedicinosamedicinosamedicinosamedicinosamedicino saqmianobis saqmianobis saqmianobis saqmianobis saqmianobis licenzirlicenzirlicenzirlicenzirlicenzirebisaTvis saWiroebisaTvis saWiroebisaTvis saWiroebisaTvis saWiroebisaTvis saWiro
dokumentaciis tidokumentaciis tidokumentaciis tidokumentaciis tidokumentaciis ti piurpiurpiurpiurpiuriiiii fo fo fo fo formebirmebirmebirmebirmebi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
3.1 gancxadeba ..................................................................................................................................................................30
3.2 cnobebi ........................................................................................................................................................................31
3.3 informacia samedicino dawesebulebis materialur-teqnikuri bazis Sesaxeb ................32
3.4 samedicino teqnikuri aRWurvilobis pirobiTi kodebi ................................................................39
3.5 farmacevtuli saqmianobis licenzirebisaTvis saWiro gancxadeba........................................40
TaviTaviTaviTaviTavi IVIVIVIVIV samedicino saqmianobis pasportebi .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .samedicino saqmianobis pasportebi .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .samedicino saqmianobis pasportebi .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .samedicino saqmianobis pasportebi .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .samedicino saqmianobis pasportebi .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
4 .1 .4 .1 .4 .1 .4 .1 .4 .1 . zogadi saeqimo praqtika, ojaxis eqimizogadi saeqimo praqtika, ojaxis eqimizogadi saeqimo praqtika, ojaxis eqimizogadi saeqimo praqtika, ojaxis eqimizogadi saeqimo praqtika, ojaxis eqimi
samedicino saqmianoba: zogadi saeqimo praqtika, ojaxis eqimi .....................................................42
ojaxis eqimis samsaxuris samedicino-teqnikuri aRWurviloba .....................................................43
4.2 TerapiaTerapiaTerapiaTerapiaTerapia
samedicino saqmianoba: Terapia, ambulatoruli momsaxureba:
done I..............................................................................................................................................................................46
done II .........................................................................................................................................................................48
done III ........................................................................................................................................................................50
done IV ........................................................................................................................................................................52
samedicino saqmianoba: Terapia, ambulatoruli momsaxureba/dRis stacionari
done I ..........................................................................................................................................................................54
done II .........................................................................................................................................................................56
done III ........................................................................................................................................................................58
done IV ........................................................................................................................................................................60
Terapia: samedicino-teqnikuri aRWurviloba..............................................................................................62
4 .34 .34 .34 .34 .3 pediatriapediatriapediatriapediatriapediatria
samedicino saqmianoba: pediatria, ambulatoruli momsaxureba
done I ..........................................................................................................................................................................67
done II .........................................................................................................................................................................69
done III ........................................................................................................................................................................71
done IV ........................................................................................................................................................................74
samedicino saqmianoba: pediatria, ambulatoruli momsaxureba/dRis stacionari
done I ..........................................................................................................................................................................77
done II .........................................................................................................................................................................78
done III ........................................................................................................................................................................80
done IV ........................................................................................................................................................................83
pediatria: samedicino-teqnikuri aRWurviloba ......................................................................................86
3
4
4.44.44.44.44.4 qirurgiaqirurgiaqirurgiaqirurgiaqirurgia
samedicino saqmianoba: zogadi qirurgia, mozrdilTa ambulatorul-poliklinikuri
momsaxureba. (I, II, III, IV doneebi) ........................................................................................................................91
zogadi qirurgia: samedicino-teqnikuri aRWurviloba .......................................................................94
4.54.54.54.54.5 meanoba-ginekologiameanoba-ginekologiameanoba-ginekologiameanoba-ginekologiameanoba-ginekologia
samedicino saqmianoba: meanoba-ginekologia, ambulatoruli momsaxureba
done I ........................................................................................................................................................................101
done II .......................................................................................................................................................................103
done III ......................................................................................................................................................................105
done IV ......................................................................................................................................................................107
meanoba-ginekologia: samedicino-teqnikuri aRWurviloba .............................................................110
4.6 .4 .6 .4 .6 .4 .6 .4 .6 . laboratoriuli diagnostikalaboratoriuli diagnostikalaboratoriuli diagnostikalaboratoriuli diagnostikalaboratoriuli diagnostika
samedicino saqmianoba: kliniko-laboratoriuli diagnostika, ambulatoruli
momsaxureba
done I .........................................................................................................................................................................116
done II ........................................................................................................................................................................123
done III ......................................................................................................................................................................131
done IV ......................................................................................................................................................................143
TaviTaviTaviTaviTavi V V V V V nozologiebis CamonaTvali daavadebaTa saerTaSorisonozologiebis CamonaTvali daavadebaTa saerTaSorisonozologiebis CamonaTvali daavadebaTa saerTaSorisonozologiebis CamonaTvali daavadebaTa saerTaSorisonozologiebis CamonaTvali daavadebaTa saerTaSoriso
klasifikaciis klasifikaciis klasifikaciis klasifikaciis klasifikaciis ICD-10 - is mixedviT- is mixedviT- is mixedviT- is mixedviT- is mixedviT..............................................................................155
TaviTaviTaviTaviTavi VI VI VI VI VI sxvadasxva simZlavris ambulatoriul - poliklinikurisxvadasxva simZlavris ambulatoriul - poliklinikurisxvadasxva simZlavris ambulatoriul - poliklinikurisxvadasxva simZlavris ambulatoriul - poliklinikurisxvadasxva simZlavris ambulatoriul - poliklinikuri
dawesebulebebis mowyobis, aRWurvisa da eqspluataciisdawesebulebebis mowyobis, aRWurvisa da eqspluataciisdawesebulebebis mowyobis, aRWurvisa da eqspluataciisdawesebulebebis mowyobis, aRWurvisa da eqspluataciisdawesebulebebis mowyobis, aRWurvisa da eqspluataciis
sanitariuli wesebisanitariuli wesebisanitariuli wesebisanitariuli wesebisanitariuli wesebi......................................................................................................................175
S e s a v a l iS e s a v a l iS e s a v a l iS e s a v a l iS e s a v a l i
saqarTveloSi pirveladi jandacvis koncefcia, iseve rogorc mTlianad janmrTelobis dacvis
sistema, reorientaciisa da xelaxali formirebis procesSia. samedicino momsaxurebis dRes
arsebuli dayofa doneebis mixedviT ar Seesabameba moqmed saerTaSoriso standartebs da Semdgom
daxvewas moiTxovs.
am procesis dasrulebamde, Cveni azriT, aucilebelia pirveladi jandacvis struqturebis
licenzirebisaTvis moqmedi standartebisa da saregulacio normebisaTvis werilobiTi formis
micema (pirvelad sabWoTa periodis Semdeg), rac xelmisawvdoms gaxdis saWiro informacias
Sesabamisi licenzirebis maZieblebisa da samedicino organizaciebis xelmZRvanelebisaTvis. am
mizniT, gadawyda winamdebare cnobaris momzadeba da gamoqveyneba.
cnobarSi mocemulia informacia im licenzirebad samedicino saqmianobebze, romlebic SeiZleba
Segvxvdes pirveladi jandacvis moqmed dawesebulebebSi. aq moyvanili licenzirebadi samedicino
saqmianobis pasportebi SemuSavebulia Sesabamisi dargebis specialistebis mier saqarTvelos
Sromis janmrTelobisa da socialuri dacvis saministrosTan SeTanxmebiT. Ppasportebi Seicavs
dawvrilebiT informacias konkretuli samedicino saqmianobis moculobis, adamianTa da teqnikuri
resursebis, sivrcis dagegmarebis da higienuri moTxovnebis da sxva detalebis Sesaxeb.
cnobari, agreTve, Seicavs im kiTxvebze pasuxs, rac yvelaze xSirad uCndeba licenziis maZiebels,
licenzirebisaTvis saWiro sabuTebis CamonaTvals da maT tipiur formebs.
vfiqrobT, rom cnobari daexmareba licenzirebis maZiebels winaswar gansazRvros Tavisi
SesaZleblobebi, gaaumjobesos da moiyvanos isini moqmed normativebTan SesabamisobaSi, Tavidan
aicilos saWiro informaciis mosapoveblad Sesabamis instanciebSi zedmeti siaruli da drois
xarjva.
amave dros, imis gamo, rom am cnobarSi moyvanili samedicino saqmianobis salicenzio standartebi
samuSao versiaa, romelic Semdgom srulyofas da dakanonebas saWiroebs, licenziis maZiebels da
yvela sxva dainteresebul pirs eZleva saSualeba aqtiuri monawileoba miiRos am procesSi,
risTvisac, gTxovT, Tqveni SekiTxvebi da winadadebebi winamdebare broSuris Sinaarsze mogvawodoT
Semdeg misamarTebze:
saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrossaqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrossaqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrossaqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrossaqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros
standartizaciis, normirebisa da licenzirebis departamenti.standartizaciis, normirebisa da licenzirebis departamenti.standartizaciis, normirebisa da licenzirebis departamenti.standartizaciis, normirebisa da licenzirebis departamenti.standartizaciis, normirebisa da licenzirebis departamenti.
misamarTi: q. Tbilisi, 0102 d. uznaZis #78, me_3 sarT
tel: 94-29-13
asociacia “genezisi”.asociacia “genezisi”.asociacia “genezisi”.asociacia “genezisi”.asociacia “genezisi”.
misamarTi: q. Tbilisi, zugdidis q. 3/evdoSvilis q. 19
tel/faqsi: 943148, tel: 348951
el.fosta: [email protected]: http://www.genesis.org.ge
5
6
Manual on Licensing Requirementsof Primary Medical Activities
I n t r o d u c t i o n
The concept of Primary Healthcare in Georgia, as well as the Healthcare system as a whole, is undergoing aprocess of restructuring and reorientation. The current division of the healthcare system into various levels(primary, secondary, etc.) is not in conformity with internationally accepted standards and requires furtheramendment.
However, until this process has been completed it is, in our opinion, necessary to put the standards and regulationswhich are currently in force for licensing of primary healthcare institutions into print (for the first time after the Sovietperiod) and make them available to license seekers and managers of healthcare institutions. For this purpose, it hasbeen decided to prepare and publish this manual.
The manual contains information on those medical activities and services which must be licensed and that are beingprovided by primary healthcare institutions – as currently defined. The Licensing “Passports” (Standard RequirementSets) for the medical activities have been prepared by specialists of the respective fields of expertise as selected byand with the approval of the Ministry of Labour, Health and Social Affairs of Georgia. The “Licensing Passports”contain detailed information regarding the state licensing standards for human and technical resources, hygienic andspace planning requirements, etc. for each of the medical activities presented.
The manual also contains answers to Frequently Asked Questions posed by license applicants, as well as the list ofthe necessary documents and suggested templates.
We believe that this manual will assist the prospective license applicant to assess in advance his ability to set up ahealthcare service that will satisfy the current state licence standards, thereby avoiding loss of time through unnecessaryvisits to the licensing bodies.
Meanwhile, since the information on state licensing standards for medical activities presented in this manual is in draftversion which will undergo further amendment, the opportunity is available to license applicants and other interestedparties to actively participate in this process. We will therefore greatly appreciate comments, questions or suggestedamendments to this manual, which may be set to any of the following addresses:
Department of Standards, Norms & LicensesThe Ministry of Labour, Health & Social Affairs78 Dimitri Uznadze Street, Floor III, Tbilisi 0102, Georgiatel: (+995-32) 94 29 13
The Genesis Association3 Zugdidi Street/19 Evdoshvili Street, Tbilisi, Georgiatel: (+995-32) 34 89 51, tel/fax: (+995-32) 94 31 48e-mail: [email protected],website: http://www.genesis.org.ge
Tavi ITavi ITavi ITavi ITavi I
kiTxvebi, romelic yvelaze xSirad uCndeba samedicinokiTxvebi, romelic yvelaze xSirad uCndeba samedicinokiTxvebi, romelic yvelaze xSirad uCndeba samedicinokiTxvebi, romelic yvelaze xSirad uCndeba samedicinokiTxvebi, romelic yvelaze xSirad uCndeba samedicino
saqmianobis licenziis maZiebelssaqmianobis licenziis maZiebelssaqmianobis licenziis maZiebelssaqmianobis licenziis maZiebelssaqmianobis licenziis maZiebels
7
11111. romelia licenzirebadi samedicino saqmianobis saxeebi?. romelia licenzirebadi samedicino saqmianobis saxeebi?. romelia licenzirebadi samedicino saqmianobis saxeebi?. romelia licenzirebadi samedicino saqmianobis saxeebi?. romelia licenzirebadi samedicino saqmianobis saxeebi?
licenzirebadi samedicino saqmianobis saxeebi gansazRvrulia saqarTvelos kanoniT ,,samedicino
da farmacevtuli saqmianobis licenzirebis Sesaxeb”. 2003 w. 8 maisi. ixileT cxrili (Tavi II,
danarTi 1.1)
2. vis unda mivmarToT licenziis misaRebad?2. vis unda mivmarToT licenziis misaRebad?2. vis unda mivmarToT licenziis misaRebad?2. vis unda mivmarToT licenziis misaRebad?2. vis unda mivmarToT licenziis misaRebad?
samedicino da farmacevtul saqmianobaze licenzias gascems saqarTvelos Sromis, janmrTelobisa
da socialuri dacvis saministro. (misamarTi: q. Tbilisi 0160
k. gamsaxurdias gamz. #30)
licenziis gacemis organizaciul_teqnikur uzrunvelyofas axorcielebs saqarTvelos Sromis,
janmrTelobisa da socialuri dacvis saministros standartizaciis, normirebisa da licenzirebis
departamenti. (misamarTi: q. Tbilisi, 0102 d. uznaZis #78, me_3 sarTuli tel: 94-29-13)
3. licenziis misaRebad saWiro sabuTebis CamonaTvali da maTi standartuli3. licenziis misaRebad saWiro sabuTebis CamonaTvali da maTi standartuli3. licenziis misaRebad saWiro sabuTebis CamonaTvali da maTi standartuli3. licenziis misaRebad saWiro sabuTebis CamonaTvali da maTi standartuli3. licenziis misaRebad saWiro sabuTebis CamonaTvali da maTi standartuli
formebi, romelTa Sevseba aucilebeliaformebi, romelTa Sevseba aucilebeliaformebi, romelTa Sevseba aucilebeliaformebi, romelTa Sevseba aucilebeliaformebi, romelTa Sevseba aucilebelia
1. licenziis maZiebeli (SemdgomSi “maZiebeli”) licenziis misaRebad licenziis gamcems warudgens
werilobiT gancxadebas:
gancxadeba unda akmayofilebdes saqarTvelos zogadi administraciuli kodeqsis 78-e muxliT
gaTvaliswinebul moTxovnebs (ix. gancxadebis forma), igi aseve unda Seicavdes:
• informacias_ganmcxadeblis vinaobis, misamarTis, samewarmeo reestrSi registraciis
monacemebis Sesaxeb;
• miTiTebebs, Tu romeli licenziis miRebas moiTxovs licenziis maZiebeli;
• gancxadebis wardgenis TariRs da ganmcxadeblis xelmoweras;
2. salicenzio mosakreblis gadaxdis damadasturebeli sabuTi, mosakrebeli ganisazRvreba
saqarTvelos kanoniT ,,salicenzio da sanebarTvo mosakreblis Sesaxeb”. sabanko rekvizitebia:
saqarTvelos erovnuli banki, kodi 220101107 centraluri biujeti Semosavlis angariSi
#012103654;
3. ganacxadi xarisxis gare kontrolis sistemaSi monawileobaze;
4. informacia licenzirebadi samedicino saqmianobis ganmaxorcielebeli specialistebis
profesiuli momzadebis Sesaxeb (saxelmwifo sertifikatis aslis warmodgeniT);
5. samedicino dawesebulebis pasporti;
6. higienuri sertifikati.
8
farmacevtul saqmianobaze licenziis miRebisaTvis saWiroafarmacevtul saqmianobaze licenziis miRebisaTvis saWiroafarmacevtul saqmianobaze licenziis miRebisaTvis saWiroafarmacevtul saqmianobaze licenziis miRebisaTvis saWiroafarmacevtul saqmianobaze licenziis miRebisaTvis saWiroa:
1. licenziis maZiebeli (SemdgomSi “maZiebeli”) licenziis misaRebad licenziis gamcems warudgens
werilobiT gancxadebas:
gancxadeba unda akmayofilebdes saqarTvelos zogadi administraciuli kodeqsis 78-e muxliT
gaTvaliswinebul moTxovnebs (ix. gancxadebis forma), igi aseve unda Seicavdes:
• informacias_ganmcxadeblis vinaobis, misamarTis, samewarmeo reestrSi registraciis
monacemebis Sesaxeb;
• miTiTebebs, Tu romeli licenziis miRebas moiTxovs licenziis maZiebeli;
• gancxadebis wardgenis TariRs da ganmcxadeblis xelmoweras;
2. salicenzio mosakreblis gadaxdis damadasturebeli sabuTi, mosakrebeli ganisazRvreba
saqarTvelos kanoniT ,,salicenzio da sanebarTvo mosakreblis Sesaxeb”. sabanko rekvizitebia:
saqarTvelos erovnuli banki, kodi 220101107, satranzito angariSi - saqarTvelos bankis
vake-saburTalos filiali 507121604, saxazino kodi 3005 - salicenzio mosakrebeli,
saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministro;
3. ganacxadi xarisxis gare kontrolis sistemaSi monawileobaze;
4. informacia licenzirebadi farmacevtuli saqmianobis ganmaxorcielebeli specialistebis
profesiuli momzadebis Sesaxeb (saxelmwifo sertifikatis aslis warmodgeniT);
5. farmacevtuli dawesebulebis pasporti;
6. higienuri sertifikati;
7. spec. kontrols daqvemdebarebuli saSualebebis brunvis SemTxvevaSi pasuxismgebeli farmacevtis
daniSvnis brZaneba, cnobebi misi nasamarTleobisa da narkologiur dawesebulebebSi aRricxvaze
aryofnis Sesaxeb.
8. samkurnalo saSualebaTa warmoebisa da realizaciis licenziis misaRebad warmodgenil unda
iqnas im preparatebis CamonaTvali, romelTa warmoebis uflebasac iTxovs licenziis maZiebeli
dokumentacia warmodgenil unda iqnas erT egzemplarad.
4. ra aris samedicino da farmacevtuli dawesebulebis pasporti?4. ra aris samedicino da farmacevtuli dawesebulebis pasporti?4. ra aris samedicino da farmacevtuli dawesebulebis pasporti?4. ra aris samedicino da farmacevtuli dawesebulebis pasporti?4. ra aris samedicino da farmacevtuli dawesebulebis pasporti?
saqrTvelos Sromis, janmrTelobisa da socialuri dacvis ministris normatiuli
aqtiT dadgenili minimaluri moTxovnebi (Senobis daxasiaTeba _ naxazi, kadrebi, aparatura,
samuSaos moculoba), romelsac unda akmayofilebdes dawesebuleba konkretul saqmianobaze
licenziis misaRebad.
9
5 .5 .5 .5 .5 . ras niSnavs xarisxis gare kontrolis sistema?ras niSnavs xarisxis gare kontrolis sistema?ras niSnavs xarisxis gare kontrolis sistema?ras niSnavs xarisxis gare kontrolis sistema?ras niSnavs xarisxis gare kontrolis sistema?
es aris samedicino diagnostikuri saqmianobis obieqturobisa da saimedoobis dadasturebis
mizniT SemuSavebuli sistema.
6 .6 .6 .6 .6 . sabuTebis Setanidan ra drois Semdeg unda miiRos organizaciamsabuTebis Setanidan ra drois Semdeg unda miiRos organizaciamsabuTebis Setanidan ra drois Semdeg unda miiRos organizaciamsabuTebis Setanidan ra drois Semdeg unda miiRos organizaciamsabuTebis Setanidan ra drois Semdeg unda miiRos organizaciam
pasuxi (rogorc dadebiTi, ise uaryofiTi)?pasuxi (rogorc dadebiTi, ise uaryofiTi)?pasuxi (rogorc dadebiTi, ise uaryofiTi)?pasuxi (rogorc dadebiTi, ise uaryofiTi)?pasuxi (rogorc dadebiTi, ise uaryofiTi)?
licenziis gamcemi licenziis gacemis Taobaze gadawyvetilebas iRebs licenziis misaRebad
gansazRvruli dokumentaciis wardgenidan erTi Tvis vadaSi, adgilze Semowmebis Semdeg. Tu
licenziis gasacemad, saqmisTvis arsebiTi mniSvnelobis mqone garemoebaTa dasadgenad aucilebelia
erT Tveze meti, licenziis gamcemi uflebamosilia miiRos dasabuTebuli gadawyvetileba
administraciuli warmoebis vadis ara umetes 3 Tvemde gagrZelebis Taobaze. am gadawyvetilebis
Sesaxeb unda ecnobos licenziis maZiebels. licenziis gacemis an licenziis gacemaze uaris Tqmis
Taobaze gadawyvetilebis miRebisTvis kanoniT gaTvaliswinebuli vadis darRveva CaiTvleba licenziis
gacemaze uaris Tqmad.
7. ra SeiZleba iyos licenziis gacemaze uaris Tqmis safuZveli?7. ra SeiZleba iyos licenziis gacemaze uaris Tqmis safuZveli?7. ra SeiZleba iyos licenziis gacemaze uaris Tqmis safuZveli?7. ra SeiZleba iyos licenziis gacemaze uaris Tqmis safuZveli?7. ra SeiZleba iyos licenziis gacemaze uaris Tqmis safuZveli?
licenzia ar gaicema, Tu:
• licenziis maZieblis mier warmodgenili dokumentacia ar akmayofilebs salicenzio pirobebs;
• adgilze Semowmebisas aRmoCenilia salicenzio pirobebis darRvevebi;
• licenziis maZiebeli iTxovs licenzias, romelic gauqmebulia da gauqmebidan ar gasula
erTi weli;
• licenziis maZiebels SeuCerda am sferoSi miRebuli licenziis moqmedeba da ar aRmofxvrila
licenziis SeCerebis mizezi.
8. ra vadiT gaicema licenzia samedicino saqmianobaze?8. ra vadiT gaicema licenzia samedicino saqmianobaze?8. ra vadiT gaicema licenzia samedicino saqmianobaze?8. ra vadiT gaicema licenzia samedicino saqmianobaze?8. ra vadiT gaicema licenzia samedicino saqmianobaze?
licenzia gaicema ganusazRvreli vadiT.
9. ra SemTxvevaSi SeiZleba moxdes licenziis SeCereba da romel9. ra SemTxvevaSi SeiZleba moxdes licenziis SeCereba da romel9. ra SemTxvevaSi SeiZleba moxdes licenziis SeCereba da romel9. ra SemTxvevaSi SeiZleba moxdes licenziis SeCereba da romel9. ra SemTxvevaSi SeiZleba moxdes licenziis SeCereba da romel
struqturas aqvs amis ufleba?struqturas aqvs amis ufleba?struqturas aqvs amis ufleba?struqturas aqvs amis ufleba?struqturas aqvs amis ufleba?
Tu licenziis mflobeli arRvevs kanoniT dadgenil salicenzio pirobebs, licenziis gamcemi
(Sromis, janmrTelobisa da soc. dacvis saministro) iRebs gadawyvetilebas licenziis moqmedebis
SeCerebis Sesaxeb. licenziis moqmedeba SeCerdeba salicenzio pirobebis Sesrulebamde
(gamosworebamde). amisaTvis maZiebels eZleva araumetes sami Tvisa. licenziis moqmedebis SeCerebis
Sesaxeb gadawyvetileba SeiZleba gasaCivrdes Tbilisis saolqo sasamarTloSi. (mis. diRmis
masivi robaqiZis 7a).
10
10. ras niSnavs da ra SemTxvevaSi xdeba licenziis gauqmeba?10. ras niSnavs da ra SemTxvevaSi xdeba licenziis gauqmeba?10. ras niSnavs da ra SemTxvevaSi xdeba licenziis gauqmeba?10. ras niSnavs da ra SemTxvevaSi xdeba licenziis gauqmeba?10. ras niSnavs da ra SemTxvevaSi xdeba licenziis gauqmeba?
licenziis gauqmeba niSnavs licenziis gacemis Taobaze gadawyvetilebis baTilad (saqarTvelos
zogadi administraciuli kodeqsis 61-e muxlis Sesabamisad) an Zaladakargulad gamocxadebas.
licenziis gauqmebis safuZveli SeiZleba iyos Semdegi garemoebebi:
• licenzia gacemulia arauflebamosili piris an organos mier;
• licenzia ewinaaRmdegeba kanons an arsebiTad irRveva licenziis momzadebis da gamocemis
kanonmdeblobiT dadgenili moTxovnebi;
• licenziis gauqmeba pirdapir miTiTebulia kanonSi;
• arsebobs axlad aRmoCenili an axlad gamovlenili garemoeba, agreTve Sesabamisi samecniero-
teqnikuri aRmoCena an gamogoneba, romelic licenziis gamcems arTmevs SesaZleblobas
gamosces aseTi administraciuli aqti da licenziis moqmedebam (saqmianobam) SeiZleba
mniSvnelovani ziani miayenos saxelmwifo an sazogadoebriv interesebs;
• arsebobs licenziis mflobelis moTxovna licenziis gauqmebis Sesaxeb;
• licenziis mflobelis gardacvaleba (dadgenili wesiT gardacvlilad an ugzo-ukvlod
dakargulad aRiareba), qmediTuunarod cnoba an likvidacia;
• licenziis SeCerebis vada gasulia da ar aRmofxvrila am SeCerebis mizezi;
• gauqmda an Seicvala Sesabamisi normatiuli aqti, rac administraciul organos arTmevs
SesaZleblobas gamosces aseTi administraciul-samarTlebrivi aqti da am administraciuli
aqtis moqmedebam SeiZleba mniSvnelovani ziani miayenos saxelmwifo an sazogadoebriv
interesebs. aseT SemTxvevaSi, dainteresebul mxares romelsac ziani miadga, misi moTxovnis
safuZvelze unda mieces anazRaureba.
• licenziis gamcemi licenziis gauqmebis Sesaxeb gadawyvetilebas iRebs licenziis gacemisaTvis
dadgenili wesiT (ixileT kanoni).
• salicenzio mowmoba licenziis gamcems unda daubrundes licenziis gauqmebis Sesaxeb
gadawyvetilebis ZalaSi Sesvlidan 3 dRis ganmavlobaSi.
11. rogor unda moviqceT salicenzio mowmobis dakargvis an dazianebis11. rogor unda moviqceT salicenzio mowmobis dakargvis an dazianebis11. rogor unda moviqceT salicenzio mowmobis dakargvis an dazianebis11. rogor unda moviqceT salicenzio mowmobis dakargvis an dazianebis11. rogor unda moviqceT salicenzio mowmobis dakargvis an dazianebisSemTxvevaSi?SemTxvevaSi?SemTxvevaSi?SemTxvevaSi?SemTxvevaSi?
licenziis mflobeli licenziis gamcems mimarTavs Sesabamisi werilobiTi gancxadebiT salicenzio
mowmobis dublikatis gacemis Taobaze. aRniSnuli informaciiis Setana moxdeba uwyebriv da
saxelmwifo salicenzio reestrSi. salicenzio mowmobis dublikatis mosakrebeli Seadgens 10
lars.
11
12. rogor viqceviT dawesebulebis saxelwodebis, an sxva reestruli12. rogor viqceviT dawesebulebis saxelwodebis, an sxva reestruli12. rogor viqceviT dawesebulebis saxelwodebis, an sxva reestruli12. rogor viqceviT dawesebulebis saxelwodebis, an sxva reestruli12. rogor viqceviT dawesebulebis saxelwodebis, an sxva reestrulicvlilebis SemTxvevaSi?cvlilebis SemTxvevaSi?cvlilebis SemTxvevaSi?cvlilebis SemTxvevaSi?cvlilebis SemTxvevaSi?
ganmcxadebeli valdebulia werilobiT acnobos licenziis gamcems da warudginos saTanado
dokumentacia Sesabamisi cvlilebis ganxorcielebidan 7 samuSao dRis ganmavlobaSi.
13. sadao sakiTxebis wamoWris SemTxvevaSi vis unda mimarTos organizaciam13. sadao sakiTxebis wamoWris SemTxvevaSi vis unda mimarTos organizaciam13. sadao sakiTxebis wamoWris SemTxvevaSi vis unda mimarTos organizaciam13. sadao sakiTxebis wamoWris SemTxvevaSi vis unda mimarTos organizaciam13. sadao sakiTxebis wamoWris SemTxvevaSi vis unda mimarTos organizaciamda ra periodSi unda moxdes es?da ra periodSi unda moxdes es?da ra periodSi unda moxdes es?da ra periodSi unda moxdes es?da ra periodSi unda moxdes es?
licenziis gacemaze saministros uari, licenziis moqmedebis SeCereba an ganaxlebis Sesaxeb
gadawyvetileba SeiZeba gasaCivrdes zemdgom administraciul organoSi, (Tanamdebobis pirTan) an
sasamarTloSi.
saministroSi administraciuli saCivari wardgenil unda iqnas administraciuli aqtis gamoqveynebis,
an oficialuri wesiT misi gacnobis dRidan erTi TveSi.
sarCeli sasamarTlos unda waredginos administraciuli aqtis an administraciul saCivarTan
dakavSirebuli gadawyvetilebis gacnobidan 6 Tvis vadaSi.
14. romel saxelmwifo stuqturebs aqvT dawesebulebis samedicino14. romel saxelmwifo stuqturebs aqvT dawesebulebis samedicino14. romel saxelmwifo stuqturebs aqvT dawesebulebis samedicino14. romel saxelmwifo stuqturebs aqvT dawesebulebis samedicino14. romel saxelmwifo stuqturebs aqvT dawesebulebis samedicinosaqmianobis xarisxis kontrolis ufleba da ra dadgenilebiT regulirdebasaqmianobis xarisxis kontrolis ufleba da ra dadgenilebiT regulirdebasaqmianobis xarisxis kontrolis ufleba da ra dadgenilebiT regulirdebasaqmianobis xarisxis kontrolis ufleba da ra dadgenilebiT regulirdebasaqmianobis xarisxis kontrolis ufleba da ra dadgenilebiT regulirdebaes procesi?es procesi?es procesi?es procesi?es procesi?
samewarmeo saqmianoba SeiZleba gaakontrolos mxolod makontrolebelma organom. Sesabamisi
safuZvlis arsebobisas mewarmis samewarmeo saqmianobis Semowmebis winadadebiT sxva saxelmwifo
organom SeiZleba mimarTos makontrolirebel organos an sasamarTlos. makontrolirebeli
organo uflebamosilia kontroli gauwios samewarmeo saqmianobas mxolod mosamarTlis brZanebis
safuZvelze. (ix.kanoni ,,samewarmeo saqmianobis kontrolis Sesaxeb” 2001 weli 8 ivnisi).
dawesebulebis samedicino saqmianobis xarisxis kontrolis ufleba aqvs Sromis, janmrTelobisa
da socialuri dacvis saministros_samedicino daxmarebis, farmacevtuli saqmianobisa da
narkotikebis legalur brunvaze kontrolis inspeqcias.
rac Seexeba sanitariul_higienur wesebisa da normebis dacvaze saxelmwifo zedamxedvelobas,
mas ganaxorcielebs saxelmwifo sanitariuli zedamxedvelobis centraluri da teritoriuli
inspeqciebi, saqrTvelos kanonis ,,saqarTvelos sanitaruli kodeqsis” Sesabamisad (magaliTad
Tbilisis saxelmwifo sanitariuli zedamxedvelobis inspeqcia);
15 . ra struqturas ekisreb a v aldebuleba acnobos sam edicino15 . ra struqturas ekisreb a v aldebuleba acnobos sam edicino15 . ra struqturas ekisreb a v aldebuleba acnobos sam edicino15 . ra struqturas ekisreb a v aldebuleba acnobos sam edicino15 . ra struqturas ekisreb a v aldebuleba acnobos sam edicinodawesebulebebs samedicino saqmianobis maregulirebel da makontrolebeldawesebulebebs samedicino saqmianobis maregulirebel da makontrolebeldawesebulebebs samedicino saqmianobis maregulirebel da makontrolebeldawesebulebebs samedicino saqmianobis maregulirebel da makontrolebeldawesebulebebs samedicino saqmianobis maregulirebel da makontrolebelwesebsa da normebSi Setanili axali cvlilebebis Sesaxeb?wesebsa da normebSi Setanili axali cvlilebebis Sesaxeb?wesebsa da normebSi Setanili axali cvlilebebis Sesaxeb?wesebsa da normebSi Setanili axali cvlilebebis Sesaxeb?wesebsa da normebSi Setanili axali cvlilebebis Sesaxeb?
informacia samedicino saqmianobis maregulirebel da makontrolebel wesebsa da normebSi
Setanil cvlilebebze, aseve licenziis gacemis, masSi cvlilebis Setanis, misi moqmedebis SeCerebis,
ganaxlebis an misi gauqmebis Sesaxeb, garda saqarTvelos zogadi administraciuli kodeqsiT
gansazRvruli saidumlo informaciisa, SeiZleba inaxos saqarTvelos oficialur beWdviT
organoSi_,,saqarTvelos sakanonmdeblo macne”
12
Tavi II
licenzirebad samedicino da farmacevtul
saqmianobaTa nusxa
13
danarTi 2.1
licenzirebad samedicino saqmianobaTa nusxa
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
2 aiv-infeqcia/Sidsis mkurnalobaambulatorul-poliklinikuri
daxmareba 40
3 aiv-infeqcia/Sidsis mkurnaloba stacionaruli daxmareba 40
4 alergologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
5 alergologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
6 alergologia mozrdilTa stacionaruli
daxmareba 20
7 alergologia bavSvTa stacionaruli daxmareba 20
8 alkoholuri Trobis Semowmeba 100
9 angiologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
10 angiologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
11 angiologia mozrdilTa stacionaruli
daxmareba 20
12 angiologia bavSvTa stacionaruli daxmareba 20
13 anesTeziologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
14 anesTeziologia mozrdilTa stacionaruli
daxmareba 20
15 anesTeziologia bavSvTa stacionaruli daxmareba 20
16 anesTeziologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
17 audiologia 20
18 axali diagnostikuri saSualebebis, samkurnalo da biologiurad
aqtiuri nivTierebebis da preparatebis klinikuri kvleva 50
19 axali samedicino xelsawyoebis, aparatebis, samkurnalo-
diagnostikuri kompleqtebis aprobacia 50
20 axali samedicino xelsawyoebis, aparatebis, samkurnalo-
diagnostikuri kompleqtebis danergva 50
21 axali samedicino xelsawyoebis, aparatebis, samkurnalo-
diagnostikuri kompleqtebis SemuSaveba 50
22 bavSvebis samedicino patronaJi 10
14
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
23 baqteriologiuri gamokvlevebi 40
24 biologiuri kontroli 40
25 bioqimiuri gamokvlevebi 40
26 birTvul-magnituri rezonansi 100
27 gastroenterologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
28 gastroenterologia bavSvTa stacionaruli daxmareba 20
29 gastroenterologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
30 gastroenterologia mozrdilTa stacionaruli
daxmareba 20
31 gajansaRebis tradiciuli meTodebiT profilaqtika, diagnostika
da mkurnaloba 50
32 genetikuri Semowmeba da
eqspertiza 100
33 geriatria mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
34 geriatria mozrdilTa stacionaruli
daxmareba 20
35 gvamis paTologanatomiuri
gakveTa 50
36 gvamis Semurva 50
37 ginekologia bavSvTa ambulatorul-
poliklinikuri daxmareba 50
38 ginekologia mozrdilTa stacionaruli
daxmareba 50
39 ginekologia bavSvTa stacionaruli daxmareba 50
40 dekretirebul pirTa profvargisianobis Semowmeba da eqspertiza -
IV done 50
41 dermatologia da venerologiamozrdilTa ambulatorul-
poliklinikuri daxmareba 20
42 dermatologia da venerologiabavSvTa ambulatorul-
poliklinikuri daxmareba 20
43 dermatologia da venerologiamozrdilTa stacionaruli
daxmareba 20
44 dermatologia da venerologia bavSvTa stacionaruli daxmareba 20
45 dermato-venerologiuri
Semowmeba da eqspertiza 100
15
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
46 donorobis organizeba 20
47 droebiTi Sromisuunarobis
eqspertiza 50
48 endokrinologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
49 endokrinologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
50 endokrinologia mozrdilTa stacionaruli
daxmareba 20
51 endokrinologia bavSvTa stacionaruli daxmareba 20
52 endoskopia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
53 endoskopia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
54 endoskopia mozrdilTa stacionaruli
daxmareba 20
55 endoskopia bavSvTa stacionaruli daxmareba 20
56 energoinformatika 50
57 epidemiologia 20
58 esTetikuri qirurgia mozrdilTa ambulatorul-
poliklinikuri daxmareba 100
59 esTetikuri qirurgia mozrdilTa stacionaruli
daxmareba 100
60 eqstremalur situaciebSi gadaudebeli samedicino daxmarebis
organizeba 20
61 virusologiuri gamokvlevebi 40
62 zogadi saeqimo praqtika,
ojaxis eqimi 40
63 Terapia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
64 Terapia mozrdilTa stacionaruli
daxmareba 20
65 Terapia mozrdilTa dRis stacionari 20
66 Terapiuli kosmetologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 50
67 Terapiuli kosmetologia bavSvTa ambulatorul-
poliklinikuri daxmareba 50
68 Terapiuli kosmetologia mozrdilTa stacionaruli
daxmareba 50
16
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
69 Terapiuli kosmetologia bavSvTa stacionaruli daxmareba 50
70 imunologiuri gamokvlevebi 20
71 infeqciuri daavadebebi mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
72 infeqciuri daavadebebi bavSvTa ambulatorul-
poliklinikuri daxmareba 20
73 infeqciuri daavadebebi mozrdilTa stacionaruli
daxmareba 20
74 infeqciuri daavadebebi bavSvTa stacionaruli daxmareba 20
75 kardiologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
76 kardiologia mozrdilTa stacionaruli
daxmareba 20
77 kardiologia/
kardiorevmatologia
bavSvTa ambulatorul-
poliklinikuri daxmareba 20
78 kardiologia/
kardiorevmatologia bavSvTa stacionaruli daxmareba 20
79 kardioqirurgia mozrdilTa stacionaruli
daxmareba 50
80 kardioqirurgia bavSvTa stacionaruli daxmareba 50
81 kbilis sateqniko samuSaoebi
maT Soris Camosxma) 100
82 klinikur-diagnostikuri
gamokvlevebi 40
83 klinikuri imunologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
84 klinikuri imunologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
85 klinikuri imunologia mozrdilTa stacionaruli
daxmareba 20
86 klinikuri imunologia bavSvTa stacionaruli daxmareba 20
87 klinikuri toqsikologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
88 klinikuri toqsikologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
89 klinikuri toqsikologia mozrdilTa stacionaruli
daxmareba 20
90 klinikuri toqsikologia bavSvTa stacionaruli daxmareba 20
91 klinikuri transfuziologia mozrdilTa stacionaruli
daxmareba 20
17
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
92 klinikuri transfuziologia bavSvTa stacionaruli daxmareba 20
93 kombustiologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
94 kombustiologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
95 kombustiologia mozrdilTa stacionaruli
daxmareba 20
96 kombustiologia bavSvTa stacionaruli daxmareba 20
97 kompiuteruli tomografia 100
98 kritikuli medicina mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
99 kritikuli medicina bavSvTa ambulatorul-
poliklinikuri daxmareba 20
100 kritikuli medicina mozrdilTa stacionaruli
daxmareba 20
101 kritikuli medicina bavSvTa stacionaruli daxmareba 20
102 kurortologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
103 kurortologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
104 kurortologia mozrdilTa stacionaruli
daxmareba 20
105 kurortologia bavSvTa stacionaruli daxmareba 20
106 lazeroTerapia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
107 lazeroTerapia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
108 lazeroTerapia mozrdilTa stacionaruli
daxmareba 20
109 lazeroTerapia bavSvTa stacionaruli daxmareba 20
110 logopedia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
111 logopedia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
112 logopedia mozrdilTa stacionaruli
daxmareba 20
113 logopedia bavSvTa stacionaruli daxmareba 20
114 manualuri Terapia 50
18
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
115 masaJi samkurnalo, sportuli,
higienuri da kosmetikuri) 50
116 meanoba mozrdilTa stacionaruli
daxmareba 50
117 meanoba da ginekologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 50
118 metabologia mozrdilTa stacionaruli
daxmareba 20
119 mobiluri samedicino daxmareba
specializirebul transportSi 100
120 mozrdilTa samedicino
patronaJi 10
121
mosaxleobis masobrivi
imunizaciis organizeba da
Catareba
20
122 mZRolebis winasareiso
samedicino Semowmeba 50
123 narkologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
124 narkologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
125 narkologia mozrdilTa stacionaruli
daxmareba 20
126 narkotikuli saSualebebisa da fsiqotropuli nivTierebebis
SemuSaveba, Seqmna 100
127
narkotikuli saSualebebis, fsiqotropuli nivTierebebisa da
specialur kontrols daqvemdebarebuli nivTierebebis Semcveli
kombinirebuli preparatebis gadamuSaveba
100
128 narkotikuli saSualebebis
Senaxva-moxmareba 50
129 naturopaTia 50
130 nevrologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
131 nevrologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
132 nevrologia mozrdilTa stacionaruli
daxmareba 20
133 nevrologia bavSvTa stacionaruli daxmareba 20
134 nevrologia mozrdilTa dRis stacionari 20
135 neiroqirurgia mozrdilTa stacionaruli
daxmareba 20
19
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
136 neiroqirurgia bavSvTa stacionaruli daxmareba 20
137 neonatologia 20
138 nefrologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
139 nefrologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
140 nefrologia mozrdilTa stacionaruli
daxmareba 20
141 nefrologia bavSvTa stacionaruli daxmareba 20
142 onkologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
143 onkologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
144 onkologia mozrdilTa stacionaruli
daxmareba 20
145 onkologia bavSvTa stacionaruli daxmareba 20
146 organoebis da qsovilebis
aReba
mozrdilTa stacionaruli
daxmareba 20
147 organoebis da qsovilebis
aReba bavSvTa stacionaruli daxmareba 20
148 organoebisa da qsovilebis
gadanergva
mozrdilTa stacionaruli
daxmareba 50
149 organoebisa da qsovilebis
gadanergva bavSvTa stacionaruli daxmareba 50
150 organoebisa da qsovilebis
Senaxva
mozrdilTa stacionaruli
daxmareba 50
151 organoebisa da qsovilebis
Senaxva bavSvTa stacionaruli daxmareba 50
152 orTodontia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
153 orTodontia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
154 otorinolaringologia (maT
Soris surdologia)
mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
155 otorinolaringologia (maT
Soris surdologia)
bavSvTa ambulatorul-
poliklinikuri daxmareba 20
156 otorinolaringologia (maT
Soris surdologia)
mozrdilTa stacionaruli
daxmareba 20
157 otorinolaringologia (maT
Soris surdologia) bavSvTa stacionaruli daxmareba 20
20
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
158 ofTalmologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
159 ofTalmologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
160 ofTalmologia mozrdilTa stacionaruli
daxmareba 20
161 ofTalmologia bavSvTa stacionaruli daxmareba 20
162 ofTalmologia ofTometriulimozrdilTa ambulatorul-
poliklinikuri daxmareba 20
163 ofTalmologia ofTometriulibavSvTa ambulatorul-
poliklinikuri daxmareba 20
164 ofTalmologia ofTometriulimozrdilTa stacionaruli
daxmareba 20
165 ofTalmologia ofTometriuli bavSvTa stacionaruli daxmareba 20
166 paTologanatomiuri gamokvleva
da eqspertiza 50
167 paTomorfologiuri
diagnostika 40
168 pediatria bavSvTa ambulatorul-
poliklinikuri daxmareba 20
169 pediatria bavSvTa stacionaruli daxmareba 20
170 pediatria dRis stacionari 20
171 proTezireba orTopediuli mozrdilTa ambulatorul-
poliklinikuri daxmareba 50
172 proTezireba orTopediuli bavSvTa ambulatorul-
poliklinikuri daxmareba 50
173 proTezireba orTopediuli mozrdilTa stacionaruli
daxmareba 50
174 proTezireba orTopediuli bavSvTa stacionaruli daxmareba 50
175 proTezireba yuris mozrdilTa ambulatorul-
poliklinikuri daxmareba 50
176 proTezireba yuris bavSvTa ambulatorul-
poliklinikuri daxmareba 50
177 proTezireba yuris mozrdilTa stacionaruli
daxmareba 50
178 proTezireba yuris bavSvTa stacionaruli daxmareba 50
179 profesiul daavadebaTa
gamokvleva da eqspertiza 50
180 profpaTologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
21
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
181 profpaTologia mozrdilTa stacionaruli
daxmareba 20
182 proqtologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
183 proqtologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
184 proqtologia mozrdilTa stacionaruli
daxmareba 20
185 proqtologia bavSvTa stacionaruli daxmareba 20
186 pulmonologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
187 pulmonologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
188 pulmonologia mozrdilTa stacionaruli
daxmareba 20
189 pulmonologia bavSvTa stacionaruli daxmareba 20
190 radiologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
191 radiologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
192 radiologia mozrdilTa stacionaruli
daxmareba 20
193 radiologia bavSvTa stacionaruli daxmareba 20
194 radiologiuri diagnostika 50
195 reabilitacia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
196 reabilitacia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
197 reabilitacia mozrdilTa stacionaruli
daxmareba 20
198 reabilitacia bavSvTa stacionaruli daxmareba 20
199 regionSi samedicino daxmareba 50
200 revmatologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
201 revmatologia mozrdilTa stacionaruli
daxmareba 20
202 rentgenologiuri diagnostika 40
203 reproduqtologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 50
22
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
204 reproduqtologia mozrdilTa stacionaruli
daxmareba 50
205 refleqsoTerapia
(akupunqtura) 50
206 sadezinfeqcio saqmianoba -
dezinseqcia 40
207 sadezinfeqcio saqmianoba -
dezinfeqcia 40
208 sadezinfeqcio saqmianoba -
deratizacia 40
209 saeqTno samedicino daxmareba 10
210 samedicino genetika mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
211 samedicino genetika bavSvTa ambulatorul-
poliklinikuri daxmareba 20
212 samedicino genetika bavSvTa stacionaruli daxmareba 20
213 samedicino parazitologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
214 samedicino parazitologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
215 samedicino parazitologia mozrdilTa stacionaruli
daxmareba 20
216 samedicino parazitologia bavSvTa stacionaruli daxmareba 20
217 samedicino xarisxis auditi 200
218 samedicino-socialuri
eqspertiza 50
219
samedicino-teqnikuri
nakeTobebis sabiTumo
realizacia
100
220
samedicino-teqnikuri
nakeTobebis sacalo
realizacia
100
221
samedicino-teqnikuri nakeTobebis teqnikuri momsaxureba
(funqciuri mdgomareobis dadgena, mimdinare da sxva momsaxureba -
montaJi, SekeTeba, demontaJi saxeobebis mixedviT
100
222 samedicino-teqnikuri
nakeTobebis warmoeba 100
223 samkurnalo kveba mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
224 samkurnalo kveba bavSvTa ambulatorul-
poliklinikuri daxmareba 20
23
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
225 samkurnalo kveba mozrdilTa stacionaruli
daxmareba 20
226 samkurnalo kveba bavSvTa stacionaruli daxmareba 20
227 samkurnalo fizkultura da
sportuli medicina
mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
228 samkurnalo fizkultura da
sportuli medicina
bavSvTa ambulatorul-
poliklinikuri daxmareba 20
229 samkurnalo fizkultura da
sportuli medicina
mozrdilTa stacionaruli
daxmareba 20
230 samkurnalo fizkultura da
sportuli medicina bavSvTa stacionaruli daxmareba 20
231 samxedro-samedicino da wvevamdelTa janmrTelobis mdgomareobis
Semowmeba da eqspertiza 50
232 sanatoriuli mkurnaloba 50
233 sanitaruli ganaTleba. 20
234 sasamarTlo-samedicino
eqspertiza 50
235 sasamarTlo-fsiqiatriuli
eqspertiza 50
236 saswrafo da gadaudebeli
samedicino daxmareba 50
237 saSualo samedicino
personalis uwyveti ganaTleba 100
238 saSualo samedicino saganmanaTleblo (ganaTlebis saministros
mier licenzirebuli) dawesebulebis sabazo klinikuri saqmianoba 100
239 sawarmoo transfuziologia 100
240 serologiuri gamokvlevebi 40
241 seqsologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
242 seqsologia mozrdilTa stacionaruli
daxmareba 20
243 sportsmenebis saeqimo
kontroli 20
244 stomatologia Terapiuli mozrdilTa ambulatorul-
poliklinikuri daxmareba 50
245 stomatologia Terapiuli bavSvTa ambulatorul-
poliklinikuri daxmareba 50
246 stomatologia orTopediuli mozrdilTa ambulatorul-
poliklinikuri daxmareba 50
247 stomatologia orTopediuli bavSvTa ambulatorul-
poliklinikuri daxmareba 50
24
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
248 stomatologia qirurgiuli mozrdilTa ambulatorul-
poliklinikuri daxmareba 50
249 stomatologia qirurgiuli bavSvTa ambulatorul-
poliklinikuri daxmareba 50
250 stomatologia qirurgiuli mozrdilTa stacionaruli
daxmareba 50
251 stomatologia qirurgiuli bavSvTa stacionaruli daxmareba 50
252 travmatologia da orTopedia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
253 travmatologia da orTopedia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
254 travmatologia da orTopedia mozrdilTa stacionaruli
daxmareba 20
255 travmatologia da orTopedia bavSvTa stacionaruli daxmareba 20
256 transportirebisas samedicino
Tanxleba 50
257 ultrabgeriTi diagnostika 100
258 umaRlesi samedicino saganmanaTleblo (ganaTlebis saministros
mier licenzirebuli) dawesebulebis sabazo klinikuri saqmianoba 100
259
umaRlesisSemdgomi
profesiuli mzadeba
(rezidentura)
100
260 urologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
261 urologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
262 urologia mozrdilTa stacionaruli
daxmareba 20
263 urologia bavSvTa stacionaruli daxmareba 20
264 uwyveti samedicino ganaTleba 100
265 fTiziatria mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
266 fTiziatria bavSvTa ambulatorul-
poliklinikuri daxmareba 20
267 fTiziatria mozrdilTa stacionaruli
daxmareba 20
268 fTiziatria bavSvTa stacionaruli daxmareba 20
269 fizioTerapia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
25
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
270 fizioTerapia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
271 fizioTerapia mozrdilTa stacionaruli
daxmareba 20
272 fizioTerapia bavSvTa stacionaruli daxmareba 20
273 fitoTerapia 50
274 fsiqiatria mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
275 fsiqiatria mozrdilTa stacionaruli
daxmareba 20
276 fsiqiatria bavSvTa ambulatorul-
poliklinikuri daxmareba 20
277 fsiqiatria bavSvTa stacionaruli daxmareba 20
278 fsiqiatriuli Semowmeba 50
279 fsiqoaqtiuri nivTierebebiT gamowveuli Trobis Semowmeba da
eqspertiza 100
280 fsiqoTerapia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
281 fsiqoTerapia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
282 fsiqoTerapia mozrdilTa stacionaruli
daxmareba 20
283 fsiqoTerapia bavSvTa stacionaruli daxmareba 20
284 funqciuri diagnostika 50
285 qimiur-toqsikologiuri
diagnostika 40
286 qirurgia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
287 qirurgia mozrdilTa dRis stacionari 20
288 qirurgia bavSvTa dRis stacionari 20
289 qirurgia gulmkerdis mozrdilTa stacionaruli
daxmareba 20
290 qirurgia gulmkerdis bavSvTa stacionaruli daxmareba 20
291 qirurgia zogadi mozrdilTa stacionaruli
daxmareba 20
292 qirurgia zogadi bavSvTa stacionaruli daxmareba 20
26
# samedicino saqmianobis
dasaxeleba samedicino saqmianobis moculoba
salicenzio
mosakrebeli
(larebSi)
293 qirurgia zogadi mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
294 qirurgia plastikuri da
rekonstruqciuli
mozrdilTa ambulatorul-
poliklinikuri daxmareba 100
295 qirurgia plastikuri da
rekonstruqciuli
mozrdilTa stacionaruli
daxmareba 100
296 qirurgia plastikuri da
rekonstruqciuli bavSvTa stacionaruli daxmareba 100
297 qirurgia sisxlZarRvTa mozrdilTa stacionaruli
daxmareba 50
298 qirurgia sisxlZarRvTa bavSvTa stacionaruli daxmareba 50
299 qirurgia Cirqovani mozrdilTa stacionaruli
daxmareba 20
300 qirurgia Cirqovani bavSvTa stacionaruli daxmareba 20
301 SromaTerapia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
302 SromaTerapia mozrdilTa stacionaruli
daxmareba 20
303
calkeuli profesiebiT saqmianobis, uflebis an nebarTvis
misaRebad moqalaqeTa janmrTelobis mdgomareobis Semowmeba da
eqspertiza - I done
50
304
calkeuli profesiebiT saqmianobis, uflebis an nebarTvis
misaRebad moqalaqeTa janmrTelobis mdgomareobis Semowmeba da
eqspertiza - II done
50
305
calkeuli profesiebiT saqmianobis, uflebis an nebarTvis
misaRebad moqalaqeTa janmrTelobis mdgomareobis Semowmeba da
eqspertiza - III done
50
306 citogenetikuri gamokvlevebi 40
307 citologiuri diagnostika 40
308 hematologia mozrdilTa ambulatorul-
poliklinikuri daxmareba 20
309 hematologia bavSvTa ambulatorul-
poliklinikuri daxmareba 20
310 hematologia mozrdilTa stacionaruli
daxmareba 20
311 hematologia bavSvTa stacionaruli daxmareba 20
312 homeopaTia 20
27
danarTi 2.2
licenzirebadi farmacevtuli saqmianobis saxeebi
# farmacevtuli saqmianobis dasaxeleba
salicenzio
mosakrebeli
(larebSi)
a)
samkurnalo saSualebebis (maT Soris, specialur kontrols
daqvemdebarebuli saSualebebis) momzadeba da realizacia (I jgufis
afTiaqi);
300
b) samkurnalo saSualebebis realizacia (II jgufis afTiaqi); 300
g) samkurnalo saSualebebis (garda narkotikuli saSualebebisa)
realizacia (II jgufis afTiaqi); 300
d) samkurnalo saSualebebis (garda specialur kontrols
daqvemdebarebuli saSualebebisa) realizacia (III jgufis afTiaqi); 300
e) ureceptod gasacemi samkurnalo saSualebebis sacalo realizacia
(afTiaqis filiali); 50
v)
samkurnalo saSualebebis momzadeba da samkurnalo-profilaqtikuri
dawesebulebis ganyofilebebze gacema, sacalo realizaciis gareSe
(samkurnalo-profilaqtikuri dawesebulebis afTiaqi);
50
z)
samkurnalo saSualebebis samkurnalo-profilaqtikuri dawesebulebis
ganyofilebebze gacema, sacalo realizaciis gareSe (samkurnalo-
profilaqtikuri dawesebulebis afTiaqi);
50
T)
samkurnalo saSualebebis (garda specialur kontrols
daqvemdebarebuli saSualebebisa) importi, eqsporti, reeqsporti da
sabiTumo realizacia (farmacevtuli baza);
400
i) narkotikuli saSualebebis importi, eqsporti, reeqsporti da
sabiTumo realizacia (farmacevtuli baza); 100
k)
specialur kontrols daqvemdebarebuli nivTierebebis (garda
narkotikuli saSualebebisa) importi, eqsporti, reeqsporti da
sabiTumo realizacia (farmacevtuli
baza);
100
l)
samkurnalo saSualebebis (garda narkotikuli saSualebebisa)
warmoeba; warmoebuli samkurnalo saSualebebis (garda narkotikuli
saSualebebisa) eqsporti da realizacia;
samkurnalo saSualebebis (garda narkotikuli saSualebebisa)
importi sakuTari warmoebisaTvis (farmacevtuli warmoeba);
400
m)
specialur kontrols daqvemdebarebuli nivTierebebis Semcveli im
kombinirebuli preparatebis warmoeba, romlebic ar miekuTvneba
narkotikuli saSualebebis CamonaTvals; warmoebuli preparatebis
eqsporti da realizacia; preparatebis importi sakuTari
warmoebisaTvis (farmacevtuli warmoeba);
100
n) samkurnalo saSualebebis xarisxis kontroli (laboratoria). 300
28
Tavi III
samedicino saqmianobis licenzirebisaTvis saWiro
dokumentaciis tipiuri formebi
29
30
danarTi 3.1
saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros
dawesebulebis dasaxeleba - - - - - - - - - - - - - - - - - - - - - - - - - -
organizaciul-samarTlebrivi forma - - - - - - - - - - - - - - - - - - -
iuridiuli misamarTi - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
faqtiuri misamarTi, telefoni - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
registrirebulia - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
g a n c x a d e b a
gTxovT, mogvceT Semdegi saqmianobis warmoebis ufleba:
gavecani kanonmdeblobiT gaTvaliswinebul salicenzio pirobebs da moTxovnebs dawesebulebis xelmZRvaneli
b. a.
gancxadebas Tan erTvis debulebiT gaTvaliswinebuli saTanado sabuTebi - - - - - gverdze.
2003 w. ,,___” ________
31
danarTi 3.2 c n o b e b i
salicenzio samedicino saqmianobis Semsrulebeli specialistebis profesiuli momzadebis Sesaxeb licenziis maZiebeli_____________________________________________ salicenzio samedicino saqmianoba___________________________________
#
gvari,
sax
eli
mamis s
axel
i
spec i
aloba
mocemuli specialobiT
mu
Sao
bis
staJi
umaRles
i (saS
ual
o)
sas
wavleb
lis
diplomi #
fakultet
i
specializ
aciis d
a kval
ifikac
iis amaRlebis
damad
astureb
eli
sab
uTi # w
eli, s
pecialoba
ser
tif
ikat
i #, wel
i specialoba mo
qmed
ebis
vad
a
samec
nier
o x
aris
xi,
diplomis #, wel
i
samec
nier
o w
odeb
a,
diplomis #
, wel
i
SeniS
vna
32
danarTi 3.3
informacia samedicino dawesebulebis materialur-teqnikuri bazis Sesaxeb
a) zogadi informacia
1) dawesebulebis dasaxeleba:
2) misamarTi, telefoni, faqsi, el.fosta:
3) dakavebuli farTi (ha):
4) dawesebulebis sruli sabalanso Rirebuleba (lari):
5) maT Soris - Senoba-nagebobebi:
6) mowyobilobebi:
7) obieqtis saproeqto simZlavre (sawoli):
8) obieqtis fizikuri datvirTva (sawoli):
9) ijariT gacemuli farTi (kv.m.):
10) moijare organizaciebi:
(gTxovT warmoadginoT Sesabamisi ijaris
xelSekrulebis asli)
11) damatebiTi informacia:
33
b) teritoriaze ganTavsebuli TiToeuli Senoba-nagebobis daxasiaTeba
Senobis da/an nagebobis dasaxeleba
aSeneb
is T
ariR
i
bolo kapit
aluri
SekeT
ebis
Tar
iRi
sar
Tuleb
is r
aodenoba
mzid
i ko
nstruqc
iebi
(aguri, x
e, r
k.bet
oni
s,
karkasuli, qva, ms
xvili
pemz
a-bloki, wvr
ili sak. bloki)
kedleb
is S
evseb
a (aguri, panel
i, x
e, msxvili
bloki, wvr
ili bloki)
gamwmend
i nageb
oba
(meqanikuri, b
iologiu
ri)
Senobis
fiz
ikuri
mdgomareo
ba
(avariu
li,
arad
amakmayo
fil
ebel
i,
damakmayo
fil
ebel
i, kar
gi)
1 2 3 4 5 6 7 8
g) ganyofilebis/samsaxuris teqnologiuri daxasiaTeba
dakavebuli farTi (kv.m) sawolebis raodenoba
palatebis raodenoba
SeniSvna #
ganyofilebis/ samsaxuris dasaxeleba
Senobis/ nagebobis dasaxeleba
sarTuli
saerTo sasargeblo proeqtiT faqtiuri
1 2 3 4 5 6 7 8 9 10
34
d) el.momaragebis sistemis daxasiaTeba
#
eleqtromomaragebis wyaro (centraluri gamanawilebeli punqti,
satransformatoro qvesadguri, eleqtrojixuri, dizel-generatori)
raodenoba
simZlavre
(kva)
aqvs Tu ara sarezervo (meoradi)
eleqtromoma-ragebis wyaro
funqciuri mdgomareoba
(avariuli, aradamakmayofilebe
li, damakmayofilebeli,
kargi)
SeniSvna
1 2 3 4 5 6 7
e) liftebis daxasiaTeba
#
liftis saxe (samgzavro, samedicino
daniSnulebis)
raode-noba
mwarmoebeli
qveyana
modeli, tipi
saqarxno
#
tvirTamweoba
(kg)
gamoSvebis
weli
funqciuri mdgomareoba
(avariuli, aradama-kmayofilebeli,
damakmayofilebeli, kargi)
1 2 3 4 5 6 7 8 9
35
v) samrecxaos daxasiaTeba
#
danadgaris dasaxeleba
(sarecxi manqana, sawuri, saSrobi)
raode-noba
mwarmoebeli
qveyana
modeli, tipi
saqarxno #
simZlavre
(kg)
gamoSvebis
weli
funqciuri mdgomareoba
(avariuli, aradama-kmayofilebeli,
damakmayofilebeli, kargi)
1 2 3 4 5 6 7 8 9
z) saqvabis daxasiaTeba
#
saqvabis mowyobiloba-danadgarebis dasaxeleba
(qvabi, boileri, tumbo da a.S.)
raode-noba
mwarmoebeli
qveyana
modeli, tipi
saqarxno #
simZlavre
(kg)
gamoSvebis
weli
funqciuri mdgomareoba
(avariuli, aradama-kmayofilebeli,
damakmayofilebeli, kargi)
1 2 3 4 5 6 7 8 9
T) wyalmomaragebis sistemis daxasiaTeba
#
wyalmomaragebis saxe
(centraluri, adgilobrivi,
arteziuli Wa, sxva)
saSualo Tviuri xarji (kb.m)
qselis mdgomareoba (avariuli, aradamakmayofilebeli,
damakmayofilebeli, kargi)
SeniSvna
1 2 3 4 5
36
i) kanalizaciis sistemis daxasiaTeba
# kanalizaciis saxe
(centraluri, adgilobrivi,)
qselis mdgomareoba (avariuli, aradamakmayofilebeli, damakmayofilebeli, kargi)
SeniSvna
1 2 3 4
k) samedicino teqnikuri aRWurvilobis aRweris forma
ganyo
fil
ebis
(kab
inet
is) das
axel
eba
aRWurvilobis
kodi
rig
iTi
#
aRWurvilobis
sruli
das
axel
eba
model
i, t
ipi,
(pas
portis
mix
edviT)
qveyana, f
irma
gamoSvebis
wel
i
saqar
xno
#
sab
alanso R
ireb
uleb
a (l
ari)
mimd
inar
e funqciu
ri
mdgomareo
ba
(1_mu
Sao
bs;
2_Ses
akeT
ebel
ia;
3_uvargis
ia)
ra mizez
iT aris
Ses
akeT
ebel
i an
uvargis
i (miz
ezis
zusti
miTiT
ebiT
)
SeniS
vna
1 2 3 4 5 6 7 8 9 10 11 12
37
l) informacia samedicino teqnikuri aRWurvilobis momsaxure personalis da/an iuridiuli piris Sesaxeb
# fizikuri piris
gvari, saxeli
ganaTleba
(saSualo,
saSualo-teqnikuri,
umaRlesi)
specialoba
(diplomis
mixedviT)
informacia profesiuli
kvalifikaciis Sesaxeb SeniSvna
1 2 3 4 5 6
# iuridiuli piris misamarTi, xelSekruleba SeniSvna
sruli dasaxeleba telefoni # TariRi
1 2 3 4 5 6
m) informacia samedicino airebis momsaxure personalis Sesaxeb
# gvari, saxeli
ganaTleba (saSualo,
saSualo-teqnikuri, umaRlesi)
specialoba (diplomis mixedviT)
informacia profesiuli kvalifikaciis Sesaxeb
SeniSvna
38
n) informacia gazomvis saSualeba - samedicino teqnikuri nakeTobebis (stn) metrologiuri uzrunvelyofis Sesaxeb
# iuridiuli piris misamarTi, xelSekruleba SeniSvna
sruli dasaxeleba telefoni # TariRi
1 2 3 4 5 6
o) informacia eleqtro mowyobilobebisa da eleqtruli samedicino teqnikis damcavi damiwebis teqnikuri mowyobisa da izolaciis
winaRobis mdgomareobis Sesaxeb
xelSekruleba N iuridiuli
piris sruli
dasaxeleba
misamarTi,
telefoni,
faqsi, el-fosta
N TariRi
damcavi damiwebis
konturis
eqspluataciaSi
Sesvlis TariRi
bolo
Semowmebis
TariRi
damcavi damiwebis
konturis
mdgomareoba
(cudi, kargi)
SeniSvna
1 2 3 4 5 6 7 8 9
39
danarTi 3.4
samedicino teqnikuri aRWurvilobis pirobiTi kodebi
kodi samedicino teqnikuri aRWurvilobis dasaxeleba
01 samedicino teqnikuri aRWurviloba laboratoriuli kvlevebisaTvis
02 samedicino teqnikuri aRWurviloba funqciuri diagnostikisaTvis
03 samedicino teqnikuri aRWurviloba rentgenologiuri diagnostikisaTvis
04 samedicino teqnikuri aRWurviloba ultrabgeriTi diagnostikisaTvis
05 samedicino teqnikuri aRWurviloba radioizotopuri diagnostikisaTvis
06 samedicino teqnikuri aRWurviloba sxva saxis diagnostikisaTvis
07 samedicino teqnikuri aRWurviloba reanimaciisaTvis da intensiuri TerapiisaTvis
08 samedicino teqnikuri aRWurviloba saoperacio da samSobiaro blokebisaTvis
09 samedicino teqnikuri aRWurviloba endoskopiisaTvis
10 samedicino teqnikuri aRWurviloba stomatologiisaTvis
11 samedicino teqnikuri aRWurviloba organoTa funqciis droebiTi CanacvlebisaTvis
12 samedicino teqnikuri aRWurviloba fizioTerapiisaTvis
13 samedicino teqnikuri aRWurviloba sterilizaciisa da dezinfeqciisaTvis
14 samedicino instrumentebi
15 samedicino aveji
16 teqnikuri saSualebebi samedicino teqnikuri aRWurvilobis momsaxureobisaTvis
17 sxva
40
danarTi 3.5
g a n c x a d e b a
saqarTvelos teritoriaze samkurnalo saSualebebis da specialur kontrols
daqvemdebarebuli nivTierebebis sacalo realizaciaze licenziis miRebis Sesaxeb
licenziis maZiebeli ________________________________________________________________________ organizaciis samarTlebrivi statusi, saxelwodeba iuridiuli misamarTi __________________________________________________________________________
faqtiuri misamarTi __________________________________________________________________________ telefoni______________________ faqsi_________________
registrirebuli___________________________________________________________ saxelmwifo registraciis mowmoba #, gacemis TariRi
dawesebulebis xelmZRvaneli _________________________________________________________________________
gvari, saxeli, Tanamdeboba
iTxovs licenzias
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
saqmianobis dasaxeleba
salicenzio pirobebs da moTxovnebs, aseve kanonebs, debulebebsa da wesebs, romlebic aregulireben samkurnalo saSualebebis sacalo realizacias, gavecani da viReb valdebulebas _ Sevasrulo.
gancxadebas Tan erTvis saTanado sabuTebi ------------- gverdze
dawesebulebis xelmZRvaneli ----------------------
xelis mowera
b.a.
41
Tavi IV
samedicino saqmianobis pasportebi
4.1 zogadi saeqimo praqtika, ojaxis eqimi
samedicino saqmianoba: zogadi saeqimo praqtika, ojaxis eqimi
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologia gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
I, II, III, IV
yvela tipis dawe-sebu-leba
• zogadi profilis
eqimi _
ojaxis eqimi
an zogadi
Terapevti
(Sesabamisi
saxelmwifo
sertifikati)
• eqTani (zogadi
profilis
eqTani)
• sanitari
• klinikuri
inJineri
(samedicino
aparaturis
inJineri, an/da
xelSekruleba
samedicino
aparaturis
servis-
samsaxurTan)
ixileT:
danarTi 4.1.1
danarTi 4.1.2
danarTi 4.1.3
• L00-L08, L20-L30, L40, L42, L43, L50, L55, L70, L75, L80, L89,
• J00-J70, J80-J99, I00-I99, • K11-K14, K20-K31, K35-K38,
K40-K46, K50-K52, K55-K63, K65-K67, K70-K77, K80-K87, K90, K91,
• N00-N23, N30-N49, N70-N77, N80-N98,
• D50-D52, D55-D57, D59, D60-D63, D65-D74, D77, D80-D86,
• E00-E06, E10-E16, E20-E26, E28-E32, E35, E40-E46, E50-E60, E64-E68, E70-E87, E90,
• M00-M03, M05-M10, M14-M18, M20-M25, M30-M34, M36, M40-M42, M45-M47, M49-M51, M54, M60, M61, M63, M65, M66, M68, M70-M76, M80-M84, M86-M94,
• A00, A01, A03, A05, A06, A08, A09, A15-A27, A30-A46, A50-A60, A68, A75, A80-A87, A89,
• B00-B07, B15-B30, B50-B55, • F00-F09, F30-F59, • G00-G09, G20-G22, G30-G35,
G40-G47, G50-G59, • H00-H28, H40-H42, H60-H72,
H80-H82, H92, • O00-O03, O10, O16, O20, O45,
O46, O85, O86, O87, O91, O92, • S00-S99, • T00-T78, Z70-Z99
• pacientis eqimTan viziti
• eqimis viziti pacientTan binaze
• meddis viziti pacientTan binaze
• Saqris (glukoza) gansazRvra/T.z.t. siTxeSi
• Timolis sinjis gansazRvra sisxlis SratSi
• sulemis sinjis gansazRvra sisxlis SratSi
• veltmanis sinjis gansazRvra sisxlis SratSi
• naRvlis pigmentebis gansazRvra SardSi
• naxvelis klinikuri analizi
• naxvelis baqterioskopuli gamokvleva
• sisxlis Sededebis dr.gansaz.+sisxldenis dr.gansaz.
• proTrombinis indeqsis gansazRvra plazmaSi
• sisxlis saerTo analizi
• Sardis saerTo analizi
• ganavlis saerTo analizi
• Tvalis fskeris gamokvleva (ofTalmoskopia)
• otokopia/faringoskopia
• sisxlis wnevis manometria
• Trombocitebis daTvla sisxlSi
• naxvelis baqterioskopia tuberkulozis Cxirze
• eleqtrokardiografia
• ganavlis gamokvleva farul sisxldenaze
• SardSi cilis raodenobis gansazRvra (proteinuria)
• Saqris gansazRvra SardSi
• ofTalmoskopia
• hemoglobinis gansazRvra sisxlSi
• malariaze sqeli wveTisa da nacxis mikroskopireba
• sisxlis saerTo analizi (eqspres meTodi)
• Sardis saerTo analizi (eqspres meTodi)
• Saqris (glukozis) gansazRvra sisxlSi (eqspres meTodi)
me-4 svetSi
CamoTvlili
daavadebebis
mqone
avadmyofTa diagnostika da
ambulatoruli
mkurnaloba,
saWiroebis
SemTxvevaSi
stacionarSi gadagzavna.
42
43
ojaxis eqimis samsaxuris samedicino-teqnikuri aRWurviloba:
danarTi 4.1.1
samedicino dawesebulebis teqnikuri infrastruqtura - avariuli kvebis wyaro, wyalmomaragebis, kanalizaciis, gaTbobis, ventilaciisa da kondicirebis sistema:
• avariuli kvebis wyaro (damatebiTi xazi da generatori _ minimum 7.5kvt. simZlavriT)
• wyalmomaragebisa da kanalizaciis sistema (civi wyali, cxeli wyali) gaTbobis, kondicirebisa da ventilaciis sistema (centraluri an avtonomiuri)
danarTi 4.1..2
samedicino da teqnikuri aRWurvilobis dasaxeleba raodenoba
eqimis oTaxi aveji
saweri magida 1 skami 1 taxti (samedicino) 1 karada 1 karada (samedicino) 1
samedicino xelsawyoebi da aparatura negatoskopi 1 sfigmomanometri 1 fonendoskopi 1 sazomi lenti 1 lupa 1 CaquCi (nevrologis) 1 sinaTlis wyaro (fanqari) xaxis gamosakvlevad 1 cxrili gamanaTebliT (mxedvelobis simaxvilis gamosakvlevad) 1 saTvalis SesarCevi linzebis nakrebi 1 bavSvis Sesaxvevi magida 1
saproceduro baqteriociduli gamanaTebeli (mobiluri) 1 samanipulacio magida 1 eqimis skami (mbrunavi) 1
samedicino da teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino karada 1 eleqtrokardiografi (portatuli) 1 sinaTlis wyaro Tvalis gugis reaqciis Sesamowmeblad 1 sareanimacio instrumentebis mcire nakrebi (xelovnuri sunTqvis aparati (meqanikuri), enis damWeri, laringoskopi da sxv.)
vakuumaspiratori (Terapiuli) 1 instrumentebis nakrebi traqeostomiisaTvis 1 defibrilatori (portatuli) 1 simaRlis sazomi (anTropometruli) 1 saswori (mozrdilTa, samedicino) 1 saswori (Cvil bavSvTa) 1 Termometri 3 sarkeebis nakrebi (cxviris, cxvirxaxis gamosakvlevad) 1 insrumenti _ Tvalidan ucxo sxeulis amosaRebad 1 insrumenti _ cxviridan ucxo sxeulis amosaRebad 1 insrumenti _ yuridan ucxo sxeulis amosaRebad 1 sisxldenis SemaCerebeli momWeri 10 nemsi _ dana, rqovanidan ucxo sxeulis mosaSoreblad 1 qirurgiuli nemsebis nakrebi 2 nemsdamWeri 6 kaTeterebis nakrebi 2 kompleqti erTjeradi gamoyenebis kaTeterebis nakrebi 2 kompleqti niCabi, qsovilebis dasaSoreblad 1 dana (nemsi) paracentezisaTvis 1 makrateli qirurgiuli (rbili qsovilebis gasaWrelad) 3 makrateli (gadasaxvevi masalisaTvis) 3 pinceti (anatomiuri) 3 pinceti (anatomiuri Tvalis) 3 pinceti (qirurgiuli) 3 skalpeli 6 troakari (samedicino) 1 instrumenti xorxidan ucxo sxeulis amosaRebad 1 artaSani kidurebis imobilizaciisaTvis 1 damWeri yelisa da cxviris tamponirebisaTvis 1 sakeravi masala 1 rezinis xelTaTmanebi saW. mixedviT gadasaxvevi masala (dolbandi, bamba da sxv) instrumentebis magida (mobiluri) 1 gamanaTebeli (mobiluri) 1
44
samedicino da teqnikuri aRWurvilobis dasaxeleba raodenoba
biqsi 1 biqsis sadgami 1 Tasi 1 Tasis sadgami 1
sanitaruli oTaxi taxti (samedicino) 1 karada 1 Janes Sprici 1 gastraluri zondi 1 duodenaluri zondi 1 saTbura (mozrdilTa, bavSvTa) 2
sasterilizacio oTaxi: karada (qimiuri, sasterilizacio, sadezinfeqcio, sarecxi nivTierebebisaTvis) 1 instrumentebis dasakompleqtebeli magida (instrumentebis daxarisxebis, kompleqtaciis, maTi vargisianobis Sesamowmeblad)
1
gamadidebeli optikuri mowyobiloba (gamadidebeli mowyobiloba instrumentebis dasaTvaliereblad magaliTad: specialuri lupa, an/da sakancelario lupa)
1
biqsi 1 mowyobiloba mSrali sterilizaciisaTvis 1
danarTi 4.1..3
samrecxao ganyofileba
(samrecxao, an/da centraluri samrecxao)
samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
wyalmomaragebis sistema (civi wyali, cxeli wyali: centraluri, an/da avtonomiuri) sakanalizacio sistema (centraluri, an/da avtonomiuri) karada (qimiuri, sasterilizacio, sadezinfeqcio, sarecxi nivTierebebisaTvis) 1 Tasi 1 saTli 1 biqsi 1 sarecxi manqana 1
45
46
4.2 Terapia samedicino saqmianoba: Terapia, ambulatoriuli momsaxureba (done _ I)
do-
ne tipi kadrebi
samedicino-
teqnikuri aRWurviloba
nozologia gamokvlevebi samedicino saqmianobis
moculoba
1 2 3 4 5 6 7
I 1. ambula-
toria
2. saubno saavadmyo
fo
• eqimi (zogadi profilis/ ojaxis
eqimi an
Terapevti)
• eqTani
• sanitari
• sainJinro-teqnikuri personali (an xelSekruleba
Sesabamis
servisul
samsaxurTan)
• eqimis kabineti, _ danarTi 4.2.1
• mimRebi oTaxi, sangamtari da/an misaRebi
filtri,
gasasinji
kabineti:
aRWurvilobis
ZiriTad CamonaTvals,
_ danarTi 4.2.2
(a) E01-E02, E11, E50-E55, E66, E86, I00-02, I10-15, I20, I25, I27, I42-43, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, K20-21, K25-30, K44, K58, K70-71, K73-75, K81,K86, M00-M19, N34, R00-39, R50-99, D50, D-62, A00-09, A15-16, B15-19;
(b) E03-E06, E10, E12-E14, E73, E85, I05-09, I34-I37, I48, I80, I83, K44, K50-51, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D51-53;
(g) E50-E64, E66, I05-09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.
• sisxlis saerTo analizi
• Sardis saerTo analizi
• ganavlis analizi
• naxvelis saerTo analizi
• naxvelis mikroskopia mikobaqteriis gamosavlenad
• glikemiis gansazRvra
• qolesterinis koncentraciis gansazRvra sisxlSi
• bilirubinemiis gansazRvra
• transaminazebis (alt, ast) aqtivobis gansazRvra
• kreatininis narCeni azotis koncentracia sisxlSi
• ekg
• gulmkerdis rentgenografia
• kuWisa da nawlavebis rentgenologiuri kvleva
• muclis Rrus, saSarde da mcire menjis Rrus organoTa ultrabgeriTi kvleva
(gamokvlevebi tardeba uSualod dawesebulebaSi an sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)
me-5 svetis Sesabamis blokebSi CamoTvlili daavadebebis:
(a) mwvave da sawyisi formebis pirveladi
diagnostika,
msubuqi formebis
mkurnaloba da
marTva.
(b) qronikuli
daavadebebis marTva
(igulisxmeba
SedarebiT ufro
maRali donis dawesebulebebSi
diagnostirebuli
daavadebebis
Sesabamisi
daniSnulebis
Sesruleba da avadmyofze
meTvalyureoba)
g) pirveladi, meoradi
da mesameuli
profilaqtika.
paraleluri dargebi(*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (I done)
2. bioqimiuri laboratoria (I done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. funqciuri diagnostika (I done)
2. rentgenologia (I done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
47
4.2 Terapia
samedicino saqmianoba: Terapia, ambulatoriuli momsaxureba, done _ II
done tipi kadrebi samedicino-teqnikuri
aRWurviloba nozologia gamokvlevebi samedicino saqmianobis moculoba
1 2 3 4 5 6 7
II 1. raionuli
(qalaqis)
saavadmyofo
2. saeqimo kabineti
• eqimi (zogadi profilis
eqimi, Terapevti
an/da Sinagani
medicinis
nebismieri
specialobis
eqimi)
• eqTani
• sanitari
• sainJinro-teqnikuri personali (an xelSekruleba
servisul
samsaxurTan)
• eqimis kabineti, _ danarTi 4.2.1
• mimRebi oTaxi (mimRebi oTaxi _
sangamtari da/an
misaRebi filtri,
gasasinji kabineti),
_ danarTi 4.2.2
• saproceduro intravenuri
ineqciebisaTvis,
_ danarTi 4.2.3
• sasterilizacio, _ danarTi 4.2.6
(a) E01-E02, E11, E50-E55, E66, E86; I00-02, I10-15, I20, I25, I27, I42-43, I49-50, I70, I95; J00-04, J06, J10-18, J20-22, J30-32, J40-45; K20-21, K25-30, K44, K58, K70-71, K73-75, K81,K86, M00-M19, N34, R00-39, R50-99, D50, D-62, A00-09, A15-16, B15-19;
(b) E03-E06, E10,
E12-E14, E73, E85, I05-09, I34-I37, I48, I80, I83, K44, K50-51, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D51-53;
(g) E50-E64, E66, I05-
09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.
• sisxlis saerTo analizi
• Sardis saerTo analizi
• ganavlis analizi
• naxvelis saerTo analizi
• naxvelis mikroskopia
mikobaqteriis gamosavlenad
• glikemiis gansazRvra
• qolesterinis
koncentraciis gansazRvra
sisxlSi
• bilirubinemiis gansazRvra,
• transaminazebis (alt, ast)
aqtivobis gansazRvra
• kreatininis, narCeni
azotis koncentraciis
gansazRvra sisxlSi
• ekg
• gulmkerdis
rentgenografia
• kuWisa da nawlavebis
rentgenologiuri kvleva
• muclis Rrus, saSarde da
mcire menjis Rrus
organoTa sonografuli
kvleva.
(gamokvlevebi tardeba uSualod dawesebulebaSi, an/da sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)
me-5 svetis Sesabamis blokebSi CamoTvlili
daavadebebis:
(a) mwvave da sawyisi formebis pirveladi
diagnostika, msubuqi formebis mkurnaloba
da marTva;
(b) qronikuli daavadebebis marTva
(igulismeba SedarebiT ufro maRali
donis dawesebulebebSi diagnoscirebuli
daavadebebis Sesabamisi daniSnulebis
Sesruleba da avadmyofze meTvalyureoba);
(g). pirveladi, meoradi da mesameuli
profilaqtika.
SeniSvna:
• saeqimo kabinetis daniSnuleba ganisazRvreba
misi specializaciiT. ase, magaliTad,
sportul dawesebulebasTan arsebul
kabinetSi xdeba sportsmenebze da varjiSis
procesze saTanado meTvalyureoba. skolis
saeqimo kabinetSi _ moswavleebis
janmrTelobis mdgomareobaze dakvirveba da
a.S.
• yvela saeqimo kabinets evaleba pirveladi
samedicino daxmarebis gaweva.
48
paraleluri dargebi (*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (II done)
2. bioqimiuri laboratoria (II done)
3. funqciuri diagnostika (I da/an II done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba Sesabamis dawesebulebebTan:
1. imunologiuri laboratoria (II done)
2. rentgenologia (I an II done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
49
50
4.2 Terapia
samedicino saqmianoba: Terapia, ambulatoriuli momsaxureba (done _ III)
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologia gamokvlevebi samedicino saqmianobis
moculoba
1 2 3 4 5 6 7
III 1. poliklinika
2. kliniko-
diagnostiku
ri centri
Terapiul kabinets
emsaxureba:
• eqimi (Terapevti, an/da
zogadi
profilis eqimi)
• internisti
• eqTani
• sanitari
• sainJinro-teqnikuri personali (da/an
xelSekruleba
servisul
samsaxurTan)
• eqimis kabineti _ danarTi 4.2.1
• mimRebi oTaxi (mimRebi oTaxi _
sangamtari da/an
misaRebi
filtri,
gasasinji
kabineti),
_ danarTi 4.2.2
• saproceduro intravenuri
ineqciebisaTvis
_ danarTi 4.2.3
• sasterilizacio _ danarTi 4.2.6
(a) E01-E06, E10-14, E-20-E21,E24, E25, E50-E55, E66, E73, E85, E86, I00-02, I10-15, I20, I25, I27, I40-47, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, J90-J91, K20-21, K25-31, K44, K58, K70-71, K73-75, K81,K86, M00-M19,N20-N23, N34, R00-39, R50-99, D50-D52, D-62, A00-09, A15-16, B15-19;
(b) E03-E06, E10, E12-E14,
E73, E85, I05-09, I33, I34-I37, I48, I77-I79, I80, I83, J60-J69, K44, K50-52, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D53, D56-57, D61;
(g) E50-E64, E66, I05-09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.
• sisxlis saerTo analizi,
• Sardis saerTo analizi,
• ganavlis saerTo analizi,
• naxvelis saerTo analizi,
• naxvelis mikroskopia mikobaqteriis gamosavlenad,
• Sardis, sisxlis, naxvelis baqteriologiuri
kvleva,
• glikemiis gansazRvra,
• qolesterinis koncentraciis gansazRvra sisxlSi,
• bilirubinemiis gansazRvra,
• transaminazebis (alt, ast) aqtivobis
Tiroidmastimulirebeli hormonis T3-is, T4-is gansazRvra,
• Na, K, kreatininis, narCeni azotis koncentraciis gansazRvra sisxlSi,
• koagulograma,
• ekg,
• ekg sinji fizikuri datvirTviT,
• gulmkerdis rentgenografia,
• kuWisa da nawlavebis rentgenologiuri kvleva,
• muclis Rrus, saSarde da mcire menjis organoTa
ultrabgeriTi kvleva,
• eqokardiografia.
(gamokvlevebi tardeba uSualod dawesebulebaSi an sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)
me-5 svetSi CamoTvlili daavadebebis:
(a) mwvave da sawyisi
formebis pirveladi
diagnostika, msubuqi
da saSualo simZimis
formebis
mkurnaloba da
marTva:
(b) qronikuli
daavadebebis marTva
(igulismeba
SedarebiT ufro
maRali donis
dawesebulebebSi
diagnostirebuli
daavadebebis
Sesabamisi
daniSnulebis
Sesruleba da
avadmyofze
meTvalyureoba);
(g). pirveladi, meoradi
da mesameuli
profilaqtika.
paraleluri dargebi (*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (II da/an III done)
2. bioqimiuri laboratoria (II da/an III done)
3. imunologiuri laboratoria (II da/an done)
4. funqciuri diagnostika (II da/an III done)
5. rentgenologia (II da/an III done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. ultrabgeriTi diagnostika (II da/an III done)
2. virusologiuri laboratoria (II da/an III done)
3. mikrobiologiuri laboratoria (II da/an III done)
4. baqteriologiuri laboratoria (II da/an III done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
51
52
4.2 Terapia samedicino saqmianoba: Terapia, ambulatoriuli momsaxureba (done _ IV)
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologia kamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
IV 1. specializeb
uli s/k
instituti
2. specializeb
uli centri
3. universitet
is klinika
(aRniSnuli dawesebulebebis ambulatoriul- poliklinikuri momsaxureba)
Terapiul
kabinets
emsaxureba:
• eqimi Terapevti/
internisti
• eqTani • sanitari
• sainJinro-teqnikuri personali (da/an
xelSekrule
ba servisul
samsaxurTan)
• eqimis kabineti _ danarTi 4.2.1
• mimRebi oTaxi mimRebi oTaxi _
sangamtari da/an
misaRebi
filtri,
gasasinji
kabineti
_ danarTi 4.2.2
• saproceduro intravenuri
ineqciebisaTvis
_ danarTi 4.2.3
• sasteriliza-cio
_ danarTi 4.2.6
(a) E01-E06, E10-14, E-20-E21,E24, E25, E50-E55, E66, E73, E85, E86, I00-02, I10-15, I20, I25, I27, I40-47, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, J90-J91, K20-21, K25-31, K44, K58, K70-71, K73-75, K81,K86, M00-M19, N20-N23, N34, R00-39, R50-99, D50-D52, D-62, A00-09, A15-16, B15-19;
(b) E03-E06, E10, E12-
E14, E73, E85, I05-09, I33, I34-I37, I48, I77-I79, I80, I83, J60-J69, K44, K50-52, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D53, D56-57, D61;
(g) E50-E64, E66, I05-09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.
• sisxlis saerTo analizi,
• Sardis saerTo analizi,
• ganavlis saerTo analizi,
• naxvelis saerTo analizi,
• naxvelis mikroskopia mikobaqteriis gamosavlenad,
• Sardis, ganavlis, naxvelis, sisxlis baqteriologiuri kvleva,
• sisxlSi rkinis Semcvelobis, glikemiis, qolesterinis
koncentraciis, bilirubinemiis gansazRvra sisxlSi,
• transaminazebis (alt, ast), tute fosfatazas aqtivobis
Tiroidmastimulirebeli hormonis T3-is, T4-is gansazRvra, • Na, K, kreatininis, narCeni azotis koncentracia sisxlSi,
• koagulograma,
• sisxlSi hepatitis virusebis mimarT antisxeulebis gansazRvra
(HBsAg, HbeAg, anti-ABe, IgM, anti-HBc), • ekg,
• ekg sinji fizikuri datvirTviT,
• gulis eleqtrofiziologiuri kvleva,
• mcire spirometria,
• gulmkerdis rentgenografia,
• tomografia,
• kompiuteruli tomografia,
• kuWisa da nawlavebis rentgenologiuri kvleva,
• muclis Rrus, saSarde da mcire menjis organoTa sonografuli
kvleva,
• eqokardiografia doplerografiiT,
• periferuli sisxlZarRvebis doplerografia,
• gastrofibroskopia.
(gamokvlevebi tardeba uSualod dawesebulebaSi an/da sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)
me-5 svetSi
CamoTvlili
daavadebebis:
(a) mwvave da sawyisi
formebis
pirveladi
diagnostika,
msubuqi da
saSualo
simZimis
formebis
mkurnaloba da
marTva:
(b) qronikuli
daavadebebis
marTva
(igulismeba
SedarebiT
ufro maRali
donis
dawesebulebebSi
diagnostirebu
li daavadebebis
Sesabamisi
daniSnulebis
Sesruleba da
avadmyofze
meTvalyureoba)
(g) pirveladi,
meoradi da
mesameuli
profilaqtika.
53
paraleluri dargebi (*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive
misamarTze:
1. kliniko-diagnostikuri laboratoria (III da/an IV done)
2. bioqimiuri laboratoria (III da/an IV done)
3. imunologiuri laboratoria (III da/an IV done)
4. ultrabgeriTi diagnostika (III da/an IV done)
5. rentgenodiagnostika (III da/an IV done)
6. funqciuri diagnostika (III da/an IV done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. baqteriologiuri laboratoria (III da/an IV done)
2. virusologiuri laboratoria (III da/an IV done)
3. mikrobiologiuri laboratoria (III da/an IV done)
4. kompiuteruli tomografia (III da/an IV done)
5. birTvul-magnitur-rezonansuli tomografia (III da/an IV done)
6. radioizotopuri gamokvleva (III da/an IV done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli moculobiT
warmoebisaTvis.
54
4.2 Terapia samedicino saqmianoba: Terapia, ambulatoria/dRis stacionari (done _ I)
done tipi kadrebi samedicino-teqnikuri
aRWurviloba nozologia kamokvlevebi
samedicino saqmianobis
moculoba
1 2 3 4 5 6 7
1 ambulato-
ria/ dRis
stacionari
• eqimi (zogadi profilis/
ojaxis eqimi an
Terapevti)
• eqTani
• sanitari
• sainJinro-teqnikuri
personali (an
xelSekruleba
Sesabamis
servisul
samsaxurTan)
• eqimis kabineti, _ danarTi 4.2.1 mimRebi oTaxi (mimRebi oTaxi _
sangamtari da/an
misaRebi filtri,
gasasinji kabineti)
_ danarTi 4.2.2
• saproceduro intravenuri
ineqciebisaTvis _ danarTi 4.2.3 palata _ _ danarTi 4.2.4
meddis posti _ danarTi 4.2.5
• sasterilizacio _ danarTi 4.2.6
(a) E01-E02, E10-E11, E50-E55, E66, E86, I00-02, I10-15, I20, I25, I27, I40-43, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, K20-21, K25-30, K44, K58, K70-71, K73-75, K81,K86, M00-M19, N34, R00-39, R50-99, D50, D-62, A00-09, A15-16, B15-19;
(b) E03-E06, E12-E14,
E73, E85, I05-09, I34-I37, I41, I48, I80, I83, I97, J47, K22, K44, K50-51, K57, K72, M30-36, M40-54, M65-68, M80, N02-03, N11, N18, D51-53;
(g) E50-E64, E66, I05-09,
I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.
• sisxlis saerTo analizi;
• Sardis saerTo analizi;
• ganavlis saerTo analizi;
• naxvelis saerTo analizi;
• naxvelis mikroskopia mikobaqteriis gamosavlenad;
• glikemiis gansazRvra;
• qolesterinis koncentraciis gansazRvra sisxlSi;
• bilirubinemiis gansazRvra,
• transaminazebis (alt, ast) aqtivobis gansazRvra;
• kreatininis, narCeni azotis koncentraciis gansazRvra sisxlSi;
• ekg; • gulmkerdis rentgenografia;
• kuWisa da nawlavebis rentgenologiuri
kvleva;
• muclis Rrus, saSarde da mcire menjis Rrus organoTa sonografiuli kvleva.
(gamokvlevebi tardeba uSualod dawesebulebaSi an sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)
me-5 svetSi CamoTvlili daavadebebis:
(a) mwvave da sawyisi
formebis pirveladi
diagnostika, msubuqi formebis mkurnaloba da
marTva;
(b) qronikuli daavadebebis
marTva (igulismeba
SedarebiT ufro maRali donis dawesebulebebSi
diagnostirebuli
daavadebebis Sesabasmisi
daniSnulebis Sesruleba
da avadmyofze meTvalyureoba);
(g) pirveladi, meoradi da
mesameuli profilaqtika.
55
paraleluri dargebi (*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (I done)
2. bioqimiuri laboratoria (I done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. funqciuri diagnostika (I done)
2. rentgenologia (I done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli moculo
warmoebisaTvis.
56
4.2 Terapia
samedicino saqmianoba: Terapia, ambulatoria/dRis stacionari (done _ II)
done tipi kadrebi samedicino-teqnikuri
aRWurviloba nozologia gamokvlevebi
samedicino saqmianobis
moculoba
1 2 3 4 5 6 7
II • raionuli (qalaqis)
saavadmyofo
• samedicino socialuri
saavadmyofo
• eqimi (zogadi profilis
eqimi, Terapevti
an/da eqimi _
Sinagan
sneulebaTa
nebismieri specialobis)
• eqTani
• sanitari
• sainJinro-teqnikuri personali (an xelSekruleba Sesabamis
servisul
samsaxurTan)
• eqimis kabineti _ danarTi 4.2.1
• mimRebi oTaxi (mimRebi oTaxi _
sangamtari da/an
misaRebi filtri,
gasasinji kabineti),
_ ZiriTadi
CamonaTvali
_ danarTi 4.2.2
• saproceduro intravenuri
ineqciebisaTvis,
_ danarTi 4.2.3 • palata _ danarTi 4.2.4
• meddis posti _ danarTi 4.2.5
• sasterilizacio, _ danarTi 4.2.6
(a) E01-E02, E11, E50-E55, E66, E86, I00-02, I10-15, I20, I25, I27, I42-43, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, K20-21, K25-30, K44, K58, K70-71, K73-75, K81,K86, M00-M19, N34, R00-39, R50-99, D50, D-62, A00-09, A15-16, B15-19;
(b) E03-E06, E10, E12-
E14, E73, E85, I05-09, I34-I37, I48, I80, I83, K44, K50-51, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D51-53;
(g) E50-E64, E66, I05-
09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.
• sisxlis saerTo analizi,
• Sardis saerTo analizi,
• ganavlis saerTo analizi,
• naxvelis saerTo analizi,
• naxvelis mikroskopia mikobaqteriis
gamosavlenad,
• glikemiis gansazRvra,
• qolesterinis koncentraciis
gansazRvra sisxlSi,
• bilirubinemiis gansazRvra,
• transaminazebis (alt, ast) aqtivobis
gansazRvra,
• kreatininis narCeni azotis
koncentracis gansazRvra sisxlSi,
• ekg,
• gulmkerdis rentgenografia,
• kuWisa da nawlavebis
rentgenologiuri kvleva,
• muclis Rrus, saSarde da mcire menjis
organoTa sonografuli kvleva.
(gamokvlevebi tardeba uSualod dawesebulebaSi, an/da sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)
me-5 svetSi CamoTvlili daavadebebis:
(a) mwvave da sawyisi
formebis pirveladi
diagnostika, msubuqi
formebis mkurnaloba
da marTva;
(b) qronikuli daavadebebis
marTva (igulisxmeba
SedarebiT ufro maRali
donis dawesebulebebSi
diagnostirebuli
daavadebebis Sesabamisi
daniSnulebis Sesruleba
da avadmyofze
meTvalyureoba);
(g) pirveladi, meoradi da
mesameuli
profilaqtika.
57
paraleluri dargebi(*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (II done)
2. bioqimiuri laboratoria (II done)
3. funqciuri diagnostika (I da/an II done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. imunologiuri laboratoria (II done)
2. rentgenologia (I an II done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
58
4.2 Terapia
samedicino saqmianoba: Terapia, ambulatoria dRis stacionari (done _ III)
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologia gamokvlevebi samedicino saqmianobis
moculoba
1 2 3 4 5 6 7
III 1. regionu-li
(respub-
likuri saavad-
myofo)
2. speciali
zebuli
saavadmyofo
3. mravalpr
ofiliani
dispan-
seri
4. polikli-
nika
5. hospi-tali
6. kliniko-
diagnos-
tikuri
centri
7. speciali-
zebuli
kabineti
• eqimi (Terapevti,
an/da zogadi
profilis
eqimi)
• internisti
• eqTani
• sanitari
• sainJinro-teqnikuri personali (da/an
xelSekruleba Sesabamis
servisul
samsaxurTan)
• eqimis kabineti _ danarTi 4.2.1
• mimRebi oTaxi (mimRebi oTaxi _
sangamtari da/an
misaRebi filtri,
gasasinji kabineti),
_ danarTi 4.2.2
• saproceduro intravenuri
ineqciebisaTvis,
_ danarTi 4.2.3 • palata _ danarTi 4.2.4
• meddis posto _ danarTi 4.2.5
• sasterilizacio, _ danarTi 4.2.6
(a). E01-E06, E10-14, E-20-E21,E24, E25, E50-E55, E66, E73, E85, E86, I00-02, I10-15, I20, I25, I27, I40-47, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, J90-J91, K20-21, K25-31, K44, K58, K70-71, K73-75, K81,K86, M00-M19,N20-N23, N34, R00-39, R50-99, D50-D52, D-62, A00-09, A15-16, B15-19;
(b). E03-E06, E10, E12-
E14, E73, E85, I05-09, I33, I34-I37, I48, I77-I79, I80, I83, J60-J69, K44, K50-52, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D53, D56-57, D61;
(g). E50-E64, E66, I05-
09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.
• sisxlis saerTo analizi,
• Sardis saerTo analizi,
• ganavlis analizi,
• naxvelis saerTo analizi,
• naxvelis mikroskopia mikobaqteriis gamosavlenad,
• Sardis, sisxlis, naxvelis baqteriologiuri kvleva,
• glikemiis gansazRvra,
• qolesterinis koncentraciis gansazRvra sisxlSi,
• bilirubinemiis gansazRvra,
• transaminazebis (alt, ast) aqtiobis Tiroidmastimulirebeli hormonis T3-is, T4-is gansazrvra,
• Na, K, kreatininis, narCeni azotis koncentracia sisxlSi,
• koagulograma,
• ekg,
• ekg sinji fizikuri datvirTvis,
• gulmkerdis rentgenografia,
• kuWisa da nawlavebis rentgenologiuri kvleva,
• muclis Rrus, saSarde da mcire menjis organoTa sonografuli kvleva,
• eqokardiografia. (gamokvlevebi tardeba uSualod dawesebulebaSi, an/da sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)
me-5 svetSi CamoTvlili daavadebebis:
a) mwvave da sawyisi
formebis
pirveladi
diagnostika,
msubuqi da
saSualo simZimis formebis
mkurnaloba da
marTva:
b) qronikuli
daavadebebis marTva
(igulisxmeba SedarebiT ufro
maRali donis
dawesebulebebSi
diagnostirebuli
daavadebebis
Sesabamisi daniSnulebis
Sesruleba da
avadmyofze
meTvalyureoba);
g) pirveladi,
meoradi da mesameuli
profilaqtika.
59
paraleluri dargebi(*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive
misamarTze:
1. kliniko-diagnostikuri laboratoria (II da/an III done)
2. bioqimiuri laboratoria (II da/an III done)
3. imunologiuri laboratoria (II da/an done)
4. funqciuri diagnostika (II da/an III done)
5. rentgenologia (II da/an III done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. eqoskopiuri diagnostika (II da/an III done)
2. virusologiuri laboratoria (II da/an III done)
3. mikrobiologiuri laboratoria (II da/an III done)
4. baqteriologiuri laboratoria (II da/an III done
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
60
4.2 Terapia
samedicino saqmianoba: Terapia, ambulatoria/dRis stacionari (done _ IV)
done tipi kadrebi samedicino-teqnikuri
aRWurviloba nozologia gamokvlevebi
samedicino saqmianobis
moculoba
1 2 3 4 5 6 7
IV 4. specializirebu
li s/k
instituti
5. specializirebu
li centri
6. universitetis
klinika
(aRniSnuli dawesebulebebis ambulatoriul- poliklinikuri momsaxureba)
• eqimi _ Terapevti
• internisti
• eqTani
• sanitari
• sainJinro-teqnikuri personali (da/an
xelSekruleba
Sesabamis
servisul
samsaxurTan)
• eqimis kabineti _ danarTi 4.2.1
• mimRebi oTaxi (mimRebi oTaxi _
sangamtari da/an
misaRebi filtri,
gasasinji kabineti)
_ danarTi 4.2.2
• saproceduro intravenuri
ineqciebisaTvis,
_ danarTi 4.2.3 • palata _ danarTi 4.2.4
• meddis posti _ danarTi 4.2.5
• sasterilizacio, _ danarTi 4.2.6
(a). E01-E06, E10-14, E-20-E21,E24, E25, E50-E55, E66, E73, E85, E86, I00-02, I10-15, I20, I25, I27, I40-47, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, J90-J91, K20-21, K25-31, K44, K58, K70-71, K73-75, K81,K86, M00-M19,N20-N23, N34, R00-39, R50-99, D50-D52, D-62, A00-09, A15-16, B15-19;
(b). E03-E06, E10, E12-E14, E73, E85, I05-09, I33, I34-I37, I48, I77-I79, I80, I83, J60-J69, K44, K50-52, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D53, D56-57, D61;
(g). E50-E64, E66, I05-09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.
• sisxlis saerTo analizi,
• Sardis saerTo analizi,
• ganavlis analizi,
• naxvelis saerTo analizi,
• naxvelis mikroskopia mikobaqteriis gamosavlenad,
• Sardis, ganavlis, naxvelis, sisxlis
baqteriologiuri kvleva,
• sisxlSi rkinis Semcvelobis, glikemiis,
qolesterinis koncentraciis, bilirubinemiis
gansazRvra
• transaminazebis (alt, ast), tute fosfatazas
aqtivobis Tiroidmastimulirebeli hormonis T3-is, T4-is gansazrvra,
• Na, K, kreatininis, narCeni azotis koncentraciis gansazRvra sisxlSi
• koagulograma,
• sisxlSi hepatitis virusebis mimarT
antisxeulebis gansazRvra (HBsAg,HbeAg,anti-ABe,IgM, anti-HBc),
• ekg
• ekg sinji fizikuri datvirTviT
• gulis eleqtrofiziologiuri kvleva
• mcire spirometria
• gulmkerdis rentgenografia,
• tomografia,
• kompiuteruli tomografia,
• kuWisa da nawlavebis rentgenologiuri kvleva,
• muclis Rrus, saSarde da mcire menjis organoTa
sonografuli kvleva,
• eqokardiografia doplerografiiT,
• periferuli sisxlZarRvebis doplerografia,
• gastrofibroskopia.
(gamokvlevebi tardeba uSualod dawesebulebaSi an/da sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)
me-5 svetSi CamoTvlili daavadebebis:
(a) mwvave da sawyisi
formebis
pirveladi
diagnostika,
msubuqi da
saSualo simZimis
formebis
mkurnaloba da
marTva:
(b) qronikuli
daavadebebis marTva
(igulisxmeba
SedarebiT ufro
maRali donis
dawesebulebebSi
diagnostirebuli
daavadebebis
Sesabamisi
daniSnulebis
Sesruleba da
avadmyofze
meTvalyureoba);
(g) pirveladi, meoradi
da mesameuli
profilaqtika.
61
paraleluri dargebi(*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive
misamarTze:
1. kliniko-diagnostikuri laboratoria (III da/an IV done)
2. bioqimiuri laboratoria (III da/an IV done)
3. imunologiuri laboratoria (III da/an IV done)
4. eqoskopiuri diagnostika (III da/an IV done)
5. rentgenodiagnostika (III da/an IV done)
6. funqciuri diagnostika (III da/an IV done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. baqteriologiuri laboratoria (III da/an IV done)
2. virusologiuri laboratoria (III da/an IV done)
3. mikrobiologiuri laboratoria (III da/an IV done)
4. kompiuteruli tomografia (III da/an IV done)
5. birTvul-magnitur-rezonansuli tomografia (III da/an IV done)
6. radioizotopuri gamokvleva (III da/an IV done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
62
Terapia: samedicino teqnikuri aRWurviloba danarTi 4.2.1
eqimis kabineti
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali) samedicino momsaxurebis done I II III IV
samedicino aveji 15 eqimis magida 1 1 1 1 15 eqimis skami 1 1 1 1 15 skami 3 3 3 3 15 gasasinji taxti 1 1 1 1 15 samedicino karada 1 1 1 1 15 instrumentebis magida 2 2 2 2 samedicino aparatura da xelsawyoebi 08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 1 1 03 negatoskopi (saerTo daniSnulebis) 1 1 1 1 08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1 1 1 06 saswori (samedicino) 1 1 1 1 06 simaRlis sazomi (anTropometri) 1 1 1 1 02 arteriuli wnevis sazomi arainvaziuri aparati
(sfigmomanometri, fonendoskopi) 1 1 1 1
14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 2 2 2 2 14 wamzomi 1 1 1 1 14 dinamometri (xelis) 1 1 1 1 14 dokumentacia (cxrilebi, normativebi da testebi) _
anTropometruli, fsiqologiuri, asakobrivi zrdis, sqesobrivi simwifisa da kbilebis ganviTarebis gansazrvrisaTvis
1 kompleqti
1 kompleqti
1 kompleqti
1 kompleqti
13 eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) 1 1 1 1 13 sasterilizacio yuTi instrumentebisaTvis 2 2 2 2 02 eleqtrokardiografi _ portatuli 1 1 1 1 02 eleqtrokardiografi _ stacionaruli - - - 1 06 pikfloumetri (mcire spirometria) 1 1 1 1 06 spirometri - - - 1 samedicino instrumentebi 14 gamadidebeli mina (lupa, xelis) 1 1 1 1 14 stetofonendoskopi (stetoskopi, fonendoskopi) 1 1 1 1 14 sazomi lenti 2 2 2 2 14 Spadeli (enis) 2 2 2 2 14 pinceti (anatomiuri) 2 2 2 2
63
eqimis kabineti
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali) samedicino momsaxurebis done I II III IV
14 makrateli (gadasaxvevi masalisaTvis) 2 2 2 2 14 momWeri (maSa, korcangi), swori boloTi 2 2 2 2 08 pirveladi daxmarebis da traqeostomis instrumentebis
kompleqti (mozrdilTaTvis): filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi niRabi, vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis kompleqti
1 1 1 1
danarTi 4.2.2
mimRebi oTaxi (mimRebi oTaxi _ sangamtari da/an misaRebi filtri, gasasinji kabineti)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino saqmianobis done I II III IV samedicino aveji
15 eqimis magida 1 1 1 1 15 eqimis skami 1 1 1 1 15 skami 2 2 2 2 15 gasasinji taxti 1 1 1 1 15 samedicino karada 1 1 1 1 15 instrumentebis magida 1 1 1 1 samedicino aparatura da xelsawyoebi 08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 1 1 08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1 1 1 02 arteriuli wnevis sazomi arainvaziuri aparati
(sfigmomanometri, fonendoskopi) 1 1 1 1
14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 1 1 2 2 14 wamzomi 1 1 1 1 13 eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) 1 1 - - 13 sasterilizacio yuTi instrumentebisaTvis 1 1 2 2 samedicino instrumentebi
64
mimRebi oTaxi (mimRebi oTaxi _ sangamtari da/an misaRebi filtri, gasasinji kabineti)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali) samedicino saqmianobis done I II III IV
14 stetofonendoskopi (stetoskopi, fonendoskopi) 1 1 1 1 14 Spadeli (enis) 1 1 1 1 14 pinceti (anatomiuri) 1 1 1 1 14 makrateli (gadasaxvevi masalisaTvis) 1 1 1 1 14 momWeri (maSa, korcangi) swori boloTi 1 1 1 1 08 pirveladi daxmarebis da traqeostomis instrumentebis
kompleqti (mozrdilTaTvis): filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi niRabi, vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis kompleqti.
1 1 1 1
danarTi 4.2.3
saproceduro (intravenuri ineqciebisaTvis) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino aveji 15 saproceduro magida 1 1 1 1
15 eqimis skami (mbrunavi skami) 1 1 1 1
15 samedicino karada 1 1 1 1
15 instrumentebis magida 2 2 2 2
15 biqsis sadgami 1 1 1 1
15 Tasis sadgami 1 1 1 1
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 2 2 2 2
14 wamzomi 1 1 1 1
13 sasterilizacio yuTi instrumentebisaTvis 2 2 2 2
14 Stativi xsnarebisaTvis (moZravi, statikuri) 2 2 2 2
07 medikamentebis dozatori _ infuzori (infuzomati) - - - 1
07 sainfuzio tumbo (perfuzori, aRniSnulis garda, dawesebulebas unda gaaCndes rezervi)
- - - 1
13 biqsi 2 2 2 2
65
saproceduro (intravenuri ineqciebisaTvis) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino aveji 14 Tasi (konteineri, naxmari masalis Sesagroveblad) 2 2 2 2
samedicino instrumentebi 14 pinceti (anatomiuri) 2 2 2 2
14 makrateli (gadasaxvevi masalisaTvis) 2 2 2 2
14 momWeri (maSa, korcangi) swori boloTi 2 2 2 2
14 laxti (rezinis) 2 2 2 2
14 momWeri (rezinis milis) 1 1 1 1
14 kuWis zondi (sxvadasxva zomis) 2 2 2 2
14 duodenaluri zondi (sxvadasxva zomis) 2 2 2 2
08 pirveladi daxmarebis da traqeostomiis instrumentebis kompleqti (mozrdilTaTvis): filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi niRabi, vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis kompleqti.
1 1 1 1
danarTi 4.2.4
palata kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino saqmianobis done I II III IV samedicino aveji
15 samedicino (da/an funqciuri) sawoli 1 1 1 1
15 magida 1 1 1 1 15 skami 2 2 2 2 15 sawolis tumbo 1 1 1 1
66
danarTi 4.2.5
samedicino meddis posti
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino saqmianobis done I II III IV samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) 1 1 1 1 02 arteriuli wnevis sazomi arainvaziuri aparati
(sfigmomanometri, fonendoskopi) 1 1 1 1
14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 2 2 2 2 13 sasterilizacio yuTi instrumentebisaTvis 2 2 2 2 14 Stativi xsnarebisaTvis (moZravi, statikuri) 2 2 2 2 samedicino instrumentebi 14 Spadeli (enis) 2 2 2 2 14 pinceti (anatomiuri) 1 1 1 1 14 makrateli (Sesaxvevi masalisaTvis) 2 2 2 2 14 momWeri (maSa, korcangi) swori boloTi 2 2 2 2 08 pirveladi daxmarebis da traqeostomis instrumentebis
kompleqti (mozrdilTaTvis): filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi niRabi, vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis kompleqti.
1 1 1 1
danarTi 4.2.6
sasterilizacio
(an/da centraluri sasterilizacio, an/da xelSekruleba sasterilizaciosTan imave misamarTze)
aparatura da xelsawyoebi raodenoba orTqlis sterilizatori (avtoklavi, horizontaluri an/da vertikaluri) 1 mSrali sterilizatori (sasterilizacio karada) 1
67
4.3 pediatria
samedicino saqmianoba: pediatria, ambulatoriuli momsaxureba (done _ I)
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi gamokvlevebi samedicino saqmianobis moculoba
1 2 3 4 5 6 7
I 1. ambula-toria
2. pirve-ladi
jandacvis
centri
• zogadi profilis pediatri an ojaxis
eqimi an
pediatri
• eqTani • sanitari
• sainJinro-teqnikuri personali (an xelSekru-
leba
servisul
samsaxur-
Tan)
• pediatris kabineti
_ danarTi 4.3.1
• bavSvebis misaRebi filtri (mimRebi oTaxi
_ sangamtari,
gasasinji kabineti)
_ danarTi 4.3.2
• A02; A020; A03; A030; A04; A040; A05; A050; A08; A080; A36; A36.0; A36.1; A37; A37.0; A38;
• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B26; B26.9; B27; B27.9; B30; B30.1; B77; B77.0; B77.9; B80; B85; B85.0; B86;
• D50; • E01; E01.0; E01.1;
E01.2; E10; E11; E44; E44.0;
• E44.1; E66; E66.0 • H10; H10.2; • J00; J02; J02.0; J02.8;
J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1
• J20; J20.0; J30; J30.0; • K12; K12.0; K22; K30;
K26; K29; K29.1; K30; • L23; L23.7; • N30; N30.0; • R14;
• pacientis viziti eqimTan
• naxvelis baqterio-logiuri gamokvleva
• SardSi cilis raodenobis (proteinuria) gansazRvra
• ganavlis gamokvleva Wiis
kvercxebze
• .hemoglobinis gansazRvra sisxlSi
• kvebis statusis Seswavla
• anTropometruli gamokvlevebi
• A02; A020; A03; A030; A04; A040; A05; A050; A08; A080; A36; A36.0; A36.1; A37; A37.0; A38;
• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B26; B26.9; B27; B27.9; B30; B30.1; B77; B77.0; B77.9; B80; B85; B85.0; B86;
• D50; • E66; E66.0; • H10; H10.2; • J00; J02; J02.0; J02.8; J03; J03.0; J03.8;
J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J20; J30; J30.0;
• K12; K12.0; K22; K30; • L23; L23.7; • N30.0; • E44; E44.0; E44.1; • R14; zemoaRniSnuli daavadebis pirveladi gamovlena mkurnaloba, profilaqtika • A02; A02.0; A04; A04.0; A05; • A05.0; A08; A36; A37; A38 • B15; • E01; E01.0; E01.1; E01.2; E10; E44; • R01; zemoaRniSnuli daavadebis pirveladi gamovlena da gagzavna specializebul dawesebulebaSi
68
paraleluri dargebi(*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (I an II done);
1. funqciuri diagnostika (I an II done);
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. bioqimiuri laboratoria (I an II done);
2. baqteriologiuri laboratoria (I an II done)
3. rentgenologia (I an II done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
69
4.3 pediatria
samedicino saqmianoba: pediatria, ambulatoriuli momsaxureba (done _ II)
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi gamokvlevebi samedicino saqmianobis moculoba
1 2 3 4 5 6 7
II saeqimo
kabineti • jandacvis organiza-
tori,
• z/profilis pediatri an
zogadi praqtikis
eqimi an
pediatri
• eqTani
• sanitari
• sanitari sainJinro-teqnikuri
personali
(an
xelSekru-
leba
servisul samsaxurTan)
• pediatris kabineti
_ danarTi4.3.1
• bavSvebis misaRebi filtri (mimRebi
oTaxi _
sangamtari,
gasasinji
kabineti) _ danarTi4.3.2
• sapro- ceduro (pediatri-
uli
saprocedu-
ro) _ danarTi4.3.5
• sasterilizacio
_ danarTi4.3.6
• A02; A020; A03; • A03.0; A04; A04.0; • A05; A05.0; A06; • A06.0; A08; A08.0;
A16; A16.7; A36; • A36.0; A36.1; A37; • A37.0; A38; A39;
A39.0 • B00; B00.1; B01;
B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B16; B16.1; B26; B26.9; B27; B27.9; B30; B30.1; B55; B55.0; B77; B77.0; B77.9; B80; B85; B85.0; B86;
• D50; D50.8; D58: • D58.0: • E01; E01.0; E01.1;
E01.2; E10; E11; E44; E44.0;
• E44.1; E55; E55.0; E66; E66.0
• H10; H10.2; • I00; I01; • J00; J02; J02.0; J02.8;
J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0: J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3;
• pacientis viziti eqimTan; • sisxlis saerTo analizi
• Sardis saerTo analizi
• ganavlis saerTo analizi • ganavlis gamokvleva helminTebze
• ganavlis gamokvleva Wiis kvercxebze
• hemoglobinis gansazRvra sisxlSi
• kvebis statusis Seswavla
• anTropometruli gamokvlevebi
• SardSi Ca2+-is eqskreciis gansazRvra • gulmkerdis rentgenoskopia
• gulmkerdis rentgenografia
• SardSi cilis raodenobrivi gansazRvra
• mantus sinji tuberkuliniT
• sisxlSi Fe(+)-is gansazRvra • ganavlis gamokvleva farul sisxldenaze • retikulocitebis gansazRvra sisxlSi
• saerTo cilisa da cilis fraqciebis
gansazRvra sisxlis SratSi
• eriTrocituli fermentebis gamokvleva
• ferment glukozo-6-fosfatdehidrogenazis
gansazRvra sisxlSi • xaxis nacxisa da piris Rrus baqteriologiuri gamokvleva
• plevris punqcia haeris gamoSvebiT
• naxvelis baqteriologiuri gamokvleva
• plevris Rrus SigTavsis baqteriologiuri
gamokvleva • eleqtrokardiografia (ekg)
• antistreptolizini O-s gansazRvra
• kanis sinjebi mcenareuli alergenebiT
• kanis alergiuli sinjebi (bronquli asTmis
sadiagnostikod)
• ganavlis gamokvleva disbaqteriozze
• A02; A02.0; A03; A03.0; A04; A04.0; A05; A05.0; A06; A16; A16.7; A36; A36.0; A36.1; A39; A39.0; A060; A08; A080; A37; A37.0; A38;
• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B26; B26.9; B27; B27.9; B30; B30.1; B77; B77.0; B77.9; B80; B85; B85.0; B86;
• D50;D50.8 • E55; E55.0; E66; E66.0; • H10; H10.2; • J00; J02; J02.0; J02.8; J03;
J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;
• K12; K12.0; K22; K29; K29.1 • K30; K52; K52.8; K81; K81.0 • L04; L23; L23.7; • N30; N30.0; • E44; E44.0; E44.1; • R01; R01.0; R14;
daavadebis pirveladi gamovlena
mkurnaloba, profilaqtika
• B16; B16.1; B55; B55.0; • D58; D58.0; • E01; E01.0; E01.1; E01.2; E10;
E11; • I00; I01; • N00; N10;
70
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
samedicino saqmianobis moculoba nozologiebi gamokvlevebi
1 2 3 4 7 5 6
J30.4; J45; J45.0; • K12; K12.0; K22; K25;
K26; K29; K29.1; K30; K52; K52.8; K81; K81.0
• L04; L08; L08.0; L23; L23.7;
• N00; N10; N30; N30.0;
• R01; R01.0; R14;
• ganavlis baqteriologiuri gamokvleva
• bunebrivi masalis baqteriologiuri
gamokvleva specialur niadagze daTesviT
• Sardis baqteriologiuri gamokvleva
daavadebis pirveladi gamovlena da
gagzavna specializirebul
dawesebulebaSi
paraleluri dargebi(*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (I an II done);
2. funqciuri diagnostika (I an II done);
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
4. bioqimiuri laboratoria (I an II done);
5. baqteriologiuri laboratoria (I an II done)
6. rentgenologia (I an II done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
71
4.3 pediatria
samedicino saqmianoba: pediatria, ambulatoriuli momsaxureba (done _ III)
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
III 1. poli-
klinika
2. dedaTa da
bavSvTa jan-
dacvis
centri
3. kliniko diagnos-
tikuri
centri
4. specia-lize-buli
kabineti
• jandacvis organizatori
• pediatri; ojaxis eqimi
an
z/profilis
pediatri
• eqTani • sanitari
• sanitari sainJinro-teqnikuri personali (da/an
xelSekrule
ba servisul
samsaxurTan)
• pediatris kabineti
_ danarTi4.3.1
• bavSvebis misaRebi filtri (mimRebi oTaxi _
sangamtari,
gasasinji
kabineti) _ danarTi4.3.2
• sapro- ceduro (pediatri-
uli
saprocedu-
ro)
_ danarTi4.3.5
• sasterilizacio
_ danarTi4.3.6
• A02; A020; A03; A030; A04; A040; A05; A050; A06; A060; A08; A080; A16; A16.7; A36; A36.0; A36.1; A37; A37.0; A38; A39; A39.0
• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B16; B16.1; B26; B26.9; B27; B27.9; B30; B30.1; B35; B35.0; B35.1; B35.2; B35.3; B55; B55.0; B77; B77.0; B77.9; B80; B85; B85.0; B86;
• D50; D50.8; D55; D55.0; D56; D56.0; D66; D67; D58; D58.0
• E01; E01.0; E01.1; E01.2; E10; E11;
pacientis viziti eqimTan; sisxlis saerTo analizi
Sardis saerTo analizi
ganavlis saerTo analizi
ganavlis gamokvleva helminTebze
ganavlis gamokvleva Wiis kvercxebze
pirnaRebi masis baqteriologiuri gamokvleva
kanidan da lorwovani garsidan miRebuli masalis
baqteriologiuri da mikrobiologiuri gamokvleva
hemoglobinis gansazRvra sisxlSi
kvebis statusis Seswavla
anTropometruli gamokvlevebi
SardSi Ca2+-is eqskreciis gansazRvra
nacxis baqterioskopia himza-romanovskis wesiT gulmkerdis rentgenoskopia
gulmkerdis rentgenografia
saylapavi milis rentgenologiuri gamokvleva
SardSi cilis raodenobrivi gansazRvra
mantus sinji tuberkuliniT
sisxlSi Fe(+)-is gansazRvra ganavlis gamokvleva farul sisxldenaze
doudenuri SigTavsis klinikuri gamokvleva
ganavlis baqteriologiuri gamokvleva/specialur niadagze daTesva
retikulocitebis gansazRvra sisxlSi
saerTo cilisa da cilis fraqciebis gansazRvra sisxlis SratSi
eriTrocituli fermentebis gamokvleva
ferment glukozo-6-fosfatdehidrogenazis gansazRvra sisxlSi
xaxis nacxisa da piris Rrus baqteriologiuri gamokvleva
plevris punqcia haeris gamoSvebiT
• A02; A02.0; A03; A03.0; A04; A04.0; A05; A05.0; A06; A06.0; A08; A08.0; A37; A37.0; A38;
• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B26; B26.9; B27; B27.9; B30; B30.1; B35; B35.0; B35.1; B35.2; B35.3; B77; B77.0; B77.9; B80; B85; B85.0; B86;
• D50; D50.8 • E55; E55.0; E66;
E66.0; • H10; H10.2; • J00; J02; J02.0;
J02.8; J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3;
72
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
samedicino
nozologiebi gamokvlevebi saqmianobis
moculoba
1 2 3 4 5 6 7
E44; E44.0; E44.1; E55; E55.0; E66; E66.0
• H10; H10.2; • I00; I01; I01.0;
I01.1; I01.2; I01.8;
• J00; J02; J02.0; J02.8; J03; J03.0; J03.8; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;
• K12; K12.0; K22; K25; K26; K29; K29.1; K30; K52; K52.8; K81; K81.0
• L04; L08; L08.0; L23; L23.7;
• N00; N10; N30; N30.0;
• R01; R01.0; R14
naxvelis baqteriologiuri gamokvleva
plevris Rrus SigTavsis baqteriologiuri gamokvleva
eleqtrokardiografia (ekg)
antistreptolizi O-s gansazRvra kanis sinjebi mcenareuli alergenebiT
kanis alergiuli sinjebi (bronquli asTmis sadiagnostikod)
ganavlis gamokvleva disbaqteriozze
ganavlis baqteriologiuri gamokvleva
bunebrivi masalis baqteriologiuri gamokvleva specialur
niadagze daTesviT
Sardis baqteriologiuri gamokvleva
idayvis saxsris rentgenografia muxlis saxsris rentgenografia
sxiv-majis saxsris rentgenografia koW-wvivis saxsris rentgenografia eqokardioskopia eqokardiografia otoskopia/faringoskopia laringoskopia
rinoskopia sisxlSi T da B limfocitebis gansazRvra
saerTo qolesterinis gansazRvra sisxlSi
kuWis wvenSi saerTo da Tavisufali mJavianobis gansazRvra
kuWis rentgenografia fibrogastroduodenoskopia reqtoromanoskopia limfuri kvanZebis bioptatis citologiuri gamokvleva
zimnickis cda narCeni azotis gansazRvra sisxlis SratSi
kreatininis gansazRvra sisxlSi
Sardovanas gansazRvra sisxlis SratSi / SardSi
SardSi formiani elementebis gansazRvra adis-kakovskis meTodiT
cistoskopia
J30.4; J45; J45.0; • K12; K12.0; K22;
K25; K26; K29;K29.1; K30; K52; K52.8; K81; K81.0
• L04; L08; L08.0; L23; L23.7;
• N30; N30.0; • E44; E44.0;
E44.1; • R01; R01.0; R14; zemoaRniSnuli daavadebis pirvela-di gamovlena, mkurnaloba, profilaqtika • A16; A16.7; A36;
A36.0; A36.1; • A39; A39.0; • B16; B16.1; B55;
B55.0; • D55; D55.0; D56;
D56.0; D66; D67; D58; D58.0;
• E01; E01.0; E01.1; E01.2; E10; E11;
• I00; I01; I01.0; I01.1; I01.2; I01.8;
• N00; N10; zemoaRniSnuli daavadebis pirveladi gamovlena da gagzavna
73
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi mokvlevebi
samedicino
saqmianobis
moculoba
ga
1 2 3 4 5 6 7
eqskretoruli urografia
specializirebul dawesebulebaSi
paraleluri dargebi(*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (II an III done)
2. bioqimiuri laboratoria (II an III done)
3. funqciuri diagnostika (II an III done)
4. rentgenodiagnostika (II an III done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. baqteriologiuri laboratoria (II an III done)
2. imunologiuri laboratoria (II an III done)
3. mikrobiologiuri laboratoria (II an III done)
4. ultrabgeriTi diagnostika (II an III done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
74
4.3 pediatria
samedicino saqmianoba: pediatria, ambulatoriuli momsaxureba (done _ IV)
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
IV 1. speciali-
zirebuli
2. s/k instituti
3. speciali-
zirebuli
centri
4. universi-
tetis
klinika
• jandacvis organizatori
• pediatri, ojaxis eqimi
da z/prof.
pediatri
• eqTani
• sanitari
• sanitari sainJinro-teqnikuri personali (da/an xelSekruleba
servisul
samsaxurTan)
• ediatris kabineti
_ danarTi4.3.1
• bavSvebis misaRebi filtri (mimRebi
oTaxi _
sangamtari,
gasasinji
kabineti) _ danarTi4.3.2
• sapro- ceduro (pediatri-
uli
saprocedu-
ro) _ danarTi4.3.5
• sasterilizacio
_ danarTi4.3.6
• A02; A020; A03; A03.0; A04; A04.0; A05; A05.0; A06; A06.0; A08; A08.0; A16; A16.7; A36; A36.0; A36.1; A37; A37.0; A38; A39; A39.0
• B00; B00.1; B01;
B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B16; B16.1; B26; B26.9; B27; B27.9; B30; B30.1; B35; B35.0; B35.1; B35.2; B35.3; B55; B55.0; B77; B77.0; B77.9; B80; B85; B85.0; B86;
• D50; D50.8; D55;
D55.0; D58; D58.0; D66; D67; D56; D56.0
• E01; E01.0; E01.1;
E01.2; E10; E11; E44; E44.0; E44.1; E55; E55.0; E66; E66.0
• H10; H10.2; • I00; I01; I01.0;
I01.1; I01.2; I01.8;
• pacientis viziti eqimTan;
• sisxlis saerTo analizi
• Sardis saerTo analizi
• ganavlis saerTo analizi • ganavlis gamokvleva helminTebze
• ganavlis gamokvleva Wiis kvercxebze
• pirnaRebi masis baqteriologiuri gamokvleva
• kanidan da lorwovani garsidan miRebuli masalis
baqteriologiuri da mikrobiologiuri gamokvleva
• hemoglobinis gansazRvra sisxlSi • kvebis statusis Seswavla
• anTropometruli gamokvlevebi
• SardSi Ca2+-is eqskreciis gansazRvra • nacxis baqterioskopia himza-romanovskis wesiT
• gulmkerdis rentgenoskopia
• gulmkerdis rentgenografia • saylapavi milis rentgenologiuri gamokvleva
• SardSi cilis raodenobrivi gansazRvra
• mantus sinji tuberkuliniT
• sisxlSi Fe(+)-is gansazRvra • ganavlis gamokvleva farul sisxldenaze
• doudenuri SigTavsis klinikuri gamokvleva • ganavlis baqteriologiuri gamokvleva/specielur
niadagze daTesva
• retikulocitebis gansazRvra sisxlSi
• saerTo cilisa da cilis fraqciebis gansazRvra
sisxlis SratSi
• eriTrocituli fermentebis gamokvleva • ferment glukozo-6-fosfatdehidrogenazis gansazRvra
sisxlSi
• xaxis nacxisa da piris Rrus baqteriologiuri
gamokvleva
• plevris punqcia haeris gamoSvebiT
• naxvelis baqteriologiuri gamokvleva
• A02; A02.0; A03; A03.0; A04; A04.0; A05; A05.0; A06; A06.0; A08; A08.0; A37; A37.0; A38; A39
• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B16; B16.1; B26; B26.9; B27; B27.9; B30; B30.1; B35; B35.0; B35.1; B35.2; B35.3; B55; B55.0; B77; B77.0; B77.9; B80; B85; B85.0; B86;
• D50; D50.8: • E55; E55.0; E66;
E66.0; • H10; H10.2; • J00; J02; J02.0;
J02.8; J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J 15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;
• K12; K12.0; K22; K25; K26; K29;
75
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi
samedicino
gamokvlevebi saqmianobis
moculoba
1 2 3 4 5 6 7
• J00; J02; J02.0;
J02.8; J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3; J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;
• K12; K12.0; K22; K25; K26; K29; K29.1; K30; K52; K52.8; K81; K81.0
• L04; L08; L08.0; L23; L23.7;
• N00; N10; N30; N30.0;
• R01; R01.0; R14;
• plevris Rrus SigTavsis baqteriologiuri gamokvleva
• eleqtrokardiografia (ekg)
• antistreptolizi O-s gansazRvra • kanis sinjebi mcenareuli alergenebiT
• kanis alergiuli sinjebi (bronquli asTmis
sadiagnostikod)
• ganavlis gamokvleva disbaqteriozze
• ganavlis baqteriologiuri gamokvleva
• bunebrivi masalis baqteriologiuri gamokvleva specialur niadagze daTesviT
• Sardis baqteriologiuri gamokvleva
• idayvis saxsris rentgenografia
• muxlis saxsris rentgenografia
• sxiv-majis saxsris rentgenografia
• koW-wvivis saxsris rentgenografia • eqokardioskopia
• eqokardiografia
• otoskopia/faringoskopia
• laringoskopia
• rinoskopia
• sisxlSi T da B limfocitebis gansazRvra • saerTo qolesterinis gansazRvra sisxlSi
• kuWis wvenSi saerTo da Tavisufali mJavianobis
gansazRvra
• kuWis rentgenografia
• fibrogastroduodenoskopia
• reqtoromanoskopia • limfuri kvanZebis bioptatis citologiuri
gamokvleva
• zimnickis cda
• narCeni azotis gansazRvra sisxlis SratSi
• kreatininis gansazRvra sisxlSi
• Sardovanas gansazRvra sisxlis SratSi / SardSi • SardSi formiani elementebis gansazRvra adis-
kakovskis meTodiT
• cistoskopia
• eqskretoruli urografia
K29.1; K30; K52; K52.8; K81; K81.0
• L04; L08; L08.0; L23; L23.7;
• N00; N10; N30; N30.0;
• E44; E44.0; E44.1; • R01; R01.0; R14; zemoaRniSnuli
daavadebis
pirveladi gamovlena
mkurnaloba, profilaqtika
• A16; A16.7; A36;
A36.0; A36.1; A39; A39.0;
• B16; B16.1; B55; B55.0;
• D55; D55.0; D56; D56.0; D66; D67;D58.D58.0:
• E01; E01.0; E01.1; E01.2; E10; E11;
• I00; I01; I01.0; I01.1; I01.2; I01.8;
• N00; N10; zemoaRniSnuli
daavadebis pirveladi
gamovlena da gagzavna
specializirebul
dawesebulebaSi
76
paraleluri dargebi(*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (III an IV done)
2. bioqimiuri laboratoria (III an IV done)
3. rentgenodiagnostika (II an III done)
4. ultrabgeriTi diagnostika (III an IV done)
5. funqciuri diagnostika (II an III done)
6. imunologiuri laboratoria (II an III done)
7. endoskopiuri diagnostika (III an IV done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. baqteriologiuri laboratoria (II an III done)
2. virusologia (III an IV done)
3. mikrobiologiuri laboratoria (II an III done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
77
4.3 pediatria
samedicino saqmianoba: pediatria, ambulatoria/dRis stacionari (done _ I)
do-ne tipi kadrebi samedicino
aRWurviloba nozologiebi gamokvlevebi
samedicino saqmianobis
moculoba
1 2 3 4 5 6 7
I 1. ambulatoria
dRis staciona-
riT
• pediatri da z/profilis
pediatri
• eqTani • sanitari • sainJinro-teqnikuri personali (an xelSekru-
leba
servisul samsaxurTan)
pediatris kabineti _ danarTi 4.3.1
bavSvebis misaRebi filtri _ (mimRebi oTaxi _
sangamtari, gasasinji
kabineti) _ danarTi 4.3.2
palata _ danarTi 4.3.3
samedicino meddis posti
_ danarTi 4.3.4
sasterilizacio _ danarTi 4.3.6
1. B77; B77.9; B85; B85.0; B86 2. D50; 3. E66; E66.0, E44; E44.0 4. H10; H10.2; 5. J00; J02; J02.0; J02.8; J03;
J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J20; J20.0; J20.1; J21; J21.0; J30; J30.0;
6. K12; K12.0; K22; K30; 7. L23; L23.7; 8. N30; N30.0; 9. R14;
• pacientis viziti eqimTan • naRvlis pigmentebis gansazRvra
SardSi
• ganavlis gamokvleva Wiis
kvercxebze • SardSi cilis raodenobis
gansazRvra (proteinuria)
• hemoglobinis gansazRvra sisxlSi
• kvebis statusis Seswavla
• anTropometruli gamokvlevebi
me-5 svetSi _ 1-9
blokebSi
CamoTvlili
daavadebebis
mkurnaloba
paraleluri dargebi(*): licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (I an II done);
3. funqciuri diagnostika (I an II done);
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
7. bioqimiuri laboratoria (I an II done); 8. baqteriologiuri laboratoria (I an II done)
9. rentgenologia (I an II done)
(*) samedicino saqmianobebis dargebi, romlebic zemoaRniSnuli licenziiT araris gaTvaliswinebuli - Tu dawesebulebis licenziiT ar aris gaTvaliswinebuli nebarTva am samedicino saqmianobebis Casatareblad, samedicino dawesebulebas unda hqondes calke licenzia am saqmianobebis warmoebaze an unda dados xelSekruleba Sesabamisi saqmianobis ganxorcielebaze igive an sxva misamarTze arsebul samedicino dawesebulebasTan
78
4.3 pediatria
samedicino saqmianoba: pediatria, ambulatoria/dRis stacionari (done _ II)
do-
ne
tipi kadrebi samedicino-
teqnikuri
aRWurviloba
nozologiebi gamokvlevebi samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
II 3. raionuli
saavadmyo-
fo
4. saeqimo
kabineti
• jandacvis organiza-tori
• pediatri
• eqTani
• sanitari • sainJinro-teqnikuri personali (an xel-
Sekruleba servisul
samsaxur-
Tan)
pediatris kabineti _ danarTi 4.3.1
bavSvebis misaRebi filtri _ (mimRebi oTaxi
_ sangamtari, gasasinji
kabineti)
_ danarTi 4.3.2
palata _ danarTi 4.3.3
samedicino meddis posti
_ danarTi 4.3.4
sasterilizacio _ danarTi 4.3.6
saproceduro _ danarTi 4.3.5
1. B77; B77.9; B85; B85.0; B86;
2. D50; D55; D55.0; 3. E66; E66.0 E44;
E44.0; E44.1; 4. H10; H10.2; 5. J00; J02; J02.0;
J02.8; J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;
6. K12;K12.0;K30 7. L04; L23; L23.7; 8. N30; N30.0; 9. R01; R01.0; R14;
• pacientis viziti eqimTan; • sisxlis saerTo analizi
• Sardis saerTo analizi
• ganavlis saerTo analizi • ganavlis gamokvleva helminTebze
• ganavlis gamokvleva Wiis kvercxebze
• hemoglobinis gansazRvra sisxlSi
• kvebis statusis Seswavla
• anTropometruli gamokvlevebi
• SardSi Ca2+-is eqskreciis gansazRvra
• gulmkerdis rentgenoskopia
• gulmkerdis rentgenografia
• SardSi cilis raodenobrivi gansazRvra
• mantus sinji tuberkuliniT
• sisxlSi Fe(+)-is gansazRvra • ganavlis gamokvleva farul sisxldenaze • retikulocitebis gansazRvra sisxlSi
• saerTo cilisa da cilis fraqciebis gansazRvra sisxlis SratSi
• eriTrocituli fermentebis gamokvleva
• ferment glukozo-6-fosfatdehidrogenazis gansazRvra sisxlSi
• xaxis nacxisa da piris Rrus baqteriologiuri gamokvleva
• plevris punqcia haeris gamoSvebiT • naxvelis baqteriologiuri gamokvleva
• plevris Rrus SigTavsis baqteriologiuri gamokvleva
• eleqtrokardiografia (ekg)
• antistreptolizini O-s gansazRvra
• kanis sinjebi mcenareuli alergenebiT
• kanis alergiuli sinjebi (bronquli asTmis sadiagnostikod) • ganavlis gamokvleva disbaqteriozze
• ganavlis baqteriologiuri gamokvleva
• bunebrivi masalis baqteriologiuri gamokvleva specialur
niadagze daTesviT
• Sardis baqteriologiuri gamokvleva
me-5 svetSi,
1-9 blokebSi
CamoTvlili
daavadebebis mkurnaloba
79
paraleluri dargebi(*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (I an II done);
2. funqciuri diagnostika (I an II done);
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. bioqimiuri laboratoria (I an II done);
2. baqteriologiuri laboratoria (I an II done)
3. rentgenologia (I an II done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
80
4.3 pediatria
samedicino saqmianoba: pediatria, ambulatoria/dRis stacionari (done _ III)
do-
ne tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
III 1. regiona-
luri
saavad-myofo
2. specialize-buli saavad-
myofo
3. klinikuri
saavadmyofo
4. dispanseri 5. mravalpro-
filiani
dispanseri
6. poliklinika
7. .dedaTa da bavSvTa
jandacvis centri
8. kliniko-
diagnosti-
kuri centri
9. speciali-
zebuli kabineti
10. sakonsulta-
cio diagnos-
tikuri
daxmarebis
poliklinika
• jandacvis organiza-tori
• pediatri
• eqTani • sanitari
• sainJinro-teqnikuri personali (da/an
xelSekrul
eba
servisul samsaxur-
Tan)
pediatris kabineti _ danarTi 4.3.1
bavSvebis misaRebi filtri _ (mimRebi oTaxi
_ sangamtari, gasasinji
kabineti)
_ danarTi 4.3.2
pediatriuli saproceduro _ danarTi 4.3.5
palata _ danarTi 4.3.3
samedicino meddis posti
_ danarTi 4.3.4
sasteriliza-cio _ danarTi 4.3.6
1. B30; B30.1; B77; B77.0; B77.9; B80; B85; B85.0; B86;
2. D50; 3. E55; E55.0; E44;
E44.0; E44.1; E66; E66.0
4. H10; H10.2; 5. J00; J02; J02.0;
J02.8; J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;
6. K12; K12.0; K22; K30; K52; K52.8; K81; K81.0
7. L04; L08; L08.0; L23; L23.7;
8. N30; N30.0; 9. R01; R01.0; R14;
• pacientis viziti eqimTan; • sisxlis saerTo analizi
• Sardis saerTo analizi
• ganavlis saerTo analizi • ganavlis gamokvleva helminTebze
• ganavlis gamokvleva Wiis kvercxebze
• pirnaRebi masis baqteriologiuri gamokvleva
• kanidan da lorwovani garsidan miRebuli masalis
baqteriologiuri da mikrobiologiuri gamokvleva
• hemoglobinis gansazRvra sisxlSi • kvebis statusis Seswavla
• anTropometruli gamokvlevebi
• SardSi Ca2+-is eqskreciis gansazRvra • nacxis baqterioskopia himza-romanovskis wesiT • gulmkerdis rentgenoskopia
• gulmkerdis rentgenografia • saylapavi milis rentgenologiuri gamokvleva
• SardSi cilis raodenobrivi gansazRvra
• mantus sinji tuberkuliniT
• sisxlSi Fe(+)-is gansazRvra • ganavlis gamokvleva farul sisxldenaze
• doudenuri SigTavsis klinikuri gamokvleva • ganavlis baqteriologiuri gamokvleva/specialur niadagze
daTesva
• retikulocitebis gansazRvra sisxlSi
• saerTo cilisa da cilis fraqciebis gansazRvra sisxlis
SratSi
• eriTrocituli fermentebis gamokvleva • ferment glukozo-6-fosfatdehidrogenazis gansazRvra
sisxlSi
• xaxis nacxisa da piris Rrus baqteriologiuri gamokvleva
• plevris punqcia haeris gamoSvebiT
• naxvelis baqteriologiuri gamokvleva
• plevris Rrus SigTavsis baqteriologiuri gamokvleva
1-9 blokebSi aRniSnuli daavadebebis mkurnaloba
81
do-
ne tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi mokvlevebi
samedicino
saqmianobis
moculoba
ga
1 2 3 4 5 7 6
• eleqtrokardiografia (ekg)
• antistreptolizi O-s gansazRvra
• kanis sinjebi mcenareuli alergenebiT • kanis alergiuli sinjebi (bronquli asTmis sadiagnostikod)
• ganavlis gamokvleva disbaqteriozze
• ganavlis baqteriologiuri gamokvleva
• bunebrivi masalis baqteriologiuri gamokvleva specialur
niadagze daTesviT
• Sardis baqteriologiuri gamokvleva • idayvis saxsris rentgenografia • muxlis saxsris rentgenografia
• sxiv-majis saxsris rentgenografia • koW-wvivis saxsris rentgenografia • eqokardioskopia • eqokardiografia • otoskopia/faringoskopia • laringoskopia
• rinoskopia • sisxlSi T da B limfocitebis gansazRvra
• saerTo qolesterinis gansazRvra sisxlSi
• kuWis wvenSi saerTo da Tavisufali mJavianobis gansazRvra • kuWis rentgenografia • fibrogastroduodenoskopia • reqtoromanoskopia • limfuri kvanZebis bioptatis citologiuri gamokvleva
• zimnickis cda • narCeni azotis gansazRvra sisxlis SratSi • kreatininis gansazRvra sisxlSi
• Sardovanas gansazRvra sisxlis SratSi / SardSi
• SardSi formiani elementebis gansazRvra adis-kakovskis
meTodiT
• cistoskopia • eqskretoruli urografia
paraleluri dargebi(*):
82
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (II an III done)
2. bioqimiuri laboratoria (II an III done)
3. funqciuri diagnostika (II an III done)
4. rentgenodiagnostika (II an III done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. baqteriologiuri laboratoria (II an III done)
2. imunologiuri laboratoria (II an III done)
3. mikrobiologiuri laboratoria (II an III done)
4. ultrabgeriTi diagnostika (II an III done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
4.3 pediatria
samedicino saqmianoba: pediatria, ambulatoria/dRis stacionari (done _ IV)
done
tipi
kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
IV 1. specializebuli s/k
instituti
2. speciali-
zebuli
centri
3. universi-tetis
klinika
• jandacvis organiza-
tori
• pediatri • eqTani • sanitari • sainJinro-teqnikuri
personali
(da/an
xelSekrule-
ba Sesabamis
servisul samsaxurTan)
• pediatris kabineti
_ danarTi 4.3.1
• bavSvebis misaRebi filtri _ (mimRebi oTaxi
_ sangamtari,
gasasinji
kabineti)
_ danarTi 4.3.2
• pediatriuli saproceduro _ danarTi 4.3.5
• palata _ danarTi 4.3.3
• samedicino meddis posti
_ danarTi 4.3.4
• sasteriliza-cio
_ danarTi 4.3.6
• B30; B30.1; B77; B77.9; B80; B85; B85.0; B86;
• D50; D50.8; • E55; E55.0; E66;
E66.0 • E44; E44.0 • H10; H10.2; • J00; J02; J02.0;
J02.8; J03; J03.0; J03.8; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3; J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;
• K12; K12.0; K22; K25; K26; K29; K29.1 K30; K52; K52.8; K81; K81.0
• L04; L08; L08.0; • L23; L23.7; • N30; N30.0; • R01; R01.0; R14
• pacientis viziti eqimTan; • sisxlis saerTo analizi
• Sardis saerTo analizi
• ganavlis saerTo analizi
• ganavlis gamokvleva helminTebze
• ganavlis gamokvleva Wiis kvercxebze
• pirnaRebi masis baqteriologiuri gamokvleva • kanidan da lorwovani garsidan miRebuli masalis
baqteriologiuri da mikrobiologiuri gamokvleva
• hemoglobinis gansazRvra sisxlSi
• kvebis statusis Seswavla
• anTropometruli gamokvlevebi
• SardSi Ca-is eqskreciis gansazRvra • nacxis baqterioskopia himza-romanovskis wesiT • gulmkerdis rentgenoskopia
• gulmkerdis rentgenografia
• saylapavi milis rentgenologiuri gamokvleva
• SardSi cilis raodenobrivi gansazRvra
• mantus sinji tuberkuliniT • sisxlSi Fe(+)-is gansazRvra
• ganavlis gamokvleva farul sisxldenaze
• doudenuri SigTavsis klinikuri gamokvleva
• ganavlis baqteriologiuri gamokvleva/specielur niadagze
daTesva
• retikulocitebis gansazRvra sisxlSi • saerTo cilisa da cilis fraqciebis gansazRvra sisxlis
SratSi
• eriTrocituli fermentebis gamokvleva
• ferment glukozo-6-fosfatdehidrogenazis gansazRvra
sisxlSi
• xaxis nacxisa da piris Rrus baqteriologiuri gamokvleva • plevris punqcia haeris gamoSvebiT
• naxvelis baqteriologiuri gamokvleva
• B30; B30.0; B77; B77.9; B80; B85; B85.0; B86;
• D50; D50.8; • E55; E55.0; E66;
E66.0; • E44; E44.0; • H10; H10.2; • J00; J02; J02.0;
J02.8; J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;
• K12; K12.0; K22; K25; K26; K29; K29.1; K30; K52; K52.8; K81; K81.0
• L04; L08; L08.0; L23; L23.7:
• N30; N30.0; • E44; E44.0; E44.1; • R01; R01.0; R14; daavadebis mkurnaloba
83
done
tipi
kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi
samedicino
saqmianobis
moculoba
gamokvlevebi
1 2 3 4 5 7 6
• plevris Rrus SigTavsis baqteriologiuri gamokvleva
• eleqtrokardiografia (ekg)
• antistreptolizi O-s gansazRvra
• kanis sinjebi mcenareuli alergenebiT
• kanis alergiuli sinjebi (bronquli asTmis
sadiagnostikod) • ganavlis gamokvleva disbaqteriozze
• ganavlis baqteriologiuri gamokvleva
• bunebrivi masalis baqteriologiuri gamokvleva specialur
niadagze daTesviT
• Sardis baqteriologiuri gamokvleva
• idayvis saxsris rentgenografia • muxlis saxsris rentgenografia
• sxiv-majis saxsris rentgenografia • koW-wvivis saxsris rentgenografia • eqokardioskopia • eqokardiografia • otoskopia/faringoskopia • laringoskopia
• rinoskopia • sisxlSi T da B limfocitebis gansazRvra
• saerTo qolesterinis gansazRvra sisxlSi
• kuWis wvenSi saerTo da Tavisufali mJavianobis gansazRvra
• kuWis rentgenografia • fibrogastroduodenoskopia • reqtoromanoskopia • limfuri kvanZebis bioptatis citologiuri gamokvleva
• zimnickis cda • narCeni azotis gansazRvra sisxlis SratSi
• kreatininis gansazRvra sisxlSi • Sardovanas gansazRvra sisxlis SratSi / SardSi
• SardSi formiani elementebis gansazRvra adis-kakovskis
meTodiT
• cistoskopia • eqskretoruli urografia
84
paraleluri dargebi(*):
licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (III an IV done)
2. bioqimiuri laboratoria (III an IV done)
3. rentgenodiagnostika (II an III done)
4. ultrabgeriTi diagnostika (III an IV done)
5. funqciuri diagnostika (II an III done)
6. imunologiuri laboratoria (II an III done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. baqteriologiuri laboratoria (II an III done)
2. virusologia (III an IV done)
3. mikrobiologiuri laboratoria (II an III done)
4. endoskopiuri diagnostika (III an IV done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli
moculobiT warmoebisaTvis.
85
danarTi 4.3.1
pediatria, samedicino-teqnikuri aRWurviloba
pediatris kabineti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino saqmianobis done I II III IV
samedicino aveji
15 eqimis magida 1 1 1 1
15 eqimis skami 1 1 1 1
15 skami 2 2 3 3
15 gasasinji taxti 1 1 1 1
15 samedicino karada 1 1 1 1
15 instrumentebis magida 1 1 2 2
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 1 1
03 negatoskopi (saerTo daniSnulebis) 1 1 1 1
08 saswori (samedicino) 1 1 1 1
06 saswori (pediatriuli) 1 1 1 1
06 simaRlis sazomi (anTropometri) 1 1 1 1
06 sazomi dafa (pediatriuli) 1 1 1 1
02 arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri,
fonendoskopi mozrdilTa/pediatriuli)
1 1 1 1
14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 1 2 2 3
14 dinamometri (xelis, pediatriuli)
14 dokumentacia (maT Soris cxrilebi, normativebi da testebi) _
anTropometruli, fsiqologiuri, asakobrivi zrdis, sqesobrivi simwifisa da kbilebis ganviTarebis gansazRvrisaTvis
1
kompleqti
1
kompleqti
1
kompleqti
1
kompleqti
13 eleqtromaduRara (sadizinfeqcio maduRara, eleqtruli) 1 1 - -
13 sasterilizacio yuTi instrumentebisaTvis - 1 2 2
samedicino instrumentebi
14 gamadidebeli mina (lupa, xelis) 1 1 1 1
14 stetofonendoskopi (pediatriuli) 1 1 1 1
14 sazomi lenti 1 2 2 2
14 Spadeli (enis) 2 2 2 2
14 pinceti (anatomiuri) 2 2 2 2
86
pediatris kabineti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
14 makrateli (Sesaxvevi masalisaTvis) 2 2 2 2
14 momWeri (maSa, korcangi), pirdapiri boloTi - - 1 1
08 pirveladi daxmarebis kompleqti (mozrdilTa /pediatriuli): filtvebis
xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis
sasunTqi parki, sasunTqi niRabi (sxvadasxva zoma, maT Soris neonataluri),
vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, momWeri (maSa, korcangi), laxti.
- - 1 1
danarTi 4.3.2
bavSvebis misaRebi filtri (mimRebi oTaxi _ sangamtari, gasasinji kabineti)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino saqmianobis done I II III IV
samedicino aveji
15 eqimis magida 1 1 1 1
15 eqimis skami 1 1 1 1
15 skami 2 2 2 2
15 gasasinji taxti 1 1 1 1
15 samedicino karada 1 1 1 1
15 instrumentebis magida 1 1 1 1
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 1 1
08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1 1 1
02 arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri,
fonendoskopi mozrdilTa /pediatriuli)
1 1 1 1
14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 1 1 1 1
14 wamzomi 1 1 1 1
13 eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) 1 1 1 1
13 sasterilizacio yuTi instrumentebisaTvis 1 1 1 1
samedicino instrumentebi
14 stetofonendoskopi (pediatriuli) 1 1 1 1
14 Spadeli (enis) 1 1 1 1
87
bavSvebis misaRebi filtri (mimRebi oTaxi _ sangamtari, gasasinji kabineti)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
14 pinceti (anatomiuri) 1 1 1 1
14 makrateli (gadasaxvevi masalis) 1 1 1 1
14 momWeri (maSa, korcangi) swori boloTi - - 1 1
08 pirveladi daxmarebis kompleqti (mozrdilTa /pediatriuli): filtvebis
xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (/ambus tipis
sasunTqi parki, sasunTqi niRabi (sxvadasxva zoma, maT Soris neonataluri), vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi,
enis damWeri, momWeri (maSa, korcangi), laxti.
1 1 1 1
danarTi 4.3.3
palata kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino saqmianobis done I II III IV
samedicino aveji
15 sawoli (bavSvis, 1-5 wlamde) 1 1 1 1
15 sawoli (mozardis, 5-14 wlamde) 1 1 1 1
15 magida 1 1 1 1
15 skami 2 2 2 2
15 sawolis tumbo 1 1 1 1
danarTi 4.3.4
samedicino meddis posti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino saqmianobis done I II III IV
samedicino aparatura da xelsawyoebi
baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) 1 1 1 1
arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri,
fonendoskopi mozrdilTa /pediatriuli)
1 1 1 1
Termometri (samedicino, eleqtruli, an/da vercxliswylis) 2 2 2 2
88
samedicino meddis posti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
eleqtromaduRara (sadizinfeqcio maduRara, eleqtruli) 1 1 1 1
sasterilizacio yuTi instrumentebisaTvis 1 1 2 2
Stativi xsnarebisaTvis (moZravi, statikuri) 2 2 2 2
samedicino instrumentebi
Spadeli (enis) 2 2 2 2
pinceti (anatomiuri) 1 1 1 1
makrateli (Sesaxvevi masalisaTvis) 2 2 2 2
momWeri (maSa, korcangi) pirdapiri - - 2 2
pirveladi daxmarebis kompleqti (mozrdilTa /pediatriuli): filtvebis
xelovnuri ventilaciis meqanikuri (xelis) mowyoboloba (ambus tipis sasunTqi
parki, sasunTqi niRabi (sxvadasxva zoma, maT Soris neonataluri),
vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, momWeri (maSa, korcangi), laxti.
1 1 1 1
danarTi 4.3.5
pediatriuli saproceduro
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino saqmianobis done I II III IV
samedicino aveji
saproceduro magida 1 1 1 1
eqimis skami (mbrunavi) 1 1 1 1
samedicino karada 1 1 1 1
instrumentebis magida 2 2 2 2
biqsis sadgami 1 1 1 1
Tasis sadgami 1 1 1 1
samedicino aparatura da xelsawyoebi
baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 1 1
wamzomi 2 2 2 2
eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) 1 1 1 1
sasterilizacio yuTi instrumentebisaTvis 2 2 2 2
89
pediatriuli saproceduro
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
Stativi xsnarebisaTvis (moZravi, statikuri) 2 2 2 2
biqsi 2 2 2 2
Tasi (konteineri, naxmari masalis Sesagroveblad) 2 2 2 2
samedicino instrumentebi
pinceti (anatomiuri) 2 2 2 2
makrateli (Sesaxvevi masalisaTvis) 2 2 2 2
momWeri (maSa, korcangi) swori boloTi 2 2 2 2
laxti (rezinis) 2 2 2 2
momWeri (rezinis milisaTvis) 1 1 1 1
kuWis zondi 2 2 2 2
duodenaluri zondi 2 2 2 2
pirveladi daxmarebis kompleqti (mozrdilTa /pediatriuli): filtvebis
xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi
parki, sasunTqi niRabi (sxvadasxva zoma, maT Soris neonataluri), vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis
damWeri, momWeri (maSa, korcangi), laxti.
1 1 1 1
danarTi 4.3.6
sasterilizacio
aRWurvilobis dasaxeleba raodenoba (cali)
orTqlis sterilizatori (avtoklavi, horizontaluri an/da vertikaluri) 1
mSrali sterilizatori (sasterilizacio karada) 1
90
4.4 qirurgia
samedicino saqmianoba: zogadi qirurgia (mozrdilTa ambulatoriul - poliklinikuri daxmareba)
done tipi kadrebi samedicino-teqnikuri
aRWurviloba nozologia gamokvlevebi samedicino saqmianobis moculoba
1 2 3 4 5 6 7 I, II, III, IV
yvela tipis dawesebu-leba,
sadac SeiZleba
ganxorciel-
des ambulato-
ruli zogad-
qirurgiuli Careva
• zogadi qirurgi
• saopera=-cio medda
(saTanado
kvalifi-
kacia
qirurgi-
aSi) – saopera-
cios
arsebobis
SemTxvevaSi
• medda (eqTani)
• sanitari (an diasaxlisi,
an damlage-beli)
• sainJinro-teqnikuri
personali
(da/an
xelSekru-
leba Sesabamis
servisul
samsaxur-
Tan)
I done:
• eqimis kabineti _ danarTi 4.4.1
• saproceduro _ danarTi 4.4.3
• Sesaxvevi _ danarTi 4.4.5
• sasterilizacio _ danarTi 4.4.4
II done:
• eqimis kabineti _ danarTi 4.4.1
• saproceduro _ danarTi 4.4.3 • Sesaxvevi _ danarTi 4.4.5
• sasterilizacio _ danarTi 4.4.4
III done:
• eqimis kabineti _ danarTi 4.4.1
• misaRebi kabineti _ danarTi 4.4.2
• Sesaxvevi _ danarTi 4.4.5
• saoperacio winasaoperaciosTan erTad _ danarTi 4.4.6
• sasterilizacio _ danarTi 4.4.4
• S00; S01; S10; S20; S30; S40; S41; S50; S51; S60; S61; S70; S71; S80; S81; S90; S91; T20.1; T21.1; T22.1; T23.1;T24.1; T25.1;T33; L02; L03.0; L60.0;
• S11.0; J38.5; J38.4;
J93; S27.0 • S45; S55; S65; S75;
S85; S95; • S02; S12; S13; S16;
S22; S23; S32; S33; S42; S43; S46; S52; S53; S56; S62; S63; S66; S72; S73; S76; S82; S83; S86; S92; S93; S96.
• T17.2; T17.3;
T18.5; T79.4; R10; R33; R58
• anamnezis Sekreba;
• fizikaluri gamokvleva;
• sisxlis saerTo analizi
• Sardis saerTo analizi
• Saqris gansazRvra sisxlSi
• Ca2+-is gansazRvra sisxlSi
• sisxlis jgufis da rezusis
gansazRvra
• hemoglobinis gansazRvra sisxlSi
• rentgenografia
• Wrilobis tualeti, aseptikuri naxvevi _ S00; S01; S10; S20.; S30; S40; S41; S50; S51; S60; S61; S70; S71; S80; S81; S90; S91; damwvrobis /moyinvis/ ubnis aseptikuri
naxvevi _ T20.1; T21.1; T22.1; T23.1; T24.1; T25.1; T33;
• abscesis, panariciumis gakveTa - L02; L03.0; • Cazrdili frCxilis eqstirpacia - L60.0; • garegani sisxldenis droebiTi SeCereba
laxtiT, damwoli naxveviT, kiduris
moxriTi fiqsaciiT - S45; S55; S65; S75; S85; S95;
• meqanikuri asfiqsiis likvidacia (gareTa sasunTqi gzebis revizia, sanacia,
haergamtari milis Cadgma, enis fiqsacia
tuCTan, krikotomia (sasunTqi gzebis
sruli obturaciis likvidaciis
SeuZleblobis pirobebSi sicocxlisaTvis
saSiSi asfiqsiis dros) - S11.0; J38.5; J38.4; T17.2; T17.3;
• tkivilis gayuCeba (garda muclis Rrus mwvave paTologiisa) - R58; T79.4;
• pirveladi daxmareba, satransporto mobilizacia, gagzavna specializirebul
dawesebulebaSi - S02; S12; S13; S16; S22; S23; S32; S33; S42; S43; S46; S52; S53; S56; S62; S63; S66; S72; S73; S76; S82; S83; S86; S92; S93; S96;
91
done tipi kadrebi samedicino-teqnikuri
aRWu a nozologia gamokvlevebi
rvilobsamedicino saqmianobis moculoba
1 2 3 5 6 4 7 IV done:
• eqimis kabineti _ danarTi 4.4.1
• misaRebi kabineti _ danarTi 4.4.2
• Sesaxvevi _ danarTi 4.4.5
• saoperacio winasaoperaciosTan erTad
_ danarTi 4.4.6, • sasterilizacio _ danarTi 4.4.4
• Sardis buStis kaTeterizacia an boqvenis zeda punqcia _ R33;
• Ria pnevmoToraqsis okluziuri naxvevi; daWimuli pnevmoToraqsis dros
Torakopunqcia an gulmkerdis drenireba
transportirebisaTvis _ J93; S27.0;
• qronikuli qirurgiuli daavadebis marTva;
sicocxlisa da janmrTelobisaTvis uSualo
mwvave safrTxis sindromuli da an nozologiuri diagnostika, pirveladi
daxmareba da evakuacia;
paraleluri dargebi(*) samedicino daxmarebis I donis SemTxvevaSi: licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive
misamarTze: 1. kliniko-diagnostikuri laboratoria (I done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
2. funqciuri diagnostika (I done)
3. rentgenologia (I done)
samedicino daxmarebis II donis SemTxvevaSi: licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive
misamarTze:
1. kliniko-diagnostikuri laboratoria (I da/an II done)
2. bioqimiuri laboratoria (I da/an II done)
3. rentgenologia (I da/an II done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. funqciuri diagnostika (I da/an II done)
2. eqoskopiuri diagnostika (I da/an II done)
92
93
samedicino daxmarebis III donis SemTxvevaSi: licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:
1. kliniko-diagnostikuri laboratoria (II da/an III done)
2. bioqimiuri laboratoria (II da/an III done)
3. rentgenologia (II da/an III done)
4. funqciuri diagnostika (II da/an III done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. mikrobiologiuri laboratoria (II da/an III done)
2. eqoskopiuri diagnostika (II da/an III done)
3. anesTeziologia (II da/an III done)
samedicino daxmarebis IV donis SemTxvevaSi: licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive
misamarTze:
1. kliniko-diagnostikuri laboratoria (III da/an IV done)
2. bioqimiuri laboratoria (III da/an IV done)
3. rentgenologia (II da/an III done) 4. funqciuri diagnostika (II da/an IV done)
5. anesTeziologia (II da/an III done)
6. eqoskopiuri diagnostika (III da/an IV done)
licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba
1. mikrobiologiuri laboratoria (III da/an IV done) 2. baqteriologiuri laboratoria (III da/an IV done)
3. virusulogiuri laboratoria (III da/an IV done)
endoskopiuri diagnostika* (II da/an III done)
(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli moculobiT warmoebisaTvis.
94
qirurgia, samedicino-teqnikuri aRWurviloba danarTi 4.4.1
eqimis kabineti (mimRebi oTaxi _ gasasinji kabineti) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino momsaxurebis done I II III IV
samedicino aveji 15 eqimis magida 1 1 1 1 15 eqimis skami 1 1 1 1 15 skami 3 3 3 3 15 gasasinji taxti 1 1 1 1 15 samedicino karada 1 1 1 1 15 instrumentebis magida 2 2 - - - samedicino aparatura da xelsawyoebi 08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 - - 03 negatoskopi (saerTo daniSnulebis) 1 1 1 1 08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1 - - 06 saswori (samedicino) 1 1 - - 06 simaRlis sazomi (anTropometri) 1 1 - - 02 arteriuli wnevis sazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi _
mozrdilTa)
1 1 1 1
14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 2 2 1 1 14 wamzomi 1 1 1 1 14 dinamometri (xelis) 1 1 1 1 13 eleqtromaduRara (sadizinfeqcio maduRara, eleqtruli) 1 1 - - 13 sasterilizacio yuTi instrumentebisaTvis 2 2 - -
samedicino instrumentebi 14 gamadidebeli mina (lupa, xelis) 1 1 1 1 14 stetofonendoskopi (stetoskopi, fonendoskopi) 1 1 1 1 14 gasazomi lenti 2 2 2 2 14 Spadeli (enis) 2 2 - - 14 pinceti (anatomiuri) 2 2 - - 14 makrateli (gadasaxvevi masalis) 2 2 - - 14 makrateli samedicino (erTi maxvili boloTi) 2 2 - - 14 momWeri (maSa, korcangi), pirdapiri 2 2 - -
08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti (mozrdilTa):
filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis
sasunTqi parki, sasunTqi niRabi, meqanikuri vakuumaspiratori, samedicino instrumentebi
1 1 - -
95
eqimis kabineti (mimRebi oTaxi _ gasasinji kabineti) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino momsaxurebis done I II III IV
_ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi),
laxti, an krikotomiis instrumentebis kompleqti
danarTi 4.4.2
misaRebi oTaxi (misaRebi oTaxi _ sangamtari da/an misaRebi filtri, gasasinji kabineti)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino momsaxurebis done III IV
samedicino aveji
15 eqimis magida 1 1
15 eqimis skami 1 1
15 skami 2 2
15 gasasinji taxti 1 1
15 samedicino karada 1 1
15 instrumentebis magida 1 1
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1
08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1
02 arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi, _ mozrdilTa) 1 1
14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 1 1
14 wamzomi 1 1
13 sasterilizacio yuTi instrumentebisaTvis 1 1
samedicino instrumentebi
14 stetofonendoskopi (stetoskopi, fonendoskopi) 1 1
14 Spadeli (enis) 1 1
14 pinceti (anatomiuri) 1 1
14 makrateli (gadasaxvevi masalisaTvis) 1 1
14 makrateli, samedicino (erTi maxvili boloTi) 1 1
14 momWeri (maSa, korcangi), _ swori boloTi 1 1
08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti (mozrdilTa): filtvebis
xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi
niRabi, meqanikuri vakuumaspiratori, samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis
kompleqti
1 1
96
danarTi 4.4.3
saproceduro (saproceduro eqim-specialistis kabinetTan)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino momsaxurebis done I II
samedicino aveji
15 gasasinji taxti (da/an saproceduro magida) 1 1
15 eqimis skami (mbrunavi skami) 1 1
15 samedicino karada 1 1
15 instrumentebis magida 2 2
15 biqsis sadgami 1 1
15 Tasis sadgami 1 1
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) 1 1
08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 2 2
13 instrumentebis sasterilizacio yuTi 2 2
14 Stativi xsnarebisaTvis (moZravi, statikuri) 1 2
vakuumaspiratori (qirurgiuli) 1
samedicino instrumentebi
14 laxti (sisxldenis SesaCerebeli) 2 2
14 momWeri (saoperaco TeTreulis mikrofirfitebis kanze misamagreblad) 5 5
14 momWeri (sisxldenis SesaCereblad) 5 5
14 atravmuli nemsi 3 3
14 qirurgiuli nemsebis nakrebi 1 kompleqti
1 kompleqti
14 nemsdamWeri 3 3
14 korcangi (pirdapiri) 3 3
14 samedicino kovzebi (maxvili) 5 5
14 skalpeli (sxvadasxva zomis) 3 3
14 pinceti (anatomiuri) 5 5
14 pinceti (qirurgiuli) 5 5
14 Tvalis pinceti (anatomiuri, qirurgiuli) 2 2
08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti (mozrdilTa): filtvebis
xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi
niRabi, meqanikuri vakuumaspiratori, samedicino instrumentebi _ piris gamRebi, enis damWeri,
lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis
kompleqti
1 1
97
danarTi 4.4.4
sasterilizacio (an/da centraluri sasterilizacio,
an/da xelSekruleba sasterilizaciosTan imave misamarTze)
samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
orTqlis sterilizatori (avtoklavi: horizontaluri an/da vertikaluri) 1
mSrali sterilizatori (sasterilizacio karada) 1
danarTi 4.4.5
Sesaxvevi sufTa (Cirqovani)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino momsaxurebis done I II III IV
samedicino aveji
15 gasasinji taxti 1 1 1 1
15 eqimis skami (mbrunavi skami) 1 1 1 1
15 samedicino karada 1 1 1 1
15 instrumentebis magida 2 2 2 2
15 biqsis sadgami 1 1 1 1
15 Tasis sadgami 1 1 1 1
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) 1 1 1 1
08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 2 2 2 2
13 sasterilizacio yuTi instrumentebisaTvis 2 2 2 2
samedicino instrumentebi
14 laxti (sisxldenis SesaCereblad) 2 2 2 2
14 momWeri (operaciuli TeTreulis mikrofirfitebis kanze misamagreblad) 5 5 5 5
14 momWeri (sisxldenis SesaCereblad) 5 5 5 5
14 atravmuli nemsi 5 5 5 5
14 qirurgiuli nemsebis nakrebi 1 kom-
pleqti
1 kom-
pleqti
1 kom-
pleqti
1 kom-
pleqti
98
Sesaxvevi sufTa (Cirqovani)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino momsaxurebis done I II III IV
14 nemsdamWeri 5 5 5 5
14 korcangi (swori boloTi) 5 5 5 5
14 skalpeli (sxvadasxva zomis) 5 5 5 5
14 pinceti (anatomiuri) 5 5 5 5
14 makrateli, qirurgiuli (erTi maxvili boloTi) 5 5 5 5
14 makrateli (gadasaxvevi masalisaTvis) 5 5 5 5
14 makrateli, horizontalur sibrtyeSi moxrili boloTi (naxvevis gasaWrelad) 5 5 5 5
14 TabaSiris naxvevis gasaWreli xerxi 1 1 1 1
08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti (mozrdilTa): filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis
sasunTqi parki, sasunTqi niRabi, meqanikuri vakuumaspiratori, samedicino instrumentebi
_ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi),
laxti, an krikotomiis instrumentebis kompleqti
1 1 1 1
danarTi 4.4.6
saoperacio (winasaoperaciosTan erTad) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino momsaxurebis done III IV
saoperacio
samedicino aveji
15 samedicimo karada (medikamentebi, sainfuzio sistemebi da sxva) 1 1
17 macivari ( 0 - +4 gradusi celsiusiT) 1 1
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) 2 2
14 pacientis gadasayvani urika (savarZeli) 1 1
14 pacientis gadasayvani sakace 1 1
14 Jangbadis rezervuari (Jangbadis baloni, Jangbadis balonis gadasatani urika, reduqtori, floumetri (Jangbadis nakadis regulatori), damtenianebeli, sasunTqi niRabi (sxvadasxva zomis,
mozrdilTa /pediatriuli)
1 1
saoperacio darbazi
99
saoperacio (winasaoperaciosTan erTad) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino momsaxurebis done III IV
samedicino aveji
15 saoperacino magida (universaluri saoperacio magida, mravalfunqciuri, eleqtruli,
hidravlikuri, an/da meqanikuri, mozrdilTa)
1 1
15 eqimis skami (mbrunavi skami) 2 2
15 samedicino karada 1 1
15 qirurgiuli instrumentebis magida (stacionaruli, didi) 1 1
15 qirurgiuli instrumentebis magida _ mobiluri (moZravi) 3 3
13 biqsis sadgami (an/da, alternatiul SemTxvevaSi, biqs(eb)is karada) 2 2
14 konteineri naxmari masalis Sesagroveblad (romelmac unda uzrunvelyos hermetizacia, an/da,
alternatiul SemTxvevaSi, Tasi da Tasis sadgami)
1 1
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (stacionaruli, kedlis, an/da Weris) 2 2
08 saoperacio gamanaTebeli _ stacionaruli (gamanaTebeli, samedicino, stacionaruli, gverdiTi
ganaTebis SesaZleblobiT an/da alternatiul SemTxvevaSi mis gareSe, saoperacio velSi ganaTebam
ar unda gamoiwvios - temperaturis mateba dasaSveb zRvars zeviT)
1 1
08 saoperacio gamanaTebeli, mobiluri (gamanaTebeli, samedicino, sam-refleqtoriani, mobiluri,
avariuli kvebiT (/akumulatori), an/da, alternatiul SemTxvevaSi, avariuli kvebis gareSe)
1 1
08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1
13 sasterilizacio yuTi instrumentebisaTvis 2 2
14 samedicino instrumentebis sini (an/da Tasi) 2 2
14 Stativi xsnarebisaTvis (moZravi, statikuri) 2 2
08 eleqtroaspiratori (maRali wnevis, qirurgiuli) 1 1
08 eleqtroaspiratori (dabali wnevis, Terapiuli 1 1
08 defibrilatori (mozrdilTa, monitorirebisa da sinqronizaciis SesaZleblobiT, an/da
alternatiul SemTxvevaSi mis gareSe)
1 1
08 medikamentebis dozatori, infuzori (/infuzomati) 1 1
07 eleqtroqirurgiuli xelsawyo (eleqtrokuagulatori /eleqtrodana, eleqtrodebis
standartuli kompleqtacia)
1 1
07 samedicino instrumentebi
08 laxti (sisxldenis SesaCereblad) 2 2
08 momWeri (saoperacio TeTreulis mikrofirfitebis kanze misamagreblad) 10 10
14 momWeri (sisxldenis SesaCereblad) 10 10
14 atravmuli nemsi 5 5
14 qirurgiuli nemsebis nakrebi 1 kompleqti 1 kompleqti
100
saoperacio (winasaoperaciosTan erTad) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)
samedicino momsaxurebis done III IV
14 nemsdamWeri 5 5
14 korcangi (swori boloTi) 5 5
14 samedicino kovzebi (maxvili) 10 10
14 skalpeli (sxvadasxva zomis) 5 5
14 pinceti (anatomiuri) 10 10
14 pinceti (qirurgiuli) 10 10
14 Tvalis pinceti (anatomiuri, qirurgiuli) 2 2
14 mcire qirurgiuli instrumentebis nakrebi
(an/da alternatiul SemTxvevaSi qirurgiuli instrumentebis poliklinikuri nakrebi, maT Soris:
2 kompleqti 2 kompleqti
• dana, saoperacio 3 3
• retraqtori, erT-kbiliani 1 1
• kiureti, (kovzi) or-boloiani 1 1
• zondi 1 1
• zondi mimmarTveliT 1 1
• pinceti, Sesakeri, 13 sm 1 1
• pinceti, Sesakeri, 13 sm 1 1
• makrateli, saoperacio, swori 1 1
• makrateli, saoperacio, rkaliseburi 1 1
• pinceti, hemostazuri, ~koheris~, swori, 14.5 sm 2 2
• nemssaWeri, ~maTeusi~, 19 sm 1 1
• nemsi, sakeri 5 5
• Zafis xvia 2 2
• konteineri, sakeri nemsis 1 1
• instrumentebis sterilizebadi Casawyobi 1 1
08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti (mozrdilTa): filtvebis
xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi niRabi, meqanikuri vakuumaspiratori, samedicino instrumentebi _ piris gamRebi, enis damWeri,
lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis
kompleqti
1 1
4.5 meanoba-ginekologia
101
samedicino saqmianoba: meanoba-ginekologia, ambulatoruli momsaxureba (done I)
done tipi kadrebi
samedicino-
teqnikuri aRWurviloba
nozologiebi gamokvlevebi samedicino saqmianobis
moculoba
1 2 3 4 5 6 7
I 1. ambulato-
ria
2. ambulato-
ria dRis
staciona-
riT.
3. pirveladi
jandacvis
centri.
4. saubno
saavadmyofo
meanoba
• mean-gine-kologi
• Terepevti • bebia qali
• damxmare personali
gasaTvaliswine-
belia, rom
nebismier
SemTxvevaSi
samedicino personals unda
hqondes
saTanado
kvalifikacia da
licenzia/serti
fikati.
ginekologia • mean-ginekologi
• damxmare personali
• mean-ginekologis kabineti (ginekologiuri
saproceduro) _ danarTi 4.5.1
• sameano kabineti (gasinji,
saproceduro _
fiziologiuri)
_ danarTi 4.5.2
• sasterilizacio_ danarTi 4.5.6
damatebiT:
• stetoskopi
• mikroskopi
meanoba
Z34 0.28.0 ginekologia N76 N76.0 N76.1 N76.2 N76.3 N76.4 N77.1 Z30 N60
meanoba
• pacientis viziti eqimTan; • saSos nacxis baqterioskopia; • Saqris (glukoza) gansazRvra sisxlSi;
• sisxlis saerTo analizi;
• Sardis saerTo analizi;
• saSos sisufTavis xarixsis gansazRvra; • vasermanis reaqcia; • aiv antisxeulebis gansazRvra;
• ginekologiuri bimanualuri gasinjva;
• sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis);
• gamonadenis baqteriologiuri kvleva;
• gamonadenis baqterioskopiuri kvleva;
• PAP-smear test; • wona; • simaRle;
• arteriuli wneva;
• nayofis sicocxlis dadgena;
• nayofTa raodenoba; amnionuri siTxis moculobis
Sefaseba; nayofis winamdebareobis dadgena;
• menjis zomebis dadgena.
ginekologia: • pacientis viziti eqimTan; • saSos nacxis baqterioskopia; • Saqris (glukoza) gansazRvra sisxlSi;
• sisxlis saerTo analizi;
• Sardis saerTo analizi;
• saSos sisufTavis xarixsis gansazRvra; • vasermanis reaqcia; • aiv antisxeulebis gansazRvra;
meanoba
me-5 svetSi CamoTvlil
SemTxvevebSi:
• orsulobis dadastureba;
• gestaciuri vadis Sefaseba;
• anamnezis Sekreba; • konsultireba pacientis kvebis
TaviseburebebTan,
janmrTelobis sakiTxebTan,
dakavSirebiT da a.S.
• nayofis zrdis Sefaseba;
• riskis faqtorebis gansazRvra.
ginekologia:
me-5 svetSi
CamoTvlil SemTxvevebSi:
• janmrTelobis ZiriTad
maxasiaTebelTa
Sefaseba, kontroli,
monitoringi;
102
done tipi kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi gamokvlevebi samedicino saqmianobis
moculoba
1 2 3 4 5 6 7
• ginekologiuri bimanualuri gasinjva;
• sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis);
• gamonadenis baqteriologiuri kvleva;
• gamonadenis baqterioskopiuri kvleva;
• saSos nacxis baqteriologiuri kvleva..
• onkodaavadebaTa prevencia, adreuli
diagnostika;
• daavadebis drouli gamovlineba,
diagnostika, mkurnaloba;
profilaqtikuri
muSaoba; cxovrebis
jansaRi wesis
propaganda;
kontracepcia da reproduqciul
janmrTelobaze
zrunva;
• pacientTa fsiqosomaturi
reabilitacia.
103
4. 5 meanoba-ginekologia
samedicino saqmianoba: meanoba-ginekologia, ambulatoruli momsaxureba (done II)
done
tipi
kadrebi
aRWurviloba
nozologiebi
gamokvlevebi
samedicino
saqmianoibis
moculoba
1 2 3 4 5 6 7
II 1. raionuli
(qalaqis)
saavadmyofo.
2. saeqimo
kabineti.
meanoba
• mean-ginekologi
• Terepevti • stomatologi
• mean-ginekologis kabineti (ginekologiuri saproceduro)
_ danarTi 4.5.1
• sameano kabineti (gasasinji, saproceduro _ fiziologiuri) _ danarTi 4.5.2
• sameano kabineti (gasasinji, saproceduro _ observaciuli, potenciurad inficirebuli pacientebisa-Tvis), _ danarTi 4.5.3
• sasterilizaciodanarTi 4.5.6
damatebiT:
• eqoskopi • ekg-s aparati • stomatolo-giuri kabinetis mowyobiloba
meanoba
Z34 0.36 0.28.0 ginekologia
meanoba
• pacientis viziti eqimTan; • saSos nacxis baqterioskopia; • Saqris (glukoza) gansazRvra sisxlSi;
• sisxlis saerTo analizi;
• Sardis saerTo analizi;
• saSos sisufTavis xarixsis gansazRvra; • vasermanis reaqcia; • aiv antisxeulebis gansazRvra;
• ginekologiuri bimanualuri gasinjva;
• sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis);
• gamonadenis baqteriolo-giuri kvleva;
• gamonadenis baqterioskopiuri kvleva;
• PAP-smear test; • wona; • simaRle;
• arteriuli wneva;
• nayofis sicocxlis dadgena;
• nayofTa raodenoba; • amnionuri siTxis moculobis Sefaseba;
• nayofis winamdebareobis dadgena; • menjis zomebis dadgena; • mkerdis gasinjva; • kolposkopia;
• nayofis ultrasonografiuli an invaziuri kvleva SerCeul SemTxvevebSi.
meanoba
me-5 svetSi
CamoTvlil SemTxvevebSi: • orsulobis dadastureba;
• gestaciuri vadis Sefaseba;
• anamnezis Sekreba; • konsultireba pacientis
janmrTelobis sakiTxebTan,
kvebis
TaviseburebebTan
da sxva
sakiTxebTan
dakavSirebiT
• nayofis zrdis Sefaseba;
• riskis faqtorebis
gansazRvra.
104
done
tipi
kadrebi
aRWurviloba
nozologiebi
gamokvlevebi
samedicino
saqmianoibis
moculoba
1 2 3 4 5 6 7
ginekologia
• mean-ginekologi
• damxmare persona-li
N75 N76 N76.0 N76.1 N76.2 N76.3 N76.4 N76.5 N76.6 N77.1 N70.1 Z30 N60 D25
ginekologia:
• pacientis viziti eqimTan; • saSos nacxis baqterioskopia; • Saqris (glukoza) gansazRvra sisxlSi;
• sisxlis saerTo analizi;
• Sardis saerTo analizi;
• saSos sisufTavis xarixsis gansazRvra; • vasermanis reaqcia; • aiv antisxeulebis gansazRvra;
• ginekologiuri bimanualuri gasinjva;
• sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis);
• saSodan gamonadenis baqteriolo-giuri kvleva;
• saSodan gamonadenis baqterioskopiuri kvleva;
• saSos nacxis baqteriologi-uri kvleva.;
ginekologia:
me-5 svetSi
CamoTvlil
SemTxvevebSi:
• janmrTelo-bis
ZiriTad maxasiaTebelTa
Sefaseba,
kontroli,
monitoringi;
• onkodaavadebaTa prevencia,
adreuli diagnostika;
• daavadebis drouli
gamovlineba,
diagnostika,
mkurnaloba;
profilaqti-uri muSaoba;
cxovrebis
jansaRi wesis
propaganda;
kontracepcia da
reproduqciul janmrTelobaze
zrunva;
• pacientTa fsiqosomaturi
reabilitacia.
105
4.5 meanoba-genekologia
samedicino saqmianoba: meanoba-ginekologia, ambulatoruli momsaxureba (done III)
done tipi kadrebi samedicino-
teqnikuri
aRWurviloba
nozologiebi gamokvlevebi samedicino
saqmianoibis
moculoba
1 2 3 4 5 6 7
III 1. katastrofisa
da gadaudebeli
medicinis centri.
2. regionuli
(respublikuri)
saavadmyo-fo
3. speciali-
zebuli
saavadmyofo
4. klinikuri
saavadmyofo
5. dispanseri,
mravalprofilia
ni dispanseri
6. samSobiaro
saxli
7. dedaTa da
bavSvTa
jandacvis centri.
8. kliniko-
diagnostikuri
centri
• mean-gine-kologi
• Terepevti • stomato-logi
• perinatol-gi
• genetikosi, romelTac
gavlili aqvT
saTanado
momzadeba
da gaaCniaT
adeqvaturi kvalifi-
kacia
• mean-ginekologis kabineti (ginekologiuri saproceduro) ix. _ danarTi 4.5.1
• sameano kabineti (gasasinji, saproceduro _ fiziologiuri)
_ danarTi 4.5.2
• sameano kabineti (gasasinji, saproceduro _ observaciuli, potenciurad inficirebuli pacientebisaTvis), _ danarTi 4.5.6
• saproceduro eqim-specialistis kabinetTan ginekologiuri samanipulacio _ mcire ginekolo-giuri operacie-bisaTvis)
_ danarTi 4.5.4
meanoba Z34 0.36 0.28.0 0.10 0.11 0.12 0.12.0 0.12.1 0.12.2 0.13 0.14 0.14.0 0.15 0.15.0 0.16 0.21 0.21.0 0.21.1 0.21.2 0.23 0.23.0 0.23.1 0.23.2 0.24 0.25 0.26.0 0.26.1 0.26.2 0.26.4 0.26.5 0.26.6 0.28
meanoba
• pacientis viziti eqimTan; • saSos nacxis baqterioskopia; • Saqris (glukoza) gansazRvra sisxlSi;
• sisxlis saerTo analizi;
• Sardis saerTo analizi;
• saSos sisufTavis xarixsis gansazRvra; • vasermanis reaqcia; • aiv antisxeulebis gansazRvra;
• ginekologiuri bimanualuri gasinjva;
• sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis);
• gamonadenis baqteriolo-giuri kvleva;
• gamonadenis baqterioskopiuri kvleva;
• PAP-smear test (papanikolaus testi);
• wonis gansazRvra; • simaRlis gazomva;
• arteriuli wnevis gazomva;
• nayofis sicocxlis dadgena;
• nayofTa raodenobis gansazRvra, amnionuri siTxis moculobis Sefaseba, nayofis winamdebareobis dadgena;
• menjis zomebis dadgena; • mkerdis gasinjva; • kolposkopia;
• nayofis ultrasonografiuli an invaziuri kvleva SerCeul SemTxvevebSi;
• saSvilosnos foZis simaRlis gansazRvra maRali riskis orsulebSi;
• nayofis moZraobaTa amsaxveli diagramebi;
• nayofis sisxlis mimoqcevis doplerografi-uli kvleva;
• saSos nacxis baqteriologi-uri kvleva.
meanoba
me-5 svetSi CamoTvlili SemTxvevebisas:
• orsulobis dadastureba;
• gestaciuri vadis Sefaseba;
• anamnezis Sekreba;
• konsultireba pacientis
janmrTelobis sakiTxebTan,
kvebis
Taviseburebeb-
Tan da a.S.
dakavSirebiT;
• nayofis zrdis Sefaseba;
• riskis faqtorebis gansazRvra.
106
done tipi kadrebi samedicino-
teqnikuri nozologiebi gamokvlevebi samedicino
saqmianoibis
moculoba aRWurviloba
1 2 5 6 7 3 4
9. hospitali.
10. poliklinika
11. qalTa
konsultacia
12. speciali-zirebuli
kabineti
• mean-gine-kologi
• reproduq-tologi
• kolposko-piis kabineti
_ danarTi 4.5.5
• sasterilizacio _ danarTi 4.5.6
garda zemoaRniSnulisa damatebiT:
• kardiotoko-grafi
• nayofis garegani ekg-s aparati
• eqoskopi dopleriT
• kolposkopi
• krioqirurgiuli aparati
• ekg-s aparati • eleqtroence-falografi
• imunofermentuli analizatori
• stomatologiuri kabinetis
mowyobiloba
ginekologia N75, N76, N76.0, N76.1, N76.2, N76.3, N76.4, N76.5, N76.6, N77.0, N77.1, N90.1, B58, N70.1, N71.1, Z30, N60, N80, N80.0, N83.0, N84.1, N84.2, N85, N85.0, N85.1, N87, N87.0, N87.1, N88.0, N90.0, N90.1, N90.2, N90.4, N90.5, N90.6, D25, N94.3, N94.4, N94.5
ginekologia:
• pacientis viziti eqimTan; • saSos nacxis baqterioskopia; • Saqris (glukoza) gansazRvra sisxlSi;
• sisxlis saerTo analizi;
• Sardis saerTo analizi;
• saSos sisufTavis xarixsis gansazRvra; • vasermanis reaqcia; • aiv antisxeulebis gansazRvra;
• ginekologiuri bimanualuri gasinjva;
• sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis);
• gamonadenis baqterioskopiuri kvleva;
• saSos nacxis baqteriologiuri kvleva;
• kolposkopia;
• PAP-smear test; • kolpocitologiuri kvleva;
• dazianebuli ubnis biofsia;
• sisxlis analizi antisxeulebze;
• fluorescenciuli da polimerazuljaWvuri reaqciis kvlevis meTodebi;
• sisxlSi hormonebis gansazRvra;
• histeroskopia; • Turquli kexis rentgenografia;
• mkerdis gasinjva; • sarZeve jirkvlis ultrasonografiuli gamokvleva;
• endometriumis gamonafxeki masalis histologiuri kvleva;
• Tvalis fskeris gamokvleva; sisxlis kateqolaminebis gamokvleva;
• Tirkmelzeda jirkvlebis eqoskopia;
• lipiduri speqtri sisxlSi.
ginekologia: • janmrTelobis ZiriTad
maxasiaTebelTa Sefaseba,
kontroli,
monitoringi;
• onkodaavadebaTa prevencia,
adreuli
diagnostika;
• daavadebis drouli
gamovlineba,
diagnostika,
mkurnaloba;
profilaqti-
kuri muSaoba; cxovrebis
jansaRi wesis
propaganda;
kontracepcia
da
reproduqciul janmrTelobaze
zrunva;
• pacientTa fsiqosomaturi
reabilitacia.
107
4.5 meanoba-ginekologia
samedicino saqmianoba: meanoba-ginekologia, ambulatoruli momsaxureba (done IV)
done
tipi
kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi
gamokvlevebi
samedicino
saqmianoibis
moculoba
1 2 3 4 5 6 7
IV 1.speciali-zebuli
samecniero-
kvleviTi
instituti
2. specia-lizebuli
centri
3. sauniver-siteto
(akademiis)
klinika
• mean-ginekologi
• reproduq-tologi
• eqTani
• sanitari
• sainJinro-teqnikuri
personali
(da/an
xelSekru-
leba servisul
samsaxur-
Tan)
konsultan-
tTa paneli: (xelSekru-
lebiT)
• Terapevti • kardiolo-gi
• qirurgi (zogadi)
• angiologi
• nevropaTo-
meanoba
• Z34, • 0.36, 0.28.0,
0.10, 0.11, 0.12, 0.12.0, 0.12.1, 0.12.2, 0.13, 0.14, 0.14.0, 0.15, 0.15.0, 0.16, 0.20, 0.20.0, 0.20.8, 0.20.9, 0.21, 0.21.0, 0.21.1, 0.21.2,0.23, 0.23.0, 0.23.1, 0.23.2, 0.24, 0.25, 0.26.0, 0.26.1, 0.26.2, 0.26.4, 0.26.5, 0.26.6, 0.28
meanoba
• pacientis viziti eqimTan; • Saqris gansazRvra sisxlSi;
• sisxlis saerTo analizi;
• Sardis saerTo analizi Sardis analizi (asimptomuri baqteriuria); • vasermanis reaqcia; • aiv antisxeulebis gansazRvra sisxlis SratSi imunofermetuli meTodiT;
• konsultacia _ stacionaruli; • sisxlis jgufis da rezusis gansazRvra; • saSos arasimsivnuri warmonaqmnis paTomorfologia; • sisxlis analizi narCen azotze da Saqarze; • sisxlSi citomegalovirusis antigenis gansazRvra imunofermentuli analizis meTodiT;
• saSos nacxis baqterioskopia; • hematokritis da cirkulaciaSi myofi sisxlis raodenobis gansazRvra;
• koagulograma; • antirezus antisxeulebis gansazRvra;
• wonis gansazRvra; • simaRlis gazomva;
• arteriuli wnevis gazomva;
• nayofis sicocxlis dadgena;
• nayofTa raodenobis gansazRvra; • amnionuri siTxis moculobis Sefaseba;
• nayofis winamdebareobis dadgena; • menjis zomebis dadgena; • mkerdis gasinjva; • kolposkopia;
• nayofis ultrasonografiuli an invaziuri kvleva SerCeul SemTxvevebSi;
meanoba
me-5 svetSi CamoTvlili SemTxvevebisas:
• orsulobis dadastureba;
• gestaciuri vadis Sefaseba;
• anamnezis Sekreba; • konsultireba pacientis
janmrTelobis
sakiTxebTan,
kvebis TaviseburebebTan
da a.S.
• nayofis zrdis Sefaseba;
• riskis faqtorebis
gansazRvra.
108
done
tipi
samedicino-
teqnikuri
aRWurviloba
nozologiebi
samedicino
saqmianoibis
moculoba
kadrebi gamokvlevebi
1 2 4 5 7 3 6
logi
• fsiqologi
• nefrologi an urologi
ginekologia N75, N76,
• saSvilosnos fuZis simaRlis gansazRvra maRali riskis orsulebSi;
• nayofis moZraobaTa amsaxveli diagramebi;
• nayofis sisxlis mimoqcevis doplerografiuli kvleva;
• saSos nacxis baqteriologiuri kvleva.
RH uaryofiTian qalebSi
• meddis viziti pacientTan; • hemoglobinisa da hemotokritis gansazRvra;
• pap-nacxi displaziis SemTxvevaSi kolboskopia;
• nayofis ultrasonografiuli an invaziuri kvleva SerCeul SemTxvevbSi;
• alfafetoprioteinis gansazRvra dedis sisxlis SratSi;
• saSvilosnos fuZis simaRlis gansazRvra maRali riskis orsulebSi;
• nayofis moZraobaTa amsaxveli diagramebi;
• biofizikuri testireba; • nayofis sisxlis mimoqcevis doplerografiuli kvleva;
• rezus antisxeulebis skriningi;
• baqteriuriis skriningi; • sifilisis skriningi;
• gonoriis skriningi; • toqsoplazmozis, citomegaloirusis, qlamidiozisa da aiv infeqciis rutinuli skriningi;
• herpesze nacxebis regularuli aReba anamzezSi herpesis mqoneqalebSi;
• saSvilosnis kumSviTi aqtivobis monitoringi;
• saSos siusufTvis xarisxis skriningi; • saSvilosnos yelis kvleva;
• saSos nacxis baqteriologiuri kvleva (mgrZnobelobaze);
• eleqtrokardiografia;
• SardSi formiani; • elementebis gansazRvra (adiskakovskis wesiT);
• zimnickis cda; • Rh antisxeulebis gansazRvra kardiolipinis mimarT;
• PAP-smear testi (papanikolaus testi).
109
done
tipi
kadrebi
samedicino-
teqnikuri
aRWurviloba
nozologiebi
gamokvlevebi
samedicino
saqmianoibis
moculoba
1 2 3 4 5 6 7
ginekologia:
• mean-gineko-logi
• reproduq-tologi
• Terepevti • stomato- logi
N76.0, N76.1, N76.2, N76.3, N76.4, N76.5, N76.6, N77.0, N77.1, N90.1, B58, N70.1, N71.1 Z30, E22.1, N60, N60.0, N60.1, N60.2, N62, N63, N80, N80.0, N80.1, N80.2, N80.3, N83, N83.0, N83.1, N83.2, N84, N84.0, N84.1, N84.2, N85,N85.0, N85.1, N85.2, N85.3, N87, N87.0, N87.1, N88.0, N90.0, N90.1, N90.2, N90.4, N90.5, N90.6, D25, N94.3, N94.4, N94.5, N95, N95.0, N95.2
ginekologia:
• pacientis viziti eqimTan; • saSos nacxis baqterioskopia; • Saqris (glukoza) gansazRvra sisxlSi;
• sisxlis saerTo analizi;
• Sardis saerTo analizi;
• saSos sisufTavis xarixsis gansazRvra; • vasermanis reaqcia; • aiv antisxeulebis gansazRvra;
• ginekologiuri bimanualuri gasinjva;
• sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis);
• gamonadenis baqteriologiuri kvleva;
• gamonadenis baqterioskopiuri kvleva;
• saSos nacxis baqteriologiuri kvleva;
• kolposkopia; • PAP-smear test; • kolpocitologiuri kvleva;
• dazianebuli ubnis biofsia;
• sisxlis analizi antisxeulebze;
• fluorescenciuli da polimerazul-jaWvuri reaqciis kvlevis meTodebi;
• sisxlSi hormonebis gansazRvra;
• histeroskopia; • Turquli kexis rentgenografia;
• mkerdis gasinjva; • sarZeve jirkv-lis ultrasonografiuli gamokvleva;
• andometriumis gamonafxeki masalis histologiuri kvleva;
• Tvalis fskeris gamokvleva; sisxlis katexolaminebis gamokvleva;
• Tirkmelzeda jirkvlebis eqoskopia;
• lipiduri speqtri sisxlSi.
ginekologia: me-5 svetSi CamoTvlili SemTxvevebisas:
• janmrTelobis ZiriTad
maxasiaTebelTa
Sefaseba,
kontroli, monitoringi;
• onkodaavadebaTa prevencia,
adreuli
diagnostika;
daavadebis
drouli gamovlineba,
diagnostika,
mkurnaloba;
profilaqtikuri
muSaoba;
• cxovrebis jansaRi wesis propaganda;
kontracepcia da
reproduqciul
janmrTelobaze
zrunva;
• pacientTa fsiqosomaturi reabilitacia.
110
meanoba-ginekologia, samedicino-teqnikuri aRWurviloba
danarTi 4.5.1
mean-ginekologis kabineti (ginekologiuri saproceduro)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino momsaxurebis done I II III IV
samdicino aveji
15 eqimis magida 1 1 1 1
15 eqimis skami (mbrunavi) 1 1 1 1
15 skami 2 2 2 2
15 samedicino karada 1 1 1 1
15 instrumentebis magida 1 1 1 1
06 ginekologiuri savarZeli 1 1 1 1
15 Tejiri (mravalseqciuri) 1 1 1 1
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 1 1
08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1 1 1
02 arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri,
fonendoskopi)
1 1 1 1
02 stetofonendoskopi 1 1 1 1
14 Termometri (samedicino, eleqtruli an/da vercxliswylis) 1 1 1 1
13 instrumentebis sasterilizacio yuTi 1 1 1 1
13 biqsi 1 1 1 1
15 biqsis sadgami 1 1 1 1
14 Tirkmliseburi jami 2 2 2 2
samedicino instrumentebi
14 saSos sarkeebis kompleqti (kuskos, an simsas mixedviT #2,4,6,8) 3 kompleqti 3 kompleqti 3 kompleqti 3 kompleqti
14 saSos sarkeebis kompleqti (mosaxsneli gamanaTebliT #2,4,6) 3 kompleqti 3 kompleqti 3 kompleqti 3 kompleqti
14 sarke_amwevi 10 10 10 10
14 momWeri (satyvie maSa (yelis damWeri), korcangi) _ swori boloTi 2 2 2 2
14 momWeri (maSa, korcangi), moxrili boloTi 2 2 2 2
14 pinceti (anatomiuri) 3 3 3 3
14 zondi (kuWis) 5 5 5 5
14 zondi (sigrZis sazomi, mravaljeradi gamoyenebis) 5 5 5 5
14 sakeravi nems(eb)i (nakrebi) 1 1 1 1
14 nemsis damWeri 5 5 5 5
14 ureTris kaTeteri (# 14, 15, 16, 17, 18) 20 20 20 20
111
mean-ginekologis kabineti (ginekologiuri saproceduro)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino momsaxurebis done I II III IV
14 vaginoskopi (gamanaTebliT, mowyobilobiT ucxo sxeulis
mosacileblad)
- - 1 1
14 intraskopi (ultrabgeriTi _ mobiluri, vaginaluri da reqtaluri
zondebiT)
- - 1 1
08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti
mozrdilTaTvis: filtvebis xelovnuri ventilaciis meqanikuri
(xelis) mowyobiloba (ambus tipis sasunTqi parki, sxvadasxva zomis
sasunTqi niRbebi, vakuumaspiratori (meqanikuri), samedicino
instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili (pediatriuli), momWeri (maSa, korcangi), laxti;
an krikotomiis instrumentebis kompleqti
1 1 1 1
danarTi 4.5.2
sameano kabineti (gasasinji, saproceduro _ fiziologiurad mSobiare pacientebisaTvis)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino momsaxurebis done I II III IV
samdicino aveji
15 samedicino karada 1 1 1 1
15 instrumentebis magida 1 1 1 1
15 gasasinji taxti 1 1 1 1
15 Tejiri (mravalseqciuri) 1 1 1 1
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 1 1
06 saswori (samedicino) 1 1 1 1
06 anTropometri (simaRlis sazomi) 1 1 1 1
08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1 1 1
02 stetoskopi (sameano) 2 2 2 2
02 kardiotokografi - - - 1
02 fetaluri monitori - - - 1
14 Termometri (samedicino eleqtruli an/da vercxliswylis) 1 1 1 1
13 sasterilizacio yuTi instrumentebisaTvis 1 1 1 1
13 biqsi 1 1 1 1
112
sameano kabineti (gasasinji, saproceduro _ fiziologiurad mSobiare pacientebisaTvis) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino momsaxurebis done I II III IV
15 biqsis sadgami 1 1 1 1
14 Tirkmliseburi jami 1 1 1 1
samedicino instrumentebi
14 menjis sazomi fargali (sameano) 1 1 1 1
14 sazomi lenti 2 2 2 2
14 momWeri (satyvie maSa _ yelis damWeri, korcangi), swori boloTi 2 2 2 2
14 momWeri (maSa, korcangi), moxrili boloTi 2 2 2 2
14 pinceti (anatomiuri) 3 3 3 3
14 zondi (kuWis) 5 5 5 5
14 zondi (sigrZis sazomi, mravaljeradi gamoyenebis) 5 5 5 5
danarTi 4.5.3
sameano kabineti (gasasinji, saproceduro _ observaciuli, potenciurad inficirebuli pacientebisaTvis)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino momsaxurebis done I II III IV
samdicino aveji
15 samedicino karada - 1 1 1
15 instrumentebis magida - 1 1 1
15 gasasinji taxti - 1 1 1
15 Tejiri (mravalseqciuri) - 1 1 1
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) - 1 1 1
06 saswori (samedicino) - 1 1 1
06 anTropometri (simaRlis sazomi) - 1 1 1
08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) - 1 1 1
14 stetoskopi (sameano) - 2 2 2
02 kardiotokografi - - - 1
02 fetaluri monitori - - - 1
14 Termometri (samedicino, eleqtruli an/da vercxliswylis) - 1 1 1
13 sasterilizacio instrumentebis yuTi - 1 1 1
13 biqsi - 1 1 1
15 biqsis sadgami - 1 1 1
14 Tirkmliseburi jami - 1 1 1
113
sameano kabineti (gasasinji, saproceduro _ observaciuli, potenciurad inficirebuli pacientebisaTvis) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino momsaxurebis done I II III IV
samedicino instrumentebi
14 menjis sazomi fargali (sameano) - 1 1 1
14 sazomi lenti - 2 2 2
14 momWeri (satyvie maSa (yelis damWeri), korcangi) _ swori boloTi - 2 2 2
14 momWeri (maSa, korcangi), moxrili boloTi - 2 2 2
14 pinceti (anatomiuri) - 3 3 3
14 zondi (kuWis) - 5 5 5
14 zondi (sigrZis sazomi, mravaljeradi gamoyenebis) - 5 5 5
danarTi 4.5.4
saproceduro eqim-specialistis kabinetTan
(ginekologiuri samanipulacio _ mcire ginekologiuri operaciebisaTvis) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino momsaxurebis done I II III IV
samdicino aveji
15 eqimis skami (mbrunavi) - - 1 1
15 samedicino karada - - 1 1
15 instrumentebis magida - - 3 3
15 biqsis sadgami - - 2 2
15 Tasis sadgami - - 2 2
14 Stativi xsnarebisaTvis (moZravi, statikuri) - - 2 2
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) - - 2 2
08 gamanaTebeli (samdicino, erTrefleqtoriani, mobiluri) - - 1 1
13 sasterilizacio yuTi instrumentebisaTvis - - 1 1
06 ginekologiuri savarZeli - - 1 1
08 krioqirurgiuli ginekologiuri aparati - - 1 1
08 eleqtroaspiratori (qirurgiuli, an vakuum-eqskoxliatori) - - 1 1
samedicino instrumentebi
14 saSos sarkeebi (kuskos sarke, an simsas sarke # 2,4,6) - - 2
kompleqti
2
kompleqti
14 saSos sarkeebi (mosaxsneli gamanaTebliT # 2,4,6) - - 2
kompleqti
2
kompleqti
114
saproceduro eqim-specialistis kabinetTan (ginekologiuri samanipulacio _ mcire ginekologiuri operaciebisaTvis)
kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino momsaxurebis done I II III IV
14 sarke_amwevi - - 5 5
14 momWeri (maSa, korcangi) _ swori boloTi - - 3 3
14 momWeri (maSa, korcangi) _ moxrili boloTi - - 3 3
14 ginekologiuri kovzi - - 10 10
14 pinceti (anatomiuri) - - 3 3
14 pinceti (qirurgiuli) - - 3 3
14 makrateli (qirurgiuli, swori boloTi) - - 3 3
14 makrateli (qirurgiuli, moxrili boloTi) - - 3 3
14 sakeravi nems(eb)i (nakrebi) - - 2 2
14 nemsis damWeri - - 4 4
14 biqsi - - 2 2
14 Tasi - - 2 2
14 Tirkmliseburi jami - - 2 2
08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti
mozrdilTaTvis: filtvebis xelovnuri ventilaciis meqanikuri (xelis)
mowyobiloba (ambus tipis sasunTqi parki, sxvadasxva zomis sasunTqi niRbebi,
vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis
damWeri, lanceti, traqeostomis mili (pediatriuli), momWeri (maSa, korcangi),
laxti; an krikotomiis instrumentebis kompleqti
- - 1 1
danarTi 4.5.5
kolposkopiis kabineti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino momsaxurebis done I II III IV
samedicino aveji
15 eqimis skami (mbrunavi skami) - - 1 1
15 skami - - 2 2
15 samedicino karada - - 1 1
15 instrumentebis magida - - 2 2
15 gasasinji taxti - - 1 1
15 biqsis sadgami - - 1 1
15 Tasis sadgami - - 1 1
115
kolposkopiis kabineti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba
samedicino momsaxurebis done I II III IV
14 Stativi xsnarebisaTvis (moZravi, statikuri) - - 1 1
samedicino aparatura da xelsawyoebi
08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) - - 2 2
08 gamanaTebeli (samdicino, erTrefleqtoriani, mobiluri) - - 1 1
13 eleqtromaduRara (sadizenfeqcio maduRara, eleqtruli) - - 1 1
13 instrumentebis sasterilizacio yuTi - - 1 1
samedicino instrumentebi
08 kolposkopi - - 1 1
08 histeroskopi - - - 1
98 maRali sixSiris eleqtroqirurgiuli aparati (instrumentebis kompleqti koagulaciisaTvis _ mono da
bipolaruli)
- - 1 1
13 biqsi - - 1 1
13 Tasi - - 1 1
08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti mozrdilTaTvis: filtvebis xelovnuri
ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sxvadasxva zomis sasunTqi
niRbebi, vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti,
traqeostomis mili (pediatriuli), momWeri (maSa, korcangi), laxti; an krikotomiis instrumentebis
kompleqti
- - 1 1
danarTi 4.5.6
sasterilizacio (an/da centraluri sasterilizacio, an/da xelSekruleba sasterilizaciosTan imave misamarTze) kodi aRWurvilobis dasaxeleba raodenoba
13 orTqlis sterilizatori (avtoklavi, horizontaluri an/da vertikaluri) 1
13 mSrali sterilizatori (sasterilizacio karada) 1
116
4.6 laboratoriuli diagnostika
kliniko-laboratoriuli diagnostika (done I)
klinikuri laboratoria
done tipi kadrebi samedicino-teqnikuri aRWurviloba
nozologia
gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
I
• ambulatoria
• ambulatoria
dRis
stacionariT
• pirveladi jandacvis
centri
• saubno saavadmyofo
• eqimi laboranti
(umaRlesi
samedicino
ganaTleba,
serTifikati
laboratoriul
medicinaSi).
• laborato-
riuli
medicinis
• specialisti
(umaRlesi
arasamedici-
no ganTleba – biologi
an
analizuri
qimiis
specialisti,
serTifikati laborato-
riul
medicinaSi).
• saSualo
(teqnikuri) laboranti
(saSualo
samedicino dawesebulebis teqnikuri infrastruqtura (alterntiuli kvebis wyaro, gaTboba kondicirebisa da
ventilaciis sistema, wyal – sakanalizacio sistema).
sruli aRWurviloba, saTanado donis samedicino dawesebulebis
(laboratoriuli saqmianoba, samedicino saqmianobis I, II done),
teqnikuri infrastruqturis (centraluri an avtonomiuri) samsaxuris uzrunvelsayofad.
alternatiul SemTxvevaSi _ xelSekruleba saTanado teqnikuri
infrastruqturis mqone sabazo dawesebulebasTan.
• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzom-makalibrebeli aparaturis stabiluri kvebis
uzrunvelsayofad;
• gaTboba_kondicirebisa da ventilaciis sistema (centraluri
an avtonomiuri);
• sakanalizacio sistema (centraluri an avtonomiuri) • wyalmomaragebis sistema (civi wyali, cxeli wyali-
centraluri an avtonomiuri);
• xelsabani (qirurgis niJara);
• karada sadezinfeqcio xsnarebisaTvis;
• konteineri (Tasi an abazana) laboratoriuli WurWelis,
instrumentebis sadezinfeqciod - 2c.
saproceduro sisxlisa da sekreciis masalis misaRebad
(kapilaruli, venuri sisxlis aReba _
Sardi, naxveli da sxva masalis aReba)
• eqimis magida;
• skami; • samedicino karada;
• arteriuli, arainvaziuri wnevi gsazomi aparati
yvela nozologiis
hematolo-
giuri da
zogad-
klinikuri
laborato-riuli
diagnostika.
• sisxlis saerTo analizi
• hemoglobinis
gansazRvra sisxlSi
• eriTrocitebis raodenobis
gansazRvra sixlSi • leikocitebis
raodenobis
gansazRvra sixlSi
• Trombocitebis raodenobis
gansazRvra sisxlSi • eriTrocitebis daleqvis siCqare
• sisxlis Sededebis
da sisxldenis dro
• malariis plazmodiumebze
sisxlis sqeli
wveTisa da nacxis
mikroskopia
• Sardis saerTo analizi
• SardSi cilis
raodenobis
gansazRvra
• SardSi glukozis
raodenobis
gansazRvra • SardSi naRvlis
pigmentebis
sisxlis aReba
TiTidan,
sisxlis
damuSaveba da
mikroskopia
Txier mdgomareoba-
Si;
sisxlis
nacxis
fiqsacia da SeRebva,
SeRebili
nacxis
hematologiu
ri da citologi-
uri
diagnostika;
Sardis
damuSaveba da mikroskopia;
ganavlis
damuSaveba da
mikroskopia;
naxvelis
nacxebis
117
klinikuri laboratoria
done tipi samedicino-teqnikuri aRWurviloba
nozologia
samedicino
saqmianobis
moculoba
kadrebi
gamokvlevebi
1 2 5 7 3 4 6
teqnikuri
ganaTleba)
• preparatori (sanitari)
(mag.:sfigmomanometri, fonendoskopi mozrdilTa da
pediatriuli);
• smedicino taxti;
• samedicino personalis individualuri dacvis saSualebebi:
samedicino xalaTi, niRabi / dolbandi, saTvale, xelTaTmani
– erTjeradi an damzadebuli masalisagan, romelic sterildeba sveli an mSrali wesiT - 2-2c.;
• invaziuri Carevis saSualebebi: nemsi, Sprici, skarifikatori,
vakutaineri da sxva - aucileblad erTjeradi.
laboratoria • samedicino personalis individualuri dacvis saSualebebi:
samedicino xalaTi, niRabi / dolbandi, saTvale, xelTaTmanebi
da sxva, _ erTjeradi an damzadebuli masalisagan, romelic
sterildeba sveli an mSrali wesiT _ 2-2 cali.;
• laboratoriuli magida _ 2 cali.;
• fotoeleqtrokolorimetri an speqtrofotometri (hemoglobinis gansazRvrisaTvis cianmethemoglobinis
meTodiT) an/da hemoglobinometri;
• areometri;
• sisxlis ujredebis saTvleli (meqanikuri) - 2c.;
• biologiuri mikroskopi (binikularuli / monokularuli,
sinaTlis wyaro) - 2c.; • goriaevis kamera - 2c..;
• panCenkovis aparati (10 kapilariT) - 2c.;
• torsiuli laboratoriuli saswori;
• laboratoriuli centrifuga;
• laboratoriuli Termometri;
• laboratoriuli saaTi; • pipeti variabeluri moculobiT (200-1000 mkl.) erTarxiani;
• pipeti variabeluri moculobiT (50-200 mkl.) erTarxiani;
• pipeti variabeluri moculobiT (5-50 mkl.) erTarxiani;
• erTjeradi masalis bunikebi (200 mkl., 1000 mkl.),
variabeluri moculobis pipetisaTvis;
gansazRvra
• ganavlis saerTo
analizi
• ganavlis gamokvleva
farul sisxldenaze
• naxvelis saerTo laboratoriuli
gamokvleva
damzadeba
SeRebva da
gamokvleva.
118
klinikuri laboratoria
done tipi kadrebi samedicino-teqnikuri aRWurviloba
nozologia
gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
alternatiul SemTxvevaSi mravaljeradi gamoyenebis
pipetebi (0.02, 1, 2, 5, 10 ml. moculobis minis an
masalis, romelic sterildeba sveli an mSrali wesiT).
3 - 3 cali.
• Stativebi sinjarebisaTvis;
• laboratoriuli amwovi karada; • wylis gamosaxdeli laboratoriuli aparati
(distilatori).
alternatiul SemTxvevaSi xelSekruleba afTiaqTan;
• Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • biqsi - 2 cali;
• karada an sadgami biqsisaTvis;
• samedicino karada - 2 cali.;
• mowyobiloba mSrali sterilizaciisaTvis an orTqlis
sterilizatori _portatiuli.
alternatiul SemTxvevaSi dawesebulebas unda gaaCndes centraluri sasterilizacio
igive misamarTze an xelSekruleba centralur
sasterilizaciosTan.;
• konteineri naxmari masalis sadezinfeqciod, TeTreulis da
a.S. - 2 cali.
laboratoriuli WurWeli
• sinjarebi;
• centrifugis sinjarebi (danayofebiani an mis gareSe);
• qimiuri sinjarebi;
• danayofebiani qimiuri Wiqebi (100 ml.);
• sazomi kolbebi (50, 100, 500, 1000 ml); • danayofebiani cilindrebi (100, 200, 500 ml.);
• sasagne minebi.
SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi an
masalis, romelic sterildeba sveli an mSrali wesiT.
119
klinikuri laboratoria
done tipi kadrebi samedicino-teqnikuri aRWurviloba
nozologia
gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an
centraluri sasterilizacio)
• sruli aRWurviloba, saTanado donis samedicino
dawesebulebis (I an II donis sasterilizacio, sadezinfeqcio
an centraluri sasterilizacio) samsaxuris
uzrunvelsayofad. alternatiul SemTxvevaSi xelSekruleba saTanado
teqnikuri infrastuqturis sabazo dawesebulebasTan.
120
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia
gamokvlevebi
samedicino saqmianobis
moculoba
1 2 3 4 5 6 7
I • ambulato-
ria
• ambulato-
ria dRis
staciona-
riT
• pirveladi jandacvis
centri
• saubno saavadmyofo
• eqimi laboranti
(umaRlesi
samedicino ganaTleba,
serTifikati
laboratoriul
medicinaSi).
• laboratoriuli medicinis
specialisti
(umaRlesi
arasamedicino
ganaTleba –
biologi an analitikuri
qimiis
specialisti -
serTifikati
laboratoriul
medicinaSi).
• saSualo
(teqnikuri)
laboranti
(saSualo
teqnikuri ganaTleba)
• preparatori (sanitari)
samedicino dawesebulebis teqnikuri infrastruqtura
(alterntiuli kvebis wyaro, gaTboba kondicirebisa da
ventilaciis sistema, wyal – sakanalizacio sistema).
sruli aRWurviloba, saTanado donis samedicino dawesebulebis
(laboratoriuli saqmianoba, samedicino saqmianobis I, II done),
teqnikuri infrastruqturis (centraluri an avtonomiuri)
samsaxuris uzrunvelsayofad.
alternatiul SemTxvevaSi, _ xelSekruleba saTanado teqnikuri
infrastruqturis mqone sabazo dawesebulebasTan.
• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzom-makalibrebeli aparaturis stabiluri kvebis
uzrunvelsayofad; • gaTboba_kondicirebisa da ventilaciis sistema (centraluri
an avtonomiuri);
• sakanalizacio sistema (centraluri an avtonomiuri)
• wyalmomaragebis sistema (civi da cxeli wyali, _
centraluri an avtonomiuri);
• xelsabani (qirurgis niJara); • karada sadezinfeqcio xsnarebisaTvis;
• konteineri (Tasi an abazana) laboratoriuli WurWlis,
instrumentebis dezinficirebisaTvis - 2c.
saproceduro (masalis aReba)
• eqimis magida; • skami;
• samedicino karada;
• arteriuli, arainvaziuri wnevis gasazomi aparati (mag.:
sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli);
• samedicino taxti;
• samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale,
yvela
nozologiis
bioqimiuri diagnostika.
• glukozis
gansazRvra
sisxlSi
• proTrombinis indeqsis
gansazRvra
• sisxlis
aReba -
kapilaruli, venuri;
• Sratis gamoyofa,
plazmis
miReba;
• bioqimiuri gamokvle-
vebis
Catareba.
121
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi nozologia
gamokvlevebi
samedicino
saqmianobis
moculoba
samedicino-teqnikuri aRWurviloba
1 2 3 5 6 7 4
_ erTjeradi an damzadebuli masalisagan romelic
sterildeba sveli an mSrali sterilizaciiT _ 2-2c.;
• invaziuri Carevis saSualebebi nemsi, Sprici, skarifikatori,
vakutaineri da sxva _ aucileblad erTjeradi;
laboratoria • samedicino personalis individualuri dacvis saSualebebi:
samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale,
_ erTjeradi an damzadebuli masalisagan romelic
sterildeba sveli an mSrali sterilizaciiT _ 2-2c.;
• laboratoriuli magida - 2c.;
• fotoeleqtrokolorimetri an speqtrofotometri. alternatiul SemTxvevaSi glukometri;
• wylis Termostati;
• sanjRrevela (e.w. Seikeri meqanikuri an eleqtruli) -
sasurvelia;
• torziuli laboratoriuli saswori;
• laboratoriuli centrifuga; • laboratoriuli Termometri;
• laboratoriuli saaTi;
• wamzomi;
• pipeti variabeluri moculobebiT (200-1000 mkl.),
erTarxiani;
• pipeti variabeluri moculobebiT (50-200 mkl.), erTarxiani; • pipeti variabeluri moculobebiT (5-50 mkl.), erTarxiani;
• erTjeradi masalis bunikebi (200 mkl., 1000 mkl.),
variabeluri moculobis pipetisaTvis;
alternatiul SemTxvevaSi mravaljeradi gamoyenebis
pipetebi (0.02, 1, 2, 5, 10 ml. moculobis, minis an
masalis, romelic sterildeba sveli an mSrali sterilizaciiT). 3 - 3c.
• Stativebi sinjarebisaTvis;
• laboratoriuli amwovi karada;
• wylis gamosaxdeli laboratoriuli aparati (distilatori).
alternatiul SemTxvevaSi xelSekruleba afTiaqTan;
122
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi ikuri aRWurviloba nozologia
gamokvlevebi
samedicino
saqmianobis
moculoba
samedicino-teqn
1 2 3 4 5 6 7
• Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • biqsi - 2c.;
• karada an sadgami biqsisaTvis;
• samedicino karada - 2c.; • mowyobiloba mSrali sterilizaciisaTvis an orTqlis
sterilizatori _ portatiuli.
alternatiul SemTxvevaSi dawesebulebas unda gaaCndes
centraluri sasterilizacio igive misamarTze an
xelSekruleba centralur sasterilizaciosTan;
• konteineri naxmari masalis dezinficirebisaTvis, TeTreulis, da a.S. _ 2c.
laboratoriuli WurWeli
• sinjarebi;
• centrifugis sinjarebi (danayofebiani an mis gareSe);
• qimiuri sinjarebi; • danayofebiani qimiuri Wiqebi (100 ml.-iani);
• sazomi kolbebi (50, 100, 500, 1000 ml.-iani);
• danayofebiani cilindrebi (100, 200, 500 ml.-iani);
SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi an
masalis, romelic sterildeba sveli an mSrali sterilizaciiT.
sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an
centraluri sasterilizacio)
• sruli aRWurviloba, saTanado donis samedicino
dawesebulebis (I, an II donis sasterilizacio, sadezinfeqcio
an centraluri sasterilizacio) samsaxuris
uzrunvelyofisaTvis. alternatiul SeTxvevaSi xelSekruleba saTanado
teqnikuri infrastuqturis sabazo dawesebulebasTan.
123
4.6 laboratoriuli diagnostika
kliniko-laboratoriuli diagnostika (done II)
klinikuri laboratoria
done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia
gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
II
• raionuli
(qalaqis)
saavadmyofo
• sazogado-ebrivi
dacvis
centri
• samedici-no_socia-
luri
saavadmyofo
• eqimi laboranti
(umaRlesi
samedicino
ganaTleba – serTifikati
laboratoriul
medicinaSi).
• laboratori-
uli medicinis
• specialisti
(umaRlesi
arasamedicino
ganTleba –
biologi an analizuri
qimiis
specialisti
_sertifikati
laboratoriul
medicinaSi).
• saSualo
(teqnikuri)
laboranti
(saSualo teqnikuri
ganaTleba)
samedicino dawesebulebis teqnikuri infrastruqtura
(alterntiuli kvebis wyaro, gaTboba kondicirebisa da
ventilaciis sistema, wyal – sakanalizacio sistema).
sruli aRWurviloba, saTanado donis samedicino dawesebulebis (laboratoriuli saqmianoba, samedicino
saqmianobis II, III, I done), teqnikuri infrastruqturis
(centraluri an avtonomiuri) samsaxuris
uzrunvelyofisaTvis.
alternatiul SemTxvevaSi _ xelSekruleba saTanado teqnikuri infrastruqturis mqone sabazo dawesebulebasTan.
• avariuli kvebis wyaro (avtonomiuri kvebis wyaro, calke
damatebiTi xazi) an generatori simZlavriT aranakleb
2,5 kvt-isa;
• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS) _ gamzom-makalibrebeli aparaturis stabiluri kvebis
uzrunvelyofisaTvis;
• gaTboba_kondicirebisa da ventilaciis sistema
(centraluri an avtonomiuri);
• sakanalizacio sistema (centraluri an avtonomiuri)
• wyalmomaragebis sistema (civi da cxeli wyali, _ centraluri an avtonomiuri);
• xelsabani (qirurgis niJara);
• karada sadezinfeqcio xsnarebisaTvis;
• konteineri (Tasi an abazana) laboratoriuli WurWlis,
instrumentebis dezinfeqciisaTvis - 2cali
samedicino informaciuli samsaxuri (teqnologiebi,
samedicino statistika, monacemTa baza, sakomunikacio
saSualebebi, magaliTad interneti, faqsi da a.S.).
yvela
nozologiis
hematologi-
uri da
zogad-klinikuri
laborato-
riuli
diagnostika.
• sisxlis saerTo
analizi
• hemoglobinis
gansazRvra
sisxlSi • eriTrocitebis raodenobis
gansazRvra sixlSi
• leikocitebis
raodenobis
gansazRvra sixlSi • Trombocitebis raodenobis
gansazRvra
sisxlSi
• retikulocitebis
raodenobis gansazRvra
sisxlSi
• eriTrocitebis daleqvis siCqare
• sisxlis Sededebis
da sisxldenis dro
• fetaluri
hemoglobinis
citologiuri
gansazRvra • malariis
plazmodiumebze
sisxlis sqeli
wveTisa da nacxis
• sisxlis aReba
TiTidan,
sisxlis
damuSaveba da
mikroskopia Txier
mdgomareobaSi;
• sisxlis
nacxis
fiqsacia da SeRebva,
SeRebili
nacxis
hematologi-
uri da
citologiuri diagnostika;
• Sardis damuSaveba da
mikroskopia;
• ganavlis
damuSaveba da
mikroskopia;
• kuWis wvenis aReba da
gamokvleva;
• duodenaluri
124
klinikuri laboratoria
done tipi nozologia
samedicino
kadrebi samedicino-teqnikuri aRWurviloba gamokvlevebi
saqmianobis
moculoba
1 2 5 3 4 6 7
• preparatori (sanitari)
• klinikuri
inJineri
(samedicino aparaturis
inJineri an
samedicino
bioteqnikuri
sistemebis
specialisti an/da
xelSekruleba
samedicino
aparaturis
servisul
samsaxurTan, aRniSnuli unda
iTvaliswineb-
des agreTve
metrologiur
momsaxureo-bas).
• personaluri kompiuteri (standartuli kompleqtacia:
monitori, procesori, printeri Zabvis stabilizatori an
mudmivi kvebis wyaro (UPS), internetis modemi, programuli uzrunvelyofa mag. monacemTa baza,
buRalteria da a.S.) _ (sasurvelia);
• telefonis xazi, faqsis aparati (sasurvelia); • eqimis magida;
• skami;
• karada.
saproceduro gamosakvlevi masalis misaRebad (Sardi,
naxveli, duodenaluri, gastraluri da sxva masalis aReba) • eqimis magida;
• skami;
• mbrunavi skami (sasurvelia);
• karada (samedicino);
• arteriuli wnevis gasazomi arainvaziuri aparati (mag:
sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli;
• samedicino taxti;
• samedicino personalis individualuri dacvis
saSualebebi: samedicino xalaTi, niRabi / dolbandi,
xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli
masalisagan romelic sterildeba sveli an mSrali wesiT _ 2-2c.;
• invaziuri Carevis saSualebebi: nemsi, Sprici,
skarifikatori, vakutaineri da sxva _ aucileblad
erTjeradi;
• xelSekruleba endoskopiur kabinetTan (standartuli
aRWurviloba endoskopiisaTvis mag.: gastroskopi, bronqoskopi da sxva. biologiuri masalis: duodenaluri,
gastraluri da sxva, _ aReba).
alternatiul SemTxvevaSi, duodenaluri, gastraluri
da sxva masalis miRebis saSualebebi (mag.:
duodenaluri zondi, Janes Sprici _ erTjeradi an
mikroskopia
• sisxlis jgufisa
da rezusis
gansazRvra
• Sardis saerTo analizi
• SardSi cilis
raodenobis
gansazRvra
• SardSi glukozis
raodenobis
gansazRvra • SardSi ketonuri sxeulebis
gansazRvra SardSi
nitritebis
gansazRvra
• SardSi naRvlis pigmentebis
gansazRvra
• hematuriis xarisxis
gansazRvra
• SardSi formiani elementebis
raodenobis
gansazRvra
neCiporenkos
wesiT
• SardSi formiani elementebis
raodenobis
gansazRvra
adis_kakovskis
wesiT
SigTavsis
aReba da
gamokvleva;
• naxvelis
nacxebis damzadeba
SeRebva da
gamokvleva;
• qalisa da
mamakacis sasqeso
organoebidan
miRebuli
masalis
diagnostika;
• liqvoris
laborato-
riuli
gamokvleva.
125
klinikuri laboratoria
done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia
samedicino
saqmianobis
moculoba
gamokvlevebi
1 2 3 4 5 7 6
damzadebuli masalisagan, romelic sterildeba sveli
an mSrali sterilizaciiT. dabali wnevis Terapiuli
eleqtruli vakuumsaqaCi)
laboratoriuli WurWeli:
• sinjarebi qimiuri da centrifugis (danayofebiani an mis gareSe);
• sazomi kolbebi (50, 100, 500, 1000 ml.-iani);
• danayofebiani qimiuri Wiqebi (100 ml.-iani);
• danayofebiani cilindrebi (100, 200, 500 ml.-iani).
SeniSvna _ laboratoriuli WurWeli unda iyos erTjeradi,
an damzadebuli masalisgan, romelic sterildeba sveli an mSrali wesiT.
saproceduro (sisxlis aReba - kapilaruli, venuri)
• eqimis magida;
• skami;
• mbrunavi skami (sasurvelia); • samedicino karada;
• arteriuli wnevis gasazomi arainvaziuri aparati
(mag.:sfigmomanometri, fonendoskopi: mozrdilTa da
pediatriuli);
• samedicino taxti;
• samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi / dolbandi,
saTvale, xelTaTmanebi da sxva, _ erTjeradi an
damzadebuli masalisagan, romelic sterildeba sveli an
mSrali wesiT _ 2-2c.;
• invaziuri Carevis saSualebebi: nemsi, Sprici,
skarifikatori, vakutaineri da sxva, _ aucileblad erTjeradi.
laboratoria
• samedicino personalis individualuri dacvis
saSualebebi: samedicino xalaTi, niRabi / dolbandi,
• zimnickis cda • SardSi bens_jonsis cilis
gansazRvra
• ganavlis saeTo
analizi • ganavlis
gamokvleva farul
sisxldenaze
• ganavlis
gamokvleva Wiis
kvercxebze • ganavlis
gamokvleva
umartivesebze
• ganavlis
gamokvleva
helminTebze • Tavzurgtvinis siTxis (liqvoris)
laboratoriuli
gamokvleva
• Tavzurgtvinis siTxis (liqvoris) baqterioskopiuli
gamokvleva
• duodenaluri
SigTavsis
laboratoriuli
gamokvleva • kuWis wvenis mJavianobis
gansazRvra
• kanidan da lorwovani
126
klinikuri laboratoria
done tipi kadrebi nozologia
samedicino
saqmianobis
moculoba
samedicino-teqnikuri aRWurviloba gamokvlevebi
1 2 3 5 7 4 6
saTvale, xelTaTmanebi da sxva, _ erTjeradi an
damzadebuli masalisagan, romelic sterildeba sveli an
mSrali wesiT _ 2-2 cali;
• laboratoriuli magida - 2 cali;
• fotoeleqtrokolorimetri an speqtrofotometri
(hemoglobinis gansazRvrisaTvis cianmethemoglobinis meTodiT) an/da hemoglobinometri;
• areometri;
• sisxlis ujredebis meqanikuri saTvleli - 2c.;
• biologiuri mikroskopi (binokularuli /
monokularuli, sinaTlis wyaro) - 3c.;
• goriaevis kamera - 2c.; • panCenkovis aparati (10 kapilariT) - 2c.;
• torsiuli laboratoriuli saswori;
• laboratoriuli centrifuga;
• laboratoriuli Termometri;
• laboratoriuli saaTi;
• pipeti variabeluri moculobebiT (200-1000 mkl.), erTarxiani;
• pipeti variabeluri moculobebiT (50-200 mkl.),
erTarxiani;
• pipeti variabeluri moculobebiT (5-50 mkl.),
erTarxiani;
• erTjeradi masalis bunikebi (200 mkl., 1000 mkl.) variabeluri moculobis pipetisaTvis;
alternatiul SemTxvevaSi mravaljeradi gamoyenebis
pipetebi (0.02, 1, 2, 5, 10 ml. moculobis minis an
masalis, romelic sterildeba sveli an mSrali
wesiT) _ 3-3 cali.
• Stativebi sinjarebisaTvis; • laboratoriuli amwovi karada;
• wylis gamosaxdeli laboratoriuli aparati
(distilatori).
alternatiul SemTxvevaSi _ xelSekruleba afTiaqTan;
• Termostati (37-600C);
garsidan miRebuli
masalis
citologiuri da
baqterioskopiuli
gamokvleva
• Tvalis lorwovanidan
aRebuli nacxis
citologiuri da
baqterioskopiuli
gamokvleva
• saSos nacxis citologiuri da
baqterioskopiuli
gamokvleva
• ureTris nacxis citologiuri da
baqterioskopiuli gamokvleva
• nacxis baqterioskopia
gonokokze _
gramis wesiT
• anabeWdisa da nacxis
citologiuri
gamokvleva
• naxvelis saerTo
laboratoriuli
gamokvleva
127
klinikuri laboratoria
done tipi kadrebi ikuri aRWurviloba nozologia
gamokvlevebi
samedicino
saqmianobis
moculoba
samedicino-teqn
1 2 3 4 5 6 7
• saSrobi karada (900C);
• macivari (0 _ +40C);
• biqsi _ 2 cali.
• karada an sadgami biqsisaTvis;
• samedicino karada - 2 cali;
• mowyobiloba mSrali sterilizaciisaTvis an orTqlis sterilizatori _ portatiuli.
alternatiul SemTxvevaSi dawesebulebas unda
gaaCndes centraluri sasterilizacio igive
misamarTze an xelSekruleba centralur
sasterilizaciosTan;
• konteineri naxmari masalis dezinfeqciisaTvis, TeTreulis, da a.S. _ 2cali.
laboratiuli WurWeli
• sinjarebi;
• centrifugis sinjarebi (danayofebiani an mis gareSe);
• qimiuri sinjarebi; • danayofebiani qimiuri Wiqebi (100 ml-iani);
• sazomi kolbebi (50, 100, 500, 1000 ml-iani);
• danayofebiani cilindrebi (100, 200, 500 ml-iani);
• sasagne minebi.
SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi
an damzadebuli masalisagan, romelic sveli an mSrali wesiT sterildeba.
sasterilizacio ganyofileba (sasterilizacio,
sadezinfeqcio an centraluri sasterilizacio)
• sruli aRWurviloba, saTanado donis samedicino
dawesebulebis (II an III, I donis sasterilizacio, sadezinfeqcio an centraluri sasterilizacio)
samsaxuris uzrunvelyofisaTvis.
alternatiul SeTxvevaSi xelSekruleba saTanado
teqnikuri infrastuqturis sabazo dawesebulebasTan.
128
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia
gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
II • raionuli (qalaqis) saavadmyofo
• sazogadoeb-rivi dacvis centri
• samedicino socialuri saavadmyofo
• eqimi laboranti (umaRlesi samedicino ganaTleba – serTifikati laborato-riul medicinaSi).
• laboratoriuli medicinis
• specialisti (umaRlesi arasamedici-no ganaTleba – biologi an analitikuri qimiis specialisti - serTifikati laborato-riul medicinaSi).
• saSualo (teqnikuri) laboranti (saSualo teqnikuri ganaTleba)
• preparatori (sanitari)
• klinikuri inJineri (samedicino aparaturis inJineri an
samedicino dawesebulebis teqnikuri infrastruqtura (alternatiuli kvebis wyaro, gaTboba kondicirebisa da ventilaciis sistema, wyal – sakanalizacio sistema). sruli aRWurviloba, saTanado donis samedicino dawesebulebis (laboratoriuli saqmianoba, samedicino saqmianobis II, III, I done), teqnikuri infrastruqturis (centraluri an avtonomiuri) samsaxuris uzrunvelyofisaTvis. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis mqone sabazo dawesebulebasTan. • avariuli kvebis wyaro (avtonomiuri kvebis wyaro,
calke damatebiTi xazi) an generatori simZlavriT aranakleb 2,5 kvt.-isa;
• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzom-makalibrebeli aparaturis stabiluri kvebis uzrunvelyofisaTvis;
• gaTboba_kondicirebisa da ventilaciis sistema (centraluri an avtonomiuri);
• sakanalizacio sistema (centraluri an avtonomiuri) • wyalmomaragebis sistema (civi wyali, cxeli wyali, _
centraluri an avtonomiuri); • xelsabani (qirurgis niJara); • karada sadezinfeqcio xsnarebisaTvis; • konteineri (Tasi an abazana) laboratoriuli
WurWlis, instrumentebis dezinficirebisaTvis - 2c. saproceduro (masalis aReba) • eqimis magida; • skami; • mbrunavi skami (sasurvelia); • samedicino karada; • arteriuli, arainvaziuri wnevis gasazomi aparati
(mag.: sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli);
• samedicino taxti; • samedicino personalis individualuri dacvis
yvela nozologiis bioqimiuri diagnostika.
• saerTo cilis gansazRvra sisxlSi
• Sardovanas gansazRvra sisxlSi
• kreatininis gansazRvra sisxlSi
• Timolis sinji • glukozis gansazRvra sisxlSi
• beta-lipoproteinebis gansazRvra sisxlSi
• saerTo qolesterinis gansazRvra sisxlSi
• saerTo bilirubinis gansazRvra sisxlSi
• pirdapiri bilirubinis gansazRvra sisxlSi
• rkinis gansazRvra sisxlSi
• revmatoiduli faqtoris gansazRvra sisxlSi
• C reaqtiuli cilis gansazRvra sisxlSi
• difenilaminis cda
• sisxlis aReba -kapilaruli, venuri;
• Sratis gamoyofa, plazmis miReba;
• bioqimiuri gamokvle-vebis Catareba.
129
bioqimiuri laboratoriuli gamokvlevebi
done tipi nozologia
samedicino
saqmianobis
moculoba
kadrebi samedicino-teqnikuri aRWurviloba gamokvlevebi
1 2 5 7 3 4 6
samedicino bioteqnikuri sistemebis specialisti an/da xelSekrule-ba samedicino aparaturis servis samsaxurTan, aRniSnuli unda iTvaliswineb-des agreTve metrologiur momsaxureo-bas).
saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli masalisagan romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2c.;
• invaziuri Carevis saSualebebi nemsi, Sprici, skarifikatori, vakutaineri da sxva _ aucileblad erTjeradi;
laboratoria • samedicino personalis individualuri dacvis
saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli masalisagan romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2c.;
• laboratoriuli magida - 2c.; • fotoeleqtrokolorimetri an speqtrofotometri; • wylis Termostati; • sanjRrevela (e.w. Seikeri meqanikuri an eleqtruli) -
sasurvelia; • torziuli laboratoriuli saswori; • analizuri laboratoriuli saswori; • laboratoriuli centrifuga; • laboratoriuli Termometri; • laboratoriuli saaTi; • wamzomi; • pipeti variabeluri moculobebiT (200-1000 mkl.),
erTarxiani; • pipeti variabeluri moculobebiT (50-200 mkl.),
erTarxiani; • pipeti variabeluri moculobebiT (5-50 mkl.),
erTarxiani; • erTjeradi masalis bunikebi (200 mkl., 1000 mkl.),
variabeluri moculobis pipetisaTvis; alternatiul SemTxvevaSi mravaljeradi gamoyenebis pipetebi (0.02, 1, 2, 5, 10 ml. moculobis, minis an masalis, romelic sterildeba sveli an mSrali sterilizaciiT). 3 - 3c.
• Stativebi sinjarebisaTvis; • laboratoriuli amwovi karada; • wylis gamosaxdeli laboratoriuli aparati
• antistreptolizini O gansazRvra sisxlSi
hemostazi • koagulograma • sisxlis Sededebis dro li da uaitis mixedviT
• plazmis rekalcifikaciis dro
• proTrombinis indeqsis gansazRvra
• Trombinis dro • fibrinogenis koncentraciis gansazRvra
• fibrinolizuri aqtivobis gansazRvra
130
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi no-teqnikuri aRWurviloba nozologia
gamokvlevebi
samedicino
saqmianobis
moculoba
samedici
1 2 3 4 5 6 7
(distilatori). alternatiul SemTxvevaSi xelSekruleba afTiaqTan;
• Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • biqsi - 2c.; • karada an sadgami biqsisaTvis; • samedicino karada - 2c.; • mowyobiloba mSrali sterilizaciisaTvis an
orTqlis sterilizatori _ portatiuli. alternatiul SemTxvevaSi dawesebulebas unda gaaCndes centraluri sasterilizacio igive misamarTze an xelSekruleba centralur sasterilizaciosTan;
• konteineri naxmari masalis dezinficirebisaTvis, TeTreulis, da a.S. _ 2c.
laboratiuli WurWeli • sinjarebi; • centrifugis sinjarebi (danayofebiani an mis gareSe); • qimiuri sinjarebi; • danayofebiani qimiuri Wiqebi (100 ml.-iani); • sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani); SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi an masalis, romelic sterildeba sveli an mSrali sterilizaciiT. sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) • sruli aRWurviloba, saTanado donis samedicino
dawesebulebis (II, an III, I donis sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) samsaxuris uzrunvelyofisaTvis.
alternatiul SeTxvevaSi xelSekruleba saTanado teqnikuri infrastuqturis sabazo dawesebulebasTan.
131
4.6 laboratoriuli diagnostika kliniko-laboratoriuli diagnostika (done III)
klinikuri laboratoria
done tipi
kadrebi samedicino-teqnikuri aRWurviloba nozologia gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
III • regionaluri (respubliku-ri saavadmyofo)
• speciali-zirebuli saavadmyofo
• klinikuri saavadmyofo
• dispanseri • mraval-profiliani dispanseri
• poliklinika • qalTa konsultacia
• laborato-riis (ganyo-fileba) xelmZRvaneli (gamge) an laborato-riis kuratori – eqimi laboranti (umaRlesi samedicino ganaTleba da sertifikati labora-toriul medicinaSi).
• eqimi laboranti (umaRlesi samedicino ganaTleba da sertifikati labora-toriul medicinaSi).
• labora-toriuli medicinis specialisti (umaRlesi arasmedi-
samedicino dawesebulebis teqnikuri infrastruqtura (alternatiuli kvebis wyaro, gaTboba kondicirebisa da ventilaciis sistema, wyal – sakanalizacio sistema). sruli aRWurviloba, saTanado donis samedicino dawesebulebis (laboratoriuli saqmianoba, samedicino saqmianobis III, IV, II done), teqnikuri infrastruqturis (centraluri an avtonomiuri) samsaxuris uzrunvelyofisaTvis. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis mqone sabazo dawesebulebasTan. • avariuli kvebis wyaro (avtonomiuri kvebis
wyaro, calke damatebiTi xazi) an generatori simZlavriT aranakleb 2,5 kvt.-isa;
• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzom-makalibrebeli aparaturis stabiluri kvebis uzrunvelsayofad;
• gaTboba_kondicirebisa da ventilaciis sistema (centraluri an avtonomiuri);
• sakanalizacio sistema (centraluri an avtonomiuri)
• wyalmomaragebis sistema (civi da cxeli wyali, _ centraluri an avtonomiuri);
• xelsabani (qirurgis niJara); • karada sadezinfeqcio xsnarebisaTvis; • konteineri (Tasi an abazana) laboratoriuli
WurWlis, instrumentebis dezinfeqciisaTvis - 2c. samedicino informaciuli samsaxuri (teqnologiebi, samedicino statistika, monacemTa baza, sakomunikacio saSualebebi mag. interneti, faqsi da a.S.).
yvela nozologiis hematologiuri da zogad-klinikuri laborato-riuli diagnostika.
• sisxlis saerTo analizi
• hemoglobinis gansazRvra sisxlSi
• eriTrocitebis raodenobis gansazRvra sixlSi
• leikocitebis raodenobis gansazRvra sixlSi
• hematokritis gansazRvra
• Trombocitebis raodenobis gansazRvra sisxlSi
• retikulocitebis raodenobis gansazRvra sisxlSi
• eriTrocitebis daleqvis siCqare
• sisxlis Sededebis da sisxldenis dro
• eriTrocitebis osmosuri rezistentobis gansazRvra
• eriTrocitebis saSualo diametris gansazRvra
• fetaluri
• sisxlis aReba TiTidan, sisxlis damuSaveba da mikroskopia Txier mdgomareobaSi;
• sisxlis nacxis fiqsacia da SeRebva, SeRebili nacxis hematologiuri da citologiuri diagnostika;
• Sardis damuSaveba da mikroskopia;
• ganavlis damuSaveba da mikroskopia;
• kuWis wvenis aReba da gamokvleva;
• duodenaluri SigTavsis aReba da gamokvleva;
• naxvelis nacxebis
132
klinikuri laboratoria
done tipi
nozologia
samedicino
kadrebi samedicino-teqnikuri aRWurviloba gamokvlevebi saqmianobis
moculoba
1 2 5 3 4 6 7
cino ganTleba – biologi an analizuri qimiis specialisti, serTifikati labora-toriul medicinaSi).
• saSualo (teqnikuri) laboranti (saSualo teqnikuri ganaTleba)
• preparatori (sanitari)
• klinikuri inJineri (samedicino aparaturis inJineri an samedicino bioteqni-kuri sistemebis specialisti an/da xelSekru-leba samedicino aparaturis servisul samsaxurTan, aRniSnuli unda iTvaliswi-
• personaluri kompiuteri (standartuli kompleqtacia: monitori, procesori, printeri Zabvis stabilizatori an mudmivi kvebis wyaro (UPS), internetis modemi, programuli uzrunvelyofa mag. monacemTa baza, buhxalteria da a.S.) _ (sasurvelia);
• telefonis xazi - faqsis aparati (sasurvelia); • eqimis magida; • skami; • karada. saproceduro gamosakvlevi masalis misaRebad (Sardi, naxveli, duodenaluri, gastraluri da sxva masalis aReba) • eqimis magida; • skami; • mbrunavi skami (sasurvelia); • karada (samedicino); • arteriuli wnevis gasazomi arainvaziuri aparati
(mag.: sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli;
• samedicino taxti; • samedicino personalis individualuri dacvis
saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli masalisagan romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2 cali.;
• invaziuri Carevis saSualebebi: nemsi, Sprici, skarifikatori, vakutaineri da sxva _ aucileblad erTjeradi;
• xelSekruleba endoskopiur kabinetTan (standartuli aRWurviloba endoskopiisaTvis mag.: gastroskopi, bronqoskopi da sxva. biologiuri masalis – duodenaluri, gastraluri da sxva aReba).
alternatiul SemTxvevaSi duodenaluri, gastraluri da sxva masalis miRebis saSualebebi (mag.: duodenaluri zondi, Janes Sprici _ erTjeradi an damzadebuli
hemoglobinis citologiuri gansazRvra
• malariis plazmodiumebze sisxlis sqeli wveTisa da nacxis mikroskopia
• punqtatis citologiuri gamokvleva
• leikokoncentra-tis gamokvleva
• sisxlis gamokvleva - ujredebze
• sisxlis jgufisa da rezusis gansazRvra
• Sardis saerTo analizi
• SardSi cilis raodenobis gansazRvra
• SardSi glukozis raodenobis gansazRvra
• SardSi ketonuri sxeulebis gansazRvra
• SardSi nitritebis gansazRvra
• SardSi naRvlis pigmentebis gansazRvra
• SardSi urobilinis gansazRvra
• hematuriis xarisxis
damzadeba SeRebva da gamokvleva;
• qalisa da mamakacis sasqeso organoebidan miRebuli masalis diagnostika;
• liqvoris laboratoriuli gamokvleva;
• serozuli siTxeebis laboratoriuli gamokvleva.
133
klinikuri laboratoria
done tipi
samedicino-teqnikuri aRWurviloba nozologia i
samedicino
saqmianobis
moculoba kadrebi
gamokvleveb
1 2 4 5 7 3 6
nebdes agreTve metrolo-giur momsaxureo-bas).
masalisagan, romelic sterildeba sveli an mSrali wesiT. dabali wnevis Terapiuli eleqtruli vakuumsaqaCi).
laboratoriuli WurWeli: • sinjarebi: qimiuri da centrifugis
(danayofebiani an mis gareSe); • sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani qimiuri Wiqebi (100 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani). SeniSvna _ laboratoriuli WurWeli unda iyos erTjeradi, an damzadebuli masalisgan, romelic sterildeba sveli an mSrali wesiT. serozuli siTxeebis, Tavzurgtvinis siTxis (liqvoris), qalisa da mamakacis sasqeso organoebidan masalis aReba: • saoperacio darbazi (standartuli
aRWurviloba). alternatiul SemTxvevaSi xelSekruleba saTanado licenziis mqone ganyofilebasTan.
saproceduro (kapilaruli, venuri sisxlis aReba) • eqimis magida; • skami; • mbrunavi skami (sasurvelia); • samedicino karada; • arteriuli wnevis arainvaziuri gasazomi aparati
(magaliTad sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli);
• samedicino taxti; • samedicino personalis individualuri dacvis
saSualebebi: samedicino xalaTi, niRabi / dolbandi, saTvale, xelTaTmanebi da sxva, _ erTjeradi an damzadebuli masalisagan, romelic sterildeba sveli an mSrali wesiT _ 2-2c.;
• invaziuri Carevis saSualebebi: nemsi, Sprici, skarifikatori, vakutaineri da sxva, _
gansazRvra • SardSi formiani elementebis raodenobis gansazRvra neCiporenkos
wesiT • SardSi formiani elementebis raodenobis gansazRvra adis_kakovskis wesiT
• zimnickis cda • SardSi bens_jonsis cilis gansazRvra
• ganavlis saeTo analizi
• ganavlis gamokvleva farul sisxldenaze
• ganavlis gamokvleva Wiis kvercxebze
• ganavlis gamokvleva umartivesebze
• ganavlis gamokvleva helminTebze
• Tavzurgtvinis siTxis (liqvoris) laboratoriuli gamokvleva
• Tavzurgtvinis siTxis (liqvoris) baqterioskopiuli gamokvleva
• duodenaluri
134
klinikuri laboratoria
done tipi
kadrebi RWurviloba nozologia vebi
samedicino
saqmianobis
moculoba samedicino-teqnikuri a gamokvle
1 2 3 5 7 4 6
aucileblad erTjeradi. laboratoria • samedicino personalis individualuri dacvis
saSualebebi: samedicino xalaTi, niRabi / dolbandi, saTvale, xelTaTmanebi da sxva, _ erTjeradi an damzadebuli masalisagan, romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2 cali.;
• laboratoriuli magida _ 3 cali.; • hematologiuri analizatori (avtomaturi an
naxevradavtomaturi, daxuruli an Ria sistema). alternatiul SemTxvevaSi fotoeleqtrokolorimetri an speqtrofotometri (hemoglobinis gansazRvrisaTvis cianmethemoglobinis meTodiT) an/da hemoglobinometri;
• areometri; • sisxlis ujredebis meqanikuri saTvleli _ 2
cali; • mikroskopi _ luminescenturi, fotogadaRebis
SesaZleblobiT (sasurvelia); alternatiul SemTxvevaSi, mikroskopze dasamagrebeli mowyobiloba fotogadaRebisaTvis;
• biologiuri mikroskopi (binokularuli / monokularuli, sinaTlis wyaro) _ 3 cali;
• goriaevis kamera _ 2 cali.; • panCenkovis aparati (10 kapilariT) _ 2 cali.; • torsiuli laboratoriuli saswori; • analizuri laboratoriuli saswori; • laboratoriuli centrifuga; • mikrocentrifuga hematokritis gansazRvrisaTvis; • laboratoriuli Termometri; • laboratoriuli saaTi; • pipeti variabeluri moculobiT (200-1000 mkl.),
erTarxiani; • pipeti variabeluri moculobiT (50-200 mkl.),
erTarxiani; • pipeti variabeluri moculobiT (5-50 mkl.),
SigTavsis laboratoriuli gamokvleva
• kuWis wvenis mJavianobis gansazRvra
• Rru organoTa SigTavsis klinikuri da citologiuri gamokvleva
• kanidan da lorwovani garsidan miRebuli masalis citologiuri da baqterioskopiuli gamokvleva
• Tvalis lorwovanidan aRebuli nacxis citologiuri da baqterioskopiuli gamokvleva
• saSos nacxis citologiuri da baqterioskopiuli gamokvleva
• ureTris nacxis citologiuri da baqterioskopiuli gamokvleva
• saSos sisufTavis xarisxis dadgena
• nacxis gamokvleva pirdapiri imunofluorescenciiT qlamidiebze, virusebze da sxva
135
klinikuri laboratoria
done tipi
kadrebi ino-teqnikuri aRWurviloba nozologia levebi
samedicino
saqmianobis
moculoba samedic gamokv
1 2 3 5 7 4 6
erTarxiani; • erTjeradi masalis bunikebi (200 mkl., 1000 mkl.),
variabeluri moculobis pipetisaTvis; alternatiul SemTxvevaSi mravaljeradi gamoyenebis pipetebi (0.02, 1, 2, 5, 10 ml. moculobis minis an masalis, romelic sterildeba sveli an mSrali sterilizaciiT). 3 - 3c.
• Stativebi sinjarebisaTvis; • laboratoriuli amwovi karada; • wylis gamosaxdeli laboratoriuli aparati
(distilatori). alternatiul SemTxvevaSi xelSekruleba afTiaqTan;
• Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • biqsi - 2c. • karada an sadgami biqsisaTvis; • samedicino karada - 2c.; • mowyobiloba mSrali sterilizaciisaTvis an
orTqlis sterilizatori _ portatiuli. alternatiul SemTxvevaSi dawesebulebas unda gaaCndes centraluri sasterilizacio igive misamarTze an xelSekruleba centralur sasterilizaciosTan;
• konteineri naxmari masalis sadezinfeqciod, TeTreulis, da a.S. _ 2cali.
laboratiuli WurWeli • sinjarebi; • centrifugis sinjarebi (danayofebiani an mis
gareSe); • qimiuri sinjarebi; • danayofebiani qimiuri Wiqebi (100 ml.-iani); • sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani); • sasagne minebi. SeniSvna - laboratoriuli WurWeli unda iyos
• nacxis baqterioskopia gonokokze _ gramis wesiT
• winamdebare jirkvlis sekretis laboratoriuli gamokvleva
• spermograma • anabeWdisa da nacxis citologiuri gamokvleva
• sxvadasxva paTologiuri masalis gamokvleva BK-ze
• naxvelis saerTo laboratoriuli gamokvleva
136
klinikuri laboratoria
done tipi
kadrebi samedicino-teqnikuri aRWurviloba nozologia gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
erTjeradi an masalis, romelic sterildeba sveli an mSrali wesiT. sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) • sruli aRWurviloba, saTanado donis samedicino
dawesebulebis (III an IV, II donis sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) samsaxuris uzrunvelsayofad.
alternatiul SeTxvevaSi _ xelSekruleba saTanado teqnikuri infrastuqturis sabazo dawesebulebasTan.
eqimTa uwyveti ganaTleba (eqimTa uwyveti ganaTlebis organizacia) • sruli aRWurviloba, saTanado donis (eqimTa
uwyveti ganaTleba, eqimTa uwyveti ganaTlebis organizacia) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi _ xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.
postdiplomuri specializaciis sabazo dawesebuleba • sruli aRWurviloba saTanado donis
(postdiplomuri specializaciis sabazo dawesebuleba) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.
umaRlesi samedicino saganmanaTleblo dawesebulebebis (ganaTlebis saministros mier licenzirebuli) sabazo klinikuri saqmianoba
137
klinikuri laboratoria
done tipi
kadrebi nozologia gamokvlevebi
samedicino
saqmianobis
moculoba samedicino-teqnikuri aRWurviloba
1 2 3 5 6 7 4
• sruli aRWurviloba saTanado donis (umaRlesi samedicino saganmanaTleblo dawesebulebebis, ganaTlebis saministros mier licenzirebuli sabazo klinikuri saqmianoba) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.
saSualo samedicino personalis ganaTleba • sruli aRWurviloba saTanado donis (saSualo
samedicino personalis ganaTleba) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi _ xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.
138
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia
gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
III • regionaluri (respub-likuri saavadmyofo)
• speciali-zebuli saavadmyofo
• kliniku-ri saavadmyofo
• dispanseri
• mraval-profiliani dispanseri
• poli-klinika
• qalTa konsul-tacia
• laboratoriis (ganyofileba) xelmZRvaneli (gamge) an laboratoriis kuratori – eqimi laboranti (umaRlesi samedicino ganaTleba – serTifikati laborato-riul medicinaSi).
• eqimi laboranti (umaRlesi samedicino ganaTleba – serTifikati laborato-riul medicinaSi).
• laboratoriuli medicinis specialisti (umaRlesi arasamedicino ganaTleba – biologi an analitikuri qimiis specialisti - serTifikati laborato-riul medicinaSi).
samedicino dawesebulebis teqnikuri infrastruqtura (alternatiuli kvebis wyaro, gaTboba kondicirebisa da ventilaciis sistema, wyal – sakanalizacio sistema). sruli aRWurviloba, saTanado donis samedicino dawesebulebis (laboratoriuli saqmianoba, samedicino saqmianobis III, IV, II done), teqnikuri infrastruqturis (centraluri an avtonomiuri) samsaxuris uzrunvelyofisaTvis. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis mqone sabazo dawesebulebasTan. • avariuli kvebis wyaro (avtonomiuri kvebis wyaro,
calke damatebiTi xazi) an generatori simZlavriT aranakleb 2,5 kvt.-isa;
• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzom-makalibrebeli aparaturis stabiluri kvebis uzrunvelyofisaTvis;
• gaTboba_kondicirebisa da ventilaciis sistema (centraluri an avtonomiuri);
• sakanalizacio sistema (centraluri an avtonomiuri)
• wyalmomaragebis sistema (civi wyali, cxeli wyali, _ centraluri an avtonomiuri);
• xelsabani (qirurgis niJara); • karada sadezinfeqcio xsnarebisaTvis; • konteineri (Tasi an abazana) laboratoriuli
WurWlis, instrumentebis dezinficirebisaTvis - 2c.
samedicino informaciuli samsaxuri (teqnologiebi, samedicino statistika, monacemTa baza, sakomunikacio saSualebebi mag. interneti, faqsi da a.S.). • personaluri kompiuteri (standartuli
kompleqtacia: monitori, procesori, printeri Zabvis stabilizatori an mudmivi kvebis wyaro
yvela nozologiis bioqimiuri diagnostika.
• saerTo cilis gansazRvra sisxlSi
• albuminis gansazRvra sisxlSi
• Sardovanas gansazRvra sisxlSi
• kreatininis gansazRvra sisxlSi
• glukozis gansazRvra sisxlSi
• trigliceridebis gansazRvra sisxlSi
• saerTo qolesterinis gansazRvra sisxlSi
• maRali simkvrivis qolesterinis gansazRvra sisxlSi
• dabali simkvrivis qolesterinis gansazRvra sisxlSi
• saerTo bilirubinis gansazRvra sisxlSi
• pirdapiri bilirubinis gansazRvra sisxlSi
• aspartataminotans
• sisxlis aReba -kapilaruli, venuri;
• Sratis gamoyofa, plazmis miReba;
• bioqimiuri gamokvlevebis Catareba.
139
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi nozologia
samedicino saqmianobis
moculoba samedicino-teqnikuri aRWurviloba gamokvlevebi
1 2 5 7 3 4 6
• saSualo (teqnikuri) laboranti (saSualo teqnikuri ganaTleba)
• preparatori (sanitari)
• klinikuri inJineri (samedicino aparaturis inJineri an samedicino bioteqnikuri sistemebis specialisti an/da xelSekruleba samedicino aparaturis servis samsaxurTan, aRniSnuli unda iTvaliswineb-des agreTve metrologiur momsaxureobas).
(UPS), internetis modemi, programuli uzrunvelyofa mag. monacemTa baza, buRalteria da a.S.) _ (sasurvelia);
• telefonis xazi - faqsis aparati (sasurvelia); • eqimis magida; • skami; • karada. saproceduro (masalis aReba) • eqimis magida; • skami; • mbrunavi skami (sasurvelia); • samedicino karada; • arteriuli, arainvaziuri wnevis gasazomi aparati
(mag.: sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli);
• samedicino taxti; • samedicino personalis individualuri dacvis
saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli masalisagan romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2c.;
• invaziuri Carevis saSualebebi nemsi, Sprici, skarifikatori, vakutaineri da sxva _ aucileblad erTjeradi;
laboratoria • samedicino personalis individualuri dacvis
saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli masalisagan romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2c.;
• laboratoriuli magida - 3c.; • bioqimiuri analizatori avtomaturi an
naxevradavtomaturi, daxuruli an Ria sistema. alternatiul SemTxvevaSi, fotoeleqtrokolorimetri an speqtrofotometri;
• eleqtrolitebis ganmsazRvreli analizatori avtomaturi an naxevradavtomaturi, daxuruli an Ria sistema.
-ferazas gansazRvra sisxlSi
• alaninaminotransferzas gansazRvra sisxlSi
• gama-glutamiltrsferazas gansazRvra sisxlSi
• tute fosfatazas gansazRvra sisxlSi
• kreatinkinazas gansazRvra sisxlSi
• alfa-amilazs gansazRvra sisxlSi
• natriumis gansazRvra sisxlSi
• kaliumis gansazRvra sisxlSi
• kalciumis gansazRvra sisxlSi
• rkinis gansazRvra sisxlSi
• revmatoiduli faqtoris gansazRvra sisxlSi
• C reaqtiuli cilis gansazRvra sisxlSi
• difenilaminis cda
• antistreptolizi
140
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia
samedicino saqmianobis
moculoba
gamokvlevebi
1 2 3 4 5 7 6
alternatiul SemTxvevaSi, aliani fotometri; • koagulaciis ganmsazRvreli aparati avtomaturi
an naxevradavtomaturi, daxuruli an Ria sistema. alternatiul SemTxvevaSi, wylis Termostati;
• eleqtroforezis mowyobiloba (cilebis fraqcionirebis gansazRvrisaTvis) - sasurveli, magram araaucilebeli;
• sisxlis gazebis ganmsazRvreli analizatori avtomaturi an naxevradavtomaturi, daxuruli an Ria sistema (sisxlSi mJava-tutovani wonasworobis da airTa Semcvelobis ganmsazRvreli) -sasurveli, magram araaucilebeli;
• sanjRrevela (e.w. Seikeri meqanikuri an eleqtruli) -sasurvelia;
• torziuli laboratoriuli saswori; • analizuri laboratoriuli saswori; • laboratoriuli centrifuga; • maRali sixSiris centrifuga; • laboratoriuli Termometri; • laboratoriuli saaTi; • wamzomi; • pipeti variabeluri moculobebiT (200-1000 mkl.),
erTarxiani; • pipeti variabeluri moculobebiT (50-200 mkl.),
erTarxiani; • pipeti variabeluri moculobebiT (5-50 mkl.),
erTarxiani; • erTjeradi masalis bunikebi (200 mkl., 1000 mkl.),
variabeluri moculobis pipetisaTvis; alternatiul SemTxvevaSi mravaljeradi gamoyenebis pipetebi (0.02, 1, 2, 5, 10 ml. moculobis, minis an masalis, romelic sterildeba sveli an mSrali sterilizaciiT). 3 - 3c.
• Stativebi sinjarebisaTvis; • laboratoriuli amwovi karada; • wylis gamosaxdeli laboratoriuli aparati
(distilatori). alternatiul SemTxvevaSi xelSekruleba afTiaqTan;
• Termostati (37-600C);
ni O-s gansazRvra sisxlSi
hemostazi • koagulograma • sisxlis Sededebis dro li da uaitis mixedviT
• plazmis rekalcifikaciis dro
• aqtivirebuli nawilobrivi Tromboblastinis (aPTT) dro
• proTrombinis indeqsis gansazRvra
• saerTaSoriso normalizebuli Sefardebis (INR) gansazRvra
• Trombinis dro • fibrinogenis koncentraciis gansazRvra
• fibrinolizuri aqtivobis gansazRvra
141
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi kuri aRWurviloba nozologia
gamokvlevebi
samedicino saqmianobis
moculoba samedicino-teqni
1 2 3 5 6 7 4
• saSrobi karada (900C); • macivari (0 - +40C); • macivari Rrma gayinvisaTvis (-200C); • biqsi - 2c.; • karada an sadgami biqsisaTvis; • samedicino karada - 2c.; • mowyobiloba mSrali sterilizaciisaTvis an
orTqlis sterilizatori _ portatiuli. alternatiul SemTxvevaSi dawesebulebas unda gaaCndes centraluri sasterilizacio igive misamarTze an xelSekruleba centralur sasterilizaciosTan;
• konteineri naxmari masalis dezinficirebisaTvis, TeTreulis, da a.S. _ 2c.
laboratiuli WurWeli • sinjarebi; • centrifugis sinjarebi (danayofebiani an mis
gareSe); • qimiuri sinjarebi; • danayofebiani qimiuri Wiqebi (100 ml.-iani); • sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani); SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi an masalis, romelic sterildeba sveli an mSrali sterilizaciiT. sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) • sruli aRWurviloba, saTanado donis samedicino
dawesebulebis (III, IV an II donis sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) samsaxuris uzrunvelyofisaTvis.
alternatiul SeTxvevaSi xelSekruleba saTanado teqnikuri infrastuqturis sabazo dawesebulebasTan.
eqimTa uwyveti ganaTleba (eqimTa uwyveti ganaTlebis organizacia) • sruli aRWurviloba, saTanado donis (eqimTa
142
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi nozologia
gamokvlevebi
samedicino saqmianobis
moculoba samedicino-teqnikuri aRWurviloba
1 2 3 5 6 7 4
uwyveti ganaTleba, eqimTa uwyveti ganaTlebis organizacia) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.
postdiplomuri specializaciis sabazo dawesebuleba • sruli aRWurviloba saTanado donis
(postdiplomuri specializaciis sabazo dawesebuleba) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebvasTan.
umaRlesi samedicino saganmanaTleblo dawesebulebebis (ganaTlebis saministros mier licenzirebuli) sabazo klinikuri saqmianoba • sruli aRWurviloba saTanado donis (umaRlesi
samedicino saganmanaTleblo dawesebulebebis, ganaTlebis saministros mier licenzirebuli sabazo klinikuri saqmianoba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.
saSualo samedicino personalis ganaTleba • sruli aRWurviloba saTanado donis (saSualo
samedicino personalis ganaTleba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.
143
4.6 laboratoriuli diagnostika
kliniko-laboratoriuli diagnostika (done IV)
klinikuri laboratoria
done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia
gamokvlevebi
samedicino
saqmianobis moculoba
1 2 3 4 5 6 7
IV • speciali-
zebuli
samecni-
ero-kvleviTi
institu-
ti
• speciali-
zebuli centri
• sauniver-siteto
(akade-
miis) klinika
• centris xelmZRvaneli
(kuratori) –
eqimi laboranti
(umaRlesi
samedicino
ganaTleba –
serTifikati
laboratoto-riul
medicinaSi da
sxva).
• laboratoriis
(ganyofileba) xelmZRvaneli
(gamge) an
laboratoriis
kuratori –
eqimi laboranti
(umaRlesi
samedicino
ganaTleba –
serTifikati
labora-toriul
medicinaSi).
• eqimi laboranti
samedicino dawesebulebis teqnikuri infrastruqtura
(alternatiuli kvebis wyaro, gaTboba kondicirebisa da
ventilaciis sistema, wyal – sakanalizacio sistema).
sruli aRWurviloba, saTanado donis samedicino
dawesebulebis (laboratoriuli saqmianoba, samedicino
saqmianobis IV, III done), teqnikuri infrastruqturis
(centraluri an avtonomiuri) samsaxuris
uzrunvelyofisaTvis.
alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri
infrastruqturis mqone sabazo dawesebulebasTan.
• avariuli kvebis wyaro (avtonomiuri kvebis wyaro, calke
damatebiTi xazi) an generatori simZlavriT aranakleb
2,5 kvt.-isa;
• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzom-makalibrebeli aparaturis stabiluri kvebis
uzrunvelyofisaTvis;
• gaTboba_kondicirebisa da ventilaciis sistema
(centraluri an avtonomiuri);
• sakanalizacio sistema (centraluri an avtonomiuri) • wyalmomaragebis sistema (civi wyali, cxeli wyali, _
centraluri an avtonomiuri);
• xelsabani (qirurgis niJara);
• karada sadezinfeqcio xsnarebisaTvis;
• konteineri (Tasi an abazana) laboratoriuli WurWlis,
instrumentebis dezinficirebisaTvis - 2c.
samedicino informaciuli samsaxuri (teqnologiebi,
samedicino statistika, monacemTa baza, sakomunikacio
saSualebebi mag. interneti, faqsi da a.S.).
• personaluri kompiuteri (standartuli kompleqtacia:
yvela
nozologiis
hematolo-
giuri da zogad-
klinikuri
laborato-
riuli
diagnostika.
• sisxlis saerTo
analizi
• hemoglobinis
gansazRvra sisxlSi
• eriTrocitebis raodenobis
gansazRvra
sixlSi
• leikocitebis raodenobis
gansazRvra
sixlSi
• hematokritis gansazRvra
• Trombocitebis raodenobis
gansazRvra
sisxlSi
• retikulocitebis
raodenobis gansazRvra
sisxlSi
• eriTrocitebis daleqvis siCqare
• sisxlis
Sededebis da sisxldenis dro
• eriTrocitebis osmosuri
rezistentobis
gansazRvra
• sisxlis aReba
TiTidan, sisxlis
damuSaveba da
mikroskopia Txier
mdgomareobaSi;
• sisxlis nacxis
da Zvlis tvinis
fiqsacia da SeRebva, SeRebili
nacxis
hematologiuri
da citologiuri
diagnostika;
• Sardis damuSaveba da mikroskopia;
• ganavlis
damuSaveba da mikroskopia;
• kuWis wvenis aReba da
gamokvleva;
• duodenaluri
SigTavsis aReba
da gamokvleva;
• naxvelis nacxebis
144
klinikuri laboratoria
done tipi nozologia
samedicino
kadrebi samedicino-teqnikuri aRWurviloba gamokvlevebi
saqmianobis
moculoba
1 2 5 3 4 6 7
(umaRlesi
samedicino
ganaTleba –
serTifikati
labora-
toriul medicinaSi).
• laboratoriu
li medicinis
specialisti
(umaRlesi arasamedicino
ganaTleba –
biologi an
analitikuri
qimiis
specialisti, serTifikati
labora-
toriul
medicinaSi).
• saSualo (teqnikuri)
laboranti
(saSualo
teqnikuri
ganaTleba)
• preparatori (sanitari)
• klinikuri
inJineri
monitori, procesori, printeri Zabvis stabilizatori
an mudmivi kvebis wyaro (UPS), internetis modemi, programuli uzrunvelyofa mag. monacemTa baza,
buRalteria da a.S.) _ (sasurvelia);
• telefonis xazi, faqsis aparati (sasurvelia);
• eqimis magida; • skami;
• karada.
saproceduro gamosakvlevi masalis misaRebad (Sardi,
naxveli, duodenaluri, gastraluri da sxva masalis aReba)
• eqimis magida; • skami;
• mbrunavi skami (sasurvelia);
• samedicino karada;
• arteriuli, arainvaziuri wnevis gasazomi aparati (mag.:
sfigmomanometri, fonendoskopi: mozrdilTa da
pediatriuli); • samedicino taxti;
• samedicino personalis individualuri dacvis
saSualebebi: samedicino xalaTi, niRabi/dolbandi,
xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli
masalisagan romelic sterildeba sveli an mSrali
sterilizaciiT _ 2-2 cali.; • invaziuri Carevis saSualebebi nemsi, Sprici,
skarifikatori, vakutaineri da sxva _ aucileblad
erTjeradi;
• xelSekruleba endoskopiur kabinetTan (standartuli
aRWurviloba endoskopiisaTvis mag.: gastroskopi,
bronqoskopi da sxva. biologiuri masalis: duodenaluri, gastraluri da sxva, _ aReba).
alternatiul SemTxvevaSi duodenaluri, gastraluri
da sxva masalis misaRebi saSualebebi (mag.:
duodenaluri zondi, Janes Sprici _ erTjeradi an
damzadebuli masalisagan, romelic sterildeba sveli
• eriTrocitebis saSualo
diametris
gansazRvra
• fetaluri
hemoglobinis citologiuri
gansazRvra
• eriTrocitebSi hemoglobin H-is
CanarTebis
aRmoCena • leikocitebis
fagocituri
aqtivobis
gamokvleva
• malariis
plazmodiumebze sisxlis sqeli
wveTisa da
nacxis
mikroskopia
• mielograma
(medulograma) • sisxlisa da
Zvlis tvinis
ujredebis
citoqimiuri
gamokvleva
(onkohematolo-gia)
• limfuri kvanZis
punqtatis
citologiuri
gamokvleva
damzadeba SeRebva
da gamokvleva;
• qalisa da
mamakacis
sasqeso organoebidan
miRebuli masalis
diagnostika;
• liqvoris
laboratoriuli gamokvleva;
• serozuli
siTxeebis
laboratoriuli
gamokvleva;
• punqtatis citologiuri
gamokvleva.
145
klinikuri laboratoria
done tipi samedicino-teqnikuri aRWurviloba nozologia
samedicino
saqmianobis
moculoba
kadrebi gamokvlevebi
1 2 4 5 7 3 6
(samedicino
aparaturis
inJineri an
samedicino
bioteqnikuri
sistemebis specialisti
an/da
xelSekruleba
samedicino
aparaturis
servis samsaxurTan,
aRniSnuli
unda
iTvaliswi-
nebdes agreTve
metrologiur momsaxureo-
bas).
an mSrali sterilizaciiT; dabali wnevis Terapiuli
eleqtruli vakuumsaqaCi).
laboratoriuli WurWeli:
• sinjarebi qimiuri da centrifugis (danayofebiani an mis
gareSe); • sazomi kolbebi (50, 100, 500, 1000 ml.-iani);
• danayofebiani qimiuri Wiqebi (100 ml.-iani);
• danayofebiani cilindrebi (100, 200, 500 ml.-iani).
SeniSvna _ laboratoriuli WurWeli unda iyos erTjeradi,
an damzadebuli masalisgan, romelic sterildeba sveli an
mSrali wesiT.
Zvlis tvinis nacxis miReba, serozuli siTxeebis,
Tavzurgtvinis siTxis (liqvoris), qalisa da mamakacis
sasqeso organoebidan masalis aReba
• saoperacio darbazi (standartuli aRWurviloba).
alternatiul SemTxvevaSi, xelSekruleba saTanado licenziis mqone ganyofilebasTan.
saproceduro (kapilaruli, venuri sisxlis aReba)
• eqimis magida;
• skami;
• mbrunavi skami (sasurvelia); • samedicino karada;
• arteriuli wnevis gasazomi arainvaziuri aparati
(mag.:sfigmomanometri, fonendoskopi: mozrdilTa da
pediatriuli);
• samedicino taxti;
• samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi / dolbandi,
saTvale, xelTaTmanebi da sxva, _ erTjeradi an
damzadebuli masalisagan, romelic sterildeba sveli an
mSrali wesiT _ 2-2 cali.;
• invaziuri Carevis saSualebebi: nemsi, Sprici,
• punqtatis citologiuri
gamokvleva
• leikokoncentrat
is gamokvleva
sisxlis gamokvleva
mgluras (LE) ujredebze
• sisxlis jgufisa
da rezusis
gansazRvra • Sardis saerTo analizi
• SardSi cilis
raodenobis
gansazRvra
• SardSi glukozis raodenobis
gansazRvra
• SardSi ketonuri sxeulebis
gansazRvra
• SardSi nitritebis
gansazRvra
• SardSi naRvlis
pigmentebis
gansazRvra
• SardSi urobilinis
gansazRvra
• hematuriis xarisxis
gansazRvra
146
klinikuri laboratoria
done tipi kadrebi nozologia
samedicino
saqmianobis
moculoba
samedicino-teqnikuri aRWurviloba gamokvlevebi
1 2 3 5 7 4 6
skarifikatori, vakutaineri da sxva, _ aucileblad
erTjeradi.
laboratoria
• samedicino personalis individualuri dacvis
saSualebebi: samedicino xalaTi, niRabi / dolbandi, saTvale, xelTaTmanebi da sxva, _ erTjeradi an
damzadebuli masalisagan, romelic sterildeba sveli an
mSrali sterilizaciiT _ 2-2c.;
• laboratoriuli magida - 3c.;
• hematologiuri analizatori (avtomaturi an
naxevradavtomaturi, daxuruli an Ria sistema). alternatiul SemTxvevaSi, _
fotoeleqtrokolorimetri an speqtrofotometri
(hemoglobinis gansazRvrisaTvis cianmethemoglobinis
meTodiT) an/da hemoglobinometri;
• Sardis analizatori (sasurvelia);
• areometri; • sisxlis ujredebis avtomaturi saTvleli.
alternatiul SemTxvevaSi, _ sisxlis ujredebis
meqanikuri saTvleli - 2 cali.;
• sanjRrevela (e.w. "Seikeri" _ meqanikuri an eleqtruli)
-(sasurvelia);
• mikroskopi: luminescenturi, fotogadaRebis SesaZleblobiT (sasurvelia);
alternatiul SemTxvevaSi, mikroskopze dasamagrebeli
mowyobiloba fotogadaRebisaTvis;
• biologiuri mikroskopi (binokularuli /
monokularuli, sinaTlis wyaro) - 3 cali.;
• goriaevis kamera - 2 cali.; • panCenkovis aparati (10 kapilariT) - 2 cali.;
• torsiuli laboratoriuli saswori;
• analizuri laboratoriuli saswori;
• laboratoriuli centrifuga;
• mikrocentrifuga hematokritis gansasazRvrad;
• SardSi formiani elementebis
raodenobis
gansazRvra
neCiporenkos
wesiT
• SardSi formiani elementebis
raodenobis
gansazRvra
adis_kakovskis
wesiT
• zimnickis cda • SardSi bens_jonsis
cilis gansazRvra
• ganavlis saerTo
analizi • ganavlis
gamokvleva
farul
sisxldenaze
• ganavlis
gamokvleva Wiis kvercxebze
• ganavlis
gamokvleva
umartivesebze
• ganavlis
gamokvleva helminTebze
• Tavzurgtvinis siTxis
(liqvoris)
laboratoriuli
147
klinikuri laboratoria
done tipi kadrebi kuri aRWurviloba nozologia
samedicino
saqmianobis
moculoba
samedicino-teqni gamokvlevebi
1 2 3 5 7 4 6
• laboratoriuli Termometri;
• laboratoriuli saaTi;
• pipeti variabeluri moculobiT (200-1000 mkl.),
erTarxiani;
• pipeti variabeluri moculobiT (50-200 mkl.),
erTarxiani; • pipeti variabeluri moculobiT (5-50 mkl.), erTarxiani;
• erTjeradi masalis bunikebi (200 mkl., 1000 mkl.),
variabeluri moculobis pipetisaTvis;
alternatiul SemTxvevaSi mravaljeradi gamoyenebis
pipetebi (0.02, 1, 2, 5, 10 ml. moculobis, minis an
masalis, romelic sterildeba sveli an mSrali sterilizaciiT). 3 - 3c.
• Stativebi sinjarebisaTvis;
• laboratoriuli amwovi karada;
• wylis gamosaxdeli laboratoriuli aparati
(distilatori).
alternatiul SemTxvevaSi xelSekruleba afTiaqTan; • Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • biqsi - 2 cali.
• karada an sadgami biqsisaTvis;
• samedicino karada - 2 cali.; • mowyobiloba mSrali sterilizaciisaTvis an orTqlis
sterilizatori _ portatiuli.
alternatiul SemTxvevaSi dawesebulebas unda
gaaCndes centraluri sasterilizacio igive
misamarTze an xelSekruleba centralur
sasterilizaciosTan;
• konteineri naxmari masalis sadezinfeqciod, TeTreulis,
da a.S. _ 2 cali.
gamokvleva
• Tavzurgtvinis siTxis
(liqvoris)
baqterioskopiul
i gamokvleva • duodenaluri
SigTavsis
laboratoriuli
gamokvleva
• plevris Rrudan
miRebuli siTxis saerTo
klinikuri da
baqterioskopiu-
li analizi.
• peritoniumis Rrudan miRebuli siTxis saerTo
klinikuri da
baqterioskopiu-
li analizi
• perikardiumis Rrudan miRebuli siTxis saerTo
klinikuri da
baqterioskopiu-
li analizi
• kuWis wvenis mJavianobis gansazRvra
• Rru organoTa SigTavsis
klinikuri da
citologiuri
148
klinikuri laboratoria
done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia
samedicino
saqmianobis
moculoba
gamokvlevebi
1 2 3 5 7 4 6
laboratiuli WurWeli
• sinjarebi;
• centrifugis sinjarebi (danayofebiani an mis gareSe);
• qimiuri sinjarebi;
• danayofebiani qimiuri Wiqebi (100 ml.-iani);
• sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani);
• sasagne minebi.
SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi
an masalis, romelic sterildeba sveli an mSrali wesiT.
sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an centraluri sasterilizacio)
• sruli aRWurviloba, saTanado donis samedicino
dawesebulebis (IV an III donis sasterilizacio,
sadezinfeqcio an centraluri sasterilizacio)
samsaxuris uzrunvelsayofad.
alternatiul SeTxvevaSi, _ xelSekruleba saTanado teqnikuri infrastuqturis sabazo dawesebulebasTan.
eqimTa uwyveti ganaTleba (eqimTa uwyveti ganaTlebis
organizacia)
• sruli aRWurviloba, saTanado donis (eqimTa uwyveti
ganaTleba, eqimTa uwyveti ganaTlebis organizacia) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi, _ xelSekruleba saTanado
teqnikuri infrastruqturis sabazo dawesebulebasTan.
postdiplomuri specializaciis sabazo dawesebuleba
• sruli aRWurviloba saTanado donis (postdiplomuri specializaciis sabazo dawesebuleba) saqmianobis
Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi, _ xelSekruleba saTanado
teqnikuri infrastruqturis sabazo dawesebulebasTan.
gamokvleva
• kanidan da lorwovani
garsidan
miRebuli masalis
citologiuri da baqterioskopiu-
li gamokvleva
• Tvalis
lorwovanidan
aRebuli nacxis
citologiuri da baqterioskopiu-
li gamokvleva
• saSos nacxis citologiuri da
baqterioskopiu-
li gamokvleva • ureTris nacxis citologiuri da
baqterioskopiu-
li gamokvleva
• saSos sisufTavis xarisxis dadgena
• nacxis gamokvleva
pirdapiri
imunofluores-
cenciiT
qlamidiebze,
virusebze da sxva
• nacxis baqterioskopia
gonokokze _
gramis wesiT
149
klinikuri laboratoria
done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia
samedicino
saqmianobis
moculoba
gamokvlevebi
1 2 3 4 5 7 6
umaRlesi samedicino saganmanaTleblo dawesebulebebis
(ganaTlebis saministros mier licenzirebuli) sabazo
klinikuri saqmianoba
• sruli aRWurviloba saTanado donis (umaRlesi
samedicino saganmanaTleblo dawesebulebebis, ganaTlebis
saministros mier licenzirebuli sabazo klinikuri saqmianoba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi, _ xelSekruleba saTanado
teqnikuri infrastruqturis sabazo dawesebulebasTan.
saSualo samedicino personalis ganaTleba
• sruli aRWurviloba saTanado donis (saSualo samedicino personalis ganaTleba) saqminobis Sesabamisad,
moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi, _ xelSekruleba saTanado
teqnikuri infrastruqturis sabazo dawesebulebasTan.
• winamdebare jirkvlis
sekretis
laboratoriuli
gamokvleva
• spermograma • anabeWdisa da nacxis
citologiuri
gamokvleva
• sxvadasxva paTologiuri masalis
gamokvleva BK-ze
• naxvelis saerTo
laboratoriuli
gamokvleva
150
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia
gamokvlevebi
samedicino
saqmianobis
moculoba
1 2 3 4 5 6 7
IV • speciali-
zebuli
samecniero-
kvleviTi
instituti
• speciali-zebuli
• centri • sauniver-siteto
(akademiis) klinika
• centris xelmZRvaneli
(kuratori) –
eqimi
laboranti
(umaRlesi samedicino
ganaTleba –
serTifikati
laboratori-
ul medicinaSi da sxva).
• laboratoriis
(ganyofileba)
xelmZRvaneli
(gamge) an laboratoriis
kuratori –
eqimi
laboranti
(umaRlesi
samedicino ganaTleba –
serTifikati
laborato-
riul
medicinaSi)
• eqimi laboranti
(umaRlesi
samedicino
ganaTleba –
samedicino dawesebulebis teqnikuri infrastruqtura
(alterntiuli kvebis wyaro, gaTboba kondicirebisa da
ventilaciis sistema, wyal – sakanalizacio sistema).
sruli aRWurviloba, saTanado donis samedicino dawesebulebis
(laboratoriuli saqmianoba, samedicino saqmianobis IV, III done), teqnikuri infrastruqturis (centraluri an
avtonomiuri) samsaxuris uzrunvelyofisaTvis.
alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri
infrastruqturis mqone sabazo dawesebulebasTan.
• avariuli kvebis wyaro (avtonomiuri kvebis wyaro, calke
damatebiTi xazi) an generatori simZlavriT aranakleb 2,5
kvt.-isa;
• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzom-makalibrebeli aparaturis stabiluri kvebis uzrunvelyofisaTvis;
• gaTboba_kondicirebisa da ventilaciis sistema
(centraluri an avtonomiuri);
• sakanalizacio sistema (centraluri an avtonomiuri)
• wyalmomaragebis sistema (civi wyali, cxeli wyali, _
centraluri an avtonomiuri); • xelsabani (qirurgis niJara);
• karada sadezinfeqcio xsnarebisaTvis;
• konteineri (Tasi an abazana) laboratoriuli WurWlis,
instrumentebis dezinficirebisaTvis - 2c.
samedicino informaciuli samsaxuri (teqnologiebi, samedicino statistika, monacemTa baza, sakomunikacio saSualebebi mag.
interneti, faqsi da a.S.).
• personaluri kompiuteri (standartuli kompleqtacia:
monitori, procesori, printeri Zabvis stabilizatori an
yvela
nozologiis
bioqimiuri
diagnostika.
• saerTo cilis
gansazRvra
sisxlSi
• albuminis
gansazRvra
sisxlSi • Sardovanas gansazRvra
sisxlSi
• kreatininis gansazRvra sisxlSi
• SardmJavas gansazRvra
sisxlSi
• glukozis
gansazRvra sisxlSi
• trigliceride-
bis gansazRvra
sisxlSi
• saerTo qolesterinis gansazRvra
sisxlSi
• maRali
simkvrivis
qolesterinis
gansazRvra sisxlSi
• dabali
simkvrivis
qolesterinis
gansazRvra
• sisxlis
aReba -
kapilaruli,
venuri;
• Sratis gamoyofa,
plazmis
miReba;
• bioqimiuri gamokvleve-
bis Catareba.
151
bioqimiuri laboratoriuli gamokvlevebi
done tipi nozologia
samedicino
saqmianobis
moculoba
kadrebi samedicino-teqnikuri aRWurviloba gamokvlevebi
1 2 5 7 3 4 6
serTifikati
laborato-
riul
medicinaSi).
• laboratori-uli medicinis
specialisti
(umaRlesi
arasamedicino
ganaTleba –
biologi an analitikuri
qimiis
specialisti -
serTifikati
laborato-
riul medicinaSi).
• saSualo
(teqnikuri)
laboranti
(saSualo teqnikuri
ganaTleba)
• preparatori (sanitari)
• klinikuri
inJineri
(samedicino
aparaturis
inJineri an
mudmivi kvebis wyaro (UPS), internetis modemi, programuli
uzrunvelyofa mag. monacemTa baza, buhxalteria da a.S.) _
(sasurvelia);
• telefonis xazi - faqsis aparati (sasurvelia);
• eqimis magida;
• skami; • karada.
saproceduro (masalis aReba)
• eqimis magida;
• skami;
• mbrunavi skami (sasurvelia); • samedicino karada;
• arteriuli, arainvaziuri wnevis gasazomi aparati (mag.:
sfigmomanometri, fonendoskopi: mozrdilTa da
pediatriuli);
• samedicino taxti;
• samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale,
_ erTjeradi an damzadebuli masalisagan romelic
sterildeba sveli an mSrali sterilizaciiT _ 2-2c.;
• invaziuri Carevis saSualebebi nemsi, Sprici, skarifikatori,
vakutaineri da sxva _ aucileblad erTjeradi;
laboratoria
• samedicino personalis individualuri dacvis saSualebebi:
samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale,
_ erTjeradi an damzadebuli masalisagan romelic
sterildeba sveli an mSrali sterilizaciiT _ 2-2c.;
• laboratoriuli magida - 3c.; • bioqimiuri analizatori avtomaturi an naxevradavtomaturi,
daxuruli an Ria sistema.
• imunofermentuli analizatori avtomaturi an
naxevradavtomaturi, daxuruli an Ria sistema (hormonebis
gansazRvrisaTvis);
sisxlSi
• saerTo bilirubinis
gansazRvra
sisxlSi
• pirdapiri bilirubinis
gansazRvra
sisxlSi
• laqtatdehidro
genazas
gansazRvra sisxlSi
• aspartataminotansferazas
gansazRvra
sisxlSi
• alaninaminotransferzas
gansazRvra
sisxlSi
• gama-glutamiltrsf
erazas gansazRvra
sisxlSi
• tute fosfatazas
gansazRvra
sisxlSi • kreatinkinazas gansazRvra
sisxlSi
• kreatinkinazas MB fraqciis
152
bioqimiuri laboratoriuli gamokvlevebi
done tipi nozologia
samedicino
saqmianobis
moculoba
kadrebi samedicino-teqnikuri aRWurviloba gamokvlevebi
1 2 5 7 3 4 6
samedicino
bioteqnikuri
sistemebis
specialisti
an/da
xelSekruleba samedicino
aparaturis
servis
samsaxurTan,
aRniSnuli
unda iTvaliswineb-
des agreTve
metrologiur
momsaxureobas)
• vitaminebis ganmsazRvreli analizatori avtomaturi an
naxevradavtomaturi, daxuruli an Ria sistema - sasurveli,
magram araaucilebeli;
• eleqtrolitebis ganmsazRvreli analizatori avtomaturi
an naxevradavtomaturi, daxuruli an Ria sistema.
alternatiul SemTxvevaSi, aliani fotometri; • koagulaciis ganmsazRvreli aparati avtomaturi an
naxevradavtomaturi, daxuruli an Ria sistema.
alternatiul SemTxvevaSi, wylis Termostati;
• sisxlis gazebis ganmsazRvreli analizatori avtomaturi an
naxevradavtomaturi, daxuruli an Ria sistema (sisxlSi
mJava-tutovani wonasworobis da airTa Semcvelobis ganmsazRvreli) - sasurveli, magram araaucilebeli;
• sanjRrevela (e.w. Seikeri meqanikuri an eleqtruli) -
sasurvelia;
• torziuli laboratoriuli saswori;
• analizuri laboratoriuli saswori;
• laboratoriuli centrifuga; • maRali sixSiris centrifuga;
• laboratoriuli Termometri;
• laboratoriuli saaTi;
• wamzomi;
• pipeti variabeluri moculobebiT (200-1000 mkl.),
erTarxiani; • pipeti variabeluri moculobebiT (50-200 mkl.),
erTarxiani;
• pipeti variabeluri moculobebiT (5-50 mkl.), erTarxiani;
• erTjeradi masalis bunikebi (200 mkl., 1000 mkl.),
variabeluri moculobis pipetisaTvis;
alternatiul SemTxvevaSi mravaljeradi gamoyenebis pipetebi (0.02, 1, 2, 5, 10 ml. moculobis, minis an
masalis, romelic sterildeba sveli an mSrali
sterilizaciiT). 3 - 3c.
• Stativebi sinjarebisaTvis;
• laboratoriuli amwovi karada;
gansazRvra
sisxlSi
• alfa-amilazs
gansazRvra
sisxlSi
• natriumis gansazRvra
sisxlSi
• kaliumis
gansazRvra
sisxlSi
• kalciumis gansazRvra
sisxlSi
• sisxlis mJava-
tutovani
wonasworobis
gansazRvra • rkinis gansazRvra
sisxlSi
• magniumis gansazRvra
• sisxlSi • Tireotropuli
hormonis
gansazRvra
sisxlSi
• Tiroqsinis gansazRvra sisxlSi
• A vitaminis gansazRvra
sisxlSi
• E vitaminis
153
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi nozologia
samedicino
saqmianobis
moculoba
samedicino-teqnikuri aRWurviloba gamokvlevebi
1 2 3 5 7 4 6
• wylis gamosaxdeli laboratoriuli aparati
(distilatori).
alternatiul SemTxvevaSi xelSekruleba afTiaqTan;
• Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • macivari Rrma gayinvisaTvis (-200C); • biqsi - 2c.;
• karada an sadgami biqsisaTvis;
• samedicino karada - 2c.;
• mowyobiloba mSrali sterilizaciisaTvis an orTqlis
sterilizatori _ portatiuli. alternatiul SemTxvevaSi dawesebulebas unda gaaCndes
centraluri sasterilizacio igive misamarTze an
xelSekruleba centralur sasterilizaciosTan;
• konteineri naxmari masalis dezinficirebisaTvis,
TeTreulis, da a.S. _ 2c.
laboratoriuli WurWeli
• sinjarebi;
• centrifugis sinjarebi (danayofebiani an mis gareSe);
• qimiuri sinjarebi;
• danayofebiani qimiuri Wiqebi (100 ml.-iani);
• sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani);
SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi an
masalis, romelic sterildeba sveli an mSrali sterilizaciiT.
sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio
an centraluri sasterilizacio) • sruli aRWurviloba, saTanado donis samedicino
dawesebulebis (IV an III donis sasterilizacio,
sadezinfeqcio an centraluri sasterilizacio) samsaxuris
uzrunvelyofisaTvis.
alternatiul SeTxvevaSi xelSekruleba saTanado
gansazRvra
sisxlSi
• revmatoiduli
faqtoris
gansazRvra
sisxlSi • C reaqtiuli
cilis
gansazRvra
sisxlSi
• difenilaminis
cda • antistreptoli
zini O -s
gansazRvra
sisxlSi
hemostazi
• koagulograma
• Trombocitebis agregaciis da
adhezivobis
gansazRvra • sisxlis
Sededebis dro
li da uaitis
mixedviT
• plazmis
rekalcifika-ciis dro
• aqtivirebuli
nawilobrivi
Tromboblasti-
nis (aPTT) dro
154
bioqimiuri laboratoriuli gamokvlevebi
done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia
samedicino
saqmianobis
moculoba
gamokvlevebi
1 2 3 4 5 7 6
teqnikuri infrastuqturis sabazo dawesebulebasTan.
eqimTa uwyveti ganaTleba (eqimTa uwyveti ganaTlebis
organizacia)
• sruli aRWurviloba, saTanado donis (eqimTa uwyveti
ganaTleba, eqimTa uwyveti ganaTlebis organizacia) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi xelSekruleba saTanado
teqnikuri infrastruqturis sabazo dawesebulebasTan.
postdiplomuri specializaciis sabazo dawesebuleba
• sruli aRWurviloba saTanado donis (postdiplomuri specializaciis sabazo dawesebuleba) saqmianobis
Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi xelSekruleba saTanado
teqnikuri infrastruqturis sabazo dawesebulebasTan.
umaRlesi samedicino saganmanaTleblo dawesebulebebis (ganaTlebis saministros mier licenzirebuli) sabazo
klinikuri saqmianoba
• sruli aRWurviloba saTanado donis (umaRlesi samedicino
saganmanaTleblo dawesebulebebis, ganaTlebis saministros
mier licenzirebuli sabazo klinikuri saqmianoba)
saqminobis Sesabamisad, moTxovnis SemTxvevaSi. alternatiul SemTxvevaSi xelSekruleba saTanado
teqnikuri infrastruqturis sabazo dawesebulebasTan.
saSualo samedicino personalis ganaTleba
• sruli aRWurviloba saTanado donis (saSualo samedicino
personalis ganaTleba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi.
alternatiul SemTxvevaSi xelSekruleba saTanado
teqnikuri infrastruqturis sabazo dawesebulebasTan.
• VIII faqtoris aqtivobis
gansazRvra
• IX faqtoris aqtivobis
• gansazRvra • proTrombinis indeqsis
gansazRvra
• saerTaSoriso normalizebuli
Sefardebis (INR) gansazRvra
• Trombinis dro • fibrinogenis koncentraciis
gansazRvra • antiTrombini III-is
gansazRvra
• protein C -s gansazRvra
• fibrinolizuri aqtivobis
gansazRvra
Tavi V
nozologiebis CamonaTvali daavadebaTa
saerTaSoriso klasifikaciis ICD-10 - is mixedviT
155
zogadi saeqimo praqtika / ojaxis eqimi (I-IV done)
kodi nozologia
L00 stafilokokuri damduRruli kanis sindromi
L01 impetigo
L02 kanis abscesi, furunkuli da karbunkuli
L03 celuliti
L04 mwvave limfadeniti
L05 piloniduri kista
L08 kanis da kanqveSa qsovilis sxva lokaluri infeqciebi
L20 atopuri dermatiti
L21 seboreuli dermatiti
L22 saxvevis dermatiti
L23 alergiuli kontaqturi dermatiti
L24 gamRizianebliT gamowveuli kontaqturi dermatiti
L25 dauzustebeli kontaqturi dermatiti
L26 eqsfoliaciuri dermatiti
L27 dermatiti gamowveuli Sinaganad miRebuli nivTierbebeiT
L28 martivi, qronikuli liqeni da prurigo
L29 qavili
L30 sxva dermatitebi
L40 fsoriazi
L42 vardisferi pitiriazi
L43 brtyeli liqeni
L50 urtikaria (WinWris) cieba
L55 namzeuri
L70 akne
L75 apokrinuli saofle jirkvlebis darRvevebi
L80 vitiligo
L89 nawolis wyluli
J00-J06 zeda sasunTqi gzebis mwvave infeqciebi
J10-J18 gripi da pnevmonia
J20-J22 qveda sasunTqi gzebis sxva mwvave infeqciebi
J30-J39 zeda sasunTqi gzebis sxva avadmyofobebi
J40-J47 qveda sasunTqi gzebis qronikuli avadmyofobebi
J60-J70 filtvebis avadmyofobani gamowveuli garegani faqtorebiT
J80-J84 sasunTqi sistemis sxva avadmyofobebi, intersticiebis upiratesi dazianebiT
J85-J86 qveda sasunTqi gzebis Cirqovani da nekrozuli procesebi
J90-J94 plevris sxva avadmyofobebi
J95-J99 sasunTqi sistemis sxva avadmyofobebi
I00-I02 mwvave revmatizmi
I05-I09 gulis qronikuli revmatiuli avadmyofobebi
I10-I15 hipertenziuli avadmyofobebi
I20-I25 gulis iSemiuri avadmyofobebi
I26-I28 gulis filtvismieri avadmyofoba da sisxlis mimoqcevis mcire wris avadmyofobebi
I30-I52 gulis avadmyofobaTa sxva formebi
I60-I69 cerebrovaskularuli avadmyofobebi
I70-I79 arteriebis, arteriolebis da kapilerebis avadmyofobebi
I80-I89 venebis, limfuri sadinrebis da limfuri kvanZebis avadmyofobebi, romlebic sxvagan ar
156
kodi nozologia
arian klasificirebuli
I95-I99 sisxlis mimoqcevis sistemis sxva da dauzustebeli bunebis avadmyofobebi
K11 sanerwyve jirkvlebis avadmyofobebi
K12 stomatiti da masTan dakavSirebuli dazianebebi
K13 tuCisa da piris Rrus lorwovanis sxva avadmyofobebi
K14 enis avadmyofobebi
K20-K31 saylapavis, kuWis da Tormetgoja nawlavis avadmyofobebi
K35-K38 Wia nawlavis avadmyofobebi
K40-K46 Tiaqari
K50-K52 arainfeqciuri enteritebi da kolitebi
K55-K63 nawlavebis sxva avadmyofobebi
K65-K67 peritoneumis avadmyofobebi
K70-K77 RviZlis avadmyofobebi
K80-K87 naRvlis buStis, sanaRvle gzebis da pankreasis avadmyofobebi
K90 nawlavuri malabsorbcia
K91 saWmlis momnelebeli sistemis postproceduruli dazianebebi, romlebic ar aris
Setanili sxva klasifikaciebSi
N00-N08 gorglebis avadmyofobebi
N10-N16 Tirkmlis tubulo-intersticiuli avadmyofobebi
N17-N19 Tirkmlis ukmarisoba
N20-N23 uroliTiazi
N30 cistiti
N31 Sardis buStis nerv-kunTovani disfunqcia, romelic ar aris Setanili sxva
klasifikaciebSi
N32 Sardis buStis sxva dazianebebi
N33 Sardis buStis dazianebebi im avadmyofobaTa dros, romlebic Setanilia sxva
klasifikaciebSi
N34 ureTriti da ureTruli sindromi
N35 Sardsadenis Seviwroeba
N36 Sardsadenis sxva avadmyofobebi
N37 Sardsadenis dazianebebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi
N39 saSarde sistemis sxva dazianebani
N40 winamdebare jirkvlis hiperplazia
N41 winamdebare jirkvlis anTebiTi avadmyofobebi
N42 winamdebare jirkvlis sxva dazianebebi
N43 hidrocele da spermatocele
N44 saTesle jirkvlis Semogrexa
N45 orqiti da epididimiti
N46 mamakacis unayofoba
N47 grZeli CuCa, fimozi, parafimozi
N48 asos sxva dazianebebi
N49 mamakacis sasqeso organoebis anTebiTi avadmyofobebi, romlebic ar aris Setanili sxva
klasifikaciebSi
N70-N77 qalis menjis Rrus organoebis anTebiTi avadmyofobebi
N80-N98 qalis sasqeso sistemis araanTebiTi dazianebebi
D50 rkina-deficituri anemia
D51 vitamin B12-deficituri anemia D52 folat-deficituri anemia
D55 anemia, gamowveuli fermentuli darRvevebiT
D56 Talasemia
D57 namglisebur ujredovani avadmyofobebi
157
kodi nozologia
D59 SeZenili hemolizuri anemia
D60 SeZenili WeSmariti wiTelujredovani aplazia (eriTroblastopenia)
D61 sxva aplaziuri anemiebi
D62 mwvave posthemoragiuli anemia
D63 anemia im qronikuli avadmyofobebis dros, romlebic Setanilia sxva klasifikaciebSi
D65 diseminirebuli sisxlZarRvSida Sededeba (defibrinaciuli sindromi)
D66 VIII faqtoris memkvidruli deficiti
D67 IX faqtoris memkvidruli deficiti
D68 koagulaciis sxva defeqtebi
D69 purpura da sxva hemoragiuli mdgomareobebi
D70 agranulocitozi
D71 polimorfulbirTviani neitrofilebis funqciuri darRvevebi
D72 sisxlis TeTri ujredebis sxva dazianebebi
D73 elenTis avadmyofobebi
D74 meThemoglobinemia
D77 sisxlisa da sisxlmbadi organoebis sxva saxis dazianebebi im avadmyofobaTa dros,
romelic Setanilia sxva klasifikaciebSi
D80 upiratesad antisxeulebis defeqtebiT mimdinare imunodeficiti
D81 kombinaciuri imunodeficituri mdgomareobebi
D82 imunodeficiti, dakavSirebuli sxva mniSvnelovan defeqtebTan
D83 zogadi cvalebadi imunodeficiti
D84 sxva imunodeficituri mdgomareobebi
D86 sarkoidozi
E00 Tandayolili iod-deficituri sindromi
E01 farisebri jirkvlis iodis deficitTan dakavSirebuli dazianebani da msgavsi
mdgomareobani
E02 subklinikuri iod-deficituri hipoTireozi
E03 hipoTireozis sxva formebi
E04 aratoqsiuri Ciyvis sxva formebi
E05 Tireotoqsikozi
E06 Tiroiditi
E10 insulidamokidebuli Saqriani diabeti
E11 insulindamoukidebeli Saqriani diabeti
E12 arasakmaris kvebasTan dakavSirebuli Saqriani diabeti
E13 Saqriani diabetis sxva dazustebuli formebi
E14 dauzustebeli Saqriani diabeti
E15 aradiabeturi hipoglikemiuri koma
E16 pankreasis SigTavsis sekreciis sxva darRvevebi
E20 hipoparaTireozi
E21 hiperparaTireozi da farisebraxlo jirkvlebis sxva darRvevebi
E22 hipofizis hiperfunqcia
E23 hipofizis hipofunqcia da sxva darRvevebi
E24 kuSingis sindromi
E25 adrenogenitaluri darRvevebi
E26 hiperaldosteronizmi
E28 sakvercxeebios disfunqcia
E29 saTesle jirkvlis disfunqcia
E30 sqesobrivi momwifebis darRvevebi, romelic ar aris Setanili sxva klasifikaciebSi
E31 poliglanduluri hiperfunqcia
E32 Timusis avadmyofobebi
158
kodi nozologia
E35 endokrinuli jirkvlebis dazianebebi im avadmyofobebis dros, romlebic Setanilia sxva
klasifikaciebSi
E40-E46 sakvebis arasakmao raodenobiT miReba
E50 A vitaminis deficiti E51 Tiaminis deficiti
E52 nikotinmJavas deficiti (pelagra)
E53 B jgufis sxva vitaminebis deficiti E54 askorbinis mJavis deficiti
E55 D vitaminis deficiti E56 sxva vitaminebis deficiti
E58 sakvebSi kalciumis deficiti
E59 sakvebSi seleniumis deficiti
E60 sakvebSi TuTiis deficiti
E64 kvebis deficitisa da sxva sakvebi elementebis deficitis Sedegebi
E65 adgilobrivi simsuqne
E66 simsuqne
E67 Warbi kvebis sxva saxeebi
E68 hiperalimentaciis Sedegebi
E70 aromatuli aminomJavebis metabolizmis darRvevebi
E71 ganStoebuljaWviani aminomJavebisa da cximovani mJavebis metabolizmis darRvevebi
E72 aminomJavebis metabolizmis sxva darRvevebi
E73 laqtozis autanloba
E74 naxSirwylebis metabolizmis sxva darRvevebi
E75 sfingolipidebis metabolizmis darRvevebi da lipidebis dagrovebis sxva darRvevebi
E76 glikozaminoglikanebis darRvevebi, dauzustebeli
E77 glikoproteinebis metabolizmis darRvevebi
E78 lipoproteinebis metabolizmis darRvevebi da sxva lipidemiebi
E79 purinebisa da piramidinebis metabolizmis darRvevebi
E80 porfirinebis da bilirubinis metabolizmis darRvevebi
E83 mineraluri cvlis darRvevebi
E84 cisturi fibrozi
E85 amiloidozi
E86 moculobis Semcireba
E87 siTxeebis, eleqtrolitebis da mJava-tutovani wonasworobis sxva darRvevebi
E90 alimenturi da metaboluri darRvevebi im avadmyofobebis dros, romlebic Setanilia sxva
klasifikaciebSi
M00-M03 infeqciuri arTropaTiebi
M05 serozuli revmatoiduli arTriti
M06 sxva revmatoiduli arTritebi
M07 fsoriazuli da enteropaTiuli arTropaTiebi
M08 iuveniluri arTritebi
M09 iuveniluri arTriti im avadmyofobaTa dros, romlebic klasificirebulni arian sxvagan
M10 nikrisi (podagra)
M14 arTropaTiebi im avadmyofobaTa dros, romlebic klasificirebulni arian sxvagan
M15 poliarTrozi
M16 koksarTrozi (menj-barZayis saxsris arTrozi)
M17 gonarTrozi (muxlis saxsris arTrozi)
M18 pirveli maja-nebis saxsris arTrozi
M20-M25 sxva saxsrebis dazianebebi
M30 kvanZovani poliarteriiti da masTan dakavSirebuli mdgomareobebi
159
kodi nozologia
M31 sxva manekrozebeli vaskulopaTiebi
M32 sistemuri wiTeli mglura
M33 dermatopolimioziti
M34 sistemuri sklerozi
M36 SemaerTebeli qsovilis sistemuri dazianebebi im avadmyofobaTa dros, romlebic
klasificirebulni arian sxvagan
M40 kifozi da lordozi
M41 skoliozi
M42 xerxemlis osteoqondrozi
M45 maankilozebeli spondiliti
M46 sxva anTebiTi spondilopaTiebi
M47 spondilozi
M49 spondilopaTiebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi
M50 kisris diskebis dazianebebi
M51 malTaSua diskebis sxva dazianebebi
M54 dorsalgia (zurgis tkivili)
M60 mioziti
M61 kunTis kalcifikacia da osifikacia
M63 kunTis dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi
M65 sinoviti da tenosinoviti
M66 sinoviuri garsisia da myesis mTlianobis spontanuri darRveva
M68 sinoviuri garsisa da myesis dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva
klasifikaciebSi
M70 rbili qsovilebis dazianebani dakavSirebuli datvirTvasTan da zewolasTan
M71 sxva bursopaTiebi
M72 fibroblasturi dazianebani
M73 rbili qsovilebis dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva
klasifikaciebSi
M75 mxris dazianebani
M76 qveda kiduris enTesopaTiebi
M80 osteoporozi paTologiuri motexilobiT
M81 osteoporozi paTologiuri motexilobis gareSe
M82 osteoporozi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi
M83 mozrdilTa osteomalacia
M84 Zvlis mTlianobis darRvevebi
M86 osteomieliti
M87 osteonekrozi
M88 Zvlis hejetis avadmyofoba (madeformirebeli osteiti)
M89 Zvlis sxva dazianebebi
M90 osteopaTiebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi
M91 barZayisa da menjis iuveniluri osteoqondrozi
M92 sxva iuveniluri osteoqondrozebi
M93 sxva osteoqondropaTiebi
M94 xrtilis sxva dazianebani
A00 qolera
A01 muclis tifi da paratifi
A03 Sigelozi
A05 sxva baqteriuli sakvebismieri intoqsikaciebi
A06 amebiazi
A08 nawlavTa virusuli da sxva dazustebuli etiologiis infeqciebi
160
kodi nozologia
A09 savaraudo infeqciuri warmoSobis diarea da gastroenteriti
A15-A19 tuberkulozi
A20-A28 zogierTi zoonozuri baqteriuli avadmyofoba
A30 keTri (hanzenis avadmyofoba)
A31 sxva mikobaqteriebiT gamowveuli infeqcia
A32 listeriozi
A33 axalSobilTa tetanusi
A34 sameano tetanusi
A35 sxva tetanusi
A36 difteria
A37 yivanaxvela
A38 qunTruSa
A39 meningokokuri infeqciebi
A40 streptokokuri septicemia
A41 sxva septicemiebi
A42 aqtinomikozi
A43 nokardiozi
A44 bartonelozi
A46 wiTeli qari
A50 Tandayolili aTaSangi
A51 adreuli aTaSangi
A52 mogvianebiTi aTaSangi
A53 sxva da dauzustebeli aTaSangi
A54 gonokokuri infeqcia
A55 qlamidiuri limfogranuloma (veneriuli)
A56 sqesobrivi gziT gadamdebi sxva qlamidiuri avadmyofobebi
A57 Sankroidi
A58 sazardulis granuloma
A59 triqomoniazi
A60 ano-genitaluri herpesvirusuli (martivi herpesi) infeqciebi
A68 SebrunebiTi tifi
A75 partaxtiani tifi
A80 mwvave poliomieliti
A81 centraluri nervuli sistemis infeqciebi, gamowveuli neli moqmedebis virusiT
A82 cofi
A83 mwerismieri virusuli encefaliti
A84 tkipismieri virusuli encefaliti
A85 sxva virusuli encefalitebi, romlebic ar aris Setanili sxva klasifikaciebSi
A86 dauzustebeli virusuli encefalitebi
A87 virusuli meningiti
A89 centraluri nervuli sistemis dauzustebeli virusuli infeqciebi
B00 herpesvirusuli (martivi herpesi) infeqciebi
B01 Cutyvavila
B02 zosteri
B03 yvavili
B04 maimunis yvaviliT gamowveuli infeqcia
B05 wiTela
B06 wiTura
B07 virusuli meWeWebi
B15 mwvave hepatiti A
161
kodi nozologia
B16 mwvave hepatiti B
B17 sxva mwvave virusuli hepatiti
B18 qronikuli virusuli hepatiti
B19 dauzustebeli virusuli hepatiti
B20 adamianis imunodeficitis virusiT (aiv) gamowveuli avadmyofoba gamovlinebuli
inefeqciuri da parazituli daavadebebi
B21 adamianis imunodeficitis virusiT (aiv) gamowveuli avadmyofobis Sedegad ganviTarebuli
avTvisebiani simsivneebi
B22 adamianis imunodeficitis virusiT (aiv) gamowveuli avadmyofobis Sedegad ganviTarebuli
sxva dauzustebeli avadmyofobebi
B23 adamianis imunodeficitis virusiT (aiv) gamowveuli avadmyofobis Sedegad ganviTarebuli
sxva mdgomareobebi
B24 adamianis imunodeficitis virusiT (aiv) gamowveuli dauzustebeli avadmyofobebi
B25 citomegalovirusuli avadmyofoba
B26 ybayura
B27 infeqciuri mononukleozi
B30 virusuli koniuqtiviti
B50 malaria gamowveuli Plazmodium falsifarum-iT
B51 malaria gamowveuli Plazmodium vivax-iT B52 malaria gamowveuli Plazmodium malariae-iT B53 sxva malariebi dadasturebuli parazitologiuri gamokvlevebiT
B54 malaria, dauzustebeli
B55 leiSmaniozi
F00-F09 organuli warmoSobis aSlilobani, simptomur-fsiqikur aSlilobaTa CaTvliT
F30-F39 guneba-ganwyobis (afeqturi) aSlilobani
F40-F48 nevrozuli, stresTan dakavSirebuli da somatoformuli aSlilobani
F50-F59 qceviTi sindromebi, dakavSirebuli fiziologiuri darRvevebTan da fizikur faqtorebTan
G00-G09 centraluri nervuli sistemis anTebiTi avadmyofobebi
G20 parkinsonis avadmyofoba
G21 meoradi parkinsonizmi
G22 parkinsonizmi im avadmyofobebis dros, romlebic Setanilia sxva klasifikaciebSi
G30 alchaimeris avadmyofoba
G31 nervuli sistemis sxva degeneraciuli avadmyofobebi, romlebic ar aris Setanili sxva
klasifikaciebSi
G32 nervuli sistemis sxva degeneraciuli dazianebebi im avadmyofobaTa dros, romlebic
Setanilia sxva klasifikaciebSi
G35 gafantuli sklerozi
G40-G47 epizoduri da paroqsizmuli darRvevebi
G50-G59 nervis, nervuli fesvisa da wnulis dazianebebi
H00-H06 quTuTos, sacremle sistemisa da Tvalbudis dazianebebi
H10-H13 koniunqtivis dazianebebi
H15-H22 skleris, rqovanas, feradi garsisa da cilialuri sxeulis dazianebebi
H25-H28 brolis dazianebebi
H40-H42 glaukoma
H60 gareTa yuris anTeba
H61 gareTa yuris sxva dazianebani
H62 gareTa yuris dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva
klasifikaciebSi
H65 Sua yuris araCirqovani anTeba
H66 Sua yuris Cirqovani da dauzustebeli anTebebi
H67 Sua yuris anTeba im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi
H68 evstaqis milis anTeba da obstruqcia
162
kodi nozologia
H69 evstaqis milis sxva dazianebani
H70 mastoiditi da masTan dakavSirebuli mdgomareobani
H71 Sua yuris qolesteatoma
H72 dafis apkis perforacia
H80 otosklerozi
H81 karibWis funqciis darRvevebi
H82 Tavbrusxvevis sindromebi im avadmyofobaTa dros, romlebic Setanilia sxva
klasifikaciebSi
H92 otalgia da gamonadeni yuridan
O00 saSvilosnosgare orsuloba
O01 buStnamqeri
O02 ganayofierebis sxva paTologiuri Sedegebi
O03 spontanuri aborti
O10 adre arsebuli hipertenziiT garTulebuli orsuloba, mSobiaroba da loginobis xana
O16 dedis dauzustebeli hipertenzia
O20 sisxldena orsulobis adreul periodSi
O45 placentis naadrevi acla
O46 sisxldena mSobiarobamde, romelic ar aris Setanili sxva klasifikaciebSi
O85 melogineTa sefsisi
O86 loginobis xanis sxva infeqciebi
O87 venuri garTulebebi loginobis xanaSi
O91 sarZeve jirkvlis infeqciebi, dakavSirebuli mSobiarobasTan
O92 sarZeve jirkvlisa da laqtaciis sxva paTologiebi, dakavSirebuli mSobiarobasTan
S00-S09 dazianebebi Tavis areSi
S10-S19 kisris dazianebebi
S20-S29 gulmkerdis dazianebebi
S30-S39 muclis, zurgis qveda nwilis, xerxermlis welis nawilis da menjis dazianebebi
S40-S49 zeda kiduris, sartylisa da mxris dazianebebi
S50-S59 idayvisa da winamxris dazianebebi
S60-S69 majisa da xelis mtevnis dazianebebi
S70-S79 menj-barZayis saxsrisa da barZayis dazianebebi
S80-S89 muxlisa da wvivis midamos dazianebebi
S90-S99 koW-wvivis saxsrisa da terfis dazianebebi
T00-T07 dazianebebi, romlebic moicavs sxeulis sxvadasxva midamos
T08-T14 torsis, kidurebis an sxeulis romelime midamos dauzustebeli nawilis dazianebebi
T15-T19 bunebrivi xvreliT moxvedrili ucxo sxeulis efeqti
T20-T32 damwvrobebi da koroziebi
T33-T35 moyinva
T36-T50 samkurnalwamlo saSualebebiT, medikamentebiT da biologiuri nivTierebebiT mowamvla
T51-T65 ZiriTadad arasamedicino daniSnulebis substanciebis toqsiuri efeqti
T66-T78 garegani mizezebiT gamowveuli sxva da dauzustebeli efeqtebi
Z70-Z76 pirebi, romlebic mimarTaven janmrTelobis dacvis samsaxurebs sxva garemoebebSi
Z80-Z99 pirebi janmrTelobis mdgomareobisTvis potenciuri safrTxiT, rac dakavSirebulia
ojaxur da pirad anamnezebTan da janmrTelobis mdgomareobaze moqmed zogierT
garemoebebTan
163
Terapia, ambulatoria / dRis stacionari (I-IV done)
kodi nozologia
E01 farisebri jirkvlis iodis deficitTan dakavSirebuli dazianebebi da msgavsi
mdgomareobebi
E02 subklinikuri iod-deficituri hipoTireozi
E03 hipoTireozis sxva formebi
E04 aratoqsiuri Ciyvis sxva formebi
E05 Tireotoqsikozi (hiperTireozi)
E06 Tiroiditi
E10-E14 Saqriani diabeti
E20 hipoparaTireozi
E21 hiperparaTireozi da farisebraxlo jirkvlebis sxva darRvevebi
E25 adrenogenitaluri darRvevebi
E24 kuSingis sindromi
E50 vitaminis deficiti
E51 Tiaminis deficiti
E52 nikotinmJavas deficiti (pelagra)
E53 jgufis sxva vitaminebis deficiti
E54 askorbinis mJavis deficiti
E55 vitaminis deficiti
E66 simsuqne
E73 laqtozis autanloba
E85 amiloidozi
E86 siTxis moculobis Semcireba
I00-I02 mwvave revmatizmi
I10-I15 hipertenziuli daavadebebi
I20 stenokardia
I25 gulis qronikuli iSemiuri daavadebebi
I27 gulis sxva filtvismieri daavadebebi
I40 mwvave miokarditi
I41 miokarditi im daavadebebis dros, romlebic Setanilia sxva klasifikaciebSi
I42 kardiomiopaTia
I43 kardiomiopaTia im daavadebebis dros, romlebic Setanilia sxva klasifikaciebSi
I44 winagul-parkuWovani da marcxena konis gantotebis blokada
I45 gamtarobis sxva Seferxebebi
I46 gulis gaCereba
I47 paroqsizmuli taqikardia
I49 gulis sxva ariTmiebi
I50 gulis ukmarisoba
I70 aTerosklerozi
I95 hipotenzia
J00 mwvave nazofaringiti (surdo)
J01 mwvave sinusiti
J02 mwvave faringiti
J03 mwvave tonziliti
J04 mwvave laringiti da traqeiti
J06 sxvadasxva da dauzustebeli lokalizaciis zeda respiraciuli gzebis mwvave infeqciebi
J10-J18 gripi da pnevmonia
J20-J22 qveda sasunTqi gzebis sxva mwvave infeqciebi
J30 vazomotoruli da alergiuli riniti
J31 qronikuli riniti, nazofaringiti da faringiti
J32 qronikuli sinusiti
J40 bronqiti, dauzustebeli rogorc mwvave an qronikuli
J41 martivi da lorwovan-Cirqovani qronikuli bronqiti
J42 dauzutebeli qronikuli bronqiti
164
kodi nozologia
J43 emfizema
J44 filtvis sxva qronikuli obstruqciuli daavadebebi
J45 asTma
J90 plevraluri eqsudati, romelic sxvagan ar aris klasificirebuli
J91 siTxe plevris RruSi, im mdgomareobebis dros, romlebic sxvagan aris klasificirebuli
K20 ezofagiti
K21 gastro-ezofaguri refluqsi
K25 kuWis wyluli
K26 Tormetgoja nawlavis wyluli
K27 peptikuri wyluli dauzustebeli lokalizaciiT
K28 gastro-eiunuri nawlavis wyluli
K29 gastriti da duodeniti
K30 dispefsia
K31 kuWis da Tormetgoja nawlavis sxva daavadebebi
K44 diafragmis Tiaqari
K58 gaRizianebuli nawlavis sindromi
K70 RviZlis alkoholuri daavadebebi
K71 RviZlis daavadebebi, romelic ar aris Setanili sxva klasifikaciebSi
K73 qronikuli hepatiti, romelic ar aris Setanili sxva klasifikaciebSi
K74 RviZlis fibrozi da cirozi
K75 RviZlis sxva anTebiTi daavadebebi
K81 qolecistiti
K86 pankreasis sxva daavadebebi
M00-M03 infeqciuri arTropaTiebi
M05-M14 anTebiTi poliarTropaTiebi
M15-M19 arTrozi
N20-N23 uroliTiazi
N34 ureTriti da ureTruli sindromi
R00-R09 simptomebi da niSnebi, romlebic exeba sisxlis mimoqcevisa da sunTqvis sistemebs
R10-R19 simptomebi da niSnebi, romlebic exeba saWmlis momnelebel sistemasa da muclis midamos
R20- R23 simptomebi da niSnebi, romlebic exeba kansa da kanqveSa qsovils
R25- R29 simptomebi da niSnebi, romlebic exeba nervul da Zval-kunTovan sistemebs
R30- R39 simptomebi da niSnebi, romlebic exeba saSarde sistemas
R50- R69 zogadi simptomebi da niSnebi
R70- R79 sisxlis gasinjviT miRebuli normidan gadaxrili monacemebi, diagnozis gareSe
R80- R82 Sardis gasinjviT miRebuli normidan gadaxrili monacemebi, diagnozis gareSe
R83- R89 organizmis sxva siTxeebis, nivTierebebisa da qsovilebis gasinjviT miRebuli normidan
gadaxrili monacemebi, diagnozis gareSe
R90- R94 diagnostikuri da funqciuri kvleviT gamovlenili darRvevebi diagnozis gareSe
R95- R98 sikvdilobis naklebad cnobili da ucnobi mizezebi
D50 rkina-deficituri anemia
D51 vitamin B12-deficituri anemia D52 folatdeficituri anemia
D62 mwvave posthemoragiuli anemia
A00-09 nawlavTa infeqciuri daavadebebi
A15 respiraciuli tuberkulozi, baqteriologiurad da histologiurad dadasturebuli
A16 respiraciuli tuberkulozi, baqteriologiurad da histologiurad dadasturebis
gareSe
B15-19 virusuli hepatiti
E03 hipoTireozis sxva formebi
E04 aratoqsiuri Ciyvis sxva formebi
E05 Tireotoqsikozi
E06 Tireoiditi
E10 insulindamokidebuli Saqriani diabeti
165
kodi nozologia
E12 arasakmaris kvebasTan dakavSirebuli Saqriani diabeti
E13 Saqriani diabetis sxva dazustebuli formebi
E14 dauzustebeli Saqriani diabeti
E73 laqtozis autanloba
E85 amiloidozi
I05-I09 gulis qronikuli revmatiuli daavadebebi
I33 mwvave da qvemwvave endokarditi
I34 mitraluri sarqvlis ararevmatuli dazianebebi
I35 aortis sarqvlis ararevmatuli dazianebebi
I36 samkariani sarqvlis ararevmatuli dazianebebi
I37 filtvis arteriis sarqvlis dazianebebi
I48 winagulis fibrilacia da TrTolva
I77 arteriebisa da arteriolebis sxva dazianebebi
I78 kapilarebis daavadebebi
I79 arteriebis, arteriolebis da kapilarebis dazianebebi im daavadebebaTa dros,
romlebic Setanilia sxva klasifikaciebSi
I80 flebiti da Tromboflebiti
I83 qvemo kidurebis venebis varikozi
J60 qvanaxSiris sabadoSi momuSaveTa pnevmokoniozi
J61 pnevmokoniozi gamowveuli azbestiT da sxva mineraluri boWkoebiT
J62 pnevmokoniozi gamowveuli silikatebis Semcveli mtvriT
J63 pnevmokoniozi gamowveuli sxva araorganuli mtvriT
J64 dauzustebeli pnevmokoniozi
J65 pnevmokoniozi, dakavSirebuli tuberkulozTan
J66 sasunTqi gzebis daavadebebi gamowveuli dazustebuli organuli mtvriT
J67 zemgrZnobelobiTi pnevmoniti, gamowveuli organuli mtvriT
J68 sasunTqi sistemis mdgomareobebi, gamowveuli qimiuri nivTierebebis, airebis, kvamlis
da orTqlis SesunTqviT
J69 pnevmoniti gamowveuli myari da Txevadi nivTierebebiT
K44 diafragmis Tiaqari
K50 kronis daavadebebi [regionuli enteriti]
K51 wylulovani koliti
K52 sxva arainfeqciuri gastroenteriti da koliti
K57 nawlavis divertikuluri daavadebeba
K72 RviZlis ukmarisoba, romelic ar aris Setanili sxva klasifikaciebSi
M30-M36 SemaerTebeli qsovilis sistemuri dazianebebi
M40-M54 dorsopaTiebi
M65-M68 sinoviuri garsisa da myesis dazianebebi
M80 osteoporozi paTologiuri motexilobiT
N02 xangamoSvebiTi da mdgradi hematuria
N03 qronikuli nefrituli sindromi
N11 qronikuli tubulo-intersticiuli nefriti
N18 Tirkmlis qronikuli ukmarisoba
D53 sxva alimenturi anemiebi
D56 Talasemia
D57 namglisebrujredovani daavadebebi
D61 sxva aplaziuri anemiebi
E50-E64 kvebiTi deficitis sxva saxeebi
E66 simsuqne
I05-I09 gulis qronikuli revmatuli daavadebebi
I10-I15 hipertenziuli daavadebebi
I20-I25 gulis iSemiuri daavadebebi
I50 gulis ukmarisoba
I70 aTerosklerozi
J10 gripi, gamowveuli gripis identificirebuli virusiT
J11 gripi, virusi araa identificirebuli
166
kodi nozologia
J41 martivi da lorwovan-Cirqovani qronikuli bronqiti
J42 dauzustebeli qronikuli bronqiti
J43 filtvebis emfizema
J44 filtvis sxva qronikuli obstruqciuli daavadebebi
K70 RviZlis alkoholuri daavadebebi
N63 dauzustebeli moculobiTi warmonaqmni sarZeve jirkvalSi
B15-19 virusuli hepatiti
pediatria (I-IV done)
kodi nozologia
A 02 sxva salmoneluri infeqciebi
A 02.0 salmoneluri enteriti, salmonelozi
A 03 Sigelozi
A 03.0 Sigelozi gamowveuli Sigella Flexneri-T A 04 nawlavebis sxva baqteriuli infeqciebi
A 04.0 enteropaTogenuri Escherichia coli-iT gamowveuli infeqcia
A 05 sxva baqteriuli sakvebismieri intoqsikaciebi
A 05.0 sakvebismieri stafilokokuri intoqsikacia
A 06 amebiazi
A 06.0 mwvave ameburi dizenteria
A 08 nawlavTa virusuli sxva dazustebuli etiologiis infeqciebi
A 08.0 rotavirusuli infeqcia
A 16 sasunTqi organoebis tuberkulozi baqteriologiuri an histologiuri dadastutebis
gareSe
A 16.7 sasunTqi organoebis pirveladi tuberkulozi baqteriologiuri da histologiuri
dadasturebis aRniSvnis gareSe
A 36 difteria
A 36.0 xaxis difteria
A 36.1 cxvir-xaxis difteria
A 37 yivanaxvela
A 37.0 yivanaxvela gamowveuli Bordetella pertussis-iT A 38 qunTruSa
A 39 meningokokuri infeqcia
A 39.0 meningokokuri meningiti
B 00 herpesvirusuli infeqciebi
B 00.1 buStukovani dermatiti
B 01.! Cutyvavila
B 01.9 Cutyvavila garTulebis gareSe
B 05 wiTela
B 05.9 wiTela garTulebis gareSe
B 06 wiTura
B 06.9 wiTura garTulebis gareSe
B 15 mwvave hepatiti “A” B 15.9 mwvave hepatiti ”A” komis gareSe B 16 mwvave hepatiti “B” B 16.1 mw.hepatiti “B” komis gareSe B 26 epidemiuri parotiti
B 26.9 ybayura garTulebis gareSe
B 27 infeqciuri mononukleozi
B 27.9 infeqciuri mononukleozi _ dauzustebeli
B 30 virusuli koniuqtiviti
B 30.0 kerato-koniuqtiviti, gamowveuli adenovirusiT
B 35 dermatofitozi
B 35.0 Tavis dermatofitozi
167
kodi nozologia
B 35.1 frCxilis dermatofitozi
B 35.2 xelis dermatofitozi
B 35.3 fexis dermatofitozi
B 55 leiSmaniozi
B 55.0 visceruli leiSmaniozi
B 77 askaridozi
B 77.0 askaridozi nawlavebis garTulebiT
B 77.9 askaridozi dauzustebeli
B 80 enterobiozi
B 85 pedikulozi
B 85.0 pedikulozi _ Tavis tiliT
B 86 bReri
D 50 rkinadeficituri anemia
D 50.8 sxva rkinadeficituri anemia
D 55 anemia fermentuli darRvevebis Sedegad
D 55.0 anemia glukoza 6-fosfatdehidrogenezis deficitiT
D 58 memkvidruli hemolizuri anemiebi
D 58.0 memkvidruli sferocitozi
D 56 Talasemia
D 56.0 alfa Talasemia
D 56.1 beta Talasemia
D 66 sisxlis Sededebis VIII faqtoris deficiti, memkvidruli hemofilia A
D 67 sisxlis Sededebis IX faqtoris deficiti.memkvidruli hemofilia B
E 01 iodis deficitTan dakavSirebuli farisebri jirkvlis daavadebebi da msgavsi
mdgomareobani.
E 01.0 iodis deficitTan dakavSirebuli difuzuri Ciyvi.
E 01.1 iodis deficitTan dakavSirebuli kvanZovani Ciyvi.
E 01.2 iodis deficitTan dakavSirebuli endemuri Ciyvi
E 10 Saqriani diabeti _ insulindamokidebuli
E 11 Saqriani diabeti _ insulindamoukidebeli, simsuqniT, an mis gareSe.
E 55 “D” vitaminis deficiti E 55.0 raqiti _ aqtiuri
E 66 simsuqne
E 66.0 Warbi kaloriebis miRebis Sedegad ganviTarebuli simsuqne
H 10 koniuqtiviti
H 10.2 sxva mwvave koniuqtiviti
I 00 revmatiuli cxeleba gulis dazianebis gareSe, revmatiuli mwvave an qvemwvave
arTriti
I 01 mwvave revmatizmi gulis dazianebiT
I 01.0 revmatiuli perikarditi
I 01.1 revmatiuli endokarditi
I 01.2 revmatiuli miokarditi
I 01.8 gulis sxva mw.revmatiuli avadmyofobebi
J 00 mwvave nazofaringiti
J 02 mwvave faringiti
J 02.0 streptokokuli faringiti
J 02.8 mwvave faringiti sxva dadgenili mikrobebiT
J 03 mwvave tonzliti
J 03 mwvave tonziliti _ streptokokuli
J 03.8 mwvave tonziliti, gamowveuli sxva dadgenili mikrobebiT
J 04 mwvave laringiti
J 04.0 mwvave laringiti
J 04.1 mwvave traqeiti
J 04.2 mwvave laringotraqeiti
J 06 mwvave laringofaringiti
J 10 gripi, gamowveuli identificirebuli virusiT
J 10.1 gripi, garTulebuli pnevmoniiT
J 1 streptokokuli pnevmonia
168
kodi nozologia
J 14 pnevmonia, gamowveuli Haemofilus influenzae -Ti J 15 pnevmonia, romelic ar aris Setanili sxva klasifikaciaSi
J 15.0 pnevmonia, gamowveuli klebsielaTi
J 15..2 pnevmonia, gamowveuli stafilokokiT
J 15.3 pnevmonia, gamowveuli streptokokiT
J 20 mwvave bronqiti
J 20.0 mwvave bronqiti, gamowveuli mikoplazmiT
J 20.1 mwvave bronqiti, gamowveuli Haemofilus influenzae -Ti J 21 mwvave bronqioliti
J 21.0 mwvave bronqioliti, gamowveuli respiratoruli sincitialuri virusiT
J 30 vazomotoruli da alergiuli riniti
J 30.0 vazomotoruli riniti
J 30.1 alergiuli riniti, gamowveuli mcenareTa mtveriT
J 30.2 sxva sezonuri alergiuli riniti
J 30.3 sxva alergiuli riniti
J 30.4 alergiuli riniti, dauzustebeli
J 45 asTma
J 45.0 riniti asTmasTan erTad
K 12 stomatiti da masTan dakavSirebuli dazianebebi
K 12.0 piris Rrus morecidive afTebi
K 22 saylapavis sxva avadmyofobebi
K 29 gastriti, duodeniti
K 29.1 mwvave gastriti
K 25 kuWis wyluli
K 26 Tormetgoja nawlavis wyluli
K 30 dispefsia
K 52 sxva arainfeqciuri gastroenteriti da koliti
K 52.8 sxva dauzustebeli arainfeqciuri gastroenteriti da koliti
K 81 qolecistiti
K 81.0 mwvave qolecistiti
L 04 mwvave limfadeniti
L 08 kanisa da kanqveSa qsovilis lokaluri infeqcia
L 08.0 piodermia
L 23 alergiuli kontaqturi dermatiti
L 23.7 alergiuli kontaqturi dermatiti, gamowveuli sakvebiT
N 00 mwvave nefrituli sindromi _ glomeluronefriti
N 30 cistiti
N 30.0 mwvave cistiti
N 10 mwvave tubulo-intersticiuli nefriti
E 44 zomieri da msubuqi xarisxis cila-energetikuli deficiti
E 44.0 zomieri hipotrofia II xarisxis
E 44.1 msubuqi hipotrofia I xarisxis
R 01 gulis Suili da sxva xmianobebi
R 01.0 gulis keTilTvisebiani da aramankismieri Suili
R 14 meteorizmi da masTan dakavSirebuli mdgomareobebi
169
qirurgia nozologiebis kodebi `ICD-10~-is Sesabamisad
kodi nozologia
S 00 Tavis zedapiruli dazianeba
S 01 Tavis Ria Wriloba
S 10 kisris zedapiruli dazianeba
S 20 gulmkerdis zedapiruli dazianeba
S 30 muclis, zurgis qveda nawilis da menjis zedapiruli dazianeba
S 40 zeda kiduris sartyelisa da mxris dazianebebi
S 41 zeda kiduris sartyelisa da mxris Ria Wrilobebi
S 50 winamxris zedapiruli dazianeba
S 51 winamxris Ria Wriloba
S 60 majisa da xelis mtevnis zedapiruli dazianeba
S 61 majisa da mtevnis Ria Wriloba
S 70 menj-barZayis saxsrisa da barZayis zedapiruli dazianeba
S 71 menj-barZayis saxsrisa da barZayis Semavali Wriloba
S 80 wvivis zedapiruli dazianeba
S 81 wvivis Semavali Wriloba
S 90 koWisa da terfis zedapiruli dazianeba
S 91 koWisa da terfis Semavali Wriloba
T 20.1 Tavisa da kisris pirveli xarisxis damwvroba
T 21.1 torsis pirveli xarisxis damwvroba
T 22.1 mxris da zeda kiduris pirveli xarisxis damwvroba, majis da mtevnis garda
T 23.1 majis da mtevnis pirveli xarisxis damwvroba
T 24.1 barZayis da qvemo kiduris pirveli xarisxis damwvroba, koWis da terfis garda
T 25.1 koWis da terfis pirveli xarisxis damwvroba
T 33 zedapiruli moyinva
L 02 kanis abscesi, furunkuli da karbunkuli
L 03 xelis da fexis celuliti
L 60.0 frCxilis dazianebebi
S 11.0 Semavali Wriloba, romelic moicavs xorxsa da sasules
J 38.5 xorxis spazmi
J 38.4. xorxis SeSupeba
J 93 pnevmoToraqsi
S 27.0 travmuli pnevmoToraqsi
S 45 sisxlZarRvebis dazianeba zeda kiduris sartylisa da mxris doneze
S 55 winamxris doneze sisxlZarRvebis dazianeba
S 65 majisa da mtevnis doneze sisxlZarRvebis dazianeba
S 75 sisxlZarRvebis dazianeba menj-barZayis saxsrisa da barZayis doneze
S 85 sisxlZarRvebis dazianeba wvivis doneze
S 95 sisxlZarRvebis dazianeba koWisa da terfis doneze
S 02 Tavis qalisa da saxis Zvlebis motexiloba
S 12 kisris malebis motexiloba
S 13 kisris doneze saxsrebis da iogebis amovardniloba, daWimuloba da daZabuloba
S 16 kisris doneze kunTis da myesis dazianeba
S 22 nekn(eb)is, mkerdis Zvlis da xerxemlis gulmkerdis
nawilis motexiloba
S 23 gulmkerdis saxsrebisa da iogebis Secileba, daWimva da RrZoba
S 32 xerxemlis welis nawilis da menjis motexiloba
S 33 xerxemlis welis nawilis da menjis iogebis da saxsrebis amovardniloba daWimva da
RrZoba
S 42 zeda kiduris sartylisa da mxris motexiloba
S 43 mxris sartylis saxsrebis da iogebis dazianeba, RrZoba da daWimuloba
S 46 kunTisa da myesis dazianeba zeda kiduris sartylisa da mxris doneze
S 52 winamxris motexiloba
S 53 idayvis saxsrebis da iogebis cdoma, RrZoba da daWimuloba
S 56 winamxris doneze kunTisa da myesis dazianeba
170
kodi nozologia
S 62 motexiloba majisa da mtevnis doneze
S 63 majisa da mtevnis doneze saxsrebis da iogebis dazianeba, RrZoba da daWimuloba
S 66 majisa da mtevnis doneze kunTis da myesis dazianeba
S 72 barZayis motexiloba
S 73 menj-barZayis saxsrisa da iogebis dazianeba, RrZoba da daWimuloba
S 76 kunTisa da myesis dazianeba menj-barZayis saxsrisa da barZayis doneze
S 82 wvivis Zvlebis motexiloba, koWis Zvlis CaTvliT
S 83 muxlis saxsrisa da iogebis RrZoba, dazianeba da daWimuloba
S 86 kunTis da myesis dazianeba wvivis doneze
S 92 terfis motexiloba, koW-wvivis saxsris dazianebis gareSe
S93 saxsrebisa da iogebis dazianeba, RrZoba da daWimuloba koW-wvivis saxsrisa da
terfis doneze
S 96 kunTebis da myesebis dazianeba koWisa da terfis doneze
T 17.2 ucxo sxeuli xaxaSi, cxvir-xaxaSi
T 17.3 ucxo sxeuli xorxSi
T 18.5 ucxo sxeuli anusur xvrelsa da swor nawlavSi
T 79.4 travmuli Soki
R 10 muclisa da menjis tkivili
R 33 Sardis Sekaveba
R 58 hemoragia romelic ar aris Setanili sxva klasifikaciebSi
171
Mmeanoba (I-IV done)
kodi nozologia
Z34 orsulTa meTvalyureoba, zedamxedveloba normalur orsulobaze
0.36 dedaTa movla rezus faqtoriT imunizaciis dros (rezus-konfliqti)
0.28.0 orsulTa anemia
0.10 adre arsebuli hipertenziiT garTulebuli orsuloba, mSobiaroba, loginobis xana
0.11 adre arsebuli hipertenziuli avadmyofoba TandarTuli proteinuriiT garTulebuli
orsuloba, mSobiaroba, loginobis xana
0.12 orsulobiT gamowveuli SeSupebebi da proteinuria hipertenziis gareSe
0.12.0 orsulTa SeSupeba
0.12.1 orsulTa proteinuria
0.12.2 orssulTa SeSupeba proteinuriiT
0.13 orsulobiT gamowveuli hipertenzia mniSvnelovani proteinuriis gareSe [msubuqi
preeklampsia]
0.14 orsulobiT gamowveuli hipertenzia mniSvnelovani proteinuriiT [saSualo preeklampsia]
0.14.0 zomieri preeklampsia
0.15 eklampsia
0.15.0 eklampsia orsulobis dros
0.16 dedis hipertenzia, dauzustebeli
0.20 sisxldena orsulobis adreul periodSi
0.20.0 mosalodneli aborti
0.20.8 orsulobis adreul periodSi sisxldena
0.20.9 orsulobis adreul periodSi dauzustebeli sisxldena
0.21 gadaWarbebuli pirRebineba orsulobis periodSi
0.21.0 orsulobis periodSi msubuqi pirRebineba
0.21.1 pirRebineba orsulobis periodSi, metaboluri darRvevebi 22kv. zemoT
0.21.2 gviani pirRebineba 22kv-is Semdeg
0.23 Sardsasqeso gzebis infeqciebi orsulobis periodSi
0.23.0 Tirkmlis infeqcia
0.23.1 Sardis buStis infeqcia
0.23.2 Sardsadenis infeqcia
0.24 Saqriani diabeti orsulobis periodSi
0.25 arasakmarisi kveba orsulobis periodSi
0.26.0 wonis Warbi mateba orsulobis dros
0.26.1 wonis mcire mateba
0.26.2 orsulobis SenarCuneba im pirebSi, romlebsac axasiaTebT Cv. aborti
0.26.4 orsulTa herpesi
0.26.5 dedis hipertenziuli sindromi
0.26.6 RviZlis dazianebebi orsulobis, mSobiarobis da loginobis xanaSi
0.28 antenataluri skriningis dros gamovlenili gadaxrebi normidan
172
Gginekologia (I-IV done)
kodi nozologia
N 75 barTolinis jirkvlis daavadebebi
N76 saSosa da vulvis sxva anTebiTi daavadebebi
N76.0 mwvave vaginiti, mwvave vulvovaginiti
N76.1 qvemwvave da qronikuli vaginiti, vulvovaginiti
N76.2 mwvave vulviti
N76.3 wvamqveva da qronikuli vulviti
N76.4 vulvis furunkuli
N76.5 saSos wyluli
N76.6 vulvis wyluli
N77.0 saSosa da vulvis wyluli herpesvirusuli da tuverkulozuri infeqciis dros
N77.1 vaginiti, vulviti, vulvovaginiti:
• kandidozi • herpesi • enterobiozi • papilomavirusuli infeqcia
• citomegalovirusuli infeqcia
• baqteriuli vaginozi
• specifiuri xasiaTis anTebiTi daavadebebi • qalis sasqeso organoebis tuberkulozi
• triqomoniazi • gonokokuri infeqcia • mikoplazmozi
• urogenitaluri qlamidiozi
N90.1 vulvis masklerozirebeli liqeni B58 toqsoplazmozi
N70.1 qr. salpingooforiti
N71.1 qronikuli endometriti
Z30 sSs Cadgma
N60 sarZeve jirkvlis paTologiebi
N 60.0 sarZeve jirkvlis keTilTvisebiani displazia, fibrozul-kistozuri mastopaTia
N 60.1 difuzur-kistozuri mastopaTia, kistozuri sarZeve jirkvali
N 60.2 sarZeve jirkvlis fibroadenozi
N 62 sarZeve jirkvlis hipertrofia, ginekomastia
N 63 dauzustebeli moculobiTi warmonaqmni sarZeve jirkvalSi, kvanZi, kvanZebi
N80 endometriozi
N80.0 adenomiozi
N80.1 sakvercxis endometriozi
N80.2 falopis milis endometriozi
N83 sakvercxis, falopis milis da ganieri iogebis araanTebadi daavadebebi
N83.0 sakvercxis folikuluri kista
N83.1 yviTeli sxeulis folikuluri kista
N83.1 sakvercxis sxva dauzustebeli kistebi
N84 qalis sasqeso sistemis polipi
N84.0 saSvilosnos tanis polipi
N84.1 saSvilosnos yelis polipi
N84.2 saSos polipi
N85 qalis sasqeso organoebis hiperplastiuri procesebi
N85.0 endometriumis jirkvlovani hiperplazia
N85.1 endometriumis adenomatozuri hiperplazia
173
kodi nozologia
N85.2 saSvilosnos hipertrofia
N85.3 saSvilosnos subinvolucia
N87 saSvilosnos yelis displazia
N87.0 saSvilosnos yelis msubuqi displazia
• saSvilosnos yelis intraepiTeluri simsivne CIN
N87.1 saSvilosnos yelis zomieri displazia
• saSvilosnos yelis intraepiTeluri simsivne
N88.0 saSvilosnos yelis leikoplakia
N90.0 vuvlis msubuqi displazia
• vulvis intraepiTelialuri simsivne CIN
N90.1 vulvis zomieri displazia CIN
N90.2 vulvis mZime displazia
N90.4 vulvis leikoplakia: distrofia, kraurozi
N90.5 vulvis atrofia, vulvis stenozi
N90.6 vulvis hipertrofia
D25 saSvilosnos mioma
N94.3 predmentrualuri sindromi
N94.4 pirveladi dismenorea
N94.5 meoradi dismenorea, algodismenorea
N95 klimaqteruli sindromi
N95.0 postmenopauzuri sisxldena N95.2 menopauzuri atrofiuli vaginiti
174
Tavi VI
sxvadasxva simZlavris ambulatoriul-poliklinikuri
dawesebulebebis mowyobis, aRWurvisa da eqspluataciis
sanitariuli wesebi
175
,,damtkicebulia“ saqarTvelos Sromis, janmrTelobisa da
socialuri dacvis ministris 2003 wlis 06.10 # 234/n brZanebiT.
sxvadasxva simZlavris ambulatoriul-poliklinikuri dawesebulebebis mowyobis, aRWurvisa da eqspluataciis
sanitariuli wesebi
sanitariuli wesebi da normebi sanwdan 2.1.3.004-03
Tavi I
gamoyenebis sfero da zogadi debulebebi muxli 1. 1. winamdebare sanitariuli wesebi da normebi SemuSavebulia ,,janmrTelobis dacvis Sesaxeb“
saqarTvelos kanonis Sesabamisad, sxvadasxva simZlavris ambulatoriul-poliklinikur dawesebulebebSi avadmyofTa miReba-mkurnalobisa da momsaxure personalis Sromis optimaluri pirobebis uzrunvelyofis mizniT.
2. sanitariuli wesebi gankuTvnilia janmrTelobis dacvis organoebisa da dawesebulebebisaTvis, sxva uwyebebis sawarmoebisa da organizaciebisaTvis, romelTa gamgeblobaSi Sedis ambulatoriul-poliklinikuri dawesebulebebi, aseve saproeqto, samSeneblo da sxva organizaciebisaTvis, romlebic dasaqmebulni arian aRniSnuli tipis samkurnalo-profilaqtikuri dawesebulebebisaTvis miwis nakveTis SerCevis, Senobis daproeqtebis, mSeneblobis, rekonstruqciisa da eqspluataciis sakiTxebiT.
3. winamdebare wesebi vrceldeba yvela axalmSenebare, sarekonstruqcio, agreTve moqmed ambulatoriul-poliklinikur dawesebulebebze, maTi uwyebrivi daqvemdebarebisa da sakuTrebis formis miuxedavad, garda stomatologiuri profilis ambulatoriul-poliklinikuri dawesebulebebisa, romelzec vrceldeba saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2002 wlis 5 noembris #309/n brZaneba `stomatologiuri profilis ambulatoriul-poliklinikuri dawesebulebebisaTvis sanitariuli wesebis damtkicebis Sesaxeb~.
4. winamdebare wesebis amoqmedebamde arsebuli yvela Sesabamisi dawesebuleba, romelic ar akmayofilebs mocemul moTxovnebs valdebulia saxelmwifo sanitariuli zedamxedvelobis teritoriul organoebTan SeTanxmebiT SeimuSaos RonisZiebaTa gegma (teqnikuri, teqnologiuri da sxva), romelic uzrunvelyofs normebisa da wesebis moTxovnebis SesaZlebel miRwevas.
5. winamdebare wesebis Sesrulebaze pasuxismgebloba ekisrebaT uSualod ambulatoriul-poliklinikuri dawesebulebebis xelmZRvanelebs (mTavar eqimebs), agreTve im dawesebulebebis, organizaciebis, uwyebebis xelmZRvanelebs, romelTa daqvemdebarebaSic imyofeba aRniSnuli samkurnalo-profilaqtikuri dawesebuleba.
176
Tavi II
higienuri moTxovnebi teritoriisadmi muxli 2. 1. ambulatoriul-poliklinikuri dawesebulebebi unda ganTavsdes selitebur, gamwvanebul
zonebSi, damtkicebuli gegmisa da dasaxlebuli adgilebis detaluri dagegmarebis proeqtebis Sesabamisad, funqcionaluri zonebis gaTvaliswinebiT.
2. miwis nakveTis SerCevisas saWiroa garemos sanitariuli mdgomareobisa da gabatonebuli qarebis mimarTulebis gaTvaliswineba.
3. ambulatoriul-poliklinikuri dawesebulebis Senobis ganTavseba akrZalulia miwis im nakveTze, romelic adre gamoyenebuli iyo nagvis sayrelad, asenizaciis moednad, saqonlis samarxad, sasaflaod da a.S., agreTve, im nakveTebze, romelTa niadagi dabinZurebuli iyo organuli, qimiuri da sxva saxis damabinZureblebiT.
4. ambulatoriul-poliklinikuri dawesebulebebis teritoria unda iyos daSorebuli rkinigzidan da fizikuri faqtorebis zegavlenis sxva mZlavri wyaroebidan, raTa uzrunvelyofili iyos saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2001 wlis 16 agvistos #297/n brZanebiT `garemos xarisxobrivi mdgomareobis normebis damtkicebis Sesaxeb~ dadgenili xmauris dasaSvebi normebi.
5. dasaxlebuli punqtebis selitebur zonaSi aSenebuli ambulatoriul-poliklinikuri dawesebulebebi unda ganTavsdes mSeneblobis wiTeli xazidan ara uaxloes 30 metrisa da sacxovrebeli saxlebidan 20-30 metris daSorebiT, Senobis simaRlis gaTvaliswinebiT.
6. ambulatoriul-poliklinikuri dawesebulebebis teritoriaze dauSvebelia sxva saxis dawesebulebis, sacxovrebeli saxlis, agreTve, raime sxva nagebobis an mowyobilobis ganTavseba, romelic funqciurad ar ukavSirdeba zemoaRniSnuli dawesebulebis saqmianobas.
7. ambulatoriul-poliklinikuri dawesebulebis teritoria yoveldRiurad unda dasufTavdes. nagvisa da sayofacxovrebo narCenebis mosagrovebeli urnebi mWidrod daxuruli saxuravebiT, idgmeba moasfaltebul an mobetonebul specialurad mowyobil moedanze. moednebi sistematurad unda irecxebodes da utardebodes dezinfeqcia.
8. ambulatoriul-poliklinikuri dawesebulebis teritoriaze Senobis Sesasvlelebsa da dasasvenebel adgilebSi unda daidgas nagvis urnebi, romlebic yoveldRiurad daicleba da Cautardeba dezinfeqcia.
9. ambulatoriul-poliklinikur dawesebulebaSi narCenebis Segroveba da gatana unda warmoebdes saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2001 wlis 16 agvistos #300/n brZanebis `samkurnalo-profilaqtikuri dawesebulebebis narCenebis Segrovebis, Senaxvisa da gauvneblebis sanitariuli wesebis damtkicebis Sesaxeb~ Sesabamisad.
Tavi III
moTxovnebi Senoba-nagebobebisa da calkeuli saTavsebis ganlagebisa da dagegmarebisadmi
muxli 3. 1. ambulatoriul-poliklinikuri dawesebulebebis Senobisa da calkeuli saTavsebis
arqiteqturuli dagegmareba da konstruqcia unda uzrunvelyofdes avadmyofTa miReba-mkurnalobis, momsaxure personalis Sromisa da dasvenebis pirobebs, agreTve optimalur sanitariul-higienur da epidsawinaaRmdego reJims.
2. ambulatoriul-poliklinikuri dawesebulebebi unda ganTavsdes calke mdgar tipur SenobaSi an rogorc gamonaklisi, winamdebare wesebis dacvis pirobiT, sacxovrebel an sazogadoebriv SenobaSi.
3. axali ambulatoriul-poliklinikuri dawesebulebebis ganTavseba sacxovrebeli korpusebis dabal sarTulebze, Tu am dawesebulebebis SemadgenlobaSi Sedis rentgenisa da fizioTerapiuli kabinetebi, dauSvebelia.
4. ambulatoriul-poliklinikuri dawesebulebebis ZiriTadi da damxmare saTavsebis raodenoba da farTi unda ganisazRvros moqmedi samSeneblo normebisa da wesebis 2.08.02-89 ,,sazogadoebrivi Senobebi da nagebobebi“ danarTis, samkurnalo-profilaqtikuri dawesebulebebis proeqtirebis damxmare saxelmZRvanelos mixedviT.
5. ambulatoriul-poliklinikuri dawesebulebebis dagegmareba, saTavsebis ganlageba da farTi unda uzrunvelyofdes specializebul kabinetebSi avadmyofTa miRebisa da mkurnalobis optimalur pirobebs danarTi 1-Si miTiTebuli sarekomendacio normebis Sesabamisad.
6. ambulatoriul-poliklinikur dawesebulebebSi calke unda iqnes gamoyofili saTavsebi, sadac ganTavsdeba: registratura, Terapiuli, qirurgiuli, nevrologiuri,
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7. ambulatoriul-poliklinikuri dawesebulebebis struqturam da saTavsebis dagegmareba-ganlagebam unda gamoricxos ,,sufTa“ da ,,inficirebuli“ nakadebis gadakveTa an Sexeba. am mizniT infeqciuri daavadebebis kabineti ganTavsebul unda iqnes pirvel sarTulze calke SesasvleliT, xolo derefani da mosacdeli unda iyos gauvali.
8. poliklinikis pediatriuli ganyofileba unda iyos izolirebuli mozrdilTa ganyofilebisagan da unda hqondes damoukidebeli Sesasvleli.
9. bavSvTa poliklinikebsa da mozrdilTa poliklinikebis bavSvTa ganyofilebaSi infeqciur daavadebaze saeWvo da sicxiani bavSvebi ar daiSvebian saerTo ganyofilebaSi.
10. yvela momsvleli bavSvis winaswari daTvaliereba unda ganxorcieldes meddis mier e.w. `filtrSi~, romelic unda ganTavsdes poliklinikis (an bavSvTa ganyofilebis) SesasvlelSi. avadmyofi bavSvebi filtridan igzavnebian boqsirebul saTavsebSi, xolo `janmrTelebi~ ki _ saerTo ganyofilebaSi, sadac maT miiReben ubnis pediatrebi da eqim-specialistebi. TiToeul ganyofilebas (saerTosa da boqsirebuls) unda hqondes damoukidebeli gasasvleli.
11. bavSvTa poliklinikebis an bavSvTa ganyofilebis mqone mozrdilTa poliklinikebis teritoriaze gamoyofil unda iqnes specialuri moednebi sabavSvo etlebis gansaTavseblad.
12. poliklinikis, an samSobiaro saxlis, SemadgenlobaSi Semavali qalTa konsultaciis saTavsebi izolirebuli unda iyos poliklinikis an samSobiaro saxlis sxva saTavsebisagan damoukidebeli SesasvleliT _ vestibiuli, sadac pacientebisa da personalisaTvis dadgmulia garderobi, specialuri misaRebi kabinetebi (mean-ginekologis, saproceduro, iuristis da sxv.).
13. mean-ginekologis iseve, rogorc dermato-venerologis, fTiziatris, fsiqiatrisa da infeqcionistis kabinetebi ise unda iyos ganlagebuli, rom pacientTa mosacdeli koridorebi ar iyos gaWoli.
14. rentgenis kabinetebi, maionebel gamosxivebasTan dakavSirebuli sxvaAsaTavsebi unda ganTavsdes saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2003 wlis 4 martis #41/n brZanebis `samedicino rentgenur-radiologiuri diagnostikuri procedurebisa da mkurnalobis dros radiaciuli dacvis uzrunvelyofis sanitariuli normebis damtkicebis Sesaxeb~ Sesabamisad.
15. ambulatoriul-poliklinikuri dawesebulebebis sardafebsa da cokolis sarTulebSi dasaSvebia sawyobis (sameurneo inventaris sakuWnao), personalis sanitariul-sayofacxovrebo (garderobi, saSxape), magari da rbili inventaris Sesanaxi, dabinZurebuli TeTreulis Sesagrovebel-damxarisxebeli saTavsebis mowyoba. dauSvebelia saxelosnoebis, Zlier moqmedi, adviladaalebadi da sawvavi siTxeebis saTavsebSi ganTavseba.
16. mravalprofiliani saavadmyofos SemadgenlobaSi Semavali ambulatoriul-poliklinikuri korpusebi, ganlagebul unda iqnes saavadmyofos teritoriis periferiul nawilSi, mosaxleobisaTvis hqondes moxerxebuli, advilad misadgomi da damoukidebeli Sesasvleli.
Tavi IV
moTxovnebi Senobis Sida mopirkeTebisadmi
muxli 4. 1. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis saTavsebis
Weri, iataki da kedlebi mopirkeTebuli unda iyos maTi funqciis Sesabamisad. kedlebis zedapiri, tixrebi, Weri da iataki unda iyos gluvi da moxerxebuli dezinfeqciisa da sveli wesiT damuSavebisaTvis.
2. specializebuli kabinetebis, holebis, vestibiulebis, derefnebis, fizioTerapiuli da mSrali reJimis sxva samkurnalo-profilaqtikuri kabinetebis kedlebi rekomendebulia SeiRebos silikaturi saRebavebiT (aucileblobis SemTxvevaSi zeTis saRebavebTan SereviT). am saTavsebis Weris SesaTeTreblad gamoiyeneba kiri an wyal-emulsia, iataks unda hqondes maRali Termoizolaciuri Tvisebebi (zeTis saRebaviT SeRebili xis iataki, parketi, parketis ficari). vestibiulis iatakis mosapirkeTeblad gamoiyeneba meqanikuri zemoqmedebisadmi mdgradi masalebi (marmarilo, marmarilos nafxveni, mozaikuri filebi da sxva).
3. ambulatoriul-poliklinikuri dawesebulebebis muSaobis sveli reJimis saTavsebSi, aseve saTavsebSi, romlebic saWiroeben sveli wesiT dezinfeqcias (saoperacio, Sesaxvevi, saproceduro, oynis gasakeTebeli oTaxi da sxva), kedlebi mTel simaRleze unda mopirkeTdes moWiquli filebiTa da sxva tenmedegi masaliT. iatakis safarad gamoiyeneba
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wyalgaumtari masala. saoperacios, Sesaxvevis, diagnostikuri laboratoriisa da sxva analogiuri saTavsebis iataki unda iyos cecxlgamZle, antistatikuri. muSaobis sveli reJimis saTavsebi unda SeiRebos wyalgamZle (zeTisa da sxva) saRebaviT. linoleumis naWrebis nawiburebi erTmaneTTan saguldagulod unda iyos mirCiluli da mtkiced Camagrebuli plintusebis qveS, romlebic Tavis mxriv mWidrod iqneba damagrebuli (napralis gareSe) kedlebsa da iataks Soris.
4. niJarebisa da sxva santeqnikuri xelsawyoebis, agreTve im mowyobilobebis eqspluatacia, romlebic dakavSirebulia kedlebisa da tixrebis SesaZlo danestianebasTan, saWiroa mopirkeTdes moWiquli filebiT an wyalmedegi masaliT iatakidan 1,6 m simaRleze da mowyobilobebisa da xelsawyoebis yovel mxares 20 sm siganeze.
5. ambulatoriul-poliklinikuri dawesebulebebis rentgenis, fizioTerapiuli, oftalmologiuri kabinetebis, klinikuri laboratoriebis, agreTve sxva funqciuri saTavsebis mopirkeTeba, romelTa muSaobis specifika saWiroebs specialur pirobebs, unda Seesabamebodes aseTi saTavsebisadmi wayenebul im moTxovnebs, romlebic warmodgenilia sanitariul wesebSi, instruqciebSi, agreTve moqmed saxelmwifo standartebSi.
6. sxvadasxva konstruqciis Sekiduli Weris gamoyeneba dasaSvebia mxolod iseT saTavsebSi, romlebic ar moiTxoven epidsawinaaRmdego, sadezinfeqcio reJims, aseptikisa da antiseptikis dacvas. Sekiduli Weri SesaZlebelia gakeTdes: vestibiulebSi, derefnebSi, holebsa da sxva damxmare saTavsebSi, romlebic uSualod ar emijnebian qirurgiuli kabinets, saprocedurosa da sxva analogiur saTavsebs. amasTan, Sekiduli Weris konstruqciebi da masalebi unda uzrunvelyofdes maT moxerxebul gawmendas, dasufTavebasa da dezinfeqcias.
7. ambulatoriul-poliklinikuri dawesebulebebis specializebul kabinetebSi pacientebis obieqturi gasinjvisas kanis paTologiebis normaluri aRqmisaTvis saWiroa saTavsebis kedlebi SeiRebos neitralur tonebSi (magaliTad; Ria ruxi), Weri _ TeTr ferSi, iataki – muq tonalobaSi. fardebi sasurvelia iyos yviTeli Seferilobis.
Tavi V
higienuri moTxovnebi aRWurvilobis (samedicino, sanitariul-teqnikuri, sainJinro da sxva danadgar-mowyobilobebis), avejisa da inventarisadmi
muxli 5. yvela axlad mSenebare da moqmedi ambulatoriul-poliklinikuri dawesebulebebi
uzrunvelyofil unda iqnes wyalsadeniT, kanalizaciiT, cxeli wyalmomaragebiT, gaTbobiT, ventilaciiT (saWiroebis SemTxvevaSi haeris kondicionerebiT), CarTul iqnes dasaxlebuli punqtis moqmed eleqtro da satelefono qselSi, agreTve sxva sainJinro komunikaciebSi. mravalsarTuliani maRali Senobebi aRWurvil unda iqnes liftebiT, nagavgamtarebiT, nagavsayrelebiT.
ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis, diagnostikuri laboratoriebis, maT Soris infeqciuri kabinetis naxmari wylebis gawmenda da gauvnebloba unda moxdes saerTo _ saqalaqo da sxva sakanalizacio gamwmend nagebobebze, Camdinare wylebis gawmendisa da gauvneblobis garantirebuli efeqturi gawmendiT.
ambulatoriul-poliklinikur dawesebulebaSi arsebuli samedicino, teqnologiuri, sanitariul-teqnikuri, sainJinro da sxva mowyobilobebi, aveji, agreTve inventari unda Seesabamebodes moqmed teqnikur pirobebsa da standartebs, iyos gamarTul mdgomareobaSi, hqondes higienuri safari (SeRebva, mopirkeTeba), rac uzrunvelyofs sveli wesiT dalagebasa da dezinfeqcias. mwyobridan gamosuli, gaumarTavi mowyobiloba, aveji, inventari saWiroebs dauyovnebliv Secvlas an SekeTebas, xolo uvargisi ki - droul Camoweras. gaumarTavi an defeqtiani mowyobilobis, avejis, an inventaris gamoyeneba dauSvebelia.
sanitariul-teqnikuri xelsawyoebi da mowyobilobebi (onkanebi, niJarebi, abazanebi, unitazebi da sxva) gamarTuli unda iyos, gaiwmindos Jangisa da sxva nadebisagan, ar unda hqondes bzarebi da sxva defeqtebi. gaumarTavi xelsawyoebi saswrafod unda Seicvalos, sapirfareSoebi unda aRiWurvos kabinebiT, sakidebiT, xelis eleqtrosaSrobi mowyobilobiT.
saeqimo kabinetebsa da saproceduroebSi unda iyos Semreviani pirsabanebi civi da cxeli wyliT. sxva saTavsebSi, sadac saWiroa gansakuTrebuli reJimis dacva, unda iyos Semreviani xelsabanebi moxrili onkanebiT.
saTavsebi, romlebSic dacul unda iqnes gansakuTrebuli reJimi momsaxure medpersonalis xelebis sisufTavis TvalsazrisiT, aRWurvil unda iqnes Semreviani xelsabanebiTa da moxrili onkanebiT.
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sapirfareSo mowyobili unda iyos kabinebiT, sakidebiT, sarkeebiT, xelis saSrobi saSualebebiT. personalisaTvis sasurvelia mowyobil iqnes kabina qalTa higienisaTvis saSxapeTi (10 sulze erTi saSxape kabina).
ambulatoriul-poliklinikur dawesebulebebSi gamoyenebuli inventaris dezinfeqciisaTvis saWiroa dacul iqnes Semdegi wesebi:
a) dezinfeqciisaTvis gamoyenebuli WurWeli unda iqnes niSandebuli. b) dezinfeqcia unda xdebodes inventaris bolomde CayursviT, gawmendiTa da SesxurebiT. g) personali, romelic asrulebs sadezinfeqcio samuSaoebs uzrunvelyofil unda iqnes
saponiT, pirsaxociTa da kanis damarbilebeli saSualebebiT. d) yvela sadezinfeqcio xsnari, damzadebis TariRisa da koncentraciis aRniSvniT, bnel
adgilas unda inaxebodes. samedicino daniSnulebis instrumentebis, xelsawyoebisa da mowyobilobebis dasufTaveba da
dezinfeqcia unda Catardes dadgenili wesis Sesabamisad.
Tavi VI
moTxovnebi gaTbobis, ventilaciis, mikroklimatisa da saTavsebis haerisadmi
muxli 6. 1. gaTbobis, ventilaciisa da haeris kondicirebis sistemebi unda uzrunvelyofdes
ambulatoriul-poliklinikuri dawesebulebebis saTavsebis mikroklimatisa da haeris garemos optimalur pirobebs.
2. gaTbobis, ventilaciisa da haeris kondicirebis sistemebis daproeqtebis, mSeneblobisa (rekonstruqciis) da eqspluataciisas saWiroa gaTvaliswinebul iqnes moqmedi samSeneblo normebisa da wesebis, agreTve, sxva normatiuli dokumentebis moTxovnebi.
3. ambulatoriul-poliklinikuri dawesebulebebis saTavsebis gaTbobis sistemebi gaTbobis mTeli periodis ganmavlobaSi unda uzrunvelyofdes Senobis haeris Tanabar gaTbobas, gamoricxavdes haeris dabinZurebas eqspluataciis procesSi gamoyofili suniTa da mavne nivTierebebiT, ar iwvevdes xmauris dasaSvebi donis momatebas, agreTve, uzrunvelyofil iqnes momsaxurebisa da mimdinare remontisaTvis mosaxerxebeli maregulirebeli mowyobilobiT.
4. gamaTbobeli xelsawyoebi saWiroa ganTavsdes fanjrebis qveS, gisosebis gareSe. administraciul-sameurneo Senobebsa da zogierT specializebul kabinetebSi SesaZlebelia gamTbobi xelsawyoebis SemoRobva dekoraciuli gisosebiT, badeebiT an perforirebuli kedlebiT. amasTan, eqspluataciisa da mimdinare dasufTavebisaTvis uzrunvelyofil unda iqnes xelsawyosTan Tavisufali midgoma. xelsawyos zedapiri unda iyos gluvi, SeRebili da advilad sufTavdebodes sveli wesiT.
5. ambulatoriul-poliklinikuri dawesebulebebis saTavsebis gaTbobis sistemaSi
Tbomatareblad gamoiyeneba wyali, romlis temperatura gamaTbobel xelsawyoSi 85°C-ia. gaTbobis Ria sistemaSi sxva siTxeebisa da xsnarebis (antifrizi da sxva) gamoyeneba akrZalulia.
6. ambulatoriul-poliklinikuri dawesebulebebis SenobebSi Semwovi da gamwovi ventilaciis garda unda moewyos bunebrivi ventilacia sarkmelebis, gadasaxsneli framugebis, sagdulebisa da sxva mowyobilobebis saSualebiT fanjrebis alaTebSi, gare kedlebSi, agreTve saventilacio arxebSi haeris meqanikuri iZulebis gareSe. sarkmelebis, framugebis da bunebrivi ventilaciis sxva mowyobilobebis gasaReb-dasaxreli samarjveebi unda iyos gamarTul mdgomareobaSi.
7. diagnostikuri laboratoriebis, sasterilizacio, sadezinfeqcio, saproceduro da sxva saTavsebSi, sadac samedicino-teqnologiur process Tan axlavs haerSi mavne nivTierebebis gamoyofa, unda moewyos adgilobrivi gamwovebi an gamwovi karadebi.
8. maRali sisufTavis moTxovnis specializebul saTavsebSi haeris baqteriuli moTesvianobis maCveneblebi ar unda aRematebodes saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros mier damtkicebul Sesabamis maCveneblebs.
9. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis saTavsebSi civ
da gardamaval periodSi haeris temperatura unda iyos 20-23°C farglebSi, xolo wlis
BTbil periodSi _ 20-25°C, fardobiTi tenianoba _ 60-40% da haeris moZraobis siCqare – 0.2m/wm.
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Tavi VII
higienuri moTxovnebi bunebrivi da xelovnuri ganaTebisadmi
muxli 7. 1. ambulatoriul-poliklinikuri dawesebulebebis specializebul kabinetebsa da damxmare
saTavsebs unda hqondes bunebrivi ganaTeba. meoradi an xelovnuri ganaTeba dasaSvebia: sawyobebSi, rentgenis fotolaboratoriaSi, personalisTvis gankuTvnil gasaxdelebSi, sanitariul kvanZebsa da zogierT sxva saTavsSi, romelTa teqnologiuri da eqspluataciis wesebi bunebriv ganaTebas ar moiTxovs.
2. specializebuli kabinetebis derefnebs unda hqondeT bunebrivi ganaTeba, Senobis torcul kedelsa da rekriaciebSi arsebuli fanjrebiT.
3. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis saTavsebSi, sadac xdeba avadmyofTa gasinjva, sinaTlis koeficienti (fanjrebis Seminuli zedapiris farTis Sefardeba iatakis farTTan) unda Seadgendes 1:4 – 1:5, xolo damxmare saTavsebSi _ aranakleb 1:8.
4. yvela specializebuli kabinetis saTavsebis samuSao adgilebze bunebrivi ganaTebis koeficienti (samuSao adgilze bunebrivi ganaTebis donis procentuli Sefardeba erTdroul gare ganaTebasTan) unda iyos aranaklebi 1,5%-isa.
5. zafxulis periodSi mzis sxivebis TvalismomWreli moqmedebisa da gadaxurebisgan dasacavad specializebuli kabinetebis saTavsebi unda aRiWurvos mzisgan damcavi saSualebebiT (Jaluzebi, fardebi, saCrdiloblebi da sxva).
6. saerTo xelovnuri ganaTeba unda arsebobdes ambulatoriul-poliklinikuri dawesebulebebis yvela SenobaSi, gamonaklisis gareSe. calkeuli funqciuri zonebisa da samuSao adgilebis gasanaTeblad, zemoT aRniSnuli saerTo ganaTebis garda, saWiroa adgilobrivi ganaTebac. saTavsebis ganaTebulobis normebi mocemulia danarT 2-Si.
7. xelovnuri ganaTeba unda Seesabamebodes saTavsis daniSnulebas, iyos sakmarisi, usafrTxo, regulirebadi, ar iwvevdes TvalismomWrel moqmedebasa da arasasurvel zemoqmedebas Sida garemoze.
8. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis saTavsebis xelovnuri ganaTeba unda xorcieldebodes luminescenturi da varvara naTurebiT. saeqspluataciod gankuTvnili luminescenturi naTurebi unda iyos dakompleqtebuli gansakuTrebiT dabalxmauriani gamSvebi regulirebadi aparatebiT.
9. Werze ganTavsebuli Senobis saerTo ganaTebis sanaTebi aRWurvil unda iqnes erTiani (daxuruli) gamfantveliT.
10. eqimis kabinetebi, sadac avadmyofi isinjeba, damatebiTi kedlis ganaTebiT unda iyos uzrunvelyofili.
Tavi VIII
higienuri moTxovnebi samedicino personalis samuSao da sayofacxovrebo pirobebisadmi
muxli 8. 1. ambulatoriul-poliklinikuri dawesebulebebis samedicino da sxva personalis ZiriTadi
funqciuri da samuSao adgilebi uzrunvelyofil unda iqnes haercvlisa da mikroklimatis (temperatura, tenianoba, haeris moZraobis siCqare, qimiuri da baqteriologiuri Semadgenloba) normatiuli parametrebiT saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2002 wlis 17 seqtembris #256/n brZanebis `sawarmoo saTavsebis mikroklimatisadmi wayenebuli higienuri moTxovnebis damtkicebis Sesaxeb~ Sesabamisad.
2. aRWurvilobis ganlageba da misi eqspluatacia unda Seesabamebodes Sromis dacvisa da teqnikuri usafrTxoebis wesebs. ambulatoriul-poliklinikuri dawesebulebebSi unda iyos gaTvaliswinebuli sanitariul-sayofacxovrebo saTavsebis mowyoba momsaxure samedicino personalisa da sxva muSakebisaTvis.
3. maRalaqtiuri medikamentebiT manipulaciebis SesrulebisaTvis saoperacioebSi, aerozolur-inhalaciur kabinetebSi, Sesaxvevsa da sasterilizacio saTavsebSi gaTvaliswinebul unda iqnes amwovi karadebi niJariTa da kanalizaciaSi CamSvebiT.
4. samedicino personalma, romelic ganicdis sawarmoo faqtorebis araxelsayrel zemoqmedebas, unda gaiaros perioduli samedicino Semowmeba.
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5. ambulatoriul-poliklinikuri dawesebulebebis specializebul kabinetebSi (klinikur-diagnostikuri laboratoria, fizioTerapiuli da rentgenis kabinetebi, sadezinfeqcio kamerebi da sxva) Sromis pirobebisadmi konkretuli sanitariul-higienuri moTxovnebi ganisazRvreba am kabinetebis mowyobasa da eqspluataciaze arsebuli specialuri wesebiTa da instruqciebiT.
6. ambulatoriul-poliklinikuri dawesebulebebis personali unda iyos sufTa, samuSao tansacmlis boloebi mTlianad unda faravdes pirad tansacmels. Tmebi mTlianad unda ifarebodes CaCiT an TavsafriT. gamosacvleli fexsacmeli ar unda iyos naWris qsovilis da SesaZlebeli unda iyos misi dezinfeqcia.
Tavi IX
saTavsebis, avejisa da inventaris eqspluataciis higienuri reJimi
muxli 9. 1. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis yvela saTavsi,
danadgari, samedicino da sxva inventari unda inaxebodes sufTad. Senobas sveli wesiT asufTaveben dRe-RameSi erTxel, saWiroebis SemTxvevaSi ufro xSiradac. sarecxi da sadezinfeqcio saSualebebis gamoyenebiT, fanjris minebi Sida mxridan unda iwmindebodes yoveldRiurad, gare mxridan gawmenda ki warmoebs gaWuWyianebis mixedviT, magram aranakleb 4-6-jer TveSi.
2. saTavsebis sveli wesiT dasufTavebisas dauSvebelia sinTetiuri sarecxi saSualebebis gamoyeneba. mTel dasalagebel inventars (saTli, iatakis sawmendi joxi da sxva) unda hqondes niSandeba saTavsisa da dasalagebeli samuSaos saxeobis mixedviT da inaxebodes gancalkevebiT.
3. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebisa da ganyofilebebis funqcionaluri daniSnulebis Sesabamisad, saTavsebis dasufTaveba sxvadasxvagvarad xdeba:
a) poliklinikis administraciul da damxmare saTavsebSi (registratura, sagarderobo, eqimis gamoZaxebis saTavsi da sxva) arsebul mowyobilobebs asufTaveben mtvrisagan da recxaven iataks romelime sarecxi saSualebis 0.5%-iani xsnariT. b) specializebul kabinetebSi (Terapevtis, nevropaTologis, revmatologis, alergologis da sxva) avadmyofTa miRebis damTavrebis Semdeg tardeba saTavsebis sveli wesiT dasufTaveba 0.5%-iani sarecxi siTxis gamoyenebiT. amasTan, 10 l sarecxi siTxe gamoyenebul unda iqnes ara umetes 20 m2 farTis zedapiris dasamuSaveblad. aRniSnul saTavsebSi kviraSi erTxel unda Catardes avejisa da iatakis dezinfeqcia. avadmyofTa gasasinji taxtebi unda dasufTavdes yoveli pacientis Semdeg. g) urologiur, ofTalmologiur, otorinolaringologiur kabinetebSi, saproceduroebSi, Sesaxvevebsa da sxva saTavsebSi dasufTaveba unda warmoebdes dezinfeqciasTan erTad. d) saoperacioSi iatakis, avejisa da mowyobilobebis dezinfeqcias atareben muSaobis dawyebamde da misi damTavrebis Semdeg. generaluri dasufTaveba xdeba kviraSi erTxel. e) dezinfeqciisaTvis rekomendirebulia Semdegi saSualebebi: haloidSemcvelebi (qlorSemcvelebi, maT Soris eleqtroqimiuri aqtivirebuli siTxeebi), JangbadSemcvelebi, zedapirulad aqtiuri saSualebebi. 4. specializebuli kabinetebisa da sxva funqciuri saTavsebis generaluri dasufTaveba unda
xdebodes damtkicebuli grafikis mixedviT, kedlebis, iatakis, mTeli danadgarebis savaldebulo recxviT, agreTve avejis, naTurebis, damcveli Jaluzebis da a.S. gawmendiT.
5. ambulatoriul-poliklinikuri dawesebulebebis saTavsebSi, weliwadSi erTxel saWiroebis SemTxvevaSi ki ufro xSirad, unda tardebodes Senobis kosmetikuri remonti. mimdinare defeqtebis aRkveTa (Wersa da kedlebze gamonaJonis, nestis, obis likvidacia, napralebis, xvrelebis amovseba, acvenili filebisa da iatakis dazianebuli safris aRdgena) unda moxdes dauyovnebliv.
6. yovelwliurad, gaTbobis sezonis dawyebamde, unda moxdes Senobis yvela saTavsis momzadeba zamTrisaTvis (gaTbobis, ventilaciis sitemebis profilaqtikuri daTvaliereba da remonti, fanjrebis Seminva, daTbuneba da a.S.). mimdinare da kapitaluri remontis da aseve rekonstruqciis periodSi unda Sewydes saTavsebis funqcionireba.
7. ambulatoriul-poliklinikuri dawesebulebebis administraciam unda uzrunvelyos mwerebisa da mRrRnelebis winaaRmdeg Senobis profilaqtikuri damuSavebis organizacia.
182
danarTi 1.
cxrili #1.
saTavsi farTobis norma m2-Si
1. vestibiul-sagarderobo momsvlelTaTvis 0,38 _ erT momsvlelze, magram aranakleb
10-isa 2. mosacdeli 1,2 _ TiToeul momsvlelze, magram
aranakleb 10-isa 3. registratura 8 _ erT registratorze, aranakleb 10-
isa 4. saTavsi eqimis binaze gamosaZaxeblad:
a) oTaxi eqimis binaze gamosaZaxeblad; aranakleb 12-isa b) oTaxi ubnis eqimebisaTvis aranakleb 12-isa, 3-ze meti eqimisas
kabinetis farTobi unda gaizardos 3,25
m2-iT TiToeul eqimze g) meddebis oTaxi aranakleb 12-isa, 3-ze meti maddisas
kabinetis farTobi unda gaizardos 3,25
m2-iT TiToeul meddaze 5. eqimamdeli miRebis kabineti aranakleb 5-isa 6. bavSvebis misaRebi filtr-boqsebi aranakleb 12-isa 7. bavSvebis misaRebi filtri aranakleb 15-isa 8. filtrTan arsebuli boqsi aranakleb 12-isa 9. mimReb-gasasinji boqsi aranakleb 15-isa 10. pediatris kabineti aranakleb 15-isa 11. alergologis, hematologis, endokrino-
logis, fsiqiatris, mozardTa
konsultaciis kabinetebi
aranakleb 12-isa
12. logopedis kabineti aranakleb 18-isa 13. nemsTerapiis saproceduro aranakleb 20-isa 14. kardiorevmatologiuri kabineti
saproceduroTi aranakleb 16 + 12-isa
15. saproceduro intramuskularuli
ineqciebisaTvis aranakleb 12-isa
16. saproceduro intravenuri
ineqciebisaTvis
aranakleb 12-isa
17. pediatriuli saproceduro aranakleb 18-isa 18. anTropometriis kabineti aranakleb 15-isa 19. kabineti acrebisaTvis: a) saTavsi karToTekisaTvis; aranakleb 20-isa b) acrebis kabineti aranakleb 12-isa 20. samasaJoro Cvili bavSvebisaTvis aranakleb 15-isa 21. oTaxi Cvil bavSvTa kvebisaTvis aranakleb 10-isa 22. qirurgis, fTiziatris, dermatove-
nerologis, onkologis, travmatolog-
orTopedis, urologis, mean-ginekologis
kabinetebi
aranakleb 18-isa
183
23. saoperacio winasaoperaciosTan erTad aranakleb 22 + 8-isa 24. sasterilizacio aranakleb 10-isa 25. Sesaxvevi aranakleb 22-isa 26. qirurgis an travmatolog-orTopedis
kabinetTan arsebuli saTabaSiro-Sesaxvevi
aranakleb 22-isa
27. TabaSiris Sesanaxi aranakleb 10-isa 28. oTaxi operaciis Semdeg avadmyofTa
droebiTi dayovnebisaTvis
6 _ 1 taxtze, magram aranakleb 12-isa
29. saproceduro eqim-specialistis
kabinetTan
aranakleb 20-isa
30. mean-ginekologis kabineti
ginekologiuri savarZliT
aranakleb 18-isa
31. orsulTa fsiqoprofilaqtikuri
momzadebis kabineti
aranakleb 12-isa
32. otorinolaringologiis kabineti
bgeris saizolacio kabiniT
aranakleb 18 + 8-isa
33. vestibularuli aparatis gamosakvlevi
kabineti
aranakleb 10-isa
34. audiometruli kabineti bgeris
saizolacio kabiniT
aranakleb 16 + 8-isa
35. ofTalmologis kabineti bneli kabiniT aranakleb 18 + 8-isa 36. kontaqturi linzebis laboratoria: a)mosacdeli; aranakleb 15-isa b)saproceduro; aranakleb 12-isa g)samasale; aranakleb 25-isa d)masalisa da instrumentebis Sesanaxi
oTaxi
aranakleb 10-isa
e) eqimis kabineti; aranakleb 12-isa v) laboratoriis gamgis kabineti aranakleb 12-isa 37. Tvalis saproTezo kabineti: a) mosacdeli; aranakleb 15-isa b) proTezebis SerCevis oTaxi; aranakleb 12-isa g) saxelosno; aranakleb 25-isa d)masalisa da instrumentebis Sesanaxi
oTaxi;
aranakleb 10-isa
e) laboratoriis gamgis oTaxi aranakleb 12-isa 38. ofTalmologisa da
otorinolaringologis kabinetebTan
arsebuli saoperacio winasaoperacio
blokiT
aranakleb 14 + 8-isa
39. eqim-infeqcionistis kabinti: a) eqimis oTaxi; aranakleb 12-isa b) reqtoromanoskopiis oTaxi; aranakleb 18-isa g) tualeti; 1,1 X 1,6 (kabina) d) meddis oTaxi; aranakleb 8-isa e) saproceduro; aranakleb 10-isa v) sanitariuli oTaxi aranakleb 8-isa 40. parazitologiuri ganyofileba (SeiZleba iyos bavSvTa da mozrdilTa erTad) a) eqim-parazitolog-epidemiologis
kabineti;
aranakleb 12-isa
184
b) sufTa saproceduro; aranakleb 12-isa g) WuWyiani saproceduro: g.a) helminTebis gamorecxvis oTaxi; aranakleb 8-isa g.b) saTavsi oynis gasakeTeblad; aranakleb 8-isa g.g) samrecxao da saSxape kabina; 3 _ erT taxtze, magram aranakleb 6-isa g.d) sufTa TeTreulis sawyobi; aranakleb 2-isa g.e) WuWyiani TeTreulis sawyobi; aranakleb 2-isa g.v) palata; aranakleb 6-isa _ 1 taxtze
g.z) tualeti 1,1 X 1,6 (kabina)
41. stomatologiuri ganyofileba saqarTvelos Sromis, janmrTelobisa da
socialuri dacvis ministris 2002 wlis
5 noembris #309/n brZanebis
`stomatologiuri profilis ambu-
latoriul-poliklinikuri dawese-
bulebebisaTvis sanitaruli wesebis
damtkicebis Sesaxeb~ Sesabamisad 42. rentgenologiuri ganyofileba saqarTvelos Sromis, janmrTelobisa da
socialuri dacvis ministris 2003 wlis
4 martis #41/n brZanebis `samedicino-
rentgenur-radiologiuri diagnostikuri
procedurebisa da mkurnalobis dros
radiaciuli dacvis uzrunvelyofis
sanitariuli normebis damtkicebis
Sesaxeb~ Sesabamisad
43. funqcionaluri diagnostikis
kabinetebi
ix. cxrili #2.
44. klinikur-diagnostikuri laboratoria ix. cxrili #3.
45. samedicino statistikis kabineti 4–erT adgilze, aranakleb 12-isa
46. saeqimo-SromiTi eqspertiza:
a) mosacdeli; aranakleb 24-isa
b) registratura; aranakleb 24-isa
g) arqivi; aranakleb 24-isa
d) eqim-eqspertebis oTaxi aranakleb 30-isa
47. saTavsi gadaudebeli samedicino daxmarebis morige med.personalisaTvis:
a) morige eqimis kabineti; aranakleb 12-isa
b) mosacdeli momsvlelTaTvis; aranakleb 10-isa
g) tualeti; 1,1 X 1,6 (kabina)
d) meddis oTaxi; aranakleb 10-isa
e) Sesaxvevi-saproceduro; aranakleb 22-isa
v) avadmyofTa droebiT dasayovnebeli
oTaxi;
6_ erT taxtze, magram aranakleb 12-isa
z) sadispeCero da mZRolTa oTaxi; aranakleb 6+10
T) samedicino daxmarebis yuTebis Sesanaxi
saTavsi;
aranakleb 6-isa
i) tualeti personalisaTvis. 1,1 X 1,6 (kabina)
48. sisxlis gadasxmis kabineti saqarTvelos Sromis, janmrTelobisa da
socialuri dacvis ministris 2001 wlis
16 agvistos #305/n brZanebis `sawarmoo
transfuziologiis kabinetebisadmi waye-
nebuli sanitariul-higienuri da epidemi-
185
ologiuri moTxovnebis damtkicebis
Sesaxeb~ Sesabamisad.
49. travmatologiuri punqtis izolatori 6 _ erT taxtze, aranakleb 12-isa
50. .alergologiuri kabineti:
a)eqimis kabineti; aranakleb 12-isa
b)saproceduro; aranakleb 12-isa
g) alergenebis mosamzadebeli oTaxi. aranakleb 12-isa
cxrili #2.
funqcionaluri diagnostikis kabinetebi
saTavsi farTobis norma m2-Si
1. eleqtrokardiografiis kabineti aranakleb 24-isa
2. fonokardiografiisa da balistokar-
diografiis kabineti
aranakleb 18-isa
3. periferiuli sisxlis mimoqcevis
gamokvlevis kabineti
aranakleb 18-isa
4. airovani cvlis gansazRvris kabineti:
a) ZiriTadi cvlis gansazRvra; aranakleb 18-isa
b) spirografia aranakleb 18-isa
5. eleqtroencefalografiis kabineti aranakleb 24-isa
6. miografiis kabineti aranakleb 18-isa
7. eleqtrogastrografiis kabineti aranakleb 18-isa
8. radiotelemetriis kabineti aranakleb 18-isa
9 .endoskopiuri kabineti:
a) gastroskopiis kabineti avadmyofis
mosamzadebeli saTavsiT
aranakleb 18+10-isa
b) cistoskopiis kabineti; aranakleb 24-isa
g) reqtoromanoskopiis kabineti; aranakleb 20-isa
d) sasterilizacio. aranakleb 8-isa
10. eqoskopiis kabineti aranakleb 18-isa
11. laparaskopiis kabineti:
a) saproceduro (mcire saoperacio); aranakleb 24-isa
b) winasaoperacio; aranakleb 10-isa
g) sasterilizacio aranakleb 6-isa
12. eleqtroTermodiagnostikis kabineti:
a) saproceduro; 6 _ erT savarZelze, magram aranakleb 10-
isa
b) safenebis dasamuSavebeli saTavsi aranakleb 6-isa
186
cxrili #3.
klinikur-diagnostikuri laboratoriebi
saTavsi farTobis norma m2-Si
1. analizebis miRebis ganyofileba: a) saregistracio da misaRebi; aranakleb 8-isa
b) sisxlis asaRebi; aranakleb 10-isa
g) sinjebis misaRebi da dasaxarisxebeli. aranakleb 4+6-isa
2. klinikuri ganyofileba: a) sapreparato sisxlis Sratis,
ganavlis, naxvelisa da kuWis wvenis
gamosakvlevad;
aranakleb 18-isa
b) saTavsi centrifugirebisaTvis; aranakleb 6-isa
g) salaboranto; aranakleb 10-isa
d) samrecxao. aranakleb 12-isa
3. hematologiuri ganyofileba: a) sinjebis SesaRebi; aranakleb 6-isa
b) eqim-laborantebis kabineti; aranakleb 12-isa
g) salaboranto. aranakleb 10-isa
4. bioqimiuri ganyofileba: a) salaboranto sisxlis bioqimiuri
kvlevisaTvis;
aranakleb 12-isa
b) oTaxi hormonaluri
gamokvlevebisaTvis;
aranakleb 18-isa
g) salaboranto Sardis bioqimiuri
kvlevisaTvis;
aranakleb 12-isa
d) saTavsi centrifugirebisaTvis; aranakleb 6-isa
e) samrecxao; aranakleb 12-isa
v) saTavsi awonvebisaTvis; aranakleb 4-isa
z) saTavsi fotometriisaTvis; aranakleb 15-isa
T) koagulografiis kabineti; aranakleb 14-isa
i) saTavsi aalebiTi fotometriisaTvis; aranakleb 8-isa
k) axali meTodikebis danergvis kabineti. aranakleb 16-isa
5. mikrobiologiuri ganyofileba: a) analizebis misaRebi da
saregistracio;
aranakleb 5-isa
b) sapreparato; aranakleb 18-isa
g) boqsi preboqsTan erTad; aranakleb 4+2-isa
d) Termostatuli kamera; aranakleb 3-isa
e) saTavsi avtoklavirebisaTvis; aranakleb 10-isa
v) eqim-mikrobiologis kabineti; aranakleb 12-isa
z) niadagebis mosamzadebeli; aranakleb 8-isa
T) samrecxao. aranakleb 12-isa
6. citologiuri gamokvlevebis ganyofileba: a) salaboranto aranakleb 12-isa
187
188
danarTi 2.
ganaTebulobis sarekomendacio sidideebi ambulatoriul-poliklinikuri tipis dawesebulebis calkeul kabinetebsa da
saTavsebSi
kabineti samuSao zedapirebis
ganaTebulobis koeficienti lq
sinaTlis wyaro
mosacdeli koridori poliklinikaSi pediatris kabineti mimReb-dasaTvalierebeli boqsiT qirurgis, travmatologis kabinetebi:
• saoperacio, saTabaSire, Sesaxvevi
• winasaoperacio mean-ginekologis kabineti eqim Terapevtis kabineti eqim-laborantis kabineti
150 75
500 200
500 200
500 200
300 150
500 200
500 200
300 150
l.n*. e.n**
l.n e.n
l.n. e.n
l.n. e.n
l.n. e.n.
l.n. e.n.
l.n. e.n.
l.n. e.n.
*l.n. _ luminescenturi naTura **e.n. _ eleqtruli naTura
danarTi 3 (sarekomendacio)
samedicino daniSnulebis nakeTobebis dezinfeqcia
dezinfeqciis reJimi temperatura eqspozicia wuTebSi
dezinfeqciis meTodi
sadezinfeqcio masala
nomina-luri
mniSvne-loba
zRvruli mniSvne-loba
koncent-racia %
nomina-luri
mniSvne-loba
zRvruli mniSvne-loba
gamoyeneba
dezinfeq-ciis
Catarebis pirobebi
gamoyene-buli
mowyobi-loba
duRilis
1. distilire-buli wyali; 2.distilire-buli ornax-SirmJava natriumi
98 + 1 _
2.0
45 30
45 45
rekomendebulia minis nakeTo-bebisaTvis, medegi polimeruli masalebisa da rezinisaTvis
mTliani CaZirva wyalSi
sadezin-feqcio maduRara
orTqlis
wyalnajeri orTqli maRa-li wnevis qveS P = 0,5 kg/ sm
110 + 2 _ 15 +5
rekomendebulia minis, metalis, rezinis, late-qsis, Termomdgradi polimerebis nakeTobebisaTvis
kamerebi
haerovani mSrali cxeli haeri
120 + 4
_ 20 +5
rekomendebulia minis da me-talis nakeTo-bebisaTvis
dezinfe-qcia unda Catardes SefuTvis gareSe
sterili-zatori
diqlor-1 _ 1,0 3,0 3,0
_ _ _
sulfoqlo-rantini
_ 0,1 1,0 0,2
_ _ _
qlorcini _ 0,5 3,0 1,0
_ _ _
qimiuri
dezami
aranak-lebi 18
_ 1,25 - 0,5
_ _
rekomendebulia minis, koro-ziamedegi metalis, polimeruli nakeTo-bebisaTvis
orjeradi gawmenda dolbandis an narmis qsoviliT gawmendebs Soris 10-15 intervaliT
_