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Tamba qos moxmareba: aragadamdeb daavadebaTa risk-faqtorebis kvleva saqarTvelo, 2006-2007 ww. lela sturua. saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrosa da janmrTelobis msoflio organizaciis evropis regionul ofiss Soris orwliani (2006-2007) TanamSromlobis SeTanxmeba
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Tamba qos moxmareba: aragadamdeb daavadebaTa risk-faqtorebis kvleva saqarTvelo, 2006-2007 ww. lela sturua
saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrosa da janmrTelobis msoflio organizaciis evropis regionul ofiss Soris orwliani (2006-2007) TanamSromlobis SeTanxmeba preventabelur aragadamdeb daavadebaTa tvirTis Semcireba
2005 wels msoflioSi sikvdilis SemTxvevaTa 70% gamowveulia aragadamdebi daavadebebiT; CVD – 30%, kibo – 13%, sxva qronikuli daavadebebi – 9%
2005 wels saqarTveloSi sikvdilis SemTxvevaTa 93.5% gamowveulia aragadamdebi daavadebebiT; CVD – 74.4%, kibo – 13%, sxva qronikuli daavadebebi – 8%
10 ZiriTadi risk-faqtoris wili saerTo sikvdilobaSi, saqarTvelo, 2002 European health report 2005: Public health action for healthier children and populations
aragadamdeb daavadebaTa risk-faqtorebis kvleva mizani • aragadamdeb daavadebaTa epidzedamxedvelobis sistemis Seqmna saqarTveloSi • aragadamdebi daavadebebisa da maTi risk-faqtorebis gavrcelebis Sesaxeb epidemiologiuri informaciis mopoveba • sxvadasxva qveynebsa da sademonstracio areebSi statistikur monacemTa saerTaSoriso Sedarebebis uzrunvelyofa
aragadamdeb daavadebaTa risk-faqtorebis kvleva amocanebi • gamokvleulTa Sesaxeb detaluri informaciis Sekreba • aragadamdeb daavadebaTa qceviTi risk-faqtorebis (Tambaqo, fizikuri aqtivoba, kveba, alkoholi) da biologiuri risk-faqtorebis (hipertenzia, hiperqolesterolemia, hiperglikemia, Warbi wona da simsuqne) gavrcelebis Sefaseba
aragadamdeb daavadebaTa risk-faqtorebis kvleva amocanebi • mopovebuli informaciis gamoyeneba aragadamdeb daavadebaTa prevenciisa da kontrolis potencialis gaZlierebis mizniT, saWiroebaTa gansazRvrisa da Semdgomi intervenciebis dagegmisaTvis • aragadamdeb daavadebaTa mkvlevari jgufebis formireba, romelTac SeeZlebaT sxva regionebsa da mTlianad qveynis masStabiT kvlevaTa organizeba
kvlevis instrumentebi • Tambaqos mowevis Sefasebis instrumenti (kiTxvari) • kvebiTi Cvevebis Sefasebis instrumenti (kiTxvari) • fizikuri aqtivobis Sefasebis instrumenti (kiTxvari) • alkoholis moxmarebis Sefasebis instrumenti (kiTxvari) • anTropometria (gazomva) • arteriuli wnevis monacemebi (gazomva da kiTxvari) • qolesterolisa da glukozis skriningi (gazomva da kiTxvari)
aragadamdeb daavadebaTa risk-faqtorebis kvleva • kvlevis are q. Tbilisis didube-CuRureTis raioni • gamosakvlevi kontingenti q. Tbilisis didube-CuRureTis raionis 25-65 w.w. orive sqesis populacia gamokvleulia 342 klasteri, 2472 piri • kvlevaze gamoxmaureba (response) - 72%
gamokvleuli kontingentis ganawileba sqesisa da asakis mixedviT
Tambaqos moxmareba- definiciebi • mweveli - adamiani, romelic kvlevis momentisaTvis eweva Tambaqos produqts yoveldRiurad an iSviaTad; • yoveldRiuri mweveli - piri, romelic eweva Tambaqos romelime produqts sul mcire erTxel mainc dReSi; • iSviaTi mweveli - piri, romelic eweva, magram ara yoveldRe; • ara-mweveli- piri, romelic kvlevis momentisaTvis ar eweva; • eqs-mweveli - piri, romelic warsulSi iyo yoveldRiuri mweveli, magram amJamad ar eweva; • arasdros mweveli - piri, romelic arasdros ar eweoda an arasdros ar yofila yoveldRiuri mweveli da cxovrebis manZilze mouwevia 100 sigaretze naklebi; • yofili yoveldRiuri mweveli - piri, romelic eweoda yoveldRe Tavis cxovrebaSi sul mcire 1 wlis ganmavlobaSi.
aragadamdeb daavadebaTa risk-faqtorebis kvleva Sedegebi • respondentTa absolutur umravlesobas (91,4%) ar Catarebia janmrTelobasTan dakavSirebul raime procedura ukanaskneli 12 Tvis ganmavlobaSi • respondentTa umravlesobas iSviaTad an saerTod ar miuRia raime saxis informacia tele- da radiogadacemebis, broSurebis, beWdviTi mediis an leqciebis saSualebiT ukanaskneli 12 Tvis ganmavlobaSi • respondentTa 72,6%-s ukanaskneli 12 Tvis manZilze ar Cautarebia janmrTelobasTan dakavSirebuli raime srulyofili gamokvleva
aragadamdeb daavadebaTa risk-faqtorebis kvleva Sedegebi • gamokiTxulTagan 52.3% aRniSnavs, rom eweoda cxovrebis manZilze sul mcire 1 weli • yoveldRiur mwevelebs Soris Tambaqos mowevis saSualo xangrZlivoba Seadgens 19 wels. mamakacebSi - 21 weli, qalebSi - 15 weli • odesme mwevelTa 60.1 % eweva 20 sigarets da mets dReSi • dRiurad moweuli sigaretis saSualo raodenoba mamakacebSi 21, xolo qalebSi 13-ia
aragadamdeb daavadebaTa risk-faqtorebis kvleva Sedegebi • amJamad eweva respondentebis 42.2% (40.7%-yoveldRiuri mweveli) • mamakacebSi es Cveva samjer ufro metadaa gavrcelebuli, vidre qalebSi (Sesabamisad 62% da 23%) • TiTqmis yvela yoveldRiuri mweveli eweva qarxnul sigarets • yoveldRiur mwevelebs Soris 75.6%-s kargad aqvs gacnobierebuli, rom moweva mavne zemoqmedebas axdens janmrTelobaze
aragadamdeb daavadebaTa risk-faqtorebis kvleva Sedegebi • yoveldRiuri mwevelebis 21.3%-s ar surs mowevisaTvis Tavis danebeba • 24% ar aris darwmunebuli • mxolod 33.8%-s surs sigaretisaTvis Tavis danebeba • yoveldRiuri mwevelebis 39.1%-s arasdros ucdia mowevisaTvis Tavis danebeba • yoveldRiur mwevelTa mxolod 28.4%-ma miiRo rCeva eqimisagan TambaqosTvis Tavi danebebis Sesaxeb
aragadamdeb daavadebaTa risk-faqtorebis kvleva Sedegebi • respondentTa umravlesobas ar miuRia cxovrebis jansaR wesTan (uari Tambaqos mowevaze, wonis dakleba, marilisa da cximis moxmarebis Semcireba, fizikuri aqtivobis optimizacia, alkoholis moxmarebis Semcireba) dakavSirebuli rCevebi ojaxis wevris, megobris, kolegis an jandacvis muSakisagan
aragadamdeb daavadebaTa risk-faqtorebis kvleva Sedegebi ukanaskneli 1 wlis ganmavlobaSi • respodentTa mxolod 12.5%-ma miiRo rCeva eqimisagan Tambaqoze Tavis danebebasTan dakavSirebiT • respodentTa mxolod 11.5%-ma scada TambaqosaTvis Tavis danebeba • respodentTa 4.6%-ma uari Tqva Tambaqoze
2030 wels saqarTveloSi sikvdilis SemTxvevaTa 92.2% gamowveuli iqneba aragadamdebi daavadebebiT; CVD – 70.4%, kibo – 12.9%, sxva qronikuli daavadebebi – 8.9%