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gadanergili-organo gadarCenili sicocxle!

gadanergili-organo gadarCenili sicocxle!. Tirkmlis transplantacia. Tirkmeli – adamianis ZiriTadi eqskretoruli organo. daSlis produqtebiT mdidari sisxli Tirkmels arteriiT miewodeba da ifiltreba. sisxlis filtratia Sardi Sardi SardsawveTiT Sardis buStSi grovdeba da SardsadeniT gareT gamoiyofa.

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gadanergili-organo gadarCenili sicocxle!

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  1. gadanergili-organo gadarCenili sicocxle! Tirkmlis transplantacia

  2. Tirkmeli – adamianis ZiriTadi eqskretoruli organo

  3. daSlis produqtebiT mdidari sisxli Tirkmels arteriiT miewodeba da ifiltreba • sisxlis filtratia Sardi • Sardi SardsawveTiT Sardis buStSi grovdeba da SardsadeniT gareT gamoiyofa

  4. Tirkmlebi ganlagebulia retroperitonealur sivrceSi, gulmkerdis XI da welis III malebis doneze • Tirkmlis masa 120-200 gr. • sirZe 10-12 sm. • sigane 5-6 sm. • sisqe 3-4 sm.

  5. Tirkmeli Sedgeba gareTa-qerqovani da SigniTa-tvinovani Sreebisagan • Tirkmlis ZiriTad struqturul-funqciur erTeuls warmoadgens nefroni

  6. Tirkmlebis umniSvnelovanesi fiziologiuri roli-homeostazis regulacia • osmoregulacia • volumoregulacia • eleqtrolituri da mJava-tutovani balansis mudmivobis SenarCuneba • azotovani cvlis produqtebis eqskrecia • cilebis, lipidebis, naxSirwylebis metabolizmSi monawileoba • organizmidan toqsikuri nivTierebebis gauvnebelyofa da gamoyofa • hemodinamikis regulacia • inkretoruli funqcia

  7. Tirkmlis mwvave da qronikuli ukmarisoba irRveva Tirmlis funqciebi • wyalmarilovani, azotovani da sxva nivTerebaTa cvla Tirkmlis mwvave ukmarisoba • irRveva filtraciuli, gamomyofi da sekretoruli funqciebi

  8. Tirkmlisqronikuliukmarisobis mizezi SeiZleba iyos: • yvla is daavadeba, romelic iwvevs Tirkmlis gorglebis dazianebas

  9. Tirkmlis qronikul ukmarisobas iwveven Semdegi daavadebebi Tirkmlebis polikistozi arteriuli hipertenzia qronikuli glomerulonefriti, pielonefriti sistemuri wiTeli mglura, hemoragiuli vaskuliti Saqriani diabeti, podagra, amiloidozi

  10. Tirkmlis qronikul ukmarisobas iwveven Semdegi daavadebebi SardkenWovani daava- deba, hidronefrozi Tirkmlis ganviTa- rebis Tandayolili anomaliebi Sardsadenze zemwoli simsivne

  11. TirkmliT CanacvlebiTi Terapiis ori forma transplantacia dializi

  12. Tirkmlis pirveli gadanergva • 1902 w. uremiiT daavadebuls gadaunerges Roris Tirkmeli • 1933 w. gadainerga gardacvlili adamianis Tirkmeli • 1954 warmatebiT gadainerga gardacvlili adamianis Tirkmeli

  13. warmatebuli operaciisTvis ozefmiurem 1990 wels nobelis premia miiRo • swored miureis naSromebi daedo safuZvlad Tanamedrove transplantologias

  14. Tirkmlis gadanergva saqarTveloSi • 1977 w. gadainerga gvamuri Tirkmeli • 1997 w. daarsda transplantologTa asociacia

  15. organoTa donaciis me-12 evropuli dRe TbilisSi • 2010 w. 23 oqtombers Tbilisma pirvelad umaspinZla “organoTa donaciis me-12 evropul dRes” • RonisZiebaSi monawileoba miiRo ormocamde eqim-transplantologma evrosabWos qveynebidan

  16. saqarTveloSi 2000 w. miRebuli kanonis Tanaxmad donori SeiZleba iyos, rogorc cocxali, ise gardacvlili adamiani • recipients SeiZleba gadaenergos mxolod genetikuri naTesavis, meuRlis, an meuRlis naTesavis organo • saqarTveloSi moqmedebs ‘donorTa gacvlis programa’ • organoebiT vaWroba saqarTveloSi xuTidan aT wlamde Tavisuflebis aRkveTiT isjeba

  17. donori-adamiani, romlis sxeulidanac iReben gadasanerg qsovils an organos • sisxlis jgufis Tanxvedra, leikocituri antigenebisa da e.w. jvaredini reaqciis mixedviT • erTmaneTis msgavsi unda iyos donorisa da recipientis masa da asaki • sasurvelia Tirkmlis gadanergva erTi da imave sqesis adamianebs Soris moxdes Tavsebadobis ZiriTadi parametrebi

  18. yvela donorma unda gaiaros fsoqosocialuri gamokvleva, Tirkmlis gacemis motivaciis Sesafaseblad

  19. recipienti-adamiani, romelsac energeba qsovili an organo

  20. gadanergvisaTvis saWiroa recipientis momzadeba • unda mowesrigdes sisxlis bioqimiuri maCveneblebi, arteriuli wneva, gul-sisxlZarRvTa sistemis muSaoba • aucelebelia ganikurnos yvela anTebiTi procesi • sisxlSi eriTrocitebisa da hemoglobinis saTanado donis uzrunvelyofa • donoris Tirkmlis Tavsebadobis dasadgenad unda Catardes antigenebisa da histoSeTavsebis sistemebis kompleqsuri gamokvleva

  21. recipienti, rogorc donori, srulad unda iyos informirebuli yvela mosalodneli garTulebis Sesaxeb

  22. operaciisdawyebamde • xeli unda moaweroT Tanxmobis formaze, romelic adasturebs Tqvens Tanxmobas Tirkmlis gadanergvis operaciaze

  23. operaciismimdinareoba • operaciis dros wamlebis Sesayvanad pacients venaSi udgamen ramdenime kaTeters wveTovaniT • piridan filtvebSi SeyavT mili, romelic SeerTebulia filtvebis xelovnuri ventilaciis aparatTan • akontroleben gulis cemis sixSires, arteriul wnevas, sunTqvas

  24. saoperacio velis kans daamuSaveben Zlieri antiseptikuri xsnariT • eqimi avlbes grZel ganakveTs muclis qvemoT cal mxareze

  25. donoris Tirkmels aTavseben muclis RruSi • donoruli Tirkmlis SardsawveTs uerTeben Sardis buSts • donoruli Tirkmlis arteriasa da venas uerTeben pacientis TeZos arteriasa da venas

  26. donoris marjvena Tirkmeli marcxniv inergeba, xolo marcxena-marjvniv; amiT advili xdeba donoruli Tirkmlis SardsawveTis mierTeba Sardis buStTan

  27. ganakveTs keraven qirurgiuli nakeriT • SeSupebis Sesamcireblad ganakveTis ubanSi Tavsdeba drenaJi • Wrilobas adeben sterilur saxvevs

  28. c Tirkmlis gadanergvis operaciis Semdeg pacients awvenen intensiuri Terapiis an reanimaciis palataSi, mdgomareobis gaumjobesebis Semdeg gadayavT Cveulebriv palataSi

  29. operaciis Semdeg pacients eniSneba medikamentebi, raTa organos mwvave mocilebis reaqcia ar ganviTardes

  30. Sin dabrunebis Semdeg • donorma erTxans Tavi unda aaridos zogierT sakvebs ( comeuls; mwares; cxares; marilians; alkoholur sasmelebs da sxva ) • recipientisaTvis mniSvnelovania naoperaciebi midamos sufTad da mSralad SenarCuneba

  31. Tirkmlis transplantantis daavadebebi • qronikuli mocilebis sindromi • medikamentozuri intoqsikacia • transplantis qronikuli nefropaTia • rekurentuli daavadeba

  32. msofliostatistikisTanaxmad, gadanergili Tirkmlis funqcionirebis maqsimaluri xangrZlivoba 20-30 welia

  33. gisurvebT janmrTelobas!

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