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ZuZusa da saSvilosnos yelis kibos skriningis programa. p rofesori rema RvamiCava e rovnuli skrining centris direqtori 15 oqtomberi Tbilisi, saqarTvelo 2009w . ZuZusa da saSvilosnos yelis kibo warmoadgens saqarTveloSi sazogadoebrivi jandacvis mzard problemas
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ZuZusa da saSvilosnos yelis kibos skriningis programa profesoriremaRvamiCava erovnuliskriningcentrisdireqtori 15 oqtomberi Tbilisi, saqarTvelo 2009w.
ZuZusa da saSvilosnos yelis kibo warmoadgens saqarTveloSi sazogadoebrivi jandacvis mzard problemas • statistikis departamentis monacemebiT 2007 wels ZuZus kibos axalad gamovlenili SemTxvevebis raodenoba Seadgenda 26.1/100000 mosaxleze, xolo saSvilosnos yelis kibos axlad gamovlnili SemTxvevebi– 12/100000 mosaxleze • imave wels ZuZus kibos axlad gamovlenili SemTxvevebis 63% miekuTvneboda III da IV stadiebs, xolo saSvilosnos yelis kibos axlad gamovlenili SemTxvevebis 54%miekuTvneboda III da IVstadiebs
erovnuli skrining programa • erovnulma skrining centrma saqmianoba daiwyo 2008 wlis pirvelmaissZuZusdasaSvilosnosyeliskibosskriningismimarTulebiT • centrsgaformebuliaqvsxelSekruleba 3 qvekontraqtorTanskriningisprogramismomsaxurebaze (Tbilisisonkodispanseri, d.tatiSvilissamedicinocentridao.RuduSauris sax. samedicino centri); • skriningisprogramasafinansebsTbilisismeriadagaerosmosaxleobisfondispecialurimemorandumissafuZvelze • programaSiCarTuliqalbatonebisaTvisSeTavazebulisamedicinomomsaxurebaufasoa
erovnuli skrining programamiznebi • samiznemosaxleobaSiZuZusadasaSvilosnosyeliskiboTidaavadebulqalTaadreuligamovlena • adreuligamovleniTZuZusa da saSvilosnosyeliskiboTigamowveulisikvdilobisSemcireba • samiznepopulaciaSiZuZusa da saSvilosnosyeliskibosskriningzeTanabarixelmisawvdimobisuzrunvelyofa • sazogadoebaSiZuZusa da saSvilosnosyeliskibos da maTiadreuligamovlenisSesaxebinformirebulobisdonisgazrda
erovnuli skrining programaCarTvis kriteriumebi • mdedrobiTi sqesis, q. TbilisSi iuridiuli sacxovrebeli adgilis mqone pirebi • ZuZus kibo – 40-70 wlamde asakobrivi jgufi (n=~214,905) • saSvilosnos yelis kibo – 25-60 wlamde asakobrivi jgufi (n=~280,000) • prostatis skriningi 45 -70 wlamde
erovnuli skrining programaCarTvis meTodebi skriningprogramaSiqalbatonebis CarTvis 3 ZiriTadigzaarsebobobs: • TviTdinebiT • winaswarCaweriT • sxvasamkurnalodawesebulebidanmomarTviT (referali)
erovnuli skrining programagamokvlevis meTodebi • sarZeve jirkvlis (s/j) fizikaluri gamokvleva • s/j-s radiografiuli gamokvleva BIRAD sistemiT • s/j-s eqoskopiuri da citopaTologiuri gamokvleva Cvenebis mixedviT • saSvilosnos yelis citologiuri kvleva PAP meTodiT • saSvilosnos yelis kolposkopiuri kvleva Cvenebis mixedviT • saSvilosnos yelis histomorfologiuri kvleva beTesdas meTodiT
erovnuli skrining programagamokvlevis meTodebi • sarZeve jirkvlis (s/j) fizikaluri gamokvleva • s/j-s radiografiuli gamokvleva BIRAD sistemiT • s/j-s eqoskopiuri da citopaTologiuri gamokvleva Cvenebis mixedviT • saSvilosnos yelis citologiuri kvleva PAP meTodiT • saSvilosnos yelis kolposkopiuri kvleva Cvenebis mixedviT • saSvilosnos yelis histomorfologiuri kvleva beTesdas meTodiT
erovnuliskriningprogramagamokvleuliqalbatonebisraodenobamaisi 2008 – ivlisi 2010 (Tbilisi)
ZuZus kibos skriningis programa(regionebi)15.09. 2009 –ivlisi 2010
The National Screening ProgramAfter Surgery by Stage Distribution of Breast Cancer Cases January 2009 – December 2009 85% 15%
programis farglebSi gamovlenili ZuZus kibos stadiuroba ianvari 2010 – ivnisi 2010 84,0% 16,0%