ZuZusa da saSvilosnos yelis kibos skriningis programa
profesori rema RvamiCava
erovnuli skrining centris direqtori
15 oqtomberi
Tbilisi, saqarTvelo
2009w.
 ZuZusa da saSvilosnos yelis kibo warmoadgens saqarTveloSi sazogadoebrivi jandacvis
mzard problemas
ZuZus kibos axalad gamovlenili
SemTxvevebis raodenoba Seadgenda 26.1/100000 mosaxleze, xolo saSvilosnos yelis kibos
 statistikis departamentis monacemebiT 2007 wels
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 IV stadiebs
erovnuli skrining programa
 erovnulma skrining centrma saqmianoba
yelis kibos skriningis mimarTulebiT
daiwyo 2008 wlis pirvel maiss ZuZus da saSvilosnos
 centrs gaformebuli aqvs xelSekruleba
3 qvekontraqtorTan skriningis programis momsaxurebaze (Tbilisis onkodispanseri, d.tatiSvilis
samedicino centri da o.RuduSauris sax. samedicino centri);
 skriningis programas afinansebs Tbilisis meria da gaeros mosaxleobis fondi specialuri
memorandumis safuZvelze
 programaSi CarTuli qalbatonebisaTvis SeTavazebuli samedicino momsaxureba ufasoa
erovnuli skrining programa
miznebi
 samizne mosaxleobaSi ZuZusa da saSvilosnos yelis kiboTi daavadebul qalTa adreuli gamovlena
 adreuli gamovleniT ZuZusa da saSvilosnos yelis kiboTi gamowveuli sikvdilobis Semcireba
 samizne populaciaSi ZuZusa da saSvilosnos yelis kibos skriningze Tanabari xelmisawvdimobis
uzrunvelyofa
 sazogadoebaSi ZuZusa da saSvilosnos yelis kibos da maTi adreuli gamovlenis Sesaxeb
informirebulobis donis gazrda
erovnuli skrining programa
CarTvis 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 programa
CarTvis meTodebi
skrining programaSi qalbatonebis
CarTvis 3 ZiriTadi gza arsebobobs:
1.
2.
3.
TviTdinebiT
winaswar CaweriT
sxva samkurnalo dawesebulebidan momarTviT (referali)
erovnuli skrining programa
gamokvlevis 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 programa
gamokvlevis 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 programa
gamokvleuli qalbatonebis raodenoba
maisi 2008 – ivlisi 2010 (Tbilisi)
saSvilosnos yelis kibos skriningiT gamokvleuli qalbatonebis raodenoba
erovnuli skrining centri
24 541
tatiSvilis samedicino centri
onkologiuri dispanseri
erovnuli skrining centri
8 712
tatiSvilis samedicino centri
4 497
RuduSauris saxelobis saavadmyofo
jami
ZuZus kibos skriningiT gamokvleuli qalbatonebis raodenoba
37 750
10 703
4 652
onkologiuri dispanseri
0
23 620
RuduSauris saxelobis saavadmyofo
jami
497
39 472
ZuZus kibos skriningis programa
(regionebi)
15.09. 2009 –ivlisi 2010
organizacia
Ggatarebuli qalebis raodenoba
Eerovnuli skrining centri
168
baTumi
1 594
gurjaani
3 856
quTaisi (hera)
2 199
quTaisi (cxakaias sax. klinika)
573
rusTavi
451
mamomobili
2 613
-----------------------------------------------sul
----------------------------------------------------------------11 454
The National Screening Program
After Surgery by Stage Distribution of Breast
Cancer Cases
January 2009 – December 2009
Cancer Stage
Cancer Stage Distribution (%)
Benign
29 (21.5%)
Stage I
25 (19%)
85%
Stage IIa
50 (37.5%)
Stage IIb
10 (7%)
Stage IIIa
10 (7%)
Stage IIIb
1 (0.7%)
15%
Stage IIIc
6(5.3%)
Stage IV
3 (2%)
Total
134 (100%)
programis farglebSi gamovlenili ZuZus kibos stadiuroba
ianvari 2010 – ivnisi 2010
stadia
ganawileba
Benign
(22,0%)
Stage I
(24,0%)
84,0%
Stage IIa
(26,0%)
Stage IIb
(12,0%)
Stage IIIa
(10%)
Stage IIIb
(2,0%)
( 37,0%)
16,0%
Stage IIIc
(2,0%)
Stage IV
(2%)
Total
54 (100%)
(63,0%)
erTad vizrunoT janmrTelobaze!