profesori rema RvamiCavaerovnuli skrining centris direqtori

15 oqtomberiTbilisi, saqarTvelo

2009w.

ZuZusa da saSvilosnos yelis kibos skriningis programa

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 IV stadiebs

erovnuli skrining programa

erovnulma skrining centrma saqmianoba daiwyo 2008 wlis pirvel maiss ZuZus da saSvilosnos yelis kibos skriningis mimarTulebiT

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 programamiznebi

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 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

skrining programaSi qalbatonebisCarTvis 3 ZiriTadi gza arsebobobs:

1.TviTdinebiT2.winaswar CaweriT3.sxva samkurnalo dawesebulebidan

momarTviT (referali)

erovnuli skrining programagamokvlevis meTodebi

sarZeve jirkvlis (s/j) fizikaluri gamokvlevas/j-s radiografiuli gamokvleva BIRAD

sistemiTs/j-s eqoskopiuri da citopaTologiuri

gamokvleva Cvenebis mixedviTsaSvilosnos yelis citologiuri kvleva PAP

meTodiTsaSvilosnos yelis kolposkopiuri kvleva

Cvenebis mixedviTsaSvilosnos yelis histomorfologiuri kvleva

beTesdas meTodiT

erovnuli skrining programagamokvlevis meTodebi

sarZeve jirkvlis (s/j) fizikaluri gamokvlevas/j-s radiografiuli gamokvleva BIRAD

sistemiTs/j-s eqoskopiuri da citopaTologiuri

gamokvleva Cvenebis mixedviTsaSvilosnos yelis citologiuri kvleva PAP

meTodiTsaSvilosnos yelis kolposkopiuri kvleva

Cvenebis mixedviTsaSvilosnos yelis histomorfologiuri kvleva

beTesdas meTodiT

erovnuli skrining programagamokvleuli qalbatonebis raodenoba

maisi 2008 – ivlisi 2010 (Tbilisi)

 saSvilosnos yelis kibos skriningiT

gamokvleuli qalbatonebis raodenobaZuZus kibos skriningiT gamokvleuli

qalbatonebis raodenoba

erovnuli skrining centri 24 541

erovnuli skrining centri 23 620

tatiSvilis samedicino centri

8 712

tatiSvilis samedicino centri

10 703

onkologiuri dispanseri 4 497

onkologiuri dispanseri 4 652

RuduSauris saxelobis saavadmyofo

0RuduSauris saxelobis saavadmyofo

497

jami 37 750 jami 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------------------------------------------------

sul

2 613-------------------------------------------------

----------------11 454

The National Screening ProgramAfter 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%)

Stage IIa 50 (37.5%)

Stage IIb 10 (7%)

Stage IIIa 10 (7%)

Stage IIIb 1 (0.7%)

Stage IIIc 6(5.3%)

Stage IV 3 (2%)

Total 134 (100%)

85%85%

15%15%

programis farglebSi gamovlenili ZuZus kibos stadiuroba

ianvari 2010 – ivnisi 2010

stadia ganawileba

Benign (22,0%)

Stage I

(24,0%)

Stage IIa (26,0%) ( 37,0%)

Stage IIb (12,0%)

Stage IIIa (10%)

Stage IIIb (2,0%)

Stage IIIc (2,0%) (63,0%)

Stage IV (2%)

Total 54 (100%)

84,0%84,0%

16,0%16,0%

erTad vizrunoT janmrTelobaze!