1. ZuZusa da saSvilosnos yelis kibos skriningis programa
profesori rema RvamiCava
erovnuli skrining centris direqtori
15 oqtomberi
Tbilisi, saqarTvelo
2009w.

2. 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/ mosaxleze, xolo saSvilosnos yelis kibos axlad gamovlnili SemTxvevebi – 12/ 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

3. erovnuli skrining programa
erovnulma skrining centrma saqmianoba daiwyo 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

4. 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

5. erovnuli skrining programa CarTvis kriteriumebi
mdedrobiTi sqesis, q. TbilisSi iuridiuli sacxovrebeli adgilis mqone pirebi
ZuZus kibo – wlamde asakobrivi jgufi (n=~214,905)
saSvilosnos yelis kibo – wlamde asakobrivi jgufi (n=~280,000)
prostatis skriningi wlamde

6. erovnuli skrining programa CarTvis meTodebi
skrining programaSi qalbatonebis
CarTvis 3 ZiriTadi gza arsebobobs:
TviTdinebiT
winaswar CaweriT
sxva samkurnalo dawesebulebidan momarTviT (referali)

7. 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

8. 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

9. saSvilosnos yelis kibos skriningiT gamokvleuli qalbatonebis raodenoba
erovnuli skrining programa gamokvleuli qalbatonebis raodenoba maisi 2008 – ivlisi 2010 (Tbilisi)
saSvilosnos yelis kibos skriningiT gamokvleuli qalbatonebis raodenoba
ZuZus kibos skriningiT gamokvleuli qalbatonebis raodenoba
erovnuli skrining centri
24 541
23 620
tatiSvilis samedicino centri
8 712
10 703
onkologiuri dispanseri
4 497
4 652
RuduSauris saxelobis saavadmyofo
497
jami
37 750
39 472

10. 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

11. Cancer Stage Distribution (%)
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%)
Stage IIa
50 (37.5%)
Stage IIb
10 (7%)
Stage IIIa
Stage IIIb
1 (0.7%)
Stage IIIc
6(5.3%)
Stage IV
3 (2%)
Total
134 (100%)
85%
15%

12. 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%
16,0%

13. erTad vizrunoT janmrTelobaze!