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gadanergili-organo gadarCenili sicocxle!
Tirkmlis transplantacia
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Tirkmeli – adamianis ZiriTadi eqskretoruli organo
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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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Tirkmlebi ganlagebulia retroperitonealur sivrceSi, gulmkerdis XI da welis III malebis doneze
Tirkmlis masa gr. sirZe sm. sigane 5-6 sm. sisqe 3-4 sm.
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Tirkmeli Sedgeba gareTa-qerqovani da SigniTa-tvinovani Sreebisagan
Tirkmlis ZiriTad struqturul-funqciur erTeuls warmoadgens nefroni
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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
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Tirkmlis mwvave da qronikuli ukmarisoba
irRveva Tirmlis funqciebi wyalmarilovani, azotovani da sxva nivTerebaTa cvla Tirkmlis mwvave ukmarisoba irRveva filtraciuli, gamomyofi da sekretoruli funqciebi
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Tirkmlis qronikuli ukmarisobis mizezi SeiZleba iyos:
yvla is daavadeba, romelic iwvevs Tirkmlis gorglebis dazianebas
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Tirkmlis qronikul ukmarisobas iwveven Semdegi daavadebebi
Tirkmlebis polikistozi arteriuli hipertenzia qronikuli glomerulonefriti, pielonefriti sistemuri wiTeli mglura, hemoragiuli vaskuliti Saqriani diabeti, podagra, amiloidozi
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Tirkmlis qronikul ukmarisobas iwveven Semdegi daavadebebi
SardkenWovani daava- deba, hidronefrozi Tirkmlis ganviTa- rebis Tandayolili anomaliebi Sardsadenze zemwoli simsivne
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TirkmliT CanacvlebiTi Terapiis ori forma
transplantacia dializi
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Tirkmlis pirveli gadanergva
1902 w. uremiiT daavadebuls gadaunerges Roris Tirkmeli 1933 w. gadainerga gardacvlili adamianis Tirkmeli 1954 warmatebiT gadainerga gardacvlili adamianis Tirkmeli
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warmatebuli operaciisTvis ozef miurem 1990 wels nobelis premia miiRo
swored miureis naSromebi daedo safuZvlad Tanamedrove transplantologias
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Tirkmlis gadanergva saqarTveloSi
1977 w. gadainerga gvamuri Tirkmeli 1997 w. daarsda transplantologTa asociacia
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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
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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
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Tavsebadobis ZiriTadi
donori-adamiani, romlis sxeulidanac iReben gadasanerg qsovils an organos Tavsebadobis ZiriTadi parametrebi 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
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yvela donorma unda gaiaros fsoqosocialuri gamokvleva, Tirkmlis gacemis motivaciis Sesafaseblad
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recipienti-adamiani, romelsac energeba
qsovili an organo
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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
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recipienti, rogorc donori, srulad unda iyos informirebuli
yvela mosalodneli garTulebis Sesaxeb
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operaciis dawyebamde xeli unda moaweroT Tanxmobis formaze, romelic adasturebs Tqvens Tanxmobas Tirkmlis gadanergvis operaciaze
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operaciis mimdinareoba
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
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saoperacio velis kans daamuSaveben Zlieri antiseptikuri xsnariT
eqimi avlbes grZel ganakveTs muclis qvemoT cal mxareze
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donoris Tirkmels aTavseben muclis RruSi
donoruli Tirkmlis SardsawveTs uerTeben Sardis buSts donoruli Tirkmlis arteriasa da venas uerTeben pacientis TeZos arteriasa da venas
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donoris marjvena Tirkmeli marcxniv inergeba, xolo marcxena-marjvniv; amiT advili xdeba donoruli Tirkmlis SardsawveTis mierTeba Sardis buStTan
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ganakveTs keraven qirurgiuli nakeriT
SeSupebis Sesamcireblad ganakveTis ubanSi Tavsdeba drenaJi Wrilobas adeben sterilur saxvevs
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c Tirkmlis gadanergvis operaciis Semdeg
pacients awvenen intensiuri Terapiis an reanimaciis palataSi, mdgomareobis gaumjobesebis Semdeg gadayavT Cveulebriv palataSi
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operaciis Semdeg pacients eniSneba medikamentebi, raTa organos mwvave mocilebis reaqcia ar ganviTardes
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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
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Tirkmlis transplantantis
daavadebebi qronikuli mocilebis sindromi medikamentozuri intoqsikacia transplantis qronikuli nefropaTia rekurentuli daavadeba
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msoflio statistikis Tanaxmad, gadanergili Tirkmlis funqcionirebis maqsimaluri xangrZlivoba welia
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gisurvebT janmrTelobas!
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