recenzentebi: abduselisvili daviti weisvili madona · semdgenlebi: abduselisvili daviti baziari...

Semdgenlebi:

abduSeliSvili daviTi

baziari vera

giuaSvili nino

dolaberiZe manana

zarnaZe medea

niJaraZe dea

xelaZe kaxa

wverava mixeili

WeiSvili madona

2

cnobari momzadebulia

asociacia “genezisi”-s sociacia “genezisi”-s sociacia “genezisi”-s sociacia “genezisi”-s sociacia “genezisi”-s da

saqarTvelos Sromis, janmrTelobisa da socialuri dacvissaqarTvelos Sromis, janmrTelobisa da socialuri dacvissaqarTvelos Sromis, janmrTelobisa da socialuri dacvissaqarTvelos Sromis, janmrTelobisa da socialuri dacvissaqarTvelos Sromis, janmrTelobisa da socialuri dacvis

saministros standartizaciis, saministros standartizaciis, saministros standartizaciis, saministros standartizaciis, saministros standartizaciis, normirebisa danormirebisa danormirebisa danormirebisa danormirebisa da

licenzirebis departamentis licenzirebis departamentis licenzirebis departamentis licenzirebis departamentis licenzirebis departamentis

erToblivi ZalisxmeviT.

gamocema dafinansebulia

NOVIB-is - «niderlandebis organizacia saerTaSoriso-is - «niderlandebis organizacia saerTaSoriso-is - «niderlandebis organizacia saerTaSoriso-is - «niderlandebis organizacia saerTaSoriso-is - «niderlandebis organizacia saerTaSoriso

ganviTarebis TanamSromlobisaTvis» ganviTarebis TanamSromlobisaTvis» ganviTarebis TanamSromlobisaTvis» ganviTarebis TanamSromlobisaTvis» ganviTarebis TanamSromlobisaTvis» mier.

This manual is a joint publication byThe Genesis Association and

The Department of Standards, Norms and Licenses ofthe Ministry of Labour, Health and Social Affairs,

and funded byNOVIB (The Netherlands Organisation forInternational Development Cooperation).

recenzentebi:asaTiani Tengizibukia TinaTinigadelia nanagujejiani rusudaniTomaZe giorgikavTiaSvili qeTevanifaRava yaramani

saredaqcio jgufi:goderZiSvili lizamaTeSvili sandromgalobliSvili maiamgalobliSvili irina

s a r C e v is a r C e v is a r C e v is a r C e v is a r C e v i

Sesavali.........................................................................................................................................................................................5

TaviTaviTaviTaviTavi I .I .I .I .I . kiTxvebi,kiTxvebi,kiTxvebi,kiTxvebi,kiTxvebi, romlebic uCndeba romlebic uCndeba romlebic uCndeba romlebic uCndeba romlebic uCndeba ebadeba ebadeba ebadeba ebadeba ebadeba licenziis maZiebels........ . . . . . . .licenziis maZiebels........ . . . . . . .licenziis maZiebels........ . . . . . . .licenziis maZiebels........ . . . . . . .licenziis maZiebels........ . . . . . . .7

TaviTaviTaviTaviTavi IIIIIIIIII licenzirebad samedicino da farmacevtul saqmianobaTa nusxa....licenzirebad samedicino da farmacevtul saqmianobaTa nusxa....licenzirebad samedicino da farmacevtul saqmianobaTa nusxa....licenzirebad samedicino da farmacevtul saqmianobaTa nusxa....licenzirebad samedicino da farmacevtul saqmianobaTa nusxa....13

2.1 licenzirebad samedicino saqmianobaTa nusxa.......................................................................................14

2.2 licenzirebadi farmacevtuli saqmianobis saxeebi.........................................................................28

TaviTaviTaviTaviTavi IIIIIIIIIIIIIII samedicinosamedicinosamedicinosamedicinosamedicino saqmianobis saqmianobis saqmianobis saqmianobis saqmianobis licenzirlicenzirlicenzirlicenzirlicenzirebisaTvis saWiroebisaTvis saWiroebisaTvis saWiroebisaTvis saWiroebisaTvis saWiro

dokumentaciis tidokumentaciis tidokumentaciis tidokumentaciis tidokumentaciis ti piurpiurpiurpiurpiuriiiii fo fo fo fo formebirmebirmebirmebirmebi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

3.1 gancxadeba ..................................................................................................................................................................30

3.2 cnobebi ........................................................................................................................................................................31

3.3 informacia samedicino dawesebulebis materialur-teqnikuri bazis Sesaxeb ................32

3.4 samedicino teqnikuri aRWurvilobis pirobiTi kodebi ................................................................39

3.5 farmacevtuli saqmianobis licenzirebisaTvis saWiro gancxadeba........................................40

TaviTaviTaviTaviTavi IVIVIVIVIV samedicino saqmianobis pasportebi .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .samedicino saqmianobis pasportebi .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .samedicino saqmianobis pasportebi .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .samedicino saqmianobis pasportebi .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .samedicino saqmianobis pasportebi .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

4 .1 .4 .1 .4 .1 .4 .1 .4 .1 . zogadi saeqimo praqtika, ojaxis eqimizogadi saeqimo praqtika, ojaxis eqimizogadi saeqimo praqtika, ojaxis eqimizogadi saeqimo praqtika, ojaxis eqimizogadi saeqimo praqtika, ojaxis eqimi

samedicino saqmianoba: zogadi saeqimo praqtika, ojaxis eqimi .....................................................42

ojaxis eqimis samsaxuris samedicino-teqnikuri aRWurviloba .....................................................43

4.2 TerapiaTerapiaTerapiaTerapiaTerapia

samedicino saqmianoba: Terapia, ambulatoruli momsaxureba:

done I..............................................................................................................................................................................46

done II .........................................................................................................................................................................48

done III ........................................................................................................................................................................50

done IV ........................................................................................................................................................................52

samedicino saqmianoba: Terapia, ambulatoruli momsaxureba/dRis stacionari

done I ..........................................................................................................................................................................54

done II .........................................................................................................................................................................56

done III ........................................................................................................................................................................58

done IV ........................................................................................................................................................................60

Terapia: samedicino-teqnikuri aRWurviloba..............................................................................................62

4 .34 .34 .34 .34 .3 pediatriapediatriapediatriapediatriapediatria

samedicino saqmianoba: pediatria, ambulatoruli momsaxureba

done I ..........................................................................................................................................................................67

done II .........................................................................................................................................................................69

done III ........................................................................................................................................................................71

done IV ........................................................................................................................................................................74

samedicino saqmianoba: pediatria, ambulatoruli momsaxureba/dRis stacionari

done I ..........................................................................................................................................................................77

done II .........................................................................................................................................................................78

done III ........................................................................................................................................................................80

done IV ........................................................................................................................................................................83

pediatria: samedicino-teqnikuri aRWurviloba ......................................................................................86

3

4

4.44.44.44.44.4 qirurgiaqirurgiaqirurgiaqirurgiaqirurgia

samedicino saqmianoba: zogadi qirurgia, mozrdilTa ambulatorul-poliklinikuri

momsaxureba. (I, II, III, IV doneebi) ........................................................................................................................91

zogadi qirurgia: samedicino-teqnikuri aRWurviloba .......................................................................94

4.54.54.54.54.5 meanoba-ginekologiameanoba-ginekologiameanoba-ginekologiameanoba-ginekologiameanoba-ginekologia

samedicino saqmianoba: meanoba-ginekologia, ambulatoruli momsaxureba

done I ........................................................................................................................................................................101

done II .......................................................................................................................................................................103

done III ......................................................................................................................................................................105

done IV ......................................................................................................................................................................107

meanoba-ginekologia: samedicino-teqnikuri aRWurviloba .............................................................110

4.6 .4 .6 .4 .6 .4 .6 .4 .6 . laboratoriuli diagnostikalaboratoriuli diagnostikalaboratoriuli diagnostikalaboratoriuli diagnostikalaboratoriuli diagnostika

samedicino saqmianoba: kliniko-laboratoriuli diagnostika, ambulatoruli

momsaxureba

done I .........................................................................................................................................................................116

done II ........................................................................................................................................................................123

done III ......................................................................................................................................................................131

done IV ......................................................................................................................................................................143

TaviTaviTaviTaviTavi V V V V V nozologiebis CamonaTvali daavadebaTa saerTaSorisonozologiebis CamonaTvali daavadebaTa saerTaSorisonozologiebis CamonaTvali daavadebaTa saerTaSorisonozologiebis CamonaTvali daavadebaTa saerTaSorisonozologiebis CamonaTvali daavadebaTa saerTaSoriso

klasifikaciis klasifikaciis klasifikaciis klasifikaciis klasifikaciis ICD-10 - is mixedviT- is mixedviT- is mixedviT- is mixedviT- is mixedviT..............................................................................155

TaviTaviTaviTaviTavi VI VI VI VI VI sxvadasxva simZlavris ambulatoriul - poliklinikurisxvadasxva simZlavris ambulatoriul - poliklinikurisxvadasxva simZlavris ambulatoriul - poliklinikurisxvadasxva simZlavris ambulatoriul - poliklinikurisxvadasxva simZlavris ambulatoriul - poliklinikuri

dawesebulebebis mowyobis, aRWurvisa da eqspluataciisdawesebulebebis mowyobis, aRWurvisa da eqspluataciisdawesebulebebis mowyobis, aRWurvisa da eqspluataciisdawesebulebebis mowyobis, aRWurvisa da eqspluataciisdawesebulebebis mowyobis, aRWurvisa da eqspluataciis

sanitariuli wesebisanitariuli wesebisanitariuli wesebisanitariuli wesebisanitariuli wesebi......................................................................................................................175

S e s a v a l iS e s a v a l iS e s a v a l iS e s a v a l iS e s a v a l i

saqarTveloSi pirveladi jandacvis koncefcia, iseve rogorc mTlianad janmrTelobis dacvis

sistema, reorientaciisa da xelaxali formirebis procesSia. samedicino momsaxurebis dRes

arsebuli dayofa doneebis mixedviT ar Seesabameba moqmed saerTaSoriso standartebs da Semdgom

daxvewas moiTxovs.

am procesis dasrulebamde, Cveni azriT, aucilebelia pirveladi jandacvis struqturebis

licenzirebisaTvis moqmedi standartebisa da saregulacio normebisaTvis werilobiTi formis

micema (pirvelad sabWoTa periodis Semdeg), rac xelmisawvdoms gaxdis saWiro informacias

Sesabamisi licenzirebis maZieblebisa da samedicino organizaciebis xelmZRvanelebisaTvis. am

mizniT, gadawyda winamdebare cnobaris momzadeba da gamoqveyneba.

cnobarSi mocemulia informacia im licenzirebad samedicino saqmianobebze, romlebic SeiZleba

Segvxvdes pirveladi jandacvis moqmed dawesebulebebSi. aq moyvanili licenzirebadi samedicino

saqmianobis pasportebi SemuSavebulia Sesabamisi dargebis specialistebis mier saqarTvelos

Sromis janmrTelobisa da socialuri dacvis saministrosTan SeTanxmebiT. Ppasportebi Seicavs

dawvrilebiT informacias konkretuli samedicino saqmianobis moculobis, adamianTa da teqnikuri

resursebis, sivrcis dagegmarebis da higienuri moTxovnebis da sxva detalebis Sesaxeb.

cnobari, agreTve, Seicavs im kiTxvebze pasuxs, rac yvelaze xSirad uCndeba licenziis maZiebels,

licenzirebisaTvis saWiro sabuTebis CamonaTvals da maT tipiur formebs.

vfiqrobT, rom cnobari daexmareba licenzirebis maZiebels winaswar gansazRvros Tavisi

SesaZleblobebi, gaaumjobesos da moiyvanos isini moqmed normativebTan SesabamisobaSi, Tavidan

aicilos saWiro informaciis mosapoveblad Sesabamis instanciebSi zedmeti siaruli da drois

xarjva.

amave dros, imis gamo, rom am cnobarSi moyvanili samedicino saqmianobis salicenzio standartebi

samuSao versiaa, romelic Semdgom srulyofas da dakanonebas saWiroebs, licenziis maZiebels da

yvela sxva dainteresebul pirs eZleva saSualeba aqtiuri monawileoba miiRos am procesSi,

risTvisac, gTxovT, Tqveni SekiTxvebi da winadadebebi winamdebare broSuris Sinaarsze mogvawodoT

Semdeg misamarTebze:

saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrossaqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrossaqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrossaqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrossaqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros

standartizaciis, normirebisa da licenzirebis departamenti.standartizaciis, normirebisa da licenzirebis departamenti.standartizaciis, normirebisa da licenzirebis departamenti.standartizaciis, normirebisa da licenzirebis departamenti.standartizaciis, normirebisa da licenzirebis departamenti.

misamarTi: q. Tbilisi, 0102 d. uznaZis #78, me_3 sarT

tel: 94-29-13

asociacia “genezisi”.asociacia “genezisi”.asociacia “genezisi”.asociacia “genezisi”.asociacia “genezisi”.

misamarTi: q. Tbilisi, zugdidis q. 3/evdoSvilis q. 19

tel/faqsi: 943148, tel: 348951

el.fosta: [email protected]: http://www.genesis.org.ge

5

6

Manual on Licensing Requirementsof Primary Medical Activities

I n t r o d u c t i o n

The concept of Primary Healthcare in Georgia, as well as the Healthcare system as a whole, is undergoing aprocess of restructuring and reorientation. The current division of the healthcare system into various levels(primary, secondary, etc.) is not in conformity with internationally accepted standards and requires furtheramendment.

However, until this process has been completed it is, in our opinion, necessary to put the standards and regulationswhich are currently in force for licensing of primary healthcare institutions into print (for the first time after the Sovietperiod) and make them available to license seekers and managers of healthcare institutions. For this purpose, it hasbeen decided to prepare and publish this manual.

The manual contains information on those medical activities and services which must be licensed and that are beingprovided by primary healthcare institutions – as currently defined. The Licensing “Passports” (Standard RequirementSets) for the medical activities have been prepared by specialists of the respective fields of expertise as selected byand with the approval of the Ministry of Labour, Health and Social Affairs of Georgia. The “Licensing Passports”contain detailed information regarding the state licensing standards for human and technical resources, hygienic andspace planning requirements, etc. for each of the medical activities presented.

The manual also contains answers to Frequently Asked Questions posed by license applicants, as well as the list ofthe necessary documents and suggested templates.

We believe that this manual will assist the prospective license applicant to assess in advance his ability to set up ahealthcare service that will satisfy the current state licence standards, thereby avoiding loss of time through unnecessaryvisits to the licensing bodies.

Meanwhile, since the information on state licensing standards for medical activities presented in this manual is in draftversion which will undergo further amendment, the opportunity is available to license applicants and other interestedparties to actively participate in this process. We will therefore greatly appreciate comments, questions or suggestedamendments to this manual, which may be set to any of the following addresses:

Department of Standards, Norms & LicensesThe Ministry of Labour, Health & Social Affairs78 Dimitri Uznadze Street, Floor III, Tbilisi 0102, Georgiatel: (+995-32) 94 29 13

The Genesis Association3 Zugdidi Street/19 Evdoshvili Street, Tbilisi, Georgiatel: (+995-32) 34 89 51, tel/fax: (+995-32) 94 31 48e-mail: [email protected],website: http://www.genesis.org.ge

Tavi ITavi ITavi ITavi ITavi I

kiTxvebi, romelic yvelaze xSirad uCndeba samedicinokiTxvebi, romelic yvelaze xSirad uCndeba samedicinokiTxvebi, romelic yvelaze xSirad uCndeba samedicinokiTxvebi, romelic yvelaze xSirad uCndeba samedicinokiTxvebi, romelic yvelaze xSirad uCndeba samedicino

saqmianobis licenziis maZiebelssaqmianobis licenziis maZiebelssaqmianobis licenziis maZiebelssaqmianobis licenziis maZiebelssaqmianobis licenziis maZiebels

7

11111. romelia licenzirebadi samedicino saqmianobis saxeebi?. romelia licenzirebadi samedicino saqmianobis saxeebi?. romelia licenzirebadi samedicino saqmianobis saxeebi?. romelia licenzirebadi samedicino saqmianobis saxeebi?. romelia licenzirebadi samedicino saqmianobis saxeebi?

licenzirebadi samedicino saqmianobis saxeebi gansazRvrulia saqarTvelos kanoniT ,,samedicino

da farmacevtuli saqmianobis licenzirebis Sesaxeb”. 2003 w. 8 maisi. ixileT cxrili (Tavi II,

danarTi 1.1)

2. vis unda mivmarToT licenziis misaRebad?2. vis unda mivmarToT licenziis misaRebad?2. vis unda mivmarToT licenziis misaRebad?2. vis unda mivmarToT licenziis misaRebad?2. vis unda mivmarToT licenziis misaRebad?

samedicino da farmacevtul saqmianobaze licenzias gascems saqarTvelos Sromis, janmrTelobisa

da socialuri dacvis saministro. (misamarTi: q. Tbilisi 0160

k. gamsaxurdias gamz. #30)

licenziis gacemis organizaciul_teqnikur uzrunvelyofas axorcielebs saqarTvelos Sromis,

janmrTelobisa da socialuri dacvis saministros standartizaciis, normirebisa da licenzirebis

departamenti. (misamarTi: q. Tbilisi, 0102 d. uznaZis #78, me_3 sarTuli tel: 94-29-13)

3. licenziis misaRebad saWiro sabuTebis CamonaTvali da maTi standartuli3. licenziis misaRebad saWiro sabuTebis CamonaTvali da maTi standartuli3. licenziis misaRebad saWiro sabuTebis CamonaTvali da maTi standartuli3. licenziis misaRebad saWiro sabuTebis CamonaTvali da maTi standartuli3. licenziis misaRebad saWiro sabuTebis CamonaTvali da maTi standartuli

formebi, romelTa Sevseba aucilebeliaformebi, romelTa Sevseba aucilebeliaformebi, romelTa Sevseba aucilebeliaformebi, romelTa Sevseba aucilebeliaformebi, romelTa Sevseba aucilebelia

1. licenziis maZiebeli (SemdgomSi “maZiebeli”) licenziis misaRebad licenziis gamcems warudgens

werilobiT gancxadebas:

gancxadeba unda akmayofilebdes saqarTvelos zogadi administraciuli kodeqsis 78-e muxliT

gaTvaliswinebul moTxovnebs (ix. gancxadebis forma), igi aseve unda Seicavdes:

• informacias_ganmcxadeblis vinaobis, misamarTis, samewarmeo reestrSi registraciis

monacemebis Sesaxeb;

• miTiTebebs, Tu romeli licenziis miRebas moiTxovs licenziis maZiebeli;

• gancxadebis wardgenis TariRs da ganmcxadeblis xelmoweras;

2. salicenzio mosakreblis gadaxdis damadasturebeli sabuTi, mosakrebeli ganisazRvreba

saqarTvelos kanoniT ,,salicenzio da sanebarTvo mosakreblis Sesaxeb”. sabanko rekvizitebia:

saqarTvelos erovnuli banki, kodi 220101107 centraluri biujeti Semosavlis angariSi

#012103654;

3. ganacxadi xarisxis gare kontrolis sistemaSi monawileobaze;

4. informacia licenzirebadi samedicino saqmianobis ganmaxorcielebeli specialistebis

profesiuli momzadebis Sesaxeb (saxelmwifo sertifikatis aslis warmodgeniT);

5. samedicino dawesebulebis pasporti;

6. higienuri sertifikati.

8

farmacevtul saqmianobaze licenziis miRebisaTvis saWiroafarmacevtul saqmianobaze licenziis miRebisaTvis saWiroafarmacevtul saqmianobaze licenziis miRebisaTvis saWiroafarmacevtul saqmianobaze licenziis miRebisaTvis saWiroafarmacevtul saqmianobaze licenziis miRebisaTvis saWiroa:

1. licenziis maZiebeli (SemdgomSi “maZiebeli”) licenziis misaRebad licenziis gamcems warudgens

werilobiT gancxadebas:

gancxadeba unda akmayofilebdes saqarTvelos zogadi administraciuli kodeqsis 78-e muxliT

gaTvaliswinebul moTxovnebs (ix. gancxadebis forma), igi aseve unda Seicavdes:

• informacias_ganmcxadeblis vinaobis, misamarTis, samewarmeo reestrSi registraciis

monacemebis Sesaxeb;

• miTiTebebs, Tu romeli licenziis miRebas moiTxovs licenziis maZiebeli;

• gancxadebis wardgenis TariRs da ganmcxadeblis xelmoweras;

2. salicenzio mosakreblis gadaxdis damadasturebeli sabuTi, mosakrebeli ganisazRvreba

saqarTvelos kanoniT ,,salicenzio da sanebarTvo mosakreblis Sesaxeb”. sabanko rekvizitebia:

saqarTvelos erovnuli banki, kodi 220101107, satranzito angariSi - saqarTvelos bankis

vake-saburTalos filiali 507121604, saxazino kodi 3005 - salicenzio mosakrebeli,

saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministro;

3. ganacxadi xarisxis gare kontrolis sistemaSi monawileobaze;

4. informacia licenzirebadi farmacevtuli saqmianobis ganmaxorcielebeli specialistebis

profesiuli momzadebis Sesaxeb (saxelmwifo sertifikatis aslis warmodgeniT);

5. farmacevtuli dawesebulebis pasporti;

6. higienuri sertifikati;

7. spec. kontrols daqvemdebarebuli saSualebebis brunvis SemTxvevaSi pasuxismgebeli farmacevtis

daniSvnis brZaneba, cnobebi misi nasamarTleobisa da narkologiur dawesebulebebSi aRricxvaze

aryofnis Sesaxeb.

8. samkurnalo saSualebaTa warmoebisa da realizaciis licenziis misaRebad warmodgenil unda

iqnas im preparatebis CamonaTvali, romelTa warmoebis uflebasac iTxovs licenziis maZiebeli

dokumentacia warmodgenil unda iqnas erT egzemplarad.

4. ra aris samedicino da farmacevtuli dawesebulebis pasporti?4. ra aris samedicino da farmacevtuli dawesebulebis pasporti?4. ra aris samedicino da farmacevtuli dawesebulebis pasporti?4. ra aris samedicino da farmacevtuli dawesebulebis pasporti?4. ra aris samedicino da farmacevtuli dawesebulebis pasporti?

saqrTvelos Sromis, janmrTelobisa da socialuri dacvis ministris normatiuli

aqtiT dadgenili minimaluri moTxovnebi (Senobis daxasiaTeba _ naxazi, kadrebi, aparatura,

samuSaos moculoba), romelsac unda akmayofilebdes dawesebuleba konkretul saqmianobaze

licenziis misaRebad.

9

5 .5 .5 .5 .5 . ras niSnavs xarisxis gare kontrolis sistema?ras niSnavs xarisxis gare kontrolis sistema?ras niSnavs xarisxis gare kontrolis sistema?ras niSnavs xarisxis gare kontrolis sistema?ras niSnavs xarisxis gare kontrolis sistema?

es aris samedicino diagnostikuri saqmianobis obieqturobisa da saimedoobis dadasturebis

mizniT SemuSavebuli sistema.

6 .6 .6 .6 .6 . sabuTebis Setanidan ra drois Semdeg unda miiRos organizaciamsabuTebis Setanidan ra drois Semdeg unda miiRos organizaciamsabuTebis Setanidan ra drois Semdeg unda miiRos organizaciamsabuTebis Setanidan ra drois Semdeg unda miiRos organizaciamsabuTebis Setanidan ra drois Semdeg unda miiRos organizaciam

pasuxi (rogorc dadebiTi, ise uaryofiTi)?pasuxi (rogorc dadebiTi, ise uaryofiTi)?pasuxi (rogorc dadebiTi, ise uaryofiTi)?pasuxi (rogorc dadebiTi, ise uaryofiTi)?pasuxi (rogorc dadebiTi, ise uaryofiTi)?

licenziis gamcemi licenziis gacemis Taobaze gadawyvetilebas iRebs licenziis misaRebad

gansazRvruli dokumentaciis wardgenidan erTi Tvis vadaSi, adgilze Semowmebis Semdeg. Tu

licenziis gasacemad, saqmisTvis arsebiTi mniSvnelobis mqone garemoebaTa dasadgenad aucilebelia

erT Tveze meti, licenziis gamcemi uflebamosilia miiRos dasabuTebuli gadawyvetileba

administraciuli warmoebis vadis ara umetes 3 Tvemde gagrZelebis Taobaze. am gadawyvetilebis

Sesaxeb unda ecnobos licenziis maZiebels. licenziis gacemis an licenziis gacemaze uaris Tqmis

Taobaze gadawyvetilebis miRebisTvis kanoniT gaTvaliswinebuli vadis darRveva CaiTvleba licenziis

gacemaze uaris Tqmad.

7. ra SeiZleba iyos licenziis gacemaze uaris Tqmis safuZveli?7. ra SeiZleba iyos licenziis gacemaze uaris Tqmis safuZveli?7. ra SeiZleba iyos licenziis gacemaze uaris Tqmis safuZveli?7. ra SeiZleba iyos licenziis gacemaze uaris Tqmis safuZveli?7. ra SeiZleba iyos licenziis gacemaze uaris Tqmis safuZveli?

licenzia ar gaicema, Tu:

• licenziis maZieblis mier warmodgenili dokumentacia ar akmayofilebs salicenzio pirobebs;

• adgilze Semowmebisas aRmoCenilia salicenzio pirobebis darRvevebi;

• licenziis maZiebeli iTxovs licenzias, romelic gauqmebulia da gauqmebidan ar gasula

erTi weli;

• licenziis maZiebels SeuCerda am sferoSi miRebuli licenziis moqmedeba da ar aRmofxvrila

licenziis SeCerebis mizezi.

8. ra vadiT gaicema licenzia samedicino saqmianobaze?8. ra vadiT gaicema licenzia samedicino saqmianobaze?8. ra vadiT gaicema licenzia samedicino saqmianobaze?8. ra vadiT gaicema licenzia samedicino saqmianobaze?8. ra vadiT gaicema licenzia samedicino saqmianobaze?

licenzia gaicema ganusazRvreli vadiT.

9. ra SemTxvevaSi SeiZleba moxdes licenziis SeCereba da romel9. ra SemTxvevaSi SeiZleba moxdes licenziis SeCereba da romel9. ra SemTxvevaSi SeiZleba moxdes licenziis SeCereba da romel9. ra SemTxvevaSi SeiZleba moxdes licenziis SeCereba da romel9. ra SemTxvevaSi SeiZleba moxdes licenziis SeCereba da romel

struqturas aqvs amis ufleba?struqturas aqvs amis ufleba?struqturas aqvs amis ufleba?struqturas aqvs amis ufleba?struqturas aqvs amis ufleba?

Tu licenziis mflobeli arRvevs kanoniT dadgenil salicenzio pirobebs, licenziis gamcemi

(Sromis, janmrTelobisa da soc. dacvis saministro) iRebs gadawyvetilebas licenziis moqmedebis

SeCerebis Sesaxeb. licenziis moqmedeba SeCerdeba salicenzio pirobebis Sesrulebamde

(gamosworebamde). amisaTvis maZiebels eZleva araumetes sami Tvisa. licenziis moqmedebis SeCerebis

Sesaxeb gadawyvetileba SeiZleba gasaCivrdes Tbilisis saolqo sasamarTloSi. (mis. diRmis

masivi robaqiZis 7a).

10

10. ras niSnavs da ra SemTxvevaSi xdeba licenziis gauqmeba?10. ras niSnavs da ra SemTxvevaSi xdeba licenziis gauqmeba?10. ras niSnavs da ra SemTxvevaSi xdeba licenziis gauqmeba?10. ras niSnavs da ra SemTxvevaSi xdeba licenziis gauqmeba?10. ras niSnavs da ra SemTxvevaSi xdeba licenziis gauqmeba?

licenziis gauqmeba niSnavs licenziis gacemis Taobaze gadawyvetilebis baTilad (saqarTvelos

zogadi administraciuli kodeqsis 61-e muxlis Sesabamisad) an Zaladakargulad gamocxadebas.

licenziis gauqmebis safuZveli SeiZleba iyos Semdegi garemoebebi:

• licenzia gacemulia arauflebamosili piris an organos mier;

• licenzia ewinaaRmdegeba kanons an arsebiTad irRveva licenziis momzadebis da gamocemis

kanonmdeblobiT dadgenili moTxovnebi;

• licenziis gauqmeba pirdapir miTiTebulia kanonSi;

• arsebobs axlad aRmoCenili an axlad gamovlenili garemoeba, agreTve Sesabamisi samecniero-

teqnikuri aRmoCena an gamogoneba, romelic licenziis gamcems arTmevs SesaZleblobas

gamosces aseTi administraciuli aqti da licenziis moqmedebam (saqmianobam) SeiZleba

mniSvnelovani ziani miayenos saxelmwifo an sazogadoebriv interesebs;

• arsebobs licenziis mflobelis moTxovna licenziis gauqmebis Sesaxeb;

• licenziis mflobelis gardacvaleba (dadgenili wesiT gardacvlilad an ugzo-ukvlod

dakargulad aRiareba), qmediTuunarod cnoba an likvidacia;

• licenziis SeCerebis vada gasulia da ar aRmofxvrila am SeCerebis mizezi;

• gauqmda an Seicvala Sesabamisi normatiuli aqti, rac administraciul organos arTmevs

SesaZleblobas gamosces aseTi administraciul-samarTlebrivi aqti da am administraciuli

aqtis moqmedebam SeiZleba mniSvnelovani ziani miayenos saxelmwifo an sazogadoebriv

interesebs. aseT SemTxvevaSi, dainteresebul mxares romelsac ziani miadga, misi moTxovnis

safuZvelze unda mieces anazRaureba.

• licenziis gamcemi licenziis gauqmebis Sesaxeb gadawyvetilebas iRebs licenziis gacemisaTvis

dadgenili wesiT (ixileT kanoni).

• salicenzio mowmoba licenziis gamcems unda daubrundes licenziis gauqmebis Sesaxeb

gadawyvetilebis ZalaSi Sesvlidan 3 dRis ganmavlobaSi.

11. rogor unda moviqceT salicenzio mowmobis dakargvis an dazianebis11. rogor unda moviqceT salicenzio mowmobis dakargvis an dazianebis11. rogor unda moviqceT salicenzio mowmobis dakargvis an dazianebis11. rogor unda moviqceT salicenzio mowmobis dakargvis an dazianebis11. rogor unda moviqceT salicenzio mowmobis dakargvis an dazianebisSemTxvevaSi?SemTxvevaSi?SemTxvevaSi?SemTxvevaSi?SemTxvevaSi?

licenziis mflobeli licenziis gamcems mimarTavs Sesabamisi werilobiTi gancxadebiT salicenzio

mowmobis dublikatis gacemis Taobaze. aRniSnuli informaciiis Setana moxdeba uwyebriv da

saxelmwifo salicenzio reestrSi. salicenzio mowmobis dublikatis mosakrebeli Seadgens 10

lars.

11

12. rogor viqceviT dawesebulebis saxelwodebis, an sxva reestruli12. rogor viqceviT dawesebulebis saxelwodebis, an sxva reestruli12. rogor viqceviT dawesebulebis saxelwodebis, an sxva reestruli12. rogor viqceviT dawesebulebis saxelwodebis, an sxva reestruli12. rogor viqceviT dawesebulebis saxelwodebis, an sxva reestrulicvlilebis SemTxvevaSi?cvlilebis SemTxvevaSi?cvlilebis SemTxvevaSi?cvlilebis SemTxvevaSi?cvlilebis SemTxvevaSi?

ganmcxadebeli valdebulia werilobiT acnobos licenziis gamcems da warudginos saTanado

dokumentacia Sesabamisi cvlilebis ganxorcielebidan 7 samuSao dRis ganmavlobaSi.

13. sadao sakiTxebis wamoWris SemTxvevaSi vis unda mimarTos organizaciam13. sadao sakiTxebis wamoWris SemTxvevaSi vis unda mimarTos organizaciam13. sadao sakiTxebis wamoWris SemTxvevaSi vis unda mimarTos organizaciam13. sadao sakiTxebis wamoWris SemTxvevaSi vis unda mimarTos organizaciam13. sadao sakiTxebis wamoWris SemTxvevaSi vis unda mimarTos organizaciamda ra periodSi unda moxdes es?da ra periodSi unda moxdes es?da ra periodSi unda moxdes es?da ra periodSi unda moxdes es?da ra periodSi unda moxdes es?

licenziis gacemaze saministros uari, licenziis moqmedebis SeCereba an ganaxlebis Sesaxeb

gadawyvetileba SeiZeba gasaCivrdes zemdgom administraciul organoSi, (Tanamdebobis pirTan) an

sasamarTloSi.

saministroSi administraciuli saCivari wardgenil unda iqnas administraciuli aqtis gamoqveynebis,

an oficialuri wesiT misi gacnobis dRidan erTi TveSi.

sarCeli sasamarTlos unda waredginos administraciuli aqtis an administraciul saCivarTan

dakavSirebuli gadawyvetilebis gacnobidan 6 Tvis vadaSi.

14. romel saxelmwifo stuqturebs aqvT dawesebulebis samedicino14. romel saxelmwifo stuqturebs aqvT dawesebulebis samedicino14. romel saxelmwifo stuqturebs aqvT dawesebulebis samedicino14. romel saxelmwifo stuqturebs aqvT dawesebulebis samedicino14. romel saxelmwifo stuqturebs aqvT dawesebulebis samedicinosaqmianobis xarisxis kontrolis ufleba da ra dadgenilebiT regulirdebasaqmianobis xarisxis kontrolis ufleba da ra dadgenilebiT regulirdebasaqmianobis xarisxis kontrolis ufleba da ra dadgenilebiT regulirdebasaqmianobis xarisxis kontrolis ufleba da ra dadgenilebiT regulirdebasaqmianobis xarisxis kontrolis ufleba da ra dadgenilebiT regulirdebaes procesi?es procesi?es procesi?es procesi?es procesi?

samewarmeo saqmianoba SeiZleba gaakontrolos mxolod makontrolebelma organom. Sesabamisi

safuZvlis arsebobisas mewarmis samewarmeo saqmianobis Semowmebis winadadebiT sxva saxelmwifo

organom SeiZleba mimarTos makontrolirebel organos an sasamarTlos. makontrolirebeli

organo uflebamosilia kontroli gauwios samewarmeo saqmianobas mxolod mosamarTlis brZanebis

safuZvelze. (ix.kanoni ,,samewarmeo saqmianobis kontrolis Sesaxeb” 2001 weli 8 ivnisi).

dawesebulebis samedicino saqmianobis xarisxis kontrolis ufleba aqvs Sromis, janmrTelobisa

da socialuri dacvis saministros_samedicino daxmarebis, farmacevtuli saqmianobisa da

narkotikebis legalur brunvaze kontrolis inspeqcias.

rac Seexeba sanitariul_higienur wesebisa da normebis dacvaze saxelmwifo zedamxedvelobas,

mas ganaxorcielebs saxelmwifo sanitariuli zedamxedvelobis centraluri da teritoriuli

inspeqciebi, saqrTvelos kanonis ,,saqarTvelos sanitaruli kodeqsis” Sesabamisad (magaliTad

Tbilisis saxelmwifo sanitariuli zedamxedvelobis inspeqcia);

15 . ra struqturas ekisreb a v aldebuleba acnobos sam edicino15 . ra struqturas ekisreb a v aldebuleba acnobos sam edicino15 . ra struqturas ekisreb a v aldebuleba acnobos sam edicino15 . ra struqturas ekisreb a v aldebuleba acnobos sam edicino15 . ra struqturas ekisreb a v aldebuleba acnobos sam edicinodawesebulebebs samedicino saqmianobis maregulirebel da makontrolebeldawesebulebebs samedicino saqmianobis maregulirebel da makontrolebeldawesebulebebs samedicino saqmianobis maregulirebel da makontrolebeldawesebulebebs samedicino saqmianobis maregulirebel da makontrolebeldawesebulebebs samedicino saqmianobis maregulirebel da makontrolebelwesebsa da normebSi Setanili axali cvlilebebis Sesaxeb?wesebsa da normebSi Setanili axali cvlilebebis Sesaxeb?wesebsa da normebSi Setanili axali cvlilebebis Sesaxeb?wesebsa da normebSi Setanili axali cvlilebebis Sesaxeb?wesebsa da normebSi Setanili axali cvlilebebis Sesaxeb?

informacia samedicino saqmianobis maregulirebel da makontrolebel wesebsa da normebSi

Setanil cvlilebebze, aseve licenziis gacemis, masSi cvlilebis Setanis, misi moqmedebis SeCerebis,

ganaxlebis an misi gauqmebis Sesaxeb, garda saqarTvelos zogadi administraciuli kodeqsiT

gansazRvruli saidumlo informaciisa, SeiZleba inaxos saqarTvelos oficialur beWdviT

organoSi_,,saqarTvelos sakanonmdeblo macne”

12

Tavi II

licenzirebad samedicino da farmacevtul

saqmianobaTa nusxa

13

danarTi 2.1

licenzirebad samedicino saqmianobaTa nusxa

# samedicino saqmianobis

dasaxeleba samedicino saqmianobis moculoba

salicenzio

mosakrebeli

(larebSi)

2 aiv-infeqcia/Sidsis mkurnalobaambulatorul-poliklinikuri

daxmareba 40

3 aiv-infeqcia/Sidsis mkurnaloba stacionaruli daxmareba 40

4 alergologia mozrdilTa ambulatorul-

poliklinikuri daxmareba 20

5 alergologia bavSvTa ambulatorul-


6 alergologia mozrdilTa stacionaruli

daxmareba 20

7 alergologia bavSvTa stacionaruli daxmareba 20

8 alkoholuri Trobis Semowmeba 100

9 angiologia mozrdilTa ambulatorul-


10 angiologia bavSvTa ambulatorul-


11 angiologia mozrdilTa stacionaruli

daxmareba 20

12 angiologia bavSvTa stacionaruli daxmareba 20

13 anesTeziologia bavSvTa ambulatorul-


14 anesTeziologia mozrdilTa stacionaruli

daxmareba 20

15 anesTeziologia bavSvTa stacionaruli daxmareba 20

16 anesTeziologia mozrdilTa ambulatorul-


17 audiologia 20

18 axali diagnostikuri saSualebebis, samkurnalo da biologiurad

aqtiuri nivTierebebis da preparatebis klinikuri kvleva 50

19 axali samedicino xelsawyoebis, aparatebis, samkurnalo-

diagnostikuri kompleqtebis aprobacia 50


diagnostikuri kompleqtebis danergva 50


diagnostikuri kompleqtebis SemuSaveba 50

22 bavSvebis samedicino patronaJi 10

14



salicenzio

mosakrebeli

(larebSi)

23 baqteriologiuri gamokvlevebi 40

24 biologiuri kontroli 40

25 bioqimiuri gamokvlevebi 40

26 birTvul-magnituri rezonansi 100

27 gastroenterologia bavSvTa ambulatorul-


28 gastroenterologia bavSvTa stacionaruli daxmareba 20

29 gastroenterologia mozrdilTa ambulatorul-


30 gastroenterologia mozrdilTa stacionaruli

daxmareba 20

31 gajansaRebis tradiciuli meTodebiT profilaqtika, diagnostika

da mkurnaloba 50

32 genetikuri Semowmeba da

eqspertiza 100

33 geriatria mozrdilTa ambulatorul-


34 geriatria mozrdilTa stacionaruli

daxmareba 20

35 gvamis paTologanatomiuri

gakveTa 50

36 gvamis Semurva 50

37 ginekologia bavSvTa ambulatorul-


38 ginekologia mozrdilTa stacionaruli

daxmareba 50

39 ginekologia bavSvTa stacionaruli daxmareba 50

40 dekretirebul pirTa profvargisianobis Semowmeba da eqspertiza -

IV done 50

41 dermatologia da venerologiamozrdilTa ambulatorul-


42 dermatologia da venerologiabavSvTa ambulatorul-


43 dermatologia da venerologiamozrdilTa stacionaruli

daxmareba 20

44 dermatologia da venerologia bavSvTa stacionaruli daxmareba 20

45 dermato-venerologiuri

Semowmeba da eqspertiza 100

15



salicenzio

mosakrebeli

(larebSi)

46 donorobis organizeba 20

47 droebiTi Sromisuunarobis

eqspertiza 50

48 endokrinologia mozrdilTa ambulatorul-


49 endokrinologia bavSvTa ambulatorul-


50 endokrinologia mozrdilTa stacionaruli

daxmareba 20

51 endokrinologia bavSvTa stacionaruli daxmareba 20

52 endoskopia mozrdilTa ambulatorul-


53 endoskopia bavSvTa ambulatorul-


54 endoskopia mozrdilTa stacionaruli

daxmareba 20

55 endoskopia bavSvTa stacionaruli daxmareba 20

56 energoinformatika 50

57 epidemiologia 20

58 esTetikuri qirurgia mozrdilTa ambulatorul-


59 esTetikuri qirurgia mozrdilTa stacionaruli

daxmareba 100

60 eqstremalur situaciebSi gadaudebeli samedicino daxmarebis

organizeba 20

61 virusologiuri gamokvlevebi 40

62 zogadi saeqimo praqtika,

ojaxis eqimi 40

63 Terapia mozrdilTa ambulatorul-


64 Terapia mozrdilTa stacionaruli

daxmareba 20

65 Terapia mozrdilTa dRis stacionari 20

66 Terapiuli kosmetologia mozrdilTa ambulatorul-


67 Terapiuli kosmetologia bavSvTa ambulatorul-


68 Terapiuli kosmetologia mozrdilTa stacionaruli

daxmareba 50

16



salicenzio

mosakrebeli

(larebSi)

69 Terapiuli kosmetologia bavSvTa stacionaruli daxmareba 50

70 imunologiuri gamokvlevebi 20

71 infeqciuri daavadebebi mozrdilTa ambulatorul-


72 infeqciuri daavadebebi bavSvTa ambulatorul-


73 infeqciuri daavadebebi mozrdilTa stacionaruli

daxmareba 20

74 infeqciuri daavadebebi bavSvTa stacionaruli daxmareba 20

75 kardiologia mozrdilTa ambulatorul-


76 kardiologia mozrdilTa stacionaruli

daxmareba 20

77 kardiologia/

kardiorevmatologia

bavSvTa ambulatorul-


78 kardiologia/

kardiorevmatologia bavSvTa stacionaruli daxmareba 20

79 kardioqirurgia mozrdilTa stacionaruli

daxmareba 50

80 kardioqirurgia bavSvTa stacionaruli daxmareba 50

81 kbilis sateqniko samuSaoebi

maT Soris Camosxma) 100

82 klinikur-diagnostikuri

gamokvlevebi 40

83 klinikuri imunologia mozrdilTa ambulatorul-


84 klinikuri imunologia bavSvTa ambulatorul-


85 klinikuri imunologia mozrdilTa stacionaruli

daxmareba 20

86 klinikuri imunologia bavSvTa stacionaruli daxmareba 20

87 klinikuri toqsikologia mozrdilTa ambulatorul-


88 klinikuri toqsikologia bavSvTa ambulatorul-


89 klinikuri toqsikologia mozrdilTa stacionaruli

daxmareba 20

90 klinikuri toqsikologia bavSvTa stacionaruli daxmareba 20

91 klinikuri transfuziologia mozrdilTa stacionaruli

daxmareba 20

17



salicenzio

mosakrebeli

(larebSi)

92 klinikuri transfuziologia bavSvTa stacionaruli daxmareba 20

93 kombustiologia mozrdilTa ambulatorul-


94 kombustiologia bavSvTa ambulatorul-


95 kombustiologia mozrdilTa stacionaruli

daxmareba 20

96 kombustiologia bavSvTa stacionaruli daxmareba 20

97 kompiuteruli tomografia 100

98 kritikuli medicina mozrdilTa ambulatorul-


99 kritikuli medicina bavSvTa ambulatorul-


100 kritikuli medicina mozrdilTa stacionaruli

daxmareba 20

101 kritikuli medicina bavSvTa stacionaruli daxmareba 20

102 kurortologia mozrdilTa ambulatorul-


103 kurortologia bavSvTa ambulatorul-


104 kurortologia mozrdilTa stacionaruli

daxmareba 20

105 kurortologia bavSvTa stacionaruli daxmareba 20

106 lazeroTerapia mozrdilTa ambulatorul-


107 lazeroTerapia bavSvTa ambulatorul-


108 lazeroTerapia mozrdilTa stacionaruli

daxmareba 20

109 lazeroTerapia bavSvTa stacionaruli daxmareba 20

110 logopedia mozrdilTa ambulatorul-


111 logopedia bavSvTa ambulatorul-


112 logopedia mozrdilTa stacionaruli

daxmareba 20

113 logopedia bavSvTa stacionaruli daxmareba 20

114 manualuri Terapia 50

18



salicenzio

mosakrebeli

(larebSi)

115 masaJi samkurnalo, sportuli,

higienuri da kosmetikuri) 50

116 meanoba mozrdilTa stacionaruli

daxmareba 50

117 meanoba da ginekologia mozrdilTa ambulatorul-


118 metabologia mozrdilTa stacionaruli

daxmareba 20

119 mobiluri samedicino daxmareba

specializirebul transportSi 100

120 mozrdilTa samedicino

patronaJi 10

121

mosaxleobis masobrivi

imunizaciis organizeba da

Catareba

20

122 mZRolebis winasareiso

samedicino Semowmeba 50

123 narkologia mozrdilTa ambulatorul-


124 narkologia bavSvTa ambulatorul-


125 narkologia mozrdilTa stacionaruli

daxmareba 20

126 narkotikuli saSualebebisa da fsiqotropuli nivTierebebis

SemuSaveba, Seqmna 100

127

narkotikuli saSualebebis, fsiqotropuli nivTierebebisa da

specialur kontrols daqvemdebarebuli nivTierebebis Semcveli

kombinirebuli preparatebis gadamuSaveba

100

128 narkotikuli saSualebebis

Senaxva-moxmareba 50

129 naturopaTia 50

130 nevrologia mozrdilTa ambulatorul-


131 nevrologia bavSvTa ambulatorul-


132 nevrologia mozrdilTa stacionaruli

daxmareba 20

133 nevrologia bavSvTa stacionaruli daxmareba 20

134 nevrologia mozrdilTa dRis stacionari 20

135 neiroqirurgia mozrdilTa stacionaruli

daxmareba 20

19



salicenzio

mosakrebeli

(larebSi)

136 neiroqirurgia bavSvTa stacionaruli daxmareba 20

137 neonatologia 20

138 nefrologia mozrdilTa ambulatorul-


139 nefrologia bavSvTa ambulatorul-


140 nefrologia mozrdilTa stacionaruli

daxmareba 20

141 nefrologia bavSvTa stacionaruli daxmareba 20

142 onkologia mozrdilTa ambulatorul-


143 onkologia bavSvTa ambulatorul-


144 onkologia mozrdilTa stacionaruli

daxmareba 20

145 onkologia bavSvTa stacionaruli daxmareba 20

146 organoebis da qsovilebis

aReba

mozrdilTa stacionaruli

daxmareba 20

147 organoebis da qsovilebis

aReba bavSvTa stacionaruli daxmareba 20

148 organoebisa da qsovilebis

gadanergva


daxmareba 50


gadanergva bavSvTa stacionaruli daxmareba 50


Senaxva


daxmareba 50


Senaxva bavSvTa stacionaruli daxmareba 50

152 orTodontia bavSvTa ambulatorul-


153 orTodontia mozrdilTa ambulatorul-


154 otorinolaringologia (maT

Soris surdologia)

mozrdilTa ambulatorul-



Soris surdologia)




Soris surdologia)


daxmareba 20


Soris surdologia) bavSvTa stacionaruli daxmareba 20

20



salicenzio

mosakrebeli

(larebSi)

158 ofTalmologia mozrdilTa ambulatorul-


159 ofTalmologia bavSvTa ambulatorul-


160 ofTalmologia mozrdilTa stacionaruli

daxmareba 20

161 ofTalmologia bavSvTa stacionaruli daxmareba 20

162 ofTalmologia ofTometriulimozrdilTa ambulatorul-


163 ofTalmologia ofTometriulibavSvTa ambulatorul-


164 ofTalmologia ofTometriulimozrdilTa stacionaruli

daxmareba 20

165 ofTalmologia ofTometriuli bavSvTa stacionaruli daxmareba 20

166 paTologanatomiuri gamokvleva

da eqspertiza 50

167 paTomorfologiuri

diagnostika 40

168 pediatria bavSvTa ambulatorul-


169 pediatria bavSvTa stacionaruli daxmareba 20

170 pediatria dRis stacionari 20

171 proTezireba orTopediuli mozrdilTa ambulatorul-


172 proTezireba orTopediuli bavSvTa ambulatorul-


173 proTezireba orTopediuli mozrdilTa stacionaruli

daxmareba 50

174 proTezireba orTopediuli bavSvTa stacionaruli daxmareba 50

175 proTezireba yuris mozrdilTa ambulatorul-


176 proTezireba yuris bavSvTa ambulatorul-


177 proTezireba yuris mozrdilTa stacionaruli

daxmareba 50

178 proTezireba yuris bavSvTa stacionaruli daxmareba 50

179 profesiul daavadebaTa

gamokvleva da eqspertiza 50

180 profpaTologia mozrdilTa ambulatorul-


21



salicenzio

mosakrebeli

(larebSi)

181 profpaTologia mozrdilTa stacionaruli

daxmareba 20

182 proqtologia mozrdilTa ambulatorul-


183 proqtologia bavSvTa ambulatorul-


184 proqtologia mozrdilTa stacionaruli

daxmareba 20

185 proqtologia bavSvTa stacionaruli daxmareba 20

186 pulmonologia mozrdilTa ambulatorul-


187 pulmonologia bavSvTa ambulatorul-


188 pulmonologia mozrdilTa stacionaruli

daxmareba 20

189 pulmonologia bavSvTa stacionaruli daxmareba 20

190 radiologia mozrdilTa ambulatorul-


191 radiologia bavSvTa ambulatorul-


192 radiologia mozrdilTa stacionaruli

daxmareba 20

193 radiologia bavSvTa stacionaruli daxmareba 20

194 radiologiuri diagnostika 50

195 reabilitacia mozrdilTa ambulatorul-


196 reabilitacia bavSvTa ambulatorul-


197 reabilitacia mozrdilTa stacionaruli

daxmareba 20

198 reabilitacia bavSvTa stacionaruli daxmareba 20

199 regionSi samedicino daxmareba 50

200 revmatologia mozrdilTa ambulatorul-


201 revmatologia mozrdilTa stacionaruli

daxmareba 20

202 rentgenologiuri diagnostika 40

203 reproduqtologia mozrdilTa ambulatorul-


22



salicenzio

mosakrebeli

(larebSi)

204 reproduqtologia mozrdilTa stacionaruli

daxmareba 50

205 refleqsoTerapia

(akupunqtura) 50

206 sadezinfeqcio saqmianoba -

dezinseqcia 40


dezinfeqcia 40


deratizacia 40

209 saeqTno samedicino daxmareba 10

210 samedicino genetika mozrdilTa ambulatorul-


211 samedicino genetika bavSvTa ambulatorul-


212 samedicino genetika bavSvTa stacionaruli daxmareba 20

213 samedicino parazitologia mozrdilTa ambulatorul-


214 samedicino parazitologia bavSvTa ambulatorul-


215 samedicino parazitologia mozrdilTa stacionaruli

daxmareba 20

216 samedicino parazitologia bavSvTa stacionaruli daxmareba 20

217 samedicino xarisxis auditi 200

218 samedicino-socialuri

eqspertiza 50

219

samedicino-teqnikuri

nakeTobebis sabiTumo

realizacia

100

220

samedicino-teqnikuri

nakeTobebis sacalo

realizacia

100

221

samedicino-teqnikuri nakeTobebis teqnikuri momsaxureba

(funqciuri mdgomareobis dadgena, mimdinare da sxva momsaxureba -

montaJi, SekeTeba, demontaJi saxeobebis mixedviT

100

222 samedicino-teqnikuri

nakeTobebis warmoeba 100

223 samkurnalo kveba mozrdilTa ambulatorul-


224 samkurnalo kveba bavSvTa ambulatorul-


23



salicenzio

mosakrebeli

(larebSi)

225 samkurnalo kveba mozrdilTa stacionaruli

daxmareba 20

226 samkurnalo kveba bavSvTa stacionaruli daxmareba 20

227 samkurnalo fizkultura da

sportuli medicina




sportuli medicina




sportuli medicina


daxmareba 20


sportuli medicina bavSvTa stacionaruli daxmareba 20

231 samxedro-samedicino da wvevamdelTa janmrTelobis mdgomareobis

Semowmeba da eqspertiza 50

232 sanatoriuli mkurnaloba 50

233 sanitaruli ganaTleba. 20

234 sasamarTlo-samedicino

eqspertiza 50

235 sasamarTlo-fsiqiatriuli

eqspertiza 50

236 saswrafo da gadaudebeli

samedicino daxmareba 50

237 saSualo samedicino

personalis uwyveti ganaTleba 100

238 saSualo samedicino saganmanaTleblo (ganaTlebis saministros

mier licenzirebuli) dawesebulebis sabazo klinikuri saqmianoba 100

239 sawarmoo transfuziologia 100

240 serologiuri gamokvlevebi 40

241 seqsologia mozrdilTa ambulatorul-


242 seqsologia mozrdilTa stacionaruli

daxmareba 20

243 sportsmenebis saeqimo

kontroli 20

244 stomatologia Terapiuli mozrdilTa ambulatorul-


245 stomatologia Terapiuli bavSvTa ambulatorul-


246 stomatologia orTopediuli mozrdilTa ambulatorul-


247 stomatologia orTopediuli bavSvTa ambulatorul-


24



salicenzio

mosakrebeli

(larebSi)

248 stomatologia qirurgiuli mozrdilTa ambulatorul-


249 stomatologia qirurgiuli bavSvTa ambulatorul-


250 stomatologia qirurgiuli mozrdilTa stacionaruli

daxmareba 50

251 stomatologia qirurgiuli bavSvTa stacionaruli daxmareba 50

252 travmatologia da orTopedia mozrdilTa ambulatorul-


253 travmatologia da orTopedia bavSvTa ambulatorul-


254 travmatologia da orTopedia mozrdilTa stacionaruli

daxmareba 20

255 travmatologia da orTopedia bavSvTa stacionaruli daxmareba 20

256 transportirebisas samedicino

Tanxleba 50

257 ultrabgeriTi diagnostika 100

258 umaRlesi samedicino saganmanaTleblo (ganaTlebis saministros

mier licenzirebuli) dawesebulebis sabazo klinikuri saqmianoba 100

259

umaRlesisSemdgomi

profesiuli mzadeba

(rezidentura)

100

260 urologia mozrdilTa ambulatorul-


261 urologia bavSvTa ambulatorul-


262 urologia mozrdilTa stacionaruli

daxmareba 20

263 urologia bavSvTa stacionaruli daxmareba 20

264 uwyveti samedicino ganaTleba 100

265 fTiziatria mozrdilTa ambulatorul-


266 fTiziatria bavSvTa ambulatorul-


267 fTiziatria mozrdilTa stacionaruli

daxmareba 20

268 fTiziatria bavSvTa stacionaruli daxmareba 20

269 fizioTerapia mozrdilTa ambulatorul-


25



salicenzio

mosakrebeli

(larebSi)

270 fizioTerapia bavSvTa ambulatorul-


271 fizioTerapia mozrdilTa stacionaruli

daxmareba 20

272 fizioTerapia bavSvTa stacionaruli daxmareba 20

273 fitoTerapia 50

274 fsiqiatria mozrdilTa ambulatorul-


275 fsiqiatria mozrdilTa stacionaruli

daxmareba 20

276 fsiqiatria bavSvTa ambulatorul-


277 fsiqiatria bavSvTa stacionaruli daxmareba 20

278 fsiqiatriuli Semowmeba 50

279 fsiqoaqtiuri nivTierebebiT gamowveuli Trobis Semowmeba da

eqspertiza 100

280 fsiqoTerapia mozrdilTa ambulatorul-


281 fsiqoTerapia bavSvTa ambulatorul-


282 fsiqoTerapia mozrdilTa stacionaruli

daxmareba 20

283 fsiqoTerapia bavSvTa stacionaruli daxmareba 20

284 funqciuri diagnostika 50

285 qimiur-toqsikologiuri

diagnostika 40

286 qirurgia bavSvTa ambulatorul-


287 qirurgia mozrdilTa dRis stacionari 20

288 qirurgia bavSvTa dRis stacionari 20

289 qirurgia gulmkerdis mozrdilTa stacionaruli

daxmareba 20

290 qirurgia gulmkerdis bavSvTa stacionaruli daxmareba 20

291 qirurgia zogadi mozrdilTa stacionaruli

daxmareba 20

292 qirurgia zogadi bavSvTa stacionaruli daxmareba 20

26



salicenzio

mosakrebeli

(larebSi)

293 qirurgia zogadi mozrdilTa ambulatorul-


294 qirurgia plastikuri da

rekonstruqciuli




rekonstruqciuli


daxmareba 100


rekonstruqciuli bavSvTa stacionaruli daxmareba 100

297 qirurgia sisxlZarRvTa mozrdilTa stacionaruli

daxmareba 50

298 qirurgia sisxlZarRvTa bavSvTa stacionaruli daxmareba 50

299 qirurgia Cirqovani mozrdilTa stacionaruli

daxmareba 20

300 qirurgia Cirqovani bavSvTa stacionaruli daxmareba 20

301 SromaTerapia mozrdilTa ambulatorul-


302 SromaTerapia mozrdilTa stacionaruli

daxmareba 20

303

calkeuli profesiebiT saqmianobis, uflebis an nebarTvis

misaRebad moqalaqeTa janmrTelobis mdgomareobis Semowmeba da

eqspertiza - I done

50

304



eqspertiza - II done

50

305



eqspertiza - III done

50

306 citogenetikuri gamokvlevebi 40

307 citologiuri diagnostika 40

308 hematologia mozrdilTa ambulatorul-


309 hematologia bavSvTa ambulatorul-


310 hematologia mozrdilTa stacionaruli

daxmareba 20

311 hematologia bavSvTa stacionaruli daxmareba 20

312 homeopaTia 20

27

danarTi 2.2

licenzirebadi farmacevtuli saqmianobis saxeebi

# farmacevtuli saqmianobis dasaxeleba

salicenzio

mosakrebeli

(larebSi)

a)

samkurnalo saSualebebis (maT Soris, specialur kontrols

daqvemdebarebuli saSualebebis) momzadeba da realizacia (I jgufis

afTiaqi);

300

b) samkurnalo saSualebebis realizacia (II jgufis afTiaqi); 300

g) samkurnalo saSualebebis (garda narkotikuli saSualebebisa)

realizacia (II jgufis afTiaqi); 300

d) samkurnalo saSualebebis (garda specialur kontrols

daqvemdebarebuli saSualebebisa) realizacia (III jgufis afTiaqi); 300

e) ureceptod gasacemi samkurnalo saSualebebis sacalo realizacia

(afTiaqis filiali); 50

v)

samkurnalo saSualebebis momzadeba da samkurnalo-profilaqtikuri

dawesebulebis ganyofilebebze gacema, sacalo realizaciis gareSe

(samkurnalo-profilaqtikuri dawesebulebis afTiaqi);

50

z)

samkurnalo saSualebebis samkurnalo-profilaqtikuri dawesebulebis

ganyofilebebze gacema, sacalo realizaciis gareSe (samkurnalo-

profilaqtikuri dawesebulebis afTiaqi);

50

T)

samkurnalo saSualebebis (garda specialur kontrols

daqvemdebarebuli saSualebebisa) importi, eqsporti, reeqsporti da

sabiTumo realizacia (farmacevtuli baza);

400

i) narkotikuli saSualebebis importi, eqsporti, reeqsporti da

sabiTumo realizacia (farmacevtuli baza); 100

k)

specialur kontrols daqvemdebarebuli nivTierebebis (garda

narkotikuli saSualebebisa) importi, eqsporti, reeqsporti da

sabiTumo realizacia (farmacevtuli

baza);

100

l)

samkurnalo saSualebebis (garda narkotikuli saSualebebisa)

warmoeba; warmoebuli samkurnalo saSualebebis (garda narkotikuli

saSualebebisa) eqsporti da realizacia;

samkurnalo saSualebebis (garda narkotikuli saSualebebisa)

importi sakuTari warmoebisaTvis (farmacevtuli warmoeba);

400

m)

specialur kontrols daqvemdebarebuli nivTierebebis Semcveli im

kombinirebuli preparatebis warmoeba, romlebic ar miekuTvneba

narkotikuli saSualebebis CamonaTvals; warmoebuli preparatebis

eqsporti da realizacia; preparatebis importi sakuTari

warmoebisaTvis (farmacevtuli warmoeba);

100

n) samkurnalo saSualebebis xarisxis kontroli (laboratoria). 300

28

Tavi III

samedicino saqmianobis licenzirebisaTvis saWiro

dokumentaciis tipiuri formebi

29

30

danarTi 3.1

saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros

dawesebulebis dasaxeleba - - - - - - - - - - - - - - - - - - - - - - - - - -

organizaciul-samarTlebrivi forma - - - - - - - - - - - - - - - - - - -

iuridiuli misamarTi - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

faqtiuri misamarTi, telefoni - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

registrirebulia - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

g a n c x a d e b a

gTxovT, mogvceT Semdegi saqmianobis warmoebis ufleba:

gavecani kanonmdeblobiT gaTvaliswinebul salicenzio pirobebs da moTxovnebs dawesebulebis xelmZRvaneli

b. a.

gancxadebas Tan erTvis debulebiT gaTvaliswinebuli saTanado sabuTebi - - - - - gverdze.

2003 w. ,,___” ________

31

danarTi 3.2 c n o b e b i

salicenzio samedicino saqmianobis Semsrulebeli specialistebis profesiuli momzadebis Sesaxeb licenziis maZiebeli_____________________________________________ salicenzio samedicino saqmianoba___________________________________

#

gvari,

sax

eli

mamis s

axel

i

spec i

aloba

mocemuli specialobiT

mu

Sao

bis

staJi

umaRles

i (saS

ual

o)

sas

wavleb

lis

diplomi #

fakultet

i

specializ

aciis d

a kval

ifikac

iis amaRlebis

damad

astureb

eli

sab

uTi # w

eli, s

pecialoba

ser

tif

ikat

i #, wel

i specialoba mo

qmed

ebis

vad

a

samec

nier

o x

aris

xi,

diplomis #, wel

i

samec

nier

o w

odeb

a,

diplomis #

, wel

i

SeniS

vna

32

danarTi 3.3

informacia samedicino dawesebulebis materialur-teqnikuri bazis Sesaxeb

a) zogadi informacia

1) dawesebulebis dasaxeleba:

2) misamarTi, telefoni, faqsi, el.fosta:

3) dakavebuli farTi (ha):

4) dawesebulebis sruli sabalanso Rirebuleba (lari):

5) maT Soris - Senoba-nagebobebi:

6) mowyobilobebi:

7) obieqtis saproeqto simZlavre (sawoli):

8) obieqtis fizikuri datvirTva (sawoli):

9) ijariT gacemuli farTi (kv.m.):

10) moijare organizaciebi:

(gTxovT warmoadginoT Sesabamisi ijaris

xelSekrulebis asli)

11) damatebiTi informacia:

33

b) teritoriaze ganTavsebuli TiToeuli Senoba-nagebobis daxasiaTeba

Senobis da/an nagebobis dasaxeleba

aSeneb

is T

ariR

i

bolo kapit

aluri

SekeT

ebis

Tar

iRi

sar

Tuleb

is r

aodenoba

mzid

i ko

nstruqc

iebi

(aguri, x

e, r

k.bet

oni

s,

karkasuli, qva, ms

xvili

pemz

a-bloki, wvr

ili sak. bloki)

kedleb

is S

evseb

a (aguri, panel

i, x

e, msxvili

bloki, wvr

ili bloki)

gamwmend

i nageb

oba

(meqanikuri, b

iologiu

ri)

Senobis

fiz

ikuri

mdgomareo

ba

(avariu

li,

arad

amakmayo

fil

ebel

i,

damakmayo

fil

ebel

i, kar

gi)

1 2 3 4 5 6 7 8

g) ganyofilebis/samsaxuris teqnologiuri daxasiaTeba

dakavebuli farTi (kv.m) sawolebis raodenoba

palatebis raodenoba

SeniSvna #

ganyofilebis/ samsaxuris dasaxeleba

Senobis/ nagebobis dasaxeleba

sarTuli

saerTo sasargeblo proeqtiT faqtiuri

1 2 3 4 5 6 7 8 9 10

34

d) el.momaragebis sistemis daxasiaTeba

#

eleqtromomaragebis wyaro (centraluri gamanawilebeli punqti,

satransformatoro qvesadguri, eleqtrojixuri, dizel-generatori)

raodenoba

simZlavre

(kva)

aqvs Tu ara sarezervo (meoradi)

eleqtromoma-ragebis wyaro

funqciuri mdgomareoba

(avariuli, aradamakmayofilebe

li, damakmayofilebeli,

kargi)

SeniSvna

1 2 3 4 5 6 7

e) liftebis daxasiaTeba

#

liftis saxe (samgzavro, samedicino

daniSnulebis)

raode-noba

mwarmoebeli

qveyana

modeli, tipi

saqarxno

#

tvirTamweoba

(kg)

gamoSvebis

weli


(avariuli, aradama-kmayofilebeli,

damakmayofilebeli, kargi)

1 2 3 4 5 6 7 8 9

35

v) samrecxaos daxasiaTeba

#

danadgaris dasaxeleba

(sarecxi manqana, sawuri, saSrobi)

raode-noba

mwarmoebeli

qveyana

modeli, tipi

saqarxno #

simZlavre

(kg)

gamoSvebis

weli




1 2 3 4 5 6 7 8 9

z) saqvabis daxasiaTeba

#

saqvabis mowyobiloba-danadgarebis dasaxeleba

(qvabi, boileri, tumbo da a.S.)

raode-noba

mwarmoebeli

qveyana

modeli, tipi

saqarxno #

simZlavre

(kg)

gamoSvebis

weli




1 2 3 4 5 6 7 8 9

T) wyalmomaragebis sistemis daxasiaTeba

#

wyalmomaragebis saxe

(centraluri, adgilobrivi,

arteziuli Wa, sxva)

saSualo Tviuri xarji (kb.m)

qselis mdgomareoba (avariuli, aradamakmayofilebeli,


SeniSvna

1 2 3 4 5

36

i) kanalizaciis sistemis daxasiaTeba

# kanalizaciis saxe

(centraluri, adgilobrivi,)

qselis mdgomareoba (avariuli, aradamakmayofilebeli, damakmayofilebeli, kargi)

SeniSvna

1 2 3 4

k) samedicino teqnikuri aRWurvilobis aRweris forma

ganyo

fil

ebis

(kab

inet

is) das

axel

eba

aRWurvilobis

kodi

rig

iTi

#

aRWurvilobis

sruli

das

axel

eba

model

i, t

ipi,

(pas

portis

mix

edviT)

qveyana, f

irma

gamoSvebis

wel

i

saqar

xno

#

sab

alanso R

ireb

uleb

a (l

ari)

mimd

inar

e funqciu

ri

mdgomareo

ba

(1_mu

Sao

bs;

2_Ses

akeT

ebel

ia;

3_uvargis

ia)

ra mizez

iT aris

Ses

akeT

ebel

i an

uvargis

i (miz

ezis

zusti

miTiT

ebiT

)

SeniS

vna

1 2 3 4 5 6 7 8 9 10 11 12

37

l) informacia samedicino teqnikuri aRWurvilobis momsaxure personalis da/an iuridiuli piris Sesaxeb

# fizikuri piris

gvari, saxeli

ganaTleba

(saSualo,

saSualo-teqnikuri,

umaRlesi)

specialoba

(diplomis

mixedviT)

informacia profesiuli

kvalifikaciis Sesaxeb SeniSvna

1 2 3 4 5 6

# iuridiuli piris misamarTi, xelSekruleba SeniSvna

sruli dasaxeleba telefoni # TariRi

1 2 3 4 5 6

m) informacia samedicino airebis momsaxure personalis Sesaxeb

# gvari, saxeli

ganaTleba (saSualo,

saSualo-teqnikuri, umaRlesi)

specialoba (diplomis mixedviT)

informacia profesiuli kvalifikaciis Sesaxeb

SeniSvna

38

n) informacia gazomvis saSualeba - samedicino teqnikuri nakeTobebis (stn) metrologiuri uzrunvelyofis Sesaxeb

# iuridiuli piris misamarTi, xelSekruleba SeniSvna

sruli dasaxeleba telefoni # TariRi

1 2 3 4 5 6

o) informacia eleqtro mowyobilobebisa da eleqtruli samedicino teqnikis damcavi damiwebis teqnikuri mowyobisa da izolaciis

winaRobis mdgomareobis Sesaxeb

xelSekruleba N iuridiuli

piris sruli

dasaxeleba

misamarTi,

telefoni,

faqsi, el-fosta

N TariRi

damcavi damiwebis

konturis

eqspluataciaSi

Sesvlis TariRi

bolo

Semowmebis

TariRi

damcavi damiwebis

konturis

mdgomareoba

(cudi, kargi)

SeniSvna

1 2 3 4 5 6 7 8 9

39

danarTi 3.4

samedicino teqnikuri aRWurvilobis pirobiTi kodebi

kodi samedicino teqnikuri aRWurvilobis dasaxeleba

01 samedicino teqnikuri aRWurviloba laboratoriuli kvlevebisaTvis

02 samedicino teqnikuri aRWurviloba funqciuri diagnostikisaTvis

03 samedicino teqnikuri aRWurviloba rentgenologiuri diagnostikisaTvis

04 samedicino teqnikuri aRWurviloba ultrabgeriTi diagnostikisaTvis

05 samedicino teqnikuri aRWurviloba radioizotopuri diagnostikisaTvis

06 samedicino teqnikuri aRWurviloba sxva saxis diagnostikisaTvis

07 samedicino teqnikuri aRWurviloba reanimaciisaTvis da intensiuri TerapiisaTvis

08 samedicino teqnikuri aRWurviloba saoperacio da samSobiaro blokebisaTvis

09 samedicino teqnikuri aRWurviloba endoskopiisaTvis

10 samedicino teqnikuri aRWurviloba stomatologiisaTvis

11 samedicino teqnikuri aRWurviloba organoTa funqciis droebiTi CanacvlebisaTvis

12 samedicino teqnikuri aRWurviloba fizioTerapiisaTvis

13 samedicino teqnikuri aRWurviloba sterilizaciisa da dezinfeqciisaTvis

14 samedicino instrumentebi

15 samedicino aveji

16 teqnikuri saSualebebi samedicino teqnikuri aRWurvilobis momsaxureobisaTvis

17 sxva

40

danarTi 3.5

g a n c x a d e b a

saqarTvelos teritoriaze samkurnalo saSualebebis da specialur kontrols

daqvemdebarebuli nivTierebebis sacalo realizaciaze licenziis miRebis Sesaxeb

licenziis maZiebeli ________________________________________________________________________ organizaciis samarTlebrivi statusi, saxelwodeba iuridiuli misamarTi __________________________________________________________________________

faqtiuri misamarTi __________________________________________________________________________ telefoni______________________ faqsi_________________

registrirebuli___________________________________________________________ saxelmwifo registraciis mowmoba #, gacemis TariRi

dawesebulebis xelmZRvaneli _________________________________________________________________________

gvari, saxeli, Tanamdeboba

iTxovs licenzias

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

saqmianobis dasaxeleba

salicenzio pirobebs da moTxovnebs, aseve kanonebs, debulebebsa da wesebs, romlebic aregulireben samkurnalo saSualebebis sacalo realizacias, gavecani da viReb valdebulebas _ Sevasrulo.

gancxadebas Tan erTvis saTanado sabuTebi ------------- gverdze

dawesebulebis xelmZRvaneli ----------------------

xelis mowera

b.a.

41

Tavi IV

samedicino saqmianobis pasportebi

4.1 zogadi saeqimo praqtika, ojaxis eqimi

samedicino saqmianoba: zogadi saeqimo praqtika, ojaxis eqimi

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologia gamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

I, II, III, IV

yvela tipis dawe-sebu-leba

• zogadi profilis

eqimi _

ojaxis eqimi

an zogadi

Terapevti

(Sesabamisi

saxelmwifo

sertifikati)

• eqTani (zogadi

profilis

eqTani)

• sanitari

• klinikuri

inJineri

(samedicino

aparaturis

inJineri, an/da

xelSekruleba

samedicino

aparaturis

servis-

samsaxurTan)

ixileT:

danarTi 4.1.1

danarTi 4.1.2

danarTi 4.1.3

• L00-L08, L20-L30, L40, L42, L43, L50, L55, L70, L75, L80, L89,

• J00-J70, J80-J99, I00-I99, • K11-K14, K20-K31, K35-K38,

K40-K46, K50-K52, K55-K63, K65-K67, K70-K77, K80-K87, K90, K91,

• N00-N23, N30-N49, N70-N77, N80-N98,

• D50-D52, D55-D57, D59, D60-D63, D65-D74, D77, D80-D86,

• E00-E06, E10-E16, E20-E26, E28-E32, E35, E40-E46, E50-E60, E64-E68, E70-E87, E90,

• M00-M03, M05-M10, M14-M18, M20-M25, M30-M34, M36, M40-M42, M45-M47, M49-M51, M54, M60, M61, M63, M65, M66, M68, M70-M76, M80-M84, M86-M94,

• A00, A01, A03, A05, A06, A08, A09, A15-A27, A30-A46, A50-A60, A68, A75, A80-A87, A89,

• B00-B07, B15-B30, B50-B55, • F00-F09, F30-F59, • G00-G09, G20-G22, G30-G35,

G40-G47, G50-G59, • H00-H28, H40-H42, H60-H72,

H80-H82, H92, • O00-O03, O10, O16, O20, O45,

O46, O85, O86, O87, O91, O92, • S00-S99, • T00-T78, Z70-Z99

• pacientis eqimTan viziti

• eqimis viziti pacientTan binaze

• meddis viziti pacientTan binaze

• Saqris (glukoza) gansazRvra/T.z.t. siTxeSi

• Timolis sinjis gansazRvra sisxlis SratSi

• sulemis sinjis gansazRvra sisxlis SratSi

• veltmanis sinjis gansazRvra sisxlis SratSi

• naRvlis pigmentebis gansazRvra SardSi

• naxvelis klinikuri analizi

• naxvelis baqterioskopuli gamokvleva

• sisxlis Sededebis dr.gansaz.+sisxldenis dr.gansaz.

• proTrombinis indeqsis gansazRvra plazmaSi

• sisxlis saerTo analizi

• Sardis saerTo analizi

• ganavlis saerTo analizi

• Tvalis fskeris gamokvleva (ofTalmoskopia)

• otokopia/faringoskopia

• sisxlis wnevis manometria

• Trombocitebis daTvla sisxlSi

• naxvelis baqterioskopia tuberkulozis Cxirze

• eleqtrokardiografia

• ganavlis gamokvleva farul sisxldenaze

• SardSi cilis raodenobis gansazRvra (proteinuria)

• Saqris gansazRvra SardSi

• ofTalmoskopia

• hemoglobinis gansazRvra sisxlSi

• malariaze sqeli wveTisa da nacxis mikroskopireba

• sisxlis saerTo analizi (eqspres meTodi)

• Sardis saerTo analizi (eqspres meTodi)

• Saqris (glukozis) gansazRvra sisxlSi (eqspres meTodi)

me-4 svetSi

CamoTvlili

daavadebebis

mqone

avadmyofTa diagnostika da

ambulatoruli

mkurnaloba,

saWiroebis

SemTxvevaSi

stacionarSi gadagzavna.

42

43

ojaxis eqimis samsaxuris samedicino-teqnikuri aRWurviloba:

danarTi 4.1.1

samedicino dawesebulebis teqnikuri infrastruqtura - avariuli kvebis wyaro, wyalmomaragebis, kanalizaciis, gaTbobis, ventilaciisa da kondicirebis sistema:

• avariuli kvebis wyaro (damatebiTi xazi da generatori _ minimum 7.5kvt. simZlavriT)

• wyalmomaragebisa da kanalizaciis sistema (civi wyali, cxeli wyali) gaTbobis, kondicirebisa da ventilaciis sistema (centraluri an avtonomiuri)

danarTi 4.1..2

samedicino da teqnikuri aRWurvilobis dasaxeleba raodenoba

eqimis oTaxi aveji

saweri magida 1 skami 1 taxti (samedicino) 1 karada 1 karada (samedicino) 1

samedicino xelsawyoebi da aparatura negatoskopi 1 sfigmomanometri 1 fonendoskopi 1 sazomi lenti 1 lupa 1 CaquCi (nevrologis) 1 sinaTlis wyaro (fanqari) xaxis gamosakvlevad 1 cxrili gamanaTebliT (mxedvelobis simaxvilis gamosakvlevad) 1 saTvalis SesarCevi linzebis nakrebi 1 bavSvis Sesaxvevi magida 1

saproceduro baqteriociduli gamanaTebeli (mobiluri) 1 samanipulacio magida 1 eqimis skami (mbrunavi) 1


samedicino karada 1 eleqtrokardiografi (portatuli) 1 sinaTlis wyaro Tvalis gugis reaqciis Sesamowmeblad 1 sareanimacio instrumentebis mcire nakrebi (xelovnuri sunTqvis aparati (meqanikuri), enis damWeri, laringoskopi da sxv.)

vakuumaspiratori (Terapiuli) 1 instrumentebis nakrebi traqeostomiisaTvis 1 defibrilatori (portatuli) 1 simaRlis sazomi (anTropometruli) 1 saswori (mozrdilTa, samedicino) 1 saswori (Cvil bavSvTa) 1 Termometri 3 sarkeebis nakrebi (cxviris, cxvirxaxis gamosakvlevad) 1 insrumenti _ Tvalidan ucxo sxeulis amosaRebad 1 insrumenti _ cxviridan ucxo sxeulis amosaRebad 1 insrumenti _ yuridan ucxo sxeulis amosaRebad 1 sisxldenis SemaCerebeli momWeri 10 nemsi _ dana, rqovanidan ucxo sxeulis mosaSoreblad 1 qirurgiuli nemsebis nakrebi 2 nemsdamWeri 6 kaTeterebis nakrebi 2 kompleqti erTjeradi gamoyenebis kaTeterebis nakrebi 2 kompleqti niCabi, qsovilebis dasaSoreblad 1 dana (nemsi) paracentezisaTvis 1 makrateli qirurgiuli (rbili qsovilebis gasaWrelad) 3 makrateli (gadasaxvevi masalisaTvis) 3 pinceti (anatomiuri) 3 pinceti (anatomiuri Tvalis) 3 pinceti (qirurgiuli) 3 skalpeli 6 troakari (samedicino) 1 instrumenti xorxidan ucxo sxeulis amosaRebad 1 artaSani kidurebis imobilizaciisaTvis 1 damWeri yelisa da cxviris tamponirebisaTvis 1 sakeravi masala 1 rezinis xelTaTmanebi saW. mixedviT gadasaxvevi masala (dolbandi, bamba da sxv) instrumentebis magida (mobiluri) 1 gamanaTebeli (mobiluri) 1

44


biqsi 1 biqsis sadgami 1 Tasi 1 Tasis sadgami 1

sanitaruli oTaxi taxti (samedicino) 1 karada 1 Janes Sprici 1 gastraluri zondi 1 duodenaluri zondi 1 saTbura (mozrdilTa, bavSvTa) 2

sasterilizacio oTaxi: karada (qimiuri, sasterilizacio, sadezinfeqcio, sarecxi nivTierebebisaTvis) 1 instrumentebis dasakompleqtebeli magida (instrumentebis daxarisxebis, kompleqtaciis, maTi vargisianobis Sesamowmeblad)

1

gamadidebeli optikuri mowyobiloba (gamadidebeli mowyobiloba instrumentebis dasaTvaliereblad magaliTad: specialuri lupa, an/da sakancelario lupa)

1

biqsi 1 mowyobiloba mSrali sterilizaciisaTvis 1

danarTi 4.1..3

samrecxao ganyofileba

(samrecxao, an/da centraluri samrecxao)

samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba

wyalmomaragebis sistema (civi wyali, cxeli wyali: centraluri, an/da avtonomiuri) sakanalizacio sistema (centraluri, an/da avtonomiuri) karada (qimiuri, sasterilizacio, sadezinfeqcio, sarecxi nivTierebebisaTvis) 1 Tasi 1 saTli 1 biqsi 1 sarecxi manqana 1

45

46

4.2 Terapia samedicino saqmianoba: Terapia, ambulatoriuli momsaxureba (done _ I)

do-

ne tipi kadrebi

samedicino-

teqnikuri aRWurviloba

nozologia gamokvlevebi samedicino saqmianobis

moculoba

1 2 3 4 5 6 7

I 1. ambula-

toria

2. saubno saavadmyo

fo

• eqimi (zogadi profilis/ ojaxis

eqimi an

Terapevti)

• eqTani

• sanitari

• sainJinro-teqnikuri personali (an xelSekruleba

Sesabamis

servisul

samsaxurTan)

• eqimis kabineti, _ danarTi 4.2.1

• mimRebi oTaxi, sangamtari da/an misaRebi

filtri,

gasasinji

kabineti:

aRWurvilobis

ZiriTad CamonaTvals,

_ danarTi 4.2.2

(a) E01-E02, E11, E50-E55, E66, E86, I00-02, I10-15, I20, I25, I27, I42-43, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, K20-21, K25-30, K44, K58, K70-71, K73-75, K81,K86, M00-M19, N34, R00-39, R50-99, D50, D-62, A00-09, A15-16, B15-19;

(b) E03-E06, E10, E12-E14, E73, E85, I05-09, I34-I37, I48, I80, I83, K44, K50-51, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D51-53;

(g) E50-E64, E66, I05-09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.



• ganavlis analizi

• naxvelis saerTo analizi

• naxvelis mikroskopia mikobaqteriis gamosavlenad

• glikemiis gansazRvra

• qolesterinis koncentraciis gansazRvra sisxlSi

• bilirubinemiis gansazRvra

• transaminazebis (alt, ast) aqtivobis gansazRvra

• kreatininis narCeni azotis koncentracia sisxlSi

• ekg

• gulmkerdis rentgenografia

• kuWisa da nawlavebis rentgenologiuri kvleva

• muclis Rrus, saSarde da mcire menjis Rrus organoTa ultrabgeriTi kvleva

(gamokvlevebi tardeba uSualod dawesebulebaSi an sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)

me-5 svetis Sesabamis blokebSi CamoTvlili daavadebebis:

(a) mwvave da sawyisi formebis pirveladi

diagnostika,

msubuqi formebis

mkurnaloba da

marTva.

(b) qronikuli

daavadebebis marTva

(igulisxmeba

SedarebiT ufro

maRali donis dawesebulebebSi

diagnostirebuli

daavadebebis

Sesabamisi

daniSnulebis

Sesruleba da avadmyofze

meTvalyureoba)

g) pirveladi, meoradi

da mesameuli

profilaqtika.

paraleluri dargebi(*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:

1. kliniko-diagnostikuri laboratoria (I done)

2. bioqimiuri laboratoria (I done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba

1. funqciuri diagnostika (I done)

2. rentgenologia (I done)

(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli

moculobiT warmoebisaTvis.

47

4.2 Terapia

samedicino saqmianoba: Terapia, ambulatoriuli momsaxureba, done _ II

done tipi kadrebi samedicino-teqnikuri

aRWurviloba nozologia gamokvlevebi samedicino saqmianobis moculoba

1 2 3 4 5 6 7

II 1. raionuli

(qalaqis)

saavadmyofo

2. saeqimo kabineti

• eqimi (zogadi profilis

eqimi, Terapevti

an/da Sinagani

medicinis

nebismieri

specialobis

eqimi)

• eqTani

• sanitari

• sainJinro-teqnikuri personali (an xelSekruleba

servisul

samsaxurTan)

• eqimis kabineti, _ danarTi 4.2.1

• mimRebi oTaxi (mimRebi oTaxi _

sangamtari da/an

misaRebi filtri,

gasasinji kabineti),

_ danarTi 4.2.2

• saproceduro intravenuri

ineqciebisaTvis,

_ danarTi 4.2.3

• sasterilizacio, _ danarTi 4.2.6

(a) E01-E02, E11, E50-E55, E66, E86; I00-02, I10-15, I20, I25, I27, I42-43, I49-50, I70, I95; J00-04, J06, J10-18, J20-22, J30-32, J40-45; K20-21, K25-30, K44, K58, K70-71, K73-75, K81,K86, M00-M19, N34, R00-39, R50-99, D50, D-62, A00-09, A15-16, B15-19;

(b) E03-E06, E10,

E12-E14, E73, E85, I05-09, I34-I37, I48, I80, I83, K44, K50-51, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D51-53;

(g) E50-E64, E66, I05-

09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.



• ganavlis analizi

• naxvelis saerTo analizi

• naxvelis mikroskopia

mikobaqteriis gamosavlenad

• glikemiis gansazRvra

• qolesterinis

koncentraciis gansazRvra

sisxlSi

• bilirubinemiis gansazRvra,

• transaminazebis (alt, ast)

aqtivobis gansazRvra

• kreatininis, narCeni

azotis koncentraciis

gansazRvra sisxlSi

• ekg

• gulmkerdis

rentgenografia

• kuWisa da nawlavebis

rentgenologiuri kvleva

• muclis Rrus, saSarde da

mcire menjis Rrus

organoTa sonografuli

kvleva.

(gamokvlevebi tardeba uSualod dawesebulebaSi, an/da sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)

me-5 svetis Sesabamis blokebSi CamoTvlili

daavadebebis:

(a) mwvave da sawyisi formebis pirveladi

diagnostika, msubuqi formebis mkurnaloba

da marTva;

(b) qronikuli daavadebebis marTva

(igulismeba SedarebiT ufro maRali

donis dawesebulebebSi diagnoscirebuli

daavadebebis Sesabamisi daniSnulebis

Sesruleba da avadmyofze meTvalyureoba);

(g). pirveladi, meoradi da mesameuli

profilaqtika.

SeniSvna:

• saeqimo kabinetis daniSnuleba ganisazRvreba

misi specializaciiT. ase, magaliTad,

sportul dawesebulebasTan arsebul

kabinetSi xdeba sportsmenebze da varjiSis

procesze saTanado meTvalyureoba. skolis

saeqimo kabinetSi _ moswavleebis

janmrTelobis mdgomareobaze dakvirveba da

a.S.

• yvela saeqimo kabinets evaleba pirveladi

samedicino daxmarebis gaweva.

48

paraleluri dargebi (*):


1. kliniko-diagnostikuri laboratoria (II done)

2. bioqimiuri laboratoria (II done)

3. funqciuri diagnostika (I da/an II done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba Sesabamis dawesebulebebTan:

1. imunologiuri laboratoria (II done)

2. rentgenologia (I an II done)



49

50

4.2 Terapia

samedicino saqmianoba: Terapia, ambulatoriuli momsaxureba (done _ III)

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba


moculoba

1 2 3 4 5 6 7

III 1. poliklinika

2. kliniko-

diagnostiku

ri centri

Terapiul kabinets

emsaxureba:

• eqimi (Terapevti, an/da

zogadi

profilis eqimi)

• internisti

• eqTani

• sanitari

• sainJinro-teqnikuri personali (da/an

xelSekruleba

servisul

samsaxurTan)

• eqimis kabineti _ danarTi 4.2.1


sangamtari da/an

misaRebi

filtri,

gasasinji

kabineti),

_ danarTi 4.2.2


ineqciebisaTvis

_ danarTi 4.2.3

• sasterilizacio _ danarTi 4.2.6

(a) E01-E06, E10-14, E-20-E21,E24, E25, E50-E55, E66, E73, E85, E86, I00-02, I10-15, I20, I25, I27, I40-47, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, J90-J91, K20-21, K25-31, K44, K58, K70-71, K73-75, K81,K86, M00-M19,N20-N23, N34, R00-39, R50-99, D50-D52, D-62, A00-09, A15-16, B15-19;

(b) E03-E06, E10, E12-E14,

E73, E85, I05-09, I33, I34-I37, I48, I77-I79, I80, I83, J60-J69, K44, K50-52, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D53, D56-57, D61;


• sisxlis saerTo analizi,

• Sardis saerTo analizi,

• ganavlis saerTo analizi,

• naxvelis saerTo analizi,

• naxvelis mikroskopia mikobaqteriis gamosavlenad,

• Sardis, sisxlis, naxvelis baqteriologiuri

kvleva,

• glikemiis gansazRvra,

• qolesterinis koncentraciis gansazRvra sisxlSi,


• transaminazebis (alt, ast) aqtivobis

Tiroidmastimulirebeli hormonis T3-is, T4-is gansazRvra,

• Na, K, kreatininis, narCeni azotis koncentraciis gansazRvra sisxlSi,

• koagulograma,

• ekg,

• ekg sinji fizikuri datvirTviT,

• gulmkerdis rentgenografia,

• kuWisa da nawlavebis rentgenologiuri kvleva,

• muclis Rrus, saSarde da mcire menjis organoTa

ultrabgeriTi kvleva,

• eqokardiografia.


me-5 svetSi CamoTvlili daavadebebis:

(a) mwvave da sawyisi

formebis pirveladi

diagnostika, msubuqi

da saSualo simZimis

formebis

mkurnaloba da

marTva:

(b) qronikuli

daavadebebis marTva

(igulismeba

SedarebiT ufro

maRali donis

dawesebulebebSi

diagnostirebuli

daavadebebis

Sesabamisi

daniSnulebis

Sesruleba da

avadmyofze

meTvalyureoba);

(g). pirveladi, meoradi

da mesameuli

profilaqtika.



1. kliniko-diagnostikuri laboratoria (II da/an III done)

2. bioqimiuri laboratoria (II da/an III done)

3. imunologiuri laboratoria (II da/an done)

4. funqciuri diagnostika (II da/an III done)

5. rentgenologia (II da/an III done)


1. ultrabgeriTi diagnostika (II da/an III done)

2. virusologiuri laboratoria (II da/an III done)

3. mikrobiologiuri laboratoria (II da/an III done)

4. baqteriologiuri laboratoria (II da/an III done)



51

52

4.2 Terapia samedicino saqmianoba: Terapia, ambulatoriuli momsaxureba (done _ IV)

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologia kamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

IV 1. specializeb

uli s/k

instituti

2. specializeb

uli centri

3. universitet

is klinika

(aRniSnuli dawesebulebebis ambulatoriul- poliklinikuri momsaxureba)

Terapiul

kabinets

emsaxureba:

• eqimi Terapevti/

internisti

• eqTani • sanitari


xelSekrule

ba servisul

samsaxurTan)


• mimRebi oTaxi mimRebi oTaxi _

sangamtari da/an

misaRebi

filtri,

gasasinji

kabineti

_ danarTi 4.2.2


ineqciebisaTvis

_ danarTi 4.2.3

• sasteriliza-cio

_ danarTi 4.2.6

(a) E01-E06, E10-14, E-20-E21,E24, E25, E50-E55, E66, E73, E85, E86, I00-02, I10-15, I20, I25, I27, I40-47, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, J90-J91, K20-21, K25-31, K44, K58, K70-71, K73-75, K81,K86, M00-M19, N20-N23, N34, R00-39, R50-99, D50-D52, D-62, A00-09, A15-16, B15-19;

(b) E03-E06, E10, E12-

E14, E73, E85, I05-09, I33, I34-I37, I48, I77-I79, I80, I83, J60-J69, K44, K50-52, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D53, D56-57, D61;







• Sardis, ganavlis, naxvelis, sisxlis baqteriologiuri kvleva,

• sisxlSi rkinis Semcvelobis, glikemiis, qolesterinis

koncentraciis, bilirubinemiis gansazRvra sisxlSi,

• transaminazebis (alt, ast), tute fosfatazas aqtivobis

Tiroidmastimulirebeli hormonis T3-is, T4-is gansazRvra, • Na, K, kreatininis, narCeni azotis koncentracia sisxlSi,

• koagulograma,

• sisxlSi hepatitis virusebis mimarT antisxeulebis gansazRvra

(HBsAg, HbeAg, anti-ABe, IgM, anti-HBc), • ekg,

• ekg sinji fizikuri datvirTviT,

• gulis eleqtrofiziologiuri kvleva,

• mcire spirometria,


• tomografia,

• kompiuteruli tomografia,


• muclis Rrus, saSarde da mcire menjis organoTa sonografuli

kvleva,

• eqokardiografia doplerografiiT,

• periferuli sisxlZarRvebis doplerografia,

• gastrofibroskopia.

(gamokvlevebi tardeba uSualod dawesebulebaSi an/da sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)

me-5 svetSi

CamoTvlili

daavadebebis:


formebis

pirveladi

diagnostika,

msubuqi da

saSualo

simZimis

formebis

mkurnaloba da

marTva:

(b) qronikuli

daavadebebis

marTva

(igulismeba

SedarebiT

ufro maRali

donis

dawesebulebebSi

diagnostirebu

li daavadebebis

Sesabamisi

daniSnulebis

Sesruleba da

avadmyofze

meTvalyureoba)

(g) pirveladi,

meoradi da

mesameuli

profilaqtika.

53


licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive

misamarTze:

1. kliniko-diagnostikuri laboratoria (III da/an IV done)

2. bioqimiuri laboratoria (III da/an IV done)

3. imunologiuri laboratoria (III da/an IV done)

4. ultrabgeriTi diagnostika (III da/an IV done)

5. rentgenodiagnostika (III da/an IV done)

6. funqciuri diagnostika (III da/an IV done)


1. baqteriologiuri laboratoria (III da/an IV done)

2. virusologiuri laboratoria (III da/an IV done)

3. mikrobiologiuri laboratoria (III da/an IV done)

4. kompiuteruli tomografia (III da/an IV done)

5. birTvul-magnitur-rezonansuli tomografia (III da/an IV done)

6. radioizotopuri gamokvleva (III da/an IV done)

(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli moculobiT

warmoebisaTvis.

54

4.2 Terapia samedicino saqmianoba: Terapia, ambulatoria/dRis stacionari (done _ I)


aRWurviloba nozologia kamokvlevebi

samedicino saqmianobis

moculoba

1 2 3 4 5 6 7

1 ambulato-

ria/ dRis

stacionari

• eqimi (zogadi profilis/

ojaxis eqimi an

Terapevti)

• eqTani

• sanitari

• sainJinro-teqnikuri

personali (an

xelSekruleba

Sesabamis

servisul

samsaxurTan)

• eqimis kabineti, _ danarTi 4.2.1 mimRebi oTaxi (mimRebi oTaxi _

sangamtari da/an

misaRebi filtri,

gasasinji kabineti)

_ danarTi 4.2.2


ineqciebisaTvis _ danarTi 4.2.3 palata _ _ danarTi 4.2.4

meddis posti _ danarTi 4.2.5


(a) E01-E02, E10-E11, E50-E55, E66, E86, I00-02, I10-15, I20, I25, I27, I40-43, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, K20-21, K25-30, K44, K58, K70-71, K73-75, K81,K86, M00-M19, N34, R00-39, R50-99, D50, D-62, A00-09, A15-16, B15-19;

(b) E03-E06, E12-E14,

E73, E85, I05-09, I34-I37, I41, I48, I80, I83, I97, J47, K22, K44, K50-51, K57, K72, M30-36, M40-54, M65-68, M80, N02-03, N11, N18, D51-53;

(g) E50-E64, E66, I05-09,

I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.

• sisxlis saerTo analizi;

• Sardis saerTo analizi;

• ganavlis saerTo analizi;

• naxvelis saerTo analizi;

• naxvelis mikroskopia mikobaqteriis gamosavlenad;

• glikemiis gansazRvra;

• qolesterinis koncentraciis gansazRvra sisxlSi;


• transaminazebis (alt, ast) aqtivobis gansazRvra;

• kreatininis, narCeni azotis koncentraciis gansazRvra sisxlSi;

• ekg; • gulmkerdis rentgenografia;

• kuWisa da nawlavebis rentgenologiuri

kvleva;

• muclis Rrus, saSarde da mcire menjis Rrus organoTa sonografiuli kvleva.




formebis pirveladi

diagnostika, msubuqi formebis mkurnaloba da

marTva;

(b) qronikuli daavadebebis

marTva (igulismeba

SedarebiT ufro maRali donis dawesebulebebSi

diagnostirebuli

daavadebebis Sesabasmisi

daniSnulebis Sesruleba

da avadmyofze meTvalyureoba);

(g) pirveladi, meoradi da

mesameuli profilaqtika.

55



1. kliniko-diagnostikuri laboratoria (I done)

2. bioqimiuri laboratoria (I done)




(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli moculo

warmoebisaTvis.

56

4.2 Terapia

samedicino saqmianoba: Terapia, ambulatoria/dRis stacionari (done _ II)


aRWurviloba nozologia gamokvlevebi


moculoba

1 2 3 4 5 6 7

II • raionuli (qalaqis)

saavadmyofo

• samedicino socialuri

saavadmyofo

• eqimi (zogadi profilis

eqimi, Terapevti

an/da eqimi _

Sinagan

sneulebaTa

nebismieri specialobis)

• eqTani

• sanitari

• sainJinro-teqnikuri personali (an xelSekruleba Sesabamis

servisul

samsaxurTan)



sangamtari da/an

misaRebi filtri,


_ ZiriTadi

CamonaTvali

_ danarTi 4.2.2


ineqciebisaTvis,

_ danarTi 4.2.3 • palata _ danarTi 4.2.4

• meddis posti _ danarTi 4.2.5


(a) E01-E02, E11, E50-E55, E66, E86, I00-02, I10-15, I20, I25, I27, I42-43, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, K20-21, K25-30, K44, K58, K70-71, K73-75, K81,K86, M00-M19, N34, R00-39, R50-99, D50, D-62, A00-09, A15-16, B15-19;

(b) E03-E06, E10, E12-

E14, E73, E85, I05-09, I34-I37, I48, I80, I83, K44, K50-51, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D51-53;

(g) E50-E64, E66, I05-

09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.





• naxvelis mikroskopia mikobaqteriis

gamosavlenad,


• qolesterinis koncentraciis

gansazRvra sisxlSi,


• transaminazebis (alt, ast) aqtivobis

gansazRvra,

• kreatininis narCeni azotis

koncentracis gansazRvra sisxlSi,

• ekg,


• kuWisa da nawlavebis

rentgenologiuri kvleva,

• muclis Rrus, saSarde da mcire menjis

organoTa sonografuli kvleva.

(gamokvlevebi tardeba uSualod dawesebulebaSi, an/da sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)



formebis pirveladi

diagnostika, msubuqi

formebis mkurnaloba

da marTva;

(b) qronikuli daavadebebis

marTva (igulisxmeba

SedarebiT ufro maRali

donis dawesebulebebSi

diagnostirebuli

daavadebebis Sesabamisi

daniSnulebis Sesruleba

da avadmyofze

meTvalyureoba);

(g) pirveladi, meoradi da

mesameuli

profilaqtika.

57



1. kliniko-diagnostikuri laboratoria (II done)

2. bioqimiuri laboratoria (II done)



1. imunologiuri laboratoria (II done)




58

4.2 Terapia

samedicino saqmianoba: Terapia, ambulatoria dRis stacionari (done _ III)

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba


moculoba

1 2 3 4 5 6 7

III 1. regionu-li

(respub-

likuri saavad-

myofo)

2. speciali

zebuli

saavadmyofo

3. mravalpr

ofiliani

dispan-

seri

4. polikli-

nika

5. hospi-tali

6. kliniko-

diagnos-

tikuri

centri

7. speciali-

zebuli

kabineti

• eqimi (Terapevti,

an/da zogadi

profilis

eqimi)

• internisti

• eqTani

• sanitari


xelSekruleba Sesabamis

servisul

samsaxurTan)



sangamtari da/an

misaRebi filtri,


_ danarTi 4.2.2


ineqciebisaTvis,


• meddis posto _ danarTi 4.2.5


(a). E01-E06, E10-14, E-20-E21,E24, E25, E50-E55, E66, E73, E85, E86, I00-02, I10-15, I20, I25, I27, I40-47, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, J90-J91, K20-21, K25-31, K44, K58, K70-71, K73-75, K81,K86, M00-M19,N20-N23, N34, R00-39, R50-99, D50-D52, D-62, A00-09, A15-16, B15-19;

(b). E03-E06, E10, E12-

E14, E73, E85, I05-09, I33, I34-I37, I48, I77-I79, I80, I83, J60-J69, K44, K50-52, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D53, D56-57, D61;

(g). E50-E64, E66, I05-

09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.



• ganavlis analizi,



• Sardis, sisxlis, naxvelis baqteriologiuri kvleva,


• qolesterinis koncentraciis gansazRvra sisxlSi,


• transaminazebis (alt, ast) aqtiobis Tiroidmastimulirebeli hormonis T3-is, T4-is gansazrvra,

• Na, K, kreatininis, narCeni azotis koncentracia sisxlSi,

• koagulograma,

• ekg,

• ekg sinji fizikuri datvirTvis,



• muclis Rrus, saSarde da mcire menjis organoTa sonografuli kvleva,

• eqokardiografia. (gamokvlevebi tardeba uSualod dawesebulebaSi, an/da sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)


a) mwvave da sawyisi

formebis

pirveladi

diagnostika,

msubuqi da

saSualo simZimis formebis

mkurnaloba da

marTva:

b) qronikuli

daavadebebis marTva

(igulisxmeba SedarebiT ufro

maRali donis

dawesebulebebSi

diagnostirebuli

daavadebebis

Sesabamisi daniSnulebis

Sesruleba da

avadmyofze

meTvalyureoba);

g) pirveladi,

meoradi da mesameuli

profilaqtika.

59



misamarTze:



3. imunologiuri laboratoria (II da/an done)




1. eqoskopiuri diagnostika (II da/an III done)

2. virusologiuri laboratoria (II da/an III done)


4. baqteriologiuri laboratoria (II da/an III done



60

4.2 Terapia

samedicino saqmianoba: Terapia, ambulatoria/dRis stacionari (done _ IV)


aRWurviloba nozologia gamokvlevebi


moculoba

1 2 3 4 5 6 7

IV 4. specializirebu

li s/k

instituti

5. specializirebu

li centri

6. universitetis

klinika

(aRniSnuli dawesebulebebis ambulatoriul- poliklinikuri momsaxureba)

• eqimi _ Terapevti

• internisti

• eqTani

• sanitari


xelSekruleba

Sesabamis

servisul

samsaxurTan)



sangamtari da/an

misaRebi filtri,

gasasinji kabineti)

_ danarTi 4.2.2


ineqciebisaTvis,


• meddis posti _ danarTi 4.2.5


(a). E01-E06, E10-14, E-20-E21,E24, E25, E50-E55, E66, E73, E85, E86, I00-02, I10-15, I20, I25, I27, I40-47, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J40-45, J90-J91, K20-21, K25-31, K44, K58, K70-71, K73-75, K81,K86, M00-M19,N20-N23, N34, R00-39, R50-99, D50-D52, D-62, A00-09, A15-16, B15-19;

(b). E03-E06, E10, E12-E14, E73, E85, I05-09, I33, I34-I37, I48, I77-I79, I80, I83, J60-J69, K44, K50-52, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D53, D56-57, D61;

(g). E50-E64, E66, I05-09, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19.



• ganavlis analizi,



• Sardis, ganavlis, naxvelis, sisxlis

baqteriologiuri kvleva,

• sisxlSi rkinis Semcvelobis, glikemiis,

qolesterinis koncentraciis, bilirubinemiis

gansazRvra

• transaminazebis (alt, ast), tute fosfatazas

aqtivobis Tiroidmastimulirebeli hormonis T3-is, T4-is gansazrvra,

• Na, K, kreatininis, narCeni azotis koncentraciis gansazRvra sisxlSi

• koagulograma,

• sisxlSi hepatitis virusebis mimarT

antisxeulebis gansazRvra (HBsAg,HbeAg,anti-ABe,IgM, anti-HBc),

• ekg

• ekg sinji fizikuri datvirTviT

• gulis eleqtrofiziologiuri kvleva

• mcire spirometria


• tomografia,

• kompiuteruli tomografia,


• muclis Rrus, saSarde da mcire menjis organoTa

sonografuli kvleva,

• eqokardiografia doplerografiiT,

• periferuli sisxlZarRvebis doplerografia,

• gastrofibroskopia.

(gamokvlevebi tardeba uSualod dawesebulebaSi an/da sxva dawesebulebaSi, romelTanac dadebulia xelSekruleba)



formebis

pirveladi

diagnostika,

msubuqi da

saSualo simZimis

formebis

mkurnaloba da

marTva:

(b) qronikuli

daavadebebis marTva

(igulisxmeba

SedarebiT ufro

maRali donis

dawesebulebebSi

diagnostirebuli

daavadebebis

Sesabamisi

daniSnulebis

Sesruleba da

avadmyofze

meTvalyureoba);

(g) pirveladi, meoradi

da mesameuli

profilaqtika.

61



misamarTze:



3. imunologiuri laboratoria (III da/an IV done)

4. eqoskopiuri diagnostika (III da/an IV done)

5. rentgenodiagnostika (III da/an IV done)

6. funqciuri diagnostika (III da/an IV done)


1. baqteriologiuri laboratoria (III da/an IV done)

2. virusologiuri laboratoria (III da/an IV done)

3. mikrobiologiuri laboratoria (III da/an IV done)

4. kompiuteruli tomografia (III da/an IV done)

5. birTvul-magnitur-rezonansuli tomografia (III da/an IV done)

6. radioizotopuri gamokvleva (III da/an IV done)



62

Terapia: samedicino teqnikuri aRWurviloba danarTi 4.2.1

eqimis kabineti

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali) samedicino momsaxurebis done I II III IV

samedicino aveji 15 eqimis magida 1 1 1 1 15 eqimis skami 1 1 1 1 15 skami 3 3 3 3 15 gasasinji taxti 1 1 1 1 15 samedicino karada 1 1 1 1 15 instrumentebis magida 2 2 2 2 samedicino aparatura da xelsawyoebi 08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 1 1 03 negatoskopi (saerTo daniSnulebis) 1 1 1 1 08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1 1 1 06 saswori (samedicino) 1 1 1 1 06 simaRlis sazomi (anTropometri) 1 1 1 1 02 arteriuli wnevis sazomi arainvaziuri aparati

(sfigmomanometri, fonendoskopi) 1 1 1 1

14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 2 2 2 2 14 wamzomi 1 1 1 1 14 dinamometri (xelis) 1 1 1 1 14 dokumentacia (cxrilebi, normativebi da testebi) _

anTropometruli, fsiqologiuri, asakobrivi zrdis, sqesobrivi simwifisa da kbilebis ganviTarebis gansazrvrisaTvis

1 kompleqti

1 kompleqti

1 kompleqti

1 kompleqti

13 eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) 1 1 1 1 13 sasterilizacio yuTi instrumentebisaTvis 2 2 2 2 02 eleqtrokardiografi _ portatuli 1 1 1 1 02 eleqtrokardiografi _ stacionaruli - - - 1 06 pikfloumetri (mcire spirometria) 1 1 1 1 06 spirometri - - - 1 samedicino instrumentebi 14 gamadidebeli mina (lupa, xelis) 1 1 1 1 14 stetofonendoskopi (stetoskopi, fonendoskopi) 1 1 1 1 14 sazomi lenti 2 2 2 2 14 Spadeli (enis) 2 2 2 2 14 pinceti (anatomiuri) 2 2 2 2

63

eqimis kabineti

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali) samedicino momsaxurebis done I II III IV

14 makrateli (gadasaxvevi masalisaTvis) 2 2 2 2 14 momWeri (maSa, korcangi), swori boloTi 2 2 2 2 08 pirveladi daxmarebis da traqeostomis instrumentebis

kompleqti (mozrdilTaTvis): filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi niRabi, vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis kompleqti

1 1 1 1

danarTi 4.2.2

mimRebi oTaxi (mimRebi oTaxi _ sangamtari da/an misaRebi filtri, gasasinji kabineti)

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)

samedicino saqmianobis done I II III IV samedicino aveji

15 eqimis magida 1 1 1 1 15 eqimis skami 1 1 1 1 15 skami 2 2 2 2 15 gasasinji taxti 1 1 1 1 15 samedicino karada 1 1 1 1 15 instrumentebis magida 1 1 1 1 samedicino aparatura da xelsawyoebi 08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 1 1 08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1 1 1 02 arteriuli wnevis sazomi arainvaziuri aparati


14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 1 1 2 2 14 wamzomi 1 1 1 1 13 eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) 1 1 - - 13 sasterilizacio yuTi instrumentebisaTvis 1 1 2 2 samedicino instrumentebi

64

mimRebi oTaxi (mimRebi oTaxi _ sangamtari da/an misaRebi filtri, gasasinji kabineti)

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali) samedicino saqmianobis done I II III IV

14 stetofonendoskopi (stetoskopi, fonendoskopi) 1 1 1 1 14 Spadeli (enis) 1 1 1 1 14 pinceti (anatomiuri) 1 1 1 1 14 makrateli (gadasaxvevi masalisaTvis) 1 1 1 1 14 momWeri (maSa, korcangi) swori boloTi 1 1 1 1 08 pirveladi daxmarebis da traqeostomis instrumentebis

kompleqti (mozrdilTaTvis): filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi niRabi, vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis kompleqti.

1 1 1 1

danarTi 4.2.3

saproceduro (intravenuri ineqciebisaTvis) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)

samedicino aveji 15 saproceduro magida 1 1 1 1

15 eqimis skami (mbrunavi skami) 1 1 1 1

15 samedicino karada 1 1 1 1

15 instrumentebis magida 2 2 2 2

15 biqsis sadgami 1 1 1 1

15 Tasis sadgami 1 1 1 1

samedicino aparatura da xelsawyoebi

08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 2 2 2 2

14 wamzomi 1 1 1 1

13 sasterilizacio yuTi instrumentebisaTvis 2 2 2 2

14 Stativi xsnarebisaTvis (moZravi, statikuri) 2 2 2 2

07 medikamentebis dozatori _ infuzori (infuzomati) - - - 1

07 sainfuzio tumbo (perfuzori, aRniSnulis garda, dawesebulebas unda gaaCndes rezervi)

- - - 1

13 biqsi 2 2 2 2

65

saproceduro (intravenuri ineqciebisaTvis) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)

samedicino aveji 14 Tasi (konteineri, naxmari masalis Sesagroveblad) 2 2 2 2

samedicino instrumentebi 14 pinceti (anatomiuri) 2 2 2 2

14 makrateli (gadasaxvevi masalisaTvis) 2 2 2 2

14 momWeri (maSa, korcangi) swori boloTi 2 2 2 2

14 laxti (rezinis) 2 2 2 2

14 momWeri (rezinis milis) 1 1 1 1

14 kuWis zondi (sxvadasxva zomis) 2 2 2 2

14 duodenaluri zondi (sxvadasxva zomis) 2 2 2 2

08 pirveladi daxmarebis da traqeostomiis instrumentebis kompleqti (mozrdilTaTvis): filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi niRabi, vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis kompleqti.

1 1 1 1

danarTi 4.2.4

palata kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)

samedicino saqmianobis done I II III IV samedicino aveji

15 samedicino (da/an funqciuri) sawoli 1 1 1 1

15 magida 1 1 1 1 15 skami 2 2 2 2 15 sawolis tumbo 1 1 1 1

66

danarTi 4.2.5

samedicino meddis posti


samedicino saqmianobis done I II III IV samedicino aparatura da xelsawyoebi

08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) 1 1 1 1 02 arteriuli wnevis sazomi arainvaziuri aparati


14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 2 2 2 2 13 sasterilizacio yuTi instrumentebisaTvis 2 2 2 2 14 Stativi xsnarebisaTvis (moZravi, statikuri) 2 2 2 2 samedicino instrumentebi 14 Spadeli (enis) 2 2 2 2 14 pinceti (anatomiuri) 1 1 1 1 14 makrateli (Sesaxvevi masalisaTvis) 2 2 2 2 14 momWeri (maSa, korcangi) swori boloTi 2 2 2 2 08 pirveladi daxmarebis da traqeostomis instrumentebis

kompleqti (mozrdilTaTvis): filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi niRabi, vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis kompleqti.

1 1 1 1

danarTi 4.2.6

sasterilizacio

(an/da centraluri sasterilizacio, an/da xelSekruleba sasterilizaciosTan imave misamarTze)

aparatura da xelsawyoebi raodenoba orTqlis sterilizatori (avtoklavi, horizontaluri an/da vertikaluri) 1 mSrali sterilizatori (sasterilizacio karada) 1

67

4.3 pediatria

samedicino saqmianoba: pediatria, ambulatoriuli momsaxureba (done _ I)

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologiebi gamokvlevebi samedicino saqmianobis moculoba

1 2 3 4 5 6 7

I 1. ambula-toria

2. pirve-ladi

jandacvis

centri

• zogadi profilis pediatri an ojaxis

eqimi an

pediatri


• sainJinro-teqnikuri personali (an xelSekru-

leba

servisul

samsaxur-

Tan)

• pediatris kabineti

_ danarTi 4.3.1

• bavSvebis misaRebi filtri (mimRebi oTaxi

_ sangamtari,

gasasinji kabineti)

_ danarTi 4.3.2

• A02; A020; A03; A030; A04; A040; A05; A050; A08; A080; A36; A36.0; A36.1; A37; A37.0; A38;

• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B26; B26.9; B27; B27.9; B30; B30.1; B77; B77.0; B77.9; B80; B85; B85.0; B86;

• D50; • E01; E01.0; E01.1;

E01.2; E10; E11; E44; E44.0;

• E44.1; E66; E66.0 • H10; H10.2; • J00; J02; J02.0; J02.8;

J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1

• J20; J20.0; J30; J30.0; • K12; K12.0; K22; K30;

K26; K29; K29.1; K30; • L23; L23.7; • N30; N30.0; • R14;

• pacientis viziti eqimTan

• naxvelis baqterio-logiuri gamokvleva

• SardSi cilis raodenobis (proteinuria) gansazRvra

• ganavlis gamokvleva Wiis

kvercxebze

• .hemoglobinis gansazRvra sisxlSi

• kvebis statusis Seswavla

• anTropometruli gamokvlevebi

• A02; A020; A03; A030; A04; A040; A05; A050; A08; A080; A36; A36.0; A36.1; A37; A37.0; A38;

• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B26; B26.9; B27; B27.9; B30; B30.1; B77; B77.0; B77.9; B80; B85; B85.0; B86;

• D50; • E66; E66.0; • H10; H10.2; • J00; J02; J02.0; J02.8; J03; J03.0; J03.8;

J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J20; J30; J30.0;

• K12; K12.0; K22; K30; • L23; L23.7; • N30.0; • E44; E44.0; E44.1; • R14; zemoaRniSnuli daavadebis pirveladi gamovlena mkurnaloba, profilaqtika • A02; A02.0; A04; A04.0; A05; • A05.0; A08; A36; A37; A38 • B15; • E01; E01.0; E01.1; E01.2; E10; E44; • R01; zemoaRniSnuli daavadebis pirveladi gamovlena da gagzavna specializebul dawesebulebaSi

68



1. kliniko-diagnostikuri laboratoria (I an II done);

1. funqciuri diagnostika (I an II done);


1. bioqimiuri laboratoria (I an II done);

2. baqteriologiuri laboratoria (I an II done)




69

4.3 pediatria

samedicino saqmianoba: pediatria, ambulatoriuli momsaxureba (done _ II)

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologiebi gamokvlevebi samedicino saqmianobis moculoba

1 2 3 4 5 6 7

II saeqimo

kabineti • jandacvis organiza-

tori,

• z/profilis pediatri an

zogadi praqtikis

eqimi an

pediatri

• eqTani

• sanitari

• sanitari sainJinro-teqnikuri

personali

(an

xelSekru-

leba

servisul samsaxurTan)


_ danarTi4.3.1

• bavSvebis misaRebi filtri (mimRebi

oTaxi _

sangamtari,

gasasinji

kabineti) _ danarTi4.3.2

• saproceduro (pediatri-

uli

saprocedu-

ro) _ danarTi4.3.5

• sasterilizacio

_ danarTi4.3.6

• A02; A020; A03; • A03.0; A04; A04.0; • A05; A05.0; A06; • A06.0; A08; A08.0;

A16; A16.7; A36; • A36.0; A36.1; A37; • A37.0; A38; A39;

A39.0 • B00; B00.1; B01;

B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B16; B16.1; B26; B26.9; B27; B27.9; B30; B30.1; B55; B55.0; B77; B77.0; B77.9; B80; B85; B85.0; B86;

• D50; D50.8; D58: • D58.0: • E01; E01.0; E01.1;

E01.2; E10; E11; E44; E44.0;

• E44.1; E55; E55.0; E66; E66.0

• H10; H10.2; • I00; I01; • J00; J02; J02.0; J02.8;

J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0: J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3;

• pacientis viziti eqimTan; • sisxlis saerTo analizi


• ganavlis saerTo analizi • ganavlis gamokvleva helminTebze

• ganavlis gamokvleva Wiis kvercxebze




• SardSi Ca2+-is eqskreciis gansazRvra • gulmkerdis rentgenoskopia


• SardSi cilis raodenobrivi gansazRvra

• mantus sinji tuberkuliniT

• sisxlSi Fe(+)-is gansazRvra • ganavlis gamokvleva farul sisxldenaze • retikulocitebis gansazRvra sisxlSi

• saerTo cilisa da cilis fraqciebis

gansazRvra sisxlis SratSi

• eriTrocituli fermentebis gamokvleva

• ferment glukozo-6-fosfatdehidrogenazis

gansazRvra sisxlSi • xaxis nacxisa da piris Rrus baqteriologiuri gamokvleva

• plevris punqcia haeris gamoSvebiT

• naxvelis baqteriologiuri gamokvleva

• plevris Rrus SigTavsis baqteriologiuri

gamokvleva • eleqtrokardiografia (ekg)

• antistreptolizini O-s gansazRvra

• kanis sinjebi mcenareuli alergenebiT

• kanis alergiuli sinjebi (bronquli asTmis

sadiagnostikod)

• ganavlis gamokvleva disbaqteriozze

• A02; A02.0; A03; A03.0; A04; A04.0; A05; A05.0; A06; A16; A16.7; A36; A36.0; A36.1; A39; A39.0; A060; A08; A080; A37; A37.0; A38;

• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B26; B26.9; B27; B27.9; B30; B30.1; B77; B77.0; B77.9; B80; B85; B85.0; B86;

• D50;D50.8 • E55; E55.0; E66; E66.0; • H10; H10.2; • J00; J02; J02.0; J02.8; J03;

J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;

• K12; K12.0; K22; K29; K29.1 • K30; K52; K52.8; K81; K81.0 • L04; L23; L23.7; • N30; N30.0; • E44; E44.0; E44.1; • R01; R01.0; R14;

daavadebis pirveladi gamovlena

mkurnaloba, profilaqtika

• B16; B16.1; B55; B55.0; • D58; D58.0; • E01; E01.0; E01.1; E01.2; E10;

E11; • I00; I01; • N00; N10;

70

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba

samedicino saqmianobis moculoba nozologiebi gamokvlevebi

1 2 3 4 7 5 6

J30.4; J45; J45.0; • K12; K12.0; K22; K25;

K26; K29; K29.1; K30; K52; K52.8; K81; K81.0

• L04; L08; L08.0; L23; L23.7;

• N00; N10; N30; N30.0;

• R01; R01.0; R14;

• ganavlis baqteriologiuri gamokvleva

• bunebrivi masalis baqteriologiuri

gamokvleva specialur niadagze daTesviT

• Sardis baqteriologiuri gamokvleva

daavadebis pirveladi gamovlena da

gagzavna specializirebul

dawesebulebaSi











71

4.3 pediatria

samedicino saqmianoba: pediatria, ambulatoriuli momsaxureba (done _ III)

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologiebi gamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

III 1. poli-

klinika

2. dedaTa da

bavSvTa jan-

dacvis

centri

3. kliniko diagnos-

tikuri

centri

4. specia-lize-buli

kabineti

• jandacvis organizatori

• pediatri; ojaxis eqimi

an

z/profilis

pediatri


• sanitari sainJinro-teqnikuri personali (da/an

xelSekrule

ba servisul

samsaxurTan)


_ danarTi4.3.1

• bavSvebis misaRebi filtri (mimRebi oTaxi _

sangamtari,

gasasinji



uli

saprocedu-

ro)

_ danarTi4.3.5

• sasterilizacio

_ danarTi4.3.6

• A02; A020; A03; A030; A04; A040; A05; A050; A06; A060; A08; A080; A16; A16.7; A36; A36.0; A36.1; A37; A37.0; A38; A39; A39.0

• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B16; B16.1; B26; B26.9; B27; B27.9; B30; B30.1; B35; B35.0; B35.1; B35.2; B35.3; B55; B55.0; B77; B77.0; B77.9; B80; B85; B85.0; B86;

• D50; D50.8; D55; D55.0; D56; D56.0; D66; D67; D58; D58.0

• E01; E01.0; E01.1; E01.2; E10; E11;

pacientis viziti eqimTan; sisxlis saerTo analizi

Sardis saerTo analizi

ganavlis saerTo analizi

ganavlis gamokvleva helminTebze

ganavlis gamokvleva Wiis kvercxebze

pirnaRebi masis baqteriologiuri gamokvleva

kanidan da lorwovani garsidan miRebuli masalis

baqteriologiuri da mikrobiologiuri gamokvleva

hemoglobinis gansazRvra sisxlSi

kvebis statusis Seswavla

anTropometruli gamokvlevebi

SardSi Ca2+-is eqskreciis gansazRvra

nacxis baqterioskopia himza-romanovskis wesiT gulmkerdis rentgenoskopia

gulmkerdis rentgenografia

saylapavi milis rentgenologiuri gamokvleva

SardSi cilis raodenobrivi gansazRvra

mantus sinji tuberkuliniT

sisxlSi Fe(+)-is gansazRvra ganavlis gamokvleva farul sisxldenaze

doudenuri SigTavsis klinikuri gamokvleva

ganavlis baqteriologiuri gamokvleva/specialur niadagze daTesva

retikulocitebis gansazRvra sisxlSi

saerTo cilisa da cilis fraqciebis gansazRvra sisxlis SratSi

eriTrocituli fermentebis gamokvleva

ferment glukozo-6-fosfatdehidrogenazis gansazRvra sisxlSi

xaxis nacxisa da piris Rrus baqteriologiuri gamokvleva

plevris punqcia haeris gamoSvebiT

• A02; A02.0; A03; A03.0; A04; A04.0; A05; A05.0; A06; A06.0; A08; A08.0; A37; A37.0; A38;

• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B26; B26.9; B27; B27.9; B30; B30.1; B35; B35.0; B35.1; B35.2; B35.3; B77; B77.0; B77.9; B80; B85; B85.0; B86;

• D50; D50.8 • E55; E55.0; E66;

E66.0; • H10; H10.2; • J00; J02; J02.0;

J02.8; J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3;

72

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba

samedicino

nozologiebi gamokvlevebi saqmianobis

moculoba

1 2 3 4 5 6 7

E44; E44.0; E44.1; E55; E55.0; E66; E66.0

• H10; H10.2; • I00; I01; I01.0;

I01.1; I01.2; I01.8;

• J00; J02; J02.0; J02.8; J03; J03.0; J03.8; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;

• K12; K12.0; K22; K25; K26; K29; K29.1; K30; K52; K52.8; K81; K81.0

• L04; L08; L08.0; L23; L23.7;

• N00; N10; N30; N30.0;

• R01; R01.0; R14

naxvelis baqteriologiuri gamokvleva

plevris Rrus SigTavsis baqteriologiuri gamokvleva

eleqtrokardiografia (ekg)

antistreptolizi O-s gansazRvra kanis sinjebi mcenareuli alergenebiT

kanis alergiuli sinjebi (bronquli asTmis sadiagnostikod)

ganavlis gamokvleva disbaqteriozze

ganavlis baqteriologiuri gamokvleva

bunebrivi masalis baqteriologiuri gamokvleva specialur

niadagze daTesviT

Sardis baqteriologiuri gamokvleva

idayvis saxsris rentgenografia muxlis saxsris rentgenografia

sxiv-majis saxsris rentgenografia koW-wvivis saxsris rentgenografia eqokardioskopia eqokardiografia otoskopia/faringoskopia laringoskopia

rinoskopia sisxlSi T da B limfocitebis gansazRvra

saerTo qolesterinis gansazRvra sisxlSi

kuWis wvenSi saerTo da Tavisufali mJavianobis gansazRvra

kuWis rentgenografia fibrogastroduodenoskopia reqtoromanoskopia limfuri kvanZebis bioptatis citologiuri gamokvleva

zimnickis cda narCeni azotis gansazRvra sisxlis SratSi

kreatininis gansazRvra sisxlSi

Sardovanas gansazRvra sisxlis SratSi / SardSi

SardSi formiani elementebis gansazRvra adis-kakovskis meTodiT

cistoskopia

J30.4; J45; J45.0; • K12; K12.0; K22;

K25; K26; K29;K29.1; K30; K52; K52.8; K81; K81.0

• L04; L08; L08.0; L23; L23.7;

• N30; N30.0; • E44; E44.0;

E44.1; • R01; R01.0; R14; zemoaRniSnuli daavadebis pirvela-di gamovlena, mkurnaloba, profilaqtika • A16; A16.7; A36;

A36.0; A36.1; • A39; A39.0; • B16; B16.1; B55;

B55.0; • D55; D55.0; D56;

D56.0; D66; D67; D58; D58.0;

• E01; E01.0; E01.1; E01.2; E10; E11;

• I00; I01; I01.0; I01.1; I01.2; I01.8;

• N00; N10; zemoaRniSnuli daavadebis pirveladi gamovlena da gagzavna

73

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologiebi mokvlevebi

samedicino

saqmianobis

moculoba

ga

1 2 3 4 5 6 7

eqskretoruli urografia

specializirebul dawesebulebaSi



1. kliniko-diagnostikuri laboratoria (II an III done)

2. bioqimiuri laboratoria (II an III done)

3. funqciuri diagnostika (II an III done)

4. rentgenodiagnostika (II an III done)


1. baqteriologiuri laboratoria (II an III done)

2. imunologiuri laboratoria (II an III done)

3. mikrobiologiuri laboratoria (II an III done)

4. ultrabgeriTi diagnostika (II an III done)



74

4.3 pediatria

samedicino saqmianoba: pediatria, ambulatoriuli momsaxureba (done _ IV)

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba


samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

IV 1. speciali-

zirebuli

2. s/k instituti

3. speciali-

zirebuli

centri

4. universi-

tetis

klinika

• jandacvis organizatori

• pediatri, ojaxis eqimi

da z/prof.

pediatri

• eqTani

• sanitari

• sanitari sainJinro-teqnikuri personali (da/an xelSekruleba

servisul

samsaxurTan)

• ediatris kabineti

_ danarTi4.3.1

• bavSvebis misaRebi filtri (mimRebi

oTaxi _

sangamtari,

gasasinji



uli

saprocedu-

ro) _ danarTi4.3.5

• sasterilizacio

_ danarTi4.3.6

• A02; A020; A03; A03.0; A04; A04.0; A05; A05.0; A06; A06.0; A08; A08.0; A16; A16.7; A36; A36.0; A36.1; A37; A37.0; A38; A39; A39.0

• B00; B00.1; B01;

B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B16; B16.1; B26; B26.9; B27; B27.9; B30; B30.1; B35; B35.0; B35.1; B35.2; B35.3; B55; B55.0; B77; B77.0; B77.9; B80; B85; B85.0; B86;

• D50; D50.8; D55;

D55.0; D58; D58.0; D66; D67; D56; D56.0

• E01; E01.0; E01.1;

E01.2; E10; E11; E44; E44.0; E44.1; E55; E55.0; E66; E66.0

• H10; H10.2; • I00; I01; I01.0;

I01.1; I01.2; I01.8;

• pacientis viziti eqimTan;





• pirnaRebi masis baqteriologiuri gamokvleva

• kanidan da lorwovani garsidan miRebuli masalis


• hemoglobinis gansazRvra sisxlSi • kvebis statusis Seswavla


• SardSi Ca2+-is eqskreciis gansazRvra • nacxis baqterioskopia himza-romanovskis wesiT

• gulmkerdis rentgenoskopia

• gulmkerdis rentgenografia • saylapavi milis rentgenologiuri gamokvleva



• sisxlSi Fe(+)-is gansazRvra • ganavlis gamokvleva farul sisxldenaze

• doudenuri SigTavsis klinikuri gamokvleva • ganavlis baqteriologiuri gamokvleva/specielur

niadagze daTesva

• retikulocitebis gansazRvra sisxlSi

• saerTo cilisa da cilis fraqciebis gansazRvra

sisxlis SratSi

• eriTrocituli fermentebis gamokvleva • ferment glukozo-6-fosfatdehidrogenazis gansazRvra

sisxlSi

• xaxis nacxisa da piris Rrus baqteriologiuri

gamokvleva



• A02; A02.0; A03; A03.0; A04; A04.0; A05; A05.0; A06; A06.0; A08; A08.0; A37; A37.0; A38; A39

• B00; B00.1; B01; B01.9; B05; B05.9; B06; B06.9; B15; B15.9; B16; B16.1; B26; B26.9; B27; B27.9; B30; B30.1; B35; B35.0; B35.1; B35.2; B35.3; B55; B55.0; B77; B77.0; B77.9; B80; B85; B85.0; B86;

• D50; D50.8: • E55; E55.0; E66;

E66.0; • H10; H10.2; • J00; J02; J02.0;

J02.8; J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J 15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;

• K12; K12.0; K22; K25; K26; K29;

75

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologiebi

samedicino

gamokvlevebi saqmianobis

moculoba

1 2 3 4 5 6 7

• J00; J02; J02.0;

J02.8; J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3; J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;

• K12; K12.0; K22; K25; K26; K29; K29.1; K30; K52; K52.8; K81; K81.0

• L04; L08; L08.0; L23; L23.7;

• N00; N10; N30; N30.0;

• R01; R01.0; R14;

• plevris Rrus SigTavsis baqteriologiuri gamokvleva

• eleqtrokardiografia (ekg)

• antistreptolizi O-s gansazRvra • kanis sinjebi mcenareuli alergenebiT


sadiagnostikod)



• bunebrivi masalis baqteriologiuri gamokvleva specialur niadagze daTesviT


• idayvis saxsris rentgenografia

• muxlis saxsris rentgenografia

• sxiv-majis saxsris rentgenografia

• koW-wvivis saxsris rentgenografia • eqokardioskopia

• eqokardiografia

• otoskopia/faringoskopia

• laringoskopia

• rinoskopia

• sisxlSi T da B limfocitebis gansazRvra • saerTo qolesterinis gansazRvra sisxlSi

• kuWis wvenSi saerTo da Tavisufali mJavianobis

gansazRvra

• kuWis rentgenografia

• fibrogastroduodenoskopia

• reqtoromanoskopia • limfuri kvanZebis bioptatis citologiuri

gamokvleva

• zimnickis cda

• narCeni azotis gansazRvra sisxlis SratSi

• kreatininis gansazRvra sisxlSi

• Sardovanas gansazRvra sisxlis SratSi / SardSi • SardSi formiani elementebis gansazRvra adis-

kakovskis meTodiT

• cistoskopia

• eqskretoruli urografia

K29.1; K30; K52; K52.8; K81; K81.0

• L04; L08; L08.0; L23; L23.7;

• N00; N10; N30; N30.0;

• E44; E44.0; E44.1; • R01; R01.0; R14; zemoaRniSnuli

daavadebis

pirveladi gamovlena

mkurnaloba, profilaqtika

• A16; A16.7; A36;

A36.0; A36.1; A39; A39.0;

• B16; B16.1; B55; B55.0;

• D55; D55.0; D56; D56.0; D66; D67;D58.D58.0:

• E01; E01.0; E01.1; E01.2; E10; E11;

• I00; I01; I01.0; I01.1; I01.2; I01.8;

• N00; N10; zemoaRniSnuli

daavadebis pirveladi

gamovlena da gagzavna

specializirebul

dawesebulebaSi

76



1. kliniko-diagnostikuri laboratoria (III an IV done)

2. bioqimiuri laboratoria (III an IV done)


4. ultrabgeriTi diagnostika (III an IV done)



7. endoskopiuri diagnostika (III an IV done)



2. virusologia (III an IV done)




77

4.3 pediatria

samedicino saqmianoba: pediatria, ambulatoria/dRis stacionari (done _ I)

do-ne tipi kadrebi samedicino

aRWurviloba nozologiebi gamokvlevebi


moculoba

1 2 3 4 5 6 7

I 1. ambulatoria

dRis staciona-

riT

• pediatri da z/profilis

pediatri

• eqTani • sanitari • sainJinro-teqnikuri personali (an xelSekru-

leba


pediatris kabineti _ danarTi 4.3.1

bavSvebis misaRebi filtri _ (mimRebi oTaxi _

sangamtari, gasasinji

kabineti) _ danarTi 4.3.2

palata _ danarTi 4.3.3


_ danarTi 4.3.4

sasterilizacio _ danarTi 4.3.6

1. B77; B77.9; B85; B85.0; B86 2. D50; 3. E66; E66.0, E44; E44.0 4. H10; H10.2; 5. J00; J02; J02.0; J02.8; J03;

J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J20; J20.0; J20.1; J21; J21.0; J30; J30.0;

6. K12; K12.0; K22; K30; 7. L23; L23.7; 8. N30; N30.0; 9. R14;

• pacientis viziti eqimTan • naRvlis pigmentebis gansazRvra

SardSi

• ganavlis gamokvleva Wiis

kvercxebze • SardSi cilis raodenobis

gansazRvra (proteinuria)




me-5 svetSi _ 1-9

blokebSi

CamoTvlili

daavadebebis

mkurnaloba

paraleluri dargebi(*): licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:




7. bioqimiuri laboratoria (I an II done); 8. baqteriologiuri laboratoria (I an II done)


(*) samedicino saqmianobebis dargebi, romlebic zemoaRniSnuli licenziiT araris gaTvaliswinebuli - Tu dawesebulebis licenziiT ar aris gaTvaliswinebuli nebarTva am samedicino saqmianobebis Casatareblad, samedicino dawesebulebas unda hqondes calke licenzia am saqmianobebis warmoebaze an unda dados xelSekruleba Sesabamisi saqmianobis ganxorcielebaze igive an sxva misamarTze arsebul samedicino dawesebulebasTan

78

4.3 pediatria

samedicino saqmianoba: pediatria, ambulatoria/dRis stacionari (done _ II)

do-

ne

tipi kadrebi samedicino-

teqnikuri

aRWurviloba

nozologiebi gamokvlevebi samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

II 3. raionuli

saavadmyo-

fo

4. saeqimo

kabineti

• jandacvis organiza-tori

• pediatri

• eqTani

• sanitari • sainJinro-teqnikuri personali (an xel-

Sekruleba servisul

samsaxur-

Tan)


bavSvebis misaRebi filtri _ (mimRebi oTaxi

_ sangamtari, gasasinji

kabineti)

_ danarTi 4.3.2



_ danarTi 4.3.4

sasterilizacio _ danarTi 4.3.6

saproceduro _ danarTi 4.3.5

1. B77; B77.9; B85; B85.0; B86;

2. D50; D55; D55.0; 3. E66; E66.0 E44;

E44.0; E44.1; 4. H10; H10.2; 5. J00; J02; J02.0;

J02.8; J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3 J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;

6. K12;K12.0;K30 7. L04; L23; L23.7; 8. N30; N30.0; 9. R01; R01.0; R14;








• SardSi Ca2+-is eqskreciis gansazRvra

• gulmkerdis rentgenoskopia




• sisxlSi Fe(+)-is gansazRvra • ganavlis gamokvleva farul sisxldenaze • retikulocitebis gansazRvra sisxlSi

• saerTo cilisa da cilis fraqciebis gansazRvra sisxlis SratSi


• ferment glukozo-6-fosfatdehidrogenazis gansazRvra sisxlSi

• xaxis nacxisa da piris Rrus baqteriologiuri gamokvleva

• plevris punqcia haeris gamoSvebiT • naxvelis baqteriologiuri gamokvleva



• antistreptolizini O-s gansazRvra


• kanis alergiuli sinjebi (bronquli asTmis sadiagnostikod) • ganavlis gamokvleva disbaqteriozze


• bunebrivi masalis baqteriologiuri gamokvleva specialur

niadagze daTesviT


me-5 svetSi,

1-9 blokebSi

CamoTvlili

daavadebebis mkurnaloba

79











80

4.3 pediatria

samedicino saqmianoba: pediatria, ambulatoria/dRis stacionari (done _ III)

do-

ne tipi kadrebi

samedicino-

teqnikuri

aRWurviloba


samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

III 1. regiona-

luri

saavad-myofo

2. specialize-buli saavad-

myofo

3. klinikuri

saavadmyofo

4. dispanseri 5. mravalpro-

filiani

dispanseri

6. poliklinika

7. .dedaTa da bavSvTa

jandacvis centri

8. kliniko-

diagnosti-

kuri centri

9. speciali-

zebuli kabineti

10. sakonsulta-

cio diagnos-

tikuri

daxmarebis

poliklinika

• jandacvis organiza-tori

• pediatri



xelSekrul

eba

servisul samsaxur-

Tan)


bavSvebis misaRebi filtri _ (mimRebi oTaxi

_ sangamtari, gasasinji

kabineti)

_ danarTi 4.3.2

pediatriuli saproceduro _ danarTi 4.3.5



_ danarTi 4.3.4

sasteriliza-cio _ danarTi 4.3.6

1. B30; B30.1; B77; B77.0; B77.9; B80; B85; B85.0; B86;

2. D50; 3. E55; E55.0; E44;

E44.0; E44.1; E66; E66.0

4. H10; H10.2; 5. J00; J02; J02.0;


6. K12; K12.0; K22; K30; K52; K52.8; K81; K81.0

7. L04; L08; L08.0; L23; L23.7;

8. N30; N30.0; 9. R01; R01.0; R14;





• pirnaRebi masis baqteriologiuri gamokvleva

• kanidan da lorwovani garsidan miRebuli masalis


• hemoglobinis gansazRvra sisxlSi • kvebis statusis Seswavla


• SardSi Ca2+-is eqskreciis gansazRvra • nacxis baqterioskopia himza-romanovskis wesiT • gulmkerdis rentgenoskopia

• gulmkerdis rentgenografia • saylapavi milis rentgenologiuri gamokvleva



• sisxlSi Fe(+)-is gansazRvra • ganavlis gamokvleva farul sisxldenaze

• doudenuri SigTavsis klinikuri gamokvleva • ganavlis baqteriologiuri gamokvleva/specialur niadagze

daTesva

• retikulocitebis gansazRvra sisxlSi

• saerTo cilisa da cilis fraqciebis gansazRvra sisxlis

SratSi

• eriTrocituli fermentebis gamokvleva • ferment glukozo-6-fosfatdehidrogenazis gansazRvra

sisxlSi

• xaxis nacxisa da piris Rrus baqteriologiuri gamokvleva




1-9 blokebSi aRniSnuli daavadebebis mkurnaloba

81

do-

ne tipi kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologiebi mokvlevebi

samedicino

saqmianobis

moculoba

ga

1 2 3 4 5 7 6


• antistreptolizi O-s gansazRvra

• kanis sinjebi mcenareuli alergenebiT • kanis alergiuli sinjebi (bronquli asTmis sadiagnostikod)




niadagze daTesviT

• Sardis baqteriologiuri gamokvleva • idayvis saxsris rentgenografia • muxlis saxsris rentgenografia

• sxiv-majis saxsris rentgenografia • koW-wvivis saxsris rentgenografia • eqokardioskopia • eqokardiografia • otoskopia/faringoskopia • laringoskopia

• rinoskopia • sisxlSi T da B limfocitebis gansazRvra

• saerTo qolesterinis gansazRvra sisxlSi

• kuWis wvenSi saerTo da Tavisufali mJavianobis gansazRvra • kuWis rentgenografia • fibrogastroduodenoskopia • reqtoromanoskopia • limfuri kvanZebis bioptatis citologiuri gamokvleva

• zimnickis cda • narCeni azotis gansazRvra sisxlis SratSi • kreatininis gansazRvra sisxlSi

• Sardovanas gansazRvra sisxlis SratSi / SardSi

• SardSi formiani elementebis gansazRvra adis-kakovskis

meTodiT

• cistoskopia • eqskretoruli urografia


82


1. kliniko-diagnostikuri laboratoria (II an III done)

2. bioqimiuri laboratoria (II an III done)







4. ultrabgeriTi diagnostika (II an III done)



4.3 pediatria

samedicino saqmianoba: pediatria, ambulatoria/dRis stacionari (done _ IV)

done

tipi

kadrebi

samedicino-

teqnikuri

aRWurviloba


samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

IV 1. specializebuli s/k

instituti

2. speciali-

zebuli

centri

3. universi-tetis

klinika

• jandacvis organiza-

tori

• pediatri • eqTani • sanitari • sainJinro-teqnikuri

personali

(da/an

xelSekrule-

ba Sesabamis



_ danarTi 4.3.1

• bavSvebis misaRebi filtri _ (mimRebi oTaxi

_ sangamtari,

gasasinji

kabineti)

_ danarTi 4.3.2

• pediatriuli saproceduro _ danarTi 4.3.5

• palata _ danarTi 4.3.3

• samedicino meddis posti

_ danarTi 4.3.4

• sasteriliza-cio

_ danarTi 4.3.6

• B30; B30.1; B77; B77.9; B80; B85; B85.0; B86;

• D50; D50.8; • E55; E55.0; E66;

E66.0 • E44; E44.0 • H10; H10.2; • J00; J02; J02.0;

J02.8; J03; J03.0; J03.8; J04; J04.0; J04.1; J04.2; J06.0; J10; J10.1; J13; J14; J15; J15.0; J15.2; J15.3; J20; J20.0; J20.1; J21; J21.0; J30; J30.0; J30.1; J30.2; J30.3; J30.4; J45; J45.0;

• K12; K12.0; K22; K25; K26; K29; K29.1 K30; K52; K52.8; K81; K81.0

• L04; L08; L08.0; • L23; L23.7; • N30; N30.0; • R01; R01.0; R14



• ganavlis saerTo analizi

• ganavlis gamokvleva helminTebze


• pirnaRebi masis baqteriologiuri gamokvleva • kanidan da lorwovani garsidan miRebuli masalis





• SardSi Ca-is eqskreciis gansazRvra • nacxis baqterioskopia himza-romanovskis wesiT • gulmkerdis rentgenoskopia


• saylapavi milis rentgenologiuri gamokvleva


• mantus sinji tuberkuliniT • sisxlSi Fe(+)-is gansazRvra


• doudenuri SigTavsis klinikuri gamokvleva

• ganavlis baqteriologiuri gamokvleva/specielur niadagze

daTesva

• retikulocitebis gansazRvra sisxlSi • saerTo cilisa da cilis fraqciebis gansazRvra sisxlis

SratSi


• ferment glukozo-6-fosfatdehidrogenazis gansazRvra

sisxlSi

• xaxis nacxisa da piris Rrus baqteriologiuri gamokvleva • plevris punqcia haeris gamoSvebiT


• B30; B30.0; B77; B77.9; B80; B85; B85.0; B86;

• D50; D50.8; • E55; E55.0; E66;

E66.0; • E44; E44.0; • H10; H10.2; • J00; J02; J02.0;


• K12; K12.0; K22; K25; K26; K29; K29.1; K30; K52; K52.8; K81; K81.0

• L04; L08; L08.0; L23; L23.7:

• N30; N30.0; • E44; E44.0; E44.1; • R01; R01.0; R14; daavadebis mkurnaloba

83

done

tipi

kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologiebi

samedicino

saqmianobis

moculoba

gamokvlevebi

1 2 3 4 5 7 6



• antistreptolizi O-s gansazRvra



sadiagnostikod) • ganavlis gamokvleva disbaqteriozze



niadagze daTesviT


• idayvis saxsris rentgenografia • muxlis saxsris rentgenografia

• sxiv-majis saxsris rentgenografia • koW-wvivis saxsris rentgenografia • eqokardioskopia • eqokardiografia • otoskopia/faringoskopia • laringoskopia

• rinoskopia • sisxlSi T da B limfocitebis gansazRvra


• kuWis wvenSi saerTo da Tavisufali mJavianobis gansazRvra

• kuWis rentgenografia • fibrogastroduodenoskopia • reqtoromanoskopia • limfuri kvanZebis bioptatis citologiuri gamokvleva

• zimnickis cda • narCeni azotis gansazRvra sisxlis SratSi

• kreatininis gansazRvra sisxlSi • Sardovanas gansazRvra sisxlis SratSi / SardSi

• SardSi formiani elementebis gansazRvra adis-kakovskis

meTodiT

• cistoskopia • eqskretoruli urografia

84



1. kliniko-diagnostikuri laboratoria (III an IV done)

2. bioqimiuri laboratoria (III an IV done)


4. ultrabgeriTi diagnostika (III an IV done)





2. virusologia (III an IV done)


4. endoskopiuri diagnostika (III an IV done)



85

danarTi 4.3.1

pediatria, samedicino-teqnikuri aRWurviloba

pediatris kabineti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba

samedicino saqmianobis done I II III IV

samedicino aveji

15 eqimis magida 1 1 1 1

15 eqimis skami 1 1 1 1

15 skami 2 2 3 3

15 gasasinji taxti 1 1 1 1





03 negatoskopi (saerTo daniSnulebis) 1 1 1 1

08 saswori (samedicino) 1 1 1 1

06 saswori (pediatriuli) 1 1 1 1

06 simaRlis sazomi (anTropometri) 1 1 1 1

06 sazomi dafa (pediatriuli) 1 1 1 1

02 arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri,

fonendoskopi mozrdilTa/pediatriuli)

1 1 1 1

14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 1 2 2 3

14 dinamometri (xelis, pediatriuli)

14 dokumentacia (maT Soris cxrilebi, normativebi da testebi) _

anTropometruli, fsiqologiuri, asakobrivi zrdis, sqesobrivi simwifisa da kbilebis ganviTarebis gansazRvrisaTvis

1

kompleqti

1

kompleqti

1

kompleqti

1

kompleqti

13 eleqtromaduRara (sadizinfeqcio maduRara, eleqtruli) 1 1 - -

13 sasterilizacio yuTi instrumentebisaTvis - 1 2 2

samedicino instrumentebi

14 gamadidebeli mina (lupa, xelis) 1 1 1 1

14 stetofonendoskopi (pediatriuli) 1 1 1 1

14 sazomi lenti 1 2 2 2

14 Spadeli (enis) 2 2 2 2

14 pinceti (anatomiuri) 2 2 2 2

86

pediatris kabineti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba

14 makrateli (Sesaxvevi masalisaTvis) 2 2 2 2

14 momWeri (maSa, korcangi), pirdapiri boloTi - - 1 1

08 pirveladi daxmarebis kompleqti (mozrdilTa /pediatriuli): filtvebis

xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis

sasunTqi parki, sasunTqi niRabi (sxvadasxva zoma, maT Soris neonataluri),

vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, momWeri (maSa, korcangi), laxti.

- - 1 1

danarTi 4.3.2

bavSvebis misaRebi filtri (mimRebi oTaxi _ sangamtari, gasasinji kabineti)

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba


samedicino aveji


15 eqimis skami 1 1 1 1

15 skami 2 2 2 2






08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1 1 1


fonendoskopi mozrdilTa /pediatriuli)

1 1 1 1

14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 1 1 1 1

14 wamzomi 1 1 1 1

13 eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) 1 1 1 1



14 stetofonendoskopi (pediatriuli) 1 1 1 1

14 Spadeli (enis) 1 1 1 1

87

bavSvebis misaRebi filtri (mimRebi oTaxi _ sangamtari, gasasinji kabineti)



14 makrateli (gadasaxvevi masalis) 1 1 1 1

14 momWeri (maSa, korcangi) swori boloTi - - 1 1

08 pirveladi daxmarebis kompleqti (mozrdilTa /pediatriuli): filtvebis

xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (/ambus tipis

sasunTqi parki, sasunTqi niRabi (sxvadasxva zoma, maT Soris neonataluri), vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi,

enis damWeri, momWeri (maSa, korcangi), laxti.

1 1 1 1

danarTi 4.3.3

palata kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)


samedicino aveji

15 sawoli (bavSvis, 1-5 wlamde) 1 1 1 1

15 sawoli (mozardis, 5-14 wlamde) 1 1 1 1

15 magida 1 1 1 1

15 skami 2 2 2 2

15 sawolis tumbo 1 1 1 1

danarTi 4.3.4

samedicino meddis posti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)



baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) 1 1 1 1

arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri,

fonendoskopi mozrdilTa /pediatriuli)

1 1 1 1

Termometri (samedicino, eleqtruli, an/da vercxliswylis) 2 2 2 2

88

samedicino meddis posti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)

eleqtromaduRara (sadizinfeqcio maduRara, eleqtruli) 1 1 1 1

sasterilizacio yuTi instrumentebisaTvis 1 1 2 2

Stativi xsnarebisaTvis (moZravi, statikuri) 2 2 2 2


Spadeli (enis) 2 2 2 2

pinceti (anatomiuri) 1 1 1 1

makrateli (Sesaxvevi masalisaTvis) 2 2 2 2

momWeri (maSa, korcangi) pirdapiri - - 2 2

pirveladi daxmarebis kompleqti (mozrdilTa /pediatriuli): filtvebis

xelovnuri ventilaciis meqanikuri (xelis) mowyoboloba (ambus tipis sasunTqi

parki, sasunTqi niRabi (sxvadasxva zoma, maT Soris neonataluri),

vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, momWeri (maSa, korcangi), laxti.

1 1 1 1

danarTi 4.3.5

pediatriuli saproceduro



samedicino aveji

saproceduro magida 1 1 1 1

eqimis skami (mbrunavi) 1 1 1 1

samedicino karada 1 1 1 1

instrumentebis magida 2 2 2 2

biqsis sadgami 1 1 1 1

Tasis sadgami 1 1 1 1


baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 1 1

wamzomi 2 2 2 2

eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) 1 1 1 1

sasterilizacio yuTi instrumentebisaTvis 2 2 2 2

89

pediatriuli saproceduro


Stativi xsnarebisaTvis (moZravi, statikuri) 2 2 2 2

biqsi 2 2 2 2

Tasi (konteineri, naxmari masalis Sesagroveblad) 2 2 2 2


pinceti (anatomiuri) 2 2 2 2

makrateli (Sesaxvevi masalisaTvis) 2 2 2 2

momWeri (maSa, korcangi) swori boloTi 2 2 2 2

laxti (rezinis) 2 2 2 2

momWeri (rezinis milisaTvis) 1 1 1 1

kuWis zondi 2 2 2 2

duodenaluri zondi 2 2 2 2

pirveladi daxmarebis kompleqti (mozrdilTa /pediatriuli): filtvebis

xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi

parki, sasunTqi niRabi (sxvadasxva zoma, maT Soris neonataluri), vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis

damWeri, momWeri (maSa, korcangi), laxti.

1 1 1 1

danarTi 4.3.6

sasterilizacio

aRWurvilobis dasaxeleba raodenoba (cali)

orTqlis sterilizatori (avtoklavi, horizontaluri an/da vertikaluri) 1

mSrali sterilizatori (sasterilizacio karada) 1

90

4.4 qirurgia

samedicino saqmianoba: zogadi qirurgia (mozrdilTa ambulatoriul - poliklinikuri daxmareba)


aRWurviloba nozologia gamokvlevebi samedicino saqmianobis moculoba

1 2 3 4 5 6 7 I, II, III, IV

yvela tipis dawesebu-leba,

sadac SeiZleba

ganxorciel-

des ambulato-

ruli zogad-

qirurgiuli Careva

• zogadi qirurgi

• saopera=-cio medda

(saTanado

kvalifi-

kacia

qirurgi-

aSi) – saopera-

cios

arsebobis

SemTxvevaSi

• medda (eqTani)

• sanitari (an diasaxlisi,

an damlage-beli)


personali

(da/an

xelSekru-

leba Sesabamis

servisul

samsaxur-

Tan)

I done:


• saproceduro _ danarTi 4.4.3

• Sesaxvevi _ danarTi 4.4.5


II done:


• saproceduro _ danarTi 4.4.3 • Sesaxvevi _ danarTi 4.4.5


III done:


• misaRebi kabineti _ danarTi 4.4.2


• saoperacio winasaoperaciosTan erTad _ danarTi 4.4.6


• S00; S01; S10; S20; S30; S40; S41; S50; S51; S60; S61; S70; S71; S80; S81; S90; S91; T20.1; T21.1; T22.1; T23.1;T24.1; T25.1;T33; L02; L03.0; L60.0;

• S11.0; J38.5; J38.4;

J93; S27.0 • S45; S55; S65; S75;

S85; S95; • S02; S12; S13; S16;

S22; S23; S32; S33; S42; S43; S46; S52; S53; S56; S62; S63; S66; S72; S73; S76; S82; S83; S86; S92; S93; S96.

• T17.2; T17.3;

T18.5; T79.4; R10; R33; R58

• anamnezis Sekreba;

• fizikaluri gamokvleva;



• Saqris gansazRvra sisxlSi

• Ca2+-is gansazRvra sisxlSi

• sisxlis jgufis da rezusis

gansazRvra


• rentgenografia

• Wrilobis tualeti, aseptikuri naxvevi _ S00; S01; S10; S20.; S30; S40; S41; S50; S51; S60; S61; S70; S71; S80; S81; S90; S91; damwvrobis /moyinvis/ ubnis aseptikuri

naxvevi _ T20.1; T21.1; T22.1; T23.1; T24.1; T25.1; T33;

• abscesis, panariciumis gakveTa - L02; L03.0; • Cazrdili frCxilis eqstirpacia - L60.0; • garegani sisxldenis droebiTi SeCereba

laxtiT, damwoli naxveviT, kiduris

moxriTi fiqsaciiT - S45; S55; S65; S75; S85; S95;

• meqanikuri asfiqsiis likvidacia (gareTa sasunTqi gzebis revizia, sanacia,

haergamtari milis Cadgma, enis fiqsacia

tuCTan, krikotomia (sasunTqi gzebis

sruli obturaciis likvidaciis

SeuZleblobis pirobebSi sicocxlisaTvis

saSiSi asfiqsiis dros) - S11.0; J38.5; J38.4; T17.2; T17.3;

• tkivilis gayuCeba (garda muclis Rrus mwvave paTologiisa) - R58; T79.4;

• pirveladi daxmareba, satransporto mobilizacia, gagzavna specializirebul

dawesebulebaSi - S02; S12; S13; S16; S22; S23; S32; S33; S42; S43; S46; S52; S53; S56; S62; S63; S66; S72; S73; S76; S82; S83; S86; S92; S93; S96;

91


aRWu a nozologia gamokvlevebi

rvilobsamedicino saqmianobis moculoba

1 2 3 5 6 4 7 IV done:


• misaRebi kabineti _ danarTi 4.4.2


• saoperacio winasaoperaciosTan erTad

_ danarTi 4.4.6, • sasterilizacio _ danarTi 4.4.4

• Sardis buStis kaTeterizacia an boqvenis zeda punqcia _ R33;

• Ria pnevmoToraqsis okluziuri naxvevi; daWimuli pnevmoToraqsis dros

Torakopunqcia an gulmkerdis drenireba

transportirebisaTvis _ J93; S27.0;

• qronikuli qirurgiuli daavadebis marTva;

sicocxlisa da janmrTelobisaTvis uSualo

mwvave safrTxis sindromuli da an nozologiuri diagnostika, pirveladi

daxmareba da evakuacia;

paraleluri dargebi(*) samedicino daxmarebis I donis SemTxvevaSi: licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive

misamarTze: 1. kliniko-diagnostikuri laboratoria (I done)




samedicino daxmarebis II donis SemTxvevaSi: licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive

misamarTze:

1. kliniko-diagnostikuri laboratoria (I da/an II done)

2. bioqimiuri laboratoria (I da/an II done)

3. rentgenologia (I da/an II done)



2. eqoskopiuri diagnostika (I da/an II done)

92

93

samedicino daxmarebis III donis SemTxvevaSi: licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze:







2. eqoskopiuri diagnostika (II da/an III done)

3. anesTeziologia (II da/an III done)

samedicino daxmarebis IV donis SemTxvevaSi: licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive

misamarTze:



3. rentgenologia (II da/an III done) 4. funqciuri diagnostika (II da/an IV done)

5. anesTeziologia (II da/an III done)

6. eqoskopiuri diagnostika (III da/an IV done)


1. mikrobiologiuri laboratoria (III da/an IV done) 2. baqteriologiuri laboratoria (III da/an IV done)

3. virusulogiuri laboratoria (III da/an IV done)

endoskopiuri diagnostika* (II da/an III done)

(*) samedicino saqmianobebis dargebi, romelTa daxmarebac aucilebelia zemoaRniSnuli pasportiT gaTvaliswinebuli samedicino saqmianobis sruli moculobiT warmoebisaTvis.

94

qirurgia, samedicino-teqnikuri aRWurviloba danarTi 4.4.1

eqimis kabineti (mimRebi oTaxi _ gasasinji kabineti) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)

samedicino momsaxurebis done I II III IV

samedicino aveji 15 eqimis magida 1 1 1 1 15 eqimis skami 1 1 1 1 15 skami 3 3 3 3 15 gasasinji taxti 1 1 1 1 15 samedicino karada 1 1 1 1 15 instrumentebis magida 2 2 - - - samedicino aparatura da xelsawyoebi 08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1 - - 03 negatoskopi (saerTo daniSnulebis) 1 1 1 1 08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1 - - 06 saswori (samedicino) 1 1 - - 06 simaRlis sazomi (anTropometri) 1 1 - - 02 arteriuli wnevis sazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi _

mozrdilTa)

1 1 1 1

14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 2 2 1 1 14 wamzomi 1 1 1 1 14 dinamometri (xelis) 1 1 1 1 13 eleqtromaduRara (sadizinfeqcio maduRara, eleqtruli) 1 1 - - 13 sasterilizacio yuTi instrumentebisaTvis 2 2 - -

samedicino instrumentebi 14 gamadidebeli mina (lupa, xelis) 1 1 1 1 14 stetofonendoskopi (stetoskopi, fonendoskopi) 1 1 1 1 14 gasazomi lenti 2 2 2 2 14 Spadeli (enis) 2 2 - - 14 pinceti (anatomiuri) 2 2 - - 14 makrateli (gadasaxvevi masalis) 2 2 - - 14 makrateli samedicino (erTi maxvili boloTi) 2 2 - - 14 momWeri (maSa, korcangi), pirdapiri 2 2 - -

08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti (mozrdilTa):

filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis

sasunTqi parki, sasunTqi niRabi, meqanikuri vakuumaspiratori, samedicino instrumentebi

1 1 - -

95

eqimis kabineti (mimRebi oTaxi _ gasasinji kabineti) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)


_ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi),

laxti, an krikotomiis instrumentebis kompleqti

danarTi 4.4.2

misaRebi oTaxi (misaRebi oTaxi _ sangamtari da/an misaRebi filtri, gasasinji kabineti)


samedicino momsaxurebis done III IV

samedicino aveji

15 eqimis magida 1 1

15 eqimis skami 1 1

15 skami 2 2

15 gasasinji taxti 1 1

15 samedicino karada 1 1

15 instrumentebis magida 1 1


08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) 1 1

08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) 1 1

02 arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi, _ mozrdilTa) 1 1

14 Termometri (samedicino, eleqtruli, an/da vercxliswylis) 1 1

14 wamzomi 1 1

13 sasterilizacio yuTi instrumentebisaTvis 1 1


14 stetofonendoskopi (stetoskopi, fonendoskopi) 1 1

14 Spadeli (enis) 1 1

14 pinceti (anatomiuri) 1 1

14 makrateli (gadasaxvevi masalisaTvis) 1 1

14 makrateli, samedicino (erTi maxvili boloTi) 1 1

14 momWeri (maSa, korcangi), _ swori boloTi 1 1

08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti (mozrdilTa): filtvebis

xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi

niRabi, meqanikuri vakuumaspiratori, samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis

kompleqti

1 1

96

danarTi 4.4.3

saproceduro (saproceduro eqim-specialistis kabinetTan)


samedicino momsaxurebis done I II

samedicino aveji

15 gasasinji taxti (da/an saproceduro magida) 1 1

15 eqimis skami (mbrunavi skami) 1 1


15 instrumentebis magida 2 2

15 biqsis sadgami 1 1

15 Tasis sadgami 1 1


08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) 1 1


13 instrumentebis sasterilizacio yuTi 2 2

14 Stativi xsnarebisaTvis (moZravi, statikuri) 1 2

vakuumaspiratori (qirurgiuli) 1


14 laxti (sisxldenis SesaCerebeli) 2 2

14 momWeri (saoperaco TeTreulis mikrofirfitebis kanze misamagreblad) 5 5

14 momWeri (sisxldenis SesaCereblad) 5 5

14 atravmuli nemsi 3 3

14 qirurgiuli nemsebis nakrebi 1 kompleqti

1 kompleqti

14 nemsdamWeri 3 3

14 korcangi (pirdapiri) 3 3

14 samedicino kovzebi (maxvili) 5 5

14 skalpeli (sxvadasxva zomis) 3 3


14 pinceti (qirurgiuli) 5 5

14 Tvalis pinceti (anatomiuri, qirurgiuli) 2 2


xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi

niRabi, meqanikuri vakuumaspiratori, samedicino instrumentebi _ piris gamRebi, enis damWeri,

lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis

kompleqti

1 1

97

danarTi 4.4.4

sasterilizacio (an/da centraluri sasterilizacio,

an/da xelSekruleba sasterilizaciosTan imave misamarTze)

samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)

orTqlis sterilizatori (avtoklavi: horizontaluri an/da vertikaluri) 1

mSrali sterilizatori (sasterilizacio karada) 1

danarTi 4.4.5

Sesaxvevi sufTa (Cirqovani)



samedicino aveji


15 eqimis skami (mbrunavi skami) 1 1 1 1




15 Tasis sadgami 1 1 1 1


08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) 1 1 1 1




14 laxti (sisxldenis SesaCereblad) 2 2 2 2

14 momWeri (operaciuli TeTreulis mikrofirfitebis kanze misamagreblad) 5 5 5 5

14 momWeri (sisxldenis SesaCereblad) 5 5 5 5

14 atravmuli nemsi 5 5 5 5

14 qirurgiuli nemsebis nakrebi 1 kom-

pleqti

1 kom-

pleqti

1 kom-

pleqti

1 kom-

pleqti

98

Sesaxvevi sufTa (Cirqovani)



14 nemsdamWeri 5 5 5 5

14 korcangi (swori boloTi) 5 5 5 5

14 skalpeli (sxvadasxva zomis) 5 5 5 5


14 makrateli, qirurgiuli (erTi maxvili boloTi) 5 5 5 5

14 makrateli (gadasaxvevi masalisaTvis) 5 5 5 5

14 makrateli, horizontalur sibrtyeSi moxrili boloTi (naxvevis gasaWrelad) 5 5 5 5

14 TabaSiris naxvevis gasaWreli xerxi 1 1 1 1

08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti (mozrdilTa): filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis

sasunTqi parki, sasunTqi niRabi, meqanikuri vakuumaspiratori, samedicino instrumentebi

_ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi),

laxti, an krikotomiis instrumentebis kompleqti

1 1 1 1

danarTi 4.4.6

saoperacio (winasaoperaciosTan erTad) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali)


saoperacio

samedicino aveji

15 samedicimo karada (medikamentebi, sainfuzio sistemebi da sxva) 1 1

17 macivari ( 0 - +4 gradusi celsiusiT) 1 1


08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) 2 2

14 pacientis gadasayvani urika (savarZeli) 1 1

14 pacientis gadasayvani sakace 1 1

14 Jangbadis rezervuari (Jangbadis baloni, Jangbadis balonis gadasatani urika, reduqtori, floumetri (Jangbadis nakadis regulatori), damtenianebeli, sasunTqi niRabi (sxvadasxva zomis,

mozrdilTa /pediatriuli)

1 1

saoperacio darbazi

99



samedicino aveji

15 saoperacino magida (universaluri saoperacio magida, mravalfunqciuri, eleqtruli,

hidravlikuri, an/da meqanikuri, mozrdilTa)

1 1

15 eqimis skami (mbrunavi skami) 2 2


15 qirurgiuli instrumentebis magida (stacionaruli, didi) 1 1

15 qirurgiuli instrumentebis magida _ mobiluri (moZravi) 3 3

13 biqsis sadgami (an/da, alternatiul SemTxvevaSi, biqs(eb)is karada) 2 2

14 konteineri naxmari masalis Sesagroveblad (romelmac unda uzrunvelyos hermetizacia, an/da,

alternatiul SemTxvevaSi, Tasi da Tasis sadgami)

1 1


08 baqteriociduli gamomsxivebeli (stacionaruli, kedlis, an/da Weris) 2 2

08 saoperacio gamanaTebeli _ stacionaruli (gamanaTebeli, samedicino, stacionaruli, gverdiTi

ganaTebis SesaZleblobiT an/da alternatiul SemTxvevaSi mis gareSe, saoperacio velSi ganaTebam

ar unda gamoiwvios - temperaturis mateba dasaSveb zRvars zeviT)

1 1

08 saoperacio gamanaTebeli, mobiluri (gamanaTebeli, samedicino, sam-refleqtoriani, mobiluri,

avariuli kvebiT (/akumulatori), an/da, alternatiul SemTxvevaSi, avariuli kvebis gareSe)

1 1


13 sasterilizacio yuTi instrumentebisaTvis 2 2

14 samedicino instrumentebis sini (an/da Tasi) 2 2

14 Stativi xsnarebisaTvis (moZravi, statikuri) 2 2

08 eleqtroaspiratori (maRali wnevis, qirurgiuli) 1 1

08 eleqtroaspiratori (dabali wnevis, Terapiuli 1 1

08 defibrilatori (mozrdilTa, monitorirebisa da sinqronizaciis SesaZleblobiT, an/da

alternatiul SemTxvevaSi mis gareSe)

1 1

08 medikamentebis dozatori, infuzori (/infuzomati) 1 1

07 eleqtroqirurgiuli xelsawyo (eleqtrokuagulatori /eleqtrodana, eleqtrodebis

standartuli kompleqtacia)

1 1

07 samedicino instrumentebi

08 laxti (sisxldenis SesaCereblad) 2 2

08 momWeri (saoperacio TeTreulis mikrofirfitebis kanze misamagreblad) 10 10

14 momWeri (sisxldenis SesaCereblad) 10 10

14 atravmuli nemsi 5 5

14 qirurgiuli nemsebis nakrebi 1 kompleqti 1 kompleqti

100



14 nemsdamWeri 5 5

14 korcangi (swori boloTi) 5 5

14 samedicino kovzebi (maxvili) 10 10

14 skalpeli (sxvadasxva zomis) 5 5


14 pinceti (qirurgiuli) 10 10

14 Tvalis pinceti (anatomiuri, qirurgiuli) 2 2

14 mcire qirurgiuli instrumentebis nakrebi

(an/da alternatiul SemTxvevaSi qirurgiuli instrumentebis poliklinikuri nakrebi, maT Soris:

2 kompleqti 2 kompleqti

• dana, saoperacio 3 3

• retraqtori, erT-kbiliani 1 1

• kiureti, (kovzi) or-boloiani 1 1

• zondi 1 1

• zondi mimmarTveliT 1 1

• pinceti, Sesakeri, 13 sm 1 1

• pinceti, Sesakeri, 13 sm 1 1

• makrateli, saoperacio, swori 1 1

• makrateli, saoperacio, rkaliseburi 1 1

• pinceti, hemostazuri, ~koheris~, swori, 14.5 sm 2 2

• nemssaWeri, ~maTeusi~, 19 sm 1 1

• nemsi, sakeri 5 5

• Zafis xvia 2 2

• konteineri, sakeri nemsis 1 1

• instrumentebis sterilizebadi Casawyobi 1 1


xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi niRabi, meqanikuri vakuumaspiratori, samedicino instrumentebi _ piris gamRebi, enis damWeri,

lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis

kompleqti

1 1

4.5 meanoba-ginekologia

101

samedicino saqmianoba: meanoba-ginekologia, ambulatoruli momsaxureba (done I)

done tipi kadrebi

samedicino-

teqnikuri aRWurviloba

nozologiebi gamokvlevebi samedicino saqmianobis

moculoba

1 2 3 4 5 6 7

I 1. ambulato-

ria

2. ambulato-

ria dRis

staciona-

riT.

3. pirveladi

jandacvis

centri.

4. saubno

saavadmyofo

meanoba

• mean-gine-kologi

• Terepevti • bebia qali

• damxmare personali

gasaTvaliswine-

belia, rom

nebismier

SemTxvevaSi

samedicino personals unda

hqondes

saTanado

kvalifikacia da

licenzia/serti

fikati.

ginekologia • mean-ginekologi

• damxmare personali

• mean-ginekologis kabineti (ginekologiuri

saproceduro) _ danarTi 4.5.1

• sameano kabineti (gasinji,

saproceduro _

fiziologiuri)

_ danarTi 4.5.2

• sasterilizacio_ danarTi 4.5.6

damatebiT:

• stetoskopi

• mikroskopi

meanoba

Z34 0.28.0 ginekologia N76 N76.0 N76.1 N76.2 N76.3 N76.4 N77.1 Z30 N60

meanoba

• pacientis viziti eqimTan; • saSos nacxis baqterioskopia; • Saqris (glukoza) gansazRvra sisxlSi;



• saSos sisufTavis xarixsis gansazRvra; • vasermanis reaqcia; • aiv antisxeulebis gansazRvra;

• ginekologiuri bimanualuri gasinjva;

• sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis);

• gamonadenis baqteriologiuri kvleva;

• gamonadenis baqterioskopiuri kvleva;

• PAP-smear test; • wona; • simaRle;

• arteriuli wneva;

• nayofis sicocxlis dadgena;

• nayofTa raodenoba; amnionuri siTxis moculobis

Sefaseba; nayofis winamdebareobis dadgena;

• menjis zomebis dadgena.

ginekologia: • pacientis viziti eqimTan; • saSos nacxis baqterioskopia; • Saqris (glukoza) gansazRvra sisxlSi;




meanoba

me-5 svetSi CamoTvlil

SemTxvevebSi:

• orsulobis dadastureba;

• gestaciuri vadis Sefaseba;

• anamnezis Sekreba; • konsultireba pacientis kvebis

TaviseburebebTan,

janmrTelobis sakiTxebTan,

dakavSirebiT da a.S.

• nayofis zrdis Sefaseba;

• riskis faqtorebis gansazRvra.

ginekologia:

me-5 svetSi

CamoTvlil SemTxvevebSi:

• janmrTelobis ZiriTad

maxasiaTebelTa

Sefaseba, kontroli,

monitoringi;

102

done tipi kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologiebi gamokvlevebi samedicino saqmianobis

moculoba

1 2 3 4 5 6 7





• saSos nacxis baqteriologiuri kvleva..

• onkodaavadebaTa prevencia, adreuli

diagnostika;

• daavadebis drouli gamovlineba,

diagnostika, mkurnaloba;

profilaqtikuri

muSaoba; cxovrebis

jansaRi wesis

propaganda;

kontracepcia da reproduqciul

janmrTelobaze

zrunva;

• pacientTa fsiqosomaturi

reabilitacia.

103

4. 5 meanoba-ginekologia

samedicino saqmianoba: meanoba-ginekologia, ambulatoruli momsaxureba (done II)

done

tipi

kadrebi

aRWurviloba

nozologiebi

gamokvlevebi

samedicino

saqmianoibis

moculoba

1 2 3 4 5 6 7

II 1. raionuli

(qalaqis)

saavadmyofo.

2. saeqimo

kabineti.

meanoba

• mean-ginekologi

• Terepevti • stomatologi

• mean-ginekologis kabineti (ginekologiuri saproceduro)

_ danarTi 4.5.1

• sameano kabineti (gasasinji, saproceduro _ fiziologiuri) _ danarTi 4.5.2

• sameano kabineti (gasasinji, saproceduro _ observaciuli, potenciurad inficirebuli pacientebisa-Tvis), _ danarTi 4.5.3

• sasterilizaciodanarTi 4.5.6

damatebiT:

• eqoskopi • ekg-s aparati • stomatolo-giuri kabinetis mowyobiloba

meanoba

Z34 0.36 0.28.0 ginekologia

meanoba







• gamonadenis baqteriolo-giuri kvleva;


• PAP-smear test; • wona; • simaRle;

• arteriuli wneva;


• nayofTa raodenoba; • amnionuri siTxis moculobis Sefaseba;

• nayofis winamdebareobis dadgena; • menjis zomebis dadgena; • mkerdis gasinjva; • kolposkopia;

• nayofis ultrasonografiuli an invaziuri kvleva SerCeul SemTxvevebSi.

meanoba

me-5 svetSi

CamoTvlil SemTxvevebSi: • orsulobis dadastureba;


• anamnezis Sekreba; • konsultireba pacientis


kvebis

TaviseburebebTan

da sxva

sakiTxebTan

dakavSirebiT


• riskis faqtorebis

gansazRvra.

104

done

tipi

kadrebi

aRWurviloba

nozologiebi

gamokvlevebi

samedicino

saqmianoibis

moculoba

1 2 3 4 5 6 7

ginekologia

• mean-ginekologi

• damxmare persona-li

N75 N76 N76.0 N76.1 N76.2 N76.3 N76.4 N76.5 N76.6 N77.1 N70.1 Z30 N60 D25

ginekologia:







• saSodan gamonadenis baqteriolo-giuri kvleva;

• saSodan gamonadenis baqterioskopiuri kvleva;

• saSos nacxis baqteriologi-uri kvleva.;

ginekologia:

me-5 svetSi

CamoTvlil

SemTxvevebSi:

• janmrTelo-bis

ZiriTad maxasiaTebelTa

Sefaseba,

kontroli,

monitoringi;

• onkodaavadebaTa prevencia,

adreuli diagnostika;

• daavadebis drouli

gamovlineba,

diagnostika,

mkurnaloba;

profilaqti-uri muSaoba;

cxovrebis

jansaRi wesis

propaganda;

kontracepcia da

reproduqciul janmrTelobaze

zrunva;


reabilitacia.

105

4.5 meanoba-genekologia

samedicino saqmianoba: meanoba-ginekologia, ambulatoruli momsaxureba (done III)

done tipi kadrebi samedicino-

teqnikuri

aRWurviloba

nozologiebi gamokvlevebi samedicino

saqmianoibis

moculoba

1 2 3 4 5 6 7

III 1. katastrofisa

da gadaudebeli

medicinis centri.

2. regionuli

(respublikuri)

saavadmyo-fo

3. speciali-

zebuli

saavadmyofo

4. klinikuri

saavadmyofo

5. dispanseri,

mravalprofilia

ni dispanseri

6. samSobiaro

saxli

7. dedaTa da

bavSvTa

jandacvis centri.

8. kliniko-

diagnostikuri

centri


• Terepevti • stomato-logi

• perinatol-gi

• genetikosi, romelTac

gavlili aqvT

saTanado

momzadeba

da gaaCniaT

adeqvaturi kvalifi-

kacia

• mean-ginekologis kabineti (ginekologiuri saproceduro) ix. _ danarTi 4.5.1

• sameano kabineti (gasasinji, saproceduro _ fiziologiuri)

_ danarTi 4.5.2

• sameano kabineti (gasasinji, saproceduro _ observaciuli, potenciurad inficirebuli pacientebisaTvis), _ danarTi 4.5.6

• saproceduro eqim-specialistis kabinetTan ginekologiuri samanipulacio _ mcire ginekolo-giuri operacie-bisaTvis)

_ danarTi 4.5.4

meanoba Z34 0.36 0.28.0 0.10 0.11 0.12 0.12.0 0.12.1 0.12.2 0.13 0.14 0.14.0 0.15 0.15.0 0.16 0.21 0.21.0 0.21.1 0.21.2 0.23 0.23.0 0.23.1 0.23.2 0.24 0.25 0.26.0 0.26.1 0.26.2 0.26.4 0.26.5 0.26.6 0.28

meanoba







• gamonadenis baqteriolo-giuri kvleva;


• PAP-smear test (papanikolaus testi);

• wonis gansazRvra; • simaRlis gazomva;

• arteriuli wnevis gazomva;


• nayofTa raodenobis gansazRvra, amnionuri siTxis moculobis Sefaseba, nayofis winamdebareobis dadgena;

• menjis zomebis dadgena; • mkerdis gasinjva; • kolposkopia;

• nayofis ultrasonografiuli an invaziuri kvleva SerCeul SemTxvevebSi;

• saSvilosnos foZis simaRlis gansazRvra maRali riskis orsulebSi;

• nayofis moZraobaTa amsaxveli diagramebi;

• nayofis sisxlis mimoqcevis doplerografi-uli kvleva;

• saSos nacxis baqteriologi-uri kvleva.

meanoba

me-5 svetSi CamoTvlili SemTxvevebisas:



• anamnezis Sekreba;

• konsultireba pacientis


kvebis

Taviseburebeb-

Tan da a.S.

dakavSirebiT;


• riskis faqtorebis gansazRvra.

106

done tipi kadrebi samedicino-

teqnikuri nozologiebi gamokvlevebi samedicino

saqmianoibis

moculoba aRWurviloba

1 2 5 6 7 3 4

9. hospitali.

10. poliklinika

11. qalTa

konsultacia

12. speciali-zirebuli

kabineti


• reproduq-tologi

• kolposko-piis kabineti

_ danarTi 4.5.5


garda zemoaRniSnulisa damatebiT:

• kardiotoko-grafi

• nayofis garegani ekg-s aparati

• eqoskopi dopleriT

• kolposkopi

• krioqirurgiuli aparati

• ekg-s aparati • eleqtroence-falografi

• imunofermentuli analizatori

• stomatologiuri kabinetis

mowyobiloba

ginekologia N75, N76, N76.0, N76.1, N76.2, N76.3, N76.4, N76.5, N76.6, N77.0, N77.1, N90.1, B58, N70.1, N71.1, Z30, N60, N80, N80.0, N83.0, N84.1, N84.2, N85, N85.0, N85.1, N87, N87.0, N87.1, N88.0, N90.0, N90.1, N90.2, N90.4, N90.5, N90.6, D25, N94.3, N94.4, N94.5

ginekologia:








• saSos nacxis baqteriologiuri kvleva;

• kolposkopia;

• PAP-smear test; • kolpocitologiuri kvleva;

• dazianebuli ubnis biofsia;

• sisxlis analizi antisxeulebze;

• fluorescenciuli da polimerazuljaWvuri reaqciis kvlevis meTodebi;

• sisxlSi hormonebis gansazRvra;

• histeroskopia; • Turquli kexis rentgenografia;

• mkerdis gasinjva; • sarZeve jirkvlis ultrasonografiuli gamokvleva;

• endometriumis gamonafxeki masalis histologiuri kvleva;

• Tvalis fskeris gamokvleva; sisxlis kateqolaminebis gamokvleva;

• Tirkmelzeda jirkvlebis eqoskopia;

• lipiduri speqtri sisxlSi.

ginekologia: • janmrTelobis ZiriTad

maxasiaTebelTa Sefaseba,

kontroli,

monitoringi;


adreuli

diagnostika;

• daavadebis drouli

gamovlineba,

diagnostika,

mkurnaloba;

profilaqti-

kuri muSaoba; cxovrebis

jansaRi wesis

propaganda;

kontracepcia

da

reproduqciul janmrTelobaze

zrunva;


reabilitacia.

107

4.5 meanoba-ginekologia

samedicino saqmianoba: meanoba-ginekologia, ambulatoruli momsaxureba (done IV)

done

tipi

kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologiebi

gamokvlevebi

samedicino

saqmianoibis

moculoba

1 2 3 4 5 6 7

IV 1.speciali-zebuli

samecniero-

kvleviTi

instituti

2. specia-lizebuli

centri

3. sauniver-siteto

(akademiis)

klinika

• mean-ginekologi

• reproduq-tologi

• eqTani

• sanitari


personali

(da/an

xelSekru-

leba servisul

samsaxur-

Tan)

konsultan-

tTa paneli: (xelSekru-

lebiT)

• Terapevti • kardiolo-gi

• qirurgi (zogadi)

• angiologi

• nevropaTo-

meanoba

• Z34, • 0.36, 0.28.0,

0.10, 0.11, 0.12, 0.12.0, 0.12.1, 0.12.2, 0.13, 0.14, 0.14.0, 0.15, 0.15.0, 0.16, 0.20, 0.20.0, 0.20.8, 0.20.9, 0.21, 0.21.0, 0.21.1, 0.21.2,0.23, 0.23.0, 0.23.1, 0.23.2, 0.24, 0.25, 0.26.0, 0.26.1, 0.26.2, 0.26.4, 0.26.5, 0.26.6, 0.28

meanoba

• pacientis viziti eqimTan; • Saqris gansazRvra sisxlSi;


• Sardis saerTo analizi Sardis analizi (asimptomuri baqteriuria); • vasermanis reaqcia; • aiv antisxeulebis gansazRvra sisxlis SratSi imunofermetuli meTodiT;

• konsultacia _ stacionaruli; • sisxlis jgufis da rezusis gansazRvra; • saSos arasimsivnuri warmonaqmnis paTomorfologia; • sisxlis analizi narCen azotze da Saqarze; • sisxlSi citomegalovirusis antigenis gansazRvra imunofermentuli analizis meTodiT;

• saSos nacxis baqterioskopia; • hematokritis da cirkulaciaSi myofi sisxlis raodenobis gansazRvra;

• koagulograma; • antirezus antisxeulebis gansazRvra;

• wonis gansazRvra; • simaRlis gazomva;

• arteriuli wnevis gazomva;


• nayofTa raodenobis gansazRvra; • amnionuri siTxis moculobis Sefaseba;

• nayofis winamdebareobis dadgena; • menjis zomebis dadgena; • mkerdis gasinjva; • kolposkopia;

• nayofis ultrasonografiuli an invaziuri kvleva SerCeul SemTxvevebSi;

meanoba

me-5 svetSi CamoTvlili SemTxvevebisas:



• anamnezis Sekreba; • konsultireba pacientis

janmrTelobis

sakiTxebTan,

kvebis TaviseburebebTan

da a.S.


• riskis faqtorebis

gansazRvra.

108

done

tipi

samedicino-

teqnikuri

aRWurviloba

nozologiebi

samedicino

saqmianoibis

moculoba

kadrebi gamokvlevebi

1 2 4 5 7 3 6

logi

• fsiqologi

• nefrologi an urologi

ginekologia N75, N76,

• saSvilosnos fuZis simaRlis gansazRvra maRali riskis orsulebSi;


• nayofis sisxlis mimoqcevis doplerografiuli kvleva;

• saSos nacxis baqteriologiuri kvleva.

RH uaryofiTian qalebSi

• meddis viziti pacientTan; • hemoglobinisa da hemotokritis gansazRvra;

• pap-nacxi displaziis SemTxvevaSi kolboskopia;

• nayofis ultrasonografiuli an invaziuri kvleva SerCeul SemTxvevbSi;

• alfafetoprioteinis gansazRvra dedis sisxlis SratSi;

• saSvilosnos fuZis simaRlis gansazRvra maRali riskis orsulebSi;


• biofizikuri testireba; • nayofis sisxlis mimoqcevis doplerografiuli kvleva;

• rezus antisxeulebis skriningi;

• baqteriuriis skriningi; • sifilisis skriningi;

• gonoriis skriningi; • toqsoplazmozis, citomegaloirusis, qlamidiozisa da aiv infeqciis rutinuli skriningi;

• herpesze nacxebis regularuli aReba anamzezSi herpesis mqoneqalebSi;

• saSvilosnis kumSviTi aqtivobis monitoringi;

• saSos siusufTvis xarisxis skriningi; • saSvilosnos yelis kvleva;

• saSos nacxis baqteriologiuri kvleva (mgrZnobelobaze);

• eleqtrokardiografia;

• SardSi formiani; • elementebis gansazRvra (adiskakovskis wesiT);

• zimnickis cda; • Rh antisxeulebis gansazRvra kardiolipinis mimarT;

• PAP-smear testi (papanikolaus testi).

109

done

tipi

kadrebi

samedicino-

teqnikuri

aRWurviloba

nozologiebi

gamokvlevebi

samedicino

saqmianoibis

moculoba

1 2 3 4 5 6 7

ginekologia:

• mean-gineko-logi

• reproduq-tologi

• Terepevti • stomatologi

N76.0, N76.1, N76.2, N76.3, N76.4, N76.5, N76.6, N77.0, N77.1, N90.1, B58, N70.1, N71.1 Z30, E22.1, N60, N60.0, N60.1, N60.2, N62, N63, N80, N80.0, N80.1, N80.2, N80.3, N83, N83.0, N83.1, N83.2, N84, N84.0, N84.1, N84.2, N85,N85.0, N85.1, N85.2, N85.3, N87, N87.0, N87.1, N88.0, N90.0, N90.1, N90.2, N90.4, N90.5, N90.6, D25, N94.3, N94.4, N94.5, N95, N95.0, N95.2

ginekologia:









• saSos nacxis baqteriologiuri kvleva;

• kolposkopia; • PAP-smear test; • kolpocitologiuri kvleva;

• dazianebuli ubnis biofsia;

• sisxlis analizi antisxeulebze;

• fluorescenciuli da polimerazul-jaWvuri reaqciis kvlevis meTodebi;

• sisxlSi hormonebis gansazRvra;

• histeroskopia; • Turquli kexis rentgenografia;

• mkerdis gasinjva; • sarZeve jirkv-lis ultrasonografiuli gamokvleva;

• andometriumis gamonafxeki masalis histologiuri kvleva;

• Tvalis fskeris gamokvleva; sisxlis katexolaminebis gamokvleva;

• Tirkmelzeda jirkvlebis eqoskopia;

• lipiduri speqtri sisxlSi.

ginekologia: me-5 svetSi CamoTvlili SemTxvevebisas:

• janmrTelobis ZiriTad

maxasiaTebelTa

Sefaseba,

kontroli, monitoringi;


adreuli

diagnostika;

daavadebis

drouli gamovlineba,

diagnostika,

mkurnaloba;

profilaqtikuri

muSaoba;

• cxovrebis jansaRi wesis propaganda;

kontracepcia da

reproduqciul

janmrTelobaze

zrunva;

• pacientTa fsiqosomaturi reabilitacia.

110

meanoba-ginekologia, samedicino-teqnikuri aRWurviloba

danarTi 4.5.1

mean-ginekologis kabineti (ginekologiuri saproceduro)



samdicino aveji


15 eqimis skami (mbrunavi) 1 1 1 1

15 skami 2 2 2 2



06 ginekologiuri savarZeli 1 1 1 1

15 Tejiri (mravalseqciuri) 1 1 1 1





fonendoskopi)

1 1 1 1

02 stetofonendoskopi 1 1 1 1

14 Termometri (samedicino, eleqtruli an/da vercxliswylis) 1 1 1 1

13 instrumentebis sasterilizacio yuTi 1 1 1 1

13 biqsi 1 1 1 1


14 Tirkmliseburi jami 2 2 2 2


14 saSos sarkeebis kompleqti (kuskos, an simsas mixedviT #2,4,6,8) 3 kompleqti 3 kompleqti 3 kompleqti 3 kompleqti

14 saSos sarkeebis kompleqti (mosaxsneli gamanaTebliT #2,4,6) 3 kompleqti 3 kompleqti 3 kompleqti 3 kompleqti

14 sarke_amwevi 10 10 10 10

14 momWeri (satyvie maSa (yelis damWeri), korcangi) _ swori boloTi 2 2 2 2

14 momWeri (maSa, korcangi), moxrili boloTi 2 2 2 2


14 zondi (kuWis) 5 5 5 5

14 zondi (sigrZis sazomi, mravaljeradi gamoyenebis) 5 5 5 5

14 sakeravi nems(eb)i (nakrebi) 1 1 1 1

14 nemsis damWeri 5 5 5 5

14 ureTris kaTeteri (# 14, 15, 16, 17, 18) 20 20 20 20

111

mean-ginekologis kabineti (ginekologiuri saproceduro)



14 vaginoskopi (gamanaTebliT, mowyobilobiT ucxo sxeulis

mosacileblad)

- - 1 1

14 intraskopi (ultrabgeriTi _ mobiluri, vaginaluri da reqtaluri

zondebiT)

- - 1 1

08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti

mozrdilTaTvis: filtvebis xelovnuri ventilaciis meqanikuri

(xelis) mowyobiloba (ambus tipis sasunTqi parki, sxvadasxva zomis

sasunTqi niRbebi, vakuumaspiratori (meqanikuri), samedicino

instrumentebi _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili (pediatriuli), momWeri (maSa, korcangi), laxti;

an krikotomiis instrumentebis kompleqti

1 1 1 1

danarTi 4.5.2

sameano kabineti (gasasinji, saproceduro _ fiziologiurad mSobiare pacientebisaTvis)



samdicino aveji




15 Tejiri (mravalseqciuri) 1 1 1 1



06 saswori (samedicino) 1 1 1 1

06 anTropometri (simaRlis sazomi) 1 1 1 1


02 stetoskopi (sameano) 2 2 2 2

02 kardiotokografi - - - 1

02 fetaluri monitori - - - 1

14 Termometri (samedicino eleqtruli an/da vercxliswylis) 1 1 1 1


13 biqsi 1 1 1 1

112

sameano kabineti (gasasinji, saproceduro _ fiziologiurad mSobiare pacientebisaTvis) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba



14 Tirkmliseburi jami 1 1 1 1


14 menjis sazomi fargali (sameano) 1 1 1 1

14 sazomi lenti 2 2 2 2

14 momWeri (satyvie maSa _ yelis damWeri, korcangi), swori boloTi 2 2 2 2

14 momWeri (maSa, korcangi), moxrili boloTi 2 2 2 2


14 zondi (kuWis) 5 5 5 5

14 zondi (sigrZis sazomi, mravaljeradi gamoyenebis) 5 5 5 5

danarTi 4.5.3

sameano kabineti (gasasinji, saproceduro _ observaciuli, potenciurad inficirebuli pacientebisaTvis)



samdicino aveji

15 samedicino karada - 1 1 1

15 instrumentebis magida - 1 1 1

15 gasasinji taxti - 1 1 1

15 Tejiri (mravalseqciuri) - 1 1 1


08 baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) - 1 1 1

06 saswori (samedicino) - 1 1 1

06 anTropometri (simaRlis sazomi) - 1 1 1

08 gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) - 1 1 1

14 stetoskopi (sameano) - 2 2 2

02 kardiotokografi - - - 1

02 fetaluri monitori - - - 1

14 Termometri (samedicino, eleqtruli an/da vercxliswylis) - 1 1 1

13 sasterilizacio instrumentebis yuTi - 1 1 1

13 biqsi - 1 1 1

15 biqsis sadgami - 1 1 1

14 Tirkmliseburi jami - 1 1 1

113

sameano kabineti (gasasinji, saproceduro _ observaciuli, potenciurad inficirebuli pacientebisaTvis) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba



14 menjis sazomi fargali (sameano) - 1 1 1

14 sazomi lenti - 2 2 2

14 momWeri (satyvie maSa (yelis damWeri), korcangi) _ swori boloTi - 2 2 2

14 momWeri (maSa, korcangi), moxrili boloTi - 2 2 2

14 pinceti (anatomiuri) - 3 3 3

14 zondi (kuWis) - 5 5 5

14 zondi (sigrZis sazomi, mravaljeradi gamoyenebis) - 5 5 5

danarTi 4.5.4

saproceduro eqim-specialistis kabinetTan

(ginekologiuri samanipulacio _ mcire ginekologiuri operaciebisaTvis) kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba


samdicino aveji

15 eqimis skami (mbrunavi) - - 1 1

15 samedicino karada - - 1 1

15 instrumentebis magida - - 3 3

15 biqsis sadgami - - 2 2

15 Tasis sadgami - - 2 2

14 Stativi xsnarebisaTvis (moZravi, statikuri) - - 2 2


08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) - - 2 2

08 gamanaTebeli (samdicino, erTrefleqtoriani, mobiluri) - - 1 1

13 sasterilizacio yuTi instrumentebisaTvis - - 1 1

06 ginekologiuri savarZeli - - 1 1

08 krioqirurgiuli ginekologiuri aparati - - 1 1

08 eleqtroaspiratori (qirurgiuli, an vakuum-eqskoxliatori) - - 1 1


14 saSos sarkeebi (kuskos sarke, an simsas sarke # 2,4,6) - - 2

kompleqti

2

kompleqti

14 saSos sarkeebi (mosaxsneli gamanaTebliT # 2,4,6) - - 2

kompleqti

2

kompleqti

114

saproceduro eqim-specialistis kabinetTan (ginekologiuri samanipulacio _ mcire ginekologiuri operaciebisaTvis)



14 sarke_amwevi - - 5 5

14 momWeri (maSa, korcangi) _ swori boloTi - - 3 3

14 momWeri (maSa, korcangi) _ moxrili boloTi - - 3 3

14 ginekologiuri kovzi - - 10 10

14 pinceti (anatomiuri) - - 3 3

14 pinceti (qirurgiuli) - - 3 3

14 makrateli (qirurgiuli, swori boloTi) - - 3 3

14 makrateli (qirurgiuli, moxrili boloTi) - - 3 3

14 sakeravi nems(eb)i (nakrebi) - - 2 2

14 nemsis damWeri - - 4 4

14 biqsi - - 2 2

14 Tasi - - 2 2

14 Tirkmliseburi jami - - 2 2

08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti

mozrdilTaTvis: filtvebis xelovnuri ventilaciis meqanikuri (xelis)

mowyobiloba (ambus tipis sasunTqi parki, sxvadasxva zomis sasunTqi niRbebi,

vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis

damWeri, lanceti, traqeostomis mili (pediatriuli), momWeri (maSa, korcangi),

laxti; an krikotomiis instrumentebis kompleqti

- - 1 1

danarTi 4.5.5

kolposkopiis kabineti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba


samedicino aveji

15 eqimis skami (mbrunavi skami) - - 1 1

15 skami - - 2 2

15 samedicino karada - - 1 1

15 instrumentebis magida - - 2 2

15 gasasinji taxti - - 1 1

15 biqsis sadgami - - 1 1

15 Tasis sadgami - - 1 1

115

kolposkopiis kabineti kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba


14 Stativi xsnarebisaTvis (moZravi, statikuri) - - 1 1


08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) - - 2 2

08 gamanaTebeli (samdicino, erTrefleqtoriani, mobiluri) - - 1 1

13 eleqtromaduRara (sadizenfeqcio maduRara, eleqtruli) - - 1 1

13 instrumentebis sasterilizacio yuTi - - 1 1


08 kolposkopi - - 1 1

08 histeroskopi - - - 1

98 maRali sixSiris eleqtroqirurgiuli aparati (instrumentebis kompleqti koagulaciisaTvis _ mono da

bipolaruli)

- - 1 1

13 biqsi - - 1 1

13 Tasi - - 1 1

08 pirveladi daxmarebis da traqeostomis instrumentebis kompleqti mozrdilTaTvis: filtvebis xelovnuri

ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sxvadasxva zomis sasunTqi

niRbebi, vakuumaspiratori (meqanikuri), samedicino instrumentebi _ piris gamRebi, enis damWeri, lanceti,

traqeostomis mili (pediatriuli), momWeri (maSa, korcangi), laxti; an krikotomiis instrumentebis

kompleqti

- - 1 1

danarTi 4.5.6

sasterilizacio (an/da centraluri sasterilizacio, an/da xelSekruleba sasterilizaciosTan imave misamarTze) kodi aRWurvilobis dasaxeleba raodenoba

13 orTqlis sterilizatori (avtoklavi, horizontaluri an/da vertikaluri) 1

13 mSrali sterilizatori (sasterilizacio karada) 1

116

4.6 laboratoriuli diagnostika

kliniko-laboratoriuli diagnostika (done I)

klinikuri laboratoria

done tipi kadrebi samedicino-teqnikuri aRWurviloba

nozologia

gamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

I

• ambulatoria

• ambulatoria

dRis

stacionariT

• pirveladi jandacvis

centri

• saubno saavadmyofo

• eqimi laboranti

(umaRlesi

samedicino

ganaTleba,

serTifikati

laboratoriul

medicinaSi).

• laborato-

riuli

medicinis

• specialisti

(umaRlesi

arasamedici-

no ganTleba – biologi

an

analizuri

qimiis

specialisti,

serTifikati laborato-

riul

medicinaSi).

• saSualo

(teqnikuri) laboranti

(saSualo

samedicino dawesebulebis teqnikuri infrastruqtura (alterntiuli kvebis wyaro, gaTboba kondicirebisa da

ventilaciis sistema, wyal – sakanalizacio sistema).

sruli aRWurviloba, saTanado donis samedicino dawesebulebis

(laboratoriuli saqmianoba, samedicino saqmianobis I, II done),

teqnikuri infrastruqturis (centraluri an avtonomiuri) samsaxuris uzrunvelsayofad.

alternatiul SemTxvevaSi _ xelSekruleba saTanado teqnikuri

infrastruqturis mqone sabazo dawesebulebasTan.

• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzom-makalibrebeli aparaturis stabiluri kvebis

uzrunvelsayofad;

• gaTboba_kondicirebisa da ventilaciis sistema (centraluri

an avtonomiuri);

• sakanalizacio sistema (centraluri an avtonomiuri) • wyalmomaragebis sistema (civi wyali, cxeli wyali-

centraluri an avtonomiuri);

• xelsabani (qirurgis niJara);

• karada sadezinfeqcio xsnarebisaTvis;

• konteineri (Tasi an abazana) laboratoriuli WurWelis,

instrumentebis sadezinfeqciod - 2c.

saproceduro sisxlisa da sekreciis masalis misaRebad

(kapilaruli, venuri sisxlis aReba _

Sardi, naxveli da sxva masalis aReba)

• eqimis magida;

• skami; • samedicino karada;

• arteriuli, arainvaziuri wnevi gsazomi aparati

yvela nozologiis

hematolo-

giuri da

zogad-

klinikuri

laborato-riuli

diagnostika.


• hemoglobinis

gansazRvra sisxlSi

• eriTrocitebis raodenobis

gansazRvra sixlSi • leikocitebis

raodenobis

gansazRvra sixlSi

• Trombocitebis raodenobis

gansazRvra sisxlSi • eriTrocitebis daleqvis siCqare

• sisxlis Sededebis

da sisxldenis dro

• malariis plazmodiumebze

sisxlis sqeli

wveTisa da nacxis

mikroskopia


• SardSi cilis

raodenobis

gansazRvra

• SardSi glukozis

raodenobis

gansazRvra • SardSi naRvlis

pigmentebis

sisxlis aReba

TiTidan,

sisxlis

damuSaveba da

mikroskopia

Txier mdgomareoba-

Si;

sisxlis

nacxis

fiqsacia da SeRebva,

SeRebili

nacxis

hematologiu

ri da citologi-

uri

diagnostika;

Sardis

damuSaveba da mikroskopia;

ganavlis

damuSaveba da

mikroskopia;

naxvelis

nacxebis

117


done tipi samedicino-teqnikuri aRWurviloba

nozologia

samedicino

saqmianobis

moculoba

kadrebi

gamokvlevebi

1 2 5 7 3 4 6

teqnikuri

ganaTleba)

• preparatori (sanitari)

(mag.:sfigmomanometri, fonendoskopi mozrdilTa da

pediatriuli);

• smedicino taxti;

• samedicino personalis individualuri dacvis saSualebebi:

samedicino xalaTi, niRabi / dolbandi, saTvale, xelTaTmani

– erTjeradi an damzadebuli masalisagan, romelic sterildeba sveli an mSrali wesiT - 2-2c.;

• invaziuri Carevis saSualebebi: nemsi, Sprici, skarifikatori,

vakutaineri da sxva - aucileblad erTjeradi.

laboratoria • samedicino personalis individualuri dacvis saSualebebi:

samedicino xalaTi, niRabi / dolbandi, saTvale, xelTaTmanebi

da sxva, _ erTjeradi an damzadebuli masalisagan, romelic

sterildeba sveli an mSrali wesiT _ 2-2 cali.;

• laboratoriuli magida _ 2 cali.;

• fotoeleqtrokolorimetri an speqtrofotometri (hemoglobinis gansazRvrisaTvis cianmethemoglobinis

meTodiT) an/da hemoglobinometri;

• areometri;

• sisxlis ujredebis saTvleli (meqanikuri) - 2c.;

• biologiuri mikroskopi (binikularuli / monokularuli,

sinaTlis wyaro) - 2c.; • goriaevis kamera - 2c..;

• panCenkovis aparati (10 kapilariT) - 2c.;

• torsiuli laboratoriuli saswori;

• laboratoriuli centrifuga;

• laboratoriuli Termometri;

• laboratoriuli saaTi; • pipeti variabeluri moculobiT (200-1000 mkl.) erTarxiani;

• pipeti variabeluri moculobiT (50-200 mkl.) erTarxiani;

• pipeti variabeluri moculobiT (5-50 mkl.) erTarxiani;

• erTjeradi masalis bunikebi (200 mkl., 1000 mkl.),

variabeluri moculobis pipetisaTvis;

gansazRvra

• ganavlis saerTo

analizi

• ganavlis gamokvleva

farul sisxldenaze

• naxvelis saerTo laboratoriuli

gamokvleva

damzadeba

SeRebva da

gamokvleva.

118



nozologia

gamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

alternatiul SemTxvevaSi mravaljeradi gamoyenebis

pipetebi (0.02, 1, 2, 5, 10 ml. moculobis minis an

masalis, romelic sterildeba sveli an mSrali wesiT).

3 - 3 cali.

• Stativebi sinjarebisaTvis;

• laboratoriuli amwovi karada; • wylis gamosaxdeli laboratoriuli aparati

(distilatori).

alternatiul SemTxvevaSi xelSekruleba afTiaqTan;

• Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • biqsi - 2 cali;

• karada an sadgami biqsisaTvis;

• samedicino karada - 2 cali.;

• mowyobiloba mSrali sterilizaciisaTvis an orTqlis

sterilizatori _portatiuli.

alternatiul SemTxvevaSi dawesebulebas unda gaaCndes centraluri sasterilizacio

igive misamarTze an xelSekruleba centralur

sasterilizaciosTan.;

• konteineri naxmari masalis sadezinfeqciod, TeTreulis da

a.S. - 2 cali.

laboratoriuli WurWeli

• sinjarebi;

• centrifugis sinjarebi (danayofebiani an mis gareSe);

• qimiuri sinjarebi;

• danayofebiani qimiuri Wiqebi (100 ml.);

• sazomi kolbebi (50, 100, 500, 1000 ml); • danayofebiani cilindrebi (100, 200, 500 ml.);

• sasagne minebi.

SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi an

masalis, romelic sterildeba sveli an mSrali wesiT.

119



nozologia

gamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an

centraluri sasterilizacio)

• sruli aRWurviloba, saTanado donis samedicino

dawesebulebis (I an II donis sasterilizacio, sadezinfeqcio

an centraluri sasterilizacio) samsaxuris

uzrunvelsayofad. alternatiul SemTxvevaSi xelSekruleba saTanado

teqnikuri infrastuqturis sabazo dawesebulebasTan.

120

bioqimiuri laboratoriuli gamokvlevebi

done tipi kadrebi samedicino-teqnikuri aRWurviloba nozologia

gamokvlevebi


moculoba

1 2 3 4 5 6 7

I • ambulato-

ria

• ambulato-

ria dRis

staciona-

riT

• pirveladi jandacvis

centri

• saubno saavadmyofo

• eqimi laboranti

(umaRlesi

samedicino ganaTleba,

serTifikati

laboratoriul

medicinaSi).

• laboratoriuli medicinis

specialisti

(umaRlesi

arasamedicino

ganaTleba –

biologi an analitikuri

qimiis

specialisti -

serTifikati

laboratoriul

medicinaSi).

• saSualo

(teqnikuri)

laboranti

(saSualo

teqnikuri ganaTleba)


samedicino dawesebulebis teqnikuri infrastruqtura

(alterntiuli kvebis wyaro, gaTboba kondicirebisa da



(laboratoriuli saqmianoba, samedicino saqmianobis I, II done),

teqnikuri infrastruqturis (centraluri an avtonomiuri)

samsaxuris uzrunvelsayofad.

alternatiul SemTxvevaSi, _ xelSekruleba saTanado teqnikuri



uzrunvelsayofad; • gaTboba_kondicirebisa da ventilaciis sistema (centraluri

an avtonomiuri);

• sakanalizacio sistema (centraluri an avtonomiuri)

• wyalmomaragebis sistema (civi da cxeli wyali, _


• xelsabani (qirurgis niJara); • karada sadezinfeqcio xsnarebisaTvis;

• konteineri (Tasi an abazana) laboratoriuli WurWlis,

instrumentebis dezinficirebisaTvis - 2c.

saproceduro (masalis aReba)

• eqimis magida; • skami;

• samedicino karada;

• arteriuli, arainvaziuri wnevis gasazomi aparati (mag.:

sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli);

• samedicino taxti;

• samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale,

yvela

nozologiis

bioqimiuri diagnostika.

• glukozis

gansazRvra

sisxlSi

• proTrombinis indeqsis

gansazRvra

• sisxlis

aReba -

kapilaruli, venuri;

• Sratis gamoyofa,

plazmis

miReba;

• bioqimiuri gamokvle-

vebis

Catareba.

121


done tipi kadrebi nozologia

gamokvlevebi

samedicino

saqmianobis

moculoba

samedicino-teqnikuri aRWurviloba

1 2 3 5 6 7 4

_ erTjeradi an damzadebuli masalisagan romelic

sterildeba sveli an mSrali sterilizaciiT _ 2-2c.;

• invaziuri Carevis saSualebebi nemsi, Sprici, skarifikatori,

vakutaineri da sxva _ aucileblad erTjeradi;

laboratoria • samedicino personalis individualuri dacvis saSualebebi:

samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale,



• laboratoriuli magida - 2c.;

• fotoeleqtrokolorimetri an speqtrofotometri. alternatiul SemTxvevaSi glukometri;

• wylis Termostati;

• sanjRrevela (e.w. Seikeri meqanikuri an eleqtruli) -

sasurvelia;

• torziuli laboratoriuli saswori;

• laboratoriuli centrifuga; • laboratoriuli Termometri;

• laboratoriuli saaTi;

• wamzomi;

• pipeti variabeluri moculobebiT (200-1000 mkl.),

erTarxiani;

• pipeti variabeluri moculobebiT (50-200 mkl.), erTarxiani; • pipeti variabeluri moculobebiT (5-50 mkl.), erTarxiani;




pipetebi (0.02, 1, 2, 5, 10 ml. moculobis, minis an

masalis, romelic sterildeba sveli an mSrali sterilizaciiT). 3 - 3c.


• laboratoriuli amwovi karada;

• wylis gamosaxdeli laboratoriuli aparati (distilatori).


122


done tipi kadrebi ikuri aRWurviloba nozologia

gamokvlevebi

samedicino

saqmianobis

moculoba

samedicino-teqn

1 2 3 4 5 6 7

• Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • biqsi - 2c.;


• samedicino karada - 2c.; • mowyobiloba mSrali sterilizaciisaTvis an orTqlis

sterilizatori _ portatiuli.

alternatiul SemTxvevaSi dawesebulebas unda gaaCndes

centraluri sasterilizacio igive misamarTze an

xelSekruleba centralur sasterilizaciosTan;

• konteineri naxmari masalis dezinficirebisaTvis, TeTreulis, da a.S. _ 2c.


• sinjarebi;


• qimiuri sinjarebi; • danayofebiani qimiuri Wiqebi (100 ml.-iani);

• sazomi kolbebi (50, 100, 500, 1000 ml.-iani);

• danayofebiani cilindrebi (100, 200, 500 ml.-iani);


masalis, romelic sterildeba sveli an mSrali sterilizaciiT.

sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an

centraluri sasterilizacio)


dawesebulebis (I, an II donis sasterilizacio, sadezinfeqcio

an centraluri sasterilizacio) samsaxuris

uzrunvelyofisaTvis. alternatiul SeTxvevaSi xelSekruleba saTanado


123


kliniko-laboratoriuli diagnostika (done II)



gamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

II

• raionuli

(qalaqis)

saavadmyofo

• sazogado-ebrivi

dacvis

centri

• samedici-no_socia-

luri

saavadmyofo

• eqimi laboranti

(umaRlesi

samedicino

ganaTleba – serTifikati

laboratoriul

medicinaSi).

• laboratori-

uli medicinis

• specialisti

(umaRlesi

arasamedicino

ganTleba –

biologi an analizuri

qimiis

specialisti

_sertifikati

laboratoriul

medicinaSi).

• saSualo

(teqnikuri)

laboranti

(saSualo teqnikuri

ganaTleba)




sruli aRWurviloba, saTanado donis samedicino dawesebulebis (laboratoriuli saqmianoba, samedicino

saqmianobis II, III, I done), teqnikuri infrastruqturis

(centraluri an avtonomiuri) samsaxuris

uzrunvelyofisaTvis.

alternatiul SemTxvevaSi _ xelSekruleba saTanado teqnikuri infrastruqturis mqone sabazo dawesebulebasTan.

• avariuli kvebis wyaro (avtonomiuri kvebis wyaro, calke

damatebiTi xazi) an generatori simZlavriT aranakleb

2,5 kvt-isa;

• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS) _ gamzom-makalibrebeli aparaturis stabiluri kvebis

uzrunvelyofisaTvis;

• gaTboba_kondicirebisa da ventilaciis sistema

(centraluri an avtonomiuri);


• wyalmomaragebis sistema (civi da cxeli wyali, _ centraluri an avtonomiuri);




instrumentebis dezinfeqciisaTvis - 2cali

samedicino informaciuli samsaxuri (teqnologiebi,

samedicino statistika, monacemTa baza, sakomunikacio

saSualebebi, magaliTad interneti, faqsi da a.S.).

yvela

nozologiis

hematologi-

uri da

zogad-klinikuri

laborato-

riuli

diagnostika.

• sisxlis saerTo

analizi

• hemoglobinis

gansazRvra

sisxlSi • eriTrocitebis raodenobis

gansazRvra sixlSi

• leikocitebis

raodenobis

gansazRvra sixlSi • Trombocitebis raodenobis

gansazRvra

sisxlSi

• retikulocitebis

raodenobis gansazRvra

sisxlSi

• eriTrocitebis daleqvis siCqare

• sisxlis Sededebis

da sisxldenis dro

• fetaluri

hemoglobinis

citologiuri

gansazRvra • malariis

plazmodiumebze

sisxlis sqeli

wveTisa da nacxis

• sisxlis aReba

TiTidan,

sisxlis

damuSaveba da

mikroskopia Txier

mdgomareobaSi;

• sisxlis

nacxis

fiqsacia da SeRebva,

SeRebili

nacxis

hematologi-

uri da

citologiuri diagnostika;

• Sardis damuSaveba da

mikroskopia;

• ganavlis

damuSaveba da

mikroskopia;

• kuWis wvenis aReba da

gamokvleva;

• duodenaluri

124


done tipi nozologia

samedicino

kadrebi samedicino-teqnikuri aRWurviloba gamokvlevebi

saqmianobis

moculoba

1 2 5 3 4 6 7


• klinikuri

inJineri

(samedicino aparaturis

inJineri an

samedicino

bioteqnikuri

sistemebis

specialisti an/da

xelSekruleba

samedicino

aparaturis

servisul

samsaxurTan, aRniSnuli unda

iTvaliswineb-

des agreTve

metrologiur

momsaxureo-bas).

• personaluri kompiuteri (standartuli kompleqtacia:

monitori, procesori, printeri Zabvis stabilizatori an

mudmivi kvebis wyaro (UPS), internetis modemi, programuli uzrunvelyofa mag. monacemTa baza,

buRalteria da a.S.) _ (sasurvelia);

• telefonis xazi, faqsis aparati (sasurvelia); • eqimis magida;

• skami;

• karada.

saproceduro gamosakvlevi masalis misaRebad (Sardi,

naxveli, duodenaluri, gastraluri da sxva masalis aReba) • eqimis magida;

• skami;

• mbrunavi skami (sasurvelia);

• karada (samedicino);

• arteriuli wnevis gasazomi arainvaziuri aparati (mag:

sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli;


• samedicino personalis individualuri dacvis

saSualebebi: samedicino xalaTi, niRabi / dolbandi,

xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli

masalisagan romelic sterildeba sveli an mSrali wesiT _ 2-2c.;

• invaziuri Carevis saSualebebi: nemsi, Sprici,

skarifikatori, vakutaineri da sxva _ aucileblad

erTjeradi;

• xelSekruleba endoskopiur kabinetTan (standartuli

aRWurviloba endoskopiisaTvis mag.: gastroskopi, bronqoskopi da sxva. biologiuri masalis: duodenaluri,

gastraluri da sxva, _ aReba).

alternatiul SemTxvevaSi, duodenaluri, gastraluri

da sxva masalis miRebis saSualebebi (mag.:

duodenaluri zondi, Janes Sprici _ erTjeradi an

mikroskopia

• sisxlis jgufisa

da rezusis

gansazRvra


• SardSi cilis

raodenobis

gansazRvra

• SardSi glukozis

raodenobis

gansazRvra • SardSi ketonuri sxeulebis

gansazRvra SardSi

nitritebis

gansazRvra

• SardSi naRvlis pigmentebis

gansazRvra

• hematuriis xarisxis

gansazRvra

• SardSi formiani elementebis

raodenobis

gansazRvra

neCiporenkos

wesiT


raodenobis

gansazRvra

adis_kakovskis

wesiT

SigTavsis

aReba da

gamokvleva;

• naxvelis

nacxebis damzadeba

SeRebva da

gamokvleva;

• qalisa da

mamakacis sasqeso

organoebidan

miRebuli

masalis

diagnostika;

• liqvoris

laborato-

riuli

gamokvleva.

125



samedicino

saqmianobis

moculoba

gamokvlevebi

1 2 3 4 5 7 6

damzadebuli masalisagan, romelic sterildeba sveli

an mSrali sterilizaciiT. dabali wnevis Terapiuli

eleqtruli vakuumsaqaCi)

laboratoriuli WurWeli:

• sinjarebi qimiuri da centrifugis (danayofebiani an mis gareSe);

• sazomi kolbebi (50, 100, 500, 1000 ml.-iani);

• danayofebiani qimiuri Wiqebi (100 ml.-iani);

• danayofebiani cilindrebi (100, 200, 500 ml.-iani).

SeniSvna _ laboratoriuli WurWeli unda iyos erTjeradi,

an damzadebuli masalisgan, romelic sterildeba sveli an mSrali wesiT.

saproceduro (sisxlis aReba - kapilaruli, venuri)

• eqimis magida;

• skami;

• mbrunavi skami (sasurvelia); • samedicino karada;

• arteriuli wnevis gasazomi arainvaziuri aparati

(mag.:sfigmomanometri, fonendoskopi: mozrdilTa da

pediatriuli);


• samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi / dolbandi,

saTvale, xelTaTmanebi da sxva, _ erTjeradi an

damzadebuli masalisagan, romelic sterildeba sveli an

mSrali wesiT _ 2-2c.;


skarifikatori, vakutaineri da sxva, _ aucileblad erTjeradi.

laboratoria


saSualebebi: samedicino xalaTi, niRabi / dolbandi,

• zimnickis cda • SardSi bens_jonsis cilis

gansazRvra

• ganavlis saeTo

analizi • ganavlis

gamokvleva farul

sisxldenaze

• ganavlis

gamokvleva Wiis

kvercxebze • ganavlis

gamokvleva

umartivesebze

• ganavlis

gamokvleva

helminTebze • Tavzurgtvinis siTxis (liqvoris)

laboratoriuli

gamokvleva

• Tavzurgtvinis siTxis (liqvoris) baqterioskopiuli

gamokvleva

• duodenaluri

SigTavsis

laboratoriuli

gamokvleva • kuWis wvenis mJavianobis

gansazRvra

• kanidan da lorwovani

126



samedicino

saqmianobis

moculoba

samedicino-teqnikuri aRWurviloba gamokvlevebi

1 2 3 5 7 4 6



mSrali wesiT _ 2-2 cali;

• laboratoriuli magida - 2 cali;

• fotoeleqtrokolorimetri an speqtrofotometri

(hemoglobinis gansazRvrisaTvis cianmethemoglobinis meTodiT) an/da hemoglobinometri;

• areometri;

• sisxlis ujredebis meqanikuri saTvleli - 2c.;

• biologiuri mikroskopi (binokularuli /

monokularuli, sinaTlis wyaro) - 3c.;

• goriaevis kamera - 2c.; • panCenkovis aparati (10 kapilariT) - 2c.;





• pipeti variabeluri moculobebiT (200-1000 mkl.), erTarxiani;


erTarxiani;


erTarxiani;

• erTjeradi masalis bunikebi (200 mkl., 1000 mkl.) variabeluri moculobis pipetisaTvis;


pipetebi (0.02, 1, 2, 5, 10 ml. moculobis minis an

masalis, romelic sterildeba sveli an mSrali

wesiT) _ 3-3 cali.

• Stativebi sinjarebisaTvis; • laboratoriuli amwovi karada;

• wylis gamosaxdeli laboratoriuli aparati

(distilatori).

alternatiul SemTxvevaSi _ xelSekruleba afTiaqTan;

• Termostati (37-600C);

garsidan miRebuli

masalis

citologiuri da

baqterioskopiuli

gamokvleva

• Tvalis lorwovanidan

aRebuli nacxis

citologiuri da

baqterioskopiuli

gamokvleva

• saSos nacxis citologiuri da

baqterioskopiuli

gamokvleva

• ureTris nacxis citologiuri da

baqterioskopiuli gamokvleva

• nacxis baqterioskopia

gonokokze _

gramis wesiT

• anabeWdisa da nacxis

citologiuri

gamokvleva

• naxvelis saerTo

laboratoriuli

gamokvleva

127


done tipi kadrebi ikuri aRWurviloba nozologia

gamokvlevebi

samedicino

saqmianobis

moculoba

samedicino-teqn

1 2 3 4 5 6 7

• saSrobi karada (900C);

• macivari (0 _ +40C);

• biqsi _ 2 cali.


• samedicino karada - 2 cali;

• mowyobiloba mSrali sterilizaciisaTvis an orTqlis sterilizatori _ portatiuli.

alternatiul SemTxvevaSi dawesebulebas unda

gaaCndes centraluri sasterilizacio igive

misamarTze an xelSekruleba centralur

sasterilizaciosTan;

• konteineri naxmari masalis dezinfeqciisaTvis, TeTreulis, da a.S. _ 2cali.

laboratiuli WurWeli

• sinjarebi;


• qimiuri sinjarebi; • danayofebiani qimiuri Wiqebi (100 ml-iani);

• sazomi kolbebi (50, 100, 500, 1000 ml-iani);

• danayofebiani cilindrebi (100, 200, 500 ml-iani);

• sasagne minebi.

SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi

an damzadebuli masalisagan, romelic sveli an mSrali wesiT sterildeba.

sasterilizacio ganyofileba (sasterilizacio,

sadezinfeqcio an centraluri sasterilizacio)


dawesebulebis (II an III, I donis sasterilizacio, sadezinfeqcio an centraluri sasterilizacio)

samsaxuris uzrunvelyofisaTvis.

alternatiul SeTxvevaSi xelSekruleba saTanado


128



gamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

II • raionuli (qalaqis) saavadmyofo

• sazogadoeb-rivi dacvis centri

• samedicino socialuri saavadmyofo

• eqimi laboranti (umaRlesi samedicino ganaTleba – serTifikati laborato-riul medicinaSi).

• laboratoriuli medicinis

• specialisti (umaRlesi arasamedici-no ganaTleba – biologi an analitikuri qimiis specialisti - serTifikati laborato-riul medicinaSi).

• saSualo (teqnikuri) laboranti (saSualo teqnikuri ganaTleba)


• klinikuri inJineri (samedicino aparaturis inJineri an

samedicino dawesebulebis teqnikuri infrastruqtura (alternatiuli kvebis wyaro, gaTboba kondicirebisa da ventilaciis sistema, wyal – sakanalizacio sistema). sruli aRWurviloba, saTanado donis samedicino dawesebulebis (laboratoriuli saqmianoba, samedicino saqmianobis II, III, I done), teqnikuri infrastruqturis (centraluri an avtonomiuri) samsaxuris uzrunvelyofisaTvis. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis mqone sabazo dawesebulebasTan. • avariuli kvebis wyaro (avtonomiuri kvebis wyaro,

calke damatebiTi xazi) an generatori simZlavriT aranakleb 2,5 kvt.-isa;

• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzom-makalibrebeli aparaturis stabiluri kvebis uzrunvelyofisaTvis;

• gaTboba_kondicirebisa da ventilaciis sistema (centraluri an avtonomiuri);

• sakanalizacio sistema (centraluri an avtonomiuri) • wyalmomaragebis sistema (civi wyali, cxeli wyali, _

centraluri an avtonomiuri); • xelsabani (qirurgis niJara); • karada sadezinfeqcio xsnarebisaTvis; • konteineri (Tasi an abazana) laboratoriuli

WurWlis, instrumentebis dezinficirebisaTvis - 2c. saproceduro (masalis aReba) • eqimis magida; • skami; • mbrunavi skami (sasurvelia); • samedicino karada; • arteriuli, arainvaziuri wnevis gasazomi aparati

(mag.: sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli);

• samedicino taxti; • samedicino personalis individualuri dacvis

yvela nozologiis bioqimiuri diagnostika.

• saerTo cilis gansazRvra sisxlSi

• Sardovanas gansazRvra sisxlSi


• Timolis sinji • glukozis gansazRvra sisxlSi

• beta-lipoproteinebis gansazRvra sisxlSi


• saerTo bilirubinis gansazRvra sisxlSi

• pirdapiri bilirubinis gansazRvra sisxlSi

• rkinis gansazRvra sisxlSi

• revmatoiduli faqtoris gansazRvra sisxlSi

• C reaqtiuli cilis gansazRvra sisxlSi

• difenilaminis cda

• sisxlis aReba -kapilaruli, venuri;

• Sratis gamoyofa, plazmis miReba;

• bioqimiuri gamokvle-vebis Catareba.

129


done tipi nozologia

samedicino

saqmianobis

moculoba


1 2 5 7 3 4 6

samedicino bioteqnikuri sistemebis specialisti an/da xelSekrule-ba samedicino aparaturis servis samsaxurTan, aRniSnuli unda iTvaliswineb-des agreTve metrologiur momsaxureo-bas).

saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli masalisagan romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2c.;

• invaziuri Carevis saSualebebi nemsi, Sprici, skarifikatori, vakutaineri da sxva _ aucileblad erTjeradi;

laboratoria • samedicino personalis individualuri dacvis


• laboratoriuli magida - 2c.; • fotoeleqtrokolorimetri an speqtrofotometri; • wylis Termostati; • sanjRrevela (e.w. Seikeri meqanikuri an eleqtruli) -

sasurvelia; • torziuli laboratoriuli saswori; • analizuri laboratoriuli saswori; • laboratoriuli centrifuga; • laboratoriuli Termometri; • laboratoriuli saaTi; • wamzomi; • pipeti variabeluri moculobebiT (200-1000 mkl.),

erTarxiani; • pipeti variabeluri moculobebiT (50-200 mkl.),


erTarxiani; • erTjeradi masalis bunikebi (200 mkl., 1000 mkl.),

variabeluri moculobis pipetisaTvis; alternatiul SemTxvevaSi mravaljeradi gamoyenebis pipetebi (0.02, 1, 2, 5, 10 ml. moculobis, minis an masalis, romelic sterildeba sveli an mSrali sterilizaciiT). 3 - 3c.

• Stativebi sinjarebisaTvis; • laboratoriuli amwovi karada; • wylis gamosaxdeli laboratoriuli aparati

• antistreptolizini O gansazRvra sisxlSi

hemostazi • koagulograma • sisxlis Sededebis dro li da uaitis mixedviT

• plazmis rekalcifikaciis dro

• proTrombinis indeqsis gansazRvra

• Trombinis dro • fibrinogenis koncentraciis gansazRvra

• fibrinolizuri aqtivobis gansazRvra

130


done tipi kadrebi no-teqnikuri aRWurviloba nozologia

gamokvlevebi

samedicino

saqmianobis

moculoba

samedici

1 2 3 4 5 6 7

(distilatori). alternatiul SemTxvevaSi xelSekruleba afTiaqTan;

• Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • biqsi - 2c.; • karada an sadgami biqsisaTvis; • samedicino karada - 2c.; • mowyobiloba mSrali sterilizaciisaTvis an

orTqlis sterilizatori _ portatiuli. alternatiul SemTxvevaSi dawesebulebas unda gaaCndes centraluri sasterilizacio igive misamarTze an xelSekruleba centralur sasterilizaciosTan;


laboratiuli WurWeli • sinjarebi; • centrifugis sinjarebi (danayofebiani an mis gareSe); • qimiuri sinjarebi; • danayofebiani qimiuri Wiqebi (100 ml.-iani); • sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani); SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi an masalis, romelic sterildeba sveli an mSrali sterilizaciiT. sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) • sruli aRWurviloba, saTanado donis samedicino

dawesebulebis (II, an III, I donis sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) samsaxuris uzrunvelyofisaTvis.

alternatiul SeTxvevaSi xelSekruleba saTanado teqnikuri infrastuqturis sabazo dawesebulebasTan.

131

4.6 laboratoriuli diagnostika kliniko-laboratoriuli diagnostika (done III)


done tipi

kadrebi samedicino-teqnikuri aRWurviloba nozologia gamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

III • regionaluri (respubliku-ri saavadmyofo)

• speciali-zirebuli saavadmyofo

• klinikuri saavadmyofo

• dispanseri • mraval-profiliani dispanseri

• poliklinika • qalTa konsultacia

• laborato-riis (ganyo-fileba) xelmZRvaneli (gamge) an laborato-riis kuratori – eqimi laboranti (umaRlesi samedicino ganaTleba da sertifikati labora-toriul medicinaSi).

• eqimi laboranti (umaRlesi samedicino ganaTleba da sertifikati labora-toriul medicinaSi).

• labora-toriuli medicinis specialisti (umaRlesi arasmedi-

samedicino dawesebulebis teqnikuri infrastruqtura (alternatiuli kvebis wyaro, gaTboba kondicirebisa da ventilaciis sistema, wyal – sakanalizacio sistema). sruli aRWurviloba, saTanado donis samedicino dawesebulebis (laboratoriuli saqmianoba, samedicino saqmianobis III, IV, II done), teqnikuri infrastruqturis (centraluri an avtonomiuri) samsaxuris uzrunvelyofisaTvis. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis mqone sabazo dawesebulebasTan. • avariuli kvebis wyaro (avtonomiuri kvebis

wyaro, calke damatebiTi xazi) an generatori simZlavriT aranakleb 2,5 kvt.-isa;

• Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzom-makalibrebeli aparaturis stabiluri kvebis uzrunvelsayofad;



• wyalmomaragebis sistema (civi da cxeli wyali, _ centraluri an avtonomiuri);

• xelsabani (qirurgis niJara); • karada sadezinfeqcio xsnarebisaTvis; • konteineri (Tasi an abazana) laboratoriuli

WurWlis, instrumentebis dezinfeqciisaTvis - 2c. samedicino informaciuli samsaxuri (teqnologiebi, samedicino statistika, monacemTa baza, sakomunikacio saSualebebi mag. interneti, faqsi da a.S.).

yvela nozologiis hematologiuri da zogad-klinikuri laborato-riuli diagnostika.



• eriTrocitebis raodenobis gansazRvra sixlSi

• leikocitebis raodenobis gansazRvra sixlSi

• hematokritis gansazRvra

• Trombocitebis raodenobis gansazRvra sisxlSi

• retikulocitebis raodenobis gansazRvra sisxlSi


• sisxlis Sededebis da sisxldenis dro

• eriTrocitebis osmosuri rezistentobis gansazRvra

• eriTrocitebis saSualo diametris gansazRvra

• fetaluri

• sisxlis aReba TiTidan, sisxlis damuSaveba da mikroskopia Txier mdgomareobaSi;

• sisxlis nacxis fiqsacia da SeRebva, SeRebili nacxis hematologiuri da citologiuri diagnostika;

• Sardis damuSaveba da mikroskopia;

• ganavlis damuSaveba da mikroskopia;

• kuWis wvenis aReba da gamokvleva;

• duodenaluri SigTavsis aReba da gamokvleva;

• naxvelis nacxebis

132


done tipi

nozologia

samedicino

kadrebi samedicino-teqnikuri aRWurviloba gamokvlevebi saqmianobis

moculoba

1 2 5 3 4 6 7

cino ganTleba – biologi an analizuri qimiis specialisti, serTifikati labora-toriul medicinaSi).



• klinikuri inJineri (samedicino aparaturis inJineri an samedicino bioteqni-kuri sistemebis specialisti an/da xelSekru-leba samedicino aparaturis servisul samsaxurTan, aRniSnuli unda iTvaliswi-

• personaluri kompiuteri (standartuli kompleqtacia: monitori, procesori, printeri Zabvis stabilizatori an mudmivi kvebis wyaro (UPS), internetis modemi, programuli uzrunvelyofa mag. monacemTa baza, buhxalteria da a.S.) _ (sasurvelia);

• telefonis xazi - faqsis aparati (sasurvelia); • eqimis magida; • skami; • karada. saproceduro gamosakvlevi masalis misaRebad (Sardi, naxveli, duodenaluri, gastraluri da sxva masalis aReba) • eqimis magida; • skami; • mbrunavi skami (sasurvelia); • karada (samedicino); • arteriuli wnevis gasazomi arainvaziuri aparati

(mag.: sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli;


saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli masalisagan romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2 cali.;

• invaziuri Carevis saSualebebi: nemsi, Sprici, skarifikatori, vakutaineri da sxva _ aucileblad erTjeradi;

• xelSekruleba endoskopiur kabinetTan (standartuli aRWurviloba endoskopiisaTvis mag.: gastroskopi, bronqoskopi da sxva. biologiuri masalis – duodenaluri, gastraluri da sxva aReba).

alternatiul SemTxvevaSi duodenaluri, gastraluri da sxva masalis miRebis saSualebebi (mag.: duodenaluri zondi, Janes Sprici _ erTjeradi an damzadebuli

hemoglobinis citologiuri gansazRvra

• malariis plazmodiumebze sisxlis sqeli wveTisa da nacxis mikroskopia

• punqtatis citologiuri gamokvleva

• leikokoncentra-tis gamokvleva

• sisxlis gamokvleva - ujredebze

• sisxlis jgufisa da rezusis gansazRvra


• SardSi cilis raodenobis gansazRvra

• SardSi glukozis raodenobis gansazRvra

• SardSi ketonuri sxeulebis gansazRvra

• SardSi nitritebis gansazRvra

• SardSi naRvlis pigmentebis gansazRvra

• SardSi urobilinis gansazRvra


damzadeba SeRebva da gamokvleva;

• qalisa da mamakacis sasqeso organoebidan miRebuli masalis diagnostika;

• liqvoris laboratoriuli gamokvleva;

• serozuli siTxeebis laboratoriuli gamokvleva.

133


done tipi

samedicino-teqnikuri aRWurviloba nozologia i

samedicino

saqmianobis

moculoba kadrebi

gamokvleveb

1 2 4 5 7 3 6

nebdes agreTve metrolo-giur momsaxureo-bas).

masalisagan, romelic sterildeba sveli an mSrali wesiT. dabali wnevis Terapiuli eleqtruli vakuumsaqaCi).

laboratoriuli WurWeli: • sinjarebi: qimiuri da centrifugis

(danayofebiani an mis gareSe); • sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani qimiuri Wiqebi (100 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani). SeniSvna _ laboratoriuli WurWeli unda iyos erTjeradi, an damzadebuli masalisgan, romelic sterildeba sveli an mSrali wesiT. serozuli siTxeebis, Tavzurgtvinis siTxis (liqvoris), qalisa da mamakacis sasqeso organoebidan masalis aReba: • saoperacio darbazi (standartuli

aRWurviloba). alternatiul SemTxvevaSi xelSekruleba saTanado licenziis mqone ganyofilebasTan.

saproceduro (kapilaruli, venuri sisxlis aReba) • eqimis magida; • skami; • mbrunavi skami (sasurvelia); • samedicino karada; • arteriuli wnevis arainvaziuri gasazomi aparati

(magaliTad sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli);


saSualebebi: samedicino xalaTi, niRabi / dolbandi, saTvale, xelTaTmanebi da sxva, _ erTjeradi an damzadebuli masalisagan, romelic sterildeba sveli an mSrali wesiT _ 2-2c.;

• invaziuri Carevis saSualebebi: nemsi, Sprici, skarifikatori, vakutaineri da sxva, _

gansazRvra • SardSi formiani elementebis raodenobis gansazRvra neCiporenkos

wesiT • SardSi formiani elementebis raodenobis gansazRvra adis_kakovskis wesiT

• zimnickis cda • SardSi bens_jonsis cilis gansazRvra

• ganavlis saeTo analizi



• ganavlis gamokvleva umartivesebze

• ganavlis gamokvleva helminTebze

• Tavzurgtvinis siTxis (liqvoris) laboratoriuli gamokvleva

• Tavzurgtvinis siTxis (liqvoris) baqterioskopiuli gamokvleva

• duodenaluri

134


done tipi

kadrebi RWurviloba nozologia vebi

samedicino

saqmianobis

moculoba samedicino-teqnikuri a gamokvle

1 2 3 5 7 4 6

aucileblad erTjeradi. laboratoria • samedicino personalis individualuri dacvis

saSualebebi: samedicino xalaTi, niRabi / dolbandi, saTvale, xelTaTmanebi da sxva, _ erTjeradi an damzadebuli masalisagan, romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2 cali.;

• laboratoriuli magida _ 3 cali.; • hematologiuri analizatori (avtomaturi an

naxevradavtomaturi, daxuruli an Ria sistema). alternatiul SemTxvevaSi fotoeleqtrokolorimetri an speqtrofotometri (hemoglobinis gansazRvrisaTvis cianmethemoglobinis meTodiT) an/da hemoglobinometri;

• areometri; • sisxlis ujredebis meqanikuri saTvleli _ 2

cali; • mikroskopi _ luminescenturi, fotogadaRebis

SesaZleblobiT (sasurvelia); alternatiul SemTxvevaSi, mikroskopze dasamagrebeli mowyobiloba fotogadaRebisaTvis;

• biologiuri mikroskopi (binokularuli / monokularuli, sinaTlis wyaro) _ 3 cali;

• goriaevis kamera _ 2 cali.; • panCenkovis aparati (10 kapilariT) _ 2 cali.; • torsiuli laboratoriuli saswori; • analizuri laboratoriuli saswori; • laboratoriuli centrifuga; • mikrocentrifuga hematokritis gansazRvrisaTvis; • laboratoriuli Termometri; • laboratoriuli saaTi; • pipeti variabeluri moculobiT (200-1000 mkl.),

erTarxiani; • pipeti variabeluri moculobiT (50-200 mkl.),

erTarxiani; • pipeti variabeluri moculobiT (5-50 mkl.),

SigTavsis laboratoriuli gamokvleva

• kuWis wvenis mJavianobis gansazRvra

• Rru organoTa SigTavsis klinikuri da citologiuri gamokvleva

• kanidan da lorwovani garsidan miRebuli masalis citologiuri da baqterioskopiuli gamokvleva

• Tvalis lorwovanidan aRebuli nacxis citologiuri da baqterioskopiuli gamokvleva

• saSos nacxis citologiuri da baqterioskopiuli gamokvleva

• ureTris nacxis citologiuri da baqterioskopiuli gamokvleva

• saSos sisufTavis xarisxis dadgena

• nacxis gamokvleva pirdapiri imunofluorescenciiT qlamidiebze, virusebze da sxva

135


done tipi

kadrebi ino-teqnikuri aRWurviloba nozologia levebi

samedicino

saqmianobis

moculoba samedic gamokv

1 2 3 5 7 4 6


variabeluri moculobis pipetisaTvis; alternatiul SemTxvevaSi mravaljeradi gamoyenebis pipetebi (0.02, 1, 2, 5, 10 ml. moculobis minis an masalis, romelic sterildeba sveli an mSrali sterilizaciiT). 3 - 3c.



• Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • biqsi - 2c. • karada an sadgami biqsisaTvis; • samedicino karada - 2c.; • mowyobiloba mSrali sterilizaciisaTvis an


• konteineri naxmari masalis sadezinfeqciod, TeTreulis, da a.S. _ 2cali.

laboratiuli WurWeli • sinjarebi; • centrifugis sinjarebi (danayofebiani an mis

gareSe); • qimiuri sinjarebi; • danayofebiani qimiuri Wiqebi (100 ml.-iani); • sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani); • sasagne minebi. SeniSvna - laboratoriuli WurWeli unda iyos

• nacxis baqterioskopia gonokokze _ gramis wesiT

• winamdebare jirkvlis sekretis laboratoriuli gamokvleva

• spermograma • anabeWdisa da nacxis citologiuri gamokvleva

• sxvadasxva paTologiuri masalis gamokvleva BK-ze

• naxvelis saerTo laboratoriuli gamokvleva

136


done tipi

kadrebi samedicino-teqnikuri aRWurviloba nozologia gamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

erTjeradi an masalis, romelic sterildeba sveli an mSrali wesiT. sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) • sruli aRWurviloba, saTanado donis samedicino

dawesebulebis (III an IV, II donis sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) samsaxuris uzrunvelsayofad.

alternatiul SeTxvevaSi _ xelSekruleba saTanado teqnikuri infrastuqturis sabazo dawesebulebasTan.

eqimTa uwyveti ganaTleba (eqimTa uwyveti ganaTlebis organizacia) • sruli aRWurviloba, saTanado donis (eqimTa

uwyveti ganaTleba, eqimTa uwyveti ganaTlebis organizacia) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.

alternatiul SemTxvevaSi _ xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.

postdiplomuri specializaciis sabazo dawesebuleba • sruli aRWurviloba saTanado donis

(postdiplomuri specializaciis sabazo dawesebuleba) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.

alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.

umaRlesi samedicino saganmanaTleblo dawesebulebebis (ganaTlebis saministros mier licenzirebuli) sabazo klinikuri saqmianoba

137


done tipi

kadrebi nozologia gamokvlevebi

samedicino

saqmianobis

moculoba samedicino-teqnikuri aRWurviloba

1 2 3 5 6 7 4

• sruli aRWurviloba saTanado donis (umaRlesi samedicino saganmanaTleblo dawesebulebebis, ganaTlebis saministros mier licenzirebuli sabazo klinikuri saqmianoba) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.


saSualo samedicino personalis ganaTleba • sruli aRWurviloba saTanado donis (saSualo

samedicino personalis ganaTleba) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.

alternatiul SemTxvevaSi _ xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.

138



gamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

III • regionaluri (respub-likuri saavadmyofo)

• speciali-zebuli saavadmyofo

• kliniku-ri saavadmyofo

• dispanseri

• mraval-profiliani dispanseri

• poli-klinika

• qalTa konsul-tacia

• laboratoriis (ganyofileba) xelmZRvaneli (gamge) an laboratoriis kuratori – eqimi laboranti (umaRlesi samedicino ganaTleba – serTifikati laborato-riul medicinaSi).

• eqimi laboranti (umaRlesi samedicino ganaTleba – serTifikati laborato-riul medicinaSi).

• laboratoriuli medicinis specialisti (umaRlesi arasamedicino ganaTleba – biologi an analitikuri qimiis specialisti - serTifikati laborato-riul medicinaSi).

samedicino dawesebulebis teqnikuri infrastruqtura (alternatiuli kvebis wyaro, gaTboba kondicirebisa da ventilaciis sistema, wyal – sakanalizacio sistema). sruli aRWurviloba, saTanado donis samedicino dawesebulebis (laboratoriuli saqmianoba, samedicino saqmianobis III, IV, II done), teqnikuri infrastruqturis (centraluri an avtonomiuri) samsaxuris uzrunvelyofisaTvis. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis mqone sabazo dawesebulebasTan. • avariuli kvebis wyaro (avtonomiuri kvebis wyaro,

calke damatebiTi xazi) an generatori simZlavriT aranakleb 2,5 kvt.-isa;




• wyalmomaragebis sistema (civi wyali, cxeli wyali, _ centraluri an avtonomiuri);

• xelsabani (qirurgis niJara); • karada sadezinfeqcio xsnarebisaTvis; • konteineri (Tasi an abazana) laboratoriuli

WurWlis, instrumentebis dezinficirebisaTvis - 2c.

samedicino informaciuli samsaxuri (teqnologiebi, samedicino statistika, monacemTa baza, sakomunikacio saSualebebi mag. interneti, faqsi da a.S.). • personaluri kompiuteri (standartuli

kompleqtacia: monitori, procesori, printeri Zabvis stabilizatori an mudmivi kvebis wyaro

yvela nozologiis bioqimiuri diagnostika.

• saerTo cilis gansazRvra sisxlSi

• albuminis gansazRvra sisxlSi

• Sardovanas gansazRvra sisxlSi


• glukozis gansazRvra sisxlSi

• trigliceridebis gansazRvra sisxlSi


• maRali simkvrivis qolesterinis gansazRvra sisxlSi

• dabali simkvrivis qolesterinis gansazRvra sisxlSi

• saerTo bilirubinis gansazRvra sisxlSi

• pirdapiri bilirubinis gansazRvra sisxlSi

• aspartataminotans

• sisxlis aReba -kapilaruli, venuri;

• Sratis gamoyofa, plazmis miReba;

• bioqimiuri gamokvlevebis Catareba.

139




moculoba samedicino-teqnikuri aRWurviloba gamokvlevebi

1 2 5 7 3 4 6



• klinikuri inJineri (samedicino aparaturis inJineri an samedicino bioteqnikuri sistemebis specialisti an/da xelSekruleba samedicino aparaturis servis samsaxurTan, aRniSnuli unda iTvaliswineb-des agreTve metrologiur momsaxureobas).

(UPS), internetis modemi, programuli uzrunvelyofa mag. monacemTa baza, buRalteria da a.S.) _ (sasurvelia);

• telefonis xazi - faqsis aparati (sasurvelia); • eqimis magida; • skami; • karada. saproceduro (masalis aReba) • eqimis magida; • skami; • mbrunavi skami (sasurvelia); • samedicino karada; • arteriuli, arainvaziuri wnevis gasazomi aparati

(mag.: sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli);



• invaziuri Carevis saSualebebi nemsi, Sprici, skarifikatori, vakutaineri da sxva _ aucileblad erTjeradi;

laboratoria • samedicino personalis individualuri dacvis


• laboratoriuli magida - 3c.; • bioqimiuri analizatori avtomaturi an

naxevradavtomaturi, daxuruli an Ria sistema. alternatiul SemTxvevaSi, fotoeleqtrokolorimetri an speqtrofotometri;

• eleqtrolitebis ganmsazRvreli analizatori avtomaturi an naxevradavtomaturi, daxuruli an Ria sistema.

-ferazas gansazRvra sisxlSi

• alaninaminotransferzas gansazRvra sisxlSi

• gama-glutamiltrsferazas gansazRvra sisxlSi

• tute fosfatazas gansazRvra sisxlSi

• kreatinkinazas gansazRvra sisxlSi

• alfa-amilazs gansazRvra sisxlSi

• natriumis gansazRvra sisxlSi

• kaliumis gansazRvra sisxlSi

• kalciumis gansazRvra sisxlSi

• rkinis gansazRvra sisxlSi

• revmatoiduli faqtoris gansazRvra sisxlSi

• C reaqtiuli cilis gansazRvra sisxlSi

• difenilaminis cda

• antistreptolizi

140




moculoba

gamokvlevebi

1 2 3 4 5 7 6

alternatiul SemTxvevaSi, aliani fotometri; • koagulaciis ganmsazRvreli aparati avtomaturi

an naxevradavtomaturi, daxuruli an Ria sistema. alternatiul SemTxvevaSi, wylis Termostati;

• eleqtroforezis mowyobiloba (cilebis fraqcionirebis gansazRvrisaTvis) - sasurveli, magram araaucilebeli;

• sisxlis gazebis ganmsazRvreli analizatori avtomaturi an naxevradavtomaturi, daxuruli an Ria sistema (sisxlSi mJava-tutovani wonasworobis da airTa Semcvelobis ganmsazRvreli) -sasurveli, magram araaucilebeli;

• sanjRrevela (e.w. Seikeri meqanikuri an eleqtruli) -sasurvelia;

• torziuli laboratoriuli saswori; • analizuri laboratoriuli saswori; • laboratoriuli centrifuga; • maRali sixSiris centrifuga; • laboratoriuli Termometri; • laboratoriuli saaTi; • wamzomi; • pipeti variabeluri moculobebiT (200-1000 mkl.),




variabeluri moculobis pipetisaTvis; alternatiul SemTxvevaSi mravaljeradi gamoyenebis pipetebi (0.02, 1, 2, 5, 10 ml. moculobis, minis an masalis, romelic sterildeba sveli an mSrali sterilizaciiT). 3 - 3c.



• Termostati (37-600C);

ni O-s gansazRvra sisxlSi

hemostazi • koagulograma • sisxlis Sededebis dro li da uaitis mixedviT

• plazmis rekalcifikaciis dro

• aqtivirebuli nawilobrivi Tromboblastinis (aPTT) dro

• proTrombinis indeqsis gansazRvra

• saerTaSoriso normalizebuli Sefardebis (INR) gansazRvra

• Trombinis dro • fibrinogenis koncentraciis gansazRvra

• fibrinolizuri aqtivobis gansazRvra

141


done tipi kadrebi kuri aRWurviloba nozologia

gamokvlevebi


moculoba samedicino-teqni

1 2 3 5 6 7 4

• saSrobi karada (900C); • macivari (0 - +40C); • macivari Rrma gayinvisaTvis (-200C); • biqsi - 2c.; • karada an sadgami biqsisaTvis; • samedicino karada - 2c.; • mowyobiloba mSrali sterilizaciisaTvis an



laboratiuli WurWeli • sinjarebi; • centrifugis sinjarebi (danayofebiani an mis

gareSe); • qimiuri sinjarebi; • danayofebiani qimiuri Wiqebi (100 ml.-iani); • sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani); SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi an masalis, romelic sterildeba sveli an mSrali sterilizaciiT. sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) • sruli aRWurviloba, saTanado donis samedicino

dawesebulebis (III, IV an II donis sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) samsaxuris uzrunvelyofisaTvis.

alternatiul SeTxvevaSi xelSekruleba saTanado teqnikuri infrastuqturis sabazo dawesebulebasTan.

eqimTa uwyveti ganaTleba (eqimTa uwyveti ganaTlebis organizacia) • sruli aRWurviloba, saTanado donis (eqimTa

142



gamokvlevebi


moculoba samedicino-teqnikuri aRWurviloba

1 2 3 5 6 7 4

uwyveti ganaTleba, eqimTa uwyveti ganaTlebis organizacia) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.


postdiplomuri specializaciis sabazo dawesebuleba • sruli aRWurviloba saTanado donis

(postdiplomuri specializaciis sabazo dawesebuleba) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.

alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebvasTan.

umaRlesi samedicino saganmanaTleblo dawesebulebebis (ganaTlebis saministros mier licenzirebuli) sabazo klinikuri saqmianoba • sruli aRWurviloba saTanado donis (umaRlesi

samedicino saganmanaTleblo dawesebulebebis, ganaTlebis saministros mier licenzirebuli sabazo klinikuri saqmianoba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi.


saSualo samedicino personalis ganaTleba • sruli aRWurviloba saTanado donis (saSualo

samedicino personalis ganaTleba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi.


143


kliniko-laboratoriuli diagnostika (done IV)



gamokvlevebi

samedicino

saqmianobis moculoba

1 2 3 4 5 6 7

IV • speciali-

zebuli

samecni-

ero-kvleviTi

institu-

ti

• speciali-

zebuli centri

• sauniver-siteto

(akade-

miis) klinika

• centris xelmZRvaneli

(kuratori) –

eqimi laboranti

(umaRlesi

samedicino

ganaTleba –

serTifikati

laboratoto-riul

medicinaSi da

sxva).

• laboratoriis

(ganyofileba) xelmZRvaneli

(gamge) an

laboratoriis

kuratori –

eqimi laboranti

(umaRlesi

samedicino

ganaTleba –

serTifikati

labora-toriul

medicinaSi).

• eqimi laboranti


(alternatiuli kvebis wyaro, gaTboba kondicirebisa da


sruli aRWurviloba, saTanado donis samedicino

dawesebulebis (laboratoriuli saqmianoba, samedicino

saqmianobis IV, III done), teqnikuri infrastruqturis

(centraluri an avtonomiuri) samsaxuris

uzrunvelyofisaTvis.

alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri



damatebiTi xazi) an generatori simZlavriT aranakleb

2,5 kvt.-isa;


uzrunvelyofisaTvis;



• sakanalizacio sistema (centraluri an avtonomiuri) • wyalmomaragebis sistema (civi wyali, cxeli wyali, _






samedicino informaciuli samsaxuri (teqnologiebi,

samedicino statistika, monacemTa baza, sakomunikacio

saSualebebi mag. interneti, faqsi da a.S.).


yvela

nozologiis

hematolo-

giuri da zogad-

klinikuri

laborato-

riuli

diagnostika.

• sisxlis saerTo

analizi

• hemoglobinis

gansazRvra sisxlSi

• eriTrocitebis raodenobis

gansazRvra

sixlSi

• leikocitebis raodenobis

gansazRvra

sixlSi

• hematokritis gansazRvra

• Trombocitebis raodenobis

gansazRvra

sisxlSi

• retikulocitebis

raodenobis gansazRvra

sisxlSi


• sisxlis

Sededebis da sisxldenis dro

• eriTrocitebis osmosuri

rezistentobis

gansazRvra

• sisxlis aReba

TiTidan, sisxlis

damuSaveba da

mikroskopia Txier

mdgomareobaSi;

• sisxlis nacxis

da Zvlis tvinis

fiqsacia da SeRebva, SeRebili

nacxis

hematologiuri

da citologiuri

diagnostika;

• Sardis damuSaveba da mikroskopia;

• ganavlis

damuSaveba da mikroskopia;

• kuWis wvenis aReba da

gamokvleva;

• duodenaluri

SigTavsis aReba

da gamokvleva;

• naxvelis nacxebis

144


done tipi nozologia

samedicino


saqmianobis

moculoba

1 2 5 3 4 6 7

(umaRlesi

samedicino

ganaTleba –

serTifikati

labora-

toriul medicinaSi).

• laboratoriu

li medicinis

specialisti

(umaRlesi arasamedicino

ganaTleba –

biologi an

analitikuri

qimiis

specialisti, serTifikati

labora-

toriul

medicinaSi).

• saSualo (teqnikuri)

laboranti

(saSualo

teqnikuri

ganaTleba)


• klinikuri

inJineri

monitori, procesori, printeri Zabvis stabilizatori

an mudmivi kvebis wyaro (UPS), internetis modemi, programuli uzrunvelyofa mag. monacemTa baza,

buRalteria da a.S.) _ (sasurvelia);

• telefonis xazi, faqsis aparati (sasurvelia);


• karada.

saproceduro gamosakvlevi masalis misaRebad (Sardi,

naxveli, duodenaluri, gastraluri da sxva masalis aReba)


• mbrunavi skami (sasurvelia);

• samedicino karada;


sfigmomanometri, fonendoskopi: mozrdilTa da

pediatriuli); • samedicino taxti;


saSualebebi: samedicino xalaTi, niRabi/dolbandi,

xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli

masalisagan romelic sterildeba sveli an mSrali

sterilizaciiT _ 2-2 cali.; • invaziuri Carevis saSualebebi nemsi, Sprici,

skarifikatori, vakutaineri da sxva _ aucileblad

erTjeradi;

• xelSekruleba endoskopiur kabinetTan (standartuli

aRWurviloba endoskopiisaTvis mag.: gastroskopi,

bronqoskopi da sxva. biologiuri masalis: duodenaluri, gastraluri da sxva, _ aReba).

alternatiul SemTxvevaSi duodenaluri, gastraluri

da sxva masalis misaRebi saSualebebi (mag.:

duodenaluri zondi, Janes Sprici _ erTjeradi an

damzadebuli masalisagan, romelic sterildeba sveli

• eriTrocitebis saSualo

diametris

gansazRvra

• fetaluri

hemoglobinis citologiuri

gansazRvra

• eriTrocitebSi hemoglobin H-is

CanarTebis

aRmoCena • leikocitebis

fagocituri

aqtivobis

gamokvleva

• malariis

plazmodiumebze sisxlis sqeli

wveTisa da

nacxis

mikroskopia

• mielograma

(medulograma) • sisxlisa da

Zvlis tvinis

ujredebis

citoqimiuri

gamokvleva

(onkohematolo-gia)

• limfuri kvanZis

punqtatis

citologiuri

gamokvleva

damzadeba SeRebva

da gamokvleva;

• qalisa da

mamakacis

sasqeso organoebidan

miRebuli masalis

diagnostika;

• liqvoris

laboratoriuli gamokvleva;

• serozuli

siTxeebis

laboratoriuli

gamokvleva;

• punqtatis citologiuri

gamokvleva.

145


done tipi samedicino-teqnikuri aRWurviloba nozologia

samedicino

saqmianobis

moculoba

kadrebi gamokvlevebi

1 2 4 5 7 3 6

(samedicino

aparaturis

inJineri an

samedicino

bioteqnikuri

sistemebis specialisti

an/da

xelSekruleba

samedicino

aparaturis

servis samsaxurTan,

aRniSnuli

unda

iTvaliswi-

nebdes agreTve

metrologiur momsaxureo-

bas).

an mSrali sterilizaciiT; dabali wnevis Terapiuli

eleqtruli vakuumsaqaCi).

laboratoriuli WurWeli:

• sinjarebi qimiuri da centrifugis (danayofebiani an mis

gareSe); • sazomi kolbebi (50, 100, 500, 1000 ml.-iani);


• danayofebiani cilindrebi (100, 200, 500 ml.-iani).

SeniSvna _ laboratoriuli WurWeli unda iyos erTjeradi,

an damzadebuli masalisgan, romelic sterildeba sveli an

mSrali wesiT.

Zvlis tvinis nacxis miReba, serozuli siTxeebis,

Tavzurgtvinis siTxis (liqvoris), qalisa da mamakacis

sasqeso organoebidan masalis aReba

• saoperacio darbazi (standartuli aRWurviloba).

alternatiul SemTxvevaSi, xelSekruleba saTanado licenziis mqone ganyofilebasTan.

saproceduro (kapilaruli, venuri sisxlis aReba)

• eqimis magida;

• skami;


• arteriuli wnevis gasazomi arainvaziuri aparati

(mag.:sfigmomanometri, fonendoskopi: mozrdilTa da

pediatriuli);


• samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi / dolbandi,



mSrali wesiT _ 2-2 cali.;


• punqtatis citologiuri

gamokvleva

• leikokoncentrat

is gamokvleva

sisxlis gamokvleva

mgluras (LE) ujredebze

• sisxlis jgufisa

da rezusis

gansazRvra • Sardis saerTo analizi

• SardSi cilis

raodenobis

gansazRvra

• SardSi glukozis raodenobis

gansazRvra

• SardSi ketonuri sxeulebis

gansazRvra

• SardSi nitritebis

gansazRvra

• SardSi naRvlis

pigmentebis

gansazRvra

• SardSi urobilinis

gansazRvra


gansazRvra

146



samedicino

saqmianobis

moculoba


1 2 3 5 7 4 6

skarifikatori, vakutaineri da sxva, _ aucileblad

erTjeradi.

laboratoria


saSualebebi: samedicino xalaTi, niRabi / dolbandi, saTvale, xelTaTmanebi da sxva, _ erTjeradi an


mSrali sterilizaciiT _ 2-2c.;

• laboratoriuli magida - 3c.;

• hematologiuri analizatori (avtomaturi an

naxevradavtomaturi, daxuruli an Ria sistema). alternatiul SemTxvevaSi, _

fotoeleqtrokolorimetri an speqtrofotometri

(hemoglobinis gansazRvrisaTvis cianmethemoglobinis

meTodiT) an/da hemoglobinometri;

• Sardis analizatori (sasurvelia);

• areometri; • sisxlis ujredebis avtomaturi saTvleli.

alternatiul SemTxvevaSi, _ sisxlis ujredebis

meqanikuri saTvleli - 2 cali.;

• sanjRrevela (e.w. "Seikeri" _ meqanikuri an eleqtruli)

-(sasurvelia);

• mikroskopi: luminescenturi, fotogadaRebis SesaZleblobiT (sasurvelia);

alternatiul SemTxvevaSi, mikroskopze dasamagrebeli

mowyobiloba fotogadaRebisaTvis;

• biologiuri mikroskopi (binokularuli /

monokularuli, sinaTlis wyaro) - 3 cali.;

• goriaevis kamera - 2 cali.; • panCenkovis aparati (10 kapilariT) - 2 cali.;


• analizuri laboratoriuli saswori;


• mikrocentrifuga hematokritis gansasazRvrad;


raodenobis

gansazRvra

neCiporenkos

wesiT


raodenobis

gansazRvra

adis_kakovskis

wesiT

• zimnickis cda • SardSi bens_jonsis

cilis gansazRvra

• ganavlis saerTo

analizi • ganavlis

gamokvleva

farul

sisxldenaze

• ganavlis

gamokvleva Wiis kvercxebze

• ganavlis

gamokvleva

umartivesebze

• ganavlis

gamokvleva helminTebze

• Tavzurgtvinis siTxis

(liqvoris)

laboratoriuli

147


done tipi kadrebi kuri aRWurviloba nozologia

samedicino

saqmianobis

moculoba

samedicino-teqni gamokvlevebi

1 2 3 5 7 4 6



• pipeti variabeluri moculobiT (200-1000 mkl.),

erTarxiani;

• pipeti variabeluri moculobiT (50-200 mkl.),

erTarxiani; • pipeti variabeluri moculobiT (5-50 mkl.), erTarxiani;




pipetebi (0.02, 1, 2, 5, 10 ml. moculobis, minis an

masalis, romelic sterildeba sveli an mSrali sterilizaciiT). 3 - 3c.




(distilatori).

alternatiul SemTxvevaSi xelSekruleba afTiaqTan; • Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • biqsi - 2 cali.


• samedicino karada - 2 cali.; • mowyobiloba mSrali sterilizaciisaTvis an orTqlis

sterilizatori _ portatiuli.

alternatiul SemTxvevaSi dawesebulebas unda

gaaCndes centraluri sasterilizacio igive

misamarTze an xelSekruleba centralur

sasterilizaciosTan;

• konteineri naxmari masalis sadezinfeqciod, TeTreulis,

da a.S. _ 2 cali.

gamokvleva

• Tavzurgtvinis siTxis

(liqvoris)

baqterioskopiul

i gamokvleva • duodenaluri

SigTavsis

laboratoriuli

gamokvleva

• plevris Rrudan

miRebuli siTxis saerTo

klinikuri da

baqterioskopiu-

li analizi.

• peritoniumis Rrudan miRebuli siTxis saerTo

klinikuri da

baqterioskopiu-

li analizi

• perikardiumis Rrudan miRebuli siTxis saerTo

klinikuri da

baqterioskopiu-

li analizi

• kuWis wvenis mJavianobis gansazRvra

• Rru organoTa SigTavsis

klinikuri da

citologiuri

148



samedicino

saqmianobis

moculoba

gamokvlevebi

1 2 3 5 7 4 6

laboratiuli WurWeli

• sinjarebi;




• sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani);

• sasagne minebi.

SeniSvna - laboratoriuli WurWeli unda iyos erTjeradi

an masalis, romelic sterildeba sveli an mSrali wesiT.

sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an centraluri sasterilizacio)


dawesebulebis (IV an III donis sasterilizacio,

sadezinfeqcio an centraluri sasterilizacio)

samsaxuris uzrunvelsayofad.

alternatiul SeTxvevaSi, _ xelSekruleba saTanado teqnikuri infrastuqturis sabazo dawesebulebasTan.

eqimTa uwyveti ganaTleba (eqimTa uwyveti ganaTlebis

organizacia)

• sruli aRWurviloba, saTanado donis (eqimTa uwyveti

ganaTleba, eqimTa uwyveti ganaTlebis organizacia) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.

alternatiul SemTxvevaSi, _ xelSekruleba saTanado

teqnikuri infrastruqturis sabazo dawesebulebasTan.

postdiplomuri specializaciis sabazo dawesebuleba

• sruli aRWurviloba saTanado donis (postdiplomuri specializaciis sabazo dawesebuleba) saqmianobis

Sesabamisad, moTxovnis SemTxvevaSi.



gamokvleva

• kanidan da lorwovani

garsidan

miRebuli masalis

citologiuri da baqterioskopiu-

li gamokvleva

• Tvalis

lorwovanidan

aRebuli nacxis

citologiuri da baqterioskopiu-

li gamokvleva

• saSos nacxis citologiuri da

baqterioskopiu-

li gamokvleva • ureTris nacxis citologiuri da

baqterioskopiu-

li gamokvleva

• saSos sisufTavis xarisxis dadgena

• nacxis gamokvleva

pirdapiri

imunofluores-

cenciiT

qlamidiebze,

virusebze da sxva

• nacxis baqterioskopia

gonokokze _

gramis wesiT

149



samedicino

saqmianobis

moculoba

gamokvlevebi

1 2 3 4 5 7 6

umaRlesi samedicino saganmanaTleblo dawesebulebebis

(ganaTlebis saministros mier licenzirebuli) sabazo

klinikuri saqmianoba

• sruli aRWurviloba saTanado donis (umaRlesi

samedicino saganmanaTleblo dawesebulebebis, ganaTlebis

saministros mier licenzirebuli sabazo klinikuri saqmianoba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi.



saSualo samedicino personalis ganaTleba

• sruli aRWurviloba saTanado donis (saSualo samedicino personalis ganaTleba) saqminobis Sesabamisad,

moTxovnis SemTxvevaSi.



• winamdebare jirkvlis

sekretis

laboratoriuli

gamokvleva

• spermograma • anabeWdisa da nacxis

citologiuri

gamokvleva

• sxvadasxva paTologiuri masalis

gamokvleva BK-ze

• naxvelis saerTo

laboratoriuli

gamokvleva

150



gamokvlevebi

samedicino

saqmianobis

moculoba

1 2 3 4 5 6 7

IV • speciali-

zebuli

samecniero-

kvleviTi

instituti

• speciali-zebuli

• centri • sauniver-siteto

(akademiis) klinika

• centris xelmZRvaneli

(kuratori) –

eqimi

laboranti

(umaRlesi samedicino

ganaTleba –

serTifikati

laboratori-

ul medicinaSi da sxva).

• laboratoriis

(ganyofileba)

xelmZRvaneli

(gamge) an laboratoriis

kuratori –

eqimi

laboranti

(umaRlesi

samedicino ganaTleba –

serTifikati

laborato-

riul

medicinaSi)

• eqimi laboranti

(umaRlesi

samedicino

ganaTleba –





(laboratoriuli saqmianoba, samedicino saqmianobis IV, III done), teqnikuri infrastruqturis (centraluri an

avtonomiuri) samsaxuris uzrunvelyofisaTvis.

alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri



damatebiTi xazi) an generatori simZlavriT aranakleb 2,5

kvt.-isa;





• wyalmomaragebis sistema (civi wyali, cxeli wyali, _

centraluri an avtonomiuri); • xelsabani (qirurgis niJara);




samedicino informaciuli samsaxuri (teqnologiebi, samedicino statistika, monacemTa baza, sakomunikacio saSualebebi mag.

interneti, faqsi da a.S.).


monitori, procesori, printeri Zabvis stabilizatori an

yvela

nozologiis

bioqimiuri

diagnostika.

• saerTo cilis

gansazRvra

sisxlSi

• albuminis

gansazRvra

sisxlSi • Sardovanas gansazRvra

sisxlSi


• SardmJavas gansazRvra

sisxlSi

• glukozis

gansazRvra sisxlSi

• trigliceride-

bis gansazRvra

sisxlSi

• saerTo qolesterinis gansazRvra

sisxlSi

• maRali

simkvrivis

qolesterinis

gansazRvra sisxlSi

• dabali

simkvrivis

qolesterinis

gansazRvra

• sisxlis

aReba -

kapilaruli,

venuri;

• Sratis gamoyofa,

plazmis

miReba;

• bioqimiuri gamokvleve-

bis Catareba.

151


done tipi nozologia

samedicino

saqmianobis

moculoba


1 2 5 7 3 4 6

serTifikati

laborato-

riul

medicinaSi).

• laboratori-uli medicinis

specialisti

(umaRlesi

arasamedicino

ganaTleba –

biologi an analitikuri

qimiis

specialisti -

serTifikati

laborato-

riul medicinaSi).

• saSualo

(teqnikuri)

laboranti

(saSualo teqnikuri

ganaTleba)


• klinikuri

inJineri

(samedicino

aparaturis

inJineri an

mudmivi kvebis wyaro (UPS), internetis modemi, programuli

uzrunvelyofa mag. monacemTa baza, buhxalteria da a.S.) _

(sasurvelia);

• telefonis xazi - faqsis aparati (sasurvelia);

• eqimis magida;

• skami; • karada.

saproceduro (masalis aReba)

• eqimis magida;

• skami;



sfigmomanometri, fonendoskopi: mozrdilTa da

pediatriuli);


• samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale,



• invaziuri Carevis saSualebebi nemsi, Sprici, skarifikatori,

vakutaineri da sxva _ aucileblad erTjeradi;

laboratoria

• samedicino personalis individualuri dacvis saSualebebi:

samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale,



• laboratoriuli magida - 3c.; • bioqimiuri analizatori avtomaturi an naxevradavtomaturi,

daxuruli an Ria sistema.

• imunofermentuli analizatori avtomaturi an

naxevradavtomaturi, daxuruli an Ria sistema (hormonebis

gansazRvrisaTvis);

sisxlSi

• saerTo bilirubinis

gansazRvra

sisxlSi

• pirdapiri bilirubinis

gansazRvra

sisxlSi

• laqtatdehidro

genazas

gansazRvra sisxlSi

• aspartataminotansferazas

gansazRvra

sisxlSi

• alaninaminotransferzas

gansazRvra

sisxlSi

• gama-glutamiltrsf

erazas gansazRvra

sisxlSi

• tute fosfatazas

gansazRvra

sisxlSi • kreatinkinazas gansazRvra

sisxlSi

• kreatinkinazas MB fraqciis

152


done tipi nozologia

samedicino

saqmianobis

moculoba


1 2 5 7 3 4 6

samedicino

bioteqnikuri

sistemebis

specialisti

an/da

xelSekruleba samedicino

aparaturis

servis

samsaxurTan,

aRniSnuli

unda iTvaliswineb-

des agreTve

metrologiur

momsaxureobas)

• vitaminebis ganmsazRvreli analizatori avtomaturi an

naxevradavtomaturi, daxuruli an Ria sistema - sasurveli,

magram araaucilebeli;

• eleqtrolitebis ganmsazRvreli analizatori avtomaturi

an naxevradavtomaturi, daxuruli an Ria sistema.

alternatiul SemTxvevaSi, aliani fotometri; • koagulaciis ganmsazRvreli aparati avtomaturi an

naxevradavtomaturi, daxuruli an Ria sistema.

alternatiul SemTxvevaSi, wylis Termostati;

• sisxlis gazebis ganmsazRvreli analizatori avtomaturi an

naxevradavtomaturi, daxuruli an Ria sistema (sisxlSi

mJava-tutovani wonasworobis da airTa Semcvelobis ganmsazRvreli) - sasurveli, magram araaucilebeli;

• sanjRrevela (e.w. Seikeri meqanikuri an eleqtruli) -

sasurvelia;

• torziuli laboratoriuli saswori;

• analizuri laboratoriuli saswori;

• laboratoriuli centrifuga; • maRali sixSiris centrifuga;



• wamzomi;



erTarxiani;

• pipeti variabeluri moculobebiT (5-50 mkl.), erTarxiani;



alternatiul SemTxvevaSi mravaljeradi gamoyenebis pipetebi (0.02, 1, 2, 5, 10 ml. moculobis, minis an

masalis, romelic sterildeba sveli an mSrali

sterilizaciiT). 3 - 3c.



gansazRvra

sisxlSi

• alfa-amilazs

gansazRvra

sisxlSi

• natriumis gansazRvra

sisxlSi

• kaliumis

gansazRvra

sisxlSi

• kalciumis gansazRvra

sisxlSi

• sisxlis mJava-

tutovani

wonasworobis

gansazRvra • rkinis gansazRvra

sisxlSi

• magniumis gansazRvra

• sisxlSi • Tireotropuli

hormonis

gansazRvra

sisxlSi

• Tiroqsinis gansazRvra sisxlSi

• A vitaminis gansazRvra

sisxlSi

• E vitaminis

153



samedicino

saqmianobis

moculoba


1 2 3 5 7 4 6


(distilatori).


• Termostati (37-600C); • saSrobi karada (900C); • macivari (0 - +40C); • macivari Rrma gayinvisaTvis (-200C); • biqsi - 2c.;


• samedicino karada - 2c.;

• mowyobiloba mSrali sterilizaciisaTvis an orTqlis

sterilizatori _ portatiuli. alternatiul SemTxvevaSi dawesebulebas unda gaaCndes

centraluri sasterilizacio igive misamarTze an

xelSekruleba centralur sasterilizaciosTan;

• konteineri naxmari masalis dezinficirebisaTvis,

TeTreulis, da a.S. _ 2c.


• sinjarebi;




• sazomi kolbebi (50, 100, 500, 1000 ml.-iani); • danayofebiani cilindrebi (100, 200, 500 ml.-iani);


masalis, romelic sterildeba sveli an mSrali sterilizaciiT.

sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio

an centraluri sasterilizacio) • sruli aRWurviloba, saTanado donis samedicino

dawesebulebis (IV an III donis sasterilizacio,

sadezinfeqcio an centraluri sasterilizacio) samsaxuris

uzrunvelyofisaTvis.

alternatiul SeTxvevaSi xelSekruleba saTanado

gansazRvra

sisxlSi

• revmatoiduli

faqtoris

gansazRvra

sisxlSi • C reaqtiuli

cilis

gansazRvra

sisxlSi

• difenilaminis

cda • antistreptoli

zini O -s

gansazRvra

sisxlSi

hemostazi

• koagulograma

• Trombocitebis agregaciis da

adhezivobis

gansazRvra • sisxlis

Sededebis dro

li da uaitis

mixedviT

• plazmis

rekalcifika-ciis dro

• aqtivirebuli

nawilobrivi

Tromboblasti-

nis (aPTT) dro

154



samedicino

saqmianobis

moculoba

gamokvlevebi

1 2 3 4 5 7 6


eqimTa uwyveti ganaTleba (eqimTa uwyveti ganaTlebis

organizacia)

• sruli aRWurviloba, saTanado donis (eqimTa uwyveti

ganaTleba, eqimTa uwyveti ganaTlebis organizacia) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi.

alternatiul SemTxvevaSi xelSekruleba saTanado


postdiplomuri specializaciis sabazo dawesebuleba

• sruli aRWurviloba saTanado donis (postdiplomuri specializaciis sabazo dawesebuleba) saqmianobis

Sesabamisad, moTxovnis SemTxvevaSi.



umaRlesi samedicino saganmanaTleblo dawesebulebebis (ganaTlebis saministros mier licenzirebuli) sabazo

klinikuri saqmianoba

• sruli aRWurviloba saTanado donis (umaRlesi samedicino

saganmanaTleblo dawesebulebebis, ganaTlebis saministros

mier licenzirebuli sabazo klinikuri saqmianoba)

saqminobis Sesabamisad, moTxovnis SemTxvevaSi. alternatiul SemTxvevaSi xelSekruleba saTanado


saSualo samedicino personalis ganaTleba

• sruli aRWurviloba saTanado donis (saSualo samedicino

personalis ganaTleba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi.



• VIII faqtoris aqtivobis

gansazRvra

• IX faqtoris aqtivobis

• gansazRvra • proTrombinis indeqsis

gansazRvra

• saerTaSoriso normalizebuli

Sefardebis (INR) gansazRvra

• Trombinis dro • fibrinogenis koncentraciis

gansazRvra • antiTrombini III-is

gansazRvra

• protein C -s gansazRvra

• fibrinolizuri aqtivobis

gansazRvra

Tavi V

nozologiebis CamonaTvali daavadebaTa

saerTaSoriso klasifikaciis ICD-10 - is mixedviT

155

zogadi saeqimo praqtika / ojaxis eqimi (I-IV done)

kodi nozologia

L00 stafilokokuri damduRruli kanis sindromi

L01 impetigo

L02 kanis abscesi, furunkuli da karbunkuli

L03 celuliti

L04 mwvave limfadeniti

L05 piloniduri kista

L08 kanis da kanqveSa qsovilis sxva lokaluri infeqciebi

L20 atopuri dermatiti

L21 seboreuli dermatiti

L22 saxvevis dermatiti

L23 alergiuli kontaqturi dermatiti

L24 gamRizianebliT gamowveuli kontaqturi dermatiti

L25 dauzustebeli kontaqturi dermatiti

L26 eqsfoliaciuri dermatiti

L27 dermatiti gamowveuli Sinaganad miRebuli nivTierbebeiT

L28 martivi, qronikuli liqeni da prurigo

L29 qavili

L30 sxva dermatitebi

L40 fsoriazi

L42 vardisferi pitiriazi

L43 brtyeli liqeni

L50 urtikaria (WinWris) cieba

L55 namzeuri

L70 akne

L75 apokrinuli saofle jirkvlebis darRvevebi

L80 vitiligo

L89 nawolis wyluli

J00-J06 zeda sasunTqi gzebis mwvave infeqciebi

J10-J18 gripi da pnevmonia

J20-J22 qveda sasunTqi gzebis sxva mwvave infeqciebi

J30-J39 zeda sasunTqi gzebis sxva avadmyofobebi

J40-J47 qveda sasunTqi gzebis qronikuli avadmyofobebi

J60-J70 filtvebis avadmyofobani gamowveuli garegani faqtorebiT

J80-J84 sasunTqi sistemis sxva avadmyofobebi, intersticiebis upiratesi dazianebiT

J85-J86 qveda sasunTqi gzebis Cirqovani da nekrozuli procesebi

J90-J94 plevris sxva avadmyofobebi

J95-J99 sasunTqi sistemis sxva avadmyofobebi

I00-I02 mwvave revmatizmi

I05-I09 gulis qronikuli revmatiuli avadmyofobebi

I10-I15 hipertenziuli avadmyofobebi

I20-I25 gulis iSemiuri avadmyofobebi

I26-I28 gulis filtvismieri avadmyofoba da sisxlis mimoqcevis mcire wris avadmyofobebi

I30-I52 gulis avadmyofobaTa sxva formebi

I60-I69 cerebrovaskularuli avadmyofobebi

I70-I79 arteriebis, arteriolebis da kapilerebis avadmyofobebi

I80-I89 venebis, limfuri sadinrebis da limfuri kvanZebis avadmyofobebi, romlebic sxvagan ar

156

kodi nozologia

arian klasificirebuli

I95-I99 sisxlis mimoqcevis sistemis sxva da dauzustebeli bunebis avadmyofobebi

K11 sanerwyve jirkvlebis avadmyofobebi

K12 stomatiti da masTan dakavSirebuli dazianebebi

K13 tuCisa da piris Rrus lorwovanis sxva avadmyofobebi

K14 enis avadmyofobebi

K20-K31 saylapavis, kuWis da Tormetgoja nawlavis avadmyofobebi

K35-K38 Wia nawlavis avadmyofobebi

K40-K46 Tiaqari

K50-K52 arainfeqciuri enteritebi da kolitebi

K55-K63 nawlavebis sxva avadmyofobebi

K65-K67 peritoneumis avadmyofobebi

K70-K77 RviZlis avadmyofobebi

K80-K87 naRvlis buStis, sanaRvle gzebis da pankreasis avadmyofobebi

K90 nawlavuri malabsorbcia

K91 saWmlis momnelebeli sistemis postproceduruli dazianebebi, romlebic ar aris

Setanili sxva klasifikaciebSi

N00-N08 gorglebis avadmyofobebi

N10-N16 Tirkmlis tubulo-intersticiuli avadmyofobebi

N17-N19 Tirkmlis ukmarisoba

N20-N23 uroliTiazi

N30 cistiti

N31 Sardis buStis nerv-kunTovani disfunqcia, romelic ar aris Setanili sxva

klasifikaciebSi

N32 Sardis buStis sxva dazianebebi

N33 Sardis buStis dazianebebi im avadmyofobaTa dros, romlebic Setanilia sxva

klasifikaciebSi

N34 ureTriti da ureTruli sindromi

N35 Sardsadenis Seviwroeba

N36 Sardsadenis sxva avadmyofobebi

N37 Sardsadenis dazianebebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi

N39 saSarde sistemis sxva dazianebani

N40 winamdebare jirkvlis hiperplazia

N41 winamdebare jirkvlis anTebiTi avadmyofobebi

N42 winamdebare jirkvlis sxva dazianebebi

N43 hidrocele da spermatocele

N44 saTesle jirkvlis Semogrexa

N45 orqiti da epididimiti

N46 mamakacis unayofoba

N47 grZeli CuCa, fimozi, parafimozi

N48 asos sxva dazianebebi

N49 mamakacis sasqeso organoebis anTebiTi avadmyofobebi, romlebic ar aris Setanili sxva

klasifikaciebSi

N70-N77 qalis menjis Rrus organoebis anTebiTi avadmyofobebi

N80-N98 qalis sasqeso sistemis araanTebiTi dazianebebi

D50 rkina-deficituri anemia

D51 vitamin B12-deficituri anemia D52 folat-deficituri anemia

D55 anemia, gamowveuli fermentuli darRvevebiT

D56 Talasemia

D57 namglisebur ujredovani avadmyofobebi

157

kodi nozologia

D59 SeZenili hemolizuri anemia

D60 SeZenili WeSmariti wiTelujredovani aplazia (eriTroblastopenia)

D61 sxva aplaziuri anemiebi

D62 mwvave posthemoragiuli anemia

D63 anemia im qronikuli avadmyofobebis dros, romlebic Setanilia sxva klasifikaciebSi

D65 diseminirebuli sisxlZarRvSida Sededeba (defibrinaciuli sindromi)

D66 VIII faqtoris memkvidruli deficiti

D67 IX faqtoris memkvidruli deficiti

D68 koagulaciis sxva defeqtebi

D69 purpura da sxva hemoragiuli mdgomareobebi

D70 agranulocitozi

D71 polimorfulbirTviani neitrofilebis funqciuri darRvevebi

D72 sisxlis TeTri ujredebis sxva dazianebebi

D73 elenTis avadmyofobebi

D74 meThemoglobinemia

D77 sisxlisa da sisxlmbadi organoebis sxva saxis dazianebebi im avadmyofobaTa dros,

romelic Setanilia sxva klasifikaciebSi

D80 upiratesad antisxeulebis defeqtebiT mimdinare imunodeficiti

D81 kombinaciuri imunodeficituri mdgomareobebi

D82 imunodeficiti, dakavSirebuli sxva mniSvnelovan defeqtebTan

D83 zogadi cvalebadi imunodeficiti

D84 sxva imunodeficituri mdgomareobebi

D86 sarkoidozi

E00 Tandayolili iod-deficituri sindromi

E01 farisebri jirkvlis iodis deficitTan dakavSirebuli dazianebani da msgavsi

mdgomareobani

E02 subklinikuri iod-deficituri hipoTireozi

E03 hipoTireozis sxva formebi

E04 aratoqsiuri Ciyvis sxva formebi

E05 Tireotoqsikozi

E06 Tiroiditi

E10 insulidamokidebuli Saqriani diabeti

E11 insulindamoukidebeli Saqriani diabeti

E12 arasakmaris kvebasTan dakavSirebuli Saqriani diabeti

E13 Saqriani diabetis sxva dazustebuli formebi

E14 dauzustebeli Saqriani diabeti

E15 aradiabeturi hipoglikemiuri koma

E16 pankreasis SigTavsis sekreciis sxva darRvevebi

E20 hipoparaTireozi

E21 hiperparaTireozi da farisebraxlo jirkvlebis sxva darRvevebi

E22 hipofizis hiperfunqcia

E23 hipofizis hipofunqcia da sxva darRvevebi

E24 kuSingis sindromi

E25 adrenogenitaluri darRvevebi

E26 hiperaldosteronizmi

E28 sakvercxeebios disfunqcia

E29 saTesle jirkvlis disfunqcia

E30 sqesobrivi momwifebis darRvevebi, romelic ar aris Setanili sxva klasifikaciebSi

E31 poliglanduluri hiperfunqcia

E32 Timusis avadmyofobebi

158

kodi nozologia

E35 endokrinuli jirkvlebis dazianebebi im avadmyofobebis dros, romlebic Setanilia sxva

klasifikaciebSi

E40-E46 sakvebis arasakmao raodenobiT miReba

E50 A vitaminis deficiti E51 Tiaminis deficiti

E52 nikotinmJavas deficiti (pelagra)

E53 B jgufis sxva vitaminebis deficiti E54 askorbinis mJavis deficiti

E55 D vitaminis deficiti E56 sxva vitaminebis deficiti

E58 sakvebSi kalciumis deficiti

E59 sakvebSi seleniumis deficiti

E60 sakvebSi TuTiis deficiti

E64 kvebis deficitisa da sxva sakvebi elementebis deficitis Sedegebi

E65 adgilobrivi simsuqne

E66 simsuqne

E67 Warbi kvebis sxva saxeebi

E68 hiperalimentaciis Sedegebi

E70 aromatuli aminomJavebis metabolizmis darRvevebi

E71 ganStoebuljaWviani aminomJavebisa da cximovani mJavebis metabolizmis darRvevebi

E72 aminomJavebis metabolizmis sxva darRvevebi

E73 laqtozis autanloba

E74 naxSirwylebis metabolizmis sxva darRvevebi

E75 sfingolipidebis metabolizmis darRvevebi da lipidebis dagrovebis sxva darRvevebi

E76 glikozaminoglikanebis darRvevebi, dauzustebeli

E77 glikoproteinebis metabolizmis darRvevebi

E78 lipoproteinebis metabolizmis darRvevebi da sxva lipidemiebi

E79 purinebisa da piramidinebis metabolizmis darRvevebi

E80 porfirinebis da bilirubinis metabolizmis darRvevebi

E83 mineraluri cvlis darRvevebi

E84 cisturi fibrozi

E85 amiloidozi

E86 moculobis Semcireba

E87 siTxeebis, eleqtrolitebis da mJava-tutovani wonasworobis sxva darRvevebi

E90 alimenturi da metaboluri darRvevebi im avadmyofobebis dros, romlebic Setanilia sxva

klasifikaciebSi

M00-M03 infeqciuri arTropaTiebi

M05 serozuli revmatoiduli arTriti

M06 sxva revmatoiduli arTritebi

M07 fsoriazuli da enteropaTiuli arTropaTiebi

M08 iuveniluri arTritebi

M09 iuveniluri arTriti im avadmyofobaTa dros, romlebic klasificirebulni arian sxvagan

M10 nikrisi (podagra)

M14 arTropaTiebi im avadmyofobaTa dros, romlebic klasificirebulni arian sxvagan

M15 poliarTrozi

M16 koksarTrozi (menj-barZayis saxsris arTrozi)

M17 gonarTrozi (muxlis saxsris arTrozi)

M18 pirveli maja-nebis saxsris arTrozi

M20-M25 sxva saxsrebis dazianebebi

M30 kvanZovani poliarteriiti da masTan dakavSirebuli mdgomareobebi

159

kodi nozologia

M31 sxva manekrozebeli vaskulopaTiebi

M32 sistemuri wiTeli mglura

M33 dermatopolimioziti

M34 sistemuri sklerozi

M36 SemaerTebeli qsovilis sistemuri dazianebebi im avadmyofobaTa dros, romlebic

klasificirebulni arian sxvagan

M40 kifozi da lordozi

M41 skoliozi

M42 xerxemlis osteoqondrozi

M45 maankilozebeli spondiliti

M46 sxva anTebiTi spondilopaTiebi

M47 spondilozi

M49 spondilopaTiebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi

M50 kisris diskebis dazianebebi

M51 malTaSua diskebis sxva dazianebebi

M54 dorsalgia (zurgis tkivili)

M60 mioziti

M61 kunTis kalcifikacia da osifikacia

M63 kunTis dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi

M65 sinoviti da tenosinoviti

M66 sinoviuri garsisia da myesis mTlianobis spontanuri darRveva

M68 sinoviuri garsisa da myesis dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva

klasifikaciebSi

M70 rbili qsovilebis dazianebani dakavSirebuli datvirTvasTan da zewolasTan

M71 sxva bursopaTiebi

M72 fibroblasturi dazianebani

M73 rbili qsovilebis dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva

klasifikaciebSi

M75 mxris dazianebani

M76 qveda kiduris enTesopaTiebi

M80 osteoporozi paTologiuri motexilobiT

M81 osteoporozi paTologiuri motexilobis gareSe

M82 osteoporozi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi

M83 mozrdilTa osteomalacia

M84 Zvlis mTlianobis darRvevebi

M86 osteomieliti

M87 osteonekrozi

M88 Zvlis hejetis avadmyofoba (madeformirebeli osteiti)

M89 Zvlis sxva dazianebebi

M90 osteopaTiebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi

M91 barZayisa da menjis iuveniluri osteoqondrozi

M92 sxva iuveniluri osteoqondrozebi

M93 sxva osteoqondropaTiebi

M94 xrtilis sxva dazianebani

A00 qolera

A01 muclis tifi da paratifi

A03 Sigelozi

A05 sxva baqteriuli sakvebismieri intoqsikaciebi

A06 amebiazi

A08 nawlavTa virusuli da sxva dazustebuli etiologiis infeqciebi

160

kodi nozologia

A09 savaraudo infeqciuri warmoSobis diarea da gastroenteriti

A15-A19 tuberkulozi

A20-A28 zogierTi zoonozuri baqteriuli avadmyofoba

A30 keTri (hanzenis avadmyofoba)

A31 sxva mikobaqteriebiT gamowveuli infeqcia

A32 listeriozi

A33 axalSobilTa tetanusi

A34 sameano tetanusi

A35 sxva tetanusi

A36 difteria

A37 yivanaxvela

A38 qunTruSa

A39 meningokokuri infeqciebi

A40 streptokokuri septicemia

A41 sxva septicemiebi

A42 aqtinomikozi

A43 nokardiozi

A44 bartonelozi

A46 wiTeli qari

A50 Tandayolili aTaSangi

A51 adreuli aTaSangi

A52 mogvianebiTi aTaSangi

A53 sxva da dauzustebeli aTaSangi

A54 gonokokuri infeqcia

A55 qlamidiuri limfogranuloma (veneriuli)

A56 sqesobrivi gziT gadamdebi sxva qlamidiuri avadmyofobebi

A57 Sankroidi

A58 sazardulis granuloma

A59 triqomoniazi

A60 ano-genitaluri herpesvirusuli (martivi herpesi) infeqciebi

A68 SebrunebiTi tifi

A75 partaxtiani tifi

A80 mwvave poliomieliti

A81 centraluri nervuli sistemis infeqciebi, gamowveuli neli moqmedebis virusiT

A82 cofi

A83 mwerismieri virusuli encefaliti

A84 tkipismieri virusuli encefaliti

A85 sxva virusuli encefalitebi, romlebic ar aris Setanili sxva klasifikaciebSi

A86 dauzustebeli virusuli encefalitebi

A87 virusuli meningiti

A89 centraluri nervuli sistemis dauzustebeli virusuli infeqciebi

B00 herpesvirusuli (martivi herpesi) infeqciebi

B01 Cutyvavila

B02 zosteri

B03 yvavili

B04 maimunis yvaviliT gamowveuli infeqcia

B05 wiTela

B06 wiTura

B07 virusuli meWeWebi

B15 mwvave hepatiti A

161

kodi nozologia

B16 mwvave hepatiti B

B17 sxva mwvave virusuli hepatiti

B18 qronikuli virusuli hepatiti

B19 dauzustebeli virusuli hepatiti

B20 adamianis imunodeficitis virusiT (aiv) gamowveuli avadmyofoba gamovlinebuli

inefeqciuri da parazituli daavadebebi

B21 adamianis imunodeficitis virusiT (aiv) gamowveuli avadmyofobis Sedegad ganviTarebuli

avTvisebiani simsivneebi


sxva dauzustebeli avadmyofobebi


sxva mdgomareobebi

B24 adamianis imunodeficitis virusiT (aiv) gamowveuli dauzustebeli avadmyofobebi

B25 citomegalovirusuli avadmyofoba

B26 ybayura

B27 infeqciuri mononukleozi

B30 virusuli koniuqtiviti

B50 malaria gamowveuli Plazmodium falsifarum-iT

B51 malaria gamowveuli Plazmodium vivax-iT B52 malaria gamowveuli Plazmodium malariae-iT B53 sxva malariebi dadasturebuli parazitologiuri gamokvlevebiT

B54 malaria, dauzustebeli

B55 leiSmaniozi

F00-F09 organuli warmoSobis aSlilobani, simptomur-fsiqikur aSlilobaTa CaTvliT

F30-F39 guneba-ganwyobis (afeqturi) aSlilobani

F40-F48 nevrozuli, stresTan dakavSirebuli da somatoformuli aSlilobani

F50-F59 qceviTi sindromebi, dakavSirebuli fiziologiuri darRvevebTan da fizikur faqtorebTan

G00-G09 centraluri nervuli sistemis anTebiTi avadmyofobebi

G20 parkinsonis avadmyofoba

G21 meoradi parkinsonizmi

G22 parkinsonizmi im avadmyofobebis dros, romlebic Setanilia sxva klasifikaciebSi

G30 alchaimeris avadmyofoba

G31 nervuli sistemis sxva degeneraciuli avadmyofobebi, romlebic ar aris Setanili sxva

klasifikaciebSi

G32 nervuli sistemis sxva degeneraciuli dazianebebi im avadmyofobaTa dros, romlebic

Setanilia sxva klasifikaciebSi

G35 gafantuli sklerozi

G40-G47 epizoduri da paroqsizmuli darRvevebi

G50-G59 nervis, nervuli fesvisa da wnulis dazianebebi

H00-H06 quTuTos, sacremle sistemisa da Tvalbudis dazianebebi

H10-H13 koniunqtivis dazianebebi

H15-H22 skleris, rqovanas, feradi garsisa da cilialuri sxeulis dazianebebi

H25-H28 brolis dazianebebi

H40-H42 glaukoma

H60 gareTa yuris anTeba

H61 gareTa yuris sxva dazianebani

H62 gareTa yuris dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva

klasifikaciebSi

H65 Sua yuris araCirqovani anTeba

H66 Sua yuris Cirqovani da dauzustebeli anTebebi

H67 Sua yuris anTeba im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi

H68 evstaqis milis anTeba da obstruqcia

162

kodi nozologia

H69 evstaqis milis sxva dazianebani

H70 mastoiditi da masTan dakavSirebuli mdgomareobani

H71 Sua yuris qolesteatoma

H72 dafis apkis perforacia

H80 otosklerozi

H81 karibWis funqciis darRvevebi

H82 Tavbrusxvevis sindromebi im avadmyofobaTa dros, romlebic Setanilia sxva

klasifikaciebSi

H92 otalgia da gamonadeni yuridan

O00 saSvilosnosgare orsuloba

O01 buStnamqeri

O02 ganayofierebis sxva paTologiuri Sedegebi

O03 spontanuri aborti

O10 adre arsebuli hipertenziiT garTulebuli orsuloba, mSobiaroba da loginobis xana

O16 dedis dauzustebeli hipertenzia

O20 sisxldena orsulobis adreul periodSi

O45 placentis naadrevi acla

O46 sisxldena mSobiarobamde, romelic ar aris Setanili sxva klasifikaciebSi

O85 melogineTa sefsisi

O86 loginobis xanis sxva infeqciebi

O87 venuri garTulebebi loginobis xanaSi

O91 sarZeve jirkvlis infeqciebi, dakavSirebuli mSobiarobasTan

O92 sarZeve jirkvlisa da laqtaciis sxva paTologiebi, dakavSirebuli mSobiarobasTan

S00-S09 dazianebebi Tavis areSi

S10-S19 kisris dazianebebi

S20-S29 gulmkerdis dazianebebi

S30-S39 muclis, zurgis qveda nwilis, xerxermlis welis nawilis da menjis dazianebebi

S40-S49 zeda kiduris, sartylisa da mxris dazianebebi

S50-S59 idayvisa da winamxris dazianebebi

S60-S69 majisa da xelis mtevnis dazianebebi

S70-S79 menj-barZayis saxsrisa da barZayis dazianebebi

S80-S89 muxlisa da wvivis midamos dazianebebi

S90-S99 koW-wvivis saxsrisa da terfis dazianebebi

T00-T07 dazianebebi, romlebic moicavs sxeulis sxvadasxva midamos

T08-T14 torsis, kidurebis an sxeulis romelime midamos dauzustebeli nawilis dazianebebi

T15-T19 bunebrivi xvreliT moxvedrili ucxo sxeulis efeqti

T20-T32 damwvrobebi da koroziebi

T33-T35 moyinva

T36-T50 samkurnalwamlo saSualebebiT, medikamentebiT da biologiuri nivTierebebiT mowamvla

T51-T65 ZiriTadad arasamedicino daniSnulebis substanciebis toqsiuri efeqti

T66-T78 garegani mizezebiT gamowveuli sxva da dauzustebeli efeqtebi

Z70-Z76 pirebi, romlebic mimarTaven janmrTelobis dacvis samsaxurebs sxva garemoebebSi

Z80-Z99 pirebi janmrTelobis mdgomareobisTvis potenciuri safrTxiT, rac dakavSirebulia

ojaxur da pirad anamnezebTan da janmrTelobis mdgomareobaze moqmed zogierT

garemoebebTan

163

Terapia, ambulatoria / dRis stacionari (I-IV done)

kodi nozologia

E01 farisebri jirkvlis iodis deficitTan dakavSirebuli dazianebebi da msgavsi

mdgomareobebi

E02 subklinikuri iod-deficituri hipoTireozi



E05 Tireotoqsikozi (hiperTireozi)

E06 Tiroiditi

E10-E14 Saqriani diabeti

E20 hipoparaTireozi

E21 hiperparaTireozi da farisebraxlo jirkvlebis sxva darRvevebi

E25 adrenogenitaluri darRvevebi

E24 kuSingis sindromi

E50 vitaminis deficiti

E51 Tiaminis deficiti

E52 nikotinmJavas deficiti (pelagra)

E53 jgufis sxva vitaminebis deficiti

E54 askorbinis mJavis deficiti

E55 vitaminis deficiti

E66 simsuqne


E85 amiloidozi

E86 siTxis moculobis Semcireba

I00-I02 mwvave revmatizmi

I10-I15 hipertenziuli daavadebebi

I20 stenokardia

I25 gulis qronikuli iSemiuri daavadebebi

I27 gulis sxva filtvismieri daavadebebi

I40 mwvave miokarditi

I41 miokarditi im daavadebebis dros, romlebic Setanilia sxva klasifikaciebSi

I42 kardiomiopaTia

I43 kardiomiopaTia im daavadebebis dros, romlebic Setanilia sxva klasifikaciebSi

I44 winagul-parkuWovani da marcxena konis gantotebis blokada

I45 gamtarobis sxva Seferxebebi

I46 gulis gaCereba

I47 paroqsizmuli taqikardia

I49 gulis sxva ariTmiebi

I50 gulis ukmarisoba

I70 aTerosklerozi

I95 hipotenzia

J00 mwvave nazofaringiti (surdo)

J01 mwvave sinusiti

J02 mwvave faringiti

J03 mwvave tonziliti

J04 mwvave laringiti da traqeiti

J06 sxvadasxva da dauzustebeli lokalizaciis zeda respiraciuli gzebis mwvave infeqciebi

J10-J18 gripi da pnevmonia

J20-J22 qveda sasunTqi gzebis sxva mwvave infeqciebi

J30 vazomotoruli da alergiuli riniti

J31 qronikuli riniti, nazofaringiti da faringiti

J32 qronikuli sinusiti

J40 bronqiti, dauzustebeli rogorc mwvave an qronikuli

J41 martivi da lorwovan-Cirqovani qronikuli bronqiti

J42 dauzutebeli qronikuli bronqiti

164

kodi nozologia

J43 emfizema

J44 filtvis sxva qronikuli obstruqciuli daavadebebi

J45 asTma

J90 plevraluri eqsudati, romelic sxvagan ar aris klasificirebuli

J91 siTxe plevris RruSi, im mdgomareobebis dros, romlebic sxvagan aris klasificirebuli

K20 ezofagiti

K21 gastro-ezofaguri refluqsi

K25 kuWis wyluli

K26 Tormetgoja nawlavis wyluli

K27 peptikuri wyluli dauzustebeli lokalizaciiT

K28 gastro-eiunuri nawlavis wyluli

K29 gastriti da duodeniti

K30 dispefsia

K31 kuWis da Tormetgoja nawlavis sxva daavadebebi

K44 diafragmis Tiaqari

K58 gaRizianebuli nawlavis sindromi

K70 RviZlis alkoholuri daavadebebi

K71 RviZlis daavadebebi, romelic ar aris Setanili sxva klasifikaciebSi

K73 qronikuli hepatiti, romelic ar aris Setanili sxva klasifikaciebSi

K74 RviZlis fibrozi da cirozi

K75 RviZlis sxva anTebiTi daavadebebi

K81 qolecistiti

K86 pankreasis sxva daavadebebi

M00-M03 infeqciuri arTropaTiebi

M05-M14 anTebiTi poliarTropaTiebi

M15-M19 arTrozi

N20-N23 uroliTiazi

N34 ureTriti da ureTruli sindromi

R00-R09 simptomebi da niSnebi, romlebic exeba sisxlis mimoqcevisa da sunTqvis sistemebs

R10-R19 simptomebi da niSnebi, romlebic exeba saWmlis momnelebel sistemasa da muclis midamos

R20- R23 simptomebi da niSnebi, romlebic exeba kansa da kanqveSa qsovils

R25- R29 simptomebi da niSnebi, romlebic exeba nervul da Zval-kunTovan sistemebs

R30- R39 simptomebi da niSnebi, romlebic exeba saSarde sistemas

R50- R69 zogadi simptomebi da niSnebi

R70- R79 sisxlis gasinjviT miRebuli normidan gadaxrili monacemebi, diagnozis gareSe

R80- R82 Sardis gasinjviT miRebuli normidan gadaxrili monacemebi, diagnozis gareSe

R83- R89 organizmis sxva siTxeebis, nivTierebebisa da qsovilebis gasinjviT miRebuli normidan

gadaxrili monacemebi, diagnozis gareSe

R90- R94 diagnostikuri da funqciuri kvleviT gamovlenili darRvevebi diagnozis gareSe

R95- R98 sikvdilobis naklebad cnobili da ucnobi mizezebi

D50 rkina-deficituri anemia

D51 vitamin B12-deficituri anemia D52 folatdeficituri anemia

D62 mwvave posthemoragiuli anemia

A00-09 nawlavTa infeqciuri daavadebebi

A15 respiraciuli tuberkulozi, baqteriologiurad da histologiurad dadasturebuli

A16 respiraciuli tuberkulozi, baqteriologiurad da histologiurad dadasturebis

gareSe

B15-19 virusuli hepatiti



E05 Tireotoqsikozi

E06 Tireoiditi

E10 insulindamokidebuli Saqriani diabeti

165

kodi nozologia

E12 arasakmaris kvebasTan dakavSirebuli Saqriani diabeti

E13 Saqriani diabetis sxva dazustebuli formebi

E14 dauzustebeli Saqriani diabeti


E85 amiloidozi

I05-I09 gulis qronikuli revmatiuli daavadebebi

I33 mwvave da qvemwvave endokarditi

I34 mitraluri sarqvlis ararevmatuli dazianebebi

I35 aortis sarqvlis ararevmatuli dazianebebi

I36 samkariani sarqvlis ararevmatuli dazianebebi

I37 filtvis arteriis sarqvlis dazianebebi

I48 winagulis fibrilacia da TrTolva

I77 arteriebisa da arteriolebis sxva dazianebebi

I78 kapilarebis daavadebebi

I79 arteriebis, arteriolebis da kapilarebis dazianebebi im daavadebebaTa dros,

romlebic Setanilia sxva klasifikaciebSi

I80 flebiti da Tromboflebiti

I83 qvemo kidurebis venebis varikozi

J60 qvanaxSiris sabadoSi momuSaveTa pnevmokoniozi

J61 pnevmokoniozi gamowveuli azbestiT da sxva mineraluri boWkoebiT

J62 pnevmokoniozi gamowveuli silikatebis Semcveli mtvriT

J63 pnevmokoniozi gamowveuli sxva araorganuli mtvriT

J64 dauzustebeli pnevmokoniozi

J65 pnevmokoniozi, dakavSirebuli tuberkulozTan

J66 sasunTqi gzebis daavadebebi gamowveuli dazustebuli organuli mtvriT

J67 zemgrZnobelobiTi pnevmoniti, gamowveuli organuli mtvriT

J68 sasunTqi sistemis mdgomareobebi, gamowveuli qimiuri nivTierebebis, airebis, kvamlis

da orTqlis SesunTqviT

J69 pnevmoniti gamowveuli myari da Txevadi nivTierebebiT

K44 diafragmis Tiaqari

K50 kronis daavadebebi [regionuli enteriti]

K51 wylulovani koliti

K52 sxva arainfeqciuri gastroenteriti da koliti

K57 nawlavis divertikuluri daavadebeba

K72 RviZlis ukmarisoba, romelic ar aris Setanili sxva klasifikaciebSi

M30-M36 SemaerTebeli qsovilis sistemuri dazianebebi

M40-M54 dorsopaTiebi

M65-M68 sinoviuri garsisa da myesis dazianebebi

M80 osteoporozi paTologiuri motexilobiT

N02 xangamoSvebiTi da mdgradi hematuria

N03 qronikuli nefrituli sindromi

N11 qronikuli tubulo-intersticiuli nefriti

N18 Tirkmlis qronikuli ukmarisoba

D53 sxva alimenturi anemiebi

D56 Talasemia

D57 namglisebrujredovani daavadebebi

D61 sxva aplaziuri anemiebi

E50-E64 kvebiTi deficitis sxva saxeebi

E66 simsuqne

I05-I09 gulis qronikuli revmatuli daavadebebi

I10-I15 hipertenziuli daavadebebi

I20-I25 gulis iSemiuri daavadebebi

I50 gulis ukmarisoba

I70 aTerosklerozi

J10 gripi, gamowveuli gripis identificirebuli virusiT

J11 gripi, virusi araa identificirebuli

166

kodi nozologia

J41 martivi da lorwovan-Cirqovani qronikuli bronqiti

J42 dauzustebeli qronikuli bronqiti

J43 filtvebis emfizema

J44 filtvis sxva qronikuli obstruqciuli daavadebebi

K70 RviZlis alkoholuri daavadebebi

N63 dauzustebeli moculobiTi warmonaqmni sarZeve jirkvalSi

B15-19 virusuli hepatiti

pediatria (I-IV done)

kodi nozologia

A 02 sxva salmoneluri infeqciebi

A 02.0 salmoneluri enteriti, salmonelozi

A 03 Sigelozi

A 03.0 Sigelozi gamowveuli Sigella Flexneri-T A 04 nawlavebis sxva baqteriuli infeqciebi

A 04.0 enteropaTogenuri Escherichia coli-iT gamowveuli infeqcia

A 05 sxva baqteriuli sakvebismieri intoqsikaciebi

A 05.0 sakvebismieri stafilokokuri intoqsikacia

A 06 amebiazi

A 06.0 mwvave ameburi dizenteria

A 08 nawlavTa virusuli sxva dazustebuli etiologiis infeqciebi

A 08.0 rotavirusuli infeqcia

A 16 sasunTqi organoebis tuberkulozi baqteriologiuri an histologiuri dadastutebis

gareSe

A 16.7 sasunTqi organoebis pirveladi tuberkulozi baqteriologiuri da histologiuri

dadasturebis aRniSvnis gareSe

A 36 difteria

A 36.0 xaxis difteria

A 36.1 cxvir-xaxis difteria

A 37 yivanaxvela

A 37.0 yivanaxvela gamowveuli Bordetella pertussis-iT A 38 qunTruSa

A 39 meningokokuri infeqcia

A 39.0 meningokokuri meningiti

B 00 herpesvirusuli infeqciebi

B 00.1 buStukovani dermatiti

B 01.! Cutyvavila

B 01.9 Cutyvavila garTulebis gareSe

B 05 wiTela

B 05.9 wiTela garTulebis gareSe

B 06 wiTura

B 06.9 wiTura garTulebis gareSe

B 15 mwvave hepatiti “A” B 15.9 mwvave hepatiti ”A” komis gareSe B 16 mwvave hepatiti “B” B 16.1 mw.hepatiti “B” komis gareSe B 26 epidemiuri parotiti

B 26.9 ybayura garTulebis gareSe

B 27 infeqciuri mononukleozi

B 27.9 infeqciuri mononukleozi _ dauzustebeli

B 30 virusuli koniuqtiviti

B 30.0 kerato-koniuqtiviti, gamowveuli adenovirusiT

B 35 dermatofitozi

B 35.0 Tavis dermatofitozi

167

kodi nozologia

B 35.1 frCxilis dermatofitozi

B 35.2 xelis dermatofitozi

B 35.3 fexis dermatofitozi

B 55 leiSmaniozi

B 55.0 visceruli leiSmaniozi

B 77 askaridozi

B 77.0 askaridozi nawlavebis garTulebiT

B 77.9 askaridozi dauzustebeli

B 80 enterobiozi

B 85 pedikulozi

B 85.0 pedikulozi _ Tavis tiliT

B 86 bReri

D 50 rkinadeficituri anemia

D 50.8 sxva rkinadeficituri anemia

D 55 anemia fermentuli darRvevebis Sedegad

D 55.0 anemia glukoza 6-fosfatdehidrogenezis deficitiT

D 58 memkvidruli hemolizuri anemiebi

D 58.0 memkvidruli sferocitozi

D 56 Talasemia

D 56.0 alfa Talasemia

D 56.1 beta Talasemia

D 66 sisxlis Sededebis VIII faqtoris deficiti, memkvidruli hemofilia A

D 67 sisxlis Sededebis IX faqtoris deficiti.memkvidruli hemofilia B

E 01 iodis deficitTan dakavSirebuli farisebri jirkvlis daavadebebi da msgavsi

mdgomareobani.

E 01.0 iodis deficitTan dakavSirebuli difuzuri Ciyvi.

E 01.1 iodis deficitTan dakavSirebuli kvanZovani Ciyvi.

E 01.2 iodis deficitTan dakavSirebuli endemuri Ciyvi

E 10 Saqriani diabeti _ insulindamokidebuli

E 11 Saqriani diabeti _ insulindamoukidebeli, simsuqniT, an mis gareSe.

E 55 “D” vitaminis deficiti E 55.0 raqiti _ aqtiuri

E 66 simsuqne

E 66.0 Warbi kaloriebis miRebis Sedegad ganviTarebuli simsuqne

H 10 koniuqtiviti

H 10.2 sxva mwvave koniuqtiviti

I 00 revmatiuli cxeleba gulis dazianebis gareSe, revmatiuli mwvave an qvemwvave

arTriti

I 01 mwvave revmatizmi gulis dazianebiT

I 01.0 revmatiuli perikarditi

I 01.1 revmatiuli endokarditi

I 01.2 revmatiuli miokarditi

I 01.8 gulis sxva mw.revmatiuli avadmyofobebi

J 00 mwvave nazofaringiti

J 02 mwvave faringiti

J 02.0 streptokokuli faringiti

J 02.8 mwvave faringiti sxva dadgenili mikrobebiT

J 03 mwvave tonzliti

J 03 mwvave tonziliti _ streptokokuli

J 03.8 mwvave tonziliti, gamowveuli sxva dadgenili mikrobebiT

J 04 mwvave laringiti

J 04.0 mwvave laringiti

J 04.1 mwvave traqeiti

J 04.2 mwvave laringotraqeiti

J 06 mwvave laringofaringiti

J 10 gripi, gamowveuli identificirebuli virusiT

J 10.1 gripi, garTulebuli pnevmoniiT

J 1 streptokokuli pnevmonia

168

kodi nozologia

J 14 pnevmonia, gamowveuli Haemofilus influenzae -Ti J 15 pnevmonia, romelic ar aris Setanili sxva klasifikaciaSi

J 15.0 pnevmonia, gamowveuli klebsielaTi

J 15..2 pnevmonia, gamowveuli stafilokokiT

J 15.3 pnevmonia, gamowveuli streptokokiT

J 20 mwvave bronqiti

J 20.0 mwvave bronqiti, gamowveuli mikoplazmiT

J 20.1 mwvave bronqiti, gamowveuli Haemofilus influenzae -Ti J 21 mwvave bronqioliti

J 21.0 mwvave bronqioliti, gamowveuli respiratoruli sincitialuri virusiT

J 30 vazomotoruli da alergiuli riniti

J 30.0 vazomotoruli riniti

J 30.1 alergiuli riniti, gamowveuli mcenareTa mtveriT

J 30.2 sxva sezonuri alergiuli riniti

J 30.3 sxva alergiuli riniti

J 30.4 alergiuli riniti, dauzustebeli

J 45 asTma

J 45.0 riniti asTmasTan erTad

K 12 stomatiti da masTan dakavSirebuli dazianebebi

K 12.0 piris Rrus morecidive afTebi

K 22 saylapavis sxva avadmyofobebi

K 29 gastriti, duodeniti

K 29.1 mwvave gastriti

K 25 kuWis wyluli

K 26 Tormetgoja nawlavis wyluli

K 30 dispefsia

K 52 sxva arainfeqciuri gastroenteriti da koliti

K 52.8 sxva dauzustebeli arainfeqciuri gastroenteriti da koliti

K 81 qolecistiti

K 81.0 mwvave qolecistiti

L 04 mwvave limfadeniti

L 08 kanisa da kanqveSa qsovilis lokaluri infeqcia

L 08.0 piodermia

L 23 alergiuli kontaqturi dermatiti

L 23.7 alergiuli kontaqturi dermatiti, gamowveuli sakvebiT

N 00 mwvave nefrituli sindromi _ glomeluronefriti

N 30 cistiti

N 30.0 mwvave cistiti

N 10 mwvave tubulo-intersticiuli nefriti

E 44 zomieri da msubuqi xarisxis cila-energetikuli deficiti

E 44.0 zomieri hipotrofia II xarisxis

E 44.1 msubuqi hipotrofia I xarisxis

R 01 gulis Suili da sxva xmianobebi

R 01.0 gulis keTilTvisebiani da aramankismieri Suili

R 14 meteorizmi da masTan dakavSirebuli mdgomareobebi

169

qirurgia nozologiebis kodebi `ICD-10~-is Sesabamisad

kodi nozologia

S 00 Tavis zedapiruli dazianeba

S 01 Tavis Ria Wriloba

S 10 kisris zedapiruli dazianeba

S 20 gulmkerdis zedapiruli dazianeba

S 30 muclis, zurgis qveda nawilis da menjis zedapiruli dazianeba

S 40 zeda kiduris sartyelisa da mxris dazianebebi

S 41 zeda kiduris sartyelisa da mxris Ria Wrilobebi

S 50 winamxris zedapiruli dazianeba

S 51 winamxris Ria Wriloba

S 60 majisa da xelis mtevnis zedapiruli dazianeba

S 61 majisa da mtevnis Ria Wriloba

S 70 menj-barZayis saxsrisa da barZayis zedapiruli dazianeba

S 71 menj-barZayis saxsrisa da barZayis Semavali Wriloba

S 80 wvivis zedapiruli dazianeba

S 81 wvivis Semavali Wriloba

S 90 koWisa da terfis zedapiruli dazianeba

S 91 koWisa da terfis Semavali Wriloba

T 20.1 Tavisa da kisris pirveli xarisxis damwvroba

T 21.1 torsis pirveli xarisxis damwvroba

T 22.1 mxris da zeda kiduris pirveli xarisxis damwvroba, majis da mtevnis garda

T 23.1 majis da mtevnis pirveli xarisxis damwvroba

T 24.1 barZayis da qvemo kiduris pirveli xarisxis damwvroba, koWis da terfis garda

T 25.1 koWis da terfis pirveli xarisxis damwvroba

T 33 zedapiruli moyinva

L 02 kanis abscesi, furunkuli da karbunkuli

L 03 xelis da fexis celuliti

L 60.0 frCxilis dazianebebi

S 11.0 Semavali Wriloba, romelic moicavs xorxsa da sasules

J 38.5 xorxis spazmi

J 38.4. xorxis SeSupeba

J 93 pnevmoToraqsi

S 27.0 travmuli pnevmoToraqsi

S 45 sisxlZarRvebis dazianeba zeda kiduris sartylisa da mxris doneze

S 55 winamxris doneze sisxlZarRvebis dazianeba

S 65 majisa da mtevnis doneze sisxlZarRvebis dazianeba

S 75 sisxlZarRvebis dazianeba menj-barZayis saxsrisa da barZayis doneze

S 85 sisxlZarRvebis dazianeba wvivis doneze

S 95 sisxlZarRvebis dazianeba koWisa da terfis doneze

S 02 Tavis qalisa da saxis Zvlebis motexiloba

S 12 kisris malebis motexiloba

S 13 kisris doneze saxsrebis da iogebis amovardniloba, daWimuloba da daZabuloba

S 16 kisris doneze kunTis da myesis dazianeba

S 22 nekn(eb)is, mkerdis Zvlis da xerxemlis gulmkerdis

nawilis motexiloba

S 23 gulmkerdis saxsrebisa da iogebis Secileba, daWimva da RrZoba

S 32 xerxemlis welis nawilis da menjis motexiloba

S 33 xerxemlis welis nawilis da menjis iogebis da saxsrebis amovardniloba daWimva da

RrZoba

S 42 zeda kiduris sartylisa da mxris motexiloba

S 43 mxris sartylis saxsrebis da iogebis dazianeba, RrZoba da daWimuloba

S 46 kunTisa da myesis dazianeba zeda kiduris sartylisa da mxris doneze

S 52 winamxris motexiloba

S 53 idayvis saxsrebis da iogebis cdoma, RrZoba da daWimuloba

S 56 winamxris doneze kunTisa da myesis dazianeba

170

kodi nozologia

S 62 motexiloba majisa da mtevnis doneze

S 63 majisa da mtevnis doneze saxsrebis da iogebis dazianeba, RrZoba da daWimuloba

S 66 majisa da mtevnis doneze kunTis da myesis dazianeba

S 72 barZayis motexiloba

S 73 menj-barZayis saxsrisa da iogebis dazianeba, RrZoba da daWimuloba

S 76 kunTisa da myesis dazianeba menj-barZayis saxsrisa da barZayis doneze

S 82 wvivis Zvlebis motexiloba, koWis Zvlis CaTvliT

S 83 muxlis saxsrisa da iogebis RrZoba, dazianeba da daWimuloba

S 86 kunTis da myesis dazianeba wvivis doneze

S 92 terfis motexiloba, koW-wvivis saxsris dazianebis gareSe

S93 saxsrebisa da iogebis dazianeba, RrZoba da daWimuloba koW-wvivis saxsrisa da

terfis doneze

S 96 kunTebis da myesebis dazianeba koWisa da terfis doneze

T 17.2 ucxo sxeuli xaxaSi, cxvir-xaxaSi

T 17.3 ucxo sxeuli xorxSi

T 18.5 ucxo sxeuli anusur xvrelsa da swor nawlavSi

T 79.4 travmuli Soki

R 10 muclisa da menjis tkivili

R 33 Sardis Sekaveba

R 58 hemoragia romelic ar aris Setanili sxva klasifikaciebSi

171

Mmeanoba (I-IV done)

kodi nozologia

Z34 orsulTa meTvalyureoba, zedamxedveloba normalur orsulobaze

0.36 dedaTa movla rezus faqtoriT imunizaciis dros (rezus-konfliqti)

0.28.0 orsulTa anemia

0.10 adre arsebuli hipertenziiT garTulebuli orsuloba, mSobiaroba, loginobis xana

0.11 adre arsebuli hipertenziuli avadmyofoba TandarTuli proteinuriiT garTulebuli

orsuloba, mSobiaroba, loginobis xana

0.12 orsulobiT gamowveuli SeSupebebi da proteinuria hipertenziis gareSe

0.12.0 orsulTa SeSupeba

0.12.1 orsulTa proteinuria

0.12.2 orssulTa SeSupeba proteinuriiT

0.13 orsulobiT gamowveuli hipertenzia mniSvnelovani proteinuriis gareSe [msubuqi

preeklampsia]

0.14 orsulobiT gamowveuli hipertenzia mniSvnelovani proteinuriiT [saSualo preeklampsia]

0.14.0 zomieri preeklampsia

0.15 eklampsia

0.15.0 eklampsia orsulobis dros

0.16 dedis hipertenzia, dauzustebeli

0.20 sisxldena orsulobis adreul periodSi

0.20.0 mosalodneli aborti

0.20.8 orsulobis adreul periodSi sisxldena

0.20.9 orsulobis adreul periodSi dauzustebeli sisxldena

0.21 gadaWarbebuli pirRebineba orsulobis periodSi

0.21.0 orsulobis periodSi msubuqi pirRebineba

0.21.1 pirRebineba orsulobis periodSi, metaboluri darRvevebi 22kv. zemoT

0.21.2 gviani pirRebineba 22kv-is Semdeg

0.23 Sardsasqeso gzebis infeqciebi orsulobis periodSi

0.23.0 Tirkmlis infeqcia

0.23.1 Sardis buStis infeqcia

0.23.2 Sardsadenis infeqcia

0.24 Saqriani diabeti orsulobis periodSi

0.25 arasakmarisi kveba orsulobis periodSi

0.26.0 wonis Warbi mateba orsulobis dros

0.26.1 wonis mcire mateba

0.26.2 orsulobis SenarCuneba im pirebSi, romlebsac axasiaTebT Cv. aborti

0.26.4 orsulTa herpesi

0.26.5 dedis hipertenziuli sindromi

0.26.6 RviZlis dazianebebi orsulobis, mSobiarobis da loginobis xanaSi

0.28 antenataluri skriningis dros gamovlenili gadaxrebi normidan

172

Gginekologia (I-IV done)

kodi nozologia

N 75 barTolinis jirkvlis daavadebebi

N76 saSosa da vulvis sxva anTebiTi daavadebebi

N76.0 mwvave vaginiti, mwvave vulvovaginiti

N76.1 qvemwvave da qronikuli vaginiti, vulvovaginiti

N76.2 mwvave vulviti

N76.3 wvamqveva da qronikuli vulviti

N76.4 vulvis furunkuli

N76.5 saSos wyluli

N76.6 vulvis wyluli

N77.0 saSosa da vulvis wyluli herpesvirusuli da tuverkulozuri infeqciis dros

N77.1 vaginiti, vulviti, vulvovaginiti:

• kandidozi • herpesi • enterobiozi • papilomavirusuli infeqcia

• citomegalovirusuli infeqcia

• baqteriuli vaginozi

• specifiuri xasiaTis anTebiTi daavadebebi • qalis sasqeso organoebis tuberkulozi

• triqomoniazi • gonokokuri infeqcia • mikoplazmozi

• urogenitaluri qlamidiozi

N90.1 vulvis masklerozirebeli liqeni B58 toqsoplazmozi

N70.1 qr. salpingooforiti

N71.1 qronikuli endometriti

Z30 sSs Cadgma

N60 sarZeve jirkvlis paTologiebi

N 60.0 sarZeve jirkvlis keTilTvisebiani displazia, fibrozul-kistozuri mastopaTia

N 60.1 difuzur-kistozuri mastopaTia, kistozuri sarZeve jirkvali

N 60.2 sarZeve jirkvlis fibroadenozi

N 62 sarZeve jirkvlis hipertrofia, ginekomastia

N 63 dauzustebeli moculobiTi warmonaqmni sarZeve jirkvalSi, kvanZi, kvanZebi

N80 endometriozi

N80.0 adenomiozi

N80.1 sakvercxis endometriozi

N80.2 falopis milis endometriozi

N83 sakvercxis, falopis milis da ganieri iogebis araanTebadi daavadebebi

N83.0 sakvercxis folikuluri kista

N83.1 yviTeli sxeulis folikuluri kista

N83.1 sakvercxis sxva dauzustebeli kistebi

N84 qalis sasqeso sistemis polipi

N84.0 saSvilosnos tanis polipi

N84.1 saSvilosnos yelis polipi

N84.2 saSos polipi

N85 qalis sasqeso organoebis hiperplastiuri procesebi

N85.0 endometriumis jirkvlovani hiperplazia

N85.1 endometriumis adenomatozuri hiperplazia

173

kodi nozologia

N85.2 saSvilosnos hipertrofia

N85.3 saSvilosnos subinvolucia

N87 saSvilosnos yelis displazia

N87.0 saSvilosnos yelis msubuqi displazia

• saSvilosnos yelis intraepiTeluri simsivne CIN

N87.1 saSvilosnos yelis zomieri displazia

• saSvilosnos yelis intraepiTeluri simsivne

N88.0 saSvilosnos yelis leikoplakia

N90.0 vuvlis msubuqi displazia

• vulvis intraepiTelialuri simsivne CIN

N90.1 vulvis zomieri displazia CIN

N90.2 vulvis mZime displazia

N90.4 vulvis leikoplakia: distrofia, kraurozi

N90.5 vulvis atrofia, vulvis stenozi

N90.6 vulvis hipertrofia

D25 saSvilosnos mioma

N94.3 predmentrualuri sindromi

N94.4 pirveladi dismenorea

N94.5 meoradi dismenorea, algodismenorea

N95 klimaqteruli sindromi

N95.0 postmenopauzuri sisxldena N95.2 menopauzuri atrofiuli vaginiti

174

Tavi VI

sxvadasxva simZlavris ambulatoriul-poliklinikuri

dawesebulebebis mowyobis, aRWurvisa da eqspluataciis

sanitariuli wesebi

175

,,damtkicebulia“ saqarTvelos Sromis, janmrTelobisa da

socialuri dacvis ministris 2003 wlis 06.10 # 234/n brZanebiT.

sxvadasxva simZlavris ambulatoriul-poliklinikuri dawesebulebebis mowyobis, aRWurvisa da eqspluataciis

sanitariuli wesebi

sanitariuli wesebi da normebi sanwdan 2.1.3.004-03

Tavi I

gamoyenebis sfero da zogadi debulebebi muxli 1. 1. winamdebare sanitariuli wesebi da normebi SemuSavebulia ,,janmrTelobis dacvis Sesaxeb“

saqarTvelos kanonis Sesabamisad, sxvadasxva simZlavris ambulatoriul-poliklinikur dawesebulebebSi avadmyofTa miReba-mkurnalobisa da momsaxure personalis Sromis optimaluri pirobebis uzrunvelyofis mizniT.

2. sanitariuli wesebi gankuTvnilia janmrTelobis dacvis organoebisa da dawesebulebebisaTvis, sxva uwyebebis sawarmoebisa da organizaciebisaTvis, romelTa gamgeblobaSi Sedis ambulatoriul-poliklinikuri dawesebulebebi, aseve saproeqto, samSeneblo da sxva organizaciebisaTvis, romlebic dasaqmebulni arian aRniSnuli tipis samkurnalo-profilaqtikuri dawesebulebebisaTvis miwis nakveTis SerCevis, Senobis daproeqtebis, mSeneblobis, rekonstruqciisa da eqspluataciis sakiTxebiT.

3. winamdebare wesebi vrceldeba yvela axalmSenebare, sarekonstruqcio, agreTve moqmed ambulatoriul-poliklinikur dawesebulebebze, maTi uwyebrivi daqvemdebarebisa da sakuTrebis formis miuxedavad, garda stomatologiuri profilis ambulatoriul-poliklinikuri dawesebulebebisa, romelzec vrceldeba saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2002 wlis 5 noembris #309/n brZaneba `stomatologiuri profilis ambulatoriul-poliklinikuri dawesebulebebisaTvis sanitariuli wesebis damtkicebis Sesaxeb~.

4. winamdebare wesebis amoqmedebamde arsebuli yvela Sesabamisi dawesebuleba, romelic ar akmayofilebs mocemul moTxovnebs valdebulia saxelmwifo sanitariuli zedamxedvelobis teritoriul organoebTan SeTanxmebiT SeimuSaos RonisZiebaTa gegma (teqnikuri, teqnologiuri da sxva), romelic uzrunvelyofs normebisa da wesebis moTxovnebis SesaZlebel miRwevas.

5. winamdebare wesebis Sesrulebaze pasuxismgebloba ekisrebaT uSualod ambulatoriul-poliklinikuri dawesebulebebis xelmZRvanelebs (mTavar eqimebs), agreTve im dawesebulebebis, organizaciebis, uwyebebis xelmZRvanelebs, romelTa daqvemdebarebaSic imyofeba aRniSnuli samkurnalo-profilaqtikuri dawesebuleba.

176

Tavi II

higienuri moTxovnebi teritoriisadmi muxli 2. 1. ambulatoriul-poliklinikuri dawesebulebebi unda ganTavsdes selitebur, gamwvanebul

zonebSi, damtkicebuli gegmisa da dasaxlebuli adgilebis detaluri dagegmarebis proeqtebis Sesabamisad, funqcionaluri zonebis gaTvaliswinebiT.

2. miwis nakveTis SerCevisas saWiroa garemos sanitariuli mdgomareobisa da gabatonebuli qarebis mimarTulebis gaTvaliswineba.

3. ambulatoriul-poliklinikuri dawesebulebis Senobis ganTavseba akrZalulia miwis im nakveTze, romelic adre gamoyenebuli iyo nagvis sayrelad, asenizaciis moednad, saqonlis samarxad, sasaflaod da a.S., agreTve, im nakveTebze, romelTa niadagi dabinZurebuli iyo organuli, qimiuri da sxva saxis damabinZureblebiT.

4. ambulatoriul-poliklinikuri dawesebulebebis teritoria unda iyos daSorebuli rkinigzidan da fizikuri faqtorebis zegavlenis sxva mZlavri wyaroebidan, raTa uzrunvelyofili iyos saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2001 wlis 16 agvistos #297/n brZanebiT `garemos xarisxobrivi mdgomareobis normebis damtkicebis Sesaxeb~ dadgenili xmauris dasaSvebi normebi.

5. dasaxlebuli punqtebis selitebur zonaSi aSenebuli ambulatoriul-poliklinikuri dawesebulebebi unda ganTavsdes mSeneblobis wiTeli xazidan ara uaxloes 30 metrisa da sacxovrebeli saxlebidan 20-30 metris daSorebiT, Senobis simaRlis gaTvaliswinebiT.

6. ambulatoriul-poliklinikuri dawesebulebebis teritoriaze dauSvebelia sxva saxis dawesebulebis, sacxovrebeli saxlis, agreTve, raime sxva nagebobis an mowyobilobis ganTavseba, romelic funqciurad ar ukavSirdeba zemoaRniSnuli dawesebulebis saqmianobas.

7. ambulatoriul-poliklinikuri dawesebulebis teritoria yoveldRiurad unda dasufTavdes. nagvisa da sayofacxovrebo narCenebis mosagrovebeli urnebi mWidrod daxuruli saxuravebiT, idgmeba moasfaltebul an mobetonebul specialurad mowyobil moedanze. moednebi sistematurad unda irecxebodes da utardebodes dezinfeqcia.

8. ambulatoriul-poliklinikuri dawesebulebis teritoriaze Senobis Sesasvlelebsa da dasasvenebel adgilebSi unda daidgas nagvis urnebi, romlebic yoveldRiurad daicleba da Cautardeba dezinfeqcia.

9. ambulatoriul-poliklinikur dawesebulebaSi narCenebis Segroveba da gatana unda warmoebdes saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2001 wlis 16 agvistos #300/n brZanebis `samkurnalo-profilaqtikuri dawesebulebebis narCenebis Segrovebis, Senaxvisa da gauvneblebis sanitariuli wesebis damtkicebis Sesaxeb~ Sesabamisad.

Tavi III

moTxovnebi Senoba-nagebobebisa da calkeuli saTavsebis ganlagebisa da dagegmarebisadmi

muxli 3. 1. ambulatoriul-poliklinikuri dawesebulebebis Senobisa da calkeuli saTavsebis

arqiteqturuli dagegmareba da konstruqcia unda uzrunvelyofdes avadmyofTa miReba-mkurnalobis, momsaxure personalis Sromisa da dasvenebis pirobebs, agreTve optimalur sanitariul-higienur da epidsawinaaRmdego reJims.

2. ambulatoriul-poliklinikuri dawesebulebebi unda ganTavsdes calke mdgar tipur SenobaSi an rogorc gamonaklisi, winamdebare wesebis dacvis pirobiT, sacxovrebel an sazogadoebriv SenobaSi.

3. axali ambulatoriul-poliklinikuri dawesebulebebis ganTavseba sacxovrebeli korpusebis dabal sarTulebze, Tu am dawesebulebebis SemadgenlobaSi Sedis rentgenisa da fizioTerapiuli kabinetebi, dauSvebelia.

4. ambulatoriul-poliklinikuri dawesebulebebis ZiriTadi da damxmare saTavsebis raodenoba da farTi unda ganisazRvros moqmedi samSeneblo normebisa da wesebis 2.08.02-89 ,,sazogadoebrivi Senobebi da nagebobebi“ danarTis, samkurnalo-profilaqtikuri dawesebulebebis proeqtirebis damxmare saxelmZRvanelos mixedviT.

5. ambulatoriul-poliklinikuri dawesebulebebis dagegmareba, saTavsebis ganlageba da farTi unda uzrunvelyofdes specializebul kabinetebSi avadmyofTa miRebisa da mkurnalobis optimalur pirobebs danarTi 1-Si miTiTebuli sarekomendacio normebis Sesabamisad.

6. ambulatoriul-poliklinikur dawesebulebebSi calke unda iqnes gamoyofili saTavsebi, sadac ganTavsdeba: registratura, Terapiuli, qirurgiuli, nevrologiuri,

177

7. ambulatoriul-poliklinikuri dawesebulebebis struqturam da saTavsebis dagegmareba-ganlagebam unda gamoricxos ,,sufTa“ da ,,inficirebuli“ nakadebis gadakveTa an Sexeba. am mizniT infeqciuri daavadebebis kabineti ganTavsebul unda iqnes pirvel sarTulze calke SesasvleliT, xolo derefani da mosacdeli unda iyos gauvali.

8. poliklinikis pediatriuli ganyofileba unda iyos izolirebuli mozrdilTa ganyofilebisagan da unda hqondes damoukidebeli Sesasvleli.

9. bavSvTa poliklinikebsa da mozrdilTa poliklinikebis bavSvTa ganyofilebaSi infeqciur daavadebaze saeWvo da sicxiani bavSvebi ar daiSvebian saerTo ganyofilebaSi.

10. yvela momsvleli bavSvis winaswari daTvaliereba unda ganxorcieldes meddis mier e.w. `filtrSi~, romelic unda ganTavsdes poliklinikis (an bavSvTa ganyofilebis) SesasvlelSi. avadmyofi bavSvebi filtridan igzavnebian boqsirebul saTavsebSi, xolo `janmrTelebi~ ki _ saerTo ganyofilebaSi, sadac maT miiReben ubnis pediatrebi da eqim-specialistebi. TiToeul ganyofilebas (saerTosa da boqsirebuls) unda hqondes damoukidebeli gasasvleli.

11. bavSvTa poliklinikebis an bavSvTa ganyofilebis mqone mozrdilTa poliklinikebis teritoriaze gamoyofil unda iqnes specialuri moednebi sabavSvo etlebis gansaTavseblad.

12. poliklinikis, an samSobiaro saxlis, SemadgenlobaSi Semavali qalTa konsultaciis saTavsebi izolirebuli unda iyos poliklinikis an samSobiaro saxlis sxva saTavsebisagan damoukidebeli SesasvleliT _ vestibiuli, sadac pacientebisa da personalisaTvis dadgmulia garderobi, specialuri misaRebi kabinetebi (mean-ginekologis, saproceduro, iuristis da sxv.).

13. mean-ginekologis iseve, rogorc dermato-venerologis, fTiziatris, fsiqiatrisa da infeqcionistis kabinetebi ise unda iyos ganlagebuli, rom pacientTa mosacdeli koridorebi ar iyos gaWoli.

14. rentgenis kabinetebi, maionebel gamosxivebasTan dakavSirebuli sxvaAsaTavsebi unda ganTavsdes saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2003 wlis 4 martis #41/n brZanebis `samedicino rentgenur-radiologiuri diagnostikuri procedurebisa da mkurnalobis dros radiaciuli dacvis uzrunvelyofis sanitariuli normebis damtkicebis Sesaxeb~ Sesabamisad.

15. ambulatoriul-poliklinikuri dawesebulebebis sardafebsa da cokolis sarTulebSi dasaSvebia sawyobis (sameurneo inventaris sakuWnao), personalis sanitariul-sayofacxovrebo (garderobi, saSxape), magari da rbili inventaris Sesanaxi, dabinZurebuli TeTreulis Sesagrovebel-damxarisxebeli saTavsebis mowyoba. dauSvebelia saxelosnoebis, Zlier moqmedi, adviladaalebadi da sawvavi siTxeebis saTavsebSi ganTavseba.

16. mravalprofiliani saavadmyofos SemadgenlobaSi Semavali ambulatoriul-poliklinikuri korpusebi, ganlagebul unda iqnes saavadmyofos teritoriis periferiul nawilSi, mosaxleobisaTvis hqondes moxerxebuli, advilad misadgomi da damoukidebeli Sesasvleli.

Tavi IV

moTxovnebi Senobis Sida mopirkeTebisadmi

muxli 4. 1. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis saTavsebis

Weri, iataki da kedlebi mopirkeTebuli unda iyos maTi funqciis Sesabamisad. kedlebis zedapiri, tixrebi, Weri da iataki unda iyos gluvi da moxerxebuli dezinfeqciisa da sveli wesiT damuSavebisaTvis.

2. specializebuli kabinetebis, holebis, vestibiulebis, derefnebis, fizioTerapiuli da mSrali reJimis sxva samkurnalo-profilaqtikuri kabinetebis kedlebi rekomendebulia SeiRebos silikaturi saRebavebiT (aucileblobis SemTxvevaSi zeTis saRebavebTan SereviT). am saTavsebis Weris SesaTeTreblad gamoiyeneba kiri an wyal-emulsia, iataks unda hqondes maRali Termoizolaciuri Tvisebebi (zeTis saRebaviT SeRebili xis iataki, parketi, parketis ficari). vestibiulis iatakis mosapirkeTeblad gamoiyeneba meqanikuri zemoqmedebisadmi mdgradi masalebi (marmarilo, marmarilos nafxveni, mozaikuri filebi da sxva).

3. ambulatoriul-poliklinikuri dawesebulebebis muSaobis sveli reJimis saTavsebSi, aseve saTavsebSi, romlebic saWiroeben sveli wesiT dezinfeqcias (saoperacio, Sesaxvevi, saproceduro, oynis gasakeTebeli oTaxi da sxva), kedlebi mTel simaRleze unda mopirkeTdes moWiquli filebiTa da sxva tenmedegi masaliT. iatakis safarad gamoiyeneba

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wyalgaumtari masala. saoperacios, Sesaxvevis, diagnostikuri laboratoriisa da sxva analogiuri saTavsebis iataki unda iyos cecxlgamZle, antistatikuri. muSaobis sveli reJimis saTavsebi unda SeiRebos wyalgamZle (zeTisa da sxva) saRebaviT. linoleumis naWrebis nawiburebi erTmaneTTan saguldagulod unda iyos mirCiluli da mtkiced Camagrebuli plintusebis qveS, romlebic Tavis mxriv mWidrod iqneba damagrebuli (napralis gareSe) kedlebsa da iataks Soris.

4. niJarebisa da sxva santeqnikuri xelsawyoebis, agreTve im mowyobilobebis eqspluatacia, romlebic dakavSirebulia kedlebisa da tixrebis SesaZlo danestianebasTan, saWiroa mopirkeTdes moWiquli filebiT an wyalmedegi masaliT iatakidan 1,6 m simaRleze da mowyobilobebisa da xelsawyoebis yovel mxares 20 sm siganeze.

5. ambulatoriul-poliklinikuri dawesebulebebis rentgenis, fizioTerapiuli, oftalmologiuri kabinetebis, klinikuri laboratoriebis, agreTve sxva funqciuri saTavsebis mopirkeTeba, romelTa muSaobis specifika saWiroebs specialur pirobebs, unda Seesabamebodes aseTi saTavsebisadmi wayenebul im moTxovnebs, romlebic warmodgenilia sanitariul wesebSi, instruqciebSi, agreTve moqmed saxelmwifo standartebSi.

6. sxvadasxva konstruqciis Sekiduli Weris gamoyeneba dasaSvebia mxolod iseT saTavsebSi, romlebic ar moiTxoven epidsawinaaRmdego, sadezinfeqcio reJims, aseptikisa da antiseptikis dacvas. Sekiduli Weri SesaZlebelia gakeTdes: vestibiulebSi, derefnebSi, holebsa da sxva damxmare saTavsebSi, romlebic uSualod ar emijnebian qirurgiuli kabinets, saprocedurosa da sxva analogiur saTavsebs. amasTan, Sekiduli Weris konstruqciebi da masalebi unda uzrunvelyofdes maT moxerxebul gawmendas, dasufTavebasa da dezinfeqcias.

7. ambulatoriul-poliklinikuri dawesebulebebis specializebul kabinetebSi pacientebis obieqturi gasinjvisas kanis paTologiebis normaluri aRqmisaTvis saWiroa saTavsebis kedlebi SeiRebos neitralur tonebSi (magaliTad; Ria ruxi), Weri _ TeTr ferSi, iataki – muq tonalobaSi. fardebi sasurvelia iyos yviTeli Seferilobis.

Tavi V

higienuri moTxovnebi aRWurvilobis (samedicino, sanitariul-teqnikuri, sainJinro da sxva danadgar-mowyobilobebis), avejisa da inventarisadmi

muxli 5. yvela axlad mSenebare da moqmedi ambulatoriul-poliklinikuri dawesebulebebi

uzrunvelyofil unda iqnes wyalsadeniT, kanalizaciiT, cxeli wyalmomaragebiT, gaTbobiT, ventilaciiT (saWiroebis SemTxvevaSi haeris kondicionerebiT), CarTul iqnes dasaxlebuli punqtis moqmed eleqtro da satelefono qselSi, agreTve sxva sainJinro komunikaciebSi. mravalsarTuliani maRali Senobebi aRWurvil unda iqnes liftebiT, nagavgamtarebiT, nagavsayrelebiT.

ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis, diagnostikuri laboratoriebis, maT Soris infeqciuri kabinetis naxmari wylebis gawmenda da gauvnebloba unda moxdes saerTo _ saqalaqo da sxva sakanalizacio gamwmend nagebobebze, Camdinare wylebis gawmendisa da gauvneblobis garantirebuli efeqturi gawmendiT.

ambulatoriul-poliklinikur dawesebulebaSi arsebuli samedicino, teqnologiuri, sanitariul-teqnikuri, sainJinro da sxva mowyobilobebi, aveji, agreTve inventari unda Seesabamebodes moqmed teqnikur pirobebsa da standartebs, iyos gamarTul mdgomareobaSi, hqondes higienuri safari (SeRebva, mopirkeTeba), rac uzrunvelyofs sveli wesiT dalagebasa da dezinfeqcias. mwyobridan gamosuli, gaumarTavi mowyobiloba, aveji, inventari saWiroebs dauyovnebliv Secvlas an SekeTebas, xolo uvargisi ki - droul Camoweras. gaumarTavi an defeqtiani mowyobilobis, avejis, an inventaris gamoyeneba dauSvebelia.

sanitariul-teqnikuri xelsawyoebi da mowyobilobebi (onkanebi, niJarebi, abazanebi, unitazebi da sxva) gamarTuli unda iyos, gaiwmindos Jangisa da sxva nadebisagan, ar unda hqondes bzarebi da sxva defeqtebi. gaumarTavi xelsawyoebi saswrafod unda Seicvalos, sapirfareSoebi unda aRiWurvos kabinebiT, sakidebiT, xelis eleqtrosaSrobi mowyobilobiT.

saeqimo kabinetebsa da saproceduroebSi unda iyos Semreviani pirsabanebi civi da cxeli wyliT. sxva saTavsebSi, sadac saWiroa gansakuTrebuli reJimis dacva, unda iyos Semreviani xelsabanebi moxrili onkanebiT.

saTavsebi, romlebSic dacul unda iqnes gansakuTrebuli reJimi momsaxure medpersonalis xelebis sisufTavis TvalsazrisiT, aRWurvil unda iqnes Semreviani xelsabanebiTa da moxrili onkanebiT.

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sapirfareSo mowyobili unda iyos kabinebiT, sakidebiT, sarkeebiT, xelis saSrobi saSualebebiT. personalisaTvis sasurvelia mowyobil iqnes kabina qalTa higienisaTvis saSxapeTi (10 sulze erTi saSxape kabina).

ambulatoriul-poliklinikur dawesebulebebSi gamoyenebuli inventaris dezinfeqciisaTvis saWiroa dacul iqnes Semdegi wesebi:

a) dezinfeqciisaTvis gamoyenebuli WurWeli unda iqnes niSandebuli. b) dezinfeqcia unda xdebodes inventaris bolomde CayursviT, gawmendiTa da SesxurebiT. g) personali, romelic asrulebs sadezinfeqcio samuSaoebs uzrunvelyofil unda iqnes

saponiT, pirsaxociTa da kanis damarbilebeli saSualebebiT. d) yvela sadezinfeqcio xsnari, damzadebis TariRisa da koncentraciis aRniSvniT, bnel

adgilas unda inaxebodes. samedicino daniSnulebis instrumentebis, xelsawyoebisa da mowyobilobebis dasufTaveba da

dezinfeqcia unda Catardes dadgenili wesis Sesabamisad.

Tavi VI

moTxovnebi gaTbobis, ventilaciis, mikroklimatisa da saTavsebis haerisadmi

muxli 6. 1. gaTbobis, ventilaciisa da haeris kondicirebis sistemebi unda uzrunvelyofdes

ambulatoriul-poliklinikuri dawesebulebebis saTavsebis mikroklimatisa da haeris garemos optimalur pirobebs.

2. gaTbobis, ventilaciisa da haeris kondicirebis sistemebis daproeqtebis, mSeneblobisa (rekonstruqciis) da eqspluataciisas saWiroa gaTvaliswinebul iqnes moqmedi samSeneblo normebisa da wesebis, agreTve, sxva normatiuli dokumentebis moTxovnebi.

3. ambulatoriul-poliklinikuri dawesebulebebis saTavsebis gaTbobis sistemebi gaTbobis mTeli periodis ganmavlobaSi unda uzrunvelyofdes Senobis haeris Tanabar gaTbobas, gamoricxavdes haeris dabinZurebas eqspluataciis procesSi gamoyofili suniTa da mavne nivTierebebiT, ar iwvevdes xmauris dasaSvebi donis momatebas, agreTve, uzrunvelyofil iqnes momsaxurebisa da mimdinare remontisaTvis mosaxerxebeli maregulirebeli mowyobilobiT.

4. gamaTbobeli xelsawyoebi saWiroa ganTavsdes fanjrebis qveS, gisosebis gareSe. administraciul-sameurneo Senobebsa da zogierT specializebul kabinetebSi SesaZlebelia gamTbobi xelsawyoebis SemoRobva dekoraciuli gisosebiT, badeebiT an perforirebuli kedlebiT. amasTan, eqspluataciisa da mimdinare dasufTavebisaTvis uzrunvelyofil unda iqnes xelsawyosTan Tavisufali midgoma. xelsawyos zedapiri unda iyos gluvi, SeRebili da advilad sufTavdebodes sveli wesiT.

5. ambulatoriul-poliklinikuri dawesebulebebis saTavsebis gaTbobis sistemaSi

Tbomatareblad gamoiyeneba wyali, romlis temperatura gamaTbobel xelsawyoSi 85°C-ia. gaTbobis Ria sistemaSi sxva siTxeebisa da xsnarebis (antifrizi da sxva) gamoyeneba akrZalulia.

6. ambulatoriul-poliklinikuri dawesebulebebis SenobebSi Semwovi da gamwovi ventilaciis garda unda moewyos bunebrivi ventilacia sarkmelebis, gadasaxsneli framugebis, sagdulebisa da sxva mowyobilobebis saSualebiT fanjrebis alaTebSi, gare kedlebSi, agreTve saventilacio arxebSi haeris meqanikuri iZulebis gareSe. sarkmelebis, framugebis da bunebrivi ventilaciis sxva mowyobilobebis gasaReb-dasaxreli samarjveebi unda iyos gamarTul mdgomareobaSi.

7. diagnostikuri laboratoriebis, sasterilizacio, sadezinfeqcio, saproceduro da sxva saTavsebSi, sadac samedicino-teqnologiur process Tan axlavs haerSi mavne nivTierebebis gamoyofa, unda moewyos adgilobrivi gamwovebi an gamwovi karadebi.

8. maRali sisufTavis moTxovnis specializebul saTavsebSi haeris baqteriuli moTesvianobis maCveneblebi ar unda aRematebodes saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros mier damtkicebul Sesabamis maCveneblebs.

9. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis saTavsebSi civ

da gardamaval periodSi haeris temperatura unda iyos 20-23°C farglebSi, xolo wlis

BTbil periodSi _ 20-25°C, fardobiTi tenianoba _ 60-40% da haeris moZraobis siCqare – 0.2m/wm.

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Tavi VII

higienuri moTxovnebi bunebrivi da xelovnuri ganaTebisadmi

muxli 7. 1. ambulatoriul-poliklinikuri dawesebulebebis specializebul kabinetebsa da damxmare

saTavsebs unda hqondes bunebrivi ganaTeba. meoradi an xelovnuri ganaTeba dasaSvebia: sawyobebSi, rentgenis fotolaboratoriaSi, personalisTvis gankuTvnil gasaxdelebSi, sanitariul kvanZebsa da zogierT sxva saTavsSi, romelTa teqnologiuri da eqspluataciis wesebi bunebriv ganaTebas ar moiTxovs.

2. specializebuli kabinetebis derefnebs unda hqondeT bunebrivi ganaTeba, Senobis torcul kedelsa da rekriaciebSi arsebuli fanjrebiT.

3. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis saTavsebSi, sadac xdeba avadmyofTa gasinjva, sinaTlis koeficienti (fanjrebis Seminuli zedapiris farTis Sefardeba iatakis farTTan) unda Seadgendes 1:4 – 1:5, xolo damxmare saTavsebSi _ aranakleb 1:8.

4. yvela specializebuli kabinetis saTavsebis samuSao adgilebze bunebrivi ganaTebis koeficienti (samuSao adgilze bunebrivi ganaTebis donis procentuli Sefardeba erTdroul gare ganaTebasTan) unda iyos aranaklebi 1,5%-isa.

5. zafxulis periodSi mzis sxivebis TvalismomWreli moqmedebisa da gadaxurebisgan dasacavad specializebuli kabinetebis saTavsebi unda aRiWurvos mzisgan damcavi saSualebebiT (Jaluzebi, fardebi, saCrdiloblebi da sxva).

6. saerTo xelovnuri ganaTeba unda arsebobdes ambulatoriul-poliklinikuri dawesebulebebis yvela SenobaSi, gamonaklisis gareSe. calkeuli funqciuri zonebisa da samuSao adgilebis gasanaTeblad, zemoT aRniSnuli saerTo ganaTebis garda, saWiroa adgilobrivi ganaTebac. saTavsebis ganaTebulobis normebi mocemulia danarT 2-Si.

7. xelovnuri ganaTeba unda Seesabamebodes saTavsis daniSnulebas, iyos sakmarisi, usafrTxo, regulirebadi, ar iwvevdes TvalismomWrel moqmedebasa da arasasurvel zemoqmedebas Sida garemoze.

8. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis saTavsebis xelovnuri ganaTeba unda xorcieldebodes luminescenturi da varvara naTurebiT. saeqspluataciod gankuTvnili luminescenturi naTurebi unda iyos dakompleqtebuli gansakuTrebiT dabalxmauriani gamSvebi regulirebadi aparatebiT.

9. Werze ganTavsebuli Senobis saerTo ganaTebis sanaTebi aRWurvil unda iqnes erTiani (daxuruli) gamfantveliT.

10. eqimis kabinetebi, sadac avadmyofi isinjeba, damatebiTi kedlis ganaTebiT unda iyos uzrunvelyofili.

Tavi VIII

higienuri moTxovnebi samedicino personalis samuSao da sayofacxovrebo pirobebisadmi

muxli 8. 1. ambulatoriul-poliklinikuri dawesebulebebis samedicino da sxva personalis ZiriTadi

funqciuri da samuSao adgilebi uzrunvelyofil unda iqnes haercvlisa da mikroklimatis (temperatura, tenianoba, haeris moZraobis siCqare, qimiuri da baqteriologiuri Semadgenloba) normatiuli parametrebiT saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2002 wlis 17 seqtembris #256/n brZanebis `sawarmoo saTavsebis mikroklimatisadmi wayenebuli higienuri moTxovnebis damtkicebis Sesaxeb~ Sesabamisad.

2. aRWurvilobis ganlageba da misi eqspluatacia unda Seesabamebodes Sromis dacvisa da teqnikuri usafrTxoebis wesebs. ambulatoriul-poliklinikuri dawesebulebebSi unda iyos gaTvaliswinebuli sanitariul-sayofacxovrebo saTavsebis mowyoba momsaxure samedicino personalisa da sxva muSakebisaTvis.

3. maRalaqtiuri medikamentebiT manipulaciebis SesrulebisaTvis saoperacioebSi, aerozolur-inhalaciur kabinetebSi, Sesaxvevsa da sasterilizacio saTavsebSi gaTvaliswinebul unda iqnes amwovi karadebi niJariTa da kanalizaciaSi CamSvebiT.

4. samedicino personalma, romelic ganicdis sawarmoo faqtorebis araxelsayrel zemoqmedebas, unda gaiaros perioduli samedicino Semowmeba.

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5. ambulatoriul-poliklinikuri dawesebulebebis specializebul kabinetebSi (klinikur-diagnostikuri laboratoria, fizioTerapiuli da rentgenis kabinetebi, sadezinfeqcio kamerebi da sxva) Sromis pirobebisadmi konkretuli sanitariul-higienuri moTxovnebi ganisazRvreba am kabinetebis mowyobasa da eqspluataciaze arsebuli specialuri wesebiTa da instruqciebiT.

6. ambulatoriul-poliklinikuri dawesebulebebis personali unda iyos sufTa, samuSao tansacmlis boloebi mTlianad unda faravdes pirad tansacmels. Tmebi mTlianad unda ifarebodes CaCiT an TavsafriT. gamosacvleli fexsacmeli ar unda iyos naWris qsovilis da SesaZlebeli unda iyos misi dezinfeqcia.

Tavi IX

saTavsebis, avejisa da inventaris eqspluataciis higienuri reJimi

muxli 9. 1. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebis yvela saTavsi,

danadgari, samedicino da sxva inventari unda inaxebodes sufTad. Senobas sveli wesiT asufTaveben dRe-RameSi erTxel, saWiroebis SemTxvevaSi ufro xSiradac. sarecxi da sadezinfeqcio saSualebebis gamoyenebiT, fanjris minebi Sida mxridan unda iwmindebodes yoveldRiurad, gare mxridan gawmenda ki warmoebs gaWuWyianebis mixedviT, magram aranakleb 4-6-jer TveSi.

2. saTavsebis sveli wesiT dasufTavebisas dauSvebelia sinTetiuri sarecxi saSualebebis gamoyeneba. mTel dasalagebel inventars (saTli, iatakis sawmendi joxi da sxva) unda hqondes niSandeba saTavsisa da dasalagebeli samuSaos saxeobis mixedviT da inaxebodes gancalkevebiT.

3. ambulatoriul-poliklinikuri dawesebulebebis specializebuli kabinetebisa da ganyofilebebis funqcionaluri daniSnulebis Sesabamisad, saTavsebis dasufTaveba sxvadasxvagvarad xdeba:

a) poliklinikis administraciul da damxmare saTavsebSi (registratura, sagarderobo, eqimis gamoZaxebis saTavsi da sxva) arsebul mowyobilobebs asufTaveben mtvrisagan da recxaven iataks romelime sarecxi saSualebis 0.5%-iani xsnariT. b) specializebul kabinetebSi (Terapevtis, nevropaTologis, revmatologis, alergologis da sxva) avadmyofTa miRebis damTavrebis Semdeg tardeba saTavsebis sveli wesiT dasufTaveba 0.5%-iani sarecxi siTxis gamoyenebiT. amasTan, 10 l sarecxi siTxe gamoyenebul unda iqnes ara umetes 20 m2 farTis zedapiris dasamuSaveblad. aRniSnul saTavsebSi kviraSi erTxel unda Catardes avejisa da iatakis dezinfeqcia. avadmyofTa gasasinji taxtebi unda dasufTavdes yoveli pacientis Semdeg. g) urologiur, ofTalmologiur, otorinolaringologiur kabinetebSi, saproceduroebSi, Sesaxvevebsa da sxva saTavsebSi dasufTaveba unda warmoebdes dezinfeqciasTan erTad. d) saoperacioSi iatakis, avejisa da mowyobilobebis dezinfeqcias atareben muSaobis dawyebamde da misi damTavrebis Semdeg. generaluri dasufTaveba xdeba kviraSi erTxel. e) dezinfeqciisaTvis rekomendirebulia Semdegi saSualebebi: haloidSemcvelebi (qlorSemcvelebi, maT Soris eleqtroqimiuri aqtivirebuli siTxeebi), JangbadSemcvelebi, zedapirulad aqtiuri saSualebebi. 4. specializebuli kabinetebisa da sxva funqciuri saTavsebis generaluri dasufTaveba unda

xdebodes damtkicebuli grafikis mixedviT, kedlebis, iatakis, mTeli danadgarebis savaldebulo recxviT, agreTve avejis, naTurebis, damcveli Jaluzebis da a.S. gawmendiT.

5. ambulatoriul-poliklinikuri dawesebulebebis saTavsebSi, weliwadSi erTxel saWiroebis SemTxvevaSi ki ufro xSirad, unda tardebodes Senobis kosmetikuri remonti. mimdinare defeqtebis aRkveTa (Wersa da kedlebze gamonaJonis, nestis, obis likvidacia, napralebis, xvrelebis amovseba, acvenili filebisa da iatakis dazianebuli safris aRdgena) unda moxdes dauyovnebliv.

6. yovelwliurad, gaTbobis sezonis dawyebamde, unda moxdes Senobis yvela saTavsis momzadeba zamTrisaTvis (gaTbobis, ventilaciis sitemebis profilaqtikuri daTvaliereba da remonti, fanjrebis Seminva, daTbuneba da a.S.). mimdinare da kapitaluri remontis da aseve rekonstruqciis periodSi unda Sewydes saTavsebis funqcionireba.

7. ambulatoriul-poliklinikuri dawesebulebebis administraciam unda uzrunvelyos mwerebisa da mRrRnelebis winaaRmdeg Senobis profilaqtikuri damuSavebis organizacia.

182

danarTi 1.

cxrili #1.

saTavsi farTobis norma m2-Si

1. vestibiul-sagarderobo momsvlelTaTvis 0,38 _ erT momsvlelze, magram aranakleb

10-isa 2. mosacdeli 1,2 _ TiToeul momsvlelze, magram

aranakleb 10-isa 3. registratura 8 _ erT registratorze, aranakleb 10-

isa 4. saTavsi eqimis binaze gamosaZaxeblad:

a) oTaxi eqimis binaze gamosaZaxeblad; aranakleb 12-isa b) oTaxi ubnis eqimebisaTvis aranakleb 12-isa, 3-ze meti eqimisas

kabinetis farTobi unda gaizardos 3,25

m2-iT TiToeul eqimze g) meddebis oTaxi aranakleb 12-isa, 3-ze meti maddisas

kabinetis farTobi unda gaizardos 3,25

m2-iT TiToeul meddaze 5. eqimamdeli miRebis kabineti aranakleb 5-isa 6. bavSvebis misaRebi filtr-boqsebi aranakleb 12-isa 7. bavSvebis misaRebi filtri aranakleb 15-isa 8. filtrTan arsebuli boqsi aranakleb 12-isa 9. mimReb-gasasinji boqsi aranakleb 15-isa 10. pediatris kabineti aranakleb 15-isa 11. alergologis, hematologis, endokrino-

logis, fsiqiatris, mozardTa

konsultaciis kabinetebi

aranakleb 12-isa

12. logopedis kabineti aranakleb 18-isa 13. nemsTerapiis saproceduro aranakleb 20-isa 14. kardiorevmatologiuri kabineti

saproceduroTi aranakleb 16 + 12-isa

15. saproceduro intramuskularuli

ineqciebisaTvis aranakleb 12-isa

16. saproceduro intravenuri

ineqciebisaTvis

aranakleb 12-isa

17. pediatriuli saproceduro aranakleb 18-isa 18. anTropometriis kabineti aranakleb 15-isa 19. kabineti acrebisaTvis: a) saTavsi karToTekisaTvis; aranakleb 20-isa b) acrebis kabineti aranakleb 12-isa 20. samasaJoro Cvili bavSvebisaTvis aranakleb 15-isa 21. oTaxi Cvil bavSvTa kvebisaTvis aranakleb 10-isa 22. qirurgis, fTiziatris, dermatove-

nerologis, onkologis, travmatolog-

orTopedis, urologis, mean-ginekologis

kabinetebi

aranakleb 18-isa

183

23. saoperacio winasaoperaciosTan erTad aranakleb 22 + 8-isa 24. sasterilizacio aranakleb 10-isa 25. Sesaxvevi aranakleb 22-isa 26. qirurgis an travmatolog-orTopedis

kabinetTan arsebuli saTabaSiro-Sesaxvevi

aranakleb 22-isa

27. TabaSiris Sesanaxi aranakleb 10-isa 28. oTaxi operaciis Semdeg avadmyofTa

droebiTi dayovnebisaTvis

6 _ 1 taxtze, magram aranakleb 12-isa

29. saproceduro eqim-specialistis

kabinetTan

aranakleb 20-isa

30. mean-ginekologis kabineti

ginekologiuri savarZliT

aranakleb 18-isa

31. orsulTa fsiqoprofilaqtikuri

momzadebis kabineti

aranakleb 12-isa

32. otorinolaringologiis kabineti

bgeris saizolacio kabiniT

aranakleb 18 + 8-isa

33. vestibularuli aparatis gamosakvlevi

kabineti

aranakleb 10-isa

34. audiometruli kabineti bgeris

saizolacio kabiniT


35. ofTalmologis kabineti bneli kabiniT aranakleb 18 + 8-isa 36. kontaqturi linzebis laboratoria: a)mosacdeli; aranakleb 15-isa b)saproceduro; aranakleb 12-isa g)samasale; aranakleb 25-isa d)masalisa da instrumentebis Sesanaxi

oTaxi

aranakleb 10-isa

e) eqimis kabineti; aranakleb 12-isa v) laboratoriis gamgis kabineti aranakleb 12-isa 37. Tvalis saproTezo kabineti: a) mosacdeli; aranakleb 15-isa b) proTezebis SerCevis oTaxi; aranakleb 12-isa g) saxelosno; aranakleb 25-isa d)masalisa da instrumentebis Sesanaxi

oTaxi;

aranakleb 10-isa

e) laboratoriis gamgis oTaxi aranakleb 12-isa 38. ofTalmologisa da

otorinolaringologis kabinetebTan

arsebuli saoperacio winasaoperacio

blokiT


39. eqim-infeqcionistis kabinti: a) eqimis oTaxi; aranakleb 12-isa b) reqtoromanoskopiis oTaxi; aranakleb 18-isa g) tualeti; 1,1 X 1,6 (kabina) d) meddis oTaxi; aranakleb 8-isa e) saproceduro; aranakleb 10-isa v) sanitariuli oTaxi aranakleb 8-isa 40. parazitologiuri ganyofileba (SeiZleba iyos bavSvTa da mozrdilTa erTad) a) eqim-parazitolog-epidemiologis

kabineti;

aranakleb 12-isa

184

b) sufTa saproceduro; aranakleb 12-isa g) WuWyiani saproceduro: g.a) helminTebis gamorecxvis oTaxi; aranakleb 8-isa g.b) saTavsi oynis gasakeTeblad; aranakleb 8-isa g.g) samrecxao da saSxape kabina; 3 _ erT taxtze, magram aranakleb 6-isa g.d) sufTa TeTreulis sawyobi; aranakleb 2-isa g.e) WuWyiani TeTreulis sawyobi; aranakleb 2-isa g.v) palata; aranakleb 6-isa _ 1 taxtze

g.z) tualeti 1,1 X 1,6 (kabina)

41. stomatologiuri ganyofileba saqarTvelos Sromis, janmrTelobisa da

socialuri dacvis ministris 2002 wlis

5 noembris #309/n brZanebis

`stomatologiuri profilis ambu-

latoriul-poliklinikuri dawese-

bulebebisaTvis sanitaruli wesebis

damtkicebis Sesaxeb~ Sesabamisad 42. rentgenologiuri ganyofileba saqarTvelos Sromis, janmrTelobisa da


4 martis #41/n brZanebis `samedicino-

rentgenur-radiologiuri diagnostikuri

procedurebisa da mkurnalobis dros

radiaciuli dacvis uzrunvelyofis

sanitariuli normebis damtkicebis

Sesaxeb~ Sesabamisad

43. funqcionaluri diagnostikis

kabinetebi

ix. cxrili #2.

44. klinikur-diagnostikuri laboratoria ix. cxrili #3.

45. samedicino statistikis kabineti 4–erT adgilze, aranakleb 12-isa

46. saeqimo-SromiTi eqspertiza:

a) mosacdeli; aranakleb 24-isa

b) registratura; aranakleb 24-isa

g) arqivi; aranakleb 24-isa

d) eqim-eqspertebis oTaxi aranakleb 30-isa

47. saTavsi gadaudebeli samedicino daxmarebis morige med.personalisaTvis:

a) morige eqimis kabineti; aranakleb 12-isa

b) mosacdeli momsvlelTaTvis; aranakleb 10-isa

g) tualeti; 1,1 X 1,6 (kabina)

d) meddis oTaxi; aranakleb 10-isa

e) Sesaxvevi-saproceduro; aranakleb 22-isa

v) avadmyofTa droebiT dasayovnebeli

oTaxi;

6_ erT taxtze, magram aranakleb 12-isa

z) sadispeCero da mZRolTa oTaxi; aranakleb 6+10

T) samedicino daxmarebis yuTebis Sesanaxi

saTavsi;

aranakleb 6-isa

i) tualeti personalisaTvis. 1,1 X 1,6 (kabina)

48. sisxlis gadasxmis kabineti saqarTvelos Sromis, janmrTelobisa da


16 agvistos #305/n brZanebis `sawarmoo

transfuziologiis kabinetebisadmi waye-

nebuli sanitariul-higienuri da epidemi-

185

ologiuri moTxovnebis damtkicebis

Sesaxeb~ Sesabamisad.

49. travmatologiuri punqtis izolatori 6 _ erT taxtze, aranakleb 12-isa

50. .alergologiuri kabineti:

a)eqimis kabineti; aranakleb 12-isa

b)saproceduro; aranakleb 12-isa

g) alergenebis mosamzadebeli oTaxi. aranakleb 12-isa

cxrili #2.

funqcionaluri diagnostikis kabinetebi


1. eleqtrokardiografiis kabineti aranakleb 24-isa

2. fonokardiografiisa da balistokar-

diografiis kabineti

aranakleb 18-isa

3. periferiuli sisxlis mimoqcevis

gamokvlevis kabineti

aranakleb 18-isa

4. airovani cvlis gansazRvris kabineti:

a) ZiriTadi cvlis gansazRvra; aranakleb 18-isa

b) spirografia aranakleb 18-isa

5. eleqtroencefalografiis kabineti aranakleb 24-isa

6. miografiis kabineti aranakleb 18-isa

7. eleqtrogastrografiis kabineti aranakleb 18-isa

8. radiotelemetriis kabineti aranakleb 18-isa

9 .endoskopiuri kabineti:

a) gastroskopiis kabineti avadmyofis

mosamzadebeli saTavsiT

aranakleb 18+10-isa

b) cistoskopiis kabineti; aranakleb 24-isa

g) reqtoromanoskopiis kabineti; aranakleb 20-isa

d) sasterilizacio. aranakleb 8-isa

10. eqoskopiis kabineti aranakleb 18-isa

11. laparaskopiis kabineti:

a) saproceduro (mcire saoperacio); aranakleb 24-isa

b) winasaoperacio; aranakleb 10-isa

g) sasterilizacio aranakleb 6-isa

12. eleqtroTermodiagnostikis kabineti:

a) saproceduro; 6 _ erT savarZelze, magram aranakleb 10-

isa

b) safenebis dasamuSavebeli saTavsi aranakleb 6-isa

186

cxrili #3.

klinikur-diagnostikuri laboratoriebi


1. analizebis miRebis ganyofileba: a) saregistracio da misaRebi; aranakleb 8-isa

b) sisxlis asaRebi; aranakleb 10-isa

g) sinjebis misaRebi da dasaxarisxebeli. aranakleb 4+6-isa

2. klinikuri ganyofileba: a) sapreparato sisxlis Sratis,

ganavlis, naxvelisa da kuWis wvenis

gamosakvlevad;

aranakleb 18-isa

b) saTavsi centrifugirebisaTvis; aranakleb 6-isa

g) salaboranto; aranakleb 10-isa

d) samrecxao. aranakleb 12-isa

3. hematologiuri ganyofileba: a) sinjebis SesaRebi; aranakleb 6-isa

b) eqim-laborantebis kabineti; aranakleb 12-isa

g) salaboranto. aranakleb 10-isa

4. bioqimiuri ganyofileba: a) salaboranto sisxlis bioqimiuri

kvlevisaTvis;

aranakleb 12-isa

b) oTaxi hormonaluri

gamokvlevebisaTvis;

aranakleb 18-isa

g) salaboranto Sardis bioqimiuri

kvlevisaTvis;

aranakleb 12-isa

d) saTavsi centrifugirebisaTvis; aranakleb 6-isa

e) samrecxao; aranakleb 12-isa

v) saTavsi awonvebisaTvis; aranakleb 4-isa

z) saTavsi fotometriisaTvis; aranakleb 15-isa

T) koagulografiis kabineti; aranakleb 14-isa

i) saTavsi aalebiTi fotometriisaTvis; aranakleb 8-isa

k) axali meTodikebis danergvis kabineti. aranakleb 16-isa

5. mikrobiologiuri ganyofileba: a) analizebis misaRebi da

saregistracio;

aranakleb 5-isa

b) sapreparato; aranakleb 18-isa

g) boqsi preboqsTan erTad; aranakleb 4+2-isa

d) Termostatuli kamera; aranakleb 3-isa

e) saTavsi avtoklavirebisaTvis; aranakleb 10-isa

v) eqim-mikrobiologis kabineti; aranakleb 12-isa

z) niadagebis mosamzadebeli; aranakleb 8-isa

T) samrecxao. aranakleb 12-isa

6. citologiuri gamokvlevebis ganyofileba: a) salaboranto aranakleb 12-isa

187

188

danarTi 2.

ganaTebulobis sarekomendacio sidideebi ambulatoriul-poliklinikuri tipis dawesebulebis calkeul kabinetebsa da

saTavsebSi

kabineti samuSao zedapirebis

ganaTebulobis koeficienti lq

sinaTlis wyaro

mosacdeli koridori poliklinikaSi pediatris kabineti mimReb-dasaTvalierebeli boqsiT qirurgis, travmatologis kabinetebi:

• saoperacio, saTabaSire, Sesaxvevi

• winasaoperacio mean-ginekologis kabineti eqim Terapevtis kabineti eqim-laborantis kabineti

150 75

500 200

500 200

500 200

300 150

500 200

500 200

300 150

l.n*. e.n**

l.n e.n

l.n. e.n

l.n. e.n

l.n. e.n.

l.n. e.n.

l.n. e.n.

l.n. e.n.

*l.n. _ luminescenturi naTura **e.n. _ eleqtruli naTura

danarTi 3 (sarekomendacio)

samedicino daniSnulebis nakeTobebis dezinfeqcia

dezinfeqciis reJimi temperatura eqspozicia wuTebSi

dezinfeqciis meTodi

sadezinfeqcio masala

nomina-luri

mniSvne-loba

zRvruli mniSvne-loba

koncent-racia %

nomina-luri

mniSvne-loba

zRvruli mniSvne-loba

gamoyeneba

dezinfeq-ciis

Catarebis pirobebi

gamoyene-buli

mowyobi-loba

duRilis

1. distilire-buli wyali; 2.distilire-buli ornax-SirmJava natriumi

98 + 1 _

2.0

45 30

45 45

rekomendebulia minis nakeTo-bebisaTvis, medegi polimeruli masalebisa da rezinisaTvis

mTliani CaZirva wyalSi

sadezin-feqcio maduRara

orTqlis

wyalnajeri orTqli maRa-li wnevis qveS P = 0,5 kg/ sm

110 + 2 _ 15 +5

rekomendebulia minis, metalis, rezinis, late-qsis, Termomdgradi polimerebis nakeTobebisaTvis

kamerebi

haerovani mSrali cxeli haeri

120 + 4

_ 20 +5

rekomendebulia minis da me-talis nakeTo-bebisaTvis

dezinfe-qcia unda Catardes SefuTvis gareSe

sterili-zatori

diqlor-1 _ 1,0 3,0 3,0

_ _ _

sulfoqlo-rantini

_ 0,1 1,0 0,2

_ _ _

qlorcini _ 0,5 3,0 1,0

_ _ _

qimiuri

dezami

aranak-lebi 18

_ 1,25 - 0,5

_ _

rekomendebulia minis, koro-ziamedegi metalis, polimeruli nakeTo-bebisaTvis

orjeradi gawmenda dolbandis an narmis qsoviliT gawmendebs Soris 10-15 intervaliT

_

recenzentebi: abduselisvili daviti weisvili madona · semdgenlebi: abduselisvili daviti baziari...

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