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Semdgenlebi:

abduSeliSvili daviTi baziari vera giuaSvili nino dolaberiZe manana zarnaZe medea niJaraZe dea xelaZe kaxa wverava mixeili WeiSvili madona

recenzentebi: asaTiani Tengizi bukia TinaTini gadelia nana gujejiani rusudani TomaZe giorgi kavTiaSvili qeTevani faRava yaramani saredaqcio jgufi: goderZiSvili liza maTeSvili sandro mgalobliSvili maia mgalobliSvili irina

cnobari momzadebulia asociacia "genezisi"-s da sociacia saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros standartizaciis, normirebisa da licenzirebis departamentis erToblivi ZalisxmeviT. gamocema dafinansebulia NOVIB-is - «niderlandebis organizacia saerTaSoriso -is ganviTarebis TanamSromlobisaTvis» mier.

This manual is a joint publication by The Genesis Association and The Department of Standards, Norms and Licenses of the Ministry of Labour, Health and Social Affairs, and funded by NOVIB (The Netherlands Organisation for International Development Cooperation).

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s a r C e v i Sesavali.........................................................................................................................................................................................5 Tavi I . kiTxvebi, romlebic uCndeba ebadeba licenziis maZiebels............... maZiebels...............7

nusxa....13 Tavi II licenzirebad samedicino da farmacevtul saqmianobaTa nusxa.... 2.1 licenzirebad samedicino saqmianobaTa nusxa.......................................................................................14 2.2 licenzirebadi farmacevtuli saqmianobis saxeebi.........................................................................28 Tavi III 3.1 3.2 3.3 3.4 3.5 licenzirebisaTvis samedicino saqmianobis licenzir ebisaTvis saWiro piuri formebi .............................................................29 dokumentaciis ti piur i fo rmebi ............................................................. gancxadeba ..................................................................................................................................................................30 cnobebi ........................................................................................................................................................................31 informacia samedicino dawesebulebis materialur-teqnikuri bazis Sesaxeb ................32 samedicino teqnikuri aRWurvilobis pirobiTi kodebi ................................................................39 farmacevtuli saqmianobis licenzirebisaTvis saWiro gancxadeba........................................40 .........................................................41 samedicino saqmianobis pasportebi .........................................................

Tavi I V 4.1.

zogadi saeqimo praqtika, ojaxis eqimi samedicino saqmianoba: zogadi saeqimo praqtika, ojaxis eqimi .....................................................42 ojaxis eqimis samsaxuris samedicino-teqnikuri aRWurviloba .....................................................43 Terapia 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 pediatria 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

4.2

4.3

3

4.4

qirurgia samedicino saqmianoba: zogadi qirurgia, mozrdilTa ambulatorul-poliklinikuri momsaxureba. (I, II, III, IV doneebi) ........................................................................................................................91 zogadi qirurgia: samedicino-teqnikuri aRWurviloba .......................................................................94

4.5

meanoba-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.

laboratoriuli diagnostika samedicino saqmianoba: kliniko-laboratoriuli diagnostika, ambulatoruli momsaxureba done I .........................................................................................................................................................................116 done II ........................................................................................................................................................................123 done III ......................................................................................................................................................................131 done IV ......................................................................................................................................................................143

Tavi

V

nozologiebis CamonaTvali daavadebaTa saerTaSoriso klasifikaciis ICD-10 - is mixedviT mixedviT..............................................................................155

Tavi VI

sxvadasxva simZlavris ambulatoriul - poliklinikuri dawesebulebebis mowyobis, aRWurvisa da eqspluataciis wesebi......................................................................................................................175 sanitariuli wesebi

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Sesavali 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 ti piur 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 saministros standartizaciis, normirebisa da licenzirebis departamenti. misamarTi: q. Tbilisi, 0102 d. uznaZis #78, me_3 sarT tel: 94-29-13 asociacia "genezisi". misamarTi: q. Tbilisi, zugdidis q. 3/evdoSvilis q. 19 tel/faqsi: 943148, tel: 348951 el.fosta: [email protected] interneti: http://www.genesis.org.ge 5

Manual on Licensing Requirements of Primary Medical Activities

Introduction The concept of Primary Healthcare in Georgia, as well as the Healthcare system as a whole, is undergoing a process 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 further amendment. However, until this process has been completed it is, in our opinion, necessary to put the standards and regulations which are currently in force for licensing of primary healthcare institutions into print (for the first time after the Soviet period) and make them available to license seekers and managers of healthcare institutions. For this purpose, it has been decided to prepare and publish this manual. The manual contains information on those medical activities and services which must be licensed and that are being provided by primary healthcare institutions ­ as currently defined. The Licensing "Passports" (Standard Requirement Sets) for the medical activities have been prepared by specialists of the respective fields of expertise as selected by and 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 and space 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 of the 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 a healthcare service that will satisfy the current state licence standards, thereby avoiding loss of time through unnecessary visits to the licensing bodies. Meanwhile, since the information on state licensing standards for medical activities presented in this manual is in draft version which will undergo further amendment, the opportunity is available to license applicants and other interested parties to actively participate in this process. We will therefore greatly appreciate comments, questions or suggested amendments to this manual, which may be set to any of the following addresses: Department of Standards, Norms & Licenses The Ministry of Labour, Health & Social Affairs 78 Dimitri Uznadze Street, Floor III, Tbilisi 0102, Georgia tel: (+995-32) 94 29 13 The Genesis Association 3 Zugdidi Street/19 Evdoshvili Street, Tbilisi, Georgia tel: (+995-32) 34 89 51, tel/fax: (+995-32) 94 31 48 e-mail: [email protected], website: http://www.genesis.org.ge

6

Tavi I

kiTxvebi, romelic yvelaze xSirad uCndeba samedicino saqmianobis licenziis maZiebels

7

1 . 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?

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 standartuli formebi, 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

saWiroa: farmacevtul 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. 4. ganacxadi xarisxis gare kontrolis sistemaSi monawileobaze; informacia licenzirebadi farmacevtuli saqmianobis ganmaxorcielebeli specialistebis profesiuli momzadebis Sesaxeb (saxelmwifo sertifikatis aslis warmodgeniT); farmacevtuli dawesebulebis pasporti;

5.

6. higienuri sertifikati; 7. spec. kontrols daqvemdebarebuli saSualebebis brunvis SemTxvevaSi pasuxismgebeli farmacevtis daniSvnis brZaneba, cnobebi misi nasamarTleobisa da narkologiur dawesebulebebSi aRricxvaze aryofnis Sesaxeb. samkurnalo saSualebaTa warmoebisa da realizaciis licenziis misaRebad warmodgenil unda iqnas im preparatebis CamonaTvali, romelTa warmoebis uflebasac iTxovs licenziis maZiebeli

8.

dokumentacia warmodgenil unda iqnas erT egzemplarad.

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 . ras niSnavs xarisxis gare kontrolis sistema?

es aris samedicino diagnostikuri saqmianobis obieqturobisa da saimedoobis dadasturebis mizniT SemuSavebuli sistema.

6 . sabuTebis Setanidan ra drois Semdeg unda pasuxi (rogorc dadebiTi, ise uaryofiTi)?

miiRos organizaciam

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?

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?

licenzia gaicema ganusazRvreli vadiT.

9. ra SemTxvevaSi SeiZleba moxdes licenziis SeCereba da romel 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?

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 samecnieroteqnikuri 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 dazianebis 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 reestruli 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 organizaciam 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 samedicino saqmianobis xarisxis kontrolis ufleba da ra dadgenilebiT regulirdeba 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 ekisreba valdebuleba acnobos samedicino dawesebulebebs samedicino saqmianobis maregulirebel da makontrolebel 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

# 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 samedicino saqmianobis dasaxeleba aiv-infeqcia/Sidsis mkurnaloba aiv-infeqcia/Sidsis mkurnaloba alergologia alergologia alergologia alergologia alkoholuri Trobis Semowmeba angiologia angiologia angiologia angiologia anesTeziologia anesTeziologia anesTeziologia anesTeziologia audiologia axali diagnostikuri saSualebebis, samkurnalo da biologiurad aqtiuri nivTierebebis da preparatebis klinikuri kvleva axali samedicino xelsawyoebis, aparatebis, samkurnalodiagnostikuri kompleqtebis aprobacia axali samedicino xelsawyoebis, aparatebis, samkurnalodiagnostikuri kompleqtebis danergva axali samedicino xelsawyoebis, aparatebis, samkurnalodiagnostikuri kompleqtebis SemuSaveba bavSvebis samedicino patronaJi

14

samedicino saqmianobis moculoba ambulatorul-poliklinikuri daxmareba stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

salicenzio mosakrebeli (larebSi) 40 40 20 20 20 20 100

mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba

20 20 20 20 20 20 20 20 20 50 50 50 50 10

# 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45

samedicino saqmianobis dasaxeleba baqteriologiuri gamokvlevebi biologiuri kontroli bioqimiuri gamokvlevebi birTvul-magnituri rezonansi gastroenterologia gastroenterologia gastroenterologia

samedicino saqmianobis moculoba

salicenzio mosakrebeli (larebSi) 40 40 40 100

bavSvTa ambulatorulpoliklinikuri daxmareba bavSvTa stacionaruli daxmareba

20 20 20 20 50 100 20 20 50 50

mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli gastroenterologia daxmareba gajansaRebis tradiciuli meTodebiT profilaqtika, diagnostika da mkurnaloba genetikuri Semowmeba da eqspertiza mozrdilTa ambulatorulgeriatria poliklinikuri daxmareba mozrdilTa stacionaruli geriatria daxmareba gvamis paTologanatomiuri gakveTa gvamis Semurva ginekologia ginekologia ginekologia bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

50 50 50 50 20 20 20 20 100

dekretirebul pirTa profvargisianobis Semowmeba da eqspertiza IV done mozrdilTa ambulatoruldermatologia da venerologia poliklinikuri daxmareba bavSvTa ambulatoruldermatologia da venerologia poliklinikuri daxmareba mozrdilTa stacionaruli dermatologia da venerologia daxmareba dermatologia da venerologia dermato-venerologiuri Semowmeba da eqspertiza

15

bavSvTa stacionaruli daxmareba

# 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68

samedicino saqmianobis dasaxeleba donorobis organizeba droebiTi Sromisuunarobis eqspertiza endokrinologia endokrinologia endokrinologia endokrinologia endoskopia endoskopia endoskopia endoskopia energoinformatika epidemiologia

samedicino saqmianobis moculoba

salicenzio mosakrebeli (larebSi) 20 50

mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

20 20 20 20 20 20 20 20 50 20 100 100 20 40 40

mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli esTetikuri qirurgia daxmareba eqstremalur situaciebSi gadaudebeli samedicino daxmarebis organizeba esTetikuri qirurgia virusologiuri gamokvlevebi zogadi saeqimo praqtika, ojaxis eqimi Terapia Terapia Terapia Terapiuli kosmetologia Terapiuli kosmetologia Terapiuli kosmetologia mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba mozrdilTa dRis stacionari mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba

16

20 20 20 50 50 50

# 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91

samedicino saqmianobis dasaxeleba Terapiuli kosmetologia imunologiuri gamokvlevebi infeqciuri daavadebebi infeqciuri daavadebebi infeqciuri daavadebebi infeqciuri daavadebebi kardiologia kardiologia kardiologia/ kardiorevmatologia kardiologia/ kardiorevmatologia kardioqirurgia kardioqirurgia kbilis sateqniko samuSaoebi maT Soris Camosxma) klinikur-diagnostikuri gamokvlevebi klinikuri imunologia klinikuri imunologia klinikuri imunologia klinikuri imunologia klinikuri toqsikologia klinikuri toqsikologia klinikuri toqsikologia klinikuri toqsikologia klinikuri transfuziologia

samedicino saqmianobis moculoba bavSvTa stacionaruli daxmareba

salicenzio mosakrebeli (larebSi) 50 20

mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba bavSvTa stacionaruli daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

20 20 20 20 20 20 20 20 50 50 100 40

mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa stacionaruli daxmareba

17

20 20 20 20 20 20 20 20 20

# 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114

samedicino saqmianobis dasaxeleba klinikuri transfuziologia kombustiologia kombustiologia kombustiologia kombustiologia kompiuteruli tomografia kritikuli medicina kritikuli medicina kritikuli medicina kritikuli medicina kurortologia kurortologia kurortologia kurortologia lazeroTerapia lazeroTerapia lazeroTerapia lazeroTerapia logopedia logopedia logopedia logopedia manualuri Terapia

samedicino saqmianobis moculoba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

salicenzio mosakrebeli (larebSi) 20 20 20 20 20 100

mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 50

18

# 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135

samedicino saqmianobis dasaxeleba masaJi samkurnalo, sportuli, higienuri da kosmetikuri) meanoba meanoba da ginekologia metabologia mobiluri samedicino daxmareba specializirebul transportSi mozrdilTa samedicino patronaJi mosaxleobis masobrivi imunizaciis organizeba da Catareba mZRolebis winasareiso samedicino Semowmeba

samedicino saqmianobis moculoba

salicenzio mosakrebeli (larebSi) 50

mozrdilTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba

50 50 20 100 10 20 50 20 20 20 100 100 50 50

mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulnarkologia poliklinikuri daxmareba mozrdilTa stacionaruli narkologia daxmareba narkotikuli saSualebebisa da fsiqotropuli nivTierebebis SemuSaveba, Seqmna narkotikuli saSualebebis, fsiqotropuli nivTierebebisa da specialur kontrols daqvemdebarebuli nivTierebebis Semcveli kombinirebuli preparatebis gadamuSaveba narkotikuli saSualebebis Senaxva-moxmareba narkologia naturopaTia nevrologia nevrologia nevrologia nevrologia nevrologia neiroqirurgia mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa dRis stacionari mozrdilTa stacionaruli daxmareba

19

20 20 20 20 20 20

# 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157

samedicino saqmianobis dasaxeleba neiroqirurgia neonatologia nefrologia nefrologia nefrologia nefrologia onkologia onkologia onkologia onkologia organoebis da qsovilebis aReba organoebis da qsovilebis aReba organoebisa da qsovilebis gadanergva organoebisa da qsovilebis gadanergva organoebisa da qsovilebis Senaxva organoebisa da qsovilebis Senaxva orTodontia orTodontia otorinolaringologia Soris surdologia) otorinolaringologia Soris surdologia) otorinolaringologia Soris surdologia) otorinolaringologia Soris surdologia) (maT (maT (maT (maT

samedicino saqmianobis moculoba bavSvTa stacionaruli daxmareba

salicenzio mosakrebeli (larebSi) 20 20

mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

20 20 20 20 20 20 20 20 20 20 50 50 50 50 20 20 20 20 20 20

20

# 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180

samedicino saqmianobis dasaxeleba ofTalmologia ofTalmologia ofTalmologia ofTalmologia ofTalmologia ofTometriuli ofTalmologia ofTometriuli ofTalmologia ofTometriuli ofTalmologia ofTometriuli paTologanatomiuri gamokvleva da eqspertiza paTomorfologiuri diagnostika pediatria pediatria pediatria proTezireba orTopediuli proTezireba orTopediuli proTezireba orTopediuli proTezireba orTopediuli proTezireba yuris proTezireba yuris proTezireba yuris proTezireba yuris profesiul daavadebaTa gamokvleva da eqspertiza profpaTologia

samedicino saqmianobis moculoba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

salicenzio mosakrebeli (larebSi) 20 20 20 20 20 20 20 20 50 40

bavSvTa ambulatorulpoliklinikuri daxmareba bavSvTa stacionaruli daxmareba dRis stacionari mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

20 20 20 50 50 50 50 50 50 50 50 50

mozrdilTa ambulatorulpoliklinikuri daxmareba

21

20

# 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203

samedicino saqmianobis dasaxeleba profpaTologia proqtologia proqtologia proqtologia proqtologia pulmonologia pulmonologia pulmonologia pulmonologia radiologia radiologia radiologia radiologia radiologiuri diagnostika reabilitacia reabilitacia reabilitacia reabilitacia regionSi samedicino daxmareba revmatologia revmatologia rentgenologiuri diagnostika reproduqtologia

samedicino saqmianobis moculoba mozrdilTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

salicenzio mosakrebeli (larebSi) 20 20 20 20 20 20 20 20 20 20 20 20 20 50

mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

20 20 20 20 50

mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba

22

20 20 40 50

# 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219

samedicino saqmianobis dasaxeleba reproduqtologia refleqsoTerapia (akupunqtura) sadezinfeqcio saqmianoba dezinseqcia sadezinfeqcio saqmianoba dezinfeqcia sadezinfeqcio saqmianoba deratizacia saeqTno samedicino daxmareba samedicino genetika samedicino genetika samedicino genetika samedicino parazitologia samedicino parazitologia samedicino parazitologia samedicino parazitologia samedicino xarisxis auditi

samedicino saqmianobis moculoba mozrdilTa stacionaruli daxmareba

salicenzio mosakrebeli (larebSi) 50 50 40 40 40 10

mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

20 20 20 20 20 20 20 200 50 100

220

221 222 223 224

samedicino-socialuri eqspertiza samedicino-teqnikuri nakeTobebis sabiTumo realizacia samedicino-teqnikuri nakeTobebis sacalo realizacia samedicino-teqnikuri nakeTobebis teqnikuri momsaxureba (funqciuri mdgomareobis dadgena, mimdinare da sxva momsaxureba montaJi, SekeTeba, demontaJi saxeobebis mixedviT samedicino-teqnikuri nakeTobebis warmoeba mozrdilTa ambulatorulsamkurnalo kveba poliklinikuri daxmareba bavSvTa ambulatorulsamkurnalo kveba poliklinikuri daxmareba

23

100

100 100 20 20

# 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247

samedicino saqmianobis dasaxeleba samkurnalo kveba samkurnalo kveba

samedicino saqmianobis moculoba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

salicenzio mosakrebeli (larebSi) 20 20 20 20 20 20 50 50 20 50 50 50 100 100 100 40

samkurnalo fizkultura da mozrdilTa ambulatorulsportuli medicina poliklinikuri daxmareba samkurnalo fizkultura da bavSvTa ambulatorulsportuli medicina poliklinikuri daxmareba samkurnalo fizkultura da mozrdilTa stacionaruli sportuli medicina daxmareba samkurnalo fizkultura da bavSvTa stacionaruli daxmareba sportuli medicina samxedro-samedicino da wvevamdelTa janmrTelobis mdgomareobis Semowmeba da eqspertiza sanatoriuli mkurnaloba sanitaruli ganaTleba. sasamarTlo-samedicino eqspertiza sasamarTlo-fsiqiatriuli eqspertiza saswrafo da gadaudebeli samedicino daxmareba saSualo samedicino personalis uwyveti ganaTleba saSualo samedicino saganmanaTleblo (ganaTlebis saministros mier licenzirebuli) dawesebulebis sabazo klinikuri saqmianoba sawarmoo transfuziologia serologiuri gamokvlevebi seqsologia seqsologia sportsmenebis saeqimo kontroli stomatologia Terapiuli stomatologia Terapiuli stomatologia orTopediuli stomatologia orTopediuli mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba

24

mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba

20 20 20 50 50 50 50

# 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269

samedicino saqmianobis dasaxeleba stomatologia qirurgiuli stomatologia qirurgiuli stomatologia qirurgiuli stomatologia qirurgiuli travmatologia da orTopedia travmatologia da orTopedia travmatologia da orTopedia travmatologia da orTopedia transportirebisas samedicino Tanxleba ultrabgeriTi diagnostika

samedicino saqmianobis moculoba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

salicenzio mosakrebeli (larebSi) 50 50 50 50 20 20 20 20 50 100 100 100 20 20 20 20 100

umaRlesi samedicino saganmanaTleblo (ganaTlebis saministros mier licenzirebuli) dawesebulebis sabazo klinikuri saqmianoba umaRlesisSemdgomi profesiuli mzadeba (rezidentura) mozrdilTa ambulatorulurologia poliklinikuri daxmareba bavSvTa ambulatorulurologia poliklinikuri daxmareba mozrdilTa stacionaruli urologia daxmareba urologia uwyveti samedicino ganaTleba fTiziatria fTiziatria fTiziatria fTiziatria fizioTerapia mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba

25

bavSvTa stacionaruli daxmareba

20 20 20 20 20

# 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292

samedicino saqmianobis dasaxeleba fizioTerapia fizioTerapia fizioTerapia fitoTerapia fsiqiatria fsiqiatria fsiqiatria fsiqiatria fsiqiatriuli Semowmeba

samedicino saqmianobis moculoba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

salicenzio mosakrebeli (larebSi) 20 20 20 50

mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba bavSvTa stacionaruli daxmareba

20 20 20 20 50 100 20 20 20 20 50 40

fsiqoaqtiuri nivTierebebiT gamowveuli Trobis Semowmeba da eqspertiza mozrdilTa ambulatorulfsiqoTerapia poliklinikuri daxmareba bavSvTa ambulatorulfsiqoTerapia poliklinikuri daxmareba mozrdilTa stacionaruli fsiqoTerapia daxmareba fsiqoTerapia funqciuri diagnostika qimiur-toqsikologiuri diagnostika qirurgia qirurgia qirurgia qirurgia gulmkerdis qirurgia gulmkerdis qirurgia zogadi qirurgia zogadi bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa dRis stacionari bavSvTa dRis stacionari mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

26

bavSvTa stacionaruli daxmareba

20 20 20 20 20 20 20

# 293 294 295 296 297 298 299 300 301 302 303

samedicino saqmianobis dasaxeleba qirurgia zogadi qirurgia plastikuri da rekonstruqciuli qirurgia plastikuri da rekonstruqciuli qirurgia plastikuri da rekonstruqciuli qirurgia sisxlZarRvTa qirurgia sisxlZarRvTa qirurgia Cirqovani qirurgia Cirqovani SromaTerapia

samedicino saqmianobis moculoba mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

salicenzio mosakrebeli (larebSi) 20 100 100 100 50 50 20 20 20 20 50

304

305 306 307 308 309 310 311 312

mozrdilTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli SromaTerapia daxmareba calkeuli profesiebiT saqmianobis, uflebis an nebarTvis misaRebad moqalaqeTa janmrTelobis mdgomareobis Semowmeba da eqspertiza - I done calkeuli profesiebiT saqmianobis, uflebis an nebarTvis misaRebad moqalaqeTa janmrTelobis mdgomareobis Semowmeba da eqspertiza - II done calkeuli profesiebiT saqmianobis, uflebis an nebarTvis misaRebad moqalaqeTa janmrTelobis mdgomareobis Semowmeba da eqspertiza - III done citogenetikuri gamokvlevebi citologiuri diagnostika

50

50 40 40

hematologia hematologia hematologia hematologia homeopaTia

mozrdilTa ambulatorulpoliklinikuri daxmareba bavSvTa ambulatorulpoliklinikuri daxmareba mozrdilTa stacionaruli daxmareba bavSvTa stacionaruli daxmareba

20 20 20 20 20

27

danarTi 2.2

licenzirebadi farmacevtuli saqmianobis saxeebi

salicenzio mosakrebeli (larebSi) 300 300 300 300 50 50

#

farmacevtuli saqmianobis dasaxeleba samkurnalo saSualebebis (maT Soris, specialur kontrols daqvemdebarebuli saSualebebis) momzadeba da realizacia (I jgufis afTiaqi); samkurnalo saSualebebis realizacia (II jgufis afTiaqi); samkurnalo saSualebebis (garda narkotikuli saSualebebisa) realizacia (II jgufis afTiaqi); samkurnalo saSualebebis (garda specialur kontrols daqvemdebarebuli saSualebebisa) realizacia (III jgufis afTiaqi); ureceptod gasacemi samkurnalo saSualebebis sacalo realizacia (afTiaqis filiali); samkurnalo saSualebebis momzadeba da samkurnalo-profilaqtikuri dawesebulebis ganyofilebebze gacema, sacalo realizaciis gareSe (samkurnalo-profilaqtikuri dawesebulebis afTiaqi); samkurnalo saSualebebis samkurnalo-profilaqtikuri dawesebulebis ganyofilebebze gacema, sacalo realizaciis gareSe (samkurnaloprofilaqtikuri dawesebulebis afTiaqi); samkurnalo saSualebebis (garda specialur kontrols daqvemdebarebuli saSualebebisa) importi, eqsporti, reeqsporti da sabiTumo realizacia (farmacevtuli baza); narkotikuli saSualebebis importi, eqsporti, reeqsporti da sabiTumo realizacia (farmacevtuli baza); specialur kontrols daqvemdebarebuli nivTierebebis (garda narkotikuli saSualebebisa) importi, eqsporti, reeqsporti da sabiTumo realizacia (farmacevtuli baza); 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); 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); samkurnalo saSualebebis xarisxis kontroli (laboratoria).

a) b) g) d) e) v)

z)

50

T) i)

400 100

k)

100

l)

400

m)

100

n)

300

28

Tavi III

samedicino saqmianobis licenzirebisaTvis saWiro dokumentaciis tipiuri formebi

29

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. ,,___" ________

30

# gvari, saxeli mamis saxeli

spec ialoba

mocemuli specialobiT muSaobis staJi

umaRlesi (saSualo) saswavleblis diplomi # fakulteti

specializaciis da kvalifikaciis amaRlebis damadasturebeli sabuTi # weli, specialoba 31 sertifikati #, weli specialoba moqmedebis vada samecniero xarisxi, diplomis #, weli samecniero wodeba, diplomis #, weli SeniSvna

licenziis maZiebeli_____________________________________________

salicenzio samedicino saqmianoba___________________________________

c n o b e b i

danarTi 3.2

salicenzio samedicino saqmianobis Semsrulebeli specialistebis profesiuli momzadebis Sesaxeb

danarTi 3.3

informacia samedicino dawesebulebis materialur-teqnikuri bazis Sesaxeb

a) zogadi informacia

1) 2) 3) 4) 5)

dawesebulebis dasaxeleba: misamarTi, telefoni, faqsi, el.fosta: dakavebuli farTi (ha): dawesebulebis sruli sabalanso Rirebuleba (lari):

maT Soris - Senoba-nagebobebi: mowyobilobebi:

obieqtis saproeqto simZlavre (sawoli): obieqtis fizikuri datvirTva (sawoli): ijariT gacemuli farTi (kv.m.): moijare organizaciebi:

6) 7)

8)

9) 10)

(gTxovT warmoadginoT Sesabamisi ijaris xelSekrulebis asli)

11)

damatebiTi informacia:

32

#

g) ganyofilebis/samsaxuris teqnologiuri daxasiaTeba

1 Senobis da/an nagebobis dasaxeleba ganyofilebis/ samsaxuris dasaxeleba 1 2 Senobis/ nagebobis dasaxeleba 3 sarTuli 4 saerTo 5 aSenebis TariRi bolo kapitaluri SekeTebis TariRi sarTulebis raodenoba 2 3 4 5 6

b) teritoriaze ganTavsebuli TiToeuli Senoba-nagebobis daxasiaTeba

dakavebuli farTi (kv.m)

sasargeblo

33 proeqtiT 7 8 9 10 faqtiuri

mzidi konstruqciebi (aguri, xe, rk.betonis, karkasuli, qva, msxvili pemzabloki, wvrili sak. bloki)

6 7

kedlebis Sevseba (aguri, paneli, xe, msxvili bloki, wvrili bloki)

sawolebis raodenoba palatebis raodenoba SeniSvna

gamwmendi nageboba (meqanikuri, biologiuri)

8

Senobis fizikuri mdgomareoba (avariuli, aradamakmayofilebeli, damakmayofilebeli, kargi)

d) el.momaragebis sistemis daxasiaTeba

#

eleqtromomaragebis wyaro (centraluri gamanawilebeli punqti, satransformatoro qvesadguri, eleqtrojixuri, dizel-generatori)

raodenoba

simZlavre (kva)

aqvs Tu ara sarezervo (meoradi) eleqtromomaragebis wyaro

funqciuri mdgomareoba (avariuli, aradamakmayofilebe li, damakmayofilebeli, kargi) 6 SeniSvna

1

2

3

4

5

7

e)

liftebis daxasiaTeba

#

liftis saxe (samgzavro, samedicino daniSnulebis)

funqciuri mdgomareoba raodenoba mwarmoebeli qveyana modeli, tipi saqarxno # tvirTamweoba (kg) gamoSvebis weli (avariuli, aradamakmayofilebeli, damakmayofilebeli, kargi) 9

1

2

3

4

5

6

7

8

34

v) samrecxaos daxasiaTeba

#

danadgaris dasaxeleba (sarecxi manqana, sawuri, saSrobi) 2

funqciuri mdgomareoba raodenoba 3 mwarmoebeli qveyana 4 modeli, tipi saqarxno # simZlavre (kg) 7 gamoSvebis weli 8 (avariuli, aradamakmayofilebeli, damakmayofilebeli, kargi) 9

1

5

6

z) saqvabis daxasiaTeba

#

saqvabis mowyobilobadanadgarebis dasaxeleba (qvabi, boileri, tumbo da a.S.) 2

funqciuri mdgomareoba raodenoba mwarmoebeli qveyana modeli, tipi saqarxno # simZlavre (kg) gamoSvebis weli (avariuli, aradamakmayofilebeli, damakmayofilebeli, kargi) 9

1

3

4

5

6

7

8

T) wyalmomaragebis sistemis daxasiaTeba

wyalmomaragebis saxe # 1 (centraluri, adgilobrivi, arteziuli Wa, sxva) 2 saSualo Tviuri xarji (kb.m) 3

qselis mdgomareoba (avariuli, aradamakmayofilebeli, damakmayofilebeli, kargi) 4

SeniSvna 5

35

i)

#

1

kanalizaciis sistemis daxasiaTeba

k) samedicino teqnikuri aRWurvilobis aRweris forma

1 2 aRWurvilobis kodi 3 rigiTi # 4 5 6 qveyana, firma aRWurvilobis sruli dasaxeleba modeli, tipi, (pasportis mixedviT) 2

ganyofilebis (kabinetis) dasaxeleba

kanalizaciis saxe

(centraluri, adgilobrivi,)

qselis mdgomareoba (avariuli, aradamakmayofilebeli, damakmayofilebeli, kargi)

36 3 7 8 9 10 11 12 gamoSvebis weli saqarxno # sabalanso Rirebuleba (lari) mimdinare funqciuri mdgomareoba (1_muSaobs; 2_SesakeTebelia; 3_uvargisia) 4 ra mizeziT aris SesakeTebeli an uvargisi (mizezis zusti miTiTebiT) SeniSvna

SeniSvna

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

ganaTleba # fizikuri piris gvari, saxeli (saSualo, saSualo-teqnikuri, umaRlesi) 1 2 3

specialoba (diplomis mixedviT) 4

informacia profesiuli kvalifikaciis Sesaxeb

SeniSvna

5

6

#

iuridiuli piris sruli dasaxeleba

misamarTi, telefoni 3 # 4

xelSekruleba TariRi 5

SeniSvna

1

2

6

m) informacia samedicino airebis momsaxure personalis Sesaxeb

#

gvari, saxeli

ganaTleba (saSualo, saSualo-teqnikuri, umaRlesi)

specialoba (diplomis mixedviT)

informacia profesiuli kvalifikaciis Sesaxeb

SeniSvna

37

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

#

iuridiuli piris sruli dasaxeleba

misamarTi, telefoni 3 # 4

xelSekruleba TariRi 5

SeniSvna

1

2

6

o) informacia eleqtro mowyobilobebisa da eleqtruli samedicino teqnikis damcavi damiwebis winaRobis mdgomareobis Sesaxeb

teqnikuri mowyobisa da izolaciis

N

iuridiuli piris sruli dasaxeleba

misamarTi, telefoni, faqsi, el-fosta N

xelSekruleba 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

38

danarTi 3.4

samedicino teqnikuri aRWurvilobis pirobiTi kodebi

kodi 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17

samedicino teqnikuri aRWurvilobis dasaxeleba samedicino teqnikuri aRWurviloba laboratoriuli kvlevebisaTvis samedicino teqnikuri aRWurviloba funqciuri diagnostikisaTvis samedicino teqnikuri aRWurviloba rentgenologiuri diagnostikisaTvis samedicino teqnikuri aRWurviloba ultrabgeriTi diagnostikisaTvis samedicino teqnikuri aRWurviloba radioizotopuri diagnostikisaTvis samedicino teqnikuri aRWurviloba sxva saxis diagnostikisaTvis samedicino teqnikuri aRWurviloba reanimaciisaTvis da intensiuri TerapiisaTvis samedicino teqnikuri aRWurviloba saoperacio da samSobiaro blokebisaTvis samedicino teqnikuri aRWurviloba endoskopiisaTvis samedicino teqnikuri aRWurviloba stomatologiisaTvis samedicino teqnikuri aRWurviloba organoTa funqciis droebiTi CanacvlebisaTvis samedicino teqnikuri aRWurviloba fizioTerapiisaTvis samedicino teqnikuri aRWurviloba sterilizaciisa da dezinfeqciisaTvis samedicino instrumentebi samedicino aveji teqnikuri saSualebebi samedicino teqnikuri aRWurvilobis momsaxureobisaTvis sxva 39

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.

40

Tavi IV

samedicino saqmianobis pasportebi

41

4.1

zogadi saeqimo praqtika, ojaxis eqimi

samedicino saqmianoba: zogadi saeqimo praqtika, ojaxis eqimi

done 1 I, II, III, IV tipi 2 yvela tipis dawesebuleba kadrebi 3

· 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 servissamsaxurTan)

samedicinoteqnikuri aRWurviloba 4 ixileT: danarTi 4.1.1 danarTi 4.1.2 danarTi 4.1.3

nozologia 5 · 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, D60D63, D65-D74, D77, D80-D86, · E00-E06, E10-E16, E20-E26, E28-E32, E35, E40-E46, E50E60, E64-E68, E70-E87, E90, · M00-M03, M05-M10, M14-M18, M20-M25, M30-M34, M36, M40M42, 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, A50A60, 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

gamokvlevebi 6 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)

· · · · · · · · · · · · · · · · · · · · · · · · · · · · · ·

samedicino saqmianobis moculoba 7 me-4 svetSi CamoTvlili daavadebebis mqone avadmyofTa diagnostika da ambulatoruli mkurnaloba, saWiroebis SemTxvevaSi stacionarSi gadagzavna.

42

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 skami taxti (samedicino) karada karada (samedicino) 1 1 1 1 1

samedicino xelsawyoebi da aparatura

negatoskopi sfigmomanometri fonendoskopi sazomi lenti lupa CaquCi (nevrologis) sinaTlis wyaro (fanqari) xaxis gamosakvlevad cxrili gamanaTebliT (mxedvelobis simaxvilis gamosakvlevad) saTvalis SesarCevi linzebis nakrebi bavSvis Sesaxvevi magida saproceduro baqteriociduli gamanaTebeli (mobiluri) samanipulacio magida eqimis skami (mbrunavi) 1 1 1 1 1 1 1 1 1 1 1 1 1

43

samedicino da teqnikuri aRWurvilobis dasaxeleba samedicino karada eleqtrokardiografi (portatuli) sinaTlis wyaro Tvalis gugis reaqciis Sesamowmeblad sareanimacio instrumentebis mcire nakrebi (xelovnuri sunTqvis aparati (meqanikuri), enis damWeri, laringoskopi da sxv.) vakuumaspiratori (Terapiuli) instrumentebis nakrebi traqeostomiisaTvis defibrilatori (portatuli) simaRlis sazomi (anTropometruli) saswori (mozrdilTa, samedicino) saswori (Cvil bavSvTa) Termometri sarkeebis nakrebi (cxviris, cxvirxaxis gamosakvlevad) insrumenti _ Tvalidan ucxo sxeulis amosaRebad insrumenti _ cxviridan ucxo sxeulis amosaRebad insrumenti _ yuridan ucxo sxeulis amosaRebad sisxldenis SemaCerebeli momWeri nemsi _ dana, rqovanidan ucxo sxeulis mosaSoreblad qirurgiuli nemsebis nakrebi nemsdamWeri kaTeterebis nakrebi erTjeradi gamoyenebis kaTeterebis nakrebi niCabi, qsovilebis dasaSoreblad dana (nemsi) paracentezisaTvis makrateli qirurgiuli (rbili qsovilebis gasaWrelad) makrateli (gadasaxvevi masalisaTvis) pinceti (anatomiuri) pinceti (anatomiuri Tvalis) pinceti (qirurgiuli) skalpeli troakari (samedicino) instrumenti xorxidan ucxo sxeulis amosaRebad artaSani kidurebis imobilizaciisaTvis damWeri yelisa da cxviris tamponirebisaTvis sakeravi masala rezinis xelTaTmanebi gadasaxvevi masala (dolbandi, bamba da sxv) instrumentebis magida (mobiluri) gamanaTebeli (mobiluri)

raodenoba 1 1 1

1 1 1 1 1 1 3 1 1 1 1 10 1 2 6 2 kompleqti 2 kompleqti 1 1 3 3 3 3 3 6 1 1 1 1 1 saW. mixedviT 1 1

44

samedicino da teqnikuri aRWurvilobis dasaxeleba biqsi biqsis sadgami Tasi Tasis sadgami sanitaruli oTaxi taxti (samedicino) karada Janes Sprici gastraluri zondi duodenaluri zondi saTbura (mozrdilTa, bavSvTa) sasterilizacio oTaxi: karada (qimiuri, sasterilizacio, sadezinfeqcio, sarecxi nivTierebebisaTvis) instrumentebis dasakompleqtebeli magida (instrumentebis daxarisxebis, kompleqtaciis, maTi vargisianobis Sesamowmeblad) gamadidebeli optikuri mowyobiloba (gamadidebeli mowyobiloba instrumentebis dasaTvaliereblad magaliTad: specialuri lupa, an/da sakancelario lupa) biqsi mowyobiloba mSrali sterilizaciisaTvis

raodenoba 1 1 1 1 1 1 1 1 1 2

1 1 1 1 1

danarTi 4.1..3

samrecxao ganyofileba

(samrecxao, an/da centraluri samrecxao) samedicino-teqnikuri aRWurvilobis dasaxeleba wyalmomaragebis sistema (civi wyali, cxeli wyali: centraluri, an/da avtonomiuri) sakanalizacio sistema (centraluri, an/da avtonomiuri) karada (qimiuri, sasterilizacio, sadezinfeqcio, sarecxi nivTierebebisaTvis) Tasi saTli biqsi sarecxi manqana raodenoba

1 1 1 1 1

45

4.2

Terapia

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

done 1 I tipi 2 1. ambulatoria kadrebi 3 · eqimi (zogadi profilis/ ojaxis eqimi an Terapevti) · eqTani · sanitari · sainJinrosamedicinoteqnikuri aRWurviloba 4 · eqimis kabineti, _ danarTi nozologia 5 (a) E01-E02, E11, E50-E55, E66, E86, I00-02, I1015, 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; gamokvlevebi 6 · sisxlis saerTo analizi · Sardis saerTo analizi · ganavlis analizi · naxvelis saerTo analizi · naxvelis mikroskopia mikobaqteriis gamosavlenad · glikemiis gansazRvra · qolesterinis koncentraciis gansazRvra sisxlSi · bilirubinemiis gansazRvra (b) E03-E06, E10, E12-E14, E73, E85, I05-09, I34I37, I48, I80, I83, K44, K50-51, K57, K72, M30-36,, M40-54, M6568, M80, N02-03, N11, N18, D5153; · 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 samedicino saqmianobis moculoba 7

4.2.1

· mimRebi oTaxi, sangamtari da/an misaRebi filtri, gasasinji kabineti: aRWurvilobis ZiriTad CamonaTvals,

me-5 svetis Sesabamis blokebSi CamoTvlili daavadebebis:

(a) mwvave da sawyisi formebis pirveladi diagnostika, msubuqi formebis mkurnaloba da marTva.

2. saubno saavadmyo fo

teqnikuri personali (an

xelSekruleba Sesabamis servisul samsaxurTan)

_ danarTi 4.2.2

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

(b) qronikuli daavadebebis marTva (igulisxmeba SedarebiT ufro maRali donis dawesebulebebSi diagnostirebuli daavadebebis Sesabamisi daniSnulebis Sesruleba da avadmyofze meTvalyureoba)

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

g) pirveladi, meoradi da mesameuli profilaqtika.

46

paraleluri dargebi(*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. kliniko-diagnostikuri laboratoria (I done) bioqimiuri laboratoria (I done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. funqciuri diagnostika (I done) 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 1 II tipi 2 1. raionuli (qalaqis) saavadmyofo 2. saeqimo kabineti kadrebi 3 · eqimi (zogadi profilis eqimi, Terapevti an/da Sinagani medicinis nebismieri specialobis eqimi) · eqTani · sanitari · sainJinrosamedicino-teqnikuri aRWurviloba 4 · eqimis kabineti, nozologia 5 (a) E01-E02, E11, E50-E55, E66, E86; I00-02, I1015, 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, I34I37, 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, I0509, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19. · · · · · · · gamokvlevebi 6 sisxlis saerTo analizi Sardis saerTo analizi 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. samedicino saqmianobis moculoba 7 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.

_ danarTi 4.2.1

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

_ danarTi 4.2.2

· saproceduro intravenuri ineqciebisaTvis,

· · ·

teqnikuri personali

(an xelSekruleba servisul samsaxurTan)

_ danarTi 4.2.3

· sasterilizacio,

_ danarTi 4.2.6

· · · ·

SeniSvna:

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

· 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 (*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. 3. kliniko-diagnostikuri laboratoria (II done) bioqimiuri laboratoria (II done) funqciuri diagnostika (I da/an II done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba Sesabamis dawesebulebebTan: 1. 2. imunologiuri laboratoria (II done) rentgenologia (I an II done)

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

49

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

Terapia

done 1 III

tipi 2 1. poliklinika 2. klinikodiagnostiku ri centri

kadrebi 3 Terapiul kabinets emsaxureba: · eqimi (Terapevti, an/da zogadi profilis eqimi) · internisti · eqTani · sanitari · sainJinro-

samedicinoteqnikuri aRWurviloba 4 · eqimis kabineti

nozologia 5 (a) E01-E06, E10-14, E-20E21,E24, E25, E50-E55, E66, E73, E85, E86, I0002, 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, K2531, K44, K58, K70-71, K73-75, K81,K86, M00M19,N20-N23, N34, R00-39, R50-99, D50D52, D-62, A00-09, A1516, B15-19; (b) E03-E06, E10, E12-E14, E73, E85, I05-09, I33, I34-I37, I48, I77-I79, I80, I83, J60-J69, K44, K5052, 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. · · · · · · · · · ·

gamokvlevebi 6 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, bilirubinemiis gansazRvra, 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.

samedicino saqmianobis moculoba 7

_ danarTi 4.2.1

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

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.

_ danarTi 4.2.2

· saproceduro intravenuri ineqciebisaTvis

teqnikuri personali

(da/an xelSekruleba servisul samsaxurTan)

· · · · · · · ·

_ danarTi 4.2.3

· sasterilizacio

_ danarTi 4.2.6

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

50

paraleluri dargebi (*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. 3. 4. 5. kliniko-diagnostikuri laboratoria (II da/an III done) bioqimiuri laboratoria (II da/an III done) imunologiuri laboratoria (II da/an done) funqciuri diagnostika (II da/an III done) rentgenologia (II da/an III done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. 3. 4. ultrabgeriTi diagnostika (II da/an III done) virusologiuri laboratoria (II da/an III done) mikrobiologiuri laboratoria (II da/an III done) baqteriologiuri laboratoria (II da/an III done)

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

51

4.2

Terapia

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

done 1 IV tipi 2 1. specializeb uli s/k instituti 2. specializeb uli centri 3. universitet is klinika kadrebi 3 Terapiul kabinets emsaxureba: · eqimi Terapevti/ internisti · eqTani · sanitari · sainJinro-

samedicinoteqnikuri aRWurviloba

4 · eqimis kabineti

nozologia 5 (a) E01-E06, E10-14, E20-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, J3032, J40-45, J90-J91, K20-21, K25-31, K44, K58, K70-71, K73-75, K81,K86, M00-M19, N20-N23, N34, R00-39, R5099, D50-D52, D-62, A00-09, A15-16, B15-19; (b) E03-E06, E10, E12E14, E73, E85, I0509, I33, I34-I37, I48, I77-I79, I80, I83, J60-J69, K44, K5052, K57, K72, M3036,, M40-54, M6568, M80, N02-03, N11, N18, D53, D5657, D61; (g) E50-E64, E66, I0509, I10-15, I20-25, I50, I70, J10-11, J41J44, K70, N63. B1519.

kamokvlevebi 6 sisxlis saerTo analizi, Sardis saerTo analizi, ganavlis saerTo analizi, naxvelis saerTo analizi, naxvelis mikroskopia mikobaqteriis gamosavlenad, 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, gulmkerdis rentgenografia, tomografia, kompiuteruli tomografia, kuWisa da nawlavebis rentgenologiuri kvleva, muclis Rrus, saSarde da mcire menjis organoTa sonografuli kvleva, eqokardiografia doplerografiiT, periferuli sisxlZarRvebis doplerografia, gastrofibroskopia.

_ danarTi 4.2.1

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

· · · · · · · · · · · · · · · · · · · · · · ·

samedicino saqmianobis moculoba 7 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 diagnostirebu li daavadebebis Sesabamisi daniSnulebis Sesruleba da avadmyofze meTvalyureoba) (g) pirveladi, meoradi da mesameuli profilaqtika.

(aRniSnuli dawesebulebebi s ambulatoriul poliklinikuri momsaxureba)

_ danarTi 4.2.2

· saproceduro intravenuri ineqciebisaTvis

teqnikuri personali

(da/an xelSekrule ba servisul samsaxurTan)

_ danarTi 4.2.3

· sasteriliza-

cio _ danarTi 4.2.6

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

52

paraleluri dargebi (*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. 3. 4. 5. 6. kliniko-diagnostikuri laboratoria (III da/an IV done) bioqimiuri laboratoria (III da/an IV done) imunologiuri laboratoria (III da/an IV done) ultrabgeriTi diagnostika (III da/an IV done) rentgenodiagnostika (III da/an IV done) funqciuri diagnostika (III da/an IV done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. 3. 4. 5. 6. baqteriologiuri laboratoria (III da/an IV done) virusologiuri laboratoria (III da/an IV done) mikrobiologiuri laboratoria (III da/an IV done) kompiuteruli tomografia (III da/an IV done) birTvul-magnitur-rezonansuli tomografia (III da/an IV done) radioizotopuri gamokvleva (III da/an IV done)

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

53

4.2

Terapia

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

done 1 1 tipi 2

ambulatoria/ dRis stacionari

kadrebi 3

· eqimi (zogadi profilis/ ojaxis eqimi an Terapevti) · eqTani · sanitari · sainJinroteqnikuri personali (an xelSekruleba Sesabamis servisul samsaxurTan)

samedicino-teqnikuri aRWurviloba

nozologia 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, J1018, J20-22, J30-32, J40-45, K20-21, K2530, K44, K58, K70-71, K73-75, K81,K86, M00M19, N34, R00-39, R50-99, D50, D-62, A00-09, A15-16, B1519; (b) E03-E06, E12-E14, E73, E85, I05-09, I34I37, I41, I48, I80, I83, I97, J47, K22, K44, K50-51, K57, K72, M30-36, M40-54, M6568, 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. · · · · · · · · · · · · · ·

kamokvlevebi 6 sisxlis saerTo analizi; Sardis saerTo analizi; ganavlis saerTo 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 sonografiuli kvleva.

4

· eqimis kabineti,

samedicino saqmianobis moculoba 7

_ danarTi 4.2.1 mimRebi oTaxi

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

me-5 svetSi CamoTvlili daavadebebis:

(a) mwvave da sawyisi 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.

_ danarTi 4.2.2

· saproceduro intravenuri ineqciebisaTvis

_ danarTi 4.2.3 palata _ _ danarTi 4.2.4 meddis posti _ danarTi 4.2.5

· sasterilizacio

_ danarTi 4.2.6

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

54

paraleluri dargebi (*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. kliniko-diagnostikuri laboratoria (I done) bioqimiuri laboratoria (I done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. funqciuri diagnostika (I done) rentgenologia (I done)

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

55

4.2

Terapia

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

done 1 II tipi 2 · raionuli (qalaqis) saavadmyofo · samedicino socialuri saavadmyofo kadrebi 3 · eqimi (zogadi profilis eqimi, Terapevti an/da eqimi _ Sinagan sneulebaTa nebismieri specialobis) · eqTani · sanitari · sainJinrosamedicino-teqnikuri aRWurviloba

nozologia 5 (a) E01-E02, E11, E50E55, E66, E86, I0002, I10-15, I20, I25, I27, I42-43, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J3032, 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, E12E14, E73, E85, I0509, 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, I0509, I10-15, I20-25, I50, I70, J10-11, J41J44, K70, N63. B15-19.

· · · · · · · · · · · · · ·

gamokvlevebi

6 sisxlis saerTo analizi, Sardis saerTo analizi, ganavlis saerTo analizi, naxvelis saerTo analizi, naxvelis mikroskopia mikobaqteriis gamosavlenad, glikemiis gansazRvra, qolesterinis koncentraciis gansazRvra sisxlSi, bilirubinemiis gansazRvra, transaminazebis (alt, ast) aqtivobis gansazRvra, kreatininis narCeni azotis koncentracis gansazRvra sisxlSi, ekg, gulmkerdis rentgenografia, kuWisa da nawlavebis rentgenologiuri kvleva, muclis Rrus, saSarde da mcire menjis organoTa sonografuli kvleva.

4

· eqimis kabineti

_ danarTi 4.2.1

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

samedicino saqmianobis moculoba 7 me-5 svetSi 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.

_ danarTi 4.2.2

· saproceduro

intravenuri ineqciebisaTvis,

_ danarTi 4.2.3

· palata

teqnikuri personali (an

xelSekruleba Sesabamis servisul samsaxurTan)

_ danarTi 4.2.4

· meddis posti

_ danarTi 4.2.5

· sasterilizacio,

_ danarTi 4.2.6

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

56

paraleluri dargebi(*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. 3. kliniko-diagnostikuri laboratoria (II done) bioqimiuri laboratoria (II done) funqciuri diagnostika (I da/an II done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. imunologiuri laboratoria (II done) rentgenologia (I an II done)

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

57

4.2

Terapia

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

done 1 III tipi 2 1. regionuli (respublikuri saavadmyofo) 2. speciali zebuli saavadmyo fo 3. mravalpr ofiliani dispanseri 4. poliklinika 5. hospitali 6. klinikodiagnostikuri centri 7. specializebuli kabineti kadrebi 3 · eqimi (Terapevti, an/da zogadi profilis eqimi) · internisti · eqTani · sanitari · sainJinrosamedicinoteqnikuri aRWurviloba 4

· eqimis kabineti

nozologia 5 (a). E01-E06, E10-14, E20-E21,E24, E25, E50-E55, E66, E73, E85, E86, I00-02, I1015, I20, I25, I27, I4047, I49-50, I70, I95, J00-04, J06, J10-18, J20-22, J30-32, J4045, J90-J91, K20-21, K25-31, K44, K58, K70-71, K73-75, K81,K86, M00M19,N20-N23, N34, R00-39, R50-99, D50D52, D-62, A00-09, A15-16, B15-19; (b). E03-E06, E10, E12E14, E73, E85, I0509, I33, I34-I37, I48, I77-I79, I80, I83, J60J69, K44, K50-52, K57, K72, M30-36,, M40-54, M65-68, M80, N02-03, N11, N18, D53, D56-57, D61; (g). E50-E64, E66, I0509, I10-15, I20-25, I50, I70, J10-11, J41J44, K70, N63. B1519.

gamokvlevebi 6 sisxlis saerTo analizi, Sardis saerTo analizi, ganavlis analizi, naxvelis saerTo analizi, naxvelis mikroskopia mikobaqteriis gamosavlenad, Sardis, sisxlis, naxvelis baqteriologiuri kvleva, glikemiis gansazRvra, qolesterinis koncentraciis gansazRvra sisxlSi, bilirubinemiis gansazRvra, transaminazebis (alt, ast) aqtiobis Tiroidmastimulirebeli hormonis T3-is, T4-is gansazrvra, Na, K, kreatininis, narCeni azotis koncentracia sisxlSi, koagulograma, ekg, ekg sinji fizikuri datvirTvis, gulmkerdis rentgenografia, kuWisa da nawlavebis rentgenologiuri kvleva, muclis Rrus, saSarde da mcire menjis organoTa sonografuli kvleva, eqokardiografia.

samedicino saqmianobis moculoba 7

_ danarTi 4.2.1

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

· · · · · · · · · ·

me-5 svetSi CamoTvlili daavadebebis:

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.

_ danarTi 4.2.2

· saproceduro

intravenuri ineqciebisaTvis,

_ danarTi 4.2.3

· palata

teqnikuri personali

(da/an xelSekruleba Sesabamis servisul samsaxurTan)

_ danarTi 4.2.4

· meddis posto

· · · · · · · ·

_ danarTi 4.2.5

· sasterilizacio,

_ danarTi 4.2.6

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

58

paraleluri dargebi(*):

licenzia misamarTze: 1. 2. 3. 4. 5. kliniko-diagnostikuri laboratoria (II da/an III done) bioqimiuri laboratoria (II da/an III done) imunologiuri laboratoria (II da/an done) funqciuri diagnostika (II da/an III done) rentgenologia (II da/an III done) Sesabamis samedicino saqmianobaze da/an xelSekruleba igive

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. 3. 4. eqoskopiuri diagnostika (II da/an III done) virusologiuri laboratoria (II da/an III done) mikrobiologiuri laboratoria (II da/an III done) baqteriologiuri laboratoria (II da/an III done

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

59

4.2

Terapia

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

done 1 IV 4. tipi 2 specializirebu li s/k instituti specializirebu li centri universitetis klinika · · · · · kadrebi 3 samedicino-teqnikuri aRWurviloba 4 · eqimis kabineti nozologia 5 (a). E01-E06, E10-14, E-20-E21,E24, E25, E50-E55, E66, E73, E85, E86, I0002, I10-15, I20, I25, I27, I40-47, I49-50, I70, I95, J00-04, J06, J10-18, J2022, J30-32, J40-45, J90-J91, K20-21, K25-31, K44, K58, K70-71, K73-75, K81,K86, M00M19,N20-N23, N34, R00-39, R5099, D50-D52, D-62, A00-09, A15-16, B15-19; (b). E03-E06, E10, E12E14, E73, E85, I0509, I33, I34-I37, I48, I77-I79, I80, I83, J60-J69, K44, K50-52, K57, K72, M30-36,, M40-54, M65-68, M80, N0203, N11, N18, D53, D56-57, D61; (g). E50-E64, E66, I0509, I10-15, I20-25, I-50, I70, J10-11, J41-J44, K70, N63. B15-19. · · · · · · · gamokvlevebi 6 sisxlis saerTo analizi, Sardis saerTo analizi, ganavlis analizi, naxvelis saerTo analizi, naxvelis mikroskopia mikobaqteriis gamosavlenad, Sardis, ganavlis, naxvelis, sisxlis baqteriologiuri kvleva, sisxlSi rkinis Semcvelobis, glikemiis, qolesterinis koncentraciis, bilirubinemiis gansazRvra transaminazebis (alt, ast), tute fosfatazas aqtivobis Tiroidmastimulirebeli hormonis T3is, T4-is gansazrvra, Na, K, kreatininis, narCeni azotis koncentraciis gansazRvra sisxlSi koagulograma, sisxlSi hepatitis virusebis mimarT antisxeulebis gansazRvra (HBsAg,HbeAg,antiABe,IgM, anti-HBc), ekg ekg sinji fizikuri datvirTviT gulis eleqtrofiziologiuri kvleva mcire spirometria gulmkerdis rentgenografia, tomografia, kompiuteruli tomografia, kuWisa da nawlavebis rentgenologiuri kvleva, muclis Rrus, saSarde da mcire menjis organoTa sonografuli kvleva, eqokardiografia doplerografiiT, periferuli sisxlZarRvebis doplerografia, gastrofibroskopia. samedicino saqmianobis moculoba 7

eqimi _

Terapevti internisti eqTani sanitari

_ danarTi 4.2.1

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

me-5 svetSi CamoTvlili daavadebebis:

(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.

5.

6.

sainJinroteqnikuri personali

(da/an xelSekruleba Sesabamis servisul samsaxurTan)

_ danarTi 4.2.2

(aRniSnuli dawesebulebebis ambulatoriulpoliklinikuri momsaxureba)

· saproceduro

intravenuri ineqciebisaTvis,

·

_ danarTi 4.2.3

· palata

· · ·

_ danarTi 4.2.4

· meddis posti

_ danarTi 4.2.5

· sasterilizacio,

_ danarTi 4.2.6

· · · · · · · · · · · ·

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

60

paraleluri dargebi(*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. 3. 4. 5. 6. kliniko-diagnostikuri laboratoria (III da/an IV done) bioqimiuri laboratoria (III da/an IV done) imunologiuri laboratoria (III da/an IV done) eqoskopiuri diagnostika (III da/an IV done) rentgenodiagnostika (III da/an IV done) funqciuri diagnostika (III da/an IV done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. 3. 4. 5. 6. baqteriologiuri laboratoria (III da/an IV done) virusologiuri laboratoria (III da/an IV done) mikrobiologiuri laboratoria (III da/an IV done) kompiuteruli tomografia (III da/an IV done) birTvul-magnitur-rezonansuli tomografia (III da/an IV done) radioizotopuri gamokvleva (III da/an IV done)

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

61

Terapia: samedicino teqnikuri aRWurviloba

danarTi 4.2.1

eqimis kabineti

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba

samedicino momsaxurebis done samedicino aveji

15 15 15 15 15 15 08 03 08 06 06 02 14 14 14 14 eqimis magida eqimis skami skami gasasinji taxti samedicino karada instrumentebis magida

I 1 1 3 1 1 2 1 1 1 1 1 1 2 1 1 1 kompleqti 1 2 1 1 1 1 2 2 2

raodenoba (cali) II III 1 1 3 1 1 2 1 1 1 1 1 1 2 1 1 1 kompleqti 1 2 1 1 1 1 2 2 2 1 1 3 1 1 2 1 1 1 1 1 1 2 1 1 1 kompleqti 1 2 1 1 1 1 2 2 2

IV 1 1 3 1 1 2 1 1 1 1 1 1 2 1 1 1 kompleqti 1 2 1 1 1 1 1 1 2 2 2

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) negatoskopi (saerTo daniSnulebis) gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) saswori (samedicino) simaRlis sazomi (anTropometri) arteriuli wnevis sazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi) Termometri (samedicino, eleqtruli, an/da vercxliswylis) wamzomi dinamometri (xelis) dokumentacia (cxrilebi, normativebi da testebi) _ anTropometruli, fsiqologiuri, asakobrivi zrdis, sqesobrivi simwifisa da kbilebis ganviTarebis gansazrvrisaTvis eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) sasterilizacio yuTi instrumentebisaTvis eleqtrokardiografi _ portatuli eleqtrokardiografi _ stacionaruli pikfloumetri (mcire spirometria) spirometri

13 13 02 02 06 06 14 14 14 14 14

samedicino instrumentebi

gamadidebeli mina (lupa, xelis) stetofonendoskopi (stetoskopi, fonendoskopi) sazomi lenti Spadeli (enis) pinceti (anatomiuri)

62

eqimis kabineti

kodi 14 14 08 samedicino-teqnikuri aRWurvilobis dasaxeleba

samedicino momsaxurebis done

makrateli (gadasaxvevi masalisaTvis) momWeri (maSa, korcangi), swori boloTi 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

I 2 2 1

raodenoba (cali) II III 2 2 2 2 1 1

IV 2 2 1

danarTi 4.2.2

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

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba

samedicino saqmianobis done samedicino aveji

15 15 15 15 15 15 08 08 02 14 14 13 13 eqimis magida eqimis skami skami gasasinji taxti samedicino karada instrumentebis magida

I 1 1 2 1 1 1 1 1 1 1 1 1 1

raodenoba (cali) II III 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 2 1 2

IV 1 1 2 1 1 1 1 1 1 2 1 2

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) arteriuli wnevis sazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi) Termometri (samedicino, eleqtruli, an/da vercxliswylis) wamzomi eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) sasterilizacio yuTi instrumentebisaTvis

samedicino instrumentebi

63

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

kodi 14 14 14 14 14 08 samedicino-teqnikuri aRWurvilobis dasaxeleba

samedicino saqmianobis done

stetofonendoskopi (stetoskopi, fonendoskopi) Spadeli (enis) pinceti (anatomiuri) makrateli (gadasaxvevi masalisaTvis) momWeri (maSa, korcangi) swori boloTi 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.

I 1 1 1 1 1 1

raodenoba (cali) II III 1 1 1 1 1 1 1 1 1 1 1 1

IV 1 1 1 1 1 1

danarTi 4.2.3

saproceduro (intravenuri ineqciebisaTvis)

kodi 15 15 15 15 15 15 08 14 13 14 07 07 13 samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali) 1 1 1 2 1 1 2 1 2 2 2 1 1 1 2 1 1 2 1 2 2 2 1 1 1 2 1 1 2 1 2 2 2 1 1 1 2 1 1 2 1 2 2 1 1 2

samedicino aveji

saproceduro magida eqimis skami (mbrunavi skami) samedicino karada instrumentebis magida biqsis sadgami Tasis sadgami

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) wamzomi sasterilizacio yuTi instrumentebisaTvis Stativi xsnarebisaTvis (moZravi, statikuri) medikamentebis dozatori _ infuzori (infuzomati) sainfuzio tumbo (perfuzori, aRniSnulis garda, dawesebulebas unda gaaCndes rezervi) biqsi

64

saproceduro (intravenuri ineqciebisaTvis)

kodi 14 14 14 14 14 14 14 14 08 samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali) 2 2 2 2 2 1 2 2 1 2 2 2 2 2 1 2 2 1 2 2 2 2 2 1 2 2 1 2 2 2 2 2 1 2 2 1

samedicino aveji

Tasi (konteineri, naxmari masalis Sesagroveblad)

samedicino instrumentebi

pinceti (anatomiuri) makrateli (gadasaxvevi masalisaTvis) momWeri (maSa, korcangi) swori boloTi laxti (rezinis) momWeri (rezinis milis) kuWis zondi (sxvadasxva zomis) duodenaluri zondi (sxvadasxva zomis) 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.

danarTi 4.2.4

palata

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino saqmianobis done I 1 1 2 1 raodenoba (cali) II III 1 1 2 1 1 1 2 1 1 1 2 1 IV

samedicino aveji

15 15 15 15 samedicino (da/an funqciuri) sawoli magida skami sawolis tumbo

65

danarTi 4.2.5

samedicino meddis posti

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino saqmianobis done I 1 1 2 2 2 2 1 2 2 1 1 1 2 2 2 2 1 2 2 1 raodenoba (cali) II 1 1 2 2 2 2 1 2 2 1 III 1 1 2 2 2 2 1 2 2 1 IV

samedicino aparatura da xelsawyoebi

08 02 14 13 14 14 14 14 14 08 baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) arteriuli wnevis sazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi) Termometri (samedicino, eleqtruli, an/da vercxliswylis) sasterilizacio yuTi instrumentebisaTvis Stativi xsnarebisaTvis (moZravi, statikuri)

samedicino instrumentebi

Spadeli (enis) pinceti (anatomiuri) makrateli (Sesaxvevi masalisaTvis) momWeri (maSa, korcangi) swori boloTi 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.

danarTi 4.2.6 sasterilizacio (an/da centraluri sasterilizacio, an/da xelSekruleba sasterilizaciosTan imave misamarTze)

aparatura da xelsawyoebi

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

66

4.3

pediatria

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

samedicinoteqnikuri aRWurviloba 4 · pediatris

done 1 I

tipi 2 1. ambulatoria 2. pirveladi jandacvis centri

kadrebi 3 · zogadi

nozologiebi 5 · 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;

gamokvlevebi 6 pacientis viziti eqimTan naxvelis baqteriologiuri gamokvleva SardSi cilis raodenobis (proteinuria) gansazRvra ganavlis gamokvleva Wiis kvercxebze .hemoglobinis gansazRvra sisxlSi kvebis statusis Seswavla anTropometruli gamokvlevebi

samedicino saqmianobis moculoba 7 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;

profilis pediatri

an ojaxis eqimi an pediatri · eqTani · sanitari · sainJinro-

kabineti _ danarTi 4.3.1

· bavSvebis

· · · · · · ·

· ·

misaRebi filtri

(mimRebi oTaxi _ sangamtari, gasasinji kabineti) _ danarTi 4.3.2

teqnikuri personali

(an xelSekruleba servisul samsaxurTan)

· · · · · · · · ·

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

67

paraleluri dargebi(*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. kliniko-diagnostikuri laboratoria (I an II done); 1. funqciuri diagnostika (I an II done);

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. 3. bioqimiuri laboratoria (I an II done); baqteriologiuri laboratoria (I an II done) rentgenologia (I an II done)

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

68

4.3

pediatria

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

done 1 II tipi 2 saeqimo kabineti kadrebi 3 · jandacvis organizatori, · z/profilis pediatri an zogadi praqtikis eqimi an pediatri · eqTani · sanitari · sanitari sainJinroteqnikuri personali (an xelSekruleba servisul samsaxurTan) samedicinoteqnikuri aRWurviloba 4 · pediatris nozologiebi 5 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; gamokvlevebi 6 pacientis viziti eqimTan; sisxlis saerTo analizi Sardis saerTo analizi ganavlis saerTo analizi ganavlis gamokvleva helminTebze ganavlis gamokvleva Wiis kvercxebze hemoglobinis gansazRvra sisxlSi kvebis statusis Seswavla anTropometruli gamokvlevebi SardSi Ca2+-is eqskreciis gansazRvra gulmkerdis rentgenoskopia gulmkerdis rentgenografia 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 samedicino saqmianobis moculoba 7 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;

kabineti _ danarTi4.3.1

· bavSvebis

· · · · · · ·

· · · · · · · · · · · · · · · · · · · · · · · · · · · · ·

·

misaRebi filtri

(mimRebi oTaxi _ sangamtari, gasasinji kabineti) _ danarTi4.3.2 · sapro-

·

· · · ·

ceduro

(pediatriuli saproceduro) _ danarTi4.3.5 · sasteriliza · · · · · · ·

cio _ danarTi4.3.6

· · · · · ·

· · · · ·

69

done 1

tipi 2

kadrebi 3

samedicinoteqnikuri aRWurviloba 4 ·

nozologiebi 5 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;

gamokvlevebi 6 ganavlis baqteriologiuri gamokvleva · bunebrivi masalis baqteriologiuri gamokvleva specialur niadagze daTesviT · Sardis baqteriologiuri gamokvleva

·

samedicino saqmianobis moculoba 7 daavadebis pirveladi gamovlena da gagzavna specializirebul dawesebulebaSi

· · ·

paraleluri dargebi(*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. kliniko-diagnostikuri laboratoria (I an II done); 2. funqciuri diagnostika (I an II done);

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 4. 5. 6. bioqimiuri laboratoria (I an II done); baqteriologiuri laboratoria (I an II done) rentgenologia (I an II done)

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

70

4.3

pediatria

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

done 1 III tipi 2 1. poliklinika 2. dedaTa da bavSvTa jandacvis centri 3. kliniko diagnostikuri centri 4. specializebuli kabineti kadrebi 3

· jandacvis

· pediatri; ojaxis eqimi an z/profilis pediatri · eqTani · sanitari · sanitari

organizatori

samedicinoteqnikuri aRWurviloba 4 · pediatris

nozologiebi 5 · 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;

gamokvlevebi 6 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 ·

kabineti _ danarTi4.3.1

· bavSvebis

misaRebi filtri

(mimRebi oTaxi _ sangamtari, gasasinji kabineti) _ danarTi4.3.2 · sapro-

·

sainJinroteqnikuri personali

(da/an xelSekrule ba servisul samsaxurTan)

ceduro

(pediatriuli saproceduro) _ danarTi4.3.5 · sasteriliza

· · · ·

cio _ danarTi4.3.6

samedicino saqmianobis moculoba 7 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;

71

done 1

tipi 2

kadrebi 3

samedicinoteqnikuri aRWurviloba 4

nozologiebi 5 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

gamokvlevebi 6 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

·

· · ·

· · · ·

samedicino saqmianobis moculoba 7 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 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

72

done 1

tipi 2

kadrebi 3

samedicinoteqnikuri aRWurviloba 4

nozologiebi 5 eqskretoruli urografia

gamokvlevebi 6

samedicino saqmianobis moculoba 7

specializirebul dawesebulebaSi

paraleluri dargebi(*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. 3. 4. kliniko-diagnostikuri laboratoria (II an III done) bioqimiuri laboratoria (II an III done) funqciuri diagnostika (II an III done) rentgenodiagnostika (II an III done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. 3. 4. baqteriologiuri laboratoria (II an III done) imunologiuri laboratoria (II an III done) mikrobiologiuri laboratoria (II an III done) ultrabgeriTi diagnostika (II an III done)

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

73

4.3

pediatria

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

done 1 IV tipi 2 1. specializirebuli 2. s/k instituti 3. specializirebuli centri 4. universitetis klinika kadrebi 3 · jandacvis samedicinoteqnikuri aRWurviloba 4 · ediatris nozologiebi 5 · 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; gamokvlevebi 6 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/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 plevris punqcia haeris gamoSvebiT naxvelis baqteriologiuri gamokvleva samedicino saqmianobis moculoba 7 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;

· · · · · · · · · · · · · · · · · · · · · · · · · · · · ·

·

organizatori

· pediatri, ojaxis eqimi da z/prof. pediatri · eqTani · sanitari · sanitari

kabineti _ danarTi4.3.1

· bavSvebis

misaRebi filtri

(mimRebi oTaxi _ sangamtari, gasasinji kabineti) _ danarTi4.3.2 · sapro-

·

sainJinroteqnikuri personali

(da/an xelSekruleba servisul samsaxurTan)

ceduro

(pediatriuli saproceduro) _ danarTi4.3.5 · sasteriliza

· · · ·

cio _ danarTi4.3.6

·

74

done 1

tipi 2

kadrebi 3

samedicinoteqnikuri aRWurviloba 4

nozologiebi 5

·

gamokvlevebi 6 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 adiskakovskis meTodiT cistoskopia eqskretoruli urografia

· 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;

· · · · · · · · · · · · · · · · · · · · · · · · · · · · · · ·

samedicino saqmianobis moculoba 7 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

75

paraleluri dargebi(*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. 3. 4. 5. 6. 7. kliniko-diagnostikuri laboratoria (III an IV done) bioqimiuri laboratoria (III an IV done) rentgenodiagnostika (II an III done) ultrabgeriTi diagnostika (III an IV done) funqciuri diagnostika (II an III done) imunologiuri laboratoria (II an III done) endoskopiuri diagnostika (III an IV done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. 3. baqteriologiuri laboratoria (II an III done) virusologia (III an IV done) mikrobiologiuri laboratoria (II an III done)

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

76

4.3

pediatria

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

do-ne 1 I tipi 2 1. ambulatoria dRis stacionariT kadrebi 3 · pediatri da z/profilis pediatri · eqTani · sanitari · sainJinrosamedicino aRWurviloba 4 nozologiebi 1. 2. 3. 4. 5. 5 B77; B77.9; B85; B85.0; B86 D50; E66; E66.0, E44; E44.0 H10; H10.2; J00; J02; J02.0; J02.8; J03; J03.0; J03.8; J04; J04; J04.0; J04.1; J04.2; J06.0; J20; J20.0; J20.1; J21; J21.0; J30; J30.0; K12; K12.0; K22; K30; L23; L23.7; N30; N30.0; R14;

· · · · · · ·

gamokvlevebi 6 pacientis viziti eqimTan naRvlis pigmentebis gansazRvra SardSi ganavlis gamokvleva Wiis kvercxebze SardSi cilis raodenobis gansazRvra (proteinuria) hemoglobinis gansazRvra sisxlSi kvebis statusis Seswavla anTropometruli gamokvlevebi

pediatris kabineti _ danarTi 4.3.1 bavSvebis misaRebi filtri _

(mimRebi oTaxi _ sangamtari, gasasinji kabineti) _ danarTi 4.3.2

samedicino saqmianobis moculoba 7 me-5 svetSi _ 1-9 blokebSi CamoTvlili daavadebebis mkurnaloba

teqnikuri personali (an

xelSekruleba servisul samsaxurTan)

palata _ danarTi 4.3.3 samedicino meddis posti _ danarTi 4.3.4 sasterilizacio _ danarTi 4.3.6

6. 7. 8. 9.

paraleluri dargebi(*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. kliniko-diagnostikuri laboratoria (I an II done); 3. funqciuri diagnostika (I an II done); licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 7. bioqimiuri laboratoria (I an II done); 8. baqteriologiuri laboratoria (I an II done) 9. rentgenologia (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

77

4.3

pediatria

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

done 1 II tipi kadrebi samedicinoteqnikuri aRWurviloba 4 nozologiebi gamokvlevebi samedicino saqmianobis moculoba 7 me-5 svetSi, 1-9 blokebSi CamoTvlili daavadebebis mkurnaloba

2 3. raionuli saavadmyofo 4. saeqimo kabineti

3 · jandacvis

organizatori

· pediatri · eqTani · sanitari

·

pediatris kabineti _

danarTi 4.3.1

bavSvebis misaRebi filtri _

(mimRebi oTaxi _ sangamtari, gasasinji kabineti) _ danarTi 4.3.2

sainJinroteqnikuri personali

(an xelSekruleba servisul samsaxurTan)

palata _ danarTi 4.3.3 samedicino meddis posti _ danarTi 4.3.4 sasterilizacio _ danarTi 4.3.6 saproceduro _ danarTi 4.3.5

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;

· · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · ·

6 pacientis viziti eqimTan; sisxlis saerTo analizi Sardis saerTo analizi ganavlis saerTo analizi ganavlis gamokvleva helminTebze ganavlis gamokvleva Wiis kvercxebze hemoglobinis gansazRvra sisxlSi kvebis statusis Seswavla anTropometruli gamokvlevebi SardSi Ca2+-is eqskreciis gansazRvra gulmkerdis rentgenoskopia gulmkerdis rentgenografia 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 ganavlis baqteriologiuri gamokvleva bunebrivi masalis baqteriologiuri gamokvleva specialur niadagze daTesviT Sardis baqteriologiuri gamokvleva

78

paraleluri dargebi(*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. kliniko-diagnostikuri laboratoria (I an II done); funqciuri diagnostika (I an II done);

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. 3. bioqimiuri laboratoria (I an II done); baqteriologiuri laboratoria (I an II done) rentgenologia (I an II done)

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

79

4.3

pediatria

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

done 1 III tipi 2 1. regionaluri saavad-myofo 2. specializebuli saavadmyofo 3. klinikuri saavadmyofo 4. dispanseri 5. mravalprofiliani dispanseri 6. poliklinika 7. .dedaTa da bavSvTa jandacvis centri 8. klinikodiagnostikuri centri 9. specializebuli kabineti 10. sakonsultacio diagnostikuri daxmarebis poliklinika kadrebi 3 · jandacvis samedicinoteqnikuri aRWurviloba 4 nozologiebi 5 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; 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; 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; gamokvlevebi 6 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 naxvelis baqteriologiuri gamokvleva plevris Rrus SigTavsis baqteriologiuri gamokvleva samedicino saqmianobis moculoba 7

organizatori

· pediatri · eqTani · sanitari · sainJinro-

pediatris kabineti _

danarTi 4.3.1

· · · · · · · · · · · · · · · · · · · · · · · · · · · · · ·

1-9 blokebSi aRniSnuli daavadebebis mkurnaloba

bavSvebis misaRebi filtri _

(mimRebi oTaxi _ sangamtari, gasasinji kabineti) _ danarTi 4.3.2

teqnikuri personali

(da/an xelSekrul eba servisul samsaxurTan)

pediatriuli saproceduro _ danarTi 4.3.5 palata _ danarTi 4.3.3 samedicino meddis posti _ danarTi 4.3.4 sasterilizacio _ danarTi 4.3.6

80

done 1

tipi 2

kadrebi 3

samedicinoteqnikuri aRWurviloba 4

nozologiebi 5

· · · · · · · · · · · · · · · · · · · · · · · · · · · · · · ·

gamokvlevebi 6 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 eqskretoruli urografia

samedicino saqmianobis moculoba 7

paraleluri dargebi(*):

81

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. 3. 4. kliniko-diagnostikuri laboratoria (II an III done) bioqimiuri laboratoria (II an III done) funqciuri diagnostika (II an III done) rentgenodiagnostika (II an III done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. 3. 4. baqteriologiuri laboratoria (II an III done) imunologiuri laboratoria (II an III done) mikrobiologiuri laboratoria (II an III done) ultrabgeriTi diagnostika (II an III done)

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

82

4.3

pediatria

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

done 1 IV samedicinoteqnikuri aRWurviloba 4

·

tipi 1. 2 specializ ebuli s/k instituti 2. specializebuli centri 3. universitetis klinika

·

kadrebi 3 jandacvis organizatori pediatri eqTani sanitari sainJinroteqnikuri personali (da/an xelSekruleba Sesabamis servisul samsaxurTan)

nozologiebi 5 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

gamokvlevebi 6 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 Ca-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/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 plevris punqcia haeris gamoSvebiT naxvelis baqteriologiuri gamokvleva

pediatris kabineti bavSvebis misaRebi filtri _

·

· · · · · · · · · · · · · · · · · · · · · · · · · · · · ·

·

_ danarTi 4.3.1

· · · · · ·

· · · ·

· · · · ·

(mimRebi oTaxi _ sangamtari, gasasinji kabineti) _ danarTi 4.3.2

·

pediatriuli saproceduro

_ danarTi 4.3.5

·

palata samedicino

·

_ danarTi 4.3.3

·

·

meddis posti _ danarTi 4.3.4

·

· · · ·

sasterilizacio

_ danarTi 4.3.6

· · · ·

samedicino saqmianobis moculoba 7 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; 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: N30; N30.0; E44; E44.0; E44.1; R01; R01.0; R14;

daavadebis mkurnaloba

83

done 1

tipi 2

kadrebi 3

samedicinoteqnikuri aRWurviloba 4

nozologiebi 5

· · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · ·

gamokvlevebi 6 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 eqskretoruli urografia

samedicino saqmianobis moculoba 7

84

paraleluri dargebi(*):

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba igive misamarTze: 1. 2. 3. 4. 5. 6. kliniko-diagnostikuri laboratoria (III an IV done) bioqimiuri laboratoria (III an IV done) rentgenodiagnostika (II an III done) ultrabgeriTi diagnostika (III an IV done) funqciuri diagnostika (II an III done) imunologiuri laboratoria (II an III done)

licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. 2. 3. 4. baqteriologiuri laboratoria (II an III done) virusologia (III an IV done) mikrobiologiuri laboratoria (II an III done) endoskopiuri diagnostika (III an IV done)

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

85

danarTi 4.3.1

pediatria, samedicino-teqnikuri aRWurviloba

pediatris kabineti

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba

samedicino saqmianobis done I 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 kompleqti 1 1 1 1 2 2 II 1 1 2 1 1 1 1 1 1 1 1 1 1 2 1 kompleqti 1 1 1 1 2 2 2

raodenoba

III 1 1 3 1 1 2 1 1 1 1 1 1 1 2 1 kompleqti 2 1 1 2 2 2 IV 1 1 3 1 1 2 1 1 1 1 1 1 1 3 1 kompleqti 2 1 1 2 2 2

samedicino aveji

15 15 15 15 15 15 08 03 08 06 06 06 02 14 14 14 eqimis magida eqimis skami skami gasasinji taxti samedicino karada instrumentebis magida

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) negatoskopi (saerTo daniSnulebis) saswori (samedicino) saswori (pediatriuli) simaRlis sazomi (anTropometri) sazomi dafa (pediatriuli) arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi mozrdilTa/pediatriuli) Termometri (samedicino, eleqtruli, an/da vercxliswylis) dinamometri (xelis, pediatriuli) dokumentacia (maT Soris cxrilebi, normativebi da testebi) _ anTropometruli, fsiqologiuri, asakobrivi zrdis, sqesobrivi simwifisa da kbilebis ganviTarebis gansazRvrisaTvis eleqtromaduRara (sadizinfeqcio maduRara, eleqtruli) sasterilizacio yuTi instrumentebisaTvis

13 13 14 14 14 14 14

samedicino instrumentebi

gamadidebeli mina (lupa, xelis) stetofonendoskopi (pediatriuli) sazomi lenti Spadeli (enis) pinceti (anatomiuri)

86

pediatris kabineti

kodi

14 14 08

samedicino-teqnikuri aRWurvilobis dasaxeleba

makrateli (Sesaxvevi masalisaTvis) momWeri (maSa, korcangi), pirdapiri boloTi 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. 2 2 -

raodenoba

2 1 1 2 1 1

danarTi 4.3.2

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

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba I 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 II 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 III 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 IV 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1

samedicino saqmianobis done samedicino aveji

15 15 15 15 15 15 08 08 02 14 14 13 13 14 14 eqimis magida eqimis skami skami gasasinji taxti samedicino karada instrumentebis magida

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi mozrdilTa /pediatriuli) Termometri (samedicino, eleqtruli, an/da vercxliswylis) wamzomi eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) sasterilizacio yuTi instrumentebisaTvis

samedicino instrumentebi

stetofonendoskopi (pediatriuli) Spadeli (enis)

87

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

kodi 14 14 14 08 samedicino-teqnikuri aRWurvilobis dasaxeleba pinceti (anatomiuri) makrateli (gadasaxvevi masalis) momWeri (maSa, korcangi) swori boloTi 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. raodenoba 1 1 1 1 1 1 1 1 1 1 1 1 1 1

danarTi 4.3.3

palata

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali) I 1 1 1 2 1 II 1 1 1 2 1 III 1 1 1 2 1 IV 1 1 1 2 1

samedicino saqmianobis done samedicino aveji

15 15 15 15 15 sawoli (bavSvis, 1-5 wlamde) sawoli (mozardis, 5-14 wlamde) magida skami sawolis tumbo

danarTi 4.3.4

samedicino meddis posti

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

samedicino saqmianobis done samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) arteriuli wnevis gasazomi arainvaziuri aparati fonendoskopi mozrdilTa /pediatriuli) Termometri (samedicino, eleqtruli, an/da vercxliswylis) (sfigmomanometri,

1 1 2

1 1 2

1 1 2

1 1 2

88

samedicino meddis posti

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba eleqtromaduRara (sadizinfeqcio maduRara, eleqtruli) sasterilizacio yuTi instrumentebisaTvis Stativi xsnarebisaTvis (moZravi, statikuri) 1 1 2 2 1 2 1 raodenoba (cali) 1 1 2 2 1 2 1 1 2 2 2 1 2 2 1 1 2 2 2 1 2 2 1

samedicino instrumentebi

Spadeli (enis) pinceti (anatomiuri) makrateli (Sesaxvevi masalisaTvis) momWeri (maSa, korcangi) pirdapiri 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.

danarTi 4.3.5

pediatriuli saproceduro

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba raodenoba (cali) I 1 1 1 2 1 1 1 2 1 2 II 1 1 1 2 1 1 1 2 1 2 III 1 1 1 2 1 1 1 2 1 2 IV 1 1 1 2 1 1 1 2 1 2

samedicino saqmianobis done samedicino aveji

saproceduro magida eqimis skami (mbrunavi) samedicino karada instrumentebis magida biqsis sadgami Tasis sadgami

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) wamzomi eleqtromaduRara (sadezinfeqcio maduRara, eleqtruli) sasterilizacio yuTi instrumentebisaTvis

89

pediatriuli saproceduro

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba Stativi xsnarebisaTvis (moZravi, statikuri) biqsi Tasi (konteineri, naxmari masalis Sesagroveblad) 2 2 2 2 2 2 2 1 2 2 1 raodenoba (cali) 2 2 2 2 2 2 2 1 2 2 1 2 2 2 2 2 2 2 1 2 2 1 2 2 2 2 2 2 2 1 2 2 1

samedicino instrumentebi

pinceti (anatomiuri) makrateli (Sesaxvevi masalisaTvis) momWeri (maSa, korcangi) swori boloTi laxti (rezinis) momWeri (rezinis milisaTvis) kuWis zondi duodenaluri zondi 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.

danarTi 4.3.6

sasterilizacio

aRWurvilobis dasaxeleba orTqlis sterilizatori (avtoklavi, horizontaluri an/da vertikaluri) mSrali sterilizatori (sasterilizacio karada) raodenoba (cali) 1 1

90

4.4

qirurgia

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

done tipi kadrebi samedicino-teqnikuri aRWurviloba 4 nozologia 5 · 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 · gamokvlevebi 6 anamnezis Sekreba; · fizikaluri gamokvleva; sisxlis saerTo analizi Sardis saerTo analizi Saqris gansazRvra sisxlSi Ca2+-is gansazRvra · sisxlSi sisxlis jgufis da rezusis gansazRvra hemoglobinis gansazRvra sisxlSi rentgenografia · samedicino saqmianobis moculoba

1 2 3 I, II, yvela tipis I done: · zogadi III, IV dawesebu-leba, · eqimis kabineti qirurgi sadac SeiZleba · saopera=_ danarTi 4.4.1 ganxorcielcio medda · saproceduro des ambulato(saTanado _ danarTi 4.4.3 ruli zogadkvalifi· Sesaxvevi qirurgiuli kacia _ danarTi 4.4.5 Careva qirurgi· sasterilizacio aSi) ­ _ danarTi 4.4.4 saoperacios II done: arsebobis · eqimis kabineti SemTxvevaSi _ danarTi 4.4.1 · medda · saproceduro (eqTani) _ danarTi 4.4.3 · sanitari (an · Sesaxvevi diasaxlisi, _ danarTi 4.4.5 an damlage· sasterilizacio beli) _ danarTi 4.4.4 · sainJinroteqnikuri III done: personali · eqimis kabineti (da/an _ danarTi 4.4.1 xelSekru· misaRebi kabineti leba _ danarTi 4.4.2 Sesabamis · Sesaxvevi servisul _ danarTi 4.4.5 samsaxur· saoperacio Tan) winasaoperaciosTan

7

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;

· · ·

·

erTad _ danarTi 4.4.6 · sasterilizacio _ danarTi 4.4.4

91

done 1

tipi 2

kadrebi 3

samedicino-teqnikuri aRWurviloba 4 IV done: · eqimis kabineti _ danarTi 4.4.1 · misaRebi kabineti _ danarTi 4.4.2 · Sesaxvevi _ danarTi 4.4.5 · saoperacio

nozologia 5

gamokvlevebi 6 · ·

samedicino saqmianobis moculoba

7

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;

winasaoperaciosTan erTad _ danarTi 4.4.6, · sasterilizacio _ danarTi 4.4.4

·

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) licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 2. funqciuri diagnostika (I done) 3. rentgenologia (I done)

samedicino daxmarebis II donis SemTxvevaSi:

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba 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) licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. funqciuri diagnostika (I da/an II done) 2. eqoskopiuri diagnostika (I da/an II done) igive

92

samedicino daxmarebis III donis SemTxvevaSi:

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba misamarTze: 1. kliniko-diagnostikuri laboratoria (II da/an III done) 2. bioqimiuri laboratoria (II da/an III done) 3. rentgenologia (II da/an III done) 4. funqciuri diagnostika (II da/an III done) licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 1. mikrobiologiuri laboratoria (II da/an III done) 2. eqoskopiuri diagnostika (II da/an III done) 3. anesTeziologia (II da/an III done) igive

samedicino daxmarebis IV donis SemTxvevaSi:

licenzia Sesabamis samedicino saqmianobaze da/an xelSekruleba misamarTze: 1. kliniko-diagnostikuri laboratoria (III da/an IV done) 2. bioqimiuri laboratoria (III da/an IV done) 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) licenzia Sesabamis samedicino saqmianobaze, an xelSekruleba 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) igive

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

93

qirurgia, samedicino-teqnikuri aRWurviloba

danarTi 4.4.1

eqimis kabineti (mimRebi oTaxi _ gasasinji kabineti)

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done I 1 1 3 1 1 2 raodenoba (cali) II III 1 1 3 1 1 2 1 1 1 1 1 1 2 1 1 1 2 1 1 2 2 2 2 2 2 1 1 1 3 1 1 1 1 1 1 1 1 1 2 -

IV

1 1 3 1 1 1 1 1 1 1 1 1 2 -

samedicino aveji

15 15 15 15 15 15 08 03 08 06 06 02 14 14 14 13 13 14 14 14 14 14 14 14 14 08 eqimis magida eqimis skami skami gasasinji taxti samedicino karada instrumentebis magida

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) negatoskopi (saerTo daniSnulebis) gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) saswori (samedicino) simaRlis sazomi (anTropometri) arteriuli wnevis sazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi _ mozrdilTa) Termometri (samedicino, eleqtruli, an/da vercxliswylis) wamzomi dinamometri (xelis) eleqtromaduRara (sadizinfeqcio maduRara, eleqtruli) sasterilizacio yuTi instrumentebisaTvis 1 1 1 1 1 1 2 1 1 1 2 1 1 2 2 2 2 2 2 1

samedicino instrumentebi

gamadidebeli mina (lupa, xelis) stetofonendoskopi (stetoskopi, fonendoskopi) gasazomi lenti Spadeli (enis) pinceti (anatomiuri) makrateli (gadasaxvevi masalis) makrateli samedicino (erTi maxvili boloTi) momWeri (maSa, korcangi), pirdapiri pirveladi daxmarebis da traqeostomis instrumentebis kompleqti (mozrdilTa): filtvebis xelovnuri ventilaciis meqanikuri (xelis) mowyobiloba (ambus tipis sasunTqi parki, sasunTqi niRabi, meqanikuri vakuumaspiratori, samedicino instrumentebi

94

eqimis kabineti (mimRebi oTaxi _ gasasinji kabineti)

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done _ piris gamRebi, enis damWeri, lanceti, traqeostomis mili, momWeri (maSa, korcangi), laxti, an krikotomiis instrumentebis kompleqti I raodenoba (cali) II III

IV

danarTi 4.4.2

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

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done raodenoba III 1 1 2 1 1 1 IV 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

samedicino aveji

15 15 15 15 15 15 08 08 02 14 14 13 14 14 14 14 14 14 08 eqimis magida eqimis skami skami gasasinji taxti samedicino karada instrumentebis magida

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi, _ mozrdilTa) Termometri (samedicino, eleqtruli, an/da vercxliswylis) wamzomi sasterilizacio yuTi instrumentebisaTvis 1 1 1 1 1 1 1 1 1 1 1 1 1

samedicino instrumentebi

stetofonendoskopi (stetoskopi, fonendoskopi) Spadeli (enis) pinceti (anatomiuri) makrateli (gadasaxvevi masalisaTvis) makrateli, samedicino (erTi maxvili boloTi) momWeri (maSa, korcangi), _ swori boloTi 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

95

danarTi 4.4.3

saproceduro (saproceduro eqim-specialistis kabinetTan)

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done raodenoba (cali) I II 1 1 1 2 1 1 1 1 1 2 1 1 1 2 2 2 1 2 5 5 3 1 kompleqti 3 3 5 3 5 5 2 1

samedicino aveji

15 15 15 15 15 15 08 08 13 14 gasasinji taxti (da/an saproceduro magida) eqimis skami (mbrunavi skami) samedicino karada instrumentebis magida biqsis sadgami Tasis sadgami

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) instrumentebis sasterilizacio yuTi Stativi xsnarebisaTvis (moZravi, statikuri) vakuumaspiratori (qirurgiuli) 1 2 2 1

samedicino instrumentebi

14 14 14 14 14 14 14 14 14 14 14 14 08 laxti (sisxldenis SesaCerebeli) momWeri (saoperaco TeTreulis mikrofirfitebis kanze misamagreblad) momWeri (sisxldenis SesaCereblad) atravmuli nemsi qirurgiuli nemsebis nakrebi nemsdamWeri korcangi (pirdapiri) samedicino kovzebi (maxvili) skalpeli (sxvadasxva zomis) pinceti (anatomiuri) pinceti (qirurgiuli) Tvalis pinceti (anatomiuri, qirurgiuli) 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 2 5 5 3 1 kompleqti 3 3 5 3 5 5 2 1

96

danarTi 4.4.4

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

samedicino-teqnikuri aRWurvilobis dasaxeleba orTqlis sterilizatori (avtoklavi: horizontaluri an/da vertikaluri) mSrali sterilizatori (sasterilizacio karada) raodenoba (cali) 1 1

danarTi 4.4.5

Sesaxvevi sufTa (Cirqovani)

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done I 1 1 1 2 1 1 1 2 2 2 5 5 5 1 kompleqti raodenoba (cali) II III 1 1 1 2 1 1 1 2 2 2 5 5 5 1 kompleqti 1 1 1 2 1 1 1 2 2 2 5 5 5 1 kompleqti

IV

1 1 1 2 1 1 1 2 2 2 5 5 5 1 kompleqti

samedicino aveji

15 15 15 15 15 15 08 08 13 14 14 14 14 14 gasasinji taxti eqimis skami (mbrunavi skami) samedicino karada instrumentebis magida biqsis sadgami Tasis sadgami

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) sasterilizacio yuTi instrumentebisaTvis

samedicino instrumentebi

laxti (sisxldenis SesaCereblad) momWeri (operaciuli TeTreulis mikrofirfitebis kanze misamagreblad) momWeri (sisxldenis SesaCereblad) atravmuli nemsi qirurgiuli nemsebis nakrebi

97

Sesaxvevi sufTa (Cirqovani)

kodi 14 14 14 14 14 14 14 14 08 samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done nemsdamWeri korcangi (swori boloTi) skalpeli (sxvadasxva zomis) pinceti (anatomiuri) makrateli, qirurgiuli (erTi maxvili boloTi) makrateli (gadasaxvevi masalisaTvis) makrateli, horizontalur sibrtyeSi moxrili boloTi (naxvevis gasaWrelad) TabaSiris naxvevis gasaWreli xerxi 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 I 5 5 5 5 5 5 5 1 1 raodenoba (cali) II III 5 5 5 5 5 5 5 5 5 5 5 5 5 5 1 1 1 1

IV

5 5 5 5 5 5 5 1 1

danarTi 4.4.6

saoperacio (winasaoperaciosTan erTad)

kodi

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

saoperacio

samedicino aveji

15 17 08 14 14 14 samedicimo karada (medikamentebi, sainfuzio sistemebi da sxva) macivari ( 0 - +4 gradusi celsiusiT) 1 1 1 1 2 1 1 1

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) pacientis gadasayvani urika (savarZeli) pacientis gadasayvani sakace Jangbadis rezervuari (Jangbadis baloni, Jangbadis balonis gadasatani urika, reduqtori, floumetri (Jangbadis nakadis regulatori), damtenianebeli, sasunTqi niRabi (sxvadasxva zomis, mozrdilTa /pediatriuli) 2 1 1 1

saoperacio darbazi

98

saoperacio (winasaoperaciosTan erTad)

kodi

samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done raodenoba (cali) III IV 1 2 1 1 3 2 1 1 2 1 1 3 2 1

samedicino aveji

15 15 15 15 15 13 14 saoperacino magida (universaluri saoperacio magida, mravalfunqciuri, eleqtruli, hidravlikuri, an/da meqanikuri, mozrdilTa) eqimis skami (mbrunavi skami) samedicino karada qirurgiuli instrumentebis magida (stacionaruli, didi) qirurgiuli instrumentebis magida _ mobiluri (moZravi) biqsis sadgami (an/da, alternatiul SemTxvevaSi, biqs(eb)is karada) konteineri naxmari masalis Sesagroveblad (romelmac unda uzrunvelyos hermetizacia, an/da, alternatiul SemTxvevaSi, Tasi da Tasis sadgami)

samedicino aparatura da xelsawyoebi

08 08 baqteriociduli gamomsxivebeli (stacionaruli, kedlis, an/da Weris) 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) saoperacio gamanaTebeli, mobiluri (gamanaTebeli, samedicino, sam-refleqtoriani, mobiluri, avariuli kvebiT (/akumulatori), an/da, alternatiul SemTxvevaSi, avariuli kvebis gareSe) gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) sasterilizacio yuTi instrumentebisaTvis samedicino instrumentebis sini (an/da Tasi) Stativi xsnarebisaTvis (moZravi, statikuri) eleqtroaspiratori (maRali wnevis, qirurgiuli) eleqtroaspiratori (dabali wnevis, Terapiuli defibrilatori (mozrdilTa, monitorirebisa da sinqronizaciis SesaZleblobiT, an/da alternatiul SemTxvevaSi mis gareSe) medikamentebis dozatori, infuzori (/infuzomati) eleqtroqirurgiuli xelsawyo (eleqtrokuagulatori /eleqtrodana, eleqtrodebis standartuli kompleqtacia) 2 1 2 1

08 08 13 14 14 08 08 08 08 07 07 08 08 14 14 14

1 1 2 2 2 1 1 1 1 1

1 1 2 2 2 1 1 1 1 1

samedicino instrumentebi

laxti (sisxldenis SesaCereblad) momWeri (saoperacio TeTreulis mikrofirfitebis kanze misamagreblad) momWeri (sisxldenis SesaCereblad) atravmuli nemsi qirurgiuli nemsebis nakrebi 2 10 10 5 1 kompleqti 2 10 10 5 1 kompleqti

99

saoperacio (winasaoperaciosTan erTad)

kodi

14 14 14 14 14 14 14 14 samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done nemsdamWeri korcangi (swori boloTi) samedicino kovzebi (maxvili) skalpeli (sxvadasxva zomis) pinceti (anatomiuri) pinceti (qirurgiuli) Tvalis pinceti (anatomiuri, qirurgiuli) mcire qirurgiuli instrumentebis nakrebi (an/da alternatiul SemTxvevaSi qirurgiuli raodenoba (cali) III IV 5 5 5 5 10 10 5 5 10 10 10 10 2 2 2 kompleqti 2 kompleqti

instrumentebis poliklinikuri nakrebi, maT Soris: 3 1 1 1 1 1 1 1 1 2 1 5 2 1 1 1 3 1 1 1 1 1 1 1 1 2 1 5 2 1 1 1

08

· dana, saoperacio · retraqtori, erT-kbiliani · kiureti, (kovzi) or-boloiani · zondi · zondi mimmarTveliT · pinceti, Sesakeri, 13 sm · pinceti, Sesakeri, 13 sm · makrateli, saoperacio, swori · makrateli, saoperacio, rkaliseburi · pinceti, hemostazuri, ~koheris~, swori, 14.5 sm · nemssaWeri, ~maTeusi~, 19 sm · nemsi, sakeri · Zafis xvia · konteineri, sakeri nemsis · instrumentebis sterilizebadi Casawyobi 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

4.5 meanoba-ginekologia

100

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

done 1 I tipi 2 1. ambulatoria 2. ambulatoria dRis stacionariT. 3. pirveladi jandacvis centri. 4. saubno saavadmyofo kadrebi 3 meanoba · mean-ginekologi · Terepevti · bebia qali · damxmare personali gasaTvaliswinebelia, rom nebismier SemTxvevaSi samedicino personals unda hqondes saTanado kvalifikacia da licenzia/serti fikati. samedicinoteqnikuri aRWurviloba 4 nozologiebi 5 gamokvlevebi 6 meanoba · pacientis viziti eqimTan; · saSos nacxis baqterioskopia; · Saqris (glukoza) gansazRvra sisxlSi; · sisxlis saerTo analizi; · Sardis saerTo analizi; · 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. samedicino saqmianobis moculoba 7 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.

· mean-ginekologis meanoba

kabineti

(ginekologiuri saproceduro) _ danarTi 4.5.1 · sameano kabineti (gasinji, saproceduro _ fiziologiuri) _ danarTi 4.5.2 · sasterilizacio _ danarTi 4.5.6 Z34 0.28.0

damatebiT:

· · stetoskopi mikroskopi

ginekologia · meanginekologi · damxmare personali

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

ginekologia: · pacientis viziti eqimTan; · saSos nacxis baqterioskopia; · Saqris (glukoza) gansazRvra sisxlSi; · sisxlis saerTo analizi; · Sardis saerTo analizi; · saSos sisufTavis xarixsis gansazRvra; · vasermanis reaqcia; · aiv antisxeulebis gansazRvra;

ginekologia: me-5 svetSi CamoTvlil SemTxvevebSi: · janmrTelobis ZiriTad maxasiaTebelTa Sefaseba, kontroli, monitoringi;

101

done 1

tipi 2

kadrebi 3

samedicinoteqnikuri aRWurviloba 4

nozologiebi 5

gamokvlevebi 6 · ginekologiuri bimanualuri gasinjva; · sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis); · gamonadenis baqteriologiuri kvleva; · gamonadenis baqterioskopiuri kvleva; · saSos nacxis baqteriologiuri kvleva..

samedicino saqmianobis moculoba 7 · onkodaavadebaTa prevencia, adreuli diagnostika; · daavadebis drouli gamovlineba, diagnostika, mkurnaloba; profilaqtikuri muSaoba; cxovrebis jansaRi wesis propaganda; kontracepcia da reproduqciul janmrTelobaze zrunva; · pacientTa fsiqosomaturi reabilitacia.

102

4. 5 meanoba-ginekologia

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

tipi 2 1. raionuli (qalaqis) saavadmyofo. 2. saeqimo kabineti. kadrebi 3 meanoba · mean-ginekologi · Terepevti · stomatologi aRWurviloba 4 · mean-ginekologis meanoba nozologiebi 5 gamokvlevebi 6 meanoba · pacientis viziti eqimTan; · saSos nacxis baqterioskopia; · Saqris (glukoza) gansazRvra sisxlSi; · sisxlis saerTo analizi; · Sardis saerTo analizi; · saSos sisufTavis xarixsis gansazRvra; · vasermanis reaqcia; · aiv antisxeulebis gansazRvra; · ginekologiuri bimanualuri gasinjva; · sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis); · gamonadenis baqteriolo-giuri 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; · mkerdis gasinjva; · kolposkopia; · nayofis ultrasonografiuli an invaziuri kvleva SerCeul SemTxvevebSi. samedicino saqmianoibis moculoba 7 meanoba me-5 svetSi CamoTvlil SemTxvevebSi: · orsulobis dadastureba; · gestaciuri vadis Sefaseba; · anamnezis Sekreba; · konsultireba pacientis janmrTelobis sakiTxebTan, kvebis TaviseburebebTan da sxva sakiTxebTan dakavSirebiT · nayofis zrdis Sefaseba; · riskis faqtorebis gansazRvra.

done 1 II

kabineti (ginekologiuri saproceduro) _ danarTi 4.5.1

· sameano kabineti

Z34 0.36 0.28.0

(gasasinji, saproceduro _ fiziologiuri) _ danarTi 4.5.2

· sameano kabineti

(gasasinji, saproceduro _ observaciuli, potenciurad inficirebuli pacientebisaTvis), _ danarTi 4.5.3

· sasterilizacio

danarTi 4.5.6

· eqoskopi · ekg-s aparati · stomatologiuri kabinetis mowyobiloba

damatebiT:

ginekologia

103

done 1

tipi 2

kadrebi 3 ginekologia · mean-ginekologi · damxmare persona-li

aRWurviloba 4

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

gamokvlevebi 6

samedicino saqmianoibis moculoba 7

· pacientis viziti eqimTan; · saSos nacxis baqterioskopia; · Saqris (glukoza) gansazRvra sisxlSi; · sisxlis saerTo analizi; · Sardis saerTo analizi; · saSos sisufTavis xarixsis gansazRvra; · vasermanis reaqcia; · aiv antisxeulebis gansazRvra; · ginekologiuri bimanualuri gasinjva; · sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis); · 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; · pacientTa fsiqosomaturi reabilitacia.

104

4.5 meanoba-genekologia

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

samedicinoteqnikuri aRWurviloba 4 meanoba · mean-ginekologis Z34 kabineti 0.36 (ginekologiuri saproceduro) ix. 0.28.0 0.10 _ danarTi 4.5.1 0.11 0.12 · sameano kabineti 0.12.0 (gasasinji, 0.12.1 saproceduro _ 0.12.2 fiziologiuri) 0.13 _ danarTi 4.5.2 0.14 0.14.0 · sameano kabineti 0.15 0.15.0 (gasasinji, 0.16 saproceduro _ 0.21 observaciuli, 0.21.0 potenciurad 0.21.1 inficirebuli pacientebisaTvis), 0.21.2 0.23 _ danarTi 4.5.6 0.23.0 0.23.1 · saproceduro eqim- 0.23.2 specialistis 0.24 kabinetTan 0.25 ginekologiuri 0.26.0 samanipulacio _ 0.26.1 mcire ginekolo0.26.2 0.26.4 giuri operacie0.26.5 bisaTvis) 0.26.6 _ danarTi 4.5.4 0.28 samedicino saqmianoibis moculoba 7 meanoba

done 1 III

tipi 2 1. katastrofisa da gadaudebeli medicinis centri. 2. regionuli (respublikuri) saavadmyo-fo 3. specializebuli saavadmyofo 4. klinikuri saavadmyofo 5. dispanseri, mravalprofilia ni dispanseri 6. samSobiaro saxli 7. dedaTa da bavSvTa jandacvis centri. 8. klinikodiagnostikuri centri

kadrebi 3 · mean-ginekologi · Terepevti · stomatologi · perinatolgi · genetikosi, romelTac gavlili aqvT saTanado momzadeba da gaaCniaT adeqvaturi kvalifikacia

nozologiebi 5

gamokvlevebi 6 meanoba · pacientis viziti eqimTan; · saSos nacxis baqterioskopia; · Saqris (glukoza) gansazRvra sisxlSi; · sisxlis saerTo analizi; · Sardis saerTo analizi; · saSos sisufTavis xarixsis gansazRvra; · vasermanis reaqcia; · aiv antisxeulebis gansazRvra; · ginekologiuri bimanualuri gasinjva; · sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis); · gamonadenis baqteriolo-giuri kvleva; · gamonadenis baqterioskopiuri kvleva; · PAP-smear test (papanikolaus testi); · wonis gansazRvra; · simaRlis gazomva; · arteriuli wnevis gazomva; · nayofis sicocxlis dadgena; · 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.

me-5 svetSi CamoTvlili SemTxvevebisas:

· orsulobis dadastureba; · gestaciuri vadis Sefaseba; · anamnezis Sekreba; · konsultireba pacientis janmrTelobis sakiTxebTan, kvebis TaviseburebebTan da a.S. dakavSirebiT; · nayofis zrdis Sefaseba; · riskis faqtorebis gansazRvra.

105

done 1

tipi 2 9. hospitali. 10. poliklinika 11. qalTa konsultacia 12. specializirebuli kabineti

kadrebi 3 · mean-ginekologi · reproduqtologi

samedicinoteqnikuri aRWurviloba 4 · kolposko-piis

nozologiebi 5 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

gamokvlevebi 6 ginekologia: · pacientis viziti eqimTan; · saSos nacxis baqterioskopia; · Saqris (glukoza) gansazRvra sisxlSi; · sisxlis saerTo analizi; · Sardis saerTo analizi; · saSos sisufTavis xarixsis gansazRvra; · vasermanis reaqcia; · aiv antisxeulebis gansazRvra; · ginekologiuri bimanualuri gasinjva; · sarkeebiT daTvaliereba (vulvis, saSos, yelis arxis nacxis); · gamonadenis baqterioskopiuri kvleva; · 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.

samedicino saqmianoibis moculoba 7 ginekologia: · janmrTelobis ZiriTad maxasiaTebelTa Sefaseba, kontroli, monitoringi; · onkodaavadebaTa prevencia, adreuli diagnostika; · daavadebis drouli gamovlineba, diagnostika, mkurnaloba; profilaqtikuri muSaoba; cxovrebis jansaRi wesis propaganda; kontracepcia da reproduqciul janmrTelobaze zrunva; · pacientTa fsiqosomaturi reabilitacia.

kabineti _ danarTi 4.5.5

· sasterilizacio

_ danarTi 4.5.6 garda zemoaRniSnulisa damatebiT:

· kardiotokografi · nayofis garegani ekg-s aparati · eqoskopi dopleriT · kolposkopi · krioqirurgiuli aparati · ekg-s aparati · eleqtroencefalografi · imunofermentuli analizatori · stomatologiuri kabinetis mowyobiloba

106

4.5

meanoba-ginekologia

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

done 1 IV tipi 2 1.specializebuli samecnierokvleviTi instituti 2. specializebuli centri 3. sauniversiteto (akademiis) klinika kadrebi 3 · meanginekologi · reproduqtologi · eqTani · sanitari · sainJinroteqnikuri personali (da/an xelSekruleba servisul samsaxurTan) konsultantTa paneli: (xelSekrulebiT) · Terapevti · kardiologi · qirurgi (zogadi) · angiologi · nevropaTosamedicinoteqnikuri aRWurviloba 4 nozologiebi 5 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 gamokvlevebi 6 meanoba · pacientis viziti eqimTan; · Saqris gansazRvra sisxlSi; · sisxlis saerTo analizi; · 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; · nayofis sicocxlis dadgena; · nayofTa raodenobis gansazRvra; · amnionuri siTxis moculobis Sefaseba; · nayofis winamdebareobis dadgena; · menjis zomebis dadgena; · mkerdis gasinjva; · kolposkopia; · nayofis ultrasonografiuli an invaziuri kvleva SerCeul SemTxvevebSi; samedicino saqmianoibis moculoba 7 meanoba

me-5 svetSi CamoTvlili SemTxvevebisas:

· orsulobis dadastureba; · gestaciuri vadis Sefaseba; · anamnezis Sekreba; · konsultireba pacientis janmrTelobis sakiTxebTan, kvebis TaviseburebebTan da a.S. · nayofis zrdis Sefaseba; · riskis faqtorebis gansazRvra.

107

done 1

tipi 2

kadrebi 3 logi · fsiqologi · nefrologi an urologi

samedicinoteqnikuri aRWurviloba 4

nozologiebi 5 · · · ·

gamokvlevebi 6 saSvilosnos fuZis simaRlis gansazRvra maRali riskis orsulebSi; nayofis moZraobaTa amsaxveli diagramebi; nayofis sisxlis mimoqcevis doplerografiuli kvleva; saSos nacxis baqteriologiuri kvleva.

samedicino saqmianoibis moculoba 7

ginekologia N75, N76,

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; · nayofis moZraobaTa amsaxveli diagramebi; · 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).

108

done 1

tipi 2

kadrebi 3

samedicinoteqnikuri aRWurviloba 4

nozologiebi 5 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

gamokvlevebi 6 ginekologia: · pacientis viziti eqimTan; · saSos nacxis baqterioskopia; · Saqris (glukoza) gansazRvra sisxlSi; · sisxlis saerTo analizi; · Sardis saerTo analizi; · 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; · 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.

samedicino saqmianoibis moculoba 7 ginekologia:

ginekologia: · mean-ginekologi · reproduqtologi · Terepevti · stomatologi

me-5 svetSi CamoTvlili SemTxvevebisas:

· janmrTelobis ZiriTad maxasiaTebelTa Sefaseba, kontroli, monitoringi; · onkodaavadebaTa prevencia, adreuli diagnostika; daavadebis drouli gamovlineba, diagnostika, mkurnaloba; profilaqtikuri muSaoba; · cxovrebis jansaRi wesis propaganda; kontracepcia da reproduqciul janmrTelobaze zrunva; · pacientTa fsiqosomaturi reabilitacia.

109

meanoba-ginekologia, samedicino-teqnikuri aRWurviloba danarTi 4.5.1

mean-ginekologis kabineti (ginekologiuri saproceduro)

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done raodenoba I 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 2 3 kompleqti 3 kompleqti 10 2 2 3 5 5 1 5 20 II 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 2 3 kompleqti 3 kompleqti 10 2 2 3 5 5 1 5 20 III 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 2 3 kompleqti 3 kompleqti 10 2 2 3 5 5 1 5 20 IV 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 2 3 kompleqti 3 kompleqti 10 2 2 3 5 5 1 5 20

samdicino aveji

15 15 15 15 15 06 15 08 08 02 02 14 13 13 15 14 14 14 14 14 14 14 14 14 14 14 14 eqimis magida eqimis skami (mbrunavi) skami samedicino karada instrumentebis magida ginekologiuri savarZeli Tejiri (mravalseqciuri)

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) arteriuli wnevis gasazomi arainvaziuri aparati (sfigmomanometri, fonendoskopi) stetofonendoskopi Termometri (samedicino, eleqtruli an/da vercxliswylis) instrumentebis sasterilizacio yuTi biqsi biqsis sadgami Tirkmliseburi jami

samedicino instrumentebi

saSos sarkeebis kompleqti (kuskos, an simsas mixedviT #2,4,6,8) saSos sarkeebis kompleqti (mosaxsneli gamanaTebliT #2,4,6) sarke_amwevi momWeri (satyvie maSa (yelis damWeri), korcangi) _ swori boloTi momWeri (maSa, korcangi), moxrili boloTi pinceti (anatomiuri) zondi (kuWis) zondi (sigrZis sazomi, mravaljeradi gamoyenebis) sakeravi nems(eb)i (nakrebi) nemsis damWeri ureTris kaTeteri (# 14, 15, 16, 17, 18)

110

mean-ginekologis kabineti (ginekologiuri saproceduro)

kodi 14 14 08 samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done vaginoskopi (gamanaTebliT, mowyobilobiT ucxo sxeulis mosacileblad) intraskopi (ultrabgeriTi _ mobiluri, vaginaluri da reqtaluri zondebiT) 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 raodenoba I 1 II 1 III 1 1 1 IV 1 1 1

danarTi 4.5.2

sameano kabineti (gasasinji, saproceduro _ fiziologiurad mSobiare pacientebisaTvis)

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done I 1 1 1 1 1 1 1 1 2 1 1 1 raodenoba II III 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 IV 1 1 1 1 1 1 1 1 2 1 1 1 1 1

samdicino aveji

15 15 15 15 08 06 06 08 02 02 02 14 13 13 samedicino karada instrumentebis magida gasasinji taxti Tejiri (mravalseqciuri)

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) saswori (samedicino) anTropometri (simaRlis sazomi) gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) stetoskopi (sameano) kardiotokografi fetaluri monitori Termometri (samedicino eleqtruli an/da vercxliswylis) sasterilizacio yuTi instrumentebisaTvis biqsi

111

sameano kabineti (gasasinji, saproceduro _ fiziologiurad mSobiare pacientebisaTvis)

kodi 15 14 14 14 14 14 14 14 14 samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done biqsis sadgami Tirkmliseburi jami I 1 1 1 2 2 2 3 5 5 raodenoba II III 1 1 1 1 1 2 2 2 3 5 5 1 2 2 2 3 5 5 IV 1 1 1 2 2 2 3 5 5

samedicino instrumentebi

menjis sazomi fargali (sameano) sazomi lenti momWeri (satyvie maSa _ yelis damWeri, korcangi), swori boloTi momWeri (maSa, korcangi), moxrili boloTi pinceti (anatomiuri) zondi (kuWis) zondi (sigrZis sazomi, mravaljeradi gamoyenebis)

danarTi 4.5.3

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

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done I raodenoba II III 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 IV 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1

samdicino aveji

15 15 15 15 08 06 06 08 14 02 02 14 13 13 15 14 samedicino karada instrumentebis magida gasasinji taxti Tejiri (mravalseqciuri)

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (mobiluri, an/da kedlis) saswori (samedicino) anTropometri (simaRlis sazomi) gamanaTebeli (samedicino, erTrefleqtoriani, mobiluri) stetoskopi (sameano) kardiotokografi fetaluri monitori Termometri (samedicino, eleqtruli an/da vercxliswylis) sasterilizacio instrumentebis yuTi biqsi biqsis sadgami Tirkmliseburi jami -

112

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

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done I raodenoba II III 1 2 2 2 3 5 5 1 2 2 2 3 5 5 IV 1 2 2 2 3 5 5

samedicino instrumentebi

14 14 14 14 14 14 14 menjis sazomi fargali (sameano) sazomi lenti momWeri (satyvie maSa (yelis damWeri), korcangi) _ swori boloTi momWeri (maSa, korcangi), moxrili boloTi pinceti (anatomiuri) zondi (kuWis) zondi (sigrZis sazomi, mravaljeradi gamoyenebis)

danarTi 4.5.4

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

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done I II raodenoba III 1 1 3 2 2 2 2 1 1 1 1 1 2 kompleqti 2 kompleqti IV 1 1 3 2 2 2 2 1 1 1 1 1 2 kompleqti 2 kompleqti

samdicino aveji

15 15 15 15 15 14 08 08 13 06 08 08 14 14 eqimis skami (mbrunavi) samedicino karada instrumentebis magida biqsis sadgami Tasis sadgami Stativi xsnarebisaTvis (moZravi, statikuri)

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) gamanaTebeli (samdicino, erTrefleqtoriani, mobiluri) sasterilizacio yuTi instrumentebisaTvis ginekologiuri savarZeli krioqirurgiuli ginekologiuri aparati eleqtroaspiratori (qirurgiuli, an vakuum-eqskoxliatori)

samedicino instrumentebi

saSos sarkeebi (kuskos sarke, an simsas sarke # 2,4,6) saSos sarkeebi (mosaxsneli gamanaTebliT # 2,4,6)

113

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

kodi 14 14 14 14 14 14 14 14 14 14 14 14 14 08 samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done sarke_amwevi momWeri (maSa, korcangi) _ swori boloTi momWeri (maSa, korcangi) _ moxrili boloTi ginekologiuri kovzi pinceti (anatomiuri) pinceti (qirurgiuli) makrateli (qirurgiuli, swori boloTi) makrateli (qirurgiuli, moxrili boloTi) sakeravi nems(eb)i (nakrebi) nemsis damWeri biqsi Tasi Tirkmliseburi jami 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 I II raodenoba III 5 3 3 10 3 3 3 3 2 4 2 2 2 1 IV 5 3 3 10 3 3 3 3 2 4 2 2 2 1

danarTi 4.5.5

kolposkopiis kabineti

kodi samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done I raodenoba II III 1 2 1 2 1 1 1 IV 1 2 1 2 1 1 1

samedicino aveji

15 15 15 15 15 15 15 eqimis skami (mbrunavi skami) skami samedicino karada instrumentebis magida gasasinji taxti biqsis sadgami Tasis sadgami

114

kolposkopiis kabineti

kodi 14 08 08 13 13 08 08 98 13 13 08 samedicino-teqnikuri aRWurvilobis dasaxeleba samedicino momsaxurebis done Stativi xsnarebisaTvis (moZravi, statikuri) I raodenoba II III 1 2 1 1 1 1 1 1 1 1 IV 1 2 1 1 1 1 1 1 1 1 1

samedicino aparatura da xelsawyoebi

baqteriociduli gamomsxivebeli (kedlis, an/da mobiluri) gamanaTebeli (samdicino, erTrefleqtoriani, mobiluri) eleqtromaduRara (sadizenfeqcio maduRara, eleqtruli) instrumentebis sasterilizacio yuTi

samedicino instrumentebi

kolposkopi histeroskopi maRali sixSiris eleqtroqirurgiuli aparati (instrumentebis kompleqti koagulaciisaTvis _ mono da bipolaruli) biqsi Tasi 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

danarTi 4.5.6

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

kodi 13 13 aRWurvilobis dasaxeleba orTqlis sterilizatori (avtoklavi, horizontaluri an/da vertikaluri) mSrali sterilizatori (sasterilizacio karada) raodenoba 1 1

115

4.6

laboratoriuli diagnostika

kliniko-laboratoriuli diagnostika (done I) klinikuri laboratoria

done 1

·

tipi 2 ambulatoria ambulatoria dRis stacionariT pirveladi jandacvis centri saubno saavadmyofo

·

kadrebi 3

·

samedicino-teqnikuri aRWurviloba 4 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.

·

nozologia 5 yvela nozologiis hematologiuri da zogadklinikuri laboratoriuli diagnostika.

· · ·

gamokvlevebi 6 sisxlis saerTo analizi 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 Sardis saerTo analizi SardSi cilis raodenobis gansazRvra SardSi glukozis raodenobis gansazRvra SardSi naRvlis pigmentebis

I

·

·

eqimi laboranti (umaRlesi samedicino ganaTleba, serTifikati laboratori ul medicinaSi). laboratoriuli medicinis specialisti (umaRlesi arasamedicino ganTleba ­ biologi an analizuri qimiis specialisti, serTifikati laboratoriul medicinaSi). saSualo (teqnikuri) laboranti (saSualo

·

samedicino saqmianobis moculoba 7 sisxlis aReba TiTidan, sisxlis damuSaveba da mikroskopia Txier mdgomareobaSi; sisxlis nacxis fiqsacia da SeRebva, SeRebili nacxis hematologiu ri da citologiuri diagnostika; Sardis damuSaveba da mikroskopia; ganavlis damuSaveba da mikroskopia; naxvelis nacxebis

·

·

·

· · · · · ·

Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzommakalibrebeli aparaturis stabiluri kvebis uzrunvelsayofad; gaTboba_kondicirebisa da ventilaciis sistema (centraluri an avtonomiuri); sakanalizacio sistema (centraluri an avtonomiuri) wyalmomaragebis sistema (civi wyali, cxeli wyalicentraluri 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

·

·

116

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 teqnikuri ganaTleba)

· ·

samedicino-teqnikuri aRWurviloba 4 (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.

nozologia 5

· · ·

gamokvlevebi 6 gansazRvra ganavlis saerTo analizi ganavlis gamokvleva farul sisxldenaze naxvelis saerTo laboratoriuli gamokvleva

samedicino saqmianobis moculoba 7 damzadeba SeRebva da gamokvleva.

preparatori (sanitari)

·

·

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;

·

117

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 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. nozologia 5 gamokvlevebi 6 samedicino saqmianobis moculoba 7

· · ·

· · · · · · ·

·

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.

·

118

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 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. nozologia 5 gamokvlevebi 6 samedicino saqmianobis moculoba 7

119

bioqimiuri laboratoriuli gamokvlevebi

done 1 I tipi 2 ambulatoria ambulatoria dRis stacionariT pirveladi jandacvis centri saubno saavadmyofo

·

kadrebi 3 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) preparatori (sanitari)

samedicino-teqnikuri aRWurviloba 4 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.

·

nozologia 5 yvela nozologiis bioqimiuri diagnostika.

gamokvlevebi 6 glukozis gansazRvra sisxlSi proTrombinis indeqsis gansazRvra

·

·

·

·

·

samedicino saqmianobis moculoba 7 sisxlis aReba kapilaruli , venuri; Sratis gamoyofa, plazmis miReba; bioqimiuri gamokvlevebis Catareba.

·

·

·

·

·

· · · · · ·

·

Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzommakalibrebeli aparaturis stabiluri kvebis uzrunvelsayofad; gaTboba_kondicirebisa da ventilaciis sistema (centraluri an avtonomiuri); sakanalizacio sistema (centraluri an avtonomiuri) wyalmomaragebis sistema (civi da 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; · 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,

·

120

bioqimiuri laboratoriuli gamokvlevebi

done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 _ erTjeradi an damzadebuli masalisagan romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2c.; invaziuri Carevis saSualebebi nemsi, Sprici, skarifikatori, vakutaineri da sxva _ aucileblad erTjeradi; nozologia 5 gamokvlevebi 6 samedicino saqmianobis moculoba 7

·

laboratoria · samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli masalisagan romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2c.; · 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; · 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 (distilatori). alternatiul SemTxvevaSi xelSekruleba afTiaqTan;

121

bioqimiuri laboratoriuli gamokvlevebi

done 1 tipi 2 kadrebi 3

· · · · · · ·

0

samedicino-teqnikuri aRWurviloba 4 Termostati (37-60 C); 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; konteineri naxmari masalis dezinficirebisaTvis, TeTreulis, da a.S. _ 2c.

nozologia 5

gamokvlevebi 6

samedicino saqmianobis moculoba 7

·

laboratoriuli 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 (I, an II donis sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) samsaxuris uzrunvelyofisaTvis. alternatiul SeTxvevaSi xelSekruleba saTanado teqnikuri infrastuqturis sabazo dawesebulebasTan.

122

4.6

laboratoriuli diagnostika

kliniko-laboratoriuli diagnostika (done II) klinikuri laboratoria

done 1

·

tipi 2 raionuli (qalaqis) saavadmyofo sazogadoebrivi dacvis centri

· ·

kadrebi 3

·

samedicino-teqnikuri aRWurviloba 4 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 II, III, I done), teqnikuri infrastruqturis (centraluri an avtonomiuri) samsaxuris uzrunvelyofisaTvis. alternatiul SemTxvevaSi _ xelSekruleba saTanado teqnikuri infrastruqturis mqone sabazo dawesebulebasTan.

·

nozologia 5 yvela nozologiis hematologiuri da zogadklinikuri laboratoriuli diagnostika.

· ·

gamokvlevebi 6 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

II

·

eqimi laboranti (umaRlesi samedicino ganaTleba ­ serTifikati laboratoriul medicinaSi). laboratoriuli medicinis specialisti (umaRlesi arasamedicino ganTleba ­ biologi an analizuri qimiis specialisti _sertifikati laboratoriul medicinaSi). saSualo (teqnikuri) laboranti (saSualo teqnikuri ganaTleba)

·

·

samedicino saqmianobis moculoba 7 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

·

·

samedicino_socialuri saavadmyofo

·

·

·

· · · · · ·

·

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 da cxeli wyali, _ centraluri an avtonomiuri); xelsabani (qirurgis niJara); karada sadezinfeqcio xsnarebisaTvis; konteineri (Tasi an abazana) laboratoriuli WurWlis, instrumentebis dezinfeqciisaTvis - 2cali

·

· ·

·

·

·

·

·

samedicino informaciuli samsaxuri (teqnologiebi, samedicino statistika, monacemTa baza, sakomunikacio saSualebebi, magaliTad interneti, faqsi da a.S.).

·

123

klinikuri laboratoria

done 1 tipi 2

·

kadrebi 3 preparatori (sanitari) klinikuri inJineri (samedicino aparaturis inJineri an samedicino bioteqnikuri sistemebis specialisti an/da xelSekruleba samedicino aparaturis servisul samsaxurTan, aRniSnuli unda iTvaliswinebdes agreTve metrologiur momsaxureo-bas).

samedicino-teqnikuri aRWurviloba 4 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.

nozologia 5

·

gamokvlevebi 6 mikroskopia 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 hematuriis xarisxis gansazRvra SardSi formiani elementebis raodenobis gansazRvra neCiporenkos wesiT SardSi formiani elementebis raodenobis gansazRvra adis_kakovskis wesiT

·

samedicino saqmianobis moculoba 7 SigTavsis aReba da gamokvleva;

·

·

· ·

· · · ·

naxvelis nacxebis damzadeba SeRebva da gamokvleva; qalisa da mamakacis sasqeso organoebidan miRebuli masalis diagnostika; liqvoris laboratoriuli gamokvleva.

·

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 taxti; · 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

·

·

·

·

·

·

·

124

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 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.

·

nozologia 5

· ·

gamokvlevebi 6 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

samedicino saqmianobis moculoba 7

· ·

·

·

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 taxti; · 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.; · invaziuri Carevis saSualebebi: nemsi, Sprici, skarifikatori, vakutaineri da sxva, _ aucileblad erTjeradi.

·

·

·

·

·

·

laboratoria · samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi / dolbandi,

·

125

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 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 meqanikuri saTvleli - 2c.; biologiuri mikroskopi (binokularuli / monokularuli, sinaTlis wyaro) - 3c.; goriaevis kamera - 2c.; panCenkovis aparati (10 kapilariT) - 2c.; torsiuli laboratoriuli saswori; laboratoriuli centrifuga; laboratoriuli Termometri; laboratoriuli saaTi; pipeti variabeluri moculobebiT (200-1000 mkl.), erTarxiani; pipeti variabeluri moculobebiT (50-200 mkl.), erTarxiani; pipeti variabeluri moculobebiT (5-50 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 wesiT) _ 3-3 cali. Stativebi sinjarebisaTvis; laboratoriuli amwovi karada; wylis gamosaxdeli laboratoriuli aparati (distilatori). alternatiul SemTxvevaSi _ xelSekruleba afTiaqTan; Termostati (37-600C); nozologia 5 gamokvlevebi 6 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 samedicino saqmianobis moculoba 7

· ·

·

· · · · · · · · · · · · ·

·

·

·

·

·

· · ·

·

126

klinikuri laboratoria

done 1 tipi 2 kadrebi 3

· · · · · ·

samedicino-teqnikuri aRWurviloba 4 saSrobi karada 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 dezinfeqciisaTvis, TeTreulis, da a.S. _ 2cali. (900C);

nozologia 5

gamokvlevebi 6

samedicino saqmianobis moculoba 7

·

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 erTjeradi an damzadebuli masalisagan, romelic sveli an mSrali wesiT sterildeba.

·

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.

127

bioqimiuri laboratoriuli gamokvlevebi done 1 II tipi 2

· raionuli · eqimi

kadrebi 3 laboranti (umaRlesi samedicino ganaTleba ­ serTifikati laboratoriul medicinaSi).

· laboratoriu

samedicino-teqnikuri aRWurviloba 4 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.

·

nozologia 5 yvela nozologiis bioqimiuri diagnostika.

gamokvlevebi 6

· saerTo cilis

(qalaqis) saavadmyofo

· sazogadoeb-

·

rivi dacvis centri

· samedicino

·

socialuri saavadmyofo

· ·

li medicinis · specialisti (umaRlesi arasamedicino ganaTleba ­ biologi an analitikuri qimiis specialisti serTifikati laboratoriul medicinaSi).

· saSualo

·

·

· · · · · ·

(teqnikuri) laboranti (saSualo teqnikuri ganaTleba)

· preparatori

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.

·

·

·

· ·

(sanitari)

· klinikuri

inJineri (samedicino aparaturis inJineri an

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

·

·

gansazRvra sisxlSi Sardovanas gansazRvra sisxlSi kreatininis gansazRvra sisxlSi Timolis sinji glukozis gansazRvra sisxlSi betalipoproteinebis gansazRvra sisxlSi saerTo qolesterinis gansazRvra sisxlSi saerTo bilirubinis gansazRvra sisxlSi pirdapiri bilirubinis gansazRvra sisxlSi rkinis gansazRvra sisxlSi revmatoiduli faqtoris gansazRvra sisxlSi C reaqtiuli cilis gansazRvra sisxlSi difenilaminis cda

samedicino saqmianobis moculoba 7 · sisxlis aReba kapilaruli, venuri;

· Sratis

gamoyofa, plazmis miReba;

· bioqimiuri

gamokvlevebis Catareba.

128

bioqimiuri laboratoriuli gamokvlevebi done 1 tipi 2 kadrebi 3 samedicino bioteqnikuri sistemebis specialisti an/da xelSekruleba samedicino aparaturis servis samsaxurTan, aRniSnuli unda iTvaliswinebdes agreTve metrologiur momsaxureobas). samedicino-teqnikuri aRWurviloba 4 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; nozologia 5 gamokvlevebi 6

· antistreptolizi

samedicino saqmianobis moculoba 7

ni O gansazRvra sisxlSi

·

hemostazi

· koagulograma · sisxlis

laboratoria · samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli masalisagan romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2c.; · 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; · pipeti variabeluri moculobebiT (5-50 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

·

·

· ·

·

Sededebis dro li da uaitis mixedviT plazmis rekalcifikaciis dro proTrombinis indeqsis gansazRvra Trombinis dro fibrinogenis koncentraciis gansazRvra fibrinolizuri aqtivobis gansazRvra

129

bioqimiuri laboratoriuli gamokvlevebi done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 (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; konteineri naxmari masalis dezinficirebisaTvis, TeTreulis, da a.S. _ 2c. nozologia 5 gamokvlevebi 6 samedicino saqmianobis moculoba 7

· · · · · · ·

·

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.

130

4.6

laboratoriuli diagnostika

kliniko-laboratoriuli diagnostika (done III) klinikuri laboratoria

done 1 III tipi 2

· regionaluri

kadrebi 3

· laborato-

samedicino-teqnikuri aRWurviloba 4 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.

·

nozologia 5 yvela nozologiis hematologiuri da zogadklinikuri laboratoriuli diagnostika.

gamokvlevebi 6

· sisxlis saerTo

samedicino saqmianobis moculoba 7

· sisxlis aReba

(respublikuri saavadmyofo)

· speciali-

zirebuli saavadmyofo

· klinikuri

saavadmyofo

· dispanseri · mraval-

profiliani dispanseri

· poliklinika · qalTa

riis (ganyofileba) xelmZRvane li (gamge) an laboratoriis kuratori ­ eqimi laboranti (umaRlesi samedicino ganaTleba da sertifikati laboratoriul medicinaSi).

· eqimi

analizi

· hemoglobinis

·

·

· ·

·

konsultacia

laboranti (umaRlesi samedicino ganaTleba da sertifikati laboratoriul medicinaSi).

· labora-

· · · · · ·

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; gaTboba_kondicirebisa da ventilaciis sistema (centraluri an avtonomiuri); sakanalizacio sistema (centraluri an avtonomiuri) wyalmomaragebis sistema (civi da cxeli wyali, _ centraluri an avtonomiuri); xelsabani (qirurgis niJara); karada sadezinfeqcio xsnarebisaTvis; konteineri (Tasi an abazana) laboratoriuli WurWlis, instrumentebis dezinfeqciisaTvis - 2c.

·

· ·

·

toriuli medicinis specialisti (umaRlesi arasmedi-

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

·

·

gansazRvra sisxlSi eriTrocitebis raodenobis gansazRvra sixlSi leikocitebis raodenobis gansazRvra sixlSi hematokritis gansazRvra Trombocitebis raodenobis gansazRvra sisxlSi retikulocitebis raodenobis gansazRvra sisxlSi eriTrocitebis daleqvis siCqare sisxlis Sededebis da sisxldenis dro eriTrocitebis osmosuri rezistentobis gansazRvra eriTrocitebis saSualo diametris gansazRvra fetaluri

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

131

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 cino ganTleba ­ biologi an analizuri qimiis specialisti, serTifikati laboratoriul medicinaSi).

· saSualo ·

samedicino-teqnikuri aRWurviloba 4 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.

nozologia 5

gamokvlevebi 6 hemoglobinis citologiuri gansazRvra malariis plazmodiumebze sisxlis sqeli wveTisa da nacxis mikroskopia punqtatis citologiuri gamokvleva leikokoncentratis gamokvleva sisxlis gamokvleva 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 hematuriis xarisxis

samedicino saqmianobis moculoba 7 damzadeba SeRebva da gamokvleva;

· qalisa da

·

· · · ·

·

mamakacis sasqeso organoebidan miRebuli masalis diagnostika;

· liqvoris

(teqnikuri) laboranti (saSualo teqnikuri ganaTleba)

· preparatori

saproceduro gamosakvlevi masalis misaRebad (Sardi, naxveli, duodenaluri, gastraluri da sxva masalis aReba)

· · · · ·

· ·

(sanitari)

· klinikuri

inJineri (samedicino aparaturis inJineri an samedicino bioteqnikuri sistemebis specialisti an/da xelSekruleba samedicino aparaturis servisul samsaxurTan, aRniSnuli unda iTvaliswi-

· ·

·

·

eqimis magida; skami; mbrunavi skami (sasurvelia); karada (samedicino); arteriuli wnevis gasazomi arainvaziuri aparati (mag.: sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli; samedicino taxti; samedicino personalis individualuri dacvis 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

laboratoriu li gamokvleva;

· serozuli

·

· ·

siTxeebis laboratoriu li gamokvleva.

·

·

·

·

·

·

132

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 nebdes agreTve metrologiur momsaxureobas). samedicino-teqnikuri aRWurviloba 4 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:

·

nozologia 5

·

gamokvlevebi 6 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 farul sisxldenaze ganavlis gamokvleva Wiis kvercxebze ganavlis gamokvleva umartivesebze ganavlis gamokvleva helminTebze Tavzurgtvinis siTxis (liqvoris) laboratoriuli gamokvleva Tavzurgtvinis siTxis (liqvoris) baqterioskopiuli gamokvleva duodenaluri

samedicino saqmianobis moculoba 7

·

· ·

·

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); samedicino taxti; 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.; invaziuri Carevis saSualebebi: nemsi, Sprici, skarifikatori, vakutaineri da sxva, _

·

·

·

·

·

133

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 aucileblad erTjeradi. laboratoria

·

nozologia 5

gamokvlevebi 6 SigTavsis laboratoriuli gamokvleva · kuWis wvenis mJavianobis gansazRvra

· Rru organoTa

samedicino saqmianobis moculoba 7

· ·

· · ·

· · · · · · · · · · · ·

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 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 imunofluorescen ciiT qlamidiebze, virusebze da sxva

134

klinikuri laboratoria

done 1 tipi 2 kadrebi 3

·

samedicino-teqnikuri aRWurviloba 4 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 (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; konteineri naxmari masalis sadezinfeqciod, TeTreulis, da a.S. _ 2cali.

nozologia 5

gamokvlevebi 6

· nacxis

samedicino saqmianobis moculoba 7

·

· · ·

· ·

· · · · · · ·

·

·

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

·

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

· ·

135

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 erTjeradi an masalis, romelic sterildeba sveli an mSrali wesiT. sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an centraluri sasterilizacio)

·

nozologia 5

gamokvlevebi 6

samedicino saqmianobis moculoba 7

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

136

klinikuri laboratoria

done 1 tipi 2 kadrebi 3

·

samedicino-teqnikuri aRWurviloba 4 sruli aRWurviloba saTanado donis (umaRlesi samedicino saganmanaTleblo dawesebulebebis, ganaTlebis saministros mier licenzirebuli sabazo klinikuri saqmianoba) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.

nozologia 5

gamokvlevebi 6

samedicino saqmianobis moculoba 7

saSualo samedicino personalis ganaTleba · sruli aRWurviloba saTanado donis (saSualo samedicino personalis ganaTleba) saqmianobis Sesabamisad, moTxovnis SemTxvevaSi. alternatiul SemTxvevaSi _ xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.

137

bioqimiuri laboratoriuli gamokvlevebi

done

1 III

tipi

2

· regiona

kadrebi

3

· laboratoriis

samedicino-teqnikuri aRWurviloba

4 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.

·

nozologia

5 yvela nozologiis bioqimiuri diagnostika.

gamokvlevebi

6

· saerTo cilis

samedicino saqmianobis moculoba

7

· sisxlis

luri (respublikuri saavadmyo fo)

· speciali

-zebuli saavadmyo fo

· kliniku-

ri saavadmyo fo

· dispanse

(ganyofileba) xelmZRvaneli (gamge) an laboratoriis kuratori ­ eqimi laboranti (umaRlesi samedicino ganaTleba ­ serTifikati laboratoriul medicinaSi).

· eqimi

·

·

·

·

ri

· mraval-

profili ani dispanse ri

· poli-

laboranti (umaRlesi samedicino ganaTleba ­ serTifikati laboratoriul medicinaSi).

· laboratoriu

·

· · · · · ·

klinika

· qalTa

konsultacia

li medicinis specialisti (umaRlesi arasamedicino ganaTleba ­ biologi an analitikuri qimiis specialisti serTifikati laboratoriul medicinaSi).

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.

·

·

·

·

·

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

·

·

gansazRvra sisxlSi albuminis gansazRvra sisxlSi Sardovanas gansazRvra sisxlSi kreatininis gansazRvra sisxlSi glukozis gansazRvra sisxlSi trigliceridebis gansazRvra sisxlSi saerTo qolesterinis gansazRvra sisxlSi maRali simkvrivis qolesterinis gansazRvra sisxlSi dabali simkvrivis qolesterinis gansazRvra sisxlSi saerTo bilirubinis gansazRvra sisxlSi pirdapiri bilirubinis gansazRvra sisxlSi aspartataminotans

aReba kapilaruli, venuri;

· Sratis

gamoyofa, plazmis miReba;

· bioqimiuri

gamokvlevebis Catareba.

138

bioqimiuri laboratoriuli gamokvlevebi

done

1

tipi

2

kadrebi

3

· saSualo

samedicino-teqnikuri aRWurviloba

4 (UPS), internetis modemi, programuli uzrunvelyofa mag. monacemTa baza, buRalteria da a.S.) _ (sasurvelia); telefonis xazi - faqsis aparati (sasurvelia); eqimis magida; skami; karada.

nozologia

5

gamokvlevebi

6 -ferazas gansazRvra sisxlSi alaninaminotrans ferzas gansazRvra sisxlSi gamaglutamiltrsfer azas 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

samedicino saqmianobis moculoba

7

(teqnikuri) laboranti (saSualo teqnikuri ganaTleba)

· preparatori

· · · ·

·

·

(sanitari)

· klinikuri

inJineri (samedicino aparaturis inJineri an samedicino bioteqnikuri sistemebis specialisti an/da xelSekruleba samedicino aparaturis servis samsaxurTan, aRniSnuli unda iTvaliswinebdes agreTve metrologiur momsaxureobas).

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

·

·

·

·

·

·

· ·

·

· ·

139

bioqimiuri laboratoriuli gamokvlevebi

done

1

tipi

2

kadrebi

3

·

samedicino-teqnikuri aRWurviloba

4 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.), erTarxiani; pipeti variabeluri moculobebiT (50-200 mkl.), erTarxiani; pipeti variabeluri moculobebiT (5-50 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 (distilatori). alternatiul SemTxvevaSi xelSekruleba afTiaqTan; Termostati (37-600C);

nozologia

5

gamokvlevebi

6 ni O-s gansazRvra sisxlSi hemostazi

· koagulograma · sisxlis

samedicino saqmianobis moculoba

7

·

·

·

· · · · · · · · · · · ·

·

·

·

· ·

·

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

· · ·

·

140

bioqimiuri laboratoriuli gamokvlevebi

done

1

tipi

2

kadrebi

3

· · · · · · ·

samedicino-teqnikuri aRWurviloba

4 saSrobi karada (900C); macivari (0 - +40C); macivari Rrma gayinvisaTvis (-200C); 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; konteineri naxmari masalis dezinficirebisaTvis, TeTreulis, da a.S. _ 2c.

nozologia

5

gamokvlevebi

6

samedicino saqmianobis moculoba

7

·

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

141

bioqimiuri laboratoriuli gamokvlevebi

done

1

tipi

2

kadrebi

3

samedicino-teqnikuri aRWurviloba

4 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 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. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan. saSualo samedicino personalis ganaTleba · sruli aRWurviloba saTanado donis (saSualo samedicino personalis ganaTleba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan.

nozologia

5

gamokvlevebi

6

samedicino saqmianobis moculoba

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142

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laboratoriuli diagnostika

kliniko-laboratoriuli diagnostika (done IV) klinikuri laboratoria

done 1 IV tipi 2 specializebuli samecnierokvleviTi instituti specializebuli centri sauniversiteto (akademiis) klinika kadrebi 3 centris xelmZRvaneli (kuratori) ­ eqimi laboranti (umaRlesi samedicino ganaTleba ­ serTifikati laboratotoriul medicinaSi da sxva). laboratoriis (ganyofileba) xelmZRvaneli (gamge) an laboratoriis kuratori ­ eqimi laboranti (umaRlesi samedicino ganaTleba ­ serTifikati laboratoriul medicinaSi). eqimi laboranti samedicino-teqnikuri aRWurviloba 4 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 IV, III 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. samedicino informaciuli samsaxuri (teqnologiebi, samedicino statistika, monacemTa baza, sakomunikacio saSualebebi mag. interneti, faqsi da a.S.). · personaluri kompiuteri (standartuli kompleqtacia: nozologia 5 yvela nozologiis hematologiuri da zogadklinikuri laboratoriuli diagnostika. gamokvlevebi 6 sisxlis saerTo analizi hemoglobinis gansazRvra sisxlSi eriTrocitebis raodenobis gansazRvra sixlSi leikocitebis raodenobis gansazRvra sixlSi hematokritis gansazRvra Trombocitebis raodenobis gansazRvra sisxlSi retikulocitebis raodenobis gansazRvra sisxlSi eriTrocitebis daleqvis siCqare sisxlis Sededebis da sisxldenis dro eriTrocitebis osmosuri rezistentobis gansazRvra samedicino saqmianobis moculoba 7 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

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143

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 (umaRlesi samedicino ganaTleba ­ serTifikati laboratoriul medicinaSi).

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samedicino-teqnikuri aRWurviloba 4 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.

nozologia 5

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gamokvlevebi 6 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 (onkohematologia) limfuri kvanZis punqtatis citologiuri gamokvleva

samedicino saqmianobis moculoba 7 damzadeba SeRebva da gamokvleva;

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laboratoriu li medicinis specialisti (umaRlesi arasamedicino ganaTleba ­ biologi an analitikuri qimiis specialisti, serTifikati laboratoriul medicinaSi). saSualo (teqnikuri) laboranti (saSualo teqnikuri ganaTleba) preparatori (sanitari) klinikuri inJineri

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qalisa da mamakacis sasqeso organoebidan miRebuli masalis diagnostika; liqvoris laboratoriuli gamokvleva; serozuli siTxeebis laboratoriuli gamokvleva; punqtatis citologiuri gamokvleva.

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saproceduro gamosakvlevi masalis misaRebad (Sardi, naxveli, duodenaluri, gastraluri da sxva 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 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

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144

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 (samedicino aparaturis inJineri an samedicino bioteqnikuri sistemebis specialisti an/da xelSekruleba samedicino aparaturis servis samsaxurTan, aRniSnuli unda iTvaliswinebdes agreTve metrologiur momsaxureobas). samedicino-teqnikuri aRWurviloba 4 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.

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nozologia 5

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gamokvlevebi 6 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 hematuriis xarisxis gansazRvra

samedicino saqmianobis moculoba 7

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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; · mbrunavi skami (sasurvelia); · samedicino karada; · arteriuli wnevis gasazomi arainvaziuri aparati (mag.:sfigmomanometri, fonendoskopi: mozrdilTa da pediatriuli); · samedicino taxti; · 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.; · invaziuri Carevis saSualebebi: nemsi, Sprici,

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145

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 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 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.; · torsiuli laboratoriuli saswori; · analizuri laboratoriuli saswori; · laboratoriuli centrifuga; · mikrocentrifuga hematokritis gansasazRvrad;

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nozologia 5

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gamokvlevebi 6 SardSi formiani elementebis raodenobis gansazRvra neCiporenkos wesiT SardSi formiani elementebis 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

samedicino saqmianobis moculoba 7

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146

klinikuri laboratoria

done 1 tipi 2 kadrebi 3

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samedicino-teqnikuri aRWurviloba 4 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; 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 (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.

nozologia 5

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gamokvlevebi 6 gamokvleva Tavzurgtvinis siTxis (liqvoris) baqterioskopiul i gamokvleva duodenaluri SigTavsis laboratoriuli gamokvleva plevris Rrudan miRebuli siTxis saerTo klinikuri da baqterioskopiuli analizi. peritoniumis Rrudan miRebuli siTxis saerTo klinikuri da baqterioskopiuli analizi perikardiumis Rrudan miRebuli siTxis saerTo klinikuri da baqterioskopiuli analizi kuWis wvenis mJavianobis gansazRvra Rru organoTa SigTavsis klinikuri da citologiuri

samedicino saqmianobis moculoba 7

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147

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 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 erTjeradi an masalis, romelic sterildeba sveli an mSrali wesiT. sasterilizacio ganyofileba (sasterilizacio, sadezinfeqcio an centraluri sasterilizacio) · sruli aRWurviloba, saTanado donis samedicino 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. alternatiul SemTxvevaSi, _ xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan. nozologia 5

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gamokvlevebi 6 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 nacxis baqterioskopia gonokokze _ gramis wesiT

samedicino saqmianobis moculoba 7

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148

klinikuri laboratoria

done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 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 teqnikuri infrastruqturis sabazo dawesebulebasTan. saSualo samedicino personalis ganaTleba sruli aRWurviloba saTanado donis (saSualo samedicino personalis ganaTleba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi. alternatiul SemTxvevaSi, _ xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan. nozologia 5

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gamokvlevebi 6 winamdebare jirkvlis sekretis laboratoriuli gamokvleva spermograma anabeWdisa da nacxis citologiuri gamokvleva sxvadasxva paTologiuri masalis gamokvleva BK-ze naxvelis saerTo laboratoriuli gamokvleva

samedicino saqmianobis moculoba 7

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done 1 IV tipi 2 specializebuli samecnierokvleviTi instituti specializebuli centri sauniversiteto (akademiis) klinika kadrebi 3 centris xelmZRvaneli (kuratori) ­ eqimi laboranti (umaRlesi samedicino ganaTleba ­ serTifikati laboratoriul medicinaSi da sxva). laboratoriis (ganyofileba) xelmZRvaneli (gamge) an laboratoriis kuratori ­ eqimi laboranti (umaRlesi samedicino ganaTleba ­ serTifikati laboratoriul medicinaSi) eqimi laboranti (umaRlesi samedicino ganaTleba ­ samedicino-teqnikuri aRWurviloba 4 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 IV, III done), teqnikuri infrastruqturis (centraluri an avtonomiuri) samsaxuris uzrunvelyofisaTvis. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis mqone sabazo dawesebulebasTan.

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nozologia 5 yvela nozologiis bioqimiuri diagnostika.

gamokvlevebi 6 saerTo cilis gansazRvra sisxlSi albuminis gansazRvra sisxlSi Sardovanas gansazRvra sisxlSi kreatininis gansazRvra sisxlSi SardmJavas gansazRvra sisxlSi glukozis gansazRvra sisxlSi trigliceridebis gansazRvra sisxlSi saerTo qolesterinis gansazRvra sisxlSi maRali simkvrivis qolesterinis gansazRvra sisxlSi dabali simkvrivis qolesterinis gansazRvra

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samedicino saqmianobis moculoba 7 sisxlis aReba kapilaruli, venuri; Sratis gamoyofa, plazmis miReba; bioqimiuri gamokvlevebis Catareba.

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avariuli kvebis wyaro (avtonomiuri kvebis wyaro, calke damatebiTi xazi) an generatori simZlavriT aranakleb 2,5 kvt.-isa; Zabvis stabilizatori an mudmivi kvebis wyaro (UPS)-gamzommakalibrebeli 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.

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

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personaluri kompiuteri (standartuli kompleqtacia: monitori, procesori, printeri Zabvis stabilizatori an

150

bioqimiuri laboratoriuli gamokvlevebi

done 1 tipi 2 kadrebi 3 serTifikati laboratoriul medicinaSi).

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samedicino-teqnikuri aRWurviloba 4 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.

nozologia 5

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gamokvlevebi 6 sisxlSi saerTo bilirubinis gansazRvra sisxlSi pirdapiri bilirubinis gansazRvra sisxlSi laqtatdehidro genazas gansazRvra sisxlSi aspartataminot ansferazas gansazRvra sisxlSi alaninaminotran sferzas gansazRvra sisxlSi gamaglutamiltrsf erazas gansazRvra sisxlSi tute fosfatazas gansazRvra sisxlSi kreatinkinazas gansazRvra sisxlSi kreatinkinazas MB fraqciis

samedicino saqmianobis moculoba 7

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laboratoriuli medicinis specialisti (umaRlesi arasamedicino ganaTleba ­ biologi an analitikuri qimiis specialisti serTifikati laboratoriul medicinaSi). saSualo (teqnikuri) laboranti (saSualo teqnikuri ganaTleba) preparatori (sanitari) klinikuri inJineri (samedicino aparaturis inJineri an

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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 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;

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laboratoria · samedicino personalis individualuri dacvis saSualebebi: samedicino xalaTi, niRabi/dolbandi, xelTaTmanebi, saTvale, _ erTjeradi an damzadebuli masalisagan romelic sterildeba sveli an mSrali sterilizaciiT _ 2-2c.; · laboratoriuli magida - 3c.; · bioqimiuri analizatori avtomaturi an naxevradavtomaturi, daxuruli an Ria sistema. · imunofermentuli analizatori avtomaturi an naxevradavtomaturi, daxuruli an Ria sistema (hormonebis gansazRvrisaTvis);

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151

bioqimiuri laboratoriuli gamokvlevebi

done 1 tipi 2 kadrebi 3 samedicino bioteqnikuri sistemebis specialisti an/da xelSekruleba samedicino aparaturis servis samsaxurTan, aRniSnuli unda iTvaliswinebdes agreTve metrologiur momsaxureobas) samedicino-teqnikuri aRWurviloba 4 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; 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; 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; nozologia 5 gamokvlevebi 6 gansazRvra sisxlSi alfa-amilazs gansazRvra sisxlSi natriumis gansazRvra sisxlSi kaliumis gansazRvra sisxlSi kalciumis gansazRvra sisxlSi sisxlis mJavatutovani wonasworobis gansazRvra rkinis gansazRvra sisxlSi magniumis gansazRvra sisxlSi Tireotropuli hormonis gansazRvra sisxlSi Tiroqsinis gansazRvra sisxlSi A vitaminis gansazRvra sisxlSi E vitaminis samedicino saqmianobis moculoba 7

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152

bioqimiuri laboratoriuli gamokvlevebi

done 1 tipi 2 kadrebi 3

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samedicino-teqnikuri aRWurviloba 4 wylis gamosaxdeli laboratoriuli aparati (distilatori). alternatiul SemTxvevaSi xelSekruleba afTiaqTan; Termostati (37-600C); saSrobi karada (900C); macivari (0 - +40C); macivari Rrma gayinvisaTvis (-200C); 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; konteineri naxmari masalis dezinficirebisaTvis, TeTreulis, da a.S. _ 2c.

nozologia 5

gamokvlevebi 6 gansazRvra sisxlSi revmatoiduli faqtoris gansazRvra sisxlSi C reaqtiuli cilis gansazRvra sisxlSi difenilaminis cda antistreptoli zini O -s gansazRvra sisxlSi

samedicino saqmianobis moculoba 7

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laboratoriuli 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.

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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

hemostazi koagulograma · Trombocitebis agregaciis da adhezivobis gansazRvra · sisxlis Sededebis dro li da uaitis mixedviT · plazmis rekalcifikaciis dro · aqtivirebuli nawilobrivi Tromboblastinis (aPTT) dro

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153

bioqimiuri laboratoriuli gamokvlevebi

done 1 tipi 2 kadrebi 3 samedicino-teqnikuri aRWurviloba 4 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 · sruli aRWurviloba saTanado donis (umaRlesi samedicino saganmanaTleblo dawesebulebebis, ganaTlebis saministros mier licenzirebuli sabazo klinikuri saqmianoba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan. saSualo samedicino personalis ganaTleba · sruli aRWurviloba saTanado donis (saSualo samedicino personalis ganaTleba) saqminobis Sesabamisad, moTxovnis SemTxvevaSi. alternatiul SemTxvevaSi xelSekruleba saTanado teqnikuri infrastruqturis sabazo dawesebulebasTan. nozologia 5

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gamokvlevebi 6 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

samedicino saqmianobis moculoba 7

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154

Tavi V

nozologiebis CamonaTvali daavadebaTa saerTaSoriso klasifikaciis ICD-10 - is mixedviT

155

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

kodi

L00 L01 L02 L03 L04 L05 L08 L20 L21 L22 L23 L24 L25 L26 L27 L28 L29 L30 L40 L42 L43 L50 L55 L70 L75 L80 L89 J00-J06 J10-J18 J20-J22 J30-J39 J40-J47 J60-J70 J80-J84 J85-J86 J90-J94 J95-J99 I00-I02 I05-I09 I10-I15 I20-I25 I26-I28 I30-I52 I60-I69 I70-I79 I80-I89

nozologia

stafilokokuri damduRruli kanis sindromi impetigo kanis abscesi, furunkuli da karbunkuli celuliti mwvave limfadeniti piloniduri kista kanis da kanqveSa qsovilis sxva lokaluri infeqciebi atopuri dermatiti seboreuli dermatiti saxvevis dermatiti alergiuli kontaqturi dermatiti gamRizianebliT gamowveuli kontaqturi dermatiti dauzustebeli kontaqturi dermatiti eqsfoliaciuri dermatiti dermatiti gamowveuli Sinaganad miRebuli nivTierbebeiT martivi, qronikuli liqeni da prurigo qavili sxva dermatitebi fsoriazi vardisferi pitiriazi brtyeli liqeni urtikaria (WinWris) cieba namzeuri akne apokrinuli saofle jirkvlebis darRvevebi vitiligo nawolis wyluli zeda sasunTqi gzebis mwvave infeqciebi gripi da pnevmonia qveda sasunTqi gzebis sxva mwvave infeqciebi zeda sasunTqi gzebis sxva avadmyofobebi qveda sasunTqi gzebis qronikuli avadmyofobebi filtvebis avadmyofobani gamowveuli garegani faqtorebiT sasunTqi sistemis sxva avadmyofobebi, intersticiebis upiratesi dazianebiT qveda sasunTqi gzebis Cirqovani da nekrozuli procesebi plevris sxva avadmyofobebi sasunTqi sistemis sxva avadmyofobebi mwvave revmatizmi gulis qronikuli revmatiuli avadmyofobebi hipertenziuli avadmyofobebi gulis iSemiuri avadmyofobebi gulis filtvismieri avadmyofoba da sisxlis mimoqcevis mcire wris avadmyofobebi gulis avadmyofobaTa sxva formebi cerebrovaskularuli avadmyofobebi arteriebis, arteriolebis da kapilerebis avadmyofobebi venebis, limfuri sadinrebis da limfuri kvanZebis avadmyofobebi, romlebic sxvagan ar

156

kodi

I95-I99 K11 K12 K13 K14 K20-K31 K35-K38 K40-K46 K50-K52 K55-K63 K65-K67 K70-K77 K80-K87 K90 K91 N00-N08 N10-N16 N17-N19 N20-N23 N30 N31 N32 N33 N34 N35 N36 N37 N39 N40 N41 N42 N43 N44 N45 N46 N47 N48 N49 N70-N77 N80-N98 D50 D51 D52 D55 D56 D57

nozologia

arian klasificirebuli sisxlis mimoqcevis sistemis sxva da dauzustebeli bunebis avadmyofobebi sanerwyve jirkvlebis avadmyofobebi stomatiti da masTan dakavSirebuli dazianebebi tuCisa da piris Rrus lorwovanis sxva avadmyofobebi enis avadmyofobebi saylapavis, kuWis da Tormetgoja nawlavis avadmyofobebi Wia nawlavis avadmyofobebi Tiaqari arainfeqciuri enteritebi da kolitebi nawlavebis sxva avadmyofobebi peritoneumis avadmyofobebi RviZlis avadmyofobebi naRvlis buStis, sanaRvle gzebis da pankreasis avadmyofobebi nawlavuri malabsorbcia saWmlis momnelebeli sistemis postproceduruli dazianebebi, romlebic ar aris Setanili sxva klasifikaciebSi gorglebis avadmyofobebi Tirkmlis tubulo-intersticiuli avadmyofobebi Tirkmlis ukmarisoba uroliTiazi cistiti Sardis buStis nerv-kunTovani disfunqcia, romelic ar aris Setanili sxva klasifikaciebSi Sardis buStis sxva dazianebebi Sardis buStis dazianebebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi ureTriti da ureTruli sindromi Sardsadenis Seviwroeba Sardsadenis sxva avadmyofobebi Sardsadenis dazianebebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi saSarde sistemis sxva dazianebani winamdebare jirkvlis hiperplazia winamdebare jirkvlis anTebiTi avadmyofobebi winamdebare jirkvlis sxva dazianebebi hidrocele da spermatocele saTesle jirkvlis Semogrexa orqiti da epididimiti mamakacis unayofoba grZeli CuCa, fimozi, parafimozi asos sxva dazianebebi mamakacis sasqeso organoebis anTebiTi avadmyofobebi, romlebic ar aris Setanili sxva klasifikaciebSi qalis menjis Rrus organoebis anTebiTi avadmyofobebi qalis sasqeso sistemis araanTebiTi dazianebebi rkina-deficituri anemia vitamin B12-deficituri anemia folat-deficituri anemia anemia, gamowveuli fermentuli darRvevebiT Talasemia namglisebur ujredovani avadmyofobebi

157

kodi

D59 D60 D61 D62 D63 D65 D66 D67 D68 D69 D70 D71 D72 D73 D74 D77 D80 D81 D82 D83 D84 D86 E00 E01 E02 E03 E04 E05 E06 E10 E11 E12 E13 E14 E15 E16 E20 E21 E22 E23 E24 E25 E26 E28 E29 E30 E31 E32

nozologia

SeZenili hemolizuri anemia SeZenili WeSmariti wiTelujredovani aplazia (eriTroblastopenia) sxva aplaziuri anemiebi mwvave posthemoragiuli anemia anemia im qronikuli avadmyofobebis dros, romlebic Setanilia sxva klasifikaciebSi diseminirebuli sisxlZarRvSida Sededeba (defibrinaciuli sindromi) VIII faqtoris memkvidruli deficiti IX faqtoris memkvidruli deficiti koagulaciis sxva defeqtebi purpura da sxva hemoragiuli mdgomareobebi agranulocitozi polimorfulbirTviani neitrofilebis funqciuri darRvevebi sisxlis TeTri ujredebis sxva dazianebebi elenTis avadmyofobebi meThemoglobinemia sisxlisa da sisxlmbadi organoebis sxva saxis dazianebebi im avadmyofobaTa dros, romelic Setanilia sxva klasifikaciebSi upiratesad antisxeulebis defeqtebiT mimdinare imunodeficiti kombinaciuri imunodeficituri mdgomareobebi imunodeficiti, dakavSirebuli sxva mniSvnelovan defeqtebTan zogadi cvalebadi imunodeficiti sxva imunodeficituri mdgomareobebi sarkoidozi Tandayolili iod-deficituri sindromi farisebri jirkvlis iodis deficitTan dakavSirebuli dazianebani da msgavsi mdgomareobani subklinikuri iod-deficituri hipoTireozi hipoTireozis sxva formebi aratoqsiuri Ciyvis sxva formebi Tireotoqsikozi Tiroiditi insulidamokidebuli Saqriani diabeti insulindamoukidebeli Saqriani diabeti arasakmaris kvebasTan dakavSirebuli Saqriani diabeti Saqriani diabetis sxva dazustebuli formebi dauzustebeli Saqriani diabeti aradiabeturi hipoglikemiuri koma pankreasis SigTavsis sekreciis sxva darRvevebi hipoparaTireozi hiperparaTireozi da farisebraxlo jirkvlebis sxva darRvevebi hipofizis hiperfunqcia hipofizis hipofunqcia da sxva darRvevebi kuSingis sindromi adrenogenitaluri darRvevebi hiperaldosteronizmi sakvercxeebios disfunqcia saTesle jirkvlis disfunqcia sqesobrivi momwifebis darRvevebi, romelic ar aris Setanili sxva klasifikaciebSi poliglanduluri hiperfunqcia Timusis avadmyofobebi

158

kodi

E35 E40-E46 E50 E51 E52 E53 E54 E55 E56 E58 E59 E60 E64 E65 E66 E67 E68 E70 E71 E72 E73 E74 E75 E76 E77 E78 E79 E80 E83 E84 E85 E86 E87 E90 M00-M03 M05 M06 M07 M08 M09 M10 M14 M15 M16 M17 M18 M20-M25 M30

nozologia

endokrinuli jirkvlebis dazianebebi im avadmyofobebis dros, romlebic Setanilia sxva klasifikaciebSi sakvebis arasakmao raodenobiT miReba A vitaminis deficiti Tiaminis deficiti nikotinmJavas deficiti (pelagra) B jgufis sxva vitaminebis deficiti askorbinis mJavis deficiti D vitaminis deficiti sxva vitaminebis deficiti sakvebSi kalciumis deficiti sakvebSi seleniumis deficiti sakvebSi TuTiis deficiti kvebis deficitisa da sxva sakvebi elementebis deficitis Sedegebi adgilobrivi simsuqne simsuqne Warbi kvebis sxva saxeebi hiperalimentaciis Sedegebi aromatuli aminomJavebis metabolizmis darRvevebi ganStoebuljaWviani aminomJavebisa da cximovani mJavebis metabolizmis darRvevebi aminomJavebis metabolizmis sxva darRvevebi laqtozis autanloba naxSirwylebis metabolizmis sxva darRvevebi sfingolipidebis metabolizmis darRvevebi da lipidebis dagrovebis sxva darRvevebi glikozaminoglikanebis darRvevebi, dauzustebeli glikoproteinebis metabolizmis darRvevebi lipoproteinebis metabolizmis darRvevebi da sxva lipidemiebi purinebisa da piramidinebis metabolizmis darRvevebi porfirinebis da bilirubinis metabolizmis darRvevebi mineraluri cvlis darRvevebi cisturi fibrozi amiloidozi moculobis Semcireba siTxeebis, eleqtrolitebis da mJava-tutovani wonasworobis sxva darRvevebi alimenturi da metaboluri darRvevebi im avadmyofobebis dros, romlebic Setanilia sxva klasifikaciebSi infeqciuri arTropaTiebi serozuli revmatoiduli arTriti sxva revmatoiduli arTritebi fsoriazuli da enteropaTiuli arTropaTiebi iuveniluri arTritebi iuveniluri arTriti im avadmyofobaTa dros, romlebic klasificirebulni arian sxvagan nikrisi (podagra) arTropaTiebi im avadmyofobaTa dros, romlebic klasificirebulni arian sxvagan poliarTrozi koksarTrozi (menj-barZayis saxsris arTrozi) gonarTrozi (muxlis saxsris arTrozi) pirveli maja-nebis saxsris arTrozi sxva saxsrebis dazianebebi kvanZovani poliarteriiti da masTan dakavSirebuli mdgomareobebi

159

kodi

M31 M32 M33 M34 M36 M40 M41 M42 M45 M46 M47 M49 M50 M51 M54 M60 M61 M63 M65 M66 M68 M70 M71 M72 M73 M75 M76 M80 M81 M82 M83 M84 M86 M87 M88 M89 M90 M91 M92 M93 M94 A00 A01 A03 A05 A06 A08

nozologia

sxva manekrozebeli vaskulopaTiebi sistemuri wiTeli mglura dermatopolimioziti sistemuri sklerozi SemaerTebeli qsovilis sistemuri dazianebebi im avadmyofobaTa dros, romlebic klasificirebulni arian sxvagan kifozi da lordozi skoliozi xerxemlis osteoqondrozi maankilozebeli spondiliti sxva anTebiTi spondilopaTiebi spondilozi spondilopaTiebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi kisris diskebis dazianebebi malTaSua diskebis sxva dazianebebi dorsalgia (zurgis tkivili) mioziti kunTis kalcifikacia da osifikacia kunTis dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi sinoviti da tenosinoviti sinoviuri garsisia da myesis mTlianobis spontanuri darRveva sinoviuri garsisa da myesis dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi rbili qsovilebis dazianebani dakavSirebuli datvirTvasTan da zewolasTan sxva bursopaTiebi fibroblasturi dazianebani rbili qsovilebis dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi mxris dazianebani qveda kiduris enTesopaTiebi osteoporozi paTologiuri motexilobiT osteoporozi paTologiuri motexilobis gareSe osteoporozi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi mozrdilTa osteomalacia Zvlis mTlianobis darRvevebi osteomieliti osteonekrozi Zvlis hejetis avadmyofoba (madeformirebeli osteiti) Zvlis sxva dazianebebi osteopaTiebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi barZayisa da menjis iuveniluri osteoqondrozi sxva iuveniluri osteoqondrozebi sxva osteoqondropaTiebi xrtilis sxva dazianebani qolera muclis tifi da paratifi Sigelozi sxva baqteriuli sakvebismieri intoqsikaciebi amebiazi nawlavTa virusuli da sxva dazustebuli etiologiis infeqciebi

160

kodi

A09 A15-A19 A20-A28 A30 A31 A32 A33 A34 A35 A36 A37 A38 A39 A40 A41 A42 A43 A44 A46 A50 A51 A52 A53 A54 A55 A56 A57 A58 A59 A60 A68 A75 A80 A81 A82 A83 A84 A85 A86 A87 A89 B00 B01 B02 B03 B04 B05 B06 B07 B15

nozologia

savaraudo infeqciuri warmoSobis diarea da gastroenteriti tuberkulozi zogierTi zoonozuri baqteriuli avadmyofoba keTri (hanzenis avadmyofoba) sxva mikobaqteriebiT gamowveuli infeqcia listeriozi axalSobilTa tetanusi sameano tetanusi sxva tetanusi difteria yivanaxvela qunTruSa meningokokuri infeqciebi streptokokuri septicemia sxva septicemiebi aqtinomikozi nokardiozi bartonelozi wiTeli qari Tandayolili aTaSangi adreuli aTaSangi mogvianebiTi aTaSangi sxva da dauzustebeli aTaSangi gonokokuri infeqcia qlamidiuri limfogranuloma (veneriuli) sqesobrivi gziT gadamdebi sxva qlamidiuri avadmyofobebi Sankroidi sazardulis granuloma triqomoniazi ano-genitaluri herpesvirusuli (martivi herpesi) infeqciebi SebrunebiTi tifi partaxtiani tifi mwvave poliomieliti centraluri nervuli sistemis infeqciebi, gamowveuli neli moqmedebis virusiT cofi mwerismieri virusuli encefaliti tkipismieri virusuli encefaliti sxva virusuli encefalitebi, romlebic ar aris Setanili sxva klasifikaciebSi dauzustebeli virusuli encefalitebi virusuli meningiti centraluri nervuli sistemis dauzustebeli virusuli infeqciebi herpesvirusuli (martivi herpesi) infeqciebi Cutyvavila zosteri yvavili maimunis yvaviliT gamowveuli infeqcia wiTela wiTura virusuli meWeWebi mwvave hepatiti A

161

kodi

B16 B17 B18 B19 B20 B21 B22 B23 B24 B25 B26 B27 B30 B50 B51 B52 B53 B54 B55 F00-F09 F30-F39 F40-F48 F50-F59 G00-G09 G20 G21 G22 G30 G31 G32 G35 G40-G47 G50-G59 H00-H06 H10-H13 H15-H22 H25-H28 H40-H42 H60 H61 H62 H65 H66 H67 H68

nozologia

mwvave hepatiti B sxva mwvave virusuli hepatiti qronikuli virusuli hepatiti dauzustebeli virusuli hepatiti adamianis imunodeficitis virusiT (aiv) gamowveuli avadmyofoba gamovlinebuli inefeqciuri da parazituli daavadebebi adamianis imunodeficitis virusiT (aiv) gamowveuli avadmyofobis Sedegad ganviTarebuli avTvisebiani simsivneebi adamianis imunodeficitis virusiT (aiv) gamowveuli avadmyofobis Sedegad ganviTarebuli sxva dauzustebeli avadmyofobebi adamianis imunodeficitis virusiT (aiv) gamowveuli avadmyofobis Sedegad ganviTarebuli sxva mdgomareobebi adamianis imunodeficitis virusiT (aiv) gamowveuli dauzustebeli avadmyofobebi citomegalovirusuli avadmyofoba ybayura infeqciuri mononukleozi virusuli koniuqtiviti malaria gamowveuli Plazmodium falsifarum-iT malaria gamowveuli Plazmodium vivax-iT malaria gamowveuli Plazmodium malariae-iT sxva malariebi dadasturebuli parazitologiuri gamokvlevebiT malaria, dauzustebeli leiSmaniozi organuli warmoSobis aSlilobani, simptomur-fsiqikur aSlilobaTa CaTvliT guneba-ganwyobis (afeqturi) aSlilobani nevrozuli, stresTan dakavSirebuli da somatoformuli aSlilobani qceviTi sindromebi, dakavSirebuli fiziologiuri darRvevebTan da fizikur faqtorebTan centraluri nervuli sistemis anTebiTi avadmyofobebi parkinsonis avadmyofoba meoradi parkinsonizmi parkinsonizmi im avadmyofobebis dros, romlebic Setanilia sxva klasifikaciebSi alchaimeris avadmyofoba nervuli sistemis sxva degeneraciuli avadmyofobebi, romlebic ar aris Setanili sxva klasifikaciebSi nervuli sistemis sxva degeneraciuli dazianebebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi gafantuli sklerozi epizoduri da paroqsizmuli darRvevebi nervis, nervuli fesvisa da wnulis dazianebebi quTuTos, sacremle sistemisa da Tvalbudis dazianebebi koniunqtivis dazianebebi skleris, rqovanas, feradi garsisa da cilialuri sxeulis dazianebebi brolis dazianebebi glaukoma gareTa yuris anTeba gareTa yuris sxva dazianebani gareTa yuris dazianebani im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi Sua yuris araCirqovani anTeba Sua yuris Cirqovani da dauzustebeli anTebebi Sua yuris anTeba im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi evstaqis milis anTeba da obstruqcia

162

kodi

H69 H70 H71 H72 H80 H81 H82 H92 O00 O01 O02 O03 O10 O16 O20 O45 O46 O85 O86 O87 O91 O92 S00-S09 S10-S19 S20-S29 S30-S39 S40-S49 S50-S59 S60-S69 S70-S79 S80-S89 S90-S99 T00-T07 T08-T14 T15-T19 T20-T32 T33-T35 T36-T50 T51-T65 T66-T78 Z70-Z76 Z80-Z99

nozologia

evstaqis milis sxva dazianebani mastoiditi da masTan dakavSirebuli mdgomareobani Sua yuris qolesteatoma dafis apkis perforacia otosklerozi karibWis funqciis darRvevebi Tavbrusxvevis sindromebi im avadmyofobaTa dros, romlebic Setanilia sxva klasifikaciebSi otalgia da gamonadeni yuridan saSvilosnosgare orsuloba buStnamqeri ganayofierebis sxva paTologiuri Sedegebi spontanuri aborti adre arsebuli hipertenziiT garTulebuli orsuloba, mSobiaroba da loginobis xana dedis dauzustebeli hipertenzia sisxldena orsulobis adreul periodSi placentis naadrevi acla sisxldena mSobiarobamde, romelic ar aris Setanili sxva klasifikaciebSi melogineTa sefsisi loginobis xanis sxva infeqciebi venuri garTulebebi loginobis xanaSi sarZeve jirkvlis infeqciebi, dakavSirebuli mSobiarobasTan sarZeve jirkvlisa da laqtaciis sxva paTologiebi, dakavSirebuli mSobiarobasTan dazianebebi Tavis areSi kisris dazianebebi gulmkerdis dazianebebi muclis, zurgis qveda nwilis, xerxermlis welis nawilis da menjis dazianebebi zeda kiduris, sartylisa da mxris dazianebebi idayvisa da winamxris dazianebebi majisa da xelis mtevnis dazianebebi menj-barZayis saxsrisa da barZayis dazianebebi muxlisa da wvivis midamos dazianebebi koW-wvivis saxsrisa da terfis dazianebebi dazianebebi, romlebic moicavs sxeulis sxvadasxva midamos torsis, kidurebis an sxeulis romelime midamos dauzustebeli nawilis dazianebebi bunebrivi xvreliT moxvedrili ucxo sxeulis efeqti damwvrobebi da koroziebi moyinva samkurnalwamlo saSualebebiT, medikamentebiT da biologiuri nivTierebebiT mowamvla ZiriTadad arasamedicino daniSnulebis substanciebis toqsiuri efeqti garegani mizezebiT gamowveuli sxva da dauzustebeli efeqtebi pirebi, romlebic mimarTaven janmrTelobis dacvis samsaxurebs sxva garemoebebSi 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

E01 E02 E03 E04 E05 E06 E10-E14 E20 E21 E25 E24 E50 E51 E52 E53 E54 E55 E66 E73 E85 E86 I00-I02 I10-I15 I20 I25 I27 I40 I41 I42 I43 I44 I45 I46 I47 I49 I50 I70 I95 J00 J01 J02 J03 J04 J06 J10-J18 J20-J22 J30 J31 J32 J40 J41 J42

nozologia

farisebri jirkvlis iodis deficitTan dakavSirebuli dazianebebi da msgavsi mdgomareobebi subklinikuri iod-deficituri hipoTireozi hipoTireozis sxva formebi aratoqsiuri Ciyvis sxva formebi Tireotoqsikozi (hiperTireozi) Tiroiditi Saqriani diabeti hipoparaTireozi hiperparaTireozi da farisebraxlo jirkvlebis sxva darRvevebi adrenogenitaluri darRvevebi kuSingis sindromi vitaminis deficiti Tiaminis deficiti nikotinmJavas deficiti (pelagra) jgufis sxva vitaminebis deficiti askorbinis mJavis deficiti vitaminis deficiti simsuqne laqtozis autanloba amiloidozi siTxis moculobis Semcireba mwvave revmatizmi hipertenziuli daavadebebi stenokardia gulis qronikuli iSemiuri daavadebebi gulis sxva filtvismieri daavadebebi mwvave miokarditi miokarditi im daavadebebis dros, romlebic Setanilia sxva klasifikaciebSi kardiomiopaTia kardiomiopaTia im daavadebebis dros, romlebic Setanilia sxva klasifikaciebSi winagul-parkuWovani da marcxena konis gantotebis blokada gamtarobis sxva Seferxebebi gulis gaCereba paroqsizmuli taqikardia gulis sxva ariTmiebi gulis ukmarisoba aTerosklerozi hipotenzia mwvave nazofaringiti (surdo) mwvave sinusiti mwvave faringiti mwvave tonziliti mwvave laringiti da traqeiti sxvadasxva da dauzustebeli lokalizaciis zeda respiraciuli gzebis mwvave infeqciebi gripi da pnevmonia qveda sasunTqi gzebis sxva mwvave infeqciebi vazomotoruli da alergiuli riniti qronikuli riniti, nazofaringiti da faringiti qronikuli sinusiti bronqiti, dauzustebeli rogorc mwvave an qronikuli martivi da lorwovan-Cirqovani qronikuli bronqiti dauzutebeli qronikuli bronqiti

164

kodi

J43 J44 J45 J90 J91 K20 K21 K25 K26 K27 K28 K29 K30 K31 K44 K58 K70 K71 K73 K74 K75 K81 K86 M00-M03 M05-M14 M15-M19 N20-N23 N34 R00-R09 R10-R19 R20- R23 R25- R29 R30- R39 R50- R69 R70- R79 R80- R82 R83- R89 R90- R94 R95- R98 D50 D51 D52 D62 A00-09 A15 A16 B15-19 E03 E04 E05 E06 E10

nozologia

emfizema filtvis sxva qronikuli obstruqciuli daavadebebi asTma plevraluri eqsudati, romelic sxvagan ar aris klasificirebuli siTxe plevris RruSi, im mdgomareobebis dros, romlebic sxvagan aris klasificirebuli ezofagiti gastro-ezofaguri refluqsi kuWis wyluli Tormetgoja nawlavis wyluli peptikuri wyluli dauzustebeli lokalizaciiT gastro-eiunuri nawlavis wyluli gastriti da duodeniti dispefsia kuWis da Tormetgoja nawlavis sxva daavadebebi diafragmis Tiaqari gaRizianebuli nawlavis sindromi RviZlis alkoholuri daavadebebi RviZlis daavadebebi, romelic ar aris Setanili sxva klasifikaciebSi qronikuli hepatiti, romelic ar aris Setanili sxva klasifikaciebSi RviZlis fibrozi da cirozi RviZlis sxva anTebiTi daavadebebi qolecistiti pankreasis sxva daavadebebi infeqciuri arTropaTiebi anTebiTi poliarTropaTiebi arTrozi uroliTiazi ureTriti da ureTruli sindromi simptomebi da niSnebi, romlebic exeba sisxlis mimoqcevisa da sunTqvis sistemebs simptomebi da niSnebi, romlebic exeba saWmlis momnelebel sistemasa da muclis midamos simptomebi da niSnebi, romlebic exeba kansa da kanqveSa qsovils simptomebi da niSnebi, romlebic exeba nervul da Zval-kunTovan sistemebs simptomebi da niSnebi, romlebic exeba saSarde sistemas zogadi simptomebi da niSnebi sisxlis gasinjviT miRebuli normidan gadaxrili monacemebi, diagnozis gareSe Sardis gasinjviT miRebuli normidan gadaxrili monacemebi, diagnozis gareSe organizmis sxva siTxeebis, nivTierebebisa da qsovilebis gasinjviT miRebuli normidan gadaxrili monacemebi, diagnozis gareSe diagnostikuri da funqciuri kvleviT gamovlenili darRvevebi diagnozis gareSe sikvdilobis naklebad cnobili da ucnobi mizezebi rkina-deficituri anemia vitamin B12-deficituri anemia folatdeficituri anemia mwvave posthemoragiuli anemia nawlavTa infeqciuri daavadebebi respiraciuli tuberkulozi, baqteriologiurad da histologiurad dadasturebuli respiraciuli tuberkulozi, baqteriologiurad da histologiurad dadasturebis gareSe virusuli hepatiti hipoTireozis sxva formebi aratoqsiuri Ciyvis sxva formebi Tireotoqsikozi Tireoiditi insulindamokidebuli Saqriani diabeti

165

kodi

E12 E13 E14 E73 E85 I05-I09 I33 I34 I35 I36 I37 I48 I77 I78 I79 I80 I83 J60 J61 J62 J63 J64 J65 J66 J67 J68 J69 K44 K50 K51 K52 K57 K72 M30-M36 M40-M54 M65-M68 M80 N02 N03 N11 N18 D53 D56 D57 D61 E50-E64 E66 I05-I09 I10-I15 I20-I25 I50 I70 J10 J11

nozologia

arasakmaris kvebasTan dakavSirebuli Saqriani diabeti Saqriani diabetis sxva dazustebuli formebi dauzustebeli Saqriani diabeti laqtozis autanloba amiloidozi gulis qronikuli revmatiuli daavadebebi mwvave da qvemwvave endokarditi mitraluri sarqvlis ararevmatuli dazianebebi aortis sarqvlis ararevmatuli dazianebebi samkariani sarqvlis ararevmatuli dazianebebi filtvis arteriis sarqvlis dazianebebi winagulis fibrilacia da TrTolva arteriebisa da arteriolebis sxva dazianebebi kapilarebis daavadebebi arteriebis, arteriolebis da kapilarebis dazianebebi im daavadebebaTa dros, romlebic Setanilia sxva klasifikaciebSi flebiti da Tromboflebiti qvemo kidurebis venebis varikozi qvanaxSiris sabadoSi momuSaveTa pnevmokoniozi pnevmokoniozi gamowveuli azbestiT da sxva mineraluri boWkoebiT pnevmokoniozi gamowveuli silikatebis Semcveli mtvriT pnevmokoniozi gamowveuli sxva araorganuli mtvriT dauzustebeli pnevmokoniozi pnevmokoniozi, dakavSirebuli tuberkulozTan sasunTqi gzebis daavadebebi gamowveuli dazustebuli organuli mtvriT zemgrZnobelobiTi pnevmoniti, gamowveuli organuli mtvriT sasunTqi sistemis mdgomareobebi, gamowveuli qimiuri nivTierebebis, airebis, kvamlis da orTqlis SesunTqviT pnevmoniti gamowveuli myari da Txevadi nivTierebebiT diafragmis Tiaqari kronis daavadebebi [regionuli enteriti] wylulovani koliti sxva arainfeqciuri gastroenteriti da koliti nawlavis divertikuluri daavadebeba RviZlis ukmarisoba, romelic ar aris Setanili sxva klasifikaciebSi SemaerTebeli qsovilis sistemuri dazianebebi dorsopaTiebi sinoviuri garsisa da myesis dazianebebi osteoporozi paTologiuri motexilobiT xangamoSvebiTi da mdgradi hematuria qronikuli nefrituli sindromi qronikuli tubulo-intersticiuli nefriti Tirkmlis qronikuli ukmarisoba sxva alimenturi anemiebi Talasemia namglisebrujredovani daavadebebi sxva aplaziuri anemiebi kvebiTi deficitis sxva saxeebi simsuqne gulis qronikuli revmatuli daavadebebi hipertenziuli daavadebebi gulis iSemiuri daavadebebi gulis ukmarisoba aTerosklerozi gripi, gamowveuli gripis identificirebuli virusiT gripi, virusi araa identificirebuli

166

kodi

J41 J42 J43 J44 K70 N63 B15-19

nozologia

martivi da lorwovan-Cirqovani qronikuli bronqiti dauzustebeli qronikuli bronqiti filtvebis emfizema filtvis sxva qronikuli obstruqciuli daavadebebi RviZlis alkoholuri daavadebebi dauzustebeli moculobiTi warmonaqmni sarZeve jirkvalSi virusuli hepatiti

pediatria (I-IV done)

kodi

A 02 A 02.0 A 03 A 03.0 A 04 A 04.0 A 05 A 05.0 A 06 A 06.0 A 08 A 08.0 A 16 A 16.7 A 36 A 36.0 A 36.1 A 37 A 37.0 A 38 A 39 A 39.0 B 00 B 00.1 B 01.! B 01.9 B 05 B 05.9 B 06 B 06.9 B 15 B 15.9 B 16 B 16.1 B 26 B 26.9 B 27 B 27.9 B 30 B 30.0 B 35 B 35.0

nozologia

sxva salmoneluri infeqciebi salmoneluri enteriti, salmonelozi Sigelozi Sigelozi gamowveuli Sigella Flexneri-T nawlavebis sxva baqteriuli infeqciebi enteropaTogenuri Escherichia coli-iT gamowveuli infeqcia sxva baqteriuli sakvebismieri intoqsikaciebi sakvebismieri stafilokokuri intoqsikacia amebiazi mwvave ameburi dizenteria nawlavTa virusuli sxva dazustebuli etiologiis infeqciebi rotavirusuli infeqcia sasunTqi organoebis tuberkulozi baqteriologiuri an histologiuri dadastutebis gareSe sasunTqi organoebis pirveladi tuberkulozi baqteriologiuri da histologiuri dadasturebis aRniSvnis gareSe difteria xaxis difteria cxvir-xaxis difteria yivanaxvela yivanaxvela gamowveuli Bordetella pertussis-iT qunTruSa meningokokuri infeqcia meningokokuri meningiti herpesvirusuli infeqciebi buStukovani dermatiti Cutyvavila Cutyvavila garTulebis gareSe wiTela wiTela garTulebis gareSe wiTura wiTura garTulebis gareSe mwvave hepatiti "A" mwvave hepatiti "A" komis gareSe mwvave hepatiti "B" mw.hepatiti "B" komis gareSe epidemiuri parotiti ybayura garTulebis gareSe infeqciuri mononukleozi infeqciuri mononukleozi _ dauzustebeli virusuli koniuqtiviti kerato-koniuqtiviti, gamowveuli adenovirusiT dermatofitozi Tavis dermatofitozi

167

kodi

B 35.1 B 35.2 B 35.3 B 55 B 55.0 B 77 B 77.0 B 77.9 B 80 B 85 B 85.0 B 86 D 50 D 50.8 D 55 D 55.0 D 58 D 58.0 D 56 D 56.0 D 56.1 D 66 D 67 E 01 E 01.0 E 01.1 E 01.2 E 10 E 11 E 55 E 55.0 E 66 E 66.0 H 10 H 10.2 I 00 I 01 I 01.0 I 01.1 I 01.2 I 01.8 J 00 J 02 J 02.0 J 02.8 J 03 J 03 J 03.8 J 04 J 04.0 J 04.1 J 04.2 J 06 J 10 J 10.1 J1

nozologia

frCxilis dermatofitozi xelis dermatofitozi fexis dermatofitozi leiSmaniozi visceruli leiSmaniozi askaridozi askaridozi nawlavebis garTulebiT askaridozi dauzustebeli enterobiozi pedikulozi pedikulozi _ Tavis tiliT bReri rkinadeficituri anemia sxva rkinadeficituri anemia anemia fermentuli darRvevebis Sedegad anemia glukoza 6-fosfatdehidrogenezis deficitiT memkvidruli hemolizuri anemiebi memkvidruli sferocitozi Talasemia alfa Talasemia beta Talasemia sisxlis Sededebis VIII faqtoris deficiti, memkvidruli hemofilia A sisxlis Sededebis IX faqtoris deficiti.memkvidruli hemofilia B iodis deficitTan dakavSirebuli farisebri jirkvlis daavadebebi da msgavsi mdgomareobani. iodis deficitTan dakavSirebuli difuzuri Ciyvi. iodis deficitTan dakavSirebuli kvanZovani Ciyvi. iodis deficitTan dakavSirebuli endemuri Ciyvi Saqriani diabeti _ insulindamokidebuli Saqriani diabeti _ insulindamoukidebeli, simsuqniT, an mis gareSe. "D" vitaminis deficiti raqiti _ aqtiuri simsuqne Warbi kaloriebis miRebis Sedegad ganviTarebuli simsuqne koniuqtiviti sxva mwvave koniuqtiviti revmatiuli cxeleba gulis dazianebis gareSe, revmatiuli mwvave an qvemwvave arTriti mwvave revmatizmi gulis dazianebiT revmatiuli perikarditi revmatiuli endokarditi revmatiuli miokarditi gulis sxva mw.revmatiuli avadmyofobebi mwvave nazofaringiti mwvave faringiti streptokokuli faringiti mwvave faringiti sxva dadgenili mikrobebiT mwvave tonzliti mwvave tonziliti _ streptokokuli mwvave tonziliti, gamowveuli sxva dadgenili mikrobebiT mwvave laringiti mwvave laringiti mwvave traqeiti mwvave laringotraqeiti mwvave laringofaringiti gripi, gamowveuli identificirebuli virusiT gripi, garTulebuli pnevmoniiT streptokokuli pnevmonia

168

kodi

J 14 J 15 J 15.0 J 15..2 J 15.3 J 20 J 20.0 J 20.1 J 21 J 21.0 J 30 J 30.0 J 30.1 J 30.2 J 30.3 J 30.4 J 45 J 45.0 K 12 K 12.0 K 22 K 29 K 29.1 K 25 K 26 K 30 K 52 K 52.8 K 81 K 81.0 L 04 L 08 L 08.0 L 23 L 23.7 N 00 N 30 N 30.0 N 10 E 44 E 44.0 E 44.1 R 01 R 01.0 R 14

nozologia

pnevmonia, gamowveuli Haemofilus influenzae -Ti pnevmonia, romelic ar aris Setanili sxva klasifikaciaSi pnevmonia, gamowveuli klebsielaTi pnevmonia, gamowveuli stafilokokiT pnevmonia, gamowveuli streptokokiT mwvave bronqiti mwvave bronqiti, gamowveuli mikoplazmiT mwvave bronqiti, gamowveuli Haemofilus influenzae -Ti mwvave bronqioliti mwvave bronqioliti, gamowveuli respiratoruli sincitialuri virusiT vazomotoruli da alergiuli riniti vazomotoruli riniti alergiuli riniti, gamowveuli mcenareTa mtveriT sxva sezonuri alergiuli riniti sxva alergiuli riniti alergiuli riniti, dauzustebeli asTma riniti asTmasTan erTad stomatiti da masTan dakavSirebuli dazianebebi piris Rrus morecidive afTebi saylapavis sxva avadmyofobebi gastriti, duodeniti mwvave gastriti kuWis wyluli Tormetgoja nawlavis wyluli dispefsia sxva arainfeqciuri gastroenteriti da koliti sxva dauzustebeli arainfeqciuri gastroenteriti da koliti qolecistiti mwvave qolecistiti mwvave limfadeniti kanisa da kanqveSa qsovilis lokaluri infeqcia piodermia alergiuli kontaqturi dermatiti alergiuli kontaqturi dermatiti, gamowveuli sakvebiT mwvave nefrituli sindromi _ glomeluronefriti cistiti mwvave cistiti mwvave tubulo-intersticiuli nefriti zomieri da msubuqi xarisxis cila-energetikuli deficiti zomieri hipotrofia II xarisxis msubuqi hipotrofia I xarisxis gulis Suili da sxva xmianobebi gulis keTilTvisebiani da aramankismieri Suili meteorizmi da masTan dakavSirebuli mdgomareobebi

169

qirurgia

nozologiebis kodebi `ICD-10~-is Sesabamisad

kodi

S 00 S 01 S 10 S 20 S 30 S 40 S 41 S 50 S 51 S 60 S 61 S 70 S 71 S 80 S 81 S 90 S 91 T 20.1 T 21.1 T 22.1 T 23.1 T 24.1 T 25.1 T 33 L 02 L 03 L 60.0 S 11.0 J 38.5 J 38.4. J 93 S 27.0 S 45 S 55 S 65 S 75 S 85 S 95 S 02 S 12 S 13 S 16 S 22 S 23 S 32 S 33 S 42 S 43 S 46 S 52 S 53 S 56

nozologia

Tavis zedapiruli dazianeba Tavis Ria Wriloba kisris zedapiruli dazianeba gulmkerdis zedapiruli dazianeba muclis, zurgis qveda nawilis da menjis zedapiruli dazianeba zeda kiduris sartyelisa da mxris dazianebebi zeda kiduris sartyelisa da mxris Ria Wrilobebi winamxris zedapiruli dazianeba winamxris Ria Wriloba majisa da xelis mtevnis zedapiruli dazianeba majisa da mtevnis Ria Wriloba menj-barZayis saxsrisa da barZayis zedapiruli dazianeba menj-barZayis saxsrisa da barZayis Semavali Wriloba wvivis zedapiruli dazianeba wvivis Semavali Wriloba koWisa da terfis zedapiruli dazianeba koWisa da terfis Semavali Wriloba Tavisa da kisris pirveli xarisxis damwvroba torsis pirveli xarisxis damwvroba mxris da zeda kiduris pirveli xarisxis damwvroba, majis da mtevnis garda majis da mtevnis pirveli xarisxis damwvroba barZayis da qvemo kiduris pirveli xarisxis damwvroba, koWis da terfis garda koWis da terfis pirveli xarisxis damwvroba zedapiruli moyinva kanis abscesi, furunkuli da karbunkuli xelis da fexis celuliti frCxilis dazianebebi Semavali Wriloba, romelic moicavs xorxsa da sasules xorxis spazmi xorxis SeSupeba pnevmoToraqsi travmuli pnevmoToraqsi sisxlZarRvebis dazianeba zeda kiduris sartylisa da mxris doneze winamxris doneze sisxlZarRvebis dazianeba majisa da mtevnis doneze sisxlZarRvebis dazianeba sisxlZarRvebis dazianeba menj-barZayis saxsrisa da barZayis doneze sisxlZarRvebis dazianeba wvivis doneze sisxlZarRvebis dazianeba koWisa da terfis doneze Tavis qalisa da saxis Zvlebis motexiloba kisris malebis motexiloba kisris doneze saxsrebis da iogebis amovardniloba, daWimuloba da daZabuloba kisris doneze kunTis da myesis dazianeba nekn(eb)is, mkerdis Zvlis da xerxemlis gulmkerdis nawilis motexiloba gulmkerdis saxsrebisa da iogebis Secileba, daWimva da RrZoba xerxemlis welis nawilis da menjis motexiloba xerxemlis welis nawilis da menjis iogebis da saxsrebis amovardniloba daWimva da RrZoba zeda kiduris sartylisa da mxris motexiloba mxris sartylis saxsrebis da iogebis dazianeba, RrZoba da daWimuloba kunTisa da myesis dazianeba zeda kiduris sartylisa da mxris doneze winamxris motexiloba idayvis saxsrebis da iogebis cdoma, RrZoba da daWimuloba winamxris doneze kunTisa da myesis dazianeba

170

kodi

S 62 S 63 S 66 S 72 S 73 S 76 S 82 S 83 S 86 S 92 S93 S 96 T 17.2 T 17.3 T 18.5 T 79.4 R 10 R 33 R 58

nozologia

motexiloba majisa da mtevnis doneze majisa da mtevnis doneze saxsrebis da iogebis dazianeba, RrZoba da daWimuloba majisa da mtevnis doneze kunTis da myesis dazianeba barZayis motexiloba menj-barZayis saxsrisa da iogebis dazianeba, RrZoba da daWimuloba kunTisa da myesis dazianeba menj-barZayis saxsrisa da barZayis doneze wvivis Zvlebis motexiloba, koWis Zvlis CaTvliT muxlis saxsrisa da iogebis RrZoba, dazianeba da daWimuloba kunTis da myesis dazianeba wvivis doneze terfis motexiloba, koW-wvivis saxsris dazianebis gareSe saxsrebisa da iogebis dazianeba, RrZoba da daWimuloba koW-wvivis saxsrisa da terfis doneze kunTebis da myesebis dazianeba koWisa da terfis doneze ucxo sxeuli xaxaSi, cxvir-xaxaSi ucxo sxeuli xorxSi ucxo sxeuli anusur xvrelsa da swor nawlavSi travmuli Soki muclisa da menjis tkivili Sardis Sekaveba hemoragia romelic ar aris Setanili sxva klasifikaciebSi

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Mmeanoba (I-IV done)

kodi 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 nozologia orsulTa meTvalyureoba, zedamxedveloba normalur orsulobaze dedaTa movla rezus faqtoriT imunizaciis dros (rezus-konfliqti) orsulTa anemia adre arsebuli hipertenziiT garTulebuli orsuloba, mSobiaroba, loginobis xana adre arsebuli hipertenziuli avadmyofoba TandarTuli proteinuriiT garTulebuli orsuloba, mSobiaroba, loginobis xana orsulobiT gamowveuli SeSupebebi da proteinuria hipertenziis gareSe orsulTa SeSupeba orsulTa proteinuria orssulTa SeSupeba proteinuriiT orsulobiT gamowveuli hipertenzia mniSvnelovani proteinuriis gareSe [msubuqi preeklampsia] orsulobiT gamowveuli hipertenzia mniSvnelovani proteinuriiT [saSualo preeklampsia] zomieri preeklampsia eklampsia eklampsia orsulobis dros dedis hipertenzia, dauzustebeli sisxldena orsulobis adreul periodSi mosalodneli aborti orsulobis adreul periodSi sisxldena orsulobis adreul periodSi dauzustebeli sisxldena gadaWarbebuli pirRebineba orsulobis periodSi orsulobis periodSi msubuqi pirRebineba pirRebineba orsulobis periodSi, metaboluri darRvevebi 22kv. zemoT gviani pirRebineba 22kv-is Semdeg Sardsasqeso gzebis infeqciebi orsulobis periodSi Tirkmlis infeqcia Sardis buStis infeqcia Sardsadenis infeqcia Saqriani diabeti orsulobis periodSi arasakmarisi kveba orsulobis periodSi wonis Warbi mateba orsulobis dros wonis mcire mateba orsulobis SenarCuneba im pirebSi, romlebsac axasiaTebT Cv. aborti orsulTa herpesi dedis hipertenziuli sindromi RviZlis dazianebebi orsulobis, mSobiarobis da loginobis xanaSi antenataluri skriningis dros gamovlenili gadaxrebi normidan

172

Gginekologia (I-IV done)

kodi N 75 N76 N76.0 N76.1 N76.2 N76.3 N76.4 N76.5 N76.6 N77.0 N77.1 nozologia barTolinis jirkvlis daavadebebi saSosa da vulvis sxva anTebiTi daavadebebi mwvave vaginiti, mwvave vulvovaginiti qvemwvave da qronikuli vaginiti, vulvovaginiti mwvave vulviti wvamqveva da qronikuli vulviti vulvis furunkuli saSos wyluli vulvis wyluli saSosa da vulvis wyluli herpesvirusuli da tuverkulozuri infeqciis dros 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 vulvis masklerozirebeli liqeni toqsoplazmozi qr. salpingooforiti qronikuli endometriti sSs Cadgma sarZeve jirkvlis paTologiebi sarZeve jirkvlis keTilTvisebiani displazia, fibrozul-kistozuri mastopaTia difuzur-kistozuri mastopaTia, kistozuri sarZeve jirkvali sarZeve jirkvlis fibroadenozi sarZeve jirkvlis hipertrofia, ginekomastia dauzustebeli moculobiTi warmonaqmni sarZeve jirkvalSi, kvanZi, kvanZebi endometriozi adenomiozi sakvercxis endometriozi falopis milis endometriozi sakvercxis, falopis milis da ganieri iogebis araanTebadi daavadebebi sakvercxis folikuluri kista yviTeli sxeulis folikuluri kista sakvercxis sxva dauzustebeli kistebi qalis sasqeso sistemis polipi saSvilosnos tanis polipi saSvilosnos yelis polipi saSos polipi qalis sasqeso organoebis hiperplastiuri procesebi endometriumis jirkvlovani hiperplazia endometriumis adenomatozuri hiperplazia

N90.1 B58 N70.1 N71.1 Z30 N60 N 60.0 N 60.1 N 60.2 N 62 N 63 N80 N80.0 N80.1 N80.2 N83 N83.0 N83.1 N83.1 N84 N84.0 N84.1 N84.2 N85 N85.0 N85.1

173

kodi 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

nozologia saSvilosnos hipertrofia saSvilosnos subinvolucia saSvilosnos yelis displazia saSvilosnos yelis msubuqi displazia · saSvilosnos yelis intraepiTeluri simsivne CIN saSvilosnos yelis zomieri displazia · saSvilosnos yelis intraepiTeluri simsivne saSvilosnos yelis leikoplakia vuvlis msubuqi displazia · vulvis intraepiTelialuri simsivne CIN vulvis zomieri displazia CIN vulvis mZime displazia vulvis leikoplakia: distrofia, kraurozi vulvis atrofia, vulvis stenozi vulvis hipertrofia saSvilosnos mioma predmentrualuri sindromi pirveladi dismenorea meoradi dismenorea, algodismenorea klimaqteruli sindromi postmenopauzuri sisxldena 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 ambulatoriulpoliklinikuri 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 ambulatoriulpoliklinikuri 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 miRebamkurnalobis, 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,

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8. 9. 10.

11. 12.

13. 14.

15.

16.

ambulatoriul-poliklinikuri dawesebulebebis struqturam da saTavsebis dagegmarebaganlagebam 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. poliklinikis pediatriuli ganyofileba unda iyos izolirebuli mozrdilTa ganyofilebisagan da unda hqondes damoukidebeli Sesasvleli. bavSvTa poliklinikebsa da mozrdilTa poliklinikebis bavSvTa ganyofilebaSi infeqciur daavadebaze saeWvo da sicxiani bavSvebi ar daiSvebian saerTo ganyofilebaSi. 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. bavSvTa poliklinikebis an bavSvTa ganyofilebis mqone mozrdilTa poliklinikebis teritoriaze gamoyofil unda iqnes specialuri moednebi sabavSvo etlebis gansaTavseblad. 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.). mean-ginekologis iseve, rogorc dermato-venerologis, fTiziatris, fsiqiatrisa da infeqcionistis kabinetebi ise unda iyos ganlagebuli, rom pacientTa mosacdeli koridorebi ar iyos gaWoli. 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. ambulatoriul-poliklinikuri dawesebulebebis sardafebsa da cokolis sarTulebSi dasaSvebia sawyobis (sameurneo inventaris sakuWnao), personalis sanitariulsayofacxovrebo (garderobi, saSxape), magari da rbili inventaris Sesanaxi, dabinZurebuli TeTreulis Sesagrovebel-damxarisxebeli saTavsebis mowyoba. dauSvebelia saxelosnoebis, Zlier moqmedi, adviladaalebadi da sawvavi siTxeebis saTavsebSi ganTavseba. 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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5.

6.

7.

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. 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. 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. 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. 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.

180

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, aerozolurinhalaciur 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.

6.

ambulatoriul-poliklinikuri dawesebulebebis specializebul kabinetebSi (klinikurdiagnostikuri 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. 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.

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danarTi 1.

cxrili #1. saTavsi 1. vestibiul-sagarderobo momsvlelTaTvis 2. mosacdeli 3. registratura 4. saTavsi eqimis binaze gamosaZaxeblad: a) oTaxi eqimis binaze gamosaZaxeblad; b) oTaxi ubnis eqimebisaTvis aranakleb 12-isa aranakleb 12-isa, 3-ze meti eqimisas kabinetis farTobi unda gaizardos 3,25 m2-iT TiToeul eqimze aranakleb 12-isa, 3-ze meti maddisas kabinetis farTobi unda gaizardos 3,25 m2-iT TiToeul meddaze aranakleb 5-isa aranakleb 12-isa aranakleb 15-isa aranakleb 12-isa aranakleb 15-isa aranakleb 15-isa aranakleb 12-isa farTobis norma m2-Si

0,38 _ erT momsvlelze, magram aranakleb 10-isa 1,2 _ TiToeul momsvlelze, magram aranakleb 10-isa 8 _ erT registratorze, aranakleb 10isa

g) meddebis oTaxi

5. eqimamdeli miRebis kabineti 6. bavSvebis misaRebi filtr-boqsebi 7. bavSvebis misaRebi filtri 8. filtrTan arsebuli boqsi 9. mimReb-gasasinji boqsi 10. pediatris kabineti 11. alergologis, hematologis, endokrinologis, fsiqiatris, mozardTa konsultaciis kabinetebi 12. logopedis kabineti 13. nemsTerapiis saproceduro 14. kardiorevmatologiuri kabineti saproceduroTi 15. saproceduro intramuskularuli ineqciebisaTvis 16. saproceduro intravenuri ineqciebisaTvis 17. pediatriuli saproceduro 18. anTropometriis kabineti 19. kabineti acrebisaTvis: a) saTavsi karToTekisaTvis; b) acrebis kabineti 20. samasaJoro Cvili bavSvebisaTvis 21. oTaxi Cvil bavSvTa kvebisaTvis 22. qirurgis, fTiziatris, dermatovenerologis, onkologis, travmatologorTopedis, urologis, mean-ginekologis kabinetebi 183

aranakleb 18-isa aranakleb 20-isa aranakleb 16 + 12-isa aranakleb 12-isa aranakleb 12-isa aranakleb 18-isa aranakleb 15-isa aranakleb aranakleb aranakleb aranakleb aranakleb 20-isa 12-isa 15-isa 10-isa 18-isa

23. saoperacio winasaoperaciosTan erTad 24. sasterilizacio 25. Sesaxvevi 26. qirurgis an travmatolog-orTopedis kabinetTan arsebuli saTabaSiro-Sesaxvevi 27. TabaSiris Sesanaxi 28. oTaxi operaciis Semdeg avadmyofTa droebiTi dayovnebisaTvis 29. saproceduro eqim-specialistis kabinetTan 30. mean-ginekologis kabineti ginekologiuri savarZliT 31. orsulTa fsiqoprofilaqtikuri momzadebis kabineti 32. otorinolaringologiis kabineti bgeris saizolacio kabiniT 33. vestibularuli aparatis gamosakvlevi kabineti 34. audiometruli kabineti bgeris saizolacio kabiniT 35. ofTalmologis kabineti bneli kabiniT 36. kontaqturi linzebis laboratoria: a)mosacdeli; b)saproceduro; g)samasale; d)masalisa da instrumentebis Sesanaxi oTaxi e) eqimis kabineti; v) laboratoriis gamgis kabineti 37. Tvalis saproTezo kabineti: a) mosacdeli; b) proTezebis SerCevis oTaxi; g) saxelosno; d)masalisa da instrumentebis Sesanaxi oTaxi; e) laboratoriis gamgis oTaxi 38. ofTalmologisa da otorinolaringologis kabinetebTan arsebuli saoperacio winasaoperacio blokiT 39. eqim-infeqcionistis kabinti: a) eqimis oTaxi; b) reqtoromanoskopiis oTaxi; g) tualeti; d) meddis oTaxi; e) saproceduro; v) sanitariuli oTaxi 40. parazitologiuri ganyofileba (SeiZleba a) eqim-parazitolog-epidemiologis kabineti; 184

aranakleb aranakleb aranakleb aranakleb

22 + 8-isa 10-isa 22-isa 22-isa

aranakleb 10-isa 6 _ 1 taxtze, magram aranakleb 12-isa aranakleb 20-isa aranakleb 18-isa aranakleb 12-isa aranakleb 18 + 8-isa aranakleb 10-isa aranakleb 16 + 8-isa aranakleb 18 + 8-isa aranakleb aranakleb aranakleb aranakleb 15-isa 12-isa 25-isa 10-isa

aranakleb 12-isa aranakleb 12-isa aranakleb aranakleb aranakleb aranakleb 15-isa 12-isa 25-isa 10-isa

aranakleb 12-isa aranakleb 14 + 8-isa

aranakleb 12-isa aranakleb 18-isa 1,1 X 1,6 (kabina) aranakleb 8-isa aranakleb 10-isa aranakleb 8-isa iyos bavSvTa da mozrdilTa erTad) aranakleb 12-isa

b) sufTa saproceduro; g) WuWyiani saproceduro: g.a) helminTebis gamorecxvis oTaxi; g.b) saTavsi oynis gasakeTeblad; g.g) samrecxao da saSxape kabina; g.d) sufTa TeTreulis sawyobi; g.e) WuWyiani TeTreulis sawyobi; g.v) palata; g.z) tualeti 41. stomatologiuri ganyofileba

aranakleb 12-isa aranakleb 8-isa aranakleb 8-isa 3 _ erT taxtze, magram aranakleb 6-isa aranakleb 2-isa aranakleb 2-isa aranakleb 6-isa _ 1 taxtze 1,1 X 1,6 (kabina) saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2002 wlis 5 noembris #309/n brZanebis `stomatologiuri profilis ambulatoriul-poliklinikuri dawesebulebebisaTvis sanitaruli wesebis damtkicebis Sesaxeb~ Sesabamisad saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2003 wlis 4 martis #41/n brZanebis `samedicinorentgenur-radiologiuri diagnostikuri procedurebisa da mkurnalobis dros radiaciuli dacvis uzrunvelyofis sanitariuli normebis damtkicebis Sesaxeb~ Sesabamisad ix. cxrili #2.

42. rentgenologiuri ganyofileba

43. funqcionaluri diagnostikis kabinetebi 44. klinikur-diagnostikuri laboratoria ix. cxrili #3. 45. samedicino statistikis kabineti 4­erT 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 6_ erT taxtze, magram aranakleb 12-isa oTaxi; z) sadispeCero da mZRolTa oTaxi; aranakleb 6+10 T) samedicino daxmarebis yuTebis Sesanaxi aranakleb 6-isa saTavsi; i) tualeti personalisaTvis. 1,1 X 1,6 (kabina) 48. sisxlis gadasxmis kabineti saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2001 wlis 16 agvistos #305/n brZanebis `sawarmoo transfuziologiis kabinetebisadmi wayenebuli sanitariul-higienuri da epidemi185

49. travmatologiuri punqtis izolatori 50. .alergologiuri kabineti: a)eqimis kabineti; b)saproceduro; g) alergenebis mosamzadebeli oTaxi.

ologiuri moTxovnebis damtkicebis Sesaxeb~ Sesabamisad. 6 _ erT taxtze, aranakleb 12-isa aranakleb 12-isa aranakleb 12-isa aranakleb 12-isa

cxrili #2. funqcionaluri diagnostikis kabinetebi saTavsi 1. eleqtrokardiografiis kabineti 2. fonokardiografiisa da balistokardiografiis kabineti 3. periferiuli sisxlis mimoqcevis gamokvlevis kabineti 4. airovani cvlis gansazRvris kabineti: a) ZiriTadi cvlis gansazRvra; b) spirografia 5. eleqtroencefalografiis kabineti 6. miografiis kabineti 7. eleqtrogastrografiis kabineti 8. radiotelemetriis kabineti 9 .endoskopiuri kabineti: a) gastroskopiis kabineti avadmyofis mosamzadebeli saTavsiT b) cistoskopiis kabineti; g) reqtoromanoskopiis kabineti; d) sasterilizacio. 10. eqoskopiis kabineti 11. laparaskopiis kabineti: a) saproceduro (mcire saoperacio); b) winasaoperacio; g) sasterilizacio 12. eleqtroTermodiagnostikis kabineti: a) saproceduro; b) safenebis dasamuSavebeli saTavsi farTobis norma m2-Si aranakleb 24-isa aranakleb 18-isa aranakleb 18-isa

aranakleb aranakleb aranakleb aranakleb aranakleb aranakleb

18-isa 18-isa 24-isa 18-isa 18-isa 18-isa

aranakleb 18+10-isa aranakleb aranakleb aranakleb aranakleb 24-isa 20-isa 8-isa 18-isa

aranakleb 24-isa aranakleb 10-isa aranakleb 6-isa 6 _ erT savarZelze, magram aranakleb 10isa aranakleb 6-isa

186

cxrili #3. klinikur-diagnostikuri laboratoriebi saTavsi farTobis norma m2-Si

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; b) saTavsi centrifugirebisaTvis; g) salaboranto; d) samrecxao. aranakleb 18-isa

aranakleb 6-isa aranakleb 10-isa aranakleb 12-isa aranakleb 6-isa aranakleb 12-isa aranakleb 10-isa aranakleb 12-isa aranakleb 18-isa aranakleb 12-isa aranakleb aranakleb aranakleb aranakleb aranakleb aranakleb aranakleb 6-isa 12-isa 4-isa 15-isa 14-isa 8-isa 16-isa

3. hematologiuri ganyofileba:

a) sinjebis SesaRebi; b) eqim-laborantebis kabineti; g) salaboranto.

4. bioqimiuri ganyofileba:

a) salaboranto sisxlis bioqimiuri kvlevisaTvis; b) oTaxi hormonaluri gamokvlevebisaTvis; g) salaboranto Sardis bioqimiuri kvlevisaTvis; d) saTavsi centrifugirebisaTvis; e) samrecxao; v) saTavsi awonvebisaTvis; z) saTavsi fotometriisaTvis; T) koagulografiis kabineti; i) saTavsi aalebiTi fotometriisaTvis; k) axali meTodikebis danergvis kabineti.

5. mikrobiologiuri ganyofileba:

a) analizebis misaRebi saregistracio; b) sapreparato; g) boqsi preboqsTan erTad; d) Termostatuli kamera; e) saTavsi avtoklavirebisaTvis; v) eqim-mikrobiologis kabineti; z) niadagebis mosamzadebeli; T) samrecxao. a) salaboranto da aranakleb 5-isa aranakleb aranakleb aranakleb aranakleb aranakleb aranakleb aranakleb 18-isa 4+2-isa 3-isa 10-isa 12-isa 8-isa 12-isa

6. citologiuri gamokvlevebis ganyofileba:

aranakleb 12-isa

187

danarTi 2.

ganaTebulobis sarekomendacio sidideebi ambulatoriulpoliklinikuri tipis dawesebulebis calkeul kabinetebsa da saTavsebSi

kabineti

samuSao zedapirebis ganaTebulobis koeficienti lq 150 75 500 200 500 200 500 200 300 150 500 200 500 200 300 150

sinaTlis wyaro 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.

mosacdeli koridori poliklinikaSi pediatris kabineti mimRebdasaTvalierebeli boqsiT qirurgis, travmatologis kabinetebi: · saoperacio, saTabaSire, Sesaxvevi · winasaoperacio

mean-ginekologis kabineti eqim Terapevtis kabineti eqim-laborantis kabineti

*l.n. _ luminescenturi naTura **e.n. _ eleqtruli naTura

188

danarTi 3 (sarekomendacio)

samedicino daniSnulebis nakeTobebis dezinfeqcia

dezinfeqciis reJimi temperatura eqspozicia wuTebSi nominazRvruli nominazRvruli koncentluri mniSvneluri mniSvneracia % mniSvneloba mniSvneloba loba loba dezinfeqciis Catarebis pirobebi gamoyenebuli mowyobiloba

dezinfeqciis meTodi

sadezinfeqcio masala

gamoyeneba

duRilis

1. distilirebuli wyali; 2.distilirebuli ornaxSirmJava natriumi wyalnajeri orTqli maRali wnevis qveS P = 0,5 kg/ sm

_ 98 + 1 2.0

45 30

45 45

orTqlis

110

+ 2

_

15

+5

rekomendebulia minis nakeTobebisaTvis, medegi polimeruli masalebisa da rezinisaTvis rekomendebulia minis, metalis, rezinis, lateqsis, Termomdgradi polimerebis nakeTobebisaTvis rekomendebulia minis da metalis nakeTobebisaTvis

mTliani CaZirva wyalSi

sadezinfeqcio maduRara

kamerebi

haerovani

mSrali cxeli haeri

120

+ 4

_

20

+5

dezinfeqcia unda Catardes SefuTvis gareSe

sterilizatori

diqlor-1 sulfoqlorantini qimiuri qlorcini

_

_ aranaklebi 18 _

dezami

_

1,0 3,0 3,0 0,1 1,0 0,2 0,5 3,0 1,0 1,25 0,5

_

_ rekomendebulia minis, koroziamedegi metalis, polimeruli nakeTobebisaTvis orjeradi gawmenda dolbandis an narmis qsoviliT gawmendebs Soris 10-15 intervaliT

_

_

_

_

_

_

_

_

_

_

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