{"id":35105,"date":"2016-07-05T10:24:28","date_gmt":"2016-07-05T06:24:28","guid":{"rendered":""},"modified":"-0001-11-30T00:00:00","modified_gmt":"-0001-11-29T20:00:00","slug":"","status":"publish","type":"post","link":"https:\/\/ucnoqta.az\/?p=35105","title":{"rendered":"Leykozun diaqnostikas\u0131 v\u0259 m\u00fcalic\u0259sind\u0259 k\u00f6kl\u00fc ir\u0259lil\u0259yi\u015fl\u0259r var"},"content":{"rendered":"

Zöhr\u0259 \u018flimirz\u0259yeva: “Haz\u0131rda h\u0259r il leykozla ilkin x\u0259st\u0259l\u0259nm\u0259 u\u015faqlar aras\u0131nda 50-60 n\u0259f\u0259rd\u0259 a\u015fkarlan\u0131r”<\/span><\/strong><\/p>\n

“Leykozla ba\u011fl\u0131 is\u0259 \u0259n az müraci\u0259t Lerik rayonundand\u0131r”<\/strong><\/p>\n

Tibb elmi inki\u015faf etdikc\u0259 bir zamanlar insanlar üçün böyük narahatl\u0131q yaradan bir çox x\u0259st\u0259likl\u0259rin müalic\u0259si mümkün olub. Bu gün d\u0259 b\u0259zi sa\u011falmaz x\u0259st\u0259likl\u0259r olsa da, amma el\u0259 x\u0259st\u0259likl\u0259r var ki, onlardan xilas olma\u011f\u0131n yolu el\u0259 insanlar\u0131n öz \u0259lind\u0259dir. Son ill\u0259r respublikam\u0131zda da qan x\u0259st\u0259likl\u0259rinin qar\u015f\u0131s\u0131n\u0131n al\u0131nmas\u0131 istiqam\u0259tind\u0259 ciddi i\u015fl\u0259r görülür. Xüsus\u0259n, leykozlar\u0131n diaqnostikas\u0131nda v\u0259 müalic\u0259sind\u0259 köklü ir\u0259lil\u0259yi\u015fl\u0259r mü\u015fahid\u0259 edilir. Bu ilk növb\u0259d\u0259 leykozlar\u0131n molekulayar-genetik diaqnostika üsullar\u0131n\u0131n t\u0259tbiqin\u0259 v\u0259 leykozlar\u0131n müxt\u0259lif növl\u0259rinin traqet (h\u0259d\u0259f) terapiyas\u0131 üsullar\u0131n\u0131n i\u015fl\u0259nib-haz\u0131rlanmas\u0131na aiddir. H\u0259mçinin, 2015-ci ilin iyunundan  respublikam\u0131zda nikaha daxil olanlar\u0131n tibbi müayin\u0259sinin apar\u0131lmas\u0131  talassemiya da\u015f\u0131y\u0131c\u0131lar\u0131n\u0131n a\u015fkarlanmas\u0131na imkan yaratm\u0131\u015fd\u0131r. Müayin\u0259 olunan çütlükl\u0259rin h\u0259r ikisind\u0259 talassemiya da\u015f\u0131y\u0131c\u0131l\u0131\u011f\u0131 a\u015fkarlanan zaman talassemiyal\u0131 u\u015faqlar\u0131n do\u011fulma riskini n\u0259z\u0259r\u0259 alaraq Respublikam\u0131zda ilk d\u0259f\u0259 talassemiya da\u015f\u0131y\u0131c\u0131s\u0131 olan hamil\u0259 qad\u0131nlarda prenatal diaqnostika apar\u0131lm\u0131\u015fd\u0131r. Haz\u0131rda nikahdan önc\u0259 apar\u0131lan müayin\u0259l\u0259r talassemiya x\u0259st\u0259liyinin qar\u015f\u0131s\u0131n\u0131n al\u0131nmas\u0131na yard\u0131m ed\u0259c\u0259k. Qan x\u0259st\u0259likl\u0259rinin müalic\u0259si il\u0259 ba\u011fl\u0131 görül\u0259n v\u0259 g\u0259l\u0259c\u0259kd\u0259 görülm\u0259si planla\u015fd\u0131r\u0131lan i\u015fl\u0259rl\u0259 ba\u011fl\u0131 m\u0259s\u0259l\u0259l\u0259r\u0259 B.Eyvazov ad\u0131na Elmi-T\u0259dqiqat Hematologiya v\u0259 Transfuziologiya \u0130nstitutunun direktoru Zöhr\u0259 \u018flimirz\u0259yeva il\u0259 müsahib\u0259mizd\u0259 ayd\u0131nl\u0131q g\u0259tirm\u0259y\u0259 çal\u0131\u015fd\u0131q.<\/p>\n

\n– Zöhr\u0259 xan\u0131m, respublikam\u0131zda qan x\u0259st\u0259likl\u0259rinin müalic\u0259 imkanlar\u0131n\u0131 nec\u0259 qiym\u0259tl\u0259ndirm\u0259k olar?<\/strong><\/p>\n

\n– Son ill\u0259rd\u0259 qan x\u0259st\u0259likl\u0259rind\u0259n  \u0259ziyy\u0259t ç\u0259k\u0259n \u015f\u0259xsl\u0259r\u0259 tibbi yard\u0131m\u0131n göst\u0259rilm\u0259sind\u0259 \u0259h\u0259miyy\u0259tli dönü\u015f ba\u015f vermi\u015fdir. Respublikam\u0131zda qan x\u0259st\u0259lilkl\u0259rinin müayin\u0259 v\u0259 diaqnostikas\u0131 imkanlar\u0131 \u0259vv\u0259lki ill\u0259r\u0259 nisb\u0259t\u0259n xeyli yax\u015f\u0131la\u015f\u0131b. Bundan ba\u015fqa insanlar\u0131n m\u0259lumatl\u0131l\u0131q s\u0259viyy\u0259si d\u0259 xeyli art\u0131b. Eyni zamanda el\u0259 bizim institut da daxil olmaqla \u0259ks\u0259r tibb ocaqlar\u0131nda \u0259n müasir avadanl\u0131qlar qura\u015fd\u0131r\u0131l\u0131b v\u0259 tam d\u0259qiq dioqnostika aparmaq mümkündür. Elmi-T\u0259dqiqat Hematologiya v\u0259 Transfuziologiya \u0130nstitutu da \u0259sasl\u0131 t\u0259mir olunub. Düzdür, biz son ill\u0259r x\u0259st\u0259l\u0259rin say\u0131n\u0131n artmas\u0131n\u0131n \u015fahidi oluruq. Amma bu ümumi x\u0259st\u0259liyin artmas\u0131 deyil, sad\u0259c\u0259 x\u0259st\u0259liyin d\u0259qiq diaqnostikas\u0131n\u0131n apar\u0131lmas\u0131 v\u0259 insanlar\u0131n bu x\u0259st\u0259likl\u0259rl\u0259 ba\u011fl\u0131 bilgil\u0259ndirilm\u0259sinin n\u0259tic\u0259sidir. H\u0259mçinin, d\u0259qiq diaqnoz qoyulub adekvat müalic\u0259 alan \u015f\u0259xsl\u0259rin orta ya\u015fama müdd\u0259ti d\u0259 xeyli art\u0131b. 
\nBizim \u0130nstitutumuzda  qan x\u0259st\u0259liyind\u0259n \u0259ziyy\u0259t ç\u0259k\u0259n x\u0259st\u0259l\u0259r\u0259 ixtisasla\u015fd\u0131r\u0131lm\u0131\u015f hematoloji yard\u0131m göst\u0259rilir. El\u0259c\u0259 d\u0259 Respublika Talassemiya M\u0259rk\u0259zind\u0259 talassemiyal\u0131 x\u0259st\u0259l\u0259r\u0259 laz\u0131mi müayin\u0259 v\u0259 müalic\u0259l\u0259r  apar\u0131l\u0131r. Hemofiliyal\u0131 x\u0259st\u0259l\u0259r\u0259 göst\u0259ril\u0259n ixtisasla\u015fd\u0131r\u0131lm\u0131\u015f tibbi yard\u0131m Respublika Klinik X\u0259st\u0259xanas\u0131n\u0131n hematologiya \u015föb\u0259sind\u0259 h\u0259yata keçirilir. <\/p>\n

– H\u0259r il t\u0259xmin\u0259n neç\u0259 n\u0259f\u0259rd\u0259 ilkin leykoz x\u0259st\u0259liyi a\u015fkarlan\u0131r?<\/strong><\/p>\n

– Müasir t\u0259bab\u0259td\u0259 leykoz s\u0259hiyy\u0259nin \u0259n aktual probleml\u0259rind\u0259n biridir v\u0259 bütün b\u0259dxass\u0259li x\u0259st\u0259likl\u0259rin t\u0259xmin\u0259n 8 faizini t\u0259\u015fkil edir. Haz\u0131rda ölk\u0259mizd\u0259 leykozlar\u0131n müasir diaqnostikas\u0131 t\u0259\u015fkil olunmu\u015fdur. Molekulyar-genetik v\u0259  sito-genetik müayin\u0259l\u0259r apar\u0131l\u0131r ki, bu müayin\u0259l\u0259r d\u0259 leykoz x\u0259st\u0259liyinin müalic\u0259sinin monitorinqini aparma\u011fa v\u0259 müsb\u0259t n\u0259tic\u0259l\u0259r alma\u011fa köm\u0259k edir. Haz\u0131rda Az\u0259rbaycanda qan x\u0259st\u0259likl\u0259rind\u0259 art\u0131m  mü\u015fahid\u0259 olunmur. Dünya statistikas\u0131na \u0259sas\u0259n h\u0259r il leykozla x\u0259st\u0259l\u0259nm\u0259 9-13 n\u0259f\u0259r aras\u0131nda d\u0259yi\u015fir. Q\u0259rbi Avropada rastg\u0259lm\u0259 tezliyi göst\u0259ricisi 100000 n\u0259f\u0259r\u0259 7,7 Amerikada 100000 n\u0259f\u0259r\u0259 30 n\u0259f\u0259r, MDB ölk\u0259l\u0259rind\u0259 -7,1-dir. Az\u0259rbaycanda is\u0259 h\u0259r 100 min n\u0259f\u0259r\u0259 4-5 x\u0259st\u0259l\u0259nm\u0259 hal\u0131 qeyd\u0259 al\u0131n\u0131r. Haz\u0131rda h\u0259r il leykozla ilkin x\u0259st\u0259l\u0259nm\u0259 u\u015faqlar aras\u0131nda 50-60 n\u0259f\u0259rdir. Böyükl\u0259r aras\u0131nda is\u0259 bu r\u0259q\u0259m 300-\u0259 çat\u0131r. Haz\u0131rda S\u0259hiyy\u0259 Nazirliyinin r\u0259hb\u0259rliyi il\u0259 Elmi-T\u0259dqiqat Hematologiya v\u0259 Transfuziologiya \u0130nstitutunda da bu x\u0259st\u0259liyin diaqnostikas\u0131n\u0131n beyn\u0259lxalq standartlara uy\u011fun apar\u0131lmas\u0131na nail olunub. Leykoza g\u0259tirib ç\u0131xaran pozulmalar\u0131n h\u0259m hüceyr\u0259 (sitokimy\u0259vi), h\u0259m xromosom (sitogenetik), h\u0259m d\u0259 DNT s\u0259viyy\u0259sind\u0259 (polimeraz z\u0259ncirvari reaksiya) mü\u0259yy\u0259n edilm\u0259si praktikaya t\u0259tbiq edilib. Uzun ill\u0259rdir ki, daha do\u011frusu 2003-cü ild\u0259n \u0130nstitutda qeydiyyatda olan Xroniki mieloleykozlu x\u0259st\u0259l\u0259r inovasion d\u0259rman preparat\u0131 olan Glivek preparat\u0131 il\u0259 t\u0259min edilmi\u015fdir.  S\u0259hiyy\u0259 Nazirliyi t\u0259r\u0259find\u0259n xronik miyeloleykozun h\u0259d\u0259f müalic\u0259si üçün istifad\u0259 edil\u0259n "Tasiqna" innovasion preparat\u0131 da \u0259ld\u0259 edilib. Bu x\u0259st\u0259l\u0259r müt\u0259madi olaraq institumuza müraci\u0259t ed\u0259r\u0259k d\u0259rman preparatlar\u0131n\u0131 pulsuz \u0259ld\u0259 ed\u0259 bilirl\u0259r. V\u0259 n\u0259hay\u0259t leykozlar\u0131n müalic\u0259sind\u0259 sümük iliyi transplantasiyas\u0131 üsulu da t\u0259tbiq edilm\u0259y\u0259 ba\u015flan\u0131b. Bu is\u0259 leykozlu x\u0259st\u0259l\u0259rin ya\u015fama müdd\u0259tinin artmas\u0131na, onlar\u0131n h\u0259yat keyfiyy\u0259tinin yax\u015f\u0131la\u015fmas\u0131na v\u0259 h\u0259tta tam sa\u011falmas\u0131na z\u0259min yarad\u0131b. <\/p>\n

– Respublikam\u0131z\u0131n hans\u0131 rayonlar\u0131ndan leykozla ba\u011fl\u0131 dig\u0259r rayonlara nisb\u0259t\u0259n daha çox müraci\u0259t daxil olur?<\/strong><\/p>\n

– Konkret bir rayondan daha çox müraci\u0259t varsa, orada x\u0259st\u0259liyin daha geni\u015f yay\u0131ld\u0131\u011f\u0131n\u0131 dey\u0259 bilmirik. Çünki respublikan\u0131n bütün rayonlar\u0131ndan müraci\u0259t\u0259r olur. Bu r\u0259q\u0259ml\u0259r h\u0259m d\u0259 ill\u0259rd\u0259n as\u0131l\u0131 olaraq d\u0259yi\u015fir. Amma Aran rayonlar\u0131ndan müraci\u0259tl\u0259r daha çoxdur. H\u0259min \u0259razil\u0259rd\u0259 is\u0259 \u0259v\u0259ll\u0259r k\u0259nd t\u0259\u015f\u0259rrüfat\u0131 daha çox inki\u015faf edib v\u0259 kimy\u0259vi gübr\u0259l\u0259rd\u0259n geni\u015f istifad\u0259 olunub. Uzun müdd\u0259t torpa\u011fa çök\u0259n h\u0259min kimy\u0259vi madd\u0259l\u0259r t\u0259sirsiz qalmay\u0131b. Leykozla ba\u011fl\u0131 is\u0259 \u0259n az müraci\u0259t Lerik rayonundand\u0131r. Bu da x\u0259st\u0259liyin yaranmas\u0131nda ekoloji amilin t\u0259sirsiz olmad\u0131\u011f\u0131 q\u0259na\u0259tini yarad\u0131r. Amma hans\u0131 rayondan müraci\u0259t etm\u0259sind\u0259n as\u0131l\u0131 olmayaraq leykozlu x\u0259st\u0259l\u0259r bizim x\u0259st\u0259xanada müalic\u0259 al\u0131rlar. <\/p>\n

– \u018fvv\u0259lki ill\u0259rd\u0259 x\u0259st\u0259l\u0259r ilkin müraci\u0259t etdikl\u0259ri dövrd\u0259 b\u0259z\u0259n düzgün diaqnoz qoyulmad\u0131\u011f\u0131ndan \u015fikay\u0259tl\u0259nirdil\u0259r. Bununla ba\u011fl\u0131 v\u0259ziyy\u0259td\u0259 n\u0259 kimi d\u0259yi\u015fiklikl\u0259r var?<\/strong><\/p>\n

– Bu gün d\u0259 tibb elmind\u0259 leykozun özünün spesfik \u0259lam\u0259tl\u0259ri il\u0259 ba\u011fl\u0131 konkret fikir yoxdur. Leykozlar\u0131n ilkin \u0259lam\u0259tl\u0259ri ümumi xarakter da\u015f\u0131y\u0131r:  x\u0259st\u0259d\u0259 qan azl\u0131\u011f\u0131,ümumi z\u0259iflik, tempratur, oynaqlarda a\u011fr\u0131lar, d\u0259rid\u0259 göy\u0259rm\u0259l\u0259r. Bu ilkin \u0259lam\u0259tl\u0259rd\u0259n b\u0259z\u0259n leykozu ba\u015fqa x\u0259st\u0259likl\u0259r\u0259 b\u0259nz\u0259dirl\u0259r. Valideyinle\u0259r b\u0259z\u0259n bu \u0259lam\u0259tl\u0259r\u0259 gör\u0259 infeksionist\u0259, revmatoloqa müraci\u0131t edirl\u0259r. Çünki h\u0259rar\u0259t, oynaqlarda a\u011fr\u0131lar, anemiya dig\u0259r virus x\u0259st\u0259likl\u0259ri, bakterial infeksiyalar, revmatoloji v\u0259 bir s\u0131ra dig\u0259r x\u0259st\u0259likl\u0259r zaman\u0131 da meydana \u015f\u0131xa bil\u0259r. Amma bu \u0259lam\u0259tl\u0259rl\u0259 ba\u011fl\u0131 qan analizl\u0259rinin n\u0259tic\u0259si \u015fübh\u0259li olduqda mütl\u0259q hemotoloqun konsultasiyas\u0131 t\u0259yin olunmal\u0131d\u0131r. Hemotoloqun ilkin konsultasiyas\u0131 zaman\u0131 is\u0259 qan x\u0259st\u0259liyinin olub-olmad\u0131\u011f\u0131 d\u0259qiql\u0259\u015fir. Çünki \u0259ks\u0259r hallarda qan\u0131n ümumi analizi il\u0259 d\u0259 qan x\u0259st\u0259liyinin ilkin \u0259lam\u0259tl\u0259rini görm\u0259k mümkündür. X\u0259st\u0259nin vaxt\u0131nda müraci\u0259t etm\u0259sinin d\u0259 çox böyük \u0259h\u0259miyy\u0259ti var. Çünki x\u0259st\u0259 n\u0259 q\u0259d\u0259r tez müraci\u0259t ed\u0259rs\u0259, müayin\u0259 v\u0259 müalic\u0259 d\u0259 o q\u0259d\u0259r effektli olur. <\/p>\n

– Leykozu yaradan s\u0259b\u0259bl\u0259rl\u0259 ba\u011fl\u0131 tibbd\u0259 hans\u0131sa yenilikl\u0259r varm\u0131?<\/strong><\/p>\n

– Bununla ba\u011fl\u0131 h\u0259l\u0259 ki yekun q\u0259rar yoxdur. Leykozun s\u0259b\u0259bi m\u0259lum olsa, tam müalic\u0259 v\u0259 x\u0259st\u0259liyin qar\u015f\u0131s\u0131n\u0131 almaq çoxdan mümkün olard\u0131. X\u0259st\u0259liyin yaranmas\u0131na xeyli sayda amill\u0259r s\u0259b\u0259b ola bil\u0259r. Bunlar – kimy\u0259vi faktorlar, ionla\u015fd\u0131r\u0131c\u0131 radiasiya, \u0259traf mühitin \u0259lveri\u015fsiz faktorlar\u0131d\u0131r. H\u0259mçinin, orqanizmin immun sisteminin d\u0259 burada rolu böyükdür. Ümumiyy\u0259tl\u0259 leykoz çox sayl\u0131 faktorlar\u0131n t\u0259siri n\u0259tic\u0259sind\u0259 inki\u015faf ed\u0259n mür\u0259kk\u0259b bir prossesdir.<\/p>\n

– Leykozlu x\u0259st\u0259l\u0259rin müalic\u0259si il\u0259 ba\u011fl\u0131 ayr\u0131ca Dövl\u0259t Proqram\u0131 varm\u0131?<\/strong><\/p>\n

(ard\u0131 var)<\/strong><\/em><\/p>\n

Yaz\u0131  “Leykozlu u\u015faqlara d\u0259st\u0259k” ictimai birliyinin Prezident yan\u0131nda Qeyri-Hökum\u0259t T\u0259\u015fkilatlar\u0131na Dövl\u0259t D\u0259st\u0259yi \u015euras\u0131n\u0131n d\u0259st\u0259yi il\u0259 icra etdiyi  “Qan x\u0259st\u0259likl\u0259rinin qar\u015f\u0131s\u0131n\u0131n al\u0131nmas\u0131 üçün ictimai maarifl\u0259ndirm\u0259 “ layih\u0259si ç\u0259rçiv\u0259sind\u0259 haz\u0131rlan\u0131b<\/span><\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Zöhr\u0259 \u018flimirz\u0259yeva: “Haz\u0131rda h\u0259r il leykozla ilkin x\u0259st\u0259l\u0259nm\u0259 u\u015faqlar aras\u0131nda 50-60 n\u0259f\u0259rd\u0259 a\u015fkarlan\u0131r” “Leykozla ba\u011fl\u0131 is\u0259 \u0259n az müraci\u0259t Lerik rayonundand\u0131r” Tibb elmi inki\u015faf etdikc\u0259 bir zamanlar insanlar üçün böyük…<\/p>\n","protected":false},"author":1,"featured_media":251278,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[94],"tags":[],"class_list":["post-35105","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-musahibe"],"_links":{"self":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/35105","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=35105"}],"version-history":[{"count":0,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/35105\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/media\/251278"}],"wp:attachment":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=35105"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=35105"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=35105"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}