{"id":35191,"date":"2016-07-08T18:48:30","date_gmt":"2016-07-08T14:48:30","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=35191","title":{"rendered":"Leykozlarla ba\u011fl\u0131 elektron bazan\u0131n haz\u0131rlanmas\u0131 istiqam\u0259tind\u0259 i\u015f apar\u0131l\u0131r"},"content":{"rendered":"

Zöhr\u0259 \u018flimirz\u0259yeva: “Vaxt\u0131-vaxt\u0131nda d\u0259rmanlar\u0131n\u0131 alan h\u0259min x\u0259st\u0259l\u0259r dig\u0259r insanlar kimi adi h\u0259yat\u0131n\u0131 ya\u015fay\u0131r, i\u015fl\u0259yirl\u0259r”<\/span><\/strong><\/p>\n

(\u018fvv\u0259li öt\u0259n say\u0131m\u0131zda)<\/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– Leykozlu x\u0259st\u0259l\u0259rin müalic\u0259si il\u0259 ba\u011fl\u0131 ayr\u0131ca Dövl\u0259t Proqram\u0131 varm\u0131?<\/strong><\/p>\n

\n– Respublikam\u0131zda talassemiya v\u0259 hematologiya x\u0259st\u0259liyinin müalic\u0259si il\u0259 ba\u011fl\u0131 ayr\u0131ca Dövl\u0259t Proqramlar\u0131 var. Leykozla ba\u011fl\u0131 is\u0259 h\u0259l\u0259 ki, ayr\u0131ca Dövl\u0259t Proqram\u0131 olmasa da, bununla ba\u011fl\u0131 yax\u0131n vaxtlarda  yeni m\u0259lumat ala bil\u0259c\u0259ksiz. Amma haz\u0131rda Onkoloji X\u0259st\u0259l\u0259r\u0259 Köm\u0259k Dövl\u0259t Proqram\u0131 var. Leykozlu x\u0259st\u0259l\u0259r\u0259 d\u0259 bu proqramlar ç\u0259rçiv\u0259sind\u0259 d\u0259rman preparatlar\u0131 il\u0259 t\u0259min olunurlar. \u018fg\u0259r \u0259vv\u0259ll\u0259r leykozdan müalic\u0259 üçün \u0130rana, Gürcüstana, Türkiy\u0259y\u0259 ged\u0259nl\u0259r olurdusa, art\u0131q onlar\u0131n say\u0131 azal\u0131b. Bu da leykozlar\u0131n müayin\u0259 v\u0259 müalic\u0259sinin Respublikam\u0131zda müasir standartlara uy\u011fun \u015f\u0259kild\u0259 apar\u0131lmas\u0131 il\u0259 ba\u011fl\u0131d\u0131r. \u018flb\u0259tt\u0259 Respublikadan k\u0259nar müalic\u0259 alan x\u0259st\u0259l\u0259rd\u0259 var. Leykozlar\u0131n müalic\u0259si uzunmüdd\u0259tlidir v\u0259 mü\u0259yy\u0259n bir m\u0259rh\u0259l\u0259d\u0259 bu x\u0259st\u0259l\u0259r d\u0259 müalic\u0259ni institutumuzun klinikas\u0131nda davam etdirirl\u0259r.<\/p>\n

\n– Leykozlu x\u0259st\u0259l\u0259r aras\u0131nda öt\u0259n il ölüm fakt\u0131 qeyd\u0259 al\u0131n\u0131bm\u0131?<\/strong><\/p>\n

\n– Müasir müalic\u0259 protokollar\u0131n\u0131n t\u0259tbiq edilm\u0259sin\u0259 baxmayaraq, leykozlardan ölüm hallar\u0131 mövcuddur. Bu bir çox faktorlardan as\u0131l\u0131d\u0131r. X\u0259st\u0259liyin m\u0259rh\u0259l\u0259sind\u0259n, gedi\u015fat\u0131ndan, ya\u015fdan, yana\u015f\u0131 x\u0259stt\u0259likl\u0259rd\u0259n, x\u0259st\u0259nin vaxt\u0131nda müraci\u0259t etm\u0259m\u0259sind\u0259n (yani çox gecikmi\u015f hallarda). H\u0259tta radikal müalic\u0259 üsulu olan sümük iliyinin transpalntasiyas\u0131 zaman\u0131 da ölüm hallar\u0131 mövcuddur. <\/p>\n

\n– Leykozlu x\u0259st\u0259l\u0259r elektron reystri apar\u0131l\u0131r?<\/strong><\/p>\n

\n– Haz\u0131rda tespublikam\u0131zda talassemiya v\u0259 hemofiliyal\u0131 x\u0259st\u0259l\u0259rin elektron reystri var. Leykozlarla ba\u011fl\u0131  elektron bazan\u0131n haz\u0131rlanmas\u0131 istiqam\u0259tind\u0259 i\u015f apar\u0131l\u0131r.<\/p>\n

\n– Qeyd etdiyiniz kimi art\u0131q \u0259ks\u0259r rayonlarda müasir diaqnostika m\u0259rk\u0259zl\u0259ri var. H\u0259mçinin, M\u0259rk\u0259zi Qan Bank\u0131n\u0131n da regionlarda bölm\u0259l\u0259ri yarad\u0131l\u0131b. Qan x\u0259st\u0259l\u0259rinin regionlarda stansionar müalic\u0259 almas\u0131 üçün \u015f\u0259rait yarad\u0131lmas\u0131na z\u0259rur\u0259t yoxdur, yoxsa ba\u015fqa s\u0259b\u0259bl\u0259r var?<\/strong><\/p>\n

 – Haz\u0131rda nikahdan önc\u0259 müayin\u0259 il\u0259 ba\u011fl\u0131 respublikan\u0131n bütün rayonlar\u0131ndak\u0131 x\u0259st\u0259xanalarda hemotoloji kabinetl\u0259r yarad\u0131l\u0131b. H\u0259min kabinetl\u0259r \u0259n müasir avadanl\u0131qlarla t\u0259min olunub. Bu günl\u0259rd\u0259 is\u0259 biz yenid\u0259n rayonlarda monitorinql\u0259r\u0259 ba\u015flam\u0131\u015f\u0131q. H\u0259min rayonlarda v\u0259ziyy\u0259t öyr\u0259nilir v\u0259 hans\u0131sa çat\u0131\u015fmamazl\u0131qlar olsa, onlar\u0131n aradan qald\u0131r\u0131lmas\u0131 üçün \u0259lav\u0259 t\u0259dbirl\u0259r görül\u0259c\u0259k. Amma Hemotologiya f\u0259rqli bir sah\u0259dir. Bütün dünyada qan x\u0259st\u0259likl\u0259rin ixtisasla\u015fm\u0131\u015f x\u0259st\u0259xanalarda müalic\u0259 edilm\u0259sin\u0259 üstünlük verilir. Yüngül d\u0259r\u0259c\u0259li anemiyalara regionlarda da yard\u0131m göst\u0259r\u0259 bilirl\u0259r. Ciddi qan x\u0259st\u0259likl\u0259ri, leykozlar is\u0259 burada müalic\u0259 olunur. \u018fvv\u0259ld\u0259 qeyd etmi\u015fdim ki, \u0130nstitumuzda müaisir standartlara cavab ver\u0259n laboratoriyalar\u0131m\u0131z var. Rusiya, Ukrayna, Belarusdan g\u0259l\u0259n müt\u0259x\u0259sisl\u0259r d\u0259 bizim laboratoriyalar\u0131n yüks\u0259k standartlara cavab verdiyini bildirirl\u0259r.  Bizd\u0259 bütün analizl\u0259r, h\u0259tta molekulyar, genetik analizl\u0259r apar\u0131l\u0131r. Bu da leykozlar\u0131n diaqnostikas\u0131n\u0131 v\u0259 x\u0259st\u0259liyin gedi\u015fini izl\u0259m\u0259y\u0259 imkan verir. H\u0259mçinin, biz müalic\u0259nin monitorinqini apararaq effektivliyini d\u0259y\u0259rl\u0259ndiririk. Bütün bu  laboratoriyalar\u0131 rayonlarda yaratma\u011fa ehtiyac yoxdur. X\u0259st\u0259l\u0259rin say\u0131 da o q\u0259d\u0259r  çox deyil ki, rayonlarda da bel\u0259 laboratoriyalar yarad\u0131ls\u0131n, sonradan ambulator müalic\u0259l\u0259r zaman\u0131 h\u0259min x\u0259st\u0259l\u0259r\u0259 yerl\u0259rd\u0259 d\u0259 yard\u0131m göst\u0259rilir. K\u0259skin leykozlar 2 il\u0259 yax\u0131n, xroniki leykozlar is\u0259 ömrü boyu müalic\u0259 al\u0131r. Bizim institutda müalic\u0259 bitdikd\u0259n sonra x\u0259st\u0259l\u0259r ya\u015fad\u0131qlar\u0131 rayonlarda h\u0259kiml\u0259rin n\u0259zar\u0259ti alt\u0131nda müalic\u0259l\u0259rini davam etdir\u0259 bilirl\u0259r. Eyni zamanda bu x\u0259st\u0259l\u0259r vaxta\u015f\u0131r\u0131 instituta müraci\u0259t edir, müayin\u0259l\u0259rd\u0259n keçirl\u0259r. Vaxt\u0131-vaxt\u0131nda d\u0259rmanlar\u0131n\u0131 alan h\u0259min x\u0259st\u0259l\u0259r dig\u0259r insanlar kimi adi h\u0259yat\u0131n\u0131 ya\u015fay\u0131r, i\u015fl\u0259yirl\u0259r. <\/p>\n

– Biz Respublika Talessemiya M\u0259rk\u0259zind\u0259 olark\u0259n d\u0259, bu gün d\u0259 daha çox Belarus t\u0259crüb\u0259s\u0131 v\u0259 sümük iliyi transplantasiyas\u0131 \u0259m\u0259liyyat\u0131nda Belarusdan h\u0259kiml\u0259r d\u0259v\u0259t edildiyini e\u015fitdik. Maraql\u0131d\u0131r, bizim Avropa ölk\u0259l\u0259ri il\u0259 \u0259laq\u0259l\u0259rimiz yoxdur, yoxsa Belarusda qan x\u0259st\u0259likl\u0259rinin müalic\u0259si daha çox inki\u015faf edib ki, biz daha çox onlarla t\u0259crüb\u0259 mübadil\u0259si apar\u0131r\u0131q. <\/strong><\/p>\n

– Belarusdan olan h\u0259kiml\u0259r bizd\u0259 transplantasiya \u0259maliyyatlar\u0131 ilk d\u0259f\u0259 apar\u0131lan zaman h\u0259min \u0259m\u0259liyyatlarda i\u015ftirak edibl\u0259r. \u0130lk \u0259m\u0259liyyatlar zaman tibb bac\u0131lar\u0131 da g\u0259lmi\u015fdi. Amma sonradan bizim tibb bac\u0131lar\u0131 t\u0259crüb\u0259ni öyr\u0259nib v\u0259 daha pe\u015f\u0259kar bu i\u015fi yerin\u0259 yetirdil\u0259r.  Sonrak\u0131 müdd\u0259td\u0259 xaricd\u0259n d\u0259v\u0259t olunan h\u0259kiml\u0259r\u0259 d\u0259 ehtiyac olmad\u0131. Haz\u0131rda onlar özl\u0259ri d\u0259 etiraf edirdil\u0259r ki bizim h\u0259kiml\u0259r transplantasiya \u0259maliyyatlar\u0131n\u0131 pe\u015f\u0259kar s\u0259viyy\u0259d\u0259  apar\u0131rlar. Belarusda is\u0259 qan x\u0259st\u0259likl\u0259rinin müalic\u0259si il\u0259 ba\u011fl\u0131 institutlar Almaniya t\u0259crüb\u0259sind\u0259n yararlan\u0131laraq qurulub. Bu gün d\u0259 Belarusda standartlar Avropa ölk\u0259l\u0259ri il\u0259 eynidir. Bel\u0259 ki, Çernob\u0131l hadis\u0259l\u0259rind\u0259n sonra x\u0259st\u0259l\u0259rin say\u0131 çox oldu\u011fu üçün bu z\u0259rur\u0259t yaranm\u0131\u015fd\u0131. Buna gör\u0259 d\u0259 Belarus q\u0259rb t\u0259crüb\u0259sind\u0259n yararlanaraq \u0259n müasir avadanl\u0131qlarla t\u0259chiz olunan x\u0259st\u0259xana qurdu. Bu gün Belarus bu sah\u0259d\u0259 h\u0259m son avadanl\u0131qlara, h\u0259m d\u0259 t\u0259crüb\u0259y\u0259 malikdir. Bizim onlardan t\u0259crüb\u0259 keçm\u0259yimiz is\u0259 h\u0259m d\u0259 dil yax\u0131nl\u0131\u011f\u0131 il\u0259 ba\u011fl\u0131d\u0131r. Bizim bütün h\u0259kiml\u0259rin ingilis dil biliyi olmasa da, \u0259ks\u0259triyy\u0259t rus dilini bilir. Bu s\u0259b\u0259bd\u0259n Belarusla \u0259m\u0259kda\u015fl\u0131qlar davam etdirilir. Amma Avropa ölk\u0259l\u0259ri il\u0259 d\u0259 \u0259laq\u0259l\u0259rimiz var v\u0259 bu \u0259laq\u0259l\u0259ri, t\u0259crüb\u0259 mübadil\u0259sini inki\u015faf etdiririk. H\u0259kiml\u0259ri ist\u0259r qan x\u0259st\u0259likl\u0259trinin müalic\u0259si, ist\u0259rs\u0259 d\u0259 transplantasiya \u0259maliyyatlar\u0131n\u0131n apar\u0131lmas\u0131 il\u0259 ba\u011fl\u0131 böyük t\u0259crüb\u0259y\u0259 malikdir. C\u0259nubi Qafqaz ölk\u0259l\u0259rind\u0259n yaln\u0131z Az\u0259rbaycanda tranplantasiya \u0259m\u0259liyyat\u0131 apar\u0131l\u0131r. \u018fld\u0259 olunan n\u0259tic\u0259l\u0259r d\u0259 çox göz\u0259ldir. Apar\u0131lan \u0259m\u0259liyyatlar\u0131n ham\u0131s\u0131 il\u0259 ba\u011fl\u0131 n\u0259tic\u0259l\u0259r q\u0259na\u0259tb\u0259x\u015fdir v\u0259 x\u0259st\u0259l\u0259r normal h\u0259yatlar\u0131n\u0131 davam etdirirl\u0259r. <\/p>\n

– Bu gün onlarla x\u0259st\u0259 transplantasiya \u0259m\u0259liyyat\u0131n\u0131n apar\u0131lmas\u0131 üçün növb\u0259 gözl\u0259yir. Onlar\u0131n yax\u0131nlar\u0131 biziml\u0259 müsahib\u0259l\u0259rind\u0259 d\u0259 bildiribl\u0259r ki, tezlikl\u0259 bu \u0259m\u0259liyyat\u0131n apar\u0131lmas\u0131n\u0131 ist\u0259yirl\u0259r. Bilm\u0259k ist\u0259rdik transplantasiya \u0259m\u0259liyyat\u0131n\u0131n apar\u0131lmas\u0131 z\u0259ruriliyi il\u0259 ba\u011fl\u0131 hans\u0131 m\u0259rh\u0259l\u0259d\u0259 v\u0259 hans\u0131 formada q\u0259rar verilir?<\/strong><\/p>\n

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

Xalid VAH\u0130DOGLU<\/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.<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Zöhr\u0259 \u018flimirz\u0259yeva: “Vaxt\u0131-vaxt\u0131nda d\u0259rmanlar\u0131n\u0131 alan h\u0259min x\u0259st\u0259l\u0259r dig\u0259r insanlar kimi adi h\u0259yat\u0131n\u0131 ya\u015fay\u0131r, i\u015fl\u0259yirl\u0259r” (\u018fvv\u0259li öt\u0259n say\u0131m\u0131zda) Tibb elmi inki\u015faf etdikc\u0259 bir zamanlar insanlar üçün böyük narahatl\u0131q yaradan bir çox…<\/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-35191","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\/35191","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=35191"}],"version-history":[{"count":0,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/35191\/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=35191"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=35191"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=35191"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}