Júmaghaly ISMAILOV, Ontýstik Qazaqstan oblystyq densaulyq saqtau basqarmasynyng bastyghy:Aymaqtyng densaulyq salasynda aituly ózgerister bar
- Elimizde halyq densaulyghyn jaqsartugha arnalghan «Salamatty Qazaqstan» memlekettik baghdarlamasy jýzege asyryluda. Osy orayda, Ontýstik Qazaqstan oblysynda qanday janalyqtar bar?
- Elimizde halyq densaulyghyn jaqsartugha arnalghan «Salamatty Qazaqstan» memlekettik baghdarlamasy jýzege asyryluda. Osy orayda, Ontýstik Qazaqstan oblysynda qanday janalyqtar bar?
- Ontýstik Qazaqstan - elimiz boyynsha halyq eng kóp shoghyrlanghan aimaq. Býginde túrghyndar sany - 2622,1. Ómir sýru úzaqtyghy jaghynan ontýstikqazaqstandyqtar respubliykalyq ortasha kórsetkish - 69 jastan ozyq túr. Yaghny 69,8 jasty qúrap, «Salamatty Qazaqstan» memlekettik baghdarlamasynda aitylghanday, ortasha ómir sýru dengeyimiz 70 jasqa jaqyndap qaldy. Sonday-aq túrghyndardyng sәbiylerding dýniyege kelu jaghynan da jetistigimiz jeterlik. Respublikalyq kórsetkish - 22,6 bolsa, Ontýstik Qazaqstanda - 30,7. Soghan qaramastan jalpy ólim-jitim az - 5,9. Búl kórsetkish respublikada - 8,6 ekenin aita ketsem, artyq bolmas.
- Ontýstik Qazaqstan oblysynyng halqyna medisinalyq kómek kórsetuding jaqsartu jәne onyng qoljetimdiligin qamtamasyz etu maqsatynda oblystyng densaulyq saqtau salasynyng infraqúrylymyn damytu jayynda ne aitasyz?
- Densaulyq saqtau basqarmasy basqa da mýddeli memlekettik organdarmen jәne audan, qala әkimdikterimen birlesip, nysandardyng jaghdayyn, qosymsha nysandargha qajettilikti anyqtau ýshin týgeldey densaulyq saqtau nysandarynda týgendeu jәne pasporttau júmystaryn jýrgizdi. Barlyq densaulyq saqtau nysandarynyng elektrondyq bazasy qúryldy. Demografiyalyq ahual men auru-syrqaulyq, basty basymdyqtar men nysandardyng jay-kýiin esepke ala otyryp, oblystyq densaulyq saqtau basqarmasy kýrdeli jóndeu júmystaryn jýrgizu jәne qúrylys salu ýshin densaulyq saqtau nysandaryn irikteu kriyteriylerin әzirledi. Nәtiyjesinde 2016 jylgha deyingi kezenge auystyrugha, janadan salugha, kýrdeli jóndeuge jatatyn nysandar tizbesi anyqtaldy.
Ontýstik Qazaqstan oblysynyng densaulyq saqtau jýiesin 122 derbes mediysinalyq úiymdary, barlyghy 959 nysan qúraydy. 2010 jylgha deyin 16 densaulyq saqtau nysany salyndy, 2010-2011 jyldary 134 densaulyq saqtau nysany iske qosyldy. 2010 jyly 3,2 mlrd tengege 75 densaulyq saqtau nysany salyndy, 2011 jyly - 3,4 mlrd tengege 59 nysan salyndy, onyng ishinde «saqaldy» densaulyq saqtau nysandarynyng qúrylysy ayaqtaldy: 2 tuberkulezge qarsy dispanseri, 2 emhana, Sozaq audandyq perzenthanasy, oblystyq klinikalyq balalar auruhanasy bar. 2012 jylgha jalpy somasy 5,6 mlrd tengege 59 densaulyq saqtau nysanyn salu josparlanghan (onyng ishinde 4 auyspaly), onyng 51-i jergilikti budjet qarajaty esebinen 2,01 mlrd tengege salynatyn bolady. Sonymen birge býginde Densaulyq saqtau ministrligimen birlesip, medisiyna úiymdarynyng qúrylysyn saluda memlekettik-jekemenshik seriktestikting tetikteri jasaluda.
Densaulyq saqtau nysandarynyng jaghdayyn aitarlyqtay jaqsartugha kezen-kezenmen kýrdeli júmystardy jýrgizuding arqasynda qol jetkizildi. Birinshi kezekte kýrdeli jóndeu kóp beyindi qalalyq jәne audandyq auruhanalarda, balalar auruhanalarynda jәne perzenthanalarda, odan keyin qalalyq jәne audandyq emhanalarynda, tuberkulezge qarsy mekemelerinde jýrgizildi. Kezen-kezenmen jýrgiziletin júmys jalghastyrylatyn bolady.
2009 jyldan 2012 jylgha deyin oblystyng audandary men qalalarynyng 111 medisinalyq úiymdarynda kýrdeli jóndeu júmystary jýrgizildi. Aghymdaghy jyly 22 densaulyq saqtau nysanynda jóndeu júmystary jýrgiziledi. Kýrdeli jóndeuding arqasynda densaulyq saqtau nysandarynyng ghimarattary men ýi-jaylarynyng resurstary úzartyldy, olardy ústau anaghúrlym ýnemdi bolady. Aldaghy uaqytta әli 50-den astam densaulyq saqtau nysandaryn kýrdeli jóndeuden ótkizu qajet.
Densaulyq saqtau nysandaryn salu jәne kýrdeli jóndeuden ótkizu boyynsha negizgi salmaq oblystyq budjetke týsedi. Tek songhy 3 jyl ishinde oblystyq әkimdik pen mәslihattyng qoldauymen búl maqsatqa 17 milliard tengeden astam qarajat bólindi.
- Materialdyq-tehnikalyq resurs boyynsha serpilis beretin jobalar jýzege asty ma?
- Sәuleli diagnostika mәseleleri sheshilip, oblystyq klinikalyq auruhana men Shymkent qalalyq jedel medisiynalyq kómek kórsetu auruhanasyna spiralidy kompiuterlik tomograftar satyp alyndy. Oblystyq klinikalyq balalar auruhanasynda magnitti-rezonansty tomograf iske qosyldy. Oblystyq kardiologiyalyq ortalyqta elektrofiziologiyalyq zertteuge arnalghan jýie paydalanugha berildi. Jekemenshik investisiyany tartu esebinen 6 gemodializdik ortalyq ashyldy. Telemediysinalyq baylanys 12 audanda ornatyldy, 805 telemedisinalyq kenes berildi. Telefondandyru 98 payyz oryndalyp, 2011 jyly qosymsha 300 nómir bólindi.
- Medisinalyq kómekting sapasyn jaqsartudyng negizgi tetigi - búl kadrlardyng biliktiligin arttyru ghoy. Sondyqtan kadr mәselesi jóninde ne deysiz?
- Bizde zamanauy tehnologiyanyng tilin biletin bilikti kadrlargha tapshylyq bar. Qúndy qúral-jabdyqtardy qoldana bilu osy mamandargha kelip tireledi. Sondyqtan osy túrghyda jýieli týrde júmys jasaudamyz. Atap aitqanda, 2011 jyly meyirbiykelerding qosymsha 680,75 shtat birligi bólindi, onyng ishinde 260 - terapevtik uchaskelerge, 335 - pediatriyalyq uchaskelerge, 85 meyirbiyke jalpy tәjiriybe dәrigerleri ýshin, әleumettik qyzmetkerlerding 174,25 shtat birligi, psiholog dәrigerlerding 35 shtaty bólindi. Auyldyq jerlerge 108 jas maman jiberildi, oblys әkimi Asqar Myrzahmetovting tapsyrmasymen jas mamandargha әleumettik paket berilip, jergilikti budjetten 98,9 mln tenge bólindi, 2012 jyldyng 9 aiy ishinde 83 maman auyldyq jerge jiberildi.
Respublikalyq ortalyqtarda biliktilikti jogharylatu maqsatynda GhO jәne GhZY Ontýstik Qazaqstan oblysyna kelip, master-klasstar ótkizildi. Sonymen birge Resey, Ukraina, Belorussiya, Litva, Polisha, Týrkiya, Izraili siyaqty halyqaralyq ortalyqtarmen yntymaqtastyq ornatyldy. DDÚ jәne EO, SDS, YuNIYSEF, YuNFPA jobalary jýzege asyryluda. Liytvamen jasalghan 3 jyldyq memorandum jalghasyn tabuda. Neonatalidyq hirurgiya, balalar kardiohirurgiyasy boyynsha sheberlik sabaqtary (Resey, Litva, Polisha, Izraili) úiymdastyryldy. DDÚ jәne EO OQO-daghy «Qazaqstanda ana men bala densaulyghyn qoldau» 2009-2011jyldargha pilottyq jobalar ayaqtaldy.
- Qazirgi uaqytta jýrek-qan tamyrynyng aurulary, tuberkulez, júqpaly syrqattar, jaraqattar, el ishinde әli keninen kezdesetini jasyryn emes. Soghan baylanysty qanday júmystar jasaluda?
- Búl aurulardy jýieli týrde júmys jýrgizip, payda boluynyng qauipti faktorlaryn jong arqyly aldyn alugha bolady. Atap aitqanda, qan ainalymy jýiesining aurulary boyynsha oblysta 2 angiografiyalyq zerthana tәulik boyy júmys isteydi, 2012 jyldyng 9 aiy ishinde - 1565 KAG jýrgizildi, stentteu - 636 nauqasqa jasaldy. Sonday-aq trombolitikalyq terapiya 306 nauqasqa jýrgizildi, 48 payyz jedel mediysinalyq kómek jaghdayynda gospitaligha deyingi dengeyde jýrgizildi. Ashyq jýrekke 287 operasiya jasaldy. Oblystyq kliniykalyq auruhana men Shymkent qalalyq jedel medisinalyq kómek kórsetu auruhanasynda 2 insulit ortalyghy ashyldy.
Búdan basqa tuberkulezge qarsy 15 diyspanserden 11 audanaralyq TQD qúryldy. Qayta qúrylymdau barysynda 6 tuberkulezge qarsy mekemelerding stasionarlyq bólimsheleri jabyldy. Tuberkulezge qarsy sanatoriy (Balyqshy), hospis (Qazyghúrt) ashyldy. Qazir «Saumal» pilottyq jobasy iske asyryluda, keshendi emdeuge «Saumal» shipaly susyny kirgizildi.
«Taza su» baghdarlamasynyng oryndaluyna baylanysty A tipti virustyq gepatitpen, jiti ishek infeksiyalarymen nauqastanushylyqtyng tómendegeni bayqalady. Balalargha gemofilidik infeksiyagha, pnevmokoktik pnevmoniyagha qarsy vaksiynasiya jasau endirildi. Jalpy, jiti ishek infeksiyasynyng aldyn alu boyynsha halyqpen aqparattyq-týsindiru júmysy keninen jýrgizilude.
- Elbasynyng Qazaqstan halqyna Joldauynda onkologiyalyq aurulardyng aldyn alugha basymdyq berilgeni belgili. Endi osy jayynda tolyghyraq aitsanyz.
- Qazir onkologiyalyq aurumen auyratyn nauqastardyng ortasha jasy - 58,7. Onyng 36 payyzy - erler bolsa, 64 payyzy - әielder. Kórdiniz be, әielder erkekterge qaraghanda eki ese jii auyrady. Sonday-aq nauqastardyng 49 payyzy qalada, 51 payyzy auyldyq jerlerde túrady. 29 payyzy júmys istemeydi, 18 payyzynyng perzentteri joq. Yaghny әrbir besinshi nauqas ózining reproduktivti funksiyasyn oryndaugha qauqary joq. Búl, әriyne, elimizding demografiyalyq jaghdayyna da әserin tiygizedi. Ári nauqastardyng 37 payyzy kópbalaly otbasynda ómir sýredi. Sonymen qatar 64 payyzynyng әleumettik jaghdayy tómen.
TMD elderining ishinde bizding oblysta alghash ret skrining-ortalyq ashyldy. Qazaqstanda túnghysh ret qalqansha bezding obyryn jәne juan ishekting obyryn erte diagnostikasyn anyqtau bastaldy. Oblystyq onkologiyalyq dispanserde radiologiyalyq korpus iske qosyldy. Kórinetin jerde ornalasqan qaterli isikterding anyqtaluy 77,7 payyzgha ósti, onkoaurulardyng 5 jylgha deyin tiri qalushylyq kórsetkishi 48,4 payyzgha artty.
- Býginde sanitarlyq aviasiya qyzmeti qarqyndy týrde damyp keledi. Óitkeni shalghay jerlerge jetip, dәrigerlerding sapaly medisinalyq kómek kórsetuin barynsha jedeldetuge memleketimiz mәn berip otyr emes pe? Búl qyzmet ontýstikte qanshalyqty óz dengeyinde jýrgizilude?
- Sanitarlyq aviasiya bólimshesi GPRS navigasiya jýiesi ornatylghan 10 sanitarlyq avtomashinamen jabdyqtalghan, olardyng 2 kuvezderimen balalar reanimobiyli bolyp tabylady. 2011 jyly sanitarlyq aviasiya jelisi boyynsha 4077 shaqyrugha qyzmet kórsetildi (onyng ishinde oblystyq mekemelerge tasymaldanyp emdeuge jatqyzylghany - 775 pasiyent), Respublikalyq sanitarlyq aviasiya jelisi boyynsha 5 nauqas respubliykalyq medisinalyq úiymdaryna auystyryldy. Al 2012 jyldyng 9 aiynda 2859 shaqyrugha qyzmet kórsetildi, respublikalyq kliniykalargha 9 nauqas auystyryldy. Shymkent - Samara trassasynda Tótenshe jaghday ministrligining trassalyq medisiynalyq-qútqaru punkt ornalasqan. 2012 jyly 9 aiynda shúghyl jauap kaytaru brigadasy júmys isteytin brigada 52 shaqyrudy oryndady. Qazir әue-kóliktik sanitarlyq aviasiyany jýzege asyru bastaldy. Maqtaaral, Bәidibek, Otyrar audandary men Sholaqqorghanda aeroport salu qajettiligi tuyndauda.
- Ontýstikte búdan bylay «jedel jәrdem» qyzmeti әlemdik standarttargha say qyzmet kórsetetin bolady dep estidik. Alghash ret oblystyq densaulyq saqtau basqarmasynyng úiymdastyruymen «jedel jәrdemnin» qyzmetin jetildiruge arnalghan sheberlik sabaqtary úiymdastyryluda eken. Osyghan toqtalsanyz.
- Oblys túrghyndaryna jedel mediysinalyq kómek kórsetude sapaly qyzmet atqaru maqsatynda jergilikti «jedel jәrdem» qyzmetkerlerine litvalyq mamandar sheberlik sabaqtaryn ótkizude. Kurstyng ereksheligi sol, oqytylyp jatqan barlyghy 527 dәriger men felidsherding ishinen ýzdik kórsetkishke jetken 10 maman aldaghy uaqytta shetelderde biliktiligin arttyru kurstaryna joldama alady. Osylaysha eresekter men balalargha jedel medisinalyq kómek kórsetuding halyqaralyq standarttaryn tolyq mengergen mamandar ózimizding jergilikti әriptesterin oqytatyn bolady. Oqu-ýirenu kurstary 10 qyrkýiekte bastalghan. Atalmysh is-shara 18 qazangha deyin jalghasyn tabady. Sonday-aq ózimizding jergilikti dәrigerlerding arasynan trenerlerdi dayyndau budjet esebine de asa salmaq týsirmeydi. Sebebi birneshe elden arnayy mamandardy shaqyrtqannan góri jergilikti dәrigerlerdi sol kurstargha jibergen әldeqayda tiyimdi. Ári olar aldaghy uaqytta óz әriptesterine oqu-ýirenu kurstaryn ózderi ótkize alady.
- Júmaghaly Qazybayúly, sizder osyghan deyin de litvalyq mamandarmen birlese júmys jýrgizip kelesizder. Ásirese, ana men bala densaulyghyn jaqsartuda ong nәtiyjeler bar. Atap aitqanda, 2011 jyly Ontýstik Qazaqstan oblysy songhy jiyrma jylda bolmaghan ana men bala ólimining eng tómengi kórsetkishine qol jetkizipti. Endi biylghy kórsetkishteriniz jóninde ne deysiz?
- Biz biyl litvalyq әriptesterimizben ýshjyldyq memorandumdy ayaqtaghaly otyrmyz. Basynda perinatalidyq kómek kórsetuding jana әdisterin mengeru boyynsha birqatar júmystar jýrgizildi. Bizding Ontýstik Qazaqstan oblysy elimizde alghashqy ónir bolyp ALSO baghdarlamasy boyynsha qarqyndy oqudy ótkizdi. Nәtiyjesinde ana men nәresteler ólimining kórsetkishi ótken jyly respublikalyq dengeyden tómen boldy. Búl tәuelsizdik jyldaryndaghy búryn-sondy bolmaghan jaghday. Al endi osy dengeyimizdi keminde ýsh jyl ústap túrsaq, jýieli týrdegi júmysymyzdyng nәtiyjesi kórinedi. Cóz reti kelgende aita keteyin, ana men bala densaulyghyn qorghau oblys әkimi Asqar Myrzahmetov pen mәslihattyng ýnemi nazarynda.
Qazir ay sayyn ana ólimi birtindep tómendep keledi. Al aghymdaghy jyldyng alghashqy toghyz aiynyng qorytyndysy boyynsha nәreste ólimining kórsetkishi 5,7 payyzgha tómendegen.
- Biraq biylghy jyly qys ailarynda ana ólimi ushyghyp, eldi eleng etkizgeni belgili...
- IYә, qys ailarynda virustyq pnevmoniya boyynsha jýkti әielder arasynda ólim-jitim oryn alghany ras. Búryn túmaugha qarsy vaksinasiya jasalmaytyn jәne әiel men onyng ishtegi sharanasyna túmaudyng qanshalyqty qauipti ekendigi jóninde resmy mәlimet te bolmaytyn. Tek óz qalauy boyynsha biren-saran jýkti әielder ghana túmaugha qarsy vaksina qabyldaytyn. Qazir osy kýzden bastap bizde birinshi ret jýkti әielder arasynda vaksina jasau qolgha alynuda. 40 myng doza vaksina osy maqsatta satyp alyndy.
Ayta ketu kerek, әlemde jýkti әielderge vaksinasiya bayaghydan qoldanylady. DÚÚ europalyq burosynyng ókilderi týsindirgendey, jýktilikting ekinshi jәne ýshinshi ýshaylyqtarynda (triymestr) vaksina jasau eshqanday qauip tóndirmeydi. Densaulyq saqtau ministrligi aghymdaghy jyly jýkti әielderdi immunizasiyalaugha jatatyn kategoriya qataryna qosty.
- Jasyratyny joq, jýrek-qan tamyry jýiesi aurulary, jalpy, Qazaqstan halqynyng aurushandyghyna, mýgedektigine jәne ólim-jitimine әserin tiygizip otyr. Oblystyq kardiologiyalyq ortalyqta kardiohirurgiya iske qosylghaly biraz uaqyt ótti. Biraq nege auru sany azaymaydy?
- Búl patologiyanyng taraluynyng ónirlik erekshelikteri kóbinese kardiologiyalyq diagnostikanyng sapasyna, ónirde zamanauy diagnostikalyq apparaturanyn, dayyndalghan mamandardyng bar-joghyna baylanysty. Bala tuu sanynyng ósuine jәne tua bitken jýrek aqaulary diagnostikasynyng jaqsaruyna baylanysty oblysta jyl ótken sayyn tua bitken jýrek aqaulary bar balalar sany kóbeyip jatyr. Jyl sayyn tua bitken jýrek aqaulary bar 480 bala tuylady, onyng ishinde, 350-370 bala operasiya jasaudy qajet etedi. Qazirgi uaqytta 15 jasqa deyingi tua bitken jýrek aqauy bar 1811 bala esepte túrsa, onyng 470-i - bala bir jasqa tolmaghandar.
2010 jylgha deyin bizding ónirding balalary kardiohirurgiyalyq kómekti tek Astana, Almaty qalalaryndaghy respubliykalyq ortalyqtarda ghana alyp keldi. Tua bitken jýrek aqaularyn týzetuge múqtaj balalardyng kóptigine baylanysty 2010 jyldyng tamyzynan Shymkent qalasyndaghy oblystyq kardiologiya ortalyghynyng kardiohiyrurgiya bólimshesining bazasynda tua bitken jýrek aqaulary bar balalargha operasiya jasala bastady. Kardioortalyqtyng mamandary Polisha, Izraili, Novosibirsk, sonday-aq respublikalyq ortalyqtar bazasynda dayyndyqtan ótti. 2010 jyly oblystyq kardiologiya ortalyghynyng mamandary tua bitken jýrek aqauy bar 25 balagha operasiya jasady. 2011 jyly nauryzda balalar kardiohiyrurgiyasy bólimshesining ashyluyna baylanysty jasalghan operasiyalar sany 153-ke jetti. Tua bitken jýrek aqauy bar balalarda jýrek quysyna kateter qoi bastaldy.
Salmaghy 10 kelige jetpeytin jas balalarda kýrdeli jýrek aqaulary boyynsha (Tetrado Fallo, magistralidy tamyrlardan eki ese aghu, atrioventrikulyar kanal jәne basqalar) operasiya jasau qajettiligine baylanysty 2011 jyly Polisha mamandarymen birge balalar kardiohiyrurgiyasy boyynsha 2 master-klass ótkizildi. Osy kezende Polisha mamandarymen birge tua bitken jýrek aqaulary bar eresekter men balalargha 127 operasiya jasaldy. 2012 jyly mamyr-mausym ailarynda polishalyq әriptestermen birlesip 87 balagha jәne 27 eresekterge ashyq jýrekke operasiya jasaldy.
Aghymdaghy jyldyng 25 qyrkýieginen bastap, ekinshi master-klass ótkizilude. Osy kezende kýrdeli jýrek aqaulary bar jәne salmaghy 10 kelige jetpeytin 60-70 balagha operasiya jasau josparlanyp otyr. Qazirgi uaqytta Polishadan kelgen mamandarmen birge tua bitken jýrek aqaulary boyynsha 16 operasiya jasaldy.
- Birinshi ret Ontýstik Qazaqstan oblysynda nauqastardyng әleumettik portreti jasalypty. Osy jayynda aitsanyz...
- Nauqastardyng әleumettik portreti halyqtyng hal-ahualynan habar beredi. Onkologiya әielderde 2 ese jii kezdesedi, nauqastardyng 18 payyzynyng balalary joq, jartysynan kóbisining tabysy kýnkóristik tabystan az otbasy bar. Sonday-aq tuberkulezge shaldyqqandardyng ortasha jasy - 36 jas, alghash ret anyqtalghandardyng 65 payyzy - júmyssyzdar, әrbir 5-otbasy kópbalaly, әleumettik qamsyzdandyrylu dengeyi tómender - 64 payyzdy qúraydy. Mine, osylardyng barlyghyn ónirding әleumettik-ekonomikalyq damu baghdarlamasyn jasaqtaghanda eskeru kerek dep oilaymyn.
- Jalpy, jergilikti dәrigerler ishten kemtar bolyp tuylghan sәbiylerge ota jasaudy da jete mengergen sekildi. Estuimizshe, ózge oblystyng balalary da sizderge kelip emdeledi...
- IYә, songhy jyldary osynday operasiyalardyng kólemi bes esege ósip otyr, operasiyadan keyingi jaqsy nәtiyje 75 payyzgha jetti. Osyny eskere otyryp, Densaulyq saqtau ministrligining búiryghymen bizdegi balalar auruhanasy ýsh oblysqa - Qyzylorda, Jambyl jәne Ontýstik Qazaqstangha jana tuylghan balalar hirurgiyasynan kómek beredi. Oblystyq balalar auruhanasynyng materialdyq-tehnikalyq jaghdayy, ondaghy kompiuterlik tomografiya, sәulelik diagnostiyka, bәri tolyghymen sheshilgen. Qoryta aitqanda, oblys әkimining basshylyghymen aimaqta el densaulyghyn jaqsartu jolynda ýlken júmystar jýrgizilude.
- Súhbatynyzgha raqmet!
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