wamebis Sedegebi; samedicino diagnostika, eqspertiza - empathy.ge
wamebis Sedegebi; samedicino diagnostika, eqspertiza - empathy.ge
wamebis Sedegebi; samedicino diagnostika, eqspertiza - empathy.ge
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amgvarad, epidemiologiuri monacemebi SesamCnevad varirebs 3,5% dan<br />
67% procentamde saSualod sxvadasxva faqtorebis gaTvaliswinebiT<br />
(travmis xasiaTi, asaki, sqesi, socio-kulturuli da eTno-kulturuli<br />
gansxvavebani da sxva). rig avtorTa azriT, aseTi sxvaobis mizezad erTiani<br />
zusti kriteriumebis ararseboba gvevlineba. mTeli rigi avtorebi miiCneven,<br />
rom gansakuTrebiT sastiki <strong>wamebis</strong> SemTxvevaSi posttravmul stresul<br />
aSlilobaTa simptomebi gvxvdeba praqtikulad 100 % SemTxvevaSi.<br />
posttravmuli stresuli aSlilobis etiologiisa da paTo<strong>ge</strong>nezis sakiTxebi<br />
gansakuTrebuli stresuli situaciiT ganpirobebuli fsiqikuri<br />
darRvevebis, reaqtiul mdgomareobaTa etiologiisa da paTo<strong>ge</strong>nezis sakiTxi<br />
pirveli msoflio omidan moyolebuli, farTo ganxilvis sagans<br />
warmoad<strong>ge</strong>nda. am sakiTxebTan dakavSirebiT mdidari masala mogvca pirveli<br />
da meore msoflio omis gamocdilebam, romlis drosac safuZvlianad iqna<br />
Seswavlili travmuli da omis periodis nevrozebi, aseve sxva<br />
fsiqoreaqtiuli darRvevebi.<br />
pirveli msoflio omis droidan moyolebuli im sakiTxis Sesaxeb, Tu<br />
ra roli eniWeba travmuli fsiqo-nevrozebis ganviTarebaSi fsiqikur<br />
travmas, aqvs Tu ara mas paTo<strong>ge</strong>nezuri mniSvneloba, Tu mxolod<br />
provokaciuli, arsebobda didi uTanxmoeba, romelic daiyvaneboda imaze, Tu<br />
romeli momenti _ egzo<strong>ge</strong>nuri Tu endo<strong>ge</strong>nuri _ aris gadamwyveti<br />
gansakuTrebuli stresiT gamowveul fsiqikur darRvevaTa warmoqmnaSi.<br />
1950 w. W. Sargant, E. Slater aRniSnavdnen travmuli nevrozis<br />
ganviTarebaSi garegani agresiis gadamwyvet mniSvnelobas da amtkicebdnen,<br />
rom garkveul viTarebaSi, roca adamianebi Zalzed travmirebulni arian,<br />
"aravis gaaCnia imuniteti".<br />
PTSD etiologiisa da paTo<strong>ge</strong>nezis Tanamedrove koncefciebi<br />
metnaklebad asaxaven travmul nevrozTan dakavSirebiT warsulSi arsebul<br />
koncefciaTa Soris konfliqts.<br />
mTel rig avtorTa mixedviT (Brett E.A., Spitzer R.L., Williams J.B.; Green<br />
B.L., Lindy J.D.; Horowitz M.J.; Millier T.W.), PTSD–is safuZvels warmoad<strong>ge</strong>ns<br />
fsiqikuri travma, romelic aRiniSneba rogorc gansakuTrebuli movlena<br />
(Life Stress Event) da romelic iwvevs mZime fsiqikur stress. aseTi "movlena"<br />
yvela SemTxvevaSi uCveuloa pirovnebisaTvis da Tan axlavs SiSi,<br />
SeZrwuneba da umweobis gancda.<br />
fsiqikuri travma _ "movlena" _ SesaZloa iyos rogorc piradi,<br />
individualuri: gaupatiureba, axlobeli adamianis daRupva, wameba,<br />
Zaladoba, aseve _ masobrivi, saerTo: omi, bunebrivi katastrofani da sxva.<br />
zogierTi travmuli movlena, mag. wameba, yovelTvis iwvevs PTSD, xolo<br />
sxva, mag. satransporto katastrofa, mxolod zogierT SemTxvevaSi. rac<br />
ufro xangrZlivia fsiqikuri travmis "movlenis" moqmedeba, miT ufro didia<br />
PTSD ganviTarebis albaToba (П.В. Каменченко).<br />
PTSD warmoSobis erT-erT yvelaze ufro mniSvnelovan da seriozul<br />
mizezad iTvleba admianis ZiriTad uflebaTa darRveva, rac Cveulebriv<br />
organizebuli Zaladobis saxiT vlindeba. (In<strong>ge</strong> Genefke; Lone Jacobsen, Knud<br />
Smidt-Nielsen, Rachel Yehuda, boasz Kahana, James Schmeidler, Steven M.<br />
Southwick, Skye Wilson, Earl l. Giller; Zahava Solomon, Yuval Neria, Abraham Ohry<br />
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