wamebis Sedegebi; samedicino diagnostika, eqspertiza - empathy.ge
wamebis Sedegebi; samedicino diagnostika, eqspertiza - empathy.ge
wamebis Sedegebi; samedicino diagnostika, eqspertiza - empathy.ge
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
movlenidan, an masTan dakavSirebuli asociaciebidan gaqcevis tendenciiT.<br />
"ganmeorebadi gancdis" simptomebi xasiaTdeba ganmeorebadi akviatebuli<br />
azrebiT, Zilis darRveviT, Ramis koSmarebiT, "Flashbacks" disociaciuri<br />
epizodebiT, SfoTvis SegrZnebiT.<br />
Z. Freud, M. Horowitz Sexedulebebma ganviTareba hpova E. Brett, R. Ostroff<br />
SromebSi, romelTac PTSD paTo<strong>ge</strong>nezuri meqanizmi warmoadgines, rogorc<br />
"gandevnisa" da "ganmeorebiTi gancdis" fsiqologiur movlenaTa<br />
urTierTobis Sedegi.<br />
ukanaskneli wlebis neirofiziologiuri da bioqimiuri gamokvlevebis<br />
<strong>Sede<strong>ge</strong>bi</strong> daedo safuZvlad PTSD biologiuri modelis Seqmnas (Davidson J.,<br />
Walker J.I., Kilts C., Mendelson G.), romelTa mixedviT PTSD paTo<strong>ge</strong>nezuri<br />
meqanizmi ganpirobebulia endokrinuli sistemis funqciis darRveviT, rac<br />
gamowveulia zezRurblovani stresuli zemoqmedebiT.<br />
dReisaTvis ufro metad perspeqtiulad iTvleba paTo<strong>ge</strong>nezis<br />
Teoriuli modelebi, romelnic iTvaliswineben PTSD ganviTarebis rogorc<br />
fsiqologiur, aseve biologiur aspeqtebs. am pirobebs yvelaze metad<br />
Seesatyviseba L. Kolb, B. Green, J. Lindy, T. Miller neirofsiqologiuri<br />
hipoTezebi. kerZod, vietnamis omis veteranebze Catarebuli<br />
fsiqofiziologiuri da bioqimiuri kvlevebis <strong>Sede<strong>ge</strong>bi</strong>s ganzogadebiT,<br />
miuTiTeben, rom intensivobiTa da xangrZlivobiT gansakuTrebuli<br />
mastimulirebeli zemoqmedebis Sedegad warmoiqmneba Tavis tvinis qerqis<br />
neironebSi cvlilebebi, sinafsur gadacemaTa blokireba da neironTa<br />
daRupvac ki. am dros, upirveles yovlisa, ziandeba tvinis zonebi, romlebic<br />
pasuxism<strong>ge</strong>belia agresiulobasa da Zilis ciklze. avtorTa klinikuri<br />
dakvirvebebi dadasturebuli iyo laboratoruli diagnostikis <strong>Sede<strong>ge</strong>bi</strong>T.<br />
<strong>wamebis</strong> fsiqikuri <strong>Sede<strong>ge</strong>bi</strong>s upiratesad gamovlenili<br />
klinikuri formebi:<br />
<strong>wamebis</strong> mwvave periodis <strong>Sede<strong>ge</strong>bi</strong>s Seswavla, rogorc ukve aRvniSneT<br />
Zalzed limitirebulia da am gancdaTa Sefaseba Tu analizi upiratesad<br />
eyrdnoba anamnezur da postfaqtum monacemebs.<br />
Cvens mier Catarebuli kvlevebis Sedegad fsiqo – reabilitaciis<br />
centri « empaTia »s monacemebiT, yvelaze xSirad mwvave periodSi gvxvdeba<br />
emociur – Sokuri reaqciebi (saerTo ricxvidan #255 amgvari reaqcia<br />
aReniSneboda 245 – 96 %), romelsac xSir SemTxvevaSi Tan sdevda suiciduri<br />
azrebi, an para – suiciduri qmedebani an TviT–dazianebis faqtebi (56<br />
SemTxvevaSi – 21,9 %), aqve unda aRiniSnos, rom fsiqikuri movlenebs Tan<br />
sdevda xSir SemTxvevaSi somaturi darRvevebi, romelic gamoixateboda:<br />
Tavis tvinis travmiT, gonebis dakargviT (146 SemTxveva – 57,30 % saerTo<br />
ricxvidan 255), sxvadasxva saxis hemoragiuli sindromi cemis an sxva saxis<br />
<strong>wamebis</strong> Sedegad ganviTarebuli (87 SemTxveva – 34,10 %) da tkiviliT<br />
gamowveuli travmuli Sokis sindromi (128 SemTxvevaSi – 50, 2 %).<br />
Cvens mier warmoebuli kvlevebis Sedegad cxadi gaxda, rom <strong>wamebis</strong><br />
mwvave periodSi vxvdebiT afeqtur – Sokuri reaqciebis rogorc<br />
stuporozul variants, aseve eqsploziur – agznebiT reaqciebs.<br />
stuporozuli variantis dros upiratesad warmod<strong>ge</strong>nili iqna iseTi<br />
25
Change language