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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Cveulebriv, amoiwureba ramodenime saaTis an dRis ganmavlobaSi. amgvar<br />
stresul faqtorad SesaZloa gvevlinebodes Zlieri matravmirebeli<br />
garemoeba, romelic emuqreba adamianis an misTvis Zvirfasi adamianis<br />
usafrTxoebas, sicocxles, fizikur mTlianobas (mag. bunebrivi katastrofa,<br />
ubeduri SemTxveva, brZola, danaSaulebrivi qmedeba, gaupatiureba) an<br />
uCveulod mkveTri da SemaSinebeli socialuri mdgomareobis / an<br />
garemocvis cvlileba, magaliTad uamravi axloblis dakargva an saxlSi<br />
xanZari. aSlilobis ganviTarebis riski izrdeba fizikuri gamofitvisa da<br />
organuli faqtorebis arsebobisas »<br />
komentari : rogorc vxedavT, naklebad aris asaxuli <strong>wamebis</strong> faqtori da<br />
misi roli am daavadebis ganviTarebaSi, rac metyvelebs kvlevaTa<br />
naklebobaze.<br />
diagnostikuri kriteriumebi<br />
unda iyos gansazRvruli da mkafio kavSiri droSi uCveulo stresoris<br />
zegavlenasa da simptomTa gamovlinebas Soris; dasawyisi Cveulebriv ar<br />
aris TandaTanobiTi an iwyeba ramdenime wuTSi. amasTanave simptomebs:<br />
a) aqvT Sereuli xasiaTi da suraTi aris cvalebadi ; inicirebis stadiaze<br />
gabruebis simptomebTan erTad vlindeba depresia, SfoTva, sibraze,<br />
umweobis gancda, hiperaqtiuloba da gariyuloba, magram arcerTi maTgani<br />
ar prevalirebs xangrZlivad.<br />
b) amoiwureba swrafad (yvelaze didi ramodenime saaTSi) in SemTxvevebSi,<br />
sadac SesaZlebelia stresuli faqtoris moSoreba. im SemTxvevebSi, roca<br />
stresi xangrZlivdeba an Tavisi bunebidan gamomdinare ar SeiZleba Sewydes,<br />
simptomebi lagdeba 24 – 48 saaTidan sami dRis ganmavlobaSi TandaTanobiT.<br />
moicavs :<br />
krizisul mdgomareobas ;<br />
mwvave krizisul mdgomareobas ;<br />
sabrZolo gadaRlas ;<br />
fsiqikur Soks<br />
(ICD – 10 1999)<br />
rogorc ukve iqna aRniSnuli, fsiqikuri aSliloba, romelic upiratesad<br />
xSirad gvxvdeba <strong>wamebis</strong> msxverplTa Soris aris posttravmuli stresuli<br />
aSliloba, misi mwvave Tu qronikuli variantebi.<br />
posttravmuli stresuli aSlilobis klinika da <strong>diagnostika</strong><br />
rogorc cnobilia, PTSD pirvelad, mTeli rigi gamokvlevebis<br />
safuZvelze, M. Horowitz mier 1980 w. iqna SemoRebuli da amave wels igi iqna<br />
Setanili, rogorc calke klinikuri forma amerikul diagnostikur<br />
klasifikaciaSi _ DSM-III (Diagnostic and Statistical Manual of Mental Disorders _<br />
fsiqikur aSlilobaTa diagnostikuri da statistikuri saxelmZRvanelo).<br />
DSM-II gamoxatuli stresiT gamowveuli fsiqikuri aSlilobebi, gamoxatuli<br />
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