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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xelaxla ganicdeba mkafiod da detalurad. Ramis koSmarebi epizodebis<br />
saxiT gansakuTrebiT vlindeba stresul situaciebSi, an rodesac axlovdeba<br />
travmuli movlenis saiubileo TariRebi. Zilis darRveva TiTqmis<br />
yovelTvis PTSD damaxasiaTebeli paternia, im SemTxvevebSic ki, roca ar<br />
vlindeba Ramis koSmarebi da igi gamoixateba CaZinebis gaZnelebasa da<br />
gamoRviZebisas gamouZinarobis SegrZnebaSi. es xSirad warmoad<strong>ge</strong>ns<br />
alkoholisa da narkotikebis gamoyenebis mizezs, "TviTmkurnalobis" mizniT,<br />
rac iwvevs "ukukavSiris efeqts", romlis gamoc Ramis koSmarebi vlindeba<br />
ufro intensiurad.<br />
akviatebuli mogonebebi vlindeba ufro iSviaTad, vidre Ramis<br />
koSmarebi da ZiriTadad realurad, naTeli cnobierebis fonze, Tumca<br />
SesaZlebelia gaxangrZlivebuli disociaciuri mdgomareobis ganviTarebac,<br />
romelic cnobilia "Flashbacks" epizodebis saxelwodebiT (disociaciuri<br />
epizodi, rodesac travmuli movlena an masTan dakavSirebuli situaciebi<br />
TiTqos kvlav meordeba). amgvari disociaciuri epizodebi damaxasiaTebelia<br />
metad Zlieri travmatizaciis SemTxvevaSi, rodesac travmul movlenas<br />
warmoad<strong>ge</strong>ns mZime fizikuri travma, wameba, incesti da sxva. "Flashbacks"<br />
epizodebi upiratesad uviTardebaT narkotizaciis, an alkoholizaciis, an<br />
sxva saxis intoqsikaciis fonze. disociaciis epizodebis arseboba miuTiTebs<br />
PTSD mkveTrad gamoxatul, mZime formaze.<br />
akviatebulobaTa simptomebi aseve vlindeba qcevaSic. travmis<br />
msxveplT aqvT mZime, usiamovno emociebi, rodesac isini fiqroben an<br />
gaixseneben travmul movlenas, rac iwvevs SfoTvis momatebas da amitom<br />
damaxasiaTebelia im situaciebisgan gaqceva, Tavisarideba, romelnic<br />
axseneben travmis Sesaxeb. qcevis es paterni amerikis fsiqiatrTa asociaciis<br />
mier ganixileba, rogorc "kontr-fobiuri" (Counter Phobic) qceva, romelic<br />
xSir SemTxvevaSi iwvevs pirovnebis ganmartoebisaken tendenciebis,<br />
garemosagan izolirebasa da TavisTavSi Caketvas, urTierTobebis<br />
problemebs.<br />
zemoT moyvanili simptomebi damaxasiaTebelia M. Horowitz mier<br />
mowodebuli ganmeorebis fazisaTvis (Intrusive/Repetive Phase).<br />
upiratesad PTSD qronikuli da rTuli formebisTvis<br />
damaxasiaTebelia M. Horowitz mixedviT gandevnis/uaryofis (Avoidance/Denial<br />
Phase) fazis simptomTa arseboba, romelic xasiaTdeba travmasTan<br />
dakavSirebuli, Tu mimdinare problemebis gandevniT, rac vlindeba<br />
depresiul an piriqiT agresiul reaqciaSi, gansakuTrebiT im situaciebSi,<br />
romelnic stimulacias uweven travmuli movlenis gaxsenebas. am SemTxvevaSi<br />
pacientebi Tavs arideben mkurnalobas, im motiviT, rom amaze saubari, ver<br />
Secvlis verafers, da acxadeben, rom maT ar gaaCniaT raime emocia.<br />
gandevnis, uaryofisa da emociuri "gayinvis" (Psychic Numbing)<br />
simptomebi mniSvnelovani da damaxasiaTebelia PTSD klinikuri<br />
suraTisaTvis. am simptomTa arsebobisas klinicistTa varaudiT saqme gvaqvs<br />
xasiaTobriv cvlilebebTan, risTvisac damaxasiaTebelia adaptaciis unaris<br />
daqveiTeba. aseTi xasiaTobrivi cvlilebebi premorbidulad arsebuli<br />
pirovnuli, xasiaTobrivi darRvevebisagan gansxvavebiT, gamoirCeva<br />
TviTkritikis maRali maCvenebliTa da danaSaulis, TviTgvemis gancdiT.<br />
PTSD erTerT centralur simptomad miCneulia TviTbraldebis<br />
gancda, rac gulisxmobs travmul situaciaSi pirovnebis sakuTari qceviT,<br />
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