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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damTrgunveli sizmrebi travmis Sesaxeb. Senisvna: bavSvebSi SesaZloa<br />
iyos gaucnobierebeli koSmaruli sizmrebi. 3. SegrZneba da qveva, TiTqos<br />
pirovneba kvlav imyofeba matravmirebel situaciaSi (gacocxlebuli<br />
warmod<strong>ge</strong>nebi, iluziebi, halucinaciebi, "Flashbacks" epizodebi). SeniSvna:<br />
bavSvebi TamaSSi aRad<strong>ge</strong>nen matravmirebel situacias. 4. intensiuri<br />
fsiqologiuri gancda im Sinagan an garegan mizezebze, romlebic<br />
axseneben, an simbolurad gamoxataven travmas. 5. intensiuri<br />
fsiqologiuri reaqcia im Sinagan an garegan gamRizianeblebze, romlebic<br />
axseneben, an simbolurad gamoxataven travmas.<br />
C. travmasTan asocirebul stimulTagan mudmivi gaqceva da ganurCevloba<br />
garSemo momdinare movlenebisadmi, rac pirovnebas travmamde ar<br />
aReniSneboda. es SesaZloa gamovlindes Semdegi sami /an meti/ saxiT: 1.<br />
travmasTan dakavSirebuli azrebis, gancdebisa an saubrisagan gaqcevis<br />
mcdeloba. 2. im saqmianobisagan, adgilebisa da adamianebisgan Tavis<br />
arideba, romelnic iwvevs mogonebebs travmis Sesaxeb. 3. travmis<br />
umniSvnelovanesi aspeqtebis aRd<strong>ge</strong>nis SeuZlebloba. 4. mniSvnelovan<br />
saqmianobaSi monawileobis, an interesTa gamoxatuli Sesusteba. 5.<br />
gaucxoebisa da sxvebisagan ganmartoebis SegrZneba. 6. afeqtebis SezRudva<br />
(siyvarulis grZnobis gancdis SeuZlebloba). 7. momavlis<br />
uperspeqtivobis gancda (fiqrebi, rom ar eyoleba ojaxi, Svilebi, ar<br />
eqneba kariera an normaluri adamianuri cxovreba).<br />
D. gamoRviZebis persistentuli simptomebi, romelic ar aRiniSneboda<br />
travmamde, rac vlindeba Semdegi ori an meti niSniT: 1. CaZinebis<br />
gaZneleba an Zilis daRveva. 2. gamRizianebloba an ganrisxeba. 3.<br />
koncentraciis gaZneleba. 4. sifxizlis momateba. 5. momatebuli SiSis<br />
grZnoba.<br />
E. B, C, D kriteriumTa simptomebis xangrZlivoba unda aRematebodes 1 Tves.<br />
F. aRelveba iwvevs klinikurad mniSvnelovan mdgomareobas an socialuri<br />
da adaptaciuri meqanizmebis moSlas, an funqcionirebis sxva<br />
mniSvnelovani mxareebis moSlas.<br />
DSM-IV mixedviT, PTSD mimdinareobis mixedviT, gamoyofilia mwvave,<br />
qronikuli da dagvianebuli formebi. mwvave _ diagnostirdeba, Tu<br />
simptomebi aRiniSneba araumetes 3 Tvisa. qronikuli _ Tu simptomebi<br />
grZeldeba 3 Tveze metxans. dagvianebuli: Tu stresul movlenasa da<br />
simptomatikis gamovlenas Soris gasulia ara nakleb 6 Tvisa.<br />
1991 wlidan PTSD diagnozi Setanil iqna msoflio jandacvis<br />
organizaciis daavadebaTa saerTaSoriso klasifikaciis me-10 gadasinjvaSi<br />
(ICD-10 /International Classification of diseasis - 10 Revision/), rubrikaSi reaqcia<br />
gamoxatul stresze da adaptaciuri aSlilobani da Seesabameba kodi _ F<br />
43.1., moicavs travmul nevrozs.<br />
ICD-10 mixedviT PTSD warmoad<strong>ge</strong>ns dagvianebul, gaxangrZlivebul<br />
reaqcias, gamowveuls mxolod da mxolod sicocxlisaTvis saSiSi stresuli<br />
movlenebiTa da situaciebiT, romelTac SesaZloa gamoiwvion zogadi<br />
distresi nebismier adamianSi.<br />
ICD-10 mixedviT tipiur, paTognomur simptomebad miCneulia travmis<br />
ganmeorebadi gancdis simptomebi, xolo "gandevnis" simptomebi ar aris<br />
miCneuli diagnostikisaTvis aucileblad, aseve ve<strong>ge</strong>tatiuri darRvevebi,<br />
emociuri aSlilobani da qcevis darRvevebi SesaZloa arsebobdes, magram ar<br />
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