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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eqsploziur reaqciebi travmis msgavs, an situaciis simbolurad<br />
gamaxsenebel umniSvnelo stimulze, romelic amnezirdeba pirovnebis mier. 3.<br />
eqsploziuri reaqciebi kombinirebuli alkoholis, an narkotikebis<br />
xmarebasTan, rac iwvevs suicidur an asocialur qmedebebs an kriminalur<br />
Zaladobas ojaxis an sazogadoebis wevrebze. 4. sxva SemTxvevaSi TSD iwvevs<br />
qr. invalidizacias fsiqikuri aSlilobebiT. 5. fsiqo-somaturi simptomebi da<br />
daavadebani. 6. reaqtiuli fsiqozuri qmedeba. 7. travmis transmisia TaobebSi.<br />
TSD dros PTSD simptomebi xSirad Tan erwymis iseT aSlilobebs,<br />
rogoricaa depresia, disociaciuri fenomeni, pirovnebis Secvla,<br />
destruqciuli qmedebani, sxvadasxva usiamovno SegrZnebebi, agznebadoba da<br />
disforiuloba agresiul fantaziebTan kombinaciaSi. (Steven M. Weine, Daniel<br />
F. Becker et al.)<br />
Александровский miwiZvrebis <strong>Sede<strong>ge</strong>bi</strong>sa da Cernobilis avariis<br />
Sede<strong>ge</strong>bze dakvirvebis safuZvelze aRwers socialur-stresul darRvevebs da<br />
PTSD atipiur formebs, romelTaTvisac ar aris niSandoblivi TvalsaCino<br />
"ganmeorebadi gancdis" simptomTa arseboba.<br />
somxeTis miwisZvris (1988 w.) da baSkireTSi gazsadenze avariis (1989w.)<br />
Sedegad dazaralebulTa dakvirvebebis Sedegad В.В. Ковалев da Н.К. Асанова<br />
mier post-stresuli darRvevebi kvalificirebul iyo, rogorc "panikurdepresiuli<br />
aSlilobani".<br />
avRaneTis omis veteranebze Catarebuli dakvirvebebis Sedegad П.И.<br />
Сидоров., М.Ф. Лукманов askvnian, rom omis veteranTa Soris upiratesad<br />
damaxasiaTebelia pirovnuli aSlilobani.<br />
amgvarad, dReisaTvis PTSD klinikasTan da diagnostikis sakiTxebTan<br />
dakavSirebiT ar arsebobas erTiani midgoma. H. Glover azriT, PTSD<br />
klinikasTan dakavSirebuli farTo speqtris problemebis analizi<br />
miuTiTebs imaze, rom PTSD an warmoad<strong>ge</strong>ns aSlilobas polimorfuli<br />
klinikuri gamovlinebebiT, an unda vivaraudoT, rom arsebobs am<br />
aSlilobis sxvadasxva tipebi.<br />
unda aRiniSnos, rom <strong>wamebis</strong> SemTxvevebSi, xSirad posttravmuli<br />
stresuli daavadebis simptomebi Serwymulia sxva aSlilobebTan, iseTi<br />
rogoric aris fobikuri sindromi Tavisi sxvadasxva formiTa da<br />
gamovlinebebiT, gansakuTrebiT amgvari fobiebi asocirebuli <strong>wamebis</strong><br />
situaciebTan, magaliTad viTardeba klaustrofobia, sibnelis SiSi, marto<br />
yofnis SiSi da a. S.;<br />
xSiria <strong>wamebis</strong> msxverplTa Soris SfoTviT – panikuri aSlilobani,<br />
gansakuTrebiT ki situaciebSi, romelic agonebs <strong>wamebis</strong> faqtebs, magaliTad<br />
policiis danaxvisas, <strong>samedicino</strong> instrumentebis danaxvisas da a. S.<br />
<strong>wamebis</strong> Sedegad xSirad viTardeba depresiuli mdgomareoba.<br />
DSM – IV is mixedviT imisaTvis, rom Rrma depresiis diagnozi daisvas,<br />
aucilebelia ori kviris ganmavlobaSi yuradReba mieqces Tundac xuT<br />
qvemoTCamoTvlil faqtors :<br />
1) daTrgunuli ganwyoba; 2) interesis sagrZnobi daqveiTeba da interesis<br />
dakargva an TiTqmis dakargva cxovrebiseul siamovnebebze ; 3) wonis<br />
dakargva an madis Secvla ; 4) uZiloba an gadametebuli Zili ; 5)<br />
fsiqomotoruli agzneba an daqveiTeba ; 6) daRliloba an Zalis gamocla ; 7)<br />
usar<strong>ge</strong>blobis SegrZneba da zedmetad an usafuZvlod Tavis dadanaSauleba;<br />
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