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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– tvinis travmis myari narCeni movlenebia. paraklinikuri gamokvlevebis<br />
safuZvelze (Tvalis fskeris gamokvleva, CT, Ro – grafia) gvxvdeba<br />
intrakranialuri hipertenziisaTvis damaxasiaTebeli gamovlinebani, aseve<br />
atrofiuli kerebi; rogorc ukve iqna aRniSnuli eleqtroSokisa da TavSi<br />
cemis an mZime, rkinis sagnis Cartymis (magaliTad oTxkuTxedi formis<br />
boqlomi) Sedegad rig SemTxvevebSi adgili aqvs konvulsiur sindroms,<br />
diagnostiredeba travmuli epilefsiis sindromi, romelic dasturdeba e.e.g.<br />
gamokvleviTac.<br />
fizikuri wameba xSir SemTxvevaSi iwvevs periferiuli tipis<br />
darRvevebsac, rac iwvevs senso – motorul disfunqcias. xSirad igi<br />
vlindeba mWreli an mCxvletavi sagniT miyenebuli Wrilobebisas,<br />
“Camokidebisas”, mizanmimarTuli travmebis Sedegad. ZiriTadad pacienetebi<br />
uCivian nawilobriv paresTezias, romelic mgrZnobelobis daqveiTebaSi<br />
gamoixateba (Rasmussen, 1990).<br />
xSiria neiro<strong>ge</strong>nuli tkivilebis ganviTarebis SemTxvevebic.<br />
gansakuTrebiT ki samwvera nervis midamoSi, aseve adgili aqvs xSir<br />
SemTxvevaSi sajdomi nervis qronikuli anTebis ganviTarebasa da sxvadasxva<br />
saxis nevralgiebs, rasac ganapirobebs ara marto <strong>ge</strong>gmazomieri dartymebi,<br />
aramed araadamianur pirobebSi yofna, sicive, sineste da a.S. Zalian xSiria<br />
radikulopaTiebi. yovelive aRniSnuli atarebs qronikul xasiaTs da<br />
saWiroebs periodul mkurnalobas, SesaZloa mTeli sicocxlis manZilezec;<br />
aseve sayuradReboa, rom aRniSnuli mdgomareobani SesaZloa periodulad<br />
gaumjobesdes mkurnalobis fonze; xSiria sezonuri gamwvavebebic.<br />
sayrden – mamoZravebeli sistema<br />
rogorc cnobilia, sayrden – mamoZravebeli sistema <strong>wamebis</strong> Sedegad<br />
mniSvnelovnad ziandeba. daniis <strong>wamebis</strong> msxverplTa reabilitaciis<br />
saerTaSoriso sabWos monacemebis Tanaxmad, gamokvleul pacientTa 90 % - Si<br />
aRiniSneba am sistemis mxriv Civilebi, romlebic (86 % - dan 74 % - Si)<br />
mtkicdeba obieqturadac (Juler, Shmidt-Nielsen, 1995); centri “empaTia”s<br />
monacemebiT, 2004 – 2005 wlebSi gamokvleul 535 <strong>wamebis</strong> msxverplTa Soris<br />
20 % aRmoaCnda obieqturad dadasturebuli Zval – saxsrovani sistemis<br />
mxriv dazianeba, xolo Civilebs kunTebisa da saxsrebis qronikuli<br />
tkivilebis Sesaxeb warmoad<strong>ge</strong>nda 89 %. aseve unda aRiniSnos, rom Cvens mier<br />
Catarebuli kvlevebis Sedegad upiratesad gamovlinda xerxemlis malebis<br />
motexilobebi da diskozebi an mankieri Sexorcebis Sedegad ganviTarebuli<br />
tkivilisa da moZraobis SezRudvis mdgonmareobani, rac xSir SemTxvevaSi<br />
gamowveuli iyo xerxemlis, gansakuTrebiT ki welis midamoSi <strong>ge</strong>gmazomieri<br />
dartymebiT. gamovlenili iqna aseve muxlis saxsris dazianebebi, rac<br />
klinikurad tkivilSi, muxlis saxsris Sesivebasa da SewiTlebaSi, moZraobis<br />
SezRudvaSi vlindeboda. //<br />
unda aRiniSnos, rom xSirad Zvalsaxsrovani sistemis mxriv<br />
darRvevebi Serwymulia nevralgiebTan, radikulopaTiasa da sxva<br />
nevrologiur darRvevebTan.<br />
aseve aRsaniSnavia is garemoeba, rom TiTqmis yvela SemTxvevaSi<br />
pacients aReniSneba fizikuri <strong>wamebis</strong> Sedegad qronikulad mimdinare<br />
tkivilis, daZabulobisa da daRlilobis sindromi, gansakuTrebiT kisris,<br />
Tavisa da zeda kidurebis midamoSi, Tumca xSirad igi vrceldeba mTels<br />
sxeulSi. amave dros, obieqturi dazianebis niSnebi wamebidan mogvianebiT<br />
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