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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metad mniSvnelovani da xSirad reabilitaciis aucilebeli meTodia<br />
fizioTerapia da masaJi, romelic gansakuTrebiT Zval – saxsrovani<br />
da nevrologiuri paTologiebis dros aris aqtulauri.<br />
fsiqikuri/fsiqologiuri reabilitacia da mkurnaloba<br />
travmuli stresis sxvadasxva klinikuri gamovlinebebis dros<br />
mkurnalobaSi mniSvnelovan rols TamaSobs farmakoTerapia. rigi<br />
avtorebis azriT (F. Weil et al.), PTSD qronizaciis Tavidan acilebis mizniT,<br />
aucilebelia fsiqo-travmis Semdeg dauyovnebeli mkurnaloba. yvelaze<br />
efeqtur saSualebebad, gansakuTrebiT SfoTvis maRali xarisxis dros,<br />
miCneulia benzodiazepinis rigis preparatebi, rogoricaa<br />
qlordiazepoqsidi (libriumi), diazepami (valiumi), flurazepami (dalmani)<br />
da oqsazepami (seraqsi). es preparatebi iTvleba naklebad toqsiurad da ar<br />
iwveven damokidebulebis warmoqmnas. (Swon<strong>ge</strong>r A., Constantine L., BassuckE.,<br />
Shchoonover S., Shader R.). zogierTi avtori mizanSewonilad miiCnevs beta -<br />
adrenoblokatorebis gamoyenebas (propranoli, inderali, anaprilini),<br />
gansakuTrebiT im SemTxvevebSi, rodesac SfoTva da fsiqo-fiziologiuri<br />
stresuli aSlilobebi vlindeba pirvel rigSi periferiuli avtonomiuri<br />
simptomatikiT. (Kolb, Burris, et al). PTSD mkurnalobaSi warmatebiT<br />
gamoiyeneba tricikliuri antidepresantebi, gansakuTrebiT SfoTvisa da<br />
depresiuli komponentis mosaxsnelad. (amitriptilini, melipramini). umetesi<br />
mkvlevarebis azriT, tricikliuri antidepresantebi efeqturia momatebuli<br />
agznebadobis, akviatebuli gancdebisa da koSmarebis, disociaciuri<br />
epizodebis mosaxsneladac. preparatis saSualo dozaa 140 mg. dReSi, xolo<br />
mkurnalobis saSualo xangrZlivoba _ 8 kviridan 6 Tvemde. sxva monacemebiT<br />
upiratesoba eniWebaT maos inhibitorTa jgufis antidepresantebs, kerZod<br />
fenelzins. preparatis doza 75 mg. dan 45 mg. mde. meryeobs. Zlieri agznebis<br />
mosaxsnelad gamoiyeneba fenoTiazinis jgufis preparatebi qlorpromazini<br />
(aminazini, Torazini) da Tioridazini (melerili) mcire dozebiT. M. Wolf et<br />
al. did mniSvnelobas aniWeben antikonvulsant karbamazepins.<br />
PTSD mkurnalobis ZiriTad meTods warmoad<strong>ge</strong>ns fsiqoTerapia.<br />
gamoiyeneba individualuri, ojaxuri da jgufuri fsiqoTerapiis sxvadasxva<br />
meTodi.<br />
mwvave mdgomareobebis da PTSD qronizaciis profilaqtikis mizniT,<br />
umniSvnelovanesia sami klasikuri principi (Coleman, Butcher, Carson,<br />
Kentsmith). es principebia: gadaudebloba, daaxloeba da imedi. gadaudebloba<br />
gulisxmobs adreul <strong>diagnostika</strong>sa da mkurnalobas. daaxloeba moicavs<br />
Terapiis Catarebas saomari moqmedebebisa da masiuri katastrofebis<br />
zonasTan axlos; da bolos, imedi gulisxmobs « gamamxnevebel<br />
damokidebulebas », roca dazaralebuls STaegoneba momavlis rwmena.<br />
R. Grincer omisSemdgomi reaqciebis samkurnalod SemogvTavaza<br />
individualuri fsiqoTerapiis dros natriumis pentonalis gamoyeneba, rac<br />
xels uwyobs pirovnebis gaxsnas da ganapirobebs emociuri ganmuxtvisa da<br />
kaTarzisis swrafad miRwevas.<br />
eqstremalur situaciebSi, individualuri da jgufuri fsiqoTerapiis<br />
saxiT, warmatebiT gamoiyeneba travmaze orientirebuli neirolingvisturi<br />
programirebis meTodi, aseve hipnoTerapia, msubuqi transis mdgomareoba<br />
da STagoneba. farTo gavrceleba hpova Mitchel meTodma, rac gulisxmobs<br />
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