epilefsiis kontrolisa da prevenciis samecniero-praqtikuli centri Tbilisi ...
epilefsiis kontrolisa da prevenciis samecniero-praqtikuli centri Tbilisi ...
epilefsiis kontrolisa da prevenciis samecniero-praqtikuli centri Tbilisi ...
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SeuZlia Tu ara <strong>epilefsiis</strong> mqone pirs ojaxis Seqmna?epilefsiiT <strong>da</strong>avadebul a<strong>da</strong>mians yovelTvis ainteresebs ramdenimemniSvnelovani kiTxvis pasuxi:o SeuZlia Tu ara Seqmnas ojaxi <strong>da</strong> iyos srulfasovani meuRle an de<strong>da</strong>?o eyoleba Tu ara janmrTeli Svilebi?o rogoria <strong>epilefsiis</strong> STamomavlobaze ga<strong>da</strong>cemis riski <strong>da</strong> sxva.epilefsiiT <strong>da</strong>avadebul qalisTvis mniSvnelovania SvilosnobasTan(fertilobasTan), orsulobasTan, mSobiarobasTan, axalSobilis kvebasTan <strong>da</strong>pirmSos momavalTan <strong>da</strong>kavSirebuli sakiTxebic.o epilefsiiT <strong>da</strong>avadebuli dedebis bavSvebis fizikuri <strong>da</strong> gonebriviganviTareba SemTxvevaTa did umravlesobaSi normaluria.o STamomavlobaSi <strong>epilefsiis</strong> ga<strong>da</strong>cemis riski matulobs, Tu bavSvis mamac<strong>da</strong>avadebulia epilefsiiT.ojaxis <strong>da</strong>gegmvasa <strong>da</strong> SvilosnobasTan <strong>da</strong>kavSirebuli konkretuli kiTxvebiTSegiZliaT mimarToT epileftologs.epilefsia <strong>da</strong> menstruacia‣ epilefsiiT <strong>da</strong>avadebuli qalebis <strong>da</strong>axloebiT 17%-s gulyrebi uviTardebamenstruaciis <strong>da</strong>wyebis fonze, an misi CamTavrebisas. <strong>epilefsiis</strong> aseTimimdinareobis aRsaniSnavad gamoiyeneba termini - katameniuri epilefsia".‣ gogonebSi pirveli epilefsiuri gulyra zogjer emTxveva pirvelimenstruaciis (menarqe) periods <strong>da</strong> isini SemdgomSi ZiriTa<strong>da</strong>d katameniurimimdinareobiT xasiaTdebian.‣ pirveli epilefsiuri gulyrebi SeiZleba aRmocendnen klimaqterulperiodSi, menstruaciuli ciklis Sewyvetis Semdeg.epilefsiur gulyrebsa <strong>da</strong> menstruacias Soris kavSiri ganpirobebulia mravalifaqtoriT. maT Soris yvelaze mniSvnelovania sasqeso <strong>da</strong> gonaduri hormonebissekreciis fiziologiuri, an paTologiuri cvlilebebi.epilefsiiT <strong>da</strong>avadebulma yvela qalma un<strong>da</strong> awarmoos `kalen<strong>da</strong>ri<strong>epilefsiis</strong> mqone pirebisTvis~, sa<strong>da</strong>c regularulad un<strong>da</strong> aRniSnosmenstruaciuli ciklebis <strong>da</strong>wyebisa <strong>da</strong> <strong>da</strong>mTavrebis ricxvi, gulyrisganviTarebis ricxvi, saaTi <strong>da</strong> gulyris aRweriloba!moqmedebs Tu ara epilefsia Svilosnobis unarze?!!!!!!!!!!!!!!!epilefsiiT <strong>da</strong>avadebul qalebSi Svilosnobis <strong>da</strong>mTrgunveli faqtorebia:o adreul asakSi <strong>da</strong>wyebuli epilefsia;o safeTqlis epilefsia;o zogierti antiepilefsiuri wamlis (valproati, fenitoini) maRali dozebi;o reproduqciul-endokrinuli <strong>da</strong>rRvevebi (areniSneba epilefsiiT<strong>da</strong>avadebuli qalebis 17-25%-s);o <strong>da</strong>avadebulisaTvis araxelsayreli fsiqo-socialuri garemo pirobebi.epilefsiiT <strong>da</strong>avadebuli qalebis 80-85%-s Svilosnobis Cveulebrivi unarigaaCnia. aseT qalebSi SvilosnobasTan <strong>da</strong>kavSirebuli problemebi ara martoepilefsiiT, aramed reproduqciuli sistemis funqciis sxva<strong>da</strong>sxva<strong>da</strong>rRvevebiTacaa ganpirobebuli; Sesabamisad, aseT qalebSi reproduqciulendokrinulisistemis normaluri <strong>da</strong> paTologiuri funqcionirebis mixedviT
epilefsiiT <strong>da</strong>avadebulma qalma, sasurvelia, <strong>da</strong>gegmil orsulobamde 9-12TviT adre acnobos mkurnal eqims, raTa gulyrebis maqsimalurad SemcirebismizniT, eqimma mouwesrigos antiepilefsiuri wamlis doza <strong>da</strong> mkurnalobisreJimi, radgan zogierT antiepilefsiur preparats gaaCnia nayofis anomaliebis(simaxinjeebis) ganviTarebis SesaZlebloba. foliumis mJavis nakleboba, romelicgansakuTrebiT <strong>da</strong>bali aqvT antiepilefsiur mkurnalobaze myof qalebs, zrdisnayofis simaxinjeebis ganviTarebis risks. amitom,<strong>epilefsiis</strong> mqone qalma, romelic Rebulobs antiepilefsiur preparatebs,orsulobis pirveli sami Tvisa <strong>da</strong> bolo oTxi kviris manZilzeyoveldRiurad un<strong>da</strong> miiRos foliumis mJava, 5 mg/dReSi.rogor un<strong>da</strong> imSobiaros <strong>epilefsiis</strong> mqone qalma?o epilefsiiT <strong>da</strong>avadebulma orsulma un<strong>da</strong> imSobiaros specializebulsamSobiaroSi;o epilefsiiT <strong>da</strong>avadebulTa mSobiaroba fiziologiurad mimdinareobs.o sakeisro kveTa mxolod im SemTxvevebSia naCvenebi, rodesac krunCxviTigulyrebi xSiria <strong>da</strong> maTi Sewyveta medikamentebiT ver xerxdeba;o samSobiaro blokSi mSobiarem un<strong>da</strong> <strong>da</strong>icvas antiepilefsiuri mkurnalobisuwyvetobis reJimi.o mSobiarobis Semdgom, mosalodnelia dedis sisxlSi antikonvulsantiskoncentraciis uecari mateba, rac preparatisTvis <strong>da</strong>maxasiaTebeligverdiTi movlenebiT gamovlindeba <strong>da</strong> wamlis dozis koreqciis mizniTepileftologTan konsultacias moiTxovs.riTi vkveboT axalSobili?ooo<strong>epilefsiis</strong> mqone de<strong>da</strong>m bavSvi aucileblad ZuZuTi un<strong>da</strong> kvebos, radgan,bavSvis zrdis procesSi, sxeulis masis matebis gamo, bavSvis organizmSidedis rZiT moxvedrili an ucvleli doziT miwodebuliantikonvulsantis plazmuri koncentracia Tan<strong>da</strong>TanobiT bunebrivad isemcirdeba, rom sicocxlis meeqvse TvisTvis SesaZlebelia xelovnur kvebazeumtkivneulod ga<strong>da</strong>svla <strong>da</strong> Sesabamisad, preparatis moxsnac;bunebrivi kveba un<strong>da</strong> Sewydes mxolod gansakuTrebul SemTxvevebSi. Tu dedisrZiT kveba SeuZlebelia, axalSobils un<strong>da</strong> mieces igive antikonvulsanti,romelsac Rebulobs de<strong>da</strong> (dozas gaiangariSebs epileftologi). amiTTavi<strong>da</strong>n avicilebT axalSobilSi antikonvulsantisadmi abstinenciissindroms (mousvenroba, kankali, agzneba, krTomebi, nerwyvisdena, Rebineba);Tu Cvili WarbZilianobas amJRavnebs mas un<strong>da</strong> Seumcirdes dedis rZis ulufa<strong>da</strong> mis Sesavsebad un<strong>da</strong> <strong>da</strong>ematos Sesabamisi raodenobis xelovnuri sakvebi;rogor movuaroT axalSobils?sicocxlis pirveli ramdenime kviris manZilze bavSvis movlis Cveulebriviwesebis gar<strong>da</strong> saWiroa <strong>da</strong>matebiT ramdenime martivi wesis <strong>da</strong>cva:o Tu de<strong>da</strong>s gulyrebi moulodnelad uviTardeba, winaswari SegrZnebebis(auris) gareSe, maSin, bavSvis usafrTxoebis mizniT, misi kveba <strong>da</strong> TeTreulisgamocvla umjobesia iatakze;o Tu de<strong>da</strong> martoa, bavSvis banaobis nacvlad ukeTesia misi sveli RrubliTgasufTaveba;o Tu bavSvi RamiT xSirad iRviZebs <strong>da</strong> amiT de<strong>da</strong>s ar aZlevs Zilis saSualebasiqmneba dedis gulyrebis gaaqtivebis saSiSroeba, amitom de<strong>da</strong>s RamiT Zilisan Zilis deficitis Sevsebis saSualeba un<strong>da</strong> hqondes.
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