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H ME\UNARODNA KLASIFIKACIJA BOLESTI ZAVISNOSTI Svetska zdravstvena organizacija (SZO) upotrebu PAS, odnosno bolesti zavisnosti, prisutne prate}e mentalne poreme}aje (MP) i poreme}aje pona{awa (PP) klasifikuje posebno u deset dijagnosti~kih kategorija, a svaka ima jo{ deset mogu}ih klini~kih modaliteta, odnosno ima sto mogu}ih dijagnoza. Deseta Me|unarodna klasifikacija bolesti — MKB 10 (1992) obeleàva bolesti zavisnosti sa F10 — F19. F10 — F19 Mentalni poreme}aji i poreme}aji pona{awa zbog upotreba PAS-i F 10. MP i PP zbog upotrebe alkohola F 11. MP i PP zbog upotrebe opijata F 12. MP i PP zbog upotrebe kanabinoida F 13. MP i PP zbog upotrebe sedativa i hipnotika F 14. MP i PP zbog upotrebe kokaina F 15. MP i PP zbog upotrebe drugih stimulansa i kofeina F 16. MP i PP zbog upotrebe halucinogena F 17. MP i PP zbog upotrebe duvana F 18. MP i PP zbog upotrebe isparqivih rastvara~a F 19. MP i PP zbog upotrebe vi{e droga, vi{e PAS-i (politoksikomanija). Svaka navedena tromesna {ifra od F10 do F19 (slovo i dva broja) obeleàva osnovnu bolest zbog upotrebe PAS-i a ako se doda tre}i i ~etvrti broj, {ifra omogu}ava lako pra}ewe,
30 • Dr Dragoslav Nikoli} prou~avawe specifi~nih klini~kih stawa zbog upotrebe PAS-e. Svaka osnovna bolest zavisnosti se moè javiti u deset raznih modaliteta, a to zna~i, odnosno obeleàva se na slede}i na~in: F 1.0 Akutna intoksikacija (trovawe) F 1.1 [tetna upotreba (zloupotreba) F 1.2 Sindrom zavisnosti F 1.3 Apstinencijalni sindrom F 1.4 Apstinencijalni sindrom sa delirijumom F 1.5 Psihoti~ni poreme}aj F 1.6 Sindrom amnezije F 1.7 Rezidualni poreme}aji i psihoti~ni poreme}aji sa kasnim po~etkom F 1.8 Drugi MP i PP-a F 1.9 Nespecifikovani MP i PP-a. SZO defini{e ~etiri stawa kod upotrebe PAS-i: 1. Akutna intoksikacija — prolazno stawe trovawa koje prati nenormalno pijewe alkohola ili kori{}ewe neke druge PAS-e, stawe koje karakteri{u smetwe, kognicije (saznawa), percepcije (opaàwa), ose}awa, svesti, pona{awa ili druge psihosocijalne smetwe odnosno reakcije. 2. Zloupotreba ({tetna upotreba — abuzus) upotreba PAS-e koja o{te}uje zdravqe — fizi~ko (oboqewa organa — mozga, jetre, srca...) ili mentalno (demencija, depresija...). 3. Navika (habituacija) — psihi~ka zavisnost od neke PAS koja generi{e prijatno raspoloèwe ili pak spre~ava ili ublaùje neprijatno raspoloèwe. Ne prati je apstinencijalni sindrom. 4. Zavisnost (adikcija) — skup vi{e fiziolo{kih, pona{ajnih i saznajnih fenomena, „robovawe“ osobe, koja upotrebqava neku PAS-u, radi ~ega ova zapostavqa
Page 2 and 3: BIBLIOTEKA POSEBNA IZDAWA KWIGA BR.
Page 4 and 5: Dr Dragoslav Nikoli} BOLESTI ZAVISN
Page 6 and 7: PREDGOVOR Iako se u posledwe vreme
Page 8 and 9: Bolesti zavisnosti — Predgovor
Page 10: Bolesti zavisnosti — Predgovor
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Page 32: Bolesti zavisnosti — Me|unarodna
Page 36 and 37: UVOD Savremena civilizacija je suo~
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Bolesti zavisnosti — Pu{ewe • 7
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UVOD Pijewe alkoholnih pi}a (pijewe
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Bolesti zavisnosti — Alkoholizam
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UVOD Narkomanija je kompleksna, kos
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Bolesti zavisnosti — Narkomanija
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334 • Dr Dragoslav Nikoli} Pu{ewe
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336 • Dr Dragoslav Nikoli} H E R
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338 • Dr Dragoslav Nikoli} Pu{ewe
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340 • Dr Dragoslav Nikoli} Gutawe
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342 • Dr Dragoslav Nikoli} E KS T
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PRIMARNA PREVENCIJA BOLESTI ZAVISNO
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348 • Dr Dragoslav Nikoli} za o~u
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350 • Dr Dragoslav Nikoli} Slika
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352 • Dr Dragoslav Nikoli} dru{tv
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354 • Dr Dragoslav Nikoli} ovi, i
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356 • Dr Dragoslav Nikoli} Narod
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360 • Dr Dragoslav Nikoli} Zato,
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362 • Dr Dragoslav Nikoli} i huma
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366 • Dr Dragoslav Nikoli} Sveobu
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380 • Dr Dragoslav Nikoli} BZ a k
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382 • Dr Dragoslav Nikoli} Aposto
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384 • Dr Dragoslav Nikoli} zabraw
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386 • Dr Dragoslav Nikoli} bolesn
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390 • Dr Dragoslav Nikoli} Savez
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392 • Dr Dragoslav Nikoli} prosve
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394 • Dr Dragoslav Nikoli} komuni
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398 • Dr Dragoslav Nikoli} Kratak
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400 • Dr Dragoslav Nikoli} aktivi
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402 • Dr Dragoslav Nikoli} tim po
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404 • Dr Dragoslav Nikoli} godine
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406 • Dr Dragoslav Nikoli} Aleksa
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408 • Dr Dragoslav Nikoli} Obezbe
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418 • Dr Dragoslav Nikoli} LITERA
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422 • Dr Dragoslav Nikoli} 42. Vu
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424 • Dr Dragoslav Nikoli} 73. Je
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428 • Dr Dragoslav Nikoli} 139. N
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432 • Dr Dragoslav Nikoli} mogu}a
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434 • Dr Dragoslav Nikoli} 200. R
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438 • Dr Dragoslav Nikoli} 251. F
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440 • Dr Dragoslav Nikoli} 287. W
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442 • Dr Dragoslav Nikoli} — Pa
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444 • Dr Dragoslav Nikoli} [ta je
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446 • Dr Dragoslav Nikoli} Alkoho
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Smrtnost narkomana i znaci trovawa
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... Kwiga sublimira dosada{wa sazna
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452 • Dr Dragoslav Nikoli} Bolest
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