narkomaniis Sesaxeb
narkomaniis Sesaxeb
narkomaniis Sesaxeb
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<strong>narkomaniis</strong> <strong>Sesaxeb</strong><br />
6<br />
vin SeiZleba CaerTos<br />
metadoniT CanacvlebiTi<br />
mkurnalobis programaSi?<br />
metadonuri programebi yvela pacientisTvis<br />
ar aris rekomendebuli. metadoni<br />
sakmaod Zlieri narkotikia da Tavad iwvevs<br />
da mokidebulebis Camoyalibebas. amitom,<br />
ase Ti mkurnaloba ar aris rekomendebuli<br />
SedarebiT axalbeda narkotikebze damokidebuli<br />
pirebisTvis. es meTodi ufro<br />
ise Ti pacientebisTvis aris gankuTvnili,<br />
romlebmac ramdenjerme ukve scades unarkotiko<br />
meTodebiT mkurnaloba, magram sasurvel<br />
Sedegs ver miaRwies.<br />
amitom, metadoniT CanacvlebiTi mkurnalobis<br />
programaSi pacientTa CarTvis kriteriumebi<br />
specialurad aris gansazRvruli<br />
jandacvis ministris `opioiduri damokidebulebis<br />
CanacvlebiTi mkurnalobis<br />
programebis ganxorcielebis meTodikiT”.<br />
kriteriumebi Semdegia:<br />
1. opioidebze damokidebulebis sindromis<br />
(aqtiuri damokidebuleba) diagnozisa<br />
da masTan erTad me-2 punqtSi<br />
aRniSnul kriteriumTagan aranakleb<br />
erT-erTis arseboba;<br />
2. a) aranakleb 25 wlis asakisa; opioiduri<br />
jgufis narkotikuli nivTierebebis<br />
moxmarebis minimum 3 wlis, amasTan,<br />
intravenuri moxmarebis, sul mcire, 1<br />
wlis staJis arseboba; opioiduri damokidebulebis<br />
sxva meTodebiT warumatebeli<br />
mkurnalobis, minimum, ori<br />
SemTxveva.<br />
b) aiv/inficireba, SidsiT daavadeba;<br />
g) fexmZimoba;<br />
d) sxva gansakuTrebuli klinikur-socialuri<br />
maCveneblebis SemTxvevaSi, ga-<br />
monaklisis saxiT, eqspertTa sabWos<br />
gadawyvetileba.<br />
rogor xdeba pacientebis<br />
mier `quCis” narkotikebis<br />
miRebis Tavidan acileba?<br />
`quCis” narkotikebis miRebis Tavidan acilebis<br />
mizniT pacientebs regularulad<br />
utardebaT Sardis qimio-toqsikologiuri<br />
kontroli narkotikuli/fsiqotropuli niv<br />
Tierebebis Semcvelobaze. pacientis mier<br />
mkurnalobis reJimis darRvevis, maT Soris<br />
eqimis daniSnulebis gareSe narkotikebis mi-<br />
Rebis SemTxvevaSi, igi gairicxeba samkurnalo<br />
programidan. eqimis daniSnulebis ga reSe<br />
narkotikis miRebis SemTxvevaSi, CanacvlebiTi<br />
Terapiis programaSi yofna ar aTavisuflebs<br />
pacients kanonis winaSe pasuxismgeblobisgan.<br />
ras isaxavs miznad<br />
aRniSnuli programa?<br />
programis ZiriTadi mizani aris opioidebze<br />
damokidebuli pacientebis fsiqikuri<br />
da fizikuri janmrTelobis gaumjobeseba,<br />
maTi Camocileba narkotikebTan dakavSirebuli<br />
kriminaluri saqmianobisagan, sazogadoebaSi<br />
integrireba, aiv/Sidsis da hepatitebis<br />
gavrcelebis SezRudva. pacientebTan<br />
muSaobs specialistTa gundi, romlebSic<br />
eqimebisa da eqTnebis garda Sedian fsiqologebi<br />
da socialuri muSaki. programis<br />
saboloo mizania pacientebis sruli ga-<br />
Tavisufleba narkotikebisgan, maT Soris<br />
metadonisgan.<br />
eqimi-narkologi, med. mecn. doqtori,<br />
profesori gela leJava<br />
eqimi-narkologi, med. mecn. kandidati<br />
xaTuna TodaZe.
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