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gamodis 1957 wli<strong>da</strong>n<br />

Tbilisis saxelmwifo samedicino universitetis gamocema #2 (234) Tebervali 2010<br />

prezidentis granti<br />

axalgazr<strong>da</strong> mecniers<br />

mniSvnelovani sityva<br />

samecniero azrovnebaSi<br />

qarTuli wiTeli yurZnis antioqsi<strong>da</strong>nturi<br />

eqstraqtis antiaTerogenuli<br />

efeqturobis<br />

<strong>da</strong>dgena gaxl<strong>da</strong>T axalgazr<strong>da</strong><br />

mecnieris, Tbilisis saxelmwifo<br />

samedicino universitetis<br />

doqtorantis, levan ratianis,<br />

erTi wlis ganmavlobaSi warmoebuli<br />

kvlevis sagani.<br />

Tssu-is biblioTekis cisfer<br />

<strong>da</strong>rbazSi proeqtis prezentaciaze<br />

mowveulma stumrebma <strong>da</strong><br />

profesor-maswavleblebma ma-<br />

Rali <strong>Sefaseba</strong> misces aRniSnul<br />

naSroms.<br />

gv.2<br />

pediatris profesia<br />

pediatris profesiaze <strong>da</strong> pediatriuli<br />

ganaTlebis axal<br />

gamowvevebze gvesaubreba profesori<br />

irakli favleniSvili.<br />

gagrZeleba.<br />

<strong>da</strong>sawyisi wina nomerSi.<br />

gv.8<br />

moqmedi silabusis<br />

Sefasebis principebi<br />

Tbilisis saxelmwifo samedicino<br />

universitetis xarisxis<br />

uzrunvelyofis samsaxuri<br />

gvacnobs silabusis struqturas<br />

<strong>da</strong> <strong>misi</strong> Sefasebis principebsa<br />

<strong>da</strong> kriteriumebs.<br />

gv.7<br />

siaxle:<br />

saxelmZRvaneloebisa <strong>da</strong> <strong>da</strong>mxmare literaturis<br />

Seqmnis, <strong>dizaini</strong>s <strong>da</strong> <strong>da</strong>mtkicebis procedura<br />

gv. 11<br />

RirsSesaniSnavi Sexvedra<br />

xelSekrulebebi studentTa <strong>da</strong>sasaqmeblad <strong>da</strong> klinikuri swavlebisaTvis...<br />

cxovrebis jansaRi wesis <strong>da</strong>samkvidreblad<br />

26 Tebervals, 12 saaTze,<br />

Tbilisis saxelmwifo samedicino<br />

universitetis saaqto<br />

<strong>da</strong>rbazSi Sexvedra amaRlebuli<br />

ganwyobiT <strong>da</strong>iwyo... samedicino<br />

universitetisa <strong>da</strong> Tbilisis<br />

meriis mxar<strong>da</strong>WeriT un<strong>da</strong> ganxorcieldes<br />

proeqti Tbilisis<br />

klinikebSi studentTa <strong>da</strong>saqmebis<br />

Sesaxeb, romelsac iwyebs<br />

samedicino universitetis<br />

`studentTa <strong>da</strong> axalgazr<strong>da</strong><br />

specialistTa profesiuli integraciis<br />

ganyofileba~.<br />

proeqti iTvaliswinebs 500-mde<br />

studentis <strong>da</strong>saqmebas. pirvel<br />

etapze CarTuli iqneba 200 studenti,<br />

romelTa Soris warmatebulebs<br />

Tbilisis meriisgan<br />

<strong>da</strong>eniSneba honorari 100 laris<br />

odenobiT. amasTanave, dRes aq,<br />

samedicino universitetsa <strong>da</strong><br />

kidev 8 klinikas Soris, xeli<br />

moewereba studentebisa <strong>da</strong><br />

rezidentebis <strong>da</strong>xelovnebis<br />

mizniT urTierTTanamSromlobis<br />

memorandums. agreTve,<br />

urTierTTanamSromlobis memorandumi<br />

gaformdeba samedicino<br />

universitetsa <strong>da</strong> kompania<br />

`IDS borjomi saqarTvelos~<br />

Soris iseT mniSvnelovan sakiTxze,<br />

rogoricaa sazogadoebaSi<br />

cxovrebis jansaRi wesis<br />

<strong>da</strong>mkvidreba.<br />

Sexvedras eswrebodnen q. Tbilisis<br />

meriis socialuri momsaxurebisa<br />

<strong>da</strong> kulturis saqalaqo<br />

samsaxuris ufrosi, batoni<br />

mamuka qacarava, im klinikaTa<br />

xelmZRvanelebi, romlebic<br />

mzad arian staJirebasa<br />

<strong>da</strong> <strong>da</strong>saqmebaze studentebisa <strong>da</strong><br />

rezidentebis misaRebad.<br />

`rom ara Tqveni mxar<strong>da</strong>Wera,<br />

didi problemebi Seeqmnebo<strong>da</strong><br />

diplomisSemdgom momzadebas.<br />

swored sazRvargareT Tu aq myofi<br />

Cveni kurs<strong>da</strong>mTavrebulebis,<br />

klinikis xelmZRvanelebis<br />

Tanadgomam ganapiroba is maRali<br />

reitingi, rac sxva umaRles saswavleblebTan<br />

Se<strong>da</strong>rebiT, aqvs<br />

samedicino universitets~, _ aRni-<br />

Sna universitetis reqtorma,<br />

profesorma zurab va<strong>da</strong>Wkoriam<br />

<strong>da</strong> didi madloba gamoxata<br />

Tbilisis m. iaSvilis saxelobis<br />

bavSvTa centraluri saavadmyofos<br />

xalmZRvanelobis mimarT,<br />

sa<strong>da</strong>c SromiTi xelSekruleba<br />

gauform<strong>da</strong> 57 students; Tbilisis<br />

saswrafo samedicino <strong>da</strong>xmarebis<br />

centris xelmZRvanelo<br />

bisadmi, sa<strong>da</strong>c <strong>da</strong>saqmebulia 122<br />

studenti. aseve, reqtorma gulwrfeli<br />

madloba ga<strong>da</strong>uxa<strong>da</strong> yvelas,<br />

vinc mxarSi udgas samedicino<br />

universitets momavali eqim-<br />

Ta Taobis maRalprofesionale-<br />

rima beriaSvili<br />

<strong>codnis</strong> <strong>Sefaseba</strong> <strong>da</strong> <strong>testuri</strong><br />

gamoc<strong>da</strong>. <strong>testis</strong> <strong>dizaini</strong> <strong>da</strong><br />

<strong>misi</strong> <strong>Sedgenis</strong> wesebi.<br />

gv.3<br />

bad Camoyalibebis saqmeSi. isaubra<br />

zafxulis skolis praqtikis<br />

aucileblobaze, romlis Casatareblad<br />

erT-erT mniSvnelovan<br />

bazad, rogorc Tanamedrove doneze<br />

aRWurvili <strong>da</strong> maRalprofesionali<br />

kadrebiT <strong>da</strong>kompleqtebuli,<br />

<strong>da</strong>asaxela saCxeris raionuli<br />

klinika. profesorma zurab<br />

va<strong>da</strong>Wkoriam universitetis Rvi-<br />

Zli Svili <strong>da</strong> moamage uwo<strong>da</strong> baton<br />

mamuka qacaravas im mxar<strong>da</strong>Weris,<br />

zrunvisa <strong>da</strong> TanadgomisaTvis,<br />

rasac igi iCen<strong>da</strong> <strong>da</strong> iCens<br />

mSobliuri umaRlesi saswavleblis<br />

mimarT. aRsaniSnavia, rom<br />

samedicino universitetis studentebisa<br />

<strong>da</strong> rezidentebis <strong>da</strong>xelovnebis<br />

mizniT urTierTTanamSromlobis<br />

memorandumi ukve<br />

gaformebuli <strong>da</strong> ZalaSia 122<br />

samedicino <strong>da</strong>wesebulebasTan,<br />

romelTa Soris 45 _ specializebulia,<br />

17 _ mravalprofiliani, 8<br />

_ samecniero-kvleviTi instituti,<br />

29 _ samedicino centri <strong>da</strong> 23<br />

_ stomatologiuri klinika.<br />

am Sexvedraze STambemW<strong>da</strong>vi<br />

iyo baton mamukas mier samedicino<br />

universitetisadmi gamoxatuli<br />

siTbo <strong>da</strong> siyvaruli,<br />

radgan igi studentobi<strong>da</strong>n moyolebuli<br />

<strong>da</strong> Semdgom aq, mrava-<br />

wignis Taro<br />

gazeTi gamodis 1957 wli<strong>da</strong>n.<br />

`samedicino gazeTis~ re<strong>da</strong>qcia: vaJa-fSavelas 33, oTaxi 600 tel. 54-24-64<br />

re<strong>da</strong>qtori <strong>da</strong>li gabeSia. korespondentebi: manana fxalaZe, <strong>da</strong>rejan komlaZe, nato bolqvaZe, nino giorgaZe. Semosuli masalebi ar recenzirdeba <strong>da</strong> avtorebs ar ubrundeba.<br />

www.tsmu.edu<br />

saeklesio kalen<strong>da</strong>ri<br />

gv.2<br />

rubrikas<br />

uZRveba<br />

profesori<br />

vadim saakaZe<br />

wamalTa teqnologia<br />

a. bakuriZe.<br />

Tbilisi.: iri<strong>da</strong>.-2009.-310gv.<br />

saxelmZRvaneloSi ganixileba<br />

samkurnalwamlo preparatebis<br />

warmoebis Teoriuli safuZvlebi,<br />

konkretuli samkurnalwamlo<br />

formis teqnologia. aRwerilia<br />

teqnologiuri procesebis<br />

Tanamedrove manqana _<br />

aparaturiT aRWurvis mdgomareoba,<br />

am <strong>da</strong>nadgarebis muSaobis<br />

principebi, avtomatizaciisa <strong>da</strong><br />

meqanizaciis xvedriTi wona<br />

warmoebis procesSi. <strong>da</strong>xasiaTebulia<br />

mineraluri, mcenareuli<br />

<strong>da</strong> cxoveluri nedleulis ga<strong>da</strong>muSavebis<br />

Taviseburebani.<br />

samkurnalwamlo preparatebis<br />

ganxilva warmodgenilia<br />

tradiciuli TanamimdevrobiT:<br />

istoriuli mimoxilva, zogadi<br />

<strong>da</strong>xasiaTeba, klasifikacia, upiratesobis<br />

maxasiaTeblebi, naklovani<br />

mxareebi, teqnologiis<br />

sakiTxebi, stan<strong>da</strong>rtizaciis<br />

Taviseburebani, SefuTvis sakiTxebi,<br />

markirebisa <strong>da</strong> Senaxvis<br />

wesebi.<br />

saxelmZRvanelo Sedgenilia<br />

Tbilisis saxelmwifo samedicino<br />

universitetis farmacevtuli<br />

fakultetis sakredito<br />

<strong>da</strong>sasruli gv.10 <strong>da</strong>sasruli gv.12

samedicino gazeTi Tebervali 2010 gv.2<br />

qronika<br />

pirveli gverdi<strong>da</strong>n<br />

mniSvnelovani sityva samecniero azrovnebaSi<br />

dRes medicinaSi did yuradRebas iqcevs<br />

bunebrivi antioqsi<strong>da</strong>nturi naerTebi,<br />

romlebic antiradikaluri <strong>da</strong> antioqsi<strong>da</strong>nturi<br />

TvisebebiT xasiaTdeba <strong>da</strong><br />

swored araerTi Tanamedrove kvleviT<br />

<strong>da</strong>sturdeba antioqsi<strong>da</strong>nturi Terapiis<br />

efeqturoba aTerosklerozis mkurnalobis<br />

paTogenezSi _ preparatebs, romelTac<br />

SeswevT unari imunuri ujredebis<br />

modulaciisa, mniSvnelovani efeqturoba<br />

axasiaTebT aTerosklerozis<br />

prevenciasa <strong>da</strong> mkurnalobaSi.<br />

proeqtis grantiT <strong>da</strong>finanseba<br />

saqarTvelos erovnulma samecniero<br />

fondma ga<strong>da</strong>wyvita, romlis erT-erTi<br />

yvelaze popularuli programa axalgazr<strong>da</strong><br />

mecnierTaTvis prezidentis<br />

samecniero grantebis miniWebaa <strong>da</strong> am<br />

konferencia<br />

profesiuli janmrTeloba -<br />

problemebi <strong>da</strong> perspeqtivebi<br />

farglebSi, sakmaod did konkursSi,<br />

SeirCa axalgazr<strong>da</strong> medikosis proeqti.<br />

doqtorantma <strong>da</strong> Tssu-is epr laboratoriis<br />

xelmZRvanelma, profesorma<br />

Tamar sanikiZem, codna, gamocdileba<br />

<strong>da</strong> energia ar <strong>da</strong>iSures aRniSnuli kvlevis<br />

maRalefeqtur doneze Casatareblad.<br />

proeqtis mizani qarTuli warmoebis<br />

antioqsi<strong>da</strong>nturi preparatis - fenovinis<br />

- imunomodulatoruli Tvisebis<br />

<strong>da</strong>dgena gaxl<strong>da</strong>T Jurkat-ujredebis modelur<br />

sistemaSi.<br />

proeqtis farglebSi ganxorciel<strong>da</strong><br />

viziti aSS-Si, gamoica monografia - `apoptozis<br />

regulacia Jurkat-ujredebis modelur<br />

sistemaSi~, <strong>da</strong>ibeW<strong>da</strong> samecniero<br />

statiebi, miRebuli masalebi moxsen<strong>da</strong><br />

Tebervlis <strong>da</strong>sawyisSi saqarTvelos universitetma mniSvnelovan<br />

konferencias _ `erTad <strong>da</strong>vicvaT profesiuli janmrTeloba~ _<br />

umaspinZla, romelic mieZRvna saxelmwifo programis _ `profesiul<br />

<strong>da</strong>avadebaTa prevenciisa <strong>da</strong> monitoringis~ farglebSi Sesrulebuli<br />

samuSaos angariSs.<br />

konferencia gaxsna <strong>da</strong> programis<br />

farglebSi Catarebuli samuSaos mniSvnelobaze<br />

isaubra medicinis doqtorma,<br />

Sromis medicinisa <strong>da</strong> ekologiis<br />

samecniero-kvleviTi institutis generalurma<br />

direqtorma, programis<br />

koordinatorma, q-nma rusu<strong>da</strong>n javaxaZem.<br />

konferenciis monawileebs miesalmnen<br />

<strong>da</strong> problemis aqtualobaze gaamaxviles<br />

yuradReba saqarTvelos Sromis, janmrTelobis<br />

<strong>da</strong> socialuri <strong>da</strong>cvis ministrma,<br />

b-nma aleqsandre kvitaSvilma,<br />

Tbilisis saxelmwifo samedicino universitetis<br />

reqtorma, profesorma<br />

zurab va<strong>da</strong>Wkoriam, Tssu-is kurortologiis<br />

<strong>da</strong> samkurnalo turizmis departamentis<br />

xelmZRvanelma, profesorma<br />

nikoloz saakaSvilma <strong>da</strong> sxvebma.<br />

profesiul <strong>da</strong>avadebaTa prevenciisa<br />

<strong>da</strong> monitoringis koncefciis <strong>da</strong> realizaciis<br />

meqanizmebi, profesiuli riskfaqtorebis<br />

higienuri <strong>Sefaseba</strong> cementis,<br />

manganumisa <strong>da</strong> Tambaqos warmoeba-<br />

Si, epidemiologiuri kvlevis Sedegebi,<br />

<strong>da</strong>saqmebulTa qimiuri usafrTxoebis<br />

sistemis erovnuli modeli, qimiuri usafrTxoebis<br />

sistemis informaciuli<br />

uzrunvelyofa, <strong>da</strong>saqmebulTa reproduqciuli<br />

janmrTelobis programa,<br />

momuSaveTa janmrTelobaze mZime<br />

metalebis zemoqmedebis <strong>Sefaseba</strong>, Sro-<br />

mis medicinis saerTaSoriso erovnuli<br />

modeli, profesiuli janmrTelobis<br />

<strong>da</strong>cvis sferos samarTlebrivi aspeqtebi<br />

<strong>da</strong> sazogadoebrivi jan<strong>da</strong>cvis problemebi,<br />

saqarTvelos mosaxleobis profesiuli<br />

janmrTelobis gaumjobesebis<br />

saxelmwifo programis mimarTulebebi<br />

2010-2015 wlebSi, _ aseTi gaxl<strong>da</strong>T konferenciaze<br />

warmodgenili moxsenebebis<br />

Tematika, razec isaubres momxseneblebma:<br />

r. javaxaZem, m. arabiZem, n.<br />

CxaiZem, i. Rvineriam, m. Jurulma, x.<br />

CigogiZem, T. svaniZem, g. CidraSvilma,<br />

T. lobJaniZem.<br />

gamomsvlelTa mier aRiniSna, rom<br />

Sromis pirobebis higienuri Sefasebis<br />

aucileblobas ganapirobebs momuSave-<br />

Ta janmrTelobis <strong>da</strong>cva profesiiT ganpirobebuli<br />

riskebisgan <strong>da</strong> efeqturi<br />

gamajansaRebeli RonisZiebebis<br />

SemuSaveba_realizacia; warmoebebSi<br />

Catarebuli higienuri kvlevebis mizani<br />

_ momuSaveTa Sromis pirobebis kompleqsuri<br />

higienuri <strong>Sefaseba</strong> Sromis<br />

pirobebis higienuri klasifikaciis<br />

moTxovnebis mixedviT.<br />

yuradReba gamaxvil<strong>da</strong> sxva<strong>da</strong>sxva<br />

faqtorebis zemoqmedebiT gamowveuli<br />

reproduqciuli janmrTelobis <strong>da</strong>r-<br />

Rvevebis naadrev gamovlenasa <strong>da</strong> prevenciaze.<br />

gamoikveTa, rom Catarebuli<br />

kvlevebis mixedviT sxva<strong>da</strong>sxva warmoe-<br />

saerTaSoriso konferenciebs.<br />

kvlevis SedegebiT <strong>da</strong><strong>da</strong>stur<strong>da</strong> fenovinis<br />

gamoyenebis maRalefeqturoba _<br />

preparatma gaamarTla!<br />

rogorc prezentaciaze profesorma<br />

no<strong>da</strong>r gogebaSvilma aRniSna, qarTvel<br />

mkvlevarTa mier warmodgenili modeluri<br />

cdebi maRal donezea Sesrulebuli,<br />

rac, zoga<strong>da</strong>d, Znelad misaRwevia,<br />

gansakuTrebiT saqarTveloSi.<br />

Jurkat -ujredebis kultura samecniero<br />

praqtikaSi aprobirebuli modelia apoptozis<br />

meqanizmebis, sxva<strong>da</strong>sxva antisimsivnuri<br />

<strong>da</strong> imunomodulatoruli preparatis<br />

<strong>da</strong> radiaciis sxva<strong>da</strong>sxva dozis zemoqmedebis<br />

apoptozze mastimulirebuli <strong>da</strong><br />

mainhibirebeli efeqtebis kvlevisaTvis, T<br />

limfocitebis aqtivaciis pirobebis SeswavlisaTvis<br />

<strong>da</strong> is faqti, rom Tbilisis saxelmwifo<br />

samedicino universitetis laboratoriis<br />

bazaze SesaZlebelia am mimarTulebiT<br />

aseTi maRalkvalificiuri kv-<br />

baSi avadobis maRali done aRiniSna im<br />

samuSao adgilebze, sa<strong>da</strong>c, higienuri<br />

TvalsazrisiT, ara<strong>da</strong>makmayofilebeli<br />

Sromis pirobebia, rac a<strong>da</strong>sturebs<br />

<strong>da</strong>saqmebulTa profilaqtikuri samedicino<br />

gasinjvebis Catarebis aucileblobas;<br />

programis farglebSi pirveladi<br />

jan<strong>da</strong>cvis doneze SemuSav<strong>da</strong><br />

saqarTveloSi gavrcelebuli uxSiresi<br />

profesiuli <strong>da</strong>avadebebis _ silikozis<br />

<strong>da</strong> vibraciuli <strong>da</strong>avadebebis protokolebi<br />

<strong>da</strong> gaidlainebi.<br />

rogorc programis koordinatorma,<br />

Sromis medicinisa <strong>da</strong> ekologiis samecniero-kvleviTi<br />

institutis generalurma<br />

direqtorma, q-nma rusu<strong>da</strong>n<br />

javaxaZem CvenTan saubrisas aRniSna,<br />

programis mizani gaxl<strong>da</strong>T profesiul<br />

<strong>da</strong>avadebaTa prevencia, <strong>da</strong>saqmebuli<br />

mosaxleobis janmrTelobis <strong>da</strong>cva,<br />

epidze<strong>da</strong>mxedvelobiTi <strong>da</strong> monitoringis<br />

sistemis formireba. miRebuli<br />

Sedegebis safuZvelze SemuSav<strong>da</strong> kompleqsuri<br />

profilaqtikuri RonisZiebebi,<br />

romelic mimarTulia Sromis<br />

pirobebis gasaumjobeseblad. programis<br />

farglebSi ganxorcielebuli<br />

higienuri, toqsikologiuri, epidemiologiuri<br />

<strong>da</strong> klinikuri kvlevebis monacemebis<br />

<strong>da</strong>muSavebis mizniT Seiqmna<br />

servisuli sistema _ kompiuterul programaTa<br />

paketi, romelsac pirobiTad<br />

ewo<strong>da</strong> `profesiul <strong>da</strong>avadebaTa prevenciisa<br />

<strong>da</strong> monitoringis saxelmwifo<br />

programis kompiuteruli momsaxurebis<br />

sistema~. Catarebuli kvlevebis Sedegebi<br />

<strong>da</strong> miRebuli monacemebi safu-<br />

Zvlad <strong>da</strong>edeba Sromis medicinis stan<strong>da</strong>rtebis<br />

SemuSavebas.<br />

nato bolqvaZe<br />

levebis Catareba, friad mniSvnelovania.<br />

fenovini saqarTveloSi wiTeli yurZnis<br />

kani<strong>da</strong>naa sinTezirebuli <strong>da</strong> registrirebuli<br />

cnobili preparatia, romelic didi<br />

xania gamoiyeneba samedicino praqtikaSi.<br />

warmodgenil naSromSi gamovlenilia<br />

fenovinis sruliad axali, dRemde ucnobi<br />

Tvisebebi, rac kidev erTxel a<strong>da</strong>sturebs<br />

yurZnis eqstraqtebis maRalefeqturobas.<br />

saeqsperimento-sakvlevi samuSaoebi<br />

isev grZeldeba. grantma sadoqtoro<br />

programis mxolod mcire fragmenti <strong>da</strong>afinansa,<br />

naSromis srulyofisaTvis ki<br />

aranaklebia gasakeTebeli.<br />

starti, romelic warmatebiT iqna<br />

aRebuli, aseTive warmatebiT miva sasurvel<br />

finiSamde; Tanamedrove moTxovnebis<br />

Sesabamisad warmoebuli qarTvel mecnierTa<br />

kvleva samecniero azrovnebis<br />

mniSvnelovan miRweva<strong>da</strong>a miCneuli <strong>da</strong><br />

aRiarebuli.<br />

<strong>da</strong>rejan komlaZe.<br />

saintereso gamocema<br />

saeklesio<br />

samedicino<br />

kalen<strong>da</strong>ri<br />

2010<br />

axlaxan sruliad kaTolikos patriarqis,<br />

uwmindesisis <strong>da</strong> unetaresis,<br />

ilia II-is locva kurTxeviT gamovi<strong>da</strong><br />

2010 wlis saeklesio samedicino kalen<strong>da</strong>ri,<br />

romlis avtori <strong>da</strong> Semdgenelia<br />

arqimandriti a<strong>da</strong>mi (axalaZe).<br />

wigni gamoica saqarTvelos sapatriarqos<br />

wmin<strong>da</strong> Tamar mefis saxelobis medicinis<br />

institutis <strong>da</strong> sulieri <strong>da</strong> socialur-kulturuli<br />

ganviTarebis fondi<br />

`Tamaris droSis~ xelSewyobiT.<br />

kalendris megzurSi avtori yurad-<br />

Rebas amaxvilebs wignSi warmodgenili<br />

sakiTxebis aqtualobaze: `rogori un<strong>da</strong><br />

iyos Cveni <strong>da</strong>mokidebuleba janmrTelobisadmi?<br />

ra aris avadmyofoba <strong>da</strong> sikvdili<br />

<strong>da</strong> sai<strong>da</strong>n <strong>da</strong>edo mas <strong>da</strong>sabami? rogor<br />

urTierTmimarTebaSia rwmena <strong>da</strong> mecniereba?<br />

ra sulier-zneobrivi problemebis<br />

winaSe dgas dRevandeli medicina? am<br />

<strong>da</strong> kidev mraval sxva SekiTxvas pasuxobs<br />

Cveni kalen<strong>da</strong>ri...~<br />

wignSi warmodgenili sxva<strong>da</strong>sxva rubrika<br />

werilebs, receptebs, uwmindesis<br />

<strong>da</strong> unetaresis sxva<strong>da</strong>sxva dros warmo-<br />

Tqmuli qa<strong>da</strong>gebi<strong>da</strong>n amonaridebs, klasikos<br />

mweralTa Tu poetTa Sedevrebs,<br />

sasargeblo rCevebs aerTianebs: warmodgenilia<br />

tropar-kon<strong>da</strong>kni, wmin<strong>da</strong><br />

xatebis istoria, moTxrobilia maTi saswaulmoqmedi<br />

Zalis Sesaxeb, moyvanilia<br />

citatebi Zveli <strong>da</strong> axali aRTqmis wignebi<strong>da</strong>n,<br />

<strong>da</strong>beWdilia locvebi <strong>da</strong> rCevebi<br />

locvis dros, aseve, ganmartebani saeklesio<br />

dResaswaulebis Sesaxeb, waikiTxavT<br />

sasargeblo moTxrobebs uvercxlo<br />

mkurnalTa <strong>da</strong> sxva wmin<strong>da</strong>nTa cxovrebi<strong>da</strong>n,<br />

saintereso werilebs Tu faqtebs<br />

medicinis istorii<strong>da</strong>n, moTxrobilia<br />

eqimis profesiis qristianuli arsis Sesaxeb,<br />

ganxilulia evTanaziis, klonirebis,<br />

transplantologiis problemebi <strong>da</strong><br />

Tanamedrove mecnierebis, genuri inJineriis,<br />

fsiqiatriis, reproduqtologiis<br />

mimarTeba eklesiur swavlebasTan, agreTve,<br />

avadmyofobis profilaqtikis,<br />

cxovrebis jansaRi wesis, kvebis (marxvis),<br />

higienis sakiTxebi, Tavmoyrilia<br />

rCevebi sxva<strong>da</strong>sxva Civilisa <strong>da</strong> sneulebis<br />

SemTxvevebisTvis, moTxrobilia sxva<strong>da</strong>sxva<br />

mcenaris samkurnalo Tvisebebis<br />

Sesaxeb, gaecnobiT wmin<strong>da</strong> mamaTa gamonaTqvamebs,<br />

mxatvrul <strong>da</strong> publicistur<br />

nawarmoebebs <strong>da</strong> a. S.<br />

mxatvruli gemovnebiT Sedgenili <strong>da</strong><br />

maRal poligrafiul doneze gamocemuli<br />

wigni sainteresod ikiTxeba <strong>da</strong>, masSi<br />

warmodgenili Temebis aqtualobis<br />

gaTvaliswinebiT, mkiTxvelisTvis mar-<br />

Tlac kargi saCuqaria.

profesori rima beriaSvili<br />

Sefasebis meTodologiis zogadi<br />

mimoxilva<br />

sadReisod, <strong>codnis</strong> Sesafaseblad mravali<br />

Tanamedrove meTodi gamoiyeneba.<br />

maTi gamoyeneba xdeba erTmaneTis CanacvlebiT<br />

an kompleqsurad, imis mixedviT,<br />

Tu romeli maCveneblis <strong>Sefaseba</strong>a ufro<br />

mniSvnelovani. samedicino ganaTlebis<br />

procesSi pirobiTad swavlebis <strong>da</strong> kompetenciebis<br />

SeZenis 4 Tanmimdevrul etaps<br />

gamoyofen:<br />

1. icis<br />

2. icis rogor<br />

3. aCvenebs rogor<br />

4. akeTebs<br />

swavlebis <strong>da</strong>saxelebul etapebze TanmimdevrobiT<br />

an kompleqsurad, Sedegze<br />

orientirebuli konkretuli miznis misaRwevad<br />

mowmdeba Semdegi maCveneblebi:<br />

1. codna<br />

2. problemis ga<strong>da</strong>wyvetis unari<br />

3. klinikuri ga<strong>da</strong>wyvetilebis miRebis<br />

unari<br />

4. Cvevebi: avadmyofobis istoriis Sevsebis,<br />

fizikuri gasinjvis, procedurebis<br />

Catarebis <strong>da</strong> sxv.,<br />

5. <strong>da</strong>mokidebuleba: avadmyofTan, kolegebTan<br />

<strong>da</strong> sxv.,<br />

6. TviTganaTlebis <strong>da</strong> resursebis gamoyenebis<br />

unari<br />

mileris piramidi<strong>da</strong>n Cans, rom `icis~<br />

fun<strong>da</strong>menturi, sawyisi kompetenciaa. am<br />

kompetenciis Sesafaseblad ZiriTa<strong>da</strong>d<br />

gamoiyeneba faqtebisa <strong>da</strong> informaciis<br />

maragis Sesafasebeli testebi, ese, zepiri<br />

gamokiTxva.<br />

mileris piramidis meore etapi `icis<br />

rogor~ kompetenciaa. es kompetencia<br />

problemis ga<strong>da</strong>wyvetis unars <strong>da</strong> klinikuri<br />

ga<strong>da</strong>wyvetilebis<br />

miRebis unars gulisxmobs. <strong>da</strong>saxelebuli<br />

unarebis Sesafaseblad gamoiyeneba<br />

klinikur konteqstze agebuli testebi,<br />

ese, zepiri gamokiTxva.<br />

mileris piramidis mesame etapi `aCvenebs<br />

rogor~ kompetenciaa. es kompetencia<br />

ukve garkveuli klinikuri Cvevebis<br />

flobas gulisxmobs. <strong>misi</strong> <strong>Sefaseba</strong> xdeba<br />

Sesrulebuli samuSaos Sefasebis in vitro<br />

meTodebiT, obieqturad struqturirebuli<br />

klinikuri gamocdiT (OSCE),<br />

simulirebuli pacientebiT.<br />

mileris piramidis ze<strong>da</strong>, umaRlesi kompetencia<br />

aris `akeTebs~. <strong>da</strong>saxelebuli<br />

kompetencia avadmyofobis istoriis<br />

Sevsebis, fizikuri gasinjvis, procedurebis<br />

Catarebis <strong>da</strong> sxva klinikur<br />

CvevebTan erTad, pacientTan swor<br />

<strong>da</strong>mokidebulebasac gulisxmobs. es<br />

Cvevebi fasdeba Sesrulebuli samuSaos<br />

Sefasebis in vivo meTodebiT, simulatorebiT,<br />

video-CanawerebiT.<br />

zemoxsenebuli<strong>da</strong>n Cans, rom pirvel<br />

etapze mniSvneloba aqvs <strong>codnis</strong> Sefasebis<br />

iseTi meTodebis gamoyenebas, rome-<br />

Tebervali 2010 gv.3 samedicino gazeTi<br />

<strong>codnis</strong> <strong>Sefaseba</strong> <strong>da</strong> <strong>testuri</strong> gamoc<strong>da</strong>. <strong>testis</strong> <strong>dizaini</strong> <strong>da</strong> <strong>misi</strong> <strong>Sedgenis</strong> wesebi.<br />

swavleba<br />

swavleba efeqturia, roca:<br />

1. winaswar naTlad aris gansazRvruli<br />

swavlebis procesis konkretuli<br />

Sedegebi<br />

2. swavlebis meTodebi <strong>da</strong> masala Seesabameba<br />

misaRwev Sedegebs<br />

3. swavlebis procesSi gaTvaliswinebulia<br />

studentTa/rezidentTa unari <strong>da</strong><br />

moTxovnilebebi<br />

4. swavleba efuZneba informacias,<br />

romelic aris naTlad Camoyalibebuli,<br />

sarwmuno <strong>da</strong> <strong>da</strong>majerebeli<br />

5. studentebs/rezidentebs periodulad<br />

ecnobebaT maTi miRwevebis Sesaxeb<br />

6. `CamorCenil~ studentebs/rezidentebs<br />

aqvT Sedegebis gamosworebis saSualeba<br />

7. periodulad xdeba swavlebis efeqturobis<br />

<strong>da</strong> konkretuli misaRwevi Sedegebis<br />

ga<strong>da</strong>xedva<br />

lic afasebs faqtebis codnas, movlenis<br />

gaazrebis unars, xolo momdevno etapebze<br />

ki, faqtebis <strong>codnis</strong>a <strong>da</strong> movlenebis<br />

gagebis unarTan erTad, un<strong>da</strong> Semowmdes<br />

problemis ga<strong>da</strong>wyvetis <strong>da</strong> klinikuri ga<strong>da</strong>wyvetilebis<br />

miRebis unari, avadmyofobis<br />

istoriis Sevsebis, fizikuri gasinjvis,<br />

procedurebis Catarebis Cvevebi,<br />

avadmyofTan, kolegebTan <strong>da</strong>mokidebulebis<br />

xasiaTi <strong>da</strong> TviTganaTlebis unari.<br />

calke un<strong>da</strong> aRiniSnos pacientTan <strong>da</strong>mokidebulebis<br />

<strong>da</strong> urTierTobis unari,<br />

kolegebTan urTierTobis <strong>da</strong> gundSi<br />

muSaobis unari. am unarebis obieqturi<br />

<strong>Sefaseba</strong> bevrad ufro rTuli aRmoCn<strong>da</strong>.<br />

<strong>misi</strong> swavlebac Znelia <strong>da</strong> a<strong>da</strong>mianTa<br />

fsiqotipebis codnas <strong>da</strong>, zoga<strong>da</strong>d, fso-<br />

mileris kompetenciebis pirami<strong>da</strong><br />

<strong>da</strong> humanmetriis principebs emyareba.<br />

`<strong>da</strong>mokidebulebaTa~ Sefasebis meTodologiis<br />

ganviTareba Tanamedrove<br />

samedicino ganaTlebis <strong>da</strong> <strong>misi</strong> kvlevis<br />

erT-erTi prioritetuli mimarTulebaa.<br />

rac Seexeba TviT-ganaTlebis <strong>da</strong><br />

resursebis gamoyenebis unars, is <strong>da</strong>kav-<br />

Sirebulia sainformacio teqnikis gamoyenebasTan<br />

<strong>da</strong> gulisxmobs internetiT<br />

sargeblobis Cvevebsac. TviT-ganaTlebis<br />

<strong>da</strong> resursebis gamoyenebis unars didi<br />

mniSvneloba aqvs distanciuri swavlebis<br />

ganviTarebaSi, uwyveti samedicino ganaTlebis<br />

<strong>da</strong> mudmivi profesiuli <strong>da</strong>xelovnebis<br />

procesebSi.<br />

<strong>da</strong>mokidebuleba swavlebasa <strong>da</strong><br />

<strong>codnis</strong> <strong>Sefaseba</strong>s Soris<br />

studentis (rezidentis, eqimis) sworad<br />

Catarebuli <strong>Sefaseba</strong> swavlebis<br />

xarisxs asaxavs <strong>da</strong>, garkveulwilad, <strong>misi</strong><br />

<strong>Sefaseba</strong>c aris.<br />

Sefasebis meTodis SerCevamde naTlad<br />

un<strong>da</strong> ganisazRvros, ris <strong>Sefaseba</strong>s vapirebT.<br />

amisaTvis saWiroa momzaddes Sesaba<strong>misi</strong><br />

programebi, sa<strong>da</strong>c miTiTebuli<br />

iqneba yvela is sakiTxi, ris Semowmebasac<br />

vapirebT.<br />

<strong>codnis</strong> formaciuli <strong>da</strong> sumaciuri<br />

<strong>Sefaseba</strong><br />

<strong>codnis</strong> <strong>Sefaseba</strong> formaciulia, Tu is<br />

swavlebis yoveldRiuri procesis Semadgeneli<br />

nawilia <strong>da</strong> sumaciuria, Tu saboloo<br />

Sedegebs gansazRvravs. Sefasebis<br />

<strong>codnis</strong> <strong>Sefaseba</strong><br />

<strong>codnis</strong> <strong>Sefaseba</strong> efeqturia, roca:<br />

1. iTvaliswinebs swavlebis procesis<br />

konkretuli Sedegebis <strong>Sefaseba</strong>s<br />

2. Sefasebis xasiaTi <strong>da</strong> arsi Seesabameba<br />

misaRwev Sedegebs<br />

3. <strong>codnis</strong> Sefasebis meTodi Seesabameba<br />

studentTa/rezidentTa unars <strong>da</strong> esa<strong>da</strong>geba<br />

TiToeul maTgans<br />

4. fasdeba informacia, romelic un<strong>da</strong><br />

iyos naTlad Camoyalibebuli, sarwmuno<br />

<strong>da</strong> <strong>da</strong>majerebeli<br />

5. Sefasebis Sedegebis mixedviT maswavlebelsa<br />

<strong>da</strong> students/rezidents Soris<br />

aris ukukavSiri<br />

6. Sefasebis SedegebiT vlindeba `Camor-<br />

Cenis~ mizezebi <strong>da</strong> Taviseburebebi<br />

7. Sefasebis Sedegebi gvaZlevs sasargeblo<br />

informacias swavlebis amocanebis,<br />

meTodebis <strong>da</strong> masalis mizanSewonilobis<br />

Sesaxeb<br />

formaciuli meTodebi gamosacdelebis<br />

erTmaneTTan Se<strong>da</strong>rebas <strong>da</strong> tradiciul<br />

`moniSvnas~ ar un<strong>da</strong> iTvaliswinebdes. is<br />

TiToeuli maTganis individualuri ganviTarebis<br />

xarisxs un<strong>da</strong> asaxavdes <strong>da</strong> maTi<br />

`miRwevebisa~ <strong>da</strong> `Cavardnebis~ fiqsacias<br />

<strong>da</strong> analizs axdendes. Cven<strong>da</strong> samwuxarod,<br />

swavlebis mimdinare procesSi <strong>Sefaseba</strong><br />

upiratesad sumaciur xasiaTs atarebs <strong>da</strong><br />

formaciuli meTodebi naklebad gamoiyeneba.<br />

formaciuli Sefasebis Taviseburebebs<br />

SemdgomSi detalurad SevexebiT.<br />

<strong>codnis</strong> Sefasebis meTodebis<br />

kriteriumebi<br />

<strong>codnis</strong> Sefasebis meTodebis SerCevis<br />

dros sargebloben iseTi ZiriTadi kriteriumebiT,<br />

rogoricaa validuroba <strong>da</strong><br />

sarwmunoeba.<br />

validuroba (cneba `validuri~ namdvils,<br />

vargisians, moqmeds niSnavs). nebismieri<br />

gamocdis Catarebis dros upirvelesi<br />

mniSvneloba aqvs meTodis validurobas.<br />

yvelaze martivi gagebiT, validuroba<br />

niSnavs, rom meTodi namdvilad<br />

afasebs imas, risi SefasebisTvisac is<br />

SearCies. testebi un<strong>da</strong> iyos validuri –<br />

es niSnavs, rom <strong>misi</strong> <strong>Sedgenis</strong> dros<br />

gaTvaliswinebuli un<strong>da</strong> iyos, Tu risi<br />

Semowmeba gvin<strong>da</strong> <strong>da</strong> namdvilad Seasrulebs<br />

Tu ara testi am mizans. imisaTvis,<br />

rom Sefasebis meTodis validurobas mivaRwioT,<br />

winaswar un<strong>da</strong> vicodeT Sesamowmebeli<br />

<strong>codnis</strong> moculoba, risTvisac un<strong>da</strong><br />

gagvaCndes Sesaba<strong>misi</strong> programa. aseTi<br />

programa Sedgeba samizne elementebisagan<br />

anu e.w. `saswavlo obieqtebisgan~. sadReisod,<br />

aseT programebs kompetenciebis<br />

gaTvaliswinebiT adgenen.<br />

sarwmunooba. meTodis Sefasebis es<br />

kriteriumi `sandoobas~, `<strong>da</strong>majereblobas~<br />

aRniSnavs. gamokiTxvis Sedegi <strong>da</strong>majerebelia,<br />

Tu Sefasebis nebismieri sxva<br />

meTodiT igive Sedegi miiReba. testiT<br />

gamokiTxvis sarwmunoebis maCvenebeli<br />

Zalian maRalia, vinai<strong>da</strong>n nebismieri gamomcdeli<br />

erTi <strong>da</strong> igive qulas <strong>da</strong>wers.<br />

samwuxarod, amas ver vityviT zepir gamoc<strong>da</strong>ze,<br />

roca erTi <strong>da</strong> igive gamosacdelma<br />

sxva<strong>da</strong>sxva gamomcdelTan sruliad<br />

SesaZlebelia, rom sxva<strong>da</strong>sxva <strong>Sefaseba</strong><br />

<strong>da</strong>imsaxuros.<br />

SeniSvna: zepiri gamoc<strong>da</strong>, miuxe<strong>da</strong>vad<br />

imisa, rom mas sarwmunoobis <strong>da</strong>bali ma-<br />

Cvenebeli aqvs <strong>da</strong> garkveuli subieqturobiTac<br />

xasiaTdeba, zog SemTxvevaSi erTaderTi<br />

<strong>da</strong> Seucvlelia. <strong>misi</strong> meSveobiT<br />

sazRvraven iseT kompetenciebs, rogoricaa<br />

azrovnebisa <strong>da</strong> ga<strong>da</strong>wyvetilebis mi-<br />

Rebis Tavisebureba, interpretaciis unari,<br />

komunikaciis, azris Camoyalibebisa <strong>da</strong><br />

gadmocemis unari, intervius aRebis <strong>da</strong><br />

anamnezis Segrovebis unari <strong>da</strong> sxv. subieqturobis<br />

Tavi<strong>da</strong>n asacileblad zepir<br />

gamoc<strong>da</strong>s ko<strong>misi</strong>uri wesiT awarmoeben.<br />

sarwmunoobis maCvenebelze negatiurad<br />

moqmedebs ori faqtori, romelic<br />

<strong>testis</strong> <strong>Sedgenis</strong> dros un<strong>da</strong> gaviTvaliswinoT:<br />

a) sakiTxebis mcire raodenoba, risi<br />

<strong>Sefaseba</strong>c codnaze SezRudul warmodgenas<br />

iZleva;<br />

b) sakiTxebis viwro specifiuroba, rac<br />

mTeli disciplinis codnaze swor warmodgenas<br />

ver gvaZlevs.<br />

Sefasebis meTodis SerCevis dros un<strong>da</strong><br />

gaviTvaliswinoT isic, Tu ramdenad ganxorcielebadia<br />

gamoc<strong>da</strong> resursebis (<strong>da</strong>finanseba,<br />

teqnikuri aRWurva, Sesaferisi<br />

garemo <strong>da</strong> sxv.) TvalsazrisiT. obieqturad<br />

struqturirebadi klinikuri<br />

gamoc<strong>da</strong>, OSCE, romelic klinikuri Cvevebis<br />

Sesafaseblad gamoiyeneba <strong>da</strong><br />

<strong>da</strong>savleT samyaroSi farTo popularobiT<br />

sargeblobs, did xarjebTan <strong>da</strong> ma-<br />

Ral teqnikur SesaZleblobebTan aris<br />

<strong>da</strong>kavSirebuli. am meTodiT mcire dro-<br />

Si didi raodenobiT gamosacdelebis<br />

miReba SeuZlebelia.<br />

am mimarTebiT <strong>testuri</strong> gamoc<strong>da</strong> yvelaze<br />

iolad gansaxorcielebelia <strong>da</strong> gansakuTrebul<br />

resursebs ar saWiroebs.<br />

weriTi gamokiTxvis <strong>testuri</strong> forma<br />

karga xania <strong>codnis</strong> SefasebisaTvis ixmareba<br />

e.w. testebi. testebi didi raodenobiT<br />

`<strong>codnis</strong> maZiebelTa~ erTdrouli<br />

<strong>da</strong> swrafi gamokiTxvis efeqturi saSualebaa,<br />

romliT miRebuli Sedegebic<br />

raodenobrivad advilia Sesafaseblad.<br />

bolo wlebSi weriTi gamocdis <strong>testuri</strong><br />

formis mimarT araerTi kritikuli<br />

SeniSvna gamoiTqva.<br />

avtorTa erTi nawili Tvlis, rom gamokiTxva<br />

un<strong>da</strong> iyos auTenturi, e.i. realur<br />

cxovrebiseul amocanebTan maqsimalurad<br />

miaxloebuli. avtorTa did nawils<br />

miaCnia, rom <strong>testuri</strong> weriTi gamoc<strong>da</strong><br />

un<strong>da</strong> Canacvldes xolme (nawilobriv<br />

mainc) gamokiTxvis alternatiuli<br />

formebiT <strong>da</strong> faqtobrivi masalis <strong>codnis</strong><br />

Sefasebis gar<strong>da</strong> un<strong>da</strong> Sefasdes studentis<br />

mier Sesrulebuli samuSao Cvevebi,<br />

<strong>da</strong>mokidebulebebi <strong>da</strong> a.S.<br />

vTvliT, rom xSir SemTxvevaSi testebiT<br />

gamokiTxvis SesaZlebloba srulad<br />

gamoyenebuli ar aris. <strong>misi</strong> swori agebis<br />

SemTxvevaSi faqtiuri <strong>codnis</strong> gar<strong>da</strong>,<br />

problemisa <strong>da</strong> klinikuri ga<strong>da</strong>wyvetilebis<br />

unaris <strong>Sefaseba</strong>c SeiZleba,<br />

rac gansakuTrebiT mniSvnelovania.<br />

testiT <strong>Sefaseba</strong>s aqvs Tavisi `Zlieri~<br />

<strong>da</strong> `susti~ mxare (ix. cxrili).<br />

testiT Sefasebis `Zlieri~ mxareebis<br />

gamo, romelTa Soris gansakuTrebuli<br />

mniSvneloba mis obieqturobas <strong>da</strong> Sedegebis<br />

swrafad <strong>da</strong>jamebas aqvs, testebi<br />

yvelanairi sadiplomo, sasertifikacio<br />

Tu salicenzio gamocdebis aucilebeli<br />

nawilia.<br />

testebiT efeqturad<br />

Sefasebis skala<br />

(4 qula yvelaze efeqturia)<br />

codna<br />

problemis ga<strong>da</strong>wyvetis<br />

unari<br />

klinikuriga<strong>da</strong>wyvetilebis<br />

miRebis unari<br />

Cvevebi: istoriisSevsebis<br />

Cvevebi:fizikurigasinjvis<br />

Cvevebi: procedurebis Catarebis,<br />

urTierTobis, TviTganaTlebis <strong>da</strong><br />

resursebis gamoyenebis<br />

zemoaRniSnuli<strong>da</strong>n Cans, rom <strong>testuri</strong><br />

gamokiTxva maqsimalurad efeqturia<br />

`<strong>codnis</strong>~, rogorc informaciuli maragis,<br />

Sesafaseblad. Tumca, <strong>misi</strong> gamoyeneba<br />

xdeba problemis gaazrebis, klinikuri<br />

ga<strong>da</strong>wyvetilebis unarisa <strong>da</strong> garkveuli<br />

Cvevebis Sesafasebla<strong>da</strong>c.<br />

<strong>testis</strong> <strong>dizaini</strong><br />

<strong>da</strong><br />

<strong>misi</strong> <strong>Sedgenis</strong><br />

wesebi<br />

`kiTxva mravlobiTi AarCevaniT~<br />

MCQ<br />

<strong>testuri</strong> kiTxva, anu testi, rogorc mas<br />

SemoklebiT uwodeben, Sedgeba mmarTveli<br />

frazis, RerZisa <strong>da</strong> variantebisagan,<br />

anu pasuxebisagan (ix. magaliTi).<br />

`kiTxva mravlobiTi arCevaniT~ aris<br />

testi, romlis RerZi Sedgeba ramdenime<br />

alternatiuli pasuxisagan, romelTa<br />

Soris:<br />

1. mxolod erTi pasuxia swori (an yvelaze<br />

swori).<br />

2. ramdenime pasuxia swori<br />

4<br />

2<br />

2<br />

2<br />

2<br />

0

samedicino gazeTi Tebervali 2010 gv.4<br />

testiT Sefasebis<br />

`Zlieri~ mxare<br />

- advili <strong>da</strong> swrafia <strong>da</strong>sajameblad<br />

- naklebia subieqturoba<br />

- maRalia sarwmunooba (roca<br />

kargad aris agebuli)<br />

- SeiZleba <strong>codnis</strong> didi maragis<br />

erTjeradi, swrafi Semowmeba<br />

- SeiZleba bevri magaliTis<br />

moyvana erTi <strong>da</strong> igive masali<strong>da</strong>n<br />

- advilad iqmneba kiTxvebis<br />

banki<br />

- mizni<strong>da</strong>n gamomdinare, moqnilia<br />

modelirebisaTvis<br />

magaliTi<br />

mmarTveli<br />

fraza<br />

RerZi<br />

gar<strong>da</strong> amisa, arsebobs e.w. `ganvrcobili<br />

Sesatyvisobis kiTxvebic~, romlebsac,<br />

aseve, `mravlobiTi arCevanis MCQ-s~ miakuTvneben.<br />

am tipis testebi sadReisod<br />

farTed gamoiyeneba klinikuri swavlebis<br />

nawilSi ga<strong>da</strong>wyvetilebis miRebisa <strong>da</strong><br />

diagnozis <strong>da</strong>smis unaris Sesafaseblad.<br />

testi erTi swori pasuxiT<br />

`testi erTi swori (yvelaze swori) pasuxiT~<br />

Sedgeba mmarTveli frazisa <strong>da</strong><br />

RerZisgan, romelic Tavis mxriv, xuTi<br />

alternatiuli pasuxisagan, variantisagan,<br />

Sedgeba. xuTi pasuxi<strong>da</strong>n, Cveulebriv,<br />

erTia swori, xolo <strong>da</strong>narCeni crua, maT<br />

distraqtorebi (`distraction - <strong>da</strong>bneva, yuradRebis<br />

gafantva) ewodebaT.<br />

<strong>testis</strong> `RerZis~ agebis dros<br />

un<strong>da</strong> gaviTvaliswinoT:<br />

- mniSvneloba mivceT Sinaarss <strong>da</strong> ara<br />

trivialuri faqtebis <strong>da</strong>saxelebas.<br />

- ufro mniSvnelovania <strong>codnis</strong> gamoye-<br />

testiT Sefasebis<br />

`susti~ mxare<br />

-<strong>codnis</strong> maragSi zewola xdeba `sworiaarasworia~-ze<br />

- albaTobis didi SesaZleblobaa (yovelgvari<br />

<strong>codnis</strong> gareSe pasuxebis 20-25% SesaZlebelia<br />

iyos swori)<br />

- testSi moyvanili situaciebi realuri<br />

praqtikisaTvis xSirad ararealuria (TiTqmis<br />

verasdros movxvdebiT situaciaSi, roca<br />

versiebad moyvanili oTxi SesaZleblobi<strong>da</strong>n<br />

un<strong>da</strong> amovirCioT erTi swori)<br />

- ver vgebulobT, ra gziT midis gamosacdeli<br />

swor pasuxamde<br />

- xels uwyobs swavlis Taviseburi stilis<br />

Camoyalibebas, rac emyareba mxolod swori<br />

pasuxebis <strong>da</strong>maxsovrebas<br />

pacients, romelsac aqvs posthepatituri cirozi,<br />

aReniSneba RviZlis zomebis swrafi zr<strong>da</strong> RviZlis funqciebis<br />

<strong>da</strong>qveiTebasTan erTad.<br />

romeli maCveneblis cvlilebaa yvelaze metad mosalodneli<br />

sisxlis laboratoriuli analiziT?<br />

A. α 1 -antitripsini<br />

B. karcinoembrionuli antigeni<br />

C. qorionuli gonadotropini<br />

D. α-fetoproteini*<br />

E. E.gastrini<br />

swori pasuxi<br />

nebis unari, vidre calkeuli faqtebis<br />

<strong>da</strong>maxsovrebis unari (ix. qvemoT blumis<br />

taqsonomiis amsaxveli cxrili).<br />

- <strong>testis</strong> RerZi SeiZleba iyos grZeli,<br />

anu Sedgebodes 5-ze meti variantisgan,<br />

magram variantebi (pasuxebi) un<strong>da</strong> iyos<br />

mokle <strong>da</strong> rac SeiZleba gasagebad formulirebuli.<br />

- klinikuri SemTxvevis aRweris dros<br />

un<strong>da</strong> gaviTvaliswinoT Semdegi faqtorebi<br />

(ramdenime mainc): pacientis asaki <strong>da</strong><br />

sqesi; diagnozis <strong>da</strong>smisa <strong>da</strong> mkurnalobis<br />

adgili (mag., ambulatoria, saavadmyofo,<br />

reanimaciuli ganyofileba <strong>da</strong> sxv.); pacientis<br />

Civilebi <strong>da</strong> maTi xangrZlivoba; pacientis<br />

piradi/ojaxuri mdgomareoba;<br />

instrumentuli/laboratoriuli kvlevis<br />

monacemebi; diagnostikuri kvlevis<br />

+/_ Sedegebi; informacia adre Catarebuli<br />

mkurnalobis Sesaxeb <strong>da</strong> SemdgomSi<br />

ganviTarebuli movlenebis Sesaxeb.<br />

- moveridoT Warb <strong>da</strong> usargeblo informacias.<br />

- moveridoT `mzakvrul~ <strong>da</strong> zedmetad<br />

ga<strong>da</strong>tvirTul kiTxvebs.<br />

<strong>testis</strong> `mmarTveli frazis~<br />

agebis dros un<strong>da</strong><br />

gaviTvaliswinoT:<br />

- sa<strong>da</strong>c es SesaZlebelia, CamovayaliboT<br />

pir<strong>da</strong>piri kiTxva, vidre arasruli<br />

mtkicebuleba.<br />

- moveridoT negatiurad agebul mi-<br />

TiTebebs (mag., iseTi sityvebis xmarebas,<br />

rogoricaa `gar<strong>da</strong>~, `ara~). Tu iZulebuli<br />

xarT gamoiyenoT negatiuri frazebi,<br />

ixmareT rac SeiZleba mokle (sjobs erTsityviani)<br />

maTgani.<br />

- pasuxis gacema SesaZlebeli un<strong>da</strong> iyos<br />

mmarTveli frazis mixedviT, variantebis<br />

ga<strong>da</strong>xedvis gareSec.<br />

<strong>testis</strong> `variantebis~<br />

agebis dros<br />

un<strong>da</strong> gaviTvaliswinoT:<br />

- <strong>da</strong>vweroT iseTi variantebi, romlebic<br />

gramatikulad erTnairad aris<br />

nawarmoebi, logikurad SeTavsebadia <strong>da</strong><br />

homogenuri.<br />

- variantebi un<strong>da</strong> iyos urTierTgamomricxavi.<br />

- distraqtorebi un<strong>da</strong> iyos <strong>da</strong>majerebeli,<br />

ucodinari gamosacdelisaTvis<br />

`mimzidveli~.<br />

- distraqtori <strong>da</strong>axloebiT igive sigrZis<br />

un<strong>da</strong> iyos, rogoric swori varianti.<br />

- pasuxebSi un<strong>da</strong> moveridoT iseTi absolutebis<br />

gamoyenebas, rogoricaa<br />

`yovelTvis~, `arasodes~, `yvela~ <strong>da</strong> iseT<br />

bundovan sityvebs, rogoricaa `Cveulebriv~<br />

<strong>da</strong> `xSirad~.<br />

- un<strong>da</strong> moveridoT variantebs `arcer-<br />

Ti zemoTqmuli~ <strong>da</strong> `yvela zemoTqmuli~.<br />

- cifrebis Semcveli variantebi un<strong>da</strong><br />

iyos logikurad Tanmimdevruli.<br />

- variantebis CamoTvla un<strong>da</strong> xdebodes<br />

logikuri an anbanuri TanmimdevrobiT.<br />

- tests, <strong>Sedgenis</strong> Semdeg, kidev erTxel<br />

ga<strong>da</strong>avleT Tvali <strong>da</strong> <strong>da</strong>rwmundiT, rom<br />

namdvilad erTi pasuxia swori an yvelaze<br />

swori.<br />

testi ramdenime swori pasuxiT<br />

rogor zemoT aRvniSneT, `kiTxva mravlobiTi<br />

arCevaniT~ (MCQ) aris testi,<br />

romlis RerZi Sedgeba ramdenime alternatiuli<br />

variantisagan, romelTa Soris<br />

SeiZleba ramdenime pasuxi iyos swori (ix.<br />

magaliTi). aseTi tipis testi erTpasuxian<br />

testTan Se<strong>da</strong>rebiT rTulia, gamosacdelis<br />

intuicias naklebad `emor-<br />

Cileba~, ga<strong>da</strong>wyvetilebis met unars moi-<br />

Txovs <strong>da</strong> pasuxis gasacema<strong>da</strong>c meti dro<br />

sWirdeba. ramdenimesworpasuxiani <strong>testis</strong><br />

sarwmunoebis maCvenebeli, iseve<br />

rogorc, saerTod, <strong>testuri</strong> meTodebis<br />

sarwmunoeba maRalia, rac imas niSnavs,<br />

rom nebismieri gamomcdeli erTsa <strong>da</strong><br />

imave testSi erTsa <strong>da</strong> imave <strong>Sefaseba</strong>s<br />

un<strong>da</strong> aZlevdes.<br />

ramdenimesworpasuxiani <strong>testis</strong> Sedgena<br />

rTulia <strong>da</strong> amis gamo mas xSirad eridebian<br />

kidec. <strong>testis</strong> konstruqciis dros<br />

mniSvnelovania distraqtorebis (cru<br />

variantebis) sakmarisi raodenobiT arseboba<br />

<strong>da</strong> kargi balansi, romelic swori<br />

pasuxebisa <strong>da</strong> distraqtorebis ricxvs<br />

Soris iqmneba. amasTanave, Zalian mniSvnelovania,<br />

rom swori variantebi namdvilad,<br />

<strong>da</strong>majereblad iyos swori, xolo<br />

distraqtorebi ki - <strong>da</strong>majereblad cru.<br />

Se<strong>da</strong>rebiT sirTules qmnis aseTi tipis<br />

testebis <strong>da</strong>jamebis procesic.<br />

ramdenimesworpasuxiani testi Sedgeba<br />

mmarTveli frazisa <strong>da</strong> erTi RerZisgan,<br />

romelic Tavis mxriv, oTxi alternatiuli<br />

variantisagan Sedgeba. oTxi varianti<strong>da</strong>n,<br />

SeiZleba erTi an ramdenime iyos<br />

swori, xolo <strong>da</strong>narCeni crua. variantebis<br />

CamoTvla xdeba ricxviTi TanmimdevrobiT,<br />

xolo pasuxis Sedgena – anbanuriT.<br />

mmarTvel frazas win savaldebulod<br />

un<strong>da</strong> uZRvodes miTiTeba, sa<strong>da</strong>c<br />

aRniSnuli iqneba am tipis testiT sargeblobis<br />

wesi (ix. magaliTi A).<br />

rogorc magaliTebi<strong>da</strong>n Cans, ramdenimesworpasuxiani<br />

<strong>testis</strong> variantebis<br />

ricxvi gansxvavdeba pasuxebis ricxvisagan.<br />

kidev erTxel xazs vusvamT, rom variantebi<br />

inomreba, xolo pasuxebs anbanuri<br />

principiT vadgenT.<br />

ramdenimesworpasuxiani <strong>testis</strong><br />

agebis dros un<strong>da</strong><br />

gaviTvaliswinoT:<br />

- mniSvneloba mivceT Sinaarss <strong>da</strong> ara<br />

wvrilmani, umniSvnelo faqtebis <strong>da</strong>saxelebas.<br />

- variantebi un<strong>da</strong> iyos mokle <strong>da</strong> rac<br />

SeiZleba gasagebad formulirebuli.<br />

- klinikuri SemTxvevis aRweris dros<br />

un<strong>da</strong> gaviTvaliswinoT Semdegi faqtorebi<br />

(ramdenime mainc): pacientis asaki <strong>da</strong><br />

sqesi; diagnozis <strong>da</strong>smisa <strong>da</strong> mkurnalobis<br />

adgili (mag., ambulatoria, saavadmyofo,<br />

reanimaciuli ganyofileba <strong>da</strong> sxv.); pacientis<br />

Civilebi <strong>da</strong> maTi xangrZlioba; pacientis<br />

piradi/ojaxuri mdgomareoba;<br />

instrumentuli/laboratoriuli kvlevis<br />

monacemebi; diagnostikuri kvlevis<br />

+/_ Sedegebi; informacia adre Catarebuli<br />

mkurnalobis Sesaxeb <strong>da</strong> SemdgomSi<br />

ganviTarebuli movlenebis Sesaxeb.<br />

zmnebi, romlebic mizanSewonilia gamoviyenoT testebis <strong>Sedgenis</strong> dros mizanmimarTulad, sasurveli Sedegis (<strong>codnis</strong>, unaris) Sesafaseblad<br />

blumis taqsonomia<br />

codna gaazreba gamoyeneba analizi sinTezi <strong>Sefaseba</strong><br />

ganmarte gar<strong>da</strong>qmeni gamoiyene gaaanalize <strong>da</strong>alage Seafase<br />

moniSne aRwere gamoiTvale Seafase <strong>da</strong>ajgufe imsjele<br />

CamoTvale imsjele aCvene <strong>da</strong>iTvale Seagrove Seamowme<br />

<strong>da</strong>asaxele gaarCie aamuSave kategoriebad <strong>da</strong>yavi Seadgine SearCie<br />

gaixsene Seajame ga<strong>da</strong>itane klasifikacia gaakeTe aage Sea<strong>da</strong>re<br />

gamoicani axseni magaliTi moiyvane Sea<strong>da</strong>re Seqmeni gaakritike<br />

gaimeore gamoxate interpretacia moaxdine <strong>da</strong>upirispire gaaforme Gga<strong>da</strong>wyvetileba miiRe<br />

Camowere ganasxvave ga<strong>da</strong>akeTe gaakritike Ddiagnozi <strong>da</strong>usvi Seajame<br />

<strong>da</strong>alage moaTavse imoqmede <strong>da</strong>skvna gamoitane Camoayalibe mniSvneloba gansazRvre<br />

gamoicani Seasrule diagrama Seadgine awarmoe <strong>da</strong>adgine<br />

<strong>da</strong>were awarmoe diferenciaciamoaxdine hipoTeza gamoTqvi <strong>da</strong>a<strong>da</strong>sture<br />

Camoayalibe ivaraude ganasxvave moifiqre gazome<br />

moyevi moamzade gamoscade marTe Tanafardoba gansazRvre<br />

ga<strong>da</strong>akeTe <strong>da</strong>gegme Seamowme Secvale ga<strong>da</strong>xede<br />

ga<strong>da</strong>Targmne warmoidgine ZiriTadi principebi organizacia gaukeTe <strong>da</strong>ajame<br />

Camoayalibe<br />

moixmare kiTxvebi <strong>da</strong>svi <strong>da</strong>gegme SearCie<br />

<strong>da</strong>ukavSire moamzade<br />

ga<strong>da</strong>wyvite azri gamoTqvi<br />

scade Seajame

magaliTi A<br />

miTiTeba: qvemoT moyvanil kiTxvas Tan axlavs oTxi savaraudo pasuxi,<br />

romelTaganac erTi an ramdenimea swori. SearCieT pasuxi<br />

A. Tu 1, 2, <strong>da</strong> 3 aris swori<br />

B. Tu 1 <strong>da</strong> 3 aris swori<br />

C. Tu 2 <strong>da</strong> 4 aris swori<br />

D. Tu 4 aris swori<br />

E. Tu 1, 2, 3, <strong>da</strong> 4 aris swori<br />

kiTxva 1:<br />

romeli ujredebi monawileobs yvelaze aqtiurad mkvrivi nawilakis<br />

fagocitozis ganxorcielebis procesSi organizmis <strong>da</strong>cvis dros?<br />

1. neitrofilebi<br />

2. limfocitebi<br />

3. makrofagebi<br />

4. bazofilebi swori pasuxia: B (1, 3).<br />

kiTxva 2:<br />

romel qvemoT moyvanil variantSia simsivne <strong>da</strong> gamomwvevi faqtori sworad<br />

<strong>da</strong>wyvilebuli?<br />

1. RviZlis angiosarkoma - arsenikalebi<br />

2. endometriuli karcinoma - ekzogenuri estrogenebi<br />

3. vaginuri karcinoma - dieTilstilbestroli<br />

4. mezoTelioma - beriliumi<br />

swori pasuxia: A (1, 2 ,3).<br />

- moveridoT Warb <strong>da</strong> usargeblo informacias.<br />

- moveridoT `mzakvrul~ <strong>da</strong> zedmetad<br />

ga<strong>da</strong>tvirTul kiTxvebs.<br />

<strong>testis</strong> `mmarTveli frazis~<br />

agebis dros un<strong>da</strong><br />

gaviTvaliswinoT:<br />

- sa<strong>da</strong>c es SesaZlebelia, CamovayaliboT<br />

pir<strong>da</strong>piri kiTxva, vidre arasruli<br />

mtkicebuleba.<br />

- moveridoT negatiurad agebul mi-<br />

TiTebebs (mag., iseTi sityvebis xmarebas,<br />

rogoricaa `gar<strong>da</strong>~, `ara~). Tu iZulebuli<br />

xarT gamoiyenoT negatiuri frazebi,<br />

ixmareT rac SeiZleba mokle (sjobs erTsityviani)<br />

maTgani.<br />

<strong>testis</strong> `variantebis~<br />

agebis dros un<strong>da</strong><br />

gaviTvaliswinoT:<br />

- <strong>da</strong>vweroT iseTi variantebi, romlebic<br />

gramatikulad erTnairad aris nawarmoebi,<br />

logikurad SeTavsebadia <strong>da</strong> homogenuri.<br />

- distraqtorebi un<strong>da</strong> iyos <strong>da</strong>majerebeli,<br />

ucodinari gamosacdelisaTvis<br />

`mimzidveli~.<br />

- distraqtori <strong>da</strong>axloebiT igive sigr-<br />

Zis un<strong>da</strong> iyos, rogoric swori varianti.<br />

- pasuxebSi un<strong>da</strong> moveridoT iseTi absolutebis<br />

gamoyenebas, rogoricaa `yovelTvis~,<br />

`arasodes~, `yvela~ <strong>da</strong> iseT bundovan<br />

sityvebs, rogoricaa `Cveulebriv~<br />

<strong>da</strong> `xSirad~.<br />

- un<strong>da</strong> moveridoT variantebs `arcer-<br />

Ti zemoTqmuli~ <strong>da</strong> `yvela zemoTqmuli~.<br />

- tests, <strong>Sedgenis</strong> Semdeg, kidev erTxel<br />

ga<strong>da</strong>avleT Tvali <strong>da</strong> <strong>da</strong>rwmundiT, rom<br />

swori pasuxi namdvilad sworia <strong>da</strong> distraqtori<br />

- namdvilad cru.<br />

testi ganvrcobili<br />

Sesatyvisobis kiTxvebiT<br />

`ganvrcobili Sesatyvisobis~ testi<br />

aris `mravlobiTi arCevanis~ <strong>testis</strong><br />

(MCQ) nairsaxeoba, romlis drosac<br />

kiTxvebis nakrebi agebulia variantebis<br />

CamonaTvalis irgvliv. nakrebSi arsebul<br />

yovel kiTxvas Seesabameba variantebis<br />

CamonaTvalSi miTiTebuli romelime<br />

pasuxi. ganvrcobili Sesatyvisobis testi<br />

Sedgeba Semdegi elementebisagan:<br />

Tema, variantebis CamonaTvali, mmarTveli<br />

fraza, ori an meti RerZi (ix. magaliTebi<br />

<strong>da</strong> <strong>da</strong>narTi)<br />

rogorc magaliTebi<strong>da</strong>n Cans, ganvrcobili<br />

Sesatyvisobis testebi sakmaod<br />

rTulia, <strong>misi</strong> gamoyeneba SeiZleba mileris<br />

piramidis meore etapis, `icis rogor~,<br />

kompetenciis Sesafaseblad. es ki,<br />

<strong>codnis</strong> maragTan erTad, ga<strong>da</strong>wyvetilebis<br />

miRebis unaris <strong>da</strong>, Sesabamisad, klinikuri<br />

diagnozis <strong>da</strong>smis unaris <strong>Sefaseba</strong>sac<br />

gulisxmobs.<br />

ganvrcobili Sesatyvisobis testebis<br />

<strong>Sedgenis</strong> dros un<strong>da</strong> gaviTvaliswinoT<br />

yvela is miTiTeba, romelic zemoT iyo<br />

aRniSnuli `erTi swori pasuxiT~ <strong>testis</strong><br />

SedgenasTan <strong>da</strong>kavSirebiT <strong>da</strong> <strong>da</strong>matebiT<br />

vixelmZRvaneloT Semdegi principebiT:<br />

1. Tema:<br />

un<strong>da</strong> gamovarCioT iseTi Temebi, romlebic<br />

Sinaarsobrivad mravalwaxnagovani<br />

<strong>da</strong> multifaqtorulia. aseTia pacientis<br />

Civilebi, diagnozi, wamalTa<br />

klasebi, procesebi (mag., saerTo sisustis<br />

diagnozi).<br />

2. mmarTveli fraza:<br />

miTiTeba naTlad un<strong>da</strong> ayalibebdes<br />

stimulis (gamomwvevi mizezis) <strong>da</strong> Sedegis<br />

Sesatyvisobis pirobas (mag., TiToeuli<br />

pacientis mdgomareobas, romelTac sar-<br />

To sisuste awuxebT, miusa<strong>da</strong>geT yvelaze<br />

Sesaferisi diagnozi). mmarTveli fraza<br />

gasagebad un<strong>da</strong> miuTiTebdes, SeiZleba<br />

Tu ara variantebis erTze metad gamoyeneba.<br />

3. variantebi:<br />

CamonaTvali un<strong>da</strong> Sedgebodes araumetes<br />

10 homogenuri elementisagan, romlebic<br />

TemasTan arian <strong>da</strong>kavSirebuli<br />

(mag., diagnozebi, romelTa drosac saer-<br />

To sisustea mosalodneli). variantebi<br />

un<strong>da</strong> iyos mokle <strong>da</strong> CamoTvlili anbanuri<br />

TanmimdevrobiT an sxva logikuri Tanmimdevrobis<br />

<strong>da</strong>cviT. Yyovel miTiTebul<br />

sakiTxs un<strong>da</strong> Seesabamebodes mxolod<br />

erTi swori pasuxi.<br />

RerZebi un<strong>da</strong> iyos erTgvarovani konstruqciis.<br />

aseTi tipis <strong>testis</strong> agebis dros kidev<br />

erTxel SeamowmeT:<br />

- SeiZleba Tu ara Tqven mier miTiTebuli<br />

variantebis ramdenjerme gamoyeneba<br />

- TiToeul sakiTxs namdvilad mxolod<br />

erTi swori varianti Seesabameba<br />

- TiToeuli sakiTxis irgvliv sul<br />

mcire oTxi `cru~ distraqtori mainc<br />

aris gamoyenebuli.<br />

rogorc magaliTebi<strong>da</strong>n Cans, ganvrcobiTi<br />

Sesatyvisobis testebi `amosaxsnelad~<br />

sakmaod rTulia, <strong>misi</strong><br />

gamoyeneba SeiZleba mileris piramidis<br />

meore etapis, `icis rogor~, kompetenciis<br />

Sesafaseblad. es ki, <strong>codnis</strong><br />

maragTan erTad, ga<strong>da</strong>wyvetilebis<br />

miRebis unaris <strong>da</strong>, Sesabamisad, klinikuri<br />

diagnozis <strong>da</strong>smis unaris <strong>Sefaseba</strong>sac<br />

gulisxmobs.<br />

vTvliT, rom ganvrcobiTi Sesatyvisobis<br />

testebi farTod un<strong>da</strong> <strong>da</strong>inergos<br />

swavlebis procesSi. am tipis testebis<br />

Sedgena rTuli ar aris <strong>da</strong> qulebic <strong>da</strong>sajameblad<br />

iolia. meTodi validuri <strong>da</strong><br />

sarwmunoa. ganvrcobiTi Sesatyvisobis<br />

<strong>testis</strong> nimuSebi SegiZliaT ixiloT qvemoT<br />

(<strong>da</strong>narTi 1).<br />

rac Seexeba, zoga<strong>da</strong>d, klinikur konteqstze<br />

agebuli testebis <strong>Sedgenis</strong> principebs,<br />

qvemoT ufro detalurad SevexebiT.<br />

magaliTi 1<br />

Tema: revmatologia<br />

variantebis CamonaTvali:<br />

A. osteoarTriti<br />

B. revmatoiduli arTriti<br />

C. fsoriazuli arTropaTia<br />

D. sistemuri wiTeli mglura<br />

E. CREST sindromi<br />

F. polimioziti<br />

G. dermatomioziti<br />

H. takaiasus avadmyofoba<br />

I. kvanZovani poliarteriiti<br />

J. vegeneris granulomatozi<br />

Tebervali 2010 gv.5 samedicino gazeTi<br />

qvemoT CamoTvlil simptomebs miusa<strong>da</strong>geT Sesaba<strong>misi</strong> avadmyofoba variantebis<br />

CamonaTvali<strong>da</strong>n<br />

1. telangieqtazia frCxilis falangamde<br />

2. kanis kalcinozi<br />

3. ceris fuZis `kvadratuli~ forma<br />

4. ormosebri CaRrmavebebi frCxilebze<br />

5. cxviris unagirisebri deformacia<br />

6. pulsis gaqroba erT an ramdenime kidurze<br />

swori pasuxebia: 1 - G (dermatomioziti); 2 - E (CREST sindromi);<br />

3 - A (osteoarTriti); 4 - C (fsoriazuli arTropaTia);<br />

5 - J (vegeneris granulomatozi, aseTive deformacias<br />

iwvevs Tan<strong>da</strong>yolili sifilisi <strong>da</strong> varfariniT embriopaTia);<br />

6 - H (takaiasus avadmyofoba).<br />

magaliTi 2<br />

Tema: fiziologiuri maCveneblebi – klinikuri mdgomareoba<br />

variantebis CamonaTvali:<br />

pH PO 2 mm Hg PCO 2 mm Hg HCO 3 m eq/l<br />

A. 7.15 98 33 11<br />

B. 7.15 98 24 8<br />

C. 7.30 56 80 38<br />

D. 7.40 100 40 25<br />

E. 7.50 100 33 25<br />

F. 7.50 100 24 18<br />

G. 7.50 56 33 25<br />

qvemoT aRwerili TiToeuli pacientis mdgomareobas miusa<strong>da</strong>geT arteriuli<br />

sisxlis adeqvaturi maCveneblebi<br />

1. 22 wlis axalgazr<strong>da</strong> mamakaci, 3 kviris manZilze aReniSneba poliuria <strong>da</strong> polidipsia.<br />

AReniSnebo<strong>da</strong> aseve gulisreva, pirRebineba, <strong>da</strong>qveiTebuli reaqciebi ukanaskneli<br />

12 saaTis ganmavlobaSi. Sardis analizma aCvena 4 + glukoza <strong>da</strong> 4 + ketonebi.<br />

2. 25 wlis axalgazr<strong>da</strong> qali TviTmkvlelobis mcdelobi<strong>da</strong>n 12 saaTis Semdeg miiyvanes<br />

ga<strong>da</strong>udebeli <strong>da</strong>xmarebis ganyofilebaSi. mas miRebuli hqon<strong>da</strong> <strong>da</strong>axloebiT<br />

100 500-mg-iani aspirinis tableti.<br />

swori pasuxebia: 1 - B; 2 - F.<br />

<strong>testis</strong> Sedgena<br />

calkeul klinikur saqmianobasTan <strong>da</strong>kavSirebul sakiTxebze<br />

<strong>da</strong>avadebaTa prevencia<br />

<strong>da</strong>avadebaTa prevenciasTan <strong>da</strong>kavSirebuli<br />

kiTxvebi <strong>da</strong>kavSirebuli un<strong>da</strong> iyos<br />

risk faqtorebis <strong>Sefaseba</strong>sTan, epidemiologiuri<br />

monacemebis gamoyenebasTan,<br />

profilaqtikuri RonisZiebebis <strong>da</strong>gegmvasTan.<br />

am tipis kiTxvebi Cveulebriv iyofa<br />

Semdeg kategoriebad:<br />

1) skrining-testebi;<br />

2) konstruqciuli Careva:<br />

3) imunizacia/mgzavrobasTan <strong>da</strong>kav-<br />

Sirebuli sakiTxebi;<br />

4) ga<strong>da</strong>udebeli Careva.<br />

Cveulebriv, aseTi testi (<strong>da</strong>narTi 2.a)<br />

iwyeba pacientis klinikuri mdgomareobis<br />

aRweriT. avadmyofobis istoriisa <strong>da</strong><br />

fizikuri gasinjviT miRebuli monacemebis<br />

gar<strong>da</strong>, testi SeiZleba Seicavdes informacias<br />

Catarebul imunizaciaze,<br />

risk faqtorebze <strong>da</strong> ojaxis wevrebze. informacia<br />

zoga<strong>da</strong>d, populaciis Sesaxeb<br />

SeiZleba mniSvnelovani iyos <strong>da</strong> Sesabamisad,<br />

tests <strong>da</strong>ematos, magram sakiTxi<br />

konkretulad un<strong>da</strong> iyos fokusirebuli<br />

individualur pacientze. testi ar un<strong>da</strong><br />

Sedgebodes izolirebuli calkeuli<br />

faqtebisagan. magaliTad, moerideT SekiTxvas<br />

sikvdilianobis ZiriTadi<br />

mizezis Sesaxeb ama Tu im subpopulacia-<br />

Si; amis nacvlad, ecadeT iseTi kiTxva<br />

<strong>da</strong>svaT, riTac <strong>codnis</strong> gamoyenebaze<br />

moxdeba fokusireba.<br />

gTavazobT zemo<strong>da</strong>saxelebuli kriteriumebis<br />

Sesaba<strong>misi</strong> mmarTveli frazis<br />

magaliTebs:<br />

- romeli imunizaciis Catarebaa<br />

saWiro am periodSi?<br />

- romelia yvelaze Sesaferisi skrining-testi?<br />

- romeli gamokvleva mogvcems prognozis<br />

saSualebas?<br />

- romelia yvelaze Sesaferisi profilaqtikuri<br />

RonisZieba?<br />

- romel pirobebSi dgeba pacienti yvelaze<br />

didi riskis qveS?<br />

- romeli Semdgomi RonisZiebaa yvelaze<br />

Sesaferisi <strong>da</strong>avadebis/sikvdilis/<br />

uunarobis Tavi<strong>da</strong>n asacileblad?<br />

- ra rekomen<strong>da</strong>cias miscemdiT invalidobis<br />

Tavi<strong>da</strong>n asacileblad <strong>da</strong>saxelebuli<br />

<strong>da</strong>zianebis/mdgomareobis/<br />

garTulebis dros?<br />

- ra saxis winaswari mkurnaloba moaxdens<br />

pacientis <strong>da</strong>cvas <strong>da</strong>saxelebuli<br />

mdgomareobis Tavi<strong>da</strong>n asacileblad?<br />

- ra RonisZiebas <strong>da</strong>umatebdiT am mdgomareobis<br />

Tavi<strong>da</strong>n asacileblad?<br />

<strong>da</strong>avadebaTa ganviTarebis<br />

meqanizmebi<br />

<strong>da</strong>avadebaTa ganviTarebis meqanizmebTan<br />

<strong>da</strong>kavSirebulma kiTxvebma un<strong>da</strong> Seafasos<br />

paTofiziologiuri meqanizmebis<br />

codna, maT Soris, etiologia, paTogenezi,<br />

avadmyofobis ganviTarebis istoria,

samedicino gazeTi Tebervali 2010 gv.6<br />

<strong>da</strong>narTi 1<br />

`ganvrcobiTi Sesatyvisobis~ testebis nimuSebi klinikuri konteqstiT<br />

SeniSvna: CamonaTvalTa sii<strong>da</strong>n TiToeuli varianti SeiZleba miesa<strong>da</strong>gos erT an<br />

ramodenime sakiTxs an arcerTs!<br />

1. Tema: infeqciuri <strong>da</strong>avadebebi<br />

variantebis CamonaTvali:<br />

A. Treponema pallidum<br />

B. Rubella virus<br />

C. Human papilloma virus<br />

D. Human herpes virus 8<br />

E. Candi<strong>da</strong> albicans<br />

F. Epstein-Barr virus<br />

G. Cytomegalovirus<br />

H. Coxsackie A virus<br />

I. Coxsackie B virus<br />

qvemoT CamoTvlil SemTxvevebs miusa<strong>da</strong>geT Sesaba<strong>misi</strong> gamomwvevi variantebis<br />

CamonaTvali<strong>da</strong>n<br />

1. 16 wlis biWi sunTqvis gaZnelebiT. sisxlis wneva 100/70, taqikardia, wnevis mateba<br />

sauRle venebSi, gulis tonebis moyrueba, filtvebi sufTa.<br />

2. HIV+ mamakaci TeTrkideebiani laqebiT enis gverdiT ze<strong>da</strong>pirze. laqebi Znelad<br />

ifxikeba.<br />

3. HIV+ mamakaci enaze TeTri nadebiT. nadebi advilad scildeba.<br />

4. 32 wlis qali makulo-papularuli gamonayariT tanze, xelis- <strong>da</strong> fexisgulebze,<br />

meWeWisebri gamonayariT vulvaze <strong>da</strong> anusis irgvliv.<br />

5. 11 wlis gogona wvrili vezikuluri gamonayriT xelebze <strong>da</strong> fexebze <strong>da</strong> loyis<br />

lorwovanis <strong>da</strong>wylulebiT.<br />

swori pasuxebia: 1 - I (Coxsackie B virus); 2 - F (Epstein-Barr virus);<br />

3 - E (Candi<strong>da</strong> albicans); 4 - A (Treponema pallidum); 5 - H (Coxsackie A virus)<br />

2. Tema: RviZlis <strong>da</strong>avadebebi<br />

variantebis CamonaTvali:<br />

A. A hepatiti<br />

B. B hepatiti<br />

C. C hepatiti<br />

D. hemoqromatozi<br />

E. vilsonis <strong>da</strong>avadeba<br />

F. avtoimunuri hepatiti<br />

G. pirveladi biliaruli cirozi<br />

H. masklerozebeli qolangiti<br />

qvemoT CamoTvlil aRwerilobebs miusa<strong>da</strong>geT Sesaba<strong>misi</strong> <strong>da</strong>avadeba variantebis<br />

CamonaTvali<strong>da</strong>n<br />

1. saSualo asakis qali uCivis leTargias <strong>da</strong> qavils. gamokvlevisas gamovlin<strong>da</strong><br />

mxolod hepatosplenomegalia. RviZlis fermentebi momatebuli, gansakuTrebiT<br />

ki tute fosfataza <strong>da</strong> g-GT. aris antimitoqondriuli antisxeulebic<br />

2. 13 wlis biWi msubuqi intensivobis mwvave hepatitis niSnebiT. gamoxatulia<br />

tremori <strong>da</strong> swavlis unaris moSla. virusuli <strong>da</strong> avtoimunuri serologia negatiuri.<br />

3. 20 wlis mamakaci anamnezSi wylulovani kolitiT. amJamad saxezea sisuste, wona-<br />

Si kleba, qavili, tkivili marjvena ferdqveSa areSi <strong>da</strong> gar<strong>da</strong>mavali siyviTle.<br />

4. 30 wlis qali anoreqsiiT, gulisreviTa <strong>da</strong> sisustiT. gamokvleviT gamovlin<strong>da</strong><br />

palmaruli eriTema <strong>da</strong> telangieqtaziebi. RviZlis transaminazebi momatebuli.<br />

aris gluvi kunTis sawinaaRmdego antisxeulebi.<br />

5. 42 wlis mamakaci sisustiT, leTargiiT, impotenciiT <strong>da</strong> xelisa <strong>da</strong> muxlis saxsrebis<br />

tkiviliT. gamokvlevisas SeimCneva kanis gamuqeba-gauxeSeba <strong>da</strong> hepatomegalia.<br />

swori pasuxebia: 1 - G (pirveladi biliaruli cirozi); 2 - E (vilsonis <strong>da</strong>avadeba);<br />

3 - H (masklerozebeli qolangiti); 4 - F (avtoimunuri hepatiti); 5 - D (hemoqromatozi).<br />

3. Tema: dermatologia<br />

variantebis CamonaTvali<br />

A. bulozuri impetigo<br />

B. vulgaruli pemfigusi<br />

C. bulozuri pemfigoidi<br />

D. herpetiformuli dermatiti<br />

E. xelis, fexisa <strong>da</strong> piris Rrus <strong>da</strong>avadeba<br />

F. bulozuri epidermolizi<br />

G. Cutyvavila (varicela)<br />

qvemoT CamoTvlil SemTxvevebs miusa<strong>da</strong>geT Sesaba<strong>misi</strong> diagnozi variantebis<br />

CamonaTvali<strong>da</strong>n<br />

1. axalSobili, romlis kani kontaqtisas ifareba bulozuri buStukebiT.<br />

2. 70 wlis qali fexebze didi zomis <strong>da</strong>Wimuli buStukebiT. buStukebs gaaCniaT<br />

eriTematozuli safuZveli <strong>da</strong> zogierT maTganSi aRiniSneba sisxliani SigTavsi.<br />

3. mozardi intensiuri qavana vezikularuli gamonayriT dunduloebze, i<strong>da</strong>yvebze,<br />

muxlebsa <strong>da</strong> wvivebze. irkveva, rom mas aqvs SeteviTi defekacia.<br />

4. 60 wlis qali sxeulsa <strong>da</strong> piris RruSi dune, advilad <strong>da</strong>zianebadi buStukebiTa<br />

<strong>da</strong> eroziebiT.<br />

swori pasuxebia: 1 - F (bulozuri epidermolizi); 2- C (bulozuri pemfigoidi);<br />

3 - D (herpetiformuli dermatiti); 4 - B (vulgaruli pemfigusi).<br />

klinikuri mimdinareoba, garTulebaTa<br />

meqanizmi, <strong>da</strong>avadebis simZime, samkurnalo<br />

RonisZiebebis winaswar gaTvaliswinebuli<br />

Tu gauTvaliswinebeli efeqtebi.<br />

testebi agebuli un<strong>da</strong> iyos klinikuri<br />

konteqstiT.<br />

zoga<strong>da</strong>d, meqanizmebTan <strong>da</strong>kavSirebuli<br />

testi (<strong>da</strong>narTi 2,b) <strong>da</strong>iwyeT klinikuri<br />

suraTis aRweriT: simptomebiT, CivilebiT,<br />

laboratoriuli monacemebis miTi-<br />

TebiT, Semdeg <strong>da</strong>sviT erT-erTi aseTi ki-<br />

Txva:<br />

- riT aixsneba miRebuli <strong>da</strong>kvirvebis/<br />

analizis Sedegebi?<br />

- sad ganviTardeba <strong>da</strong>zianeba?<br />

- romeli paTogenuri agenti gamoiwvev<strong>da</strong><br />

<strong>da</strong>saxelebul movlenebs?<br />

- romeli maCvenebeli gaizrdeba/<br />

<strong>da</strong>qveiTdeba?<br />

- ra cvlilebebi gamovlindebo<strong>da</strong><br />

biofsiiT?<br />

diagnostika<br />

diagnostikasTan <strong>da</strong>kavSirebiT Sedgenilma<br />

testma (<strong>da</strong>narTi 2,g) gamosacdelSi<br />

un<strong>da</strong> gamoavlinos laboratoriuli <strong>da</strong> instrumentuli<br />

kvlevebiT miRebuli<br />

maCveneblebis, avadmyofis Civilebis interpretaciis<br />

<strong>da</strong> diferencialuri diagnostikis<br />

unari. am tipis kiTxvebiT vlindeba<br />

miRebuli <strong>codnis</strong> integraciis unari.<br />

Cveulebriv, aseTi testi iwyeba pacientis<br />

mdgomareobis aRweriT (mieTiTeba<br />

asaki, sqesi, simptomebi, niSnebi, <strong>da</strong>avadebis<br />

xangrZlivoba, garegani <strong>da</strong>TvalierebiT,<br />

laboratoriuli <strong>da</strong> instrumentuli<br />

gasinjviT miRebuli maCveneblebi <strong>da</strong> sxv.)<br />

<strong>da</strong> mTavrdeba SekiTxviT:<br />

- romelia yvelaze Sesaferisi diagnozi?<br />

- ra <strong>da</strong>matebiTi RonisZiebaa saWiro<br />

diagnozisaTvis?<br />

- ra a<strong>da</strong>sturebs <strong>da</strong>saxelebul diagnozs?<br />

pacientis marTva<br />

pacientis marTvasTan <strong>da</strong>kavSirebuli<br />

testi (<strong>da</strong>narTi 2,d) afasebs mwvave <strong>da</strong><br />

qronikuli SemTxvevebis marTvis principebs<br />

ambulatoriul <strong>da</strong> stacionarul<br />

pirobebSi. am tipis SekiTxvebiT SeiZleba<br />

Sefasdes farmakoTerapiuli ga<strong>da</strong>wyvetilebis<br />

unari, mkurnalobis sxva<strong>da</strong>sxva<br />

meTodis erTdroulad gamoyenebis<br />

unari <strong>da</strong> sxv. <strong>testis</strong> bolos, Cveulebriv,<br />

<strong>da</strong>ismis SekiTxva:<br />

- romeli Semdgomi gziT un<strong>da</strong> warimarTos<br />

mkurnaloba?<br />

- ra mkurnaloba iqneba yvelaze efeqturi?<br />

- romel mkurnalobas <strong>da</strong>uniSnavdiT?<br />

- ra <strong>da</strong>xmarebaa saWiro pirvel rigSi?<br />

<strong>da</strong>narTi 2<br />

calkeul klinikur saqmianobasTan <strong>da</strong>kavSirebuli <strong>testis</strong> nimuSebi<br />

a) <strong>da</strong>avadebaTa prevenciasTan <strong>da</strong>kavSirebuli <strong>testis</strong> nimuSebi<br />

1. 15 wlis biWs futkris kbenis Semdeg orjer ganuviTar<strong>da</strong> mwvave anafilaqsiuri<br />

Soki. romelia yvelaze Sesaferisi profilaqtikuri RonisZieba?<br />

A. kortikosteroidebis <strong>da</strong>niSvna zafxulis ganmavlobaSi<br />

B. grZelvadiani profilaqtikuri antihistaminuri Terapia<br />

C. <strong>da</strong>mcveli tansacmeli<br />

*D. desesitizacia futkris Sxamis eqstraqtiT<br />

E. zafxulis TveebSi sjobs gaCerdes saxlis pirobebSi<br />

2. 33 wlis qalma, pirveli orsuloba, orsulobis 38-e kviras spontanurad imSobiara.<br />

axalSobili gogona iwonis 2460g-s, aReniSneba hepatosplenomegalia, Ria<br />

ductus arteriosus, kataraqta. orsulobis me-8 kviras de<strong>da</strong>s ganuviTar<strong>da</strong> makulopapuluri<br />

gamonayari, gaudid<strong>da</strong> kisris limfuri kvanZebi, uCio<strong>da</strong> yelis tkivils,<br />

arTralgias. <strong>da</strong>asaxelebuli movlenebi erTi kviris Semdeg spontanurad gaqra.<br />

orsulobis Semdgomi periodi mimdinareob<strong>da</strong> garTulebis gareSe. orsulobis<br />

periodSi Catarebuli romeli gamokvleva mogvcem<strong>da</strong> nayofis mdgomareobis<br />

prognozirebis saSualebas?<br />

A. amniocentezi kariotipis gansazRvriT<br />

B. herpes simplex virusis kultura<br />

*C. wiTuras seriuli titrebi<br />

D. Sardis analizi citomegalovirusze<br />

E. testi sifilisze<br />

b) <strong>da</strong>avadebaTa ganviTarebis meqanizmebTan <strong>da</strong>kavSirebuli <strong>testis</strong> nimuSi<br />

10 wlis gogonas yelis tkivilis <strong>da</strong>wyebi<strong>da</strong>n 14 dReSi ganuviTar<strong>da</strong> makrohematuria.<br />

mas aReniSneba sisxlis arteriuli wneva 170/100 mmHg <strong>da</strong> qve<strong>da</strong> kidurebis<br />

SeSupeba. sisxlSi Sardovanas azotis koncentracia aris 3.2 mg/dl. ra mizezi<br />

gamoiwvev<strong>da</strong> <strong>da</strong>saxelebul movlenebs?<br />

A. aortis koarktacia<br />

B. endoTeliumi<strong>da</strong>n warmoqmnili relaqsaciis faqtoris produqciis <strong>da</strong>qveiTeba<br />

C. aldosteronis produqciis gazr<strong>da</strong><br />

D. kateqolaminebis produqciis gazr<strong>da</strong><br />

*E. gazrdili intravaskuluri moculoba<br />

g) diagnostikasTan <strong>da</strong>kavSirebuli <strong>testis</strong> nimuSi<br />

52 wlis mamakacs 2 dRea, rac aReniSneba dispnea <strong>da</strong> xvela Cirqovani naxveliT. 30<br />

welia, rac yoveldRiurad eweva <strong>da</strong>axloebiT erT yuT sigarets. sxeulis temperaturaa<br />

37.2 O C. sunTqvis dros distanciazec ismis stvena <strong>da</strong> xixini. leikocitebis<br />

raodenobaa 9000/mm 3 . gramis meTodiT naxvelSi gamovlin<strong>da</strong> didi raodenobiT<br />

neitrofilebi <strong>da</strong> gram-pozitiuri diplokokebi. romelia yvelaze Sesaferisi<br />

diagnozi?<br />

A. asTma<br />

B. bronqoeqtazia<br />

*C. bronqiti<br />

D. filtvis embolia<br />

E. streptokokuli pnevmonia<br />

d) pacientis marTvasTan <strong>da</strong>kavSirebuli <strong>testis</strong> nimuSi<br />

15 wlis biWs, romelic adre arafers uCio<strong>da</strong>, aReniSneba mwvave movliTi xasia-<br />

Tis tkivilebi periumbilikalur mi<strong>da</strong>moSi; ramdenime saaTSi tkivilebi gax<strong>da</strong><br />

mudmivi <strong>da</strong> ga<strong>da</strong>inacvla marjvena qve<strong>da</strong> kvadrantSi. vadmyofs <strong>da</strong>ewyo pirRebineba<br />

<strong>da</strong> miiyvanes ga<strong>da</strong>udebeli samedicino <strong>da</strong>xmarebis departamentSi. muceli Rrma<br />

palpaciiT mtkivneuli iyo marjvena qve<strong>da</strong> kvadrantSi. sisxlSi leikocitebis<br />

raodenoba - 15 000/mm 3 , SardSi – 3 leikociti/mxedvelobis velSi. ra proceduris<br />

Catarebaa saWiro pirvel rigSi?<br />

A. mkurnaloba saxlis pirobebSi; klinikaSi <strong>da</strong>brundeba, Tu tkivilebi moimatebs<br />

B. bariumis oyna<br />

C. muclis CT-skanireba<br />

D. intravenuri pielografia <strong>da</strong> cistografia<br />

*E. muclis qirurgiuli gamokvleva

test-kiTxvarebis warmodgenis<br />

formati <strong>da</strong> maTi kategorizacia<br />

sferoebis mixedviT<br />

- tests Tan un<strong>da</strong> axldes mokle ganmarteba<br />

swori pasuxis Taobaze.<br />

- testebis kategorizacia un<strong>da</strong> moxdes<br />

<strong>codnis</strong>a <strong>da</strong> klinikur saqmianobasTan<br />

<strong>da</strong>kavSirebuli calkeuli sferoebis<br />

mixedviT. aseTi rekomendebuli sferoebia:<br />

faqtebis <strong>da</strong> informaciis codna;<br />

<strong>da</strong>avadebaTa epidemiologia <strong>da</strong> prevencia;<br />

<strong>da</strong>avadebaTa ganviTarebis meqanizmebi;<br />

diagnostika <strong>da</strong> ga<strong>da</strong>wyvetilebis miRebis<br />

unari;<br />

pacientis marTva <strong>da</strong> mkurnaloba.<br />

faqtebisa <strong>da</strong> informaciis codnasTan<br />

<strong>da</strong>kavSirebiT warmodgenili testebi<br />

un<strong>da</strong> Seadgendes testebis mTeli Semadgenlobis<br />

mxolod 5-7%-s; <strong>da</strong>avadebaTa<br />

epidemiologiasTan <strong>da</strong> prevenciasTan<br />

<strong>da</strong>kavSirebuli – 10-13% (Tu specialoba<br />

uSualod ar aris <strong>da</strong>kavSirebuli prevenciul<br />

medicinasTan); yvela <strong>da</strong>narCeni<br />

testi sferoebis mixedviT ga<strong>da</strong>nawildeba<br />

Semdegnairad: <strong>da</strong>avadebaTa ganviTarebis<br />

meqanizmebi – 15-20%; diagnostika <strong>da</strong><br />

ga<strong>da</strong>wyvetilebis miRebis unari – 30-<br />

40%; pacientis marTva <strong>da</strong> mkurnaloba –<br />

30-40%.<br />

rekomendebuli literatura/wyaroebi<br />

testebis SemuSavebisaTvis<br />

- testebis <strong>Sedgenis</strong>as avtorma (avtor-<br />

Ta jgufma) un<strong>da</strong> ixelmZRvanelos Sesabamis<br />

specialobaSi arsebuli uaxlesi qar-<br />

Tuli saxelmZRvaneloebiT <strong>da</strong> test-krebulebiT,<br />

romelTa CamonaTvali <strong>da</strong>mtkicebuli<br />

un<strong>da</strong> iyos akademiuri sabWos mier<br />

<strong>da</strong> Tan un<strong>da</strong> axldes warmodgenil<br />

test-kiTxvarebs.<br />

- ucxouri wyaroebis Targmnis gziT<br />

miRebuli testebis gamoyeneba <strong>da</strong>saSvebia<br />

mxolod maTi pilotirebis Semdeg.<br />

<strong>testuri</strong> gamocdis savaraudo<br />

xarvezebi <strong>da</strong> maTi prevencia<br />

testebis validurobis anu vargisianobis<br />

TvalsazrisiT testur gamoc<strong>da</strong>s<br />

SeiZleba ZiriTa<strong>da</strong>d ori xarvezi<br />

hqondes:<br />

a)kiTxvebis raodenoba iyos arasakmarisi<br />

ama Tu im sferoSi <strong>codnis</strong> Sesafaseblad;<br />

<strong>da</strong><br />

b) testebi iyos <strong>da</strong>bali xarisxis, arasworad<br />

Sedgenili <strong>da</strong> gaumarTavi.<br />

testebis xarisxi. <strong>da</strong>bali xarisxisaa<br />

testi, Tu is Znelad an saerTod ver ikiTxeba;<br />

Seicavs gaurkvevel an moZvelebul<br />

faqtebs, informacias <strong>da</strong> statistikur monacemebs;<br />

Sedgenilia tendenciurad,<br />

arasamarTlianad, `eSmakurad <strong>da</strong> mzakvrulad~;<br />

Zalian advilia; Zalian rTulia;<br />

Sedgenilia ara<strong>da</strong>majereblad, variantebis<br />

arasakmarisi diferenciaciiT.<br />

test-kiTxvarebis xarisxze pasuxismgebelia<br />

departamentis/mimarTulebis xelmZRvaneli.<br />

man un<strong>da</strong> uzrunvelyos testebis<br />

winaswari pilotireba <strong>da</strong> xarisxis<br />

<strong>da</strong>dgena. igi valdebulia Seqmnas maRali<br />

validurobis test-banki, sai<strong>da</strong>nac moxdeba<br />

sagamocdo variantebis SerCeva.<br />

testebis ganaxleba. testebis gana-<br />

<strong>da</strong>skvna<br />

xleba un<strong>da</strong> moxdes yovelwliurad, xolo<br />

sruli ganaxleba 5 weliwadSi erTxel.<br />

testebis yovelwliuri ganaxleba un<strong>da</strong><br />

moxdes 20%-iT Catarebuli gamocdebis<br />

Sedegebis analizis gaTvaliswinebiT.<br />

swavlebisa <strong>da</strong> Sefasebis axali meTodebis<br />

<strong>da</strong>nergvasTan <strong>da</strong> gamocdebis Catarebis<br />

wesis cvlilebasTan erTad un<strong>da</strong> moxdes<br />

testebis sruli ganaxleba.<br />

testebis ganaxlebis dros, pirvel rigSi,<br />

gamoicvleba Zalian advili <strong>da</strong> Zalian<br />

Zneli testebi.<br />

`Zalian advili~ SeiZleba ewodos<br />

tests, romelze<strong>da</strong>c gamosacdelTa 80%ze<br />

meti pasuxobs. maRali procenti SeiZleba<br />

sagamocdo testebis winaswar gam-<br />

JRavnebis Sedegic iyos, rac kidev erTxel<br />

asabuTebs, rom am tipis testebi amo-<br />

Rebuli un<strong>da</strong> iqnes.<br />

`Zalian Zneli~ SeiZleba ewodos tests,<br />

romelze<strong>da</strong>c gamosacdelTa 10%-ze naklebi<br />

pasuxobs. 10% is maCvenebelia, romelic<br />

SeiZleba gamosacdelTa garkveulma<br />

raodenobam intuiciiT miaRwios,<br />

yovelgvari <strong>codnis</strong> gareSe. am tipis testebSi<br />

SeiZleba moxvdes yvela arasworad<br />

Sedgenili, uxarisxo <strong>da</strong> gaumarTavi testic,<br />

rac kidev erTxel asabuTebs, rom am<br />

tipis testebic amoRebuli un<strong>da</strong> iqnes.<br />

testebis umravlesoba, umetes SemTxvevaSi,<br />

gadmoTargmnilia ucxouri literaturi<strong>da</strong>n.<br />

<strong>testuri</strong> kiTxvis ucxouri<br />

wyaro qarTul saxelmZRvanelos xSirad<br />

ar Seesabameba. testebis umravlesoba<br />

faqtebis codnasa <strong>da</strong> <strong>da</strong>maxsovrebis unars<br />

afasebs. testSi moyvanili situaciebi<br />

realuri praqtikisaTvis xSirad ararealuria,<br />

testebSi gamoyenebuli faqtebi<br />

xSirad moZvelebuli <strong>da</strong> araaqtualuria.<br />

yovelive zemoaRniSnuli<strong>da</strong>n gamomdinare,<br />

- aucilebelia Camoyalibdes testkiTxvarebis<br />

banki, sa<strong>da</strong>c testebis raodenoba<br />

sagamocdod gamoyenebuli testebis<br />

raodenobas minimum 5-jer un<strong>da</strong><br />

aRematebodes.<br />

- test-kiTxvarebis banki saWiroebs<br />

mudmiv ganaxlebas, romelic periodulad<br />

un<strong>da</strong> moxdes sxva<strong>da</strong>sxva tipis <strong>testis</strong><br />

gamoyenebiT <strong>da</strong> Sefasebis axali meTodebis<br />

gaTvaliswinebiT.<br />

- winaswar un<strong>da</strong> moxdes testebis pilotireba<br />

<strong>da</strong> maTi sirTulis koeficientis<br />

gansazRvra. sagamocdo bileTi un<strong>da</strong><br />

Sedgebodes sxva<strong>da</strong>sxva sirTulis <strong>testis</strong>agan.<br />

- sagamocdod gamoyenebuli testebis<br />

nimuSebi <strong>da</strong> rekomendebuli literatura<br />

winaswar un<strong>da</strong> ecnobos farTe sazogadoebas.<br />

- Sefasebis axali meTodebis asaTviseblad<br />

gamomcdelebi saWiroeben periodul<br />

ga<strong>da</strong>mzadebas.<br />

- periodulad un<strong>da</strong> moxdes gamocdebis<br />

Catarebis wesis ga<strong>da</strong>xedva <strong>da</strong> Sefasebis<br />

axali meTodebis <strong>da</strong>nergva samedicino ganaTlebisa<br />

<strong>da</strong> profesiuli kompetenciis<br />

Sefasebis Tanamedrove sistemis gaTvaliswinebiT.<br />

- Sefasebis yvela axali meTodi sajarod<br />

un<strong>da</strong> iyos ganxiluli <strong>da</strong> mowonebuli<br />

Sesaba<strong>misi</strong> departamentebis/mimarTulebebis<br />

<strong>da</strong> akademiuri sabWos mier.<br />

<strong>codnis</strong> srulyofili SefasebisaTvis gamokiTxvis mravali sxva<strong>da</strong>sxva<br />

saSualeba arsebobs. maTi SerCevis dros un<strong>da</strong> gaviTvaliswinoT:<br />

1. Sefasebis mizani winaswar naTlad un<strong>da</strong> iyos gamokveTili.<br />

2. gamosacdeli, gamomcdeli <strong>da</strong> mTeli `gare samyaro~ <strong>da</strong>rwmunebuli<br />

un<strong>da</strong> iyos, rom gamocdisaTvis obieqturi, sarwmuno <strong>da</strong> vargisiani<br />

meTodia SerCeuli, romelic gamosacdels namdvilad miscems<br />

<strong>codnis</strong> gamovlenis saSualebas.<br />

3. gamoc<strong>da</strong> un<strong>da</strong> iyos gamWvirvale, xolo Sefasebis meTodi <strong>da</strong> kriteriumebi<br />

- sajaro.<br />

4. gamocdis Sedegebis <strong>da</strong>jamebis Semdeg, un<strong>da</strong> gakeTdes analizi,<br />

romelic xelmisawvdomi un<strong>da</strong> iyos gamosacdelisTvis <strong>da</strong> yvela <strong>da</strong>interesebuli<br />

pirisaTvis.<br />

Tebervali 2010 gv.7 samedicino gazeTi<br />

Tssu-is xarisxis uzrunvelyofis samsaxuris macne<br />

Tbilisis saxelmwifo samedicino universiteti<br />

xarisxis uzrunvelyofis samsaxuri<br />

moqmedi silabusis Sefasebis principebi/kriteriumebi<br />

saswavlo kursi/disciplina -<br />

departamenti/mimarTuleba -<br />

fakulteti (romelzec iswavleba) -<br />

saganmanaTleblo safexuri -<br />

moqmedebis va<strong>da</strong> -<br />

I. silabusSi warmodgenili saswavlo kursis aRweriloba<br />

aucilebeli komponentebi:<br />

- kursis xangrZlivoba, formati,<br />

- kursis mizani,<br />

- kursis winapirobebi (prerekvizitebi),<br />

- kursis Sinaarsi,<br />

- studentTa <strong>codnis</strong> Sefasebis sistema,<br />

- saswavlo literatura,<br />

- swavlis Sedegi.<br />

II. silabusSi warmodgenili saswavlo kursis Sesabamisoba akademiur<br />

politikasTan <strong>da</strong> kurikulumTan<br />

ZiriTadi samizne kriteriumebi:<br />

- studentis CarTuloba saswavlo procesSi,<br />

- kursis swavlebis formebi,<br />

- studentTa <strong>da</strong>moukidebeli muSaobisTvis SeTavazebuli formati, <strong>misi</strong> Tavsebadoba<br />

studentTa akademiuri momzadebis donesTan mocemul saganmanaTleblo<br />

safexurze,<br />

- kursis mniSvneloba <strong>da</strong> roli profesiuli momzadebis (maT Soris - uwyveti profesiuli<br />

ganviTarebis) procesSi,<br />

- studentis <strong>codnis</strong> Sefasebis principebi.<br />

III. saswavlo kursis mizani<br />

ZiriTadi samizne kriteriumebi:<br />

- miznis naTlad Camoyalibebis xarisxi,<br />

- miznis Sesabamisoba akademiur <strong>da</strong> meTodologiur stan<strong>da</strong>rtebTan,<br />

- miznis Sesabamisoba momavali saqmianobisaTvis aucilebeli unar-Cvevebis <strong>da</strong><br />

analizuri azrovnebis ganviTarebis interesebTan.<br />

IV. saswavlo kursis winapirobebi<br />

ZiriTadi samizne kriteriumebi:<br />

- Sesabamisoba mocemuli saswavlo kursis SinaarsTan,<br />

- Sesabamisoba fakultetis saganmanaTleblo programasTan (kurikulumTan).<br />

V. saswavlo kursis formati<br />

ZiriTadi samizne kriteriumebi:<br />

- ECTS-is ganawileba, kredit-moculoba,<br />

- leqcia-pratikumebis Tanafardoba,<br />

- auditoriuli (sakontaqto) <strong>da</strong> studentTa <strong>da</strong>moukidebeli muSaobis Tanafardoba<br />

<strong>da</strong> sxv.<br />

VI. saswavlo kursis Sinaarsi<br />

ZiriTadi samizne kriteriumebi:<br />

- Sesabamisoba akademiuri <strong>da</strong> profesiuli ganaTlebis interesebTan,<br />

- Sesabamisoba disciplinis ganviTarebis Tanamedrove donesTan,<br />

- Sesabamisoba kursis mizanTan <strong>da</strong> swavlis SedegebTan,<br />

- Sesabamisoba saswavlo programebis ‘horizontaluri <strong>da</strong> vertikaluri~ integraciis<br />

SesaZleblobasTan (programis dublirebis gamoricxviT).<br />

VII. studentis <strong>codnis</strong> Sefasebis sistema<br />

ZiriTadi samizne kriteriumebi:<br />

- <strong>codnis</strong> Sefasebis formebi,<br />

- <strong>codnis</strong> Sefasebis komponentebi <strong>da</strong> maTi Tanafardoba,<br />

- studentTa individuri saWiroebebis gaTvaliswinebis SesaZlebloba,<br />

- studentis <strong>da</strong>mokidebulebis Sefasebis SesaZlebloba <strong>codnis</strong>a <strong>da</strong> profesiuli<br />

unarebis SeZenisadmi,<br />

- gamoc<strong>da</strong>ze <strong>da</strong>Svebis winapirobebis <strong>da</strong>dgenis kriteriumebi.<br />

VIII. saswavlo literatura (savaldebulo, rekomendebuli, <strong>da</strong>matebiTi)<br />

ZiriTadi samizne kriteriumebi:<br />

- sakmarisoba,<br />

- Tanamedroveoba,<br />

- xelmisawvdomoba.<br />

IX. swavlis Sedegi (Teoriuli codna, praqtikuli unarebi)<br />

ZiriTadi samizne kriteriumebi:<br />

- Sedegebis Camoyalibebis mkafioba,<br />

- Tavsebadoba saswavlo kursis mizanTan <strong>da</strong> SinaarsTan,<br />

- Sesabamisoba validuri, transferuli <strong>codnis</strong> <strong>da</strong> momavali profesiuli kompetenciis<br />

interesebTan.

samedicino gazeTi Tebervali 2010 gv.8<br />

specialoba <strong>da</strong> profesionalizmi<br />

pediatris profesia <strong>da</strong> pediatriuli ganaTleba: axali gamowvevebi<br />

irakli favleniSvili<br />

Tssu pediatriis departamentis sruli profesori, sarezidento programis “pediatria”<br />

direqtori, amerikis pediatrTa akademiis wevri, saxelmwifo premiis laureati<br />

I . pediatris profesia<br />

gagrZeleba. <strong>da</strong>sawyisi wina nomerSi.<br />

- skolis pediatri.<br />

saskolo asakis <strong>da</strong> mozardi bavSvebi is<br />

kontigentia, romlebic arasaTanado<br />

samedicino <strong>da</strong>xmarebas iRebs. rogorc<br />

Cans, pediatrTa garkveul nawils isev<br />

mouwevs Tavisi praqtikis didi nawili<br />

gaataros skolis pirobebSi, raTa<br />

uzrunvelyos iseTi samedicino <strong>da</strong>xmareba,<br />

rogoricaa vaqcinaciis Catareba, sqesobrivad<br />

ga<strong>da</strong>mdebi infeqciebis<br />

profilaqtika, orsulobis prevencia,<br />

sxva<strong>da</strong>sxva qimiuri nivTierebebis borotad<br />

gamoyenebasTan <strong>da</strong>kavSirebiT konsultireba,<br />

moswavlis ganviTarebisa <strong>da</strong><br />

fsiqiuri janmrTelobis mdgomareobis<br />

<strong>Sefaseba</strong>, mozardebSi Zaladobis prevencia<br />

<strong>da</strong> sxv.<br />

- pediatri, rogorc samedicino<br />

<strong>da</strong>xmarebis aRmomCeni binis<br />

pirobebSi.<br />

amJamad SeiniSneba mwvave Tu qronikuli<br />

<strong>da</strong>avadebebis binis pirobebSi e.w. komfortuli<br />

<strong>da</strong> xarjTefeqturi mkurnalobis<br />

tendencia. amitomac, saWiroa im kompetenciebis<br />

Camoyalibeba, romliTac<br />

pediatri Seafasebs, koordinacias<br />

moaxdens <strong>da</strong> gaaadvilebs am saxis samedicino<br />

<strong>da</strong>xmarebas. gar<strong>da</strong> amisa, SesaZlebelia,<br />

rom ufro gafarTovdes binaze<br />

Catarebuli profilaqtikuri Semowmebis<br />

<strong>da</strong> mwvave <strong>da</strong>avadebaTa mkurnalobis<br />

areali.<br />

- pediatri, rogorc populaciaze<br />

<strong>da</strong>fuZnebuli, sazogadoebrivi<br />

medicinis praqtikosi.<br />

axlo momavalSi savaraudoa saxelmwifo<br />

<strong>da</strong> municipalitetebi gamoiyenebs<br />

eqimebs, maT Soris pediatrebs, sazogadoebrivi<br />

jan<strong>da</strong>cvis pirveladi moTxovnilebebisa<br />

<strong>da</strong> SemTxvevaTa marTvis sakiTxebis<br />

integraciis mizniT, sazogadoebrivi<br />

janmrTelobis gaumjobesebisaTvis,<br />

samedicino <strong>da</strong>xmarebis xarisxis<br />

Sesafaseblad <strong>da</strong> sxv.<br />

- pediatri administraciul<br />

medicinaSi.<br />

pediatrebi sxva eqimebis msgavsad dResac<br />

saqmdebian jan<strong>da</strong>cvis administraciaSi.<br />

muSaoben sa<strong>da</strong>zRvevo kompaniebisaTvis,<br />

janmrTelobis SemanarCunebeli<br />

organizaciebisaTvis <strong>da</strong> sxva <strong>da</strong>wesebulebebisaTvis.<br />

aRniSnuli karierisTvis<br />

mosamzadeblad sul ufro meti eqimi<br />

ecdeba maRali biznes xarisxis mopovebas.<br />

- pediatri, rogorc pediatriuli<br />

samsaxuris xarisxis mkvlevari.<br />

informaciuli teqnologiebisa <strong>da</strong> pasuxismgeblobebis<br />

mimarT yuradRebis<br />

mosalodnel zr<strong>da</strong>sTan erTad pediatris<br />

kidev erTi mniSvnelovani funqcia iqneba<br />

pediatriuli samsaxuris xelmisawvdomobis,<br />

xarisxisa <strong>da</strong> gamoyenebis sakiTxebis<br />

Seswavla. es kvleva warimarTeba<br />

akademiur samedicino centrebsa <strong>da</strong><br />

polisis jgufebSi CarTuli mkvlevarebis,<br />

aseve kerZo <strong>da</strong>wesebulebebSi momuSave<br />

pediatrebis mier.<br />

- sofelSi momuSave pediatri.<br />

soflis regionSi pediatriuli saqmianoba<br />

kvlavac unikalur sirTules warmoadgens.<br />

sofelSi momuSave pediatrma<br />

zog SemTxvevaSi kvlavac un<strong>da</strong> SeiTavsos<br />

Terapevtis, neonatologis, intensiuri<br />

Terapiis specialistis funqciebi<br />

matransportirebeli jgufis mosvlamde,<br />

rodesac pacientis mdgomareoba kritikulia.<br />

telemedicina saSualebas miscems<br />

sofelSi momuSave pediatrs<br />

saWiroebis SemTxvevaSi miiRos Sesaba<strong>misi</strong>s<br />

subspecialistis konsultacia <strong>da</strong><br />

amgvarad aRmouCinos pacients optimaluri<br />

samedicino <strong>da</strong>xmareba. qronikuli<br />

<strong>da</strong>avadebebis mkurnaloba <strong>da</strong> qcevis<br />

problemebis amocnoba soflis pediatris<br />

kompentenciis is aspeqtebia, romelic<br />

aqtualizebulia <strong>da</strong> saswrafod<br />

ga<strong>da</strong>Wras moiTxovs.<br />

amrigad, pediatriuli samsaxuris profesionalTa<br />

Camoyalibeba <strong>da</strong> maTi<br />

rolebis gafarToeba moiTxovs imas, rom<br />

pediatriulma samedicino ganaTlebam<br />

saTanado yuradReba miaqcios pediatriuli<br />

samsaxuris integracias monaTesave<br />

samsaxurebTan. gansakuTrebiT mniSvnelovania<br />

xazi gaesvas pediatrebis mier<br />

urTierTTanamSromlobis Cvevebis SeZenas,<br />

vinai<strong>da</strong>n maT sul ufro xSirad mouwevT<br />

sxva<strong>da</strong>sxva gundSi muSaoba. samedicino<br />

samsaxuris uzrunvelmyof profesionalTa<br />

rolebisa <strong>da</strong> SesaZleblobeb-<br />

Si garkveva pediatriuli ganaTlebis er-<br />

TerTi mniSvnelovani komponentia. vinai<strong>da</strong>n<br />

xSir SemTxvevaSi pediatriuli pacientisaTvis<br />

samedicino <strong>da</strong>xmarebis aRmoCenaze<br />

pasuxismgebeli iqneba arapediatri<br />

eqimi, amitom saWiroa, rom pediatriuli<br />

ganaTlebis dros pediatrebs<br />

Caunergon liderobis SegrZneba <strong>da</strong><br />

gamoumuSavon Cvevebi, romlebic saWiroa<br />

pediatriuli samedicino <strong>da</strong>xmarebis<br />

stan<strong>da</strong>rtebis SesamuSaveblad.<br />

<strong>da</strong> bolos, vinai<strong>da</strong>n pediatrs mravalferovani<br />

rolebis SeTavseba mouwevs momavalSi,<br />

amitom samedicino ganaTlebis<br />

procesSi un<strong>da</strong> moxdes studentTa<br />

gaTviTcnobiereba Tu ra <strong>da</strong> ra mimarTulebiT<br />

SeiZleba moxdes pediatris<br />

karieris ganviTareba.<br />

SeiTavsebs ra axal funqciebs pediatris<br />

<strong>da</strong>saqmeba ukve SesaZlebelia<br />

ara marto rogorc<br />

- pediatri, momuSave poliklinikebSi<br />

- pediatri, momuSave soflis regionebSi<br />

- pediatri, romelic uzrunvelyofs<br />

samedicino momsaxurebas binaze<br />

- pediatri, momuSave saavadmyofoSi<br />

- pediatri, momuSave skolaSi<br />

- pediatri, momuSave baga-baRSi<br />

- pediatri, momuSave saswrafo <strong>da</strong>xmarebis<br />

briga<strong>da</strong>Si<br />

aramed, rogorc<br />

- pediatri, momuSave marTvadi samedicino<br />

<strong>da</strong>xmarebis centrebSi<br />

- pediatri, momuSave sazogadoebriv konsultantad,<br />

- pediatri, populaciaze <strong>da</strong>fuZnebul<br />

sazogadoebriv medicinaSi<br />

- pediatri, administraciul medicinaSi<br />

- pediatri, momuSave saafTiaqo qselSi<br />

- pediatri, momuSave farmacevtul kompaniaSi<br />

- pediatri, momuSave sa<strong>da</strong>zRvevo kompaniaSi<br />

profesionalebi, romlebic bavSvTa<br />

janmrTelobaze zrunvisas pediatrebTan<br />

TanamSromloben, arian nutriciologebi,<br />

socialuri samsaxuris TanamSromlebi,<br />

fsiqologebi, `fizikuri <strong>da</strong>tvir-<br />

Tvis~ specialistebi <strong>da</strong> logopedebi.<br />

marTalia, mentalur janmrTelobaze<br />

zrunva didi xania farTo, multidisciplinaruli<br />

gundis muSaobis Semadgeneli<br />

nawilia, magram pediatriul praqtikaSi<br />

es procesi Senelebuli tempiT mimdinareobs.<br />

vinai<strong>da</strong>n ganviTarebis, qcevisa <strong>da</strong><br />

mentaluri janmrTelobis sakiTxebi<br />

metad mniSvnelovania pirveladi samedicino<br />

<strong>da</strong>xmarebisaTvis, amgvari aliansis<br />

warmateba mniSvnelovan gavlenas<br />

moaxdens pediatriis momavalze. gar<strong>da</strong><br />

amisa, un<strong>da</strong> iTqvas, rom sxva specialobis<br />

eqimebic mniSvnelovani rols asrulben<br />

pediatriuli pacientebis moTxovnilebebis<br />

<strong>da</strong>kmayofilebaSi. magaliTad,<br />

ojaxis eqimebi, ga<strong>da</strong>udebeli <strong>da</strong>xmarebis<br />

eqimebi, nevrologebi, fsiqiatrebi <strong>da</strong> pediatri<br />

subspecialistebi.<br />

bavSvTa <strong>da</strong> mozardTa fsiqikuri janmrTelobis<br />

moTxovnilebebi sakmaod<br />

mniSvnelovania. pediatrs <strong>da</strong>matebiTi<br />

sWirdeba treningebi, raTa man saTanadod<br />

SesZlos bavSvTa fsiqiuri janmr-<br />

Telobis <strong>Sefaseba</strong>. gar<strong>da</strong> amisa, pediatrma<br />

kvlavac un<strong>da</strong> gaagrZelos mWidro<br />

TanamSromloba fsiqiatrebTan, fsiqologebTan<br />

<strong>da</strong> socialuri samsaxuris<br />

TanamSromlebTan, raTa <strong>da</strong>akmayofilon<br />

TavianTi pacientebis fsiqikuri janmrTelobis<br />

moTxovnilebebi. fsiqikuri<br />

paTologiis uyuradRebod <strong>da</strong>toveba<br />

bavSvTa asakSi, populaciasi mentaluri<br />

paTologiis ganviTarebis sixSiris<br />

matebis safrTxes Seicavs.<br />

ojaxis eqimisa <strong>da</strong> pediatris funqciebis<br />

`zeddeba~ konkurentul garemos qmnis,<br />

gansakuTrebiT iseT regionebSi, sa<strong>da</strong>c<br />

eqimTa siWarbea. Tumca aseTi `zeddeba~<br />

kooperatiuli modelebis Camoyalibebis<br />

saSualebas iZleva, gansakuTrebiT<br />

im regionebSi, sa<strong>da</strong>c eqimTa naklebobaa.<br />

magaliTad, pediatrs SeuZlia informacia<br />

miawodos ojaxis eqims <strong>da</strong><br />

gaaumjobesos bavSvTa <strong>da</strong>avadebebis mar-<br />

Tva <strong>da</strong>Sorebul regionebSi. agreTve, pediatrma<br />

SeiZleba <strong>da</strong>makavSirebeli roli<br />

Seasrulos ojaxis eqimsa <strong>da</strong> subspecialists<br />

Soris, riTac <strong>da</strong>zogos pacientis<br />

ojaxi zedmeti xarjebisa <strong>da</strong> ga<strong>da</strong>adgilebisgan.<br />

zogadi pediatrisa <strong>da</strong> subspecialistis<br />

roli <strong>da</strong> maT Soris urTierToba is<br />

sakiTxia, romelic gansjisa <strong>da</strong> kamaTis<br />

sagania. kvlevebi, romelebic Catar<strong>da</strong><br />

zogadi eqimebisa <strong>da</strong> subspecialistebis<br />

mier aRmoCenili samedicino <strong>da</strong>xmarebis<br />

Sedegisa <strong>da</strong> xarisxis Sesa<strong>da</strong>reblad,<br />

xSirad urTierTagamomricxavia. mozrdil<br />

pacientebze Catarebulma ramdenime<br />

kvlevam aCvena, rom Terapevtis mier aRmoCenili<br />

samedicino <strong>da</strong>xmarebis gamosavali<br />

iseTivea, rogoric subspecialistis<br />

mier Catarebuli mkurnalobisa, magram<br />

resursebis xarjva pirvel SemTxvevaSi<br />

ufro naklebia. sxva kvlevebma gamoavlina,<br />

rom <strong>da</strong>avadebis gamosavali<br />

gacilebiT ukeTesia subspecialistebis<br />

mier Caterebuli mkurnalobisas. pediatriuli<br />

pacientebis Sesaxeb msgavsi monacemebi<br />

ar moipoveba.<br />

pediatri subspecialistebi (neonatologi,<br />

bavSvTa pulmonologi, kardiologi,<br />

gastroenterologi alergologi,<br />

nefrologi, nevrologi, onkohematologi<br />

<strong>da</strong> sxv.) uzrunvelyofen samedicino<br />

<strong>da</strong>xmarebas, mTel rig sxva<strong>da</strong>sxva<br />

<strong>da</strong>wesebulebaSi. amasTan, pediatr subspecialistTa<br />

umetesoba Tavis profesiul<br />

saqmianobas, swavlebasa <strong>da</strong> kvlevas<br />

akademiur samedicino centrebSi un<strong>da</strong><br />

eweodes. pediatri subspecialisti profesiuli<br />

mzadebisa <strong>da</strong> gamocdilebis<br />

safuZvelze <strong>da</strong>xelovnebulia imaSi, rom<br />

aRmouCinos samedicino <strong>da</strong>xmareba, aswavlos<br />

<strong>da</strong> Caataros kvleva viwro pediatriul<br />

specialobaSi <strong>da</strong> iyos konsultanti<br />

mZime, kompleqsur <strong>da</strong> iSviaT <strong>da</strong>avadebebTan<br />

<strong>da</strong>kavSirebiT.<br />

pediatr-subspecialistTan pacientis<br />

mimarTvianobas pirveladi rgolis<br />

eqimebi, ZiriTa<strong>da</strong>d pediatrebi, ojaxis<br />

eqimebi <strong>da</strong> ufro iSviaTad ki pediatrsubspecialistebi<br />

un<strong>da</strong> uzrunvelyofdnen.<br />

urbanul <strong>da</strong>saxlebaTa umetesobaSi pediatri<br />

subspecialistebi zrunaven<br />

rTuli <strong>da</strong> progresuli <strong>da</strong>avadebis mqone<br />

bavSvebze. vinai<strong>da</strong>n soflebSi Se<strong>da</strong>rebiT<br />

naklebia pediatr-subspecilaistTa<br />

ricxvi, amitomac aucilebelia zogad<br />

pediatrebsa <strong>da</strong> subspecialistebs Soris<br />

swrafi <strong>da</strong> mimdinare kavSiris <strong>da</strong>myareba<br />

telemedicinisa <strong>da</strong> telefonis meSveobiT<br />

an pir<strong>da</strong>pi adgilobriv mozrdilTa<br />

subspecialistis meSveobiT. pediatrs<br />

SeuZlia qronikuli <strong>da</strong>avadebebis marTva<br />

sxva subspecialistebTan erTad, rogorc<br />

xdeba magaliTad bavSvTa simsivneebis<br />

marTvis mraval programaSi.<br />

Tumca arsebobs ramdenime winaaRmdegoba,<br />

rac xels uSlis pediatriuli samedicino<br />

<strong>da</strong>xmarebis TanamSromlobiTi<br />

modelis <strong>da</strong>nergvas. sxva<strong>da</strong>sxva kvlevam<br />

gamoavlina, rom mSoblebi ar arian <strong>da</strong>rwmunebulni<br />

zogadi eqimis kvalifikacia-<br />

Si kompleqsuri, mZime <strong>da</strong> iSviaTi <strong>da</strong>avadebebis<br />

mkurnalobisas. amasTan, ar aris<br />

sruli konsensusi miRweuli imis Taobaze<br />

Tu ra tipisa <strong>da</strong> simZimis problema<br />

un<strong>da</strong> ga<strong>da</strong>iWras pirveladi rgolis pediatris<br />

<strong>da</strong> romeli - subspecialistis mier.<br />

gar<strong>da</strong> amisa, Tu subspecialisti ar aris<br />

monawile saxelmwifo programebisa, konsutalciis<br />

fasi xSirad miuwvdomelia<br />

mravali ojaxisaTvis.<br />

amasTan, un<strong>da</strong> iTqvas, rom pacientze<br />

orientirebuli jan<strong>da</strong>cvis mizania, rom<br />

yvela bavSvi, romelic saWiroebs specializebul<br />

samedicino <strong>da</strong>xmarebas, iyos<br />

uzrunvelyofili saukeTesod <strong>da</strong>xelovnebuli<br />

viwro specialistebis mier<br />

uaxles teqnologiebze <strong>da</strong>fuZnebuli<br />

srulyofili samedicino <strong>da</strong>xmarebiT.<br />

zogad pediatrTa amJamad arsebuli<br />

ricxvis Semcireba saWiro ar iqneba.<br />

bolo 20 wlis ganmavlobaSi eqimTa<br />

ricxvis zr<strong>da</strong>m gaaumjobesa eqimTa<br />

geografiuli ga<strong>da</strong>nawileba, magram<br />

ver aRmofxvra soflis raionebSi arsebuli<br />

deficiti. momavalSi saWiro<br />

iqneba pediatrsa <strong>da</strong> bavSvTa populacias<br />

Soris arsebuli proporciis SenarCuneba.<br />

amasTan, mniSvnelovania<br />

iseTi strategiebis SemuSaveba,<br />

romelic uzrunvelyofs cu<strong>da</strong>d momsaxurebul<br />

regionebSi pediatris momsaxure<br />

bavSvebTan Tanafardobis optimizacias<br />

<strong>da</strong> eTnikuri umciresobis<br />

pediatrTa ricxvis gazr<strong>da</strong>s.<br />

dReisaTvis samedicino skolis studentTa<br />

Soris eTnikuri umciresobis warmomadgenelTa<br />

simcire <strong>da</strong>mafiqrebelia, gansakuTrebiT<br />

imitom, rom samedicino momsaxurebis<br />

SeRwevadoba eTnikuri umciresobis<br />

sazogadoebaSi <strong>da</strong>balia. meti samuSaoa<br />

saWiro erovnuli umciresobis<br />

ricxvis gasazrdelad pediatrTa sarezidento<br />

mzadebis programebSi.<br />

erovnuli umciresobis warmomadgenelTa<br />

ricxvis gazr<strong>da</strong> pediatrTa Soris<br />

gaaumjobesebs erovnuli umciresobebiT<br />

kompaqturad <strong>da</strong>saxlebul regionebSi<br />

maT <strong>da</strong>saqmebasa <strong>da</strong> aqe<strong>da</strong>n gamomdinare<br />

samedicino momsaxurebis xarisxs.<br />

ar SeiZleba xazi ar gaesvas erT garemoebasac.<br />

pediatriul sferoSi aRiniSneba<br />

mdedrobiTi sqesis warmomadgenlebis<br />

mkveTrad gamoxatuli siWarbe. amJamad<br />

samive wlis pediatr-rezidentTa Soris<br />

TiTqmis yvela qalia. amasTan, qali-pediatrebi<br />

ufro mcire dros uTmoben samu-<br />

Saos TavianT mamakac kolegebTan Se<strong>da</strong>rebiT,<br />

rac pirvel rigSi imiT aris ganpirobebuli,<br />

rom isini samuSaos <strong>da</strong> ojaxur<br />

saqmianobas aTavseben erTmaneTTan. Se-

degad SeiZleba aRiniSnos specialobis<br />

`produqtiulobis~ Tan<strong>da</strong>TanobiTi Semcireba.<br />

<strong>da</strong> bolos, miuxe<strong>da</strong>vad imisa, rom SeiniSneba<br />

mcdeloba pediatriis <strong>da</strong>rgis viwrospecializaciisa,<br />

aTviTcnobiereben<br />

ra, rom zogadi pediatrebi yvelaze ukeT<br />

arian <strong>da</strong>xelovnebulni bavSvTa kontigentisaTvis<br />

samedicino <strong>da</strong>xmarebis aRmoCenaSi,<br />

xolo zr<strong>da</strong>srulTa janmrTeloba<br />

praqtikulad mTliana<strong>da</strong>a <strong>da</strong>mokidebuli<br />

bavSvTa janmrTelobaze, pediatris, rogorc<br />

bavSvTa kontigentisaTvis samedicino<br />

<strong>da</strong>xmarebis roli kvlavac ucvleli<br />

rCeba. amasTan, maT warmatebul saqmianobas<br />

pediatriuli samedicino <strong>da</strong>xmarebis<br />

yvela rgolSi mtkicebiT medicinaze<br />

<strong>da</strong>fuZnebuli gaidlainebi, protokolebi,<br />

samedicino <strong>da</strong>xmarebis donis Sesafasebeli<br />

meTodebis implementacia, uwyveti<br />

samedicino ganaTleba <strong>da</strong> profesiuli<br />

ganviTareba uzrunvelyofs.<br />

II . pediatriuli ganaTleba<br />

eqimis profesia, umaRlesi saswavleblis<br />

pirveli kursi<strong>da</strong>n <strong>da</strong>wyebuli <strong>da</strong><br />

<strong>misi</strong> saqmianobis bolo dRiT <strong>da</strong>mTavrebuli,<br />

ar moiazreba ganaTlebis uwyvetobis<br />

gareSe. sayovelTaod aRiarebul<br />

profesiul <strong>da</strong> eTikur stan<strong>da</strong>rtebze<br />

<strong>da</strong>fuZnebul warmatebul saeqimo saqmianobas<br />

safexureobrivi samedicino ganaTleba<br />

ganapirobebs. am “permanentuli”<br />

ganaTlebis procesi eqim-specialistisTvis<br />

moicavs Semdeg etapebs:<br />

1. diplomamdel samedicino ganaTlebas<br />

- umaRlesi samedicino ganaTleba.<br />

2. diplomisSemdgom samedicino ganaTlebas<br />

- rezidentura;<br />

- ga<strong>da</strong>mzadeba momijnave specialobaSi;<br />

- subspecializacia.<br />

3. uwyvet profesiul ganviTarebas<br />

- uwyveti samedicino ganaTleba;<br />

- uwyveti praqtikuli saqmianoba;<br />

- profesiuli reabilitacia.<br />

zemoaRniSnuli<strong>da</strong>n gamomdinare, pediatriaSi,<br />

rogorc yvela sxva saeqimo specialobaSi,<br />

<strong>da</strong>moukidebeli saeqimo saqmianobis<br />

uflebis mosapoveblad metad<br />

rTuli gzaa gasavleli. kerZod, sajaro<br />

skolis <strong>da</strong>mTavrebisa <strong>da</strong> erTiani erovnuli<br />

gamocdis Cabarebis Semdeg, aucilebelia<br />

6-wliani umaRlesi samedicino<br />

ganaTlebis safuZvelze diplomirebuli<br />

medikosis akademiuri xarisxis mopoveba,<br />

xolo rezidenturaSi mzadebis<br />

gasagrZeleblad ki _ erTiani umaRlesisSemdgomi<br />

sakvalifikacio gamocdis<br />

Cabareba. amis Semdeg, pediatriaSi 3wliani<br />

sarezidento akreditebuli<br />

programiT profesiuli mzadebis <strong>da</strong>sruleba<br />

<strong>da</strong> saxelmwifo sasertifikacio<br />

gamocdebis Cabareba <strong>da</strong>moukidebeli<br />

saeqimo saqmianobis uflebis miniWebiT<br />

mTavrdeba.<br />

dReisaTvis, maT Soris saqarTvelo-<br />

Sic, u<strong>da</strong>vo miRwevad un<strong>da</strong> CaiTvalos is,<br />

rom samedicino ganaTleba amJamad ganisazRvreba<br />

rogorc mravalganzomilebiani<br />

procesi. naTla<strong>da</strong>a gaTviTcnobierebuli<br />

agreTve efeqturi samedicino<br />

ganaTlebis safexureobrioba <strong>da</strong> uwyvetoba.<br />

yoveli saganmanaTleblo programis<br />

ZiriTadi mizani winaswar gansazRvrul<br />

saswavlo amocanebze <strong>da</strong>fuZnebuli kompetenciebis<br />

aTviseba an ganaxlebaa, radganac<br />

es kompetenciebi profesiuli<br />

saqmianobis stan<strong>da</strong>rtia <strong>da</strong> aqe<strong>da</strong>n gamomdinare,<br />

warmatebul programad CaiTvleba<br />

mxolod is, romelic uzrunvelyofs<br />

Sesaba<strong>misi</strong> kompetenciebis srulad <strong>da</strong><br />

yovelmxriv aTvisebas. pediatriaSi mzadebis<br />

yovel safexurze SesaZeni kompentenciebis<br />

sxva<strong>da</strong>sxvaobi<strong>da</strong>n gamomdinare,<br />

icvleba rogorc saswavlo midgoma<br />

<strong>da</strong> masala, ise mzadebis done, rac TavisTavad<br />

gansazRvravs saswavlo programebis<br />

diferenciacias samedicino skolis<br />

studentebisTvis, pediatr-rezidentebisTvis<br />

<strong>da</strong> uwyveti profesiuli<br />

ganviTarebisTvis. amasTan, gasaTvaliswinebelia<br />

isic, rom saganmanaTleblo<br />

procesma safuZvlian ganaTlebasTan <strong>da</strong><br />

wvrTnasTan erTad, un<strong>da</strong> uzrunvelyos<br />

momijnave specialobis, subspecialobis<br />

<strong>da</strong>uflebis an specialobis Secvlis Sesa-<br />

Zlebloba, agreTve karieruli zr<strong>da</strong> <strong>da</strong><br />

kompetenturi ganmanaTleblis Camoyalibebac.<br />

Sedegze orientirebuli ganaTleba,<br />

gar<strong>da</strong> saswavlo programebiT gaTvaliswinebuli<br />

kompetenciebis miRwevisa,<br />

risTvisac gamoiyenebulia leqciebi,<br />

formaluri <strong>da</strong> araformaluri saswavlo<br />

sesiebi, klinikuri gamocdileba,<br />

TviTorientirebuli swavleba <strong>da</strong> sxv.,<br />

moicavs iseT aucilebel komponentebs,<br />

rogoricaa: Sefasebis, maT Soris xarisxis<br />

Sefasebis sistemebis (Si<strong>da</strong> <strong>da</strong> gare<br />

auditis) gamoyeneba <strong>da</strong> ukukavSirebis<br />

<strong>da</strong>myareba, kompentenciebis ganxorcielebis<br />

unaris <strong>da</strong>dgena, programebis perioduli<br />

ganaxleba <strong>da</strong> maTi a<strong>da</strong>ptacia<br />

<strong>da</strong> implementacia.<br />

studentis swavlebis safuZveli Teoriul<br />

codnasTan erTad, un<strong>da</strong> iyos Sem-<br />

Txvevebze <strong>da</strong> problemaze <strong>da</strong>fuZnebuli<br />

ganaTleba. amitomac, saWiroa iseTi kurikulumis<br />

gamoyeneba, romelic saSualebas<br />

miscems momaval pediatrs gaecnos<br />

<strong>da</strong>avadebis bunebriv mimdinareobas,<br />

Sexeba hqondes rTul fsiqo-socialur<br />

sakiTxebTan. kurikulumi un<strong>da</strong> moicavdes<br />

wvrTnas iseT sakiTxebSi, rogoricaa<br />

jgufis lideroba, konsultaciuri<br />

kavSirebi, klinikuri praqtika, ga<strong>da</strong>wyvetilebebis<br />

faqtebze <strong>da</strong>yrdnobiT mi-<br />

Reba, moqmedeba kritikul mdgomareobebSi,<br />

resursebis, maT Soris finansuris<br />

gamoyeneba, sainformacio sistemebis<br />

menejmenti <strong>da</strong> sxv. bavSvTa kontingentis<br />

unikalobi<strong>da</strong>n gamomdinare, sa-<br />

Wiroa pediatriuli ganaTlebis gafar-<br />

Toeba imisaTvis, raTa praqtikosma eqimma<br />

SeZlos amoicnos <strong>da</strong> marTos mTeli<br />

rigi qceviTi <strong>da</strong> socialuri problemebi,<br />

romlebic bavSvis normalur zr<strong>da</strong>ganviTarebas<br />

aferxebs. gar<strong>da</strong> amisa, gansakuTrebuli<br />

aqcenti un<strong>da</strong> gakeTdes im<br />

saganmanaTleblo midgomis mniSvnelobaze,<br />

romliTac pediatr-rezidents gaacnobierebinebs<br />

ganaTlebis procesis<br />

uwyvetobas mTeli saeqimo saqmianobis<br />

manZilze.<br />

dReisaTvis evropaSi samedicino ganaTlebis<br />

xarisxis gaumjobeseba mimarTulia:<br />

- samedicino ganaTlebis Sesabamisobaze<br />

socialur pasuxismgeblobasTan<br />

(arsi/Sedegi/kompetencia);<br />

- samedicino programebSi problemaze<br />

<strong>da</strong>fuZnebuli swavlebis <strong>da</strong> <strong>misi</strong> msgavsi<br />

meTodebis <strong>da</strong>nergvaze;<br />

- fun<strong>da</strong>menturi biomedicinisa <strong>da</strong><br />

klinikuri disciplinebis integraciaze;<br />

- kvlevasTan integrirebuli komunikaciebisa<br />

<strong>da</strong> klinikuri Cvevebis ganvi-<br />

Tarebaze;<br />

- fokusirebaze uwyvet samedicino ganaTlebisadmi.<br />

diplomamdeli samedicino<br />

ganaTleba<br />

pediatriaSi, rogorc disciplinaSi,<br />

diplomamdeli samedicino ganaTlebis<br />

mizania aswavlos students pacientisadmi<br />

empaTiiT mopyroba <strong>da</strong> gamoumuSavos<br />

samedicino azrovnebis unari. studentma<br />

un<strong>da</strong> iswavlos anamnezis Segroveba,<br />

pediatriuli pacientis fizikuri<br />

gamokvleva, bavSvis normaluri<br />

zr<strong>da</strong>-ganviTarebis procesi, garemos<br />

gavlena bavSvis janmrTelobasa <strong>da</strong> <strong>misi</strong><br />

SenarCunebis principebi, aiTvisos praqtikuli<br />

unar-Cvevebi.<br />

ramdenime aTwleulis ganmavlobaSi<br />

samedicino skolaSi swavleba ZiriTa<strong>da</strong>d<br />

jer di<strong>da</strong>qtikur xasiaTs atareb<strong>da</strong><br />

<strong>da</strong> pacientTan nakleb kontaqts gulisxmob<strong>da</strong>,<br />

xolo Semdgom Teoriuli <strong>da</strong> klinikuri<br />

ganaTlebis aspeqtebis kombinirebas<br />

moicav<strong>da</strong>. bolo dromde saswavlo<br />

kursi pirveli 2 wlis ganmavlobaSi<br />

gankuTvnili iyo sabaziso sagnebis aTvisebisaTvis,<br />

rac klinikuri medicinis<br />

swavlebis winapirobac iyo. amasTan,<br />

swavlebis wamyvan formas leqcia warmoadgen<strong>da</strong>.<br />

Semdgom kursebze ki leqciebs,<br />

klinikebSi (ZiriTa<strong>da</strong>d stacionareb-<br />

Si) akademiuri personalis ze<strong>da</strong>mxedvelobiT<br />

klinikuri ganaTlebis miReba<br />

enacvlebo<strong>da</strong>. samedicino skolaSi pediatriuli<br />

ganTleba 6-8 kviriani rotaciiT<br />

Semoifarglebo<strong>da</strong>, romlis ganmavlobaSic<br />

studenti saleqcio kursTan<br />

erTad muSaobis gamocdilebas Ziri-<br />

Ta<strong>da</strong>d stacionaris pirobebSi iZen<strong>da</strong>,<br />

xolo klinikuri muSaobis ganmtkiceba<br />

ki xdebo<strong>da</strong> specifikuri di<strong>da</strong>qtikuri<br />

sesiebis saSualebiT.<br />

dReisaTvis samedicino skolebis kurikulumebSi<br />

saleqcio kursi kvlavac wamyvania.<br />

Tumca, bolo periodSi SemecnebiT,<br />

mxolod informaciis miwodebaze <strong>da</strong>myarebul,<br />

studentTa pasiuri monawileobiT<br />

di<strong>da</strong>qtikuri tipis leqciebs sul<br />

ufro enacvleba interaqtiuri swavlebis<br />

formebi, rac xels uwyobs Teoriuli<br />

<strong>codnis</strong> praqtikuli ganzogadebis unaris<br />

Camoyalibebas. gar<strong>da</strong> amisa, yuradRebaa<br />

gamaxvilebuli iseTi kurikulimis<br />

gamoyenebaze, romelic upiratesad<br />

moicavs miznebze <strong>da</strong>fuZnebul sistemur,<br />

sabaziso, klinikur <strong>da</strong> socialuri disciplinebis<br />

integrirebul modulebs.<br />

klinikuri saqmianobis swavleba xorcieldeba<br />

pirvelive kursebi<strong>da</strong>nve samecniero<br />

konteqstSi aqcentebiT sabaziso<br />

meqanizmebze, eTikur mosazrebebsa <strong>da</strong><br />

mecnierul mtkicebulebebze <strong>da</strong>fuZnebul<br />

multidisciplinur klinikur praqtikaze,<br />

pacientis mkurnalobaSi studentis<br />

uSualo monawileobiT. samedicino<br />

skolis farglebSi aucilebelia zogadpediatriul<br />

departamenTTan erTad,<br />

mozardTa medicinisa <strong>da</strong> neonatologiis<br />

departamentebSi klinikuri praqtikis<br />

miReba. mniSvnelovania agreTve, arCevi-<br />

Ti (eleqtiuri) modulebis SeTavazeba,<br />

rogorc sabaziso, aseve klinikuri disciplinebSi.<br />

metad aqtualuria SemTxvevaze <strong>da</strong>fu-<br />

Znebuli ganaTlebis unikaluri midgoma,<br />

romelic saSualebas aZlevs students<br />

sabaziso <strong>da</strong> klinikuri sagnebis<br />

codna gamoiyenos pacientis problemebis<br />

ga<strong>da</strong>sawyvetad. kerZod, akademiuri<br />

personalis xelmZRvanelobiT mcire<br />

jgufebSi diskusiebi imarTeba sailustracio<br />

SemTxvevis garSemo. amasTan,<br />

students eZleva <strong>da</strong>mxmare literatura<br />

<strong>da</strong> masalebi, SemTxvevaze <strong>da</strong>fuZnebuli<br />

leqciebi, demonstraciebi <strong>da</strong> sxv. diskusiaSi<br />

aqtiuri monawileobisTvis. am<br />

meTodiT swavleba metad efeqturi aRmoCn<strong>da</strong><br />

iseTi Cvevebis gamosamuSaveblad,<br />

rogoricaa varaudis Camoyalibeba,<br />

deduqciuri <strong>da</strong>sabuTeba <strong>da</strong> sxva<br />

profesionalebTan TanamSromloba.<br />

metad mniSvnelovania sabaziso <strong>da</strong> klinikuri<br />

sagnebis saswavlo programebSi<br />

kompiuteruli teqnologiebis gamoyeneba,<br />

romelic <strong>da</strong>avadebaTa SemTxvevebis<br />

simulirebis, manipulaciebis Catarebis,<br />

sadiagnostiko Cvevebis aTvisebis<br />

<strong>da</strong> samedicino ga<strong>da</strong>wyvetilebebis<br />

miRebaSi wrTobis saSualebas iZleva.<br />

tradiciulad, samedicino skolis<br />

studentebisTvis klinikuri ganaTlebis<br />

misaRebad umTavresi adgili saavadmyofoa.<br />

avadmyofis sawolTan Catarebuli<br />

swavleba araCveulebrivi SesaZleblobaa<br />

klinikuri <strong>da</strong>kvirvebisa <strong>da</strong> diskusiisTvis.<br />

gar<strong>da</strong> amisa, studentebs SesaZlebloba<br />

eZlevaT iswavlon diagnostikuri<br />

<strong>da</strong> Terapiuli teqnika akademiuri<br />

personalis <strong>da</strong> rezidentebis ze<strong>da</strong>mxedvelobis<br />

qveS. Tumca, dReisaTvis<br />

stacionarSi ZiriTa<strong>da</strong>d Tavsdebian mZime<br />

paTologiis mqone pacientebi, romelTac<br />

intensiuri mkurnaloba <strong>da</strong> meTvalyureoba<br />

esaWiroebaT, rac pirveladi<br />

samedicino <strong>da</strong>xmarebis, avadobis xasiaTis<br />

Secvlisa <strong>da</strong> samedicino teqnologiebisa<br />

<strong>da</strong> mkurnalobaSi miRweuli<br />

progresis Sedegia. gar<strong>da</strong> amisa, Tanxebis<br />

<strong>da</strong>zogvis mizniT mcirdeba pacientis<br />

mier saavadmyofoSi gatarebuli dro <strong>da</strong><br />

hospitalizebul avadmyofTa mxolod<br />

mcire nawili rCeba saavadmyofoSi srul<br />

gajanmrTelebamde, xolo diagnos-<br />

Tebervali 2010 gv.9 samedicino gazeTi<br />

specialoba <strong>da</strong> profesionalizmi<br />

tikuri procedurebis didi nawili <strong>da</strong><br />

mkurnalobis gagrZeleba, avadmyofis<br />

Semdgomi movla ZiriTa<strong>da</strong>d ambulatoriul<br />

pirobebSi xorcieldeba. aqe<strong>da</strong>n<br />

gamomdinare, students, romelic swavlebas<br />

ZiriTa<strong>da</strong>d stacionaris pirobeb-<br />

Si gadis, Sexeba aqvs kompleqsuri <strong>da</strong>avadebebis<br />

Se<strong>da</strong>rebiT viwro speqtrTan,<br />

romlebic bavSvTa populaciis mxolod<br />

mcire nawils uviTardeba.<br />

amitomac, ambulatoriul garemoSi<br />

swavleba samedicino skolis klinikuri<br />

ganaTlebis kurikulumis nawili un<strong>da</strong><br />

gaxdes <strong>da</strong> mas akademiuri personali un<strong>da</strong><br />

axorcielebdes, radgan studentma un<strong>da</strong><br />

gaiTavisos bavSvTa zrdisa <strong>da</strong> ganviTarebis<br />

Taviseburebebi <strong>da</strong> am procesebis gavlena<br />

janmrTelobasa <strong>da</strong> <strong>da</strong>avadebebze.<br />

aseve un<strong>da</strong> gaacnobieros bavSvTa kontingentis<br />

janmrTelobis problemebis unikaloba<br />

<strong>da</strong> SeiZinos maTTvis <strong>da</strong>maxasiaTebeli<br />

samedicino problemebis mogvarebis<br />

gamocdileba. treningi sazogadoebriv<br />

garemoSi, rogorc klinikuri samedicino<br />

ganaTlebis erT-erTi komponenti,<br />

pirveladi samedicino <strong>da</strong>xmarebis specialobebis<br />

m.S. pediatriisTvis, metad<br />

wonadi <strong>da</strong>matebaa. imisaTvis ki, rom studenti<br />

ar CamorCes pirveladi samedicino<br />

<strong>da</strong>xmarebis axal tendenciebs, ufro<br />

meti dro un<strong>da</strong> <strong>da</strong>eTmos pediatriuli<br />

ga<strong>da</strong>udebeli samedicino <strong>da</strong>xmarebis<br />

praqtikas.<br />

zemoaRniSnuli midgomiT, erTi mxriv<br />

studentis swavlebaSi gamoyenebul iqnebian<br />

pacientebi, romelTa problemebi<br />

<strong>da</strong> <strong>da</strong>avadebaTa speqtric bevrad warmomadgenlobiTia<br />

<strong>da</strong> ufro meta<strong>da</strong>a gavrcelebuli<br />

bavSvTa populaciaSi, xolo<br />

meore mxriv students eZleva saSualeba<br />

gaiTavisos <strong>da</strong> <strong>da</strong>afasos sazogadoebrivi<br />

jan<strong>da</strong>cvis principebi.<br />

dReisaTvis samedicino skolebis umetesobaSi<br />

pediatriul ganaTlebaSi aqcentirebulia<br />

iseT sakiTxebze, rogoricaa:<br />

codna<br />

- janmrTelobaze ze<strong>da</strong>mxedveloba;<br />

- zr<strong>da</strong>-ganviTareba;<br />

- populaciuri janmrTeloba;<br />

- <strong>da</strong>avadebaTa <strong>da</strong> <strong>da</strong>zianebaTa mkurnaloba<br />

<strong>da</strong> prevencia;<br />

- samedicino genetika <strong>da</strong> ganviTarebis<br />

Tan<strong>da</strong>yolili anomliebi;<br />

- gavrcelebuli pediatriuli paTologiebi;<br />

- wyal-eleqtrolituri balansis mar-<br />

Tva;<br />

- pediatriuli ga<strong>da</strong>udebeli mdgomareobebi;<br />

- qceva;<br />

- kveba;<br />

- mozardTa jan<strong>da</strong>cvisaTvis specifikuri<br />

problemebi;<br />

- axalSobilTa jan<strong>da</strong>cvisaTvis specifikuri<br />

problemebi;<br />

- mowamvlebis prevencia/mkurnaloba;<br />

- Zaladoba bavSvebSi;<br />

- bavSvTa uflebebis <strong>da</strong>cva.<br />

Cvevebi<br />

(klinikuri problemebis ga<strong>da</strong>wyveta)<br />

- detaluri anamnezis Sekreba pediatriuli<br />

pacientebisa <strong>da</strong> maTi ojaxis<br />

wevrebisgan;<br />

- klinikuri diagnostikis problemebi;<br />

- axalSobilTa, bavSvTa <strong>da</strong> mozardTa<br />

fizikuri gasinjva;<br />

- praqtikuli unar-Cvevebi;<br />

- kritikuli azrovneba;<br />

- informaciis menejmenti;<br />

- komunikaciuri unar-Cvevebi.<br />

amrigad, samedicino skolis upirvelesi<br />

mizania sazogadoebis samsaxurSi<br />

Caayenos kurs<strong>da</strong>mTavrebuli, romelic<br />

Tavisi kompetenciis farglebSi iqneba<br />

mzad efeqturi, humanuri <strong>da</strong> eTikuri<br />

samedicino <strong>da</strong>xmarebis miwodebaSi, momzadebuli<br />

diplomisSemdgomi ganaTlebisTvis<br />

<strong>da</strong> motivirebuli uwyveti<br />

profesiuli ganviTarebisTvis mTeli<br />

Tavisi karieris ganmavlobaSi.<br />

<strong>da</strong>sasruli Semdeg nomerSi.

samedicino gazeTi Tebervali 2010 gv.10<br />

iubile<br />

Rirseuli pirovneba,<br />

mecnieri, aRiarebuli<br />

eqimi<br />

80 wlisaa<br />

80 weli Seusrul<strong>da</strong> did mecniersa <strong>da</strong><br />

sasiqadulo pe<strong>da</strong>gogs, medicinis mecnierebaTa<br />

doqtors, profesor <strong>da</strong>viT<br />

tvildians.<br />

Cemi pirveli Sexvedra baton <strong>da</strong>viT-<br />

Tan 40 wlis win, 1970-ian wlebSi, Sedga.<br />

am periodSi man gaakeTa udidesi mniSvnelobis<br />

mqone aRmoCena. cxrawyaroze,<br />

bakurianTan, sa<strong>da</strong>c ganlagebulia<br />

saqarTvelos mecnierebaTa akademiis<br />

geofizikis institutis msoflioSi<br />

erT-erTi uZlieresi mudmivi magniti,<br />

moaTavsa baWiebi <strong>da</strong> gamoiwvia eqsperimentuli<br />

miokardiumis infarqti. am<br />

dros <strong>da</strong>emTxva movlena, rodesac profesori<br />

gaioz vasaZis iniciativiT,<br />

Tbilisis kvleviT institutebSi Seiqmna<br />

gamoTvliTi teqnikis laboratoria<br />

<strong>da</strong> 1978 wels mec Cavudeqi saTaveSi<br />

saqarTvelos kurortologiisa <strong>da</strong> fizioTerapiis<br />

samecniero-kvleviTi institutis<br />

samedicino kibernetikisa <strong>da</strong> informatikis<br />

ganyofilebas. sadoqtoro<br />

disertaciisaTvis mecnierebaSi axali<br />

mimarTulebis Ziebam <strong>da</strong>makavSira baton<br />

li wlis manZilze sapasuxismgeblo Tanamdebobaze<br />

myofi, erTgulad, Tav<strong>da</strong>uzogavad<br />

ixarjebo<strong>da</strong> universitetis ke-<br />

TildReobisa <strong>da</strong> warmatebis mosapoveblad,<br />

rasac dResac didi mondomebiT<br />

agrZelebs. amitomac <strong>misi</strong> sityvebi gulwrfeli<br />

iyo, roca Tqva: `aq gavlac ki<br />

Zalian did siyvaruls magrZnobinebs.<br />

samedicino universiteti WeSmaritad<br />

alma-materia. <strong>da</strong>Zabuli saqmianobis gamo<br />

iSviaTad miwevs Tqveni naxva, magram maxarebs,<br />

rom samedicino universiteti sazogadoebaSi<br />

maRal avtoritets inar-<br />

Cunebs. aq uamravi saxelovani samedicino<br />

kadri gazrdila, magram dRevandeloba<br />

ufro mets moiTxovs. gansakuTrebiT<br />

es exeba klinikuri bazebis sakiTxs, rasac<br />

mTavari roli ekisreba studentis eqimad<br />

Camoyalibebis saqmeSi. qalaqis merisa<br />

<strong>da</strong> Cemi Txovnaa yvelaferi viRonoT<br />

samedicino universitetis studentisTvis<br />

im SesaZleblobis Sesaqmnelad,<br />

rogoricaa klinikebSi <strong>codnis</strong> miReba.<br />

amisTvis kadrebi gvyavs, magram mosawesrigebelia<br />

infrastruqtura, Sesaqmnelia<br />

garemo. pira<strong>da</strong>d maqsimalurad<br />

vecdebi, rom Cems universitets hqondes<br />

sakuTari klinikuri baza, manamde ki es<br />

saqme arsebulma klinikurma bazebma un<strong>da</strong><br />

ikisron <strong>da</strong>, rogorc vxe<strong>da</strong>v, es ukve asea,<br />

rasac aRfrTovanebiT mivesalmebi.<br />

udidesi bedniereba<strong>da</strong>uflebuli uRrmes<br />

madlobas gixdiT ara marto samedicino<br />

universitetisTvis, aramed Cveni qveynis<br />

sasikeTod ga<strong>da</strong>dgmuli am nabijisTvis.~<br />

batonma mamukam yuradReba gaamaxvila<br />

<strong>da</strong>viT tvildianTan <strong>da</strong> geofizikis institutis<br />

direqtoris moadgile i. avazaSvilTan.<br />

gamoviyeneT ra respublikur<br />

saavadmyofoSi arsebuli gamoTvliTi<br />

teqnika, Cvenma jgufma Seiswavla gulsisxlZarRvTa<br />

sistemis garTulebaTa<br />

saswrafo-samedicino gamoZaxebisa <strong>da</strong><br />

sikvdilianobis dReebisa <strong>da</strong> saaTebis<br />

dinamika 1972 wels, sul 150 000 SemTxveva.<br />

aRniSnulma kvlevebma <strong>da</strong>asabuTa is<br />

faqti, rom Tu hipertonuli krizebiT<br />

garTulebebi metwilad emTxveva amindis<br />

frontalur procesebs, gansakuTrebiT<br />

civi frontis SemoWrisas,<br />

stenokardiuli Setevebi <strong>da</strong> infarqtis<br />

ricxvi matulobs geomagnituri qariSxlebis<br />

aRmocenebis dros.<br />

batoni <strong>da</strong>viTis inciativiT, Seiqmna<br />

magnitur-biologiuri kvlevis laboratoria,<br />

romelsac saTaveSi TviTon Caudga.<br />

teqnikur universitetTan TanamSromlobis<br />

Sedegad, profesori o. xomerikis<br />

xelmZRvanelobiT, <strong>da</strong>muSav<strong>da</strong> <strong>da</strong> <strong>da</strong>montaJ<strong>da</strong><br />

magnitokompensirebuli pultebi.<br />

TbilisSi, respublikuri saavadmyofos<br />

meriis axalgazrduli ganyofilebisa <strong>da</strong><br />

umaRlesi saswavleblebis studenturi<br />

TviTmmarTvelobebis urTierTobebze;<br />

staJirebaze, sazRvargareT studentTa<br />

gagzavnaze <strong>da</strong> maTTvis gamoyofili Tanxebis<br />

swor, gamWvirvale, orientirebul<br />

xarjvaze. `students un<strong>da</strong> <strong>da</strong>vanaxoT,<br />

rom <strong>misi</strong> swavla <strong>da</strong> codna aris qveynisTvis<br />

mniSvnelovani, maqsimumi gavake-<br />

ToT universitetisTvis!~ _mowodebasaviT<br />

gaisma batoni mamukas es sityvebi.<br />

Semdeg <strong>da</strong>iwyo memorandumis gaformeba...<br />

samedicino <strong>da</strong>wesebulebasTan<br />

gaformebul urTierTTanamSromlobis<br />

xelSekrulebas kidev <strong>da</strong>emata: S.p.s. `de<strong>da</strong>Ta<br />

<strong>da</strong> bavSvTa samkurnalo profilaqtikuri<br />

centri~ (direqtori lali gujabiZe);<br />

yel-yur-cxviris sneulebaTa<br />

erovnuli centri, `jafariZe-qevaniSvilis<br />

klinika~ (direqtori, profesori<br />

SoTa jafariZe); stomatologiuri<br />

kabineti `galadenti~<br />

(direqtori vaxtang konjaria); `diagnostikuri<br />

servisi~ (direqtori giorgi<br />

xabeiSvili); S.p.s. q. Tblisis #2 sam-<br />

Sobiaro saxli (direqtori m.m.d. devi<br />

tabiZe); S.p.s.`alss~ saswrafo <strong>da</strong> ga<strong>da</strong>udebeli<br />

<strong>da</strong>xmarebis saavadmyofo<br />

(direqtori qeTevan beJaniSvili); Tvalis<br />

mikroqirurgiis javriSvilis klinika<br />

`ofTalmiji~ (direqtori giorgi<br />

javriSvili); onkoprevenciis centri<br />

(direqtori rema RvamiCava).<br />

memorandumis gaformebis Semdeg<br />

aRniSnuli klinikebis xelmZRvanelTa<br />

survilebi ase JRer<strong>da</strong>: nebismieri samed-<br />

kardiologiur ganyofilebaSi, saqarTvelos<br />

kurortologiisa <strong>da</strong> fizioTerapiis<br />

samecniero-kvleviT institut-<br />

Si, qalaq soWis erT-erT sanatoriumSi,<br />

SesaZlebeli gax<strong>da</strong> magnitolabilur<br />

pirTa profilaqtika <strong>da</strong> mkurnaloba. aRniSnuli<br />

sakiTxebis irgvliv gamoqveyn<strong>da</strong><br />

100-ze meti samecniero Sroma <strong>da</strong> monografia,<br />

<strong>da</strong>culi iqna sadoqtoro <strong>da</strong><br />

sakandi<strong>da</strong>to disertaciebi.<br />

didia batoni <strong>da</strong>viTis Rvawli samedicino<br />

kadrebis aRzr<strong>da</strong>Si. jer kidev oci<br />

wlis win, man mniSvnelovnad miiCnia medicinaSi<br />

integrirebuli swavlebis upiratesoba,<br />

sagnobrivTan Se<strong>da</strong>rebiT.<br />

amasTan, Tvli<strong>da</strong>, rom momavali eqimis<br />

aRzr<strong>da</strong>Si udidesi mniSvneloba adreul<br />

profesiul orientaciasa <strong>da</strong> fun<strong>da</strong>menturi<br />

sagnebis <strong>da</strong>mamTavrebel klasebSi<br />

Seswavlas eniWeba. gamomdinare aRniSnuli<strong>da</strong>n,<br />

Seiqmna umaRlesi samedicino<br />

skola `aieti~ <strong>da</strong> <strong>misi</strong> koleji, Semdeg _<br />

gimnazia. inglisurenovani swavlebis<br />

Taviseburebam studentebs saSualeba<br />

misca, de<strong>da</strong>nSi gacnobodnen saxelmZRvaneloebs<br />

maTi gamocemisTanave <strong>da</strong> ara<br />

<strong>da</strong>gvianebul Targmnil variantebs. fun<strong>da</strong>menturi<br />

sagnebi (anatomia, fiziologia,<br />

bioqimia, histologis, farmakologia)<br />

pirvel kursze integrirebulad<br />

Seiswavlebo<strong>da</strong>. aman SesaZlebloba misca<br />

studentebs, mieRoT Rrma Teoriuli<br />

codna.<br />

didia batoni <strong>da</strong>viTis Rvawli saxelmZRvaneloebis<br />

gamocemaSi, rac yvela<br />

eqimisTvis samagido wignad iqca.<br />

icino <strong>da</strong>wesebulebisTvis saamayo un<strong>da</strong><br />

iyos samedicino universitetTan urTierToba.<br />

studentTa <strong>da</strong>saqmebis programa am<br />

SexvedrisTanave Sevi<strong>da</strong> ZalaSi _ Rudu-<br />

Sauris saxelobis klinikis direqtorma,<br />

batonma zaza sinauriZem 50 studentis<br />

<strong>da</strong>saqmebis survili gamoTqva.<br />

batonma mamukam, studentTa <strong>da</strong>saqmebasTan<br />

<strong>da</strong>kavSirebiT, TxovniT mimarTa<br />

studentur TviTmmarTvelobas, rom<br />

gamWvirvaled moxdes <strong>da</strong>sasaqmebel<br />

studentTa SerCeva, aqcenti un<strong>da</strong> gakeTdes<br />

karg studentze <strong>da</strong> am sakiTxSi<br />

saWiroa mizanmimarTuleba.<br />

Sexvedris meore nawili mieZRvna sazogadoebaSi<br />

cxovrebis jansaRi wesis<br />

<strong>da</strong>mkvidrebis sakiTxs. swored am mizniT<br />

gaerTiandnen Tbilisis saxelmwifo<br />

samedicino universiteti <strong>da</strong> kompania<br />

`IDS borjomi saqarTvelo~. TanamSromlobis<br />

Sesaxeb memorandums xeli moaweres<br />

samedicino universitetis reqtorma,<br />

profesorma zurab va<strong>da</strong>Wkoriam<br />

<strong>da</strong> `IDS borjomi saqarTvelos~ generalurma<br />

direqtorma, batonma zaza<br />

kikvaZem, rac gulisxmobs mxareebs Soris<br />

grZelvadian TanamSromlobas sazogadoebisaTvis<br />

saintereso <strong>da</strong> sasargeblo<br />

proeqtebis gasaxorcieleblad, romlis<br />

mizania cxovrebis jansaRi wesis mxar<strong>da</strong>Wera<br />

<strong>da</strong> waxaliseba.<br />

xelmoweris ceremonias eswrebodnen<br />

samedicino universitetis klinikebisa<br />

<strong>da</strong> saxelSekrulebo klinikuri bazebis<br />

xelmZRvanelebic.<br />

vulocavT baton <strong>da</strong>viT tvildians<br />

<strong>da</strong>badebis dRes <strong>misi</strong> megobrebis, kolegebisa<br />

<strong>da</strong> naTesavebis saxeliT. xangrZliv<br />

sicocxles gisurvebT, idRegrZeleT<br />

samedicino sazogadoebis, megobrebisa<br />

<strong>da</strong> axloblebis sabednierod.<br />

profesori aleqsandre cibaZe<br />

RirsSesaniSnavi Sexvedra<br />

xelSekrulebebi studentTa <strong>da</strong>sasaqmeblad <strong>da</strong> klinikuri swavlebisaTvis...<br />

cxovrebis jansaRi wesis <strong>da</strong>samkvidreblad (pirveli gverdi<strong>da</strong>n)<br />

samedicino universitetis reqtorma,<br />

profesorma zurab va<strong>da</strong>Wkoriam, sruli<br />

mzadyofna gamoxata aRniSnuli kompaniis<br />

mier warmoebuli mineraluri<br />

wylebis popularizaciis saqmeSi, radgan<br />

jansaRi cxovrebis wesis <strong>da</strong>mkvidreba<br />

SeuZlebelia jansaRi produqtebis<br />

gareSe. aRniSnul saqmianobaSi ki<br />

saWirod CaTvala partniori klinikebisagan<br />

aqtiuri monawileoba.<br />

`IDS borjomi saqarTvelos~ generalurma<br />

direqtorma, batonma zaza<br />

kikvaZem, <strong>da</strong>mswre sazogadoebas ganucxa<strong>da</strong>,<br />

rom am proeqtis farglebSi<br />

mouwevT metad saintereso aqciebis<br />

ganxorcieleba. mineraluri wyali<br />

`borjomi~ jansaRi produqtia <strong>da</strong> ar<br />

iqneba gasakviri swored <strong>misi</strong> saxeliT<br />

rom moxdes cxovrebis jansaRi wesis<br />

popularizacia. baton zazas miaCnia,<br />

rom samedicino universitetTan TanamSromloba,<br />

pirvel rigSi, nayofieri<br />

iqneba maTi saerTo strategiis aqcentebisa<br />

<strong>da</strong> mimarTulebebis sworad gansasazRvrad.<br />

amasTanave, aRniSna, rom<br />

2010 weli saiubileo welia rogorc<br />

samedicino universitetisTvis (usruldeba<br />

<strong>da</strong>arsebi<strong>da</strong>n 80 weli), ise<br />

`borjomisTvis~, romlis pirveli<br />

boTli qarxnuli wesiT 120 wlis win<br />

Camoisxa.<br />

metad STambeW<strong>da</strong>vi <strong>da</strong> mravlismomcveli<br />

Sexvedra <strong>da</strong>srul<strong>da</strong>, rac, ueWvelad,<br />

saqmiT <strong>da</strong>gvirgvindeba.<br />

gisurvebT warmatebebs.<br />

<strong>da</strong>li gabeSia.

Tanamedrove saxelmZRvaneloebisa <strong>da</strong> sxva saxis saswavlo-sainformacio<br />

literaturis Seqmna Tbilisis saxelmwifo<br />

samedicino universitetis umTavres strategiul<br />

mimarTulebas warmoadgens, rac Tavis mxriv, universitetSi<br />

swavlebisa <strong>da</strong> swavlis xarisxis gaumjobesebis<br />

aucilebeli winapirobaa. samwuxarod, arcTu iSviaTad<br />

saxelmZRvanelos grifiT mtkicdeba uxarisxo,<br />

moZvelebuli <strong>da</strong> xSirad urTierTsapirispiro Sinaarsis<br />

saswavlo literatura, monografiebi, leqciebis <strong>da</strong><br />

testebis krebulebi, rac ara mxolod saswavlo literaturis<br />

tipologiur aRrevas iwvevs, aramed mniSvnelovnad<br />

aqveiTebs studentebis <strong>codnis</strong> xarisxs.<br />

wlebis manZilze <strong>da</strong>grovilma gamocdilebam cxadyo, rom<br />

saxelmZRvanelos Seqmnis, <strong>dizaini</strong>s <strong>da</strong> <strong>da</strong>mtkicebis procesi<br />

specialur regulacias <strong>da</strong> garkveul CarCoSi moqcevas<br />

moiTxovs.<br />

1. ganmartebebi<br />

saxelmZRvanelo – kurikulumiT gansazRvruli<br />

konkretuli sagnis Sesaswavlad Sedgenili savaldebulo<br />

saswavlo masala, warmodgenili nabeWdi <strong>da</strong>/an<br />

eleqtronuli formiT. saxelmZRvanelo srulad un<strong>da</strong><br />

moicavdes sagnis silabusiT gansazRvrul sakiTxebs.<br />

saxelmZRvanelo SeiZleba iyos originaluri an Sedgenili<br />

ukve arsebuli saxelmZRvaneloebis safuZvelze.<br />

originaluri saxelmZRvanelo - moicavs rogorc<br />

cnobil, aseve uaxles, mecnierebis Tanamedrove miRwevebis<br />

amsaxvel, faqtebze <strong>da</strong>myarebul informacias,<br />

romlis garkveuli nawili aRniSnuli sagnis Sesaswavlad<br />

ukve arsebul saxelmZRvaneloebSi mocemuli ar<br />

aris, an saxelmZRvanelo Sedgenilia imgvari formatiT,<br />

romelic adre gamoyenebuli ar yofila. am<br />

SemTxvevaSi saxelmZRvanelo Seqmnilia avtoris an<br />

avtorTa jgufis mier.<br />

umravles SemTxvevaSi saxelmZRvanelo warmoadgens<br />

ukve arsebuli saxelmZRvaneloebis safuZvelze axali<br />

re<strong>da</strong>qciiT warmodgenil saswavlo masalas. am SemTxveva-<br />

Si saxelmZRvanelo Sedgenilia re<strong>da</strong>qtoris <strong>da</strong>/an sare<strong>da</strong>qcio<br />

jgufis mier. aseTi saxelmZRvanelos avtorobis<br />

mcdeloba CaiTvleba plagiatobad <strong>da</strong> SeiZleba<br />

gaxdes <strong>da</strong>vis sagani inteleqtualuri sakuTrebis<br />

uflebis <strong>da</strong>cvis gamo.<br />

<strong>da</strong>mxmare literatura – sagnis Sesaswavlad rekomendebuli<br />

saswavlo masala, romelic Seesabameba mxolod<br />

silabusiT gansazRvrul calkeul sakiTxs/ebs.<br />

<strong>da</strong>mxmare saswavlo resursi SeiZleba Seiqmnas nabeWdi,<br />

cifruli an multimediis saxiT.<br />

2. saxelmZRvenelos Seqmnisas gasaTvaliswinebeli<br />

moTxovnebi <strong>da</strong> rekomen<strong>da</strong>ciebi<br />

saxelmZRvanelos Seqmnis procesSi gaTvaliswinebuli<br />

un<strong>da</strong> iqnes mTeli rigi moTxovnebi, saxeldobr:<br />

2.1. zogadi moTxovnebi<br />

1. saxelmZRvanelos Sinaarsi srulad un<strong>da</strong> Seesabamebodes<br />

universitetis ZiriTad kurikulums (Core Curriculum)<br />

<strong>da</strong> gamomdinareobdes im kompetenciebi<strong>da</strong>n, romlebsac<br />

un<strong>da</strong> flobdes kurs<strong>da</strong>mTavrebuli.<br />

2. saxelZRvaneloSi <strong>da</strong>saSvebia mxolod faqtebze<br />

<strong>da</strong>myarebuli monacemebis gamoyeneba. <strong>da</strong>uSvebelia<br />

mxolod piradi gamocdilebis, Sexedulebebis<br />

an sakuTari kvlevis safuZvelze miRebuli<br />

arasarwmuno monacemebis an sakamaTo<br />

sakiTxebis saxelmZRvaneloSi moyvana.<br />

3. saxelmZRvanelos Targmnisas aucilebelia<br />

originalis gamomcemlobisgan<br />

Targmnis nebarTvis Sesaxeb saTanado<br />

licenziis aReba.<br />

4. saxelmZRvaneloSi adre gamoqveynebul<br />

literaturaSi moyvanili<br />

sailustracio masalis (cxrilebis,<br />

suraTebis, sqemebis, testebis)<br />

gamoyenebisas aucilebelia maTi<br />

avtorebis citireba.<br />

5. saxelmZRvaneloSi pacientebis fotosuraTebis <strong>da</strong><br />

avadmyofobis istoriis ganTavsebisas <strong>da</strong>uSvebelia<br />

moxdes pacientis identifikacia.<br />

6. saxelmZRvanelos gansazRvruli un<strong>da</strong> hqondes ISBN.<br />

2.2. saxelmZRvanelos Sinaarsi<br />

1. mizanSewonilia saxelmZRvanelo moicavdes garkveul<br />

informacias momijnave disciplinebi<strong>da</strong>n, rac uzrunvelyofs<br />

sxva<strong>da</strong>sxva disciplinaSi miRebuli informaciis<br />

integracias, momavalSi <strong>codnis</strong> efeqtur gamoyenebas<br />

<strong>da</strong> fragmentuli <strong>codnis</strong> Tavi<strong>da</strong>n acilebas.<br />

2. saxelmZRvanelo ise un<strong>da</strong> iyos Sedgenili, rom students<br />

gauCndes sagnis ufro Rrmad Seswavlis motivacia.<br />

am mizniT rekomendebulia miTiTebuli iqnes wyaroebi<br />

(publikaciebi, veb-misamarTebi), romelTa meSveobiT<br />

SesaZlebeli iqneba <strong>da</strong>matebiTi informaciis miReba.<br />

3. mizanSewonilia saxelmZRvaneloSi mocemuli iqnes<br />

sxva<strong>da</strong>sxva sirTulis testebi, klinikuri SemTxvevebi,<br />

raTa studentebma SeZlon Tavisi <strong>codnis</strong> <strong>Sefaseba</strong> <strong>da</strong><br />

TviTkontroli.<br />

2.3. struqtura<br />

saxelmZRvanelos tradiciuli struqtura moicavs:<br />

1. sarCevs<br />

2. Sesavals<br />

3. Tavebs/qveTavebs saTanado cxrilebiT, sqemebiT <strong>da</strong><br />

ilustraciebiT<br />

4. sityvars/sagnobriv saZiebels<br />

5. bibliografias<br />

rekomendebulia saxelmZRvanelo moicavdes, agreTve,<br />

winasityvaobas, TviTSefasebis testebs, klinikur Sem-<br />

Txvevebs <strong>da</strong> <strong>da</strong>narTebs, gamoyenebuli abreviaturebis<br />

ganmartebebs.<br />

sasurvelia yoveli Tavis Semdeg gakeTdes mokle reziume,<br />

sa<strong>da</strong>c yuradReba gamaxvildeba sakvanZo sakiTxebze,<br />

rac students naswavli masalis gameorebis <strong>da</strong> Tvi-<br />

Tkontrolis saSualebas miscems.<br />

avtoris survilisamebr, saxelmZRvanelo SeiZleba<br />

mieZRvnas Sesabamis sferoSi moRvawe gamoCenil pirovnebebs,<br />

axloblebs, kolegebs.<br />

2.4. saxelmZRvanelos <strong>dizaini</strong><br />

miuxe<strong>da</strong>vad imisa, rom sadReisod saxelmZRvanelos<br />

<strong>dizaini</strong>s universaluri stan<strong>da</strong>rtebi SemuSavebuli ar<br />

aris, igi un<strong>da</strong> akmayofilebdes Semdeg minimalur moTxovnebs,<br />

rac gaTvaliswinebuli un<strong>da</strong> iyos saxelmZRvanelos<br />

<strong>da</strong>mtkicebisas:<br />

1. saxelmZRvanelos xarisxi un<strong>da</strong> uzrunvelyofdes<br />

mis gamoyenebas, sul mcire, 6 wlis manZilze;<br />

2. saxelmZRvanelo <strong>da</strong>beWdili un<strong>da</strong> iyos xarisxian<br />

qaRaldze (70 gr/m 2 )<br />

3. saxelmZRvanelos un<strong>da</strong> hqondes magari an rbili<br />

laminirebuli y<strong>da</strong> (minimum 240 gr/m 2 );<br />

Tebervali 2010 gv.11 samedicino gazeTi<br />

saxelmZRvaneloebisa <strong>da</strong> <strong>da</strong>mxmare literaturis<br />

Seqmnis, <strong>dizaini</strong>s <strong>da</strong> <strong>da</strong>mtkicebis procedura<br />

metad mniSvnelovani ga<strong>da</strong>wyvetileba miiRo Tbilisis saxelmwifo samedicino universitetis axalma xelmZRvanelobam _ dRis wesrigSi <strong>da</strong>ayena saxelmZRvaneloebisa<br />

<strong>da</strong> <strong>da</strong>mxmare literaturis rogorc Sinaarsis, ise <strong>dizaini</strong>s Tanamedrove doneze Seqmnis sakiTxi. aravisTvis iqneba gasaocari Tu aRvniSnavT, rom aqamde gamocemuli<br />

saxelmZRvaneloebisa <strong>da</strong> <strong>da</strong>mxmare literaturis arcTu mcire wili gaumarTavi qarTuli eniTa <strong>da</strong> terminologiiTaa gajerebuli, arc <strong>dizaini</strong>Taa gamorCeuli, SeimCneva<br />

plagiatic, razec TviT studentebi gamoTqvamen ukmayofilebas.<br />

axlaxan samedicino universitetis akademiurma sabWom procedurulad <strong>da</strong>amtkica reqtoris moadgilis, profesor rima beriaSvilisa <strong>da</strong> samedicino ganaTlebis, kvlevebis<br />

<strong>da</strong> strategiuli ganviTarebis centris ufrosis, profesor gaiane simonias mier SemuSavebuli proeqti _ saxelmZRvaneloebisa <strong>da</strong> <strong>da</strong>mxmare literaturis rogorc<br />

Sinaarsobrivi, ise <strong>dizaini</strong>s Tanamedrove doneze Seqmnis Sesaxeb. aRniSnulma proeqtma akademiur sabWoze wardgenamde gaiara yvela procedura, ganxiluli iqna yvela safakulteto<br />

sabWoze.<br />

gTavazobT proeqtis teqsts, romelic, Cveni azriT, did <strong>da</strong>xmarebas gauwevs saxelmZRvaneloTa <strong>da</strong> <strong>da</strong>mxmare literaturis avtorebs.<br />

avtorebo! pasuxebs Tqvens SekiTxvebze saxelmZRvanelos, monografiis <strong>da</strong> sxva<br />

sagamomcemlo produqciis momzadebis <strong>da</strong> gamocemis Taobaze miiRebT Tssu-is<br />

gamomcemlobaSi. t. 54-24-68<br />

4. saxelmZRvanelos furclebi un<strong>da</strong> gaikeros <strong>da</strong> myarad<br />

un<strong>da</strong> iyos mimagrebuli yuaze;<br />

5. saxelmZRvanelos kiTxvisas mxedvelobis ga<strong>da</strong>Zabvis<br />

Tavi<strong>da</strong>n asacileblad Sriftis zoma ar un<strong>da</strong> iyos 10-ze<br />

naklebi;<br />

6. saxelmZRvanelos gamocemisas sasurvelia gamoyenebuli<br />

iyos ramdenime feri; ilustraciebi sasurvelia<br />

iyos feradi.<br />

Sefasebis savaldebulo kriteriumebi:<br />

- Seesabameba kurikulums<br />

- srulad asaxavs sagnis silabuss<br />

- Seicavs uaxles informacias<br />

- <strong>da</strong>culia saavtoro uflebebi<br />

- <strong>da</strong>culia momijnave sagnebTan integraciis principi<br />

- gaTvaliswinebulia studentis saganmanaTleblo<br />

safexuris Sesaba<strong>misi</strong> <strong>codnis</strong> done<br />

- <strong>da</strong>werilia gasagebi eniT<br />

- stili <strong>da</strong> marTlwera <strong>da</strong>culia<br />

Sefasebis sasurveli kriteriumebi<br />

- mocemulia <strong>da</strong>matebiTi informaciis wyaroebi<br />

- Tan<strong>da</strong>rTulia TviTSefasebis testebi <strong>da</strong>/an klinikuri<br />

SemTxvevebis aRwera<br />

- aqvs sagnobrivi saZiebeli<br />

- Tan<strong>da</strong>rTuli aqvs bibliografia<br />

- <strong>da</strong>ibeWdeba xarisxian qaRaldze (warmodgenili nimu-<br />

Sis Sesabamisad)<br />

- <strong>da</strong>ibeWdeba feradi poligrafiiT (warmodgenili nimuSis<br />

Sesabamisad)<br />

- Sriftis zoma <strong>da</strong>culia<br />

kriteriumebis mixedviT <strong>Sefaseba</strong><br />

moxdeba Semdegnairad:<br />

- naSromi ar akmayofilebs saxelmZRvanelosadmi wayenebul<br />

moTxovnebs<br />

- naSromi nawilobriv akmayofilebs saxelmZRvanelosadmi<br />

wayenebul moTxovnebs <strong>da</strong> saWiroebs <strong>da</strong>xvewas<br />

- naSromi srulad akmayofilebs moTxovnebs <strong>da</strong> rekomendebulia<br />

<strong>misi</strong> saxelmZRvanelod gamocema <strong>da</strong> gamoyeneba.<br />

saxelmZRvaneloze miTiTebuli un<strong>da</strong> iyos, rom igi<br />

<strong>da</strong>mtkicebulia Tbilisis saxelmwifo samedicino universitetis<br />

akademiur sabWoze. <strong>da</strong>dgenili moTxovnebis<br />

<strong>da</strong>rRvevis SemTxvevaSi akademiuri sabWo uflebamosilia<br />

saxelmZRvanelo amoiRos Tssu-is saswavlo procesi<strong>da</strong>n.<br />

Tssu-Si moqmedi wesiT ukve <strong>da</strong>mtkicebuli, gamocemuli<br />

<strong>da</strong> Sesabamis silabusebSi asaxuli saxelmZRvaneloebis<br />

revizia zemo<strong>da</strong>saxelebuli kriteriumebis mixedviT<br />

moxdeba am saxelmZRvaneloebis meored gamocemis dros,<br />

Tu amis saWiroeba <strong>da</strong>dgeba<br />

gamocemis <strong>da</strong> <strong>da</strong>finansebis sakiTxebi<br />

kriteriumebis <strong>da</strong>kmayofilebis, procedurebis<br />

gavlis <strong>da</strong> saxelmZRvanelod <strong>da</strong>mtkicebis Semdeg,<br />

avtorTan SeTanxmebiT, ganixileba gamocemis<br />

sakiTxic:<br />

versia 1. avtors winaswar ga<strong>da</strong>exdeba<br />

Sesaba<strong>misi</strong> Tanxa. amis Semdeg universiteti<br />

Tavis Tavze iRebs gamocemis<br />

<strong>da</strong> realizaciis yvela proceduras,<br />

maT Soris, biblioTekis<br />

saxelmZRvaneloebiT<br />

uzrunvelyofis sakiTxs.<br />

versia 2. avtori Tavis Tavze<br />

iRebs gamocemis xarjebs, <strong>da</strong> Sesabamisad,<br />

axdens realizacias.<br />

amave dros, 50 egzemplars usasyidlos<br />

aZlevs universitetis<br />

biblioTekas.<br />

versia 3. xdeba pasuxismgeblobebis <strong>da</strong> mogebis Tanabrad<br />

ga<strong>da</strong>nawileba, maT Soris universitetis biblioTekis<br />

saxelmZRvaneloebiT uzrunvelyofis valdebulebac<br />

Tanabrad nawildeba.<br />

yvela <strong>da</strong>narCeni versia avtorisa <strong>da</strong> universitetis<br />

SeTanxmebis sagans warmoadgens.

samedicino gazeTi Tebervali 2010 gv.12<br />

wignis Taro<br />

saswavlo gegmis mixedviT,<br />

gankuTvnilia Tssu farmacevtuli<br />

fakultetis studentTa <strong>da</strong><br />

praqtikosi farmacevtebisaTvis.<br />

Ria <strong>da</strong> laparaskopiuli<br />

proTezirebadi<br />

Tiaqarplastika<br />

T. CarTolani.<br />

Tbilisi.:<br />

favorite.-2009.-195gv.<br />

monografia qarTul enaze pirveli<br />

fun<strong>da</strong>menturi naSromia,<br />

romelic efuZneba msoflios<br />

wamyvani qirurgiuli centrebis<br />

monacemebsa <strong>da</strong> avtoriseul<br />

mravalwlian gamocdilebas <strong>da</strong><br />

exeba erT-erT Tanamedrove yvelaze<br />

gavrcelebuli zogadqirurgiuli<br />

operaciis problemas _<br />

Torakoplastikas, romlis ZiriTad<br />

princips warmoadgens plastika<br />

qsovilebis <strong>da</strong>Wimvis gareSe.<br />

monografiis pirveli nawili<br />

exeba sazardulis Tiaqrebs: aRwerilia<br />

Ria proTezirebadi<br />

Tiaqarplastikis meTodebi <strong>da</strong><br />

teqnikuri detalebi, romelic<br />

amJamad gamoiyeneba msoflios<br />

wamyvan qirurgiul centrebSi.<br />

meore nawilSi detalura<strong>da</strong>a<br />

ganxiluli pirveladi <strong>da</strong> operaciisSemdgomi<br />

ventraluri<br />

Tiaqrebis proTezirebis taqtika<br />

<strong>da</strong> teqnika, aseve postoperaciuli<br />

garTulebebis prevencia <strong>da</strong><br />

mkurnaloba. mesame nawilSi aRweriliaendo-videoTorakoplastikis<br />

meTodebi, laparaskopiuli<br />

aparatura <strong>da</strong> iaraRebi.<br />

teqsti uxva<strong>da</strong>a ilustrirebuli<br />

maRali xarisxis feradi avtoriseuli<br />

fotosuraTebiT,<br />

grafikuli masaliT, aseve ganmartebiTi<br />

cxrilebiT.<br />

gankuTvnilia qarTvel rezidentebis,<br />

<strong>da</strong>mwyeb <strong>da</strong> axalgazr<strong>da</strong><br />

qirurgebisaTvis.<br />

baqteriuli infeqciebi<br />

b. nanuaSvili<br />

Tbilisi.:<br />

Sps saqarTvelos macne.-<br />

2009.-313gv.<br />

monografiaSi warmodgenilia<br />

Tanamedrove infeqtologiis<br />

yvelaze farTe nawili _ baqteriuli<br />

<strong>da</strong>avadebebi. pirvel nawilSi<br />

aRwerilia baqteriebis<br />

zogadi adgili infeqciuri <strong>da</strong>avadebebis<br />

genezisSi, maTi morfo<br />

_ toqsonomiuri maxasiaTeblebi,<br />

ganxilulia a<strong>da</strong>mianis normaluri<br />

mikroflora; aRwerilia<br />

a<strong>da</strong>mianisaTvis klinikurad<br />

mniSvnelovani baqteriebis yvela<br />

gvari (berjis Tanamedrove klasifikaciaze<br />

<strong>da</strong>yrdnobiT). meore,<br />

kerZo nawilSi moyvanilia yvela<br />

potenciurad paTogenuri baqteria;<br />

TiToeuli saxeoba <strong>da</strong>xasiaTebulia<br />

zogad mikrobiologiur,<br />

epidemiologiur, paTogenezur,<br />

klinikur aspeqtSi, aRwerilia<br />

diagnostikisa <strong>da</strong> antimikrobuli<br />

rezistentobis Taviseburebani.<br />

TiToeuli gvarisaTvis<br />

konspeqtura<strong>da</strong>a Tan<strong>da</strong>rTuli<br />

toqsonomiuri adgili, klinikurad<br />

yvelaze mniSvnelovani<br />

saxeoba <strong>da</strong> ZiriTadi klinikuri<br />

gamovlineba.<br />

wigns Tan erTvis baqteriaTa<br />

saxeobis anbanuri saZiebeli, rac<br />

mniSvnelovnad gauadvilebs<br />

mkiTxvels konkretuli saxeobis<br />

baqteriis Sesaxeb swrafi informaciis<br />

miRebas.<br />

monografia gankuTvnilia nebismieri<br />

specialobis eqimTaTvis,<br />

<strong>da</strong>exmareba klinikur mikrobiologebs,<br />

epidemiologebsa <strong>da</strong><br />

umaRlesi samedicino saswavleblebis<br />

studentebs.<br />

respiratoruli mxar<strong>da</strong>Wera<br />

zogadi anesTeziis<br />

pirobebSi<br />

n. lebaniZe, s. qajaia,<br />

g. grigolia, g. SaiSmelaSvili<br />

Tbilisi.-2009.-171gv.<br />

saxelmZRvaneloSi aRwerilia<br />

garegani sunTqvis fiziologiis,<br />

gazTacvlis, monitoringis <strong>da</strong><br />

respiraciuli mxar<strong>da</strong>Weris aqtualuri<br />

sakiTxebi, romlis<br />

codna Tanamedrove pirobebSi<br />

metad mniSvnelovania anesTeziolog<br />

_ reanimatologisaTvis;<br />

aRwerilia rogorc iZulebiTi,<br />

aseve <strong>da</strong>mxmare sunTqvis Tanamedrove<br />

reJimebi.<br />

saxelmZRvanelos eqvs ZiriTad<br />

TavSi Tanmimdevrula<strong>da</strong>a gaSuqebuli<br />

sunTqvis sistemis anatomia,<br />

fiziologia, garegani sunTqvis<br />

meqanika, gazTa cvla, filtvebis<br />

statikuri moculobebi, sunTqvis<br />

ukmarisoba. specialuri<br />

yuradReba eTmoba anesTeziis<br />

uzrunvelyofis sistemas, vitalur<br />

monitorings, pulsoqsimetrias<br />

<strong>da</strong> kapnometrias.<br />

gaSuqebulia avadmyofTa sasunTq<br />

gzebTan respiraciis mierTebis<br />

wesebi, traqeis intubaciis<br />

meTodebi, aRwerilia mar-<br />

TviTi sunTqvis reJimebi, respiraciuli<br />

mxar<strong>da</strong>Weris usafrTxoebis<br />

koncefcia, aseve anesTeziis<br />

uzrunvelyofis sistemis dekontaminacia<br />

<strong>da</strong> sunTqviTi filtrebi.<br />

wignSi moyvanilia SesaZlo Secdomebi<br />

<strong>da</strong> garTulebebi marTvi-<br />

Ti sunTqvis procesSi.<br />

teqsti ilustrirebulia feradi<br />

<strong>da</strong> Sav-TeTri suraTebiT,<br />

ganmartebiTi cxrilebiT <strong>da</strong><br />

grafikebiT. warmodgenilia 90ze<br />

meti literaturis wyaro,<br />

romelic exeba problemis Ziri-<br />

Tad aspeqtebs.<br />

saxelmZRvanelo gankuTvnilia<br />

anesTeziolog _ reanimatolog-<br />

TaTvis, agreTve respiraciuli<br />

mxar<strong>da</strong>Weris sakiTxebiT <strong>da</strong>interesebul<br />

sxva<strong>da</strong>sxva specialobis<br />

eqimebisTvis.<br />

farmacevtul<br />

<strong>da</strong>wesebulebaTa<br />

menejmenti<br />

n. gorgasliZe<br />

Tbilisi.-2009.-181gv.<br />

monografiis SesavalSi avtori<br />

aRniSnavs, rom farmacevtuli<br />

<strong>da</strong>wesebulebebis<br />

marTva sabazro ekonomikis<br />

pirobebSi gacilebiT rTulia,<br />

vidre centralizebul administraciul<br />

sistemaSi, radgan adgili<br />

aqvs specialistebis uflebebis<br />

gafarToebas, rac moiTxovs<br />

swraf <strong>da</strong> moqnil a<strong>da</strong>ptacias.<br />

iqmneba axali sameurneo<br />

kavSirebis aucilebloba, yalibdeba<br />

sabazro marTvis Sesaba<strong>misi</strong><br />

meqanizmebi, romelTa swori<br />

warmarTva SeuZlebelia Tanamedrove<br />

profesiuli menejmentis<br />

gareSe.<br />

wignSi gaSuqebulia sakiTxebi,<br />

romelnic interess warmoadgenen<br />

farmacevtuli sazogadoebisaTvis.warmodgeniliafarmaciaSi<br />

integrirebuli specialobebi:sociologia,<br />

ekonomika, sareklamo saqme, specialistisa<br />

<strong>da</strong> momxmareblis<br />

fsiqologia <strong>da</strong> sxv.<br />

Tanmimdevrula<strong>da</strong>a gaSuqebuli<br />

menjmentis safuZvlebi <strong>da</strong><br />

marTvis meTodologia, farmacevtuli<br />

menejmenti; organizacuili<br />

sturqturebi <strong>da</strong> maTi<br />

proeqtireba. aRwerilia <strong>da</strong>wesebulebebis<br />

marTva uflebamosilebis<br />

delegirebis safuZvelze<br />

<strong>da</strong> marTvis komunikaciebi<br />

farmacevtul <strong>da</strong>wesebulebebSi,<br />

SesaZlo konfliqtebi <strong>da</strong> maTi<br />

marTva, ga<strong>da</strong>wyvetilebebis miReba<br />

farmacevtul <strong>da</strong>wesebulebebis<br />

marTvis procesSi, SromiTi<br />

koleqtivis marTvis stili.<br />

moyvanilia afTiaqSi sakadro<br />

menejmentis safuZvlebi,<br />

sakadro politika, SromoTi<br />

resursebis marTva. specialuri<br />

yuradReba eTmoba farmacevtul<br />

<strong>da</strong>wesebulebebSi saqmis warmoebas,<br />

marketingis marTvas, xarisxis<br />

menejmentis arssa <strong>da</strong><br />

amocanebs, aseve farmacevtul<br />

informaciasa <strong>da</strong> mis marTvas<br />

(farminformaciul menejments),<br />

safinanso menejments, biznes –<br />

gegmis <strong>Sedgenis</strong> arssa <strong>da</strong> meTodi-<br />

kas, menejmentSi saqmianobis kontrols.<br />

teqsti ilustrirebulia<br />

cxrilebiTa <strong>da</strong> suraTebiT.<br />

wigni gankuTvnilia farmacevtuli<br />

fakultetis studentebisaTvis<br />

<strong>da</strong> farmacevtul<br />

<strong>da</strong>wesebulebebSi momuSave<br />

specialistTaTvis.<br />

bronquli asTma<br />

b. maWavariani<br />

Tbilisi.: Tssu gamomcemloba.-2009.-320gv.<br />

re<strong>da</strong>qtori -<br />

prof. v. saakaZe<br />

monografia eZRvneba Tanamedrove<br />

qronikuli paTologiis<br />

erT – erT yvlaze gavrcelebul<br />

nozologiis <strong>da</strong>xasiaTebas.<br />

gaSuqebulia bronquli asTmis<br />

gavrceleba, ganviTarebisa <strong>da</strong><br />

aRmocenebis sadReisod mignebuli<br />

mizezebi.<br />

moyvanilia sxva<strong>da</strong>sxva klasifikacia,<br />

maT Soris uaxlesi,<br />

Tanamedrove _ <strong>da</strong>avadebis kontrolis<br />

donis mixedviT.<br />

<strong>da</strong>wvrilebiTaa aRwerili bronquli<br />

asTmis diagnostikis sadReisod<br />

aRiarebuli meTodebi,<br />

romelnic xels uwyoben <strong>da</strong>avadebebis<br />

mizezebisa <strong>da</strong> simZimis gansazRvras.<br />

prof.<br />

vadim saakaZis mier monografiaSi<br />

<strong>da</strong>werilia specialuri Tavi,<br />

romelic eZRvneba profesiuli<br />

bronquli asTmis problemas. detalura<strong>da</strong>a<br />

moyvanili bronquli<br />

asTmis mkurnalobis Tanamedrove<br />

principebi: imunTerapia,<br />

medikamenturi mkurnaloba,<br />

safexurovani Terapia pa-<br />

Tologiis simZimis Sesabamisad.<br />

specialuri yuradRebaa gamaxvilebuli<br />

antiasTmuri saSualebebis<br />

moqmedebis meqanizmebze_<br />

maT Cvenebebsa <strong>da</strong> winaaRndegCvenebebze.<br />

moyvanilia aSS gulis, filtvebis<br />

<strong>da</strong> sisxlis nacionaluri institutis<br />

<strong>da</strong> GINA mier SemuSavebuli<br />

safexurovani mkurnalobis<br />

rekomen<strong>da</strong>ciebi pacientTa gansxvavebul<br />

asakovan jgufebSi; ganxilulia<br />

bronquli asTmis mar-<br />

Tvis principebi konkretuli<br />

SemTxvevis gaTvaliswinebiT.<br />

monografias axlavs ganmartebiTi<br />

cxrilebi, diagramebi, aseve<br />

mravalricxovani samamulo <strong>da</strong><br />

ucxouri Tanamedrove literaturis<br />

wyaroebi.<br />

monografia gamiznulia umaRlesi<br />

samedicino saswavleblebis<br />

studentTaTvis, aseve bronquli<br />

asTmis problemiT <strong>da</strong>interesebul<br />

pirTaTvis (rezidentebi,<br />

alergologebi, pulmonologebi,<br />

Terapevtebi, pediatrebi,<br />

ojaxis eqimebi <strong>da</strong> sxv.).<br />

farmacevtuli saqmianobis<br />

menejmenti<br />

n. nemsiwveriZe<br />

Tbilisi.-2008.-123gv.<br />

saxelmZRvaneloSi gaSuqebulia<br />

menejmentis Teoriuli safuZvlebi;<br />

farmacevtuli sistemis organizaciebi,<br />

rogorc marTvis subieqti,<br />

menejmenti <strong>da</strong> warmatebuli<br />

marTva, menejmenti <strong>da</strong> mewarmeoba,<br />

biznes –gegma, marTvis procesebis<br />

funqciebi, ga<strong>da</strong>wyvetilebis<br />

miRebis procesis marTva, <strong>da</strong>makav-<br />

Sirebeli procesebi marTvaSi <strong>da</strong><br />

komunikaciebi. aRwerilia saqmeTwarmoeba<br />

farmacevtuli profilis<br />

sawarmoebSi, SromiTi resursebis<br />

marTva <strong>da</strong> farmacevtuli kadrebis<br />

marTvis sistema; konfliqtebis,<br />

stresebis <strong>da</strong> organizaciuli<br />

cvlilebebis marTva.<br />

specialuri yuradReba eTmoba<br />

farmacevtuli eTikisa <strong>da</strong> deontologiis<br />

principebs, jgufur<br />

dinamikas _ xelmZRvanelobasa<br />

<strong>da</strong> liderobas. <strong>da</strong>xasiaTebulia<br />

menejmentisa <strong>da</strong> informatikis<br />

ZiriTadi principebi.<br />

saxelmZRvanelo gankuTvnilia<br />

farmaciis fakultetis studentTaTvis.

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