rezidenturis (diplomisSemdgomi samedicino ganaTlebis ... · xerxemlis tuberkulozi ^ saxsrebis tuberkulozi ^ brtyeli Zvlebis tuberkulozi ^ lulovani Zvlebis tuberkulozi ^ myes-budeebis

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rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa

““““----bavSvTa fTiziatriabavSvTa fTiziatriabavSvTa fTiziatriabavSvTa fTiziatria----““““

(xangrZlivoba – 3 w.)

Tavi I. zogadi debulebebiTavi I. zogadi debulebebiTavi I. zogadi debulebebiTavi I. zogadi debulebebi

muxli 1. zogadi gansazRvrebebimuxli 1. zogadi gansazRvrebebimuxli 1. zogadi gansazRvrebebimuxli 1. zogadi gansazRvrebebi

bavSvTa fTiziatriabavSvTa fTiziatriabavSvTa fTiziatriabavSvTa fTiziatria aris Sinagani medicinis dargi, , , , romelic Seiswavlis mozardebSi poliorganul daavadeba tuberkulozs

bavSvTa fTiziatribavSvTa fTiziatribavSvTa fTiziatribavSvTa fTiziatri aris specialisti, romelsac gaaCnia specialuri codna da Cvevebi bavSvTa tuberkulozis da masTan dakavSirebuli sindromebis diagnostikaSi, diferencialur diagnostikaSi, mkurnalobasa da marTvaSi. specialisti bavSvTa fTiziatri uzrunvelyofs daavadeba tuberkulozis sruli moculobiT damoukidebel marTvas, rogorc ambulatoriul ise stacionalur reJimSi, da epidemiologiur monitorings daavadebaTa marTvis moTxovnaTa Sesabamisad. bavSvTa fTiziatri SeiZleba iyos nebismieri kvlevis iniciatori da Semsrulebeli. bavSvTa fTiziatrad bavSvTa fTiziatrad bavSvTa fTiziatrad bavSvTa fTiziatrad mzadebis sarezidento programa efuZneba tuberkulozis marTvis da kontrolis janmo-s da Stop TB Partnership-is mier mowodebul saerTaSoriso standartebs;

saqarTvelo TBB maRali prevalentobis qveyanaa. samwuxarod maRalia bavSvTa tuberkulozis maCvenebeli. mTavari problema ojaxuri kontaqtis Sedegad daavadebis maCveneblis zrda da bavSvebSi rezistentuli tuberkulozis dafiqsirebis SemTxvevebia.

TB srulyofili marTva da kontroli aucileblad gulisxmobs qveynis masStabiT infeqciis kontrols da epidzedamxedvelobas. fTiziatria sazogadoebrivi jandacvis dargia da mudmiv mxardaWerasa da CarTulobas saWiroebs saxelmwifosa da janmrTelobis saministros mxridan.

sarezidento programa bavSvTa fTiziatriaSibavSvTa fTiziatriaSibavSvTa fTiziatriaSibavSvTa fTiziatriaSi gulisxmobs sabaziso codnis sistemaSi moyvanas. sasunTqi sistemis organoebis propedevtikis, anatomiis, fiziologiis, mikrobiologiis, paTanatomiis, paTfiziologiis kursis axleburad gaazrebas. sasunTqi sistemis sxva paTologiebis klinikis, diagnostikis, mkurnalobis gameorebas. difdiagnostikisaTvis aucilebeli codnis ganaxlebas da maTi praqtikuli gamoyenebisaTvis aucilebeli unar-Cvevebis SeZenas. tuberkulozis programuli marTvis da kontrolis TaviseburebebSi garkvevas.

sarezidento programis xangrZlivoba 3 weliwadia. programis Catarebaze pasuxismgebelia programis direqtori, romelic gamoyofs dros rezidentebTan pedagogiuri muSaobisaTvis. yovel rezidents hyavs lokaluri klinikuri xelmZRvaneli, romlis funqciaa procesis praqtikuli warmarTva. programis ZiriTadi nawili eTmoba rezidentis praqtikul muSaobas, garda amisa, mowodebulia swavlebis sxvadasxva formebi: leqciebi, seminarebi, referatebi, Tematuri konferenciebi da sxva. swavlis procesi aris rezidentze orientirebuli, iTvaliswinebs mozrdilTa swavlebis principebs da qmnis sakuTar Tavze muSaobis da praqtikuli saqmianobis procesSi gamocdilebis SeZenis pirobebs.

specialisti_ specialisti_ specialisti_ specialisti_ bavSvTa fTiziatribavSvTa fTiziatribavSvTa fTiziatribavSvTa fTiziatri unda flobdes respiratoruli daavadebebis da sindromebis Sesaxeb farTo Teoriul da samecniero codnas; hqondes klinikuri gamocdileba; SeeZlos CamonaTvalSi gaTvaliswinebul yvela nozologiis diagnostikasTan dakavSirebiT damoukidebeli gadawyvetilebis miReba; gamokvlevebis dagegmva; Sedegebis interpretacia; mkurnalobis SerCeva da monitoringi, rogorc ambulatoriul, ise stacionalur reJimSi; bavSvTa fTiziatrisa da momijnave specialistTa muSaobis areebis gamijvna; fTiziatriuli samsaxuris organizeba; jandacvis moTxovnaTa Sesabamisad aRricxvisa da angariSgebis warmoeba. bavSvTabavSvTabavSvTabavSvTa fTiziatria fTiziatria fTiziatria fTiziatria – warmoadgens samedicino profesiis integralur nawils, aqedan gamomdinare igi srulad da absoluturad iziarebs im eTikur principebsa da standartebs rasac saeqimo saqmianobis nebismieri sxva subieqti; anu bavSvTa fTiziatrisaTvis raime damatebiTi an SezRuduli eTikuri principebi an movaleobebi ar arsebobs! eTikur

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movaleobaTa savaldebuloba gansazRvrulia saqarTvelos kanonSi “janmrTelobis dacvis Sesaxeb” da saqarTvelos kanonSi “saeqimo saqmianobis Sesaxeb”.

sarezidento programis mzadebisas gamoyenebuli literatura:sarezidento programis mzadebisas gamoyenebuli literatura:sarezidento programis mzadebisas gamoyenebuli literatura:sarezidento programis mzadebisas gamoyenebuli literatura:

� saqarTvelosaqarTvelosaqarTvelosaqarTvelos kanoni “janmrTelobis dacvis Sesaxeb”s kanoni “janmrTelobis dacvis Sesaxeb”s kanoni “janmrTelobis dacvis Sesaxeb”s kanoni “janmrTelobis dacvis Sesaxeb” http://www.parlament.ge � saqarTvelos kanoni “saeqimo saqmianobis Sesaxeb”saqarTvelos kanoni “saeqimo saqmianobis Sesaxeb”saqarTvelos kanoni “saeqimo saqmianobis Sesaxeb”saqarTvelos kanoni “saeqimo saqmianobis Sesaxeb” http://www.parlament.ge � saqarTvelos kanoni “pacientis uflebebisaqarTvelos kanoni “pacientis uflebebisaqarTvelos kanoni “pacientis uflebebisaqarTvelos kanoni “pacientis uflebebis Sesaxeb”s Sesaxeb”s Sesaxeb”s Sesaxeb” http://www.parlament.ge � saqarTvelos kanoni “umaRlesi ganaTlebis SesaxebsaqarTvelos kanoni “umaRlesi ganaTlebis SesaxebsaqarTvelos kanoni “umaRlesi ganaTlebis SesaxebsaqarTvelos kanoni “umaRlesi ganaTlebis Sesaxeb http://www.parlament.ge � eqimisa da pacientis urTierTobebis safuZvlebieqimisa da pacientis urTierTobebis safuZvlebieqimisa da pacientis urTierTobebis safuZvlebieqimisa da pacientis urTierTobebis safuZvlebi � bioeTikis TanamedrovbioeTikis TanamedrovbioeTikis TanamedrovbioeTikis Tanamedrove principebie principebie principebie principebi � eqimis eTikis kodeqsieqimis eTikis kodeqsieqimis eTikis kodeqsieqimis eTikis kodeqsi

muxli 2. muxli 2. muxli 2. muxli 2. mizani da amocanebimizani da amocanebimizani da amocanebimizani da amocanebi

sarezidento programa gankuTvnilia umaRlesi samedicino ganaTlebis (medicinis fakulteti) mqone pirebisaTvis (rezidenti/specialobis maZiebeli),

programis mizani orientirebuli unda iyos specialprogramis mizani orientirebuli unda iyos specialprogramis mizani orientirebuli unda iyos specialprogramis mizani orientirebuli unda iyos specialobis aRwerilobaze;obis aRwerilobaze;obis aRwerilobaze;obis aRwerilobaze;

Tavi II. ”Tavi II. ”Tavi II. ”Tavi II. ” bavSvTabavSvTabavSvTabavSvTa fTiziatria” specialobis aRweriloba/specifikaciafTiziatria” specialobis aRweriloba/specifikaciafTiziatria” specialobis aRweriloba/specifikaciafTiziatria” specialobis aRweriloba/specifikacia

muxli 1. specialobisa da specialistis gansazRvreba (definicia); muxli 1. specialobisa da specialistis gansazRvreba (definicia); muxli 1. specialobisa da specialistis gansazRvreba (definicia); muxli 1. specialobisa da specialistis gansazRvreba (definicia);

bavSvTabavSvTabavSvTabavSvTa fTiziatriafTiziatriafTiziatriafTiziatria aris Sinagani medicinis dargi, , , , romelic Seiswavlis bavSvTa poliorganul daavadeba tuberkulozs. bavSvTa fTiziatribavSvTa fTiziatribavSvTa fTiziatribavSvTa fTiziatri aris specialisti, romelsac gaaCnia specialuri codna da Cvevebi bavSvTa tuberkulozis da masTan dakavSirebuli sindromebis diagnostikaSi, diferencialur diagnostikaSi, mkurnalobasa da marTvaSi. specialisti bavSvTabavSvTabavSvTabavSvTa fTiziatri fTiziatri fTiziatri fTiziatri uzrunvelyofs daavadeba tuberkulozis sruli moculobiT damoukidebel marTvas, rogorc ambulatoriul ise stacionalur reJimSi, da epidemiologiur monitorings daavadebaTa marTvis moTxovnaTa Sesabamisad. bavSvTa fTiziatri SeiZleba iyos nebismieri kvlevis iniciatori da Semsrulebeli. 2005 wels msoflios masStabiT dafiqsirebuli tuberkulozis 8,8 milioni axali SemTxvevidan daaxloebiT 1 milioni SemTxveva (11%) 15 wlamde asakis bavSvebze modioda. bavSvebi mozrdilebTan SedarebiT gansxvavebulad reagiereben daavadebaze, amitom TB daavadebuli bavSvebis prevencia, diagnostika da mkurnaloba TaviseburebebiT xasiaTdeba. ase magaliTad: pirveladi inficirebidan daavadebis ganviTarebis maRali riskis gamo prevenciuli mkurnalobis ZiriTad jgufs bavSvebi qmnian; bavSvebSi tuberkulozis pirveladi formebi, rogorc wesi, ufro xSirad viTardeba vidre mozrdilebSi; bavSvebTan tuberkulozis baqteriologiuri dadastureba xSirad ver xerxdeba, es gansakuTrebiT exebaT filtvis formis tuberkuloziT daavadebul mcire asakis bavSvebs, romlebic naxvels ver gamoyofen; bavSvebTan maRalia tuberkulozuri meningitis da miliaruli tuberkulozis ganviTarebis riski da am TvalszrisiT isini gansakuTrebul yuradRebas saWiroeben. tuberkuloziT daavadebuli aiv negatiuri bavSvebis umetesobas mkurnaloba III kategoriis Sesabamisi samkurnalo reJimiT utardebaT (WHO); intensiur fazaSi ori Tvis ganmavlobaSi eZlevaT sami pirveli rigis tubsawinaaRmdego preparati (izoniazidi, rifampicini da pirazinamidi), xolo gagrZelebis fazaSi oTxi Tvis ganmavlobaSi ori preparati (izoniazidi da rifapmicini). bavSvTa tuberkulozis prevenciis, diagnostikis da mkurnalobis gaumjobesebisaken mimarTuli gadaudebeli zomebi gulisxmobs nacionalur programaSi bavSvTa tuberkulozis CarTvas. tuberkulozis marTvis saerTaSoriso

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standartebi da tuberkulozis mkurnalobis janmo-s gaidlainebi moicaven rogorc mozrdilTa, ise bavSvTa tuberkulozs. zogad midgomebSi aseve gaTvaliswinebuli unda iyos bavSvebSi TB/HIV koinfeqciis da MDR-TB–is SemTxvevebis marTva. arsebiTi mniSvneloba aqvs mecnierul kvlevebs, romlebic bavSvTa tuberkulozis prevenciis da marTvis gaumjobesebisaken iqnebian mimarTulni.

muxli 2. specialistis profesiuli zogadi codnamuxli 2. specialistis profesiuli zogadi codnamuxli 2. specialistis profesiuli zogadi codnamuxli 2. specialistis profesiuli zogadi codna eqimeqimeqimeqim----specialisti bavSvTa fTiziatri unda flobdes codnas Semdegi specialisti bavSvTa fTiziatri unda flobdes codnas Semdegi specialisti bavSvTa fTiziatri unda flobdes codnas Semdegi specialisti bavSvTa fTiziatri unda flobdes codnas Semdegi kanonebis Sesabamisad: kanonebis Sesabamisad: kanonebis Sesabamisad: kanonebis Sesabamisad:

⇒ saqarTvelos kanoni “janmrTelobis dacvis Sesaxeb” ⇒ saqarTvelos kanoni “saeqimo saqmianobis Sesaxab” ⇒ saqarTvelos kanoni “pacientis uflebebis Sesaxeb” ⇒ eqimisa da pacientis urTierTobebis safuZvlebi ⇒ bioeTikis Tanamedrove principebi

mumumumuxli 3. eqimxli 3. eqimxli 3. eqimxli 3. eqim----specialistis specialistis specialistis specialistis bavSvTa fTiziatris bavSvTa fTiziatris bavSvTa fTiziatris bavSvTa fTiziatris zogadi unarzogadi unarzogadi unarzogadi unar----Cvevebi, raCvevebi, raCvevebi, raCvevebi, ra unda SeeZlos unda SeeZlos unda SeeZlos unda SeeZlos fTiziatrsfTiziatrsfTiziatrsfTiziatrs specialisti bavSvTa fTiziatri unda flobdes respiratoruli daavadebebis da sindromebis Sesaxeb farTo Teoriul da samecniero codnas; hqondes klinikuri gamocdileba; SeeZlos CamonaTvalSi gaTvaliswinebul yvela nozologiis diagnostikasTan dakavSirebiT damoukidebeli gadawyvetilebis miReba; gamokvlevebis dagegmva; Sedegebis interpretacia; mkurnalobis SerCeva da monitoringi, rogorc ambulatoriul, ise stacionalur reJimSi; bavSvTa fTiziatrisa da momijnave specialistTa muSaobis areebis gamijvna; bavSvTa fTiziatriuli samsaxuris organizeba; jandacvis moTxovnaTa Sesabamisad aRricxvisa da angariSgebis warmoeba. specialistis eTikuri kompetenciebi:specialistis eTikuri kompetenciebi:specialistis eTikuri kompetenciebi:specialistis eTikuri kompetenciebi: bavSvTabavSvTabavSvTabavSvTa fTiziatria fTiziatria fTiziatria fTiziatria –––– warmoadgens samedicino profesiis integralur nawils, aqedan gamomdinare igi srulad da absoluturad iziarebs im eTikur principebsa da standartebs rasac saeqimo saqmianobis nebismieri sxva subieqti; anu fTiziatrisaTvis raime damatebiTi an SezRuduli eTikuri principebi an movaleobebi ar arsebobs!ar arsebobs!ar arsebobs!ar arsebobs! eTikur movaleobaTa savaldebuloba gansazRvrulia saqarTvelos kanonSi “janmrTelobis dacvis Sesaxeb” da saqarTvelos kanonSi “saeqimo saqmianobis Sesaxeb”. specialistis profesiuli zogadi codna specialistis profesiuli zogadi codna specialistis profesiuli zogadi codna specialistis profesiuli zogadi codna bavSvTa fTiziatrma unda icodes: bavSvTa fTiziatrma unda icodes: bavSvTa fTiziatrma unda icodes: bavSvTa fTiziatrma unda icodes:

• bavSvTa fTiziatriuli samsaxuris funqcionirebis organizaciuli sakiTxebi;

• paTomorfologiis, paTfiziologiis, imunologiis, genetikis da zogad samedicino problemebis sakvanZo sakiTxebi;

• farmakoTerapiis da farmakokinetikis safuZvlebi;

• intensiuri Terapiis da reanimaciis zogadi principebi;

• reabilitaciis da dispanseruli meTvalyureobis zogadi principebi;

• bavSvTa fTiziatris specialobiT damoukidebeli saqmianobisaTvis aucilebeli sakiTxebi da unar-Cvevebi. bavSvTabavSvTabavSvTabavSvTa fTiziatris zogadi codnis farglebi:fTiziatris zogadi codnis farglebi:fTiziatris zogadi codnis farglebi:fTiziatris zogadi codnis farglebi: bavSvTa fTiziatris specialobiT damoukidebeli saqmianobisaTvis aucilebeli sakiTxebis codnis farglebi ganisazRvreba rogorc srulyofili codna; sakmarisi codna; marTva da monitoringi; gadaudebeli daxmareba. srulyofili codnasrulyofili codnasrulyofili codnasrulyofili codna gulisxmobs: tuberkulozis etiologiis, paTogenezis, riskis faqtorebis da riskis jgufebis, morfologiis, klinikuri gamovlinebebis srulyofil codnas; bavSvTa tuberkulozis Sesabamisi aucilebeli, damatebiTi da specifiuri diagnostikuri meTodebis

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codnas da SerCevas; mkurnalobis sqemebis codnas, maTi SerCevis taqtikas, monitorings; Sedegebis Sefasebas; garTulebebis diagnostikasa da marTvas; rekomendaciebis micemas da profilaqtikuri RonisZiebebis gatarebas.

• sakmarisi codnasakmarisi codnasakmarisi codnasakmarisi codna gulisxmobs: bavSvTa tuberkulozze sakmarisi informaciis flobas da saWiroebis SemTxvevaSi saTanado damatebiTi informaciis mopovebis unars; msgavsi klinikuri niSnebis mqone daavadebaTa gamovlenis SesaZlo variantebis codnas da saTanado momijnave specialistis SerCevas konsultaciisaTvis.

• marTva da monitoringimarTva da monitoringimarTva da monitoringimarTva da monitoringi gulisxmobs tuberkulozze eWvis SemTxvevaSi saTanado gamokvlevis dagegmvas; gamokvlevis Sedegebis interpretaciis unars; difdiagnostikuri algoriTmis Sedgenas; Tanamedrove klasifikaciis Sesabamisad diagnozis dasabuTebas da gaformebas; mkurnalobis sqemis SerCevas, monitorings; Sedegebis Sefasebas; rekomendaciebis micemas da profilaqtikuri RonisZiebebis gatarebas.

• gadaudebeli daxmarebagadaudebeli daxmarebagadaudebeli daxmarebagadaudebeli daxmareba gulisxmobs: gadaudebeli mdgomareobis diagnostikas; pirvelad daxmarebas da mkurnalobas; profilaqtikuri RonisZiebebis gatarebas.

bavSvTa fTiziatrs unda SeeZlos:bavSvTa fTiziatrs unda SeeZlos:bavSvTa fTiziatrs unda SeeZlos:bavSvTa fTiziatrs unda SeeZlos:

• bavSvTa tuberkulozis SemTxvevis marTva, sabaziso da klinikur codnaze dafuZnebuli gamocdilebis gamoyenebiT;

• uCvenos Sesabamisi unar-Cvevebi, romelsac unda flobdes kvalificiuri bavSvTa fTiziatri;

• aCvenos kritikuli azrovnebis unari gadawyvetilebebis miRebisas, gansakuTrebiT, rodesac avadmyofi imyofeba stresul mdgomareobaSi;

• warmarTos eTikuri, iuridiulad dasabuTebuli gansja, rac Seefereba maRali kvalifikaciis bavSvTa fTiziatrs;

• efeqturad iTanamSromlos kolegebTan da sxva specialobis eqimebTan;

• aswavlos da gauziaros SeZenili codna da praqtikuli gamocdileba kolegebs, umcros rezidentebs, studentebs da jandacvis sferos sxva muSakebs;

• miawodos pacients da misi ojaxis wevrebsa da axloblebs maTi janmrTelobisaTvis aucilebeli saWiro rekomendaciebi;

• aCvenos mzadyofna uwyveti profesiuli ganaTlebisaTvis, rac erT-erTi mniSvnelovani momentia bavSvTa fTiziatris kvalifikaciis mudmivi amaRlebisa da srulyofisaTvis;

• aCvenos samecniero kvlevebis, naSromebis adeqvaturi aRqmisa da interpretaciis unari, amavdroulad TviTonac SeeZlos samecniero kvlevis warmarTva an masSi aqtiuri monawileoba;

• ganaviTaros liderobisa da administraciuli unarebi;

• pativi sces pacientis da maTi ojaxis saWiroebebs, aRmouCinos da warmarTos fTiziatriuli daxmareba maTi saWiroebidan gamomdinare.

muxli 4. muxli 4. muxli 4. muxli 4. specialoba fTiziatria moicavs qvemoCamoTspecialoba fTiziatria moicavs qvemoCamoTspecialoba fTiziatria moicavs qvemoCamoTspecialoba fTiziatria moicavs qvemoCamoTvlili daavadebebis, paTologiuri vlili daavadebebis, paTologiuri vlili daavadebebis, paTologiuri vlili daavadebebis, paTologiuri mdgomareomdgomareomdgomareomdgomareobebis klinikas, diagnostikas, mkurnalobasa da profibebis klinikas, diagnostikas, mkurnalobasa da profibebis klinikas, diagnostikas, mkurnalobasa da profibebis klinikas, diagnostikas, mkurnalobasa da profilaqtikas Semdegi moculobiTlaqtikas Semdegi moculobiTlaqtikas Semdegi moculobiTlaqtikas Semdegi moculobiT

# Dd a a v a d e b e b id a a v a d e b e b id a a v a d e b e b id a a v a d e b e b i 1 2 3 4 5 1 tuberkulozituberkulozituberkulozituberkulozi

2. filtvis tuberkulozifiltvis tuberkulozifiltvis tuberkulozifiltvis tuberkulozi pirveladi tuberkulozuri formebi ^ ^ miliaruli tuberkulozi ^ ^ diseminirebuli tuberkulozi ^ ^ kerovani tuberkulozi ^ ^ infiltraciuli tuberkulozi ^ ^ kazeozuri pnevmonia ^ ^

tuberkuloma ^ ^ kavernozuli tuberkulozi ^ ^

5

fibrozul-kavernozuli tuberkulozi ^ ^ cirotuli tuberkulozi ^ ^ tuberkulozuri plevriti ^ ^ traqeis, bronqebis da z.s.g-is tuberkulozi ^ ^ tuberkulozi da koniozebi ^ ^

3. 3.1 3.2 3.3

sxva organoebis tuberkulozisxva organoebis tuberkulozisxva organoebis tuberkulozisxva organoebis tuberkulozi tvinis garsebis tuberkulozi ^

Zval-saxsris tuberkulozi ^

xerxemlis tuberkulozi ^ saxsrebis tuberkulozi ^

brtyeli Zvlebis tuberkulozi ^ lulovani Zvlebis tuberkulozi ^ myes-budeebis tuberkulozi ^ Tirkmlis da saSarde organoebis tuberkulozi

prostatis tuberkulozi ^

saTesle jirkvlebis da danamatebis tuberkulozi ^ saSvilosnos tuberkulozi ^ saSos tuberkulozi ^ sakvercxeebis tuberkulozi ^ falupis milebis tuberkulozi ^ Sardis buStis tuberkulozi ^

3.4 3.5 3.6 3.7 3.8 3.9

periferiuli limfuri kvanZebis tuberkulozi ^ jorjlis limfuri kvanZebis tuberkulozi ^ tiberkulozuri peritoniti ^ nawlavebis tuberkulozi ^ Tvalis tuberkulozi ^ kanis tuberkulozi ^

4. tuberkulozi da sxva daavadebebituberkulozi da sxva daavadebebituberkulozi da sxva daavadebebituberkulozi da sxva daavadebebi

tuberkulozi da aiv-Sidsi ^

tuberkulozi da diabeti ^ tuberkulozi da wylulovani daavadebebi ^ tuberkulozi da filtvis kibo ^ tuberkulozi da fqod ^

5. bavSvTa da mozardTa tuberkulozibavSvTa da mozardTa tuberkulozibavSvTa da mozardTa tuberkulozibavSvTa da mozardTa tuberkulozi ^ ^ 6. rezistentuli tuberkulozi rezistentuli tuberkulozi rezistentuli tuberkulozi rezistentuli tuberkulozi ^ ^ 7. respiraciulrespiraciulrespiraciulrespiraciuli sistemis daavadebebi:i sistemis daavadebebi:i sistemis daavadebebi:i sistemis daavadebebi: filtvis ganviTarebis mankebi ^ ^

mwvave respiraciuli daavadebebi:

• mwvave bronqiti ^ ^ V

• bronqioliti ^ ^ pnevmoniebi ^ ^ filtvis abscesi (gangrena) ^ filtvis qronikuli obstruqciuli daavadebebi: • qr. bronqiti ^ ^

• emfizema ^ ^ bronqoeqtazia ^ ^ mukoviscidozi ^ ^ VII

I filtvebis eozinofiliebi filtvis aspergilozi ^ ^ pnevmomikozebi ^ ^

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filtvis intersticiuli daavadebebi:

• mafibrozirebeli alveolitebi ^ ^ V

• granulomatozebi

• filtvebis vaskulitebi ^ ^

• dagrovebis daavadebebi ^ ^

filtvis arteriis Tromboembolia da filtvis infarqti ^ ^

filtvis simsivneebi ^ ^

plevris mezoTelioma da metastazebi plevraSi ^ ^ plevritebi (mSrali da eqsudaciuri) da plevris araanTebadi gamonaJonebi

^ ^

pnevmoToraqsi ^ ^ Suasayaris daavadebebi ^ ^ filtvis hipertenzia ^ ^

8. respiraciuli sistemis daavadebaTa ZiriTadi simptomebi da respiraciuli sistemis daavadebaTa ZiriTadi simptomebi da respiraciuli sistemis daavadebaTa ZiriTadi simptomebi da respiraciuli sistemis daavadebaTa ZiriTadi simptomebi da sindromebisindromebisindromebisindromebi:

xvela ^ ^ III qoSini ^ ^ III

tkivili gulmkerdis areSi ^ ^ III hemoptoe ^ ^ III temperaturuli reaqcia ^ ^ III

sunTqvis ukmarisoba: mwvave, qronikuli ^ ^ IV

Ramis apnoe mwvave respiraciuli distres-sindromi ^ ^ tuberkulozis marTva da kontroli ^

SeniSvna #1: 1. srulyofili codna 2. sakmarisi codna 3. marTva da monitoringi 4. gadaudebeli daxmareba 5. saWiroebisas specialistis mowveva: I – infeqcionisti II – reanimatologi III _ onkologi IV _ qirurgi IV _ fTiziatri V _ parazitologi VI _ dermatologi VII _ imunologi VIIIVIIIVIIIVIII–––– revmatologi

muxli 5. muxli 5. muxli 5. muxli 5. fTiziatrs unda SefTiziatrs unda SefTiziatrs unda SefTiziatrs unda SeeZlos Semdegi laboratoriuleZlos Semdegi laboratoriuleZlos Semdegi laboratoriuleZlos Semdegi laboratoriul----instrumentuli gamokvlevis instrumentuli gamokvlevis instrumentuli gamokvlevis instrumentuli gamokvlevis Sedegebis interpretacia da klinikuri Sefaseba:Sedegebis interpretacia da klinikuri Sefaseba:Sedegebis interpretacia da klinikuri Sefaseba:Sedegebis interpretacia da klinikuri Sefaseba:

1. sisxlis saerTo analizi

2. sisxlis bioqimiuri analizi:

3. cilis da cilis fraqciebis gansazRvra

glikoproteidebi

ldg da misi izofermentebi sisxlis Sratis imunologiuri gamokvleva

4. koagulograma

5. antibiotikebis mimarT mgrZnobelobis gansazRvra

7

6. naxvelis gamokvlevanaxvelis gamokvlevanaxvelis gamokvlevanaxvelis gamokvleva: PCR, RFLP, BACTEC, Quantiferon TB gold naxvelis makroskopuli gamokvleva

naxvelis mikroskopuli gamokvleva naxvelis mikrobiologiuri gamokvleva naxvelis imunologiuri gamokvleva

7. kanis provakaciuli sinjebikanis provakaciuli sinjebikanis provakaciuli sinjebikanis provakaciuli sinjebi

8. mJavamJavamJavamJava----tutovani mdgomareobis gamokvlevatutovani mdgomareobis gamokvlevatutovani mdgomareobis gamokvlevatutovani mdgomareobis gamokvleva

9.

garegani suTqvis funqciis gamokvlevagaregani suTqvis funqciis gamokvlevagaregani suTqvis funqciis gamokvlevagaregani suTqvis funqciis gamokvleva

mTeli sxeulis pletizmografia filtvebis saerTo tevadobis struqturis gansazRvra – gazanalitiuri meTodiT (heliumis ganzaveba; azotis amorecxva) ventilaciur-perfuziuri damokidebulebis Sefaseba – kapnografia airTa difuziis gansazRvra – erTi CasunTqvis meTodiT haergamtari gzebis winaamRdegobis gazomva – haeris nakadis gadaketvis meTodiT

10. plevris gamonaJonis gamokvleva:plevris gamonaJonis gamokvleva:plevris gamonaJonis gamokvleva:plevris gamonaJonis gamokvleva: gamonaJonis nairsaxeobis gansazRvra

gamonaJonis bioqimia mikrobiologiuri gamokvleva

11.

respiraciuli sistemis rentgenologiuri gamokvlevis meTodebi: respiraciuli sistemis rentgenologiuri gamokvlevis meTodebi: respiraciuli sistemis rentgenologiuri gamokvlevis meTodebi: respiraciuli sistemis rentgenologiuri gamokvlevis meTodebi: rentgenografia tomografia bronqografia kompiuteruli rentgenografia angiopulmonografia

magnitur-rezonansuli tomografia

12. gulmkerdis sonografia 13. bronqoskopia:

traqeis da bronqebis vizualuri monacemis Sefaseba bioptatis gamokvleva bronqoalveoluri SigTavsis monacemebis Sefaseba

14. Torakostomia

15. Torakotomia 16 mediastinoskopia da mediastinotomia Torako da plevroskopia

17. radionukliduri gamokvleva perfuziuli pulmonoscintigrafia

Ppnevmoscintigrafia inhalaciuri bronqoscintigrafia

muxli 6. eqimmuxli 6. eqimmuxli 6. eqimmuxli 6. eqim----specialistis aucilebeli praqtikuli unarspecialistis aucilebeli praqtikuli unarspecialistis aucilebeli praqtikuli unarspecialistis aucilebeli praqtikuli unar----Cvevebi (diagnostikuri da Cvevebi (diagnostikuri da Cvevebi (diagnostikuri da Cvevebi (diagnostikuri da samkurnalo manipulaciebi);samkurnalo manipulaciebi);samkurnalo manipulaciebi);samkurnalo manipulaciebi);

bavSvTa fTiziatri unda flobdes Semdeg diagnostikur da samkurnalo manipulaciebs: 1. sasunTqi organoebis kvlevis fizikaluri meTodebi: . inspeqcia

palpacia perkusia auskultacia

2. garegani sunTqvis funqciis kvleva; 3. kompiuteruli spirografia, “nakadi-moculoba”-s Tanafardobis

gamokvleviT

4. pikfloumetria

8

5. pulsoqsimetria

6. Torakocentezi (sadiagnozo da samkurnalo)

7. testebi bronqolitikebiT

8. filtvebis arainvaziuri ventilacia

muxli 7. im daavadebebis da paTologiuri mdgomareobebis CamonaTvali, romelTa muxli 7. im daavadebebis da paTologiuri mdgomareobebis CamonaTvali, romelTa muxli 7. im daavadebebis da paTologiuri mdgomareobebis CamonaTvali, romelTa muxli 7. im daavadebebis da paTologiuri mdgomareobebis CamonaTvali, romelTa profilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqimprofilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqimprofilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqimprofilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqim----specialists.specialists.specialists.specialists.

bavSvTa fTiziatrs unda SeeZlos Semdegi gadaudebeli mdgomareobebis profilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba:

1 ateleqtazi, bronqo-alveolaruli fistula

2 spontanuri pnevmoToraqsi

3 asTmuri statusi

4. tuberkulozuri meningiti

5. tuberkulozuri plevriti

Tavi III. swavlebis/SeTavi III. swavlebis/SeTavi III. swavlebis/SeTavi III. swavlebis/Sefasebis meTodebi. fasebis meTodebi. fasebis meTodebi. fasebis meTodebi.

muxli 1. swavlebis/Sefasebis principebimuxli 1. swavlebis/Sefasebis principebimuxli 1. swavlebis/Sefasebis principebimuxli 1. swavlebis/Sefasebis principebi

swavlebis procesi orientirebuli iqneba rezidentze, ris gamoc misgan yoveldRiurad saWiroa damoukidebeli aqtivoba, im unar-CvevebiT operireba, romelic mas gaaCnia da SeZenili codnis gamoyeneba. swavlebis efeqturobis gazrdis da codnis motivirebis mizniT saswavlo procesi damyarebuli iqneba problemaze orientirebul swavlis meTodze (PBL- problem based learning). procesis sistematuroba da efeqturoba gulisxmobs adeqvatur da droul ukukavSirs lokalur xelmZRvanelTan da programis direqtorTan.

muxli 2. Sefasebis meTodebimuxli 2. Sefasebis meTodebimuxli 2. Sefasebis meTodebimuxli 2. Sefasebis meTodebi

sarezidento programis procesSi tardeba rezidentis mier Catarebuli saqmianobis perioduli (aranakleb weliwadSi 2-3-jer) da ASemajamebeli Sefaseba. perioduli Sefaseba tardeba yoveli modulis dasrulebis Semdeg, xolo Semajamebeli – programis dasrulebisas. praqtikuli unar-Cvevebis Sesafaseblad mowodebulia kompetenciis Semdegi doneebikompetenciis Semdegi doneebikompetenciis Semdegi doneebikompetenciis Semdegi doneebi:

muxli 3. muxli 3. muxli 3. muxli 3. Sesafasebeli kompetenciebi Sesafasebeli kompetenciebi Sesafasebeli kompetenciebi Sesafasebeli kompetenciebi

� Teoriuli mzadeba – refereti

� praqtikuli saqmianoba – unar-Cvevebi

� monacemTa Segrovevebisa da fiqsirebis saSualebebi – istoriis Sevseba

� Sesasrulebeli manipulaciebis/operaciebis CamonaTvali – ix. Sesabamis modulSi.

� profesiuli mzadebis sxva formebi (konferenciebi, simpoziumebi, samecniero kvlevebi da sxv.)

1.1.1.1. asrulebs damoukidebladasrulebs damoukidebladasrulebs damoukidebladasrulebs damoukideblad

2.2.2.2. asrulebs lokalur xelmZRvanelTan erTad asrulebs lokalur xelmZRvanelTan erTad asrulebs lokalur xelmZRvanelTan erTad asrulebs lokalur xelmZRvanelTan erTad

3.3.3.3. aris damkvirvebeliaris damkvirvebeliaris damkvirvebeliaris damkvirvebeli

9

Tavi IV. programis xangrZlivoba.Tavi IV. programis xangrZlivoba.Tavi IV. programis xangrZlivoba.Tavi IV. programis xangrZlivoba.

� programis xangrZlivobis dasabuTeba;programis xangrZlivobis dasabuTeba;programis xangrZlivobis dasabuTeba;programis xangrZlivobis dasabuTeba;

rezidenturis kursi samwliania. ori wlis ganmavlobaSi rezidenti eufleba rogorc fTiziatriis safuZvlebs, aseve bavSvTa fTiziatriis muSaobisaTvis aucilebel klinikur codnasa da praqtikul Cvevebs.

� Sualeduri/wliuri etapebis miznebis miTiTeba;

pirvel welspirvel welspirvel welspirvel wels rezidenti swavlobs organizmis zrdisa da ganviTarebis kanonzomierebebs axalSobilobis, Cvilobis, adreuli bavSvobis, yrmobis da mozardobis periodebSi, profilaqtikuri medicinis sakiTxebs da mwvave da qronikuli daavadebebis marTvas ambulatoriul da zogadpediatriul stacionarSi. rezidentma unda naxos rac SeiZleba meti da mravalferovani paTologiuri mdgomareoba, oRond misi pacientTan urTierToba xorcieldeba lokaluri xelmZRvanelis meTvalyureobis qveS. meore welsmeore welsmeore welsmeore wels gansakuTrebuli yuradReba mieqceva tuberkulozis programuli marTvis TaviseburebebSi garkvevas. ftiziatria sazogadoebrivi jandacvis nawilia da moiTxovs daavadebis saerTaSoriso standartebis Sesabamis marTvasa da kontrols. Sesabamisad sarezidento programa swavlebis pirveli wlis pirveli ori Tvis ganmavlobaSi miznad isaxavs Seaswavlos bavSvTa fTiziatrs is efeqturi midgomebi, romlebic tuberkulozis nebismieri formiT daavadebuli (maT Soris, rezistentuli da aiv koinficirebul) yvela asakis pacients maRalxarisxiani momsaxurebiT uzrunvelyofs (swavlebis pirveli weli _ I moduli _ tuberkulozis marTva da kontroli _ 2 Tve); tuberkulozis Sedegiani marTvis umniSvnelovanesi faqtori tuberkulozis drouli gamovlena da swori diagnostikaa, Sesabamisad Semdgomi 3 Tve daeTmoba tuberkulozis gamovlenas da diagnostikas; tuberkulozisaTvis damaxasiaTebeli Civilebi da klinika verifikacias saWiroebs bevr daavadebasTan, Sesabamisad hipo- da hiperdiagnostikis Tavidan acilebis mizniT aucilebelia sarezidento programis didi nawili daeTmos tuberkulozis difdiagnostikas da ambulatoriul marTvas (swavlebis pirveli weli _ III moduli _ tuberkulozis difdiagnostika da ambulatoriul marTva _ 6 Tve). tuberkulozi poliorganuli daavadebaa. specifiuri anTebiTi keriT SeiZleba daziandes nebismieri organo, an sistema da am dazianebiT gamowveuli Civilebi, klinika, daavadebis mimdinareoba, aseve misi marTva dazianebuli sistemis specifiurobiT xasiaTdeba da gansxvavebulia filtvis da filtvgareSe tuberkulozis SemTxvevebSi. Sesabamisad mesamemesamemesamemesame wlidanwlidanwlidanwlidan iwyeba uSualod filtvis, filtvgareSe tuberkulozis da tuberkulozis qirurgiuli mkurnalobis Taviseburebebis Seswavla: profesiuli mzadebis III weliwadi _ I moduli _ sasunTqi sistemis tuberkulozi bavSvebSi _ 9 Tve; II moduli _ filtvgareTa tuberkulozi bavSvebSi _ 1 Tve; III moduli _ bavSvTa tuberkulozis qirurgiuli marTva_ 1 Tve.

Tavi V. rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa da organizaciis Tavi V. rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa da organizaciis Tavi V. rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa da organizaciis Tavi V. rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa da organizaciis wesi.wesi.wesi.wesi.

muxli 1.muxli 1.muxli 1.muxli 1. rezidenturaSi profesiuli mzadeba warimarTeba saqarTvelos kanonebis - `saeqimo saqmianobis Sesaxeb~, “janmrTelobis dacvis Sesaxeb” -Sesabamisad.

muxli 2. muxli 2. muxli 2. muxli 2. rezidenturaSi profesiuli mzadeba xorcieldeba diplomis Semdgomi ganaTlebisa (profesiuli mzadebis) da uwyveti profesiuli ganviTarebis sabWos mier akreditebuli rezidenturis programebiT saeqimo specialobaTa nusxis Sesabamisad.

muxli 3.muxli 3.muxli 3.muxli 3. rezidenturaSi profesiuli mzadebas srulad afinansebs saxelmwifo (stomatologiur specialobebSi dasaSvebia kerZo dafinanseba), saministros specialuri saxelmwifo programis _ `diplomisSemdgomi samedicino ganaTlebis saxelmwifo programis~ farglebSi. amave dros, arsebobs rezidenturis alternatiuli diplomisSemdgomi ganaTleba (profesiuli mzadeba), romelic gulisxmobs sarezidento programis yvela modulis gavlas calkeuli modulisa da mTlianad programis xangrZlivobis zustad

10

gansazRvris gareSe da finansdeba kerZo piris mier moZiebuli saxsrebiT (“rezidenturi alternatiul diplomisSemdgom ganaTlebaSi (profesiul mzadebaSi) monawileobis, misi warmarTvisa da Sefasebis wesisa da im samedicino dawesebulebebis akreditaciis kriteriumebis da wesis damtkicebis Sesaxeb, romlebSic SesaZlebelia diplomisSemdgomi ganaTlebis (profesiuli mzadebis) kursis gavla” saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2007 wlis 18 aprilis #135/n brZanebis Sesabamisad).

muxli 4. muxli 4. muxli 4. muxli 4. rezidenturaSi Caricxvis wesi ganisazRvreba saqarTvelos Sromis, janmrTelobis da socialuri dacvis ministris brZanebiT: `erTiani diplomisSemdgomi sakvalifikacio gamocdis Catarebis wesisa da rezidenturaSi Caricxvis wesis damtkicebis Sesaxeb~ (# 295/n; 3.11.2006), xolo rezidenturis alternatiuli diplomisSemdgomi mzadebis wesi: “rezidenturis alternatiuli diplomisSemdgom ganaTlebaSi (profesiuli mzadebaSi) monawileobis, misi warmarTvisa da Sefasebis wesisa da im samedicino dawesebulebebis akreditaciis kriteriumebis da wesis damtkicebis Sesaxeb, romlebSic SesaZlebelia diplomisSemdgomi ganaTlebis (profesiuli mzadebis) kursis gavla” (#135/n; 18.04.2007).

muxli 5. muxli 5. muxli 5. muxli 5. rezidenturis programis ganxorcieleba mimdinareobs sauniversiteto klinikebsa da im samedicino dawesebulebebSi, romelTac miRebuli aqvT akreditacia kanonmdeblobiT dadgenili wesiT (`rezidenturis alternatiul diplomisSemdgom ganaTlebaSi (profesiul mzadebaSi) monawileobis, misi warmarTvisa da Sefasebis wesisa da im samedicino dawesebulebebis akreditaciis kriteriumebis da wesis damtkicebis Sesaxeb, romlebSic SesaZlebelia diplomisSemdgomi ganaTlebis (profesiuli mzadebis) kursis gavla~ saqarTvelos Sromis, janmrTelobis da socialuri dacvis ministris 2007 wlis 18 aprilis #135/n brZanebis Sesabamisad).

muxli 6. muxli 6. muxli 6. muxli 6. rezidenturis kursis dasrulebis Semdeg gaicema saxelmwifo mowmoba.

muxli 7. muxli 7. muxli 7. muxli 7. rezidenturis programis xarisxis uzrunvelyofaze pasuxismgebelni arian - rezidenturis programis direqtori, programis direqtorati, lokaluri xelmZRvanelebi, rezidentebi, saministros saxelmwifo kontrols daqvemdebarebuli sajaro samarTlis iuridiuli piri.

muxli 8. muxli 8. muxli 8. muxli 8. programis direqtoris movaleobebi:

1. misaRebi gamocdis programis Sedgena da rezidenturaSi miRebis procesSi monawileoba;

2. specialobis aRwerilobis safuZvelze Sedgenil diplomis Semdgomi profesiuli mzadebis (rezidenturis) akreditebuli programis ganxorcielebas;

3. samedicino dawesebulebis da lokaluri xelmZRvanelis miTiTebiT rezidentis individualuri gegma-grafikis Sedgena da gansazRvra Tu ramden rezidents SeiZleba zedamxedvelobdes erTi lokaluri xelmZRvaneli.

4. winaswar dadgenili individualuri grafikis mixedviT rezidentis mier Sesasrulebeli samuSaos moculobasa da Casatarebeli manipulaciebis raodenobaze kontroli.

5. direqtoratis wevrebTan erTad dadgenili wesis mixedviT yovelwliurad rezidentis muSaobis Sefaseba da saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiuli pirisaTvisangariSis Cabareba.

6. yovelwliuri Sefasebis Sedegebis gaTvaliswinebiT rezidentisaTvis rekomendacias micema programis gagrZelebis Sesaxeb.

7. rezidentis saqmianobis aradamakmoyofilebli wliuri Sefasebisas, saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiuli pirisaTvis dasabuTebuli moxsenebiT baraTis wardgena garicxvis Sesaxeb.

8. rezidenturis kursis warmatebuli dasrulebis Semdeg rezidentis Semajamebeli atestaciis Catareba da diplomisSemdgomi ganaTlebis (profesiuli mzadebis) da uwyveti profesiuli ganviTarebis sabWos kursis gavlis damadasturebeli saxelmwifo mowmobis gacemis Sesaxeb rekomendaciis micema.

9. lokaluri xelmZRvanelebis saqmianobis zedamxedveloba da Sefaseba.

11

muxli 9. muxli 9. muxli 9. muxli 9. programis direqtoratis wevrebis movaleobebi:

1. rezidentebis SerCevis procesSi monawileoba; 2. program direqtorTan erTad yovelwliurad rezidentebis muSaobis dadgenili wesis

mixedviT Sefaseba; 3. program direqtorTan erTad SeimuSaveben rezidentis atestaciis formatis SemuSaveba; 4. rezidentis Semajamebeli atestaciis procesSi monawileoba; 5. saWiroebis SemTxvevaSi, programis direqtorisaTvis rezidenturis programasTan

dakavSirebul nebismier sakiTxebze konsultaciis gaweva.

muxli 10. muxli 10. muxli 10. muxli 10. lokaluri xelmZRvanelis movaleobebi:

1. samedicino dawesebulebaSi rezidentis muSaobis warmarTva; 2. rezidentebTan pedagogiur muSaobisaTvis Tavisi saqmianobis gansazRvruli drois

daTmoba. 3. TiToeuli modulis dasrulebis Semdeg dadgenili wesis mixedviT, program

direqtorisaTvis rezidentis mier gaweuli samuSaos Sesaxeb angariSis wardgena; 4. rezidentis dRiurSi rezidentis mier Sesrulebuli samuSaos xelmoweriT dadastureba.

muxli 11. muxli 11. muxli 11. muxli 11. rezidentis ufleba/movaleobebi:

1. rezidenti SeiZleba garicxuli iqnas rezidenturidan erTi Tvis ganmavlobaSi gamoucxadeblobis an programis ver daZlevis SemTxvevaSi. gadawyvetilebas rezidentis garicxvis Sesaxeb iRebs programis direqtori saministros saxelmwifo kontrols daqvemdebarebuli sajaro samarTlis iuridiuli pirTan SeTanxmebiT;

2. rezidents ufleba aqvs programis kurikulumis darRvevis an Seferxebis Sesaxeb werilobiT acnobos saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiuli pirs;

3. rezidents ufleba aqvs programis daubrkolebeli daZlevisaTvis moiTxovos Sesabamisi samuSao pirobebiT uzrunvelyofa (kvalificiuri xelmZRvaneli, Tanamedrove tipis klinikuri da sainformacio/sakomunikacio teqnologiebi, samuSao oTaxi);

4. rezidenti valdebulia Seasrulos rezidenturis programiT gansazRvruli kurikulumi; 5. rezidenti valdebulia programiT gansazRvruli da Sesrulebuli saqmianoba

daafiqsiros personalur dRiurSi; 6. rezidenti valdebulia yoveli wlis bolos warudginos programis direqtors gaweuli

muSaobis angariSi da gaiaros etapobrivi da damasrulebeli atestacia dadgenili wesiT;

7. rezidenti valdebulia daicvas samedicino dawesebulebis Sinaganawesi da Seasrulos dawesebulebis ganrigiT gansazRvruli saqmianoba.

Tavi VI. programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT) Tavi VI. programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT) Tavi VI. programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT) Tavi VI. programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT)

muxli muxli muxli muxli 1. mzadebis pirv1. mzadebis pirv1. mzadebis pirv1. mzadebis pirveli wlis modulebis raodenoba eli wlis modulebis raodenoba eli wlis modulebis raodenoba eli wlis modulebis raodenoba –––– 11111111

1.1. 1.1. 1.1. 1.1. eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri safuZvlebi – 2 kvira; 1.2. fundamenturi medicinis Tanamedrove aspeqtebi – 2 Kvira; 1.3. ganviTarebisa da qcevis pediatriaganviTarebisa da qcevis pediatriaganviTarebisa da qcevis pediatriaganviTarebisa da qcevis pediatria –––– 2 Tve; 2 Tve; 2 Tve; 2 Tve; 1.4. 4. 4. 4. otolotolotolotolaringologiuri unararingologiuri unararingologiuri unararingologiuri unar----Cvevebi pediatriaSi Cvevebi pediatriaSi Cvevebi pediatriaSi Cvevebi pediatriaSi –––– 2 kvira; 2 kvira; 2 kvira; 2 kvira; 1.5. 5. 5. 5. ofTalmologiuri ofTalmologiuri ofTalmologiuri ofTalmologiuri unarunarunarunar----Cvevebi pediatriaSi Cvevebi pediatriaSi Cvevebi pediatriaSi Cvevebi pediatriaSi –––– 2 kvira; 2 kvira; 2 kvira; 2 kvira; 1.6. 6. 6. 6. bavSvTa da mozardTa stomatologiabavSvTa da mozardTa stomatologiabavSvTa da mozardTa stomatologiabavSvTa da mozardTa stomatologia –––– 2 kvira; 2 kvira; 2 kvira; 2 kvira; 1.7. 7. 7. 7. pediatriuli unarpediatriuli unarpediatriuli unarpediatriuli unar----Cvevebi pirvelad jandacvaSi Cvevebi pirvelad jandacvaSi Cvevebi pirvelad jandacvaSi Cvevebi pirvelad jandacvaSi –––– 2 kvira; 2 kvira; 2 kvira; 2 kvira; 1.8. 8. 8. 8. ambulatoriuli da prevenciuli peambulatoriuli da prevenciuli peambulatoriuli da prevenciuli peambulatoriuli da prevenciuli pediatriadiatriadiatriadiatria –––– 3 Tve; 3 Tve; 3 Tve; 3 Tve; 1.9. 9. 9. 9. mozardTa medicina mozardTa medicina mozardTa medicina mozardTa medicina –––– 2 Tve; 2 Tve; 2 Tve; 2 Tve; 1.10. 10. 10. 10. jandacvis organizacia da epidemiologia – 2 kvira; 1.11. mtkicebiTi medicinisa da samedicino statistikis safuZvlebi – 2 kvira.

muxli 2. profesiuli mzadebis I wlis mizani:muxli 2. profesiuli mzadebis I wlis mizani:muxli 2. profesiuli mzadebis I wlis mizani:muxli 2. profesiuli mzadebis I wlis mizani:

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rezidenti swavlobs organizmis zrdisa da ganviTarebis kanonzomierebebs axalSobilobis, Cvilobis, adreuli bavSvobis, yrmobis da mozardobis periodebSi, profilaqtikuri medicinis sakiTxebs da mwvave da qronikuli daavadebebis marTvas ambulatoriul da zogadpediatriul stacionarSi. rezidentma unda naxos rac SeiZleba meti da mravalferovani paTologiuri mdgomareoba, oRond misi pacientTan urTierToba xorcieldeba lokaluri xelmZRvanelis meTvalyureobis qveS. muxli 3. mzadebis pirveli wlis modulebis raodenoba muxli 3. mzadebis pirveli wlis modulebis raodenoba muxli 3. mzadebis pirveli wlis modulebis raodenoba muxli 3. mzadebis pirveli wlis modulebis raodenoba –––– 3333

profesiuli mzadebis I weliwadiprofesiuli mzadebis I weliwadiprofesiuli mzadebis I weliwadiprofesiuli mzadebis I weliwadi moduli

## modulis dasaxeleba xangrZlivoba

1.1.1.1.1.1.1.1. tuberkulozis marTva da kontrolituberkulozis marTva da kontrolituberkulozis marTva da kontrolituberkulozis marTva da kontroli 2 Tve 2 Tve 2 Tve 2 Tve 1.2.1.2.1.2.1.2. tuberkulozis gamovlena da diagnostika tuberkulozis gamovlena da diagnostika tuberkulozis gamovlena da diagnostika tuberkulozis gamovlena da diagnostika 3 Tve3 Tve3 Tve3 Tve 1.3.1.3.1.3.1.3. tuberkulozis difdiagnostika da ambulatoriuli marTvatuberkulozis difdiagnostika da ambulatoriuli marTvatuberkulozis difdiagnostika da ambulatoriuli marTvatuberkulozis difdiagnostika da ambulatoriuli marTva 6 Tve6 Tve6 Tve6 Tve

muxli muxli muxli muxli 4444. profesiuli mzadebis I wlis mizani:. profesiuli mzadebis I wlis mizani:. profesiuli mzadebis I wlis mizani:. profesiuli mzadebis I wlis mizani:

tuberkulozis programuli marTvis TaviseburebebSi garkveva; daavadebis marTvisa da kontrolis saerTaSoriso standartebis gaazreba-gaanalizeba; maTi ganxorcielebisaTvis saWiro praqtikuli unar-Cvevebis SeZena; bavSvTa da mozrdilTa tuberkulozze saeWvo SemTxvevis sworad marTva da diagnostikuri algoriTmis Seswavla; tuberkulozis difdiagnostikisaTvis gansazRvruli kriteriumebis gaazreba da praqtikulad gamoyeneba.

muxli muxli muxli muxli 5555. mzadebis meore wlis modulebis raodenoba . mzadebis meore wlis modulebis raodenoba . mzadebis meore wlis modulebis raodenoba . mzadebis meore wlis modulebis raodenoba –––– 3333

profesiuliprofesiuliprofesiuliprofesiuli mzadebismzadebismzadebismzadebis IIIIIIII weliwadiweliwadiweliwadiweliwadi moduli


2.1.2.1.2.1.2.1. sasunTqi sistemis tuberkulozisasunTqi sistemis tuberkulozisasunTqi sistemis tuberkulozisasunTqi sistemis tuberkulozi bavSvebSibavSvebSibavSvebSibavSvebSi 9 Tve9 Tve9 Tve9 Tve 2.2.2.2.2.2.2.2. filtvgareTa tuberkulozifiltvgareTa tuberkulozifiltvgareTa tuberkulozifiltvgareTa tuberkulozi bavSvebSibavSvebSibavSvebSibavSvebSi 1 Tve1 Tve1 Tve1 Tve 2.3.2.3.2.3.2.3. bavSvTa tuberkulozis qirurgiuli marTvabavSvTa tuberkulozis qirurgiuli marTvabavSvTa tuberkulozis qirurgiuli marTvabavSvTa tuberkulozis qirurgiuli marTva 1 Tve1 Tve1 Tve1 Tve

muxli muxli muxli muxli 6666. profesiuli mzadebis II wlis mizani: . profesiuli mzadebis II wlis mizani: . profesiuli mzadebis II wlis mizani: . profesiuli mzadebis II wlis mizani:

poliorganuli daavadebiT gamowveuli Civilebis, klinikis, daavadebis mimdinareobis, aseve misi marTvis Taviseburebebis gaanalizeba; filtvis, filtvgareSe bavSvTa tuberkulozis da bavSvTa tuberkulozis qirurgiuli mkurnalobis Taviseburebebis Seswavla:

Tavi VII. profesiuli mzadebis I wlis modulebiTavi VII. profesiuli mzadebis I wlis modulebiTavi VII. profesiuli mzadebis I wlis modulebiTavi VII. profesiuli mzadebis I wlis modulebi

mmmmoduli 1.1. oduli 1.1. oduli 1.1. oduli 1.1. ------------ Ueqimisa da pacientis urTierTobis eTikuri da samarTlebrivi Ueqimisa da pacientis urTierTobis eTikuri da samarTlebrivi Ueqimisa da pacientis urTierTobis eTikuri da samarTlebrivi Ueqimisa da pacientis urTierTobis eTikuri da samarTlebrivi aspeqtebiaspeqtebiaspeqtebiaspeqtebi

1. modulis xangrZlivobaa:modulis xangrZlivobaa:modulis xangrZlivobaa:modulis xangrZlivobaa: 2 kv. (72 sT.) 2. modulis mizania:modulis mizania:modulis mizania:modulis mizania: saeqimo saqmanobisTan dakavSirebuli saqarTvelos moqmedi

sakanonmdeblo normebis da Tanamedrove bioeTikis principebis Sesabamisi codnis SeZena da misi gamoyenebis unaris gamomuSaveba rezidentis/specialobis maZieblisaTvis

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: 1) saeqimo saqmianobasTan dakavSirebuli sakanonmdeblo normebi arsebuli kanonmdeblobis Sesabamisad, pacientis uflebebis dacvis samarTlebrivi sakiTxebi

2) janmrTelobis dacvis sferoSi biosamedicino eTikis sayovelTaod aRiarebuli normebi da profesiuli saqmianobis Tanamedrove samedicino eTikis principebi,

3) damoukidebeli saeqimo saqmianobis subieqtsa da saxelmwifo xelisuflebis organoebis, fizikur da iuridiul pirebs Soris urTierTobis samarTlebrivi sakiTxebi,

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4) adamianze Catarebuli samedicino-biologiuri kvlevebis samarTlebrivi da eTikuri sakiTxebi,saerTaSoriso normebisa da saqarTvelos arsebuli kanonmdeblobebis Sesabamisad.

4. Sesasrulebeli samuSaos moSesasrulebeli samuSaos moSesasrulebeli samuSaos moSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba culoba da Casatarebeli manipulaciebis raodenoba culoba da Casatarebeli manipulaciebis raodenoba culoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 1mocemulia cxrili # 1mocemulia cxrili # 1mocemulia cxrili # 1----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 1cxrili # 1cxrili # 1cxrili # 1 Teoriuli kursi davaleba

kanonisa da eTikis roli samedicino momsaxureobis gawevisaskanonisa da eTikis roli samedicino momsaxureobis gawevisaskanonisa da eTikis roli samedicino momsaxureobis gawevisaskanonisa da eTikis roli samedicino momsaxureobis gawevisas -bioeTikis Seswavlis sagani, samedicno eTika,istoriuli aspeqtebi,”hipokrates fici ”, samedicino saqmianobis regulirebis istotiuli aspeqtebi

bioeTikis ZiriTadi principebibioeTikis ZiriTadi principebibioeTikis ZiriTadi principebibioeTikis ZiriTadi principebi “ar avno”, “Hhqmeni sikeTe”, “avtonomia” ,samarTlianoba, konfidencialuroba;

eqimisa da pacientis urTierTobis modelebieqimisa da pacientis urTierTobis modelebieqimisa da pacientis urTierTobis modelebieqimisa da pacientis urTierTobis modelebi prezentaciebis analizi

saeqimo saqmianobiissaeqimo saqmianobiissaeqimo saqmianobiissaeqimo saqmianobiis samarTlebrivi regulirebis istoriuli magaliTebisamarTlebrivi regulirebis istoriuli magaliTebisamarTlebrivi regulirebis istoriuli magaliTebisamarTlebrivi regulirebis istoriuli magaliTebi, -saqarTvelos kanonmdebloba janmrTelobis dacvis sferoSi ; -kanoni pacientis uflebebis Sesaxeb, saqarTvelos janmrTelobis dacvis kanoni, kanoni saeqimo saqmianobis Sesaxeb

socialuri pasuxismgeblobasocialuri pasuxismgeblobasocialuri pasuxismgeblobasocialuri pasuxismgebloba da janmrTda janmrTda janmrTda janmrTelobaelobaelobaeloba -janmrTeloba da avadmyofoba, -eqimi, pacienti, sazogadoeba;;;;

pacientis individualuri uflebebi,pacientis individualuri uflebebi,pacientis individualuri uflebebi,pacientis individualuri uflebebi, -saqarTvelos kanonmdebloba pacientis individualuri uflebebis Sesaxeb, -informaciis miRebis ufleba, samedicino personalis da samedicino dawesebulebis arCevis ufleba, informaciis konfidencialuroba;

informaciuli Tanxmobainformaciuli Tanxmobainformaciuli Tanxmobainformaciuli Tanxmoba –samedicino momsaxureobis ganxorcielebis safuZveli -informaciuli Tanxmobis elementebi da aucilebeli pirobebi -informaciuli Tanxmobis ganxorcielebis meTodebi;.

pacientis qmedunarianopacientis qmedunarianopacientis qmedunarianopacientis qmedunarianobabababa -mis mier gacnobierebuli gadawyvetilebis miRebis unari. -araqmedunariani pacienti

testireba

sicocxle da sikvdilisicocxle da sikvdilisicocxle da sikvdilisicocxle da sikvdili-------- bioeTikuri kategoriebibioeTikuri kategoriebibioeTikuri kategoriebibioeTikuri kategoriebi -biologiuri sikvdili,Tavis tvinis sikvdili, -gardacvaleba-definacia da eTikuri aspeqtebi

prezentaciebis analizi

tkivilis marTvatkivilis marTvatkivilis marTvatkivilis marTva, -ukurnebeli seniT daavadebuli pacienti, paliatiuri mkurnaloba,hospisi;

evTanazia,evTanazia,evTanazia,evTanazia, istoriuli,religiuri,eTikuri aspeqtebi -evTanaziis samarTlebrivi da eTikuri problemebi; -evTanaziis formebi; sikvdili eqimis daxmarebiT;

suicidisuicidisuicidisuicidi , masTa, masTa, masTa, masTan dakavSirebuli eTikuri aspeqtebin dakavSirebuli eTikuri aspeqtebin dakavSirebuli eTikuri aspeqtebin dakavSirebuli eTikuri aspeqtebi -eqimis daxmareba TviTmkvlelobaSi, -mkurnalobaze uaris Tqmis samarTlebrivi da eTikuri sakiTxebi,

samedicino mecnierebis progresi samedicino mecnierebis progresi samedicino mecnierebis progresi samedicino mecnierebis progresi ----axali teqnologiebiaxali teqnologiebiaxali teqnologiebiaxali teqnologiebi -transplantacia, adamianis organoebis gadanergvis samarTlebrivi da eTikuri sakiTxebi, donoris Tanxmobis sakanonmdeblo modelebi

reproduqtolougiis samarTlebis da eTikuri sakiTxebireproduqtolougiis samarTlebis da eTikuri sakiTxebireproduqtolougiis samarTlebis da eTikuri sakiTxebireproduqtolougiis samarTlebis da eTikuri sakiTxebi ; -xelovnuri ganayofiereba, in-vitro - xelovnuri ganayofierebis eTikuri aspeqtebi,surogatuli dedoba, -adamianis reproduqciuli klonireba;.

socialsocialsocialsocialurad saSiSi infeqciebi urad saSiSi infeqciebi urad saSiSi infeqciebi urad saSiSi infeqciebi -Sidsi, narkomania ,infeqciuri hepatitebi. maTTan dakavSirebuli samarTlebrivi da eTikuri sakiTxebi

adamianze Catarebuli kvlevebiadamianze Catarebuli kvlevebiadamianze Catarebuli kvlevebiadamianze Catarebuli kvlevebi saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis

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uflebebze uflebebze uflebebze uflebebze -bioeTikis da adamianis uflebebis sayovelTao deklaracia, -msoflio samedicino asociaciis eTikis kodeqsi, -konvencia adamianis uflebebisa da biomedicinis Sesaxeb,da sxva

5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _

1. profesiuli saqmianobisas konkretuli SemTxvevis samarTlebrivi da eTikuri mxareebis warmoCenis unaris gamomuSaveba rezidentis mier

2. profesiuli saqmianobisas Tanamedrove samedicino eTikis principebisa da arsebuli kanonmdeblobis Sesabamisad warmarTvis unari;

3. eTikuri dilemebis gadawyvetis unaris gamomuSaveba; 4. adamianze Catarebuli samedicino-biologiuri kvlevebis samarTlebrivi da eTikuri

sakiTxebis warmoCenis, analizis da biosamedicino eTikisa da arsebuli kanonmdeblobis Sesabamisad moqmedebis unaris gamomuSaveba rezidentisTvis.

5. aucilebeli da rekomendebuli liteaucilebeli da rekomendebuli liteaucilebeli da rekomendebuli liteaucilebeli da rekomendebuli literaturis nusxa: raturis nusxa: raturis nusxa: raturis nusxa:

1. bioeTikis da adamianis uflebebis sayovelTao deklaraciabioeTikis da adamianis uflebebis sayovelTao deklaraciabioeTikis da adamianis uflebebis sayovelTao deklaraciabioeTikis da adamianis uflebebis sayovelTao deklaracia----iunesko,2005 qarTuli versiaiunesko,2005 qarTuli versiaiunesko,2005 qarTuli versiaiunesko,2005 qarTuli versia – e.giorgaZe, j.mamalaZe,l.gurgeniZe, l.korZaia – samedicino gazeTi, 2007 w.

2. samedicino eTika (bioeTika) samedicino eTika (bioeTika) samedicino eTika (bioeTika) samedicino eTika (bioeTika) – leqciebi, m.i.iarovinski. moskovi – “medicina”, 2000 3. biosamedicino eTika biosamedicino eTika biosamedicino eTika biosamedicino eTika – b.i.pokrovski. moskovi – “medicina”, 1997 w. 4. bioeTikis Sesavali bioeTikis Sesavali bioeTikis Sesavali bioeTikis Sesavali – i.ivanuSkini da sx., moskovi, progresi-tradicia, 1998 w. 5. bioeTikabioeTikabioeTikabioeTika: principebi, wesebi problemebi – b.g.iudini, moskovi, 1998 w. 6. saqarTvelos kanonmdebloba adamianisaqarTvelos kanonmdebloba adamianisaqarTvelos kanonmdebloba adamianisaqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis sferoSi s uflebebis Sesaxeb biomedicinis sferoSi s uflebebis Sesaxeb biomedicinis sferoSi s uflebebis Sesaxeb biomedicinis sferoSi –

g.javaSvili, g.kiknaZe, a.barkalaia. Tbilisi, 2001 w. 7. axalaZe v. bioeTika aTaswleulis mijnaze,- jurnali religia , Tb, 2002 w., # 7,8,9, gv, 82-

91 8. axalaZe v.bioeTika, rogorc msoflgageba da mecniereba,biomedicines sferoSi

kacobriobis sulier-zneobrivi orientaciis Sesaxeb (jurnali rwmena da codna 2002 1 ,9, gv.82-91

9. Tanamedrove medicinis zogierTi samarTlebrivi sakiTxi , m.kvaWaZe,Tbilisi, 1995 w. 10. eqimis profesiuli saqmianobis samarTlebrivi safuZvlebi –guram kiknaZe,givi

javaSvili,Tbilisi, 2002 w. 11. deontologia qirurgiaSi, n.doliZe, d. mSvenieraZe, mecniereba,1990,Tbilisi 12. adamianis uflebebi da samedicino personalis movaleobebi saerTaSoriso dokumentebSi

- Tbilisi, 1999 13. saeqimo saidumlo, saeqimo Secdoma,b.v.Sevrigini,moskovi,2000 14. saeqimo deontologia,i.i.makSanovi,1998,minski 15. Власов Василий Викторович- Невидимые проблемы медицинской этики: Медицина и ,общество-

Медицинское право и этика 2002.- №1.- С. 18-28 16. Власов Василий Викторович Медицина в условиях дефицита ресурсов-Триумф, Москва, 2000 17. И.В.Силуянова. Нравственная культура врача как основание врачебного профессионализма./ ж-

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этика. №2, 2000 19. .И.В.Силуянова. О сущности “этического” этических проблем современной медицины. // Медицинское

право и этика,№4,2000.с. 50 20. И.В.Силуянова. В помощь преподавателю биоэтики. Программа по биоэтике. Тематические планы лекций и

семинаров.// Медицинское право и этика.№4,2001.с.84- 96. 21. И.В.Силуянова. Этическая культура как основание медицинского профессионализма или зачем будущему

врачу изучать гуманитарные науки?// Медицинское право и этика.№4, 2001, с.81-84. 22. И.В.Силуянова. Понимание этики в медицине как социальная проблема. (Этические проблемы медицины

глазами медиков).// Этика и медицина проблема взаимодействия. Медицинское право и этика.2002,№4, с.33-41

23. .И.В.Силуянова, Сабурова В.И. ,Сушко Н.А.,Першин М.С Семинарские занятия по курсу “Биомедицинская этика” для студентов лечебного, педиатрического, медико-биологического факультетов. Учебно-методич. Пособие. М. 2003.

24. И.В.Силуянова, Ляуш Л. Б., В. А. Антипенков опросы тестового контроля по биомедицинской этике. //«Медицинское право и этика», № 4, 2000, с. 79-80.

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25. -http://www.bioethics.ru/rus/ - bioeTikis forumi 26. Медицина, этика, религия и право : Материалы конф. 25-26 нояб. 1999 г.. - М., 2000. - 45-56 с. 27. Биоэтика. Вопросы и ответы // Прогресс-Традиция А. Я. Иванюшкин, Л.Ф. Курило, Ю.М. Лопухин, Н.Н.

Седова, П.Д. Тищенко, Б.Г. Юдин (unesco)2005 28. http://depts.washington.edu/bioethx/topics/physpt.html#ques6 -kazusebi da pauxebi 29. -meoce saukunis qarTuli filosofiis anTologia- pirveli tomi pirveli nakveTi 1998

weli 30. cnobili ucxoeli da qarTveli eqimebi,biografia,moRvaweoba medicinaSi da mis

farglebs gareT- z.kaxiani,s.kaxiani, 1993, gamomcemloba ganaTleba 31. bioeTikosTa saerTaSoriso asociiaciidan miRebuli masalebibioeTikosTa saerTaSoriso asociiaciidan miRebuli masalebibioeTikosTa saerTaSoriso asociiaciidan miRebuli masalebibioeTikosTa saerTaSoriso asociiaciidan miRebuli masalebi, http://bioethicsinternational.org 32. msoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebi, http://www.wma.net/e/ethicsunit/index.htm 33. The Center for Bioethics and Human Dignity http://www.cbhd.org/ 34. Feminist Approaches to Bioethics -http://www.pdcnet.org/member-fab. 35. BioethicsWeb - http://bioethicsweb.ac.uk/ 36. http://www.unesco.org/ibc/ www.unesco.org/shs/bioethics 37. msoflios janmrTelobis organizaciis veb gverdze ganTavsebuli masalebimsoflios janmrTelobis organizaciis veb gverdze ganTavsebuli masalebimsoflios janmrTelobis organizaciis veb gverdze ganTavsebuli masalebimsoflios janmrTelobis organizaciis veb gverdze ganTavsebuli masalebi----

www.who.int/ethics/topics/en/ 38. amerikis bioeTikis da humanizmis asociacia - http://www.asbh.org/ (Georgetown University ,

BIOETHICS CURRICULUM UNITS FROM THE KENNEDY INSTITUTE OF ETHICS http://www.georgetown.edu/research/nrcbl

muxli 2. moduli 1.2. muxli 2. moduli 1.2. muxli 2. moduli 1.2. muxli 2. moduli 1.2. fundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebi....

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa ---- 2 kv. (72 sT.) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - rezidentis/specialobis maZieblisaTvis medicinis fundamenturi da

klinikuri kvlevis Tanamedrove principebis Sesaxeb saWiro codnis SeZena da misi gamoyenebis unaris gamomuSaveba. programa kompleqsuria, Sedgeba oTxi - imunologiis, klinikuri farmakologiis, fiziologiis da paTfiziologiis - qvemodulisagan, Sesabamisi amocanebis Tanmimdevruli ganxorcielebiT.

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: fiziologiis qvemoduli:

1. adaminis organizmis funqciuri sistemebis organizaciisa da centralur nervul sistemaSi mimdinare neirobiologiuri procesebis bioqimiuri safuZvlebi integraciis sxvadasxva doneze;

2. calkeuli neiromediatoruli sistemis funqcionirebis (sinafsuri mediaciis) natifi molekuluri meqanizmebi; sinafsuri gadacemis sxvadasxva safexurze qimiuri preparetebis zemoqmedebis efeqturi gamovlinebebi da daavadebaTa koreqciis zogadi principebi;

3. tkivilisa da gautkivarebis funqciuri sistemis neirobiologiuri safuZvlebi; nocicepciis periferiuli da centraluri meqanizmebis neiroqimiuri safuZvlebi; endogenuri opioiduri da sxva peptidebis receptoruli sistemis roli analgeziis ganviTarebaSi;

4. motivacia da emocia. limburi sistema (hipokampi, sartylebri xveuli, nuSisebri kompleqsi), striopaliduri sistema da integraciis Talamuri done adamianis qcevis organizaciaSi. hipoTalamusis roli integraciul moqmedebaSi da ZiriTad biologiur motivaciebis formirebaSi.

5. fiziologiaSi, molekulur biologiaSi da Teoriul medicinaSi ukanasknel wlebSi (2000-2005) ganxorcielebuli mniSvnelovani kvlevis Sedegebis mimoxilva da analizi;

paTfiziologiis qvemoduli:

1. adaptaciis procesi. organizmis zogadi reaqcia endogenuri da egzogenuri faqtoris zemoqmedebaze. organizmis Seguebadoba Secvlil saarsebo garemosTan.

2. organizmis saregulacio sistemebis roli adaptaciis ganxorcielebaSi fiziologiur da eqstremalur situaciebSi. parakrinuli regulaciis molekuluri meqanizmebi. mexsierebis roli adaptaciuri qcevis realizaciaSi.

3. adapturi stres-reaqcia. stresuli da antistresuli meqanizmebi. eqstremaluri faqtoris zemoqmedebiT ganviTarebuli paTogenuri stresi. Sokuri mdgomareobis

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zogadi paTogenezi. organoebisa da organoTa sistemebis funqciobis da integraciis moSlis meqanizmebi Sokis dros.

klinikuri farmakologiis qvemoduli:

1. kerZo klinikuri farmakologiis ZiriTadi sakiTxebi fundamenturi da klinikuri medicinis bolo miRwevebis Sesabamisad. farmakoTerapia mtkicebiTi medicinis poziciebidan.

2. samkurnalod praqtikaSi gamoyenebuli samkurnalo preparatebis ZiriTadi jgufebis farmakokinetikis da farmakodinamikis Seswavla. sxvadasxva samkurnalo preparatebis urTierTdamokidebulebis da arasasurveli gverdiTi efeqtebis Seswavla. agreTve, gamoyenebuli farmakologiuri preparatebis randomizebuli kontrolirebadi kvleva.

imunologiis qvemoduli: 1. fundamenturi da klinikuri imunologiis - imunuri sistemis organoebisa da ujredebis, imunoglobulinebis, antigenis gamomcnobi da warmdgeni molekulebis struqturisa da funqciis- Tanamedrove Teoriuli da praqtikuli aspeqtebi;

2. daavadebaTa ganviTarebaSi imunuri meqanizmebis rolis, rogorc axali sadiagnozo da Terapiuli strategiis safuZvlebi;

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulacSesasrulebeli samuSaos moculoba da Casatarebeli manipulacSesasrulebeli samuSaos moculoba da Casatarebeli manipulacSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba iebis raodenoba iebis raodenoba iebis raodenoba

mocemulia cxrili # 2mocemulia cxrili # 2mocemulia cxrili # 2mocemulia cxrili # 2----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 2cxrili # 2cxrili # 2cxrili # 2

Teoriuli kursi davaleba organizmis funqciebis regulacia da fiziologiuri integraciaorganizmis funqciebis regulacia da fiziologiuri integraciaorganizmis funqciebis regulacia da fiziologiuri integraciaorganizmis funqciebis regulacia da fiziologiuri integracia

neironis morfologiuri specializacia da neironTaSorisi komunikaciis safuZvlebi cns-is integraciuli moqmedebis ganxorcielebaSi. neirosekrecia, rogorc ZiriTadi biologiuri kanonzomiereba da cns-is subujreduli regulaciis elementi.

neironTaSorisi komunikaciis safuZvlebineironTaSorisi komunikaciis safuZvlebineironTaSorisi komunikaciis safuZvlebineironTaSorisi komunikaciis safuZvlebi

neiroregulatorebis klasifikacia da maTi gansazRvris kriteriumebi. neiroregulatorebis mimarT mgrZnobiare receptorebis klasifikacia da maTi moqmedebis kanonzomierebani. “retrograduli mesenjeri”. sinafsis plastikuroba. neironuli integracia. calkeuli neiroregulatorebi (biogenuri aminebi, aminomJavebi, arapeptiduri kandidatebi, neiropeptidebi).


tkivilis fiziologiatkivilis fiziologiatkivilis fiziologiatkivilis fiziologia

problemis zogadi mimoxilva. nocicepturi sistema da tkivilis sensitiuri aRmavali gzebi. endogenuri opioiduri da sxva peptidebis roli. antinocicefciuri sistema, gautkivarebis biologiuri mniSvneloba. tkivilis saxeebi. tkivilis neirobiologiuri safuZvlebi. tkivilis centraluri da periferiuli meqanizmebi. endogenuri opiatebi (opioidebi). opioidebiT gamowveuli analgeziis neirofiziologiuri meqanizmebi. substancia P da misi roli tkivilis SegrZnebaSi.


motivacia da emotivacia da emotivacia da emotivacia da emociamociamociamocia

limburi sistemis anatomiis da funqciis zogadi mimoxilva. adamianis qcevis organizacia. “motivaciis” da “emociis” mniSvneloba qcevis organizaciaSi. “fsiqoanalizis” Teoria. hipoTalamusis roli integraciul moqmedebaSi da ZiriTad biologiur motivaciebis formirebaSi. limburi sistema (hipokampi, sartylebri xveuli, nuSisebri kompleqsi) striopaliduri sistema da integraciis Talamuri done.

testireba

fiziologiaSi, molekulur biologiaSi da Teoriul medicinaSi ukanasknel wlebSi (2004-2006) ganxorcielebuli mniSvnelomniSvnelomniSvnelomniSvnelovani kvlevis Sedegebis mimoxilva da analizi;vani kvlevis Sedegebis mimoxilva da analizi;vani kvlevis Sedegebis mimoxilva da analizi;vani kvlevis Sedegebis mimoxilva da analizi;

organizmis sxvadasxva funqciurorganizmis sxvadasxva funqciurorganizmis sxvadasxva funqciurorganizmis sxvadasxva funqciur----struqturul doneze ganviTarebuli paTologiuri struqturul doneze ganviTarebuli paTologiuri struqturul doneze ganviTarebuli paTologiuri struqturul doneze ganviTarebuli paTologiuri procesebis urTierTobisa da integraciis kanonzomierebani.procesebis urTierTobisa da integraciis kanonzomierebani.procesebis urTierTobisa da integraciis kanonzomierebani.procesebis urTierTobisa da integraciis kanonzomierebani. organizmis da garemos fiziko-qimiuri da informaciuli urTierToba. reaqtiulobis roli Secvlil saarsebo garemosTan adaptaciis ganviTarebaSi.

saregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSisaregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSisaregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSisaregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSi. parakrinul- prezentaciebis

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autokrinuli regulacia. citokinebi ujredSorisi urTierTobebis peptiduri regulatorebi. azotis oqsidi da misi moqmedebis molekuluri meqanizmebi.

analizi

mexsierebis roli adaptaciuri qcevis ganxorcielebaSi. sxvadasxva tipis mexsierebis neirobiologiuri meqanizmebi. mexsierebis darRveva.


specifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebi. stresstresstresstres----reaqcreaqcreaqcreaqcia. zogadi adaptaciuri sindromi. ia. zogadi adaptaciuri sindromi. ia. zogadi adaptaciuri sindromi. ia. zogadi adaptaciuri sindromi. stresuli hormonebi. centraluri da periferiuli antistresuli meqanizmebi, stresuli cilebi.


eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis stadiebi. neiroendokrinuli regulaciisa da organoTa sistemebis integraciis moSlis meqanizmebi. Sokuri Tirkmlis, Sokuri RviZlis, Sokuri filtvis ganviTarebis meqanizmebi. mozrdilTa mwvave respiraciuli distres-sindromi.

testireba

imunuri sistemis zogadi daxasiaTeba. imunuri sistemis zogadi daxasiaTeba. imunuri sistemis zogadi daxasiaTeba. imunuri sistemis zogadi daxasiaTeba. sakuTarisa da ucxos garCeva. Tandayolili da SeZenili imunuri pasuxi. imunuri sistemis ujredebi. imunuri pasuxis mediatorebi. ujredSida da ujredgareTa paTogenis sawinaaRmdego dacva. vaqcinacia. imunopaTologia da atopia.

imunuri pasuxis regulaciaimunuri pasuxis regulaciaimunuri pasuxis regulaciaimunuri pasuxis regulacia

antigeniT imunuri pasuxis regulacia. antigenwarmdgeni ujredebi. antisxeulebiT regulacia. limfocitebiT regulacia. idiotipuri modulacia. neiroendokrinuli modulacia. imunuri pasuxis genetikuri kontroli.

tolerantobis induqcia eqsperimentSi. sakuTari antigenebisadmi centraluri Timusuri tolerantoba. sakuTari antigenebisadmi periferiuli – postTimusuri tolerantoba. sakuTari antigenebisadmi B-ujreduli tolerantoba. in vitro da in vivo xelovnurad inducirebuli tolerantoba. tolerantobis gamoyeneba TerapiaSi.


simsivnis imunologiasimsivnis imunologiasimsivnis imunologiasimsivnis imunologia

simsivne rogorc qsovilovani transplantanti. imunuri zedamxedveloba. simsivnesTan asocirebuli antigenebi. simsivnis sawinaaRmdego imunuri pasuxi. simsivnis mier imunuri pasuxis Tavidan acileba. imunodiagnostika. imunoTerapia.


autoimuniteti da autoiautoimuniteti da autoiautoimuniteti da autoiautoimuniteti da autoimunuri daavadebebimunuri daavadebebimunuri daavadebebimunuri daavadebebi

autoimunitetis kavSiri daavadebebTan. organospecifiuri da araorganospecifiuri autoimunuri daavadebebi. genetikuri faqtorebi. paTogenezi. autoimunur daavadebaTa modelebi: inducirebuli da spontanuri autoimuniteti. daavadebebi, ganpirobebuli paTogenuri autoantisxeulebiT: Tireotoqsikozi, avTvisebiani miasTenia, I tipis diabeti, mamakacis uSviloba, perniciozuli anemia, gudpasCeris sindromi, sisxlis daavadebebi. daavadebebi, ganpirobebuli paTogenuri imunuri kompleqsebiT: sistemuri wiTeli mglura, revmatoiduli poliarTriti, skleroderma, antifosfolipiduri sindromi.


imunuri sistemis klinikuri da laboratoriuli Sefasebaimunuri sistemis klinikuri da laboratoriuli Sefasebaimunuri sistemis klinikuri da laboratoriuli Sefasebaimunuri sistemis klinikuri da laboratoriuli Sefaseba

humoruli imunuri pasuxis Sefaseba. ujreduli imunuri pasuxis Sefaseba.

limfocitTa raodenobisa da funqciis Sefaseba: imunofenotipireba gamWoli citofluorometriiT, in vitro limfocitebis proliferacia, citokin-maproducirebeli ujredebis gansazRvra (ELISPOT meTodi), citotoqsiurobis testi. komplementis sistemis gamokvleva. fagocitebis funqciis gamokvleva.

antigenis/antisxeulis aRmosaCeni reaqciebi: precipitaciis reaqcia, hemaglutinaciis reaqcia, komplementis SeboWvis reaqcia, pirdapiri da arapirdapiri imunofluorescenciis reaqcia, imunofermentuli reaqcia, imunoblotingi da imunoprecipitacia. antisxeulTa izolacia. monoklonuri antisxeulebis produqcia.

testireba

klinikuri farmakokinetikisa da klinikuri farmakodinamikis ZiriTadi principebi, klinikuri farmakokinetikisa da klinikuri farmakodinamikis ZiriTadi principebi, klinikuri farmakokinetikisa da klinikuri farmakodinamikis ZiriTadi principebi, klinikuri farmakokinetikisa da klinikuri farmakodinamikis ZiriTadi principebi, racionaluri farmakoTerapia.racionaluri farmakoTerapia.racionaluri farmakoTerapia.racionaluri farmakoTerapia.

arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, farmakoepidemiologia.farmakoepidemiologia.farmakoepidemiologia.farmakoepidemiologia. samkurnalo dozebis gaTvla Tirkmlis qr. ukmarisobiT


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daavadebul pacientebSi. medikamentozuli saSualebebis metabolizmi, biotransformacia. farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina. medikamentebis Sewovisa da organizmSi ganawilebis meqanizmebi


farmakoTerapiis saxeebifarmakoTerapiis saxeebifarmakoTerapiis saxeebifarmakoTerapiis saxeebi----etiotropuli, paTogenezurietiotropuli, paTogenezurietiotropuli, paTogenezurietiotropuli, paTogenezuri

farmakoTerapiis saxeebi farmakoTerapiis saxeebi farmakoTerapiis saxeebi farmakoTerapiis saxeebi ---- simptomaturi, profilaqtikuri.simptomaturi, profilaqtikuri.simptomaturi, profilaqtikuri.simptomaturi, profilaqtikuri. racionaluri antibiotikoTerapiis sakiTxebi. medikamentozuri monitoringi (Cvenebebi, klinikuri mniSvneloba da Sedegebis interpretacia).


gadaudebel mdgomareobaTa klinikaSi gamoyenebul medikamentTa farmakokinetikuri gadaudebel mdgomareobaTa klinikaSi gamoyenebul medikamentTa farmakokinetikuri gadaudebel mdgomareobaTa klinikaSi gamoyenebul medikamentTa farmakokinetikuri gadaudebel mdgomareobaTa klinikaSi gamoyenebul medikamentTa farmakokinetikuri da farmakodinamikuri daxasiaTebada farmakodinamikuri daxasiaTebada farmakodinamikuri daxasiaTebada farmakodinamikuri daxasiaTeba. arasasurveli medikamentozuri efeqtebi, maTi karcenogenoba.

testireba

5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi

modulis dasrulebis Semdeg rezidents/specialobis maZiebelma unda icodes/SeeZlos: 1. integraciis sxvadasxva doneze organizmis cxovelmoqmedebis zogadi

kanonzomierebebis (molekuluridan-organizmulamde) da principebis Sefaseba; 2. daavadebul organizmSi mimdinare adaptaciuri procesebis, avadmyofobis

aRmocenebis, mimdinareobisa da gamosavlis zogadi meqanizmebis, paTogenezuri profilaqtikis, Terapiis principebis da meTodebis Sefaseba;

3. imunopaTologiuri mdgomareobebis diagnostikuri da Terapiuli strategiis safuZvlebis Sefaseba; alergiuli daavadebebis profilaqtikisa da mkurnalobis Sesaxeb codnas;

4. farmakokinetikuri da farmakodinamikuri monacemebis Sesabamisad samkurnalo saSualebebis SerCeva. individualuri mgrZnobelobidan gamomdinare, preparatis arasasurveli efeqtebis gaTvaliswineba; datvirTvisa da SemanarCunebeli dozebis SerCeva; zogierT kategoriis avadmyofTaTvis (RviZlis funqciis darRveva, Tirkmlis qr. ukmarisoba, xandazmuli da xanSisesuli pirebi, bavSvebi) samkurnalo dozis gaTvla; arasasurveli wamlismieri reaqciis profilaqtika, diagnostika da mkurnaloba; samkurnalo preparatebis zedozirebis diagnostika da mkurnaloba.

6. aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa:

1. T.naneiSvili ”sinafsi. molekulidan qcevamde” Tbilisi,2002w.

2. T.naneiSvili “”qcevis fsiqofiziologia” , Tbilisi.2003w.

3. Р,Орлов. А,Ноздрачев «Нормальная физиология». ГЕОТАР-Медия 2005 г,

4. Acta Neurobiol Exp 2004, 64; - [email protected]

5. Диффузная внесинаптическая нейропередача посредством глутамата и ГАМК .

6. http://www.biomednet.ru/content/view/47

7. http://www.brain.ru/

8. http://phynist3d.narod.ru/

9. http://www.ecclescorner.org/RUS/

10. http://www.stoppain.org/pain_medicine/content/chronicpain/

11. http://www.pbs.org/wnet/brain/3d/index.html

12. http://www.uclan.ac.uk/ldu/resources/multimedia/visualization/directions.html - brain

13. http://www.bayareapainmedical.com/nervanim.html - spinothalamic-retikulothalamic

14. http://www.painresearch.utah.edu/cancerpain/neurax.html

15. http://www.stoppain.org/pain_medicine/content/medication/opioids.asp#top

16. http://www.spine-health.com/dir/dir01.html

17. http://library.med.utah.edu/WebPath/HISTHTML/NEURANAT/NEURANCA.html#2

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18. http://webschoolsolutions.com/patts/systems/nervous.htm#somatosensory

19. http://www.innerbody.com/image/nervov.html

20. П,Литвицкий. «Патофизиология». Москва. 2002 г,

21. О,Молотков. С,Ефремов. В,Решедько. «Патофизиология в вопросах и в ответах». Смоленск. 1999 г,

22. Р,Орлов. А,Ноздрачев «Нормальная физиология». ГЕОТАР-Медия 2005 г,

23. Р,Сепиащвили «Основы физиологии имунной системы». Москва. 2003 г,

24. Кукес В.Г. Клиническая фармакология. Учебник для медицинских ВУЗов.-М.ГЭОТАР-МЕД, 2004. 25. Основы клинической фармакологии и рационалъной фармакотерапии. Под общей ред. Белоусова

Ю.Б., Леоновой М.В.-М., Бионика, 2002. 26. Верткин А.Л. Скорая медицинская помощъ.-М., ГЭОТАР-МЕД, 2003. 27. Михаилов И.Б. . Клиническая фармакология. С-Пт., Фолиант, 2002. 28. Лоуренс Д.Р.,Бенитт П.Н. . Клиническая фармакология. Москва «Медицина», 1993. 29. Интенсивная Терапия, реанимация, первая помощъ». Под. ред. Малышева В.Д. Москва

«Медицина», 2000. 30. n.foraqiSvili. struqturuli imunologia. gamzadebulia dasabeWdad. 31. T Ciqovani. imunologia. amonabeWdis saxiT. mzaddeba dasabeWdad. 32. g.burkaZe. imunomorfologia. norma, paTologia (I da II nawili) 33. Борисов Л.Б. Медицинская микробиология, вирусология, иммунология. Москва. 2001 34. Roitt, I., Brostoff, J. and Male, D. Immunology (7th edn.) Mosby. 2003. 35. C.A.Janeway, P.Travers, M. Walport, M.Shlomchik. Immunobiology. 6th edition., 2005 36. Supplement to The J. of Allergy and Clinical Immunology, 2003, vol.111, No.2

www.mosby.com/jaci 37. www.tsmu.edu/immuno

muxli 3. moduli 1.3. ganviTarebisa da qcevis pediatria muxli 3. moduli 1.3. ganviTarebisa da qcevis pediatria muxli 3. moduli 1.3. ganviTarebisa da qcevis pediatria muxli 3. moduli 1.3. ganviTarebisa da qcevis pediatria

1. modulis xangrZlivobaa: 2 Tve modulis xangrZlivobaa: 2 Tve modulis xangrZlivobaa: 2 Tve modulis xangrZlivobaa: 2 Tve 2. modulis mizania:modulis mizania:modulis mizania:modulis mizania: Seaswavlos rezidents bavSvis fizikuri da fsiqo-socialuri

ganviTarebis kanonzomierebebi asakobriv WrilSi, zrda-ganviTarebaSi Seferxebis da qcevis paTologiis drouli amocnoba da marTva.

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: antenataluri ganviTareba: blastogenezi, embriogenezi, fetaluri ganviTarebis periodi. cneba kritikuli periodebis Sesaxeb.

• postnataluri ganviTareba. bavSvTa askobrivi periodebi: axalSobili, Cvili, adreuli bavSvoba, yrmoba, mozardobis xana.

• fizikuri ganviTarebis Taviseburebebi sxvadasxva askobriv jgufSi. Sefasebis meTodebi: saorientaacio empiriuli formulebi, parametruli da centiluri cxrilebi da mrudeebi, sigrZe/wonis Sesabamisobis gansazRvra. kbilebisa da ConCxis asakobrivi ganviTareba.

• fizikur ganviTarebaSi CamorCena. zrdaSi CamorCenis semiotika. aqseleracia. kvebis qronikuli moSla. mizezebi. simZimis Sefaseba, marTva.

• fsiqomotoruli ganviTarebis kanonzomierebebi asakobriv aspeqtSi. SemecnebiTi sferos ganviTarebis Teoriebi: piajetis, froidis, eriqsonos.

• fsiqomotoruli ganviTarebis Sefaseba. gonebriv ganviTarebaSi CamorCena.

• qcevis Taviseburebebi bavSvebSi. qcevis individualuri Taviseburebebi da qcevis paTologia.

• kvebasTan dakavSirebuli problemebi: ruminacia, gaukuRmarTebuli gemovneba, simsuqne, bulimia, nervuli anoreqsia.

• ZilTan dakavSirebuli problemebi: Ramis sizmrebi, Ramis SiSebi, somnsmbulizmi, daZinebis problemebi tualetis problemebi: enurezi, enkoprezi.

• TviTdamSvidebis Cvevebi: Tavis qneva, kbilebis kraWuni (bruqsizmi), ceris wova, frCxilebis kvneta (triqotilomania), tikebi, Tmebis gleja, sxeulis nawilebis kbena, turetis sindromi.

• SiSebi da fobiebi: mSobelze mijaWvuloba, dedasTan/aRmzrdelTan daSorebis SiSi, skolis fobia, socialuri fobia, ucxo adamianebis SiSi, posttravmuli stresi.

20

• destruqciuli qceva: opozicionalizmi, tyuili, agresia, qurdoba, apaTia, depresia, gaqceva saxlidan.

• swavlis problemebi (skolis disfunqcia): yuradRebis deficitis/hiperaqtiuri bavSvis sindromi, kiTxvis problemebi (disleqsia), weris, angariSis, mexsierebis problemebi.

• seqsualuri qcevis/sqesis identifikaciis darRvevebi: onanizmi, transseqsualizmi, transvestizmi, homoseqsualizmi.

• fsiqiuri darRvevebi: depresia, Sizofrenia, autizmi.

• Zaladoba da uyuradReboba. suicidi. medikamentebze damokidebuleba.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba

mocemulia cxrili 3mocemulia cxrili 3mocemulia cxrili 3mocemulia cxrili 3----is saxiT:is saxiT:is saxiT:is saxiT: cxrili 3

modulis gavlis Semdeg rezidents modulis gavlis Semdeg rezidents modulis gavlis Semdeg rezidents modulis gavlis Semdeg rezidents unda SeeZlosunda SeeZlosunda SeeZlosunda SeeZlos

profesiuli unarprofesiuli unarprofesiuli unarprofesiuli unar----Cvevebi Cvevebi Cvevebi Cvevebi (minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)

davalebadavalebadavalebadavaleba

anTropometria: axalSobil da Cvil bavSvTa sigrZis da masis gazomva. bavSvTa simaRlis da wonis gazomva.

axalSobil da Cvil bavSvTa sigrZis da masis gazomva _ 30

rezidentma unda daweros TveSi erTi referati, sasurvelia gaakeTos prezentacia an moxseneba rezidentTa konferenciisaTvis modulis Sefaseba xdeba xelmZRvanelis mier yoveli Tvis bolos zepiri gasaubrebis gziT da modulis bolos testuri CaTvlis da unar-Cvevebis aTvisebis donis Semowmebis gziT.

bavSvTa simaRlis da wonis gazomva _ 30

fizikuri ganviTarebis Sefaseba saorientacio formulebiT, parametruli da centiluri cxrilebiT da mrudeebiT.

fizikuri ganviTarebis Sefaseba saorientacio formulebiT, parametruli da centiluri cxrilebiT da mrudeebiT _ 30

ConCxis da kbilebis ganviTarebis Sefaseba, Zvlovani asakis dadgena.

ConCxis da kbilebis ganviTarebis Sefaseba _ 20 Zvlovani asakis dadgena _ 15

bavSvis fsiqo-socialuri ganviTarebis Sefaseba (vizualur-motoruli, metyvelebis, emociuri, socialuri adaptaciis).

bavSvis fsiqo-socialuri ganviTarebis Sefaseba (vizualur-motoruli, metyvelebis, emociuri, socialuri adaptaciis) _ 20

qcevis paTologiis amocnoba. qcevis paTologiis mqone bavSvTan da mis mSoblebTan komunikacia.

Sardvasa da defekaciaze kontrolis Camoyalibebis vadebi da variaciebi. enurezis da enkoprezis diagnostika.

Sardis mikroskopuli kvleva_ _ 10

muclis kolikis marTva CvilebSi kvebis, Zilis, destruqciuli qcevis mqone bavSvis marTvis zogadi principebi.

yuradRebis deficiti/hiperaqtiuri bavSvis sindromis amocnoba da marTvis principebi.

gonebriv ganviTarebaSi CamorCenis mizezebi, xarisxi da amocnobis vadebi. specialuri laboratoriul-instrumentuli kvlevebis (kranialuri ultrasonografia, kompiuteruli tomografia, magnitur-rezonansuli kvleva da sxva) mniSvnelobis dasabuTeba.

kranialuri ultrasonografiuli kvleva _ 10

21

unarSezRuduli bavSvis specializirebul klasSi gadayvanis kriteriumebi. alternatiuli saganmanaTeblo sistema.

audiometruli testebis Catarebis Cvenebebi. yru bavSvis ganaTlebis SesaZleblobebi.

mxedvelobis problemebis (retraqciis anomalia, astigmatizmi, sielme da sxva) dadgena.

Zaladobis da uyuradRebobis SemTxvevaSi saeWvo niSnebis amocnoba. msgavsi SemTxvevebis iuridiuli aspeqtebi da prevenciuli meTodebi.

specializebuli ambulatoriuli unarspecializebuli ambulatoriuli unarspecializebuli ambulatoriuli unarspecializebuli ambulatoriuli unar----Cvevebi:Cvevebi:Cvevebi:Cvevebi: muxli 4. moduli 1.4. muxli 4. moduli 1.4. muxli 4. moduli 1.4. muxli 4. moduli 1.4. otolaringologiuri unarotolaringologiuri unarotolaringologiuri unarotolaringologiuri unar----Cvevebi pediatriaSiCvevebi pediatriaSiCvevebi pediatriaSiCvevebi pediatriaSi

1. modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira 2. modulis mizania:modulis mizania:modulis mizania:modulis mizania: Seaswavlos rezidents yel-yur-cxviris amocnoba, marTvis principebi

da referalis ganxorcielebis Cvenebebi. 3. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba


Teoriuli masalaTeoriuli masalaTeoriuli masalaTeoriuli masala profesiuli unarprofesiuli unarprofesiuli unarprofesiuli unar----Cvevebi Cvevebi Cvevebi Cvevebi (minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)


1.gareTa yuris anTeba (‘mocuravis yuri’) 2. Sua yuris anTeba, etiologia, epidemiologia, garTulebebi. 3. SigniTa yuris dazianeba travmis da ucxo sxeulis dros

rinoskopia _ 5 otoskopia _ 5 yuris sanacia turundiT _ 5

rezidentma sasurvelia gaakeTos prezentacia an moxseneba rezidentTa konferenciisaTvis modulis Sefaseba xdeba xelmZRvanelis mier yoveli Tvis bolos zepiri gasaubrebis gziT da modulis bolos testuri CaTvlis da unar-Cvevebis aTvisebis donis Semowmebis gziT.

4.mastoiditi. 5.cxviris daavadebebi: qoanebis atrezia, riniti , qronikuli adenoiditi, cxviris travma, ucxo sxeuli, sisxldena cxviridan. 6. sinusiti.

, cxviridan, xaxidan baqteriologiuri kvlevisaTvis _ 10 laringoskopia _ 3

7. xaxis daavadebebi: .faringiti, tonziliti, paratonzilaruli abscesi, retrofaringealuri abscesi. xaxis damwvrob adeneqtomiis da tonzileqtomiis Cvenebebi

empiriuli mkurnaloba gare da Sua yuris mwvave anTebis dros wamyvani infeqciuri agentebis gaTvaliswinebiT _5 tonzilofaringitis empiriuli mkurnaloba savaraudo etiologiis gaTvaliswinebiT _ 5

8. laringomalacia. qronikuli adenoiditis da tonzilitis konservatuli mkurnaloba_ 5

9. cervikaluri adenopaTia. 10. ybayura jirkvlis hiperplazia: parotiti,

22

limfadeniti, simsivne, limfosarkoma. muxli 5. moduli 1.5. muxli 5. moduli 1.5. muxli 5. moduli 1.5. muxli 5. moduli 1.5. ofTalmologiuri unarofTalmologiuri unarofTalmologiuri unarofTalmologiuri unar----CvevebiCvevebiCvevebiCvevebi pediatriaSipediatriaSipediatriaSipediatriaSi

1. modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira 2. modulis mizania:modulis mizania:modulis mizania:modulis mizania: Seaswavlos rezidents Tvalis daavadebebis amocnoba, marTvis

principebi da referalis ganxorcielebis Cvenebebi 3. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba

mocemuliamocemuliamocemuliamocemulia cxrili 5cxrili 5cxrili 5cxrili 5----is saxiT:is saxiT:is saxiT:is saxiT: cxrili 5

Teoriuli masalaTeoriuli masalaTeoriuli masalaTeoriuli masala profesiuli unarprofesiuli unarprofesiuli unarprofesiuli unar----Cvevebi Cvevebi Cvevebi Cvevebi (minimaluri odenobis (minimaluri odenobis (minimaluri odenobis (minimaluri odenobis

miTiTebiT)miTiTebiT)miTiTebiT)miTiTebiT)


1. sacremle gzebis anomalia nacxis aReba Tvalidan baqteriologiuri kvlevisaTvis _ 5

rezidentma sasurvelia gaakeTos prezentacia an moxseneba rezidentTa konferenciisaTvis modulis Sefaseba xdeba xelmZRvanelis mier yoveli Tvis bolos zepiri gasaubrebis gziT da modulis bolos testuri CaTvlis da unar-Cvevebis aTvisebis donis Semowmebis gziT.

.2.quTuTos paTologia. ftozi. qveda quTuTos Cabruneba

3. refraqciis da akomodaciis anomalia. strabizmi. astigmatizmi

mxedvelobis skriningi _ 5

4.Tvalis garegani daavadebebi. koniuqtiviti. keratiti. jiblibo. xalazia. orbitaluri celuliti.periorbitaluri celuliti. sacremle arxis obstruqcia. ucxo sxeuli. rqovanas nakawri. hemangioma

koniuqtivitis diagnostika da marTva wamyvani etiologiuri agentebis gaTvaliwinebiT _ 5

5.Tvalis Sida daavadebebi. Tandayolili glaukoma. Tandayolili kataraqta. TeTri guga. papiloedema. papiliti. Tvalis atrofia. ekzoftalmi. retrobulbaruli abscesi. dRenaklulTa retinopaTia

Tvalis fskeris daTvaliereba da Sedegebis interpretacia _ 10

6.Tvalis travma. damwvroba. 7.Tvalbudis simsivne. muxli 6. moduli 1.6. muxli 6. moduli 1.6. muxli 6. moduli 1.6. muxli 6. moduli 1.6. bavSvTa da mozardTa stomatologiabavSvTa da mozardTa stomatologiabavSvTa da mozardTa stomatologiabavSvTa da mozardTa stomatologia

1. modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira 2. modulis mizania:modulis mizania:modulis mizania:modulis mizania: Seaswavlos rezidents piris Rrus daavadebebis amocnoba, marTvis

principebi da referalis ganxorcielebis Cvenebebi. 3. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba


Teoriuli masalaTeoriuli masalaTeoriuli masalaTeoriuli masala profesiuli unarprofesiuli unarprofesiuli unarprofesiuli unar----Cvevebi Cvevebi Cvevebi Cvevebi (minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)


Tandayolili anomaliebi: mokle lagami, tuCis da xaxis Tandayolili naprali (‘kurdRlis tuCi”, “mglis xaxa”)

rekomendaciebi kvebis teqnikasTan dakavSirebiT ‘kurdRlis tuCisa” da “mglis xaxis” dros _ 2

rezidentma sasurvelia gaakeTos prezentacia an moxseneba rezidentTa konferenciisaTvis

23

kbilebi. sarZeve da mudmivi kbilebis amoWris vadebi da variaciebi. kbilis `Tandayolili anomaliebi. Tankbilvis darRveva. kariesi. paradontozi

kariesis amocnoba _ 15 Tankbilvis darRvevis diagnostika _ 10

modulis Sefaseba xdeba xelmZRvanelis mier yoveli Tvis bolos zepiri gasaubrebis gziT da modulis bolos testuri CaTvlis da unar-Cvevebis aTvisebis donis Semowmebis gziT.

stomatiti. stomatitis mkurnaloba axalSobilebSi, Cvilebsa da bavSvebSi _ 10

yba-saxis abscesi (mandibularuli, maqsilaruli), flegmona, osteomieliti, periostiti

saubari bavSvebTan da mSoblebTan piris Rrus higienis mniSvnelobasa da saSualebebze - 5

ybis Zvlebis simsivnuri warmonaqmni

naqis (uvula) parezi muxli 7. moduli 1.7. muxli 7. moduli 1.7. muxli 7. moduli 1.7. muxli 7. moduli 1.7. pediatriuli unarpediatriuli unarpediatriuli unarpediatriuli unar----Cvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSi

1. modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira 2. modulis mizania:modulis mizania:modulis mizania:modulis mizania: rezidentma muliaJebze unda aiTvisos is unar-Cvevebi, romelic

aucilebelia jandacvis pirvelad rgolSi momuSave pediatrisTvis.

3. modulis dasrulmodulis dasrulmodulis dasrulmodulis dasrulebis Semdeg rezidents/specialobis maZiebelma unda icodes/SeeZlos:ebis Semdeg rezidents/specialobis maZiebelma unda icodes/SeeZlos:ebis Semdeg rezidents/specialobis maZiebelma unda icodes/SeeZlos:ebis Semdeg rezidents/specialobis maZiebelma unda icodes/SeeZlos:

cxrili 7

# unar-Cvevebis dasaxeleba

1. ZiriTadi sasicocxlo funqciebis stabilizacia da kardiopulmonuri reanimacia

2. otoskopia

3. gareTa sasmeni milis gamorecxva

4. ofTalmoskopia

5. Sardis buStis kaTeterizacia

6. venis kaTeterizacia 7. axalSobilis barZayis amovardnilobis gamovlena 8. nazogastraluri zondis Cadgma

9. intramuskuluri da kanqveSa inieqciebi; axalSobilis Tavis qalas kanqveSa venebis punqcia

10. Wrilobis pirveladi Sefaseba, nakerebis dadeba da moxsna

muxli 8. moduli 1.8. muxli 8. moduli 1.8. muxli 8. moduli 1.8. muxli 8. moduli 1.8. ambulatoriuli da prevenciuli pediatriaambulatoriuli da prevenciuli pediatriaambulatoriuli da prevenciuli pediatriaambulatoriuli da prevenciuli pediatria 1. modulis xangrZlivobaa: 3 Tve modulis xangrZlivobaa: 3 Tve modulis xangrZlivobaa: 3 Tve modulis xangrZlivobaa: 3 Tve 2. modulis mizania:modulis mizania:modulis mizania:modulis mizania: Seaswavlos rezidents yvela asakis bavSvTa zrda-ganviTarebis da

qcevis kanonzomierebebi, janmrTel bavSvze meTvalyureobis principebi, avadobis struqtura, daavadebis gamovlena da marTva prehospitalur doneze, samkurnalo da profilaqtikuri RonisZiebebis organizacia.

3. modulis amocanebimodulis amocanebimodulis amocanebimodulis amocanebi:

• bavSvTa samkurnalo-profilaqtikuri daxmarebis organizacia jandacvis pirvelad rgolSi. samedicino daxmarebis saubno principi. samedicino daxmareba binaze da ambulatoriaSi. axalSobilTa patronaJi. profilaqtikuri gasinjva. pediatris roli bavSvis normalur zrda-ganviTarebaSi, aRzrdaSi, mwvave da qronikuli daavadebebis droul amocnoba, marTvasa da prevenciaSi. janmrTeli cxovrebis wesis propaganda. gadaudebeli samedicino daxmareba hospitalizaciamdel etapze. stacionaruli

24

mkurnalobis Cvenebebi. avadmyofTa reabilitacia da aRdgeniTi Terapia (fizioTerapia, masaJi, samkurnalo fizkultura, refleqsoTerapia). sanatorul-kurortuli mkurnalobis organizacia. fizikuri an fsiqiuri naklis mqone pacientebze meTvalyureoba.

• bavSvTa avadobis struqtura asakobriv WrilSi.

• dispanseruli meTvalyureobis sistema. janmrTelobis jgufebi. sxvadasxva daavadebebis ganviTarebis riskis-jgufis bavSvebis gamovlena da marTva.

• bavSvTa fizikuri da fsiqo-motoruli ganviTarebis Sefaseba.

• bavSvTa kvebis organizacia. moTxovnileba sakveb ingredientebze, vitaminebsa da mineralur marilebze axalSobilebsa da bavSvebSi. 1 wlamde asakis janmrTel bavSvTa kvebis organizacia. kvebis organizacia 1 welze meti asakis janmrTel bavSvebsa mozardebSi. ZuZuTi kvebis teqnika, principebi da problemebi (dedis mxridan, bavSvis mxridan). damatebiTi sakvebis micemis vadebi. Sereuli kveba. xelovnuri kveba (adaptirebuli, araadaptirebuli sakvebi, samkurnalo narevebi). erTidan xuT wlamde asakis bavSvebis kveba. dRenakl bavSvTa kvebis organizacia. kvebis organizacia sxvadasxva daavadebebis dros (kuWis, RviZlis, pankreasis daavadebebi, qolepaTia, nefropaTia, cistofibrozi, celiakia, malabsorbciis sindromi da sxva.).

• imunizacia. aqtiuri imunizacia. vaqcinebis tipebi. acrebis kalendari. acrebis Cvenebebi, winaaRmdegCvenebebi, adreuli da Soreuli garTulebebi da maTi marTva. pasiuri imunizacia. imunoglobulinebis tipebi. daniSvnis Cvenebebi, ukuCvenebebi, gverdiTi movlenebi.

• infeqciur daavadebaTa profilaqtikis gzebi. infeqciaze kontrolis principebi ojaxSi da bavSvTa dawesebulebebSi. karantini, qemoprofilaqtika, vaqcinacia.

• avadmyofi bavSvis gasinjva. anamnezi. fizikuri Sefaseba. rutinuli kvlevis Sedegebis interpretacia. mwvave daavadebebis mkurnaloba prehospitalur doneze.

• qronikuli daavadebebis gamwvavebebis prevencia. antirecidiuli Terapia.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili 8mocemulia cxrili 8mocemulia cxrili 8mocemulia cxrili 8----isisisis saxiT:saxiT:saxiT:saxiT:

cxrili 8 modulis gavlis Semdeg rezidents modulis gavlis Semdeg rezidents modulis gavlis Semdeg rezidents modulis gavlis Semdeg rezidents

unda SeeZlosunda SeeZlosunda SeeZlosunda SeeZlos profesiuli unarprofesiuli unarprofesiuli unarprofesiuli unar----Cvevebi Cvevebi Cvevebi Cvevebi

(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT) davalebadavalebadavalebadavaleba

bavSvTa fizikuri ganviTarebis (anTropometruli) monacemebis Sefaseba da gadaxrebis amocnoba. pacientis awona, simaRlis da Tavis garSemowerilobis gazomva. yiflibandis zomebis Sefaseba. kbilebis raodenobis, mdgomareobis da Tankbilvis Sefaseba.

axalSobilis, Cvilis, ufrosi asakis pacientis awona _ 20

rezidentma unda daweros TveSi erTi referati, sasurvelia gaakeTos prezentacia an moxseneba rezidentTa konferenciisaTvis

Tavis garSemowerilobis gazomva _ 20

axalSobilis, Cvilis sigrZis, ufrosi asakis pacientis simaRlis gazomva _ 20

yiflibandis zomebis Sefaseba _ 20 bavSvTa fsiqomotoruli ganviTarebis Sefaseba da asakTan SedarebiT CamorCenis amocnoba.

qcevis paTologiis amocnoba.

smenis, mxedvelobis, stomatologiuri da orTopediuli problemebis amocnoba.

kbilebis raodenobis, mdgomareobis da Tankbilvis Sefaseba _ 10

25

axalSobil da Cvil bavSvTa kvebis organizacia. ZuZuTi kvebis teqnikis Sefaseba (swori moWideba, swori pozicia, efeqturi wova). xelovnuri kvebis reJimis da wesis SerCeva, xelovnuri sakvebis autanlobis niSnebis amocnoba. samkurnalo narevebis gamoyeneba Cvenebebis gaTvaliswinebiT. erT wlamde asakis bavSvis kvebis efeqturobis Sefaseba.

ZuZuTi kvebis teqnikis. reJimis, efeqturobis Sefaseba – 20 kvebis dagegmva 6 Tveze meti asakis CvilebisaTvis _ 20

modulis Sefaseba xdeba xelmZRvanelis mier yoveli Tvis bolos zepiri gasaubrebis gziT da modulis bolos testuri CaTvlis da unar-Cvevebis aTvisebis donis Semowmebis gziT.

samkurnalo kvebis SerCeva. eliminaciuri dietis daniSvna.

imunizaciis dagegmva da Catareba. acrebis garTulebebis marTva. vaqcinebis da Sratebis Senaxvis swori organizacia.

imunizaciis gegmis Sedgena. vaqcinacia _ 15

pacientis anamnezis Sekreba, gasinjva, savaraudo diagnozis dasma, zogadi mdgomareobis simZimis Sefaseba, mkurnalobis SerCeva. saWiroebis SemTxvevaSi hospitalizaciis Cvenebebis dasabuTeba.

avadmyofi bavSvis gasinjva, savaraudo diagnozis SerCeva _ 15

muxli 9. moduli 1.9. muxli 9. moduli 1.9. muxli 9. moduli 1.9. muxli 9. moduli 1.9. mozardTa medicinamozardTa medicinamozardTa medicinamozardTa medicina

1. modulis xangrZlivobaa: 2 Tve modulis xangrZlivobaa: 2 Tve modulis xangrZlivobaa: 2 Tve modulis xangrZlivobaa: 2 Tve 2. modulis mizania:modulis mizania:modulis mizania:modulis mizania: Seaswavlos rezidents mozard pacientTan urTierTobis

Taviseburebebi, mozarTa biologiuri, fsiqo-socialuri da sqesobrivi ganviTarebis darRvevebis amocnoba da marTva, avadobis struqtura, uxSiresi daavadebebis marTva da prevencia.

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia:

• ganviTarebis kanonzomierebebi mozardobis periodSi:

• biologiuri ganviTareba_zrda, sqesobrivi momwifeba

• (adrenarxe, telarxe, menarxe gogonebsa da vaJebSi).

• kognitiuri ganviTareba. fsiqo-socialuri ganviTareba.

• mozardTa avadobis da sikvdilianobis mizezebi da epidemiologia.

• menstruaciis fiziologia da paTologia. fiziologiuri leikorea, amenorea, dismenorea, disfunqciuri sisxldena, premenstrualuri sindromi.

• ginekomastia. galaqtorea.

• sqesobrivi momwifebis darRveva: naadrevi sqesobrivi momwifeba.

• sqesobrivi momwifebis Seferxeba. pirveladi da meoradi amenorea.

• mozardTa qcevis Taviseburebebi da qcevis paTologia: depresia, suicidi, Zaladoba, nervuli anoreqsia, bulimia, nevrozi, fsiqozi, medikamentebze da toqsinebze damokidebuleba (alkoholi, narkotikuli saSualebebi, halucinogenebi, anaboluri steroidebi).

• sqesobrivi gziT gadamdebi daavadebebi.

• kontracefcia. orsuloba.

• kanis problemebi.

• orTopediuli problemebi (skoliozi, kifozi, lordozi)

• saxsrebis paTologia (pertesis daavadeba, Slateris daavadeba)

• sportuli tramva.

• alergiuli da autoimunuri daavadebebi revmatiuli daavadebebis epidemiologiastruqtura.

• saSarde gzebis daavadebebi.

26

• gastroenterologiuri daavadebebi.

• mxedvelobisa da smenis problemebi.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili 9mocemulia cxrili 9mocemulia cxrili 9mocemulia cxrili 9----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili 9 modulis gavlis Semdeg rezidents unda modulis gavlis Semdeg rezidents unda modulis gavlis Semdeg rezidents unda modulis gavlis Semdeg rezidents unda

SeeZlosSeeZlosSeeZlosSeeZlos profesiuli unarprofesiuli unarprofesiuli unarprofesiuli unar----Cvevebi Cvevebi Cvevebi Cvevebi

(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT)(minimaluri odenobis miTiTebiT) davalebadavalebadavalebadavaleba

mozard pacientTan da mis mSobelTan urTierTobis Taviseburebebi. Tanxmoba, konfidencialurobis, personificirebis principebis dacva

rezidentma unda daweros TveSi erTi referati, sasurvelia gaakeTos prezentacia an moxseneba rezidentTa konferenciisaTvis modulis Sefaseba xdeba xelmZRvanelis mier yoveli Tvis bolos zepiri gasaubrebis gziT da modulis bolos testuri CaTvlis da unar-Cvevebis aTvisebis donis Semowmebis gziT.

mozardis fizikuri ganviTarebis Sefaseba: (anTropometruli, centiluri cxrilebis simaRle/masis Sesabamisobis safuZvelze

mozardis fizikuri ganviTarebis Sefaseba _ 15

mozardis sqesobrivi ganviTarebis Sefaseba taneris SkaliT. meoradi sasqeso niSnebis gamovlenis vadebi da variaciebi gogonebsa da vaJebSi. naadrevi sqesobrivi momwifebis an sqesobrivi momwifebis Seferxebis amocnoba

mozardis sqesobrivi ganviTarebis Sefaseba taneris SkaliT _ 20

mozardis kognitiuri da fsiqo-socialuri ganviTarebis Sefaseba kiTxvarebis meSveobiT

mozardis obieqturi gasinjva. somaturi paTologiis (gul-sisxlZarRvTa, sasunTqi, saSarde, kuW-nawlavis traqtis daavadebebis) amocnoba. laboratoriuli da instrumentuli diagnostikis Sedegebis interpretacia. diferencialuri diagnozi am asakobriv jgufSi avadobis struqturis gaTvaliswinebiT

mozardis obieqturi gasinjva _ 25

mozardis qcevis paTologiis amocnoba: depresiis,suicidis, nevrozis, fsiqozis da sxva. prevencia da marTva. fsiqohigienis da fsiqoprofilaqtikis principebi

mozardis piradi higiena, sqesobrivi higiena, kontracefcia.

saubari mozardTan piradi higienis, sqesobrivi higienis, kontracefciis sakiTxebze _ 15

sqesobrivi gziT gadamdebi daavadebebis amocnoba, mkurnalobis da prevenciis principebi..sqesobrivi gziT gadamdebi davadebebis profilaqtika gaupatiurebis SemTxvevaSi

saSos nacxis aReba da mikroskopuli gamokvleva _ 10

ginekologiuri genezis muclis tkivilis amocnoba. referalis aucileblobis dasabuTeba

ultrasonografiuli kvleva _ 10

orTopediuli skriningi. skoliozis, kifozis, lordozis da saxsrebis daavadebebis amocnoba

orTopediuli skriningi _ 15

aucilebeli saxelmZRvaneloebi:aucilebeli saxelmZRvaneloebi:aucilebeli saxelmZRvaneloebi:aucilebeli saxelmZRvaneloebi: 1. Nelson Essentials of Pediatrics - R.E. Behrman, R.M.Kliegman 2002 2. Неонатология - Н.П. Шабалов, 2003

27

3. Детские болезни – Н.П. Шабалов, 2005. 4. Clinical Decision Making. - Stephan Berman ,2005 5. Педиатрия - под редакцией Н.Н. Володина, 2002

6. Pediatric Secrets – Richard Polin, Mark Ditmar, под редакцией Н.Н. Володина, 2001 (rusul enaze) 7. Bubble CPAP system Manual – Fisher and Paykell Healthcare, 2005 8. Manual of Neonatal Care (Fifth Edition), J. Cloherty, E. Eichenwald, A. 9. Stark, 2004 (qarTul enaze) 10. axalSobilTa daavadebebi - Tbilisi, ”ganaTleba”, 1990, 880gv.,

11. g. niJaraZe. i. favleniSvili

12. bavSvTa daavadebebis propedevtika – Tbilisi, 2005, n. xerxeuliZe muxli 10. moduli 1.10. muxli 10. moduli 1.10. muxli 10. moduli 1.10. muxli 10. moduli 1.10. sazogadoebrivi jandacva da epidemiologia.sazogadoebrivi jandacva da epidemiologia.sazogadoebrivi jandacva da epidemiologia.sazogadoebrivi jandacva da epidemiologia.

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa - 2 kv. (72 sT.)2 kv. (72 sT.)2 kv. (72 sT.)2 kv. (72 sT.) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - modulis mizania rezidentis/specialobis maZieblisaTvis programis

mizania msmenelTa Soris sazogadoebrivi jandacvis safuZvlebis codnis amaRleba da aRniSnuli disciplinis principebisa da meTodebis praqtikul saqmianobaSi gamoyenebis SesaZleblobis xelSewyoba

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: 1) sazogadoebrivi jandacvis politika; 2) sazogadoebrivi jandacvis programebi da maTi prioritetebi; 3) sazogadoebrivi jandacvis programaTa dagegmva da marTva; 4) mosaxleobis janmrTelobis mdgomareobis damaxasiaTebeli ZiriTadi maCveneblebi (daavadebis gavrceleba da

sixSire, letaloba); 5) vitaluri statistikis ZiriTadi maCveneblebi (sikvdiloba, bavSvTa sikvdiloba, dedaTa sikvdiloba, Sobadoba,

sicocxlis xangrZlivoba); 6) jandacvis marTis sainformacio sistemebi 7) Tanamedrove epidemiologia, epidemiologiuri kvlevebis tipebi-observaciuli da eqsperimentuli kvlevebi 8) infeqciur daavadebaTa epidemiologia, epidemia da endemia, transmisia, 9) epidemiologiuri kvlevebis tipebi-onservaciuli da eqsperimentuli kvlevebi 10) epidemiologiuri kvlevebis potenciuri DSecdomebi 11) epidemiologiuri kvlevebis validurobis Sefaseba 12) mizezi da mizez-Sedegobrioba epidemiologiaSi, mizez-Sedegobriobis kriteriumebi 13) infeqciur daavadebaTa epidemiologia,epidemia da endemia, transmisia, bazisuri reproduqciuli ricxvi,

maspinZeli da garemo pirobebi 14) epidemilogia da prevencia,prevenciis sagani da mniSvneloba. midgomabi prevenciasa

da kontrolSi. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba

mocemulia cxrili # 8mocemulia cxrili # 8mocemulia cxrili # 8mocemulia cxrili # 8----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 8

Teoriuli kursi davaleba mosaxleobis janmrTelobis mdgomareobis maxasiaTeblebi. daavadebis gavrceleba, daavadebis sixSire, kumulaciuri sixSire da riski, letaloba

vitaluri statistika, sikvdiloba, bavSvTa sikvdiloba, dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZliba, monacemTa standartizacia.

prezentaciebis ganxilva

statistikur monacemebi (tipebi, Sefardeba, proporcia, procenti, monacemebis grafikuli gamosaxva, normaluri distribucia, saSualo, moda, mediana)

prezentaciebis ganxilva

statistikuri analizis principebi (jgufebis Sedareba) testireba

hipoTezis testireba da Sefaseba (sarwmonoobis intervali, statistikuri sarwmunooba)

saz. jandacvis koncefcia (gansazRvreba, fokusi, saz. Jandacvis determinantebi, saz. jandacvis ZiriTadi funqciebi)

saz. jandacvis praqtika (RonisZiebebi, prevenciis programebi, saz. janfacvis prezentaciebis

28

reforma saqarTveloSi) ganxilva

Tanamedrove epidemiologia (istoriuli konteqsti, sagani, janmrTelobisa da avadmyofobis gazomva)

epidemiologiuri kvlebi. dakvirvebadi da eqsperimentuli kvlevebi

qronikul daavadebaTa epidemiologia da kontroli, gulsisxlZarRvTa daavadebebi, kibo, Saqriani diabeti

Tambaqo da alkoholi (saz. jandacvis programebi, maTi dizaini da implementacia epidemiologia da prevencia, prevenciis doneebi, miodgomrbi prevenciasa da kontrolSi.

epidemiologiri kvlevebis potenciuri Secdomebi

mizezi da mizez Sedegobrioba epidemiologiaSi infeqciuri daavadebebis epidemiologia

epidemia da endemia, bazisuri reproduqciuli ricxvi

5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi

- sazogadoebrivi jandacvis politikis formireba; - sazogadoebrivi jandacvis programebisaTvis prioritetebis gansazRvra; - sazogadoebrivi jandacvis programaTa dagegmva da marTva; - mosaxleobis janmrTelobis mdgomareobis daxasiaTeba ZiriTadi maCveneblebis mixedviT (daavadebis

gavrceleba da sixSire, letaloba); - vitaluri statistikis ZiriTadi maCveneblebis gamoyeneba da interpretacia (sikvdiloba, bavSvTa sikvdiloba,

dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZlivoba); - epidemiologiuri kvlevebis validurobis Sefaseba - infeqciur daavadebaTa epidemiologiis safuZvlebis praqtikaSi gamoyeneba - infeqciur daavadebaTa epidemiis gamokvlevis, zedamxedvelobis da kontrolis bazisuri principebis

praqtikaSi gamoyeneba - prevenciis potencialisa da efeqturobis Sefaseba .


1. Health information systems for low income countries: An overview, Canadian Society for International Health 2. Elizabeth A. McGlynn (Editor), et al. Health Information Systems : Design Issues and Analytic Applications (Directions in Health Services Research and Policy), 2001 3. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993 4. Puri BK. Statistics for the Health Sciences, Sunders, 1996 5. Training manual - Reporting and recording documentation for monitoring immunization work in Georgia: Level 1 - providers of immunization services. PHRplus/ CIF 6. Training manual - Reporting and recording documentation for monitoring immunization work in Georgia: Level 2 – immunization managers, public health managers, and polyclinic managers. PHRplus/ CIF 7. Guidelines for health care providers for integrated surveillance and control of vaccine preventable diseases in Georgia. PHRplus/ CIF 8. MOH decree # 101/n, Georgi 9. 9 Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998 10. 10 Rothman KJ. Epidemiology: An Introduction. Oxford University Press, 2002 11. 11 Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993 12. 12 Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume 1, The Analysis of Case-Control Studies, IARC Scientific Publications No. 32, 1980 13. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume II, The Design and Analysis of Cohort Studies, IARC Scientific Publications No. 82, 1987 14. James J. Schlesselman. Case Control Studies : Design, Conduct, Analysis , 1999 15. Elizabeth A. McGlynn (Editor), et al. Health Information Systems : Design Issues and Analytic Applications (Directions in Health Services Research and Policy) , 2001 16. Roger Webber. Communicable Disease Epidemiology and Control, 2000 17. Last JM. A Dictionary of Epidemiology, Fourth Edition, Oxford University Press, 2001

29

18. Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998 19. Rothman KJ. Epidemiology: An Introduction. Oxford University Press, 2002 20. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993 21. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume 1, The Analysis of Case-Control Studies, IARC Scientific Publications No. 32, 1980 22. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume II, The Design and Analysis of Cohort Studies, IARC Scientific Publications No. 82, 1987 23. James J. Schlesselman. Case Control Studies : Design, Conduct, Analysis , 1999 24. Elizabeth A. McGlynn (Editor), et al. Health Information Systems : Design Issues and Analytic Applications (Directions in Health Services Research and Policy) , 2001 25. Roger Webber. Communicable Disease Epidemiology and Control, 2000 26. Last JM. A Dictionary of Epidemiology, Fourth Edition, Oxford University Press, 2001

muxli 11. moduli 1.11. muxli 11. moduli 1.11. muxli 11. moduli 1.11. muxli 11. moduli 1.11. mtkicebiTi medicinis da samedicino statistikis safuZvmtkicebiTi medicinis da samedicino statistikis safuZvmtkicebiTi medicinis da samedicino statistikis safuZvmtkicebiTi medicinis da samedicino statistikis safuZvlebi. lebi. lebi. lebi.

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa ---- 2 kv. (72 sT.) 2 kv. (72 sT.) 2 kv. (72 sT.) 2 kv. (72 sT.) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - rezidentis/specialobis maZieblisaTvis mtkicebiTi medicinis da

samedicino statistikis codnis amaRleba da maT praqtikul saqmianobaSi aRniSnuli disciplinebis principebisa da meTodebis danergvis xelis Sewyoba.

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: 1) klinikur praqtikaSi gamoyenebuli mtkicebiTi medicinis ZiriTadi principebi 2) randomizirebuli klinikuri gamocdis Sedegebi, maTi validuroba, mniSvneloba da

praqtikuli Rirebuleba 3) meta analizi meta-analizis Sedegebi, maTi validuroba, mniSvneloba da praqtikuli

Rirebuleba 4) klinikuri gaidlainis validuroba da praqtikuli Rirebuleba 5) diagnostikuri testis Sesaxeb arsebuli mtkicebulebis validuroba da praqtikuli

Rirebuleba 6) prognozis Sesaxeb arsebuli mtkicebulebis validuroba da praqtikuli Rirebuleba 7) dadasturebuli efeqturobis mqone intervenciebis moZieba da maTi konkretul

klinikur situaciebTan misadageba 8) koxranis biblioTeka 9) internetis eleqtronuli bazebi, romlebic iZlevian informacias efeqturi

intervenciebisa da gaidlainebis Sesaxeb 10) samedicno literaturis kritikulad aRqma 11) jandacvasa da medicinaSi statistikis roli da mniSvneloba, is ZiriTadi sferoebi, sadac gamoiyeneba statistikis

meTodebi. 12) monacemTa tipebi, maTi grafikuli gamosaxva; normaluri distribuciis daxasiaTeba, variaciis gazomva.

monacemTa standartizacia 13) albaTobis principebi da kanonebi maTi misadageba populaciis parametrebisa da sinjis distribuciis

maxasiaTeblebisadmi. 14) statistikuri analizis bazisuri principebi (Sefaseba, hipoTezis testireba, statistikuri modelireba). 15) jgufebis Sedareba. 16) or uwyvet cvlads Soris damokidebuleba, korelacia da wrfivi regresia. 17) ramdenime cvlads Soris damokidebuleba, mravlobiTi regresiis analizis. 18) kompiuteris gamoyeneba monacemTa analizisaTvis, statistikuri programebis tipebis garCeva, kompiuteruli

analizis strategia, monacemTa bazis formireba.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 7mocemulia cxrili # 7mocemulia cxrili # 7mocemulia cxrili # 7----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 7 Teoriuli kursi davaleba

mtkicebiTi medicinis arsi, ZiriTadi principebi da strategia, mtkicebiTi samedicino praqtika da misi komponentebi, koxranis kolaboracia.


randomizirebuli klinikuri gamocda, klinikuri gamocdis dizaini da tipebi, klinikuri gamocdis Sedegebis validuroba, mniSvneloba, da praqtikuli Rirebuleba


meta-analizis meTodi, meta-analizis Sedegebis validuroba, mniSvneloba, prezentaciebis

30

da praqtikaSi gamoyenebiToba, koxranis kolaboraciis sistemuri mimoxilvis jgufebi

analizi

diagnozi da skriningi, diagnostikuri testis diagnostikuri Rirebuleba, diagnostikuri testis Sesaxeb arsebuli mtkicebulebis validuroba da praqtikuli Rirebuleba

testireba

daavadebis naturaluri istoria da prognozi, prognozis Sesaxeb arsebuli mtkicebulebis validuroba da praqtikuli Rirebuleba, klinikuri gaidlaini, misi validuroba da praqtikuli Rirebuleba

monacemTa tipebi (daTvla da gazomva), Sefardeba, proporcia, procenti, daTvladi da gazomvadi monacemebis grafikuli gamosaxva, normaluri distribucia, saSualo, moda, mediana, monacemTa variabeluroba, variaciis gazomva, populacia da sinji, populaciis parametris distribucia, sinjis saSualos distribucia, ori sinjis saSualos sxvaobis distribuci

albaToba, albaTobis kanonebi, normaluri mrudis standartizacia, normaluri standartuli mrudi, Z da misi mniSvneloba.

statistikuri analizis principebi, Sefaseba (95% sarwmunoobis intervali), hipoTezis testireba (nulovani hipoTeza, alternatiuli hipoTeza, I da II tipis Secdoma), Sefaseba Tu hipoTezis testireba

jgufebis Sedareba - uwyveti monacemebi, analizis Sesabamisi meTodis amorCeva, t distribucia, ori sinjis saSualos sxvaoba, t testi,

jgufebis Sedareba – kategoriuli monacemebi, proporcia, ori damoukidebeli jgufis proporcia, 2 x 2 cxrili – ori jgufis proporciis Sedareba, ramdenime jgufis proporciis Sedareba, riskebis Sedareba (SedarebiTi riski, Sansebis Sefardeba)

or uwyvet cvlads Soris damokidebuleba, korelacia da misi testireba, korelaciis gamoyeneba, interpretacia, martivi wrfivi regresia

ramdenime cvlads Soris damokidebuleba, mravlobiTi wrfivi regresia monacemTa standartizacia

5. modulis Sefamodulis Sefamodulis Sefamodulis Sefasebis meTodebi sebis meTodebi sebis meTodebi sebis meTodebi

modulis dasrulebis Semdeg rezidentma/specialobis maZiebelma unda icodes/SeeZlos: a. klinikur praqtikaSi mtkicebiTi medicinis principebis gamoyeneba b. randomizirebuli klinikuri gamocdis Sedegebis interpretireba, maTi

validurobis, mniSvnelobis da praqtikuli Rirebulebis dadgena c. meta-analizis Sedegebis interpretireba, maTi validurobis, mniSvnelobis da

praqtikuli Rirebulebis dadgena d. klinikuri gaidlainis validurobisa da praqtikuli Rirebulebis dadgena e. diagnostikuri testis Sesaxeb arsebuli mtkicebulebis validurobisa da

praqtikuli Rirebulebis dadgena f. prognozis Sesaxeb arsebuli mtkicebulebis validurobisa da praqtikuli

Rirebulebis dadgena g. dadasturebuli efeqturobis mqone intervenciebis moZieba da maTi konkretul

klinikur situaciebTan misadageba h. koxranis biblioTekiT sargebloba i. internetis eleqtronuli bazebiT sargebloba, romlebic iZlevian informacias

efeqturi intervenciebisa da gaidlainebis Sesaxeb j. samedicno literaturis kritikulad aRqma k. jandacvasa da medicinaSi statistikis rolisa da mniSvnelobis axsna, im

ZiriTadi sferoebis dasaxeleba, sadac gamoiyeneba statistikis meTodebi. l. monacemTa tipebis garCeva, maTi grafikuli gamosaxva; normaluri distribuciis

daxasiaTeba, variaciis gazomva. m. albaTobis principebisa da kanonebis misadageba populaciis parametrebisa da

sinjis distribuciis maxasiaTeblebisadmi.

31

n. statistikuri analizis bazisuri principebis gamoyeneba (Sefaseba, hipoTezis testireba, statistikuri modelireba).

o. jgufebis Sedareba rogorc uwyveti ise kategoriuli monacemebisaTvis; aRniSnuli analizis Sedegebis interpretacia.

p. or uwyvet cvlads Soris damokidebulebis axsna korelaciisa da wrfivi regresiis saSualebiT, maTi Sedegebis interpretacia.

q. ramdenime cvlads Soris damokidebulebis axsna mravlobiTi regresiis analizis saSualebiT, Sedegebis interpretacia.

r. kompiuteris gamoyeneba monacemTa analizisaTvis, statistikuri programebis tipebis garCeva, kompiuteruli analizis strategia, monacemTa bazis formireba.


1. Sackett DL, Straus SE, Scott Richardson W, Rosenberg W, Brian Haynes R. Evidence Based Medicine: How to Practice and Teach EBM. Churchill Livingstone, 2000.

2. letcher RH, Fletcher SW, Wagner EH. Clinical Epidemiology: the Essentials, Williams & Wilkins, 1996.

3. Rothman KJ. Epidemiology: An Introduction. Oxford University Press, 2002.

4. Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998.

5. eaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993.

6. Jadad AR. Randomized Clinical Trials: A User Guide, BMJ Publishing Group, 1999.

7. ltman DG. Practical Statistics For Medical Research, Chapman & Hall/CRC, 2005.

8. Last JM. A Dictionary of Epidemiology, Fourth Edition, Oxford University Press, 2006.

9. Altman DG. Practical Statistics For Medical Research, Chapman & Hall/CRC, 1999

10. Puri BK. Statistics for the Health Sciences, Sunders, 1996.

11. Castle WM, North PM. Statistics in Small Doses, Churchill Livingstone, 1995.

12. Clayton D, Hills M. Statistical Models in Epidemiology, Oxford University Press, 1998.

13. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume 1, The Analysis of Case-Control.

14. Studies, IARC Scientific Publications No. 32, 1980.

15. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume II, The Design and Analysis of Cohort Studies, IARC Scientific Publications No. 82, 1987.

16. Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998.

17. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993.

Tavi VIII. profesiuli mzadebis I wlis moTavi VIII. profesiuli mzadebis I wlis moTavi VIII. profesiuli mzadebis I wlis moTavi VIII. profesiuli mzadebis I wlis modulebidulebidulebidulebi

muxli 1. muxli 1. muxli 1. muxli 1. moduli moduli moduli moduli 2.2.2.2.1. tuberkulozis marTva da kontroli1. tuberkulozis marTva da kontroli1. tuberkulozis marTva da kontroli1. tuberkulozis marTva da kontroli

1. modulis xangrZlivobamodulis xangrZlivobamodulis xangrZlivobamodulis xangrZlivoba –––– 2 Tve2 Tve2 Tve2 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - tuberkulozis programuli marTvis TaviseburebebSi garkveva;

daavadebis marTvisa da kontrolis saerTaSoriso standartebis gaazreba-gaanalizeba; maTi ganxorcielebisaTvis saWiro praqtikuli unar-Cvevebis SeZena;

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: tuberkulozis marTvisa da kontrolis nacionaluri programa; tuberkulozis marTvisa da kontrolis saerTaSoriso standartebi; tuberkulozis programuli marTvis janmo-s rekomendaciebi; reguleruli tuberkulozis marTva; rezistentuli tuberkulozis marTva;

32

HIV/TB koinfeqciis kolaboratoruli programa; tuberkulozis epidzedamxedveloba, qveynis masStabiT epidmaCveneblebis Sefaseba. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba oba oba oba

mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 8888----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 8

Teoriuli kursi davaleba

tuberkulozis efeqturi marTvis safuZvlebi prezentaciis analizi politikuri mxardaWera da kooordinacia prezentaciis analizi

TB SemTxvevebis gamovlenis strategia prezentaciis analizi

TB SemTxvevebis angariSgeba-registracia prezentaciis analizi

tuberkulozis koordinirebuli marTva regionebSi prezentaciis analizi

DOTS da DOTS+ strategia prezentaciis analizi

I da II rigis preparatebiT uzrunvelyofa prezentaciis analizi

HIV-AIDS SemTxvevebis gamovlena TB pacientebSi prezentaciis analizi

jandacvis qselSi infeqciis kontroli

prezentaciis analizi

TB prevalentobis, insidentobis Sefaseba; avadobis, sikvdilobis, warmatebuli da warumatebeli mkurnalobis Sedegebis gansazRvra



rezidentis mier SeZenili Teoriuli codnis da praqtikuli unar-Cvevebis Sefaseba testirebis, zepiri gamokiTxvis, prezentaciis momzadebis, referatis damuSavebis da Sevsebuli samedicino dokumentaciis Semowmebis gziT moxdeba.

modulis gavlis Semdeg rezidenti:

• unda flobdes tuberkulozis marTvisa da kontrolis saerTaSoriso standartebis principebs da SeeZlos praqtikuli qmedebisas maTi gamoyeneba;

• unda SeeZlos tuberkulozis registracia-angariSgebis sistemaSi monawileoba da Sesabamisi dokumentaciis sworad Sevseba;

• unda erkveodes regionuli qselis muSaobaSi da saWiroebis SemTxvevaSi CaerTos maT koordinirebaSi;

• unda icnobdes DOTS da DOTS+ strategiis principebs da SeeZlos damyolobis samsaxurTan koordinirebuli muSaoba;

• unda monawileobdes rezistentuli tuberkulozis samkurnalo reJimis SerCevaSi da flobdes am reJimiT mkurnalobisaTvis aucilebel unar-Cvevebs;

• unda flobdes HIV/TB koinfeqciis gamovlenis da marTvis koordinirebuli programis principebs da uzrunvelyofdes am principebis Sesabamisi RonisZiebebis xelmisawvdomobas;

• unda icnobdes da upirobod anxorcielebdes infeqciis kontroliT gaTvaliswinebul RonisZiebebs;

• unda SeeZlos epidmaCveneblebis gaanalizeba, Sefaseba, maTi koregirebisaTvis aucilebeli RonisZiebebis dagegmva-ganxorcieleba.

33

6. aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:

1. Anti-tuberculosis drug resistance in the world. Fourth global report. The WHO/IUATLD global project on anti-tuberculosis drug resistance surveillance, 2002–2007. Geneva, World Health Organization, 2008 (WHO/ HTM/TB/2008.394).

2. Blower SM, Chou T. Modeling the emergence of the “hot zones”: tuberculosis and the amplification dynamics of drug resistance. Nature Medicine, 2004, 10(10):1111–1116.

3. Migliori GB et al. Frequency of recurrence among MDR-TB cases “successfully” treated with standardized short-course chemotherapy. International Journal of Tuberculosis and Lung Disease, 2002, 6(10):858–864.

4. Global tuberculosis control: surveillance, planning, financing. WHO report 2008. Geneva, World Health Organization, 2008 (WHO/HTM/ TB/2008.393).

5. The Global TB Response Plan 2007–2008. Geneva, World Health Organization, 2007 (WHO/HTM/TB/2007.387).

6. Kim JY et al. From multidrug-resistant tuberculosis to DOTS expansion and beyond: making the most of a paradigm shift. Tuberculosis, 2003, 83:59–65.

muxli 2. muxli 2. muxli 2. muxli 2. moduli moduli moduli moduli 2222.2. tuberkulozis gamovlena da diagnostika.2. tuberkulozis gamovlena da diagnostika.2. tuberkulozis gamovlena da diagnostika.2. tuberkulozis gamovlena da diagnostika

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 3 Tve3 Tve3 Tve3 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - tuberkulozze saeWvo SemTxvevis marTvis kriteriumebis gaanalizeba;

diagnostikuri algoriTmis Seswavla; 3. modulimodulimodulimodulis amocanebia:s amocanebia:s amocanebia:s amocanebia: tuberkulozis marTva da kontroli pirveladi jandacvis rgolSi; tuberkulozze saeWvo SemTxvevis gamovlenis klinikuri aspeqtebi; tuberkulozze saeWvo SemTxvevis gamovlenis laboratoriuli aspeqtebi; TB kontaqtebis gamovlena; saerTaSoriso standartebis Sesabamisad SemuSavebuli tuberkulozze saeWvo SemTxvevis diagnostikuri algoriTmi. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba


Teoriuli kursi profesiuli unar-

Cvevebi Sesasrulebeli manipulaciis raodenoba

davaleba

tuberkulozze saeWvo SemTxvevis marTva

anamnezis Sekreba; antibiotikoTerapiis adeqvaturi kursis SerCeva da misi dasabuTeba; risk-faqtorebis arsebobis dafiqsireba; periferiuli limfuri kvanZebis daTvaliereba;

dReSi 2, an 3 pacientze

Teoriuli masalis analizi

pirveladi jandacvis rgolSi dafiqsirebuli

anamnezis mixedviT TiToeuli SemTxvevis



34

zogadi intoqsikaciis niSnebis interpretacia

qulobrivi sistemiT Sefaseba

tuberkulozze saeWvo SemTxvevis marTvis algoriTmiT gaTvaliswinebuli laboratoriuli diagnostika

instrumentuli da laboratoriuli kvlevebis miRebuli Sedegebis interpretacia



TB kontaqtSi inficirebis, an daavadebis arsebobis gamovlena

Sesabamisi kliniko-laboratoriuli niSnebis interpretacia




modulis gavlis Semdeg rezidenti:modulis gavlis Semdeg rezidenti:modulis gavlis Semdeg rezidenti:modulis gavlis Semdeg rezidenti:

• srulad erkveva tuberkulozze saeWvo SemTxvevis marTvis saerTaSoriso standartebSi, SeuZlia Sesabamisi RonisZiebebis xelmisawvdomobis uzrunvelyofa da miRebuli Sedegebis sworad Sefaseba;

• flobs TB drouli diagnostikisaTvis saWiro unar-Cvevebs, gansakuTrebiT TB kontaqtebis SemTxvevaSi;

• aqvs unari gamoiyenos rogorc fTiziatri, ise arafTiziatri eqimis mier tuberkulozze saeWvo SemTxvevis marTvis algoriTmi;

• tuberkuloziT inficirebis dafiqsirebis SemTxvevaSi aqvs unari pacienti uzrunvelyos Sesabamisi prevenciuli mkurnalobiT;

• tuberkuloziT daavadebis dafiqsirebis SemTxvevaSi aqvs unari pacienti aiyvanos aRricxvaze da CarTos nacionalur programaSi;


1. Global tuberculosis control: surveillance, planning, financing: WHO report 2008. “WHO/HTM/TB/2008.393”. 2. Dye C, Watt CJ, Bleed DM, Hosseini M, Raviglione MC. Evolution of tuberculosis control and prospects for reducing tuberculosis incidence, prevalence, and deaths globally. JAMA 2005; 293: 2767- 75. 3. Resistance to implementing policy change: the case of Ukraine, Bulletin of the World Health Organization 2008;86:147–154. 4. Global tuberculosis control: surveillance, planning, financing. Geneva: WHO; 2006). 5. Salakaia A. Georgia Tuberculosis National Program 2005 Report; 2006. 6. Mdivani N ZE, Volkova N, Jibuti T, Khechinashvili G, del Rio C, Blumberg HM. High rates and risk factors for multidrug resistant tuberculosis (MDR-TB) in the republic of Georgia. In: 36th Union World Conference on Lung Health; October 2005; Paris: International Union Against Tuberculosis and Lung Disease; October 2005. 7. P. Vareni, E. Arguliani, K. Hulson, B. Abaszade, A. Salakaia; National Guideline of DR-TB, Georgia, Tbilisi, 2006. 8. WHO. Identification of Tuberculosis Suspects. Managing TB at the Raion Level. http://whqlibdocwhoint/hq/2003/WHO_CDS_TB_2002310_mod2_engpdf. 2003. 9. WHO. Global tuberculosis control - surveillance, planning, financing WHO Report 2005, WHO/HTM/TB/2005349. 2005. 10. Treatment of tuberculosis: guidelines for national programmes. Geneva, World Health Organization, 2003 (WHO/CDS/TB/2003.313). 3rd ed.

35

muxli 3. muxli 3. muxli 3. muxli 3. moduli moduli moduli moduli 2222.3.. tuberkulozis difdi.3.. tuberkulozis difdi.3.. tuberkulozis difdi.3.. tuberkulozis difdiagnostika da ambulatoriuli marTvaagnostika da ambulatoriuli marTvaagnostika da ambulatoriuli marTvaagnostika da ambulatoriuli marTva

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 6 Tve6 Tve6 Tve6 Tve 2. modulis mizania2. modulis mizania2. modulis mizania2. modulis mizania - tuberkulozis difdiagnostikisaTvis gansazRvruli kriteriumebis Seswavla da praqtikulad gamoyeneba; ambulatoriul reJimSi tuberkulozis SemTxvevis marTva.

3.3.3.3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: sxvadasxva nozologiisaTvis damaxasiaTebeli msgavsi niSnebis specifiurobis, xasiaTis, xangrZlivobis, periodulobis dafiqsireba; gamovlenili kliniko-laboratoriuli niSnebis swori interpretacia; standartuli midgomiT da nacionaluri gaidlainiT mowodebuli principebis gaTvaliswinebiT hipo- da hiperdiagnostikisagan Tavis arideba; TB inficirebis da daavadebis diagnozis dasma; ambulatoriul reJimSi Sesabamisi qimioTerapiis da qimioprofilaqtikis kursis warmarTva; ambulatoriul reJimSi DOTS da DOTS+ strategiis Sesabamisi RonisZiebebis uzrunvelyofa; 4.4.4.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba

mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 10 10 10 10 is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 10



davaleba

zogadi intoqsikaciis niSnebi; difdiagnostikisaTvis aucilebeli laboratoriuli kvlevebi

gamovlenili kliniko-laboratoriuli niSnebis swori interpretacia;


Teoriuli masalis gaanalizeba

araspecifiuri procesebi pacientis mimarTva Sesabamis samedicino dawesebulebaSi; #100 Sevseba



araspecifiuri anTebiTi procesebis farTo speqtris antibiotikoTerapia

adeqvaturi antibiotikoTerapiis kursis SerCeva



LTBI qimioprofilaqtikis warmarTva


ambulatoriul reJimSi regularuli da rezistentuli tuberkulozis diagnostika

ambulatoriul reJimSi samkurnalo kursis SerCeva



DOTS da DOTS+ strategia DOT-is uzrunvelyofa dReSi 4, an 5 pacientze


pacientis socialuri mxardaWera


5.5.5.5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi _


36


•••• SeZlebs gamovlenili kliniko-laboratoriuli niSnebis sworad interpretirebas;

•••• araspecifiuri paTologiis dafiqsirebis SemTxvevaSi Sesabamis samedicino dawesebulebaSi pacientis mimarTvas; Sesabamisi formis Sevsebas;

•••• araspecifiuri anTebiTi procesebis diagnostikas da adeqvatur mkurnalobas;

•••• LTBI-is prevenciul mkurnalobas;

•••• ambulatoriul reJimSi DOTS strategiis Sesabamisad regularuli tuberkulozis standartul mkurnalobas;

•••• ambulatoriul reJimSi DOTS+ strategiis Sesabamisad rezistentuli tuberkulozis standartul mkurnalobas;

•••• pacientis ambulatoriul reJimSi mkurnalobaze damyolobis uzrunvelyofas;

6.6.6.6. aucilebeli da rekomendebuli literaucilebeli da rekomendebuli literaucilebeli da rekomendebuli literaucilebeli da rekomendebuli literaturis nusxa:aturis nusxa:aturis nusxa:aturis nusxa:

1. Treatment of tuberculosis: guidelines for national programmes. Geneva, World Health Organization, 2003 (WHO/CDS/TB/2003.313). 3rd ed. 2. Crofton J CP, Maher D. Guidelines for the management of drug-resistant tuberculosis. Geneva, World Health Organization, 1997: (WHO/TB/96.210 (Rev.1)). 3. WHO. Guidelines on Standard Operating Procedures for MICROBIOLOGY, Chapter 17- Tuberculosis; 2006. 4. WHO. http://www.who.int/tb/dots/dotsplus/drugresist_tb_software/en/. 5. Espinal MA, Kim SJ, Suarez PG, Kam KM, Khomenko AG, Migliori GB, et al. Standard shortcourse chemotherapy for drug-resistant tuberculosis - Treatment outcomes in 6 countries. Jama-Journal of the American Medical Association. 2000 May;283(19):2537-45. 6. Anti-tuberculosis drug resistance in the world. Third Global Report. The WHO/IUATLD Global Project on Anti-tuberculosis Drug Resistance Surveillance 1999-2002. World Health Organization. Geneva 2004. (WHO/HTM/TB/2004.343).

7. Pablos-Mendez A, Raviglione MC, Laszlo A, Binkin N, Rieder HL, Bustreo F, et al. Global Surveillance for Antituberculosis-Drug Resistance, 1994-1997. N Engl J Med. 1998 June 4, 1998;338(23):1641-9. 8. Faustini A, Hall AJ, Perucci CA. Risk factors for multidrug resistant tuberculosis in Europe: a systematic review. Thorax. 2006 February 1, 2006;61(2):158-63. 9. Espinal MA LK, Camacho M, Fusheng Z, Kim SJ, Tlali RE, et al. Determinants of drug-resistant tuberculosis: analysis of 11 countries. Int J Tuberc Lung Dis. 2001;5 (10):887-93. 10. The Global Plan to Stop TB, 2006–2015. Geneva, World Health Organization, 2006 (WHO/HTM/STB/2006.35).

Tavi Tavi Tavi Tavi IIIIXXXX. profesiuli mzadebis II. profesiuli mzadebis II. profesiuli mzadebis II. profesiuli mzadebis IIIIII wlis modulebiwlis modulebiwlis modulebiwlis modulebi

muxli 1. muxli 1. muxli 1. muxli 1. moduli moduli moduli moduli 3333.1. sasunTqi sistemis tuberkulozi bavSvebSi.1. sasunTqi sistemis tuberkulozi bavSvebSi.1. sasunTqi sistemis tuberkulozi bavSvebSi.1. sasunTqi sistemis tuberkulozi bavSvebSi

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 9 Tve9 Tve9 Tve9 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – bavSvTa filtvis formis tuberkulozis diagnostikis da

mkurnalobisaTvis aucilebeli Teoriuli masalis aTviseba; stacionalur reJimSi bavSvTa filtvis formis tuberkulozis marTvisa da kontrolisaTvis saWiro RonisZiebebis praqtikuli ganxorcieleba.

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: stacionalur reJimSi bavSvTa filtvis formis tuberkulozis diagnostika; bavSvTa filtvis formis tuberkulozis klasifikacia; standartuli definiciebis gaTvaliswinebiT SemTxvevis gansazRvra, kategoriis miniWeba;

37

tubsawinaaRmdego preparatebisadmi Stamis mgrZnobelobis mixedviT samkurnalo reJimis SerCeva; stacionalur reJimSi DOT-is uzrunvelyofa; stacionalur reJimSi DOTS da DOTS+ strategiebis Sesabamisi standartuli mkurnalobis uzrunvelyofa; tubsawinaaRmdego preparatebis mier gamowveuli gverdiTi movlenebis marTva; bavSvTa filtvis formis tuberkuloziT gamowveuli garTulebebis diagnostika da marTva; stacionalur reJimSi mkurnalobaze damyolobis da infeqciis kontroliT gaTvaliswinebuli zomebis ganxorcielebis uzrunvelyofa. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba

mocemulmocemulmocemulmocemulia cxrili # ia cxrili # ia cxrili # ia cxrili # 11111111----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 11



davaleba

bavSvTa filtvis formis tuberkulozis diagnostika

naxvelis nacxis baqterioskopiuli da baqteriologiuri kvlevis Sedegebis wakiTxva da Sefaseba; rentgenologiuri kvlevis Sedegebis interpretacia; sisxlis saerTo analizis Sedegebis wakiTxva da Sefaseba; kvlevis damatebiTi saSualebebis gamoyeneba

dReSi 1, an 2 pacientis diagnostika


tubsawinaaRmdego preparatebisadmi Stamis mgrZnobelobis gansazRvra

DRS da DST Sedegebis Sefaseba da gaanalizeba

dReSi 1, an 2 SemTxveva


rezistentuli tuberkulozis formebi bavSvebSi

DST Sedegebis mixedviT rezistentobis formis gansazRvra



bavSvTa filtvis formis tuberkulozis klasifikacia;


samkurnalo kategoriebi

SemTxvevis gansazRvra, kategoriis miniWeba



DOTS da DOTS+ strategiebis Sesabamisi standartuli mkurnaloba

samkurnalo reJimis SerCeva; DR-TB mkurnalobaSi CarTvis konsiliumze daswreba


tubsawinaaRmdego preparatebis mier gamowveuli gverdiTi movlenebi

gverdiTi movlenebis marTva



bavSvTa filtvis formis tuberkuloziT

bavSvTa filtvis formis tuberkuloziT



38

gamowveuli garTulebebi gamowveuli garTulebebis diagnostika da marTva

mkurnalobaze damyoloba da infeqciis kontroli

pacientTa fsiqologiuri daxmareba; sanitarul-higienuri normebis dacva





• SeZlebs naxvelis nacxis baqterioskopiuli da baqteriologiuri kvlevis Sedegebis wakiTxvas da Sefasebas; rentgenologiuri kvlevis Sedegebis interpretacias;

• sisxlis saerTo analizis Sedegebis wakiTxvas da Sefasebas; kvlevis damatebiTi saSualebebis gamoyenebas

• Seafasebs da gaanalizebs DRS da DST Sedegebs; • SeZlebs rezistentobis formis gansazRvras;

• SeZlebs TB SemTxvevis kategoriis gansazRvras;

• SearCevs DR-TB samkurnalo reJims;

• Sesabamis daxmarebas gauwevs pacients TB garTulebebis, an tubsawinaaRmdego preparatebiT gamowveuli gverdiTi movlenebis ganviTarebis SmeTxvevaSi;

• fsiqologiur daxmarebas gauwevs pacientebs;

• daicavs sanitarul-higienur normebs.


1. Treatment of tuberculosis: guidelines for national programmes. Geneva, World Health Organization, 2003 (WHO/CDS/TB/2003.313). 3rd ed. 2. Crofton J CP, Maher D. Guidelines for the management of drug-resistant tuberculosis. Geneva, World Health Organization, 1997: (WHO/TB/96.210 (Rev.1)). 3. WHO. Guidelines on Standard Operating Procedures for MICROBIOLOGY, Chapter 17- Tuberculosis; 2006. 4. WHO. http://www.who.int/tb/dots/dotsplus/drugresist_tb_software/en/. 5. Espinal MA, Kim SJ, Suarez PG, Kam KM, Khomenko AG, Migliori GB, et al. Standard shortcourse chemotherapy for drug-resistant tuberculosis - Treatment outcomes in 6 countries. Jama-Journal of the American Medical Association. 2000 May;283(19):2537-45. 6. Anti-tuberculosis drug resistance in the world. Third Global Report. The WHO/IUATLD Global Project on Anti-tuberculosis Drug Resistance Surveillance 1999-2002. World Health Organization. Geneva 2004. (WHO/HTM/TB/2004.343). 7. Pablos-Mendez A, Raviglione MC, Laszlo A, Binkin N, Rieder HL, Bustreo F, et al. Global Surveillance for Antituberculosis-Drug Resistance, 1994-1997. N Engl J Med. 1998 June 4, 1998;338(23):1641-9. 8. Faustini A, Hall AJ, Perucci CA. Risk factors for multidrug resistant tuberculosis in Europe: a systematic review. Thorax. 2006 February 1, 2006;61(2):158-63. 9. Espinal MA LK, Camacho M, Fusheng Z, Kim SJ, Tlali RE, et al. Determinants of drug-resistant tuberculosis: analysis of 11 countries. Int J Tuberc Lung Dis. 2001;5 (10):887-93. 10. The Global Plan to Stop TB, 2006–2015. Geneva, World Health Organization, 2006 (WHO/HTM/STB/2006.35). 11. WHO. Guidelines for surveillance of drug resistance in tuberculosis, WHO and the International Union Against Tuberculosis and Lung Disease. WHO/CDS/CSR/RMD/20033. 2003. 12. Anti-Tuberculosis Drug Resistance in The World, Report No 4, The WHO/IUATLD Global Project

39

on Anti-tuberculosis Drug Resistance Surveillance, WHO 2008 13. WHO Report 2008, Global Tuberculosis Control: Surveillance, Planning, Financing. WHO/HTM/TB/2008.393. (www.who.int/tb/publications/global_report). 14. Georgia, Epidemiological country profile on HIV and AIDS, UNAIDS/WHO, 2008

muxli 2. muxli 2. muxli 2. muxli 2. modulimodulimodulimoduli 3333.2. filtvgareTa tuberkulozi bavSvebSi.2. filtvgareTa tuberkulozi bavSvebSi.2. filtvgareTa tuberkulozi bavSvebSi.2. filtvgareTa tuberkulozi bavSvebSi

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 1 Tve1 Tve1 Tve1 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – bavSvebSi filtvgareSe tuberkulozis diagnostikis da

mkurnalobisaTvis aucilebeli Teoriuli masalis aTviseba; stacionalur reJimSi bavSvebSi filtvgareSe tuberkulozis marTvisa da kontrolisaTvis saWiro RonisZiebebis praqtikuli ganxorcieleba.

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: stacionalur reJimSi bavSvebSi filtvgareSe tuberkulozis diagnostika; bavSvebSi filtvgareSe tuberkulozis klasifikacia; standartuli definiciebis gaTvaliswinebiT SemTxvevis gansazRvra, kategoriis miniWeba; tubsawinaaRmdego preparatebisadmi Stamis mgrZnobelobis mixedviT samkurnalo reJimis SerCeva; tubsawinaaRmdego preparatebis mier gamowveuli gverdiTi movlenebis marTva; bavSvebSi filtvgareSe tuberkuloziT gamowveuli garTulebebis diagnostika da marTva. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba




davaleba

bavSvebSi filtvgareSe tuberkulozis diagnostika

Sesabamisi paTologiuri masalis baqterioskopiuli da baqteriologiuri kvlevis Sedegebis wakiTxva da Sefaseba; rentgenologiuri kvlevis Sedegebis interpretacia; sisxlis saerTo analizis Sedegebis wakiTxva da Sefaseba; kvlevis damatebiTi saSualebebis gamoyeneba


DOTS da DOTS+ strategiebis Sesabamisi standartuli mkurnaloba

samkurnalo reJimis SerCeva; DR-TB mkurnalobaSi CarTvis konsiliumze daswreba


tubsawinaaRmdego preparatebis mier gamowveuli gverdiTi movlenebi

gverdiTi movlenebis marTva


bavSvebSi filtvgareSe tuberkuloziT gamowveuli garTulebebi

bavSvebSi filtvgareSe tuberkuloziT gamowveuli garTulebebis diagnostika da marTva


40

5. modulis Sefmodulis Sefmodulis Sefmodulis Sefasebis meTodebi asebis meTodebi asebis meTodebi asebis meTodebi (kriteriumebi, perioduloba) _



• SeZlebs paTologiuri masalis baqterioskopiuli da baqteriologiuri kvlevis Sedegebis wakiTxvas da Sefasebas; rentgenologiuri kvlevis Sedegebis interpretacias;

• sisxlis saerTo analizis Sedegebis wakiTxvas da Sefasebas; kvlevis damatebiTi saSualebebis gamoyenebas

• Sesabamis daxmarebas gauwevs pacients TB garTulebebis, an tubsawinaaRmdego preparatebiT gamowveuli gverdiTi movlenebis ganviTarebis SmeTxvevaSi;


1. Treatment of tuberculosis: guidelines for national programmes. Geneva, World Health Organization, 2003 (WHO/CDS/TB/2003.313). 3rd ed. 2. Crofton J CP, Maher D. Guidelines for the management of drug-resistant tuberculosis. Geneva, World Health Organization, 1997: (WHO/TB/96.210 (Rev.1)). 3. WHO. Guidelines on Standard Operating Procedures for MICROBIOLOGY, Chapter 17- Tuberculosis; 2006. 4. WHO. http://www.who.int/tb/dots/dotsplus/drugresist_tb_software/en/. 5. Espinal MA, Kim SJ, Suarez PG, Kam KM, Khomenko AG, Migliori GB, et al. Standard shortcourse chemotherapy for drug-resistant tuberculosis - Treatment outcomes in 6 countries. Jama-Journal of the American Medical Association. 2000 May;283(19):2537-45. 6. Anti-tuberculosis drug resistance in the world. Third Global Report. The WHO/IUATLD Global Project on Anti-tuberculosis Drug Resistance Surveillance 1999-2002. World Health Organization. Geneva 2004. (WHO/HTM/TB/2004.343). 7. Pablos-Mendez A, Raviglione MC, Laszlo A, Binkin N, Rieder HL, Bustreo F, et al. Global Surveillance for Antituberculosis-Drug Resistance, 1994-1997. N Engl J Med. 1998 June 4, 1998;338(23):1641-9. 8. Espinal MA LK, Camacho M, Fusheng Z, Kim SJ, Tlali RE, et al. Determinants of drug-resistant tuberculosis: analysis of 11 countries. Int J Tuberc Lung Dis. 2001;5 (10):887-93. 9. The Global Plan to Stop TB, 2006–2015. Geneva, World Health Organization, 2006 (WHO/HTM/STB/2006.35). 10. WHO Report 2008, Global Tuberculosis Control: Surveillance, Planning, Financing. WHO/HTM/TB/2008.393. (www.who.int/tb/publications/global_report).

muxli 3. muxli 3. muxli 3. muxli 3. moduli moduli moduli moduli 3333.3. bavSvTa tuberkulozis qirurgiuli marTva.3. bavSvTa tuberkulozis qirurgiuli marTva.3. bavSvTa tuberkulozis qirurgiuli marTva.3. bavSvTa tuberkulozis qirurgiuli marTva

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 1 Tve1 Tve1 Tve1 Tve 2. modulis mizania2. modulis mizania2. modulis mizania2. modulis mizania – bavSvTa tuberkulozis qirurgiuli mkurnalobisaTvis aucilebeli Teoriuli masalis aTviseba; saWiro RonisZiebebis praqtikuli ganxorcieleba. 3. modulis amocanebia:3. modulis amocanebia:3. modulis amocanebia:3. modulis amocanebia: bavSvTa tuberkulozis qirurgiuli mkurnalobis aucileblobis dasabuTeba; mozardi TB pacientis momzadeba qirurgiuli mkurnalobisaTvis; regularuli da rezistentuli tuberkulozis qirurgiuli mkurnaloba; mozardi TB pacientis mkurnaloba qirurgiuli Carevis Semdeg; qirurgiuli manipulaciebis Catareba mozardebSi TB garTulebebis SemTxvevaSi; 4.4.4.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenobaSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenobaSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenobaSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba

mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 13131313----is saxiT:is saxiT:is saxiT:is saxiT:

41

cxrili # 13

Teoriuli kursi profesiuli unar-Cvevebi

Sesasrulebeli manipulaciis raodenoba

davaleba

bavSvTa regularuli da rezistentuli tuberkulozis qirurgiuli mkurnaloba

qirurgiuli mkurnalobis aucileblobis dasabuTeba; mozardi TB pacientis momzadeba qirurgiuli mkurnalobisaTvis; mozardi TB pacientis mkurnaloba qirurgiuli Carevis Semdeg;

kviraSi saSualod 3, an 4 SemTxveva


mozardebSi TB garTulebebis qirurgiuli marTva

qirurgiul manipulaciebze daswreba

dReSi saSualod 2 SemTxveva


5.5.5.5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _



• SeZlebs mozardebSi qirurgiuli mkurnalobis aucileblobis dasabuTebas; • SeZlebs qirurgiuli mkurnalobisaTvis mozardi TB pacientis momzadebas;

• SeZlebs qirurgiuli Carevis Semdeg mozardi TB pacientis mkurnalobas;

6.6.6.6. aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:

1. WHO. http://www.who.int/tb/dots/dotsplus/drugresist_tb_software/en/. 2. Anti-tuberculosis drug resistance in the world. Third Global Report. The WHO/IUATLD Global Project on Anti-tuberculosis Drug Resistance Surveillance 1999-2002. World Health Organization. Geneva 2004. (WHO/HTM/TB/2004.343). 3. The Global Plan to Stop TB, 2006–2015. Geneva, World Health Organization, 2006 (WHO/HTM/STB/2006.35). 4. WHO Report 2008, Global Tuberculosis Control: Surveillance, Planning, Financing. WHO/HTM/TB/2008.393. (www.who.int/tb/publications/global_report).

Tavi Tavi Tavi Tavi X. damatebiTi sakiTxebi X. damatebiTi sakiTxebi X. damatebiTi sakiTxebi X. damatebiTi sakiTxebi

mmmmuxli 1. sarezidento programis uxli 1. sarezidento programis uxli 1. sarezidento programis uxli 1. sarezidento programis “fTiziatria” “fTiziatria” “fTiziatria” “fTiziatria” –––– 33333333 TveTveTveTve saswavlo gegma mocemulia cxrili # saswavlo gegma mocemulia cxrili # saswavlo gegma mocemulia cxrili # saswavlo gegma mocemulia cxrili # 14141414 saxiT: saxiT: saxiT: saxiT:

cxrili # 14cxrili # 14cxrili # 14cxrili # 14

profesiuli mzadebis I weliprofesiuli mzadebis I weliprofesiuli mzadebis I weliprofesiuli mzadebis I weli moduli

## modulis dasaxeleba xangrlivoba

42

1.1 eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri safuZvlebi

2 kvira

1.2 fundamenturi medicinis Tanamedrove aspeqtebi 2 kvira 1.31.31.31.3 ganviTarebisa da qcevis pediatriaganviTarebisa da qcevis pediatriaganviTarebisa da qcevis pediatriaganviTarebisa da qcevis pediatria 2 Tve2 Tve2 Tve2 Tve 1.41.41.41.4 otolaringologiuri unarotolaringologiuri unarotolaringologiuri unarotolaringologiuri unar----Cvevebi pediatriaSiCvevebi pediatriaSiCvevebi pediatriaSiCvevebi pediatriaSi 2 kvira2 kvira2 kvira2 kvira 1.51.51.51.5 ofTalmologiuri ofTalmologiuri ofTalmologiuri ofTalmologiuri unarunarunarunar----Cvevebi pediatriaSiCvevebi pediatriaSiCvevebi pediatriaSiCvevebi pediatriaSi 2 kvira2 kvira2 kvira2 kvira 1.61.61.61.6 bavSvTa da mozardTa stomatologia bavSvTa da mozardTa stomatologia bavSvTa da mozardTa stomatologia bavSvTa da mozardTa stomatologia 2 kvira2 kvira2 kvira2 kvira 1.71.71.71.7 pediatriuli unarpediatriuli unarpediatriuli unarpediatriuli unar----Cvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSi 2 kvira2 kvira2 kvira2 kvira 1.81.81.81.8 ambulatoriuli da prevenciuli pediatriaambulatoriuli da prevenciuli pediatriaambulatoriuli da prevenciuli pediatriaambulatoriuli da prevenciuli pediatria 3 Tve3 Tve3 Tve3 Tve

1.91.91.91.9 mozardTa medicinamozardTa medicinamozardTa medicinamozardTa medicina 2 Tve2 Tve2 Tve2 Tve

1.10 jandacvis organizacia da epidemiologia 2 kvira 1.11 mtkicebiTi medicinisa da samedicino statistikis safuZvlebi 2 kvira

profesiuli mzadebis Iprofesiuli mzadebis Iprofesiuli mzadebis Iprofesiuli mzadebis IIIII weliwadiweliwadiweliwadiweliwadi moduli


2222.1..1..1..1. tuberkulozis marTva da kontrolituberkulozis marTva da kontrolituberkulozis marTva da kontrolituberkulozis marTva da kontroli 2 Tve 2 Tve 2 Tve 2 Tve 2222.2..2..2..2. tuberkulozis gamovlena da diagnostika tuberkulozis gamovlena da diagnostika tuberkulozis gamovlena da diagnostika tuberkulozis gamovlena da diagnostika 3 Tve3 Tve3 Tve3 Tve 2222.3..3..3..3. tuberkulozis difdiagnostika da ambulatoriuli marTvatuberkulozis difdiagnostika da ambulatoriuli marTvatuberkulozis difdiagnostika da ambulatoriuli marTvatuberkulozis difdiagnostika da ambulatoriuli marTva 6 6 6 6 TveTveTveTve

profesiuliprofesiuliprofesiuliprofesiuli mzadebismzadebismzadebismzadebis IIIIIIIIIIII weliwadiweliwadiweliwadiweliwadi moduli


3333.1..1..1..1. sasunTqi sistemis tuberkulozi bavSvebSi sasunTqi sistemis tuberkulozi bavSvebSi sasunTqi sistemis tuberkulozi bavSvebSi sasunTqi sistemis tuberkulozi bavSvebSi 9 Tve9 Tve9 Tve9 Tve 3333.2..2..2..2. filtvgareTa tuberkulozi bavSvebSifiltvgareTa tuberkulozi bavSvebSifiltvgareTa tuberkulozi bavSvebSifiltvgareTa tuberkulozi bavSvebSi 1 Tve1 Tve1 Tve1 Tve 3333.3..3..3..3. bavSvTa tuberkulozis qirurgiuli marTvabavSvTa tuberkulozis qirurgiuli marTvabavSvTa tuberkulozis qirurgiuli marTvabavSvTa tuberkulozis qirurgiuli marTva 1 Tve1 Tve1 Tve1 Tve

muxli muxli muxli muxli 2222. . . . aucilebaucilebaucilebaucilebeli da rekomendebuli literaturis nusxaeli da rekomendebuli literaturis nusxaeli da rekomendebuli literaturis nusxaeli da rekomendebuli literaturis nusxa

1. tuberkulozi, saxelmZRvanelo samedicino institutis studentebisTvis, nadia eiT-qeili, donald a. inarsonidonald a. inarsonidonald a. inarsonidonald a. inarsoni; World Health Organization 2003; WHO/CDS/TB/99.272, Targmani dakveTiT. 2. Treatment of tuberculosis: guidelines for national programmes. Geneva, World Health Organization, 2003 (WHO/CDS/TB/2003.313). 3rd ed. 3. WHO. Guidelines on Standard Operating Procedures for MICROBIOLOGY, Chapter 17- Tuberculosis; 2006. 4. WHO. http://www.who.int/tb/dots/dotsplus/drugresist_tb_software/en/. 5. Anti-tuberculosis drug resistance in the world. Third Global Report. The WHO/IUATLD Global Project on Anti-tuberculosis Drug Resistance Surveillance 1999-2002. World Health Organization. Geneva 2004. (WHO/HTM/TB/2004.343). 6. The Global Plan to Stop TB, 2006–2015. Geneva, World Health Organization, 2006 (WHO/HTM/STB/2006.35). 7. WHO. Guidelines for surveillance of drug resistance in tuberculosis, WHO and the International Union Against Tuberculosis and Lung Disease. WHO/CDS/CSR/RMD/20033. 2003. 8. Anti-Tuberculosis Drug Resistance in The World, Report No 4, The WHO/IUATLD Global Project on Anti-tuberculosis Drug Resistance Surveillance, WHO 2008 9. WHO Report 2008, Global Tuberculosis Control: Surveillance, Planning, Financing. WHO/HTM/TB/2008.393. (www.who.int/tb/publications/global_report). 10. tuberkulozis marTva da kontroli, saxelmZRvanelo pirveladi jandacvis muSakebisaTvis, Tbilisi, saqarTvelo, 2006

43

11. IMPLEMENTING THE STOP TB STRATEGY A handbook for national tuberculosis control programmes, 2008, WHO muxli 3. definiciebi:muxli 3. definiciebi:muxli 3. definiciebi:muxli 3. definiciebi:

HIV adamianis imunodeficitis virusi HIV/ADS-TB aiv/Sidsis da tuberkulozis koinfeqcia DOT mkurnaloba uSualo meTvalyureobis qveS DOTS uSualo meTvalyureobis qveS reguleruli tuberkulozis mkurnalobis mokle kursi DOTS-PLUS uSualo meTvalyureobis qveS rezistentuli tuberkulozis mkurnalobis mokle kursi TB tuberkulozi MDR-TB multirezistentuli tuberkulozi teptepteptep tuberkulozTan brZolis erovnuli programa WHO jandacvis msoflio organizacia

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