(xangrZlivoba – 33 Tve - 3 w.) Tavi I. zogadi ... · pulmonologi,pulmonologi,pulmonologi, anu filtvis daavadebaTa specialisti ar is eqimi, romelsac gaaCnia specialuri codna da Cvevebi

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rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa “rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa “rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa “rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa “----pulmonologiapulmonologiapulmonologiapulmonologia----““““

(xangrZlivoba – 33 Tve - 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

PPPP pulmonologia pulmonologia pulmonologia pulmonologia aris Sinagani medicinis dargi, romelic Seiswavlis respiratoruli sistemis daavadebebs.

pulmonologi,pulmonologi,pulmonologi,pulmonologi, anu filtvis daavadebaTa specialisti aris eqimi, romelsac gaaCnia specialuri codna da Cvevebi filtvis daavadebaTa da sindromTa diagnostikaSi, mkurnalobasa da marTvaSi.

specialisti pulmonologipulmonologipulmonologipulmonologi uzrunvelyofs respiratoruli daavadebebis (rogorc mwvave, ise qronikulis) sruli moculobis damoukidebel marTvas rogorc ambulatoriul, ise stacionalur etapze; epidemiologiur monitorings jandacvisa da daavadebaTa marTvis moTxovnaTa Sesabamisad. aseve SeiZleba iyos nebismieri kvleviTi proeqtis iniciatori da Semsrulebeli.

sasunTqi sistemis daavadebebs sixSiris mixedviT meeqvse adgili ukavia zogadi daavadebianobis struqturaSi. sasunTqi sistemis anTebiTi daavadebebi dRemde inarCunebebn wamyvan adgils droebiTi Sromisuunarobis mizezebs Soris. filtvebisa da bronqebis simsivnuri procesebi sikvdilianobis mixedviT II-III adgilzea sxva lokalizaciis simsivneebs Soris. TiTqmis yvela qveyanaSi jandacvis samsaxurebis erT-erT urTules problemas warmoadgens asTma da filtvis obstruqciuli daavadebebi, amasTanave filtvebis dazianebas adgili aqvs mTeli rigi daavadebebisa da sindromebis dros. TiToeuli nozologiis da sindromis swori marTva eqimisagan moiTxovs Tanamedrove codnis maRal dones da specifiuri unar-Cvevebis flobas, romelTa moculobisa da farglebis zusti gansazRvra aucilebelia specialistis efeqturi muSaobisaTvis.

saeqimo specialoba pulmonologiapulmonologiapulmonologiapulmonologia (specialisti pulmonologi) Sinagani medicinis aucilebeli damoukidebeli mimarTulebaa, romelsac horizontaluri kavSirebi aqvs upirveles yovlisa pirveladi jandacvis zogadi praqtikis eqimebTan, aseve intensiur TerapiasTan, kardiologiasTan, onkologiasTan, Torakalur qirurgiasTan, fTiziatriasTan, alergologiasTan da sxva. aucilebelia zustad gaimijnos kompetenciebi da samedicino momsaxurebis moculoba pulmonologebsa da momijnave specialobebs Soris.

sarezidento programa pulmonologiaSi 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.

sarezidento programis xangrZlivoba 2 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 pulmonologi 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; fTiziatrisa da momijnave specialistTa muSaobis areebis gamijvna; pulmonologiuri samsaxuris organizeba; jandacvis moTxovnaTa Sesabamisad aRricxvisa da angariSgebis warmoeba.

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pulmonologia – 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! eTikur 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:

� saqarTvelos kanosaqarTvelos kanosaqarTvelos kanosaqarTvelos kanoni “janmrTelobis dacvis Sesaxeb”ni “janmrTelobis dacvis Sesaxeb”ni “janmrTelobis dacvis Sesaxeb”ni “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 uflebebis SesasaqarTvelos kanoni “pacientis uflebebis SesasaqarTvelos kanoni “pacientis uflebebis SesasaqarTvelos kanoni “pacientis uflebebis Sesaxeb”xeb”xeb”xeb” http://www.parlament.ge � saqarTvelos kanoni “umaRlesi ganaTlebis SesaxsaqarTvelos kanoni “umaRlesi ganaTlebis SesaxsaqarTvelos kanoni “umaRlesi ganaTlebis SesaxsaqarTvelos kanoni “umaRlesi ganaTlebis Sesaxebebebeb http://www.parlament.ge � eqimisa eqimisa eqimisa eqimisa da pacientis urTierTobebis safuZda pacientis urTierTobebis safuZda pacientis urTierTobebis safuZda pacientis urTierTobebis safuZvlebivlebivlebivlebi � bioeTikis Tanamedrove prinbioeTikis Tanamedrove prinbioeTikis Tanamedrove prinbioeTikis Tanamedrove principebicipebicipebicipebi � 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).

Tavi II. ”Tavi II. ”Tavi II. ”Tavi II. ”pulmonologiapulmonologiapulmonologiapulmonologia” specialobis aRweriloba/sp” specialobis aRweriloba/sp” specialobis aRweriloba/sp” specialobis aRweriloba/specifikaciaecifikaciaecifikaciaecifikacia

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

pulmonologia pulmonologia pulmonologia pulmonologia aris Sinagani medicinis dargi, romelic Seiswavlis respiratoruli sistemis daavadebebs.

pulmonologi,pulmonologi,pulmonologi,pulmonologi, anu filtvis daavadebaTa specialisti aris eqimi, romelsac gaaCnia specialuri codna da Cvevebi filtvis daavadebaTa da sindromTa diagnostikaSi, mkurnalobasa da marTvaSi.

specialisti pulmonologi uzrunvelyofs respiratoruli daavadebebis (rogorc mwvave, ise qronikulis) sruli moculobis damoukidebel marTvas rogorc ambulatoriul, ise stacionalur etapze; epidemiologiur monitorings jandacvisa da daavadebaTa marTvis moTxovnaTa Sesabamisad. aseve SeiZleba iyos nebismieri kvleviTi proeqtis iniciatori da Semsrulebeli.

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

muxli 3. eqimmuxli 3. eqimmuxli 3. eqimmuxli 3. eqim----specialistis zogadi unarspecialistis zogadi unarspecialistis zogadi unarspecialistis zogadi unar----CvevebiCvevebiCvevebiCvevebi pulmonologpulmonologpulmonologpulmonologssss unda SeeZlosunda SeeZlosunda SeeZlosunda SeeZlos

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specialisti pulmonologi 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; pulmonologisa da momijnave specialistTa muSaobis areebis gamijvna; pulmonologiuri samsaxuris organizeba; jandacvis moTxovnaTa Sesabamisad aRricxvisa da angariSgebis warmoeba.

specialistis eTikuri kompetenciebi:specialistis eTikuri kompetenciebi:specialistis eTikuri kompetenciebi:specialistis eTikuri kompetenciebi: pulmonologia pulmonologia pulmonologia pulmonologia –––– warmoadgens samedicino profesiis integralur nawils, aqedan gamomdinare igi srulad da absoluturad iziarebs im eTikur principebsa da standartebs rasac saeqimo saqmianobis nebismieri sxva subieqti; anu pulmonologisaTvis raime damatebiTi an SezRuduli eTikuri principebi an movaleobebi ar aar aar aar arsebobs!rsebobs!rsebobs!rsebobs! eTikur movaleobaTa savaldebuloba gansazRvrulia saqarTvelos kanonSi “janmrTelobis dacvis Sesaxeb” da saqarTvelos kanonSi “saeqimo saqmianobis Sesaxeb”.

pulmonologma unda icodes: pulmonologma unda icodes: pulmonologma unda icodes: pulmonologma unda icodes:

• pulmonologiuri 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;

• pulmonologis specialobiT damoukidebeli saqmianobisaTvis aucilebeli sakiTxebi da unar-Cvevebi.

pulmonologis zogadi codnis farglebi:pulmonologis zogadi codnis farglebi:pulmonologis zogadi codnis farglebi:pulmonologis zogadi codnis farglebi: pulmonologis specialobiT damoukidebeli saqmianobisaTvis aucilebeli sakiTxebis codnis farglebi ganisazRvreba rogorc srulyofili codna; sakmarisi codna; marTva da monitoringi; gadaudebeli daxmareba srulyofili codnasrulyofili codnasrulyofili codnasrulyofili codna gulisxmobs: nozologiis (sindromis) etiologiis, paTogenezis, riskis faqtorebis da riskis jgufebis, morfologiis, klinikuri gamovlinebebis srulyofil codnas; nozologiis Sesabamisi aucilebeli, damatebiTi da specifiuri diagnostikuri meTodebis 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: daavadebaze sakmarisi informaciis flobas da saWiroebis SemTxvevaSi saTanado damatebiTi informaciis mopovebis unars; sxva daavadebaTa respiratorul sistemaSi gamovlenis SesaZlo variantebis codnas da saTanado momijnave specialistis SerCevas konsultaciisaTvis.

• marTva da monitoringimarTva da monitoringimarTva da monitoringimarTva da monitoringi gulisxmobs daavadebaze 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. pulmonologs unda SeeZlos:pulmonologs unda SeeZlos:pulmonologs unda SeeZlos:pulmonologs unda SeeZlos:

• pulmonologiuri nozologiebis marTva, sabaziso da klinikur codnaze dafuZnebuli gamocdilebis gamoyenebiT;

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

• aCvenos kritikuli azrovnebis unari gadawyvetilebebis miRebisas, gansakuTrebiT,

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rodesac avadmyofi imyofeba stresul mdgomareobaSi;

• warmarTos eTikuri, iuridiulad dasabuTebuli gansja, rac Seefereba maRali kvalifikaciis eqim pulmonologs;

• 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 pulmonologis kvalifikaciis mudmivi amaRlebisa da srulyofisaTvis;

• aCvenos samecniero kvlevebis, naSromebis adekvaturi 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 pulmonologiuri daxmareba maTi saWiroebidan gamomdinare.

muxli 4. muxli 4. muxli 4. muxli 4. specialoba pulmonologia moicavs qvemoCamoTvlili daavadebebis, paTologiuri specialoba pulmonologia moicavs qvemoCamoTvlili daavadebebis, paTologiuri specialoba pulmonologia moicavs qvemoCamoTvlili daavadebebis, paTologiuri specialoba pulmonologia moicavs qvemoCamoTvlili 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 filtvebis ganviTarebis mankebifiltvebis ganviTarebis mankebifiltvebis ganviTarebis mankebifiltvebis ganviTarebis mankebi:

martivi hipoplazia ^ ^ IV kistozuri hipoplazia ^ ^ IV traqeobronqomegalia ^ ^ viliams-kempbelis sindromi ^ ^ wilis Tandayolili emfizema ^ IV makleodis sindromi ^ ^ damatebiTi filtvi (wili) ^ IV

filtvis sekvestracia ^ IV bronqogenuri (solitaruli) kistebi ^ IV

gamartroma ^ IV “sarkisebri” filtvebi ^ ^ zivert-kartageneris triada ^ ^ IV traqealuri bronqi ^ ^ IV traqeis da bronqebis divertikulebi ^ IV traqeo(bronqo)saylapavis fistula ^ IV arteriovenozuri anevrizmebi (rendiu-osleris sindromi) ^ ^ IV

2. mwvave respiraciuli daavadebebi:mwvave respiraciuli daavadebebi:mwvave respiraciuli daavadebebi:mwvave respiraciuli daavadebebi:

gripi ^ ^ I

paragripozuli infeqcia ^ ^ I

adenovirusuli infeqcia ^ ^ I Respiraciul-sinticiuri infeqcia ^ ^ I

rinovirusuli infeqcia ^ ^ I koronavirusuli infeqcia ^ ^ I mikoplazmuri infeqcia ^ ^ I baqteriuli etiologiis mwvave respiraciuli infeqciebi ^ ^ I

3. mwvave bronqitimwvave bronqitimwvave bronqitimwvave bronqiti ^ ^

4. bronbronbronbronqiolitiqiolitiqiolitiqioliti ^ ^ II 5. pnevmoniebi:pnevmoniebi:pnevmoniebi:pnevmoniebi:

sazogadeobaSi SeZenili ^ ^

5

hospitaluri ^ ^ II imunodepresiuli ^ ^ I

6. filtviebis Cirqovani daavadebebifiltviebis Cirqovani daavadebebifiltviebis Cirqovani daavadebebifiltviebis Cirqovani daavadebebi abscesi (mwvave, qronikuli) ^ ^ IV gangrena ^ ^ IV

7. filtvis qronikuli obstruqciuli filtvis qronikuli obstruqciuli filtvis qronikuli obstruqciuli filtvis qronikuli obstruqciuli daavadebadaavadebadaavadebadaavadeba

qronikuli bronqiti ^ ^ II emfizema ^ ^

8. bronqoeqtaziabronqoeqtaziabronqoeqtaziabronqoeqtazia ^ ^ IV

9. bronquli asTmabronquli asTmabronquli asTmabronquli asTma ^ ^ VII

asTmuri statusi ^ ^ II 10. mukoviscidozimukoviscidozimukoviscidozimukoviscidozi ^ ^ 11. filtvebis eozinofiliebifiltvebis eozinofiliebifiltvebis eozinofiliebifiltvebis eozinofiliebi ^ ^

a)idiopaTiuri: ^ ^ 1. lefleris sindromi ^ ^ 2.Mmwvave eozinofiluri pnevmonia ^ ^ 3. qronikuli eozinofiluri pnevmonia ^ ^ 4. Cerj-strosis sindromi ^ ^ 5. hipereozinofiluri sindromi ^ ^ b) meoradi: ^ ^ 1. alergiuli bronqopulmonuri aspergilozi da sxva alergiuli pnevmokoniozebi

^ ^ VI

2. parazitaruli invaziebi ^ ^ V 3. filtvebis wamlismieri eozinofiliebi ^ ^ 4. sindromi eozinofilia-mialgia ^ ^

12. filtvebis intersticiuli daavadebebi:filtvebis intersticiuli daavadebebi:filtvebis intersticiuli daavadebebi:filtvebis intersticiuli daavadebebi: a)mafibrozirebeli alveolitebi: 1. idiopaTiuri mafibrozirebeli alveoliti ^ ^ 2. ekzogenuri alergiuli alveoliti ^ ^ 3. toqsiuri mafibrozirebeli alveoliti ^ ^ 4. mafibrozirebeli alveolitebi rogorc sxva daavadebebis sindromi (kolagenozebi, radiaciuli dazianeba da sx.)

^ ^ VIII

b)granulomatozebi: 1. sarkoidozi ^ ^ 2. filtvebis X histiocitozi ^ ^ 3. pnevmokoniozebi (silikozi, azbestozi da sx.) ^ ^ IX 4. pnevmomikozebi (aspergilozi, kandidozi da sx.) ^ ^ V

g)filtvebis vaskulitebi: 1. gudpasCeris sindromi ^ ^

2. filtvebis idiopaTiuri hemosiderozi ^ ^ 3. filtvebis vaskulitebi rogorc sxva daavadebebis sindromebi (vegeneris granulomatozi, Segrenis sindromi da sx.)

^ ^

d)dagrovebis daavadebebi: ^ ^

1. alveoluri proteinozi ^ ^ 2. alveoluri mikroliTiazi ^ ^ 3. filtvebis pirveladi amiloidozi ^ ^

13. filtvis arteriis Tromboemboliafiltvis arteriis Tromboemboliafiltvis arteriis Tromboemboliafiltvis arteriis Tromboembolia da filtvis infarqtida filtvis infarqtida filtvis infarqtida filtvis infarqti ^ ^ 14. ffffiiiiltvis tuberkuloziltvis tuberkuloziltvis tuberkuloziltvis tuberkulozi ^ ^ 15. ffffiiiiltvis simsivneebiltvis simsivneebiltvis simsivneebiltvis simsivneebi:

bronqogenuri kibo, ^ ^ III alveolo-ujredovani (adenomatozi) kibo, ^ ^ III

simsivnovani limfangiiti ^ ^ III karcinomatozi ^ ^ III

16. plevris mezoTelioma da metastazebi plevraSiplevris mezoTelioma da metastazebi plevraSiplevris mezoTelioma da metastazebi plevraSiplevris mezoTelioma da metastazebi plevraSi ^ ^ III

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plevritebi (mSrali da eqsudaciuri) da plevris araanTebadi plevritebi (mSrali da eqsudaciuri) da plevris araanTebadi plevritebi (mSrali da eqsudaciuri) da plevris araanTebadi plevritebi (mSrali da eqsudaciuri) da plevris araanTebadi gamonaJonebigamonaJonebigamonaJonebigamonaJonebi

^ ^ IV

17. pnevmoToraqsi:pnevmoToraqsi:pnevmoToraqsi:pnevmoToraqsi: 18. pirveladi ^ ^

meoradi ^ ^ 19. Suasayaris daavadebebi:Suasayaris daavadebebi:Suasayaris daavadebebi:Suasayaris daavadebebi:

mwvave mediastiniti ^ IV qronikuli mediastiniti ^ pnevmomediastinumi ^ ^ Suasayaris simsivneebi ^ ^ III

20. filtvis hipertenziafiltvis hipertenziafiltvis hipertenziafiltvis hipertenzia ^ ^ pirveladi ^ ^ meoradi ^ ^

21. respiraciuli sistemis daavadebaTa ZiriTadi simptomebi da sindromebirespiraciuli sistemis daavadebaTa ZiriTadi simptomebi da sindromebirespiraciuli sistemis daavadebaTa ZiriTadi simptomebi da sindromebirespiraciuli sistemis daavadebaTa ZiriTadi simptomebi da sindromebi:

xvela ^ ^ qoSini ^ ^

tkivili gulmkerdis areSi ^ ^ hemoptoe ^ ^

sicxianoba ^ ^ sunTqvis ukmarisoba: ^ ^

mwvave ^ ^ II qronikuli ^ ^ Ramis apnoe: ^ ^ obstruqciuli (pikvikis sindromi) ^ ^

centraluri (undinas sindromi) ^ ^ septiuri Soki ^ ^ II toqsiko-infeqciuri Soki ^ ^ II

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 IX – profpaTologi

SeniSvna #2: gamoyenebulia WHO ICD-10

muxli 5. im muxli 5. im muxli 5. im muxli 5. im laboratoriullaboratoriullaboratoriullaboratoriul----instruinstruinstruinstrumentuli gamokvlevebis CamonaTvali, romelTa Sedegebis mentuli gamokvlevebis CamonaTvali, romelTa Sedegebis mentuli gamokvlevebis CamonaTvali, romelTa Sedegebis mentuli gamokvlevebis CamonaTvali, romelTa Sedegebis interpretacia da klinikuri Sefaseba unda SeeZ;os eqim interpretacia da klinikuri Sefaseba unda SeeZ;os eqim interpretacia da klinikuri Sefaseba unda SeeZ;os eqim interpretacia da klinikuri Sefaseba unda SeeZ;os eqim –––– specialists;specialists;specialists;specialists;

pulmonologs unda SeeZlos Semdegi laboratoriulpulmonologs unda SeeZlos Semdegi laboratoriulpulmonologs unda SeeZlos Semdegi laboratoriulpulmonologs unda SeeZlos Semdegi laboratoriul----instrumentuli gamokvlevis Sedegebis instrumentuli gamokvlevis Sedegebis instrumentuli gamokvlevis Sedegebis instrumentuli gamokvlevis Sedegebis interpretacia da klinikuri Sefaseba:interpretacia da klinikuri Sefaseba:interpretacia da klinikuri Sefaseba:interpretacia da klinikuri Sefaseba:

1. sisxlis saerTo analizi

2. sisxlis bioqimiuri analizi:

7

3. cilis da cilis fraqciebis gansazRvra

glikoproteidebi

ldg da misi izofermentebi sisxlis Sratis imunologiuri gamokvleva

4. koagulograma

5. antibiotikebis mimarT mgrZnobelobis gansazRvra 6. nanananaxvelis gamokvlevaxvelis gamokvlevaxvelis gamokvlevaxvelis gamokvleva: 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.

gareganigareganigareganigaregani suTqvis funqciis gamokvlevasuTqvis funqciis gamokvlevasuTqvis funqciis gamokvlevasuTqvis funqciis gamokvleva

mTeli sxeulis pletizmografia filtvebis saerTo tevadobis struqturis gansazRvra – gazanali-tiuri 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; Torakoskopia da plevroskpopia

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 (Cvevebi (Cvevebi (Cvevebi (diagnostikuri da diagnostikuri da diagnostikuri da diagnostikuri da samkurnalo manipulaciebi);samkurnalo manipulaciebi);samkurnalo manipulaciebi);samkurnalo manipulaciebi);

pulmonologi unda flobdes Semdeg diagnostikpulmonologi unda flobdes Semdeg diagnostikpulmonologi unda flobdes Semdeg diagnostikpulmonologi unda flobdes Semdeg diagnostikur da samkurnalo manipulaciebs:ur da samkurnalo manipulaciebs:ur da samkurnalo manipulaciebs:ur da samkurnalo manipulaciebs: 1. sasunTqi organoebis kvlevis fizikaluri meTodebi:

. inspeqcia

8

palpacia perkusia auskultacia

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

Tanafardobis gamokvleviT

4. pikfloumetria 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, pirveladiprofilaqtika, diagnostika, pirveladiprofilaqtika, diagnostika, pirveladiprofilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqimdaxmareba da mkurnaloba unda SeeZlos eqimdaxmareba da mkurnaloba unda SeeZlos eqimdaxmareba da mkurnaloba unda SeeZlos eqim----specialists.specialists.specialists.specialists.

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

1. asTmuri statusi 2. sunTqvis mwvave ukmarisoba

3. mozrdilTa mwvave respiraciuli distres-sindromi

4. sisxldena filtvebidan

5. pnevmoToraqsi

Tavi III. swavlebis/Sefasebis meTodebi. Tavi III. swavlebis/Sefasebis meTodebi. Tavi III. swavlebis/Sefasebis meTodebi. Tavi III. swavlebis/Sefasebis 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. Sesafasebeli kompetenciebi muxli 3. Sesafasebeli kompetenciebi muxli 3. Sesafasebeli kompetenciebi muxli 3. Sesafasebeli kompetenciebi

1.1.1.1. asrulebs asrulebs asrulebs asrulebs damoukidebladdamoukidebladdamoukidebladdamoukideblad

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

� 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.)

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

rezidenturis kursi samwliania. pirveli wlis ganmavlobaSi rezidenti eufleba eqimis da pacientis urTierTobebis eTikuri da samarTlebrivi, daavadebaTa epidemiologiis da mtkicebulebiTi medicinis safuZvlebis Seswavlas; Sinagani medicinis ZiriTadi subspecialobebis (zogadi Terapia, zogadi kardiologia da revmatiuli daavadebebi), diagnostikis, marTvisa da maTTan asocirebuli praqtikuli unar-Cvevebis aTvisebas; Semdegi Semdegi Semdegi Semdegi ori wlis ganmavlobaSi rezidenti eufleba rogorc pulmonologiis safuZvlebs, aseve eqimi-pulmonologis muSaobisaTvis aucilebel klinikur codnasa da praqtikul Cvevebs.

sarezidento programa swavlebis meore wliswliswliswlis pirveli sami Tvis ganmavlobaSi miznad isaxavs Seaswavlos pulmonologs sasunTqi sistemebis daavadebaTa diagnostika (swavlebis pirveli weli _ I moduli _ sasunTqi sistemebis daavadebaTa diagnostika _ 3 Tve); sasunTqi sistemis mwvave anTebiTi daavadebebis difdiagnostika aqtualuri problemaa da daTmobili aqvs pirveli saswavlo wlis II moduli, romelic 2 Tve gagrZeldeba. bronquli asTmis, filtvis eozinofiliebis da alergiul daavadebebis Seswavlas aseve 2 Tviani moduli daeTmoba ; qronikuli obstruqciuli daavadebebis da filtvebis intersticiul daavadebebs aseve 2-2 Tve daTmoba. swavlebis mesamemesamemesamemesame wlidanwlidanwlidanwlidan iwyeba sasunTqi organoebis iseTi paTologiebis Seswavla, rogorebicaa filtvebis tuberkulozi (2 Tve); filtvebis simsivneebi (2 Tve); filtvebis ganviTarebis mankebi (2 Tve); filtvis arteriis hipertenzia, filtvis arteriis Tromboembolia, filtvis infarqti (1 Tve); plevris da Suasayaris paTologiebi (2 Tve); miRebuli codnis Sejameba bolo modulSi moxdeba _ sasunTqi sistemis daavadebebis marTva, intensiuri Terapia da Sromis uunarobis statusis gansazRvra (2 Tve).

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

10

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 6muxli 6muxli 6muxli 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.

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

1. rezidentebis SerCevis procesSi monawileoba;

11

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 10muxli 10muxli 10muxli 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.Tavi VI.Tavi VI.Tavi VI. programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT) programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT) programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT) programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT)

muxli 1. mzadebis pirveli wlis modulebis raodenoba muxli 1. mzadebis pirveli wlis modulebis raodenoba muxli 1. mzadebis pirveli wlis modulebis raodenoba muxli 1. mzadebis pirveli wlis modulebis raodenoba Seadgens 6.6.6.6.

1.1.1.1.1.1.1.1. eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri safuZvlebi – 2 kvira;

1.2.1.2.1.2.1.2. fundamenturi medicinis Tanamedrove aspeqtebi – 2 kvira;

1.3. 1.3. 1.3. 1.3. zogadi Terapia/ambulatoriuli Terapia zogadi Terapia/ambulatoriuli Terapia zogadi Terapia/ambulatoriuli Terapia zogadi Terapia/ambulatoriuli Terapia –––– 4 Tve; 4 Tve; 4 Tve; 4 Tve;

1.3.1. zogadi Terapia – 2 Tve;

1.3.2. ambulatoriuli Terapia – 2 Tve;

1.4. Ter1.4. Ter1.4. Ter1.4. Terapiuli stacionari I apiuli stacionari I apiuli stacionari I apiuli stacionari I –––– 5 Tve; 5 Tve; 5 Tve; 5 Tve;

1.4.1. gul-sisxlZarRvTa sistemis daavadebebi – 3 Tve;

1.4.2. revmatiuli daavadebebi – 2 Tve;

1.5. 1.5. 1.5. 1.5. sazogadoebrivi jandacva da epidemiologia – 2 kvira;

1.6. 1.6. 1.6. 1.6. mtkicebiTi medicinisa da samedicino statistikis safuZvlebi – 2 kvira.

12

muxli 2. muxli 2. muxli 2. muxli 2. profesiuli mzadebis I wlis mizani: profesiuli mzadebis I wlis mizani: profesiuli mzadebis I wlis mizani: profesiuli mzadebis I wlis mizani: eqimis da pacientis urTierTobebis eTikuri da samarTlebrivi, daavadebaTa epidemiologiis da mtkicebulebiTi medicinis safuZvlebis Seswava; Sinagani medicinis ZiriTadi subspecialobebis (zogadi Terapia, zogadi kardiologia da revmatiuli daavadebebi), diagnostikis, marTvisa da maTTan asocirebuli praqtikuli unar-Cvevebis aTviseba;

muxlimuxlimuxlimuxli3333. mzadebis pirveli wlis modulebis raodenoba . mzadebis pirveli wlis modulebis raodenoba . mzadebis pirveli wlis modulebis raodenoba . mzadebis pirveli wlis modulebis raodenoba ---- 5555

profesiuli mzadebis Iprofesiuli mzadebis Iprofesiuli mzadebis Iprofesiuli mzadebis IIIII weliwadiweliwadiweliwadiweliwadi moduli

## modulis dasaxeleba xangrZlivoba

1.1.1.1.1.1.1.1. sasuTqi sistemis daavadebaTa diagnostikasasuTqi sistemis daavadebaTa diagnostikasasuTqi sistemis daavadebaTa diagnostikasasuTqi sistemis daavadebaTa diagnostika 3 Tve 3 Tve 3 Tve 3 Tve 1.2.1.2.1.2.1.2. sasuTqi sistemis mwvave anTebiTi daavadebebisasuTqi sistemis mwvave anTebiTi daavadebebisasuTqi sistemis mwvave anTebiTi daavadebebisasuTqi sistemis mwvave anTebiTi daavadebebi 2 Tve2 Tve2 Tve2 Tve

1.3.1.3.1.3.1.3. bronquli asTma; filtvis eozinofiliebi da alergiuli bronquli asTma; filtvis eozinofiliebi da alergiuli bronquli asTma; filtvis eozinofiliebi da alergiuli bronquli asTma; filtvis eozinofiliebi da alergiuli daavadebebi daavadebebi daavadebebi daavadebebi

2 Tve2 Tve2 Tve2 Tve

1.4.1.4.1.4.1.4. qronikuliqronikuliqronikuliqronikuli obstruqciuliobstruqciuliobstruqciuliobstruqciuli daavadebebidaavadebebidaavadebebidaavadebebi 2 2 2 2 TveTveTveTve

1.5.1.5.1.5.1.5. filtvebisfiltvebisfiltvebisfiltvebis intersticiuliintersticiuliintersticiuliintersticiuli daavadebebidaavadebebidaavadebebidaavadebebi 2 Tve2 Tve2 Tve2 Tve

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

profesiuli mzadebis II wlis mizania sasunTqi sistemis modulebiT gaTvaliswinebuli paTologiebis ganviTarebis xelSemwyobi faqtorebis, etiologiis, paTogenezis, klinikuri simptomatikis, diagnostikis da marTvis principebis Seswavla, Sesabamisi praqtikuli unar-Cvevebis gamomuSaveba.

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 ---- 6666

profesiuliprofesiuliprofesiuliprofesiuli mzadebismzadebismzadebismzadebis IIIIIIIIIIII weliwadiweliwadiweliwadiweliwadi moduli

## modulis dasaxeleba xangrZlivoba

2.1.2.1.2.1.2.1. filtvis tuberkulozifiltvis tuberkulozifiltvis tuberkulozifiltvis tuberkulozi 2 Tve2 Tve2 Tve2 Tve 2.2.2.2.2.2.2.2. filtvis simsivneebifiltvis simsivneebifiltvis simsivneebifiltvis simsivneebi 2 Tve2 Tve2 Tve2 Tve 2.3.2.3.2.3.2.3. filtvis filtvis filtvis filtvis ganviTarebisganviTarebisganviTarebisganviTarebis mankebimankebimankebimankebi 2 Tve2 Tve2 Tve2 Tve 2.4.2.4.2.4.2.4. filtvis arteriis hipertenzia, filtvis arteriis filtvis arteriis hipertenzia, filtvis arteriis filtvis arteriis hipertenzia, filtvis arteriis filtvis arteriis hipertenzia, filtvis arteriis

TromboemboliaTromboemboliaTromboemboliaTromboembolia, filtvis infarqtifiltvis infarqtifiltvis infarqtifiltvis infarqti 1 Tve1 Tve1 Tve1 Tve

2.5.2.5.2.5.2.5. plevris da Suasayaris daavadebebiplevris da Suasayaris daavadebebiplevris da Suasayaris daavadebebiplevris da Suasayaris daavadebebi 2 Tve2 Tve2 Tve2 Tve

2.6. 2.6. 2.6. 2.6. sasunsasunsasunsasunTqi sistemis daavadebebis marTva, intensiuri Terapia da Tqi sistemis daavadebebis marTva, intensiuri Terapia da Tqi sistemis daavadebebis marTva, intensiuri Terapia da Tqi sistemis daavadebebis marTva, intensiuri Terapia da Sromis uunarobis statusis gansazRvraSromis uunarobis statusis gansazRvraSromis uunarobis statusis gansazRvraSromis uunarobis statusis gansazRvra

2 Tve2 Tve2 Tve2 Tve

muxli 4. profesiuli mzadebis IImuxli 4. profesiuli mzadebis IImuxli 4. profesiuli mzadebis IImuxli 4. profesiuli mzadebis IIIIII wlis mizani: wlis mizani: wlis mizani: wlis mizani:

profesiuli mzadebis III wlis mizania sasunTqi sistemis modulebiT gaTvaliswinebuli paTologiebis ganviTarebis xelSemwyobi faqtorebis, etiologiis, paTogenezis, klinikuri simptomatikis, diagnostikis da marTvis principebis Seswavla, Sesabamisi praqtikuli unar-Cvevebis gamomuSaveba.

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

moduli 1.1. moduli 1.1. moduli 1.1. moduli 1.1. ------------ Ueqimisa da pacientis urTierTobis eTikuUeqimisa da pacientis urTierTobis eTikuUeqimisa da pacientis urTierTobis eTikuUeqimisa da pacientis urTierTobis eTikuri da samarTlebrivi ri da samarTlebrivi ri da samarTlebrivi ri da samarTlebrivi aspeqtebiaspeqtebiaspeqtebiaspeqtebi

1. modulis xangrZlivobaa:modulis xangrZlivobaa:modulis xangrZlivobaa:modulis xangrZlivobaa: 2 kv. (72 sT.)

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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,

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

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemuSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemuSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemuSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia lia lia lia cxrili # 1cxrili # 1cxrili # 1cxrili # 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 saqmianobiis samarTlebrivi regulirebis istoriuli magaliTebisaeqimo saqmianobiis samarTlebrivi regulirebis istoriuli magaliTebisaeqimo saqmianobiis samarTlebrivi regulirebis istoriuli magaliTebisaeqimo saqmianobiis samarTlebrivi 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 janmrTelobada janmrTelobada janmrTelobada janmrTeloba -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;

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

pacientis qmedunarianobapacientis qmedunarianobapacientis qmedunarianobapacientis qmedunarianoba -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 , masTan dakavSirebuli eTikuri aspeqtebi, masTan dakavSirebuli eTikuri aspeqtebi, masTan dakavSirebuli eTikuri aspeqtebi, masTan 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 ;

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-xelovnuri ganayofiereba, in-vitro - xelovnuri ganayofierebis eTikuri aspeqtebi,surogatuli dedoba, -adamianis reproduqciuli klonireba;. socialurad saSiSi infeqciebi socialurad saSiSi infeqciebi socialurad saSiSi infeqciebi socialurad 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 uflebebze saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis uflebebze saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis uflebebze saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis 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 literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa:

1. bioeTikis da adamianis uflebebis sayovbioeTikis da adamianis uflebebis sayovbioeTikis da adamianis uflebebis sayovbioeTikis da adamianis uflebebis sayovelTao deklaraciaelTao deklaraciaelTao deklaraciaelTao 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 adamianis uflebebis Sesaxeb biomedicinis sferoSi saqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis sferoSi saqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis sferoSi saqarTvelos kanonmdebloba adamianis 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-л «Экономика

здравоохранения»№ 1/ 42, 2000, с.5-8. 18. И.В.Силуянова Биомедицинская этика в системе медико-биологических знаний.//Медицинское право и 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

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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.

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 bioeTikosTa bioeTikosTa bioeTikosTa saerTaSoriso asociiaciidan miRebuli masalebisaerTaSoriso asociiaciidan miRebuli masalebisaerTaSoriso asociiaciidan miRebuli masalebisaerTaSoriso 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 gvmsoflios janmrTelobis organizaciis veb gvmsoflios janmrTelobis organizaciis veb gvmsoflios janmrTelobis organizaciis veb gverdze ganTavsebuli masalebierdze ganTavsebuli masalebierdze ganTavsebuli masalebierdze 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.

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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 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 manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia

cxrili # 2cxrili # 2cxrili # 2cxrili # 2----is saxiT:is saxiT:is saxiT:is saxiT: cxrilicxrilicxrilicxrili # 2# 2# 2# 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 emociamotivacia da emociamotivacia da emociamotivacia da emocia

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 mniSvnelovani kvlevis Sedegebis mimoxilva da analizi;mniSvnelovani kvlevis Sedegebis mimoxilva da analizi;mniSvnelovani kvlevis Sedegebis mimoxilva da analizi;mniSvnelovani kvlevis Sedegebis mimoxilva da analizi;

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organorganorganorganizmis sxvadasxva funqciurizmis sxvadasxva funqciurizmis sxvadasxva funqciurizmis 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-autokrinuli regulacia. citokinebi ujredSorisi urTierTobebis peptiduri regulatorebi. azotis oqsidi da misi moqmedebis molekuluri meqanizmebi.


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


specifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebi. stresstresstresstres----reaqcia. zogadi adaptaciuri sindromi. reaqcia. zogadi adaptaciuri sindromi. reaqcia. zogadi adaptaciuri sindromi. reaqcia. 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 autoimunuri daavadebebiautoimuniteti da autoimunuri daavadebebiautoimuniteti da autoimunuri daavadebebiautoimuniteti da autoimunuri 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

testireba

18

imunoprecipitacia. antisxeulTa izolacia. monoklonuri antisxeulebis produqcia. klinikuri farmakklinikuri farmakklinikuri farmakklinikuri farmakokinetikisa da klinikuri farmakodinamikis ZiriTadi principebi, okinetikisa da klinikuri farmakodinamikis ZiriTadi principebi, okinetikisa da klinikuri farmakodinamikis ZiriTadi principebi, okinetikisa 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 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 gamogadaudebel mdgomareobaTa klinikaSi gamogadaudebel mdgomareobaTa klinikaSi gamogadaudebel mdgomareobaTa klinikaSi gamoyenebul medikamentTa farmakokinetikuri da yenebul medikamentTa farmakokinetikuri da yenebul medikamentTa farmakokinetikuri da yenebul medikamentTa farmakokinetikuri da farmakodinamikuri daxasiaTebafarmakodinamikuri daxasiaTebafarmakodinamikuri daxasiaTebafarmakodinamikuri 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.


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

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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

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. zogadi Terapia/ambulatoriuli Terapiamuxli 3. moduli 1.3. zogadi Terapia/ambulatoriuli Terapiamuxli 3. moduli 1.3. zogadi Terapia/ambulatoriuli Terapiamuxli 3. moduli 1.3. zogadi Terapia/ambulatoriuli Terapia (xangrZlivoba____ 4 Tve)Tve)Tve)Tve)

moduli 1.3.1. zogadi Terapiazogadi Terapiazogadi Terapiazogadi Terapia

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 2 Tve2 Tve2 Tve2 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - diagnistikuri TvalsazrisiT rTuli sindromebis (anemia, febriluri

mdgomareoba, limfadenopaTia) monitoringi; 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: rezidentis profesiuli srulyofa Semdegi daavadebebisa da

mdgomareobebis amocnobaSi, diagnostkas, mkurnalobasa da profilaqtikaSi • Sinagani daavadebebis yvela ZiriTadi sindromis diagnostika;

• Serwymuli paTologiis monitoringi da mkurnaloba;

• rezidentis mzadeba da profesiuli srulyofa Sinagani organoebis mwvave da qronikuli daavadebebis (mdgomareobebis) amocnobasa da diagnostirebaSi anamnezis Sekrebis, pacientis fizikuri kvlevis meTodebis, laboratoriuli, instrumentuli da rentgenologiuri kvlevis monacemTa interpretaciaSi daxelovnebis gziT;

• Sinagani daavadebebis marTvis adekvaturi meTodebis SerCeva, arastabiluri pacientebis marTvis Taviseburebebi, daavadebis marTvis Semdgomi taqtikis SemuSaveba, pacientisa da misi ojaxis wevrebis informireba daavadebis profilaqtikisa da reabilitaciis meTodebis dasaxvaSi;

• infuziuri Terapiis (siTxeebi, antibiotikebi da sxva farmakologiuri da Terapiuli saSualebebis) Cvenebebisa da gamoyenebis safuZvlebis Seswavla;

• qronikuli daavadebis marTvis principebis codna daavadebis nebismier etapze stacionaruli mkurnalobidan ambulatoriuli monitorirebis CaTvliT;

• dietoTerapiis mniSvnelobisa da safuZvlebis gacnoba Sinagani qronikuli daavadebebis marTvis procesSi;

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• nozokomialuri (hospitaluri) infeqciebis da sxva iatrogenuli garTulebebis profilaqtikis safuZvlebis aTviseba;

Sesasrulebeli samuSaos moculoba da Casatarebeli manipulSesasrulebeli samuSaos moculoba da Casatarebeli manipulSesasrulebeli samuSaos moculoba da Casatarebeli manipulSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia aciebis raodenoba mocemulia aciebis raodenoba mocemulia aciebis raodenoba mocemulia cxrili 3cxrili 3cxrili 3cxrili 3----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 3 Teoriuli kursi profesiuli unar-Cvevebi

(raodenobis miTiTebiT) davaleba

1. diferenciuli diagnozi temperaturis momatebisa da cxelebis dros; 2. diferenciuli diagnozi plevruli gamonaJonis dros; 3. diferenciuli diagnozi respiratoruli ukmarisobis dros; 4. diferenciuli diagnozi SeSupebis dros; 5. diferenciuli diagnozi filtvSi infiltraciis dros; 6. diferenciuli diagnozi siyviTlis dros; 7. diferenciuli diagnozi ascitis dros; 8. diferenciuli diagnozi hepato-splenomegaliis dros; 9. diferenciuli diagnozi Sardis sindromis dros; 10. diferenciuli diagnozi anemiebis da limfadenopaTiis dros; 11. diferenciuli diagnostika hemoragiuli diaTezebis da sxvadasxva etiologiis sisxldenebis dros; 12. diferenciuli diagnostika SeSupebiTi sindromisa da ascitis dros; 13.diferenciuli diagnozi arteriuli hipertenziis dros; 14.diferenciuli diagnozi arteriuli hipotenziis dros; 15. diferenciuli diagnozi gul-mkerdSi tkivilis dros; 16. diferenciuli diagnozi muclis areSi tkivilis dros; 17. diferenciuli diagnozi saxsrovani sindromis dros; 18. diferenciuli diagnozi mJava-tutovani da wyal-marilovani darRvevebis dros; 19. diferenciuli diagnozi gamonayaris dros; 20. diferenciuli diangozi cnobierebis darRvevis dros;

anamnezis Sekreba da pacientis fizikuri kvlevis unar-Cvevebi;

klinikur-diagnostikuri kvlevis meTodebi da maTi Sedegebis interpretacia;

bioqimiuri kvlevis meTodebi da maTi Sedegebis interpretacia;

imunologiui kvlevis meTodebi da maTi Sedegebis interpretacia;

morfologiuri kvlevis meTodebi da maTi Sedegebis interpretacia;

plevris punqcia – 10; punqtatis citologiuri, bioqimiuri maCveneblebis intepretacia; garegani sunTqvis funqciis maCveneblebis interpretacia; eleqtrokardiogramis Sefaseba da interpretacia; eleqtrokardiografia – 50; filtvebis rentgenologiuri gamoklvevis interpretacia – 50; filtvebis komputeruli tomografiis interpretacia – 20; bronqoskopiis interpretacia.

referati an moxseneba – 1; avadmyofis damoukidebeli gasinjva da diagnozis dasma – 10; avadmyofobis istoriis damoukidebeli dawera – 4; morigeoba – TveSi 4;

moduli 1.3.2 ambulatoriuli Terapiaambulatoriuli Terapiaambulatoriuli Terapiaambulatoriuli Terapia

1. modulis xangrZlivoba_modulis xangrZlivoba_modulis xangrZlivoba_modulis xangrZlivoba_ 2 TveTveTveTve 2. modulis mizani: modulis mizani: modulis mizani: modulis mizani: diagnistikuri TvalsazrisiT rTuli sindromebis (anemia, febriluri

mdgomareoba, limfadenopaTia) monitoringi; 3. modulis amocanebi: modulis amocanebi: modulis amocanebi: modulis amocanebi: rezidentis profesiuli srulyofa Semdegi daavadebebisa da

mdgomareobebis amocnobaSi, diagnostkas, mkurnalobasa da profilaqtikaSi

• Sinagani daavadebebis yvela ZiriTadi sindromis diagnostika;

• Serwymuli paTologiis monitoringi da mkurnaloba;

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• rezidentis mzadeba da profesiuli srulyofa Sinagani organoebis mwvave da qronikuli daavadebebis (mdgomareobebis) amocnobasa da diagnostirebaSi anamnezis Sekrebis, pacientis fizikuri kvlevis meTodebis, laboratoriuli, instrumentuli da rentgenologiuri kvlevis monacemTa interpretaciaSi daxelovnebis gziT;

• Sinagani daavadebebis marTvis adekvaturi meTodebis SerCeva, daavadebis marTvis Semdgomi taqtikis SemuSaveba, pacientisa da misi ojaxis wevrebis informireba daavadebis profilaqtikisa da reabilitaciis meTodebis dasaxvaSi;

• farmakoTerapiis (antibiotikebi da sxva farmakologiuri da Terapiuli saSualebebis) Cvenebebisa da gamoyenebis safuZvlebis Seswavla;

• qronikuli daavadebis marTvis principebis codna daavadebis nebismier etapze, ambulatoriuli monitorireba;

• dietoTerapiis mniSvnelobisa da safuZvlebis gacnoba Sinagani qronikuli daavadebebis marTvis procesSi;

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



1. diferenciuli diagnozi temperaturis momatebisa da cxelebis dros; 2. diferenciuli diagnozi respiratoruli daavadebebis dros; 4. diferenciuli diagnozi SeSupebis dros; 5. diferenciuli diagnozi filtvSi infiltraciis dros; 6. diferenciuli diagnozi siyviTlis dros; 7. diferenciuli diagnozi hepato-splenomegaliis dros; 8.. diferenciuli diagnozi Sardis sindromis dros; 9.. diferenciuli diagnozi anemiebis da limfadenopaTiis dros; 10. diferenciuli diagnostika hemoragiuli diaTezebis da sxvadasxva etiologiis sisxldenebis dros; 11 diferenciuli diagnozi arteriuli hipertenziis dros; 12.diferenciuli diagnozi arteriuli hipotenziis dros; 13.. diferenciuli diagnozi muclis areSi tkivilis dros; 14.. diferenciuli diagnozi saxsrovani sindromis dros; darRvevebis dros; 15. diferenciuli diagnozi gamonayaris dros; 15. diferenciuli diangozi cnobierebis darRvevis dros;

anamnezis Sekreba da pacientis fizikuri kvlevis unar-Cvevebi;

klinikur-diagnostikuri kvlevis meTodebi da maTi Sedegebis interpretacia;

bioqimiuri kvlevis meTodebi da maTi Sedegebis interpretacia;

imunologiui kvlevis meTodebi da maTi Sedegebis interpretacia;

morfologiuri kvlevis meTodebi da maTi Sedegebis interpretacia;

garegani sunTqvis funqciis maCveneblebis interpretacia; eleqtrokardiogramis Sefaseba da interpretacia; eleqtrokardiografia – 50; filtvebis rentgenologiuri gamoklvevis interpretacia – 50; filtvebis kompiuteruli tomografiis interpretacia – 20;


muxli 4. moduli 1.4. muxli 4. moduli 1.4. muxli 4. moduli 1.4. muxli 4. moduli 1.4. Terapiuli stacionari ITerapiuli stacionari ITerapiuli stacionari ITerapiuli stacionari I

(xangrZlivoba____ 5 Tve) moduli 1.4.1. gulgulgulgul----sisxlZarRvTa daavadebebisisxlZarRvTa daavadebebisisxlZarRvTa daavadebebisisxlZarRvTa daavadebebi

1. modulis xangrZlivoba modulis xangrZlivoba modulis xangrZlivoba modulis xangrZlivoba ---- 3 Tve3 Tve3 Tve3 Tve 2. modulis mizani: modulis mizani: modulis mizani: modulis mizani: gul-sisxlZarRvTa sistemis daavadebebis dignostika da marTva. 3. mmmmodulis amocanebi:odulis amocanebi:odulis amocanebi:odulis amocanebi:

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•••• kardiologiuri profilis pacintis anamnezis Sekreba da fizikuri kvlevis meTodebis srulyofili codna;

•••• kardiologiuri profilis pacientis dokumentaciis warmoeba;

•••• gul-sisxlZarRvTa daavadebebis farmakologia; •••• koronaruli sisxlZarRvebis daavadebebi (gulis iSemiuri daavadeba. aucilebelia

SemuSavdes diferencialuri midgomis principebi kardialgiis dros, ekg, ariTmiis Sefaseba, medikamenturi, da invaziuri mkurnalobis racionaluri SerCeva (antiTrombuli agentebi, angioplastika, aorto-koronaruli Suntireba da mkurnalobis sxva meTodebi), saswrafo angiografiis da balonuri kontrapulsaciis Cvenebebi. gulis funqciuri da hemodinamikuri maCveneblebis Sefaseba (eqokardioskopia, holteruli gamokvlevebi), riskis stratifikacia. anamnezuri monacemebis Segroveba, fizikaluri gamokvleva: ekg, rentgenologiuri gamokvleva, biomarkerebis mniSvneloba, datvirTvis testebi da eqokardiografia.Ggul-sisxlZarRvTa sistemis riskis faqtorebis marTva, lipiduri profilis Sefaseba pacientis movla gulis daavadebis dros);

•••• arteriuli hipertrnzia (arteriuli hipertenziis diferencialuri diagnozi; hipertoniis marTva Tanamedrove rekomendaciebis mixedviT; (JNC-VII, ESC- ESH-2003) arteriuli hipertenziis garTulebebi); biventrikuluri resinqronizacia da implantirebadi kardioverterdefibrilatori dilataciuri kardiomiopaTiis dros; specifiuri kardiomiopaTiebi);

•••• aritmiebi (taqi da bradiaritmiebis, supraventrikuluri da ventrikuluri (farTe da viwro QRS-kompleqsiani) taqiaritmiebis diferencireba da mkurnaloba; eleqtruli kardiostimulacia, eleqtruli kardioversia da defibrilacia; eleqtrofiziologiuri gamokvlevis da transkaTeteruli ablaciis Cvenebebi;sinkope, mdgomareobis Sefaseba (holteriT, eqoskopiiT, eleqtrofiziologiuri kvleviT, maryuJovani implantatoriT da daxrili magidis testiT). Terapiuli da qirurgiuli mkurnalobis meTodebis gansazRvra; antiTrombuli Terapia winagulebis fibrilaciis dros)

•••• perikardiumis daavadebebi mdgomareobis Sefaseba da taqtikis SemuSaveba (mwvave perikarditi: eqsudaciuri, fibrinuli da restriqciuli. (fibrinuli perikarditis da miokardiumis mwvave infarqtis diferencialuri diagnozi; gulis tamponada, perikardiocentezis Cvenebebi; Terapiuli da qirurgiuli mkurnalobis taqtikis gansazRvra);

•••• filtvismieri guli da filtvismieri hipertenzia - mmmmdgomareobis Sefaseba da mkurnalobis taqtikis SemuSaveba da Terapiuli da qirurgiuli mkurnalobis taqtikis gansazRvra (dafiltvis arteriis emboliis, pirveladi da meoradi pulmonaruli hipertenziis Sefaseba);

•••• gulis sarqvlovani paTologia –––– ((((mdgomareobis Sefaseba, Terapiuli da intervenciuli mkurnalobis Cvenebebi aortuli stenozis, aortuli regurgitaciis, mitraluri stenozis da mitraluri regurgitaciis dros. qirurgiuli mkurnalobis meTodis SerCev);

•••• gulis ukmarisoba – (sistoluri da diastoluri, daqveiTebuli da SenarCunebuli gandevnis fraqciiT; gulis ukmarisobis dekompensacia, filtvebis mwvave SeSupeba, diagnostika, mkurnaloba).

Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia

cxrili 5cxrili 5cxrili 5cxrili 5----0is saxiT:0is saxiT:0is saxiT:0is saxiT: cxrili # 5

# Teoriuli kursi profesiuli unar-Cvevebi (raodenobis miTiTebiT)

davaleba

1. gulis iSemiuri daavadeba, stabiluri stenokardia, diagnostika, mkurnaloba;

eleqtrokardiografia – 50; eqokardiografiuli gamoklvevis interpretacia 20; holter-monitorirebis interpretacia – 20; gulis eleqtrofiziologiuri gamokvlevis interpretacia - 10; koronaruli angiografiis

referati an moxseneba – 1; avadmyofis damoukidebeli gasinjva da diagnozis dasma – 10; avadmyofobis istoriis

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interpretacia - 10; transezofaguri eqokardioskopiis interpretacia - 5; datvirTvis testebis interpretacia - 10;

damoukidebeli dawera – 4; morigeoba – TveSi 4;

2.2.2.2. mwvave koronaruli sindromi – miokardiumis mwvave infarqti, arastabiluri stenokardia; miokardiumis mwvave infarqtis mqone pacientebis marTva; Trombolizuri Terapiis da angioplastikis Cvenebebi miokardiumis mwvave infarqtis dros;

gul-sisxlZarRvTa daavadebebis rwunebulebebiT gamyarebuli da kvlevis ekonomiuri meTodebis dagegmva da gamoyeneba; mwvave hemodinamikuri darRvevbis adekvaturi Sefaseba da medikamentebis koreqtuli SerCeva; mwvave kardiovaskuluri mdgomareobebis adekvaturi marTa (hemodinamiuri arastabiluroba, mwvave iSemiuri sindromi, mwvave ariTmia, kardio-fulmonuri reanimacia); mwvave gadaudebeli kardiologiuri mdgomareobebis Sefasebisa da marTvis unar-Cvevebi (mwvave koronaruli sindromi – Trombolizisi, pirveladi angioplastika da konservatuli mkurnaloba), urgentuli arteriuli hipertenzia, gulis mwvave ukmarisoba; antikoagulaciuri Terapiis srulyofili codna – varfarini, heparini, antiTrombocituli Terapia; defibrilaciis da intra-aortuli balonizaciis Cvenebebis codna;

3. gulis sarqvlovani paTologiis mqone pacientebis marTva.

4. endokarditis diagnostika, marTva da garTulebebi;

5. kardiomiopaTiebi

6. qirurgiuli pacientebis preoperaciuli Sefaseba;

7. dislipidemiis mniSvneloba, diagnostika, mkurnaloba;

8. gulis ritmis darRveva, diagnostika, mkurnaloba;

9. gulis ukmarisoba, diagnostika, mkurnaloba;

10. arteriuli hipertenzia; moduli 1.4.2. revmatiuli daavadebebirevmatiuli daavadebebirevmatiuli daavadebebirevmatiuli daavadebebi

1. modulis xangrZlivobamodulis xangrZlivobamodulis xangrZlivobamodulis xangrZlivoba ---- 2 Tve2 Tve2 Tve2 Tve 2. modulis mizani:modulis mizani:modulis mizani:modulis mizani: SemaerTebeli qsovilis sistemuri daavadebebis diagnostika, mkurnaloba

da profilaqtika. rotaciis gavlis Semdeg rezidenti srulyofilad unda flobdes revmatiuli profilis daavadebebis Civilebis, simptomebis adekvaturi Sefasebis da pacientis fizikuri kvlevis unar-Cvevebs. mas unda SeeZlos revmatiul daavadebaTa laboratoriuli, instrumentuli da rentgenologiuri gamoklvevebis srulyofili

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interpretacia, aseve, revmatiuli daavadebebis marTva daavadebis nebismier etapze. rotaciis periodSi rezidents unda miewodos informacia aRniSnuli daavadebebis marTvis Tanamedrove rekomendaciebisa da gaidlainebis saxiT.

3. modulis amocanebi:modulis amocanebi:modulis amocanebi:modulis amocanebi:

• moxdes arTritebis paTofiziologiuri meqanizmis Sefaseba da marTva;

• Sefasdes seronegatiuri spondiloarTriti;

• moxdes SemaerTebelqsovilovani daavadebebis diagnostika da mkurnalobis taqtikis SerCeva;

• moxdes vaskuletebis diagnostika da mkurnalobis taqtikis SerCeva;

• moxdes arasaxsrovani daavadebebis diagnostika da mkurnalobis taqtikis SerCeva;

• revmatiuli daavadebebis CamonaTvali: Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili 6cxrili 6cxrili 6cxrili 6----ia saxiT:ia saxiT:ia saxiT:ia saxiT:



1. SemaerTebeli qsovilis sistemuri daavadebebi (sistemuri wiTeli mglura, sistemuri sklerodermia, dermatomioziti, Segrenis daavadeba, SemaerTebeli qsovilis Sereuli daavadebebi, revmatuli polimialgia, morecidive poliqondriti titces sindromis CaTvliT); 2.sistemuri vaskulitebi (kvanZovani periarteriiti, granulomuri arteriitebi – vegeneris granulomatozi, giganturujredovani temporaluri arteriiti; araspecifikuri aortoarteriiti, hipererguli angiiti, hemoragiuli vaskuliti, gudpasCeris sindromi, Sereuli krioglogulinemia, maoblitirebeli Trombagniiti, bexCetis sindromi, kavasakis sindromi. 3.revmatoiduli arTriti (serodadebiTi da seronegatiuri poliarTriti, revmatoiduli arTriti sistemuri gamovlinebebiT, feltis sindromi); 4.iuveniluri arTriti (iuveniluri revmatoiduli arTriti – stilis sindromi, iuveniluri qronikuli arTriti); 5.maankilozirebadi spondiloarTriti – bexterevis daavadeba; 5.spondiloarTritTan Serwymuli arTritebi (fsoriazuli arTriti, reiteris daavadeba, nawlavebis qronikul araspecifikur daavadebebTan asocirebuli arTritebi); 7.infeqciur daavadebebTan asocirebuli arTritebi; 8.mikrokristaluri arTritebi (podagra, psevdopodagra, qondrokalcinozi); 9.osteorarTrozebi; 10.saxsargareSe rbili qsovilebis daavadebebi.

1. revmatiul daavadebaTa diangostika:

• anamnezis Segroveba

• pacientis obieqturi gamokvleva

• sisxlis da Sardis bioqimiuri da klinikur-laboratoriuli kvlevis principebi, daniSnuleba da interpretacia

• serologiuri kvlevis principebi, gansakuTrebiT sistemuri daavadebebis dros. specifikuri antisxeulebis interpretacia da marTva mkurnalobis procesSi;

• sayrden-mamoZravebeli sistemis rentgenologiuri gamokvlevis interpretacia;

• saxsarSida manipulaciebi: medikamentebis saxsarSida Seyvana – 20;

• saxsris diangostikuri punqcia – 20;

• saxsrebis sonografiuli monacemebis interpretacia;

• osteodensitometriuli kvlevis interpretacia.


aucilebeli da rekomendirebuli literaturis nusxaaucilebeli da rekomendirebuli literaturis nusxaaucilebeli da rekomendirebuli literaturis nusxaaucilebeli da rekomendirebuli literaturis nusxa

1. d.tvildiani, b.kandelaki - "Sinagan daavadebaTa sindromuli diferenciuli diagnostika da gadaudebeli Terapia", 2000 w.

2. n.tatiSvili. g. simonia - "Sinagani sneulebani", 1998 3. Merck Manual (rusul an inglisur enebze) 4. Harrison-is mravaltomeuli Sinagan medicinaSi

25

5. r.heglini – Sinagan daavadebaTa diferenciuli diagnostika damxmare literatura: monografiebi da Sesabamisi saitebi internetdamxmare literatura: monografiebi da Sesabamisi saitebi internetdamxmare literatura: monografiebi da Sesabamisi saitebi internetdamxmare literatura: monografiebi da Sesabamisi saitebi internet----SiSiSiSi muxli 5. moduli 1.5. muxli 5. moduli 1.5. muxli 5. moduli 1.5. muxli 5. moduli 1.5. mtkicebiTi medicinis da samedicino statistmtkicebiTi medicinis da samedicino statistmtkicebiTi medicinis da samedicino statistmtkicebiTi medicinis da samedicino statistikis safuZvlebi. ikis safuZvlebi. ikis safuZvlebi. ikis safuZvlebi.

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 mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 7cxrili # 7cxrili # 7cxrili # 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, da praqtikaSi gamoyenebiToba, koxranis kolaboraciis sistemuri mimoxilvis jgufebi


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

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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. mmmmodulis Sefasebis meTodebi odulis Sefasebis meTodebi odulis Sefasebis meTodebi odulis Sefasebis 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. 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.

27


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.

muxli 6. moduli 1.6. muxli 6. moduli 1.6. muxli 6. moduli 1.6. muxli 6. moduli 1.6. sazogadoebsazogadoebsazogadoebsazogadoebrivi jandacva da epidemiologia.rivi jandacva da epidemiologia.rivi jandacva da epidemiologia.rivi 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 mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia

cxricxricxricxrili # 8li # 8li # 8li # 8----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 8

28

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)


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 reforma saqarTveloSi)


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 Semodulis Semodulis Semodulis Sefasebis meTodebi fasebis meTodebi fasebis meTodebi fasebis 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 .

6. aucilebeaucilebeaucilebeaucilebeli da rekomendebuli literaturis nusxa: li da rekomendebuli literaturis nusxa: li da rekomendebuli literaturis nusxa: li da rekomendebuli literaturis nusxa:

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

29

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 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

Tavi Tavi Tavi Tavi VIII. profesiuli mzadebis IVIII. profesiuli mzadebis IVIII. profesiuli mzadebis IVIII. profesiuli mzadebis IIIII wlis modulebiwlis modulebiwlis modulebiwlis modulebi

muxli 1. muxli 1. muxli 1. muxli 1. moduli moduli moduli moduli 2222....1. 1. 1. 1. sasuTqi sistemis daavadebaTa diagnostikasasuTqi sistemis daavadebaTa diagnostikasasuTqi sistemis daavadebaTa diagnostikasasuTqi sistemis daavadebaTa diagnostika 1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa – 3 Tve3 Tve3 Tve3 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – sasunTqi sistemis paTologiebis diagnostikis Tanamedrove meTodebi, TiToeuli maTganis gamoyenebis Cvenebebi da diagnostikuri Rirebuleba amaTuim patologiasTan mimarTebaSi 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: modulis gavlis Semdeg rezidents unda SeeZlos sadiagnozo daavadebis Sesabamisi kvlevis meTodebis dagegmva da gamokvlevis gegmis Sedgena: aucilebeli diagnostikuri minimumi, damatebiTi gamokvlevebi, kvlevis specifiuri meTodebi. miRebuli Sedegebis Sefaseba da maTi analizis safuZvelze diagnosis dagena, gaidlainis gamoyeneba. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis rSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis rSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis rSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba aodenoba aodenoba aodenoba mocemulia cxrili mocemulia cxrili mocemulia cxrili mocemulia cxrili # # # # 9999----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 9

Teoriuli kursi profesiuli unar-Cvevebi davaleba

30

sisxlis saerTo da bioqimiuri analizi; cilis da cilis fraqciebis gansazRvra; ldg da misi izofermentebi; sisxlis Sratis imunologiuri gamokvleva; koagulograma; antibiotikebis mimarT mgrZnobelobis gansazRvra

gamokvlevis meTodis daniSvnis Cvenebis Sefaseba konkretul daavadebasTan mimarTebaSi da kvlevis Sedegebis interpretacia; flobs teqnikas; awarmoebs damoukideblad

prezentaciis gaanalizeba

naxvelis gamokvleva: kvlevis Sedegebis interpretacia;


kanis provakaciuli sinjebi

kvlevis Sedegebis interpretacia; flobs teqnikas; awarmoebs damoukideblad


mJava-tutovani mdgomareobis gamokvleva

kvlevis Sedegebis interpretacia;


garegani 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

gamokvlevis meTodis daniSvnis Cvenebis Sefaseba konkretul daavadebasTan mimarTebaSi da kvlevis Sedegebis interpretacia; flobs teqnikas; awarmoebs damoukideblad


plevris gamonaJonis gamokvleva:



respiraciuli sistemis rentgenologiuri gamokvlevis meTodebi:



bronqoskopia: kvlevis Sedegebis interpretacia;


Torakostomia kvlevis Sedegebis interpretacia;


Torakotomia kvlevis Sedegebis interpretacia;


radionukliduri gamokvleva



perfuziuli pulmonoscintigrafia



31

Ppnevmoscintigrafia kvlevis Sedegebis interpretacia;


inhalaciuri bronqoscintigrafia



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

modulis gavlis Semdeg rezidenti:

• unda afasebdes gamokvlevis meTodis daniSvnis Cvenebas konkretul daavadebasTan mimarTebaSi;

• axdendes kvlevis Sedegebis interpretacias;

• flobdes laboratoriul-instrumentuli kvlevis teqnikas;

• laboratoriul-instrumentuli kvlevebs awarmoebdes damoukideblad.

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

1. Meza R, Bridges-Webb C, Sayer G, et al. The management of acute bronchitis in general practice: results from the Australian morbidity and treatment survey. Australian Family Physician, 1994; 23: 1550-1553. 2. Samuel Ong, MD, Visiting Assistant Professor, Department of Emergency Medicine, University of California at Los Angeles Medical Center-Olive View Bronchitis Last Updated: December 29, 2004, WEBMD, eMedicine 3. Guideline for The Management of Acute Bronchitis - developed by an Alberta Clinical Practice Guideline Working Group, 2006 Update. 4. Family Practice Notebook, 2000 5. Charles Callahan, DO, Professor, Deputy Chief of Clinical Services, Walter Reed Army Medical Center Bronchitis, Acute and Chronic Last Updated: January 30, 2006, WEBMD, eMedicine 6. DiFranza JR, Lew RA. Morbidity and mortality in children associated with use of tobacco products by other people. Pediatrics 1996; 97 (4); 560-568 7. Hamm R, Hicks R, Bemben D. Antibiotics and respiratory infections: are patients more satisfied when expectations are met? J. Family Practice, 1996; 43: 56-62. 8. O’Brien K, Dowell S, Schwartz B, et al. Cough illness/bronchitis – principles of judicious use of antimicrobial agents.Paediatrics,1998;101: 178-81. 9. Gonzales R, Barrett P, Steiner J. The relationship between purulent manifestations and antibiotic treatment of upper respiratory tract infections. J. General Internal Medicine, 1999; 14:151-6. 10. Gwaltney J. Acute bronchitis. In: Mandell G, Bennett J, and Dolin R (eds.). Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 5th edition, Churchill and Livingstone, Edinburgh, 2000.

muxli 2. muxli 2. muxli 2. muxli 2. moduli moduli moduli moduli 2222....2. 2. 2. 2. sasuTqi sistemis mwvave anTebiTi daavadebebisasuTqi sistemis mwvave anTebiTi daavadebebisasuTqi sistemis mwvave anTebiTi daavadebebisasuTqi sistemis mwvave anTebiTi daavadebebi 1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 2 Tve2 Tve2 Tve2 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – sasunTqi sistemis mwvae anTebiTi daavadebebis etiologiis, paTogenezis da klinikuri gamovlinebebis Seswavla; am daavadebebis diagnostikisa da difdiagnostikis principebis daufleba; mkurnalobis meTodebis aTviseba 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: modulis gavlis Semdeg rezidentma unda icodes modulSi Semavali nozologiebis simptomebis sworad amocnoba da analizi; diagnostikuri algoriTmis Sedgena, saTanado gamokvlevebis daniSvna da miRebuli Sedegebis analizis safuZvelze diagnosis verificireba,

32

mkurnalobis gegmis Sedgena, mkurnalobis Catareba da Sedegebis monitoringi, garTulebebis marTva. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis rSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis rSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis rSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba aodenoba aodenoba aodenoba mocemulia mocemulia mocemulia mocemulia cxrili # 10cxrili # 10cxrili # 10cxrili # 10----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 10cxrili # 10cxrili # 10cxrili # 10

Teoriuli kursi

profesiuli unar-Cvevebi

Sesasrulebeli manipulaciis raodenoba

davaleba

mwvave mwvave mwvave mwvave respiraciuli respiraciuli respiraciuli respiraciuli daavadebebi:daavadebebi:daavadebebi:daavadebebi: gripi paragripozuli infeqcia adenovirusuli infeqcia Respiraciul-sinticiuri infeqcia rinovirusuli infeqcia koronavirusuli infeqcia mikoplazmuri infeqcia baqteriuli etiologiis mwvave respiraciuli infeqciebi

anamnezis Sekreba, fizikaluri gamokvleva, klinikuri simptomebis analizi da Sefaseba;

gamokvlevis gegmis Sedgena, aucilebeli diagnostikuri minimumi, damatebiTi specialuri kvlevis Sedegebis Sefaseba da monacemebis interpretacia;

10-15 pacienti klinikuri SemTxvevis garCeva

mwvave bronqitimwvave bronqitimwvave bronqitimwvave bronqiti klinikuri diagnozis formulireba;


bronqiolitibronqiolitibronqiolitibronqioliti mkurnalobis gegmis Sedgena pacientis individualuri monacemebis gatvaliswinebiT mkurnalobis Catareba da misi efeqturobis monitoringi;

5 pacienti klinikuri SemTxvevis garCeva

pnevmoniebi:pnevmoniebi:pnevmoniebi:pnevmoniebi: sazogadeobaSi SeZenili hospitaluri imunodepresiuli

samedicino dokumentaciis warmoeba, gaidlainebis gamoyeneba, nozologiebis marTva


filtviebis filtviebis filtviebis filtviebis Cirqovani Cirqovani Cirqovani Cirqovani daavadebebidaavadebebidaavadebebidaavadebebi abscesi (mwvave, qronikuli) gangrena

miRebuli monacemebis interpretacia

saSualod 10 pacienti

klinikuri SemTxvevis garCeva

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

33

modulis dasrulebis Semdeg rezidentma unda SeZlosmodulis dasrulebis Semdeg rezidentma unda SeZlosmodulis dasrulebis Semdeg rezidentma unda SeZlosmodulis dasrulebis Semdeg rezidentma unda SeZlos::::

• anamnezis Sekreba, fizikaluri gamokvleva, klinikuri simptomebis analizi da Sefaseba;

• gamokvlevis gegmis Sedgena, aucilebeli diagnostikuri minimumi, damatebiTi specialuri kvlevis Sedegebis Sefaseba da monacemebis interpretacia;

• klinikuri diagnozis formulireba;

• mkurnalobis gegmis Sedgena pacientis individualuri monacemebis gatvaliswinebiT mkurnalobis Catareba da misi efeqturobis monitoringi;

• samedicino dokumentaciis warmoeba, gaidlainebis gamoyeneba, nozologiebis marTva


1. Becker L, Glazier R, McIsaac W, et al. Antibiotics for acute bronchitis (Cochrane Review). In: The Cochrane Library, Issue 3, 1998. Oxford: Update Software. 2. Hueston W. Albuterol delivered by metered dose inhaler to treat acute bronchitis. J. Family Practice, 1994; 39(5): 437-440. 3. Irwin R, Curley F, Bennett F. Appropriate use of antitussives and protussives: a practical review. Drugs, 1993; 46: 80-91. 4. Hueston W. Antibiotics: neither cost effective nor ‘cough’ effective. J. Family Practice, 1997; 44(3): 261-5. 5. Clinical practice guideline for the diagnosis and management of acute bronchitis - Inland empire health plan, San Bernandino, CA 2001 6. National Guideline Clearinghouse – Bronchitis, 2005 7. Gonzales R, Sande M. What will it take to stop physicians from prescribing antibiotics in acute bronchitis? Lancet, 1995; 345: 665-666. 8. Mainous A, Zoorob R, Hueston W. Current management of acute bronchitis in ambulatory care: the use of antibiotics and bronchodilators. Arch Fam Med, 1996; 5: 79-83. 9. National Guideline Clearinghouse – Use of antibiotics in pediatric care, 2002 10. Smuncy J, et al β2 agonists for acute bronchitis (Cochrane review) – The Cochrane Library, Issue 2, 2006

muxli 3. muxli 3. muxli 3. muxli 3. moduli moduli moduli moduli 2222....3. 3. 3. 3. bronquli asTma; filtvis eozinofiliebi da alergiuli daavadebebibronquli asTma; filtvis eozinofiliebi da alergiuli daavadebebibronquli asTma; filtvis eozinofiliebi da alergiuli daavadebebibronquli asTma; filtvis eozinofiliebi da alergiuli daavadebebi 4. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 2 Tve2 Tve2 Tve2 Tve 5. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – rezidentma Seiswavlos bronquli asTmis; filtvis eozinofiliebis da alergiuli daavadebebis etiologia, patogenezi, klinikuri gamovlinebebi da mimdinareoba; daeuflos mati diagnostikis da mkurnalobis principebs da meTodebs. 6. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: modulis gavlis Semdeg rezidents SeeZleba moduliT gaTvaliswinebuli nozologiebis simptomebis amocnoba da Sefaseba, aucilebeli damatebiTi da specifiuri kvlevebis dagegmva, miRebuli Sedegebis interpretacia da diagnozis verificireba. mkurnalobis taqtikis SemuSaveba, mkurnalobis Catareba da efeqturobis monitoringi, SemTxvevis marTva. 7. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis rSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis rSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis rSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba aodenoba aodenoba aodenoba mocemulia cxrili # 11mocemulia cxrili # 11mocemulia cxrili # 11mocemulia cxrili # 11----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 11

Teoriuli kursi profesiuli unar-Cvevebi

Sesasrulebeli manipulaciis raodenoba

davaleba

34

bronquli asTmabronquli asTmabronquli asTmabronquli asTma asTmuri statusi filtvebis filtvebis filtvebis filtvebis eozinofiliebieozinofiliebieozinofiliebieozinofiliebi a)idiopaTiuri: 1. lefleris sindromi 2.Mmwvave eozinofiluri pnevmonia 3. qronikuli eozinofiluri pnevmonia 4. Cerj-strosis sindromi 5. hipereozinofiluri sindromi b) meoradi: 1. alergiuli bronqopulmonuri aspergilozi da sxva alergiuli pnevmokoniozebi 2. parazitaruli invaziebi 3. filtvebis wamlismieri eozinofiliebi




4. sindromi eozinofilia-mialgia


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


1. Palombini BC, Villanova CA, Araujo E, et al. A pathogenic triad in chronic cough: asthma, postnasal drip syndrome, and gastroesophageal reflux disease. Chest 1999; 116: 279–284. 2. Brightling CE, Ward R, Goh KL, Wardlaw AJ, Pavord ID. Eosinophilic bronchitis is an important cause of chronic cough. Am J Respir Crit Care Med 1999; 160: 406–410. 3. Simpson G. Investigation and management of persistent dry cough. Thorax 1999; 54: 469–470. 4. McGarvey LPA, Heaney LG, MacMahon J. A retrospective survey of diagnosis and management of patients presenting with chronic cough to a general chest clinic. Int J Clin Pract 1998; 52: 158–161. 5. Luyt DK, Burton PR, Simpson H. Epidemiological study of wheeze, doctor diagnosed asthma, and cough in preschool children in Leicestershire. Br Med J 1993; 306: 1386–1390. 6. Swanson KL, Edell ES. Tracheobronchial foreign bodies. Chest Surg Clin N Am 2001; 11: 861–872.

muxli muxli muxli muxli 4444. . . . moduli moduli moduli moduli 3333.4.4.4.4.... qronikuliqronikuliqronikuliqronikuli obstruqciuliobstruqciuliobstruqciuliobstruqciuli daavadebebidaavadebebidaavadebebidaavadebebi 1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 2 Tve2 Tve2 Tve2 Tve 2. modulis mizania modulis mizania modulis mizania modulis mizania ––––

35

rezidentma Seiswavlos qronikuli bronqitis, filtvis emfizemis da bronqoeqtazuli daavadebis etiologia, paTogenezi, klinikuri suraTi, simptomebi da mimdinareoba. daeuflos am daavadebebis diagnostikis, mkurnalobis da marTvis principebs

3. modulis amocanebia: modulis amocanebia: modulis amocanebia: modulis amocanebia: modulis gavlis Semdeg rezidentma unda icodes modulSi Semavali nozologiebis simptomebis sworad amocnoba da analizi; diagnostikuri algoriTmis Sedgena, saTanado gamokvlevebis daniSvna da miRebuli Sedegebis analizis safuZvelze diagnosis verificireba, mkurnalobis gegmis Sedgena, mkurnalobis Catareba da Sedegebis monitoringi, garTulebebis marTva.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba s raodenoba s raodenoba s raodenoba mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 12121212----is saxiT:is saxiT:is saxiT:is saxiT:


Teoriuli kursiTeoriuli kursiTeoriuli kursiTeoriuli kursi profesiuli unarprofesiuli unarprofesiuli unarprofesiuli unar----Cvevebi Cvevebi Cvevebi Cvevebi

Sesasrulebeli Sesasrulebeli Sesasrulebeli Sesasrulebeli manipulaciis manipulaciis manipulaciis manipulaciis raodenobaraodenobaraodenobaraodenoba

dadadadavalebavalebavalebavaleba

filtvis qronikuli filtvis qronikuli filtvis qronikuli filtvis qronikuli obstruqciuli daavadebaobstruqciuli daavadebaobstruqciuli daavadebaobstruqciuli daavadeba qronikuli bronqiti emfizema bronqoeqtaziabronqoeqtaziabronqoeqtaziabronqoeqtazia


monacemebis interpretacia;


5. modulis Sefasebis memodulis Sefasebis memodulis Sefasebis memodulis Sefasebis meTodebi _ Todebi _ Todebi _ Todebi _

testireba, koloqviumi, referati. zepiri gamokiTxva


1. Hamm R, Hicks R, Bemben D. Antibiotics and respiratory infections: are patients more satisfied when expectations are met? J. Family Practice, 1996; 43: 56-62. 2. O’Brien K, Dowell S, Schwartz B, et al. Cough illness/bronchitis – principles of judicious use of antimicrobial agents.Paediatrics,1998;101: 178-81. 3. Gonzales R, Barrett P, Steiner J. The relationship between purulent manifestations and antibiotic treatment of upper respiratory tract infections. J. General Internal Medicine, 1999; 14:151-6. 4. Gwaltney J. Acute bronchitis. In: Mandell G, Bennett J, and Dolin R (eds.). Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 5th edition, Churchill and Livingstone, Edinburgh, 2000.

muxli 5. muxli 5. muxli 5. muxli 5. moduli moduli moduli moduli 3333.5..5..5..5. filtvebisfiltvebisfiltvebisfiltvebis intersticiuliintersticiuliintersticiuliintersticiuli daavadebebidaavadebebidaavadebebidaavadebebi 1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 2 Tve2 Tve2 Tve2 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – rezidentma Seiswavlos filtvebis intersticiuli daavadebebis etiologia, paTogenezi, klinikuri suraTi, simptomebi da mimdinareoba. daeuflos am daavadebebis diagnostikis, mkurnalobis da marTvis principebs

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

36

modulis gavlis Semdeg rezidentma unda icodes modulSi Semavali nozologiebis simptomebis sworad amocnoba da analizi; diagnostikuri algoriTmis Sedgena, saTanado gamokvlevebis daniSvna da miRebuli Sedegebis analizis safuZvelze diagnosis verificireba, mkurnalobis gegmis Sedgena, mkurnalobis Catareba da Sedegebis monitoringi, garTulebebis marTva.

4. SesasrulebelSesasrulebelSesasrulebelSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebii samuSaos moculoba da Casatarebeli manipulaciebii samuSaos moculoba da Casatarebeli manipulaciebii samuSaos moculoba da Casatarebeli manipulaciebis raodenoba s raodenoba s raodenoba s raodenoba mocemulia cxrili # 13mocemulia cxrili # 13mocemulia cxrili # 13mocemulia cxrili # 13----is saxiT:is saxiT:is saxiT:is saxiT:


Teoriuli kursi profesiuli unar-Cvevebi

davaleba

filtvebis intersticiuli daavadebebi:filtvebis intersticiuli daavadebebi:filtvebis intersticiuli daavadebebi:filtvebis intersticiuli daavadebebi: anamnezis Sekreba, fizikaluri gamokvleva, klinikuri simptomebis analizi da Sefaseba;

monacemebis interpretacia;

klinikuri SemTxvevebis garCeva

a)mafibrozirebeli alveolitebi: 1. idiopaTiuri mafibrozirebeli alveoliti 2. ekzogenuri alergiuli alveoliti 3. toqsiuri mafibrozirebeli alveoliti 4. mafibrozirebeli alveolitebi rogorc sxva daavadebebis sindromi (kolagenozebi, radiaciuli dazianeba da sx.) b)granulomatozebi: 1. sarkoidozi 2. filtvebis X histiocitozi 3. pnevmokoniozebi (silikozi, azbestozi da sx.) 4. pnevmomikozebi (aspergilozi, kandidozi da sx.) g)filtvebis vaskulitebi: 1. gudpasCeris sindromi 2. filtvebis idiopaTiuri hemosiderozi 3. filtvebis vaskulitebi rogorc sxva daavadebebis sindromebi (vegeneris granulomatozi, Segrenis sindromi da sx.) d)dagrovebis daavadebebi:

1. alveoluri proteinozi 2. alveoluri mikroliTiazi 3. filtvebis pirveladi amiloidozi

5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi _ referati, testireba


1. Hamm R, Hicks R, Bemben D. Antibiotics and respiratory infections: are patients more satisfied when expectations are met? J. Family Practice, 1996; 43: 56-62. 2. O’Brien K, Dowell S, Schwartz B, et al. Cough illness/bronchitis – principles of judicious use of antimicrobial agents.Paediatrics,1998;101: 178-81. 3. Gonzales R, Barrett P, Steiner J. The relationship between purulent manifestations and antibiotic treatment of upper respiratory tract infections. J. General Internal Medicine, 1999; 14:151-6. 4. Gwaltney J. Acute bronchitis. In: Mandell G, Bennett J, and Dolin R (eds.). Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 5th edition, Churchill and Livingstone, Edinburgh, 2000.

Tavi VIII. profesiuli mzadebis IITavi VIII. profesiuli mzadebis IITavi VIII. profesiuli mzadebis IITavi VIII. profesiuli mzadebis IIIIII wlis modulebiwlis modulebiwlis modulebiwlis modulebi

muxli 1. muxli 1. muxli 1. muxli 1. moduli moduli moduli moduli 3333....1. 1. 1. 1. filtvis tuberkulozifiltvis tuberkulozifiltvis tuberkulozifiltvis tuberkulozi

37

1. modulis xangrZlivmodulis xangrZlivmodulis xangrZlivmodulis xangrZlivobaaobaaobaaobaa –––– 2 Tve2 Tve2 Tve2 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – rezidentma unda Seiswavlos tuberkulozis etiologia, paTogenezi, klinika, diagnostika, garTulebebi da mkurnalobis principebi. 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: tuberkulozze saeWvo SemTxvevis marTva, risk-faqtorebis Sefaseba, gamokvlevis dageggmva, fTiziatris konsultacia, difdiagnostikisaTvis aucilebeli sacdeli mkurnaloba da misi Sedegebis Sefaseba. aucileblobis SemTxvevaSi fTiziatris meTvalyureobiT Caataros standartuli mkurnaloba erovnuli programis farglebSi.

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

mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 14141414----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 14

Teoriuli kursi profesiuli

unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

davaleba

tuberkulozis etiologia, paTogenezi, morfologia, imunuri pasuxi

anam,nezis Sekreba, riskebis Sefaseba, simptomebis amocnoba, gamokvlevis dagegmva, fTiziatris konsultaciaze gagzavna, farTo speqtris antibiotikoTerapiis Catareba, DOT-is organizeba da mkurnalobis uzrunvelyofa

Teoriuli masalis analizi

tuberkulozis gamokvlevis meTodebi

prezentaciis analizi

filtvis tuberkulozis pirveladi da meoradi formebi

50 pacienti samedicino dokumentaciaze muSaoba

filtvgareSe tuberkulozi

10-15 pacienti samedicino dokumentaciaze muSaoba

tuberklulozze saeWvo SemTxvevis marTva

15-20 pacienti prezentaciis analizi

diagnostirebuli tuberkulozis marTva da kontroli

50 pacienti samedicino dokumentaciaze muSaoba

tepi, DOTS, DOTS+, DOT


tuberkulozis mkurnaloba, tubsawinaaRmdego preparatebi, gverdiTi movlenebis marTva


38


referati, zepiri gamokiTxva, prezentaciis momzadeba


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).

muxli 2. muxli 2. muxli 2. muxli 2. moduli moduli moduli moduli 3333....2. 2. 2. 2. filtvis simsivneebifiltvis simsivneebifiltvis simsivneebifiltvis simsivneebi

1. modulimodulimodulimodulis xangrZlivobaas xangrZlivobaas xangrZlivobaas xangrZlivobaa –––– 2 Tve2 Tve2 Tve2 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – filtvis simsivneebis ganviTarebis xelSemwyobi faqtorebi, etiologia, paTogenezi, klinikuri simptomatika, neoplasturi da para neoplasturi gamovlinebebi, diagnostikis da marTvis principebi. 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: modulis gavlis Semdeg rezidentma unda SeZlos filtvis neoplastiur procesze eWvis mitana, riskis faqtorebis Sefaseba, neoplazmis simptomebis (adgilobrivi, zogadi, paraneoplasturi) amocnoba da maTi Sefaseba, gamokvlevis gegmis Sedgena, miRebuli Sedegebis interpretacia, diagnozis verifikacia, onkologis konsultaciis droulad daniSvna. onkopaTologiis gamo naoperaciebi pacientis qimio- da rentgenoTerapiis Semdgomi periodebis sworad marTva onkologTan erTad. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebissss raodenoba raodenoba raodenoba raodenoba

mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 15151515----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 15cxrili # 15cxrili # 15cxrili # 15

Teoriuli

kursi profesiuli unar-Cvevebi davaleba

filtvisfiltvisfiltvisfiltvis simsivneebisimsivneebisimsivneebisimsivneebi: bronqogenuri kibo, alveolo-ujredovani (adenomatozi) kibo, simsivnovani limfangiiti

anamnezis Sekreba, riskis faqtorebis Sefaseba, fizikaluri gamokvleva, simptomebis Sefaseba, gamokvlevis gegmis Sedgena, miRebuli Sedegebis interpretacia, difdiagnostika, onkologis konsultaciis dagegmva, onkologTan erTad postoperaciuli, qimio- da rentgenoTerapiis Semdgomi

Teoriuli masalis da prezentaciebis analizi, samedicino dokumentaciaze muSaoba

39

karcinomatozi periodebis sworad marTva

plevris plevris plevris plevris mezoTelioma da mezoTelioma da mezoTelioma da mezoTelioma da metastazebi metastazebi metastazebi metastazebi plevraSiplevraSiplevraSiplevraSi



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

1. Predictors of Upper Tract Urothelial Cell Carcinoma After Primary Bladder Cancer: A Population Based AnalysisThe Journal of Oncology, Volume 181, Issue 3, Pages 1035-1039 J. Wright, J. Hotaling, M. Porter

2. Determinants of prolonged QT interval and their contribution to sudden death risk in coronary artery disease: the Oregon Sudden Unexpected Death Study. Chugh SS, Reinier K, ..., Gunson K, Jui J Circulation 2009 Feb 10 119 (5):663-70

muxli 3. muxli 3. muxli 3. muxli 3. moduli moduli moduli moduli 3333.3. filtvis daavadebaTa mankebi.3. filtvis daavadebaTa mankebi.3. filtvis daavadebaTa mankebi.3. filtvis daavadebaTa mankebi

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 2 Tve2 Tve2 Tve2 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – rezidentma unda Seiswavlos filtvis ganviTarebis mankebis saxeebi da tipebi; maTi kliniko-laboratoriuli gamovlinebebi, diagnostikis meTodebi da mkurnalobis principebi. 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: modulis gavlis Semdeg rezidents unda SeeZlos ganviTarebis mankis niSnebis amocnoba da masze eWvis mitana. gamokvlevis dagegmva da miRebuli Sedegebis swori interpretacia. qirurgis da radiologis konsultaciis droulad dagegmva. mkurnalobis, monitoringis da marTvis taqtikis SemuSaveba da ganxorcieleba. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba s raodenoba s raodenoba s raodenoba

mocemulia cxrili # 16mocemulia cxrili # 16mocemulia cxrili # 16mocemulia cxrili # 16----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 16cxrili # 16cxrili # 16cxrili # 16


unar-Cvevebi davaleba

filtvefiltvefiltvefiltvebisbisbisbis ganviTarebisganviTarebisganviTarebisganviTarebis mankebimankebimankebimankebi: martivi hipoplazia kistozuri hipoplazia traqeobronqomegalia viliams-kempbelis sindromi wilis Tandayolili emfizema makleodis sindromi damatebiTi filtvi (wili) filtvis sekvestracia bronqogenuri (solitaruli) kistebi gamartroma “sarkisebri” filtvebi zivert-kartageneris triada traqealuri bronqi traqeis da bronqebis divertikulebi traqeo(bronqo)saylapavis fistula arteriovenozuri anevrizmebi (rendiu-osleris sindromi)

anamnezis Sekreba, riskis faqtorebis Sefaseba, fizikaluri gamokvleva, simptomebis Sefaseba, gamokvlevis gegmis Sedgena, miRebuli Sedegebis interpretacia, difdiagnostika

Teoriuli masalis da prezentaciebis analizi,

40



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

1. WHO. http://www.who.int/ _software/en/.

muxli 4. muxli 4. muxli 4. muxli 4. moduli moduli moduli moduli 3333.4. filtvis arteriis hipertenzia, filtvis arteriis Tromboembolia.4. filtvis arteriis hipertenzia, filtvis arteriis Tromboembolia.4. filtvis arteriis hipertenzia, filtvis arteriis Tromboembolia.4. filtvis arteriis hipertenzia, filtvis arteriis Tromboembolia, filtvis infarqtifiltvis infarqtifiltvis infarqtifiltvis infarqti

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 1 Tve1 Tve1 Tve1 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – filtvis arteriis hipertenziis, filtvis arteriis Tromboemboliis, filtvis infarqtis ganviTarebis xelSemwyobi faqtorebi, etiologia, paTogenezi, klinikuri simptomatika, diagnostikis da marTvis principebi. 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: modulis gavlis Semdeg rezidents unda SeeZlos sworad Seafasos aRniSnuli paTologiis ganviTarebis risk-faqtorebi, etiologia, amoicnos simptomebi, moaxdinos mati Sefaseba. Seadginos gamokvlevis gegma da sworad Seafasos miRebuli Sedegebi, SeimuSavos mkurnalobis taqtika, individualuri monacemebis gaTvaliswinebiT, Caataros mkurnaloba. saWiroebis SemTxvevebSi caataros gadaudebeli RonisZiebebi. droulad dagegmos angiologis da kardiologis konsultacia. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebiSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba s raodenoba s raodenoba s raodenoba



unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

davaleba

filtvis arteriis filtvis arteriis filtvis arteriis filtvis arteriis TromboemboliaTromboemboliaTromboemboliaTromboembolia da da da da filtvis infarqtifiltvis infarqtifiltvis infarqtifiltvis infarqti



Teoriuli masalis da prezentaciebis analizi

filtvis hipertenziafiltvis hipertenziafiltvis hipertenziafiltvis hipertenzia pirveladi meoradi



6. aucaucaucaucilebeli da rekomendebuli literaturis nusxa:ilebeli da rekomendebuli literaturis nusxa:ilebeli da rekomendebuli literaturis nusxa:ilebeli da rekomendebuli literaturis nusxa:

41


muxli muxli muxli muxli 5555. . . . moduli moduli moduli moduli 3333....5555. . . . plevris da Suasayaris daavadebebiplevris da Suasayaris daavadebebiplevris da Suasayaris daavadebebiplevris da Suasayaris daavadebebi

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 2 Tve2 Tve2 Tve2 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – plevris da Suasayaris daavadebebis ganviTarebis xelSemwyobi faqtorebi, etiologia, paTogenezi, klinikuri simptomatika, diagnostikis da marTvis principebi. 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: modulis gavlis Semdeg rezidents unda SeeZlos sworad Seafasos aRniSnuli paTologiis ganviTarebis risk-faqtorebi, etiologia, amoicnos simptomebi, moaxdinos maTi Sefaseba. Seadginos gamokvlevis gegma da sworad Seafasos miRebuli Sedegebi, SeimuSavos mkurnalobis taqtika, individualuri monacemebis gaTvaliswinebiT, Caataros mkurnaloba. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba enoba enoba enoba

mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 18181818----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # cxrili # cxrili # cxrili # 18181818

Teoriuli kursi profesiuli unar-Cvevebi davaleba

pnevmoToraqsi:pnevmoToraqsi:pnevmoToraqsi:pnevmoToraqsi: pirveladi meoradi Suasayaris daavadebebi:Suasayaris daavadebebi:Suasayaris daavadebebi:Suasayaris daavadebebi: mwvave mediastiniti qronikuli mediastiniti pnevmomediastinumi Suasayaris simsivneebi



Teoriuli masalis da prezentaciebis analizi





muxli 6. muxli 6. muxli 6. muxli 6. moduli moduli moduli moduli 3333.6. sasunTqi sistemis daavadebebis marTva, intensiuri Terapia.6. sasunTqi sistemis daavadebebis marTva, intensiuri Terapia.6. sasunTqi sistemis daavadebebis marTva, intensiuri Terapia.6. sasunTqi sistemis daavadebebis marTva, intensiuri Terapia da Sromis da Sromis da Sromis da Sromis uunarobis statusis gansazRvrauunarobis statusis gansazRvrauunarobis statusis gansazRvrauunarobis statusis gansazRvra

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa –––– 2 Tve2 Tve2 Tve2 Tve 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – rezidentma unda Seiswavlos 1) sindromebis da daavadebebis marTva erovnuli gaidlainebis sesabamisad da yvela konkretuli SemTxvevis mimarT standartuli midgomis gamoyenebis meTodika; 2) gadaudebeli mdgomareobebis etiologia, paTogenezi, diagnostika, mkurnaloba da profilaqtika; 3) Sromis uunarobis statusis gansazRvra. 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebisSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebisSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebisSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba raodenoba raodenoba raodenoba


Teoriuli kursi profesiuli unar-Cvevebi davaleba s/s anTebiTi daavadebebi da filtvis


Teoriuli masalis da prezentaciebis

42

infiltraciebi; filtvis difuzuri dazianebebi;

mrgvali Crdilebi;


analizi




1. http://www.moh.gov.ge/page.php?62

Tavi IX. damatebiTi sakiTxebi Tavi IX. damatebiTi sakiTxebi Tavi IX. damatebiTi sakiTxebi Tavi IX. damatebiTi sakiTxebi

muxli 1. muxli 1. muxli 1. muxli 1. sarezidento programis sarezidento programis sarezidento programis sarezidento programis “pulmonologia” “pulmonologia” “pulmonologia” “pulmonologia” –––– 22 Tve22 Tve22 Tve22 Tve saswsaswsaswsaswavlo gegma mocemulia cxrili # 20avlo gegma mocemulia cxrili # 20avlo gegma mocemulia cxrili # 20avlo gegma mocemulia cxrili # 20 saxiT:saxiT:saxiT:saxiT:

cxrili # cxrili # cxrili # cxrili # 20202020

profesiuli mzadebis I weliprofesiuli mzadebis I weliprofesiuli mzadebis I weliprofesiuli mzadebis I weli moduli ## modulis dasaxeleba xangrZlivoba moduli moduli moduli moduli 1.1.1.1.1.1.1.1. eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri

safuZvlebi;safuZvlebi;safuZvlebi;safuZvlebi; 2 kvira2 kvira2 kvira2 kvira

moduli 1.2.moduli 1.2.moduli 1.2.moduli 1.2. fundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebi 2 kvira2 kvira2 kvira2 kvira moduli moduli moduli moduli 1.3.1.3.1.3.1.3. zogadi Terapiazogadi Terapiazogadi Terapiazogadi Terapia/ambulatoriuli Terapia/ambulatoriuli Terapia/ambulatoriuli Terapia/ambulatoriuli Terapia 4 Tve4 Tve4 Tve4 Tve moduli 1.3.1 zogadi Terapia 2 Tve moduli 1.3.2 ambulatoriuli Terapia 2 Tve moduli 1.4.moduli 1.4.moduli 1.4.moduli 1.4. Terapiuli stacionari ITerapiuli stacionari ITerapiuli stacionari ITerapiuli stacionari I 6 Tve6 Tve6 Tve6 Tve moduli 1.4.1 gul-sisxlZarRvTa sistemis daavadebebi 3 Tve moduli 1.4.2 revmatiuli daavadebebi/alergologia 2 Tve

1.5.1.5.1.5.1.5. sazogadoebrivi jandacva da epidemiologia sazogadoebrivi jandacva da epidemiologia sazogadoebrivi jandacva da epidemiologia sazogadoebrivi jandacva da epidemiologia 2 kvira.2 kvira.2 kvira.2 kvira. 1.6.1.6.1.6.1.6. mtkicebiTi medicinisa da samedicino statistikis safuZvlebi mtkicebiTi medicinisa da samedicino statistikis safuZvlebi mtkicebiTi medicinisa da samedicino statistikis safuZvlebi mtkicebiTi medicinisa da samedicino statistikis safuZvlebi 2 kvira2 kvira2 kvira2 kvira

profesiuli mzadebis Iprofesiuli mzadebis Iprofesiuli mzadebis Iprofesiuli mzadebis IIIII weliwadiweliwadiweliwadiweliwadi

moduli ##

modulis dasaxeleba xangrZlivoba

2.1. sasuTqi sistemis daavadebaTa diagnostika 3 Tve 2.2. sasuTqi sistemis mwvave anTebiTi daavadebebi 2 Tve

2.3. bronquli asTma; filtvis eozinofiliebi da alergiuli daavadebebi

2 Tve

2.4. qronikuli obstruqciuli daavadebebi 2 Tve

2.5. filtvebis intersticiuli daavadebebi 2 Tve

profesiuliprofesiuliprofesiuliprofesiuli mzadebismzadebismzadebismzadebis IIIIIIIIIIII weliwadiweliwadiweliwadiweliwadi

moduli ##

modulis dasaxeleba xangrZlivoba

3.1. filtvis tuberkulozi

2 Tve

3.2. filtvis simsivneebi

2 Tve

3.3. filtvis ganviTarebis mankebi

2 Tve

43

3.4. filtvis arteriis hipertenzia, filtvis arteriis Tromboembolia, filtvis infarqti

1 Tve

3.5. plevris da Suasayaris daavadebebi

2 Tve

3.6. sasunTqi sistemis daavadebebis marTva, intensiuri Terapia da Sromis uunarobis statusis gansazRvra

2 Tve

muxli muxli muxli muxli 2222. . . . aucilebeli da rekomendebuli literaturis nusxa.aucilebeli da rekomendebuli literaturis nusxa.aucilebeli da rekomendebuli literaturis nusxa.aucilebeli da rekomendebuli literaturis nusxa.

1. Meza R, Bridges-Webb C, Sayer G, et al. The management of acute bronchitis in general practice: results from the Australian morbidity and treatment survey. Australian Family Physician, 1994; 23: 1550-1553. 2. Samuel Ong, MD, Visiting Assistant Professor, Department of Emergency Medicine, University of California at Los Angeles Medical Center-Olive View Bronchitis Last Updated: December 29, 2004, WEBMD, eMedicine 3. Guideline for The Management of Acute Bronchitis - developed by an Alberta Clinical Practice Guideline Working Group, 2006 Update. 4. Family Practice Notebook, 2000 5. Charles Callahan, DO, Professor, Deputy Chief of Clinical Services, Walter Reed Army Medical Center Bronchitis, Acute and Chronic Last Updated: January 30, 2006, WEBMD, eMedicine 6. DiFranza JR, Lew RA. Morbidity and mortality in children associated with use of tobacco products by other people. Pediatrics 1996; 97 (4); 560-568 7. Hamm R, Hicks R, Bemben D. Antibiotics and respiratory infections: are patients more satisfied when expectations are met? J. Family Practice, 1996; 43: 56-62. 8. O’Brien K, Dowell S, Schwartz B, et al. Cough illness/bronchitis – principles of judicious use of antimicrobial agents.Paediatrics,1998;101: 178-81. 9. Gonzales R, Barrett P, Steiner J. The relationship between purulent manifestations and antibiotic treatment of upper respiratory tract infections. J. General Internal Medicine, 1999; 14:151-6. 10. Gwaltney J. Acute bronchitis. In: Mandell G, Bennett J, and Dolin R (eds.). Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 5th edition, Churchill and Livingstone, Edinburgh, 2000. 11. http://www.moh.gov.ge/page.php?62 12. WHO. http://www.who.int/ _software/en/.

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(xangrZlivoba – 33 Tve - 3 w.) Tavi I. zogadi ... · pulmonologi,pulmonologi,pulmonologi, anu filtvis daavadebaTa specialisti ar is eqimi, romelsac gaaCnia specialuri codna da Cvevebi