rezidenturis (diplomissemdgomi samedicino ganatlebis programa “bavsvta...

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rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa “bavSvTa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa “bavSvTa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa “bavSvTa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa “bavSvTa alergologia da imunologia ”alergologia da imunologia ”alergologia da imunologia ”alergologia da imunologia ” xangrZlivoba - 3 w. (33 Tve)

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

• diplomisSemdgomi samedicino ganaTlebis sarezidento programa bavSvTa alergologiasa da imunologiaSi dafuZnebulia evropis medikos specialistTa kavSiris ((((UEMS - Union of European Medical Specialists) alergologiisa da imunologiis seqciisa da sabWos ZiriTad dokumentze “swavlebis amocanebi da specialobis dauflebis ZiriTadi kurikulumi alergologiisa da klinikuri imunologiaSi (H.J.Malling, J.Gayraud, P.Papageorgiu-Saxoni, B.Hornung, J.Rosado-Pinto, SG Del Giacco & UEMS section and Board Allergology and Clinical Immunology, “Objectives of training and specialty training core curriculum in Allergology and Clinical Immunology”. Allergy 2004, 59:579-588 ) da evropis axalgazrda eqimebis mudmivi samuSao jgufis ((((PWG - Permanent Working Group of EUROPEAN JUNIOR DOCTORS) warmomadgenelTa angariSebze (www.juniordoctors.edu)

• evropis medicinis specialistTa kavSiri ((((www.uems.net) efuZneba bazelis deklaracias uwyveti samedicino ganaTlebisa (CME) da uwyveti profesiuli ganviTarebis ((((CPD) deklaracias, iseve rogorc deklaracias kargi samedicino praqtikis Sesaxeb.

• uwyveti samedicino ganaTlebis (usg(usg(usg(usg - CME - Continuing Medical Education) gansazRvreba

alergologiasa da imunologiaSi gulisxmobs : akademiuri codnisa da unar-Cvevebis SenarCunebas am dargSi.

• uwyveti profesiuli ganviTareba (upg (upg (upg (upg ---- CPD- Continuing Professional Development) Sesabamisad ganisazRvreba imiT, Tu rogor ganaaxlebs, ganaviTarebs da gaRrmavebs specialisti – alergologi/imunologi im codnis, unar-Cvevebisa da midgomebis gamoyenebas, romelic mas sWirdeba samuSaos realuri Sesrulebis dros. A

• alergologi/imunologis kompetenciis ganviTareba gulisxmobs : usg + personaluri, samenejmento, informaciuli teqnologiis codnis, komunikaciuli da socialuri unar-Cvevebis mudmiv srulyofas ((((Free Movement &Right to Practice – Mutual Recognition of Medical Qalification in Europe, Dr. Leonard P. Harvey L.L....M.,F.R.C.G. Past Pesident of ACMT, Past Pesident of UEMS, Past Vice President of CPME).

• am sarezidento programaSi gaTvaliwinebulia aseve HERMES –is anu evropis specialistTa respiraciul medicinaSi harmoniuli ganaTle- bis (Harmonised Education in Respiratory Medicine for European Specialists)

programac, rac Tavis mxriv efuZneba evropis respiraciuli sazogadoebis ((((ERS), , , , UEMS, PWG – isa da sxva eqspertebis mier SemuSavebul ZiriTad modulebs.

• evrokavSirSi samedicino specialistTa swavlebis me-6 TavSi mocemulia moTxovnilebebi specialobisadmi alergologia da imunologia (es ukanaskneli ganxilulia 1994 wels da cvlilebebi Setanilia 2001, 2002 da 2003 wels UEMS-is mier) da warmoadgens ZiriTad dokuments, romelsac eyrdnoba usg da upg aRniSnul dargSi. ZiriTadi modulebi da standartebi dgindeba alergologiisa da klinikuri imunologiis evropis akademiis ((((EAACI) specialobisa da saganmanaTleblo komitetis mier da mtkicdeba evropis samedicino specialitebis

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kavSiris - UEMS - is alergologiisa da klinikuri imunologiis seqciis mier. Ppirveli saerTaSoriso gamocdebic Catarda q. barselonaSi 7 ivniss, 2008 wels EAACI- isa daisa daisa daisa da UEMS – is erToblivi ZalisxmeviT da informacia mowodebulia EAACI - is saitze : www. eaaci.net/site/content.php; www.eaaci.net/media/DOC/B/1209 doc.

• saqarTveloSi alergolog/imunolog specialistis postdiplomuri momzadeba gulisxmobs 33 Tvis manZilze swavlebasa da ganaTlebas alergologiasa da imunologiaSi. es gulisxmobs eqim alergolog-imunologis profesiuli aqtivobis srulyofas, rac ganisazRvreba usg/upg-sadmi wardgenili moTxovnebiT (individualuri samuSao dRiuris Sevseba, individualuri aqtivobebi : komferenciebSi, klinikur garCevebSi, jgufur swavlebebSi, xarisxis proeqtebsa da distanciur internt-saganmanaTleblo swavlebaSi, samecniero da klinikur muSaobaSi monawileobis miReba, kredit-qulebis dagroveba da sxv.).

damoukideblad pediatriuli alergologia/imunologiis specialobis arseboba sadavo sagans warmoadgens, kerZod, PWG 2007/077j dokumentis mixedviT EAACI da UEMS miesalmebian pediatrebis alergologiaSi ganswavlas, magram ar miiCneven axali specialobis Seqmnis aucileblobas.

• bavSvTa alergologiisa da klinikuri imunologiis sarezidento programa agebulia modulebis principze da gulisxmobs rezidentis mier yvela savaldebulo modulis gavlas, romlebSic mocemulia mzadebis mizani, asaTvisebeli sakiTxebisa da unar-Cvevebis CamonaTvali, mzadebis formebi, meTodebi, xangrZlivoba da Sefasebis kriteriumebi.

• bavSvTa alergologiisa da klinikuri imunologiis sarezidento programa SesaZlebelia ganxorcieldes saTanado specializebul dawesebulebaSi, romelic aRWurvilia specifiuri diagnostikis kabinetiT, alergo-diagnostikis in vivo da in vitro saSualebebiT, garegani sunTqvis funqciis gansazRvris teqnologiiT, nebulaizeroTerapiis saSualebebiT, SesaZlebelia imunologiuri laboratoriis muSaobis principebis gacnoba da sxv. dawesebulebaSi unda moedinebodes ambulatoriuli pacientebis didi nakadi da pacientTa asakobrivi da aseve, daavadebebis speqtri unda iZleodes am specialobiT Rrma klinikuri gamocdilebis miRebis saSualebas. gasaTvaliwinebelia gadaudebeli daxmarebis SemTxvevebis demonstraciisa da ganxilvis SesaZleblobebis arseboba. rezidenturis programis CatarebisTvis dawesebulebas unda gaaCndes pedagogiuri procesisaTvis saWiro materialur-teqnikuri potenciali (auditoria, saswavlo oTaxebi, vizualuri da damxmare saswavlo masalebi da sxv) da kvalificiuri pedagogiuri resursi.

• programis efeqturi ganxorcielebisaTvis aucilebelia, rom programis direqtoris mier racionalurad SeirCes rezidenturis programaSi monawile dawesebuleba/ an dawesebulebebi da rezidentebis mzadebis lokaluri xelmZRvanelebi.

• rezidenturis kurss xelmZRvanelobs direqtori da uZRveba lokaluri klinikuri xelmZRvaneli. lokaluri xelmZRvaneli unda iyos gamocdili eqimi-specialisti (m.doqtori/m.m.doqtori). lokaluri xelmZRvanelis funqciaa konkretul klinikur bazaze rezidentis mzadebis procesis warmarTva da kontroli mzadebis programis moTxovnebis Sesabamisad. igi angariSvaldebulia rezidenturis programis direqtoris winaSe. \\

sarezidento programa moicavs 3 wlian swavlebas, romlis dros umaRlesi samedicino

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ganaTlebis mqone piri, romelmac gaiara rezidentura pediatriaSi, eufleba bavSvTa alergologia/imunologiis specialobis safuZvlebs. msmeneli gaivlis rotaciis wesiT programiT gaTvaliswinebul Temebs sxvavdasxva ganyofilebaSi, daeufleba alergiuli da imunopaTologiuri mdgomareobebis kontrols, maTi prevenciis ZiriTad safuZlebs, Seiswavlis imunoTerapiis rekomendaciebs. rezidenti CaerTveba klinikur muSaobaSi, gaatarebs pacientebs kuratoris meTvalyureobis qveS, imuSavebs samecniero kvlevis Cvevebis gamomuSavebaze. REFERENCES

1. H.J.Malling, J.Gayraud, P.Papageorgiu-Saxoni, B.Hornung, J.Rosado-Pinto, SG Del Giacco & UEMS section and Board Allergology and Clinical Immunology, “Objectives of training and specialty training core curriculum in Allergology and Clinical Immunology”. Allergy 2004, 59:579-588 ).

2. UEMS-Section of Allergology and Clinical Immunology. European specialist care in allergology and clinical immunology in the new millennium. Allergy 2000:55:338-339.

3. Allergology as a Medical Specialty or Sub-Specialty. A.B.Kay. Chapter 81:1261-1270. 4. Allergy Practice worldwide. A Report by the World Allergy Organization Specialty and Training

Council. J.O. Warner et al. Allergy Clin Immunology Int- J World Allergy Org, 18/1(2006). 5. EMS Allergology Section PWG Representative’s Report, 2007 PWG 2007/077j. www.juniordoctors.edu 6. www. eaaci.net/site/content.php 7. www.cvpfoundation.eu 8. Chapter 6. Charter on Training of Medical Specialists in th EU. Requirements for the Speciality

Allergology and Clinical Immunology (As approved in 1994, amended in 1997, 2001, 2002 and 2003 by UEMS Section/Board).

9. Speciality Training curriculum for Allergy, May 2007. Joint royal Colleges of physicians Training Board. www. jrcptg.org.uk

10. Allergy and Immunology. Resident Program Solutions. Endorsed by the American Academy of Family Physicians, Amarican College of Allergy, Asthma and Immunology and was developed in cooperation with association of Departments of Family Medicine, the Assocoation of Family Practice Residency Directors and the Society of Teachers of Family Medicine.

11. www. acaai.org, www.aaafp.org 12. Allergy and Immunology Fellowship. Mount Sinai School of Medicine.2008

www.mountsinai.org/education. 13. Allergy. Sub-Speciality Training at ST3. Speciality School of Medicine. East Midlands Deanery 14. (South). Job description and training programme. 2008.

www.Inrmed.org.uk/Programs/ST3+_Allergy.htm 15. Loddenkemper, T. Séverin, J-L. Eiselé and P. L. Haslam. HERMES: good reasons for harmonising

education and training in respiratory medicine . Eur Respir J 2006; 28:470-471. 16. Loddenkemper R, Séverin T, Eiselé JL, et al. HERMES: a European core syllabus in respiratory

medicine. Breathe 2006;3:59–70. 17. Dijkman JH, Martinez Gonzales del Rio J, Loddenkemper R, Prowse K, Siafakas N. Report of the

working party of the "UEMS Monospeciality Section on Pneumology" on training requirements and facilities in Europe. Eur Respir J 1994;7:1019–1022.[Order article via Infotrieve]

18. Union Européenne des Médecins Spécialistes, European Board of Pneumology. UEMS charter on training of medical specialists in the EU: requirements for the specialty pneumology. 1995

19. Harmonised Education in Respiratory Medicine for European Specialists (HERMES) National survey. www.fersnet.org/hermes/phase_0_nat.htm. Date last accessed: July 10 2006. Date last updated: July 13 2006

20. Murphy MK, Black NA, Lamping DL, et al. Consensus development methods, and their use in clinical guideline development. Health Technol Assess 1998; 2: 1–88

21. Burton JL, McDonald S. Curriculum or syllabus: which are we reforming? Medical Teacher 2001;23:187–191.[CrossRef][ISI][Medline] [Order article via Infotrieve]

22. Harmonised Education in Respiratory Medicine for European Specialists (HERMES) International survey. www.fersnet.org/hermes/phase_0_intl.htm. Date last accessed: July 10 2006. Date last updated: July 13 2006..

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

sarezidento programis mizania gazardos bavSvTa alergologi/imunologi, romelsac SeeZleba damoukideblad muSaoba am dargSi, pacientis marTva da strategiis gansazRvra rogorc qveynis masStabiT, aseve konkretul samedicino dawesebulebaSi.

rezidenturis damTavrebis Semdeg eqimi specialisti SeZlebs rogorc klinikuri muSaobis warmarTvasa da prevenciis gansazRvras, ise, samecniero kvlevebSi monawileobas.

eqimi bavSvTa alergologi/ imunologi SeZlebs muSaobas klinikur viTarebaSi, daexmaros rogorc zogadi profilis eqims alergologiuri/imunopaTologiuri procesis marTvaSi, aseve imuSaos specializebul ganyofilebebSi, aseve imunizaciis kabinetebSi. mas SeeZleba zogadi diagnostikuri procedurebis gansazrvra, maTi Catareba, laboratoriasTan urTierToba, da monacemTa interpretacia, rac sabolood emsaxureba pacientis gamojanmrTelebas da qveyanaSi alergiul da imunopaTologiuri mdgomareobebis kontrols.

bavSvTa alergologi/imunologi SeZlebs muSaobas sxvadasxva dawesebulebaSi, rogoricaa specializebuli centrebi, ise klinikuri samedicino dawesebulebebi, aseve, sazogadoebrivi jandacvis qselSi da samecniero-kvleviT dawesebulebebSi.

Tavi II. ”bavSvTa alergologiisa da imunologiis” specialobis Tavi II. ”bavSvTa alergologiisa da imunologiis” specialobis Tavi II. ”bavSvTa alergologiisa da imunologiis” specialobis Tavi II. ”bavSvTa alergologiisa da imunologiis” specialobis aRweriloba/specifikaciaaRweriloba/specifikaciaaRweriloba/specifikaciaaRweriloba/specifikacia

muxli 1. muxli 1. muxli 1. muxli 1. specspecspecspecialobisa da specialistis gansazRvreba (definicia); ialobisa da specialistis gansazRvreba (definicia); ialobisa da specialistis gansazRvreba (definicia); ialobisa da specialistis gansazRvreba (definicia); alergologiasa da klinikur imunologiaSi swavlebis ZiriTadi moTxovnebi mocemulia UEMS-is wesdebis me-6 TavSi, romelic gankuTvnilia evropaSi medicinis specialistebis treiningisaTvis. is amtkicebs kanonebs institutebisaTvis, maswavleblebisaTvis, trenerebisaTvis zogadi arsisa da swavlebis xangrZlivobis Sesaxeb. UEMS-is sruli kurikulumi alergologiasa da klinikur imuologiaSi detalurad aRwers Teoriul da praqtikul kompetenciebs, romlebic unda iyos miRweuli saswavlo periodSi. es kurikulumi gansazRvravs kargi klinikuri praqtikisTvis evropul swavlebis programas alergologiasa da klinikur imunologiaSi. zogierT evropul qveyanaSi, iseve rogorc zogierT institutSi gansakuTrebuli aqcenti specialobis sxvadasxva elementebze dasaSvebia imis gaTvaliswinebiT, rom is ar amcirebdes treiningis xarisxs. Jurnali (dRiuri) aucilebelia kompetenciis donis, treiningis progresis dokumentirebisTvis da kompentenciis boloo SefasebisaTvis. Jurnali moicavs moTxovnebs, romelic Camoyalibebulia UEMS-is alergologiisa da klinikuri imunologiis seqciis mier ucxouri da nacionaluri SesworebebiTa da damatebebiT. sasurvelia Jurnali iyos individualuri maZieblisaTvis da moicavdes Semdeg elementebs:

• swavlebis gegma

• saswavlo institutis struqturis aRwera

• klinikuri muSaobis Sefaseba

• saswavlo perocesis aRweriloba

• SeniSvnebi maZiebelma unda Seavsos Jurnali xelmZRvanelTan SeTanxmebiT UEMS-is gaidlainebisa da

nacionaluri Sesworebebis Sesabamisad.

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specialobis definicia da sazRvrebispecialobis definicia da sazRvrebispecialobis definicia da sazRvrebispecialobis definicia da sazRvrebi dReisTvis termin “alergiis” qveS igulisxmeba organizmis mxolod aweuli mgrZnobeloba im

nivTierebebis mimarT, romlebic xasiaTdebian antigenuri (da maT gareSec) TvisebebiT. alergia aris imunologiuri meqanizmebiT (antisxeulebiT an ujredebiT) gaSualebuli

organizmis hipermgrZnobelobis reaqcia. alergologia aris medicinis dargi, romelic swavlobs alergiul daavadebebs. alergia moicavs multiorganul sistemuri hipemgrZnobelobiT daavadebebs. rogoricaa

rinokoniunqtiviti, asTma, WinWris cieba/kvinkes SeSupeba, atopiuri da araatopiuri egzema, kvebiTi alergia, medikamuntur alergia, anafilaqsia da sxv. alergiuli daavadebebi SeiZleba davyoT paTogenezis mixedviT IgE-gaSualebul da ara-IgE-gaSualebul alergiul reqciebad. alergologia aris samedicino specialoba, romelic emyareba alergiuli daavadebebis prevencias, diagnostikas, marTvasa da reabilitacias. klinikuri imunologia dakavSirebulia imunuri sistemis disfunqciasTan da imunur daavadebebTan, romelic asaxulia ZiriTad kurikulumSi. pacientebs, romlebsac aReniSnebaT imunologiuri paTologiebi, xSirad uwevT sxva specialistebTanac konsultacia. alergologi/klinikuri imunologi aris specialisti, romelmac unda SeiZinos kompetenciis gansazRvruli done alergiuli da imunuri daavadebebis diagnostikisa da marTvis sakiTxebSi.

zogierT evropul qveyanaSi specialoba moicavs orives: alergologiasa da imunologias, Tumca arsebobs qveynebi, sadac alergologia da klinikuri imunologia ori damoukidebeli specialobaa, an nawilia iseTi specialobebisa, rogoricaa dermatologia, pulmonologia da sxv.

ZiriTadi kurikulumi moicavs swavlebis rogorc Teoriul, ise praqtikul aspeqtebs.:

• Teoriuli aspeqtebi maZiebels aZlevs safuZvlian da mecnierul codnas specialobis Sesaxeb.

• praqtikuli aspeqtebi aZlevs maZiebels codnas da praqtikul gamocdilebas, romelic mas esaWiroeba alergiuli da imunologiuri daavadebis diagnostikis, mkurnalobisa da prevenciisaTvis.

zogadi moTxovnebizogadi moTxovnebizogadi moTxovnebizogadi moTxovnebi

alergologiasa da klinikur imunologiaSi swavlebis ZiriTadi mizania. rom maZiebelma miiRos Seabamisi codna da kompetenturi praqtika mocemul specialobaSi. maZiebelma unda miiRos ganaTleba pediatriul alergologiaSi da praqtikuli gamocdileba rogorc ambulatoriul, ise stacionaris pirobebSi. alergologiisa da klinikuri imunologiis saswavlo programis damaTavrebamde maZiebels aqvs saSualeba gaxdes samedicino eqsperti klinikur sakiTxebSi, komunikatorisamedicino eqsperti klinikur sakiTxebSi, komunikatorisamedicino eqsperti klinikur sakiTxebSi, komunikatorisamedicino eqsperti klinikur sakiTxebSi, komunikatori, kolaboratori, , kolaboratori, , kolaboratori, , kolaboratori, menejeri, jandacvis muSaki, mkvlevari, profesionali.menejeri, jandacvis muSaki, mkvlevari, profesionali.menejeri, jandacvis muSaki, mkvlevari, profesionali.menejeri, jandacvis muSaki, mkvlevari, profesionali.

alergologia/klinikuri imunologiis specialobis damTavrebis Semdeg maZiebelma unda SeZlos

• alergiuli da imunuri daavadebebiT daavadebuli pacientebis swori da mtkicebiT medicinaze dafuZnebuli diagnozis dasma da maTi marTva.

• pacientebis konsultacia da agreTve farTe sazogadoebis ganaTleba alergiuli da imunuri daavadebebis prevenciasa da reabilitaciis Sesaxeb.

• pacientebsa da maT ojaxebTan efeqturi komunikaciis damyareba.

• konstruqtiuli da efeqturi urTierTobis damyareba sxva kolegebTan, gansakuTrebiT mosazRvre specialistebTan da jandacvis sxva muSakebTan.

• jandacvis gundTan Sesabamisi urTierTobis damyareba, gundis wevris funqciis Sesruleba

• monawileobis miReba studentebis, sxva eqimebis da jandacvis muSakebis, pacientebisa da maTi ojaxebis ganaTlebaSi.

• alergiuli da imunuri daavadebebiT pacientebis marTvisaTvis saWiro teqnikuri manipulaciebis codna.

• samedicino dokumentaciis sruli da safuZvliani Sevseba.

• personaluri uwyveti ganaTlebis strategiis ganviTareba da alergologiasa da klinikur imunologiaSi zedmiwevniT daxelovneba.

• alergologiasa da klinikur imunologiaSi literaturis kritikuli Sefaseba da pacientis marTvis Sesabamisi informaciis moZieba.

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alergologiasa da klinikur imunologiaSi swavlebis programis periodSi maZiebelma unda miiRos praqtikuli klinikuri gamocdilebis farTe moculoba, romelic moicavs mwvave da qronikul alergiul da imunur daavadebaTa mkurnalobas, ambulatoriul daxmarebas, prevenciasa da reabilitacias. maZiebeli unda CarTuli iyos saswavlo da samecniero kvleviT procesSi. maZiebelma unda gamoavlinos codna, gamocdileba, praqtikuli Cvevebi, sqesis, kulturisa da eTnikuri Taviseburebebis gaTvaliswinebiT. yvela maZiebelma unda gamoavlinos mzadyofna, rom moaxdinos sakuTari Zalebis koncentracia praqtikul da kvleviT meTodologiaSi monacemebis prezentaciisa da analizis dros. maZiebelma unda SesZlos pacientis mkurnalobis periodSi Tanamonawileoba, xolo saswvlo programis dasrulebisas damoukideblad gadawyvetilebis miReba. samedicino eqsperti _ klinsamedicino eqsperti _ klinsamedicino eqsperti _ klinsamedicino eqsperti _ klinikuri gadawyvetilebis mimRebiikuri gadawyvetilebis mimRebiikuri gadawyvetilebis mimRebiikuri gadawyvetilebis mimRebi zogadi moTxovnebizogadi moTxovnebizogadi moTxovnebizogadi moTxovnebi

• diagnostikuri da Terapiuli unar-Cvevebis demonstrireba pacientis efeqturi da eTikuri movlisTvis.

• Sesabamisis informaciis mopoveba da warmodgena klinikuri praqtikisTvis.

• efeqturi konsultaciis demonstrireba, pacientis movlis, ganaTlebisa da uflebebis gacnobis TvalsazrisiT.

specifikuri moTxovnaspecifikuri moTxovnaspecifikuri moTxovnaspecifikuri moTxovna bavSvTa alergolog/imunologi unda iyos eqsperti bavSvTa alergiuli da klinikur

imunologiuri daavadebebis diagnostikisa da menejmentis yvela aspeqtSi. alergolog/klinikur imunologs unda SeeZlos Tanamedrove, mtkicebiT medicinaze dafuZnebuli da xarjTefeqturi praqtikuli saqmianobis warmarTva. man unda Tavi Seikavos arasaWiro an zianis momtani gamokvlevebis daniSvnisagan. ufro metic alergolog/klinikur imunologma unda warmoadginos specifikuri teqnikuri unar-Cvevebi diagnostikasa da mkurnalobaSi.

bavSvTa alergolog/klinikur imunologma unda uzrunvelyos samedicino momsaxureoba sazogadoebis sxvadasxva fenaSi. maZiebels unda hqondes Sesabamisi codna, unar-Cvevebi, Tvisebebi, raTa man SesZlos urTierToba sxvadasxva sqesis, kulturis da erovnebis pacientebTan da maT mSoblebTan. man unda gaacnobieros am perspeqtivebis mniSvneloba kvleviT meTodologiaSi, samecniero prezentaciebsa da kvleviTi analizebis warmoebisas.

komunikatorikomunikatorikomunikatorikomunikatori zogadi mozogadi mozogadi mozogadi moTxovnebi:Txovnebi:Txovnebi:Txovnebi:

• efeqturi mosmenis unari.

• pacientebsa da maT ojaxebTan urTierTobebis mogvareba.

• pacientebs, maT ojaxebisa da axloblebidan Sesabamisi anamnezis Segroveba da analizi.

• pacientebsa da maT ojaxebTan da jandacvis gundTan Sesabamisi informaciis Sesaxeb diskusia.

specifikuri moTxovnebispecifikuri moTxovnebispecifikuri moTxovnebispecifikuri moTxovnebi bavSvTa alergolog/klinikur imunologma unda daamyaros efeqturi kavSiri pacientebsa da

ojaxebTan, aseve sxva eqimebTan, imisaTvis rom Catardes saukeTeso samedicino momsaxureoba. kargi sakomunikacio unar-Cvevebi safuZvlad udevs detaluri anamnezis Segrovebas, garkveuli

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informaciis miRebas pacientebidan da maTi ojaxebidan da kavSiris damyarebas, romelic dafuZnebulia ndobaze, gagebaze da TanagrZnobaze.

maZiebels unda SeeZlos:

• yuradRebiT mosmena, pacientebisa da maTi ojaxis wevrebidan anamnezis Segroveba da analizi. • iyos mzrunveli, gamgebi, TanamgrZnobi da konfidencialuri.

• Sesabamisi informacia unda warmoadginos mkafiod, lakonurad, rogorc werilobiT aseve zepirsityvierad. SesZlos Sesabamisi istoriis dawera.

• SesZlos pacientebisa da maTi ojaxis wevrebis, agreTve sxva samedicino profesionalebis ganaTleba da informacia pacientis mdgomareobis, menejmentis, risk faqtorebisa da meoradi prevenciis Sesaxeb.

• SesZlos iseTi faqtorebis gageba rogorica: asaki, sqesi, eTnokulturaluri da socioekonomiuri faqtorebis roli pacientTan mimarTebaSi da maTi kavSiri mkurnalobasTan.

kolaboratorikolaboratorikolaboratorikolaboratori zogadi moTxovnebi:zogadi moTxovnebi:zogadi moTxovnebi:zogadi moTxovnebi:

• efeqturi konsultacia eqimebTan da jandacvis profesionalebTan

• efeqturi monawileoba interdisciplinarul gundur aqtivobaSi. specifikuri moTxovnspecifikuri moTxovnspecifikuri moTxovnspecifikuri moTxovnebiebiebiebi bavSvTa alergolog/klinikur imunologs unda SeeZlos muSaoba jandacvis sxva muSakebTan, romlebic CarTuli arian pacientis mkurnalobaSi. Zalian mniSvnelovania maTi unari efeqturi urTierTTanamSromlobisa multidisciplinarul gundSi. maZiebelma unda warmoadginos Tavisi SesaZleblobebi:

• sxva eqimebTan da jandacvis muSakebTan konsultacia da maTi rolis gageba da mniSvneloba

• efeqturi da konstruqciuli TanamSromloba multidisciplinarul gundur aqtivobaSi. gundis ganviTarebis xelSewyoba, eqspertizis arsis Secnoba da gundis sxva wevrebis azris gaziareba.

menejerimenejerimenejerimenejeri zogadi moTxovnebizogadi moTxovnebizogadi moTxovnebizogadi moTxovnebi

• pacientis movlis resursebis efeqturi gamoyeneba. • swavlisa da gare resursebis gamoyenebis saWiroeba. • jandacvis SezRuduli resursebis gonivrulad ganawileba. • efeqturi muSaoba da kvalificiuroba jandacvis organizaciaSi. • informaciuli teqnologiis gamoyeneba pacientis mkurnalobis optimizaciisTvis xangrZlivi swavleba da sxva aqtivobebi.

specifikuri moTxovnebispecifikuri moTxovnebispecifikuri moTxovnebispecifikuri moTxovnebi alergolog/klinikur imunologma unda SesZlos prioritetebis gamoyofa, efeqturi muSaoba kolegebTan da jandacvis SezRuduli resursebis swori ganawileba. maZiebelma unda warmoadginosmaZiebelma unda warmoadginosmaZiebelma unda warmoadginosmaZiebelma unda warmoadginos

• praqtikisa da drois menejmentis unar-Cvevebi, maT Soris punqtualoba, dagegmva, prioritetebis miniWeba, daxarisxeba.

8

• jandacvis sxvadasxva sakiTxis upiratesobebi da naklovani mxareebi, romlebic SeiZleba Segvxvdes saavadmyofos, ambulatoriul klinikasa da saxlis pirobebSi.

• Terapiuli da prevenciuli jandacvis programebis xarjT-efeqturobisa da Rirebulebis gageba da unari Sesabamisis gadawyvetilebis miRebisa, romelic dafuZnebulia pacientisa da adamianebis momasaxureobis damtkicebul upiratesobabze.

• xarisxis menejmentis programebis gageba da Sesabamisis progaramebis ganviTarebis unari, pasuxisgeblobis gaTvaliswinebiT.

• informaciuli teqnologiis gamoyenebis unari, rogorc pacientis optimaliuri menejmentis mniSvnelovani saSualeba.

• jandacvis gundis muSaobis organizaciisa da koordinaciis unari, rogorc pacientis eqimi, romelic pasuxismgebelia samedicino momsaxureobis gawevaze.

janmrTelobis damcvelijanmrTelobis damcvelijanmrTelobis damcvelijanmrTelobis damcveli zogadi moTxovnilebebzogadi moTxovnilebebzogadi moTxovnilebebzogadi moTxovnilebebi:i:i:i:

• daavadebuli pacientebis mniSvnelovani determinantebis identifikacia

• efeqturi TanamSromloba pacientebisa da sazogadoebis janmrTelobis mdgomareobis gasaumjobeseblad.

• im sakiTxebis Secnoba da pasuxis gacema, romelTa dacva aucilebelia specifikuri moTxovnspecifikuri moTxovnspecifikuri moTxovnspecifikuri moTxovnebiebiebiebi alergolog/klinikuri imunologebi TamaSoben mniSvnelovan rols individualuri pacientebis janmrTelobis mdgomareobis dacvaSi, rogorc sakuTari praqtikis ganxorcielebisas, ise farTe sazogadoebaSic. janmrTelobis dacva xorcieldeba alergolog/klinikuri imunologebisa da maTi profesiuli organizaciebis mier. maZiebelma unda SesZlosmaZiebelma unda SesZlosmaZiebelma unda SesZlosmaZiebelma unda SesZlos:

• janmrTelobis biologiuri, fsiqologiuri garemos da ekonomiuri determinantebis identifikacia. am informaciis gamoyeneba menejmentisa da prevenciis gegmaSi. aseve unda darwmundes, rom pacients SeuZlia janmrTelobis dacvisa da socialuri servisebis miReba.

• unda SesZlos pacientis jgufebis gamoyofa, romelic arian alergiuli/imunologiuri daavdebebis riskis jgufisa da garTulebebis matarebelni da unda gamoavlinos Sesabamisi codna maTi pirveladi da meoradi prevenciis Sesaxeb.

• unda SesZlos farTe sazogadoebaSi alergiul/imunologiuri jandacvis gaumjobesebis sakiTxebis gadawyveta.

mkvlevarimkvlevarimkvlevarimkvlevari zogadi moTxovnebizogadi moTxovnebizogadi moTxovnebizogadi moTxovnebi:

• personaluri uwyveti ganaTlebis strategiis implementacia da monitoringi

• samedicino informaciis wyaros kritikuli Sefaseba

• pacientebis, gundis, studentebis da sxva jandacvis profesionalebis swavlebis xelSewyoba.

• axali codnis ganviTarebis xelSewyoba specifikuri moTxovnebi:specifikuri moTxovnebi:specifikuri moTxovnebi:specifikuri moTxovnebi: alergolog/klinikurma imunologma unda mudmivad iswrafvodes Tavis profesiaSi daxelovnebisaken. maT unda hqondes pasuxisgebloba sakuTari swavlebis mimdinareobaze. maT

9

unda xeli Seuwyon pacientebis, studentebis, kolegebis ganaTlebas, mecnierul kvlevas da publikacias. alergologiasa da klinikur imunologiaSi ZiriTadi saswavlo kursi. (J.Malling, J.Gayraud, P.Papageorgiu-Saxoni, B.Hornung, J.Rosado-Pinto, SG Del Giacco & UEMS section and Board Allergology and Clinical Immunology, “Objectives of training and specialty training core curriculum in Allergology and Clinical Immunology”. Allergy 2004, 59:579-588) gulisxmobs Semdegi specifiuri codnis miRebas:

• sabaziso mecnierebebis

• Teoriuli codna (3 done)

• praqtikuli codna (3 done ris misaRwevad saWiroa:

• eqimis specialobis Sesabamisi codniT da kompetenturi praqtikis aucilebeli teqnikiT aRWurvis uzrunvelyofa;

• eqimma unda miiRos ganaTleba bavSvTa alergologiaSi da unda hqondes Sexeba rogorc ambulatoriul, ise hospitalur pacientebTan;

• mzadebis bolos specialisti unda iyos profesionali alergologiaSi, klinikuri gadawyvetilebis mimRebi, kargi komunikatori, TanamSromeli da menejeri.

Teoriuli codna:

• bazisuri mecnierebebi: o imunuri sistemis anatomia da ujredebi o imunuri meqanizmebi o imunomodulacia imunur pasuxSi o lorwovani garsis imuniteti o transplantacia da simsivneebis imunologia o imunoregulirebis meqanizmebi

klinikuri mecnierebebi:

alergiuli daavadebebi 1.zogadi aspeqtebi

• alergiuli daavadebebis epidemiologia

• alergiuli daavadebebis prevalentoba da incidentoba

• alergiuli daavadebebis risk-faqtorebi

• alergiuli daavadebebis genetika

• alergenebi da maTi maxasiaTeblebi 2. diagnostikuri procedurebi

• kanis testebi

• nazaluri gamokvleva

• pulmonologiuri testebi

• provokaciuli testebi

• garemos alergenebis eqspoziciuri kvleva 3. laboratoriuli gamokvlevis meTodebi

• serologiuri

• ujreduli

• imuno-fluorescensiuli da imuno-histoqimiuri

• imuno blotingi

• hibridomebi da monoklonuri antisxeulebi 4. Terapiuli midgomebi

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• alergenis eliminacia

• alergen-specifiuri imunoTerapia

• farmakoTerapia (Teoriuli da praqtikuli)

• alergenebis eqstraqtebis momzadeba 5. kvlevis principebi

• eTikuri

• eqsperimentuli proeqtireba da kargi klinikuri praqtika

• monacemTa analizi da biostatistika

• epidemiologia

• grantis momzadeba kompetenciis doneebi (1)

Teoriuli codna

• pirveli done: Sinagani medicinis da pediatriis eqimebTan Sesadari codnis done

• meore done: eqimebis mier bazisuri imunologiis fundamenturi safuZvlebis, Seasabamisi daavadebebis etiologiisa da paTogenezis codna

• mesame done: eqimebis mier bazisuri imunologiis safuZvlebis, Seasabamisi daavadebebis etiologiisa da paTogenezis detaluri codna

praqtikuli codna

• pirveli done: eqims aqvs Sesabamis sferoSi zedamxedvelobis qveS muSaobis unari

• meore done: eqims aqvs ZiriTadi testebis da daavadebebis diagnostikuri da Terapiuli SesaZleblobebis mniSvnelovani codna da ararTul SemTxvevaSi zedamxedvelobis gareSe muSaobis unari

• mesame done: eqimis mier ZiriTadi testebis da daavadebebis diagnostikuri da Terapiuli SesaZleblobebis detaluri codna da specialobiT zedamxedvelobis gareSe muSaobis unari klinikuri TanamSromloba

• Oorgan-specifiur specialistebTan ufro rTuli SemTxvevebisTvis

• zogadi praqtikis eqimebTan alergiuli pacientebis diagnostirebasa da mkurnalobaSi mxardaWerisTvis

• pacientTa acosiaciebTan

bavSvTa alergologma/imunologma SeiZleba imuSaos

• alergiis centrebSi, romelic ganTavsebulia saxelmwifo dawesebulebebSi (universitetebi, hospitlebi)

• saxelmwifo dawesebulebebSi sxva specilobebisa da zogadi praqtikis eqimebis konsultantad

• kerZo praqtikaSi

maZiebelma unda SesZlos:maZiebelma unda SesZlos:maZiebelma unda SesZlos:maZiebelma unda SesZlos:

• sakuTari uwyveti ganaTlebis strategiis gamoyeneba da ganviTareba.

• samedicino informaciis sxvadasxva wyaros kritikuli Sefasebis principebi

• gamoiyenos mtkicebiT medicinaze damyarebuli standartebi alergologiuri da klinikuri imunologiuri daavadebebis mkurnalobaSi.

• alergiuli da klinikuri imunologiuri daavadebebis mecnieruli kvlevis mniSvneloba da gageba, monawileobis miReba klinikur da /an sabaziso kvlevaSi, samedicino informaciis mopovebisaTvis gamosayenebeli sxvadasxva midgomebi.

• studentebis, pacientebis da sxva jandacvis profesionalebis xelis Sewyoba.

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muxli 2. specialistis profesiuli zogadi codnamuxli 2. specialistis profesiuli zogadi codnamuxli 2. specialistis profesiuli zogadi codnamuxli 2. specialistis profesiuli zogadi codna bavSvTa bavSvTa bavSvTa bavSvTa alergologi/imunologi specialistialergologi/imunologi specialistialergologi/imunologi specialistialergologi/imunologi specialisti unda flobdes codnas Semdegi kanonebis unda flobdes codnas Semdegi kanonebis unda flobdes codnas Semdegi kanonebis unda flobdes codnas Semdegi kanonebis Sesabamisad: Sesabamisad: Sesabamisad: Sesabamisad:

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

⇒ saerTaSoriso deklaraciebi an sxva rekomendaciebisaerTaSoriso deklaraciebi an sxva rekomendaciebisaerTaSoriso deklaraciebi an sxva rekomendaciebisaerTaSoriso deklaraciebi an sxva rekomendaciebi mag.:mag.:mag.:mag.: ⇒ The World Medical Association Declaration of Madrid on Professional Autonomy and Self-

Regulation (http://www.wma.net/e/policy/a21.htm) ⇒ Medical Practice (http://www.allbusiness.com/services/health-services-offices-clinics-doctors/3778853-

1.html) ⇒ profesiuli pasuxismgeblobis aspeqtebi, saukeTeso samedicino praqtikisa (good

medical practice) da cudi (malpractice) praqtikis Sefaseba; The Royal College of Physicians. CLINICAL GOVERNANCE. http://www.nihcm.org/pdf/medicine-health.pdf

⇒ zogadi samedicino menejmenti (krizisuli situaciebis marTva, drois menejmenti, jgufuri muSaobis principebi); Hospital.crisis.net: http://www.hospitalcrisis.net/

Crisis Preparedness and Management. http://www.tellem.com/services_crisis_communications.html

muxli 3. zogadi unarmuxli 3. zogadi unarmuxli 3. zogadi unarmuxli 3. zogadi unar----CvevebiCvevebiCvevebiCvevebi –––– bavSvTa alergolog/imbavSvTa alergolog/imbavSvTa alergolog/imbavSvTa alergolog/imunologsunologsunologsunologs unda SeeZlosunda SeeZlosunda SeeZlosunda SeeZlos

⇒ pacientTan klinikuri muSaoba ⇒ diagnostikuri procedurebis gansazRvra ⇒ laboratoriasTan erTad diganostikis marTva ⇒ sabaziso samedicino procedurebis Catareba ⇒ litaraturuli wyaroebis moZieba da maTi gamoyeneba ⇒ urTierToba sxva specialistebTan diagnozis SemuSavebis dros

⇒ gamoavlinos komunikaciuri SesaZleblobebi. efeqturad da eTikis normebis dacviT iurTierTos pacientTan, misi ojaxis wevreban an momvlelebTan da samedicino personalTan.

muxli 4. specialoba moicavs muxli 4. specialoba moicavs muxli 4. specialoba moicavs muxli 4. specialoba moicavs alergiuli daavadebebis, imunodeficitalergiuli daavadebebis, imunodeficitalergiuli daavadebebis, imunodeficitalergiuli daavadebebis, imunodeficitebis, ebis, ebis, ebis, imunoregulatoruli moSlilobebis imonodiagnostikas, mkurnalobas, marTvasa da imunoregulatoruli moSlilobebis imonodiagnostikas, mkurnalobas, marTvasa da imunoregulatoruli moSlilobebis imonodiagnostikas, mkurnalobas, marTvasa da imunoregulatoruli moSlilobebis imonodiagnostikas, mkurnalobas, marTvasa da profilaqtikas. profilaqtikas. profilaqtikas. profilaqtikas.

bazisuri mecnierebidan saWiroa Semdegi codnis miReba:

1. imunuri sistemis anatomia da ujredebi

• limfoiduri organoebi – anatomia da funqciebi;

• imunuri pasuxis ujredebi, maTi unikaluri Tvisebebi, da dadebiTi da uaryofiTi seleqcia ontogenezis dros.

2. imunuri meqanizmebi Tandayolili da SeZenili imuniteti histoSeTavsebis mTavari kompleqsi – molekuluri struqtura da funqcia

12

antigenebi – warmoSoba da prezentacia alergenebi – struqtura, epitopebi imunogenetika T-ujredebiT gaSualebuli imuniteti citokinebi B-ujredebiT gaSualebuli imuniteti T- da B ujredebis urTierTqmedeba da signalis transduqcia imunoglobulinebis produqcia da epitopebis gamocnoba antisxeulebis izotipebi da humoruli pasuxis ganviTareba antisxeuliT dawyebuli biologiuri procesi. IgM, IgG, IgA antisxeulebiT gaSualebuli reaqciebi, mag. opsonizacia, komplementis fiqsacia, antisxeu-damokidebuli ujredebiT-gaSualebuli citotoqsiuroba

• imunoglobulini (IgE) – struqtura, funqcia, sinTezi, regulacia, receptorebi.

• imunoglobulini E-iT gaSualebuli dauyovnebeli da mogvianebiTi tipis reaqcia.

• imunuri kompleqsebi – fizikuri Tvisebebi, imunologiuri Tvisebebi da klirensis meqanizmebi

• imunodeficitebi sxva imunuri meqnizmebi

• naturaluri kilerebi

• limfokinebis mier aqtivirebuli kilerebi

• komplementi da komplementis ukmarisoba imunuri sistemis funqcionirebisas receptor-ligandis urTierTqmedeba –adheziuri molekulebi, komplementis receptorebi, IgE receptorebi, Fc receptorebi. receptor-ligandis urTierTqmedebiT gamowveuli signalis transduqcia. genetikuri polimorfizmi, rac funqciis momatebas an dakargvas iwvevs. imunologiuri mexsiereba imunuri pasuxis imunomodulacia

1. citokinebi, qemokinebi, adheziuri molekulebi da zrdis faqtorebi 2. anTeba da misi modulacia

• mediatorebi – winaswar da axlad warmoqmnili

• efeqtoruli ujredebi anTebaSi (alergiuli da sxva)

• poxieri ujredebi da bazofilebi – struqtura, aqtivacia, winaswar warmoqmnili mediatorebi, araqidonis mJavas metabolizmi, prostaglandinebi, leikotrienebi, Trombocitebis aqtivaciis faqtori (PAF).

• eozinofilebi – struqtura, aqtivacia, mediatorebi lorwovanis imuniteti 1. araimunologiuri - fermentebi, mJavebi, glikokaliqsi, normuli flora da sxv. 2. imunologiuri – lorwovanTan-asocirebuli limfoiduri qsovili, antigenis

procesingi, antisxeulebi da ujreduli produqcia, ujredebis migracia. transplantaciuri imunologia

1. alotransplantantis gandevnis meqanizmi 2. reaqcia transplantanti maspinZlis winaaRmdeg;

simsivnis imunologia

13

1. simsivnuri ujredebis antigenebi – unikaluri simsivnis-specifikuri antigenebi da simsivnesTan asociirebuli antigenebi

2. onkogenebi, translokacia da simsivnis supresoruli genebi 3. imunologiuri zedamxedvelobis meqnizmebi 4. tolerantobis meqanizmebi 5. idiotipuri qselebi 6. apoptozi

alergiuli daavadebebi ZiriTadi aspeqtebi

• alergiuli daavadebebis epidemiologia – garemo

• alergiuli daavadebebis prevalensi da insidensi

• alergiuli daavadebebis risk-faqtorebi

• alergiuli daavadebebis genetika

• alergenebi – cilebis ojaxebis koncefcia (profilinebi, lipokalinebi, PR (pathogens related – paTogen dakavSirebuli) cilebi, da sxva), warmoSobis wyaro, fizikur-qimiuri Tvisebebi da mniSvneloba daavadebisaTvis, jvaredinad-moreagire alergenebi, haptenebi da mcire molekuluri komponentebi, rekombinantuli alergenebi, aerobiologia

sadiagnostiko procedurebi kanis testireba: Sesruleba

• kanis prik testireba

• kanSida testebi

• peC-testebi

• dayovnebuli tipis kanis testebi igive alergenebiT. cxviris gamokvleva: Sesruleba

• cxviris gamokvleva (sarkiT)

• cxviris endoskopiuri gamokvleva (arasavaldebulo)

• rinomamometria (arasavaldebulo) filtvis funqciuri testebi: Sesruleba

• pik-flou metria

• spirometria

• sxeulis pletizmografia (arasavaldebulo)

• bronqoalveoluri lavaJi (arasavaldebulo)

• inducirebuli naxveli provokaciuli testebi: Sesruleba

• koniunqtivitis alergen-provokaciuli testi

• cxviris araspecifikuri provokaciuli testi

• cxviris alergen-provokaciuli testi

• bronqebis araspecifikuri provokaciuli testi

• bronqebis alergen-provokaciuli testi

• sakvebis provokaciuli testi

• wamlis provokaciuli testi

• profesiuli alergenebis eqspoziciis testi

• mweris nakbenis provokaciuli testi (arasavaldebulo)

• fizikuri datvirTvis provokaciuli testi

• fizikuri (sicive, sicxe, wneva) provokaciuli testi garemoSi alergenebis gamokvleva: garemoSi alergenebis kvlevis Catareba (oTaxis mtvris tkipebis, cxovelebis bewvis da sxv.)

14

laboratoriuli gamokvlevebi

1. teqnikuri saSualebebi: am teqnikuri saSualebebis principisa da meTologiis gageba, kerZod, Tu rogor xdeba imunoglobulinebis donis gansazRvra, imunoglobulinebis klasebisa da subklasebis gansazRvra, limfocitebis fenotipireba, mitogenze, antigensa da alogenur ujredebze ujreduli pasuxis gansazRvra, cilebis krioprecipitacia, Sratis komplementis saerTo aqtivobis da komplementis komponentebis gansazRvra da histoSeTavsebis tipireba:

• serologia: ELISA, radioimunuri sinji, in vitro diagnostikuri testebi (mag. RAST, histaminis gamonTavisuflebis testi), radialuri imunodifuzia, nefelometria, imunobloti, maRal efeqturi Txevadi qromatografia, imunoeleqtroforezi, eleqtroimunodifuzia da cilebis eleqtroforezi.

• ujreduli gamoklvlevebi: gamdinare citofotometria, qemotaqsis, fagocitozis, citolizis, limfocitebis proliferaciis da imunoglobulinebis warmoqmnis analizi.

• imunofluorescencia da imunohistoqimia

• “Northern, Southern, Western” blotebi; polimerazis jaWvuri reaqcia, kritikuli wertilis analizi, ligazis jaWvuri reaqcia, in situ hibridizacia

• hibridoma da monoklonuri antisxeulebi 2. testis Sesrulebis maxasiaTeblebi: mgrZnobelobis, specifikurobis da

WeSmariti aRmocenebis maCveneblebis principebi da testis xarjT-efeqturoba. TerapiuliTerapiuliTerapiuliTerapiuli midgomebimidgomebimidgomebimidgomebi

1) alergenis Tavidan acileba

• Teoriuli: Carevis racionalizacia, Cvenebebi da xarjTefeqturoba

• praqtikuli: alergenis Tavidan acilebis Catareba

2) alergen-specifiuri imunoTerapia

• Teoriuli: mkurnalobis principebi, sxvadasxva reJimebi, alergenebis eqstraqtebi, Cvenebebi, ukuCvenebebi, urTierTqmedeba sxva medikamentebTan da daavadebebTan, gverdiTi efeqtebi, prevenciuli zomebi, Soreuli Sedegebi da xarjTefeqturoba.

• praqtikuli: induqciuri da SemanarCunebeli Terapiis Catareba (rogorc sainhalacio, aseve himenopteras alergenebis mimarT alergiul pacientebSi).

g) farmakoTerapia antihistaminuri preparatebiT, TeofiliniT, alfa da beta agonistebiT, simpatomimetikebiT, kromonebiT, antiqolinerguli medikamentebiT, kortikosteroidebiT, leikotrienebis antagonistebiT, imunosupresorebiT, mukolitikebiT, antibiotikebiT, lokaluri dermatologiuri TerapiiT da sxva axali Taobis preparatebiT.

• Teoriuli: medikamentebiT mkurnalobis principebi, Cvenebebi, ukuCvenebebi, urTierTmimarTeba sxva medikamentebTan da daavadebebTan, nabiji win da nabiji ukan mkurnalobis principebi, Terapiuli SesaZleblobebi, da xarjTefeqturoba.

• praqtikuli: pasuxismgebloba pacientis farmakologiur mkurnalobaze, gverdiTi efeqtebis marTvis gaTvaliswinebiT.

3) alergenuli eqstraqtis damzadeba.

15

• Teoriuli: alergenuli eqstraqtis damzadebis principebi

kvlevis principebikvlevis principebikvlevis principebikvlevis principebi

1. eTikis sakiTxebi (helsinkis deklaracia). 2. eqsperimentuli dizaini da kargi klinikuri parqtika. 3. monacemTa analizi da biostatistika. 4. epidemiologia. 5. grantis dawera

specifiuri daavadebebispecifiuri daavadebebispecifiuri daavadebebispecifiuri daavadebebi zogierTi aRniSnuli daavadeba diagnostirdeba alergologis/klinikuri imunologis mier, magram mkurnaloba tardeba sxva dargis specialistis mier an masTan erTad. aRniSnuli daavadebebis Sesaxeb praqtikuli codna moicavs mkurnalobas, mkurnalobasTan dakavSirebuli SesaZlo gverdiTi efeqtebis marTvas da pacientis ganaTlebas. Teoriuli codna identuria yvela daavadebisaTvis da moicavs: fiziologias, paTologias, diagnozs, diferencialur diagnozs da mkurnalobas medikamentis moqmedebis meqanizmis, dozirebis, gverdiTi efeqtebisa da Rirebulebis gaTvaliswinebiT.

1. zeda sasunTqi gzebi a) riniti

• praqtikuli mxare: nazaluri sekreciis Sefaseba, nazuli provokaciuli testis daniSnulebisa da meTodologiis gageba, ciliaruli funqciis Sefaseba; rinoskopia; cxviris gamokvleva; radiografiuli gamokvlevis Sefaseba, romelic moicavs kompiuterul kvlevasac, garemos Sefaseba.

b) sinusiti

• praqtikuli mxare: rinoskopia, nazaluri gamokvleva; radiologiuri gamokvlevis Sefaseba, romelic moicavs kompiuterul kvlevasac.

g) nazaluri polipozi

• praqtikuli mxare: ciliaruli funqciis Sefaseba; rinoskopia; nazaluri gamokvleva; radiologiuri gamokvlevis Sefaseba, romelic moicavs kompiuterul kvlevasac.

d) Sua yuris anTeba (baqteriuli an serozuli)

• praqtikuli mxare: yuris gamokvleva; radiologiuri gamokvlevis Sefaseba, romelic moicavs kompiuterul kvlevasac. timpanometria.

e) xorxis daavadebebi

• praqtikuli mxare: laringoskopia 2. Tvalis daavadebebi

a) koniunqtiviti

• praqtikuli mxare: koniunqtivis inspeqcia

b) iriti; iridocikliti * (oftalmologTan erToblivad)

16

• praqtikuli mxare: Tvalis gamokvleva ofTalmologTan erTad. g) keratokoniunqtiviti

• praqtikuli mxare: Tvalis gamokvleva ofTalmologTan erTad.

3. kanis daavadebebi

a) urtikaria da angioedema

• praqtikuli mxare: kanis gamokvlva, dauyovnebeli hipermgrZobelobis kanis testebi,

fizikuri urtikariis Sefasebis testebi, autologiuri Sratis kanis testi, kanis

biofsia da imunohistologia.

b) atopiuri dermatiti


atopiis patch testebi da kvebiTi provokacia.

g) kontaqturi dermatiti

• praqtikuli mxare: kanis gamokvleva, patch testebi, kanSida testebi da aplikaciuri

testebi.

d) mastocitozi

• praqtikuli mxare: kanis gamokvleva, kanis biofsia, triptazis da histaminis

metabolitebi. xSirad mkurnaloba tardeba sxva dargis specialistTan erTad.

e) wamlismieri gamonayari

• praqtikuli mxare: kanis gamokvleva, patch testebi, wamlis kanis testebi da in

vitro testebi.

v) hipermgrZnobelobis reaqciebi (mag. hipermgrZnobelobis vaskuliti da kanis sxva imunologiuri

daavadebebi)

• praqtikuli mxare: kanis gamokvleva, patch testebi, dauyovnebeli

hipermgrZnobelobis kanis testebi, kanis biofsia.

4. qveda respiratoruli traqti

a) asTma (alergiuli, datvirTviT-inducirebuli, sulfitebiT gamowveuli, aspirinuli,

profesiuli, menstrualur ciklTan dakavSirebuli, infeqciasTan dakavSirebuli da Sinagani)

• praqtikuli mxare: gulmkerdis gamokvleva, filtvis funqciuri testebi, bronqebis

provokaciuli testi, naxvelis analizi, bronqoskopia da bronqialuri lavaJis

interpretacia, radiografia.

b) alergiuli bronqopulmonaluri aspergilozi

• praqtikuli mxare: gulmkerdis gamokvleva, precipitirebadi antisxeulebis testis

Sesrulebis daxasiaTeba, filtvis funqciuri testebi, bronqebis provokaciuli

testi, naxvelis analizi, bronqoskopiisa da bronqialuri lavaJis da

radiografiuli gamokvlevis interpretacia.

g) hipersensitiuri pnevmoniti


Sesrulebis daxasiaTeba, bronqebis provokaciuli testi, naxvelis analizi,

bronqoskopiisa da bronqialuri lavaJis da radiografiuli gamokvlevis

interpretacia.

c) qronikuli obstruqciuli filtvis daavadeba

• praqtikuli mxare: umeteswilad mkurnaloben sxva dargis specialistebi

d) cisturi fibrozi

17


e) umoZrao wamwamis sindromi


v) sarkoidozi


z) qronikuli xvelis sindromi

• praqtikuli mxare: mkurnaloba sxva dargis specialistTan erTad

5. wamlismieri hipermgrZnobeloba

• praqtikuli mxare: medikamentiT kanis testebi da in vitro testebi, patch testebi,

provokaciuli testebi (oraluri, intravenuri, intramuskularuli, subkutanuri)

desensibilizaciis protokoli.

6. sakvebTan dakavSirebuli gverdiTi reaqciebi

a) kvebiTi alergia da autanloba

• praqtikuli mxare: kanis testebi sakvebi alergenebiT, provokaciuli testebi sakvebi

alergenebiT (Ria, placebo-kontrolirebadi, ormagi-brma), kombinacia kvebiTi

provokaciuli da datvirTvis testebis, Sesabamisi dietis daniSvna.

b) kvebiT danamatebze reaqciebi

• praqtikuli mxare: kvebiT danamatebze provokaciuli testebi (Ria, placebo-

kontrolirebadi, ormagi-brma)

g) mgrZnobeloba gluteinis mimarT

• praqtikuli mxare: glutein enteropaTiis dasadgeni sadiagnostiko testebi

c) nawlavis traqtis eozinofiluri daavadebebi

• praqtikuli mxare: kvebiTi alergiis kanis testebi, kvebiTi provokaciuli testebi

(Ria, placebo-kontrolirebadi, ormagi-brma)

7. anafilaqsia

a) anafilaqsia (alergen-indicirebuli, sisxlis produqtebiT gamowveuli, datvirTviT

inducirebuli, menstrualur ciklTan dakavSirebuli, idiopaTiuri, medikamentbTan

dakavSirebuli da radiokontrastuli saSualebebiT ganpirobebuli)

• praqtikuli mxare: gadaudebeli mkurnaloba, testireba SesaZlo pasuxismgebel

alergenebze mag. araqisi, penicilini, lateqsi da a.S. provokaciuli testebi,

profilaqtika.

8. inseqturi hipermgrZnobeloba

a) mweris nakbenTan dakavSirebuli reaqciebi

• praqtikuli mxare: mwerebis SxamiT kanis testireba, gadaudebeli daxmarebis

instruqcia, alergen-specifiuri imunoTerapia.

b) hipermgrZnobelobis sxva reaqciebi

• praqtikuli mxare: gadaudebeli daxmarebis instruqcia, simptomuri mkurnaloba.

imunodeficituri daavadebebi

18

imunodeficituri daavadebebis da Sesabamisi testebis codna alergologis/klinikuri imunologis

saswavlo programis ZiriTadi komponentia. aRniSnuli dargis rezidenti kargad unda icnobdes am

daavadbebis paTfiziologias, diferencialur diagnozs da mkurnalobas. imunodeficituri

daavadebebis diagnostireba da mkurnaloba tardeba ara marto alergologis/klinikuri imunologis

mier, aramed sxva dargis specialistis mierac.

Teoriuli codna identuria yvela daavadebisaTvis da moicavs: fiziologias, paTologias, diagnozs,

diferencialur diagnozs da mkurnalobas medikamentis moqmedebis meqanizmis, dozirebis, gverdiTi

efeqtebis da mkurnalobis safasuris gaTvaliswinebiT.

1. komplementis deficiti

a) memkvidreobiTi da SeZenili angioedema

• praqtikuli mxare: C-1–esTerazas inhibitoris raodenobrivi da funqciuri testebis

interpretacia, komplementis C3, C4, C1q fraqciebi, mutaciebis kvleva.

b) komplemntis komponentis deficiti

• praqtikuli mxare: komplementis testis interpretacia.

2. pirveladi imunodeficitebi

a) mZime kombinirebuli imunodeficiti, di-jorjis sindromi, adenozin diaminazas

deficiti, ataqsia telangieqtazia, viskot-oldriCis sindromi, Tandayolili X-

SeWiduli agamaglobilinemia, seleqtiuri IgA deficiti, IgG qveklasebis deficiti,

hiper-IgE sindromi, hiper-IgM sindromi, zogadi variabeluri imunodeficiti.

• praqtikuli mxare: Timusis Crdilis Sefaseba, seriozuli morecidive infeqciebis

Sefaseba, imunoglobulinebis donis da funqcionaluri antisxeulebis

interpretacia. limfocitebis subpopulaciebi da maTi funqcia, dayovnebuli kanis

testebis ganxorcieleba da interpretacia.

3. SeZenili imunodeficitebi

a) SeZenili imunodeficitis sindromi, qromosomuli defeqtebi, metaboluri defeqtebi,

imunosupresia, virusuli infeqciebi, parazitozi, kvebiTi deficiti-malnutricia,

simsivneebi, autoimunuri daavadebebi, damwvroba, spleneqtomia da radiacia. *

• praqtikuli mxare: adamianis imunodeficitis virusis testebis interpretacia ( ELISA da vestern bloti), polimerizaciis jaWvuri reaqcia, limfocitebis

subpopulaciebi da funqcia.

4. fagocituri ujredebis darRvevebi

a) qronikuli granulomatozuri daavadeba bavSvebSi, mieloperoqsidazas deficiti,

leikocit-adheziuri darRvevebi (1 da 2 tipi), Cediak-hagasis sindromi, hiper-

eozinofiluri sindromi da mastocitozi. *

• praqtikuli mxare: leikocitebis funqciis Sefaseba, qemiluminescenturi testis

interpretacia, zedapiruli glikoproteinebis testebi ( mag. CD1 , a, b, c da CD18), fenotipebis interpretacia, qemotaqsis sinjis interpretacia, neitrofilebis

absoluturi raodenobis interpretacia, superoqsidazas generacia, NBT testireba.

imunoregulatoruli darRvevebi

19

1. autoimunuri daavadebebi

a) organuli da araorganuli autoimunuri daavadebebi, rogoricaa sistemuri wiTeli

mglura, sxva kolagenur-vaskularuli daavadebebi, imunuri endokrinopaTia, anTebiTi

gastroenteropaTiebi, imunologiuri nevropaTiebi da neiro-kunTovani daavadebebi,

imuno-hematologiuri daavadebebi da Tvalis imunologiuri daavadebebi da sxv.

praqtikuli mxare: fizikuri mdgomareobis interpretacia, antisxeulebis

(antinuklearuli antisxeulebi, anti-dnm, anti-Rho da anti-La, anti-receptoruli

antisxeulebi, antifosfolipiduri antisxeulebi da sxv.) testis Sedegebis

interpretacia

2. vaskulitebi

a) mcire sisxlZarRvebis daavadeba, saSualo sisxlZarRvebis daavadeba, msxvili

sisxlZarRvebis daavadeba, filtvisa da Tirkmlis imunuri daavadeba da kriocilebi.

praqtikuli mxare: fizikuri mdgomareobis interpretacia, kanis, Tirkmlisa da filtvis

biofsiuri masalis Sefaseba (interpretacia), sisxlSi mocirkulire imunuri kompleqsis

donis interpretacia, krioglobulinebisa da autoantisxeulebis interpretacia

3. transplantacia da reaqcia transplantanti-maspinZlis winaaRmdeg

a) transplantaciis Semdgomi reaqciis transplantanti maspinZlis winaaRmdeg farmako

da imunomodulacia

praqtikuli mxare: Cveulebriv diagnozi da mkurnaloba uzrunvelyofilia sxva dargis

specialistebis mier

4. imunur sistemasTan dakavSirebuli malignizacia

a) plazmuri ujredebis diskrazia, mravlobiTi mieloma. praqtikuli mxare: Sratis cilebis eleqtroforezis interpretacia, imunoeleqtroforezis

interpretacia, Sratis imunoglobulinebis donis interpretacia, limfocitebis

subpopulaciebis Sefaseba/interpretacia. mkurnaloba Cveulebriv uzrunvelyofilia sxva

dargis specialistebis mier.

5. reproduqciuli sistemis imunologiuri defeqtebi

a) uSviloba (mamakacis da qalis), abortebi (qronikuli), rezusis SeuTavsebloba,

sisxlis jgufis SeuTavsebloba, meoradi reproduqciuli defeqtebi

praqtikuli mxare: anti RH/AB antisxeulebis donis interpretacia da Sesabamisi

autoantisxeulebis interpretacia.

6. imunomodulacia

1. imunosupresantebi

2. imunuri rekonstitucia

3. gamaglobulini da monoklonuri antisxeulebi

4. citokinuri receptorebi da receptorebis antagonistebi

5. vaqcinebi

6. plazmaferezi da citoferezi

7. rekombinantuli molekulebi

muxli 5. im muxli 5. im muxli 5. im muxli 5. im laboratoriullaboratoriullaboratoriullaboratoriul----instrumentuli gamokvlevebis CamonaTvali, romelTa instrumentuli gamokvlevebis CamonaTvali, romelTa instrumentuli gamokvlevebis CamonaTvali, romelTa instrumentuli gamokvlevebis CamonaTvali, romelTa Sedegebis interpretacia Sedegebis interpretacia Sedegebis interpretacia Sedegebis interpretacia da klinikuri Sefaseba unda SeeZ;os da klinikuri Sefaseba unda SeeZ;os da klinikuri Sefaseba unda SeeZ;os da klinikuri Sefaseba unda SeeZ;os bavSvTa bavSvTa bavSvTa bavSvTa eqim eqim eqim eqim ––––alergolog/imunologalergolog/imunologalergolog/imunologalergolog/imunolog specialists;specialists;specialists;specialists;

diagnostikuri procedurebi (detalurad warmodgenilia muxl 4-Si )

• kanis alergologiuri testebi

• nazaluri gamokvleva

• pulmonologiuri testebi

20

• provokaciuli testebi

• garemos alergenebis eqspoziciuri kvleva

laboratoriuli gamokvlevis meTodebi

• serologiuri

• ujreduli

• imuno-fluorescensiuli da imuno- histoqimiuri

• imuno blotingi

• hibridomebi da monoklonuri antisxeulebi

garda amisa: sisxlis, Sardis, naxvelis, ganavlis rutinuli kliniko, bioqimiuri da mokrobiologiuri laboratoriuli monacemebis interpretacia, pjr interpretacia, ultrabgeriTi gamokvlevis interpretacia.

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);

kerZo nawilikerZo nawilikerZo nawilikerZo nawili sadiagnostiko procedurebi kanis testireba: Sesruleba


• kanSida testebi

• peC-testebi

• dayovnebuli tipis kanis testebi igive alergenebiT. cxviris gamokvleva: Sesruleba



• rinomamometria (arasavaldebulo) filtvis funqciuri testebi: Sesruleba

• pik-flou metria

• spirometria



• inducirebuli naxveli provokaciuli testebi: Sesruleba











• fizikuri (sicive, sicxe, wneva) provokaciuli testi garemoSi alergenebis gamokvleva: garemoSi alergenebis kvlevis Catareba (oTaxis mtvris tkipebis, cxovelebis bewvis da sxv.)

21

TerapiuliTerapiuliTerapiuliTerapiuli midgomebimidgomebimidgomebimidgomebi

alergenis Tavidan acileba

• Teoriuli: Carevis racionalizacia, Cvenebebi da xarjTefeqturoba


alergen-specifiuri imunoTerapia

• Teoriuli: mkurnalobis principebi, sxvadasxva reJimebi, alergenebis eqstraqtebi, Cvenebebi, ukuCvenebebi, urTierTqmedeba sxva medikamentebTan da daavadebebTan, gverdiTi efeqtebi, prevenciuli zomebi, Soreuli Sedegebi da xarjTefeqturoba.

• praqtikuli: induqciuri da SemanarCunebeli Terapiis Catareba (rogorc sainhalacio, aseve himenopteras alergenebis mimarT alergiul pacientebSi)

gadaudebeli daxmareba alergiul daavadebaTa kritikuli mdgomareobaSi 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,profilaqtika, diagnostika,profilaqtika, diagnostika,profilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqimpirveladi daxmareba da mkurnaloba unda SeeZlos eqimpirveladi daxmareba da mkurnaloba unda SeeZlos eqimpirveladi daxmareba da mkurnaloba unda SeeZlos eqim----specialists.specialists.specialists.specialists.

• alergiuli rinokoniuqntiviti

• nazaluri polipozi

• sinusiti, otiti

• laringealuri darRvevebi

• qronikuli xvela

• asTma, Ffizikuri datvirTviT ganpirobebuli asTma, profesiuli asTma

• alergiuli bronqopulmonuri aspergilozi

• hipermgrZnobelobiTi pnevmonia

• filtvis qronikuli obstruqciuli daavadeba

• cisturi fibrozi

• uZravi wamwamebis sindromi

• sarkoidozi

• WinWris cieba da kvinkes daavadeba

• atopiuri dermatiti/ekzema

• kontaqturi dermatiti

• mastocitozi

• wamlismieri alergia

• kanis hipermgrZnobelobis reaqcia

• wamlebis mimarT hipermgrZnobeloba

• kvebiTi alergia

• sakveb danamatebze reaqciebi

• luteinis mimarT zemgrZnobeloba

• gastrointestinaluri eozinofiliuri daavadebebi

• anafilaqsia

• mweris nakbenze hipermgrZnobeloba

• imunodeficiti (komplementebis deficiti, pirveladi imunodeficiti, SeZenili imunodeficiti, fagocituri ujredebis darRvevebi)

• imunoregulatoruli darRvevebi

• sistemuri autoimunuri daavadebebi

• vaskuliti

22

• transplantacia da GvHRs • imunitetTan dakavSirebuli axalwarmonaqmnebi

• imunuri reproduqciuli defeqtebi

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

sarezidento programis ganxorcielebisas gamoyenebuli iqneba - leqciebi, Semovlebi, morigeobebi ufros samedicino personalan, prezentaciebi, monawileoba konferenciebSi, diskusiebi, testebi, referatebi.

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 doneebi:

kompetenciis donekompetenciis donekompetenciis donekompetenciis done

1. rezidenturis programis direqtori atarebs rezidentis mier Catarebuli saqmianobis periodul da Semajamebel Sefasebas.

2. perioduli Sefaseba tardeba rezidentis mzadebis yoveli calkeuli ciklis dasrulebis Semdeg (magram aranakleb weliwadSi erTxel), mis mier am ciklis periodSi Catarebuli muSaobis Sedegebis analizis safuZvelze. rezidentis periodul Sefasebas atarebs programis direqtori lokalur klinikur xelmZRvanelebTan erTad.

3. rezidenturis programis dasrulebis Semdeg, rezidenturis programaSi monawile dawesebulebebis lokaluri klinikuri xelmZRvanelebis da programis direqtoris mier tardeba rezidentebis Semajamebeli Sefaseba.

4. rezidenturis programiT profesiuli mzadebis Sedegebis Sefasebis procedura iTvaliswinebs rezidentis mier piradad:

_ gatarebuli avadmyofebis raodenobas da daavadebebis mravalferovnebas; _ Catarebuli diagnostikuri da samkurnalo procedurebis nairsaxeobas, raodenobasa

da xarisxs;

_ dawerili da Sevsebuli samedicino dokumentaciis (avadmyofis istoriebi, gamokvlevis daskvnebi, amonawerebi, samedicino cnobebi da sxva) raodenobasa da xarisxs;

_ samedicino konferenciebisa da seminarebis muSaobaSi misi personaluri monawileobis (gamosvlebis) sixSires da dones;

_ calkeuli samedicino dawesebulebebSi Tu ganyofilebebSi lokaluri klinikuri xelmZRvanelebisagan miRebul daxasiaTebebs.

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

1.1.1.1. asrulebs damoukidebladasrulebs damoukidebladasrulebs damoukidebladasrulebs damoukideblad

2.2.2.2. asrulebs lokalur xelmZRasrulebs lokalur xelmZRasrulebs lokalur xelmZRasrulebs lokalur xelmZRvanelTan erTad vanelTan erTad vanelTan erTad vanelTan erTad

3.3.3.3. aris damkvirvebeliaris damkvirvebeliaris damkvirvebeliaris damkvirvebeli

23

� Teoriuli mzadeba – refereti

� praqtikuli saqmianoba – unar-Cvevebi

� monacemTa Segrovevebisa da fiqsirebis saSualebebi – istoriis Sevseba

� Sesasrulebeli manipulaciebis/operaciebis CamonaTvali (sasurvelia cxrilebis gamoyeneba) – 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 ganisazRvreba 3 wliT ( 33 TviT). es aris is minimaluri dro, rodesac rezidents/specialobis maZiebels SeuZlia Seiswavlos ZiriTadi infeqciuri paTologia da SeZlos diagnostikis, prevenciis da infeqciuri kontrolis marTva, aseve SemdgomSi damoukidebeli praqtikuli saqmianobis warmarTva

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 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

24

diplomisSemdgomi ganaTlebis (profesiuli mzadebis) kursis gavla” (#135/n; 18.04.2007).

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

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

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

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

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

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

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

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

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

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

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

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

9. lokaluri xelmZRvanelebis saqmianobis zedamxedveloba da Sefaseba.

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

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

wesis mixedviT Sefaseba;

25

3. program direqtorTan erTad SeimuSaveben rezidentis atestaciis formatis SemuSaveba;

4. rezidentis Semajamebeli atestaciis procesSi monawileoba; 5. saWiroebis SemTxvevaSi, programis direqtorisaTvis rezidenturis

programasTan dakavSirebul nebismier sakiTxebze konsultaciis gaweva.

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

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

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

direqtorisaTvis rezidentis mier gaweuli samuSaos Sesaxeb angariSis wardgena;

4. rezidentis dRiurSi rezidentis mier Sesrulebuli samuSaos xelmoweriT dadastureba.

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

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

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

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

4. rezidenti valdebulia Seasrulos rezidenturis programiT gansazRvruli kurikulumi;

5. rezidenti valdebulia programiT gansazRvruli da Sesrulebuli saqmianoba daafiqsiros personalur dRiurSi;

6. rezidenti valdebulia yoveli wlis bolos warudginos programis direqtors gaweuli muSaobis angariSi da gaiaros etapobrivi da damasrulebeli atestacia dadgenili wesiT;

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

Tavi VI.Tavi VI.Tavi VI.Tavi VI. programis etapobrivi ganxorcielebis aRweriloba programis etapobrivi ganxorcielebis aRweriloba programis etapobrivi ganxorcielebis aRweriloba programis etapobrivi ganxorcielebis aRweriloba

(wlebis mixedviT) (wlebis mixedviT) (wlebis mixedviT) (wlebis mixedviT)

rezidenturis programarezidenturis programarezidenturis programarezidenturis programa

“bavSvTa alergologia da imunologia” “bavSvTa alergologia da imunologia” “bavSvTa alergologia da imunologia” “bavSvTa alergologia da imunologia” –––– 33 Tve33 Tve33 Tve33 Tve 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 –––– 11111111

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

modulis dasaxeleba xangrlivoba

26

1.1 eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri safuZvlebi

2 kvira

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

1.91.91.91.9 mozardTa medicinamozardTa medicinamozardTa medicinamozardTa medicina 2 Tv2 Tv2 Tv2 Tveeee

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

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

muxli muxli muxli muxli 3333. mzadebis pirveli wlis modulebis raodenoba. mzadebis pirveli wlis modulebis raodenoba. mzadebis pirveli wlis modulebis raodenoba. mzadebis pirveli wlis modulebis raodenoba ---- 7777

profesiuli mprofesiuli mprofesiuli mprofesiuli momzadebis I weliomzadebis I weliomzadebis I weliomzadebis I weli modulimodulimodulimoduli N N

Mmodulis dasaxelebaMmodulis dasaxelebaMmodulis dasaxelebaMmodulis dasaxeleba

xangrZlivobaxangrZlivobaxangrZlivobaxangrZlivoba

2.1. bazisuri bazisuri bazisuri bazisuri alergologiaalergologiaalergologiaalergologia 1 Tve1 Tve1 Tve1 Tve 2.2 bazisuri imunologiabazisuri imunologiabazisuri imunologiabazisuri imunologia 1 Tve1 Tve1 Tve1 Tve 2.3 diagnostikuri procedurebidiagnostikuri procedurebidiagnostikuri procedurebidiagnostikuri procedurebi 1 Tve1 Tve1 Tve1 Tve 2.4 laboratoriuli gamokvlevis meTodebilaboratoriuli gamokvlevis meTodebilaboratoriuli gamokvlevis meTodebilaboratoriuli gamokvlevis meTodebi 1 Tve1 Tve1 Tve1 Tve 2.5 Terapiuli midgomebiTerapiuli midgomebiTerapiuli midgomebiTerapiuli midgomebi 1 Tve1 Tve1 Tve1 Tve 2.6 bavSvTa hipoalergiuli kvebis aspeqtebibavSvTa hipoalergiuli kvebis aspeqtebibavSvTa hipoalergiuli kvebis aspeqtebibavSvTa hipoalergiuli kvebis aspeqtebi 1 Tve1 Tve1 Tve1 Tve 2222.7.7.7.7

kerZo alergologia/imunologia (diagnkerZo alergologia/imunologia (diagnkerZo alergologia/imunologia (diagnkerZo alergologia/imunologia (diagnostika, mkurnaloba da ostika, mkurnaloba da ostika, mkurnaloba da ostika, mkurnaloba da prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi)

5 Tve5 Tve5 Tve5 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:

• rezidenti unda daeuflos bavSvTa alergologia/imunologiis bazisur safuZvlebs, diagnostikur da laboratoriul meTodebs, Terapiul midgomebs da kerZo alergologiis (alergiuli rinokoniuqntiviti, nazaluri polipozi, sinusiti, otiti, laringealuri darRvevebi, qronikuli xvela, asTma, Ffizikuri datvirTviT ganpirobebuli asTma, profesiuli asTma) da aseve, kerZo imunologiis (imunodeficiti: komplementebis deficiti, pirveladi imunodeficiti, SeZenili imunodeficiti, fagocituri ujredebis darRvevebi) Taviseburebebs ambulatoriul klinikaSi. rezidentma unda daamuSaos bavSvTa hipoalergiuli kvebis moduli.

mmmmuxli uxli uxli uxli 5555. mzadebis meore wlis modulebis raodenoba. mzadebis meore wlis modulebis raodenoba. mzadebis meore wlis modulebis raodenoba. mzadebis meore wlis modulebis raodenoba –––– 6666

profesiuli momzadebis III weliprofesiuli momzadebis III weliprofesiuli momzadebis III weliprofesiuli momzadebis III weli modulimodulimodulimoduli N N



27

3.1. kerZo alergologia/imunologia (diagnostika, mkurnaloba kerZo alergologia/imunologia (diagnostika, mkurnaloba kerZo alergologia/imunologia (diagnostika, mkurnaloba kerZo alergologia/imunologia (diagnostika, mkurnaloba stacionarSi)stacionarSi)stacionarSi)stacionarSi)


3.2 kerZo alergologia/imunologia (diagnostika, kerZo alergologia/imunologia (diagnostika, kerZo alergologia/imunologia (diagnostika, kerZo alergologia/imunologia (diagnostika, gadaudebeli daxmareba)gadaudebeli daxmareba)gadaudebeli daxmareba)gadaudebeli daxmareba)


3.3 bavSvTa ftiziatriisa da pulmonologiisbavSvTa ftiziatriisa da pulmonologiisbavSvTa ftiziatriisa da pulmonologiisbavSvTa ftiziatriisa da pulmonologiis TaviseburTaviseburTaviseburTaviseburebebiebebiebebiebebi


3..4 bavSvTa otorinolaringologiabavSvTa otorinolaringologiabavSvTa otorinolaringologiabavSvTa otorinolaringologia 1 Tve1 Tve1 Tve1 Tve 3.5 imunomodulacia imunomodulacia imunomodulacia imunomodulacia 1 Tve1 Tve1 Tve1 Tve 3.6 kerZo alergologia/imunologia (diagnostika, mkurnaloba da kerZo alergologia/imunologia (diagnostika, mkurnaloba da kerZo alergologia/imunologia (diagnostika, mkurnaloba da kerZo alergologia/imunologia (diagnostika, mkurnaloba da

prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi) 5 Tve5 Tve5 Tve5 Tve

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

rezidenti unda daeuflos qvemoT CamoTvlil alergiuli da imunopaTologiuri darRvevebiT mimdinare daavadebebis (alergiuli bronqopulmonuri aspergilozi, hipermgrZnobelobiTi pnevmonia, filtvis qronikuli obstruqciuli daavadeba, cisturi fibrozi, uZravi wamwamebis sindromi, sarkoidozi, WinWris cieba da kvinkes SeSupeba, atopiuri dermatiti/egzema, kontaqturi dermatitis, mastocitozi, wamlismieri alergia, kanis hipermgrZnobelobis reaqcia, wamlebis mimarT hipermgrZnobeloba, kvebiTi alergia, sakveb danamatebze reaqciebi, luteinis mimarT zemgrZnobeloba, gastrointestinaluri eozinofiliuri daavadebebi, anafilaqsia, mweris nakbenze hipermgrZnobeloba, imunoregulatoruli darRvevebi, sistemuri autoimunuri daavadebebi, vaskuliti, transplantacia da GvHRs, imunitetTan dakavSirebuli axalwarmonaqmnebi, imunuri reproduqciuli defeqtebi) safuZvlebs, maT marTvas ambulatoriasa da stacionarSi. gansakuTrebuli yuradReba unda daeTmos sicocxlisaTvis gansakuTrebiT saSiSi daavadebebis: anafilaqsiuri Sokis, bronquli asTmis mwvave Setevis, laringospazmis, mwvave urtikariisa da kvinkes SeSupebis diagnostikas, gadaudebel daxmarebas, mkurnalobasa da prevencias. bavSvTa alergologi/imunologi unda icnobdes bavSvTa asakis ftiziatriuli da pulmonologiuri paTologiis (tuberkulozi, cisturi fibrozi, sasunTq sistemaSi ucxo sxeuli da sxv.) marTvis Taviseburebebs, iseve rogorc otorinolaringologiur praqtikaSi bavSvTa asakobriv alergologiur Taviseburebebs laringitis, larinqotraqeitis, laringospazmis, alergiuli rinokoniunqtivitis, cxviris Rrus polipozis, alergiuli rinosinusitebis dros. rezidenti unda iyos gaTviTcnobierebuli imunomodulaciuri Terapiis saSualebebSi.

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 eTikuri da samarTlebrivi Ueqimisa da pacientis urTierTobis eTikuri da samarTlebrivi Ueqimisa da pacientis urTierTobis eTikuri da samarTlebrivi Ueqimisa da pacientis urTierTobis eTikuri da samarTlebrivi aspeqtebiaspeqtebiaspeqtebiaspeqtebi

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

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

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

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

28

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 Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 1mocemulia cxrili # 1mocemulia cxrili # 1mocemulia cxrili # 1----is saxiT:is saxiT:is saxiT:is saxiT:

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

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

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

eqimisa da peqimisa da peqimisa da peqimisa da pacientis urTierTobis modelebiacientis urTierTobis modelebiacientis urTierTobis modelebiacientis urTierTobis modelebi prezentaciebis analizi

saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli magaliTebimagaliTebimagaliTebimagaliTebi, -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;

informaciuli Tanxmobainformaciuli Tanxmobainformaciuli Tanxmobainformaciuli 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 teqnologieaxali teqnologieaxali teqnologieaxali teqnologiebibibibi -transplantacia, adamianis organoebis gadanergvis samarTlebrivi da eTikuri sakiTxebi, donoris Tanxmobis sakanonmdeblo modelebi

29

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

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 saerTaSoriso dokumentebi saerTaSoriso dokumentebi saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis janmrTelobis dacvis sferoSi adamianis janmrTelobis dacvis sferoSi adamianis janmrTelobis dacvis sferoSi adamianis uflebebze uflebebze uflebebze uflebebze -bioeTikis da adamianis uflebebis sayovelTao deklaracia, -msoflio samedicino asociaciis eTikis kodeqsi, -konvencia adamianis uflebebisa da biomedicinis Sesaxeb,da sxva

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

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

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

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

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

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

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

2. samedisamedisamedisamedicino eTika (bioeTika) cino eTika (bioeTika) cino eTika (bioeTika) cino 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.

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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

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 saerTaSoriso asociiaciidan miRebuli masalebibioeTikosTa saerTaSoriso asociiaciidan miRebuli masalebibioeTikosTa saerTaSoriso asociiaciidan miRebuli masalebibioeTikosTa saerTaSoriso asociiaciidan miRebuli masalebi,

http://bioethicsinternational.org 32. msoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebi,

http://www.wma.net/e/ethicsunit/index.htm 33. The Center for Bioethics and Human Dignity http://www.cbhd.org/ 34. Feminist Approaches to Bioethics -http://www.pdcnet.org/member-fab. 35. BioethicsWeb - http://bioethicsweb.ac.uk/ 36. http://www.unesco.org/ibc/ www.unesco.org/shs/bioethics 37. msoflios janmrTelobis organizaciis veb gverdze ganTavsebuli masalebimsoflios janmrTelobis organizaciis veb gverdze ganTavsebuli masalebimsoflios janmrTelobis organizaciis veb gverdze ganTavsebuli masalebimsoflios janmrTelobis organizaciis veb gverdze ganTavsebuli masalebi----

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

University , BIOETHICS CURRICULUM UNITS FROM THE KENNEDY INST ITUTE 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. fundamenfundamenfundamenfundamenturi medicinis Tanamedrove aspeqtebituri medicinis Tanamedrove aspeqtebituri medicinis Tanamedrove aspeqtebituri 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

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qimiuri preparetebis zemoqmedebis efeqturi gamovlinebebi da daavadebaTa koreqciis zogadi principebi;

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

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

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

paTfiziologiis qvemoduli:

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

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

3. adapturi stres-reaqcia. stresuli da antistresuli meqanizmebi. eqstremaluri faqtoris zemoqmedebiT ganviTarebuli paTogenuri stresi. Sokuri mdgomareobis 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 Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba

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

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

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

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

organizmis sxvadasxva funqciurorganizmis sxvadasxva funqciurorganizmis sxvadasxva funqciurorganizmis sxvadasxva funqciur----struqturul doneze ganviTarebuli struqturul doneze ganviTarebuli struqturul doneze ganviTarebuli struqturul doneze ganviTarebuli paTologiuri procesebis urTierTobisa da integraciis kanonzomierebani.paTologiuri procesebis urTierTobisa da integraciis kanonzomierebani.paTologiuri procesebis urTierTobisa da integraciis kanonzomierebani.paTologiuri 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 reaqcia. zogadi adaptaciuri reaqcia. zogadi adaptaciuri reaqcia. zogadi adaptaciuri sindromi. sindromi. sindromi. sindromi. stresuli hormonebi. centraluri da periferiuli antistresuli meqanizmebi, stresuli cilebi.


eqstremaluri mdgomareobis zogadi eqstremaluri mdgomareobis zogadi eqstremaluri mdgomareobis zogadi eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis paTogenezi. Soki, Sokis paTogenezi. Soki, Sokis 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

imuimuimuimunuri sistemis zogadi daxasiaTeba. nuri sistemis zogadi daxasiaTeba. nuri sistemis zogadi daxasiaTeba. nuri 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.

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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 imunoprecipitacia. antisxeulTa izolacia. monoklonuri antisxeulebis produqcia.

testireba

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

arasasurveli wamlismieri reaqciebarasasurveli wamlismieri reaqciebarasasurveli wamlismieri reaqciebarasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, i. klinikuri farmakoekonomika, i. klinikuri farmakoekonomika, i. 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).


34

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

testireba

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

modulis dasrulebis Semdeg rezidents/specialobis maZiebelma unda icodes/SeeZlos:

1. integraciis sxvadasxva doneze organizmis cxovelmoqmedebis zogadi kanonzomierebebis (molekuluridan-organizmulamde) da principebis Sefaseba;

2. daavadebul organizmSi mimdinare adaptaciuri procesebis, avadmyofobis aRmocenebis, mimdinareobisa da gamosavlis zogadi meqanizmebis, paTogenezuri profilaqtikis, Terapiis principebis da meTodebis Sefaseba;

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

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


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

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

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

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

5. Диффузная внесинаптическая нейропередача посредством глутамата и ГАМК .

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

24. Кукес В.Г. Клиническая фармакология. Учебник для медицинских ВУЗов.-М.ГЭОТАР-МЕД, 2004.

25. Основы клинической фармакологии и рационалъной фармакотерапии. Под общей ред. Белоусова Ю.Б., Леоновой М.В.-М., Бионика, 2002.

26. Верткин А.Л. Скорая медицинская помощъ.-М., ГЭОТАР-МЕД, 2003. 27. Михаилов И.Б. . Клиническая фармакология. С-Пт., Фолиант, 2002. 28. Лоуренс Д.Р.,Бенитт П.Н. . Клиническая фармакология. Москва

«Медицина», 1993. 29. Интенсивная Терапия, реанимация, первая помощъ». Под. ред. Малышева

В.Д. Москва «Медицина», 2000. 30. n.foraqiSvili. struqturuli imunologia. gamzadebulia dasabeWdad. 31. T Ciqovani. imunologia. amonabeWdis saxiT. mzaddeba dasabeWdad. 32. g.burkaZe. imunomorfologia. norma, paTologia (I da II nawili) 33. Борисов Л.Б. Медицинская микробиология, вирусология, иммунология. Москва.

2001 34. Roitt, I., Brostoff, J. and Male, D. Immunology (7th edn.) Mosby. 2003. 35. C.A.Janeway, P.Travers, M. Walport, M.Shlomchik. Immunobiology. 6th edition., 2005 36. Supplement to The J. of Allergy and Clinical Immunology, 2003, vol.111, No.2

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

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

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

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

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

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

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

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

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

• fsiqomotoruli ganviTarebis Sefaseba. gonebriv ganviTarebaSi CamorCena.

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

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

36

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

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

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

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

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

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

• fsiqiuri darRvevebi: depresia, Sizofrenia, autizmi.

• Zaladoba da uyuradReboba. suicidi. medikamentebze damokidebuleba.


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

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

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

miTiTebiT)miTiTebiT)miTiTebiT)miTiTebiT)

davalebadavalebadavalebadavaleba

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

axalSobil da Cvil bavSvTa sigrZis da masis gazomva _ 30

rezidentma unda daweros TveSi erTi referati, sasurvelia gaakeTos prezentacia an moxseneba rezidentTa konferenciisaTvis modulis Sefaseba xdeba xelmZRvanelis mier yoveli Tvis bolos zepiri gasaubrebis gziT

bavSvTa simaRlis da wonis gazomva _ 30

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

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

ConCxis da kbilebis ganviTarebis Sefaseba, Zvlovani asakis dadgena.

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

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

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

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

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

Sardis mikroskopuli kvleva_ _ 10

37

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

da modulis bolos testuri CaTvlis da unar-Cvevebis aTvisebis donis Semowmebis gziT.

yuradRebis deficiti/hiperaqtiuri bavSvis sindromis amocnoba da marTvis principebi.

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

kranialuri ultrasonografiuli kvleva _ 10

unarSezRuduli bavSvis specializirebul klasSi gadayvanis kriteriumebi. alternatiuli saganmanaTeblo sistema.

audiometruli testebis Catarebis Cvenebebi. yru bavSvis ganaTlebis SesaZleblobebi.

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

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

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

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

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


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



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

rinoskopia _ 5 otoskopia _ 5 yuris sanacia turundiT _ 5

rezidentma sasurvelia gaakeTos prezentacia an moxseneba rezidentTa konferenciisaTvis modulis Sefaseba xdeba xelmZRvanelis mier

38

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

, cxviridan, xaxidan baqteriologiuri kvlevisaTvis _ 10 laringoskopia _ 3

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

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

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

8. laringomalacia. qronikuli adenoiditis da tonzilitis konservatuli mkurnaloba_ 5

9. cervikaluri adenopaTia. 10. ybayura jirkvlis hiperplazia: parotiti, limfadeniti, simsivne, limfosarkoma.

muxli 5. moduli 1.5. muxli 5. moduli 1.5. muxli 5. moduli 1.5. muxli 5. moduli 1.5. ofTalmologiuri unarofTalmologiuri unarofTalmologiuri unarofTalmologiuri unar----CvevebiCvevebiCvevebiCvevebi pediatriaSipediatriaSipediatriaSipediatriaSi

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

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

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




1. sacremle gzebis anomalia

nacxis aReba Tvalidan baqteriologiuri kvlevisaTvis _ 5

rezidentma sasurvelia gaakeTos prezentacia an moxseneba rezidentTa konferenciisaTvis modulis Sefaseba xdeba xelmZRvanelis mier yoveli Tvis bolos zepiri gasaubrebis gziT

.2.quTuTos paTologia. ftozi. qveda quTuTos Cabruneba

3. refraqciis da akomodaciis anomalia. strabizmi. astigmatizmi

mxedvelobis skriningi _ 5

39

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

koniuqtivitis diagnostika da marTva wamyvani etiologiuri agentebis gaTvaliwinebiT _ 5

da modulis bolos testuri CaTvlis da unar-Cvevebis aTvisebis donis Semowmebis gziT.

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

Tvalis fskeris daTvaliereba da Sedegebis interpretacia _ 10

6.Tvalis travma. damwvroba.

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

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

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





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

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

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

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

kariesis amocnoba _ 15 Tankbilvis darRvevis diagnostika _ 10

stomatiti. stomatitis mkurnaloba axalSobilebSi, Cvilebsa da bavSvebSi _ 10

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

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

ybis Zvlebis simsivnuri warmonaqmni

naqis (uvula) parezi

40

muxli 7. moduli 1.7. muxli 7. moduli 1.7. muxli 7. moduli 1.7. muxli 7. moduli 1.7. pediatriuli unarpediatriuli unarpediatriuli unarpediatriuli unar----Cvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSi 1. modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira modulis xangrZlivobaa: 2 kvira 2. modulis mizania:modulis mizania:modulis mizania:modulis mizania: rezidentma muliaJebze unda aiTvisos is unar-Cvevebi,

romelic aucilebelia jandacvis pirvelad rgolSi momuSave pediatrisTvis.

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

cxrili 7

# unar-Cvevebis dasaxeleba

1. ZiriTadi sasicocxlo funqciebis stabilizacia da kardiopulmonuri reanimacia

2. otoskopia

3. gareTa sasmeni milis gamorecxva

4. ofTalmoskopia

5. Sardis buStis kaTeterizacia

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

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

10. Wrilobis pirveladi Sefaseba, nakerebis dadeba da moxsna

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

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

3. modulis amocanebimodulis amocanebimodulis amocanebimodulis amocanebi:

• bavSvTa samkurnalo-profilaqtikuri daxmarebis organizacia jandacvis pirvelad rgolSi. samedicino daxmarebis saubno principi. samedicino daxmareba binaze da ambulatoriaSi. axalSobilTa patronaJi. profilaqtikuri gasinjva. pediatris roli bavSvis normalur zrda-ganviTarebaSi, aRzrdaSi, mwvave da qronikuli daavadebebis droul amocnoba, marTvasa da prevenciaSi. janmrTeli cxovrebis wesis propaganda. gadaudebeli samedicino daxmareba hospitalizaciamdel etapze. stacionaruli mkurnalobis Cvenebebi. avadmyofTa reabilitacia da aRdgeniTi Terapia (fizioTerapia, masaJi, samkurnalo fizkultura, refleqsoTerapia). sanatorul-kurortuli mkurnalobis organizacia. fizikuri an fsiqiuri naklis mqone pacientebze meTvalyureoba.

• bavSvTa avadobis struqtura asakobriv WrilSi.

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

• bavSvTa fizikuri da fsiqo-motoruli ganviTarebis Sefaseba.

• bavSvTa kvebis organizacia. moTxovnileba sakveb ingredientebze, vitaminebsa da mineralur marilebze axalSobilebsa da bavSvebSi. 1 wlamde asakis janmrTel bavSvTa kvebis organizacia. kvebis organizacia 1 welze meti asakis janmrTel bavSvebsa mozardebSi. ZuZuTi kvebis teqnika, principebi da problemebi (dedis mxridan, bavSvis mxridan). damatebiTi sakvebis micemis vadebi. Sereuli kveba.

41

xelovnuri kveba (adaptirebuli, araadaptirebuli sakvebi, samkurnalo narevebi). erTidan xuT wlamde asakis bavSvebis kveba. dRenakl bavSvTa kvebis organizacia. kvebis organizacia sxvadasxva daavadebebis dros (kuWis, RviZlis, pankreasis daavadebebi, qolepaTia, nefropaTia, cistofibrozi, celiakia, malabsorbciis sindromi da sxva.).

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

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

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

• qronikuli daavadebebis gamwvavebebis prevencia. antirecidiuli Terapia.

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

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

unda SeeZlosunda SeeZlosunda SeeZlosunda SeeZlos profesiuli unarprofesiuli unarprofesiuli unarprofesiuli unar----Cvevebi Cvevebi Cvevebi Cvevebi (minimaluri odenobis (minimaluri odenobis (minimaluri odenobis (minimaluri odenobis



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

axalSobilis, Cvilis, ufrosi asakis pacientis awona _ 20

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

Tavis garSemowerilobis gazomva _ 20

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

yiflibandis zomebis Sefaseba _ 20

bavSvTa fsiqomotoruli ganviTarebis Sefaseba da asakTan SedarebiT CamorCenis amocnoba.

qcevis paTologiis amocnoba.

smenis, mxedvelobis, stomatologiuri da orTopediuli problemebis amocnoba.

kbilebis raodenobis, mdgomareobis da Tankbilvis Sefaseba _ 10

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

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

samkurnalo kvebis SerCeva. eliminaciuri dietis daniSvna.

42

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

imunizaciis gegmis Sedgena. vaqcinacia _ 15

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

avadmyofi bavSvis gasinjva, savaraudo diagnozis SerCeva _ 15

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

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

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

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

• ganviTarebis kanonzomierebebi mozardobis periodSi:

• biologiuri ganviTareba_zrda, sqesobrivi momwifeba

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

• kognitiuri ganviTareba. fsiqo-socialuri ganviTareba.

• mozardTa avadobis da sikvdilianobis mizezebi da epidemiologia.

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

• ginekomastia. galaqtorea.

• sqesobrivi momwifebis darRveva: naadrevi sqesobrivi momwifeba.

• sqesobrivi momwifebis Seferxeba. pirveladi da meoradi amenorea.

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

• sqesobrivi gziT gadamdebi daavadebebi.

• kontracefcia. orsuloba.

• kanis problemebi.

• orTopediuli problemebi (skoliozi, kifozi, lordozi)

• saxsrebis paTologia (pertesis daavadeba, Slateris daavadeba)

• sportuli tramva.

• alergiuli da autoimunuri daavadebebi revmatiuli daavadebebis epidemiologiastruqtura.

• saSarde gzebis daavadebebi.

• gastroenterologiuri daavadebebi.

• mxedvelobisa da smenis problemebi.

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

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

unda SeeZlosunda SeeZlosunda SeeZlosunda SeeZlos profesiuli unarprofesiuli unarprofesiuli unarprofesiuli unar----Cvevebi Cvevebi Cvevebi Cvevebi (minimaluri odenobis (minimaluri odenobis (minimaluri odenobis (minimaluri odenobis


43

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

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

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

mozardis fizikuri ganviTarebis Sefaseba _ 15

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

mozardis sqesobrivi ganviTarebis Sefaseba taneris SkaliT _ 20

mozardis kognitiuri da fsiqo-socialuri ganviTarebis Sefaseba kiTxvarebis meSveobiT

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

mozardis obieqturi gasinjva _ 25

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

mozardis piradi higiena, sqesobrivi higiena, kontracefcia.

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

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

saSos nacxis aReba da mikroskopuli gamokvleva _ 10

ginekologiuri genezis muclis tkivilis amocnoba. referalis aucileblobis dasabuTeba

ultrasonografiuli kvleva _ 10

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

orTopediuli skriningi _ 15

aucilebeli saxelmZRvaneloebi:aucilebeli saxelmZRvaneloebi:aucilebeli saxelmZRvaneloebi:aucilebeli saxelmZRvaneloebi:

44

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

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

6. Pediatric Secrets – Richard Polin, Mark Ditmar, под редакцией Н.Н. Володина, 2001 (rusul enaze) 7. Bubble CPAP system Manual – Fisher and Paykell Healthcare, 2005 8. Manual of Neonatal Care (Fifth Edition), J. Cloherty, E. Eichenwald, A. 9. Stark, 2004 (qarTul enaze) 10. axalSobilTa daavadebebi - Tbilisi, ”ganaTleba”, 1990, 880gv., 11. g. niJaraZe. i. favleniSvili

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

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

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

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

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

Sobadoba, sicocxlis xangrZlivoba); 6) jandacvis marTis sainformacio sistemebi 7) Tanamedrove epidemiologia, epidemiologiuri kvlevebis tipebi-observaciuli da eqsperimentuli

kvlevebi 8) infeqciur daavadebaTa epidemiologia, epidemia da endemia, transmisia, 9) epidemiologiuri kvlevebis tipebi-onservaciuli da eqsperimentuli kvlevebi 10) epidemiologiuri kvlevebis potenciuri DSecdomebi 11) epidemiologiuri kvlevebis validurobis Sefaseba 12) mizezi da mizez-Sedegobrioba epidemiologiaSi, mizez-Sedegobriobis kriteriumebi 13) infeqciur daavadebaTa epidemiologia,epidemia da endemia, transmisia, bazisuri reproduqciuli

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

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

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

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

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

prezentaciebis ganxilva

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


45

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 Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi

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

maCveneblebis mixedviT (daavadebis gavrceleba da sixSire, letaloba); - vitaluri statistikis ZiriTadi maCveneblebis gamoyeneba da

interpretacia (sikvdiloba, bavSvTa sikvdiloba, dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZlivoba);

- epidemiologiuri kvlevebis validurobis Sefaseba - infeqciur daavadebaTa epidemiologiis safuZvlebis praqtikaSi

gamoyeneba - infeqciur daavadebaTa epidemiis gamokvlevis, zedamxedvelobis da

kontrolis bazisuri principebis praqtikaSi gamoyeneba - prevenciis potencialisa da efeqturobis Sefaseba .


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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

muxli 11. moduli 1.11. muxli 11. moduli 1.11. muxli 11. moduli 1.11. muxli 11. moduli 1.11. mtkicebiTi medicinis da samedicino statistikis mtkicebiTi medicinis da samedicino statistikis mtkicebiTi medicinis da samedicino statistikis mtkicebiTi medicinis da samedicino statistikis safuZvsafuZvsafuZvsafuZvlebi. lebi. lebi. lebi.

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

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

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: 1) klinikur praqtikaSi gamoyenebuli mtkicebiTi medicinis ZiriTadi

principebi 2) randomizirebuli klinikuri gamocdis Sedegebi, maTi validuroba,

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

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

praqtikuli Rirebuleba 6) prognozis Sesaxeb arsebuli mtkicebulebis validuroba da praqtikuli

Rirebuleba 7) dadasturebuli efeqturobis mqone intervenciebis moZieba da maTi

konkretul klinikur situaciebTan misadageba 8) koxranis biblioTeka

47

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.


mocemulia cxrili # 7mocemulia cxrili # 7mocemulia cxrili # 7mocemulia cxrili # 7----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 7

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


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


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

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,

48

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

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

ramdenime cvlads Soris damokidebuleba, mravlobiTi wrfivi regresia

monacemTa standartizacia

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

modulis dasrulebis Semdeg rezidentma/specialobis maZiebelma unda icodes/SeeZlos:

a. klinikur praqtikaSi mtkicebiTi medicinis principebis gamoyeneba b. randomizirebuli klinikuri gamocdis Sedegebis interpretireba, maTi

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

mniSvnelobis da praqtikuli Rirebulebis dadgena d. klinikuri gaidlainis validurobisa da praqtikuli Rirebulebis

dadgena e. diagnostikuri testis Sesaxeb arsebuli mtkicebulebis validurobisa

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

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

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

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

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

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

parametrebisa da sinjis distribuciis maxasiaTeblebisadmi. n. statistikuri analizis bazisuri principebis gamoyeneba (Sefaseba,

hipoTezis testireba, statistikuri modelireba). o. jgufebis Sedareba rogorc uwyveti ise kategoriuli monacemebisaTvis;

aRniSnuli analizis Sedegebis interpretacia. p. or uwyvet cvlads Soris damokidebulebis axsna korelaciisa da wrfivi

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

analizis saSualebiT, Sedegebis interpretacia. r. kompiuteris gamoyeneba monacemTa analizisaTvis, statistikuri

programebis tipebis garCeva, kompiuteruli analizis strategia, monacemTa bazis formireba.


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

49

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tavi VIII. profesiuli mzadebis II wlis mTavi VIII. profesiuli mzadebis II wlis mTavi VIII. profesiuli mzadebis II wlis mTavi VIII. profesiuli mzadebis II wlis modulebiodulebiodulebiodulebi

Pprofesiuli momzadebis IPprofesiuli momzadebis IPprofesiuli momzadebis IPprofesiuli momzadebis IIIII weliwadiweliwadiweliwadiweliwadi

modulimodulimodulimoduli



2.1. Bbazisuri alergologiaBbazisuri alergologiaBbazisuri alergologiaBbazisuri alergologia alergiuli daavadebebis epidemiologia alergiuli daavadebebis prevalentoba/incidentoba alergiuli daavadebebis risk-faqtorebi alergiuli daavadebebis genetika alergenebi da maTi maxasiaTeblebi


2.2 Bbazisuri imunologiaBbazisuri imunologiaBbazisuri imunologiaBbazisuri imunologia imunuri sistemis anatomia da ujredebi imunuri meqanizmebi imunuri pasuxis imunomodulacia lorwovani garsis imuniteti transplantacia da simsivneebis imunologia


2.3 diagnostikuri procedurebidiagnostikuri procedurebidiagnostikuri procedurebidiagnostikuri procedurebi/unar/unar/unar/unar----CvevebiCvevebiCvevebiCvevebi kanis alergologiuri testebi (prik, kanSida, peC-testebi ) nazaluri gamokvleva pulmonologiuri testebi (spirometria,


50

FENO) provokaciuli testebi garemos alergenebis eqspoziciuri kvleva

2.4 laboratoriulaboratoriulaboratoriulaboratoriuli gamokvlevis meTodebili gamokvlevis meTodebili gamokvlevis meTodebili gamokvlevis meTodebi serologiuri (saerTo da specifiuri IgE) ujreduli imuno-fluorescensiuli da imuno- histoqimiuri imuno blotingi hibridomebi da monoklonuri antisxeulebi


2.5 Terapiuli midgomebiTerapiuli midgomebiTerapiuli midgomebiTerapiuli midgomebi farmakoTerapia farmakoTerapia farmakoTerapia farmakoTerapia ((((Teoriuli/praqtikuli-gaidlainebi : PRACTALL, 2008 GINA, 2007; ARIA, 2007)

alergenis alergenis alergenis alergenis eliminaciaeliminaciaeliminaciaeliminacia

• Teoriuli: Carevis racionalizacia, Cvenebebi da

xarjTefeqturoba


alergenalergenalergenalergen----specifiuri imunoTerapiaspecifiuri imunoTerapiaspecifiuri imunoTerapiaspecifiuri imunoTerapia alergen/eqstraqtebis momzadebis Taviseburebebialergen/eqstraqtebis momzadebis Taviseburebebialergen/eqstraqtebis momzadebis Taviseburebebialergen/eqstraqtebis momzadebis Taviseburebebi

• Teoriuli: mkurnalobis principebi, sxvadasxva reJimebi,

alergenebis eqstraqtebi, Cvenebebi, ukuCvenebebi,

urTierTqmedeba sxva medikamentebTan da daavadebebTan,

gverdiTi efeqtebi, prevenciuli zomebi, Soreuli Sedegebi

da xarjTefeqturoba.

• praqtikuli: induqciuri da SemanarCunebeli Terapiis

Catareba (rogorc sainhalacio, aseve himenopteras

alergenebis mimarT alergiul pacientebSi)

gadaudebeli daxmareba alergiul daavadebaTa kritikuli mdgomareobaSi


2.6 bavSvTa hipoalergiuli kvebis aspeqtebibavSvTa hipoalergiuli kvebis aspeqtebibavSvTa hipoalergiuli kvebis aspeqtebibavSvTa hipoalergiuli kvebis aspeqtebi sakvebi narevebi hipoalergiuli dieta


2.2.2.2.7777

AkerZo alergologia/imunologia (diagnostika, mkurnaloba da AkerZo alergologia/imunologia (diagnostika, mkurnaloba da AkerZo alergologia/imunologia (diagnostika, mkurnaloba da AkerZo alergologia/imunologia (diagnostika, mkurnaloba da prevencia ambulatoriul klinikaSiprevencia ambulatoriul klinikaSiprevencia ambulatoriul klinikaSiprevencia ambulatoriul klinikaSi)))) alergiuli rinokoniuqntiviti, nazaluri polipozi, sinusiti, otiti, laringealuri darRvevebi, qronikuli xvela, asTma, Ffizikuri datvirTviT ganpirobebuli asTma, profesiuli asTma, imunodeficiti: komplementebis deficiti, pirveladi imunodeficiti, SeZenili imunodeficiti, fagocituri ujredebis darRveva


aucilebeli praqtikuli unaraucilebeli praqtikuli unaraucilebeli praqtikuli unaraucilebeli praqtikuli unar----CvevebiCvevebiCvevebiCvevebi

ddddiagnostikuri manipulaciebiiagnostikuri manipulaciebiiagnostikuri manipulaciebiiagnostikuri manipulaciebi

kanis testireba: Sesruleba


• kanSida testebi

• peC-testebi

• dayovnebuli tipis kanis testebi igive alergenebiT.

51

cxviris gamokvleva: Sesruleba



• rinomamometria (arasavaldebulo)

filtvis funqciuri testebi: Sesruleba

• pik-flou metria

• spirometria



• inducirebuli naxveli

provokaciuli testebi: Sesruleba











• fizikuri (sicive, sicxe, wneva) provokaciuli testi

garemoSi alergenebis gamokvleva: garemoSi alergenebis kvlevis Catareba (oTaxis mtvris tkipebis,

cxovelebis bewvis da sxv.)

modulis Sefasebis memodulis Sefasebis memodulis Sefasebis memodulis Sefasebis meTodebi Todebi Todebi Todebi (kriteriumebi, perioduloba) _ diskusia, testi, referati, moxseneba. 1 jer TveSi

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

profesiuli momzadebis IIprofesiuli momzadebis IIprofesiuli momzadebis IIprofesiuli momzadebis IIIIII weliwadiweliwadiweliwadiweliwadi

modulimodulimodulimoduli N N



3.1. kerZo alergologia/imunolkerZo alergologia/imunolkerZo alergologia/imunolkerZo alergologia/imunologia (diagnostika, mkurnaloba ogia (diagnostika, mkurnaloba ogia (diagnostika, mkurnaloba ogia (diagnostika, mkurnaloba stacionarSi)stacionarSi)stacionarSi)stacionarSi)

alergiuli bronqopulmonuri aspergilozi, hipermgrZnobelobiTi pnevmonia, filtvis qronikuli obstruqciuli daavadeba, cisturi fibrozi, uZravi wamwamebis sindromi, sarkoidozi, WinWris cieba da kvinkes SeSupeba, atopiuri dermatiti/egzema, kontaqturi dermatitis, mastocitozi, wamlismieri alergia, kanis hipermgrZnobelobis reaqcia, wamlebis mimarT hipermgrZnobeloba, kvebiTi alergia, sakveb danamatebze reaqciebi, luteinis mimarT zemgrZnobeloba, gastrointestinaluri eozinofiliuri daavadebebi, anafilaqsia, mweris nakbenze hipermgrZnobeloba, imunoregulatoruli darRvevebi, sistemuri autoimunuri daavadebebi, vaskuliti, transplantacia da GvHRs, imunitetTan dakavSirebuli axalwarmonaqmnebi, imunuri reproduqciuli

2222 TveTveTveTve

52

defeqtebi 3.2 kerZokerZokerZokerZo alergologia/imunologia (diagnostika, alergologia/imunologia (diagnostika, alergologia/imunologia (diagnostika, alergologia/imunologia (diagnostika,

gadaudebeli daxmareba)gadaudebeli daxmareba)gadaudebeli daxmareba)gadaudebeli daxmareba) anafilaqsiuri Soki, bronquli asTmis mwvave Seteva, mwvave laringospazmi, mwvave laringotraqeobronqiti, mwvave urtikaria, kvinkes SeSupeba


3.3 bavSvTa ftiziatriisa da pulmonologiisbavSvTa ftiziatriisa da pulmonologiisbavSvTa ftiziatriisa da pulmonologiisbavSvTa ftiziatriisa da pulmonologiis TavTavTavTaviseburebebiiseburebebiiseburebebiiseburebebi tuberkulozi, cisturi fibrozi, qveda sasunTq sistemaSi ucxo sxeuli


3..4 bavSvTa otorinolaringologiabavSvTa otorinolaringologiabavSvTa otorinolaringologiabavSvTa otorinolaringologia zeda sasunT gzebSi ucxo sxeuli, laringiti, larinqotraqeiti, laringospazmi, riniti rinosinusiti, cxviris Rrus polipozi


3.5 imunomimunomimunomimunomodulacia odulacia odulacia odulacia Terapiulo midgomebiTerapiulo midgomebiTerapiulo midgomebiTerapiulo midgomebi imunosupresorebi imunuri rekonstitucia gamaglobulini da monoklonuri antisxeulebi citokinebis receptorebi da receptor antagonistebi vaqcinebi plazmaferezi da citoferezi rekombinantuli molekulebi


3.6 kerZo alergokerZo alergokerZo alergokerZo alergologia/imunologia (diagnostika, mkurnaloba da logia/imunologia (diagnostika, mkurnaloba da logia/imunologia (diagnostika, mkurnaloba da logia/imunologia (diagnostika, mkurnaloba da prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi) alergiuli rinokoniuqntiviti, nazaluri polipozi, sinusiti, otiti, laringealuri darRvevebi, qronikuli xvela, asTma, Ffizikuri datvirTviT ganpirobebuli asTma, profesiuli asTma, alergiuli bronqopulmonuri aspergilozi, hipermgrZnobelobiTi pnevmonia, filtvis qronikuli obstruqciuli daavadeba, cisturi fibrozi, uZravi wamwamebis sindromi, sarkoidozi, WinWris cieba da kvinkes SeSupeba, atopiuri dermatiti/egzema, kontaqturi dermatitis, mastocitozi, wamlismieri alergia, kanis hipermgrZnobelobis reaqcia, wamlebis mimarT hipermgrZnobeloba, kvebiTi alergia, sakveb danamatebze reaqciebi, luteinis mimarT zemgrZnobeloba, gastrointestinaluri eozinofiliuri daavadebebi, anafilaqsia, mweris nakbenze hipermgrZnobeloba, imunoregulatoruli darRvevebi, sistemuri autoimunuri daavadebebi, vaskuliti, transplantacia da GvHRs, imunitetTan dakavSirebuli axalwarmonaqmnebi, imunuri reproduqciuli defeqtebi

5555 TveTveTveTve

aucilebeli praqtikuli unaraucilebeli praqtikuli unaraucilebeli praqtikuli unaraucilebeli praqtikuli unar----CvevebiCvevebiCvevebiCvevebi

ddddiagnostikuri maniiagnostikuri maniiagnostikuri maniiagnostikuri manipulaciebipulaciebipulaciebipulaciebi

zeda sasunTqi gzebi

a) riniti

• praqtikuli mxare: nazaluri sekreciis Sefaseba, nazuli provokaciuli testis

daniSnulebisa da meTodologiis gageba, ciliaruli funqciis Sefaseba; rinoskopia;

53

cxviris gamokvleva; radiografiuli gamokvlevis Sefaseba, romelic moicavs

kompiuterul kvlevasac, garemos Sefaseba.

b) sinusiti

• praqtikuli mxare: rinoskopia, nazaluri gamokvleva; radiologiuri gamokvlevis Sefaseba,

romelic moicavs kompiuterul kvlevasac.

g) nazaluri polipozi

• praqtikuli mxare: ciliaruli funqciis Sefaseba; rinoskopia; nazaluri gamokvleva;

radiologiuri gamokvlevis Sefaseba, romelic moicavs kompiuterul kvlevasac.

d) Sua yuris anTeba (baqteriuli an serozuli)

• praqtikuli mxare: yuris gamokvleva; radiologiuri gamokvlevis Sefaseba, romelic moicavs

kompiuterul kvlevasac. timpanometria.

e) xorxis daavadebebi

• praqtikuli mxare: laringoskopia

2. Tvalis daavadebebi

d) koniunqtiviti

• praqtikuli mxare: koniunqtivis inspeqcia

e) iriti; iridocikliti * (oftalmologTan erToblivad)


g) keratokoniunqtiviti


3. kanis daavadebebi

c) urtikaria da angioedema


fizikuri urtikariis Sefasebis testebi, autologiuri Sratis kanis testi, kanis

biofsia da imunohistologia.

d) atopiuri dermatiti


atopiis patch testebi da kvebiTi provokacia.

g) kontaqturi dermatiti

• praqtikuli mxare: kanis gamokvleva, patch testebi, kanSida testebi da aplikaciuri

testebi.

d) mastocitozi

• praqtikuli mxare: kanis gamokvleva, kanis biofsia, triptazis da histaminis

metabolitebi. xSirad mkurnaloba tardeba sxva dargis specialistTan erTad.

e) wamlismieri gamonayari

• praqtikuli mxare: kanis gamokvleva, patch testebi, wamlis kanis testebi da in

vitro testebi.

v) hipermgrZnobelobis reaqciebi (mag. hipermgrZnobelobis vaskuliti da kanis sxva imunologiuri

daavadebebi)

• praqtikuli mxare: kanis gamokvleva, patch testebi, dauyovnebeli

hipermgrZnobelobis kanis testebi, kanis biofsia.

4. qveda respiratoruli traqti

54

f) asTma (alergiuli, datvirTviT-inducirebuli, sulfitebiT gamowveuli, aspirinuli,

profesiuli, menstrualur ciklTan dakavSirebuli, infeqciasTan dakavSirebuli da Sinagani)

• praqtikuli mxare: gulmkerdis gamokvleva, filtvis funqciuri testebi, bronqebis

provokaciuli testi, naxvelis analizi, bronqoskopia da bronqialuri lavaJis

interpretacia, radiografia.

g) alergiuli bronqopulmonaluri aspergilozi


Sesrulebis daxasiaTeba, filtvis funqciuri testebi, bronqebis provokaciuli

testi, naxvelis analizi, bronqoskopiisa da bronqialuri lavaJis da

radiografiuli gamokvlevis interpretacia.

g) hipersensitiuri pnevmoniti


Sesrulebis daxasiaTeba, bronqebis provokaciuli testi, naxvelis analizi,

bronqoskopiisa da bronqialuri lavaJis da radiografiuli gamokvlevis

interpretacia.

h) qronikuli obstruqciuli filtvis daavadeba


i) cisturi fibrozi


j) umoZrao wamwamis sindromi


v) sarkoidozi


z) qronikuli xvelis sindromi

• praqtikuli mxare: mkurnaloba sxva dargis specialistTan erTad

5. wamlismieri hipermgrZnobeloba

• praqtikuli mxare: medikamentiT kanis testebi da in vitro testebi, patch testebi,

provokaciuli testebi (oraluri, intravenuri, intramuskularuli, subkutanuri)

desensibilizaciis protokoli.

6. sakvebTan dakavSirebuli gverdiTi reaqciebi

a) kvebiTi alergia da autanloba

• praqtikuli mxare: kanis testebi sakvebi alergenebiT, provokaciuli testebi sakvebi

alergenebiT (Ria, placebo-kontrolirebadi, ormagi-brma), kombinacia kvebiTi

provokaciuli da datvirTvis testebis, Sesabamisi dietis daniSvna.

b) kvebiT danamatebze reaqciebi

• praqtikuli mxare: kvebiT danamatebze provokaciuli testebi (Ria, placebo-

kontrolirebadi, ormagi-brma)

h) mgrZnobeloba gluteinis mimarT

• praqtikuli mxare: glutein enteropaTiis dasadgeni sadiagnostiko testebi

f) nawlavis traqtis eozinofiluri daavadebebi

55

• praqtikuli mxare: kvebiTi alergiis kanis testebi, kvebiTi provokaciuli testebi

(Ria, placebo-kontrolirebadi, ormagi-brma)

7. anafilaqsia

c) anafilaqsia (alergen-indicirebuli, sisxlis produqtebiT gamowveuli, datvirTviT

inducirebuli, menstrualur ciklTan dakavSirebuli, idiopaTiuri, medikamentbTan

dakavSirebuli da radiokontrastuli saSualebebiT ganpirobebuli)

• praqtikuli mxare: gadaudebeli mkurnaloba, testireba SesaZlo pasuxismgebel

alergenebze mag. araqisi, penicilini, lateqsi da a.S. provokaciuli testebi,

profilaqtika.

8. inseqturi hipermgrZnobeloba

c) mweris nakbenTan dakavSirebuli reaqciebi

• praqtikuli mxare: mwerebis SxamiT kanis testireba, gadaudebeli daxmarebis

instruqcia, alergen-specifiuri imunoTerapia.

d) hipermgrZnobelobis sxva reaqciebi

• praqtikuli mxare: gadaudebeli daxmarebis instruqcia, simptomuri mkurnaloba.

imunodeficituri daavadebebi

1. komplementis deficiti

a) memkvidreobiTi da SeZenili angioedema

• praqtikuli mxare: C-1–esTerazas inhibitoris raodenobrivi da funqciuri testebis

interpretacia, komplementis C3, C4, C1q fraqciebi, mutaciebis kvleva.

d) komplemntis komponentis deficiti

• praqtikuli mxare: komplementis testis interpretacia.

2. pirveladi imunodeficitebi

b) mZime kombinirebuli imunodeficiti, di-jorjis sindromi, adenozin diaminazas

deficiti, ataqsia telangieqtazia, viskot-oldriCis sindromi, Tandayolili X-

SeWiduli agamaglobilinemia, seleqtiuri IgA deficiti, IgG qveklasebis deficiti,

hiper-IgE sindromi, hiper-IgM sindromi, zogadi variabeluri imunodeficiti.

• praqtikuli mxare: Timusis Crdilis Sefaseba, seriozuli morecidive infeqciebis

Sefaseba, imunoglobulinebis donis da funqcionaluri antisxeulebis

interpretacia. limfocitebis subpopulaciebi da maTi funqcia, dayovnebuli kanis

testebis ganxorcieleba da interpretacia.

3. SeZenili imunodeficitebi

b) SeZenili imunodeficitis sindromi, qromosomuli defeqtebi, metaboluri defeqtebi,

imunosupresia, virusuli infeqciebi, parazitozi, kvebiTi deficiti-malnutricia,

simsivneebi, autoimunuri daavadebebi, damwvroba, spleneqtomia da radiacia. *

• praqtikuli mxare: adamianis imunodeficitis virusis testebis interpretacia ( ELISA da vestern bloti), polimerizaciis jaWvuri reaqcia, limfocitebis

subpopulaciebi da funqcia.

4. fagocituri ujredebis darRvevebi

56

b) qronikuli granulomatozuri daavadeba bavSvebSi, mieloperoqsidazas deficiti,

leikocit-adheziuri darRvevebi (1 da 2 tipi), Cediak-hagasis sindromi, hiper-

eozinofiluri sindromi da mastocitozi. *

• praqtikuli mxare: leikocitebis funqciis Sefaseba, qemiluminescenturi testis

interpretacia, zedapiruli glikoproteinebis testebi ( mag. CD1 , a, b, c da CD18), fenotipebis interpretacia, qemotaqsis sinjis interpretacia, neitrofilebis

absoluturi raodenobis interpretacia, superoqsidazas generacia, NBT testireba.

imunoregulatoruli darRvevebi

7. autoimunuri daavadebebi

b) organuli da araorganuli autoimunuri daavadebebi, rogoricaa sistemuri wiTeli

mglura, sxva kolagenur-vaskularuli daavadebebi, imunuri endokrinopaTia, anTebiTi

gastroenteropaTiebi, imunologiuri nevropaTiebi da neiro-kunTovani daavadebebi,

imuno-hematologiuri daavadebebi da Tvalis imunologiuri daavadebebi da sxv.

praqtikuli mxare: fizikuri mdgomareobis interpretacia, antisxeulebis

(antinuklearuli antisxeulebi, anti-dnm, anti-Rho da anti-La, anti-receptoruli

antisxeulebi, antifosfolipiduri antisxeulebi da sxv.) testis Sedegebis

interpretacia

8. vaskulitebi

b) mcire sisxlZarRvebis daavadeba, saSualo sisxlZarRvebis daavadeba, msxvili

sisxlZarRvebis daavadeba, filtvisa da Tirkmlis imunuri daavadeba da kriocilebi.

praqtikuli mxare: fizikuri mdgomareobis interpretacia, kanis, Tirkmlisa da filtvis

biofsiuri masalis Sefaseba (interpretacia), sisxlSi mocirkulire imunuri kompleqsis

donis interpretacia, krioglobulinebisa da autoantisxeulebis interpretacia

9. transplantacia da reaqcia transplantanti-maspinZlis winaaRmdeg

b) transplantaciis Semdgomi reaqciis transplantanti maspinZlis winaaRmdeg farmako

da imunomodulacia

praqtikuli mxare: Cveulebriv diagnozi da mkurnaloba uzrunvelyofilia sxva dargis

specialistebis mier

10. imunur sistemasTan dakavSirebuli malignizacia

b) plazmuri ujredebis diskrazia, mravlobiTi mieloma. praqtikuli mxare: Sratis cilebis eleqtroforezis interpretacia, imunoeleqtroforezis

interpretacia, Sratis imunoglobulinebis donis interpretacia, limfocitebis

subpopulaciebis Sefaseba/interpretacia. mkurnaloba Cveulebriv uzrunvelyofilia sxva

dargis specialistebis mier.

11. reproduqciuli sistemis imunologiuri defeqtebi

b) uSviloba (mamakacis da qalis), abortebi (qronikuli), rezusis SeuTavsebloba,

sisxlis jgufis SeuTavsebloba, meoradi reproduqciuli defeqtebi

praqtikuli mxare: anti RH/AB antisxeulebis donis interpretacia da Sesabamisi

autoantisxeulebis interpretacia.

12. imunomodulacia

8. imunosupresantebi

9. imunuri rekonstitucia

10. gamaglobulini da monoklonuri antisxeulebi

11. citokinuri receptorebi da receptorebis antagonistebi

12. vaqcinebi

13. plazmaferezi da citoferezi

14. rekombinantuli molekulebi

57

modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _ diskusia, testi, referati, moxseneba. 1 jer TveSi

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

muxli 1. saswavlo gegma:muxli 1. saswavlo gegma:muxli 1. saswavlo gegma:muxli 1. saswavlo gegma:

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

modulis dasaxeleba xangrlivoba

1.1 eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri safuZvlebi

2 kvira

1.2 fundamenturi medicinis Tanamedrove aspeqtebi 2 kvira 1.31.31.31.3 ganviTarebisa da qcevis pediatriaganviTarebisa da qcevis pediatriaganviTarebisa da qcevis pediatriaganviTarebisa da qcevis pediatria 2 Tve2 Tve2 Tve2 Tve 1.41.41.41.4 otolaringologiuri unarotolaringologiuri unarotolaringologiuri unarotolaringologiuri unar----CveCveCveCvevebi pediatriaSivebi pediatriaSivebi pediatriaSivebi pediatriaSi 2 kvira2 kvira2 kvira2 kvira 1.51.51.51.5 ofTalmologiuri ofTalmologiuri ofTalmologiuri ofTalmologiuri unarunarunarunar----Cvevebi pediatriaSiCvevebi pediatriaSiCvevebi pediatriaSiCvevebi pediatriaSi 2 kvira2 kvira2 kvira2 kvira 1.61.61.61.6 bavSvTa da mozardTa stomatologia bavSvTa da mozardTa stomatologia bavSvTa da mozardTa stomatologia bavSvTa da mozardTa stomatologia 2 kvira2 kvira2 kvira2 kvira 1.71.71.71.7 pediatriuli unarpediatriuli unarpediatriuli unarpediatriuli unar----Cvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSiCvevebi pirvelad jandacvaSi 2 kvira2 kvira2 kvira2 kvira 1.81.81.81.8 ambulatoriuli da prevenciuli pediatriaambulatoriuli da prevenciuli pediatriaambulatoriuli da prevenciuli pediatriaambulatoriuli da prevenciuli pediatria 3 Tve3 Tve3 Tve3 Tve 1.91.91.91.9 mozardTa medicinamozardTa medicinamozardTa medicinamozardTa medicina


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

Pprofesiuli momzadebis II weliwadiPprofesiuli momzadebis II weliwadiPprofesiuli momzadebis II weliwadiPprofesiuli momzadebis II weliwadi moduli N N

Mmodulis dasaxeleba

xangrZlivoba

2.1.2.1.2.1.2.1. bazisuri alergologiabazisuri alergologiabazisuri alergologiabazisuri alergologia 1 Tve1 Tve1 Tve1 Tve 2.2.2.2.2.2.2.2. bbbbazisuri imunologiaazisuri imunologiaazisuri imunologiaazisuri imunologia 1 Tve1 Tve1 Tve1 Tve 2.3.2.3.2.3.2.3. diagnostikuri procedurebidiagnostikuri procedurebidiagnostikuri procedurebidiagnostikuri procedurebi 1 Tve1 Tve1 Tve1 Tve 2.4.2.4.2.4.2.4. laboratoriuli gamokvlevis meTodebilaboratoriuli gamokvlevis meTodebilaboratoriuli gamokvlevis meTodebilaboratoriuli gamokvlevis meTodebi 1 Tve1 Tve1 Tve1 Tve 2.5.2.5.2.5.2.5. Terapiuli midgomebiTerapiuli midgomebiTerapiuli midgomebiTerapiuli midgomebi 1 Tve1 Tve1 Tve1 Tve 2.6.2.6.2.6.2.6. bavSvTa hipoalergiuli kvebis aspeqtebibavSvTa hipoalergiuli kvebis aspeqtebibavSvTa hipoalergiuli kvebis aspeqtebibavSvTa hipoalergiuli kvebis aspeqtebi 1 Tve1 Tve1 Tve1 Tve 2.7. 2.7. 2.7. 2.7. kerZo alergologia/imunologia (diagnostika, mkurnaloba kerZo alergologia/imunologia (diagnostika, mkurnaloba kerZo alergologia/imunologia (diagnostika, mkurnaloba kerZo alergologia/imunologia (diagnostika, mkurnaloba da da da da

prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi)prevencia ambulatoriul klinikaSi) 5 Tve5 Tve5 Tve5 Tve

profesiuli momzadebis III weliwadiprofesiuli momzadebis III weliwadiprofesiuli momzadebis III weliwadiprofesiuli momzadebis III weliwadi moduli N N

Mmodulis dasaxeleba xangrZlivoba

3.1.3.1.3.1.3.1. kerZo alergologia/imunologia (diagnostika, mkurnaloba kerZo alergologia/imunologia (diagnostika, mkurnaloba kerZo alergologia/imunologia (diagnostika, mkurnaloba kerZo alergologia/imunologia (diagnostika, mkurnaloba stacionarSi)stacionarSi)stacionarSi)stacionarSi)


3.2.3.2.3.2.3.2. kerZo alergologia/imunologia (diagnostika, kerZo alergologia/imunologia (diagnostika, kerZo alergologia/imunologia (diagnostika, kerZo alergologia/imunologia (diagnostika, gadaudebeli daxmareba)gadaudebeli daxmareba)gadaudebeli daxmareba)gadaudebeli daxmareba)


3.3.3.3.3.3.3.3. bavSvTa ftiziatriisa da pulmonologiisbavSvTa ftiziatriisa da pulmonologiisbavSvTa ftiziatriisa da pulmonologiisbavSvTa ftiziatriisa da pulmonologiis TaviseburebebiTaviseburebebiTaviseburebebiTaviseburebebi


3.4.3.4.3.4.3.4. bavSvTa otorinolaringologiabavSvTa otorinolaringologiabavSvTa otorinolaringologiabavSvTa otorinolaringologia 1 Tve1 Tve1 Tve1 Tve 3.5.3.5.3.5.3.5. imunomodulacia imunomodulacia imunomodulacia imunomodulacia 1 Tve1 Tve1 Tve1 Tve 3.6.3.6.3.6.3.6. kerZo alergologia/imunologia (diagnostika, mkurnaloba da kerZo alergologia/imunologia (diagnostika, mkurnaloba da kerZo alergologia/imunologia (diagnostika, mkurnaloba da kerZo alergologia/imunologia (diagnostika, mkurnaloba da

prevencia ambulatoriul klinikaSprevencia ambulatoriul klinikaSprevencia ambulatoriul klinikaSprevencia ambulatoriul klinikaSi)i)i)i) 5 Tve5 Tve5 Tve5 Tve

58

muxli 2. muxli 2. muxli 2. muxli 2. aucilebeli da rekomendebuli literaturis nusxaaucilebeli da rekomendebuli literaturis nusxaaucilebeli da rekomendebuli literaturis nusxaaucilebeli da rekomendebuli literaturis nusxa

1.1.1.1. alergia da alergiuli daavadebebi. g.v.gurgeniZe, g.g. gurgrniZe, n. T. alergia da alergiuli daavadebebi. g.v.gurgeniZe, g.g. gurgrniZe, n. T. alergia da alergiuli daavadebebi. g.v.gurgeniZe, g.g. gurgrniZe, n. T. alergia da alergiuli daavadebebi. g.v.gurgeniZe, g.g. gurgrniZe, n. T. JorJolaZe, 2001.JorJolaZe, 2001.JorJolaZe, 2001.JorJolaZe, 2001.

2.2.2.2. imunologia imunologia imunologia imunologia –––– mokle kursi, T. Ciqovani, 2007.mokle kursi, T. Ciqovani, 2007.mokle kursi, T. Ciqovani, 2007.mokle kursi, T. Ciqovani, 2007.

3.3.3.3. alergologiisa da imunologiis inglisuralergologiisa da imunologiis inglisuralergologiisa da imunologiis inglisuralergologiisa da imunologiis inglisur----qarTulqarTulqarTulqarTul----rusuli leqrusuli leqrusuli leqrusuli leqsikoni, n. gunia, sikoni, n. gunia, sikoni, n. gunia, sikoni, n. gunia, 2007.2007.2007.2007.

4. ALLERGY.Principles &Practice. VIIIth edition. Mosby : Volumes 1 and 2.2008.

5. Patterson’s Allergic Diseases. Six edition. L. Grammer, P. Greenberger, 2002.

6. Clinical Immunology and Allergology. G.N. Drannik, 2006.

7. Drug Hypersensitivity. Edited by W. J. Pichler, 2007.

8. Manual of Allergy and Immunology. LIPPINCOTT. WILL IAMS&WILKINS Spiral manual, editaed by D. C. Adelman, T. B Casale,J. Corren, 2002.

9. The Allergy Bible. The New Edition of the definitive guide to allergens and intolerance. Linda Gamlin, 2005.

10. PRACRALL, 2008.

11. ARIA, 2007.

12. GINA, 2007.

13. Nelson TextBook of Pediatrics, 2007.

14.14.14.14. H.J.Malling, J.Gayraud, P.Papageorgiu-Saxoni, B.Hornung, J.Rosado-Pinto, SG Del Giacco & UEMS section and Board Allergology and Clinical Immunology, “Objectives of training and specialty training core curriculum in Allergology and Clinical Immunology”. Allergy 2004, 59:579-588 .

15.15.15.15. UEMS-Section of Allergology and Clinical Immunology. European specialist care in allergology and clinical immunology in the new millennium. Allergy 2000:55:338-339.

16.16.16.16. Allergy Practice worldwide. A Report by the World Allergy Organization Specialty and Training Council. J.O. Warner et al. Allergy Clin Immunology Int- J World Allergy Org, 18/1(2006).

rezidenturis (diplomissemdgomi samedicino ganatlebis programa “bavsvta...

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