Teoriuli kursis Sinaarsi, moculoba
|
Sefasebis meTodebi
|
tkivilis marTva - Pain Management - tkivilis marTvis taqtikis SemuSavebis ZiriTadi principebis gansazRvra.
menejmentis riskfaqtorebi - Risk Management - samedicino sabWoebis federaciis (Federation of State Medical Boards) gaidlainebis ZiriTadi debulebebis gacnoba kontrolirebadi substanciebis gamoyenebis Sesaxeb.
saerTaSoriso kvlevebi tkivilis Sesaxeb – Pain Research - 2000 – 2010 wlebi gamocxadebuli tkivilis kvlevis dekadis farglebSi Sesrulebuli kvlevevbis analizi.
tkivilis sazogadoebebi – Pain Societies - amerikis tkivilis medicinis sabWos (American Board of Pain Medicine), evropis tkivilis sabWoebis saqmianobebis mimoxilva.
uwyveti samedicino ganaTleba – Continuing Medical Education - amerikis tkivilis marTvis akademiis (American Academy of Pain Management) mier mowodebuli specializirebuli saswavlo kursebebis mimoxilva.
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zepiri Sefaseba
|
tkivili, rogorc daavadeba – The Disease of Pain. tkivilis medicina – Pain Medicine.
tkivili rogorc socialuri daavadeba - Pain as a Social Disease - tkivilis programebis da funqcionaluri aRdgenis programebis multidisciplinuri midgomis safuZvlebi.
biofsiqosocialuri medicina - Biopsychosocial Model biologiuri, fsiqologiuri da socilauri aspeqtebis ganxilva qronikuli tkivilis CamoyalibebaSi.
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zepiri Sefaseba
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paliaturi mzrunveloba – End of LifeCare - ZiriTadi aspeqtebis ganxilva - cxovrebis xarisxis gaumjobeseba, tkivilis Semsubuqeba, movlaSi fsiqosocilauri da sulieri aspeqtebis CarTva.
unarSezRuduloba – Disability - socialuri dazRveva unarSezRudulobis gamo, socialuri dazRvevis indeqsi, muSakTa droebiTi da mudmivi kompensacia da kerZo dazRveva. specialistebTan mimarTva – Specialy Referrals
qronikuli tkivilis mqone pacientebis Sefaseba – Evalution of Chronic Pain Patients - pacientis struqturuli dazianebebis molekuluri aspeqtebis analizis saSulebiT mkurnalobis gegmis SemuSaveba
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zepiri Sefaseba
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tkivilis (periferiuli, centraluri) molekuluri safuZvlebi – Molecular Pain Processes - neirotransmiterebis stimulaciasa da gamoyofis principebi - substancia P, glutamati, dofamini, norepinefrini, serotonini, histamini, acetilqolini da nervis zrdis faqtori (Nerve Growth Factor).
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prezentacia
|
aramedikamentozuri meTodebi – Non Medication Modalites - funqcionaluri aRdgenis programebis (Functional Restoration Programs) mimoxilva.
damxmare mkurnaloba – Complementary Treatment - masaJi, akupunqtura, homeopaTia, naturopaTia da moZraobiTi Terapia – gamoyenebis aspeqtebi.
fsiqosocialuri meTodebi – Psychosocial Modalities -fsiqologiuri Sefasebis, kognitiuri funqciis da socialuri kavSirebis Seswavlis aspeqtebi.
|
zepiri Sefaseba
|
racionaluri farmakoTerapia – Rational Polypharmacology - qronikuli tkivilis mkurnalobisas gamoyenebuli racionaluri farmakoTerapiis principebi - medikamentebis SerCeva, gverdiTi efeqtebis gaTvaliswinebiT.
medikamentebis moqmedebis principebi – Medications -opioidebi, neiromodulatorebi, antidepresantebi, koqsibebi, alfa-2 agonistebi, NMDA receptorebis antagonistebi.
invaziuri meTodebi – Invasive Modalities - diagnostikuri da Terapiuli blokadebis, nervebis ablaciis, implantaciis da qirurgiul Carevebis Cvenebebis ganxilva.
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prezentacia
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tkivilis saxeebi:
mwvave tkivilis - Acute Pain - samkurnalod gamoyenebuli safexurebrivi midgomis ganxilva.
qronikuli tkivilis – Chronic Intratable Pain -klasifikaciis sxvadasxva modelebis gacnoba/ganxilva, mkurnalobis sxvadaxsva meTodebis gamoyenebis gzebi.
nociceptiuri tkivilis – Nociceptive Pain -centraluri meqanizmebis modelirebaSi medikamentozuri da aramedikamentozuri Carevebi.
neiropaTiuri tkivili – Neuropathic Pain - simptomi, daavadeba, gamomwvevi mizezebi, eqtopia, centraluri sensitizacia. kompleqsuri mkurnalobis meqanizmebis gansazRvris meTodologia.
centraluri tkivili - Central Pain - warmoqmnis meqanizmebi, melzekis (Melzak) Teoria (neiromatricis Sesaxeb). mkurnalobis taqtika.
nervuli daZabulobiT gamowveuli tkivili - Wind-up Pain - daavadeba Tu simptomi. NMDA receptorebis aqtivaciis roli.
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zepiri Sefaseba
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tkivilis saxeebi: areklili tkivili – Referred Pain koncefcia, lokalizaciis wyaroebi.
ganaxlebadi tkivili - Rebound Pain - warmoqmnis meqanizmebi. informacia samkurnalo preparatebis Terapiuli efeqtisa da dozis Sesaxeb.
kompleqsuri regionaluri tkivilis sindromi - Complex Regional Pain Syndrome - tipebi 1 da 2, diagnostikur kriteriumebi.
diskis degeneraciuli daavadeba - Degenerative Disc Disease - mwvave da qronikuli formebi, Tanmxlebi procesebi, mkurnalobis SerCevis diferencirebuli midgomebi.
Sida diskis naxeTqi - Internal Disc Disruption - medikamentozuri da invaziuri procedurebi- mkurnalobis principebi.
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zepiri Sefaseba
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tkivilis saxeebi: pulpozuri birTvis Tiaqari – Herniated Nucleus Pulposis - intervertebraluri diskebis Tiaqaris konservatiul RonisZiebebis gacnoba. mcireinvaziuri Carevebi.
saxsris arTropaTia – Facet Arthropathy - faceturi arTropaTiT gamowveuli miofasciuri tkivilis sindromi.
spondilolistezi – Spondylolistehesis - etiologia, Tandayolili, yelis (isthmic, isthmian), degenraciuli, travmuli, paTologiuri da postqirurgiuli formebi.
araqnoiditi – Arachnoiditis - aRwera, warmoqmnis mizezebi, mkurnalobis taqtika.
postherpesuli nevralgia - Post Herpetic Neuralgia - periferiuli da centraluri gavrcelebis meqanizmebi. antivirusuli preparatebiT, gabapentiniT da opioiduri preparatebiT mkurnalobis meqanizmebi.
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zepiri Sefaseba
|
tkivilis saxeebi: diabeturi neiropaTia – Diabetic Neuropathy - qvetipebis – Sereuli, simetriuli polineiropaTia, fokaluri/
multifokaluri neiropaTiebis warmoqmnis meqanizmebi. simptomuri mkurnalobis taqtika.
tkivili aiv infeqciis dros – HIV Pain - aiv infeqciis dros warmoqmnili nocicepturi, visceraluri da neiropaTiuri tkivilis saxeebis ganxilva.
kancerogenuli tkivili – Cancer Releated Pain - intervenciebTan dakavSirebul mwvave da qronikul tkivilis formebi. tkivilis kontrolis meqanizmebi.
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zepiri Sefaseba
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tkivilis saxeebi: trigeminuli nevralgia – Trigeminal Neuralgia - samwvera nervis nevralgiis (Tic Douloureux) da atipuri saxis tkivilisagan (Atypical Facial Pain) ganmasxvavebeli niSnebi. mkurnalobis sqemebi.
Sakiki – migrenozuli tkivili – Migraine Headaches -intrakranialuri an eqstrakranialuri mizeziT warmoqmnili Sakikis formebi. analgeziuri mkurnalobis taqtika.
kisris an Tavis uecari moZraobiT gamowveuli travma – Whiplash - paTofiziologia, periferiuli nociceptiuri da neiropaTiur procesebis ganxilva centralur sensitizaciasTan kombinaciaSi. mkurnalobis taqtika.
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zepiri Sefaseba
|
tkivilis saxeebi: arTriti – Arthritis - anTebis sawinaaRmdego preparatebiT da opioidebiT mkurnalobis taqtika. fibromialgia – Fibromyallgia - Tanamedrove kvlevebis hipotezebis mimoxilva.
miofascialuri tkivili – Myofascial Pain - botulinis toqsinis ineqciebis gamoyenebis SesaZlobebi.
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saboloo zepiri Sefaseba
|
Tavi III. programis II etapi
muxli 19.
1. sarezidento programis II etapi moicavs klinikaSi rotaciebis 11 ZiriTad da 2 eleqtiur moduls, sul 13 moduls saerTo xangrZlivobiT 17 Tve:
#
|
modulis dasaxeleba
|
xangrZlivoba
|
ZiriTadi modulebi – 15 Tve
|
1
|
kardiologia
|
1 Tve
|
2
|
filtvebis daavadebebi da tuberkulozi
|
1 Tve
|
3
|
endokrinologia
|
1 Tve
|
4
|
infeqciuri sneulebebi
|
1 Tve
|
5
|
hematologia
|
1 Tve
|
6
|
paliatiuri medicina
|
1 Tve
|
7
|
gadaudebeli medicina da travma
|
2 Tve
|
8
|
bavSvTa janmrTeloba
|
3 Tve
|
9
|
qalTa janmrTeloba
|
2 Tve
|
10
|
fsiqikuri janmrTeloba
|
1 Tve
|
11
|
narkologia
|
1 Tve
|
eleqtiuri modulebi – 2 Tve
|
12
|
eleqtiuri moduli 1
|
1 Tve
|
13
|
eleqtiuri moduli 2
|
1 Tve
|
2. mzadebis II etapis ZiriTad nawils rezidentebi/maZieblebi mTlianad saavadmyofoSi atareben modulze pasuxismgebeli piris – stacionaris maswavleblis zedamxedvelobiT. perioudlad, sul mcire, TveSi erTxel, rezidenti/maZiebeli xvdeba tutors.
M muxli 20.
1. moduli II.1. modulis dasaxeleba, xangrZlivoba – ,,kardiologia~, 1 Tve.
2. modulis mizani - kardiologiuri daavadebebis marTvis unar-Cvevebs gamomuSaveba pirvelad jandacvaSi.
3. literaturis nusxa:
a) klinikuri praqtikis erovnuli gaidlainebi Sinagani medicinis sferoSi (tkivili gulmkerdis areSi, stabiluri stenokardia, ST segmentis elevaciiT mimdinare infarqti, arastabiluri stenokardia, gulis ukmarisoba, supraventrikuluri ariTmiebis marTva, arteriuli hipertenzia;
b) diagnostikuri Zieba Sinagan sneulebaTa klinikaSi, giorgi qavTaraZe, 2009, `codna~, Tbilisi, saqarTvelo;
g) lipiduri cvlis darRvevebi Sinagan sneulebaTa klinikaSi, daviT kezeli, maia sulaqveliZe, 2010, Tbillisi;
d) HARRISON’S Manual of Medicine, 16th edition, 2005, The McGraw-Hill Companies, Inc. Medical Publishing Division;
e) Current Medical Diagnosis & Treatment 2010, Forty-Ninth Edition; Stephen J. McPhee, Maxine A. Papadakis, The McGraw-Hill Companies, Inc.;
v) Handbook of Signs & Symptoms, 4th Edition; 1010, Lippincott Williams & Wilkins;
z) Washington Manual(TM) of Medical Therapeutics, The, 32nd Edition, Editors: Cooper, Daniel H.; Krainik, Andrew J.; Lubner, Sam J.; Reno, Hilary E. L.; 2007, Department of Medicine, Washington University School of Medicine. Published by Lippincott Williams & Wilkins;
T) Greenspan's Basic & Clinical Endocrinology, David G. Gardner et al. 8th edition, (Lange Endocrinology), 2007; The McGraw-Hill Companies, Inc.;
i) Williams Hematology. 7th edition, Marshall A. Lichtman et al. 2007; The McGraw-Hill Companies, Inc.;
k) Current Rheumatology, 2nd edition, John B. Imboden et al. 2007; The McGraw-Hill Companies, Inc.
4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi:
Teoriuli kursi
|
profesiuli unar-Cvevebi
|
Sesasrulebeli manipulaciis raodenoba
|
Sefasebis meTodebi
| -
arteriuli hipertenzia;
-
gulis iSemiuri (koronaruli) daavadeba (stenokardia, mwvave koronaruli sindromi, gulis gaCereba – `cardiac arrest~);
-
gulis ukmarisoba;
-
ariTmia (eqstrasistolia, winagulebis cimcimi da TrTolva, viwro da farTokompleqsovani taqikardiebi, bradiariTmiebi);
-
gulis sxva daavadebebi (sarqvlovani paTologia, miokardiumis da endokardiumis daavadebebi, Tandayolili anomaliebi);
-
periferiuli sisxlZarRvebis daavadebebi (arteriebis da venebis);
-
cerebrovaskuluri daavadebebi (insulti da gardamavali/tranzitoruli iSemiuri Seteva);
-
Tromboemboliuri daavadeba
| -
detaluri anamnezis Segrovebis unar-Cveva gulsisxlZarRvTa sistemis paTologiis dros;
-
detaluri fizikuri gasinjvis unar-Cveva gulsisxlZarRvTa sistemis paTologiis dros;
-
instr. kvlevis Sedegebis interpretacia: ekg, 24-saaTiani ekg; arteriuli wnevis ambulatoriuli monitorireba;
mimoxilviTi rentgenografia; da sxv.
-
lab. kvlevis Sedegebis interpretacia
| -
gatarebuli pacientebi raodenoba – 10;
-
morigeoba – 4;
-
samedicino Canawerebi – 30;
-
ekg gadaReba da interpretacia – 30;
-
iv punqcia da/an kaTeterizacia – 20;
-
iv infuzia – 10
| -
Sesrulebuli samuSao dReebi;
-
morigeobebi;
-
gatarebuli pacientebi;
-
modulze pasuxismgebeli piris Sefaseba;
-
tutoris Sefaseba ukukavSiris sesiis dros
|
muxli 21.
1. moduli II.2. modulis dasaxeleba, xangrZlivoba – `filtvebis daavadebebi da tubekulozi~, 1 Tve.
2. modulis mizani - filtvebis gavrcelebuli daavadebebisa da tuberkulozis marTvis unar-Cvevebs gamomuSaveba.
3. literaturis nusxa:
a) Treatment of Tuberculosis: Guidelines, 4th edition; 2009; WHO;
b) Guidelines for Programmatic Management of drug-resistant Tuberculosis; 2008; WHO
g) rezistentuli tuberkulozis gaidlaini; 2007; saqarTvelo;
d) International Standarts for Tuberculosis Care; 2006; WHO;
e) tuberkulozis marTvis saerTaSoriso standartebi”; 2008; Targmani;
v) Management of Tuberculosis; A Guide to the Essentials of Good Practice" Sixth edition; 2010; UNION;
z) tomanis tuberkulozi - SemTxvevaTa gamovlena, mkurnaloba, monitoringi; 2005; Targmani;
T) “tuberkulozi - saxelmZRvanelo pirveladi jandacvis muSakebisaTvis”, 2003;
i) “tuberkulozi – saxelmZRvanelo samedicino institutis studentebisaTvis’’ ;
k) diagnostikuri Zieba Sinagan sneulebaTa klinikaSi, giorgi qavTaraZe, 2009, `codna~, Tbilisi, saqarTvelo;
l) HARRISON’S Manual of Medicine, 16th edition, 2005, The McGraw-Hill Companies, Inc. Medical Publishing Division;
m) Current Medical Diagnosis & Treatment 2013, Stephen J. McPhee, Maxine A. Papadakis, The McGraw-Hill Companies, Inc.;
n) Handbook of Signs & Symptoms, 4th Edition; 1010, Lippincott Williams & Wilkins;
o) Washington Manual(TM) of Medical Therapeutics, The, 32nd Edition, Editors: Cooper, Daniel H.; Krainik, Andrew J.; Lubner, Sam J.; Reno, Hilary E. L.; 2007, Department of Medicine, Washington University School of Medicine. Published by Lippincott Williams & Wilkins.
4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi:
Teoriuli kursi
|
profesiuli unar-Cvevebi
|
Sesasrulebeli manipulaciis raodenoba
|
Sefasebis meTodebi
| -
zeda da qveda sasunTqi gzebis infeqciebi,
-
mwvave arainfeqciuri respiratoruli problemebi,
-
qronikuli arainfeqciuri respiratoruli problemebi,
-
filtvis kibo.
-
tuberkulozis epidemiologia
tuberkulozTan brolis Tanamedrove strategiis principebi;
-
tuberkulozis gadacemis gzebi, daavadebis risk-faqtorebi;
-
tuberkulozze eWvmitanili pacientis amocnoba da drouli mimarTva tubsawinaaRmdego qselSi;
-
diagnostikis Tanamedrove meTodebi;
-
konsultaciaze mosul pacientebSi tuberkulozze saeWvo niSnebis amocnoba;
-
filtvgareSe tuberkulozis diagnostikis meTodebi;
-
tuberkulozis stacionaruli da ambulatoriuli mkurnalobis meTodebi.
| -
sunTqvis sistemis fizikuri fizikuri gamokvleva;
-
pikfloumetria;
-
inhalatoris gamoyeneba da swavleba sxvebisTvis;
-
spirometris gamoyeneba da misi Sedegebis interpretacia.
-
tuberkulozze saeWvo pacientis fizikuri gamokvleva;
-
naxvelis Segrovebis procedurebi;
-
drouli referali tubsawinaaRmdego qselSi;
-
TanamSromloba zemoaRniSnl qselTan
| -
sunTqvis sistemis fizikuri gasinjva – 30; maT Soris, tuberkulozze saeWvo niSnebis arsebobisas – 15;
-
samedicino Canawerebis warmoeba – 30;
-
naxvelis Segroveba – 10
| -
Sesrulebuli samuSao dReebi;
-
morigeobebi;
-
gatarebuli pacientebi;
-
modulze pasuxismgebeli piris Sefaseba;
-
tutoris Sefaseba ukukavSiris sesiis dros
|
Mmuxli 22.
1. moduli II.3. modulis dasaxeleba, xangrZlivoba – `endokrinologia~, 1 Tve.
2. modulis mizani - endokrinologiuri daavadebebis marTvis unar-Cvevebs gamomuSaveba pirvelad jandacvaSi;
3. literaturis nusxa:
a) klinikuri praqtikis erovnuli gaidlainebi endokrinuli paTologiis sakiTxebze: Saqriani diabeti, hipoTireozi, metaboluri sindromi, osteoporozi, simsuqne bavSvebSi, simsuqne mozrdilebSi, dislipidemia;
b) diagnostikuri Zieba Sinagan sneulebaTa klinikaSi, giorgi qavTaraZe, 2009, `codna~, Tbilisi, saqarTvelo;
g) lipiduri cvlis darRvevebi Sinagan sneulebaTa klinikaSi, daviT kezeli, maia sulaqveliZe, 2010, Tbilisi;
d) Greenspan's Basic & Clinical Endocrinology, David G. Gardner et al. 8th edition, (Lange Endocrinology), 2007; The McGraw-Hill Companies, Inc;
e) HARRISON’S Manual of Medicine, 16th edition, 2005, The McGraw-Hill Companies, Inc. Medical Publishing Division;
v) Current Medical Diagnosis & Treatment 2010, Forty-Ninth Edition; Stephen J. McPhee, Maxine A. Papadakis, The McGraw-Hill Companies, Inc;
z) Handbook of Signs & Symptoms, 4th Edition; 1010, Lippincott Williams & Wilkins;
T) Washington Manual(TM) of Medical Therapeutics, The, 32nd Edition, Editors: Cooper, Daniel H.; Krainik, Andrew J.; Lubner, Sam J.; Reno, Hilary E. L.; 2007, Department of Medicine, Washington University School of Medicine. Published by Lippincott Williams & Wilkins.
4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi:
Teoriuli kursi
|
profesiuli unar-Cvevebi
|
Sesasrulebeli manipulaciis raodenoba
|
Sefasebis meTodebi
| -
simsuqne;
-
diabeti;
-
glukozisadmi tolerantulobis darRveva;
-
hipoTireozi;
-
hiperTireozi;
-
hiperlipidemia;
-
hiperurikemia;
-
hipofizis, Trikmelzeda jirkvlis da farsiebraxlo jirkvlis dazianebebis drouli amocnoba da referali
| -
detaluri anamnezis Segrovebis unar-Cveva endokrinuli paTologiis dros;
-
detaluri fizikuri gasinjvis unar-Cveva endokrinuli paTologiis dros;
-
instr. kvlevis Sedegebis interpretacia:
-
lab. kvlevis Sedegebis interpretacia
| -
gatarebuli pacientebi raodenoba – 10;
-
samedicino Canawerebi – 30;
-
glukozis eqspres-testi – 20
| -
Sesrulebuli samuSao dReebi;
-
morigeobebi;
-
gatarebuli pacientebi;
-
modulze pasuxismgebeli piris Sefaseba;
-
tutoris Sefaseba ukukavSiris sesiis dros
|
M muxli 23.
1. moduli II.4 modulis dasaxeleba, xangrZlivoba – `infeqciuri sneulebebi~, 1 Tve.
2. modulis mizani - infeqciuri daavadebebis marTvis unar-Cvevebis gamomuSaveba pirvelad jandacvaSi.
3. literaturis nusxa:
a) klinikuri praqtikis erovnuli gaidlainebi infeqciuri sneulebebis sakiTxebze;
b) diagnostikuri Zieba Sinagan sneulebaTa klinikaSi, giorgi qavTaraZe, 2009, `codna~, Tbilisi, saqarTvelo;
g) HARRISON’S Manual of Medicine, 16th edition, 2005, The McGraw-Hill Companies, Inc. Medical Publishing Division;
d) Current Medical Diagnosis & Treatment 2010, Forty-Ninth Edition; Stephen J. McPhee, Maxine A. Papadakis, The McGraw-Hill Companies, Inc.;
e) Handbook of Signs & Symptoms, 4th Edition; 1010, Lippincott Williams & Wilkins;
v) Washington Manual(TM) of Medical Therapeutics, The, 32nd Edition, Editors: Cooper, Daniel H.; Krainik, Andrew J.; Lubner, Sam J.; Reno, Hilary E. L.; 2007, Department of Medicine, Washington University School of Medicine. Published by Lippincott Williams & Wilkins.
4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi
Teoriuli kursi
|
profesiuli unar-Cvevebi
|
Sesasrulebeli manipulaciis raodenoba
|
Sefasebis meTodebi
| -
gastroenteriti;
-
virusuli hepatitebi;
-
aiv infeqcia/Sidsi;
-
cns-is infeqciuri da anTebiTi daavadebebi, meningitis CaTvliT;
-
mwvave infeqciebiT gamowveuli mdgomareobebi, romlebic gadaudebl daxmarebas saWiroeben
| -
detaluri anamnezis Segrovebis unar-Cveva infeqciuri daavadebebis dros;
-
detaluri fizikuri gasinjvis unar-Cveva infeqciuri daavadebebis dros;
-
instr. kvlevis Sedegebis interpretacia: lab. kvlevis Sedegebis interpretacia
| -
gatarebuli pacientebi raodenoba – 10;
-
morigeoba – 4;
-
samedicino Canawerebi – 30;
-
iv punqcia da/an kaTeterizacia – 20;
-
iv infuzia – 15
| -
Sesrulebuli samuSao dReebi;
-
morigeobebi;
-
gatarebuli pacientebi;
-
modulze pasuxismgebeli piris Sefaseba;
-
tutoris Sefaseba ukukavSiris sesiis dros
|
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