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`ybarezidenturis (diplomisSemdgomi samedicino ganaTlebis) programa ­ `yba-saxis qirurgia~ (xangrZlivoba ­ 3 weli) Tavi I. zogadi debulebebi gansazRvrebebi muxli I zogadi gansazRvrebebi yba-saxis qirurgia aris qirurgiis, qirurgiul stomatologiaze damokidebuli erTerTi klinikuri disciplina, romelic Seiswavlis kbilebis, piris Rrus organoebis, saxis da kisris, rbili qsovilebis saxis ConCxis qirurgiul daavadebebs da maT kompleqsur mkurnalobas. mkurnalobis am meTodebs Soris wamyvani roli eniWeba qirurgiul Carevebs. yba-saxis qirurgia mWidro kavSirSia sxva stomatologiur specialobebTan (Terapia, orTopedia, orTodontia, bavSvTa asakis stomatologia), zogad qirurgiasTan, nevrologiasTan, oto-rino-laringologiasTan, anesTeziologia-reanimatologiasTan da sxv. gamoiyeneba maTTan saerTo diagnostikis da mkurnalobis meTodebi. es ganpirobebulia kbilebis da piris Rrus, yba-saxis midamos anatomo-topografiuli, fiziologiuri procesebis erTianobiT da TaviseburebebiT. dReisaTvis arc Tu iSviaTad. yba-saxis midamos qirurgiuli daavadebebis kompleqsur mkurnalobaSi saWiro xdeba stomatologis Terapiuli, orTopediuli Tu orTodontuli meTodebis gamoyeneba. dReisaTvis Tbilisis saxelmwifo samedicino universitetSi studentTa saswavlo programebi Seicvala ­ isini SesabamisobaSi movida stomatologiis saerTaSoriso kurikulumTan da mTlianad pasuxobs msoflio samedicino federaciis Tanamedrove moTxovnebs. zemoTqmulidan gamomdinare, mizanSewonilia arsebuli sarezidento programebis optimizacia da yba-saxis qirurgi-programis SemoReba, rac sruliad Seesabameba sarezidento standarts. zogadi miRebis eqim-stomatologs (stomatologiuri fakultetis kursdamTavrebuls) yba-saxis qirurgiis sarezidento programis gavlis Semdeg saSualeba miecema am specialobaSi samuSaod. yba-saxis qirurgia ­ aris samedicino mecnierebis Semadgeneli nawili, romelic swavlobs kbilebis, piris Rrus organoebis, yba-saxis midamos qirurgiul daavadebebs, maTi diagnostikis da mkurnalobis sakiTxebs. yba-saxis qirurgi ­ aris eqimi specialisti, romelic flobs kbilebis, piris Rrus organoebis da yba-saxis midamos qirurgiuli daavadebebis diagnostikas, adeqvatiuri gautkivarebis fonze maT mkurnalobas da prevenciul RonisZiebebs. eqim-specialists unda hqondes diplomisSemdgomi profesiuli ganaTleba. diplomisSemdgomi samedicino ganaTlebis sarezidento programa yba-saxis qirurgiaSi dafuZnebulia eqimTa diplomisSemdgomi ganaTlebis sistemis koncefciaze da masSi gaTvaliswinebulia aSS-is da evropis qveynebis gamocdileba am sferoSi. programis SemuSavebisas gamoyenebuli wyaroebia: 1. msoflio samedicino asociaciidan miRebuli masalebi http://www.wma.net/e/ethicsunit/index.htm 2. msoflio janmrTelobis organizaciis veb gverdze ganTavsebuli masalebi www.who.int/ethics/en sarezidento programa `yba-saxis qirurgia~ 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. sarezidento sarezidento programis mokle anotacia ­ sarezidento programa `yba-saxis qirurgia~ moicavs qvemoT CamoTvlili daavadebebis klinikas, diagnostikas, mkurnalobas da profilaqtikas: - piris Rrus da yba-saxis midamos anTebiTi procesebi (odontogenuri, araodontogenuri, mwvave, qronikuli, specifikuri): periodontitebi, periostitebi, ybis Zvlebis osteomielitebi, zeda ybebis, qveda ybis mimdebare rbili qsovilebis da kisris wina zedapiris abscesebi da flegmonebi (etiologia, paTogenezi, klinika, daignostika, mkurnaloba). - yba-saxis midamos limfadenitebi (mwvave, qronikuli, specifiuri), etiologia, paTogenezi, klinika, diagnostika, mkurnaloba. - zeda ybis wiaRis odontogenuri anTeba (etiologia, paTogenezi, klinika, diagnostika, mkurnaloba). - piris Rrus da yba-saxis midamos specifiuri anTebiTi procesebi (etiologia, klinika, diagnostika, mkurnaloba). - yba-saxis midamos araodontogenuri da araspecifiuri anTebiTi procesebi ­ Sidsi,

etiologia, paTogenezi, klinika (maTi gamovlinebebi piris RruSi da saxeze), diagnostika, mkurnaloba. - yba-saxis midamos anTebiTi procesebis garTulebebi (odontogenuri mediastiniti saxis venebis Tromboflebiti, sefsisi) ­ klinika, profilaqtika, diagnostika, kompleqsuri mkurnaloba saTanado specialistebTan erTad. - sanerwyve jirkvlebis daavadebebi da dazianebani: anTebiTi procesebi (mwvave, qronikuli, virusuli, specifiuri); kenWovani daavadebebi; neirodistrofiuli daavadebebi; travmuli dazianebebi. - yba-saxis midamos cecxlnasroli travmuli dazianebani (rbili qsovilebi, kbilebi, Zvlovani ConCxi), cecxlnasroli dazianebebi, maTi Taviseburebebi: saxis da kisris midamos Termuli dazianebebi (damwvroba, moyinva), radiaciuli dazianebebi. yba-saxis midamos dazianebebis dros ganviTarebuli garTulebebi (adreuli, mogvianebiTi), maTi profilaqtika da mkurnaloba. saxis travmebis Sedegad ganviTarebuli deformaciebis daxasiaTeba, maTi aRmofxvris dagegmva. - yba-saxis midamos nervebis daavadebebi da dazianebebi ­ etiologia, paTogenezi, klinika, diagnostika, mkurnaloba. - safeTqel-qveda ybis saxsris daavadebebi da dazianebani ­ etiologia, paTogenezi, klinika, diagnostika, mkurnaloba. - piris Rrusa da yba-saxis midamos keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebi, maTi ganviTarebis xelSemwyobi faqtorebi, simsivniswinare daavadebebi, ybebis keTilTvisebiani odontogenuri simsivneebi da simsivnismagvari warmonaqmnebi, yba-saxis midamos rbili qsovilebis da Zvlovani ConCxis keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebi ­ etiologia, paTogenezi, klinika, diagnostika, mkurnalobis principebi. piris Rrus da yba-saxis midamos avTvisebiani simsivneebis epidemiologia, biologiuri Taviseburebebi da saerTaSoriso TNM klasifikaciis zogadi principebi; - yba-saxis midamos SeZenili da Tandayolili defeqtebi da deformaciebi, maTi etiologiis da paTogenezis sakiTxebi, operaciuli Carevis Cvevebi da vadebi, maTi Tanmimdevroba. adgilobrivi qsovilebiT da fexiani nafleTiT zogierTi saxeebis praqtikulad gamoyeneba. - kbilebis implantologia, implantaciis qirurgiuli meTodebis ZiriTadi safuZvlebi, mkurnalobis etapebi da garTulebebis profilaqtikuri RonisZiebebi. - bavSvebSi da mozardebSi adgilobrivi gautkivarebiT kbilebis eqstraqcia asakobrivi Taviseburebebis gaTvaliswinebiT. - bavSvebSi da mozardebSi yba-saxis midamos magari da rbili qsovilebis anTebiTi procesebis klinikuri mimdinareobis da mkurnalobis Taviseburebebi. - bavSvebSi da mozardebSi saxis qalas Zvlebis da yba-saxis midamos rbili qsovilebis travmuli dazianebebi, maTi klinikuri mimdinareobis Taviseburebebi, diagnostikis da mkurnalobis meTodebi. - bavSvebSi da mozardebSi gamoyenebuli zogadi gautkivarebis saxeebi, maTi Cvevebi da ukuCvenebebi. - bavSvebSi da mozardebSi safeTqel-qveda ybis saxsris daavadebebi da dazianebani: etiologia, paTogenebi, klinika, diagnostika, mkurnalobis principebi. - bavSvebSi da mozardebSi yba-saxis midamos keTilTvisebiani simsivneebi da simsivnismagvari daavadebebi. klasifikacia, onkogenezi, maTi ganviTarebis xelSemwyobi faqtorebi. - odontogenuri warmoSobis keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebi, sisxl da limfurZarRvovani simsivneebi. adreuli diagnostika, mkurnalobis taqtikuri gegmis Sedgena. - bavSvebSi da mozardebSi saxis da ybebis Tandayolili mankebi da anomaliebi. etiologia, paTogenezi, xelSemwyobi faqtorebi, klasifikacia, diagnostika, mkurnalobis gegmis Sedgena. sarezidento programis `yba-saxis qirurgia~ ganmaxorcielebel samedicino dawesebulebaSi avadmyofTa raodenoba da daavadebebis speqtri unda iZleodes am specialobis Rrma klinikuri Seswavlis da gamocdilebis miRebis saSualebas. garda amisa aRniSnuli rezidenturis programis CatarebisaTvis dawesebulebas unda gaaCndes pedagogiuri procesisaTvis saWiro inteleqtualuri, materialur-teqnikuri potenciali (akademiurpedagogiuri personali, auditoria, saswavlo oTaxi, biblioTeka, vizualuri da damxmare saswavlo masalebi da sxv.).

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II. muxli II. mizani da amocanebi saxelmwifo sarezidento programa `yba-saxis qirurgia~ gankuTvnilia umaRlesi samedicino ganaTlebis (stomatologiis fakulteti) damadasturebeli mowmobis mqone pirTaTvis. programa gawerilia 3 welze. programis warmatebiT daZlevis wina pirobas warmoadgens diplomamdeli samedicino ganaTlebis etapze miRebuli codna. rezidents unda SeeZlos eleqtronuli sainformacio wyaroebis mopoveba, analizi, sinTezi, da informaciis praqtikaSi logikuri gamoyenebis unari. rezidents unda gamoumuSavdes kolegebTan rogorc jgufuri muSaobis, aseve am jgufSi sakuTari individualobis warmoCenis unari. unda gamoavlinos pasuxismgebloba, samarTlianoba da saeqimo saqmianobis kargi codna, komunikabeloba pacientsa da mis axloblebTan. SeeZlos mougvaros avadmyofs yba-saxis midamos yvela qirurgiuli problema da uzrunvelyos srulyofili mkurnaloba Tanamedrove meTodebiT. rezidents unda hqondes survili da mzaoba miiRos da Seasrulos uSualo xelmZRvanelis yvela miTiTeba da instruqcia, gaiTvaliswinos kritika. realurad unda Seafasos sakuTari Zalebi, naklovanebebi. unda hqondes sakuTari Tavisadmi kritikuli midgomis da saTanado daskvnebis gamotanis unari, unda agos pasuxi sakuTari Secdomebis gamo, rac Tavis mxriv sakuTari kompetenciis srulyofisa da profesiuli zrdis erT-erTi umTavresi motivia. rezidents unda hqondes survili CaerTos uwyveti samedicino ganaTlebis sistemaSi. rezidenturis sruli kursis warmatebiT damTavrebis Semdeg rezidenti saeqimo saqmianobis uflebis mosapoveblad `yba-saxis qirurgiaSi~ abarebs saxelmwifo sasertifikacio gamocdas. rezidenturaSi momzadebul yba-saxis qirurgs sertificirebis Semdeg ufleba aqvs imuSaos yba-saxis qirurgiis stacionarSi an nebismieri stomatologiuri dawesebulebis qirurgiul kabinetSi an qirurgiul ganyofilebaSi. programis mizani ­ sabaziso samedicino ganaTlebis mqone diplomirebuli medikosis konkurentunarian specialistad Camoyalibeba yba-saxis qirurgiaSi da momavali damoukidebeli saeqimo da samedicino saqmianobisaTvis saTanado gamocdilebis SeZena. programis amocanebi ­ aRzardos eqimi specialisti, romelsac SeeZleba piris Rrus organoebis da yba-saxis midamos qirurgiuli daavadebebis drouli amocnoba, profilaqtikasa da mkurnalobaze orientirebuli janmrTelobis dacvis sistemis srulyofa. ybaeqimyba-saxis qirurgiis sarezidento programis dasrulebisas eqim-specialistis kompetenciebi: zogadi: zogadi ­ yba-saxis midamos qirurgiuli daavadebebis mqone pacientis gasinjva da daavadebis diagnostika; - yovel konkretul SemTxvevaSi ZiriTadi taqtis gansazRvra da Sesabamisi gadawyvetilebis miReba; - daavadebis prevenciis RonisZiebebis dasaxva; - mkurnalobis sqemis SemuSaveba, samkurnalo saSualebebis mizanmimarTuli seleqcia da daniSnulebisamebr gamoyeneba. kerZo: kerZo - yba-saxis midamos paTologiis mqone pacientTa anamnezis Sekreba; - klinikuri gasinjvis yvela aRiarebuli meTodis codna; - klinikur-laboratoriuli da instrumentuli diagnostikis Tanamedrove saSualebebis monacemTa kvalificiuri interpretacia, diagnostika da samkurnalo manipulaciebis floba; - aseptikis da antiseptikis dacva pacientTa miRebisas; pacientisa da eqimis usafrTxo muSaobis yvela pirobebis maqsimaluri dacva; - yba-saxis qirurgiuli ganyofilebis organizaciis da teqnikuri aRWurvilobis (aparatura, iaraRebi avadmyofTa gamokvlevis da operaciuli Carevebis Casatareblad) codna. - gautkivareba ­ adgilobrivi saanesTezio nivTierebebis kliniko-farmakologiuri Tvisebebi. adgilobrivi gautkivarebis SerCeva avadmyofis Tanmxlebi daavadebebis mixedviT. adgilobrivi anesTeziis gamaxangrZlivebeli preparatebi. adgilobrivi gautkivarebis winaaRmdeg Cvenebebi. - araineqciuri gauktivareba (aplikaciuri, dabali temperaturiT). - ineqciiT gautkivareba ­ infiltraciuli anesTezia, gamtareblobiTi anesTeziebi; - gamtareblobiTi anesTeziebi zeda ybaze: tuberuli anesTezia, Tvalbudis qveda nervis gautkivareba, anesTezia sasis did xvrelTan, anesTezia saWrel xvrelTan, infratemporaluri anesTezia; - gamtareblobiTi anesTeziebi qveda ybaze ­ mandibuluri anesTezia, loyis nervis

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gautkivareba, enis nervis gautkivareba, torusuli anesTezia, nikapis nervis gautkivareba; - qveda ybis nervis mamoZravebeli totebis blokada (berSe-dubovis anesTezia, egorovis anesTezia); - adgilobrivi anesTeziis zogadi da adgilobrivi garTulebebi; - yba-saxis qirurgiaSi gamoyenebuli zogadi gautkivarebis saxeebi ­ intubaciuri, intravenuri, maTi Cvenebebi da winaaRmdegCvenebebi. yba-saxis qirurgiaSi intubaciuri narkozis Catarebis Taviseburebani. daavadebis simZimidan da paTologiuri procesis lokalizaciidan gamomdinare intubaciis gzebis SerCeva (piris Rrudan, cxviridan, traqeostomuli xvrelidan), narkozis garTulebebi; - gul-filtvis reanimaciis principebi (gulis daxuruli masaJi, xelovnuri sunTqva); - kbilebis eqstraqcia ­ mudmivi kbilebis eqstraqciis Cvenebebi da winaaRmdegCvenebebi; - kbilebis eqstraqciisaTvis saWiro iaraRebi ­ maSebi (zeda da qveda ybebisaTvis), elevatorebi, satexi da CaquCi, bormanqana; - eqimis da avadmyofis mdebareoba kbilis eqstraqciis dros. kbilebis saeqstraqcio maSebis xelSi daWeris wesebi. eqstraqciis momentebi. - kbilebis eqstraqciis meTodika zeda ybaze - kbilTa jgufebis mixedviT, SenarCunebuli gvirgviniT, fesvebis eqstraqcia; - kbilis eqstraqciis Semdeg Wrilobis damuSaveba da movla. - garTulebebi kbilis eqstraqciis momentSi: zogadi, adgilobrivi. - garTulebebi kbilis eqstraqciis Semdeg: zogadi, adgilobrivi, adreuli, mogvianebiTi. am garTulebebis profilaqtika da mkurnaloba. - kbilebis amoWris paTologia: naxevradretenciuli, retenciuli, distopirebuli kbilebi. diagnostika, Cvenebis mixedviT operaciuli mkurnaloba. - kbilis fesvis mwvervalis rezeqcia. - kbilis fesvis amputacia, kbilis hemiseqcia. - yba-saxis midamos abscesebis da flegmonebis qirurgiuli da medikamenturi mkurnaloba: - Tvalbudis qveda midamos abscesi da flegmona. - loyis abscesi da flegmona. - yvrimalis midamos abscesi da flegmona. - safeTqlis fosos abscesi da flegmona. - safeTqlis qveda da frTa-sasis fosos abscesi da flegmona; - Tvalbudis abscesi da flegmona; ybisqveSa midamos abscesi da flegmona; nikapqveSa midamos abscesi da flegmona; yba-yura saReWi midamos abscesi da flegmona; yba-frTisebri midamos abscesi da flegmona; xaxis irgvlivi midamos abscesi da flegmona; enis abscesi da flegmona; enisqveSa midamos abscesi da flegmona; piris Rrus fskeris abscesi da flegmona; ybisukana midamos abscesi da flegmona; kisris wina zedapiris abscesi da flegmona. - zeda ybis wiaRis sadiagnostiko da samkurnalo punqcia; - zeda ybis wiaRze operaciuli Careva (kolduel-lukis operacia); - piris Rrus da yba saxis midamos specifikuri anTebiTi procesebis (aqtinomikozi, tuberkulozi, luesi, gonorea) diagnostika, medikamenturi da qirurgiuli mkurnaloba; - yba-saxis midamos araodontogenuri anTebiTi procesebis (furunkuli, karbunkuli, wiTeli qari, cimbiris wyluli, noma, vegeneras granulematozi, Sidsi) diagnostika, medikamenturi da saWiroebis mixedviT qirurgiuli mkurnaloba. - sanerwyve jirkvlebis bimanualuri palpacia; - yba-yura da ybisqveSa sanerwyve jirkvlebis sadinrebis zondireba, buJireba; - sanerwyve jirkvlebSi samkurnalo da sakontrasto nivTierebebis Seyvana; - sanerwyve jirkvlebis sadinrebSi lokalizebuli kenWebis amoReba pirSigniTa operaciuli midgomiT. - piris Rrus lorwovani garsebis Wrilobebis damuSaveba daSekerva; - enis Wrilobebis damuSaveba da Sekerva; - saxis rbili qsovilebis Wrilobebis pirveladi qarurgiuli damuSaveba da Sekerva; - kbilebis motexilobebis diferencirebuli mkurnaloba; - kbilebis amovardnilobebis diferencirebuli mkurnaloba; - alveoluri morCis motexilobebis klinika, diagnostika, mkurnaloba; - qveda ybis sxvadasxva amovardnilobis (wina, calmxrivi, Cveuli, moZvelebuli) klinika, diagnostika, mkurnaloba.

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- qveda ybis motexilobebis klinika, diagnostika, Cvenebis mixedviT orTopediuli da qirurgiuli meTodebiT mkurnaloba; - zeda ybebis motexilobebis klinika, diagnostika, Cvenebis mixedviT orTopediuli da qirurgiuli meTodebiT mkurnaloba; - yvrimalis Zvlis sxeulis da rkalis motexilobebis klinika, diagnostika, Cvenebis mixedviT orTopediuli da qirurgiuli meTodebiT mkurnaloba; - cxviris Zvlebis motexilobebis klinika, diagnostika, mkurnaloba. - saxis cecxlnasroli Wrilobebis dros ganviTarebuli garTulebebis (sisxlis dena, asfiqsia) profilaqtika da mkurnaloba. - samwvera nervis nevralgiis klinika, diagnostika, misi periferiuli totebis blokada saanesTezio xsnarebiT (lidokaini, ultrakaini da sxva); - samwvera nervis nevralgiis dros misi periferiuli totebis alkopolizacia; - samwvera nervis nevralgiis dros misi periferiuli totebis amokveTa (nervoegzeresi); - ena-xaxis nervis nevralgiis klinika, diagnostika, mkurnaloba saanesTezio nivTierebebis blokadebiT; - sadgisiseburi morCis sindromi ­ klinika, diagnostika, mkurnaloba saanesTezio da kortikosteroidebis xsnaris blokadebiT; - frTa-sasis kvanZis sindromi ­ klinika, diagnostika, mkurnaloba saanesTezio nivTierebebis da kortikosteroidebis xsnaris frTa-sasis kvanZSi SeyvaniT; - safeTqel qveda ybis saxsris daavadebebis da travmebis rentgenologiuri monacemebis gaSifvra; - samkurnalo saSualebebis ineqciis gziT safeTqel-qveda ybis saxsarSi Seyvana; - qveda ybis redresacia saReWi kunTebis kontraqturis da ankilozis fibrozuli formebis dros; - yba-saxis midamos simsivneebidan biofsiiT masalis aReba morfologiuri kvlevisaTvis; - odotongenuri kistebis qirurgiuli mkurnaloba; - mcire sanerwyve jirkvlebis retenciuli kistebis qirurgiuli mkurnaloba; - periferiuli osteoblastoklastomebis (gigantur-ujredovani epulisebi) qirurgiuli mkurnaloba; - fibrozuli angiomatozuri epulisebis, RrZilebis fibromebis (erTeuli, simetriuli, fibromatozi) qirurgiuli mkurnaloba; - yba-saxis midamos rbili qsovilebis keTilTvisebiani simsivneebis (papiloma, lipoma, fibroma, xali, kapilaruli hemangioma) operaciuli mkurnaloba; - avTvisebian simsivneze eWvisas anamnezis srulfasovani Sekreba, pirveladi simsivnis da regionuli limfuri kvanZebis gansazRvra; - simsivnis diagnozis dasazusteblad arsebuli diagnostikuri meTodebis Tanmimdevrulad Catareba, Catarebuli informaciis interpretireba da simsivnis stadiurobis dadgena; - citologiuri kvlevis (punqciuri biofsiis) warmoeba; - daavadebis Taviseburebidan (stadiurobidan) gamomdinare mkurnalobis dagegmareba. - yba-saxis areSi arsebuli pirveladi simsivneebis da kisris limfur jirkvlebze operaciis masStabis dadgena. - onkologiur pacientTa reabilitaciis sakiTxebis ZiriTadi principebis codna. - adgilobrivi qsovilebiT plastika: Secvlili qsovilebis (nawiburi, wyluli) amokveTa, Wrilobis kideebis miaxloeba da Sekerva; - gardamavali naoWis nawiburebis, tuCebis da enis lagamis plastika; - fexiani nafleTiT plastika; - kanis gaxleCili nafleTis Tavisufali gadanergva; - piris Rrus proTezirebisaTvis (mosamzadebeli) operaciuli Carevebi ­ ybebis Zvlovan qsovilebze, piris Rrus rbil qsovilebze; - parodontis daavadebebis dros Cvenebis mixedviT mkurnalobis qirurgiuli meTodebis gamoyeneba; - dentaluri implantaciis Casatareblad pacientis piris Rrus instrumentuli, rentgenologiuri, ZiriTadi klinikur-laboratoriuli gamokvlevebi; - piris Rrus higienuri mdgomareobis mowesrigeba, mikrobiologiuri statusis gansazRvra da Sesabamisi mkurnaloba; - pacientis winasaoperacio momzadeba; - implantatis SerCeva da implantaciis qirurgiuli meTodis gansazRvra etapobriobis da invaziurobis mixedviT; - saimplantacio midamos rbili qsovilebis gakveTa da lorwovan-Zvalsazrdelas nafleTis separacia; - saimplantacio sarecelis Seqmna Zvlis preparirebiT;

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- implantatis Zvlovan sarecelSi moTavseba da srulyofili pirveladi fiqsaciis miRweva; - Zvlovani da rbili qsovilebis Wrilobebis meqanikuri da qirurgiuli damuSaveba, gakerva; - pacientis postoperaciuli periodis marTva, medikamenturi mkurnalobis daniSvna da saTanado rCeva-darigebis micema; - bavSvTa da mozrdTa asakis pacientebSi infiltraciuli anesTeziebi piris RruSi; - regionaluri anesTeziebi zeda da qveda ybaze; - sarZeve kbilebis eqstraqcia; - mudmivi kbilebis eqstraqcia; - retenciuli kbilebis eqstraqcia; - amovardnili kbilebis repozicia, imobilizacia; - odontogenuri anTebiTi procesebi ­ subperiostaluri abscesis gaxsna; - yba-saxis midamosa da piris RruSi arsebuli flegmonis gaxsna; - yba-saxis midamos araodontogenuri anTebiTi procesebis (furunkuli, karbunkuli) klinika, diagnostika, mkurnaloba. - sanerwyve jirkvlebis anTebiTi daavadebebi bavSvTa asakSi. morecidive parenqimatozuli parotiti, klinika, diagnostika, mkurnaloba; - sanerwyve jirkvlebis sadinrebis zondireba, buJireba ­ sakontrasto nivTierebis Seyvana; - saxis qalas Zvlebisa da yba-saxis rbili qsovilebis travmuli dazianebebis diagnostika, mkurnalobis meTodebis SerCeva da mkurnaloba; monatexi fragmentebis repozicia, imobilizacia; - artaSnis dadeba; - yba-saxis midamos rbili qsovilebis Wrilobebis damuSaveba da Sekerva; - safeTqel-qveda ybis saxsris daavadebebis diagnostireba, operaciuli da orTodontiuli mkurnalobis meTodebis Teoriuli codna. araqirurgiuli mkurnalobis Catareba; - odontogenuri kistebis qirurgiuli mkurnaloba: cistotomia, cisteqtomia; - sanerwyve jirkvlebis retenciuli kistebis qirurgiuli mkurnaloba; - sisxl da limfurZarRvovani simsivneebis araqirurgiuli meTodebiT mkurnaloba ­ eleqtrokoagulacia, masklerozirebeli Terapia; - saxisa da ybebis Tandayolili ganviTarebis mankebisa da anomaliebis diagnostika; - Tandayolili ganviTarebis mankebis mqone bavSvebis kvebis, gamozrdisa da operaciuli mkurnalobisaTvis momzadeba. yovel individualur SemTxvevaSi pirveladi operaciuli mkurnalobis, makoregirebeli operaciebis Catarebis argumentacia da maTi vadebis gansazRvra; - piris Rrus lorwovani garsis anomaliebis operaciuli mkurnalobis Catareba; - enis, zeda da qveda tuCis lagamis da piris karibWis plastika; ybakompetenciebi: yba-saxis qirurgiis eTikuri kompetenciebi - mTeli profesiuli saqmianobis manZilze profesiuli codnis ganaxleba da srulyofa, Sesabamisi unar-Cvevebis daxvewa; - pacientTan, kolegasTan da sazogadoebasTan samarTliani, uangaro da keTilganwyobili damokidebuleba; - invalidis, ojaxis da mTlianad sazogadoebis janmrTelobaze zrunva; - saeqimo saqmianobis aRsrulebisas profesiuli standartebis da sayovelTaod aRiarebuli eTikuri normebis dacva; - profesiuli codnis da samsaxureobrivi mdgomareobis arahumanuri miznebiT gamoyenebis miuRebloba; - qveynis sakanonmdeblo normebis dacva, xolo Tu es ukanaskneli xels uSlis misi profesiuli movaleobis aRsrulebas, maT Sesacvlelad brZola; - SesaZleblobis farglebSi profesiuli movaleobis aRsrulebaSi kolegisaTvis dsaxmarebis gaweva; - samecniero kvlevis dagegmvisa da ganxorcielebis procesSi sayovelTaod aRiarebuli samecniero principebiT xelmZRvaneloba; kvlevis Catarebis dros da misi Sedegebis gamoqveynebisas obieqturobis dacva; - kolegis, sxva samedicino personalis, rezidentis, studentis profesiuli codnisa da unar-Cvevebis srulyofaze zrunva. ybayba-saxis qirurg specialistTa samuSao sfero

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- mravalprofiliani saavadmyofos yba-saxis qirurgiuli ganyofileba; - mravalprofiliani stomatologiuri poliklinikis qirurgiuli kabineti.

ganyofileba

an

`ybaTavi II `yba-saxis qirurgia~ specialobis aRweriloba (specifikacia) yba-saxis qirurgia warmoadgens damoukidebel saeqimo saqmianobas, aris stomatologiis Semadgeneli nawili, romelic swavlobs piris Rrus organoebis da yba-saxis midamos qirurgiul daavadebebs. eqimi, yba-saxis qirurgi aris integrirebuli codnis eqimi specialisti, romelic flobs piris Rrus organoebis da yba-saxis midamos qirurgiuli daavadebebis diagnostikas, mkurnalobas da prevenciul RonisZiebebs da miRebuli aqvs diplomisSemdgomi profesiuli ganaTleba. yba-saxis qirurgis specialistis movaleobaa kbilebis da piris Rrus organoebis, ybasaxis midamos qirurgiuli daavadebebis drouli amocnoba, profilaqtikasa da mkurnalobaze orientirebuli janmrTelobis dacvis sistemis srulyofa. yba-saxis qirurg specialistTa samuSao sfero: - mravalprofiliani saavadmyofos yba-saxis qirurgiuli ganyofileba; - mravalprofiliani stomatologiuri poliklinkis qirurgiuli ganyofileba an kabineti. II. specialistis muxli II. specialistis profesiuli zogadi codna yba-saxis qirurgiaSi eqimi-specialisti unda flobdes codnas Semdegi Sesabamisad: - saqarTvelos kanoni `janmrTelobis dacvis Sesaxeb~; - saqarTvelos kanoni `saeqimo saqmianobis Sesaxeb~; - saqarTvelos kanoni `pacientis uflebebis Sesaxeb~; - eqimisa da pacientis urTierTobebis safuZvlebi; - bioeTikis Tanamedrove principebi. kanonebis

eqimmuxli III. eqim-specialistis zogadi unarCvevebi yba-saxis qirurgs unda SeeZlos: - yba-saxis qirurgiuli daavadebis anamnezis Sekreba; - klinikuri gasinjvis yvela aRiarebuli fizikuri meTodis gamoyeneba; - klinikur-laboratoriuli da instrumentuli diagnostikis Tanamedrove saSualebebis monacemTa kvalificirebuli interpretacia, igi unda flobdes diagnostikur da samkurnalo manipulaciebs. - miRebul monacemTa ganzogadoeba; - etiologiurad da paTogenezurad gamarTuli konservatiuli da qirurgiuli mkurnalobis daniSvna; - yba-saxis qirurgiuli paTologiebis adeqvaturi marTva daavadebis nebismier etapze; - yba-saxis qirurgiuli paTologiebis prevenciuli RonisZiebebis adeqvaturi warmarTva; - rTul SemTxvevebSi, pacientis profilis maqsimalurad SesaZlebeli sizustiT gansazRvra da vizireba Sesabamisi profilis eqim specialistTan damatebiTi diagnostikuri gamokvlevebisTvis da specializirebuli arainvaziuri an invaziuri mkurnalobis CatarebisaTvis. - aucilebeli komunikaciis damyareba saSualo medpersonalTan, studentebTan, eqimebTan, pacientebTan da maT axloblebTan. - aCvenos samecniero kvlevebis, naSromebis, adeqvaturi aRqmisa da interpretaciis unari, amavdroulad, TviTonac SeZlos samecniero kvlevis warmarTva an masSi aqtiuri monawileoba. IV. muxli IV. specialoba moicavs qvemoT CamoTvlili daavadebebis, paTologiuri mdgomareobebis klinikas, diagnostikas, profilaqtikas da mkurnalobas - adgilobrivi adeqvaturi gautkivarebis qveS (aplikaciuri, infiltraciuli da regionuli anesTeziebi) im kbilebis da fesvebis eqstraqcia, romelTa gankurneba konservatiuli meTodebiT ver xerxdeba. - yba-saxis midamos anTebiTi procesebi: periodontitebi ­ mwvave, qronikuli, qronikuli gamwvavebuli; periostitebi ­ mwvave, qronikuli; ybebis osteomieliti ­ mwvave, qvemwvave, qronikuli; - saxis da kisris abscesebi da flegmonebi: a) zeda ybis mimdebare qsovilebis abscesebi da flegmonebi

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Tvalbudis qveda midamos abscesi da flegmona; loyis midamos abscesi da flegmona; safeTqlis qveda fosos abscesi, safeTqlis qveda fosos da frTa-sasis fosos flegmona; safeTqlis fosos flegmona; yvrimalis Zvlis midamos abscesi da flegmona; Tvalbudis abscesi da flegmona. b) qveda ybis mimdebare qsovilebis abscesebi da flegmonebi: ybisqveSa midamos abscesi da flegmona; nikapqveSa midamos abscesi da flegmona; yba-yra saReWi midamos abscesi da flegmona; yba-frTiseburi midamos abscesi da flegmona; xaxis irgvlivi sivrcis abscesi da flegmona; piris Rrus fskeris flegmona; ybisukana midamos flegmona; kisris wina zedapiris flegmonebi; enis abscesi da flegmona. - saxis da kisris limfangitebi, limfadenitebi, adenoflegmonebi; - kbilebis amoWris paTologia zeda da qveda ybebze ­ naxevradretenciuli, retenciuli, distopirebuli kbilebi; - zeda ybis wiaRis odontogenuri anTeba; - saxis da kisris, piris Rrus, ybebis specifiuri infeqciuri anTebiTi procesebi aqtinomikozi; tuberkulozi; sifilisi; gonorea. - yba-saxis midamos da piris Rrus infeqciuri da protozouli daavadebebi: furunkuli, karbunkuli; cimbiris wyluli; wiTeli qari; noma (wylis kibo); Sidsi; vegeneras granulematozi. - sanerwyve jirkvlebis daavadebebi da dazianebani: sanerwyve jirkvlebis anTebiTi procesebi; sanerwyve jirkvlebis kenWovani daavadeba; sanerwyve jirkvlebis distrofiuli daavadebebi (sialozebi, sialoadenozebi); sanerwyve jirkvlebis travmuli dazianebebi. - yba-saxis midamos anTebiTi daavadebebis garTulebebi: mwvave sefsisi, septiuri Soki, sunTqvis ukmarisoba, RviZlis da Tirkmelebis dazianeba; kontaqturi mediasciniti; saxis da kisris Cirqovani daavadebebis meoradi qalasSiga garTulebebi. - yba-saxis midamos aracecxlnasroli travmuli dazianebani: piris Rrus da yba-saxis midamos rbili qsovilebis nakawrebi, daJeJiloba, Wrilobebi; kbilebis amovardniloba; kbilebis motexiloba; alveoluri morCis motexiloba; qveda ybis amovardniloba; qveda ybis motexiloba; zeda ybis motexiloba; yvrimalis Zvlis da rkalis motexiloba; cxviris Zvlebis motexiloba. - yba-saxis midamos cecxlnasroli dazianebebi: rbili qsovilebis dazianeba (Taviseburebebi); saxis Zvlebis cecxlnasroli motexilobebi. - yba-saxis midamos travmuli dazianebebis garTulebebi: adreuli tvinis Seryeva, daJeJiloba; koma; travmuli Soki; asfiqsia; sisxlis dena ­ uSualod travmis Semdeg da meoradi (naadrevi da mogvianebiTi); mogvianebiTi ­ bronqo ­ pulmonaluri garTulebebi:

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Zvlis Wrilobis daCirqeba; travmuli osteomieliti; ybebis kontraqtura; monatexi fragmentebis Senelebuli konsolidacia; cru saxsari; travmuli haimoriti. - piris Rrus, saxis da kisris damwvrobebi da moyinva; - yba-saxis midamos nervebis daavadebebi da dazianebani: samwvera nervi; ena-xaxis nervi; saxis nervi; saxis vegetatiuri gangliebi. - safeTqel qveda ybis saxsris daavadebebi da dazianebani: a) safeTqel qveda ybis saxsris artikulaciuri daava debebi: anTebiTi daavadebebi (arTritebi); araanTebiTi daavadebebi (saxsarSiga funqciis moSlilobebi); osteoarTrozi; ankilozi. b) safeTqel qveda ybis saxsris artikulaciuri daavadebebi: bruksizmi; safeTqel qveda ybis saxsris mtkivneuli disfunqcia; saReWi kunTebis kontraqtura. - yba-saxis midamos keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebi: piris Rrus lorwovani garsis mravalSriani brtyeli epiTeliumidan gamomdinare simsivneebi da simsivnismagvari warmonaqmnebi; odontogenuri simsivneebi da simsivnismagvari warmonaqmnebi; sanerwyve jirkvlebis simsivneebi da simsivnismagvari warmonaqmnebi; rbili qsovilebis simsivneebi da simsivnismagvari warmonaqmnebi; Tandayolili kistebi da xvrelarxebi; saxis Zvlebis simsivneebi da simsivnismagvari warmonaqmnebi; - yba-saxis midamos avTvisebiani simsivneebi (kanis, piris Rrus lorwovani garsis, tuCis, qveda da zeda ybebis, sanerwyve jirkvlebis): anamnezis Sekreba, pirveladi simsivnis regionuli limfuri kvanZebis gansazRvra; Catarebuli gamokvlevebis safuZvelze simsivnis stadiis dadgena; punqciuri biofsiis warmoeba; daavadebis stadiidan gamomdinare mkurnalobis dagegmva; yba-saxis areSi arsebuli pirveladi simsivneebis da limfur jirkvlebze operaciis masStabis dadgena; - pirisaxis midamos aRdgeniTi qirurgia: adgilobrivi qsovilebiT plastika ­ Secvlili qsovilebis (nawiburi, wyluli) amokveTa; Wrilobis kideebis miaxloeba da Sekerva; gardamavali naoWis nawiburebis, tuCebis, enis lagamis plastika; fexiani nafleTiT plastika; kanis gaxleCili nafleTis gadanergva; piris Rrus proTezirebisaTvis momzadeba (operaciuli Carevebi ybebis magar qsovilebze, piris Rrus rbil qsovilebze). nafleTovani operaciebi parodontis daavadebebis qirurgiul mkurnalobaSi - dentaluri implatanciis Catareba: pacientis piris Rrus instrumentuli, rentgenologiuri da ZiriTadi klinikolaboratoriuli gamokvlevebi; implantatis SerCeva da implantaciis qirurgiuli meTodis gansazRvra; saimplantacio midamos rbili qsovilebis gakveTa da lorwovan Zvalsazrdelis nafleTis separacia saimplantacio sarecelis Seqmna Zvlis preparirebiT; implantantis Zvlovan sarecelSi moTavseba, Zvlovani da rbili qsovilebis Wrilobebis meqanikuri da qirurgiuli damuSaveba. - bavSvebSi da mozardebSi sarZeve da mudmivi kbilebis eqstraqcia bavSvebSi da mozardebSi adgilobrivi gautkivarebis (araineqciuri da ineqciuri meTodebis gamoyeneba) gautkivarebis gamoyenebis specifika bavSvTa asakSi; - bavSvebSi da mozardebSi adgilobrivi gautkivarebis, kbilebis eqstraqciis da eqstraqciis Semdgomi garTulebebis profilaqtika da mkurnaloba; - bavSvebSi da mozardebSi kbilebis travmuli dazianebani (daJeJiloba, amovardniloba,

9

motexiloba); - bavSvebSi da mozardebSi odontogenuri anTebiTi procesebi ­ periodontitebi, periostitebi, osteomielitebi, abscesebi da flegmonebi; - bavSvebSi da mozardebSi araodontogenuri anTebiTi procesebi (furunkuli, karbunkuli, noma); - bavSvebSi da mozardebSi sanerwyve jirkvlebis anTebiTi daavadebebi; - bavSvebSi da mozardebSi saxis qalas Zvlebis da yba-saxis rbili qsovilebis travmuli dazianebani (rbili qsovilebis Wrilobebi, ybebis motexilobebi); - bavSvebSi da mozardebSi safeTqel qveda ybis saxsris anTebiTi da araanTebiTi daavadebebi; - bavSvebSi da mozardebSi piris Rrus da yba-saxis midamos keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebi: odontogenuri kistebi; sanerwyve jirkvlebis retenciuli kistebi; hemangiomebi; limfangiomebi; saxis da kisris Tandayolili kistebi da xvrelarxebi. - saxis da ybebis Tandayolili mankebi. laboratoriulCamonaTvali, muxli V. im laboratoriul-instrumentuli gamokvlevebis CamonaTvali, romelTa eqimybaqirurgs: Sedegebis interpretacia da klinikuri Sefaseba exeba eqim-specialist yba-saxis qirurgs klinikur-diagnostikuri kvlevis meTodebi da maTi Sedegebis interpretacia; rentgenologiuri gamokvlevis meTodebi da maTi Sedegebis interpretacia; bioqimiuri kvlevis meTodebi da maTi Sedegebis interpretacia; imunologiuri kvlevis meTodebi da maTi Sedegebis interpretacia; morfologiuri kvlevis meTodebi da maTi Sedegebis interpretacia; sisxlis saerTo analizis interpretacia; sisxlis imunologiuri da baqteriuli kvlevis interpretacia; sisxlis serologiuri kvlevis interpretacia; piris Rrus mikrobiologiuri kvlevis interpretacia; Sardis saerTo analizis Sedegebis interpretacia.

VI. (ybaunarmuxli VI. eqim specialistis (yba-saxis qirurgi) aucilebeli praqtikuli unar(diagnostikuri Cvevebi (diagnostikuri da samkurnalo manipulaciebi) - kbilebis eqstraqciisa da piris RruSi mcire operaciuli Carevebis gautkivarebisaTvis araineqciuri (fizikuri, qimiuri, fizikur-qimiuri) da ineqciuri (infiltraciuli da regionuli anesTezirebis srulyofili codna da Sesruleba); - adgilobrivi gautkivarebis zogadi da adgilobrivi garTulebebis profilaqtika da mkurnaloba; - mudmivi kbilebis eqstraqciis Cvenebebis da winaaRmdegCvenebebis gansazRvra; - zeda da qveda ybebze kbilTa sxvadasxva jgufebis da fesvebis eqstraqcia maSebis, elevatorebis, satexi da CaquCis, bormanqanis saSualebiT; - kbilis eqstraqciis momentSi, eqstraqciis Semdeg da mogvianebiT periodSi ganviTarebuli adgilobrivi da zogadi garTulebebis profilaqtika da mkurnaloba; - kbilebis amoWris paTologia ­ naxevradretenciuli, retenciuli da distopirebuli kbilebis eqstraqcia; - kbilis fesvis mwvervalis rezeqcia, fesvis amputacia, kbilis hemiseqcia; - haimoris Rrus oroantraluri fistulis tamponada; - haimoris Rrus oroantraluri fistulis operaciuli gziT daxurva; - haimoris Rruze kolduel-lukis tipiuri operaciis Catareba; - haimoris Rrus sadiagnostiko da samkurnalo punqcia; - zeda ybis mimdebare rbili qsovilebis abscesebis da flegmonebis (Tvalbudis qveda midamo, loyis midamo, yvrimalis midamo, safeTqlis foso, safeTqlis qveda da frTa-sasis foso, Tvalbude) qirurgiuli da konservatiuli mkurnaloba; - qveda ybis mimdebare rbili qsovilebis abscesebis da flegmonebis (ybis qveSa midamo, nikapqveSa midamo, yba-yura saReWi midamo, yba-frTisebri midamo, xaxis irgvlivi midamo, enis midamo, enisqveSa midamo, piris Rrus fskeri, ybisukana midamo, kisris wina zedapiri) qirurgiuli da konservatiuli mkurnaloba' - yba-saxis midamos specifiuri anTebiTi procesebis (aqtinomikozi, tuberkulozi, sifilisi) qirurgiuli da medikamenturi mkurnaloba; - yba-saxis midamos araodontogenuri anTebiTi procesebis (furunkuli, karbunkuli, wiTeli qari) qirurgiuli da medikamenturi mkurnaloba; - sanerwyve jirkvlebis bimanualuri palpacia da miRebuli Sedegebis Sefaseba;

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- yba-yura da ybisqveSa sanerewyve jirkvlebis sadinrebis zondireba, buJireba; - sanerwyve jirkvlebSi samkurnalo da sakontrasto nivTierebebis Seyvana; - sanerwyve jirkvlebis sadinrebSi lokalizebuli kenWebis pirSigniTa operaciuli midgoma amoReba; - piris Rrus lorwovani garsebis Wrilobebis damuSaveba da Sekerva; - enis Wrilobebis damuSaveba da Sekerva; - saxis rbili qsovilebis Wrilobebis pirveladi qirurgiuli damuSaveba da nakerebis dadeba dazianebuli midamos topografiis gaTvaliswinebiT; - kbilebis motexilobebis da amovardnilobebis diferencirebuli mkurnaloba; - alveoluri morCis motexilobis orTopediuli mkurnaloba; - qveda ybis amovardnilobis (wina, calmxrivi, ormxrivi, ukana, Cveuli, moZvelebuli) Casworeba; - qveda ybis motexilobis dros satransporto imobilizaciis gamoyeneba; - qveda ybis motexilobis dros (Cvenebis mixedviT) mkurnalobis orTopediuli da qirurgiuli meTodebis gamoyeneba; - zeda ybebis motexilobebis dros satransporto imobilizaciis gamoyeneba; - zeda ybebis motexilobebis dros (Cvenebis mixedviT) mkurnalobis orTopediuli da qirurgiuli meTodebis gamoyeneba; - yvrimalis Zvlis sxeulis da rkalis motexilobebis diferencirebuli mkurnaloba; - cxviris Zvlis motexilobebis mkurnaloba; - samwvere nervis periferiuli totebis alkopolizacia; - samwvere nervis periferiuil totebis amokveTa (nervoegzeresi); - ena-xaxis nervis blokadebi lidokain-deqsametazonis xsnariT; - frTa-sasis kvanZSi samkurnalo saSualebebis Seyvana; - safeTqel qveda ybis saxsris daavadebebis rentgenologiuri monacemebis gaSifvra; - safeTqel qveda ybis saxsarSi ineqciis gziT samkurnalo saSualebebis Seyvana; - qveda ybis redresacia saReWi kunTebis kontraqturis da ankilozis fibrozuli formebis dros; - yba-saxis midamos simsivneebidan biofsiiT masalis aReba morfologiuri kvlevisaTvis; - odontogenuri kistebis qirurgiuli mkurnaloba (cistotomia, cistoeqtomia); - mcire sanerwyve jirkvlebis retenciuli kistebis qirurgiuli mkurnaloba; - piris RruSi periferiuli osteoblastoklastomebis, fibrozuli angiomatozuri epulisebis, fibromebis qirurgiuli mkurnaloba; - yba-saxis midamos rbili qsovilebis keTilTvisebiani simsivneebi (lipoma, fibroma, papiloma, hemangioma, xali) operaciuli mkurnaloba; - avTvisebian simsivneebze eWvis dros punqciuri biofsiis warmoeba; - avTvisebiani simsivneebis SemTxvevaSi daavadebis stadiurobidan gamomdinare mkurnalobis dagegmareba; - adgilobrivi qsovilebiT plastika: Secvlili qsovilebis (wyluli, nawiburi) amokveTa, Wrilobis kideebis miaxloeba da Sekerva, gardamavali naoWis nawiburebis, tuCebis da enis lagamis plastika; - fexiani nafleTiT plastika; - kanis gaxleCili nafleTis Tavisufali gadanergva; - plastikuri operaciebi ybebis Zvlovan qsovilebze da piris Rrus lorwovan garsebze (kbilTa proTezirebisaTvis mosamzadeblad); - parodontis daavadebebis qirurgiuli mkurnaloba ­ gingivotomia, gingiveqtomia, nafleTovani operaciebi; - kbilebis implantologia ­ saimplantacio midamos rbili qsovilebis gakveTa da lorwovan-Zvalsazrdelis nafleTis separacia; - Zvlis preparirebiT saimplantacio sarecelis Seqmna; - implantaciis Zvlovan sarecelSi moTavseba da srulyofili pirveladi fiqsaciis miRweva; - Zvlovani da rbili qsovilebis Wrilobebis meqanikuri da qirurgiuli damuSaveba; - bavSvebSi da mozardebSi sarZeve da mudmivi kbilebis eqstraqcia adgilobrivi infiltraciuli an regionuli anesTeziebis qveS; - travmis Sedegad amovardnili kbilebis repozicia da fiqsacia; - bavSvebSi da mozardebSi yba-saxis midamosa da piris RruSi arsebuli flegmonis gaxsna; - bavSvebSi da mozardebSi didi sanerwyve jirkvlebis sadinrebis zondireba, buJireba, sadinrebidan sakontrasto nivTierebebis Seyvana; - bavSvebSi da mozardebSi saxis Zvlebis monatexi fragmentebis repozicia da fiqsacia artaSnebiT;

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- bavSvebSi da mozardebSi yba-saxis midamos rbili qsovilebis Wrilobebis dros pirveladi qirurgiuli damuSaveba da Sekerva; - bavSvebSi da mozardebSi odontogenuri kistebis operaciuli mkurnaloba (cistotomia, cisteqtomia); - bavSvebSi da mozardebSi sanerwyve jirkvlebis retenciuli kistebis operaciuli mkurnaloba. sisxl da limfurZarRvovani simsivneebis eleqtrokoagulacia da masklerozirebeli Terapia; - bavSvebSi da mozardebSi piris Rrus lorwovani garsis anomaliebis operaciuli mkurnaloba; enis, zeda da qveda tuCebis lagamis da piris karibWis plastika.

VII. muxli VII. im daavadebebis da paTologiuri mdgomareobebis CamonaTvali, romelTa romelTa profilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqimeqim-specialists - adgilobrivi gautkivareba (infiltraciuli da regionuli anesTeziebi); - kbilebis eqstraqcia; - yba-saxis midamos infeqciur-anTebiTi procesebi: periodontitebi; periostitebi; osteomielitebi. - saxis da kisris abscesebi da flegmonebi: zeda ybis mimdebare qsovilebis abscesebi da flegmonebi; qveda ybis mimdebare qsovilebis abscesebi da flegmonebi. - saxis da kisris limfangitebi, limfadenitebi da adenoflegmonebi; - kbilebis amoWris paTologia ­ naxevradretenciuli, retenciuli da distopirebuli kbilebi; - zeda ybis wiaRis odontogenuri anTeba; - piris Rrus, ybebis, saxis da kisris specifiuri infeqciuri anTebiTi daavadebebi: aqtinomikozi; tuberkulozi; sifilisi; gonorea. - yba-saxis midamos da piris Rrus infeqciuri da protozouli daavadebani da dazianebani: furunkuli, karbunkuli; cimbiris wyluli; wiTeli qari; noma (wylis kibo) da sxva Cirqovan-nekrozuli daavadebani; leiSmaniozi; Sidsi; vegeneras granulematozi. - sanerwyve jirkvlebis daavadebebi da dazianebebi; - yba-saxis midamos anTebiTi procesebis garTulebebi; - yba-saxis midamos aracecxlnasroli travmuli dazianebani: saxis nakawrebi, daJeJiloba, rbili qsovilebis Wrilobebi; kbilebis amovardna, motexiloba; qveda ybis amovardniloba; alveoluri morCis motexiloba; qveda ybis motexiloba; zeda ybebis motexiloba; yvrimalis Zvlis da rkalis motexiloba; cxviris Zvlebis motexiloba. - yba-saxis midamos cecxlnasroli dazianebani: adreuli sisxlis dena; asfiqsia; travmuli Soki; Tavis tvinis Seryeva, daJeJiloba; mogianebiTi ­ meoradi sisxlis dena; Zvlis Wrilobis daCirqeba; travmuli osteomieliti; qveda ybis kontraqtura. - piris Rrus, saxis da kisris damwvrobebi da moyinva;

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- yba-saxis midamos nervebis daavadebebi da dazianebani: samwvera nervis nevralgia, neiropaTia; ena-xaxis nervis nevralgia; frTa-sasis kvanZis sindromi. - safeTqel qveda ybis saxsris daavadebebi da dazianebani: artikuluri daavadebebi; araartikuluri daavadebebi. - yba-saxis midamos simsivneebi da simsivnismagvari warmonaqmnebi: keTilTvisebiani odontogenuri simsivneebi da simsivnismagvari warmonaqmnebi; piris Rrus lorwovani garsis, saxis da kisris rbili qsovilebis keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebi; saxis Zvlovani ConCxis simsivneebi da simsivnismagvari warmonaqmnebi. - adgilobrivi qsovilebiT plastika, fexiani nafleTiT plastika, kanis gaxleCili nafleTiT plastika; - parodontis daavadebebi; - kbilebis implantologia; - bavSvebSi da mozardebSi piris Rrus da yba-saxis midamos anTebiTi procesebi: periodontitebi; periostitebi; osteomielitebi; abscesebi da flegmonebi. - bavSvebSi da mozardebSi yba-saxis midamos travmuli dazianebani: piris Rrus da yba-saxis midamos Wrilobebi; kbilebis da saxis Zvlovani ConCxis motexilobebi. - bavSvebSi da mozardebSi sanerwyve jirkvlebis daavadebebi; - bavSvebSi da mozardebSi odontogenuri kistebi; - bavSvebSi da mozardebSi sisxlZarRvovani da limfurZarRvovani simsivneebi; - bavSvebSi da mozardebSi piris Rrus lorwovani garsis anomaliebi (enis, zeda da qveda tuCebis lagami, piris karibWe). specialists unda SeeZlos Semdegi gadaudebeli mdgomareobebis profilaqtika, diagnostika, pirveli daxmareba da mkurnaloba: - gulis wasvla; - kolafsi; - anafilaqsiuri Soki; - hipertonuli krizi; - bronquli asTmis Seteva; - epilefsiuri gulyra; - sisxlis dena; - asfiqsia; - klinikuri sikvdili. Sefasebis Tavi III. swavlebis / Sefasebis meTodebi muxli 1. swavlebis / Seafasebis principebi programis TiToeul modelSi dabalansebulia Teoriuli swavleba da praqtikuli saqmianoba. rezidenturis programa moicavs rezidentis: - Teoriul mzadebas ­ seminarul mecadineobebs, specialuri literaturis damuSavebas, wyaroTa nusxis Sedgenas, referatuli xasiaTis moxsenebis momzadebas. Teoriuli momzadeba xorcieldeba saqmianobidan mouwyvetliv. TviTmomzadebis mizniT kviraSi erTi dRe seminaruli mecadineobis an `biblioTekis~ dRea; - praqtikul saqmianobas ­ avadmyofTa miReba, klinikur garCevebSi monawileoba; rezidenturaSi mzadebis mTel periodSi rezidents aqvs ufleba damoukideblad gamoTqvas Tavisi azri, rogorc Teoriul sakiTxebze, aseve daavadebis xasiaTisa, diagnostikisa da mkurnalobis taqtikaze. yba-saxis qirurgis profesiuli mzadebis ZiriTadi meTodia rezidentis mier samkurnalo, diagnostikuri da profilaqtikuri muSaobis uSualo Sesruleba rezidenturis lokaluri xelmZRvanelis meTvalyureobis pirobebSi. lokalur xelmZRvanels arCevs program direqtori. lokalur xelmZRvanels oficialurad gamoeyofa specialuri dros rezidentebTan pedagogiuri muSaobisaTvis. lokaluri xelmZRvaneli Tavisi profesiuli saqmianobis did nawils uTmobs swavlebis programas. lokaluri xelmZRvanelis mier rezidentebisTvis Catarebuli treningis dro ZiriTadad

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unda daeTmos pacientebTan praqtikul muSaobas da mimarTuli unda iyos profesiuli saqmianobisaTvis saWiro unarCvevebis (diagnostikis, mkurnalobis, da profilaqtikuri principebisa da meTodebis) srulyofili aTvisebisaken. lokaluri xelmZRvaneli angariSvaldebulia programa-direqtoris winaSe. rezidentis muSaobis pirobebi: 1. profesiuli mzadebis programiT gaTvaliswinebuli mTeli periodis ganmavlobaSi rezidenti Tavis muSaobas warmarTavs programis direqtorisa da lokaluri klinikuri xelmZRvanelis zedamxedvelobis qveS; 2. samedicino dawesebulebaSi rezidentis praqtikuli muSaobis xangrZlivoba ar unda aRematebodes 30 saaTs kviraSi; 3. rezidents kviraSi unda hqondes 1 dasvenebis dRe. Teoriuli mecadineobebisa da praqtikuli saqmianobis garda rezidenti monawileobs mzadebis sxva formebSi: 1. seminari ­ Teoriuli mecadineoba, romelsac atarebs lokaluri xelmZRvaneli - rezidenti warmoadgens saintereso pacients (axsenebs avadmyofobis istorias da gamokvlevis Sedegebs), svams kiTxvebs da cdilobs gamoicnos diagnozi. diskusiis damTavrebis Semdeg jgufs ecnobeba avadmyofis diagnozi da waekiTxeba mokle leqcia am sakiTxze. 2. diskusia ­ yba-saxis qirurgiis aqtualur sakiTxebze saubari, romelsac warmarTavs Sesabamisi sferos specialisti. 3. moxseneba saxelmZRvanelos Tavebis irgvliv ­ rezidentebi mimoixilavebn wignis ama Tu im Tavs da amzadeben prezentacias. am gziT isini safuZvlianad iTviseben saxelmZRvanelos, eCvevian msjelobas. muxli 2. Sefasebis meTodebi Teoriuli codnis Sefaseba xdeba yoveli modulis gavlis Semdeg da yoveli saswavlo wlis damTavrebis Semdeg im saswavlo wlis ganmavlobaSi gavlili disciplinebis masalis zepiri gamokiTxvis da testuri Semowmebis safuZvelze. muxli 3. Sesafasebeli etenciebi: praqtikuli unar-Cvevebi aTvisebis xarisxis Sefaseba xdeba program direqtoris an lokaluri xelmZRvanelebis mier yoveli modulis gavlis Semdeg. ganisazRvreba praqtikuli samuSaos ra nawils asrulebs rezidenti damoukideblad (pedagogis kontroliT da sruli pasuxismgeblobiT), pedagogis daxmarebiT da damoukideblad. Tavi IV. programis xangrZlivoba yba-saxis qirurgiaSi rezidenturis programa 3 wliania. 3 weli aris is optimaluri vada, romelic moicavs yba-saxis qirurgiis yvela ganakveTis swavlebas. es ganakveTebia: piris Rrus da yba-saxis midamos anTebiTi procesebi, travmuli dazianebebi, sanerwyve jirkvlebis, yba-saxis midamos nervebis, safeTqel qveda ybis saxsris daavadebebi da dazianebani; yba-saxis midamos keTilTvisebiani da avTvisebiani simsivneebi, implantologia, bavSvTa da mozardTa yba-saxis qirurgia. programis Sualeduri / wliuri etapebis miznebia: I weli ­ Seswavlili iqnes saeqimo saqmianobasTan dakavSirebuli saqarTvelos moqmedi sakanonmdeblo normebi da bioeTikis principebi; medicinis fundamenturi da klinikuri kvlevis Tanamedrove principebi; samedicino statistika; sazogadoebrivi jandacvis safuZvlebi. Seswavlili iqnes kbilebis eqstraqciis operacia da gautkivareba piris Rrus da ybasaxis midamos anTebiTi procesebi. II weli ­ Seswavlili iqnes sanerwyve jirkvlebis daavadebebi da dazianebani, yba-saxis midamos travmuli dazianebani; yba-saxis midamos nervebis da safeTqel qveda ybis saxsris daavadebebi da dazianebani; yba-saxis midamos keTilTvisebiani da avTvisebiani simsivneebi. III weli ­ Seswavlili iqnes yba-saxis midamos aRdgeniTi qirurgiis safuZvlebi, dentaluri implantologia; bavSvTa da mozardTa yba-saxis qirurgia (piris Rrus da ybasaxis midamos anTebiTi procesebi, travmuli dazianebani, safeTqel-qveda ybis saxsris da sanerwyve jirkvlebis daavadebebi, yba-saxis midamos Tandayolili defeqtebi da deformaciebi). Tavi V. rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa da organizaciis wesi muxli 1. rezidenturaSi profesiuli mzadeba warimarTeba saqarTvelos kanonebis - `saeqimo saqmianobis Sesaxeb~, `janmrTelobis dacvis Sesaxeb~ - Sesabamisad.

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muxli 2. rezidenturaSi profesiuli mzadeba xorcieldeba diplomis Semdgomi ganaTlebisa (profesiuli mzadebis) da uwyveti profesiuli ganviTarebis sabWos mier akreditebuli rezidenturis programebiT saeqimo specialobaTa nusxis Sesabamisad. rezidenturaSi profesiul mzadebas srulad afinansebs saxelmwifo muxli 3. (stomatologiur specialobebSi dasaSvebia kerZo dafinanseba), saministros specialuri saxelmwifo programis - `diplomisSemdgomi samedicino ganaTlebis saxelmwifo programis~ farglebSi. amave dros, arsebobs rezidenturis alternatiuli diplomisSedgomi ganaTleba (profesiuli mzadeba), romelic gulisxmobs sarezidento programis yvela modulis gavlas calkeuli modulisa da mTlianad programis xangrZlivobis zustad gansazRvros 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. 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 (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~ (#135/n; 18.04.2007). muxli 5. rezidenturis programis ganxorcieleba mimdinareobs saunivestiteto 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 diplomisSemdgomi ganaTlebis (profesiuli mzadebis) kursis gavla~ saqarTvelos Sromis, janmrTelobis da socialuri dacvis ministris 2007 wlis 18 aprilis 3135/n brZanebis Sesabamisad). muxli 6. rezidenturis kursis dasrulebis Semdeg gaicema saxelmwifo mowmoba. muxli 7. rezidenturis programis xarisxis uzrunvelyofaze pasuxismgebelni arian ­ rezidenturis programis direqtori, programis direqtorati, lokaluri xelmZRvanelebi, rezidentebi, saministros saxelmwifo kontrols daqvemdebarebuli sajaro samarTlis iuridiuli piri. 8. muxli 8 programis direqtoris movaleobebi: 1. 2. 3. misaRebi gamocdis programis Sedgena da rezidenturaSi miRebis procesSi monawileoba; specialobis aRwerilobis safuZvelze Sedgenil diplomis Semdgomi profesiuli mzadebis (rezidenturis) akreditebuli programis ganxorcielebas; samedicino dawesebulebis da lokaluri xelmZRvanelis miTiTebiT rezidentis individualuri gegma-grafikis Sedgena da gansazRvra Tu ramden rezidents SeiZleba zedamxedvelobdes erTi lokaluri xelmZRvaneli. winaswar dadgenili individualuri grafikis mixedviT rezidentis mier Sesasrulebeli samuSaos moculobasa da Casatarebeli manipulaciebis raodenobaze kontroli. direqtoratis wevrebTan erTad dadgenili wesis mixedviT yovelwliurad rezidentis muSaobis Sefaseba da saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiuli pirisaTvis angriSis Cabareba. yovelwliuri Sefasebis Sedegebis gaTvaliswinebiT rezidentisaTvis rekomendacias miecema programis gagrZelebis Sesaxeb. rezidentis saqmianobis aradamakmayofilebeli wliuri Sefasebisas, saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiuli pirisaTvis dasabuTebuli moxsenebiT baraTis wardgena garicxvis Sesaxeb. 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.

4. 5.

6. 7.

8.

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9.

lokaluri xelmZRvanelebis saqmianobis zedamxedveloba da Sefaseba.

muxli 9. programis direqtoratis wevrebis movaleobebi: 1. 2. 3. 4. 5. rezidentebis SerCevis procesSi monawileoba; program direqtorTan erTad yovelwliurad rezidentebis muSaobis dadgenili wesis mixedviT Sefaseba; program direqtorTan erTad SeimuSaveben rezidentis atestaciis formatis SemuSaveba; rezidentisi Semajamebeli atestaciis procesSi monawileoba; saWiroebis SemTxvevaSi, programis direqtorisaTvis rezidenturis programasTan dakavSirebul nebismier sakiTxebze konsultaciis gaweva.

10. muxli 10 lokaluri xelmZRvanelis movaleobebi: 1. samedicino dawesebulebaSi rezidenturis 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. 11. muxli 11 rezidentis ufleba/movaleobebi: 1. rezidenti SeiZleba garicxul iqnas rezidenturidan erTi Tvis ganmavlobaSi gamoucxadeblobis an programis ver daZlevis SemTxvevaSi. gadawyvetilebas rezidentis garicxvis Sesaxeb iRebs programis direqtori saministros saxelmwifo kontrols daqvemdebarebuli sajaro samarTlis iuridiul pirTan SeTanxmebiT; rezidents ufleba aqvs programis kurikulumis darRvevis an Seferxebis Sesaxeb werilobiT acnobos saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiul pirs; rezidents ufleba aqvs programis daubrkolebeli daZlevisaTvis moiTxovos Sesabamisi samuSao pirobebiT uzrunvelyofa (kvalificiuri xelmZRvaneli, Tanamedrove tipis klinikuri da sainformacio/sakomunikacio teqnologiebi, samuSao oTaxi); rezidenti valdebulia Seasrulos rezidenturis programiT gansazRvruli kurikulumi; rezidetni valdebulia programiT gansazRvrul da Sesrulebuli saqmianoba daafiqsiros personalur dRiurSi; rezidenti valdebulia yoveli wlis bolos warudginos progamis direqtors gaweuli muSaobis angariSi da gaiaros etapobrivi da damasrulebeli atestacia dadgenili wesiT; rezidenti valdebulia daicvas samedicino dawesebulebis Sinaganawesi da Seasrulos dawesebulebis ganrigiT gansazRvruli saqmianoba. Tavi VI. programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT)

2.

3.

4. 5. 6. 7.

muxli 1. mzadebis pirvel wels modulebis raodenoba.

yba-saxis qirurgiis rezidenturaSi swavlebis pirveli weli moicavs 6 moduls. moduli I moduli ­ eqimisa da pacientis urTierTobis samarTlebrivi da esTetikuri safuZvlebi, xangrZlivoba ­ 2 kv. II moduli ­ fundamenturi medicinis Tanamedrove aspeqtebi. xangrZlivoba ­ 2 kv. III moduli ­ mtkicebiTi medicinis da samedicino statistikis safuZvlebi. xangrZlivoba ­ 2 kv. IV moduli ­ sazogadoebrivi jandacva da epidemiologia. xangrZlivoba ­ 2 kv. V moduli ­ yba-saxis qirurgiuli avadmyofebis gamokvleva. gautkivareba piris Rrus da ybasaxis qirurgiaSi. VI moduli ­ piris Rrus da yba-saxis midamos anTebiTi procesebi. xangrZlivoba ­ 5 Tve.

muxli 2. profesiuli mzadebis I wlis mizani:

pirveli wlis rezidenturis programis modulebidan gamomdinare mzadebis I wlis mizania saeqimo saqmianobasTan dakavSirebuli saqarTvelos sakanonmdeblo normebis Tanamedrove bioeTikis principebis Sesabamisi codnis SeZena da misi gamoyenebis unaris gamomuSaveba. rezidentis mier modulis fundamenturi da klinikuri kvlevis Tanamedrove principebis

16

Sesaxeb saWiro codnis SeZena da misi gamoyenebis unaris gamomuSaveba. rezidentisaTvis mtkicebiTi medicinis da samedicino statistikis codnis amaRleba da maTi praqtikul saqmianobaSi aRniSnuli disciplinebis principebisa da meTodebis danergvis xelis Sewyoba. rezidentisaTvis sazogadoebrivi jandacvis safuZvlebis codnis amaRleba da aRniSnuli disciplinis principebisa da meTodebis praqtikul saqmianobaSi gamoyenebis SesaZleblobis xelSewyoba. yba-saxis qirurgiuli avadmyofebis kvlevis meTodebis daufleba; yba-saxis qirurgiaSi adgilobrivi da zogadi gautkivarebis meTodebis daufleba; yba-saxis qirurgiaSi gautkivarebis fonze zeda da qveda ybebze kbilebis da fesvebis eqstraqcia, eqstraqciis Semdeg ganviTarebuli garTulebebis profilaqtika da mkurnaloba. yba-saxis midamos anTebiTi procesebis Seswavla, romelSic Sedis piris Rrus odontogenuri anTebiTi procesebi (periodontiti, periostitebi, ybebis osteomielitebi), ybasaxis midamos da kisris wina zedapiris abscesebi da flegmonebi, limfangitebi, adenoflegmonebi. zeda ybis wiaRis odontogenuri anTebiTi procesebi, yba-saxis da kisris midamos specifikuri anTebiTi procesebi, yba-saxis midamos araodontogenuri infeqciuri da protozuli daavadebebi. yba-saxis midamos anTebiTi procesebis garTulebebi.

muxli 3. mzadebis meore wlis modulebis raodenoba:

yba-saxis qirurgiaSi mzadebis meore weli moicavs 6 moduls: I moduli ­ sanerwyve jirkvlebis daavadebebi da dazianebebi. xangrZlivoba ­ 1,0 Tve; II moduli ­ yba-saxis midamos travmuli dazianebebi. xangrZlivoba ­ 4 Tve; III moduli ­ yba-saxis midamos nervebis daavadebebi da dazianebebi. xangrZlivoba ­ 0,5 Tve; IV moduli ­ safeTqel qveda ybis saxsris daavadebebi. xangrZlivoba ­ 0,5 Tve; V moduli ­ yba-saxis midamos keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebi. modulis xangrZlivoba ­ 2 Tve; VI moduli ­ yba-saxis midamos avTvisebiani simsivneebi ­ modulis xangrZlivoba ­ 2 Tve.

muxli 4. profesiuli mzadebis II wlis mizani:

sanerwyve jirkvlebis Sesaxeb mocemuli modulis mizania maTSi ganviTarebuli anTebiTi da araanTebiTi procesebis Seswavla da mkurnaloba; sanerwyve jirkvlebis kenWovani daavadebis da travmuli dazianebis Sesaxeb da mkurnaloba. yba-saxis midamos travmuli dazianebis Sesaxeb modulis mizania Seswavlili iqnes ybasaxis midamos aracecxlnasroli dazianebani (rbili qsovilebi, kbilebi, Zvlovani ConCxi), cecxlnasroli dazianebebi (rbili qsovilebi, saxis Zvlovani ConCxi), maTi Taviseburebani, saxis da kisris midamos damwvrobebi, moyinva, yba-saxis midamos radiaciuli dazianebebi. yba-saxis midamos nervebis daavadebebidan da dazianebebidan dawvrilebiT iqneba Seswavlili saxis neiroanatomia (samwvera, ena-xaxis, saxis nervebis, saxis vegetatiuri kvanZebi), am nervebis daavadebebis klinikuri gamovlinebebi, maTi diferencialuri daignostika. algiuri sindromiT mimdinare daavadebebis dros pirveladi daxmarebis aRmoCena, SemdgomSi konservatiuli mkurnalobis gagrZeleba, saWiroebis mixedviT periferiul totebze operaciuli CarevebiT. Seswavlili iqneba safeTqel_qveda ybis saxsris daavadebebi da dazianebebi, klinikuri gamovlinebebi, diagnostika, diferencialuri diagnostika da mkurnaloba. maTi

yba-saxis midamos keTilTvisebiani simsivneebis modulSi Seswavlili iqneba yba-saxis midamos simsivneebis ganviTarebis xelSemwyobi faqtorebi, simsivnis fonuri daavadebebi, ybebis odontogenuri keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebi, yba-saxis midamos rbili qsovilebis da Zvlovani ConCxis keTilTvisebiani simsivneebi da

17

simsivnismagvari warmonaqmnebi. yba-saxis midamos avTvisebiani simsivneebis Sesaxeb modulis mizania Seswavlili iqnes onkologiuri daavadebebis klinikuri gamovlineba, avTvisebiani simsivneebis epidemiologiis, biologiuri Taviseburebebis da saerTaSoriso TNM klasifikaciis zogadi principebi da onkologiur avadmyofTa gamokvlevis ZiriTadi meTodebi.

muxli 5. mzadebis mesame wlis modulebis raodenoba.

yba-saxis qirurgiaSi mzadebis mesame weli moicavs 8 moduls. aqedan 6 moduli miZRvnilia bavSvTa da mozardTa yba-saxis qirurgiisadmi. I moduli ­ pirisaxis midamos aRdgeniTi qirurgia. xangrZlivoba ­ 3 Tve. II moduli ­ kbilebis implantologia. xangrZlivoba ­ 1 Tve; III moduli ­ bavSvebSi da mozardebSi gamoyenebuli adgilobrivi gautkivareba sarZeve da mudmivi kbilebis eqstraqcia ­ xangrZlivoba ­ 0,5 Tve. IV moduli ­ bavSvebSi da mozardebSi yba-saxis midamos magari da rbili qsovilebis mwvave da qronikuli anTebiTi procesebi. xangrZlivoba ­ 0,5 Tve; V moduli ­ yba-saxis midamos travmuli dazianebani bavSvebSi da mozardebSi. xangrZlivoba ­ 0,5 Tve; VI moduli ­ safeTqel-qveda ybis saxsris daavadebebi bavSvebSi da mozardebSi. xangrZlivoba ­ 0,5 Tve. VII moduli ­ bavSvebSi da mozardebSi yba-saxis midamos keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmeni. xangrZlivoba ­ 1,5 Tve; VIII moduli ­ bavSvebSi da mozardebSi saxis da ybebis Tandayolili mankebi da anomaliebi, xangrZlivoba ­ 2,5 Tve.

muxli 6. profesiuli mzadebis III wlis mizani:

yba-saxis midamos aRdgeniTi qirurgiis modulis mizania Seswavlili iqnes Tandayolili da SeZenili defeqtebis da deformaciebis etiologiis da paTogenezis sakiTxebi, ganisazRvros operaciuli Carevebis Cvenebebi da vadebi, maTi Tanmimdevroba, msmenelma praqtikulad SeZlos gamoiyenos adgilobrivi qsovilebiT da fexiani nafleTiT plastikis zogierTi meTodebi piris RruSi da saxeze. kbilebis implantologiaSi Seswavlili iqneba implantaciis meTodebis ZiriTadi safuZvlebi, mkurnalobis etapebi da profilaqtikuri RonisZiebebi. aseve Seswavlili iqneba implantaciis dros daSvebuli SesaZlo Secdomebi da maTi Tavidan acilebis gzebi. maZiebelma unda icodes implantantebis klasifikacia, Tanamedrove implantantebis Tavisebureba. bavSvTa da mozardTa yba-saxis qirurgiis modulebis mizania Seswavlili iqnes yvela is paTologiuri procesebi da manipulaciebi, romlebic wina wlebSi Seswavlili iqneba mozardebSi. esenia adgilobrivi da zogadi gautkivarebis sakiTxebi, sarZeve da mudmivi kbilebis eqstraqcia adeqvaturi gautkivarebiT, piris Rrus da yba-saxis midamos mwvave da qronikuli anTebiTi procesebi, saxis qalas Zvlebis da yba-saxis midamos rbili qsovilebis travmuli dazianebani, safeTqel qveda ybis saxsris daavadebebi da dazianebebi, yba-saxis midamos keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebi, saxisa da ybebis Tandayolili mankebi da anomaliebi. bavSvebSi da mozardebSi gansakuTrebuli yuradReba daeTmoba am paTologiuri procesebis da mdgomareobis gamovlinebis Taviseburebebs, maTi klinikuri mimdinareobis da mkurnalobis Taviseburebebs asakobriv aspeqtSi. mzadebis Tavi VII. profesiuli mzadebis pirveli wlis modulebi muxli I. moduli I. eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri safuZvlebi. 1. 2. modulis xangrZlivobaa: 2kv (72 sT.) saeqimo saqmianobasTan dakavSirebuli saqarTvelos moqmedi modulis mizania: sakanonmdeblo normebis da Tanamedrove bioeTikis principebis Sesabamisi codnis SeZena da misi gamoyenebis unaris gamomuSaveba rezidentis/specialobis maZieblisaTvis amocanebia: modulis amocanebia

3.

18

1) 2) 3) 4) 4.

saeqimo saqmianobasTan dakavSirebuli sakanonmdeblo normebi arsebuli kanonmdeblobis Sesabamisad, pacientis uflebebis dacvis samarTlebrivi sakiTxebi janmrTelobis dacvis sferoSi biosamedicino eTikis sayovelTaod aRiarebuli normebi da profesiuli saqmianobis Tanamedrove samedicino eTikis principebi damoukidebeli saeqimo saqmianobis subieqtsa da saxelmwifo xelisuflebis organoebis, fizikur da iuridiul pirebs Soris urTierTobis samarTlebrivi sakiTxebi. adamianze Catarebuli samedicino-biologiuri kvlevebis samarTlebrivi da eTikuri sakiTxebi, saerTaSoris normebisa da saqarTvelos arsebuli kanonmdeblobis Sesabamisad. Sesasrulebeli Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba #1saxiT: mocemulia cxrili #1-is saxiT cxrili #1 davaleba

Teoriuli kursi kanonisa da eTikis roli samedicino momsaxurebis gawevisas ­ bioeTikis Seswavlis sagani, samedicino eTika, istoriuli aspeqtebi `hipokrates fici~, samedicino saqmianobis regulirebis istoriuli aspeqtebi bioeTikis ZiriTadi principebi `ar avno~, `hqmeni sikeTe~, `avtonomia~ `samarTlianoba~, `konfidencialuroba~; pacientis eqimisa da pacientis urTierTobis modelebi saeqimo saqmianobis samarTlebrivi regulirebis istoriuli magaliTebi -saqarTvelos kanonmdebloba janmrTelobis dacvis sferoSi; -kanoni pacientis uflebebis Sesaxeb, saqarTvelos janmrTelobis dacvis kanono, kanoni saeqimo saqmianobis Sesaxeb socialuri pasuxismgebloba da janmrTeloba -janmrTeloba da avadmyofoba -eqimi, pacienti, sazogadoeba; pacientis individualuri uflebebi -saqarTvelos kanonmdebloba pacientis individualuri uflebebis Sesaxeb, -informaciis miRebis ufleba, samedicino personalis da samedicino dawesebulebis arCevis ufleba, informaciis konfidencialuroba; informaciuli Tanxmoba ­ samedicino momsaxureobis ganxorcielebis safuZveli -informaciuli Tanxmobis elementebi da aucilebeli pirobebi -informaciuli Tanxmobis ganxorcielebis meTodebi;. pacientis qmedunarianoba -mis mier gacnobierebuli gadawyvetilebis miRebis unari. -araqmedunariani pacienti sicocxle da sikvdili ­ bioeTikuri kategoriebi -biologiuri sikvdili, Tavis tvinis sikvdilil -gardacvaleba-definacia da eTikuri aspeqtebi tkivilis marTva -ukurnebeli seniT daavadebuli pacienti, paliatiuri mkurnaloba, hospisi; evTanazia, istoriuli, religiuri aspeqtebi -evTanaziis samarTlebrivi da eTikuri problemebi; ; -evTanaziis formebi; sikvdili eqimis daxmarebiT; suicidi, masTan dakavSirebuli eTikuri aspeqtebi -eqimis daxmareba TviTmkvlelobaSi, mkurnalobaze uaris Tqmis samarTlebrivi da eTikuri sakiTxebi, samedicino mecnierebis progresi ­ axali teqnologiebi -transplantacia, adamianis organoebis gadanergvis samarTlebrivi da eTikuri sakiTxebi, donoris Tanxmobis sakanonmdeblo modelebi reproduqtolougiis samarTlebis da eTikuri sakiTxebi -xelovnuri ganayofiereba, in-vitro ­ xelovnuri ganayofierebis eTikuri aspeqtebi, surogatuli dedoba, -adamianis reproduqciuli klonireba; socialurad saSiSi infeqciebi

prezentaciebis analizi

testireba prezentaciebis analizi

19

-Sidsi, narkomania, infeqciuri hepatitebi, maTTan dakavSirebuli samarTlebrivi da eTikuri sakiTxebi adamianze Catarebuli kvlevebi saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis uflebebze -bioeTikis da adamianis uflebebis sayovelTao deklaracia, -msoflio samedicino asociaciis eTikis kodeqsi, -konvencia adamianis uflebebisa da biomedicinis Sesaxeb da sxva 5. modulis Sefasebis meTodebi (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.

1. 2. 3. 4. 5. 6. 7. 8.

aucilebeli da rekomendebuli literaturis nusxa:

bioeTikis da adamianis uflebebis sayovelTao deklaracia-iunesko, 2005 qarTuli versia ­ e. giorgaZe, j. mamalaZe, l. gurgeniZe, l. korZaia ­ samedicino gazeTi, 2007 w. samedicino eTikia (bioeTika) ­ leqciebi, m. i. iarovinski. moskovi - `medicina~, 2000 biosamedicino eTika ­ b. i. pkokrovski, moskovi - `medicina~, 1997 w. bioeTikis Sesavali ­ i. ivanuSkini da sxv., moskovi, progresi-tradicia, 1988 w. bioeTika: principebi, wesebi problemebi ­ b. g. iudini, moskovi, 1998 w. saqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis sferoSi ­ g. javaxiSvili, g. kiknaZe, a. barkalaia, Tbilisi,. 2001 w. axalaZe v. bioeTika aTaswleulis mijnaze, - Jurnali religia, Tb. 2002 w. #7, 8, 9, gv. 82-91. axalaZe v. bioeTika, rogorc msoflgageba da mecniereba, biomedicinis sferoSi kacobriobis sulier-zneobrivi orientaciis Sesaxeb (Jurnali rwmena da codna 2002 1, 9, gv. 82-91 Tanamedrove medicinis zogierTi samarTlebrivi sakiTxi, m. kvaWaZe, Tbilisi, 1995 w. eqimis profesiuli saqmianobis samarTlebrivi safuZvlebi ­ guram kiknaZe. givi javaxiSvili, Tbilisi, 2002 w. deontologia qirurgiaSi, n. doliZe, d. mSveniereaZe, mecniereba, 1990, Tbilisi. adamianis uflebebi da samedicino personalis movaleobebi saerTaSoriso dokumentebSi ­ Tbilisi, 1999. saeqimo saidumlo, saeqimo Secdoma, b.v. Sevrigini, moskovi, 2000. saeqimo deontologia, i. i. makSanovi, 1998, minski. ­ : ­ , 2002, 1, . 18-28. ­ , , 2000. .. . . /- « » 1/42, 2000, . 5-8. .. . - // . 2, 2000. .. . «» // , 4, 2000, . 50. .. . . . . // . 4, 2001, . 84-96. .. . ? // . 4, 2001, . 81-84. .. . . ( ). // . . 2002, 4, . 33-41. .. , .. , .. , .. . « », , , - . -. . . 2003. .. , .. , .. . . // « », 4, 2000. . 79-80. http://www.bioethics.ru/rus - bioeTikis forumi.

9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22.

23.

24. 25.

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26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38.

, , : . 25-26 . 1999 . . 2000. 45-56 . , // ­ .. , .. , .. , ., , .. , .. (unesco) 2005. http://depts.washington.edu/bioethx/topics/physpt.html#ques6 ­ kazusebi da pasuxebi. meoce saukunis qarTuli anTologia ­ pirveli tomis pirveli nakveTi 1998 weli. cnobili ucxoeli da qarTveli eqimebi, biografia, moRvaweoba medicinaSi da mis farglebs gareT. z. kaxiani, s. kaxiani, 1993, gamomcemloba ganaTleba. bioeTika saerTaSoriso asociaciidan miRebuli masalebi, http://bioethicsinternational.org msoflio samedicino asociaciidan miRebuli masalebi, http://www.wma.net/e/ethicsunit/index.htm The Center for Bioethics and Human Dignity http://cbhd.org Feminist Approaches to Bioethics ­ http://www.pdcnet.org/member-fab. BioethicsWeb ­ http://bioethicsweb.ac.uk/ http://www.unesco.org/ibc www.unesco.org/shs/bioethics. msoflio janmrTelobis organizaciis veb gverdze ganTavsebuli masalebi ­ www.who.int/ethics/topics/en/ amerikis bioeTikis da humanizmis asociacia ­ http://www.asbh.org/ (Georgian University, Bioethics Curriculum Units From Kennedy Institute of Ethics http://www.georgetown.edu/research/nrcbl

fundamenturi muxli II. moduli II. fundamenturi medicinis Tanamedrove aspeqtebi.

1. 2. modulis xangrZlivobaa ­ 2 kv. (72 sT) modulis 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. amocanebia: modulis amocanebia fiziologiis qvemoduli: 1. adamianis organizsmi 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 gadacemebis sxvadasxva safexurze qimiuri preparatebis 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 sistemis (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;

3.

paTfiziologiis qvemoduli:

1. adaptaciis procesi. organizmis zogadi reaqcia endogenuri da egzogenuri faqtoris zemoqmedebaze. organizmis Seuguebadoba Secvlil saarsebo garemosTan. organizmis saregulacio sistemebis roli adaptaciis ganxorcielebaSi fiziologiur da eqstremalur situaciebSi. parakrinuli regulaciis molekuluri meqanizmebi. mexsierebis roli adaptaciuri qcevis realizaciaSi. adapturi stres-reaqcia. stresul da antistresuli meqanizmebi. eqstremaluri faqtoris zemoqmedebiT ganviTarebuli paTogenuri stresi. Sokuri mdgomareobis zogadi paTogenezi. organoebisa da organoTa sistemebis funqciobis da integraciis moSlis meqanizmebi Sokis dros.

2.

3.

klinikuri farmakologiis qvemoduli:

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

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2.

medicinis poziciebidan. samkurnalod praqtikaSi gamoyenebuli samkurnalo preparatebis ZiriTadi jgufebis farmakokinetis 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; daavadebaTa ganviTarebaSi imunuri meqanizmebis rolis, rogorc axali sadiagnozo da Terapiuli strategiis safuZvlebi;

2.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia #2cxrili #2-is saxiT: cxrili #2 Teoriuli kursi organizmis funqciebis regulacia da fiziologiuri integracia neironis morfologiuri specializacia da neironTaSorisi komunikaciis rogorc ZiriTadi biologiuri kanonzomiereba da cns-is subujreduli regulaciis elementi. neironTaSorisi komunikaciis safuZvlebi neiroregulatorebis mimarT mgrZnobiare receptorebis klasifikacia da maTi moqmedebis kanonzomierebani. `retrograduli mesenjeri~. sinafsis plastikuroba. neironuli integracia. calkeuli neiroregulatorebi (biogenuri aminebi, aminomJavebi, arapeptiduri kandidatebi, neiropeptidebi). tkivilis fiziologia problemebis zogadi mimoxilva. nocicepturi sistema da tkivilis sensitiuri aRmavali gzebi. endogenuri opioiduri da sxva peptidebis roli. antinocicefciuri sistema, gautkivarebis bioilogiuri mniSvneloba. tkivilis saxeebi. tkivilis neirobiologiuri safuZvlebi. tkivilis centraluri da periferiuli meqanizmebi. endogenuri opiatebi (opioidebi). opioidebiT gamowveuli analgeziis neirofiziologiuri meqanizmebi. substancia da misi roli tkivilis SegrZnebaSi. motivacia 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 komleqsi) striopaliduri sistema da integraciis Talamuri done. fiziologiaSi, molekulur biologiaSi da Teoriul medicinaSi ukanasknel wlebSi (2004-2006) ganxorcielebuli mniSvnelovani kvlevis Sedegebis mimoxilva da analizi; organizmis sxvadasxva funqciur-struqturul doneze ganviTarebuli funqciurpaTologiuri procesebisd urTierTobisa da integraciis organizmis da garemos fiziko-qimiuri da kanonzomierebani. informaciuli urTierToba. reaqtiulobis roli Secvlil saarsebo garemosTan adaptaciis ganviTarebaSi. saregulacio saregulacio sistemebis roli adaptaciuri procesebs ganviTarebaSi. parakrinul-autokrinuli regulacia. citokinebi ujredSorisi urTierTobebis peptiduri regulatorebi. azotis oqsidi da misi moqmedebis molekuluri meqanizmebi. mexsierebis roli adaptaciuri qcevis ganxorcielebaSi. sxvadasxva tipis mexsierebis neiorobiologiuri meqanizmebi. mexsierebis darRveva. stresspecifiuri adaptaciis meqanizmebi. stres-reaqcia. zogadi adaptaciuri davaleba

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stresuli hormonebi. centraluri da periferiuli sindromi. antistresuli meqanizmebi, stresuli cilebi. eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis stadiebi. neiroendokrinuli regulaciisa da organoTa sistemebis integraciis moSlis meqanizmebi. Sokuri Tirkmlis, Sokuri RviZlis, Sokuri filtvis ganviTarebis meqanizmebi. mozrdilTa mwvave respiraciuli distres-sindromi. imunuri sistemis zogadi daxasiaTeba. sakuTarisa da ucxos garCeva. Tandayolili da SeZenili imunuri pasuxi. imunuri sistemis ujredebi. imunuri pasuxis mediatorebi. ujredSida da ujredgareTa paTogenis sawinaaRmdego dacva. vaqcinacia. imunopaTologia da atopia. imunuri pasuxis regulacia antigeniT imunuri pasuxis regulacia. antigenwarmdgeni ujredebi. antisxeulebiT regulacia. limdocitebiT regulacia. idiotipuri modulacia. neiroendokrinuli modulacia. imunuri pasuxis genetikuri kontroli. tolerantobis induqcia eqsperimentSi. sakuTari antigenebisadmi centraluri Timusuri tolerantoba. sakuTari antigenebisadmi periferiuli ­ postTimusuri tolerantoba. sakuTari antigenebisadmi ujreduli tolerantoba. in vitro da in vivo xelovnurad inducirebuli tolerantoba. tolerantobis gamoyeneba TerapiaSi. simsivnis imunologia simsivne rogorc qsovilovani transplantanti. imunuri zedamxedveloba. simsivnesTa asocirebuli antigenebi. simsivnis sawinaaRmdego imunuri pasuxi. simsivnis mier imunuri pasuxis Tavidan acileba. imunodiagnostika. umunoTerapia. autoimuniteti 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 diapebi, 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 Sefaseba humoruli imunuri pasuxis Sefaseba. ujreduli umunuri pasuxis Sefaseba. limfocitTa raodenobisa da funqciis Sefaseba: imunofenotipireba gamWoli citofluorometriiT, in vitro limfocitebis proliferacia, citokinmaproducirebeli ujredebis gansazRvra (ELISPOT meTodi), citoqsiurobis testi, komplementis sistemis gamokvleva. fagocitebis funqciis gamokvleva. antigenis/antisxeulis aRmosaCeni reaqciebi: precipitaciis reaqcia, hemaglutinaciis reaqcia, komplementis SeboWvis reaqcia, pirdapiri da arapirdapiri imunoprecipitacia. antisxeulTa izolacia. monoklonuri antisxeulebis produqcia. klinikuri farmakokinetikisa da klinikuri farmakodinamikis ZiriTadi principebi, racionaluri farmakoTerapia. arasasurveli arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, farmakoepidemiologia. samkurnalo dozebis gaTvla Tirkmlis qr. ukmarisobiT daavadebul pacientebSi. medikamentozuli saSualebebis metabolizmi, biotransformacia. farmakoTerapia da mtkicebiTi medicina. medikamentebis Sewovisa da organizmSi ganawilebis meqanizmebi saxeebifarmakoTerapiis saxeebi-etiotropuli, paTogenezuri profilaqtikuri. farmakoTerapiis saxebi ­ simptomaturi, profilaqtikuri racionaluri antibioTikoTerapiis sakiTxebi. medikamentozuri monitoringi (Cvenebebi, klinikuri mniSvneloba da Sedegebis interpretacia). gadaudebel mdgomareobaTa klinikaSi gamoyenebul medikamentTa

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farmakokinetikuri da farmakodinamikuri daxasiaTeba. arasasurveli medikamentozuri efeqtebi, maTi karcenogenoba. 5. modulis Sefasebis meTodebi modulis dasrulebis Semdeg rezidents/specialobis maZiebelma unda icodes/SeeZlos: 1. 2. integraciis sxvadasxva doneze organizmis cxovelmoqmedebis zogadi kanonzomierebebis (molekuluridan-organizmulamde) da principebis Sefaseba; daavadebul organizSi mimdinare adaptaciuri procesebis, avadmyofobis aRmocenebis, mimdinareobisa da gamosavlis zogadi meqanizmebis, paTogenezuri profilaqtikis, Terapiis principebis, avadmyofobis aRmoCenebis, mimdinareobisa da gamosaxlis zogadi meqanizmebis, paTogenezuri profilaqtikis, Terapiis principebis da meTodebis Sefaseba; imunopaTologiuri mdgomareobebis diagnostikuri da Terapiuli strategiis safuZvlebis Sefaseba; alergiuli daavadebebis profilaqtikisa da mkurnalobis Sesaxeb codnas; 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.

3.

4.

6. aucilebeli da rekomendebuli literaturis nusxa: 1. T. naneiSvili `sinafsi. molekulidan qcevamde~ Tbilisi, 2002 w. 2. T. naneiSvili `qcevis fsiqofiziologia~, Tbilisi, 2003 w. 3. . . . « ». - 2005 . 4. Acta Neurobiol Exp 2004? 64 ­ [email protected] 5. . 6. http://www.biomednet.ru/content/view/47 7. http://www.brain.ru/ 8. http://wwwphynist3d.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.htlm - 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://www.library.med.utah.edu/WebPath/HISTHTML/NEURANAT/NEURANCA.html#2 18. http://www.webschoolsolutions.com/patts/systems/nervous.htm#somatosensory. 19. http://www.innerbody.com/image/nervov.html. 20. . . «», , 2002 . \ 21. . . . . . . « », , 1999 . 22. . , . « », -, 2005 . 23. . , « », , 2003 . 24. .. . . ­ .-, 2004. 25. . . .. ..-., , 2002. 26. .. . ., -, 2003. 27. .. . -., , 2002. 28. .., .. . «», 1993. 29. , , . . . .. «», 2000. n. foraqiSvili, struqturuli imunologia. gamzadebulia dasabeWdad. T. Ciqovani. imunologia. amonabeWdis saxiT. mzaddeba dasabeWdad. g. burkaZe, imunomorfologia. norma, paTologia, (I da II nawili). 33. .. , , , , 2001. 34. Roitt, I., Brostoff, J. and Male, D. Immunology (7th end.) 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

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37.

www.tsmu.edu/immuno

muxli 3. moduli 3. mtkicebiTi medicinis da samedicino statistikis safuZvlebi. 1. 2. modulis xangrZlivoba ­ 2 kv. (72 sT.) modulis mizania ­ rezidentis/specialobis maZieblisaTvis mtkicebiTi medicinis da samedicino statistikis codnis amaRleba da maT praqtikul saqmianobaSi aRniSnuli disciplinebis principebisa da meTodebis danergvis xelis Sewyoba. modulis amocanebia: klinikur praqtikaSi gamoyenebuli mtkicebiTi medicinis ZiriTadi principebi randomizirebuli klinikuri gamocdis Sedegebi, maTi validuroba, mniSvneloba da praqtikuli Rirebuleba meta analizi meta-analizis Sedegebi, maTi validureoba, mniSvneloba da praqtikuli Rirebuleba klinikuri gaidlainis validuroba da praqtikuli Rirebuleba diagnostikuri testis Sesaxeb arsebuli mtkicebuleibs validuroba da praqtikuli Rirebuleba prognozis Sesaxeb arsebuli mtkicebulebis validuroba da praqtikuli Rirebuleba dadasturebuli efeqturobis mqone intervenciebis moZieba da maTi konkretul klinikur situaciebTan misadageba koxranis biblioTeba internetis eleqtronuli bazebi, romlebic iZlevian informacias efeqturi intervenciebisa da gaidlainebis Sesaxeb samedicino literaturis kritikulad aRqma jandacvasa da medicinaSi statistikis roli da mniSvneloba, is ZiriTadi sferoebi, sadac gamoiyeneba statistikis meTodebi. monacemTa tipebi, maTi grafikuli gamosaxva; normaluri distribuciis daxasiaTeba, variaciis gazomva. monacemTa standartizacia albaTobis principebi da kanonebi maTi misadageba populaciis parametrebisa da sinjis distribuciis maxasiaTeblebisadmi. statistikuri analizis bazisuri principebi (Sefaseba, hipoTezis testireba, statistikuri modelireba). jgufebis Sedareba. or uwyvet cvlads Soris damokidebuleba, korelacia da wrfivi regresia. ramdenime cvlads Soris damokidebuleba, mravlobiTi regresiis analizis. kompiuteris gamoyeneba monacemTa analizisaTvis, statistikuri programebis tipebis garCeva, kompiuteruli analizis strategia, monacemTa bazis formireba. Sesasrulebeli samuSaos moculoba #3saxiT: mocemulia cxrili #3-is saxiT: da Casatarebeli manipulaciebis raodenoba

3. 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) 15) 16) 17) 18)

4.

cxrili #3 Teoriuli kursi 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 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 davaleba prezentaciebis analizi prezentaciebis analizi prezentaciebis analizi testireba

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distribucia, saSualo, moda, mediana, monacemTa variabeluroba, variaciis gazomva, populacia da sinji, populaciis parametris distribucia, sinjis saSualobis distribucia, ori sinjis saSualos sxvaobis distribuci albaToba, albaTobis kanonebi, normaluri mrudis standartizacia, normaluri standartuli mrudi, Z da misi mniSvneloba. statistikuri analizis principebi, Sefaseba (95% sarwmunoobis intervali), hipoTezis testireba (nulovani hipoTeza, alternatiuli hipoTeza, I da II tipis Secdoma), Sefaseba Tu hipoTezis testireba jgufebis Sedareba - uwyveti monacemebi, analizis Sesabamisi meTodis amorCeva. t distribucia, ori sinjis saSualos sxvaoba, t testi. jgufebis Sedareba ­ kategoriuli monacemebi, proporcia, ori damoukidebeli jgufis proporcia, 2X2 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 Sefasebis meTodebi

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

- klinikur praqtikaSi mtkicebiTi medicinis principebis gamoyeneba - randomizirebuli klinikuri gamocdis Sedegebis interpretireba, maTo validurobis, mniSvnelobis da praqtikuli Rirebulebis dadgena - meta-analizis Sedegebis interpretireba, maTi validurobis, mniSvnelobis da praqtikuli Rirebulebis dadgena - klinikuri gaidlainis validurobisa da praqtikuli Rirebulebis dadgena -diagnostikuri testis Sesaxeb arsebuli mtkicebulebis validurobisa da praqtikuli Rirebulebis dadgena - prognozis Sesaxeb arsebuli mtkicebulebis validurobisa da praqtikuli Rirebulebis dadgena - dadasturebuli efqturobis mqone intervenciebis moZIeba da maTi konkretul klinikur situaciebTan misadageba - koxranis biblioTekiT sargebloba - internetis eleqtronuli bazebiT sargebloba, romlebic iZlevian informacias efeqturi intervenciebisa da gaidlainebis Sesaxeb - samedicino literaturis kritikulad aRqma - jandacvasa da medicinaSi statistikis rolisa da mniSvnelobis axsna, im ZiriTadi sferoebis dasaxeleba, sadac gamoiyeneba statistikis meTodebi. - monacemTa tipebis garCeva, maTi grafikuli gamosaxva; normaluri distribuciis daxasiaTeba, variaciis gazomva. - albaTobis principebisa da kanonebis misadageba populaciis parametrebisa da sinjis distribuciis maxasiaTeblebisadmi. - statistikuri analizis bazisuri principebis gamoyeneba (Sefaseba, hipoTezis testireba, statistikuri modelireba). - jgufebis Sedareba rogorc uwyveti ise kategoriuli monacemebisaTvis; aRniSnuli analizis Sedegebis interpretacia. - or uwyvet cvlads Soris damokidebulebis axsna korelaciisa da wrfivi regresiis saSualebiT, maTi Sedegebis interpretacia. - ramdenime cvlads Soris damokidebulebis axsna mravlobiTi regresiis analizis

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saSualebiT, Sedegebis interpretacia. - kompiuteris gamoyeneba monacemTa analizisaTvis, statistikuri programebis tipebis garCeva, kompiuteruli analizis strategia, monacemTa bazis formireba. 6. aucilebeli da rekomendebuli literaturis nusxa: 1. Sackett DL, Staus SE, Scott richardson W, Rosenberg W, Brain Henes R. Evidence Based Medicine: How to Practice and Teach EBM. Churchill Livingstone, 2000. 2. Letcher RH, Fletcher SW, Wagner EH. Clinical Epidemiology: the Essentials, Williams & Wilkins, 1996. 3. Rothman KJ, Epidemiology: An Introduction. Oxford University Press, 2002. 4. Tothman 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. Itman DG. Practical Statistics For Medical Resarch, 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, Chapmen & Hall/CRC, 1999. 10. Puri BK. Statistics for the Health Sciences, Sunders, 1996. 11. Castle WM, North PM. Statist ics in Small Doses, Churchill Livingstone, 1995. 12. Cla yton D, Hills M. Statistical Models in Epidemiology, Oxford University Press, 1998. 13. Breaslo w NE, Day NE. Statistical Methods in Cancer Research. Volume 1, The Analysis of Case-Control. 14. Studies, I ARC Scientific Publications No, 32, 1980. 15. Breaslo w NE, Day NE. Statistical Methods in Cancer Research. Volume II, The Design and Analysis of Cohort Studies, IARC Scientific Publications No. 82, 1987. 16. Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998. 17. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993.

muxli 4. moduli 4. sazogadoebrivi jandacva da epidemiologia. 1. 2. modulis xangrZlivoba ­ 2 kv. (72 sT.) modulis 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. modulis amocanebia: sazogadoebrivi jandacvis politika; sazogadoebrivi jandacvis programebi da maTi prioritetebi; sazogadoebrivi jandacvis programaTa dagegmva da marTva; mosaxleobis janmrTelobis mdgomareobis damaxasiaTebeli ZiriTadi maCveneblebi (daavadebis gavrceleba da sixSire, letaloba); vitaluri statistikis ZiriTadi maCveneblebi (sikvdiloba, bavSvTa sikvdiloba, dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZlivoba); jandacvis marTvis sainformacio sistemebi; Tanamedrove epidemiologia, epidemiologiuri kvlevebis tipebi-observaciuli da eqsperimentuli kvlevebi infeqciur daavadebaTa epidemiologia, epidemia da endemia, transmisia; epidemiologiuri kvlevebis tipebi-onservaciuli da eqsperimentuli kvlevebi epidemiologiuri kvlevebis potenciuri Secdomebi epidemiologiuri kvlevebis validurobis Sefaseba mizezi da mizez-Sedegobrioba epidemiologiaSi, mizez-Sedegobriobis kriteriumebi infeqciur daavadebaTa epidemiologia, epidemia da endemia, transmisia, bazisuri reproduqciuli ricxvi, maspinZeli da garemo pirobebi epidemiologia da prevencia, prevenciis sagani da mniSvneloba. midgomebi prevenciasa da kontrolSi.

3. 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14)

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia #4cxrili #4-is saxiT: cxrili #4 Teoriuli kursi mosaxleobis janmrTelobis mdgomareobis maxasiaTeblebi. daavadebis gavrceleba, daavadebis sixSire, kumulaciuri sixSire da riski, letaloba davaleba

27

vitaluri statistika, sikvdiloba, bavSvTa sikvdiloba, dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZlivoba, monacemTa standartizacia. statistikuri monacemebi (tipebi, Sefardeba, proporcia, procenti, monacemebis grafikuli gamosaxva, normaluri distribucia, saSualo, moda, mediana) statistikuri analizis principebi (jgufebis Sedareba) hipoTezis testireba da Sefaseba (sarwmunoobis intervali, statistikuri sarwmunooba) sazogadoebrivi jandacvis koncefcia (gansazRvreba, fokusi, sazogadoebrivi jandacvis determinantebi, sazogadoebrivi jandacvis ZiriTadi funqciebi) sazogadoebrivi jandacvis praqtika (RonisZiebebi, prevenciis programebi, sazogadoebrivi jandacvis reforma saqarTveloSi) Tanamedrove epidemiologia (istoriuli konteqsti, sagani, janmrTelobisa da avadmyofobis gazomva) epidemiologiuri kvlevebi. dakvirvebadi da eqsperimentuli kvlevebi qronikul daavadebaTa epidemiologia da kontroli, gulsisxlZarRvTa daavadebebi, kibo, Saqriani diabeti Tambaqo da alkoholi (sazogadoebrivi jandacvis programebi, maTi dizaini da implementacia) epidemiologia da prevencia, prevenciis doneebi, midgomebi prevenciasa da kontrolSi. epidemiologiuri kvlevebis potenciuri Secdomebi mizezi da mizez Sedegobrioba epidemiologiaSi infeqciuri daavadebebis epidemiologia epidemia da endemia, bazisuri reproduqciuli ricxvi 5. modulis Sefasebis meTodebi

prezentaciebis ganxilva prezentaciebis ganxilva testireba

prezentaciebis ganxilva

- sazogadoebrivi jandacvis politikis formireba; - sazogadoebrivi jandacvis programebisaTvis prioritetebis gansazRvra; - sazogadoebrivi jandacvis programaTa dagegmva da marTva; - mosaxleobis janmrTelobis mdgomareobis daxasiaTeba ZiriTadi maCveneblebis mixedviT (daavadebis gavrceleba da sixSire, letaloba); - vitaluri statistikis ZiriTadi maCveneblebis gamoyeneba da interpretacia (sikvdiloba, bavSvTa sikvdiloba, dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZlivoba); - epidemiologiuri kvlevebis validurobis Sefaseba - infeqciur daavadebaTa epidemiologiis safuZvlebis praqtikaSi gamoyeneba - infeqciur daavadebaTa epidemiis gamokvlevis, zedamxedvelobis da kontrolis bazisuri principebis praqtikaSi gamoyeneba - prevenciis potencialisa da efeqturobis Sefaseba 6. aucilebeli da rekomendebuli literaturis nusxa: 1. Health information systems for low income countris: An overviw, Canadian Society for International Health. 2. Elizabeth A. McGlynn (Editor), et al. Health Information Systems: Design Issues and Analytic Applications (Directions in Health Services Research and Policy), 2001. 3. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993. 4. Puri BK. Statistics for the Health Sciences, Sunders, 1996. 5. Training manual ­ Reporting and recording documentation for monitoring immunization work in Georgia: Level 1 ­ providers of immunization services. PHRplus/CIF 6. Training manual ­ Reporting and recording documentation for monitoring immunization work in Georgia: Level 2 ­ immunization managers, public health managers, and polyclinic managers. PHRplus/CIF 7. Guidelines for health care providers for integrated surveillance and control of vaccine preventable diseases in Georgia, PHRplus/CIF 8. MOH decree#101/n, Georgi 9. Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998. 10. Rothman KJ. Epidemiology: An Introduction. Oxford University Press. 2002. 11. Beaglehole R, Bonita R. Kjellstro m T. Basic Epidemiology, World Health Organization, Geneva, 1993. 12. Bre aslow NE, Day NE, Statistical Methods in Cancer Research. Volume 1, The Analysis of Case-Control Studies, IARC Scientific Publications No, 32, 1980. 13. Breaslo w NE, Day NE. Statistical Methods in Cancer Research. Volume II, The Design and Analysis of Cohort

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14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26.

Studies, IARC Scientific Publications No, 82, 1987. Jame s J. Schlesselman. Case Control Studies: Design, Conduct, Analysis, 1999. Elizabeth A. McGlynn (Editor), et al. Health Information Systmes: Design Issues and Analytic applications (Directions in Health Services Research and Policy), 2001. Roger Webber. Communicable Disease Epidemiology and Control, 2000. Last JM. A Dictionary of Epidemiology, Fourth Edition, Oxford University Press, 2001. Roth man KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998. Roth man KJ, Epidemiology: An Introduction. Oxford University Press, 2002. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993. Breaslo w NE, Day NE. Statistical Methods in Cancer Research. Volume 1, The Analysis of Case-Contro Studies, IARC Scientific Publications No, 32, 1980. Breaslo w NE, Day NE. Statistical Methods in Cancer Research. Volume II, The Design and Analysis of Cohort Studies, IARC Scientific Publications No, 82, 1987. Jame s J. Schlesselman. Case Control Studies: Design, Conduct, Analysis, 1999. Elizabeth A. McGlynn (Editor), et al. Health Information Systems: Design and Analytic Applications (Directions in Health Servises Research and Policy), 2001. Roger Webber. Communicable Disease Epidemiology and Control, 2000. Las JM. A Dictionary of Edidemiology, Fourth Edition, Oxford University Press, 2001.

muxli 5. moduli 5. yba-saxis qirurgiuli avadmyofebis gamokvleva; gautkivareba piris ybagautkivareba ybaRrusa da yba-saxis qirurgiaSi, kbilis eqstraqciis operacia.

1 modulis xangrZlivoba ­ 3 Tve; 2 modulis mizania ­ yba-saxis qirurgiuli avadmyofebis kvlevis meTodebis daufleba (anamnezis Sekreba, obieqturi gasinjva, kvlevis damatebiTi meTodebis Seswavla da gamoyeneba). mniSvnelovania yba-saxis qirurgiaSi gamoyenebuli gautkivarebis meTodebis codna. rezidenti daeufleba adgilobrivi gautkivarebis yvela meTods, gansazRvravs zogadi gautkivarebis Cvenebebs, winaaRmdeg Cvenebebs. modulis mizania adeqvaturi gautkivarebis fonze kbilTa sxvadasxva jgufebis eqstraqcia (maT Soris naxevradretenciuli da retenciuli kbilebi), adgilobrivi gautkivarebis da kbilTa eqstraqciis Semdeg ganviTarebuli garTulebebis profilaqtika da mkurnaloba. 3. modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi) yba-saxis midamos qirurgiuli paTologiis mqone avadmyofTa gamokvleva zusti anamnezis SekrebiT, obieqturi gasinjviT (daTvaliereba, palpacia, perkusia) da kvlevis damatebiTi meTodebis gamoyenebiT, maT Soris gansakuTrebiT mniSvnelovania rentgenologiuri kvlevis sxvadasxva meTodebi (mimoxilviTi, orTopantomografia, kompiuteruli tomografia, telerentgenografia); laboratoriuli gamokvlevebi. modulis amocanaa piris Rrus da yba-saxis qirurgiaSi gamoyenebuli adgilobrivi gautkivarebis meTodebis (infiltraciuli, regionuli anesTeziebi) srulyofili daufleba, misi racionaluri SerCeva pacientis Tanmxlebi daavadebebis gaTvaliswinebiT. kbilebis da fesvebis eqstraqciis Catarebis etapebis Seswavla. eqstraqciis Cvenebebis da ukuCvenebebis zusti gansazRvra. anesTeziis da kbilis eqstraqciis garTulebebis (zogadi da adgilobrivi, uSualod manipulaciis momentSi da mogvianebiTi) profilaqtika da mkurnaloba. 4. Sesasrulebel samuSaos moculoba da Casatarebeli manipulaciebis raodenoba, cxrili #5 saxiT. cxrili #5.

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Teoriuli kursi

unarprofesiuli unar-Cvevebi

Sesasrulebeli manipulaciebis r-ba r10 5 2 5 2 2 5 3 4 2 2 4 4 3 4 4 5 4 3 4 4 5 10

davaleba

1. stomatologiuri poliklinikis qirurgiuli ganyofilebis (kabinetis) muSaobis organizacia da teqnikuri aRWurviloba (aparatura, iaraRebi, avadmyofTa gamokvlevis da operaciuli Carevebis Casatareblad). 2. avadmyofTa gamokvlevis meTodebi 3. gautkivareba ­ adgilobrivi saanesTezio nivTierebebis klinikofarmakologiuri Tvisebebi. gautkivarebis SerCeva avadmyofis Tanxmlebi daavadebebis mixedviT. adgilobrivi anesTeziis gamaxangrZlivebeli preparatebi. adgilobrivi gautkivarebis winaaRmdeg Cvenebebi araineqciuri gautkivareba ­ aplikacia, dabali temperatura ineqciuri gautkivareba ­ infiltraciuli da regionuli anesTeziebi. 4. gamtareblobiTi anesTeziebi zeda ybaze ­ tuberuli anesTezia, Tvalbudis qveda nervis gautkivareba, anesTezia sasis did xvrelTan, anesTezia saWrel xvrelTan, infratemporaluri anesTezia. gamtareblobiTi anesTeziebi qveda ybaze ­ mandibuluri anesTezia, loyis nervis gautkivareba, enis nervis gautkivareba, torusuli anesTezia, nikapis nervis gautkivareba. qveda ybis nervis mamoZravebeli totebis blokada (berSe-dubovis da egorovis anesTeziebi). adgilobrivi anesTeziis zogadi da adgilobrivi garTulebebi. 5. mudmivi kbilebis eqstraqciis Cvenebebi da winaaRmdeg Cvenebebi. kbilebis eqstraqciisaTvis saWiro iaraRebi. eqimis da avadmyofis mdebareoba kbilis eqstraqciis dros kbilebis saeqstraqcio maSebis xelSi daWeris wesebi. eqstraqciis momentebi. 6. kbilebis eqstraqciis meTodika

infiltraciuli anesTeziebi piris RruSi regionuli anesTeziebi zeda ybaze: tuberuli anesTezia Tvalbudis qveda nervis anesTezia

1 moxseneba

sasis didi nervis anesTezia anesTezia saWrel xvrelTan infratemporaluri anesTezia regionaluri anesTeziebi qveda ybaze: mandibuluri anesTezia; torusuli anesTezia; anesTezia nikapis xvrelTan enis nervis anesTezia loyis nervis anesTezia berSe dubovis anesTezia zeda ybis kbilebis eqstraqcia: saWrelebi eSvebi premolarebi molarebi fesvebi

2 moxseneba

3 moxseneba

4 moxseneba

qveda ybis kbilebis eqstraqcia saWrelebi eSvebi premolarebi molarebi fesvebi

5 moxseneba

6 moxseneba kbilis amoRebis dros da amoRebis

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zeda ybaze ­ kbilTa jgufebis mixedviT, SenarCunebeuli gvirgviniT, fesvebis eqstraqcia kbilebis eqstraqciis meTodika qveda ybaze ­ kbilTa jgufebis mixedviT SenarCunebuli gvirgviniT, fesvebis eqstraqcia. kbilis amoRebis Semdeg Wrilobis damuSaveba da movla. 7. garTulebebi kbilis amoRebis momentSi ­ zogadi, adgilobrivi. garTulebebi kbilis amoRebis Semdeg ­ zogadi, adgilobrivi, adreuli, mogvianebiTi. 8. kbilebis amoWris paTologia ­ naxevrad retenciuli, retenciuli, distopirebuli kbilebi. etiologia, paTogenezi, klinika, diagnostika mkurnaloba.

Semdeg adgilobrivi da zogadi garTulebebis profilaqtika da mkurnaloba

kbilebis amoWris paTologia: naxevradretenciuli kbilebis eqstraqcia retenciuli kbilebis eqstraqcia distopirebuli kbilebis eqstraqcia.

4 2 2

7 referati

8 referati

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

modulis Teoriuli nawilis codnis Sefaseba xdeba misi calkeuli ganakveTebis zepiri moxsenebiT lokalur xelmZvanelTan. praqtikuli unar-Cvevebis aTvisebis xarisxis Sefaseba xdeba lokaluri xelmZRvanelis mier modulze muSaobis periodSi. ganisazRvreba praqtikuli samuSaos ra nawils asrulebs damoukideblad, pedagogis daxmarebiT da damoukideblad.

6. aucilebeli da rekomendebuli literaturis nusxa:

aucilebeli literatura: 1. o. nemsaZe ­ qirurgiuli stomatologia, Tbilisi, 1999 w. 2. a. bregaZe, o. bregaZe ­ qirurgiuli stomatologia, Tbilisi, 2000 w. 3. , . .. .. , , «», 2000 . rekomendebuli literatura: 1. Petersn's principals of oral and maxillofacial surgery 2 vol (2004). by Michael M., G.E. Ghalis Peter E. Larsen and Peter waite. 2. . ­ , , 1977 . 3. .. ­ . , 1998 . 4. Stanly F. Malamed Handbook of local anesthesia. 2005.

ybamuxli 6. moduli 6. piris Rrus da yba-saxis midamos anTebiTi procesebi

1. modulis xangrZlivoba ­ 5 Tve. 2. modulis mizania ­ yba-saxis anTebiTi procesebis swavleba, romelSic Sedis piris Rrus odontogenuri anTebiTi procesebi ­ periodontitebi, periostitebi, ybebis osteomielitebi, yba-saxis midamos da kisris wina zedapiris abscesebi da flegmonebi, limfangitebi, adenoflegmonebi. sagnis swavlebis am ganakveTSi Sedis zeda ybis wiaRis odontogenuri anTebebi, yba-saxis da kisris midamos specifiuri infeqciuri daavadebebi (aqtinomikozi, tuberkulozi, sifilisi, gonorea), araodontogenuri infeqciuri daavadebebi (furunkuli, karbunkuli, cimbiris wyluli, wiTeli qari, noma, Sidsi), yba-saxis midamos anTebiTi procesebis garTulebebis (mediastiniti, saxis venebis Tromboflebiti da Tavis tvinis venuri sinusebis Trombozi, mwvave sefsisi) profilaqtikis da mkurnalobis sakiTxebi.

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3. modulis amocanebi (miznis miRwevis / daZlevis saSualebebi).

piris Rrus odontogenuri anTebiTi procesebis (periodontitebi, periostitebi, osteomielitebi) diferencialuri diagnostika, kompleqsuri mkurnalobis Catareba, sadac gadamwyveti mniSvneloba qirurgiul meTods eniWeba (odontogenuri mizezis mocileba, rbil qsovilebSi lokalizebuli Cirqgrovebis gaxsna). zeda da qveda ybebis mimdebare rbili qsovilebis abscesebis da flegmonebis topografiuli anatomia, adeqvaturi gautkivarebis fonze (adgilobrivi, zogadi) Cirqgrovebis drenireba (gakveTa), am dros yuradsaRebia saxis da samwvera nervis totebis, msxvili sisxlZarRvebis (gansakuTrebiT kisris wina zedapirze), sanerwyve jirkvlebis sadinrebis topografiis gaTvaliswineba, raTa Tavidan iqnes acilebuli maTi dazianeba. mniSvnelovania anTebiTi procesebis dros racionaluri anTebis sawinaaRmdego mkurnalobis daniSvna da Catareba, radgan yba-saxis midamos mwvave anTebiTi procesebi dResac sakmaod xSirad iZleva sicocxlisaTvis saSiS garTulebebs (mediastiniti, sefsisi, qalasSiga garTulebebi da sxva). yba-saxis midamos specifiuri anTebiTi procesebidan, romelTaganac yvelaze xSirad gvxvdeba aqtinomikozi (mTeli sxeulis aqtinomikozuri procesebis 80-85% gvxvdeba yba-saxis areSi), aqtualuria maTi drouli diagnostika, diferencialuri diagnostika da saTanado specifikuri qirurgiuli da medikamentozuri mkurnalobis Catareba (saTanado specialistebis konsultacia). yba-saxis midamos araodontogenuri anTebiTi procesebis drouli diagnostika da sworad warmarTuli mkurnaloba mniSvnelovani momentia, radgan isini SeiZleba garTuldnen sicocxlisaTvis saSiSi procesebiT (gansakuTrebiT Tanmxlebi daavadebebiT gamowveuli an Tandayolili imunitetis daqveiTebiT). am modulis aTvisebiT didi mniSvneloba aqvs yba-saxis areSi, gansakuTrebiT piris RruSi Sidsis gamovlinebebis klinikis codnas, saTanado profilaqtikuri RonisZiebebis miRebas. yba-saxis midamos mwvave anTebiTi procesebis modulis amocanaa rezidentma icodes am anTebiTi procesebis garTulebebis (mediastiniti, sefsisi, qalasSiga garTulebebi) profilaqtika, klinikuri gamovlinebebi da moxdes saTanado specialistebis drouli Careva. cnobilia, rom es garTulebebi dRevandel pirobebSic sikvdilianobis sakmaod maRal procents iZleva. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemuli cxrili #6 saxiT.

cxrili #6.

Sesasrulebeli manipulaciebis rrba 2 2 2

Teoriuli kursi

unarprofesiuli unar-Cvevebi

davaleba

1. yba-saxis qirurgiuli stacionaris muSaobis organizacia da teqnikuri aRWurviloba (aparatura, iaraRebi, avadmyofTa gamokvlevisa da operaciuli Carevebis Casatareblad. aseptika da antiseptika piris RruSi da saxeze operaciebis dros. 2. avadmyofTa gamokvleva

kbilis fesvis mwvervalis rezeqcia kbilis fesvis amputacia hemiseqcia

1 moxseneba

yba-saxis midamos abscesebis da

32

stacionarSi (anamnezis Sekreba, obieqturi gasinjva). gamokvlevis obieqturi meTodebi Tanamedrove sadiagnostiko aparaturis gamoyenebiT. (rentgenologiuri ­ mimoxilviTi rentgenofrafia, orTopantomografia, kompiuteruli); tomografia, radioizotopuri da ultrabgeriTi diagnostika; kvlevis morfologiuri meTodebi. 3. yba-saxis midamos da piris Rrus organoebis qirurgiuli paTologiebis dros intubaciuri narkozis Catarebis Taviseburebani. intubaciis sxvadasxva gzebis Cvenebebi (piris Rrudan, cxviridan, traqeostomuli xvrelidan), narkozis garTulebebi. 4. saxis kanis Taviseburebebi, ybasaxis midamos sisxlis mimoqceva, limfuri sistema, inervacia. ganakveTebi saxeze. antibiotikebis gamoyeneba ybasaxis qirurgiaSi. 5. yba-saxis midamos CirqovananTebiTi procesebis etiologia da paTogenezi. kbilebis paTologiis roli anTebiTi procesebis ganviTarebasa da gavrcelebaSi. otodongogenuri infeqciis cneba da Tanamedrove Sexeduleba misi mniSvnelobis Sesaxeb. 6. yba-saxis midamos odontogenuri anTebiTi procesebis klasifikacia, klinika, diagnostika, mkurnaloba ybebis odontogenuri osteomilitebi (mwvave qvemwvave, qronikuli) ­ etiologia, paTogenezi, klinika, diagnostika, diferencialuri diagnostika, mkurnaloba. zeda ybis mimdebare rbili qsovilebis abscesebi da flegmonebi ­ topografiuli anatomia, etiologia, paTogenezi, klinika, diagnostika, mkurnaloba. qveda ybis mimdebare rbili qsovilebis abscesebi da flegmonebi _ topografiuli anatomia, etiologia, paTogenezi, klinika, diagnostika, mkurnaloba. qveda ybis mimdebare rbili qsovilebis abscesebi da

flegmonebis operaciuli mkurnaloba: Tvalbudis qveda midamos abscesi da flegmona. loyis abscesi da flegmona. yvrimalis midamos abscesi da flegmona. safeTqlis fosos abscesi da flegmona. safeTqlis qveda da frTa saxis fosos abscesi da flegmona. Tvalbudis abscesi da flegmona. ybisqveSa midamos abscesi da flegmona. nikapqveSa midamos abscesi da flegmona. yba-yura saReWi midamos abscesi da flegmona. yba-frTisebri midamos abscesi da flegmona. xaxis irgvlivi midamos abscesi da flegmona. enis abscesi da flegmona. enisqveSa midamos abscesi da flegmona. piris Rrus fskeris abscesi da flegmona. ybis ukana midamos abscesi da flegmona. kisris wina zedapiris abscesi da flegmona.

2 moxseneba 2 2 2 1 1 1

2 3 moxseneba 1 1 1

1 2 2 1

4 moxseneba

2 5 moxseneba

aqtinomikozuri granulomebis gakveTa da gamofxeka. tuberkulozuri xvrelarxebis gamofxeka, damuSaveba. abscidirebuli karbunkulis da furunkulis gakveTa. kbilis eqstraqciis Semdeg gaxsnili haimoris Rrus daxurva.

1 6 moxseneba 1 2 2

33

flegmonebi ­ topografiuli anatomia, etiologia, paTogenezi, klinika, diagnostika, mkurnaloba. 7. zeda ybis wiaRis odontogenuri anTebiTi procesebi - etiologia, paTogenezi, klinika, diagnostika, mkurnaloba. 8. yba-saxis midamos specifikuri anTebiTi procesebi - etiologia, paTogenezi, klinika, diagnostika, mkurnaloba. 9. yba-saxis midamos araodontogenuri, araspecifikuri anTebiTi procesebi ­ etiologia, paTogenezi, klinika, diagnostika, mkurnaloba. 10. yba-saxis midamos anTebiTi procesebi garTulebebi ­ klinika, profilaqtika, diagnostika, kompleqsuri mkurnaloba saTanado specialistebis CarTviT.

zeda ybis wiaRis sadiagnostiko da samkurnalo punqcia. kbilis eqstraqciis Semdeg gaxsnili haimoris Rrus daxurva. zeda ybis wiaRze operaciuli Careva (kolduel-lukis wesiT). aqtinomikozuri granuloebis gakveTa, gamofxeka.

2 2 7. moxseneba

1 8. moxseneba 1 2 9. moxseneba

tuberkulozuri xvrelarxebis gamofxeka, damuSaveba. abscilirebuli furunkulis da karbunkulis gakveTa.

10. referati

5. modulis Sefasebis meTodebi (kriteriumebi, perioduloba).

modulis Teoriuli nawilis codnis Sefaseba xdeba misi calkeuli ganakveTebis zepiri moxsenebiT lokalur xelmZRvanelTan. praqtikuli unar-Cvevebis aTvisebis xarisxis Sefaseba xdeba lokaluri xelmZRvanelis mier modulze muSaobis periodSi. ganisazRvreba praqtikuli samuSaos ra nawils asrulebs damoukideblad, pedagogis daxmarebiT da damoukideblad. rekomendebuli 6. aucilebeli da rekomendebuli literaturis nusxa: o. nemsaZe ­ qirurgiuli stomatologia, Tbilisi, 1999 w. a. bregaZe, o. bregaZe ­ qirurgiuli stomatologia, Tbilisi, 2000 w. - , . . .. , .. . , «», 2000 . rekomendebuli literatura. 1. 2. 3. .. ­ . . 1998 . - . . . .. . , «», 1985 . Fonseca Oral and maxillofacial surgery. 7 vol. 2000. Barmond J. Fonseca PMP. VIII. modulebi. Tavi VIII. profesiuli mzadebis II wlis modulebi. 1. 2. 3.

dazianebebi. muxli 1. moduli 1. sanerwyve jirkvlebis daavadebebi da dazianebebi.

1. modulis xangrZlivoba ­ 1 Tve. 2. modulis mizania ­ didi da mcire sanerwyve jirkvlebis anatomiis da fiziologiis gaTvaliswinebiT maTSi ganviTarebuli anTebiTi da araanTebiTi paTologiuri procesebis Seswavla da mkurnaloba. sanerwyve jirkvlebis kenWovani daavadebis da travmuli dazianebis Seswavla da mkurnaloba. 3. modulis amocanebia: (miznis miRweva / daZlevis saSualebebi). sanewyve jirkvlebis virusuli da araspecifikuri anTebiTi procesebis diferencialuri diagnostika, radganac virusuli parotitebi aris infeqcionistebis kompetencia. sanerwyve

34

jirkvlebis daavadebebis diagnostikaSi gamoiyenos eqoskopiuri gamokvlevebi, sanerwyve jirkvlebis bimanualuri palpacia, sadinrebis zondireba, moaxdinos am monacemebis swori interpretacia. SeZlos diferencireba sanerwyve jirkvlebis anTebiT da araanTebiT daavadebebs Soris: sanerwyve jirkvlebis daavadebebis medikamenturi da fizioTerapiuli racionaluri mkurnalobis kompleqsSi gamoiyenos didi jirkvlebis sadinarebidan gamorecxva da samkurnalo saSualebebis Seyvana. am modulis gavlis Semdeg rezidentma unda SeZlos ybisqveSa sanerwyve jirkvlis sadinari Soris da wina nawilSi lokalizebuli kenWis operaciuli gziT amoReba. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili #7-is saxiT:

cxrili #7

Teoriuli kursi 1. sanerwyve jirkvlebis anatomia da fiziologia 2. sanewyve jirkvlebis daavadebebis da dazianebebis diagnostikis meTodebi. 3. sanerwyve jirkvlebis anTebebi 4. sanerwyve jirkvlebis kenWovani daavadeba 5. sanerwyve jirkvlebis distrofiuli daavadebebi (sialozebi, sialadenozebi). 6. sanerwyve jirkvlebis travmuli dazianebani unarprofesiuli unar-Cvevebi sanerwyve jirkvlebis bimanualuri palpacia da miRebuli Sedegebis Sefaseba. yba-yura da ybisqveSa sanerwyve jirkvlebis zondireba, buJireba. sanerwyve jirkvlebSi samkurnalo da sakontrasto nivTierebebis Seyvana Sesrulebuli manipulaciebis manipulaciebis r-ba 5 davaleba 1 referati 2 moxseneba 3 moxseneba 4 moxseneba 5 moxseneba

3

3

sanerwyve jirkvlebis sadinarebSi lokalizebuli kenWebis amoReba pirSigniTa midgomiT.

2

6 moxseneba

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

modulis Teoriuli nawilis codnis Sefaseba xdeba misi calkeuli ganakveTebis zepiri moxsenebiT lokalur xelmZRvanelTan. praqtikuli unar-Cvevebis aTvisebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier modulze muSaobis periodSi da ganisazRvreba praqtikuli samuSaos ra nawils asrulebs damoukideblad da srulyofilad.

6. aucilebeli da rekomendebuli literaturis nusxa:

1. - , . . .. .. , , «», 2000 . od. nemsaZe ­ qirurgiuli stomatologia, Tbilisi, 1999 w. 3. a. bregaZe, o. bregaZe ­ qirugiuli stomatologia, Tbilisi, 2000 w. rekomendebuli literatura: .. . ­ . , «», 1987 .

ybamuxli 2. moduli 2. yba-saxis midamos travmuli dazianebani.

1. modulis xangrZlivoba ­ 4 Tve. 2. modulis mizani ­ Seswavlili iqnes yba-saxis midamos aracecxlnasroli dazianebani

35

(rbili qsovilebi, kbilebi, Zvlovani ConCxi), cecxlnasroli dazianebani, maTi Taviseburebebi. saxis da kisris midamos Termiuli, qimiuri, eleqtro damwvrobebi, moyinva; yba-saxis midamos travmuli dazianebebis dros ganviTarebuli adreuli da mogvianebiT garTulebebis profilaqtika da mkurnaloba. 2. modulis amocanebia (miznis miRwevis / daZlevis saSualebebi) ­ saxis da kisris rbili qsovilebis Wrilobebis pirveladi qirurgiuli damuSaveba travmis miRebis dros da lokalizaciis gaTvaliswinebiT pirveladi nakerebis dadeba saxeze kosmetikuri moTxovnebis gaTvaliswinebiT, meoradi nakerebis dadeba. - kbilebis (motexiloba, amovardna), alveoluri morCis (motexilobebi) travmuli dazianebebis mkurnaloba. - qveda ybis wina amovardnilobis mkurnaloba (hipokrates wesiT). - qveda ybis motexilobis dros Cvenebebis mixedviT orTopediuli an qirurgiuli mkurnalobis Catareba. - zeda ybis motexilobebis dros Cvenebis mixedviT orTopediuli an qirurgiuli mkurnalobis Catareba. - saWiroebis mixedviT ybebis motexilobebis dros satransporto saimobilizacio saSualebebis gamoyeneba. - yvrimalis da cxviris Zvlebis motexilobebis diferencirebuli mkurnaloba. - piris Rrus, saxis da kisris Termuli dazianebebis (damwvroba, moyinva) dros daxmarebis aRmoCena. - yba-saxis midamos travmuli dazianebis dros ganviTarebuli adreuli garTulebebi (sisxlisdena da asfiqsia) profilaqtika da mkurnaloba; mogvianebiTi garTulebebis (travmuli osteomieliti, trizmi, travmuli haimoriti) klinika, diagnostika, mkurnaloba. Sesasrulebeli 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia #8saxiT. cxrili #8-is saxiT.

cxrili #8.

Teoriuli kursi 1. yba-saxis midamos travmebis zogadi daxasiaTeba da klasifikacia 2. yba-saxis midamos travmuli dazianebis mqone avadmyofTa kvlevis meTodebi 3. yba-saxis midamos travmian avadmyofTa anesTeziologiuri samsaxuriT uzrunvelyofa profesiuli unar-Cvevebi piris Rrus lorwovani garsebis Wrilobebis damuSaveba da Sekerva enis Wrilobebis damuSaveba da Sekerva. Sesasrulebeli manipulaciebis r-ba 3 davaleba 1-2-3 moxseneba

2

saxis rbili qsovilebis Wrilobebis pirveladi qirurgiuli damuSaveba da nakerebis dadeba dazianebuli midamos topografiis gaTvaliswinebiT. kbilebis motexilobebis diferencirebuli mkurnaloba dazianebis lokalizaciis mixedviT. srulad amovardnili kbilebis replantacia

5

4 moxseneba

4. yba-saxis midamos travmuli dazianebebis mkurnalobis principebi. 5. saxis rbili qsovilebis dazianebebi (saxis rbili qsovilebis Wrilobebis qirurgiuli damuSavebis principebi)

3

5 moxseneba

-2

6-7 moxseneba

36

6. kbilebis da alveoluri morCis travmuli dazianebani. 7. qveda ybis amovardniloba, motexiloba. 8. saxis Sua zonis Zvlebis motexiloba. 9. zeda ybebis motexiloba.

nawilobriv amovardnili kbilebis repozicia da fiqsacia. alveoluri morCis monatexi fragmentebis repozicia da fiqsacia. qveda ybis amovardnilobis Cayeneba. qveda ybis motexiloba ­ satransporto saimobilizacio saSualebis gamoyeneba, orTopediuli meTodiT (artaSnebiT) mkurnaloba. qveda ybis motexilobis qirurgiuli meTodiT mkurnaloba.

2

8-9 moxseneba

3 4

10-11 moxseneba 14 moxseneba

10. yvrimalis Zvlis da rkalis motexiloba. 11. cxviris Zvlebis motexiloba. 12. orbitis kedlebis motexiloba 13. yba-saxis midamos Serwymuli travmebi 14. yba-saxis midamos cecxlnasroli dazianebani 15. yba-saxis midamos Termuli dazianebani (damwvroba, moyinva)

1

15 moxseneba 16 moxseneba

zeda ybis motexilobis satransporto saimobilizacio saSualebebis gamoyeneba, orTopediuli meTodiT mkurnaloba. yvrimalis Zvlis sxeulis da rkalis motexilobebis mkurnaloba cxviris Zvlebis motexiloba da mkurnaloba.

2

16. yba-saxis midamos dazianebebis garTulebebi: adreuli (asfiqsia, sisxlisdena, Soki) da mogvianebiTi (meoradi sisxldena, travmuli osteomieliti, trizmi, travmuli haimoriti), profilaqtika, klinika, diagnostika, mkurnaloba.

2

2

5. modulis Sefasebis meTodebi (kriteriumebi / perioduloba): modulis Teoriuli nawilis codnis Sefaseba xdeba misi calkeuli ganakveTebis zepiri moxsenebiT lokalur xelmZRvanelTan. praqtikuli unar-Cvevebis aTvisebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier _ rezidenti Teoriuli codnis gamoyenebiT rogor dasaxavs Casatarebeli manipulaciis Tu operaciis gegmas, naklebad mZime travmuli dazianebebis mkurnalobis orTopediul meTodebs da operaciebs Seasrulebs lokaluri xelmZRvanelis asistenciiT da meTvalyureobiT, mZime SemTxvevebSi ­ aqtiur monawileobas miiRebs operaciaSi da Seasrulebs mis calkeul monacemebs.

37

6. aucilebeli da rekomendebuli literaturis nusxa: 1. o. nemsaZe ­ qirurgiuli stomatologia, Tbilisi, 1999 w. 2. .. . ­ - . . 1986. 3. - . . .. .. . . 2000. . I-II. literatura: rekomendebuli literatura: 1. .. ­ . . 2001. 2. .. . ­ , . 1975. 3. - . -. . 1997. 4. Peterson's principals of oral and maxillofacial surgery 2 vol. (2004). by Michael Miloro; Ge Ghalis Peter E. Uarsen et Peter Waite.

ybamuxli 3. moduli 3. yba-saxis midamos nervebis daavadebebi da dazianebebi.

1. modulis xangrZlivoba ­ 0,5 Tve. 2. modulis mizania ­ Seswavlili iqnes saxis neiroanatomia ­ samwvera, ena-xaxis, saxis nervebi, saxis vegetatiuri kvanZebi; saxis areSi arsebuli nervebis daavadebebis klinikuri gamovlinebebi, maTi diferencialuri diagnostika odontogenuri da sxva msgavs (otogenur, ofTalmogenur) daavadebebTan. algiuri sindromiT mimdinare daavadebebis dros pirveladi daxmarebis aRmoCena, SemdgomSi mkurnalobis gagrZeleba medikamenturi, fizioTerapiuli saSualebebiT da am nervebis periferiul totebze operaciuli CarevebiT (samwvera nervis periferiuli totebis alkopolizacia, amokveTa). 3. modulis amocanebia (miznis miRwevis / daZlevis saSualebebi) ­ samwvera da ena-xaxis nervebis nevralgiebis medikamenturi da fizioTerapiuli mkurnalobis daniSvna, tkivilis Zlieri Setevebis dros saanesTezio nivTierebebis regionuli anesTeziebis saxiT gamoyeneba, samwvera nervis periferiuli totebis alkoholizaciis an amokveTis Catareba. saxis nervis damblis narCeni movlenebis dros mioplastikuri operaciebis vadis gansazRvra. samkurnalo saSualebebis Seyvana frTa-sasis kvanZSi misi algiuri sindromiT mimdinare daavadebis dros (sluderis nevralgia). 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili #9 saxiT.

cxrili #9.

Teoriuli kursi 1. saxis klinikuri neiro anatomia, samwvera, ena-xaxis, saxis nervebi, saxis midamos vegetatiuri gangliebi. 2. samwvera, ena-xaxis, saxis nervebis, saxis vegetatiuri gangliebis (frTa-sasis kvanZi, cxvir-wamwamovani kvanZi, yur-safeTqlis nervi, ybisqveSa da enisqveSa kvanZebi), dazianebebis klinika, diagnostika, diferencialuri profesiuli unar-Cvevebi samwvera nervis nevralgiebis medikamenturi da fizioTerapiuli mkurnaloba. samwvera nervis periferiuli totemis alkopolizacia. samwvera nervis periferiuli totebis amokveTa qirurgiuli gziT (nervoegzeresi). Sesasrulebeli manipulaciebis r-ba 3 davaleba 1 referati

2

2 moxseneba

2

38

diagnostika, mkurnaloba. 3. odontogenuri, ofTalmogenuri, otorinogenuri, miogenuri da saxsrovani tkivilebi. klinika, diagnostika. 4. stomalgia, glosalgia, fsiqalgia. klinika, diagnostika. ena-xaxis nervis nevralgiis mkurnaloba saanesTezio nivTierebebis blokadebiT. 1 3 moxseneba

frTa-sasis kvanZSi samkurnalo saSualebebis Seyvana.

2

4 moxseneba

5. modulis Sefasebis meTodebi (kriteriumebi, perioduloba). modulis Teoriuli nawilis codnis Sefaseba misi calkeuli ganakveTebis zepiri moxsenebiT lokalur xelmZRvanelTan. praqtikuli unar-Cvevebis aTvisebis xarisxic Sefasdeba lokaluri xelmZRvanelis mier ­ rezidentis mier Catarebuli blokada Tu operacia ramdenad efeqturad da xangrZlivad moxsnis tkivilis mtanjvel Setevebs. nusxa: 6. aucilebeli da rekomendebuli literaturis nusxa: 1. o. nemsaZe ­ qirurgiuli stomatologia, Tbilisi, 1999 w. 2. .. ­ . . 1991. rekomendebuli literatura: 1. - .. .. . . 2000, . 1. 2. Strasburg M. Knollc G. ­ Farbatlas und lehzbuch der Mundschleim ­ Hauter krankungen. Berlin 1991.

safeTqelmuxli 4. moduli 4. ­ safeTqel-qveda ybis saxsris daavadebebi.

1. modulis xangrZlivoba ­ 0,5 Tve 2. modulis mizani ­ Seswavlili iqnes safeTqel-qveda ybis saxsris daavadebebi, romelTac aqvT rTuli klinikuri suraTi da xSirad mogvagoneben iseT daavadebebs, romlebic sxva specialobis eqimebis (oto-rino-laringologebi, nevropaTologebi da sxva) kompetenciaSi Sedian. sxvadasxva avtorebis monacemebiT safeTqel-qveda ybis saxsris daavadebebi mosaxleobis 25-65% gvxvdeba. 3. modulis amocanebia: (miznis miRweva/daZlevis saSualebebi. safeTqel-qvedaybis saxsris algiuri sindromiT mimdinare daavadebebis sxva msgavs daavadebasTan diferencialuri diagnostika. (anamnezis, obieqturi gasinjvis da damatebiTi gamokvlevebis saSualebiT, sadac wamyvani iqneba rentgenologiuri da ultrabgeriTi gamokvlevebi); saWiroebis mixedviT safeTqel-qveda ybis saxsarSi ineqciis gziT samkurnalo saSualebebis Seyvana. qveda ybis kunTovani kontraqturis an ankilozis fibrozuli formis dros qveda ybis redresaciis Catareba (regionuli anesTeziiT, intravenuri narkoziT). 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili #10 saxiT.

cxrili #10.

Teoriuli kursi 1. safeTqel qveda ybsi saxsris anatomia da fiziologia. 2. safeTqel qveda ybis profesiuli unar-Cvevebi safeTqel qveda ybis saxsris rentgenologiuri da eqoskopiuri monacemebis gaSifvra. samkurnalo saSualebebis Sesasrulebeli manipulaciebis r-ba 10 davaleba 1 referati

10

2

39

saxsris daavadebebis ineqciis gziT safeTqelklasifikacia. qveda ybis saxsarSi Seyvana. 3. safeTqel qveda ybis qveda ybis redresacia qveda 4 saxsris artikulaciuri ybis sxvadasxva etiologiis daavadebebi: kontraqturis dros - anTebiTi daavadebebi (regionuli anesTeziiT, (arTritebi). intravenuri narkoziT). - araanTebiTi daavadebebi (saxsarSiga funqciis moSlilobebi). - osteoarTrozi. - ankilozi 4. safeTqel qveda ybis saxsris araartikulaciuri daavadebebi: - bruksizmi; - safeTqel qveda ybis saxsris mtkivneuli disfunqcia. - saReWi kunTebis kontraqtura. 5. modulis Sefasebis meTodebi (kriteriumebi, perioduloba).

moxseneba 3 moxseneba

4 moxseneba

modulis Teoriuli nawilis codnis Sefaseba xdeba misi calkeuli ganakveTebis zepiri moxsenebiT lokalur xelmZRvanelTan. praqtikuli unar-Cvevebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier modulze muSaobis periodSi da ganisazRvreba praqtikuli samuSaos damoukideblad Sesrulebis unariT. 6. aucilebeli da rekomendebul literaturis nusxa: 1. o. nemsaZe ­ qirurgiuli stomatologia. 2. - . . .. .. . 2000, . I. rekomendebuli literatura: 1. .. ­ - . , 19085.

ybamuxli 5. moduli 5. yba-saxis midamos keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebi.

1. modulis xangrZlivoba ­ 2 Tve. 2. modulis mizani ­ Seswavlili iqnas yba-saxis midamos simsivneebis ganviTarebis xelSemwyobi faqtorebi, simsivniswinare daavadebebi, ybebis keTilTvisebiani odontogenuri simsivneebi da simsivnismagvari warmonaqmnebi, yba-saxis midamos rbili qsovilebis da Zvlovani ConCxis keTilTvisebiani da simsivnismagvari warmonaqmnebi. 3. modulis amocanebia: (miznis miRwevis / daZlevis saSualebebi). simsivneebis diagnostikaSi biofsiiT masalis aReba morfologiuri kvlevisaTvis; odontogenuri kistebis da mcire sanerwyve jirkvlebis retenciuli kastebis operaciuli mkurnaloba; piris Rrus da saxis midamos rbili qsovilebis keTilTvisebiani simsivneebis (periferiuli osteoblastoklastomebis, fibrozuli, angiomatozuri epulisebi, RrZilebis fibromebi, fibromatozi, lipoma, papiloma, kapilaruli hemangioma), operaciuli mkurnaloba.

40

mocemulia 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili #11 saxiT. saxiT.

cxrili #11.

Teoriuli kursi 1. sxvadasxva saxis simsivneebis gavrceleba yba-saxis areSi. simsivneebis saerTaSoriso klasifikacia, yba-saxis qirurgiis roli da amocanebi am midamos simsivneebiT daavadebulTa specializirebul mkunralobaSi. adreuli diagnostikis mniSvneloba, onkologiuri sifrTxilis gageba da cneba simsivneebis sawinaaRmdego samsaxuris sistemaSi. 2. avadmyofTa gamokvlevis Taviseburebani simsivneebis gamovlinebis da diagnostikis mizniT, kvlevis damatebiTi meTodebis (rentgenologiuri, radioizotopuri, citologiuri, morfologiuri da sxva meTodebi) mniSvneloba 3. simsivniswinare daavadebis fakultaturi da obligaturi formebi. fonuri daavadebebis klinikuri gamovlinebebi, diagnostikis da mkurnalobis meTodebi. 4. yba-saxis midamos keTilTvisebiani simsivneebi a ­ piris Rrus lorwovani garsis mravalSriani brtyeli epiTeliumidan gamomdinare simsivneebi da simsivnismagvari warmonaqmnebi. b ­ odontogenuri simsivneebi simsivnismagvari warmonaqmnebi. g ­ sanerwyve jirkvlebis simsivneebi da simsivnismagvari warmonaqmnebi. d ­ saxis rbili qsovilebis simsivneebi, Tandayolili kistebi da xvrelarxebi. e ­ saxis Zvlebis simsivneebi da profesiuli unar-Cvevebi yba-saxis midamos simsivneebidan biofsiiT masalis aReba morfologiuri kvlevisaTvis. odontogenuri kistebis qirurgiuli mkurnaloba (cistotomia, cisteqtomia). Sesasrulebeli manipulaciebis r-ba 3 davaleba 1 moxseneba

5

mcire sanerwyve jirkvlebis retenciuli kistebis qirurgiuli mkurnaloba. periferiuli osteoblastoklastomebis (giganturujredovani epulisebi) qirurgiuli mkurnaloba.

3

2 moxseneba

3

fibrozuli, fibrozulangiomatozuri epulisebis, RrZilebis fibromatozis qirurgiuli mkurnaloba.

4

3 referati

yba-saxis midamos rbili qsovilebis keTilTvisebiani simsivneebis (lipoma, fibroma, papiloma, aTeroma da sxva) qirurgiuli mkurnaloba.

4

4 a-b moxseneba

4 g moxseneba

4-d moxseneba 4-e moxseneba

41

simsivnismagvari warmonaqmni. v ­ yba-saxis midamos simsivneebis mkurnalobis Tanamedrove principebi. meTodebi 5. modulis Sefasebis meTodebi (kriteriumebi, perioduloba): modulis Teoriuli nawilis codnis Sefaseba xdeba misi calkeuli ganakveTebis zepiri moxsenebiT lokaluri xelmZRvanelTan. praqtikuli unar-Cvevebis xarisxi Sefasdeba modulze muSaobis periodSi da ganisazRvreba Sesrulebis unariT. 6. aucilebeli da rekomendebuli literaturis nusxa: 1. o. nemsaZe ­ qirurgiuli stomatologia, Tbilisi, 1999. 2. a. bregaZe, o. bregaZe ­ qirurgiuli stomatologia, Tbilisi, 2000 w. 3. - . .. .. . . 2000, . 1. rekomendebuli literatura: 1. - , -, 1998. 2. .. ­ - . , 1998. 3. Fonseca Oral and maxillofocial surgery, 7 vol. 2000. Ravmond Ji Fonseca PMP. lokaluri xelmZRvanelis rezidentis praqtikuli samuSaos damoukideblad

ybasimsivneebi. muxli 6. moduli 6. yba-saxis midamos avTvisebiani simsivneebi.

1. modulis xangrZlivoba ­ 2 Tve; 2. modulis mizani ­ yba-saxis onkologiuri daavadebebis, klinikuri gamovlineba, avTvisebiani simsivneebis epidemiologiis, biologiuri Taviseburebebis da saerTaSoriso TNM klasifikaciis zogadi principebis Seswavla da onkologiuri avamdyofTa gamokvlevis ZiriTadi meTodebis aTviseba. 3. modulis amocanebia (miznis miRweva / daZlevis saSualebebi): onkologiur avadmyofebSi anamnezis srulfasovani Sekreba, pirveladi simsivnis regionuli kvanZebis gansazRvra, Catarebuli diagnostikuri kvlevebis safuZvelze simsivnis stadiurobis dadgena, citologiuri kvlevis (punqciuri biofsiis) warmoeba. daavadebis stadiurobidan gamomdinare mkurnalobis dagegmareba konservatiuil Terapiis adgilobrivi da zogadi garTulebebis mkurnalobis sakiTxis gadawyveta. yba-saxis areSi arsebuli pirveladi simsivneebis da kisris limfur kvanZebze operaciis masStabis dadgena. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba saxiT. mocemulia cxrili #12 saxiT.

cxrili #12.

Teoriuli kursi 1. kanis avTvisebiani simsivneebi (bazalioma, kanis kibo, melanoma). unarprofesiuli unar-Cvevebi anamnezis srulfasovani Sekreba, pirveladi simsivnis da regionuli limfuri kvanZebis gansazRvra. diagnozis dasazusteblad arsebuli diagnostikuri meTodebis Tanmimdevrulad Catareba. informaciis interpretireba da Sesasrulebeli manipulaciebis r-ba 2 davaleba 1 moxseneba

2. piris Rrus lorwovani garsis (ena, piris Rrus fskeri, loyis, sasis) avTvisebiani simsivneebi.

1

2 moxseneba

42

simsivnis stabilurobis dadgena. 3. tuCis kibo citologiuri kvlevis 2 (punqciuri biofsiis) warmoeba. daavadebis Taviseburebebidan (stadiurobidan) gamomdinare mkurnalobis dagegmareba. 4. zeda da qveda ybebis konservatiuli Terapiis 2 avTvisebiani simsivneebi. (sxiuri da qimioTerapiis) adgilobrivi da zogadi garTulebebis mkurnalobis 2 sakiTxTa gadawyveta. 5. sanerwyve jirkvlebis yba-saxis areSi arsebuli avTvisebiani simsivneebi pirveladi simsivneebis da 2 kisris limfur jirkvlebze operaciis masStabis dadgena. 3 onkologiur pacientTa reabilitaciis sakiTxebis ZiriTadi principebis codna. 5. modulis Sefasebis meTodebi (kriteriumebi, perioduloba).

3 moxseneba

4 moxseneba

5 moxseneba

modulis Teoriuli nawilis Sefaseba xdeba misi calkeuli ganakveTebis zepiri moxsenebiT lokalur xelmZRvanelTan. praqtikuli unar-Cvevebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier rezidentis modulze muSaobis periodSi da ganisazRvreba praqtikuli samuSaos damoukideblad Sesrulebis unariT. 6. aucilebeli da rekomendebuli literaturis nusxa: 1. mardaleiSvili k., baramiZe T., yba-saxis avTvisebiani simsivneebi, Tbilisi, 2008 w. 2. - . .. .. , . 2000, . I. rekomendebuli literatura: 1. .. ­ . . 1983. 2. .. ­ - , 1998. IX. modulebi. Tavi IX. profesiuli mzadebis III wlis modulebi.

qirurgia. muxli 1. moduli 1. ­ piris saxis midamos aRdgeniTi qirurgia.

1. modulis xangrZlivoba ­ 3 Tve. 2. modulis mizania ­ Seswavlilis iqnes yba-saxis midamos SeZenili da Tandayolili defeqtebis da deformaciebis etiologiis da paTogenezis sakiTxebi, ganisazRvros operaciuli Carevis Cvenebebi da vadebi, maTi Tanmimdevroba, rezidentma praqtikulad SeZlod gamoiyenos adgilobrivi qsovilebiT da fexiani nafleTiT plastikis zogierTi meTodebi piris RruSi da saxeze. daeuflos parodontis daavadebebis mkurnalobis qirurgiul meTodebis, SeZlos maTi diferencirebuli gamoyeneba. 3. modulis amocanebia (miznis miRwevis, daZlevis saSualebebi): rezidentma Seiswavlos adgilobrivi qsovilebiT plastika saxeze da piris RruSi (nawiburebis amokveTa, Wrilobis kideebis miaxloeba da Sekerva, gardamavali nawiburebis, tuCis, enis lagamis plastika), fexiani nafleTiT plastika, kanis gaxleCili nafleTis Tavisufali gadanergva.

43

piris Rrus proTezirebisaTvis mosamzadebeli plastikuri operaciebi (ybebis Zvlovan qsovilebze, piris Rrus rbil qsovilebze), parodontis daavadebebis nafleTovani operaciebi. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba saxiT iT. mocemulia cxrili #13 saxiT.

cxrili #13.

Teoriuli kursi 1. yba-saxis aRdgeniTi qirurgiis amocanebi, misi kavSiri stomatologiis da medicinis sxva dargebTan. unarprofesiuli unar-Cvevebi adgilobrivi qsovilebiT plastika-Secvlili qsovilebis (nawiburi, wyluli) amokveTa, Wrilobis kideebis miaxloeba da Sekerva. gardamavali naoWis nawiburebis, tuCis, enis lagamis plastika. fexiani nafleTiT plastika kanis gaxleCili nafleTis Tavisufali gadanergva. Sesasrulebeli manipulaciebis r-ba davaleba 1 moxseneba 3

2. travmebis, damwvrobebis, gadatanili anTebiTi procesebis (osteomieliti, noma da sxv.) Sedegad ganviTarebuli defeqtebi da deformaciebi. onkologiuri operaciebis Sedegad ganviTarebuli defeqtebi. defeqtebis analizi (anatomiuri, funqciuri da esTetikuri moSlilobebis analizi). mkurnalobis gegmis Sedgena. 3. plastikuri operaciebis ZiriTadi meTodebi: plastika adgilobrivi qsovilebiT, plastika fexiani nafleTiT, filatovis ylortiT, qsovilebis Tavisufali gadanergva. 4. ybebis ganviTarebis anomaliebi da deformaciebi. ybebis deformaciis ZiriTadi saxeebi, klinikuri gamovlinebebi, esTetikuri moSlilobebi, qirurgiuli mkurnalobis Cveneba da meTodebi. 5. saxis sxvadasxva ubnis konturuli plastika, calkeuli organoebis aRdgena. 6. parodontis daavadebebis mkurnalobaSi qirurgiuli meTodebis roli da mniSvneloba. parodontis daavadebebis mkurnalobis qirurgiuli meTodebi (gingivotomia, gingivoeqtomia, nafleTovani operaciebi). 5. modulis Sefasebis meTodebi

4 1

2 moxseneba

piris Rrus proTezirebisaTvis mosamzadeblad Catarebuli makoregirebeli operaciebi. ybebis Zvlovan qsovilebze piris Rrus rbil qsovilebze parodontis daavadebebis qirurgiuli mkurnaloba.

1

2 2 3

3 moxseneba

4 moxseneba

5 moxseneba

6 moxseneba

(kriteriumebi, perioduloba). xdeba misi calkeuli ganakveTebis zepiri

modulis Teoriuli nawilis Sefaseba moxsenebiT lokalur xelmZRvanelTan.

44

praqtikuli unar-Cvevebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier rezidentis modulze muSaobis periodSi da ganisazRvreba praqtikuli samuSaos damoukideblad Sesrulebis unariT. aucilebeli 6. aucilebeli da rekomendebuli literaturis nusxa: 1. o. nemsaZe ­ qirurgiuli stomatologia, 1999 w. 2. - . .. .. . 2000, . II. 3. .. ­ - , 1985. rekomendebuli literatura: 1. - -, 1997. 2. .. , .. ­ - , . 1997. 3. ­ - , , 1997.

muxli . moduli

­ implantologia.

1. modulis xangrZlivoba ­ 1 Tve. 2. modulis mizania ­ Seswavlili iqnes implantaciis qirurgiuli meTodebis ZiriTadi safuZvlebi, mkurnalobis etapebi da profilaqtikuri RonisZiebebi. aseve Seswavlili iqnes implantaciis dros daSvebuli SesaZlo Secdomebi da maTi Tavidan acilebis gzebi. maZiebelma unda icodes implantaciis klasifikacia, Tanamedrove implantantebis gamoyenebis Tavisebureba. 3. modulis amocanebia (miznis miRwevis, daZlevis saSualebebi): dentaluri implantaciis Casatareblad avadmyofTa winaswari gamokvleva da momzadeba. (klinikur-laboratoriuli da damatebiTi gamokvlevebi, piris Rrus higienuri mdgomareobis da mikrobiologiuri statusis gansazRvra Sesabamisi mkurnaloba). implantantebis SerCeva invaziurobis mixedviT. da qirurgiuli meTodis gansazRvra etapobriobis da

implantanciis operaciis Catareba ­ saimplantacio midamos rbili qsovilebis gakveTa da lorwovan Zvalsazrdelis nafleTis separacia, ZvalSi saimplantacio sarecelis Seqmna da masSi implantantis moTavseba, Zvlovani da rbili qsovilebis Wrilobebis damuSaveba da gakerva, operaciis Semdgomi periodis marTva. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia mocemulia cxrili #14 saxiT.

cxrili #14.

Teoriuli kursi 1. implantanciis ganviTarebis istoria. implantanciaSi gamoyenebuli masalebi. dentaluri implantantebis tipebi, maTi klasifikacia. integraciis tipebi, osteointegracia. implantaciis Cveneba da ukuCveneba. 2. pacientis gamokvlevis meTodebi dentaluri implantaciis dros qirurgiuli etapis dagegmva da misi kanonzomierebani implantaciis qirurgiuli unarprofesiuli unar-Cvevebi pacientis piris Rrus instrumentuli, rentgenologiuri, ZiriTadi klinikurlaboratoriuli gamokvleva. Sesasrulebeli manipulaciebis r-ba 2 davaleba 1 moxseneba

piris Rrus higienuri mdgomareobis mowesrigeba da mikrobiologiuri statusis gansazRvra da Sesabamisi mkurnaloba. pacientis winasaoperacio

3

2 moxseneba

3

45

meTodebi. 3. zeda da qveda ybebis alveoluri nawilis augmentacia da Zvlis moculobiTi koreqcia. sxvadasxva saxis mizanmimarTuli Zvalwarmoqmnis mastimulirebeli saSualebebi (osteoinduqtorebi, osteokonduqtorebi) gamoyenebis Cveneba, ukuCveneba, operaciuli teqnika, SesaZlo garTulebebi da maTi profilaqtika. 4. sinusliftingis Cveneba da Catarebis teqnika.

momzadeba. implantantis SerCeva da implantanciis qirurgiuli meTodis gansazRvra etapobriobis da invaziurobis mixedviT. saimplantacio midamos rbili qsovilebis gakveTa da lorwovan-Zvalsazrdelas nafleTis separacia. saimplantacio sarecelis Semqna Zvlis preparirebis sruli dacviT.

3

2

3 moxseneba

2

implantantis sarecelSi moTavseba da srulyofili pirveladi fiqsaciis miRweva. Zvlovani da rbili qsovilebis Wrilobebis srulfasovani meqanikuri da qirurgiuli damuSaveba, gakerva. pacientis postoperaciuli periodis marTva, medikamenturi mkurnalobis daniSvna da saTanado rCevadarigebis micema. 5. modulis Sefasebis meTodebi (kriteriumebi, perioduloba). modulis Teoriuli nawilis Sefaseba moxsenebiT lokalur xelmZRvanelTan. xdeba misi

2

4 moxseneba

2

3

calkeuli

ganakveTebis

zepiri

praqtikuli unar-Cvevebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier rezidentis modulze muSaobis periodSi da ganisazRvreba praqtikuli samuSaos damoukideblad Sesrulebis unariT. 6. aucilebeli da rekomendebuli literaturis nusxa: 1. . ­ . , 2005. 2. . . . ­ , 2004. 3. .., .. ­ , , 2002. 4. Orenstein I., Synan W., Trahlar R. Bone quality in patients receiving endosseous dental implants. ­ Implant. Dent., 1994, v. 3. p. 90-94. rekomendebuli literatura: 1. .., .. .. . . 2000. 2. .., .., .. . ­ 2000. 3. Davarpanah M., Martinez H., Kerib M., Renouard F. Complications and failures in osseointegration. J. Parodontol. Implant. 1996; 15: 285-314.

muxli . moduli ­ a) adgilobrivi gautkivareba bavSvebSi da mozardebSi, zogadi gautkivarebis Taviseburebebi; b) sarZeve da mudmivi kbilebis eqstraqcia bavSvebSi da mozardebSi; g) kbilebis travmuli dazianebani bavSvebSi da mozardebSi.

1. modulis xangrZlivoba ­ 0,5 Tve. 2. modulis mizania ­ adgilobrivi da zogadi gautkivarebis meTodebis codna eqstraqciis meTodebis Seswavla bavSvebsa da mozardebSi, kbilis magari qsovilebis travmuli dazianebebis zusti diagnostika da saTanado mkurnalobis meTodebis SerCeva asakobrivi Taviseburebebis gaTvaliswinebiT. rezidenti daeufleba adgilobrivi gautkivarebis yvela meTods bavSvebsa da

46

mozardebSi, Cvenebebs da ukuCvenebebs. modulis mizania sarZeve da mudmivi kbilebis (maT Soris Canasaxebis, retenciuli kbilebis) eqstraqciis, adgilobrivi gautkivarebis da amoRebis Semdgomi garTulebebis profilaqtika da mkurnaloba. kbilebis magari qsovilebis travmuli dazianebebis mkurnalobis meTodebis SerCeva da Catareba. 3. modulis amocanebia (miznis miRwevis, daZlevis saSualebebi): kbilebis eqstraqciis Casatareblad infiltraciuli da regionuli anesTeziebis gamoyeneba zeda da qveda ybebze. sarZeve da mudmivi kbilebis eqstraqcia, retenciuli kbilebis eqstraqcia, travmis Sedegad amovardnili kbilebis repozicia da fiqsacia. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili #15 saxiT.

cxrili #15.

Teoriuli kursi 1. adgilobrivi gautkivarebis Cvenebebi da ukuCvenebebi. bavSvebSi adgilobrivi gautkivarebisaTvis gamoyenebuli saanesTezio saSualebebi bavSvebsa da mozardebSi. maTi SedarebiTi daxasiaTeba. 2. infiltraciuli anesTeziis Cvenebani bavSvTa asakSi, meTodebi, Sesrulebis teqnika zeda da qveda ybebze. regionuli anesTeziis Catarebis specifika bavSvTa asakSi gamomdinare anatomiuri Taviseburebebidan. Sesrulebis teqnika. 3. sarZeve da mudmivi kbilebis eqstraqciis Cvenebebi da ukuCvenebebi, kbilebis eqstraqciis meTodika da Taviseburebani bavSvebSi. garTuleba kbilis amoRebis momentSi da mogvianebiT, maTi profilaqtika da mkurnaloba. 4. kbilebis travmuli dazianebebi: daJeJiloba, amovardniloba, motexiloba. kbilis amovardnilobis saxeebi: CaWedili, sruli, arasruli. maTi mkurnalobis meTodebis SerCeva bavSvis asakis da fesvis mdgomareobis gaTvaliswinebiT. amovardnili kbilebis repozicia, replantacia, imobilizacia, artaSnebiTa da ligaturebiT. 5. zogadi gautkivarebis Cvenebebi da meTodebi bavSvebsa da mozardebSi. 5. modulis Sefasebis meTodebi unarprofesiuli unar-Cvevebi infiltraciuli anesTeziebi piris RruSi. regionuli anesTeziebi zeda da qveda ybaze. sarZeve kbilebis eqstraqcia. mudmivi kbilebis eqstraqcia. Sesasrulebeli manipulaciebis r-ba 10 10 10 5 davaleba 1 moxseneba

retenciuli kbilebis eqstraqcia. amovardnili kbilebis repozicia da imobilizacia (klinikuri masalis ararsebobis SemTxvevaSi Sesruldes fantomze).

2 2

2 moxseneba

3 moxseneba

4 moxseneba

(kriteriumebi, perioduloba).

47

modulis Teoriuli nawilis Sefaseba moxsenebiT lokalur xelmZRvanelTan.

xdeba

misi

calkeuli

ganakveTebis

zepiri

praqtikuli unar-Cvevebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier rezidentis modulze muSaobis periodSi da ganisazRvreba praqtikuli samuSaos damoukideblad Sesrulebis unariT. 6. aucilebeli da rekomendebuli literaturis nusxa: 1. `bavSvTa asakis stomatologia~ (a. kolesovis redaqciiT), Tbilisi, 2001 w. 2. .. cdonald, D.R. Avery ­ Dentistry for the child and adulescent ­ USA, Moscow, 2000. rekomendebuli literatura: 1. ­ . .. .. .. , 2003. 2. - , , .. , 2005 .

ybamuxli . moduli yba-saxis midamos magari da rbili qsovilebis mwvave da qronikuli mozardebSi. anTebiTi procesebi bavSvebsa da mozardebSi.

1. modulis xangrZlivoba ­ 0,5 Tve. 2. modulis mizania ­ yba-saxis midamos odontogenuri anTebiTi procesebis mimdinareobis Taviseburebebis swavleba bavSvTa asakSi. anTebiTi procesebis garTulebebis (Tavis tvinis meningealuri garsebis anTeba, venuri sinusebis Trombozi, mwvave sefsisi) profilaqtikis da mkurnalobis sakiTxebi. 3. modulis amocanebia (miznis miRwevis, daZlevis saSualebebi): odontogenuri anTebiTi subperiostaluri abscesis gaxsna. procesebis dros sarZeve kbilebis eqstraqcia,

piris RruSi da yba-saxis areSi lokalizebuli flegmonebis gaxsna. yba-saxis midamos araodontogenuri anTebiTi procesebis (furunkuli, karbunkuli) mkurnaloba. sanerwyve jirkvlebis anTebiTi daavadebebi bavSvTa asakSi, morecidive parenqimuli parotitis mkurnaloba. Casatarebeli 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili #16 saxiT. saxiT.

cxrili #16.

Teoriuli kursi 1. yba-saxis midamos sisxlis mimoqcevisa da limfuri sistemis asakobrivi Taviseburebebi bavSvebsa da mozardebSi. kunTovani sistema da inervacia. 2. odontogenuri anTebiTi procesebis klasifikacia bavSvebSi. mimdinareobis Taviseburebebi, diagnostika, mkurnaloba. periostiti, osteomieliti (hematogenuri, osteomieliti bavSvebSi). 3. yba-saxis specifikuri anTebiTi procesebi. etiologia, paTogenezi, klinika, mkurnalobis Taviseburebebi bavSvTa asakSi. unarprofesiuli unar-Cvevebi sarZeve kbilebis eqstraqcia, subperostaluri abscesis gaxsna. Sesasrulebeli manipulaciebis r-ba 2 davaleba 1 moxseneba

yba-saxis midamosa da piris RruSi arsebuli flegmonebis gaxsna.

2

2 moxseneba

yba-saxis midamos arodontogenuri anTebiTi procesebis (furunkuli, karbunkuli) klinika, diagnostika, mkurnaloba.

2

3 moxseneba

48

4. anTebiTi procesebis garTulebebi. klinika, diagnostika, kompleqsuri mkurnaloba.

5. sanerwyve jirkvlebis anTebiTi daavadebebi ­ parotitebi (epidemiuri, parenqimatozuli, axalSobilTa), kalkulozuri sialoadeniti, diagnostika, mkurnaloba. 5. modulis Sefasebis meTodebi (kriteriumebi, perioduloba).

sanerwyve jirkvlebis anTebiTi daavadebebi bavSvTa asakSi. morecidive parenqimatozuli parotiti, klinika, diagnostika, mkurnaloba. sanerwyve jirkvlebis sadinrebis zondireba, buJireba. sanerwyve jirkvlebSi sakontrasto nivTierebis Seyvana.

1

4 moxseneba

1 1

5 moxseneba.

modulis Teoriuli nawilis Sefaseba xdeba misi calkeuli ganakveTebis zepiri moxsenebiT lokalur xelmZRvanelTan. praqtikuli unar-Cvevebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier rezidentis modulze muSaobis periodSi da ganisazRvreba praqtikuli samuSaos damoukideblad Sesrulebis unariT. literaturis 6. aucilebeli da rekomendebuli literaturis nusxa: 1. `bavSvTa asakis stomatologia~ (a. kolesovis redaqciiT), Tbilisi, 2001 w. 2. I.C.Posnic ­ Cramofacial and Maxillofacial Surgery in Children and Young Adults ­ v.1,2, USA, W.B. Sanders company ­ 2000. rekomendebuli literatura: 1. A. Cameron, R.P. Widmer - ­ . .., .., .. , 2003. 2. .. - , 2005 .

muxli . moduli

ybamozardebSi. yba-saxis midamos travmuli dazianebani bavSvebsa da mozardebSi.

1. modulis xangrZlivoba ­ 0,5 Tve. 2. modulis mizania ­ Seswavlili iqnes ybebis Zvlebis motexilobebis klinikuri mimdinareobis Taviseburebebi bavSvebSi da mozardebSi; maTi diagnostika da mkurnalobis meTodebi. rbili qsovilebis Wrilobebis klasifikacia, maTi damuSavebisa da nakerebis dadebis vadebi. 3. modulis amocanebia (miznis miRwevis, daZlevis saSualebebi): saxis Zvlebis motexilobebis drouli diagnostika, mkurnalobis meTodis SerCeva, monatexi fragmentis repozicia da imobilizacia artaSanis saSualebiT. saxis rbili qsovilebis qirurgiuli nakeris dadeba. Wrilobebis dros Wrilobebis damuSaveba da pirveladi

raodenoba 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba saxiT. mocemulia cxrili #17 saxiT.

cxrili #17.

Teoriuli kursi 1. yba-saxis midamos travmebis daxasiaTeba, Taviseburebebi bavSvTa da mozardTa asakSi. diagnostika. ybebis Zvlebis motexilobebis mkurnalobis profesiuli unar-Cvevebi unarsaxis qalas Zvlebis da ybasaxis qsovilebis travmuli dazianebebis diagnostika, mkurnalobis meTodebis SerCeva da mkurnaloba. Sesasrulebeli manipulaciebis r-ba 1 davaleba 1 moxseneba

49

meTodebis SerCeva. samkurnalod gamoyenebuli artaSanebis saxeebi, maTi dadebis teqnika. 2. saxis rbili qsovilebis Wrilobebis damuSaveba, nakeris dadeba. 3. saxis da Zvlebis motexilobebis Semdgomi garTulebebi da deformaciebi, maTi Tavidan acilebis gzebi. 5. modulis Sefasebis meTodebi

monatexi fragmentebis repozicia da imobilizacia artaSaniT yba-saxis midamos rbili qsovilebis Wrilobebis damuSaveba da Sekerva. 1 2 moxseneba 3 moxseneba

(kriteriumebi, perioduloba). xdeba misi calkeuli ganakveTebis zepiri

modulis Teoriuli nawilis Sefaseba moxsenebiT lokalur xelmZRvanelTan.

praqtikuli unar-Cvevebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier rezidentis modulze muSaobis periodSi da ganisazRvreba praqtikuli samuSaos damoukideblad Sesrulebis unariT. 6. aucilebeli da rekomendebuli literaturis nusxa: 1. `bavSvTa asakis stomatologia~ (a. kolesovis redaqciiT), Tbilisi, 2001 w. 2. I.C.Posnic ­ Cramofacial and Maxillofacial Surgery in Children and Young Adults ­ v.1,2, USA, W.B. Sanders company ­ 2000. rekomendebuli literatura: 1. A. Cameron, R.P. Widmer - ­ . .., .., .. , 2003. 2. B.E. Mcdonald, D.R. Avery ­ Dentistry for the child and Adulescent ­ USA, Moccow, 2000. 3. .. - , 2005 .

muxli . moduli

safeTqelmozardebSi. safeTqel-qveda ybis saxsris daavadebebi bavSvebsa da mozardebSi.

1. modulis xangrZlivoba ­ 0,5 Tve. 2. modulis mizania ­ Seswavlil iqnas safeTqel-qveda ybis saxsris daavadebebi da dazianebani. 3. modulis amocanebia (miznis miRwevis, daZlevis saSualebebi): safeTqel-qveda ybis saxsris anatomiisa da fiziologiis Seswavla asakobrivi Taviseburebebis gaTvaliswinebiT. daavadebebis klasifikaciis codna. safeTqel-qveda ybis saxsris daavadebebis diagnostireba. operaciuli da orTopediuli mkurnalobis meTodebis codna. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba saxiT. mocemulia cxrili #18 saxiT.

cxrili #18.

Teoriuli kursi 1. safeTqel-qveda ybis pirveladad Zvlovani dazianebebi da daavadebebi. maTi gamomwvevi mizezebi: unarprofesiuli unar-Cvevebi qveda ybis Cveuli amovardnilobis Cayeneba safeTqel-qveda ybis saxsris funqciuri daavadebebis konservatiuli mkurnaloba eleqtroforeziT. Sesasrulebeli manipulaciebis r-ba 1 1 davaleba 1 moxseneba

Tandayolili ganviTarebis mankebi da anTebiTi daavadebebi.

50

osteoarTriti, misi SesaZlo gamosavali: neoarTrozi, meoradmadeformirebuli osteoarTrozi, ankilozi. maTi klinika, rentgenologiuri diagnostika, mkurnalobis meTodebis SerCeva. 2. safeTqel-qveda ybis saxsris funqciuri daavadebebi da maTi gamosavali bavSvebsa da mozardebSi. saymawvilo disfunqcia, Cveuli amovardniloba, disfunqciis tkivilis sindromi. 3. anTebiTi da anTebiTdegeneraciuli, pirveladad xrtilovani daavadebebi, ganviTarebuli saxsris disfunqciiT: arTriti (mwvave, qronikuli), Wabukuri deformaciuli arTrozi. 5. modulis Sefasebis meTodebi (kriteriumebi, perioduloba).

2 moxseneba

3 referati

4 moxseneba

modulis Teoriuli nawilis Sefaseba xdeba misi calkeuli ganakveTebis zepiri moxsenebiT lokalur xelmZRvanelTan. praqtikuli unar-Cvevebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier rezidentis modulze muSaobis periodSi da ganisazRvreba praqtikuli samuSaos damoukideblad Sesrulebis unariT. 6. aucilebeli da rekomendebuli literaturis nusxa: 1. `bavSvTa asakis stomatologia~ (a. kolesovis redaqciiT), Tbilisi, 2001 w. 2. I.C.Posnic ­ Cramofacial and Maxillofacial Surgery in Children and Young Adults ­ v.1,2, USA, W.B. Sanders company ­ 2000. rekomendebuli literatura: 1. A. Cameron, R.P. Widmer - ­ . .., .., .. , 2003. 2. B.E. Mcdonald, D.R. Avery ­ Dentistry for the child and Adulescent ­ USA, Moccow, 2000. 3. .. - , 2005 .

ybamuxli . moduli 7 yba-saxis midamos keTilTvisebiani simsivneebi da simsivnismagvari mozardebSi. daavadebebi bavSvebsa da mozardebSi.

1. modulis xangrZlivoba ­ 0,5 Tve. 2. modulis mizania ­ Seswavlili iqnas yba-saxis midamos keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebis klasifikacia bavSvTa asakSi, onkogenezi, maTi ganviTarebis xelSemwyobi faqtorebi. 3. modulis amocanebia (miznis miRwevis, daZlevis saSualebebi): bavSvTa asakSi simsivneebis klasifikaciis codna, adreuli diagnostika, mkurnalobis taqtikuri gegmis Sedgena. diagnostikis mizniT gamokvlevis damatebiTi meTodebis SerCeva (rentgenologiuri, citologiuri, morfologiuri). 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba

51

saxiT. mocemulia cxrili #19 saxiT.

cxrili #19.

Teoriuli Teoriuli kursi 1. piris Rrus organoebisa da qsovilebis keTilTvisebiani simsivneebi: papiloma, fibroma, lipoma, hemangioma, limfangioma, miqsoma, mioblastoma. diagnostika, mkurnalobis meTodebi. 2. simsivnismagvari warmonaqmnebi: dvrilisebri hiperplazia (papilomatozi), fibromatozi, qsanTogranuloma, giganturujredovani periferiuli granuloma (giganturujredovani epulisi) dermoiduli kista. 3. mcire sanerwyve jirkvlebis kistebi. klinika diagnostika, mkurnalobis meTodebi. ybebis Zvlebis keTilTvisebiani simsivneebi. osteoma, xondroma, giganturujredovani simsivne, fibrozuli displazia, eozinofiluri granuloma, ybebis Zvlebis kistebi: diagnostika, mkurnalobis meTodebi. 5. modulis Sefasebis meTodebi unarprofesiuli unar-Cvevebi odontogenuri kistebis qirurgiuli mkurnaloba. citotomia cisteqtomia ­ Sesasrulebeli manipulaciebis r-ba davaleba 1 moxseneba 2 2

sanerwyve jirkvlebis retenciuli kistebis qirurgiuli mkurnaloba. dermoiduli kistis qirurgiuli mkurnaloba. sisxl da limfurZarRvovani simsivneebis araqirurgiuli meTodebiT mkurnaloba. eleqtrokoagulacia masklerozirebeli Terapia

2 2

2 moxseneba

2 2

3 moxseneba

(kriteriumebi, perioduloba).

modulis Teoriuli nawilis Sefaseba xdeba misi calkeuli ganakveTebis zepiri moxsenebiT lokalur xelmZRvanelTan. praqtikuli unar-Cvevebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier rezidentis modulze muSaobis periodSi da ganisazRvreba praqtikuli samuSaos damoukideblad Sesrulebis unariT. 6. aucilebeli da rekomendebuli literaturis nusxa: 1. `bavSvTa asakis stomatologia~ (a. kolesovis redaqciiT), Tbilisi, 2001 w. 2. I.C.Posnic ­ Cramofacial and Maxillofacial Surgery in Children and Young Adults ­ v.1,2, USA, W.B. Sanders company ­ 2000. rekomendebuli literatura: 1. A. Cameron, R.P. Widmer - ­ . .., .., .. , 2003. 2. B.E. Mcdonald, D.R. Avery ­ Dentistry for the child and Adulescent ­ USA, Moccow, 2000. 3. .. - , 2005 .

muxli . moduli

ybaanomaliebi. yba-saxis Tandayolili mankebi da anomaliebi.

1. modulis xangrZlivoba ­ 0,5 Tve. 2. modulis mizania ­ Seswavlili iqnes saxisa da ybebis Tandayolili ganviTarebis mankebis etiologia, paTogenezi, xelisSemwyobi faqtorebi, klasifikacia, diagnostika, ganisazRvros operaciuli Carevebis optimaluri vadebi. qirurgiuli mkurnalobis meTodebi. 3. modulis amocanebia (miznis miRwevis, daZlevis saSualebebi):

52

saxisa da ybebis Tandayolili ganviTarebis mankebisa da anomaliebis diagnostireba. operaciuli mkurnalobis arsebuli meTodebis Teoriuli codna. mkurnalobis gegmis Sedgena. Tandayolili ganviTarebis mankebis mqone bavSvebis kvebis, gamozrdis da operaciuli mkurnalobisaTvis momzadeba. yovel individualur SemTxvevaSi pirveladi operaciuli mkurnalobis makoregirebeli operaciebis Catarebis argumentacia da maTi vadebis gansazRvra. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili #20 saxiT. saxiT.

cxrili #20.

Teoriuli kursi 1. piris Rrus lorwovani garsis anomaliebi mkurnalobis vadebi da meTodebi. 2. saxis napralebi 3. kisris Tandayolili kistebi da xvrelarxebi. klinika, diagnostika, mkurnaloba. 4. zeda tuCis Tandayolili napralebis klasifikacia, diagnostika, operaciuli mkurnalobis vadebi da meTodebi. 5. sasis Tandayolili napralebis klasifikacia, diagnostika, mkurnalobis vadebi, meTodebi. makoregirebeli operaciebis vadebi. 5. modulis Sefasebis meTodebi unar-Cvevebi profesiuli unar-Cvevebi zeda tuCis lagamis plastika Sesasrulebeli manipulaciebis r-ba 2 davaleba 1 moxseneba

zeda tuCis boWkos koreqcia qveda tuCis lagamis plastika

2 1

2 moxseneba 3 moxseneba

enis lagamis plastika

1

4 moxseneba

piris Rrus karibWis plastika

1

5 moxseneba

(kriteriumebi, perioduloba).

modulis Teoriuli nawilis Sefaseba xdeba misi calkeuli ganakveTebis zepiri moxsenebiT lokalur xelmZRvanelTan. praqtikuli unar-Cvevebis xarisxi Sefasdeba lokaluri xelmZRvanelis mier rezidentis modulze muSaobis periodSi da ganisazRvreba praqtikuli samuSaos damoukideblad Sesrulebis unariT. aucilebeli 6. aucilebeli da rekomendebuli literaturis nusxa: 1. `bavSvTa asakis stomatologia~ (a. kolesovis redaqciiT), Tbilisi, 2001 w. 2. I.C.Posnic ­ Cramofacial and Maxillofacial Surgery in Children and Young Adults ­ v.1,2, USA, W.B. Sanders company ­ 2000. rekomendebuli rekomendebuli literatura: 1. A. Cameron, R.P. Widmer - ­ . .., .., .. , 2003. 2. B.E. Mcdonald, D.R. Avery ­ Dentistry for the child and Adulescent ­ USA, Moccow, 2000. 3. .. - , 2005 . IX. Tavi IX. damatebiTi sakiTxebi muxli 1. saswavlo gegma mocemulia cxrili #21 saxiT

cxrili #21

53

profesiuli mzadebis I weli modulis # I moduli II moduli III moduli IV moduli V modulis dasaxeleba eqimisa da pacientis urTierTobis samarTlebrivi da esTetikuri safuZvlebi. fundamenturi medicinis Tanamedrove aspeqtebi. mtkicebiTi medicinis da samedicino statistikis safuZvlebi. sazogadoebrivi jandacva da epidemiologia yba-saxis qirurgiuli avadmyofebis gamokvleva; gautkivareba. piris Rrus qirurgiisa da yba-saxis qirurgiaSi; kbilis eqstraqciis operacia. piris Rrus da yba-saxis midamos anTebiTi procesebi. xangrZlivoba 0,5 Tve 0,5 Tve 0,5 Tve 0,5 Tve 3 Tve

VI moduli

5 Tve

profesiuli mzadebis II weli modulis # I moduli II moduli III moduli IV moduli V VI moduli modulis dasaxeleba sanerwyve jirkvlebis daavadebebi da dazianebani. yba-saxis mdiamos travmuli dazianebani. yba-saxis midamos nervebis dazianebani da daavadebebi. safeTqel-qveda ybius saxsris daavadebebi. yba-saxis midamos keTilTvisebiani simsivneebi da simsivnismagvari warmonaqmnebi. yba-saxis midamos avTvisebiani simsivneebi. xangrZlivoba 1,0 Tve 4 Tve 0,5 Tve 0,5 Tve 2,0 Tve 2 Tve

profesiuli mzadebis III weli modulis # I moduli II moduli III moduli IV moduli V VI moduli VII modulis dasaxeleba piris midamos aRdgeniTi qirurgia. kbilebis implantologia bavSvebSi da mozardebSi adgilobrivi gautkivareba, sarZeve da mudmivi kbilebis eqstraqcia. bavSvebSi da mozardebSi yba-saxis midamos rbili da magari qsovilebis anTebiTi procesebi. yba-saxis midamos travmuli dazianebani bavSvebSi da mozardebSi. safeTqel-qveda ybis saxsris daavadebebi bavSvebSi da mozardebSi. bavSvebSi da mozardebSi yba-saxis midamos keTilTvisebiani xangrZlivoba 3 Tve 1 Tve 0,5 Tve 0,5 Tve 0,5 Tve 0,5 Tve 1,5 Tve

54

moduli VIII moduli

simsivneebi da simsivnismagvari warmonaqmnebi. bavSvebSi da mozardebSi saxis da yba-saxis Tandayolili mankebi da anomaliebi. 2,5 Tve

ybayba-saxis qirurgiis rezidenturaSi swavlebisaTvis aucilebeli da rekomendebuli literaturis nusxa I aucilebeli: 1. nemsaZe o.d. ­ qirurgiuli stomatologia, Tbilisi, 1996 w. 2. bregaZe a.a., bregaZe o.a. ­ qirurgiuli stomatologia, Tbilisi, 2000 w. 3. .., .. ­ - . . I-II. , 2000. 4. .. ­ - . , 1998. 5. .. ­ - . , 1985. 6. mardaleiSvili k., baramiZe T. ­ yba-saxis avTvisebiani simsivneebi. Tbilisi, 2008 w. 7. . ­ , , 2005. 8. ., ., . ­ , , 2004. 9. .., .. ­ , . 2002. 10. Orenstein J, Synan W., Trablar R. ­ Bone quality in pacient receiving edosseous dental implants. Implant Dent., 1994. v.3., p.90-94. 11. `bavSvTa asakis stomatologia~ (a. kolesovis redaqciiT) ­ Tbilisi, 2001 w. qarTul enaze. 12. .. ­ - , , 2005 . rekomendebuli 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. .. . ­ - . . 1986. .. . ­ . . 1975. - . -, 1998. .. ­ , . 1991. .. ­ . . 1998. .., .. ­ - . . 1997. .. ­ . . 1983. ­ - . . 1997. .. ­ . . 2001. Stanley F. Malamed ­ Handbook of local anesthesia. 2005. Strasburg M., Knollc G. ­ Barbatlas und lehrbuch der Mundschleim-Hauter Krankungen. Berlin 1991. .. . . . 1987. Jaski R., Riccard V.B., Broeler H.Y. et al. Facial trauma ­ F. reccurent desease. the potential role of disease prevention (in process citation). J. Oral maxillofacial Surg., 2004, June, 62(6): 685-688. Jannau K.F., Stanley B.B., Hallam D.K. et al. Imajing of high-energy mid facial trauma. What the surgeon needs to know. Eur. J. Raiol. 2003, Oct. 48(1), 17-32. Orenstein I., Synan W., Trahlar R. ­ Bone quality in patients receiving endosseous dental implants ­Implant. Dent. 1994, v.3, p. 90-94. Peterson's Principals of oral and maxillofacial surgery 2 vol (2004) ­ by Michael Miloro, GE Ghalis Peter E. Larsen and Peter waite. Fonseca Oral and Maxillofacial surgery 7 vol. 2000. Bavmond Ji Fonseca PMP. .., .., .. ­ , . 2000. .., .., .. ­ . . , 2000. Davarponoh M., Martinez H., Kerib M., Renouard F. ­ Compliations and failures in osseointegration J.P. Paradontol. Implant Orale 1996, 15:285-314. R.E. Mcdonald, D.R. Avery. Dentistry for the Child and Adulescent ­ USA, Moscow ­ 2000. J.C. Posnick Craniofacial and Maxillofacial Surgery in Children and Young Adults. ­ v.1,2, USA, W.B. Sanders company, 2000. A. Cameron, R.P. Widmer ­ . .., - .., .. , 2003.

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