basTan dakavSirebul yvela movlenas da
zogjer mxolod ramdenime wlis Semdeg
SemiZlia imis dabejiTebiT Tqma, rom mas
menieris daavadeba aqvs. arada, procesis
stabilizaciisa da adreuli konservatiuli Terapiis dawyebisTvis didi mniSvneloba eniWeba daavadebis droul diagnostirebas da sxva daavadebebisgan diferencirebas.
l maS, rogor xerxdeba es?
– marTalia, dRemde ar arsebobs menieris daavadebis diagnozis damadasturebeli paTognomuri testi, magram gaidlainebiT mowodebulia Semdegi sadiagnostiko klasifikacia, romelsac SeiZleba daveyrdnoT. daavadeba aris:
n ueWveli – sicocxleSi dadgenili
menieris daavadeba Semdgomi histopaTologiuri dadasturebiT (seqciaze);
n dadgenili – rodesac aRiniSneba
ori an meti vertigos krizi, romelic
grZeldeba aranakleb oci wuTisa, Setevis dros audiometriulad dadasturebulia smenis daqveiTeba (erT SemTxvevaSi
mainc), aRiniSneba Suili an zewolis SegrZneba yurSi;
n mosalodneli – Tavbruxvevis erTi dadgenili epizodi, Setevis dros audiometriulad dokumentirebuli smenis
daqveiTeba, Suili an zewolis SegrZneba
yurSi;
n SesaZlo – epizoduri vertigo sme-
nis daqveiTebis dokumentaciis gareSe,
fluqtuirebuli an fiqsirebuli neirosensoruli smenis daqveiTeba garkveuli
epizodurobis gareSe.
samwuxarod, CvenSi amgvar sifrTxiles iSviaTad iCenen da menieris daavadebis diagnozs metismetad advilad da gadaWriT svamen. arada, es sakmaod rTuli,
Semawuxebeli da damTrgunveli daavadebaa: smena qveiTdeba, Setevebis dros wonasworoba irRveva, Sromis unari sagrZnoblad iklebs...
l rogor mkurnaloben menieris daavadebas da ramdenad efeqturia mkurnloba?
– menieris daavadebis mwvave Setevas
simptomurad mkurnaloben, xolo profilaqtika mimarTulia Semdgomi Setevebis
Tavidan acilebisken, smenisa da vestibuluri funqciis SenarCunebisken an gaumjobesebisken, ormxrivi procesis ganviTarebis prevenciisken. medikamenturi
mkurnalobisTvis gamoiyeneba trankvilizatorebi, Sardmdenebi da gulisrevis
sawinaaRmdego saSualebebi. pirveli rigis arCevis preparatia periferiuli sisxlZarRvebis gamafarToebeli saSualeba
– betahistini.
Zalian iSviaTad, menieris rezistentuli (mdgradi) formebisas, rodesac
smenis deficiti myaria, xolo Setevebi
– metismetad Semawuxebeli, mimarTaven
29
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AVERSI
medikamentur labirinTeqtomias – labirinTis destruqcias, ganadgurebas,
rasac SigniTa yurSi ototoqsikuri antibiotikebis SeyvaniT iwveven. marTalia,
es procedura Setevebs amcirebs da asustebs, magram mainc naklebsasurvelia,
radgan adamiani erTi labirinTis amara
rCeba.
mZime SemTxvevebis dros daavadebas
qirurgiulad mkurnaloben. operaciuli
Careva moicavs endolimfuri tomris dekompresias an Suntirebas, labirinTeqtomias da vestibulur neiroeqtomias.
l garda medikamenturi mkurnalobisa, rogor SeiZleba daavadebis Setevebis
prevencia?
– menieris daavadebis profilaqtika
cxovrebis stilis Secvlasac gulisxmobs. adamiani unda eridos stresebs,
fizikurad iaqtiuros, daicvas dieta –
SezRudos yavis, alkoholis, Tambaqos
moxmareba, miiRos bevri siTxe, magram Seamciros marilis raodenoba, rac organizms miRebuli siTxisgan advilad gaTavisuflebaSi daexmareba. marilis SezRudva endolimfis moculobazec dadebiTad aisaxeba. amitom rekomendebulia,
miRebuli marilis dRiuri raodenoba ar
aRematebodes 3-5 grams.
xSirad mxolod am rekomendaciebis
dacvac sakmarisia menieris daavadebis
Setevebis Sesamcireblad.
beli, romelic zrdis daavadebis ganviTarebis albaTobas da mWidro kavSiri
aqvs mis dasawyissa da progresirebasTan.
janmrTelobis msoflio organizaciam
daadgina, rom gul-sisxlZarRvTa daavadebis Tavidan acileba SesaZlebelia
adekvaturi pirveladi da meoreuli prevenciiT, rac, upirveles yovlisa, swored riskis faqtorebis srulyofil koreqcias gulisxmobs.
koronaruli da, sazogadod, kardiovaskuluri daavadebis riskis faqtorebi
ori saxisaa: modificirebadi, romelTa
koreqcia SesaZlebelia da aramodificirebadi, romelTa koreqciac SeuZlebelia. am ukanasknelTa ricxvs ekuTvnis
mamrobiTi sqesi, xandazmuli asaki da genetikuri datvirTva anu ojaxuri anamnezi. danarCeni riskis faqtorebi modificirebadia, esenia:
n arteriuli hipertenzia – koronaruli aTerosklerozis sakmaod mZlavri
riskis faqtoria da gulisxmobs sisxlis
wnevis momatebas rekomendebul doneze
metad;
n dislipidemia – qolesterolis
cvlis darRvevaa, gansakuTrebiT – sisxlSi dabali simkvrivis lipoproteinebis qolesterolis (cudi qolesteroli)
koncentraciis siWarbe, aseve – maRali
simkvrivis lipoproteinebis qolesterolis (kargi qolesteroli) dabali kon-
centracia da trigliceridebis koncentraciis mateba;
n Saqriani diabeti – erTaderTi riskis faqtoria, romelic gulis koronaruli daavadebis ekvivalentad aris aRiarebuli. es imas niSnavs, rom Saqriani diabeti TiTqmis gaigivebulia koronarul
daavadebasTan, Sesabamisad, diabetiani
pacientebi koronaruli daavadebis ganviTarebis yvelaze maRali riskis mqone
pacientebi arian;
n hipodinamia – fizikuri aqtivobis
nakleboba koronaruli daavadebis erTerTi yvelaze mniSvnelovani riskis faqtoria. arsebobs mtkicebuleba, rom mimdinare saukuneSi mosaxleobis fizikuri
aqtivobis done arsebiTad Semcirda, Tanamedrove msoflio populaciis 60% fizikuri aqtivobis mniSvnelovan deficits ganicdis, rac Tanamedrove teqnologiebis ganviTarebiT aixsneba;
n Tambaqos weva – koronaruli aTerosklerozis erT-erTi yvelaze agresiuli riskis faqtoria. riskebis kalkulatoris Tanaxmad, mwevelebSi aTwliani fataluri kardiovaskuluri riski TiTqmis
gaormagebulia;
n simsuqne – multifaqtoruli genezis daavadebaa da organizmSi cximis Warbad dagrovebas gulisxmobs. mis ganviTarebas safuZvlad udevs qronikuli disbalansi miRebul da daxarjul energias
33
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AVERSI
Soris.
am eqvsi ZiriTadi riskis faqtoris
garda arsebobs sxvebic, magaliTad, alkoholi, Tumca aris Tu ara is kardiovaskuluri daavadebis riskfaqtori, dRemde
erTmniSvnelovnad ar aris gadawyvetili.
riskis faqtorad SeiZleba ganvixiloT
adamianTa emociuri tipic. dadgenilia,
rom emociur (A tipis) adamianebs koronaruli daavadebis ganviTarebis albaToba
gacilebiT didi aqvT, vidre SedarebiT
gawonasworebulebs (B tipisas).
Tu adamians CamoTvlilTagan romelime riskis faqtori an maTi kombinacia
aqvs, SesaZloa, nebismieri kardiovaskuluri daavadeba, maT Soris – koronaruli daavadebac, ganuviTardes.
l ra migvaniSnebs koronarul daavadebaze?
– gulis koronaruli daavadeba moicavs stenokardiasa da gulis kunTis infarqts. orive SemTxvevaSi yvelaze xSiri
simptomia tkivili gulis areSi. tipobrivia retrosternaluri (anu mkerdis
Zvlis ukan) an gulmkerdis areSi ganviTarebuli tkivili. pacientebi xSirad uCivian moWeras an wvis SegrZnebas. xSirad
tkivili sxeulis marcxena naxevarSi gadaecema, gansakuTrebiT – marcxena
mxarSi, winamxarsa da marcxena beWSi. SesaZloa, orive zeda kidurSic gadaeces.
sakmaod xSiria qveda ybasa da yelSi moWe-
w
Wime. ileTebis Sesrulebisas umniSvnelo nakawrebs da daJeJilobebs Tu ar CavTvliT,
sxva seriozuli araferi SemmTxvevia”.
damwyeb sportsmenebs irakli ramdenime
sasargeblo rCevas aZlevs:
n sleqlainisTvis gamogadgebaT nebismieri samosi, romelSic Tavs komfortulad
igrZnobT.
n fexsacmeli aucileblad brtyelZiriani da fexze kargad momdgari unda iyos.
zafxulSi SeiZleba fexSiSvelmac gaiaroT
sleqze.
n pirveli warumateblobis miuxedavad,
ar unda danebdeT, radgan organizms wonasworobis dasacavad garkveuli dro sWirdeba.
n xelebi ganze da maRla aswieT, isunTqeT mSvidad, uyureT raime uZrav obieqts.
n miwasTan axlos siarulis kargad aTvisebis Semdeg SegiZliaT, sleqis simaRlisa
da sigrZis gazrdazec ifiqroT.
n saqarTveloSi sleqlainis Sesabamisi
aRWurviloba ar iyideba, Tumca misi gamowera advilia. minimaluri Tanxa, rac damwyebTaTvis gankuTvnil sleqs dasWirdeba,
daaxloebiT 70 dolaria.
gurams izidavs sportis ucnauri saxeobebi. sleqlainis Sesaxeb Tavisi megobrisgan,
irakli sixaruliZisgan gaigo, misi fotoebi
naxa da im dResve gamoiwera sleqi. misi debiuti ki zafxulSi, baTumSi Sedga: “kvira dRes
megobrebi bulvarSi wavediT da sleqi gavWimeT. manZili sakmaod mcire iyo, daaxloebiT
10 metri, simaRle – naxevar metramde. saer-
Tod ar vRelavdi, – kacma rom Tqvas, arc
araferi iyo saSiSi, – vgrZnobdi mxolod
cdis dauokebel survils da nawilobriv im
azrsac Seguebuli viyavi, rom araferi gamomividoda. bevri viwvale, auareba energia
davxarje. ra Tqma unda, sasiamovnod daqanculi movrCi pirvel varjiSs”.
gurami ambobs, rom dRes saSualo donis
sleqeria, aqtiurad varjiSobs da es procesi did siamovnebas aniWebs: “patar-patara
nabijebiT miviwev win da cot-cota warmatebebic maqvs. cota xnis win simaRleze gaWimul slqze gaviare da Zalian bednieri viyavi. ris gamoc es sporti miyvars, is aris,
rom rodesac sleqze vdgavar, mTlianad
imaze var koncentrirebuli, rasac vakeTeb,
mTeli gonebiT, yvela nerviT. sleqze dgomisas, miliondolariani valic rom gqondes, gaviwydeba da mxolod erTi mizani gamoZravebs – bolomde mixvide”.
guram varSaniZe dawvrilebiT gvixsnis
sleqze varjiSis wesebs: “Tavdapirvelad
varjiSob miwasTan axlos gaWimul Tokze,
kviraSi orjer an samjer. sleqis simaRleze
gaWimvas winaswar vgegmavT, radgan adgili
Zneli SesarCevia. magaliTad, garSemo xalxmravloba ar unda iyos. roca simaRleze
pirvel nabijebs dgam, mayurebeli zedmetia. SiSi, adrenalini da eqstremaluri simaRle sleqze gadaadgilebas Zalian arTulebs. yvelaferi gaviwydeba, rac ki giswavlia. gamocdili sleqerebi gvirCeven, simaRleze iaro imaze samjer nakleb sigrZeze, ramdenis gavlac SegiZlia miwasTan ax-
55
bwfstj
AVERSI
los gaWimul sleqze”.
simaRleze sleqis gaWimvas sakmao dro
da energia unda. warmoidgineT, jer ori iseTi obieqti unda ipovoT, romlebic erTmaneTisgan zustad im manZiliTaa daSorebuli, Tqven rom gindaT. garda amisa, obieqtebi simaRliTac erTmaneTis toli unda iyos.
sleqi maqsimalurad unda moqaCoT, rom kargad gaiWimos da siarulis dros naklebad
izniqebodes dabla. amis Semdeg sleqlainze
specialuri alpinisturi Tokebis gaWimva
mogiwevT, rom gadmovardnis SemTxvevaSi miwaze ar daeceT. samzadisis dasrulebis Semdeg ki sleqze gavlamde kargad dasveneba da
dakarguli energiis aRdgenaa saWiro.
guram varSaniZe iRbliani sportsmenia,
sleqze siarulisas mas arasdros araferi
dauSavebia: “es sporti saxifaTo ar aris. piriqiT, avarjiSebs fexis, xelis kunTebs, wonasworobis unars. sleqlainingis dros daSavebis sul ramdenime faqti vici, isic ucxoeTSi”.
gurams sleqlainisTvis saukeTeso sezonad Semodgoma miaCnia, roca arc civa da
arc cxela. ambobs, rom zamTris sicive diskomforts uqmnis, Tumca survili imdenad
Zlieria, sleqze uars mainc ver ambobs.
Tu iraklisa da guramis axali gatacebiT
dainteresdiT. Tu fiqrobT, rom sleqlaini
swored isaa, rac cxovrebis mravalferovnebisaTvis gWirdebaT da mzad xarT, sakuTari
sleqi SeiZinoT, biWebi TavianT jgufSi gixmoben. maTi mizani sleqlainis popularizacia da
saxalxo sportad qcevaa.

keTilTvisebiani paroqsizmuli poziciuri Tavbruxveva (BPPV)