otorinolaringologia - TSMU...3 2. specialobis aRweriloba specialobis da specialistis gansazRvra (definicia) otorinolaringologiaqirurgiuli medicinis dargia, romelic yuris, cxviris,

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diplomisSemdgomi samedicino ganaTlebis programa

otorinolaringologia

______________________________________________________________________ xangrZlivoba – 4 weli (44 Tve)

1. programis mizani da amocanebi

sarezidento programis mizans rezidentis mier otorinolaringologiis specialobiT damoukidebeli saqmianobisTvis aucilebeli klinikuri gamocdilebis miReba warmoad-gens. momavali otorinolaringologi yuris, cxviris, xaxis, xorxis da nawilobriv kisris paTologiaTa diagnostikis da mkurnalobisaTvis aucilebel Teoriul da praq-tikul codnas unda daeuflos. rezidenturis programis msvlelobis procesSi momavali specialisti lor organoe-bis inspeqtirebis Tanamedrove meTodebsaiTvisebs, laboratoriuli, sxivuri da his-topaTologiuri gamokvlevis meTodebsgaecnobadiagnozis dazustebisaTvis maTi ga-moyenebarom SeZlos, lor organoebis damuSavebis meTodebsdaeufleba, romlebic am-latoriul praqtikaSi pouloben gamoyenebas. momavalma specialistma etapobrivad un-da aiTvisos martivi, saSualo sirTulis da rTuli operaciebi, Seiswavlos lor on-kologiis Taviseburebebi, iswavlos samedicino dokumentaciis gaformeba. rezidents lor praqtikaSi gadaudebeli mdgomareobebis dros pirveladi daxmarebis gaweva da Semdgom mkurnalobis Catarebaunda SeeZlos. rezidenturis programa audiologiis da vestibulologiis safuZvlebis Seswavlasacmoicavs, rac specialists smenis da ves-tibuluri organos daavadebaTa Tanamedrove doneze interpretaciaSi da mkurnalobis da/an reabilitaciis meTodTa SerCevaSi daexmareba. praqtikuli muSaobis paralelu-rad rezidentma Teoriuli codna unda gaiRrmavos.amisaTvismas multimediuri saSua-lebebis gamoyenebacunda xelewifebodes. sarezidento programis Sesrulebis procesSi rezidentma Teoriuli da praqtikuli xasiaTis swavlebis adekvaturi kursi unda gaiaros, raTa poliklinikisTu stacio-narispirobebSi eqim-otorinolaringologaddamoukideblad muSaoba SeZlos.

ra unda icodes otorinolaringologiis specialobiT rezidenturis programis kursdamTavrebulma

1. avadmyofis anamnezis swori da sruli Sekreba, ambulatoriuli da stacionaruli istoriebis Sevseba;

2. avadmyofis momzadeba saoperaciod da postoperaciuli periodis sworad warmarT-va;

3. saoperacio riskis gansazRvra da Sesabamisi taqtikis SerCeva; 4. sxvadasxva saxis Sokis diagnostika, diferencialuri diagnostika, mkurnaloba; 5. transfuziuli Terapiis optimaluri moculobis da dozirebis SerCeva; 6. xelovnuri sunTqvis Catareba: a) stacionaruli aparatiT; b) ambus aparatiT; 7. oqsigenoTerapia; 8. eleqtrodefibrilacia; 9. traqeis punqcia; 10. periferiuli venis kaTeterizacia; 11. zondiT kveba; 12. parenteraluri kveba; 13. Sereuli kveba; 14. sedacia; 15. sisxlis jgufobriobis dadgena;

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16. intubacia; 17. antibaqteriuli Terapiis optimaluri moculobis da dozirebis SerCeva, antibaqte-

roTerapiis kontroli; 18. antimikozuri Terapiis optimaluri moculobis da dozirebis SerCeva; 19. sxvadasxva saxis da lokalizaciis sisxldenis diagnostika, diferencialuri diag-

nostika, mkurnalobis taqtikis SerCeva da Catareba; 20. cxviris da misi danamati wiaRebis anatomia, topografiuli anatomia, fiziologia; 21. cxiris da misi danamati wiaRebis daavadebebis diagnostika, diferencialuri diag-

nostika, mkurnaloba, mkurnalobis axlo da Soreuli Sedegebis Sefaseba; 22. xaxis anatomia, topografiuli anatomia, fiziologia; 23. xaxis daavadebebis diagnostika, diferencialuri diagnostika, mkurnaloba, mkurna-

lobis axlo da Soreuli Sedegebis Sefaseba; 24. xorxis anatomia, topografiuli anatomia, fiziologia; 25. xorxis daavadebebis diagnostika, diferencialuri diagnostika, mkurnaloba; 26. xorxis da traqeis sxvadasxva genezis stenozebis diagnostika, mkurnalobis kon-

servatiuli da qirurgiuli meTodebi; 27. yuris anatomia, topografiuli anatomia, fiziologia; 28. yuris daavadebebis diagnostika, diferencialuri diagnostika, mkurnaloba,mkurna-

lobis axlo da Soreuli Sedegebis Sefaseba; 29. saylapavi milis anatomia, topografiuli anatomia, fiziologia; 30. saylapav milSi ucxo sxeulis arsebobis verifikacia, mkurnaloba; 31. rinogenuli qalasSida da orbitaluri garTulebebi, diagnostika, diferencialuri

diagnostika, mkurnaloba; 32. otogenuri qalasSida garTulebebi, diagnostika, diferencialuri diagnostika,

mkurnaloba; 33. lor organoebis onkologiuri daavadebebis diagnostika, diferencialuri diagnos-

tika, mkurnalobis taqtikis SerCeva; 34. klinikuri audiologiis da vestibulologiis safuZvlebi; 35. lor organoebis mimoxilviTi rentgenogramebis da kompiuteruli tomogramebis

ganxilva da analizi; 36. otoskopia, mikroskopiuli otoskopia, wina rinoskopia, ukana rinoskopia, lor or-

ganaoebis endoskopia, cxvir-xaxis manualuri gamokvleva, faringoskopia, ezofago-skopia, arapirdapiri laringoskopia;

37. sxvadasxva lor organodan ucxo sxeulebis amoReba; 38. sxvadasxva lor organodan sisxldenis SeCereba, cxviris wina da ukana tamponada,

tonzileqtomiis Semdgomi sisxldenis ligireba, kerva, tamponada, lor organoebi-dan sisxldenis SeCereba koagulaciiT, wina da ukana eTmoiduri arteriebis, gareTa saZile arteriis gadakvanZviT;

39. paratonzilaruli da retrofaringealuri abscesebis kveTa-drenireba; 40. parafaringealuri abscesebis kveTa-drenireba; 41. konikotomia, traqeotomia, traqeostomia; 42. cxviris da misi danamati wiaRebis travmebis dros Zvlebis repozicia, Sesabamisi

taqtikis SerCeva; 43. cxviris danamati wiaRebis punqcia, trepanopunqcia; 44. cxviris danamati wiaRebidan Cirqis evakuacia arapunqciuri meTodebiT; 45. dafis apkis pmevmomasaJi, evstaqis milis kaTeterizacia, policeris baloniT tim-

panaluri Cabervebi; 46. dafis apkis paracentezi; 47. sxvadasxva tipis smenis daqveiTebis diagnostika; 48. smenadaqveiTebulTa reabilitaciis taqtikis SerCeva; 49. lor organoebis anTebiTi daavadebebis mkurnalobaSi fizioTerapiuli meTodebis

gamoyeneba, mkurnalobis axlo da Soreuli Sedegebis Sefaseba da Sesabamisi taqti-kis SerCeva.

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2. specialobis aRweriloba

specialobis da specialistis gansazRvra (definicia)

otorinolaringologiaqirurgiuli medicinis dargia, romelic yuris, cxviris, xa-xis, xorxis da nawilobriv kisris daavadebebis diagnostikas da mkurnalobas moicavs.

otorinolaringologi movalea yuris, cxviris, xaxis, xorxis da nawilobriv kisris paTologiis mqone pacientebSi swori diagnozi dasvas, konservatiuli Tu qirurgiuli mkurnalobis taqtika gansazRvros, kritikul situaciebSi avadmyofs gadaudebeli daxma-reba gauwios.

momavali specialisti 4-wliani rezidenturis kurss gaivlis da sasertifikacio ga-mocdas Caabarebs, ris Semdegac eqim-otorinolaringologis statuss moipovebs. eqimi-otorinolaringologiuwyveti samedicino ganaTlebis principebs emorCileba.sakvali-fikacio kursis gavla mas sxva qveynebis klinikebSic SeuZlia.

specialistis zogadi unar-Cvevebi 1. cxviridan ucxo sxeulis amoReba; 2. cxviris Zvlebis repozicia; 3. cxviris Zgidis abscesis gakveTa; 4. evstaqis milis kaTeterizacia, timpanaluri Cabervebi; 5. haimoris wiaRis punqcia; 6. cxviris danamati wiaRebidan arapunqciuri meTodebiT Cirqis evakuacia; 7. cxviris wina tamponada; 8. cxviris ukana tamponada; 9. saylapavidan ucxo sxeulebis amoReba ezofagoskopiT; 10. paratonzilaruli abscesis kveTa; 11. retrofaringealuri abscesis kveTa, drenireba; 12. adenotomia; 13. tonzileqtomia; 14. endonazaluri polipotomia; 15. endonazaluri polipotomia eTmoidis gaxsniT; 16. rinofimis operacia; 17. cxviris qvemo konxotomia; 18. cxviris qvemo niJarebis ultrabgeriTi dezintegracia; 19. cxviris qvemo niJarebis turbinoplastika; 20. cxviris qvemo niJarebis submukozuri rezeqcia; 21. cxviris Zgidis rezeqcia; 22. cxviris plastika; 23. Sublis wiaRis trepanopunqcia; 24. frontotomia; 25. eTmoidotomia; 26. haimorotomia; 27. sfenoidotomia; 28. cxviris danamat wiaRebze endoskopiuri operaciebi; 29. kisris midamos kisteqtomia; 30. kamertonuli gamokvleva; 31. tonaluri audiometria, timpanometria; 32. transmeataluri polipotomia; 33. dafis apkis paracentezi; 34. dafis Rrus Suntireba; 35. gareTa sasmeni milis egzostozis operacia; 36. antromastoideqtomia; 37. yuris radikaluri operacia; 38. traqeotomia; 39. xelovnuri sunTqvis ganxorcieleba: a) stacionaruli aparatiT; b) ambus aparatiT;

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40. oqsigenoTerapia; 41. eleqtrodefibriliacia; 42. traqeis punqcia; 43. periferiuli venis kaTeterizacia; 44. zondiT kveba; 45. parenteraluri kveba; 46. Sereuli kveba; 47. sedacia; 48. sisxlis jgufobriobis dadgena; 49. intubacia.

specialoba qvemoCamoTvlili daavadebebis da paTologiuri mdgomareobebis klinikas, diagnostikas, mkurnalobas da profilaqtikas Semdegi moculobiTmoicavs: 1. cxviris da misi danamati wiaRebis travmebi; 2. cxviris Tandayolili anomaliebi, cxviris Rrus atrezia, sineqiebi; 3. cxviris Rrus da misi danamati wiaRebis ucxo sxeulebi; 4. cxviris wiTeli qari, egzema, sikozi, furunkulozi, rinofima; 5. cxviris Zgidis deformacia, hematoma, abscesi; 6. rinitebi, ozena; 7. cxviris da misi danamati wiaRebis polipozi; 8. cxviridan sisxldena; 9. mwvave da qronikuli sinusitebi; 10. cxviris danamati wiaRebis cistiseburi gaganiereba; 11. cxviris da misi danamati wiaRebis simsivneebi; 12. xaxis dazianebebi, ucxo sxeulebi xaxaSi; 13. cxvir-xaxis adenoidebis da sasis tonzilebis hiperplazia; 14. mwvave da qronikuli faringitebi; 15. banaluri da specifikuri anginebi; 16. paratonzilaruli, parafaringealuri, retrofaringealuri abscesebi; 17. qronikuli tonziliti; 18. xorxis travmebi; 19. xorxis ucxo sxeulebi; 20. xorxis SeSupeba; 21. xorxis anTebiTi daavadebebi; 22. xorxis mwvave da qronikuli stenozi; 23. yuris travmebi, ucxo sxeulebi; 24. wiTeli qari, periqondriti; 25. gareTa sasmeni milis egzema da anTebiTi daavadebebi; 26. Sua yuris mwvave da qronikuli anTebiTi daavadebebi; 27. labirinTiti; 28. otosklerozi; 29. menieris daavadeba; 30. smenis sensonevraluri daqveTeba; 31. smenis daqveiTeba, sruli smenaClungoba, yrumunjoba; 32. smenadaqveiTebul avadmyofTa reabilitaciis meTodebi; 33. cxvir-xaxis avTvisebiani simsivneebi; 34. nuSura jirkvlis da pir-xaxis avTvisebiani simsivneebi; 35. xorxis kiboswinare daavadebebi da avTvisebiani simsivneebi; 36. zeda ybis, cxviris da misi danamati wiaRebis avTvisebiani simsivneebi; 37. piris Rrus organoebis avTvisebiani simsivneebi.

otorinolaringologs Semdegi laboratoriul-instrumentuli gamokvlevis Sedegebis interpretacia da klinikuri Sefasebaunda SeeZlos:

1. sisxlis saerTo analizi ujreduli Semadgenlobis gaTvaliswinebiT; 2. koagulogramis analizi; 3. sisxlis jgufobriobisdadgena,rezus-faqtoris gansazRvra;

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4. Sardis saerTo analizi; 5. biofsiuri da operaciuli masalis histologiuri gamokvlevebismonacemTa Se-

faseba; 6. punqtatis da nacxis citologiuri da baqteriologiuri gamokvlevis monacemTa

Sefaseba; 7. cilebis, naxSirwylebis da cximebis metabolizmis, azotovani cvlis, eleqtro-

litebis da fermentuli gamokvlevebis monacemTa Sefaseba; 8. rentgenoskopiis, rentgenografiis, ultrabgeriTi gamokvlevis, kompiuteruli

tomografiis, eleqtro-magnituri rezonansuli gamokvlevis monacemTa Sefaseba; 9. endoskopiurigamokvlevis monacemTa adekvaturi Sefaseba.

otorinolaringologs Semdegi diagnostikuri da samkurnalo manipulaciebisganxor-cieleba unda SeeZlos: * otoskopia, mikrootoskopia; * wina da ukana rinoskopia; * faringoskopia; * arapirdapiri da pirdapiri laringoskopia; * lor organoebis inspeqtirebaendoskopiT; * evstaqis milis kaTeterizacia; * miringotomia; * cxviris danamati wiaRebidan arapunqciuri meTodebiT Cirqis evakuacia; * haimoris wiaRis punqcia; * Sublis wiaRis punqcia; * cxviris wina da ukana tamponada; * lor sistemis Rru organoebidan ucxo sxeulis amoReba; * cxviris Zvlebis repozicia; * cxviris Zgidis abscesis gakveTa; * smenis gamokvleva kamertoniT; * tonaluri zRurblovani audiometria; * timpanometria, impedansometria.

otorinolaringologsSemdegi gadaudebeli mdgomareobebis profilaqtika, diagnosti-ka, pirveladi daxmareba da mkurnaloba unda SeeZlos: * cxviridan sisxldena; * cxviris Ria da daxuruli motexilobebi; * xorx-xaxis da cxvir-xaxis ucxo sxeulebi; * xorxis ucxo sxeulebi, xorxis stenozi; * xorxis Ria da daxuruli dazianebebi; * xaxisa da rbili sasis dazianebebi; * peritonzilaruli da parafaringealuri abscesebi; * yuris niJaris Wrilobebi da dazianebebi; * gareTa sasmeni milis dazianebebi; * safeTqlis Zvlis motexilobebi; * dafis apkis dazianebebi; * Sua yuris mwvave anTeba; * paracentezi; * subperiostaluri abscesi, mastoiditi; * akustikuri travma; * uecari siyrue; * xelovnuri sunTqvis ganxorcieleba: a) stacionaruli aparatiT; b) ambus aparatiT; * periferiuli venis kaTeterizacia; * intubacia.

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3. saswavlo programis Sinaarsi

otorinolaringologiis specialobiT rezidentis momzadebisaTvis sarezidento prog-ramis minimaluri xangrZlivoba oTxi welia.

programiszogad nawils Semdegi modulebiganekuTvneba:

programis zogadi nawili profesiuli mzadebis I weli mod.# modulis dasaxeleba xangrZlivoba 1.1 zogadi qirurgia 6 Tve 1.2 otorinolaringologiuri profilis avadmyofe-

bis ambulatoriuli miRebis da mkurnalobis aT-visebis kursi

5Tve

programis specifiur nawils Semdegi modulebiganekuTvneba:

programis specifiuri nawili profesiuli mzadebis II weli mod.# modulis dasaxeleba xangrZlivoba 2.1 stacionarSi momuSave otorinolaringologisaT-

vis aucilebeli diagnostikuri meTodebis asaT-visebeli treningis kursi

5 Tve

2.2 yelis, yuris da cxviris daavadebebis staciona-ruli mkurnalobis asaTvisebeli treningis kur-si

6 Tve

profesiuli mzadebis III weli mod.# modulis dasaxeleba xangrZlivoba 3.1 yelis, yuris da cxviris topografiuli anato-

miis klinikuri xedviT Seswavla da msubuqi ope-ciebis aTvisebis kursi

5 Tve

3.2 otorinolaringologiaSi saSualo sirTulis operaciebis aTvisebis kursi

6 Tve

profesiuli mzadebis IV weli

mod. # modulis dasaxeleba xangrZlivoba 4.1 audiologia, vestibulologia 1.5 Tve 4.2 Tavis, kisris, zeda sasunTqi gzebis onkologiu-

ri daavadebebi 4.5 Tve

4.3 otorinolaringologiis IV da V xarisxis sir-Tulis operaciebis aTvisebis kursi

5 Tve

4. akademiuri personali, kvalifikacia da saganmanaTleblo resursebi

rezidenturis programis Catareba im samedicino-saswavlo dawesebulebas an dawesebu-baTa jgufs SeuZlia, romelic rezidentebis srulyofili profesiuli mzadebisaTvis saWiro adamianur sakadro resursebs da saTanado materialur-teqnikur bazas flobs da romelsac Sesabamisi saxelmwifo akreditacia aqvs mopovebuli.

rezidenturis programis akademiuri personali:

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a) rezidenturis programaSi monawile dawesebulebis TanamSromlebidan progra-mis direqtori rezidentebis mzadebis modulze pasuxismgebel pirs an pirebsSearCevs da SerCevas dokumenturad adasturebs;

b) modulze pasuxismgebeli piris funqcia konkretul klinikur bazaze reziden-tis mzadebis procesis warmarTva da programis moTxovnilebebis Sesabamisadproce-siskontrolia;

g) modulze pasuxismgebeli piri rezidenturis programis direqtoris winaSe aris angariSvaldebuli;

d) modulze pasuxismgebeli piri profesiuli saqmianobis mniSvnelovan nawils (kviraSi sami dRis jamSi aranakleb 15 saaTs) uTmobsprofesiuli swavlebis programis realizacias;

e) rezidenturis xelmZRvanels oficialurad unda hqondes gamoyofili dro re-zidentTan Teoriuli da praqtikuli xasiaTis pedagogiuri muSaobisaTvis. xelmZRvane-lis mier rezidentisaTvis Catarebuli treiningis dro ZiriTadad stacionarul da am-bulatoriul pirobebSi pacientebTan praqtikul saqmianobas,gadaudebeli da saswrafo samedicino daxmarebis proceduraTa aprobacias unda daeTmos da otorinolarin-gologiis specialobiT profesiuli saqmianobisaTvis saWiro unar-Cvevebis, diagnosti-kis, mkurnalobis da profilaqtikis principebis da meTodebis srulyofilad aTvisebi-saken unda iyos mimarTuli.

rezidenturis programaSi CarTuli samedicino dawesebulebis stacionarul da ambulatoriul ganyofilebebSi avadmyofebis raodenoba da daavadebebis speqtri oto-rinolaringologiis specialobiT rezidentisTvis mniSvnelovani klinikuri gamocdi-lebis miRebis saSualebas unda iZleodes.

saswavlo gegmis da programis meti wili praqtikul mzadebas anu rezidentis xelmZRvanelis meTvalyureobiT rezidentis klinikur-diagnostikuri, samkurnalo-pro-filaqtikuli xasiaTis samedicino muSaobas eTmoba. saswavlo gegmaSi swavlebis sxva-dasxva formis (leqciebi, seminarebi, Tematiuri konferenciebi, asistirebuli da damo-ukidebeli profesiuli saqmianoba da a.S.) xangrZlivobakonkretulad ar aris miTiTe-buli.

otorinolaringologis profesiuli mzadebis ZiriTadi meTodi rezidenturis xelmZRvanelis meTvalyureobis pirobebSi rezidentis mier samkurnalo, diagnostikuri da profilaqtikuri xasiaTis muSaobis uSualo Sesrulebaa.

rezidentebis, maZieblebis Teoriuli mzadebisaTvis gamoyofilia oTaxi kompiute-riT da Sida biblioTekiT.iqarsebuli literatura programiT gaTvaliswinebuli Te-oriuli da praqtikuli sakiTxebis swavlebas da Sesabamisi unar-Cvevebis gamomuSavebas uzrunvelyofs.

5. xarisxis uzrunvelyofis meqanizmebi

rezidenturis programis xarisxis uzrunvelyofaze rezidenturis programis xelmZRvaneli damodulis realizaciaSi CarTuli yvela sxva piriaris pasuxismgebeli.

1. rezidentze zedamxedvelobis formebi sarezinteto klinikaSi an mis romelime konkretul departamentSi SinaganawesiT an romelime sxva proceduruli nor-miT ganisazRvreba;

2. rezidentze zedamxedvelobis formebi da wesebi xarisxis uzrunvelyofis samsa-xuris mierkontroldeba periodulad;

3. rezidenturobasTan dakavSirebul damoukidebel gadawyvetilebaTa miRebas sa-Tanado zedamxedveloba ar unda uSlides xels.zedamxedvelobis tipi kliniku-ri situaciebis da rezidentis momzadebis etapis da donis Sesabamisadicvleba. centraluri mmarTveli Tu zedamxedveli rCevis micemis, daxmarebis, rekomenda-ciebis, saTanado konsultaciebis micemisaTvis samuSao drois nebismier peri-odSi unda iyos xelmisawvdomi.

6. programis xangrZlivoba

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amerikis SeerTebul StatebSi,EkanadaSi, evropiscentralur qveynebSi moqmedi msgavsi programebis xangrZlivoba 3-5 welia. aRniSnulis da saqarTveloSi otorinolaringo-logiis specialobiT rezidentis mzadebis gamocdilebis da dRes moqmedi programis gaTvaliswinebiT, winamdebare programis xangrZlivobis optimalur vadad 4 weli undaiqnes miCneuli.

7. programis ganaxlebis perioduloba

otorinolaringologiaSi sarezidento programis oTxwliani xangrZlivobis gaTva-liswinebiT, misi ganaxleba oTx weliwadSi erTxelunda miviCnioT mizanSewonilad.

II. programis zogadi nawili

profesiuli mzadebis I weli

moduli 1.1

1. modulis dasaxeleba, xangrZlivoba: zogadi qirurgia, 6 Tve.

2. modulis mizani: modulis sawyisi etapis mizania rezidents is bazisuriqirurgiuli Cvevebi ganuviTaros, romlebic yvela qirurgiuli specialobisaTvis aris saerTo. saorientacio programis Semdeg rezidents zogadi qirurgiis yvela ZiriTadi kom-ponentiunda hqondes aTvisebuli. rezidenti pre-, intra- da postoperaciuli marT-vis sakiTxebs unda gaecnos. man qirurgiuli infeqciebis da klinikuri mikrobiolo-giis Taviseburebebis, qirurgiuli da nozokomiuri infeqciebis prevenciis gzebisSesaxebacunda miiRos sruli informacia. praqtikul nawilSi rezidentma mcire qirurgiuli manipulaciebis Sesruleba unda daiwyos. unda gaecnos, kerZod,Wrilobis pirveladiqirurgiuli damuSavebis specifikas midamoebis mixedviT. postoperaciuli intensiuri Terapiis palataSi rezidenti qirurgiuli avadmyofis statusis Sefasebis unars unda flobdes. yuradReba unda gamaxvildespaTologiis hemodinamikur da homeostazur maCveneblebze da maTi darRvevis koreqciis gzebze. ramdenime Tvis Semdeg rezidentipoliklinikuri masStabis tipiur qirurgiul manipulaciebsTavad unda asrulebdes. modulis bolos rezidentsgadaudebeli samedicino daxmarebis qirurgiuli komponentebis, maT Soris, traqeotomiis da traqeis intubaciis teqnika unda hqondes aTvisebuli da Catarebul proceduraTa Teoriul safuZvlebsunda flobdes.

3. rekomendebuliliteraturis nusxa:

1. grigolia n. qirurgiuli sneulebebi. Tbilisi, 2000. 2. kuzini m. qirurgiuli sneulebebi. Tbilisi,2004. 3.kikaliSvili l., yifiani e., korZaia d. topografiuli da klinikuri anatomia.

Tbilisi, 2005. 4. Schwartz, Shires, Spencer. Principles of Surgery. 8th Ed. 2004. 5. Bailey, Love's.Short Practice of Surgery (A Hodder Arnold Publication).By Norman S Williams(Author),

Christopher J.K. Bulstrode (Author), Ronan O'ConnellP. (Author), 25thEd. 2006. 6. Sarrel B.E., Carabasi R.A.Surgery.National Medical Series for Independent Study.1995. 7. Silverberg S.C.Principles and Practice of Surgical Pathology. 8. Speciality Review in General Surgery. The National Center for Advanced Medical Education. 2001. 9. Way L.W. Surgical Diagnosis and Treatment. 1994. 10. Way L.W., Doherty G.M.Current Surgical Diagnosis and Treatment. 2004. 11. Kant X.Scientific Basic for the Selection of Surgical Needles and Sutures.1999.

http://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Norman%20S%20Williams

http://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_2?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Christopher%20J.K.%20Bulstrode

http://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_3?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=P%20Ronan%20O%27Connell

9

12. Кузин М.И. Хирургические болезни. Москва, 2003. http://www.medtrng.com/tutorials_and_simulators_part_8.htn (clinical surgery, surgical videos) www.surgical-tutur.org.uk http://www.surgicalcourses.org.uk./ www.dundee.ac.uk./surgicalskills/index.htm http://www.update-software.com/publications/cochrane/ http://www.ncepod.org.uk/ http://www.intumed.com/

4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi (ix. cxrili 1.1)

cxrili 1.1

Teoriuli kursi profesiuli unar-Cvevebi

Ses

-srul

.man

ipul. Sefasebis meTodebi

zogadi qirurgiuli Cvevebi usafrTxo qirurgiis principebi:

qirurgis momzadeba opera-ciisaTvis

xelis dabanis, damuSavebis da xelTaTmanis Cacmis principebi

qirurgebisaTvis da avad-myofebisaTvis imunizaciis protokolebi

adgilobrivi anesTeziis daniSvna:

saanesTezio preparatis SerCeva

qirurgiuli Wrilobebi:

qirurgiuli Wrilobebis klasifikacia

Wrilobis marTvis princi-pebi

Wrilobis Sexorcebis paTo-fiziologia

nawiburebi da kontraqtu-rebi

kanisa da kanqveSa qsovilis gakveTa:

o langeris xazebi o instrumentis SerCeva o usafrTxo praqtika

kanisa da kanqveSa qsovilis Wrilobis daxurva:

o Wrilobis yrud ga-kervis Cvenebebi

o sakeravi Zafisa da nemsis SerCeva

qirurgis momzadeba operaciisaT-vis:

efeqturi da saimedo xe-lis dabana, xelTaTmanis Cacma, steriluri xala-Tis Cacma

4 adgilobrivi anesTeziis teq-nika, saanesTezio agentis swori da usafrTxo gamoyeneba 4 kanisa da kanqveSa qsovilis kveTa:

skalpelis, diaTermiis, ma-kratlis gamoyeneba

4 kanisa da kanqveSa qsovilis Wrilobis daxurva:

Wrilobis kideebis zusti da dauWimavi Sepirispi-reba

4 kvanZis dadeba:

erTi xeliT

ori xeliT

instrumentiT

zedapiruli

Rrma 3 hemostazi:

sisxlmdeni sisxlZarRvis (zedapiruli) kontroli

diaTermia

ligireba nakeriT

ligireba kvanZiT

klipireba

30 10 20 20

100 50

modulis mimdinareo-bis dros, modulze pasuxismgebeli piri, ufrosi rezidenti da zedamxedveli, eqimi rezidentis praqtiku-li momzadebis dones afaseben. Teoriuli masala klinikis Tana-mSromelTa mier kon-ferenciebis bolos fasdeba. Sefaseba saregistracio Jur-nalSi fiqsirdeba.

10

kvanZis dadeba: o nakerisa da ligatu-

ris masala da maTi SerCeva

o qirurgiuli nakere-bis da ligaturebi-saTvis kvanZebis usafrTxo gamoyeneba

hemostazi: o qirurgiuli teqnika o diaTermiis princi-

pebi o instrumentebis Ser-

Ceva

biofsiis teqnika aspiraci-uli citologiuri masalis aRebis CaTvliT

drenaJis gamoyeneba: o Cveneba o tipebi o menejmenti

anastomozis formirebis principebi

qirurgiuli endoskopiis principebi

transfiqsiuri nakeri 4 qsovilis retraqcia:

qirurgiuli pinceti

WrilobaSi retraqtoris moTavseba

3 drenaJis gamoyeneba:

Cadgma

fiqsacia

amoReba 3 qsovilis damuSaveba:

instrumentebis saTanado gamoyeneba da qsovilebTan faqizi mopyroba

biofsiis teqnika 4 asistentobis Cvevebi:

asistenciis dros opera-toris moTxovnilebebis amocnoba

20 20 20 20

presaoperacio marTva intraoperaciuli marTva postoperaciuli marTva presaoperacio Sefaseba da menejmenti:

kardiorespiratoruli fiziologia

Saqriani diabeti da sxva endokrinuli dar-Rvevebis winasaoperacio koreqcia

siTxis balansi da ho-meostazi

Tirkmlis ukmarisoba

sefsisis paTofiziolo-gia, prevencia, profi-laqtika

Tromboprofilaqtika

laboratoriuli anali-zebi da instrumentuli kvlevebi

operaciis risk-faqtore-bi da qulobrivi siste-mebi

premedikacia da sxva preoperaciuli daniSnu-

3 preoperaciuli Sefaseba da menejmenti:

avadmyofis gasinjva da istoriis Sevseba

winasaoperacio kvlevebis Sedegebis interpretacia

Tanmxlebi daavadebebis menejmenti

reanimacia

Sesabamisi preoperaciuli daniSnuleba premedika-ciis CaTvliT

3 intraoperaciuli mzrunveloba:

intraoperaciuli mzrun-velobis usafrTxo war-moeba

avadmyofis swori pozicia

nervis dazianebis preven-cia

basri instrumentebiT da-zianebis prevencia

diaTermuli dazianebis prevencia

venuri Trombozis preven-cia

3 postoperaciuli mzrunveloba:

saoperacio Canawerebis

20 20

modulis mimdinareo-bis dros modulze pa-suxismgebeli piri, uf-rosi rezidenti da ze-damxedveli, eqimi re-zidentis praqtikuli momzadebis dones afa-seben. Teoriuli masa-lis aTvisebis done klinikis TanamSromel-Ta mier konferencie-bis bolos fasdeba. Sefaseba saregistra-cio JurnalSifiqsir-deba.

11

leba

operaciis dRis daniSv-nis principebi

intraoperaciuli mzrunvelo-ba:

usafrTxoeba saoperaci-oSi, raSic saoperacio magidaze avadmyofis swori pozicia Se-dis,nervis dazianebis Tavidan acileba

usafrTxoeba basri in-strumentebis mimarT

diaTermia, lazeris ga-moyeneba

infeqciis riskebi

radiaciis gamoyeneba da riskebi

laxtis gamoyeneba misi Cvenebis, efeqtebis da garTulebebis gaTva-liswinebiT

adgilobrivi, regiona-luri da zogadi anes-Teziis principebi

invaziuri da arainvazi-uri monitoringis prin-cipebi

venuri Trombozis pre-vencia

operacia hepatitis da Sidsis virusis mata-reblebSi


postoperaciuli mzrunveloba:

postoperaciuli moni-toringi

kardiorespiratoruli fiziologia


Saqriani diabeti, sxva endokrinuli darRve-vebi

Tirkmlis ukmarisoba

sisxlis danakargis pa-Tofiziologia

sefsisis paTofiziolo-

gia SIRS-is da Sokis CaTvliT

multiorganuli dis-

gakeTeba

avadmyofis mdgomareobis Sefaseba da monitoringi

postoperaciuli analge-zia

siTxeebisa da eleqtro-litebis menejmenti

organoTa mosalodneli ukmarisobis gamovlena

organoTa ukmarisobis sa-wyisi menejmenti

dializis principebi da Cvenebebi

postoperaciuli garTu-lebebis amocnoba, preven-cia da mkurnaloba

3 hemostazi da sisxlis produq-tebi:

im mdgomareobaTa amocno-ba, romebmac hemoragiuli diaTezi SeiZleba gamoiw-vion

operaciis dros koagulo-paTiuri sisxldenis amocnoba

sisxlis produqtebis sa-Tanado gamoyeneba

sisxlis produqtebis transfuziis garTulebe-bis menejmenti

3 koagulacia, Rrma venebis Trombozi da embolia:

riskis qveS myofi avadmyo-febis amocnoba

pulmonaruli emboliis da Rrma venebis Trombo-zis amocnoba da diagnozi

dupleqs-skanirebis, veno-grafiis da D-dimeris maC-veneblis roli

venuri Trombozis da pulmonaruli emboliis sawyisi da monitoruli mkurnaloba-profilaqti-kis dawyeba

3 antibiotikebi:

antibiotikebis daniSnu-leba

3 preoperaciuli kvebiTi mkur-nalobis Sefaseba da dagegmva:

20 20 20

12

funqciis sindromi

zogadi postoperaciuli garTulebebi

postoperaciuli anal-geziis meTodebi

kvebis menejmentis Sefaseba da dagegmva:

postoperaciuli kveba

malnutriciis efeqtebi _ Warbi kveba, kvebis ukmarisoba

dazianebaze metaboluri pasuxi

kvebis statusis skrinin-gis da Sefasebis meTo-debi

enteraluri da parente-raluri kvebis meTodebi

hemostazi da sisxlis kompo-nentebi:

hemostazis meqanizmi, maT Soris, Sededebis kaskadi

darRveuli hemostazis paTologia _ hemofilia, RviZlis daavadebebi, ma-siuri hemoragia

sisxlis komponentebi

sisxlis produqtebis gamoyenebis alternativa

sisxlis produqtebis daniSvnis principebi

sisxlis produqtebis gamoyenebasTan dakavSi-rebuli avadmyofis usafrTxoeba

koagulacia, Rrma venebisTrom-bozi da embolia:

Sededebis meqanizmi (virxovis triada)

operaciis da travmis zemoqmedeba koagula-ciis procesze

testebi Trombofiliaze da koagulaciis sxva darRvevebze

Tromboemboliuri daa-vadebiskvlevis meTo-debi

venuri Trombozis da filtvis emboliis mkur-

xelovnuri kvebis uzrun-velyofis organizeba,Zi-riTadi sakvebi danamatebi, enteraluri da parente-raluri kveba

3 metaboluri da endokrinuli darRvevebi:

endokrinuli da eleq-trolituri dazianebis mqone avadmyofebSi anam-nezi da maTi analizi

Tireotoqsikozis da hipo-Tireoidizmis diagnostika da menejmenti

hiper- da hipokalciemiis diagnostika da menejmenti

steroidul Terapiaze myofi avadmyofebis peri-operaciuli menejmenti

Saqriani diabetis mqone avadmyofebis periopera-ciuli menejmenti

hiponatriemiis diagnos-tika da menejmenti

hiper- da hipokaliemiis diagnostika da menejmenti

centralur venaSi kaTete-ris Cadgma

ureTris kaTeterizacia

20 10 10 10 5 10 10 10 5 20

13

nalobis principebi an-tikoagulaciis CaTvliT

ventilacia/perfuziis skanirebis, kt pulmona-ruli angiografiis, D-dimeris da Tromboli-zis roli

pulmonaruli emboleq-tomia

Tromboemboliis profi-laqtika

Rrma venebis Trombozis riskis klasifikacia da menejmenti

Rrma venebis Trombozis prevenciis meqanikuri da farmakologiuri me-Todebi

Aantibiotikebi:

qirurgiul avadmyofeb-Si ZiriTadi paTogenuri infeqciebi

antibiotikebisadmi mgrZnobeloba

antibiotikebis gverdi-Ti movlenebi

profilaqtikis da mkur-nalobis principebi

periopraciul menejmentTan dakavSirebuli metaboluri da endokrinuli darRvevebi:

Tireoiduli hormonis siWarbisa da deficitis paTofiziologia da masTan asocirebuli operaciuli riskebi

hiper- da hipokalciemi-is mizezebi da Sedegebi

kortikosteroiduli Terapiis garTulebebi

steroiduli ukmariso-bis mizezebi da Sedege-bi

Saqriani diabetis gar-Tulebebi

hiponatriemiis mizezebi da Sedegebi

hiper- da hipokaliemiis mizezebi da Sedegebi

qirurgiuli teqnika da teqnologia

Wrilobis pirveladi qirurgiu-li damuSaveba,

20

modulis mimdinareo-bis dros modulze pa-

14

barZayis amputacia, TiTis falangebis amputacia, TiTis falangebis amosaxsvra, winamxris amputacia, terfis amputacia Sarpis meTo-diT, terfSorisi amosaxsvra lis-frankis wesiT, wvivis Zval-plastikuri amputa-cia, barZayis Zval-plastikuri ampu-tacia, suprakondiluri amputacia, sisxlZarRvTa ligacia, nevrorafia, tendorafia, laparotomia, laparotomiuli Wrilobis daxurva, RviZlis biofsia, laparoskopuli teqnikis aTvise-ba traqeotomia, traqeis intubacia

2 2 2 2 2 2 2 2 2 20 5 5 30 5 5 5 5

suxismgebeli piri, uf-rosi rezidenti da ze-damxedveli, eqimi re-zidentis praqtikuli momzadebis dones afa-seben. Teoriuli masa-lis aTvisebis done kli-nikis TanamSromelTa mier konferenciebis bolosfasdeba. Sefa-seba saregistracio JurnalSi fiqsirdeba.

ZiriTadi qirurgiuli daavadebebi arsebuli simptomebi da sindro-mebi:

abdominuri tkivili

abdominuri Seberiloba

nawlavTa peristaltikis cvlilebebi

gastrointestinuri sisxldena

reqtaluri sisxldena

disfagia

dispefsia

siyviTle moicavs Semdeg daavadebebs:

apendiciti

gastrointestinuri avTvise-biani simsivne

nawlavis anTebiTi daava-deba

nawlavisTa divertikuli

nawlavis obstruqciuli gauvaloba

Sexorcebebi muclis RruSi

muclis Tiaqari

peritoniti

nawlavis perforacia

saylapavi milis keTilTvi-sebiani simsivneebi

kuWis peptiuri wylulovani

modulis mimdinareo-bis dros modulze pasuxismgebeli piri, ufrosi rezidenti da zedamxedveli, eqimi rezidentis praqti-kuli momzadebis do-nes afaseben. Teoriuli masalis aT-visebis done kli-nikis TanamSromelTa mier konferenciebis bolos fasdeba. Sefa-faseba saregistracio Jur-nalSi fiqsirdeba.

15

daavadeba

RviZlis, naRvlis buStis, pankreasis keTilTvisebiani da avTvisebiani simsivneebi

hemoroiduli da periana-luri daavadebebi

muclis kedlis stoma sarZeve jirkvlis daavadebebi:

ZuZus simsivneebi da dvri-lis gamonadeni

ZuZus mwvave tkivili Semdeg daavadebebs moicavs:

ZuZus keTilTvisebiani da avTvisebiani simsivneebi

mastiti da ZuZus abscesi

periferiuli sisxlZarRvebis daa-vadebebi warmodgenili simptomebi da sin-dromebi:

kiduris qronikuli da mwvave iSemia

sisxlZarRvTa anevrizma

tranzitoruli iSemia

venebis varikozuli gaganie-reba

qveda kiduris dawyluleba

Semdeg paTologiebs moicavs:

arteriebis aTerosklero-zuli daavadeba

arteriebis embolia d Trmbozi

venuri ukmarisoba

diabeturi dawyluleba endokrinuli daavadebebi simptomebi da sindromebi:

kisris simsivneebi

mwvave endokrinuli krizi Semdeg daavadebebs moicavs:

Tiroiduli da paraTireoi-duli daavadebebi

Tirkmelzeda jirkvlis daavadebebi

Saqriani diabeti

politravma zogadi informacia:

Zogadi sakiTxebi: 4 anamnezi da gasinjva 3 kvleva

5 5

modulis mimdinareo-bis dros modulze pasuxismgebeli piri,

16

avadmyofobaTa Sefasebis qulobrivi sistema

Taviseburebebi bavSvTa asakSi

Soki:

Sokis paTogenezi

Soki da kardiovaskula-ruli fiziologia

travmul dazianebaze meta-boluri pasuxi

respiratoruli distres-sindromi

arajvaredini SeTavsebis sisxlis gamoyenebis Cveneba

Wrilobebi da rbili qsovilebis dazianebebi:

cecxlsasroli iaraRiT da WurviT miyenebuli daziane-bebi

daniT miyenebuli daziane-bebi

adamianisa da cxovelTa nakbeni

rbili qsovilebis daziane-bis buneba da meqanizmebi

rbili qsovilebis daziane-bisas menejmentis princi-pebi

travmuli Wrilobebis me-nejmentis principebi

kompartment-sindromi damwvroba:

damwvrobis klasifikacia

menejmentis principebi damwvrobisas

motexilobebi:

motexilobebis klasifika-cia

motexilobebis paTofizi-ologia

menejmentis principebi mo-texilobebis

motexilobebis garTule-bebi

saxsrebis dazianebebi organo-specifiuri travma:

Torakaluri travmis paTo-fiziologia

3 Sesabamisi qirurgiuli subspe-cialobisaken gadamisamarTeba 4 im avadmyofTa reanimacia da adreuli menejmenti, romlebmac gulmkerdis, Tavis, xerxemlis, muclis an kidurebis dazianebebi miiRes (ATLS, APLS gaidlainebis mixedviT) 4 mravlobiTi dazianebis mqone avadmyofTa reanimacia da adreu-li menejmenti 3 specifiuri problemebi:

ugono mdgomareobaSi myofi avadmyofis menej-menti

kanis danakargvisas (de-ficitisas) avadmyofis sa-wyisi menejmenti

damwvrobis mqone avad-myofis sawyisi menejmenti

2 kaTeteris Cadgmacentralur venaSi 3 gulmkerdSi drenaJis Cadgma 2 diagnostikuri peritonealuri lavaJi 4 ureTraluri kaTeterizacia 2 suprapubikuri kaTeterizacia (epicistostomia)

5 5 5 5 2 5 5 5 20 5

ufrosi rezidenti da zedamxedveli, eqimi rezidentis praqtiku-li momzadebis dones afaseben. Teoriuli masalis aT-visebis done klinikis TanamSromelTa mier konferenciebis bolos fasdeba. Sefafaseba sa-registracio JurnalSi fiqsirdeba.

17

pnevmoToraqsi

Tavisqalas dazianebebi in-trakranialuri travmuli hemoragiis da Tavis tvinis dazianebis CaTvliT

xerxemlis svetis dazianeba

periferiuli nervuli sis-temis dazianeba

muclis blagvi da Semavali travma

elenTis dazianeba

sisxlZarRvTa dazianeba, maT Soris, iatrogenuli genezis da intravaskula-ruli narkotikuli moxma-rebiT gamowveuli

kraS-dazianeba

kanis deficitisas menejmentis principebi, maT Soris kanis transpalntantebi da kanis naf-leTebi

qirurgiuli infeqcia da misi prevencia

abscesis (flegmonis) gaxsna

Wrilobis pirveladi qirurgiuli damuSaveba.

hidradenitis drenireba

20 30 20

modulis mimdinareo-bis dros modulze pasuxismgebeli piri, ufrosi rezidenti da zedamxedveli, eqimi rezidentis praqti-kuli momzadebis do-nes afaseben. Teoriuli masalis aT-visebis doneklinikis TanamSromelTa mier konferenciebis bolos fasdeba. Sefafaseba saregistracio Jur-nalSi fiqsirdeba.

moduli 1.2

1. modulis dasaxeleba, xangrZlivoba:

otorinolaringologiuri profilis avadmyofebis ambulatoriuli miRebisda

mkurnalobis kursი, i.5 Tve

2. modulis mizani:

rezidentma lor organoebis inspeqciis yvela Tanamderove meTodi unda aiTvisos. modulis damTavrebisas man damoukideblad unda SeZlos ambulatoriul pirobebSi daavadebis diagnozis dasma, medikamentozuri mkuranlobis daniSvna da Sedegebze dakvirveba. otorinolaringologiaSi sertifikatis maZiebelma mimdinare periodSi rinoskopia, otoskopia, faringoskopia, arapirdapiri laringoskopia unda Seiswav-los. lor organoebis rentgeno- da kompiuteruli kvlevis monacemebis analizi un-

18

da aiTvisos. razidents iseTi laboratoriuli kvlevebis interpretacia unda SeeZ-los, rogoricaa sisxlis saerTo analizi, koagulogramis, Sardis saerTo analizi, biofsiuri masalis histologiuri gamokvleva, nacxis citologiuri da baqterio-logiuri gamokvleva.

3. aucilebeli da rekomendebuli literaturis nusxa:

1. ToxaZe T. otorinolaringologia. Tbilisi, 1995. 2. БартонМ. Болезни уха, горла и носа. Москва, Санкт-Петербург, 2002.

3. Пальчун В.Т., Преображенский Т.А. Болезни уха, горла и носа. М., 1980. 4. Солдатов И.Б. Лекции по оториноларингологии. М., 1994. 5. Belaites E., Gudziol H. Restoring Methods of Functional Defects in Head and Neck. 2005. 6. Hall, Colman. Diseases of the Ear, Nose and Throat. 1999. 7. Meyerhoff R. Otolaringology, Head and Neck Surgery. Philadelphia, 1992. 8. Schultz-Coulon H. Enviromental and Occupational Health Disorders. Germany, 2004. 9. www.earallergy.com 10. www.nlm.nih.gov (aSS nacionaluri samedicino biblioTeka) 11. www.medinfo.ufl.edu 12. www.lor.ru 13. www.augie.edu 14. www.earsurgery.org 15. www.archotol.ama-assn.org 16. www.nature.com 17. www.medexplorer.com 18. www.karger.com

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba (ix.cxrili 1.2)

cxrili 1.2

Teoriuli kursi profesiuli unar-Cvevebi

Ses

asax

vevi.

Mmanipu

l.

rao

denoba

davaleba

yuris anatomia, yuris gamokvlevis meTodebi, yuris daavadebebi. cxvi-ris anatomia, cxviris gamokvlevis meTodebi, cxviris daavadebebi. xa-xis anatomia, xaxis gamokvlevis me-Todebi, xaxis daavadebebi. xorxis anatomia, xorxis gamokvlevis meTo-debi, xorxis daavadebebi.

otoskopia. mikrootoskopia. yuris mwvave daavade-bebis diagnostika da mkurnaloba. wina da ukana rino-skopia. cxvirisdanamati wia-Rebis rentgenogramis Sefaseba. faringoskopia. xaxidan nacxis aReba. anginis diagnozi da mkurnaloba. arapirdapiri larin-goskopia.

100 50 30 80 20 20 120 10 15 30

Teoriuli kursis gamo-kiTxva. avadmyofobis istoriis warmodgena da garCeva

modulis Sefasebis meTodebi: - mimdinare gamokiTxva yoveldRiurad Catardeba.

http://www.earallergy.com/

http://www.nlm.nih.gov/

http://www.medinfo.ufl.edu/

http://www.lor.ru/

http://www.augie.edu/

http://www.earsurgery.org/

http://www.archotol.ama-assn.org/

http://www.nature.com/

http://www.medexplorer.com/

http://www.karger.com/

19

- kviraSi erTxel gaimarTeba koloqviumi, romelsac orive modulze pasuxismgebe-li piri Caatarebs da romelzec kviris ganmavlobaSi miRebuli codna Sefasde-ba.

- diagnostikuri manipulaciebis Sesrulebis xarisxi yoveli gasinjvis Semdeg Se-fasdeba.

- modulis damTavrebis Semdeg diagnostikuri manipulaciebis Sesrulebis xaris-xi 10-baliani skaliT Sefasdeba.

- kviraSi erTxel rezidenti saintereso SemTxvevasTan dakavSirebiT moxsenebas gaakeTebs;

- TveSi erTxel modulze pasuxismgebeli piris mier winaswar SerCeul Temaze rezidenti referats daamuSavebs. referatis xarisxi 5-baliani skaliTSefasde-ba.

- modulis damTavrebisas ganvlili Teoriuli masalis aTvisebis donetestire-biT da zepiri gamokiTxviT Semowmdeba.

- Teoriuli codnis, praqtikuli unar-Cvevebis, referatis damuSavebis xarisxis da klinikur muSaobaSi zogadi CarTulobis gaTvaliswinebiT modulis bolos rezidentis moswrebis done10-quliani skaliT Sefasdeba.

programis specifiuri nawili

profesiuli mzadebis meore wlis modulebi

moduli2.1 1. modulis dasaxeleba, xangrZlivoba:

stacionarSi momuSave otorinolaringologisaTvis aucilebeli diagnostikuri meTodebis asaTvisebeli treningis kursi, 5 Tve

2. modulis mizani: otorinolaringologiaSi sertifikatis maZiebelma praqtikulad unda aiTvisos da modulis damTavrebisas damoukideblad unda SeZlos stacionarSi myofi avadmyo-febisaTvis aucilebeli diagnostikuri kvlevebis Catareba. sertifikatis maZie-belma mimdinare periodSi unda Seiswavlos da damoukideblad unda SeZlos wina da ukana rinoskopiis, pirdapiri da arapirdapiri laringoskopiis, ezofagoskopi-is Catareba. unda gamoiyenos cxviris danamati wiaRebis damuSavebis arapunqciuri meTodebi: iamikis kaTeteriT mkurnalobis meTodi, protsis siTxeTa gadanacvlebis meTodi, fleceqteris meTodi. unda Seasrulos haimoris wiaRis punqcia,cxviris danamati wiaRebis damuSaveba, cxviris da misi danamati wiaRebis endoskopiuri diagnostika, antroskopia, evstaqis milis kaTeterizacia, toinbisa da valsalvas cdebi, dafis apkis paracentezi. unda iswavlos yuris mikroskopuli kvlevis pro- cedurebi, yuris rentgeno- da kompiuteruli tomografiis monacemebis analizi. maZiebelma unda Seiswavlos cxviris danamati wiaRebis rentgenografia da kompiuteruli tomografia. unda gamoimuSavos rentgenogramemebis da kompiuteru-li tomogramebis damoukidebeli xedvis unari.

3. aucilebeli da rekomendebuli literaturis nusxa: ToxaZe T. otorinolaringologia. Tbilisi, 1995. АльтманЯ.А.,ТаварткиладзеГ.А. Руководствопоаудиологии.М., 2003. Бартон М. Болезни уха, горла и носа. Москва, Санкт-Петербург, 2002. Пальчун В.Т., Преображенский Т.А. Болезни уха, горла и носа. М., 1980. Солдатов И.Б. Лекции по оториноларингологии. М., 1994.

20

Belaites E., Gudziol H. Restoring Methods of Functional Defects in Head and Neck. 2005. Hall, Colman.Diseases of the Ear, Nose and Throat. 1999. Meyerhoff R. Otolaringology, Head and Neck Surgery.Philadelphia, 1992. Schultz-Coulon H. Enviromental and Occupational Health Disorders.Germany, 2004.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba (ix. cxrili 2.1)

cxrili 2.1

Teoriuli kursi profesiuli unar-

Cvevebi

Sesasrulebeli manipulaciis raodenoba

Ddavaleba

dafis apki normaSi da yuris sxvadasxva paTo-logiisas

otoskopia, mikro-otoskopia 200

otoskopiis sura-Tis aRwera da diagnozis dasma

smenis gamokvlevis me-Todebi

smenis gamikvleva ka-mertonebiT 50

smenis daqveiTe-bis lokalizaci-is dadgena

miringotomiis Cvenebe-bi da teqnika

miringotomia, perfo-rirebuli yuris da-muSaveba

15 Teoriuli cod-nis Sefaseba

yuris rentenologiu-ri gamokvlevis meTo-debi

safeTqlis Zvlebis

rentgenogramebis, CT da MRImonacemTa ana-lizi

30

SemTxvevebis gar-Ceva

cxviris gamokvlevis meTodebi

wina da ukana rino-skopia, fibroskopia

80 prezentaciis gan-xilva

cxviris wiaRebis damu-Savebis arapunqciuri meTodebi: iamikis kaTe-teriT mkurnalobis me-Todi, haimoris wiaRis punqcia; protsis siT-xeTa gadanacvlebis meTodiT, fleceqteris meTodiT cxviris dana-mati Rruebis damuSave-ba

Sesabamisi manipula-ciebis teqnikis da-ufleba

30

Teoriuli cod-nis Sefaseba

pirdapiri da arapir-dapiri laringosko-piis teqnika

arapirdapiri da pir-dapiri laringosko-pia

25 prezentaciis gan-xilva

modulis Sefasebis meTodebi:

- mimdinare gamokiTxva yoveldRiuradCatardeba; - kviraSi erTxel, paraskevs, gaimarTeba koloqviumi, romelsac orive modulze pa-

suxismgebeli piriCaatarebs da romelzec kviris ganmavlobaSi miRebuli codna-Sefasdeba.

- diagnostikuri manipulaciebis Sesrulebis xarisxi yoveli gasinjvis SemdegSe-fasdeba.

- modulis damTavrebis Semdeg diagnostikuri manipulaciebis Sesrulebis xarisxi 10-baliani skaliTSefasdeba.

- kviraSi erTxel rezidenti saintereso klinikur SemTxvevasTan dakavSirebiT mox-senebasgaakeTebs.

- TveSi erTxel modulze pasuxismgebeli piris mier winaswar SerCeul Temaze re-zidenti referatsdaamuSavebs. referatis xarisxi 5-baliani skaliT Sefasdeba.

21

- modulis damTavrebisas testirebiT da zepiri gamokiTxviT ganvlili Teoriuli masalis aTvisebis done Semowmdeba.

- Teoriuli codnis, praqtikuli unar-Cvevebis, referatis damuSavebis xarisxis da klinikur muSaobaSi zogadi CarTulobisgaTvaliswinebiT, modulis bolos rezi-dentis moswrebis done 10-quliani skaliT Sefasdeba.

. moduli 2.2

1. modulis dasaxeleba, xangrZlivoba: yelis, yurisa da cxviris daavadebaTa stacionaruli mkurnalobis asaTvisebeli treningis kursi,6 Tve

2. modulis mizani: wina modulebis gavlisas miRebuli codnis gaRrmaveba, otorinolaringologiu-ri daavadebebis samkurnalo manipulaciebis da qirurgiuli Carevebis aTviseba, ezofagoskopiis, pirdapiri laringoskopiis, endoskopiuri rinoskopiis, mikro-otoskopiis meSveobiT lor organoebidan ucxo sxeulebis amoReba, cxviridan sisxldenis SeCereba, wina da ukana tamponada, paratonzilaruli da parafarin-gealuri abscesis kveTa da drenireba. yuris damuSaveba Semdegi daavadebebis dros: otohematoma, yuris niJaris abscesi, qondroperiqondriti, yuris niJaris travmebi da Wrilobebi.xorxisa da traqeis medikamentozuri destenozireba. seqciur masalaze konikotomiis da traqeotomiis aTviseba. cxvirisa da misi da-namati wiaRebis travmebis dros Zvlebis repoziciis gansazRvra da misi reabi-litaciis praqtikuli ganxorcieleba. cxviris danamati wiaRebis punqciuri da arapunqciuri mkurnalobis meTodebis aTviseba. fragmentuli Careva adenotomii-sas da tonzileqtomiisas.

3. aucilebeli da rekomendebuli literaturis nusxa: ToxaZe T. otorinolaringologia. Tbilisi, 1995. АльтманЯ.А.,ТаварткиладзеГ.А. Руководствопоаудиологии.М., 2003. Бартон М. Болезни уха, горла и носа. Москва, Санкт-Петербург, 2002. Пальчун В.Т., Преображенский Т.А. Болезни уха, горла и носа. М., 1980. Солдатов И.Б. Лекции по оториноларингологии. М., 1994. Belaites E., Gudziol H. Restoring Methods of Functional Defects in Head and Neck. 2005. Hall, Colman.Diseases of the Ear, Nose and Throat. 1999. Meyerhoff R. Otolaringology, Head and Neck Surgery.Philadelphia, 1992.

Schultz-Coulon H. Enviromental and Occupational Health Disorders.Germany, 2004.


cxrili 2.2 Teoriuli kursi profesiuli unar-

Cvevebi Sesasrulebeli manipulaciis raodenoba

davaleba

gareTa yuris daavade-bebi

yuris damuSaveba otohematomis, peri-qondritis, travmis, gareTa otitis dros, gogirdis sacobis amorecxva

80 referati

Sua yuris Cirqovani daavadebebi

Sua yuris damuSave-ba, miringotomia, perforirebuli yu-ris damuSaveba

70 koloqviumi

otogenuri qalaSida garTulebebi

diagnozis dasazus-teblad damatebiTi

5 referati

22

gamokvlevebis daniS-vna

Sua yuris araCirqova-ni daavadebebi

diagnozis dasma da mkurnalobis swori taqtikis SerCeva

50 koloqviumi

cxviris daavadebebi cxviris Rrus damu-Saveba

60 referati

cxviridan sisxldena cxviris wina da uka-ana tamponada

40

cxviris danamati wia-Rebis daavadebebi

haimoris wiaRis punq-qcia

10 koloqviumi

xaxis daavadebebi parafaringealuri abscesis gaxsna, tonzileqtomiis procesSi CarTva

20 referati

xorxis anTebiTi daa-vadebebi

arapirdapiri larin-goskopia

45 referati

xorxis simsivneebi biofsiuri masalis analizi

5 koloqviumi

modulis Sefasebis meTodebi:

- mimdinare gamokiTxva yoveldRiuradCatardeba. - kviraSi erTxel, paraskevs, gaimarTeba koloqviumi, romelsac orive modulze pa-


- diagnostikuri manipulaciebis Sesrulebis xarisxi yoveli gasinjvis SemdegSe-fasdeba.

- modulis damTavrebis Semdeg diagnostikuri manipulaciebis Sesrulebis xarisxi 10-baliani skaliTSefasdeba.

- kviraSi erTxel rezidenti saintereso SemTxvevasTan dakavSirebiT moxsenebasgaa-keTebs.



- rezidentisTeoriuli codna, praqtikuli unar-Cvevebi, mis mierdamuSavebuli re-feratis xarisxi, klinikur muSaobaSi zogadi CarTuloba modulis bolos 10-qu-liani skaliT Sefasdeba.

profesiuli mzadebis III wlis modulebi

moduli 3.1

1. modulis dasaxeleba, xangrZlivoba: yelis, yurisa da cxviris topografiuli anatomiis klinikuri xedviT Ses-wavla da mcire operaciebis aTvisebis kursi, 5 Tve

2. modulis mizani: wina modulebis gavlis dros miRebuli codnis gaRrmaveba. lor organoebis topografiis klinikuri xedviT Seswavla. mcire lor operaciebis aTviseba. sa-samarTlo eqspertizis saseqcioSi umeTvalyuro gvamebis lor organoebis to-pografiuli anatomiis klinikuri xedviT Seswavla. seqciur masalaze cxvirze, cxviris danamat wiaRebze, yurze operaciuli teqnikis daxvewa. Semdeg etapze

23

mcire lor operaciebis Seswavla da Catareba. gareTa sasmeni milis furunku-lis gaxsna. yuris niJaris daCirqebuli hematomis gaxsna da drenireba. miringo-tomia mikroskopis qveS. cxviris furunkulis, hematomis da abscesis gaxsna da drenireba. parafaringealuri abscesis gaxsna da drenireba. tonzileqtomiis da adenotomiis damoukidebeli Sesruleba.

3. rekomendebuli literaturis nusxa: ВульштейнХ. Слухоулучщающиеоперации. М., 1972. Гельфанд С.А. Слух. Нью-Йорк, 1984. Люлько В.Л., Марченко В.М. Атлас операций на ухе. Киев, 1989. Пальчун В.Т., Преображенский Т.А. Болезни уха, горла и носа. М., 1980. Солдатов И.Б. Лекции по оториноларингологии. М., 1994. Belaites E., Gudziol H. Restoring Methods of Functional Defects in Head and Neck. 2005. DeWeese D.D. et al.Otolaryngology,Head and Neck Surgery. Washington, 1988. Hall, Colman.Diseases of the Ear, Nose and Throat, 1999. Meyerhoff R. Otolaringology, Head and Neck Surgery.Philadelphia, 1992. Schultz-Coulon H. Enviromental and Occupational Health Disorders.Germany, 2004. www.nlm.nih.gov (aSS nacionaluri samedicino biblioTeka) www.medinfo.ufl.edu www.lor.ru www.augie.edu www.earsurgery.org www.nature.com www.medexplorer.com www.karger.com


cxrili 3.1


Cvevebi


Ddavaleba

yuris, cxviris, xaxis, xorxis topografiuli anatomia

muSaoba seqciur ma-salaze

qirurgiuli teq-nikis Sefaseba

yurze operaciebis teqnikis aTviseba

yurze operaciis ad-gilobrivi anesTezi-iT Catareba. pirveli ganakveTis gakeTeba. operaciis Semdeg Wrilobis damuSaveba

25 referatis ward-gena operaciuli teq-nikis, Teoriuli codnis Sefaseba

cxvirze operaciebis teqnikis aTviseba

cxviris Rrus anesTe-zia

50 koloqviumi

yuris Cirqovani daava-debebi

gareTa sasmeni milis furunkulis gaxsna, yuris daCirqebuli hematomis gaxsna da drenireba

25

cxviris abscesebis gaxsna

cxviris furunkulis, hematomis, abscesis gaxsna da drenireba

25 referatis ward-gena

adenotomia operaciis damouki-deblad Catareba

50 operaciis teqni-kis Sefaseba

tonzileqtomia operaciis damouki-deblad Catareba

30 operaciis teqni-kis Sefaseba



http://www.lor.ru/






24

modulis Sefasebis meTodebi (kriteriumebi, perioduloba): - mimdinare gamokiTxva yoveldRiuradCatardeba; - kviraSi erTxel, paraskevs, gaimarTeba koloqviumi, romelsac orive modulze pa-


- qirurgiuli manipulaciebis Sesrulebis xarisxi yoveli manipulaciis SemdegSe-fasdeba.

- modulis damTavrebis Semdeg qirurgiuli manipulaciebis Sesrulebis xarisxi 10-baliani skaliTSefasdeba.

- kviraSi erTxel saintereso SemTxvevasTan dakavSirebiT rezidenti moxsenebasgaa-keTebs;

- TveSi erTxel modulze pasuxismgebeli piris mier winaswar SerCeul Temaze re-zidenti referats daamuSavebs. referatis xarisxi 5-baliani skaliT Sefasdeba.


- Teoriuli codnis, praqtikuli unar-Cvevebis, referatis damuSavebis xarisxis da klinikur muSaobaSi zogadi CarTulobis gaTvaliswinebiT rezidentis moswrebis done modulis bolos 10-quliani skaliT Sefasdeba.

moduli 3.2

1. modulis dasaxeleba, xangrZlivoba: saSualo sirTulis otorinolaringologiurioperaciebis aTvisebis kursi,6 Tve

2. modulis mizani: wina modulis gavlisas miRebuli codnis gaRrmaveba. me-2 da me-3 sirTulis lor operaciebis daufleba. wina modulebis gavlisas miRebuli codnis praqti-kuli ganxorcielebis fonze mocemuli modulis miznis misaRwevad Semdegi operaciebis aTviseba da maTi praqtikuli ganxorcieleba: polipotomia, cxviris qvemo niJarebis turbinoplastika, submukozuri rezeqcia, lateralizacia, ult-rabgeriTi dezintegracia, qvemo konxotomia, cxviris Zgidis rezeqcia, adenoto-miis da tonzileqtomiis Semdgomi sisxldenis kupireba, konikotomiis da traqe-otomiis aTviseba, wina da ukama eTmoidotomia, gareTa saZile arteriis gadak-vanZva.

3. rekomendebuli literaturis nusxa: ToxaZe T. otorinolaringologia. Tbilisi, 1995. БартонМ. Болезни уха, горла и носа. Москва, Санкт-Петербург, 2002. Пальчун В.Т., Преображенский Т.А. Болезни уха, горла и носа. М., 1980. Солдатов И.Б. Лекции по оториноларингологии. М., 1994. Belaites E., Gudziol H. Restoring Methods of Functional Defects in Head and Neck. 2005. Hall, Colman.Diseases of the Ear, Nose and Throat. 1999. Meyerhoff R. Otolaringology, Head and Neck Surgery.Philadelphia, 1992. Schultz-Coulon H. Enviromental and Occupational Health Disorders.Germany, 2004. www.earallergy.com www.nlm.nih.gov (aSS nacionaluri samedicino biblioTeka) www.medinfo.ufl.edu www.lor.ru www.augie.edu www.archotol.ama-assn.org www.nature.com www.medexplorer.com




http://www.lor.ru/





25


cxrili3.2

Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli manipulaciebis

raodenoba davaleba

cxviris qirur-gia

polipotomia, cxviris qvemo niJa-rebis turbinoplastika, submuko-zuri rezeqcia

50 pacientebis kurireba

cxviris qvemo niJare-bislateralizacia,ultrabgeriTi dezintegracia, qvemo konxotomia

50 pacientebis kurireba

cxviris Zgidis rezeqcia 70 pacientebis kurireba

traqeotomia: Cvenebebi, teqnika

traqeotomia 10 referatis wardgena

modulis Sefasebis meTodebi: - mimdinare gamokiTxva yoveldRiuradCatardeba; - kviraSi erTxel, paraskevs, gaimarTeba koloqviumi, romelsac orive modulze pa-


- qirurgiuli manipulaciebis Sesrulebis xarisxi yoveli gasinjvis SemdegSefas-deba.

- modulis damTavrebis Semdeg qirurgiuli manipulaciebis Sesrulebis xarisxi 10-baliani skaliTSefasdeba.

- kviraSi erTxel saintereso SemTxvevasTan dakavSirebiT rezidenti moxsenebasgaa-keTebs.



- Teoriuli codnis, praqtikuli unar-Cvevebis, referatis damuSavebis xarisxis da klinikur muSaobaSi zogadi CarTulobis gaTvaliswinebiTmodulis bolos rezi-dentis moswrebis done 10-quliani skaliT Sefasdeba.

profesiuli mzadebis IV wlis modulebi

moduli 4.1

1. modulis dasaxeleba, xangrZlivoba: audiologia, vestibulologia, 1.5 Tve

2. modulis mizani: smenis da vestibuluri organos gamokvlevis meTodebi. kvlevis Sedegebis ana-lizi. smenis da vestibuluri organos foziologiis da paTologiis Seswavla. wina modulebis gavlis dros miRebuli codnis gaRrmaveba da gafarToeba. mo-dulis msvlelobaSi rezidenti kvlevis rogorc subieqtur, ise obieqtur meTo-debs aiTvisebs. Seswavlili iqneba, kerZod, tonaluri zRurblovani da zezRur-blovani audiometria, timpanometria/impedansometria, rekruitmentis gamosavli-nebeli testebi, gamowveuli da distorziuli produqtis otoakustikuri emisi-is, smenis gamowveuli potencialebis kompiuteruli registraciis meTodebi. re-

26

zidenti daeufleba gamokvlevaTa Catarebis teqnikas da Taviseburebebs.is SeZ-lebs agreTve miRebuli Sedegebis analizs da Sesabamis daskvnaTa Camoyalibe-bas. gansazRvravs smena-vestibuluri sistemis mkurnaloba-reabilitaciis stra-tegias.

3. rekomendebuli literaturis nusxa: ToxaZeT. otorinolaringologia.Tbilisi, 1995. Альтман Я.А., Таварткиладзе Г.А. Руководство по аудиологии.М., 2003. Вульштейн Х. Слухоулучщающие операции. М., 1972. Гельфанд С.А. Слух. Нью-Йорк, 1984. Хечинашвили С.Н., Кеванишвили З.Ш. Слуховые вызванные потенциалы человека.Тбилиси, 1985. Belaites E., Gudziol H. Restoring Methods of Functional Defects in Head and Neck. 2005. Schultz-Coulon H. Enviromental and Occupational Health Disorders.Germany, 2004.

4. modulis dasrulebis Semdeg rezidentma unda icodes da mas unda SeeZlos: smenis gamokvleva metyvelebiT, kamertonebiT; tonaluri zRurblovani audio-metriis Catareba da audiogramis gaSifvra; intra- da retrokoxlearuli paTo-logiebis diferencirebis mizniT zezRurblovani audiotestebis Catareba; impe-dansometria; smenis gamowveuli potencialebis kompiuteruli registraciis me-TodiT smenis zRurblTa da retrokoxlearul paTologiisdadgena; nistagmo-grafia, brunviTi, kaloriuli cdebi.

5. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba (ix. cxrili 4.1):

cxrili4.1


Cvevebi


davaleba

smenis da vestibuluri organos fiziologia

- smenis da vesti-

buluri sistemis kvlevis Sedege-bis safuZvelze diagnozis dasma da mkurnalobis dagegmva

smenis gamokvlevis subieqturi meTodebi

subieqturi tonalu-ri zRurblovani da zezRurblovani au-diometria

50

smenis gamokvlevis ob-ieqturi meTodebi

impedansometria, otoakustokuri emi-siis registraciis meTodi, smenis gamow-veuli potencialebis registraciis meTodi

50

vestibuluri organos gamokvlevis meTodebi

nistagmogra-fia,brunviTi, kalo-riuli cda

10

modulis Sefasebis meTodebi (kriteriumebi, perioduloba): - mimdinare gamokiTxva yoveldRiuradCatardeba. - kviraSi erTxel, paraskevs, koloqviumi gaimarTeba da kviris ganmavlobaSi miRe-

buli codnaSefasdeba. - audiologiuri gamokvlevebis Sesrulebis xarisxi yoveli kvlevis SemdegSefas-

deba. - modulis damTavrebis Semdeg audiologiuri gamokvlevebis Sesrulebis xarisxi

10-baliani skaliT Sefasdeba. - kviraSi erTxel saintereso SemTxvevasTan dakavSirebiT rezidenti moxsenebasgaa-

keTebs.

27

- or kviraSi erTxel modulze pasuxismgebeli piris mier winaswar SerCeul Te-maze rezidenti referatsdaamuSavebs. referatis xarisxi 5-baliani skaliT Se-fasdeba.


- Teoriuli codnis, praqtikuli unar-Cvevebis, referatis damuSavebis xarisxis da klinikur muSaobaSi CarTulobis gaTvaliswinebiT, modulis bolos rezidenti 10-quliani skaliT miiRebs Sefasebas.

moduli 4.2

1. modulis dasaxeleba: Tavis, kisrisa da zeda sasunTqi gzebis onkologiuri daavadebebi, 4.5 Tve.

2. modulis mizani da Sesasrulebeli samuSaos moculoba: kursis procesSi otolaringologiis rezidentebma is onkologiuri daavadebe-bi unda Seiswavlon, romlebic zeda sasunTq gzebsa da Tavisa da kisris orga-noebSi gvxvdeba. problemas is garemoebaxdis aqtualurad, rom bolo wlebSi Tavis, kisris da piris Rrus organoebis onkologiuri daavadebebis procentu-li maCvenebeli mniSvnelovnad gaizarda.zogadi profilis samedicino dawese-bulebebSi diagnostikur SecdomaTa mizeziT mniSvnelovnad moimata agreTve araradikaluri operaciebis raodenobamac. rezidentebma unda icodnen Tavis, kisris da piris Rrus organoebis kiboswinare daavadebebis da avTvisebiani sim-sivneebis gamovlenis sawyisi formebi, unda SeZlon maTi swori diagnostika. Se-iswavlian ra cnebas onkologiuri sifrTxile, ar dauSveben zusti diagnosti-rebis gareSe xangrZlivi da araradikaluri mkurnalobis Catarebas, rasac da-avadebebis progresireba sdevs Tan. rezidentebma aRniSnuli kursi specializi-rebuli onkologiuri klinikis bazaze unda gaiaron da onkologiur daavadeba-Ta mimdinareobis Taviseburebebi, diagnostikuri kvlevis algoriTmebi, dakvir-vebis meTodebi adgilzeve unda Seiswavlon. yuradReba unda mieqces onkologi-uri avadmyofebisaTvis daxmarebis ganxorcielebis Taviseburebebs. medikamento-zuri da sxivuri mkurnalobis dros unda gaiTvaliswinebodes daavadebebis spe-cifiuroba.

3. modulis amocanebi: modulisprocesis mimdinareobisas rezidentma Semdegi sakiTxebi unda Seiswav-los: 1. avTvisebiani simsivneebis cneba. onkologiuri daavadebebis epidemiologia, ma-

Ti ganviTarebis ZiriTadi principebi, etiopaTogenezi, klasifikacia, klinika, diagnostika, mkurnaloba, dispanserizaciis cneba.

2. cxvir-xaxis avTvisebiani simsivneebis etiologia, paTogenezi, klasifikacia, klinika, diagnostika, mkurnaloba.

3. nuSura jirkvlis da pir-xaxis avTvisebiani simsivneebis etiologia, paToge-nezi, klasifikacia, klinika, diagnostika, mkurnaloba.

4. xorxis kiboswinare daavadebebis da avTvisebiani simsivneebis etiologia, pa-Togenezi, klasifikacia, klinika, diagnostika, mkurnaloba.

5. zeda ybis, cxviris da misi danamati wiaRebis avTvisebiani simsivneebis etio-logia, paTogenezi, klasifikacia, klinika, diagnostika, mkurnaloba.

6. piris Rrus organoebis avTvisebiani simsivneebis etiologia, paTogenezi, klasifikacia, klinika, diagnostika, mkurnaloba.

7. mcire da didi sanerwyve jirkvlebis avTvisebiani simsivneebis etiologia, pa-Togenezi, klasifikacia, klinika, diagnostika, mkurnaloba.

8. sxvadasxva lokalizaciis avTvisebiani simsivneebis metastazebi Tavis, kisris da piris Rrus organoebsa da qsovilebSi: klinika, diagnostika, mkurnaloba.

28

modulis dasrulebis Semdeg rezidentma unda icodesdamas unda SeeZlos: sxvadasxva lokalizaciis simsivneebis rutinuli gamokvlevebi. anamnezis Sekreba, pi-ris Rrus daTvaliereba, laringoskopia (pirdapiri da arapirdapiri), cxvir-xaxis daT-valiereba, rinoskopia, zeda sasunTqi gzebis fibroskopia, saxis Zvlebis rentgenogra-fiis, kompiuteruli tomografiis, citologiuri da morfologiuri gamokvlevebis Se-degTa analizi. sxvadasxva lokalizaciis simsivneebisas biofsiuri kvlevis Catarebis Cvenebebis gansazRvra da misi ganxorcieleba. zeda, Sua da qveda traqeostomiis Cvene-bebis dadgena. gareTa saZile arteriis gadakvanZvis Cvenebebi. rekomendebuliliteraturis nusxa:

1. nemsaZe o., oqropiriZeT. Terapiruli stomatologia. Tbilisi, 2001. 2. zarqua z. oficialuri miTiTebebi, debulebebi, meToduri rekomendaciebi, diag-

nostikisa da mkurnalobis algoriTmebi onkologiaSi. Tbilisi, 2005. 3. avTvisebian simsivneTa saerTaSoriso ТНМklasifikacia.kibos winaaRmdeg brZo-

lis saerTaSoriso kavSiri (UICE, Geneva, 2005). 4. БернадскийЮ.И. Основычулюстно-лицевойхирургииихирургическойстоматологии. Витебск,

1998. 5. Хирургическаястоматология (под ред. РобустовойГ.Г.).М., 2000. 6. Пачес Л.И. Опухоли головы и шеи. М., Медицина, 1983. 7. Струков А.М., Серов В.В. Патологичкская анатомия. М., 1995. 8. Патофизиология (под. ред. Литвицкого П.Ф.). М., Медицина, 1995. 9. Петров С.В. Обшая хирургия. СПБ, 1999. 10. Пропедевтика хирургической стоматологии (под ред. Матроса-ТаранцаИ.Н.). Донецк, 2000. 11. Фармакология (под ред. КомиссароваИ.В.).Донецк, 1999. 12. Рентгендиагностика заболеваний челюстно-лицевой области (под ред. РабухинойН.А.,

ЧупринойН.М.).М., Медицина, 1991. 13. ArchievesofOtolaryngology,HeadandNeckSurgery: http:/archotol.ama-assn.org 14. OtolaryngologyandFacial-PlastikSurgery:http://www.emadicine.com 15. American Dental Association: http://www.ada.org

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba (ix.

cxrili 4.2) cxrili4.2


Cvevebi

Sesasrulebeli manipulaciis minimaluri raodenoba

davaleba

kisrisa da ybisqvSa mi-damos palpacia, rino-skopia, arapirdapiri laringoskopia,mcire zomis simsivneebis amokveTa, biofsia

damoukidebeli Sesruleba

20

pacientebis kuri-reba,operaciuli teqnikis aT-viseba, Teoriuli codnis Sefaseba

traqeostomia, gareTa saZile arteriis gada-kvanZva

asistireba

10

pacientebis kuri-reba

minimaluri masStabis operaciebi farisebr jirkvalze; operaciebi farisebri jirkvlis keTilTvisebianisimsiv-neebisas; operaciebi di-fuzur-toqsiur Ciy-visas; operaciebi fa-risebri jirkvlis av-Tvisebiani simsivneebi-

asistireba

10

pacientebis kuri-reba,operaciuli teqnikis aTvise-ba, Teoriuli codnis Sefaseba

29

sas xorxis rezeq-cia,laringeqtomia, xorxis nawilobrivi rezeqcia, kisris mod-ificirebuli limfodi-seqcia, krailis opera-cia, Tireoideqtomia.

asistireba

10

pacientebis kuri-reba,operaciuli teqnikis aTvise-ba, Teoriuli codnis Sefaseba

haimorotomia, polipo-tomia, cxvir-xaxis, pa-rafaringealuri sim-sivneebis amokveTa, fa-ringostomis plastika

asistireba

10

pacientebis kuri-reba

ybayura jirkvlis sub-totaluri rezeqcia, parotideqtomia, ybis-qveSa jirkvlis rezeq-cia

asistireba

10

pacientebis kuri-reba, operaci-uli teqnikis aT-viseba, Teoriuli codnis Sefaseba

moduli 4.3 1. modulis dasaxeleba, xangrZlivoba:

otorinolaringologiis IV da V xarisxis sirTulis operaciebis aTvisebis kursi,5 Tve

2. modulis mizani da Sesasrulebeli samuSaos moculoba: wina modulebisrealizacisasmiRebuli codnis ganmtkiceba.axlis moculobiT gaTva-liswinebuli operaciebis aTviseba da ZiriTadad damoukideblad ganxorcieleba.wi-na modulebis gavlisas miRebuli codnis ganmtkiceba. me-4 sirTulis Semdegi ope-raciebis daufleba: cxviris plastika, haimorotomia, eTmoidotomia, frontotomia, kisris midamos kisteqtomia, traqeostomia, yuris midamos subperiostaluri absce-sis gakveTa. me-5 sirTulis operaciebze asistireba da fragmentuliSesrule-ba: an-tromastoideqtomia, orkameriani antromastoideqtomia, yuris radikaluri ope-racia, miringoplastika, timpanoplastika. cxviris da misi danamati wiaRebis endo-skopiuri operaciebis, antromastoideqtomiis, yurze radikaluri operaciebis, timpa-notomiis da Suntirebis damoukidebeli Sesruleba. modulis mimdinareobis period-Si seqciur masalaze mudmivi treningi.

3. rekomendebuli literaturis nusxa:

АльтманЯ.А.,ТаварткиладзеГ.А. Руководствопоаудиологии.М., 2003. Бартон М. Болезни уха, горла и носа. Москва, Санкт-Петербург, 2002. Вульштейн Х. Слухоулучщающие операции. М., 1972. Гельфанд С.А. Слух. Нью-Йорк, 1984. Люлько В.Л., Марченко В.М. Атлас операций на ухе. Киев, 1989. Пальчун В.Т., Преображенский Т.А. Болезни уха, горла и носа. М., 1980. Солдатов И.Б. Лекции по оториноларингологии. М., 1994. Хечинашвили С.Н., Кеванишвили З.Ш. Слуховые вызванные потенциалы человека. Тбилиси, 1985. BelaitesE., GudziolH. RestoringMethodsofFunctionalDefectsinHeadandNeck. 2005. DeWeeseD.D. etal.Otolaryngology,Head and Neck Surgery.Washington, 1988. Hall, Colman.Diseases of the Ear, Nose and Throat. 1999. Meyerhoff R. Otolaryngology, Head and Neck Surgery.Philadelphia, 1992.

30

Schultz-Coulon H. Enviromental and Occupational Health Disorders.Germany, 2004.


cxrili4.3


Cvevebi

Sesasrulebeli manipulaciis minimaluri raodenoba

davaleba

cxviris plastika, haimo-rotomia, eTmoidotomia, frontotomia

damoukidebeli Ses-ruleba

20 pacientebis ku-rireba referatebis wardgena

kisris midamos kisteqto-mia, traqeostomia, yuris midamos subperiostalu-ri abscesis gakveTa

damoukidebeli Ses-sruleba

20

antromastoideqtomia, yu-ris radikaluri opera-cia, miringoplastika, timpanoplastika

asistireba 25

timpanotomia da Suntire-ba

damoukidebeli Ses-ruleba

30

modulis Sefasebis meTodebi: - mimdinare gamokiTxva yoveldRiuradCatardeba; - kviraSi erTxel, paraskevs, gaimarTeba koloqviumi, romelsac orive modulze

pasuxismgebeli piriCaatarebs da romelzec kviris ganmavlobaSi miRebuli cod-na Sefasdeba.

- qirurgiuli operaciebis Sesrulebis xarisxi avadmyofis yoveli gasinjvis Sem-degSefasdeba.

- modulis damTavrebis Semdeg qirurgiuli operaciebis Sesrulebis xarisxi10-ba-liani skaliTSefasdeba.

- kviraSi erTxel rezidenti saintereso SemTxvevasTan dakavSirebiT moxsenebas-gaakeTebs.

- TveSi erTxel modulze pasuxismgebeli piris mier winaswar SerCeul Temaze rezidenti referats daamuSavebs. referatis xarisxi 5-baliani skaliT Sefasde-ba.

- modulis damTavrebisas Teoriuli masalis aTvisebis done testirebiT da zepi-ri gamokiTxviT Semowmdeba.

- rezidentisTeoriuli codnis done, praqtikuli unar-Cvevebi, referatis damu-Savebis xarisxi da klinikur muSaobaSi CarTulobis xarisxi modulis bolos 10-quliani skaliT Sefasdeba.

rekomendebuli literaturis nusxa:

1. ToxaZeT. otorinolaringologia. Tbilisi, 1995. 2. Альтман Я.А., Таварткиладзе Г.А. Руководство по аудиологии. М., 2003. 3. Бартон М. Болезни уха, горла и носа. Москва, Санкт-Петербург, 2002. 4. Вульштейн Х. Слухоулучщающие операции. М., 1972. 5. Гельфанд С.А. Слух. Нью-Йорк, 1984. 6. Люлько В.Л., Марченко В.М. Атлас операций на ухе. Киев, 1989. 7. Пальчун В.Т., Преображенский Т.А. Болезни уха, горла и носа. М., 1980. 8. Солдатов И.Б. Лекции по оториноларингологии. М., 1994. 9. Хечинашвили С.Н., Кеванишвили З.Ш. Слуховые вызванные потенциалы человека. Тбилиси,

1985. 10. Belaites E., Gudziol H. Restoring Methods of Functional Defects in Head and Neck. 2005. 11. DeWeese D.D. et al. Otolaryngology,Head and Neck Surgery. Washington, 1988.

31

12. Hall, Colman. Diseases of the Ear, Nose and Throat. 1999. 13. Meyerhoff R. Otolaryngology, Head and Neck Surgery. Philadelphia, 1992. 14. Schultz-Coulon H. Enviromental and Occupational Health Disorders. Germany, 2004. 15. www.earallergy.com 16. www.nlm.nih.gov (aSS nacionaluri samedicino biblioTeka) 17. www.medinfo.ufl.edu 18. www.lor.ru 19. www.augie.edu 20. www.earsurgery.org 21. www.archotol.ama-assn.org 22. www.nature.com 23. www.medexplorer.com 24. www.karger.com




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