· Web viewdanarTi 25 sarezidento programa ` plastikuri da rekonstruqciuli qirurgia ~ (xangrZlivoba 44 Tve – 4 weli) Tavi I. zogadi debulebebi Mmuxli 1. programis mizani da amocanebi

danarTi 25sarezidento programa

`plastikuri da rekonstruqciuli qirurgia~

(xangrZlivoba 44 Tve – 4 weli)

Tavi I. zogadi debulebebi

Mmuxli 1. programis mizani da amocanebi

1. programa gankuTvnilia diplomisSemdgomi mzadebisaTvis plastikurda rekonstruqciul qirurgiaSi. 2. programis mizania, rezidenti daeuflos Teoriul da praqtikul codnas plastikur da aRdgeniT qirurgiaSi. 3. sarezidento programis dasrulebis Semdeg plastikuri da rekonstruqciuli qirurgiis specialistma unda icodes deontologiis sakiTxebi plastikur qirurgiaSi, amasTan, plastikuri da rekonstruqciuli qirurgiis Teoriul da praqtikul codnasTan erTad igi unda flobdes Teoriul da praqtikul codnas zogad qirurgiaSi. 4. sarezidneto programis dasrulebis Semdgomeqim-specialistis kompetenciebia: a) swori diagnozis dasma; b) operaciis dagegmva; g) operaciuli taqtikis dagegmva; d) operaciis Sesabamis teqnikur doneze Sesruleba; e) postoperaciuli periodis marTva.

muxli 2. specilobis aRweriloba

1. plastikuri qirurgia –aris medicinis dargi, romelic mimarTulia sxeulis formis an funqciis koreqciis an rekonstruqciisaken. plastikuri qirurgia moicavs qsovilebis defeqtebis, deformaciebis da sxeulis sxvadasxva darRveuli funqciebis qirurgiuli mkurnalobis meTodebs. 2. plastikuri qirurgia –aris samedicino specialoba da mecnierebis dargi, romelic aerTianebs swavlebas qirurgiis erT-erTi yvelaze rTuli da universaluri dargisa – dawyebuli dermatomuli nafleTis gadanergvidan - damTavrebuli ramdenime sisxlmomaragebadi qsovilis kompleqsis erTmomentiani transplantaciiT, dawyebuli kanis martivi, mcire da didi defeqtis daxurviT - damTavrebuli organizmis urTulesi kinematikuri sistemebis rekonstruqciiT,dawyebuli kosmetikuri nakeris dadebidan - axali mofunqcire organos SeqmniT damTavrebuli. 3. plastikuri qirurgia iyofa or dargad _ rekonstruqciul da esTetikur qirurgiad. rekonstruqciuli qirurgiis daniSnulebaa Tandayolili da SeZenili

defeqtebis deformaciebis an dakarguli funqciis aRdgena, xolo esTetikuri qirurgia ki emsaxureba galamazebas da adamianis socialur reabilitacias.

4. plastikuri qirurgi medicinis dargis specialistia, romelsac Seswevs unari mikroqirurgiuli da sxva arsebuli teqnikis gamoyenebiT awarmoos rTuli aRdgeniTi operaciebi organoTa da qsovilTa funqciis dasabruneblad, misces adamianis sxeulis sxvadasxva nawils esTetikuri formebi.P 5. plastikuri qirurgia moicavs Semdeg mimarTulebebs:a)rekonstruqciuli mikroqirurgia: a.a) zemo kiduris posttravmuli dazianebebis mkurnaloba:a.a.a)diagnostika da klasifikacia, operaciis Cveneba, avadmyofebis

momzadeba saoperaciod, gautkivareba;a.a.b)rekonstruqciuli mikroqirurgiuli operaciebis zogadi sakiTxebi;a.a.g) racionaluri ganakveTebi da kanis plastika;a.a.d) myesebis nakeri da plastika, tenolizi;a.a.e) sisxlZarRvebis nakeri da plastika, arteriolizi;a.a.v) didi farTobis kanis safarvelis dakargvisas (Termuli dazianebebi da

sxva) misi aRdgena da funqcionirebis uzrunvelyofa;a.a.z) mwvave gadaudebeli plastikuri operaciebis warmoeba Sesabamisi

meTodebis gamoyenebiT;a.a.T) mwvave gadaudebeli plastikuri operaciebisa da qsovilTa

transplantaciis wina operaciul periodSi zogadi mdgomareobis Sefaseba da saTanado intensiuri Terapiis ganxorcieleba; nervebis nakeri da plastika, nevrolizi;

a.a.i) avadmyofebis operaciis Semdgomi movla;a.a.k) TiTebis da mtevnis Tandayolilideformaciebisa da ganviTarebis

mankebis mkurnaloba;a.a.l) TiTebis da mtevnis dermatogenuli, osteogenuri da myesovani kontraqturebis mkurnaloba;a.a.m) neirogenuri da neiroiSemiuri kontraqturebis mkurnaloba;a.a.n) folkmanis kontraqturis mkurnaloba;a.a.o) kunTis gadanergva;a.a.p) mcire saxsrebis da Zvlebis gadanergva;a.a.J) TiTebis gadanergva;a.a.r) kanis gadanergva;a.a.s)TD nafleTis da zurgis uganieresi kunTis transplantacia zemo kiduris

trofikuli da motoruli funqciis aRsadgenad;a.a.t) nafleTebis transplantacia zemo kidurebis rbilqsovilovani defeqtebis

Casanacvleblad;a.a.u) rekonstruqciuli mikroqirurgiuli operaciebis Semdeg avadmyofTa

rebilitacia;a.a.f) makoregirebeli ganmeorebiTi operaciebi.a.b) periferiuli nervuli sistemis mikroqirurgia:a.b.a)periferiuli nervebis anatomia da fiziologia;a.b.b) periferiuli nervebis daavadebisa da dazianebis klasifikacia; a.b.g) zemo da qvemo kidurebis periferiuli nervebis dazianebis klinika;a.b.d) saxis nervis dazianebis klinika;

a.b.e)nervebze operaciebis zogadi sakiTxebi;a.b.v) nevrolizi da misi saxeebi;a.b.z) nakeri da misi saxeebi;a.b.T) plastika da misi saxeebi;a.b.i) mxris wnulis mikroqirurgia; a.b.k) zemo kiduris nervebis mikroqirurgia;a.b.l) SuaTana nervi;a.b.m) idayvis nervi;a.b.n) sxivis nervi;a.b.o) qvemo kidurebis nervebis mikroqirurgia;a.b.p) sajdomi nervi;a.b.J) didi wvivis nervi;a.b.r) mcire wvivis nervi;a.b.s) saxis nervis mikroqirurgia;a.b.t) periferiul nervebze operaciis Cveneba;a.b.u) operaciebis wina da Semdgomi mkurnalobis Taviseburebebi;a.b.f) avadmyofebis reabilitacia periferiul nervebze operaciis Semdeg;a.b.q) alternatiuli operaciebi periferiuli nervebis dazianebisas.a.g)nafleTebis mikroqirurgia:a.g.a) nafleTebis mikroqirurgiis anatomiuri dasabuTeba;a.g.b) Tavisufali nafleTebis klasifikacia;a.g.g) nafleTebis mikroqirurgiuli gadanergvisa da rotaciis zogadi Tvisebebi;a.g.d) Cveneba;a.g.e) nafleTebis dagegmva;a.g.v) operaciis teqnika da donoruli zonebis daxurva;a.g.z) transplantatis sicocxlisunarianobis kontroli;a.g.T) avadmyofebis operaciis Semdgomi movla;a.g.i) kan-cximovani da kan-fascialuri nafleTebis mikroqirurgia;a.g.k) barZayis kan-fascialuri nafleTebi;a.g.l) safenis (muxlis midamos) nafleTi;a.g.m) terfis dorzaluri nafleTi;a.g.n) terfis TiTTaSorisi nafleTi (usaxsrod da falangTaSorisi saxsriT);a.g.o) beWis midamos nafleTi;a.g.p) iRliisqveSa nafleTi;a.g.J) deltoiduri nafleTi;a.g.r) mxris kan-fascialuri nafleTi (idayvis da sxivis)

safeTqlis, yurisukana da Sublis nafleTebi;a.g.s) kan-kunTovani nafleTebis da kunTovani transplantatebis a.g.t) mikroqirurgia;a.g.u) zurgis uganieresi kunTis nafleTi;a.g.f) kan-kunTovani Torakodorzaluri nafleTi;a.g.q) kan-kunTovani Torako-abdominaluri nafleTi;a.g.R) mkerdis didi kunTis nafleTi;a.g.y) dakbiluli kunTis nafleTi;a.g.S) muclis swori kunTis nafleTi;a.g.C) barZayis ganieri fasciis damWimavi kunTis gadanergva;

a.g.c) nazi kunTis nafleTis gadanergva;a.g.Z) terfis TiTebis saerTo gamSlelis gadanergva;a.g.w)fexis gulis medialuri nafleTi;a.g.W) Zvlovani nafleTebis Tavisufali mikroqirurgiuli gadanergva;a.g.x) beWis midamos nafleTi beWis Zvlis CarTviT;a.g.j) neknis nafleTi;a.g.h) sxivis kan-Zvlovani nafleTi;a.g.h1) TeZos Zvlis qedis nafleTi;a.g.h2) nafleTi mcire wvivis ZvliT;a.g.h3) nafleTovani mikroqirurgia qirurgiis momijnave dargebSi;a.g.h4) rekonstruqciuli plastikuri qirurgiuli meTodebis codna romlebic ar Txouloben mikroqirurgiuli meTodebis gamoyenebas;a.g.h5) sxvadasxva dazianebis Sesabamisad autokanis gadanergvisa aramikroqirurgiuli meTodebis SerCeva da diferencirebuli gamoyeneba;a.g.h6) homo, alo, qseno da sxva transplantantebis gamoyenebis Cvenebebis dadgena da postoperaciuli mkurnaloba warmoeba;a.g.h7) tangencialuri, adreuli nekreqtomia da kanis safarvelis erTdrouli ardgena transplantaciis Sesabamisi meTodebiT;a.g.h8) eqspanderis Cveneba. misi sxvadasxva lokalur areSi Seyvana da etapebis aTviseba;a.g.h9) saxis zemo da qvemo kidurebis da sxeulis calkeul ubnebze filatovis ylortis Seqmna, mosalodneli Sedegebi, garTulebebi da maTi prevencia;a.g.h10) Tavis qalis, saxis da sxva lokalur areSi adgilobrivi qsovilebis mkvebav fexze Semobrunebuli transplantatis Seqmna.b)esTetikuri qirurgia:b.a) safuZvlebi:b.b) plastikuri qirurgiis gansazRvreba, moculoba da zogadi principebi;b.g) esTetikuri operaciebis Cvenebis dadgena;b.d) kanis optimaluri ganakveTi;b.e) kanis plastika da gadanergva;b.v) kanis defeqtebis daxurva adgilobrivi qsovilebiT;b.z) kanis gadanergva filatovis ylortebiT;b.T) kanis Tavisufali mikroqirurgiuli gadanergva;b.i) kanis kosmetikuri nakerebi;b.k) keloiduri nawiburebi maTi profilaqtika da mkurnaloba;b.l) kuWis balonireba;b.m) anesTeziologia, reanimacia da intensiuri Terapia esTetikuri qirurgiaSi;b.n) operaciis wina da Semdgomi mkurnaloba esTetikuri qirurgiasi;b.o) garTulebebi esTetikuri qirurgiaSi, maTi profilaqtika da mkurnaloba;b.p) deontologiis sakiTxebi esTetikuri qirurgiaSi;b.J) transplantacia plastikuri qirurgiaSi;b.r) implantaciuri masalebi;b.s) fsiqologiuri aspeqtebis gaTvaliswineba da maTi mniSvneloba;b.t) sxeulis ama Tu im midamos gaTvaliswinebiT defeqtebis an deformaciis analizi. anatomiuri Taviseburebani;b.u) operaciis warmarTva da saTanado masalis momzadeba;

b.f) saoperacios, instrumentebis da saTanado masalis momzadeba;b.q) laboratoriuli kvlevis meTodebis moculobis gansazRvra;b.R) sxeulis saxvadasxva ubanze ganakveTebis warmoebis winaswari dagegmvis mniSvneloba;b.y) nakerebis dadebis specifikuroba Wrilobis saxeobisa, xasiaTisa da lokalizaciis gaTvaliswinebiT;b.S) sakeri masalis diferencirebuli SerCeva sxeulis calkeuli ubnebis gaTvaliswinebiT;b.C) plastikuri operaciebis dros Wrilobis hemostazi, koagulacia, eleqtrodenis gamoyenebis Cveneba. drenaJebis da filTebis xmarebis Cvenebani da ukuCvenebani;b.c) kanis generalizebuli moSlilobani. hipertrofiuli nawiburebi da keloidebi;b.Z) kraniofascialuri anomaliebi da Sesatyvisi qirurgia (rekonstruqciuli plastikebi);b.w) saxis rbili qsovilebis dazianebebi. Tandayolili anomaliebi (kurdRlis tuCi, sasis naprali, mlis xaxa da sxva);

warbebis, orbitebis rekonstruqcia. defeqtebis nairsaxeoba Tvalis da quTuTos areSi;

b.W) lazeroterapia (teleangieqtaziebis, hemangiomebis, kanze laqebis - mocileba, lazeruli depilacia);b.x) kanis mcire zomis warmonaqmnebis arainvaziuri mkurnaloba;b.j) dermobrazia (lazeruli, meqanikuri, qimiuri);b.h) keloidebis, uxeSi nawiburebis konservatuli mkurnaloba;b.h1) mezoTerapia;b.h2) botoqsoTerapia;b.h3) saxis kanis gasufTaveba;b.h4) masaJi (kosmetologiuri, limfodrenajuli, plastikuri);b.h5) fizioTerapia (energetikuli qoqoni, vibromasaJi; hidromasaJi,miostimulacia, darsonvalizacia, fonoforezi)

b.b)saxis da Tavis plastikuri qirurgia:b.b.a) rinoplastika; b.b.b) cxviris tandayolili da seZenili defeqtebis mkurnaloba; b.b.g) Tvalis Wrilis plastika; b.b.d) zeda da qveda tuCis plastika; b.b.e) nikapis plastika; b.b.v) warbebis da wamwamebis rekonstruqcia; b.b.z) saxis kanis atrofiuli ftozis mkurnaloba; b.b.T) saxis nervis periferiuli paresis mkurnaloba; b.b.i) Tavis Tmiani nawilis plastika da rekonstruqcia; b.b.k) Tmebis implantacia;b.g) sxeulis konturuli plastika:

b.g.a) augmentaciuri mamoplastika; b.g.b) reduqciuli mamoplastika;

b.g.g) sarZeve jirkvlis aweva ftozis dros (liftingi); b.g.d) dvrilis da areolis plastika; b.g.e) mamoplastika radikaluri masteqtomiis Semdeg;b.g.v) sarZeve jirkvlebis ganviTarebis defeqtebisa da mankebis mkurnaloba;

b.g.z) muclis reduqciuli plastika;b.g.T) muclis TeTri xazis Tiaqrebis da muclis swori kunTebis diastazis mkurnaloba;

b.g.i) didi zomis ventrikuluri Tiaqrebis mkurnaloba; b.g.k) barzayebis reduqciuli plastika; b.g.l) lokaluri lipoidozebis liposaqcia; b.g.m) barZayebis da wvivebis liposaqcia; b.g.n) muclis liposaqcia; b.g.o) mikroliposaqcia saxeze.

6. specialoba moicavs Semdegi Tandayolili da SeZenili paTologiebis diagnostikas da mkurnalobas, funqciadakarguli organos aRdgenas, esTetikuri naklis aRmofxvras:

a)M95.0kexiani cxviri;b)M95cxviris Zgidis gamrudeba;g)Y34.3 cxviris niJarebis hipertropia;d)Q17.5warziduli yurebi;e)F16 quTuToebis defeqti;v)H02,4 quTuToebis ftozi;z)L57.4 saxis kanis ftozi;T)N64.2ZuZuebishipotrofia;i)N62 ZuZuebis hipertrofia;k)E75.6lipoidozi; l)E66.9simsuqne;m)E65simsuqne lokaluri, cximovani baliSebi;n)Q70.9sindaqtilia; o)Q56.0hermafroditizmi; p)N62ginekomastia;J)L83qvemokidurebisvenebisgaganiereba; r)Q36.9kurdRlis tuCi;s)Q35.9mglis xaxa;t)D18.0hemangioma;u)Q54.9hipospadia;f)S44.1;S44.2;S44.0zeda kiduris nervebis dazianeba;q)S57.0sajdomis nervis dazianeba;R)S64.0mxris wnulis dazianeba;y)M67.9 myesis dazianeba;S)L71.1rinofima;C)Q83,8aberaciuli (Tandayolili)sarZeve Jirkvali;c)J34,8 avadmyofoba cxviris;Z)N46 azospermia;w)Q 27,3 anevrizma arterio-venuri;W)NEC I 72,8 anevrizma periferiuli arteriis;

x)Q27,9 anomalia periferiuli venebis;j)Q74,0 anomalia zeda kiduris;h)Q74,0 anomalia xelis TiTis;h1)Q17,8 anomalia Yyuris niJris;h2)Q55,9 anomalia sasqeso organos kacis;h3)Q52,7 anomalia sasqeso organos qalis gare;h4)Q52.4 anomalia saqalwule apkis;h5)Q83.9 anomalia sarZeve jirkivlis;h6)Q55,0 ararseboba saTesles Tanadayolili;h7)Z90.7 ararseboba saTesles SeZenili;h8)Q55.7 ararseboba asos Tandayolili;h9)Z90.7 ararseboba asos SeZenili;h10)Q83.8 ararseboba sarZeve jirkvlis Tandayolili;h11)Z90.1 ararseboba sarZeve jirkvlis SeZenili;h12)Q16.0 ararseboba yuris niJaris Tandayolili;h13)Q16.9 ararseboba yuris Tandayolili;h14)Z90.0 ararseboba Yyuris SeZenili;h15) Q 30.1 ararseboba cxviris Tandayolili;h16)Z90.6 ararseboba cxviris SeZenili;h17)S 09.9 cxviris Zgidis wiaRis tramva;h18)Q68.1 xelis TiTebis araswori forma ;h19)Q17.4 araswori forma yuris niJaris;h20)B07 dazianeba meWeWovani;h21)H02.9 dazianeba quToTos;h22)G51,9 dazianeba saxis nervis;h23)G58.9 dazianeba nervis;h24)Q68.8 deformacia xelis Tandayolili;h25)M21,9 deformacia xelis SeZenili;h26)Q74.0 megalodaqtilia;h27)Q74.2 megalodaqtilia fexis;h28)M 9560/0 nevrinoma;h29)D22.9 nevusi;h30)M8050/0 papiloma;h31)I 89.0 spilovneba;h32)T85.8 fibrozi sarZeve jirkvlis (implatanti);h33)L91.0 keloidi;h34)H02.6 qsanTelazma quTuTos;h35)N47 fimozi;h36)Q82.8 hemangiomatozi;h37)Q30.1 hipoplazia cxviris;h38)Q17.2 hopoplazia yuris niJaris,bibilos;h39)Q55.6 hipoplazia sasqeso asos;h40)J34,2 cxviris Zgidis gamrudeba Tandayolili;h41)L64 androgenuli alopecia;

h42)L66 nawiburovani alopecia;h43)L63 alopecia budovani.

7.laboratoriul-instrumentuli gamokvlevebis CamonaTvali, romelTa Sedegebis interpretacia da klinikuri Sefaseba evaleba eqim – specialists:a) eleqtrokardiografia;b) sasunTqi, gul-sisxlZarRvTa, Tirkmlis da endokrinuli sistemis Sesafasebeli testebi (gamokvlevebi);g) wyal-marilovani balansis Sefaseba da SenarCuneba;d) biofsiisa da citologiuri kvlevis Sedegebis interpretacia;e) qsovilTa nimuSebis krioseqciuli da parafinuli histologiis, citologiisa da baqteriologiis Sedegebis interpretacia;v) qsovilovani siTxeebis/gamonayofebis aReba laboratoriuli SeswavlisaTvis, maTi Sedegebis interpretacia;z) kritikul mdgomareobaSi myofi da mZimed dazianebul pacientTa klinikuri Sefasebis Skalebi;T) qalasSida wnevis maCvenebeli;i) sisxlZarRvTa daavadebebis gamosakvlevad saWiro specifikuri teqnikuri saSualebebiT miRebuli informaciis interpretacia;k) Torakocentezis Sedegis interpretacia;l) bronqoskopia, Torakoskopia, mediastinoskopia;m) fibroezofagogastroduodenoskopia;n) rigiduli da fibroskopuli sadiagnozo proqto-kolonoskopia;o) ERCP (endoskopuri, retrograduli, qolangio- pankreatografia);p) saylapavis varikozebis skleroTerapia;J) sadiagnozo radiologiis meTodebiT (sonografia, kompiuteruli tomografia da birTvul-magnituri rezonansi) miRebuli informaciis damuSaveba da interpretacia;r) muclisa da kidurebis sisxlZarRvebis doplerografiuli maCveneblebis interpretacia;s) sisxlis klinikuri analizis (saerTo, bioqimiuri, koagulograma da a.S.) interpretacia;t) Sardis saerTo da bioqimiuri analizebis Sedegebis interpretacia;u) baqteriologiuri kvlevis Sedegebis interpretacia;f) imuno-serologiuri kvlevis Sedegebis interpretacia.

8. eqim-specialistis aucilebeli praqtikuli unar-Cvevebi:a)adgilobrivi da regionaluri anesTezia; sisxlis jgufisa da rezusis gansazRvra; hemotsansfuzia, sisxlis SenacvlebiTi gadasxma; b) reanimacia da hemodinamikuri mxardaWera;g) gadaudebeli qirurgiuli procedurebi; d) Sardis buStis kaTeterizacia, epicistostomia;e) centraluri venis kaTeterizacia, veneseqcia; v) vagosimpatikuri blokada; z) intubacia traqeostomia; T) plevraluri, lumbaluri punqcia;

i) garegani da Sinagani sisxldenis SeCereba; k) filamentliftingi;l) pirveladi daxmareba yba saxis tramvis dros;m) myesebis nakeri da plastika; n) sisxlZarRvebis nakeri da plastika; o) nervebis nakeri da plastika; p) TiTebisa da mtevnis Tandayolili deformaciebis da ganviTarebis J) mankebis mkurnaloba; r) TiTebisa da mtevnis dermatogenuli, osteogenuri da myesovani s) kontraqturebis mkurnaloba; t) neirogenuli da neiroiSemiuri kontraqturebis mkurnaloba; u) folkmanis kontraqtura; f) kunTis gadanergva; q) kanis gadanergva; R) rTuli nafleTebis gadanergva; y) periferiuli nervebis mikroqirurgia; S) mxris wnulis mikroqirurgia; C) saxis nervis mikroqirurgia; c) rinoplastika, septorinoplastika; Z) blefaroplastika; w) mentoplastika; W) warbebisa da wamwamebis rekonstruqcia; x) Tmebis implantacia; j) augmentaciuri mamoplastika; h)reduqciuli mamoplastika; ZuZuebis liftingi; h1)ZuZuebis rekonstruqcia; h2)liposaqcia, liposkulptura; h3)sxeulis konturuli plastika; h4)saxis da sxeulis konturuli plastika implantebis gamoyenebiT; h5)abdomenoplastika; h6)didi zomis ventraluri Tiaqrebis mkurnaloba; h7)rekonstruqciuli operaciebi; saxis Tandayolili da SeZenili h8)simaxinjeebis/ defeqtebis gamosasworeblad; h9)cxvirisa da cxviris danamati Rruebis operaciebi; h10)cxviris plastikur-rekonstruqciuli operaciebi; h11)orbitisa da orbitis irgvliv qsovilebis plastikur-rekonstruqciuli operaciebi; h12)feisliftingi; h13)mxrebis da barZayebis plastika; h14)naoWebis gasworeba sxvadasxva meTodiT; h15)lipomebis mocileba; h16)aTeromebis mocileba; h17)nevusebis mocileba; h18)papilomebis mocileba; h19)qsanTelazmebis mocileba; h20)dermoabrazia sxvadasxva meTodiT; h21)Rrma qimiuri pilingi;

h22)skleroTerapia.

muxli 3. profesiuli mzadebis struqtura da sarezidento programis Sinaarsi

1. swavlis xangrZlivoba ganisazRvreba sarezidento programis gaTvaliswinebiT da aris 4 weli. rezidentTan muSaobis sqema dayofilia mzadebis Teoriul da praqtikul nawilebad. Teoriuli da praqtikuli swavleba mimdinareobs paralelurad.

2. programa iTvaliswinebs kvalifikaciis maZieblis mier kviris ganmavlobaSi minimum 45 saaTian dayovnebis periods saavadmyofos garemoSi. programis mimdinareobis dros, maZiebels sxvadasxva obieqturi mizezebidan gamomdinare swavlebis Sewyveta ar SeuZlia erT welze meti periodis xangrZlivobiT.

3. plastikuri qirurgiis saswavlo programa iyofa 3etapad: sawyisi etapi anu zogadi qirurgiis rezidenturis modulebi (saerToa yvela qirurgiuli specilobebisTvis, xangrZlivoba11 Tve), Sualeduri etapebi (xangrZlivoba11) – plastikuri da rekonstruqciuli qirurgiis safuZvlebis gacnoba da im qirurgiul disciplinebSi mzadeba, romelic sWirdeba plastikur qirurgsda umaRlesietapi (xangrZlivoba22 Tve) – sakuTriv plastikur qirurgiaSi mzadeba.

4. TiToeuli rezidenti asrulebs garkveul saqmianobas. Teoriuli programis Sesruleba da mravlobiTi modulebi/rotaciebi gamiznulia imisaTvis, rom rezidentma SeZlos avadmyofTa farTo speqtris gansxvavebuli SemTxvevebis naxva, Seswavla da marTva; miiRos saganmanaTleblo gamocdileba, romelic gaTvaliswinebulia winamdebare sarezidento programiT.

5. am procesis dros rezidentebze zedamxedveloba xorcieldeba specialurad daniSnuli eqimebis (modulze pasuxismgebeli piri - lokaluri xelmZRvaneli) mier. TiToeul rezidentze zedamxedveloba da misi saqmianobis monitoringi xorcieldeba werilobiTi angariSis saxiT. saWiroa gakontroldes rezidentis mier misi individualuri gegmis Sesruleba, rezidentis wasvla-mosvlis ganrigi, sxva valdebulebani, romlebic programiT aris gaTvaliswinebuli. zedamxedveloba rezidentisagan moiTxovs gansxvavebul damokidebulebas qirurgiuli specializaciis sxvadasxva etapze. aRniSnuli gamowveulia im faqtiT, rom profesiuli mzadebis damasrulebeli wlis rezidents, kompetenciasTan erTad, proporciulad ezrdeba pasuxismgebloba da movaleobebi, maT Soris avadmyofTa mkurnalobasa da movlasTan dakavSirebiT.

6. rezidentis zedamxedvel eqims - modulze pasuxismgebeli pirs (lokalur xelmZRvanels) gaaCnia, rogorc iuridiuli, ise eTikuri pasuxismgebloba pacientis mkurnalobasa da movlaze, amave dros misi zedamxedvelobis qveS myofi piris saqmianobaze da ganaTlebaze. amasTan, profesiuli mzadebis damasrulebeli wlis rezidents, aRniSnuli zedamxedveloba ufro naklebi xarisxiT esaWiroeba, vidre swavlebis sawyis safexurze myof pirebs. miTiTebebis jaWvi iTvaliswinebs etapobrivi pasuxismgeblobis zrdas. uflebamosilebis gadacemis sazRvrebi, konkretul SemTxvevaSi ganisazRvreba zedamxedveli

eqimis mier, gamomdinare rezidentis akademiuri momzadebisa da teqnikuri mzaobis aspeqtebidan. amgvari midgoma unda gamomdinareobdes programis xelmZRvanelisa da modulze pasuxismgebeli piris (lokaluri xelmZRvanelis) xangrZlivi dakvirvebidan, romelnic pasuxismgebelni arian rezidentis mier qirurgiuli unar-Cvevebis aTvisebaze da xarisxze. am pasuxismgeblobis SesrulebisaTvis, momzadebis programa unda moicavdes zedamxedvelobis ganxorcielebis Semdeg principebs: a) rezidentze zedamxedvelobis formebi SesaZlebelia ganisazRvros klinikis SinaganawesiT, politikiT an sxva raime proceduruli normiT; b) rezidentze zedamxedvelobis formebi da wesebi periodulad mowmdebodes saswavlo dawesebulebis warmomadgenlis gasvliTi vizitebis dros; g) saTanado zedamxedveloba xels ar unda uSlides progresul da SedarebiT ufro damoukidebel gadawyvetilebaTa miRebas rezidentebTan dakavSirebiT, amgvarad, zedamxedvelobis tipi SesaZlebelia varirebdes klinikuri situaciebisa da rezidentis momzadebis etapisa da donis Sesabamisad. miuxedavad amisa, programis xelmZRvaneli da modulze pasuxismgebeli piri (lokaluri xelmZRvaneli) nebismier dros unda iyos xelmisawvdomi rCevis micemis, daxmarebis an konsultaciuri mxardaWerisaTvis.

7. plastikuri da rekonstruqciuli qirurgiis rezidentebi programaSi monawileobisas unda akmayofilebdnen dadgenil akademiur kriteriumebs. wlidan wlamde, rezidentTa akademiuri kompetenciisa da klinikuri unar-Cvevebis progresis raodenobrivi da xarisxobrivi Sefaseba xorcieldeba rezidentTa Sefasebis sistemis saSualebiT. rezidentTa sabaziso da klinikuri codnis, klinikuri unar-Cvevebis, zogad samedicino aspeqtebisa da sxva komponentebis Sefasebis amsaxveli informacia saboloo jamSi Tavs iyris rezidenturis programis xelmZRvanelTan. rezidentTa ganviTarebis da moqmedebis progresis monitoringi etapobrivad xorcieldeba TiToeuli modulis dasrulebis Semdeg. rezidentis Sefaseba SesaZlebelia moxdes gamocdis tipiT mowyobili gamokiTxviT: zepiri, testuri, werilobiTi da Cvevebze uSualo zedamxedvelobis saxiT. modulis dasrulebis Semdeg Sefasebis angariSi gadaegzavneba programis xelmZRvanels gansaxilvelad da xelmowerisaTvis. rezidentTa Sefasebis politika mniSvnelovania aseve programis promociis, srulyofis, gamosworebis da sxva mniSvnelovani sakiTxebis TvalsazrisiT. gaTvaliswinebulia, rezidentTa Sefaseba ganxorcieldes OSCE sistemis saSualebiT. 8.sarezidento programisSinaarsi - rezidenturis programa “plastikuri darekonstruqciuli qirurgia” _ 44 Tve 4 (weli):

profesiuli mzadebis I weliwadimoduli # modulis dasaxeleba xangrZliv.

moduli 1.1 zogadi qirurgia 10Tvemoduli 1.2. laparaskopiuli qirurgia (bazisuri nawili) 1 Tve

profesiuli mzadebis II weliwadimoduli # modulis dasaxeleba xangrZliv.

moduli 2.1. travmatologia-orTopedia 1 Tvemoduli 2.2. yba-saxis qirurgia 1kviramoduli 2.3. intensiuri Terapia 1 Tvemoduli 2.4. neiroqirurgia 1 Tvemoduli 2.5. plastikuri qirurgia 2 Tvemoduli 2.6 kombustiologia 2Tve da

3kviramoduli 2.7. bavSvTa qirurgia 1 Tveმოდული 2.8 სისხლძარღვთაქირურგია 2 თვე

profesiuli mzadebis III weliwadimoduli # modulis dasaxeleba xangrZliv.

moduli 3.1. rekonstruqciuli mikroqirurgia 5 Tvemoduli 3.2. periferiuli nervuli sistemis mikroqirurgia 3 Tvemoduli 3.3. nafleTebis mikroqirurgia 3 Tve

profesiuli mzadebis IV weliwadimoduli # modulis dasaxeleba xangrZliv.

moduli 4.1. esTetikuri qirurgiis safuZvlebi 3 Tvemoduli 4.2. saxis da Tavis plastikuri qirurgia 3 Tvemoduli 4.3. sxeulis konturuli plastika 3 Tvemoduli 4.4. kombustiologiuri qirurgia 2Tve

muxli 4.

1.mzadebis pirveli wlis modulebis raodenoba 2, moduli 1.1. - zogadi qirurgia, xangrZlivoba 10 Tve, moduli 1.2. – laparaskopiuli qirurgia (bazisuri nawili), xangrZlivoba 1 Tve. 2. profesiuli mzadebis I wlis mizani: a)zogad qirurgiaSi diplomisSemdgomi momzadebis programis umcrosi rezidentis saqmianobis aqcentireba, saorientacio programis gavlis Semdeg unda moxdes upirveles yovlisa qirurgiuli avadmyofis pirvelad movlaze. umcrosi rezidentis uSualo movaleobas warmoadgens pre da postoperaciuli movla; amavdroulad misi saqmianoba unda moicavdes operaciuli aqtivobis gradaciul, TandaTanobiT zrdasac. pacientis movlaze meTvalyureobas axorcieleben ufrosi rezidenti da zedamxedveli eqimi, romlebic uflebamosilebas unawileben umcros rezidents am saqmianobis dros. swavlebis pirveli wlidanve unda Seiqmnas kolegiuri da akademiuri atmosfero, raTa umcrosma rezidentma SesZlos iswavlos ufro gamocdili samedicino personalisagan. umcrosi rezidenti unda gaTviTcnobierdes qirurgiul daavadebaTa fiziologiur da metabolur aspeqtebSi, gansakuTrebuli aqcenti

unda gakeTdes konkretul avadmyofTa mdgomareobaze, romelic klinikaSi am momentisaTvis gadis mkurnalobis kurss. rogorc ukve aRiniSna, umcrosi rezidenti, pirveli wlidanve etapobrivad unda CaerTos operaciul aqtivobaSi, ufrosi rezidentisa da zedamxedveli eqimis uSualo xelmZRvanelobiT;

b) swavlebis pirveli wlis ganmavlobaSi, rezidenti gadis Sesabamis rotaciebs dadgenili ganrigis mixedviT. rotaciebi aucileblad unda moicavdes zogadqirurgiul klinikas (qirurgiul onkologiis elementebiT), amave wlidan rezidenti iwyebs muSaobas intensiuri Terapiis palataSi (reanimatologia), raTa srulyos miRebuli codna gavlili rotaciebis Sesabamisad. I wlis rezidenti, ufros rezidentebTan da zedamxedvel eqimebTan erTad, pasuxismgebelni arian avadmyofTa miRebaze, Sefasebaze, diagnostikaze da samkurnalo gegmaze. I wlis rezidentebs Tavdapirvelad ar evalebaT ZiriTadi sisxliani da invaziuri manipilaciebis uSualo Catareba (sisxlis aReba, foleis kaTeterizacia da a.S.) Tumca moeTxovebaT gaTviTcnobierdnen da Seiswavlon aRniSnuli rutinuli procedrebi swavlebis dawyebisTanave.

muxli 5.

1. mzadebis meore wlis modulebis raodenoba 8: moduli 2.1. – travmatologia-orTopedia, xangrZlivoba 1 Tve, moduli 2.2. – yba-saxis qirurgia, xangrZlivoba 1 kvira, moduli 2.3. – intensiuri Terapia,xangrZlivoba 1 Tve, moduli 2.4. – neiroqirurgia, xangrZlivoba 1 Tvemoduli 2.5. plastikuri qirurgia, xangrZlivoba 2 Tvemoduli 2.6. – kombustiologia,xangrZlivoba 2 Tve da 3 kvira, moduli 2.7. – bavSvTa qirurgia,xangrZlivoba 1 Tve, moduli 2.8. _ sisxlZarRvTa qirurgia, xangrZlivoba 2 Tve. 2. profesiuli mzadebis II wlis mizani: meore wlis umcrosi rezidenti agrZelebs pre da postoperaciuli movlis aTvisebas da garda amisa, misi operaciuli aqtivoba sagrZnoblad unda iqnes gazrdili. meore wlis ganmavlobaSi, rezidenti rotaciebs gadis da codnas iRrmavebs travmaSi da intensiur TerapiaSi, neiroqirurgiaSi, yba-saxis qirurgiaSi, kombustiologiaSi da bavSvTa qirurgiaSi. intensiuri Terapiis palataSi rotaciis dros, rezidenti iRrmavebs wina wels miRebul codnas da ganmeorebiT uxdeba igive paTologiebisa da mdgomareobebis marTva, rac gasuli wlis programiT iyo gaTvaliswinebuli. rezidenti monawileobas iRebs e.w. “mwvave” avadmyofTa movlaSi, aseve, igi muSaobs poliklinikur (ambulatorul) qirurgiul pacientebTan. mzadebis meore wlisaTvis, rezidentis momzadebis mTavari kriteriumi mdgomareobs imaSi, rom rezidentma unda SeZlos sabaziso codnisa da intensiuri Terapiis palataSi miRebuli codnis kombinireba qirurgiul avadmyofebTan mimarTebaSi. aRniSnuli tendencia unda gasdevdes yvela rotaciul cikls, romelic meore wlis rezidenturis programiT aris gaTvaliswinebuli. rezidenti klinikaSi SesaZloa morigeobdes ukve yovel mesame an meoTxe dRes (garda intensiuri Terapiis rotaciis periodisa, romelic SesaZlebelia dadgindes gansxvavebuli ganrigiT).

Mmuxli 6.

1.mzadebis mesame wlis modulebis raodenoba 3:moduli 3.1. – rekonstruqciuli mikroqirurgia, xangrZlivoba 5 Tvemoduli 3.2. – periferiuli nervuli sistemis mikroqirurgia,xangrZlivoba 3 Tve, moduli 3.3 _ nafleTebis mikroqirurgia, xangrZlivoba 3 Tve.2. profesiuli mzadebis III wlis mizani: profesiuli mzadebis mesame wels rezidenti ecnoba plastikuri da rekonstruqciuli qirurgiis sabaziso disciplinebs. eufleba mikroqirurgiuli teqnikis Taviseburebebs, periferiul nervul sistemaze muSaobis specifikas, ecnoba mis anatomias da fiziologias. swavlobs dazianebuli nervebis klinikur gamoxatulebas, swavlobs nafleTebis mikroqirurgiuli gadanergvisa da rotaciis zogad Tvisebebs,nafleTebis dagegmvas,nafleTebis Sesaqmnelad optimaluri ubnis SerCevas konkretuli SemTxvevis gaTvaliswinebiT, neiro-sisxlZarRvovan mkvebav fexze arsebuli nafleTebis Seqmnis Taviseburebebs, sisxlZarRvovani da nervis nakerebis mikroqirurgiul Sesrulebas. swavlobs Sesabamisi pacientebis postoperaciuli periodis marTvis Taviseburebebs.

muxli 7.

1. mzadebis meoTxe wlis modulebis raodenoba 4: moduli: 4.1. – esTetikuri qirurgiis safuZvlebi,xangrZlivoba 3 Tve moduli 4.2. – saxis da Tavis plastikuri qirurgia, xangrZlivoba 3 Tvemoduli 4.3. – sxeulis konturuli plastika,xangrZlivoba 3 Tve moduli 4.4. _ kombustiologiuri qirurgia, xangrZlivoba 2 Tve.

2. profesiuli mzadebis IV wlis mizani:meoTxe wlis mizania rezidenti daeuflos esTetikuri qirurgiis principebs da qirurgiul teqnikas, SeZlos swori diagnozis dasma. daeuflos:swori ganakveTis teqnikas, rbil qsovilebze manipulaciebis teqnikas da hemostazis Taviseburebebs plastikuri operaciis dros;SeiZinos Teoriuli da praqtikuli codna saxeze da Tavze SeZenili da Tandayolili paTologiebis diagnostirebisa da mkurnalobis Sesaxeb, daeuflos rinoplastikas, nikapis, Tvalis Wrilis plastikas da a.S.;SeiZinos Teoriuli da praqtikuli unar-Cvevebi sxeulis konturuli plastikis Sesaxeb;daeuflos kosmetologiis ZiriTad principebs;gaecnos da Seiswavlos kombustiologiuri qirurgiis dargis specifiuroba.

M

muxli 8. akademiuri personali da saganmanaTleblo resursebi

1. programis xelmZRvanelis/direqtoris movaleobebi: a) rezidentTa/saeqimo specialobis maZiebelTa rezidenturaSi misaRebi programis gansazRvraSi monawileoba akreditebul dawesebulebaSi/saswavleblSi dadgenili wesis mixedviT kanonis Sesabamisad;

b)diplomisSemdgomi profesiuli mzadebis (rezidenturis) akreditirebuli programis xarisxis uzrunvelyofa, programis mimdinereobaze kontroli;g) rezidentis/specialobis maZieblis yovelwliuri individualuri gegma-grafikis gansazRvra modulze pasuxismgebeli pirisa da samedicino dawesebulebis miTiTebiT;d) modulze pasuxismgebeli piris saqmianobis zedamxedveloba da Sefaseba;e) rezidentis/specialobis maZieblis mier Sesrulebuli samuSaos moculobisa da Casatarebeli manipulaciebis raodenobaze kontroli;v) modulze pasuxismgebeli piris/pirebis monawileobiT, dadgenili wesis mixedviT, rezidentis codnis, unar-Cvevebisa da praqtikuli saqmianobis etapobrivi da saboloo Sefaseba;z) rezidentis/specialobis maZieblis saqmianobis aradamakmayofilebeli etapobrivi da/an saboloo Sefasebisas, dasabuTebuli moxsenebiTi baraTis wardgena akreditebuli dawesebulebis/saswavleblis administraciaSi rezidentis garicxvis Sesaxeb;T) rezidentis/specialobis maZieblis programis etapobrivi/saboloo uaryofiTi Sefasebisas programis xelmZRvaneli/direqtori rezidentTan/maZiebelTan SeTanxmebiT gansazRvravs modulis/modulebis nusxas, romlebic man unda gaiaros ganmeorebiT;i) rezidentis/specialobis maZieblis mier sazRvargareT gavlili programis (modulebis) Sesabamisi dokumentaciis warmodgenis Semdgom CaTvla/arCaTvlis Taobaze daskvnis gacema. 2. modulze pasuxismgebeli piris anu lokaluri xelmZRvanelis movaleobebi:a)samedicino dawesebulebaSi rezidentis/specialobis maZieblis praqtikuli saqmianobis uzrunvelyofa kurikulumis (saswavlo gegmis) Sesabamisad: kvalificiuri konsultaciebiT, saswavlo masalebiT (saswavlo/samecniero literatura, sxva programuli sakiTxebi). samedicino dawesebulebaSi programis mimdinareobis Seuferxebeli warmarTva;b) programis xelmZRvanelTan/direqtorTan erTad rezidentebis/specialobis maZieblebis etapobriv da saboloo SefasebaSi monawileoba;g) rezidentTan/specialobis maZiebelTan Teoriuli da praqtikuli muSaobisaTvis saqmianobis gansazRvruli drois daTmoba;d) TiToeuli modulis dasrulebis Semdeg dadgenili wesis mixedviT, programis xelmZRvanelisTvis/direqtorisTvis rezidentis mier gaweuli samuSaos Sesaxeb angariSis wardgena;e) rezidentis/specialobis maZieblis dRiurSi rezidentis mier Sesrulebuli samuSaos xelmoweriT dadastureba;v) saWiroebis SemTxvevaSi, programis xelmZRvanelTan/direqtorTan programis mimdinareobasTan dakavSirebul nebismier sakiTxze konsultireba. 3. rezidentis ufleba/movaleobani:a)rezidents/specialobis maZiebels ufleba aqvs programis daubrkolebeli daZlevisaTvis moiTxovos Sesabamisi samuSao pirobebiT uzrunvelyofa (kvalificiuri xelmZRvaneli, sainformacio/sakomunikacio teqnologiebi, samuSao oTaxi);

b) rezidents/specialobis maZiebels ufleba aqvs programis kurikulumis darRvevis an Seferxebis Sesaxeb werilobiT acnobos samedicino dawesebulebis/saswavebelis xelmZRvanelobas; g) rezidents/specialobis maZiebels ufleba aqvs ganagrZos profesiuli mzadeba sazRvargareT an gadavides sxva akreditebul dawesebuleba/saswavlebelSi;d) rezidenti/specialobis maZiebeli valdebulia Seasrulos rezidenturis programiT gansazRvruli kurikulumi; e) rezidenti/specialobis maZiebeli valdebulia programiT gansazRvruli da Sesrulebuli saqmianoba daafiqsiros personalur dRiurSi; v) rezidenti/specialobis maZiebeli valdebulia daicvas samedicino dawesebulebis/saswavleblis Sinaganawesi da Seasrulos dawesebulebis/saswavleblis ganrigiT gansazRvruli saqmianoba;z) rezidenti/specialobis maZiebeli SeiZleba garicxul iqnas erTi Tvis ganmavlobaSi gamoucxadeblobis an programis ver daZlevis SemTxvevaSi. gadawyvetilebas rezidentis garicxvis Sesaxeb iRebs programis xelmZRvaneli/direqtori akreditebul saswavlo dawesebulebaSi Sesabamisi moxsenebiTi baraTis wardgeniT; T) rezidenti/specialobis maZiebeli valdebulia gaiaris etapobrivi da saboloo Sefaseba. etapobrivi da saboloo Sefaseba tardeba _ akreditebul dawesebulebaSi/saswavlebelSi dadgenili wesis Sesabamisad;i) programiT gaTvaliswinebuli modulebis warmatebiT dasrulebis Semdeg rezidents/specialobis maZiebels saxelmwifo sasertifikacio gamocdaze dasaSvebad eZleva akreditebuli dawesebulebis/saswavleblis mier gacemuli mowmoba;k) programis etapobrivi/saboloo uaryofiTi Sefasebisas rezidents/specialobis maZiebls programis xelmZRvanelis/direqtoris mier ganesazRvreba modulis/modulebis nusxa, romlebic man unda gaiaros ganmeorebiT.

muxli 9. programis xangrZlivoba da ganaxlebis perioduloba

1. plastikur da rekonstruqciul qirurgiaSi diplomisSemdgomi mzadebis periodi moicavs minimum 4 wels (44 Tves). programis mimdinareobis dros, kvalifikaciis maZiebels sxvadasxva obieqturi mizezebidan gamomdinare swavlebis Sewyveta ar SeuZlia erT welze meti periodis xangrZlivobiT. programa iTvaliswinebs kvalifikaciis maZieblis mier kviris ganmavlobaSi minimum 45 saaTian dayovnebis periods saavadmyofos garemoSi. momzadebis periodSi resursebis simciris, programis uwyvetobisa da mimdinareobis xarisxis uzrunvelyofisaTvis SesaZlo risk-faqtorebis gaTvaliswinebiT, Tu kvalifikaciis maZiebeli ver Seasrulebs kurikulums, programis fakulteti ganixilavs sakiTxs programis xangrZlivobis gazrdasTan da klinikuri bazis SecvlasTan dakavSirebiT. 2. programis ganaxleba unda xdebodes 4 weliwadSi erTxel.

Tavi II. programis zogadi nawili (swavlebis sawyisi etapi)

muxli10. პროფესიული მზადების I წელი

1.მზადებისპირველიწლისმოდულებისრაოდენობაარის 2: ზოგადიქირურგია, laparoskopuli qirurgia (bazisuri nawili);2. პროფესიულიმზადების I წლისმიზანი:ზოგადქირურგიაშიდიპლომისშემდგომიმომზადებისპროგრამისრეზიდენტისსაქმიანობისაქცენტირებაუნდამოხდესუპირველესყოვლისაქირურგიულიავადმყოფისპირველადმოვლაზე. რეზიდენტისუშუალომოვალეობასწარმოადგენსპრედაპოსტოპერაციულიმოვლა; ამავდროულად,მისისაქმიანობაუნდამოიცავდესოპერაციულიაქტივობისთანდათანობითზრდასაც. პაციენტისმოვლაზემეთვალყურეობასახორციელებენუფროსირეზიდენტიდაზედამხედველიექიმი, რომლებიცუფლებამოსილებასუნაწილებენუმცროსრეზიდენტსამსაქმიანობისდროს. სწავლებისპირველიწლიდანვეუნდაშეიქმნასკოლეგიურიდააკადემიურიატმოსფერო, რათაუმცროსმარეზიდენტმაშეძლოს, ისწავლოსუფროგამოცდილისამედიცინოპერსონალისაგან. უმცროსირეზიდენტიუნდაგათვითცნობიერდესქირურგიულდაავადებათაფიზიოლოგიურდამეტაბოლურასპექტებში, განსაკუთრებულიაქცენტიუნდაგაკეთდესკონკრეტულავადმყოფთამდგომარეობაზე, რომელიცკლინიკაშიამმომენტისათვისგადისმკურნალობისკურსს. როგორცუკვეაღინიშნა, უმცროსირეზიდენტი, პირველიწლიდანვეეტაპობრივადუნდაჩაერთოსოპერაციულაქტივობაში, უფროსირეზიდენტისადაზედამხედველიექიმისუშუალოხელმძღვანელობით.

muxli 11.profesiuli mzadebis I wlis modulebi

1. moduli 1.1. modulis dasaxeleba- zogadi qirurgia, xangrZlivoba- 10 Tve;2.modulis mizani - sawyisi stadiis mizania rezidents ganuviTaros qirurgiuli sabaziso da fundamenturi Cvevebi, rac saerToa yvela qirurgiuli specialobisTvis. modulis mizania, saorientacio programis Semdgom rezidents gaacnos zogadi qirurgiis ZiriTadi komponentebi. rezidentma unda aiTvisos pre, intra da postoperaciuli marTvis sakiTxebi. igi unda gaecnos aseve, qirurgiuli infeqciisa da klinikuri mikrobiologiis Taviseburebebs, qirurgiuli da nozokomiuri infeqciis prevenciis gzebs. praqtikul nawilSi rezidentma unda daiwyos mcire qirurgiuli manipulaciebis Sesruleba. maT Soris unda daeuflos Wrilobis pirvelad qirurgiul damuSavebas, damuSavebis specifikas midamoebis mixedviT. postoperaciuli intensiuri Terapiis palataSi rezidenti unda daeuflos qirurgiuli avadmyofis Sefasebis unarebs, yuradReba unda

gamaxvildes hemodinamikur da homeostazur maCveneblebze da maTi darRvevis koreqciis gzebze. rezidenti, ramdenime Tvis Semdeg unda asrulebdes poliklinikuri qirurgiis tipiur manipulaciebs. modulis bolos, rezidenti eufleba gadaudebeli samedicino daxmarebis qirurgiul komponentebs, maT Soris traqeotomiis, traqeis intubaciis teqnikas da Teoriul safuZvlebs.3. მოდულისამოცანები: დასახულიმიზნებიდანგამომდინარე, რეზიდენტმაუნდაშესძლოსაითვისოსჩირქოვანიქირურგიისპრინციპები, რაცუნდაგამოიყენოსმცირექირურგიულიმანიპულაციებისშესრულებისდროს, კერძოდ: აბსცესებისდაფლეგმონებისდრენირებია, პანარიციუმის, ჰიდრადენიტისდასხვაჩირქოვანიკერებისგახსნადადრენირება. მოგვიანებით, რეზიდენტიეუფლებალაპაროტომიისადალაპაროტომიულიჭრილობისდახურვისტექნიკასადაპრინციპებს. განსაკუთრებულიყურადღებაექცევაისეთიმანიპულაციებისათვისებას, როგორიცააქირურგისკომპეტენციაშიშემავალიანატომიურისტრუქტურებისაღდგენას (ნერვი, სისხლძარღვი, მყესი). რეზიდენტიეუფლებაბიოფსიურიმასალისმოპოვებისტექნიკასდაბოლოთვეშიმანუნდაშეისწავლოსასეველაპაროსკოპიის, როგორცქირურგიულიმიდგომისერთ-ერთისახისძირითადიპრინციპები. მასუნდაშეეძლოსასისტენციალაპაროსკოპულიოპერაციებისდროს; მანასევეუნდაშესძლოსლაპაროსკოპულიოპერაციისდაწყებადაამისათვისსაკმარისითეორიულიცოდნისადაპრაქტიკულიუნარ-ჩვევებისშეძენა.4.literaturis nusxa :a)grigolia n. qirurgiuli sneulebebi. Tbilisi.2000;b) kuzini m. qirurgiuli sneulebebi. moskovi. 2004. (Targmani);g) l.kikaliSvili, e.yifiani, d. korZaia. topografiuli da klinikuri anatomia. Tbilisi. 2005;d) Schwartz; Shires; Spencer Principles of Surgery. Eigth Edition. 2004 ;e) Bailey and Love's Short Practice of Surgery (A Hodder Arnold Publication). by Norman S Williams (Author), Christopher J.K. Bulstrode (Author), P Ronan O'Connell (Author) , 25th

edition, 2006;v) Sarrel B.E., Carabasi R.A. Surgery. National Medical Series for Independent Study. 1995;z) Silverberg S.C. Principles and Practice of Surgical Pathology;T) Speciality Review in General Surgery. The National Center for Advanced Medical Education. 2001;i) Way L.W. Surgical Diagnosis and Treatment. 1994;k) Way L.W., Doherty G.M. Current Surgical Diagnosis and Treatment. 2004;l) Kant X. Scientific Basic for the Selection of Surgical Needles and Sutures. 1999.;m) Кузин М.И. Хирургические болезни, Москва, 2003;n)http://www.medtrng.com/tutorials_and_simulators_part_8.htn(clinical surgery, surgical videos);o) www.surgical-tutur.org.uk;p) http://www.surgicalcourses.org.uk./;J) www.dundee.ac.uk./surgicalskills/index.htm;r)http://www.update-software.com/publications/cochrane/;s)http://www.ncepod.org.uk/;

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

http://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_2?_encoding=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_1?_encoding=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_1?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Norman%20S%20Williams

t)http://www.intumed.com/.5.Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba

da modulis Sefasebis meTodebi:Teoriuli kursi profesiuli unar-Cvevebi da

Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

zogadi qirurgiuli Cvevebi:usafrTxo qirurgiis pricipebi

qirurgis momzadeba operaciisTvis

xelis dabanis, damuSavebisa da xelTaTmnis Cacmis principebi

qirurgebisa da avadmyofebisaTvis imunizaciis protokolebi

adgilobrivi anesTeziis daniSvna

saanesTezio preparatis SerCeva

qirurgiuli Wrilobebi qirurgiuli Wrilobebis

klasifikacia Wrilobis marTvis

principebi Wrilobis Sexorcebis

paTofiziologia nawiburebi da

kontraqturebi kanisa da kanqveSa

qsovilis gakveTa:o langeris xazebio instrumentis

arCevao usafrTxo praqtika

kanisa da kanqveSa qsovilis daxurva

o Wrilobis yrud gakervis Cvenebebi

o sakeravi Zafisa da nemsis arCeva

kvanZis dadeba

qirurgis momzadeba operaciisTvis efeqturi da saimedo xelis

dabana, xelTaTmanis Cacma da steriluri xalaTis Cacma - 30

adgilobrivi anesTeziis teqnika, saanesTezio agentis swori da usafrTxo gamoyeneba - 10

kanisa da kanqveSa qsovilis gakveTa: skalpelis, diaTermiis da

makratlis gamoyeneba - 20

kanisa da kanqveSa qsovilis daxurva Wrilobis kideebis zusti da

dauWimavi Sepirispireba - 20

kvanZis dadeba - 100: erTi xeliT ori xeliT instrumentiT zedapiruli Rrma

hemostazi - 50: sisxlmdeni sisxlZarRvis

(zedapiruli) kontroli diaTermia ligireba nakeriT kvanZovani ligireba klipireba transfiqsiuri nakeri

modulis mimdinareobis dros, lokaluri xelmZRvaneli, ufrosi rezidenti da zedamxedveli eqimi afaseben rezidentis praqtikuli momzadebis dones. Teoriuli masala fasdeba klinikis TanamSromelTa mier, konferenciebis bolos. Sefaseba fiqsirdeba saregistracio JurnalSi.

o nakerisa da ligaturis dasadebi masala da maTi SerCeva

o qirurgiuli nakerebisa da ligaturebisTvis kvanZebis usafrTxo gamoyeneba

hemostazio qirurgiuli teqnikao diaTermiis

principebi

o instrumentebis SerCeva

biofsiis teqnika aspiraciuli citologiuri masalis aRebis CaTvliT

drenaJis gamoyenebao Cvenebao tipebio menejmenti/

amoReba anastomozis formirebis

principebi qirurgiulo endoskopiis

principebi

qsovilis retraqcia - 20: qirurgiuli pinceti Wrilobis retraqtoris

moTavseba

drenaJis gamoyeneba - 20: Cadgma fiqsacia amoReba

qsovilis damuSaveba - 20: instrumentebis saTanado

gamoyeneba da qsovilebTan faqizi mopyroba

biofsiis teqnika

asistentobis Cvevebi - 20 operatoris asistireba

winasaoperacio marTva:intraoperaciuli marTva:postoperaciuli marTva:winasaoperacio Sefaseba da menejmenti:

kardiorespiratoruli fiziologia Saqriani diabeti da sxva

endokrinuli darRvevebis winasaoperacio koreqcia

siTxis balansi da homeostazi Tirkmlis ukmarisoba sefsisis paTofiziologia _

prevencia da profilaqtika Trombo-emboliis profilaqtika laboratoriuli analizebi da

preoperaciuli Sefaseba da menejmenti avadmyofis gasinjva da

istoriis Sevseba - 20 winasaoperacio kvlevebis

Sedegebis interpretacia - 20

Tanmxlebi daavadebebis menejmenti - 20

reanimacia Sesabamisi - preoperaciuli

daniSnuleba (premedikaciis CaTvliT) - 10

intraoperaciuli mzrunveloba:

modulis mimdinareobis dros, lokaluri xelmZRvaneli, ufrosi rezidenti da zedamxedveli eqimi afaseben rezidentis praqtikuli momzadebis dones. Teoriuli masala fasdeba klinikis TanamSromelTa mier, konferenciebis

instrumentuli kvlevebi operaciis risk faqtorebi premedikacia da sxva

preoperaciuli daniSnulebaintraoperaciuli mzrunveloba:

usafrTxoeba saoperacioSi, raSic Sedis aseve avadmyofis swori pozicia saoperacio magidaze da nervis dazianebis Tavidan acileba

usafrTxoeba basri instrumentebis mimarT

diaTermia, lazeris gamoyeneba

infeqciis riskebi radiaciis gamoyeneba da

riskebi laxtis gamoyeneba misi

Cvenebis, efeqtebis da garTulebebis CaTvliT

adgilobrivi, regionaluri da zogadi anesTeziis principebi

invaziuri da arainvaziuri monitoringis principebi

venuri Trombozis prevencia operacia hepatitis da Sidsis

virusis matareblebSi siTxis balansi da homeostazi

postoperaciuli mzrunveloba postoperaciuli monitoringi kardiorespiratoruli fiziologia siTxis balansi da homeostazi Saqriani diabeti da sxva

endokrinuli darRvevebi Tirkmlis ukmarisoba sisxlis danakargis

paTofiziologia sefsisis paTofiziologia SIRS

da Sokis CaTvliT multiorganuli disfunqciis

sindromi zogadad postoperaciuli

garTulebebi postoperaciuli analgeziis

meTodebikvebis menejmentis Sefaseba da

intraoperaciuli mzrunvelobis usafrTxo warmoeba -30

avadmyofis swori pozicia - 15

nervis dazianebis prevencia - 10

basri instrumentebiT dazianebis prevencia - 20

diaTermuli dazianebis prevencia - 10

venuri Trombozis prevencia - 10

postoperaciuli mzrunveloba: operaciis Canawerebis

gakeTeba - 20 avadmyofis

mdgomareobis Sefaseba da monitoringi - 10

postoperaciuli analgezia - 20

siTxeebisa da eleqtrolitebis menejmenti - 20

organoTa mosalodneli ukmarisobis gamovlena - 20

organoTa ukmarisobis sawyisi menejmenti - 20

dializis principebi da Cvenebebi - 10

postoperaciuli garTulebebis amocnoba, prevencia da mkurnaloba - 10

hemostazi da sisxlis produqtebi: im mdgomareobaTa

amocnoba, ramac SesaZloa migviyvanos hemoragiul diaTezamde - 5

operaciis dros koagulopaTiuri sisxldenis

bolos. Sefaseba fiqsirdeba saregistracio JurnalSi.

dagegmva postoperaciuli kveba malnutriciis efeqtebi _ rogorc

Warbi kveba, ise gamofitva dazianebaze metaboluri

pasuxi kvebis statusis skriningisa da

Sefasebis meTodebi enteraluri da parenteraluri

kvebis meTodebihemostazi da sisxlis komponentebi

hemostazis meqanizmi, maT Soris Sededebis kaskadi

darRveuli hemostazis paTologia. mag.: hemofilia, RviZlis daavadebebi, masiuri hemoragia

sisxlis komponentebi sisxlis produqtebis

gamoyenebis alternativa sisxlis produqtebis daniSvnis

principebi sisxlis produqtebis

gamoyenebasTan dakavSirebuli avadmyofis usafrTxoeba

koagulacia, Rrma venebis Trombozi da embolizmi:

Sededebis meqanizmi. operaciis da travmis

zemoqmedeba koagulaciis procesze

testebi Trombofiliaze da koagulaciis sxva darRvevebze

kvlevis meTodebi Tromboemboliur daavadebaze eWvis dros

venuri Trombozisa da filtvis embolizmis mkurnalobis principebi, antikoagulaciis CaTvliT

Tromboembolizmis profilaqtika Rrma venebis Trombozis riskis

klasifikacia da menejmenti Rrma venebis Trombozis

prevenciis meqanikuri da

amocnoba - 10 sisxlis produqtebis

saTanado gamoyeneba - 10

sisxlis produqtebis transfuziis garTulebebis menejmenti – 10

koagulacia, Rrma venebis Trombozi da embolizmi riskis qveS myofi

avadmyofebis amocnoba - 10

pulmonaruli embolizmisa da Rrma venebis Trombozis amocnoba da diagnozi - 5

venuri Trombozisa da pulmonaruli embolizmis sawyisi da monitoruli mkurnaloba profilaqtikis dawyeba - 9

atibiotikebi antibiotikebis saTanado

daniSnuleba - 10

preoperaciuli kvebiTi mkurnalobis Sefaseba da dagegmva xelovnuri kvebis

uzrunvelyofisaTvis midgomis organizeba; upiratesad sakvebi danamatebi, enteraluri kveba da parenteraluri kveba - 10

metaboluri da endokrinuli darRvevebi endokrinuli da eleqtrolituri

dazianebis mqone avadmyofebis istoriis Segroveba da gasinjva - 10

Tireotoqsikozis da

farmakologiuri meTodebis codna

antibiotikebi qirurgiul avadmyofebSi

ZiriTadi paTogenebi antibiotikebisadmi

mgrZnobeloba antibiotikebis gverdiTi

movlenebi profilaqtikisa da mkurnalobis

principebi

periopraciul menejmentTan dakavSirebuli metaboluri da endokrinuli darRvevebi

Tireoiduli hormonis siWarbisa da deficitis paTofiziologia da masTan asocirebuli operaciuli riskebi

hiper- da hipokalcemiis mizezebi da Sedegebi

kortikosteroiduli Terapiis garTulebebi

steroiduli ukmarisobis mizezebi da Sedegebi

Saqriani diabetis garTulebebi hiponatremiis mizezebi da

Sedegebi hiperkalemiisa da hipokalemiis

mizezebi da Sedegebi

hipoTireoidizmis kvleva da menejmenti - 10

hiper- da hipokalcemiis kvleva da menejmenti - 10

steroidul Terapiaze myofi avadmyofebis perioperaciuli menejmenti - 10

Saqriani diabetis mqone avadmyofebis perioperaciuli menejmenti - 10

hiponatriemiis kvleva da menejmenti - 10

hiper- da hipokaliemiis kvleva da menejmenti - 10

centraluri venis kaTeteris Cadgma -10

ureTris kaTeterizacia 10

qirurgiuli teqnika da teqnologia:

Wrilobis pirveladi qirurgiuli damuSaveba - 20barZayis amputacia - 2falangebis amputacia - 2falangebis amosaxsvra - 2winamxris amputacia - 2terfis amputacia Sarpis mixedviT - 2terfTSorisi amosaxsvra lisfrankis wesiT - 2wvivis Zval-plastikuri amputacia - 2barZayis Zval-plastikuri amputacia - 2suprakondiluri amputacia - 2

modulis mimdinareobis dros, lokaluri xelmZRvaneli, ufrosi rezidenti da zedamxedveli eqimi afaseben rezidentis praqtikuli momzadebis dones. Teoriuli masala fasdeba klinikis TanamSromelTa mier,

sisxlZarRvTa ligacia 10nevrorafia - 5tendorafia - 5laparotomia da laparotomiuli Wrilobis daxurva - 30RviZlis biofsia - 5laparoskopuli teqnikis aTviseba - 10traqeostomia - 5traqeis intubacia - 5

konferenciebis bolos. Sefaseba fiqsirdeba saregistracio JurnalSi.

ZiriTadi qirurgiuli daavadebebiarsebuli simptomebi da sindromebi

abdominuri tkivili abdominuri Seberiloba nawlavTa peristaltikis

cvlilebebi gastrointestinuri

sisxldena reqtaluri sisxldena disfagia dispefsia siyviTle

moicavs Semdeg daavadebebs

apendiciti gastrointestinuri

avTvisebiani simsivne nawlavis anTebiTi

daavadeba divertikuluri daavadeba nawlavis obstruqciuli

gauvaloba Sexorcebebi muclis

RruSi muclis wina kedlis

Tiaqrebi peritoniti nawlavis perforacia saylapavis

keTilTvisebiani daavadeba

peptiuri wylulovani daavadeba

RviZlis, naRvlis buStis


da pankreasis keTilTvisebiani da avTvisebiani daavadebebi

hemoroiduli da perianaluri daavadebebi

muclis kedlis stomebis gaformebaa

sarZeve jirkvlis daavadeba ZuZus simsivneebi da

dvrilis gamonadeni ZuZus mwvave tkivili


ZuZus keTilTvisebiani da avTvisebiani simsivneebi

mastiti da ZuZus abscesi

periferiul sisxlZarRvTa daavadebebi, warmodgenili simpromebi da sindromebi

kiduris qronikuli da mwvave iSemia

anevrizmuli daavadeba tranzitoruli iSemia venebis varikozuli

daavadeba

qvemo kiduris dawylulebamoicavs Semdeg daavadebebs

arteriebis aTerosklerozuli daavadeba

arteriebis emboliuri da Trmbozuli daavadebebi

venuri ukmarisoba diabeturi dawyluleba

endokrinuli daavadebebisimptomebi da sindromebi

kisris simsivneebi

mwvave endokrinuli krizi


Tiroiduli da paraTireoiduli daavadebebi

Tirkmelzeda jirkvlis daavadebebi

Saqriani diabeti politravmazogadi

dazianebuli avadmyofebis Sefasebis qulobrivi sistema

ubeduri SemTxvevis triaJi

gansxvavebebi bavSvebSi

Soki Sokis paTogenezi Soki da

kardiovaskularuli fiziologia

dazianebaze metaboluri pasuxi

mozrdilTa respiratoruli distress sindromi

arajvaredini SeTavsebis sisxlis gamoyenebis Cveneba

Wrilobebisa da rbili qsovilebis dazianebebi

cecxlsasroli iaraRiTa da WurviT dazianebebi

daniT miyenebuli Wrilobebi

adamianisa da cxovelis nakbeni

rbili qsovilebis dazianebis buneba da meqanizmi

rbili qsovilebis

zogadi anamnezi, gasinjva

kvleva - 5 Sesabamis qirurgiul

subspecialobisken gadamisamarTeba - 5

im avadmyofTa reanimacia da adreuli menejmenti, romlebmac miiRes gulmkerdis, Tavis, xerxemlis, muclis an kidurebis dazianebebi - 5

mravlobiTi dazianebis mqone avadmyofTa reanimacia da adreuli menejmenti - 5

specifiuri problemebi ugono mdgomareobaSi

myofi avadmyofis menejmenti - 2

kanis danakargis (deficitis) sawyisi menejmenti - 5

damwvrobis sawyisi menejmenti - 5

centraluri venis kaTeteris Cadgma - 10

gulmkerdis drenaJis Cadgma - 5

diagnostikuri peritonealuri lavaJi - 5


dazianebis menejmentis principebi

travmuli Wrilobebis menejmentis principebi

kompartment sindromi

damwvroba damwvrobis klasifikacia damwvrobis

menejmentis principebi

motexilobebi motexilobebis

klasifikacia motexilobebis

paTofiziologia motexilobebis

menejmentis principebi motexilobebis

garTulebebi saxsrebis dazianebebi

organospecifiuri travma Torakaluri travmis

paTofiziologia pnevmoToraqsi Tavis dazianebebi, raSic

Sedis intrakranialuri travmuli hemoragia da Tavis tvinis dazianeba

xerxemlis svetis dazianeba

periferiuli nervebis dazianeba

muclis blagvi da Semavali travma

elenTis dazianebiT sisxlZarRvTa dazianeba,

maT Soris iatrogenuli dazianebebi

kraS dazianeba

kanis deficitis menejmentis principebi, maT Soris kanis transpalntantebi da kanis

ureTraluri kaTeterizacia - 15

suprapubikuri kaTeterizacia (epicistostomia) - 10

nafleTebiqirurgiuli infeqcia da misi prevencia:

abscesis (flegmonis) gaxsna - 20

Wrilobis pirveladi qirurgiuli damuSaveba 30

hidradenitis drenireba - 5 subfrenuli abscesis

drenireba - 3


muxli 12.

1. moduli 1.2. modulis dasaxeleba- laparoskopiuli qirurgia (bazisuri nawili), xangrZlivoba 1 Tve; –-

2. modulis mizani da amocanebi - kursis mizania swavlebis procesSi rezidenti gaecnos laparoskopiuli qirurgiis Tanamedrove aspeqtebs. swavlebis sawyisi etapi fokusirebulia bazisuri laparoskopiuli qirurgiis aucilebeli komponentebis Seswavlaze, mis Sesrulebis upiratesobebze tradiciul qirurgiasTan mimarTebaSi, laparoskopiuli midgomis Cvenebebze da ukuCvenebebze da aseve misi Sesrulebis teqnikur sirTuleebze da garTulebebze. swavlebis praqtikul nawiliSi rezidents saSualeba eqneba aiTvisos bazisuri laparoskopiuli teqnika, aseve saswavlo procesis praqtikuli etapi orientirebulia Tvalisa da xelis koordinaciis, laparoskopiuli instrumentebis gamoyenebis da sxvadasxva praqtikuli unarCvevebis formireba, daxvewaze.

3. literaturis nusxa:a)Laparoscopic Surgery Second Edition, edited by Daniel B. Jones, Harvard Medical Schoolb)Brunicardi.Schwartz's Principles of Surgery.9ed.2009.ISBN007154769X.1888pages.ebook.Englishg)Laparoscopic Surgery the Nineties ,G Melotti, Ph. Mouret M Meinro / Edition M.Mason 1994

4.Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi:Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli

manipulaciis raodenoba

Sefasebis meTodebi

laparoskopiuli qirurgiis ganviTarebis istoria. Llap. qirurgiis uaxlesi miRwevebi.

Tvalisa da xelis koordinaciis varjiSebi(simulatorebze)''

10 modulis mimdinareobis dros, lokaluri xelmZRvaneli, ufrosi rezidenti da zedamxedveli eqimi afaseben rezidentis praqtikuli momzadebis dones. Teoriuli masala fasdeba klinikis TanamSromelTa mier, konferenciebis bolos. Sefaseba fiqsirdeba saregistracio JurnalSi.

laparoskopiuli qirurgiis upiratesobebi, Cvenebebi da ukuCvenebebi, garTulebebi

pneumoperitoneumis Seqmna. troakarebis moTavsebis teqnika. E(qsperimentul cxovelze)


laparoskopiuli aparaturis gamoyenba. Llap. instrumentebi, troakarebis saxeobebi da maTi gamoyenebis Taviseburebebi

eqstrakorporaluri da intrakorporaluri kvanZis dadeba teqnika. Nakeris dadebis teqnika.(savarjiSo modelebze da eqsperimentul cxovelebze)

10 modulis mimdinareobis dros, lokaluri xelmZRvaneli, ufrosi rezidenti da zedamxedveli eqimi afaseben rezidentis praqtikuli momzadebis

dones. Teoriuli masala fasdeba klinikis TanamSromelTa mier, konferenciebis bolos. Sefaseba fiqsirdeba saregistracio JurnalSi.

pneumoperitoneumis paTofiziologia, garTulebebi, garTulebebis prevencia

qsovilebis diseqciis teqnika. (eqsperimentul cxovelebze)


Tavi IV. programis specifiuri nawili -profesiuli mzadebisII wlis modulebi

muxli 13.1. moduli2.1.- modulis dasaxeleba - - travmatologia-orTopedia, xangrZlivoba 1 Tve2. modulis mizani - orTopediuli qirurgia warmoadgens qirurgiis ganStoebas, romelic orientirebulia Zval-kunTovani sistemis mwvave, qronikul, travmul daavadebebze da sxva saxis paTologiebze. orTopedebi, praqtikaSi yvelaze xSirad xvdebian avadmyofebs, romlebsac aReniSnebaT arTriti, travma an Tandayolili deformacia, romelTa mkurnaloba moiTxovs, rogorc konservatiul mkurnalobas, aseve garkveul qirurgiul intervenciebs. zogadi qirurgiis orTopediuli modulis mizania, rezidentma SeZlos ZiriTad orTopediul problemebSi garkveva, orientireba da garkveul SemTxvevebSi adeqvaturi daxmarebis gaweva. orTopedi qirurgis momzadeba moiTxovs calke rezidenturis programas, romlis sawyisi etapi eTmoba zogad qirurgias, Tumca zogadi qirurgic unda flobdes garkveul codnasa da unar Cvevebs, garkveul sazRvrebSi orTopediuli daxmarebis aRmosaCenad.

3. modulis amocanebiamodulis mimdinareobis dros, yuradReba mieqces Zval-saxsarTa sistemis travmul dazianebaze, gansakuTrebiT kombinirebuli da Serwymuli travmebis dros. rezidents saSualeba mieces Seiswavlos orTopediuli qirurgiis ZiriTadi aspeqtebi da paralelurad aiTvisos sagnis Teoriuli nawili. Ddidi mniSvneloba eniWeba Zval-saxsarTa sistemis dazianebaTa radiologiuri kvlevis meTodebs, orTopediuli travmebis marTvas. 4. literaturis nusxa - ix.danarTi 1.5. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi:

Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

rbili qsovilebis travma – daJeJiloba, eqskoriacia, Wrilobebi.saxsris travmuli dazianeba – RrZoba, posttravmuli arTriti, hemarTrozi, saxsris kunTovan – iogovani aparatis dazianeba – mxris, idayvis, sxiv-majis, menj-barZayis, muxlis da koW-wvivis. sxvadasxva lokalizaciis motexilobebi – zeda da qveda kidurebi, menji.

rbili qsovilebis travmis diagnostika, Wrilobis pirveladi qirurgiuli damuSaveba, Sexveva, monitoringi.amovardnilobis Casworeba – mxari, winamxari, sxiv-majis saxsari, barZayis, wvivi, kviristavi, terfi. imobilizacia rbili da TabaSiris naxveviT.saxsris punqcia hemarTrozis dros.motexilobis kliniko-rentgenologiuri diagnostika. imobilizacia – artaSniT, rbili daWimviT, TabaSiris naxveviT.

ix. danarTi rezidentis praqtikuli aqtivoba da Teoriuli mzadebis Sedegebi fiqsirdeba saregistracio JurnalSi

osteotomia, osteosinTezi, sekvestreqtomia, ZvalSiga fiqsacia, Zvlis plastika, Zvlis rezeqcia, arTrotomia, arTroplastika, arTrodezi

ix. danarTi

barZayis saxsris Secvla ix. danarTi

muxli 14.1. moduli 2.2. dasaxeleba-yba-saxis qirurgia xangrZlivoba- 1 kvira-2. modulis mizani – rezidentis mier praqtikuli codnis gaRrmaveba yba saxis organoebis daavadebebis diagnostikasa, mkurnalobasa da profilaqtikaSi.

3. modulis amocanebi - farTod gavrcelebuli Yyba-saxis midamos daavadebebis: odontogenuri abscesis da flegmonis, travmuli dazianebebis Tanamedrove gadaudebeli qirurgiuli daxmareba.

4. literaturis nusxa - ix. danarTi 1. 5. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi:

Teoriuli kursi profesiuli unar-Cvevebi


Sefasebis meTodebi

saxis abscesis da flegmonis garTulebebis, profilaqtika, mkurnaloba

saxis abscesebis da flegmonis qirurgiuli mkurnalobis teqnika.

2 modulis mimdinareobis dros, lokaluri xelmZRvaneli, afasebs rezidentis praqtikuli da Teoriuli momzadebis dones. Sefaseba fiqsirdeba saregistracio JurnalSi.

saxis Zvlebis travmuli dazianebis diagnostika da mkurnaloba

1.saxis Zvlebis travmuli dazianebis dros, saaunTqi gzebis gamavlobis mizniT krikotiroidotomiis teqnikis aTviseba.

2.saxis Zvlebis travmuli dazianebis da cxvirzedaybis sisxldenebis dros, sisxldenis SeCerebis mizniTa cxviris wina da ukana tamponadis teqnikis aTviseba.

2

2

modulis mimdinareobis dros, lokaluri xelmZRvaneli, afasebs rezidentis praqtikuli da Teoriuli momzadebis dones. Sefaseba fiqsirdeba saregistracio JurnalSi.

muxli 15.

1. moduli2.3.dasaxeleba - intensiuri Terapia, xangrZlivoba -1 Tve.

2. modulis mizani -modulis mizania rezidents Seaswavlos travmis Sedegad miRebuli sxvadasxva dazianebebis mqone avadmyofis marTvis Taviseburebebi. aqcenti unda gakeTdes im urTules problemebze, romelic unda gadawydes qirurgiuli da intensiuri RonisZiebebis kompleqsuri gamoyenebiT saerTo miznis misaRwevad.

3. modulis amocanebi: momavalma zogadma qirurgma unda SeZlos travmuli Sokis dros avadmyofis marTvis principebis gamoyeneba da maTi praqtikuli ganxorcieleba. unda gadawyvitos prioritetulobis sakiTxebi, miiRos gadaudebeli klinikuri gadawyvetilebebi, romlebic daemyareba miRebul Teoriul codnasa da praqtikul gamocdilebas. aseve rezidentma unda gamoimuSaos problemebis kompleqsuri gadawyvetis unarebi. gansakuTrebuli aqcenti unda gakeTdes politravmis marTvaze, hemodinamikur mxardaWerasa da monitoringze.

4. literaturis nusxa - ix. danarTi 1.5. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis

raodenoba da modulis Sefasebis meTodebi:


Sefasebis meTodebi

gadaudebeli medicina:

anesTeziologia, resuscitacia, intensiuri Terapia

ix. danarTi modulis mimdinareobis dros, lokaluri xelmZRvaneli, ufrosi rezidenti da zedamxedveli eqimi afaseben rezidentis praqtikuli momzadebis dones. Teoriuli masala fasdeba klinikis TanamSromelTa mier, konferenciebis bolos. Sefaseba fiqsirdeba saregistracio JurnalSi. intensiuri Terapiis palataSi Catarebuli saqmianobis Sesaxeb, rezidenti akeTebs Canawerebs saregistracio JurnalSi

kritikuli qirurgiuli daavadebebi

SeZlos travmuli Sokis dros avadmyofis marTvis principebis

ix. danarTi modulis mimdinareobis dros, lokaluri

da intensiuri Terapia:

gamoyeneba da maTi praqtikuli ganxorcieleba.gadaudebeli klinikuri gadawyvetilebebi, romelbic daemyareba miRebul Teoriul codnasa da praqtikul gamocdilebas.politravmis marTva, hemodinamikur mxardaWera da monitoringi. avadmyofis marTva mimdinareobs kritikuli (intensiuri) medicinis palatebSi, sadac avadmyofis marTvis Taviseburebebis gacnoba da garkveuli manipulaciebis Sesruleba rezidentis mzadebis aRniSnuli modulis erT-erT ZiriTad amocanas warmoadgens.

xelmZRvaneli, ufrosi rezidenti da zedamxedveli eqimi afaseben rezidentis praqtikuli momzadebis dones. Teoriuli masala fasdeba klinikis TanamSromelTa mier, konferenciebis bolos. Sefaseba fiqsirdeba saregistracio JurnalSi. intensiuri Terapiis palataSi Catarebuli saqmianobis Sesaxeb, rezidenti akeTebs Canawerebs saregistracio JurnalSi

muxli 16.

1. Moduli2.4.dasaxeleba - neiroqirurgia, xangrZlivoba -1 Tve.2. modulis mizani - neiroqirurgia warmoadgens erT-erT ZiriTad qirurgiul

disciplinas, ris gamoc zogadi qirurgis momzadeba aucileblad unda iTvaliswinebdes Sesabamisi codnis miRebas, romelic fokusirebulia cientralur da periferiul nervul sistemis daavadebebze, travmebze da am sistemis qvemdebare struqturebze intervenciaze. modulis farglebSi miRebuli codnis Sesabamisad, rezidentma unda miiRos ZiriTadi codna neiroqirurgiul avadmyofTa operaciuli da araoperaciuli marTvis Taviseburebebis Sesaxeb. araoperaciuli marTva moicavs mdgomareobis Sefasebas, mkurnalobas, intensiur Terapias da reabilitacias centraluri, periferiuli da avtonomiuri nervuli sistemis elementebis, maT Soris am ukanasknelTa damxmare struqturebisa da sisxlZarRvebis daavadebebisa da travmebis dros.

3. მოდულის ამოცანები: რეზიდენტმა დასახული მიზნის მისაღწევად უნდა შეძლოს იმ პათოლოგიური პროცესების შეფასება და კორექცია, რომლებიც არღვევენ ან ცვლიან ნერვული სტრუქტურების ფუნქციობას. Uunda gamaxvildes yuradReba ტკივილისმართვისსაკითხებისშესწავლაze.

4. literaturis nusxa - ix. danarTi 1.

5. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis Sefasebis meTodebi:



Sefasebis meTodebi

centraluri nervuli sistema (neiroqirurgia):rezidenti unda gaecnos bavSvTa da mozrdilTa asakSi nervuli sistemis qirurgiuli, araqirurgiuli da stereotaqtikuri radioqirurgiuli meTodebis gamoyenebiT pacientis marTvis sakiTxebs Semdegi struqturebis paTologiaTa dros: Tavis tvini, tvinis garsebi, sisxlZarRvebi, qalas fuZe, intra da eqstrakraniuli sisxlZarRvebi, zurgis tvini, xerxemali, kraniuli da spinaluri nervebi, periferiuli nervebi.

Tavis midamos Wrilobis pirveladi qirurgiuli damuSaveba, Tavis qalas Zval-plastikuri trepanacia

10 modulis mimdinareobis dros, lokaluri xelmZRvaneli, afasebs rezidentis praqtikuli da Teoriuli momzadebis dones. Sefaseba fiqsirdeba saregistracio JurnalSi.

muxli17.1. moduli 2.5.dasaxeleba - plastikuri qirurgia, xangrZlivoba - 2 Tve.2. modulis mizani - plastikuri qirurgiis modulis mizania rezidents,

qirurgiuli teqnikis gamoyenebiT Seaswavlos, sxeulis funqciisa da vizualuri elementebis koreqcia. plastikuri qirurgiis modulis gavlisas rezidentma unda aiTvisos rogorc kosmetikuri, ise rekonstruqciuli teqnikis ZiriTadi elementebi da maTi adekvaturi gamoyenebis Taviseburebebi.

3. მოდულის ამოცანები: მოდულის ამოცანაა რეზიდენტმა შეძლოს კოსმეტიკური და რეკონსტრუქციული ელემენტების გამოყენების მიზანშეწონილობის განსაზღვრა ქირურგიული პრაქტიკის დროს. გარდა ამისა, რეზიდენტი უნდა დაეუფლოს ქირურგიული ტექნიკის ძირითად ელემენტებს, მათი შემდგომი პრაქტიკული გამოყენების მიზნით. აქცენტი უნდა გაკეთდეს კანის გადანერგვაზე და პლასტიკაზე, როგორც ქსოვილთა

ადგილობრივი გადანაცვლების, ასევე თავისუფალი და სხვა მეთოდების გამოყენებით.




Sefasebis meTodebi

Pplastikuri qirurgia kanis gadanergva, kanis plastika, rogorc qsovilTa adgilobrivi gadanacvlebis, aseve Tavisufali da sxva meTodebis gamoyenebiT.

5 modulis mimdinareobis dros, lokaluri xelmZRvaneli, afasebs rezidentis Teoriuli momzadebis dones. Sefaseba fiqsirdeba saregistracio JurnalSi.

muxli18.1. moduli2.6. dasaxeleba - kombustiologia, xangrZlivoba_ 2Tve da 3kvira.2.modulis mizania – kombustiologiuri dargis specifikurobisa da principebis gacnoba da Seswavla. aRniSnul etapze ZiriTadi aqcenti ori mimarTulebiT unda gakeTdes; swavlebis pirveli etapi exeba sxvadasxva etiologiiT gamowveuli Termuli travmis SemTxvevebs, romlebic sxva travmebisgan sruliad gansxvavebul midgomas da saTanado gadaudebel, rogorc konservatiul, aseve qirurgiul mkurnalobas saWiroeben.3. modulis amocanebia (miznis miRwevis/daZlevis saSualebebi)kombustiologiuri qirurgiis modulis amocanaa, rogorc bavSvebSi, aseve mozrdilebSi Termuli travmis Sedegad gamowveuli daavadebis calkeuli periodebisa da fazebis Sesabamisi gadaudebeli intensiuri Terapiis principebis gacnoba da Seswavla. rezidentma unda aiTvisos hemodinamikis maCvneblis sruli speqtri da moaxdinos arsebuli, hemodinamikuri maCveneblis fonze, paTogenezuri midgomiT, rogorc konservatiuli, aseve qirurgiuli mkurnalobis diferencirebuli dagegmareba da warmarTva. amasTan dakavSirebiT man unda aiTvisos farmakoregulirebisa da infuziur-transfuziuli Terapiis sakiTxebi. rezidentma unda SesZlos Termuli travmiT miyenebuli Wrilobebis wakiTxva masSi mimdinare procesebis gaTvaliswinebiT. unda erkveodes baqteriologiuri da citologiuri maCveneblebis interpretaciis sakiTxebSi. rezidentma, unda aiTvisos nekreqtomiis tangencialuri da sxva tipis nekreqtomiebis saTanado Cvenebis mixedviT warmoebis teqnika. man,

aseve unda Seiswavlos mwvave plastikis (auto kanis, qseno an alo transplantaciis) teqnologia da operaciis Semdgomi warmarTva.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:



davaleba

rezidenti gaecnoba Termuli dazianebis arsis saxeobas, gamomwvev etiologiur faq-torebs da maT mniSvnelobas dazianebis meqanizmTan urTi-erTkavSirSi. gaecnoba dam-wvrobiTi daavadebis gansaz-Rvrebas, rogorc calke arse-bul nozologiuri erTeulisas.

gamomwvev etiologiur

faqtorebisa da me-qanizmis

mixedviT savaraudo wina-swari diagnosis

gansazRva

lokaluri xelmZRvaneli

seminaris catarebisas gamoavlens rezidentis

momzadebis xa-risxs da Se-fasebas afiq-

sirebs saregistracio

JurnalSirezidenti aiTvisebs kanisa da mis qveSmdebare qsovilebis fiziologiuri, anatomiuri da histologiuri Tvisebebis mniSvnelobas, diagnostikisa da prognozebis sakiTxebs.

Kanis da qveSmde-bare

qsovilebis fiziologiis

Sefardebis unari dazianebul qsovilebTan

mimarTebaSi.rezidenti Seiswavlis damwvrobiT gamowveuli dazianebis siRrmis, farTis gansazRvras Tanamedrove klasifikaciis doneze. zusti anamnezuri monacemebis mniSvnelobas diagnostikisa da prognozirebis sakiTxebSi;damwvrobiT dazianebuli lokalizaciis mniSvnelobas da masTan dakavsirebul problemebs.

siRrmis da farTis dadgena arsebuli

klasifikaciis mixedviT.

lokaluri statusis dawvrilebiTi,

swori aRweriloba. diagnosis

dazusteba.

video masalis Cvenebebisas rezidenti am-JRavnebs Teo-

riuli da pra-qtikuli saki-

Txebis codnas, romelic loka-

luri xelmZRvanelis

a da damxmare

eqimebis mier tardeba re-gistraciis JurnalSi

dafiqsirebiT.seminari

rezidenti gaecnoba damwvrobiT gamowveuli dazianebis lokalur da zogad garTulebebs (gul-

garTulebebis mixedviT calkeuli organoebisa da sistemebis

sisxlZarRvTa, tavis tvinis, kuWnawlavis traqtis, RviZlis, Tirkmelebisa da sxva sistemebis mxriv); damwvrobiTi daavadebebis dros paTologiur polisindromTa gamovlinebas da maT interpretacias klinikur da paraklinikur monacemebs.

diagnostireba. klinikur da paraklinikur monacemebze interpretaciis unarCvevebis gamomuSaveba.

rezidenti Seiswavlis sainfuzio saSualebebis diferencirebul SerCevas da maTi moculobis gansazRvras; sasunTqi gzebis damwvrobis diagnostikas (klinikuri da paraklinikuri monacemebis mniSvnelobas).

avadmyofis individualuri monacemebis gaTvaliswineba. sainfuzio sa-Sualebebis intravenuri i/v Seyvanisas. mo-culobis dadge-naze unarCvevebis gamomuSaveba.

rezidenti uSualod monawileobis infuziuri terapiis moculobis dadgenaSi da asrulebs teqnikurad i/v infuzias. Sefaseba xdeba mkurnali eqimisa da lokaluri xelmZRvanelis mier saregistracio JurnalSi gatarebiT.

rezidenti gaecnoba eleqtro damwvrobis

(kontaqturi da arakontaqturi) dazianebis

meqanizmis Taviseburebas da

diagnostikas.

anamnezuri monacemebis mniSvnelobis

gansazRvra swori diagnosis dasmisas.

rezidenti seiswavlis Wri-lobaSi mimdinare procesebis kriteriumebis Sefasebas klinikur da laboratoriul monacemebis mixedviT; damwvrobis zedapirisa da Wrilobis baqteriologiuri da citologiuri gamokvleve-bis interpretirebiT Sefa-sebas; antimikrobuli saSualebebis adgilobriv gamoyenebas da maT mniSvnelobas mkurnalobis sworad

WrilobaSi mimdi-nare procesebis diagnoscireba, baqteriologiuri da citologiuri

masalis aRebis teqnikis

Seswavla damwvrobis zedapiridan

nekreqtomiisa da nekrotomiis

teqnikis warmoeba (teqnikis

Prezentacia-video masalis Sesabamisad damwvrobis zedapiridan baqteriologiuri da citologiuri anabeWdis aReba da misi interpretacia mikroskopSi. Sefaseba xdeba eqim baqterio-logisa da lokaluri

warmer-Tvis procesSi; nekreqtomiis da nekrotomiis kriteriumebis gansazRvras da maTi Catarebis vadebis dadgenas

aTviseba) xelmZRvanelis mier saregistra-cio JurnalSi

rezidenti gaecnoba operaciebis da

saanesTezio brigades organizaciul mzadyofnas adreuli nekreqtomiisa da

Semdgomi autodermoplastikisTvis.

Aadreuli nekreqtomiis anu

tangencialuri nekreqtomiis

teqnika da Sefa-seba.

20

uSualod awarmoebs tangencialur

nekreqtomias. lokaluri

xelmZrvanelis Sefaseba

registraciis JurnalSi

Seiswavlis dazianebuli kanis safarvelis aRdgenas qiru-rgiuli meTodebiT (autoplastika mTliani an gaxleCili nafleTiT an markebis wesiT moulem jeqsonis meTodebiT badebrivi autotransplantacia); Seiswavlis agreTve kanis safarvelis aRdgenas bio-logiuri da sinTezuri masalebiT(alotransplantaci, homotransplantacia, qseno-transplantacis)

unar-Cvevebis gamomusaveba autoplastikis mTliani an gaxleCili nafleTis wesiT. dermatomes xmarebis unar-Cvevebis gamo-muSaveba.

15

rezidenti damoukideblad awarmoebs sxvadasxva

tipis autoplastikebs.

ecveva dermatomes xmarebas da

saTanado ubnebis Sercevas defeqtis

lokalizaciisa da Sinaarsis mixedviT. Sefaseba

registraciis JurnalSi

dafiqsirebiT lokaluri

xelmZRvanelis mier.

rezidenti gaecnoba damwvrobiTi

daavadebebis dros enteraluri da

parenteraluri kvebis reJimis mniSvnelobas.

damwvrobiT dazianebuli avadmyofebis

enteraluri da parenteraluri kvebis reJimis daniSvna da warmoeba.

gautkivarebis saSualebebis diferencirebuli

30

avadmyofs damoukidebla

d uniSnavs enteralur da parenteralur

dozis moculobas. Sefaseba

gautkivarebisa da masTan dakavsirebul

specializirebul sakiTxebs

SerCeva ganyofilebis xelmZRvanelis,

mkurnali eeqimisa da

lokaluri xelmZRvanelis

mier saregistracio

JurnalSi SetaniT

rezidenti gaecnoba kombu-stiologiur da plastikuri qirurgiaSi intensiuri Tera-piis warmarTvis principebs

intensiuri Terapiis ZiriTadi

principebis praqtikuli

Sefaseba da usualo

monawileoba

avadmyofs damoukidebla

d uniSnavs enteraluri da parenteraluri

dozis moculobas. ganyofilebis

xelmZRvanelis, mkurnali

eeqimisa da lokaluri

xelmZRvanelis mier

saregistracio JurnalSi SetaniT

rezidenti aiTvisebs bazisur Teoriul codnas reanimaciis ganyofilebaSi/intensiuri terapiaSi/, miirebs garkveul gamocdilebas meTodebis dauflebaSi intensiuri da-kvivebis da intensiuri mkurnalobis praqtikul RonizZiebebis Catarebis sakiTxebSi; arniSnuls miekuTvneba:1. diferencirebuli sunTqvis teqnika;2. xelovnuri sunTqvis variantebi analgeziis da sedativebis gamoyenebis dos;3. romelime organos

diferencirebuli sunTqvis teqnikis, xelovnuri sunTqvis

variantebis warmoeba. romelime

organos mwvave ukmarisobis dros eqstrakorporaluri Secvlis teqnikis

aTviseba. diagnostikuri bronqoskopiis

teqnikis aTviseba da uSualo

monawileobis miReba.

20

videomasalaze dayrdnobiT seminaris Catareba.

monawileoba xelovnuri sunTqvis

teqnologiebSi.Sefaseba-

reanimaciis mTavari

specialistis da lokaluri

xelmZRvanelis mier


mwvave ukmarisobis dros eqstrakorporaluri secvlis meTodi;4. diagnostikuri bronqoskopia.

rezidenti Seiswavlis centraluri sisxlZarRvebis

kaTeterizacias; gulsisxlZarRvTa da filtvis

ukmarisobis ganvitarebisas gadaudebeli

RonisZiebebis Catarebas, hipoTermiis sakiTxebs.

centraluri venis kaTeterizaciis

teqnikis aTviseba da unar-Cvevebis gamomusaveba

am mimarTulebiT.

30

kaTeterizaciis damoukidebeli

catareba.Sefaseba-

eqim-transfuziolo-gis

da lokaluri xelmZRvanelis

mier saregistracio

JurnalSi SetaniT

rezidenti gaecnoba intensiuri Terapiis

warmoebisas sakanonmdeblo da eTikuri aspeqtebis

gaTvaliswinebas. igi aiTvisebs kombustiologiis

plastikuri qirurgiaSi zogadi da specialuri

laboratoriuli gamokvlevebis

diferencirebul SerCevas da maT interpretacias.

aiTvisebs sakanonmdeblo

da eTikur aspeqtebs

seminari

5. modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _ Teoriuli codna Sefasdeba seminarebze rezidentis aqtivobis mixedviT, praqtikuli unar-Cvevebi Sefasdeba operaciaze an sxva maniplaciaze gamoCenili aqtivobis mixedviT.pirveli asistenti – 1 qula;operatori wamyvani qirurgis zedamxedvelobis qveS – 2 qula;operatori wamyvani qirurgis zedamxedvelobis gareSe–4 qula;meore asistenti – 0,5 qula.

muxli19.1. moduli2.7. dasaxeleba - bavSvTa qirurgia, xangrZlivoba - -1 Tve.2. modulis mizani - bavSvTa qirurgia anu pediatriuli qirurgia

warmoadgens qirurgiul subspecialobas, romelic moicavs nayofis, axalSobilis, bavSvTa da mozardTa asakis qirurgias. aRniSnuli dargis Seswavla zogadi qirurgisaTvis miznad isaxavs swored im Taviseburebebis Seswavlas, romelic zemoT CamoTvlil asakobriv jgufebSi Sedis da xSirad gadaudebeli daxmarebis aRmoCenas sasicocxlo mniSvneloba eniWeba adamianis gadasarCenad. bavSvTa

qirurgis momzadeba warmoudgenelia zogadi qirurgiis rezidenturis gareSe, amdenad, aRniSnuli moduli, zogadqirurgiuli mzadebis integralur nawilad unda CaiTvalos.

3. მოდულის ამოცანებიაბავშვთა ქირურგიის მოდულის მიზნის მისაღწევად, რეზიდენტმა შეიძინოს საბაზისო ცოდნა და სათანადო უნარ-ჩვევები რათა შესძლოს გადაუდებელი აუცილებლობის შემთხვევაში ქირურგიული დახმარების აღმოჩენა.





Sefasebis meTodebi

Sinagan organoTa Tandayolili malformaciebi (Sardis buStis higroma, saylapavis atrezia da traqeo-ezofaguri fistula, hipertrofuli pilorostenozi, intestinuri atrezia, nekrozuli enterokoliti, mekoniuri gauvaloba, hirSprungis daavadeba, daxSuli anusi, saTeslis daSvebis Seferxeba da a.S. bavSvTa qirurgiis kompetencias ganekuTvneba aseve muclis kedlis defeqtebi: omfalocele, gastrosxizi,

apendeqtomia;operaciebi kuWze, wvril nawlavze da msxvil nawlavze

ix. danarTi modulis mimdinareobis dros, lokaluri xelmZRvaneli da zedamxedveli eqimi afaseben rezidentis praqtikuli da Teoriul momzadebis dones.

Tiaqrebi; gulmkerdis deformaciebi; bavSvTa asakis simsivneebi: neiroblastoma, Wilms-is simsivne, rabdomiosarkoma, RviZlis kibo, teratoma

muxli 20.1. moduli2.8. dasaxeleba - sisxlZarRvTa qirurgia, xangrZlivoba - 2 Tve.2. modulis mizania rezidenti swavlobdes uSualod sisxlZarRvovani

paTologiebis diagnostikas da minimalur-invaziur intervenciebs. mocemul etapze, sisxlZarRvTa paTologiebi, gulis qirurgiasTan paralelurad ar ganixileba. modulis dasrulebis Semdeg, rezidents unda SeeZlos Tavisufali orientacia sisxlZarRvTa qirurgiis yvela im sakiTxSi, romelic aucilebeli iqneba zogadi qirurgiis praqtikis warsamarTavad. aqedan gamomdinare, didi moculobis angiologiuri operaciebis dros rezidents evaleba operaciis ZiriTadi principebis aTviseba da operaciebis dros asistencia. rezidenti swavlobs uSualod sisxlZarRvTa qirurgiuli daavadebebis mkurnalobis ZiriTad meTodebs. modulis dasrulebis Semdeg, rezidents unda SeeZlos Tavisufali orientacia sisxlZarRvTa qirurgiis yvela im sakiTxSi, romelic aucilebeli iqneba zogadi qirurgiis praqtikis wasamarTavad.

3. მოდულის ამოცანები:სისხლძარღვთა ქირურგია წარმოადგენს ქირურგიის განშტოებას, რომელიც მოიცავს ინტერვენციებს არტერიებზე და ვენებზე, ასევე პერიფერიული ვასკულური სისტემის დაავადებების კონსერვატიული მკურნალობის მეთოდებს. რეზიდენტმა უნდა შეისწავლოს არტერიული დაავადებები (განსაკუთრებული ყურადღება უნდა გამახვილდეს დიაბეტის ფონზე განვითარებულ დარღვევებზე); რეზიდენტი უნდა გაეცნოს კაროტიდულ ენდარტერექტომიას, არტერიულ და ფემორალ ენდარტერექტომიას, ანევრიზმებს, იშემიურ დაზიანებებს (კიდურის იშემია, ჯორჯლის იშემია, პერიფერიული არტერიების ოკლუზიური დაავადებები). ასევე ღრმა ვენების თრომბოზს, რენალურ იშემიას, თრომბექტომიას და საჭმლის მომნელებელი ტრაქტის სხვადასხვა უბნების იშემიურ დაზიანებებს. ვენების დაავადებებიდან რეზიდენტმა უნდა შეისწავლოს ვარიკოზული დაავადება, ვენების მალფორმაციები და დიაბეტური ტერფისა და შეუხორცებელი წყლულების მართვის თავისებურებები.





Sefasebis meTodebi

Aangiologia,sisxlZarRvTa qirurgiaarteriebisa da venebis daavadebebi

saCino venis maRali ligacia da stripingi, Suntirebis procedura portuli hipertenziis dros.varikozuli daavadeba, venebis malformaciebi da diabeturi terfisa da Seuxorcebeli wylulebis marTvis Taviseburebebi.


rezidenti unda gaecnos karotidul endartereqtomias, arteriul da femoral endartereqtomias, anevrizmebs, iSemiur dazianebebs (kiduris iSemia, jorjlis iSemia, periferiuli arteriebis okluziuri daavadebebi). programa moicavs aseve Rrma venebis Trombozs, renalur iSemias, Trombeqtomias da saWmlis momnelebeli traqtis sxvadasxva ubnebis iSemiur dazianebebs.

aortofemoruli Suntireba, karotiduli endartereqtomia, Rru venis interrupcia, muclis aortis anevrizmis rezeqcia, portakavuri Suntireba, splenorenuli Suntireba, saCino venis Suntireba


muxli21.

1. moduli 3.1. dasaxeleba - rekonstruqciuli mikroqirurgia, xangrZlivoba _ 5 Tve.2. modulis mizania - rezidentma Seiswavlos mikroqirurgiis, rogorc Teoriuli aseve praqtikuli mxareebi. SeiZinos Sesabamisi pacientebis gamokvlevis, pre, intra da postoperaciuli marTvis Teoriuli da praqtikuli unar-Cvevebi.3. modulis amocanebia (miznis miRwevis/daZlevis saSualebebi)Teoriuli da praqikuli mecadineobis Sedegad rezidentma SeiZinos aRniSnul disciplinaSi aucilebeli profesiuli unar-Cvevebi

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:



davaleba

zemo kiduris posttravmuli dazianebebisa da defeqtebis diagnostika da klasifikacia

seminari

operaciis Cveneba seminariavadmyofebis momzadeba

saoperaciodseminari

gautkivareba seminarirekonstruqciuli mikroqiru-rgiuli operaciebis zogadi

sakiTxebi

seminari

racionaluri ganakvetebi da kanis plastika

seminari

myesebis nakeri da plastika, tenolizi

operaciaSi monawileoba

30

sisxlZarRvebis nakeri da plastika, arteriolizi


30

nervebis nakeri da plastika, nevrolizi


30

avadmyofebis operaciis Semdgomi movla

TiTebis da mtevnis Tandayolilideformaciebisa da

ganviTarebis mankebis mkurnaloba


30

TiTebis da mtevnis dermat-ogenuli, osteogenuri da

myesovani kontraqturebis mkurnaloba


30

neirogenuri da neiroiSemiuri kontraqturebis mkurnaloba

folkmanis kontraqturis mkurnaloba


30

kunTis gadanergva operaciaSi monawileoba

15

mcire saxsrebis da Zvlebis gadanergva


10

TiTebis gadanergva operaciaSi monawileoba

10

kanis gadanergva operaciaSi monawileoba

40

nafleTis da zurgis uganieresi kunTis transplantacia zemo kiduris trofikuli da motoruli

funqciis aRsadgenad


20

nafleTebis transplantacia zemo kidurebis rbilqsovi-

lovani defeqtebis Casanacvle-blad


30

rekonstruqciuli mikroqiru-rgiuli operaciebis Semdeg avadmyofTa reabilita-cia

makoregirebeli ganmeorebiTi operaciebi


ar aris gansazRvruli

5. Sefaseba:a) pirveli asistenti – 1 qula;b) modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _ Teoriuli codna

Sefasdeba seminarebze rezidentis aqtivobis mixedviT;g) praqtikuli unarCvevebi Sefasdeba operaciaze an sxva maniplaciaze gamoCenili aqtivobis mixedviT;d) operatori wamyvani qirurgis zedamxedvelobis qveS – 2 qula;e) operatori wamyvani qirurgis zedamxedvelobis gareSe–4 qula;v) meore asistenti – 0,5 qula.

muxli 22.1.moduli 3.2. dasaxeleba - periferiuli nervuli sistemis mikroqirurgia, xangrZlivoba_ 3 Tve.2. modulis mizania - rezidentma Seiswavlos periferiuli nervuli sistemis mikroqirurgiis, rogorc Teoriuli aseve praqtikuli mxareebi. SeiZinos Sesabamisi pacientebis gamokvlevis, pre, intra da postoperaciuli marTvis Teoriuli da praqtikuli unar-Cvevebi.3. modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): Teoriuli da praqtikuli mecadineobis Sedegad rezidentma SeiZinos aRniSnul disciplinaSi aucilebeli profesiuli unar-Cvevebi.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:

Teoriuli kursi profesiuli unar- Sesasrulebeli davaleba

Cvevebi manipulaciis raodenoba

periferiuli nervebis anatomia da fiziologia

seminari

periferiuli nervebis daavadebisa da dazianebis klasifikacia

seminari

zemo da qvemo kidurebis periferiuli nervebis dazianebis klinika

seminari

saxis nervis dazianebis klinika

seminari

nervebze operaciebis zogadi sakiTxebi

seminari

nevrolizi da misi saxeebi operaciaSi monawileoba

40

nakeri da misi saxeebi Seminariplastika da misi saxeebimxris wnulis mikroqirurgiazemo kiduris nervebis mikroqirurgiaSuaTana nerviidayvis nervisxivis nerviqvemo kidurebis nervebis mikroqirurgiasajdomi nervididi wvivis nervimcire wvivis nervisaxis nervis mikroqirurgiaperiferiul nervebze operaciis Cvenebaoperaciebis wina da Smdgomi mkurnalobis Taviseburebebiavadmyofebis reabilitacia periferiul nervebze operaciis Semdegalternatiuli operaciebi periferiuli nervebis dazianebisas

5. Sefaseba:a) modulis Sefasebis meTodebi _ Teoriuli codna Sefasdeba seminarebze rezidentis aqtivobis mixedviT;

b) praqtikuli unarCvevebi Sefasdeba operaciaze an sxva manipulaciaze gamoCenili aqtivobis mixedviT;g) pirveli asistenti – 1 qula;d) operatori wamyvani qirurgis zedamxedvelobis qveS – 2 qula;e) operatori wamyvani qirurgis zedamxedvelobis gareSe–4 qula;v) meore asistenti – 0,5 qula.

muxli 23.1.moduli 3.3. dasaxeleba - nafleTebis mikroqirurgia, xangrZlivoba_ 3 Tve.2. modulis mizania - rezidentma Seiswavlos nafleTebis mikroqirurgiis, rogorc Teoriuli, aseve praqtikuli mxareebi. SeiZinos Sesabamisi pacientebis gamokvlevis, pre, intra da postoperaciuli marTvis Teoriuli da praqtikuli unar-Cvevebi.3. modulis amocanebia (miznis miRwevis/daZlevis saSualebebi)Teoriuli da praqtikuli mecadineobis Sedegad rezidentma SeiZinos aRniSnul disciplinaSi aucilebeli profesiuli unar-Cvevebi.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:



davaleba

nafleTebis mikroqirurgiis anatomiuri dasabuTeba

seminari

Tavisufali nafleTebis klasifikacia

seminari

nafleTebis mikroqirurgiuli gadanergvisa da rotaciis zogadi Tvisebebi

seminari

Cveneba seminarinafleTebis dagegmva seminarioperaciis teqnika da donoruli zonebis daxurva


40

transplantatis sicocxlisunarianobis kontroli

seminari

avadmyofebis operaciis Smdgomi movlakan-cximovani da kan-fascialuri nafleTebis mikroqirurgia


30

barZayis kan-fascialuri nafleTebi;


30

safenis (muxlis midamos) nafleTi


20

terfis dorzaluri nafleTi operaciaSi monawileoba

20

terfis TiTTaSorisi nafleTi (usaxsrod da falangTaSorisi saxsriT);


10

beWis midamos nafleTi operaciaSi monawileoba

10

iRliisqveSa nafleTi; operaciaSi monawileoba

10

deltoiduri nafleTi; operaciaSi monawileoba

A10

mxris kan-fascialuri nafleTi (idayvis da sxivis)


10

safeTqlis, yurisukana da Sublis nafleTebi


10

kan-kunTovani nafleTebis da kunTovani transplantatebis mikroqirurgia


30

zurgis uganieresi kunTis nafleTi


10

kan-kunTovani Torakodorzaluri nafleTi


30

kan-kunTovani Torako-abdominaluri nafleTi


10

mkerdis didi kunTis nafleTi operaciaSi monawileoba

10

dakbiluli kunTis nafleTi 10muclis swori kunTis nafleTi operaciaSi

monawileoba10

barZayis ganieri fasciis damWimavi kunTis gadanergva


10

nazi kunTis nafleTis gadanergva;


10

terfis TiTebis saerTo gamSlelis gadanergva


5

fexis gulis medialuri nafleTi


5

Zvlovani nafleTebis Tavisufali mikroqirurgiuli


5

gadanergvabeWis midamos nafleTi beWis Zvlis CarTviT


5

neknis nafleTi operaciaSi monawileoba

5

sxivis kan-Zvlovani nafleTi operaciaSi monawileoba

5

TeZos Zvlis qedis nafleTi operaciaSi monawileoba

5

nafleTi mcire wvivis ZvliT operaciaSi monawileoba

5

nafleTovani mikroqirurgia qirurgiis momijnave dargebSi

seminari

5. Sefaseba:a) modulis Sefasebis meTodebi _ Teoriuli codna Sefasdeba seminarebze;b) rezidentis aqtivobis mixedviT; g) praqtikuli unar-Cvevebi Sefasdeba operaciaze an sxva manipulaciaze gamoCenili aqtivobis mixedviT;d) pirveli asistenti – 1 qula;e) operatori wamyvani qirurgis zedamxedvelobis qveS – 2 qula;v) operatori wamyvani qirurgis zedamxedvelobis gareSe–4 qula;z) meore asistenti – 0,5 qula.

muxli24.1. moduli 4.1. dasaxeleba - esTetikuri qirurgiis safuZvlebi, xangrZlivoba_ 3 Tve.2. modulis mizania rezidentma Seiswavlos esTetikuri qirurgiis, rogorc Teoriuli aseve praqtikuli mxareebi. SeiZinos Sesabamisi pacientebis gamokvlevis, pre, intra da postoperaciuli marTvis Teoriuli da praqtikuli unar-Cvevebi.3. modulis amocanebia (miznis miRwevis/daZlevis saSualebebi)Teoriuli da praqikuli mecadineobis Sedegad rezidentma SeiZinos aRniSnul disciplinaSi aucilebeli profesiuli unar-Cvevebi.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:

Teoriuli kursi profesiuli unar-

Cvevebi


davaleba

plastikuri qirurgiis gansazRvreba, moculoba

da zogadi principebi

seminari

esTetikuri operaciebis Cvenebis dadgena

seminari

kanis optimaluri seminari

ganakveTi

kanis plastika da gadanergva

operaciaSi monawileob

a

70

kanis defeqtebis daxurva adgilobrivi qsovilebiT


a

100

kanis gadanergva filatovis ylortebiT


a

20

kanis Tavisufali mikroqi-rurgiuli gadanergva


a

70

kanis kosmetikuri nakerebi


a

400

keloiduri nawiburebi maTi profilaqtika da mkurnaloba

seminari

kuWis balonireba operaciaSi monawileob

a

5

anesTeziologia, reanimacia da intensiuri

Terapia esTetikuri qirurgiaSi

seminari

operaciis wina da Semdgomi mkurnaloba

esTetikuri qirurgiasi

seminari

garTulebebi esTetikuri qirurgiaSi, maTi profilaqtika da mkurnaloba

seminari

deontologiis sakiTxebi esTetikuri qirurgiaSi

seminari

transplantacia plastikuri qirurgiaSi

seminari

implantaciuri masalebi seminarifsiqologiuri aspeqtebis ga-

Tvaliswineba da maTi mni-Svneloba

seminari

sxeulis ama Tu im midamos gaTvaliswinebiT defeqtebis an deformaciis

seminari

analizi. anatomiuri Taviseburebani

operaciis warmarTva da saTanado masalis

momzadebasaoperacios,

instrumentebis da saTanado masalis

momzadebalaboratoriuli kvlevis meTo-

debis moculobis gansazRvra

seminari

sxeulis saxvadasxva ubanze ganakveTebis warmoebis wina-swari

dagegmvis mniSvneloba

seminari

nakerebis dadebis specifi-kuroba Wrilobis

saxeobisa, xasiaTisa da lokalizaciis

gaTvaliswinebiT

seminari

sakeri masalis diferencire-buli SerCeva sxeulis calke-

uli ubnebis gaTvaliswinebiT

seminari

plastikuri operaciebis dros Wrilobis hemostazi, koag-ulacia, eleqtrodenis gamo-

yenebis Cveneba. drenaJebis da filTebis

xmarebis Cvenebani da ukuCvenebani

seminari

kanis generalizebuli moSli-lobani. hipertrofiuli nawi-burebi da keloidebi

seminari

kraniofascialuri anomaliebi da Sesatyvisi qirurgia (rekonstruqciuli

plastikebi)

seminari

saxis rbili qsovilebis dazianebebi. Tandayolili

anomaliebi (kurdRlis tuCi, sasis naprali, mlis xaxa da

sxva)


a

50

warbebis, orbitebis operaciaSi 30

rekons-truqcia. defeqtebis nairsaxeoba Tvalis da

quTuTos areSi

monawileoba

saxis Zvlis motexilobebi

5. Sefaseba:a) modulis Sefasebis meTodebi _ Teoriuli codna Sefasdeba seminarebze rezidentis aqtivobis mixedviT;b) praqtikuli unar-Cvevebi Sefasdeba operaciaze an sxva manipulaciaze gamoCenili aqtivobis mixedviT;g) pirveli asistenti – 1 qula;d) operatori wamyvani qirurgis zedamxedvelobis qveS – 2 qula; e) operatori wamyvani qirurgis zedamxedvelobis gareSe–4 qula;v) meore asistenti – 0,5 qula.

muxli25.1. moduli 4.2. dasaxeleba - saxis da Tavis plastikuri qirurgia,xangrZlivoba_ 3 Tve.2. modulis mizania - rezidentma Seiswavlos saxis da Tavis plastikuri qirurgiis, rogorc Teoriuli, aseve praqtikuli mxareebi. SeiZinos Sesabamisi pacientebis gamokvlevis, pre, intra da postoperaciuli marTvis Teoriuli da praqtikuli unar-Cvevebi.3. modulis amocanebia (miznis miRwevis/daZlevis saSualebebi)Teoriuli da praqtikuli mecadineobis Sedegad rezidentma SeiZinos aRniSnul disciplinaSi aucilebeli profesiuli unar-Cvevebi.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:



davaleba

rinoplastika operaciaSi monawileoba

200

cxviris Tandayolili da SeZenili defeqtebis

mkurnaloba

seminari

Tvalis Wrilis plastika operaciaSi monawileoba

40

zeda da qveda tuCis plastika


50

nikapis plastika operaciaSi monawileoba

20

warbebis da wamwamebis rekonstruqcia


20

saxis kanis atrofiuli ftozis

mkurnalobasaxis nervis periferiuli parezis mkurnalobaTavis Tmiani nawilis

plastika da rekonstruqciaTmebis implantacia

5. Sefaseba:a) modulis Sefasebis meTodebi _ Teoriuli codna Sefasdeba seminarebze rezidentis aqtivobis mixedviT;b) praqtikuli unar-Cvevebi Sefasdeba operaciaze an sxva manipulaciaze g) gamoCenili aqtivobis mixedviT;d) pirveli asistenti – 1 qula.e) operatori wamyvani qirurgis zedamxedvelobis qveS – 2 qula; v) operatori wamyvani qirurgis zedamxedvelobis gareSe–4 qula;z) meore asistenti – 0,5 qula.

muxli26.1. moduli 4.3. dasaxeleba - sxeulis konturuli plastika, xangrZlivoba_ 3 Tve.2. modulis mizania - rezidentma Seiswavlos sxeulis konturuli plastikis, rogorc Teoriuli aseve praqtikuli mxareebi. SeiZinos Sesabamisi pacientebis gamokvlevis, pre, intra da postoperaciuli marTvis Teoriuli da praqtikuli unar-Cvevebi.3.modulis amocanebia (miznis miRwevis/daZlevis saSualebebi) Teoriuli da praqikuli mecadineobis Sedegad rezidentma SeiZinos aRniSnul disciplinaSi aucilebeli profesiuli unar-Cvevebi.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:



davaleba

augmentaciuri mamoplastika


100

reduqciuli mamoplastika operaciaSi monawileoba

50

sarZeve jirkvlis aweva ftozis dros (liftingi)


40

dvrilis da areolis plastika operaciaSi monawileoba

20

mamoplastika radikaluri masteqtomiis Semdeg


20

sarZeve jirkvlebis seminari

ganviTarebis defeqtebisa da mankebis mkurnalobamuclis reduqciuli plastika operaciaSi

monawileoba30

muclis TeTri xazis Tiaqrebis da muclis swori

kunTebis diastazis mkurna-loba


30

didi zomis ventrikuluri Tiaqrebis mkurnaloba


30

barZayebis reduqciuli plas-tika


40

lokaluri lipoidozebis liposaqcia


40

barZayebis da wvivebis lipo-saqcia


40

muclis liposaqcia operaciaSi monawileoba

40

mikroliposaqcia saxeze operaciaSi monawileoba

40

5. Sefaseba:a) modulis Sefasebis meTodebi _ Teoriuli codna Sefasdeba seminarebze rezidentis aqtivobis mixedviT; b) praqtikuli unar-Cvevebi Sefasdeba operaciaze an sxva manipulaciaze;g) gamoCenili aqtivobis mixedviT;d) pirveli asistenti – 1 qula;e) operatori wamyvani qirurgis zedamxedvelobis qveS – 2 qula;v) operatori wamyvani qirurgis zedamxedvelobis gareSe–4 qula;z) meore asistenti – 0,5 qula.

muxli27.1.moduli 4.4. dasaxeleba - kombustiologiuri qirurgia, xangrZlivoba_ 2 Tve.2. modulis mizania – kombustiologiuri qirurgiis meore etapi Termuli travmis gadatanis Sedegad Seqmnil aRdgeniT sareabilitacio plastikuri qirurgiis Sesabamis konservatiul mkurnalobis sakiTxebis codnasa da mis sworad warmarTvas exeba. aRniSnuli mimarTuleba ZiriTadad rekonstruqciul aRdgeniT plastikas eTmoba.3. modulis amocanebia (miznis miRwevis/daZlevis saSualebebi) rezidentma unda Seiswavlos sxeulis sxvadasxva areSi warmoqmnili sareabilitacio problemebi. Seafasos funqciuri da sxva saxis moSliloba da dagegmos maTi qirurgiul-aRdgeniTi plastikuri operaciuli Carevis meTodika. agreTve aiTvisos dazianebisa da deformaciis arsebuli da SemoqmedebiTi azrovnebiTwarmoebuli meTodebi.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba:

damwvrobis Semdgomi prevenciuli qirurgia(rekonstruqciuli aRdgeniTi plastika) ZiriTadi principebi da moTxovnebi. nawiburovani qsovilis klasifikacia: hipertrofia keloidozi da sxva.

nawiburovani qsovilis

klasifikacia, maTi garCeva

videomasalaze seminari. lokaluri

xelmZRvanelis Sefaseba

Teoriuli codnis mixedviT

Tavis qalis, saxis da kisris areSi damwvrobiT

gamowveuli deformaciis qirurgiuli mkurnaloba.

saxis da Tavis areSi arsebuli

defeqtebis aRdgenisa da

plastikuri operaciis teqnikis aTviseba

20

operaciebis monawileoba

fiqsirdeba registraciis

JurnalSi lokaluri xelmZRvanelis mier SefasebiT

wvril da msxvil Zvalsaxsrovan areebSi damwvrobis Semdgomi deformaciebis aRdgeniTi

qirurgiuli mkurnalobis meTodebi.

desmogenuri kontraqturebis

aRdgena da plastikuri operaciis teqnikis aTviseba

mtevnebis areSi damwvrobis Smdgomi

deformaciebis da kontraqturebis aRdgeniTi

qirurgiuli mkurnaloba

mtevnis areSi arsebuli

nawiburovani qsovilis da sindaqtiliis plastikuri operaciis

damkurnalobis meTodebis aTviseba.

audio-video masalaze seminari.lokaluri

xelmZRvanelis mier


Sorisis da genitalur areebSi damwvrobis Semdgomi

deformaciebisa da darRveuli funqciebis aRdgeniTi qirurgiuli

mkurnaloba

Sorisis da genitalur areebSi

nawiburebis da deformaciebis aRdgena da

plastikis Taviseburebebis

teqnikis Seswavla

saeqimo SromiTi eqspertizis sakiTxebi damwvrobiT

SromiTi eqspertizis

seminari. konsultantis da

gamowveuli dainvalidebisas.

sakiTxebis codna da aTviseba

lokaluri xelmZRvanelis

mier saregistracio

JurnalSi SetaniTsiciviT gamowveuli Termu-li

dazianeba “gadacieba”siciviT gamo-

wveuli dazianebe-bis klasifikaciis da

diagnotikis aTviseba

seminari. audio da video masalis

mixedviT SemTxvevebis interpretireba, diagnostika da

Sesabamisi mkurnaloba

Sefaseba lokaluri

xelmZRvanelis mier


sxvadasxva xarisxis moyinva. maTi klasifikacia da mkurnalobis meTodebis gansazRvra, rogorc qiru-rgiul aseve konservatiul

aspeqtSi

moyinva calkeuli

segmentebisa, diagnozi da qirurgiul –

konservatiuli mkurnalobis safuZvlebis

codna.

5. modulis Sefasebis meTodebi _ Teoriuli codna Sefasdeba seminarebze rezidentis aqtivobis mixedviT, praqtikuli unarCvevebi Sefasdeba -operaciaze an sxva manipulaciaze gamoCenili aqtivobis mixedviT.

muxli 28. aucilebeli da rekomendebuli literaturis nusxa

1. «Пластическая реконструктивная и эстетическая хирургия» А.Е. Белоусов, Санкт-Петербург 1998г. 2. «Хирургическое повреждение нервов» К.А. Григорович Ленинград 1981. 3. «Реконструктивная микрохирургия последствий повреждения нервов, сосудов и сухожилей предплечия и кисти» Д.Б.Кумсиашвилидиссертация канд.мед.наук Тбилиси 1985. 4. «Микрохирургия повреждений верхних конечностей»И.Е. Кузанов диссертация док.мед.наук Москва 1985. 5. “Recovery of touch after median nerve lesion and subsequent repair”Meek MF, Court JH, Wong KH. Microsurgery. 2003.

6. “Reconstructive Surgery”Mathes & Nahai7. “Recostructive facilal Plastic surgery”Hilko Weerda 8. “Cicatrix Optima” –Я. Золтан –19839. “Reconstructive Microsurgery.”Konstantinos N. Malizos, M.D.Copyright 2003 Landes Bioscience10. Manual of Aesthetic Surgery Vol.1-2Werner L.Mang 11. “ Raising of Microvascular Flaps A Systematic Approach”K.-D.Wolff · F. Hölzle12. “The forehead and Temporal Fossa. Anatomy and Technique”LIPPINCOTT WILLIAMS & WILKINS. 2001 13. “ Aesthetic Surgery of the Facial Mosaic.” Dimitrije E. Panfilov.//2007 Springer14. “Mastering Revision Rhinoplasty“Michael E. Sachs. //2006 Springer15. “Primary Rhinoplasty. A new Approach to the Logic and the Techniques”.John B Tebbetts 1998 Mosby16. Grabb & Smith’s Plastic Surgery 6th edition.Charles H. Thorne2007 by LIPPINCOTT WILLIAMS&WILKINS, a WOLTERS KLUWER BUSINESS17. “Local Flaps in Facial Reconstructions”.Shan R. Baker, Neil A. Swnson1995 Mosby18. An Atlas of Flaps of the Musculoskeletal System. Alain C. Mascqulet, Alain Gilbert. 2003 Martin Dunitz19. “Reconstructive Surgery. Princeples, Anatomy & Technique”. Stephen J. Mathes, Foad Nahai.. 1997 Churchill Livingstone Inc20. “ Nasal Reconstruction”. Nick S. Jones2005 Endo-Presstm, Tuttlingen, Germany21. “ Perforator Flaps. Anatomy Technique & Clinical Applications”Phillip N. Blondeel, Steven F. Morris Geoffrey G. Hallock.2006 Quality Medical Publishings, Inc. St. Louis, Missouri22. “Breast Reconstruction with Autologous Tissue”Stephen S. Kroll2000 Springer-Verlag New York, Inc23. “Raising of Microvascular Flaps”. K.D.Wolff, F.Holzle.2005 Springer24. “Курс пластической хирургии”К.П.Пшенисов.2010 ОАО «Рыбинский Дом печати»25. “Пластическая и Реконструктивная Хирургия Лица” А.Д.Пейпл.2007 Москва, БИНОМ, Лаборатория знаний.26. Applied Basic Science for Basic Surgical TrainingRaftery A TPaperback. 616 pages. Published Feb 00 Churchill Livingstone. ISBN 0443061440

http://www.amazon.co.uk/exec/obidos/ASIN/0443061440/surgicatutororgu

27. Apley's Concise Orthopaedics and TraumaSolomon L. Warwick D J. Nayagam SPaperback. 416 pages. Published Mar 05Arnold. ISBN 034089084128. Synopsis of Systemic Pathology for SurgeonsSpence R A, Sloan J M, McCluggage W GPaperback. 400 pages. Published Mar 01Arnold. ISBN 034076378729. The Surgeon's Guide to Antimicrobial ChemotherapySmith J M B, Payne J E, Berne T VPaperback. 196 pages. Published Sep 99Arnold. ISBN 034074196130. Recent Advances in Surgery 26Johnson C D, Taylor IPaperback. 240 pages. Published Apr 03Royal Society of Medicine Press Ltd. ISBN 185315551931. Integrated Basic Surgical SciencesToouli J. Russell R C G. Devitt P. Clark C I.Hardcover. 1000 pages. Published Dec 99Arnold. ISBN 034070091232. Principles of Surgical ManagementQuick C. Thomas PHardcover. 656 pages. Published Dec 00Oxford University Press. ISBN 019262230733. Advanced Surgical PracticeMajid A A. Kingsnorth A NHardback. 876 pages. Published Oct 02Greenwich Medical Media. ISBN 184110018834. Bailey and Love's Short Practice of Surgery (23rd Edition)Russell R C G, Williams N S, Bulstrode C J KHardback. 1376 pages. Published Feb 04Arnold. ISBN 034080819535. Surgical EmergenciesMonson J. Duthie G. O'Malley K.Hardcover. 448 pages. Published Jan 99Blackwell Science (UK). ISBN 063205047036. Zollinger's Atlas of Surgical Operations by Jr., Robert M. Zollinger, Sr., Robert M. ZollingerMcGraw-Hill 8th ed. 2003 463 pagesISBN-13 978007136378537. Farquharson's Textbook of Operative General SurgeryFarquharson M. Moran BHardback. 624 pages. Published May 05Arnold. ISBN 034081498538. Oxford Textbook of SurgeryMorris P J. Wood W C



http://www.amazon.com/s/104-1651073-7099135?ie=UTF8&index=books&rank=-relevance%2C%2Bavailability%2C-daterank&field-author-exact=Zollinger%2C%20Sr.%2C%20Robert%20M.

http://www.amazon.com/s/104-1651073-7099135?ie=UTF8&index=books&rank=-relevance%2C%2Bavailability%2C-daterank&field-author-exact=Zollinger%2C%20Jr.%2C%20Robert%20M.










Hardback. 2500 pages. Published Nov 00Oxford University Press. ISBN 019262884439. Apley's System of Orthopaedics and FracturesSolomon L. Nayajan D. Warwick DHardcover. 752 pages. Published Feb 01Arnold. ISBN 034076372840. Sabiston's Textbook of SurgeryTownsend C M. Harris J WHardcover. 2,388 pages. Published Jun 04W B Saunders. ISBN 072160409941. General Surgical OperationsKirk R M.Hardcover. 733 pages. Published Apr 06Elsevier. ISBN 044310121342. Anatomy of General Surgical OperationsJamieson G CHardcover. 240 pages. Published Apr 06Churchill Livingstone. ISBN 044310007143. Hamilton Bailey's Emergency SurgeryEllis B W. Patterson-Brown SHardcover. 816 pages. Published Aug 00Arnold. ISBN 034076380944. Emergency Vascular PracticeChant A D B. Barros D'Sa A A BHardcover. 288 pages. Published Dec 96Arnold. ISBN 034056170X45. Emergency Abdominal SurgeryJones P F. Krukowski Z. Youngson G G.Paperback. 546 pages. Published May 98Hodder & Stoughton. ISBN 041281950346. Trauma: A Companion to Bailey & Love's Short Practice of SurgerySkinner D V. Whimster FHardcover. 512 pages. Published Nov 98Arnold. ISBN 034074101547. The Evidence for Vascular SurgeryEarnshaw J J. Muire J AHardcover. Published Nov 99TFM Publishing Ltd. ISBN 095300525948. CURRENT SURGICAL DIAGNOSIS & TREATMENTDoherty, Gerard M.12/e 1468ppPublication Date : JAN 2006MC GRAW HILL isbn 0.07.142315.49. How to Read a PaperGreenhalgh T. Weatherall D.Paperback. 184 pages. Published Apr 97





http://www.amazon.co.uk/exec/obidos/ASIN/034056170X/surgicatutororgu






BMJ Books. ISBN 072791139250. Essential Evidence-based MedicineMayer DPaperback. 392 pages. Published Jun 04Cambridge University Press. ISBN 052183261651. The Pocket Guide to Critical AppraisalCrombie I KPaperback. 80 pages. Published Sep 96BMJ Books. ISBN 072791099X52. Medical Statistics: A Guide to Data Analysis and Critical AppraisalPeat J. Barton BPaperback. 200 pages. Published Jul 05BMJ Books. ISBN 072791812553. Randomised Controlled TrialsJadad A RPaperback. 138 pages. Published Sept 98BMJ Books. ISBN 072791208954. Evidence-Based MedicineSackett D L. Straus S. Richardson W S. Rosenberg W. Haynes BPaperback. 260 pages. Published Nov 99Churchill Livingstone. ISBN 044306240455. Oxford Handbook of Clinical SurgeryMcLatchie G R. Leaper D950 pages. Published Dec 01Oxford University Press. ISBN 019262638856. Case Presentations for the MRCS and AFRCS. Volume 1 Hornick P. Lumley J S P. Grace P A.57. Paperback. 192 pages. Published Apr 97Butterworth-Heinemann. ISBN 075063257758. Case Presentations for the MRCS and AFRCS. Volume 2 Hornick P. Lumley J S P. Grace P A.Paperback. 176 pages. Published Apr 97Butterworth-Heinemann. ISBN 075063258559. Case Presentations for the MRCS and AFRCS. Volume 3 Hornick P. Lumley J S P. Grace P A.Paperback. 176 pages. Published Jun 97Butterworth-Heinemann. ISBN 075063259360. Operative Surgery and Surgical Topics for MRCS and FRCSMokbel K M.Paperback. 128 pages. Published Apr 99Petroc Press. ISBN 190060362461. Clinical SurgeryCuschieri A. Grace P A. Darzi A. Borley N. Rowley D I.Paperback. 832 pages. Published Aug 03Blackwell Science. ISBN 063206394762. Hamilton Bailey's Demonstration of Physical Signs in Clinical Surgery













Lumley J S P.Paperback. 512 pages. Published Nov 97Butterworth-Heinemann. ISBN 0750616210 63. Clinical SurgeryHenry M H. Thompson J NPaperback. 824 pages. Published Dec 04Elsevier Saunders ISBN 070202719764. Essential SurgeryBurkitt G. Quick C R GPaperback. 720 pages. Published Oct 01Churchill Livingstone. ISBN 044306375365. Principles and Practice of SurgeryGarden O J. Bradbury A W. Forsythe J L RPaperback. 656 pages. Published Mar 02Churchill Livingstone. ISBN 044306493866. Browse's Introduction to the Symptoms and Signs of Surgical DiseaseBrowse N. Black J. Burnand K G. Thomas W E GPaperback. 456 pages. Published Jun 05Arnold. ISBN 034081571X67. Lecture Notes on General SurgeryEllis H. Calne R. Watson C.Paperback. 416 pages. Published May 98Blackwell Science. ISBN 086542768268. Colour Guide: Surgical SignsCampbell B. Cooper M Paperback. 152 pages. Published Dec 99Churchill-Livingstone. ISBN 044306145969. Surgery at a GlanceGrace P A. Borley N RPaperback. 176 pages. Published Feb 02Blackwell Science. ISBN 063205988570. Surgical finals: passing the clinicalKuperberg G. Lumley JPaperback. 200 pages. Published Nov 95PasTest. ISBN 090689638X71. Anatomy tutor for surgeons in trainingJohnson RPaperback. 176 pages. Published Oct 02 Greenwich Medical Media Ltd. ISBN 184110136272. Short cases for the MRCS Clinical ExaminationParchment Smith C.Paperback. 480 pages. Published Oct 02Pastest. ISBN 190119844873. Vivas and communication skills in surgeryMcCarthy K. Hacking M. Al Mufti R. Hewitt JPaperback. 400 pages. Published Jan 04












Churchill Livingston. ISBN 044307342274. Clinical Cases and OSCEs in SurgeryRamachandran M, Poole A.Paperback. 368 pages. Published Dec 02 Churchill Livingston. ISBN 044307044X75. Pathology for Surgeons in TrainingGardner D. Tweedle DPaperback. 416 pages. Published May 96Arnold. ISBN 034060374776. Concise System of Orthopaedics and FracturesApley A G. Solomon LPaperback. 336 pages. Published Aug 94Butterworth-Heinemann. ISBN 075061767577. Last's AnatomySinnatamby C S.Paperback. 552 pages. Published Jun 99Churchill Livingstone. ISBN 044305611078. Essential General Surgical Operations for the MRCS/AFRCSKirk R M. Winslet M CPaperback. 256 pages. Published May 01Churchill Livingstone. ISBN 044306398279. Basic Surgical OperationFoster M E. Morris-Stiff GPaperback. 140 pages. Published Jul 00Churchill Livingstone. ISBN 04430635980. Essential Surgical Practice: Higher Surgical Training Cuschieri A. Steele R J. Moosa A RHardcover. 1408 pages. Published May 02Arnold. 034080638981. The New Aird's Companion in Surgical StudiesBurnand K G. Young A E. Lucas J D. Rowlands B. Scholefield JHardcover. 1200 pages. Published Jun 05Elsevier Churchill Livingstone. ISBN 044307211682. Principles of Surgical PracticeKingsnorth A. Majeed A AHardcover. 460 pages. Published Jul 01Greenwich Medical Media. ISBN 1841100019683. Examination Schemes in General Surgery and OrthopaedicsServant C J. Purkiss C F. Paperback. 144 pages. Published Dec 97Greenwich Medical Media. ISBN 190015138384. Surgery: Facts and FiguresGreen J. Wajed SPaperback. 208 pages. Published May 98Greenwich Medical Media. ISBN 190015134085. Essential Postgraduate Surgery













Fligelstone L. Davies APaperback. 416 pages. Published Aug 00 Churchill Livingston. ISBN 044306025886. Applied surgical physiology vivasKanani M. Elliott MPaperback. 184 pages. Published Jan 03Greenwich Medical Media Ltd. ISBN 184110147887. Surgical critical care vivasKanani MPaperback. 244 pages. Published Feb 03Greenwich Medical Media Ltd. ISBN 184110131188. Viva and communication skills in surgeryMcCarthy K. Hacking M. Al Mufti R. Hewitt JPaperback. 400 pages. Published Jan 04Elsevier Churchill Livingstone. ISBN 044307342289. Surgical Critical CareAshford R. Evans NPaperback. 256 pages. Published June 01Greenwich Medical Media. ISBN 184110066890. Care of the Critically Ill Surgical PatientAnderson IPaperback. 224 pages. Published Aug 03Arnold. ISBN 034081048391. The Scientific and Clinical Basis of Surgical PracticeEremin OHardcover. 784 pages. Published Jun 01Oxford University Press. ISBN 019262703192. Clinical Surgery in GeneralKirk R M. Ribbans W JPaperback. 512 pages. Published Oct 04Elsevier Churchill Livingstone. ISBN 044307262093. Oxford Handbook of Clinical SurgeryMcLatchie G. Leaper DPaperback. 950 pages. Published Dec 01Oxford University Press. ISBN 019262638894. Churchill's House Surgeon's Survival GuideGompertz R H. Rhodes M. Poston G J. Paperback. 352 pages. Published Apr 00Churchill Livingstone. ISBN 0443062234










danarTi

intervenciebis, procedurebis, endoskopiebisa da operaciebisk a t a l o g i (atlasi)

intervenciebi da procedurebi n= 50punqciebi, biofsiebi an/ da (Rru da parenqimuli organoebis, Rruebis) drenireba siTxis dagrovebisas sonografiiT an mis gareSe an kompiuteruli tomografiis kontroliT.

n= 10

resuscitacia (reanimaciuli RonisZiebebi) n= 10orotraqeuli an/da nazotraqeuli intubacia n= 5centraluri venis kaTeterizacia n= 15kiduris motexilobis repozicia an imobilizacia n= 10

Ooperaciebi n= 129Tavi da kiseri n= 13farisebri jirkvali (mag.: rezeqcia, Tiroideqtomia, hiperparaTireoidizmi, kisris diseqcia)

n= 6

Traqeostomia n= 3sxvadasxva (mag: limfuri kvanZebis, simsivneebis biofsia, amokveTa)

n= 4

Ggulmkerdi n= 10 sarZeve jirkvlis qirurgia n= 5ZuZus kibo n= 2 sxvadasxva n= 3Mmuceli n= 57kuWi (mag.: gastroenteroanastomozi, perforirebuli xvrelis daxurva, piloroplastika, gastrostomia)

n= 10

apendeqtomia n= 15RviZli da elenTa (mag.: biofsia, travma, rezeqcia) n= 2sazardulis Tiaqari n= 10muclis kedeli n= 10proqtologia (mag.: buasili, abscesi, naprali) n= 10rbili qsovilebi da Zval-kunTovani sistema n= 41 grZeli Zvlebis motexilobisas operaciuli osteosinTezi n= 2sasxsarTan axlos mdebare Zvlebis motexilobis operaciuli osteosinTezi

n= 1

saxsrebis punqcia n= 2 rbili qsovilebis dazianeba n= 10 rbili qsovilebis infeqciebi n= 10diabeturi terfi n= 5

kanisa da rbili qsovilebis defeqtebi n= 3rbili qsovilebis simsivneebi n= 3ZiriTadi amputaciebi n= 3sxvadasxva (mag.: mcire amputaciebi, osteosinTezuri firfitis amoReba)

n= 2

sisxlZarRvebi da nervebi n= 8varikozi (mag.: kroseqtomia, stripingi, perforaciuli ligacia)

n= 2

arteriebi (mag.: arteriotomia, Trombeqtomia, endartereqtomia, emboleqtomia, vaskuluri rekonstruqcia)

n= 1

periferiuli nervebi (mag.: neirolizi) n= 3sxvadasxva (mag.: dializis midgoma, kanqveSa venuri portis implantacia)

n= 2

Documents

· Web viewdanarTi 25 sarezidento programa ` plastikuri da rekonstruqciuli qirurgia ~ (xangrZlivoba 44 Tve – 4 weli) Tavi I. zogadi debulebebi Mmuxli 1. programis mizani da amocanebi