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dietoTerapia da NSIm gamoyeneba pirveladi jandacvis organizaciebSi

dietoTerapia da NSIm gamoyeneba pirveladi jandacvis organizaciebSi. servisis ganviTarebis perspeqtiva. nutriciologiis Semadgeneli nawilebi. 1.0 prevenciuli nutriciologia (jansaRi kveba) 2.0 klinikuri nutriciologia (samkurnalo kveba) 3.0 nutriciologiuri kontroli (usafrTxo kveba).

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dietoTerapia da NSIm gamoyeneba pirveladi jandacvis organizaciebSi

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  1. dietoTerapia da NSIm gamoyeneba pirveladi jandacvis organizaciebSi servisisganviTarebisperspeqtiva

  2. nutriciologiis Semadgeneli nawilebi 1.0 prevenciuli nutriciologia (jansaRi kveba) 2.0 klinikuri nutriciologia (samkurnalo kveba) 3.0 nutriciologiuri kontroli (usafrTxo kveba)

  3. samkurnalokveba(dietologia) 1. situaciurikveba 2. balansirebulikveba 3. adeqvaturikveba 4. aratradiciuli, alternatiulikveba (danawevrebuli - d. jarvisi, ,,gamwmendidietebi” – k. eboti,vegetarianuli, winaparTa, mononutrientuli, E,,eTno- daklimatadaptirebulikvebadamTavarikvebiTifaqtoris – makrobiotikuri, ,,yalbiwamlis”, adeqvaturisrul-saxeobrivi _ Satalovis,niSis, ioguri, aiurveduri, ,,fadizmis”, SimSilobisadasxvakoncefciebi) 5. SeTavsebiT_Sejerebulikveba(herbertSeltoni) 6. gaazrebuliracionalurikveba

  4. samkurnalodietebi • sabazisodieturikveba(magida #15) • saWmlismomnelebelisistema(magida ##1;2;3;4;5) • Saqrianidiabetidasxvadasxvaendokrinologiuridietebi(sabazisomagida #9 an #8) • Sardis gamomyofi sistema(magida #7;14) • nivTierebaTa cvlis moSla (magida #6;8;14) • gul-sisxlZarRvTa sistema(magida #10) • anemiebi(magida #15 gaZlierebuli specifikuri mikroelementebiT da vitaminebiT) • dezintoqsikaciuri `gamwmendi~ dietebi; sxva simptomuri dietebi(magida #4;6;11;12;13) • individualuri, kombinirebuli dietebi • metaboluri sindromi (magida #8,Semdgom #15)

  5. nutriciuli statusi • janmrTeliFfiziologiurimdgomareoba • sxvadasxvapaTologiurimdgomareobebi • bavSvTaspecifikurifiziologiurimdgomareoba • xandazmulTaspecifikurifiziologiurimdgomareoba • orsulobisa (3 trimestri) damSobiarobisSemdgomiperiodismdgomareoba • malasorbciis sindromi • nutriciuli komponentebis deficiti • nutriciul komponentebze gazrdili moTxovnileba • fermentopaTiebi • kvebis qceviTi darRvevebi

  6. diet-servisisdoneebi amJamad dawesebulebis ojaxis eqimebi yoveldRiur samedicino praqtikaSi xSirad iyeneben: done I _ pacientebis sityvier konsultacias,ufro iSviaTad ki - done II _ standartul -kaloraJian samkurnalo mono-dietis SerCevas

  7. diet-servisis doneebi Nnutriciologis monawileobiT sakmaod iSviaTad xdeba: done III_ nutriciologiuri statusis Sefaseba da Sesabamisiindividualur-kaloraJiani mono-dietis SerCeva pacientis srulyofili mkurnalobis sqemisaTvisda kidev ufro iSviaTad done IV _ individualuri kombinirebuli samkurnalo dietis `montaJi~, Sesabamisi saeqTno da saeqimo monitoringis warmoebiT

  8. eqimnutriciologisadaasistentisfunqciebi Eeqimimonawileobas iRebs avadmyofTa kompleqsur mkurnalobaSi sxva profilis eqimebTan erTad, an axorcielebs avadmyofTa damoukidebel dietologiur mkurnalobas metaboluri sindromis, sxva da sxva formis dislipidemiebisa da fiziologiur, magram specifikuri nutriciuli statusis mqone pacientebis (bavSvTa, orsulTa, meZuZurTa da moxucebulTa mimarT; mkurnaloba xorcieldeba: Aa) individualuri nutriciologiuri statusis gansazRvriT; b) paTfiziologiur da bioqimiur meqanizmebze dayrdnobiT; g) individualuri samkurnalo kvebis SerCeviT; d) specifikuri medikamentozuri saSualebebiT asistentiasrulebs eqimis daniSnulebas da angariSvaldebulia mis winaSe: Aa) pacientis anTropometruli monacemebi dadgeniT; b) individualuri parametrirebiT energetikul da nutrientebis raodenobriv (cila, cximi, naxSirwyali, vitaminebi, mikro da makro elementebi) moculobaze; g) eqimis mier SerCeuli individualuri mono da individualuri kombinirebuli samkurnalo kvebis dasaSvebi produqtebis SerCeva da maTi kulinaruli damuSavebis xerxis (meqanikuri, Termuli da sxva fizikuri meTodebi) gansazRvra. _ gegmiuri da operatiuli monitoringis warmoeba daniSnul samkurnalo klinikur dietaze; _ saagitacio- propagandistuli, saganmanaTleblo samuSaoebis warmarTva gansazRvrul samizne jgufebSi,

  9. servisismiwodebisaxaliteqnologia მიზანი:მოსახლეობისათვის მეცნიერულად დასაბუთებული და სოციალურად მიღებული პირველადი ჯანდაცვის ძირითადი სერვისების(konkretul SemTxvevaSi dietTerapia da kvebis Cveuli wesis modulacia jansaRi cxovrebis principebze dayrdnobiT) ეფექტური მიწოდების უზრუნველყოფა, ხელმისაწვდომობის გათვალისწინებით

  10. servisismiwodebisaxaliteqnologia amocanebi: • SemosulpacientTadietservisisIII donis diet-daniSnulebiTmaqsimaluriuzrunvelyofadadietTerapiisefeqturiCarTvamkurnalobissqemaSi • risk-jgufebSi (bavSvebi, mozardebi, mamakacebi 30-50ww, smi – 25-35kg/kv.sm, orsulebidaSemdgomiperiodi, genetikuriganwyoba) metabolurisindromisdrouligamovlineba, diagnostirebadamkurnaloba • cxovrebisadakvebisjansaRiwesisdebulebebisadarekomendaciebis, rogorcprevenciisqvakuTxedissiRrmiseuligaazrebadadiseminirebamosaxleobaSi

  11. servisismiwodebisaxaliteqnologia Gganxorcielebis instrumentebi: • janmrTel pirTa da axal pacientTa samedicino Semowmebis, metaboluri sindromis gamovlenisa da marTvis, sxva dasxva daavadebebis marTvis gaidlainebis standartebis gamoyeneba • Mmaterialur - teqnikuri, SromiTi - sakadro da inteleqtualuri resursebis optimizacia • სამოქმედოარეალის maqsimaluriმოცვა • inovaciuri modelis axali sistemis sruli avtomatizireba da სწორად SemuSavebuli მენეჯმენტი • gegmiuri auditis Catareba modelis efeqturobaze, Semdgomi daxvewisa da ganviTarebisaTvis procesze dafuZnebuli midgomis (PDCA)meTodologiiT

  12. Ninovaciisteqnologiuriciklissqema

  13. Ninovaciisteqnologiuriciklissqema pacienti

  14. Ninovaciisteqnologiuriciklissqema registrat.1 pacienti • gsm, asaki, • sqesi, • misamarTi

  15. Ninovaciisteqnologiuriciklissqema wsgk2 registrat.1 pacienti simaRle, wona, Aaqtivoba muclis/gS smi Mmxedvel. smena Ddietkod • gsm, asaki, • sqesi, • misamarTi

  16. Ninovaciisteqnologiuriciklissqema ds registrat.1 wsgk2 pacienti simaRle, wona, Aaqtivoba muclis/gS smi Mmxedvel. smena Ddietkod • gsm, asaki, • sqesi, • misamarTi

  17. Ninovaciisteqnologiuriciklissqema ds registrat.1 wsgk2 pacienti simaRle, wona, Aaqtivoba muclis/gS smi Mmxedvel. smena Ddietkod • gsm, asaki, • sqesi, • misamarTi

  18. Ninovaciisteqnologiuriciklissqema ds wsgk2 registrat.1 pacienti oeq 3 simaRle, wona, Aaqtivoba muclis/gS smi Mmxedvel. smena Ddietkod • gsm, asaki, • sqesi, • misamarTi

  19. Ninovaciisteqnologiuriciklissqema ds Ddiet# wsgk2 registrat.1 pacienti oeq 3 SeuvsebelibaraTi simaRle, wona, Aaqtivoba muclis/gS smi Mmxedvel. smena Ddietkod • gsm, asaki, • sqesi, • misamarTi

  20. Ninovaciisteqnologiuriciklissqema ds Ddiet# wsgk2 registrat.1 pacienti oeq 3 SeuvsebelibaraTi simaRle, wona, Aaqtivoba muclis/gS smi Mmxedvel. smena Ddietkod • gsm, asaki, • sqesi, • misamarTi

  21. Ninovaciisteqnologiuriciklissqema ds Ddiet# wsgk2 registrat.1 pacienti oeq 3 SeuvsebelibaraTi simaRle, wona, Aaqtivoba muclis/gS smi Mmxedvel. smena Ddietkod • gsm, asaki, • sqesi, • misamarTi

  22. Ninovaciisteqnologiuriciklissqema ds Ddiet# wsgk2 registrat.1 pacienti oeq 3 SeuvsebelibaraTi simaRle, wona, Aaqtivoba muclis/gS smi Mmxedvel. smena Ddietkod • gsm, asaki, • sqesi, • misamarTi

  23. Ninovaciisteqnologiuriciklissqema ds Ddiet# wsgk2 registrat.1 pacienti oeq 3 SeuvsebelibaraTi simaRle, wona, Aaqtivoba muclis/gS smi Mmxedvel. smena Ddietkod • gsm, asaki, • sqesi, • misamarTi

  24. Ninovaciisteqnologiuriciklissqema ds Ddiet# wsgk2 registrat.1 pacienti pacienti oeq 3 SeuvsebelibaraTi simaRle, wona, Aaqtivoba muclis/gS smi Mmxedvel. smena Ddietkod • gsm, asaki, • sqesi, • misamarTi

  25. Ninovaciisteqnologiuriciklissqema pacienti

  26. Ninovaciisteqnologiuriciklissqema

  27. Ggamoyenebuli masalebi • saqarTvelosnacionalurigaidlainebi: ,,janmrTelipirTadaaxalpacientTasamedicinoSemowmebis”, ,,metabolurisindromisgamovlenisadamarTvis”, ,,sxvadasxvaqronikulidaavadebebispirveladijandacvisorganizaciisdonezemarTvazogadsaeqimopraqtikaSi” – Tbilisi 2009 weli. • sakvebze dafuZnebuli dieturi gzamkvlevis sadiseminacio paketebi:kvebajanmrTeli dedobisaTvis; kveba da qronikuli daavadebebis prevencia; rekomendaciebijansaRikvebisaTvis (2007 wlis oqtomberiTbilisi) • saqarTvelosSromis, janmrTelobisadasocialuridacvisministrisbrZaneba # 111/n 2003 wlis 8maisi q. Tbilisi `sakvebnivTierebebsadaenergiazeorganizmisfiziologiurimoTxovnilebisadasaarsebominimumisgansazRvrisaTvissaWirosasursaTokalaTisSemadgenlobisnormebisadanormativebisdamtkicebisSesaxeb~ • saxelmZRvanelo _ jansaRikveba _ janmrTelobisZiriTadigasaRebi (saqarTvelosSromis, janmrTelobisa da socialuridacvissaministrosazogadoebrivijandacvisdepartamenti, janmrTelobismsoflioorganizacia _ 2005 weli) • `The Report of the dietary Guidelines Advisory Committee on Dietary Guidelines for Americans, 2005~ • European Guidelines on CVD Prevention. Fourth Joint European Societies ‘ Task on CVD Prevention in Clinical Practice. 2007 • WWW. medportal.ge; WWW. dietologe; WWW.who.int • http://autoimmunedisease.suite101.com/article.cfm/type_1_autoimmune_diabetes#ixzz0FcFFHdaX&A • http://eurheartj.oxfordjournals.org/cgi/content/full/28/1/88/EHL260TB1 • `Рацион питание и предупреждение хронических забалеваний~ Женева 2003 ჯანმო-ს ტექნიკური მოხსენებების სერია 916. • А.А. Покровского, М.А. Самсонова`Справочник по диетологии~; Москва `Медицина~ 1981

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