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1. profilaqtikis oqros leqcia globaluri profilaqtikuri qselis Seqmna codnisa da gamocdilebis gaziarebis mizniT. am leqcias unda gaecnos planetis 1 milioni mosaxle

2. higia berZnul miTologiaSi warmoadgens janmrTelobis qalRmerTs. higiena aris mecniereba, romelic Seiswavlis daavadebebis profilaqtikas, janmrTelobis SenarCunebasa da mis gaumjobesebas. 19 seqtemberi, 2003 hipokrates dRe es leqcia eZRvneba adamians, romelic cnobilia rogorc medicinis "mama". misi naSromebis wyalobiT mkurnalebi yalibdebodnen eqimebad da ara mCxibavebad. studentebi hipokrates fics deben yvela Tanamedrove samedicino saswavlebis damTavrebisas.

3. leqciis miznebi • profilaqtikis cnebis ganmarteba da misi mniSvnelobis xazgasma msoflioSi janmrTelobis SenarCunebis saqmeSi; • internetSi profilaqtikis globaluri qselis Seqmna da am qselis mniSvnelobis ganxilva superkursis magaliTze; • profilaqtikis oqros leqciis gacnoba 1 milioni adamianisaTvis (studentebi, jandacvisa da sxva sferoebSi momuSave profesionalebi) mTel msoflioSi.

4. profilaqtikis ganmarteba "moqmedebebi, romlebic mimarTuliadaavadebaTagavlenis aRmosafxvrelad an Sesamcireblad da invalidobis Tavidan asacileblad.profilaqtikis arsi yvelaze ukeTesad sCans misi doneebis (pirveladi, meoreuli da mesameuli profilaqtika) cnebebis ganmartebebSi." epidemiologiuri leqsikoni, me-4 gamocema redaqtori jon m. lasti

5. profilaqtika da sanitaria me-20 saukunis miRwevebi: • gaumjobesebuli higienuri Cvevebi; • sakvebi produqtebis gadamuSavebisa da Senaxvis pirobebis gaumjobeseba (dabali temperaturis gamoyeneba); • sasmeli da sakanalizacio wylebis gawmenda-damuSavebis procesis gaumjobeseba; • miRwevebi imunizaciis sferoSi.

6. sicocxlis saSualo xangrZlivobis zrda wyaro: gaeros mosaxleobis ganyofileba, demografiuli maCveneblebi, 1950-2050 (1996 wlis Sesworeba, gaero, niu-iorki).

7. profilaqtika da religia xelebis dabana • xelebis dabana aucilebelia roca adamiani exeba raime binZursa da WuWyians; aseve Wamamde da Wamis Semdeg. • winaswarmetyvelma (muhamedma), dideba mis saxels, Tqva: "Tu adamianis janmrTelobas ziani miadgeba imis gamo, rom igi dasaZineblad wveba cximiani xelebiT, maSin aseTma adamianma damnaSave mxolod sakuTar TavSi unda eZebos". • winaswarmetyveli, dideba mis saxels, xelebs ibanda Wamamde da Wamis Semdeg.

8. globaluri profilaqtikuri RonisZiebebis istoriuli magaliTebi *mwvave infeqciuri agentebis modeli

9. gardac. raod. 100 000 mosaxleze tuberkuloziT gamowveuli sikvdilianoba, aSS, 1860-1960 ww. koxis mier tuberkulo zis bacilis aRmoCena streptomicinis gamoCena vaqcinaciis SesaZlebloba

10. sanitaruli revolucia da sazogadoebrivi jandacvis aRmavloba sanitarulma revoluciam gamoiwvia daavadebaTa struqturis arnaxuli transformacia, ramac Tavis mxriv xeli Seuwyo nomadebis mier daarsebuli primitiuli dasaxlebebis adgilze Tanamedrove qalaqebis (uzarmazari konglomeratebis) Camoyalibebas.

11. wiTelas mier gamowveuli sikvdilianobis maCveneblebi inglissa da uelsSi 15 wlamde asakis bavSvebSi, 1850-1970 ww. sikvdilianoba 1 mil. bavSvze imunizaciis dasawyisi wyaro:Thomas McKeown.Tanamedrovemosaxleobis Camo- yalibeba (Academic Press, San Francisco, 1976), pp. 93, 96.

12. diarea malaria CHD CA tuberkulozi muclis tifi "epidemiologiuri transformacia" meqsikaSi infeqciuri daavadebebis Semcireba, qronikuli daavadebebis zrda

13. daxuruli zona, 40 kiurze meti 1 kvad. km-ze mudmivi kontrolis zona, 15-40 kiuri/km2 perioduli kontrolis zona 5-15 kiuri/km2 usaxelo zona 1-5 kiuri/km2

14. kubaSi warmatebuli profilaqtikuri RonisZiebebis magaliTiimunizaciis programis Sedegebi poliomieliti likvidacia 1962 wels difterialikvidacia 1969 wels axalSobilTa tetanusi likvidacia 1972 wels Tandayolili wiTuralikvidacia 1989 wels ybayuriT gamowveuli meningitilikvidacia 1989 wels wiTelalikvidacia 1993 wels yivanaxvelagadacema Sewyda 1994 wels wiTuragadacema Sewyda 1995 wels ybayuragadacema Sewyda 1995 wels avadobis maCveneblebi meningokokuri daavadebaSemcireba 93%-iT muclis tifiSemcireba 75%-iT B hepatitiSemcireba 52%-iT

15. profilaqtika onkologiaSi • mTel msoflioSi saSvilosnos yelis kibos qalebSi avTvisebian simsivneTa gamomwvev mizezTa Soris meore adgili uWiravs; • ganviTarebad qveynebSi saSvilosnos yelis kiboTi gamowveuli sikvdilianobis maRali done ganpirobebulia am qveynebSi efeqturi skrininguli programebis ararsebobiT.

16. malariis kontrolis Rirebuleba henanis provinciaSi mTavroba malariis kontrolze xarjavs 99 970 aSS dolars weliwadSi, rac xmardeba daavadebis gavrcelebis zonaSi mcxovrebi 3,4 milioni adamianis dacvas, e.i. erT adamianze ixarjeba saSualod 0.03 aSS dolari. am Tanxis 25% ixarjeba mosaxleobis sisxlis gamosa- kvlevad parazitebze (profilaqtikuri gamokvlevebi) veqtoris (gadamtanis) kontrolze –12%; malariaze saeWvo SemTxvevebis marTvaze - 60%. erTi adamianis avadmyofoba jdeba 4.18 aSS dolari (am TanxaSi Sedis pirdapiri da arapirdapiri xarjebi).TviT avadmyofze modis xarjebis 83%, rac daax. 10 dRis Semosavals udris (1/3 ixarjeba wamlebze, 1/3-ze meti modis umuSevrobiT dakargul Semosavalze). saxelmwifo ixdis 17%-s da qmnis malariis mkurnalobisa da misi kontrolisaTvis saWiro sistemas.

17. SidsiT 1000 cocxlad dabadebulze 250 200 150 100 50 0 Sidsis gareSe botsvana kenia malavi tanzania zambia zimbabve Sidsis mosalodneli zegavlena 5 wlamde bavSvTa sikvdilianobaze zogierT afrikul qveyanaSi 2010 wlisaTvis wyaro: aSS-s mosaxleobis aRweris biuro

18. gulis iSemiuri daavadebiT gamowveuli sikvdilianoba 35-74 wlis mamakacebSi qveynebis mixedviT , 1970 da 1993 wlebi. 750 fin aSS av/lia Sot ax/zel kan 500 sin sabkav 250 ital esp saf iap hon Cin 0

19. cxovrebis wesTan dakavSirebuli faqtorebi “cecxlsasrol iaraRSi tyvia-wamals genebi deben, cxovrebis wess ki moqmedebaSimohyavs sasxleti meqanizmi" eqimi eliot joslini

20. damokidebuleba gid-is garTulebebsa da dabali xved. wonis qolesterins Soris bolo drois kvlevebis mixedviT meoreuli profilaqtika 30 25 avadmyofTa %, romelTac ganuviTardaT garTulebebi 20 15 pirveladi profilaqtika 10 5 0 90 110 130 150 170 190 210 dabali xvedriTi wonis qolesterinis saSualo maCvenebeli ganmeorebiTi vizitebis dros (mg/dl)

21. revoluciam molekulur biologiaSi gavlena iqonia mecnierebaze sazogadoebaze medicinaze epidemiologiaze molekuluri epidemiologia 21-e saukunis gamowvevaa

22. profilaqtika da interneti: internetis "epidemia" internetis momxmarebelTa raodenoba milionebSi weli

23. maswavlebeli aleqsandriaSi maswavlebe-li qairoSi maswavlebeli pitsburgSi maswavlebeli tanzaniaSi maswavlebe-li parizSi maswavlebeli moskovSi meTodebi: superkursis modeli

24. profilaqtikuri telemedicina sxvadasxva sixSiris talRebiT gavrcelebuli iafi sistemebi, romelTa mizania janmrTeli adamianebis did raodenobas miawodos informacia daavadebaTa profilaqtikis Sesaxeb. telemedicina maRali sixSiris talRebiT gavrcelebuli Zviri sistemebi, romelTa mizania mcire raodenobis avadmyofTa mkurnaloba.

25. superkursis leqciaTa raodenobrivi zrda

26. daskvnebi gasul saukuneSi cxovrebis saSualo xangrZlivobis zrda gamoiwvia sanitaruli mdgomareobis gaumjobesebam da profilaqtikuri RonisZiebebis gatarebam warmatebuli profilaqtika momavalSi, iseve rogorc es xdeboda warsulSi, unda efuZnebodes mTel msoflioSi janmrTelobis sferoSi momuSave profesionalebis erTobas da codnis gaziareba-gavrcelebas. internetis meSveobiT informaciis gacvlaaris profilaqtikis warmatebisa da oqros xanis sawindari.

27. rogoria profilaqtikis momavali? • profilaqtikis globalizacia; • adamianebis CarTva profilaqtikis qselSi; • informaciis, codnisa da gamocdilebis gaziareba. gTxovT, es leqcia gaugzavnoT superkursis wevrebs, jandacvis profesionalebsa da studentebs Tqvens qveyanaSi

28. Peer Review of the Lecture leqciis Sefaseba Your input is critical to the continued development of the Supercourse. Please complete the review form below and return your response by clicking the submit button at the bottom of this page. Tqveni Sefasebebi Zalian mniSvnelovania superkursis Semdgomi ganviTarebisaTvis. gTxovT SeavsoT qvemoT moyvanili forma da daaWiroT submit button-s. Tu inglisuri ena giqmniT problemas, gamoagzavneT am gverdis kopio Semdeg misamarTze: malkhaz_j@hotmail.com.