Dietoterapia da nsim gamoyeneba pirveladi jandacvis organizaciebsi
Download
1 / 37

dietoTerapia da NSIm gamoyeneba pirveladi jandacvis organizaciebSi - PowerPoint PPT Presentation


  • 211 Views
  • Uploaded on

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).

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'dietoTerapia da NSIm gamoyeneba pirveladi jandacvis organizaciebSi' - mills


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Dietoterapia da nsim gamoyeneba pirveladi jandacvis organizaciebsi
dietoTerapia da NSIm gamoyeneba pirveladi jandacvis organizaciebSi

servisisganviTarebisperspeqtiva


Nutriciologiis semadgeneli nawilebi
nutriciologiis Semadgeneli nawilebi

1.0 prevenciuli nutriciologia (jansaRi kveba)

2.0 klinikuri nutriciologia (samkurnalo kveba)

3.0 nutriciologiuri kontroli (usafrTxo kveba)


Samkurnalo kveba dietologia
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


Samkurnalo dietebi
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)


Nutriciuli statusi
nutriciuli statusi

  • janmrTeliFfiziologiurimdgomareoba

  • sxvadasxvapaTologiurimdgomareobebi

  • bavSvTaspecifikurifiziologiurimdgomareoba

  • xandazmulTaspecifikurifiziologiurimdgomareoba

  • orsulobisa (3 trimestri) damSobiarobisSemdgomiperiodismdgomareoba

  • malasorbciis sindromi

  • nutriciuli komponentebis deficiti

  • nutriciul komponentebze gazrdili moTxovnileba

  • fermentopaTiebi

  • kvebis qceviTi darRvevebi


Diet servisis doneebi
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


Diet servisis doneebi1
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


Eqim nutriciologisa da asistentis funqciebi
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,


Servisis miwodebis axali teqnologia
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


Servisis miwodebis axali teqnologia1
servisismiwodebisaxaliteqnologia

amocanebi:

  • SemosulpacientTadietservisisIII donis diet-daniSnulebiTmaqsimaluriuzrunvelyofadadietTerapiisefeqturiCarTvamkurnalobissqemaSi

  • risk-jgufebSi (bavSvebi, mozardebi, mamakacebi 30-50ww, smi – 25-35kg/kv.sm, orsulebidaSemdgomiperiodi, genetikuriganwyoba) metabolurisindromisdrouligamovlineba, diagnostirebadamkurnaloba

  • cxovrebisadakvebisjansaRiwesisdebulebebisadarekomendaciebis, rogorcprevenciisqvakuTxedissiRrmiseuligaazrebadadiseminirebamosaxleobaSi


Servisis miwodebis axali teqnologia2
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


Ninovaciis teqnologiuri ciklis sqema
Ninovaciisteqnologiuriciklissqema


Ninovaciis teqnologiuri ciklis sqema1
Ninovaciisteqnologiuriciklissqema

pacienti


Ninovaciis teqnologiuri ciklis sqema2
Ninovaciisteqnologiuriciklissqema

registrat.1

pacienti

  • gsm, asaki,

  • sqesi,

  • misamarTi


Ninovaciis teqnologiuri ciklis sqema3
Ninovaciisteqnologiuriciklissqema

wsgk2

registrat.1

pacienti

simaRle,

wona,

Aaqtivoba

muclis/gS

smi

Mmxedvel.

smena

Ddietkod

  • gsm, asaki,

  • sqesi,

  • misamarTi


Ninovaciis teqnologiuri ciklis sqema4
Ninovaciisteqnologiuriciklissqema

ds

registrat.1

wsgk2

pacienti

simaRle,

wona,

Aaqtivoba

muclis/gS

smi

Mmxedvel.

smena

Ddietkod

  • gsm, asaki,

  • sqesi,

  • misamarTi


Ninovaciis teqnologiuri ciklis sqema5
Ninovaciisteqnologiuriciklissqema

ds

registrat.1

wsgk2

pacienti

simaRle,

wona,

Aaqtivoba

muclis/gS

smi

Mmxedvel.

smena

Ddietkod

  • gsm, asaki,

  • sqesi,

  • misamarTi


Ninovaciis teqnologiuri ciklis sqema6
Ninovaciisteqnologiuriciklissqema

ds

wsgk2

registrat.1

pacienti

oeq 3

simaRle,

wona,

Aaqtivoba

muclis/gS

smi

Mmxedvel.

smena

Ddietkod

  • gsm, asaki,

  • sqesi,

  • misamarTi


Ninovaciis teqnologiuri ciklis sqema7
Ninovaciisteqnologiuriciklissqema

ds

Ddiet#

wsgk2

registrat.1

pacienti

oeq 3

SeuvsebelibaraTi

simaRle,

wona,

Aaqtivoba

muclis/gS

smi

Mmxedvel.

smena

Ddietkod

  • gsm, asaki,

  • sqesi,

  • misamarTi


Ninovaciis teqnologiuri ciklis sqema8
Ninovaciisteqnologiuriciklissqema

ds

Ddiet#

wsgk2

registrat.1

pacienti

oeq 3

SeuvsebelibaraTi

simaRle,

wona,

Aaqtivoba

muclis/gS

smi

Mmxedvel.

smena

Ddietkod

  • gsm, asaki,

  • sqesi,

  • misamarTi


Ninovaciis teqnologiuri ciklis sqema9
Ninovaciisteqnologiuriciklissqema

ds

Ddiet#

wsgk2

registrat.1

pacienti

oeq 3

SeuvsebelibaraTi

simaRle,

wona,

Aaqtivoba

muclis/gS

smi

Mmxedvel.

smena

Ddietkod

  • gsm, asaki,

  • sqesi,

  • misamarTi


Ninovaciis teqnologiuri ciklis sqema10
Ninovaciisteqnologiuriciklissqema

ds

Ddiet#

wsgk2

registrat.1

pacienti

oeq 3

SeuvsebelibaraTi

simaRle,

wona,

Aaqtivoba

muclis/gS

smi

Mmxedvel.

smena

Ddietkod

  • gsm, asaki,

  • sqesi,

  • misamarTi


Ninovaciis teqnologiuri ciklis sqema11
Ninovaciisteqnologiuriciklissqema

ds

Ddiet#

wsgk2

registrat.1

pacienti

oeq 3

SeuvsebelibaraTi

simaRle,

wona,

Aaqtivoba

muclis/gS

smi

Mmxedvel.

smena

Ddietkod

  • gsm, asaki,

  • sqesi,

  • misamarTi


Ninovaciis teqnologiuri ciklis sqema12
Ninovaciisteqnologiuriciklissqema

ds

Ddiet#

wsgk2

registrat.1

pacienti

pacienti

oeq 3

SeuvsebelibaraTi

simaRle,

wona,

Aaqtivoba

muclis/gS

smi

Mmxedvel.

smena

Ddietkod

  • gsm, asaki,

  • sqesi,

  • misamarTi


Ninovaciis teqnologiuri ciklis sqema13
Ninovaciisteqnologiuriciklissqema

pacienti


Ninovaciis teqnologiuri ciklis sqema14
Ninovaciisteqnologiuriciklissqema


Ggamoyenebuli masalebi
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