fsiqikuri da qceviTi aSlilobebi (F00-F99)medportal.ge/journal/icd/Chapter_V_F00_F99.pdf · 211...

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fsiqikuri da qceviTi aSlilobebi

Tavi V.


(F00-F99)

igulisxmeba: fsiqikuri ganviTarebis darRvevebi.ar igulisxmeba: simptomebi, niSnebi, paTologiuri, klinikuri da laboratoriuli

kvlevebi, kliniko-laboratoriuli aRmoCenebi, romlebicsxva TavSi ar aris klasificirebuli (R00-R99).

es Tavi Sedgeba Semdegi blokebisagan:

F00 - F09 organuli bunebis aSlilobani, simptomatur aSlilobaTa CaTvliT.F10 - F19 fsiqoaqtiuri nivTierebebiT ganpirobebuli fsiqikuri da qceviTi aSlilobani.F20 - F29 Sizofrenia, Sizotipuri aSlilobani.F30 - F39 afeqturi aSlilobani.F40 - F48 nevrozuli, stresTan dakavSirebuli da somatoformuli aSlilobani.F50 - F59 fiziologiuri da fizikuri darRvevebiT gamowveuli qcevis paTologia.F60 - F69 pirovnuli da qceviTi darRvevebi (fsiqopaTiebi).F70 - F79 gonebrivi CamorCeniloba.F80 - F89 fsiqikuri ganviTarebis darRvevebi.F90 - F98 bavSvTa da mozardTa asakSi dawyebuli qceviTi da emociuri aSlilobani.F 9 9 dauzustebeli fsiqikuri aSlilobani.

varskvlaviani kategoriebi am TavisaTvis moicavs Semdegs:

F00* demencia alchaimeris daavadebis dros.

F02* - demencia sxva TavSi klasificirebuli daavadebebis dros.

organuli warmoSobis aSlilobani, simptomur fsiqikur aSlilobaTa

CaTvliT

(F00 - F09)

es paragrafi moicavs rig fsiqikur daavadebebs, romlebsac gaaCniaT cerebraluri daavadebebisgamomwvevi TvalsaCino etiologia, Tavis tvinis dazianebis an cerebraluri disfunqciisgamomwvevi mavne faqtorebis saxiT. disfunqcia SeiZleba iyos pirveladi - gamowveulitvinze pirdapir da seleqtiurad moqmedi daavadebebis, dazianebebis da mavne faqtorebiszemoqmedebis Sedegad da meoradi - sistemuri daavadebebis dros, romlebic azianeben Tavis tvins,rogorc paTologiur procesSi CarTul erT-erT organos.

demencia (F00-F03) warmoadgens cns-is qronikuli an progresulad mimdinare dazianebiTgamowveul sindroms, romlis drosac saxezea umaRlesi fsiqikuri funqciebis: mexsierebis,azrovnebis, orientaciis, daswavlis, metyvelebis da msjelobis SesaZleblobebismravalferovani aSlilobani. cnobiereba, rogorc wesi, am dros ar aris dabinduli. kognitiurifunqciis moSla xSirad Tan sdevs an drodadro win uswrebs emociuri kontrolis,socialuri qcevisa da motivaciis daqveiTebas. es sindromi gvxvdeba alchaimeris daavadebis,cerebrovaskularuli dazianebebis da tvinze pirveladad an meoradad moqmedi sxva faqtorebisdros.

saWiroebis SemTxvevaSi gamoiyeneT damatebiTi kodi, gamomwvevi daavadebis identurobis

dasadgenad.

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avadmyofobaTa saerTaSoriso klasifikacia

demencia alchaimeris daavadebis dros (G30.-†)alchaimeris daavadeba warmoadgens ucnobi etiologiis pirvelad degeneraciulcerebrul daavadebas, damaxasiaTebeli nevrologiuri da neiroqimiuri niSnebiT.daavadebas axasiaTebs neli, Semparavi dasawyisi, romelic mdgradad da Seuqcevadad

viTardeba ramdenime wlis ganmavlobaSi.

F00.0* demencia alchaimeris daavadebis dros adreuli dasawyisiT (G30.0†).65 wlamde asakSi dawyebuli alchaimeris daavadebiT ganpirobebuli demenciamimdinareobs SedarebiT swrafi gauaresebiT da axasiaTebs umaRlesi kortikulifunqciebis gamoxatuli mravlobiTi darRvevebi.alchaimeris daavadebis me-2 tipi.alchaimeris tipis preseniluri demenciaalchaimeris tipis pirveladi degeneraciuli demencia, romelic iwyeba

presenilur asakSi.

F00.1* demencia alchaimeris daavadebis dros mogvianebiTi dasawyisiT (G30.1+).demencia iwyeba 65 wlis Semdeg an, Cveulebriv, 70 wlis Semdeg. igi nela progresirebadiada xasiaTdeba mexsierebis daqveiTebiT.alchaimeris daavadebis I tipi.alhcaimeris tipis pirveladi degeneraciuli demencia dasawyisiT senilur asakSi.

alhcaimeris tipis seniluri demencia

F00.2* atipiuri an Sereuli tipis demencia alchaimeris daavadebis dros (G30.8†)alchaimeris tipis atipiuri demencia.

F00.9* dauzustebeli demencia alchaimeris daavadebis dros (G30.9†).

sisxlZarRvovani demencia

sisxlZarRvovani demencia viTardeba sisxlZarRvovani paTologiiT (igulisxmebahipertenziuli cerebrovaskularuli daavadeba) gamowveuli Tavis tvinis infarqtis dros.infarqtis kerebi Cveulebriv mcire zomisaa, magram xasiaTdeba kumulaciuri efeqtiT.igi iwyeba mogvianebiT asakSi.

igulisxmeba: arteriosklerozuli demencia.

F01.0 sisxlZarRvovani demencia mwvave dasawyisiTCveulebriv viTardeba swrafad insultebis seriis cerebrovaskularuli Trombozis,emboliis an hemoragiis Sedegad. iSviaT SemTxvevaSi mizezi SeiZleba iyos erTaderTi -

farTo infarqti

F01.1 multiinfarqtuli demencia.xasiaTdeba TandaTanobiTi dasawyisiT, rac mosdevs tranzitorul iSemiur epizodebs,

romlebic warmoSoben cerebralur parenqimaSi infarqtebis akumulacias.

upiratesad kortikaluri demencia.F01.2 subkortikaluri vaskularuli demencia.

Seicavs SemTxvevebs, rodesac hipertenziis niadagze cerebraluri hemisferoebisTeTri nivTierebis Rrma struqturebSi Cndeba destruqciuli kerebi. Tavis tvinisqerqi Cveulebriv dauzianebelia da kontrastulia klinikuri suraTisa, romelic

SeiZleba Zlier hgavdes alchaimeris daavadebiT gamowveuli demenciis klinikur suraTs.

F01.3 Sereuli kortikaluri da subkortikaluri sisxlZarRvovani demenciaF01.8 sxva sisxlZarRvovani demenciaF01.9 dauzustebeli sisxlZarRvovani demencia

demencia sxva TavSi moyvanili daavadebebis dros

demenciis SemTxvevebi, romelTa mizezi ar aris arc alchaimeris da arc cerebrovaskularulidaavadeba. avadmyofoba SeiZleba daiwyos sicocxlis nebismier periodSi, Tumca

iSviaTad moxucebulobis asakSi.

F02.0* pikis daavadebis dros ganviTarebuli demencia (G31.0+).Suaxnis asakSi ganviTarebuli progresuli demencia xasiaTdeba nela progresirebadi

F00*

F01

E02*

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cvlilebebiT, rac gamoixateba xasiaTisa da socialuri urTierTobebis gauaresebaSi,rasac mosdevs inteleqtis, mexsierebis da metyvelebis funqciebis Sesusteba, apaTia

an eiforia da zogjer eqstrapiramiduli fenomeni.

F02.1.* demencia kreitcfeldt-iakobis daavadebis dros (A81.0+).progresuli demencia uxvi nevrologiuri niSnebiT, gamowveuli specifikurinevrologiuri cvlilebebiT, romelTa mizezad iTvleba specifiuri gadamcemiagenti. Cveulebriv iwyeba Suaxnis an mogvianebiT asakSi, magram SeiZleba ganviTardes

zrdasruli adamianis nebismier asakSi. erTi-ori wlis ganmavlobaSi iwvevs sikvdils.

F02.2* demencia ganviTarebuli hunTingtonis daavadebis dros (G10+).Tavis tvinSi mimdinare degeneraciuli procesis Sedegad ganviTarebuli demencia.daavadeba gadaitaneba erTi avtosomuri dominanturi geniT, simptomebi CveulebrivaRmocendeba mesame an meoTxe dekadaSi. ganviTareba aris neli da iwvevs sikvdils 10-15 weliwadSi.

demencia hunTingtonis qoreis dros.

F02.3* demencia parkinsonis daavadebis dros (G20+).demencia viTardeba Cveulebriv parkinsonis daavadebis mimdinareobisas.

jer-jerobiT ar aris aRwerili damaxasiaTebeli klinikuri niSnebi.aJitirebuli demencia damblis dros.

demencia parkinsonizmis dros.

F02.4* demencia Sids-iT daavadebis dros (B22.0).demencia, ganviTarebuli Sids-iT daavadebis procesSi, rodesac ar arsebobs demenciisklinikuri suraTis gamomwvevi sxva somaturi daavadebebi da pirobebi, garda Sids-is

virusisa.

F02.8* sxvagan ukve moyvanili, specifiuri daavadebebis dros.cerebraluri lipidozis dros ganviTarebuli demencia (E75.-+)epilefsiis dros ganviTarebuli demencia (G40.-+)hepatolentikularuli degeneraciis Sedegad ganviTarebuli demencia (E83.0+)hiperkalcemiis Sedegad ganviTarebuli demencia (E83.5+)SeZenili hiperTireoidizmis Sedegad ganviTarebuli demencia (E01,E03.-+)intoqsikaciebis dros ganviTarebuli demencia (T36-T65+)mravlobiTi sklerozis Sedegad ganviTarebuli demencia (G35+)neirosifilisis Sedegad ganviTarebuli demencia (A52.1+)pelagris dros ganviTarebuli demencia (E52+)kvanZovani poliarTritis dros ganviTarebuli demencia (M30.0+)sistemuri wiTeli mgluras dros ganviTarebuli demencia (M32.-+)tripanosomiazis dros ganviTarebuli demencia (B56.-+, B57.-+)vitamin B12-is ukmarisobis Sedegad ganviTarebuli demencia (E53.8+)

dauzustebeli demencia

preseniluri demencia, romelic sxvagvarad ar aris dazustebuli

preseniluri fsiqozi, romelic sxvagvarad ar aris dazustebulipirveladi degeneraciuli demencia,romelic sxvagvarad ar aris dazustebuliseniluri demenciaseniluri demencia, romelic sxvagvarad ar aris dazustebulidepresiuli an paranoiduli tipis seniluri demenciaseniluri fsiqozi, romelic sxvagvarad ar aris dazustebuliar igulisxmeba: deliriumiT an cnobierebis mwvave abneviT gamowveuli seniluri demencia (F05.1)seniluroba, romelic sxvagvarad ar aris dazustebuli. (R54)

organuli amneziuri sindromi, romelic ar aris gamowveuli alkoholiT

an sxva fsiqotropuli nivTierebebis miRebiT

es aris sindromi, romelic xasiaTdeba axali da Zveli masalis damaxsovrebisuunarobiT (maSin, rodesac SenarCunebulia axali masalis meyseulad gaxsenebis

F03

F04

214


SesaZlebloba), axali masalis daswavlis unaris dakargviT da droSi dezorientaciiT.am dros konfabulacia SeiZleba iyos rogorc gamokveTili niSani, magram percepciada sxva kognitiuri funqciebi inteleqtis CaTvliT Cveulebriv intaqturia, prognozidamokidebulia ZiriTadi daavadebis mimdinareobaze.korsakovis araalkoholuri fsiqozi an sindromi.ar igulisxmeba: amnezia, romelic sxvagvarad ar aris dazustebuli (R41.3)

anterograduli amnezia (R41.1)disociaciuri amnezia (F44.0)retrograduli amnezia (R41.2)korsakovis sindromi:. alkoholiT ganpirobebuli an araspecifiuri korsakovis sindromi (F10.6). sxva fsiqotropuli nivTierebebiT ganpirobebuli korsakovis fsiqozi:

(F11- F19 saerTo meoTxe maxasiaTebliT. 6).

deliriumi, romelic ar aris ganpirobebuli alkoholiT an sxva

nivTierebebiT

dauzustebeli etiologiis organuli, cerebruli sindromi, romelic xasiaTdebacnobierebis, yuradRebis, aRqmis, azrovnebis, mexsierebis, fsiqomotoruli moqmedebis, emociisdarRvevaTa TanaarsebobiT da Zil-RviZilis ciklis cvalebadobiT. daavadebisxarisxi meryeobs msubuqidan mwvavemde.igulisxmeba: mwvave da qvemwvave cerebraluri sindromi.

mwvave da qvemwvave (araalkoholuri) cnobierebis aSlis mdgomareoba.

mwvave da qvemwvave infeqciuri fsiqozi.

mwvave da qvemwvave organuli reaqcia.

mwvave da qvemwvave fsiqo-organuli sindromi.

ar igulisxmeba: alkoholiT ganpirobebuli an dauzustebeli Sinaarsis bodvebi (F10.4)F05.0 deliriumi, romelic Tan ar erTvis demenciasFF05.1 deliriumi, romelic Tan erTvis demencias

mdgomareobebi, romlebic Tanxvdebian zemoaRniSnul kriteriumebs, magram viTardebian

demenciis mimdinareobis fonze (F00-F03).F05.8 sxva saxis deliriumi.

Sereuli warmoSobis deliriumi.

F05.9 dauzustebeli deliriumi.

Tavis tvinis dazianebiTa da disfunqciiT, agreTve sxva somaturi daavadebiT

gamowveuli fsiqikuri aSlilobani.

Seicavs fsiqikur aSlilobebs, romlebic gamowveulia pirveladi cerebraluridaavadebiT, sistemuri daavadebiT, romelic gavlenas axdens tvinze, egzogenuritoqsikuri nivTierebebiT an hormonebiT, endokrinuli moSlilobebiT an sxva somaturidaavadebebiT.ar igulisxmeba: deliriumTan dakavSirebuli (F05.-)

demenciasTan dakavSirebuli, rogorc moyvanilia F00-F03gamowveuli alkoholis an sxva fsiqoaqtiur nivTierebaTa gamoyenebiT (F10-F19).

F06.0 organuli halucinozi.daavadeba, romelic xasiaTdeba Cveulebriv mdgradi an rekurentuli vizualuri anvebraluri halucinoziT, rac naTeli cnobierebis fonzea. SeiZleba saxeze iyoshalucinaciebis bodviTi gadamuSaveba, magram klinikur suraTSi es ar aris wamyvani.(araalkoholuri) organuli halucinatoruli mdgomareoba.ar igulisxmeba: alkoholuri halucinozi (F10.5).

Sizofrenia (F20.-)F06.1 organuli katatonuri darRveva.

fsiqomotorul aqtivobasTan dakavSirebuli darRveva, daqveiTebuli - stuporis, anaweuli - agznebis saxiT. fsiqomotoruli darRvevis mwvervali SeiZleba monacvleobdes.

F05

F06

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ar igulisxmeba: katatonuri Sizofrenia (F20.2)stupori, romelic sxvagvarad ar aris dazustebuli (R40.1)disociaciuri stupori (F44.2)

F06.2 (Sizofreniismagvari) organuli bodviTi aSliloba.klinikur suraTSi dominirebs mdgradi an rekurentuli bodva. bodvasSeiZleba Tan sdevdes halucinaciebi, am dros SeiZleba adgili hqondes SizofreniisaTvisdamaxasiaTebel niSnebs, rogoric aris azrovnebis paTologia an ucnauri halucinozi.paranoiduli an halucinaciur-paranoiduli organuli mdgomareobebi.Sizofreniismagvari fsiqozi epilefsiis dros.ar igulisxmeba: mwvave da tranzitoruli fsiqozuri daavadebebi (F23.-)

mdgradi bodviTi aSliloba (F22.-)wamlismieri fsiqozuri aSlilobebi (F11-F19 saerTo meoTxe maxasiaTebliT .5)

Sizofrenia (F20.-)F06.3 organuli bunebis (afeqturi) aSlilobani.

es darRvevebi xasiaTdebian emociis an afeqtis cvalebadobiT, romelsac Cveulebriv Tansdevs saerTo aqtiurobis donis cvalebadoba; adgili aqvs organuli dazianebis SedegadganviTarebul depresiul, hipomaniakalur, maniakalur da bipolarul mdgomareobebs(ixileT F30-F32).ar igulisxmeba: araorganuli an dauzustebeli emociuri darRvevebi (F30-F39).

F06.4 organuli SfoTviTi aSlilobaxasiaTdeba generalizebuli SfoTviTi aSlilobiT (F41.1), panikuri aSlilobiT (F41.0).an maTi kombinaciisaTvis damaxasiaTebeli klinikuri niSnebiT daviTardeba organulipaTologiis Sedegad.

ar igulisxmeba: - araorganuliøan dauzustebeli SfoTviTiømdgomareobebi (F41.-)F06.5 disociaciuri organuli aSlilobebi.

xasiaTdeba warsulis mogonebebs Soris integraciis nawilobrivi an mTliani moSliT,identurobis, codnis, uSualo SegrZnebebis da sxeulis moZraobis kontrolis unarisnawilobrivi an mTliani dakargviT (F44.-). viTardeba organuli darRvevis Sedegad.

ar igulisxmeba: araorganuli an araspecifiuri disociaciuri (konversiuli)

aSlilobebi (F44.-)F06.6 emociurad labiluri (asTeniuri) organuli aSliloba.

aSliloba xasiaTdeba emociuri TavSeukaveblobiT an labilurobiT, gadaRlilobiT,mravali usiamovno fizikuri SegrZnebiT (mag. Tavbrus xveva) da tkiviliT. viTardebaorganuli darRvevis Sedegad.

ar igulisxmeba: araorganuli dauzustebeli somatoformuli darRvevebi (F45.-)F06.7 msubuqi kognitiuri aSlilobebi.

es aSliloba xasiaTdeba mexsierebis, yuradRebis koncentraciis unaris xangrZlivi droiTdaqveiTebiT. adgili aqvs gamoxatul daRlilobis grZnobas, gaZnelebulia daswavlisprocesi. amave dros aRsaniSnavia, rom daswavlis procesis gaZneleba subieqturia,maSin rodesac obieqturad igi SeiZleba warmatebulic iyos. arcerTi zemoCamoTvlilsimptomi ar aris iseTi mkafio, ris safuZvelzec SesaZlebeli iqneboda demenciis (F00-F03) an deliriumis (F05-) diagnozis dasma. aRniSnuli diagnozebi gamoiyeneba mxolodspecifiur somatur daavadebasTan kavSirSi da ar SeiZleba (F10-F99) miesadagosreestrSi klasificirebul romelime qceviT darRvevas. aRniSnuli darRveva SeiZlebawin uswrebdes, Tan sdevdes an Tavi iCinos Semdgom, rogorc cerebruli, ise sistemuri,infeqciuri da fizikuri darRvevebis farTo speqtris Semdeg. paTologiur procesSi araris aucilebeli tvinis uSualo CarTva. SesaZlebelia misi diferenciaciapostencefaluri (F07.1) an postkontuziuri sindromisagan (F07.2), romlebic xasiaTdebian

Tavisi gansxvavebuli etiologiiT, rbili, msubuqi simptomatikiT da xanmokle mimdinareobiT.

F06.8 Tavis tvinis dazianebiT da disfunqciiT, agreTve fizikuri daavadebiTgamowveuli sxva specifiuri fsiqikuri aSlilobebi.epilefsiuri fsiqozi, romelic sxvagvarad ar aris dazustebuliø øøøø ø ø

F06.9 Tavis tvinis dazianebiT da disfunqciiT, agreTve fizikuri daavadebiTgamowveuli sxva specifiuri fsiqikuri aSlilobebi.

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c.n.s.-is organuli dazianebis sindromi, romelic sxvagvarad ar aris dazustebuliorganuli fsiqikuri aSliloba, romelic sxvagvarad ar aris dazustebuli

Tavis tvinis dazianebiT da disfunqciiT, agreTve somaturi

daavadebiT gamowveuli pirovnuli da qceviTi aSlilobebi

pirovnuli da qcevis cvlilebebi SeiZleba iyos rezidualuri an T a n m x v e d r i

darRvevebi Tavis tvinis daavadebis, dazianebis an disfunqciis dros.

F07.0 organuli pirovnuli aSlilobaaSliloba xasiaTdeba pirovnebis premorbidSi damaxasiaTebeli Cveuli qceviTiformebis mniSvnelovani cvlilebebiT emociebis gamoxatvis, moTxovnilebebis daimpulsebis CaTvliT. klinikuri suraTis nawili SeiZleba iyos kognituri da azrobrivifunqciebis darRveva, Secvlili seqsualoba.organuli fsevdofsiqopaTiuri pirovneba.organuli fsevdodaqveiTebuli pirovneba.Tavis tvinis frontaluri wilis sindromi.limbiuri epilefsiisas pirovnebis cvlilebis sindromi.lobotomiis sindromi.

ar igulisxmeba: katastrofis Semdgom ganviTarebuli gaxangrZlivebuli pirovnulicvlilebebi (F62.0).

fsiqikuri daavadebis Semdgomi gaxangrZlivebuli pirovnuli cvlilebebi (F62.1).postkomociuri sindromi (F07.2).postencefalituri sindromi (F07.1).specifiuri pirovnuli darRvevebi (F60.-)

F07.1 postencefalituri sindromi.rezidualuri araspecifikuri da variabiluri qceviTi cvlileba, romelic mosdevsvirusul an baqteriul encefalits gamojansaRebis Semdeg. principuli gansxvaveba amdarRvevasa da organul pirovnul darRvevas Soris aris is, rom postencefaliturisindromi Seqcevadia.

ar igulisxmeba: organuli warmoSobis pirovnuli aSliloba (F07.0).F07.2 postkomociuri (tvinis Seryevis Semdgomi) sindromi.

sindromi viTardeba Tavis travmis Semdgom (travma xSirad sakmaod mZimea da iwvevscnobierebis dakargvas) da Seicavs rig simptomebs, rogoric aris Tavis tkivili,Tavbrusxveva, amnezia, insomnia da stresebis, alkoholis mimarT daweuli tolerantoba.postkomociuri sindromi (encefalopaTia)

arafsiqozuri travmisSemdgomi cerebraluri sindromi

dauzustebeli organuli da simptomuri fsiqikuri aSlilobani.

organuli fsiqozi, romelic sxvagvarad ar aris dazustebuli

simptomuri fsiqozi, romelic sxvagvarad ar aris dazustebuliar igulisxmeba: fsiqozebi, romelic sxvagvarad ar aris dazustebuli (F29)

fsiqoaqtiur nivTierebaTa moxmarebiT gamowveuli fsiqikuri da qceviTi

aSlilobani

(F10-F19)

am TavSi aRwerilia sxvadasxvagvari aSlilobani, romelnic erTmaneTisagangansxvavdebian klinikuri suraTiT da daavadebis simwvaviT. es aSlilobani gamowveulia erTian meti fsiqotropuli nivTierebis moxmarebiT, romelic SeiZleba arc iyos eqimis mier daniSnuli.kodis mesame niSani azustebs gamoyenebul fsiqoaqtiur nivTierebas, xolo meoTxe - klinikurmdgomareobas.

F07

F09

217


fsiqoaqtiur nivTierebaTa indentifikacia unda eyrdnobodes informaciis rac SeiZleba met wyaros:TviT pacientis mier mowodebuli cnoba, sisxlisa da organizmis sxva biologiuri siTxeebisanalizi, damaxasiaTebeli somaturi da fsiqikuri simptomebi, klinikuri niSnebi da qceva, asevepacientTan aRmoCenili nivTiereba (an misi nawili) da gareSe pirTa mier mowodebuli damatebiTicnobebi. wamlis momxmarebelTa umetesoba erTze met fsiqoaqtiur nivTierebas iRebs.SesaZleblobis SemTxvevaSi ZiriTadi diagnozi klasificirebuli unda iqnes im nivTierebis annivTierebaTa klasis mixedviT, romelmac gamoiwvia mocemuli klinikuri sindromi. sxvadiagnostikuri kodebi gamoiyeneba im SemTxvevaSi, rodesac fsiqoaqtiuri nivTiereba miRebuliaiseTi raodenobiT, rom gamoiwvia intoqsikacia (saerTo meoTxe niSani .0), an mniSvnelovnadSearyia janmrTeloba (saerTo meoTxe niSani .1), an gamoiwvia wamalze damokidebulebis sindromi(saerTo meoTxe niSani .2), an sxva aSlilobani (saerTo meoTxe niSani .3-.9).

im SemTxvevaSi, rodesac fsiqoaqtiuri nivTierebis gamoyeneba usistemod da SeuzRudavadxdeba, an rodesac saqme gvaqvs sxvadasxva nivTierebis erToblivi zemoqmedebiT ganpirobebulaSlilobebTan, mizanSewonilia (F19.-) kodis gamoyeneba.ar igulisxmeba: aranarkotikul nivTierebaTa borotad gamoyeneba (F55).

aRwerili aSlilobebis kodis meoTxe niSani gamoyenebuli unda iqnes (F10-F19) kategoriebisaTvis.

. 0 mwvave intoqsikacia.

mwvave intoqsikaciis qveS igulisxmeba mdgomareoba, romelic Tan sdevs fsiqoaqtiuri

nivTierebebis miRebas da gamoixateba cnobierebis, Semecnebis, aRqmis, emociebis, qcevis da sxva

fsiqofiziologiuri funqciebis sxvadasxva siRrmis aSlilobebSi. es aSlilobebi uSualodukavSirdeba moxmarebuli nivTierebis farmakologiur efeqts da droTa ganmavlobaSixdeba organizmis funqciaTa sruli aRdgena, garda intoqsikaciis periodSi qsovilebsa daorganoebSi ganviTarebuli Seuqcevadi organuli dazianebebisa. mwvave intoqsikaciisasSesaZloa Semdegi saxis garTulebebi: fizikuri travma, pirnaRebi masis aspiracia, deliriumi,koma, krunCxviTi gantvirTvebi da sxva am garTulebaTa xasiaTi damokidebulia rogorcgamoyenebuli nivTierebis farmakologiur jgufze, ise preparatis miRebis xerxze.mwvave Troba alkoholis miRebisas.intoqsikacia halucinogenebis miRebisasalkoholuri Troba, romelic sxvagvarad ar aris dazustebuli.paTologiuri intoqsikacia.transi da Sepyrobilobis mdgomareoba fsiqoaqtiuri nivTierebebiT gamowveuliintoqsikaciis dros.

. 1 fsiqoaqtiur nivTierebaTa moxmarebiT gamowveuli mavne Sedegebi.

fsiqoaqtiuri nivTierebebis moxmarebis iseTi forma, romelic mniSvnelovnad azianebsjanmrTelobas. SeiZleba gamovlindes rogorc somaturi (magaliTad, fsiqoaqtiurinivTierebebis postineqciuri miRebis Sedegad ganviTarebuli hepatiti), ise fsiqikuri(magaliTad, mZime alkoholuri Trobis Semdeg ganviTarebuli meoradi depresiuli epizodebi)funqciebis aSlilobis saxiT.

. 2 fsiqoaqtiuri nivTierebebisadmi damokidebulebis sindromi.

es aris qceviTi, kognitiuri da fiziologiuri gamovlinebebis erToblioba romelicviTardeba fsiqoaqtiuri nivTierebis ganmeorebiTi miRebis Sedegad. am sindromisaTvisdamaxasiaTebelia: fsiqoaqtiuri nivTierebis miRebis dauZleveli survili; qveiTdebanivTierebis miRebis moTxovnilebisadmi pirovnuli mdgradoba, xolo gamoyenebisas -kontrolis unari; yvela sasicocxlod aucilebel moTxovnilebaTa da valdebulebaTa Sorisprioritetuli xdeba fsiqoaqtiur nivTierebaTa moxmareba; icvleba organizmis tolerantobapreparatisadmi da zogjer vlindeba fsiqoaqtiuri nivTierebis aRkveTiT ganpirobebulifiziologiuri Zvrebi. damokidebulebis sindromi SeiZleba ganviTardes rogorc specifiurifsiqoaqtiuri nivTierebebis (magaliTad Tambaqo, alkoholi an diazepami) moxmarebisas, isenivTierebaTa zogierTi jgufis (magaliTad, opioiduri preparatebi) an farmakologiuradgansxvavebuli mTeli rigi fsiqoaqtiuri nivTierebebis gamoyenebis SemTxvevaSi.qronikuli alkoholizmi.

218


difsomania.samkurnalwamlo mizidulobani (narkomania, toqsikomania).

. 3 aRkveTis mdgomareoba (fsiqoaqtiuri nivTierebaTa moxsnis sindromi).

sxvadasxva jgufisa da simwvavis simptomTa erToblioba, romelic vlindeba fsiqoaqtiurnivTierebaTa sistematiuri, xangrZlivi moxmarebis Semdeg am nivTierebaTa miRebis sruli annawilobrivi aRkveTisas. es sindromi viTardeba aRkveTisTanave da damokidebuliamoxmarebuli fsiqoaqtiuri nivTierebis tipze da im dozaze, romelic gamoiyeneboda misimiRebis Sewyvetis an dozis Semcirebis win. aRkveTis mdgomareoba SeiZleba garTuldeskrunCxviTi gantvirTvebiT.

. 4 aRkveTis mdgomareoba deliriumiT.

am mdgomareobisas saxezea deliriumiT (F05.-.) garTulebuli aRkveTis sindromisaTvis(meoTxe niSanSi ø.3) damaxasiaTebeli simptomebi. SesaZloa krunCxviTi gantvirTvebisarsebobac. Tu organuli paTologia etiologiuri wanamZRvris rols TamaSobs, mdgomareobasxva kodiT (F05.8.) unda Sefasdes.alkoholuri TeTri cxeleba.

. 5 fsiqozuri aSliloba.

fsiqozuri registris simptomebis erToblioba, romelic Cndeba fsiqoaqtiur nivTierebaTamoxmarebis periodSi (an mis Semdgom) da maTi arseboba ar SeiZleba aixsnas mxolodmwvave intoqsikaciiT, amasTan aRniSnuli simptomebi arc aRkveTis mdgomareobis farglebSiar gvxvdeba. aSliloba xasiaTdeba halucinaciebiT (Cveulebriv smeniTi, Tumca aRqmispaTologia erTze met sensorul modalobas moicavs), bodviTi ideebiT (xSirad paranoidulian persekutoruli Sinaarsis), cru SecnobebiT, fsiqomotoruli aSlilobebiT (agzneba anstupori) da afeqtis paTologiiT, romelic SeiZleba moicavdes diapazons Zlieri SiSidaneqstazamde. cnobiereba Cveulebriv naTelia, SeiZleba iyos dabindulic, magram arasdrosar aRwevs abnevis registrs.alkoholuri:. halucinozi. Razoianobis bodva. paranoia. fsiqozebi, romelic sxvagvarad ar aris dazustebuliar igulisxmeba:alkoholiT an sxva fsiqoaqtiuri nivTierebebiT gamowveuli rezidualuri

an mogvianebiT dawyebuli aSlilobebi (F10-F19 saerTo meoTxe niSniT .7).

. 6 amneziuri sindromi.

am sindromis farglebSi ganixileba fsiqoaqtiuri nivTierebebis gamoyenebiT pirobadebulimexsierebis (rogorc axal, ise warsul faqtebze) qronikuli daqveiTeba. am tipis amneziisasqveiTdeba ufro axlis damaxsovrebis, vidre warsul movlenaTa reproduqciis unari.SesamCnevia drois SegrZnebis, movlenaTa droSi Tanmimdevruli gaazrebis unaris moSla,gaZnelebulia axali masalis aTviseba. zogjer adgili aqvs konfabulaciebs, rac aucilebeliar aris diagnozis dasazusteblad. kognitiuri funqciebi SedarebiT kargadaa SenarCunebulida amdenad mexsierebis defeqti ufro TvalsaCinoa.amneziuri aSliloba gamowveuli alkoholiT an narkotikuli saSualebebiT.korsakovis fsiqozi an sindromi, alkoholiT (an sxva fsiqoaqtiuri nivTierebebiT)gamowveuli an sxvagvarad dauzustebeliar igulisxmeba: korsakovis araalkoholuri fsiqozi an sindromi (F04).

. 7 rezidualuri da mogvianebul asakSi ganviTarebuli fsiqozuri aSliloba.

es aris aSliloba, romlis drosac klinikur suraTSi wamyvania alkoholiT an sxvafsiqoaqtiuri nivTierebiT gamowveuli kognitiuri da afeqturi sferoebis, qcevis modusisada pirovnuli cvlilebebi da es simptomebi grZeldeba fsiqoaqtiuri nivTierebiszemoqmedebis periodis Semdegac. aSlilobis debiuti uSualod unda iyos dakavSirebulifsiqoaqtiuri nivTierebebis moxmarebasTan. . 7 gamoiyeneba im SemTxvevebSic, roca aSlilobisdebiuti manifestirdeba fsiqoaqtiuri nivTierebebis moxmarebis epizodebis Semdeg da TviTmdgomareobis damaxasiaTebeli niSnebi SeiZleba Sefasdes rogorc fsiqoaqtiur nivTierebaTa

219


rezidualuri efeqti. reminiscenciebi ("fleSbekebi"), fsiqozuri mdgomareobebisagangansxvavebiT, epizoduria, upiratesad xanmokle da identuria winamorbedi alkoholuri ansxva fsiqoaqtiuri nivTierebebis moxmarebiT provocirebuli reminescenciebisa.alkoholuri demencia, romelic sxvagvarad ar aris dazustebuliqronikuli alkoholuri cerebraluri sindromi.demencia da kognitiuri funqciaTa msubuqad gamoxatuli Sesusteba."fleSbeki" (reminescencia).fsiqoaqtiuri nivTierebebiT gamowveuli fsiqozuri aSliloba mogvianebuli debiutiT.halucinogenebis moxmarebiT pirobadebuli aRqmis aSliloba.rezidualuri:. afeqturi aSliloba. pirovnuli da qceviTi aSlilobaar igulisxmeba: alkoholiT an fsiqoaqtiuri nivTierebebiT gamowveuli:

. korsakovis sindromi (F10-F19 saerTo meoTxe niSani .6)

. fsiqozuri mdgomareoba (F10-F19 saerTo meoTxe niSani .5)

. 8 sxva fsiqikuri da qceviTi aSlilobani.

. 9 dauzustebeli fsiqikuri da qceviTi aSlilobani.

Falkoholis miRebiT gamowveuli fsiqikuri da qceviTi aSlilobani.

[ix. gv. 217-219]

opioidebis miRebis Sedegad gamowveuli fsiqikuri da qceviTi aSlilobani.

[ix. gv. 217-219]

kanabinoidebis miRebis Sedegad gamowveuli fsiqikuri da qceviTi aSlilobani.

[ix. gv. 217-219]

sedatiuri da saZile saSualebis miRebis Sedegad gamowveuli fsiqikuri

da qceviTi aSlilobani.

[ix. gv. 217-219]

kokainis miRebis Sedegad gamowveuli fsiqikuri da qceviTi aSlilobani.

[ix. gv. 217-219]

sxva stimulatorebis (kofeinis CaTvliT) miRebis Sedegad gamowveuli

fsiqikuri da qceviTi aSlilobani.

[ix. gv. 217-219]

halucinogenebis miRebis Sedegad gamowveuli fsiqikuri da qceviTi aSlilobani.

[ix. gv. 217-219]

Tambaqos moxmarebiT gamowveuli fsiqikuri da qceviTi aSlilobani.

[ix. gv. 217-219]

aqroladi gamxsnelebiT gamowveuli fsiqikuri da qceviTi aSlilobani.

[ix. gv. 217-219]

sxvadasxva saxis nivTierebis erTdrouli moxmarebiT da sxva fsiqoaqtiuri

nivTierebebis miRebiT gamowveuli fsiqikuri da qceviTi aSlilobani.

F10.-

F11.-

F12.-

F13.-

F14.-

F15.-

F16.-

F17.-

F18.-

F19.-

220


es kategoria gamoiyeneba maSin, rodesac ori an meti fsiqoaqtiuri nivTierebamoixmareba, magram SeuZlebelia Seafaso, romeli maTgani iwvevs aSlilobas. es kodiunda gamoviyenoT maSinac, roca zustad dadgenili ar aris ramdenime an yvelamiRebuli fsiqoaqtiuri nivTiereba.

igulisxmeba: wamlis araswori moxmareba, romelic sxvagvarad ar aris dazustebuli

Sizofrenia, Sizotipuri da bodviTi aSlilobani

(F20-F29)

am paragrafSi ganxilulia Sizofrenia, rogorc am jgufis yvelaze ufro mniSvnelovani daavadeba,Sizotipuri aSliloba, mdgradi bodviTi aSlilobani da ufro farTo jgufi mwvave da swrafad

ganviTarebuli aSlilobisa. miuxedavad misi sadaoobisa, Sizoafeqturi aSlilobanic rCeba am TavSi.

SizofreniaNKBLHSizofreniuli aSlilobebisaTvis zogadad damaxasiaTebelia aRqmisa da azrovnebissferoSi fundamentaluri darRvevebi, agreTve araadeqvaturi da daClungebuliafeqti. cnobiereba da inteleqtualuri SesaZleblobebi Senaxulia, Tumca droTaganmavlobaSi SeiZleba Tavi iCinos garkveulma kognitiurma deficitma. yvelaze ufromniSvnelovan fsiqopaTologiur gamovlinebebs warmoadgens eqo azrebi, azrTa Cadebaan warTmeva, gaxsniloba, zemoqmedebis bodva, pasiuri damorCileba da bodviTi aRqma, smeniTihalucinaciebi, xSirad makomentirebeli an gansjis Sinaarsis; azrovnebis aSlilobani danegatiuri simptomebi. Sizofreniuli aSlilobebis mimdinareoba uwyvetia anepizoduri, progresirebadi an myari deficitiT. SeiZleba iyos erTi an ori epizodimTliani an nawilobrivi remisiiT. Sizofreniis diagnozi ar unda daisvas gamoxatulidepresiis an maniakaluri sindromis dros, aseve ar unda daisvas cerebraluridaavadebis, wamliT intoqsikaciisa da abstinenciis dros. msgavsi aSlilobani, romlebicviTardebian epilefsiisa an sxva cerebraluri daavadebis dros, unda iqnesklasificirebuli F06.2-iT, fsiqoaqtiuri nivTierebebiT gamowveuli - F10-F19-iTsaerTo meoTxe niSniT .5.

ar igulisxmeba: . mwvave Sizofrenia (aradiferencirebuli) (F23.2)cirkularuli Sizofrenia(F25.2)Sizofreniuli reaqciebi (F23.2)Sizotipuri aSlilobani (F21)

F20.0 paranoiduli Sizofrenia.paranoiduli Sizofreniis dros dominirebs SedarebiT myari, xSirad paranoidulibodvebi, upiratesad smeniTi halucinaciebiT, da SegrZnebaTa aSlilobiT. afeqtis,nebelobis, metyvelebis darRvevebi, katatoniuri simptomebi an ar arsebobs an SedarebiT

iSviaTia.

parafreniuli Sizofrenia

ar igulisxmeba: involuciur paranoiduli mdgomareoba (F22.8)paranoia (F22.0)

F20.1 hebefreniuli Sizofrenia.am formis dros, wina planzea upiratesad emociuri darRvevebi. bodviTi ideebi dahalucinaciebi aramyari da fragmentulia, qcevebi upasuxismgeblo, ucnauri damanerulia. afeqti zedapiruli da araadeqvaturia, azrovneba mouwesrigebeli dametyveleba inkoherentulia. midrekilebaa ganamartoebisaken, qcevebi gancdis gareSegamoiyureba. “negatiuri” simptomebis swrafi ganviTarebis gamo prognozi cudia.Sizofreniis es forma iwyeba mozard asakSi da zrdasrul axalgazrdebSi.araorganizebuli Sizofrenia.

hebefrenia.

F20.2 katatonuri Sizofrenia.

F20

221


katatonuri Sizofreniis dros, wina planzea fsiqomotoruli darRvevebi, romlebiciseT ukidures formebs Soris meryeobs, rogoricaa hiperkinezebi da stupori, anavtomaturi damorCileba da negativizmi. iZulebiTi moZraobebi da pozebi klinikursuraTSi SesaZlebelia SenarCundes didi xnis ganmavlobaSi. niSandobliviaimpulsuri agznebis epizodebi. katatonuri fenomenebs SeiZleba Tan sdevdessizmrismagvari (oneiroiduli) mdgomareobebi, mkafio, scenuri halucinaciebiT.

katatonuri stupori

Sizofreniuli katalefsiaSizofreniuli katatonia

cvilisebri moqniloba

F20.3 aradiferencirebuli SizofreniaiseTi fsiqozuri mdgomareoba, romelic Sizofreniis zogad kriteriumebs akmayofilebs,magram ar emTxveva F20.0-F20.2-Si aRweril formebs an vlindeba Sizofreniis romelimeerTi formisaTvis damaxasiaTebel simptomrbze meti niSnebi ZiriTadi diagnostikurisimptomebis dominirebis gareSe.atipiuri Sizofreniaar igulisxmeba: mwvave Sizofreniis msgavsi fsiqikuri aSliloba (F23.2)

qronikuli aradiferencirebuli Sizofrenia (F20.5)postSizofreniuli depresia (F20.4)

F20.4 postSizofreniuli depresia.saqme exeba xangrZliv depresiul epizods, romelic Sizofreniuli daavadebiskvaldakval vlindeba. zogierTi “pozitiuri” an “negatiuri” simptomi jer kidevsaxezea, Tumca klinikur suraTSi ar dominirebs. depresiuli mdgomareobaxSirad TviTmkvlelobis gazrdil riskTan aris dakavSirebuli. Tu pacients aRar aqvsSizofreniuli simptomebi, maSin depresiuli epizods daesmis diagnozi (F32.-), TuSizofreniuli simptomebi axali dawyebulia da wina planzea, maSin diagnozi daismeba,

rogorc Sizofreniis qvetipi (F20.0-F20.3).F20.5 rezidualuri Sizofrenia.

qronikuli stadia Sizofreniis mimdinareobaSi, romlis drosac SeimCneva mkveTrigadasvla adreulidan momdevno stadiaze damaxasiaTebeli xangrZlivad Senaxuli, Tumcaaraaucileblad Seuqcevadi "negatiuri" simptomebiT, rogoricaa fsiqomotorikis Seneleba,aqtiurobis daqveiTeba, emociuri gasadaveba, pasiuroba da uiniciativoba; metyvelebisrogorc Sinaarsobrivi, aseve raodenobrivi gaRaribeba; araverbaluri komunikaciebissiRaribe: mimikis, mzeris, xmis modulaciis da pozis; TviTmomsaxurebis Cvevebis dasocialuri saqmianobis ukmarisoba.qronikuli aradiferencirebuli Sizofrenia.narCeni mdgomareoba.

Sizofreniuli rezidualuri mdgomareoba.

F20.6 martivi Sizofrenia.saqme exeba mdgomareobas TandaTanobiTi, magram progresirebadi, ucnauri qcevebiT,socialur moTxovnilebebTan SeusabamobiT, saerTo aqtiurobis daqveiTebiT.rezidualuri SizofreniisaTvis damaxasiaTebeli negatiuri simptomebi (mag:daClungebuli afeqti, motivaciis daqveiTeba) viTardeba winamorbedi fsiqozuri

simptomebis gareSe.

F20.8 Sizofreniis sxva formebi.senestopaTiuri Sizofrenia.

Sizofreniformuli aSliloba, romelic sxvagvarad ar aris dazustebuliSizofreniformuli fsiqozi, romelic sxvagvarad ar aris dazustebuli

ar igulisxmeba: xanmokle Sizofreniformuli aSlilobebi (F23.2).F20.9 dauzustebeli Sizofrenia.

Sizotipuri aSliloba.

saqme exeba darRvevas, romlisTvisac damaxasiaTebelia eqscentriuli qcevebi,azrovnebisa da guneba-ganwyobis sferos anomaliebi, romelic axdens Sizofreniis

F21

222


STabeWdilebas, magram calsaxad tipiuri Sizofreniuli simptomebi arasodes ar aRiniSneba,Tumca SeiZleba adgili hqondes nebismier Semdegi saxis gamovlinebebs: araadeqvaturida garegnulad gamoumJRavnebeli afeqti, anhedonia; ucnauri da eqscentruli qcevebi;tendencia socialuri ukandaxevisadmi; paranoiduli an ucnauri ideebi, romelic namdvilbodvebamde ar midis; akviatebuli azrebi; azrovnebisa da aRqmis moSla; epizoduri,gardamavali (tranzitoruli) kvazi-fsiqozuri epizodebi, smeniTi an sxva halucinaciebiT,bodvismagvari ideebiT, romlebic ar aris garegani mizezebiT gamowveuli. daavadebismimdinareoba pirovnuli aSlilobis xasiaTs atarebs.latenturi Sizofreniuli reaqcia:mosazRvre Sizofrenia,latenturi Sizofrenia,prefsiqozuri Sizofrenia,prodromaluri Sizofrenia,fsevdonevrozuli Sizofrenia,fsevdofsiqopaTiuri Sizofrenia,Sizotipuri pirovnuli aSlilobaar igulisxmeba: aspergeris sindromi (F84.5)

pirovnebis Sizoiduri aSliloba (F60.1)

xangrZlivi bodviTi aSlilobani.

es jgufi moicavs aSlilobaTa rigs, romelTa drosac xangrZlivad arsebuli bodvawarmoadgens erTaderT an yvelaze TvalSisacem klinikur maxasiaTebels da romelic arSeiZleba klasificirebuli iqnes rogorc organuli. Sizofreniuli an afeqturiaSliloba. bodviTi aSlilobebi, romlebicmimdinareoben ramdenime Tveze ufro naklebi

drois ganmavlobaSi, SeiZleba klasificirebuli iqnes F23.-iT.

F22.0 bodviTi aSliloba.darRvevebis es jgufi xasiaTdeba erTi an erTmaneTTan dakavSirebuli ramdenimebodviTi ideis ganviTarebiT, romlebic xangrZlivad, xandaxan ki mTeli sicocxlisganmavlobaSi arseboben. bodviTi sistemis Sinaarsi Zalian gansxvavebulia. amdiagnozTan SeuTavsebelia gamoxatuli da xangrZlivi smeniTi halucinaciebi,Sizofreniuli simptomebi, rogoricaa: devnis bodva, afeqtis daClungeba, agreTve Tavistvinis mZime organuli daavadebebi. es diagnozi nawilobriv gamoricxuli ar arisxandazmulebSi. im pirobiT, Tu Sizofreniul xasiaTs ar atarebs da klinikuri suraTiserT mcire nawils Seadgens.

paranoia

paranoiduli fsiqozi,paranoiduli mdgomareoba.mogvianebiTi parafrenia,damokidebulebis senzitiuri bodva.ar igulisxmeba: paranoiduli pirovnuli aSliloba,

fsiqogenuri paranoiduli fsiqozi (F23.3),paranoiduli reaqcia (F23.3),paranoiduli Sizofrenia (F20.0).

F22.8 sxva qronikuli bodviTi aSlilobani.am aSlilobebis dros, bodvas, an bodvebs Tan sdevs mdgradi halucinaciuri xmebi anSizofreniuli simptomebi, romlebic ar Seesabamebian Sizofreniuli diagnozis (F20.-)kriteriumebs.bodviTi dismorfofobia,

paranoiis kverulanturi forma.

F22.9 dauzustebeli myari bodviTi aSliloba.

mwvave da gardamavali fsiqozuri aSlilobani.

aSlilobaTa heterogenuli jgufi, romelsac axasiaTebs mwvave dasawyisi fsiqozurisimptomebiT (bodvebi, halucinaciebi, aRqmis aSlilobani) da qcevis TvalsaCino moSla.mwvave dasawyisi gulisxmobs ori kviris an ufro mcire drois ganmavlobaSi

F22

F23

223


paTologiuri klinikuri suraTis ganviTarebas. aRniSnul aSlilobaTa ganviTareba

ar aris gamowveuli organuli mizezebiT. organuli paTologiiT gamowveuli

deliriumis (F05.-) damaxasiaTebeli simptomebis - dabneuloba, uxerxulobis grZnoba,

dezorientacia droSi, adgilsa da sakuTar TavSi ar aris sakmarisad xangrZlivida mwvave. sruli gamojansaReba SeiZleba moxdes ramdenime TveSi, xSirad ramdenime kviraSida dReebSic ki. Tu aSliloba myaria da ufro didxans grZeldeba, maSin aucilebelixdeba diagnozis gadaxedva. aSliloba SesaZlebelia dakavSirebuli iyos an ar iyos

mwvave stresTan, romelic erTi an ori kviriT win uswrebda avadmyofobis dasawyiss.

F23.0 mwvave polimorfuli fsiqozuri aSliloba Sizofreniis simptomebis gareSe.mwvave fsiqozuri aSliloba, romlis drosac saxeze gvaqvs halucinaciebi, bodvebi daaRqmis darRvevebi, am simptomTa cvalebadoba SeiniSneba dRiTi-dRe da zogjersaaTobrivadac ki. xSirad saxeze gvaqvs emociuri gamovlinebebi tranzitoruli bednierebisda eqstazis an SfoTvis da gamRizianeblobis gancdiT. mTlianad klinikuri suraTisaTvisdamaxasiaTebelia polimorfizmi da arastabiluroba, fsiqozuri niSnebi ar aris sakmarisiSizofreniis diagnozisaTvis (F20.-). es aSlilobebi xSirad iwyeba uecrad, viTardebaswrafad ramdenime dReSi da SesaZlebelia swrafadve amoiwuros ganmeorebis gareSe. Tu

simptomebi grZeldeba, diagnozi unda Seicvalos qronikul bodviT aSlilobaze (F22.).F23.1 mwvave polimorfuli fsiqozuri aSliloba Sizofreniis simptomebiT

mwvave fsiqozuri aSliloba, romlis drosac saxeze gvaqvs polimorfuli daarastabiluri klinikuri suraTi, rogorc aRwerilia F23.0-Si. miuxedavadarastabilurobisa, umetesi periodis ganmavlobaSi, saxezea SizofreniisaTvisdamaxasiaTebeli simptomebi. Tu es simptomebi grZeldeba, maSin unda klasificirdesrogorc Sizofrenia (F20.-), mwvave bodviTi epizodebi Sizofreniis simptomebiT,

cikloiduri fsiqozi Sizofreniis simptomebiT

F23.2 mwvave Sizofreniismsgavsi fsiqozuri aSliloba.fsiqozuri simptomebi SedarebiT stabiluria da Seesabameba Sizofreniis diagnozs, magramgrZeldeba erT Tveze naklebi drois ganmavlobaSi. polimorfuli arastabiluriniSnebi, rogorc aRwerilia F23.0-Si, ar arsebobs. Tu Sizofreniuli simptomebigrZeldeba, maSin unda klasificirdes rogorc Sizofrenia (F20.-).mwvave (aradiferencirebuli) Sizofrenia,xanmokle Sizofreniformuli aSliloba,xanmokle Sizofreniformuli fsiqozi,oneirofrenia,Sizofreniuli reaqcia.ar igulisxmeba: organuli bodviTi aSliloba (F06.2),

Sizofreniformuli aSliloba, romelic sxvagvarad ar aris dazustebuli (F20.8).F23.3 sxva mwvave upiratesad bodviTi fsiqozuri aSlilobebi.

klinikuri suraTs warmoadgens SedarebiT stabiluri bodvebi an halucinaciebimagram ar aris sruli Tanxvedra Sizofreniis diagnozTan (F20.-). Tu bodvebi grZeldeba,maSin unda klasificirdes, rogorc xangrZlivi bodviTi aSliloba (F22.-).paranoiduli reaqcia,

fsiqogenuri paranoiduli fsiqozi.

F23.8 sxva mwvave da gardamavali fsiqozuri aSlilobebi.Seicavs nebismier sxva specifikur fsiqozur aSlilobebs, romlis gamomwvevi mizezi

ar aris organuli da romelic ar azustebs F23.0-F23.3 klasifikacias.

F23.9 mwvave da gardamavali fsiqozuri aSliloba, araspecifikuri.xanmokle reaqtiuli fsiqozi, romelic sxvagvarad ar aris dazustebuli reaqtiuli fsiqozi.

inducirebuli bodviTi aSliloba.

es aris ori an meti adamianis mier mWidro emociuri kavSiriT gaziarebulibodviTi aSliloba, mxolod erT-erT maTgans aqvs genuinuri fsiqozuri aSliloba.bodvebiT inducirdeba sxva an sxvebi da Cveulebriv amoiwureba, rodesac es adamianebi

gancalkevdebian.

wyvilTa fsiqoziT gamowveuli paranoiduli aSliloba,

wyvilTa fsiqoziT gamowveuli fsiqozuri aSliloba.

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Sizoafeqturi aSlilobani.

saxezea rogorc afeqturi, aseve Sizofreniuli simptomebi, magram ar Seesabamebian Sizofreniul,depresiul da maniakalur epizodebs. sxva SemTxvevebSi, rodesac afeqturi simptomebiemateba adre arsebul Sizofreniul daavadebas, Tanaarsebobs an enacvleba sxva tipisbodviT aSlilobebs, klasificirebulia F20-F29-iT. araadeqvaturi emociurobisfsiqozuri simptomebi afeqturi aSlilobebis dros ar azustebs Sizoafeqturi

aSlilobis diagnozs.

F25.0 maniakaluri tipis Sizoafeqturi aSliloba.saxeze gvaqvs Sizofreniuli da maniakaluri simptomebi imdagvarad, rom daavadebisepizodebi ar gvaZleven uflebas davsvaT Sizofreniis an maniakaluri epizodis diagnozi.es kategoria unda iqnes gamoyenebuli rogorc erTi epizodis, aseve rekurentuliaSlilobis dros, romlis drosac umetesad saqme gvaqvs maniakaluri tipis SizoafeqturepizodebTan.maniakaluri tipis Sizoafeqturi fsiqozi.maniakaluri tipis Sizofreniformuli fsiqozi.

F25.1 depresiuli tipis Sizoafeqturi aSliloba.am aSlilobis dros saxeze gvaqvs rogorc Sizofreniuli, aseve depresiuli simptomebiise, rom daavadebis epizodi ar Seesabameba arc Sizofreniuli da arc depresiuliepizodis diagnozs. es kategoria unda iqnes gamoyenebuli, rogorc erTeuli epizodis,aseve rekurentuli aSlilobis diagnostirebisas, rodesac umetesad sWarbobs depresiulitipis Sizoafeqturi epizodebi.depresiuli tipis Sizoafeqturi fsiqozi,

depresiuli tipis Sizofreniformuli fsiqozi.

F25.2 Sereuli tipis Sizoafeqturi aSliloba.cirkularuli Sizofrenia,

Sereuli Sizofreniuli da afeqturi fsiqozi.

F25.8 sxva Sizoafeqturi aSlilobani.F25.9 dauzustebeli Sizoafeqturi aSliloba.

sxva araorganuli fsiqozuri aSlilobani.

bodviTi an halucinaciuri aSlilobani, romelic ar gvaZlevs uflebas davsvaTSizofreniis diagnozi (F20.-), xangrZlivi bodviTi aSlilobani (F22.-), mwvave datranzitoruli fsiqozuri aSlilobani (F23.-), fsiqozuri tipis maniakaluri epizodi(F30.2) an mwvave depresiuli epizodi (F32.3).qronikuli halucinaciuri fsiqozi.

dauzustebeli araorganuli fsiqozi.

fsiqozi, romelic sxvagvarad ar aris gamoricxuli

ar igulisxmeba: fsiqikuri aSliloba, romelic sxvagvarad ar aris dazustebuli (F09).

guneb-ganwyobis [afeqturi] aSlilobani

(F30-F39)

am TavSi ganxilulia aSlilobebi, romlis drosac guneb-ganwyobis cvlilebebi -depresiulidan (SfoTviT an SfoTvis gareSe) maniakaluramde - ZiriTad gamovlineba warmoadgens.guneb-ganwyobis cvlilebebs, rogorc wesi, Tan axlavs aqtivobis saerTo donis cvlilebebic. danarCensimptomTa umetesoba an meoradia, an advilad gasagebia saerTo aqtiurobisa da guneb-ganwyobiscvlilebis konteqstSi. am aSlilobaTa umetesobas tendencia aqvs rekurentulobisaken. xSirad

maTi debiuti ukavSirdeba stresul situaciebs.

maniakaluri epizodi

es qvedanayofi unda iqnes gamoyenebuli mxolod erTad-erTi maniakaluri anhipomaniakaluri epizodisaTvis. hipomaniakaluri an maniakaluri epizodebi im pirebSi,

F25

F28

F29

F30

225


romelTac anamnezSi aReniSnebaT erTi an meti winamorbedi afeqturi epizodi(depresiuli, hipomaniakaluri, maniakaluri an Sereuli) unda iqnes kodirebuli,rogorc bipolaruli afeqturi aSliloba (F31.-).igulisxmeba: bipolaruli aSliloba erTi maniakaluri epizodiT.

F30.0 hipomania.hipomaniis dros saxezea guneb-ganwyobis msubuqi da, amasTan, myari aweva, fsiqikuri dafizikuri energiisa da aqtivobis zomieri gaZliereba dadebiTi TviTSegrZnebis fonze.amasTan, iseTi simptomebi, rogoricaa midrekileba sityvauxvobisadmi, mosaubresTandistanciis dacvis unaris Semcireba (familaroba), moWarbebuli seqsualurimoTxovnilebebi, Zilis xangrZlivobis Semcireba da produqtiulobis daqveiTeba - ariwvevs SromiTi an socialuri kavSirebis darRvevas. am mdgomareobis damaxasiaTebelieiforiuli sociabilobis nacvlad, SesaZlebelia gamovlindes gamRizianebloba, sakuTariSesaZleblobebis gadafasebis tendencia da gauxeSebuli qcevis elementebi. guneb-ganwyobisa da qcevis aSlilobas ar sdevs halucinaciebi da bodvebi.

F30.1 mania fsiqozuri simptomebis gareSe.maniis dros guneb-ganwyoba aweulia garemo situaciisadmi Seusabamod, araadeqvaturadda SeiZleba meryeobdes zerele udardelobidan TavSeukavebel agznebamde. aweulguneb-ganwyobas Tan sdevs fsiqo-fizikuri energiis moWarbeba, rac ganapirobebshiperaqtiurobas, metyvelebis agznebasa da Zilis moTxovnilebis mkveTr daqveiTebas.SeuZlebeli xdeba yuradRebis mizanmimarTuli koncentracia, rac xSirad yuradRebisgafantulobamde midis. adgili aqvs sakuTari SesaZleblobebis gadafasebas, gamoxatuliausazRvro optimizmi da gandidebis ideebi. socialur qcevaTa ganmuxruWeba SeiZlebagamomJRavndes situaciisadmi Seusabamo an agresiul qcevebSi, gamRizianeblobaSi,iWvneulobaSi da TavSeukavebel uxams xumrobaSi.

F30.2 mania fsiqozuri simptomebiT.F30.1-Si aRweril klinikur suraTs emateba bodvebi (Cveulebriv, gandidebis),halucinaciebi, aRtaceba, gadaWarbebuli motoruli aqtivoba. ideaTa qariSxali iseTdones aRwevs, rom subieqti xdeba miuwvdomeli da Seuvali Cveulebrivi saubrisaTvis(metyvelebis abneva).guneb-ganwyobis kongruentuli mania fsiqozuri simptomebiT,guneb-ganwyobis arakongruentuli mania fsiqozuri simptomebiT,

maniakaluri stupori.

F30.8 sxva maniakaluri epizodebi.F30.9 maniakaluri epizodi, dauzustebeli

mania, romelic sxvagvarad ar aris dazustebuli

bipolaruli afeqturi aSliloba.

xasiaTdeba ganmeorebadi (erTze meti) epizodebiT, romlis drosac guneb-ganwyoba dapirovnuli aqtiurobis done mniSvnelovnad aris Secvlili. zogjer adgili aqvs guneb-ganwyobis awevas da aqtivobisa da energiis moWarbebas, xolo sxva SemTxvevaSi - daweulguneb-ganwyobas, energiisa da aqtiurobis daqveiTebas. hipomaniis an maniisganmeorebadi epizodebi klasificirebulia rogorc sxva bipolaruli afeqturi aSliloba(F31.8).igulisxmeba: maniakalur-depresiuli daavadeba,

maniakalur-depresiuli fsiqozi,maniakalur-depresiuli reaqcia.

ar igulisxmeba: bipolaruli aSliloba erTad-erTi maniakaluri epizodiT (F30.-),cikloTimia (F34.0).

F31.0 bipolaruli afeqturi aSliloba mimdinare epizodSi hipomaniiTmimdinare epizodis klinikuri suraTi Seesabameba hipomaniakalur epizods, magramanamnezSi dasturdeba sul mcire erTxel mainc hipomaniakaluri an sxva tipis afeqturi

epizodis (maniakaluri, depresiuli an Sereuli) arseboba.

F31.1 bipolaruli afeqturi aSliloba mimdinare epizodSi maniiT, fsiqozurisimptomebis gareSe.mimdinare epizodis klinikuri suraTi Seesabameba manias fsiqozuri simptomebis gareSe

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226


(F30.1), magram anamnezSi sul cota erTxel mainc aRiniSneba sxva afeqturi epizodis

(hipomaniakaluri, maniakaluri, depresiuli an Sereuli) arseboba.

F31.2 bi polaruli afeqturi aSliloba mimdinare epizodSi maniiT,fsiqozuri simptomebiT.mimdinare epizodis klinikuri suraTi Seesabameba manias fsiqozuri simptomebiT(rogorc F30.2-Si), magram warsulSi aReniSneboda sul mcire erTi gansxvavebuli

afeqturi epizodi (hipomaniakaluri, maniakaluri, depresiuli an Sereuli).

F31.3 bipolaruli afeqturi aSliloba mimdinare epizodSi msubuqi anzomieri depresiuli epizodiT.mimdinare epizodis klinikuri suraTi Seesabameba msubuqi an saSualo simZimis depresias(F32.0 an F32.1). anamnezSi aRiniSneba sul mcire erTi auTenturi (dadasturebuli)

hipomaniakaluri, maniakaluri an Sereuli afeqturi epizodis arseboba.

F31.4 bipolaruli afeqturi aSliloba mimdinare epizodSi mZime depresiiT,fsiqozuri simptomebis gareSe.mimdinare epizodis klinikuri suraTi Seesabameba mZime depresias fsiqozuri somptomebisgareSe (F32.2), warsulSi sul mcire erTi auTenturi hipomaniakaluri, maniakaluri an

Sereuli afeqturi epizodiT.

F31.5 bipolaruli afeqturi aSliloba mimdinare PepizodSi mZime depresiiT,fsiqozuri simptomebiT.mimdinare epizodis klinikuri suraTi Seesabameba mZime depresias fsiqozuri simptomebiT(F32.3). warsulSi sul mcire erTi auTenturi hipomaniakaluri, maniakaluri an Sereuli

afeqturi epizodiT.

F31.6 bi polaruli afeqturi aSliloba mimdinare epizodSi SereuliaSlilobiT.avadmyofs warsulSi hqonda sul mcire erTi auTenturi hipomaniakaluri, maniakaluri,depresiuli an Sereuli xasiaTis afeqturi epizodi da amJamad daavadeba mimdinareobsmaniakaluri da depresiuli simptomebis swrafi monacvleobiT an Sereuli afeqturiaSlilobis formiT.

ar igulisxmeba: erTaderTi Sereuli afeqturi epizodi (F38.0)F31.7 bipolaruli afeqturi aSliloba, remisiis mdgomareoba.

pacients warsulSi gadatanili hqonda Tundac erTi dadasturebuli hipomaniakaluri,maniakaluri, depresiuli an Sereuli xasiaTis afeqturi epizodi da damatebiTerTi gansxvavebuli afeqturi epizodi (hipomaniakaluri, maniakaluri, depresiuli anSereuli), magram arc amJamad da arc uaxloes warsulSi ar aReniSneboda guneb-ganwyobis mniSvnelovani darRveva. profilaqtikuri mkurnalobas remisiis

periodebi am niSniT unda iqnes kodirebuli.

F31.8 sxva bipolaruli afeqturi aSlilobani.II bipolaruli aSliloba.

rekurentuli maniakaluri epizodebi.

F31.9 dauzustebeli bipolaruli afeqturi aSliloba.

depresiuli epizodi

tipiur SemTxvevaSi msubuqi, zomierad gamoxatuli da mZime depresiisas avadmyofsaReniSneba guneb-ganwyobis daqveiTeba, energiisa da aqtiurobis Semcireba. vlindebainteresebis sferos Seviwroveba, yuradRebis koncentraciis gaZneleba da uxalisoba.mcire Zalisxmevac ki Seusabamo moqanculobas iwvevs. saxezea Zilis ciklis darRvevebi,madis daqveiTeba. TviTSefasebisa da TviTdajerebulobis Sesusteba, rac msubuqi depresiisdrosac ki SeiZleba atarebdes braleulobisa an TviTdamcirebis ideaTa xasiaTs.daqveiTebuli guneb-ganwyobis meryeoba naklebad aris gamoxatuli, garemo situaciebTanSeusabamoa da SeiZleba Tan sdevdes e.w. "somaturi" simptomebi, rogoricaa: interesTasferos SezRudva da siamovnebis gancdis dakargva, diliT Cveul droze ramdenime saaTiTadre gaRviZeba, depresiuli simptomebis gauareseba dilis saaTebSi, gamoxatulifsiqomotoruli Sekaveba, aJitacia, madis, wonisa da libidos dakargva. simptomTa

F32

227


raodenobisa da simZimis mixedviT depresiuli epizodi SeiZleba Sefasdes rogorc msubuqi,zomieri da mZime.igulisxmeba: . depresiuli reaqciis erTeuli epizodebi,

. fsiqogenuri depresia, erTeuli epizodebi

. reaqtiuli depresia, erTeuli epizodebi.ar igulisxmeba: adaptaciis moSla (F43.2).

rekurentuli depresiuli aSliloba (F33.-),depresia dakavSirebuli qcevis aSlasTan (F91.-; F92.0).

F32.0 msubuqi depresiuli epizodi.am tipis depresiuli epizodis diagnostirebisaTvis aucilebelia F32 .-Si aRwerilisimptomebidan oris an samis arseboba. es simptomebi, Cveulebriv, iwvevs pacientis zogad

distress, Tumca Cveuli saqmianobis unari SenarCunebulia.

F32.1 zomierad gamoxatuli depresiuli epizodi.klinikur suraTSi unda iyos depresiisTvis damaxasiaTebeli oTxi an meti simptomi.pacients eqmneba mniSvnelovani sirTuleebi sakuTaris socialuri valdebulebebis,

yoveldRiuri saqmianobisa da profesiuli samuSaos SesrulebaSi.

F32. 2 mZime depresiuli epizodi fsiqozuri simptomebis gareSe.depresiis epizodi, romlis drosac SeiniSneba ramdenime zemoCamoTvlili simptomi damniSvnelovnadaa gamoxatuli YTviTdamcirebis, sakuTari araraobis da TviTbraldebisazrebi. xSiria suiciduri azrebi da qmedebani, aseve aRiniSneba rigi "somaturi"simptomebisa.aJitirebuli depresiisdidi depresiis

vitaluri depresiis (melanqoliis)

F32.3 mZime depresiuli epizodi fsiqozuri simptomebiT.F32.2-Si aRweril depresiul epizods Tan erTvis halucinaciebi, bodvebi, fsiqomotoruliSekaveba, stupori. stuporis SemTxvevaSi SeuZlebeli xdeba socialuri aqtivoba daSesaZlebelia sicocxles safrTxe Seeqmnas wylisa da sakvebis miuReblobis gamo.halucinaciebi da bodvebi SeiZleba iyos rogorc guneb-ganwyobis kongruentuli, aseve -arakongruentuli.igulisxmeba: didi depresiis erTaderTi epizodi fsiqozuri simptomebiT,

fsiqogenuri depresiuli fsiqozis erTaderTi epizodi,fsiqozuri depresiis erTaderTi epizodi,

reaqtiuli depresiuli fsiqozis erTaderTi epizodi.

F32.8 sxva depresiuli epizodebi.atipiuri depresia,

SeniRbuli depresiis erTeuli epizodebi, romelic sxvagvarad ar aris dazustebuli.

F32.9 dauzustebeli depresiuli epizodi.depresia, romelic sxvagvarad ar aris dazustebuli.

depresiuli aSliloba, romelic sxvagvarad ar aris dazustebuli

rekurentuli depresiuli aSliloba

am aSlilobebis dros adgili aqvs sakuTriv depresiuli epizodebis (F32.-)ganmeorebas, anamnezSi damoukidebeli maniakaluri epizodebis arsebobis gareSe. amasTan,depresiuli epizodis damTavrebis Tanave, SesaZlebelia, adgili hqondes guneb-ganwyobis msubuq awevas da gaaqtivebas (hipomaniakaluri mdgomareobis farglebSi),rac zogjer gamowveulia mkurnalobis procesSi antidepresantebis miRebiT. rekurentulidepresiuli aSlilobis (F33.2 da F33.3) ufro mZime formas, bevri saerTo aqvsdepresiis adreul gagebasTan: depresia maniakalur-depresiuli fsiqozis farglebSi,melanqolia, vitaluri depresia da endogenuri depresia. pirvelma epizodma SeiZlebaTavi iCinos sicocxlis yvela monakveTSi - bavSvobidan moxucebulobamde, dasawyisiSeiZleba iyos mwvave an Semparavi. xolo xangrZlivoba meryeobs ramdenime kviridanmraval Tvemde. ar aris gamoricxuli, rom rekurentuli depresiis mqone avadmyofebSiTavi iCinos maniakalurma epizodmac, miuxedavad mravali depresiuli epizodebis

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gadatanisa. Tu Tavs iCens maniakaluri epizodi, diagnozi unda Seicvalos bipolarul

afeqtur aSlilobad (F31.-).igulisxmeba: depresiuli reaqciis rekurentuli epizodi,

fsiqogenuri depresiis rekurentuli epizodi,reaqtiuli depresiis rekurentuli epizodi.sezonuri depresiuli aSliloba

ar igulisxmeba: rekurentuli xanmokle depresiuli epizodebi (F38.1).F33.0 mimdinare epizodSi msubuqi rekurentuli depresiuli aSliloba

es kategoria xasiaTdeba depresiis ganmeorebadi epizodebiT, mimdinare epizodSimsubuqi depresiis (F32.0) simptomebiT, amasTan anamnezSi maniakaluri epizodis arseboba

ar figurirebs.

F33.1 mimdinare epizodSi zomieri rekurentuli depresiuli aSlilobaes kategoria xasiaTdeba depresiis ganmeorebadi epizodebiT, bolo (mimdinare) epizodSizomieri depresiuli epizodis (F32.1) niSnebiT, amasTan anamnezSi maniakaluri epizodis

arseboba gamoricxulia.

F33.2 mimdinare epizodSi mZime rekurentuli depresiuli aSliloba fsiqozurisimptomebis gareSees kategoria xasiaTdeba depresiis ganmeorebadi epizodebiT, bolo (mimdinare) epizodSigamoxatulia mZime depresiuli epizodis (F32.2) niSnebi, amasTan anamnezSi maniakaluriepizodis arseboba gamoricxulia.endogenuri depresia fsiqozuri simptomebis gareSe,rekurentuli didi depresia fsiqozuri simptomebis gareSe.maniakalur-depresiuli fsiqozi, depresiuli tipis fsiqozuri simptomebis gareSe.

rekurentuli vitaluri depresia, fsiqozuri simptomebis gareSe.

F33.3 mimdinare epizodSi mZime rekurentuli depresiuli aSlilobafsiqozuri simptomebiT.xasiaTdeba depresiis ganmeorebadi epizodebiT, bolo epizodisas aRiniSneba mZimefsiqozuri simptomebiT mimdinare depresiuli epizodis (F32.3) niSnebi, xolo anamnezSimaniakaluri epizodis arseboba gamoricxulia.endogenuri depresia fsiqozuri simptomebiT,maniakalur-depresiuli fsiqozi, depresiuli tipis fsiqozuri simptomebiT,.didi depresiis mwvave rekurentuli epizodebi fsiqozuri simptomebiT,mZime rekurentuli epizodebi Semdegi nozologiebis farglebSi:. didi depresia fsiqozuri simptomebiT. fsiqogenuri depresiuli fsiqozi,. fsiqozuri depresia,

. reaqtiuli depresiuli fsiqozi

F33.4 rekurentuli depresiuli aSliloba, remisiis mdgomareobaSi.avadmyofs warsulSi gadatanili aqvs ori an meti depresiuli epizodi, rogorcaRwerilia F33.0-F33.3-Si, magram ramdenime Tvis ganmavlobaSi adgili ar hqonia

depresiul simptomebs.

F33.8 sxva rekurentuli depresiuli aSlilobani.F33.9 dauzustebeli rekurentuli depresiuli aSliloba.

monopolaruli depresia, romelic sxvagvarad ar aris dazustebuli

guneb-ganwyobis [afeqturi] xangrZlivi aSlilobani.

es aris xangrZlivi, Cveulebriv meryevi afeqturi aSlilobebi, romlis drosac calkeuliepizodebis umravlesoba imdenad mkrTalia, rom SeuZlebelia hipomaniakaluri an msubuqidepresiuli epizodebis diagnostikuri kriteriumebis gamoyeneba, Cveulebrivmimdinareobs wlobiT an mTeli sicocxlis ganmavlobaSi. aseTi permanentuli epizodebiZnelad asatania da, rogorc wesi, iwvevs pirovnebis produqtiulobis daqveiTebas. zogSemTxvevaSi daavadebis qronikuli mimdinareobis fonze SeiZleba aRmocendes erTeuli

an rekurentuli maniakaluri an depresiuli epizodi.

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F34.0 cikloTimia.avadmyofuri mdgomareoba xasiaTdeba guneb-ganwyobis xangrZlivi arastabilurobiT -ganmeorebadi depresiuli da guneb-ganwyobis msubuqi awevis periodebiT. amasTan, arcerTi maTgani ar aris sakmarisad mwvave da xangrZlivi, rom daisvas bipolaruli afeqturiaSlilobis (F31.-) an rekurentuli depresiuli aSlilobis (F33.-) diagnozi. es aSlilobaxSirad gvxvdeba bipolaruli afeqturi aSlilobis mqone avadmyofebis naTesavebsSoris. cikloTimiiT daavadebulebs zog SemTxvevaSi SesaZlebelia ganuviTardesbipolaruli afeqturi aSliloba.pirovnebis afeqturi aSliloba.cikloiduri pirovneba.cikloTimiuri pirovneba.

F34.1 disTimia.mdgomareoba xasiaTdeba qronikuli depresiiT, romelic grZeldeba ramdenimewlis ganmavlobaSi. amasTan, simptomebi ar aris sakmarisad mwvave, xolo calkeuliepizodebi - sakmarisad xangrZlivi, rom mdgomareoba Sefasdes rogorc mwvave, zomierian msubuqi rekurentuli depresiuli aSliloba (F33.-).igulisxmeba: depresiuli nevrozi,

pirovnebis depresiuli aSliloba,nevrozuli depresia.qronikuli, SfoTviTi depresia.

ar igulisxmaba: SfoTviTi depresia (msubuqi an xanmokle) (F41.2).F34.8 sxva saxis qronikuli afeqturi aSlilobani.F34.9 dauzustebeli qronikuli afeqturi aSlilobani.

guneba-ganwyobis [afeqturi] sxva aSlilobani.

guneb-ganwyobis yvela sxva aSliloba, romlebic ar ganekuTvneba F30-F34klasifikacias simptomTa arasakmarisi simwvavisa da xangrZlivobis gamo.

F38.0 guneb-ganwyobis erTeuli aSlilobani.Sereuli afeqturi epizodi.

F38.1 guneb-ganwyobis sxva rekurentuli aSlilobani.F38.8 sxva specifiuri afeqturi aSlilobani.

guneba-ganwyobis [afeqturi] aSliloba, dauzustebeli

afeqturi fsiqozi, romelic sxvagvarad ar aris dazustebuli

nevrozuli, stresTan dakavSirebuli da somatoformuli aSlilobani

(F40-F48)

ar igulisxmeba: rodesac dakavSirebulia qceviT aSlilobebTan (F91.- ;F92.8).F

SfoTviT-fobikuri aSlilobani.

aSlilobaTa am jgufSi SfoTva umetesad pirobadebulia situaciebiT, romlebic droismocemul momentSi individs realur safrTxes ar uqmnis. Sedegad, pacienti an Tavs aridebs,an SiSis grZnobiT umklavdeba am situaciebs. pacientis SfoTva SesaZlebeliakoncentrirebuli iyos calkeul simptomebze, rogoricaa gaZlierebuli pulsacia anguliswasvlis SegrZneba, rasac Tan sdevs sikvdilis, TviTkontrolis dakargvis an gagiJebismeoradi SiSi. fobikur situaciaSi moxvedris warmodgenac ki Cveulebriv iwvevs winaswarSfoTvas. fobikuri SfoTva da depresia xSirad erTdroulad arsebobs. ormagi (fobikuriSfoTva da depresiuli epizodi) an erTi klinikuri diagnozis gamotanis aucileblobagadaiWreba imis gaTvaliswinebiT, Tu rodis daiwyo TiToeuli aSliloba an romeli

aSlilobis damaxasiaTebeli simptomebi dominirebs diagnozis dasmis momentSi.

F38

F39

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F40.0 agorafobia.termini "agorafobia" ixmareba ufro farTo gagebiT, vidre amas misi sawyisi mniSvnelobagulisxmobs. igi aerTianebs mTel rig urTierTdakavSirebul da, Cveulebriv,nawilobriv Tanmxvedr fobiebs: saxlidan gasvlis, maRaziaSi Sesvlis, sazogadoebriviTavSeyris adgilebSi yofnis, transportiT marto mogzaurobis SiSs. axal da warsulepizodebSi xSirad gvxvdeba panikuri aSliloba. depresiuli da obsesiuri simptomebi,socialuri fobiebi Cveulebriv damatebiTi maxasiaTebelia. gamoxatulia fobikurisituaciebisaTvis Tavis aridebis tendencia. amasTan, zog pacients aReniSneba mcire Relva,Tumca SeuZlia Tavi aaridos fobikur situacias.agorafobia anamnezSi panikuri aSlilobis gareSe.

panikuri aSliloba agorafobiiT.

F40.1 socialuri fobia.SiSis gamo, rom sxva adamianebi akvirdebian, subieqti gaurbis socialur situaciebs.yvelaze gavrcelebul socialur fobiebs Tan sdevs daqveiTebuli TviTSefaseba dakritikis SiSi, rac SesaZloa gamoixatos gawiTlebiT, xelis kankaliT, gulzidviTa dasaswrafod moSardvis moTxovnilebiT. zogjer avadmyofi darwmunebulia, rom misi mTavariproblema SfoTvis zemoT CamoTvlili meoradi gamovlinebebia. simptomebi, progresirebisSemTxvevaSi, SesaZloa gadaizardos panikur SetevebSi.anTropofobia

socialuri nevrozi

F40.2 specifiuri (izolirebuli) fobiebi.fobiebi Semofarglulia iseTi konkretuli situaciebiT, rogoricaa cxovelebTan siaxlove,simaRle, Weqa-quxili, sibnele, frena, daxSuli sivrce, sazogadoebrivi tualetebiTsargebloba, gansazRvruli sakvebis miReba, sisxlis an Wrilobis danaxva, kbilis eqimTanviziti. miuxedavad imisa, rom gamSvebi situacia izolirebulia, imave situaciaSi moxvedramSeiZleba gamoiwvios iseTive panika, rogorc agorafobiisa da socialuri fobiis dros.akrofobiazoofobiaklaustrofobiamartivi fobia

ar igulisxmeba: dismorfofobia (arabodviTi) (F45.2)

nozofobia (F45.2)

F40.8 sxva fobikur-SfoTviTi aSlilobaF40.9 ganusazRvreli fobikur-SfoTviTi aSliloba

fobia, romelic sxvagvarad ar aris dazustebuli

fobikuri mdgomareoba, romelic sxvagvarad ar aris dazustebuli

sxva SfoTviTi aSlilobani.

aSlilobebi, romelic gansakuTrebuli situaciebiT ar Semoifargleba, xolo SfoTvamTavari simptomia. SesaZloa meoradi, sustad gamoxatuli depresiuli da obsesiuri

simptomebis, agreTve fobikuri SfoTvis zogierTi elementis arsebobac.

F41.0 panikuri aSliloba (epizoduri paroqsizmuli SfoTva)umTavresad xasiaTdeba mwvave SfoTvis (panikis) rekurentuli SetevebiT, romelic araris Semofargluli konkretuli situaciiT an movleniT da, amitomac, maTiwinaswarganWvreta SeuZlebelia. sxva SfoTviTi aSlilobis msgavsad, wamyvani simptomebiamoulodnelad dawyebuli gaZlierebuli pulsacia, tkivili gulmkerdis areSi, moxrCobisSegrZneba, Tavbrusxeva da ararealurobis gancda (depersonalizacia an derealizacia),xSirad Tan erTvis sikvdilis, kontrolis dakargvis an gagiJebis meoradi SiSi. Tu pacientspanikuri Setevebi daewyo depresiuli aSlilobis fonze, panikuri aSlilobas ZiriTaddiagnozad ver gamovitanT. am SemTxvevaSi panikuri Setevebi fasdeba, rogorc meoradi -depresiis mimarT.panikuri Seteva,panikuri mdgomareoba

ar igulisxmeba: panikuri aSliloba agorafobiiT (F40.0)

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F41.1 generalizebuli SfoTviTi aSliloba.SfoTva atarebs generalizebul da mudmiv xasiaTs, amasTan dakavSirebuli ar aris raimegansakuTrebul garemo pirobebTan (arafiqsirebulia). dominanturi simptomebimravalferovania, magram ZiriTad Civilebs miekuTvneba mudmivi nerviuloba, kankali,kunTebis daWimulobis SegrZneba, oflianoba, Tavbrusxveva, gaZlierebuli pulsacia daepigastralur areSi diskomfortis SegrZneba. gamoxatulia SiSi, rom pacienti an misiaxlobeli avad gaxdeba an ubedureba SeemTxveva.SfoTvis nevrozi,SfoTvis reaqcia,SfoTviTi mdgomareoba.

ar igulisxmeba: nevrasTenia (F48.0).F41.2 Sereuli SfoTviTi an depresiuli aSliloba.

es kategoria SeiZleba gamoyenebuli iqnes, roca Tanaarsebobs SfoTvisa da depresiissimptomebi, amasTan arc erTi aSlilobis simptomi aSkarad ar dominirebs da arc mkveTradar aris gamoxatuli, raTa konkretuli diagnozi davsvaT. rodesac saxezea an SfoTvis, andepresiis sakmaod mkafiod gamoxatuli simptomebi, rac saSualebas gvaZlevs davsvaTdamoukidebeli diagnozebi, aucilebelia davafiqsiroT orive diagnozi da uari vTqvaTam kategoriis gamoyenebaze.

SfoTviTi depresia (msubuqi an aramyari)

F41.3 sxva Sereuli SfoTviTi aSlilobani.aSlilobaTa jgufi, romelSic SfoTviTi simptomebi Sereulia sxva aSlilobebis (F42-F48) damaxasiaTebel niSnebTan. Tu ganvixilavT calkeul simptomebs, arc erTi ar aris

imdenad mkveTrad gamoxatuli, rom davazustoT diagnozi.

F41.8 sxva specifiuri SfoTviTi aSlilobebi.SfoTviTi isteria.

F41.9 dauzustebeli SfoTviTi aSliloba.SfoTva, romelic sxvagvarad ar aris dazustebuli

obsesiur-kompulsiuri aSliloba.

ZiriTadi niSania rekurentuli obsesiuri azrebisa an kompulsiuri qmedebebis arseboba.obsesiuri azrebi - is ideebi, warmodgenebi da impulsebia, romlebic sistematuradumeordeba pacients stereotipuli formiT. es azrebi Zalze Semawuxebelia da xSiradpacienti cdilobs daZlios isini, magram uSedegod. miuxedavad amisa, pacienti am azrebs

sakuTar azrebad miiCnevs, Tumca isini uneblied warmoiqmnebian da pacientisaTvis Zneli

asatania. kompulsiuri qmedebebi an ritualebi ganmeorebadi stereotipuli qcevebia.isini ar aniWeben Sinagan kmayofilebas pirovnebas da arc Sinaganad saWiro problemebsgadaWrian. maTi meSveobiT pacienti cdilobs aRkveTos zogierTi obieqturadarasasurveli situacia, romelsac garkveuli zianis motana SeuZlia misTvis an sxvebisaTvis.Cveulebriv, am qcevebs TviT pacienti afasebs rogorc umiznosa da uSedegos da drodadrocdilobs daZlios isini.igulisxmeba: anankasturi nevrozi,

obsesiur-kompulsiuri nevrozi.

ar igulisxmeba: anankasturi pirovnuli aSliloba (F60.5).F42.0 upiratesad akviatebuli azrebi an fiqrebi.

ZiriTadi niSania iseTi ideebis, warmodgenebis an impulsuri qmedebebis arseboba, romelicTiTqmis yovelTvis usiamovnoa avadmyofisaTvis. zogjer es azrebi usargebloa daSeiniSneba usafuZvlo, filosofiuri msjeloba alternativaTa dausrulebelimonacvleobiT. pacients ar ZaluZs miiRos yoveldRiuri cxovrebiseuli - trivialuri,magram aucilebeli, gadawyvetileba. kavSiri obsesiur ideebsa da depresias SorisgansakuTrebiT mWidroa. Tu akviatebuli ideebi Cndeba da xangrZlivad arsebobsdepresiuli epizodis gareSe, maSin umjobesia daisvas obsesiur-kompulsiuri aSlilobis

diagnozi.

F42.1 upiratesad kompulsiuri qmedebani (akviatebuli ritualebi).

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kompulsiur qmedebaTa mizania sisufTavis (magaliTad, xelebis sistematiuri dabana) anwesrigis dacva an mudmivi kotroli, raTa ar moxdes potenciurad saSiSi situaciisaRmoceneba. Cveulebriv, pacientis qcevas safuZvlad udevs mosalodneli safrTxis SiSi,xolo TviT ritualuri qceva warmoadgens am safrTxis Tavidan acilebisaken mimarTul

uSedego an simbolur mcdelobas.

F42.2 Sereuli obsesiuri azrebi da qmedebani.F42.8 sxva obsesiur-kompulsiuri aSlilobani.F42.9 dauzustebeli obsesiur-kompulsiuri aSliloba.

reaqcia mwvave stresze da adaptaciis darRvevebi.

es kategoria gansxvavdeba sxvebisagan imiT, rom moicavs aSlilobebs, romlebicdiagnostirdebian aramarto simptomatologiisa da maTi mimdinareobis mixedviT, aramedori ZiriTadi gamomwvevi faqtoridan erT-erTis an orives arsebobiT. es faqtorebia:gansakuTrebuli stresuli movlena, romelic mwvave stresul reaqcias iwvevs; anmniSvnelovani cxovrebiseuli cvlileba, romelic pirovnebas xangrZlivi drois manZilzearasasiamovno garemo pirobebSi aqcevs da sabolood iwvevs adaptaciur aSlilobas.ufro naklebi simZimis fsiqo-socialurma stresmac ("cxovrebiseuli movlena") SeiZlebadaaCqaros an xeli Seuwyos farTo speqtris darRvevebis aRmocenebas, romelic am TavSiaklasificirebuli. "movlenis" etiologiuri mniSvneloba yovelTvis naTeli ar aris daTiToeul SemTxvevaSi damokidebulia individualur, xSirad idiosinkraziul,mgrZnobelobaze - e. i. mxolod cxovrebiseuli movleniT ar aixsneba aRniSnuliaSlilobebis warmoSoba da forma. amasTan, aRniSnuli darRvevebi yovelTvis aRmocendebamZime stresis an prolongirebuli travmis Sedegad. stresuli movlena an gaxangrZlivebuliarasasiamovno garemo pirobebi - pirveladia, vinaidan maT gareSe adgili ar eqnebodaam tipis aSlilobebs. amrigad, am TavSi moqceuli aSlilobani ganixileba rogorcadaptaciis darRvevebi (pirobadebuli rogorc mwvave, ise prolongirebuli stresiT),rasac safuZvlad udevs fsiqologiuri Tavdacvis meqanizmebis darRvevebi da amitomac

Tavs iCens socialuri kavSirebisa da saqmianobis problemebi.

F43.0 mwvave stresuli reaqcia.aSliloba, romelic viTardeba praqtikulad janmrTel adamianebSi Zlieri fizikuri dafsiqikuri stresis Sedegad, dReebisa, da SesaZlebelia, saaTebis ganmavlobaSic. mwvavestresuli reaqciis dros gansakuTrebuli roli eniWeba rogorc individis mgrZnobelobas,aseve misi adaptaciis unars. tipiurad simptomebi Sereuli da cvalebadia; da sawyisetapze atarebs gabruebis xasiaTs cnobierebis SeviwrovebiTa da yuradRebis daqveiTebiT.individs ar SeuZlia adeqvaturi reagireba garegan gamRizianeblebze, SesaZloadezorientaciac. am stadias SesaZlebelia moyves an Semdgomi gansvla garemo situaciidan(ganviTardes disociaciuri stupori - F44.2) an piriqiT - aJitacia da hiperaqtiuroba(gansvlis reaqcia an fuga). xSiria panikuri SfoTvis vegetatiuri niSnebi (taqikardia,oflianoba, gawiTleba).. simptomebi Cveulebriv Tavs iCens stresis zegavlenisTanave daqreba or-sam dReSi (xSirad ramdenime saaTSi). SesaZlebelia adgili qondes nawilobrivan srul amnezias (F44.0). Tu simptomatika grZeldeba, diagnozi unda gadamowmdes.mwvave krizisuli reaqcia an situacia,mwvave stresuli reaqcia,brZoliT gadaRla,mwvave fsiqikuri Soki.

F43.1 posttravmuli stresuli aSliloba.gansakuTrebiT saxifaTo an katastrofuli masStabis stresul situaciaze Seyovnebulida protragirebuli reaqcia (xanmokle an xangrZlivi), romelic TiTqmis yvela individSiiwvevs distress. winare faqtorebma, rogoricaa, magaliTad, pirovnuli xazebi an anamnezSinevrozuli daavadeba, SesaZlebelia ufro advili gaxados pirovnebaSi am simptomebisaRmoceneba da daamZimos misi mimdinareoba. amasTan, es foni arc aucilebelia da arcsakmarisi imisaTvis, rom avxsnaT am aSlilobis dawyeba. tipiuri niSnebia travmisganmeorebiTi gancda Tavsmoxveuli epizoduri mogonebebis ("fleSbeki") an koSmarulisizmrebis saxiT, romlebic Tavs iCens gaxevebisa da erTgvari emociuri siClungis,adamianebisagan da garemo movlenebisagan gancalkevebis, reaqciis uqonlobis, anhedonis

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myar fonze. amasTan, subieqti gaurbis im qmedebebsa da situaciebs, rac travmas agonebs.Cveulebriv saxezea vegetatiuri zegamRizianeblobis mdgomareoba, SiSis gaZlierebulireaqciebi da insomnia. zemoCamoTvlil simptomebTan xSirad Tanaarsebobs depresia daSfoTva, agreTve TviTmkvlelobis azrebic. travmis Semdgomi latenturi periodi moicavsramdenime kviras an Tves. mimdinareoba talRiseburia, magram umetes SemTxvevaSimosalodnelia gamojanmrTeleba, mcire SemTxvevebSi ki aSliloba SeiZleba gadaizardosqronikul mimdinareobaSi; gagrZeldes mravali wlis ganmavlobaSi da SesaZloagadaizardos myar pirovnul cvlilebebSi (F62.0).travmuli nevrozi.

F43.2 adaptaciis darRvevebi.subieqturi distresisa da emociuri aSlilobis mdgomareoba, rac Cveulebriv aZnelebssocialur urTierTobebsa da saqmianobas da aRmocendeba mniSvnelovani cxovrebiseulicvlilebebisa da stresuli situaciebis mimarT adaptaciis periodSi. stresorma SeiZlebaziani miayenos pirovnebis socialuri garemos integralur mTlianobas (axloblissikvdili, ganSoreba) an socialuri daxmarebisa da RirebulebaTa farTo sistemebs(migracia, ltolvilis statusi). stresori SeiZleba warmodgenili iyos an ganviTarebiskrizisuli periodebiT an erTi socialuri mdgomareobidan meoreSi gadasvlis saxiT(magaliTad, skolaSi wasvla, mSoblad gaxdoma, warumatebloba pirovnulad Rirebulimiznis miRwevaSi, samsaxuridan daTxovna). adaptaciur aSlilobaTa ganviTarebaze da maTgamovlinebaTa formirebaze mniSvnelovan gavlenas axdens individualuri mgrZnobelobaan mzaoba. amasTan, iTvleba, rom stresoris moqmedebis gareSe aRniSnuli kategoria araRmocendeba. am darRvevebis dros SeiZleba gamovlindes: depresiuli guneb-ganwyoba;SfoTva an wuxili (an orive erTad); pirovnuli gancda, rom ar SeuZlia an gadaWrasproblema an dagegmos momavali, an darCes mocemul konkretul situaciaSi; yoveldRiurisaqmianobis efeqturobis erTgvari daqveiTeba. mozardebSi xSiria qceviTi aSlilobebisTandarTva. klinikur suraTSi SeiZleba wamyvani iyos mwvave an gaxangrZlivebulidepresiuli reaqcia an sxva afeqturi da qceviTi aSlilobebi

kulturaluri Soki,

reaqcia ubedur SemTxvevaze,

bavSvebis hospitalizmi.

ar igulisxmeba: ganSorebiT gamowveuli SfoTviTi aSlilobebi bavSvebSi (F93.0)F43.8 sxva reaqciebi mwvave stresze.F43.9 dauzustebeli reaqciebi mwvave stresze.

disociaciuri [konversiuli] aSliloba.

am aSlilobebisas srulad an nawilobriv irRveva kavSiri, erTis mxriv, warsul faqtebzemaxsovrobas, identifikaciur cnobierebas (TviTSecnoba), uSualo SegrZnebebsa da meoresmxriv, sxeulis moZraobaTa kontrolis unars Soris. disociaciuri aSlilobebiCveulebriv ramdenime kviris an Tvis Semdeg iZleva remisias, gansakuTrebiT Tu igitravmul movlenasTanaa asocirebuli. im SemTxvevaSi, roca daavadebis debiutidakavSirebulia gadauWrel cxovrebiseul problemebTan an interpersonalurkonfliqtTan, aSlilobebi qronikul xasiaTs iRebs (parezebi an anesTezia). es aSlilobebiadre klasificirdeboda rogorc konversiuli isteriis sxvadasxva tipi. disociaciuriaSliloba fsiqogenuri warmoSobisaa, radgan drois fenomeniT mWidrodaa dakavSirebulimatravmirebel movlenasTan, gadauWrel problemebTan an darRveul interpersonalurkavSirebTan. simptomebSi asaxvas povebs TviT pacientis azri somaturi daavadebisarsebobis Sesaxeb, rac obieqturad ar mtkicdeba. amasTan, aSkaraa, rom esa Tu is funqciuridarRveva aris arsebuli emociuri konfliqtebisa an moTxovnilebebis gamovlineba.simptomebi SesaZlebelia ganviTardes uecrad, uSualod fsiqo-stresTan kavSirSi. am TavSimocemulia mxolod normisas kontrolirebadi somaturi funqciebis darRvevebi damgrZnobelobis sruli dakargva. daavadebebi, romelsac Tan sdevs tkivili da sxva rTulisomaturi SegrZnebebi, regulirebadi avtonomiuri nervuli sistemis mier, ganixilebasomatoformul aSlilobebSi (F45.0). am kategoriaSi moqceuli aSlilobebi SesaZlebeliagadaizardos seriozul somatur darRvevebsa an fsiqikur aSlilobaSi.igulisxmeba: konversiuli isteria,

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konversiuli reaqcia,isteria,isteriuli fsiqozi.

ar igulisxmeba: simulacia (Segnebuli simulacia) (Z76.5)F44.0 disociaciuri amnezia.

ZiriTadi damaxasiaTebeli niSania mexsierebis dakargva, gansakuTrebiT mimdinaremovlenebze, rac gamowveuli ar aris organuli cerebraluri paTologiiT da ar aixsnebaCveuli gulmaviwyobiT an gadaRlilobiT. amnezia ZiriTadad koncentrirebuliamatravmirebel movlenaze (magaliTad, ubeduri SemTxveva an axloblis sikvdili).Cveulebriv, igi parcialuri da seleqtiuria. totaluri an generalizebuli amneziaiSviaTia da fugis (F44.1) dros gvxvdeba. es diagnozi ar unda daisvas Tavis tvinisorganuli dazianebis, intoqsikaciis an Zlieri gadaRlis SemTxvevaSi.

ar igulisxmeba: alkoholiT an sxva fsiqotropuli nivTierebiT gamowveuliamneziuri aSliloba (F10-F19 saerTo meoTxe maxasiaTebliT .6).

amnezia, romelic sxvagvarad ar aris dazustebuli (R41.3),anterograduli amnezia (R41.1),retrograduli amnezia (R41.2).araalkoholuri organuli amneziuri sindromi (F04).postiqtaluri amnezia epilefsiis dros (G40.-).

F44.1 disociaciuri fuga.disociaciur fugas disociaciuri amneziis yvela niSani aqvs, Tanac pacientimizanmimarTulad icvlis adgilmdebareobas, miemgzavreba ufro Sors, vidre es misiyoveldRiuri moqmedebis diapazonia. fugis periodSi adgili aqvs amnezias. pacientisqcevebi gareSe damkvirvebels sruliad normalurad SeiZleba moeCvenos.

ar igulisxmeba: postiqtaluri fuga epilefsiis dros (G40).F44.2 disociaciuri stupori.

disociaciuri stuporis diagnozs vsvavT nebiTi moZraobebis da garegan gamRizianeblebze(sinaTle, xmauri, Sexeba) normaluri reaqciebis mkveTri daqveiTebis an sruli dakargvisSemTxvevaSi, Tu klinikuri gamokvlevebiT raime somaturi paTologia ar vlindeba. amasTan,es aSliloba yovelTvis pirobadebulia fsiqogenuri faqtorebiT, rogoricaa wina

periodSi momxdari stresuli movlena an problema.

ar igulisxmeba: organuli katatoniuri aSliloba (F06.1).stupori, romelic sxvagvarad ar aris dazustebuli (R40.1),katatoniuri stupori (F20.2),depresiuli stupori (F31-F33),maniakaluri stupori (F30.2).

F44.3 transi da Sepyrobilobis mdgomareoba.darRvevebi, romlis drosac pirovnuli identifikaciisa da garemos srulyofili aRqmisdarRveva xdeba. aq mocemulia uneblie an arasasurveli transis mdgomareoba, romelicreligiurad an kulturalurad misaReb farglebs scdeba.ar igulisxmeba: mdgomareobebi, mwvave da tranzitoruli fsiqozuri aSlilobebis dros

(F23.-),mdgomareobebi, organuli pirovnuli aSlilobis dros (F07.0),mdgomareobebi, gamowveuli postkontuziuri sindromiT (F07.2),mdgomareobebi, fsiqotropuli nivTierebebiT gamowveuli intoqsikaciis dros (F10-

F19 saerTo meoTxe maxasiaTebliT .0).

mdgomareobebi gamowveuli SizofreniiT (F20.-).F44.4 disociaciuri motoruli aSlilobani.

am aSlilobebisas gamoxatulia mTliani kiduris an misi nawilis moZraobis unarisdakargva. is Zalian gavs ataqsias, apraqsias, akinezias, dizarTrias, diskinezias,gulyriT gantvirTvebs an parezs.fsiqogenuri afonia,

fsiqogenuri disfonia.

F44.5 disociaciuri konvulsiebi.

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disociaciuri konvulsiebi moZraobebiT Zalze emsgavseba epilefsiur gulyrebs, magramepilefsiisTvis damaxasiaTebeli simptomebi: enaze kbena, dacemiT gamowveulisisxlnaJRenTebi, uneblie Sardva - Zalze iSviaTia. cnobiereba SenarCunebulia an

Canacvlebulia stuporis an transis mdgomareobebiT.

F44.6 disociaciuri anesTezia da sensoruli aSlilobakanis anesTeziuri areebi isea SemosazRvruli, rom ewinaaRmdegeba anatomiur kanonebs.amis mizezad sxeulis funqciebze TviT avadmyofis azrebi da Sexedulebebi gvevlineba.SesaZlebelia adgili qondes zogierTi sensoruli modalobis amovardnas, racpirobadebuli ar aris nevrologiuri paTologiiT. aRqmiTi SegrZnebebis dakargvasSesaZlebelia Tan axldes Civilebi paresTeziaze. disociaciuri aSlilobebis drosmxedvelobisa da smenis sruli dakargva Zalze iSviaTia.

fsiqogenuri siyrue.

F44.7 Sereuli disociaciuri (konversiuli) aSlilobani.F44.0-F44.6-Si aRwerili aSlilobebis kombinacia

F44.8 sxva disociaciuri (konversiuli) aSlilobani.hanzeris sindromi.

mravlobiTi pirovnuli aSlilobafsiqogenuri abneva.

bindiseburi mdgomareoba.

F44.9 dauzustebeli disociaciuri (konversiuli) aSliloba.

somatoformuli aSlilobebi.

ZiriTadi niSania pacientis mier somaturi Civilebis ganmeorebadi nevrotiuliwarmoCineba, rasac Tan sdevs samedicino gamokvlevis daJinebuli moTxovna. eqimebiarwmuneben avadmyofs, rom misi simptomebisTvis araviTari somaturi safuZvelipaTologiis saxiT ar arsebobs. amasTan, Tu gamovlindeba romelime somaturi paTologia,igi ar Seesabameba avadmyofis mier warmodgenil simptomebs da pacientis emociuridistresis xarisxs.ar igulisxmeba: disociaciuri aSliloba (F44.-).

stereotipuli moZraobebi (F98.4)enabluoba (F80.0)Clifini (F80.8)frCxilebis kvneta (F98.8)fsiqologiuri da qceviTi faqtorebi dakavSirebuli sxvagan

klasificirebul daavadebebTan (F54).seqsualuri disfunqcia, romelic ar aris gamowveuli organuli

darRveviT an daavadebiT (F52.-).cera TiTis wova (F98.8)tikebi (bavSvebSi da mozardebSi) (F95.-)turetis sindromi (F95.2)triqotilomania (F63.3).

F45.0 somatizirebuli aSlilobani.damaxasiaTebelia mravlobiTi rekurentuli da xSirad cvalebadi fizikuri simptomebi,sul mcire ori wlis ganmavlobaSi. pacientTa umravlesobas, pirveladi daspecializirebuli samedicino daxmarebis samsaxurebTan xangrZlivi urTierTobisgamocdileba aqvs, mravali uSedego gamokvlevebiTa da operaciebiT. simptomebi SeiZlebamoicavdes sxeulis nebismier nawilsa da organoTa sistemas. avadmyofobis mimdinareobaSeiZleba iyos qronikuli da cvladi. xSirad gadajaWvulia socialur, interpersonalurda ojaxur urTierTobaTa xangrZliv darRvevebTan. xanmokle (or welze naklebi) danaklebi siZlieris simptomebi unda iqnes klasificirebuli, rogorc aradiferencirebulisomatoformuli aSliloba (F45.1).mravlobiTi fsiqosomaturi aSliloba.

ar igulisxmeba: simulacia (Z76.5).

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F45.1 aradiferencirebuli somatoformuli aSliloba.roca somatoformuli Civilebi mravlobiTia da xangrZlivi, magram ar arissomatizirebuli aSlilobis dasrulebuli da tipiuri klinikuri suraTi,aradiferencirebuli somatoformuli aSlilobis diagnozi SesaZloa daisvas.

aradiferencirebuli fsiqosomaturi aSliloba.

F45.2 hipoqondriuli aSliloba.wamyvani niSania subieqtis gancda, rom mas aqvs ramdenime seriozuli da progresirebadisomaturi daavadeba. pacientebi adgenen xangrZliv somatur Civilebs, an moculni ariansakuTar garegnobaze zrunviT. normaluri an Cveuli SegrZnebebi da garegnoba pacientismier xSirad aRiqmeba rogorc paTologiuri da Semawuxebeli, maTi yuradRebakoncentrirebulia sxeulis mxolod erT an or organoze an organoTa sistemaze.xSirad adgili aqvs gamoxatul SfoTvasa da depresias, amitom SesaZlebelia daisvasdamatebiTi diagnozebi.

dismorfofobia (arabodviTi),

hipoqondruli nevrozi,

hipoqondria,nozofobia.ar igulisxmeba: bodviTi dismorfofobia (F22.8),

sxeulis funqciebze an formaze fiqsirebuli bodvebi (F22.-).F45.3 somatoformuli avtonomiuri (vegetatiuri) disfunqcia.

simptomatika pacientebis mier ise warmoCindeba, TiTqos misi gamomwvevi mizezia somaturipaTologia im organosa an organoTa sistemis, romelic ZiriTadad an mTlianadregulirdeba vegetatiuri (avtonomiuri) nervuli sistemis mier (magaliTad,sisxlZarRvovani, gastrointestinaluri, respiratoruli da Sardsasqeso sistemebi).simptomebi, Cveulebriv, ori saxisaa da arc erTi maTgani ar miuTiTebs sxeulisorganoTa an sistemaTa fizikur darRvevebze. pirveli - dakavSirebulia vegetatiurinervuli sistemis aqtivaciis obieqtur niSnebTan, rogoricaa: gaZlierebuli pulsacia,oflianoba, gawiTleba, tremori, aseve gamoxatulia SiSisa da wuxilis gancda ararsebulisomaturi daavadebis gamo. meore tipi warmoadgens araspecifiur an cvalebad subieqturCivilebs, rogoricaa movliTi tkivilebi, wvis, simZimis SegrZnebebi, aseve-Sebervis anCafuSvis SegrZnebebi. yvela am simptomebs pacienti miakuTvnebs specifiur organos an

sistemas.

igulisxmeba: gulis nevrozi,da kostas sindromi,kuWis nevrozi,neirocirkulruli asTenia,aerofagiis fsiqogenuri forma,xvelebis fsiqogenuri forma,diareis fsiqogenuri forma,dispefsiis fsiqogenuri forma,dizuriis fsiqogenuri forma,meteorizmis fsiqogenuri forma,slokinis fsiqogenuri forma,hiperventilaciis fsiqogenuri forma,Sardis gaxSirebuli gamoyofis fsiqogenuri forma,pilorospazmis fsiqogenuri forma.

ar igulisxmeba: fsiqikuri da qceviTi faqtorebi, dakavSirebuli

sxvagan klasificirebul darRvevebTan an daavadebebTan (F54).F45.4 qronikuli somatoformuli tkivili

ZiriTadi Civilia myari, xangrZlivi, mwvave da damTrgunveli tkivili, romelic sruladar aixsneba fiziologiuri procesiT an somaturi aSlilobiT. igi, rogorc wesi,aRmocendeba emociur konfliqtTan an fsiqosocialur problemebTan kavSirSi, racuflebas gvaZlevs gamovitanoT daskvna, rom swored es fonia gamomwvevi mizezi. amkategorias ar miekuTvneba fsiqogenuri warmoSobis tkivilebi, romlebic Tavs iCensdepresiuli aSlilobis an Sizofreniis dros.

237


fsiqalgiafsiqogenuri zurgis tkivilifsiqogenuri Tavis tkivilisomatoformuli aSlilobani tkivilebiTar igulismeba: zurgis tkivili, romelic sxvagvarad ar aris dazustebuli (M 54.9)

tkivili, romelic sxvagvarad ar aris dazustebuli (R52.9)mwvave tkivili (R52.0),qronikuli tkivili(R52.2),Znelad mosarCeni tkivili.(F52.1)daZabvis Tavis tkivili (G44.2)

F45.8 sxva somatoformuli aSlilobani.am kategorias ganekuTvneba SegrZnebebis, funqciis an qcevis nebismieri sxvadarRvevebi, romelic gamowveuli ar aris fizikuri darRvevebiTa da dakavSirebuliar aris avtonomiuri nervuli sistemis disfunqciasTan. aSlilobebi Semoifarglebasxeulis sxvadasxva nawilebiT an specifiuri sistemebiT da droSi emTxveva stresulsituaciebsa da problemebs.fsiqogenuri dismenorea,fsiqogenuri disfagia, "globus histerikusis" CaTvliTfsiqogenuri qavili,

fsiqogenuri kisermrudoba.

F45.9 dauzustebeli somatoformuli aSliloba.fsiqosomaturi aSliloba, romelic sxvagvard ar aris dazustebuli

sxva nevrozuli aSlilobani.

F48.0 nevrasTenia.es aSliloba vlindeba mniSvnelovani kulturaluri saxesxvaobebiT. Tumca ZiriTadadvxvdebiT or tips, romelTac mravali saerTo niSani aqvT. pirveli tipis SemTxvevaSi,mTavari niSania gonebrivi gadaZabvis Semdeg Zlieri gadaRla, rac xSiraddakavSirebulia Sromisunarianobis da produqtiulobis, yoveldRiuri saqmianobisganxorcielebis unaris daqveiTebasTan. gonebriv gadaRlas axasiaTebs: gamfantveliasociaciebis an mogonebebis azrovnebaSi SeWra, koncentraciis unaris Sesusteba daaraefeqturi azrovneba. meore tipis dros ki, saqme gvaqvs sxeulis fizikuri sisustisda gamofitvis grZnobasTan minimaluri daZabvis Semdegac ki, romelsac Tan axlavskunTebis tkivilis SegrZneba. orive SemTxvevaSi saerToa sxva arasasiamovnofizikuri SegrZnebebi, rogoricaa, magaliTad: Tavbrusxveva, daZabvis Tavis tkivili dazogadi arastabilurobis SegrZneba. wuxili daqveiTebul gonebriv da fizikurSesaZleblobebze, gamRizianebloba, anhedonia, aseve msubuqad gamoxatuli SfoTva dadepresia - am aSlilobis dros yovelTvis gvxvdeba. Zilis cikli darRveulia inicialurda Sua fazebSi, magram aseve SesaZlebelia hipersomniac.gadaRlis sindromisaWiroebisas gamoiyeneT damatebiTi kodi, raTa dazustdes adre gadatanili somaturi daavadeba.ar igulisxmeba: asTenia, romelic sxvagvarad ar aris dazustebuli (R53).

"gadawva" (Z73.0),diskomforti da gadaRla (R53),postvirusuli gadaRlis sindromi (G93.3),fsiqasTenia (F48.8).

F48.1 depersonalizacia-derealizaciis sindromi.aSliloba, romlis drosac pacienti spontanurad uCivis, rom misi gonebrivi aqtivoba,sxeuli da garemo Tvisobrivad Secvlilia da igi ararealuri, Soreuli daavtomatizirebulia. am sindromis sxva fenomenSi pacientebi umetesad uCivian sakuTariazrebis, qcevis, sxeulis an realuri samyaros mimarT emociur gaRaribebas (emociebisdakargva) da gaucxoebis grZnobas, aseve masTan gancalkevebas. miuxedavad mdgomareobisdramatulobisa, pacients gacnobierebuli aqvs cvlilebebis ararealuroba. SegrZnebebinormaluria, emociuri gamoxatvis unaric Seulaxavia. depersonalizacia-derealizaciis

F48

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simptomebma SesaZlebelia Tavi iCinon Sizofreniul, depresiul, fobikur an obsesiur-kompulsiur aSlilobebSi. aseT SemTxvevebSi diagnozi unda daesvas ZiriTad

aSlilobas.

F48.8 sxva specifiuri nevrozuli aSlilobebi.brikes aSliloba,

dhatis sindromi,profesiuli nevrozebi, weris dros krunCxvis (krampi) CaTvliT.fsiqasTenia,fsiqasTeniuri nevrozi,

fsiqogenuri sinkope

F48.9 dauzustebeli nevrozuli aSliloba.nevrozi, romelic sxvagvarad ar aris dazustebuli.

qceviTi sindromebi, dakavSirebuli fiziologiur darRvevebTan da

fizikur faqtorebTan

(F50-F59).

sakvebis miRebasTan dakavSirebuli darRvevebi.

ar igulisxmeba: anoreqsia, romelic sxvagvarad ar aris dazustebuli (R63.0)sakvebis miRebasTan dakavSirebuli siZneleebi da umarTaoba (R63.3).CvilTa da bavSvTa kvebis aSliloba (F.98.2)polifagia (R63.2)

F50.0 nervuli anoreqsia.aSliloba, romelic xasiaTdeba pacientis mier wonis winaswarganzraxuli klebiT, misTvissasurveli mcire wonis SenarCunebisadmi gadametebuli swrafviT. xSirad aSlilobauviTardebaT mozard gogonebsa da axalgazrda qalebs, ufro iSviaTad - mozard vaJebsada axalgazrda mamakacebs, gardatexis asaks miRweul bavSvebsa da qalebs, romelTa asakimenopauzas uaxlovdeba. am aSlilobas Tan axlavs specifiuri fsiqopaTologiurigamovlinebani, kerZod, simsuqnisa da modunebuli sxeuli konturebis arsebobis SiSi, raczeRirebulovani ideis xarisxs aRwevs. simptomebSi igulisxmeba agreTve: mkacri dieturiSezRudvebi, gadaWarbebuli varjiSi, xelovnurad gamowveuli xSiri pirRebineba da kuWismoqmedeba, madis damqveiTebeli da diurezuli saSualebebis gamoyeneba. Cveulebriv adgiliaqvs organizmis sxvadasxva xarisxiT gamofitvas, meoradi endokrinuli da metaboluricvlilebebiT, organizmSi funqciuri darRvevebiT.ar igulisxmeba: madis dakargva (R63.0),

madis fsiqogenuri dakargva (F50.8)F50.1 atipiuri nervuli anoreqsia

aSliloba, romelic moicavs nervuli anoreqsiis ramdenime niSans, magram mTlianadklinikuri suraTi ar Seesabameba am diagnozs. magaliTad, erT-erTi ZiriTadi simptomi,rogoricaa amenorea an simsuqnis gamoxatuli SiSi SesaZloa ar iyos, maSin rodesacarsebobs gamoxatuli wonis dakleba da wonis daklebisaken mizanmimarTuli qcevebi.diagnozs ar viyenebT, Tu cnobilia im somaturi darRvevis arseboba, romlebic ganapirobebs

wonis daklebas.

F50.2 nervuli bulimia.xasiaTdeba sakvebis xSiri, Warbi miRebiT da sxeulis wonis zedmeti kontroliT. sasurveliwonis SenarCunebis mizniT avadmyofi iwvevs pirRebineba da Rebulobs safaRaraTosaSualebebs. am aSlilobas aqvs bevri saerTo fsiqologiuri gamovlineba nervulanoreqsiasTan, maT Soris, sxeulis formebisa da wonisadmi gadametebuli yuradReba.xSiri pirRebineba xdeba organizmSi eleqtrolituri balansis moSlis da somaturiCivilebis mizezi. zogjer, Tumca ara yovelTvis, anamnezSi SeiZleba gamovlindes nervulianoreqsiis adreuli epizodebi, intervaliT ramdenime Tvidan ramdenime wlamde.bulimia, romelic sxvagvarad ar aris dazustebulinervuli hiperoreqsia.

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239


F50.3 atipiuri nervuli bulimia.aSliloba, romelic Seicavs nervuli bulimiis zogierT niSans, magram romlis mTlianiklinikuri suraTi ar Seesabameba am diagnozs. magaliTad, SesaZloa mTlian klinikursuraTSi ar iyos gamoxatuli wonis mkveTri cvlileba an gadaWarbebuli yuradReba

sakuTari sxeulis formebisa da wonisadmi.

F50.4. sakvebis Warbi miReba, romelic dakavSirebulia sxva fsiqologiurdarRvevebTan.sakvebis Warbi miReba dakavSirebuli stresul situaciebTan, rogoricaa mZime danakargi,ubeduri SemTxveva, bavSvis SeZena da a.S.fsiqogenurad ganpirobebuli sakvebis Warbi miReba

ar igulisxmeba: simsuqne (E66.-).F50.5 fsiqologiuri darRvevebiT pirobadebuli pirRebineba.

ganmeorebiTi pirRebineba, romelic arsebobs disociaciuri (F44) da ipoqondriuli (F45.2)aSlilobebis dros da ar aris gamowveuli sxva TavebSi klasificirebuli aSlilobebiT.es qvekategoria SeiZleba gamoyenebuli iqnes damatebiT O21.- -Si (orsulTa pirRebineba),roca orsulobis periodSi gulisrevis da pirRebinebis gamomwvevia ZiriTadad emociurifaqtorebi.fsiqogenuri pirRebinebaar igulisxmeba: gulisreva (R11),

pirRebineba, romelic sxvagvarad ar aris dazustebuli (R11).F50.8 sakvebis miRebasTan dakavSirebuli sxva darRvevebi.

kvebis gaukuRmarTeba (pika).

fsiqogenuri mizezebiT gamowveuli madis dakargva.

ar igulisxmeba: pika Cvilebsa da bavSvebSi (F98.3).F50.9 sakvebis miRebasTan dakavSirebuli dauzustebeli darRvevebi.

araorganuli xasiaTis Zilis darRvevebi.

xSir SemTxvevaSi Zilis darRveva gvevlineba fsiqikuri an somaturi daavadebis simptomad.aris Tu ara pacientSi Zilis darRvevebi mocemul SemTxvevaSi damoukidebeli mdgomareoba,Tu igi sxva daavadebis erT-erTi gamovlenaa, unda gadawydes klinikuri mimdinareobisTaviseburebis da Terapiuli prioritetebis safuZvelze konsultaciis momentSi.Cveulebriv, Tu Zilis darRveva aris ZiriTadi Civili, igi unda iyos diagnostirebuli.sasurvelia Zilis specifiuri darRvevis diagnozi miTiTebul iqnas im sxva SesabamisdiagnozebTan erTad, romelTa dasma aucilebelia mocemuli konkretuli SemTxvevisfsiqopaTologiuri an paTofiziologiuri Taviseburebebis aRwerisaTvis. es kategoriaSeicavs mxolod Zilis im darRvevebs, romlebic warmoSobilia ZiriTadad emociurifaqtorebiT da ar aris dakavSirebuli sxvagan klasificirebul somatur aSlilobebTan.

ar igulisxmeba: Zilis darRvevebi (organuli) (G47.-).F51.0 araorganuli insomnia (uZiloba).

araorganuli insomniisas pirovnebas drois mniSvnelovani periodis manZilze aReniSnebaarasakmarisi xangrZlivobis da aradamakmayofilebeli xarisxis Zili. gaZnelebuliaCaZineba da Zilis SenarCuneba, gamoxatulia naadrevi gamoRviZeba. insomnia mravalifsiqikuri da somaturi daavadebis saerTo simptomia. Tu igi klinikur suraTSi dominirebs,ZiriTadi aSlilobis damatebad unda iqnes gamotanili diagnozSi.

ar igulisxmeba: organuli insomnia (G47.0).F51.1 araorganuli hipersomnia.

hipersomnia ewodeba mdgomareobas, romlis drosac adgili aqvs dRis ganmavlobaSimomatebul Zilianobas da Zilis Semotevebs (rac ar SeiZleba aixsnas Ramis saaTebSiZilis arasakmarisi xangrZlivobiT) an gaRviZebisas Zilis mdgomareobidan srulisifxizlis mdgomareobaSi gadasvlis gaWianurebas. araorganuli bunebis hipersomnia,Cveulebriv, Tan axlavs fsiqikur aSlilobebs.ar igulisxmeba: organuli hipersomnia (G47.1)

narkolefsia (G47.4).

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F51.2 araorganuli Zil-RviZilis reJimis aSliloba.gamoxatulia sinqronulobis darRveva pirovnebis normaluri funqcionirebisaTvissaWiro Zil-RviZilis reJimsa da realurad arsebul reJims Soris. sinqronulobisdarRvevam SeiZleba mogvces Civilebi hipersomniasa da insomniaze.cirkadiuli riTmis fsiqogenuri inversia,sadReRamiso riTmis fsiqogenuri inversia,Zilis riTmis fsiqogenuri inversia

ar igulisxmeba: Zil-RviZilis riTmis organuli darRvevebi (G47.2).F51.3 somnambulizmi.

Secvlili cnobierebis mdgomareoba, romlis drosac Zilis da sifxizlis fenomenebikombinirebulia. somnambulizmis epizodis dros avadmyofi dgeba sawolidan (racCveulebriv xdeba Ramis Zilis pirvel mesamedSi) da dadis. avadmyofs am dros aReniSnebareaqtiulobis da motoruli Cvevebis dabali done. gaRviZebisas, rogorc wesi, gadatanili

epizodi amnezirebuli aqvs.

F51.4 Ramis SiSebi.ukiduresi SiSis an panikis epizodebi, romlebic viTardeba Rame da romelTac Tan axlavsintensiuri vokalizacia, moZraoba da vegetatiuri aqtivobis maRali done. avadmyofijdeba sawolze an wamoiWreba panikuri yviriliT. xSirad igi miiWreba karebTan, TiTqossurs gaqceva, magram Zalze iSviaTad tovebs oTaxs. es mdgomareoba Ramis Zilis pirvelmesamedSi viTardeba.. mdgomareoba avadmyofs iSviaTad axsovs, SeiZleba mexsierebaSi

SemorCes erTi an ori fragmentuli xati.

F51.5 koSmarebi.SiSiT da SfoTviT datvirTuli sizmrebi. nanaxi da gancdili detalurad aris SenaxulimexsierebaSi. sizmrebi Zalze mZafria da rogorc wesi, maT TematikaSi aisaxeba sicocxlis,usafrTxoebis an Rirsebis Selaxvis muqara. sakmaod xSirad adgili aqvs erTi da igive

an msgavsi koSmaruli sizmrebis gameorebas. tipiuri epizodis dros vegetatiuri aqtivobis

saerTo done momatebulia, magram ar aris gamoxatuli sxeulis moZraobebi da vokalizacia.gamoRviZebis Semdeg individs swrafad ubrundeba orientacia da aseve swrafad gadadis

sifxizlis normalur mdgomareobaSi.

F51.8 sxva araorganuli Zilis darRvevebi.F51.9 Zilis araorganuli darRvevebi, dauzustebeli.

Zilis emociuri bunebis darRvevebi, romelic sxvagvarad ar aris dazustebuli

seqsualuri disfunqcia, romelic ar aris gamowveuli organuli

darRveviT an daavadebiT.

seqsualuri disfunqcia iseTi mdgomareobaa, romlis drosac sxvadasxva mizezis gamoindividi uZluria survilisamebr daamyaros seqsualuri kavSiri. seqsualuri reaqciafsiqosomaturi procesia, amitom seqsualuri disfunqcia Cveulebriv gamowveulia rogorcfsiqologiuri, ise somaturi procesebiT.

ar igulisxmeba: dhatis sindromi (F48.8).F52.0 seqsualuri ltolvis daqveiTeba an ararseboba.

es kategoria moicavs iseT mdgomareobebs, romelTa drosac seqsualuri ltolvisdakargva aris pirveladi, ZiriTadi problema da ara meoradi - - sxva seqsualurisiZneleebis Tanmxlebi, rogoricaa ereqciis ararseboba da dispareunia.frigiduloba,

hipoaqtiuri seqsualuri ltolva.

F52.1 seqsualuri zizRi da seqsualuri dakmayofilebis ararseboba.mdgomareoba, romlis drosac partniorTan mosalodneli seqsualuri kontaqti iwvevsZlier negatiur gancdebs, SiSsa da SfoTvas, aRniSnuli xdeba seqsualuri aqtivobisaganTavis aridebis mizezi. seqsualuri ltolva normaluria da orgazmic ganicdeba, magrammas Tan ar axlavs adeqvaturi seqsualuri dakmayofilebis gancda (seqsualuri siamovnebisnakleboba).

seqsualuri anhedonia.

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F52.2 genitaluri reaqciebis ukmarisoba.mamakacebSi ZiriTad problemas warmoadgens ereqciuli disfunqcia (siZneleebiereqciis miRwevasa da SenarCunebaSi, romelic aucilebelia damakmayofilebeliseqsualuri aqtis gansaxorcieleblad). qalebSi ZiriTadi problemaa vaginalurisimSrale an lubrikaciis ukmarisoba.qalebSi - seqsualuri aRgznebis darRvevebi,mamakacebSi - ereqciuli darRvevebi,fsiqogenuri impotencia.

ar igulisxmeba: organuli warmoSobis impotencia (N48.4).F52.3 orgazmuli disfunqcia.

orgazmi ar miiRweva an sagrZnoblad Seferxebulia.

Sekavebuli orgazmi (mamakacebSi) (qalebSi).

fsiqogenuri anorgazmia.

F52.4 naadrevi eakulacia.eakulaciis Sekavebis arasakmarisi unari, ris gamoc SeuZlebeli xdeba seqsualuri

kavSirisagan siamovnebis miReba.

F52.5 araorganuli warmoSobis vaginizmi.spazmebi menjis kunTebSi, romelic gars akravs vaginas, rac iwvevs

saSos gaxsnis Seferxebas. sasqeso asos Sesvla SeuZlebelia anZalze mtkivneuli.fsiqogenuri vaginizmi.

ar igulisxmeba: organuli vaginizmi (N94.2).F52.6 araorganuli warmoSobis dispareunia.

dispareunia, (anu tkivilebi sqesobrivi aqtis dros) gvxvdeba rogorc qalebSi, asevemamakacebSi. es SeiZleba gamowveuli iyos lokaluri paTologiiT da am SemTxvevaSikodirebuli unda iyos Sesabamisad. mocemuli kategoria gamoiyeneba mxolod imSemTxvevaSi, rodesac adgili ar aqvs sxva araorganul seqsualur disfunqcias (mag.:vaginizmi an vaginaluri simSrale)

fsiqogenuri dispareunia.

ar igulisxmeba: organuli dispareunia (N94.1).F52.7 momatebuli seqsualuri ltolva.

nimfomania,

satiriazisi.

F52.8 sxva seqsualuri disfunqcia, romelic ar aris gamowveuli organulidarRveviT an daavadebiT.

F52.9 dauzustebeli seqsualuri disfunqcia, romelic ar aris gamowveuliorganuli dazianebiT an daavadebiT.

fsiqikuri an qceviTi aSlilobebi, romlebic dakavSirebulia mSobiarobis

Semdgom periodTan da ar aris klasificirebuli sxva TavebSi.

es kategoria moicavs mSobiarobis Semdgomi periodis mxolod im aSlilobebs, romlebicgamovlindeba mSobiarobidan 6 kviris ganmavlobaSi, da ar pasuxobs sxva TavebSi mocemulaSlilobaTa kriteriumebs (informaciuli simciris an iseTi damatebiTi klinikuri

gamovlinebebis gamo, romelic SeuZlebels xdis maT Seyvanas sxva kategoriaSi).

F53.0 mSobiarobisSemdgomi msubuqi fsiqikuri da qceviTi aSlilobebi, romlebicar aris klasificirebuli sxva TavebSiøøøøøøø øøøøøpostnataluri depresia, romelic sxvagvarad ar aris dazustebuli mSobiarobis Semdgomi

depresia, romelic sxvagvarad ar aris dazustebuli

F53.1 mSobiarobisSemdgomi mwvave fsiqikuri da qceviTi aSlilobani, periodTan,romlebic ar aris klasificirebuli sxva TavebSimSobiarobis Semdgomi fsiqozi, romelic sxvagvarad ar aris dazustebuli

F53

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F53.8 mSobiarobisSemdgomi sxva fsiqikuri da qceviTi aSlilobani, romlebicar aris klasificirebuli sxva TavebSi

F53.9 mSobiarobisSemdgomi fsiqikuri aSliloba, dauzustebeli.

fsiqologiuri da qceviTi faqtorebi, dakavSirebuli im aSlilobebTan

da daavadebebTan, romlebic sxva TavebSia klasificirebuli.

es kategoria gamoyenebuli unda iyos im fsiqologiuri da qceviTi faqtorebisregistraciisaTvis, romelTac, savaraudoa, mniSvnelovani roli Seasrules sxvadasxvasomaturi daavadebebis etiologiaSi, fsiqikuri aSlilobebi upiratesad msubuqia (wuxili,emociuri konfliqtebi, cudi winaTgrZnoba da sxv.), atarebs prolongirebul xasiaTs damaTi araseboba calke ar Seesabameba sxva romelime kategorias. im SemTxvevaSi, rodesacsomaturi daavadebis ganviTarebaSi naTlad Cans fsiqikur aSlilobaTa roli, gamoiyenebafsiqikuri aSlilobisa da somaturi paTologiis kombinirebuli kodi.fsiqologiuri faqtori, romelic gavlenas axdens fizikur mdgomareobaze.am kategoriis gamoyenebis magaliTebi:asTma F54 da J45.-dermatiti F54 da L23-L25,

kuWis wyluli F54 da K25.-,lorwovanis koliti F54 da K58,wylulovani koliti F54 da K51.-,WinWris cieba F54 da L50.-damatebiTi kodi gamoiyenebuli unda iyos Tanmxlebi somaturi darRvevebis dasazusteblad.

ar igulisxmeba: tenziuri tipis Tavis tkivili (G44.2).

aranarkotikul nivTierebaTa borotad gamoyeneba.

igulisxmeba medikamentebisa da xalxur medicinaSi gamoyenebuli nivTierebebis farTospeqtri, magram gansakuTrebuli mniSvneloba eniWeba Semdeg jgufebs: a) fsiqotropuliwamlebi, romlebic ar iwveven damokidebulebas, rogoricaa antidepresantebi, b)safaRaraTo saSualebebi, g) analgetikebi, romlis SeZena receptis gareSec SeiZleba, mag:aspirini, paracetamoli.am nivTierebaTa regularuli moxmareba xSirad iwvevs samedicino personalTanaraaucilebel kontaqtebs, zogjer arasasurvel somatur efeqtsac. miuxedavad arsebulisomaturi darRvevebisa (magaliTad, safaRaraTo saSualebebis an analgetikebis borotadgamoyenebas Tan axlavs eleqtrolitebis balansis darRveva, Tirkmlis funqciis ukmarisobada sxv.), medikamentebis miRebis Sewyvetas an akrZalvas pacienti ewinaaRmdegeba. pacientsaReniSneba wamlis miRebis Zlieri motivacia, Tumca wamalze damokidebulebis anabstinenciis simptomebi ar viTardeba, rogorc F10-F19-Si aRweril SemTxvevebSi.antaciduri saSualebebis borotad gamoyeneba,xalxuri medicinis saSualebaTa borotad gamoyeneba,steroidebis an hormonebis borotad gamoyeneba,vitaminebis borotad gamoyeneba,laqsatiuri Cvevebi

ar igulisxmeba: fsiqoaqtiur nivTierebaTa borotad gamoyeneba (F10-F19).

dauzustebeli qceviTi sindromebi, dakavSirebuli fiziologiur

darRvevebTan da somatur faqtorebTan.

fsiqogenuri fiziologiuri disfunqcia, romelic sxvagvarad ar aris dazustebuli

mozrdilTa pirovnuli da qceviTi aSlilobebi

(F60-F69)

es Tavi Seicavs klinikurad gamoxatul pirovnul da qceviT TaviseburebaTa farTo speqtrs,romelic xasiaTdeba stabilurobiT da warmoadgens individis cxovrebis stilis

F54

F55

F59

243


damaxasiaTebel gamoxatulebas, aseve urTierTobebis formas TavisTavTan da sxvebTan. zogierTimdgomareoba da qceviTi Tavisebureba yalibdeba pirovnebis ganviTarebis adreul periodSi,rogorc konstituciuri faqtorebisa da socialuri urTierTobebis Sedegi, maSin, rocasxvebi - SeZenilia sicocxlis ufro mogvianebiT etapze. specifiuri pirovnuli darRvevebi(F60.-), Sereuli da sxva pirovnuli darRvevebi (F61.-), xangrZlivi pirovnuli cvlilebebi(F62.-) aris Rrmad fesvgamdgari da myari qceviTi formebis erToblioba, gamoxatuli pirovnulida socialuri situaciebis mimarT mouqneli reaqciebis saxiT. isini warmoadgenen mZime anmniSvnelovan deviaciebs im gzebidan, romlis drosac, Cveulebriv, individi mocemul kulturalurgaremoSi Seimecnebs, gaiazrebs, SeigrZnobs da amyarebs socialur urTierTobebs. aseTiqceviTi formebi midrekilia iyos myari da moicavs qcevisa da fsiqologiuri funqcionirebismraval sferos. isini xSirad, magram ara yovelTvis, dakavSirebulni arian sxvadasxva

xarisxis subieqtur darRvevebTan da socialur problemebTan.

specifiuri pirovnuli darRvevebi.

es aris individis mZime pirovnuli da qceviTi darRvevebi, romelic ar viTardebaTavis tvinis daavadebis, dazianebis an sxva raime travmis, agreTve fsiqikuri aSlilobisSedegad, romelic Cveulebriv, CaiTrevs xolme pirovnebis ramdenime sferos daTiTqmis yovelTvis dakavSirebulia mniSvnelovan pirovnul da socialur

darRvevebTan. iwyeba bavSvobis an mozard asakSi da grZeldeba zrdasrulobaSi.

F60.0 pirovnebis paranoiduliaSliloba.axasiaTebs gadaWarbebuli mgrZnobeloba dabrkolebebisadmi, miutevebloba, eWvianobada faqtebis gaukuRmarTebis tendencia; neitraluri da megobruli qmedebis aRqma,rogorc mtrulis da damcinavis; meuRlis an seqsualuri partnioris seqsualurerTgulebaze rekurentuli eWvianoba mtkicebis gareSe; mtkice winaaRmdegobriviazrebi pirovnebis uflebebze, SesaZlebelia gadaWarbebuli TviTSefaseba daaseve xSirad adgili aqvs gadaWarbebul TviTdamowmebas.pirovnebis eqspansiuri paranoiduli aSliloba,fanatiuri pirovneba,kverulanturi pirovneba,pirovnebis paranoiduli aSliloba,pirovnebis senzitiuri paranoiduli aSliloba.ar igulisxmeba: paranoia (F22.0),

Razoianoba (F22.8),paranoiduli fsiqozi (F22.0),paranoiduli Sizofrenia (F20.-),paranoiduli mdgomareoba (F22.0).

F60.1 pirovnebix Sizoiduri aSliloba.am aSlilobisaTvis damaxasiaTebelia socialuri da sxva kontaqtebidan gansvla,amjobinebs fantazias, ganmartoebas da TviTdakvirvebas SerCenilia grZnobebisgamoxatvis da siamovnebis gancdis mcire unari.ar igulisxmeba: aspergeris sindromi (F84.5),

bodviTi aSliloba (F22.0),Sizoiduri aSliloba bavSvebSi (F84.5),Sizofrenia (F20.0).Sizotipuri aSliloba (F21).

F60.2 pirovnebis disocialuri aSliloba.axasiaTebs movaleobaTa ugulebelyofa, sxvaTa grZnobebis mimarT sruli udardeloba.didi SeuTavseblobaa qcevebsa da gabatonebul socialur normebs Soris. winaaRmdegobismiuxedavad, dasjis CaTvliT, qcevebi ar icvleba. imedis msxvrevis mimarT tolerantobadabalia, aseve advilad gadaabijebs zRurbls agresiuli gantvirTviT, ZaladobiT.gamoxatulia tendencia sxvebis dadanaSaulebisaken an axdens sakuTari qcevis racionaluraxsnas, ritac pacienti aRmoCndes sazogadoebasTan konfliqtSi Sedis.pirovnebis amoraluri aSliloba,pirovnebis antisocialuri aSliloba,pirovnebis asocialuri aSliloba,

F60

244


pirovnebis fsiqopaTiuri aSliloba,pirovnebis sociopaTiuri aSliloba.ar igulisxmeba: qcevis aSliloba (F91.-),

pirovnebis emociuri arastabiluroba (F60.3).F60.3 pirovnebis emociuri arastabiluroba.

axasiaTebs impulsuroba, subieqti angariSs ar uwevs ra Sedegi mohyveba mis qmedebas.guneb-ganwyoba gamoucnobi da Wirveulia. subieqts midrekileba aqvs konfliqturisituaciebisaken. emociis afeTqebisas umarTavi xdeba. Tavs ver akontrolebsgansakuTrebiT maSin, roca win raime dabrkoleba eRobeba. ansxvaveben or saxeobas: 1)impulsuri tipi, romelsac axasiaTebs ZiriTadad arastabiluroba, 2) mosazRvre tipi,romlisTvisac damaxasiaTebelia TviTSefasebis, mizandasaxulobis, Sinagani upiratesobisSegrZnebis darRvevebi sicarielis qronikuli SegrZnebebiT, intensiuri da arastabiluripirovnebaTSorisi urTierTobebiT, TviTdestruqciuli qcevebis tendenciiT, suicidismcdelobis CaTvliT.pirovnebis agresiuli aSliloba,pirovnebis mosazRvre aSliloba,pirovnebis feTqebadi aSliloba.

ar igulisxmeba: pirovnebis disociaciuri aSliloba (F60.2).F60.4 pirovnebis isteriuli aSliloba.

xasiaTdeba zedapiruli afeqtiT, dramatizmiT da TeatralurobiT, emociebis gazviadebiT,egocentrulobiT, TviTSemwynareblobiT. Tavmoyvareobis advilad SelaxviT, maRaliSefasebisa da yuradRebis ganuwyveteli ZiebiT.pirovnebis fsiqoinfantiluri aSliloba,

pirovnebis Teatralizebuli aSliloba.

F60.5 pirovnebis anankasturi aSliloba.xasiaTdeba eWvianobis grZnobiT, mowesrigebulobiT, gadaWarbebuli keTilsindisierebiT,detalebis zedmeti SemowmebiTa da zrunviT, sijiutiT, sifrTxiliT, simtkiciT. SeiZlebaadgili hqondes arasasurvel, Tavsmoxveul azrebs, romelic Tavisi simwvaviT ar aRwevsobsesiur-kompulsiuri aSlilobis dones.pirovnebis kompulsiuri aSliloba,pirovnebis obsesiuri aSliloba,pirovnebis obsesiur-kompulsiuri aSliloba.

ar igulisxmeba: obsesiur-kompulsiuri aSliloba (F42.-).F60.6 pirovnebis SfoTviTi aSliloba.

xasiaTdeba SiSis da daZabulobis, arasaimedoobis da SedarebiT dabali socialurimdgomareobis SegrZnebiT. subieqti dausruleblad miiltvis, rom iyos yvelasaTvismisaRebi. zemgrZnobiarea uarze da kritikaze, SezRuduli aqvs pirovnuliSemguebloba, mosalodneli safrTxis Cveuli gazviadebiT cdilobs aicilos zogierTi

Cveuli aqtivoba.

F60.7 pirovnebis damokidebulebis aSliloba.xasiaTdeba subieqtis pasiuri ndobiT sxva adamianebis mimarT didi Tu mcirecxovrebiseuli gadawyvetilebebis miRebaze. didi SiSi aqvs, rom ar miatovon, ususurobisda arakompetenturobis SegrZnebiT, pasiuri daTmoba ufrosebisa da sxvebissurvilebis mimarT, susti reaqciebi yoveldRiuri cxovrebiseuli moTxovnilebebisadmi.inteleqtualur emociur sferoSi SesaZlebelia SeiniSnebodes energiis nakleboba, angamoxatulia pasuxismgeblobis sxvaze gadabarebis tendencia.pirovnebis asTeniuri aSliloba,pirovnebis araadeqvaturi aSliloba,

pirovnebis pasiuri aSliloba,

F60.8 sxva specifiuri pirovnuli aSlilobebi.pirovnebis eqscentruli aSliloba,

umwifari pirovnuli aSliloba,narcisizmis tipis pirovnuli aSliloba,pirovnebis pasiur-agresiuli tipis aSliloba,

pirovnebis fsiqonevrotiuli tipis aSliloba.

245


F60.9 dauzustebeli pirovnuli aSliloba.xasiaTobrivi nevrozi, romelic sxvagvarad ar aris dazustebuli

paTologiuri pirovneba, romelic sxvagvarad ar aris dazustebuli

Sereuli da sxva pirovnuli aSlilobebi.

am kategoriaSi Sedis pirovnuli aSlilobebi, romlebic xSirad Semawuxebelia,magram misi simptomebi ar emTxveva F60.-Si aRweril aSlilobebs. aqedan gamomdinare,zogjer maTi diagnostireba ufro Znelia, vidre F60.-Si aRwerili aSlilobebisa. Seicavs:Sereul pirovnul aSlilobebs F60.-Si aRwerili sxvadasxva aSlilobebis simptomTanakrebs, ZiriTadi simptomebis gareSe, rac uflebas mogvcemda dagvesva ufro zustidiagnozi. mtanjvel pirovnul cvlilebebs, romlebic ar klasificirdeba F60.-Si anF62.-Si da miCneulia rogorc meoradi, afeqturi da SfoTviTi aSlilobebis ZiriTaddiagnozTan SedarebiT.ar igulisxmeba: aqcentirebuli pirovnuli niSnebi (Z73.1).

xangrZlivi pirovnuli cvlilebebi, romlebic ar aris gamowveuli cns-

is dazianebiT an daavadebiT.

mozrdilTa pirovnuli da qceviTi aSlilobebi, romlebic ar ganviTarebula mwvavefsiqikuri daavadebis, katastrofis an mZime, xangrZlivi stresis Sedegad. es diagnoziunda daisvas mxolod maSin, roca naTladaa gamoxatuli pirovnebis rogorc garemos,aseve sakuTari Tavis, Semecnebis gamokveTili da xangrZlivi cvlileba. igi unda iyosdakavSirebuli mouqnel da cudad adaptirebul qcevasTan, romelsac adgili arhqonda paTogenuri movlenis win. cvlileba ar unda iyos pirdapiri gamoxatulebasxva fsiqikuri daavadebisa an rezidualuri simptomi winaT arsebuli raime fsiqikuridaavadebisa.ar igulisxmeba: pirovnuli da qceviTi aSliloba, romelic dakavSirebulia cns-is

daavadebasTan, dazianebasTan an disfunqciasTan F07.-).F62.0 katastrofis Semdgomi gaxangrZlivebuli pirovnuli cvlilebebi.

es aris katastrofuli stresis Sedegad ganviTarebuli gaxangrZlivebuli pirovnulicvlilebebi, romelic sul mcire ori wlis ganmavlobaSi grZeldeba. stresi imdenadmwvave unda iyos, rom stresis efeqtis gansazRvisaTvis aucilebeli ar aris pirovnulimgrZnobelobis mxedvelobaSi miReba. aSlilobas axasiaTebs mtruli damokidebulebada undobloba gare samyaros mimarT, socialuri autizmi, sicarielisa da uimedobisSegrZneba, gariyulobisa da gaucxoebis grZnoba. am pirovnul aSlilobas SeiZlebawin uZRodes posttravmuli stresuli aSliloba. pirovnuli cvlilebebi sakoncentraciobanakis Semdeg,katastrofis Semdgomi pirovnuli cvlilebebi.xangrZlivi tyveoba sikvdilis muqariT,sicocxlis dakargvis safrTxe, rogoricaa mag:terorizmis msxverpli.xangrZlivi wameba.

ar igulisxmeba: posttravmuli stresuli aSliloba (F43.1).F62.1 fsiqikuri daavadebis Semdgomi - gaxangrZlivebuli pirovnuli cvlilebebi

es aris pirovnuli cvlileba, romelsac iwvevs mwvave fsiqikuri daavadebis SedegadmiRebuli travma da romelic grZeldeba sul mcire ori wlis ganmavlobaSi.cvlilebebi ar SeiZleba aixsnas winare pirovnuli aSlilobiT da unda ganvasxvavoTrezidualuri Sizofreniisagan an sxva fsiqikuri daavadebisagan, romlisganac avadmyofimTlianad ar aris gankurnebuli. axasiaTebs sxvebze gadaWarbebuli damokidebuleba, subieqtisxvebis mimarT mbrZanebluria, uZluria daamyaros pirovnuli urTierTobebi daimyofeba socialur izolaciaSi, pasiuria, interesebi SezRuduli aqvs, Tavisufaldros araaqtiurad iyenebs, aqvs gamudmebuli ipoqondriuli Civilebi da avadmyofuriqceva. disforiuli da labiluri guneb-ganwyoba ar aris gamowveuli arc axlandelida arc winaT mimdinare fsiqikuri aSlilobiT, romelsac gaaCnia rezidualuri

afeqturi simptomebi da socialuri funqcionirebis xangrZlivi problemebi.

F61

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F62.8 sxva myari pirovnuli cvlilebebi.qronikuli tkivilis mqone pirovnebis sindrmi

F62.9 dauzustebeli personologiuri cvlileba F

xasiaTobrivi da impulsuri aSlilobebi.

es kategoria Seicavs garkveul qceviT aSlilobebs, romlebic ar SeiZleba mivakuTnoTsxva kategorias. mas axasiaTebs ganmeorebiTi qmedebebi, romelTac ar gaaCniaTgamokveTili racionaluri motivacia, aramarTvadia da azianebs rogorc TviT pacients,aseve sxvaTa interesebs. pacienti acxadebs, rom qcevebi dakavSirebulia garkveulimpulsebTan. am aSlilobis gamomwvevi mizezi auxsnelia da dajgufebulia simptomTamsgavsebis mixedviT.ar igulisxmeba: alkoholisa da fsiqotropiul nivTierebaTa gadaWarbebuli moxmareba

(F10-F19).impulsuri da xasiaTobrivi aSlilobebis gavlena seqsualur qcevebze (F65.-).

F63.0 paTologiuri azartuli TamaSebi.aSliloba moicavs xSir, ganmeorebiT azartuli TamaSebis epizodebs, romelsac avadmyoficxovrebis umetes nawils uTmobs. mas ziani moaqvs socialur, profesiul, materialurda ojaxur faseulobebsa da valdebulebisaTvis.ar igulisxmeba: azartuli TamaSebi da niZlavebi, romelic sxvagvarad ar aris

dazustebuli. (Z72.6),azartuli TamaSebi disocialuri pirovnuli aSlilobisas (F60.2).

F63.1 paTologiuri piromania (cecxlis impulsuri wakideba).sagnebze cecxlis wakidebis mravaljeradi qmedebani an qmedebis mcdeloba motivaciisgareSe. subieqtis goneba dakavebulia im sagnebiT, romlebic dakavSirebulia cecxlTan dawvis procesTan. am qmedebisas subieqti Zlier daZabulia, rasac mosdevs intensiuri SfoTva.ar igulisxmeba: mozrdilTa piromania disociaciuri pirovnuli aSlilobiT (F60.2).

piromania alkoholuri da fsiqotropiul nivTierebaTaintoqsikaciisas (F10-F19, saerTo meoTxe maxasiaTebliT .0),piromania, rogorc subieqtis dakvirvebis obieqtisavaraudo fsiqikuri aSlilobisas (Z03.2),piromania, qcevis aSlilobisas (F91.-),piromania, organuli fsiqikuri aSlilobisas (F00-09).piromania, Sizofreniisas (F20.-).

F63.2 paTologiuri qurdoba, kleptomania.pirovnebas uWirs win aRudges sagnebis moparvis ganmeorebiT impulsebs. amasTan, es qmedebaarc materialuri dainteresebiT da arc sagnis moxmarebis surviliT ar arispirobadebuli. moparuli nivTebi pirovnebam SeiZleba gadaagdos, gaasxvisos an gadamalos.kleptomanias win uZRvis Zlieri daZabuloba, xolo Semdeg kmayofilebis grZnoba.ar igulisxmeba: depresiuliø aSliloba qurdobiT (F31-F33),

organuli fsiqikuri aSliloba (F00-F09),maRaziis qurdoba fsiqikuri aSliloba (Z03.2).

F63.3 triqotilomania.axasiaTebs Tmis safaris mkveTri Semcireba. pirovnebas uWirs win aRudges Tmis glejvisganmeorebiT impulss. am qmedebas win uZRvis daZabuloba, Semdeg ki kmayofilebisgrZnoba. es diagnozi ar unda daisvas, Tu Tmis cvenas win uswrebs kanis anTeba, an misiglejva warmoadgens bodvebis an halucinaciebis Sedegs.

ar igulisxmeba: Tmis glejvis stereotipuli moZraobebi (F98.4).F63.8 CvevaTa da impulsebis sxva aSlilobani.

xangrZlivi, cudad adaptirebuli qcevebi, romlebic ar aris meoradi mocemulifsiqiatriuli sindromisaTvis da romlis drosac pacients ar SeuZlia win aRudgesganmeorebiT impulss. adgili aqvs daZabulobas prodromalur periodSi, xolo qmedebisdros, subieqts daZabuloba exsneba.

perioduli feTqebadi aSliloba.

F63.9 CvevaTa da impulsebis dauzustebeli aSliloba.

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sqesis identifikaciis aSlilobani

F64.0 transseqsualizmi.subieqts survili aqvs aRqmuli iyos sawinaaRmdego sqesis warmomadgenlad. aqvsdiskomfortisSegrZneba da SeuTavsebloba Tavis sakuTar anatomiur sqesTan, uCndeba survili Caitarosqirurgiuli da hormonaluri mkurnaloba, rom misma sxeulma miiRos misTvis sasurveli

sqesis forma.

F64.1 ormagi transvestizmi.sawinaaRmdego sqesis tansacmlis tareba, romelic individs ganacdevinebs droebiTsiamovnebas, rom Tavi igrZnos sawinaaRmdego sqesis warmomadgenlad, magram surviliar gaaCnia qirurgiuli CareviT Seicvalos sqesi. Cacmuloba ar ganacdevinebs seqsualurmRelvarebas.mozardTa da mozrdilTa aratransseqsualuri tipis sqesobrivi aSliloba:

ar igulisxmeba: fetiSizmuri transvestizmi (F65.1).F64.2 bavSvebSi sqesis identifikaciis aSla.

Cveulebriv iwyeba adreul bavSvobaSi (da yovelTvis momwifebis asakis win). axasiaTebsmyari da intensiuri gancda sakuTari biologiuri sqesisa da aqvs Zlieri survili,rom gaxdes sawinaaRmdego sqesis warmomadgeneli. subieqti mudmivad miiltvissawinaaRmdego sqesis tansacmelisa da qcevebisadmi da uaryofs sakuTar sqess. diagnoziunda eyrdnobodes sqesis normaluri identifikaciis Rrma cvlilebebs. biWurobissusti niSnebi gogonebSi - da piriqiT, ar aris sakmarisi am diagnozis gamosatanad..sqesobrivi identifikaciis aSlilobani individebSi, romlebmac miaRwies an ukvearian simwifis asakSi unda miekuTvnos ara am paragrafs, aramed F66.-s.ar igulisxmeba: egodistoniuri seqsualuri orientacia (F66.1),

seqsualuri qcevis aSliloba (F66.0).F64.8 sqesobrivi indentifikaciis sxva aSlilobani.F64.9 sqesobrivi indentifikaciis dauzustebeli aSlilobani.

sqesobrivi rolis aSliloba, romelic sxvagvarad ar aris dazustebuli

seqsualuri upiratesobis aSlilobani

igulisxmeba: parafiliebi

F65.0 fetiSizmi.yuradReba gamaxvilebulia usicocxlo obieqtebze, romlebic seqsualuri gaRizianebisstimuls warmoadgenen. arsebobs adamianis sxeulisaTvis mravali fetiSi, rogoricaa,magaliTad: tansacmeli, aseve gansakuTrebuli struqturis mqone qsovilebi: rezini,plastikati da tyavi. es gafetiSebuli sagnebi Tavis mniSvnelobiT sxvadasxva individisaTvisSeiZleba sxvadasxva iyos. zogjer es sagnebi mxolod aZliereben seqsualur aRtacebas,

romelic Cveulebrivi gziT iyo gamowveuli, mag: partnioris specialuri tansacmeli.

F65.1 fetiSizmuri transvestizmi.sawinaaRmdego sqesis tansacmlis tareba, raTa miaRwios seqsualur agznebas damiiRos sawinaaRmdego sqesis garegnoba. seqsualuri transvestizmi gansxvavdebatransseqsualuri transvestizmisagan, vinaidan uSualod ukavSirdeba seqsualurigaRizianebas da Cndeba Zlieri survili gamoicvalos tansacmeli, rogorc ki orgazmidaeufleba da seqsualuri aRgzneba dacxreba. igi ASeiZleba gamovlindes rogorc

transseqsualizmis ganviTarebis adreuli faza.

transvestuli fetiSizmi.

F65.2 eqshibicionizmi.ganmeorebiTi myari tendencia, uCvenos Tavisi sasqeso organo ucxoebs (sawinaaRmdegosqess) an xalxs sazogadoebrivi TavSeyris adgilze mWidro kontaqtis survilis gareSe.sqesobrivi organos Cvenebis dros, yovelTvis ara aqvs adgili seqsualur aRgznebas,

rac masturbaciiT mTavrdeba.

F65.3 vuaierizmi.rekurentuli an myari tendencia daakvirdes adamianebs, romlebic dakavebulni

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arian seqsiT an intimuri saqmiT, rogoricaa mag: gaSiSvleba. Tan sdevs seqsualuri aRgzneba

da masturbacia.

F65.4 pedofilia.seqsualur upiratesobas aniWebs bavSvebs, momwifebis wina an momwifebis adreulasakSi. zogierT pedofils izidavs mxolod gogonebi, zogierTs mxolod biWebi,

zogs ki - orive sqesi.

F65.5 sadomazoxizmi.seqsualuri aqtivoba, romelsac axasiaTebs tkivilis miyeneba an damoneba. Tu subieqtsurCevnia iyos recipienti, maSin amas mazoxizmi hqvia. Tu TviTon ayenebs tkivils sxvas,maSin es sadizmia. xSirad individi siamovnebas Rebulobs erTdroulad, sadizmiTac damazoxizmiTac.mazoxizmi.

sadizmi.

F65.6 seqsualur upiratesobaTa mravalgvari aSliloba.zogjer erT adamians erTdroulad gaaCnia erTze meti paTologiuri seqsualuri gadaxra.

yvelaze ufro metad gvxvdeba fetiSizmis, transvestizmisa da sadomazoxizmis kombinaciebi.

F65.8 sxva seqsualuri gadaxrebi.seqsualuri gadaxrisa da aqtiurobis erT-erT saxeobas warmoadgens uxamsi satelefonosaubrebi, rac subieqtisaTvis aris seqsualuri stimulatori, frotaJi xalxmraval adgilebSi,seqsualuri aqti cxovelebTan, hi poqsiis gamoyeneba seqsualuri aRgznebadobisgaZlierebisaTvis.frotaJi

nekrofilia

F65.9 dauzustebeli, seqsualuri upiratesobis aSliloba.seqsualuri deviacia, romelic sxvagvarad ar aris dazustebuli

seqsualur ganviTarebasTan da orientaciasTan dakavSirebuli

fsiqologiuri da qceviTi aSlilobani.

SeniSvna: seqsualuri orientacia TavisTavad ar iTvleba paTologiad.

F66.0 aSliloba, dakavSirebuli seqsualur momwifebasTan.pacienti itanjeba, imis gamo, rom ver daudgenia Tavis sqesi da seqsualuriorientacia, romelic iwvevs SfoTvas da depresias. am aSlilobas umetesad adgiliaqvs mozardebSi, romelTac ver daudgeniaT TavianTi sqesobrivi orientacia, arianisini homoseqsualebi, heteroseqsualebi, Tu biseqsualebi. SesaZlebelia ganviTardesim individebSic, romelTac gaaCndaT myari seqsualuri orientacia da Semdeg SeamCnies,

rom igi icvleba.

F66.1 egodistoniuri seqsualuri orientacia.sqesis identifikacia an seqsualuri upiratesobis sakiTxi (heteroseqsualoba,homoseqsualoba, biseqsualoba, sqesobrivi momwifebis wina periodis aSliloba) ara ariseWvqveS, magram individs surs, rom iyos gansxvavebuli, rac gamowveulia misi fsiqologiuri

da qceviTi aSlilobebiT, eZebs mkurnalobis meTodebs, rom Seicvalos sqesi.

F66.2 sqesobriv urTierTobaTa aSlilobasqesis identifikaciis da seqsualuri orientaciis (heteroseqsualoba, homoseqsualoba,

biseqsualoba) gamo. gaZnelebulia seqsualuri partnioris SerCeva da SenarCuneba.

F66.8 sxva fsiqoseqsualuri ganviTarebis aSlilobani.F66.9 fsiqoseqsualuri ganviTarebis dauzustebeli aSliloba

mozrdilTa pirovnuli da sxva qceviTi aSlilobani.

F68.0 fizikuri simpomebis gazviadeba fsiqologiuri mizezebiT.pacientis garkveuli fsiqologiuri mdgomareobis gamo mwvavdeba da Zlierdeba ukve

F66

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dadgenili somaturi paTologiis Tanmxlebi fizikuri simptomebi. pacienti itanjebatkiviliT da xSirad Sewuxebulia, rom avadmyofoba progresirebadi ar gaxdes.

kompensaciuri nevrozi.

F68.1 ganzrax warmoqmnili simptomebi, dakavSirebuli fizikur anfsiqologiur faqtorTan (simulacia).pacienti ganuwyvetliv simulirebs simptomebiT. am simptomTa gamomwvevi mizezebi ararsebobs da imisaTvis, rom warmoqmnas igi, SesaZlebelia Tavis Tavs miayenos ziani,motivacia bundovania, mizani ki - avadmyofis rolis gaTamaSeba. aSliloba xSiradkombinirebulia pirovnul darRvevebTan.saavadmyofoSi xSirad wolis sindromi,miunhauzenis sindromi,“mogzauri” pacienti.ar igulisxmeba: xelovnuri dermatitiø (L98.1),

simulaciuri avadmyofoba (mkveTri motivaciiT) (Z76.5).F68.8 mozrdilTa pirovnuli da qceviTi sxva specifiuri aSlilobani

aSlilobani, romelic sxvagvarad ar aris dazustebuli

mozrdilTa pirovnuli da qceviTi aSlilobani, dauzustebeli

gonebrivi CamorCeniloba

(F70-F79)

es aris fsiqikis Seferxebuli an arasruli ganviTareba, romelic pirvel rigSi xasiaTdebasubieqtis yoveldRiuri saqmianobis Sesrulebis unaris darRveviT, rac vlindeba momwifebisperiodSi da gansazRvravs inteleqtis dones (magaliTad, kognitiur, metyvelebiT, motorul dasocialur urTierTobebis SesaZleblobebs).. gonebrivi CamorCeniloba SesaZlebeliagamovlindes fsiqikur da fizikur darRvevebTan erTad an mis gareSe.

gonebrivi CamorCenilobis xarisxi pirobiTad SeiZleba Sefasdes standartuli IQtestebiT, rasac SeiZleba daematos socialuri adaptaciis unaris Sefasebis Skala. amasTaninteleqtis donis Sefasebisas yuradsaRebia maRalkvalificiuri specialistis azri.

inteleqtualuri SesaZleblobani da socialuri adaptaciis unari droSi cvalebadia.amitom igi SeiZleba gaumjobesdes varjiSisa da reabilitaciis Sedegad. diagnozi unda eyrdnobodesagreTve subieqtis aqtivobis dones drois mocemul momentSi.

kodis meoTxe niSani SesaZlebelia gamoviyenoT F70-F79 kategoriebisaTvis, raTadazustdes qcevis aSlilobaTa done..0 qcevis aSliloba ar arsebobs an minimaluria.

.1 arsebobs qcevis mniSvnelovani aSliloba, romelic moiTxovs yuradRebas da mkurnalobas.

.8 sxva qceviTi aSlilobani.

.9 ganusazRvreli qceviTi aSliloba.

Tu saWiroa gamoyenebuli unda iqnes damatebiTi kodi, raTa dazustdes iseTi Tanmxlebimdgomareoba, rogoricaa autizmi, ganviTarebis sxva paTologia, epilefsia, qceviTi aSliloba an

mZime fizikuri nakli.

msubuqi gonebrivi CamorCeniloba.

mocemuli standartuli testebis gamoyenebisas, msubuq gonebriv CamorCenilobasSeesabameba 50-69 diapazonis IQ koeficienti, rac mozrdilebisaTvis Seesabameba 9-dan 12wlamde gonebriv asaks. skolaSi adgili aqvs swavlasTan dakavSirebul siZneleebs,Tumca mozrdil asakSi SeiZleba SeinarCunos sociumTan integracia.

igulisxmeba: msubuqi gonebrivi subnorma

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saSualo gonebrivi CamorCeniloba.

am gonebrivi CamorCenilobis IQ koeficienti udris 35-49, rac mozrdilebSi Seesabameba6-9 wlamde gonebriv asaks. aRiniSneba gonebrivi ganviTarebis Seferxebebi bavSvobaSi,magram umetes maTgans SeuZlia ganaviTaros Tavis movlis Cvevebi, daamyarosadeqvaturi kontaqtebi da aiTvisos akademiuri Cvevebi. am adamianebs esaWiroebaTsxvadasxva saxis mxardaWera, rom imuSaon da icxovron sazogadoebaSi.

igulisxmeba: zomierad gamoxatuli subnorma.

mZime gonebrivi CamorCeniloba.

gonebriv CamorCenilobas Sesabameba IQ koeficienti 20-34, rac mozardebSi Seesabameba 3-dan 6 wlamde gonebriv asaks, saWiroebs mudmiv mzrunvelobas.

igulisxmeba: mZime gonebrivi subnorma.

Rrma gonebrivi CamorCeniloba.

gonebrivi CamorCenilobas Seesabameba IQ koeficienti 20-mde, rac mozrdilebSi Seesabameba3 wlis qvemoT gonebriv asaks. bavSvebs ar umuSavdebaT TviTmomsaxurebis Cvevebi, arianarakomunikabelurni da aramobilurni.

igulisxmeba: Rrma gonebrivi subnorma.

sxva gonebrivi CamorCeniloba.

dauzustebeli gonebrivi CamorCeniloba.

igulisxmeba: gonebrivi deficiti, romelic sxvagvarad ar aris dazustebuli

gonebrivi subnorma, romelic sxvagvarad ar aris dazustebuli

fsiqologiuri ganviTarebis darRvevebi

(F80-F89).

am TavSi mocemul aSlilobebs gaaCnia Semdegi saerTo niSnebi: 1 ) rogorc wesi, aSlilobisdasawyisi balRobis an bavSvobis asakSi, 2) fsiqikuri ganviTarebis Seferxeba an Sesusteba, racmWidrodaa dakavSirebuli centraluri nervuli sistemis biologiur momwifebasTan, 3)uwyveti mimdinareoba remisiisa da recidivebis gareSe. umetes SemTxvevaSi, ziandeba metyveleba,vizualur-sivrcobrivi Cvevebi da motoruli koordinacia, romelic subieqtis zrdasTan erTad

klebulobs progresulad, Tumca msubuqi deficiti xSirad rCeba zrdasrul asakSic.

Fmetyvelebis specifiuri aSliloba.

metyvelebis normaluri forma darRveulia ganviTarebis adreuli safexuridanve.mdgomareoba ar aixsneba nevrologiuri an sametyvelo aparatis paTologiiT, sensorulidarRvevebiT, gonebrivi CamorCenilobiTa an garemo faqtorebiT. metyvelebisganviTarebasTan dakavSirebul specifiur darRvevebs, xSirad mohyveba masTandakavSirebuli iseTi problemebi, rogoricaa: siZneleebi kiTxvasa da marTlweraSi,

pirovnebaTa Soris urTierTobebis problemebi da aseve emociuri da qceviTi aSlilobani.

F80.0 metyvelebis artikulaciis specifiuri aSliloba.specifiuri, zrdasTan dakavSirebuli aSliloba, romlis drosac bavSvis miersametyvelo bgerebis gamoyeneba CamorCeba gonebriv asaks, magram metyvelebis unari(eqspresiuli da recepciuli metyveleba) normis farglebSia.ganviTarebasTan dakavSirebuli fonologiuri aSliloba,ganviTarebasTan dakavSirebuli metyvelebis artikulaciis aSliloba.enabluoba (dislalia),metyvelebis artikulaciis funqciuri aSliloba.bluoba (alalia).ar igulisxmeba: metyvelebis artikulaciis Sesusteba gamowveuli:

F71

F72

F73

F78

F79

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. afaziiT, romelic sxvagvarad ar aris dazustebuli (R47.0),

. apraqsiiT (R48.2),

. smenis dakargviT (H90-H91),

. gonebrivi CamorCenilobiT (F70-F79),

. metyvelebis ganviTarebis aSlilobiT:. eqspresiuli (F80.1),. recepciuli (F80.2).

F80.1 eqspresiuli metyvelebis aSliloba.metyvelebis ganviTarebis specifiuri aSliloba, romlis drosac bavSvis sasaubro enamniSvnelovnad CamorCeba gonebriv asaks. magram TviT metyvelebis done damakmayofilebelia.SeiZleba adgili hqondes (ara yovelTvis) paTologiur artikulacias.eqspresiuli tipis pirovnebis ganviTarebasTan dakavSirebuli disfazia an afazia.ar igulisxmeba: epilefsiiT gamowveuli afazia (landau-klefneris sindromi) (F80.3),

receptiuli tipis ganviTarebasTan dakavSirebuli disfazia an afazia (F80.2),disfazia da afazia, romelic sxvagvarad ar aris dazustebuli (R47.0),eleqtiuri mutizmi (F94.0),. gonebrivi CamorCeniloba (F70-F79),. ganviTarebis pervaziuli aSlilobebi (F84.-).

F80.2 recepciuli metyvelebis aSliloba.ganviTarebasTan dakavSirebuli aSliloba, romlis drosac bavSvis mier metyvelebiTiproduqciebis gageba mis gonebriv asaks CamorCeba. faqtiurad yvela SemTxvevaSimniSvnelovnad ziandeba eqspresiuli metyveleba da, araiSviaTad, saxezea bgerebisa dasityvebis warmoTqmis paTologiac.kongenitaluri smeniTi aRqmis darRveva:ganviTarebasTan dakavSirebuli disfazia an afazia, recepciuli tipis.ganviTarebasTan dakavSirebuli vernikes afazia.ganviTarebasTan dakavSirebuli siyrue sityvebis mimarT.ar igulisxmeba: epilefsiiT gamowveuli afazia (landau-klefneris sindromi) (F80.3).

autizmi (F84.0- F84.1)disfazia da afazia, romelic sxvagvarad ar aris dazustebuli (R47.0)disfazia da afazia, eqspresiuli tipis (F80.1)eleqtiuri mutizmi (F94.0)siyruiT gamowveuli metyvelebis Seferxeba (H90-H91)gonebrivi CamorCeniloba (F70-F79).

F80.3 epilefsiiT gamowveuli afazia (landau-klefneris sindromi).aSliloba, romlis drosac bavSvis metyveleba viTardeba ra normalurad, kargavsrogorc recepciuli, aseve eqspresiuli metyvelebis unars, magram inteleqtiSenarCunebulia. sindromis debiutSi vlindeba eeg-ze paroqsizmuli paTologia, xSirad- epilefsiuri gulyrebi. Cveulebrivad, sindromi viTardeba 3-dan 7 wlamde asakSi dametyvelebis unari qreba ramdenime dRis an kviris ganmavlobaSi. epigulyrebsa dametyvelebis dakargvas Soris droSi kavSiri mravalgvaria; an erTi uswrebs meores (daes procesi ramdenime Tvidan or wlamde periods moicavs) an orive erTad iwyeba.arsebobs mosazreba, rom am tipis afazia SeiZleba gamoiwvios anTebiTma encefalurmaprocesma. pacientTa or mesamedze mets metnaklebad rCeba gamoxatuli recepciuli

metyvelebis deficiti.

ar igulisxmeba: afazia, romelic sxvagvarad ar aris dazustebuli. (R47.0),autizmiT gamowveuli afazia (F84.0-F84.1),afazia bavSvebSi, gamowveuli dezintegraciuli aSlilobebiT (F84.2-F84.3).

F80.8 metyvelebis ganviTarebis sxva aSlilobani.Clifini.

F80.9 metyvelebis ganviTarebis dauzustebeli aSliloba.enobrivi aSliloba, romelic sxvagvarad ar aris dazustebuli

saskolo Cvevebis ganviTarebasTan dakavSirebuli specifiuri aSlilobaniF81

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ganviTarebis adreuli periodidanve darRveulia saskolo CvevaTa aTvisebis unari. esar aris gamowveuli arc daswavlis gaZnelebiT, arc gonebrivi CamorCenilobiT da arc

Tavis tvinis travmiT an daavadebiT.

F81.0 kiTxvis specifiuri aSliloba.ZiriTadi niSania kiTxvis Cvevis ganviTarebis specifiuri da mniSvnelovani darRveva.romelic ar aris gamowveuli gonebrivi moumwifeblobiT, mxedvelobasTandakavSirebuli problemebiT, an pedagogiuri CamorCenilobiT. subieqti srulyofiladver eufleba kiTxvas teqnikas. ver igebs wakiTxulis Sinaarss, ver asrulebs kiTxvasTandakavSirebul amocanebs. marTlweris siZneleebi aseve xSirad gamowveulia kiTxvisspecifiuri aSlilobiT da, kiTxvis teqnikis gaumjobesebis miuxedavad, xSirad mainc rCebamozardebSic. kiTxvasTan dakavSirebul aSlilobebs, Cveulebriv, win uZRvis metyvelebisganviTarebis darRvevebi, xolo saskolo asakis periodSi xSiria Tanmxlebi emociurida qceviTi aSlilobebi.“kiTxvaSi CamorCeniloba” an “Senelebuli kiTxva”,ganviTarebasTan dakavSirebuli dizleqsia,kiTxvasTan dakavSirebuli specifiuri CamorCenilobaar igulisxmeba: aleqsia, romelic sxvagvarad ar aris dazustebuli (R48.0),

dizleqsia, romelic sxvagvarad ar aris dazustebuli (R48.0),emociuri aSlilobebiT gamowveuli (meoradi) kiTxvis siZneleebi (F93.-).

F81.1 marTlweris specifiuri darRvevebi.specifiuri da mniSvnelovani gadaxra marTlweraSi maSin, rodesac kiTxvis Cvevamowesrigebulia, xolo marTlweris darRveva ar aris gamowveuli gonebrivi asakiT,mxedvelobis paTologiiT an pedagogiuri CamorCenilobiT. darRveulia sityvis zepiraddaweris an wignidan sworad gadmoweris teqnika.marTlweris specifiuri CamorCeniloba (kiTxvis darRvevis gareSe).ar igulisxmeba: agrafia, romelic sxvagvarad ar aris dazustebuli (R48.8)

marTlweris siZneleebi, dakavSirebuli kiTxvis siZneleebTan (F81.0),marTlweris siZneleebi, gamowveuli pedagogiuri CamorCenilobiT (Z55.8).

F81.2 ariTmetikuli operaciebis warmoebis (Tvlis) specifiuri aSliloba.mTavari niSania ariTmetikuli operaciebis warmoebis unaris specifiuri sisuste, romelicar aixsneba mxolod zogadi gonebrivi CamorCenilobiT an araadeqvaturi swavlebiT.subieqts ufro metad uWirs ZiriTadi ariTmetikuli operaciebis warmoeba (rogoricaa:mimateba, gamokleba, gamravleba da gayofa), vidre abstraqtuli maTematikuri azrovneba,algebra, trigonometria, geometria an maTematikuri gamoTvlebi.ganviTarebasTan dakavSirebuli akalkulia,ganviTarebasTan dakavSirebuli ariTmetikuli aSliloba,gerstmanis sindromi.

ar igulisxmeba: akalkulia, romelic sxvagvarad ar aris dazustebuli (R48.8),ariTmetikuli siZneleebi, dakavSirebuli kiTxvis da marTlweris darRvevebTan (F81.3),ariTmetikuli siZneleebi, gamowveuli pedagogiuri CamorCenilobiT (Z55.8).

F81.3 saskolo Cvevebis Sereuli aSliloba.am kategoriaSi klasificirebulia yvela darCenili SemTxveva, romlis drosac rogorcariTmetikuli, ise kiTxvisa da marTlweris unarebi mniSvnelovnad darRveulia. esaSliloba ar SeiZleba aixsnas mxolod zogadi gonebrivi CamorCenilobiT anaraadeqvaturi ganaTlebiT. mas miesadageba F81.2, F81.0 an F81.1 aSlilobaTakriteriumebi.ar igulisxmeba: ariTmetikuli operaciebis warmoebis specifiuri aSliloba (F81.2),

kiTxvis specifiuri darRvevebi (F81.0),marTlweris specifiuri darRvevebi (F81.1).

F81.8 saskolo Cvevebis ganviTarebasTan dakavSirebuli sxva aSlilobani.ganviTarebasTan dakavSirebuli sxva eqspresiuli weriTi darRvevebi.

F81.9 saskolo Cvevebis ganviTarebasTan dakavSirebuli darRvevebi, dauzustebeli.codnis aTvisebis uunaroba, romelic sxvagvarad ar aris dazustebuli

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motoruli funqciis ganviTarebis� specifiuri aSliloba.

aSliloba, romlis drosac ZiriTadi niSania ganviTarebis procesSi motorulisferos koordinaciis seriozuli darRveva, romelic ar aixsneba mxolod zogadiinteleqtualuri CamorCenilobiT, raime specifiuri Tandayolili an SeZenilinevrologiuri darRvevebiT, miuxedavad amisa, umetes SemTxvevaSi natifi klinikurigamokvlevebiT dgindeba nervuli sistemis gamoxatuli umwifaroba. kerZod, kidurebisqoreaformuli moZraobebi, sarkisebri moZraobebi, da sxva Tanmxlebi motorulisimptomebi, saxeldobr, moZraobaTa koordinaciis natifi da uxeSi darRvevebi.inertul (mouqnel) bavSvTa sindromi,ganviTarebasTan dakavSirebuli koordinaciis darRvevebi,ganviTarebasTan dakavSirebuli dispraqsia.ar igulisxmeba: siarulisa da moZraobis paTologia (R26.-),

koordinaciis ukmarisoba (R27.-),koordinaciis ukmarisoba, rogorc gonebrivi CamorCenilobis meoradi

gamovlineba (F70-F79).

ganviTarebis Sereuli specifiuri darRvevebi.

aSlilobaTa rezidualuri kategoria, romlis drosac adgili aqvs metyvelebis, saskoloCvevebis da motoruli funqciis ganviTarebis specifiur kombinirebul darRvevebs.aseT SemTxvevebSi sakmarisad ar dominirebs arcerTi, raTa daisvas ZiriTadi diagnozi.es kategoria unda iqnes gamoyenebuli, rodesac sxvadasxva funqciis ganviTarebisspecifiuri darRvevebi emTxvevian erTmaneTs. darRvevebi xSirad, magram arayovelTvisdakavSirebulia kognitiuri funqciebis garkveuli xarisxiT zogad SesustebasTan.aRniSnuli kategoria unda iqnes gamoyenebuli, roca saxezea F80.-,F81.- da F82-Si

aRwerili romelime ori an meti disfunqcia.

ganviTarebis zogadi aSlilobani.

darRvevaTa jgufi, romelsac axasiaTebs eqvivalenturi socialuri urTierTobebisada saqmianobis Tvisebrivi anomaliebi, aseve interesebis sferosa da saqmianobisSezRuduli, stereotipuli ganmeorebebi. aRniSnuli xarisxobrivi anomaliebi ariszogadpirovnuli maxasiaTeblebi nebismieri situaciisaTvis. damatebiTi kodiT vazustebT

Tanmxleb gonebriv CamorCenilobas da samedicino mdgomareobas.

F84.0 bavSvTa autizmi.ganviTarebis zogadi aSlilobis iseTi tipi, romlis drosac saxeze gvaqvs: a) 3 wlis

asakamde gamomJRavnebuli ganviTarebis anomalia an darRveva, b) fsiqopaTologiis

samive sferos damaxasiaTebeli paTologiebi: araadeqvaturi, socialuri urTierTobebi,komunikaciebi da SezRuduli, stereotipuli, ganmeorebadi qmedeba. am specifiurdiagnostikur niSnebs erTvis mTeli rigi araspecifiuri simptomebisa, rogoricaa: fobiebi,Zilisa da Wamis aSlilobani, mrisxanebis afeqti da agresia, upiratesad sakuTariTavisaken mimarTuli.autisturi aSlilobaø. infantiluri autizmi,. infantiluri fsiqozebi,kaneris sindromi.

ar igulisxmeba: autisturi fsiqopaTia (F84.5).F84.1 atipiuri autizmi.

gansxvavdeba bavSvTa autizmisagan avadmyofobis dawyebis asakiT, an ar emTxveva autizmissamive diagnostikur kriteriums. es qvekategoria unda iqnes gamoyenebuli maSin,rodesac autizmisaTvis damaxasiaTebeli paTologia iwyeba sami wlis asakisSemdeg, aseve arasakmarisadaa gamomJRavnebuli samive sferos fsiqopaTologiuriaSlilobani: araadeqvaturi socialuri urTierTobebi, komunikaciebi da SezRuduli,stereotipuli, ganmeorebiTi qmedebebi. miuxedavad sxva sferoebisaTis damaxasiaTebelipaTologiebisa, atipiuri autizmi umetesad iwyeba Rrma gonebaCamorCenil da aseverecepciuli metyvelebis mZime darRvevebis mqone individebSi.atipiuri bavSvTa fsiqozebi

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gonebrivi CamorCeniloba autisturi niSnebiT.Tu saWiroa, gamoiyeneT damatebiTi kodi (F70-F79), raTa daazustoT gonebriviCamorCeniloba.

F84.2 retis sindromi.SeiniSneba mxolod gogonebSi, romlebic adreul asakSi viTardebodnen normalurad,magram Semdeg daewyoT metyvelebis, lokomociis, xelebis xmarebis unarisnawilobrivi an mTliani dakargva, Tavis zrdis tempis SemcirebiT, romelic iwyeba7-dan 24 Tvemde periodSi. am sindromisaTvis damaxasiaTebelia xelis mizandasaxulimoZraobis dakargva, xelis CamorTmevis stereotipi, socialuri urTierTobebis daTamaSis unaris SezRudva, Tumca bavSvebs midrekileba aqvT socialuri interesebisSenarCunebisaken. sxeulis ataqsiis niSnebi da apraqsia iwyeba 4 wlis asakidan, rasacxSirad qoreoaTetozuri moZraobebi mohyveba. retis sindromis gamosavali, rogorc

wesi, gonebrivi CamorCenilobaa.

F84.3 bavSvTa sxva dezintegraciuli aSliloba.ganviTarebis zogadi aSliloba, romlis dawyebis win subieqti sruliad normaluradviTardeba, magram ramdenime TveSi kargavs adre aTvisebul yofiT qcevebsa da qmedebisunars. Cveulebriv, mas Tan sdevs garemos mimarT interesis dakargva, socialururTierTobebsa da komunikaciebSi autizmis msgavsi paTologiebi. zogier SemTxvevaSiaSliloba SeiZleba gamowveuli iyos encefalopaTiiT, magram diagnozi undadaisvas qceviTi faqtorebis gaTvaliswinebiT.Cvil bavSvTa demencia,dezintegraciuli fsiqozi,heleris sindromi,encefalituri demencia,simbiozuri fsiqozi.Tu saWiroa, gamoiyeneT damatebiTi kodi, raTa dazustdes Tanmxlebi nevrologiurimdgomareoba.

ar igulisxmeba: retis sindromi (F84.2).F84.4 hi peraqtiuri aSliloba Tanmxlebi gonebrivi CamorCenilobiT da

stereotipuli moZraobebiT.aRniSnuli aSlilobis nozologiuri kuTvnilebis sakiTxi gaurkvevelia. am kategoriaSixvdebian bavSvebi saSualo gonebrivi CamorCenilobiT (IQ 50-is qvemoT), romlebsacaxasiaTebT hiperaqtiuroba, yuradRebis problemebi da stereotipuli qcevebi.mastimulirebel wamlebs Sedegi ar moaqvT (im pacientebisgan gansxvavebiT, romelTa IQnormis farglebSia), stimulatorebis miRebisas SeiZleba gamoavlinon disforiulireaqciebi (zogjer fsiqomotoruli Sekavebac). mozardebSi gadaWarbebuli aqtiurobaSeiZleba Seicvalos daqveiTebuli zogadi aqtivobiT, rac normaluri inteleqtis mqonehiperkinetikuri bavSvebisaTvis ar aris damaxasiaTebeli. es sindromi xSirad

asocirebulia ganviTarebis specifiur an srul SeferxebasTan.

F84.5 aspergeris sindromi.aRniSnuli sindromis nozologiuri kuTvnilebis sakiTxi gaurkvevelia. mas axasiaTebssocialuri urTierTobebis iseTive Tvisebrivi anomaliebi, rac damaxasiaTebeliaautizmis dros - aseve qcevisa da interesebis SezRuduli stereotipuli da ganmeorebadinakrebiT. autizmisagan gansxvavdeba imiT, rom ar SeiniSneba metyvelebisa ankognitiuri sferos ganviTarebis Seferxeba. am aSlilobis dros, xSirad SeiniSnebamouqneloba, dauxvewaoba. aRniSnuli sindromis damaxasiaTebeli simptomebi mozardebsada mozrdilebSi myaria. fsiqozuri epizodebi mozrdilTa asakSi iSviaTia.autisturi fsiqopaTia,

bavSvTa Sizoiduri aSliloba.

F84.8 ganviTarebis sxva zogadi aSlilobani.F84.9 ganviTarebis zogadi aSliloba, dauzustebeli

fsiqologiuri ganviTarebis sxva aSlilobani.

ganviTarebasTan dakavSirebuli agnozia

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fsiqologiuri ganviTarebis dauzustebeli aSliloba.

ganviTarebis aSliloba, romelic sxvagvarad ar aris dazustebuli.

bavSvTa da mozardTa asakSi dawyebuli qceviTi da emociuri

aSlilobani

(F90-F98)

hiperkinetikuri aSliloba

aSlilobaTa jgufi, romelic iwyeba adreul asakSi (sicocxlis pirveli xuTi wlisganmavlobaSi). damaxasiaTebelia stabilurobis nakleboba im saxis qmedebebSi, romlebickognitiuri sferos Carevas moiTxovs, am aSlilobis dros arsebobs tendencia aqtiurobiserTi formidan meoreSi gadasvlisa, ise, rom arc erTi bolomde ar sruldeba. aseveaxasiaTebs dezorganizebuli, cudad regulirebuli, gadaWarbebuli aqtiuroba. am aSlilobasTanerTad SeiZleba asocirebuli iyos rigi sxva aSlilobebisa; hiperkinetikuri bavSvebigamoirCevian windauxedavobiT da impulsurobiT ama Tu im qmedebis dros, xSirad arianubeduri SemTxvevis msxverplni da socialuri normebis darRvevis gamo iRebendisciplinarul sasjels, rac ufro moufiqrebeli, vidre winaswarganzraxuli qmedebebiTaaganpirobebuli. maTi urTierTobebi zrdasrul adamianebTan xSirad TavSeukavebelia,akliaT sifrTxile, isini sxva bavSvebTan popularobiT ar sargebloben da SeiZlebaaRmoCndnen izolirebulni. am aSlilobisTvis Cveulebriv damaxasiaTebelia kognitiuriaSlilobebi da araproporciulad xSiria motoruli da metyvelebis funqciebisganviTarebis specifiuri Seferxebebi. meoradi garTulebaa disocialuri qcevebi dadabali TviTSefaseba.ar igulisxmeba: SfoTviTi aSlilobebi (F41.-)

guneb-ganwyobis aSlilobani (F30-F39),ganviTarebis zogadi aSlilobebi(F84.-),Sizofrenia (F20.-).

F90.0 aqtiurobisa da yuradRebis darRvevebi.yuradRebis deficiti hiperaqtiurobiTyuradRebis deficitis sindromi hiperaqtiurobiT

ar igulisxmeba: hiperkinetikuri aSliloba qcevis moSlis dros (F90.1).F90.1 qcevis hiperkinetikuri aSliloba.

hiperkinetikuri aSliloba qcevis moSlis dros

F90.8 sxva hiperkinetikuri aSlilobebi.F90.9 hiperkinetikuri aSlilobebi, dauzustebeli .

bavSvTa da mozardTa haperkinetikuri reaqcia, romelic sxvagvarad ar aris dazustebuli

hiperkinetikuri sindromi, romelic sxvagvarad ar aris dazustebuli

qcevis aSlilobebi.

axasiaTebs xangrZlivi ganmeorebadi, asocialuri, agresiuli da gamowvevi qcevebi. aseTiqceva Tavis ukidures xarisxs aRwevs asakis Sesabamisi socialuri (moralur-eTikuri)normebis gamoxatuli darRvevebiT da scildeba bavSvuri mavneblobis da meamboxeobisfarglebs. SeiZleba qceva gagrZeldes 6 Tve an meti. qcevis aSliloba asevesimptomaturia sxva fsiqikuri mdgomareobebisaTvis da am SemTxvevaSi ZiriTadiaSlilobis kodireba xdeba. qcevis aSlilobis magaliTebi, romlebsac emyareba diagnoziSemdegia: gadaWarbebuli moCxubaroba, xulignoba, adamianebis da cxovelebis mimarTsisastike, sakuTrebis ganadgureba ukiduresi formiT, cecxlis wakideba, qurdoba,matyuaroba, sizarmace skolaSi da gaqceva saxlidan, mrisxanebis afeqti. amdiagnozisaTvis sakmarisia aq CamoTvlili qceva. izolirebuli asocialuri aqtebi amdiagnozis dasmis safuZvels ar warmoadgens.ar igulisxmeba: afeqturi aSlilobebi (F30-F39)

ganviTarebis zogadi darRvevebi (F84).

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emociuri aSliloba Sizofreniis dros (F20.-),hiperkinezuri aSlilobebi Sizofreniis dros (F90.1).

F91.0 qcevis aSliloba, Semofargluli ojaxuri konteqstiTSeicavs asocialur da agresiul qcevebs (da ara mxolod opoziciur gamomwvev anbrutalur qcevebs), romlis drosac paTologiuri qcevebi mTlianad an TiTqmismTlianad Semoifargleba ojaxis wevrebTan urTierTobebiT. diagnozis dasmisaTvismSoblisa da bavSvis gamwvavebuli urTierToba ar aris sakmarisi, mas unda emTxveodes

F91.-is yvela kriteriumi.

F91.1 arasocializirebuli qcevis aSliloba.aSliloba xasiaTdeba myari, xangrZlivi asociaciuri an agresiuli qceviT. TanatolebTanurTierTobis mniSvnelovani darRvevis fonze.qcevis aSlilobis jgufuri tipi,Seuracxyofebis miyeneba jgufurad,jgufuri qurdoba,

gacdenebi skolaSi.

F91.2 socializirebuli qcevis aSlilobaaSliloba aerTianebs myar asocialur an agresiul qcevebs (sruli Tanxvedraa F91.-iskriteriumebTan da ara mxolod opoziciur gamomwvevi an brutaluri qcevis maxasiaTeblebTan),

romelsac Ceulebriv vxvdebiT asakobriv jgufSi kargad integrirebul bavSvebSi.

F91.3 opoziciur-gamomwvevi qceviTi aSliloba.qcevis aSliloba, romelic SeiniSneba bavSvebSi (adreul asakSi). pirveladi damaxasiaTebeliniSania: daumorCilebloba, gamomwvevloba. igi ar Seicavs kanonsawinaaRmdegoqcevebs da arc agresiuli, asocialuri qcevebis ukidures formebs. es aSlilobawarmodgenilia F91.-is yvela kriteriumiT. am diagnozisaTvis sakmarisi ar aris mxolodukiduresi sicelqe an uweso saqcieli. am kategoriis gamoyenebisas sifrTxile undagamoviCinoT, gansakuTrebiT ufrosi asakis bavSvebSi, radganac klinikurad gamoxatulqceviT aSlilobas Cveulebriv Tan sdevs asocialuri da agresiuli qcevebi, rac scildeba

aSkara daumorCileblobas, deviaciul an brutalur qcevas.

F91.8 sxva qceviTi aSlilobani.F91.9 dauzustebeli qceviTi aSliloba.

bavSvTa qceviTi aSliloba, romelic sxvagvarad ar aris dazustebuliø ø

bavSvTa asakSi qceviTi darRvevebi, romelic sxvagvarad ar aris dazustebuli

qcevisa da emociebis Sereuli aSlilobani.

axasiaTebs xangrZlivi agresiuloba, asocialuri da daumorCilebeli qcevebiskombinacia depresiis gamokveTil simptomebTan, SfoTvasa da sxva emociuraSlilobebTan. misi kriteriumebia bavSvTa qceviTi aSlilobebi (F91.-), bavSvTa emociuriaSlilobebi (F93.-), mozardTa sxvadasxva saxis nevrozuli mdgomareobani (F40-F48),afeqturi aSliloba (F30-F39).

F92.0 depresiuli qceviTi aSliloba.Seicavs qcevis aSlilobis (F91.-) kombinacias xangrZliv da gamoxatuldepresiul aSlilobasTan (F32.-), gamoxatuli raime ubedurebis gadaWarbebulad gancda,Cveuli saqmianobisadmi interesisa da siamovnebis gancdis dakargva, TviT-gvema dauimedoba, xSirad vlindeba uZiloba da umadoba.

qcevis aSliloba (F91.-) dakavSirebuli depresiul aSlilobasTan (F32.-).F92.8 qcevisa da emociis sxva Sereuli aSlilobani.

es kategoria Seicavs qcevis aSlilobisa (F91.-) da myari, gamoxatuli emociuri simptomebis,rogorebicaa: SfoTva, akviatebuli qmedebebi, depersonalizacia da derealizacia, fobiebian hipoqondriebi, kombinacias.emociur aSlilobasTan (F93.-) dakavSirebuli qcevis aSliloba (F91.-),nevrozul aSlilobasTan (F40-F48) dakavSirebuli qcevis aSliloba (F91.-).

F92.9 qcevisa da emociis Sereuli aSliloba, dauzustebeli.

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emociuri aSlilobebi bavSvebSi.

es aris ufro gadaxra normaluri ganviTarebis procesidan, vidre gamoxatulixarisxobrivi an Tvisobrivi cvlileba. ganviTarebis niSnebi warmoadgens bavSvisemociur aSlilobasa (specifiuri dasawyisiT) da nevrozul aSlilobas (F40-F48)Soris gansxvavebis gansazRvris ZiriTad safuZvels diagnozis dasasmelad.ar igulisxmeba: rodesac dakavSirebulia qcevis aSlilobasTan (F92.-).

F93.0 bavSvebSi ganSorebis SfoTviTi aSliloba.es diagnozi unda daisvas, rodesac ganSorebis SiSi aris SfoTvis ZiriTadi mizani dapirvelad gamomJRavndeba adreul asakSi. igi gansxvavdeba ganSorebis normalurireaqciisagan simwvavis xarisxiT da dakavSirebulia socialuri funqcionirebismniSvnelovan problemebTan.ar igulisxmeba: afeqturi aSlilobebi (F30-F39),

nevrozuli aSlilobebi (F40-F48),bavSvTa fobikur-SfoTviTi aSlilobebi (F93.1),bavSvTa socialur-SfoTviTi aSlilobebi (F93.2).

F93.1 bavSvTa fobikur-SfoTviTi aSlilobani.bavSvebs, iseve rogorc mozrdilebs, SeiZleba aReniSnoT farTo diapazonisSiSebi, romlebic mimarTulia sagnebisa da situaciebisadmi. zogierTi am SiSTaganar warmoadgens normaluri fsiqosocialuri ganviTarebis nawils, magaliTad:agorafobia. rodesac aseTi SiSebi gvxvdeba bavSvebSi, igi unda iyos kodirebuliSesabamisi kategoriiT (F40-F48), Tumca zogierTi fobia miuTiTebs ganviTarebisgansazRvruli fazis Taviseburebaze da viTardeba bavSvTa umetesobaSi raRac xarisxiT,magaliTad: cxovelebis SiSi skolamdeli asakis bavSvebSi.

ar igulisxmeba: generalizebuli SfoTviTi aSliloba (F41.1)F93.2 socialur-SfoTviTi aSliloba bavSvTa asakSi.

saxeze gvaqvs sifrTxile ucnobebis mimarT. daZabuloba an SfoTva, ucnob an socialuradsaSiS situaciaSi moxvedrisas. aSlilobaTa aRniSnuli kategoria unda ganisazRvrosmxolod maSin, rodesac SiSebi vlindeba sicocxlis adreul wlebSi da uCveulodaagamoxatuli da iwvevs socialuri funqcionirebis problemebs.

Tavis arideba bavSvTa da mozardTa asakSi.

F93.3 siblingTa konkurencia.emociuri aSliloba, romelic iwyeba bavSvebSi RviZli dis an Zmis gaCenis Semdeg. siblingTakonkurenciis diagnozi unda daisvas maSin, roca adgili aqvs siblingTa socialururTierTobebSi myar cvlilebas, rac populaciaSi statistikurad uCveuloa.

siblingis eWvianoba

F93.8 bavSvTa sxva emociuri aSlilobebi.identurobis aSliloba,

hiperSfoTviTi aSliloba.

ar igulisxmeba: bavSvebSi sqesis identurobis aSliloba (F64.2).F93.9 bavSvTa dauzustebeli emociuri aSliloba.

socialuri funqcionirebis aSliloba bavSvTa da mozardTa asakSi

specifiuri dasawyisiT.

aSlilobaTa heterogenuli jgufi, romlis drosac SeiniSneba socialuri funqcionirebispaTologiebi. aSliloba iwyeba ganviTarebis periodSi, magram (ganviTarebis qronikuliaSlilobebisagan gansxvavebiT) mkveTrad gamoxatuli socialur urTierTobaTa uunarobaan deficiti ar warmoadgens ZiriTad damaxasiaTebel niSans, gansxvavebiT farTodgavrcelebuli, ganviTarebasTan dakavSirebuli aSlilobebisagan. bevr SemTxvevaSigaremo pirobebis gauaresebam SesaZlebelia iTamaSos gadamwyveti roli am paTologiiswarmoSobaSi.

F94.0 eleqtiuri mutizmi.axasiaTebs gamoxatuli, emociurad pirobadebuli SerCeviToba saubris dros, racgamoixateba imaSi, rom bavSvi zogierT situaciaSi ikrZalavs metyvelebas. aSliloba,Cveulebriv, dakavSirebulia iseT pirovnul maxasiaTeblebTan, rogoricaa, socialuri

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SfoTva, Semofargluloba, mgrZnobeloba da rezistentoba.seleqtiuri mutizmiar igulisxmeba: ganviTarebis zogadi aSlilobebi (F84.-),

Sizofrenia (F20.-),enisa da metyvelebis specifiuri aSlilobebi (F80.-),bavSvebSi tranzitoruli mutizmi, rogorc ganSorebasTan dakavSirebuli

SfoTviTi aSlilobis nawili, (F93.0).F94.1 bavSvTa asakis mijaWvulobaTa reaqtiuli aSliloba.

iwyeba sicocxlis pirveli xuTi wlis ganmavlobaSi. axasiaTebs myari cvlilebebisocialuri urTierTobebis sferoSi, romelic dakavSirebulia emociur aSlilobebTanda aris reaqtiuli garemo pirobebis cvalebadobis mimarT (mag: SiSi da daZabulobaTanatolebTan socialuri urTierTobisas, hetero- da TviTagresiuloba, zog SemTxvevaSi- zrdis SeCereba). es sindromi SesaZlebelia iyos pirdapiri Sedegi mSoblebis mxridanugulebelyofis, cudad mopyrobis da fizikuri Seuracxyofisa. Tu saWiroa gamoyenebuliunda iqnes damatebiTi kodi, raTa dadgindes masTan dakavSirebuli nebismieriganviTarebis CamorCeniloba.ar igulisxmeba: aspergeris sindromi (F84.5),

bavSvebSi mijaWvulobaTa ganmuxruWeba (F94.2),cudad mopyrobis sindromi (T74.-),seleqtiuri fiqsaciis seqsualuri an fizikuri Seuracxyofis formis

normaluri variacia bavSvebSi, rogorc fsiqosocialuri problema

(Z61.4-Z61.6).F94.2 bavSvTa asakSi mijaWvulobaTa ganmuxruWeba.

socialuri funqcionirebis paTologiuri forma, romelic vlindeba sicocxlis pirvel

xuT welSi, axasiaTebs xangrZlivoba, midrekilia stabilurobisaken garemo pirobebis

cvlilebis miuxedavad, mag: difuzuri, araseleqtiuri fokusirebuli mijaWvulobani,mimwebebloba megobrul urTierTobebSi, damaxasiaTebeli ganurCevloba TanatolebTanurTierTobisas da a.S. emociuri da qceviTi darRvevebis Tanxvedra SeiZlebaiyos pirobadebuli garemo situaciiT.uafeqto fsiqopaTia,dawesebulebis sindromiar igulisxmeba: aspergeris sindromi (F84.5),

hospitalizmi bavSvebSi (F43.2),hipekinetikuri aSlilobebi (F90.-),bavSvTa asakis mijaWvulobaTa reaqtiuli aSliloba (F94.1).

F94.8 bavSvTa asakis socialuri funqcionirebis sxva aSlilobani.F94.9 bavSvTa asakis socialuri funqcionirebis dauzustebeli aSliloba.

tikebi.

tiki aris uneblie, swrafi, ganmeorebadi, arariTmuli motoruli moZraoba (Cveulebriv,CaTreulia kunTebis gansazRvruli jgufi) an xmis gamocema. tiki iwyeba moulodneladda umiznod. tiki ganukurnebelia, SeiZleba SeCerdes raRac periodis ganmavlobaSi, magramstresis Sedegad isev gamwvavdes. Zilis dros tiki SeCerebulia. Cveulebriv, misimartivi formaa Tvalebis xamxami, kisris uneblie moZraoba, mxrebis CeCva, saxis manWva.martiv tiks warmoadgens yelis Cawmenda, Caxveleba, frutuni, stvena, SiSini. rTuli tikebia:mujluguni, Sextoma an xtunva. kompleqsuri vokaluri tikebia: gansakuTrebuli sityvebisganmeoreba, socialurad miuRebeli (xSirad uxamsi) sityvebis (koprolalia) da sakuTari

bgerebis (sityvebis) ganmeorebebi (palilalia).

F95.0 tranzitoruli (gardamavali) tikebi.tikis damaxasiaTebeli simptomebis arsebobis xangrZlivoba 12 Tves ar aRemateba.

upiratesad vlindeba Tvalis xamxamiT, saxis manWviT an Tavis uneblie moZraobebiT.

F95.1 qronikuli motoruli an vokaluri tikebi.ZiriTadi niSnebia motoruli an vokaluri tikebi (ara orive erTad), romelicSeiZleba iyos an erTeuli an mravlobiTi (upiratesad, ufro mravlobiTi).grZeldeba erT welze ufro meti xnis ganmavlobaSi.

F95

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F95.2 vokaluri da mravlobiTi motoruli tikebis kombinacia.tikebis iseTi forma, romlis drosac adgili aqvs mravlobiT motorul tikebs da erT(an met) vokalur tiks. amasTan es tikebi SesaZlebelia araerTdroulad aRmocendes.aSliloba Cveulebriv, mwvavdeba mozardTa asakSi da SeiZleba gagrZeldes mozrdilebSic.vokaluri tikebi upiratesad mravlobiTia da sxvadasxvagvari: feTqebadi, ganmeorebadivokalizaciiT, yelis CawmendiT, "RrutuniT", CaxvelebebiT da zogjer gvxvdeba uxamsisityvebisa da frazebis ganmeorebebis saxiT. zogjer saxezea Tanmxlebi eqopraqsiuli

Jestikulacia, romelic SesaZlebelia uxamsic iyos (kopropraqsia).

F95.8 sxva tikebi.F95.9 dauzustebeli tikebi.

tiki, romelic sxvagvarad ar aris dazustebuli

sxva qceviTi da emociuri aSlilobani ganviTarebuli bavSvebsa da mozardebSi.

aSlilobaTa heterogenuli jgufi, romelTa saerTo damaxasiaTebeli niSania debiutibavSvTa asakSi, xolo yvela sxva niSniT erTmaneTisgan gansxvavebulia. zogierTi maTganikargad gamokveTili sindromia, xolo zogi mxolod simptomTa kompleqss warmodgens,garkveuli damoukidebeli nozologiuri kuTvnilebis gareSe. es ukanaskneli am kodSixvdeba Tavis sixSirisa da fsiqosocialur problemebTan Tanxvedris gamo, agreTve

imitomac, rom maTi sxva sindromebTan gaerTianeba ar SeiZleba.

ar igulisxmeba: sunTqvis Sekaveba (R06.8)bavSvebSi sqesis identifikaciis aSliloba (F64.2)qlain-levinis sindromi (G47.8)obsesiur-kompulsiuri aSliloba (F42.-)emociuri mizezebiT gamowveuli Zilis aSliloba (F51.1).

F98.0 araorganuli enurezi.aSlilobas axasiaTebs Sardis uneblie gamoyofa dRisa da/an Ramis ganmavlobaSi.igi ar Seefereba bavSvis gonebriv asaks da ar aris gamowveuli saSarde buStis funqciiskontrolis unaris dakargviT raime nevrologiuri aSlilobis Sedegad, epelefsiuriSeteviT, an saSarde traqtis sxva struqturuli paTologiiT. enurezi bavSvsSesaZlebelia dabadebidan dahyves da /an daiwyos saSarde buStis kontrolis CvevisCamoyalibebis Semdeg. enurezi SesaZlebelia dakavSirebuli iyos emociur da qceviTaSlilobasTan.pirveladi an meoradi enurezi, araorganuli warmoSobisa.funqcionaluri enurezi,fsiqogenuri enurezi,araorganuli warmoSobis Sardis Seukavebloba,

ar igulisxmeba: enurezi, romelic sxvagvarad ar aris dazustebuli (R32).F98.1 araorganuli enkoprezi.

Cveulebriv normaluri konsistenciis fekaluri masis ganmeorebadi nebiTi Tu unebliepasaJi, im adgilebSi, romelic mocemul sociokulturul garemoSi ar aris am miznisTvisgamoyofili. es mdgomareoba SeiZleba warmoadgendes Cvili bavSvis normaluriSeukaveblobis paTologiur gagrZelebas an defekaciis Sekavebis Cvevis dakargvas,ganviTarebuls ukve Camoyalibebuli nawlavebis kontrolis Cvevis pirobebSi anSeuferebel adgilebSi fekaluri masis winaswarganzraxul gamoyofas, miuxedavadnawlavebis normaluri fiziologiuri kontrolisa. enkoprezi SeiZleba Segvxvdesrogorc monosimptomuri aSliloba an iseTi aSlilobis farglebSi, rogoricaa emociuriaSliloba (F93.-) an qcevis aSliloba (F91.-).funqciuri enkoprezifekaluri masis Seukavebloba, araorganuli warmoSobisafsiqogenuri enkopreziTu saWiroa, gamoiyeneT damatebiTi kodi, raTa dazustdes nebismieriTanaarsebuli Sekrulobaar igulisxmeba: enkoprezi, romelic sxvagvarad ar aris dazustebuli (R15).

F98.2 CvilTa da bavSvTa kvebis aSliloba.sakvebis miRebis procesTan dakavSirebul aSlilobas sxvadasxvagvari gamovlineba aqvs

F98

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da amasTan, specifiuria CvilTa da adreuli bavSvobis asakisaTvis. am aSlilobisasCveulebriv vxvdebiT sakvebis miRebis akrZalvas da Jinianobas sakmao raodenobis maRalixarisxis sakvebis arsebobisa da adeqvaturi mzrunvelobis pirobebSi, Tanac gamoxatuliorganuli daavadebis ararsebobis fonze. SesaZlebelia gamoxatuli iyos ganmeorebadiregurgitacia, pirRebinebis an kuW-nawlavis traqtis aSlilobaTa arsebobis gareSe ("coxna")."coxna" Cvil bavSvebSi,ar igulisxmeba: nevrozuli anoreqsia da kvebasTan dakavSirebuli sxva aSlilobebi (F50.-)

kvebis siZneleebi da mougvarebloba (R63.3),axalSobilTan dakavSirebuli kvebis problemebi (F92.-),pika Cvilebsa da bavSvebSi (F98.3).

F98.3 sakvebad gamousadegari nivTierebis miReba (pika) Cvilebsa da bavSvebSi.sakvebad gamousadegari nivTierebebis (miwa, saRebavi) gamudmebuli miReba. SeiZlebagamovlindes rogorc erT-erTi simptomi romelime fsiqikuri aSlilobisa (magaliTad,autizmi) an gvxvdeba, rogorc SedarebiT izolirebuli paTologiuri qceva. esukanaskneli am kodSia klasificirebuli. pikas fenomeni upiratesad damaxasiaTebeliagonebrivad CamorCenili bavSvebisaTvis da Tu gonebrivi CamorCenilobac arsebobs,

ZiriTadi diagnozis dasmisaTvis unda SeirCes F70-F79 kodi.

F98.4 stereotipuli moZraobebi.uneblie, ganmeorebadi, stereotipuli, arafunqcionaluri (xSirad riTmuli)moZraobebi, romelic arc erT fsiqiatriul da nevrologiur mdgomareobas arukavSirdeba. roca aseTi moZraobebi iwyeba da romelime aSlilobis erT-erT simptomswarmoadgens, unda davafiqsiroT wamyvani aSliloba. moZraobebi, romlebic ariwvevs TviTdazianebas moicavs: sxeulis rxevas, Tavis qnevas, Tmis qaCvas, Tmis xelzexvevas, TiTebis tkacuns, xelis aqnevas. stereotipuli TviTdazianebis qcevebia: Tavisganmeorebadi mirtyma, saxeSi xelis cema, TvalSi TiTis takeba, xelebze an sxeulis sxvanawilebze kbena. stereotipuli moZraobebis aSlilobani upiratesad gonebrivCamorCenilobasTan kombinaciaSi vlindeba da saWiroa orive diagnozis kodireba. Tususti mxedvelobis mqone bavSvi TvalSi TiTs ikravs, unda iqnes kodirebuli orive:rogorc TvalSi TiTis kvris stereotipi, aseve misi mxedvelobis mdgomareobaSesaferisi somaturi darRvevis kodiT. aseT SemTxvevaSi ismeba orive diagnozi.stereotipuli Cveva (R25.-),ar igulisxmeba: paTologiuri uneblie moZraobebi (R25.-),

organuli warmoSobis moZraobis aSliloba (G20-G25),frCxilebis kvneta (F98.8),xeliT cxviris wvaleba (F98.8).stereotipiebi, rogorc romelime fsiqiatriulimdgomareobis (F00-F95) nawilicera TiTis wova (F98.8),tikebi (F95.-),triqotilomania (F63.3).

F98.5 enabluoba.sityvis, bgerebisa an marcvlebis xSiri ganmeorebebi an gagrZelebebi, yoymani an pauzebi,rac riTmul da Tavisufal metyvelebas uSlis xels. is SeiZleba iyos klasificirebulirogorc aSliloba mxolod maSin, Tu mniSvnelovnad aferxebs Tavisufal metyvelebasar igulisxmeba: tikis aSlilobebiø (F95.-)

sulmouTqmeli metyveleba (F98.6)F98.6 sulmouTqmeli metyveleba.

metyvelebis uecari aCqareba dinebis tempis aSliT, rac ar aris gamowveuliganmeorebebiTa da yoymaniT da metyvelebis gagebas aZnelebs. metyveleba aramyaria dadizriTmuli, uecari wyvetilobiT, rac frazebis Camoyalibebis darRvevas iwvevs.ar igulisxmeba: enabluoba (F98.5),

tikuri aSlilobebi (F95.-).F98.8 sxva specifiuri qcevebi da emociuri aSlilobebi, romelic iwyeba

bavSvebSi da mozardebSi.

yuradRebis deficitis aSliloba hiperaqtiurobis gareSe.

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gadaWarbebuli masturbacia,frCxilebis kvneta,cxviris xeliT wvaleba,

cera TiTis wova.

F98.9 dauzustebeli qcevebi da emociuri aSlilobebi, romelic Cveulebriviwyeba bavSvebSi da mozardebSi.

araspecifiuri fsiqikuri aSliloba

(F99).

fsiqikuri aSliloba, romelic sxvagvarad ar aris dazustebuli

fsiqikuri daavadeba,øromelic sxvagvarad ar aris dazustebuli

ar igulisxmeba: fsiqo-organuli aSliloba, romelic sxvagvarad ar aris dazustebuli

(F06.9).

F99

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