лìüåлðлолçòìгïí рпътеньтм гпзеат ra aris osteopenia? - osteopenia aris...
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![Page 1: лìüåлðлолçòìгïí рпътеньтм гпзеат ra aris osteopenia? - osteopenia aris Zvlovani masis Semcireba - es iseTi mdgomareobaa, rodesac osteoporozi jer ar](https://reader031.vdocuments.net/reader031/viewer/2022012307/5adb56aa7f8b9a6d7e8dd5d5/html5/thumbnails/1.jpg)
_ osteoporozze Zalian bevri ram
Tqmula. amaze saubroben gansxvavebu-
li dargis specialistebi. erTaderTi
daavadebaa medicinaSi, romelTan
brZolaSic aqtiurad CarTulni ar-
ian: revmatologebi,endokrinologe
bi,onkologebi, travmatologebi da
pediatrebic ki. es aris daavadeba,
romelic bavSvobidan iwyeba,
da mainc ra aris osteoporozi?
- osteoporozi ganimarteba,
rogorc “carieli Zvali”. es aris
mdgomareoba, romlis drosac Zvali
xdeba msubuqi, myife da aqedan gamom-
dinare advilad texvadi.
bavSvebsa da mozardebSi Zvali zr-
das ganicdis da TandaTanobiT iZens
maqsimalur simkvrives da mdgradobas.
yvelaze mkvrivi Zvali adamians 20-35
wlis asakSi aqvs. amis Semdeg iwyeba Zv-
lis asakobrivi danakargebi, romelic
samwuxarod mTeli sicocxlis ganmav-
lobaSi grZeldeba. . .
ras gvetyviT osteoporozis ris-
kis faqtorebsa da mizezebze?
- rac ufro gvemateba asaki, miT
maRalia osteoporozis ganviTarebis
riski. Tumca osteoporozi ar niSnavs
siberes. Zvlis asakobrivi kargva gan-
sakuTrebiT saSiSia, arasaxarbielo
genetikuri datvirTvis da mTeli
rigi riskis faqtorebis arsebobis
pirobebSi: esenia qalisa da mamakacis
sasqeso hormonebis deficiti, rac niS-
navs imas, rom menopauzis (klimaqsis) da
sasqeso funqciebis daqveiTebis dros,
sqesis miuxedavad osteoporozis
ganviTarebis riski maRalia; sxeulis
dabali masa – gamxdari da wvrilZvala
individebi xSirad avaddebian osteo-
poroziT; nikotinis, alkoholis Warb
momxmareblebSi da gansakuTrebiT
wamalTdamokidebulebis dros, narko-
osteoporoziXXI saukunis problema!
jandacvis msoflio organizacia Tvlis, rom osteoporozi iseTive aqtua-luria dRes, rogorc onkologiuri daavadebebi, miokardiumis infarqti da insulti. 3-dan 1 qali da 5-dan 1 kaci, 50 wlis asakis zemoT, daavadebulia os-teoporoziT. situacias arTulebs daavadebis mimdinareobis Taviseburebebi: mas Semparavi, nakleb manifesturi xasiaTi aqvs da klinikurad motexilobis Semdeg iCens Tavs. motexilobidan 6 Tvis ganmalobaSi sikvdilianobis maCve-neblebi, gansakuTrebiT 60 wlis asakis zemoT 30%-ze metia, danarCen SemTx-vevaSi ki Tan sdevs Tavisufali cxovrebis, gadaadgilebis unaris dakargva, rac sakmaod mZime perspeqtivaa.
gvesaubreba profesori lali kilasonia, romelic osteoporozis erovnuli asociaciis prezidentia.
manebSi, Zvlovani danakargebi axalgaz-
rda asakSi iwyeba.
dabali fizikuri aqtivoba, sakveb-
Si kalciumis Semcveli produqtebis
deficiti, zogierTi medikamentis
(mag. prednizoloni) xangrZlivi
drois ganmavlobaSi gamoyeneba, ga-
ziani gastronomiuli wvenebis xSiri
gamoyeneba, es is faqtorebia, romelTa
arsebobis pirobebSi avadobis riski
matulobs.
osteoporozis yvelaze did
problemad medikosebi mis Cum mimdin-
areobas asaxeleben...
- geTanxmebiT, umetes SemTxvevaSi
osteoroporozi klinikur simptom-
ebs ar iZleva. pacientma SesaZloa
verc igrZnos daavadebis arseboba.
daavadebis pirveli gamovlineba xSir
SemTxvevaSi motexilobis ganviTare-
baa. swored amitom osteoporozs
“farul epidemiasac” uwodeben.
da mainc, ra simptomebiT xa-
siaTdeba osteoporozi da ras unda
mivaqcioT yuradReba am daavadebis
amosacnobad?
arsebobs simptomebi, romlis
arsebobis SemTxvevaSic eWvi unda
mivitanoT osteoporozze. zemoT
aRniSnuls miekuTvneba: simaRlis
3sm-iT an metiT Semcireba, xerxemlis
deformacia (kifozi). pacientTa didi
nawili uCivis tkivils welis areSi.
samwuxarod aRniSnuli araspecifi-
uri niSnebi SesaZloa mxedvelobis
aredan gamorCes, rogorc pacients,
ise eqimsac da daavadebis gamovlena
moxdes pirveli motexilobiT. osteo-
porozis dros motexiloba viTardeba
mcire travmebis, mag.: waqcevis dros
an SesaZlebelia atravmuladac gan-
viTardes.
gv. 2
gv. 2
momzadebis wesi:
Jelatini CavalboT gadaduRebul
da gagrilebul wyalSi 1:8-ze Tana-
fardobiT da davtovoT gasajirjve-
blad 30-40wT. Sokoladi gavxexoT da
gavalRoT SaqarTan erTad aduRebul
rZeSi. davamatoT vanilini gemovnebis
mixedviT, Jelatini da es masa miviyva-
noT aduRebamde. CavasxaT formebSi da
gavacioT. mitanamde forma 3 wm-iT Cav-
doT cxel wyalSi, davaxuroT TefSi da
uceb gadmovabrunoT (odnav SevanjR-
rioT). movxsnaT forma. Jele SesaZloa
gavaformoT aTqvefili naRebiT.
олгло æïâòúâïà àïâò
лìüåлðлолçòìгïí
№3лáüлèþåоò. 2011
рпътеньтм гпзеат
Ca-is Semcveli kerZebis receptebi
saqarTveloSi axali diagnostikuri meTodebis danergvis da sam-kurnalo saSualebebis SemosvlasTan dakavSirebiT, TandaTanobiT gaizarda mosaxleobis interesi am daavadebis mimarT.
“pacientis gazeTis” stumaria medicinis doqtori marina cagareli.
Ca: kerZi (750gr)-3475 mg; porcia (100 gr)-463 mg; produqtebi: yveli 300 gr (3000 mg kalciumi); xaWo 300 gr (450 mg kalciumi); qaTmis xorci 150 gr (25,5 mg kalciumi); mwvanili, marili
yvelis ruleti (dRiuri moxmarebis 40%)
momzadebis wesi:
polieTilenis tomaras Signidan
wavusvaT karaqi da CavdoT Sig yveli.
movukraT Tavi da CavuSvaT aduRebul
wylian WurWelSi 15 wT-is ganmavloba-
Si, vidre yveli ar darbildeba.
movamzadoT guli: xaWo avsrisoT,
davamariloT da davamatoT wvrilad
daWrili niori, mwvanili, moxarSuli
da daWrili qaTmis xorci.
amoviRoT yveli da gavabrtyeloT,
wavusvaT momzadebuli guli da Sevax-
vioT ruletiviT, garedan Semovax-
vioT folga da SevdgaT macivarSi
3-4 sT-iT. Semdeg davWraT naWrebad
da mivirTvaT.
rZis Jele SokoladiT (dRiuri moxmarebis 20%)
Ca: kerZi (1030gr)-1253 mg; porcia (200 gr)-243 mg; produqtebi: rZe 750gr (1103 mg kalciumi); Sokoladi 150gr (150mg kalciumi); Saqris fxvnili 100gr, Jelatini 30gr, vanilini.
![Page 2: лìüåлðлолçòìгïí рпътеньтм гпзеат ra aris osteopenia? - osteopenia aris Zvlovani masis Semcireba - es iseTi mdgomareobaa, rodesac osteoporozi jer ar](https://reader031.vdocuments.net/reader031/viewer/2022012307/5adb56aa7f8b9a6d7e8dd5d5/html5/thumbnails/2.jpg)
2 лáüлèþåоò №3
rogoria osteoporozis Sedegebi?
- rogorc zemoTac aRvniSneT, samwuxarod os-
teoporozis garTulebas motexiloba warmoadgens.
yvelaze xSiri da mZimea: winamxris, barZayis yelis,
mxris Zvlisa da xerxemlis malebis motexilobebi.
yvelaze sagangaSoa is, rom osteoporozuli mo-
texilobebi viTardeba umniSvnelo vardnisa da
travmis Sedegadac ki. xerxemlis malebis motexi-
lobas Tan sdevs tkivili xerxemalSi, simaRleSi
progresirebadi kleba, xerxemlis deformacia e.w.
“mrgvali zurgi”.
SesaZlebelia Tu ara osteoprozis profilaq-
tika da mkurnaloba?
- srulfasovani kveba da cxovrebis jansaRi wesi
amcirebs osteoporoziT daavadebis risks, magram
XXI saukunis problema
lali kilasonia
zogjer saWiro xdeba sakvebTan erTad kalciumis
preparatebis miReba. arsebobs kalciumis Semcveli
mravali preparati, romelTa miRebis reJimi da
doza gansxvavebulia, amitomac saWiroa kalciumis
preparatis SerCeva eqimTan erTad.
organizmSi kalciumis Sewova da gadamuSaveba
SeuZlebelia D vitaminis gareSe. Tumca rogorc
kalciumis, ise vitaminis Warbad moxmareba orga-
nizmisTvis saxifaToa.
ukve arsebuli osteopeniisa da osteoporozis
samkurnalod sadReisod gamoyofen efeqturi
antiosteoporozuli preparatebis ramdenime
klass. am preparatebiT mkurnaloba sarwmunod
zrdis Zvlis mineralur simkvrives da Sesabamisad
amcirebs motexilobis risks. maT Soris yvelaze
metad gavrcelebulia bisfosfonatebi (alendrona-
ti, ibandronis mJava, zolendronis mJava, rize-
dronati), stronciumis ranelati, kalcitonini
(meore rigis preparati). TiToeuli pacientisaT-
vis mkurnalobis kursis SerCeva xdeba konkretul
SemTxvevaSi klinikuri Taviseburebebisa da indi-
vidualuri ukuCvenebebis gaTvaliswinebiT. eqimi
iTvaliswinebs ara marto medikamentis klinikurad
dadasturebul efeqturobasa da kargi amtanobis
maCvenebels, aramed moxerxebul reJims, radgan
amazea damokidebuli ramdenad stabilurad mi-
iRebs pacienti preparats da Sesabamisad rogori
iqneba mkurnalobis Sedegi (motexilobis albaTobis
Semcireba). cnobilia, rom Tu preparatis miReba
pacientisTvis mouxerxebelia, didia albaToba rom
man TviTneburad miatovos mkurnaloba..
ra SeiZleba CaiTvalos osteoporozis
mkurnalobis efeqturobis Sefasebis kriteriumad
da rogoria prognozi?
- osteoporozis mkurnalobis efeqturobis
Sefasebis kriteriumebia: motexilobis riskis
Semcireba, pacientis mdgomareobisa da cxovrebis
xarisxis gaumjobeseba, misi fizikuri aqtivobis
gaumjobeseba, osteodensitometriis maCveneblebis
dadebiTi dinamika, efeqturi Terapiis markerad
aseve SeiZleba CaiTvalos Zvlis rezorbciis mark-
erebis maCvenebeli.
aucilebelia xangrZlivi mkurnaloba. amasTa-
nave, mkurnalobis procesSi samkurnalo fizkul-
turisa da Tanamedrove farmakologiuri Terapiis
CarTva. mniSvnelovania, pacients vaswavloT kvebisa
da cxovrebis swori, jansaRi reJimi, rac osteo-
porozis mkurnalobisa da profilaqtikis kuTxiT
mniSvnelovania.
da bolos, ra perspeqtiva arsebobs moma-
valSi?
- Cven gvaqvs srulfasovani warmodgena daavade-
baze. Cven unda mivaRwioT imas, rom riskis qveS
myofma adamianma droulad Caitaros gamokvleva,
moxdes daavadebis drouli diagnostika da Semdeg
mkurnaloba. Cven mivaRwevT imas, rom daavade-
bis adreuli diagnostikiT Tavidan avicilebT
motexilobas, endoprotezirebas, romelic sakmaod
ZviradRirebulia. mivalT im Segnebamde, rom pre-
vencia gacilebiT iafia, vidre garTulebuli da
Sorswasuli daavadebis mkurnaloba.
imis gaTvaliswinebiT, rom davadebis diag-
nostika sakmaod Zviria, am saqmeSi unda CaerTos
saxelmwifo, ganxorcieldes programebi, romlis
farglebSic moxdeba im pacientebis diagnostireba,
romelTac yvelaze metad emuqrebaT es daavdeba.
dasawyisi gv. 1
gv. 3
лìüåлðлолçò
qalbatono marina, ramdeni xania rac osteo-
porozis problemaze muSaobT?
- Cveni ganyofileba TiTqmis 10 welia am problemiT
aris dakavebuli. misasalmebelia, rom bolo dros
mosaxleobas sul ufro meti informacia miewodeba am
daavadebis Sesaxeb. sabednierod, dReisaTvis saqarT-
veloSi SesaZlebelia osteoporozis mkurnaloba im
preparatebiT, romlebsac mTel msoflioSi cnobili
farmakologiuri kompaniebi awarmoeben da farTod
gamoiyeneba dasavleTis qveynebSi, sadac cxovre-
bis maRali donea. am preparatebis efeqturobis
TvalsaCino magaliTia is faqti, rom am qveynebSi
moxucebuli asakis pirebi mobilurebi da aqtiurebi
arian da Sesabamisad cxovrebis xarisxi bevrad ufro
maRalia CvenTan SedarebiT.
ukanasknel xans Zalian xSirad ismis ter-
minebi osteoporozi da osteopenia. Tu SeiZleba
ganmarteT ra aris osteopenia?
- osteopenia aris Zvlovani masis Semcireba - es
iseTi mdgomareobaa, rodesac osteoporozi jer ar
aris ganviTarebuli da drouli CareviT SesaZle-
belia misi Tavidan acileba.
imisaTvis, rom ar ganviTardes osteopenia
Zalian mniSvnelovania osteoporozis gamomwvevi
ZiriTadi risk-faqtorebis codna.
osteopeniis ganviTarebis mizezi SesaZlebelia
gaxdes xangrZlivi drois manZilze sakveb racionSi
dRes osteoporozi medicinis erT-erT umniSvnelovanes problemadaa miCneuli. osteoporozi im daavadebaTa ricxvs miekuT-vneba, romlis profilaqtika SesaZlebelia, xolo ukve arsebuli daavadebis dros, saTanado da drouli CareviT SeiZleba iseTi mZime garTulebis Tavidan acileba, rogoric aris motexiloba. saqarTveloSi axali diagnostikuri meTodebis danergvis da samkurnalo saSualebebis SemosvlasTan dakavSirebiT, TandaTanobiT gaizarda mosaxleobis interesi am daavadebis mimarT.gvesaubreba medicinis doqtori marina cagareli.
kalciumis deficiti. am dros xSiria kbilebis kar-
iesuli dazianeba, Tmis cvena.
osteoporozis Tavidan acilebis mizniT, mniS-
vnelovania densitometriis saSualebiT daavadebis
am stadiaze gamovlena da saTanado aramedikamen-
turi da medikamenturi mkurnalobis drouli
dawyeba.
rogor vlindeba osteoporozi da ra aucile-
beli gamokvlevebia Casatarebeli, raTa droulad
iqnes aRmoCenili daavadeba?
- osteoporozis erT-erTi klinikurigamov-
linebaa xerxemlis malebis motexiloba, rac iwvevs
zurgis mwvave an qronikul tkivilebs, tanadobis
Secvlas, simaRlis Semcirebas. es uaryofiT gavle-
nas axdens filtvebis funqiaze. xSiria wonis kleba.
uaresdeba cxovrebis xarixi, adamiani analgetikebze
xdeba damokidebuli, ewyeba depresia. SesaZlebelia
gafantuli tkivili preiferiul ZvlebSi.
wlebis win osteoporozis diagnozs dagvianebiT
svamdnen naklebadinformaciuli rentgenologi-
uri gamokvlevis safuZvelze, maSin roca Zvlis
30-40 procenti ukve dakarguli iyo. dReisaTvis os-
teodensitometriis sxvadasxva meTodis danergvis
Sedegad, osteoporozis diagnostika SesaZlebelia
moxdes daavadebis adreul stadiaze, mis klinikur
gamovlinebamde.
garda densitometriuli kvlevisa, osteoporo-
zis diagnostikur kompleqsSi Sedis laborato-
riuli gamokvlevebi - kalciumisa da mis cvlaSi
monawile hormonebis, agreTve Zvlis metabolizmis
markerebis monitoringi.
gamokvleva risk-faqtorebis SefasebiT da
ultrabgeriTi densitometriiT unda daiwyos.
ultrabgeriTi densitometria skriningiuli
meTodia. misi saSualebiT ConCxis periferiuli
nawilebis gamokvleva da motexilobis riskis Se-
faseba xdeba.
risTvis aris saWiro skriningi?
- skriningi mosaxleobis farTe fenebis gamokvle-
vis saSualebas iZleva. skriningiT SesaZlebelia gam-
ovyoT is kontigenti, romelic ormagenergetikuli
rentgenuli absorbciometriis (DXA-s) Catarebas
saWiroebs. es Zalian mgrZnobiare da zusti den-
sitometriuli meTodia, romelic gansazRvravs
ZvalSi farTobis erTeulze mineralis Semcvelobas
ara mxolod ConCxis periferiuli nawilebSi,
aramed xerxemalSic. am meTodis saSualebiT Zvlis
simkvrive isazRvreba, agreTve, barZayis ZvalSi da
winamxris ZvlebSi – im adgilebSi, romlebic yve-
laze metad ziandeba ostreoporozis Sedegad. os-
teoporozuli mkurnalobis monitoringi swored
DXA-s saSualebiT unda moxdes.
Tanamedrove DXA-s aparatebi aRWurvilia
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3№3 лáüлèþåоò
dasawyisi gv. 2
marina cagareli
æòïгíлìüòкï æï èкуоíïдлþï
specialuri pediatriuli, orTopediuli da sxva
programebiT.
aseve mniSvnelovania is faqti, rom osteoporo-
zis sawinaaRmdego mkurnalobis monitoringi
swored DXA-s saSualebiT moxdes.
osteoporozis diagnozi ismeba T-kriteriumiT.
Tu Zvlis mineraluri simkvrive >-1, saqme gvaqvs
normalur ZvalTan. Tu T-kriteriumi aris -1 da -2,5
aRiniSneba osteopenia, da bolos Tu T-kriteriumi<
-2,5 ismeba osteoporozis diagnozi.
rodis unda daiwyos antiosteoporozuli
mkurnaloba?
- osteoporozis mkurnalobis da profilaqtikis
Sesaxeb arsebuli Tanamedrove rekomendaciebis
mixedviT, anamnezSi minimaluri travmis Sedegad
ganviTarebuli motexiloba ukve aris antios-
teoporozuli mkurnalobis dawyebis Cveneba. im
pacientebs, romelTac aReniSnebaT osteoporozis
ganviTarebis riskis faqtorebi, magram anamnezSi
ar aReniSnebaT motexiloba, saWiroa CautardeT
Zvlis densitometriuli kvleva. gamokvlevasa da
specifiuri mkurnalobis daniSvnasTan dakavSire-
bul sakiTxebs TiToeuli pacientisaTvis wyvets
mkurnali eqimi.
ramden xans grZeldeba osteoporozis
mkurnaloba?
- samwuxarod, zogierTi jer kidev
skeptikurad aris ganwyobili osteo-
porozis mkurnalobisadmi, magram ukve
sakamaTo aRar aris, rom osteoporozis
samkurnalo preparatebi iwveven ara mx-
olod procesis stabilizacias, aramed
zrdian Zvlis mineralur simkvrives. uax-
lesi gamokvlevis meTodi DXA iZleva imis
saSualebas, rom Sefasdes mkurnalobis
efeqturoba. kerZod, mkurnalobis daw-
yebidan erTi wlis Semdeg da SemdgomSi
yovelwliurad ganisazRvros Zvlis min-
eraluri simkvrivis procentuli namati
calkeuli regionebis mixedviT.
osteoporozi qronikuli progresire-
badi daavadebaa, amitomac moiTxovs xan-
grZliv mkurnalobas. Terapiuli kursis
xangrZlivobas gansazRvravs mkurnali
eqimi, romelic regularulad afasebs
pacientis mdgomareobas da mkurnalobis
efeqturobas Zvlis mineralur simkvr-
ivis monitoringis saSualebiT.
da bolos, ras ityviT osteoporo-
zis medikamentozuri mkurnalobis
Sesaxeb?
- mkurnalobis Sedegad SesaZlebelia
Tavidan aviciloT motexiloba – osteo-
porozis yvelaze saSiSi garTuleba,
romelic mosaxleobis invalidobis da
xSir SemTxvevaSi sikvdilis mizezic xdeba.
saqarTveloSi dRes xelmisawvdomia osteo-
porozis samkurnalo maRalxarisxiani preparatebi,
romelTa efeqturoba mravalricxovani kvlevebiT
aris dadgenili. aSS-sa da evropis qveynebSi maTi
gamoyenebis didi gamocdileba aqvT. am preparate-
bis moqmedebis meqanizmi sxvadasxvaa da miRebis re-
Jimic gansxvavebulia: aris rogorc yoveldRiuri,
aseve TveSi erTxel da weliwadSi erTxel misaRebi
formebi. sagulisxmoa rom antiosteoporozuli
preparatebi dadebiT gavlenas axdenen xrtilovan
qsovilSi mimdinare degeneraciul cvlilebebze.
magram yvela preparats Tavisi Cveneba aqvs.
mkurnaloba unda iqnes SerCeuli individualu-
rad, kvalificiuri specialistis mier, kliniko-
laboratoriuli gamokvlevebis safuZvelze. Tu
preparatis daniSvnas safuZvlad ar udevs zemoT-
CamoTvlili gamokvlevebi misi gamoyeneba efeqturi
ar iqneba.
Ca-is rekomendebuli sadReRamiso normebi
sxvadasxva asakisa da sqesis pirebSi
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4 лáüлèþåоò №3öïíìïéò úõлâоåþï
„ёлф ипн-дп ол шт“; щпо ил ипж ген дл юп мп бпо а ве дл шт; юп зе дт, шве т ъп отпают дт мт 0102, хе ап гу ол втм б.6; V ìïîàóäò. üåä: 2389299; ôïáìò: 2911570; åä. ôëìüï: [email protected]
10.11 - Geo - BON 04жпипьеютат тнфлоипъттмавтм, илгвипоаеа:
varjiSebi janmrTeli Zvlebis SesanarCuneblad
3
5
7
2
4
6
8
dajeqiT skamze da
xelebi gulmkerdze
gadaajvaredineT.
moWimeT fexebi da
SeswieT muceli, adeqiT.
orive fexze Tanabrad
gaanawileT sxeulis
wona, aiwieT fexis
wverebze da isev dajeqiT
Seweuli mucliT. varjiSi
SeasruleT 8-12 jer,
cota daisveneT da
kvlav gaimeoreT igive
sixSiriT.
dajeqiT skamze gamarTul
mdgomareobaSi da
pirdapir iyureT. moxareT
xelebi idayvebSi da
maqsimalurad ukan gaswieT
uxerxuli SegrZnebebis
ganviTarebamde. aseT
mdgomareobaSi gaCerdiT
5-10 wm-is ganmavlobaSi.
isunTqeT Cveulebriv.
daubrundiT sawyis
mdgomareobas. varjiSi
gaimeoreT 10-jer, cota
SeisveneT da kvlav
gaimeoreT igive sixSiriT.
dajeqiT skamze gamarTul mdgomareobaSi da daawyveT xelebi barZayebze. erT-erTi barZayis qveS amoideT pirsaxoci. daWimeT muclis kunTebi da nela-nela aswieT muxlSi gamarTuli fexi ise, rom xerxemalSi ar moixaroT. SeinarCuneT aseTi mdgomareoba ramodenime wamis ganmavlobaSi. daubrundiT sawyis mdgomareobas da igive gaimeoreT meore fexisaTvis. varjiSi gaimeoreT 10-jer, cota SeisveneT da gaimeoreT igive sixSiriT.
dadeqiT skamis sazurgis ukan da xelebiT CaeWideT sazurges wonasworobis SesanarCuneblad. aiwieT fexis wverebze (sxeulis wona gadaitaneT cerebze), nela-nela daeSviT da quslebi SeaxeT iataks. Semdeg moxareT muxlSi erT-erTi fexi da qusli aitaneT dundulebamde, daWimeT fexis kunTebi da nela-nela gaSaleT fexi. varjiSi SeasruleT meore fexiTac. varjiSi SeasruleT 6-12-jer, cota daisveneT da kvlav gaimeoreT igive sixSiriT.
daeSviT iatakze
xelisgulebze da
muxlebze dayrdnobiT.
nela-nela daswieT
tani iatakze, idayvebi
mimarTulia gverdiT.
ar SeexoT iataks ise
daubrundiT sawyis
mdgomareobas. varjiSi
SeasruleT 8-12 jer,
cota daisveneT da
kvlav gaimeoreT igive
sixSiriT.
sawyisi mdebareoba: fexebi mxrebis siganeze. aswieT idayvebSi moxrili xelebi mxrebamde (TiTebi mimarTulia zeviT). mozideT beWebi (idayvebSi moxrili xelebi ukan da qveviT) da aseT mdgomareobaSi odnav nela CajeqiT (V-magvari poza). gaCerdiT aseT mdgomareobaSi ramodenime wami da daubrundiT sawyis mdebareobas. varjiSi SeasruleT 8-jer, cota SeisveneT da kvlav gaimeoreT igive sixSiriT.
dajeqiT skamze.
(quslebi exeba
iataks) da gamarTuli
xelebi aswieT maRla.
xelebi gaWimeT zeviT
maqsimalurad. Semdeg
erdroulad erTi xeli
CamoswieT qvemoT, xolo
meore aswieT zemoT.
varjiSi SeasruleT
ramodenimejer.
xelebi daiWireT mxrebis
siganeze da ase gaiareT
"qusli wverTan" 6
nabiji. Semdeg yovel
me-3 nabijze muxlSi
moxrili fexi aswieT
ise ,rom marTi kuTxe
Seqmnas welTan. gaCerdiT
am mdgomareobaSi,
Semdeg fexi dauSviT.
varjiSi SeasruleT
meore fexiTac.
varjiSi gaimeoreT
ramodenimejer.
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