anTroposofiuli medicinis principebis gamoyeneba

bronquli asTmis mkurnalobaSi

l. andriaSvili

Sps “Terapiis saxli”, Tbilisi

bronquli asTma sasunTqi sistemis erT-erTi yvelaze gavrcelebuli da mZime daavadebaa, romelic warmoadgens seriozul samedicino da ekonomikur problemas (A. Schuster, 1999; D. Reinhard - 1999; H. von Hardt - 1997; R. Wetteng - 1998 . E. Muthius; E. Schulz lassen 1996; M. Reano 1997. goTua m.a. 1997. l.JorJoliani 1999).

statistikuri monacemebiT msoflioSi 14 wlamde asakis bavSvTa 10 -15% aReniSneba alergiis sxvadasxva klinikuri gamovlineba, romelTa 8 - 10% bronqul asTmaze modis (Duhme H.u.a - 1998) romelic procentulad progresirebs ukanaskneli 10 wlis ganmavlobaSi (Karl-Heinz Nissen - 1996. National Institut of Health - 1997. T. WuraZe, 1998.).

germanaSi statistikuri monacemebiT yovel me-10 bavSvs aReniSneba bronquli asTma da am problemiT yovelwliurad 0 -14 wlamde iRupeba 15 bavSvi (D. Reinhard - 1999. E. Muthius 1996. M. Reano 1997).

saqarTveloSi bronquli asTmis, iseve rogorc sxvadasxva alergiuli daavadebebis, oficialuri statistikuri monacemebi sagrZnoblad dabali iyo msoflios epidemiologiur maCveneblebTan SedarebiT. (T. garsevaniSvili 1975, a. gamyreliZe 1975, i. faRava 1976, g. gurgeniZe 1997, i. gegeSiZe 1978, T. WuraZe 1983, g. xazaraSvili 1989, a. Telia 1993.) magram mzardi socialur-ekonomiuri da ekologiuri krizisis pirobebSi ukanaskneli wlebis epidemiologiuri maCveneblebis mixedviT, miuxedavad Catarebuli uamravi mecnieruli kvlevebisa bronquluri asTmis diagnostikis, profilaqtikisa da mkurnalobis mizniT, daavadebianoba mkveTrad progresirebs (m. goTua 1997, r. qarselaZe 1999, l. JorJoliani 1999.) rac moiTxovs am problemis axleburad danaxvas. ukanasknel wlebSi |yuradReba miipyro bavSvis adaptaciuri meqanizmebis arasrulfasovnebam mzardi stresoruli zegavlenis mimarT, rac fsiqogenurad ganpirobebuli daavadebebis, kerZod bronquli asTmis zrdiT vlindeba (J. mamforia, 1997).

vinaidan broquli asTma multifaqtoruli daavadebaa, aucilebelia mis diagnostikasa da mkurnalobaSi gamoyenebul iqnas gamomwvevi mizezebis diferencirebuli, individualuri aRmoCena da masTan brZola, amave dros avadmyof bavSvSi ganmakurnebeli Zalebis aseve individualurad

gaaqtiureba da daxmareba, anu paTogenezur meTodebTan erTad salutogenezuri meTodebis gamoyeneba (Dr. Tautz 2000.)

salutogenezi paTogenezisgan gansxvavebiT, romlis amosavalsac janmrTelobis darRvevis negatiuri aspeqtebi warmoadgens, eZebs janmrTelobis qmnadobis da xelSewyobis gzebs.

am mimarTulebiT klasikuri medicinis Semavseblad moqmedebs anTroposofiulad orientirebuli medicina, romelic eyrdnoba ra klasikur-sabunebismetyvelo medicinas warmoadgens mis ganvrcobas adamianis sulieri arsebis gaTvaliswinebiT. anTroposofiuli medicina iTvaliswinebs ra adamianis individualobas, rogorc diagnostikis aseve mkurnalobis dros, exmareba janmrTelobis qmnadobis impulss avadmyof adamianSi.

anTroposofiulad orientirebuli medicinis mixedviT adamiani mTlianad aris CarTuli samyaroul-kosmiur ritmSi da amave dros sakuTari ritmebis wyalobiT (sunTqvis, gul-sisxlZarRvTa) - emansipirebulia misgan, rac aZlevs mas, rac ganapirobebs mis individualur bunebas da daavadebebisadmi midrekilebas. organizmSi fiziologiurad uwyvetad mimdinareobs aRmSnebloba - nivTierebaTa cvlis nakadi, eTeruli done da daSla - nervul mgrZnobelobiTi nakadi, astraluri done, romelTa gamawonasworebelia riTmuli sistema.

bronquli asTmis dros gamoxatulia gaZnelebuli amosunTqva, rac gluvi muskulaturis spazmis, bronqiolebis SeSupebis da lorwovani garsis hipersekreciis Sedegia. spazmis mizezi aris astraluri-grZnobadi sxeulis gadaWarbebuli moqmedeba. astraluri sxeuli nervul-mgrZnobelobiT sferoSi moqmedebs makoncentrireblad, maformireblad, rac xels uwyobs SegrZnebebis da azrebis Camoyalibebas. riTmul sistemaSi ar unda moxdes Warbi formireba, CasunTqva-amosunTqva unda iyos riTmuli da dinamiuri. rodesac astraluri sxeuli Warbad moqmedebs riTmul sistemaSi warmoiSveba spazmi, xdeba haeris Sekavebis tendencia. mas upirispirdeba eTeruli sxeuli sekreciis gaZlierebiT, Tuki astraluri sxeulis moqmedeba kidev ufro gaZlierda sekreti mkvrivdeba Sarko-leidinis kristalebamde. am kristalebis substancia Sesdgeba oqtaedris formis daSlili eozinofiluri leikocitebisagan. warmoiqmneba mineraluri substancia, romelic nervul-mgrZnobelobiTi sferosTvis aris damaxasiaTebeli. radgan riTmuli sistemis funqciaa gaawonasworos erTis mxriv nervul-mgrZnobelobiTi, xolo meores mxriv nivTierebaTa cvlis nakadi, adgili aqvs sunTqvis normaluri riTmis darRvevas. da radgan aseT SemTxvevaSi daavadeba aris ara Tavis adgilze myofi bunebrivi procesi, Sesabamisad mkurnaloba SeiZleba bunebidan aRebuli samkurnalo saSualebebiT, romelic Seesabameba daavadebis individualur klinikur suraTs, isini iwveven organizmSi imunostimulacias an imunomodulacias. SesaZlebelia rogorc eTerul, aseve astralur doneze zemoqmedeba.

medikamentozuri mkurnalobis gverdiT aqtiurad gamoiyeneba xelovnebiTi Terapiis sxvadasxva saxeebi (xatviT Terapia, plastikur-Terapiuli formireba, samkurnalo evriTmia, riTmuli masaJi).

xelovnebiT Terapia iyenebs rogorc ferebSi da formebSi xatvas, aseve Zerwvas, raTa bavSvma SesZlos garemodan miRebuli STabeWdilebebis sworad gadamuSaveba. samkurnalo evriTmia-aRZravs TviTgankurnebis Zalebs da exmareba bavSvis riTmul organizacias sunTqvis normaluri tipis CamoyalibebaSi. riTmuli masaJi - arsebobs specialuri `Asthma-abschtrich~, romelic xels uwyobs eqspiracias. garda amisa eTerzeTebis, magaliTad: Lavandel Öl 5%, an Eucaliptus Öl 10% riTmuli Sezelva romelic moqmedebs damamSvideblad da spazmolizurad.

gamokvlevebs vatarebdiT 30 bavSvze 2 asakobriv jgufSi: I - skolamdeli 3-6 weli, II - saskolo 9-13 weli. gamokvlevis meTodebidan mniSvnelobas vaniWebdiT bavSvis ganviTarebis biografiul momentebs, socialur mdgomareobas, stresorul faqtorebs, kanis alergiul sinjebs: oTaxis mtveri (tkipebi), cxovelebis bewvi (cxeni, kata, ZaRli), yvavilis mtveri (balaxovani da xemcenareebi), alimenturi alergenebi, IgE specifikurs, sisxlis saerTo analizs, filtvis sasicocxlo tevadobis gansazRvras.

gamokvlevis Sedegebma aCvena, rom bronquli asTmis CamoyalibebaSi mniSvnelovani roli eniWeba orive asakSi datvirTul socialur anamnezs da stresorul faqtorebs. skolamdeli asakis bavSvebSi maprovocirebeli faqtori xSir SemTxvevaSi aris zemo sasunTqi gzebis infeqciebi, xolo saskolo asakis bavSvebSi ki sxvadasxva alergenebi.

diagostikuri kriteriumebi	3-6 w.	9-13 w.
IgE spec (+)	2 bavSvi	15 bavSvi
kanis dadebiTi alergiuli sinjebi	2 bavSvi	15 bavSvi
eozinofilia sisxlSi	4 bavSvi	15 bavSvi
formulis marcxniv gadaxra sisxlSi	15 bavSvi	2 bavSvi
datvirTuli socialuri anamnezi	15 bavSvi	14 bavSvi

skolamdel asakSi klinikur suraTSi wamyvani iyo bronqebis lorwovani garsis hipersekrecia - Sesabamisad uxvi produqtiuli xvela, filtvebSi uxvi auskultaciuri monacemebi, filtvis sasicocxlo tevadobis Semcireba, temperaturuli reaqciebi - anu eTeruli sxeulis gadaWarbebuli moqmedeba. ris gamoc mkurnalobaSi upiratesobas vaniWebdiT: Gencydo 1%, 3% inhalaciebi, Altae comp., Quercus comp., Veronica comp. - per os.

saskolo asakis bavSvebSi klinikur suraTSi wamyvani iyo SeteviTi xasiaTis xvela, auskultaciurad mSrali mstvenavi xixini, filtvis sasicocxlo tevadobis Semcireba, kanis dadebiTi alergiuli sinjebi - anu astraluri sxeulis gadaWarbebuli moqmedeba. amitom mkurnalobaSi upiratesobas vaniWebdiT: Petasites comp. Quercus da Petasites comp. Veronica, Magnesit 5%, Sulfur D6 - per os. Levico D3 inhalaciebi. Setevis dros viyenebdiT: Cuprum aceticum D4, Tabacum cupro culta - ineqciebs.

Cuprum aceticum (spilenZis marili) - viyenebT, rogorc spazmis momxsnel saSualebas. gadatvirTuli grZnobadi, astraluri sxeulis ganTavisuflebis mizniT.

Salvia (salbi) - Tavisi Zlieri aRmSeneblobiTi unariTa da aseve eTerzeTebiT kargi magaliTia gamoRviZebisa, roca sulieri individi Semodis fizikur sxeulSi, amitomac salbs vaZlevT dilaobiT.

Veronica (samfera ia) - Tavisi nazi cisferi yvavilebiT tipiuri saRamos mcenarea, saRamoobiT ki amosunTqvas aqvs adgili. Sesabamisad vuniSnavT mas saRamos.

Tabacum cupro cultum (Tambaqo) - spazmolizuri saSualeba, spilenZiT gamdidrebul niadagze moyvanili Tambaqo exmareba organizms aRadginos normaluri sunTqvis ritmi, rodesac yovel CasunTqvas amosunTqva mohyveba.

or SemTxvevaSi saWiro gaxda ß mimetikebis gamoyeneba.

naTel periodSi bavSvebs CautardaT sxvadasxva Trapiebi: samkurnalo evrTmia, xelovnebiT Terapia, riTmuli masaJi.

dinamiuri kontroli xdeboda filtvis sasicocxlo tevadobaze dakvirvebiT.

filtvis sasicocxlo tevadoba	3-6 w.	9-13 w.
mkurnalobamde	100-120 l/wT	140-160 l/wT
mkurnalobis Semdeg	120-150 l/wT	180-220 l/wT

amrigad mkurnaloba mimdinareobda ori mimarTulebiT - eTeruli sxeulis gadaWarbebuli moqmedebis dros riTmul sistemaSi upiratesoba eniWeboda maformireblad moqmed samkurnalo saSualebebs, xolo astraluri sxeulis gadaWarbebuli moqmedebis dros ki spazmolizurad moqmed saSualebebs.

literaturis nusxa: goTua m.a. 1997, JorJoliani l. 1999, WuraZe T. 1998, garsevaniSvili T. 1975, gamyreliZe a. 1975, faRava i. 1976, gurgeniZe g. 1997, gegeSiZe i. 1978, WuraZe T. 1983, xazaraSvili g. 1989, Telia a. 1993, qarselaZe r. 1999, A. Schuster 1999, D. Reinhard 1999, H. von Hardt 1999, R. Wetteng 1998, E. Muthius, E. Schulz lassen 1996, M. Reano 1997. Duhme 1998, Karl-Heinz Nissen 1996, Chr. Tautz 2000.

Summary

Usage of the principles of anthroposophical Medicine, in treafment

of Bronchial Asthma

The aim of presented study is to scientifically evaluate effectiveness of anthroposophic

methods of asthma treatment, taking into account individual and recovery potential of the

child based on salutogenetic theory.

The research was performed by open controlled clinical observation of the target group.

30 patients of the same sex, age and clinical form/stage of disease were studied.

Three groups were identified among them:

1. Group 1 - classical methods of treatment

2. Group 2 - classical and anthroposophic methods of treatment

3. Group 3 - anthroposophic methods of treatment only

We have performed the evaluation of effectiveness of the anthroposophic methods of

treatment on the basis of short-term and long-term (3-5 years) observation of the

patients.

Clinical presentation and immunological status of pediatric patients with remission of

symptoms and exacerbated asthma were evaluated in all target groups.

The study will be continued for two years in order to achieve the reliability of scien tifi-

cally valid results. Continuation of the study aims to include proposed antropho sopic

method in treatment plan of pediatric patients.