postkatastroful periodSi egzogenuri intoqsikaciis gziT ganxorcielebul suicidur SemTxvevaTa analizi saqarTvelos sxvadasxva regionis magaliTze (Tbilisi, baTumi, gori)

 

l.mirzaSvili, g.kacitaZe, n.WavWaniZe, n.lobJaniZe, T.giorgobiani

 

katastrofaTa da maT Semdgomi periodis samedicino aspeqtebis kvleva metad aqtualuria msoflioSi da, bunebrivia, saqarTveloSic. Cveni mizani iyo XXs-is bolos saqarTveloSi ganviTarebuli kataklizmebis fonze toqsikologiuri profilis pacientTa Seswavla. kerZod:

§      globalur katastrofebsa da suiciduri mizniT ganxorcielebul egzogenur intoqsikaciaTa Soris SesaZlo kavSiris dadgena.

§      globalur katastrofaTa Semdgom periodSi toqsikologiuri profilis pacientTa Seswavla asakis, sqesis mixedviT.

§      suiciduri mizniT ganxorcielebul egzogenur mowamvlaTa Seswavla sezonuri monacemebis mixedviT.

Cvens mier Seswavlili da statistikurad damuSavebuli iqna Tbilisis, gorisa da baTumis klinikebis 1991-1998ww. saarqivo masala. aRniSnuli qalaqebi SeirCa imis gamo, rom isini mdebareoben saqarTvelos sxvadasxva socialur, klimatur da a.S. regionebSi. garda amisa, gori aris erT-erTi konfliqtis zonasTan (samaCablo) yvelaze axlos mdebare qalaqi, xolo baTumi _ SedarebiT mSvidi regionis centraluri qalaqi.

sul Cvens mier Seswavlili iqna 9089 SemTxveva. maTgan suicidi _ 2921, SemTxveviTi mowamvla _ 6168. qalaqebis mixedviT Sefardeba suicidebsa da SemTxveviT mowamvlebs Soris iyo Sem­de­gi: Tbilisi _ sul - 8058; suicidi – 2582; SemTxv. - 5476.

 baTumi _ sul – 633; suicidi – 113; SemTxv. – 520.

 gori _ sul – 398; suicidi – 226; SemTxv. – 172.

wlebis mixedviT monacemebi moyvanilia diagramebze 1-2.

 

 

 

 

 

Cveni monacemebiT q.TbilisSi suiciduri mizniT ganxorcielebul intoqsikaciaTa raodenoba SedarebiT stabiluri da mcirea 1991_1993ww.-Si (saomari moqmedebebis periodi), Tumca SeiniSneba maTi matebis tendencia. 1994_1998ww.-Si ki SeiniSneba winaswar ganzraxuli mowamvlebis raodenobis mkveTri zrda. maTi ricxvi 1994 wels wina welTan SedarebiT 2,4jer matulobs da Semdgo­mi zrdac metad mkafioa.

goris moncemebiT sainteresoa, rom aq suiciduri mcdelobebis eqstensiuri maCvenebeli gacilebiT maRalia TbilisTan SedarebiT. Tumca raodenobrivad mkveTrad CamorCeba mas. 1991-1992ww. aqac SedarebiT dabalia suicidur mcdelobaTa ricxvi, 1993 _1994ww. maTi ricxvi maqsimaluria, asev maRalia 1995w., Semdeg SedarebiT Semcirebulia, xolo 1997-1998ww. iwyeba matebis meore talRa. eqstensiuri maCvenebeli suiciduri mcdelobebisa mkveTrad da myarad momatebulia.

baTumSi suiciduri mizniT ganxorcielebuli mowamvlebis ricxvi 1991 welTan SedarebiT 1993-1994ww. momatebulia da maqsimums aRwevs 1994w. (rogorc gorSi), Semdeg ki SeiniSneba klebis tendencia, Tumca 1998w. monacemebi mainc ufro maRalia 1991 welTan SedarebiT. magram unda aRiniSnos, rom, rogorc raodenobrivad, ise procentulad, baTumSi winaswarganzraxuli mowamvlebis ricxvi gacilebiT naklebia TbilisTan da gorTan SedarebiT.

Cven SeviswavleT suicidentebi sqesis, askis mixedviT.

Tbilissa da baTumSi aSkara iyo qalsuicidentTa siWarbe, xolo gorSi SedarebiT maRali iyo mamakacTa xvedriTi wona.

suicidentTa asakobrivi jgufebis Sesaswavlad suicidentebi davyaviT 10 wliani bijiT. TbilisSi upiratesad izrdeba axalgazrda (15w_44w) qalsuicidentTa ricxvi, gansakuTrebiT 25-34w. asakobriv jgufSi. gorSi ki suicidentTa Soris upiratesad matulobs 25-44w. asakis mamakacTa ricxvi da aseve 35-44w. asakobrivi jgufis qal-suicidentTa ricxvi. danarCen asakobriv jgufebSi SeimCneva umniSvnelo mateba suicidentebisa. baTumSi mkveTrad gamoxatul raime tendenciaze, am TvalsazrisiT, laparaki ar SeiZleba monacemTa simciris gamo.

literaturuli monacemebiT, suicidebisTvis damaxasiaTebelia garkveuli sezonuroba. (Cveni monacemebi ix. diag. 3).

 

 

 

 

 

 

rac Seexeba dasrulebul suicids, maTi ricxvi sakmaod mcirea. kerZod, baTumSi, egzogenuri intoqsikaciiT stacionarSi moTavsebul pacientTa Soris letaloba ar dafiqsirebula. Tbilissa da gorSi sul dafiqsirda 26 SemTxveva, maTgan qali _ 15, mamakaci _ 11. suicident-qalTa asaki saSualod iyo > 50w. xolo suicident-mamakacTa asaki meryeobda 40-50w. 26 SemTxvevidan anamnezSi somaturi daavadeba aReniSneboda – 4, qr.alkoholizmi – 2, Sizofrenia – 1, xolo 19 pacienti iyo anamnezurad praqtikulad janmrTeli.

amdenad, SeiZleba iTqvas:

§      saqarTvelos sxvadasxva regionSi, garkveuli regionaluri Taviseburebebidan gamomdinare, SeiniSneba gansxvaveba suicidentTa asakobriv, sqesobriv maxasiaTeblebis, suicidis sezonurobis  mxriv.

§      uSualod katastrofis periodSi suiciduri mizniT ganxorcielebuli egzogenuri intoqsikaciebis ricxvi SedarebiT mcire da stabiluria, xolo katastrofebis Semdgom periodSi maTi ricxvi mkveTrad matulobs upiratesad dedaqalaqsa da konfliqtis zonasTan axlo mdebare regionebSi.

§       

literatura:

1.      Manni C.,  Magalini S.     “Disaster medicine: A new discipline or a new approach?”        Prehospital and Disaster Medicine,   4;167-170;  1989

2.      Красненкова И.П.  “Социально-философские и политико-правовые аспекты фе­номена суицида”. Вестник МГУ  Сер.12 Политические науки    1998г. №6 стр.18-33

 

Summary

 

Analyses of self-poisoning events in different regions of Georgia (Tbilisi, Batumi, Gori) in the postdisaster period

 

L.Mirzashvili, G.Katsitadse, N.Chavchanidse, N.Lobjanidse, T.Giorgobiani

Toxicological events in Georgia were analysed. It was found, that the quantity of self-poisonings increases in the postdisaster period. Datas are different for the different  regions of Georgia.