_ 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.

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

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

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: georgia.office@porche.com

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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