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Mirjana KJAEVA-PEJKOVSKA, Boro APOSTOLSKI

Dimitar EFINSKI, Snezhana NIKOLOVA

ACTING OF THE MEDICAL GENETIC ADVISORY CENTER IN THE EARLY DETECTION AND PREVENTION OF PERSONS WITH PSHYCHOPHYSICAL DISORDERS IN THEIR DEVELOPMENT

            There had been a great dedication on the prevention of the acquired disease in the past. The well known are eugenetic advisory centers in which people could get information for a given inherited disease, later so called genetic advisory centers. Their work, besides is based on the principles of informing the patients for  the difficulties, importance and prognoses  of determined inherited disease. This activity, which is the highest achievement  in the medical genetics, can be called genetic information, which is very important for regular treatment of every patient.

            The accurate etiological diagnosis is an essential precondition for giving the genetic information, assessment of the risk, the eventual treatment, as for the prenatal diagnosis e.i. prevention of congenital malformations.

            The genetic consulting is applicable in all possible phenotipical manifestations of the breaking genes, regardless to the categorical custody of the examinees with retards in their development. In fact, that’s a summary of standards which are applicable in the basic prevention in disabilities in the psychophysical development, whose reasons are genetically  determined. Preventive activities are mostly used with mentally  retarded as a result of the frequent intercession of the psychological disorders all together in different syndromes and diseases.

            The genetic consulting activities of the Center for Mental Health for children and adolescents in Skopje are based on  the appliance of the following methodology: fortification of the risk for the appearance of inherited anomalies; explanation and assessment of the established risk  in the concrete family situation, assurance of adequate assistance concerning the accurate and practical assessment of the risk and preparation of rational plan for  subsequent treatment and decisions; consequent observation of the situations and evaluation of achieved results etc. In that way, the acting of medical-genetic advising center in the  prevention of the psychological disorders gains its  importance because the early detection and prevention of these diseases on the territory of our country  has gained advantage for the patients and the society as a whole.