Imbali setyala: umzekelo yokubhala

ERashiya, ingcamango "imbali yetyala" nikwazile ukuba ukususela ngenkulungwane ye-18. Imbali (Ukusuka umgwebo isiGrike, isigqibo.) - uluvo lukagqirha: on yempilo yesigulane, iimpawu zesi sifo, ezingunobangela zayo, uxilongo, unyango lokuqala kunye neziphumo zawo. Imbali Case inyanzelekile uxwebhu zonyango ishishini uxwebhu ngalo kwaye kuya kuxoxwa ngazo kweli nqaku, nto leyo iya kuqwalaselwa iintlobo zayo, iimeko, ukubhala kunye template.

iintlobo epicrisis

Uluvo kwiziphumo unyango xa isigulane elibuyisiweyo kwaye esibhedlele ekhaya dolechivatsya le imbali mzekelo kuthiwa - Ukuchithwa. Kuyo yenza iingcebiso ulawulo malunga nesigulane eso. On post-wokufa iziguli epicrisis efile, apho unobangela wokufa lusekiwe. Ngamathuba athile ngexesha yokugula, ngokuqhelekileyo kanye yonke imihla 10-14 yi imbali ezongezelelweyo mzekelo, ogama - imbali setyala.

Imbali esi sifo lwenziwa yonke imihla. Ngosuku lwesithathu sifo okanye xa isigulana esibhedlele iintsuku ngaphezu kweshumi okanye kufuneka ukutshintshela kwenye ugqirha, ezele ngembali setyala, nto leyo echaza imeko yomguli, injongo amanyathelo zonyango diagnostic. Le nkcazelo usenokwahluka ngokuxhomekeke koko landela-up igcwele, kwi ebukhulwini yesigulane yokugula, esifakelwe okanye hayi sifo.

iimeko

• Ukuba uphethwe na, xa epicrisis baxoxe uxilongo presumptive, amanyathelo diagnostic engqinisekweni.
• Ukuba isifo sele ifakiwe, ichaza nenqanaba esi sifo, abantu abane yayo. Uchaza izikhalazo yomguli, elebhu kunye nophando zomculo.
• Kamva-sigaba epicrisis ichaza ukusebenza konyango, ithamo iziyobisi ezisisiseko, utshintsho kunyango. Sizimisele ngakumbi Amaqhinga unyango nomonde.
• Xa indlela kakhulu zesi sifo, olu xwebhu kwenziwa rhoqo xa kuyimfuneko.

main

Enyanisweni, imbali ityala lushwankathela kwisigaba elidluleyo sifo yaye icebisa amanye amanyathelo. Imbali Case - kukukwazi ukwabelana ngolwazi malunga isigulana phakathi kumaziko ezempilo. Ingakumbi ngokungqongqo ukulandela ukuthunyelwa data evela kwizigulane abaye bafumanisa sisifo sephepha, umhlaza, isifo sengqondo, izifo ezidluliselwa ngeentlobano zesini, izifo Cardio nemithambo.

umzekelo

Apha ukugqiba indlela imbali setyala - umzekelo yokubhala.

20.03.11. K.D.A. nomonde, neminyaka emi-6 ubudala, indawo yokuhlala wafunyaniswa kwesibindi. Wathunyelwa kwisebe gastroenterological le CSTO Moscow, apho uxilongo zange iqinisekisiwe, inguqu Kwangale portal, wafunyanwa splenomegaly. Watshintshelwa kwiSebe lezoLimo №2 CSTO lokubhalela uviwo olunye unyango. Kokuvuma ukuba 05.03.11. Imo sandla zokumodareyitha. isibindi Active ayikho uvalo, udakada 6 cm. An. umchamo eqhelekileyo, en. Igazi - HB - 112 Lake. - 3.4, er. - 4.2, mp. - 70, le fomyula kwi eqhelekileyo. B \ x Igazi - Kwiimpawu zonke eziqhelekileyo. UZGD: isibindi ngaphandle utshintsho olubalulekileyo kwisakhiwo, iindonga 108h60 portal isitya ashinyeneyo mm, nonyebeleziso kwizicwili, injeke: 16h15h18 mm, lo udakada kakhulu ngazo, 124h46 mm. Ukuguqulwa Kwangale portal. EGD: kule c \ kunye n 3 \ 3 4 imithambo esophageal kumisiweyo; 3,3,5,6 mm cyanotic, ixesha, kunye iindawo ezininzi, kunye kutshintsho isethi esiswini. Isiphelo: W. degrees 4. Gastro. CT angiography: mesenteric ophezulu Vienna 8 mm, ukwanda intrahepatic bile duct-5 ne-10 mm. Uxilongo kuqinisekisiwe.

16.03.11g. Operation "Uhlaziyo isebe abasindileyo vein Portal lwenziwa. Formation splenitis-sezintso anastomosis icala-to-side. Tubal le ndlela gonadal ekhohlo. " N / ixesha wawunzima ngokunqakraza kabini lobar inyumoniya. antibacterial Kwenziwa, unyango ukumnika. N / o ukulawula (3 p / ubusuku): An. Umchamo - igazi yesiqhelo: HB - 118 Lake. - 7.6, er. - 4.4, mp. - 160, ifomula KULUNGILE. D \ x igazi: protein - 62 g / l (normal 60) 35 albumin (umyinge we-35 g / l), yibilirubin 18.9 (norm 14 micromole / ilitha), ALT - 63 (rate of ukuya ku 45 IU / l), ezinye nezikhombisi kuqhelekile.

It ezicwangciselwe iintsuku 9-10 emva kotyando ukususa beentanda zakho, wenze EGD. Xa okuhambisa ezintle ukulungiselela ekubhobhozeni.

Epicrisis (umzekelo ngasentla) lemithi yomguli

Yaba ngumzekelo kwango isigulane epicrisis elele esibhedlele. Kodwa kusekho imbali setyala le lemithi nomonde. Le imbali ityala kuyafuneka ukuba ukulandelela ngempumelelo kovavanyo lonyango umbala. kuxilonga iyafuneka ukuphucula impilo yabantu, ukuphucula ukusebenza kwayo. kuxilonga ukuba abantu usempilweni: abafazi abakhulelweyo, nabantwana, abafundi, abasebenzi iinkampani kunye neemeko zokusebenza eziyingozi, abantu abadibana olusondeleyo labemi (abasebenzi yokudla, abasebenzi bezempilo, njl), kwakunye abanalo naluphi na isigulo.

izigaba kuxilonga

• kuxilonga iquka izigaba 3.
• Ingaba a nokuhlolwa ezinyanzelekileyo njalo kwi amashishini okanye iimviwo emayezeni (abantwana, abafundi) ukuze kuhlolwe imeko yempilo, ukuqaphela kwangoko kangangoko kunokwenzeka naziphi na iinkqubo zophendlo lwezifo.
• Ukuhlala ethwele ucupho yabantu, esithathwe ngenxa lemithi. Ixesha kusakhelwa kuxhomekeke kuhlobo sifo yaye isusela ukusuka kwinyanga enye ukuya ekupheleni kobomi malunga nesigulane eso.
• Umhlaba wokuhlahlelwa lemithi. Ekupheleni konyaka ngamnye, ugqirha ukuya Wawuzalisa ityala imbali esasiyindumasi isigulane kwi lemithi. Yena yakhiwe iikopi ezimbini: omnye kwitshati yesigulane ambulatory kaThixo, kwaye elinye - kwifomu okhethekileyo, elinikwa-ofisi manani processing ndawonye lwe data novavanyo lonyango, oluvavanya ukusebenza kwayo.

template

Yilaa kufuneka ibe yintoni imbali setyala: i template ukuba kufuneka abe khona izinto ezifana:

• igama lokugqibela, igama lokuqala, umhla wokuzalwa, ukuba iminyaka emininzi ngokupheleleyo, indawo yokuhlala.
• Unwrapped uyayazi elifanelekileyo.
• izikhalazo nomonde.
• History of the sifo.
• Imeko yokuqala isigulane.
• Laboratory kunye nezinye iimvavanyo.
• Ngokubhungisana neengcali.
• Yintoni unyango lwaqhutywa. Nokuba nokuthintela izifo lwenziwa. Ukuba kwenziwe nayiphi na imisebenzi, ichaza indlela yokusebenza ngaphezu anesthetized, ikhondo sifo. Njani na nemeko yempilo yomguli, ukunciphisa okanye ukwandisa inani exacerbations njengoko utshintshe inani leentsuku yokukhubazeka.
• Uqikelelo eyenziwayo (uphuculo, ukonakala, akukho utshintsho).

Epicrisis inikezwe ngokusayina intloko yesebe polyclinic.

isiphelo

Bonke abantwana kufuneka axilongwe ngugqirha qho ngonyaka, yaye kunyaka-1, 3, 6, 7, 10, 14, 15, 16 no-17 eminyaka ubudala bamthwala lemithi ngxaki. 18 umlimandlela imbali ityala senziwe ukuguqulelwa umntu okhulele kwiikliniki abantwana abadala.

Ngoko ke, imbali setyala ziqulunqwa ukuba umntu ngamnye, eqala nge ukuzalwa kwakhe kwaye uxwebhu nomphetho nawuphi na umntu, amayeza, oko kulinganiswa ukuya yokundwendwela. Ngokutsho kuyo, wafunda imbali esi sifo, ngayo isigulane ufuna uncedo lonyango.

Iyafuna esithi kwimbali ityala ubizwa ngokuba 'ikhadi' abantu, injalo le gama yonke nazo.