Hītori take rohe: he tauira o te tuhituhi

I roto i Russia, i matau te ariā o "hītori take" rite wawe rite te rau tau 18. History (Mai i te whakawa Kariki, whakatau.) - whakaaro o te tākuta: i runga i te hauora o te manawanui, tohu o te mate, ona take, te tātaritanga, maimoatanga tuatahi me ona hua. hītori Case Ko te tuhinga pakihi tuhinga hauora whakahauanga e pā ana ki taua mea, a ka kia kōrero i roto i tēnei tuhinga, ka e kia whakaaro ona momo, tikanga, waihanga me te tātauira.

momo epicrisis

Whakaaro i runga i nga hua o te maimoatanga he ina kua ora ake te manawanui me i tukua kāinga dolechivatsya huaina tenei hītori take te - hauruke. I roto i te hanga te reira tūtohutanga mō te whakahaere atu o te manawanui. I te pou-tūpāpaku he tūroro epicrisis mate, ai whakapumautia te take o te mate. I etahi wā i roto i te mate, te tikanga kotahi katoa 10-14 ra ko te hītori take atu, e huaina ana ko - te rohe hītori take.

kawea te hītori o te mate i roto i nga ra. I te toru o te mate te ra ranei, ki te ko te manawanui i roto i te hōhipera mō ngā ra neke atu i tekau Me ki te whakawhiti ki tetahi atu tākuta, ki tonu i te hītori take rohe, e whakaahua ana i te huru o te manawanui, te whakaaro o mehua tātaritanga rata ranei. kia rerekē te whakaahuatanga i runga i te mea whai-ake tonu te, i runga i te pakeke o te manawanui o te mate, tāuta ranei kihai pāngia rānei.

tikanga

• Ki te kore ko te tātaritanga, i roto i epicrisis aparau i te tātaritanga pōhēhē, kaupae tātaritanga mō te haamauraa.
• Ki te te kē tāuta te tātaritanga, whakaahua ana te reira i te wā o te mate, tona waitohunga. Whakaahua ana i te amuamu o te manawanui, taiwhanga me ngā tūhuratanga mauhaa.
• whakaahua ana i muri-atamira epicrisis te whai huatanga o te maimoatanga, te horopeta o taero taketake, huringa i roto i te therapy. Whakaritea atu tātai o te maimoatanga manawanui.
• I roto i te akoranga nui o te mate, i hanga tenei tuhinga e atu maha, ki te tika.

matua

I roto i te meka, whakarāpopoto te hītori take atamira mua o te mate, me te kōrero mahi atu. hītori Case - ko te kaha ki te faaite i ngā mōhiohio e pā ana ki te manawanui i roto i pūtahi hauora. Rawa tino whai i te whakawhiti o ngā raraunga i te tūroro e kua kitea kohi, mate pukupuku, te mate hinengaro, mate paipai, manawa-iaia mate.

tauira

Here te pehea, ki te whakaoti i hītori take rohe - he tauira o te tuhituhi.

20.03.11. K.D.A. manawanui, 6 tau, pāngia te wahi o te noho i ki cirrhosis o te ate. I tonoa ki te tari gastroenterological o te CSTO Moscow, te wahi kihai i whakapumautia te tātaritanga, te huringa o te rua tomokanga, i kitea splenomegaly. I whakawhitia e ia ki te Tāhuhu o Agriculture №2 CSTO mō te whakamātautau atu, me te maimoatanga. uru ia ki te 05.03.11. He āhua o te pakeke āhua. e kore te mea nga korero ate Active, kōateate 6 cm. He. mimi noa, en. Toto - HB - 112 Lake. - 3.4, er. - 4.2, MP. - 70, te tātai i roto i te täkupu. B \ x Blood - he noa tohu katoa. UZGD: ate, kahore huringa hanganga nui, nga taiepa o te tomokanga peihana mātotoru 108h60 mm, tini o te kiko tūhonohono, repe taiaki: 16h15h18 mm, whakanui te kōateate te, 124h46 mm. Ko te huringa o te rua tomokanga. EGD: i roto i te c \ me n 3 \ 3 4 uaua esophageal whakaritea: 3,3,5,6 mm cyanotic, kukū, me kōpuku maha, me te whakawhiti ki te huinga o te puku. Conclusion: EW 4 nekehanga. Gastro. CT angiography: mesenteric pai Vienna 8 mm, roha intrahepatic aerodynamics ate 5 me te 10 mm. whakapumautia te tātaritanga te.

16.03.11g. I whakamana te mahi "Whakahōunga mahue peka o te rua tomokanga. Hanganga anastomosis splenitis-tākihi taha-ki-taha. Ligation o te rua gonadal maui. " I uaua N / he wā i te kakā lobar matau iu-. antibacterial whakahaeretia, whaowhia therapy. N mana / o (3 p / po): He. Mimi - toto noa: HB - 118 Lake. - 7.6, er. - 4.4, MP. - 160, he OK te tātai. T \ x toto: pūmua - 62 g / l (noa 60) 35 albumin (tere o 35 g / l), bilirubin 18.9 (täkupu 14 micromole / rita), ALT - 63 (tere o runga ki te 45 Iu / l), he tonu te tahi atu tohu.

whakaritea te reira hoki 9-10 ra i muri i te pokanga ki te tango i te kaimono, kia EGD. A, no te faaineine i te akiaki pai mō te rere.

Epicrisis (tauira i runga) ma'io te o te manawanui

Ko te tauira o tū manawanui epicrisis e takoto ana i roto i te fare ma'i. Ko reira te mea tonu he hītori take rohe o te fare ma'io te manawanui. hiahiatia ana tēnei hītori take ko ki te aru i te whai huatanga o te whakamātautau prophylactic rata. hiahiatia whakamātautau haumanu te ki te whakapai ake i te hauora o te taupori, ki te whakarei ake tona pai. whakamātautau haumanu ki te hei tangata rite hauora: wahine hapu, tamariki, ngā ākonga, kaimahi o kamupene ki ngā āhuatanga mahi mōrearea, tangata i roto i te whakapā tata ki te taupori (kaimahi ahumahi kai, kaimahi hauora, me ētahi atu), me te mamae i tetahi ma'i.

ngā wāhanga o te whakamātautau haumanu

• whakamātautau haumanu ngā 3 ngā wāhanga.
• He he inspections ngā mātua i te umanga whakamātautau ma'io te (tamariki, ngā ākonga) ranei i roto i te tikanga ki te aromatawai i te āhua o te hauora, ki te tautuhi i rite wawe rite taea tetahi tukanga pathological.
• Tonu e mau ana i roto i tirotiro o iwi, tangohia i runga i te pūkete o te fare ma'io te. Ko te roanga o te kitea, tei runga i te āhua o te mate, me te pae i tetahi marama ki te mutunga o te ora o te manawanui.
• Analysis o te fare ma'io te. I te mutunga o ia tau, whakakiia ana te rata haere te rohe hītori take o te manawanui i roto i te fare ma'io te. whakaemi ia i roto i te rua ngā tārua: kotahi i roto i te tūtohi o te manawanui ambulatory, me te tahi atu - i runga i te puka motuhake, homai nei ki te tari tatauranga mo te tukatuka centralized o raraunga whakamātautau hauora, e aromatawai tona whai huatanga.

tātauira

Ko te aha kia he hītori take rohe: he tauira e kia hakari tūemi pēnei i:

• ingoa whakamutunga, ingoa tuatahi, te rā o te whanau, e hia nga tau tonu, wahi o te noho.
• Parau puohu i te tātaritanga whaitake.
• amuamu manawanui.
• History o te mate.
• Ko te huru tuatahi o te manawanui.
• Laboratory me ētahi atu whakamātautau.
• Kōrero ki te tohunga.
• He aha te maimoatanga i kawea i roto i. Ahakoa i whakahaere te ārai mate. Ki te kawea atu tetahi ngā mahi, whakaahua ana te reira i te akoranga o te mahi atu i pohe to, te akoranga o te mate. Kia pehea te kua te āhua o te hauora o te manawanui, whakaiti ake i te maha o exacerbations rite ke te maha o nga ra o te hauātanga ranei.
• I whakarite i mahi (whakapai ake, ino, kahore huringa).

Epicrisis hoatu hoki te waitohu i te matenga tari polyclinic.

mutunga

Me ngā tamariki katoa ki te kia te uiui e te tākuta katoa tau, me i te 1 tau, kawea 3, 6, 7, 10, 14, 15, 16 me te 17 tau fare ma'io te Hohonu. I 18 te rohe i hanga hītori take e i roto i te iritiraa o te tangata e tupu ake i roto i haumanu o ngā tamariki i roto i ngā pakeke.

Ko te kupu, whakaemi te hītori take rohe te mo te tangata ia, timata ki tona whanautanga, me ko te tuhinga here o tetahi tangata, i roto i te rongoā, kua aifaito reira ki te uruwhenua. E ai ki reira, ako hītori o te mate, me i rapu te manawanui tauturu a te taote.

Ko reira utu mea e huaina i te hītori take ko "kāri" o te iwi, ko reira ki tenei ingoa fehangahangai katoa.