Pulogalamu ya Perinatal, Kirov: zolembera, misonkhano ndi ndemanga

Pakati peninatal (Kirov, ul. Moskovskaya, 163) lerolino amagwira ntchito motsogoleredwa ndi Nikolai Vladimirovich Semenovsky. Pakatili amapereka chisamaliro chapadera ndi wodwala panthawi yonse, pofuna kuteteza mimba ndi kubereka mwana wathanzi ndi amayi omwe ali ndi vuto lililonse m'thupi ndi matenda komanso amakhala ndi magulu oopsa panthawi yobereka.

Zakale za mbiriyakale

Malo operekera kwa amayi ku Kirov, akadali nyumba yowonongeka, adalandira mwana wake woyamba kubadwa pa November 3, 1937. Kwa zaka zambiri, bungwe la zachipatala limeneli lathandiza amayi omwe ali ndi ntchito ndi ana awo pa chipatala chakumayi. Mu August 2004, malinga ndi lamulo la No. 757, adatchedwanso "Kirov Regional Clinic Perinatal Center". Kirov analandira mosangalala nkhaniyi, chifukwa amodzi mwa mabungwe akuluakulu ndi ophunzitsidwa bwino omwe anaphunzitsidwa bwino anawonekera pa gawo lawo.

Mitundu ya chithandizo chamankhwala choperekedwa ndi likulu

Pakati pa mzinda wa Kirov, malo opatsirana operewera amapereka chithandizo kwa amayi apakati pa nthawi yobereka, komanso panthawi yobereka, ngati pali kuthekera kwa mavuto aliwonse okhudzana ndi kuteteza mwana kapena mwanayo. Mitundu ya mautumiki operekedwa ndi awa:

• Kupereka kukambirana kwapakatipakati.
• Kupereka chithandizo chamankhwala osachiritsika, omwe sichifuna kukhala kosatha ku chipatala chachipatala chokhudzana ndi chithandizo ndi kukonzanso. Chithandizo chikuchitika mu chipatala cha tsiku.
• Kupereka chithandizo chachipatala kwa amayi omwe amafunikira kusamalidwa bwino komanso kuyang'anitsitsa maola onse. Mankhwalawa amachitika nthawi zonse kuchipatala ndipo amaphatikizapo thandizo lachipatala.
• Kupereka chithandizo chapamwamba kwambiri pogwiritsa ntchito ART (zothandizira zipangizo zamakono).

Dipatimenti ya chipatala cha Kirov kwa amayi

Chigawo cha Kirov chimapereka mautumiki osiyanasiyana operekedwa ndi madokotala oyenerera kwambiri. Kwa lero, amayi ogwira ntchito angathe kugwiritsa ntchito maofesi oposa 20 apadera pakati pawo:

• Nthambi "Amayi ndi Ana". Monga gawo la mavuto osokoneza bongo: ma ward kuti akhale pamodzi ndi mayi ndi mwana omwe ali ndi zipangizo zonse zofunika, chipinda chodyera, zipinda za physiotherapy, zipinda zowerengera, kufufuza kwa ultrasound.
• Dipatimenti yowonongeka ya thupi, yomwe cholinga chake ndi kuphunzitsa luso lopereka kubadwa kuti asamalire ana (atsupa, kuyamwa). Azimayi omwe akuvutika ndi zovuta zakubadwa amalandira chithandizo apa, akuyesa kufufuza koyenera, kupeza, kulandira uphungu kuchokera kwa katswiri wa zamaganizo ndi akatswiri ena.
• Cholinga cha Obstetric Observatory ndi chikwama cha amayi omwe ali ndi akatswiri odziwa bwino kwambiri omwe angathandize pokhapokha ngati akufunikira, kapena ngati n'koyenera, kuchita gawo loperewera. Pakalipano, malo oyamba a Kirov akuyesera kuthetsa vuto la mavuto monga kubala kwa masabata makumi awiri ndi awiri (22), kuphunzira ndi kupititsa patsogolo kayendetsedwe ka gawo la ntchito ndi osasamala.
• Pakatikati pali madokotala awiri omwe amachititsa kuti pakhale mimba, kumene madokotala oyenerera kwambiri amagwira ntchito. Chigawo cha Kirov chimapangitsa kuti amayi aziona kuti ali ndi nthawi yobadwa msanga, atha kufika pochedwa toxicosis, kuperewera kwapadera, placenta previa (dipatimenti No. 1) ndi amayi omwe ali ndi matenda aakulu oopsa komanso ovuta kwambiri.
• Madokotala awiri a zachipatala, omwe ntchito zawo zimayambitsa kupeza matenda ndi matenda opatsirana pogonana, komanso kuthetsa mimba nthawi zosiyana ndi zomwe adokotala akulamula.

Dipatimenti ya chipatala cha Kirov kwa ana obadwa

Mzinda wa Kirov Regional Clinic Perinatal Center uli ndi madipatimenti a ana obadwa kumene ntchito zawo zikuwongolera ndi kubwezeretsa ntchito za ziwalo mwa ana omwe amabadwa ndi zolakwika kapena nthawi yomwe yakhazikitsidwa kale.

• Mu dipatimenti ya ana obadwa kumene amagwira ntchito zapamwamba za ana, opanga njira zachipatala, kuyezetsa magazi ndi kuyezetsa magazi kwa matenda a majini ndi obadwa nawo.
• Dipatimenti yotsitsimula ndi kuyamwitsa kwa ana obadwa mwatsopano ndi kulekanitsidwa kwa gawo lachiwiri la unamwino kwapangidwira kwa ana obadwa kumene kuno kapena kubwera kuchokera kuzipatala zina za amayi omwe ali ndi zolemera kwambiri (osachepera 1 makilogalamu) omwe anabadwa ndi matenda kapena matenda.

Udindo wa Dokotala

Chifukwa cha odwala ambiri, adasankha kukhazikitsa malamulo ena olembera akatswiri komanso kulandila maulendo kuti awonetsedwe kuti athe kugawa katundu pakati pawo. Izi zimagwiritsidwa ntchito pa njira zokonzedweratu: chithandizo chamankhwala cham'dzidzidzi chimaperekedwa nthawi yamadzulo komanso popanda nthawi. Mungapeze kukambirana komwe mukukonzekera mu njira yomwe imaperekedwa ndi dokotala wamba kapena katswiri wina ndi kusankhidwa. Kuti mupitenso kukawatsogolera sichifunikanso. Mndandanda wa phwando lokonzekera sungapitirire masiku 14 a kalendala kuchokera pa nthawi yolemba. Mukamagwiritsa ntchito zolembera, muyenera kukhala ndi pasipoti kapena malemba ena omwe amatsimikizira kuti ndinu ndani, ndondomeko ya MHI ndi kutumiza. Kulembetsa ku mabungwe apadera kapena mabungwe apadera akhoza kuchitidwa payekha kudzera pa intaneti. Kodi mungapeze bwanji mwayi wokhala ndi akatswiri pa malo opatsirana pogonana (Kirov)? Kulembetsa Zovomerezeka - Njira imeneyi imaphatikizapo dipatimenti yolankhulana ndi opaleshoni (psychiatry, sexology, urology) komanso kulekana kwa njira zothandizira kubereka (genetics ndi mankhwala a mankhwala).

Zothandizira zamankhwala olipidwa

Kodi malo osungirako ziweto (Kirov) adalipira ntchito ndipo ali ndi ufulu wochita zimenezi? Kulipiritsa thandizo la zamankhwala ndi:

• Udindo wapadera wa chithandizo chamankhwala wapereka kuti wodwalayo ali kuchipatala.
• Kugwiritsa ntchito mankhwala, mankhwala kapena njira zomwe sizili m'ndandanda wa zofunika ndi zofunika.
• Kupereka thandizo la mankhwala osadziwika.
• Kuchiza kwa nzika zakunja kapena anthu opanda pake.

Mfundo zonsezi ndi zolembedwera kwa iwo zimaperekedwa mu dongosolo lapadera la njira yopereka thandizo lachipatala. Mndandanda wa zina zowonjezera zomwe zimaperekedwa ndi chipatala chodziŵika bwino, ma physiotherapeutic, radiological, ultrasound, deta ndi ma dipatimenti ena amathandizidwanso ndi makonzedwe. Zolinga zothandizira zimaphatikizapo kuwonana ndi dokotala, chipatala, chithandizo chachipatala, computed tomography, dipatimenti ya anesthesiology-kubwezeretsa, madokotala ena ndi ofesi ya kubadwa, ndi madokotala omwe ali ndi kachilombo ka HIV.

Pulogalamu ya Kulera

Pakatikati mwa kulera ndi kubalana kumapanga gawo la chipatala. Poyambitsa zokambirana, zolinga monga maganizo a anthu pokonzekera za kulera, kukonzekera kwa makolo kuti abereke ana, kupereka thandizo la maganizo ndi zachipatala kwa mabanja omwe ali ndi mavuto omwe ali nawo pokhapokha atakhala ndi vutoli. Pakatikatiyi palinso lingaliro labwino la uchembere wa achinyamata: kukonza mimba, kupewa mimba yosafuna. Gulu la akatswiri linaphatikizapo urologists, ana komanso akuluakulu a akazi, akatswiri otchedwa endocrinologists, odziwa kugonana, ogwira ntchito zamaganizo. Zotsatira za ntchito yokonzedweratu ya timuyi ndi zizindikiro zabwino pazomwe timafuna, kubala ndi kugonana kwa achinyamata.

Sukulu ya makolo a mtsogolo "Kudikira"

Kwa amayi apakati kuyambira kumapeto kwa zaka za 90, sukulu ya makolo amtsogolo yatsegulidwa ndi pulogalamu yotchedwa "Kudikira." Kodi malo opatsirana pogonana (Kirov) amapereka chiyani? Lipoti la amayi pobereka ponena za zokambiranazi ndi akatswiri ake ndizolimbikitsa kwambiri. Gululo ndilo:

• Katswiri wa zamaganizo yemwe anganene momwe angapewere kupweteka kwa postpartum, amagwirizanitsa mgwirizano ndi mwamuna wake ndi maudindo atsopano a amayi.
• Neonatologist ndi dokotala yemwe amadziwa zonse zokhudza makanda kwa chaka chimodzi: momwe angadyetse, kupsa mtima, kupaka misala, kugwiritsa ntchito chithandizo chamankhwala ndi chosagwiritsa ntchito mankhwala, kukonzekera mwanayo katemera.
• Mlangizi wa chithandizo chamankhwala: Adzakuuzani momwe mungasamalire ndi thupi lanu, kulimbitsa chitetezo ndi mtima, kusunga kapena mwamsanga kubwezeretsani chiwerengero pambuyo pobereka.