Cala elilwela umlando: isibonelo lokubhala

ERussia, umqondo 'icala umlando "ababengalazi emuva ekhulwini le-18. Umlando (Kusukela ukwahlulela ngesiGreki, isinqumo.) - umbono kadokotela: empilweni yesiguli, izimpawu zesifo, izimbangela zayo, uphethwe, ukuphathwa kokuqala nemiphumela yayo. umlando Case kuyinto impoqo idokhumenti ibhizinisi idokhumenti wezokwelapha ngakho futhi uzobe okuxoxwe ngazo kulesi sihloko, okuzokwenza kubhekwe izinhlobo zawo, izimo, kwakha luhlaka futhi isifanekiso.

izinhlobo epicrisis

Umbono imiphumela yokwelashwa yilapho isiguli useluleme futhi uphumile ikhaya dolechivatsya lo mlando icala libizwa - uketshezi. Ngo kwenza izincomo ukuphathwa eyengeziwe wesiguli. On kwesidumbu iziguli kwakufanele epicrisis efile, lapho imbangela yokufa aqine. Njalo ngezikhathi ezithile phakathi nokugula, ngokuvamile njalo ngemva kwezinsuku 10-14 kuyinto icala umlando ezengeziwe, ethiwa - leli cala elilwela umlando.

Umlando isifo Kwenziwa nsuku zonke. Ngosuku lwesithathu lesi sifo noma uma isiguli esibhedlela izinsuku ezingaphezu kweziyisishiyagalombili nokuba eziyishumi noma udinga ukudlulisela komunye udokotela, egcwele cala elilwela umlando, elichaza ngezimo zesiguli, ngenhloso izinyathelo zokwelapha zokuxilonga. Incazelo ingase yehluke kuye ngesistimu lokho ozolandela ugcwele, ngobubi lesiguli lokugula, efakwe noma cha sitholakale.

izimo

• Uma uphethwe yini, e epicrisis nixoxe uphethwe presumptive, izinyathelo zokuxilonga isiqinisekiso.
• Uma uphethwe isivele ifakiwe, ichaza nesigaba lesi sifo, onalesi sifo yayo. Ichaza izikhalazo isiguli, laboratory kanye nophenyo wezinsimbi.
• epicrisis kwesikhathi-esiteji uchaza ukuphumelela ukwelashwa, umthamo we imithi eyisisekelo, izinguquko therapy. Ezimisele amacebo okwengeziwe ukwelashwa nesineke.
• Ngokuhamba ezinzima kakhulu lesi sifo, le dokhumenti yenziwa kaningi uma kunesidingo.

main

Eqinisweni, umlando icala ifingqa nesigaba lesi sifo esidlule futhi kusikisela esinye isinyathelo. Case umlando - yikhono sabelane ngolwazi mayelana isiguli phakathi nezikhungo zezokwelapha. Ikakhulukazi ngokuqinile ulandele ukudluliswa kwedatha kusuka ezigulini eziye wathola isifo sofuba, umdlavuza, isifo sengqondo, izifo ezithathelwana ngobulili, izifo cardio-semithambo.

Ngokwesibonelo

Nakhu ukuthi ugcwalise leli cala elilwela umlando - isibonelo lokubhala.

20.03.11. K.D.A. nesineke, iminyaka 6 ubudala, endaweni yokuhlala kwatholakala isifo sokusha kwesibindi. Ithunyelwe eMnyangweni gastroenterological we CSTO eMoscow, lapho uphethwe awuzange waqinisekisa, ekuguquleni vein portal, splenomegaly etholakele. Wathunyelwa Ministry of Ezolimo №2 CSTO ukuhlola okunzulu kanye nokwelashwa. Wavuma ukuba 05.03.11. Kukhona isimo esicishe sibe kobukhulu ngokulinganisela. isibindi Active akuyona palpable, ubende 6 cm. An. umchamo evamile, en. Igazi - HB - 112 Lake. - 3.4, er. - 4.2, mp. - 70, ifomula evamile. B \ x Igazi - zonke izinkomba ijwayelekile. UZGD: isibindi ngaphandle izinguquko eziphawulekayo kwesakhiwo, izindonga umcengezi portal obukhulu 108h60 mm, ekwandeni ezicutshini, amanyikwe: 16h15h18 mm, ubende ukhamisile, 124h46 mm. Ukuguqulwa vein portal. EGD: c \ futhi n 3 \ 3 4 emithanjeni ngomphimbo kunqunywa: 3,3,5,6 mm cyanotic, esishubile, nge ISIZINDA amaningi, kanye kwathatha iqoqo esiswini. Isiphetho: EW 4 degrees. Gastro. CT angiography: mesenteric aphakeme Vienna 8 mm, ukunwetshwa intrahepatic Bile Amapayipi 5 no-10 mm. Imiphumela yaloku kuhlola okungenhla kuqinisekisiwe.

16.03.11g. Operation "Ukubuyekeza legatsha kwesokunxele vein portal wawenziwa. Ukwakhiwa splenitis-kwezinso anastomosis ohlangothini-kuya-side. Ligation kwesokunxele vein gonadal. " N / isikhathi kwakunzima ngenxa yezinkinga ngokuchofoza ngakwesokudla emaceleni lobar nenyumoniya. elwa namagciwane Olwenziwe, ukwelapha ukumnika. N / ukulawula o (3rd p / ubusuku): An. Umchamo - igazi evamile: HB - 118 Lake. - 7.6, er. - 4.4, mp. - 160, ifomula KULUNGILE. D \ x igazi: amaprotheni - 62 g / l (evamile 60) 35 albumin (ngesilinganiso 35 g / l), bilirubin 18.9 (kuyinsakavukela 14 micromole / ilitha), ALT - 63 (isilinganiso afika ku 45 IU / l), ezinye izinkomba ijwayelekile.

It okuhleliwe izinsuku 9-10 emva kokuhlinzwa ukususa ezivuzayo, wenze EGD. Lapho Dynamics omuhle ukulungiselela ngenxa yokugobhoza.

Epicrisis (isibonelo ngenhla) Dispensary lesiguli

Kwaba isibonelo okuhleliwe epicrisis nesineke elele esibhedlela. Kodwa kusekhona umlando cala elilwela we Dispensary nesineke. Lo mlando icala kuyadingeka ukulandelela ukusebenza kwe ngihlolwa prophylactic. luhlolo Clinical kuyadingeka ukuthuthukisa impilo yabantu, ukuthuthukisa ukusebenza kwawo ngempumelelo. luhlolo Clinical ukuba abantu njengoba enempilo: abesifazane abakhulelwe, abantwana, abafundi, abasebenzi izinkampani kwezimo abasebenza, abantu sisondelene labantu (ukudla umkhakha abasebenzi, abasebenzi bezempilo, njll), kanye abaphethwe yisiphi isifo.

izigaba luhlolo emitholampilo

• luhlolo Clinical kuhlanganisa izigaba 3.
• Ingabe ayimpoqo ukuhlolwa isimiso ngesikhathi amabhizinisi noma izivivinyo Dispensary (izingane, abafundi) ukuze kuhlolwe isimo sempilo, ukukhomba kusenesikhathi iyiphi izinqubo sokugembula.
• Ilokhu enifeza ukubhekwa zabantu, ezithathwe ku-akhawunti ye-Dispensary. Isikhathi okwashiwo incike uhlobo lesi sifo futhi zokhahlamba kusuka enyangeni eyodwa kuya ekupheleni ukuphila isiguli.
• Ukuhlaziywa kwe-Dispensary. Ekupheleni kwalowo nalowo mnyaka, udokotela ukuba khona igcwalisa cala elilwela umlando isiguli e-Dispensary. Yena ihlanganiswe e amakhophi amabili: eyodwa ishadi isiguli ambulatory, futhi enye - kwifomu ekhethekile, esinikelwa ehhovisi izibalo ukucutshungulwa eyodwa idatha ngihlolwa, okuyinto ucubungula ukusebenza yayo.

ithempulethi

Yilokho okufanele kube umlando cala elilwela: isifanekiso ukuthi kumele kube khona izinto ezifana:

• Isibongo, igama lokuqala, usuku lokuzalwa, uthole ukuthi mingaki iminyaka egcwele, nendawo yokuhlala.
• Ongaqaqiwe ukuxilongwa ezinengqondo.
• izikhalazo nesineke.
• Umlando lesi sifo.
• Isimo sokuqala isiguli.
• Laboratory nolunye uvivinyo.
• Ukubonisana kanye Ochwepheshe.
• Yini imishanguzo kwenziwe. Kungakhathaliseki ekuvimbeleni izifo lwenziwe. Uma kwenziwe noma yikuphi ukuqhutshwa, ichaza inkambo ukusebenza kuka izinzwa, inkambo isifo. has kanjani isimo sempilo isiguli, ukunciphisa noma ukwandisa isibalo exacerbations njengoba washintsha inani lezinsuku yokukhubazeka.
• Ukulinganisa owenziwayo (ngcono, ukuwohloka, akukho ushintsho).

Epicrisis unikezwa ngokusayinda lowo oyiNhloko yoMnyango polyclinic.

isiphetho

Zonke izingane zidinga ukuhlolwa udokotela njalo ngonyaka, futhi ngezinye unyaka 1, 3, 6, 7, 10, 14, 15, 16 no-17 ubudala eyenziwa Dispensary wenkinga. Ngezinye 18 leli cala elilwela umlando senziwa ukuhunyushwa umuntu owakhulela imitholampilo zezingane e abadala.

Ngakho, leli cala elilwela umlando eyahlanganiswa ngoba umuntu ngamunye, kusukela ekuzalweni kwakhe futhi idokhumenti yokubopha yimuphi umuntu, kwezokwelapha, it is akhiwa passport. Ngokusho ke, wafunda ngomlando lesi sifo, ngawo isiguli sifuna usizo lwezokwelapha.

Kuwufanele ethi umlando icala ibizwa ngokuthi "ikhadi" abantu, kuba naleli gama bonke babhekana nolunye.