Clinical achitarisirwa. Sangano dispensary rucherechedzo. Misi dispensary rucherechedzo. Group zvekuchipatara cherechedzo

Clinical kuongororwa kana kurapwa akataurwa ndiyo nzira vachiongorora hutano mamiriro mamwe mapoka evanhu. Nyaya idzi dzinoratidzwa kakawanda uye rakarurama. Vanofanira dzifambirane murabhoritari, radiological uye dzimwe migumisiro kuongorora achiitiswa vanhu raiumbwa pamusoro dispensary.

Clinical kuongorora utano vanhu

Hazvina kuipa kuti kunotoda kuongororwa pasi chete vanhu vanorwara. Avo vasina kutambura chero chirwere, munewo nyanzvi panguva nenguva.

vanhu utano Pakati dispensary pakuongorora ndedzinotevera vanhu:

• zvose vana kusvikira kusvika makore 14;
• muchiuto muchiuto;
• vanodzidza muzvikoro, mumakoreji, dzidzo yepamusoro masangano;
• kushanda vana zvikoro;
• Vashandi zvokudya kana munharaunda zvivako;
• basa uye asingashandi vakadzi makore anopfuura 30 okuberekwa;
• dzoutano vashandi;
• vaisivatamo Huru Patriotic War, mhare okushanda.

Chinangwa zvokuongorora utano vanhu ndiko kuramba kukwanisa kushanda pane yakakwirira yakati sandara, kwerunyararo utano, kuonekwa zvirwere vachiri Danho uye zvingangoguma matanho.

Tevedzera-up wevarwere

boka iri vanhu pasi pokudzora, zvakadai varwere chirwere, convalescent varwere pashure chakasimba zvirwere uye vanhu vane majini abnormalities uye pakupona.

Sangano dispensary Kuongorora varwere inobva zvinotevera zviitiko:

• kuonekwa zvirwere zvavo causative zvinhu;
• kudzivirira exacerbations, zvazvo uye zvakaoma kunzwisisa;
• kuramba padanho vakaremara uye upenyu;
• akaderedza hunofa nokuremara.

Tevera-up pashure vabatwe kusachengeteka kukuru pavaipfuura chirwere kunoda Implementation zviyero kuwedzera nguva ruregerero, uyewo vapore matanho kudzorera kushanda zvikuru nadzo uye muviri enyika.

chikuru mabasa

Tevedzera-up wevarwere ane mamwe mabasa kuti vari kuziva vanhu pangozi, uyewo varwere vane chirwere achiri padanho ivepo.

Kuratidza akataura uye tichishingaira matanho kuvandudza, kuongorora varwere, kurapwa uye kupora paurwere. Uyezve, zvinoita kuti pave kushandiswa Database rine mashoko ose vanhu pasi pakuongorora.

mhando chokudzivirira bvunzo ipi?

1. Preliminary kuongororwa - ndivo vanhu vanouya kudzidza kana basa. Chinangwa chikuru - kuona kugona kwavo kubata pamwe yasarudzwa basa. Panguva rokuongorora rinozivisa zvinogoneka contraindications kuti basa ravo vakasarudzwa, uye kuvapo chero pathological pezvakaitwa mumuviri.
2. Periodic Inspection - vanhu vose kwava panguva nenguva. Chero pekuhwa- nda yezvokurapa chivako inogona kushandiswa chiremba womunzvimbo kuti kutumira murwere kuti yakarongwa scan kuti unyanzvi.
3. Target rokuongorora - ane mamwe mabasa uye rakamanikana kukoshesa. Somuenzaniso, kwapera zviitiko zvakadaro zvinoratidza varwere vanotambura imwe chirwere.

Uyezve, kumwe kuongorora angava nomumwe uye vakawanda. Individual akaita kana akakumbira rubatsiro imwe munhu kubva chiremba wako, kana rakanyorwa kumba kushanya kana murwere akauya kunorapwa muchipatara kana vaaisangana ane chirwere murwere.

Wandisa inspections zviri kuitwa nemasangano dzidzo, uto yainyoreswa mahofisi, mafekitari. kuongorora izvi kazhinji ndivo zvakaoma nokubatanidza nenguva dzirikure inspections uye zvakanangwa.

rucherechedzo Unit

Pashure pokuongororwa nokuongorora mamiriro kwevanhu yokupedzisira rinoreva chaicho boka zvaakacherechedza:

• D1 "munhu utano" - hauna zvichemo zvarakasiya kubva utano;
• D2 "kushanda utano" - varwere chisingaperi nezvirwere kare pasina exacerbations, convalescent vanhu pashure rikwanise Kugadzirwa chirwere, vanhu vari pamuganhu inoti ;
• D3 "anorwara" - varwere akaderedza vachikwanisa basa uye kakawanda exacerbations nehosha, uyewo vanhu vane Kuramba maitiro chirwere yakatungamirira kukura vakaremara.

Chii zvekuchipatara kuzviongorora?

Clinical cherechedzo ine mumatanho anoverengeka. Chokutanga izvi zvinosanganisira kuongorora uye pakuongorora varwere, uyewo paumbwe mapoka zvinoda mamwe masimba. Nursing mushandi anopedza hwevanhu remazita mazita, overwriting mashoko nomumwe murwere.

Danho rechipiri inoumbwa vachiongorora utano vaya vanoda kurapwa uye matanho. Wokutanga boka dispanserizuemyh anofanira kuongororwa kamwe pagore munguva pre-dzakarongwa. Kana mamwe varwere, kwakabva vaiita kana mhuri chiremba inofanira kushandisa mukana wose kuti kuvatuma kuronga Scans.

Boka D2 kwakacherechedzwa kuderedza zvinhu mukana chirwere, akarurama Utsanana maitiro. Zvaida kusimbisa varwere vakatambura kubva chakasimba zvirwere, kuitira kudzivisa chitange chisingaperi kwacho.

Nokuti boka dispensary pakuongorora nyanzvi wechitatu urongwa yakadana musimboti wacho kurapwa uye utano nezviyero, mazano nezvokurara, kushandisa mishonga, kurovedza kurapa okunze, chokudzivirira uye rehabilitative matanho.

Mugore, pashure nomumwe kuongorora, panogadziriswa mune dispensary urongwa. Panopera gore rinouya, dispensary kuzvidzora uzere nyaya nhoroondo, izvo zvinofanira kusanganisira Pakadaro:

• yepakutanga ezvinhu omurwere;
• emuchina ari kuongorora zvabuda;
• mabasa kunze nechinangwa kurapwa, vapore uye kudzivirira yematambudziko;
• kwokupedzisira tinyatsonzwisisa utano murwere.

In dzakawanda dzoutano Zvivako murwere chati iri pasted-epicrisis urongwa unokubvumira kuponesa nguva achizadza yokupedzisira uye zvenguva magwaro.

Chechitatu Danho kunotoda kurapwa bvunzo anobva wegore negore tinyatsonzwisisa mugumisiro tsika yokurapa, kukurukura zvakanaka uye nemigumisiro yakaipa. The dzokororo kuitwa mabasa uye akaita chinjei kuvandudza.

The chirwere kuti kudzorwa dispensary

Dispensary akataura Varwere chisingaperi rinoitwa kana zvinotevera ezvinhu:

• pathologies of nemudumbu - peptic urikanwi, chisingaperi gastritis pamwe yadzikira secretion, hepatic cirrhosis, chisingaperi chiropa, pfungwa nomuviri zvemwana asati, chisingaperi maronda colitis, uye enterocolitis;
• zvirwere zvokufema - asima, zvemapapu pute, bronchiectasis, chisingaperi bronchitis, emphysema;
• zvirwere kumwoyo - mwoyo nokukundikana neBP, nechirwere chemwoyo,;
• Urinary hurongwa chirwere - pyelonephritis, glomerulonephritis, urolithiasis;
• zvokurwara bhuku midziyo - osteoporosis, osteoarthritis, dzinonzi rheumatoid arthritis.

Pasi pokudzora chiremba ndivo vanotambura varicose mutsinga, endarteritis, phlebitis, thrombophlebitis, post-resection nemigumisiro.

Kana kiriniki pane yakamanikana vanachiremba ose munzvimbo, murwere hauna vanyorwe dzomunharaunda chiremba wako uye chiremba aitarisira zvakananga kunotoda mhosva.

Zvinorayirwa Major

Clinical pokudzora mapoka ose pahwaro Ministry of Health varayirwa.

1. Order nhamba 1006n kubva 12.03.12 "kufarirwa nzira yacho yezvokurapa kuzviongorora kwevanhu vakura."
2. Order № 87n pamusoro 06.03.15 On kufarirwa siyana mapepa, iro rinoshandiswa yokuita zvinhu zvakadai sokuora achitarisirwa.
3. Order № 800 kubva 18.06.11 sei kuitisa purogiramu inspections emauto uye dispensary rucherechedzo. Hurongwa nekanzuru Bazi Defence.

chizvidavirire dispanserizuemyh

Kuti varambe kudzora, rinoda dispensary pakuongorora vanhu, uye regai kurasikirwa chinhu chinokosha, pane chinokosha zvokurapa mapepa.

1. Chimiro nhamba 278 yakaitwa muna mabhizimisi, dzidzo uye kuenda kukireshi masangano pachine. date ichi ngachiitwe mumwe munhu anopfuura yokungoitawo inspections: zita rakazara, zuva rokutongwa uye okupedzisira zvabuda.

Medical Card ambulatory murwere kuonekwa gwaro chikuru. Makadhi ose zvinochengeterwa mudura faira cabinet polyclinic. Ari pamusoro rworudyi kukona yakatsvuka zvinoratidzwa tsamba "D". Rinorondedzerawo chinokonzera uye musi kunyoresa. Pashure deregistration pano vakapemberera kuguma musi. The mepu date chakanyorwa zvose murwere bvunzo kubudikidza nezvokurara, migumisiro kuongorora, kugadzwa kurapwa. Izvi zvinoita chiremba yoruwa kuongorora kukwana kuongororwa uye mukuru ezvinhu omurwere.

3. Epicrisis kuti uzadzwe panopera gore rimwe nerimwe, zvakaitwa nouya. Mumwe ari glued mu outpatient kadhi uye mumwe rwunotumirwa Statistics Department. Epicrisis zvose macheki nezviratidzo musoro dhipatimendi.

4. Form ZH30 - a kudzora kadhi rakaitirwa "D" -Accounting. The kuzvidzora mepu iri wakasika kuvinga nyore. Rimwe gwaro sezvarayirwa Audio nosological chimiro chirwere. Ivo riri mumabhokisi siyana, zvichienderana mwedzi, kana murwere inofanira kuva nguva inotevera auye rokuongorora uye kuongorora. Monthly paavhareji vashandi vezvokurapa vari vachivhura indekisi kadhi, sarudza varwere vanofanira firimu pamwedzi uno, uye uzvitumire kuna dambudziko kudiwa kuuya kukiriniki.

Inobva kuongorora zvabuda, vanachiremba mugove varwere vose zvinotevera mumapoka dispensary nekuonekwa;

• 1 boka - sokuti utano;
• Group 2 - Varwere vane chirwere nezvirwere pasina kukanganisa kugona kushanda;
• 3 boka - varwere vane mano vasingadzoreki kushanda diki siyana;
• Group 4 - Varwere vane kwakamutsigira urema;
• Group 5 - zvachose vakaremara vanhu yaida kugara uye kurapwa.

Development ane zano nomumwe

Pakutanga mumwe urongwa kunoratidza nyanzvi basa kuti ufambidzane murwere, sezvo mutoro pamusoro vanachiremba yavanopinda zvikuru guru: kuburikidza navo vakawanda vanhu, uye chiremba hakusi kugona kurangarira zvidiki pamusoro woutano imwe murwere.

In chikamu zano wacho wechipiri akaita mazano uye mazano pamusoro vakaremara uye pazvinobvira uchishandisa mamiriro. Kana murwere ane mumwe mwero akaremara, ari zvawamaka tichitarisa dispensary zvaakazvionera uye musi kunenge kuzviongorora.

Zvinotevera ndima zvinosanganisira zano iri zvokudya zvokudya uye nguva umo murwere unofanira kuomerera pariri. Rinoratidzawo zvichibvira azvipire muviri uye basa.

Mamiriro Akaita remedial matanho uye kudzivirira zvinosanganisira kwete chete dzakananga chiratidzo zvinodhaka, mishonga, uye nenguva chikumbiro chavo, asiwo rinotsanangura nzira yokurapa (muchimiro physiotherapy, Spa kurapwa). dzakananga kuongororwa musi sezvakaratidzwa murefu nyanzvi uye, kana zvakakodzera, uye kusvika kuchipatara kumba.

Clinical kuongorora vana

Clinical pokudzora vacheche yakaitwa chirwirangwe. Wevana amutsvaka mwana mwedzi wose. Zvinofungidzirwa ake anthropometric data, kwose, basa rinokosha nadzo uye hurongwa. Izvi zvakakodzera kwete chete nokuda kuziva miedzo abnormalities, asiwo kudzivisa pakuonekwa uye kuziva propensity kune zvimwe zvirwere.

Dispensary akataura vana eruwa wevana unoratidzwa kwete chete kune vachangoberekwa navacheche, asiwo varwere pangozi, vanhu vane chirwere zvirwere uye vana vasingadi kupinda kuenda kukireshi.

Basa mukoti mu "D" -Accounting

Tevedzera-up wevarwere inoda guru havashandisi mari nguva uye kushanda nesimba. Zvikuru basa reDare vanamukoti ari kunotoda kuongorora. The mabasa mukoti zvinosanganisira:

• kuramba pakunamata dispanserizuemyh;
• kutumira nhau varwere nezvokukosha kushanyira kiriniki kana imwe nyanzvi;
• kudzora vaivapo;
• gadziriro magwaro asati rinotevera rokuongorora;
• Implementation kuti chiremba wacho pakugadza;
• achiita kuzvidzora varwere murwere;
• musha kuchengetwa;
• zvinyorwa panochengetwa.

First kushanya dispanserizuemogo pamba nani kupedza pamwe nachiremba wako. Vanofanira kuteerera zvinhu zvoupenyu murwere uye utsanana mirayiro panzvimbo dzokugara, tsvakai anokwanisa kupa nomoyo zvakafanira, uyo anorarama.