Shelf ukuhlolwa ukuphila phambi ukusebenza: amazinga, izidingo kanye nezincomo

Yini ihlola andukuba ukusebenza? Ake sihlole kulesi sihloko.

Uma umuntu kuyophathwa isibhedlela, ke siyonikwa kudlule inombolo ethile ukuhlolwa okudingekayo yokwamukelwa kanye Izivumelwano zokwelapha ezifanele futhi umnyango sephrofayela, okuyinto luzosuselwa. Uma umuntu ngamunye kudingeka aphathwe ngokushesha, uhlu ukuhlolwa ngaphambi kokuba sihlinzwe, kungase ethe xaxa ukuze baqonde ukuthi ukungenelela kuhlinzwa e isimo samanje umzimba, noma zidinga ukwenzangcono ngekusebentisa tinchubo nezidakamizwa. ukuhlolwa Impilo ngaphambi ukusebenza Kamuva sizoxoxa ngokuthi esihlokweni.

ukuhlolwa kwegazi ngaphambi kokuhlinzwa kanye nokulaliswa esibhedlela

Cishe njalo phambi nokudluliselwa ukwelashwa kwasesibhedlela kanye ngaphambi nje kokuba ahlinzwe bamiswa ukuhlolwa igazi. Ukuze lokhu kukhona ngenxa yezizathu eziningana, ezifana ukunquma degree kuphazamiseka ukusebenza isitho esithile, ukufunda isimo jikelele impilo noma ukuthola khona ukutheleleka.

Uhlolo elandelayo igazi kusengathiwa lovamise kufakwe uhlu yokuhlolwa preoperative noma predgospitalizatsionnyh: ukuhlaziywa kwamakhemikhali, ukuhlaziywa jikelele, ekutholweni RH isici neqembu kwegazi ukusha kwesibindi kohlobo C no-B, ugcunsula kanye negciwane lesandulela ngculaza.

Uma isiguli unesifo esithile noma esimweni esithile yomzimba, okuhambelana umlando, ukuhlolwa kanye cwaningo ungakwazi utshele udokotela wakho ngesidingo ukuhlela uhlelo ukwelashwa.

Yiluphi ucwaningo lwenziwa ngesikhathi pathologies ezehlukene?

Lapho izinkinga zempilo yesiguli ezithinta igazi ekunqandeni, coagulation kungadingeka. Lokhu kwenza ukuhlolwa igazi uma:

• isiguli imithi, igazi thinners,
• kulula asilimaze,
• zikhona izinkinga phakathi ukuhlinza odlule futhi izinqubo zamazinyo ne ukopha isiguli noma izihlobo zakhe eduze.

Uma kukhona isiguli sikashukela noma nezici ezithile ekuthuthukiseni lesi sifo kubalulekile ovivinyweni olubangelwa, ukuxilonga sikashukela.

Uma isiguli owesifazane oseminyakeni yokuzala, kungase kudingeke ukuba ngihlolelwe sokukhulelwa. Lokhu kuhlanganisa ukuhlolwa igazi ezibonisa amazinga hCG, i-hormone okungukuthi human chorionic gonadotropin. ukuhlolwa Impilo ngaphambi kokuba sihlinzwe ngaso sonke isikhathi kufanele ihlonishwe.

Okunye Luhlolokulinganisa lwetivivinyo neluhlolo

Ngokuvamile kusuka kwamanye oluye lwenziwa endaweni yokucwaninga, esimisiwe urinalysis. Lapho izinso udokotela isifo ingagunyaza ukuba enze Uhlaziyo luqhubeka (umchamo ukuhlaziywa nechyporenko noma inzalo).

Ngaphambi ufika ukwelashwa esibhedlela, owesifazane kungase kudingeke uxhumane udokotela wezifo zabesifazane nokudilivela cwaningo ku izifo zocansi, smear phezu izitshalo urethra futhi ipheshana zokuzala. Ngesikhathi esifanayo kumelwe acabangele ukuhlola eshalofini yokuphila ngaphambi ukusebenza.

Ngaphambi kokuba ahlinzwe emaphashini, inhliziyo, isitho ukufakelwa, nokunye. D. Ingadinga ukuhlolwa ezithile ngokuqondile nangokusuka enhliziyweni sina.

Ukuhlola isimo ngaphambi nangemva kokuhlinzwa, kanye nomphumela emva kokwelashwa can onguchwepheshe, ngokusekelwe ukuhlolwa laboratory. Uma kungenjalo zonke imiphumela uvivinyo uhlu oluvumelekile ukuhlinzwa, isiguli singase zidinga ukwelashwa okwengeziwe, ukudluliswa ukuhlinzwa noma ukuqhuba ucwaningo oluningi. Imiphumela kwalolu vivinyo, udokotela ekwelapheni zingashintsha indlela ekhethiwe ngokusungula indlela yokubulala izinzwa, kuhlinzwa ukwelashwa ivolumu noma nini.

Ngaphezu ukuhlolwa okudingekayo kungaba ukudlula izifundo wezinsimbi noma izivivinyo ngamanye Ochwepheshe. I obujwayelekile ultrasound, ECG, esifubeni X-ray, ukubonisana Otolaryngologist, ophthalmologist, ibhuku elisetshenziswa ngokwabelana, udokotela wamazinyo noma odokotela, okuyinto ukugadwa ngoba iziguli isifo concomitant (dokotela, endocrinology, wenhliziyo, njll).

Ngakho-ke yini ukuvivinywa eshalofini yokuphila ngaphambi ukusebenza? Lo mbuzo iyathakazelisa eziningi.

Yini ukuhlolwa kwegazi abazenzi ngokushesha ngaphambi nje kokuba ahlinzwe?

Ngaphambi nje kokuba ahlinzwe ngokuvamile kudinga ukuhlolwa igazi ngenxa yezizathu eziningana.

Ukunqunywa RH isici neqembu igazi. Noma yimuphi operation inikeza ukopha. Futhi uma ukusebenza avele yezinkinga, ukopha kungase kube too high, kuphumele isidingo ukumpontshelwa amangqamuzana abomvu igazi noma uketshezi olungenambala olusegazini. Kulokhu, kubalulekile ukwazi ukuthi iqembu umthamo wegazi lesiguli kanye RH, ukuze wenze iphutha ngesikhathi ukumpontshelwa. Iqembu kunqunywa udokotela usebenzisa inani elincane legazi Okukhethekile. sera.

Ukuhlaziya kashukela wenziwa ukuze ukuqapha namazinga kashukela egazini, ikakhulukazi lapho sikashukela nesineke noma nezici ezithile ukuze lesi sifo.

Kwezinye izimo, awudingi ukuba ihlolwe ngaphambi ukusebenza?

Uma okungenani ukusebenza ingozi, uhlu ukuhlolwa kungaba kufushane kakhulu noma ngeke kudingeke nhlobo - kuncike izincomo udokotela ukuba khona. Uhlu izifundo bungaba bufushane lapho imisebenzi ezingeyona ingozi, ezifana biopsy webele noma ukuhlinzwa of namabala amancane isikhumba (uma kususwa lipoma, papilloma nokunye.) Futhi kwabanye. Kulezi manipulations obuncane kakhulu izinkinga uma isiguli siyimiqemane (akukho izinkinga nge igazi ekunqandeni, nokunye. d.).

Futhi ngenxa isidingo sokunikela abanye noma ezinye izivivinyo ngaphambi esibhedlela noma ukuhlinzwa kufanele uthintane nge onguchwepheshe.

Isikhathi ngokomthetho isikhathi?

I ngokomthetho ukuhlolwa eshalofini yokuphila ngaphambi ukusebenza? Order of the Ministry of Health awusho ukuthi sizoba yini nezikhathi okunembile ukuhlolwa laboratory. Kodwa kukhona izidingo ezivamile okumele ilandelwe.

izinguquko Dynamic zisesimweni umzimba idinga ukuthi zonke imiphumela yocwaningo eyenziwa ngaphambi nje kokuba ahlinzwe noma esibhedlela. Ngemva kwesikhathi esithile, imiphumela eminingi musa ukuqedela ukubaluleka kokuthola inkinga futhi kuphela ezifanelekela iBhayibheli nokuhlola impilo lesiguli ngokuhamba kwesikhathi nokumadanisa yi etholwe emva kokwelashwa ne idatha yoqobo. isikhathi Ubuncane ukuhlaziywa tinyatselo kute ente ngaphambi kokuba sihlinzwe noma esibhedlela amasonto 1-2, kuye ngohlobo kokuhlolwa kanye okudingekayo ngesikhathi sawo ukuqaliswa. Udokotela uyonika isiguli zonke izincazelo ezidingekayo mayelana namagama banikwa ukuze kuphelele zonke izivivinyo kanye ukuhlolwa.

Standard isikhathi ukuhlaziywa

Nansi impilo eshalofini ukuhlolwa igazi ngaphambi kokuba sihlinzwe. Ukuphuthuma ukuhlaziywa emitholampilo kwegazi izinsuku ezingu-10. ukuhlaziywa kwamakhemikhali kwegazi: glucose, urea, creatinine, inani bilirubin, bilirubin unconjugated, amaprotheni Imininingwane, ALT, AST - izinsuku ezingu-10. Coagulation: INR, aPTT, fibrinogen fibrin isikhathi - izinsuku ezingu-10. iqembu igazi, RH isici - unomphela. RW (ugcunsula), HCV (hepatitis C), hbs (Hepatitis B) - isikhathi sokusebenza of izinyanga 3. Impilo for ukuhlaziya HIV ngaphambi msebenzi futhi izinyanga 3.

Futhi nangu neminye imibandela. Urinalysis - ngenyanga. ECG (electrocardiogram) - ngenyanga. Fluoroscopy noma-X-ray ukukhanya - nyaka. Igazi isimila izimpawu: CA 125, CA 19,9. - izinyanga 3.

Impilo ngaphambi kuhlaziywe nge ukuhlinzwa ejwayelekile izifo zabesifazane. Ukuphuthuma smear ku izitshalo, oncocytology wesibeletho izinyanga 3.