Kumaliseche nkhani, mbiri zachipatala

Kumaliseche mwachidule - ndi mwapadera maganizo kuchipatala pa matenda mtima, khalidwe lake thanzi, Inde matenda ndi zotsatira za mankhwala amene wapatsidwa. Okhutira okwana ambiri malipoti mankhwala muyezo, ndi kokha otsiriza iwo zingasiyane malingana ndi maonekedwe a mpukutuwu. Epicrisis ndi lamulo gawo la zolembedwa zachipatala. Potengera makhalidwe a matenda ndi mankhwala zotsatira, izo Mwina tingachotsedwe pa kopanda a dokotala nawo za madokotala ananena zawo tsogolo la wodwalayo, malangizo a zamankhwala ndiponso ntchito ndi malangizo polojekiti zina za matendawa.

Anadzetsa zachipatala mbiri epicrisis angakhale mitundu ingapo: chosaiwalika, kumaliseche, kutengerapo ndi maphokoso mortem mbiri choncho. Pankhani ya maphunziro matenda ndi anatomical wa womwalirayo Komanso chikalata mbiri anatomopathological choncho. Kufunika kwa yokonza lipoti mankhwala kungakhale pamisinkhu yosiyanasiyana ya chithandizo cha wodwalayo. Lembani epicrisis mu zachipatala khadi mtima adzakhala kuti aone umboni pamaso kumupima mankhwala kawiri pa chaka, ndipo ngati n'koyenera, wolungama kupitiriza kuchipatala chikuonetseratu ndi malangizo pa WCC.

Pa mbiri ya chitukuko cha mwana pa zaka 1, 3, 7 ndi zaka 18 komanso analemba mbiri choncho. mbiri zachipatala inpatient zimaonekera zolemba zamankhwala kumapeto anakhala m'chipatala masiku 10-14 ndipo akutchedwa mbiri chosaiwalika choncho. Pa nthawi ya kumaliseche kwa kuchipatala wodwalayo wapangidwa epicrisis kumaliseche. Pamene posamutsa wodwalayo bungwe dokotala wina anapereka mbiri kutengerapo choncho. A pambuyo mortem ndi chikalata chomaliza zikalata pakutchulidwa imfa wodwala Patapita lowonjezera pathoanatomical mapeto.

Kumaliseche Mwachidule, komanso mitundu yonse ya mfundo ayenera muli ndi pasipoti mbali zambiri anayamba matenda ovutika zofunika mbiri zachipatala zokhudza magawo a matenda, umboni wa mayeso zachipatala ndi katswiri malangizo. Pamene kukhazikitsa matenda atsopano mu mbiri nkhani anapanga umboni wotsimikiza lodalirika ake. Mphamvu ya mankhwala akuchipatala kuunikira ndi zimaonetsa magawo. Pa opaleshoni kuonetsetsa kumaliseche mwachidule umboni wa mtundu wa mankhwala, pa ntchito, chikhalidwe chake ndi zotsatira za kukhazikitsa. Ngati ndi kotheka, kumasulira zina wodwala opaleshoni kuti wagawo ndi dokotala wina, deta awa analowa mu mbiri kutengerapo choncho. Ndipo ngati kulephera kwa opareshoni, chimene chinapangitsa amapha inpatient, deta zonsezi adalowa umboni postmortem epikriza.

Kumaliseche mwachidule ayenera kukhala ndi mapeto zotsatira za matendawa imodzi formulations zotsatirazi: kuchira kwathunthu kwa mtima, tsankho mankhwala ake, mmene alili zikutsatiridwa, kusintha kwa matenda panopa ndipamene pachimake ndi aakulu ambiri kuwonongeka kwa chikhalidwe wodwalayo. Mu nkhani ya tsankho ayambe mbali ya madokotala ananena zawo zina matendawa, Kwalamulidwa ayamikira khalidwe ndi zina mankhwala, ndipo adzakunyamula aziyese wodwalayo ntchito m'magulu awa: kulumala, kusintha kwa mbandakucha ntchito chilema.