Unamwino mu Pediatrics opaleshoni

Mosakayikira, wopatsa ntchito ya madotolo, kubwerera matenda kwa anthu ndi kuwapulumutsa ku imfa. Mofanana kwambiri ndi ntchito ya anamwino. Chikhazikitso Unamwino inakhazikitsidwa m'zaka XI ndi zaka lasintha ambiri. Koma Zatsala unshakeable chapakati tenet - luso anamwino m'zonse kuthandiza wodwala kuti achire, ndi wosachiritsika - kufa popanda ululu.

The namwino wotchuka

Akukhulupirira kuti unamwino Florens Naytingeyl anayambitsa mngelezi. Ndithudi, iye anachita ndalama zosaneneka gulu moyenera ntchito ya madokotala. Activities Florence ndi anzake mu zipatala pa Crimea nkhondo vutoli imfa mwa ovulala ku 42 kuti basi peresenti 2. Ichi ndi chifukwa chodabwitsa! Iwo anali zimatheka ndi kukhazikitsa njira aseptic mu Zipatalazo, makamaka odwala postoperative ndi adwala. Pokumbukira mayi ameneyu dzina lake anali ovomerezeka Mendulo, amene ankaona mphoto apamwamba anamwino ano ndi tsiku lobadwa wa Florence (12 May) tsopano chikondwerero monga la International Chikondwerero - Nurses Tsiku. Pali ngakhale otchedwa "Nightingale syndrome", wopangidwa mwa ogwira ntchito kuchipatala likhoza ntchito sanali katswiri wa mphamvu kuti Zipatalazo awo.

Njira yoyamba ya unamwino mu Pediatrics opaleshoni

Ziribe kanthu momwe kwambiri mtengo wa Florens Naytingeyl, mchitidwe kumupima zachipatala kapena, ngati iwo anatero, Alongo wa Chikondi anakhalapo kale. M'zaka za m'ma XI anaonekera akazi woyamba unamwino ammudzi. History amakumbukira dzina la Elizabeth Tyurinengskoy, amene pa ndalama zake anamanga kuchipatala ndi gulu elizavetinok dera, kuthandiza anthu odwala, kuphatikizapo akhate (ndi zizindikiro za khate, imatengedwa osachiritsika ndipo kotero opatsirana kuti ngakhale achibale anakana ngozi). Iye nayenso anamanga ana amasiye, kumene kusamalira ana amasiye odwala. Izi zikhoza kuganiziridwa woyamba "kumeza" okalamba mu Pediatrics.

Mofanana Crimea nkhondo, Nightingale, kaya ntchito bwino ndithu bungwe unamwino kunyumba kwathu anamwino, chimene chakhala zatchulidwa mobwerezabwereza wotchuka Pavlov. Iwo osati anagwira anavulazidwa nkhondo, koma ntchito komanso paokha anachita woyikidwa nsalu, chithandizo zinachitikadi ndi mankhwala ankalamulira. Panopa akumuyamwitsa anamwino zikugwira ntchito zikuphatikizapo zinthu zatsopano, koma maziko ake - kuonetsetsa mankhwala odwala resectable - wofanana.

Ntchito anamwino panopa

Masiku ano matekinoloje latsopano zamankhwala akutulukira chaka chilichonse, adzakhala bwino kuchiritsa njira ndi mankhwala aluso. Aliyense namwino chofunika kudziwa zonse za kusintha kuti mokwanira kuchita ntchito zawo akatswiri. Kuti tichite zimenezi, zipatala ndi zipatala nthawi zonse bungwe misonkhano ndi maphunziro maphunziro. Zapaderazi "Ntchito ya namwino" amapezeka ku sukulu zachipatala kapena koleji. Magulu zotsatirazi anamwino:

• kuchipatala;
• anzake asamuone;
• opaleshoni;
• procedural;
• precinct;
• zakudya.

Aliyense wa mankhwala amenewa ali mwini chidziwitso chake enieni amene ali mu ndondomeko ya kuphunzitsa othandiza. satifiketi ndi chikalata pambuyo maphunziro. "Ntchito ya namwino" - dzina la zapaderazi, ndipo pambali pa izo zikusonyezedwa specialization.

namwino opaleshoni chipinda

Pa udindo uwu, chimaika mutu dokotala wa bungwe la zachipatala. Amati likhoza kukhala munthu ndi medobrazovaniem osati Aperewera kale mchitidwe kugwiritsa ntchito ndi kuvala. Unamwino mu opaleshoni udindo kwambiri. Zinthu zofunika pano ndi kukonzekera wathunthu ntchito, ndiponso m'nthawi izo - kutsatira malangizo a madokotala. Luso namwino amateteza wodwalayo matenda opaleshoni ndi vuto lililonse ntchito madokotala.

Kukonzekera opaleshoni ndi njira yolera yotseketsa wa zida opaleshoni malinga ndi zofunikira za njira aseptic, ndiponso makonzedwe awo pa tebulo unamwino. Yolera yotseketsa anasonyeza mikanjo, magolovesi, mapepala. Mu udindo opaleshoni chipinda namwino kupereka mayendedwe madokotala ndi zonse zofunikira wosabala zinthu (nsalu, thonje swabs, sutures, antiseptics, mankhwala zina zofunika) ndi kuona ntchito kwa boma la zipangizo zachipatala.

Ntchito pa opaleshoni

Unamwino opaleshoni si udindo, komanso yovuta kwambiri. Wokolopa namwino ayenera kumvetsa Mtheradi wa ntchito adzaimira kukonzekera kuti kuchita popanda kulakwitsa. Nkofunika kuti ngakhale kuti imene ili pa m'ndandanda wa mabukuwa anu kompyuta, chifukwa tcheru chonse tikunena dokotalayo zikugwira malo awo mu chigawo ndipo sanasokonezedwe ndi mfundo monga limasonyeza mlongo wake, amene ndi nkhani kumupatsa. Iye ayenera kudziwa kuti iye, komanso athe kugwiritsa ntchito chida, popanda bongo sterility ake. Kusankha mulingo woyenera kukula singano, makulidwe ndi kufunika suture m'litali ndi afufuze kwa mphamvu - monga anamwino ikugwira ntchito. Kumapeto kwa ndondomeko ntchito mu ntchito yake monga anayendera zida zonse n'kuwauza samatenthetsa ndi kukonza mtima kwa zoyendera kuchipatala.

Nzeru ndi luso

Nthawi zina, ndi namwino zikugwira ntchito amathandizanso dokotalayo pa Ufulu wa wothandizira a. Unamwino mu zoterezi ndi kupanga mpheto kuonetsetsa njira yachibadwa ya ndondomeko ya opaleshoni. Namwino ayenera kudalira magazi kuika ndi kuchotsa catheters ngalande, kuchita zochita kuti magazi asiye kutuluka, ntchito ndi kuchotsa seams, kuthandiza dokotala akuchita mayeso endoscopic, kulowetsa puncture kuti kuwunika kutumiza anatengedwa kuchokera ku wodwalayo liwunikidwenso, opaleshoni kuchitira mafinya ndi chofuna mabala, nsalu ndi pulasitala.

Nchito ndi dera ndondomeko unamwino

Kumene, kuchira wodwala kumadalira osati kokha mmene bwino pansi pa ntchito anachita. Unamwino ndi kupitiriza kusamalira odwala. Kuchita kuchipatala namwino wake. Iwo kuonetsetsa ukhondo wa mtima, kuwunika kuchiritsa mabala, achite malangizo a madotolo, kuika dropper, jakisoni, mankhwala kuperekedwa, muyeso kuthamanga, kutentha, pamodzi ndi namwino zakudya kupereka zakudya zabwino ndi kuletsa anamwino ntchito mu Nyumba kuonetsetsa kuti mfundo zonse ukhondo.

The ntchito ya gawo procedural wa nkhani ya unamwino chipinda chithandizo woyera, ndi zipangizo zonse ndi zipangizo zofunika ntchito mu chikhalidwe wosabala. Kumene, iwo ayenera kukhala wokhoza kuchita mitundu yonse ya jekeseni, magazi zikutengedwa kusanthula kukonzekera mtima kwa mankhwala kulowetsedwa. Kukhala kuchipatala kapena namwino procedural, ndi okwanira kutsiriza maphunziro apadera, pa akamaliza amene kutenga mayeso ndi kulandira kalata yothetsera.

Kugwira ntchito ndi ana

Ngati wodwala ku chipatala - mwana, kugwira nawo ali zina zabwino zake. unamwino izi Pediatrics losiyana kwambiri kwa magulu ena. odwala Young si nthawi zonse amatha bwino kukuuzani vuto langa. Ambiri a iwo sali kusamalira okha, amadwala incontinence. psyche Ana osatetezeka kwambiri ndi tcheru mawonetseredwe chilichonse chowawa ndi akulu. Choncho mlandu namwino mu Zipatalazo ndi Dokotala kukhala wosamala, wachifundo, wokoma mtima ndi odekha. ntchito yawo ikuphatikiza:

• tsiku ukhondo njira mwana aliyense;
• kukonza ana pambuyo defecation;
• bedi nsalu, ngati mwanayo kunyowetsa yekha pakama;
• kudyetsa ana ndi lofooka;
• pokonzekera jakisoni kuti pasadakhale sayambitsa mantha mwanayo, koma pa nthawi ya luso lawo zimalepheretsa ndi kuletsa mwana;
• zonse kuwunika chikhalidwe cha mlandu wawo wamng'ono.

Mtundu chenicheni mtima kwa kulongosola ntchito si ananenera, koma khalidwe la ntchito ndi ana chimodzimodzi kofunika kuposa Luso.

anamwino ammudzi

Unamwino mu Pediatrics si ntchito mu zipatala. Ndi chinthu chofunika kwambiri ndi ntchito ya anamwino zipatala. ntchito yawo ikuphatikiza dokotala amene anabwera ku phwando odwala ndi ana athanzi, zolembedwa kwa mwana aliyense, kutenga odwala nkhani dispensary ndi kuitanidwa kwawo yake pamayeso malangizo, kupereka mankhwala ndi zikalata, kupereka kofunika kumwa mankhwala zakuthupi. Pamodzi ndi Dr. thanzi anamwino kuchititsa ana unamwino ndi makanda pansi alipo ndandanda muyezo, komanso ana okulirapo ndi ana aang'ono ngati panafunika. Komanso, Dokotala anamwino ntchito kumaphatikizapo ntchito ndi makolo kukambirana njira nyaze kuteteza ana kumatenda opatsirana ndi zina.