ambulatoriya poliklinika muassasasining almashtirish kartasi

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shzbekiston respublikasi bxut bshyicha shakil kodi_____ format a–5 o'zbekiston respublikasi sog'liqni saqlash vazirligi ______________________ muassasa nomi o'zbekiston respublikasi sog'liqni saqlash vazirining 2017 yil 25 dekabrdagi № 777-sonli buyrug'i bilan tasdiqlangan 113- raqamli tibbiy xujjat shakli ambulatoriya poliklinika muassasasining almashish kartasi homilador ayol haqida ma'lumoti (har bir homilador uchun to'ldirilib, 30 haftada uning qo'liga beriladi) 1. familiya, ismi ____________________________________________________________ 2. yoshi__________3. yashash joyi________________________________________________ 4 umumiy, ginekologik kassaliklar bilan kasallangan, operatsiyalar__________________ __________________________________________________________________________ 5.avvalgi xomiladorlik, tug'ish, tug'ishdan keyingi davr o'ziga xos kechishi____________________________________________________________________ 6.nechanchi homila____________________tug'ish_____________________________________ 7.abortlar bo'lgan ____________________(qanday, ko'rsatilsin) 8.muddatdan ilgari tug'ruq ________________________________ yil ____________muddati muddatdagi tug'ruqlar_________________________________________________________ sana, oy, yil 9.oxirgi xayz_______________________________________________________________. 10.birinchi kelishida aniqlangan ___________ homiladorlik ____________muddati_________ xaftalik____________________________________________________________________ _____________”___”______________20___y 11.jami qatnashlar soni_____________________________________________________ 12.homilaning birinchi bor qimirlashi (sana, oy, yil.)_________________________________ 13.mazkur homiladorlik davrining o'ziga xos kechishi _____________ ________________________________________________________________________________ 14.chanoqning xajmi:_____________________________________________________________ d_____________________________________d__________________________

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_____________ bo'yi_____________________________vazni_____________________________________ (birinchi bor kelganida) 15.homilaning joylashish xolati______________________________ kelib turgan qism: boshi, dumbachasi, aniqlab bo'lmadi_____________________________________________________ homila yurak urishi: aniq, ravon,______________________1 yurak urishlar soni___________ chap, o'ngda__________________________________________________________________ laborator va boshqa tekshiruvlar:_________________________________________________ 1”___”___________20___y.; 2”___”_____________20___y. rezus-musbat, manfiy, qon turi, antitelolar titri________________________________ qon guruhi erining qon rezusi_________ toksoplazmoz: (kbr), teridagi sinov______________________ klinik taxlillar: qon______________, wr i ________________wr ii ________________________ oiv _________________ 20 ____ y hbs ag i ______________ 20 ____ y hbs ag ii ______________ 20 ____ y gonokokk _____________________ toksoplazmoz _________________ boshqa tekshiruv _______________ ____________________________ siydik____________, qindagi surtma taxlili (mazok)_____________________________________________________________________ gijja tuxumlarini aniqlash uchun axlat taxlili______________________________________ 16.jismoniy tarbiya______________________ mashg'ulotlar soni_______________________ 17.psixoprofilaktik tayyorlov _________________mashg'ulotlar soni____________________ 18.onalar maktabi____________________________________________________________ 19.stafilokokk anatoksini yuborilgandagi sana: 1marta_________________________________ iimarta_______________________________iiimarta________________________________ a.k/b 20.sana 21.tug'ruqqa qadar ta'til bo'yicha mehnatga layoqatsizlik varog'ini berish sanasi”__”_______20__y 22.tug'ishning taxminiy muddati”___”___________20__y. akusher – ginekolog shifokori_______________________ keyingi qabulga kelishlar kundaligi homiladorlik davrida tana vazniga qancha qo'

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shildi________________ homila vazni__________ homila _______________________(xomiladorlikning 32 xaftasidan keyin to'ldiriladi) sana tekshiruv ma'lumoti shifokor imzosi o'zbekiston respublikasi sog'liqni saqlash vazirligi ______________________ muassasa nomi o'zbekiston respublikasi sog'liqni saqlash vazirining 2017 yil 25 dekabrdagi № 777-sonli buyruq bilan tasdiqlangan 113- raqamli tibbiy xujjat shakli tug'ruqxona, shifoxona tug'ruq bo'limida tug'ilgan chaqaloq uchun almashish kartaci 1.tuqqan ayolning familiya, ismi _________________________________________________ 2.manzil___________________________________________________________________ 3.tug'di (sana, oy, yil.)________________________________________________________ 4.nechanchi xomiladorlikdan bola tug'ildi___________________________________________ xomiladorlik muddati___________xafta. avvalgi xomiladorliklar natijasi: abortlar, sun'iy, o'z-o'zidan tug'ish______________________________________________________________ jumladan, o'lik tug'ilgan________________________________________________________ 5.bitta ko'p bola tug'ildi (chizing); nechanchi bo'lib, ko'p bola tug'ilgan_______________________ 6.tug'ish jarayonining o'ziga xos kechishi (davomiyligi, ona va bolada tug'ish davridagi asoratlari)__________________________________________________________________ 7.qanday og'riqsizlantirish qo'llanildi, qo'llanilmadi__________________________________ uning foydasi_______________________________________________________________ 8.tug'ishdan keyingi davrning kechishi (kasallanishi)___________________________________ 9.tuqqandan keyingi______ kunda chiqarildi. 10.chiqarilayotgan onaning salomatligi______________________________________________ 11.chaqaloq jinsi: ayol, erkak, tug'ilganidagi vazni _______gr,_____tug'ilganidagi bo'yi_____sm. chiqarilayotgandagi vazni _____________gr. 12.chaqaloqning xolatini baxolash ________________________________________________ apgar shkalasiga asosan tug'ilganidan keyinoq chaqaloq

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qichqirdimi, yo'q (chizing)______________ tiriltirish uchun qanday choralar qo'llandi__________________________________________ ____________________________________________________________________________________________________________________________________________________ tug'ruqxonada chaqaloq xayot davrining__________ kunida birinchi bor_____________________ emizishga berildi; ko'krak suti bilan, sog'ib olingan ona, donor suti bilan (chizing) donarning ko'krak suti bilan boqilishga o'tgan xolda uning sababini ko'rsating________________ __________________________________________________________________________ kindigi hayotining___________kunida tushdi, kasallandi kasallanmadi (chizing) tashxis____________________________________________________________________ ______________________________________________________________________________________________ davolash______________________________________________________________________________________________________________________________________________ chiqarilayotgan paytda__________________________________________________________ __________________________________________________________________________ 13.silga qarshi to'liq emlandi, yo'q (chizing) aks xolda uning sababini ko'rsating _______________________ ______________________________________________________________________________________________ 14. virusli gepatit v ga qarshi emlash (vgv):__________________________________________________ ______________________________________________________________________________________________ 15. poliomielitga (sholga) qarshi emlash:_____________________________________________________________________ ____________________________________________________________________________________________________________ 16.tavsiyalar_________________________________________________________________________________________________________________________________________________________________________________ 17.alohida ko'rsa

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tmalar_________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ “___”______________20___y akusher-ginekolog shifokor ___________________________ pediatr shifokor __________________________________ format a–5 o'zbekiston respublikasi sog'liqni saqlash vazirligi ______________________ muassasa nomi o'zbekiston respublikasi sog'liqni saqlash vazirining 2017 yil 25 dekabrdagi № 777-sonli buyruq bilan tasdiqlangan 113- raqamli tibbiy xujjat shakli almashish karta tug'ruqxonaning, shifoxonaning tug'ruq bo'limi tomonidan tuqqan ayol uchun berilgan ma'lumot 1.tuqqan ayolning f.i. ______________________________________________________ 2.manzili________________________________________3.yoshi_____________________ 4.qabul qilingan sana_______________________tug'di (sana, oy, yil)___________________ 5.tug'ishning o'ziga xos kechishi (davomiyligi, ona boladagi asoratlar va x.k.)_________________ ____________________________________________________________________________________________________________________________________________________ 6.tug'ish davrida operativ yo'l bilan yordam ko'rsatildi_________________________________ ____________________________________________________________________________________________________________________________________________________ 7.og'riqsizlantirish: qo'llanildi, yo'q (chizing) qanday, uning foydasi______________________ ____________________________________________________________________________________________________________________________________________________ 8.tuqqandan keyingi davr (xastalik)_______________________________________________ __________________________________________________________________________ 9.tuqqandan keyin

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О "ambulatoriya poliklinika muassasasining almashtirish kartasi"

shzbekiston respublikasi bxut bshyicha shakil kodi_____ format a–5 o'zbekiston respublikasi sog'liqni saqlash vazirligi ______________________ muassasa nomi o'zbekiston respublikasi sog'liqni saqlash vazirining 2017 yil 25 dekabrdagi № 777-sonli buyrug'i bilan tasdiqlangan 113- raqamli tibbiy xujjat shakli ambulatoriya poliklinika muassasasining almashish kartasi homilador ayol haqida ma'lumoti (har bir homilador uchun to'ldirilib, 30 haftada uning qo'liga beriladi) 1. familiya, ismi ____________________________________________________________ 2. yoshi__________3. yashash joyi________________________________________________ 4 umumiy, ginekologik kassaliklar bilan kasallangan, operatsiyalar__________________ __________________________________________________________________________ 5.avvalg...

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