lechenie zabolevaniya

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powerpoint presentation lechenie zabolevaniya ,klinicheskoe obsledovanie bolnogo kskkdkd 01 klinicheskoe obsledovanie patsienta 02 diagnostika zabolevaniya 03 lechenie zabolevaniya plan: laboratornie issledovaniya analiz krovi mojet pokazat uroven leykotsitov (bolee 10 000/mkl mojet ukazivat na infektsiyu), gemoglobina i trombotsitov, chto vajno dlya otsenki obshego sostoyaniya patsienta i effektivnosti lecheniya. bioximicheskiy analiz krovi opredelyaet uroven glyukozi, elektrolitov (na+, k+, cl-), pechenochnix fermentov (alt, ast), chto pomogaet viyavit soputstvuyushie zabolevaniya i otsenit funktsionalnost organov. anamnez i jalobi patsienta anamnez zabolevaniya doljen detalno opisivat nachalo zabolevaniya (ostroe/postepennoe), dlitelnost simptomov (bolee 2 nedel), ix dinamiku i svyaz s vozmojnimi provotsiruyushimi faktorami (pishevimi, stressovimi). pri sbore anamneza jizni vajno uchitivat nalichie xronicheskix zabolevaniy (naprimer, saxarnogo diabeta 2 tipa), allergicheskix reaktsiy (na kakie preparati?), perenesennix operatsiy (data, tip) dlya otsenki riska i podbora lecheniya. fizikalnoe obsledovanie otsenka serdechnix tonov vklyuchaet v sebya opredelenie chastoti serdechnix sokrasheniy (chss), ritma i nalichiya dopolnitelnix tonov ili shumov, naprimer, sistolicheskogo shuma 3/6 …

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enno dlya postanovki diagnoza. osmotr grudnoy kletki vklyuchaet otsenku formi grudnoy kletki, simmetrichnosti dixatelnix ekskursiy, palpatsiyu dlya viyavleniya krepitatsii i opredeleniya golosovogo drojaniya v 10 tochkax. nevrologicheskiy osmotr propriotseptivnaya chuvstvitelnost, otsenivaemaya s pomoshyu testov na opredelenie polojeniya paltsev i konechnostey v prostranstve, pomogaet diagnostirovat porajeniya zadnix stolbov spinnogo mozga. otsenka mishechnoy sili provoditsya po 5-ballnoy shkale, otrajaya stepen soxraneniya funktsii otdelnix mishechnix grupp i viyavlyaya vozmojnuyu perifericheskuyu ili tsentralnuyu nevropatiyu. reabilitatsiya bolee 70% patsientov, proshedshix programmu reabilitatsii posle travmi kolennogo sustava, demonstriruyut znachitelnoe uluchshenie podvijnosti i snijenie bolevogo sindroma cherez 12 nedel. reabilitatsiya posle insulta chasto vklyuchaet v sebya 3-6 mesyatsev intensivnoy terapii, vklyuchayushey fizioterapiyu, ergoterapiyu i logopedicheskuyu podderjku dlya vosstanovleniya dvigatelnix funktsiy i rechi. instrumentalnie metodi issledovaniya rentgenografiya grudnoy kletki v dvux proektsiyax s ispolzovaniem dozi oblucheniya menee 1 mzv pozvolyaet otsenit sostoyanie legkix, serdtsa, krupnix sosudov i kostey grudnoy kletki, viyavlyaya pnevmonii, perelomi i drugie patologii. ultrazvukovoe issledovanie …

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aet bronxiolit, pnevmoniyu atipichnix vozbuditeley, i vrojdennie poroki razvitiya legkix, chto trebuet spetsificheskix metodov obsledovaniya, vklyuchaya rentgenografiyu grudnoy kletki i analiz krovi na 5 osnovnix pokazateley. differentsialnaya diagnostika ostrogo pankreatita vklyuchaet v sebya bolee 10 zabolevaniy, takix kak xoletsistit, perforatsiya yazvi, ishemicheskiy kolit, trebuya detalnogo analiza simptomov i laboratornix pokazateley dlya tochnogo diagnoza. medikamentoznaya terapiya effektivnost medikamentoznoy terapii otsenivaetsya cherez 2-4 nedeli posle nachala lecheniya putyom monitoringa klinicheskix simptomov i laboratornix pokazateley, chto pozvolyaet skorrektirovat sxemu lecheniya. medikamentoznaya terapiya mojet vklyuchat do 3-5 razlichnix preparatov, naznachaemix odnovremenno dlya dostijeniya sinergicheskogo effekta i umensheniya pobochnix reaktsiy, v zavisimosti ot stadii zabolevaniya. prognoz i profilaktika 01 02 rannyaya diagnostika, osushestvlyaemaya s pomoshyu sovremennix metodov vizualizatsii (mrt, kt) i biopsii, pozvolyaet nachat svoevremennoe lechenie, uvelichivaya 5-letnyuyu vijivaemost na 15-20%. sales 1st qtr 2nd qtr 100 0 sales 1st qtr 2nd qtr 100 0 monitoring sostoyaniya patsienta regulyarnoe nablyudenie za balansom jidkosti, vklyuchaya uchet …

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r, laparoskopicheskaya ili otkritaya operatsiya, vibor zavisit ot lokalizatsii i razmera obrazovaniya, a takje ot opita xirurga. planirovanie lecheniya planirovanie lecheniya doljno uchitivat individualnie osobennosti patsienta, vklyuchaya vozrast (naprimer, 65 let i starshe), soputstvuyushie zabolevaniya (minimum 2) i allergicheskie reaktsii na preparati. dlya effektivnogo planirovaniya lecheniya neobxodim sbor anamneza (ne menee 10 punktov) i rezultati ne menee 3-x diagnosticheskix issledovaniy (naprimer, analizi krovi, kt, mrt), dlya vibora optimalnoy taktiki. obsledovanie organov bryushnoy polosti auskultatsiya jivota pomogaet opredelit nalichie peristaltiki kishechnika; otsutstvie peristalticheskix shumov mojet svidetelstvovat o paraliticheskom ileuse, a usilennaya – o kishechnoy neproxodimosti. perkussiya jivota pozvolyaet otsenit nalichie astsita, opredelyaya tupoy zvuk v nijnix otdelax jivota, a takje viyavit uvelichenie pecheni ili selezenki, izmeryaya ix razmeri v santimetrax po sredneklyuchichnoy linii. postanovka diagnoza pri postanovke diagnoza uchitivayutsya dannie anamneza (ne menee 5 klyuchevix simptomov), rezultati ob'ektivnogo obsledovaniya (temperatura, ad, chss) i laboratornix issledovaniy (naprimer, 3 osnovnix analiza krovi). differentsialnaya …

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powerpoint presentation lechenie zabolevaniya ,klinicheskoe obsledovanie bolnogo kskkdkd 01 klinicheskoe obsledovanie patsienta 02 diagnostika zabolevaniya 03 lechenie zabolevaniya plan: laboratornie issledovaniya analiz krovi mojet pokazat uroven leykotsitov (bolee 10 000/mkl mojet ukazivat na infektsiyu), gemoglobina i trombotsitov, chto vajno dlya otsenki obshego sostoyaniya patsienta i effektivnosti lecheniya. bioximicheskiy analiz krovi opredelyaet uroven glyukozi, elektrolitov (na+, k+, cl-), pechenochnix fermentov (alt, ast), chto pomogaet viyavit soputstvuyushie zabolevaniya i otsenit funktsionalnost organov. anamnez i jalobi patsienta anamnez zabolevaniya doljen detalno opisivat nachalo zabolevaniya (ostroe/postepennoe), dlitelnost simptomov (bolee 2 nedel), ix dinamiku i svyaz s ...

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