Ngokugadwa Clinical. Inhlangano observation Dispensary. Izinsuku Dispensary observation. Iqembu kokuqondisa emitholampilo

luhlolo Clinical noma okwashiwo sokucindezeleka indlela ukuqapha isimo sezempilo amaqembu abantu athize. Lemisebenti zinezikhathi nobuningi kanye nokunemba. Badinga ukuvuselela elabhorethri, imiphumela radiology nezinye vo eyenziwa yiNhlangano abantu ehlanganisa phezu Dispensary.

luhlolo Clinical sabantu enempilo

Akulungile ukuthi lwasemtholampilo luhlolo kuncike kuphela abantu abagulayo. Labo abangabhalisiwe abaphethwe yisiphi isifo, kukhona ochwepheshe njalo ngezikhathi ezithile.

Abantu abaNsundu babekholelwa ukuthi unempilo observation Dispensary kukhona bantu abalandelayo:

• zonke izingane baze bafinyelele eminyakeni engu-14 ubudala;
• empini ababuthiwe;
• abafundi ezikoleni, emakolishi, izikhungo zemfundo ephakeme;
• ezisebenza ezikhungweni zezingane;
• abasebenzi ukudla noma izindawo zomphakathi;
• baqashwe futhi abesifazane abangasebenzi engaphezu kwengu-30 ubudala;
• abasebenzi bezempilo;
• invalids ka yiMpi Enkulu Yobuzwe, Veterans zomsebenzi.

Injongo Ukugada abantu enempilo iwukuhlale ikhono ukusebenza ezingeni eliphezulu, nokugcinwa kokuthula ezempilo, ukuthola izifo ngendlela efanele usaqala kanye nokwenzeka izinyathelo.

Izifundo zokulandelisa iziguli

Leli qembu abantu ngaphansi kweso, ezifana iziguli isifo esingelapheki, iziguli convalescent ngemva izifo sibi kanye nabantu kwezinso zofuzo kanye nezinkinga ekuzalweni.

Inhlangano ka Dispensary okwashiwo iziguli kusekelwe izenzakalo ezilandelayo:

• ukuthola izifo futhi causative yabo izici;
• nokuvinjelwa exacerbations, uyahluleka uma elwa nokuphuza kanye nezinkinga;
• nokugcina ezingeni ukukhubazeka nokuphila;
• encishisiwe lokufa futhi ukukhubazeka.

Landela-up emva kokwelashwa kwe-esiteji acute lesi sifo kudinga ukuqaliswa izinyathelo kwelulwe isikhathi ukuthethelelwa, kanye nokuvuselelwa izinyathelo ukubuyisela ukusebenza kwezitho ezinkulu zomzimba.

imisebenzi esemqoka

Izifundo zokulandelisa iziguli has imisebenzi ethile ukuze abone abantu engozini, kanye iziguli lesi sifo ngendlela efanele usaqala khona.

Ibonisa observation izinyathelo ezisebenzayo ukuthuthukisa, ukuhlola iziguli, ukwelashwa nokululama ekuguleni. Ngaphezu kwalokho, wakha database equkethe ulwazi ezikhethekile kuwo wonke umuntu ngaphansi observation.

Yiziphi izinhlobo izivivinyo ukuze uvikeleke?

1. Nokuhlola kokuqala - abantu abeza ukufunda noma umsebenzi. Inhloso esemqoka - ukunquma ikhono lazo ukubhekana umsebenzi ekhethiwe. Phakathi ukuhlolwa ikhomba Izimo kungenzeka emsebenzini eziwukhethile, futhi ukuba khona noma yimuphi izinqubo sokugembula emzimbeni.
2. Ukuhlolwa Periodic - konke abantu njalo ngezikhawu ezithile. Noma yimuphi wenziwa a isikhungo sokwelapha zingasetshenziswa yinoma udokotela wendawo ukuze uthumele isiguli scan ihlelelwe Ochwepheshe.
3. Target wokuhlola - has imisebenzi ethile kanye focus emincane. Ngokwesibonelo, ngokuhamba izenzakalo ezinjalo zembula ezigulini uhlushwa isifo esithile.

Ngaphezu kwalokho, ukucabangela emitholampilo kungenzeka ngabanye kanye mass. Ngamunye wenziwa uma umuntu othize wacela usizo kudokotela wakho, noma yadalwa ekhaya ukuvakashelwa uma isiguli wezela ukwelashwa esibhedlela noma ukuxhumana isiguli ezithathelwanayo.

ukuhlolwa Massive abazenzi ezikhungweni zemfundo, amahhovisi lempi isosha, izimboni. Lezi survey ngokuvamile ziyinkimbinkimbi futhi sihlanganise kokuhlolwa ngezikhathi ezithile futhi okubhekiswe.

observation Unit

Emuva kokuhlolwa nokuhlolwa komuntu isimo yokugcina libhekisela eqenjini elithile kokuma:

• D1 "Umuntu ophilile" - akudingeki izikhalazo kanye ngeziphambeko kusukela empilweni;
• D2 "cishe enempilo" - Iziguli ezingamadoda abanezifo esikhathini esidlule ngaphandle exacerbations, abantu convalescent ngemva ukuthuthukiswa okukhulu lesi sifo, abantu umngcele uthi ;
• D3 "onesifo esingelapheki" - iziguli ezine umthamo enciphile umsebenzi futhi exacerbations njalo lesi sifo, kanye nabantu isifo izinqubo eziphikelelayo ezaholela ukuthuthukiswa ukukhubazeka.

Kuyini luhlolo emitholampilo?

ngokugadwa Clinical unezigaba eziningana. Eyokuqala yalezi kuhilela ukucabangela neluhlolo iziguli, kanye ukwakheka kwamaqembu ezidinga ukulawula okuthuthukile. isisebenzi labonesi uchitha irejista labantu uhlu, ngaphezulu idatha isiguli ngasinye.

Isigaba sesibili siqukethe ukuqapha impilo yalabo abadinga ukwelashwa kanye izinyathelo. Iqembu dispanserizuemyh abokuqala bayakuba ahlolwe kanye ngonyaka esikhathini sangaphambi ehleliwe. Ngokuqondene nezinye iziguli, Ofundele noma umndeni udokotela kufanele asebenzise wonke amathuba ukuze uyithumele ukuhlela scan.

Iqembu D2 waphawula ukunciphisa engcupheni lesi sifo, efanele ukuziphatha yokuhlanzeka. Kuyadingeka Ukugcizelelwa iziguli owayehlushwa izifo sibi, ukuze ugweme ukuthuthukiswa inqubo ezingamahlalakhona.

Ukuze iqoqo lesithathu Dispensary observation Uchwepheshe is a plan ukuthi oqokiwe isimiso ukwelashwa ngabanye kanye nezempilo izinyathelo, ukwelulekwa ongoti, ukusetshenziswa imithi, ukwelashwa zemvelo, izinyathelo kanye nokuhlenga.

Kuwo lo nyaka, ngemva ukuhlolwa ngamunye, kwenziwa izinguquko endleleni plan Dispensary. Ekupheleni konyaka olandelayo, ukulawula Dispensary ligcwele icala umlando, eyohlanganisa zikhathi:

• isimo yokuqala esigulini;
• Dynamics ngemiphumela inhlolovo;
• imisebenzi eyenziwa ngenhloso yokwelapha, ukuvuselelwa kanye nokuvinjelwa izinkinga;
• luhlolo lwekugcina zempilo yesiguli.

Ngo eziningi zezempilo e ishadi lesiguli Kunamathiselwe-epicrisis uhlelo evumela ukuthi wena ugcine isikhathi ngokugcwalisa imibhalo yokugcina futhi Lesisemkhatsini.

Isigaba wesithathu luhlolo emitholampilo kusekelwe ukuhlolwa yaminyaka yonke umphumela isikhungo sezokwelapha, ucabangela imiphumela emihle nemibi. Kubuketwa kwenziwe imisebenzi kanye wenza izinguquko ezithile ukuze kuthuthukiswe.

Lesi sifo ukuba Dispensary elawulwa

Dispensary observation iziguli esingelapheki wenziwa uma kwale mibandela elandelayo:

• pathologies yokusetshenziswa pheshana emathunjini - isilonda peptic, kolwelwesi ezingamahlalakhona uketshezi kwehle, isifo sokusha hepatic, isifo sokusha kwesibindi kohlobo okungamahlalakhona, pancreatitis, ezingamahlalakhona izilonda emathunjini, futhi enterocolitis;
• nezifo zokuphefumula - isifuba somoya, iphaphu ithumba, bronchiectasis, ukucinana kwemigudu yokuphefumula okungamahlalakhona, emphysema;
• yezifo esimiso senhliziyo nemithambo yegazi - umfutho wegazi ophakeme, isifo senhliziyo, ukuhluleka kwenhliziyo;
• urinary isifo uhlelo - pyelonephritis, glomerulonephritis, urolithiasis;
• zokugula inkomba apharathasi - kwamathambo, i-osteoarthritis, i-rheumatoid arthritis.

Ngaphansi kokuqondisa udokotela ohlinzayo kukhona labo abaphethwe varicose emithanjeni, endarteritis, phlebitis, thrombophlebitis, post-resection nemiphumela.

Uma umtholampilo kukhona Ochwepheshe ewumngcingo kuzo zonke izindawo, isiguli ayibhaliswanga nge Umeluleki wakho wendawo kanye udokotela ophethe ngqo icala emtholampilo.

Ama-oda Okukhulu

ngokugadwa Clinical kwawo wonke amaqembu ngesisekelo eMnyango Wezempilo oda.

1. Inombolo ye-oda 1006n kusukela 12.03.12 "Ukuvunywa inqubo ukuhlolwa kwezempilo we abantu abadala."
2. Oda № 87n ka 06.03.15 On ukuvunyelwa izinhlobo imibhalo, esetshenziselwa ukwenza leyo misebenzi njengoba kokuqondisa emtholampilo.
3. Oda № 800 kusukela 18.06.11 sendlela bahlole njalo ka lempi nokuqaphelisisa Dispensary. I-oda esikhishwe eMnyango Wezokuvikela.

ezimali dispanserizuemyh

Ukuze ugcine ngaphansi kolawulo, ezidinga observation Dispensary sabantu, futhi ungaphuthelwa lutho olubaluleke, kukhona ekhethekile imibhalo wezokwelapha.

1. Inombolo ifomu 278 senziwa ezikhungweni amabhizinisi, ezemfundo kanye zasenkulisa kusengaphambili. Le datha luzakwenziwa umuntu ngamunye odlulayo ukuhlolwa esimisweni esivamile: igama eliphelele, usuku lokuhlolwa futhi imiphumela yokugcina.

Medical Ikhadi ambulatory nesineke ubhekwa idokhumenti main. Zonke amakhadi zigcinwa polyclinic ifayela iKhabhinethi. Ekhoneni eliphezulu kwesokudla umbala obomvu kuboniswa incwadi "D". Iphinde lichaza imbangela kanye usuku lokubhalisa. Ngemva kokwesula ukubhalisa lapha kugujwa usuku ukuphela. Idatha ibalazwe kulotshwe zonke izivivinyo nesineke ongoti, imiphumela ukuhlola, aphoyintimenti yokwelashwa. Lokhu kwenza udokotela wesifunda ukuhlola ukuphelela luhlolo kanye isimo jikelele isiguli.

3. Epicrisis igcwaliswe ekupheleni konyaka ngamunye, kwenziwa impinda. Esinye ethe njo ku sinenkonzo yokunakekela iziguli emakhaya khadi kanye namanye ithunyelwa uMnyango Statistics. Epicrisis wonke amasheke nezibonakaliso inhloko yomnyango.

4. Ifomu ZH30 - ikhadi ukulawula ebibanjelwe "D" -Accounting. Ibalazwe control wadala kuphela lula. Omunye mbhalo ihambisana umsindo nosological uhlobo lesi sifo. Basuke etholakala amabhokisi ezahlukene, kuya ngokuthi inyanga, lapho isiguli kufanele ibe ngokuzayo ukuza wokuhlola neluhlolo. abasebenzi bezokwelapha Isilinganiso sanyanga upheqa inkomba yekhadi, khetha ezigulini kufanele bahlolwe ngenyanga samanje, futhi uyithumele nenselele isidingo ukuza emtholampilo.

Ngokusekelwe imiphumela inhlolovo, odokotela isabelo zonke iziguli amaqembu elandelayo observation Dispensary:

• 1 iqembu - ngokusobala enempilo;
• Iqembu 2 - Iziguli abanezifo ngaphandle kokuphazamisa ikhono ukusebenza;
• 3 iqembu - Iziguli ezingamadoda nge ikhono kahle ukusebenza amafomu ezincane;
• Iqembu 4 - Iziguli ukukhubazeka eyaqinisa;
• Iqembu 5 - abantu ngokuphelele ekhubazekile ezidinga ukunakekelwa njalo futhi ukwelashwa.

Kusungulwa kweluhlelo ngabanye

Ekuqaleni plan ngamunye kubonisa umsebenzi kuchwepheshe ukuze isiguli esithile, njengoba umthwalo phezu odokotela bendawo mikhulu: phakathi kwabo inani elikhulu labantu abathola, kanye owelapha akakwazi ukukhumbula imininingwane ezincane ezingeni impilo isiguli esithile.

Esikhathini ingxenye plan ngamunye yesibili wenza amathiphu kanye neseluleko mayelana nokukhubazeka kanye nemibandela yokusebenza kungenzeka. Uma isiguli sine-ngezinga elithile ukukhubazeka, imigomo kubonakala observation Dispensary kanye nosuku kabusha luhlolo.

Isigaba esilandelayo luhlanganisa izeluleko ngokudla ukudla kanye nezikhathi lapho isiguli kufanele ihambisane ke. Libuye libonise ezingeni kungenzeka umzimba nomsebenzi.

Izici zezinyathelo zokulungisa kanye nokuvinjelwa azihlanganisi nje kuphela okubonisa ethize izidakamizwa, ngemithamo, futhi isikhathi isicelo sabo, kodwa futhi ichaza indlela yokwelapha (ngesimo Physiotherapy, ukwelashwa spa). luhlolo ngosuku oluthile njengoba kuboniswe ochwepheshe nesineke futhi, uma kunesidingo, kanye nokuthatha kuka-ochwepheshe bezokwelapha ekhaya.

luhlolo Clinical kwezingane

ngokugadwa Clinical izinsana labetibambile ngobuningi. Udokotela wezingane bahlola ingane njalo ngenyanga. Elilinganiswayo yakhe idatha anthropometric, jikelele, umsebenzi izitho ezibalulekile kanye nezinhlelo. Lokhu kuyadingeka hhayi nje ngobe kutawutfutfukisa ukuthola kwezinso, kodwa futhi ukuvimbela bevela futhi ekunqumeni propensity ukungenwa yizifo ezithile.

Dispensary okwashiwo isazi sezifo zezingane izingane wesifunda kuboniswa hhayi kuphela ukuze izinsana ezisanda, kodwa futhi ngoba iziguli engozini, abantu abanezifo nezingane alabo abangezanga kulo mhlangano zasenkulisa.

Indima umhlengikazi "D" -Accounting

Izifundo zokulandelisa iziguli ezidinga imali eshisiwe isikhathi kanye nemizamo. indima Kakhulu eyadlalwa abahlengikazi luhlolo emtholampilo. Imisebenzi umhlengikazi kuhlanganisa:

• nokugcina wokufaka dispanserizuemyh;
• ukuthumela izindaba iziguli ngesidingo ukuvakashela umtholampilo noma uchwepheshe othile;
• ukulawula khona;
• nokulungisa amaphepha ngaphambi lokuhlolwa okulandelayo;
• ukuqaliswa aphoyintimenti kadokotela;
• enza ukulawula enquma isiguli;
• ukunakekelwa ekhaya;
• Amarekhodi agcinwa.

Okokuqala ukuvakashelwa dispanserizuemogo ekhaya kungcono ukuchitha kanye nodokotela wakho. Kufanele sinake izimo zokuphila isiguli kanye inhlanzeko iziqondiso endaweni yokuhlala, ukuthola ukuthi ngubani uyakwazi ukunikeza ngayo yonke kudingekile, yena uhlala.