Uphenyo 17 esibhedlela eMoscow. izisebenzi zasesibhedlela

Esinye sezenzakalo ezibaluleke kakhulu ekuphileni kwezinceku noma ubani kithi Akukhona ukubukeka indoda kancane bomdabu. Kodwa isenzo lihlotshaniswa yizinselelo ezinkulu kanye nakho. Ukukhulelwa kuba Yiqiniso, akusona isifo, kodwa kuhambisana ukungakhululeki njalo zibangelwa izizathu ngisho izimo ezibuhlungu ezihlukahlukene. Futhi yimuphi umama ufuna ukubona umcimbi eside elindelwe awuzange lonakaliswe iyiphi sisezinhlungwini zokuziphatha noma izinkinga zempilo. ukunakekela okukhethekile abazali bakhokhe ukuphepha isikhungo sokwelapha kumama nengane, kanye imishini imishini nemakhono ladzingekile, ukucubungulisisa izibuyekezo izibhedlela ukukhetha ofanele kakhulu.

Iphrofayela lesikhungo

Maternity Hospital 17 eMoscow, laqala ukusebenza ngoDisemba 23, 1993, it is a isikhungo sezokwelapha onguchwepheshe iphrofayli "ukuzalwa ngaphambi kwesikhathi." Phakathi kwezindonga zayo ningakuqaphela onhlobonhlobo kokungenela izifo zabesifazane-azoya, kuhlanganise nokusetshenziswa basiza ubuchwepheshe zokuzala (ngaphandle kwesibeletho fertilization indlela) ukuze sihlinzeke usizo ezingane of yimuphi yinkimbinkimbi, njengoba yona ifakwe lahlukene nezinto ezidingekayo futhi igcwele abasebenzi abaqeqeshiwe wazibonela kakhulu.

Kakade ngo-2004, esibhedlela wathatha indlela ukusiza preterm zabasebenzi. Bakhandwa landiswa futhi ifakwe yonke imishini zobuchwepheshe amabhlogo for yokusiza umuntu ukuba aphefumule ezisanda kubelethwa kanye therapy olunzulu esikhathini kwangemva kokubeletha. Konke lokhu, kanye ezingeni eliphezulu ukuqeqeshwa odokotela-resuscitators kwenza lasebekhulile izingane nge isisindo esingaphansi 1000 g, singazalwa ngasikhathi amasonto 22 kuya ku-28. Izinga kusinda izingane ezindongeni kulesi sikhungo ifinyelela 77-80%, kanti esincane kunazo zonke kwezingu osanda kuzalwa bophulwe kuhlaziywe 560 amagremu. Isilinganiselwa womama izibhedlela we dolobha nalezi zindlela ubeka isikhungo phakathi kwabayishumi abaphasa ngamalengiso.

Izindonga zayo futhi uvikelekile uMnyango zokubelethisa and zabesifazane YaseMoscow Medical Academy. I. M. Sechenova nosihlalo izifo ebuntwaneni № 1 Pediatric Faculty Russian State Medical University, okuyiwona esibhedlela kuyinto base emtholampilo.

Indawo futhi ulwazi loxhumana naye

Nokubeletha House 17 Itholakala Northern kwesiFunda eMoscow emgwaqweni wokugubha 800th eMoscow, kule nombolo 22. Uma ufika ke by zokuthutha umphakathi, kuyoba lula ukufika metro station "Petrovsko-Razumovskaya" - eseduze kulesi sikhungo wezokwelapha, futhi kusukela ke № ibhasi 677 noma 149 № drive ukumisa "Isuphamakethe".

Bonke labo abafisa uvakashele esibhedlela 17, ikheli, inqubo yokwemukela yokubhalisa esibhedlela, amaphepha adingekayo kanye neminye imininingwane zenzuzo ngokushesha ucingo usizo - (499) 906-01-48, kanye reception - (499) 906-01-46. Lolu lwazi ayathola kuwebhusayithi esemthethweni esibhedlela.

Isakhiwo isikhungo

Ukuba esigcwele Perinatal Centre, esibhedlela kuhlanganisa iminyango elandelayo: zabesifazane, zokugula yokukhulelwa, womama, kwangemva kokubeletha, elibukelayo, iyunithi izinsana, labagula kakhulu futhi labagula ezisanda kubelethwa, futhi uphethwe kokubeletha kwesibhedlela womama. Ngaphezu kwalokho, kuneminyango ezintathu ukuthi anencazelo edolobheni kabanzi nangamaphesenti: e kokukhulelwa kwesibeletho, futhi zokweluleka nomnyango lekutfola ukuhlola kwangaphambi kokubeletha ne TSGL.

Ukuze abasebenzi, iziguli nezivakashi ifakwe iyunithi zokuphatha nomnotho, ikhemisi yangasese. kokubonisana Female ngaleso 17 esibhedlela libonisa LCD № 8, okuyinto iyunithi yayo kwesakhiwo, nakuba ngokwendawo ahlukaniswe, njengoba esisogwini kokubonisana Dmitrovsky Shosse. 135. Futhi iziguli esibhedlela ukhonza LCD № 4.

Ngaphakathi kwezindonga kwalesi sikhungo yezokwelapha iziguli esizayo ukuhlomisa imibhede 171 isiyonke zamahhovisi, zazo 40 kugcinelwe lo zokugula yokukhulelwa, imibhede 100 isibaluli ewadini for 25 abantu kubalwa umnyango zabesifazane nemibhede 6 zaba Chamber yokusiza umuntu ukuba aphefumule ezisanda kubelethwa. Esigcemeni ezisanda kubelethwa has izihlalo 100, zazo imibhede 22 ibekwe ngaphansi Chamber of observation 8 - iHhovisi ababelethwa kungakafiki isikhathi.

Kubalulekile kakhulu ukuthi kukhona labagula izinsana kokubeletha umnyango ukuhlola, ngaleso zokuqala zokukhula fetus izazi zokukhula kwezingane angathola khona iyiphi zokugula, okuzokwenza, ngangokunokwenzeka, ngisho nangaphambi kokuzalwa kwakhe isicelo eziningana izinyathelo zokulungisa isimo. Ukuze kube lula futhi ukuphepha seziguli ezisencane ihlelwe iwashi komsebenzi neonatology kanye yokusiza umuntu ukuba aphefumule ezingane. Ngesikhathi esifanayo womama iyunithi nganoma isiphi isikhathi sosuku noma ebusuku, ukulungele ukusiza womama ezintathu obelethisayo obulala izinzwa.

Iyunithi esibhedlela

Lesi sikhungo perinatal itholakala isakhiwo esinezitezi ezingu-eziyisikhombisa, elamiswa ngokuhambisana zonke izici ikusasa isikhungo sakho sezokwelapha, ikhumbula ngokucacile yayo kanye nephrofayili evelele yephrojekthi ngabanye, lapho inkululeko nentuthuko bathunjelwa akhawunti. Yonke iminyango esibhedlela kuthiwa behlukene, kodwa ngesikhathi esifanayo ube traffic elula, okwenza kube lula ukuze uthumele iziguli komunye. Mayelana induduzo ngokuhlala lapha bathi Izibuyekezo eziningi mayelana 17 esibhedlela.

Esitezi ikamelo reception, ebhaliswe iziguli engenayo. Nazi Igumbi likaSasha, itafula Ukudluliselwa, kanye amagumbi Umbuso indawo, ezifana egumbini sigqoka izinto, eyenzelwe izisebenzi iphuzu ukulethwa yelineni esihlanzekile. Ngaphezu kwalokho, kukhona ekhemisi evumela ukuthi iziguli noma izihlobo zabo ukuthenga imithi kudingekile ngaphandle kokushiya of isikhungo sakho sezokwelapha.

Eyesibili phansi Ngokuyinhloko izidingo abasebenzi esibhedlela ngqo, lapha ixazululwe Amahhovisi emahhovisi, ikamelo lengqungquthela, ishede lokugcina izincwadi nelineni, laboratory kanye nezinye izikhungo lobuchwepheshe. Futhi e esitezi sesibili kukhona Chamber of esibhedlela ngosuku.

Esitezi sesithathu kuhlala azoya (elibukelayo) umnyango. Inama amabhokisi double elineshawa ngabanye kanye yangasese, amakamelo amabili kwezidingo kanye igumbi lokuhlinzela encane. Esitezi sesithathu kukhona agcwele yokusebenza iyunithi.

Sesine liqukethe womama iyunithi, ehlanganisa 14 womama amabhokisi, ihlukaniswe linezingxenye ezimbili, okunikeza usizo abaqeqeshiwe ubusuku nemini ku ukuzalwa ezisanda kuzalwa. Parturient ophethe lapha isikhathi kokuthola noma ukudlulisa kusuka kwenye legatsha ukuze Ukuvalwa Uzalo nongqi amahora ambalwa ngemuva kwalokho. Phakathi nalesi sikhathi, isilinganiso ingane futhi okunamathiselwe yakhe esifubeni, wenza ukulawula ukubeletha okunempilo kanye nengane, ukwelashwa wenziwa ukulimala kwangemva kokubeletha ezithambile izicubu nezinye manipulations kudingekile, ekupheleni okuyinto kubhekwane udaba lokudluliselwa olusana nonina e uMnyango wezeMpilo ezifanele. Njengengxenye womama iyunithi has labagula izinzwa futhi olunzulu, esakhiwa amakamelo amabili yokusebenza ikamelo yokutakula. Ngesicelo isiguli ngesikhathi senqubo ye kokuzalwa kwengane kungase kube khona, futhi umyeni wakhe, ukuzivocavoca ukwesekwa zokuziphatha abazali, okwenza lokuzalwa e 17 esibhedlela lihlale kahle ngangokunokwenzeka. izisebenzi zasesibhedlela uzama ukuhlela inqubo ukulethwa ngangokunokwenzeka ngendlela engokwemvelo, ngaphandle kokusebenzisa ukuhlinzwa ezingadingekile nezidakamizwa.

Kwangemva Kokubeletha legatsha itholakala phansi 5th. Siqukethe samakamelo ahamba ngamabili, okuyinto ndawonye angomama nezingane zabo, futhi egumbini, "Umama Nengane" iziguli kumagumbi olulodwa, ifakwe yokugezela ngamunye kanye eshaweni. Izimo ezinjalo zihlanganisa omama abasanda owathola isandulela umsebenzi ikhokhwe. Kusukela main iyunithi izigceme ehlukile abesifazane emva kwesigaba cesarean noma ubani baba nezinkinga ngesikhathi sokubeletha adinga ukuqapha ngokucophelela yabasebenzi bezempilo.

Phansi lesithupha unikezwa ngaphansi umnyango zabesifazane. Kukhona amakamelo abahlomele yokusebenza, ukuze ihlolwe futhi igumbi ukwelashwa, kanye ultrasound ngedivayisi yayo ephathekayo ultrasound. Kule yunithi, afeze ezihlukahlukene manipulations izifo zabesifazane kanye nemisebenzi, kuhlanganise inqubo isisu ku bekhulelwe, abaye basetshenziswa ukuvimbela isisu, toxicosis, nokunye ukwelapha.

phansi Seventh kuhlanganisa uMnyango zokugula yokukhulelwa, kanye Physiotherapy kanye amabhokisi iziguli ezidinga ukuxilongwa kokubeletha.

Isandiso ezimbili storey yakhelwe ngaphansi ekhemisi egcwele, kokuba zonke izakhiwo ezidingekayo ukudala kwezimo ezifanele isitoreji zonke izigaba kwemikhiqizo zokwelapha, kanye eliqukethe umnyango laboratory kanye iIgama.

Uhlu amasevisi

Lapho belungiselela umcimbi obaluleke kanjalo empilweni yakho, efana ukuzalwa kwengane eside elindelwe, umama, uma kungenzeka, ihlose ukhethe isikhungo sokwelapha esifaneleka kunazo zonke, sihlola izindawo okwakubulawelwa kuzo isilinganiso womama izibhedlela hlandla kwenkululeko amasevisi anikezwa. Njengezinye izikhungo elihambisana iphrofayela yenhloko-dolobha, esibhedlela inikeza iziguli zayo azoya nokunakekela izifo zabesifazane ngokugcwele esimisweni MHI nakanjani free. Ingabe ekuhloleni, ukwelashwa kanye nezinqubo ezidingekayo kungakanani abakwaziyo kanye nokuhlola kuhlinzwa, ngokuvumelana kobufakazi udokotela oqokwe emtholampilo yabakhulelwe. Uhlu iyatholakala ngaphansi kwenqubomgomo amasevisi umshwalense wezokwelapha ayimpoqo lilinganiselwe, futhi uma isiguli ufuna uthole olunye ucwaningo noma ukuxhaphaza zokwelapha phezu uya khona, khona-ke kuyadingeka ukuba isivumelwano yomshuwalense yezokwelapha yokuzithandela.

VHI kakhulu wenabisa zinsiza etholakalayo, kodwa uhlu wabo namanje washo ngokucacile futhi kuhlanganisa omunye kokubonisana ngaphambi kokubeletha, lapho i Udokotela Wabesifazane we plan ukuzalwa oluzayo, eziningi ukuhlolwa ejwayelekile futhi yesikhathi esisodwa inkonzo ithimba "eziphuthumayo" (kufika ku-30 km ngaphandle eMoscow ) ekuqaleni inqubo ejwayelekile. Kuleso sibhedlela ngoba abesifazane abakhulelwe baye baphetha inkontileka for the kwezidingo, 17 ezibhedlela zokuqhuba umsebenzi pre-natal inikeza amandla amancane, sithwele phansi isikhathi kwenzeka kubhokisi ngabanye. Ekuzalweni zisebenzisa izinzwa yesimanje kanye nemishini zokuphefumula noma izinzwa epidural. Ngemva kokuzalwa, usana futhi unina ezibekwe ekamelweni elihlukile, nge ozikhethela ingane omama kungaba nalo noma ngokwehlukana. Wonke amathuluzi asetshenziswa labour ikhokhwe, futhi ngemva kwabo, ngesikhathi esisodwa, kanye nokufinyelela izindlela ezifana ucwaningo njengoba ultrasound futhi ukuqapha fetus inhliziyo.

Ngaphezu core, le nhlangano inikeza ngamasevisi ukunqoba izinkinga nenzalo. Ikakhulukazi, izindonga zawo iqhutshwa kwesibeletho fertilization, okuyinto has zonke ezidingekayo zobuchwepheshe imishini kanye ne kwabasebenzi abaqeqeshiwe.

Isevisi entsha amakilasi khulula eSikoleni sokulungiselela sokubelethisa, okuyinto kwahlelwa Septhemba 2013. Ayekholelwa masonto onke ngeMigqibelo ngesivumelwano ikamelo lengqungquthela.

UMnyango zokugula yokukhulelwa

SeTjhumi nokubeletha Isibhedlela inikeza sabesifazane abangakaze iyiphi inkinga enkulu kakhulu ekufezeni ukukhulelwa, ihlolwe futhi ukwelashwa okufanele emnyangweni sokukhulelwa egunjini lokuhlolwa kwezifo. Lapha, iziguli ngeso elibukhali ongoti - udokotela, ophthalmologist, izinzwa, kanye neminye, okuvumela zisuse enkingeni wasesukuma nika ukwelashwa okufanele noma usebenzise ukulethwa kuhlinzwa. Ngokusho kobufakazi ukunikeza uqeqesho zokwelapha inqubo bokubeletha. Thatha kule umnyango ukuqala at amasonto 30 okukhulelwa, ngaphambi kwalokho ithunyelwa iziguli izifo zabesifazane.

womama lesigceme

Lapho kuqala zomsebenzi noma umama okhulelwe njalo ithunyelwe isikhungo sokwelapha usizo olufanele. Lapha izinsana avele ngendlela evamile noma Ukubeletha, kodwa njengoba isikhungo inqophe ukunina nokubeletha zemvelo, kokungenela yezokwelapha isetshenziswa kancane, kuphela enemibandela kakhulu, eliphumela yokuthi ukubuyekezwa 17 esibhedlela akuzona umbala omuhle njalo. Ngesicelo isiguli ungathola izimo kangcono ukuhlala ngokukhipha inkontileka ukulethwa ikhokhwe, okuvumela ukuba ukhethe wayefisa professional lokuzalwa zesifazane, kube esikhathini esilandelayo ikamelo yangasese, okuyinto kuthuthukise induduzo. Lesi sakhiwo has yonke imishini ezidingekayo yesimanje, iziguli ukusebenzisa amasevisi we ochwepheshe abaningi abaqeqeshiwe.

Kokubeletha Chamber ihlanganise iziguli ezintathu. Njengoba isikhathi esithile owesifazane eguquliwe esabeletha, futhi ukubonakala wosana ukukhanya kuvela imigodi ukhululekile olulodwa ejwayelekile, futhi yiwo ogelezela phakathi ukuvezwa futhi ngokuqondile inqubo lokuzalwa. Kulokhu, kusukela ewadini ibekwe njengoba bokuphila, uvunyelwe khulula ukuziphatha nesineke lapho ebeletha. Ngesicelo yakhe futhi kungenzeka umyeni wakhe ekhona. Ngemva kokuphothula inqubo ngokwesiko ukwenza inkumbulo osanda kuzalwa isithombe. Ukuze athobele isimiso izitho zomzimba, ingane emva kokuzalwa ngokushesha zisakazwa esiswini sikamama ngokujovwa, futhi emva isilinganiso nokuhlolwa, ngisho egumbini ukulethwa, bonisani kuqala okunamathiselwe ingane ebeleni, ngale ndlela ukuthi kwakuyizwi labaluleke kakhulu ekuthuthukisweni kwe-mzimba imvuthu ukuzivikela colostrum amathonsi. Ngaphansi inkontileka, ungakwazi oda isevisi seqoqo enkabeni intambo igazi ukuze ukuhlukanisa amaseli stem.

kwangemva kokubeletha iyunithi

Phakathi nenkathi emva kokubeletha ngumama ingane zitholakala emakamelweni ibalwa imibhede emibili. Omunye izikhungo zokwelapha ukuthi sihlinzeke izinhlelo e zokubelethisa, isibhedlela 17, okuyinto ngokwesiko izisebenzi uzama ukuqinisekisa ukuhlala ahlangene ingane nonina, ngaphandle uma kunezizathu Izimo sina kule ngesimo izinkinga zempilo esikhathini phi of them. Izingane ukunikeza abanye imibhede akhethekile ngabanye ukushintsha amatafula. Shower nezindlu zangasese yakhelwe emakamelweni amabili. Seziqa kuyinto ephasishi ezivamile. Kungenzeka ukushiya imikhiqizo adluliselwe ngokugcwalisa kubo ngokuhambisana nemithetho yokutholwa ehhovisi. Ezigulini ngemva cesarean ayihlomele iyunithi ehlukile, lapho ihlelwe ukuqapha okukhethekile. Lokhu kuvumela isikhathi ukuqaphela enkingeni ezivukayo futhi ukuvimbela yezinkinga kungenzeka, kanye ikhuthaza ngokushesha xaxa lithathelwe inqubo ngemuva kokuhlinzwa besisu.

Ukuze ezigulini eziye ekhishwe inkontileka zabasebenzi esikhokhelwayo, kukhona ekhethekile gumbi "Umama Nengane" nge emakamelweni ngazinye, ifakwe konke ababekudinga ukuze ukuhlala ukhululekile, kanye yangasese kanye eshaweni.

Izici yomnyango observation

Ukuze zokuphepha, ikakhulukazi ukuvimbela ukusabalala ukutheleleka, anake noma imuphi omunye esibhedlela. isikhungo Perinatal Ubuye iyunithi ehlukile, okuyinto esibhedlela esincane, okuhloswe ukwehlukanisa iziguli ukhulelwe noma kwangemva kokubeletha kuboniswe. Abangane abanjalo bangakwenza ungabe kubhekwe ukulethwa labesifazane abakhulelwe izimpawu zanoma iyiphi ukutheleleka, imfiva of omsakazo ezingaziwa, ukuthutha amasosha omzimba yesifo sokusha kwesibindi kohlobo B no-C, khona igebe anhydrous phezu amahora 12 izifo kwangemva kokubeletha ukonakala (endometritis, suppuration ezivuzayo perineum nokunye okunjalo ).

Uma abesifazane abakhulelwe nasemkhakheni umnyango zokugula, ukukhomba yisiphi isifo esithathelwanayo, nazo idluliselwe block ubonwa ngamehlo ezibukwayo. Ekuzalweni uyilungiselelo ezikhethekile yezokwelapha ngayo lapho usana nonina futhi babezimisele kule module. Ngo oyiyo kukhona iyunithi ehlukile lokuzalwa, yokusebenza ayo futhi izigceme izinsana. module Observational inikeza izimfuno kakhudlwana ngoba umbuso sanitary ngokuya yokuhlanza kanye magciwane kwezakhiwo, imishini kanye nezinye izinto. It kungavunyelwe ngaphansi indawo ahlangene usana nonina, ngoba ukuba khona ukutheleleka wakhe noma yezinkinga ubovu-ukonakala bokubeletha kuyiqiniso enganeni enkulu yokuba nezifo. Imibuzo ibele anqume ngokomuntu siqu esimweni ngasinye.

nobufakazi

Noma yisiphi isikhungo esihlinzeka izinsizakalo emphakathini luphambene bamukele imibono nemisebenzi yabo. Kuyinto ayihlukile neze futhi lokhu isikhungo sezokwelapha. Uphenyo 17 esibhedlela ngempela ahlukahlukene, kodwa inothi imishini abahle ngempela wonke amagatsha izinto zokwelapha nezinye izimpahla. Zonke izikhungo zihlukaniswe amamojuli ezincane, okuyinto ahlelwe ekamelweni ukhululekile, okuyinto Kuyaqapheleka futhi njengoba omuhle ex-nesineke. Kukhona inani ezingezinhle, okuyinto ngenxa, kanye kokuba impendulo engeyinhle izibhedlela nezinye izifunda enhloko-dolobha, ngokuyinhloko umsebenzi izisebenzi. Othile ekhononda ukunganakwa phezu ingxenye obstetricians abangenayo usizo ngokwanele nengane ngesikhathi nangemuva kokuzalwa komntwana. Kodwa lezi zici ziyahlukahluka, njengoba zibangelwa yezizathu ezihlukahlukene kwamandla indoda.

Ngakho, isikhungo sokunakekela impilo kuyinto omele njengabawufanelekele izikhungo ezihlinzeka usizo zokubelethisa. kukhona izinto ezinhle:

- ikhono ukwamukela nezingane ekungeyona eyakhe ngongqimba ezibucayi umzimba;

- ukutholakala laboratory zokuxilonga, ukufeza lonke uhla izifundo ezidingekayo, futhi ukwehlukana IVF.

Ngakho-ke, naphezu elithile engemihle, izibuyekezo mayelana 17 esibhedlela kukhona umbala ikakhulukazi omuhle, okuyinto wenza sikwazi batusa it omama abakhulelwe ngoba ukuvela ingane iyazalwa. Lokhu ukusungulwa kufanelekile ikakhulukazi kulabo igxile nokubeletha zemvelo nokugcina ibele. Phela, kokungenela lapha yezokwelapha futhi kuhlinzwa sisetshenziswa kuphela ezimweni ezimbi kakhulu, uma ubufakazi obuhilelekile. Ngu kuhlomisa esibhedlela akunakubangelwa izikhungo eziyishumi best of isakhiwo esifanayo yenhloko-dolobha.