5 курс / Госпитальная педиатрия / Консультирование_по_ВИЧ_и_вскармливанию_грудных_детей_для_директора
.pdf
9. Ɇɚɬɟɪɢɚɥɵ ɞɥɹ ɤɨɩɢɪɨɜɚɧɢɹ |
65 |
ɉɪɢɦɟɪ Ⱦ: ɉɨɜɬɨɪɹɸɳɟɟɫɹ ɡɚɛɨɥɟɜɚɧɢɟ
ȼɵ ɩɪɢɲɥɢ ɩɨ ɫɥɟɞɭɸɳɟɣ ɩɪɢɱɢɧɟ:
Ⱦɚɜɢɞɭ 12 ɦɟɫɹɰɟɜ. Ɉɧ ɱɚɫɬɨ ɛɨɥɟɟɬ, ɢ ɜɚɦ ɩɪɢɯɨɞɢɬɶɫɹ ɪɟɝɭɥɹɪɧɨ ɩɪɢɧɨɫɢɬɶ ɟɝɨ ɞɥɹ ɨɫɦɨɬɪɚ.
Ⱦɚɜɢɞ ɩɨɥɭɱɚɥ ɜ ɩɟɪɜɵɟ ɲɟɫɬɶ ɦɟɫɹɰɟɜ ɞɟɬɫɤɢɟ ɫɦɟɫɢ, ɢɡɝɨɬɨɜɥɟɧɧɵɟ ɩɪɨɦɵɲɥɟɧɧɵɦ ɫɩɨɫɨɛɨɦ. ȼɵ ɬɳɚɬɟɥɶɧɨ ɫɨɛɥɸɞɚɥɢ ɩɪɚɜɢɥɚ ɝɢɝɢɟɧɵ ɩɪɢ ɩɪɢɝɨɬɨɜɥɟɧɢɢ ɩɢɬɚɧɢɹ. ȼɵ ɫɨɛɥɸɞɚɥɢ ɩɪɨɩɨɪɰɢɢ ɩɪɢ ɢɡɝɨɬɨɜɥɟɧɢɢ ɝɨɬɨɜɨɝɨ ɩɢɬɚɧɢɹ ɢɡ ɫɦɟɫɟɣ. ȼɵ ɩɪɨɞɨɥɠɚɟɬɟ ɞɚɜɚɬɶ ɟɦɭ ɦɨɥɨɤɨ, ɚ ɬɚɤɠɟ ɩɹɬɶ ɪɚɡ ɜ ɞɟɧɶ ɞɚɟɬɟ ɟɦɭ ɨɛɵɱɧɭɸ ɞɨɦɚɲɧɸɸ ɩɢɳɭ, ɯɨɬɹ ɢɧɨɝɞɚ ɨɧ ɟɫɬ ɫɨɜɫɟɦ ɧɟɦɧɨɝɨ ɢ ɛɟɡ ɚɩɩɟɬɢɬɚ.
ɍ Ⱦɚɜɢɞɚ ɧɟɫɤɨɥɶɤɨ ɪɚɡ ɛɵɥɚ ɫɢɥɶɧɚɹ ɞɢɚɪɟɹ, ɩɨɫɥɟ ɤɨɬɨɪɨɣ ɬɪɟɛɨɜɚɥɨɫɶ ɦɧɨɝɨ ɜɪɟɦɟɧɢ ɞɥɹ ɟɝɨ ɢɡɥɟɱɟɧɢɹ. Ⱦɜɚ ɦɟɫɹɰɚ ɧɚɡɚɞ ɭ ɧɟɝɨ ɛɵɥɚ ɫɢɥɶɧɚɹ ɩɪɨɫɬɭɞɚ ɫ ɡɚɬɪɭɞɧɟɧɧɵɦ ɞɵɯɚɧɢɟɦ. ȿɝɨ ɥɟɱɢɥ ɜɪɚɱ ɜ ɛɨɥɶɧɢɰɟ. ȼɵ ɨɱɟɧɶ ɛɨɢɬɟɫɶ, ɱɬɨ ɭ Ⱦɚɜɢɞɚ ɦɨɠɟɬ ɛɵɬɶ ȼɂɑ.
Ʌɂɇɂə ɊȺɁɊȿɁȺ ----------------------------------------------------------------------------------------------
ɂɫɬɨɪɢɹ Ⱦ
66 |
9. Ɇɚɬɟɪɢɚɥɵ ɞɥɹ ɤɨɩɢɪɨɜɚɧɢɹ |
Ɉɰɟɧɨɱɧɵɣ ɨɩɪɨɫɧɵɣ ɥɢɫɬ
Ⱦɥɹ ɬɨɝɨ, ɱɬɨɛɵ ɦɵ ɫɦɨɝɥɢ ɭɥɭɱɲɢɬɶ ɩɪɟɩɨɞɚɜɚɧɢɟ ɧɚ ɤɭɪɫɟ ɜ ɛɭɞɭɳɟɦ, ɹ ɩɪɨɲɭ ɜɫɟɯ ɜɚɫ ɡɚɩɨɥɧɢɬɶ ɷɬɨɬ ɨɩɪɨɫɧɵɣ ɥɢɫɬ.
1.Ʉɨɪɨɬɤɨ ɨɩɢɲɢɬɟ, ɤɚɤ ɜɚɲɚ ɪɚɛɨɬɚ ɫɜɹɡɚɧɚ ɫ ɦɚɬɟɪɹɦɢ ɢ ɢɯ ɞɟɬɶɦɢ. ȼ ɤɚɤɨɦ ɜɢɞɟ ɭɱɪɟɠɞɟɧɢɹ ɜɵ ɪɚɛɨɬɚɟɬɟ (ɧɚɩɪɢɦɟɪ, ɛɨɥɶɧɢɰɚ, ɪɨɞɢɥɶɧɵɣ ɞɨɦ, ɩɨɥɢɤɥɢɧɢɤɚ, ɱɚɫɬɧɚɹ ɩɪɚɤɬɢɤɚ ɢ ɬ.ɞ.)?
2.ɑɬɨ ɜɵɡɜɚɥɨ ɨɫɨɛɨɟ ɡɚɬɪɭɞɧɟɧɢɟ ɞɥɹ ɜɚɫ ɥɢɱɧɨ ɜɨ ɜɪɟɦɹ ɨɛɭɱɟɧɢɹ ɧɚ ɤɭɪɫɟ?
3.ȼ ɤɚɠɞɨɣ ɫɬɪɨɤɟ, ɩɨɫɜɹɳɟɧɧɨɣ ɨɩɪɟɞɟɥɟɧɧɨɦɭ ɜɢɞɭ ɪɚɛɨɬɵ ɧɚ ɤɭɪɫɟ, ɜɵɛɟɪɢɬɟ ɨɞɢɧ ɢɡ ɜɚɪɢɚɧɬɨɜ ɨɬɜɟɬɚ ɢ ɩɨɫɬɚɜɶɬɟ ɜ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɣ ɝɪɚɮɟ ɝɚɥɨɱɤɭ. ɗɬɨ ɛɭɞɟɬ ɨɬɪɚɠɚɬɶ ɜɚɲɟ ɦɧɟɧɢɟ ɨ ɬɨɦ, ɱɬɨ ɞɚɧɧɨɦɭ ɜɢɞɭ ɪɚɛɨɬɵ ɛɵɥɨ ɭɞɟɥɟɧɨ ɫɥɢɲɤɨɦ ɦɚɥɨ ɜɪɟɦɟɧɢ, ɢɥɢ ɫɥɢɲɤɨɦ ɦɧɨɝɨ ɜɪɟɦɟɧɢ, ɢɥɢ ɪɨɜɧɨ ɫɬɨɥɶɤɨ ɜɪɟɦɟɧɢ, ɫɤɨɥɶɤɨ ɛɵɥɨ ɧɟɨɛɯɨɞɢɦɨ.
|
|
Ȼɵɥɨ ɡɚɬɪɚɱɟɧɨ ɜɪɟɦɟɧɢ: |
|
||
ȼɢɞ ɪɚɛɨɬɵ |
|
|
|
|
|
|
ɋɥɢɲɤɨɦ ɦɚɥɨ |
|
ɋɬɨɥɶɤɨ, ɫɤɨɥɶɤɨ |
ɋɥɢɲɤɨɦ ɦɧɨɝɨ |
|
|
|||||
|
|
|
ɛɵɥɨ ɧɟɨɛɯɨɞɢɦɨ |
|
|
|
|
|
|
|
|
Ʌɟɤɰɢɹ ɫ ɩɨɤɚɡɨɦ |
|
|
|
|
|
ɜɢɡɭɚɥɶɧɵɯ ɦɚɬɟɪɢɚɥɨɜ |
|
|
|
|
|
ɩɪɢ ɩɨɦɨɳɢ ɩɪɨɟɤɬɨɪɚ |
|
|
|
|
|
|
|
|
|
|
|
Ⱦɟɦɨɧɫɬɪɚɰɢɹ |
|
|
|
|
|
ɩɪɚɤɬɢɱɟɫɤɢɯ ɧɚɜɵɤɨɜ |
|
|
|
|
|
ɢ ɭɦɟɧɢɣ |
|
|
|
|
|
|
|
|
|
|
|
Ⱦɟɦɨɧɫɬɪɚɰɢɹ ɧɚɜɵɤɨɜ |
|
|
|
|
|
ɢ ɭɦɟɧɢɣ, |
|
|
|
|
|
ɧɟɨɛɯɨɞɢɦɵɯ ɞɥɹ |
|
|
|
|
|
ɩɪɨɜɟɞɟɧɢɹ |
|
|
|
|
|
ɤɨɧɫɭɥɶɬɢɪɨɜɚɧɢɹ |
|
|
|
|
|
|
|
|
|
|
|
Ƚɪɭɩɩɨɜɚɹ ɪɚɛɨɬɚ ɫ 4-5 |
|
|
|
|
|
ɭɱɚɫɬɧɢɤɚɦɢ |
|
|
|
|
|
|
|
|
|
|
|
4.Ʉɚɤɚɹ, ɩɨ ɜɚɲɟɦɭ ɦɧɟɧɢɸ, ɩɨɬɪɟɛɭɟɬɫɹ ɜɚɦ ɩɨɦɨɳɶ ɩɨɫɥɟ ɡɚɜɟɪɲɟɧɢɹ ɞɚɧɧɵɯ ɤɭɪɫɨɜ, ɤɨɬɨɪɚɹ ɛɭɞɟɬ ɫɩɨɫɨɛɫɬɜɨɜɚɬɶ ɭɥɭɱɲɟɧɢɸ ɤɨɧɫɭɥɶɬɢɪɨɜɚɧɢɹ ȼɂɑ-ɢɧɮɢɰɢɪɨɜɚɧɧɵɯ ɦɚɬɟɪɟɣ ɜ ɜɚɲɟɣ ɨɪɝɚɧɢɡɚɰɢɢ (ɭɱɪɟɠɞɟɧɢɢ)?
5.ɑɬɨ ɧɚɞɨ ɫɞɟɥɚɬɶ, ɱɬɨɛɵ ɭɥɭɱɲɢɬɶ ɫɨɞɟɪɠɚɧɢɟ ɢ/ɢɥɢ ɨɪɝɚɧɢɡɚɰɢɸ ɷɬɨɝɨ ɤɭɪɫɚ ɜ ɛɭɞɭɳɟɦ?
67
|
Ɉɱɟɧɶ |
|
ɑɚɫɬɢɱɧɨ |
ɉɨɥɶɡɚ |
|
ɇɚɡɜɚɧɢɟ ɡɚɧɹɬɢɹ |
ɩɨɥɟɡɧɨɟ |
ɉɨɥɟɡɧɨɟ |
ɩɨɥɟɡɧɨɟ |
ɨɬɫɭɬɫɬɜɭɟɬ |
Ʉɨɦɦɟɧɬɚɪɢɢ |
|
|
|
|
|
|
Ɂɚɧɹɬɢɟ 1 |
|
|
|
|
|
Ɉɛɡɨɪ ȼɂɑ-ɢɧɮɟɤɰɢɢ ɢ ɤɨɪɦɥɟɧɢɹ |
|
|
|
|
|
ɦɥɚɞɟɧɰɚ |
|
|
|
|
|
|
|
|
|
|
|
Ɂɚɧɹɬɢɟ 2 |
|
|
|
|
|
Ʉɨɧɫɭɥɶɬɢɪɨɜɚɧɢɟ ɩɨ ɬɟɫɬɢɪɨɜɚɧɢɸ |
|
|
|
|
|
ȼɂɑ-ɢɧɮɟɤɰɢɢ ɢ ɜɵɛɨɪɭ ɜɚɪɢɚɧɬɚ |
|
|
|
|
|
ɤɨɪɦɥɟɧɢɹ ɦɥɚɞɟɧɰɚ |
|
|
|
|
|
|
|
|
|
|
|
Ɂɚɧɹɬɢɟ 3 |
|
|
|
|
|
ɂɧɬɟɝɪɢɪɨɜɚɧɧɨɟ ɜɟɞɟɧɢɟ ȼɂɑ- |
|
|
|
|
|
ɢɧɮɢɰɢɪɨɜɚɧɧɨɣ ɠɟɧɳɢɧɵ ɢ ɟɟ |
|
|
|
|
|
ɪɟɛɟɧɤɚ |
|
|
|
|
|
|
|
|
|
|
|
Ɂɚɧɹɬɢɟ 4 |
|
|
|
|
|
ȼɚɪɢɚɧɬɵ ɤɨɪɦɥɟɧɢɹ ɝɪɭɞɧɵɦ |
|
|
|
|
|
ɦɨɥɨɤɨɦ |
|
|
|
|
|
|
|
|
|
|
|
Ɂɚɧɹɬɢɟ 5 |
|
|
|
|
|
Ɂɚɦɟɫɬɢɬɟɥɶɧɨɟ ɤɨɪɦɥɟɧɢɟ ɜ ɩɟɪɜɵɟ |
|
|
|
|
|
ɲɟɫɬɶ ɦɟɫɹɰɟɜ ɠɢɡɧɢ |
|
|
|
|
|
|
|
|
|
|
|
Ɂɚɧɹɬɢɟ 6 |
|
|
|
|
|
ɉɨɞɝɨɬɨɜɤɚ ɤ ɩɪɚɤɬɢɱɟɫɤɨɦɭ ɡɚɧɹɬɢɸ |
|
|
|
|
|
|
|
|
|
|
|
Ɂɚɧɹɬɢɟ 7 |
|
|
|
|
|
Ɉɛɡɨɪ ɧɚɜɵɤɨɜ ɤɨɧɫɭɥɶɬɢɪɨɜɚɧɢɹ |
|
|
|
|
|
|
|
|
|
|
|
68
Ɂɚɧɹɬɢɟ 8 Ƚɢɝɢɟɧɚ ɩɢɬɚɧɢɹ ɢ ɩɪɢɟɦɵ ɤɨɪɦɥɟɧɢɹ
Ɂɚɧɹɬɢɟ 9 Ɂɚɦɟɫɬɢɬɟɥɶɧɨɟ ɤɨɪɦɥɟɧɢɟ ɫ 6 ɞɨ 24 ɦɟɫɹɰɟɜ ɠɢɡɧɢ ɪɟɛɟɧɤɚ
Ɂɚɧɹɬɢɟ 10 ɉɪɢɝɨɬɨɜɥɟɧɢɟ ɦɨɥɨɱɧɵɯ ɫɦɟɫɟɣ – ɢɡɦɟɪɟɧɢɟ ɨɛɴɟɦɚ
Ɂɚɧɹɬɢɟ 11 ɉɪɢɝɨɬɨɜɥɟɧɢɟ ɦɨɥɨɱɧɵɯ ɫɦɟɫɟɣ – ɩɪɚɤɬɢɱɟɫɤɢɟ ɭɩɪɚɠɧɟɧɢɹ
Ɂɚɧɹɬɢɟ 12 Ɉɛɟɫɩɟɱɟɧɢɟ ɡɚɦɟɧɢɬɟɥɹɦɢ ɝɪɭɞɧɨɝɨ ɦɨɥɨɤɚ
Ɂɚɧɹɬɢɟ 13 ɋɬɨɢɦɨɫɬɶ ɡɚɦɟɫɬɢɬɟɥɶɧɨɝɨ ɤɨɪɦɥɟɧɢɹ
Ɂɚɧɹɬɢɟ 14 ȼɵɛɨɪ ɜɚɪɢɚɧɬɚ ɤɨɪɦɥɟɧɢɹ ɦɥɚɞɟɧɰɚ
Ɂɚɧɹɬɢɟ 15 Ɉɛɭɱɟɧɢɟ ɡɚɦɟɫɬɢɬɟɥɶɧɨɦɭ ɤɨɪɦɥɟɧɢɸ
Ɂɚɧɹɬɢɟ 16 ɉɨɫɥɟɞɭɸɳɟɟ ɧɚɛɥɸɞɟɧɢɟ ɡɚ ɞɟɬɶɦɢ
ȼɂɑ-ɢɧɮɢɰɢɪɨɜɚɧɧɵɯ ɦɚɬɟɪɟɣ
Ɂɚɧɹɬɢɟ 17 ɉɨɞɞɟɪɠɤɚ ɨɛɳɢɧɵ ɞɥɹ ɨɩɬɢɦɚɥɶɧɨɝɨ ɤɨɪɦɥɟɧɢɹ ɦɥɚɞɟɧɰɚ