|
Q o rin g a quloq tu tib k o ‘rish
{auskultatsiyd)
Q o r i n n i n g kattaligi v a shakliga q a r a b b a c h a d o n d a h o m ila
( h o m ila d o r lik n in g keyingi m u d d a tla r id a ) yoki o ‘s m a borligini
bilib b o l m a g a n d a , q o r in g a q u lo q solib k o ‘rish
(auskultatsiya
qilish) z a m r . H o m ila d o r lik d a q o r in g a q u lo q solib h o m ila n in g
y u r a k u rish i, q im ir la s h i, b a c h a d o n s h o v q in la r i a n i q l a n a d i.
B a c h a d o n n aylariga h a v o b e r ilg a n d a h a m q o rin g a q u lo q solib
k riladi. B a c h a d o n naylariga h a v o b e rilg a n d a n a y n in g a m p u -
la r u c h i d a n c h i q a y o t g a n h a v o s h o v q i n i n i b a ’z a n e s h its a
boNadi.
U m u m i y p e r it o n i t d a q o rin g a q u lo q solib k o ‘rilsa, ichak
pe rista ltik a si t o ‘x tab q o lg a n i sab a b li ic h a k s h o v q in la r in in g
b a t a m o m y o ‘q olganligi bilinadi.
7i\----
/ ’ s
15-rasm .
Q o r i n n i
p e r k u -
s s i y a q i l i s h
( y o ' n a l i s h i
p u n k t i r c h i z i q b i l a n
k o ' r s a t i l g a n ) .
35
T ash q i jin siy a ’z o la rn i k o ‘zd an k ech irish
T a sh q i jin siy a ’z o la rn i k o 'z d a n k e c h irish u c h u n b e m o r
g in e k o lo g ik kresloga yotqiziladi.
D a stla b b e m o r n i n g qoviga e ’t i b o r beriladi: q o v shakli, teri
ostidagi y o g ‘ q a t l a m i n i n g h o la ti, j u n x a ra k te ri q a y d qilin a d i.
Y o ‘l-y o 4 a k a y s o n n in g ichki yuzalari k o ‘z d a n k e c h irila d i (bi-
chilganligi, e k z e m a , k o n d i l o m a , v a r ik o z tu g u n l a r b o r - y o ‘qligi).
S o 'n g r a k a tta va k ich ik jin s iy la b la r (kattaligi, sh ish , yara,
o ls m a , v a r ik o z tu g u n l a r ,
k o n d i l o m a l a r b o r - y o bqligi, jin s iy
y o riq n in g y u m ilis h d arajasi, ora liq yirtilganligi, y a m o q lig i) va
n ih o y a t, o r q a c h iq a r u v teshigi sohasi ( g e m o r r o id a l tu g u n la r,
y o riq la r, k o n d ilo m a la r , y a r a la r borligi, shilliq p a r d a s in in g ta s h -
q a r ig a c h i q i b q o lg a n lig i) k o ‘z d a n k e c h ir i la d i.
K e y in q in
d a h l i z i n i k o ‘z d a n k e c h ir is h m a q s a d i d a ji n s iy l a b l a r c h a p
qoMning b o s h b a r m o g ‘i va o ‘rta b a r m o q b ila n keriladi (1 6 -
ra sm ). Bu y e r d a k litor (shakli, kattaligi, rivojlanish n u q s o n -
lari), u re tr a tash q i teshigi shilliq p a r d a s in in g h o la ti (p o lip la r
borligi, u r e tr a d a n a jra la y o tg a n a jr a lm a la r x a r a k te ri), p a r a u -
retral y o i l a r (yalligNanish borligi, yiringli tiq ilm a la r ), katta
va k ich ik jin siy la b la rn in g ichki yuzasi (shilliq p a r d a s in in g
h o la ti, p ig m e n ta tsiy a si, y aralari b o r - y o ‘qligi), qizlik pardasi
(b u tu n lig i, yirtilish shakli, y a m o q -
la rin in g h o la ti), o r q a t o r t m a (yirtil
g a n l i g i , y a m o q l a r i )
k o ' z d a n
k e
chiriladi.
Q in d ah liz ig a qizlik p a r d a s in in g
old in g i va ta s h q i t o m o n i d a B artolini
b e z la r i n i n g c h i q a r i s h yoNlari ikki
y o q d a n o c h ila d i. C h iq a r is h yoNining
te sh ig in i s in c h ik la b k o T i s h k erak ,
a j r a l m a l a r n i n g x a r a k t e r i ,
s o ‘z a k
do g N a rin in g m avjudligi, te s h ik a tr o -
f i n i n g s h i s h g a n l i g i, q i z a r g a n l i g ig a
e ’t i b o r beriladi.
Q i n d a h liz in in g shilliq p ard asin i
k o ‘z d a n k e c h ir g a n d a sh u p a r d a n in g
s i a n o z i g a ( k o ‘k a r g a n lig ig a ) e ’t i b o r
og‘zini ko‘zdan kechirish.
b e r ila d i.
S i a n o z c h a n o q d a o ‘s m a
16-rasm.
Ichki
tekshirishdan oldin tashqi
jinsiy a’zolar va qin
36
b o rligini, b a c h a d o n n i n g n o t o lg bri jo y lash g an lig i tufayli q o n n ing
d im la n ib q o lg a n lig in i yoki h o m ila borligini bildiradi va h.k.
Q in d e v o r la rin in g pastga tu s h ish yoki ta s h q a r ig a c h iq ib
qolish h o d isa la rin i a n iq la s h u c h u n b e m o r n i k u c h a n tir is h yoki
y o bta ltirish kerak.
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