بوکلت مراقبت ادغام یافته ماد PDF

‫ﺑﺮﻧﺎﻣﻪ ﮐﺸﻮﺭﯼ ﻣﺎﺩﺭﯼ ﺍﯾﻤﻦ‬ ‫ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺍﺩﻏﺎﻡ ﯾﺎﻓﺘﻪ ﺳﻼﻣﺖ ﻣﺎﺩﺭﺍﻥ‬ ‫)ﺭﺍﻫﻨﻤﺎﯼ ﺧﺪﻣﺎﺕ ﺧﺎﺭﺝ ﺑﯿﻤﺎﺭﺳﺘﺎﻧﯽ(‬ ‫ﻭﯾﮋﻩ ﻣﺮﺍﻗﺐ ﺳﻼﻣﺖ ‪ -‬ﺑﻬﻮﺭﺯ‬ ‫ﺗﺠﺪﯾﺪ ﻧﻈﺮ ﻧﻬﻢ‬ ‫‪١٤٠٢‬‬ ‫‪1‬‬ ...

‫ﺑﺮﻧﺎﻣﻪ ﮐﺸﻮﺭﯼ ﻣﺎﺩﺭﯼ ﺍﯾﻤﻦ‬ ‫ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺍﺩﻏﺎﻡ ﯾﺎﻓﺘﻪ ﺳﻼﻣﺖ ﻣﺎﺩﺭﺍﻥ‬ ‫)ﺭﺍﻫﻨﻤﺎﯼ ﺧﺪﻣﺎﺕ ﺧﺎﺭﺝ ﺑﯿﻤﺎﺭﺳﺘﺎﻧﯽ(‬ ‫ﻭﯾﮋﻩ ﻣﺮﺍﻗﺐ ﺳﻼﻣﺖ ‪ -‬ﺑﻬﻮﺭﺯ‬ ‫ﺗﺠﺪﯾﺪ ﻧﻈﺮ ﻧﻬﻢ‬ ‫‪١٤٠٢‬‬ ‫‪1‬‬  ‫ﺷﻨﺎﺳﻨﺎﻣﻪ ﮐﺘﺎﺏ ﻭ ﻓﯿﭙﺎ‬ ‫ﻋﻨﻮﺍﻥ ﮐﺘﺎﺏ‪ :‬ﺑﺮﻧﺎﻣﻪ ﮐﺸﻮﺭﯼ ﻣﺎﺩﺭﯼ ﺍﯾﻤﻦ‪ :‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺍﺩﻏﺎﻡ ﯾﺎﻓﺘﻪ ﺳﻼﻣﺖ ﻣﺎﺩﺭﺍﻥ‬ ‫ﺗﺎﻟﯿﻒ‪ :‬ﻭﺯﺍﺭﺕ ﺑﻬﺪﺍﺷﺖ‪ ،‬ﺩﺭﻣﺎﻥ ﻭ ﺁﻣﻮﺯﺵ ﭘﺰﺷﮑﯽ‪ ،‬ﻣﺮﮐﺰ ﺟﻮﺍﻧﯽ ﺟﻤﻌﯿﺖ‪ ،‬ﺧﺎﻧﻮﺍﺩﻩ ﻭ ﻣﺪﺍﺭﺱ‪ ،‬ﺍﺩﺍﺭﻩ ﺳﻼﻣﺖ ﻣﺎﺩﺭﺍﻥ‪١٤٠٢ ،‬‬ ‫ﻃﺮﺡ ﻭ ﺍﺟﺮﺍ‪:‬‬ ‫ﻧﺎﺷﺮ‪:‬‬ ‫ﻧﻮﺑﺖ ﭼﺎﭖ‪ :‬ﻧﻬﻢ‬ ‫ﺗﯿﺮﺍﮊ‪:‬‬ ‫ﺷﺎﺑﮏ‪:‬‬ ‫‪2‬‬  ‫ﻓﻬﺮﺳﺖ‬ ‫ﺻﻔﺤﻪ‬ ‫ﻋﻨﻮﺍﻥ‬ ‫‪٥‬‬ ‫ﺁﺷﻨﺎﯾﯽ ﺑﺎ ﻣﺠﻤﻮﻋﻪ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺍﺩﻏﺎﻡ ﯾﺎﻓﺘﻪ ﺳﻼﻣﺖ ﻣﺎﺩﺭﺍﻥ‬ ‫‪٨‬‬ ‫ﺟﺪﺍﻭﻝ ﺭﺍﻫﻨﻤﺎﯼ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﭘﯿﺶ ﺍﺯ ﺑﺎﺭﺩﺍﺭﯼ‪ ،‬ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ‬ ‫‪١٠‬‬ ‫ﺍﻟﻒ‪ -‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻌﻤﻮﻝ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪١١‬‬ ‫ﺍﻟﻒ‪ -١‬ﺍﻭﻟﯿﻦ ﻣﻼﻗﺎﺕ ﺑﺎﺭﺩﺍﺭﯼ ‪...........................................................................................................................................................................................................‬‬ ‫‪١٢‬‬ ‫ﺍﻟﻒ‪ -٢‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻧﯿﻤﻪ ﺍﻭﻝ )‪ ٢٠‬ﻫﻔﺘﻪ ﺍﻭﻝ( ﺑﺎﺭﺩﺍﺭﯼ ‪..............................................................................................................................................................‬‬ ‫‪١٣‬‬ ‫ﺍﻟﻒ‪ -٣‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻧﯿﻤﻪ ﺩﻭﻡ )‪ ٢٠‬ﻫﻔﺘﻪ ﺩﻭﻡ( ﺑﺎﺭﺩﺍﺭﯼ ‪.............................................................................................................................................................‬‬ ‫‪١٤‬‬ ‫ﺗﻌﺎﺭﯾﻒ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺑﺎﺭﺩﺍﺭﯼ ‪............................................................................................................................................................................................................‬‬ ‫‪٢١‬‬ ‫ﺍﻟﻒ‪ -٤‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ ‪....................................................................................................................................................................................................‬‬ ‫‪٢٣‬‬ ‫ﺏ‪ -‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻌﻤﻮﻝ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ )ﭘﺲ ﺍﺯ ﮔﺬﺷﺖ ‪ ٦‬ﺳﺎﻋﺖ ﺍﻭﻝ ﺯﺍﯾﻤﺎﻥ ﺗﺎ ‪ ٦‬ﻫﻔﺘﻪ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ(‬ ‫‪٢٤‬‬ ‫ﺏ‪ -١‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻼﻗﺎﺕ ﺍﻭﻝ ﻭ ﺩﻭﻡ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ‪...................................................................................................................................................................‬‬ ‫‪٢٥‬‬ ‫ﺏ‪ -٢‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻼﻗﺎﺕ ﺳﻮﻡ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ‪.............................................................................................................................................................................‬‬ ‫‪٢٦‬‬ ‫ﺗﻌﺎﺭﯾﻒ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ‪.................................................................................................................................................................................................‬‬ ‫‪٢٩‬‬ ‫ﺏ‪ -٣‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻭﯾﮋﻩ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ‪...........................................................................................................................................................................................‬‬ ‫‪٣١‬‬ ‫ﺕ‪ -‬ﺭﺍﻫﻨﻤﺎ‬ ‫‪٣٢‬‬ ‫ﺕ‪ -١‬ﻣﮑﻤﻞ ﻫﺎﯼ ﺩﺍﺭﻭﯾﯽ ‪...................................................................................................................................................................................................................‬‬ ‫‪٣٢‬‬ ‫ﺕ‪ -٢‬ﺗﻮﺻﯿﻪ ﻫﺎﯼ ﺑﻬﺪﺍﺷﺘﯽ ﺩﺭ ﺑﺎﺭﺩﺍﺭﯼ ‪..........................................................................................................................................................................................‬‬ ‫‪٣٣‬‬ ‫ﺕ‪ -٣‬ﺗﻮﺻﯿﻪ ﻫﺎﯼ ﺑﻬﺪﺍﺷﺘﯽ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ‪....................................................................................................................................................................................‬‬ ‫‪٣٣‬‬ ‫ﺕ‪ -٤‬ﺍﺭﺯﯾﺎﺑﯽ ﺍﻟﮕﻮﯼ ﺗﻐﺬﯾﻪ ‪...............................................................................................................................................................................................................‬‬ ‫‪٣٤‬‬ ‫ﺕ‪ -٧‬ﻏﺮﺑﺎﻟﮕﺮﯼ ﺳﻼﻣﺖ ﺭﻭﺍﻥ )ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ( ‪...............................................................................................................................................................................‬‬ ‫‪3‬‬  ‫ـــــــــــــــــــــــــــﺘﻬﯿﻪ ﮐﻨﻨﺪﮔﺎﻥ ﺍﯾﻦ ﻣﺠﻤﻮﻋﻪ‬ ‫ﺍﺩﺍﺭﻩ ﺳﻼﻣﺖ ﻣﺎﺩﺭﺍﻥ‪ ،‬ﻣﺮﮐﺰ ﺟﻮﺍﻧﯽ ﺟﻤﻌﯿﺖ‪ ،‬ﺳﻼﻣﺖ ﺧﺎﻧﻮﺍﺩﻩ ﻭ ﻣﺪﺍﺭﺱ‬ ‫ﻣﺴﺌﻮﻝ ﻃﺮﺍﺣﯽ ﻭ ﺗﺪﻭﯾﻦ ‪:‬‬ ‫‪‬‬ ‫ﺑﺎ ﺗﺸﮑﺮ ﺍﺯ ﻫﻤﮑﺎﺭﯼ‪:‬‬ ‫‪‬‬ ‫ﺩﻓﺘﺮ ﺑﻬﺒﻮﺩ ﺗﻐﺬﯾﻪ ﺟﺎﻣﻌﻪ‬ ‫‪‬‬ ‫ﺍﺩﺍﺭﻩ ﺳﻼﻣﺖ ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ‬ ‫‪‬‬ ‫ﺍﺩﺍﺭﻩ ﮐﻨﺘﺮﻝ ﺍﯾﺪﺯ ﻭ ﺑﯿﻤﺎﺭﯼ ﻫﺎﯼ ﺁﻣﯿﺰﺷﯽ‬ ‫‪‬‬ ‫ﺩﻓﺘﺮ ﺳﻼﻣﺖ ﺭﻭﺍﻧﯽ‪ ،‬ﺍﺟﺘﻤﺎﻋﯽ ﻭ ﺍﻋﺘﯿﺎﺩ‬ ‫‪‬‬ ‫ﺑﺎ ﺗﺸﮑﺮ ﺍﺯ ﻫﻤﮑﺎﺭﯼ ﺍﺳﺎﺗﯿﺪ ﻭ ﮐﺎﺭﺷﻨﺎﺳﺎﻥ ﺩﺍﻧﺸﮕﺎﻩ ﻫﺎ‪:‬‬ ‫‪‬‬ ‫ﻫﻤﮑﺎﺭﺍﻥ ﻣﺤﺘﺮﻡ ﺳﺘﺎﺩﯼ ﻭ ﻣﺤﯿﻄﯽ ﺩﺍﻧﺸﮕﺎﻩ ﻫﺎﯼ ﻋﻠﻮﻡ ﭘﺰﺷﮑﯽ ﻭ ﺧﺪﻣﺎﺕ ﺑﻬﺪﺍﺷﺘﯽ ﺩﺭﻣﺎﻧﯽ ﺍﺻﻔﻬﺎﻥ‪ ،‬ﺍﯾﺮﺍﻥ‪ ،‬ﺑﺎﺑﻞ‪ ،‬ﺑﯿﺮﺟﻨﺪ‪ ،‬ﺑﻮﺷﻬﺮ‪ ،‬ﻗﻢ‪ ،‬ﻗﺰﻭﯾﻦ‪،‬‬ ‫‪‬‬ ‫ﮐﺎﺷﺎﻥ‪ ،‬ﻧﯿﺸﺎﺑﻮﺭ‪ ،‬ﻫﻤﺪﺍﻥ‪ ،‬ﻟﺮﺳﺘﺎﻧﮑﻪ ﻧﻈﺮﺍﺕ ﺍﺭﺯﻧﺪﻩ ﺁﻧﺎﻥ ﺑﺮﺍﯼ ﺑﺎﺯﻧﮕﺮﯼ ﻣﺠﻤﻮﻋﻪ ﺁﻣﻮﺯﺷﯽ ﮐﻤﮏ ﮐﻨﻨﺪﻩ ﺑﻮﺩﻩ ﺍﺳﺖ‪.‬‬ ‫‪4‬‬  ‫ﻫﻤﮑﺎﺭ ﮔﺮﺍﻣﯽ!‬ ‫ﻣﺠﻤﻮﻋﻪ ﺣﺎﺿﺮ ﺑﻪ ﻣﻨﻈﻮﺭ ﮐﻤﮏ ﺑﻪ ﺷﻤﺎ ﺩﺭ ﺍﺭﺍﯾﻪ ﺧﺪﻣﺎﺕ ﻣﻄﻠﻮﺏ ﺑﻪ ﻣﺎﺩﺭﺍﻥ ﺑﻪ ﻃﻮﺭ ﻣﻌﻤﻮﻝ ﻭ ﺷﻨﺎﺳﺎﯾﯽ ﻣﺎﺩﺭﺍﻥ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ‬ ‫ﺩﺭ ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ﺗﻬﯿﻪ ﮔﺮﺩﯾﺪﻩ ﺍﺳﺖ‪.‬ﺣﺘﻤﺎً ﻗﺒﻞ ﺍﺯ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺍﯾﻦ ﻣﺠﻤﻮﻋﻪ‪ ،‬ﻗﺴﻤﺖ »ﺁﺷﻨﺎﯾﯽ ﺑﺎ ﻣﺠﻤﻮﻋﻪ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺍﺩﻏﺎﻡ‬ ‫ﯾﺎﻓﺘﻪ ﺳﻼﻣﺖ ﻣﺎﺩﺭﺍﻥ« ﺭﺍ ﻣﻄﺎﻟﻌﻪ ﮐﻨﯿﺪ‪.‬‬ ‫‪ ‬ﺁﺷﻨﺎﯾﯽ ﺑﺎ ﻣﺠﻤﻮﻋﻪ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺍﺩﻏﺎﻡ ﯾﺎﻓﺘﻪ ﺳﻼﻣﺖ ﻣﺎﺩﺭﺍﻥ‬ ‫ﺍﯾﻦ ﻣﺠﻤﻮﻋﻪ ﺷﺎﻣﻞ‪ :‬ﺟﺪﺍﻭﻝ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ )ﻣﺮﻭﺭ ﮐﻠﯽ ﻭ ﺳﺮﯾﻊ(‪ ،‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻌﻤﻮﻝ ﺑﺎﺭﺩﺍﺭﯼ )ﺑﺨﺶ ﺍﻟﻒ(‪،‬‬ ‫ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻌﻤﻮﻝ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ )ﺑﺨﺶ ﺏ(‪ ،‬ﺭﺍﻫﻨﻤﺎ )ﺑﺨﺶ ﺕ( ﻭ ﺿﻤﺎﺋﻢ ﺍﺳﺖ‪.‬‬ ‫‪ ‬ﺟﺪﺍﻭﻝ ﺭﺍﻫﻨﻤﺎﯼ ﻣﺮﺍﻗﺒﺘﻬﺎﯼ ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ﺑﺮﺍﯼ ﻣﺮﻭﺭ ﮐﻠﯽ ﻭ ﺳﺮﯾﻊ ﺧﺪﻣﺎﺗﯽ ﺍﺳﺖ ﮐﻪ ﺩﺭ ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ﺑﻪ‬ ‫ﻣﺎﺩﺭ ﺍﺭﺍﯾﻪ ﻣﯽ ﺷﻮﺩ‪.‬ﺗﻘﺴﯿﻢ ﺑﻨﺪﯼ ﺧﺪﻣﺎﺕ ﺩﺭ ﺍﯾﻦ ﺟﺪﺍﻭﻝ ﺑﺮ ﺍﺳﺎﺱ ﻧﻮﻉ ﻭ ﺯﻣﺎﻥ ﺍﻧﺠﺎﻡ ﻣﺮﺍﻗﺒﺖ ﺻﻮﺭﺕ ﮔﺮﻓﺘﻪ ﺍﺳﺖ‪.‬ﺑﻪ ﺍﯾﻦ ﻣﻌﻨﺎ ﮐﻪ ﺩﺭ ﻫﺮ‬ ‫ﻣﻼﻗﺎﺕ‪ ،‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯾﯽ ﮐﻪ ﺩﺭ ﺳﺘﻮﻥ ﺯﯾﺮﯾﻦ ﺁﻥ ﻣﺸﺨﺺ ﺷﺪﻩ ﺑﻪ ﻣﺎﺩﺭ ﺍﺭﺍﯾﻪ ﻣﯽ ﮔﺮﺩﺩ‪.‬‬ ‫‪ ‬ﺑﺨﺶ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻌﻤﻮﻝ ﺑﺎﺭﺩﺍﺭﯼ )ﺍﻟﻒ( ﺑﺮ ﺣﺴﺐ ﺯﻣﺎﻥ ﻣﺮﺍﺟﻌﻪ ﻣﺎﺩﺭ ﺑﺎﺭﺩﺍﺭ )ﺍﻭﻟﯿﻦ ﻣﺮﺍﺟﻌﻪ ﻭ ﯾﺎ ﻣﺮﺍﺟﻌﻪ ﺩﺭ ﻧﯿﻤﻪ ﻫﺎﯼ ﺍﻭﻝ ﻭ‬ ‫ﺩﻭﻡ ﺑﺎﺭﺩﺍﺭﯼ(‪ ،‬ﺑﺮﺭﺳﯽ ﻣﺎﺩﺭ ﺍﺯ ﯾﮑﯽ ﺍﺯ ﺻﻔﺤﺎﺕ ﺍﻟﻒ‪ ،١‬ﺍﻟﻒ‪ ،٢‬ﺍﻟﻒ‪ ٣‬ﺷﺮﻭﻉ ﻣﯽ ﺷﻮﺩ‪.‬ﻫﺮ ﺻﻔﺤﻪ ﺭﺍ ﻫﻤﯿﺸﻪ ﺍﺯ ﺳﻤﺖ ﺭﺍﺳﺖ ﻭ ﺑﺎﻻ )ﻣﺎﻧﻨﺪ ﺷﮑﻞ‬ ‫ﻣﻘﺎﺑﻞ( ﺑﺎﯾﺪ ﺷﺮﻭﻉ ﮐﻨﯿﺪ‪:‬‬ ‫ﺧﺎﻧﻪ ﺷﻤﺎﺭﻩ ‪ -١‬ﻗﺒﻞ ﺍﺯ ﻫﺮ ﺍﻗﺪﺍﻣﯽ‪ ،‬ﻣﺎﺩﺭ ﺭﺍ ﺍﺯ ﻧﻈﺮ ﻭﺟﻮﺩ ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﺍﻗﺪﺍﻡ ﻓﻮﺭﯼ ﺑﺮﺭﺳﯽ ﮐﻨﯿﺪ‪.‬‬ ‫ﺧﺎﻧﻪ ﺷﻤﺎﺭﻩ ‪ -٢‬ﺩﺭ ﺻﻮﺭﺗﯽ ﮐﻪ ﻫﺮ ﯾﮏ ﺍﺯ ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﺍﻗﺪﺍﻡ ﻓﻮﺭﯼ ﺑﻪ ﺗﻨﻬﺎﯾﯽ ﯾﺎ‬ ‫ﻫﻤﺮﺍﻩ ﺳﺎﯾﺮ ﻋﻼﺋﻢ ﻭﺟﻮﺩ ﺩﺍﺷﺖ‪ ،‬ﻣﻄﺎﺑﻖ ﺩﺳﺘﻮﺭﺍﻟﻌﻤﻞ ﺁﻥ ﺍﻗﺪﺍﻡ ﮐﻨﯿﺪ‪.‬ﺑﺪﯾﻬﯽ ﺍﺳﺖ‬ ‫ﺩﺭ ﺍﯾﻦ ﻣﺮﺣﻠﻪ ﺯﻣﺎﻥ ﺭﺍ ﺑﺮﺍﯼ ﺍﻧﺠﺎﻡ ﺳﺎﯾﺮ ﺍﻗﺪﺍﻣﺎﺕ ﻣﺮﺑﻮﻁ ﺑﻪ ﺧﺎﻧﻪ ‪ ٣‬ﻧﺒﺎﯾﺪ ﺍﺯ ﺩﺳﺖ‬ ‫ﺩﻫﯿﺪ‪.‬‬ ‫ﺧﺎﻧﻪ ﺷﻤﺎﺭﻩ ‪ -٣‬ﺩﺭ ﺻﻮﺭﺕ ﺍﻃﻤﯿﻨﺎﻥ ﺍﺯ ﺍﯾﻦ ﮐﻪ ﻫﯿﭻ ﻋﻼﻣﺖ ﻧﯿﺎﺯﻣﻨﺪ ﺍﻗﺪﺍﻡ ﻓﻮﺭﯼ‬ ‫ﻭﺟﻮﺩ ﻧﺪﺍﺭﺩ‪ ،‬ﺍﺭﺯﯾﺎﺑﯽ ﻣﻄﺎﺑﻖ ﻣﺤﺘﻮﺍﯼ ﺍﯾﻦ ﺧﺎﻧﻪ ﺷﺮﻭﻉ ﺷﻮﺩ‪.‬‬ ‫ﺧﺎﻧﻪ ﺷﻤﺎﺭﻩ ‪ -٤‬ﺑﺮ ﺍﺳﺎﺱ ﻧﺘﺎﯾﺞ ﺍﺭﺯﯾﺎﺑﯽ‪ ،‬ﻋﻼﺋﻢ ﻭ ﻧﺸﺎﻧﻪ ﻫﺎ ﺭﺍ ﮔﺮﻭﻩ ﺑﻨﺪﯼ‬ ‫ﮐﻨﯿﺪ‪.‬‬ ‫ﺧﺎﻧﻪ ﺷﻤﺎﺭﻩ ‪ -٥‬ﺑﺮﺣﺴﺐ ﻧﺘﯿﺠﻪ ﮔﺮﻭﻩ ﺑﻨﺪﯼ ﻋﻼﺋﻢ ﻭ ﻧﺸﺎﻧﻪ ﻫﺎ‪ ،‬ﺍﻗﺪﺍﻡ ﮐﻨﯿﺪ‪.‬‬ ‫ﻓﺮﺍﻣﻮﺵ ﻧﮑﻨﯿﺪ ﮐﻪ ﺗﺮﺗﯿﺐ ﺍﻧﺠﺎﻡ ﺍﯾﻦ ﺑﺮﺭﺳﯽ ﻫﺎ ﺍﺯ ﻧﻈﺮ ﺩﻗﺖ ﺩﺭ ﺍﻧﺠﺎﻡ ﮐﺎﺭ ﻭ ﺩﺭﺳﺘﯽ ﻣﻌﺎﯾﻨﻪ ﺑﺴﯿﺎﺭ ﻣﻬﻢ ﺍﺳﺖ‪.‬ﻫﺮﮔﺰ ﻧﻤﯽ ﺗﻮﺍﻧﯿﺪ ﻣﻌﺎﯾﻨﻪ ﻭ‬ ‫ﺑﺮﺭﺳﯽ ﺑﯿﻤﺎﺭ ﺭﺍ ﺍﺯ ﻧﯿﻤﻪ ﺭﺍﻩ ﺁﻏﺎﺯ ﮐﻨﯿﺪ‪.‬‬ ‫‪ ‬ﺑﺨﺶ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻌﻤﻮﻝ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ )ﺏ( ﺑﻪ ﺩﻭ ﻗﺴﻤﺖ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻼﻗﺎﺕ ﺍﻭﻝ ﻭ ﺩﻭﻡ )ﺏ‪ (١‬ﻭ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻼﻗﺎﺕ ﺳﻮﻡ‬ ‫)ﺏ‪ (٢‬ﺗﻘﺴﯿﻢ ﺷﺪﻩ ﺍﺳﺖ‪.‬ﺩﺭ ﺍﯾﻦ ﺑﺨﺶ ﻧﯿﺰ ﻗﺎﻋﺪﻩ ﮐﻠﯽ ﻧﺤﻮﻩ ﻣﺮﺍﻗﺒﺖ ﻣﺸﺎﺑﻪ ﺑﺨﺶ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺑﺎﺭﺩﺍﺭﯼ ﺍﺳﺖ‪.‬ﺍﯾﻦ ﻣﺮﺍﻗﺒﺖ ﻫﺎ ﺍﺯ ﺭﻭﺯ ﺍﻭﻝ‬ ‫ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ﺗﺎ ‪ ٦‬ﻫﻔﺘﻪ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ﺍﻧﺠﺎﻡ ﻣﯽ ﺷﻮﺩ‪.‬‬ ‫ﺑﯿﺸﺘﺮ ﺧﺎﻧﻤﻬﺎﯾﯽ ﮐﻪ ﺧﺪﻣﺎﺕ ﻣﻌﻤﻮﻝ ﺭﺍ ﺩﺭﯾﺎﻓﺖ ﻣﯽ ﮐﻨﻨﺪ‪ ،‬ﺳﺎﻟﻢ ﻫﺴﺘﻨﺪ ﻭ ﺑﺎﺭﺩﺍﺭﯼ ﺭﺍ ﺑﻪ ﺧﻮﺑﯽ ﻃﯽ ﻣﯽ ﮐﻨﻨﺪ‪.‬ﺗﻮﺟﻪ ﺩﺍﺷﺘﻪ ﺑﺎﺷﯿﺪ ﮐﻪ ﺍﮐﺜﺮ‬ ‫ﺧﻄﺎﻫﺎﯾﯽ ﮐﻪ ﺩﺭ ﺍﺭﺍﯾﻪ ﺧﺪﻣﺖ ﺑﻪ ﻣﺎﺩﺭ ﺑﺎﺭﺩﺍﺭ ﺭﺥ ﻣﯽ ﺩﻫﺪ‪ ،‬ﻧﺎﺷﯽ ﺍﺯ ﺟﺪﯼ ﻧﮕﺮﻓﺘﻦ ﺷﺮﺡ ﺣﺎﻝ ﻭ ﻣﻌﺎﯾﻨﻪ ﺍﺳﺖ‪.‬ﻓﺮﺍﻣﻮﺵ ﻧﮑﻨﯿﺪ ﮐﻪ ﻋﻼﻣﺖ‬ ‫ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﺩﺭ ﺑﺎﺭﺩﺍﺭﯼ ﺭﺍ ﻓﻘﻂ ﺑﺎ ﺳﺌﻮﺍﻝ ﮐﺮﺩﻥ‪ ،‬ﻣﺸﺎﻫﺪﻩ ﻭ ﻣﻌﺎﯾﻨﻪ ﺩﻗﯿﻖ ﻣﯽ ﺗﻮﺍﻧﯿﺪ ﭘﯿﺪﺍ ﮐﻨﯿﺪ‪.‬‬ ‫ﻣﻔﻬﻮﻡ ﺭﻧﮓ ﻫﺎ‬ ‫ﺩﺭ ﭼﺎﺭﺕ ﻫﺎﯼ ﺍﺭﺍﯾﻪ ﺧﺪﻣﺖ ﺍﺯ ﺳﻪ ﺭﻧﮓ ﻗﺮﻣﺰ‪ ،‬ﺯﺭﺩ ﻭ ﺳﺒﺰ ﺍﺳﺘﻔﺎﺩﻩ ﺷﺪﻩ ﺍﺳﺖ‪:‬‬ ‫‪5‬‬ ‫ﺍﻟﻒ ـ ﺭﻧﮓ ﻗﺮﻣﺰ ﻧﺸﺎﻥ ﺩﻫﻨﺪﻩ ﺷﺮﺍﯾﻄﯽ ﺍﺳﺖ ﮐﻪ ﺟﺎﻥ ﻣﺎﺩﺭ ﻭ ﺟﻨﯿﻦ ﺭﺍ ﺗﻬﺪﯾﺪ ﻣﯽ ﮐﻨﺪ ﻭ ﺍﻗﺪﺍﻡ ﻣﻨﺎﺳﺐ ﺍﯾﻦ ﺭﻧﮓ ﺍﺭﺟﺎﻉ ﻓﻮﺭﯼ ﯾﺎ ﺍﻋﺰﺍﻡ‬ ‫)ﺑﻼﻓﺎﺻﻠﻪ( ﺍﺳﺖ‪.‬ﺩﺭ ﻣﻮﺍﺭﺩ ﺍﻋﺰﺍﻡ‪ ،‬ﺍﺭﺍﺋﻪ ﺩﻫﻨﺪﻩ ﺧﺪﻣﺖ ﻣﻮﻇﻒ ﺍﺳﺖ ﻣﺎﺩﺭ ﺭﺍ ﺿﻤﻦ ﺍﻗﺪﺍﻣﺎﺕ ﺍﻭﻟﯿﻪ ﺣﯿﻦ ﺍﻋﺰﺍﻡ ﺳﺮﯾﻌﺎً ﺑﺎ ﺁﻣﺒﻮﻻﻧﺲ ﺑﻪ ﺳﻄﺢ ﺑﺎﻻﺗﺮ‬ ‫ﺍﻧﺘﻘﺎﻝ ﺩﻫﺪ‪.‬ﺩﺭ ﺻﻮﺭﺕ ﺍﺭﺟﺎﻉ ﻓﻮﺭﯼ ﺍﺯ ﻣﺎﺩﺭ ﺑﺨﻮﺍﻫﯿﺪ ﺑﻼﻓﺎﺻﻠﻪ ﺑﻪ ﻧﺰﺩﯾﮏ ﺗﺮﯾﻦ ﻣﺮﮐﺰ ﻣﺠﻬﺰ ﺩﺭﻣﺎﻧﯽ ﻣﺮﺍﺟﻌﻪ ﮐﻨﺪ‪.‬‬ ‫ﻧﮑﺘﻪ‪ :‬ﺩﺭ ﻣﻮﺍﺭﺩ ﺍﺭﺟﺎﻉ ﻓﻮﺭﯼ ﻭ ﯾﺎ ﺍﻋﺰﺍﻡ ﻻﺯﻡ ﺍﺳﺖ ﻭﺿﻌﯿﺖ ﺑﻪ ﺭﺍﺑﻂ ﺳﻼﻣﺖ ﻣﺎﺩﺭﺍﻥ ﺍﻋﻼﻡ ﮔﺮﺩﺩ‪.‬‬ ‫ﺏ ـ ﺭﻧﮓ ﺯﺭﺩ ﻧﺸﺎﻥ ﺩﻫﻨﺪﻩ ﻧﯿﺎﺯ ﻣﺎﺩﺭ ﺑﻪ ﺍﻗﺪﺍﻡ ﺧﺎﺹ ﺍﺳﺖ‪.‬ﻣﺎﺩﺭ ﺑﺎﯾﺪ ﺑﺮ ﺣﺴﺐ ﻧﻮﻉ ﻋﺎﺭﺿﻪ ﺩﺭ ‪ ٤٨‬ﺳﺎﻋﺖ ﺍﻭﻝ ﭘﺲ ﺍﺯ ﻣﺮﺍﺟﻌﻪ )ﺍﺭﺟﺎﻉ ﺩﺭ‬ ‫ﺍﻭﻟﯿﻦ ﻓﺮﺻﺖ( ﻭ ﯾﺎ ﺣﺪﺍﮐﺜﺮ ﻃﯽ ﯾﮏ ﻫﻔﺘﻪ )ﺍﺭﺟﺎﻉ ﻏﯿﺮ ﻓﻮﺭﯼ( ﺗﻮﺳﻂ ﺳﻄﻮﺡ ﺗﺨﺼﺼﯽ ﺑﺮﺭﺳﯽ ﻭ ﻧﺘﯿﺠﻪ ﺁﻥ ﻣﺸﺨﺺ ﮔﺮﺩﺩ‪.‬‬ ‫ﭖ ـ ﺭﻧﮓ ﺳﺒﺰ ﻧﺸﺎﻥ ﺩﻫﻨﺪﻩ ﺍﻣﮑﺎﻥ ﺍﺭﺍﯾﻪ ﺧﺪﻣﺖ ﺑﺪﻭﻥ ﻧﯿﺎﺯ ﺑﻪ ﺍﺭﺟﺎﻉ ﺑﻪ ﺳﻄﻮﺡ ﺑﺎﻻﺗﺮ ﻭ ﺍﻗﺪﺍﻣﯽ ﺧﺎﺹ ﺍﺳﺖ‪.‬‬ ‫‪ ‬ﺍﺻﻮﻝ ﮐﻠﯽ‬ ‫ﻣﻄﺎﻟﺐ ﺯﯾﺮ ﺑﻪ ﻋﻨﻮﺍﻥ ﺍﺻﻮﻝ ﮐﻠﯽ ﺩﺭ ﺍﺭﺍﯾﻪ ﺧﺪﻣﺎﺕ ﺩﺭ ﻧﻈﺮ ﮔﺮﻓﺘﻪ ﺷﺪﻩ ﺍﺳﺖ‪:‬‬ ‫‪.١‬ﺩﺭ ﺍﻭﻟﯿﻦ ﻣﺮﺍﺟﻌﻪ ﻣﺎﺩﺭ‪ ،‬ﺑﺎﺭﺩﺍﺭﯼ ﻭﯼ ﺭﺍ ﺗﺒﺮﯾﮏ ﺑﮕﻮﯾﯿﺪ ﻭ ﺑﺎ ﺗﮑﺮﯾﻢ ﻭ ﺍﺣﺘﺮﺍﻡ ﺑﻪ ﻣﺎﺩﺭ ﻫﻨﮕﺎﻡ ﺍﺭﺍﺋﻪ ﻣﺮﺍﻗﺒﺖ ﻫﺎ‪ ،‬ﺑﺎﺭﺩﺍﺭﯼ ﺭﺍ‬ ‫ﺑﺮﺍﯼ ﺍﻭ ﺧﻮﺷﺎﯾﻨﺪ ﺳﺎﺯﯾﺪ‪.‬‬ ‫‪.٢‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﺗﻮﺟﻪ ﻭ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﺩﺭ ﻫﺮ ﻣﻘﻄﻌﯽ ﺍﺯ ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ﺑﻪ ﻫﻤﺴﺮ ﻭ ﯾﺎ ﺧﺎﻧﻮﺍﺩﻩ ﻣﺎﺩﺭ ﺁﻣﻮﺯﺵ ﺩﺍﺩﻩ ﺷﻮﺩ‪.‬‬ ‫‪.٣‬ﺍﮔﺮ ﻣﺎﺩﺭ ﺑﻪ ﺩﻻﯾﻠﯽ ﻧﯿﺎﺯﻣﻨﺪ ﺣﺎﻟﺖ ﻫﺎﯼ ﻣﺨﺘﻠﻔﯽ ﺍﺯ ﺍﺭﺟﺎﻉ )ﺍﻋﺰﺍﻡ‪ ،‬ﻓﻮﺭﯼ‪ ،‬ﺩﺭ ﺍﻭﻟﯿﻦ ﻓﺮﺻﺖ‪ ،‬ﻏﯿﺮ ﻓﻮﺭﯼ( ﺍﺳﺖ‪ ،‬ﺍﻋﺰﺍﻡ ﻭ ﺍﺭﺟﺎﻉ ﻓﻮﺭﯼ ﺩﺭ‬ ‫ﺍﻭﻟﻮﯾﺖ ﻗﺮﺍﺭ ﺩﺍﺭﺩ‪.‬‬ ‫ﻣﺎﺩﺭﯼ ﮐﻪ ﺍﻋﺰﺍﻡ ﯾﺎ ﺍﺭﺟﺎﻉ ﻓﻮﺭﯼ ﺷﺪﻩ ﺍﺳﺖ ﺑﺎﯾﺪ ﺣﺪﺍﮐﺜﺮ ﺗﺎ ‪ ٢٤‬ﺳﺎﻋﺖ‪ ،‬ﭘﯿﮕﯿﺮﯼ ﺷﻮﺩ‪.‬‬ ‫‪‬‬ ‫ﺍﺭﺟﺎﻉ ﺩﺭ ﺍﻭﻟﯿﻦ ﻓﺮﺻﺖ‪ ،‬ﻻﺯﻡ ﺍﺳﺖ ﺍﺯ ‪ ٤٨‬ﺗﺎ ‪ ٧٢‬ﺳﺎﻋﺖ ﺑﻌﺪ ﭘﯿﮕﯿﺮﯼ ﺷﻮﺩ‪.‬ﺍﮔﺮ ﻣﻮﺭﺩ ﺍﺭﺟﺎﻉ ﺑﻪ ﻫﺮ ﺩﻟﯿﻠﯽ )ﺍﻣﺘﻨﺎﻉ‬ ‫‪‬‬ ‫ﻣﺎﺩﺭ‪ (... ،‬ﻃﯽ ‪ ٧٢‬ﺳﺎﻋﺖ ﺑﻪ ﺳﻄﺢ ﺑﺎﻻﺗﺮ ﻣﺮﺍﺟﻌﻪ ﻧﮑﺮﺩ‪ ،‬ﻣﺎﻧﻨﺪ ﺍﺭﺟﺎﻉ ﻓﻮﺭﯼ ﺍﻗﺪﺍﻡ ﺷﻮﺩ‪.‬‬ ‫ﻣﺎﺩﺭﯼ ﮐﻪ ﺍﺭﺟﺎﻉ ﻏﯿﺮ ﻓﻮﺭﯼ ﺷﺪﻩ ﺍﺳﺖ‪ ،‬ﻣﯽ ﺑﺎﯾﺴﺖ ﭘﺲ ﺍﺯ ﯾﮏ ﻫﻔﺘﻪ‪ ،‬ﭘﯿﮕﯿﺮﯼ ﻭ ﻭﺿﻌﯿﺖ ﻭﯼ ﻣﺸﺨﺺ ﺷﻮﺩ‪.‬‬ ‫‪‬‬ ‫ﺍﮔﺮ ﻣﻮﺭﺩ ﺍﺭﺟﺎﻉ ﭘﺲ ﺍﺯ ﯾﮏ ﻫﻔﺘﻪ ﺑﻪ ﻫﺮ ﺩﻟﯿﻠﯽ ﺑﻪ ﺳﻄﻮﺡ ﺑﺎﻻﺗﺮ ﻣﺮﺍﺟﻌﻪ ﻧﮑﺮﺩ‪ ،‬ﺑﻪ ﻣﺎﺩﺭ ﻭ ﺧﺎﻧﻮﺍﺩﻩ ﻭﯼ ﺍﻫﻤﯿﺖ ﻣﻌﺎﯾﻨﻪ ﺩﺭ‬ ‫ﺳﻄﺢ ﺑﺎﻻﺗﺮ ﺁﻣﻮﺯﺵ ﺩﺍﺩﻩ ﺷﺪﻩ ﻭ ﻣﺠﺪﺩ ﭘﯿﮕﯿﺮﯼ ﺷﻮﺩ‪.‬‬ ‫ﭘﺰﺷﮏ ﻋﻤﻮﻣﯽ ﻭ ﻣﺎﻣﺎ ﺑﻪ ﻋﻨﻮﺍﻥ ﺳﻄﺢ ﺩﻭﻡ ﺍﺭﺍﯾﻪ ﺩﻫﻨﺪﻩ ﺧﺪﻣﺖ ﻣﻮﻇﻒ ﻫﺴﺘﻨﺪ ﻋﻼﻭﻩ ﺑﺮ ﭘﺬﯾﺮﺵ ﻣﻮﺍﺭﺩ ﺍﺭﺟﺎﻋﯽ ﺳﻄﻮﺡ ﭘﺎﯾﯿﻦ ﺗﺮ‪ ،‬ﺑﺮ‬ ‫‪.٤‬‬ ‫ﻧﺤﻮﻩ ﺍﺭﺍﯾﻪ ﺧﺪﻣﺖ ﺑﻪ ﻣﺎﺩﺭ ﺗﻮﺳﻂ ﺍﯾﻦ ﺳﻄﻮﺡ ﻧﯿﺰ ﻧﻈﺎﺭﺕ ﮐﻨﻨﺪ‪.‬‬ ‫ﭘﺴﺨﻮﺭﺍﻧﺪ ﻫﺎﯼ ﭘﺰﺷﮏ‪ /‬ﻣﺎﻣﺎ ﺩﺭ ﻣﻮﺍﺭﺩ ﺍﺭﺟﺎﻉ ﻭ ﯾﺎ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻭﯾﮋﻩ‪ ،‬ﺑﺎﯾﺪ ﺩﺭ ﻓﺮﻡ ﻣﺮﺍﻗﺒﺖ ﯾﺎ ﭘﺮﻭﻧﺪﻩ ﺍﻟﮑﺘﺮﻭﻧﯿﮏ ﺛﺒﺖ ﮔﺮﺩﺩ‪.‬‬ ‫‪.٥‬‬ ‫ﺩﻓﻌﺎﺕ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﻣﺎﺩﺭ ﺑﺮ ﺣﺴﺐ ﻧﻮﻉ ﻭ ﺷﺪﺕ ﻋﺎﺭﺿﻪ ﻭ ﻧﻈﺮ ﭘﺰﺷﮏ ﻋﻤﻮﻣﯽ‪ ،‬ﻣﺎﻣﺎ ﻭ ﭘﺰﺷﮏ ﻣﺘﺨﺼﺺ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﭘﺴﺨﻮﺭﺍﻧﺪ ﻣﺘﻔﺎﻭﺕ‬ ‫‪.٦‬‬ ‫ﺧﻮﺍﻫﺪ ﺑﻮﺩ‪.‬‬ ‫ﻻﺯﻡ ﺍﺳﺖ ﺗﻤﺎﻡ ﺧﺪﻣﺎﺕ ﺍﺭﺍﯾﻪ ﺷﺪﻩ ﺑﻪ ﻣﺎﺩﺭ ﺩﺭ ﻣﻘﻄﻊ ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ﺩﺭ ﻓﺮﻡ ﻫﺎﯼ ﻣﺮﺑﻮﻁ ﯾﺎ ﭘﺮﻭﻧﺪﻩ ﺍﻟﮑﺘﺮﻭﻧﯿﮏ ﺛﺒﺖ ﺷﻮﺩ‪.‬‬ ‫‪.٧‬‬ ‫ﻣﺮﺍﺟﻌﻪ ﺟﻬﺖ ﺩﺭﯾﺎﻓﺖ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﭘﺲ ﺯﺍﯾﻤﺎﻥ ﺩﺭ ﺗﺎﺭﯾﺦ ﻫﺎﯼ ﺗﻌﯿﯿﻦ ﺷﺪﻩ ﺑﺎﯾﺪ ﺑﻪ ﻣﺎﺩﺭ ﻭ ﻫﻤﺮﺍﻫﺎﻥ ﻭﯼ ﺗﺄﮐﯿﺪ ﺷﻮﺩ‪.‬ﺩﺭ‬ ‫‪.٨‬‬ ‫ﺻﻮﺭﺕ ﻋﺪﻡ ﻣﺮﺍﺟﻌﻪ ﺩﺭ ﺗﺎﺭﯾﺦ ﻣﻘﺮﺭ‪ ،‬ﻃﯽ ﯾﮏ ﻫﻔﺘﻪ ﭘﯿﮕﯿﺮﯼ ﺷﻮﺩ‪.‬‬ ‫‪.٩‬ﺑﺴﯿﺎﺭﯼ ﺍﺯ ﺑﯿﻤﺎﺭﯼ ﻫﺎ ﻣﯽ ﺗﻮﺍﻧﺪ ﺑﺮ ﺭﻭﯼ ﻣﺎﺩﺭ ﻭ ﺟﻨﯿﻦ ﺗﺎﺛﯿﺮ ﺑﮕﺬﺍﺭﺩ‪ ،‬ﺑﻨﺎﺑﺮﺍﯾﻦ ﻻﺯﻡ ﺍﺳﺖ ﺧﺎﻧﻢ ﻫﺎﯾﯽ ﮐﻪ ﺗﻤﺎﯾﻞ ﺑﻪ ﺑﺎﺭﺩﺍﺭﯼ ﺩﺍﺭﻧﺪ‬ ‫ﻣﺮﺍﻗﺒﺖ ﭘﯿﺶ ﺍﺯ ﺑﺎﺭﺩﺍﺭﯼ ﺭﺍ ﺑﻪ ﻣﻨﻈﻮﺭ ﺗﺸﺨﯿﺺ‪ ،‬ﮐﻨﺘﺮﻝ ﻭ ﺩﺭﻣﺎﻥ ﺑﯿﻤﺎﺭﯼ ﺩﺭﯾﺎﻓﺖ ﮐﻨﻨﺪ ﺗﺎ ﻣﺎﺩﺭ‪ ،‬ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﺯﺍﯾﻤﺎﻥ ﺍﯾﻤﻦ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ‪.‬‬ ‫ﺩﺭ ﺍﯾﻦ ﺻﻮﺭﺕ ﺑﺎﯾﺪ ﺧﺎﻧﻢ ﺑﺮﺍﯼ ﺩﺭﯾﺎﻓﺖ ﻣﺮﺍﻗﺒﺖ ﺑﻪ ﭘﺰﺷﮏ ﯾﺎ ﻣﺎﻣﺎ ﺍﺭﺟﺎﻉ ﺷﻮﺩ‪.‬ﺗﻤﺎﻣﯽ ﺧﺎﻧﻢ ﻫﺎﯼ ﮐﻪ ﺗﻤﺎﯾﻞ ﺑﻪ ﺑﺎﺭﺩﺍﺭﯼ ﺩﺍﺭﻧﺪ ﻣﯽ ﺗﻮﺍﻧﻨﺪ‬ ‫ﻣﺮﺍﻗﺒﺖ ﭘﯿﺶ ﺍﺯ ﺑﺎﺭﺩﺍﺭﯼ ﺭﺍ ﺩﺭﯾﺎﻓﺖ ﮐﻨﻨﺪ ﻣﮕﺮ ﺩﺭ ﻣﻮﺍﺭﺩﯼ ﮐﻪ ﻣﻄﺎﺑﻖ ﺑﺴﺘﻪ ﺧﺪﻣﺖ ﻣﺸﺎﻭﺭﻩ ﻓﺮﺯﻧﺪ ﺁﻭﺭﯼ‪ ،‬ﻣﺸﻤﻮﻝ ﻣﻨﻊ ﻧﺴﺒﯽ ﻭ ﻣﻄﻠﻖ‬ ‫ﺑﺎﺭﺩﺍﺭﯼ ﻣﯽ ﺷﻮﻧﺪ‪.‬‬ ‫‪.١٠‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺑﺎﺭﺩﺍﺭﯼ ﺑﺎﯾﺪ ﺑﻪ ﻣﺤﺾ ﻣﺜﺒﺖ ﺷﺪﻥ ﻧﺘﯿﺠﻪ ﺁﺯﻣﺎﯾﺶ ﺑﺎﺭﺩﺍﺭﯼ ﺍﺭﺍﯾﻪ ﮔﺮﺩﺩ‪.‬‬ ‫‪.١١‬ﻧﺘﯿﺠﻪ ﺁﺯﻣﺎﯾﺶ ﻫﺎﯼ ﺑﺎﺭﺩﺍﺭﯼ ﻣﯽ ﺑﺎﯾﺴﺖ ﺩﺭ ﻓﺮﻡ ﻣﺮﺍﻗﺒﺖ ﺑﺎﺭﺩﺍﺭﯼ ﯾﺎ ﭘﺮﻭﻧﺪﻩ ﺍﻟﮑﺘﺮﻭﻧﯿﮏ ﺑﻪ ﻃﻮﺭ ﺩﻗﯿﻖ ﺛﺒﺖ ﺷﻮﺩ‪.‬ﻧﮕﻬﺪﺍﺭﯼ ﺑﺮﮔﻪ‬ ‫ﺁﺯﻣﺎﯾﺶ ﺩﺭ ﭘﺮﻭﻧﺪﻩ ﺍﻟﺰﺍﻣﯽ ﻧﯿﺴﺖ‪.‬‬ ‫‪6‬‬ ‫ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻌﻤﻮﻝ ﺑﺎﺭﺩﺍﺭﯼ ﻃﯽ ‪ ٨‬ﺑﺎﺭ ﻣﻼﻗﺎﺕ ﺩﺭ ﺩﻭ ﻧﯿﻤﻪ ﺍﻭﻝ ﻭ ﺩﻭﻡ ﺑﺎﺭﺩﺍﺭﯼ ﺑﻪ ﻣﺎﺩﺭ ﺍﺭﺍﯾﻪ ﻣﯽ ﮔﺮﺩﺩ )‪ ٢‬ﻣﻼﻗﺎﺕ ﺩﺭ ﻧﯿﻤﻪ ﺍﻭﻝ ﻭ ‪٦‬‬ ‫‪.١٢‬‬ ‫ﻣﻼﻗﺎﺕ ﺩﺭ ﻧﯿﻤﻪ ﺩﻭﻡ(‪.‬ﺯﻣﺎﻥ ﻣﻼﻗﺎﺗﻬﺎﯼ ﻣﻌﻤﻮﻝ ﺑﺎﺭﺩﺍﺭﯼ ﻋﺒﺎﺭﺗﺴﺖ ﺍﺯ‪ :‬ﻫﻔﺘﻪ ‪ ٦‬ﺗﺎ ‪ ،١٠‬ﻫﻔﺘﻪ ‪ ١٦‬ﺗﺎ‪ ،٢٠‬ﻫﻔﺘﻪ ‪ ٢٤‬ﺗﺎ ‪ ،٣٠‬ﻫﻔﺘﻪ ‪ ٣١‬ﺗﺎ ‪،٣٤‬‬ ‫ﻫﻔﺘﻪ ‪ ٣٥‬ﺗﺎ ‪ ،٣٧‬ﻫﻔﺘﻪ ‪ ،٣٨‬ﻫﻔﺘﻪ ‪ ٣٩‬ﻭ ﻫﻔﺘﻪ ‪ ٤٠‬ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺯﻣﺎﻥ ﻣﻼﻗﺎﺗﻬﺎﯼ ﻣﺎﺩﺭ ﺑﺮ ﺍﺳﺎﺱ »ﻫﻔﺘﻪ ﺑﺎﺭﺩﺍﺭﯼ« ﺗﻌﯿﯿﻦ ﺷﺪﻩ ﺍﺳﺖ ﮐﻪ ﺍﯾﻦ ﺯﻣﺎﻥ ﻧﯿﺰ ﺑﺎﯾﺪ ﺑﺎ ﺳﻦ ﺑﺎﺭﺩﺍﺭﯼ ﻣﺎﺩﺭ ﻣﻄﺎﺑﻘﺖ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ‪.‬‬ ‫‪.١٣‬‬ ‫ﺳﻦ ﺑﺎﺭﺩﺍﺭﯼ ﺍﺯ ﺯﻣﺎﻥ ﺍﻭﻟﯿﻦ ﺭﻭﺯ ﺁﺧﺮﯾﻦ ﻗﺎﻋﺪﮔﯽ ﻣﺸﺨﺺ ﻣﯽ ﺷﻮﺩ ﻭ ﺩﺭ ﺻﻮﺭﺗﯽ ﮐﻪ ﻣﺎﺩﺭ ﺗﺎﺭﯾﺦ ﺁﺧﺮﯾﻦ ﻗﺎﻋﺪﮔﯽ ﺧﻮﺩ ﺭﺍ ﻧﻤﯽ ﺩﺍﻧﺪ‪ ،‬ﺑﺎﯾﺪ‬ ‫ﺩﺭ ﺍﻭﻟﯿﻦ ﻓﺮﺻﺖ ﺑﺮﺍﯼ ﺗﻌﯿﯿﻦ ﺳﻦ ﺑﺎﺭﺩﺍﺭﯼ ﺍﻗﺪﺍﻡ ﺷﻮﺩ‪.‬‬ ‫ﺩﺭ ﺍﻭﻟﯿﻦ ﻣﺮﺍﺟﻌﻪ ﻣﺎﺩﺭ ﺩﺭ ﻫﺮ ﻫﻔﺘﻪ ﺑﺎﺭﺩﺍﺭﯼ ﺍﺑﺘﺪﺍ ﭘﺮﻭﺗﮑﻞ ﺍﻭﻟﯿﻦ ﻣﻼﻗﺎﺕ ﺑﺮﺍﯼ ﻭﯼ ﺍﺟﺮﺍ ﻭ ﺳﭙﺲ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺳﻦ ﺑﺎﺭﺩﺍﺭﯼ ﺗﻌﯿﯿﻦ ﺷﺪﻩ‪،‬‬ ‫‪.١٤‬‬ ‫ﺍﺩﺍﻣﻪ ﻣﺮﺍﻗﺒﺖ ﻫﺎ ﻣﻄﺎﺑﻖ ﻧﯿﻤﻪ ﺍﻭﻝ ﯾﺎ ﻧﯿﻤﻪ ﺩﻭﻡ ﺍﺭﺍﺋﻪ ﮔﺮﺩﺩ‪.‬‬ ‫ﻫﺮ ﻣﺎﺩﺭ ﺑﺎﯾﺪ ﯾﮏ ﺑﺎﺭ )ﺩﺭ ﺍﻭﻟﯿﻦ ﻣﺮﺍﺟﻌﻪ( ﺗﻮﺳﻂ ﭘﺰﺷﮏ ﻣﻌﺎﯾﻨﻪ ﺷﻮﺩ‪.‬ﺩﺭ ﺍﯾﻦ ﻣﻌﺎﯾﻨﻪ‪ ،‬ﭘﺰﺷﮏ ﺳﺎﺑﻘﻪ ﯾﺎ ﺍﺑﺘﻼ ﺑﻪ ﺑﯿﻤﺎﺭﯼ ﺭﺍ ﺍﺯ ﻣﺎﺩﺭ ﺳﺌﻮﺍﻝ‬ ‫‪.١٥‬‬ ‫ﻣﯽ ﮐﻨﺪ ﻭ ﻣﻌﺎﯾﻨﻪ ﻓﯿﺰﯾﮑﯽ ﺭﺍ ﺍﻧﺠﺎﻡ ﻣﯽ ﺩﻫﺪ‪.‬ﻧﺘﯿﺠﻪ ﺁﺯﻣﺎﯾﺶ ﻫﺎ ﻭ ﺳﻮﻧﻮﮔﺮﺍﻓﯽ )ﺩﺭ ﺻﻮﺭﺕ ﻭﺟﻮﺩ( ﺭﺍ ﺑﺮﺭﺳﯽ ﻭ ﻧﺘﯿﺠﻪ ﺍﺭﺯﯾﺎﺑﯽ ﮐﺎﻣﻞ ﺧﻮﺩ‬ ‫ﺭﺍ ﺩﺭ ﻗﺴﻤﺖ ﻣﺮﺑﻮﻁ ﺩﺭ ﻓﺮﻡ ﻣﺮﺍﻗﺒﺖ ﺑﺎﺭﺩﺍﺭﯼ ﯾﺎ ﭘﺮﻭﻧﺪﻩ ﺍﻟﮑﺘﺮﻭﻧﯿﮏ ﺛﺒﺖ ﻣﯽ ﮐﻨﺪ‪.‬‬ ‫ﻫﺮ ﺯﻣﺎﻥ ﮐﻪ ﻣﺸﮑﻼﺕ ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ ﺩﺭ ﻣﺎﺩﺭ ﻣﺸﺎﻫﺪﻩ ﺷﺪ‪ ،‬ﻻﺯﻡ ﺍﺳﺖ ﺑﻪ ﺩﻧﺪﺍﻥ ﭘﺰﺷﮏ ﯾﺎ ﺑﻬﺪﺍﺷﺘﮑﺎﺭ ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ ﺍﺭﺟﺎﻉ ﺩﺍﺩﻩ ﺷﻮﺩ‪.‬‬ ‫‪.١٦‬‬ ‫ﺩﺭﻣﺎﻥ ﺑﯿﻤﺎﺭﯼ ﻫﺎﯼ ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ ﻣﻨﻌﯽ ﺩﺭ ﺑﺎﺭﺩﺍﺭﯼ ﻧﺪﺍﺭﺩ‪.‬‬ ‫ﺩﺭ ﺻﻮﺭﺕ ﻣﺮﺍﺟﻌﻪ ﻣﺎﺩﺭ ﺑﻪ ﺩﻟﯿﻞ ﯾﮏ ﻋﺎﺭﺿﻪ ﯾﺎ ﻋﻼﻣﺖ )ﺑﻪ ﻏﯿﺮ ﺍﺯ ﺯﻣﺎﻥ ﻫﺎﯼ ﺗﻌﯿﯿﻦ ﺷﺪﻩ(‪ ،‬ﻣﻄﺎﺑﻖ ﻫﻔﺘﻪ ﺑﺎﺭﺩﺍﺭﯼ ﻭﯼ‪ ،‬ﻋﺎﺭﺿﻪ ﺑﺮﺭﺳﯽ ﻭ‬ ‫‪.١٧‬‬ ‫ﺍﻗﺪﺍﻡ ﻻﺯﻡ ﺍﻧﺠﺎﻡ ﺷﻮﺩ‪.‬‬ ‫‪.١٨‬ﺳﻪ ﻣﺎﻫﻪ ﺍﻭﻝ ﺑﺎﺭﺩﺍﺭﯼ ﺭﺍ ﺍﺯ ﻫﻔﺘﻪ ﺍﻭﻝ ﺗﺎ ﭘﺎﯾﺎﻥ ﻫﻔﺘﻪ ‪ ١٤‬ﺑﺎﺭﺩﺍﺭﯼ‪ ،‬ﺳﻪ ﻣﺎﻫﻪ ﺩﻭﻡ ﺭﺍ ﺍﺯ ﻫﻔﺘﻪ ‪ ١٥‬ﺗﺎ ﭘﺎﯾﺎﻥ ﻫﻔﺘﻪ ‪ ٢٨‬ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﺳﻪ‬ ‫ﻣﺎﻫﻪ ﺳﻮﻡ ﺭﺍ ﺍﺯ ﻫﻔﺘﻪ ‪ ٢٩‬ﺗﺎ ﺯﻣﺎﻥ ﺯﺍﯾﻤﺎﻥ ﺩﺭ ﻧﻈﺮ ﺑﮕﯿﺮﯾﺪ‪.‬‬ ‫‪.١٩‬ﺑﻪ ﻣﻨﻈﻮﺭ ﺗﺮﻭﯾﺞ ﺯﺍﯾﻤﺎﻥ ﻃﺒﯿﻌﯽ ﻭ ﺁﻣﻮﺯﺵ ﻣﺎﺩﺭﺍﻥ ﺩﺭ ﻣﻮﺭﺩ ﻓﺮﺍﯾﻨﺪ ﺯﺍﯾﻤﺎﻥ ﻭ ﺁﻣﺎﺩﻩ ﮐﺮﺩﻥ ﻭﯼ‪ ،‬ﻣﺎﺩﺭ ﺑﺎﯾﺪ ﺍﺯ ﻫﻔﺘﻪ ‪ ٢٠‬ﺑﺎﺭﺩﺍﺭﯼ ﺑﻪ ﮐﻼﺱ‬ ‫ﻫﺎﯼ ﺁﻣﺎﺩﮔﯽ ﺑﺮﺍﯼ ﺯﺍﯾﻤﺎﻥ ﻣﻌﺮﻓﯽ ﺷﻮﺩ‪.‬‬ ‫‪.٢٠‬ﻫﺮ ﻣﺎﺩﺭ ﺑﺎﯾﺪ ﺑﺮﺍﯼ ﺍﻧﺠﺎﻡ ﺯﺍﯾﻤﺎﻥ ﺩﺭ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺗﺸﻮﯾﻖ ﺷﻮﺩ‪.‬‬ ‫‪.٢١‬ﻣﺮﺍﻗﺒﺘﻬﺎﯼ ﻣﻌﻤﻮﻝ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ‪ ،‬ﻃﯽ‪ ٣‬ﻣﻼﻗﺎﺕ ﺍﻧﺠﺎﻡ ﻣﯽ ﺷﻮﺩ ﮐﻪ ﻣﻼﻗﺎﺕ ﺍﻭﻝ ﺩﺭ ﺭﻭﺯﻫﺎﯼ ‪ ١‬ﺗﺎ ‪ ،٣‬ﻣﻼﻗﺎﺕ ﺩﻭﻡ ﺩﺭ ﺭﻭﺯﻫﺎﯼ ‪ ١٠‬ﺗﺎ ‪١٥‬‬ ‫ﻭ ﻣﻼﻗﺎﺕ ﺳﻮﻡ ﺩﺭ ﺭﻭﺯﻫﺎﯼ ‪ ٣٠‬ﺗﺎ ‪ ٤٢‬ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ﺍﻧﺠﺎﻡ ﻣﯽ ﺷﻮﺩ‪.‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻧﻮﺯﺍﺩ )ﺑﻪ ﺟﺰ ﻣﺮﺍﻗﺒﺖ ﺑﺪﻭ ﺗﻮﻟﺪ( ﻧﯿﺰ ﺩﺭ‪ ٣‬ﻧﻮﺑﺖ‬ ‫ﺷﺎﻣﻞ ﻣﺮﺍﻗﺒﺖ ﺭﻭﺯﻫﺎﯼ‪ ٣‬ﺗﺎ ‪ ،٥‬ﻣﺮﺍﻗﺒﺖ ﺭﻭﺯﻫﺎﯼ ‪ ١٤‬ﺗﺎ ‪ ١٥‬ﻭ ﻣﺮﺍﻗﺒﺖ ﺭﻭﺯﻫﺎﯼ‪ ٣٠‬ﺗﺎ ‪ ٤٥‬ﺍﻧﺠﺎﻡ ﻣﯽ ﺷﻮﺩ‪.‬‬ ‫‪.٢٢‬ﺑﺮﺍﯼ ﻣﺎﺩﺭﯼ ﮐﻪ ﺩﺭ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺯﺍﯾﻤﺎﻥ ﻣﯽ ﮐﻨﺪ‪ ،‬ﻣﺮﺍﻗﺒﺖ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ ﺩﺭ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺭﺍ ﻣﯽ ﺗﻮﺍﻥ ﻣﺮﺍﻗﺒﺖ ﻧﻮﺑﺖ ﺍﻭﻝ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ‬ ‫ﻣﺤﺴﻮﺏ ﮐﺮﺩ‪.‬‬ ‫‪.٢٣‬ﺗﻮﺟﻪ ﺩﺍﺷﺘﻪ ﺑﺎﺷﯿﺪ‪ ،‬ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺍﯾﻦ ﻣﺠﻤﻮﻋﻪ ﺑﺪﻭﻥ ﺑﻪ ﮐﺎﺭﮔﯿﺮﯼ ﻓﺮﻡ ﻫﺎﯼ ﺛﺒﺖ ﻭ ﺍﺭﺟﺎﻉ ﻭ ﭘﯿﮕﯿﺮﯼ ﻣﺎﺩﺭ ﻣﺆﺛﺮ ﻧﺨﻮﺍﻫﺪ ﺑﻮﺩ‪.‬‬ ‫‪7‬‬  ‫ﺟﺪﻭﻝ ﺭﺍﻫﻨﻤﺎﯼ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﭘﯿﺶ ﺍﺯ ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﺑﺎﺭﺩﺍﺭﯼ )ﻣﺮﻭﺭ ﮐﻠﯽ ﻭ ﺳﺮﯾﻊ(‬ ‫ﻣﺮﺍﻗﺒﺖ ‪ ٦‬ﺗﺎ ‪٨‬‬ ‫ﺯﻣﺎﻥ‬ ‫ﻣﺮﺍﻗﺒﺖ ‪ ٤‬ﻭ ‪٥‬‬ ‫ﻫﻔﺘﻪ ‪ ٣٨‬ﺗﺎ ‪٤٠‬‬ ‫ﻣﺮﺍﻗﺒﺖ ‪٣‬‬ ‫ﻣﺮﺍﻗﺒﺖ ‪٢‬‬ ‫ﻣﺮﺍﻗﺒﺖ ‪١‬‬ ‫ﭘﯿﺶ ﺍﺯ‬ ‫ﻣﺮﺍﻗﺒﺖ‬ ‫ﻫﻔﺘﻪ ‪ ٣١‬ﺗﺎ ‪٣٤‬‬ ‫)ﻫﺮ ﻫﻔﺘﻪ ﯾﮏ‬ ‫ﻫﻔﺘﻪ ‪ ٢٤‬ﺗﺎ ‪٣٠‬‬ ‫ﻫﻔﺘﻪ ‪ ١٦‬ﺗﺎ ‪٢٠‬‬ ‫ﻫﻔﺘﻪ ‪ ٦‬ﺗﺎ ‪١٠‬‬ ‫ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﻫﻔﺘﻪ ‪ ٣٥‬ﺗﺎ ‪٣٧‬‬ ‫ﻣﺮﺍﻗﺒﺖ(‬ ‫ﻧﻮﻉ ﻣﺮﺍﻗﺒﺖ‬ ‫‪ -‬ﺑﺮﺭﺳﯽ ﭘﺮﻭﻧﺪﻩ ﻭ‬ ‫‪ -‬ﺑﺮﺭﺳﯽ ﭘﺮﻭﻧﺪﻩ ﻭ‬ ‫‪ -‬ﺑﺮﺭﺳﯽ ﭘﺮﻭﻧﺪﻩ ﻭ‬ ‫‪ -‬ﺑﺮﺭﺳﯽ ﭘﺮﻭﻧﺪﻩ ﻭ‬ ‫‪ -‬ﺗﺸﮑﯿﻞ ﭘﺮﻭﻧﺪﻩ‪،‬‬ ‫ﺁﺷﻨﺎﯾﯽ ﺑﺎ ﻭﺿﻌﯿﺖ ﻣﺎﺩﺭ‬ ‫ﺁﺷﻨﺎﯾﯽ ﺑﺎ ﻭﺿﻌﯿﺖ ﻣﺎﺩﺭ‬ ‫ﺁﺷﻨﺎﯾﯽ ﺑﺎ ﻭﺿﻌﯿﺖ‬ ‫ﺁﺷﻨﺎﯾﯽ ﺑﺎ ﻭﺿﻌﯿﺖ ﻣﺎﺩﺭ‬ ‫ﻭﺿﻌﯿﺖ ﺑﺎﺭﺩﺍﺭﯼ ﻓﻌﻠﯽ‪،‬‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ‬ ‫ﻣﺎﺩﺭ‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ‬ ‫ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﺯﺍﯾﻤﺎﻥ ﻗﺒﻠﯽ‪،‬‬ ‫ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ‬ ‫ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺑﯿﻤﺎﺭﯼ‪ ،‬ﺭﻓﺘﺎﺭ ﭘﺮ ﺧﻄﺮ‬ ‫‪ -‬ﺗﻐﺬﯾﻪ ﻭ ﻣﺼﺮﻑ‬ ‫‪ -‬ﻏﺮﺑﺎﻟﮕﺮﯼ ﺍﻭﻟﯿﻪ‬ ‫ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪ -‬ﻏﺮﺑﺎﻟﮕﺮﯼ‬ ‫‪ -‬ﻏﺮﺑﺎﻟﮕﺮﯼ ﻣﺼﺮﻑ‬ ‫ﺗﺸﮑﯿﻞ ﭘﺮﻭﻧﺪﻩ‬ ‫ﻣﮑﻤﻞ ﻫﺎﯼ ﻏﺬﺍﯾﯽ‬ ‫ﻣﺼﺮﻑ ﺩﺧﺎﻧﯿﺎﺕ‪ ،‬ﺍﻟﮑﻞ‬ ‫‪ -‬ﺗﻐﺬﯾﻪ ﻭ ﻣﺼﺮﻑ‬ ‫ﻣﺼﺮﻑ ﺩﺧﺎﻧﯿﺎﺕ‪ ،‬ﺍﻟﮑﻞ ﻭ‬ ‫ﺩﺧﺎﻧﯿﺎﺕ‪ ،‬ﺍﻟﮑﻞ ﻭ ﻣﻮﺍﺩ‬ ‫ﻭ ﺍﺭﺯﯾﺎﺑﯽ‬ ‫ﻭ ﻣﻮﺍﺩ )ﻣﺮﺍﻗﺒﺖ ‪(٤‬‬ ‫ﻣﮑﻤﻞ ﻫﺎﯼ ﻏﺬﺍﯾﯽ‬ ‫ﻣﻮﺍﺩ‬ ‫‪ -‬ﺍﺭﺯﯾﺎﺑﯽ ﺗﻐﺬﯾﻪ‬ ‫‪ -‬ﺗﻐﺬﯾﻪ ﻭ ﻣﺼﺮﻑ‬ ‫‪ -‬ﺗﻐﺬﯾﻪ ﻭ ﻣﺼﺮﻑ‬ ‫‪ -‬ﻣﺼﺮﻑ ﻣﮑﻤﻞ ﻏﺬﺍﯾﯽ‬ ‫ﻣﮑﻤﻞ ﻫﺎﯼ ﻏﺬﺍﯾﯽ‬ ‫ﻣﮑﻤﻞ ﻫﺎﯼ ﻏﺬﺍﯾﯽ‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ‬ ‫ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺷﻨﺎﺳﺎﯾﯽ‬ ‫‪ -‬ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﻭﺯﻥ‪،‬‬ ‫‪ -‬ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﻭﺯﻥ‪،‬‬ ‫‪ -‬ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﻭﺯﻥ‪،‬‬ ‫‪ -‬ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﻭﺯﻥ‪،‬‬ ‫‪ -‬ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﻗﺪ ﻭ‬ ‫ﻋﻼﺋﻢ ﺣﯿﺎﺗﯽ‬ ‫ﻋﻼﺋﻢ ﺣﯿﺎﺗﯽ‬ ‫ﻋﻼﺋﻢ ﺣﯿﺎﺗﯽ‬ ‫ﻋﻼﺋﻢ ﺣﯿﺎﺗﯽ‬ ‫ﻭﺯﻥ ﻭ ﻧﻤﺎﯾﻪ ﺗﻮﺩﻩ ﺑﺪﻧﯽ‬ ‫ﻣﺘﻘﺎﺿﯽ ﻭ‬ ‫‪ -‬ﻣﻌﺎﯾﻨﻪ ﻓﯿﺰﯾﮑﯽ‬ ‫‪ -‬ﻣﻌﺎﯾﻨﻪ ﻓﯿﺰﯾﮑﯽ‬ ‫‪ -‬ﻣﻌﺎﯾﻨﻪ ﻓﯿﺰﯾﮑﯽ‬ ‫‪ -‬ﻣﻌﺎﯾﻨﻪ ﻓﯿﺰﯾﮑﯽ‬ ‫‪ -‬ﻋﻼﺋﻢ ﺣﯿﺎﺗﯽ‬ ‫ﺍﺭﺟﺎﻉ ﺑﻪ‬ ‫)ﭼﺸﻢ‪ ،‬ﭘﻮﺳﺖ‪ ،‬ﺍﻧﺪﺍﻡ(‬ ‫)ﭼﺸﻢ‪ ،‬ﭘﻮﺳﺖ‪ ،‬ﺍﻧﺪﺍﻡ(‬ ‫)ﭼﺸﻢ‪ ،‬ﭘﻮﺳﺖ‪ ،‬ﺍﻧﺪﺍﻡ‪،‬‬ ‫)ﭼﺸﻢ‪ ،‬ﭘﻮﺳﺖ‪ ،‬ﺍﻧﺪﺍﻡ‪،‬‬ ‫‪ -‬ﻣﻌﺎﯾﻨﻪ ﻓﯿﺰﯾﮑﯽ‬ ‫ﻣﺎﻣﺎ ﯾﺎ‬ ‫ﻣﻌﺎﯾﻨﻪ ﺑﺎﻟﯿﻨﯽ‬ ‫‪ -‬ﺻﺪﺍﯼ ﻗﻠﺐ ﺟﻨﯿﻦ‬ ‫‪ -‬ﺻﺪﺍﯼ ﻗﻠﺐ ﺟﻨﯿﻦ‬ ‫ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ(‬ ‫ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ(‬ ‫)ﭼﺸﻢ‪ ،‬ﭘﻮﺳﺖ‪ ،‬ﺍﻧﺪﺍﻡ‪،‬‬ ‫ﭘﺰﺷﮏ‬ ‫‪ -‬ﺍﺭﺗﻔﺎﻉ ﺭﺣﻢ‬ ‫‪ -‬ﺍﺭﺗﻔﺎﻉ ﺭﺣﻢ‬ ‫‪ -‬ﺻﺪﺍﯼ ﻗﻠﺐ ﺟﻨﯿﻦ‬ ‫‪ -‬ﺻﺪﺍﯼ ﻗﻠﺐ ﺟﻨﯿﻦ‬ ‫ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ(‬ ‫‪ -‬ﺍﺭﺗﻔﺎﻉ ﺭﺣﻢ‬ ‫‪ -‬ﺍﺭﺗﻔﺎﻉ ﺭﺣﻢ‬ ‫ﺩﺭ ﻫﻔﺘﻪ ‪ ٣١‬ﺗﺎ ‪٣٤‬‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﺟﻬﺖ‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﺟﻬﺖ‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﺟﻬﺖ‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﺟﻬﺖ‬ ‫ﺩﺭﺧﻮﺍﺳﺖ ﺁﺯﻣﺎﯾﺶ‬ ‫ﺩﺭﺧﻮﺍﺳﺖ ﺳﻮﻧﻮﮔﺮﺍﻓﯽ‬ ‫ﺩﺭﺧﻮﺍﺳﺖ ﺁﺯﻣﺎﯾﺶ ﻫﺎﯼ‬ ‫ﺩﺭﺧﻮﺍﺳﺖ ﺳﻮﻧﻮﮔﺮﺍﻓﯽ‬ ‫ﻫﺎﯼ ﻣﻌﻤﻮﻝ ﻧﻮﺑﺖ‬ ‫ﺩﺭ ﻫﻔﺘﻪ ‪ ١٦‬ﺗﺎ ‪١٨‬‬ ‫ﻣﻌﻤﻮﻝ ﻧﻮﺑﺖ ﺍﻭﻝ‬ ‫ﺁﺯﻣﺎﯾﺶ ﻫﺎ ﯾﺎ‬ ‫ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺩﻭﻡ‬ ‫ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺑﺮﺭﺳﯽ ﺗﮑﻤﯿﻠﯽ‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﺟﻬﺖ ﺁﺯﻣﺎﯾﺶ‬ ‫‪ HIV‬ﺩﺭ ﺍﻓﺮﺍﺩ ﭘﺮ ﺧﻄﺮ‬ ‫ﺭﻓﺘﺎﺭﯼ‬ ‫‪ -‬ﺳﻼﻣﺖ ﺭﻭﺍﻥ‪ ،‬ﺟﻨﺴﯽ‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ‬ ‫‪ -‬ﺳﻼﻣﺖ ﺭﻭﺍﻥ‪،‬‬ ‫‪ -‬ﺑﻬﺪﺍﺷﺖ ﻓﺮﺩﯼ‪،‬‬ ‫‪ -‬ﺑﻬﺪﺍﺷﺖ ﻓﺮﺩﯼ‪،‬‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ‬ ‫ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺟﻨﺴﯽ‬ ‫ﺭﻭﺍﻥ‪ ،‬ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ‬ ‫ﺭﻭﺍﻥ‪ ،‬ﺟﻨﺴﯽ‪ ،‬ﺩﻫﺎﻥ ﻭ‬ ‫ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪ -‬ﻋﻮﺍﺭﺽ ﻣﺼﺮﻑ‬ ‫‪ -‬ﺗﻐﺬﯾﻪ‪ /‬ﻣﮑﻤﻞ ﻫﺎﯼ‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ‬ ‫ﺩﻧﺪﺍﻥ‬ ‫‪ -‬ﺷﮑﺎﯾﺖ ﻫﺎﯼ ﺷﺎﯾﻊ‬ ‫ﺩﺧﺎﻧﯿﺎﺕ‪ ،‬ﺍﻟﮑﻞ ﻭ ﻣﻮﺍﺩ‬ ‫ﺩﺍﺭﻭﯾﯽ‬ ‫ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ‪/‬‬ ‫‪ -‬ﺗﻐﺬﯾﻪ‪ /‬ﻣﮑﻤﻞ ﻫﺎﯼ‬ ‫‪ -‬ﻋﻮﺍﺭﺽ ﻣﺼﺮﻑ‬ ‫‪ -‬ﻓﻮﺍﯾﺪ ﺯﺍﯾﻤﺎﻥ ﻃﺒﯿﻌﯽ‪،‬‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ‬ ‫ﺷﮑﺎﯾﺖ ﻫﺎﯼ ﺷﺎﯾﻊ‬ ‫ﺩﺍﺭﻭﯾﯽ‬ ‫ﺩﺧﺎﻧﯿﺎﺕ‪ ،‬ﺍﻟﮑﻞ ﻭ ﻣﻮﺍﺩ‬ ‫ﻣﺤﻞ ﻣﻨﺎﺳﺐ ﺯﺍﯾﻤﺎﻥ‬ ‫ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪ -‬ﻋﻮﺍﺭﺽ ﻣﺼﺮﻑ‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ‬ ‫‪ -‬ﻓﻮﺍﯾﺪ ﺯﺍﯾﻤﺎﻥ ﻃﺒﯿﻌﯽ‬ ‫‪ -‬ﺷﯿﺮﺩﻫﯽ‬ ‫‪ -‬ﺷﮑﺎﯾﺖ ﻫﺎﯼ ﺷﺎﯾﻊ‬ ‫ﺩﺧﺎﻧﯿﺎﺕ‪ ،‬ﺍﻟﮑﻞ ﻭ ﻣﻮﺍﺩ‬ ‫ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ‪ /‬ﺷﮑﺎﯾﺖ‬ ‫ﺁﻣﻮﺯﺵ ﻭ‬ ‫ﻭ ﺍﯾﻤﻦ‪ ،‬ﺁﻣﺎﺩﮔﯽ ﻭ‬ ‫‪ -‬ﺗﻮﺻﯿﻪ ﺑﻪ ﺷﺮﮐﺖ ﺩﺭ‬ ‫‪ -‬ﺷﯿﺮﺩﻫﯽ‬ ‫‪ -‬ﺗﻮﺻﯿﻪ ﺑﻪ ﺷﺮﮐﺖ ﺩﺭ‬ ‫ﻫﺎﯼ ﺷﺎﯾﻊ‬ ‫ﻣﺸﺎﻭﺭﻩ‬ ‫ﻣﺤﻞ ﻣﻨﺎﺳﺐ ﺯﺍﯾﻤﺎﻥ‬ ‫ﮐﻼﺱ ﺁﻣﺎﺩﮔﯽ ﺯﺍﯾﻤﺎﻥ‬ ‫‪ -‬ﺗﻮﺻﯿﻪ ﺑﻪ ﺷﺮﮐﺖ‬ ‫ﮐﻼﺱ ﺁﻣﺎﺩﮔﯽ ﺯﺍﯾﻤﺎﻥ‬ ‫‪ -‬ﺗﺎﺭﯾﺦ ﻣﺮﺍﺟﻌﻪ ﺑﻌﺪﯼ‬ ‫‪ -‬ﺷﯿﺮﺩﻫﯽ‬ ‫‪ -‬ﻣﺮﺍﻗﺒﺖ ﻧﻮﺯﺍﺩ‪ ،‬ﻋﻼﺋﻢ‬ ‫ﺩﺭ ﮐﻼﺱ ﺁﻣﺎﺩﮔﯽ‬ ‫‪ -‬ﺗﺎﺭﯾﺦ ﻣﺮﺍﺟﻌﻪ ﺑﻌﺪﯼ‬ ‫‪ -‬ﻣﺮﺍﻗﺒﺖ ﺍﺯ ﻧﻮﺯﺍﺩ‪،‬‬ ‫ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ‬ ‫ﺯﺍﯾﻤﺎﻥ‬ ‫ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ‬ ‫ﻧﻮﺯﺍﺩ‬ ‫‪ -‬ﺗﺎﺭﯾﺦ ﻣﺮﺍﺟﻌﻪ‬ ‫ﻭﯾﮋﻩ ﻧﻮﺯﺍﺩ‬ ‫‪ -‬ﺗﺎﺭﯾﺦ ﻣﺮﺍﺟﻌﻪ ﺑﻌﺪﯼ‬ ‫ﺑﻌﺪﯼ‬ ‫‪ -‬ﺗﺎﺭﯾﺦ ﻣﺮﺍﺟﻌﻪ ﺑﻌﺪﯼ‬ ‫ﺍﺳﯿﺪ ﻓﻮﻟﯿﮏ )ﺍﺯ ﺍﺑﺘﺪﺍﯼ ﺑﺎﺭﺩﺍﺭﯼ ﺗﺎ ﭘﺎﯾﺎﻥ ﺑﺎﺭﺩﺍﺭﯼ(‪ ،‬ﺁﻫﻦ ﻭ ﻣﻮﻟﺘﯽ ﻭﯾﺘﺎﻣﯿﻦ ﻣﯿﻨﺮﺍﻝ )ﺍﺯ ﺷﺮﻭﻉ ﻫﻔﺘﻪ ‪ ١٦‬ﺑﺎﺭﺩﺍﺭﯼ ﺗﺎ ﭘﺎﯾﺎﻥ ﺑﺎﺭﺩﺍﺭﯼ(‪،‬‬ ‫ﻣﮑﻤﻞ ﻫﺎﯼ‬ ‫‪8‬‬  ‫ﻭﯾﺘﺎﻣﯿﻦ ﺩ )ﺍﺯ ﺍﺑﺘﺪﺍ ﺗﺎ ﭘﺎﯾﺎﻥ ﺑﺎﺭﺩﺍﺭﯼ(‬ ‫ﺩﺍﺭﻭﯾﯽ‬ ‫ﺗﻮﺃﻡ )ﺑﻬﺘﺮﯾﻦ ﺯﻣﺎﻥ ﻫﻔﺘﻪ ‪ ٢٧‬ﺗﺎ ‪ ٣٦‬ﺑﺎﺭﺩﺍﺭﯼ(‪ ،‬ﺁﻧﻔﻠﻮﺁﻧﺰﺍ )ﺩﺭ ﺻﻮﺭﺕ ﻧﯿﺎﺯ( – ﺍﺭﺟﺎﻉ ﺟﻬﺖ ﺗﺰﺭﯾﻖ ﺍﯾﻤﻮﻧﻮﮔﻠﻮﺑﻮﻟﯿﻦ ﺿﺪ ﺩﯼ )ﺭﻭﮔﺎﻡ( ﺍﺯ ﻫﻔﺘﻪ‬ ‫ﺍﯾﻤﻦ ﺳﺎﺯﯼ‬ ‫‪ ٢٨‬ﺗﺎ ‪ ٣٤‬ﺑﺎﺭﺩﺍﺭﯼ )ﺩﺭ ﺻﻮﺭﺕ ﻧﯿﺎﺯ(‬ ‫ﺟﺪﻭﻝ ﺭﺍﻫﻨﻤﺎﯼ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ )ﻣﺮﻭﺭ ﮐﻠﯽ ﻭ ﺳﺮﯾﻊ(‬ ‫ﻣﺮﺍﻗﺒﺖ ‪٣‬‬ ‫ﻣﺮﺍﻗﺒﺖ ‪٢‬‬ ‫ﻣﺮﺍﻗﺒﺖ ‪١‬‬ ‫ﺯﻣﺎﻥ ﻣﺮﺍﻗﺒﺖ‬ ‫ﺭﻭﺯﻫﺎﯼ ‪ ٣٠‬ﺗﺎ ‪٤٢‬‬ ‫ﺭﻭﺯﻫﺎﯼ ‪ ١٠‬ﺗﺎ ‪١٥‬‬ ‫ﺭﻭﺯ ﻫﺎﯼ ‪ ١‬ﺗﺎ ‪٣‬‬ ‫ﻧﻮﻉ ﻣﺮﺍﻗﺒﺖ‬ ‫‪ -‬ﺑﺮﺭﺳﯽ ﭘﺮﻭﻧﺪﻩ ﻭ ﺁﺷﻨﺎﯾﯽ ﺑﺎ‬ ‫‪ -‬ﺑﺮﺭﺳﯽ ﭘﺮﻭﻧﺪﻩ ﻭ ﺁﺷﻨﺎﯾﯽ ﺑﺎ ﻭﺿﻌﯿﺖ‬ ‫ﻭﺿﻌﯿﺖ ﻣﺎﺩﺭ‬ ‫‪ -‬ﻣﺸﺨﺼﺎﺕ‪ ،‬ﻭﺿﻌﯿﺖ ﺯﺍﯾﻤﺎﻥ‬ ‫ﻣﺎﺩﺭ‬ ‫‪ -‬ﺍﺭﺯﯾﺎﺑﯽ ﺍﻟﮕﻮﯼ ﺗﻐﺬﯾﻪ‬ ‫‪ -‬ﺳﻮﺍﺑﻖ ﺑﺎﺭﺩﺍﺭﯼ ﻫﺎﯼ ﺍﺧﯿﺮ‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﻭ‬ ‫‪ -‬ﻏﺮﺑﺎﻟﮕﺮﯼ ﺍﻓﺴﺮﺩﮔﯽ ﭘﺲ ﺍﺯ‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﻭ‬ ‫ﺗﺸﮑﯿﻞ ﭘﺮﻭﻧﺪﻩ ﻭ ﺍﺭﺯﯾﺎﺑﯽ‬ ‫ﻋﻮﺍﺭﺽ‬ ‫ﺯﺍﯾﻤﺎﻥ‬ ‫ﻋﻮﺍﺭﺽ‬ ‫‪ -‬ﻏﺮﺑﺎﻟﮕﺮﯼ ﺍﻓﺴﺮﺩﮔﯽ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ‬ ‫‪ -‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﻭ‬ ‫‪ -‬ﻣﺼﺮﻑ ﻣﮑﻤﻞ ﻫﺎﯼ ﺩﺍﺭﻭﯾﯽ‬ ‫‪ -‬ﻣﺼﺮﻑ ﻣﮑﻤﻞ ﻫﺎﯼ ﺩﺍﺭﻭﯾﯽ‬ ‫ﻋﻮﺍﺭﺽ‬ ‫‪ -‬ﻣﺼﺮﻑ ﻣﮑﻤﻞ ﻫﺎﯼ ﺩﺍﺭﻭﯾﯽ‬ ‫‪ -‬ﻣﻌﺎﯾﻨﻪ ﭼﺸﻢ‪ ،‬ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ‪،‬‬ ‫‪ -‬ﻣﻌﺎﯾﻨﻪ ﭼﺸﻢ‪ ،‬ﭘﺴﺘﺎﻥ ﻫﺎ‪ ،‬ﺷﮑﻢ ‪ -‬ﻣﻌﺎﯾﻨﻪ ﭼﺸﻢ‪ ،‬ﭘﺴﺘﺎﻥ ﻫﺎ‪ ،‬ﺷﮑﻢ‬ ‫ﭘﺴﺘﺎﻥ‪ ،‬ﺷﮑﻢ )ﺭﺣﻢ(‪ ،‬ﺍﻧﺪﺍﻡ ﻫﺎ‪ ،‬ﻣﺤﻞ‬ ‫)ﺭﺣﻢ(‪ ،‬ﺍﻧﺪﺍﻡ ﻫﺎ‪ ،‬ﻣﺤﻞ ﺑﺨﯿﻪ ﻫﺎ‬ ‫)ﺭﺣﻢ(‪ ،‬ﺍﻧﺪﺍﻡ ﻫﺎ‪ ،‬ﻣﺤﻞ ﺑﺨﯿﻪ ﻫﺎ‬ ‫ﻣﻌﺎﯾﻨﻪ ﺑﺎﻟﯿﻨﯽ‬ ‫ﺑﺨﯿﻪ ﻫﺎ‬ ‫‪ -‬ﻋﻼﺋﻢ ﺣﯿﺎﺗﯽ‬ ‫‪ -‬ﻋﻼﺋﻢ ﺣﯿﺎﺗﯽ‬ ‫‪ -‬ﻋﻼﺋﻢ ﺣﯿﺎﺗﯽ‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﺟﻬﺖ ﭘﺎﭖ ﺍﺳﻤﯿﺮ ) ﺩﺭ ﺻﻮﺭﺕ‬ ‫ﻧﯿﺎﺯ(‬ ‫‪------------------------‬‬ ‫‪---------------------‬‬ ‫ﺁﺯﻣﺎﯾﺶ ﻫﺎ‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﺟﻬﺖ ﺩﺭﺧﻮﺍﺳﺖ ﺁﺯﻣﺎﯾﺶ‬ ‫ﺑﺮﺍﯼ ﻣﺒﺘﻼﯾﺎﻥ ﺑﻪ ﺩﯾﺎﺑﺖ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺑﻬﺪﺍﺷﺖ ﻓﺮﺩﯼ ﻭ ﺳﻼﻣﺖ ﺭﻭﺍﻥ ﻭ‬ ‫ﺑﻬﺪﺍﺷﺖ ﻓﺮﺩﯼ ﻭ ﺳﻼﻣﺖ ﺭﻭﺍﻥ ﻭ‬ ‫ﺑﻬﺪﺍﺷﺖ ﻓﺮﺩﯼ‪ ،‬ﺳﻼﻣﺖ ﺭﻭﺍﻥ ﻭ‬ ‫ﺟﻨﺴﯽ‪ ،‬ﺑﻬﺪﺍﺷﺖ ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ‪،‬‬ ‫ﺟﻨﺴﯽ‪ ،‬ﺗﻐﺬﯾﻪ ﻭ ﻣﮑﻤﻞ ﻫﺎﯼ‬ ‫ﺟﻨﺴﯽ‪ ،‬ﺗﻐﺬﯾﻪ ﻭ ﻣﮑﻤﻞ ﻫﺎﯼ‬ ‫ﺗﻐﺬﯾﻪ ﻭ ﻣﮑﻤﻞ ﻫﺎﯼ ﺩﺍﺭﻭﯾﯽ‪ ،‬ﺷﮑﺎﯾﺖ‬ ‫ﺩﺍﺭﻭﯾﯽ‪ ،‬ﺷﮑﺎﯾﺖ ﺷﺎﯾﻊ‪ ،‬ﺗﺪﺍﻭﻡ‬ ‫ﺩﺍﺭﻭﯾﯽ‪ ،‬ﺷﮑﺎﯾﺖ ﺷﺎﯾﻊ‪ ،‬ﻧﺤﻮﻩ‬ ‫ﺷﺎﯾﻊ‪ ،‬ﺗﺪﺍﻭﻡ ﺷﯿﺮﺩﻫﯽ‪ ،‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ‬ ‫ﺷﯿﺮﺩﻫﯽ‪ ،‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ‬ ‫ﺷﯿﺮﺩﻫﯽ ﻭ ﻣﺸﮑﻼﺕ ﺁﻥ‪ ،‬ﻋﻼﺋﻢ‬ ‫ﺁﻣﻮﺯﺵ ﻭ ﻣﺸﺎﻭﺭﻩ‬ ‫ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﻣﺎﺩﺭ ﻭ ﻧﻮﺯﺍﺩ‪ ،‬ﻣﺮﺍﻗﺒﺖ ﺍﺯ‬ ‫ﻭﯾﮋﻩ ﻣﺎﺩﺭ ﻭ ﻧﻮﺯﺍﺩ‪ ،‬ﻣﺮﺍﻗﺒﺖ ﺍﺯ ﻧﻮﺯﺍﺩ‪،‬‬ ‫ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﻣﺎﺩﺭ ﻭ‬ ‫ﻧﻮﺯﺍﺩ‬ ‫ﺗﺎﺭﯾﺦ ﻣﺮﺍﺟﻌﻪ ﺑﻌﺪﯼ‬ ‫ﻧﻮﺯﺍﺩ‪ ،‬ﻣﺮﺍﻗﺒﺖ ﺍﺯ ﻧﻮﺯﺍﺩ‪ ،‬ﺗﺎﺭﯾﺦ‬ ‫ﻣﺮﺍﺟﻌﻪ ﺑﻌﺪﯼ‬ ‫ﺁﻫﻦ ﻭ ﻣﻮﻟﺘﯽ ﻭﯾﺘﺎﻣﯿﻦ ﻣﯿﻨﺮﺍﻝ ﺗﺎ ‪ ٣‬ﻣﺎﻩ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ‬ ‫ﻣﮑﻤﻞ ﻫﺎﯼ ﺩﺍﺭﻭﯾﯽ‬ ‫ﺍﯾﻤﻮﻧﻮﮔﻠﻮﺑﻮﻟﯿﻦ ﺿﺪ ﺩﯼ )ﺭﻭﮔﺎﻡ(‬ ‫ﺩﺭ ﻣﺎﺩﺭ ﺍﺭﻫﺎﺵ ﻣﻨﻔﯽ ﺑﺎ ﻧﻮﺯﺍﺩ‬ ‫‪---------------------‬‬ ‫‪------------------------‬‬ ‫ﺍﯾﻤﻦ ﺳﺎﺯﯼ‬ ‫ﺍﺭﻫﺎﺵ ﻣﺜﺒﺖ ﻃﯽ ‪ ٧٢‬ﺳﺎﻋﺖ ﺍﻭﻝ‬ ‫ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ‬ ‫‪9‬‬  ‫ﺍﻟﻒ‪ -‬ﻣﻼﻗﺎﺕ ﻫﺎﯼ ﻣﻌﻤﻮﻝ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺻﻔﺤﻪ‬ ‫ﻋﻨﻮﺍﻥ‬ ‫‪١١‬‬ ‫ﺍﻟﻒ‪ -١‬ﺍﻭﻟﯿﻦ ﻣﻼﻗﺎﺕ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪١٢‬‬ ‫ﺍﻟﻒ‪ -٢‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻧﯿﻤﻪ ﺍﻭﻝ )‪ ٢٠‬ﻫﻔﺘﻪ ﺍﻭﻝ( ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪١٣‬‬ ‫ﺍﻟﻒ‪ -٣‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻧﯿﻤﻪ ﺩﻭﻡ )‪ ٢٠‬ﻫﻔﺘﻪ ﺩﻭﻡ( ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪١٤‬‬ ‫ﺗﻌﺎﺭﯾﻒ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪٢١‬‬ ‫ﺍﻟﻒ‪ -٤‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪10‬‬  ‫ﺍﻟﻒ‪ -١‬ﺍﻭﻟﯿﻦ ﻣﻼﻗﺎﺕ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺍﺭﺯﯾﺎﺑﯽ‬ ‫ﺗﺸﮑﯿﻞ ﭘﺮﻭﻧﺪﻩ ﻭ ﮔﺮﻓﺘﻦ ﺷﺮﺡ‪ :‬ﻭﺿﻌﯿﺖ ﺑﺎﺭﺩﺍﺭﯼ ﻓﻌﻠﯽ‪ ،‬ﺗﻌﯿﯿﻦ ﺳﻦ ﺑﺎﺭﺩﺍﺭﯼ‪ ،‬ﺳﻮﺍﺑﻖ ﺑﺎﺭﺩﺍﺭﯼ ﻗﺒﻠﯽ‪ ،‬ﺍﺑﺘﻼ ﺑﻪ ﺑﯿﻤﺎﺭﯼ ﻭ ﺑﺮﺭﺳﯽ ﺭﻓﺘﺎﺭ ﭘﺮ ﺧﻄﺮ‪ ،‬ﻭﺿﻌﯿﺖ ﺍﯾﻤﻦ‬ ‫ﺳﺎﺯﯼ‬ ‫ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﻗﺪ‪ ،‬ﻭﺯﻥ‪ ،‬ﻧﻤﺎﯾﻪ ﺗﻮﺩﻩ ﺑﺪﻧﯽ‪ ،‬ﻋﻼﺋﻢ ﺣﯿﺎﺗﯽ‬ ‫ﺍﻗﺪﺍﻡ‬ ‫‪ -‬ﺍﯾﻤﻦ ﺳﺎﺯﯼ ﺩﺭ ﺻﻮﺭﺕ ﻧﺎﮐﺎﻣﻞ ﺑﻮﺩﻥ‬ ‫‪ -‬ﺍﺭﺯﯾﺎﺑﯽ ﺍﻟﮕﻮﯼ ﺗﻐﺬﯾﻪ ﺕ‪٤‬‬ ‫‪ -‬ﺗﻌﯿﯿﻦ ﻫﻔﺘﻪ ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﺍﻧﺠﺎﻡ ﻣﺮﺍﻗﺒﺖ ﻣﻄﺎﺑﻖ ﺑﺎ ﺁﻥ‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﻏﯿﺮ ﻓﻮﺭﯼ ﺑﻪ ﭘﺰﺷﮏ ﻭ ﻣﺎﻣﺎ ﺟﻬﺖ‪:‬‬ ‫ﻣﻌﺎﯾﻨﻪ ﺗﯿﺮﻭﺋﯿﺪ‪ ،‬ﭘﺴﺘﺎﻥ‪ ،‬ﻗﻠﺐ‪ ،‬ﺭﯾﻪ‬ ‫‪‬‬ ‫ﺩﺭﺧﻮﺍﺳﺖ ﺁﺯﻣﺎﯾﺶ ﻫﺎﯼ ﻣﻌﻤﻮﻝ ﯾﺎ ﺳﻮﻧﻮﮔﺮﺍﻓﯽ‬ ‫‪‬‬ ‫ﺑﺮﺭﺳﯽ ﺑﯿﻤﺎﺭﯼ ﻭ ﻧﺎﻫﻨﺠﺎﺭﯼ ﻫﺎ‬ ‫‪‬‬ ‫ﺍﺭﺯﯾﺎﺑﯽ ﻭ ﺍﻗﺪﺍﻡ ﺑﺮ ﺍﺳﺎﺱ ﺗﻌﺎﺭﯾﻒ ﻭ ﻣﺒﺤﺚ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ ﻣﯽ ﺑﺎﯾﺴﺖ ﺍﻧﺠﺎﻡ ﺷﻮﺩ‪.‬‬ ‫‪11‬‬  ‫ﺍﻟﻒ‪ -٢‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻧﯿﻤﻪ ﺍﻭﻝ )‪ ٢٠‬ﻫﻔﺘﻪ ﺍﻭﻝ( ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺍﺭﺯﯾﺎﺑﯽ ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﺍﻗﺪﺍﻡ ﻓﻮﺭﯼ‬ ‫ﺩﺭ ﺻﻮﺭﺕ ﻭﺟﻮﺩ ﻋﻼﺋﻢ‪:‬‬ ‫‪ -‬ﺩﺭ ﺣﺎﻝ ﺗﺸﻨﺞ‪ /‬ﺗﺸﻨﺞ ﻗﺒﻞ ﺍﺯ ﻣﺮﺍﺟﻌﻪ‬ ‫‪ -‬ﺍﺧﺘﻼﻝ ﻫﻮﺷﯿﺎﺭﯼ‬ ‫‪ -‬ﺷﻮﮎ‪ :‬ﻧﺒﺾ ﺗﻨﺪ ﻭ ﺿﻌﯿﻒ ‪ ١١٠‬ﺑﺎﺭ ﺩﺭ ﺩﻗﯿﻘﻪ ﯾﺎ ﺑﯿﺸﺘﺮ ﺑﻪ ﻫﻤﺮﺍﻩ ﻓﺸﺎﺭﺧﻮﻥ ﻣﺎﮐﺰﯾﻤﻢ )ﺳﯿﺴﺘﻮﻝ(ﮐﻤﺘﺮ ﺍﺯ ‪ ٩٠‬ﻣﯿﻠﯽ ﻣﺘﺮ ﺟﯿﻮﻩ ﻫﻤﺮﺍﻩ ﺑﺎ ﺭﻧﮓ ﭘﺮﯾﺪﮔﯽ‪،‬‬ ‫ﻋﺮﻕ ﺳﺮﺩ‬ ‫‪ -‬ﺧﻮﻧﺮﯾﺰﯼ‬ ‫‪ -‬ﺩﺭﺩ ﺷﺪﯾﺪ ﯾﺎ ﺣﺎﺩ ﺷﮑﻢ‬ ‫ﺍﻗﺪﺍﻡ ﻣﻄﺎﺑﻖ ﺍﻟﻒ‪٤‬‬ ‫ﺩﺭ ﺻﻮﺭﺕ ﻧﺒﻮﺩ ﻋﻼﺋﻢ‪:‬‬ ‫ﺍﺭﺯﯾﺎﺑﯽ‬ ‫ﺑﺮﺭﺳﯽ ﭘﺮﻭﻧﺪﻩ ﻭ ﺁﺷﻨﺎﯾﯽ ﺑﺎ ﻭﺿﻌﯿﺖ ﻣﺎﺩﺭ‬ ‫ﺳﺌﻮﺍﻝ ﺍﺯ ﻟﮑﻪ ﺑﯿﻨﯽ‪ ،‬ﺁﺑﺮﯾﺰﺵ‪ ،‬ﺗﻨﮕﯽ ﻧﻔﺲ ﻭ ﺗﭙﺶ ﻗﻠﺐ‪ ،‬ﻣﺸﮑﻼﺕ ﺍﺩﺭﺍﺭﯼ‪ -‬ﺗﻨﺎﺳﻠﯽ‪ ،‬ﺩﺭﺩ‪ ،‬ﺗﻬﻮﻉ ﻭ ﺍﺳﺘﻔﺮﺍﻍ‪ ،‬ﺣﺮﮐﺖ ﺟﻨﯿﻦ‪ ،‬ﻣﺸﮑﻼﺕ ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ‪،‬‬ ‫ﻣﺼﺮﻑ ﻣﮑﻤﻞ ﻫﺎ ﻭ ﺗﻐﺬﯾﻪ‪ ،‬ﺗﺮﻭﻣﺎ‬ ‫ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﻭﺯﻥ‪ ،‬ﻋﻼﺋﻢ ﺣﯿﺎﺗﯽ‪ ،‬ﺍﺭﺗﻔﺎﻉ ﺭﺣﻢ‪ ،‬ﺻﺪﺍﯼ ﻗﻠﺐ ﺟﻨﯿﻦ‬ ‫ﻣﻌﺎﯾﻨﻪ ﭼﺸﻢ‪ ،‬ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ‪ ،‬ﭘﻮﺳﺖ‪ ،‬ﺍﻧﺪﺍﻡ ﻫﺎ‬ ‫ﺍﻗﺪﺍﻡ‬ ‫‪ -‬ﺩﺭ ﺻﻮﺭﺕ ﻏﯿﺮ ﻃﺒﯿﻌﯽ ﺑﻮﺩﻥ ﻧﺘﺎﯾﺞ ﺍﺭﺯﯾﺎﺑﯽ‪ ،‬ﺍﻗﺪﺍﻡ ﻃﺒﻖ ﺍﻟﻒ ‪٤‬‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﻏﯿﺮ ﻓﻮﺭﯼ ﺑﻪ ﻣﺎﻣﺎ‪ /‬ﭘﺰﺷﮏ ﺟﻬﺖ ﺩﺭﺧﻮﺍﺳﺖ ﺁﺯﻣﺎﯾﺶ ﻧﻮﺑﺖ ﺍﻭﻝ ﺩﺭ ﻫﻔﺘﻪ ‪ ٦ -١٠‬ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﻏﯿﺮ ﻓﻮﺭﯼ ﺑﻪ ﻣﺎﻣﺎ‪ /‬ﭘﺰﺷﮏ ﺟﻬﺖ ﺩﺭﺧﻮﺍﺳﺖ ﺳﻮﻧﻮﮔﺮﺍﻓﯽ ﺩﺭ ﻫﻔﺘﻪ ‪ ١٦‬ﺗﺎ ‪١٨‬‬ ‫‪ -‬ﺗﺠﻮﯾﺰ ﻣﮑﻤﻞ ﻫﺎﯼ ﺩﺍﺭﻭﯾﯽ‬ ‫‪ -‬ﺗﻮﺻﯿﻪ ﺑﻪ ﺷﺮﮐﺖ ﺩﺭ ﮐﻼﺱ ﺁﻣﺎﺩﮔﯽ ﺑﺮﺍﯼ ﺯﺍﯾﻤﺎﻥ‬ ‫‪ -‬ﺑﺮﺭﺳﯽ ﻣﻨﺤﻨﯽ ﻭﺯﻥ ﮔﯿﺮﯼ‬ ‫‪ -‬ﻏﺮﺑﺎﻟﮕﺮﯼ ﺍﻭﻟﯿﻪ ﻣﺼﺮﻑ ﺩﺧﺎﻧﯿﺎﺕ‪ ،‬ﺍﻟﮑﻞ ﻭ ﻣﻮﺍﺩ‬ ‫‪ -‬ﺗﻮﺻﯿﻪ ﻫﺎﯼ ﺑﻬﺪﺍﺷﺘﯽ ﺕ‪٢‬ﻭ ﺁﻣﻮﺯﺵ ﻫﺎﯼ ﻻﺯﻡ‬ ‫‪ -‬ﺗﻌﯿﯿﻦ ﺗﺎﺭﯾﺦ ﻣﺮﺍﺟﻌﻪ ﺑﻌﺪﯼ‬ ‫ﺍﺭﺯﯾﺎﺑﯽ ﻭ ﺍﻗﺪﺍﻡ ﺑﺮ ﺍﺳﺎﺱ ﺗﻌﺎﺭﯾﻒ ﻭ ﻣﺒﺤﺚ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ ﻣﯽ ﺑﺎﯾﺴﺖ ﺍﻧﺠﺎﻡ ﺷﻮﺩ‪.‬‬ ‫‪12‬‬  ‫ﺍﻟﻒ‪ -٣‬ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻧﯿﻤﻪ ﺩﻭﻡ )‪ ٢٠‬ﻫﻔﺘﻪ ﺩﻭﻡ( ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺍﺭﺯﯾﺎﺑﯽ ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﺍﻗﺪﺍﻡ ﻓﻮﺭﯼ‬ ‫ﺩﺭ ﺻﻮﺭﺕ ﻭﺟﻮﺩ ﻋﻼﺋﻢ‪:‬‬ ‫‪ -‬ﺩﺭ ﺣﺎﻝ ﺗﺸﻨﺞ‪ /‬ﺗﺸﻨﺞ ﻗﺒﻞ ﺍﺯ ﻣﺮﺍﺟﻌﻪ‬ ‫‪ -‬ﺍﺧﺘﻼﻝ ﻫﻮﺷﯿﺎﺭﯼ‬ ‫‪ -‬ﺷﻮﮎ‪ :‬ﻧﺒﺾ ﺗﻨﺪ ﻭ ﺿﻌﯿﻒ ‪ ١١٠‬ﺑﺎﺭ ﺩﺭ ﺩﻗﯿﻘﻪ ﯾﺎ ﺑﯿﺸﺘﺮ ﺑﻪ ﻫﻤﺮﺍﻩ ﻓﺸﺎﺭﺧﻮﻥ ﻣﺎﮐﺰﯾﻤﻢ )ﺳﯿﺴﺘﻮﻝ(ﮐﻤﺘﺮ ﺍﺯ ‪ ٩٠‬ﻣﯿﻠﯽ ﻣﺘﺮ ﺟﯿﻮﻩ ﻫﻤﺮﺍﻩ ﺑﺎ ﺭﻧﮓ ﭘﺮﯾﺪﮔﯽ‪،‬‬ ‫ﻋﺮﻕ ﺳﺮﺩ‬ ‫‪ -‬ﭘﺎﺭﻩ ﺷﺪﻥ ﮐﯿﺴﻪ ﺁﺏ‬ ‫‪ -‬ﺩﺭﺩ ﺷﺪﯾﺪ ﯾﺎ ﺣﺎﺩ ﺷﮑﻢ‬ ‫‪ -‬ﺧﻮﻧﺮﯾﺰﯼ‬ ‫ﺍﻗﺪﺍﻡ ﻣﻄﺎﺑﻖ ﺍﻟﻒ‪٤‬‬ ‫ﺩﺭ ﺻﻮﺭﺕ ﻧﺒﻮﺩ ﻋﻼﺋﻢ‪:‬‬ ‫ﺍﺭﺯﯾﺎﺑﯽ‬ ‫ﺑﺮﺭﺳﯽ ﭘﺮﻭﻧﺪﻩ ﻭ ﺁﺷﻨﺎﯾﯽ ﺑﺎ ﻭﺿﻌﯿﺖ ﻣﺎﺩﺭ‬ ‫ﺳﺌﻮﺍﻝ ﺍﺯ ﻟﮑﻪ ﺑﯿﻨﯽ‪ ،‬ﺁﺑﺮﯾﺰﺵ‪ /‬ﭘﺎﺭﮔﯽ ﮐﯿﺴﻪ ﺁﺏ‪ ،‬ﺗﻨﮕﯽ ﻧﻔﺲ ﻭ ﺗﭙﺶ ﻗﻠﺐ‪ ،‬ﺩﺭﺩ ﺷﮑﻢ‪ ،‬ﻣﺸﮑﻼﺕ ﺍﺩﺭﺍﺭﯼ‪ -‬ﺗﻨﺎﺳﻠﯽ‪ ،‬ﺗﻬﻮﻉ ﻭ ﺍﺳﺘﻔﺮﺍﻍ‪ ،‬ﺣﺮﮐﺖ ﺟﻨﯿﻦ‪،‬‬ ‫ﻣﺸﮑﻼﺕ ﭘﻮﺳﺘﯽ‪ ،‬ﺗﺮﻭﻣﺎ‪ ،‬ﻣﺸﮑﻼﺕ ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ‪ ،‬ﻣﺼﺮﻑ ﻣﮑﻤﻞ ﻫﺎ ﻭ ﺗﻐﺬﯾﻪ‬ ‫ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﻭﺯﻥ‪ ،‬ﻋﻼﺋﻢ ﺣﯿﺎﺗﯽ‪ ،‬ﺍﺭﺗﻔﺎﻉ ﺭﺣﻢ‪ ،‬ﺻﺪﺍﯼ ﻗﻠﺐ ﺟﻨﯿﻦ‬ ‫ﻣﻌﺎﯾﻨﻪ ﭼﺸﻢ‪ ،‬ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ‪ ،‬ﭘﻮﺳﺖ‪ ،‬ﺍﻧﺪﺍﻡ ﻫﺎ‬ ‫ﺍﻗﺪﺍﻡ‬ ‫‪ -‬ﺩﺭ ﺻﻮﺭﺕ ﻏﯿﺮ ﻃﺒﯿﻌﯽ ﺑﻮﺩﻥ ﻧﺘﺎﯾﺞ ﺍﺭﺯﯾﺎﺑﯽ‪ ،‬ﺍﻗﺪﺍﻡ ﻃﺒﻖ ﺍﻟﻒ ‪٤‬‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﻏﯿﺮ ﻓﻮﺭﯼ ﺑﻪ ﻣﺎﻣﺎ‪ /‬ﭘﺰﺷﮏ ﺟﻬﺖ ﺩﺭﺧﻮﺍﺳﺖ ﺁﺯﻣﺎﯾﺶ ﻫﻔﺘﻪ ‪ ٢٤‬ﺗﺎ ‪ ٣٠‬ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﻏﯿﺮ ﻓﻮﺭﯼ ﺑﻪ ﻣﺎﻣﺎ‪ /‬ﭘﺰﺷﮏ ﺟﻬﺖ ﺩﺭﺧﻮﺍﺳﺖ ﺳﻮﻧﻮﮔﺮﺍﻓﯽ ﻫﻔﺘﻪ ﻫﺎﯼ ‪ ٣١‬ﺗﺎ ‪ ٣٤‬ﺑﺎﺭﺩﺍﺭﯼ‬ ‫‪ -‬ﺍﺭﺟﺎﻉ ﻏﯿﺮ ﻓﻮﺭﯼ ﺑﻪ ﻣﺎﻣﺎ‪ /‬ﭘﺰﺷﮏ ﺟﻬﺖ ﺗﺰﺭﯾﻖ ﺍﯾﻤﻮﻧﻮﮔﻠﻮﺑﻮﻟﯿﻦ ﺿﺪ ﺩﯼ ﺍﺯ ﻫﻔﺘﻪ ‪ ٢٨‬ﺗﺎ ‪ ٣٤‬ﺩﺭ ﺻﻮﺭﺕ ﻧﯿﺎﺯ‬ ‫‪ -‬ﺗﺠﻮﯾﺰ ﻣﮑﻤﻞ ﻫﺎﯼ ﺩﺍﺭﻭﯾﯽ‬ ‫‪ -‬ﺗﻮﺻﯿﻪ ﺑﻪ ﺷﺮﮐﺖ ﺩﺭ ﮐﻼﺱ ﺁﻣﺎﺩﮔﯽ ﺑﺮﺍﯼ ﺯﺍﯾﻤﺎﻥ‬ ‫‪ -‬ﻏﺮﺑﺎﻟﮕﺮﯼ ﺍﻭﻟﯿﻪ ﻣﺼﺮﻑ ﺩﺧﺎﻧﯿﺎﺕ‪ ،‬ﺍﻟﮑﻞ ﻭ ﻣﻮﺍﺩ‬ ‫‪ -‬ﺑﺮﺭﺳﯽ ﻣﻨﺤﻨﯽ ﻭﺯﻥ ﮔﯿﺮﯼ‬ ‫‪ -‬ﺍﯾﻤﻦ ﺳﺎﺯﯼ ﺩﺭ ﺻﻮﺭﺕ ﻧﯿﺎﺯ‬ ‫‪ -‬ﺗﻮﺻﯿﻪ ﻫﺎﯼ ﺑﻬﺪﺍﺷﺘﯽ ﺕ‪٢‬ﻭ ﺁﻣﻮﺯﺵ ﻫﺎﯼ ﻻﺯﻡ‬ ‫‪ -‬ﺗﻌﯿﯿﻦ ﺗﺎﺭﯾﺦ ﻣﺮﺍﺟﻌﻪ ﺑﻌﺪﯼ ﻭ ﺗﻮﺟﻪ ﺑﻪ ﺗﺎﺭﯾﺦ ﺗﻘﺮﯾﺒﯽ ﺯﺍﯾﻤﺎﻥ‬ ‫‪13‬‬  ‫ﺍﺭﺯﯾﺎﺑﯽ ﻭ ﺍﻗﺪﺍﻡ ﺑﺮ ﺍﺳﺎﺱ ﺗﻌﺎﺭﯾﻒ ﻭ ﻣﺒﺤﺚ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﺑﺎﺭﺩﺍﺭﯼ ﻣﯽ ﺑﺎﯾﺴﺖ ﺍﻧﺠﺎﻡ ﺷﻮﺩ‪.‬‬ ‫)ﺑﻪ ﺗﺮﺗﯿﺐ ﺣﺮﻭﻑ ﺍﻟﻔﺒﺎ(‬ ‫ﺗﻌﺎﺭﯾﻒ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﺑﺎﺭﺩﺍﺭﯼ‬ ‫ﺁﺑﺮﯾﺰﺵ‪ :‬ﺧﺮﻭﺝ ﺗﺪﺭﯾﺠﯽ ﻣﺎﯾﻊ ﺁﻣﻨﯿﻮﺗﯿﮏ ﺍﺯ ﻣﻬﺒﻞ‬ ‫ﺁﺯﻣﺎﯾﺸﻬﺎﯼ ﻣﻌﻤﻮﻝ ﺑﺎﺭﺩﺍﺭﯼ‪ :‬ﺁﺯﻣﺎﯾﺶ ﻫﺎﯼ ﻣﻌﻤﻮﻝ ﺩﺭ ﺍﻭﻟﯿﻦ ﻣﻼﻗﺎﺕ ﺑﺎﺭﺩﺍﺭﯼ‪ ،‬ﮔﺮﻭﻩ ﺧﻮﻧﯽ ﻭ ﺍﺭﻫﺎﺵ‪ ،‬ﺷﻤﺎﺭﺵ ﮐﺎﻣﻞ ﺳﻠﻮﻝ ﻫﺎﯼ ﺧﻮﻥ‪ ،‬ﻗﻨﺪ ﺧﻮﻥ ﻧﺎﺷﺘﺎ‪،‬‬ ‫ﮐﺸﺖ ﻭ ﮐﺎﻣﻞ ﺍﺩﺭﺍﺭ‪ HIV،HBsAg ،BUN، Creatinin ،‬ﻭ ‪VDRL‬ﻭ ﺩﺭ ﻣﻼﻗﺎﺕ ﺳﻮﻡ ﺑﺎﺭﺩﺍﺭﯼ )ﺑﻬﺘﺮ ﺍﺳﺖ ﺩﺭ ﻫﻔﺘﻪ ‪ ٢٤-٢٨‬ﺍﻧﺠﺎﻡ ﺷﻮﺩ( ﺷﻤﺎﺭﺵ‬ ‫ﮐﺎﻣﻞ ﺳﻠﻮﻝ ﻫﺎﯼ ﺧﻮﻥ‪ ،‬ﻗﻨﺪ ﺧﻮﻥ ﻧﺎﺷﺘﺎ ﻭ ‪ OGTT‬ﻭ ﮐﺎﻣﻞ ﺍﺩﺭﺍﺭ ﺍﺳﺖ‪.‬‬ ‫ﻧﮑﺘﻪ ‪ :١‬ﻧﺘﺎﯾﺞ ﺁﺯﻣﺎﯾﺶ ﻫﺎ ﺗﻮﺳﻂ ﭘﺰﺷﮏ ﯾﺎ ﻣﺎﻣﺎ ﺑﺮﺭﺳﯽ ﻣﯽ ﺷﻮﺩ‪.‬‬ ‫ﻧﮑﺘﻪ ‪ :٢‬ﺩﺭ ﺻﻮﺭﺗﯽ ﮐﻪ ﻗﻨﺪ ﺧﻮﻥ ﻧﺎﺷﺘﺎ ﺩﺭ ﺍﻭﻟﯿﻦ ﺁﺯﻣﺎﯾﺶ ﻣﺴﺎﻭﯼ ﯾﺎ ﯾﺸﺘﺮ ﺍﺯ ‪ ١٢٦‬ﺑﻮﺩﻩ ﺍﺳﺖ‪ ،‬ﻧﯿﺎﺯ ﺑﻪ ﺍﻧﺠﺎﻡ ‪ OGTT‬ﻧﯿﺴﺖ‪.‬‬ ‫ﻧﮑﺘﻪ ‪ :٣‬ﺩﺭ ﺻﻮﺭﺕ ﻭﺟﻮﺩ ﯾﺎ ﺳﺎﺑﻘﻪ ﺭﻓﺘﺎﺭﻫﺎﯼ ﭘﺮ ﺧﻄﺮ ﺩﺭ ﺯﻥ ﺑﺎﺭﺩﺍﺭ ﻭ ﯾﺎ ﻫﻤﺴﺮﺵ‪ ،‬ﻋﻼﻭﻩ ﺑﺮ ﻧﻮﺑﺖ ﺍﻭﻝ ﺁﺯﻣﺎﯾﺶ ‪ ،HIV‬ﻧﻮﺑﺖ ﺩﻭﻡ ﺩﺭ ﻣﻼﻗﺎﺕ ﻫﻔﺘﻪ ‪٣١-٣٤‬‬ ‫ﺑﺎﺭﺩﺍﺭﯼ ﺍﻧﺠﺎﻡ ﻣﯽ ﺷﻮﺩ‪.‬‬ ‫ﻧﮑﺘﻪ ‪ :٤‬ﻧﻮﺑﺖ ﺍﻭﻝ ﮐﻮﻣﺒﺲ ﻏﯿﺮ ﻣﺴﺘﻘﯿﻢ ﺭﺍ ﺩﺭ ﻣﺎﺩﺭ ﺍﺭﻫﺎﺵ ﻣﻨﻔﯽ ﺩﺭ ﻫﺮ ﺯﻣﺎﻧﯽ ﭘﺲ ﺍﺯ ﺍﻃﻼﻉ ﺍﺯ ﻣﺜﺒﺖ ﺑﻮﺩﻥ ﺍﺭﻫﺎﺵ ﻫﻤﺴﺮ ﺩﺭﺧﻮﺍﺳﺖ ﮐﻨﯿﺪ‪.‬ﻧﻮﺑﺖ ﺩﻭﻡ ﺍﯾﻦ‬ ‫ﺁﺯﻣﺎﯾﺶ ﺩﺭ ﻫﻔﺘﻪ ﻫﺎﯼ ‪ ٢٤‬ﺗﺎ ‪ ٣٠‬ﺑﺎﺭﺩﺍﺭﯼ ﺍﺳﺖ‪.‬‬ ‫ﻧﮑﺘﻪ ‪ :٥‬ﺩﺭ ﺻﻮﺭﺗﯽ ﮐﻪ ﺧﺎﻧﻢ ﺩﺭ ﻣﺮﺍﻗﺒﺖ ﭘﯿﺶ ﺍﺯ ﺑﺎﺭﺩﺍﺭﯼ ﺁﺯﻣﺎﯾﺶ ‪TSH‬ﺭﺍ ﺍﻧﺠﺎﻡ ﻧﺪﺍﺩﻩ ﺍﺳﺖ ﺩﺭ ﺍﻭﻟﯿﻦ ﻣﻼﻗﺎﺕ ﺟﻬﺖ ﺩﺭﺧﻮﺍﺳﺖ ﺁﺯﻣﺎﯾﺶ ‪ TSH‬ﺑﻪ ﻣﺎﻣﺎ ﯾﺎ‬ ‫ﭘﺰﺷﮏ ﺍﺭﺟﺎﻉ ﺷﻮﺩ‪.‬ﺍﻋﺘﺒﺎﺭ ﺁﺯﻣﺎﯾﺶ ﻫﺎﯼ ﭘﯿﺶ ﺍﺯ ﺑﺎﺭﺩﺍﯼ ﺩﺭ ﺻﻮﺭﺕ ﻃﺒﯿﻌﯽ ﺑﻮﺩﻥ ﯾﮏ ﺳﺎﻝ ﺍﺳﺖ‪.‬‬ ‫ﻧﮑﺘﻪ ‪ :٦‬ﺩﺭ ﺻﻮﺭﺕ ﺍﻧﺠﺎﻡ ﺁﺯﻣﺎﯾﺶ ‪ HbsAg‬ﭘﯿﺶ ﺍﺯ ﺑﺎﺭﺩﺍﺭﯼ‪ ،‬ﻧﯿﺎﺯ ﺑﻪ ﺗﮑﺮﺍﺭ ﺁﻥ ﺩﺭ ﺑﺎﺭﺩﺍﺭﯼ ﻧﯿﺴﺖ‪.‬‬ ‫ﺁﻣﻮﺯﺵ ﻭ ﺗﻮﺻﯿﻪ‪ :‬ﻃﯽ ﻣﻼﻗﺎﺕ ﻫﺎ ﻣﺘﻨﺎﺳﺐ ﺑﺎ ﻫﻔﺘﻪ ﻫﺎﯼ ﺑﺎﺭﺩﺍﺭﯼ ﻣﻮﺍﺭﺩ ﺯﯾﺮ ﺭﺍ ﺑﻪ ﻣﺎﺩﺭ ﺁﻣﻮﺯﺵ ﺩﻫﯿﺪ‪ :‬ﺑﻬﺪﺍﺷﺖ ﻓﺮﺩﯼ )ﺍﺳﺘﺤﻤﺎﻡ‪ ،‬ﺍﺳﺘﺮﺍﺣﺖ‪ ،‬ﻣﺴﺎﻓﺮﺕ‪ ،‬ﮐﺎﺭ‪،‬‬ ‫ﻭﺭﺯﺵ‪ ،‬ﭘﻮﺷﯿﺪﻥ ﻟﺒﺎﺱ ﻣﻨﺎﺳﺐ‪ ،‬ﻣﺼﺮﻑ ﺩﺍﺭﻭ‪ ،(... ،‬ﺳﻼﻣﺖ ﺭﻭﺍﻥ )ﺗﻐﯿﯿﺮﺍﺕ ﺧﻠﻖ ﻭ ﺧﻮ‪ ،‬ﺭﻭﺣﯿﺎﺕ‪ ،‬ﻣﺴﺌﻮﻟﯿﺖ ﭘﺬﯾﺮﯼ ﻫﻤﺴﺮ‪ ،‬ﺁﻣﺎﺩﮔﯽ ﻻﺯﻡ ﺑﺮﺍﯼ ﻭﺍﻟﺪﯾﻦ ﺷﺪﻥ ﻭ‬ ‫ﺍﺭﺗﺒﺎﻁ ﺍﻓﺮﺍﺩ ﺧﺎﻧﻮﺍﺩﻩ(‪ ،‬ﺳﻼﻣﺖ ﺟﻨﺴﯽ )ﺭﻭﺍﺑﻂ ﺟﻨﺴﯽ ﻭ ﻧﮑﺎﺕ ﺁﻥ ﻭ ﺭﻓﺘﺎﺭﻫﺎﯼ ﭘﺮ ﺧﻄﺮ ﺑﺎ ﺗﺎﮐﯿﺪ ﺑﺮ ﺭﺍﻩ ﻫﺎﯼ ﺍﻧﺘﻘﺎﻝ ﻭﯾﺮﻭﺱ ‪ ،(HIV‬ﺑﻬﺪﺍﺷﺖ ﺩﻫﺎﻥ ﻭ ﺩﻧﺪﺍﻥ‬ ‫)ﻣﺮﺍﻗﺒﺖ ﺍﺯ ﺩﻧﺪﺍﻥ ﻫﺎ‪ ،‬ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻧﺦ ﺩﻧﺪﺍﻥ ﻭ ﺗﺮﻣﯿﻢ ﺩﻧﺪﺍﻥ ﻫﺎ(‪ ،‬ﺗﻐﺬﯾﻪ ﻭ ﻣﮑﻤﻞ ﻫﺎﯼ ﺩﺍﺭﻭﯾﯽ )ﮔﺮﻭﻩ ﻫﺎﯼ ﺍﺻﻠﯽ ﻏﺬﺍﯾﯽ‪ ،‬ﺭﻋﺎﯾﺖ ﺗﻨﻮﻉ ﻭ ﺗﻌﺎﺩﻝ ﺩﺭ ﻣﻮﺍﺩ ﻏﺬﺍﯾﯽ‪،‬‬ ‫ﻣﺼﺮﻑ ﻣﮑﻤﻞ ﻫﺎﯼ ﺩﺍﺭﻭﯾﯽ(‪ ،‬ﺩﺧﺎﻧﯿﺎﺕ‪ ،‬ﻣﻮﺍﺩ ﻭ ﺍﻟﮑﻞ )ﻋﺪﻡ ﻣﺼﺮﻑ ﻭ ﺗﺮﮎ ﺁﻥ ﻭ ﻣﻀﺮﺍﺕ ﻣﺼﺮﻑ ﺁﻥ ﺑﺮﺍﯼ ﻣﺎﺩﺭ ﻭ ﺟﻨﯿﻦ‪ ،‬ﺁﻣﻮﺯﺵ ﺩﺭﺑﺎﺭﻩ ﺷﯿﺮﺩﻫﯽ ﻫﻤﺰﻣﺎﻥ ﺑﺎ‬ ‫ﻣﺼﺮﻑ ﻣﻮﺍﺩ ﯾﺎ ﺩﺭﯾﺎﻓﺖ ﺩﺭﻣﺎﻥ ﺩﺍﺭﻭﯾﯽ(‪ ،‬ﺷﮑﺎﯾﺖ ﻫﺎﯼ ﺷﺎﯾﻊ )ﺣﺴﺎﺱ ﺷﺪﻥ ﭘﺴﺘﺎﻥ ﻫﺎ‪ ،‬ﺧﺴﺘﮕﯽ‪ ،‬ﺗﻬﻮﻉ ﻭ ﺍﺳﺘﻔﺮﺍﻍ ﺻﺒﺤﮕﺎﻫﯽ‪ ،‬ﺍﻓﺰﺍﯾﺶ ﺗﺮﺷﺤﺎﺕ ﻣﻬﺒﻠﯽ‪ ،‬ﺗﻐﯿﯿﺮ‬ ‫ﺧﻠﻖ ﻭ ﺧﻮ ﻭ ﺭﻓﺘﺎﺭ‪ ،‬ﺳﻮﺯﺵ ﺳﺮﺩﻝ ﻭ ‪ ،(...‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ )ﻟﮑﻪ ﺑﯿﻨﯽ‪ ،‬ﺧﻮﻧﺮﯾﺰﯼ‪ ،‬ﺁﺑﺮﯾﺰﺵ‪ ،‬ﺗﺎﺭﯼ ﺩﯾﺪ‪ ،‬ﺩﺭﺩ ﺳﺮ ﺩﻝ‪ ،‬ﺗﻨﮕﯽ ﻧﻔﺲ‪ ،‬ﺳﺮﺩﺭﺩ ﻭ ‪ (...‬ﻭ‬ ‫ﻣﺮﺍﺟﻌﻪ ﺑﺮﺍﯼ ﺩﺭﯾﺎﻓﺖ ﻣﺮﺍﻗﺒﺘﻬﺎﯼ ﺑﺎﺭﺩﺍﺭﯼ‪ ،‬ﺍﻫﻤﯿﺖ ﺷﺮﮐﺖ ﺩﺭ ﮐﻼﺱ ﻫﺎﯼ ﺁﻣﺎﺩﮔﯽ ﺑﺮﺍﯼ ﺯﺍﯾﻤﺎﻥ‪ ،‬ﻓﻮﺍﯾﺪ ﺯﺍﯾﻤﺎﻥ ﻃﺒﯿﻌﯽ ﻭ ﺍﯾﻤﻦ‪ ،‬ﺁﻣﺎﺩﮔﯽ ﻭ ﻣﺤﻞ ﻣﻨﺎﺳﺐ ﺯﺍﯾﻤﺎﻥ‪،‬‬ ‫ﻣﺮﺍﻗﺒﺖ ﺍﺯ ﻧﻮﺯﺍﺩ‪ ،‬ﻏﺮﺑﺎﻟﮕﺮﯼ ﻭ ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﻧﻮﺯﺍﺩﯼ‪ ،‬ﺍﺻﻮﻝ ﺷﯿﺮﺩﻫﯽ‪ ،‬ﻣﺮﺍﺟﻌﻪ ﺑﺮﺍﯼ ﺩﺭﯾﺎﻓﺖ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﭘﺲ ﺍﺯ ﺯﺍﯾﻤﺎﻥ‬ ‫ﻧﮑﺘﻪ‪ :‬ﺩﺭ ﻫﺮ ﻣﻼﻗﺎﺕ‪ ،‬ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﻣﺮﺍﻗﺒﺖ ﻭﯾﮋﻩ ﺭﺍ ﮔﻮﺷﺰﺩ ﮐﻨﯿﺪ ﻭ ﻣﻄﻤﺌﻦ ﺷﻮﯾﺪ ﮐﻪ ﻣﺎﺩﺭ ﺍﯾﻦ ﻋﻼﺋﻢ ﺭﺍ ﻓﺮﺍ ﮔﺮﻓﺘﻪ ﺍﺳﺖ‪.‬‬ ‫ﺍﺧﺘﻼﻝ ﺍﻧﻌﻘﺎﺩﯼ‪ :‬ﺗﺄﺧﯿﺮ ﺩﺭ ﻟﺨﺘﻪ ﺷﺪﻥ ﺧﻮﻥ ﯾﺎ ﺗﻮﻗﻒ ﺧﻮﻧﺮﯾﺰﯼ‬ ‫ﺍﺧﺘﻼﻝ ﻫﻮﺷﯿﺎﺭﯼ‪ :‬ﻋﺪﻡ ﭘﺎﺳﺨﮕﻮﯾﯽ ﻣﺎﺩﺭ ﺑﻪ ﺗﺤﺮﯾﮑﺎﺕ ﻭﺍﺭﺩﻩ )ﻧﯿﺸﮕﻮﻥ‪ ،‬ﺿﺮﺑﻪ‪ ،‬ﻧﻮﺭ ﻭ‪ (...‬ﯾﺎ ﻋﺪﻡ ﺩﺭﮎ ﺯﻣﺎﻥ ﻭ ﻣﮑﺎﻥ‬ ‫ﺍﺭﺗﻔﺎﻉ ﺭﺣﻢ‪ :‬ﺍﺯ ﻫﻔﺘﻪ ‪ ١٦‬ﺑﺎﺭﺩﺍﺭﯼ ﺑﻪ ﺑﻌﺪ ﺩﺭ ﻫﺮ ﻣﻼﻗﺎﺕ‪ ،‬ﺍﺭﺗﻔﺎﻉ ﺭﺣﻢ ﺭﺍ ﺍﻧﺪﺍﺯﻩ ﮔﯿﺮﯼ ﮐﻨﯿﺪ )ﻣﺜﺎﻧﻪ ﺑﺎﯾﺪ ﺧﺎﻟﯽ ﺑﺎﺷﺪ( ﻭ ﺑﺎ ﺳﻦ ﺑﺎﺭﺩﺍﺭﯼ ﻣﻄﺎﺑﻘﺖ ﺩﻫﯿﺪ‪.‬ﺩﺭ ﻫﻔﺘﻪ‬ ‫‪ ١٦‬ﺑﺎﺭﺩﺍﺭﯼ‪ ،‬ﺭﺣﻢ ﺩﺭ ﻓﺎﺻﻠﻪ ﺑﯿﻦ ﺑﺮﺟﺴﺘﮕﯽ ﻋﺎﻧﻪ ﻭ ﻧﺎﻑ ﻭ ﺩﺭ ﻫﻔﺘﻪ ‪ ٢٠‬ﺑﺎﺭﺩﺍﺭﯼ‪ ،‬ﺩﺭ ﺣﺪﻭﺩ ﻧﺎﻑ ﻗﺮﺍﺭ ﺩﺍﺭﺩ‪.‬ﺍﺯ ﻫﻔﺘﻪ ‪ ٢٠‬ﺗﺎ ‪ ٣٤‬ﺑﺎﺭﺩﺍﺭﯼ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻧﻮﺍﺭ ﻣﺘﺮﯼ‪،‬‬ ‫ﺍﺭﺗﻔﺎﻉ ﺭﺣﻢ )ﻓﺎﺻﻠﻪ ﺑﺮﺟﺴﺘﮕﯽ ﻋﺎﻧﻪ ﺗﺎ ﻗﻠﻪ ﺭﺣﻢ( ﺑﺮﺣﺴﺐ ﺳﺎﻧﺘﯽ ﻣﺘﺮ ﺗﻘﺮﯾﺒﺎً ﺑﺎ ﺳﻦ ﺑﺎﺭﺩﺍﺭﯼ ﺑﺮ ﺣﺴﺐ ﻫﻔﺘﻪ ﻣﻄﺎﺑﻘﺖ ﺩﺍﺭﺩ‪.‬ﺩﺭ ﻫﻔﺘﻪ ‪ ٣٢‬ﺗﺎ ‪ ٣٦‬ﺑﺎﺭﺩﺍﺭﯼ‪ ،‬ﺭﺣﻢ ﺑﻪ‬ ‫ﺍﺳﺘﺨﻮﺍﻥ ﺟﻨﺎﻍ ﻧﺰﺩﯾﮏ ﻣﯽ ﺷﻮﺩ ﻭ ﺩﺭ ﻫﻔﺘﻪ ﻫﺎﯼ ‪ ٣٦‬ﺗﺎ‪ ٤٠‬ﺩﺭ ﺯﯾﺮ ﺍﺳﺘﺨﻮﺍﻥ ﺟﻨﺎﻍ ﻟﻤﺲ ﻣﯽ ﺷﻮﺩ‪.‬‬ ‫ﻧﮑﺘﻪ‪ :‬ﺩﺭ ﺻﻮﺭﺕ ﺍﺧﺘﻼﻑ ﺑﯿﻦ ﺍﺭﺗﻔﺎﻉ ﺭﺣﻢ ﻭ ﺳﻦ ﺑﺎﺭﺩﺍﺭﯼ ﺑﯿﺶ ﺍﺯ ‪ ٣‬ﻫﻔﺘﻪ ﻣﺎﺩﺭ ﻣﯽ ﺑﺎﯾﺴﺖ ﺑﻪ ﭘﺰﺷﮏ‪ /‬ﻣﺎﻣﺎ ﺍﺭﺟﺎﻉ ﺩﺍﺩﻩ ﺷﻮﺩ‪.‬‬ ‫ﺍﺭﺯﯾﺎﺑﯽ ﺍﻟﮕﻮﯼ ﺗﻐﺬﯾﻪ‪ :‬ﺍﯾﻦ ﺍﺭﺯﯾﺎﺑﯽ ﯾﮏ ﺑﺎﺭ ﻭ ﺩﺭ ﺍﻭﻟﯿﻦ ﻣﺮﺍﻗﺒﺖ ﻣﺎﺩﺭ ﺑﺎﺭﺩﺍﺭ ﺑﺮ ﺍﺳﺎﺱ ﻧﻤﺎﯾﻪ ﺗﻮﺩﻩ ﺑﺪﻧﯽ ﻭ ﺍﻟﮕﻮﯼ ﺗﻐﺬﯾﻪ ﻭﯼ ﺍﻧﺠﺎﻡ ﻣﯽ ﺷﻮﺩ‪.‬ﺩﺭ ﺻﻮﺭﺕ ﺍﻣﺘﯿﺎﺯ‬ ‫ﻧﺎﻣﻄﻠﻮﺏ‪ ،‬ﻣﺎﺩﺭ ﻧﯿﺎﺯ ﺑﻪ ﺍﺭﺟﺎﻉ ﻭ ﭘﯿﮕﯿﺮﯼ ﺩﺍﺭﺩ‪.‬‬ ‫‪14‬‬ ‫ﺍﺭﺯﯾﺎﺑﯽ ﻋﻼﺋﻢ ﻧﯿﺎﺯﻣﻨﺪ ﺍﻗﺪﺍﻡ ﻓﻮﺭﯼ‪ :‬ﺩﺭ ﻫﺮ ﻣﻼﻗﺎﺕ‪ ،‬ﺍﺑﺘﺪﺍ ﻣﺎﺩﺭ ﺭﺍ ﺍﺯ ﻧﻈﺮ ﻭﺟﻮﺩ ﻋﻼﺋﻢ ﺍﺧﺘﻼﻝ ﻫﻮﺷﯿﺎﺭﯼ‪ ،‬ﺗﺸﻨﺞ‪ ،‬ﺷﻮﮎ‪ ،‬ﺧﻮﻧﺮﯾﺰﯼ ﺷﺪﯾﺪ‪ ،‬ﭘﺎﺭﮔﯽ ﮐﯿﺴﻪ ﺁﺏ‪،‬‬ ‫ﺩﺭﺩ ﺷﺪﯾﺪ ﯾﺎ ﺣﺎﺩ ﺷﮑﻢ ﺑﺮﺭﺳﯽ ﮐﻨﯿﺪ‪.‬ﺩﺭ ﺻﻮﺭﺕ ﻭﺟﻮﺩ ﻫﺮ ﯾﮏ‪ ،‬ﻣﻄﺎﺑﻖ ﺟﺪﻭﻝ ﺍﻗﺪﺍﻡ ﮐﻨﯿﺪ ﻭ ﻗﺒﻞ ﺍﺯ ﺍﻧﺠﺎﻡ ﻣﺮﺍﻗﺒﺖ ﻫﺎﯼ ﻣﻌﻤﻮﻝ‪ ،‬ﻣﺎﺩﺭ ﺭﺍ ﺍﻋﺰﺍﻡ ﮐﻨﯿﺪ‪.‬‬ ‫ﺍﺳﺘﻔﺮﺍﻍ ﺷﺪﯾﺪ‪ :‬ﺍﺳﺘﻔﺮﺍﻍ ﻫﺎﯼ ﻣﺘﻌﺪﺩ ﻭ ﺑﺎ ﺷﺪﺕ ﺯﯾﺎﺩ ﮐﻪ ﺑﺎﻋﺚ ﮐﻢ ﺁﺑﯽ ﺑﺪﻥ ﻣﺎﺩﺭ ﮔﺮﺩﺩ‪.‬‬ ‫ﺍﯾﻤﻦ ﺳﺎﺯﯼ‪ :‬ﺍﯾﻤﻦ ﺳﺎﺯﯼ ﺭﺍ ﻃﺒﻖ ﺩﺳﺘﻮﺭﺍﻟﻌﻤﻞ ﮐﺸﻮﺭﯼ ﻭﺍﮐﺴﯿﻨﺎﺳﯿﻮﻥ ﺍﻧﺠﺎﻡ ﺩﻫﯿﺪ‪.‬‬ ‫* ﻭﺍﮐﺴﻦ ﺗﻮﺍﻡ‪ :‬ﺑﻬﺘﺮﯾﻦ ﺯﻣﺎﻥ ﺑﺮﺍﯼ ﺗﺰﺭﯾﻖ ﻭﺍﮐﺴﻦ ﺗﻮﺍﻡ ﺩﺭ ﻣﺎﺩﺭ ﺑﺎﺭﺩﺍﺭ ﮐﻪ ﺍﯾﻤﻦ ﺳﺎﺯﯼ ﮐﺎﻣﻞ ﻧﺪﺍﺭﺩ ﺍﺯ ﻫﻔﺘﻪ ‪ ٢٧‬ﺗﺎ ‪ ٣٦‬ﺑﺎﺭﺩﺍﺭﯼ )‪ ٤‬ﻫﻔﺘﻪ ﻗﺒﻞ ﺍﺯ ﺗﺎﺭﯾﺦ‬ ‫ﺍﺣﺘﻤﺎﻟﯽ ﺯﺍﯾﻤﺎﻥ( ﺍﺳﺖ‪.‬ﺍﮔﺮ ﺑﻪ ﻫﺮ ﺩﻟﯿﻞ ﻣﺮﺍﺟﻌﻪ ﻣﺎﺩﺭ ﺑﺮﺍﯼ ﺩﺭﯾﺎﻓﺖ ﻣﺮﺍﻗﺒﺖ ﻫﺎ ﺑﻪ ﺗﺎﺧﯿﺮ ﺍﻓﺘﺎﺩ‪ ،‬ﺑﻬﺘﺮ ﺍﺳﺖ ﺗﺰﺭﯾﻖ ﻭﺍﮐﺴﻦ ﺣﺪﺍﻗﻞ ﺩﻭ ﻫﻔﺘﻪ ﻗﺒﻞ ﺍﺯ ﺗﺎﺭﯾﺦ‬ ‫ﺍﺣﺘﻤﺎﻟﯽ ﺯﺍﯾﻤﺎﻥ ﺑﺎﺷﺪ‪.‬‬ ‫ﻧﮑﺘﻪ‪ :‬ﺩﺭ ﺻﻮﺭﺕ ﻭﻗﻮﻉ ﺳﻘﻂ ﻏﯿﺮ ﺑﻬﺪﺍﺷﺘﯽ‪ ،‬ﻣﺎﺩﺭ ﺭﺍ ﺑﺮﺍﯼ ﺍﯾﻤﻦ ﺳﺎﺯﯼ ﺑﻪ ﭘﺰﺷﮏ ﯾﺎ ﻣﺎﻣﺎ ﺍﺭﺟﺎﻉ ﺩﻫﯿﺪ‪.‬‬ ‫* ﻭﺍﮐﺴﻦ ﺁﻧﻔﻠﻮﺍﻧﺰﺍ‪ :‬ﺑﻪ ﺧﺎﻧﻢ ﻫﺎﯾﯽ ﮐﻪ ﺩﺭ ﻓﺼﻞ ﺷﯿﻮﻉ ﺁﻧﻔﻠﻮﺍﻧﺰﺍ ﺑﺎﺭﺩﺍﺭ ﻫﺴﺘﻨﺪ‪ ،‬ﺗﻮﺻﯿﻪ ﻣﯽ ﺷﻮﺩ ﻭﺍﮐﺴﻦ ﻏﯿﺮ ﻓﻌﺎﻝ ﺁﻧﻔﻠﻮﺍﻧﺰﺍﯼ ﻓﺼﻠﯽ ﺭﺍ ﺩﺭﯾﺎﻓﺖ ﻧﻤﺎﯾﻨﺪ‪.‬ﺗﺰﺭﯾﻖ‬ ‫ﺩﺭ ﻃﻮﻝ ﺑﺎﺭﺩﺍﺭﯼ ﻣﻨﻌﯽ ﻧﺪﺍﺭﺩ‪.‬‬ ‫* ﻭﺍﮐﺴﻦ ﻫﭙﺎﺗﯿﺖ ﺏ‪ :‬ﺩﺭ ﻣﺎﺩﺭﺍﻧﯽ ﮐﻪ ﻧﺘﯿﺠﻪ ﺁﺯﻣﺎﯾﺶ ‪ HbsAg‬ﻣﻨﻔﯽ ﺩﺍﺭﻧﺪ ﻭﻟﯽ ﺭﻓﺘﺎﺭ ﭘﺮ ﺧﻄﺮ ﺩﺍﺭﻧﺪ ﻭ ﻗﺒﻼ ﻭﺍﮐﺴﻦ ﻫﭙﺎﺗﯿﺖ )ﻣﻄﺎﺑﻖ ﺟﺪﻭﻝ ﻭﺍﮐﺴﯿﻨﺎﺳﯿﻮﻥ(‬ ‫ﺩﺭﯾﺎﻓﺖ ﻧﮑﺮﺩﻩ ﺍﻧﺪ‪ ،‬ﻣﯽ ﺑﺎﯾﺴﺖ ﻭﺍﮐﺴﻦ ﻫﭙﺎﺗﯿﺖ ﺗﺰﺭﯾﻖ ﺷﻮﺩ‪.‬‬ ‫ﺑﺎﺭﺩﺍﺭﯼ‪:‬‬ ‫ﺗﻌﺪﺍﺩ ﺑﺎﺭﺩﺍﺭﯼ‪ :‬ﺗﻌﺪﺍﺩ ﺑﺎﺭﺩﺍﺭﯼ ﻫﺎ ﺑﺪﻭﻥ ﺩﺭ ﻧﻈﺮ ﮔﺮﻓﺘﻦ ﻧﺘﺎﯾﺞ ﺁﻥ )ﺳﻘﻂ‪ ،‬ﻣﻮﻝ‪ ،‬ﺣﺎﻣﻠﮕﯽ ﻧﺎﺑﺠﺎ‪ ،‬ﺯﺍﯾﻤﺎﻥ ﺯﻭﺩﺭﺱ‪ ،‬ﺯﺍﯾﻤﺎﻥ ﺑﻤﻮﻗﻊ‪ ،‬ﺯﺍﯾﻤﺎﻥ ﺩﯾﺮﺭﺱ‬ ‫‪‬‬ ‫ﭼﻨﺪ ﻗﻠﻮﯾﯽ(‪.‬ﺑﺎﺭﺩﺍﺭﯼ ﻓﻌﻠﯽ ﻣﺎﺩﺭ ﻧﯿﺰ ﻣﺤﺎﺳﺒﻪ ﻣﯽ ﺷﻮﺩ‪.‬‬ ‫ﺗﻌﺪﺍﺩ ﺯﺍﯾﻤﺎﻥ‪ :‬ﺑﺮ ﺍﺳﺎﺱ ﺗﻌﺪﺍﺩ ﺣﺎﻣﻠﮕﯽ ﻫﺎ ﺍﺯ ﻫﻔﺘﻪ ‪ ٢٢‬ﻭ ﺑﯿﺸﺘﺮ‪ ،‬ﺑﺪﻭﻥ ﺩﺭ ﻧﻈﺮ ﮔﺮﻓﺘﻦ ﺗﻌﺪﺍﺩ ﺟﻨﯿﻦ ﻫﺎﯼ ﻣﺘﻮﻟﺪ ﺷﺪﻩ ﻣﺤﺎﺳﺒﻪ ﻣﯽ ﺷﻮﺩ‪.‬ﯾﻌﻨﯽ‬ ‫‪‬‬ ‫ﯾﮏ ﺯﺍﯾﻤﺎﻥ ﺗﮏ ﻗﻠﻮ ﯾﺎ ﭼﻨﺪ ﻗﻠﻮ ‪ ،‬ﺯﻧﺪﻩ ﯾﺎ ﻣﺮﺩﻩ ﺩﺭ ﺗﻌﺪﺍﺩ ﺯﺍﯾﻤﺎﻥ ﺗﻐﯿﯿﺮﯼ ﺑﻮﺟﻮﺩ ﻧﻤﯽ ﺁﻭﺭﺩ‪.‬‬ ‫ﺳﻘﻂ‪ :‬ﺧﺮﻭﺝ ﻣﺤﺼﻮﻝ ﺑﺎﺭﺩﺍﺭﯼ ﺗﺎ ﻗﺒﻞ ﺍﺯ ﺷﺮﻭﻉ ﻫﻔﺘﻪ ‪ ٢٢‬ﺑﺎﺭﺩﺍﺭﯼ‪ ،‬ﯾﻌﻨﯽ ﺗﺎ ‪ ٢١‬ﻫﻔﺘﻪ ﻭ ‪ ٦‬ﺭﻭﺯ‬ ‫‪‬‬ ‫ﺳﻘﻂ ﻣﮑﺮﺭ‪ :‬ﺳﻘﻂ ﻣﺘﻮﺍﻟﯽ ‪ ٢‬ﺑﺎﺭ ﯾﺎ ﺑﯿﺸﺘﺮ‬ ‫‪‬‬ ‫ﺯﺍﯾﻤﺎﻥ‪ :‬ﺗﻮﻟﺪ ﻧﻮﺯﺍﺩ ﭘﺲ ﺍﺯ ﺷﺮﻭﻉ ﻫﻔﺘﻪ ‪ ٢٢‬ﺑﺎﺭﺩﺍﺭﯼ ﺑﻪ ﺻﻮﺭﺕ ﻣﺮﺩﻩ ﯾﺎ ﺯﻧﺪﻩ ﯾﻌﻨﯽ ﺑﻌﺪ ﺍﺯ ‪ ٢١‬ﻫﻔﺘﻪ ﻭ ‪ ٦‬ﺭﻭﺯ‬ ‫‪‬‬ ‫ﺯﺍﯾﻤﺎﻥ ﺯﻭﺩﺭﺱ‪ :‬ﺗﻮﻟﺪ ﻧﻮﺯﺍﺩ ﻗﺒﻞ ﺍﺯ ‪ ٣٧‬ﻫﻔﺘﻪ ﮐﺎﻣﻞ ﺑﺎﺭﺩﺍﺭﯼ ﺑﻪ ﺻﻮﺭﺕ ﻣﺮﺩﻩ ﯾﺎ ﺯﻧﺪﻩ ﯾﻌﻨﯽ ﺗﺎ ‪ ٣٦‬ﻫﻔﺘﻪ ﻭ ‪ ٦‬ﺭﻭﺯ‬ ‫‪‬‬ ‫ﺯﺍﯾﻤﺎﻥ ﺩﯾﺮﺭﺱ‪ :‬ﺗﻮﻟﺪ ﻧﻮﺯﺍﺩ ﭘﺲ ﺍﺯ ‪ ٤٢‬ﻫﻔﺘﻪ ﮐﺎﻣﻞ ﺑﺎﺭﺩﺍﺭﯼ ﺑﻪ ﺻﻮﺭﺕ ﻣﺮﺩﻩ ﯾﺎ ﺯﻧﺪﻩ ﯾﻌﻨﯽ ﭘﺲ ﺍﺯ ‪ ٤١‬ﻫﻔﺘﻪ ﻭ ‪ ٦‬ﺭﻭﺯ‬ ‫‪‬‬ ‫ﺯﺍﯾﻤﺎﻥ ﺳﺨﺖ‪ :‬ﺯﺍﯾﻤﺎﻧﯽ ﮐﻪ ﻃﻮﻻﻧﯽ ﺑﻮﺩﻩ ﻭ ﯾﺎ ﺑﻪ ﻭﺳﯿﻠﻪ ﺍﺑﺰﺍﺭ )ﻓﻮﺭﺳﭙﺲ ﯾﺎ ﻭﺍﮐﯿﻮﻡ( ﻭ ﯾﺎ ﺑﺎ ﺧﺮﻭﺝ ﺳﺨﺖ ﺷﺎﻧﻪ ﻫﺎ ﺍﻧﺠﺎﻡ ﺷﺪﻩ ﺑﺎﺷﺪ‪.‬‬ ‫‪‬‬ ‫ﺯﺍﯾﻤﺎﻥ ﺳﺮﯾﻊ‪ :‬ﺯﺍﯾﻤﺎﻧﯽ ﮐﻪ ﺑﺎ ﺷﺮﻭﻉ ﺩﺭﺩﻫﺎﯼ ﺯﺍﯾﻤﺎﻥ‪ ،‬ﺩﺭ ﻓﺎﺻﻠﻪ ﺯﻣﺎﻧﯽ ‪ ٣‬ﺳﺎﻋﺖ ﯾﺎ ﮐﻤﺘﺮ ﺍﻧﺠﺎﻡ ﺷﺪﻩ ﺑﺎﺷﺪ‪.‬‬ ‫‪‬‬ ‫ﻣﺮﺩﻩ ﺯﺍﯾﯽ‪ :‬ﻣﺮﮒ ﺟﻨﯿﻦ ﺑﻌﺪ ﺍﺯ ﺷﺮﻭﻉ ﻫﻔﺘﻪ ‪ ٢٢‬ﺑﺎﺭﺩﺍﺭﯼ ﺗﺎ ﺯﻣﺎﻥ ﺯﺍﯾﻤﺎﻥ ﺑﻪ ﮔﻮﻧﻪ ﺍﯼ ﮐﻪ ﺑﻌﺪ ﺍﺯ ﺟﺪﺍﺷﺪﻥ ﺍﺯ ﻣﺎﺩﺭ ﻧﻔﺲ ﻧﻤﯽ ﮐﺸﺪ ﻭ ﯾﺎ ﻫﯿﭻ‬ ‫‪‬‬ ‫ﻋﻼﻣﺘﯽ ﻣﺒﻨﯽ ﺑﺮ ﻭﺟﻮﺩ ﺣﯿﺎﺕ ﻣﺎﻧﻨﺪ ﺿﺮﺑﺎﻥ ﻗﻠﺐ ﻭ ﯾﺎ ﺣﺮﮐﺎﺕ ﺍﺭﺍﺩﯼ ﺭﺍ ﻧﺸﺎﻥ ﻧﻤﯽ ﺩﻫﺪ‪.‬‬ ‫ﻣﺮﮒ ﻧﻮﺯﺍﺩ‪ :‬ﻣﺮﮒ ﻧﻮﺯﺍﺩ ﺯﻧﺪﻩ ﻣﺘﻮﻟﺪ ﺷﺪﻩ )ﻧﻮﺯﺍﺩﯼ ﮐﻪ ﭘﺲ ﺍﺯ ﺧﺮﻭﺝ ﺍﺯ ﺭﺣﻢ ﻋﻼﻣﺖ ﺣﯿﺎﺕ ﺩﺍﺷﺘﻪ ﺍﺳﺖ( ﺍﺯ ﺯﻣﺎﻥ ﺗﻮﻟﺪ ﺗﺎ ‪٢٨‬ﺭﻭﺯ ﮐﺎﻣﻞ ﭘﺲ ﺍﺯ ﺗﻮﻟﺪ‪.‬‬ ‫‪‬‬ ‫ﺩﻭﺭﻩ ﭘﺮﯼ ﻧﺎﺗﺎﻝ ﺍﺯ ﺷﺮﻭﻉ ﻫﻔﺘﻪ ‪ ٢٢‬ﺑﺎﺭﺩﺍﺭﯼ ﺗﺎ ﺍﻧﺘﻬﺎﯼ ﺭﻭﺯ ‪ ٢٨‬ﭘﺲ ﺍﺯ ﺗﻮﻟﺪ ﺍﺳﺖ‪.‬‬ ‫ﺑﺮﺭﺳﯽ ﭘﺮﻭﻧﺪﻩ ﻭ ﺁﺷﻨﺎﯾﯽ ﺑﺎ ﻭﺿﻌﯿﺖ ﻣﺎﺩﺭ‪ :‬ﺩﺭ ﻫﺮ ﻣﺮﺍﺟﻌﻪ‪ ،‬ﻗﺒﻞ ﺍﺯ ﺷﺮﻭﻉ ﻣﺮﺍﻗﺒﺖ‪ ،‬ﺧﻼﺻﻪ ﭘﺮﻭﻧﺪﻩ ﻣﺎﺩﺭ ﺭﺍ ﻣﺮﻭﺭ ﮐﺮﺩﻩ ﻭ ﺍﺯ ﻭﺿﻌﯿﺖ ﻭﯼ ﻣﻄﻠﻊ ﺷﻮﯾﺪ‪.‬‬ ‫ﭼﻨﺎﻧﭽﻪ ﻧﻘﺎﯾﺼﯽ ﻣﺜﻞ ﺗﮑﻤﯿﻞ ﻧﺒﻮﺩﻥ ﻗﺴﻤﺖ ﻫﺎﯼ ﻣﺨﺘﻠﻒ ﭘﺮﻭﻧﺪﻩ‪ ،‬ﻧﺎﻣﺸﺨﺺ ﺑﻮﺩﻥ ﻭﺿﻌﯿﺖ ﺍﯾﻤﻦ ﺳﺎﺯﯼ‪ ،‬ﻧﺒﻮﺩﻥ ﺟﻮﺍﺏ ﺁﺯﻣﺎﯾﺶ ﻫﺎ‪ ،‬ﻧﺒﻮﺩﻥ ﻧﺘﯿﺠﻪ ﻭ ﭘﺴﺨﻮﺭﺍﻧﺪ‬ ‫ﻭﺟﻮﺩ ﺩﺍﺭﺩ‪ ،‬ﺭﻓﻊ ﻭ ﺩﺳﺘﻮﺭﺍﺕ ﺭﺍ ﺍﺟﺮﺍ ﮐﻨﯿﺪ‪.‬‬ ‫ﺑﺮﻗﺮﺍﺭﯼ ﺍﺭﺗﺒﺎﻁ ﻣﻨﺎﺳﺐ ﺑﺎ ﻣﺎﺩﺭ‪ :‬ﻣﻮﺍﺭﺩﯼ ﮐﻪ ﺑﺎﯾﺪ ﺩﺭ ﺑﺮﻗﺮﺍﺭﯼ ﺍﺭﺗﺒﺎﻁ ﻣﻨﺎﺳﺐ ﺩﺭ ﻧﻈﺮ ﮔﺮﻓﺖ‪:‬‬ ‫‪ -‬ﺑﺎ ﺩﻗﺖ ﺑﻪ ﺻﺤﺒﺖ ﻫﺎ ﻭ ﺷﮑﺎﯾﺖ ﻫﺎﯼ ﺯﻥ ﺑﺎﺭﺩﺍﺭ ﮔﻮﺵ ﮐﺮﺩﻩ ﻭ ﯾﺎﺩﺁﻭﺭﯼ ﮐﻨﯿﺪ ﮐﻪ ﻣﺸﮑﻞ ﺍﻭ ﺭﺍ ﺩﺭﮎ ﻣﯽ ﮐﻨﯿﺪ‪.‬‬ ‫‪ -‬ﻧﮕﺮﺵ ﺍﺣﺘﺮﺍﻡ ﺁﻣﯿﺰ ﻧﺴﺒﺖ ﺑﻪ ﺯﻥ ﺑﺎﺭﺩﺍﺭ ﻭ ﺯﻭﺟﺶ ﺩﺍﺷﺘﻪ ﺑﺎﺷﯿﺪ‪.‬‬ ‫‪ -‬ﺍﺯ ﺳﺮﺯﻧﺶ ﮐﺮﺩﻥ‪ ،‬ﺗﺮﺣﻢ ﻭ ﻗﻀﺎﻭﺕ ﻧﺴﺒﺖ ﺑﻪ ﺯﻥ ﺑﺎﺭﺩﺍﺭ ﯾﺎ ﺯﻭﺟﺶ ﺧﻮﺩﺩﺍﺭﯼ ﮐﻨﯿﺪ‪).‬ﻣﺘﻬﻢ ﻧﮑﻨﯿﺪ‪ ،‬ﺍﻧﮓ ﻧﺰﻧﯿﺪ‪ ،‬ﺑﺮﺧﻮﺭﺩ ﺍﻫﺎﻧﺖ ﺁﻣﯿﺰ ﻭ ﯾﺎ ﺟﺎﻧﺐ ﺩﺍﺭﺍﻧﻪ ﻧﺪﺍﺷﺘﻪ‬ ‫ﺑﺎﺷﯿﺪ(‬ ‫‪ -‬ﺑﻪ ﺯﻥ ﺑﺎﺭﺩﺍﺭ ﻭ ﺯﻭﺟﺶ )ﺩﺭ ﺻﻮﺭﺕ ﻣﺮﺍﺟﻌﻪ ﻫﻤﺴﺮ( ﺍﻃﻤﯿﻨﺎﻥ ﺩﻫﯿﺪ ﮐﻪ ﺍﺳﺮﺍﺭ ﺁﻧﻬﺎ ﻣﺤﺮﻣﺎﻧﻪ ﻣﯽ ﻣﺎﻧﺪ‪.‬‬ ‫ﭘﺎﺭﻩ ﺷﺪﻥ ﮐﯿﺴﻪ ﺁﺏ‪ :‬ﺧﺮﻭﺝ ﻧﺎﮔﻬﺎﻧﯽ ﻣﺎﯾﻊ ﺁﻣﻨﯿﻮﺗﯿﮏ ﺍﺯ ﻣﻬﺒﻞ‬ ‫ﺗﺎﺭﯾﺦ ﻣﺮﺍﺟﻌﻪ ﺑﻌﺪﯼ‪ :‬ﺗﺎﺭﯾﺦ ﻣﺮﺍﺟﻌﻪ ﺑﻌﺪﯼ ﻣﺎﺩﺭ ﺭﺍ ﺑﺮ ﺍﺳﺎﺱ »ﻫﻔﺘﻪ« ﺗﻌﯿﯿﻦ ﻭ ﺑﻪ ﻣﺎﺩﺭ ﯾﺎﺩﺁﻭﺭﯼ ﮐﻨﯿﺪ‪.‬‬ ‫ﺗﺎﺭﯾﺦ ﺗﻘﺮﯾﺒﯽ ﺯﺍﯾﻤﺎﻥ‪ :‬ﺍﺯ ﻫﻔﺘﻪ ‪ ٢٨‬ﺑﺎﺭﺩﺍﺭﯼ ﺑﻪ ﺑﻌﺪ‪ ،‬ﺩﺭ ﻫﺮ ﻣﻼﻗﺎﺕ ﺑﻪ ﺗﺎﺭﯾﺦ ﺗﻘﺮﯾﺒﯽ ﺯﺍﯾﻤﺎﻥ ﺗﻮﺟﻪ ﮐﻨﯿﺪ‪.‬‬ ‫‪15‬‬ ‫ﺗﺰﺭﯾﻖ ﺁﻣﭙﻮﻝ ﺍﯾﻤﻮﻧﻮﮔﻠﻮﺑﯿﻦ ﺿﺪ ﺩﯼ )ﺭﻭﮔﺎﻡ(‪ :‬ﺩﺭﺻﻮﺭﺕ ﭘﺎﺳﺦ ﻣﻨﻔﯽ ﺁﺯﻣﺎﯾﺶ ﻫﺎﯼ ﮐﻮﻣﺒﺲ ﻏﯿﺮﻣﺴﺘﻘﯿﻢ )ﺣﺴﺎﺱ ﻧﺸﺪﻥ ﺳﯿﺴﺘﻢ ﺍﯾﻤﻨﯽ( ﻣﺎﺩﺭ ﺍﺭﻫﺎﺵ‬ ‫ﻣﻨﻔﯽ ﺑﺎ ﻫﻤﺴﺮ ﺍﺭﻫﺎﺵ ﻣﺜﺒﺖ ﻭ ﺩﺭ ﺻﻮﺭﺕ ﺍﻣﮑﺎﻥ ﺗﻬﯿﻪ ﺩﺍﺭﻭ‪ ،‬ﺍﺯ ﻫﻔﺘﻪ ‪ ٢٨‬ﺗﺎ ‪ ٣٤‬ﺑﺎﺭﺩﺍﺭﯼ ﺗﻮﺳﻂ ﭘﺰﺷﮏ ﯾﺎ ﻣﺎﻣﺎ ﺗﺰﺭﯾﻖ ﻣﯽ ﺷﻮﺩ‪.‬‬ ‫ﻧﮑﺘﻪ‪ :‬ﺑﻪ ﺧﺎﻃﺮ ﺑﺴﭙﺎﺭﯾﺪ ﺩﺭ ﻣﺎﺩﺭ ﺍﺭﻫﺎﺵ ﻣﻨﻔﯽ ﺑﺎ ﻫﻤﺴﺮ ﺍﺭﻫﺎﺵ ﻣﺜﺒﺖ‪ ،‬ﺩﺭ ﺻﻮﺭﺕ ﺧﺘﻢ ﺑﺎﺭﺩﺍﺭﯼ ﺑﻪ ﻫﺮ ﺩﻟﯿﻠﯽ ﭘﯿﺶ ﺍﺯ ﺗﺎﺭﯾﺦ ﺗﻘﺮﯾﺒﯽ ﺯﺍﯾﻤﺎﻥ )ﺳﻘﻂ‪ ،‬ﻣﻮﻝ‪،‬‬ ‫ﺯﺍﯾﻤﺎﻥ ﺯﻭﺩﺭﺱ‪ ،‬ﺣﺎﻣﻠﮕﯽ ﻧﺎﺑﺠﺎ ﻭ‪ ،(....‬ﺍﯾﻤﻮﻧﻮﮔﻠﻮﺑﻮﻟﯿﻦ ﺿﺪ ﺩﯼ ﺗﺰﺭﯾﻖ ﻣﯽ ﺷﻮﺩ‪.‬‬ ‫ﺗﺸﮑﯿﻞ ﭘﺮﻭﻧﺪﻩ ﻭ ﺷﺮﺡ ﺣﺎﻝ‪ :‬ﺩﺭ ﺍﻭﻟﯿﻦ ﻣﻼﻗﺎﺕ‪ ،‬ﻗﺒﻞ ﺍﺯ ﺍﻧﺠﺎﻡ ﻣﺮﺍﻗﺒﺖ ﻫﺎ‪ ،‬ﺷﺮﺡ ﺣﺎﻝ ﻭ ﺳﻮﺍﺑﻖ ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﺯﺍﯾﻤﺎﻥ ﻣﺎﺩﺭ ﺭﺍ ﺗﮑﻤﯿﻞ ﻧﻤﺎﺋﯿﺪ‪.‬ﺷﺮﺡ ﺣﺎﻝ ﺷﺎﻣﻞ‪:‬‬ ‫‪ -‬ﺗﺎﺭﯾﺨﭽﻪ ﺍﺟﺘﻤﺎﻋﯽ‪ :‬ﺳﻦ‪ ،‬ﻣﺼﺮﻑ ﻣﻮﺍﺩ‪ ،‬ﺍﻟﮑﻞ ﻭ ﺩﺧﺎﻧﯿﺎﺕ‪ ،‬ﺭﻓﺘﺎﺭﻫﺎﯼ ﭘﺮﺧﻄﺮ‪ ،‬ﺷﻐﻞ ﺳﺨﺖ ﻭ ﺳﻨﮕﯿﻦ‬ ‫‪ -‬ﺗﺎﺭﯾﺨﭽﻪ ﺑﺎﺭﺩﺍﺭﯼ‪ :‬ﺗﻌﺪﺍﺩ ﺑﺎﺭﺩﺍﺭﯼ‪ ،‬ﺗﻌﺪﺍﺩ ﺯﺍﯾﻤﺎﻥ‪ ،‬ﺗﻌﺪﺍﺩ ﺳﻘﻂ‪ ،‬ﺗﻌﺪﺍﺩ ﻓﺮﺯﻧﺪﺍﻥ ﻭ ﺳﻮﺍﺑﻖ ﺑﺎﺭﺩﺍﺭﯼ ﻭ ﺯﺍﯾﻤﺎﻥ ﻗﺒﻠﯽ‬ ‫‪ -‬ﺗﺎﺭﯾﺨﭽﻪ ﭘﺰﺷﮑﯽ‪ :‬ﺍﺑﺘﻼ ﻓﻌﻠﯽ ﺑﻪ ﺑﯿﻤﺎﺭﯼ ﺍﻋﻢ ﺍﺯ ﺑﯿﻤﺎﺭﯼ ﻫﺎﯼ ﺯﻣﯿﻨﻪ ﺍﯼ )ﺩﯾﺎﺑﺖ‪ ،‬ﻓﺸﺎﺭﺧﻮﻥ ﺑﺎﻻ‪ ،‬ﺻﺮﻉ‪ ،‬ﺳﻞ‪ ،‬ﮐﻠﯿﻮﯼ‪ ،‬ﺁﺳﻢ‪ ،‬ﻗﻠﺒﯽ ﻭ ‪ ،(...‬ﺳﻮﺀ ﺗﻐﺬﯾﻪ‪ ،‬ﻧﺎﻫﻨﺠﺎﺭﯼ‬ ‫ﺍﺳﮑﻠﺘﯽ‪ ،‬ﻋﻔﻮﻧﺖ‪ / HIV‬ﺍﯾﺪﺯ‪ ،‬ﻫﭙﺎﺗﯿﺖ‪ ،‬ﺍﺧﺘﻼﻝ ﺍﻧﻌﻘﺎﺩﯼ‪ ،‬ﺳﺎﺑﻘﻪ ﺳﺮﻃﺎﻥ ﭘﺴﺘﺎﻥ ﺩﺭ ﺧﺎﻧﻢ ﻫﺎﯼ ﺑﺎﻻﯼ ‪ ٣٠‬ﺳﺎﻝ ﻭ ﯾﺎ ﺳﺎﺑﻘﻪ ﺳﺮﻃﺎﻥ ﭘﺴﺘﺎﻥ ﺩﺭ ﺍﻓﺮﺍﺩ ﺩﺭﺟﻪ ﯾﮏ‬ ‫ﺧﺎﻧﻮﺍﺩﻩ ﻣﺎﺩﺭ )ﻣﺎﺩﺭ‪ ،‬ﺧﻮﺍﻫﺮ‪ ،‬ﻣﺎﺩﺭ ﺑﺰﺭﮒ(‪ ،‬ﻧﺎﻫﻨﺠﺎﺭﯼ ﺩﺳﺘﮕﺎﻩ ﺗﻨﺎﺳﻠﯽ‪ ،‬ﻧﻤﺎﯾﻪ ﺗﻮﺩﻩ ﺑﺪﻧﯽ ﻏﯿﺮ ﻃﺒﯿﻌﯽ‪ ،‬ﺗﺎﻻﺳﻤﯽ ﺩﺭ ﺧﺎﻧﻢ ﻭ ﯾﺎ ﻫﻤﺴﺮﺵ‪ ،‬ﺍﺧﺘﻼﻝ ﮊﻧﺘﯿﮑﯽ ﺩﺭ ﺧﺎﻧﻢ‬ ‫ﯾﺎ ﻫﻤﺴﺮﺵ ﻭ ﯾﺎ ﻭﺟﻮﺩ ﻧﺎﻫﻨﺠﺎﺭﯼ ﺩﺭ ﯾﮑﯽ ﺍﺯ ﺑﺴﺘﮕﺎﻥ ﺩﺭﺟﻪ ﯾﮏ ) ﭘﺪﺭ‪ ،‬ﻣﺎﺩﺭ‪ ،‬ﺧﻮﺍﻫﺮ‪ ،‬ﺑﺮﺍﺩﺭ‪ ،‬ﻓﺮﺯﻧﺪ(‬ ‫ﺗﺸﻨﺞ‪ :‬ﺣﺮﮐﺎﺕ ﻏﯿﺮ ﺍﺭﺍﺩﯼ ﺳﺮﺍﺳﺮ ﯾﺎ ﻗﺴﻤﺘﯽ ﺍﺯ ﺑﺪﻥ ﮐﻪ ﺍﻏﻠﺐ ﺑﺎ ﺧﺸﮑﯽ ﻭ ﺳﻔﺘﯽ ﻋﻀﻼﺕ ﻫﻤﺮﺍﻩ ﺍﺳﺖ‪.‬‬ ‫ﺗﻐﺬﯾﻪ ﻣﻨﺎﺳﺐ‪ :‬ﺁﻧﭽﻪ ﺩﺭ ﺗﻐﺬﯾﻪ ﻣﺎﺩﺭ ﺑﺎﺭﺩﺍﺭ ﺍﻫﻤﯿﺖ ﺩﺍﺭﺩ‪ ،‬ﺗﻨﻮﻉ ﻭ ﺗﻌﺎﺩﻝ ﺩﺭ ﻣﺼﺮﻑ ﻣﻮﺍﺩ ﻏﺬﺍﯾﯽ ﺍﺳﺖ‪.‬ﺑﻬﺘﺮﯾﻦ ﺭﺍﻩ‪ ،‬ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻫﻤﻪ ﮔﺮﻭﻩ ﻫﺎﯼ ﺍﺻﻠﯽ ﻏﺬﺍﯾﯽ‬ ‫ﯾﻌﻨﯽ ﮔﺮﻭﻩ ﻧﺎﻥ ﻭ ﻏﻼﺕ‪ ،‬ﮔﺮﻭﻩ ﻣﯿﻮﻩ ﻫﺎ‪ ،‬ﮔﺮﻭﻩ ﺳﺒﺰ?