Phwando Leopold Levitsky pa kubala

Mu theka lachiwiri la mimba, komanso palpation la ndondomeko kubadwa Zimathandizanso kudziwa mutu, kumbuyo, chapamwamba ndipo m'munsi nthambi za mwana wosabadwayo pamene kusunga. The pafupi nthawi ya isanayambike ntchito, ndi bwino amakhala akufufuza mpata mwana. Leopold Levitsky njira akutsatiridwa sequentially ndi palpation la chiberekero, wopangidwa mwa modes enieni kanthu.

Phwando woyamba Leopold Levitsky

Poyamba upo msonkhano mothandizidwa ndi kutsogolera dokotala mimba atathana kutalika opaleshoni woyima chiberekero. Pofuna kumvetsa mbali ya mwana wosabadwayo ndi tsiku mayi, muyenera lingaliro la zimene anamva. M'chiuno mapeto zambiri anamaliza, koma voliyumu ndi zosakwana mutu chenicheni cha mwana wosabadwayo. Kuti zimenezi zitheke, a gynecologist amagwiritsa m'dzanja la manja onse, kuwayika iwo kuti iwo akanakhoza kufika pansi pa chiberekero.

Chifukwa ichi azamba kutalika amatha kutchula tsiku lenileni la mimba.

Yachiwiri njira Leopolda Levitskogo

Yachiwiri njira amathandiza kusonyeza malo a mwanayo m'mimba mwa udindo wake. Pankhaniyi, kungakhale njira applicable a kunja obstetric kafukufuku Leopold Levitsky, kutanthauza kutsitsa manja awo kuchoka fundus uterine lamanja ndi kumanzere mbali mwa kukanikiza m'manja ndi zala pa mbali linga la chiberekero. Komanso malo a mwana wosabadwayo zikukhazikitsa kumbuyo pamwamba pake, ndi maganizo osiyana - pamaso pa manja ndi miyendo.

Leopold Levitsky njira n'zotheka kufotokoza pamisinkhu yosiyanasiyana kamvekedwe ka malo uterine, ndondomeko yake thupi excitability. Zimakhala zotheka palpate wozungulira mitsempha ya m'chiberekero, makulidwe awo, soreness ndi malo enieni.

Pofuna kuti udindo chachiwiri, m'manja mwa uterine fundus anasamukira ku mlingo wa m'michombo lapansi. Komabe, iwo ayenera kukhala pafupi ndi mbali yake. Wosabadwa ndi palpated woyamba ndi dzanja limodzi, ndiye ena.

Pamene dotolo adzaona kumene mpumulo, adzatha kunena chimodzimodzi oblique malo a mwana wosabadwayo mu mkazi kapena mtanda.

Phwando lachitatu Leopold Levitsky

Chachikulu kusiyana pakati pa kulandira wachitatu kuchokera ena ndi chakuti ntchito ya dzanja limodzi chokha. Phwando Leopold Levitsky, mu nkhani iyi dzanja pang'ono pamwamba m'mimba, ndipo chala akhale lamanzere, ndi zina - lamanja m'munsi gawo la chiberekero. Zala pang'onopang'ono kuzamitsa ndi molondola analanda mbali kupereka, makamaka mutu.

Ngati palibe skew malo a mwana wosabadwayo mutu palpated ngati akuthamanga kuzungulira ndi olimba mbali ndi contours yeniyeni. Ngati breech ulaliki, m'malo mwake, ndi palpated mafupa a chiuno. Pankhani ya indeterminate ulaliki wa mwana wosabadwayo tanthauzo zimachokeradi.

phwando chachinayi Leopold Levitsky

Idzakhala kupitiriza kwa wina m'mbuyomu. Leopold Levitsky njira m'nkhani imeneyi limanenedwa osati khalidwe cholinga kupereka gawo, komanso malo mutu kwa polowera cha mafupa a chiuno cha.
Pofuna kugwira wachinayi phwando azamba chikuchitika pafupi ndi mayi oyembekezerayo, kumanja mbali ya nkhope miyendo. makhwatha a anayikidwa mu m'munsi uterine gawo mbali zonse. Zala afike pa symphysis obisika. Mothandizidwa awo, amafuna kudziwa chikhalidwe cha yoopsa kupereka gawo ndi poyerekezera ndi kutsegula kwa mafupa a chiuno ndi.

Pankhani ya synchronously kanjedza malo tidzakambirana kuti mutu gawo likulowerera mafupa a chiuno yaing'ono. Ngati zala zanu mogwirizana ndi dzanja nyimbo kupanga chidule mkati, kenako kwa gawo lalikulu ili pa khomo beseni yaing'ono.

4 chikuonetseratu Leopold Levitsky thandizo mu mwezi uliwonse kuti amvetsere ndi kugunda yoopsa. Nyimboyi ndi kumvetsera mbali zovuta za malo mwana. Phwando Leopold Levitsky, ngati tanthauzo la ntchito ya mwana mtima, ndi kuliika pa chilichonse turnout pakati kuchipatala antenatal, kuyambira trimester chachiwiri. Zida angakhale stethoscope kuchizidwa chloramine.
Kayendedwe zachibadwa za kugunda kwa mtima tidzakambirana monga ISO-ISO ukugunda pa mphindi. Mukhozanso amachita ntchito ultrasound, electrocardiogram, phonocardiography ndi CTG.