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Curs 1
Introducere
Anatomia
Ciclul menstrual normal
Sarcina normala (gametogeneza, fecundatia,
migratia, nidatia, placentatia, dezvoltarea oului)
Elemente practice ale consultatiei prenatale
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Introducere
Obstetrica – ostetricia – ingrijirile care se acorda femeilor
la momentul nasterii
- obstetrica preconceptionala
- asistenta prenatala
- asistenta intranatala
- asistenta postnatala
Ginecologia – origine greaca
gynaik – femeie
logos – studiu, vorbire
studiul starilor patologice ale aparatului genital feminin
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Anatomia
Organele genitale externe – regiunea vulvo-
perineala
Organele genitale interne – uter, trompe, ovare
Glada mamara – sanii
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Menstruatia - sangerare uterina ciclica la femeile de
varsta reproductiva
Durata ciclului: 13-50 ani
8-16 ani normal 28 zile
45-55 ani
< 24 zile = polimenoree
> 35 zile = oligomenoree
Durata 3-7 zile < 3 zile = hipomenoree
> 7 zile = hipermenoree
Cantitate 80 ml
Sistemul hipotalamo-hipofizo-ovariano-uterin
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Efectele estrogenilor:
-vulva - dezvoltarea labiilor mari si mici, mentinerea troficitatii
-vagin - cresterea si maturatia epiteliului incarcat cu glicogen;
bacili Doderlein; eliberare de acid lactic; scaderea pH-ului
-col - deschiderea OE; relaxarea tonusului OI; secretia de
mucus filant;
-sani - dezvoltarea tesuturilor stromale si canalelor galactofore;
depuneri de grasime
-schelet - cresterea activitatii osteoblastice;
-metabolism - creste sinteza glicoproteinelor; retentie de sodiu si
apa
-tes. celular subcutanat - depunerea unor cantitati de grasime -
fenotipul feminin
-piele - textura neteda, moale, vascularizatie bogata, distributie
caracteristica a parului
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Efectele progesteronului
-vagin - agregare celulara in gramezi, descuamare,
plicaturare
-col - cresterea tonusului istmic, modificarea glerei
cervicale
-uter - inhiba contractilitatea
-sani - dezvoltarea acinilor glandulari
-efecte generale - hipertermie, actiune hipnotica si
analgezica, hiponatremie, hipernatriurie
Androgenii de origine ovariana; intermediari in
biosinteza estrogenilor
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