shfd examene de laborator

7/25/2019 shfd Examene de Laborator

1/28

P,tR]EA

lll,INIERVf,N

tI

DE|-ECIITE

(cfecrurre

s

pes.ripfjc

nodicaE)

capirotul5

PRELEVaR|

0iECOLT,IRI)

PENTRU

EX^MEN E

DD

LABOnITOR

5.1 Rcoltared

snngolnl

pcnlru

eunene

de labomror

Se

tuspetki

patocohtl

labotu .ruhti

irbj

ltca

d iagn dsti

9ului

$

i

'noniloriac.

dlsp

unsului tcrqr.u

I ic

I

srabilircadi.gno(i.ului

i

diferenlierca

tipului

dc

ancnicl

-

ldentincalcotulbldrilordc

co0aularc.

no.nonzator

hemoshzci.

r

sblusu

uirrunbolirici

cvaluma

pftopcrabnel

ldentiiicarca

tulburiri lor nerrbo lice

i endoc

rinc.


2/28

VONI-OR.L OF

CIALI-ROVAN

F

-

puncliaancliaLn

(c$cdc

cowctcnra

mcdi ului):

alrc

bclddc

pcnrfl

Dt si

nor

nrs.trr

din

codonllonbilicaLsaudin

sc.lp.

-

ex rnrc nc

hc

malo

logicc-

coagu

lrrc:

ex

ane

ne inunolosice

i

-

.xnrnene bnc rerid

ogice:

-

cxanrcncvirunnogicci

-

cxamncFrairologicc

Prugitir.a

pacicniului-

Rcguli

gcncralc

.

se

oferi

pacicnlului

instruciiuni siNplc.

pr.chc,

.daprorc

nivclului

dc inFl4crc.

wtind

so

cxPlic, nccciira

rca cxato.nll r i

i oblinc consinl.eintoli

'

sc i.lomea/i

pacientulcu

prirne

h

oFrul rccolGrilor in

rdporr cu

cclehltc

mhln:lridin

sec ic

Gc^irca

incsci.

odmirhnalc

mcdicamcnrcldr.

cfc.ruaftr

ahor

nvc$iqrrii):

su

nenLic

yc

pncid

rul cr

pnlnc l, rc

ricliile

alinentarc,

triodda

dc

po$(oru).

Ncnrurtr

intcdpc

a mor mcJicamcntc la

reoomndtrc. hedicului.

Mrjornrlca rcictr

sr

rcoltcrzi

in

condilii

br/rle

(p

nennncarc.

dihincal.

deyrcrnc_

d

pi

rtotc \ita nrjniN

3

'

d(

d

rlr.m

0

.s.

'n.ond'n'

o.

nn

L

fi,.

it.ih.r,:

sc idcmi

li ci

even tua le

alclg

ii

h

subsraqc

dc,

nlccl8nro,

l cr;

-

scco'nhxi.,trricixrc'

sc dtcri inlbnnatii cu prlvire

la

rimpul rcccMrDini lx

obtircrca

rcztrlbrctor

p'.

:.' J nu eic

in

rair.

o,

t

rc ru,

p'.'oJ

I

occdu'r

-

pacicrtul

trtr csrc

prcsrln.oncr

M

nu

se

respcda

rcconrndirilc

privind

d1ch,

consmut

dc

mcdicannrc.

postu.A

i'ro'ecin:

nurevnrc.

ctichchr

incorecri:

iccipient

inadccEt, contilatc

dc

plodus

jb$ficidril

-

rr ons

po

n

t

i

.ons0nm

nccodsplnzitorei

-

nccrdn$i7aEa

rccipicntclor

conr.nlnareaprcbclor

inrirzicrea erpedierii pDdusclo

lo

loborobr.

pieftrca

jn

conditii

nccoresNnziloarui

-

Dcrcqrchrca ordlnii dc$cdlh(

(dc

lhnlere

a lacmnclot;

-

ncougcni/n& corectd

a

sengchi

o mri..rgulantuVadiriv0tdin

flaconl

ncntincrca

gar.ului

mai nruh

de I

mifut

poA(o

moditic,

o

sedc

dc rclutiatc

(Drcd&c

hcinoconcenrr4ic.

m.d

ilic

rca

prorcin

clor

plasharicc,

activ{ea

plac

he

retot

l

Mcdit l

jdcntilca

nedi.u tunte

cu

a:&1

4 itterultnr1.t

cL tubde|.

tu kaarc

lati.auglonlc. onrilonrnl:jnntc, antihOclct\iL.

a ihi.h.e, tnti,i,dle.

hisgticeni.ot.


3/28

MON TORULOF

C AL AL ROMAN

E

trale,

hrrro"i.

ntltitl

te

c

psihohnre)

li

hota

ie

ltan

tbne

seriDsl-

acc

scnL rdrnrarcj

ace ur tltrrumlsi

{lmllcr|)rli

virutrnuniecvarccu

sau hriIni.oolltxrfidiri i

inlincrjedcD,obil

-

ranpo.ic

(\rri

rilon):

n,nnril

dc unlci inlos

di:

D

r.rial dc

pRnec le:

Dr.tcnalftreirncrhil.

alczi/ctnr:

.

conlriirerpcnrn'

nderir c

intosirci

.liohetc.c.d

dub

c:

.

rari

Dctrtr

na(.rirle

-

sc

D'egarcsc

n i multc

lacuunnn

p.fru

o cvrr unete

3rlsctri

scxeCii|n

lD{lc

vJmmuii'r

lun.tic

de

ri0utdu

uramcne:

.,

llq

_

EpTA

opr.

relrL

cntude

Na

h0

logicc.

hdmoqrttrr:i

pcnm

gcnn$i

penm

rlcodLemic,

dclcnninara

zincutuii.

singc.

r

Dtvcldtui

seri. a unor

nrdicrnreDre

sc

prcf.ri

Eciti.nrc

din

iicli:

sc rcspccri

Lmiloarclc

innn'crtuni

dc

totojrc r

vrcuuhuritor

(

adirivi

tamcoagutxnli.

iniinrca

hlorriisc

lorcic

upr

a.

cuunlu L sub

.dpac

pentn

I

desti,ntc

oicc

ree

dc

adiriv

du

oo octurii

sruberci:

hcnDculruri

tcnlru

gcmeDi


4/28

PovaNr,

oaq

'rr\rboeoFJr..-0

,

-

pentru

aasigun nponuladeclat

sinec,aditi -

cfrulicla

sc unplc

cohp lct lis:lnd

u

sc

n

mic

sp{fu

llbcr

h

l)olrlsrpcior.

Drcarc.. i

condiric

Du

io$

indcplidla

nr

sc unplc f

scinla

dlldrccc cxisri

risc dc

hcmoliTi

sc

irl@uicstc

cu alr

-

ncmtu.

criu fomrrc.

mlcrorhcrgunbr

sc ahe{eci

snneclc cu 0rlic.r tr1.tr1u1.

efectuilnd 5

6 ni$iri demlarlc rsigurind r{feL

diToharc c.mpldii.

idrivul i:

-

drci

sc

rclolrcazi mri mtrl1c

probc.

sc

rmciei

liccatu

prcbi

imeiiar

iupi

-

cnflbcrclc

sc a$c.za i. $ativln

pozllic

vcmcal.

i r

carul

$cuuDrurilor hri

rnlicoarul nli:

-

cpnrbora so unplc onplcr:

inrc momcntul rccolilrii

ri

efeotuarea

prcbei

iD

labonror

r.btrie

5i

rcaci

]0

6(r

-

sc

rcslrcdi

o.dine

dc

rccoltrc:

lldcodnc

pcnrd

hdnooulrur

ii

prubete

liri

anticseu

lar I

(roii):

.

Bprubek cu rnricorguL.nl

(alb.nRli

cpru[dc

sqrlratorrc

'lc

scr:

-

cpflbcrccd

hcp,rini

(lczili

eprubetc ru EDI

(Dovli

-

ep

Lrete

cucitat

de

dexto,r

l-qalbcnc)

p trh pr.crir

capihd:

virlirl dcgcrcLornrdius

sau

inel.r(dc

l.

ntna ncd.nriniilii).

tobrt

pedn

punclia

cno.sr: vctu dc

h

plica

cotului

(acfa

nrcJilD,

cubiraLt.

cclillci

ru :.

dho)1t

n.a

t

14,1 t

lilnlQ

uletiatun. sn ptntu htn

dbli.n:ji ut dlldt

.le kcuri

D&n

p.tjenhtl

nrc

.u

paliEj.

tt

sc

ln\etlluai

in

mut ni,'

le p ttion.,Eit

dlta

t.k;t

N t?L.h.a.d di"

h)lti tittdt? tuarprd

tkiei

vnnala, c\istd

rin-

dt

.lilat.lit:

-

:e.rrctte

pe4rid

sitatt.dpkl5

rlnn

:

-

te

de,inli.te{-a

aknt

(

q (nl

etetenrl i

tL hdelinn

:ii

alc.d 7A%i

.l.l.sit'd,raurti

t.rilz

\e

rodte

ntp.tri

tj

st

dctu$ca.ii

perftenl.

e

d^drd

a

s.)ihsn l 5 l0'tll hn(r,:

t

i

,ii

j,l.losAn ..olcdutint

li

atu".dti:

-

: .la

tryra.:atelenrl.

se atdte..a I

alli

\etu1 i.

tie

in?p(r.t..tandp

4,nphd:

-

sAneele

t

Ll

Nlita in eprthele ule. ott.:

tc

p :ntent

o :etirsi

lt hept ifi pe

1tu lkpaillia

u

.dtetenlni

lh

,ljtdatt

rt

ldavr.i

teti'la:

se

t.an(lltd

lr.it.


5/28

MONITORI]L OFICIAL I

ROMAN E

EIcchar4

proccdurilor

de

recolt.r.

Scop: oblinerca

unci cantilEli

mici

dc

sdnse

pe.tru

un

numsr

tinihr

de mti/r

(HLC,

Hb,

ace

sierile

sau ldlcri soili;

tobxn.

pipete.

lamc

dc

slicle

pcntru

fmdul

Pcnh dczin lec

lie

ii

pmteclie:

t$d

pcnm

n.birle;

-

minuridcunicdlolosinlij

solulii

dczinfcctdrcl

-

tanFme

de vot5, conpsc dc rifonj

conbincr

Ddlru

ace,

colcclor

pcntru

cclclaltc

bardiale

fotosite.

-

sc idetuinc,

pacicn

ruli

- sc infomwn

$i

sc

cxtlicr

nbceduE

(inlcpdruru

poarc

se obinc cdsimriDantul;

.

sealwnteicntullnr opoziticcontoriabilrlntu.crie

9cz6nd

cu nan

lpnjinna;

se

alcAc

locul in

tunc1ic dc

veNG

i

proba

cmtS:

aduh

pulpo

dcccl'

ui

incldrsd nrjlociui

- lobtrlnm.hii

copil

-

lata

planhra

a haluceluij

-

se

verinci

recom

darc nclicolt:

-

5e

spali

miinilcj

sc

dczinfcdtev ;

se inbrddn

ntuusi

dc

pmteclie:

-

F nascazi

uror

locu I

jrtcp.tun

ir

'sdtinfectcrnlocul:

-

sc alle+ta cvapoB@

solulicij

-

cu o

'niqm

npidt,

pe4endiokln

sc

inlc,pi ttuut plrrunrnd

la

2-3

m

pronMinci

sc

ircise

priro

Dicdtur

ou o conprcsi

de

tilon

sau hanie

dc littrtri

-

sc rcoltcrzt

lnccprnd

cu

a

doua

picrlui

iq

tunclic

dc .xabcnul

$licihtl

- daci nuul

e rcdus nn se

preseu,

zona

cxisrdnd

nscdednuanp

n Uchid tsulai:

tubunle colectoe

ncbuic

linurc

orizmlat

pennu

a

prcveni

inftducma

bulelor dc,er.

ilr

micrconlainerele

lnclindc in

jds

pe

ru

.

facititu

curgcrea

singelui

din

dispozitiat


6/28

MON

ORLJL OF C

AL

AL

ROMANIE

DcDtru

rclliarca lilriurilor sc hsa

o

picalrr

ii cadi

pc

o

lani

rurati.

dcgrcsrtl si

sc

inrindc

d

o

lrnii

inclindri

la

45',

crc

nrnd

o

lorli

nrodeEl.

(ctNrurri

corcct.

irc

o

-

l. tcmi..r.i tocolriril

sc

prcsc.,

u|f locnl

inlepiturii

cu

o comprcsi dc

rilbD

sril

pini

La

opirca

singeririi:

la

Nvoicscdpligaur Drlc

pansancnl

ddcTivi

froriurile

ri

rubuile

colecroare

se rri'nir etichcFr

l

Iabonror, uneLe re^Ltarc

(gLiccmir

capjlari)

sc

circsc

ncdi.li

'natcillclc

toLositc sccolcctcazi

conh

n

prccautiilorunivcBalci

sc

dczbiacr

minlsilcl

Rep.czinti

crca.c

acccsului

h

o

veni

c

scopul rccolldrii sAnlclui

phr

ex 'nenul

de

labomro(

cvrcirrci

uncl

crnrllili

dc

sangc

$u

inlroduccrua

unor

ncdicane$c

iI cn ulrtia

vcno.si

cac fcrodd ccd

mai

lolosili

pdmru

rodrc

rip0rilc dr crlnreDe

Nlindu*c

reco ra

o

cxn{iratc

sulicicnli dc

eingd

-

|rreLeurer

renoasi viTrri

un

elaniio

dc singc dinn-o vcn,

$pfiticialiou

aj

onl u

ui

rc

sicril

nr

vcd.rca

cxaminirii

nr hboraror

mannsi dc

Mici fd.iinrir

-

tanrpooD

cj co m

prcsc

dc bu

mbaoj

'

solrrii

dczinfecraDte:

beraiini

sau

alcool 70%

(dlcdoLul

Du cslc

lolosir pentru

rcoharx

recipienic

p.ntru

colcctarca

nmfiale

orfolosirc cortonn prc.auriilorunilcrsale.

sc iJdrjuct

pxcicmuli

re

i', fomca-

pacicntul

asurra ncccsnili

i

rrscdu

ri il

'

sc ,renlione'j

pacicntul ci

inlcpatuo

cstc dutorod$ si .{c n*es.r

s:l

colabolczc:

tcrsodr.trcbtricjnlomrG.ntmicu;nd{lanziredacacnosibil)pcnrruacvirtcombrre

se intc.ba

pa.icntulda.,

i

s{ nal

recohat

sargc,

daca a

simd

lc)in,

trdspirdic, grerli,


7/28

MON[ORUL

OFICI^L

^L

ROMANIE

,crprli

D

ini

e

5i

s.

pui

riilrusile.

s.

ttldcsr

yruunrudc.

sc

crc1.kr7,.

s.rl.g.ocLl:\cf.Lrielipli i.orLlur(1ur,cdiinildtrbiuli.yenr..t:lLjcaribril].i)l

\srlcrNctirntulLiii.rtrdepcirFd.raiIirinfii

tbto\ir

rccrnrjnri.j:

so

\ehd.x/,

Y.r.lc

L^rL.:

dr.rl

vorrcD

strtr rvibiLr.sc pN..dcr/ii

rnriL:

\e i"cil7 s.

adiri"J o ...rDesi

crtdti sru sc n.{.xzi

b rc

e:

se

brLrns.rTi

brr.l. in

iN

(juLj

DNch'l

f$ii)

circ\r mi

rc

tcfru

r

{

L

rplr

:.lo c. e unn.u id.\L

Jnsx urcroarbiritil

.

s.

puD

rnrnxlul d.

tmr.ri

nLt)

bnrlL

DJlicrnrlur

oeDh

I

rj

pir

pm]t

.u

lr3 sll

{.br

fc consnnlinitrtul

ilnnmn:

{ r\istrri pozirii

core\otrnz ori.

h

conturir

rr.c

ptrnclier(dcNhitdo

y

rxr Drj

tuf scu ird)

cr

branrl

i. e\an, r.,a.1lild.x

\.D.

or

rlsc.lcgc

ocnt

.

r.

Ji\.32i \rm

Irictr(Lnl,ticrlc

m,ji,rti c

orniraDr. Lr

I l

icciJrnr.dcr.nnrmrdctrilscrr.ahru\ciap..icnLului:

;r Dtroduc..Nl

iir

\cnli

cu

tlroul

in \Ls.

oricnrdr

ohli.

tr,ri

ruhu.iLr.0r

iror.LUhfr

\e

|iyo.nil

ctr

rnis.iritcrlc

prnbu

or

(rcr

Jrx.irnrLltri.

scoprt \i t0 l

.rn

lrb

ihoil

Dcdtu

r

c\nr

un

nlhidd

rrr

l0'nr

funrrle

.i \t"rirJ

.\

\n e

rcprlp r/rlcni.l.rs:rrund.\r

{'n'ctrn.tt.et.p.nturdLtij kdcrrrra):

\c

p'cgiL {.

\xcunrlrrri'r

nrdc0irhta

cl'trculu

Dc.ottnat

rt

u,lui

dubtu

kirc

|rL.i

d.

rr ir ifvet\

d. r rrtrc

n

\c

irErtr'ticuii

bin.

i'r

hotdcr:

c rii

r -

.h tr

\ turtontr tLrLltuI,L

\:

\.tr r r t

ii n,.J\'nr

jr

lJr: ir/riiir[1

loulu]

r

ris.iiri ctr.r

rtu dr

tx

cctrrr \0r. pcitirie (crnifd

r Nrh

rncfilor pr.lorulnrr.nirrrir):

i:

lria iii

i. rn,r.

\ L :.

i.r . .tr

ur

r.riron:

-

ir

i

nin.r/i.r|r.u

cotda{rt,lutridubtL,

d..rLihrul

n

prot0n/i'nca

v.f

.i:

dtrpr

n rrrrirrc

l v

c.ndari s.adrcr

k/isrc

lcj

l. rr tr4 .

.epnrt

rl r,

k xL c pnmui

rub

5i

-\c

irnrinlc id

hold.

rpasitrd

cu d*.rctc

rnijloci

:i xdiG

pc

mrrghcx

holderuh

nii cc pano

aurhi

dubtu

dinspr.

b

jdDuDlc

dnriraDr

l.

,rb,

,,1irn

.

\:r.utrN,ldn

trLLrexr0gcdin

renir

krcr

J.sinlepr.{rbilir.:

\eindc|a

.2,

|jloul(nu

sc

LrsinuiN'l1dc

l minur)i

.

riiDdDrrDLlk'hN$eplinslingelefuMico.sc.\crcod.dDh.ldcrsidif

deg.ni .d.

borJm hotdcnrlui):

\

undu

cL singc

relclatrc

r,btr. ..Dtu'n,

(com trdi.i

(.ltJ

',

-tr ,r'u .n


8/28

it

tinp,l

re.ohnrii.

tlwile

hrt

e"inntu.

.dpd.,littt6.

Conti tulruhrhinnh.buialAttittg.l.d\trlsa catu. l acrhti

re

dn,ata

vm

trkiici

Bnhn

Nr:ientuhi

,

.huk \n

lit rl.kn

i't

i^

D"1ri

rlrylo cu rlri"rhii

,th,

d.tn

\c

todt.

.litl

\rra

Puncli,

r.ternni RdlLrl asislcnL0ltri

nrdicaL

tauctlL'a

cnc

.]e .o

pd

ta

n&tL|h'jl

Scopul

rccoltarca sengelui

anerirl

pcntu

mli/

gt

lor in vcdsca

cvrlL':lrli lun. i.i

rcsp idorii

$

risurarca cchilibrului

ac

ido'bazio.

rncr.lc:

nd rli

6mhislissr tonumli

s$inei sp..iali

c.rc coqinc

0,2 nll hepa nn.Ibra

aer

-

rc adaplat

(o'loarc

blcu. 0.6

m'ndiimetu,25 mm lungimc)i

dncnozic

ponDda

sau lidocaini l-2%GcrinAii,..c

p nlru

{dninisimr)r

nraierial

de(Gziifeolie:

r,'npoanc. solurie

dernfechntl

(oonlom

pror.tuluLuidin

scctic):

-'ndnusidcunicalnl.sirtai

.

c.lcddrnentuacefobsnc.

sc

dnumipaci.nttrl,

sc

cxplici

nnpotunra.

necesiraicr

ti

nodul dc

reaLi/rrc:

e

lnstaleazi

conlbn.b

,

iD

deubit. cu bftiul in

cxtcisle.

mnn

spriitrili

p.

pxr

cu

palna

-

esrc avcniat

cn

va

i

siDliodurcrc maimtrhdcclr

h

phcria

vcnocsal

.slc

nrldr

si

.olabonzc, sii

m

so ni$c;

-

nrdicul reaLiTeazi

6nestezi0

localn.

Bfcctra.cn

punctici

dr

clho dodic

Ndicul c .l0N,/l .iruul.t

pnn

rcitrl Allcn

(comprimt

ancrDlc utnrri

si

ndi.ti nr

Dorliunca

lnloiosrri

d inicbraruluj dplicand

2 degcrc);

-

sc

6ce

,ne$il 0

lidocaifil:

sc itunined/i medicului

seringa

Dentru

rcolhtrr

sdngcl0i rvind

griiS

si

nn

comtnii bute

rcdicul cfrruc-i

nuncriaj

se

ernage curit.ra

ncccsara dc

sinEci

'

sc rcr

ge

acul aplicind

un

ranrpon

9i

comprimatrd

locul3-5

bjnrrcl

sc

..opori viirlll scnngi .tr M

.apac

si sc

brlanseaze ulor

pcn1ru

r

Nix

siingDtc

cu

s6ngclcrcolrr( s.

hihtc ihcdid

la

laborror

in

celDrult

l0

nrlnurd.


9/28

MONITORUL

OFICIAL AL ROMANE

ineiiji.cr p,cicntului

dupn

pun.f ic

pc

ldcuL

puncici

sc

rpli.i

Ln pansancm

ddeziv

rritrd

gnji

.omDlctpcn ra

blo.rci(ulai.r

sc

$'prxvcgher^

sa

nu ficrhemarorni

.

sc nxrc.bi

nxcienrul

daca

prcTi

liJuc

,

tuuicand.

redu

qq

ct

Rccolt|rca

sanaelui

penlrr

c$mene

heDaiol0gic.

i

prnbed.

co,guhrr

Prccizirispccrlc

Obsenalii

fr.irl

tulo\esrc

cfl

'f..(c

ftcolreaza

din c..d.trtr1

Sc

loloscicrerul

l

TiNplllnmir

d.

l-2


10/28

bovAN

aaF

r, |

\,

bao

oi.

\r

i

0,

Rc4lrarul

c innuenlal

dc

epn'bctei

d.tc' nioit'lpon

Re$llarea

snnqclui

D.nlrtr

crrncnc

bi{'chimicc

a;nai

sretrif

Ron'

:l


11/28

hcientulN

tunsuma

cxi..

rl

Bil

ruhi'n {' i Rurr

lunrind inrcnsti

nDi nuk

de

dcrenina

crcrlcrDa

vrlor

ilor

r,

llirtul(n.

Pltu

Posi

l2 orc. nu sc consuma

Nu

sc[i'nh,

n.no,

nu i LU

d crdr

trlrmrtc

tr

LLlir.L

tuntr rJ

e

:r

s:ip'imrni

- pacicn

rul nu

nllninci cc

I


12/28

MON TORI]L OFIC AIAL ROMANIE

TTI;I'

-

plcic.rul

nu

mnDtu

ico

ultimcle

2

siplinrani

poxrc

"MbL.

75

gr

la 100

Dn

ata

si

1.75

Pokstusfic

R.

Mcnliicro

tunp

inJeluns.t

rlttrilrxturt.rnrtrcloi

plln

ortude .nn$ipdogrni.

JirLnfnctrrcxb.

if i'ni.ri. . sr

:iaroinreiimtci

dnn.n mrtr

Drri/iro^lor

inrcjifjlc

'

r\rLLLrr i.ri(cririi

trrhmein'tu1

p\.'[Yrd

(iiD

s..unuleDrls \torrn:

-

D'elc\ft..

\t.

trni

-

cuu.D

coptutln/nobli.:

cramcn

bacenol.gir

(mt.oe'h{i):

dd$ninrrcr

si', c, nnor o

lr.in

scinn:

.

dct

'in

dru

hpiJ.l

ir

scarn.

Pr.enli.er prcicntului

rcguli

gef cmh

-

re arriti

pxcienn'l

sc .xftrca

scopL

l si

Drodtrl

dc

dctuLrr.

a

nilccduiii

'

fo

n'cop

l$ inlbnn.yi

tlrilir:

su:prccir/icapactr

cxn..entului d.i'crlizrsingtrr

rccolrirer:

-

J&a paci.

u enc.r0rhilra

r.o rczc

corccr

isc

c\ttici6rlc

ctrrcraDelc

pncedurit:

\e

'cfriotrcr7l

pxcrcnrul\t

Du Drc$cnc

scruDUlcu

uri,k:


18/28

-

sc

intbftcrzi

nacicn(ulin

lcgirll' cL nginu

ali'ncnilr. dunra.ccsuia

drci

cslc

Dc.csar

postul,

daci

kbuic

s.

ia

purg

ili

-

se

insh,ie$e

pacientul

si

;i

faci torletapcrianlli

Eroride re.olt.re

-

cnuze:

pacientul

nu

e$e

innruircoEsplnzi [

-

pxcienruL

nn re$ecri Ecomandirilc

pnrind

dieta. consuDrul

dc nrcdlcamcmoi

fnlosirci rccipicrlclor

inadccvatc. canliLrrc

iNulicicnrli

rccdlrari, coharc

incorcclil

,

ncd'nncrdr

in tinp

uril

U

labomtoi

Pcrtru

toirc

rinurilc

dc

rccolroru

sc

ficgolcsc unnolMrclc

mloridld:

prosop

dc hiitic/h,mc

iSicnicai

minusi

d. nic, lolosinrr.

) Recoltlrc m.tcriilor

fccnlc

pchftu

cxnn6 top.op|r{zitologic

Rccolrmcr

sc lace

din

mrteriie

fecdle emise

sponton

lid

utiLizaru dc purgrive

uleioasc sar

lrxative

De

badc cirhunc

Prcgitirea

prcidnt

ui si

rccoltx.ra

-

scidrrui.{cpaci rulsi

rl

spele

'niinilci

sccxpllci

naci.nrul

nedesnftr

i)losirii

Draiusilol

.

esre intruit

si cliDinc

in

rlosci

sou

jnlr-un

cipicn(cud(deexenptuotiritadomicitiu)i

rc.oluzi

cu linglrira

copmctrlronlui

caleva

frag.rc.rc

(&ca

530 din dilbrirc zonc

srspccrc

(m

uco?ni

d. podule D

edlscrarc)

i

se

iDroducc

lin$rila .otro.olron'lul in col.ciortisc

incIido:

.

sc indeDiderzi nrinu$lc;

.

scdrichereaTirecipicntul

cu nuDclcnaclenruluidah.

r

rccoLlirii.cxrmenul

ccnri

sc rrinlle h Laboraror

in

nrxi'n 4 o'r

dc

Li ft. 1,f.:

-

daca

nu

csrc

posibil

$

paslrca,

ld

14

gDde

celsiu

tl

sc

hmite

la

laboraror

in

narnn

Daui

rtfri.

hn

u

6te .atahil

:A

rc&lte. k ikinrilttu a prb.uhA

dh

funitie

Lc

ta(i.rhtl

it eDn n.apabil

:at

ttuntEc,

ptcle\arca

vJd.e.lc

tdtu o

pa^ar

n

ihln tti krt la rnh c tr

t:^ta

ttli.Bl

'

t\ar.nrl

..p'npon it.lasit hahuie rcpekn de

3

.tj lh ltnnr

ehba

spanlal

ro

yt

tit

ldm

pd.ia

tl arc

ra'

s.urn

p

.i

k

u.h.z .tit( . pmbi

h

lircarc

zjt d4.d

drc

d.&i

tu,hc

i1

aldtli

:i

\c

ddk

u,,h ]e

p'de

it k+icht.

.l|o.it.

ti

i't.ii o

rh)hn


19/28

MONTORULOFICIALALROMANIE

b) Recoltrcd

naftrntorfoc|lo

perrru

coDroculrurn

(cumen

bacbriologic)

Invcslig4ia

umirc$e

i4larca

ri

idcnlifisam

agcnlilor etiologict nrotiv

pcnrtu

care

prclcvam

rcbuie

frcut

cir mai

lprorpc dc dcbulut

botii

9i

inainrea

iNlir0irii o

carui

hrrnenr

Itelevalc

sc

lacc din

scaLnLLemis

spo$an

siu

d;cct

dir

rcc .

Irolcvrre,

diD

sc.un cnis

spont

sc rc..nrndi

in toaic

tonnclc dc dirftc acuri

cAnd enisix &

nalcrii

tLuxlc

c{e tieNcnr

-

sc rclomdnda

pdcicnrului

si foloscasci penrru

dcfcclrc

conraincre

de

nnici rritiarc

din

marcrirl

plaiic

sau

canon

carc

pot

li deconrlnrinorc

sdu

indcDimtc

cu

uiurirF

dupi

in

lipsa.ccson

se

folo$slc

D

vas

dc

mcral dczinlecrat

pri.

fiedcrc:

'

n&lentol

csic

iNlruir

rit

.u

urinczc in

vasul

in.aic

a

defecrat:

sc

rc{hcat

din

nu$

lecaloida

cu sprruLa

coproculrofllri,

tu

mod deosebit

prctcyirca

ncdndu

sc

din portiuni

lichjdc

mr..ase

sau

sarghinotcmcdaci

exisrii

-

chrilatea

rccokali

cne

] 5cm':

'

sc Ecomandi

ir inltctlila

puniro.iide

shiacua satr sa hnorcLo: prclcvrH

sc

poarc

tace cu

sonda

NcLlror

satr cu hnponnc

adccvatc.

lrcl.va rea reclal i

Recoltlren

cu

sondr N.l*on

-

$ndeNclatun

nerile

nr

(14

r6)i

scring:, de l0

Dlncil,:

.

minuti dc uniN

lblo.inri:

:c fr.e

roalco

oo,pcnncxli:

-

s.

a$azi

pa.icnrulin

decubir

lardalcu

pjciorul

dcjos inriDs

iar.et

dc

dcasupn

teo6r.

sc ifrbraci

miNsi s$ilci

-

scindcpdcazi

leselc

tisc

cviden iun

orlficul

anali

$ inrrcduce

sondr

h

o

lrroturzi[r

dc

apr.ri'nariv

t5

cm

sisc

r..l.zi

ulor

ncturetc_

nu sc

lolosesc

gcluri

lubritartci

-

sc nxeaza

sci[&

ld.4irulsondei

tise

exccuh

]-2

asptaliij

-

sc rclrrg. sonda

t

se

inroduce

int

o

qrrubcili

in

ncdiul

ds w

Dc,w ru

IrclcHr$

rcct.ll

-

R(oltarc.

cu

ajuroht

tNoponutut

nerit

-

rampoonc smlc

cu rija

lure., tanponut

liird

bjnc dra$t pcnru

nu

pcnirc

rerenia

intmrcordli. Scpor

rolosi

tanpoane conrcrciatc

in

tubln

de

pla

ic

$;

fir;

nediul

lc

.

minuridctrnicirhr.rinr,


20/28

voVroRU- oq

.r4 L

aouAvF

-

sc

hcc

torlchro-perinerli:

sc asc.z:l

p.cidrul

in

dc.ubir

larcral

cu

picnrd

de

jos

inrins

iarccldc

dcasuptu iccrar.

sc

nnbraci

ninrs $filci

-

sc

iDdcplrtcozi

lcscL.

si

sc

cvidcnliJ,i oniciul

araLj

rampdnulhbuicu czn in

$r

tjziololic:

s

i

mdrcc rampoNl

h Ed

i

se rutette

usor

.

sefttrgeulorbmlonulselntroduceinepruberistcrili.

:;.uinul k.ahot :( L

hnirt

rDt&liut

].t

htborutar

rllpd ?liLhe4 u

Lar?Vn1

.arc.

Co..crvata

sc

lacc,

daci esre ci7uL,

in

soLu ir ilmpon.

c) Dcrcrnir|rur

sangrdrii

ocultc

in

rcrrn

screening

h

pcnoanclc

cu

vtrsE

nai

narc

dc 50 dc ani si

antcccdcnr

hc(do rdlahL

peDrr

ncoplasn

ganrointcsinal

-

niinNi

dc unici

folosi', 5:

cn. irynrit.a

ccl

plrin I zilcimink

si

Du

oonsunc c.hc rotie.

si nu id

mcdlcrncnrcpc

-

sc oblin lnforMlii

daca

pacic.tul

a

prc/r.hr

ginSiloragii,

cxlr{clir

dcnhrc,

episaxsi

.

driafol.rliviramiriCrczullrrclc por

ilillsncgarivc

.

m'siilefec.lc

sc

por

rccolr. c.

ti tcntu

celehlrc

plobci

sc

por

iblorireie

colorimerice la

ca(

rcrullltclc$ obh incdial:

-

l

cstul hemocdr coni,

in

dplicarcr a

doua

pic turidc

rercriv

pc

o hArtic

din

guiac

cu

nxtcrii

lccdlci in pnz.nr, stngelui

tu sc.u

aparc cd

om.ca in

otbd*tri

Testul

cu trbleta

ntDsupnc

nlasarea

ulci

probLc

pc

s.dm

pc

henia

dcvclonaroxr,

lplicxre. rnei rabetepe

materiilc

lcca

lc

ti

ad

ougmca r2:l

picituri

dc.pi. l,rezenra

onselui

dctcnnini

modiricarca

culorllor


21/28

MONITORIIL

OF C

ALAL

ROMANIE

dl

Dctcrhimrc,lipidclorin naterii

fe.

e

(ilryr.tis

{

dige$n

lipid.l{,r)

Hranrnnr n0diiTit

.b$nra

rrciinalii rs'ficicnri

naD Learica.

\i

rennit

nro

onzar.a

r.rltiet.

ninnsl

d.

uIcii lnlNnilr:

\c

rcco,nxtrda

Fcictrfulu

sicotr$nc

t00

llnr

lilidc riDD

dc 3 zile:

.

rr

rccolrcali

\cauncle

enlseni

I

/llcconrc.

ivei

$mrcaz, dd.

J

on L. cxrc. nxrobrintrriic.i'.csrr1nD:

nrohele

rccokrtc

sc

ri'nn

i'n.d

ri

lr

.hoturor

PE/elirli0id.loritrfN,I{a

rLuilciic i

malab trLic.

\e

nuNk icaro..

5.4

RecolrrrM

c\udrrului firinsi,n

izohu

rdeflificr.ca g.nncD

l.r

i,c

poptrlcrzii

Dr^firi'rgclc

in

rcd.'e.

jrbilnii

diagno{irlu

srn

r nirlL

d.

f

ulto

:

{rhLlri

5 \rb I lirii

lx

rribioricr:

oronrorl/rrar

rdrnrDnrlur.

i

oii'rfr..nn'lu, i,rtrudnnri([r.. ptucis..xda

xrc

iivclutui

dc

hlutclctu:

iii.a/

nrcr.rpacicnrLLdncconiLi'rslfliLcxt.htri.nicurir|xn

tutrorutuil

\c

rr$maDdn

eleduarc. rccolr,rii iixintea

adrnnr[ini

anribioricc]or

deoam..

,nod

t1 a

in Ji'nincara

'.co

.riiDrci.

ut:

io i'ltjNli.

bca:

.

ntr

l]cc grrlara.

nu{iNnlM/i

pi.ihriirr

fos:

ntr

s

fac. iSicD3.mli:

reLcspcchrca.ondililordeAcpsic:ixiiiscpsicdcr .hrnriconi.minarerFobci:

-

loL.siE

anlis.p(ilcloroRll

porlc

inducc iDhibina

dcno riniSc.rncdor:

dnllcrcr limhii

lau

bu7elor.

a dinlilor cu

rrmpoDul

Dodc

nrodifica

rcaLratut datoriti

gmncnilu

exi$cDti

nr

.ccnc zorci

dingerer

uctci portc

d.dxrsa

' ,l.ruld.lomi


22/28

POVANL

PdarLA

r

\'

660 0

1

./oiI

hvi

pcnrun.rfirlc:

-

cprubcticutiDrnof

stcril:

sprtuD

lingMli $dilil

minusi dc

unica blosinFi

oolo.ldr

pcntu

Dxroridlc:

scvcilicad..,

pdolctrrll

orcspcclorrccomr irilcprivbdpbccdura;

.

p.cimrulcle

tugat si

colaborzc

si

si

rcspecte n ocmi

sfaurilc ccluic.rc

recoitcui:

'dadlpncic

uLcicuncopil.I)ozllias.vrliasigumlrderprninatorsauairipcrso{ni:

-

sc oricntcui

prcicnlulcu

ilra sprc lumine,

in

Dozitic

$Atrd

pcnrd

a *iguri

o

maibuni

-

sc

sPali miinilc cuaPa

lsipuni

sc inbnci nanu$ilc dc utuca

tblosinFi

-

sc

punc

nrasca dc

pmicclicl

p.cicntrl

cic

invtral st

dcsch

i

t$g

g n.

si

inspir

rdinc

$i

si

stc. nenircrti

-

sc scoaie

rarnponul

penrru

Ecohrre

din

epnrbctii

cu .julorul

spatulei seaDrsi

limbr;

-

sc

gcr8c

dqrozitul

hrifgion

ii

mrigdaLian. orico ani inilanati

sau trlccr.lrl

sc rutxsc

raDpo.ll

cu dcntic

pcnh

lnu aii'rge linrba,

dinii s bu/eLc:

-

sc

inrroduce imediai ramponul

iD

epn$da

prorccroxrci

-

sc

crichereuigise

himite

h labordor comunicind

d0c,

pa.icnrula

luar

ncdichr.nr.

.e

Col..tarca

m.lerinlelor folosi

te

-

hardirlele

folosite

au un

potcnlial

infcc N ridlcd

ti

sc

colcclcdz, confom pEcautjitor

Pan

re.olk

tu .ottiei natcl. r.

I.latuea

m ra'npo"

ectil

t1lrihi

carc

ft inhodk

nt

turh'a

li

s. ttte|:

p.rerii

L c'ali.

5,5

Recol

t*cr

3p

ut

iprin

e{e.torllie

.id.nlilicarcogcafcnilorrcsponsabiljdoinlicdirtspnaioriisircsrarerscnsihilililiia.csrof

di

agnosricarc.

to bcrculozc

il

'

idmrifidreacelu elornrodifi tdcprcccsc

inndmabrnMrncoplozicc

-

cxnu

blcEiolosici


23/28

vo\rrocur

orr rA_ L

FoMAv

rccirientsicril

cu

caprohi

-

l)utrei

dln

tutfiidl

Dlastic:

mrnusi

de

u

ioi lolosinrii

plbdrdcunil lolosintii

oolccnx

lentru

Dratcrlalclc

lolositc.

sc cxphci

pacienului

inponanl. cfootuirii

dclcnnin,rji si a respcdhii

jnstructir

itorj

.

sc

infonnc.zi

.i

prcba

se

.ccottclz'i

dimincda.

dcdarecc

sc arenliorcazi

pacicniut

si

ma.incc,

si ru

tumczc,

sa

ru-ti

inedczc

picnlu

jn

n.s,

s,

nu sc spclc

pc

diqi.

sinu,si

clftcasci

euncu

elurii dczinlccranrc

(api

de

gui.l

iiainie

dc

rccdhaft:

-

sc

i nnrcaz,

prcicnrul

ci

dacS u n neroic

sc

va

apcla

la

netodc.aE

si stimutczc

cxpccbrdria si

sc

obrinecolabor.rcaj

-

rc{ul

secfcctocaliinainierldnrinhlririidcanribioiice

-

se vci

tici

dxci

pxcicn

rul a rcspec r

rccomandiiLci

prcicntul

cnc

rugar

sa-$i clitlrsi

gura

ipil sau solurte

sali.J

Dcntru

a

nu conramim

spurd cu

brcteiidii.rvn.ba

bucali:

-

t3cientut

aiczrr

De

scaur

sau

jn

ononatsm

e$c

ogar si

rcspirc

altnc

de

2-3

on

i

aloi

si

.

rruia

dimindi

Gchiralmru

oel

pulh

at uncj

tjnguritc)

sc

cdedur

dilcc ir

rccipienrul

Iolosind:neiusi

dcnrorecrie

sc

iochidc

tocipicD(ul,

se

tr.rge

cxtcriorul

cu

un

Frvoreji

sc

introduc.

i.ri

pungedc

mrlcrhl

pldnic:

sc

cbcheieui

l]nrdunrl

si sc

dmnc

b kboiarorl

.

duparecolkrcscof.dpcientuluiap:lsr

siclitcsscieuh.

Daci prcientul

nu

expectorcrl

strtirient

-

,d'

r

'.Ji'p-r...rp"i(r,ui.

I...... ic.

sc aleleazi

h

umid

ic.ba actuLuidin

iioiperc,

totosiruiflosolilri

.Lr'.n\d'ri'

r.'o.',{pru 4rr,.rn_tr.o.e.,nkJt

-

Ir

recomndrtoa

mcdiotuisc

dpctca2i hatEncrJde

dc rccothft:

.

aspimtic

trinsdh.rh lololindun.dretcr

suhlnceu

scringai

D,il:'

Jbua('c.'

Iiinr

T.,tb,onhn\tprc.

Colertrkr

m|terialclorfolositc,

rcspctfiL{

nornetor

sc colectclzi

malcrialclcin conrainerc

spccidle

conlorm

prccauriilorhiveNatc:

-

$ alenlionc.zi

pactent

I sa co cctcTo

spuh in

conrinu.re

nr

lccipicnrutoferitdc

nerson0tuL


24/28

I.ION

TORUL OF C AL AL ROMAN E

.

sntr1a

este

a

cslccati

cu

saLivi

s

r

rcsui

alimcnldrc cand

pacimrLL

ru

rcsnccli

sp[a c$ dncddc , cu

vo'n]

declan$adin

rinpul

cpisddului lic

n6c

produsul.

Ib$

suflrinlNhl

ii {ihpul

n,rDevliii

Pc

ru

*ir.ntl .italo$n k kohua, I

phha

in ,n,ncnte

.lileil

P?

nt bu(ilul

K.tlt

rrudin n

)

iprob.datitlal?

5,6

R.coi t. rM sccrctiei u rotnl

e

h

bnrbar

didlrloyicrcd

bolilorcu hnsmndresexualii

lcn.'

lor.

'

Jn

,"l.uJq'

ii

.

ansi

dc

0lalilli,

lampi

dc

spnli

ninuii de

nnici

lilosintil

-

\c intiimc.za

paci.nrut

ctr

lrivnc

h

Dcccsirdrca

clccbrni

ex ncnuLui si

DNdtrl

dc

sc

anunri pacicntul

ca

va

n

piiml:l

.onfidcnrialiraiea:

sc

islefri

idrimibrca

-

se

lrenloi

Dr^

rrc

ientul

lsup'n

nodu

hr i J c

colnborird

j

sc

spali

mainiLc,sc imbnLoi

nrntrilr;

sccvidmriri urerrai

.

sdcon,pim.purin gLdndnl

oenrruaqFimi

sccsrixr

sc

rccdLterzi

loLosind

arsa dc

pldrini srcrilizari

san

inrlducind

m

rahpon

sicdt

nnn

orifi ciuL

urclal

in

urcrd anbnoarir

sc

rcalizc.li

un hotiu

rdc sc triD c Lr hbomtorimcdir

S. . roudnd.1 p'tlc\@?

nt

pozli

le ltflhn l.rsdlpckt, prtvnnc.t

rin.oplirr\o

wgtt..

lttpij

rcoral?

tnoni.t i2u.at

ttuin

tl

.\ilrittl

ir de hi,ren\jb\4

hr4.li.dt.li.,

fatolt

,uhttilxlie

rct1d

fntt.it ,i.

Colccldr., mdcrialelor

se aacc

conibdr

idmetor

mlicriot rcrdlbr

avhd

lorenliaL

irtD4i.s


25/28

MON TORULOF

CALAL

ROMANE

5.7 Rccoltlrea

sccrcliilo.

purulcnt

din luziuni

idctrrllicrrcr

g.m,cDilor

Lcspo.sabili

de

Lnli.hm

ntaeii:

-

{ahiliEascNibilni ii

gennenilor

iirad.imibnricc

n hi dezinacchrtci

tuhp.rnc

{e

le.

ansi

dc

pl.hii

l.mc de *i.li-

hnF dc spnr.

'

sc

rnuDri pacicnnrl.

sc cxpLici ncesitarca

c\drncrul0i:

se

intonncn/ii

prcicntuL.i

cn.

p.xibrl

ca

ptuccdura

i

Ucdurercrsi:

'

sdaseraDoclcnIlidrdpozrriccomodainftncricdeLoc]tzrralc2iuDti:

s.

asigrd

inrinltarea pacicntulul

sc

v$ificri

PEsc.iPiis

Dcdlcrlii:

rc

nnbftcli minut

$erilc:

{ rurdr

suprd.tx

l./iuni

prir

absorblir.0comnreles$itcl

i r.o

krz.

di'i s.c,clic

l]ri

dptrdirrtr.

Fd

$erili:

rurnillepl

l.r.nh/xri:

ru

ralrpoi i..L:

sc

r.rh7ea7i

r

i

n.(t:

'

prtxlu$

rsDirdsa0rannonul

seinrodrinh

oc|lnrlicri

jcnt,.

ingriji.ea p,cicrruld

dup.r rccotrrr.

.

sc

PaDsc.zi

lcli

unea:

sc

monnoizcaza

pad.nlul

tu

conrinuxrc.

Sc iac. conlbm protocoluhi.

5-8

Recolinrca srcr.tiilnr

.errico-vaginite penrru

crtrnrnc

dc

lrbohtor

i) Rccoltfter pmtru

eunenul

blctcriohgic

si

plrnz

dtogic

xl

secrctiitoryreirnlc

DupNrd

e agcn

n.rogni

crrc

t..du.

lnc.rii vtrtvolaginxle:

tiichomdra\

vegiialn.

C,ndida

albicms. .htrnidir,

hrc'nophit$. gardncftl]r.

atti

gcmeni

bara i.


26/28

ooM4\IE,PAPTEA

-

vrlvc

logimlc

icrilc

s{0

spccul

.clubnfiaG:

ldnpodnc

dd vati

nortlre

pe po'lranpon

lcnlei

-

r'iDer5

absorbantc

$cnl.:

lonc

dcnt.lccuhlc. ddgrcsaic, uscarei

-

nifusileunic,tblosinlii

n sc

Ac

irigxlit

vaginrlc c ccl

pdin 24h

inahtca

p$ccdnriii

-

nu sc

fol{isesr

owle sau

crcmcvagn.lc.tr

celpulin

2

ziLc nr.i

c:

nn sc.dni.i(reri

rDtamentcanriiDfcctioasc

c0 cclp[j.3

zilc inr]ntca prclcv:rrii:

-

nu

sc

ilcc

nr

c

lcv.

rc

daoi

criei

singcturc

vaginr

li

-

sc

xs.a2i

pacio

ri in

poz

ilie

g

hecologici

nc

m rsi:

sc monielu-n

vakclc

san spNtrfuLi

.

L',c..r.

'/d

.lc

n \, n' tr,po,

crc.u

.'

'"u

',

PinD

picl.vdre

se

tucc

din lnndul

dc sac {girdl

poici'1.

-

ljn)dusul

rccolrot

sc nrrindc

pc

l{nd imrun

srLr su\nc, se

rptica

o

pidtori

d.

\Nr

liTioloSic

ticvcflrmlo

pigatuii

dc

dlban.udecresyl,

pcac

hmi

sc

ptrnco

lhrti:

sc lrinrilc

imcdhtI

laboorori

A

dou.

prcl.ls

sc lacc

in rcehi

mod

iar

dqrt

inrinder.a

pc

tddi

sc lpttca

o

ti.llruri

J.

.r.i,.'DU4id.

J.\iJdepor..n'

1

00,,

' 'tci

Jnct.

Drcarezuh.tulnicncopic

N

csrc

concludcnr sc

ftcurgc

ta

insaninhrea,1.

I'c

nrdn dc

cuLuri

b)

Rccohrc

s.cretiilor

yNginrlc

pcnrr

examcnut

cirorrain.l

lrornonrt

E$c

un

(esr

colihriv

indm.r caft

tmnire

cvatuafta tunclici

ova oft pc

baza

,noditicrrito

hirologicc

sicirologicc

s,lerne

de

epitcliul v.gimlsub

irfiucnh bomoniloror.neni

Amcnorcc

palologici.

lulburiri

alc ciclului

muen'at,

'ncnonctorrgii.

stcitilarc.

intoriLiratc.

disrunctii

cndo.rine

cu

rcpcrcuriutri

asuprd aclivirdtii

orecnc.

(hiDotja,

rndjdd,

suDrarcnalil

:lia | tr.r

eLq iEq

{

r.,l.liL

tr.i

ia

t,rlo

m

.t.

..J,

"

in1r,rr,

'

tuiho;nom

Containdicarii:

tnL.di aclld

ri

lubocutc

g.nnrk

iMltc,

in|{nadi

cenicoldsiDllc

rot.ps

hmc c fltc

d.gcsrre,

uscatc:

-

ulvesauspc.nlvrglml:

ninusi

de

unica rnlosinti


27/28

MO\IIOAUL

OIILIAL

AL

POMA\IE

so

cvniconraciclc

scxurlc

ri

$rlitunh

vi'rale

cu

5

zi

lc

inaimc

de

nrccpcrc

prel

cv

a

ri

lor

ri pc parursul acestora:

csc x . izti rsupn

progmmului

de

recoharc:

h Lnrcilc

cu

liclul

olarian scun

(21-2,1

zilc)

prlcvrile

ircc in

zn'a

a 7

r

lr

inrcrlxl {lo 12

Tilc:

h

feDcilc cu

ciolul

de

28-32 zilc

sc rccoltcrzi

inccniind

cu

zilclc

R-l0ld

in(cnal

dc 2

nu sc

rccoltcozi

nr

clzdc sdngs

c

vaginali.

se recoltcat cu ansa dc Ia

n

ivelu I

lirndurilor

dc

src

vaginile

lnrenlc

siDostcriori

'

sc

r.ili/t-i

fRniurl

crre

r.

birnlx

aboraror

c)

Recoltrrea

secredto.rcnir0vrginrle

punh

cx.ndn

.itotumorrl

B.bclPNprnicol,o

l-,sc

utr rci conplcx

urilizdt

pcnrn

dcpisd$ l.ziun

ilor nccancero

se

i

a

cxncerelor

incipicnrc

.cflicalc

l. lnrilc

asinntrnaiic..

.

o dati pe rn la

fcmcilc

in

vaAri

de

pcstc

llt aflcarc u

&dvnxrc

sc\ulij

li lcmcilccatonuprczimilczirniccflicoraginalcviziblleplccunsi

hcelca

Lcziunlcdrc

clocii

n

proccs

in|androrsdu d1$6lic la

exameruL0liDic

sN.olposcopic.

.

sn.ruLd

de

lemn

^yE

(5e

eviri

spatulclc

d

mcr.l)

pcnru

pElcvarcx

vdsimti

i

0cic

uica. lridri.i

pctrr prclc\xrca

cndoc.nicrltl

-

ranpdn

d. \d, monrar pe un poflraDrpon

pcntu

rc.ok

ro

endoccNicntr:

lam.

dc r,cli ctr .it.mniri

asprc:

.

fi\alor.

rlcool .icrnr

propo4iicsalci

\ lve vagindlc

etr

spcdrl vatitul.

slc .rdrizrii

sr

nu

electueTe nici

o

mrncvrlt vaginali cL

72orc

inajnrm

cxanrcntrtui

(o.

Lch vaglana li. rplicalii

dc oa lc- crcnc vdgitulc)j

sccvilli

ponlrilcs.rurlccu

24orcnrainederccolhrci

.

nu

sc

eledueaz,

mncw obstdncxh cu

24ore nrainlc

(rtrscu

vaginal

coh.s..pie,

h'nponancntc vasin.lc

ctc

)i

.

pftlevarca

sc

liicc

nr dnm

incnstruatici. in

d)ra inlccrici locatcsi

dc

pref.rirE

nr

pdi .Ja

-

sccvidenliazicavitateauginali

prin

innoduccrc.

vllvulclorsau

specutului

notubrjfirrc

-

rccolhrci sc

lilcc

dc

{mrimtrltc trivdluri:

-

din fu'dul dc sac vaginaL;


28/28

MONITORUL

OFICI/tr AL ROMANIE

d.

f. .h'

c.r.".'ttr L'ii.dd

rnr

{,trct.

rs

t,

.pdrt.

^rtr

c..

r.,

o

dc

la

nivel

end;;cflicrl

urilizind

porix

citindricn

(hxi

or

romponut

oarc

xbsoarbc

se

tac

lxne

pcntru

flccarc

zoni

din

crre

$a

ctccrlai

recollaruri

intirdcrca

sccrcrid

pc

ldna

se

facc

paft

o

rriscar

siduoasi

ccLil.lr

fir;

a apis

pm

rarci

h drtEnilailc

lnmelor

sc

noicaza runcl.

nrciertei

prccum

si

lahele

sc

timii l, lih.r,r6r

a

sp.rnrLui.

dc l5

u

caPd la

tipul

pnlNtrii

(V-vrginati.

lntcrpret

cd

r.zurtatelor

Sc tilcc

dupi bai nulte

clasiti.hi

(llnpani.otaou.

tuchard,

Berhcsda).

fl.si|crcd

Papaoicolaou

inrpafrc

tiotinilc

in

5 clasc tn

functjc

dc

gsdut

dc

devicrc

moraologici

dc

la

ripnlnomal:

Cldsa

I

absci .

de

cclulc

morm.lc $tr

.riDicei

Clsa.ll-d

citol.eic

atipici dr firi evidc.ti

lenrru

motjgnn{rc:

Cl.sr

llla

ciLologic

slgd{lvi

darncctoncutjcnid pcnltu

natienirarci

CIJ,JrlVe

(

ulog'cnure

nic )uecq\r pcnrru

mi

n

rk

.hsJe

Vi . ro,,qe oorludm

Pcnh complehicx

info.nariior

sc

rdi

por reatiza:

tnriuL

ugiidl

(Lr

t n.i cu

hin.rc.hmr.

loiala

penrfl

displrrc

sau

corcindml

silmriul

\rhar

(Dcrtn,

tcznhi\uhar.

L7ib

t.,

shfd examene de laborator

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