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#1
22.03.2007, 19:00
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Ðîäîðàçðåøåíèå ïàöèåíòêè ñ òàçîáåäðåííûì ýíäîïðîòåçîì
Âåäó òàêóþ ïàöèåíòêó. Îïåðèðîâàëàñü ïÿòü ëåò íàçàä - òèòàíîâûé ýíäîïðîòåç ïðàâîãî òàçîáåäðåííîãî ñóñòàâà. Ñ ïðîòåçîì ïðîáëåì íåò, äàæå íå õðîìàåò. Îðòîïåä äàë çàêëþ÷åíèå, ÷òî ðîäû ÷åðåç åñòåñòâåííûå ðîäîâûå ïóòè íå ïðîòèâîïîêàçàíû. ß ïîêà åùå íå îïðåäåëèëàñü, ïîñêîëüêó èìåþ ïðè÷èíû îïàñàòüñÿ êðóïíîãî ïëîäà, ó ïàöèåíòêè ñàõàðíûé äèàáåò.  äàííûé ìîìåíò ñðîê 31 íåäåëÿ. Õîòåëîñü áû çíàòü èìååò ëè êòî îïûò ðîäîðàçðåøåíèÿ â ïîäîáíûõ ñèòóàöèÿõ.
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#2
22.03.2007, 20:32
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Öèòàòà:
Èëè çàêëþ÷åíèå âûçûâàåò ñîìíåíèÿ?
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#3
23.03.2007, 13:14
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Âîò èìåííî, ÷òî âûçûâàåò ñîìíåíèå... Îòâåòñòâåííîñòü òî íà ìíå. Îðòîïåä â ëþáîì ñëó÷àå êðàéíèé íå áóäåò. ß â è ëèòåðàòóðå, è â èíåòå èñêàëà. Ìîæåò ïëîõî èñêàëà, íî íè îäíîãî ïðèìåðà íå íàøëà. Çàòî áûë ó ìåíÿ ñëó÷àé - æåíùèíà, â àíàìíåçå ïåðåëîì êîñòåé òàçà ïîñëå àâòîàâàðèè. Àâàðèÿ çà 6 ëåò äî áåðåìåííîñòè. Ïîñëåäíèå ñíèìêè áåç ïðåòåíçèé, âñå èäåàëüíî. Òàê âîò òó äàìó, êàòåãîðè÷åñêè áûëî ðåøåíî îïåðèðîâàòü - ìíåíèå íàøåãî ÍÈÈ Ìàòåðèíñòâà è Äåòñòâà. Îíè è çàêëþ÷åíèÿ îðòîïåäà íå ïðîñèëè. À çäåñü ÿ îäíà è ïðîêîíñóëüòèðîâàòüñÿ íå ñ êåì.
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#4
23.03.2007, 14:14
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Àëèíà,
ÿ íàøëà âîò òàêóþ ñòàòüþ, ìîæåò áóäåò ïîëåçíîé [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] CONCLUSIONS: It appears that successful pregnancy and normal vaginal delivery can occur safely after total hip arthroplasty. The overall result, function, and radiographic appearance after the total hip arthroplasty was not adversely affected by pregnancy in this small group of patients. È åùå ñòàòüè: [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Abstract Female patients under 45 years of age (average, 32.5; range, 14–44) at the time of primary bipolar or total hip arthroplasty (THA) were surveyed an average 10.5 years (range, 1.7 to 20.3 years) after the index procedure. Most patients were satisfied with the pain relief and functional abilities. Of the 109 respondents (137 hips), 37 (34%) had undergone 50 additional hip procedures. Thirteen women (12%) had 19 children at an average of 3 years after hip arthroplasty. Seven women had 1 child each; 6 had 2 children; and 1 had dizygotic twins. Eleven infants were delivered vaginally and 8 by cesarean section (5 planned, 3 unplanned). Two pregnancies were considered high risk unrelated to the hip arthroplasty. Pregnancy-related complications for these patients did not differ from those in the general population.
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#6
23.03.2007, 16:11
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Öèòàòà:
ó òåáÿ åñòü çàêëþ÷åíèå îðòîïåäà - óæå íå ïëîõî... îôô òîï:ñëó÷àéíî íå çíàêîìà ñ ðóññêîÿçû÷íûì Ôóàäîì Ôàðåõ àëü Þñóôîì èç ã.Òàèç?.. ãîäà äâà íàçàä îí çàùèòèë êàíäèäàòñêóþ äèññåðòàöèþ â Îðåíáóðãå...
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#7
23.03.2007, 17:20
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Íó ïîíÿòíî, ÷òî òàçîáåäðåííûé ñóñòàâ íåïîñðåäñòâåííî íå îòíîñèòñÿ ê ñîñòàâëÿþùèì ðîäîâîãî êàíàëà, íî îí æå íå ñàì ïî ñåáå. Òî íàïðÿæåíèå, äàâëåíèå, êîòîðîå áóäåò èñïûòûâàòüñÿ êîñòÿìè òàçà íå ìîæåò íå îêàçûâàòü íà íåãî âëèÿíèå. È åùå íåìàëîâàæíîå çíà÷åíèå èìååò ìàêñèìàëüíîå ðàçâåäåíèå íîã âî âòîðîì ïåðèîäå. À åùå è óïîð î ñïåöèàëüíûå ïîäñòàâêè. Òàê ÷òî íàãðóçêà áóäåò ñîâñåì íå ìàëåíüêàÿ.
×òî êàñàåòñÿ äèàáåòà - èíñóëèíçàâèñèìûé, êîìïåíñèðóåòñÿ äâóêðàòíûì ââåäåíèåì êîìáèíèðîâàííîãî èíñóëèíà, äëèòåëüíîñòü çàáîëåâàíèÿ îêîëî 4 ëåò. Íàñ÷åò ÓÇÈ... Êàê áû ýòî ïîìÿã÷å ñêàçàòü. Òóò óðîâåíü òàêîé, ÷òî î êàêèõ-òî òîíêîñòÿõ ãîâîðèòü ñìûñëà íåò. Íî íà äàííûé ìîìåíò ïàðàìåòðû ðåáåíêà ñîîòâåòñòâóþò àêóøåðñêîìó ñðîêó. Ñ Ôóàäîì Ôàðåõ àëü Þñóôîì ÿ, ê ñîæàëåíüþ íå çíàêîìà. ß ðàáîòàþ â Ñàíà è â Òàéçå áûâàëà òîëüêî ïðîåçäîì. Òóò íà ôîðóìå ÿ âèäåëà åñòü åùå äîêòîð èç Éåìåíà, íèê kovil, õîòåëîñü áû ïîîáùàòüñÿ.
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#8
23.03.2007, 21:13
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Öèòàòà:
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#9
25.03.2007, 11:33
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Öèòàòà:
õîòÿ äóìàþ ïðè õîäüáå/áåãå/ñåêñå íàãðóçêè íå ìåíüøå... Öèòàòà:
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