01_EFI icindekiler_orj.qxd

Deomed Medikal Yay›nc›l›k
M. Alufl Tokat
Gebelikte ve Do¤um Eyleminde Elektronik Fetal ‹zlem
Kavramlar - Tan›mlar - Örnekler
16.5 x 24 cm, VIII + 78 Sayfa
ISBN 978-975-8882-51-9
Birinci bask› © Deomed, 2013.
‹çindekiler
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Maternal-Fetal Fizyoloji ............................................................................................ 1
Nam›k Demir, Hülya Okumufl
1.1
1.2
1.3
1.4
1.5
1.6
1.7
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Fetal Metabolizma ve Enerji Sa¤lanmas› .................................................................................... 1
Hipoksi ve Fetal Uyum Mekanizmalar›........................................................................................ 2
Plasental Dolafl›m ...................................................................................................................... 3
Umbilikal Kordun Yap›s› ve Fetal Kalp At›mlar›na Etkisi .............................................................. 7
Santral Sinir Sistemin Yap›s› ve Fetal Kalp At›mlar›na Etkisi ........................................................ 8
‹ntrauterin Hipoksinin Biyokimyasal Göstergeleri ........................................................................ 11
Özet .......................................................................................................................................... 15
Elektronik Fetal ‹zlemde Teknik Donan›m ............................................................ 17
Merlinda Alufl Tokat
2.1 / D›fl Elektronik Fetal Monitörizasyonun Teknik Ekipman› ............................................................ 17
2.2 / ‹ç Elektronik Fetal Monitörizasyonun Teknik Ekipman› .............................................................. 20
2.3 / Özet .......................................................................................................................................... 21
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Fetal Kalp Örüntülerinin Yorumlanmas›nda Kullan›lan
Temel Kavramlar ve Tan›mlar .................................................................................. 23
Nam›k Demir, Merlinda Alufl Tokat
3.1 /
3.2 /
3.3 /
3.4 /
3.5 /
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Bazal Fetal Kalp At›m H›z›..........................................................................................................
Variaiblite (Bazal Kalp At›m H›z› De¤iflkenli¤i) ............................................................................
Akselerasyon ............................................................................................................................
Deselerasyon ............................................................................................................................
Özet ..........................................................................................................................................
23
25
29
29
35
Gebelikte (Antepartum) Elektronik Fetal ‹zlem .................................................. 37
Merlinda Alufl Tokat
4.1 / Nonstress Test (NST).................................................................................................................. 37
4.2 / Nonstress Testin De¤erlendirilmesi ............................................................................................ 39
VIII
4.3 / Nonstress Test Sonucunu Etkileyen Faktörler ............................................................................
4.4. Antepartum Elektronik Fetal ‹zlemde (NST) Hemflire/Ebenin Sorumluluklar›..................................
4.5 / Antepartum Fetal ‹yilik Halini De¤erlendirmede Kullan›lan Di¤er Tetkikler ................................
4.6 / Özet ..........................................................................................................................................
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42
44
45
49
Gebelikte (Antepartum) Elektronik Fetal ‹zlem Vaka Örnekleri .................... 51
Merlinda Alufl Tokat
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Do¤um Eyleminde (‹ntrapartum) Elektronik Fetal
‹zlem ve Klinik Giriflimler.......................................................................................... 57
Hülya Okumufl, Merlinda Alufl Tokat
6.1 / Elektornik Fetal ‹zlem Sonuçlar›n›n De¤erlendirilmesi ................................................................ 57
6.2 / ‹ntrapartum Elektronik Fetal ‹zlemde Klinik Giriflimler ................................................................ 58
6.3 / Özet .......................................................................................................................................... 62
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Do¤um Eyleminde (‹ntrapartum) Elektronik
Fetal ‹zlem Vaka Örnekleri ...................................................................................... 65
Nam›k Demir, Merlinda Alufl Tokat
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Do¤um Eyleminde (‹ntrapartum) Elektronik Fetal
‹zlem ve Klinik Giriflimler.......................................................................................... 75
Merlinda Alufl Tokat
8.1 / Antepartum ve ‹ntrapartum ‹zlemde Algoritmalar...................................................................... 75
8.2 / ‹ntrapartum Fetal Izlemde Algoritmalar...................................................................................... 75