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DUCOM ๐Ÿค๐Ÿ

DUCOM ๐Ÿค๐Ÿ

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https://t.me/joinchat/T7edZE4Q6KSksRLl (ุจูุดุฑูŽู‰ ุฌูŽุงุณู…) ุชูŠู„ ุจุฎุตูˆุต ุงู„ุงู…ูˆุฑ ุงู„ุฏุฑุงุณูŠุฉ ๐Ÿ‘‡ http://tellonym.me/4yducom ุจูˆุช ุงู„ู…ู„ุงุฒู… ู…ุฑุญู„ุฉ ุงูˆู„ู‰ ๐Ÿ’™๐Ÿ“„ @DUCOM321bot ุจูˆุช ู…ู„ุงุฒู… ุงู„ู…ุฑุญู„ุฉ ุงู„ุซุงู„ุซุฉ ๐Ÿ‘‡ @LOHDbot

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ูˆูุฒูŽุงุฑููŠู‘10
ุนูŽู…ูŽู„ููŠู‘9
ุฌูุฑูŽุงุญูŽุฉ7
ูููƒุฑูŽุฉ6
ู…ูŽุฑุญูŽู„ูŽุฉ5
ุงูŽู„ู‡ู‘ูฐู‡4
ุณูุคูŽุงู„4
ุดูุบู„ูŽุฉ4
ุงุทูุงู„3
ุฏูŽุฑูŽุฌูŽุฉ3
ุณูŽุนูŠ3
ุทูุจู‘3
ุทููู„3
ุนูŽู‚ู„3
ููŽูƒูŽุฑูŽุฉ3
ู…ูŽุงุฏูŽู‘ุฉ3
ู…ูุญูŽุงุถูุฑูŽุฉ3
ู…ูุนูŽุฏูŽู‘ู„3
ู†ูŽุตููŠุจ3
ูˆูŽุญุฏูŽุฉ3
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Channel Posts
DUCOM ๐Ÿค๐Ÿ
ุงุฎูˆุงู† ุงู„ู„ู‡ ูŠุณุงุนุฏูƒู… ูˆูŠู†ุตุฑูƒู… ูˆูŠูˆูู‚ูƒู… ๐Ÿค๐Ÿค ูƒู„ ุงู„ุชูˆููŠู‚ ูŠุง ุฑุจ ูˆุงู† ุดุงุกุงู„ู„ู‡ ุงู…ุชุญุงู† ุณู‡ู„ ุฑุงุฌุนูˆุง ุงู„ contraception ุงู„ุจุงุฑุญุฉ ู…ุง ุฌุงุจูˆุง ู…ู†ู‡ุง ู( ูŠุฌูˆุฒ) ุงู„ูŠูˆู… ูŠุฌูŠุจูˆู† ุงู„ูƒู… ุณูˆุงุก ูŠุนุชุจุฑูˆู‡ุง ู…ุญุทุฉ ุนู„ุงุฌ ุงูˆ ุงุฏูˆุงุช Mirena IUD ูˆุบูŠุฑู‡ู† ุงู„ุจู‚ูŠุฉ ูˆุงู„ู„ู‡ ูŠูˆูู‚ูƒู… ูŠุง ุฑุจ ูˆุงู† ุดุงุก ุงู„ู„ู‡ ูŠูƒูˆู† ุงู…ุชุญุงู† ุณู‡ู„๐Ÿค

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Determine GA ุจุดูƒู„ ู…ุฎุชุตุฑ ูƒู„ุด Early pregnancy CRL (Crownโ€“Rump Length) Used up to 13 weeks + 6 days Mid pregnancy HC (Head Circu+1
Determine GA ุจุดูƒู„ ู…ุฎุชุตุฑ ูƒู„ุด Early pregnancy CRL (Crownโ€“Rump Length) Used up to 13 weeks + 6 days Mid pregnancy HC (Head Circumference) Used from 14โ€“20 weeks BPD (Biparietal Diameter) FL (Femur Length) GA accuracy: ยฑ 7 days Late pregnancy (growth assessment) AC (Abdominal Circumference) HC (Head Circumference) Used to assess fetal growth & size Important for diagnosis of Fetal Growth Restriction (FGR)
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US / Twin
US / Twin
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ุงุฐุง ุฌุงุจูˆู‡ ๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ’” ู‡ุฐุง US ูˆู…ุฃุดุฑูŠู† ุนู„ูŠู‡ YS GS
ุงุฐุง ุฌุงุจูˆู‡ ๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚๐Ÿ’” ู‡ุฐุง US ูˆู…ุฃุดุฑูŠู† ุนู„ูŠู‡ YS GS
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ู‡ุง ู‡ูŠ ุงุชูˆู‚ุน ุงุชูˆู‚ุน ุงุบู„ุจ ุงู„ุงููƒุงุฑ ุฐูƒุฑู†ุงู‡ุง ู‡ุณุฉ ุชุงู„ูŠ ูŠุฌูŠุจูˆู„ูƒู… ุตูˆุฑุฉ ุณูˆู†ุงุฑ๐Ÿ™‚
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ู‡ู†ุง ุฐูƒุฑู†ุงู‡ุง
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ุนุฏู„ุช
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ู‡ุณุฉ ู‡ุฐุง ู…ู† ุงู„ู…ุญุงุถุฑุฉ ูŠุนุชุจุฑ ุจูˆุฒุชู ู„ูŠุด ู„ุงู† ุงูƒูˆ Late Decelerations ู„ูˆ ุชู†ุชุจู‡ูˆู† ุงู„ Decelerations ูƒุงุนุฏ ุชุจุฏุฃ ูˆุฑุง ู…ุง ุชู†ุชู‡ูŠ ุงู„uterine c
ู‡ุณุฉ ู‡ุฐุง ู…ู† ุงู„ู…ุญุงุถุฑุฉ ูŠุนุชุจุฑ ุจูˆุฒุชู ู„ูŠุด ู„ุงู† ุงูƒูˆ Late Decelerations ู„ูˆ ุชู†ุชุจู‡ูˆู† ุงู„ Decelerations ูƒุงุนุฏ ุชุจุฏุฃ ูˆุฑุง ู…ุง ุชู†ุชู‡ูŠ ุงู„uterine contraction ูˆูƒู„ู†ุง ู†ุณู…ูŠู‡ุง late decelerations ูˆู‡ุงู„ุดูŠ ุฎุทุฑ ูˆุฐูƒุฑู†ุง ููˆูƒ ุงู‡ู… ุงุณุจุงุจุงู‡ุง cord prolapse
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ุดูˆูƒุช ู†ูƒูˆู„ ุนู† CST ู†ูƒู†ู ุงูˆ ุจูˆุฒุชู Negative CST = 3 good contractions lasting 40 seconds in 10 minute interval with no late decelerations ูˆู‡ุฐุง ู…ุนู†ุงู‡ุง ุงู„ู…ุดูŠู…ุฉ ุณู„ูŠู…ุฉ Positive โ€“ persistent late decelerations with more than 50% of the contractions ู‡ู†ุง ุงู„ูˆุถุน ู…ุนู†ุงู‡ุง ุฎุทุฑ
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ุงู„ Contraction stress test ู†ูุณ ู…ุจุฏุฃ ุงู„ CTG ุจุณ ุงู„ููƒุฑุฉ ุงูƒูˆ Stimulation for Contraction ( stress) ุจุงู„ุบุงู„ุจ ูŠุณุชุฎุฏู…ูˆู† Oxytocin ุดู†ูˆ
ุงู„ Contraction stress test ู†ูุณ ู…ุจุฏุฃ ุงู„ CTG ุจุณ ุงู„ููƒุฑุฉ ุงูƒูˆ Stimulation for Contraction ( stress) ุจุงู„ุบุงู„ุจ ูŠุณุชุฎุฏู…ูˆู† Oxytocin ุดู†ูˆ ุงู„ุบุฑุถ ู…ู† ุงู„ CST ุŸ ุญุชู‰ ุงุนุฑู ุงู„ู…ุดูŠู…ุฉ ู‚ูˆูŠุฉ ูˆุชูƒููŠ ุงู„ุฌู†ูŠู† ุจุงู„ุฃูˆูƒุณุฌูŠู† ูˆู‚ุช ุงู„ุงู†ู‚ุจุงุถุงุช (contractions) ู„ูˆ ู„ุงุŸ ูˆู‡ุกุง ูƒู„ุงู… ุงู„ู…ุญุงุถุฑุฉ Evaluates the Respiratory function of the placenta Does it get O2 to the baby? Test to check if the placenta has the reserves needed during contractions ู‡ุฐุง ูƒู„ุงู… ุงู„ู…ุญุงุถุฑุฉ
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Non stress test ุชุฑุง ู‡ูˆ ู†ูุณ ุงู„ CTG ุจุณ ู…ุงูƒูˆ Uterin contraction ุงู†ู…ุง ุงู„ุฌุฒุก ุงู„ุณูู„ูŠ ู‡ูˆ ูŠู‚ูŠุณ fetal movements ุงู„ูŠ ุงุดุฑุชู‡ ุจุงู„ุงุฎุถุฑ ูˆุงู„ุฌ
Non stress test ุชุฑุง ู‡ูˆ ู†ูุณ ุงู„ CTG ุจุณ ู…ุงูƒูˆ Uterin contraction ุงู†ู…ุง ุงู„ุฌุฒุก ุงู„ุณูู„ูŠ ู‡ูˆ ูŠู‚ูŠุณ fetal movements ุงู„ูŠ ุงุดุฑุชู‡ ุจุงู„ุงุฎุถุฑ ูˆุงู„ุฌุฒุก ุงู„ููˆูƒ ู‡ูˆ ูŠุจู‚ู‰ FHR ุงู„ูŠ ุงุดุฑุชู‡ ุจุงู„ุงุญู…ุฑ Records: FHR response to fetal movements only No external stress is applied Used in antepartum period Patients in left lateral position ูˆูˆู‡ุณุฉ ุจู‡ุงูŠ ุงู„ุตูˆุฑุฉ ุงูƒูˆ Accelerations ู†ูุณ ู…ุง ูˆุถุญู†ุง ููˆูƒ ุนู†ู‡ุง
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Fetal movement counts : 1_ Cardiff Technique Done in the morning Mother records the time needed to feel 10 fetal movements Normal: 10 movements within 12 hours 2) Sadovsky Technique After a meal, the mother lies down for 1 hour Focuses on fetal movements Normal: โ‰ฅ 4 movements per hour If <4 movements โ†’ repeat for another hour If still <4 after 2 hours โ†’ needs fetal monitoring _Factors affecting perceived fetal movements 1_ Maternal factors Maternal activity Obesity Drugs( sedatives)( cocaine) 2_Fetal factors Behavioral state (sleepโ€“wake cycles) Gestational age Congenital anomalies ( neuromuscular disorders) 3_ Uterine factors Placental location Amniotic fluid volumes
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Ultrasound schedule __10โ€“14 weeks (Booking scan) Determine (GA) Detect multiple pregnancy Nuchal translucency (NT) for Downโ€™s syndrome screening __18โ€“21 weeks (Anomaly scan): Detect structural fetal abnormalities Plan antenatal care and delivery (ยฑ intrauterine therapy) Uncomplicated pregnancy: No extra scans unless there is a clinical indication ( poor fetal growth or reduced wellbein) Complicated pregnancy: Additional scans are done
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ู…ู† ู…ุญุงุถุฑุฉ ุงู„ูƒู„ูŠุฉ ***
ู…ู† ู…ุญุงุถุฑุฉ ุงู„ูƒู„ูŠุฉ ***
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ู…ู…ูƒู† ูŠุณุฃู„ูˆู† ุนู†ู‡
ู…ู…ูƒู† ูŠุณุฃู„ูˆู† ุนู†ู‡
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Diagnosis and confirmation of viability in early pregnancy . GS visualized at (4-5). Yolk sac ( 5wk), Embryo ( 5-6 ). FH (6 wk).
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Ultrasound a safe, non-invasive, and accurate imaging technique used in pregnancy to assess the fetus, placenta, and uterus Main Uses:: _Dating of pregnancy (gestational age) _Assessment of fetal growth _Detection of congenital anomalies _Detection of multiple pregnancy _Placental localization _Assessment of amniotic fluid volume _Measurement of cervical length (preterm risk) _Evaluation of fetal kidneys and urinary tract ูƒู… ู†ู‚ุทุฉ ุงุญูุธูˆุง
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ุซู„ุซ ุณุงุนุฉ ู…ู„ุฎุต ุนู† ุงู„US
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ุจู‡ุฐุง ุงู„ูุงูŠู„ ุงูƒูˆ ูƒูŠุณุงุช ุชููŠุฏูƒู… ุจุณ ุงุฎุชุจุฑูˆุง ู†ูุณูƒู… ๐Ÿค
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ู‡ุงูŠ ุงุบู„ุจ ุงููƒุงุฑ CTG ู…ุง ุงูƒูˆู„ ุดุฑุญ ูƒุงููŠ ุงูˆ ุดุงู…ู„ ู„ุง ุงุจุฏ ุดูŠ ูƒู„ุด ุจุณูŠุท ุนู†ู‡ ุจุณ ุน ุงู„ุงู‚ู„ ุงุฐุง ุฌุงุจูˆุง ู…ุญุทุฉ ุนู†ู‡ ูˆุจูŠู‡ุง ุงุฑุจุน ุงุณุฆู„ุฉ ู…ู…ูƒู† ุณุคุงู„ูŠู† ู…ู†ู‡ุง ุชุฌุงูˆุจูˆู‡ู† ุน ู‡ุงู„ุชูˆุถูŠุญ ุงู„ุจุณูŠุท
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