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T.C

MLL ETM BAKANLII

HAYVAN YETTRCL VE SALII

ALANI

DOUMA YARDIM

Ankara, 2017

Bu materyal, mesleki ve teknik eitim okul / kurumlarnda uygulanan ereve retim Programlarnda yer alan yeterlikleri kazandrmaya ynelik olarak

rencilere rehberlik etmek amacyla hazrlanm bireysel renme

materyalidir.

Mill Eitim Bakanlnca cretsiz olarak verilmitir.

PARA LE SATILMAZ.

ii

AIKLAMALAR ................................................................................................................... iv GR ....................................................................................................................................... 1 RENME FAALYET1 .................................................................................................... 2 1. DOUMA HAZIRLIK ........................................................................................................ 2

1.1. Doumda Kullanlan Ara Gereler.............................................................................. 2 1.1.1. Fts ekmede Kullanlan Ara Gereler ........................................................... 3 1.1.2. Fts tme ve Dndrmede Kullanlan Ara Gereler ........................................ 6 1.1.3. Kayganlatrclar ................................................................................................... 7 1.1.4. Ftsn Kesilerek karlmasnda (Ftotomi) Kullanlan Ara Gereler ............. 8

1.2. Doumda Kullanlan Antiseptikler ............................................................................... 9 1.3. Douma Hazrlk ........................................................................................................... 9

1.3.1. Hayvann Douma Hazrlanmas ........................................................................... 9 1.3.2. Doumda Kullanlan Ara Gerecin Hazrlanmas ............................................... 10 1.3.3. Doum ncesi Kiisel Hazrlk ........................................................................... 10

UYGULAMA FAALYET ............................................................................................. 11 LME VE DEERLENDRME .................................................................................... 12

RENME FAALYET2 .................................................................................................. 13 2. DOUM KANALININ KONTROL............................................................................... 13

2.1. Gebelikle lgili Tanmlar ............................................................................................. 13 2.1.1. Zigot..................................................................................................................... 14 2.1.2. Embriyo ............................................................................................................... 14 2.1.3. mplantasyon ....................................................................................................... 14 2.1.4. Plasenta ................................................................................................................ 14 2.1.5. Fts .................................................................................................................... 15

2.2. Gebelik Sresini Etkiyen Faktrler ............................................................................. 15 2.3. Doumla lgili Tanmlar ............................................................................................. 15 2.4. Doum ncesi Deiiklikler ve Doumun Balamas ................................................ 16 2.5. Douma Mdahale ncesi Muayene .......................................................................... 17

2.5.1. Douma Mdahale ncesi Anamnez .................................................................. 18 2.5.2. Douma Mdahale ncesi Genel Muayene ........................................................ 18 2.5.3. Doum Kanalnn Kontrol ................................................................................. 19 2.5.4. Fetusun Kontrol ................................................................................................. 21 2.5.5. Rektal Muayene ................................................................................................... 22

2.6. Doumda Kullanlan Klinik Hormonlar ..................................................................... 22 2.6.1. Oksitosin .............................................................................................................. 22 2.6.2. Progestagenler ..................................................................................................... 22 2.6.3. stragenler ........................................................................................................... 23 2.6.4. PGF2 ................................................................................................................... 23 2.6.5. Glukokortikoidler ................................................................................................ 23

UYGULAMA FAALYET .............................................................................................. 24 LME VE DEERLENDRME .................................................................................... 25

RENME FAALYET3 .................................................................................................. 27 3. DOUMUN SONLANDIRILMASI ................................................................................. 27

3.1. Geli ve Vaziyetler ...................................................................................................... 28

NDEKLER

iii

3.1.1. Yavrunun Geli ekilleri ..................................................................................... 28 3.1.2. Yavrunun Vaziyet ekilleri ................................................................................. 29 3.1.3. Yavrunun Ters Geli ve Duru ekilleri .............................................................. 30

3.2. Evcil Hayvanlarda Doum .......................................................................................... 33 3.2.1. nekte Doum ...................................................................................................... 33 3.2.2. Ksrakta Doum ................................................................................................... 35 3.2.3. Koyun ve Keide Doum .................................................................................... 37 3.2.4. Kpek ve Kedide Doum .................................................................................... 38

3.3. Yardm Giriimleri ...................................................................................................... 40 3.3.1. Yer deitirme (Mutasyon) .................................................................................. 40 3.3.2. Zorla ekip karma (Extraction force) .............................................................. 48 3.3.3. Ftotomi ............................................................................................................... 49 3.3.4. Operasyon Sezaryen ............................................................................................ 50

UYGULAMA FAALYET .............................................................................................. 52 LME VE DEERLENDRME .................................................................................... 53

RENME FAALYET4 .................................................................................................. 55 4. DOUM SONRASI LEMLER ...................................................................................... 55

4.1. Doum Sonras Yavruya Yaplacak lemler .............................................................. 55 4.1.1. Yeni Doanlarda Yaamsal Fonksiyonlarn Salanmas ..................................... 56 4.1.2. Yavrunun Gbek Kordonu Bakm ...................................................................... 58 4.1.3. Yavruya Az St (Kolostrum) Verilmesi ......................................................... 58 4.1.4. Yavrunun Bireysel Kulbelere Alnmas ............................................................. 60 4.1.5. Yavrunun Kayt Altna Alnmas ......................................................................... 60

4.2. Doum Sonras Anneye Yaplacak lemler ............................................................... 61 4.3. Puerperal Dnem......................................................................................................... 63 4.4. Puerperal Dnem Hastalklar ..................................................................................... 65

4.4.1. Uterusun subinvolusyonu .................................................................................... 65 4.4.2. Doum Sonras Kanamalar .................................................................................. 65 4.4.3. Doum Kanal ve Bitiik Dokularn Kontzyon ve Yrtklar ............................. 65 4.4.4. Uterus Enfeksiyonlar .......................................................................................... 67

4.5. Laktasyon Dmemi ..................................................................................................... 67 4.6. Yavru Atma (Abortus) ................................................................................................ 68

4.6.1. Enfeksiyz Olmayan Yavru Atmalar ................................................................... 68 4.6.2. Enfeksiyz Yavru Atmalar .................................................................................. 69

DEERLER ETKNL .................................................................................................. 71 UYGULAMA FAALYET .....................................................................