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.

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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

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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 .....................................................................