npol|eaypa 3a aha/im3y ypmha - … · 3a ahanm3y ypmha noct0jm ctahaapaha npoueaypa ha ochobhom...

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...+ - r onuiTa6ol"FTHa :a i neTpOBau Ha MiiaBM -_ - ©/.- lqfir &fl '1 i) 2!fJJ-Top,. onunTA BOJiHMUA riETpoBAu HA REjiABM REopaBci{a 6p. 2,12 300 rieTpoBau FTa MnaBM, Cp6Mja Tefl: 012/327-986, ®ax: 012/327-986 e-MaMfl: [email protected] FTMB: 108349629 Ma"u" 6poj: 17862855 npoL|EAypA 3A AHA/iM3y ypMHA LiMho npoLiEAypE uMth npoLieAype 3a aHanM3y ypMHa je Aa Ae®M"ue nopuec npMjeMa, npMnpeMy M o6paAy y3opl(a ypMHa. rlopen 9"ca paAa npoueAypa Ae®M"ue M o6nacT M MecTo npMMeHe Kao M AOAeny oAro- BoPHoc" 3a M3Bot)elbe aHanM3a. AE®MHMLJMJA oBa npoueAypa I.e nMcaHM AOKyMeHT KojMM ce AeTathHo yTBpbyje HaiiMH Ha KojM ce AeTathHo npMCTyna M3paAM aHanM3e ypMHa. oB/iACT M/" MECTo npMMEHE OBa npoAeL+ypa ce npMMeibyje Ha oAethetby /ia6opaTopMjci(e AMjarHOC"Ke Ha PaAHOM Mecry ``ypMHM-¢euec''. HaMeibeHa je 3anocneHOM ;ia6opaTopMjcKOM TexHMilapy Ca paAHMM pacnopeAOM Ha HaBeAeMo paAHOM MecTy. Ca npoueAypoM cy yno3Ha" CBM 3anocne" Ha oAeJbeiby na6opaTopMj-CKe AMjarHoc"Ke. AOAEJIA 04roBopHocTM 3a npMMeHy oBor ynyTCTBa oAroBopHM cy CBM paAHMUM y ony>i(6M na6opaTOpMjclte AMjarHOC"Ke, a noce6Ho paAHMUM Ha PaAHOM MecTy ``ypM"-a)euec". 3a KOHTPony npoueca npoueAype oAroBOpaH je HaiienHMK OAetheH]a 3a na60paTopMjcny AMjarHoC"Ky. CAAP>l{AJ n poL|EAypE npMnpeMa ce caTojM y TOMe Aa Hajnpe nauMjeHry Tpe6a 06jacHM" Aa Ce ypMH AOHOCM y n/iac"iiHoj cTepMnHoj 6ouM 3a jeAHOKpaTHy ynoTpe6y M To cpeArbM Miia3 IipBor jyTapiber ypMHa. npMjeM peAOBHMx ypMHa BpuM ce y BpeMeHy o7:oo-og:oo |IacoBa, AOK ce npMjeM xMTHMx ypMHa BPLLm 24 HacoBa AHeBHo. 1

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...+ -r onuiTa6ol"FTHa :a

i

neTpOBau Ha MiiaBM

-_ - ©/.- lqfir

&fl '1 i) 2!fJJ-Top,.

onunTA BOJiHMUA riETpoBAu HA REjiABM

REopaBci{a 6p. 2,12 300 rieTpoBau FTa MnaBM, Cp6Mja

Tefl: 012/327-986, ®ax: 012/327-986

e-MaMfl: [email protected]

FTMB: 108349629

Ma"u" 6poj: 17862855

npoL|EAypA 3A AHA/iM3y ypMHALiMho npoLiEAypE

uMth npoLieAype 3a aHanM3y ypMHa je Aa Ae®M"ue nopuec npMjeMa, npMnpeMy M o6paAy y3opl(a

ypMHa. rlopen 9"ca paAa npoueAypa Ae®M"ue M o6nacT M MecTo npMMeHe Kao M AOAeny oAro-BoPHoc" 3a M3Bot)elbe aHanM3a.

AE®MHMLJMJA

oBa npoueAypa I.e nMcaHM AOKyMeHT KojMM ce AeTathHo yTBpbyje HaiiMH Ha KojM ce AeTathHo

npMCTyna M3paAM aHanM3e ypMHa.

oB/iACT M/" MECTo npMMEHE

OBa npoAeL+ypa ce npMMeibyje Ha oAethetby /ia6opaTopMjci(e AMjarHOC"Ke Ha PaAHOM Mecry``ypMHM-¢euec''. HaMeibeHa je 3anocneHOM ;ia6opaTopMjcKOM TexHMilapy Ca paAHMM pacnopeAOM

Ha HaBeAeMo paAHOM MecTy. Ca npoueAypoM cy yno3Ha" CBM 3anocne" Ha oAeJbeiby

na6opaTopMj-CKe AMjarHoc"Ke.

AOAEJIA 04roBopHocTM

3a npMMeHy oBor ynyTCTBa oAroBopHM cy CBM paAHMUM y ony>i(6M na6opaTOpMjclte AMjarHOC"Ke, a

noce6Ho paAHMUM Ha PaAHOM MecTy ``ypM"-a)euec". 3a KOHTPony npoueca npoueAype oAroBOpaH

je HaiienHMK OAetheH]a 3a na60paTopMjcny AMjarHoC"Ky.

CAAP>l{AJ n poL|EAypE

npMnpeMa ce caTojM y TOMe Aa Hajnpe nauMjeHry Tpe6a 06jacHM" Aa Ce ypMH AOHOCM y

n/iac"iiHoj cTepMnHoj 6ouM 3a jeAHOKpaTHy ynoTpe6y M To cpeArbM Miia3 IipBor jyTapiber ypMHa.

npMjeM peAOBHMx ypMHa BpuM ce y BpeMeHy o7:oo-og:oo |IacoBa, AOK ce npMjeM xMTHMx ypMHa

BPLLm 24 HacoBa AHeBHo.

1

3a aHanM3y ypMHa nocT0jM cTaHAapAHa npoueAypa Ha OCHOBHOM HMBoy, Kojoj ce npMCTyna y

MOMeHry KaAa nauMjeHT ca ynyTOM opAM"pajyfier neKapa Hot)e y na6opaTopMjy. nauMjeHT ce

y"Cyje y J"C, AOAethyje My ce AHeB" 6poj M oAroBapajyf`a 6ap Kou HanenHMua. HaKOH ToranauMjeHT AOHOcM y3opaK ypMHa y npMjeMHy Co6y rae ra opAM"pajyfM Jia6opaTopMjcKM TexHMilap

Ha paAHOM MecTy ``npMjeM MaTepMjana" o6eJiexaBa nenfoeibeM oAroBapajyfle 6ap Ken HanenHML|e

Ha 6o"uy y Kojoj je ypMH. KaA Ce cKy" AOBothaH 6poj yTopaKa ypMHa npcTyna ce aHanM3M

ypMHa.

na6opaTopMjcKM TexHMilap KojM je Ha paAHOM MecTy ``ypM"-a)euec" Hajnpe Apet)yje 6ojy M M3rJlen

ypMHa M y"cyje pe3yjiTaT y oAroBapajyfM ejieKTopHCKM Haflor nauMjeHTa. 3aTMM ce npMCTynaoApet)MBalby xeMMjcKor nperJieAa ypMHa Ha ypMH-aHarM3aTopy TMna DIRUI H-500 KojM je noBe3aH

Ha J"C, noMofiy TecT Tpal(a ca 11 IiapaMeTapa, TOM npMnMKOM ce oApebyje:

1. pH BpeAHocT2. cneuM¢Miia TexMHa ypMHa3. npoTeM"4. myKo3a5. KeTOHM

6. HMTPM"7. 6M"Py6MH8. ypo6MJ"poreH9. neyKouM"10. epMTpoLtM" (xeMomo6MH)11.acKop6MHCKa KMceiiMHa

nocTynai{ papa DIRUI H-500 je oneAehM:

1. noMohy 6ap KOA ilMTaiia cKeHMpa" 6ap Ken HaJienHMue Koje ey 3anenfoeHe Ha ypMHCKe

60"ue Koje oAroBapajy nauMjeH"Ma iMjM cy ypMHM.

2. ypo"" TecT TpaKy y cBex y3opaK ypMHa M 6oiiHo M3BaAM" y3 3MA 6oiMue, OueAM" HalianMPHy Bary 4a 6M yKonHMnM BMLLlaK ypMHa

3. nocTaBM" TecT TpaKy Ha paAHy nnolly

4. KaAa aHaj"3aTop AeTeKTyje npMcycTBo TecT TpaKe, noTMCKMBau f`e norypa" TecT TpaKy y

4eo 3a aHanM3Mpait>e

5. no noBpaTKy noTMCKMBaila y cTapTHy no3MUMjy cTaBJba ce HOBa TecT TpaKa no peAoCJleAy

rlo KojeM cy 6ap KOA HaJlerlHMue cKeHMpaHe.

KaA anapaT 3aBPLi]M aHaJ"3y onroBapajyf`er y3opKa ypMHa, anapaT LUTaMna pe3y/iTaT M

ayTOMaTCKM npe6auMje Ha eneKTpoHCKM Hajior naHMjeHTa.

npMcryna ce ueHTPM¢y"paHby 6 MMHyTa Ha 3ooo 06pTaja y MMHyry.

2

/:0 3aBpliieHOM ueHTPM®y"parby HajBefM Aeo eynepHaTaHTa (6MCTpe TeilHOc") McueHTPM®y"-aHe MOKpafie ce oAJ"je HartiMM noKpeTOM. HaKOH na)I(JbMBor MeLiJatba jeAHa Kan ceAMMeHTa Ce

peHece Ha npeAMeTHo CTaKno, naxJ"Bo ripel(PMje noKpoBHMM CTaKnoM M oAMax PemeAa nodMMKpOcKonoM.

y ceAMMeHry ypMHa MOxeMO HafiM:

• cBexe epMTpouMTe

• 6Jie4e epMTpouMTe

• neyKOLiMTe

• KPMCTane KanLiMjyM OKcanaTa

• KPMCTafie MOKpafiHe I(Mce"He

• KPMCTane TPMnen a)OcdyaTa

• 6aKTepMje

CJly3

• e"TenHe fieJ"je• rfoMBMLie

• uMnMH4Pe

• com aMopd)HMx ypaTa

• cnepMaTo3oMAe

• trichomonas vaginalis

Ha Kpajy paAHor BpeMeHa npMcyTaMo "ufierby anapaTa. AnapaT ce He CMe iMC"" AOK je

yKjbyiieH. noTpe6Ho je naxthMBo ra o6pMca" MeKOM KpnoM Mm ra3oM. M3ByfM M3 anapaTano"cKMBail M Aeo 3a cTaBTbaibe TecT TpaKe. HaKOH npaH]a o6MiiHOM BOAOM o6pMca" AenoBe

cyBOM, MeKOM KpnoM. Bpa"" AenoBe Ha cBoje MecTo, pecTapTOBa" anapaT M oApaAM" np06H0KOHTpoJiHo Meperbe.

ByAyfM Aa noTMCKMBali, PaAHa nnoiia M TpacnopTep Aona3e y KOHTaKT ca ypMHOM, noTpe6Ho je

BPLUM" M tbMxoBy Ae3MH¢eKUMjy 3a Kojy ce KopMc" 7o% pacTBoP anKoxona. ypo"Mo

noTMCKMBaii, paAHy niioily M TpaHcnopTep y noeyAy ca Ae3MH¢eKUMo"M cpeACTBOM BOAefM

paiiyHa Aa 6ena o3HaKa Ha Hocai+y He 6yAe y KOHTaKTy ca TeiiHoufiy. OcTaBMM0 Aa oACTojM 10MMHyTa. HaKOH Bat)elba M3 cpeACTBa 3a Ae3MH¢eKUMjy ocTaTKe TeHHoC" oilMCTMMo AecTMnoBaHOM

BOAOM. o6pMueMo M ocyLi"Mo AenoBa yitfbyHyjyfM M 6eny o3HaKy Ha Hocaiiy ca eyBOM KpnoM,

Bpa"Mo AenoBe Ha3aA, pecTapTyjeMo anapaT M oApaAMMo npo6Ho KOHTponHo Mepetbe.

no 3aBpiileHOM iMufietby anapaTa o6pMueMo M Ae3MHq)MKyjeMo cBe paAHe noBPLUMHe y co6M 3a

npMjeM ypMHa.

24-LlacoBHM ypl4H

yKonMKo naLiMjeHT MMa 3aAaTy HeKy aHanM3y 3a Kojy ce Kao y3opaK KopMc" 24-iiacoB" ypMH, oH

y na6opaTopMjy AOHocM y3opaK caKynrbeH npeMa ynyTCTBy Koje My je Aao M3a6pa" neKap M/"jia6opaTopMjcKM TexHMilap pacnopet)eH Ha paAHo MecTo ,,uJanTep ria6opaTopMje`` y "CaHoj a)OPMM.

3

y3opaK 24-ilacoBHor ypMHa ce npMXBaTa Kao y3opaK TeK KaAa je M3 pa3oBopa Ca nauMjeHTo

ycTaHOBM Aa je y3opaK caKynjbeH Ha McnpaBaH HaiiMH M Aa je AOHeTa yKynHa KonMUMHa ypMHa.

24-i+acoB" ypMH ce o6eJiexaBa oAroBapajyhMM 6ap Ken HanenHMuaMa M oAHocM y co6y 3a ypMHe

Ha PaAHo MecTO ,,ypM"-¢euec``. Jla6opaTopMjcKM TexHMiiap pacnopet)eH Ha paAHo MecTo „ypMHM-

®euec" npMCTyna Mepeiby yKynHe 3anpeMMHe ypMHa AOHeTe y na6opaToPMjy M y"Cyje y AHeB"eneKTpoHCKM Hanor nauMjeHTa, Kao M BMCMHy M TexMHy nauMjHTa Koje cy HeonxoAHe Aa 6M Ce

OApaAMJle HeoxoAHe aHajiM3e.

HaKOH M3MepeHe 3anpeMMHe M Ao6po noMeLiJaHe yKyriHe 3anpeMMHe ypMHa, oAJ"Ba ce Mahba

KonMiiMHa ypMHa Koje Ce 3aTMM ueHTPM®y"Pa. HaKOH 3aBpiJJeHor npoueca ueHTPM®y"Parba

cynepHaTaH ce oAJ"Ba y onroBapajyfiy enpyBery Ha Kojy ce ne" ouroBapajyfla 6ap KOAHanerlHMua M oAHocM Ha PaAHO MecTo ,,6MoxeMMja`` rae ce 3aTi" npMCTyna oAroBapajyfl0j aHanM3M

y30PKa.

ynyTCTBo 3a aHanil3y ypMHa Ha rnyKo3y M alieTOH

y3opaK ypMHa Ha myKo3y M aueTOH Moke 6M" 6Mno KojM y3opaK ypMHa y3eT y Tory AaHa. oBe

aHaflM3e 3aAaje M3a6pa" JieKap MJ" neKap cneLiMja"cTa.

OBM TecTOBM ce pane y3 noMoh TecT TpaKa ca ABa r]apaMeTpa. TecT Ce M3Bo4M TaKo LIJTO Ce TecT

TpaKa ypo" y ypMH. noflaKO ce M3Byiie M3 ypMHa y3 MBMLiy iiaLi"ue, a noTOM ce BMiiiaK ypMHa

o6pMue y naniipHy Bary M ocTaBM Aa oACTojM KojiMI(o je npoM3BODau npeABMAeo y ynyTCTBy 3a

ynoTpe6y. HaKOH MCTeKa npenBMbeHor BpeMeHa o"TaBa].y ce pe3yjiTa" TaKo uTo ce TecT Tpai(anpMcno" y3 6ouy ca HOBMM TpaKaMa M ynopeAHOM MeTOAOM ce oi{MTa pe3yiiTaT. Pe3yflTaT ce

y"Cyje y onroBapa].yfly cBeclty, now AaTyMOM M AHeBHMM peAHMM 6pojeM nauMjeHTa, a 3aTMM ce

y"cyje y AHeBm ejieRTpoHCKM Hanor nauMjeHTa. uJTaMnatbe pe3ynTaTa BPLiiM opAM"pajyfiM6MoxeMMilap HaKOH npoBepe pe3ynTaTa M MeAMUMHCKe BepM®MKauMje.

npouEAypy l{PEMPAo

voulcMr.P!}.iA\,,ni::-::;ji:1;;fi\!€movic

I 1 1 L\ i_-; I c I I i ` + . I I,` `. L> I ` .-i I i 1 I c a r

n poL|EAypy OAOEPMO