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Samenvatting Module Gynaecologie en Urologie
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Samenvatting van volledige cursus gynaecologie (An Tassanoy) en urologie (prof. Cammu). Bevat alle ppt, cursussen en notities van de online/ live lessen.
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By: lanipersoons • 5 months ago
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Module GYNAECOLOGIE2021-2022
1
,Inhoudstafel
HOOFDSTUK 1: Perinatale kinesitherapie............................................................................................... 5
A. Normale zwangerschap: terminologie ........................................................................................ 5
B. Normale zwangerschap: fysiologische veranderingen .............................................................. 10
HOOFDSTUK 2: De bevalling ................................................................................................................. 18
A. Bevallen in België .......................................................................................................................... 18
B. Factoren die bevalling beïnvloeden .............................................................................................. 18
C. Verloop vd baring .......................................................................................................................... 25
D. Kunstverlossing ............................................................................................................................. 31
E. Perineumruptuur ........................................................................................................................... 33
F. Navelstrengprolaps........................................................................................................................ 36
G. Vruchtwaterembolie ..................................................................................................................... 36
DEEL 2: Pijnbestrijding ...................................................................................................................... 37
A. Soorten pijn ................................................................................................................................... 37
B. Baringspijn ..................................................................................................................................... 37
C. Niet-farmacologische pijnbestrijding ............................................................................................ 38
D. Farmacologische pijnbestrijding ................................................................................................... 38
DEEL 3: Prenatale voorbereiding op bevalling ................................................................................. 39
HOOFDSTUK 3: Opvolging tijdens bevalling.......................................................................................... 45
A. Opvolging tijdens bevalling ........................................................................................................... 45
B. Diagnose vd zwangerschap ........................................................................................................... 46
HOOFDSTUK 4: Risicofactoren en afwijkingen tijdens de zwangerschap ............................................. 55
A. Abnormale zwangerschapsduur.................................................................................................... 55
B. Hoog risicopatiënten ..................................................................................................................... 56
C. Hypertensie ................................................................................................................................... 57
D. Bloedgroepsensibilisatie ............................................................................................................... 58
E. Zwangerschapsdiabetes ................................................................................................................ 59
F. Toxoplasmose (parasiet)................................................................................................................ 61
G. Rubella (virus) ............................................................................................................................... 61
H. CMV ............................................................................................................................................... 62
I. Algemene adviezen ........................................................................................................................ 63
HOOFDSTUK 5: Perinatale kinesitherapie – Fysieke activiteit tijdens en na de zwangerschap ........... 64
A. Perinatale kine .............................................................................................................................. 64
B. Preventie en behandeling van prenatale symptomen .................................................................. 68
1. Lage rugpijn (LRP) en pelvic girdle pain (PGP) ........................................................................... 68
2. Gewichtstoename ..................................................................................................................... 71
2
, 3. Zwangerschapsdiabetes ............................................................................................................ 73
4. Urinaire incontinentie ............................................................................................................... 73
5. Perineale pijn, dyspareunia ....................................................................................................... 74
6. Varices, oedeem vd OL en diepe veneuze trombose ................................................................ 74
7. Angst .......................................................................................................................................... 75
8. Prenatale depressie ................................................................................................................... 75
C. Prenatale voorbereiding op de bevalling – baringsoefeningen .................................................... 76
1. Dynamiek vh bekken – houding en mobiliteit ........................................................................... 76
2. Hellingshoek vh bekken ............................................................................................................. 77
3. Kracht vd contracties en de zwaartekracht ............................................................................... 77
4. As vd foetus t.o.v. bekkenvlakken ............................................................................................. 77
5. Tonus vd bekkenbodemspieren ................................................................................................ 77
6. Attitude en welbevinden van de paturiente ............................................................................. 77
D. Begeleiding van de paturiente (kine) ............................................................................................ 78
E. Postnatale revalidatie .................................................................................................................... 80
1. Postpartum veranderingen ....................................................................................................... 80
2. Fysieke activiteit na de bevalling ............................................................................................... 80
3. Postnatale kinesitherapie .......................................................................................................... 82
4. Postnatale sport ........................................................................................................................ 83
HOOFDSTUK 6: Pelvische reeducatie .................................................................................................... 85
A. Inhoud ........................................................................................................................................... 85
B. Anatomie van het kleine bekken en bekkenbodem...................................................................... 85
C. Fysiologie van de continentie ........................................................................................................ 88
D. Neurofysiologie ............................................................................................................................. 90
E. Pathofysiologie .............................................................................................................................. 97
1. Incontinentie ............................................................................................................................. 98
2. Liggingsafwijkingen van pelvische organen in kleine bekken ................................................. 103
3. Uterusverzakkingen ................................................................................................................. 103
F. Pelvische reeductie .......................................................................................................................... 105
HOOFDSTUK 7: Anatomie urinair stelsel (prof. Cammu) .................................................................... 118
A. Bekkenbodem ............................................................................................................................. 118
B. Prolaps ......................................................................................................................................... 121
C. Incontinentie ............................................................................................................................... 123
D. Prolaps + incontinentie ............................................................................................................... 127
D. Chronische pelviene pijn ............................................................................................................. 129
3
, HOOFSTUK 8: Anticonceptie (prof. Cammu)....................................................................................... 131
A. Introductie................................................................................................................................... 131
B. Barrière methoden ...................................................................................................................... 131
C. Interceptie ................................................................................................................................... 141
D. Abortus arte provocatus ............................................................................................................. 141
E. Vrouwelijke genitale verminking (niet te kennen) ...................................................................... 142
F. Extra info...................................................................................................................................... 142
HOOFDSTUK 9: Virale infecties genitaliën .......................................................................................... 143
A. Papillomavirus (HPV) ................................................................................................................... 143
B. Vaginale/vulvaire jeuk ................................................................................................................. 143
C. Lichen Sclerosus vd vulva ............................................................................................................ 144
D. Vaginale afscheiding: “witverlies” .............................................................................................. 144
E. Vaginale infecties......................................................................................................................... 145
F. Cervixcarcinoom, uitstrijkje en vaccin ......................................................................................... 147
G. Dysmenorree en PMS ................................................................................................................. 152
H. Seksuologie ................................................................................................................................. 153
HOOFDSTUK 10: Seksueel geweld, verkrachting ................................................................................ 158
HOOFDSTUK 11: Menopauze .............................................................................................................. 160
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