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Amakuru yinganda

Ubuvanganzo bwo mu rugo n'amabwiriza ajyanye nayo

Ibisubizo by'ibibazo ku bibazo bijyanye no kugenzura ibyiyumvo bya anesteziya byashyizwe ahagaragara n’ishami rishinzwe kurwanya indwara ya perioperative ishami ry’abashinwa ry’umutima w’umutima w’Abashinwa n’umutima wa Anesthesia ryerekana ko 65.44% gusa by’abashakashatsi ba anesthesiologue mu bitaro bya kaminuza ari bo bazi kugenzura ibyiyumvo, mu gihe ijanisha ryaba rito. mu bindi bitaro.Ijanisha ryaba anesthesiologiste bemeza ko kwanduza imiyoboro mu mashini ya anesteziya mu mashami yabo ari ikibazo cy’umutekano ni 81.06%.

1. Gushimangira imicungire y’indwara z’ibitaro, gukumira no kugenzura kwandura ibitaro, ninsanganyamatsiko ihoraho yo kurinda umutekano w’abarwayi no kuzamura ubuvuzi.Icyumba cyo gukoreramo, nk'ishami ry'ingenzi, kigomba gushyirwa mu bikorwa hakurikijwe amahame agenga imicungire y’indwara z’ibitaro ku mashami y’ibanze yatanzwe n’ikigo cy’igihugu gishinzwe kwanduza ibitaro, ariko haracyari ubumenyi buke bwo kurwanya indwara.Urwego rw'igihugu hamwe n'inzego zinyuranye z'ibanze ku cyumba cyo gukoreramo, anesthesiologiya, ubuhumekero n'ahandi, bigomba kuba bifite imashini yanduza indwara ya anesthesia y’ubuhumekero, guca inkomoko y’ubwandu igice cyihariye ni ibi bikurikira: 1, nk'uko bivugwa na "clinique anesthesiology" imicungire ya anesthesia "y'ibisabwa ibyangombwa: ishami rya anesthesiologiya yibitaro byisumbuye cyangwa byisumbuye bigomba kuba bifite imashini ya anesthesia, imashini yanduza imyanya y'ubuhumekero, ikoreshwa mugukemura ikibazo cyo kwandura kwanduye mugihe cyo kubagwa.

 

2. Amabwiriza agenga ibikoresho byubuvuzi
Ingingo ya 90 y’ibihe bikurikira, ishami ry’ubuzima rifite ubushobozi bwa guverinoma y’abaturage cyangwa hejuru y’intara ritegeka gukosorwa, gutanga umuburo;yanze gukosora, ihazabu y'amafaranga arenga 50.000 100.000;ibintu birakomeye, ihazabu y'amafaranga arenga 100.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000 -00 Imyitozo mu gihe kitarenze umwaka, kugeza igihe ishami ryambere ryatanze ryambuye icyemezo cyabakozi bashinzwe imyitozo, uhagarariye amategeko mu ishami ry’icyaha, umuntu nyamukuru ubishinzwe, ushinzwe mu buryo butaziguye abakozi babishoboye n’abandi bakozi babishinzwe, akanyaga amafaranga yinjije. gice mu gihe cy’ihohoterwa, no gutanga ihazabu irenga 30% y’amafaranga yinjije inshuro zirenze eshatu, azahanishwa na:
(A) kongera gukoresha ibikoresho byubuvuzi, ibikoresho byubuvuzi ukoresheje ibice bidakurikije ibiteganijwe kwanduza no kuyobora.
(B) gukoresha ibikoresho byubuvuzi byongera gukoresha ibikoresho byubuvuzi bikoreshwa rimwe, cyangwa kunanirwa gusenya ibikoresho byubuvuzi byakoreshejwe rimwe bikurikije ibivugwa.
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(E) gukoresha ibikoresho byubuvuzi binyuranyije n’imikoreshereze y’ibikoresho binini by’ubuvuzi, ntibishobora kwemeza umutekano w’ubuvuzi.

 

3. "Gukumira no Kurwanya Indwara Zandura Amategeko ya Repubulika y’Ubushinwa" iteganya ko: amashami ya anesteziya agomba kuba afite imashini yanduza anesthesia, imashini itera anesthesia kugirango yanduze.Ingingo ya 69 ibigo byubuvuzi binyuranyije n’iri tegeko, kimwe mu bihe bikurikira, ishami ry’ubuyobozi bw’ubuzima bwa guverinoma y’abaturage cyangwa hejuru y’intara ritegeka gukosorwa, kumenyesha kunegura, gutanga umuburo ...... ... (e) bidakurikijwe ibivugwa mu bikoresho by’ubuvuzi byangiza, cyangwa hakurikijwe ibivugwa mu bikoresho by’ubuvuzi byigeze gukoreshwa ntabwo ari ugusenya, kongera gukoresha;...

 

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5. Mu gitabo "Igitabo gishinzwe kurwanya indwara zanduza ibitaro" cyateguwe na Geng Lihua, Igice cya 3, Igice cya 1, havuzwe ko ubuso bwa sisitemu yo gukurikirana anesteziya, imashini ya anesteziya n’ibindi bikoresho bifitanye isano bigomba guhorana isuku, kandi bigomba gusukurwa, kwanduzwa. na sterisile nyuma yo gukoreshwa ukurikije amabwiriza.Imashini ya Anesthesia igomba kwanduzwa buri gihe, kandi aho abarwayi bafite indwara zandurira mu myanya y'ubuhumekero bakoresha imashini ya anesthesia bagomba kongeramo akayunguruzo ka bagiteri no kwanduza imashini anesteziya bakimara kuyikoresha.

 

6. indwara zisanzwe ziterwa na anesthesia nibikoresho byubuhumekero ni indwara zifata imyanya y'ubuhumekero, cyane cyane izatewe na Mycobacterium igituntu na Mycobacterium atypicalum, ariko vuba aha na HBV na HCV zanduye, kandi byagaragaye ko kwandura virusi itera SIDA kwanduza anesthesia ikoreshwa n'abarwayi n'ibikoresho by'ubuhumekero ".