Nhanganyaya

Mukutsvaga kwedu rucheno, kuedza kwepamusoro kunogona kusakwana kurwisa njodzi dzakavanzika dzehutachiona nehutachiona.Kuchenesa kwakadzama kwakakosha kuti uve nechokwadi chehutsanana hunoshanda, ingave muhupenyu hwezuva nezuva kana chipatara, uko kukosha kwekudzivirira hutachiona hakugone kurerutswa.

Kuwanda Kwezvirwere zveChipatara

Zvirwere zvemuchipatara ndezvechokwadi, ne4.5% yevarwere vari muchipatara muUS vanobatwa gore negore.Zvichipfuura nhamba yenzufu dzabatanidzwa dzeAIDS, kenza yemazamu, uye tsaona dzemotokari, zvirwere zvemuchipatara zvinokwidza nhamba yevanhu vanofa ne10,1%, zvinorebesa avhareji yokugara muchipatara nemazuva 14,9, uye zvinopa imwezve $50 000 pamurwere mumwe nomumwe mundyiko dzokurapwa.

Nyaya Dzehutachiwana dzakataurwa

Mumakore achangopfuura, zviitiko zvehutachiona zvakati wandei zvakashumwa muChina, kusanganisira kubuda kwehutachiona hweHIV muna 2017 pakati pevarwere muchipatara cheZhejiang, chiitiko che 2019 neonatal muchipatara cheGuangdong, uye hutachiona hwehepatitis C muchipatara chiri muguta reJiangsu Dongtai.Pamusoro pezvo, denda ririkuenderera mberi rakonzera hutachiona hweNosocomial COVID-19 muzvipatara zvakawanda.

Iyo Alarm Yekudzivirira Utachiona uye Kudzora

Matanho ekudzivirira kutapukirwa nekudzora akakosha muzvipatara.Anoshanda semadhamu uye mitsara yekudzivirira, kuchengetedza kushanda kwakajairika kwemabasa ekurapa.Imba yekuvhiya inzvimbo yakakosha yekudzora hutachiona, inoda kuteedzerwa kune yenyika uye chipatara chetachiona chetachiona.Vashandi vekuvhiya, vana chiremba, vanamukoti, uye vashandi vekuchenesa vanoita basa rakakosha mukuona kuti kudzora hutachiona kunova muitiro wekugara kuburikidza nekuenderera mberi nedzidzo yemutemo nekudzora.

Tsvagiridzo Iripo paAnesthesia Dhipatimendi Kutapukira Kudzora

Zvidzidzo zvakatsvaga zvinonetsa zvine chekuita nehutachiona mudhipatimendi reanesthesia.Tsvagiridzo pamusoro pekusvibiswa kweaneshesia muchina wedunhu yakaratidza huwandu hwakanyanya hwekusvibiswa, ne34.7% yemichina yeaneshesia inotakura mabhakitiriya pakuunza kunze kwenyika, uye 27.3% inoratidza kusvibiswa panguva yekutumirwa kunze kwenyika.Mushure mekuuraya utachiona kwakaringana, huwandu hwehutachiona hwakadzikira neavhareji ye94.3%, zvakanyanya kuvandudza kushanda kwekuuraya hutachiona.

Kushaya simba muAnesthesia Department Infection Control

Dhipatimendi reanesthesia rinotarisana nematambudziko mukutonga kwehutachiona nekuda kwezvikonzero zvakasiyana:

• • Kushaikwa kwezviratidziro zvakakodzera zvekuongorora kwechiitiko chechirwere chechipatara
  • Kusakwana kwekutarisa mabasa kubva kumadhipatimendi anoshanda
  • Zvinodiwa zvisina kukwana zvedhipatimendi reanesthesia kutapukirwa kwehutachiona mune manejimendi ekutungamira
  • Vashandi kusajairana nehurongwa hwehutachiona hwechipatara
  • Kusanzwisisana kwekukosha pakati pemadhipatimendi eanesthesia uye zvirwere zvechipatara, zvinowanzokonzera kugutsikana.
  • Kunonoka kugadzwa kweanesthesia department nursing units

Nzvimbo Dziri Munjodzi uye Chimiro Chazvino cheAnesthesia Dhipatimendi Kutapukirwa Kwehutachiona

Nzvimbo dzakakosha dzinoda kuvandudzwa mudhipatimendi reanesthesia dzinosanganisira maitiro ehutsanana hwemaoko, aseptic matekiniki, kuratidzwa pabasa, uye kuchengetedzwa kwakajairwa.Hutsanana hwemaoko hwakakodzera chinhu chakakosha, uye kutevedzera kunofanirwa kutariswa uye kuve nechokwadi.Matanho asina kuchena anofanirwa kuteedzerwa zvakasimba, nekutarisa kubata zvinhu zvisina utachiona uye zvakasvibiswa nemazvo.Uyezve, hutsanana uye disinfection yemichina yeanesthesia ndiyo yakakosha zvikuru.

Njodzi Zvinhu zveAnesthesia Dhipatimendi Chipatara Infections

Zvizhinji zvengozi zvinokonzeresa kutapukira muchipatara mudhipatimendi reanesthesia:

• • Kusaziva kwakakwana kwekudzivirira nekudzora utachiona
  • Kudzokorora kushandiswa kwetracheal tubes uye laryngoscope blades
  • Kusaomerera kune aseptic maitiro panguva yeaneshesia-inoenderana maitiro
  • Kuziva kwakaderera kwemaitiro ekuzvidzivirira pakati pevashandi vekurapa
  • Kusakwana disinfection yemidziyo yekurapa
  • Kubatwa zvisina kunaka kwemarara ekurapa
  • Kushaikwa kwekushandiswa kwemasefa mumachubhu etracheal
  • Kusakwana soda lime replacement

Ruzivo rusina kukwana rweHospital Infections

Kushaikwa kweruzivo maererano nemaitiro ekuchengetedza inyaya yakakosha:

• • Kusateerera zvakakwana nekupfeka magirovhosi, masiki ekuvhiya, ziso rekudzivirira, uye majasi ekuzviparadzanisa nevamwe panguva yekupinda nzira.
  • Kutadza kuona kubata uye kudonhedza zvidziviriro
  • Maitiro ekuuraya utachiona asiri iwo emidziyo inogona kushandiswa zvakare, senge laryngoscope blades
  • Kusakwana kutevedzera nekushandisa sterile drapes for intubation uye nemanyorero akakodzera emishonga yeanesthesia.

Ruoko Hutsanana uye Standard Precaution

Hutsanana hwemaoko hwakakosha uye hunosanganisira kugeza, hutsanana kuuraya utachiona hwemaoko, uye kuvhiyiwa kuuraya utachiona hwemaoko.Zviratidzo zvehutsanana hwemaoko zvinosanganisira "matatu pamberi" uye "mana mushure."Kutevedzera maitiro aya kunogona kuderedza zvakanyanya njodzi dzehutachiona.

Kusimbisa Utachiona Kudzora Management muDhipatimendi reAnesthesia

Kumisa mitemo yakazara, mirau, uye mafambiro ebasa kwakakosha pakutonga kwehutachiona mudhipatimendi reanesthesia.Izvi zvinosanganisira hutsanana system, disinfection uye yekuzviparadzanisa nevamwe, sterile operation matekiniki, uye inoenderera mberi nedzidzo, kuongorora, uye kutarisa.

Specific Infection Control Details

1. 1. Kunyatsotevedzera Hutsanana Maoko

• • Aseptic maitiro anoda kuvhiyiwa maoko ekuuraya utachiona
  • Nzira dzisingapindire dzinoda kugeza kuchiteverwa nehutsanana kuuraya utachiona hwemaoko
  • Utsanana hwemaoko hunofanira kuitwa nekukurumidza mushure mekusvibiswa

1. 2. Kucherekedza Kwakasimba kweAseptic Techniques

• • Chengeta zvinhu zvisina utachiona, zvakachena, uye zvine utachiona zvakaparadzaniswa
  • Zvinhu zvakavhurwa zvisina utachiona hazvifanirwe kuiswa munzvimbo dzisina utachiona
  • Maitiro ekupinda kana kubata nemurwere mucous membranes kana ganda rakakuvadzwa zvinoda kushandiswa kwemagurovhosi asina utachiona.
  • Dzivisa kubatwa nemaoko nechekumberi kwelaryngoscope blades kana tracheal chubhu

1. 3. Zvinhu Zvinoraswa: Imwe Kushandisa Kumunhu Mumwe
   4. Reusable Items

• • Kucheneswa kwakaringana, kuuraya utachiona, kuomeswa, uye kuchengetedza reusable laryngoscope blades sezviri mugwara.
  • Kushandiswa kumwe chete kumunhu mumwe kunovimbisa kuti bioburden zvinodiwa zvinosangana

1. 5. Kucheneswa Kwepamusoro Kwezvinhu

• • Kucheneswa kwezuva nezuva kwemvura kana 75% doro kupukuta-pasi kweropa, stethoscopes, tembiricha probe, anesthesia michina, yekutarisa michina, nzvimbo dzekushandira, uye nzvimbo yekurapa makomputa kiyibhodhi, uchishandisa firimu rekudzivirira pazvinenge zvichidikanwa.

1. 6. Disinfection yeAnesthesia Machine Circuits

• • Kushandisa nzira dzekuuraya utachiona dzeaneshesia muchina maseketi, kungave kuburikidza nekunyudzwa kwemakemikari kana kushandisa michina yekuuraya hutachiona senge ozone disinfection kana doro-chlorhexidine aerosol.

Mhedziso

Zvirwere zvemuchipatara zvinopa njodzi huru kune kuchengetedzwa kwemurwere, asi kudzora hutachiona kunoshanda kunogona kuderedza njodzi idzi.Kusimbisa kutonga kwehutachiona hwehutachiona mudhipatimendi reanesthesia kwakakosha mukuderedza kuitika kwehutachiona hwechipatara uye kuwedzera mhedzisiro yevarwere.Kusimbisa hutsanana hwemaoko, nzira dzeaseptic, uye kuuraya hutachiona hwepamusoro, pamwe nekudzidzisa vashandi vehutano, kunodzivirira varwere uye nekugadzirisa mabasa ehutano.