Ngophuhliso lwenqanaba lonyango lwezonyango lwehlabathi, oomatshini be-anesthesia, ii-ventilators kunye nezinye izixhobo ziye zaba zixhobo zonyango eziqhelekileyo kwizibhedlele.Isixhobo esinjalo sihlala singcoliswa yi-microorganisms, ngokukodwa iibhaktheriya ze-Gram-negative (kubandakanywa i-Acinetobacter baumannii, i-Pseudomonas aeruginosa, i-Escherichia coli, i-Proteus mirabilis, i-Pseudomonas syringae, i-Klebsiella pneumoniae, i-Bacillus);Iintsholongwane zegram-positive (kuquka iCorynebacterium diphtheriae, iStreptococcus pneumoniae, iStreptococcus haemolyticus, i-coagulase-negative Staphylococcus kunye ne-Staphylococcus aureus, njl.)
Uphando lwemibuzo ehambelanayo lwenziwe yi-Perioperative Infection Control Branch ye-Chinese Society ye-Cardiothoracic kunye ne-Vascular Anesthesia ekupheleni kwe-2016, kunye ne-1172 i-anesthesiologists ethatha inxaxheba ngokufanelekileyo, i-65% yabo yayivela kwizibhedlele zokunakekelwa kwemfundo ephakamileyo kwilizwe lonke, kunye neziphumo. ibonise ukuba isantya sokungabulawa kweentsholongwane kwaye ngamanye amaxesha ukubulawa kweentsholongwane okungaqhelekanga kwiisekethe ngaphakathi koomatshini bokuthomalalisa iintlungu, ii-ventilators, kunye nezinye izixhobo bekungaphezulu kwe-66%.
Ukusetyenziswa kwezihluzo zokuphefumla zodwa akukwahluli ngokupheleleyo ukusasazwa kweentsholongwane ze-pathogenic ngaphakathi kweesekethe zezixhobo naphakathi kwezigulana.Oku kubonisa ukubaluleka kweklinikhi yokubulala iintsholongwane kunye nokuvalwa kolwakhiwo lwangaphakathi lwezixhobo zonyango lweklinikhi ukuthintela umngcipheko wosulelo kunye nokuphucula umgangatho weenkonzo zonyango.
Kukho ukunqongophala kwemigangatho efanayo malunga neendlela zokubulala iintsholongwane kunye ne-sterilization yezakhiwo zangaphakathi koomatshini, ngoko ke kuyimfuneko ukuphuhlisa iinkcukacha ezihambelanayo.
Isakhiwo sangaphakathi soomatshini be-anesthesia kunye ne-ventilators iye yavavanywa ukuba ibe nenani elikhulu leebhaktheriya ze-pathogenic kunye ne-pathogenic microorganisms, kunye nokusuleleka kwe-nosocomial okubangelwa ukungcoliswa kwe-microbial kudala inkxalabo yoluntu lwezonyango.
I-disinfection yesakhiwo sangaphakathi ayisombululwanga kakuhle.Ukuba umatshini udityanisiwe ukuze kubulawe iintsholongwane emva kokusetyenziswa ngakunye, kukho iingxaki ezicacileyo.Ukongezelela, kukho iindlela ezintathu zokubulala iintsholongwane kwiindawo ezichithwayo, enye iqondo lokushisa eliphezulu kunye noxinzelelo oluphezulu, kwaye izinto ezininzi azikwazi ukutshabalalisa i-disinfected kwiqondo lokushisa eliphezulu kunye noxinzelelo oluphezulu, oluya kubangela ukuguga kombhobho kunye nendawo yokutywinwa, echaphazela umoya. yezixhobo kunye nokwenza ukuba zingasebenziseki.Enye i-disinfection kunye nesisombululo se-disinfection, kodwa nangenxa yokuqhaqha rhoqo kuya kubangela umonakalo kwi-tightness, ngelixa i-disinfection ye-ethylene oxide, kodwa kufuneka ibe neentsuku ezi-7 zokuhlalutya ukukhutshwa kwentsalela, iya kulibazisa ukusetyenziswa, ngoko ke. ayinqweneleki.
Ngokujonga iimfuno ezingxamisekileyo kusetyenziso lwezonyango, isizukulwana samva nje seemveliso ezinelungelo elilodwa lomenzi wechiza: YE-360 uthotho lwe-anesthesia yokuphefumla umatshini wokubulala iintsholongwane wesekethe.