Ukusuka kwiMichiza ukuya kuMzimba, Ukuphonononga amaqhinga aBanzi wokubulala iintsholongwane
Kwiyunithi yokhathalelo olunzulu (ICU), apho izigulane ezigula kakhulu ezine-immune system ziphathwa, ukubulawa kweentsholongwane okusebenzayo kubaluleke kakhulu ukukhusela ukusasazeka kwezifo.Ubume be-ICU bufuna ukuqwalaselwa ngokucokisekileyo kwizenzo zokubulala iintsholongwane ngenxa yobume bemingcipheko ephezulu yezigulane kunye nokukwazi ukusuleleka kwi-cross-contamination.
Iindidi zeendlela zokubulala iintsholongwane ezisetyenziswa kwi-ICU, zombini iikhemikhali kunye nezomzimba, zigxininisa ukubaluleka kwazo kulawulo olusebenzayo losulelo.
Iindlela zokubulala iintsholongwane kwiMichiza
Iindlela zokubulala iintsholongwane kwiikhemikhali zibandakanya ukusetyenziswa kwezibulala-ntsholongwane ukuphelisa ii-microorganisms kumphezulu kunye nezixhobo zonyango.Iintsholongwane ezisetyenziswa ngokuqhelekileyo ziquka iikhompawundi zeklorini, i-alcohol, kunye ne-hydrogen peroxide.Iikhompawundi zeklorini, ezifana ne-sodium hypochlorite, ziyasebenza ngokuchasene ne-spectrum ebanzi ye-pathogens kwaye zisetyenziselwa kakhulu ukubulala iintsholongwane kumphezulu.Utywala, obufana ne-isopropyl alcohol, buqhele ukusetyenziselwa ucoceko lwezandla kunye nokubulala iintsholongwane kwizixhobo ezincinci.Iperoksayidi yeHydrojeni, kwimo yayo engumphunga, isetyenziselwa ukucoca igumbi.Ezi zibulali ntsholongwane zemichiza zisetyenziswa ngokulandela imiyalelo ethile malunga nokugxila, ixesha lokunxibelelana, kunye nokuhambelana nemathiriyeli ebulawa iintsholongwane.
Iindlela zokubulala iintsholongwane ngokwaseMzimbeni
Iindlela zokubulala iintsholongwane ngokwasemzimbeni zisebenzisa ubushushu okanye imitha ukutshabalalisa okanye ukwenza iintsholongwane zingasebenzi.Kwi-ICU, ukubulala iintsholongwane emzimbeni kudla ngokufezekiswa ngobuchule obufana nokuvala ubushushu obumanzi, ukuvala ubushushu obomileyo, kunye nokubulawa kweentsholongwane kwi-ultraviolet (UV).Ukutshatyalaliswa kobushushu obumanzi, obufumaneka ngee-autoclaves, kusebenzisa umphunga woxinzelelo oluphezulu ukuphelisa ii-microorganisms kwizixhobo zonyango ezikwazi ukumelana nobushushu.Ukuvalwa kobushushu okomileyo kubandakanya ukusetyenziswa kwee-oveni zomoya oshushu ukuphumeza inzala.Ukubulala iintsholongwane kwi-UV kusebenzisa imitha ye-UV-C ukuphazamisa i-DNA ye-microorganisms, ibenze bangakwazi ukuphindaphinda.Ezi ndlela zokubulala iintsholongwane ngokwasemzimbeni zibonelela ngeendlela ezisebenzayo zezixhobo ezithile kunye nemiphezulu kwi-ICU.
Ukubaluleka kweeProthokholi zokubulala iintsholongwane kunye neNkqubo yokuSebenza okuMgangatho
Ukuphumeza iiprothokholi zokubulala iintsholongwane kunye nokuthobela iinkqubo zokusebenza ezisemgangathweni (ii-SOPs) zibalulekile kwi-ICU ukugcina ukungaguquguquki kunye nokusebenza kakuhle kwinkqubo yokubulala iintsholongwane.Ii-SOPs kufuneka zibandakanye imimandla engundoqo efana nokucocwa kwangaphambili, ukubulala iintsholongwane rhoqo, kunye nokubulala iintsholongwane ngexesha likaxakeka.Ukucoca kwangaphambili kubandakanya ukususwa ngokucokisekileyo kwezinto eziphilayo kunye nenkunkuma ebonakalayo ngaphambi kokubulawa kweentsholongwane.Ukubulala iintsholongwane rhoqo kubandakanya ukubulawa kweentsholongwane okucwangcisiweyo komphezulu, izixhobo, kunye neendawo zokhathalelo lwezigulane.Iinkqubo ezingxamisekileyo zokubulala iintsholongwane zisetyenziswa ekuphenduleni kwiziganeko zosulelo okanye ukuqhambuka.Ukubambelela ngokungqongqo kwiiprothokholi zokubulala iintsholongwane kunye neeSOPs ziqinisekisa indlela ecwangcisiweyo yolawulo losulelo kwi-ICU.
Ubuchwephesha obukwinqanaba eliphezulu lokubulala iintsholongwane
Ngokuhambela phambili kwezobuchwephesha, i-ICU inokuxhamla kubuchwephesha obutsha bokubulala iintsholongwane obuphucula ukusebenza ngempumelelo kunye nempumelelo yezenzo zokubulala iintsholongwane.Iinkqubo zokubulala iintsholongwane ezizenzekelayo, ezifana nezixhobo zerobhothi ezixhotyiswe nge-UV-C emitters, zinokubulala iintsholongwane kwiindawo ezinkulu ngaphakathi kwe-ICU, ukunciphisa impazamo yabantu kunye nokonga ixesha.Ukongezelela, ukusetyenziswa komphunga we-hydrogen peroxide okanye i-aerosolized disinfectants inika indlela ebanzi yokucocwa kwegumbi, ukufikelela kwiindawo ezinokuba nzima ukuzicoca ngesandla.Obu bugcisa buhambele phambili bokubulala iintsholongwane buncedisana neendlela zemveli, ziqinisekisa inkqubo ecokisekileyo nethembekileyo yokubulala iintsholongwane kwi-ICU.
Kwi-ICU, apho izigulane ezisemngciphekweni zisemngciphekweni omkhulu wosulelo, iindlela ezisebenzayo zokubulala iintsholongwane zibalulekile ekugcineni indawo ekhuselekileyo kunye nokuthintela usulelo olunxulumene nezempilo.Zombini iindlela zokubulala iintsholongwane ngokwekhemikhali kunye nezomzimba, ezixhaswa ziiprothokholi ezisemgangathweni kunye nobuchwepheshe obuphambili, zinegalelo kulawulo oluluqilima losulelo.Ngokuqonda ukubaluleka kweeprothokholi zokubulala iintsholongwane, abaqeqeshi bezempilo banokwandisa iinzame zabo zokuqinisekisa ukubulala iintsholongwane kwi-ICU.Ukuphunyezwa kwezicwangciso eziliqili zokubulala iintsholongwane kwi-ICU kusebenza njengomgca obalulekileyo wokhuseleko ekukhuseleni impilo-ntle yesigulana kunye nokunciphisa ukosulela kosulelo.
