I-Ventilator Disinfection: Kungani Ukubulala Amagciwane Kwetheminali Kudingeka?

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Ukungalungi kanye nezixazululo zezindlela zendabuko zokubulala amagciwane

I-ventilator iyisisetshenziswa sezokwelapha esisebenziseka kabusha okufanele sivalwe amagciwane ukuze kuqinisekiswe ukuphepha nempilo yesiguli.I-ventilator idinga ukubulawa amagciwane ngendlela ebulalayo, okungukuthi, ukwelashwa kokubulala amagciwane ngemva kokuba isiguli siyekile ukusebenzisa umshini wokuphefumula.Ngalesi sikhathi, zonke izinhlelo zamapayipi e-ventilator zidinga ukususwa ngayinye ngayinye, futhi ngemva kokukhishwa kwamagciwane okuphelele, faka kabusha futhi ulungise iphutha ngokuya ngesakhiwo sokuqala.

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Ngemuva kokuhlolwa, amadivaysi ezokwelapha anezakhiwo zangaphakathi zokungenisa umoya njengama-ventilators kanye nemishini ye-anesthesia ngokuvamile angcoliswa ama-microorganisms ngemva kokusetshenziswa, futhi kunenani elikhulu lamabhaktheriya e-pathogenic kanye ne-pathogenic.

ama-microorganisms esakhiweni sangaphakathi.Isifo se-nosocomial esibangelwa yilokhu kungcoliswa kwamagciwane sekuyisikhathi eside sidonsela ukunaka kochwepheshe bezokwelapha.Izingxenye ze-ventilator: imaski, izihlungi zamagciwane, amapayipi anentambo, izinkomishi zokugcina amanzi, iziphetho zevalvu yokukhipha umoya, neziphetho zokudonsa yizingxenye ezingcoliswe kakhulu.Ngakho-ke, ukukhishwa kwe-terminal disinfection kubalulekile.
Futhi indima yalezi zingxenye ezibalulekile nayo isobala;

1. Imaski ingxenye exhuma umshini wokuphefumula emlonyeni nasekhaleni lesiguli.Imaski ithintana ngqo nomlomo nekhala lesiguli.Ngakho-ke, imaski ingenye yezingxenye ezingcoliswe kalula ze-ventilator.

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2. Isihlungi sebhaktheriya siyingxenye ebalulekile ye-ventilator, esetshenziselwa ikakhulukazi ukuhlunga ama-microorganisms emoyeni futhi ivimbele ama-microorganisms ukuthi angahogeli isiguli ngomshini wokuphefumula.Kodwa-ke, ngenxa yenani eliphezulu lamabhaktheriya esihlungini, isihlungi ngokwaso singcoliswa kalula, ngakho-ke sidinga nokubulawa amagciwane.

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3. Ishubhu elinentambo ipayipi elixhuma imaski kumshini wokungenisa umoya, futhi ingenye yezingxenye eziyinhloko zomshini wokuphefumula.Izimfihlo zesiguli noma izimfihlo zokuphefumula zingahlala kushubhu elinentambo.Kungase kube nenani elikhulu lamabhaktheriya e-pathogenic kulezi zimfihlo, futhi kulula ukubangela ukungcoliswa kwe-ventilator.

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4. Inkomishi yokugcina amanzi iyingxenye yepayipi le-ventilator, elivame ukuba ngaphansi kwe-ventilator.Uketshezi lwesiguli noma ukuphefumula kokuphefumula kungase kuhlale enkomishini yokugcina amanzi, futhi okulula ukungcoliswa.

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5. Isiphetho sevalvu yokukhipha umoya kanye nesiphetho sokuhogela kukhona indawo yokukhipha umoya kanye ne-air inlet ye-ventilator, futhi kungcoliswa kalula.Lapho isiguli siphefumula, umoya osekugcineni kwe-valve ekhishwe umoya ungase ube namagciwane e-pathogenic, azongcolisa kalula ezinye izingxenye ngaphakathi kwe-ventilator ngemva kokungena kumshini wokuphefumula.Indawo yokuhogela nayo ingase ibe lula ekungcoleni ngenxa yokuthi isiphetho sokuhogela sixhumene ngqo nomoya wesiguli futhi singangcoliswa uketshezi lwesiguli noma ukukhishwa kokuphefumula.

Indlela evamile yokubulala amagciwane iwukusebenzisa izinto ezisetshenziswayo ezilahlwayo futhi esikhundleni samapayipi angaphandle kanye nezingxenye ezihlobene.Kodwa-ke, le ndlela ngeke ikhulise izindleko kuphela, kodwa futhi ayikwazi ukugwema ngokuphelele ukuthi kungenzeka ukudluliswa kwebhaktheriya.Ngemuva kokusetshenziswa kwesesekeli ngasinye, kuzoba nezimpawu zokusatshalaliswa kwamagciwane ngamazinga ahlukahlukene.Ngasikhathi sinye, ububi bezindlela zendabuko zokubulala amagciwane nazo zisobala: ukuhlakazwa kochwepheshe kuyadingeka, ezinye izingxenye azikwazi ukuhlakazwa, kanti ezinye izingxenye ezihlakaziwe azikwazi ukufakwa inzalo ngokushisa okuphezulu nokucindezela okukhulu.Ekugcineni, kuthatha izinsuku eziyi-7 ukuhlaziya, okuthinta ukusetshenziswa komtholampilo okuvamile.Ngesikhathi esifanayo, ukuhlukaniswa okuphindaphindiwe kanye nokushisa okuphezulu kanye nokukhishwa kwe-disinfection yokucindezela okuphezulu kuzonciphisa impilo yesevisi yemishini.

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Ukuze kuxazululwe lezi zinkinga, kukhona manjeumshini wokukhipha amagciwane okuphefumula izinzwa.Izinzuzo zalolu hlobo lomshini wokubulala amagciwane wukubulala amagciwane ngendlela efanele, ukuphepha, ukuzinza, ukuba lula, ukonga abasebenzi, nokuhambisana nezindinganiso zikazwelonke (ukubulala amagciwane okusezingeni eliphezulu).Isebenzisa ubuchwepheshe bokubulala amagciwane ngamakhemikhali ukuze kubulawe amagciwane ngaphakathi kwe-ventilator ngokusebenzisa i-loop disinfection.Akudingi ukuqaqa i-ventilator, akudingi izinga lokushisa eliphezulu kanye nokucindezela okuphezulu kokukhishwa kwe-disinfection, futhi umjikelezo wokukhipha amagciwane mfushane, futhi kuthatha imizuzu engu-35 kuphela ukuqedela ukukhishwa kwe-disinfection.Ngakho-ke, umshini wokukhipha amagciwane wesifunda sokuphefumula izinzwa uyindlela ephumelelayo, ephephile nethembekile yokubulala amagciwane kumshini wokuphefumula.Kuphela ngokuthatha izinyathelo ezifanele zokubulala amagciwane lapho ukuphepha nempilo yeziguli kungaqinisekiswa khona.

Okuthunyelwe Okuhlobene