Ukusetshenziswa kwemishini yokuphefumula neyokubulala izinzwa ezilungiselelweni zezokwelapha kuye kwashintsha ukunakekelwa kwesiguli, kwavumela ukulawula okunembayo kokukhipha umoya kanye nokuphathwa kwama-ejenti okubulala izinzwa.Kodwa-ke, phakathi kwalezi zinzuzo, kubalulekile ukuqaphela futhi ubhekane nezingozi zokutheleleka ezingaba khona ngenxa yokusebenzisa lezi zisetshenziswa zezokwelapha ezibalulekile.
Iqhaza Lemishini Yokuphefumula kanye Neyokubulala Izinzwa
Imishini yokuphefumula, eyaziwa ngokuthi ama-ventilators, idlala indima ebalulekile ekusizeni iziguli ezinomsebenzi wamaphaphu onakalisiwe ukuthi ziphefumule ngempumelelo.Le mishini iletha ingxube elawulwayo yomoya-mpilo nomoya emaphashini esiguli, iqinisekisa umoya owanele nokukhishwa kwesikhutha.Ngokufanayo, imishini yokubulala izinzwa ibalulekile ekunikezeni ukugxila okunembile kwamagesi okubulala izinzwa ukuze kugcinwe ukunethezeka nokuphepha kwesiguli phakathi nezinqubo zokuhlinzwa.
Izingozi Ezingenzeka Zokutheleleka
1. Amavalvu Okukhipha Umoya Angcolile
Okunye okukhathazayo okuyinhloko okuhlotshaniswa nemishini yokuphefumula ingozi yokungcola ngamavalvu okukhipha umoya.Nakuba la mavalvu eklanyelwe ukuvumela umoya ukuba uphume endleleni yokuphefumula yesiguli futhi uye emkhathini, angaba umthombo ongase ube khona wezifo uma zingabulawanga amagciwane ngokwanele phakathi kokusetshenziswa kwesiguli.Izinto ezingcolile ezikhishwa lapho kukhishwa umoya zinganqwabelana endaweni engaphezulu yevalvu, okungase kuholele ekungcoleni okuphambanayo.
Izinyathelo Zokuvimbela: Ukubulala amagciwane okuvamile nokuphelele kwamavalvu okukhipha umoya kubalulekile ukuze unciphise le ngozi.Izindlela zokubulala amagciwane ezisezingeni eliphezulu, njengokukhipha amagciwane ezingeni lokushisa eliphezulu noma ukusetshenziswa kwe-hydrogen peroxide ne-ozone, kufanele zisetshenziswe ukuze kuqinisekiswe ukuqedwa ngokuphelele kwamagciwane.
2. Ukukhula Kwegciwane Emapayipini Nakumachibi Amanzi
Amashubhu namachibi amanzi ngaphakathi kwemishini yokuphefumula kanye ne-anesthesia inikeza indawo ekahle yokukhula kwamagciwane.Ukujiya, umswakama, nensalela yezinto eziphilayo kungakha indawo yokuzalanisa amagciwane nesikhunta.Uma ziyekwa zinganakiwe, lezi zinambuzane ezincane zingangcolisa amagesi alethwa esigulini.
Izinyathelo Zokuvimbela: Ukuhlanzwa njalo kanye nokubulala amagciwane kumashubhu namadamu amanzi kubalulekile.Landela izinkombandlela zomkhiqizi ukuze uvimbele ukukhula kwama-microbial ngempumelelo.
3. Ukungcola Okunqamula Phakathi Kweziguli
Imishini yokuphefumula neyokubulala izinzwa ivame ukusetshenziswa ngokulandelana ezigulini ezihlukene.Ngaphandle kokubulala amagciwane ngendlela efanele, lawa madivaysi angasebenza njengama-vector okutheleleka ngegciwane.Noma yimaphi amagciwane akhona ezingxenyeni zomshini noma kumashubhu angadluliselwa ezigulini ezilandelayo, okubeka ingozi enkulu yokutheleleka.
Izinyathelo Zokuvimbela: Kumelwe kulandelwe imithetho elandelwayo yokuhlanza kanye nokubulala amagciwane phakathi kokusetshenziswa kwesiguli.Lokhu akubandakanyi izindawo zangaphandle zomshini kuphela kodwa nezingxenye zangaphakathi namashubhu.
4. Ukunganele Kwenhlanzeko Yezandla
Ochwepheshe bezempilo abasebenzisa imishini yokuphefumula kanye ne-anesthesia kumele bagcine ukuhlanzeka kwezandla okuqinile.Ukwehluleka ukwenza lokho kungase kungenise izinto ezingcolisa imishini, ezingadluliselwa ezigulini.Ukugeza izandla ngendlela efanele kanye nokusetshenziswa kwezinto zokuzivikela kuyizici ezibalulekile zokulawula amagciwane.
Izinyathelo Zokuvimbela: Abahlinzeki bezokunakekelwa kwempilo kufanele babambelele emikhubeni eqinile yenhlanzeko yezandla, okuhlanganisa ukugeza izandla ngensipho namanzi noma ukusebenzisa izibulali magciwane ezinotshwala okungenani obungama-60%.
Isiphetho
Imishini yokuphefumula neyokubulala izinzwa ingamathuluzi ayigugu kwezokwelapha zesimanje, kodwa inezingozi ezingokwemvelo zokutheleleka.Ukuqinisekisa ukuphepha kwesiguli kanye nokuvikela izifo ezihambisana nokunakekelwa kwezempilo, kubalulekile ukusebenzisa imithetho eqinile yokuhlanza kanye nokubulala amagciwane, ukuthobela inhlanzeko efanele yezandla, futhi ulandele imihlahlandlela yomkhiqizi ngokucophelela.Ngokubhekana nalezi zingozi zokutheleleka ezingaba khona, izikhungo zezempilo zingaqhubeka nokuhlinzeka ngokunakekelwa kwekhwalithi ephezulu ngenkathi zinciphisa amathuba okutheleleka nge-nosocomial.
