Izinkomba zokuphepha
Inhlolovo eshicilelwe kujenali ye-Infection Control kanye ne-Hospital Epidemiology (tinyurl.com/pdjoesh) iveza ama-99% odokotela abahlinzayo ababuzwa bake bahlushwa okungenani induku eyodwa yenaliti emisebenzini yabo.Inkinga, phawula abacwaningi, ukuthi ukubhoboza amagilavu okuhlinzwa kuvame ukungabonakali phakathi nezimo, okusho ukuthi odokotela abahlinzayo bangase bachayeke egazini kanye nezingozi zokutheleleka ezihambisana nazo ngaphandle kokwazi.
UKUZWA KOMBHINDE
Kuthatha Amaviki Ama-2 Kuphela Ukuze Uthole Ukuzizwa Kwe-Double-Gloving
Yodokotela bethu abahlinzayo cishe bacabanga ukuthi i-double-gloving inciphisa ukuzwela kwesandla kanye nobuciko.“Naphezu kokwaziswa okuningi okusekela i-double-gloving, inselele enkulu yalokhu kungenelela ukuntuleka kokwamukelwa odokotela abahlinzayo,” kubhala abacwaningi uRamon Berguer, MD, noPaul Heller, MD, kuyi-Journal of the American College of Surgeons ( tinyurl.com/cd85fvl).Izindaba ezinhle, abacwaningi bathi, akuthathi isikhathi eside ukuthi odokotela abahlinzayo baqale ukuzizwa bejwayele ukuncipha kokuzwela kwezandla okuhambisana nokugudluzwa kabili.
"Imiklamo yamanje ye-underglove yenza i-double-gloving ikhululeke kakhudlwana futhi iholele ekubandlululweni kwamaphuzu angu-2 okuthuthukisiwe - ikhono likadokotela ohlinzayo ukuzwa amaphuzu angu-2 ethinta isikhumba sakhe," kusho uDkt. Berguer, onomuzwa wokuthi odokotela abahlinzayo bangakwazi ukuzivumelanisa ngokugcwele ne-double-gloving ngaphakathi. 2 amaviki okuzama okokuqala.
— UDaniel Cook
Abacwaningi bathi amazinga okubhoboza amagilavu ayahluka, yize ubungozi bukhuphuka bufike ku-70% ngesikhathi sezinqubo ezinde kanye nangesikhathi sokuhlinzwa okudinga umzamo omkhulu emigodini ejulile nasezindaweni ezizungezile.
amathambo.Baphinde baphawule ukuthi ucwaningo lubonisa ukuthi ingozi yokuthintana ngegazi yehla isuka ku-70% uma usebenzisa amagilavu awodwa ukuya phansi njengo-2% ngamagilavu aphindwe kabili, mhlawumbe ngenxa yokuthi igilavu yangaphakathi yaboniswa ukuthi ihlale injalo ezimweni ezifika ku-82%.
Ukuze banqume ukuthi lingakanani igazi elidluliselwa ngongqimba olulodwa nakabili lwamagilavu lapho kulimala khona i-percutaneous, abacwaningi banamathisele isikhumba sengulube ngama-lancets azenzakalelayo, alingisa izinti zokuthungatha.Ngokwalokho okutholakele, inani elilinganisiwe lika-0.064 L wegazi lidluliselwa kuma-puncture ekujuleni kuka-2.4mm ukuya kungqimba lwegilavu elingu-1, uma kuqhathaniswa no-0.011 L wegazi kuphela.
izingqimba zamagilavu amabili, okusho ukuthi ivolumu yehliswe ngenani elingu-5.8.
Ngokuphawulekayo, amagilavu amabili asetshenziswe ocwaningweni afaka isistimu yenkomba: igilavu yangaphakathi eluhlaza egqokwa negilavu yangaphandle enombala wotshani.Ngokwabacwaningi, konke ukubhoboza kwezingqimba zangaphandle zamagilavu zazibonakala ngokucacile ngombala oluhlaza wegilavu oboniswa endaweni yokubhoboza.Umehluko wombala unciphisa ingozi yokuchayeka egazini ngokuxwayisa odokotela abahlinzayo nabasebenzi ngokuphulwa okungenzeka ukuthi akunakwanga.
“I-double-gloving kufanele ituswe kuzo zonke izinqubo zokuhlinzwa futhi kufanele idingeke ezinqubweni ezenziwa ezigulini ezinezifo ezaziwayo noma iziguli ezingakahlolelwa izifo,” kusho abacwaningi.Baphinde baveze ukuthi nakuba umphumela wokuvikela we-double-gloving ubonakala, akukabi yinjwayelo ngenxa yezinsolo zokwehliswa kobuciko nomuzwa wokuthinta (ukuthola ubufakazi obuphikisayo, bheka ibha eseceleni ngezansi).
Okukhethekile okuyingozi kakhulu kokuhlinzwa
Umbiko oku-Acta Orthopædica Belgica (tinyurl.com/qammhpz), iphephabhuku elisemthethweni le-Belgian Society of Orthopedics and Traumatology, uthi amazinga okubhobozwa kwamagilavu asukela ku-10% ku-ophthalmology kuya ku-50% ekuhlinzweni okuvamile.Kodwa ukucindezelwa nobunzima bokusebenzisa amasaha anyakazayo, amathuluzi ensimbi kanye nezinto ezifakwa phakathi nezinqubo zamathambo kubeka amagilavu amandla amakhulu okugunda, okubeka ama-orthopod engcupheni enkulu phakathi kochwepheshe bokuhlinzwa, kusho abacwaningi.
Kulolu cwaningo, abacwaningi bahlole amazinga okubhobozwa kwamagilavu ngesikhathi sokushintsha okukhulu kwe-hip namadolo kanye nama-arthroscopies amancane amadolo.Baphinde bahlola ukuthi i-double-gloving inomthelela kangakanani emazingeni okubhoboza nokuthi amanani ayahluka yini phakathi kodokotela abahlinzayo, abasizi babo kanye nabahlengikazi NOMA.
Isilinganiso sokubhobozwa kwamagilavu sisonke sasingu-15.8%, nesilinganiso esingu-3.6% ngesikhathi sokwenziwa kwe-arthroscopies kanye nesilinganiso esingu-21.6% ngesikhathi sokushintsha amalunga.Ngaphezulu kwamaphesenti angama-72 okuphulwa kwemithetho akuzange kubonwe kwaze kwaba yilapho izinqubo seziqediwe
kuphetha.I-3% kuphela yamagilavu angaphakathi ayesengozini - ayikho ngesikhathi se-arthroscopies - uma kuqhathaniswa ne-22.7% yamagilavu angaphandle.
Ngokuphawulekayo, u-4% kuphela wokubhobozwa okurekhodiwe phakathi nezinqubo ezinkulu ezihilela zombili izingqimba zamagilavu.Ingxenye yesine yodokotela abahlinzayo abangama-668 ababehileleke ocwaningweni ihlaselwe amagilavu anembobo, okwakuphezulu kakhulu kunamaphesenti angu-8 wabasizi abangama-348 nabahlengikazi abangama-512 ababhekene nesiphetho esifanayo.
Abacwaningi baphawula ukuthi i-double-gloving in the orthopedic procedures kunciphisa kakhulu isigameko sokubhobozwa kwamagilavu angaphakathi.
Nakuba abasebenzi abahlinzayo abahlinzayo behlisa ngokufanelekile izingozi zokuthola izifo ezitholakala egazini lapho amagilavu ebhoboziwe, bayengeza, ucwaningo lwangaphambilini lubonise amasiko amagciwane athathwe ezindaweni zokubhoboza abe nemiphumela emihle cishe ngo-10% wesikhathi.
Isikhathi sokuthumela: Jan-19-2024