Damdawi in i kal tawh emaw, doctor leh nurse-te i hliamah damdawi i hnawih tawh emaw a nih chuan an fimkhur hle ang a, tih dan bik an zawm ang. Glove thar an bun ang a, instrument te chu special package atangin an la chhuak ang a, hliam chhehvelah damdawi an hnawih ang. Engvangin nge heng zawng zawng hi an tih tih hi i ngaihtuah ngai em? A chhan chu tunlaia kan sawi tak hi ‘Aseptic Technique’ tih a ni. A awlsam zawngin sawi ila, hei hi hrik darh lohna tura hman dan khauh tak, pawimawh tak a ni.
Engvangin nge he thil ‘Aseptic Technique’ an tih hi kan mamawh?
Ngaihtuah teh, kan chhehvel hmun tinah hian natna hrik a awm a. Kan thaw thaw ah te, kan tui in ah te, kan vunah thlengin hrik maktaduai tam tak a awm a. Mahse heng hrik zawng zawng hian min ti na lo. A tam zawk hi chu harsatna nei lo an ni. Mahse, natna hrik thenkhat an awm a, pathogens kan ti thin . Hengte hi natna khirh tak tak leh hri kai min thlentu an ni. Entirnan, bacteria, virus, fungi ang chi thil te.
A tlangpuiin kan vun hi venhimna bang lian tak ang a ni a, chu chuan heng natna hrik te taksaah a luh loh nan a veng a ni. Mahse operation i neih chuan, hliam i neih chuan, cannula ang chi thil i dah chuan he vun venhimna layer hi a chhe vek a ni. Tichuan, chu hrik hlauhawm tak takte taksaah chuan a lut a awlsam hle.
Chutih lai chuan healthcare professional-te chuan he hrik awm lohna method, a nih loh leh ‘Aseptic Technique’ hi an hmang a, chu chu taksaa hrik lut a, natna hrik a thlen loh nan an hmang thin.
Hetiang hmanrua hi a tul bikna dinhmun thenkhat chu hetiang hi a ni:
- Hliam tuam leh damdawi hmanga khuh hunah.
- Surgery tih hunah.
- Vein-a special tube (PICC line emaw central venous catheter emaw) dah luh hunah.
- Kidney vei tan dialysis ang chi enkawlnaah.
- A then phei chuan thisen sample emaw sample dang emaw test nan lak a ni.
Heng zawng zawngah hian a tum ber chu damlo taksaa natna hrik a luh loh nan a theih ang anga ven a ni.
‘Clean’, ‘Aseptic’ leh ‘Sterile’ tih thumal pathumte hi eng nge an danglamna?
Doctor nena inbiaknaah heng thu pathumte hi i hre tawh mai thei. An ri inang viau nachungin, danglamna tenau tak tak, mahse pawimawh tak tak a awm. Hei hi chiang takin i hrethiam ang u.
| Hunbi | A awmzia awlsam tak | Entirna |
|---|---|---|
| Fai | Thianghlim, leivut leh bawlhhlawh laka fihlim. Mahse, hei hian natna hrik hlauhawm lo thenkhat a keng tel thei a ni. Heta thil tih mek chu hrik tihtlem a ni. | Doctor room ah chuan kutkawr thar bawm khat a awm a. An fai a, mahse natna hrik awm lo tak tak an ni lo. |
| Aseptic (germ awm lo) 1.1. | Hei hi dinhmun pawi zawk a ni. Hetah hian tum ber chu natna hrik te tihbo vek a ni. Hei hi method pakhat sawina thumal a ni. | Surgery an neih hmain doctor chuan sahbawn bik hmangin a kut a sil a, thawmhnaw bik a ha a, damlo vun chu antiseptic solution hmangin a tifai thin. |
| Sterile a ni | Chumi awmzia chu thil emaw, boruak emaw-ah hian microorganism chi hrang hrang (tha leh tha lo) a awm lo tihna a ni. Hei hi a tawp ber, a nih loh leh state a ni. | Surgery-a hman tur hmanrua, scissors leh forceps te, special package-a sealed te. Operating Theatre-ah a awm a. |
A awlsam zawngin sawi ila, doctor chuan ‘sterile’ emaw, natna hrik awm lohna hmun leh hmanrua hmangin natna i kai loh nan ‘aseptic’ method a hmang thin.
‘Aseptic Technique’-a thil pawimawh palite chu engte nge ni?
He germ-free method hi dik taka tih theih nan hian step lian pali zawm tur a awm. Pakhat hnu pakhatin i kal tlang ang u.
1. Thil hmanrua leh damlo inbuatsaihna
Hei hi a hmasa ber leh a pawimawh ber a ni. Enkawlna atana hmanraw hman zawng zawng chu disinfected vek tur a ni a, a nih loh leh ‘sterilized’ vek tur a ni. Chumi atana hmanraw hman tlanglawn ber chu heat leh pressure sang tak hmanga hrik tihchhiat hi a ni.
- Instrument-te sterilization: Instrument-te chu a bik takin an khuh (Autoclave) .Chu hmanrua chu steriliser an tih machine-ah dah a ni. He machine chhunga temperature sang leh steam pressure hian hmanruaa microorganism zawng zawng a tichhia vek a ni. Machine atanga lakchhuah hnuah package-a special indicator (entir nan, tape rawng thlak danglam thei) chu check a ni. Hei hian sterilization process dik taka tihfel a nih thu a nemnghet a ni.
- Damlo buatsaih dan: Thil hmanrua bakah hian damlo enkawlna tur hmun chu tihfai a ngai a ni. Hei hi antiseptic hmanga a hmuna hrik awm zawng zawng tihhlum hmanga tih a ni.
2. Barrier hman dan
Barrier chu natna hrik hmun khat atanga hmun danga an kal theih lohna tur thil a ni. Hei hi indonaa hman phaw ang a ni.
- Mimal invenna hmanrua: Entirnan, doctor leh nurse-te bun sterile gloves, gown leh mask te hi a ni. Heng thil bun hian an taksaa hrik awmte chu damlo hnenah a kai thei lo va, damlo taksaa natna hrik awmte chu anmahniah a kai thei lo bawk.
- Damdawi dang: Sterile drapes, operation neih laiin damlo taksa vel a draped te pawh hi daltu dang a ni. Hei hian surgical site chauh a pholang a, hmun dang atanga hrik lut lo turin a thawk bawk.
3. Inbiakpawhna atana kaihhruaina
Hei hi dan pawimawh tak a ni. A awlsam zawngin, dan chu hetiang hi a ni: "Sterrile item chu sterile item dangin a khawih thei chauh a ni."
- Entîr nân, doctor-in sterile gloves a bun hnuah, sterile instrument a khawih thei a ni. Mahse, chu gloves hmang chuan a hnar a puak thei lo va, phone pawh a chhang thei lo. A tih chuan chu kutkawr chu ‘sterile’ a ni tawh lo. Chu chu ‘contaminated’, a nih loh leh bawlhhlawh an lo ni tawh tihna a ni.
4. Environment control dan tur
Treatment room emaw environment emaw chu natna hrik awm lohna tura dah a pawimawh hle.
- Engvangin nge operation room kawngkhar hi khar reng a nih tih i ngaihtuah ngai em? A chhan chu pawn lam atanga boruak nen pindan chhunga hrik lut tur venna atan a ni.
- Tin, chutiang hmuna lut thei tur zat pawh an tikhawtlai mek bawk. Tin, boruak atanga hrik paih chhuah nan special air filtration system an hmang bawk.
Aseptic Technique pawimawhzia leh I chanvo
Hetiang tih dan dik tak zawm hian damdawi ina natna kai tam zawk chu ven theih a ni. Hei hi nunna leh thihna thil a ni thei a, a bik takin taksa hriselna lama harsatna nei damlote tan chuan.
He system hi a tha taka a thawh theih nan healthcare sector-a mi zawng zawng, doctor atanga cleaning staff thlengin heng dante hi khauh taka zawm a ngai a ni.
Mahse damlo i nih angin hetah hian chanvo i nei bawk. I himna tur chu nangmah ngeiin i mawhphurtu a ni.
Doctor emaw nurse emaw in enkawl hma che khan kut sil lo ang maia i inhriat a nih chuan, emaw, hmanraw bawlhhlawh an hmang a nih chuan, tawng chhuakin zawhna zawt hreh suh. Zahawm takin, "Doctor, min ngaidam rawh, i kut i sil em?" Mahni himna tur atana tih chu i dikna a ni. Healthcare worker tha tak chuan chutiang zawhna chu a thinrim ngai lovang a, an lawmpui hle bawk.
Take-Home Thuchah a ni
- ‘Aseptic Technique’ hi natna hrik darh tur venna atana damdawi in leh clinic-a hmanraw pawimawh tak leh khauh tak a ni.
- ‘Clean’ tih awmzia chu hrik awm zat tihtlem tihna a ni. Mahse ‘Aseptic’ tih hian natna thlentu hrikte tihbo vek dan a kawk a ni. ‘Sterile’ tih hian microorganisms awm lohna dinhmun hnuhnung ber a kawk a ni.
- Hetiang method-a thil pawimawh pali chu: hmanrua leh damlo inbuatsaihna, barrier hman dan, contact chungchanga dan khauh tak siam, leh environment control te hi a ni.
- Hetiang method hian operation emaw, hliam tuar emaw laiin natna khirh tak tak lakah a venghim che a ni.
- Damlo i nih angin, i enkawl lai hian heng himna dante hi zawm a nih leh nih loh chungchangah rinhlelhna i neih chuan healthcare worker-te zawt hreh suh. I himna atan a pawimawh hle.
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