Ukuba wakha waya esibhedlele okanye wabona oogqirha nabahlengikazi befaka amayeza enxebeni lakho, baya kuqaphela kakhulu baze balandele iinkqubo ezikhethekileyo. Baza kunxiba iiglavu ezintsha, bakhuphe izixhobo kwiipakethe ezikhethekileyo, baze bafake amayeza ajikeleze inxeba. Ngaba wakha wazibuza ukuba kutheni besenza konke oku? Isizathu soku kukuba oko sithetha ngako namhlanje kubizwa ngokuba yi-'Aseptic Technique'. Ngamafutshane, le yinkqubo engqongqo kakhulu, ebalulekileyo esetyenziselwa ukuthintela ukusasazeka kweentsholongwane.
Kutheni le nto siyidingayo le nto ibizwa ngokuba yi-'Aseptic Technique'?
Cinga nje, kukho iintsholongwane kuyo yonke indawo kwindawo esingqongileyo. Kukho izigidi zeentsholongwane emoyeni esiwuphefumlayo, emanzini esiwaselayo, kwanaselukhumbeni lwethu. Kodwa ayizizo zonke ezi ntsholongwane ezisigulisayo. Uninzi lwazo alunabungozi. Kodwa, kukho ezinye iintsholongwane, esizibiza ngokuba ziintsholongwane ezibangela izifo . Ezi zezona zisibangela izifo ezinzulu kunye nosulelo. Umzekelo, izinto ezifana neebhaktheriya, iintsholongwane, iifungi.
Ngokwesiqhelo, ulusu lwethu lufana nodonga olukhulu olukhuselayo oluthintela ezi ntsholongwane ukuba zingangeni emzimbeni. Kodwa xa utyando, xa wenzakele, okanye xa kufakwa into efana ne-cannula, olu qweqwe lokhuselo lolusu luyaphuka. Emva koko, kuba lula kakhulu ukuba ezo ntsholongwane ziyingozi zingene emzimbeni.
Ngelo xesha, iingcali zonyango zisebenzisa le ndlela engenazo iintsholongwane, okanye 'i-Aseptic Technique,' ukuthintela iintsholongwane ukuba zingangeni emzimbeni zize zibangele usulelo.
Nazi ezinye iimeko apho le ndlela ibaluleke kakhulu:
- Xa ubopha amanxeba uze uwagqume ngamayeza.
- Xa usenza utyando.
- Xa kufakwa iityhubhu ezikhethekileyo (ii-PICC lines okanye ii-central venous catheters) kwimithambo yegazi.
- Kunyango olufana ne-dialysis kwizigulana zezintso.
- Kwezinye iimeko, iisampuli zegazi okanye ezinye iisampuli ziyathathwa ukuze zivavanywe.
Kuzo zonke ezi meko, injongo kukuthintela iintsholongwane ukuba zingangeni emzimbeni wesigulana kangangoko kunokwenzeka.
Yintoni umahluko phakathi kwamagama amathathu athi 'Clean', 'Aseptic' kunye 'Sterile'?
Usenokuba ukhe waweva la magama mathathu xa uthetha nogqirha. Nangona evakala efana, kukho umahluko omncinci kodwa obaluleke kakhulu. Masiqonde oku ngokucacileyo.
| Ixesha | Intsingiselo elula | Umzekelo |
|---|---|---|
| Coca | Ukuba cocekileyo, kungabikho luthuli nakungcola. Nangona kunjalo, oku kusenokuba neentsholongwane ezingenabungozi. Okwenziwayo apha kukunciphisa inani leentsholongwane. | Ibhokisi yeeglavu ezintsha kwigumbi likagqirha. Zicocekile, kodwa azinazo iintsholongwane kwaphela. |
| I-Aseptic (ayinazo iintsholongwane) | Le yimeko embi kakhulu. Injongo apha kukuphelisa ngokupheleleyo iintsholongwane. Eli ligama elibhekisa kwindlela ethile. | Ngaphambi kotyando, ugqirha uhlamba izandla zakhe ngesepha ekhethekileyo, anxibe iimpahla ezikhethekileyo, aze acoce ulusu lwesigulana ngesisombululo sokubulala iintsholongwane. |
| Ayinazintsholongwane | Oku kuthetha ukuba akukho zintsholongwane (ezilungileyo nezimbi) zalo naluphi na uhlobo kwinto okanye kwindawo engqongileyo. Esi sisiphumo sokugqibela, okanye imeko. | Izixhobo ezisetyenziswa kutyando, ezifana nezikere kunye ne-forceps, zitywinwe kwiipakethe ezikhethekileyo. I-Operating Theatre. |
Ngamafutshane, ugqirha usebenzisa iindlela 'zokungahlambuluki' ukuthintela ukuba ungafumani usulelo ngokusebenzisa indawo kunye nezixhobo 'ezingenazintsholongwane' okanye ezingenazo kwaphela iintsholongwane.
Ziziphi izinto ezine eziphambili ze-'Aseptic Technique'?
Kukho amanyathelo amane aphambili ekufuneka alandelwe ukuze kwenziwe le ndlela ingenazo iintsholongwane ngokuchanekileyo. Masiwajonge ngamanye.
1. Izixhobo kunye nokulungiselela izigulane
Eli linyathelo lokuqala nelona libalulekileyo. Zonke izixhobo ezisetyenziswa kunyango kufuneka zicocwe ngokupheleleyo, okanye 'zicocwe iintsholongwane.' Eyona ndlela ixhaphakileyo yokwenza oku kukutshabalalisa iintsholongwane kusetyenziswa ubushushu obuphezulu kunye noxinzelelo.
- Ukubulala iintsholongwane kwizixhobo: Izixhobo zisongelwa ngokukodwa (i-Autoclave)Izixhobo zifakwa kumatshini obizwa ngokuba yi-steriliser. Ubushushu obuphezulu kunye noxinzelelo lomphunga ngaphakathi kulo matshini zitshabalalisa zonke iintsholongwane ezikwisixhobo. Emva kokusisusa kumatshini, isalathisi esikhethekileyo (umzekelo, iteyiphu etshintsha umbala) kwiphakheji siyajongwa. Oku kuqinisekisa ukuba inkqubo yokubulala iintsholongwane igqityiwe ngokuchanekileyo.
- Ukulungiselela isigulana: Ngaphandle kwezixhobo, indawo yesigulana apho unyango luza kwenziwa khona kufuneka icocwe. Oku kwenziwa ngokusebenzisa isibulali-ntsholongwane ukubulala naziphi na iintsholongwane ezikuloo ndawo.
2. Ukusebenzisa Izithintelo
Izithintelo zizinto ezithintela iintsholongwane ukuba zingahambi ukusuka kwenye indawo ukuya kwenye. Oku kufana nekhaka elisetyenziswa emfazweni.
- Izixhobo zokuzikhusela zomntu: Imizekelo ibandakanya iiglavu ezicocekileyo, iigawuni, kunye neemaski ezinxitywa ngoogqirha nabahlengikazi. Ukunxiba ezi zinto kuthintela iintsholongwane emizimbeni yabo ukuba zingadluliselwa kwisigulana, kwaye iintsholongwane ezisemzimbeni wesigulana zingadluliselwa kubo.
- Eminye imiqobo: Iingubo ezingeyongozi, ezigqunywe emzimbeni wesigulana ngexesha lotyando, zezinye izithintelo. Oku kunceda ekuvezeni kuphela indawo yotyando kwaye kuthintele iintsholongwane ukuba zingangeni zivela kwenye indawo.
3. Izikhokelo zoQhagamshelwano
Lo ngumthetho obaluleke kakhulu. Ngamafutshane, umthetho ngulo: "Into ecocekileyo inokuchukunyiswa kuphela yenye into ecocekileyo."
- Umzekelo, emva kokuba ugqirha enxibe iiglavu ezingasebenziyo, uyakwazi ukuphatha izixhobo ezingasebenziyo. Kodwa akanakukwazi ukuvuthela impumlo yakhe okanye ukuphendula ifowuni ngezo glavu. Ukuba wenza njalo, ezo glavu azisenazo 'iintsholongwane'. Oko kuthetha ukuba 'zingcolisiwe', okanye zingcolile.
4. Ulawulo lweNdalo
Kubalulekile ukugcina igumbi lonyango okanye indawo engqongileyo ingenazo iintsholongwane.
- Ngaba wakha wazibuza ukuba kutheni iingcango zegumbi lotyando zihlala zivaliwe? Isizathu kukuthintela iintsholongwane ukuba zingangeni kwigumbi nomoya ovela ngaphandle.
- Kwakhona, bayawunciphisa inani labantu abanokungena kwezo ndawo. Basebenzisa neenkqubo ezikhethekileyo zokucoca umoya ukususa iintsholongwane emoyeni.
Ukubaluleka koBuchule bokuSetyenziswa kweNtsholongwane kunye nendima yakho
Ngokulandela le ndlela ngokuchanekileyo, usulelo olufunyanwa esibhedlele lunokuthintelwa kakhulu. Oku kungaba ngumbandela wobomi nokufa, ingakumbi kwizigulana ezineenkqubo zomzimba ezibuthathaka.
Ukuze le nkqubo isebenze kakuhle, wonke umntu kwicandelo lezempilo, ukususela koogqirha ukuya kubasebenzi bokucoca, kufuneka alandele le mithetho ngokungqongqo.
Kodwa njengomguli, nawe unendima apha. Unoxanduva lokhuseleko lwakho.
Ukuba ukhe uzive ngathi ugqirha okanye umongikazi akahlambanga izandla zabo ngaphambi kokuba bakunyange, okanye ukuba basebenzisa izixhobo ezingcolileyo, ungoyiki ukuthetha ubuze imibuzo. Akukho nto imbi ngokubuza ngentlonelo, "Gqirha, uxolo, ngaba uzihlambile izandla zakho?" Lilungelo lakho ukwenza njalo ngenxa yokhuseleko lwakho. Umsebenzi wezempilo olungileyo akasoze athukuthele ngombuzo onjalo, kwaye uyawuxabisa.
Umyalezo Wokuya Ekhaya
- 'Indlela yokubulala iintsholongwane' yindlela ebaluleke kakhulu nengqongqo esetyenziswa kwizibhedlele nakwiikliniki ukuthintela ukusasazeka kweentsholongwane.
- 'Ukucoca' kuthetha ukunciphisa inani leentsholongwane. Kodwa 'i-Aseptic' ibhekisa kwinkqubo yokuphelisa ngokupheleleyo iintsholongwane ezibangela izifo. 'I-Sterile' ibhekisa kwimeko yokugqibela apho kungekho zintsholongwane.
- Izinto ezine eziphambili zale ndlela zezi: izixhobo kunye nokulungiselela izigulane, ukusetyenziswa kwezithintelo, imithetho engqongqo yokunxibelelana, kunye nolawulo lokusingqongileyo.
- Le ndlela ikukhusela kwiintsholongwane ezinzulu ngexesha lotyando okanye ukufakelwa amanxeba.
- Njengesigulana, ukuba unamathandabuzo malunga nokuba la manyathelo okhuseleko ayalandelwa na ngexesha lonyango lwakho, ungoyiki ukubuza abasebenzi bezempilo ngayo. Kubalulekile kukhuseleko lwakho.
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