Uma uke waya esibhedlela noma wabona odokotela nabahlengikazi befaka umuthi enxebeni lakho, bazobe beqaphela kakhulu futhi balandele izinqubo ezikhethekile. Bazogqoka amagilavu amasha, bakhiphe izinto ezisetshenziswayo emaphaketheni akhethekile, bese befaka umuthi nxazonke zenxeba. Wake wazibuza ukuthi kungani benza konke lokhu? Isizathu salokhu yilokho esikhuluma ngakho namuhla kubizwa ngokuthi 'i-Aseptic Technique'. Kalula nje, lena inqubo eqinile kakhulu, ebaluleke kakhulu esetshenziselwa ukuvimbela ukusabalala kwamagciwane.
Kungani sidinga le nto ebizwa ngokuthi 'i-Aseptic Technique'?
Cabanga ngakho, kunamagciwane yonke indawo endaweni esizungezile. Kunezigidi zamagciwane emoyeni esiwuphefumulayo, emanzini esiwaphuzayo, ngisho nasesikhumbeni sethu. Kodwa akuwona wonke la magciwane asigulisayo. Iningi lawo alinangozi. Kodwa, kunezinye izifo, esizibiza ngokuthi ama-pathogen . Lezi yizo ezisibangela izifo ezinkulu kanye nokutheleleka. Isibonelo, izinto ezifana namagciwane, amagciwane, isikhunta.
Ngokuvamile, isikhumba sethu sifana nodonga olukhulu oluvikela la magciwane ukuthi angangeni emzimbeni. Kodwa uma uhlinzwa, uma ulimele, noma uma kufakwa into efana ne-cannula, lolu ngqimba lwesikhumba oluvikelayo luyaphuka. Ngemuva kwalokho, kuba lula kakhulu ngalawo magciwane ayingozi ukungena emzimbeni.
Ngaleso sikhathi, ochwepheshe bezempilo basebenzisa le ndlela engenamagciwane, noma 'i-Aseptic Technique,' ukuvimbela amagciwane ukuthi angangeni emzimbeni futhi abangele ukutheleleka.
Nazi ezinye izimo lapho le ndlela idingeka khona kakhulu:
- Uma ubopha amanxeba bese uwamboza ngomuthi.
- Lapho kwenziwa ukuhlinzwa.
- Uma ufaka amapayipi akhethekile (imigqa ye-PICC noma ama-catheter emithambo yegazi ephakathi) emithanjeni.
- Ekwelashweni okufana ne-dialysis yeziguli zezinso.
- Kwezinye izimo, amasampula egazi noma amanye amasampula ayathathwa ukuze ayohlolwa.
Kuzo zonke lezi zimo, umgomo uwukuvimbela amagciwane ukuthi angangeni emzimbeni wesiguli ngangokunokwenzeka.
Uyini umehluko phakathi kwamagama amathathu athi 'Clean', 'Aseptic' kanye 'Sterile'?
Kungenzeka ukuthi uke wezwa la magama amathathu lapho ukhuluma nodokotela. Nakuba ezwakala efana, kuneminye imisho emincane kodwa ebaluleke kakhulu. Ake sikuqonde kahle lokhu.
| Ithemu | Incazelo elula | Isibonelo |
|---|---|---|
| Hlanza | Ukuhlanzeka, ukungabi nothuli nokungcola. Kodwa-ke, lokhu kungase kube namagciwane angenangozi. Okwenziwayo lapha ukunciphisa inani lamagciwane. | Ibhokisi lamagilavu amasha egumbini likadokotela. Ahlanzekile, kodwa awanawo amagciwane nhlobo. |
| I-Aseptic (engenawo amagciwane) | Lesi yisimo esibucayi kakhulu. Umgomo lapha ukuqeda ngokuphelele amagciwane. Leli igama elibhekisela endleleni ethile. | Ngaphambi kokuhlinzwa, udokotela ugeza izandla zakhe ngensipho ekhethekile, agqoke izingubo ezikhethekile, futhi ahlanze isikhumba sesiguli ngesisombululo sokubulala amagciwane. |
| Ayinamagciwane | Lokhu kusho ukuthi azikho izinto ezincane (ezinhle noma ezimbi) zanoma yiluphi uhlobo entweni noma endaweni ezungezile. Lona umphumela wokugcina, noma isimo. | Izinsimbi ezisetshenziswa ekuhlinzeni, njengezikele kanye ne-forceps, zivaliwe emaphaketheni akhethekile. I-Operating Theatre. |
Kalula nje, udokotela usebenzisa izindlela 'zokubulala amagciwane' ukuvimbela ekutholeni ukutheleleka ngokusebenzisa indawo kanye nemishini 'engenamagciwane' noma engenawo nhlobo amagciwane.
Yiziphi izinto ezine eziyinhloko ze-'Aseptic Technique'?
Kunezinyathelo ezine eziyinhloko okufanele zilandelwe ukuze kwenziwe kahle le ndlela engenamagciwane. Ake sizibheke ngasinye ngasinye.
1. Imishini kanye nokulungiselela isiguli
Lesi yisinyathelo sokuqala nesibaluleke kakhulu. Yonke imishini esetshenziswa ekwelapheni kumele ihlanzwe ngokuphelele, noma 'ihlanzwe nge-sterilized.' Indlela evame kakhulu yalokhu ukubhubhisa amagciwane ngokusebenzisa ukushisa okuphezulu kanye nokucindezela.
- Ukubulala amagciwane kwezinsimbi: Izinsimbi zigoqwa ngokukhethekile (i-Autoclave)Imishini ifakwa emshinini obizwa ngokuthi i-steriliser. Izinga lokushisa eliphezulu kanye nomfutho womusi ngaphakathi kwalo mshini kubhubhisa wonke ama-microorganisms emishinini. Ngemva kokuyisusa emshinini, kuyahlolwa inkomba ekhethekile (isibonelo, itheyiphu eshintsha umbala) ephaketheni. Lokhu kuqinisekisa ukuthi inqubo yokubulala amagciwane iqediwe kahle.
- Ukulungiselela isiguli: Ngaphezu kwemishini, indawo yesiguli lapho kuzokwenziwa khona ukwelashwa kumele ihlanzwe. Lokhu kwenziwa ngokusebenzisa umuthi wokubulala amagciwane ukubulala noma yimaphi amagciwane endaweni.
2. Ukusebenzisa Izithiyo
Izithiyo yizinto ezivimbela amagciwane ukuthi asuke endaweni ethile aye kwenye. Lokhu kufana nesihlangu esisetshenziswa empini.
- Imishini yokuzivikela yomuntu siqu: Izibonelo zifaka amagilavu, ama-gown, kanye nezifihla-buso ezigqokwa odokotela nabahlengikazi. Ukugqoka lezi zinto kuvimbela amagciwane emizimbeni yabo ukuthi adluliselwe esigulini, kanye namagciwane asemzimbeni wesiguli ukuthi adluliselwe kuso.
- Ezinye izithiyo: Amakhethini ahlanzekile, ambozwa emzimbeni wesiguli ngesikhathi sokuhlinzwa, angenye isithiyo. Lokhu kusiza ukuveza indawo yokuhlinzwa kuphela nokuvimbela amagciwane ukuthi angangeni evela kwenye indawo.
3. Iziqondiso Zokuxhumana
Lona umthetho obaluleke kakhulu. Kalula nje, umthetho uthi: "Into engcolile ingathintwa kuphela enye into engcolile."
- Isibonelo, ngemva kokuba udokotela egqoke amagilavu angenamagciwane, angaphatha izinto ezingasebenzi kahle. Kodwa akakwazi ukushaya ikhala lakhe noma ukuphendula ucingo ngalawo magilavu. Uma enza kanjalo, lawo magilavu awasasebenzi kahle. Lokho kusho ukuthi 'angcolile', noma angcolile.
4. Ukulawulwa Kwemvelo
Kubalulekile ukugcina igumbi lokwelapha noma indawo ezungezile ingenamagciwane.
- Wake wazibuza ukuthi kungani iminyango yegumbi lokuhlinza ivalwa njalo? Isizathu ukuvimbela amagciwane ukuthi angangeni ekamelweni nomoya ovela ngaphandle.
- Futhi, banciphisa inani labantu abangangena ezindaweni ezinjalo. Basebenzisa nezinhlelo ezikhethekile zokuhlunga umoya ukuze basuse amagciwane emoyeni.
Ukubaluleka Kobuchwepheshe Bokulwa Nezifo Ezingasasebenzi Nendima Yakho
Ngokulandela le ndlela ngqo, izifo ezitholakala esibhedlela zingavinjelwa kakhulu. Lokhu kungaba yindaba yokuphila nokufa, ikakhulukazi ezigulini ezinezivikeli mzimba ezibuthakathaka.
Ukuze lolu hlelo lusebenze kahle, wonke umuntu emkhakheni wezokunakekelwa kwempilo, kusukela kodokotela kuya kubasebenzi bokuhlanza, kumele alandele le mithetho ngokuqinile.
Kodwa njengesiguli, nawe unendima lapha. Unesibopho sokuphepha kwakho.
Uma uke uzizwe sengathi udokotela noma umhlengikazi abazange bahlanze izandla zabo ngaphambi kokukwelapha, noma uma besebenzisa imishini engcolile, ungesabi ukukhuluma nokubuza imibuzo. Akukho okubi ngokubuza ngenhlonipho ukuthi, "Dokotela, uxolo, ingabe uzihlambile izandla zakho?" Kuyilungelo lakho ukwenza kanjalo ukuze uphephe. Isisebenzi sezempilo esihle asisoze sathukuthelela umbuzo onjengalowo, futhi siyawubonga.
Umlayezo Wokuya Nawe Ekhaya
- 'Indlela Yokubulala Amagciwane' iyindlela ebaluleke kakhulu futhi eqinile esetshenziswa ezibhedlela nasemakliniki ukuvimbela ukusabalala kwamagciwane.
- 'Ukuhlanza' kusho ukunciphisa inani lamagciwane. Kodwa elithi 'Aseptic' libhekisela enkambisweni yokuqeda ngokuphelele amagciwane abangela izifo. 'Inzalo' libhekisela esimweni sokugcina lapho kungekho khona amagciwane.
- Izingxenye ezine eziyinhloko zale ndlela yilezi: imishini nokulungiselela isiguli, ukusetshenziswa kwezithiyo, imithetho eqinile yokuxhumana, kanye nokulawula imvelo.
- Le ndlela ikuvikela ezifweni ezinkulu ngesikhathi sokuhlinzwa noma ukubopha amanxeba.
- Njengesiguli, uma unokungabaza ngokuthi lezi zinyathelo zokuphepha ziyalandelwa yini ngesikhathi sokwelashwa kwakho, ungesabi ukubuza abasebenzi bezempilo ngakho. Kubalulekile ekuphepheni kwakho.
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