Ukutheleleka ngomugqa ophakathi - izibhedlela

Unomugqa ophakathi nendawo. Leli yishubhu elide (ipayipi) elingena emthanjeni esifubeni sakho, engalweni, noma emgodini futhi liphela enhliziyweni yakho noma emthanjeni omkhulu ngokuvamile oseduze kwenhliziyo yakho.

Ulayini wakho ophakathi uphethe izakhamzimba nomuthi emzimbeni wakho. Ingasetshenziswa futhi ukuthatha igazi lapho udinga ukuhlolwa kwegazi.

Ukutheleleka okuphakathi komugqa kubi kakhulu. Bangakugulisa futhi bakukhulise isikhathi esisesibhedlela. Ulayini wakho ophakathi udinga ukunakekelwa okukhethekile ukuvikela ukutheleleka.

Ungaba nomugqa ophakathi uma:

• Udinga ama-antibiotic noma eminye imithi amasonto noma izinyanga
• Dinga umsoco ngoba amathumbu akho awasebenzi kahle futhi awamunci izakhamzimba namakhalori anele
• Udinga ukuthola inani elikhulu legazi noma uketshezi ngokushesha
• Udinga ukuthathwa amasampula egazi ngaphezu kwesisodwa ngosuku
• Udinga i-dialysis yezinso

Noma ngubani onolayini ophakathi nendawo angathola ukutheleleka. Ingozi yakho iphakeme uma:

• Basegunjini labagula kakhulu (i-ICU)
• Yiba namasosha omzimba abuthakathaka noma ukugula okungathi sína
• Ukufakelwa komnkantsha noma i-chemotherapy
• Yiba nomugqa isikhathi eside
• Yiba nomugqa ophakathi emgodini wakho

Abasebenzi basesibhedlela bazosebenzisa inqubo ye-aseptic lapho ulayini ophakathi ufakwa esifubeni noma engalweni. Inqubo ye-Aseptic isho ukugcina yonke into iyinyumba (ingenamagciwane) ngangokunokwenzeka. Bazo:

• Geza izandla zabo
• Gqoka imaski, ingubo, ikepisi namagilavu ​​oyinyumba
• Hlanza indawo lapho kuzobekwa khona ulayini ophakathi nendawo
• Sebenzisa ikhava oyinyumba yomzimba wakho
• Qiniseka ukuthi konke abakuthintayo ngesikhathi senqubo kuyinyumba
• Mboza i-catheter nge-gauze noma nge-tape epulasitiki uma ususendaweni

Abasebenzi basesibhedlela kufanele babheke umugqa wakho ophakathi nsuku zonke ukuqinisekisa ukuthi usendaweni efanele nokuthi ubheke izimpawu zokutheleleka. I-gauze noma i-tape phezu kwesayithi kufanele ishintshwe uma ingcolile.

Qiniseka ukuthi awuthinti umugqa wakho ophakathi ngaphandle kokuthi ugeze izandla zakho.

Tshela umhlengikazi wakho uma umugqa wakho ophakathi:

• Ithola ukungcola
• Iphuma emthanjeni wakho
• Iyavuza, noma i-catheter isikiwe noma iqhekeziwe

Ungageza lapho udokotela wakho ethi kulungile ukwenza njalo. Umhlengikazi wakho uzokusiza ukumboza umugqa wakho ophakathi lapho ugeza ukuze uwugcine uhlanzekile futhi womile.

Uma ubona noma yiziphi zalezi zimpawu zokutheleleka, tshela udokotela noma umhlengikazi ngokushesha:

• Ububomvu esizeni, noma izintambo ezibomvu ezizungeze isayithi
• Ukuvuvukala noma ukufudumala esizeni
• Umsele ophuzi noma oluhlaza
• Ubuhlungu noma ukungaphatheki kahle
• Imfiva

Ukutheleleka kwegazi okuhambisana nomugqa ophakathi nendawo; CLABSI; I-catheter emaphakathi efakwe ngaphesheya - ukutheleleka; I-PICC - ukutheleleka; I-catheter emaphakathi emaphakathi - ukutheleleka; I-CVC - ukutheleleka; Idivayisi ye-venous central - ukutheleleka; Ukulawulwa kokutheleleka - ukutheleleka komugqa ophakathi; Ukutheleleka kwe-nosocomial - ukutheleleka komugqa ophakathi; Isibhedlela sithole ukutheleleka - ukutheleleka okuphakathi komugqa; Ukuphepha kweziguli - ukutheleleka komugqa ophakathi

Iwebhusayithi ye-Agency for Healthcare Research and Quality. Isithasiselo 2. Ishidi Leqiniso Lesifo Sokutheleleka Kwegazi Ephakathi Komugqa. ahrq.gov/hai/clabsi-tools/appendix-2.html. Kubuyekezwe uMashi 2018. Kufinyelelwe kuMashi 18, 2020.

UBeekman SE, uHenderson DK. Ukutheleleka okubangelwa amadivayisi we-intravascular percutaneous. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 300.

UBell T, u-O'Grady NP. Ukuvimbela ukutheleleka kwegazi okuhlobene nomugqa okuphakathi. Ukutheleleka Dis Clin North Am. 2017; 31 (3): 551-559. PMID: 28687213 pubmed.ncbi.nlm.nih.gov/28687213/.

I-Calfee DP. Ukuvimbela nokulawulwa kwezifo ezihambisana nokunakekelwa kwempilo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 266.

• Ukulawulwa Kokutheleleka