Izimpendulo Zokuphepha Zokusebenzisa Injeksheni Yokunqula?

Indlela Yokusebenzisa Izinto Ezinamandla Yokugcina Ubuhlungu Ngokuphelele Kunye Ne-Ukusebenzisa Kuphela Umshitho Wokubulawa

Izindlela Zokusebenzisa Izinto Ezinamandla Yokugcina Ubuhlungu Kunye Nokwenza Isikhundla Sokubulawa

Ukusebenzisa ngokupheleleyo umsebenzi wokuhlonipha kusuka ku-ukuchitha amakhanda ngendlela efanele futhi ukubhekisisa ukuthi izihlangothi zokuhlonipha njengezihlangothi zokuhlonipha noma izihlangothi zokugcina zisetyenziswa ngalokho ngasinye ngaphambi kokuthintana ne-needle yamanesthesia. Kusukela esikhundleni sokufaka, kufanele kuchithwe ngokusebenzisa isilawuli esifana ne-chlorhexidine noma ipovidone-iodine. Sebenzisa lezi zilawuli ngokuzimela ngamathuba amaningi okwaziwa ngazo futhi uzame ukuzimela ngokupheleleyo ngokwakho. Lokhu kusiza ekunciphiseni amasili ngokupheleleyo. Izinto eziphambili ezidingekayo xa kusebenziswa umbono: bhekisa iminyaka yokuphela kwemithombo, bheka ukuthi izindawo zokusebenza zizihloniphe phakathi kwezilungu, futhi ungasebenzisi kabusha lokho okwenzelwe ukusebenzisa kuphela umuntu omunye. Lezi zinkimbinkimbi zokuphela ziyadonsa kakhulu ekuvikeleni amasili ngokusebenzisa izindlela.

• Ukuphakamisa izivili zokusebenzisa kuphela umuntu omunye ukuze kuvikeleke ukuthintana kwezivili
• Ungasebenzisi ineedle eyasebenziswe ngaphambi kulo ukufinyelela emizivilini eyasebenzisa kabanzi
• Ukukhipha izineedle ngokushesha emva kokusebenzisa kumuntu omunye kuphela
• Ukuvikela ukuthintana kwezineedle zokuhlonipha, izihub, noma izitip ngamazinyo angahloniphi

Uma kwenziwa ngokuphelele, ukuchitha kwesikili kunciphisa ukuguqulwa kwebhakteriya emaphakathini ngamashumi amabili namahlanu (99%), kunciphisa kakhulu isivumelwano sokuthi kubhekwe ngokufanele—lokhu kusukela kumigomo yase-CDC ne-WHO malunga nokugcina kwezindawo zokusebenza.

Izinkinga Ezibonisiwe Ngokweminyaka Yokusebenzisa Izikhumba Zokunquma: Ukuthumela Kwamabhodi Okuhlanganisa Ibhloodi

Ukusebenzisa izikhumba zokugcina isifunda kabanzi, nangoba uyishintile indawo yomshini wokugcina, kuvumela ukuthi izinkampani zokuphakamisa ubuhlungu bokugcina izwele zibuyele kusukela emaphakathini. Izinkampani ezincinci zemithi nezinye izinto zokugcina ziyadlala kusukela emaphakathini amaningi asekhaya kanye nezindawo zokugcina, okuvumela ukuthi izinkampani zihambisane kusukela kumuntu omunye kuwe. Qondisa i-Hepatitis B njengombuzo wodwa. Le vurusu iyasebenza kusukela emithi yomthwalo wokugcina kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusukela kusuk......

Ukukhetha nokufaka izikhali zokugcina ukuthi kungavunyelwe imiphumela engenakho kubantu

Ukuphanda i-Gauge, ubude, nokudesigna kwe-bevel kuzindlela zokusebenza nezinhlobo zezinye izinhlobo zezindawo zemithombo

Ukukhetha indawo yokunqamuka engafanele kubaluleke kakhulu kulokho okuyi-prosedhuli yezinhlelo zokusebenza. Izifundo ze-Cochrane ne-American Society of Anesthesiologists zibonisa ukuthi izinjongo ezincane (25–27G) zizokwakha izihlalo zemikhono yokuqhamuka kwe-dura ngeminyaka engu-60% uma zihambisana nezinjongo ezingcono (22G). Ubude bendawo yokunqamuka ubukeka ngokuthi ubude bokuphakama kwesiqu (anatomy). Kuzoba kunezinhlelo zokunqamuka zase-spinal ezingaba yizinhlelo zokunqamuka zemithi emi-3.5, kodwa kuma-patient abanemithi yomkhono wokuphakama (BMI) okungaphezulu noma abanenkinga yezinhlelo zokusebenza, abasemthethweni baphatha izinhlelo zokunqamuka zemithi emi-4 kuze ne-5. Okumangalisayo kukuthi ubuchwepheshe (bevel) buyiphi indlela eyakubusa iziphumo. Izinhlelo zokunqamuka zokufaka (pencil point needles) ozokwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaqhwa akhona ayakwakha amaq......

Ukubonakalisa Kuphela Amaphakade Okwesibonelo Nokuhlela Ngokushesha Kwakho Kukuthiwa Kwesihlangu Sesikhumba/Sekuphathwa Kwesihlangu Sesikhumba

Izindlela zokubhalwa kwezindawo zezindaba zasezantsi zihlala ziyisibasiso sezindlela eziningi, kodwa sizazi konke ukuthi zinamaphroblemi amakhulu. Indlela yokuqeda ukungabi nesiphumo esidala ngokuphathelene nokugcina isikhathi esingaphezu kwezinkulungwane ezimbili zezintombi zomkhosi, abantu abanemiphumela yomkhosi, noma abanye abazimele kuzoba kusenziwa izindlela zokubhalwa kwezindawo zezindaba zasezantsi. Uma abadokotela baza kusebenzisa i-ultrasound yezinsuku zonke kulezindlela, isivinini sokwenza kahle kwezinsuku zokuqala siza kuvula ngokuphathelene nokugcina isikhathi esingaphezu kwezinkulungwane ezimbili. Amaphutha asingafanele ukuba aqondise kakhulu, futhi abasemthethweni baya kubona izinto eziphambili njengeziligamenti zezindawo zezindaba, ubude bezindawo zezindaba zasezantsi, kanye nendawo yezindawo zezindaba zasezantsi. Ukudibanisa izithombe zesi-ultrasound nezinye zokuhlela kuyakuncamisa indawo yomphutha phambi kokufaka umphutha kumuntu. Le ndlela iyakuncamisa ukufaka umphutha kwezindawo zezindaba zasezantsi ngokungafanele, iyakuvikela ukuthi izindawo zezindaba zasezantsi zizwale, kanye nokuvikela izivimba zezinkambo. Kukuphakanyiswa kwamaphutha wokubhalwa kwezindawo zezindaba zasezantsi, ukubheka ngokucacile indawo yomphutha emaphutheni kwezindawo zezindaba zasezantsi ngaphambi kokunika izinkambo ziyakwenza konke kubalulekile kanye nokuthi kuyasebenza kahle. Izifundo ezintsha ezishicilelwe emajoleni amakhulu njenge-Anesthesiology kanye ne-British Journal of Anaesthesia ziyabhekisa lokhu kahle.

Ubukhuseleko bokusebenza: Ukunqoba Izimpawu Zokubhisha Ngemithambo Yokuqinisa Ukuqinisa Kwezinkumbulo

Ukuthatha Iziphakamiso Zemithambo Yokuqinisa Ezinamandla Kwesigaba Somthwalo Nokuthenga Kwesikhundla Sokugcina

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Imibuzo Evame Ukubuzwa

Kungani kubalulekile ukulandela izindlela zokusebenzisa izikhumba zokunqula ngokupheleleyo?

Ukulandela izindlela zokupheleleyo zokusebenzisa izikhumba zokunqula kubalulekile kakhulu ukukhathala izifo ngemikhumbi, ukunciphisa ukuthi izibhakabhaka zihambisane, nokubhekisa isigaba sokuhlanganisa kwabantu.

Izidingo zokusebenzisa kabusha izikhumba zokunqula ziziphi?

Ukusebenzisa kabusha izikhumba zokunqula kungaholela kumkhumbi wokunqula okwenzeka ngokwesithili, njengokwesithili sika-Hepatitis B, okungadlula emafuthini amadryi ngeminyaka eyisibili futhi kungahambisana izifo phakathi kwabantu.

Ukubona ngokushesha kwe-ultrasound kuchaza kanjani ukupheleleyo kokufaka izikhumba zokunqula kwe-spinal noma kwe-epidural?

Ukubona ngokushesha kwe-ultrasound kuchaza kakhulu iziqu zokuzinikela zezindawo zokuzinikela, kunciphisa ingizo yokufaka izikhumba kabusha, futhi kuyavuka ukupheleleyo kokufaka kwe-1st attempt ngokwegama le-30%.

Izikhumba zokunqula ezenziwe ngokuvumela isigaba sokuhlanganisa ziziphi?

Izikhali ezisemthethweni zokuphepha zidesigniwane ukuze zibophelele iziphelo zezikhali zokuphepha ngamaphuzu njengezikhali zokubhala ngokuzenzakalelayo nezikhali zokubuyela emuva, zinikeza ukuphepha okwengeziwe kubantu abasebenzisa ebandla lokuphepha.