Zviratidzo zvekuchengeteka
Ongororo yakaburitswa mujenari Infection Control uye Hospital Epidemiology (tinyurl.com/pdjoesh) inoratidza 99% yevavhiyi vakavhiyiwa kanokwana kamwe chete mumabasa avo.Dambudziko, cherechedzai vaongorori, nderekuti kuvhiyiwa magirovhosi kubhowa kazhinji haaonekwe panguva dzezviitiko, zvichireva kuti vanachiremba vanovhiya vanogona kuburitswa muropa uye nenjodzi dzehutachiona vasingazvizive.
KUSVIRA KWACHIREMBA
Zvinotora Mavhiki maviri Chete Kuti Uwane Kunzwa Kwekaviri-Gloving
Yvanachiremba vedu pamwe vanofunga kuti kaviri-gloving inoderedza ruoko kunzwa uye dexterity."Pasinei nehuwandu hwehuwandu hwemashoko hunotsigira kaviri-gloving, chisungo chikuru chekupindira uku kusagamuchirwa kwevanachiremba," vanonyora vatsvakurudzi Ramon Berguer, MD, naPaul Heller, MD, mu Journal of the American College of Surgeons ( tinyurl.com/cd85fvl).Nhau dzakanaka, ivo vanoongorora vanoti, hazvitore nguva yakareba kuti vanachiremba vekuvhiya vatange kunzwa vakajairana nekudzikira kwekunzwa kwemaoko kunobatanidzwa nekaviri-gloving.
"Iyezvino underglove magadzirirwo anoita kuti kaviri-gloving awedzere kugadzikana uye akaita kuti kuvandudzwa kwe2-point kusarura - kukwanisa kwechiremba anovhiya kunzwa 2 pfungwa dzichibata ganda rake," anodaro Dr. Berguer, uyo anonzwa kuti vanovhiya vanogona kunyatsogadzirisa kuviri-gloving mukati. 2 mavhiki ekuedza kekutanga.
— Daniel Cook
Vatsvagiri vanoti girovhosi puncture mazinga anosiyana, kunyangwe njodzi dzichikwira kusvika pa70% panguva yemaitiro akareba uye panguva yekuvhiya kunoda kushanda nesimba mumakomba akadzika uye kumativi.
mapfupa.Vanoona zvakare kuti tsvagiridzo inoratidza njodzi yekusangana neropa yakadzikira kubva ku70% nemagirovhosi ega kusvika pazasi se2% nemagirovhosi maviri, pamwe nekuti girovhosi yemukati yakaratidzwa kuramba yakasimba kusvika ku82% yezviitiko.
Kuti vaone kuti iropa rakawanda sei rinofambiswa kuburikidza neakamwe uye maviri akaturikidzana egirovhosi panguva yekukuvara kwepercutaneous, vaongorori vakanamira ganda renguruve neotomatiki lancets, iyo yakatevedzera suture tsono.Zvinoenderana nezvakawanikwa, chiyero che 0.064 L yeropa chinotamiswa mu punctures pakadzika 2.4mm kuburikidza ne1 girovha layer, zvichienzaniswa ne 0.011 L yeropa
maviri-glove layers, zvinoreva kuti vhoriyamu yakaderedzwa nechikamu che5.8.
Zvinonyanya kukosha, magirovhosi maviri akashandiswa muchidzidzo aisanganisira chiratidzo chegirovhosi: girovhosi remukati rakasvibira rakapfekwa negirovhosi rine ruvara rweuswa.Sekureva kwevatsvaguri, zvese zvibodzwa zvemagirovhosi ekunze zvakasara zvainyatso zivikanwa neruvara rwegirinhi rwe underglove yairatidzwa panzvimbo yepuncture.Musiyano weruvara unoderedza njodzi yekuratidzwa kweropa nekuzivisa vavhiyi nevashandi nezvekuputsika kungadai kwakave kusina kuonekwa.
"Double-gloving inofanirwa kukurudzirwa kune ese maitiro ekuvhiya uye inofanirwa kudiwa pamagadzirirwo anoitwa pavarwere vane hutachiona hunozivikanwa kana varwere vasati vaongororwa hutachiona," vanodaro vaongorori.Vanotaurawo kuti kunyange kudzivirira kwekaviri-gloving kunoonekwa, haisati yave tsika nekuda kwekuderedzwa kunonzi kuderedzwa uye pfungwa yekubata (kune humbowo hunopesana, ona sidebar pazasi).
Surgery 's riskiest specialty
Mumwe mushumo uri muActa Orthopædica Belgica (tinyurl.com/qammhpz), magazini yepamutemo yeBelgian Society of Orthopedics and Traumatology, inoti mwero wokuboborwa kwegirovhosi unotangira pa10% muruzivo rwemaziso kusvika pa50% pakuvhiyawo zvako.Asi kushushikana uye kunetsa kwekushandisa masaha anotenderedza, zviridzwa zvesimbi uye maimplants panguva yemaitiro emapfupa anoisa magirovhosi kune yakanyanyisa shear simba, zvichiisa orthopods panjodzi huru pakati pehunyanzvi hwekuvhiya, vanodaro vaongorori.
Muchidzidzo ichi, vaongorori vakaongorora mareti egirovhosi perforations panguva yakakura yakazara hudyu nemabvi kutsiva uye mamwe madiki mabvi arthroscopies.Vakaongororawo kuti magirovhosi maviri akakanganisa sei maperero uye kana mareti akasiyana pakati pevavhiyi, vabatsiri vavo uye OR vanamukoti.
Hwose girovhosi perforation rate yaive 15.8%, ine 3.6% chiyero panguva yearthroscopies uye 21.6% chiyero panguva yekutsiva majoini.Kupfuura 72% yekutyorwa kwacho hakuna kucherechedzwa kusvika mushure mekunge maitiro aitwa
akagumisa.Chete 3% yemagetsi emukati aive pangozi - hapana panguva yearthroscopies - ichienzaniswa ne22.7% yemagetsi ekunze.
Zvikuru, 4% chete yemaperforations yakanyorwa panguva huru maitirwo aisanganisira ese magirovhosi akaturikidzana.Chikamu chechina chevanachiremba vanovhiya mazana matanhatu nenhanhatu vakapinda muchidzidzo ichi vakatambura magirovhosi, ayo aive akakwira zvakanyanya kupfuura 8% yevabatsiri mazana matatu nemakumi mana nemasere uye vanamukoti mazana mashanu negumi nevaviri vakasangana nedambudziko rakafanana.
Vatsvagiri vanocherekedza kuti kaviri-gloving mune orthopedic maitiro anoderedza zvakanyanya kuitika kwekupwanya kwemagirovhosi emukati.
Kunyange zvazvo vashandi vekuvhiya vanokwesha vachidzikisa zvakafanira njodzi dzavo dzekutapurirwa zvirwere zveropa kana magirovhosi akaputirwa, vanowedzera, zvidzidzo zvekare zvakaratidza tsika dzemabhakitiriya dzakatorwa kunzvimbo dzekuputira dzave dzakanaka nezve 10% yenguva.
Nguva yekutumira: Jan-19-2024