Usulelo olusembindini - izibhedlele

Unomgca osembindini. Le yityhubhu ende (i-catheter) eya emthanjeni esifubeni sakho, engalweni, okanye ekuthini iphele entliziyweni yakho okanye kumthambo omkhulu odla ngokusondela entliziyweni yakho.

Umgca wakho ophakathi uphethe izondlo kunye neyeza emzimbeni wakho. Ingasetyenziselwa ukuthatha igazi xa ufuna ukuvavanywa igazi.

Usulelo lomgca ophakathi lubaluleke kakhulu. Banokukwenza ugule kwaye bandise ukuba usesibhedlele ixesha elingakanani. Umgca wakho ophakathi ufuna ukhathalelo olukhethekileyo ukunqanda usulelo.

Unokuba nomgca osembindini ukuba:

• Kufuneka i-antibiotics okanye amanye amayeza iiveki okanye iinyanga
• Ifuna isondlo kuba izibilini zakho azisebenzi ngokuchanekileyo kwaye azifunxi izondlo kunye neekhalori ngokwaneleyo
• Kufuneka ufumane isixa esikhulu segazi okanye ulwelo ngokukhawuleza
• Kufuneka ukuba kuthathwe iisampulu zegazi ngaphezulu kwesihlandlo esinye ngosuku
• Ufuna i-dialysis yezintso

Nabani na onomgca ophakathi unokufumana usulelo. Umngcipheko wakho uphezulu ukuba:

• Bakwigumbi labagula kakhulu (ICU)
• Unesifo somzimba esibuthathaka okanye ugule kakhulu
• Ngaba banotshintsho lomongo wethambo okanye i-chemotherapy
• Yiba nomgca ixesha elide
• Yiba nomgca ophakathi kwi-groin yakho

Abasebenzi basesibhedlele baya kusebenzisa ubuchule be-aseptic xa umgca ophakathi ufakwa esifubeni okanye engalweni. Inkqubo ye-Aseptic kuthetha ukugcina yonke into iyinyumba (engenazintsholongwane) ngokusemandleni. Baza ku:

• Hlamba izandla zabo
• Nxiba imaski, igawuni, ikepusi kunye neiglavu ezingenazintsholongwane
• Coca indawo apho umgca ophakathi uza kubekwa khona
• Sebenzisa isiciko esingasebenziyo somzimba wakho
• Qinisekisa ukuba yonke into abayichukumisayo ngexesha lenkqubo iyinyumba
• Gubungela i-catheter nge-gauze okanye ngeplastiki ecacileyo xa sele ikho

Abasebenzi basesibhedlele kufuneka bajonge umgca wakho ophakathi yonke imihla ukuze baqiniseke ukuba ukwindawo elungileyo kwaye bajonge iimpawu zosulelo. I-gauze okanye i-tape ngaphezulu kwesiza kufuneka itshintshwe ukuba imdaka.

Qinisekisa ukuba awuchukumisi umgca wakho ophakathi ngaphandle kokuba uhlambe izandla.

Xelela umongikazi wakho ukuba umgca wakho ophakathi:

• Ifumana ukungcola
• Iphuma emithanjeni yakho
• Iyavuza, okanye i-catheter isikiwe okanye iqhekekile

Ungahlamba xa ugqirha wakho esithi kulungile ukwenza njalo. Umongikazi wakho uya kukunceda ugqume umgca wakho ophakathi xa uhlamba ukuze ugcine ucocekile kwaye womile.

Ukuba uphawula nayiphi na le miqondiso yosulelo, xelela ugqirha okanye umongikazi ngoko nangoko:

• Ububomvu kwisiza, okanye imigca ebomvu ejikeleze isiza
• Ukudumba okanye ukufudumala kwindawo leyo
• Umjelo otyheli okanye oluhlaza
• Intlungu okanye ukungaphatheki kakuhle
• Ifiva

Usulelo lwegazi oluchaphazeleka kumgca osembindini; I-CLABSI; Ukufakwa ngokuthe tyaba kwe-catheter-usulelo; PICC - usulelo; Central catheter venous - usulelo; I-CVC - usulelo; Isixhobo venous Central - usulelo; Ulawulo losulelo - usulelo lomgca ophakathi; Usulelo lwe-Nosocomial - usulelo lomgca ophakathi; Isibhedlele sifumene usulelo- usulelo olusembindini; Ukhuseleko lomonde-usulelo lomgca ophakathi

I-arhente yoPhando lwezeMpilo kunye newebhusayithi esemgangathweni. Isihlomelo 2. Central Line-Associated Bloodstream Infections Sheet. ahrq.gov/hai/clabsi-tools/appendix-2.html. Ukuhlaziywa kwe-Matshi 2018. Ifikeleleke ngo-Matshi 18, 2020.

Beekman SE, Henderson DK. Usulelo olubangelwa zizixhobo ezingaxutywanga zangaphakathi. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 300.

Intsimbi T, O'Grady NP. Uthintelo losulelo lwegazi oluchaphazelekayo oluchaphazelekayo. Ukusuleleka kwiKlinikhi yaseDis eMantla. Ngo-2017; 31 (3): 551-559. IINKCUKACHA: 28687213 pubmed.ncbi.nlm.nih.gov/28687213/.

I-Calfee DP. Uthintelo kunye nolawulo losulelo olunxulumene nokhathalelo lwempilo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 266.

• Ulawulo losulelo