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IINDABA

Ukubaluleka kweklinikhi kolawulo lobushushu ngexesha lotyando

YABELANA:

Ubushushu bomzimba yenye yeempawu ezisisiseko zobomi. Umzimba womntu kufuneka ugcine ubushushu bomzimba obuhlala buhleli ukuze ugcine imetabolism eqhelekileyo. Umzimba ugcina ibhalansi enamandla yokuvelisa ubushushu kunye nokuchithwa kobushushu ngenkqubo yokulawula ubushushu bomzimba, ukuze kugcinwe ubushushu bomzimba obuphakathi kwi-37.0℃-04℃. Nangona kunjalo, ngexesha lotyando, ulawulo lobushushu bomzimba luyathintelwa yi-anesthetics kwaye isigulane sichanabeka kwindawo ebandayo ixesha elide. Oku kuya kukhokelela ekwehleni kolawulo lobushushu bomzimba, kwaye isigulane sikwimeko yobushushu obuphantsi, oko kukuthi, ubushushu obuphakathi bungaphantsi kwe-35°C, okukwabizwa ngokuba yi-hypothermia.

Ubushushu obuphantsi buvela kwi-50% ukuya kwi-70% yezigulana ngexesha lotyando. Kwizigulana ezinezifo ezinzima okanye impilo embi yomzimba, ubushushu obuphantsi ngengozi ngexesha lotyando bunokubangela ingozi enkulu. Ke ngoko, ubushushu obuphantsi yingxaki eqhelekileyo ngexesha lotyando. Izifundo zibonise ukuba izinga lokufa kwezigulana ezine-hypothermia liphezulu kunelo lobushushu bomzimba obuqhelekileyo, ingakumbi abo baneengxaki ezinkulu. Kwisifundo esenziwe kwi-ICU, ama-24% ezigulana asweleke ngenxa yobushushu obuphantsi kangangeeyure ezi-2, ngelixa izinga lokufa kwezigulana ezineqondo lobushushu eliqhelekileyo lomzimba phantsi kweemeko ezifanayo yayiyi-4%; ubushushu obuphantsi bunokukhokelela ekunciphiseni ukujiya kwegazi, ukulibaziseka kokubuyela esiqhelweni emva kotyando, kunye nokwanda kwamazinga osulelo lwamanxeba.

I-Hypothermia inokuba nemiphumo emibi eyahlukeneyo emzimbeni, ngoko ke kubaluleke kakhulu ukugcina ubushushu bomzimba buqhelekile ngexesha lotyando. Ukugcina ubushushu bomzimba obuqhelekile besigulana ngexesha lotyando kunokunciphisa ukulahleka kwegazi ngotyando kunye nokufakwa igazi, nto leyo enceda ekubuyiseleni ubomi emva kotyando. Kwinkqubo yokhathalelo lotyando, ubushushu bomzimba obuqhelekile besigulana kufuneka buhlale buqhelekile, kwaye ubushushu bomzimba besigulana kufuneka bulawulwe ngaphezu kwama-36°C.

Ke ngoko, ngexesha lotyando, ubushushu bomzimba wesigulana kufuneka bujongwe ngokupheleleyo ukuphucula ukhuseleko lwezigulane ngexesha lotyando nokunciphisa iingxaki kunye nokufa emva kotyando. Ngexesha lotyando, i-hypothermia kufuneka ivuse ingqalelo yabasebenzi bezonyango. Ukuze kuhlangatyezwane neemfuno zokhuseleko lwesigulana, ukusebenza kakuhle kunye neendleko eziphantsi ngexesha lotyando, iimveliso zochungechunge lolawulo lobushushu bomzimba zeMedLinket ziqalise i-probe yobushushu elahlwayo, enokujonga ngokufanelekileyo utshintsho kubushushu bomzimba wesigulana ngexesha lotyando, ukuze abasebenzi bezonyango bakwazi ukuya kwiindlela ezifanelekileyo zokukhusela ngexesha elifanelekileyo.

Iiprobes zobushushu ezilahlwayo

Iiprobes zobushushu bolusu nomphezulu ezilahlwayo

iiprobhu zobushushu ezilahlwayo

Iiprobe zobushushu zeRectum/Esophagus ezilahlwayo

iiprobhu zobushushu ezilahlwayo

Iingenelo zemveliso

1. Ukusetyenziswa kwesigulane esinye, akukho ntsholongwane isasazekayo;

2. Ukusebenzisa i-thermistor echanekileyo kakhulu, ukuchaneka kufikelela kwi-0.1;

3. Ngeentambo ezahlukeneyo zeadaptha, ezihambelana neemonitha ezahlukeneyo eziqhelekileyo;

4. Ukhuseleko olufanelekileyo lobushushu luthintela umngcipheko wokutshayiswa ngumbane kwaye lukhuselekile; luthintela ulwelo ukuba lungangeni kwikhonkco ukuqinisekisa ukufundwa ngokuchanekileyo;

5. I-foam egobileyo ephumelele uvavanyo lokuhambelana kwezinto eziphilayo ingalungisa indawo yokulinganisa ubushushu, ikhululekile ukunxitywa kwaye ayinakurhawuzelelwa lusu, kwaye iteyiphu ebonakalisa i-foam iyawahlula ngokufanelekileyo ubushushu obungqongileyo kunye nokukhanya kwemitha; (uhlobo lolusu-umphezulu)

6. Ibhokisi yePVC yezonyango eluhlaza okwesibhakabhaka ithambile kwaye ayinamanzi; umphezulu wesheath ongqukuva nogudileyo ungenza le mveliso ngaphandle kokufakwa nokususwa kweTraumatic. (Iiprobe zobushushu zeRectum,/Esophagus)


Ixesha lokuthumela: Septemba-09-2021

PHAWULA:

1. Ezi mveliso aziveliswanga kwaye azigunyaziswanga ngumvelisi wezixhobo zokuqala. Ukuhambelana kusekelwe kwiinkcukacha zobugcisa ezifumaneka esidlangalaleni kwaye kunokwahluka ngokuxhomekeke kwimodeli yezixhobo kunye noqwalaselo. Abasebenzisi bayacetyiswa ukuba baqinisekise ukuhambelana ngokuzimeleyo. Ukuze ufumane uluhlu lwezixhobo ezihambelanayo, nceda unxibelelane neqela lethu lenkonzo yabathengi.
2. Iwebhusayithi ingabhekisa kwiinkampani zangaphandle kunye neempawu ezinganxulumananga nathi nangayiphi na indlela. Imifanekiso yemveliso yenzelwe iinjongo zokubonisa kuphela kwaye inokwahluka kwizinto zokwenyani (umz., umahluko kwimbonakalo okanye umbala wesixhumi). Kwimeko apho kukho nakuphi na ukungangqinelani, imveliso yokwenyani iya kuphumelela.