"Iminyaka engaphezu kwengu-20 yoMkhiqizi Wezintambo Zezokwelapha Ochwepheshe eShayina"

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IZINDABA

Ukubaluleka kokwelashwa kokuphathwa kwezinga lokushisa ngesikhathi sokuhlinzwa

YABELANA:

Ukushisa komzimba kungenye yezimpawu eziyisisekelo zokuphila. Umzimba womuntu udinga ukugcina izinga lokushisa lomzimba elihlala njalo ukuze ugcine i-metabolism evamile. Umzimba ugcina ibhalansi enamandla yokukhiqizwa kokushisa kanye nokushabalaliswa kokushisa ngohlelo lokulawula izinga lokushisa lomzimba, ukuze kugcinwe izinga lokushisa lomzimba eliphakathi ku-37.0℃-04℃. Kodwa-ke, phakathi nesikhathi sokuhlinzwa, ukulawulwa kwezinga lokushisa lomzimba kuvinjelwa yimithi yokubulala izinzwa futhi isiguli sivezwa endaweni ebandayo isikhathi eside. Kuzoholela ekwehleni kokulawulwa kwezinga lokushisa lomzimba, futhi isiguli sisesimweni sokushisa esiphansi, okungukuthi, izinga lokushisa eliphakathi lingaphansi kuka-35°C, okubizwa nangokuthi i-hypothermia.

Ukushisa komzimba okuncane kwenzeka ku-50% kuya ku-70% weziguli ngesikhathi sokuhlinzwa. Ezigulini ezigula kakhulu noma ezinempilo embi yomzimba, ukwehla kokushisa komzimba ngengozi ngesikhathi sokuhlinzwa kungabangela umonakalo omkhulu. Ngakho-ke, ukwehla kokushisa komzimba kuyinkinga evamile ngesikhathi sokuhlinzwa. Izifundo zikhombisile ukuthi izinga lokufa kweziguli ezihlaselwa ukwehla kokushisa komzimba liphakeme kunelokushisa komzimba okuvamile, ikakhulukazi labo abanenkinga enkulu. Ocwaningweni olwenziwe e-ICU, ama-24% eziguli afa ngenxa yokushisa komzimba amahora ama-2, kanti izinga lokufa kweziguli ezinezinga lokushisa lomzimba elijwayelekile ngaphansi kwezimo ezifanayo lalingu-4%; ukwehla kokushisa komzimba kungaholela ekunciphiseni ukujiya kwegazi, ukubambezeleka kokululama ngemva kokuhlinzwa, kanye nokwanda kwamazinga okutheleleka kwamanxeba.

I-Hypothermia ingaba nemiphumela emibi ehlukahlukene emzimbeni, ngakho-ke kubaluleke kakhulu ukugcina izinga lokushisa lomzimba lijwayelekile ngesikhathi sokuhlinzwa. Ukugcina izinga lokushisa lomzimba lesiguli lijwayelekile ngesikhathi sokuhlinzwa kunganciphisa ukulahlekelwa yigazi ngokuhlinzwa kanye nokumpontshelwa igazi, okusiza ekululameni ngemva kokuhlinzwa. Enkambisweni yokunakekelwa kokuhlinzwa, izinga lokushisa lomzimba lesiguli elijwayelekile kumele ligcinwe, kanti izinga lokushisa lomzimba lesiguli kumele lilawulwe ngaphezu kwama-36°C.

Ngakho-ke, ngesikhathi sokuhlinzwa, izinga lokushisa lomzimba wesiguli lidinga ukubhekwa ngokucophelela ukuze kuthuthukiswe ukuphepha kweziguli ngesikhathi sokuhlinzwa futhi kuncishiswe izinkinga nokufa ngemva kokuhlinzwa. Ngesikhathi sokuhlinzwa, i-hypothermia kufanele ivuse ukunaka kwabasebenzi bezokwelapha. Ukuze kuhlangatshezwane nezidingo zokuphepha kwesiguli, ukusebenza kahle kanye nezindleko eziphansi ngesikhathi sokuhlinzwa, imikhiqizo yochungechunge lokuphathwa kokushisa komzimba ye-MedLinket yethule i-probe yokushisa elahlwayo, engaqapha ngempumelelo izinguquko ekushiseni komzimba wesiguli ngesikhathi sokuhlinzwa, ukuze abasebenzi bezokwelapha bakwazi ukuya emakhambi okushisa afanele ngesikhathi.

Ama-probe okushisa alahlwayo

Ama-probe okushisa kwesikhumba nobuso alahlwayo

ama-probe okushisa alahlwayo

Ama-probe okushisa e-Rectum/Esophagus alahlwayo

ama-probe okushisa alahlwayo

Izinzuzo zomkhiqizo

1. Ukusetshenziswa kwesiguli esisodwa, akukho ukutheleleka okuthelelanayo;

2. Ukusebenzisa i-thermistor enembile kakhulu, ukunemba kufinyelela ku-0.1;

3. Ngezintambo ze-adaptha ezahlukahlukene, ezihambisana nama-monitor ahlukahlukene ajwayelekile;

4. Ukuvikelwa okuhle kokuvikela ugesi kuvimbela ingozi yokushaqeka kukagesi futhi kuphephile; kuvimbela uketshezi ukuthi lungene ekuxhumaneni ukuqinisekisa ukufundwa okufanele;

5. Igwebu eliqinile elidlule ukuhlolwa kokuhambisana kwezinto eziphilayo lingalungisa indawo yokulinganisa izinga lokushisa, likhululekile ukugqokwa futhi alinaso isicanucanu esikhumbeni, futhi i-foam reflective tape ihlukanisa ngempumelelo izinga lokushisa elizungezile kanye nokukhanya kwemisebe; (uhlobo lwesikhumba-ubuso)

6. Ibhokisi le-PVC lezokwelapha eliluhlaza okwesibhakabhaka libushelelezi futhi alinamanzi; ubuso obuyindilinga nobubushelelezi bungenza lo mkhiqizo ngaphandle kokufakwa nokususwa kwe-Traumatic. (Ama-Rectum,/ama-Esophagus temperature probes)


Isikhathi sokuthunyelwe: Septhemba-09-2021

QAPHELA:

1. Imikhiqizo ayikhiqizwanga futhi ayigunyaziwe ngumkhiqizi wemishini yokuqala. Ukuhambisana kusekelwe ezicacisweni zobuchwepheshe ezitholakala emphakathini futhi kungahluka kuye ngemodeli yemishini kanye nokucushwa kwayo. Abasebenzisi belulekwa ukuthi baqinisekise ukuhambisana ngokuzimela. Ukuze uthole uhlu lwemishini ehambisanayo, sicela uxhumane nethimba lethu lenkonzo yamakhasimende.
2. Iwebhusayithi ingabhekisela ezinkampanini zangaphandle kanye nemikhiqizo engahlobene nathi nganoma iyiphi indlela. Izithombe zomkhiqizo zenzelwe izinjongo zokubonisa kuphela futhi zingase zihluke ezintweni zangempela (isb., umehluko ekubukekeni kwesixhumi noma umbala). Uma kwenzeka noma yikuphi ukungafani, umkhiqizo wangempela uzonqoba.