Iimpawu zokhuseleko
Uphando olupapashwe kwijenali yoLawulo lweNkolelo kunye ne-Hospital Epidemiology (tinyurl.com/pdjoesh) lubonisa i-99% yeengcibi eziye zafumana ubuncinci inaliti enye kwimisebenzi yabo.Ingxaki, qaphela abaphandi, kukuba ukugqobhoza kweglavu yotyando kuhlala kungaqatshelwa ngexesha leemeko, oko kuthetha ukuba oogqirha botyando banokuba sesichengeni segazi kunye nemingcipheko yosulelo enxulumene noko bengazi.
INGXELO YOGQWENZO
Kuthatha iiVeki ezi-2 kuphela ukufumana imvakalelo yokuGlover kabini
Yoogqirha bethu mhlawumbi bacinga ukuba i-double-gloving inciphisa ubuntununtunu besandla kunye ne-dexterity."Nangona idatha enkulu exhasa i-double-gloving, i-drawback enkulu yolu ngenelelo kukungabikho kokwamkelwa koogqirha," babhala abaphandi uRamon Berguer, MD, kunye noPaul Heller, MD, kwi-Journal ye-American College of Surgeons. tinyurl.com/cd85fvl).Iindaba ezimnandi, abaphandi bathi, akuthathi xesha lide ukuba oogqirha botyando baqale ukuziva beqhelana nokuncipha kobuntununtunu besandla obunxulumene ne-double-gloving.
"Uyilo lwangoku lwe-underglove lwenza i-double-gloving ikhululeke ngakumbi kwaye iholele ekuphuculeni ucalucalulo lwamanqaku e-2 - amandla ogqirha ukuba azive iingongoma ze-2 ezichukumisa ulusu lwakhe," kusho uDkt Berguer, ovakalelwa kukuba oogqirha bayakwazi ukuzivumelanisa ngokupheleleyo ne-double-gloving ngaphakathi. Iiveki ezi-2 zokuyizama okokuqala.
—UDaniel Cook
Abaphandi bathi amazinga okuhlatywa kweglavu ayahluka, nangona imingcipheko inyuka ukuya kuthi ga kwi-70% ngexesha leenkqubo ezinde kunye nangexesha lotyando olufuna inzame enkulu kwimingxuma enzulu kunye najikelele.
amathambo.Baphinde baqaphele ukuba uphando lubonisa ukuba umngcipheko woqhagamshelwano lwegazi wehla ukusuka kwi-70% ngeeglavu enye ukuya kutsho ngaphantsi kwe-2% ngeeglavu eziphindwe kabini, mhlawumbi ngenxa yokuba iglavu yangaphakathi ibonakaliswe ukuba ihlale injalo ukuya kuma-82% kwiimeko.
Ukujonga ukuba lingakanani igazi elihanjiswa ngeeglavu enye kunye neziphindwe kabini kwindawo yomonzakalo we-percutaneous, abaphandi bancamathelisa ulusu lwehagu ngeelancets ezizenzekelayo, ezilinganisa iinaliti ze-suture.Ngokweziphumo ezifunyenweyo, umthamo ophakathi we-0.064 L wegazi ugqithiselwa kwi-punctures kubunzulu be-2.4mm nge-1 yeglavu umaleko, xa kuthelekiswa ne-0.011 L yegazi kuphela.
iileya eziphindwe kabini zeglavu, oku kuthetha ukuba umthamo uncitshiswe ngumlinganiselo we-5.8.
Ngokucacileyo, iiglavu eziphindwe kabini ezisetyenzisiweyo kuphononongo ziquka inkqubo yesalathisi: iglavu yangaphakathi eluhlaza enxitywe ngeglavu yangaphandle enombala wendiza.Ngokwabaphandi, zonke iipunctures zeglavu zangaphandle zomalale zichongeke ngokucacileyo ngombala oluhlaza weglove obonisa kwindawo yokugqobhoza.Umahluko wemibala unciphisa umngcipheko wokuba sesichengeni segazi ngokulumkisa oogqirha botyando kunye nabasebenzi malunga nezinto ezinokuthi zingabonakali.
Abaphandi bathi: "Iiglavu ezimbini kufuneka zinconyelwe kuzo zonke iinkqubo zotyando kwaye kufuneka zifuneke kwiinkqubo ezenziwa kwizigulana ezinosulelo olwaziwayo okanye izigulana ezingekavavanyelwa usulelo."Bakwabonisa ukuba ngelixa impembelelo yokukhusela i-double-gloving ibonakala, akukabikho isiqhelo ngenxa yokunciphisa okusolwayo kwi-dexterity kunye nomqondo wokuchukumisa (ubungqina obuchaseneyo, jonga i-sidebar ngezantsi).
Eyona nto iyingozi kakhulu kuqhaqho
Ingxelo ekwi-Acta Orthopædica Belgica (tinyurl.com/qammhpz), ijenali esemthethweni yeBelgian Society of Orthopedics and Traumatology, ithi amazinga okugqobhozwa kweglavu asusela kwi-10% kwi-ophthalmology ukuya kuma-50% kutyando jikelele.Kodwa uxinzelelo kunye noxinzelelo lokusebenzisa isarha ezijikelezayo, izixhobo zetsimbi kunye nokufakelwa ngexesha leenkqubo ze-orthopedic zixhomekeke kwiiglavu kumandla okucheba ngokugqithisileyo, kubeka ii-orthopods kowona mngcipheko mkhulu phakathi kwezinto ezikhethekileyo zotyando, batsho abaphandi.
Kolu phononongo, abaphandi bavavanya amazinga okugqobhoza kweglavu ngexesha elikhulu elipheleleyo le-hip kunye nokutshintshwa kwamadolo kunye ne-arthroscopies encinci yamadolo.Baphinde baphonononga ukuba i-double-gloving inefuthe elingakanani kumazinga okugqobhoza kunye nokuba amazinga ahluka phakathi koogqirha, abancedisi babo kunye nabongikazi.
Iqondo lokugqojozwa kweglavu lilonke laliyi-15.8%, kunye ne-3.6% yereyithi ngexesha le-arthroscopies kunye ne-21.6% ngexesha lokutshintshwa kwamalungu.Ngaphezulu kwe-72% yolwaphulo-mthetho aluzange luqatshelwe de kwasemva kweenkqubo
waqukumbela.Kuphela i-3% yeeglavu zangaphakathi zisengozini - akukho nanye ngexesha le-arthroscopies - xa kuthelekiswa ne-22.7% yeeglavu zangaphandle.
Okuqaphelekayo, yi-4% kuphela yokugqobhoza okurekhodiweyo ngexesha leenkqubo eziphambili ezibandakanya zombini iileya zeglavu.Ikota yoogqirha botyando abangama-668 ababandakanyeka kuphononongo bafumana iiglavu ezinemingxuma, ebeziphezulu kakhulu kune-8% yabancedisi abangama-348 kunye nabongikazi abangama-512 abathe bahlelwa sesi sihelegu.
Abaphandi bayaqaphela ukuba i-double-gloving in the orthopedic procedures inciphisa kakhulu iziganeko zokubhoboza iiglavu zangaphakathi.
Nangona abasebenzi botyando abakhuhla ngokufanelekileyo behlisa imingcipheko yabo yokosulelwa zizifo eziphuma egazini xa iiglavu zigqobhozekile, bongeza, uphononongo lwangaphambili lubonise iinkcubeko zebhaktheriya ezithathwe kwiindawo zokubhoboza ziye zaqinisekisa malunga ne-10% yexesha.
Ixesha lokuposa: Jan-19-2024