Mankhwala amakono ali ndi zofunikira kwambiri pa chilengedwe ndi ukhondo. Pofuna kuonetsetsa chitonthozo ndi thanzi la chilengedwe komanso ntchito ya aseptic ya opaleshoniyo, zipatala zachipatala ziyenera kumanga zipinda zogwirira ntchito. Chipinda cha opareshoni ndi gulu lathunthu lomwe lili ndi ntchito zambiri ndipo tsopano likugwiritsidwa ntchito kwambiri pazachipatala ndi zaumoyo. Kugwira ntchito bwino kwa chipinda chogwiritsira ntchito modular kumatha kupeza zotsatira zabwino kwambiri. Chipinda chopangira ma modular chili ndi mawonekedwe asanu awa:
1. Kuyeretsedwa kwa sayansi ndi kutsekereza, ukhondo wapamwamba wa mpweya
Zipinda zogwirira ntchito nthawi zambiri zimagwiritsa ntchito zida zoyeretsera mpweya kusefa ndi kupha tizilombo toyambitsa matenda komanso mabakiteriya omwe ali mumlengalenga. Chipinda chopangira opaleshoni chimakhala ndi mabakiteriya osakwana 2 pa kiyubiki mita, ukhondo wa mpweya wofika pa ISO 5, kutentha kwamkati kosalekeza, chinyezi chosalekeza, kupanikizika kosalekeza, komanso kusintha kwa mpweya ka 60 pa ola limodzi, zomwe zimatha kuthetsa matenda obwera chifukwa cha opaleshoni. ndi kusintha khalidwe la opaleshoni.
Mpweya wa m'chipinda chogwiritsira ntchito umayeretsedwa kangapo pa mphindi imodzi. Kutentha kosasintha, chinyezi chokhazikika, kupanikizika kosalekeza ndi kuwongolera phokoso zonse zimatsirizidwa kudzera munjira yoyeretsa mpweya. Mayendedwe a anthu ndi mayendedwe mu oyeretsedwa opaleshoni chipinda ali mosamalitsa olekanitsidwa. Chipinda chogwirira ntchito chimakhala ndi njira yapadera yadothi kuti athetse magwero onse akunja. Kuipitsidwa pakugonana, komwe kumalepheretsa mabakiteriya ndi fumbi kuwononga chipinda chopangira opaleshoni kwambiri.
2. Mlingo wa matenda a mpweya wabwino umakhala pafupifupi ziro
Chipinda cha opaleshoni chimayikidwa pamwamba pa bedi la opaleshoni kudzera mu fyuluta. Kutuluka kwa mpweya kumawomberedwa molunjika, ndipo mpweya wobwereranso uli pamakona anayi a khoma kuti zitsimikizire kuti tebulo la opaleshoni liri loyera komanso lokhazikika. Dongosolo la pendant-negative pressure suction system limayikidwanso pamwamba pachipinda chopangira opaleshoni kuti liyamwe mpweya wotuluka ndi dotolo kunja kwa nsanjayo kuti zitsimikizire kuti chipindacho chikhala chaukhondo komanso chosalimba. Kuthamanga kwa mpweya wabwino m'chipinda chogwirira ntchito ndi 23-25Pa. Pewani kuipitsidwa kwakunja kuti zisalowe. Kubweretsa kuchuluka kwa matenda pafupifupi ziro. Izi zimapewa kutentha kwakukulu ndi kotsika kwa chipinda cha opaleshoni chachikhalidwe, chomwe nthawi zambiri chimasokoneza ogwira ntchito zachipatala, ndikupewa kupewa matenda a intraoperative.
3. Amapereka mpweya wabwino
Zitsanzo za mpweya mu chipinda chogwirira ntchito zimayikidwa pa mfundo zitatu pa diagonal zamkati, zapakati ndi zakunja. Malo amkati ndi akunja ali 1m kuchokera pakhoma ndi pansi pa mpweya. Pazitsanzo za mpweya wa intraoperative, ngodya zinayi za bedi lopangira opaleshoni zimasankhidwa, 30cm kutali ndi bedi la opaleshoni. Nthawi zonse yang'anani momwe magwiridwe antchito amagwirira ntchito ndikuwona index yaukhondo wa mpweya mu chipinda chogwirira ntchito kuti mupereke mpweya wabwino. Kutentha kwa mkati kungasinthidwe pakati pa 15-25 ° C ndi chinyezi chitha kusinthidwa pakati pa 50-65%.
4. Kuchuluka kwa mabakiteriya otsika komanso kutsika kwa mpweya wotsekemera
Makina oyeretsera mpweya m'chipinda chopangira opaleshoni amakhala ndi zosefera zamagulu osiyanasiyana pamakona a 4 a makoma a chipinda chogwirira ntchito, mayunitsi oyeretsera, denga, makonde, mafani a mpweya wabwino komanso mafani otulutsa mpweya, ndipo amatsukidwa nthawi zonse, kukonzedwa, ndikusinthidwa kuti awonetsetse m'nyumba. mpweya wabwino. Sungani kuchuluka kwa mabakiteriya ndi mpweya woziziritsa m'chipinda chogwirira ntchito.
5. Mapangidwe amapatsa mabakiteriya pobisalapo
Chipinda chogwirira ntchito chimagwiritsa ntchito mapulasitiki opanda msoko komanso makoma azitsulo zosapanga dzimbiri. Makona onse amkati amapangidwa ndi mawonekedwe opindika. Palibe ngodya ya 90 ° mchipinda chogwirira ntchito, zomwe sizipatsa mabakiteriya pobisalira ndikupewa ngodya zakufa zosatha. Komanso, palibe chifukwa chogwiritsa ntchito njira zakuthupi kapena zamankhwala zophera tizilombo toyambitsa matenda, zomwe zimapulumutsa ntchito ndikuletsa kulowa kwa kuipitsidwa kwakunja.
Nthawi yotumiza: Mar-28-2024