Ukubaluleka kokhuseleko lwezigulana-Owona mceli mngeni kunyango kunye neanesthesia

Kwi-2018, uGqr David Whitaker malunga nokubaluleka kotyando lwehlabathi kunye negalelo le-anesthesia kukhuseleko lwezigulana

 

I-Anesthesia: Ngaba unganika imvelaphi malunga nento oyenzayo kunye nendlela enxulumene ngayo nokhuseleko lwezigulana kunye namayeza?

UDavid Whitaker: “Ndisandul 'ukuthatha umhlala-phantsi kutshanje kodwa ndaye ndasebenza njengeyeza lokuthomalalisa iintlungu ixesha elingaphezu kweminyaka engama-40 ndisebenza kwi-cardiest anesthesia nakukhathalelo olunzulu, kwaye ndaphinda ndenza inkonzo eqaqambisa iintlungu. Kutshanje kwiNgqungquthela yoMbutho woKhuseleko lweZigulana bebethetha ngendlela ababandakanyeka ngayo kukhuseleko lwezigulana nakwabanye abantu, kuye kwakho isehlo esithile, ngamanye amaxesha esiqhagamshelene nosapho lwabo, kodwa ndabona nje iziganeko ezininzi kule minyaka ndi ukucinga ukuba izinto ngekwenziwe ngcono. Xa ndonyulwa kwiBhunga le-AAGBI, elalisele linomkhondo omde kukhuseleko lwesigulana, baxoxa ngemibala ye-oksijini yesilinda kwintlanganiso yabo yokuqala kudala ngo-1932, bekukho abacebisi abaphezulu abalungileyo ababenobuchule bokuphucula ukhuseleko lwesigulana kunye ukuphakamisa imigangatho, ndaya ndibandakanyeka ngakumbi. ”

 

Zeziphi iiprojekthi osebenza kuzo okwangoku?

DW: “Ngoku ndinguye Sihlalo yaseYurophu ibhodi ye-Anaesthesiology (EBA) (UEMS) iKomiti yoKhuseleko lweSigulane kwaye kwi-2010 ndonwabile ekuncedeni ukudweba i-Helsinki Declaration on Patient Safety in Anaesthesiology, ebandakanya yonke imiba yokhuseleko lwesigulane kungekhona nje ukhuseleko lwamayeza. Isibhengezo saseHelsinki ngoku sisayinwe yimibutho enxulumene ne-200 ye-anesthesia kwihlabathi jikelele kwaye umsebenzi uyaqhubeka ukukhuthaza ukuphunyezwa kwayo ngokubanzi.

Kananjalo ukuba kwiKomiti ye-EBA yoKhuseleko loMonde, bendililungu leKomiti yoKhuseleko kunye noMgangatho ye-WFSA iminyaka esi-8 kwaye ndiye ndanethuba lokujonga emva kwaye ndibone ukuba loluphi utshintsho olwenzekileyo kule minyaka idlulileyo. Ukubeka iliso kuye kwenza umahluko omkhulu ekuphuculeni iziphumo zezigulana ukusukela nge1980s, kodwa ngoku ndibona ukhuseleko lwamayeza njengocelomngeni omkhulu olandelayo weanesthesia.

Omnye wemiceli mngeni ephambili usasebenzisa ii-ampoules zeziyobisi ukulungiselela ukulungiselela isigulana inaliti. Oku kuyingxaki kuba kugcwele iimpazamo ezinokubakho, ke esona sisombululo sisiso kukuphelisa ukusetyenziswa kwee-ampoules kunye nazo zonke iziyobisi zeanesthesia kwiisirinji ezikhethiweyo. I-Anesthesia ishiywe ngasemva kolu phuhliso lwehlabathi kunye ne-4% kuphela yamachiza e-IV asetyenziswa kwi-anesthesia anikezelwa kwi-PFS xa kuthelekiswa ngaphezulu kwe-36% yecandelo elingelilo. Nditsho neRoyal Pharmaceutical Society ngoku isithi amayeza okubulala iintlungu kufuneka aboniswe ekulungele ukuwasebenzisa nanini na kunokwenzeka. Iyenzeka e-USA ngoku ngaphezulu kwamasebe e-1,000 ye-anesthesia esebenzisa iisirinji ezikhethiweyo. Isebenza kakhulu kumazwe anobutyebi obuphezulu, kodwa nokuba iyafana kumazwe aphantsi kobutyebi ngumbuzo onomdla ngokwenene. Amachiza abiza i-HIV ngoku abonelelwa ngokubanzi kumqolo wezopolitiko. Iimveliso zePFS zikwathintela ukungcoliseka okunokubakho kwixabiso kuseto apho inzalo yenkqubo kunokuba nzima ngakumbi ukufezekisa. Izigidi ze-PFS eziqukethe izitofu sele zisetyenzisiwe kwezi meko.

Enye indawo endisebenza kuyo bubume obumiselweyo besitishi somsebenzi we-anesthesia / iitroli zeziyobisi ezineendawo ezithile kwichiza / isirinji nganye. Ukubekwa emgangathweni sisixhobo esikhulu sokhuseleko kwaye kunexabiso elongezelelekileyo xa oogqirha bezibulala-ntlungu besebenza ngokwamaqela, okanye bethatha iimeko, ngobungqina bokuba kunciphisa iimpazamo zamayeza ezichaziweyo. ”

Ucinga ukuba yeyiphi eyona miceli mingeni ye-anesthesia kukhuseleko lwezigulana okwangoku (zombini i-UK kunye namazwe aphantsi kwezixhobo)?

DW: “Ukhuseleko kumayeza ngowona mceli mngeni mkhulu kumazwe anezinto eziphezulu. Oku kuye kwavunywa nguMbutho wezeMpilo weHlabathi (i-WHO) ophehlelele uMceli mngeni wabo wesiThathu woKhuseleko loMonde, amayeza angenabungozi, ekujoliswe kuko kukuphungula inqanaba leyeza le-iatrogenic ngokwenzakala ngama-50% kwiminyaka emihlanu. Imiceli mngeni yangaphambili ibikukuhlanjwa kwezandla kunye noluhlu lokujonga utyando olukhuselekileyo, nothe lwatshintsha indlela yokusebenza kwilizwe jikelele yaba negalelo elikhulu. ”

SOURCE

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