Ukutheleleka emayunithi dialysis kuvame kakhulu futhi, eNdiya, kuyimbangela yesibili yokufa kweziguli ze-HD (hemodialysis). Kulesi sihloko, sizokuhlaziya iMihlahlandlela Kazwelonke Yama-Indian Yokuvikela Ukutheleleka Nokulawula (i-IPC) embikweni Wokunakekelwa Kwezempilo 2020.

Iziguli ze-Hemodialysis zichayeke kakhulu ezifweni zezinhlobo ezahlukahlukene, manje kukhona nengozi ye-COVID-19. Phakathi kwezifo ezivame kakhulu, bathola i-BSI (Igazi Ukutheleleka Kwegazi), izifo ezitholakala emithanjeni, ezihamba negazi (njenge-HIV) kanye nezifo ezitholakala emoyeni (isifo sofuba, ngokwesibonelo). Ngakho-ke, yiziphi izindlela zokuvikela ukwandisa i-IPC (Ukuvimbela Ukutheleleka kanye Nokulawula) ezikhungweni zezempilo zaseNdiya?

 

Imihlahlandlela ye-2020 ye-IPC eNdiya, ochwepheshe bezokwelapha abaqinisekisa ukuvikelwa emayunithi dialysis

Amayunithi we-Dialysis abona izifo eziningi eziqubuka kaningi ngenxa yezenzo zokulawula ukutheleleka ezingezinhle. Ngokusho kocwaningo olwenziwe nguMnyango Wezempilo Nezenhlalakahle Yomndeni waseNdiya, ukutheleleka kungaqhamuka emanzini angcolile, imishini nezindawo ezisetshenziselwa ukwelashwa. Kungakho, uhlelo olusha lwe-IPC kumayunithi we-HD lubaluleke kakhulu, ikakhulukazi ngezikhathi ze-COVID-19.

Imisebenzi ye-IPC eyenziwa ngabasebenzi bezokwelapha njengodokotela nabahlengikazi inhloso yokunciphisa ingozi yokutheleleka kweziguli. Ikakhulu, imihlahlandlela emisha icacisa ukuthi kuyunithi ngayinye yokuhlunyeleliswa kwengqondo, udokotela noma umhlengikazi omkhulu kufanele anikezwe umsebenzi wokugada imisebenzi ye-IPC futhi aphathe konke okwabazungezile. Indima yakhe ifaka:

• Ukuqashwa kwemikhuba ye-IPC
• Ukuqeqeshwa kwabasebenzi abasha nokuqeqeshwa okuqhubekayo kwabo bonke abasebenzi 116 Imihlahlandlela Kazwelonke Yokuvikela Ukutheleleka kanye Nokulawula Ezindaweni Zokunakekelwa Kwezempilo
• Ukubhekwa ngezikhathi ezithile ukuhlola ingozi
• Ukusetjenziswa kwezigxobo zokuvimbela

Kubaluleke kakhulu ukuthi lochwepheshe axhumane futhi axhumane nethimba le-IPC njengabahlengikazi, ochwepheshe, odokotela, abasebenzi abagcina izindlu, kanye nesiguli nomndeni wakhe. Ukucaciswa kwayo yonke indima eyodwa phakathi kwabasebenzi bezokwelapha kubalulekile ukuvikela ukutheleleka kwiziguli ze-HD.

 

Izinyathelo zokunciphisa ubungozi bokutheleleka kweziguli ze-HD izinkombandlela ezintsha ze-IPC eNdiya

Ukudluliswa koxhumana naye kuyimbangela enkulu yokutheleleka esigulini se-HD. Kwenzeka ngezandla, kungcoliswe yigazi elinegciwane ngqo noma ngokungaqondile kusuka ezindaweni ezingcolisiwe nemishini. UMnyango Wezempilo wase-India ulandele izinkomba ze-World Health Organisation ngokuya nge-Hospital Preparedness for Epidemics (okuyi-official document link esekugcineni kwendatshana).

Ukusetshenziswa kwamagilavu ​​asebenzisa into eyodwa, ama-aproni alahlwayo noma ingubo, imaski yizinyathelo zokuqapha ezijwayelekile okufanele zilandelwe nsuku zonke neziguli. Lokhu ukuvimbela ukuthintana negazi, uketshezi, ukukhishwa noma izinto ezingcolile. Uma kwenzeka ukuthi isiguli sikhonjwe ukuthi sinesifo esisemoyeni kufanele sifihliwe ngokushesha futhi sihlukaniswe nezinye iziguli egumbini elilodwa okungaphansi kwengcindezi embi.

Iziguli nabasebenzi kufanele zigonywe njengokuchazwa kohlelo lokugonywa lukazwelonke, futhi isiguli nomhlengikazi kufanele bagqoke imaski lapho i-catheter ixhunyiwe noma inqanyulwa emithanjeni yegazi ngesikhathi senqubo yokudayela.

 

Ungayihlanza kanjani kahle imishini nezindawo ezingaphezulu ukunikeza i-IPC efanelekile kulayini dialysis?

Indima enkulu ekuvikeleni nasekulawuleni ukutheleleka (i-IPC) kwiyunithi ye-HD ukuhlanzwa kwemvelo nemishini. Kulesi sihloko, uMnyango Wezempilo Nenhlalakahle Yomndeni waseNdiya unikezele isijobelelo esithile (isixhumanisi esisekugcineni kwendatshana).

Kubaluleke kakhulu ukuhlanza nokukhipha amagciwane ezindaweni ezigulini (inyama, izingalo zokubambelela, itafula lokulala / itafula eliseceleni kombhede, kanye nezibambo zedrowa / zekhabethe) nezindawo zokuthinta eziphezulu (indawo yangaphandle yomshini weyunithi ye-dialysis, izikrini zekhompyutha namakhibhodi) phakathi kwazo zonke izindlela zokwelashwa kweziguli. Okuphoqelekile ukuhlinzeka ngokuhlanza okulungile futhi kuthathe isikhathi esanele kulokhu, ukuze kugwemeke ukushiya ingxenye eyodwa ingcolile. 

Izisetshenziswa zeyunithi yokudayela kufanele zihlanzwe kahle, kufaka phakathi

• Imishini ye-HD
• Izithokozi
• Ukunikezwa kwamanzi / ukwelashwa /izinhlelo zokusabalalisa
• izingxenye zezakhi ezinjengeshubhu nezihlungi
• i-acid ne-bicarbonate gxila kuzixazululo
• nezinsimbi kufaka phakathi i-cuff yomfutho wegazi
• i-stethoscope
• ama-haemostats
• izikhali
• ukubopha

Mayelana nokuhlanzwa kwemishini, imihlahlandlela yoMnyango Wezempilo waseNdiya 2020 incoma ngokuqinile ukulandela imiyalo yomkhiqizi.

 

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SOURCE

Izinkombandlela Zelizwe Lase-India Zokuvikela Ukutheleleka kanye Nokulawula (i-IPC) ezikhungweni Zokunakekelwa Kwezempilo 2020

 

IZINDAWO ZOLWAZI

I-WHO, Ukulungela Isibhedlela Epidemics

Ukuvalwa kokutheleleka kwe-WHO nokulawula izakhi zomgogodla