Chibayo cha kuchipatala: ndi chiyani, chimayambitsa komanso momwe angachiritsire

Zamkati

• Zomwe zimayambitsa chibayo cha kuchipatala
• Zizindikiro zazikulu
• Chithandizo cha chibayo cha kuchipatala

Chibayo cha chipatala ndi mtundu wa chibayo chomwe chimachitika patatha maola 48 munthu atamugoneka kuchipatala kapena mpaka maola 72 atachira komanso kuti tizilombo toyambitsa matenda tomwe timakhala tisananyamule panthawi yolandila kuchipatala, atapezeka mchipatala.

Mtundu wa chibayo umatha kukhala wogwirizana ndi njira zomwe zimachitika mchipatala ndipo zimatha kuyambitsidwa, makamaka, ndi mabakiteriya omwe amapezeka mchipatala ndipo amatha kukhazikika m'mapapu a munthu, amachepetsa kuchuluka kwa mpweya ndikupanga matenda opumira.

Ndikofunika kuti chibayo cha kuchipatala chizindikiridwe ndikuchiritsidwa mwachangu kuti zovuta zitha kupewedwa ndipo pamakhala mwayi waukulu wopeza mankhwala. Chifukwa chake, dokotala kapena pulmonologist kapena katswiri wamatenda opatsirana angalimbikitse kugwiritsa ntchito maantibayotiki kuti athetse tizilombo toyambitsa matenda ndikulimbikitsa kusintha kwa zizindikilo.

Zomwe zimayambitsa chibayo cha kuchipatala

Chibayo cha chipatala chimayambitsidwa ndi tizilombo tating'onoting'ono tomwe timapezeka mosavuta mchipatala chifukwa cha zovuta zomwe zili nazo zomwe zimawalola kuti azikhala nthawi yayitali mchipatala komanso zomwe sizimachotsedwa ndi mankhwala ophera tizilombo omwe amagwiritsidwa ntchito pachipatala.

Chibayo chotere chimapezeka mosavuta kwa anthu omwe akupuma mpweya wabwino, kenako amalandira dzina la chibayo chokhudzana ndi makina opumira, komanso omwe alibe chitetezo chamthupi kapena amene amavuta kumeza, amakhala ndi chiyembekezo chofuna kutulutsa. chapamwamba thirakiti.

Chifukwa chake, tizilombo tating'onoting'ono tomwe timagwirizana ndi chibayo cha kuchipatala ndi awa:

• Klebsiella pneumoniae;
• Enterobacter sp;
• Pseudomonas aeruginosa;
• Acinetobacter baumannii;
• Staphylococcus aureus;
• Streptococcus pneumoniae;
• Legionella sp.;

Kuti mutsimikizire chibayo cha kuchipatala, m'pofunika kutsimikizira kuti matendawa adachitika patatha maola 48 mutalandiridwa kapena mpaka maola 72 mutatuluka, kuphatikiza pakufunika kwa kuyesa kwa labotale ndi kujambula kuti zithandizire kutsimikizira chibayo ndi tizilombo toyambitsa matenda. Dziwani zambiri zamatenda achipatala.

Zizindikiro zazikulu

Zizindikiro za chibayo cha nosocomial ndizofanana ndi chibayo chopezeka mderalo, chokhala ndi malungo akulu, chifuwa chouma chomwe chitha kupitilira kukhosomola ndikutuluka kwachikasu kapena kwamagazi, kutopa kosavuta, kusowa kwa njala, kupweteka pachifuwa komanso kupuma movutikira.

Monga momwe chibayo cha nosocomial chimachitikira munthu yemwe akadali mchipatala, zizindikirazo zimawonedwa nthawi yomweyo ndi gulu lomwe limayang'anira munthuyo, ndipo mankhwalawo adayamba posachedwa. Komabe, ngati zizindikiro za chibayo cha kuchipatala ziwonekera atatuluka, ndikofunikira kuti munthuyo akafunse dokotala yemwe adatsagana nawo kuti akawunike, akuwonetsa kuti ayese mayeso ndipo, ngati kuli kofunikira, ayambe chithandizo choyenera kwambiri.

Phunzirani kuzindikira zizindikiro za chibayo.

Chithandizo cha chibayo cha kuchipatala

Chithandizo cha chibayo cha nosocomial chikuyenera kuwonetsedwa ndi pulmonologist malinga ndi thanzi la munthu komanso tizilombo toyambitsa matenda, komanso kugwiritsa ntchito maantibayotiki kulimbana ndi tizilombo ndikuchepetsa kutupa nthawi zambiri kumawonetsedwa.

Zizindikiro zakusintha nthawi zambiri zimawonekera tsiku lachisanu ndi chiwiri la chithandizo, komabe, kutengera kukula kwa chibayo, munthuyo amatha kukhala mchipatala nthawi yachipatala kapena, nthawi zina, atulutsidwa. Zikatero, odwala omwe ali ndi matendawa amatha kugwiritsa ntchito maantibayotiki akumwa kunyumba.

Nthawi zina, chithandizo chamankhwala chitha kuwonetsedwa, ndikupumira kumatha kuthandizira chithandizo chamankhwala, kuthandizira kuchotsa zotsekemera zomwe zili ndi kachilomboka ndikuletsa mabakiteriya atsopano kufikira m'mapapo, akugwiritsidwanso ntchito kwa odwala omwe agonekedwa mchipatala kwanthawi yayitali nthawi, monga njira yopewera chibayo cha nosocomial. Mvetsetsani momwe kupuma kwa physiotherapy kumachitikira.

Chibayo cha kuchipatala chimatha kupatsirana ndipo, chifukwa chake, ndikofunikira kuti munthuyo apewe malo ampata monga ntchito, mapaki kapena sukulu, mpaka atachira. Komabe, ngati kuli kofunikira kupita kumalo amenewa, tikulimbikitsidwa kuti mugwiritse ntchito chigoba choteteza, chomwe chingagulidwe pamalo aliwonse ogulitsa mankhwala, kapena kuyika dzanja lanu, kapena mpango, patsogolo pa mphuno ndi pakamwa mukamayetsemula kapena kutsokomola.

Onaninso masewera olimbitsa thupi omwe amathandiza kulimbikitsa mapapo ndikuchira mwachangu ku chibayo: