Lipontšo tsa polokeho
Patlisiso e phatlalalitsoeng koranteng ea Infection Control and Hospital Epidemiology (tinyurl.com/pdjoesh) e senola 99% ea lingaka tse buoang li ile tsa hlokofatsoa ke nale e le 'ngoe mesebetsing ea tsona.Bothata, hlokomela bafuputsi, ke hore ho phunyeha ha liatlana tsa ho buoa hangata ha ho hlokomeloe nakong ea linyeoe, ho bolelang hore lingaka tse buoang li ka pepesehela mali le likotsi tse amanang le tšoaetso ntle le ho tseba.
TŠEBELETSO TŠEBELE
Ho nka Libeke tse 2 Feela ho Fumana Maikutlo a Double-Gloving
Ylingaka tsa rona tse buoang mohlomong nahana hore habeli-gloving fokotsa ho nahanela letsoho le dexterity."Ho sa tsotellehe boitsebiso bo bongata bo tšehetsang li-gloving tse peli, bothata bo boholo ba ho kenella hona ke ho se amoheloe ke lingaka tse buoang," ho ngola bafuputsi Ramon Berguer, MD, le Paul Heller, MD, ho Journal of the American College of Surgeons. tinyurl.com/cd85fvl).Litaba tse monate, bafuputsi ba re, ha ho nke nako e telele hore lingaka tse buoang li qale ho ikutloa li tloaelehile ho fokotseha ha maikutlo a matsoho a amanang le li-gloving tse peli.
Dr. Berguer, ea ikutloang hore lingaka tse buoang li ka ikamahanya le maemo a mabeli ka hare, o re: "Meetso ea hona joale ea underglove e etsa hore li-gloving tse peli li phutholohe 'me li lebisitse ho ntlafatseng khethollo ea lintlha tsa 2 - bokhoni ba ngaka e buoang hore e utloe lintlha tsa 2 li ama letlalo la hae. Libeke tse 2 tsa ho e leka ka lekhetlo la pele.
—Daniel Cook
Bafuputsi ba re litekanyetso tsa ho phunya liatlana lia fapana, leha likotsi li eketseha ho fihla ho 70% nakong ea ts'ebetso e telele le nakong ea opereishene e hlokang boiteko bo boholo ho likoti tse tebileng le ho potoloha.
masapo.Ba boetse ba hlokomela hore liphuputso li bonts'a kotsi ea ho kopana le mali e fokotsehile ho tloha ho 70% ka liatlana tse le 'ngoe ho ea tlase ho 2% ka li-gloves tse peli, mohlomong hobane glove e ka hare e bontšitsoe hore e lula e tiile ho fihlela ho 82% ea linyeoe.
Ho fumana hore na mali a fetisetsoa hakae ka liatlana tse le 'ngoe le tse habeli sebakeng sa likotsi tsa percutaneous, bafuputsi ba ile ba khomarela letlalo la nama ea kolobe ka li-lancets tse ikemetseng, tse etsisang lithupa tsa suture.Ho ea ka liphuputso, palo e lekaneng ea 0.064 L ea mali e fetisetsoa ka li-punctures ka botebo ba 2.4mm ho ea ho 1 glove layer, ha e bapisoa le 0.011 L feela ea mali.
li-glove tse peli, ho bolelang hore molumo o fokotsehile ka karolo ea 5.8.
Habohlokoa, liatlana tse peli tse sebelisitsoeng thutong li ne li kenyelletsa mokhoa oa ho bonts'a: glove e ka hare e tala e apereng ka ntle ea 'mala oa joang.Ho ea ka bafuputsi, liphahlo tsohle tsa likarolo tse ka ntle tsa liatlana li ne li bonahala ka ho hlaka ka 'mala o motala oa underglove o bonts'ang sebakeng sa ho phunya.Phapang ea mebala e fokotsa kotsi ea ho pepesehela mali ka ho hlokomelisa lingaka tse buoang le basebetsi ka tlolo ea molao e ka beng e sa ka ea hlokomeloa.
"Double-gloving e lokela ho buelloa bakeng sa mekhoa eohle ea ho buuoa 'me e lokela ho hlokoa bakeng sa mekhoa e etsoang ho bakuli ba nang le tšoaetso e tsejoang kapa bakuli ba e-s'o hlahlojoe bakeng sa tšoaetso," ho bolela bafuputsi.Ba boetse ba supa hore le hoja ts'ireletso ea li-gloving tse peli e bonahala, ha e e-s'o tloaelehe ka lebaka la ho fokotseha ha maikutlo a dexterity le maikutlo a ho ama (bakeng sa bopaki bo fapaneng, bona lebokose le ka tlaase).
Ho buuoa 's riskiest specialty
Tlaleho ho Acta Orthopædica Belgica (tinyurl.com/qammhpz), koranta ea molao ea Belgian Society of Orthopedics and Traumatology, e re litekanyetso tsa ho phunyeha ha li-glove li tloha ho 10% thutong ea mahlo ho ea ho 50% ea ho buuoa ka kakaretso.Empa khatello ea maikutlo le khatello ea maikutlo ea ho laola lisakha tse oscillating, lisebelisoa tsa tšepe le li-implants nakong ea ts'ebetso ea masapo li beha liatlana ka matla a ho kuta haholo, ho beha li-orthopod kotsing e kholo har'a litsebo tse khethehileng tsa ho buoa, bafuputsi ba re.
Phuputsong ena, bafuputsi ba ile ba lekola litekanyetso tsa li-glove perforations nakong ea liphetoho tse kholo tsa letheka le mangole le li-arthroscopies tse nyenyane haholo tsa mangole.Ba boetse ba hlahlobile hore na li-gloving tse peli li amme sekhahla sa ho phunya le hore na litefiso li fapane joang lipakeng tsa lingaka, bathusi ba bona le baoki kapa baoki.
Kakaretso ea sekhahla sa ho phunya liatlana e ne e le 15.8%, ka sekhahla sa 3.6% nakong ea li-arthroscopies le sekhahla sa 21.6% nakong ea ho nchafatsa manonyeletso.Ho feta 72% ea litlolo ha lia ka tsa hlokomeloa ho fihlela ka mor'a hore mekhoa e be teng
phethela.Ke 3% feela ea li-gloves tse ka hare tse neng li le kotsing - ha ho le e 'ngoe nakong ea li-arthroscopies - ha li bapisoa le 22,7% ea li-gloves tsa ka ntle.
Haholo-holo, ke 4% feela ea li-perforations tse tlalehiloeng nakong ea ts'ebetso e kholo e amanang le likarolo tse peli tsa liatlana.Kotara ea lingaka tse 668 tse neng li amehile phuputsong ena li ile tsa hlokofatsoa ke liatlana, tse neng li le holimo haholo ho feta 8% ea bathusi ba 348 le baoki ba 512 ba ileng ba hlaheloa ke se tšoanang.
Bafuputsi ba hlokometse hore li-gloving tse peli tsa mekhoa ea masapo li fokotsa haholo liketsahalo tsa ho phunyeha ha liatlana tse ka hare.
Le hoja basebetsi ba buoang ba hlabang ka mokhoa o nepahetseng ba fokotsa likotsi tsa bona tsa ho tšoaroa ke mafu a bakoang ke mali ha li-gloves li phunyeletsoa, ba phaella ka hore, liphuputso tse fetileng li bontšitse litloaelo tsa baktheria tse nkiloeng libakeng tsa perforation li bile tse ntle ka 10% ea nako eo.
Nako ea poso: Jan-19-2024