fiziologiuri mSobiarobis marTva

medportal.ge

fiziologiuri mSobiarobis marTva

fiziologiuri mSobiarobis

marTva

klinikuri mdgomareobis marTvis saxelmwifo

standarti

(protokoli)


fiziologiuri mSobiarobis marTva

mSobiarobaSi myof qals, mSobiarobis adgilis miuxedavad,

unda hqondes SesaZlebloba:

- miiRos daxmareba, romlis farglebSic angariSi gaeweva mis eTnikur,

religiur da kulturul tradiciebs, faseulobebsa da Sexedulebebs.

- sakuTari surviliT, gverdiT iyolios pirebi, romlebic mSobiarobis

dros emociur da fizikur mxardaWeras aRmouCenen.

- iaros Tavisuflad, Seicvalos mdebareoba da imyofebodes misTvis

sasurvel pozaSi mSobiarobis mimdinareobisa da bavSvis dabadebis

momentSi (Tu SezRudvebi raime garTulebis koreqciiT ar aris

ganpirobebuli). liTotomiis poziciis (zurgze mwoliare da aweuli

fexebiT) gamoyeneba mowodebuli ar aris.

- miiRos daxmareba, sadac minimumamdea dayvanili im rutinuli wesebisa

da procedurebis gamoyeneba, romelTa saWiroeba mecnierulad ar aris

dasabuTebuli (mag. kvebis akrZalva, intravenuri gadasxmebi; nayofis

rutinuli eleqtronuli monitoringi; gamwmendi oyna, boqvnis gaparsva).

- miiRos daxmareba personalisagan, romelic minimalurad iyenebs

invaziur procedurebs, magaliTad, sanayofe garsis mTlianobis

xelovnur darRvevas an epiziotomias.

- miiRos daxmareba personalisagan, romelic flobs tkivilis gayuCebis

aramedikamentur meTodebs da saTanado samedicino Cvenebebis gareSe, ar

iyenebs analgeziuri an anesTeziuri saSualebebs.

samedicino dawesebulebas, romelSic sameano daxmarebis

gaweva xorcieldeba, unda gaaCndes:

- mxardamWeri wesebi, romelic waaxalisebs dedebisa da ojaxis wevrebis

mier bavSvTan kontaqts, xelSi daWeras, ZuZuTi kvebas da fizikuri

SesaZleblobis farglebSi, dedis mxridan sakuTari pirmSos movlas,

rogorc janmrTeli, ise avadmyofi, naadrevi an Tandayolili

paTologiis mqone axalSobilis SemTxvevaSi.

- mkafiod gansazRvruli wesebi da procedurebi sxva sameano

samsaxurebTan TanamSromlobisa da konsultirebisaTvis, maT Soris,

qalis erTi dawesebulebidan meoreSi gadayvanis SemTxvevaSi, im

dawesebulebasTan urTierToba, sadac Tavdapirveli daxmareba iqna

gaweuli; dedisa da bavSvis Cabma meTvalyureobis adgilobriv

sistemaSi, pre- da postnataluri dakvirvebisa da ZuZuTi kvebis

xelSewyobis mizniT.


fiziologiuri mSobiarobis dros samedicino daxmarebis mTavari

mizania – qalisa da bavSvis usafrTxoebis uzrunvelyofa mSobiarobis

dros fiziologiur procesSi CarevaTa SesaZlo SemcirebiT.

samSobiaro blokis personalis movaleobani

‣ orsulisa da misi ojaxis wevrebis maqsimaluri mxardaWera

mSobiarobisa da mSobiarobis Semdgom periodebSi;

mSobiarobis procesis mimdinareobaze, nayofisa da axalSobilis

mdgomareobaze dinamiuri meTvalyureoba, risk-faqtorebis Sefaseba

da garTulebaTa SesaZleblobisamebr adreuli gamovlena ;

‣ adreuli amniotomiis, epiziotomiisa da sxva procedurebis

warmoeba mxolod mkacri CvenebiT;

‣ mSobiaris drouli gadayvana mkurnalobis ufro maRal safexurze

aRniSnuli dawesebulebisaTvis maRali riskis mSobiarobis

arsebobis SemTxvevaSi an mSobiarobis procesSi garTulebaTa

ganviTarebis dros, romelic moiTxovs aseT gadayvanas.

mimRebi ganyofileba

mimReb ganyofilebas unda hqondes iseTi mdebareoba, sadac sruliad

daculi iqneba konfidencialuroba pacientis miRebis dros. anamnezis

Sekrebisa da savaldebulo samedicino dokumentaciis Sekrebis dros iq

ar unda imyofebodnen ucnobi pirebi, maT Soris pacientis miRebis

procesSi monawile samedicino personali. sasurvelia sameano

stacionarSi specialuri palatis an sxva raime adgilis gamoyofa,

sadac SeiZleba moTavsdnen qalebi mSobiarobis winamorbedi niSnebiT.

mSobiarobis dawyebis obieqturi niSnebi

‣ saSvilosnos yelis struqturuli cvlilebebi;

‣ saSvilosnos SekumSvebi regularulobis SefasebiT (aqtiuri fazis

dros ara nakleb 3-jer 10 wuTSi).

mimReb ganyofilebaSi eqimi an bebia-qali valdebulia:

‣ gaacnos ganyofilebaSi mSobiarobis marTvis ZiriTad principebs ;

‣ mwvave respiratoruli daavadebebisa da sxva infeqciuri

procesebis niSnebis Sefasebis Semdeg, romlebic saSiSia

garSemomyofTaTvis, SesTavazos mSobiarobaSi monawileoba

nebismier erT an ramodenime pirs TviTon qalis arCeviT.

inficirebis aSkara niSnebis arsebobis SemTxvevaSi pirs unda

eTqvas uari mSobiarobis procesSi monawileobis miRebaze, mizezis

aucilebebeli axsniT. araviTari sxva damatebiTi gamokvleva

saWiro ar aris.


‣ arCevani gaakeTos TviTon Tavissa da saavadmyofos tansacmels

Soris da baxilebis Sesaxeb TanamdgomTaTvis, Tu maT ar aqvT

Tavisi gamosacvleli fexsacmeli an maTi tansacmeli aris

mouxerxebeli da arc ise sufTa;

‣ SesTavazos pacients miiRos Sxapi ;

‣ sxeulis temperaturis, wnevisa da pulsis gazomva, saerTo sameano

daTvalirebis Catareba;

mSobiarobis istoriis Sevseba.

rutinulad ar warmoebs:

‣ xelisa da fexis frCxilebis, sarZeve jirkvlis kertebis

specialuri damuSaveba, frCxilebis daWra ar xdeba ;

‣ gamwmendi oyna (arc SeeTavazeba). Cveneba – Tu kuWis moqmedeba ar

hqonia 3-4 dRis ganmavlobaSi da pacientis moTxovna ;

‣ boqvenisa da Sorisis gaparsva.

sabuTebis gaformebis Semdeg mimRebi ganyofilebis bebia-qali

valdebulia piradad gaacilos ojaxi samSobiaro blokis palatamde,

sadac pacienti iqneba mSobiarobis periodSi. man unda gaacnos ojaxs

samSobiaro blokis morige bebia-qali.

samSobiaro palata

samSobiaro palata unda iyos erT adgiliani. konfidencialurobis

dasacavad samSobiaro palatis karebi mudmivad unda iyos daxuruli.

Sesvlisas samedicino personalma unda daakakunos karze da iTxovos

Sesvlis nebarTva. sxva samedicino muSakebis samSobiaro palataSi

Sesvla, romlebic uSualod ar arian CarTulni pacientis marTvis

procesSi, unda iyos maqsimalurad SezRuduli. sasurvelia, rom

samSobiaro palatas hqondes saxlis pirobebis maqsimalurad msgavsi

saxe.

samSobiaro palataSi unda iyos:

‣ samSobiaro magida – transformer (dasaSvebia funqcionaluri

Tavis mdebareobis cvlilebis SesaZleblobiT), raxmanovis magida

ar aris aucilebeli ;

‣ axalSobilis reanimaciisaTvis specialurad aRWurvili adgili

bavSvis Sesaxvevi gamaTbobeli magidiTa da Jangbadis wyaroTi,

eleqtro-Termometri bavSvis temperaturis gasazomad;

‣ aucilebelia SenobaSi iyos Termometri haeris temperaturis

gasazomad, romelic ar unda iyos 25 gradusze naklebi;

‣ samSobiaro palatebSi sasurvelia iyos saSxape kabina an abazana

pacientisaTvis, qalisa da misi axloblebis mosasvenebeli adgili:

savarZeli, skamebi, magida, tumbo, magidis gamanaTebeli,


musikaluri centri, agreTve noxi, gimnastiuri burTi, gaberili

savarZeli, Sveduri kedeli da sxva sagnebi relaqsaciisaTvis

mSobiarobis dros;

‣ fanjrebze fardebi an Jaluzebi;

mSobiarobis procesze dakvirveba evaleba ZiriTadad samSobiaro blokis

bebia-qals, romelic valdebulia qalis gverdiT iyos misi samSobiaro

blokSi yofnis mTeli drois ara nakleb 50%-sa:

‣ I periodSi – periodulad (yovel 15-30 wuTSi);

‣ I periodis bolos da II periodSi – mudmivad;

‣ III periodSi – periodulad.

qals unda hqondes personalis saswrafo gamoZaxebis saSualeba.

mSobiarobaze dakvirveba moicavs:

‣ nayofis guliscemis mosmenas (norma – 110-160 dartyma/wT):

‣ I periodSi – yovel 15-30 wuTSi saSvilosnos SekumSvis

dasrulebis Semdeg mTeli erTi wuTis ganmavlobaSi;

‣ WinTvebis dros – yovel 5 wuTSi an yoveli WinTvis Semdeg;

‣ kardiotokografiis rutinuli gamoyeneba ar aris gamarTlebuli,

gansakuTrebiT dabali riskis jgufis mSobiare qalebSi;

‣ saSosmxrivi gamokvleva mSobiarobis dinamikis Sesafaseblad

aqtiur fazaSi warmoebs yovel 4 saaTSi, ufro xSiri gasinjva

saWiroa Cvenebebisas – samSobiaro moqmedebis stimulacia,

sanayofo siTxis naadrevi daRvra, medikamentozuri gautkivarebis

win da sxv. (SeniSvna: saSvilosnos yelis gaxsnis saSualo siCqare

aris 1sm/sT, minimaluri misaRebi mniSvneloba – 0,5sm/sT);

‣ SekumSvaTa Sefaseba: aqatiur fazaSi 3-4 SekumSva 10 wuTSi, 40-50 wm

meti xangrZlivobiT;

‣ pulsis kontroli – yovel 30 wuTSi;

‣ arteriuli wneva – yovel 4 saaTSi (gansakuTrebuli SemTxvevebis

garda, mag.: qronikuli hipertenzia);

‣ sxeulis temperatura yovel 4 saaTSi;

‣ Sardvis sixSire da moculoba – qalis mier TviTkontroli

(aucilebelia SevTavazoT xSiri gasvla tualetSi);

‣ pacientisaTvis mSobiarobis III periodis Sesaxeb sruli

werilobiTi da zepiri informaciis miwodebas rogorc potenciuri

upiratesobebis ise uaryofiTi mxareebis Sesaxeb mSobiarobis III

periodis orive, aqtiuri da mocdiTi taqtikebis dros. mSobiaroba

mimdinareobs partogramis warmoebiT, romelsac avsebs bebia-qali.

mTeli mSobiarobis periodSi samedicino personalma mSobiaresa

da mis ojaxs unda aRmouCinos srulyofili emociuri,

fsiqologiuri da fizikuri daxmareba.


sakvebi da sasmeli

ar arsebobs monacemebi rogorc siTxeebis aseve msubuqi sakvebis

(iogurti, vaSli, banani, Sokoladi, buterbrodi da sxv.) miRebis

akrZalvis an SezRudvis Sesaxeb. mendelsonis sindromis ganviTarebis

riski upirveles yovlisa dakavSirebulia zogad narkozTan da SeiZleba

acilebuli iyos Tavidan im Carevebis ricxvis SemcirebiT, romlebic

moiTxoven zogad anesTezias (maT Soris sakeisro kveTa),

gamtareblobiTi anesTeziis meTodebis gamoyenebis wilis gazrdiT da

aseve anesTeziologiuri meTodebis protokolis mkacri dacviT.

samSobiaro tkivili

mSobiaris daxmareba gaumklavdes mtkivneul SegrZnebebs – es aris

samedicino personalis erT-erTi umTavresi amocana mSobiarobis dros.

mSobiarobiaze saerTo STabeWdileba didad aris damokidebuli

tkivilis intensiobaze. udavoa, rom uxSiresad gamoxatuli tkivilis

sindromi Tan sdevs mSobiarobas samSobiaro moqmedebis anomaliebiT,

romelic moiTxovs stimulaciias an induqciis dros.

tkivilis SegrZnebis miiRweva medikamenturi gautkivarebis meTodebiT,

magram gansakuTrebiT mniSvnelovania (da usafrTxoa) ara medikamenturi

meTodebis gamoyeneba, rogoric aris:

‣ mSobiarisa da misi ojaxis maqsimaluri fsiqologiuri mxardaWera

‣ pacientisa da misi axloblebis informireba mSobiarobis Sesaxeb

maqsimalurad maTTvis aucilebeli moculobiT. informacia unda

iyos marTali ama Tu im Carevis an meTodis rogorc dadebiTi ise

uaryofiTi mxareebis ganxilvisas, romlebic gamoiyeneba

daxmarebis aRmosaCenad;

‣ poziciis Tavisufali arCevani mSobiarobis I da II periodebSi;

‣ SekumSvebis dros sxeulis vertikaluri mdebareoba (gamonaklisia

sanayofo siTxis daRvra, rodesac nayofis Tavi ar aris mWidrod

mibjenili) da lateraluri pozocia. samedicino muSakebi unda

SesTavazon pacients aseTi mdebareobani;

‣ masaJi;

‣ specialuri sunTqvebi relaqsaciasTan erTad;

‣ Sxapi da abazana;

‣ musika;

‣ aromaTerapia;

‣ kontrastuli Sxapi;

‣ akupunqtura

mSobiarobis gautkivarebis yvela ara medikamentur meTods aqvs mcire

raodenobiT mtkicebulebani efeqturobis Sesaxeb. ufro sworad rom

vTqvaT – qalis yuradRebis gadatana, mis mier mSobiarobis rogorc


mxiaruli da mniSvnelovani procesis aRqmis gaZliereba da sabolood

is, rom isini arian ara saziano.

daxmareba mSobiarobis II periodSi

‣ bebia-qalma an meanma unda moamzados aucilebeli mowyobilobani

da adgili axalSobilis reanimaciisaTvis (siTbos CarTva,

Jangbadis SeerTeba, Seamowmos adgilzea Tu ara sasunTqi baloni

da misi niRabi, eleqtrosaqaCi gamanawilebeliT da msxali;

bavSvisaTvis safenebis, qudis da windebis momzadeba).

mSobiarobis adgilis momzadeba – sufTa safenebis an erTjeradi

paketis gaSla im adgilas, romelic qalma airCia samSobiarod. im

safenebis gaTboba, romlebiTac unda gamSraldes bavSvi,

mSobiarobisaTvis aucilebeli instrumentebis momzadeba, maT

Soris Wiplaris gadasaWreli makrateli. mSobiaroba SesaZlebelia

nebismier pozociaSi, romelsac qali airCevs. bavSvisaTvis yvelaze

ufro ara xelsayreli da saSiSi aris horizontaluri pozicia.

xSirad qalebis irCeven naxevrad mjdomare pozocias.

‣ II periodis dasawyisi yovelTvis ar emTxveva aqtiuri WinTvebis

dasawyiss. amitom ar Rirs vaiZuloT qali gaiWinTos imaze adre,

sanam qali TviTon ar SeigrZnobs ukana tanze Zlieri zewolis

SegrZnebas.

aucilebeli ar aris:

‣ WinTvebis marTva sunTqvis SekavebiT (valsalvas meTodi);

‣ rutinuli epiziotomia (Sorisis gaxevis saSiSroeba, ~maRali ~

Sorisi);

‣ Sorisis dacva (es meTodi SeiZleba gamoviyenoT maSin, roca qali

aris iseT mdgomareobaSi, romlis drosac praqtikulad

SesaZlebeblia amis gakeTeba, magram am SemTxvevaSic ki ar aris

rekomendirebuli nayofis Tavis gaSlisaTvis winaaRmdegobis

gaweva);

‣ II periodis Semokleba nayofisa da qalis normaluri

mdgomareobis dros;

‣ bavSvis dabadeba erTi WinTviT. Tavis dabadebis Semdeg mxrebs

saSualeba unda mivceT TviTon mobrundnen, amasTan aucilebelia

Semowmdes xom ar aris Wiplaris Semoxveva. misi mWidro

Semoxvevis dros is unda gadaiWras 2 momWers Soris, ara mWidro

Semoxvevisas – Wiplaris daWimulobis Semcireba da Semdgomi

WinTvis dalodeba. ar iCqaroT! saxis cianozi ar iTvleba saSiS

niSnad! ar gamoiyenoT kristeleris meTodi!


mSobiarobis mesame periodis aqtiuri marTva

nayofis dabadebidan 1 wuTis ganmavlobaSi 10 erT oqsitocinis Seyvana

kunTebSi.

Wiplaris kontrolirebadi traqcia:

‣ momWeris dadeba Wiplarze SorisTan axlos. daiWireT

klemirebuli Wiplaris da momWeris boloebi erTi xeliT.

‣ daadeT meore xeli boqvens zeviT da gadaadgileT saSvilosno

boqvenidan zeviT kontrolirebadi traqciis ganxorcielebisas.

es Tavidan agvacilebs saSvilosnos gadmobrunebas.

‣ msubuqad daWimeT Wiplari da daelodeT saSvilosnos Zlier

SekumSvas (Cveulebriv 2-3 wuTis Semdeg).

‣ rogorc ki SeniSnavT saSvilosnos SekumSvas an Wiplaris

dagrZelebas, Zalian frTxilad moqaCeT Wiplari Tqvensken

qvemoT placentis dabadebisaTvis. ar daelodoT Warb sisxlian

gamonadens manam sanam Tqven daiwyebT Wiplaris moqaCvas.

gaagrZeleT meore xeliT saSvilosnos gadaweva Wiplaris

daqaCvis mimarTulebis sapirispirod.

‣ Tu placenta ar gamodis kontrolirebadi traqciis 10-20 wamis

ganmavlobaSi (ar aris momyolis mocilebis niSnebi), Wiplaris

traqcia unda Sewydes.

‣ frTxilad daikaveT Wiplari da daelodeT saSvilosnos Semdeg

SekumSvas.

‣ saSvilosnos Semdegi SekumSvisas gaimeoreT Wiplaris

kontrolirebadi traqcia saSvilosnos gadaweviT sawinaaRmdego

mimarTulebiT.

arasdros ar ganaxorcieloT Wiplaris traqcia meore xeliT

saSvilosnos sapirispiro mimarTulebiT gadaadgilebis gareSe.

‣ placentis dabadebisas Txeli sanayofo garsebi SesaZloa

daziandes. amitom placenta unda daikavoT orive xeliT da

frTxilad vabrunoT is manam, sanam garsebi mTlianad ar gamova.

‣ nela moqaCeT placentas mSobiarobis dasamTavreblad.

‣ Tu sanayofo garsebi gaixa, frTxilad daaTvaliereT saSos

zeda nawili da saSvilosnos yeli steriluri xelTaTmanebiT

da gamoiyeneT fanjriseburi momWerebi sanayofo garsebis

darCenili nawilebis gamosatanad, romlebic iqna aRmoCenili

‣ yuradRebiT daaTvaliereT placenta, raTa darwmundeT mis

mTlianobaSi. Tu placentis dedismxrivi zedapiris nawili ar

aris an adgili aqvs garsebis gaxevas sisxlZrRvebiT, saeWvoa

placentis nawilebis CarCena saSvilosnos RruSi.

‣ Tu Wiplari gawyda, SeiZleba saWiro gaxdes placentis xeliT

mocileba.


‣ momyolis dabadebis Semdeg dauyovnebliv ganaxorcieleT

saSvilosnos fuZis masaJi muclis wina kedlidan saSvilosnos

SekumSvebis dawyebamde.

‣ saSvilosnos masaJi gaimeoreT mSobiarobis Semdgomi periodis

yovel 15 wuTSi pirveli 2 saaTis ganmavlobaSi.

bavSvis dabadebis Semdeg bebia-qali an meani, romelsac miyavda

mSobiaroba:

‣ afasebs bavSvis mdgomareobas Tavis xelSive. Tu misi mdgomareoba

ar aris sagangaSo anu is sunTqavs, yviris, tonusSia, guliscema

100-ze metia wuTSi, Tbili sufTa safenebiT gamSralebisTanave

awvenen dedis mucelze.

‣ lorwovanis rutinuli amoqaCva axalSobilis cxviridan da

piridan, kuWis zondireba ar tardeba.

‣ nayofs Tavze axuraven sufTa SesaZloa saxlidan motanil quds,

fexebze – windebs.

‣ sveli safeni unda gadavagdoT da bavSvi gaixveva mSral safenebSi

da damatebiT sabniT.

‣ Wiplari gadaikveTeba steriluri insrumentiT, SesaZlebelia

bavSvis mamis an sxva piris mier, Wiplaris damuSaveba am

SemTxvevaSi antiseptikebiT ar aris saWiro.

‣ samSobiaro gzebi frTxilad Tvalierdeba tamponis saSualebiT.

‣ samSobiaro gzebis rutinuli daTvaliereba sarkeebSi ar tardeba ;

‣ ar aris saWiro mucelze yinulis moTavseba ;

‣ Sardis buStis rutinuli kaTeterizacia ar tardeba ;

aucileblobis SemTxvevaSi rbili samSobiaro gzebis dazianebebi

gaikereba adgilobrivi anesTeziiT( sasurvelia lidokainiT ) qveS

swrafad gamwovi sakeravi masaliT (Vicril-Rapid №2-0);

‣ gakervis win antiseptikiT daamuSaveT Wriloba, SesaZlebelia

Tmebis SekriWva

‣ rbili samSobiaro gzebis damatebiTi damuSaveba antiseptikebiT

saWiro ar aris

‣ qalis TeTreuli unda gamoicvalos mSralze da dedas da

axalSobils daefaros sabani

axalSobilis pirveladi movla

‣ bavSvis sunTqvisa da kanis feris Sefaseba yovel 15 wT-Si pirveli

saaTvis ganmavlobaSi da yovel 30wT-Si Semdegi 2 saaTis

ganmavlobaSi. cianozis an suTqvis gaZnelebis dros (60)

mieces Jangbadi niRbiT da gamozaxebuli iyos neonatologi

‣ gaizomos bavSvis sxeulis temperatura eleqtronuli TermometriT

yovel 30 wT-Si pirveli 2 sT-is ganmavlobaSi ; Tu temperatura


aris 36,5-ze naklebi, gatardes damatebiTi RonisZiebebi

axalSobilis gasaTbobad

‣ auxseniT dedas ZuZuTi kvebis upiratesobis da misi wesebis

Sesaxeb da moexmareT pirvel ZuZuTi kvebaSi

‣ gonoblenoreis profilaqtika tetraciklinis an eriTromicinis

malamoTi unda catardes mSobiarobidan 1 saaTis Semdeg

‣ plastikuri momWeris dadeba Wiplarze keTdeba bebiaqalisaTvis

mosaxerxebel dros. Wiplari unda gaiwmindos steriluri marliT,

damatebiTi damuSaveba saWiro ar aris. am proceduris dros ar

unda xorcieldebodes kani kanTan kontaqti.

‣ ar aris rekomendebuli bavSvis mWidro gakoWva

‣ bavSvis awonva da gazomva unda moxdes siTburi jaWvis dacvis

wesebiT

‣ kanis specialuri damuSaveba da bavSvis dabana saWiro ar aris

‣ Tu ar aRiniSneba garTulebebi, 2 saaTSi Seizleba dedisa da

axalSobilis gadayvana melogineTa ganyofilebaSi.

‣ samSobiaro blokis bebiaqalma unda gaacnos dedas melogineTa da

bavSvTa ganyofilebis personali

melogineTa ganyofileba

melogineTa ganyofilebaSi unda gatardes Semdegi RonisZiebebi:

‣ dedisa da Cvilis erTad yofna;

‣ ar aris saWiro sarZeve jirkvlebis damuSaveba antiseptikuri

saSualebebiT ;

‣ Sorisis nakerebis movla antiseptiuri saSualebebis gamoyenebis

gareSe. isini unda iyos mSral da sufTa mdgomareobaSi;

‣ Wiplaris takvs unda movuaroT mSrali wesiT. Wiplaris takvis

damuSaveba ar SeiZleba antiseptikebiT (spirtiT), unda

SevinarCunoT misi simSrale, sisufTave da is iyos gaxsnil

mdgomareobaSi (saxvevis gareSe). Wiplaris takvi TavisiT Tu ar

movardeba ar aris rekomendirebuli Wiplaris takvis xeliT

mocileba. Tu qali ewereba saxlSi da Wiplaris takvi ar aris

movardnili, dedas uxsnian takvis movlis wesebs (bavSvis

dabana xdeba Cveulebrivi wesiT, Wiplari unda SevinarCunoT

mSral da sufTa mdgomareobaSi). Tu axalSobili cxovrobs

soflis pirobebSi an mSoblebi cxovroben araxelsayrel

socialur pirobebSi gawera unda ganxorcieldes mxolod

Wiplaris movardnis Semdeg.

‣ axalSobilis vaqcinacias sasurvelia eswrebodes deda;

‣ naTesavTa mosvla-monaxuleba sakiTxs wyvets samkurnaloprofilaqtikuri

dawesebuleba.

‣ palataSi unda iyos Tavisufali interieri;


‣ dedas unda hqondes saSualeba sakuTari tansacmelis

gamoyenebis

‣ medpersonals ar moeTxoveba niRbebisa da qudebis tareba;

‣ saWiroa erTjeradi xelTaTmanebis gamoyeneba daTvalierebisas.

‣ niRbiani reJimi saWiroa mxolod karantinisa da epidemiis

periodSi. invaziuri manipulaciebis Catarebisas sasurvelia

Tavdacvis individualuri saSualebebis (qudi, niRabi)

gamoyeneba.

‣ nebadarTulia qarxnuli higienuri safenebis xmareba.

xelebis damuSaveba

medicinis muSakTa xelebis higiena erT-erTi yvelaze mniSvnelovani

RonisZiebaa, romelic samedicino daxmarebasTan dakavSirebuli

infeqciis gavrcelebis Tavidan acilebiskenaa mimarTuli.

xelebis dabana saWiroa samuSaos dawyebamde, tualetis Semdeg, sakvebis

miRebamde da miRebis Semdeg.

xelebis dabanis rekomendirebuli teqnika:

movixsnaT beWdebi da sxva samkaulebi, radgan isini xels uSlian

mikroorganizmebis efeqtur mocilebas;

zomieri sasiamovnod Tbili wylis nakadis qveS energiulad gavisapnoT

xelebi da 10 wamis manZilze gausvaT erTmaneTs, ris Semdegac

CamovibanoT. Uunda gvaxsovdes, rom yvelaze xSiorad gamotovebuli

ubnebia _ cera TiTi da TiTebisa da xelis mtevnis zurgis zedapiri.;

xelebi SeimSraleT qaRaldis pirsaxociT, romliTac Semdeg daxureT

onkani. qaRaldis pirsaxocis ar arsebobis SemTxvevaSi SeiZleba

gamoyenebul iqnas erTjeradi xmarebis sufTa qsovilis naWrebi zomiT

30X30-ze. yoveli gamoyenebis Semdeg aseTi pirsaxocebi unda movaTavsoT

specialurad pirsaxocebisTvis gankuTvnil konteinerebSi samrecxaoSi

gasagzavnad.

xelis dasabani sapnis SerCevisas upiratesoba eniWeba Txier sapons,

erTjeradi gamoyenebis dozatorebSi. Mmravaljeradi gamoyenebis

dozatorebi droTaganmavlobaSi binZurdeba: ar SeiZleba Txieri sapnis

damateba nawilobriv Sevsebul dozatorSi. is unda davcaloT,

gamovrecxoT, gavaSroT da mxolod amis Semdeg CavasxaT sapnis axali

porcia.

Tu gamoiyeneba sapnis naWrebi, unda gamoviyenoT sasapneebi, romlebic

sapnis gaSrobis saSualebas iZleva xelebis dabanis calkeul epizodebs

Soris, saukeTesoa magnitis sakidiT.

manipulaciis win da mis Semdeg aucilebelia xelebis damuSaveba

antiseptikuri saSualebiT, ris Semdegac xelebis SemSraleba araa

saWiro.

higienuri antiseptika gulisxmobs antiseptikuri preparatebis anu

antimikrobuli aqtiobis mqone preparatebis gamoyenebas,


qalis garegani daTvaliereba xorcieldeba erTjeradi xelTaTmanebis

gamoyenebiT. xelTaTmanebis gakeTebis da moxsnis Semdeg xelebi

antiseptikuri saSualebiT daimuSaveT

mSobiarobis miReba xdeba steriluri xelTaTmanebiT. xelTaTmanebis

gakeTebis da moxsnis Semdeg xelebi antiseptikuri saSualebiT

daimuSaveT

gaidlaini, romelsac eyrdnoba aRniSnuli protokoli _

`fiziologiuri mSobiarobis marTva

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