2006 წლის I ნახევარი

aRniSnuli TariRebi ar aris miTiTebuli qaRaldis SefuTviTwarmodgenil sterilur bintebze (Absentee Shawnee). aRniSnulis gamo, amSesaxvevi masalis steriloba da vargisianoba eWvs iwvevs da maTisteriluri masalis saxiT gamoyeneba dauSvebelia. SesaxvevSi armzaddeba qirurgiuli manipulaciebisaTvis aucilebeli marlisburTulebi da mcire tamponebi, aqidan gamomdinare, maTi sterilizaciacbiqsebSi ar xdeba. aseptikurobis wesebis aseTi ugulebelyofa dadaucveloba mkveTrad zrdis isedac riskis zonaSi (sapatimro)qirurgiuli infeqciis gavrcelebis aSkara safrTxes. gansakuTrebiTsaSiSia am mxriv sisxlis gziT gadamdebi iseTi virusuli infeqciebisgavrceleba, rogoricaa: adamianis imunodeficitis virusi (HIV), Bhepatiti, C hepatiti da a.S. amdenad, uxeSad irRveva jandacvis ministrisbrZanebiT damtkicebuli normebi, romlebic waeyeneba aseptikurobisdacvas samedicino saqmianobis dros. eqTnis ganmartebiT maT xSirad araqvT aseve steriluri xelTaTmanebi, ris gamoc aRniSnuls isini xSiradTavad yiduloben. manipulaciis Catarebis mizniT, 2006 wlis 3 ivnisseqimis mier sapyrobileSi misul konsultant eqims SesTavazes, Caecvamravaljer garecxili rezinis xelTaTmani. rogorc Cans, msgavsipraqtika am dawesebulebaSi arcTu iSviaTia. Tanmxlebi eqTnisganmartebiT, amJamad maT aqvT adgilobrivi saanesTezio saSualebebi:lidokaini da novokaini, Tumca maT gamoyenebas win ar uZRvis amsaSualebebze alergiuli sinjebis Catareba, rac zrdis anafilaqsiuriSokis ganviTarebis risks. arsebuli pirobebis gaTvaliswinebiT ki,anafilaqsiuri Sokis ganviTareba aucileblad damTavrdeba avadmyofissikvdiliT. igive SeiZleba iTqvas antibiotikebis parenterulmoxmarebasTan dakavSirebiT. am kategoriis saSualebebidan maragis saxiTdawesebulebaSi moipoveba ramdenime dasaxelebis antibiotiki.aRsaniSnavia, rom samedicino nawilSi ar aris sunTqvis aparati. Cven vervnaxeT elementaruli ambus sasunTqi parkic ki. sainteresoa, am pirobebSirogor moaxdens samedicino personali adekvatur reagirebas avadmyofismier sunTqvis SesaZlo gaCerebis SemTxvevaSi.Cven davaTvaliereT saTavso-afTiaqi, romelSic iatakze awyviagadasasxmeli sainfuzio saSualebebi (natriumis qloridis, glukozisada ringeris xsnarebi). oTaxSi ar aris macivari, romelic aucilebeliazogierTi samkurnalo saSualebis Sesanaxad. ar aris antitetanuri Sratida anatoqsini. oTaxi sakmaod ganaTebulia da samkurnalo preparatebisgarkveuli nawili ar aris daculi sinaTlis moqmedebisagan, rac maTxarisxs aqveiTebs. wamlebis nawili awyvia iatakze, nawili magidaze. araris specialuri Taroebi da ganyofilebebi, wamlebis jgufebaddasaxarisxeblad, rac dauSvebelia pacientis usafrTxoebisprincipebidan gamomdinare. medpersonalis ganmartebiT, miuxedavad imisa,rom isini moamarages gadasasxmeli kristaloiduri xsnarebiT, maT araqvT venis kaTeterebi an gadasasxmeli sistemebi, ris gamoc saeWvoa,SeZleben Tu ara Caataron intravenuri gadasxmebi. medpersonalisganmartebiT maT ar aqvT mkacri aRricxvis preparatebi, Sesabamisad, ararsebobs Sesabamisi dacvis saSualebebi. aseve dadginda, romdawesebulebas hyavs farmacevti, romelic pasuxismgebelia samkurnalosaSualebebis miRebis, Senaxvis, dacvis, moxmarebisa da aRricxvissakiTxebze. farmacevti Semowmebisas, adgilze ar dagvxvda, Tumca140