Gusobanukirwa imbaraga za bagiteri z'amarido akoreshwa mu bitaro

Amarido yo kwa muganga ashobora gukoreshwani ingenzi mu gukumira ikwirakwira ry'ubwandu mu bigo by'ubuvuzi. Izi myenda ikoreshwa rimwe, izwi kandi nka amashuka akoreshwa rimwe, afite ubushobozi bwihariye bwo kurwanya udukoko dufasha mu kubungabunga ibidukikije bidafite umwanda. Gukoresha amashuka akoreshwa rimwe, ibikoresho bishobora kongera umutekano w'abarwayi no kugabanya ibyago byo kwandura indwara zituruka mu bitaro. Gukoresha amashuka akoreshwa rimwe amarido y'ibitaro, harimoamarido y'ibitaro, bitanga isuku yo mu rwego rwo hejuru mu bigo by'ubuvuzi.

Ibintu by'ingenzi byakunzwe

• Amarido yo mu bitaro ashobora gukoreshwa mu gihe hadakoreshejwe uburyo bwo kwirinda ikwirakwira ry'indwara binyuze mu gutanga uruzitiro rusukuye kuri buri murwayi.
• Gusimbuza aya mashuka buri gihe ni ingenzi mu kubungabunga isuku no kugabanya ibyago byo kwanduzwa n'andi mavuta.
• Gukoresha amarido akoreshwa mu gihe cyo gukoresha rimwe bishobora kuzigama umwanya n'amafaranga binyuze mu gukuraho ikiguzi cyo kumesa no kwemeza ko ahantu hose hahora hasukuye.

Ibikoresho bikoreshwa mu madirishya yo mu bitaro ashobora gukoreshwa

Ubwoko bw'imyenda

Amarido yo mu bitaro akoreshwa mu buryo bwa "metallic" ahanini akoresha ibikoresho byoroshye byagenewe gukoreshwa rimwe gusa. Imyenda ikunze gukoreshwa cyane irimo:

Guhitamo ibi bikoresho ni ingenzi cyane mu kurwanya indwara. Urugero, polypropylene na polyester byoroshye, bigatuma byoroha kubikoresha no kubishyiraho. Ariko, ubunini bwabyo bushobora kwangiza ubuzima bwite, kuko bituma urumuri runyura, bigatuma ingendo z'abarwayi zigaragara.

Uburyo bwo gusiga no kuvura

Kugira ngo bongere ubushobozi bwazo bwo kurwanya indwara ziterwa na mikorobe, imyenda yo mu bitaro ikoreshwa rimwe ikunze gukorerwa irangi ryihariye no kuvurwa. Iyi mikorobe irimo ibintu bitera indwara bibangamira imikorere y’uturemangingo twa bagiteri, bigatuma idakura neza. Ubushakashatsi bwagaragaje ko ubwandu bwa bagiteri ku mpande z’urukuta bugabanuka cyane nyuma yo gushyiraho ubwoko bwa antibiyotike. Urugero, mbere yo gukoresha imiti irwanya mikorobe, ubwandu bwa bagiteri bwapimwe kuri 32.6 CFUs. Nyuma yo gukoresha, uyu mubare waragabanutse cyane ugera kuri 0.56 CFUs gusa.

Ubusanzwe irangi rigizwe n'ibintu nka didecyl dimethyl ammonium chloride cyangwa polysiloxane. Ibi bintu bikuraho cyangwa bigabanya cyane bagiteri za Gram-negative na Gram-positive ku buso bw'amarido. Uku kugabanya bigabanya ibyago byo kwanduza abarwayi n'abakozi bo mu rwego rw'ubuzima hakoreshejwe intoki.

Udushya duherutse mu bumenyi bw'ibintu twarushijeho kunoza imiterere ya bagiteri mu mashuka yo mu bitaro akoreshwa rimwe na rimwe. Urugero, Micrillon microfibre, inyongeramusaruro ya polymer ishobora kongera gukoreshwa, yongera imiterere ya bagiteri binyuze mu gukuraho mikorobe iyo ikozeho. Iri terambere rigaragaza ko irwanya bagiteri 100% nka Staphylococcus aureus (MRSA) na E. coli 0157:H7.

Imiterere y'imiti ikoreshwa mu bitaro irwanya bagiteri

Uburyo bwo Gukora

Amashuka yo mu bitaro ashobora gukoreshwa mu buryo butandukanye abuza mikorobe gukura binyuze mu buryo butandukanye bufatika. Ubwa mbere, akuraho mu buryo bufatika ikigega cy’udukoko, bifasha kugabanya umubare w’udukoko mu bitaro. Uku gukuraho mu buryo bufatika ni ingenzi kuko bigabanya kwiyongera kwa bagiteri binyuze mu kwemeza ko amashuka ahora asimburwa. Mu kwirinda gukoresha imiti ikoreshwa mu kuvura, aya mashuka arinda ibibazo nko kugabanya ubushobozi bwo gukora no kudakora neza kw’udukoko dukunda guherekezwa n’imiti irwanya udukoko.

Uburyo bw'ibanze burimo:

• Inzitizi ifatika: Ibikoresho byoroheje bikoreshwa mu myenda yo mu bitaro bikoreshwa rimwe na rimwe bikora nk'uruzitiro ku bitonyanga byo mu kirere, bikagabanya ikwirakwira ry'udukoko.
• Gusimbuza kenshi: Gusimbuza amarido buri gihe bituma ubwandu bwose bushobora kwanduza mikorobe bukurwaho, bigatuma ibidukikije bisukura ku barwayi n'abakozi bo mu rwego rw'ubuzima.
• Udupira two kurwanya mikorobe: Amarido menshi akoreshwa mu gupfuka afite irangi ryihariye ribangamira imikorere y’uturemangingo twa bagiteri, bigatuma tuyirinda gukura neza.

Ibi bikorwa bihuriweho bigabanya cyane ibyago byo kwanduzwa mu nzego z'ubuvuzi.

Ibizamini n'Amahame ngenderwaho

Kugira ngo harebwe ko amashuka yo mu bitaro ashobora gukoreshwa, inzego zishinzwe kugenzura zishyira mu bikorwa ibizamini bikomeye n'amabwiriza agenga ikoreshwa ry'amashuka. Aya masuzuma asuzuma imiterere y'amashuka yo mu bitaro afite bagiteri, akemeza umutekano wayo n'ubushobozi bwayo mbere yuko igera mu bigo nderabuzima.

Gupima bikunze kuba bikubiyemo:

• Kumenya indwara zitera indwara: Abashakashatsi bagaragaje udukoko twinshi twa bagiteri tuba mu nzego z’ubuvuzi.
• Ibice by'Ubuhinzi-Burema Amakoloni (CFUs)Bagiteri zose zibaruwe nka CFU kugira ngo hapimwe ingano y'ubwandu.
• Isuzumabumenyi rya Laboratwari: Imikorere ya antibiyotike y'udupira tw'amadirishya igeragezwa kuri bagiteri zitandukanye, ibipimo byanditswe nk'agace k'aho umuntu abuza n'aho abuza gukorana n'abandi.

Urugero, inyigo yasuzumye imiti cumi n'ine yica udukoko ikoreshwa mu kuvura Amadirishya y'ubuzima bwite mu cyumba cy’indembe. Ibisubizo byagaragaje ko aya mashuka yakozwe neza cyane mu kurwanya bagiteri zitandukanye, harimo:

Byongeye kandi, imyenda yo mu bitaro ikoreshwa mu gupima imiti ikoreshwa mu gupima ubushobozi bwayo bwo kurwanya udukoko. Urugero, ibizamini nka ISO 20743 bigaragaza ko bagiteri zagabanutseho 3 (99.9% kugabanuka) mu mikorere yayo. Ibindi bizamini bigaragaza ko irangi rya ammonium rishobora kugabanya CFU ku kigero cya 98–100% mu masaha ane nyuma yo gukoraho.

Inzego zishinzwe kugenzura zisuzuma aya madirishya hashingiwe ku kubahiriza amategeko y’ibanze, ay’intara n’ay’igihugu, harimo n’ayashyizweho na Joint Commission na CMS. Abakora bagomba kugaragaza ubushobozi bwo kurwanya udukoko mu kurwanya udukoko runaka kugira ngo babone uburenganzira bwa FDA. Ubu buryo butuma amadirishya yujuje ibisabwa mu mutekano no mu buryo bwiza, harimo no guhuza n’ibikoresho byo gusukura no kuramba.

Kugereranya n'amadirishya gakondo

Kuramba no Kubungabunga

Amarido yo mu bitaro ashobora gukoreshwa rimwe gusa atanga inyungu zidasanzwe ugereranyije n'amarido asanzwe mu bijyanye no kuramba no kubungabunga. Amarido asanzwe gukoreshwa rimwe gusa akoreshwa rimwe gusa cyangwa amezi atatu, bitewe n'aho ubuvuzi bubera. Mu buryo bunyuranye, amarido asanzwe ashobora kumara imyaka icumi iyo umuntu amese neza, ariko asaba ko abungabungwa cyane.

Amarido asanzwe y’imyenda akenera gukurwaho, kumesa no kongera gushyirwamo, ibyo bikaba bishobora gutwara amafaranga menshi kandi bigasaba abakozi benshi. Ibitaro bigomba kubahiriza gahunda yo gusukura neza, bigatuma habaho gutinda mu kwita ku barwayi. Amarido akoreshwa mu gihe cyo kuyakoresha ashobora gusimburwa vuba nta kubangamira imikorere ya buri munsi, bigatuma habaho imikorere myiza.

Raporo yasohotse n'Ikinyamakuru cy'Abanyamerika gishinzwe kurwanya indwara yasanze ibirenga 90% by'amarido mu bigo by'ubuvuzi biba byaranduye mu cyumweru kimwe nyuma yo kongera kumanikwa. Iyi mibare igaragaza ko hakenewe byihutirwa imiti ivura udukoko nk'amarido akoreshwa mu gihe cyo kuyakoresha.

Uburyo bwo Kugabanya Ikiguzi

Mu gusuzuma uburyo amashuka yo mu bitaro akoreshwa mu gihe gito, muri rusange ahendutse cyane mu gihe gito. Akuraho ikiguzi cyo kumesa imyenda gifitanye isano n'amashuka asanzwe, ashobora kwiyongera cyane uko igihe kigenda gihita.

• Amashuka yo mu bitaro akoreshwa mu kumesa asanzwe agura hafi $25.00 kuri buri gikoresho, mu gihe ikiguzi cy’umwaka cyo kubungabunga amashuka ashobora gukoreshwa gishobora kugera ku $25.000 bitewe n’amafaranga yo kumesa.
• Nubwo amarido ashobora kongera gukoreshwa afite igiciro cyo kugura mbere cyo hejuru, ashobora gutuma umuntu azigama igihe kirekire. Igihe cyo kwishyura amarido ashobora kongera gukoreshwa ni imyaka 2.5, hanyuma akazigama kagatangira.

Akamaro k'amarido y'ibitaro ashobora gukoreshwa mu bitaro mu rwego rw'ubuvuzi

Amabwiriza yo Kurwanya Ubwandu

Amashuka yo mu bitaro akoreshwa rimwe afite uruhare runini mu mikorere yo kurwanya ubwandu mu bigo nderabuzima. Imiterere yayo ikoreshwa rimwe irinda kwirundanya kwa bagiteri n'udukoko, bigabanya cyane amahirwe yo kwanduzanya abarwayi. Ibyiza by'ingenzi birimo:

• Igisubizo cy'isuku: Iyi myenda itanga uruzitiro rushya kandi rusukuye kuri buri murwayi, rujyanye n'amahame y'isuku akomeye.
• Gukurikiza amategekoGukoresha amarido akoreshwa mu gihe cyo kuyakoresha bifasha ibigo nderabuzima kubahiriza amabwiriza yo kurwanya ubwandu, bigatuma umurwayi agira umutekano.

Nk’uko CDC ibivuga, abashinzwe ubuvuzi bagomba gusimbuza amarido yo mu bitaro nibura rimwe mu kwezi. Ni ngombwa kuyasimbuza ako kanya iyo amarido agaragaye ko yanduye, yanduye cyangwa yangiritse. Iyi gahunda ishimangira akamaro ko kugenzura buri gihe kugira ngo habeho isuku ihagije.

Umutekano n'Ihumure ry'Umurwayi

Gukoresha amarido yo mu bitaro akoreshwa rimwe na rimwe byongera umutekano n'ihumure ry'abarwayi mu bitaro. Bifasha mu kunoza uburyo bwo kurwanya ubwandu, ibyo bikaba ari ingenzi cyane ku musaruro w'abarwayi. Ibyiza bikurikira bigaragaza ingaruka zabyo:

Abarwayi kandi bavuga ko hari urwego rwo hejuru rwo kumererwa neza iyo hakoreshejwe imyenda ikoreshwa rimwe. Igabanya urusaku n'ibintu bibangamira amaso, ibyo bigatuma umurwayi anyurwa. Kuba hari iyi mitako bituma abarwayi bamenyerana neza, bigatuma baryama neza. Muri rusange, imyenda ikoreshwa rimwe ni ingenzi mu gutuma habaho ibidukikije byiza kandi birangwa n'umutekano.

Amashuka yo mu bitaro ashobora gukoreshwa rimwe gusa agira uruhare runini mu kurwanya ubwandu mu nzego z’ubuvuzi. Imiterere yayo ikoreshwa rimwe gusa ikuraho ibyifuzo byo kumesa, ibyo abahanga mu by’ubuzima babona ko ari inyungu ikomeye. Yakozwe mu bikoresho bibuza gukura kwa bagiteri kandi akenshi ikavurwa n’imiti irwanya udukoko, aya mashuka agabanya cyane ibyago byo kwandura indwara ziterwa n’ibitaro. Gusimbuza vuba nyuma ya buri gusurwa kw’umurwayi birushaho kunoza isuku, bigatuma habaho ibidukikije bitekanye kuri bose.

Ibibazo Bikunze Kubazwa

Amarido yo mu bitaro akoreshwa mu gihe cyo kuyakoresha akozwe mu ki?

Amarido yo mu bitaro ashobora gukoreshwa rimwe gusa agizwe n'ibikoresho byoroshye nka polypropylene, polyester composites, cyangwa polyethylene, byagenewe gukoreshwa rimwe gusa.

Amarido yo mu bitaro agomba gusimbuzwa kangahe?

Ibigo nderabuzima bigomba gusimbuza amarido y’ibitaro akoreshwa rimwe mu gihe byibuze rimwe mu kwezi cyangwa ako kanya iyo agaragaye ko yanduye cyangwa yangiritse.

Ese amarido yo mu bitaro akoreshwa rimwe afasha kugabanya ubwandu?

Yego, amarido yo mu bitaro akoreshwa rimwe agabanya cyane ibyago byo kwandura binyuze mu gukumira gukura kwa bagiteri no kwanduzanya abarwayi.