Kunoza ingamba zo gukurikirana abarwayi no kumenyesha ingamba zo gucunga ishami ryita cyane

Dukoresha kuki kugirango twongere uburambe bwawe.Mugukomeza gushakisha kururu rubuga, wemera gukoresha kuki.Andi makuru.
Ihuriro ryuruhu rwakomeretse, ubuvuzi bwumwuga, hamwe no gukurikirana buri gihe ibikenewe by’abarwayi batwitswe cyane birashobora gutuma imiyoborere itabaza ari ikibazo gikomeye kubice byaka.
Muri gahunda y’amasosiyete yo kugabanya imenyekanisha rikabije no kugabanya ibyago byo kunanirwa n’umunaniro, ishami ryita ku barwayi ba Burns (BICU) rya Carolina y'Amajyaruguru ryakemuye neza ibibazo by’ibice byihariye.
Izi mbaraga zatumye habaho kugabanuka gukabije kw’impuruza zidashobora gukoreshwa no kunoza ingamba zo gucunga impuruza za BICU ku buriri 21 mu kigo cya Jaycee Burn Centre muri Carolina y'Amajyaruguru ku kigo cy’ubuvuzi cya Chapel Hill muri kaminuza ya Carolina y'Amajyaruguru.Muri buri gihe cyigihe cyo gukusanya amakuru mugihe cyimyaka ibiri, impuzandengo yimpuruza kumunsi wumurwayi yagumye munsi yibanze.
"Gahunda ishingiye ku bimenyetso bigabanya umunaniro ukabije mu bitaro byita ku barwayi" irasobanura gahunda yo kunoza umutekano w’impuruza, harimo impinduka mu bikorwa byo gutegura uruhu n’ingamba zo kwigisha abakozi b’ubuforomo.Ubushakashatsi bwasohotse mu nomero yo muri Kanama y’abaforomo bashinzwe ubuvuzi (CCN).
Umwanditsi umwe, Rayna Gorisek, MSN, RN, CCRN, CNL, ashinzwe cyane cyane uburezi bw’abaforomo bose ba BICU, abaforomo n’abavuzi b’ubuhumekero.Mu bushakashatsi, yari umuforomokazi wa IV mu kigo cyaka.Kugeza ubu ni umuforomo mukuru w’amavuriro muri ICU yo kubaga ikigo nderabuzima cya VA i Durham, muri Karoliya y'Amajyaruguru.
Turashobora gushingira kumiryango yacu imbaraga zose kugirango duhindure kunoza igenzura ry'abarwayi no kumenyesha ingamba zo gucunga neza ibidukikije bya BICU.Ndetse no muri BICU yihariye cyane, binyuze mugukoresha ibyifuzo bishingiye kubikorwa bifatika, intego yo kugabanya imvune zijyanye na sisitemu yo kumenyesha amavuriro iragerwaho kandi irambye.”
Ikigo cy’ubuvuzi cyashyizeho itsinda rishinzwe umutekano w’umutekano mu mwaka wa 2015 kugira ngo rigere ku ntego z’igihugu z’umutekano w’abarwayi, zisaba ibitaro gushyira imbere imicungire y’ibikorwa by’ibanze by’umutekano w’abarwayi no gukoresha inzira zisobanutse kugira ngo hamenyekane kandi hamenyekane Alert ikomeye.Itsinda ryakazi ryakoze inzira ihoraho yo kunoza, ryagerageje impinduka nto mubice bitandukanye, kandi rikoresha ubumenyi bwize mubizamini byinshi.
BICU yungukirwa no kwigira hamwe, ariko ihura ningorane zidasanzwe zijyanye no gukurikirana abarwayi barembye bafite uruhu rwangiritse.
Mu gihe cy'ibyumweru 4 byo gukusanya amakuru y'ibanze muri Mutarama 2016, impuzandengo y'impuruza 110 zabaye ku buriri ku munsi.Umubare munini wimpuruza uhuye nubusobanuro bwimpuruza, byerekana ko ibipimo bigenda byerekeza kumuryango bisaba igisubizo cyihuse cyangwa gutabaza.
Byongeye kandi, isesengura ryerekana ko impuruza hafi ya zose zitemewe ziterwa no gukuraho igenzura rya electrocardiogramu (ECG) riyobora cyangwa gutakaza umubonano numurwayi.
Isubiramo ry'ubuvanganzo ryerekanye ko nta buryo bwiza bwo kunoza imikorere ya ECG ijyanye no gutwika ibice byangiza mu bidukikije bya ICU, kandi byatumye BICU itegura uburyo bushya bwo gutegura uruhu rwihariye rwo gutwika igituza, kubira ibyuya, cyangwa syndrome ya Stevens-Johnson / Abarwayi bafite epidermal y'ubumara. necrolysis.
Abakozi bahujije ingamba zabo zo gucunga no kwigisha hamwe n’ishyirahamwe ry’abanyamerika ry’abaforomo bakomeye (AACN) imyitozo yo kumenyesha “Gucunga imenyekanisha rikomeye mu buzima bwose: ECG na pulse oximetry”.AACN Pratique Alert ni amabwiriza ashingiye ku bimenyetso byatangajwe n'amabwiriza yo kuyobora imyitozo y’ubuforomo bushingiye ku bimenyetso mu kazi keza.
Nyuma yo gutangira kwishuri ryambere, umubare wibimenyesha aho byakusanyirijwe wagabanutseho hejuru ya 50% mubyumweru 4 byambere nyuma yuburezi bwambere, ariko byazamutse kumwanya wa kabiri.Kongera gushimangira uburezi mu nama z'abakozi, inama z'umutekano, umwanya mushya w'abaforomo, n'izindi mpinduka zatumye umubare w'imenyesha ugabanuka ahakurikira.
Amatsinda akorera mumuryango wose yasabye kandi guhindura igenamigambi risanzwe kugirango ugabanye urwego rwo gutabaza kugirango ugabanye impuruza zidashoboka mugihe ukomeje umutekano w abarwayi.ICU zose zirimo BICU zashyize mubikorwa indangagaciro nshya zidasanzwe, zishobora gufasha kurushaho kunoza umubare wimpuruza muri BICU.
Gorisek yagize ati: "Imihindagurikire y’imibare imenyeshwa mu gihe cy’imyaka ibiri irashimangira akamaro ko gusobanukirwa izindi mpamvu zishobora kugira ingaruka ku bakozi, harimo umuco wo ku rwego rw’ibice, igitutu cy’akazi, ndetse n’imihindagurikire y’ubuyobozi."
Nka kinyamakuru cya AACN cy’imyitozo ngororamubiri y’ubuvuzi bw’abaforomo byihutirwa kandi bakomeye, CCN ni isoko yizewe yamakuru ajyanye no kwita ku buriri ku barwayi barembye kandi barembye cyane.
Etiquetas: gutwika, kwitabwaho cyane, uburezi, umunaniro, ubuvuzi, ubuvuzi bukomeye, ubuforomo, guhumeka, uruhu, guhangayika, syndrome
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Igihe cyo kohereza: Kanama-30-2021