CDC Nhungamiro: Yakakodzera Positioning Care Kiyi yekudzivirira VAP

Muchiito chemazuva ese chekuchengetedza hutano, kuchengetedza kwakaringana harisi basa rekutanga rehukoti asi yakakosha nzira yekurapa uye nzira yekudzivirira chirwere. Munguva pfupi yapfuura, Centers for Disease Control and Prevention (CDC) yakapa nhungamiro mitsva inosimbisa kukwidziridza musoro wemubhedha wemurwere kusvika pakati pe30° ne45° kudzivirira Ventilator-Associated Pneumonia (VAP).

VAP chinhu chakakosha chechipatara-chinowanikwa hutachiona hwehutachiona, hunowanzoitika kune varwere vanowana mechanical ventilation. Izvo hazvingorebesi kugara muchipatara uye zvinowedzera mari yekurapa asi zvinogona kukonzera matambudziko akakomba uye kunyange rufu. Zvinoenderana neazvino CDC data, kwakaringana kuchengetwa kwenzvimbo kunoderedza zvakanyanya kuitika kweVAP, nekudaro kunatsiridza kupora kwemurwere nemhedzisiro yekurapa.

Kiyi yekuisa kutarisirwa kugadzirisa chimiro chemurwere kuti afambise kufema kuri nani uye kutarisira uku achideredza njodzi yehutachiona hwemapapu. Kusimudza musoro wemubhedha kune kona inopfuura 30 ° kunobatsira kuvandudza kufefetedza kwemapapu, kunoderedza mukana wemukati wemukanwa uye mudumbu refluxing mumhepo, uye zvinodzivirira kudzivirira VAP.
Varapi vehutano vanofanirwa kutarisisa kutarisisa kwekumisikidza mukuita kwezuva nezuva, kunyanya kune varwere vanoda kuzorora kwenguva refu pamubhedha kana mechanic ventilation. Kugara uchigadzirisa uye kuchengetedza yakakurudzirwa musoro-we-mubhedha kukwidziridzwa kwakakosha matanho ekudzivirira pazvirwere zvechipatara.

CDC inokurudzira masangano ese ezvehutano uye vanopa kuti vatevedzere zvakanakisa maitiro ekuisa kutarisirwa kwekusimudzira hutano hwemhando uye kuchengetedza hutano hwemurwere uye kuchengetedzeka. Aya nhungamiro haashande chete kumayuniti evanorwara zvakanyanya asiwo kune mamwe madhipatimendi ekurapa nenzvimbo dzevakoti, kuve nechokwadi chetariro yakakwana uye rutsigiro rwemurwere wese.

Mhedziso:

Mukuita mukoti, kutevedzera CDC nhungamiro pakuisa chigaro inhanho yakakosha mukuvimbisa kuchengetedzwa kwemurwere uye kupora. Nekusimudza mwero wehukoti uye nekuita nhanho dzekudzivirira dzesainzi, tinogona pamwe chete kuderedza njodzi yehutachiona hunowanikwa muchipatara uye kupa hutano hwakachengetedzeka uye hunoshanda zvakanyanya kuvarwere.