Cov lus nug ntawm qhov xav tau kev huv ntawm tes los ntawm cov kws kho mob tau tsa thawj zaug hauv nruab nrab xyoo pua 19th. Lub sijhawm ntawd, vim muaj kev tsis huv hauv Tebchaws Europe, yuav luag 30% ntawm cov poj niam hauv kev yug menyuam tuag hauv tsev kho mob. Qhov laj thawj tseem ceeb ntawm kev tuag yog qhov hu ua puerperal fever. Nws feem ntau tshwm sim tias cov kws kho mob tau mus rau cov poj niam hauv kev ua haujlwm tom qab txiav cov neeg tuag. Nyob rau tib lub sijhawm, lawv tsis kho lawv txhais tes nrog ib yam dab tsi, tab sis tsuas yog so lawv nrog phuam so.
Yam kev ua haujlwm
Kev ntxuav tes yog qhov yuav tsum tau ua rau txhua tus neeg ua haujlwm kho mob. Kev tu cev ntawm tes ntawm cov neeg ua haujlwm kho mob tuaj yeem ua tau ob txoj hauv kev:
- tshem tawm cov impurities thiab txo cov kab mob ntawm daim tawv nqaij ntawm tes nrog xab npum thiab dej;
- siv cov tshuaj tua kab mob tshwj xeeb uas muaj cawv ntawm daim tawv nqaij, uas txo cov kab mob ntawm daim tawv nqaij mus rau qib qis.
Tsuas yog txoj kev thib ob tuaj yeem hu ua kev tu cev ntawm tes. Qhov thib ib yog kev ntxuav kom huv xwb. Ntxuav tes nrog kua xab npum dispenserthiab qhuav nrog ib tus neeg siv cov phuam so. Tab sis kev tua kab mob yog nqa tawm siv cov tshuaj tua kab mob ntawm daim tawv nqaij.
Raws li txoj cai, cov neeg kho mob yuav tsum muaj cov tshuaj ntxuav tes tas li. Tsis tas li ntawd, lawv yuav tsum tau muab cov cream, balms, thiab lotions npaj rau kev tu tawv nqaij. Tom qab tag nrho, nrog kev kho mob tas li, qhov kev pheej hmoo ntawm kev sib cuag dermatitis nce. Tsis tas li ntawd, kev xaiv cov tshuaj ntxuav tes thiab tshuaj tua kab mob yuav tsum tau nqa mus rau hauv tus account tus neeg intolerance.
yam tseem ceeb
Txhua tus neeg ua haujlwm hauv tsev kho mob yuav tsum paub thaum twg cov neeg ua haujlwm kho mob txhais tes yuav tsum tau kho kom huv. Qhov no yog qhov tsim nyog nyob rau hauv cov xwm txheej hauv qab no:
- ua ntej thiab tom qab tiv tauj nrog txhua tus neeg mob;
- ua ntej thiab tom qab muab cov hnab looj tes uas siv thaum lub sijhawm kho mob, tiv tauj nrog cov khoom tso tawm lossis lub cev zais cia, hnav khaub ncaws, mucous nto;
- tom qab kev sib cuag nrog daim tawv nqaij tsis zoo, piv txwv li, tom qab ntsuas ntshav siab, mem tes, hloov tus neeg mob;
- tom qab ua haujlwm nrog cov khoom siv uas nyob ze rau tus neeg mob;
- tom qab kev kho mob ntawm cov neeg mob uas muaj ntau yam kab mob pyoinflammatory.
Yog tias muaj qhov pom tseeb ntawm daim tawv nqaij ntawm tes nrog cov ntshav lossis cov zais ntawm tus neeg mob, ces ua ntej lawv yuav tsum tau ntxuav kom huv si nrog xab npum thiab dej thiab qhuav. Tom qab ntawd, lawv yuav tsum tau kho ob zaug nrog tshuaj tua kab mob.
txheej txheem ntxuav tes
Tsis txhob hnov qab qhov tseem ceeb ntawm kev ntxuav ntawm daim tawv nqaij, tsis yog hauv tsev kho mob nkaus xwb, tab sis kuj nyob rau lwm qhov chaw. Cov txheej txheem tes ua haujlwm tseem zoo ib yam nyob txhua qhov chaw. Ua ntej ua txoj kev, nws yog ib qhov tsim nyog los tshem tawm tag nrho cov nplhaib, watches thiab bracelets. Txhua yam khoom txawv teb chaws ua rau nws nyuaj rau tshem tawm cov kab mob. Nws raug nquahu kom ntxuav tes nrog dej sov me ntsis.
txhawm rau ua kom cov txheej txheem ua haujlwm tau zoo, koj yuav tsum xub moisten koj ob txhais tes thiab nyem kua xab npum rau ntawm lawv. Tes ua algorithm zoo li no:
- Liab cov xab npum nrog kev sib txhuam ntawm ob txhais tes.
- Raws ib lub xib teg tawm tsam lwm tus hauv kev sib koom ua ke.
- Raws sab tes xis nrog sab laug xib teg thiab tawm mus.
- Txuas cov ntiv tes ntawm sab tes xis thiab qhov chaw nruab nrab ntawm sab laug, ua tib zoo ua lawv.
- Yuav tsum mus dhau ntawm tus ntiv tes sab hauv.
- Cia li ntiv tes sib nrug thiab rub xib teg ua ke.
- Kaw koj txhais tes ua ke thiab khiav rov qab ntawm koj cov ntiv tes hla koj xib teg.
- Yuav kom rub tus ntiv tes xoo hauv ib ncig, rau qhov no, nws lub hauv paus yuav tsum tau npog nrog tus ntiv tes xoo thiab ntiv tes ntiv tes.
- Lub dab teg ua tiav zoo ib yam.
- So xib teg nrog ntiv tes hauv ib ncig.
Txhua lub zog yuav tsum rov ua dua 5 zaug, thiab tag nrho lub sijhawm ntawm kev ntxuav yuav tsum yog li ib feeb.
Txoj cai rau cov neeg ua haujlwm kho mob
Txhua tus neeg ua haujlwm hauv tsev kho mob thiab chaw kho mob yuav tsumpaub yuav ua li cas tuav tes ntawm cov neeg ua haujlwm kho mob. SanPiN (txoj kev ntxuav kom raug yog muab los saum toj no) tsim cov txheej txheem tsis yog ntxuav cov tawv nqaij xwb, tab sis kuj tua kab mob. Cov neeg ua haujlwm noj qab haus huv yuav tsum paub txog cov cai hauv qab no:
- rau tes luv tsis txhuam;
- tsis muaj rings, rings thiab lwm yam hniav nyiaj hniav kub zoo sib xws.
Npaj txhuam hniav tuaj yeem ua rau tsis xav tau cov tshuaj tiv thaiv kab mob uas tuaj yeem ua rau muaj kab mob thib ob. Tsis tas li ntawd, cov kua roj vanish tsaus tsis tso cai rau kev ntsuam xyuas cov qib ntawm kev huv ntawm qhov chaw subungual. Qhov no yuav ua rau kev ua haujlwm tsis zoo. Cov kua roj vanish tawg yog suav tias yog qhov txaus ntshai tshaj plaws. Tseeb tiag, nyob rau hauv cov ntaub ntawv no, nws yuav nyuaj rau tshem tawm cov kab mob ntawm tes.
Qhov kev ua tau zoo ntawm manicure yog txuam nrog microtraumas uas yooj yim kis tau. Nov yog ib qho laj thawj vim li cas cov kws kho mob tsis tso cai hnav cov ntsia hlau cuav.
Txhua yam hniav nyiaj hniav kub los yog bijouterie tuaj yeem ua rau kev tu cev ntawm cov neeg ua haujlwm kho mob txhais tes tsis zoo. Lawv kuj tuaj yeem ua rau cov hnab looj tes puas thiab ua rau lawv nyuaj.
Nuances for surgeons
Kev ua haujlwm txhais tes ntawm cov neeg koom nrog kev cuam tshuam kev phais yog ua raws li kev hloov kho me ntsis. Yog li, piv txwv li, lub sijhawm ntxuav rau lawv txuas ntxiv thiab yog 2 feeb. Qhov ntxiv tes ua algorithm yog raws li nram no. Tom qab kev kho tshuab, nws yog ib qho tsim nyog yuav tsum tau qhuav ntawm daim tawv nqaij nrog cov ntaub so ntswg tsis muaj menyuam lossisCov ntaub ntawv pov tseg pov tseg.
Ntxiv rau kev ntxuav, kev kho tshuaj tua kab mob kuj tseem ceeb. Kev saib xyuas yuav tsum tau them tsis tau tsuas yog rau tes, tab sis kuj rau lub dab teg thiab forearms. Thaum lub sij hawm kho mob, daim tawv nqaij yuav tsum nyob twj ywm moist. Koj tsis tuaj yeem so koj txhais tes, koj yuav tsum tos kom txog thaum cov tshuaj tua kab mob qhuav tag. Tsuas yog tom qab ntawd cov kws phais tuaj yeem muab hnab looj tes.
Kev xaiv cov khoom tu cev
Ntau tus tam sim no xaiv cov tshuaj tua kab mob xab npum. Tab sis nws yog ib qho tseem ceeb kom ua raws li cov txheej txheem ntawm kev ntxuav ntawm daim tawv nqaij. Yog hais tias ua tau zoo, ntxuav koj txhais tes nrog xab npum li niaj zaus yuav zoo li qub. Hauv kev xyaum phais, tshwj xeeb txhais tau tias rau kev kho mob ntawm tes yog siv. Cov xab npum muaj chlorhexidine gluconate lossis povidone-iodine. Cov tshuaj no tuaj yeem txo cov kab mob los ntawm 70-80% ntawm thawj daim ntawv thov thiab 99% ntawm daim ntawv thov thib ob. Tib lub sijhawm, thaum siv povidone-iodine, microflora loj hlob sai dua thaum sib cuag nrog chlorhexidine.
Yuav kom cov neeg ua haujlwm kho mob ua tiav lawv txhais tes huv si raws li kev tswj hwm, nws raug nquahu kom muab cov chaw kho mob nrog lub luj tshib. Lawv tswj tsis tau kev koom tes ntawm tes.
Kuj hauv kev xyaum phais, txhuam hniav tuaj yeem siv los ntxuav tes, tab sis qhov no tsis yog qhov yuav tsum tau ua. Lawv yuav tsum yog sterile, pov tseg los yog autoclavable.
Lub sijhawm sib txawv
Hauv kev xyaum phais, muaj cov cai tshwj xeeb rau kev ntxuav ntawm daim tawv nqaij. Tom qabIb txwm ua kom huv si raws li cov txheej txheem tsim, lawv yuav tsum tau decontaminated.
Cov neeg ua haujlwm kho mob txhais tes yuav tsum ua tiav yam tsis muaj kev poob. SanPin (txoj kev ntxuav tseem zoo ib yam) muab kev ntxuav ntawm daim tawv nqaij ua ntej cov txheej txheem phais tuaj yeem ua tiav siv tib txoj kev tu cev.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias thaum lub sij hawm tag nrho cov tshuaj tua kab mob ntawm tes, lawv yuav tsum nyob twj ywm moist. Rau cov txheej txheem, raws li txoj cai, nws yog ib qhov tsim nyog yuav tau siv ntau tshaj 6 ml ntawm antiseptic. Raws li qhov tshwm sim ntawm kev tshawb fawb, nws tau pom tias rau qhov zoo ntawm kev puas tsuaj ntawm cov kab mob, kev kho mob tsib feeb ntawm daim tawv nqaij yog txaus. Nws kuj tau raug lees paub tias ua cov txheej txheem no rau peb feeb txo cov kab mob mus rau qib uas tau txais.
Rules for hand sanitizer treatment
Tom qab ntxuav cov tawv nqaij ntawm ob txhais tes, dab teg thiab hauv pliaj, nws yuav tsum tau ua kom qhuav. Tom qab ntawd, cov txheej txheem tsim los rau kev ua haujlwm ntawm tes rau cov neeg ua haujlwm hauv cov haujlwm ua haujlwm muab kev xav tau siv cov tshuaj tua kab mob tshwj xeeb.
Ua ntej qhov no, yog tias tsim nyog, nws yog qhov tsim nyog los ua cov ntsia thawv txaj thiab periungual ridges. Rau cov hom phiaj no, siv cov ntoo uas tsis muaj menyuam yaus pov tseg, uas yuav tsum tau ntxiv moistened nrog tshuaj tua kab mob.
Tshuaj tua kab mob yog siv 2.5 ml ntawm tes thiab hauv pliaj. Txog 10 ml ntawm cov tshuaj tua kab mob yuav tsum tau siv rau ntawm ib qho kev kho mob ntawm ob txhais tes. Antiseptic xav taurub rau hauv daim tawv nqaij tib yam li kev ntxuav tes, saib xyuas qhov tseeb ntawm kev txav.
Tsuas yog tom qab ua tiav kev nqus / evaporation ntawm cov khoom, koj tuaj yeem hnav hnab looj tes. Yog tias qhov kev phais mob ntev dua 3 teev, tom qab ntawd kev kho mob rov ua dua. Tom qab tag nrho, cov kab mob tuaj yeem pib sib ntxiv hauv hnab looj tes dua.
kawg theem
Tab sis qhov no tsis yog txhua theem ntawm kev ua tes. Nws yog ib qho tseem ceeb kom tshem cov hnab looj tes tom qab ua haujlwm thiab ntxuav koj txhais tes nrog xab npum thiab dej. Hauv qhov no, nws tsis tas yuav siv tshuaj tua kab mob ntxiv lawm. Ntxuav nrog xab npum ua kua yog txaus, nws yog ntshaw kom nws pH yog nruab nrab.
Tom qab ntxuav daim tawv nqaij, lawv yuav tsum moisturized. Rau cov hom phiaj no, ntau yam cream thiab tshuaj pleev ib ce yog siv. Lawv lub hom phiaj tseem ceeb yog tiv thaiv kom qhuav cov nyhuv ntawm cov tshuaj tua kab mob cawv.
Nws yog ib qho tsim nyog sau cia nyias tias kev tu cev ntawm tes thaum tsis pom muaj kab mob tuaj yeem ua tiav yam tsis tas ntxuav. Feem ntau, nws txaus los siv cov tshuaj tua kab mob rau 30-60 vib nas this.
Muaj Teeb Meem
Nws tsim nyog sau cia tias kev siv cov tshuaj tua kab mob tsis tu ncua tsis muaj txiaj ntsig zoo tshaj plaws rau cov tawv nqaij ntawm cov neeg ua haujlwm kho mob. Muaj ob hom kev tshwm sim tseem ceeb los ntawm cov neeg ua haujlwm hauv tsev kho mob. Feem ntau lawv yws yws ntawm khaus, dryness, irritation, cov tsos ntawm cov kab nrib pleb nrog los ntshav. Cov tsos mob no tuaj yeem yog ob qho me me thiab muaj feem cuam tshuam rau tus mob.cov neeg ua haujlwm.
Tseem muaj lwm yam teeb meem - tsis haum dermatitis. Lawv tshwm sim nrog intolerance rau ib yam khoom ntawm cov khoom npaj rau kev ntxuav tes. Allergic dermatitis tuaj yeem tshwm sim nws tus kheej ob qho tib si hauv qhov chaw me me thiab hauv daim ntawv loj loj. Hauv cov mob hnyav tshaj plaws, lawv tuaj yeem ua ke nrog kev ua pa nyuaj lossis lwm yam tshwm sim ntawm anaphylaxis.
Kev mob tshwm sim thiab tiv thaiv lawv
Koj tuaj yeem nkag siab qhov tseem ceeb ntawm qhov teeb meem yog tias koj paub tias cov kev ntxuav tes zoo li no ua rau 25% ntawm cov kws saib xyuas neeg mob pom cov tsos mob ntawm tus kab mob dermatitis, thiab 85% tau tshaj tawm tias muaj keeb kwm ntawm cov teeb meem ntawm daim tawv nqaij.
Koj tuaj yeem txo qis qhov khaus ntawm cov tshuaj tua kab mob yog tias koj ntxiv emollients rau lawv. Qhov no yog ib txoj hauv kev los txo qhov kev sib kis ntawm kev sib cuag dermatitis. Tsis tas li ntawd, kev pheej hmoo ntawm lawv qhov tshwm sim tuaj yeem txo qis los ntawm kev siv cov moisturizers uas tsim los rau kev tu tawv nqaij ntawm tes tom qab txhua qhov ntxuav.
Txhawm rau tiv thaiv kev txhim kho ntawm cov teeb meem, tsis txhob ntxuav koj txhais tes txhua zaus ua ntej kho lawv nrog tshuaj tua kab mob. Nws tseem ceeb heev kom ntseeg tau tias cov hnab looj tes tsuas yog muab tso rau thaum daim tawv nqaij qhuav tag.
Tsis txhob tso tseg kev siv cov moisturizers. Hauv kev ua lag luam koj tuaj yeem nrhiav cov tshuaj tiv thaiv tshwj xeeb tsim los tiv thaiv qhov pib ntawm kev sib cuag dermatitis. Txawm li cas los xij, cov kev tshawb fawb tsis tuaj yeem lees paub lawv qhov tseebefficiency. Ntau tus tau nres los ntawm tus nqi siab ntawm cov cream no.