Ukusetshenziswa kweziphethu zegesi ezilawulwayo emibhedeni yezokwelapha: ukusungula izinto ezintsha kanye nezinselele

Okokuqala, indima eyinhloko yeziphethu zegesi ezilawulwa kabili emibhedeni yezokwelapha

1.1 Indlela eqondile yokulungisa isikhundla somzimba

Uhlelo lwesiphethu segesi olulawulwa kabili luvumela imibhede yezokwelapha ukuthi ifinyelele ukulungiswa okunembile kwezinga lamamilimitha ngokusebenzisa indlela yayo eqondile yokulawula ingcindezi. Lokhu kulungiswa akukhawulelwe ekuphakameni okuphelele, kodwa futhi kudlulela ekulawulweni kwe-engeli kwengxenye ngayinye yombhede. Izifundo zezokwelapha zibonise ukuthi ukulungiswa kwe-engeli yangemuva okunembile ku-±1° kunganciphisa kakhulu ukwanda kwezilonda zokucindezeleka ezigulini ezilele embhedeni ngo-25%. Ubuchwepheshe bokulawula impendulo evaliwe obusetshenziswa ohlelweni buhlala buqapha ukuphambuka phakathi kwesikhundla sangempela kanye nenani elibekiwe ukuqinisekisa ukuzinza kokugcinwa kwesikhundla, noma ngabe isiguli sinyakaza noma kusetshenziswa amandla angaphandle.

1.2 Umsebenzi wokubuyisela umthwalo onamandla

Enye yezinselelo ezinkulu ezibhekene nemibhede yezokwelapha umehluko omkhulu wesisindo sesiguli (kusukela ku-20kg yeziguli zezingane kuya ku-300kg yeziguli ezikhuluphele). Isiphethu segesi esilawulwa kabili singalungisa ngokuzenzakalelayo izinguquko zesisindo ebangeni eliphakathi kuka-50-150kg futhi silondoloze ukuhambisana kwesivinini sokulungisa ngokusebenzisa ukuzwa ingcindezi ngesikhathi sangempela kanye nama-algorithms okulungisa aguquguqukayo. Idatha yokuhlola ikhombisa ukuthi lapho umthwalo ushintsha ufike ku-100kg, ukuphambuka kwesivinini sokulungisa akudluli ku-5%, okuqinisekisa ukuthi iziguli ezinobukhulu obuhlukene bomzimba zingathola ulwazi olufanayo.

1.3 Uhlelo lwememori olunemodi eminingi

Imibhede yezokwelapha ephezulu ihlanganisa izilawuli ezihlelekayo futhi ingagcina amasethingi esikhundla asetshenziswa njalo ayi-10. Ukubonwa kwezokwelapha kubonisa ukuthi ezindaweni ze-ICU, lo msebenzi wenkumbulo wehlisa isikhathi sokusebenza kwabahlengikazi ngo-40%, ikakhulukazi ezimweni lapho kudingeka khona izinguquko zesikhundla njalo. Imemori engaguquki esetshenziswa ohlelweni iqinisekisa ukuthi amasethingi awalahleki ngisho nangemva kokuphela kukagesi, kuyilapho umsebenzi wokuphatha imvume uvimbela ukuguqulwa okungagunyaziwe.

Okwesibili, Izinzuzo ezibalulekile zombhede wezokwelapha wentwasahlobo yegesi elawulwa kabili

2.1 Izinzuzo ze-Ergonomic

Ukuphakama okulungisekayo kombhede wezokwelapha kwenza abasebenzi bezokwelapha bakwazi ukugcina ukuma okuhle kakhulu kokusebenza ezimweni ezahlukene zokusebenza. Idatha ikhombisa ukuthi lapho ukuphakama kombhede kulungiswa kube ngu-5-10cm ngaphansi kwendololwane yomqhubi, umthwalo wemisipha okhalweni wehliswa ngo-30%. Ezigulini ezilele embhedeni isikhathi eside, ukushintsha okuzenzakalelayo kwesikhundla esingu-15° njalo emahoreni ama-2 kunganciphisa ukwanda kwe-pneumonia ngo-22%, ngenxa yokulungiswa okubushelelezi nokuqhubekayo okufezwa yintwasahlobo yegesi elawulwa kabili.

2.2 Ukusebenza kahle kwezokwelapha okuthuthukisiwe

Ezimweni eziphuthumayo, umsebenzi wokwehlisa ngokushesha onenkinobho eyodwa unganciphisa ukuphakama kombhede kusuka endaweni ephezulu kakhulu kuya endaweni ephansi kakhulu phakathi nemizuzwana emi-3, okuthenga isikhathi esiyigugu sokutakula. Izifundo zokuqhathanisa zikhombisile ukuthi imibhede yezokwelapha efakwe iziphethu zegesi ezilawulwa kabili inciphisa isikhathi esimaphakathi sokusebenza okuvamile kokunakekela ngo-25%, ikakhulukazi ekunakekelweni kwangemva kokuhlinzwa okudinga ukulungiswa njalo. Inethiwekhi yezinzwa ehlanganiswe embhedeni ingaqapha kangcono ukusetshenziswa ngesikhathi sangempela futhi inikeze ukwesekwa kwedatha kokuhlola ikhwalithi yokunakekela.

2.3 Ukusebenza okuthuthukisiwe kokuphepha

Uhlelo lokulawula olukabili lusebenzisa umklamo ophindaphindayo, kanti igesi eyinhloko neyisekelayo iyaphinda ihlangane, ukuze imisebenzi eyisisekelo igcinwe lapho ingxenye eyodwa yehluleka. Umklamo ovimbela ukuncinza uqinisekisa ukuthi uyama ngokuzenzakalelayo futhi uhlehlise ama-5mm lapho uhlangabezana nokumelana okungaphezu kwama-50N. Ngemva kokuhlola, ungavimbela izingozi ezivamile zokuncinza ngo-100%. Idivayisi yebhuleki kagesi ivulwa ngokuzenzakalelayo lapho ugesi ucishiwe ukuvimbela ukuwa ngengozi, futhi amandla ayo okubamba angafinyelela ku-200% womthwalo olinganisiwe.

Ekugcineni, Isiphetho

Ukusetshenziswa kobuchwepheshe bokushintsha igesi ephindwe kabili emkhakheni wemibhede yezokwelapha kubonise inani lokuguqula. Ukulawula kwayo okunembile, ukuphepha, ukuthembeka kanye nomklamo owenziwe ngabantu kuthuthukise kakhulu ikhwalithi yokunakekelwa kwezokwelapha. Naphezu kwezinselele zezindleko kanye nokuzivumelanisa nezimo kwezobuchwepheshe, ukusungula izinto ezintsha okuqhubekayo kanye nokuma okujwayelekile kuhlala kuthuthukisa lesi sixazululo. Ngokuthuthuka kwemithi ehlakaniphile, ubuchwepheshe begesi elawulwayo buzohlanganiswa ngokujulile namapulatifomu edijithali nanethiwekhi ukudala indawo yezokwelapha ephephile, esebenza kahle futhi ekhululekile yeziguli nabasebenzi bezokwelapha. Lapho benza izinqumo zokuthenga, izikhungo zezokwelapha kufanele zicabangele ngokuphelele izidingo zezokwelapha, imvamisa yokusetshenziswa kanye nezindleko zokusebenza zesikhathi eside, futhi zikhethe ukucushwa kobuchwepheshe okufaneleka kakhulu ukuze kukhuliswe ngempela inani lalobu buchwepheshe obusha.