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fiziologiuri mSobiarobis marTva

klinikuri mdgomareobis marTvis saxelmwifo


standarti

(protokoli)
fiziologiuri mSobiarobis marTva

mSobiarobaSi myof qals, mSobiarobis adgilis


miuxedavad, unda hqondes SesaZlebloba:

- miiRos daxmareba, romlis farglebSic angariSi gaeweva mis eTnikur, religiur


da kulturul tradiciebs, faseulobebsa da Sexedulebebs.

- sakuTari surviliT, gverdiT iyolios pirebi, romlebic mSobiarobis dros emociur


da fizikur mxardaWeras aRmouCenen.

- iaros Tavisuflad, Seicvalos mdebareoba da imyofebodes misTvis sasurvel


pozaSi mSobiarobis mimdinareobisa da bavSvis dabadebis momentSi (Tu
SezRudvebi raime garTulebis koreqciiT ar aris ganpirobebuli). liTotomiis
poziciis (zurgze mwoliare da aweuli fexebiT) gamoyeneba mowodebuli ar
aris.

- miiRos daxmareba, sadac minimumamdea dayvanili im rutinuli wesebisa


da procedurebis gamoyeneba, romelTa saWiroeba mecnierulad ar aris
dasabuTebuli (mag. kvebis akrZalva, intravenuri gadasxmebi; nayofis
rutinuli eleqtronuli monitoringi; gamwmendi oyna, boqvnis gaparsva).

- miiRos daxmareba personalisagan, romelic minimalurad iyenebs invaziur


procedurebs, magaliTad, sanayofe garsis mTlianobis xelovnur darRvevas an
epiziotomias.

- miiRos daxmareba personalisagan, romelic flobs tkivilis gayuCebis


aramedikamentur meTodebs da saTanado samedicino Cvenebebis gareSe,
ar iyenebs analgeziuri an anesTeziuri saSualebebs.

samedicino dawesebulebas, romelSic sameano


daxmarebis gaweva xorcieldeba, unda gaaCndes:

- mxardamWeri wesebi, romelic waaxalisebs dedebisa da ojaxis wevrebis


mier bavSvTan kontaqts, xelSi daWeras, ZuZuTi kvebas da fizikuri
SesaZleblobis farglebSi, dedis mxridan sakuTari pirmSos movlas, rogorc
janmrTeli, ise avadmyofi, naadrevi an Tandayolili paTologiis mqone
axalSobilis SemTxvevaSi.
- mkafiod gansazRvruli wesebi da procedurebi sxva sameano
samsaxurebTan TanamSromlobisa da konsultirebisaTvis, maT Soris, qalis erTi
dawesebulebidan meoreSi gadayvanis SemTxvevaSi, im dawesebulebasTan
urTierToba, sadac Tavdapirveli daxmareba iqna gaweuli; dedisa da bavSvis
Cabma meTvalyureobis adgilobriv sistemaSi, pre- da postnataluri
dakvirvebisa da ZuZuTi kvebis xelSewyobis mizniT.
fiziologiuri mSobiarobis dros samedicino daxmarebis mTavari mizania –
qalisa da bavSvis usafrTxoebis uzrunvelyofa mSobiarobis dros fiziologiur
procesSi CarevaTa SesaZlo SemcirebiT.

samSobiaro blokis personalis movaleobani

 orsulisa da misi ojaxis wevrebis maqsimaluri mxardaWera


mSobiarobisa da mSobiarobis Semdgom periodebSi;
 mSobiarobis procesis mimdinareobaze, nayofisa da axalSobilis
mdgomareobaze dinamiuri meTvalyureoba, risk-faqtorebis Sefaseba
da garTulebaTa SesaZleblobisamebr adreuli gamovlena ;
 adreuli amniotomiis, epiziotomiisa da sxva procedurebis warmoeba
mxolod mkacri CvenebiT;
 mSobiaris drouli gadayvana mkurnalobis ufro maRal safexurze
aRniSnuli dawesebulebisaTvis maRali riskis mSobiarobis arsebobis
SemTxvevaSi an mSobiarobis procesSi garTulebaTa ganviTarebis dros,
romelic moiTxovs aseT gadayvanas.

mimRebi ganyofileba

mimReb ganyofilebas unda hqondes iseTi mdebareoba, sadac sruliad daculi


iqneba konfidencialuroba pacientis miRebis dros. anamnezis Sekrebisa da
savaldebulo samedicino dokumentaciis Sekrebis dros iq ar unda
imyofebodnen ucnobi pirebi, maT Soris pacientis miRebis procesSi monawile
samedicino personali. sasurvelia sameano stacionarSi specialuri palatis an
sxva raime adgilis gamoyofa, sadac SeiZleba moTavsdnen qalebi
mSobiarobis winamorbedi niSnebiT.

mSobiarobis dawyebis obieqturi niSnebi

 saSvilosnos yelis struqturuli cvlilebebi;


 saSvilosnos SekumSvebi regularulobis SefasebiT (aqtiuri fazis dros ara
nakleb 3-jer 10 wuTSi).

mimReb ganyofilebaSi eqimi an bebia-qali valdebulia:

 gaacnos ganyofilebaSi mSobiarobis marTvis ZiriTad principebs ;


 mwvave respiratoruli daavadebebisa da sxva infeqciuri procesebis
niSnebis Sefasebis Semdeg, romlebic saSiSia garSemomyofTaTvis,
SesTavazos mSobiarobaSi monawileoba nebismier erT an ramodenime
pirs TviTon qalis arCeviT. inficirebis aSkara niSnebis arsebobis
SemTxvevaSi pirs unda eTqvas uari mSobiarobis procesSi
monawileobis miRebaze, mizezis aucilebebeli axsniT. araviTari sxva
damatebiTi gamokvleva saWiro ar aris.
 arCevani gaakeTos TviTon Tavissa da saavadmyofos tansacmels Soris
da baxilebis Sesaxeb TanamdgomTaTvis, Tu maT ar aqvT Tavisi
gamosacvleli fexsacmeli an maTi tansacmeli aris mouxerxebeli da arc
ise sufTa;
 SesTavazos pacients miiRos Sxapi ;
 sxeulis temperaturis, wnevisa da pulsis gazomva, saerTo sameano
daTvalirebis Catareba;
 mSobiarobis istoriis Sevseba.

rutinulad ar warmoebs:

 xelisa da fexis frCxilebis, sarZeve jirkvlis kertebis specialuri


damuSaveba, frCxilebis daWra ar xdeba ;
 gamwmendi oyna (arc SeeTavazeba). Cveneba – Tu kuWis
moqmedeba ar hqonia 3-4 dRis ganmavlobaSi da pacientis
moTxovna ;
 boqvenisa da Sorisis gaparsva.

sabuTebis gaformebis Semdeg mimRebi ganyofilebis bebia-qali valdebulia


piradad gaacilos ojaxi samSobiaro blokis palatamde, sadac pacienti iqneba
mSobiarobis periodSi. man unda gaacnos ojaxs samSobiaro blokis morige
bebia-qali.

samSobiaro palata

samSobiaro palata unda iyos erT adgiliani. konfidencialurobis dasacavad


samSobiaro palatis karebi mudmivad unda iyos daxuruli. Sesvlisas
samedicino personalma unda daakakunos karze da iTxovos Sesvlis
nebarTva. sxva samedicino muSakebis samSobiaro palataSi Sesvla,
romlebic uSualod ar arian CarTulni pacientis marTvis procesSi, unda iyos
maqsimalurad SezRuduli. sasurvelia, rom samSobiaro palatas hqondes
saxlis pirobebis maqsimalurad msgavsi saxe.

samSobiaro palataSi unda iyos:

 samSobiaro magida – transformer (dasaSvebia funqcionaluri Tavis


mdebareobis cvlilebis SesaZleblobiT), raxmanovis magida ar aris
aucilebeli ;
 axalSobilis reanimaciisaTvis specialurad aRWurvili adgili bavSvis
Sesaxvevi gamaTbobeli magidiTa da Jangbadis wyaroTi, eleqtro-
Termometri bavSvis temperaturis gasazomad;
 aucilebelia SenobaSi iyos Termometri haeris temperaturis gasazomad,
romelic ar unda iyos 25 gradusze naklebi;
 samSobiaro palatebSi sasurvelia iyos saSxape kabina an abazana
pacientisaTvis, qalisa da misi axloblebis mosasvenebeli adgili:
savarZeli, skamebi, magida, tumbo, magidis gamanaTebeli, musikaluri
centri, agreTve noxi, gimnastiuri burTi, gaberili savarZeli, Sveduri
kedeli da sxva sagnebi relaqsaciisaTvis mSobiarobis dros;
 fanjrebze fardebi an Jaluzebi;

mSobiarobis procesze dakvirveba evaleba ZiriTadad samSobiaro blokis


bebia-qals, romelic valdebulia qalis gverdiT iyos misi samSobiaro blokSi
yofnis mTeli drois ara nakleb 50%-sa:
 I periodSi – periodulad (yovel 15-30 wuTSi);
 I periodis bolos da II periodSi – mudmivad;
 III periodSi – periodulad.
qals unda hqondes personalis saswrafo gamoZaxebis saSualeba.

mSobiarobaze dakvirveba moicavs:

 nayofis guliscemis mosmenas (norma – 110-160 dartyma/wT):


 I periodSi – yovel 15-30 wuTSi saSvilosnos SekumSvis dasrulebis
Semdeg mTeli erTi wuTis ganmavlobaSi;
 WinTvebis dros – yovel 5 wuTSi an yoveli WinTvis Semdeg;
 kardiotokografiis rutinuli gamoyeneba ar aris gamarTlebuli,
gansakuTrebiT dabali riskis jgufis mSobiare qalebSi;
 saSosmxrivi gamokvleva mSobiarobis dinamikis Sesafaseblad aqtiur
fazaSi warmoebs yovel 4 saaTSi, ufro xSiri gasinjva saWiroa
Cvenebebisas – samSobiaro moqmedebis stimulacia, sanayofo siTxis
naadrevi daRvra, medikamentozuri gautkivarebis win da sxv.
(SeniSvna: saSvilosnos yelis gaxsnis saSualo siCqare aris 1sm/sT,
minimaluri misaRebi mniSvneloba – 0,5sm/sT);
 SekumSvaTa Sefaseba: aqatiur fazaSi 3-4 SekumSva 10 wuTSi, 40-50
wm meti xangrZlivobiT;
 pulsis kontroli – yovel 30 wuTSi;
 arteriuli wneva – yovel 4 saaTSi (gansakuTrebuli SemTxvevebis garda,
mag.: qronikuli hipertenzia);
 sxeulis temperatura yovel 4 saaTSi;
 Sardvis sixSire da moculoba – qalis mier TviTkontroli (aucilebelia
SevTavazoT xSiri gasvla tualetSi);
 pacientisaTvis mSobiarobis III periodis Sesaxeb sruli werilobiTi da
zepiri informaciis miwodebas rogorc potenciuri upiratesobebis ise
uaryofiTi mxareebis Sesaxeb mSobiarobis III periodis orive, aqtiuri da
mocdiTi taqtikebis dros. mSobiaroba mimdinareobs partogramis
warmoebiT, romelsac avsebs bebia-qali. mTeli mSobiarobis periodSi
samedicino personalma mSobiaresa da mis ojaxs unda aRmouCinos
srulyofili emociuri, fsiqologiuri da fizikuri daxmareba.

sakvebi da sasmeli
ar arsebobs monacemebi rogorc siTxeebis aseve msubuqi sakvebis (iogurti,
vaSli, banani, Sokoladi, buterbrodi da sxv.) miRebis akrZalvis an SezRudvis
Sesaxeb. mendelsonis sindromis ganviTarebis riski upirveles yovlisa
dakavSirebulia zogad narkozTan da SeiZleba acilebuli iyos Tavidan im
Carevebis ricxvis SemcirebiT, romlebic moiTxoven zogad anesTezias (maT
Soris sakeisro kveTa), gamtareblobiTi anesTeziis meTodebis gamoyenebis
wilis gazrdiT da aseve anesTeziologiuri meTodebis protokolis mkacri dacviT.

samSobiaro tkivili

mSobiaris daxmareba gaumklavdes mtkivneul SegrZnebebs – es aris


samedicino personalis erT-erTi umTavresi amocana mSobiarobis dros.
mSobiarobiaze saerTo STabeWdileba didad aris damokidebuli tkivilis
intensiobaze. udavoa, rom uxSiresad gamoxatuli tkivilis sindromi Tan sdevs
mSobiarobas samSobiaro moqmedebis anomaliebiT, romelic moiTxovs
stimulaciias an induqciis dros.
tkivilis SegrZnebis miiRweva medikamenturi gautkivarebis meTodebiT,
magram gansakuTrebiT mniSvnelovania (da usafrTxoa) ara medikamenturi
meTodebis gamoyeneba, rogoric aris:

 mSobiarisa da misi ojaxis maqsimaluri fsiqologiuri mxardaWera


 pacientisa da misi axloblebis informireba mSobiarobis Sesaxeb
maqsimalurad maTTvis aucilebeli moculobiT. informacia unda iyos
marTali ama Tu im Carevis an meTodis rogorc dadebiTi ise uaryofiTi
mxareebis ganxilvisas, romlebic gamoiyeneba daxmarebis
aRmosaCenad;
 poziciis Tavisufali arCevani mSobiarobis I da II periodebSi;
 SekumSvebis dros sxeulis vertikaluri mdebareoba (gamonaklisia
sanayofo siTxis daRvra, rodesac nayofis Tavi ar aris mWidrod mibjenili)
da lateraluri pozocia. samedicino muSakebi unda SesTavazon pacients
aseTi mdebareobani;
 masaJi;
 specialuri sunTqvebi relaqsaciasTan erTad;
 Sxapi da abazana;
 musika;
 aromaTerapia;
 kontrastuli Sxapi;
 akupunqtura

mSobiarobis gautkivarebis yvela ara medikamentur meTods aqvs mcire


raodenobiT mtkicebulebani efeqturobis Sesaxeb. ufro sworad rom vTqvaT –
qalis yuradRebis gadatana, mis mier mSobiarobis rogorc mxiaruli da
mniSvnelovani procesis aRqmis gaZliereba da sabolood is, rom isini arian
ara saziano.

daxmareba mSobiarobis II periodSi

 bebia-qalma an meanma unda moamzados aucilebeli mowyobilobani


da adgili axalSobilis reanimaciisaTvis (siTbos CarTva, Jangbadis
SeerTeba, Seamowmos adgilzea Tu ara sasunTqi baloni da misi niRabi,
eleqtrosaqaCi gamanawilebeliT da msxali; bavSvisaTvis safenebis,
qudis da windebis momzadeba).
 mSobiarobis adgilis momzadeba – sufTa safenebis an erTjeradi paketis
gaSla im adgilas, romelic qalma airCia samSobiarod. im safenebis
gaTboba, romlebiTac unda gamSraldes bavSvi, mSobiarobisaTvis
aucilebeli instrumentebis momzadeba, maT Soris Wiplaris gadasaWreli
makrateli. mSobiaroba SesaZlebelia nebismier pozociaSi, romelsac
qali airCevs. bavSvisaTvis yvelaze ufro ara xelsayreli da saSiSi aris
horizontaluri pozicia. xSirad qalebis irCeven naxevrad mjdomare
pozocias.
 II periodis dasawyisi yovelTvis ar emTxveva aqtiuri WinTvebis
dasawyiss. amitom ar Rirs vaiZuloT qali gaiWinTos imaze adre, sanam
qali TviTon ar SeigrZnobs ukana tanze Zlieri zewolis SegrZnebas.

aucilebeli ar aris:

 WinTvebis marTva sunTqvis SekavebiT (valsalvas meTodi);


 rutinuli epiziotomia (Sorisis gaxevis saSiSroeba, ~maRali ~ Sorisi);
 Sorisis dacva (es meTodi SeiZleba gamoviyenoT maSin, roca qali aris
iseT mdgomareobaSi, romlis drosac praqtikulad SesaZlebeblia amis
gakeTeba, magram am SemTxvevaSic ki ar aris rekomendirebuli
nayofis Tavis gaSlisaTvis winaaRmdegobis gaweva);
 II periodis Semokleba nayofisa da qalis normaluri mdgomareobis
dros;
 bavSvis dabadeba erTi WinTviT. Tavis dabadebis Semdeg mxrebs
saSualeba unda mivceT TviTon mobrundnen, amasTan aucilebelia
Semowmdes xom ar aris Wiplaris Semoxveva. misi mWidro
Semoxvevis dros is unda gadaiWras 2 momWers Soris, ara mWidro
Semoxvevisas – Wiplaris daWimulobis Semcireba da Semdgomi
WinTvis dalodeba. ar iCqaroT! saxis cianozi ar iTvleba saSiS
niSnad! ar gamoiyenoT kristeleris meTodi!

mSobiarobis mesame periodis aqtiuri marTva


nayofis dabadebidan 1 wuTis ganmavlobaSi 10 erT oqsitocinis Seyvana
kunTebSi.

Wiplaris kontrolirebadi traqcia:

 momWeris dadeba Wiplarze SorisTan axlos. daiWireT klemirebuli


Wiplaris da momWeris boloebi erTi xeliT.
 daadeT meore xeli boqvens zeviT da gadaadgileT saSvilosno
boqvenidan zeviT kontrolirebadi traqciis ganxorcielebisas. es
Tavidan agvacilebs saSvilosnos gadmobrunebas.
 msubuqad daWimeT Wiplari da daelodeT saSvilosnos Zlier
SekumSvas (Cveulebriv 2-3 wuTis Semdeg).
 rogorc ki SeniSnavT saSvilosnos SekumSvas an Wiplaris
dagrZelebas, Zalian frTxilad moqaCeT Wiplari Tqvensken qvemoT
placentis dabadebisaTvis. ar daelodoT Warb sisxlian gamonadens
manam sanam Tqven daiwyebT Wiplaris moqaCvas. gaagrZeleT
meore xeliT saSvilosnos gadaweva Wiplaris daqaCvis mimarTulebis
sapirispirod.
 Tu placenta ar gamodis kontrolirebadi traqciis 10-20 wamis
ganmavlobaSi (ar aris momyolis mocilebis niSnebi), Wiplaris traqcia
unda Sewydes.
 frTxilad daikaveT Wiplari da daelodeT saSvilosnos Semdeg
SekumSvas.
 saSvilosnos Semdegi SekumSvisas gaimeoreT Wiplaris
kontrolirebadi traqcia saSvilosnos gadaweviT sawinaaRmdego
mimarTulebiT.

arasdros ar ganaxorcieloT Wiplaris traqcia meore xeliT saSvilosnos


sapirispiro mimarTulebiT gadaadgilebis gareSe.

 placentis dabadebisas Txeli sanayofo garsebi SesaZloa daziandes.


amitom placenta unda daikavoT orive xeliT da frTxilad vabrunoT is
manam, sanam garsebi mTlianad ar gamova.
 nela moqaCeT placentas mSobiarobis dasamTavreblad.
 Tu sanayofo garsebi gaixa, frTxilad daaTvaliereT saSos zeda nawili
da saSvilosnos yeli steriluri xelTaTmanebiT da gamoiyeneT
fanjriseburi momWerebi sanayofo garsebis darCenili nawilebis
gamosatanad, romlebic iqna aRmoCenili
 yuradRebiT daaTvaliereT placenta, raTa darwmundeT mis
mTlianobaSi. Tu placentis dedismxrivi zedapiris nawili ar aris an
adgili aqvs garsebis gaxevas sisxlZrRvebiT, saeWvoa placentis
nawilebis CarCena saSvilosnos RruSi.
 Tu Wiplari gawyda, SeiZleba saWiro gaxdes placentis xeliT
mocileba.
 momyolis dabadebis Semdeg dauyovnebliv ganaxorcieleT
saSvilosnos fuZis masaJi muclis wina kedlidan saSvilosnos
SekumSvebis dawyebamde.
 saSvilosnos masaJi gaimeoreT mSobiarobis Semdgomi periodis
yovel 15 wuTSi pirveli 2 saaTis ganmavlobaSi.

bavSvis dabadebis Semdeg bebia-qali an meani, romelsac miyavda


mSobiaroba:
 afasebs bavSvis mdgomareobas Tavis xelSive. Tu misi mdgomareoba
ar aris sagangaSo anu is sunTqavs, yviris, tonusSia, guliscema 100-ze
metia wuTSi, Tbili sufTa safenebiT gamSralebisTanave awvenen dedis
mucelze.
 lorwovanis rutinuli amoqaCva axalSobilis cxviridan da piridan, kuWis
zondireba ar tardeba.
 nayofs Tavze axuraven sufTa SesaZloa saxlidan motanil quds, fexebze
– windebs.
 sveli safeni unda gadavagdoT da bavSvi gaixveva mSral safenebSi da
damatebiT sabniT.
 Wiplari gadaikveTeba steriluri insrumentiT, SesaZlebelia bavSvis
mamis an sxva piris mier, Wiplaris damuSaveba am SemTxvevaSi
antiseptikebiT ar aris saWiro.
 samSobiaro gzebi frTxilad Tvalierdeba tamponis saSualebiT.
 samSobiaro gzebis rutinuli daTvaliereba sarkeebSi ar tardeba ;
 ar aris saWiro mucelze yinulis moTavseba ;
 Sardis buStis rutinuli kaTeterizacia ar tardeba ;
aucileblobis SemTxvevaSi rbili samSobiaro gzebis dazianebebi
gaikereba adgilobrivi anesTeziiT( sasurvelia lidokainiT ) qveS swrafad
gamwovi sakeravi masaliT (Vicril-Rapid №2-0);
 gakervis win antiseptikiT daamuSaveT Wriloba, SesaZlebelia Tmebis
SekriWva
 rbili samSobiaro gzebis damatebiTi damuSaveba antiseptikebiT saWiro
ar aris
 qalis TeTreuli unda gamoicvalos mSralze da dedas da axalSobils
daefaros sabani

axalSobilis pirveladi movla

 bavSvis sunTqvisa da kanis feris Sefaseba yovel 15 wT-Si pirveli


saaTvis ganmavlobaSi da yovel 30wT-Si Semdegi 2 saaTis
ganmavlobaSi. cianozis an suTqvis gaZnelebis dros (<30 an >60)
mieces Jangbadi niRbiT da gamozaxebuli iyos neonatologi
 gaizomos bavSvis sxeulis temperatura eleqtronuli TermometriT yovel
30 wT-Si pirveli 2 sT-is ganmavlobaSi ; Tu temperatura aris 36,5-ze
naklebi, gatardes damatebiTi RonisZiebebi axalSobilis gasaTbobad
 auxseniT dedas ZuZuTi kvebis upiratesobis da misi wesebis Sesaxeb
da moexmareT pirvel ZuZuTi kvebaSi
 gonoblenoreis profilaqtika tetraciklinis an eriTromicinis malamoTi unda
catardes mSobiarobidan 1 saaTis Semdeg
 plastikuri momWeris dadeba Wiplarze keTdeba bebiaqalisaTvis
mosaxerxebel dros. Wiplari unda gaiwmindos steriluri marliT,
damatebiTi damuSaveba saWiro ar aris. am proceduris dros ar unda
xorcieldebodes kani kanTan kontaqti.
 ar aris rekomendebuli bavSvis mWidro gakoWva
 bavSvis awonva da gazomva unda moxdes siTburi jaWvis dacvis
wesebiT
 kanis specialuri damuSaveba da bavSvis dabana saWiro ar aris
 Tu ar aRiniSneba garTulebebi, 2 saaTSi Seizleba dedisa da axalSobilis
gadayvana melogineTa ganyofilebaSi.
 samSobiaro blokis bebiaqalma unda gaacnos dedas melogineTa da
bavSvTa ganyofilebis personali

melogineTa ganyofileba

melogineTa ganyofilebaSi unda gatardes Semdegi RonisZiebebi:


 dedisa da Cvilis erTad yofna;
 ar aris saWiro sarZeve jirkvlebis damuSaveba antiseptikuri
saSualebebiT ;
 Sorisis nakerebis movla antiseptiuri saSualebebis gamoyenebis
gareSe. isini unda iyos mSral da sufTa mdgomareobaSi;
 Wiplaris takvs unda movuaroT mSrali wesiT. Wiplaris takvis
damuSaveba ar SeiZleba antiseptikebiT (spirtiT), unda
SevinarCunoT misi simSrale, sisufTave da is iyos gaxsnil
mdgomareobaSi (saxvevis gareSe). Wiplaris takvi TavisiT Tu ar
movardeba ar aris rekomendirebuli Wiplaris takvis xeliT mocileba.
Tu qali ewereba saxlSi da Wiplaris takvi ar aris movardnili, dedas
uxsnian takvis movlis wesebs (bavSvis dabana xdeba Cveulebrivi
wesiT, Wiplari unda SevinarCunoT mSral da sufTa mdgomareobaSi).
Tu axalSobili cxovrobs soflis pirobebSi an mSoblebi cxovroben
araxelsayrel socialur pirobebSi gawera unda ganxorcieldes mxolod
Wiplaris movardnis Semdeg.
 axalSobilis vaqcinacias sasurvelia eswrebodes deda;
 naTesavTa mosvla-monaxuleba sakiTxs wyvets samkurnalo-
profilaqtikuri dawesebuleba.
 palataSi unda iyos Tavisufali interieri;
 dedas unda hqondes saSualeba sakuTari tansacmelis gamoyenebis
 medpersonals ar moeTxoveba niRbebisa da qudebis tareba;
 saWiroa erTjeradi xelTaTmanebis gamoyeneba daTvalierebisas.
 niRbiani reJimi saWiroa mxolod karantinisa da epidemiis periodSi.
invaziuri manipulaciebis Catarebisas sasurvelia Tavdacvis
individualuri saSualebebis (qudi, niRabi) gamoyeneba.
 nebadarTulia qarxnuli higienuri safenebis xmareba.

xelebis damuSaveba

medicinis muSakTa xelebis higiena erT-erTi yvelaze mniSvnelovani


RonisZiebaa, romelic samedicino daxmarebasTan dakavSirebuli infeqciis
gavrcelebis Tavidan acilebiskenaa mimarTuli.
xelebis dabana saWiroa samuSaos dawyebamde, tualetis Semdeg, sakvebis
miRebamde da miRebis Semdeg.
xelebis dabanis rekomendirebuli teqnika:
movixsnaT beWdebi da sxva samkaulebi, radgan isini xels uSlian
mikroorganizmebis efeqtur mocilebas;
zomieri sasiamovnod Tbili wylis nakadis qveS energiulad gavisapnoT xelebi
da 10 wamis manZilze gausvaT erTmaneTs, ris Semdegac CamovibanoT.
Uunda gvaxsovdes, rom yvelaze xSiorad gamotovebuli ubnebia _ cera TiTi
da TiTebisa da xelis mtevnis zurgis zedapiri.;
xelebi SeimSraleT qaRaldis pirsaxociT, romliTac Semdeg daxureT onkani.
qaRaldis pirsaxocis ar arsebobis SemTxvevaSi SeiZleba gamoyenebul iqnas
erTjeradi xmarebis sufTa qsovilis naWrebi zomiT 30X30-ze. yoveli
gamoyenebis Semdeg aseTi pirsaxocebi unda movaTavsoT specialurad
pirsaxocebisTvis gankuTvnil konteinerebSi samrecxaoSi gasagzavnad.
xelis dasabani sapnis SerCevisas upiratesoba eniWeba Txier sapons,
erTjeradi gamoyenebis dozatorebSi. Mmravaljeradi gamoyenebis dozatorebi
droTaganmavlobaSi binZurdeba: ar SeiZleba Txieri sapnis damateba
nawilobriv Sevsebul dozatorSi. is unda davcaloT, gamovrecxoT, gavaSroT da
mxolod amis Semdeg CavasxaT sapnis axali porcia.
Tu gamoiyeneba sapnis naWrebi, unda gamoviyenoT sasapneebi, romlebic
sapnis gaSrobis saSualebas iZleva xelebis dabanis calkeul epizodebs Soris,
saukeTesoa magnitis sakidiT.
manipulaciis win da mis Semdeg aucilebelia xelebis damuSaveba
antiseptikuri saSualebiT, ris Semdegac xelebis SemSraleba araa saWiro.
higienuri antiseptika gulisxmobs antiseptikuri preparatebis anu antimikrobuli
aqtiobis mqone preparatebis gamoyenebas,
qalis garegani daTvaliereba xorcieldeba erTjeradi xelTaTmanebis
gamoyenebiT. xelTaTmanebis gakeTebis da moxsnis Semdeg xelebi
antiseptikuri saSualebiT daimuSaveT
mSobiarobis miReba xdeba steriluri xelTaTmanebiT. xelTaTmanebis
gakeTebis da moxsnis Semdeg xelebi antiseptikuri saSualebiT daimuSaveT

gaidlaini, romelsac eyrdnoba aRniSnuli protokoli _


`fiziologiuri mSobiarobis marTva”

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