2.protocol Care Of Normal Birht Doci

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 mSobiarobisa da mSobiarobis Semdgom periodebSi;

mxardaWera

 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 damuSaveba, frCxilebis daWra ar xdeba ;  gamwmendi moqmedeba moTxovna ;

oyna (arc ar hqonia

kertebis

SeeTavazeba). Cveneba 3-4 dRis ganmavlobaSi

specialuri

– Tu kuWis da pacientis

 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, eleqtroTermometri 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 gansakuTrebiT dabali riskis jgufis mSobiare qalebSi;

gamarTlebuli,

 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 SekumSvas (Cveulebriv 2-3 wuTis Semdeg).

saSvilosnos

Zlier

 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 SekumSvas.

Wiplari

da

daelodeT

saSvilosnos

Semdeg

 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 mocileba.

gawyda,

SeiZleba

saWiro

gaxdes

placentis

xeliT

 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 wesebiT

siTburi jaWvis dacvis

 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 saSualebebiT ;

antiseptikuri

 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 profilaqtikuri dawesebuleba.

sakiTxs

wyvets

samkurnalo-

 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, mikroorganizmebis efeqtur mocilebas;

radgan

isini

xels

uSlian

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 gamoyenebiT. xelTaTmanebis gakeTebis da antiseptikuri saSualebiT daimuSaveT

erTjeradi xelTaTmanebis moxsnis Semdeg xelebi

mSobiarobis miReba xdeba steriluri xelTaTmanebiT. xelTaTmanebis gakeTebis da moxsnis Semdeg xelebi antiseptikuri saSualebiT daimuSaveT

gaidlaini, romelsac eyrdnoba aRniSnuli protokoli _ `fiziologiuri mSobiarobis marTva”